1 00:00:15,135 --> 00:00:17,054 2701! Get the fuck out! 2 00:00:17,137 --> 00:00:18,597 Is there a MedicAlert bracelet? 3 00:00:18,681 --> 00:00:21,100 - Did you get an ID on him? - Student ID. 4 00:00:21,183 --> 00:00:23,018 - Name says Jackson Davis. - That's a start. 5 00:00:23,102 --> 00:00:25,479 - Jackson, what's going on? - Title 18! 6 00:00:25,562 --> 00:00:27,064 - Title section 508! - Javadi, you're with us. 7 00:00:27,147 --> 00:00:28,857 We're gonna take good care of you, Mr. Davis. 8 00:00:28,941 --> 00:00:30,317 - You're in a safe place. - You're okay. 9 00:00:30,401 --> 00:00:31,485 - Get off! - Trauma One. 10 00:00:31,568 --> 00:00:33,112 - Reasonableness! 2709! - Okay, okay, Jackson. 11 00:00:33,195 --> 00:00:34,181 We're gonna need you to calm down 12 00:00:34,196 --> 00:00:35,823 to get the Taser barbs out of your neck. 13 00:00:35,906 --> 00:00:37,574 - Do you need to jump on that? - Mm-mm. 14 00:00:37,658 --> 00:00:39,910 Covering calls for Dana. 15 00:00:39,994 --> 00:00:41,662 Stop talking to me. 16 00:00:41,745 --> 00:00:43,664 You can't! Title 2710… 17 00:00:43,747 --> 00:00:45,332 Hard to assess pupils. 18 00:00:45,416 --> 00:00:47,042 - Hard to assess anything. - Yeah, yeah. 19 00:00:47,126 --> 00:00:48,294 Wait till after he's sedated. 20 00:00:48,377 --> 00:00:49,837 - 10 of olanzapine. - No, no. 21 00:00:49,920 --> 00:00:51,297 That'll take 15 minutes to kick in. 22 00:00:51,380 --> 00:00:53,549 Uh, 5 of droperidol puts him down in 5. 23 00:00:53,632 --> 00:00:55,384 No, you can't give it without knowing his QT. 24 00:00:55,467 --> 00:00:58,137 Two beats of a rhythm strip before he took off the leads. 25 00:00:58,220 --> 00:00:59,555 No. 26 00:00:59,638 --> 00:01:01,098 You can't be in here. Get out! 27 00:01:01,181 --> 00:01:02,808 That looks good. Go with the droperidol. 28 00:01:02,891 --> 00:01:04,935 Get the fuck out! Get off me! 29 00:01:05,019 --> 00:01:06,770 Do we take the Taser barbs out? 30 00:01:06,854 --> 00:01:08,272 - 2701. - No. 31 00:01:08,355 --> 00:01:09,857 We got to wait till he calms down first. 32 00:01:09,940 --> 00:01:12,568 Get off me, man. 2901, get out! 33 00:01:12,651 --> 00:01:14,486 Get out! 2710. 34 00:01:14,570 --> 00:01:17,031 Title 18, section… 1938. 35 00:01:17,114 --> 00:01:20,492 Mr. Randall, happy 20th anniversary 36 00:01:20,576 --> 00:01:22,619 and a very happy Fourth of July. 37 00:01:22,703 --> 00:01:24,455 But no sex fireworks for you tonight. 38 00:01:24,538 --> 00:01:25,748 Give everything a chance to heal. 39 00:01:25,831 --> 00:01:27,416 Don't worry, I will. 40 00:01:27,499 --> 00:01:29,418 Thanks, Doc. Ow. 41 00:01:29,501 --> 00:01:31,378 We're going right back through here, okay, ma'am? 42 00:01:31,462 --> 00:01:32,671 Oh, thank you. 43 00:01:32,755 --> 00:01:34,256 Change the dressing twice a day. 44 00:01:34,340 --> 00:01:37,217 Doggy bag of the ointment and nonstick gauze. 45 00:01:37,301 --> 00:01:38,719 Cool. I know the drill. 46 00:01:38,802 --> 00:01:40,471 Come back if it starts to ache or stink. 47 00:01:40,554 --> 00:01:42,556 Exactly. Good luck. Stay safe. 48 00:01:42,639 --> 00:01:44,224 Oh, shit, it's Daddy, with your daddy. 49 00:01:44,308 --> 00:01:46,935 Lord, what'd they get up to now? 50 00:01:47,019 --> 00:01:48,520 Treatin' and streetin'. 51 00:01:48,604 --> 00:01:50,773 "Pros from Dover." 52 00:01:50,856 --> 00:01:52,232 I'm sorry, Ms. Graham. 53 00:01:52,316 --> 00:01:54,526 I just saw the ASL note in your chart. 54 00:01:54,610 --> 00:01:56,111 This is Lindsey. 55 00:01:56,195 --> 00:01:59,573 We'll bring you back as soon as possible. 56 00:01:59,656 --> 00:02:00,824 Stay with her. 57 00:02:02,284 --> 00:02:04,870 All right. Who here needs help? 58 00:02:06,997 --> 00:02:08,415 You? You need help? 59 00:02:08,499 --> 00:02:11,210 Oh, no, no, no, ma'am. I've been on these since 1987. 60 00:02:11,293 --> 00:02:13,587 This one here, he got dizzy, fell down. 61 00:02:13,670 --> 00:02:15,839 Forgot my blood-pressure medication. 62 00:02:15,923 --> 00:02:18,675 I left it back home in Georgia. 63 00:02:20,260 --> 00:02:21,720 And presto. 64 00:02:21,804 --> 00:02:24,473 We're back, Mr. Digby, with some IV antibiotics. 65 00:02:24,556 --> 00:02:28,143 First we scrub your outsides, then we clean your insides. 66 00:02:28,227 --> 00:02:30,062 What do you need to document in his chart? 67 00:02:30,145 --> 00:02:32,231 Uh, time started, time completed, 68 00:02:32,314 --> 00:02:33,690 and any adverse reactions. 69 00:02:33,774 --> 00:02:36,318 What else? 70 00:02:36,402 --> 00:02:39,863 Um, lot number on the antibiotic vial. 71 00:02:39,947 --> 00:02:41,615 Excellent. Mr. Digby. 72 00:02:41,698 --> 00:02:43,242 It's just Digby. 73 00:02:43,325 --> 00:02:45,994 Digby, why'd you wait so long to come see us? 74 00:02:47,579 --> 00:02:49,873 I don't like going to doctors. 75 00:02:49,957 --> 00:02:51,250 Well, that makes two of us. 76 00:02:51,333 --> 00:02:52,960 We all need help from time to time. 77 00:02:53,043 --> 00:02:55,796 Think maybe we could arrange for some ongoing care? 78 00:02:55,879 --> 00:02:58,715 I just kind of want to get patched up, you know? 79 00:02:58,799 --> 00:03:00,426 I do know. 80 00:03:00,509 --> 00:03:03,804 But that's today. What's tomorrow? 81 00:03:03,887 --> 00:03:05,889 Sunday. 82 00:03:05,973 --> 00:03:08,809 Use the system. That's what it's there for. 83 00:03:08,892 --> 00:03:11,353 Buddy of mine, Dylan, knows all the angles. 84 00:03:11,437 --> 00:03:13,689 He even works the occasional miracle. 85 00:03:13,772 --> 00:03:16,233 You think maybe I could have him stop by? 86 00:03:18,235 --> 00:03:19,736 I guess, yeah. 87 00:03:19,820 --> 00:03:20,821 Great. 88 00:03:20,904 --> 00:03:22,906 - How about a sandwich? - Yeah. 89 00:03:22,990 --> 00:03:24,825 Yes, please. 90 00:03:27,411 --> 00:03:28,787 We always offer. 91 00:03:28,871 --> 00:03:31,540 Two most important things… that they know we're here 92 00:03:31,623 --> 00:03:33,959 and that we'll never stop offering. 93 00:03:34,042 --> 00:03:35,335 Thanks for covering, Princess. 94 00:03:35,419 --> 00:03:36,795 Anytime. 95 00:03:36,879 --> 00:03:38,630 Yo, can I get some help over here? 96 00:03:38,714 --> 00:03:40,340 Yeah. What's going on, man? 97 00:03:40,424 --> 00:03:42,134 The crazy kid in there, screaming. 98 00:03:42,217 --> 00:03:44,094 - All right, have a seat. - Yeah, that's him. 99 00:03:44,178 --> 00:03:45,721 Still going nuts. 100 00:03:45,804 --> 00:03:48,056 Probably meth… fucking animal. 101 00:03:48,140 --> 00:03:50,058 - What's your name, sir? - You don't understand! 102 00:03:50,142 --> 00:03:52,269 Tony Chinchiolo, campus security. 103 00:03:52,352 --> 00:03:53,937 Yeah, I was at work when this happened, 104 00:03:54,021 --> 00:03:56,106 so I'm gonna need everything documented. 105 00:03:56,190 --> 00:03:57,441 Okay. 106 00:03:57,524 --> 00:04:00,110 All right. Heart rate's 89. 107 00:04:00,194 --> 00:04:01,862 Pulse ox 97. 108 00:04:01,945 --> 00:04:03,363 Scalp lac's tiny… 109 00:04:03,447 --> 00:04:04,433 - 5 millimeters. - Ow. 110 00:04:04,448 --> 00:04:06,116 Should hold together with Dermabond. 111 00:04:06,200 --> 00:04:08,118 Kid threw a fucking chair at me. 112 00:04:08,202 --> 00:04:10,037 Work-related injury gets a full exam. 113 00:04:10,120 --> 00:04:12,164 - Jesse here will take you. - Oh, no. 114 00:04:12,247 --> 00:04:13,665 I-I'm gonna stay here till the cops come 115 00:04:13,749 --> 00:04:16,460 so I can give my statement and so I can watch him. 116 00:04:16,543 --> 00:04:17,961 Yeah. 117 00:04:18,045 --> 00:04:21,089 Trust me, you do not want him getting out of there. 118 00:04:21,173 --> 00:04:23,717 Ow, fuck. 119 00:04:23,800 --> 00:04:27,346 - Did she say anything? - No more than she said to you. 120 00:04:27,429 --> 00:04:29,723 Nothing going on at home. Nothing at school. 121 00:04:29,806 --> 00:04:32,392 - And you believe her? - There's some flags. 122 00:04:32,476 --> 00:04:34,603 Bruising in various stages of healing. 123 00:04:34,686 --> 00:04:35,938 She's a little withdrawn, 124 00:04:36,021 --> 00:04:37,940 doesn't engage much for girls her age. 125 00:04:38,023 --> 00:04:40,275 But she could just be a little shy… 126 00:04:40,359 --> 00:04:41,902 or scared of being in here. 127 00:04:41,985 --> 00:04:43,987 Or she's being abused. 128 00:04:44,071 --> 00:04:45,197 That too. 129 00:04:45,280 --> 00:04:46,865 We'll find out more when Dad shows up. 130 00:04:46,949 --> 00:04:48,951 Yep. If he shows up. 131 00:04:52,162 --> 00:04:54,248 I need a hand here! 132 00:04:55,123 --> 00:04:57,709 There's the first barb out. 133 00:04:57,793 --> 00:04:59,461 All right, Javadi, you're up. 134 00:05:02,214 --> 00:05:03,966 Okay, so you're gonna want to clamp 135 00:05:04,049 --> 00:05:06,510 where the shaft meets the barb. 136 00:05:06,593 --> 00:05:07,761 - Mm-hmm. - Yep. 137 00:05:07,844 --> 00:05:09,721 Stabilize the skin. 138 00:05:09,805 --> 00:05:12,182 Not so close so as to stick yourself. 139 00:05:12,266 --> 00:05:13,600 I've seen that once or twice. 140 00:05:13,684 --> 00:05:16,061 Uh, pull up at 90 degrees. 141 00:05:16,144 --> 00:05:17,813 Harder. Yep. 142 00:05:17,896 --> 00:05:19,147 Harder. 143 00:05:19,231 --> 00:05:20,217 Oh. 144 00:05:20,232 --> 00:05:22,150 Do we suture those? 145 00:05:22,234 --> 00:05:23,819 Nope, just a Band-Aid. 146 00:05:23,902 --> 00:05:26,321 - Mel, we need orders. - Right. 147 00:05:26,405 --> 00:05:27,406 I got a rainbow. 148 00:05:27,489 --> 00:05:30,033 Uh, CBC… 149 00:05:30,117 --> 00:05:33,328 CMP, UA, blood alcohol, and tox screen. 150 00:05:33,412 --> 00:05:34,746 All of the above. 151 00:05:34,830 --> 00:05:36,081 Cap, if this young man's stable, 152 00:05:36,164 --> 00:05:37,499 can he go to Central 10 pronto? 153 00:05:37,583 --> 00:05:38,709 Double trauma at the back door. 154 00:05:38,792 --> 00:05:40,794 Okay, you heard the boss. Let's get going. 155 00:05:40,877 --> 00:05:43,338 Today is starting to heat up. 156 00:05:47,050 --> 00:05:49,886 Mark Yee, 32-year-old restrained driver, 157 00:05:49,970 --> 00:05:51,305 auto versus motorcycle. 158 00:05:51,388 --> 00:05:53,849 Altered with normal BP, satting 99 on 2 liters. 159 00:05:53,932 --> 00:05:55,851 We're at the hospital now, Mark. 160 00:05:55,934 --> 00:05:57,644 What's wrong with him? Why isn't he talking? 161 00:05:57,728 --> 00:05:59,479 His wife, Nancy, front-seat passenger, 162 00:05:59,563 --> 00:06:01,064 - declined transport. - I'm fine. 163 00:06:01,148 --> 00:06:04,318 We weren't going all that fast. The motorcycle ran the light. 164 00:06:04,401 --> 00:06:06,445 I'm Dr. Robby. This is Dr. Al-Hashimi. 165 00:06:06,528 --> 00:06:07,904 - Nice to meet you. - And this is Nurse Dana. 166 00:06:07,988 --> 00:06:09,156 She's our charge nurse. 167 00:06:09,239 --> 00:06:10,657 We need to look over your husband. 168 00:06:10,741 --> 00:06:12,075 Hello. Let's step over here for a minute, hon. 169 00:06:12,159 --> 00:06:13,368 Let them get to work, okay? 170 00:06:13,452 --> 00:06:15,454 Antoine, Larry, transfer out here. 171 00:06:15,537 --> 00:06:16,872 T-1 will be open in a sec. 172 00:06:16,955 --> 00:06:18,248 Aye, aye, Cap. 173 00:06:18,332 --> 00:06:20,584 One, two, three. 174 00:06:21,376 --> 00:06:22,376 Incoming. 175 00:06:22,419 --> 00:06:24,046 Okay, Joy, you stay with me. 176 00:06:24,129 --> 00:06:26,465 Samira, you stay with Dr. Al-Hashimi. 177 00:06:28,342 --> 00:06:29,593 Open skull fracture. 178 00:06:29,676 --> 00:06:31,219 Tubed him for agonal respirations. 179 00:06:31,303 --> 00:06:32,971 BP 60 palp initially. 180 00:06:33,055 --> 00:06:35,390 Started a liter of NS, but lost his pulse en route. 181 00:06:37,267 --> 00:06:39,269 Oh, boy, this doesn't look good. 182 00:06:39,353 --> 00:06:40,854 One, two, three. 183 00:06:40,937 --> 00:06:42,689 Joy, check his pupils. 184 00:06:42,773 --> 00:06:44,149 Somebody hand me a pair of scissors. 185 00:06:48,820 --> 00:06:50,322 8 millimeters. Nonreactive. 186 00:06:50,405 --> 00:06:53,200 AKA blown pupils, fixed and dilated. 187 00:06:53,283 --> 00:06:54,576 Oh. 188 00:06:54,660 --> 00:06:56,370 Crushed skull with tons of gray matter extravasation. 189 00:06:56,453 --> 00:06:57,913 At least it was quick. 190 00:06:57,996 --> 00:06:59,790 - No helmet? - Nope, 'cause he took 191 00:06:59,873 --> 00:07:01,249 the PennDOT Motorcycle Safety Course. 192 00:07:01,333 --> 00:07:02,668 Isn't that what you took, Robby? 193 00:07:02,751 --> 00:07:05,545 Hold compressions. Yes, but I still wear a helmet. 194 00:07:05,629 --> 00:07:07,673 - Is he a donor? - Also nope. 195 00:07:07,756 --> 00:07:08,965 That is too bad. 196 00:07:09,049 --> 00:07:11,718 Asystole. I think we are done here. 197 00:07:11,802 --> 00:07:13,512 - What's next door? - The guy who hit him. 198 00:07:13,595 --> 00:07:14,930 Joy, you're with me. 199 00:07:15,013 --> 00:07:17,641 What about a moment of reflection? I thought… 200 00:07:17,724 --> 00:07:19,393 He'll still be dead when we get back. 201 00:07:19,476 --> 00:07:22,437 Pulse ox 99. BP 108 over 72. 202 00:07:22,521 --> 00:07:23,522 EFAST negative. 203 00:07:23,605 --> 00:07:24,815 Hell of a lot better than the guy next door. 204 00:07:24,898 --> 00:07:26,191 - How's the airway? - Good volume. 205 00:07:26,274 --> 00:07:28,527 Good sats. Gag reflex… 206 00:07:29,653 --> 00:07:30,654 Present. 207 00:07:30,737 --> 00:07:31,988 - Intubate? - Maybe. 208 00:07:32,072 --> 00:07:33,198 - Maybe not. - Mr. Yee? 209 00:07:33,281 --> 00:07:34,991 Joy, sternal rub on his chest, like this. 210 00:07:35,075 --> 00:07:36,201 Really hard, please. 211 00:07:36,284 --> 00:07:38,203 Mr. Yee? 212 00:07:38,286 --> 00:07:40,372 Spontaneous eye movement. Responds to pain. 213 00:07:40,455 --> 00:07:42,374 GCS is 10. Borderline for intubation. 214 00:07:42,457 --> 00:07:45,252 No muscle tone…flaccid paralysis in the left arm. 215 00:07:45,335 --> 00:07:46,837 - Same on the right. - And both legs. 216 00:07:46,920 --> 00:07:48,839 Add towels to both sides of the collar for more stability. 217 00:07:48,922 --> 00:07:51,049 Let's not make this worse. 218 00:07:51,133 --> 00:07:53,969 Pan scan with 3D reconstruction of the spine. 219 00:07:54,052 --> 00:07:55,429 He's quadriplegic? 220 00:07:55,512 --> 00:07:57,848 If so, it's a low cervical injury. 221 00:07:57,931 --> 00:08:00,016 - Why is that, Joy? - Uh… 222 00:08:00,100 --> 00:08:03,937 C3, 4, and 5 helps you breathe to stay alive. 223 00:08:04,020 --> 00:08:05,522 Mr. Montrose… 224 00:08:05,605 --> 00:08:08,358 you can't just be wandering around, talking to patients. 225 00:08:08,442 --> 00:08:10,193 Well, that's… that's what I do. 226 00:08:10,277 --> 00:08:11,778 I'm a greeter at Walmart. 227 00:08:11,862 --> 00:08:15,282 I get paid to wander and to talk to folks. 228 00:08:15,365 --> 00:08:17,576 Well, as a… as a personal favor to me, 229 00:08:17,659 --> 00:08:20,704 can you at least stay in your general vicinity? 230 00:08:20,787 --> 00:08:22,914 I can get you a wheelchair while we wait for your X-rays, 231 00:08:22,998 --> 00:08:24,249 but it might take a minute. 232 00:08:24,332 --> 00:08:25,751 My dear, I cannot sit. 233 00:08:25,834 --> 00:08:27,794 My backside is killing me from where I fell on it, 234 00:08:27,878 --> 00:08:30,380 which is an embarrassing admission to make 235 00:08:30,464 --> 00:08:33,091 to such a lovely woman. 236 00:08:33,175 --> 00:08:34,676 Well, thank you for the compliment, 237 00:08:34,760 --> 00:08:36,470 but there's no need to be embarrassed. 238 00:08:36,553 --> 00:08:37,971 You took a very nasty fall. 239 00:08:38,054 --> 00:08:40,849 Well, then may I say that one look in your beautiful eyes 240 00:08:40,932 --> 00:08:43,059 and I think I'm falling again. 241 00:08:46,438 --> 00:08:47,814 What a charmer. 242 00:08:47,898 --> 00:08:50,066 Just for that, I'm gonna get you a foam donut. 243 00:08:50,150 --> 00:08:52,444 It's the eighth wonder of the world. 244 00:08:52,527 --> 00:08:54,946 Pretty great laugh you got there, Doc. 245 00:08:56,990 --> 00:08:59,284 Oh, God. My witch's cackle? 246 00:08:59,367 --> 00:09:01,077 Got CT results for Mr. Williams. 247 00:09:01,161 --> 00:09:02,662 Ah. 248 00:09:05,040 --> 00:09:07,083 Oh, wow. 249 00:09:09,044 --> 00:09:10,295 Okay. 250 00:09:10,378 --> 00:09:11,797 Okay. 251 00:09:11,880 --> 00:09:14,007 Ah. Right on time. 252 00:09:14,090 --> 00:09:16,092 Just…just getting full. 253 00:09:16,176 --> 00:09:17,928 Yeah, I'm ready for number five. 254 00:09:18,011 --> 00:09:19,805 - That's impressive. - Uh-huh. 255 00:09:19,888 --> 00:09:22,015 Yeah, there's more where that came from. 256 00:09:22,098 --> 00:09:25,811 Although, uh, my intake is running low. 257 00:09:25,894 --> 00:09:27,604 Yeah, well, two more bottles ought to do it. 258 00:09:27,687 --> 00:09:29,564 Then we'll drain your tooth, and we'll get you out of here 259 00:09:29,648 --> 00:09:32,025 - before the fireworks tonight. - Oh. 260 00:09:32,108 --> 00:09:33,235 Okay. Clamped. 261 00:09:33,318 --> 00:09:36,154 Ogilvie, make the change. 262 00:09:36,238 --> 00:09:39,032 - Okay. - Mm-hmm. 263 00:09:39,115 --> 00:09:42,077 All right. Let her rip. 264 00:09:42,160 --> 00:09:44,579 Flowing like a river. 265 00:09:44,663 --> 00:09:47,457 I love me some fireworks. 266 00:09:47,541 --> 00:09:49,501 Oh, yeah? 267 00:09:49,584 --> 00:09:52,504 Shit, I-I met Mr. Zambelli… 268 00:09:52,587 --> 00:09:54,256 Lean forward. 269 00:09:54,339 --> 00:09:56,383 Many times on the field. 270 00:09:56,466 --> 00:09:59,052 Who's Mr. Zambelli? 271 00:09:59,135 --> 00:10:00,554 Son, you don't know fireworks 272 00:10:00,637 --> 00:10:03,098 if you don't know the name Zambelli. 273 00:10:03,181 --> 00:10:05,058 He helped Pittsburgh become 274 00:10:05,141 --> 00:10:07,686 the firework capital of America. 275 00:10:07,769 --> 00:10:10,021 You did know that, didn't you? 276 00:10:10,105 --> 00:10:11,690 - No. - Ah. 277 00:10:11,773 --> 00:10:14,985 Y'all don't know nothing about pyrotechnics. 278 00:10:15,068 --> 00:10:16,444 Stick to doctoring. 279 00:10:16,528 --> 00:10:18,655 Yes, will do. 280 00:10:25,453 --> 00:10:28,456 I'm sure you have some questions. 281 00:10:28,540 --> 00:10:31,877 I know it's a lot to take in. 282 00:10:31,960 --> 00:10:34,296 It's a tumor. 283 00:10:34,379 --> 00:10:35,463 It's a brain tumor. 284 00:10:35,547 --> 00:10:38,592 Well, it's a mass, about 4 centimeters, 285 00:10:38,675 --> 00:10:40,677 in the frontal lobe. 286 00:10:41,970 --> 00:10:43,930 Is it cancer? 287 00:10:44,014 --> 00:10:46,433 We can't say for sure right now. 288 00:10:46,516 --> 00:10:47,893 It could be many things… 289 00:10:47,976 --> 00:10:51,062 uh, infection, inflammation, 290 00:10:51,146 --> 00:10:54,024 a benign cyst. 291 00:10:54,107 --> 00:10:57,319 Is it what made me fall? 292 00:10:57,402 --> 00:10:59,237 Yeah, possibly. 293 00:11:01,197 --> 00:11:03,909 We'd like to keep you here and treat with dexamethasone, 294 00:11:03,992 --> 00:11:05,994 which is a steroid to take down the swelling. 295 00:11:06,077 --> 00:11:07,495 - Hmm. - And then we'll need 296 00:11:07,579 --> 00:11:10,457 a brain biopsy to know exactly what it is. 297 00:11:10,540 --> 00:11:14,377 What, you're…you're gonna cut open my head? 298 00:11:14,461 --> 00:11:16,713 It's just a small hole. 299 00:11:16,796 --> 00:11:20,592 We'll do a-a CT-guided stereotactical biopsy 300 00:11:20,675 --> 00:11:22,928 with a-a blunt, thin needle, 301 00:11:23,011 --> 00:11:25,764 which sounds crazy, but it's actually pretty amazing. 302 00:11:25,847 --> 00:11:28,725 I mean, most patients go home the next day. 303 00:11:32,562 --> 00:11:34,898 I don't know. 304 00:11:34,981 --> 00:11:38,443 What do you think I should do? 305 00:11:38,526 --> 00:11:41,905 I think this is a pretty good plan. 306 00:11:41,988 --> 00:11:43,323 - Okay. - Yeah? 307 00:11:43,406 --> 00:11:47,369 BP 95 over 67. 308 00:11:47,452 --> 00:11:49,371 Seems a little on the low side. 309 00:11:49,454 --> 00:11:50,872 It is. 310 00:11:50,956 --> 00:11:53,083 Have you ever had low blood pressure in the past? 311 00:11:53,166 --> 00:11:56,086 No, sir. My blood pressure's always high. 312 00:11:56,169 --> 00:11:59,130 Hold still, sir. No talking while we do the EKG. 313 00:11:59,214 --> 00:12:01,758 The Hansens all run high, except for Monty. 314 00:12:01,841 --> 00:12:04,177 - He ran low, but he's dead. - That's not helpful. 315 00:12:04,260 --> 00:12:07,055 You want to help, quit playing family pharmacist. 316 00:12:07,138 --> 00:12:09,516 Pooling meds is how we've always done it. 317 00:12:09,599 --> 00:12:10,850 You put everything in a big pile 318 00:12:10,934 --> 00:12:12,102 in the middle of the table… 319 00:12:12,185 --> 00:12:13,436 Well, look where that got us now. 320 00:12:13,520 --> 00:12:15,563 No, I'm gonna jump in here and echo that sharing meds 321 00:12:15,647 --> 00:12:16,731 which haven't been prescribed to you 322 00:12:16,815 --> 00:12:18,024 is actually a real big no-no. 323 00:12:18,108 --> 00:12:19,108 How we doing on remembering 324 00:12:19,150 --> 00:12:20,485 what your brother might've taken? 325 00:12:20,568 --> 00:12:21,653 We could call back to the house. 326 00:12:21,736 --> 00:12:24,239 Great idea. Okay. 327 00:12:24,322 --> 00:12:26,616 Whatever little round pill you took, sir, 328 00:12:26,700 --> 00:12:28,702 has caused your heart rate and blood pressure 329 00:12:28,785 --> 00:12:30,954 to drop so low, you're at risk of fainting, 330 00:12:31,037 --> 00:12:33,123 falling, or having a serious injury. 331 00:12:33,206 --> 00:12:34,249 Oh. 332 00:12:34,332 --> 00:12:35,875 We need to take him back to the ER 333 00:12:35,959 --> 00:12:36,960 so he can get a liter of fluids, 334 00:12:37,043 --> 00:12:38,294 we can check his blood tests 335 00:12:38,378 --> 00:12:39,629 and monitor his heart rate and blood pressure 336 00:12:39,713 --> 00:12:41,798 till he recovers. 337 00:12:41,881 --> 00:12:43,466 Pulse ox holding steady at 99. 338 00:12:43,550 --> 00:12:44,634 Good tidal volume. 339 00:12:44,718 --> 00:12:46,302 How you doing there, Mr. Yee? 340 00:12:46,386 --> 00:12:47,679 Scanner can take him now. 341 00:12:47,762 --> 00:12:49,014 I'll check the results from upstairs. 342 00:12:49,097 --> 00:12:51,766 - Why is he so altered? - Could be concussion. 343 00:12:51,850 --> 00:12:53,685 Maybe a small intracranial hemorrhage. 344 00:12:53,768 --> 00:12:56,229 All will be revealed by the Donut of Truth. 345 00:12:56,312 --> 00:12:58,898 - Need a portable monitor. - Joy, stay with him, please. 346 00:12:58,982 --> 00:13:00,859 See if the radiologist can give us a STAT read. 347 00:13:00,942 --> 00:13:01,943 How is he? 348 00:13:02,027 --> 00:13:04,320 Did I hear someone say he's paralyzed? 349 00:13:04,404 --> 00:13:06,656 There are signs of weakness in both arms and legs. 350 00:13:06,740 --> 00:13:09,034 But before we can make any prognosis, 351 00:13:09,117 --> 00:13:10,368 we'll need a full-body scan. 352 00:13:10,452 --> 00:13:12,704 Head CT will show us any brain injury. 353 00:13:12,787 --> 00:13:14,873 Neck CT will show us any spinal-cord injury. 354 00:13:14,956 --> 00:13:17,584 Chest, abdomen, pelvis will rule out any internal bleeding. 355 00:13:17,667 --> 00:13:18,668 Oh, my God. 356 00:13:18,752 --> 00:13:21,546 The scans should only take about 15 minutes. 357 00:13:21,629 --> 00:13:24,340 In the meantime, perhaps you'd let us look you over as well? 358 00:13:24,424 --> 00:13:26,634 I'm fine. The medics checked me. 359 00:13:26,718 --> 00:13:29,179 I just want to stay with my husband. 360 00:13:29,262 --> 00:13:31,431 Well, you can't go into the CT with him, 361 00:13:31,514 --> 00:13:33,683 but you can wait just outside if you like. 362 00:13:33,767 --> 00:13:34,976 - Excuse me. - Princess, this is Nancy. 363 00:13:35,060 --> 00:13:36,603 Mrs. Yee is gonna go with her husband to CT. 364 00:13:36,686 --> 00:13:37,729 Will you show her where to go? 365 00:13:37,812 --> 00:13:40,440 - Sure. Come on in. - Thank you. 366 00:13:42,275 --> 00:13:44,069 So what's the plan now? 367 00:13:44,152 --> 00:13:46,237 Keep observing me in my natural habitat? 368 00:13:46,321 --> 00:13:47,655 No telling what I might do next. 369 00:13:47,739 --> 00:13:49,240 I think I've got the gist. 370 00:13:49,324 --> 00:13:51,367 How about we each take a lap and meet here 371 00:13:51,451 --> 00:13:52,869 when Mr. Yee is back from CT? 372 00:13:52,952 --> 00:13:54,788 Splitting up so soon? 373 00:13:54,871 --> 00:13:57,957 You're free to see other people, Dr. Robinavitch. 374 00:13:58,041 --> 00:14:00,752 I'm looking for cooperation, not commitment. 375 00:14:05,381 --> 00:14:07,342 So you bandaged the burn yourself? 376 00:14:07,425 --> 00:14:09,135 Oh, no, no, no, no, no, no, no, no… 377 00:14:09,219 --> 00:14:11,221 Ma'am, you're…you're making it difficult for me 378 00:14:11,304 --> 00:14:12,931 to see under this dressing. 379 00:14:13,014 --> 00:14:16,267 - Is that a tablecloth? - Part of a window curtain. 380 00:14:16,351 --> 00:14:17,644 Cleaner than tablecloth. 381 00:14:17,727 --> 00:14:19,354 I'll wait for the doctor. Thank you. 382 00:14:19,437 --> 00:14:22,774 May I ask how this happened? 383 00:14:22,857 --> 00:14:24,526 For weeks on end, the kids with their 384 00:14:24,609 --> 00:14:26,820 guchnyy firecrackers, going all day and night. 385 00:14:26,903 --> 00:14:28,905 Oh, i-is this a firecracker burn? 386 00:14:28,988 --> 00:14:31,908 No, sweetie, this is from the full samovar 387 00:14:31,991 --> 00:14:34,828 I drop on the floor when the sh… 388 00:14:34,911 --> 00:14:37,455 the firecrackers started going on again. 389 00:14:37,539 --> 00:14:39,415 I'm sorry. What's a samovar? 390 00:14:39,499 --> 00:14:42,669 It is a big metal urn for coffee or tea. 391 00:14:42,752 --> 00:14:44,796 They can get super-duper hot, 392 00:14:44,879 --> 00:14:47,048 and I was never allowed to touch ours. 393 00:14:47,132 --> 00:14:48,466 Uh, hello, Mrs. Kovalenko. 394 00:14:48,550 --> 00:14:49,759 My name is Dr. Michael Robinavitch. 395 00:14:49,843 --> 00:14:51,427 Everybody calls me Dr. Robby. 396 00:14:51,511 --> 00:14:54,430 - Robinavitch? Jewish? - You guessed it. 397 00:14:54,514 --> 00:14:57,934 And I see that you are here today for a burn. 398 00:14:58,017 --> 00:14:59,352 Why don't we take a look? 399 00:14:59,435 --> 00:15:00,937 Oh, not married? 400 00:15:01,020 --> 00:15:02,647 No, I'm not married. 401 00:15:03,898 --> 00:15:05,275 Do you attend synagogue? 402 00:15:05,358 --> 00:15:08,236 Uh, not for a while. 403 00:15:08,319 --> 00:15:12,198 I mean, High Holidays mostly. 404 00:15:12,282 --> 00:15:13,366 Where? 405 00:15:13,449 --> 00:15:15,034 Ooh. 406 00:15:15,118 --> 00:15:17,328 What did you put on this? 407 00:15:17,412 --> 00:15:18,913 - Where? - On your burn. 408 00:15:18,997 --> 00:15:21,166 - Is this honey? - Yes, honey. 409 00:15:21,249 --> 00:15:23,168 Where do you go on holy days? 410 00:15:23,251 --> 00:15:26,171 Uh, my grandparents, um… 411 00:15:26,254 --> 00:15:27,881 I grew up going to Rodef Shalom. 412 00:15:27,964 --> 00:15:28,950 You? 413 00:15:28,965 --> 00:15:31,259 Tree of Life. 414 00:15:33,011 --> 00:15:34,387 They're rebuilding. 415 00:15:34,470 --> 00:15:36,806 Yes, something new. 416 00:15:36,890 --> 00:15:40,310 Remember, Rebuild, Renew. 417 00:15:40,393 --> 00:15:42,770 That's the slogan. 418 00:15:44,814 --> 00:15:47,525 I'm sorry, did you say "honey"? 419 00:15:47,609 --> 00:15:49,694 You think honey's funny? 420 00:15:49,777 --> 00:15:51,696 Works like a charm. 421 00:15:51,779 --> 00:15:53,823 My father kept bees. I know. 422 00:15:53,907 --> 00:15:57,118 If the honey is medical grade and the burns are not too bad, 423 00:15:57,202 --> 00:15:59,245 honey actually does have some antibacterial 424 00:15:59,329 --> 00:16:00,830 and anti-inflammatory properties. 425 00:16:00,914 --> 00:16:03,416 However, these burns are very deep in some places. 426 00:16:03,499 --> 00:16:05,793 They're going to need debridement. 427 00:16:05,877 --> 00:16:08,796 I'm glad you came in. 428 00:16:08,880 --> 00:16:10,632 That's what I thought. 429 00:16:10,715 --> 00:16:14,636 I was hoping no, but I figured as much. 430 00:16:14,719 --> 00:16:15,762 Not to worry. 431 00:16:15,845 --> 00:16:18,598 We are gonna have you patched up and home 432 00:16:18,681 --> 00:16:20,266 in time for dinner and fireworks. 433 00:16:20,350 --> 00:16:22,185 No. 434 00:16:22,268 --> 00:16:23,686 No more fireworks. 435 00:16:23,770 --> 00:16:24,938 No. 436 00:16:25,021 --> 00:16:26,064 Okay. 437 00:16:26,147 --> 00:16:30,360 Anyone here treating Kylie Connors? 438 00:16:30,443 --> 00:16:31,861 She's my daughter. 439 00:16:31,945 --> 00:16:33,947 She's nine. I'm Benny Connors. 440 00:16:34,030 --> 00:16:36,407 Mr. Connors, I'm Dr. Santos. 441 00:16:36,491 --> 00:16:37,784 I'm treating Kylie. 442 00:16:37,867 --> 00:16:39,369 Is she okay? Can I see her? 443 00:16:39,452 --> 00:16:41,329 My…my girlfriend, Gina, says she got a cut on her chin? 444 00:16:41,412 --> 00:16:42,413 Yeah, I can take you to her. 445 00:16:42,497 --> 00:16:44,165 She has a small laceration on her chin, 446 00:16:44,249 --> 00:16:46,417 but it was easily repaired with medical superglue, 447 00:16:46,501 --> 00:16:48,586 - so no stitches necessary. - Okay. 448 00:16:48,670 --> 00:16:51,130 She chipped a tooth, but it's a baby tooth, 449 00:16:51,214 --> 00:16:52,924 so it won't need dental work. 450 00:16:53,007 --> 00:16:54,842 All right, well, that's a relief. 451 00:16:54,926 --> 00:16:57,345 Has Kylie had any previous injuries? 452 00:16:57,428 --> 00:16:59,013 Uh, yeah. 453 00:16:59,097 --> 00:17:01,266 She, um…she broke her wrist last year. 454 00:17:01,349 --> 00:17:02,892 She was skateboarding. 455 00:17:02,976 --> 00:17:06,104 Dana, if you could get Dylan to come to North 1, 456 00:17:06,187 --> 00:17:08,189 - and Ahmad. - You bet. 457 00:17:08,273 --> 00:17:10,525 Okay, I got it now. One, two, three. 458 00:17:10,608 --> 00:17:11,776 Daddy, you came. 459 00:17:11,859 --> 00:17:13,611 Baby, what's going on, huh? 460 00:17:13,695 --> 00:17:15,321 My tooth broke, and my chin got cut. 461 00:17:15,405 --> 00:17:16,739 Oh, no. 462 00:17:18,658 --> 00:17:19,784 What happened? 463 00:17:19,867 --> 00:17:22,036 She was running up the stairs. 464 00:17:22,120 --> 00:17:24,706 - Gina was chasing me. - We were playing. 465 00:17:24,789 --> 00:17:27,250 As I was saying, Mr. Connors, the laceration is pretty minor. 466 00:17:27,333 --> 00:17:28,333 On the stairs? 467 00:17:28,376 --> 00:17:30,461 - It was an accident. - Perhaps we can… 468 00:17:30,545 --> 00:17:32,046 An accident that wouldn't have happened 469 00:17:32,130 --> 00:17:33,381 if you weren't running up the stairs. 470 00:17:33,464 --> 00:17:34,549 Do you understand what I'm saying? 471 00:17:34,632 --> 00:17:37,010 This is the last thing that I need right now, 472 00:17:37,093 --> 00:17:38,720 is her mother finding out that she got hurt 473 00:17:38,803 --> 00:17:40,346 - when she's with you. - It was an accident. 474 00:17:40,430 --> 00:17:41,889 And before you get all high and mighty, 475 00:17:41,973 --> 00:17:43,850 - I've got questions of my own. - Like what? 476 00:17:43,933 --> 00:17:45,184 Hey, Mr. Connors. 477 00:17:45,268 --> 00:17:47,061 I'm sorry, I meant to be here when you arrived. 478 00:17:47,145 --> 00:17:49,022 I'm Dylan Easton. I'm with Social Services. 479 00:17:49,105 --> 00:17:50,189 We have insurance. Thank you. 480 00:17:50,273 --> 00:17:51,858 Perhaps we can step outside and chat for a second? 481 00:17:51,941 --> 00:17:53,776 I can fill you in on where we are. 482 00:17:53,860 --> 00:17:55,653 Hey, uh, Jesse, do you want to keep Kylie entertained 483 00:17:55,737 --> 00:17:57,322 - for a few minutes while I… - Absolutely. 484 00:17:57,405 --> 00:17:58,405 Borrow her dad? 485 00:17:58,448 --> 00:17:59,532 We'll just head down to the family room. 486 00:17:59,615 --> 00:18:01,743 It's a little quieter there. 487 00:18:01,826 --> 00:18:03,536 Why do I got to talk to a social worker? 488 00:18:03,619 --> 00:18:06,039 Anytime a child is injured, we have some standard questions 489 00:18:06,122 --> 00:18:07,540 that we ask parents and caregivers. 490 00:18:07,623 --> 00:18:10,710 Good. That's fine. Great. Ask me here. 491 00:18:10,793 --> 00:18:14,255 Well, we noticed some bruising on Kylie's body, 492 00:18:14,339 --> 00:18:17,675 some old, some new, on her back and legs. 493 00:18:17,759 --> 00:18:19,886 - Any idea how she got those? - Yeah, soccer. 494 00:18:19,969 --> 00:18:21,095 She plays for a club team. 495 00:18:21,179 --> 00:18:22,388 They're, you know, little girls, 496 00:18:22,472 --> 00:18:24,474 but they play like they're in "The Hunger Games." 497 00:18:24,557 --> 00:18:26,559 Well, I understand that you and Kylie do 498 00:18:26,642 --> 00:18:29,479 a fair amount of roughhousing. 499 00:18:29,562 --> 00:18:31,481 What? 500 00:18:31,564 --> 00:18:34,192 I'm sorry. Are you fucking kidding me? 501 00:18:34,275 --> 00:18:35,360 Where are you going with this? 502 00:18:35,443 --> 00:18:36,652 Are you saying that I hurt my daughter? 503 00:18:36,736 --> 00:18:37,945 Mr. Connors, nobody's saying that… 504 00:18:38,029 --> 00:18:39,072 Oh, no, no, no, no, no, no, no, no. 505 00:18:39,155 --> 00:18:40,281 - Gina! - Mr. Connors… 506 00:18:40,365 --> 00:18:41,657 Just…just…Gina! 507 00:18:41,741 --> 00:18:42,727 Sir, take a breath. 508 00:18:42,742 --> 00:18:43,826 Gina, what did you say to them? 509 00:18:43,910 --> 00:18:45,661 Nothing. I said that you're a great dad. 510 00:18:45,745 --> 00:18:47,163 Okay. What else? 511 00:18:47,246 --> 00:18:48,664 That you guys like to wrestle. 512 00:18:48,748 --> 00:18:49,874 - Jesus Christ. - What? 513 00:18:49,957 --> 00:18:51,376 They wanted to know where all her bruises are from. 514 00:18:51,459 --> 00:18:53,252 Who the fuck are you to talk about me and my daughter? 515 00:18:53,336 --> 00:18:54,796 - Who the fuck am I? - Yeah, that's what I'm asking. 516 00:18:54,879 --> 00:18:55,963 Who the fuck am I? 517 00:18:56,047 --> 00:18:57,340 Hey, big man, take one more fucking step… 518 00:18:57,423 --> 00:18:59,759 Hey, that's enough. You need to calm down. 519 00:18:59,842 --> 00:19:01,761 Hey, everybody, back the fuck up! 520 00:19:01,844 --> 00:19:03,137 Stop! Stop! Stop! Stop! 521 00:19:03,221 --> 00:19:06,224 Kylie's platelets are only 9,000. 522 00:19:06,307 --> 00:19:08,226 What does that mean? 523 00:19:08,309 --> 00:19:11,104 It's…it's not what we thought. 524 00:19:11,187 --> 00:19:13,439 It's probably ITP. 525 00:19:13,523 --> 00:19:15,775 What the hell is ITP? 526 00:19:15,858 --> 00:19:18,069 Something we can treat. 527 00:19:24,283 --> 00:19:26,828 - You feel that? - Mm, no. 528 00:19:26,911 --> 00:19:28,496 Excellent. 529 00:19:28,579 --> 00:19:30,415 This is looking very good. 530 00:19:30,498 --> 00:19:32,458 Ah. Tell Mr. Kovalenko. 531 00:19:36,170 --> 00:19:37,380 Mrs. Kovalenko? 532 00:19:37,463 --> 00:19:39,298 Yes? Yana, please. 533 00:19:39,382 --> 00:19:43,261 Yana, you mentioned that you dropped the samovar 534 00:19:43,344 --> 00:19:46,722 when you heard firecrackers. 535 00:19:46,806 --> 00:19:47,807 Yeah. 536 00:19:50,852 --> 00:19:54,564 I was on my way inside… 537 00:19:54,647 --> 00:19:57,692 October 27, 2018… 538 00:19:57,775 --> 00:20:00,653 to the synagogue when the shooting started. 539 00:20:05,408 --> 00:20:08,286 There was nothing I could do. 540 00:20:08,369 --> 00:20:09,912 I went in… 541 00:20:09,996 --> 00:20:12,457 after the police arrived. 542 00:20:12,540 --> 00:20:14,584 I felt I had to. 543 00:20:16,461 --> 00:20:18,629 I'm better now. 544 00:20:18,713 --> 00:20:21,090 But… 545 00:20:21,174 --> 00:20:24,469 New Year's Eve, Fourth of July, 546 00:20:24,552 --> 00:20:27,972 when…when kids have their fireworks 547 00:20:28,055 --> 00:20:30,808 and firecrackers, I… 548 00:20:33,019 --> 00:20:35,855 There is no clock on how long it takes. 549 00:20:37,482 --> 00:20:39,108 No clock. 550 00:20:39,192 --> 00:20:41,986 You must be joking. 551 00:20:44,155 --> 00:20:45,364 - Robby? - Yep. 552 00:20:45,448 --> 00:20:47,575 - Mark Yee is back from CT. - Oh, okay. 553 00:20:47,658 --> 00:20:49,076 Um, Perlah, why don't we go ahead and see if we can put 554 00:20:49,160 --> 00:20:50,870 a nonstick dressing on this? 555 00:20:50,953 --> 00:20:53,164 And I will come back, and we can discuss 556 00:20:53,247 --> 00:20:54,582 aftercare instructions. 557 00:20:54,665 --> 00:20:56,083 Yeah, you got it, boss. 558 00:20:56,167 --> 00:20:58,211 Thank you, Doctor. 559 00:21:10,473 --> 00:21:12,934 Vitals stable. Pulse ox holding at 99. 560 00:21:13,017 --> 00:21:15,019 Okay. Heart and lungs look good. 561 00:21:17,230 --> 00:21:19,482 - Dr. Mohan. - Dr. Robby? 562 00:21:19,565 --> 00:21:20,733 Yeah? 563 00:21:22,860 --> 00:21:25,363 Please make him be okay. 564 00:21:25,446 --> 00:21:27,281 I can assure you that we are gonna do absolutely… 565 00:21:27,365 --> 00:21:29,951 Everything you can. I know. 566 00:21:30,034 --> 00:21:31,536 God, this is all my fault. 567 00:21:31,619 --> 00:21:34,455 - Mrs. Yee… - Oh, he's been so stressed. 568 00:21:34,539 --> 00:21:36,832 So I planned this weekend away at Seven Springs, 569 00:21:36,916 --> 00:21:39,418 but he didn't want to go because of work. 570 00:21:39,502 --> 00:21:42,547 So we fought this whole morning. 571 00:21:42,630 --> 00:21:45,007 And then I… 572 00:21:45,091 --> 00:21:48,302 I said awful things. 573 00:21:48,386 --> 00:21:50,304 Those can't be the last words we say to each other. 574 00:21:50,388 --> 00:21:51,931 Doctor, please. 575 00:21:52,014 --> 00:21:54,892 Good news. CT looks normal. 576 00:21:54,976 --> 00:21:56,602 No bleeding inside the skull. 577 00:21:56,686 --> 00:21:59,438 C-spine, no fractures seen. 578 00:21:59,522 --> 00:22:01,857 - He didn't break his neck? - Then why is he paralyzed? 579 00:22:01,941 --> 00:22:03,484 You can have spinal injuries 580 00:22:03,568 --> 00:22:05,278 without radiologic abnormalities. 581 00:22:05,361 --> 00:22:08,698 Sometimes it doesn't show up on CT, only on MRI. 582 00:22:08,781 --> 00:22:10,575 Dr. Mohan. 583 00:22:13,452 --> 00:22:14,537 Are you sure? 584 00:22:17,582 --> 00:22:19,333 Okay. 585 00:22:19,417 --> 00:22:21,419 Critical potassium level, 1.2. 586 00:22:21,502 --> 00:22:23,004 Wow. 587 00:22:23,087 --> 00:22:24,630 - Okay. - That's crazy low. 588 00:22:24,714 --> 00:22:26,674 Uh, extremely low potassium with generalized weakness 589 00:22:26,757 --> 00:22:28,593 and no cervical injury. 590 00:22:28,676 --> 00:22:29,927 We may be looking at… 591 00:22:30,011 --> 00:22:31,762 Hypokalemic periodic paralysis. 592 00:22:31,846 --> 00:22:32,888 What is that? 593 00:22:32,972 --> 00:22:34,473 It's a rare condition where potassium gets shifted 594 00:22:34,557 --> 00:22:36,642 into the cells, causing profound weakness, 595 00:22:36,726 --> 00:22:37,852 just like paralysis. 596 00:22:37,935 --> 00:22:39,562 - Will he get better? - Yes. 597 00:22:39,645 --> 00:22:41,272 Back to normal in a few hours. 598 00:22:41,355 --> 00:22:42,607 In a f… 599 00:22:42,690 --> 00:22:45,359 Replete slowly. 10 MEQ of KCl… 600 00:22:45,443 --> 00:22:47,361 Thank you so much. 601 00:22:47,445 --> 00:22:48,904 Did you hear that, Mark? 602 00:22:48,988 --> 00:22:52,658 Oh, baby, you're gonna get better. 603 00:22:52,742 --> 00:22:54,910 Oh, baby. 604 00:22:54,994 --> 00:22:56,746 All right, DD. Hey, come on now, man. 605 00:22:56,829 --> 00:22:58,664 Oh, how you doing, Duante? 606 00:22:58,748 --> 00:23:00,249 - Fine. - Great. 607 00:23:00,333 --> 00:23:01,667 If you're fine, you go home. 608 00:23:01,751 --> 00:23:02,752 - Really? - Yeah. 609 00:23:02,835 --> 00:23:05,880 Mm-mm. Hey, tell them. 610 00:23:05,963 --> 00:23:08,466 Me and my sister were making bracelets, 611 00:23:08,549 --> 00:23:12,470 and I put beads up my nose. 612 00:23:12,553 --> 00:23:13,971 How many? 613 00:23:14,055 --> 00:23:15,389 One on each side. 614 00:23:15,473 --> 00:23:18,059 I got to ask… why'd you stick them up there? 615 00:23:18,142 --> 00:23:19,769 See how many will fit? 616 00:23:19,852 --> 00:23:21,687 To shoot them out like rockets. 617 00:23:21,771 --> 00:23:22,772 Mm. 618 00:23:22,855 --> 00:23:24,148 But I breathed in, 619 00:23:24,231 --> 00:23:27,151 and they went deeper and now won't come out. 620 00:23:27,234 --> 00:23:28,986 Did you try anything at home? 621 00:23:29,070 --> 00:23:30,655 Yeah, I tried blowing in his mouth, 622 00:23:30,738 --> 00:23:32,365 but just got a little snot on my cheek. 623 00:23:32,448 --> 00:23:33,532 "A" for effort, Dad. 624 00:23:33,616 --> 00:23:36,243 Okay, we need to take a look with a little flashlight. 625 00:23:36,327 --> 00:23:38,120 - Okay? - Okay. 626 00:23:38,204 --> 00:23:39,664 This is what I have to look forward to? 627 00:23:39,747 --> 00:23:41,957 This and so much more. 628 00:23:42,041 --> 00:23:44,585 Red bead below the inferior turbinate. 629 00:23:44,669 --> 00:23:47,046 I… 630 00:23:47,129 --> 00:23:48,464 got a blue one. 631 00:23:48,547 --> 00:23:51,092 Afrin, benzocaine, Katz extractor? 632 00:23:51,175 --> 00:23:53,219 Yep. Dad, looks like we got to go up and get them. 633 00:23:53,302 --> 00:23:55,930 - No way he's sitting still. - Oh, he'll be numbed up. 634 00:23:56,013 --> 00:23:57,139 You don't know this child. 635 00:23:57,223 --> 00:24:00,142 Hey, Duante, you like video games? 636 00:24:00,226 --> 00:24:02,019 Everybody does. 637 00:24:02,103 --> 00:24:04,271 We have a 3D video game. 638 00:24:04,355 --> 00:24:06,232 - Yeah. - Cool. 639 00:24:10,903 --> 00:24:13,698 That's KCl and saline at 10 MEQ per hour. 640 00:24:13,781 --> 00:24:15,825 We avoid dextrose because the insulin response 641 00:24:15,908 --> 00:24:17,201 drops the K even more. 642 00:24:17,284 --> 00:24:20,037 If it's genetic, why didn't it happen when he was a kid? 643 00:24:20,121 --> 00:24:22,415 It usually starts after the teen years. 644 00:24:22,498 --> 00:24:23,541 And it can be intermittent. 645 00:24:23,624 --> 00:24:26,627 Sometimes it's triggered by intense exercise or stress. 646 00:24:26,711 --> 00:24:28,629 We've been married eight years. 647 00:24:28,713 --> 00:24:30,798 We've had fights. He's never collapsed. 648 00:24:30,881 --> 00:24:32,299 If his thyroid gets overactive, 649 00:24:32,383 --> 00:24:34,135 that brings it on later in life. 650 00:24:34,218 --> 00:24:36,721 I ordered TSH, T3, T4. 651 00:24:36,804 --> 00:24:39,056 So now we just wait? 652 00:24:41,350 --> 00:24:42,643 Bag him. Starting compressions. 653 00:24:42,727 --> 00:24:45,271 - Charge to 200. - What is happening? 654 00:24:45,354 --> 00:24:47,273 Low potassium can harm electrical activity 655 00:24:47,356 --> 00:24:48,858 - in the heart. - Charged. 656 00:24:48,941 --> 00:24:50,860 - Clear. - Clear. 657 00:24:50,943 --> 00:24:52,737 Resuming compressions. 658 00:24:54,280 --> 00:24:58,117 - So your little girl was ITP? - Go figure. 659 00:24:58,200 --> 00:25:00,661 Nothing like a zebra to kick-start your morning. 660 00:25:00,745 --> 00:25:03,289 Well, it's better than the alternative. 661 00:25:03,372 --> 00:25:04,874 True. 662 00:25:04,957 --> 00:25:07,084 ITP. 663 00:25:07,168 --> 00:25:09,587 So that's, uh, intra… 664 00:25:09,670 --> 00:25:11,255 Immune thrombocytopenia. 665 00:25:11,338 --> 00:25:14,759 Used to be called idiopathic thrombocytopenic purpura. 666 00:25:14,842 --> 00:25:16,594 Know what "idiopathic" means? 667 00:25:16,677 --> 00:25:18,679 That we don't know the exact cause. 668 00:25:18,763 --> 00:25:20,556 It means the patient is pathetic 669 00:25:20,639 --> 00:25:23,058 and the doctor is an idiot. 670 00:25:24,643 --> 00:25:26,437 Just checked on baby Jane Doe. 671 00:25:26,520 --> 00:25:29,148 Looking good. Taking formula well. 672 00:25:29,231 --> 00:25:30,983 We're here to take a statement. 673 00:25:31,066 --> 00:25:33,778 We're looking for a Tony Chinchiolo. 674 00:25:33,861 --> 00:25:37,364 Yo! Right over here, boys! 675 00:25:37,448 --> 00:25:39,325 Well, officers. 676 00:25:39,408 --> 00:25:41,702 Heard you had some trouble over at the campus library. 677 00:25:41,786 --> 00:25:44,038 Shit. Let me just say… 678 00:25:44,121 --> 00:25:46,665 new appreciation for what you guys do every day. 679 00:25:46,749 --> 00:25:49,168 Frickin' junkie jungle, right? 680 00:25:49,251 --> 00:25:51,337 At the campus library? 681 00:25:51,420 --> 00:25:52,588 Yeah. 682 00:25:52,671 --> 00:25:53,881 Thumb and forefinger make a C. 683 00:25:53,964 --> 00:25:55,591 Bottom three fingers make an E for jaw lift. 684 00:25:55,674 --> 00:25:57,635 One breath every five seconds. Come here, try it. 685 00:25:57,718 --> 00:25:59,512 About two minutes since defibrillation. 686 00:25:59,595 --> 00:26:02,640 - Holding compressions. - Normal sinus. 687 00:26:02,723 --> 00:26:04,809 Carotid. Strong carotid. Okay, let's try for BP. 688 00:26:04,892 --> 00:26:06,435 Why don't we check after the shock? 689 00:26:06,519 --> 00:26:08,354 2024 ACLS guidelines. 690 00:26:08,437 --> 00:26:10,356 Patients can remain pulseless for a little bit, 691 00:26:10,439 --> 00:26:11,857 even after successful defib. 692 00:26:11,941 --> 00:26:14,360 He came back with one shock. That's as good as it gets. 693 00:26:14,443 --> 00:26:16,779 - 104 over 68. - Good squeeze. Good EF. 694 00:26:16,862 --> 00:26:18,823 Spontaneous respirations. Okay, let's lift him up. 695 00:26:18,906 --> 00:26:21,200 He's breathing on his own… excellent sign. 696 00:26:21,283 --> 00:26:22,535 Oh, God. 697 00:26:22,618 --> 00:26:25,996 - Can I touch him? - Of course. 698 00:26:26,080 --> 00:26:27,373 Oh, Mark. 699 00:26:27,456 --> 00:26:30,417 Hey. 700 00:26:30,501 --> 00:26:32,211 Oh, shit. 701 00:26:32,294 --> 00:26:33,546 We need a gurney! 702 00:26:33,629 --> 00:26:35,381 Nancy? 703 00:26:35,464 --> 00:26:37,383 Mrs. Yee? 704 00:26:37,466 --> 00:26:38,634 Mrs. Yee? 705 00:26:38,717 --> 00:26:40,135 Weak carotid. Shallow breaths. 706 00:26:40,219 --> 00:26:41,971 Did she vasovagal from stress? 707 00:26:42,054 --> 00:26:43,138 Can't assume that. 708 00:26:43,222 --> 00:26:44,974 Positive seat belt si… oh, shit. 709 00:26:45,057 --> 00:26:46,684 Hang two units of O-neg on the rapid infuser. 710 00:26:46,767 --> 00:26:48,269 Somebody call Garcia. Shit. 711 00:26:48,352 --> 00:26:50,104 We really should have insisted on examining her. 712 00:26:50,187 --> 00:26:51,438 Okay, I got the head. 713 00:26:51,522 --> 00:26:53,732 Platelets are these tiny things in the blood 714 00:26:53,816 --> 00:26:55,317 that help it clot. 715 00:26:55,401 --> 00:26:58,737 And thrombocytopenia is fancy for "low platelets," 716 00:26:58,821 --> 00:27:01,198 which explains why your skin bruises so easily. 717 00:27:01,282 --> 00:27:02,449 And what causes it? 718 00:27:02,533 --> 00:27:04,535 It's actually her immune system 719 00:27:04,618 --> 00:27:06,579 that's causing the destruction of platelets. 720 00:27:06,662 --> 00:27:08,581 Sometimes it's a triggered response 721 00:27:08,664 --> 00:27:11,917 to, uh, an environmental factor or virus. 722 00:27:12,001 --> 00:27:14,879 And what's the treatment? What are you giving her? 723 00:27:14,962 --> 00:27:17,464 We'll be treating her with high-dose steroids 724 00:27:17,548 --> 00:27:20,384 to suppress the immune system and IV immunoglobulin, 725 00:27:20,467 --> 00:27:23,178 which reduces the destruction of the platelets in the spleen. 726 00:27:23,262 --> 00:27:24,471 Can I go home? 727 00:27:24,555 --> 00:27:26,473 You're gonna have to stay in the hospital 728 00:27:26,557 --> 00:27:28,142 for about three days 729 00:27:28,225 --> 00:27:30,477 to make sure that the treatment is working. 730 00:27:30,561 --> 00:27:32,187 Okay. Okay. 731 00:27:32,271 --> 00:27:34,189 So when can she get a room in the hospital? 732 00:27:34,273 --> 00:27:35,858 That is an excellent question. 733 00:27:35,941 --> 00:27:37,443 I'm going to see if I can make that happen 734 00:27:37,526 --> 00:27:38,569 sooner rather than later, 735 00:27:38,652 --> 00:27:40,487 - but it might take a while. - Okay. 736 00:27:40,571 --> 00:27:42,489 GPS says I should be there by 11:00. 737 00:27:42,573 --> 00:27:45,284 Do you have any other questions for me, ma'am? 738 00:27:45,367 --> 00:27:48,078 No. I'm sure I will, but I'll let you go for now. 739 00:27:48,162 --> 00:27:49,413 Thank you, Benny. 740 00:27:49,496 --> 00:27:50,623 All right. I'll see you when you get here. 741 00:27:50,706 --> 00:27:52,291 See you soon, baby. I love you. 742 00:27:52,374 --> 00:27:55,210 Bye, Mom. Love you too. 743 00:27:56,545 --> 00:27:58,297 There you are. 744 00:27:58,380 --> 00:27:59,632 And there you are. 745 00:27:59,715 --> 00:28:02,593 Don't try to charm me. You promised to stay put. 746 00:28:02,676 --> 00:28:04,303 I was going to come right back. 747 00:28:04,386 --> 00:28:06,138 My backside is killing me. 748 00:28:06,221 --> 00:28:09,391 I need to keep moving, or I get all achy and stiff. 749 00:28:09,475 --> 00:28:12,478 Well, I got you this foam donut to sit on 750 00:28:12,561 --> 00:28:15,356 - while we wait for your X-rays. - Hmm. 751 00:28:15,439 --> 00:28:17,858 Dr. Hazel Eyes, it says here 752 00:28:17,942 --> 00:28:22,780 that it's only supposed to take an hour or two for an X-ray. 753 00:28:22,863 --> 00:28:25,699 Well, the patient passport holiday edition 754 00:28:25,783 --> 00:28:27,409 would better reflect reality. 755 00:28:27,493 --> 00:28:29,703 It could be double that. 756 00:28:29,787 --> 00:28:31,497 There's no need for reality. 757 00:28:31,580 --> 00:28:33,791 We romantics… 758 00:28:33,874 --> 00:28:37,294 prefer la reve, the dream. 759 00:28:37,378 --> 00:28:38,921 We do, do we? 760 00:28:39,004 --> 00:28:41,006 Oui. 761 00:28:49,723 --> 00:28:50,724 Right. 762 00:28:54,353 --> 00:28:56,522 Hey, save a dance for me. 763 00:28:56,605 --> 00:28:59,149 Uh, yeah, okay, I will. 764 00:28:59,233 --> 00:29:00,526 - Dr. McKay? - Yes. 765 00:29:00,609 --> 00:29:01,777 This is Gretchen Williams. 766 00:29:01,860 --> 00:29:03,654 - Actually, it's Lambdin. - Ah. 767 00:29:03,737 --> 00:29:05,864 You called about my ex-husband, Michael Williams. 768 00:29:05,948 --> 00:29:07,992 Yeah. Yes, yes. Thank you for coming in. 769 00:29:08,075 --> 00:29:10,285 You were, um, listed as his emergency contact. 770 00:29:10,369 --> 00:29:11,662 Yeah, I don't know why. 771 00:29:11,745 --> 00:29:14,415 We have been divorced for years. 772 00:29:14,498 --> 00:29:15,749 Is he all right? 773 00:29:15,833 --> 00:29:18,919 He's…he's going through a lot right now. 774 00:29:19,003 --> 00:29:20,671 Would you like to see him? 775 00:29:22,673 --> 00:29:23,841 Uh, okay. 776 00:29:23,924 --> 00:29:27,594 Leo, can you zoom in and please hold it a little steadier? 777 00:29:27,678 --> 00:29:29,221 Okay. 778 00:29:31,473 --> 00:29:32,808 Okay. 779 00:29:32,891 --> 00:29:34,435 Atorvastatin. 780 00:29:34,518 --> 00:29:36,061 Simvastatin. 781 00:29:36,145 --> 00:29:37,354 Ezetimibe. 782 00:29:37,438 --> 00:29:39,898 Those are all high-cholesterol medications. 783 00:29:39,982 --> 00:29:41,608 Can you go to the right? 784 00:29:41,692 --> 00:29:43,902 Lisinopril. 785 00:29:43,986 --> 00:29:45,904 Losartan. Propranolol. 786 00:29:45,988 --> 00:29:47,906 Wait, wait, that's it. 787 00:29:47,990 --> 00:29:49,408 Wendy's pile. 788 00:29:49,491 --> 00:29:50,617 Yellowish bottle, 789 00:29:50,701 --> 00:29:52,745 little, round blue pills, just like I said. 790 00:29:52,828 --> 00:29:54,788 - Propranolol? - Bingo, little lady. 791 00:29:54,872 --> 00:29:57,249 Okay, yeah, well, this makes a lot of sense now. 792 00:29:57,332 --> 00:30:01,253 Um, propranolol is a high-blood-pressure medication. 793 00:30:01,336 --> 00:30:04,131 Those are 20 milligrams each, 794 00:30:04,214 --> 00:30:06,300 and the starting dose is 40 mgs. 795 00:30:06,383 --> 00:30:08,093 How many pills did you take? 796 00:30:08,177 --> 00:30:10,971 No, ma'am. I-I went just before I came here. 797 00:30:11,055 --> 00:30:12,681 Dad. 798 00:30:12,765 --> 00:30:15,434 Um…pill…how many pills did you take? 799 00:30:15,517 --> 00:30:20,230 Oh, uh, I think four, maybe five. 800 00:30:20,314 --> 00:30:22,066 That is a lot. Okay. 801 00:30:22,149 --> 00:30:24,318 Full stomach, mind you. 802 00:30:24,401 --> 00:30:27,529 Well, um, the good news is, it has a short half-life, 803 00:30:27,613 --> 00:30:30,157 so, um, we're gonna need to keep you 804 00:30:30,240 --> 00:30:31,825 for about four hours to monitor. 805 00:30:31,909 --> 00:30:34,078 But then you'll be able to rejoin 806 00:30:34,161 --> 00:30:36,080 for all the late-afternoon festivities. 807 00:30:36,163 --> 00:30:38,540 - All right. - Whoo! 808 00:30:38,624 --> 00:30:40,292 Unit 3 and 4 running in. 809 00:30:40,375 --> 00:30:42,169 BP 84 over 56. Heart rate 112. 810 00:30:42,252 --> 00:30:43,962 Free fluid's much bigger than before. 811 00:30:44,046 --> 00:30:46,006 She's not turning the corner. OR is holding a room. 812 00:30:46,090 --> 00:30:47,591 I'll let the husband know. 813 00:30:47,674 --> 00:30:48,926 Why did you guys wait so long to check her? 814 00:30:49,009 --> 00:30:50,719 Good vitals in the field. No distress. 815 00:30:50,803 --> 00:30:52,054 She refused to sign in. 816 00:30:52,137 --> 00:30:53,430 You should have convinced her. 817 00:30:53,514 --> 00:30:54,807 20/20 hindsight. She was stable. 818 00:30:54,890 --> 00:30:55,891 Until she wasn't. 819 00:30:55,974 --> 00:30:57,684 Next time, I'll use my X-ray vision goggles. 820 00:30:57,768 --> 00:30:59,686 Let's get her upstairs. 821 00:30:59,770 --> 00:31:02,439 Got to do an accu-check on my DKA patient. 822 00:31:02,523 --> 00:31:04,274 Thanks for the backup. 823 00:31:04,358 --> 00:31:06,110 Anytime. 824 00:31:09,655 --> 00:31:12,324 Now, try and lift your arm, Mark. 825 00:31:14,326 --> 00:31:16,203 I'm trying. Can't do it. 826 00:31:16,286 --> 00:31:20,707 But you are getting stronger, and your speech is improving. 827 00:31:20,791 --> 00:31:23,043 How did I lose so much potassium? 828 00:31:23,127 --> 00:31:26,338 You didn't lose it. It got shifted into cells. 829 00:31:26,421 --> 00:31:28,590 When it comes back, you'll return to normal. 830 00:31:28,674 --> 00:31:29,842 Where's Nancy? 831 00:31:29,925 --> 00:31:31,885 She had an injury to her spleen right about here 832 00:31:31,969 --> 00:31:33,762 with some internal bleeding. 833 00:31:33,846 --> 00:31:35,139 Oh, God. 834 00:31:35,222 --> 00:31:36,515 She passed out from blood loss. 835 00:31:36,598 --> 00:31:38,767 We were able to transfuse her, and she's now on her way 836 00:31:38,851 --> 00:31:40,978 to surgery to repair that damage. 837 00:31:41,061 --> 00:31:43,188 This is my fault. 838 00:31:43,272 --> 00:31:44,606 She was trying to… 839 00:31:46,942 --> 00:31:51,321 She booked a trip for us, for me. 840 00:31:51,405 --> 00:31:54,241 I fought her the whole time. I've been… 841 00:31:57,369 --> 00:31:59,121 Please don't… 842 00:31:59,204 --> 00:32:02,040 oh, my God, please don't let her die. 843 00:32:02,124 --> 00:32:03,458 Please. 844 00:32:03,542 --> 00:32:06,253 I can assure you that she is in excellent hands. 845 00:32:08,338 --> 00:32:09,965 Is this how it works? 846 00:32:10,048 --> 00:32:12,426 How what works? 847 00:32:12,509 --> 00:32:14,970 You think things are important… 848 00:32:15,053 --> 00:32:18,473 that everything's so important. 849 00:32:18,557 --> 00:32:20,684 And then you end up here and see. 850 00:32:23,770 --> 00:32:27,024 Yeah, that is how it works. 851 00:32:27,107 --> 00:32:29,943 No, it's a small hole. 852 00:32:30,027 --> 00:32:32,446 Like the size of a dime, right, Doc? 853 00:32:32,529 --> 00:32:34,907 Mm-hmm. Yeah, even smaller. 854 00:32:34,990 --> 00:32:36,950 It's a minor enough procedure 855 00:32:37,034 --> 00:32:39,536 that most patients go home the next day. 856 00:32:39,620 --> 00:32:40,621 And then? 857 00:32:40,704 --> 00:32:42,789 And then they'll know what it is 858 00:32:42,873 --> 00:32:44,041 and how to treat it. 859 00:32:44,124 --> 00:32:47,211 - Isn't that right? - Yeah, exactly. 860 00:32:49,213 --> 00:32:52,090 I'm sorry that they called you. 861 00:32:52,174 --> 00:32:54,092 I never updated the form, I guess. 862 00:32:54,176 --> 00:32:56,261 No, no, it's okay. I'm… 863 00:32:57,846 --> 00:33:01,600 You know, they called, and I was just kind of surprised. 864 00:33:03,769 --> 00:33:05,479 Well, you didn't have to come. 865 00:33:07,189 --> 00:33:08,398 But I did. 866 00:33:11,944 --> 00:33:14,154 I heard you got married. 867 00:33:14,238 --> 00:33:15,822 Congratulations. 868 00:33:15,906 --> 00:33:17,616 Thank you. 869 00:33:19,576 --> 00:33:22,246 I hope he treats you well. 870 00:33:24,081 --> 00:33:26,124 You deserve to be happy. 871 00:33:31,463 --> 00:33:35,592 I'm really sorry you're going through this, Michael. 872 00:33:35,676 --> 00:33:37,803 Yeah. 873 00:33:37,886 --> 00:33:40,722 Me too. 874 00:33:40,806 --> 00:33:43,809 But you know me… I'm a survivor. 875 00:33:48,188 --> 00:33:52,651 Why don't I-I leave you guys to talk for a few minutes? 876 00:33:52,734 --> 00:33:55,279 I have a patient to check on. 877 00:33:56,697 --> 00:33:58,657 - Sure. - Yeah. 878 00:34:00,200 --> 00:34:02,577 Mr. Diaz should be improving after 2 liters. 879 00:34:02,661 --> 00:34:03,996 Blood sugar? 880 00:34:04,079 --> 00:34:05,998 Down from 521 to 436. 881 00:34:06,081 --> 00:34:07,332 That's good, right? 882 00:34:07,416 --> 00:34:08,750 Moving in the right direction. 883 00:34:08,834 --> 00:34:10,919 Were you able to get ahold of your mom? 884 00:34:11,003 --> 00:34:13,171 Yes. She's on her way. She doesn't have a car. 885 00:34:13,255 --> 00:34:15,632 She takes buses, so it takes longer. 886 00:34:15,716 --> 00:34:18,468 - I'm sorry. - Don't be. 887 00:34:18,552 --> 00:34:22,055 Current insulin is 0.1 units per kilo per hour. 888 00:34:22,139 --> 00:34:23,139 Next steps? 889 00:34:23,181 --> 00:34:24,766 Once the glucose is down to 250, 890 00:34:24,850 --> 00:34:27,436 reduce the insulin to 0.05 units per kilo per hour. 891 00:34:27,519 --> 00:34:29,062 Because you can normalize the blood sugar 892 00:34:29,146 --> 00:34:31,523 before you clear the ketones, and you don't get hypoglycemia. 893 00:34:31,606 --> 00:34:34,276 But as treatment continues, you'll have to give IV dextrose 894 00:34:34,359 --> 00:34:36,737 to keep the blood glucose in between 150 and 200 895 00:34:36,820 --> 00:34:38,030 while the insulin drip clears the ketones. 896 00:34:38,113 --> 00:34:39,823 Obviously. 897 00:34:39,906 --> 00:34:41,616 I'm sorry, what? 898 00:34:43,368 --> 00:34:44,578 Got it. 899 00:34:44,661 --> 00:34:46,496 Duante, what are you doing in there, son? 900 00:34:46,580 --> 00:34:47,956 I'm a rabbit, 901 00:34:48,040 --> 00:34:50,250 grabbing all the carrots before the farmer gets me. 902 00:34:50,334 --> 00:34:51,877 Keep going. 903 00:34:51,960 --> 00:34:55,505 This is a Katz extractor with a tiny balloon at the end. 904 00:34:55,589 --> 00:34:57,591 What we're gonna do is, we're gonna slip it past the bead, 905 00:34:57,674 --> 00:34:59,217 inflate the balloon, try to pull out the bead. 906 00:34:59,301 --> 00:35:01,428 - Is it painful? - No, he's…he's numbed up. 907 00:35:01,511 --> 00:35:02,971 Made it to level three. 908 00:35:03,055 --> 00:35:04,348 And pretty distracted. 909 00:35:04,431 --> 00:35:06,600 Dad's gonna hold your head still, okay? 910 00:35:06,683 --> 00:35:09,186 - Look up. - Okay. 911 00:35:09,269 --> 00:35:13,065 Now go back, perpendicular, 912 00:35:13,148 --> 00:35:15,233 below the turbinates. 913 00:35:16,610 --> 00:35:19,071 You guys ever hear of John O'Donohue? 914 00:35:19,154 --> 00:35:20,322 - Mm-mm. - No. 915 00:35:20,405 --> 00:35:21,740 I've been reading him a lot lately. 916 00:35:21,823 --> 00:35:25,160 He's got this book of, um, blessings. 917 00:35:25,243 --> 00:35:27,454 And there's this one about fatherhood. 918 00:35:27,537 --> 00:35:29,247 Really stuck with me. 919 00:35:30,248 --> 00:35:32,584 Voilà. One red bead. 920 00:35:32,667 --> 00:35:35,003 Yeah? How's it go? 921 00:35:35,087 --> 00:35:38,882 The ending goes, "May you be gentle and loving, 922 00:35:38,965 --> 00:35:40,801 "clear and sure. 923 00:35:40,884 --> 00:35:43,678 "May you trust in the unseen Providence 924 00:35:43,762 --> 00:35:46,014 "that has chosen you to be a family. 925 00:35:46,098 --> 00:35:50,102 "May you stand sure on your ground and know 926 00:35:50,185 --> 00:35:53,397 "that every grace you need will unfold before you 927 00:35:53,480 --> 00:35:55,899 like all the mornings of your life." 928 00:35:55,982 --> 00:35:57,984 Hmm. That's good. 929 00:35:58,068 --> 00:36:02,948 I'd add, support your woman and pack good snacks. 930 00:36:03,031 --> 00:36:04,533 That's beautiful. 931 00:36:04,616 --> 00:36:07,494 And it turns out, there's no handbook for fatherhood. 932 00:36:07,577 --> 00:36:11,498 So I will take all the wisdom I can. 933 00:36:12,999 --> 00:36:14,501 Blue bead out. 934 00:36:19,381 --> 00:36:20,882 Anything else? 935 00:36:20,966 --> 00:36:23,510 You tell me. I have my own report to do. 936 00:36:23,593 --> 00:36:24,594 Anything I left out? 937 00:36:24,678 --> 00:36:25,971 Labs are back on that kid. 938 00:36:26,054 --> 00:36:27,514 We'll follow up with Mr. Davis. 939 00:36:27,597 --> 00:36:30,434 Yeah, when Mr. Davis comes off the ceiling. 940 00:36:33,478 --> 00:36:35,522 Jackson Davis… 941 00:36:35,605 --> 00:36:37,858 tox screen negative for cocaine, 942 00:36:37,941 --> 00:36:42,320 amphetamines, marijuana, PCP, benzos, and opioids. 943 00:36:42,404 --> 00:36:44,614 - So no drugs in his system? - Nope. 944 00:36:44,698 --> 00:36:46,908 Taser barbs on the back of the victim's neck? 945 00:36:46,992 --> 00:36:48,410 Yep. 946 00:36:51,288 --> 00:36:53,331 Changes things, Tony. 947 00:36:53,415 --> 00:36:54,958 Hey, Louie. 948 00:36:55,041 --> 00:36:57,752 - How we doing? - Not so good. 949 00:36:57,836 --> 00:37:00,088 I could really use a drink. 950 00:37:00,172 --> 00:37:02,757 I f-feel a-a little empty. 951 00:37:02,841 --> 00:37:04,342 Okay, well, empty is what we want. 952 00:37:04,426 --> 00:37:06,428 And it looks like we are there. 953 00:37:06,511 --> 00:37:09,848 Hey, well, if I can't get a drink, my tooth. 954 00:37:09,931 --> 00:37:11,349 You…you got to do something. 955 00:37:11,433 --> 00:37:12,559 We're gonna get right to that. 956 00:37:12,642 --> 00:37:16,313 Let's hang some IV antibiotics, 3 grams of Unasyn. 957 00:37:16,396 --> 00:37:18,356 Excellent. 958 00:37:18,440 --> 00:37:19,608 He's gonna be right back. 959 00:37:19,691 --> 00:37:21,026 We're gonna numb it up and drain it. 960 00:37:21,109 --> 00:37:22,861 - Ten minutes, tops, okay? - Oh. 961 00:37:22,944 --> 00:37:25,447 Hey, uh, you said you met Mr. Zambelli, 962 00:37:25,530 --> 00:37:27,532 the fireworks guy, on the field. 963 00:37:27,616 --> 00:37:28,616 What field was that? 964 00:37:28,658 --> 00:37:32,245 Uh, n-no more talking. You got to fix my tooth. 965 00:37:32,329 --> 00:37:33,914 Yeah, deal. 966 00:37:40,086 --> 00:37:42,672 You're Muslim? 967 00:37:42,756 --> 00:37:45,258 I am. 968 00:37:45,342 --> 00:37:46,760 Thank you. 969 00:37:46,843 --> 00:37:48,720 Oh, for what? 970 00:37:50,055 --> 00:37:52,390 After the shooting, it was the Muslims 971 00:37:52,474 --> 00:37:55,894 that came together for us in support and… 972 00:37:55,977 --> 00:37:57,687 walked with us. 973 00:37:57,771 --> 00:37:59,314 You raised money. 974 00:37:59,397 --> 00:38:01,066 You… 975 00:38:01,149 --> 00:38:03,944 paid for all the funerals. 976 00:38:04,027 --> 00:38:06,530 Anyway… 977 00:38:06,613 --> 00:38:07,989 thank you. 978 00:38:08,073 --> 00:38:11,117 Hello. How's it going in here? 979 00:38:11,201 --> 00:38:12,994 Did I miss all the gross stuff? 980 00:38:13,078 --> 00:38:15,038 - Timed it perfectly. - Excellent. 981 00:38:15,121 --> 00:38:17,374 My job is all about delegation and time management. 982 00:38:17,457 --> 00:38:19,668 - Oh, not for much longer. - That is very true. 983 00:38:19,751 --> 00:38:21,253 W-why for not longer? 984 00:38:21,336 --> 00:38:24,256 Because tomorrow I am leaving to go on sabbatical. 985 00:38:24,339 --> 00:38:27,509 He's leaving us for three months on a motorcycle. 986 00:38:27,592 --> 00:38:30,095 Motorcycle? You're joking. 987 00:38:30,178 --> 00:38:32,847 - Why would you do this? - Why? Why? 988 00:38:32,931 --> 00:38:35,058 - Why? Because… - You're middle-aged man. 989 00:38:35,141 --> 00:38:36,768 Don't be stupid. 990 00:38:36,851 --> 00:38:38,770 Don't hold back. Tell me how you really feel. 991 00:38:38,853 --> 00:38:41,356 Forgive me for being blunt, Dr. Robinavitch, 992 00:38:41,439 --> 00:38:43,984 but how old are you, huh…50? 993 00:38:44,067 --> 00:38:46,027 - Ish. - Ish. 994 00:38:46,111 --> 00:38:50,031 50-ish-year-old man on a motorcycle… 995 00:38:50,115 --> 00:38:51,115 very sad. 996 00:39:02,252 --> 00:39:03,962 I, um… 997 00:39:05,797 --> 00:39:08,008 I-I-I don't know what to say. 998 00:39:08,091 --> 00:39:10,302 Have you ever heard of ITP? 999 00:39:10,385 --> 00:39:11,386 I never did. 1000 00:39:13,555 --> 00:39:15,724 I really appreciate you bringing her here, okay? 1001 00:39:15,807 --> 00:39:18,018 Of course. What do you think I am? 1002 00:39:18,101 --> 00:39:19,352 Oh, that's right. 1003 00:39:19,436 --> 00:39:20,979 You think I'm some kind of child abuser. 1004 00:39:21,062 --> 00:39:22,647 - No, I never said that… - The fuck you didn't. 1005 00:39:22,731 --> 00:39:24,733 In front of all those people, you made it sound like 1006 00:39:24,816 --> 00:39:25,900 she might have been getting hurt 1007 00:39:25,984 --> 00:39:28,153 while I was watching her, like it was my fault. 1008 00:39:28,236 --> 00:39:29,446 You basically said the same thing about me. 1009 00:39:29,529 --> 00:39:31,114 No, I said that you guys roughhouse… 1010 00:39:31,197 --> 00:39:32,741 that's all…because you do. 1011 00:39:32,824 --> 00:39:34,951 You know I would never hurt my daughter. 1012 00:39:35,035 --> 00:39:37,037 Actually, I don't. 1013 00:39:37,120 --> 00:39:39,956 I've known you six months. You could be anybody. 1014 00:39:40,040 --> 00:39:42,042 Okay, well, I am sorry for what I said, okay? 1015 00:39:42,125 --> 00:39:43,752 I was upset, and I-I was worried. 1016 00:39:43,835 --> 00:39:45,295 And I just… I said something stupid. 1017 00:39:45,378 --> 00:39:46,630 - And I just… - You think? 1018 00:39:46,713 --> 00:39:47,881 Will you just fucking let me finish? 1019 00:39:47,964 --> 00:39:50,008 You are finished! 1020 00:39:50,091 --> 00:39:51,176 We're finished. 1021 00:39:53,386 --> 00:39:55,013 Well, happy fucking Fourth of July. 1022 00:39:55,096 --> 00:39:56,348 Yeah, happy Independence Day. 1023 00:40:01,478 --> 00:40:02,771 Excuse me? 1024 00:40:04,230 --> 00:40:06,107 Yes? What can I do for you? 1025 00:40:06,191 --> 00:40:08,318 Uh, my wife and I were in an accident. 1026 00:40:08,401 --> 00:40:11,696 Um, she's in surgery right now. 1027 00:40:11,780 --> 00:40:13,657 Would you mind holding my phone up for me 1028 00:40:13,740 --> 00:40:16,117 so I could record a message for her? 1029 00:40:16,201 --> 00:40:17,786 Of course I will. 1030 00:40:17,869 --> 00:40:18,855 Happy to. 1031 00:40:18,870 --> 00:40:21,539 Oh, good, I have the same one. 1032 00:40:21,623 --> 00:40:23,375 I know how this works. 1033 00:40:25,377 --> 00:40:27,587 Okay. 1034 00:40:27,671 --> 00:40:28,755 Ready? 1035 00:40:28,838 --> 00:40:30,006 Go. 1036 00:40:32,342 --> 00:40:34,719 Hi, my love. 1037 00:40:34,803 --> 00:40:37,263 So, uh… 1038 00:40:37,347 --> 00:40:41,226 I was listening to this couple argue, uh… 1039 00:40:41,309 --> 00:40:43,103 and they were yelling. 1040 00:40:43,186 --> 00:40:45,689 Both so angry. 1041 00:40:47,649 --> 00:40:52,237 And I just wanted you to know, um… 1042 00:40:52,320 --> 00:40:54,239 that I was wrong. 1043 00:40:54,322 --> 00:40:59,119 I was so wrong, and… and I'm sorry about all of it. 1044 00:40:59,202 --> 00:41:00,620 Uh… 1045 00:41:02,372 --> 00:41:03,832 Hey. 1046 00:41:03,915 --> 00:41:05,792 How you doing? 1047 00:41:05,875 --> 00:41:07,836 I haven't seen him in, like, four years. 1048 00:41:07,919 --> 00:41:10,672 Oh. I can't imagine. 1049 00:41:10,755 --> 00:41:12,841 - That must have been… - So crazy. 1050 00:41:12,924 --> 00:41:15,093 You know, things were not good at the end. 1051 00:41:15,176 --> 00:41:17,679 He was a really different person. 1052 00:41:17,762 --> 00:41:22,100 Huge temper, not like when we first got married. 1053 00:41:22,183 --> 00:41:24,102 I'm so sorry. 1054 00:41:25,437 --> 00:41:27,397 Could that mass have been there for a while 1055 00:41:27,480 --> 00:41:30,525 and only recently got worse? 1056 00:41:30,608 --> 00:41:31,818 Yes. 1057 00:41:31,901 --> 00:41:34,612 Could it be responsible for how much he changed? 1058 00:41:34,696 --> 00:41:36,865 You know, his… his moods and tempers? 1059 00:41:36,948 --> 00:41:41,077 He was…he was getting into fights with strangers. 1060 00:41:41,161 --> 00:41:43,621 It's possible. 1061 00:41:50,253 --> 00:41:51,671 Oh. 1062 00:41:54,048 --> 00:41:55,800 Thank you. 1063 00:41:58,011 --> 00:42:02,015 Um, unless he's asked you to change it, 1064 00:42:02,098 --> 00:42:05,351 would you please leave me as… 1065 00:42:05,435 --> 00:42:06,978 the emergency contact? 1066 00:42:07,061 --> 00:42:09,022 Yeah, absolutely. 1067 00:42:20,241 --> 00:42:22,702 Okay, I'm sending Mrs. Kovalenko home 1068 00:42:22,786 --> 00:42:23,912 with burn dressing 1069 00:42:23,995 --> 00:42:25,997 but not before she turned my sabbatical 1070 00:42:26,080 --> 00:42:28,708 - into a midlife crisis. - No comment. 1071 00:42:28,792 --> 00:42:30,710 - Wound check, two days. - Got it. 1072 00:42:30,794 --> 00:42:32,295 What about Kylie, this little girl? 1073 00:42:32,378 --> 00:42:34,214 - She gone up yet? - Hopefully soon. 1074 00:42:34,297 --> 00:42:36,424 Hey, we're starting to clear some space around here. 1075 00:42:36,508 --> 00:42:38,510 Yep. 1076 00:42:38,593 --> 00:42:42,138 PTMC Charge Nurse. Go ahead, Medic Command. 1077 00:42:43,723 --> 00:42:45,350 Is this a drill? 1078 00:42:45,433 --> 00:42:46,518 Is this a joke? 1079 00:42:46,601 --> 00:42:47,936 It's the Fourth of fucking July. 1080 00:42:52,982 --> 00:42:54,692 Got it. Thanks. 1081 00:42:54,776 --> 00:42:56,528 - What's up? - Westbridge has a Code Black 1082 00:42:56,611 --> 00:42:58,446 and is closing to internal disaster. 1083 00:42:58,530 --> 00:43:00,490 Central's diverting all their ambulance traffic to us. 1084 00:43:00,573 --> 00:43:02,617 - What's the issue? - Comspec didn't say. 1085 00:43:02,700 --> 00:43:03,701 Shit, it could be anything 1086 00:43:03,785 --> 00:43:05,286 from a flooding toilet to a power outage. 1087 00:43:05,370 --> 00:43:06,913 - How long? - Didn't know. 1088 00:43:06,996 --> 00:43:09,249 A couple of doctors probably got the holiday flu, 1089 00:43:09,332 --> 00:43:11,209 and they're understaffed. 1090 00:43:12,877 --> 00:43:16,089 How come? How long? How many? 1091 00:43:16,172 --> 00:43:18,174 Mm, mm, mm. 1092 00:43:18,258 --> 00:43:21,511 Sounds like a betting grid to me. 1093 00:43:21,594 --> 00:43:23,555 We are back. 1094 00:43:25,014 --> 00:43:28,226 Oh, I should have left last night.