1
00:00:12,608 --> 00:00:13,818
<i>Dr. Al?</i>

2
00:00:16,195 --> 00:00:17,238
Dr. Al.

3
00:00:19,657 --> 00:00:21,408
Trauma's at the back door.

4
00:00:27,039 --> 00:00:29,291
Let me know when the rest
of her labs are back.

5
00:00:31,836 --> 00:00:33,963
The girlfriend hasn't been much help.

6
00:00:34,046 --> 00:00:37,133
- Is she being uncooperative?
- No, not really.

7
00:00:37,216 --> 00:00:39,760
Apparently, she's only been going out
with the little girl Kylie's father

8
00:00:39,844 --> 00:00:41,137
for a few months.

9
00:00:41,220 --> 00:00:44,140
- Where is he now?
- He's in New Castle for work.

10
00:00:44,223 --> 00:00:46,016
I left him a message to come in.

11
00:00:46,100 --> 00:00:47,768
Okay, come find me when he gets here.

12
00:00:47,852 --> 00:00:49,770
You talk to the trauma counselor
this week?

13
00:00:49,854 --> 00:00:51,480
I'm going to.

14
00:00:51,564 --> 00:00:52,940
- Promise.
- Okay, good.

15
00:00:53,023 --> 00:00:54,692
- Medics are rolling in.
- I'll be right there.

16
00:00:54,775 --> 00:00:56,986
How's our little girl
who took a stair tumble?

17
00:00:57,069 --> 00:00:59,572
I'm going to check for internal hemorrhage
with an ultrasound.

18
00:00:59,655 --> 00:01:02,449
- What is your gut telling you?
- Her gut?

19
00:01:02,533 --> 00:01:04,952
Yeah, it's this thing
that AI will never have.

20
00:01:05,578 --> 00:01:08,664
I don't want to think about what my gut
is saying right now.

21
00:01:09,665 --> 00:01:11,000
Come find me when you know more.

22
00:01:11,083 --> 00:01:12,585
- Us, if you don't mind.
- I don't mind.

23
00:01:12,668 --> 00:01:14,378
Us, come find us when you know more.

24
00:01:14,461 --> 00:01:17,173
- Do you want to jump on this trauma?
- I've got my hands full.

25
00:01:17,256 --> 00:01:19,008
I don't want this one
getting away from me.

26
00:01:19,091 --> 00:01:21,177
We don't know what this is yet.
Don't go jumping to conclusions.

27
00:01:21,260 --> 00:01:23,888
I'm not jumping to anything.
I'm just looking out for my patient.

28
00:01:28,100 --> 00:01:30,311
Something I should know about Santos?

29
00:01:30,394 --> 00:01:33,147
Very confident, not afraid
to get her hands dirty,

30
00:01:33,230 --> 00:01:35,024
strong patient advocate, fearless.

31
00:01:35,107 --> 00:01:37,276
Seems like you were suggesting
she jumps to conclusions.

32
00:01:37,359 --> 00:01:39,820
No, no, no, no. I was merely suggesting
or reminding her not to.

33
00:01:39,904 --> 00:01:41,822
- Yeah.
- 58-year-old guy.

34
00:01:41,906 --> 00:01:43,616
Tripped with a scaphoid fracture.

35
00:01:43,699 --> 00:01:47,494
Epistaxis, non-focal neuro,
but denies head trauma.

36
00:01:47,578 --> 00:01:50,956
But every time I check on him,
his affect has drastically changed.

37
00:01:51,040 --> 00:01:53,500
My gut is telling me
something's not right.

38
00:01:57,254 --> 00:01:58,631
- What?
- Nothing.

39
00:01:58,714 --> 00:01:59,840
Your play.

40
00:01:59,924 --> 00:02:01,217
Start with a head CT.

41
00:02:01,300 --> 00:02:03,135
If normal, LP, rule out encephalitis.

42
00:02:03,219 --> 00:02:04,428
Put in your orders.

43
00:02:04,511 --> 00:02:06,138
Has he been here before?

44
00:02:06,222 --> 00:02:08,641
Have you called the family to rule out
any psychiatric history?

45
00:02:08,724 --> 00:02:09,767
No, but I will.

46
00:02:09,850 --> 00:02:11,435
Do you want to jump
on this trauma in the meantime?

47
00:02:11,518 --> 00:02:13,229
- What is it?
- It's a surprise.

48
00:02:13,312 --> 00:02:14,521
Wonderful.

49
00:02:17,149 --> 00:02:18,692
Mel, you want to jump on this?

50
00:02:18,776 --> 00:02:21,445
- What is it?
- It's a surprise.

51
00:02:21,528 --> 00:02:23,447
- What do you got for us, Amboy?
- Allen Billings.

52
00:02:23,530 --> 00:02:25,658
Pallet of roofing tiles fell eight feet,

53
00:02:25,741 --> 00:02:28,244
hit his upper arm
with an open dislocation.

54
00:02:28,327 --> 00:02:29,453
Ouch.

55
00:02:29,536 --> 00:02:33,249
Two rounds of fent, 1 then 0.5 per kilo.
A and O, with good vitals.

56
00:02:33,332 --> 00:02:35,668
- Mel, hold the arm steady.
- Sure.

57
00:02:35,751 --> 00:02:37,753
<i>Uno, dos, tres.</i>

58
00:02:39,213 --> 00:02:42,800
- Mr. Billings, I'm Dr. McKay.
- And I'm Dr. Garcia from surgery.

59
00:02:42,883 --> 00:02:44,760
- And this is Dr. King.
- Hi.

60
00:02:44,843 --> 00:02:46,220
- Oh, it really hurts.
- Give us a minute.

61
00:02:46,303 --> 00:02:48,055
And we're gonna take care of that, okay?

62
00:02:48,138 --> 00:02:49,431
Any headache, chest or belly pain?

63
00:02:49,515 --> 00:02:52,017
- No, just the arm.
- Sats 99. Pulse 104.

64
00:02:52,101 --> 00:02:53,560
BP 116/78.

65
00:02:53,644 --> 00:02:56,897
- What do you think, Dr. King?
- Oh, it is an open dislocation.

66
00:02:56,981 --> 00:02:58,565
Can you be more specific?

67
00:02:59,775 --> 00:03:01,860
I think it's inferior, yeah?

68
00:03:01,944 --> 00:03:04,738
Do you remember the name for that?

69
00:03:07,241 --> 00:03:09,785
Sounds like a Harry Potter spell.

70
00:03:09,868 --> 00:03:10,911
I…

71
00:03:10,995 --> 00:03:13,122
Luxatio erecta.

72
00:03:13,205 --> 00:03:15,040
Correct. Check the neuro-circ.

73
00:03:15,124 --> 00:03:16,792
Sir, can you feel me touching you?

74
00:03:17,584 --> 00:03:20,212
- Okay. Can you wiggle your fingers?
- Yeah.

75
00:03:21,588 --> 00:03:25,009
- Good radial pulse.
- E-FAST is negative.

76
00:03:25,092 --> 00:03:28,387
- Okay, what's next, Dr. McKay?
- Ancef and gentamicin.

77
00:03:28,470 --> 00:03:30,681
Sedate for traction, countertraction.

78
00:03:30,764 --> 00:03:33,434
And he needs a CT angiogram
to rule out vascular injury.

79
00:03:33,517 --> 00:03:34,518
That sounds like a plan.

80
00:03:34,601 --> 00:03:37,313
But with an open joint, he needs a washout
in the OR with ortho.

81
00:03:37,396 --> 00:03:38,397
Agreed.

82
00:03:38,480 --> 00:03:39,565
Instead of wasting time down here,

83
00:03:39,648 --> 00:03:41,942
it should be easier to reduce
under general anesthesia

84
00:03:42,026 --> 00:03:44,320
- with fewer risks.
- Possibly.

85
00:03:44,403 --> 00:03:46,238
Let's get an opinion from ortho.

86
00:03:47,448 --> 00:03:48,949
You're definitely new, Doctor.
Wishful thinking.

87
00:03:49,033 --> 00:03:50,951
Ortho like to take their sweet time.

88
00:03:51,035 --> 00:03:52,953
Okay, sedation orders, Dr. McKay.

89
00:03:53,037 --> 00:03:54,955
100 of propofol. Titrate to effect.

90
00:03:55,039 --> 00:03:56,290
Be back with that.

91
00:03:56,957 --> 00:03:58,042
Excuse me.

92
00:04:01,628 --> 00:04:04,548
- How's your day going, Doc?
- Yeah, pretty good.

93
00:04:04,631 --> 00:04:07,051
Looks like your albumin's infusing.

94
00:04:09,928 --> 00:04:13,807
Oh, medical students Ogilvie and Kwon
are gonna be working with me.

95
00:04:13,891 --> 00:04:15,392
- Hello.
- Student doctors.

96
00:04:15,476 --> 00:04:16,810
You want them to try it?

97
00:04:16,894 --> 00:04:18,979
They got to learn sometime.

98
00:04:19,063 --> 00:04:21,231
It's best if they watch the first one.

99
00:04:21,315 --> 00:04:22,941
- I can prep and drape.
- Yeah.

100
00:04:23,025 --> 00:04:26,779
- After your albumin's in.
- That's correct.

101
00:04:26,862 --> 00:04:29,031
To prevent hypotension,
we introduce albumin

102
00:04:29,114 --> 00:04:31,700
if we anticipate more than five liters.

103
00:04:31,784 --> 00:04:33,160
Last time it was six.

104
00:04:33,243 --> 00:04:35,704
That's, like, a gallon and a half.

105
00:04:35,788 --> 00:04:37,289
Of high-octane premium.

106
00:04:38,082 --> 00:04:40,000
Okay, you need anything else, Mr. Louie?

107
00:04:40,084 --> 00:04:41,377
- No, ma'am.
- Okay.

108
00:04:41,460 --> 00:04:43,962
- Grab me when you're ready?
- Yeah.

109
00:04:44,046 --> 00:04:47,049
Whitaker, wife of your DNR
this morning is in Central 8.

110
00:04:47,132 --> 00:04:49,051
Does she know her husband died?

111
00:04:49,134 --> 00:04:50,469
Not till you tell her.

112
00:04:51,303 --> 00:04:52,721
I'll be right there.

113
00:04:53,889 --> 00:04:58,227
Yeah, always make sure
your entry point is safe

114
00:04:58,310 --> 00:05:00,354
by identifying the pocket of fluid.

115
00:05:00,437 --> 00:05:02,022
That's not a pocket. That's a lake.

116
00:05:02,106 --> 00:05:04,608
Yeah, but you do not want to hit a vein
or artery on the way in,

117
00:05:04,691 --> 00:05:06,693
so make sure you check with color Doppler.

118
00:05:09,113 --> 00:05:10,614
Joy?

119
00:05:10,697 --> 00:05:12,991
I can't see. I can't see anything.

120
00:05:13,075 --> 00:05:15,411
- That's 'cause your eye is shut.
- I can't open it. It's glued shut.

121
00:05:15,494 --> 00:05:17,621
I was trying to put on lashes.

122
00:05:17,704 --> 00:05:20,833
Oh, my God.
Oh, my God, am I gonna go blind?

123
00:05:20,916 --> 00:05:23,043
No, no, I'm pretty sure
this is something we can fix.

124
00:05:23,127 --> 00:05:25,295
Just take a deep breath.

125
00:05:26,839 --> 00:05:30,968
Okay, so you glued your eye shut
with what exactly?

126
00:05:31,051 --> 00:05:32,469
- Super glue.
- Okay.

127
00:05:32,553 --> 00:05:35,097
Well, is it something you typically use
to apply your lashes?

128
00:05:35,180 --> 00:05:37,850
No, it's typically something you use
to glue shit you break,

129
00:05:37,933 --> 00:05:39,184
like coffee mugs and stuff.

130
00:05:39,268 --> 00:05:41,645
You know what I'm talking about.
It's super glue.

131
00:05:41,728 --> 00:05:43,564
Okay, okay. Yeah, got it.

132
00:05:43,647 --> 00:05:46,525
Can I just talk to Dr. J?
She'll know what to do.

133
00:05:47,443 --> 00:05:49,278
Is that an ophthalmologist?

134
00:05:49,361 --> 00:05:51,697
No, she works here in the ER.

135
00:05:51,780 --> 00:05:55,284
Yeah, I don't think so,
but I know what I'm doing…

136
00:05:55,367 --> 00:05:56,785
most of the time.

137
00:05:59,621 --> 00:06:02,541
For a Z-track, we pull up the skin

138
00:06:02,624 --> 00:06:05,752
before advancing
into the peritoneal space.

139
00:06:06,378 --> 00:06:08,797
- Looks good.
- Fluid's clear.

140
00:06:08,881 --> 00:06:10,924
Does that hurt as much as it looks?

141
00:06:11,008 --> 00:06:12,259
Oh, it's not too bad.

142
00:06:13,635 --> 00:06:15,471
Ogilvie, spike the bottle for me.

143
00:06:15,554 --> 00:06:17,723
What tests do we want on these fluids?

144
00:06:17,806 --> 00:06:20,017
Cell count to rule out spontaneous
bacterial peritonitis.

145
00:06:20,100 --> 00:06:21,101
Ding.

146
00:06:21,185 --> 00:06:23,145
What would make that diagnosis, Joy?

147
00:06:24,771 --> 00:06:26,440
Absolute neutrophil count over 250.

148
00:06:28,108 --> 00:06:31,904
- How are we doing in here?
- They are doing great.

149
00:06:31,987 --> 00:06:33,280
I think they got this.

150
00:06:37,159 --> 00:06:38,994
Hey, Dana, can you get Kiara
down here for me?

151
00:06:39,077 --> 00:06:40,496
She isn't answering her Spectralink.

152
00:06:40,579 --> 00:06:42,789
She's not working today. It's…

153
00:06:43,415 --> 00:06:45,167
I forget. I'll find out
and get 'em down here.

154
00:06:45,250 --> 00:06:46,251
What else you need?

155
00:06:46,335 --> 00:06:48,879
How about a double espresso martini?

156
00:06:49,463 --> 00:06:51,006
I like the way you think.

157
00:06:52,007 --> 00:06:54,676
Hey, Trudy, it's Dana.
What's going on up there?

158
00:06:54,760 --> 00:06:56,178
What's up, Crash?

159
00:06:56,261 --> 00:06:59,264
You mean besides
my mother driving me insane?

160
00:06:59,348 --> 00:07:02,601
Just tell her that her efforts
would be better suited

161
00:07:02,684 --> 00:07:05,020
endorsing someone like myself.

162
00:07:05,103 --> 00:07:08,482
If you're seriously thinking
of a double residency,

163
00:07:08,565 --> 00:07:10,400
let me save you the trouble…
you can't do it.

164
00:07:11,610 --> 00:07:14,238
Why? Just because you couldn't do it?

165
00:07:15,030 --> 00:07:17,741
Honestly, yes.

166
00:07:17,824 --> 00:07:19,243
Because you're a genius.

167
00:07:20,035 --> 00:07:21,161
Yes.

168
00:07:21,245 --> 00:07:23,038
What's the square root of 841?

169
00:07:23,121 --> 00:07:25,040
I'm not a human calculator.

170
00:07:25,123 --> 00:07:27,751
Social worker Dylan Easton is covering
for Kiara this weekend.

171
00:07:27,834 --> 00:07:29,753
- They're on their way down.
- Thank you.

172
00:07:29,836 --> 00:07:30,963
Yep.

173
00:07:31,046 --> 00:07:32,548
Oh, shit.

174
00:07:32,631 --> 00:07:34,758
I have a nun with conjunctivitis.

175
00:07:34,841 --> 00:07:37,386
Her swab is showing
gram-negative intracellular diplococci.

176
00:07:38,053 --> 00:07:39,304
Gonorrhea?

177
00:07:39,388 --> 00:07:41,014
Come to Jesus.

178
00:07:41,848 --> 00:07:43,809
Well, the lab must have made a mistake.

179
00:07:43,892 --> 00:07:46,144
Maybe it's an immaculate infection.

180
00:07:46,228 --> 00:07:49,147
I'll call the lab supe, clear this up.
Tread carefully, missy.

181
00:07:49,231 --> 00:07:53,360
There's a nun with gonorrhea in her eye.

182
00:07:55,404 --> 00:07:57,781
Seriously, you guys are gonna
take this away from me?

183
00:07:57,864 --> 00:07:59,283
I'm disappointed in you two.

184
00:07:59,992 --> 00:08:01,326
29.

185
00:08:01,410 --> 00:08:02,661
What?

186
00:08:02,744 --> 00:08:04,079
The square root of 841.

187
00:08:05,080 --> 00:08:06,832
How we doing with Mr. Digby?

188
00:08:06,915 --> 00:08:09,001
He's in a gown in South 21.

189
00:08:09,084 --> 00:08:10,669
Is there someplace
we can get this laundered?

190
00:08:10,752 --> 00:08:12,421
Those are going right in the incinerator.

191
00:08:12,504 --> 00:08:14,423
We'll get him a whole new wardrobe.

192
00:08:14,506 --> 00:08:16,425
You ever use a cast saw before?

193
00:08:16,508 --> 00:08:18,594
Of course you haven't.
Well, today's your lucky day.

194
00:08:18,677 --> 00:08:19,928
Follow me.

195
00:08:20,012 --> 00:08:22,431
- Dr. Mohan, you got a minute?
- Yeah.

196
00:08:22,514 --> 00:08:25,726
Have you met Emma? First day. New grad RN.

197
00:08:25,809 --> 00:08:27,227
- Hi.
- Nice to meet you.

198
00:08:27,311 --> 00:08:29,021
Emma needs to learn cast removal.

199
00:08:29,104 --> 00:08:32,441
- How long has the cast been on?
- Months, maybe years.

200
00:08:32,524 --> 00:08:34,693
Probably gonna want to breathe
through your mouth.

201
00:08:37,446 --> 00:08:39,489
All right, Mr. Digby.

202
00:08:39,573 --> 00:08:42,242
Dr. Mohan can cut your cast off now.

203
00:08:42,326 --> 00:08:43,827
How long's the cast been on?

204
00:08:43,910 --> 00:08:46,788
I don't know,
but it's really getting itchy.

205
00:08:46,872 --> 00:08:51,168
Okay, this cuts the cast, not the skin.

206
00:08:51,251 --> 00:08:52,919
This should relieve the itching.

207
00:09:06,391 --> 00:09:07,476
Get the cast spreader.

208
00:09:14,358 --> 00:09:15,942
Thank you.

209
00:09:17,361 --> 00:09:18,570
Okay.

210
00:09:23,742 --> 00:09:24,951
Okay.

211
00:09:29,373 --> 00:09:31,667
Oh, I see you brought some friends.

212
00:09:31,750 --> 00:09:33,919
- Oh, my God, are those…
- Maggots.

213
00:09:39,549 --> 00:09:41,635
I'll need ethyl chloride spray
to freeze them off.

214
00:09:42,594 --> 00:09:45,180
Never saw that
in nursing school, am I right?

215
00:09:50,727 --> 00:09:53,271
Now irrigate like hell, Mel.

216
00:09:53,355 --> 00:09:54,398
Okay.

217
00:09:58,902 --> 00:10:00,696
Okay, on my count.

218
00:10:00,779 --> 00:10:03,407
One, two, three.

219
00:10:04,783 --> 00:10:06,410
Come on, motherfucker.

220
00:10:06,910 --> 00:10:08,704
Humeral head is not reducing.

221
00:10:08,787 --> 00:10:10,956
- Should be done in the OR.
- I am the OR.

222
00:10:11,039 --> 00:10:14,418
Okay, we're gonna get this back in
before ortho even answers the page.

223
00:10:14,501 --> 00:10:17,129
Mel, stick four fingers
under that humeral head.

224
00:10:17,212 --> 00:10:19,381
- Really?
- Yeah, get in there really, really deep.

225
00:10:20,006 --> 00:10:23,009
And when you feel the traction,
lift it above the glenoid.

226
00:10:23,093 --> 00:10:25,345
That will convert this
to an anterior dislocation,

227
00:10:25,429 --> 00:10:27,472
and it should pop right back in.

228
00:10:27,556 --> 00:10:28,557
Okay.

229
00:10:29,433 --> 00:10:30,559
Ready to go.

230
00:10:30,642 --> 00:10:33,979
One, two, three.

231
00:10:35,021 --> 00:10:37,983
- Okay.
- Oh, very cool.

232
00:10:38,066 --> 00:10:39,651
Sterile saline dressing.

233
00:10:40,277 --> 00:10:42,654
- Shoulder immobilizer and CT.
- Okay.

234
00:10:42,738 --> 00:10:45,031
Guess you guys don't need me anymore.

235
00:10:47,284 --> 00:10:49,953
- You all right, Dr. King?
- Yeah.

236
00:10:50,579 --> 00:10:51,830
You don't seem all right.

237
00:10:52,497 --> 00:10:54,458
Well, my deposition is today.

238
00:10:55,500 --> 00:10:58,336
- Do you want to talk about it?
- I'm not allowed to.

239
00:10:58,420 --> 00:11:00,172
No, we don't have to talk
about the deposition,

240
00:11:00,255 --> 00:11:03,508
but we can talk
about how it is affecting you.

241
00:11:03,592 --> 00:11:06,762
Average emergency physician
catches a med-mal case every seven years.

242
00:11:06,845 --> 00:11:08,388
Nine times out of ten, the doctor wins.

243
00:11:08,472 --> 00:11:10,098
I've been sued four times myself.

244
00:11:10,182 --> 00:11:11,266
Dr. Al?

245
00:11:12,684 --> 00:11:15,061
I've never been named in a lawsuit.

246
00:11:21,026 --> 00:11:22,694
But sometime…

247
00:11:25,906 --> 00:11:27,532
Sister Grace.

248
00:11:27,616 --> 00:11:29,785
This is one of my residents, Dr. Mohan.

249
00:11:29,868 --> 00:11:31,578
- Nice to meet you.
- You as well.

250
00:11:31,661 --> 00:11:35,999
I wish we could recruit as dedicated
and talented young women as you two.

251
00:11:36,082 --> 00:11:38,627
I imagine it's a calling,
much like medicine.

252
00:11:38,710 --> 00:11:40,670
Yes, very much so.

253
00:11:41,713 --> 00:11:44,216
Sister Grace, under the microscope,

254
00:11:44,299 --> 00:11:47,969
we're seeing something called
a gram-negative bacteria.

255
00:11:48,053 --> 00:11:49,638
Is that serious?

256
00:11:49,721 --> 00:11:51,848
It can be if left untreated.

257
00:11:51,932 --> 00:11:54,309
But, fortunately, we can give you
a shot of antibiotics,

258
00:11:54,392 --> 00:11:56,019
irrigate your eye with a liter of saline,

259
00:11:56,102 --> 00:11:58,563
and give you drops to use
at home every few hours.

260
00:11:58,647 --> 00:12:00,315
How did I get it?

261
00:12:02,108 --> 00:12:05,445
So the appearance
of the bacteria in your eye

262
00:12:05,529 --> 00:12:09,032
suggests that it's gonorrhea.

263
00:12:09,115 --> 00:12:12,994
- Traditionally, that's a sexually…
- I know what gonorrhea is, Dr. Javadi.

264
00:12:13,078 --> 00:12:15,413
I'm a nun, not a numbskull.

265
00:12:15,497 --> 00:12:18,750
I do a lot of work at an unhoused shelter.

266
00:12:18,834 --> 00:12:21,461
Are you handling dirty sheets,

267
00:12:21,545 --> 00:12:25,257
- pillowcases, soiled clothes?
- Yes.

268
00:12:25,340 --> 00:12:28,051
Part of my day is spent doing laundry,

269
00:12:28,134 --> 00:12:31,263
making beds, disposing of old clothes.

270
00:12:31,346 --> 00:12:33,265
Do you wear gloves?

271
00:12:33,348 --> 00:12:35,433
- When they're available.
- Okay.

272
00:12:35,517 --> 00:12:39,980
Well, let's get you your shot
and set up for irrigating your eye.

273
00:12:40,063 --> 00:12:43,066
I bet we can scrounge up a couple boxes
of gloves while you're here.

274
00:12:43,149 --> 00:12:46,111
It's important to protect yourself.

275
00:12:46,194 --> 00:12:47,571
We'll be back.

276
00:12:49,781 --> 00:12:51,116
Why am I here?

277
00:12:51,950 --> 00:12:53,285
I'm not sick.

278
00:12:53,368 --> 00:12:57,581
Oh, we took care of your husband, Ethan,
earlier today.

279
00:12:57,664 --> 00:12:59,708
Is Ethan sick?

280
00:13:00,750 --> 00:13:03,253
Well, he was very ill.

281
00:13:03,336 --> 00:13:06,590
And we did everything
we could to treat him,

282
00:13:06,673 --> 00:13:09,509
but his heart stopped beating.

283
00:13:09,593 --> 00:13:13,138
And I'm so sorry to say that he died.

284
00:13:15,181 --> 00:13:16,808
He died?

285
00:13:17,601 --> 00:13:18,727
Ethan?

286
00:13:19,394 --> 00:13:21,813
No, no.

287
00:13:22,731 --> 00:13:24,399
Are you sure?

288
00:13:26,610 --> 00:13:27,652
Yes.

289
00:13:28,570 --> 00:13:31,406
No, no, no, no, no.

290
00:13:31,489 --> 00:13:33,199
Ethan isn't sick.

291
00:13:33,700 --> 00:13:34,993
No!

292
00:13:35,076 --> 00:13:37,829
I know how difficult this must be for you.

293
00:13:45,003 --> 00:13:48,256
Kidneys look good on ultrasound.
No intra-abdominal injury.

294
00:13:48,340 --> 00:13:50,133
- Hey, Dylan.
- Robby.

295
00:13:50,216 --> 00:13:52,218
Is this the "tumble down
the stairs" kid…Kylie?

296
00:13:52,302 --> 00:13:53,762
- Yeah.
- And?

297
00:13:53,845 --> 00:13:56,348
I'd like to talk to the girlfriend first,
away from the little girl.

298
00:13:56,431 --> 00:13:57,515
We can arrange that.

299
00:13:57,599 --> 00:13:58,934
- Okay.
- Keep us informed.

300
00:13:59,017 --> 00:14:01,061
Yes, keep us informed.

301
00:14:02,020 --> 00:14:05,607
More labs are back
on our abandoned baby Jane Doe.

302
00:14:05,690 --> 00:14:10,487
Everything looks normal so far,
but you seemed really concerned earlier.

303
00:14:11,237 --> 00:14:12,822
She still needs a cathed urine.

304
00:14:12,906 --> 00:14:14,240
Or not.

305
00:14:15,742 --> 00:14:17,911
You can't trust a bagged urine.

306
00:14:17,994 --> 00:14:20,330
Agreed, but we can avoid
the trauma of a catheter.

307
00:14:20,413 --> 00:14:21,790
With a suprapubic tap?

308
00:14:21,873 --> 00:14:24,668
Oh, I may have a trick or two
up my sleeve, Dr. Al-Hashimi.

309
00:14:28,338 --> 00:14:30,256
Hey, Princess, hold up.

310
00:14:31,257 --> 00:14:34,260
- Hi. How you feeling, Mr. Williams?
- Okay.

311
00:14:34,344 --> 00:14:36,471
A little nervous
about going in the machine.

312
00:14:36,554 --> 00:14:38,640
I can get a tad claustrophobic.

313
00:14:38,723 --> 00:14:42,644
Yeah, well, we're sending you for a CT,
not an MRI.

314
00:14:42,727 --> 00:14:45,063
So it's like a open doughnut.

315
00:14:45,146 --> 00:14:46,898
Oh, good. I like doughnuts.

316
00:14:48,566 --> 00:14:51,152
There you are.
Thought you forgot about me.

317
00:14:51,236 --> 00:14:53,780
Oh, no, I was just with other patients.

318
00:14:54,823 --> 00:14:57,158
So what do you do for fun?

319
00:14:57,909 --> 00:14:59,619
I mainly do what my sister likes.

320
00:14:59,703 --> 00:15:01,788
She loves Kennywood and the zoo.

321
00:15:01,871 --> 00:15:03,957
No, what about you?

322
00:15:04,499 --> 00:15:06,292
What do you like to do?

323
00:15:11,297 --> 00:15:13,842
I used to like the Renaissance fair.

324
00:15:13,925 --> 00:15:15,802
- Really?
- Yeah.

325
00:15:15,885 --> 00:15:17,012
Isn't that kind of dorky, though,

326
00:15:17,095 --> 00:15:19,222
where everybody dresses up
like somebody they're not?

327
00:15:19,305 --> 00:15:22,517
Yeah, but that's the fun, you know?
You can be anyone or anything you want.

328
00:15:22,600 --> 00:15:27,063
I actually had this alter ego
that was a 17th-century French woman…

329
00:15:27,147 --> 00:15:28,815
Stop!

330
00:15:31,985 --> 00:15:34,946
- You okay, kid?
- That was a doozy.

331
00:15:36,781 --> 00:15:40,243
- Okay, we ready?
- Cleaned and dried with sterile gauze.

332
00:15:40,326 --> 00:15:42,412
- Is that water cold?
- Right out the fridge.

333
00:15:42,495 --> 00:15:45,665
Okay, Jesse, you can take the armpits.
I'm gonna take the legs.

334
00:15:45,749 --> 00:15:47,625
One, two, three, up.

335
00:15:47,709 --> 00:15:49,961
Dr. Al-Hashimi,
you're gonna be our catcher.

336
00:15:50,545 --> 00:15:53,673
And, Samira, you're gonna do
suprapubic circles with that gauze.

337
00:15:53,757 --> 00:15:55,884
And the cold should stimulate voiding.

338
00:15:56,760 --> 00:15:58,970
Even if she pees,
it's likely to be contaminated.

339
00:15:59,054 --> 00:16:00,889
Not according
to the "British Medical Journal."

340
00:16:00,972 --> 00:16:02,474
They did the wee-search.

341
00:16:02,557 --> 00:16:04,976
Any leuks or nitrates, and we cath.

342
00:16:06,352 --> 00:16:07,812
Dr. Al-Hashimi, get it.

343
00:16:08,563 --> 00:16:11,816
I was gonna invite you to join the
softball team, but now I'm not so sure.

344
00:16:13,026 --> 00:16:16,488
There we go. Looks like you got
a good midstream sample.

345
00:16:16,571 --> 00:16:18,031
Here's a fresh blanket.

346
00:16:18,114 --> 00:16:19,407
Okay. Plan.

347
00:16:20,158 --> 00:16:23,620
Ceftriaxone, two-day admit
till blood culture is negative.

348
00:16:23,703 --> 00:16:26,081
- Next steps?
- Foster care.

349
00:16:26,164 --> 00:16:27,791
Oh, yeah.

350
00:16:29,793 --> 00:16:34,297
Someone must have been in a bad way
to walk away from you, little one.

351
00:16:34,380 --> 00:16:35,840
We need to call the police?

352
00:16:37,425 --> 00:16:39,594
Let me know what the urine dip shows.

353
00:16:42,388 --> 00:16:45,183
We will let you know
what the urine dip shows.

354
00:16:46,643 --> 00:16:48,812
You must be Dr. Al-Hashimi.

355
00:16:49,437 --> 00:16:51,147
And you must be Dr. Langdon.

356
00:16:51,231 --> 00:16:53,108
I've heard all about you.

357
00:16:53,191 --> 00:16:54,526
Welcome back.

358
00:16:54,609 --> 00:16:57,195
- And this is?
- Linda Stevens.

359
00:16:57,278 --> 00:17:00,115
One episode of substernal chest pressure
resolved with rest.

360
00:17:00,198 --> 00:17:01,533
12-lead negative for STEMI.

361
00:17:01,616 --> 00:17:04,452
Heading for North 4.

362
00:17:04,536 --> 00:17:07,288
Hello, I'm Dr. Al-Hashimi.

363
00:17:07,372 --> 00:17:09,958
- Nice to meet you.
- Nice to meet you.

364
00:17:10,041 --> 00:17:12,085
Ma'am, this is a teaching hospital.

365
00:17:12,168 --> 00:17:14,546
Is it okay if some
of our trainees join me?

366
00:17:14,629 --> 00:17:15,964
Not a problem.

367
00:17:16,506 --> 00:17:19,843
Dr. Whitaker, Javadi, Ogilvie, Joy…

368
00:17:20,844 --> 00:17:22,554
…gather round.

369
00:17:22,637 --> 00:17:25,223
Dr. Langdon, you are
more than welcome to stay, too.

370
00:17:25,849 --> 00:17:28,184
Maybe for a minute.
We're pretty busy in triage.

371
00:17:28,268 --> 00:17:29,435
Okay.

372
00:17:30,061 --> 00:17:31,437
Ms. Stevens…

373
00:17:32,147 --> 00:17:35,567
…I have an app on my phone
that can listen to our conversation

374
00:17:35,650 --> 00:17:37,694
and the details of my physical exam

375
00:17:37,777 --> 00:17:39,946
and write it all up
in your medical record.

376
00:17:40,029 --> 00:17:41,573
Wow.

377
00:17:41,656 --> 00:17:46,286
It's protected, confidential,
doesn't even stay on my phone…

378
00:17:46,369 --> 00:17:47,537
What's going on?

379
00:17:47,620 --> 00:17:49,664
Some A-hole perp took off
when he saw the cops,

380
00:17:49,747 --> 00:17:51,416
knocked her backwards off a stool.

381
00:17:51,499 --> 00:17:53,626
- Oh, Jesus.
- Head trauma, no LOC.

382
00:17:53,710 --> 00:17:55,587
- Okay, you need to get checked out.
- I'm fine.

383
00:17:55,670 --> 00:17:57,589
No choice. It's work-related.

384
00:17:57,672 --> 00:18:00,675
Let's find her a room
and prep for a burr hole.

385
00:18:00,758 --> 00:18:02,177
What?

386
00:18:04,470 --> 00:18:08,183
I forgot how much you like to joke,
Captain Scurvy.

387
00:18:08,266 --> 00:18:10,560
Who the hell's Captain Scurvy?

388
00:18:10,643 --> 00:18:12,061
It's an inside thing.

389
00:18:12,604 --> 00:18:16,024
- How's our shoulder guy?
- Oh, he slept like a baby.

390
00:18:16,107 --> 00:18:18,568
CT angio shows no vascular injury.

391
00:18:18,651 --> 00:18:22,822
What about your slip-and-fall guy
with a labile affect?

392
00:18:22,906 --> 00:18:26,034
Michael Williams.
He's still in the scanner.

393
00:18:26,117 --> 00:18:28,411
He seems to have settled down,
so he doesn't need babysitting.

394
00:18:28,494 --> 00:18:29,829
Good. Maybe he's coming around.

395
00:18:29,913 --> 00:18:31,623
Ortho can take Mr. Billings here
up for surgery.

396
00:18:31,706 --> 00:18:33,208
Belay that order, sailor.

397
00:18:33,291 --> 00:18:36,085
- Dr. Robinavitch.
- Nurse Hastings.

398
00:18:36,169 --> 00:18:37,754
You can call me Robby.

399
00:18:37,837 --> 00:18:39,505
You can call me Noelle.

400
00:18:42,717 --> 00:18:45,094
You could just tell me
what the hell's going on here.

401
00:18:45,178 --> 00:18:47,222
This is Noelle. She's our…

402
00:18:47,305 --> 00:18:49,849
- Bed control manager. No, we met.
- Case manager.

403
00:18:49,933 --> 00:18:51,684
And this guy won't be staying.

404
00:18:51,768 --> 00:18:53,228
Oh, he needs surgery.

405
00:18:53,311 --> 00:18:57,148
Which his insurance will pay for
at Westbridge Memorial, not here.

406
00:18:58,107 --> 00:19:01,819
- Wait, so we have to transfer?
- If he's stable.

407
00:19:02,528 --> 00:19:04,239
I believe that he is.

408
00:19:04,322 --> 00:19:07,200
Look on the bright side. We're gonna
free up a bed, discharge a patient.

409
00:19:07,283 --> 00:19:09,744
I mean, that's great for us,
not so good for him.

410
00:19:09,827 --> 00:19:14,582
He will get great care at Westbridge,
don't you agree, Robby?

411
00:19:14,666 --> 00:19:16,751
- I'm sure that he will.
- Yeah.

412
00:19:17,502 --> 00:19:18,878
What am I missing?

413
00:19:19,420 --> 00:19:22,173
Is there something else happening with
Allen Billings that I don't know about?

414
00:19:23,341 --> 00:19:24,467
Not medically.

415
00:19:24,550 --> 00:19:26,594
This is just a simple insurance transfer.

416
00:19:28,763 --> 00:19:30,265
Yeah, okay.

417
00:19:34,560 --> 00:19:35,979
What's that about?

418
00:19:36,813 --> 00:19:39,691
- Nothing.
- Didn't feel like nothing.

419
00:19:39,774 --> 00:19:41,818
Dr. McKay has
a very heightened sense of empathy.

420
00:19:41,901 --> 00:19:42,902
Meaning?

421
00:19:42,986 --> 00:19:45,363
Meaning she's good at picking up on stuff.

422
00:19:46,197 --> 00:19:48,700
- You didn't say anything, did you?
- Nope.

423
00:19:48,783 --> 00:19:51,119
I subscribe to the Falstaff advice.

424
00:19:51,202 --> 00:19:52,996
Discretion is the better part of valor.

425
00:19:54,205 --> 00:19:55,707
You still planning on leaving tonight?

426
00:19:55,790 --> 00:19:57,583
Yep.

427
00:19:58,293 --> 00:20:01,629
I don't understand
why you can't leave in the morning.

428
00:20:02,797 --> 00:20:03,923
Will you excuse me for a second?

429
00:20:04,007 --> 00:20:05,675
I got to go talk to a patient
while she's separated

430
00:20:05,758 --> 00:20:07,010
- from her caregiver.
- Oh, yeah.

431
00:20:07,093 --> 00:20:08,720
- That doesn't sound ideal.
- It's not ideal.

432
00:20:08,803 --> 00:20:09,929
I got to figure out what's going on.

433
00:20:10,013 --> 00:20:13,057
And I'll find you before I leave.

434
00:20:13,141 --> 00:20:14,225
Okay.

435
00:20:17,186 --> 00:20:19,605
Okay, you got to stop this.

436
00:20:20,732 --> 00:20:22,400
Hastings.

437
00:20:22,984 --> 00:20:24,110
Evans.

438
00:20:24,193 --> 00:20:25,528
Hope you know what you're doing.

439
00:20:25,611 --> 00:20:27,238
What is that supposed to mean?

440
00:20:29,157 --> 00:20:30,533
I'm a big girl.

441
00:20:31,701 --> 00:20:33,244
Okay, big girl.

442
00:20:34,746 --> 00:20:35,955
I'm fine.

443
00:20:36,039 --> 00:20:38,041
That's good. Follow my finger.

444
00:20:39,751 --> 00:20:42,420
- How's the head?
- It's a little sore.

445
00:20:43,046 --> 00:20:44,839
Lean forward. Let me take a look.

446
00:20:46,007 --> 00:20:48,426
Yeah, you're gonna have
a pretty good goose egg.

447
00:20:49,052 --> 00:20:51,054
- Headache?
- A little.

448
00:20:51,637 --> 00:20:54,640
I can get you some Tylenol,
unless you need something stronger.

449
00:20:54,724 --> 00:20:56,768
Oh, no, that's okay.
I'm not very drug tolerant.

450
00:20:56,851 --> 00:20:58,436
Lucky you.

451
00:21:02,065 --> 00:21:03,858
You know, I'm glad you're back.

452
00:21:03,941 --> 00:21:06,652
Thanks. Yeah, I'm glad to be back.

453
00:21:08,654 --> 00:21:10,573
- You know why I was away?
- I should see my patient…

454
00:21:10,656 --> 00:21:13,034
No, not really.

455
00:21:13,117 --> 00:21:15,995
I mean, I heard rumors, but I learned
a long time ago not to listen.

456
00:21:16,079 --> 00:21:19,665
I was in rehab for an addiction to benzos.

457
00:21:21,667 --> 00:21:26,005
Yeah, but I'm clean now,
and it never affected my work.

458
00:21:26,089 --> 00:21:30,385
I just needed to get it all out
of my system once and for all.

459
00:21:32,595 --> 00:21:35,890
Yeah, I didn't handle things
the way I should have.

460
00:21:35,973 --> 00:21:40,311
I thought I could treat myself,
and I let a lot of people down.

461
00:21:40,937 --> 00:21:42,271
I'm sorry, Mel.

462
00:21:43,606 --> 00:21:45,358
You never let me down.

463
00:21:46,692 --> 00:21:48,903
Yeah. Yeah, I did.

464
00:21:49,904 --> 00:21:53,324
I should be setting an example,
not a cautionary tale.

465
00:21:54,117 --> 00:21:55,118
Hey.

466
00:21:56,119 --> 00:21:58,204
- How you doing?
- I'm okay.

467
00:21:58,287 --> 00:22:00,998
Listen, I'm really sorry about all that.

468
00:22:01,082 --> 00:22:03,501
The guy robbed a liquor store last night.

469
00:22:03,584 --> 00:22:06,754
He tried to get away on a bicycle
but wiped out and took off on foot.

470
00:22:06,838 --> 00:22:08,047
He must've hobbled in here,

471
00:22:08,131 --> 00:22:10,758
more so to hide out
than to get stitched up, I think.

472
00:22:10,842 --> 00:22:12,427
- You catch him?
- We will.

473
00:22:12,510 --> 00:22:14,303
Anything you could tell us
about him will help.

474
00:22:14,387 --> 00:22:16,180
You think he gave legit information?

475
00:22:16,264 --> 00:22:19,642
Probably not, but it's
all we have at the moment.

476
00:22:19,725 --> 00:22:23,521
If we do find him, you may have to testify
in court, Dr. King.

477
00:22:24,564 --> 00:22:26,816
- "In court"?
- As a material witness.

478
00:22:26,899 --> 00:22:29,861
Attest to his injuries, his treatments…

479
00:22:29,944 --> 00:22:31,195
simple stuff.

480
00:22:31,279 --> 00:22:33,948
Yeah, but we'll cross that bridge
when we come to it, right?

481
00:22:34,866 --> 00:22:35,950
Mel?

482
00:22:36,909 --> 00:22:38,953
Rest here a minute. I'll be right back.

483
00:22:42,457 --> 00:22:44,459
You know, I'm fine, really. I should…

484
00:22:44,542 --> 00:22:46,961
Ten minutes, please. Doctor's orders.

485
00:22:49,755 --> 00:22:52,175
ER can be a little bright and noisy.

486
00:22:57,138 --> 00:22:59,182
Dorsalis pedis

487
00:22:59,265 --> 00:23:02,727
and posterior tibial pulses
2 plus and equal.

488
00:23:02,810 --> 00:23:04,395
Your exam is perfect, ma'am.

489
00:23:04,479 --> 00:23:06,481
Oh, that is good to hear.

490
00:23:06,564 --> 00:23:08,900
I will be back
when your blood tests are ready.

491
00:23:08,983 --> 00:23:11,110
Let us know if the chest pain returns.

492
00:23:11,194 --> 00:23:13,404
- Thank you.
- You are so welcome.

493
00:23:15,406 --> 00:23:18,367
- What do you think?
- Well, I don't think it's cardiac.

494
00:23:18,451 --> 00:23:20,328
I mean, what do you think of the app?

495
00:23:20,411 --> 00:23:22,622
I mean, it's hard to say
without seeing the full thing.

496
00:23:22,705 --> 00:23:23,706
Take a look.

497
00:23:25,500 --> 00:23:26,792
Oh, my God.

498
00:23:26,876 --> 00:23:28,669
Do you know how much time this will save?

499
00:23:28,753 --> 00:23:31,797
Studies show you can spend
80% less time charting.

500
00:23:32,632 --> 00:23:35,927
You'll get out of here sooner, improving
both patient and physician satisfaction.

501
00:23:36,010 --> 00:23:37,136
Oh, excuse me.

502
00:23:37,220 --> 00:23:39,847
It says here she takes Risperdal,
an antipsychotic.

503
00:23:39,931 --> 00:23:43,726
She takes Restoril when needed for sleep.
So is that…

504
00:23:43,809 --> 00:23:46,229
AI, "almost intelligent."

505
00:23:46,312 --> 00:23:49,941
Generative AI is 98% accurate at present.

506
00:23:50,024 --> 00:23:52,944
You must always carefully proofread
and correct the minor errors.

507
00:23:53,027 --> 00:23:54,946
It's excellent but not perfect.

508
00:23:55,029 --> 00:23:57,490
This is amazing.

509
00:23:57,573 --> 00:23:59,116
<i>Moteshakeram.</i>

510
00:23:59,825 --> 00:24:01,786
<i>Khahesh mikonam.</i>

511
00:24:01,869 --> 00:24:04,872
- You speak Farsi?
- Oh, I did my undergrad at UCLA.

512
00:24:04,956 --> 00:24:07,833
- A lot of my friends were Persian.
- So you learned the language?

513
00:24:08,459 --> 00:24:10,294
Enough to break the ice.

514
00:24:10,378 --> 00:24:12,255
I am impressed.

515
00:24:13,839 --> 00:24:15,299
Me too…

516
00:24:15,383 --> 00:24:16,717
that you had friends.

517
00:24:16,801 --> 00:24:19,762
Dr. Whitaker, I said hello
to your widow with Alzheimer's,

518
00:24:19,845 --> 00:24:21,180
but she only wants to talk to a doctor.

519
00:24:21,264 --> 00:24:23,182
She's also very overdue
for a diaper change.

520
00:24:23,266 --> 00:24:25,560
Okay. Yeah, thank you.

521
00:24:25,643 --> 00:24:27,478
Ogilvie, you're with me.

522
00:24:29,063 --> 00:24:30,106
Come on.

523
00:24:31,274 --> 00:24:32,650
Mrs. Bostick?

524
00:24:35,069 --> 00:24:37,488
- Takotsubo? Broken heart syndrome?
- No.

525
00:24:38,698 --> 00:24:39,949
Hello?

526
00:24:40,032 --> 00:24:41,075
Hey.

527
00:24:41,867 --> 00:24:43,286
You wanted to see me?

528
00:24:43,369 --> 00:24:44,495
No.

529
00:24:45,204 --> 00:24:46,205
Who are you?

530
00:24:47,331 --> 00:24:49,041
I'm Dr. Whitaker.

531
00:24:49,125 --> 00:24:51,168
We talked about your husband?

532
00:24:52,295 --> 00:24:53,921
Oh, Ethan.

533
00:24:54,005 --> 00:24:56,882
Oh, can he please come see me?

534
00:25:01,679 --> 00:25:02,680
No.

535
00:25:03,598 --> 00:25:07,184
Unfortunately, he was very sick,

536
00:25:07,268 --> 00:25:09,520
and he died.

537
00:25:11,689 --> 00:25:12,898
Ethan?

538
00:25:13,899 --> 00:25:15,234
Died?

539
00:25:16,110 --> 00:25:17,236
No.

540
00:25:17,320 --> 00:25:18,613
Oh, no.

541
00:25:18,696 --> 00:25:21,240
No, that's impossible.

542
00:25:21,324 --> 00:25:22,617
No.

543
00:25:22,700 --> 00:25:24,243
No.

544
00:25:24,327 --> 00:25:27,330
No, no, no, no, no.

545
00:25:27,413 --> 00:25:29,040
What do you like to do for fun?

546
00:25:29,123 --> 00:25:30,833
I love horseback riding.

547
00:25:30,916 --> 00:25:32,835
- Does your dad take you?
- Yep.

548
00:25:32,918 --> 00:25:36,797
Sometimes he even rides,
but most of the time, he just watches me.

549
00:25:36,881 --> 00:25:39,467
Have you ever fallen off?
Have you ever been thrown?

550
00:25:39,550 --> 00:25:42,470
Nope. I'm a very good rider.

551
00:25:42,553 --> 00:25:44,847
- Do you have your own horse?
- I wish.

552
00:25:44,930 --> 00:25:47,058
We live in an apartment.

553
00:25:47,141 --> 00:25:49,477
Okay, Kylie, we need
to take some blood now.

554
00:25:49,560 --> 00:25:51,354
Do you have to do that?

555
00:25:51,437 --> 00:25:54,065
Yeah, but I promise it'll go super fast

556
00:25:54,148 --> 00:25:56,859
and only hurt for, like, a moment, okay?

557
00:25:56,942 --> 00:26:00,446
So I'm just gonna put this rubber band

558
00:26:00,529 --> 00:26:03,032
around your arm
to help me find your vein better.

559
00:26:03,574 --> 00:26:07,286
And then this makes sure no germs

560
00:26:07,370 --> 00:26:09,080
get in your body when we do it.

561
00:26:09,163 --> 00:26:12,291
Okay, now you're just gonna feel
this teeny little prick.

562
00:26:12,375 --> 00:26:13,959
But you can look away, okay?

563
00:26:16,796 --> 00:26:18,589
Worst part's over.

564
00:26:20,966 --> 00:26:22,176
Tough little girl.

565
00:26:22,927 --> 00:26:26,514
Yeah, well, little girls can be just
as tough as little boys, even tougher.

566
00:26:26,597 --> 00:26:30,935
Yes. I just hope it's not because
she's become accustomed to pain.

567
00:26:31,018 --> 00:26:33,104
At the very least,
she's gonna need a visual exam

568
00:26:33,187 --> 00:26:35,481
of external genitalia
to look for signs of trauma.

569
00:26:35,564 --> 00:26:38,317
- I can have Dr. Al-Hashimi…
- No, she's my patient.

570
00:26:38,401 --> 00:26:39,610
I can do it.

571
00:26:47,785 --> 00:26:49,328
Nice and clear.

572
00:26:49,995 --> 00:26:54,583
With an infection, it'd be kind of cloudy.

573
00:26:54,667 --> 00:26:57,920
Joy, get ready to spike
the third bottle here after I clamp.

574
00:26:58,003 --> 00:27:00,131
- All good in here?
- Yes.

575
00:27:00,214 --> 00:27:02,550
Dr. Whitaker was just explaining
that with SBP,

576
00:27:02,633 --> 00:27:04,552
we would see a turbid appearance.

577
00:27:04,635 --> 00:27:06,345
However, he failed to mention

578
00:27:06,429 --> 00:27:08,931
that bloody fluid indicates
either a traumatic tap

579
00:27:09,014 --> 00:27:11,142
or the likelihood
of hepatocellular carcinoma,

580
00:27:11,225 --> 00:27:13,853
in which case, we would send for cytology.

581
00:27:13,936 --> 00:27:15,062
That is correct.

582
00:27:15,146 --> 00:27:16,897
Kid knows his shit.

583
00:27:16,981 --> 00:27:19,525
He's so smart.

584
00:27:22,737 --> 00:27:24,572
- Oh, hey.
- Hey.

585
00:27:24,655 --> 00:27:26,949
How's it feel to officially be a doctor?

586
00:27:27,032 --> 00:27:29,076
It's pretty cool, actually.

587
00:27:29,160 --> 00:27:30,953
I get my first paycheck today.

588
00:27:31,036 --> 00:27:33,706
It's only for the first week,
but I will take it.

589
00:27:33,789 --> 00:27:37,585
- How are the med students?
- Joy is pretty peculiar.

590
00:27:37,668 --> 00:27:40,713
And the other guy, Ogilvie,
is really smart

591
00:27:40,796 --> 00:27:42,882
and likes to show people.

592
00:27:42,965 --> 00:27:45,301
- He's obnoxious.
- Well…

593
00:27:45,384 --> 00:27:47,803
What he is, is your competition.

594
00:27:47,887 --> 00:27:50,681
- He's a gunner.
- Yeah, right.

595
00:27:53,726 --> 00:27:55,811
He's not my competition.

596
00:27:55,895 --> 00:27:58,939
He's from out of state
for a four-week sub-internship.

597
00:27:59,023 --> 00:28:00,399
You don't think he's angling

598
00:28:00,483 --> 00:28:02,943
for an emergency residency spot
here next year?

599
00:28:03,486 --> 00:28:06,405
- I mean, even if he was…
- What?

600
00:28:06,489 --> 00:28:09,867
He couldn't possibly compete
with your gigantic brain?

601
00:28:14,205 --> 00:28:16,874
I'd step it up if I were you, Crash.

602
00:28:19,502 --> 00:28:22,379
Oh, she's still calling you that, huh?

603
00:28:22,463 --> 00:28:24,215
I don't really even care anymore.

604
00:28:24,298 --> 00:28:26,050
I mean, she still calls you Huckleberry.

605
00:28:26,133 --> 00:28:29,011
Yeah, but, you know, friends now, so…

606
00:28:29,094 --> 00:28:31,722
Friends don't give each other
shitty nicknames.

607
00:28:32,306 --> 00:28:35,184
You think Huckleberry
is a shitty nickname?

608
00:28:36,727 --> 00:28:37,812
No.

609
00:28:37,895 --> 00:28:39,939
No, Huckleberry is cute.

610
00:28:41,273 --> 00:28:43,818
It's cool. It's not like Crash.

611
00:28:43,901 --> 00:28:46,111
Oh, come on, man, Crash is pretty cool.

612
00:28:46,195 --> 00:28:48,239
It's, like, you know, Crash.

613
00:28:48,322 --> 00:28:49,907
It's got momentum.

614
00:28:51,158 --> 00:28:53,619
Dr. Javadi, Dr. Whitaker.

615
00:28:53,702 --> 00:28:57,248
Oh, I'm still a student doctor.
Whitaker's the real deal now.

616
00:28:57,331 --> 00:28:58,332
Right.

617
00:29:00,125 --> 00:29:03,170
- Welcome back.
- Thanks. Yeah, thank you.

618
00:29:03,254 --> 00:29:04,547
It's good to be back.

619
00:29:06,924 --> 00:29:10,970
Okay, I will be in exile on Triage Island

620
00:29:11,053 --> 00:29:13,931
with the rest of the drug addicts,
if anyone needs me.

621
00:29:15,391 --> 00:29:18,018
- That was weird.
- Very.

622
00:29:20,771 --> 00:29:21,814
What?

623
00:29:44,587 --> 00:29:46,046
That's got to hurt.

624
00:29:46,130 --> 00:29:48,632
Dr. Langdon, Clint Hansen,
his cousin Mona.

625
00:29:48,716 --> 00:29:49,800
How'd this happen?

626
00:29:51,260 --> 00:29:53,304
Bacon grease from a big griddle.

627
00:29:53,387 --> 00:29:54,930
Oh, looks like more than a splatter.

628
00:29:55,014 --> 00:29:57,266
Yeah, some fool poured it in the sink
while I was washing dishes.

629
00:29:57,349 --> 00:29:58,517
I was so far away.

630
00:29:58,601 --> 00:30:00,019
You reached for the soap
without even looking.

631
00:30:00,102 --> 00:30:02,313
- You couldn't hear me?
- No, not with the water running.

632
00:30:02,396 --> 00:30:04,315
Who the hell pours bacon grease
down the drain?

633
00:30:04,398 --> 00:30:07,067
- There's a jar under the sink.
- Well, you could have told me that.

634
00:30:07,151 --> 00:30:09,528
You're a guest in my house, and now
you've totally fucked up my plumbing.

635
00:30:09,612 --> 00:30:11,155
Okay, how about we focus
on treating this burn?

636
00:30:11,238 --> 00:30:12,531
I'll grab the LET.

637
00:30:12,615 --> 00:30:14,909
We're gonna need to trim off some of
the dead skin so it doesn't get infected.

638
00:30:14,992 --> 00:30:18,078
I'm in charge of the brunch buffet.
Can you make it fast?

639
00:30:18,621 --> 00:30:20,456
- Sure. Yeah, we…
- This one came in by car.

640
00:30:20,539 --> 00:30:22,333
All I got is a name…Orlando Diaz.

641
00:30:22,416 --> 00:30:24,335
- What's the story?
- He tripped over some rebar.

642
00:30:24,418 --> 00:30:25,961
- Tripped or fainted?
- I don't know.

643
00:30:26,045 --> 00:30:28,297
Orlando, open your eyes.

644
00:30:28,380 --> 00:30:29,757
- Hit his head?
- I guess.

645
00:30:29,840 --> 00:30:31,550
- Why didn't you call 911?
- He wouldn't let me.

646
00:30:31,634 --> 00:30:33,469
He was talking…not so much now.

647
00:30:33,552 --> 00:30:35,846
Orlando. Mr. Diaz.

648
00:30:35,930 --> 00:30:36,931
Jesus.

649
00:30:37,014 --> 00:30:38,557
- He drunk?
- No. Ketones on his breath.

650
00:30:38,641 --> 00:30:40,351
- He diabetic?
- I don't know.

651
00:30:40,434 --> 00:30:43,103
Altered head trauma, possible DKA.
Call it overhead.

652
00:30:45,648 --> 00:30:48,567
<i>Code trauma tier one now.
Code trauma tier one now.</i>

653
00:30:48,651 --> 00:30:51,570
Dr. Whitaker, your assessment was spot-on.

654
00:30:51,654 --> 00:30:54,031
Your Alzheimer's widow
definitely needs placement.

655
00:30:54,114 --> 00:30:56,158
Do you have a nursing home
that can take her today?

656
00:30:56,241 --> 00:30:59,578
I wish. Medicare requires
a three-day hospitalization

657
00:30:59,662 --> 00:31:00,955
before they'll approve that.

658
00:31:01,038 --> 00:31:02,790
I don't really have a reason to admit her.

659
00:31:02,873 --> 00:31:05,793
But I do. She's gravely disabled.

660
00:31:05,876 --> 00:31:08,170
I'll put her on a cycle.
We'll make it work.

661
00:31:08,253 --> 00:31:09,630
Thank you, Caleb.

662
00:31:10,881 --> 00:31:14,593
- Yeah, you have a few moments, Michael?
- Actually, I do not.

663
00:31:14,677 --> 00:31:17,680
But once I get things settled here,
I will come and find you.

664
00:31:18,472 --> 00:31:19,473
Okay.

665
00:31:21,892 --> 00:31:24,311
Dr. Robby, Dylan just talked
to the girlfriend…

666
00:31:24,395 --> 00:31:26,188
- Robby!
- You'll have to fill me in in a minute.

667
00:31:26,271 --> 00:31:27,398
- What do you got?
- AMS.

668
00:31:27,481 --> 00:31:30,067
I can't tell if he fell 'cause he was
altered or he's altered because he fell.

669
00:31:30,150 --> 00:31:32,069
- There's ketones on his breath.
- Okay, I got this. Thank you.

670
00:31:35,489 --> 00:31:39,201
All right, I guess it's just us.
What did the girlfriend have to say?

671
00:31:39,284 --> 00:31:41,412
Well, Gina seems a little confused
and on edge by this,

672
00:31:41,495 --> 00:31:43,372
but I'm not suspicious
about abuse on her part.

673
00:31:43,455 --> 00:31:44,832
What about Kylie's father?

674
00:31:44,915 --> 00:31:46,458
Well, I'm a social worker,
not a mind reader.

675
00:31:46,542 --> 00:31:47,626
I need to speak with him.

676
00:31:47,710 --> 00:31:49,294
Yeah, he's supposed to come in.

677
00:31:49,378 --> 00:31:51,296
If he doesn't, looks pretty guilty.

678
00:31:51,380 --> 00:31:53,340
Let's not jump
to any conclusions just yet.

679
00:31:53,424 --> 00:31:54,425
I'm not jumping.

680
00:31:54,508 --> 00:31:58,012
I'm just saying,
if this dude doesn't show up,

681
00:31:58,095 --> 00:32:00,264
hell, I'll go find him myself.

682
00:32:01,724 --> 00:32:02,766
Kidding.

683
00:32:02,850 --> 00:32:04,685
I will speak to Kylie
before her dad gets here.

684
00:32:05,310 --> 00:32:06,729
If he shows up.

685
00:32:07,730 --> 00:32:08,981
Yes.

686
00:32:09,064 --> 00:32:11,525
That's definitely ketones.
We need to do an Accu-Check.

687
00:32:11,608 --> 00:32:16,113
I'm on it. He's tachy at 124.
Pulse ox 97. BP's 106/72.

688
00:32:16,196 --> 00:32:18,866
- Lung sliding bilaterally.
- Good bowel sounds.

689
00:32:18,949 --> 00:32:20,617
Abdomen is soft, non-tender.

690
00:32:20,701 --> 00:32:22,536
How do you know it's non-tender?

691
00:32:23,120 --> 00:32:25,122
Because I didn't see any grimacing.

692
00:32:25,205 --> 00:32:27,374
He's altered.
He didn't even flinch for the IV start.

693
00:32:27,916 --> 00:32:29,585
I meant to say non-rigid.

694
00:32:30,794 --> 00:32:33,881
Toes down, going bilaterally,
no evidence of upper motor neuron deficit.

695
00:32:33,964 --> 00:32:35,174
Good.

696
00:32:35,257 --> 00:32:37,051
- E-FAST negative.
- How can I assist?

697
00:32:37,134 --> 00:32:39,887
You can check in
with Dr. McKay or Dr. Santos.

698
00:32:39,970 --> 00:32:43,057
If you don't mind, I'd like to observe,
learn how you handle things.

699
00:32:43,140 --> 00:32:45,142
Blood sugar's critical high…
it's over 500.

700
00:32:45,225 --> 00:32:47,853
- Ding, ding, ding, ding.
- Sounds like diabetic ketoacidosis.

701
00:32:47,936 --> 00:32:49,063
We need to start treating that,

702
00:32:49,146 --> 00:32:51,482
then right to CT
to rule out an intracranial bleed.

703
00:32:51,565 --> 00:32:53,901
Severe respiratory distress coming in.
ETA three minutes.

704
00:32:53,984 --> 00:32:55,402
- I'll stick them in Trauma 1.
- Yep.

705
00:32:55,486 --> 00:32:58,030
- Would you like me to take that?
- Yes, please. Thank you.

706
00:32:58,113 --> 00:33:00,699
This guy needs an insulin drip, right?
0.1 units per kilo?

707
00:33:00,783 --> 00:33:03,577
No, not without knowing his potassium.

708
00:33:03,660 --> 00:33:05,287
Insulin causes an intracellular shift.

709
00:33:05,370 --> 00:33:07,664
And if the potassium is under 3.5,
the drip would kill him.

710
00:33:07,748 --> 00:33:08,999
That is very true.

711
00:33:09,083 --> 00:33:10,709
We can start with lactated ringers.

712
00:33:10,793 --> 00:33:14,088
1 liter per hour until we get the results
from the chem-7 and the VBG.

713
00:33:14,171 --> 00:33:15,255
Why is he in DKA?

714
00:33:15,339 --> 00:33:17,091
Maybe he's not taking enough insulin.

715
00:33:17,174 --> 00:33:19,384
More frequently,
a precipitating event can be identified,

716
00:33:19,468 --> 00:33:21,512
such as pneumonia,
urinary tract infection, stroke,

717
00:33:21,595 --> 00:33:23,180
myocardial infarction, pancreatitis.

718
00:33:23,263 --> 00:33:24,515
Yeah, we always check for those.

719
00:33:24,598 --> 00:33:28,477
They're part of the standard order set,
right, Dr. Mohan?

720
00:33:36,318 --> 00:33:37,736
He's from crazy Grandpa Jimmy's side.

721
00:33:37,820 --> 00:33:39,738
She's from my grandfather's
brother's side.

722
00:33:39,822 --> 00:33:43,534
Grandpa Ricky is still a psycho.
Clearly runs in the family.

723
00:33:43,617 --> 00:33:47,079
Well, hold on. Your grandparents
are Ricky and Jimmy Hansen?

724
00:33:47,621 --> 00:33:49,123
From the racing family?

725
00:33:49,206 --> 00:33:50,541
Unfortunately.

726
00:33:50,624 --> 00:33:52,501
I got something that needs attention.

727
00:33:53,085 --> 00:33:54,628
Not another baby.

728
00:33:56,797 --> 00:33:58,423
Sorry. Excuse me.

729
00:34:00,843 --> 00:34:05,347
This is Mr. Randall.
He's been erect for the last eight hours.

730
00:34:05,430 --> 00:34:07,975
- Should have gone down by now, right?
- It happens.

731
00:34:08,058 --> 00:34:10,102
It's a good thing you came in,
Mr. Randall.

732
00:34:10,185 --> 00:34:11,270
I'll take him right back.

733
00:34:11,353 --> 00:34:12,980
Do you mind finishing up
with the Bickersons?

734
00:34:13,063 --> 00:34:14,565
I'd rather not.

735
00:34:14,648 --> 00:34:17,151
- So, Mr. Randall…
- Ian.

736
00:34:17,234 --> 00:34:21,363
Ian, did you take anything
that might have led to this condition?

737
00:34:21,446 --> 00:34:24,366
I used an ED injection…two, actually.

738
00:34:24,449 --> 00:34:28,412
I gave myself a second shot,
one on each side.

739
00:34:28,495 --> 00:34:31,456
So double the recommended dosage?

740
00:34:33,458 --> 00:34:35,752
It's our wedding anniversary.

741
00:34:35,836 --> 00:34:37,462
Is this a big one?

742
00:34:38,672 --> 00:34:42,968
The anniversary, is it important?
Like, significant? Like, a milestone or…

743
00:34:43,051 --> 00:34:44,720
- It's our 20th.
- Oh, nice.

744
00:34:44,803 --> 00:34:46,889
Well done. Congratulations.

745
00:34:48,098 --> 00:34:50,726
Glucose 521. Sodium 129.

746
00:34:50,809 --> 00:34:54,396
Potassium's 3.7. Chloride's 97.

747
00:34:54,479 --> 00:34:56,190
- Bicarb's 8.
- Meaning?

748
00:34:56,273 --> 00:34:59,401
We can start the insulin drip
and add 20 of K to each liter.

749
00:34:59,484 --> 00:35:03,071
Big anion gap of 24.
It should be under 10.

750
00:35:03,155 --> 00:35:04,865
We follow it to assess progress.

751
00:35:04,948 --> 00:35:07,409
Actually,
the 2024 international guidelines

752
00:35:07,492 --> 00:35:10,579
state that anion gaps should not be used,
as they can be misleading

753
00:35:10,662 --> 00:35:13,498
in the presence
of hyperchloremic metabolic acidosis.

754
00:35:15,334 --> 00:35:17,044
I recently had a case in the ICU.

755
00:35:17,127 --> 00:35:20,756
- VBG is back…pH of 6.97.
- Normal's 7.4.

756
00:35:20,839 --> 00:35:22,424
What causes the acidemia?

757
00:35:22,507 --> 00:35:24,259
Without insulin,
the body can't use glucose,

758
00:35:24,343 --> 00:35:27,221
so it breaks down fat-producing ketones,
leading to severe acidosis,

759
00:35:27,304 --> 00:35:28,639
which can cause cardiac arrest.

760
00:35:28,722 --> 00:35:31,850
But the hyperglycemia causes the body
to excrete more water and electrolytes,

761
00:35:31,934 --> 00:35:34,436
leading to severe dehydration,
cardiac and renal dysfunction.

762
00:35:34,519 --> 00:35:36,647
Insulin drip, fluids with KCL,

763
00:35:36,730 --> 00:35:39,441
capillary glucose every hour,
chem-7 every four hours.

764
00:35:39,524 --> 00:35:41,235
ICU is gonna want
a double lumen midline, too.

765
00:35:41,318 --> 00:35:42,361
- I can do it.
- I can do it.

766
00:35:42,444 --> 00:35:43,445
- 6 1/2 gloves.
- 7 1/2 gloves.

767
00:35:43,528 --> 00:35:46,949
Can I just say, we evaluate our students
not only on their fund of knowledge

768
00:35:47,032 --> 00:35:49,868
and on their procedural mastery
but, also, maybe more importantly,

769
00:35:49,952 --> 00:35:51,745
on their skills as team players?

770
00:35:52,329 --> 00:35:53,956
- He can do it.
- She can do it.

771
00:35:55,165 --> 00:35:56,708
<i>Otero, will you update everyone?</i>

772
00:35:56,792 --> 00:35:58,877
Barry Mitchell.
Eating breakfast at Pamela's.

773
00:35:58,961 --> 00:36:00,796
Sudden onset respiratory distress.

774
00:36:00,879 --> 00:36:03,257
Some stridor.
Decent pulse ox but trouble speaking.

775
00:36:03,340 --> 00:36:05,342
- And they tried the Heimlich?
- Three times.

776
00:36:06,969 --> 00:36:08,762
Any history of asthma?

777
00:36:10,597 --> 00:36:12,516
- Set up for intubation.
- Agreed.

778
00:36:12,599 --> 00:36:14,643
Okay, sir, scoot across.

779
00:36:15,185 --> 00:36:17,813
Always a good sign
when they slide over on their own.

780
00:36:17,896 --> 00:36:20,399
Came from a diner
with an upper-airway obstruction.

781
00:36:20,482 --> 00:36:23,443
Didn't clear with abdominal thrusts.
We got to take a look.

782
00:36:23,527 --> 00:36:25,904
Heart rate's 118. Pulse ox 96.

783
00:36:25,988 --> 00:36:29,157
Mr. Mitchell, we're gonna sedate you
to look down your throat, okay?

784
00:36:29,241 --> 00:36:31,076
Draw up ketamine and rocuronium.

785
00:36:31,159 --> 00:36:33,495
What about ketamine only?

786
00:36:33,578 --> 00:36:37,291
No, we need full paralysis
for a successful first-pass intubation.

787
00:36:37,374 --> 00:36:39,918
Might not need an intubation
if it's just a foreign body.

788
00:36:40,002 --> 00:36:41,128
We can't assume that.

789
00:36:41,211 --> 00:36:43,588
It could be subglottic stenosis,
epiglottitis.

790
00:36:43,672 --> 00:36:45,382
I got ketamine and roc.

791
00:36:47,301 --> 00:36:49,386
Ketamine only, 80 milligrams.

792
00:36:50,220 --> 00:36:53,015
In that case, I'll leave this
in your capable hands.

793
00:36:54,808 --> 00:36:57,811
Cetacaine spray and a Yankauer, please.

794
00:36:58,603 --> 00:37:00,731
30 minutes ago,
I told you I'd never been sued.

795
00:37:00,814 --> 00:37:01,940
I'd like to keep it that way.

796
00:37:05,819 --> 00:37:07,154
Instead of showing up here,

797
00:37:07,237 --> 00:37:10,157
you'd think he'd put an eight-hour hard-on
to good use.

798
00:37:10,240 --> 00:37:11,992
Well, it is a medical emergency.

799
00:37:12,075 --> 00:37:15,954
If left untreated, priapism can cause
permanent damage to the penis

800
00:37:16,038 --> 00:37:17,789
and erectile dysfunction forever.

801
00:37:17,873 --> 00:37:19,374
Thanks for the PSA.

802
00:37:19,458 --> 00:37:23,754
Pharmacist mixed up phenylephrine.
10 cc's of 100 mikes per cc.

803
00:37:23,837 --> 00:37:26,173
- Great. That's the maximum dose.
- Sterile bolus saline.

804
00:37:26,256 --> 00:37:28,884
You might need to refill since they'll be
flushing over and over again.

805
00:37:28,967 --> 00:37:31,970
Hold out the empty basin
to catch whatever they pull out.

806
00:37:32,054 --> 00:37:34,348
- Got it?
- I think so.

807
00:37:34,431 --> 00:37:35,766
Holler if you need me.

808
00:37:35,849 --> 00:37:38,393
- How we doing?
- Oh, he's out from Versed.

809
00:37:38,477 --> 00:37:41,980
Did a lidocaine block
to the dorsal penile nerves at 10 and 2.

810
00:37:42,064 --> 00:37:43,982
- Yeah, he's ready.
- Excellent.

811
00:37:44,816 --> 00:37:47,986
Enter the dorsal side
to hit the corpus cavernosum.

812
00:37:48,070 --> 00:37:49,071
I'll hold the glans.

813
00:37:49,154 --> 00:37:51,281
- How deep?
- 2 centimeters.

814
00:37:52,657 --> 00:37:53,950
Now aspirate.

815
00:37:56,661 --> 00:37:59,289
You guys do this, like, every day?

816
00:38:00,582 --> 00:38:02,084
If we're lucky.

817
00:38:02,667 --> 00:38:03,835
Come here.

818
00:38:06,838 --> 00:38:09,299
Okay, let's lay him down and take a look.

819
00:38:10,467 --> 00:38:11,676
Okay.

820
00:38:18,392 --> 00:38:21,019
Good view of the epiglottis.

821
00:38:21,103 --> 00:38:24,272
And mystery solved.

822
00:38:24,356 --> 00:38:27,401
This is what you get
for eating broccoli for breakfast.

823
00:38:27,484 --> 00:38:29,111
Get a good grip on it.

824
00:38:29,694 --> 00:38:30,904
Okay.

825
00:38:32,697 --> 00:38:33,907
Okay.

826
00:38:39,871 --> 00:38:43,041
I can see why the Heimlich didn't work.

827
00:38:43,125 --> 00:38:44,584
Rotate a little bit.

828
00:38:48,046 --> 00:38:49,131
Voilà!

829
00:38:50,215 --> 00:38:52,884
That is why you give ketamine alone,

830
00:38:52,968 --> 00:38:54,511
because if we gave a paralytic,

831
00:38:54,594 --> 00:38:56,888
we would have to intubate
and ventilate for an hour.

832
00:38:58,932 --> 00:39:02,102
All right, this guy is going
to Westbridge for surgery.

833
00:39:02,185 --> 00:39:04,271
Trauma 1 will move out shortly.

834
00:39:04,354 --> 00:39:08,650
And our Alzheimer's widow, Evelyn Bostick,
can see her husband in the viewing room.

835
00:39:08,733 --> 00:39:10,277
God bless her.

836
00:39:10,360 --> 00:39:12,404
My CT results back on Michael Williams?

837
00:39:12,487 --> 00:39:14,573
Not yet. Neither are the labs
on our little girl, Kylie.

838
00:39:14,656 --> 00:39:15,657
That's not me.

839
00:39:15,740 --> 00:39:19,453
I did, however, get a few things back
on our abandoned baby Jane Doe.

840
00:39:19,536 --> 00:39:20,579
Still not me.

841
00:39:20,662 --> 00:39:22,164
I'll take those.

842
00:39:22,247 --> 00:39:23,748
Just keeping you informed.

843
00:39:24,749 --> 00:39:25,750
Yep.

844
00:39:26,626 --> 00:39:27,752
Okay.

845
00:39:28,712 --> 00:39:30,464
We're just trying to get her upstairs.

846
00:39:32,174 --> 00:39:34,468
Okay. All right, got it.

847
00:39:34,551 --> 00:39:37,596
Superbaby's urine dipped negative 0 WBCs.

848
00:39:37,679 --> 00:39:41,016
Respiratory panel is positive
for rhinovirus, giving us a benign source.

849
00:39:41,099 --> 00:39:42,684
Procalcitonin and CRP are pending.

850
00:39:42,767 --> 00:39:44,686
Now Pedes is saying
they want a urine tox screen

851
00:39:44,769 --> 00:39:46,688
and an HIV antigen
before they'll take her.

852
00:39:46,771 --> 00:39:47,981
That sounds excessive.

853
00:39:48,982 --> 00:39:50,901
I feel like they're just
trying to keep her down here.

854
00:39:50,984 --> 00:39:52,402
Can you blame them?

855
00:39:52,486 --> 00:39:54,571
Never met a Pedes nurse yet
that wasn't a little wacky.

856
00:39:54,654 --> 00:39:57,908
You know what 12 hours of crying babies
does to a person's psyche?

857
00:39:57,991 --> 00:40:00,327
- I almost went into Pedes.
- Good thing you didn't, trust me.

858
00:40:00,410 --> 00:40:02,496
Too long up there,
you're cuckoo for Cocoa Puffs.

859
00:40:02,579 --> 00:40:05,707
- You are very punchy today.
- Punchy's my new baseline.

860
00:40:05,790 --> 00:40:08,043
Anyone even looks at me funny,
I'm taking them out,

861
00:40:08,126 --> 00:40:09,503
going right for the eyes.

862
00:40:09,586 --> 00:40:11,838
I'll eye-gouge you.
Bet you never knew that about me.

863
00:40:11,922 --> 00:40:12,923
I did not.

864
00:40:13,006 --> 00:40:16,134
- Where is Dr. Al-Hashimi?
- In North 5 with the priapism.

865
00:40:16,218 --> 00:40:17,385
Better her than me.

866
00:40:17,469 --> 00:40:22,140
I did not intend for that
to come off as sexual in any way.

867
00:40:22,224 --> 00:40:24,059
And on that note,
I'm gonna go check on Louie,

868
00:40:24,142 --> 00:40:25,852
and then I'm gonna get some air
in the ambulance bay.

869
00:40:25,936 --> 00:40:27,521
So, if anybody needs me,
that's where I'll be.

870
00:40:27,604 --> 00:40:28,813
Got it, Cap.

871
00:40:31,942 --> 00:40:34,694
It looks like some pus
at the base of the lateral incisor.

872
00:40:34,778 --> 00:40:36,029
We can drain that for you.

873
00:40:37,030 --> 00:40:40,200
- Sounds like it's gonna hurt.
- No, we'll numb you up.

874
00:40:40,283 --> 00:40:42,827
Make sure you use the good stuff.

875
00:40:42,911 --> 00:40:45,330
It'll be top shelf, Louie, I promise.

876
00:40:46,039 --> 00:40:47,958
- How we doing in here?
- Good.

877
00:40:48,041 --> 00:40:50,085
Almost 4 liters out.

878
00:40:50,168 --> 00:40:52,879
I already feel like a million bucks.

879
00:40:52,963 --> 00:40:55,090
I just needed an oil change.

880
00:40:55,173 --> 00:40:57,467
And I'm just about to drain
an apical abscess.

881
00:40:57,551 --> 00:40:59,427
That's what I'm talking about.

882
00:40:59,511 --> 00:41:01,846
I feel like I'm having a spa day.

883
00:41:03,640 --> 00:41:04,808
Keep it up, Whitaker.

884
00:41:08,478 --> 00:41:10,272
How long does this take?

885
00:41:10,355 --> 00:41:12,649
Up to an hour, sometimes two.

886
00:41:13,275 --> 00:41:14,734
Mel, any suggestions?

887
00:41:17,195 --> 00:41:19,573
Mel, you did these at the VA.

888
00:41:19,656 --> 00:41:21,992
How can we facilitate detumescence?

889
00:41:22,075 --> 00:41:26,037
Oh, sometimes massaging
the shaft can help.

890
00:41:26,121 --> 00:41:27,831
Oh, that's what she said.

891
00:41:27,914 --> 00:41:31,793
You can break up the clots
with massage or compression.

892
00:41:31,876 --> 00:41:32,877
Got it.

893
00:41:33,587 --> 00:41:34,796
You okay, Mel?

894
00:41:34,879 --> 00:41:37,507
She's thinking about her deposition.

895
00:41:38,300 --> 00:41:41,595
Just stick with the facts of the case,
and it always goes well.

896
00:41:41,678 --> 00:41:43,305
I thought you said you hadn't been sued.

897
00:41:43,388 --> 00:41:46,349
I haven't, but I know
many colleagues who have.

898
00:41:46,433 --> 00:41:49,060
I also know your work, Dr. King.

899
00:41:49,144 --> 00:41:52,606
Your medical decision-making in the chart
is always extremely thorough.

900
00:41:52,689 --> 00:41:54,608
Now we're getting somewhere.

901
00:41:54,691 --> 00:41:57,068
First signs of flaccidity.

902
00:42:00,697 --> 00:42:02,449
I don't know how I could ever thank you.

903
00:42:02,532 --> 00:42:04,659
Well, I think you just did.

904
00:42:04,743 --> 00:42:06,119
You saved my life.

905
00:42:06,911 --> 00:42:08,330
I didn't do anything.

906
00:42:08,913 --> 00:42:12,334
This is what happens when your wife
starts being a Nazi about your diet.

907
00:42:12,417 --> 00:42:14,628
She's got me keeping a food journal.

908
00:42:14,711 --> 00:42:16,630
It's a good way to count calories.

909
00:42:16,713 --> 00:42:18,298
What calories?

910
00:42:18,381 --> 00:42:21,301
She insists I eat five servings
of vegetables a day.

911
00:42:21,384 --> 00:42:23,845
A rabbit don't even eat
that many vegetables.

912
00:42:23,928 --> 00:42:26,348
I ain't never choked
on a Sausage Egg McMuffin.

913
00:42:27,140 --> 00:42:29,476
I feel like I've been here all day.

914
00:42:29,559 --> 00:42:33,271
It's actually only been
a couple of hours, Mrs. Bostick.

915
00:42:33,355 --> 00:42:35,357
Well, where are we going now?

916
00:42:37,359 --> 00:42:41,738
I thought you
might like to see your husband.

917
00:42:42,572 --> 00:42:44,741
Is Ethan still here?

918
00:42:45,950 --> 00:42:47,077
Yeah.

919
00:42:47,160 --> 00:42:49,162
Yes, yes, please.

920
00:42:57,587 --> 00:43:00,590
This has been such a long day.

921
00:43:01,424 --> 00:43:04,219
I'm so glad to see you resting,

922
00:43:04,302 --> 00:43:07,097
but I think it's time.

923
00:43:07,180 --> 00:43:09,307
We should be going home.

924
00:43:09,391 --> 00:43:11,267
If we stop at the store on the way,

925
00:43:11,351 --> 00:43:14,270
I can pick up what I need
to make your shepherd's pie.

926
00:43:14,354 --> 00:43:15,980
But not if it's hot out.

927
00:43:16,606 --> 00:43:19,192
You know how I hate
using the oven in the heat.

928
00:43:21,361 --> 00:43:23,363
We're ready to leave now.

929
00:43:30,995 --> 00:43:33,206
Dr. Robby, is this a good time?

930
00:43:33,289 --> 00:43:36,751
That depends on what you have in mind,
Dr. Al-Hashimi.

931
00:43:36,835 --> 00:43:40,213
I'd hoped you would have viewed my ideas
for improving the department.

932
00:43:41,423 --> 00:43:43,341
I was looking forward
to getting some feedback from you.

933
00:43:43,425 --> 00:43:45,135
Okay, well, I think the department

934
00:43:45,218 --> 00:43:46,928
functions pretty well,
all things considered.

935
00:43:47,011 --> 00:43:49,347
I mean, we face the same challenges
that most emergency departments face.

936
00:43:49,431 --> 00:43:51,391
Let's take generative AI, for instance.

937
00:43:51,474 --> 00:43:54,352
ER doctors spend 40%
of their time charting,

938
00:43:54,436 --> 00:43:57,439
only 28% of their time at the bedside.

939
00:43:58,648 --> 00:44:00,400
That doesn't sound accurate.

940
00:44:00,483 --> 00:44:03,153
- I've included the study in my packet.
- Right.

941
00:44:03,236 --> 00:44:06,156
And patient passports have been shown
to increase satisfaction

942
00:44:06,239 --> 00:44:07,949
because they show the time required

943
00:44:08,032 --> 00:44:10,368
- for each phase of the visit.
- Yeah, I got it right here.

944
00:44:10,452 --> 00:44:12,036
- What do you got?
- Combative college kid.

945
00:44:12,120 --> 00:44:14,372
Flipped out in the library,
Tased in the neck by campus security.

946
00:44:14,456 --> 00:44:17,417
- 5 midazolam didn't touch him.
- Will you get the fuck off me?

947
00:44:17,500 --> 00:44:19,794
2901! 2901, motherfucker!

948
00:44:19,878 --> 00:44:22,005
Get off! Fuck you, man!

949
00:44:22,088 --> 00:44:24,007
Want to tell me some more
about your ideas?

950
00:44:24,841 --> 00:44:26,176
- Maybe later.
- Let me out.

951
00:44:26,259 --> 00:44:29,053
Let me the fuck out!
Let me out! Let me out!