1 00:00:21,717 --> 00:00:24,386 - The man is in his element. - What's he doing? 2 00:00:24,470 --> 00:00:26,096 Age-old ritual, meant to capitalize 3 00:00:26,180 --> 00:00:27,556 off the unknown origins 4 00:00:27,640 --> 00:00:31,352 of Westbridge's current state of affairs. 5 00:00:31,435 --> 00:00:33,646 Whoever guesses the reason they went code black wins the pot. 6 00:00:33,729 --> 00:00:37,024 Ah, interesting. We didn't do this at the VA. 7 00:00:37,107 --> 00:00:38,317 - You game? - Of course. 8 00:00:38,400 --> 00:00:40,069 Now, how's this look to you? 9 00:00:40,152 --> 00:00:41,779 My wager is on flooding. 10 00:00:41,862 --> 00:00:43,197 They're going to be down for 3 hours, 11 00:00:43,280 --> 00:00:45,032 and we're going to get 20 of their patients. 12 00:00:45,115 --> 00:00:48,994 Put me down for flooding, 4 hours and 30 patients. 13 00:00:49,078 --> 00:00:50,704 Okay, okay, okay. 14 00:00:50,788 --> 00:00:52,289 Hey, Dr. Robby, looks like you got some competition. 15 00:00:52,373 --> 00:00:53,707 Yes, it would appear that I do. 16 00:00:53,791 --> 00:00:55,376 All right, guys and gals, enough fun. 17 00:00:55,459 --> 00:00:57,336 We have people to take care of. 18 00:00:57,419 --> 00:00:58,921 You want to bring Langdon back from triage 19 00:00:59,004 --> 00:01:00,089 for the extra hands? 20 00:01:00,172 --> 00:01:02,299 No, I do not. I don't think that's necessary. 21 00:01:02,383 --> 00:01:03,926 We're doing just fine without him. 22 00:01:04,009 --> 00:01:05,177 You're the boss, boss. 23 00:01:07,388 --> 00:01:11,517 Daniel Ortiz, tu licencia en el mostrador. 24 00:01:13,018 --> 00:01:14,019 Next. 25 00:01:15,229 --> 00:01:17,523 Hi. Uh, the doctor guy told me 26 00:01:17,606 --> 00:01:19,942 to put this mineral oil on my eye for 20 minutes. 27 00:01:20,025 --> 00:01:22,027 That was 2 hours ago. 28 00:01:22,111 --> 00:01:24,280 We're really busy, but we'll get to you. 29 00:01:24,363 --> 00:01:26,532 - Oh, my God. Okay, when? - I will check. 30 00:01:26,615 --> 00:01:28,534 Listen for your name to be called. 31 00:01:28,617 --> 00:01:30,995 - Thanks. - Next. 32 00:01:31,078 --> 00:01:32,413 Excuse me. 33 00:01:32,496 --> 00:01:34,415 Uh, hi. I heard my brother was brought here. 34 00:01:34,498 --> 00:01:36,750 - His name is Jackson Davis. - Do you have ID? 35 00:01:36,834 --> 00:01:38,544 Yes, yes, um, 36 00:01:38,627 --> 00:01:41,630 I am his sister Jada Davis. 37 00:01:43,841 --> 00:01:45,551 I'm sorry. I just, uh… 38 00:01:45,634 --> 00:01:48,012 my friend told me that he was brought in by campus police. 39 00:01:48,095 --> 00:01:49,888 There was some sort of fight that broke out at his school. 40 00:01:49,972 --> 00:01:52,182 - Is he okay? Is he here? - Don't know, hon. 41 00:01:52,266 --> 00:01:53,851 Can you just tell me if he's a patient here? 42 00:01:53,934 --> 00:01:57,271 I'll check. Take a seat. And I'll let you know. 43 00:01:57,354 --> 00:01:59,940 - Okay. - Next. 44 00:02:00,024 --> 00:02:02,651 Is Harlow feeling lightheaded or faint now? 45 00:02:05,154 --> 00:02:07,239 It's not as bad as it was before, 46 00:02:07,323 --> 00:02:09,408 but my head still hurts. 47 00:02:09,491 --> 00:02:11,744 And now my stomach does, too. 48 00:02:11,827 --> 00:02:14,288 Well, did she eat before she took her ibuprofen? 49 00:02:16,290 --> 00:02:18,375 Ugh, it's not my… 50 00:02:18,459 --> 00:02:20,878 Breakfast is my least favorite meal of the day. 51 00:02:25,883 --> 00:02:28,385 It's okay to look at me. 52 00:02:28,469 --> 00:02:29,845 I don't bite. 53 00:02:30,971 --> 00:02:32,014 I'm sorry. 54 00:02:32,097 --> 00:02:35,434 Um, we're going to get started with some blood tests. 55 00:02:38,187 --> 00:02:40,397 Is that baby from the bathroom going to be okay? 56 00:02:40,481 --> 00:02:41,565 She'll be fine. 57 00:02:41,648 --> 00:02:43,233 Uh, good news… 58 00:02:43,317 --> 00:02:46,820 nose swab came back negative for COVID, 59 00:02:46,904 --> 00:02:48,697 influenza, and RSV, 60 00:02:48,781 --> 00:02:51,033 but a lot of other viruses can cause a cough. 61 00:02:51,116 --> 00:02:52,409 Lucky me. 62 00:02:52,493 --> 00:02:54,411 You can take off your mask. 63 00:02:54,495 --> 00:02:57,414 Pulse ox is at 91. 64 00:02:57,498 --> 00:02:59,249 Your oxygen level is down 65 00:02:59,333 --> 00:03:01,043 since we checked you an hour ago, 66 00:03:01,126 --> 00:03:03,504 and your temp is up to 102.4. 67 00:03:03,587 --> 00:03:05,172 Let's get you some Tylenol. 68 00:03:05,255 --> 00:03:07,508 Have you been outside today? It's already stifling. 69 00:03:07,591 --> 00:03:09,843 Could be heat-related, but we're going to take you 70 00:03:09,927 --> 00:03:12,846 back to the big ER for a full evaluation. 71 00:03:12,930 --> 00:03:14,598 Can't you just 72 00:03:14,681 --> 00:03:16,433 write me a prescription for some medicine? 73 00:03:16,517 --> 00:03:18,352 I'm sure it's just a summer cold. 74 00:03:18,435 --> 00:03:19,853 - Got somewhere to be? - Work. 75 00:03:23,565 --> 00:03:25,234 I know. It's Saturday. 76 00:03:25,317 --> 00:03:28,070 But I don't think I've had a day off since… 77 00:03:28,153 --> 00:03:31,281 Well, your holiday weekend starts now. 78 00:03:31,365 --> 00:03:32,741 Hey, Javadi. 79 00:03:32,825 --> 00:03:34,868 What are you doing for your birthday? 80 00:03:34,952 --> 00:03:37,538 - Who told you? - Word gets around. 81 00:03:37,621 --> 00:03:40,541 Nothing. I hate celebrating my birthday. 82 00:03:40,624 --> 00:03:42,209 You only turn 21 once. 83 00:03:42,292 --> 00:03:43,794 It's your birthday? 84 00:03:43,877 --> 00:03:47,297 Oh, that makes you a Cancer, right? 85 00:03:47,381 --> 00:03:49,758 I didn't peg you for an astrology girlie. 86 00:03:50,884 --> 00:03:53,387 Yeah. Been spending too much time around Santos. 87 00:03:53,470 --> 00:03:54,680 Yes, you have. 88 00:03:54,763 --> 00:03:55,931 I don't know how you guys do it. 89 00:03:56,014 --> 00:03:58,225 Live together and work together? 90 00:03:58,308 --> 00:04:00,269 It's my cross to bear. 91 00:04:00,352 --> 00:04:02,896 It can't be as bad as having to live with your parents. 92 00:04:02,980 --> 00:04:04,731 I don't know. I haven't lived at home in years. 93 00:04:04,815 --> 00:04:06,817 - I kind of miss it. - I can tell. 94 00:04:06,900 --> 00:04:08,902 You've been spending a lot of time on that farm. 95 00:04:08,986 --> 00:04:10,529 "Farm"? 96 00:04:10,612 --> 00:04:12,489 Remember the burned farmer who came in last year? 97 00:04:12,573 --> 00:04:14,616 Propane tank exploded, he died in the ICU? 98 00:04:14,700 --> 00:04:16,452 Yeah, that was sad. 99 00:04:16,535 --> 00:04:18,162 Well, this guy has been playing house 100 00:04:18,245 --> 00:04:20,539 with his widow and their baby. 101 00:04:20,622 --> 00:04:22,207 Oh, that's messy. 102 00:04:22,291 --> 00:04:23,277 No. 103 00:04:23,292 --> 00:04:25,419 It's not like that, okay? 104 00:04:25,502 --> 00:04:27,129 I've been helping Amy out on the farm 105 00:04:27,212 --> 00:04:29,506 after her husband died, and she is a friend. 106 00:04:29,590 --> 00:04:31,008 She's just a friend. 107 00:04:31,091 --> 00:04:33,802 Sure, just a friend, with farm benefits. 108 00:04:33,886 --> 00:04:35,846 What are farm benefits? 109 00:04:35,929 --> 00:04:37,764 Oh, use your imagination. 110 00:04:37,848 --> 00:04:39,641 You ever see a milking machine? 111 00:04:39,725 --> 00:04:41,643 Oh, can we not talk about this, please? 112 00:04:41,727 --> 00:04:43,228 We're getting two runs rerouted 113 00:04:43,312 --> 00:04:45,522 from Westbridge already… chest pain and belly pain. 114 00:04:45,606 --> 00:04:47,774 - Robby wants you three out back. - Thank you. 115 00:04:47,858 --> 00:04:49,443 Come on. 116 00:04:49,526 --> 00:04:52,446 Dr. Santos, making progress on your charting, I hope? 117 00:04:52,529 --> 00:04:53,947 Getting there. 118 00:04:54,031 --> 00:04:55,866 Deficient charts leave a gap for the providers 119 00:04:55,949 --> 00:04:59,077 who give continuity of care and delays hospital billing. 120 00:04:59,161 --> 00:05:01,246 Oh, I'd hate to delay billing. 121 00:05:03,457 --> 00:05:05,959 Timely documentation is essential. 122 00:05:06,043 --> 00:05:08,545 Let's fix this before end of shift. 123 00:05:08,629 --> 00:05:11,757 - I'm on it, boss. - Good. 124 00:05:11,840 --> 00:05:13,967 You wouldn't want to repeat your R2 year again 125 00:05:14,051 --> 00:05:15,802 because of this. 126 00:05:18,889 --> 00:05:20,891 Fuck. 127 00:05:20,974 --> 00:05:24,394 God, it's humid as shit out here. 128 00:05:24,478 --> 00:05:25,979 It is. 129 00:05:26,063 --> 00:05:27,731 What's going on at Westbridge? 130 00:05:27,814 --> 00:05:29,608 They're closed, so we're covering their paramedic runs 131 00:05:29,691 --> 00:05:31,151 until they come back up. 132 00:05:31,235 --> 00:05:33,487 As if a holiday weekend wasn't enough. 133 00:05:33,570 --> 00:05:36,490 So, Dr. Al-Hashimi… 134 00:05:36,573 --> 00:05:37,574 Yes? 135 00:05:37,658 --> 00:05:39,910 Do we like her? 136 00:05:39,993 --> 00:05:42,204 She seems pretty cool so far. 137 00:05:42,287 --> 00:05:45,082 You're trying to gossip about an attending with an attending? 138 00:05:45,165 --> 00:05:47,876 Dr. Robby doesn't mind. Do you? 139 00:05:50,379 --> 00:05:52,548 Oh, uh, that's a nice bike, by the way. 140 00:05:52,631 --> 00:05:54,508 - Thank you. - Yeah. 141 00:05:56,969 --> 00:05:59,179 Pamela Perry, 48, abdominal pain 142 00:05:59,263 --> 00:06:02,140 with vomiting after eating chilaquiles with fried eggs. 143 00:06:02,224 --> 00:06:05,435 BP 108 over 64, pulse 98, good sats. 144 00:06:05,519 --> 00:06:08,438 Okay, let's see how she feels with some Zofran 145 00:06:08,522 --> 00:06:10,148 - and a liter wide open. - Got it. 146 00:06:10,232 --> 00:06:12,234 - Yo, Whitaker. - How are you feeling? OK? 147 00:06:12,317 --> 00:06:13,694 Not so good. 148 00:06:18,156 --> 00:06:19,825 - Who do we have here? - Jean Samba… 149 00:06:19,908 --> 00:06:22,077 54, half an hour of left-sided chest pain. 150 00:06:22,160 --> 00:06:25,247 History of hypertension, on lisinopril and Crestor. 151 00:06:25,330 --> 00:06:27,082 Some relief with two nitro. 152 00:06:27,165 --> 00:06:29,501 Decent vitals, no STEMI on 12-lead. 153 00:06:29,585 --> 00:06:31,420 Gave him 324 of chewable aspirin. 154 00:06:31,503 --> 00:06:33,463 Okay, we're going to give you a full evaluation, sir. 155 00:06:33,547 --> 00:06:36,592 Oh, if I am to die, God willing, 156 00:06:36,675 --> 00:06:38,844 I will see His pearly gates. 157 00:06:38,927 --> 00:06:40,304 What's the plan? 158 00:06:40,387 --> 00:06:41,722 Repeat 12-lead, check a troponin, 159 00:06:41,805 --> 00:06:43,140 admit for new onset angina. 160 00:06:43,223 --> 00:06:44,808 Evaluate for PE, aortic dissection. 161 00:06:44,891 --> 00:06:46,643 - That goes without saying. - Sounds good. 162 00:06:46,727 --> 00:06:48,270 I'm a minute behind you. 163 00:07:02,576 --> 00:07:03,910 And who do we have here? 164 00:07:03,994 --> 00:07:07,080 Vince Cole, 23, fell through the skylight of a florist shop, 165 00:07:07,164 --> 00:07:08,790 10 feet down to a bunch of ferns. 166 00:07:08,874 --> 00:07:10,626 Complained of headache, asking repetitive questions, 167 00:07:10,709 --> 00:07:11,877 and only responds to pain. 168 00:07:11,960 --> 00:07:13,295 Multiple lacs from the glass. 169 00:07:13,378 --> 00:07:17,966 BP 118 over 72, pulse 98, sats 99 on 5 liters. 170 00:07:18,050 --> 00:07:19,217 No meds, no allergies. 171 00:07:19,301 --> 00:07:21,261 Hey, Vince, how'd you fall through a skylight? 172 00:07:21,345 --> 00:07:22,387 Vince? 173 00:07:22,471 --> 00:07:23,472 Were you with him? 174 00:07:23,555 --> 00:07:26,350 Yeah, we were parkouring, and he overshot a kong vault. 175 00:07:26,433 --> 00:07:27,517 What, like, jumping off of buildings? 176 00:07:27,601 --> 00:07:28,852 People still do that? 177 00:07:28,935 --> 00:07:29,936 It was almost an Olympic sport. 178 00:07:30,020 --> 00:07:32,230 Now we know why it isn't. 179 00:07:34,983 --> 00:07:36,443 Pupils are equal and reactive. 180 00:07:36,526 --> 00:07:38,278 - What do you got? - A 10-foot fall, altered. 181 00:07:38,362 --> 00:07:40,322 - That's a long way down. - 10 feet is the threshold 182 00:07:40,405 --> 00:07:42,449 for trauma center activation… 10 feet, 10% mortality. 183 00:07:42,532 --> 00:07:45,160 0%, anything over 0% is a concern. 184 00:07:45,243 --> 00:07:47,996 Somebody's annoying, and it's not me. 185 00:07:48,080 --> 00:07:50,749 Hey, you said two. You missed one. 186 00:07:50,832 --> 00:07:52,125 Sent you backup, didn't I? 187 00:07:52,209 --> 00:07:54,544 One, two, three. 188 00:07:54,628 --> 00:07:57,547 Okay. Thanks, guys. Good to see you. 189 00:07:57,631 --> 00:07:58,799 Get the EFAST. 190 00:07:58,882 --> 00:08:01,093 Ogilvie, Joy, GCS, please. 191 00:08:01,176 --> 00:08:02,594 Uh, open your eyes, sir. 192 00:08:04,137 --> 00:08:05,430 Two for eyes, two for verbal. 193 00:08:05,514 --> 00:08:07,182 Uh, good lung sliding bilaterally. 194 00:08:07,265 --> 00:08:09,935 Joy, finish GCS. 195 00:08:10,018 --> 00:08:12,688 Squeeze my hand. 196 00:08:12,771 --> 00:08:14,731 He gets a 4 for motor. 197 00:08:14,815 --> 00:08:19,069 Pulse ox 99, heart rate 102, blood pressure 114 over 78. 198 00:08:19,152 --> 00:08:21,738 - And EFAST is negative. - Music to my ears. 199 00:08:21,822 --> 00:08:23,573 Somebody shooting a documentary here? 200 00:08:23,657 --> 00:08:25,283 Whoa, whoa, whoa, you can't film in here. 201 00:08:25,367 --> 00:08:27,119 We've got patient-privacy laws. 202 00:08:27,202 --> 00:08:28,954 - What happened to your hand? - Cut it. 203 00:08:29,037 --> 00:08:32,082 Can somebody show Spielberg here out to the waiting room 204 00:08:32,165 --> 00:08:33,792 and get her registered at triage, please? 205 00:08:33,875 --> 00:08:35,752 He's my creative partner… I have his written consent 206 00:08:35,836 --> 00:08:37,546 to film everything for our TikTok page. 207 00:08:37,629 --> 00:08:38,880 Put the camera down. 208 00:08:38,964 --> 00:08:40,841 We have to drop this video for the Fourth tonight. 209 00:08:40,924 --> 00:08:42,467 That literally means nothing to me. 210 00:08:42,551 --> 00:08:44,177 Seriously, Sean, can you escort her out, please? 211 00:08:44,261 --> 00:08:45,846 Somebody will come and find you once he's stabilized. 212 00:08:45,929 --> 00:08:46,930 Thank you. 213 00:08:47,013 --> 00:08:49,307 I would have let her stay if she'd asked nicely. 214 00:08:49,391 --> 00:08:51,017 What is the, uh, story with surgery? 215 00:08:51,101 --> 00:08:52,728 You guys getting any Westbridge transfers yet? 216 00:08:52,811 --> 00:08:54,396 Not yet, but I'm sure it's coming. 217 00:08:54,479 --> 00:08:56,940 Pan scan, head through pelvis. Let's get him to CT ASAP. 218 00:08:57,023 --> 00:08:58,483 Absent gag. 219 00:08:58,567 --> 00:09:01,778 We need to intubate before CT. 220 00:09:01,862 --> 00:09:03,321 C-can I do it? 221 00:09:03,405 --> 00:09:04,781 Uh, I'm keeping a procedure log, 222 00:09:04,865 --> 00:09:06,575 and I need more intubations on this rotation. 223 00:09:06,658 --> 00:09:08,785 If Dr. McKay wants to teach? 224 00:09:08,869 --> 00:09:10,620 Sure. 225 00:09:10,704 --> 00:09:12,414 Okay, uh, I need suction. 226 00:09:12,497 --> 00:09:15,167 8-oh tube, etomidate and sux, end tidal CO2. 227 00:09:15,250 --> 00:09:16,668 Ambitious. 228 00:09:16,752 --> 00:09:19,212 He reminds me of someone I know very well. 229 00:09:21,673 --> 00:09:23,508 Can you not? 230 00:09:23,592 --> 00:09:24,843 Yeah, sorry. 231 00:09:24,926 --> 00:09:26,803 Hot off the press. 232 00:09:26,887 --> 00:09:28,430 Okay. 233 00:09:28,513 --> 00:09:31,850 No STEMI, doesn't need to go right to the cath lab. 234 00:09:33,977 --> 00:09:35,228 And orders are in. 235 00:09:35,312 --> 00:09:36,605 Whitaker, try another nitro 236 00:09:36,688 --> 00:09:38,148 and let me know when the troponin's back. 237 00:09:38,231 --> 00:09:40,650 - Yeah. Hey, hey, Jesse? - Mm. 238 00:09:40,734 --> 00:09:42,444 Do you think you could repeat this 239 00:09:42,527 --> 00:09:45,280 but with the chest leads on his back? 240 00:09:45,363 --> 00:09:46,990 Why? 241 00:09:47,073 --> 00:09:49,743 T Waves are kind of high with ST depression anterior. 242 00:09:49,826 --> 00:09:51,453 We see ST depression all the time. 243 00:09:51,536 --> 00:09:54,039 Yeah, but it could be a posterior MI. 244 00:09:54,122 --> 00:09:55,332 All right, run it by the attending. 245 00:09:55,415 --> 00:09:57,209 If they agree, we'll do it. 246 00:09:57,292 --> 00:09:58,835 Thank you. 247 00:09:58,919 --> 00:10:02,255 Uh, Victoria, if his CT's normal, he'll need an LP. 248 00:10:02,339 --> 00:10:04,382 Got it. 249 00:10:04,466 --> 00:10:05,675 Dr. Al-Hashimi. 250 00:10:05,759 --> 00:10:08,220 This is Jada Davis, Jackson's sister. 251 00:10:08,303 --> 00:10:10,472 - Oh, thank you. Hi. - Is he okay? 252 00:10:10,555 --> 00:10:12,098 And why is he asleep? 253 00:10:12,182 --> 00:10:14,392 Well, he was uncooperative when he first arrived 254 00:10:14,476 --> 00:10:17,437 - and needed to be sedated. - "Uncooperative"? 255 00:10:17,521 --> 00:10:20,565 That doesn't make any sense. What happened? 256 00:10:20,649 --> 00:10:22,734 We're still trying to piece the story together. 257 00:10:22,818 --> 00:10:24,861 He was brought in by a campus security guard 258 00:10:24,945 --> 00:10:26,696 who Tased him after he was allegedly… 259 00:10:26,780 --> 00:10:28,281 - "Tased him"? - Combative and violent. 260 00:10:28,365 --> 00:10:29,866 Wait, what do you mean, Tased him? 261 00:10:29,950 --> 00:10:31,576 We've treated his injury, and now we're trying 262 00:10:31,660 --> 00:10:34,412 to understand why he was so agitated. 263 00:10:34,496 --> 00:10:36,331 Okay, this doesn't sound like my brother. 264 00:10:36,414 --> 00:10:38,124 Well, his drug screen came back negative, 265 00:10:38,208 --> 00:10:40,252 so now we're taking Jackson to get a CT scan of his brain 266 00:10:40,335 --> 00:10:42,546 - to look for any abnormalities. - Can I go with him? 267 00:10:42,629 --> 00:10:44,214 You can't go into the CT, 268 00:10:44,297 --> 00:10:46,758 but you can wait for him to come back. 269 00:10:46,842 --> 00:10:49,886 And then we can discuss next steps. 270 00:10:49,970 --> 00:10:52,180 Okay. 271 00:10:52,264 --> 00:10:53,974 Just did my first ER intubation. 272 00:10:54,057 --> 00:10:55,684 - That's great, man. - Such a prick. 273 00:10:55,767 --> 00:10:57,352 - You got a second? - What's up? 274 00:10:57,435 --> 00:10:59,896 12-lead on my chest-pain patient shows no STEMI, 275 00:10:59,980 --> 00:11:03,733 but the anterior leads might be suspicious for a posterior MI? 276 00:11:03,817 --> 00:11:05,902 Uh…agreed. 277 00:11:05,986 --> 00:11:07,737 Yeah, I was going to repeat, but with the chest leads 278 00:11:07,821 --> 00:11:09,322 - on the back. - V7 through V9. 279 00:11:09,406 --> 00:11:10,991 - Good idea. - Thank you. 280 00:11:14,119 --> 00:11:16,329 Hey, Dr. Robby gave the go-ahead for the back leads. 281 00:11:16,413 --> 00:11:18,123 Sorry, man, I got a call report 282 00:11:18,206 --> 00:11:20,625 on a septic patient going to the ICU. 283 00:11:20,709 --> 00:11:22,210 Busy today, huh? 284 00:11:22,294 --> 00:11:24,546 Uh, well, it's 10:15. 285 00:11:24,629 --> 00:11:26,548 We're actually just getting started. 286 00:11:26,631 --> 00:11:28,174 - Oh. - There she is. 287 00:11:28,258 --> 00:11:32,429 Dr. Mohan, uh, this is Lorrie Diaz, Orlando's wife. 288 00:11:32,512 --> 00:11:33,889 - Thank you, Perlah. - Thank you. 289 00:11:33,972 --> 00:11:35,098 - Hi, Mrs. Diaz. - Hi. 290 00:11:35,181 --> 00:11:36,808 Let me take you to your husband. 291 00:11:36,892 --> 00:11:38,560 Ay, mi amor. 292 00:11:38,643 --> 00:11:40,896 I'm sorry you have to be here alone. 293 00:11:40,979 --> 00:11:43,940 I missed my first bus transfer and… 294 00:11:44,024 --> 00:11:46,109 Anyway… 295 00:11:46,192 --> 00:11:47,193 Hey. 296 00:11:47,277 --> 00:11:49,404 How'd I get here? 297 00:11:49,487 --> 00:11:51,072 You fell at your construction site. 298 00:11:51,156 --> 00:11:52,824 A coworker brought you in. 299 00:11:52,908 --> 00:11:54,993 He's a lot better but doesn't remember anything. 300 00:11:55,076 --> 00:11:58,204 That's common after a concussion or DKA. 301 00:11:58,288 --> 00:11:59,998 DKA? 302 00:12:00,081 --> 00:12:03,251 It's a serious complication of your husband's diabetes. 303 00:12:03,335 --> 00:12:05,253 How serious? Can he go home? 304 00:12:05,337 --> 00:12:07,756 We still have to clear the ketones from his bloodstream. 305 00:12:07,839 --> 00:12:10,634 He'll need to be on an insulin drip for a while 306 00:12:10,717 --> 00:12:12,928 until things get back to normal. 307 00:12:13,011 --> 00:12:16,222 Best if he stays in the hospital. 308 00:12:16,306 --> 00:12:17,933 It's okay, Mom. 309 00:12:18,016 --> 00:12:20,143 Things are headed in the right direction, Mrs. Diaz. 310 00:12:20,226 --> 00:12:22,395 - He's going to be better. - Mm. 311 00:12:24,940 --> 00:12:27,317 Sorry. I got to check his blood sugar. 312 00:12:27,400 --> 00:12:29,861 - Oh, do you mind? - Absolutely. 313 00:12:31,154 --> 00:12:34,240 So the thing is… 314 00:12:34,324 --> 00:12:36,701 we don't have health insurance. 315 00:12:36,785 --> 00:12:38,328 So… 316 00:12:38,411 --> 00:12:41,748 I don't think that we can afford this. 317 00:12:41,831 --> 00:12:45,335 I'll have our case manager, Noelle Hastings, come by. 318 00:12:45,418 --> 00:12:47,629 She's an expert in health insurance. 319 00:12:47,712 --> 00:12:50,215 She might have some options for you for coverage. 320 00:12:50,298 --> 00:12:51,841 - Okay. - Thank you. 321 00:12:56,888 --> 00:12:59,015 - Crap. - What's wrong? 322 00:12:59,099 --> 00:13:01,851 Uh, some of the leads aren't sticking here. 323 00:13:01,935 --> 00:13:04,020 Can I lay down now? I'm tired. 324 00:13:04,104 --> 00:13:05,814 Yeah, as soon as we're done here. 325 00:13:05,897 --> 00:13:08,358 Whitaker, Louie's all numb. His tooth is ready for you. 326 00:13:08,441 --> 00:13:09,442 That's great. 327 00:13:09,526 --> 00:13:12,988 Hey, I'm having some trouble here with adherence. 328 00:13:13,071 --> 00:13:14,948 Oh. Of course you are. 329 00:13:15,031 --> 00:13:16,700 Uh, try this. 330 00:13:16,783 --> 00:13:18,493 Oh, yeah. That makes sense. 331 00:13:18,576 --> 00:13:20,954 Uh, you think you could… 332 00:13:23,123 --> 00:13:25,000 Do you mind if I paint some sticky stuff on you? 333 00:13:25,083 --> 00:13:26,459 Oh. 334 00:13:26,543 --> 00:13:30,088 If you must prolong the inevitable, so be it. 335 00:13:30,171 --> 00:13:32,757 You'll get to lie down afterwards. 336 00:13:32,841 --> 00:13:34,509 No success with the mineral oil. 337 00:13:34,592 --> 00:13:36,636 That's what I said. 338 00:13:36,720 --> 00:13:38,555 So now what? 339 00:13:38,638 --> 00:13:39,889 You can wait one to two weeks 340 00:13:39,973 --> 00:13:42,267 for the superglue to break down on its own. 341 00:13:42,350 --> 00:13:44,269 I'm hosting a Fourth of July party tonight. 342 00:13:44,352 --> 00:13:46,604 You want me to show up like this? 343 00:13:46,688 --> 00:13:50,650 The other option is I trim your eyelashes halfway down. 344 00:13:50,734 --> 00:13:53,236 That'll lower the strength of the glue holding them together. 345 00:13:53,319 --> 00:13:55,655 Let's do that. 346 00:13:55,739 --> 00:13:57,782 Lie back, please. 347 00:14:01,745 --> 00:14:04,039 I need you to hold your head perfectly still, 348 00:14:04,122 --> 00:14:05,707 keep your eye closed. 349 00:14:05,790 --> 00:14:08,376 My eye can't open. That's why I'm here. 350 00:14:08,460 --> 00:14:10,795 No, I mean, your other eye, too. 351 00:14:15,717 --> 00:14:17,510 Okay, here we go. 352 00:14:17,594 --> 00:14:19,471 Perfect, Mr. Samba. 353 00:14:19,554 --> 00:14:21,890 All good here. 354 00:14:21,973 --> 00:14:24,517 Feeling…dizzy. 355 00:14:24,601 --> 00:14:28,229 We'll put you down in a second. 356 00:14:28,313 --> 00:14:29,856 Holy shit. 357 00:14:29,939 --> 00:14:33,651 ST elevation, V7, V8, V9. 358 00:14:33,735 --> 00:14:36,321 - It's a posterior STEMI. - What's that? 359 00:14:36,404 --> 00:14:38,323 It's the worst kind of heart attack. 360 00:14:38,406 --> 00:14:41,034 Mr. Samba. 361 00:14:41,117 --> 00:14:42,452 Mr. Samba! 362 00:14:42,535 --> 00:14:44,829 Hey, I could use a second set of hands here! 363 00:14:44,913 --> 00:14:46,414 Pulseless V tach. 364 00:14:46,498 --> 00:14:48,792 Start compressions. 365 00:14:48,875 --> 00:14:50,543 Charging to 200. 366 00:14:53,254 --> 00:14:55,590 Clear. 367 00:14:55,673 --> 00:14:58,009 Okay, resume compressions. 368 00:14:58,093 --> 00:14:59,552 Code STEMI. It was posterior. 369 00:14:59,636 --> 00:15:01,179 Yeah, good call. 370 00:15:01,262 --> 00:15:03,848 - You put the defib pads on? - Yeah, just in case. 371 00:15:03,932 --> 00:15:05,558 Hold compressions. 372 00:15:08,645 --> 00:15:11,106 - Normal sinus. - All right. 373 00:15:11,189 --> 00:15:12,857 Got a strong pulse. Check the BP. 374 00:15:12,941 --> 00:15:15,193 All right, we'll prep him for cath lab. 375 00:15:16,569 --> 00:15:19,531 Hey, Mr. Samba, you're going to be okay. 376 00:15:19,614 --> 00:15:21,032 No pearly gates today. 377 00:15:21,116 --> 00:15:24,577 - Really good pickup, Whitaker. - Thank you. 378 00:15:24,661 --> 00:15:25,995 Ah. 379 00:15:26,871 --> 00:15:28,957 Has a patient ever flirted with you? 380 00:15:29,040 --> 00:15:30,583 Sure. Why? 381 00:15:30,667 --> 00:15:32,836 There was this guy this morning… 382 00:15:32,919 --> 00:15:34,587 he turned out to be a criminal, 383 00:15:34,671 --> 00:15:36,256 but, yeah, it was a nice distraction 384 00:15:36,339 --> 00:15:37,590 from the deposition. 385 00:15:37,674 --> 00:15:38,925 You still worried about that? 386 00:15:39,008 --> 00:15:40,385 Yep. Yeah, counting down the hours. 387 00:15:40,468 --> 00:15:42,554 There are five left, if you're wondering. 388 00:15:45,682 --> 00:15:47,100 Hi, Miss Ronson. 389 00:15:47,183 --> 00:15:48,351 Phylicia, please. 390 00:15:48,434 --> 00:15:50,019 Phylicia, I'm Dr. King. 391 00:15:50,103 --> 00:15:51,563 This is my colleague Dr. Santos. 392 00:15:51,646 --> 00:15:53,148 What brings you in today? 393 00:15:53,231 --> 00:15:55,441 I've had this pretty bad cough for a few days now. 394 00:15:55,525 --> 00:15:56,818 Do you smoke? 395 00:15:56,901 --> 00:15:58,486 Are coughing up anything, any chest pain? 396 00:15:58,570 --> 00:16:00,238 No, no, and no. 397 00:16:00,321 --> 00:16:02,490 I honestly think I picked it up at work. 398 00:16:02,574 --> 00:16:04,284 - It was going around. - Oh, where do you work? 399 00:16:04,367 --> 00:16:07,036 - I'm in corporate at PNC Bank. - Sit forward, please. 400 00:16:07,120 --> 00:16:08,830 It could be an office bug. 401 00:16:08,913 --> 00:16:11,916 Or I got it from the gym. I'm there all the time. 402 00:16:16,462 --> 00:16:18,840 Do you have anything to ask, Dr. Santos? 403 00:16:18,923 --> 00:16:20,425 What? 404 00:16:20,508 --> 00:16:22,260 Do you have any questions to ask our patient? 405 00:16:22,343 --> 00:16:24,179 Uh, no, I'm good. 406 00:16:24,262 --> 00:16:25,889 Okay. What'd you hear? 407 00:16:25,972 --> 00:16:28,183 Maybe some crackles at the right base. 408 00:16:28,266 --> 00:16:31,644 Okay, well, we're going to need a chest X-ray 409 00:16:31,728 --> 00:16:32,937 to check your lungs. 410 00:16:33,021 --> 00:16:34,480 Will that take long? 411 00:16:34,564 --> 00:16:36,065 Maybe I can still make it to the office. 412 00:16:36,149 --> 00:16:38,902 It shouldn't. 413 00:16:38,985 --> 00:16:42,155 - You can go put the orders in. - Yeah. 414 00:16:44,866 --> 00:16:47,660 - How are we doing in here? - Oh, this is thrilling. 415 00:16:47,744 --> 00:16:50,413 Definitely worth $200,000 worth of student debt. 416 00:16:50,496 --> 00:16:51,748 Ha. 417 00:16:51,831 --> 00:16:53,374 Superficial ones get a steri-strip. 418 00:16:53,458 --> 00:16:55,460 Full thickness, try Dermabond. 419 00:16:55,543 --> 00:16:57,629 How can you tell they need a suture, Joy? 420 00:16:57,712 --> 00:16:59,797 If the edges are under significant tension. 421 00:16:59,881 --> 00:17:01,674 I didn't realize your name was Joy. 422 00:17:01,758 --> 00:17:04,260 I'm going to have to tell my parents how trendy they were. 423 00:17:06,054 --> 00:17:08,473 CT head, neck, chest, abdomen, and pelvis, 424 00:17:08,556 --> 00:17:10,433 - all normal on preliminary read. - Lucky guy. 425 00:17:10,516 --> 00:17:11,976 Little bit of oozing. 426 00:17:12,060 --> 00:17:13,645 Uh, pressure for two minutes. 427 00:17:13,728 --> 00:17:16,272 Lidocaine and epi if that doesn't work. 428 00:17:16,356 --> 00:17:18,399 Are the admit orders in for Surgical ICU? 429 00:17:18,483 --> 00:17:19,943 Fuck! 430 00:17:20,026 --> 00:17:21,236 What? 431 00:17:21,319 --> 00:17:23,821 - This. - Ah. 432 00:17:23,905 --> 00:17:26,824 - Irrigation saline. - It's just a small cut. 433 00:17:26,908 --> 00:17:28,910 It is a work-related blood exposure, 434 00:17:28,993 --> 00:17:30,703 which means you're a patient now. 435 00:17:30,787 --> 00:17:31,955 - Are you serious? - Needle stick? 436 00:17:32,038 --> 00:17:33,498 Piece of glass. 437 00:17:33,581 --> 00:17:35,541 - Here you go. - Thanks. 438 00:17:36,834 --> 00:17:38,461 No past records on this guy. 439 00:17:38,544 --> 00:17:40,546 We don't know HIV or hepatitis status. 440 00:17:40,630 --> 00:17:44,133 I'll put the orders in, HIV antibody, Hep B surface, 441 00:17:44,217 --> 00:17:45,635 and Hep C. 442 00:17:45,718 --> 00:17:47,512 She needs post-exposure medication. 443 00:17:47,595 --> 00:17:49,013 Maybe not. 444 00:17:49,097 --> 00:17:51,391 For occupational exposure, the rapid HIV test 445 00:17:51,474 --> 00:17:54,352 - takes an hour or two. - Subcutaneous puncture wound. 446 00:17:54,435 --> 00:17:56,980 No risk of joint or tendon involvement. 447 00:17:57,063 --> 00:17:59,565 Elevate, pressure, and then a Band-Aid. 448 00:17:59,649 --> 00:18:01,526 Give yourself a dose of PEP if you want 449 00:18:01,609 --> 00:18:02,694 while you're waiting for results. 450 00:18:02,777 --> 00:18:04,612 Start a chart, and I'll find another nurse 451 00:18:04,696 --> 00:18:05,947 for your blood draw. 452 00:18:06,030 --> 00:18:07,824 Great. 453 00:18:07,907 --> 00:18:10,076 Looks like we've got a couple more diverted from Westbridge. 454 00:18:10,159 --> 00:18:11,619 Any estimate on their downtime? 455 00:18:11,703 --> 00:18:14,706 Not yet. 456 00:18:14,789 --> 00:18:16,541 Time to pull Dr. Langdon from triage? 457 00:18:16,624 --> 00:18:18,334 No, no. First day back. 458 00:18:18,418 --> 00:18:20,920 I want to let him kind of ease into things. 459 00:18:21,004 --> 00:18:23,047 Understood. I'll keep an eye on it. 460 00:18:23,131 --> 00:18:25,174 Thank you very much. 461 00:18:25,258 --> 00:18:26,759 Thinking about changing your bet? 462 00:18:26,843 --> 00:18:29,387 I am just weighing my odds. 463 00:18:29,470 --> 00:18:33,182 Don't worry. I'll buy you a drink with my winnings. 464 00:18:38,771 --> 00:18:40,356 Your brother should be back shortly. 465 00:18:40,440 --> 00:18:43,192 There was a little holdup at CT. 466 00:18:43,276 --> 00:18:45,611 Um, should I be worried? 467 00:18:45,695 --> 00:18:48,781 Let's wait and see what his test results say. 468 00:18:48,865 --> 00:18:51,367 This is just, um… 469 00:18:51,451 --> 00:18:53,870 this just doesn't make any sense. 470 00:18:53,953 --> 00:18:55,997 It doesn't sound like my brother at all. 471 00:18:56,080 --> 00:18:58,750 He's the…the friendliest guy I know. 472 00:18:58,833 --> 00:19:01,085 He never even gets angry, barely yells. 473 00:19:01,169 --> 00:19:03,629 He's never had an episode like this in the past? 474 00:19:03,713 --> 00:19:07,050 No, or not that I know of. 475 00:19:07,133 --> 00:19:09,302 He's in a great relationship. 476 00:19:09,385 --> 00:19:11,012 And he's in law school 477 00:19:11,095 --> 00:19:13,806 'cause he wants to help people. 478 00:19:13,890 --> 00:19:16,601 He always tells me that I should, um… 479 00:19:16,684 --> 00:19:19,020 follow my dreams, 480 00:19:19,103 --> 00:19:22,106 even if it means my parents may disown me. 481 00:19:24,108 --> 00:19:25,651 Should I call them? 482 00:19:25,735 --> 00:19:28,613 I think that's a good idea. 483 00:19:28,696 --> 00:19:30,948 This…this could be pretty serious. 484 00:19:35,703 --> 00:19:37,705 - Thanks. - Mm-hmm. 485 00:19:43,878 --> 00:19:46,255 The new radiologist is a hottie. 486 00:19:46,339 --> 00:19:47,840 Okay. 487 00:19:47,924 --> 00:19:49,509 Um… 488 00:19:49,592 --> 00:19:52,553 his head CT is normal, as are his blood and urine tests. 489 00:19:52,637 --> 00:19:54,430 Then…then what's wrong with him? 490 00:19:54,514 --> 00:19:56,557 We're not, um, sure yet. 491 00:19:56,641 --> 00:19:59,185 There is another test… a-a spinal tap. 492 00:19:59,268 --> 00:20:01,062 This could be, um, an infection 493 00:20:01,145 --> 00:20:03,439 in the fluid that surrounds the brain…viral encephalitis. 494 00:20:03,523 --> 00:20:05,858 Um, it can also cause… 495 00:20:05,942 --> 00:20:08,903 altered mental status and confusion. 496 00:20:08,986 --> 00:20:11,280 Can you treat it, if it is? 497 00:20:11,364 --> 00:20:12,615 Yes. 498 00:20:14,367 --> 00:20:15,493 Okay. 499 00:20:15,576 --> 00:20:17,328 Okay. 500 00:20:17,412 --> 00:20:19,580 I'll go find Dr. Al-Hashimi, and…and we'll do it together. 501 00:20:19,664 --> 00:20:21,541 - Thank you. - Of course. 502 00:20:25,795 --> 00:20:28,923 Just what we thought… it's a fracture of your coccyx. 503 00:20:29,006 --> 00:20:30,508 It's your tailbone. 504 00:20:30,591 --> 00:20:32,885 Yeah, see, these pieces here 505 00:20:32,969 --> 00:20:35,930 should be lined up with that part here. 506 00:20:36,013 --> 00:20:38,057 - Do I need surgery? - No. 507 00:20:38,141 --> 00:20:41,561 No, no, these heal pretty well, but it'll take about six weeks. 508 00:20:43,187 --> 00:20:45,440 "Six weeks"? 509 00:20:45,523 --> 00:20:47,900 I have dinner dates every weekend. 510 00:20:49,235 --> 00:20:52,321 You can keep your… still keep your dinner plans. 511 00:20:52,405 --> 00:20:56,367 Dinner starts at Pino's, the best Italian in town. 512 00:20:56,451 --> 00:20:57,452 Mm-hmm. 513 00:20:57,535 --> 00:20:59,912 A nightcap at my place usually follows, 514 00:20:59,996 --> 00:21:02,415 and then breakfast in bed. 515 00:21:02,498 --> 00:21:04,625 Ah, okay. 516 00:21:04,709 --> 00:21:06,127 Well, in that case, you might… 517 00:21:06,210 --> 00:21:09,380 you might need to take a little break. 518 00:21:09,464 --> 00:21:12,341 My greatest joy in life is my social calendar. 519 00:21:12,425 --> 00:21:14,427 - Mm. - Hmm? 520 00:21:19,432 --> 00:21:22,143 Is there something else you can do? 521 00:21:22,226 --> 00:21:25,521 W-well, there… there is a procedure 522 00:21:25,605 --> 00:21:27,815 to push the fragments back in place. 523 00:21:27,899 --> 00:21:30,735 - It could help it heal faster. - Now we're talking. 524 00:21:30,818 --> 00:21:33,237 Yeah, but it'll hurt pretty bad but only for a second. 525 00:21:33,321 --> 00:21:34,864 I can take it. 526 00:21:36,616 --> 00:21:38,159 Okay. 527 00:21:38,242 --> 00:21:40,453 Come here. Back in the gown. 528 00:21:50,671 --> 00:21:52,590 How's it going over here? 529 00:21:52,673 --> 00:21:54,717 Better now. 530 00:21:56,844 --> 00:21:58,846 Uh… 531 00:22:00,264 --> 00:22:04,185 Oh, the X-ray is back on your foot, 532 00:22:04,268 --> 00:22:06,854 and no fracture. 533 00:22:06,938 --> 00:22:10,399 So, um, ACE wrap, ice, rest, and elevate, 534 00:22:10,483 --> 00:22:12,860 and you can take ibuprofen if you need it. 535 00:22:14,362 --> 00:22:15,863 So that's it? 536 00:22:15,947 --> 00:22:17,823 Well, if it's…if it's too painful to bear weight, 537 00:22:17,907 --> 00:22:21,118 we can give you crutches to use for a day or two. 538 00:22:21,202 --> 00:22:23,412 So I won't be seeing you again. 539 00:22:24,664 --> 00:22:26,290 Uh… 540 00:22:26,374 --> 00:22:28,793 as a patient, no, but… 541 00:22:28,876 --> 00:22:31,420 it was nice meeting you, Brian. 542 00:22:31,504 --> 00:22:33,881 It was nice meeting you, too, Dr. McKay. 543 00:22:49,355 --> 00:22:52,024 You know, I was… I was going to go check out 544 00:22:52,108 --> 00:22:55,611 a few of the art galleries in Lawrenceville tonight. 545 00:22:55,695 --> 00:22:58,364 Have you been to that one on 40th and Butler? 546 00:22:58,447 --> 00:23:00,825 No, I was, um, gonna go by. 547 00:23:00,908 --> 00:23:03,244 Maybe around 9:00? 548 00:23:03,327 --> 00:23:04,370 Okay. 549 00:23:05,663 --> 00:23:07,582 - Cool. - Cool. 550 00:23:10,126 --> 00:23:12,044 Dude, I resuscitated that parkour guy 551 00:23:12,128 --> 00:23:13,254 and…and intubated a STEMI. 552 00:23:13,337 --> 00:23:14,630 I think I can handle this. 553 00:23:14,714 --> 00:23:16,841 It's best if you watch the first one. 554 00:23:16,924 --> 00:23:18,509 How's that tooth feeling? 555 00:23:18,593 --> 00:23:21,095 The whole side of my face is numb. 556 00:23:21,178 --> 00:23:23,389 That's how we like it. 557 00:23:23,472 --> 00:23:26,934 Okay, we've got a… 558 00:23:27,018 --> 00:23:28,978 a fluctuant gumline at… 559 00:23:29,061 --> 00:23:31,689 Tooth number 23, lateral incisor. 560 00:23:31,772 --> 00:23:35,192 - With an extension to an… - Apical abscess. 561 00:23:35,276 --> 00:23:37,612 - Right again. - Ah, the kid's smart. 562 00:23:37,695 --> 00:23:39,280 Mm-hmm. Hook up the Yankauer. 563 00:23:39,363 --> 00:23:41,365 Get ready to retract the gum. 564 00:23:41,449 --> 00:23:43,868 Hey, Louie, this is a temporary fix, okay? 565 00:23:43,951 --> 00:23:46,412 You're going to need to get that tooth pulled by a dentist. 566 00:23:46,495 --> 00:23:48,289 Hey, you going to find me one? 567 00:23:48,372 --> 00:23:50,791 We can have you talk to Dylan. 568 00:23:50,875 --> 00:23:53,085 Is Dr. Collins around? 569 00:23:53,169 --> 00:23:55,671 Sister always helps me out. 570 00:23:55,755 --> 00:23:59,133 Uh, Dr. Collins finished her residency, 571 00:23:59,216 --> 00:24:01,844 took up a job in Portland as an attending physician. 572 00:24:01,927 --> 00:24:03,179 "Portland"? 573 00:24:03,262 --> 00:24:05,056 Yeah, I think that's where she's from. 574 00:24:05,139 --> 00:24:06,474 She's adopting a baby. 575 00:24:06,557 --> 00:24:08,684 Wanted to be closer to her family. 576 00:24:08,768 --> 00:24:10,519 Well, that's a beautiful thing. 577 00:24:10,603 --> 00:24:13,439 - We're set. - Okay. Ready? 578 00:24:15,107 --> 00:24:18,694 Okay, 3-cc syringe, 579 00:24:18,778 --> 00:24:22,531 20-gauge needle entering at the juiciest part, 580 00:24:22,615 --> 00:24:24,992 aiming for the apex. 581 00:24:27,286 --> 00:24:29,121 - Send that for culture? - No. 582 00:24:29,205 --> 00:24:30,706 Pen V.K. for a few days. 583 00:24:30,790 --> 00:24:32,917 Bugs in the mouth are old school. 584 00:24:33,000 --> 00:24:35,127 Ah, just like me. 585 00:24:36,671 --> 00:24:38,214 Both parents work, 586 00:24:38,297 --> 00:24:40,132 but neither of them have health coverage? 587 00:24:40,216 --> 00:24:43,177 Orlando and his wife have multiple part-time jobs 588 00:24:43,260 --> 00:24:45,346 that don't offer insurance. 589 00:24:45,429 --> 00:24:47,098 Can they qualify for Medicaid? 590 00:24:47,181 --> 00:24:49,934 Unfortunately, no, because their combined annual income 591 00:24:50,017 --> 00:24:52,228 is over the Medicaid threshold for a family of five. 592 00:24:52,311 --> 00:24:53,771 So they make too much money? 593 00:24:53,854 --> 00:24:55,940 And not enough at the same time. 594 00:24:56,023 --> 00:24:57,942 They live over the poverty line, 595 00:24:58,025 --> 00:25:01,737 and yet they are still living paycheck to paycheck. 596 00:25:01,821 --> 00:25:03,572 I think their best option 597 00:25:03,656 --> 00:25:05,950 would be to buy private insurance 598 00:25:06,033 --> 00:25:07,743 through the Affordable Care Act. 599 00:25:07,827 --> 00:25:09,829 Thank you. 600 00:25:09,912 --> 00:25:12,581 My parents don't have insurance? 601 00:25:12,665 --> 00:25:14,667 I'm sorry, Ana. 602 00:25:14,750 --> 00:25:17,294 How much will it cost to keep my dad in the hospital? 603 00:25:17,378 --> 00:25:20,131 I don't know. 604 00:25:20,214 --> 00:25:22,925 But the ER visit alone will likely be in the thousands. 605 00:25:25,261 --> 00:25:28,681 We will figure something out, okay? 606 00:25:33,144 --> 00:25:34,895 Purple top for the CBC. 607 00:25:34,979 --> 00:25:37,732 Red top for chemistries and serologies. 608 00:25:37,815 --> 00:25:39,066 Okay. 609 00:25:40,985 --> 00:25:42,778 - Ready? - Uh, yeah. 610 00:25:42,862 --> 00:25:46,657 I can be a hard stick, though. 611 00:25:46,741 --> 00:25:48,284 Now or never, hon. 612 00:25:49,785 --> 00:25:51,787 Okay. 613 00:25:51,871 --> 00:25:54,915 One, two… 614 00:25:54,999 --> 00:25:56,667 three. 615 00:25:56,751 --> 00:25:58,794 - Good blood return. - Oh, thank God. 616 00:25:58,878 --> 00:26:00,087 Pop one on. 617 00:26:04,884 --> 00:26:06,844 You're supposed to release the tourniquet now. 618 00:26:06,927 --> 00:26:08,763 Right. Sorry. 619 00:26:12,266 --> 00:26:13,976 Lab won't take it without your initials, 620 00:26:14,059 --> 00:26:15,436 time, and date drawn. 621 00:26:15,519 --> 00:26:17,021 - How you feeling? - Peachy. 622 00:26:17,104 --> 00:26:20,524 Hopefully I get to do this several times every day. 623 00:26:20,608 --> 00:26:21,901 All set. 624 00:26:23,402 --> 00:26:25,738 Keep some pressure here for a minute. 625 00:26:25,821 --> 00:26:27,740 Initials, time, and date. 626 00:26:29,742 --> 00:26:30,910 Oh. 627 00:26:33,829 --> 00:26:35,331 Shit. 628 00:26:37,124 --> 00:26:38,918 Environmental to North. 629 00:26:39,001 --> 00:26:41,045 Sorry. 630 00:26:41,128 --> 00:26:43,005 How is he? 631 00:26:43,088 --> 00:26:45,466 He's stable. He's doing great. 632 00:26:45,549 --> 00:26:48,260 Doesn't look great. 633 00:26:48,344 --> 00:26:49,970 Is there brain damage? 634 00:26:50,054 --> 00:26:53,015 The head CT showed no bleeding or skull fracture. 635 00:26:53,098 --> 00:26:54,809 It's most likely a bad concussion. 636 00:26:54,892 --> 00:26:58,020 It's hard to know when he'll regain consciousness. 637 00:26:58,103 --> 00:27:00,022 - Did he break any bones? - We don't think so. 638 00:27:00,105 --> 00:27:02,483 He should thank those ferns. 639 00:27:02,566 --> 00:27:04,485 Uh, chest and abdomen CT scans 640 00:27:04,568 --> 00:27:06,987 also showed no major internal injuries. 641 00:27:07,071 --> 00:27:08,697 Mm-hmm. 642 00:27:08,781 --> 00:27:10,366 What's that? 643 00:27:13,994 --> 00:27:15,913 Whoa, whoa, whoa, whoa, whoa. 644 00:27:15,996 --> 00:27:18,582 We need respiratory therapy in here! 645 00:27:20,125 --> 00:27:21,752 Okay. 646 00:27:21,836 --> 00:27:24,296 One, two, three, over. 647 00:27:24,380 --> 00:27:25,714 You got a problem with the vent? 648 00:27:25,798 --> 00:27:27,091 No, he's bleeding from the back. 649 00:27:27,174 --> 00:27:28,551 Got to prone him to take a look. 650 00:27:28,634 --> 00:27:30,845 Back away, Tanya. One, two, three, up. 651 00:27:30,928 --> 00:27:32,763 One, two, three, over. 652 00:27:32,847 --> 00:27:34,682 - Good. - Oh, shit. 653 00:27:34,765 --> 00:27:36,475 - Left-flank area. - Careful. Careful, everybody. 654 00:27:36,559 --> 00:27:37,560 - There might be glass. - That's a lot of blood. 655 00:27:37,643 --> 00:27:38,894 2-centimeter simple laceration. 656 00:27:38,978 --> 00:27:41,188 Open a suture kit, 4-0 Prolene. 657 00:27:41,272 --> 00:27:42,898 He wasn't bleeding when we flipped him on arrival. 658 00:27:42,982 --> 00:27:44,692 No, but when we moved him around for CT, 659 00:27:44,775 --> 00:27:46,318 it might have rubbed off a clot. 660 00:27:46,402 --> 00:27:47,695 Slow venous oozing. 661 00:27:47,778 --> 00:27:50,114 I might need a figure of eight. 662 00:27:54,910 --> 00:27:56,912 Yeah, little piece of glass in there. 663 00:27:56,996 --> 00:27:57,997 It's just under the skin. 664 00:27:58,080 --> 00:28:00,374 - Is it a loose fragment? - Yeah, I can wiggle it around. 665 00:28:00,457 --> 00:28:01,750 - Here, I'll pull it out. - No, don't. 666 00:28:01,834 --> 00:28:03,127 Shit. 667 00:28:03,210 --> 00:28:05,129 Uh, that's…it's bigger than I thought it would be. 668 00:28:05,212 --> 00:28:06,589 - Shit. - That looks arterial. 669 00:28:06,672 --> 00:28:08,674 Can I get some 4-by-4s over here, please? 670 00:28:08,757 --> 00:28:09,884 Oh, I'm going to be sick. 671 00:28:09,967 --> 00:28:10,953 Put some pressure on this from all sides. 672 00:28:10,968 --> 00:28:12,136 Hard and deep, please. 673 00:28:12,219 --> 00:28:13,679 - I can push it back in. - No! 674 00:28:13,762 --> 00:28:15,097 No, you've done enough damage. 675 00:28:15,180 --> 00:28:16,557 Should I keep pulling it out, then? 676 00:28:16,640 --> 00:28:19,560 Absolutely not. The glass was tamponading a vessel. 677 00:28:19,643 --> 00:28:22,563 Not anymore. BP's down. Page surgery! 678 00:28:26,358 --> 00:28:29,361 - Ah, I was looking for you. - Well, you found me. 679 00:28:29,445 --> 00:28:31,697 Um, the X-ray came back on the lady with the cough. 680 00:28:31,780 --> 00:28:34,158 - Mm-hmm. - Weird infiltrate. Have you seen it yet? 681 00:28:34,241 --> 00:28:36,035 No, I've been trying to catch up on my charting. 682 00:28:36,118 --> 00:28:37,661 Right here. 683 00:28:37,745 --> 00:28:39,997 Yep, stringy right lower lobe. 684 00:28:40,080 --> 00:28:42,791 It looks like aspiration pneumonia. 685 00:28:42,875 --> 00:28:44,376 Think about it. 686 00:28:44,460 --> 00:28:47,463 How do oral and gastric fluids end up in lungs? 687 00:28:47,546 --> 00:28:50,382 Um, dysphagia, swallowing disorders. 688 00:28:50,466 --> 00:28:53,052 But she's not an old person choking on their food. 689 00:28:53,135 --> 00:28:55,179 Right, and there's protracted vomiting. 690 00:28:55,262 --> 00:28:56,805 Okay, maybe recent gastroenteritis, 691 00:28:56,889 --> 00:28:58,599 food poisoning. 692 00:28:58,682 --> 00:29:00,684 Yeah, or… 693 00:29:00,768 --> 00:29:02,978 or… 694 00:29:03,062 --> 00:29:04,355 an eating disorder. 695 00:29:04,438 --> 00:29:06,231 You think she's bulimic? 696 00:29:06,315 --> 00:29:09,485 I mean, she's fixated on working out. 697 00:29:09,568 --> 00:29:12,988 Check the, uh, enamel behind her front incisors. 698 00:29:13,072 --> 00:29:15,074 Um, oh, it's, uh… 699 00:29:15,157 --> 00:29:17,785 if it's not in the differential, 700 00:29:17,868 --> 00:29:20,746 it won't be in the diagnosis. 701 00:29:20,829 --> 00:29:22,206 You know that… 702 00:29:22,289 --> 00:29:24,917 Yeah, you know… you know that. 703 00:29:29,964 --> 00:29:31,423 Nice job on the tap. 704 00:29:31,507 --> 00:29:32,925 Thanks. 705 00:29:33,008 --> 00:29:36,303 Hi. You called for a consult on Jackson Davis? 706 00:29:36,387 --> 00:29:37,888 Yes, we did. 707 00:29:37,972 --> 00:29:41,892 I'll let Victoria present the case. 708 00:29:41,976 --> 00:29:43,560 This is Jada, Jackson's sister. 709 00:29:43,644 --> 00:29:45,771 This is Dr. Jefferson from psychiatry. 710 00:29:45,854 --> 00:29:47,231 "Psychiatry"? 711 00:29:47,314 --> 00:29:48,941 Do you think this is a mental-health problem? 712 00:29:49,024 --> 00:29:51,026 We thought it best to cover all our bases. 713 00:29:51,110 --> 00:29:53,362 We'll know more once I speak with your brother. 714 00:29:53,445 --> 00:29:55,114 Okay. 715 00:29:57,032 --> 00:29:59,535 Hi, Jackson. 716 00:29:59,618 --> 00:30:02,788 Jackson, can you wake up? 717 00:30:02,871 --> 00:30:05,040 - Jackson. - They said he's sedated. 718 00:30:07,793 --> 00:30:09,878 I'll come back a little later. 719 00:30:11,964 --> 00:30:13,465 - Oh, that was fast. - Yeah. 720 00:30:13,549 --> 00:30:16,051 Next time, maybe wait until the patient wakes up 721 00:30:16,135 --> 00:30:17,553 before calling me down. 722 00:30:17,636 --> 00:30:19,054 Psychiatrists do best 723 00:30:19,138 --> 00:30:22,683 when we can actually talk to our patients. 724 00:30:22,766 --> 00:30:24,685 I got a little ahead of myself. 725 00:30:24,768 --> 00:30:26,895 Um, will do. 726 00:30:26,979 --> 00:30:28,897 Thank you. 727 00:30:28,981 --> 00:30:31,066 Sorry. 728 00:30:31,150 --> 00:30:33,902 Pressure's up with one unit type specific. 729 00:30:36,155 --> 00:30:37,906 What the fuck? He was stable. 730 00:30:37,990 --> 00:30:40,826 - Slight change in status. - Okay, get the clamp ready. 731 00:30:40,909 --> 00:30:43,162 Who's the genius who pulled that out? 732 00:30:43,245 --> 00:30:45,247 I thought it was a loose fragment. 733 00:30:45,330 --> 00:30:47,249 Next time, leave the decisions to the adults. 734 00:30:47,332 --> 00:30:49,376 Okay, Dr. McKay, ready to go? 735 00:30:54,048 --> 00:30:55,632 - Whoa. - Hoo. 736 00:30:55,716 --> 00:30:57,051 Looks like an icicle. 737 00:30:57,134 --> 00:30:59,094 Christmas in July. 738 00:30:59,178 --> 00:31:02,014 Hey, Sophie, can you answer that? 739 00:31:02,097 --> 00:31:03,974 Okay, I am injecting the X-stat. 740 00:31:04,058 --> 00:31:05,059 - Hello? - What is that? 741 00:31:05,142 --> 00:31:06,560 It's a syringe filled 742 00:31:06,643 --> 00:31:09,313 with tiny, rapid-expanding hemostatic sponges. 743 00:31:09,396 --> 00:31:10,898 Okay, got it. Thanks. 744 00:31:10,981 --> 00:31:13,192 Radiology attending says a resident missed something. 745 00:31:13,275 --> 00:31:14,818 There's a radiopaque foreign body 746 00:31:14,902 --> 00:31:17,029 in the left paralumbar musculature. 747 00:31:17,112 --> 00:31:18,572 Not anymore. 748 00:31:18,655 --> 00:31:20,407 Sounds like "first week in July" syndrome. 749 00:31:20,491 --> 00:31:21,742 Mm-hmm. 750 00:31:21,825 --> 00:31:24,286 Okay. 751 00:31:24,369 --> 00:31:27,748 - That looks pretty dry. - On the surface. 752 00:31:27,831 --> 00:31:30,334 Okay, let's turn him back down. 753 00:31:30,417 --> 00:31:34,171 Okay, one, two, three, over. 754 00:31:34,254 --> 00:31:36,799 One, two, three, flip. 755 00:31:36,882 --> 00:31:39,843 One, two, three, down. 756 00:31:39,927 --> 00:31:41,762 All right, CT is ready to rescan. 757 00:31:41,845 --> 00:31:43,680 Interventional radiology is holding a room. 758 00:31:43,764 --> 00:31:46,058 Look at you… so on top of things. 759 00:31:46,141 --> 00:31:47,935 Hasta la próxima. 760 00:31:48,018 --> 00:31:50,270 How you doing over here? 761 00:31:50,354 --> 00:31:51,980 Definitely not great. 762 00:31:52,064 --> 00:31:54,358 Right, well, let's get you a ginger ale. 763 00:31:54,441 --> 00:31:57,277 So we never, ever remove a deep foreign body in the ER. 764 00:31:57,361 --> 00:31:59,113 We always leave that to surgery. 765 00:31:59,196 --> 00:32:01,615 It won't happen again. 766 00:32:01,698 --> 00:32:04,076 I was just coming to find you. 767 00:32:04,159 --> 00:32:05,327 Sure you were. 768 00:32:05,410 --> 00:32:07,162 It's almost like you're avoiding me. 769 00:32:07,246 --> 00:32:08,664 Me? Never. 770 00:32:08,747 --> 00:32:10,332 No, I'm just having one of those busy days, 771 00:32:10,415 --> 00:32:12,584 you know, living the dream, saving America's tired, 772 00:32:12,668 --> 00:32:14,837 poor, huddled masses yearning to breathe free. 773 00:32:14,920 --> 00:32:17,589 - You're a saint. - I tell myself that every day. 774 00:32:17,673 --> 00:32:20,134 I heard you had a, uh, motorcycle crash 775 00:32:20,217 --> 00:32:23,011 - come through about an hour ago. - Yeah. 776 00:32:23,095 --> 00:32:25,013 Couldn't save him. 777 00:32:25,097 --> 00:32:27,224 And, no, he was not wearing a helmet. 778 00:32:27,307 --> 00:32:29,059 Interesting. 779 00:32:29,143 --> 00:32:31,395 One motorcycle crash is not going to scare me off my trip. 780 00:32:31,478 --> 00:32:33,438 I didn't say it should. 781 00:32:33,522 --> 00:32:36,733 I hope he died doing what he loved. 782 00:32:36,817 --> 00:32:39,486 That's…optimistic. 783 00:32:39,570 --> 00:32:41,613 "Glass half full" kind of guy. 784 00:32:43,407 --> 00:32:45,993 - I am not on your couch. - I'm aware. 785 00:32:46,076 --> 00:32:48,620 - Conflict of interest here. - Why? Because we're friends? 786 00:32:48,704 --> 00:32:51,582 Ooh, look at you, using the F word. 787 00:32:51,665 --> 00:32:53,083 That's growth. 788 00:32:53,167 --> 00:32:54,459 I use F words all the time. 789 00:32:54,543 --> 00:32:55,961 I guess this therapy must be working. 790 00:32:56,044 --> 00:32:58,422 Ah, I got somebody new for you. 791 00:32:58,505 --> 00:33:00,924 She takes no shit. You'll love her. 792 00:33:01,008 --> 00:33:02,384 I hope so. 793 00:33:02,467 --> 00:33:06,013 The last two have not exactly been…my speed. 794 00:33:06,096 --> 00:33:09,308 Meaning what, empathetic? 795 00:33:09,391 --> 00:33:11,810 Look, sometimes it just takes a little while 796 00:33:11,894 --> 00:33:13,604 to, you know, find the right fit. 797 00:33:13,687 --> 00:33:15,022 Well, it's going to have to wait, 798 00:33:15,105 --> 00:33:16,231 because I'm going on my sabbatical tomorrow. 799 00:33:16,315 --> 00:33:17,816 There's always Zoom therapy. 800 00:33:17,900 --> 00:33:20,736 Motorcycle trip is zoom therapy. 801 00:33:22,988 --> 00:33:27,075 I'll bet somebody set off fireworks in the shitter. 802 00:33:27,159 --> 00:33:28,911 How dumb is that? 803 00:33:28,994 --> 00:33:30,370 You think people are smart? 804 00:33:30,454 --> 00:33:32,456 Yeah. 805 00:33:34,499 --> 00:33:36,043 What's up, man? 806 00:33:36,126 --> 00:33:38,253 You want to get on the books? 807 00:33:38,337 --> 00:33:39,713 Uh, yeah. 808 00:33:39,796 --> 00:33:41,423 Yeah, yeah. May…maybe. Yeah. 809 00:33:41,506 --> 00:33:42,507 Hey, look here. 810 00:33:42,591 --> 00:33:44,218 I only take real money, 811 00:33:44,301 --> 00:33:46,261 none of that "I owe you" bullshit. 812 00:33:47,804 --> 00:33:49,473 Okay, I have money, okay? 813 00:33:49,556 --> 00:33:52,559 My first direct deposit finally hit, so… 814 00:33:52,643 --> 00:33:54,770 Nice. Hmm. 815 00:33:54,853 --> 00:33:58,273 Put me down for $40… 816 00:33:58,357 --> 00:34:00,859 for power outage. 817 00:34:02,361 --> 00:34:05,447 - Nice. - We got a big baller on our hands. 818 00:34:05,530 --> 00:34:07,115 - Congrats, Doctor. - Thank you. 819 00:34:07,199 --> 00:34:09,076 I like this side of you, man. 820 00:34:09,159 --> 00:34:11,787 - Any improvement? - No. 821 00:34:11,870 --> 00:34:13,455 What kind of super glue did you use? 822 00:34:13,538 --> 00:34:16,333 Does it matter? My eye is still fucking shut. 823 00:34:16,416 --> 00:34:18,210 Okay, there's one other thing I can try. 824 00:34:18,293 --> 00:34:20,128 No. I'm done. I asked for Dr. J earlier, 825 00:34:20,212 --> 00:34:22,297 and I would like to see her now. 826 00:34:22,381 --> 00:34:24,132 I haven't been in the hospital for a while. 827 00:34:24,216 --> 00:34:26,093 I don't know a Dr. J. 828 00:34:26,176 --> 00:34:29,304 She's one of the best doctors in Pittsburgh. 829 00:34:34,393 --> 00:34:37,437 Oh, Dr. J. 830 00:34:38,814 --> 00:34:40,899 - Do what you must, milady. - Mm-hmm. 831 00:34:40,983 --> 00:34:44,569 Okay, first, I need to get a good grip for the reduction. 832 00:34:44,653 --> 00:34:46,905 Uh-huh. 833 00:34:46,989 --> 00:34:48,532 Here we go. 834 00:34:48,615 --> 00:34:50,117 Try to relax. 835 00:34:50,200 --> 00:34:53,537 Deep breath, with your mouth open. 836 00:34:53,620 --> 00:34:56,999 Not how I imagined our first intimate encounter. 837 00:34:57,082 --> 00:35:00,085 Okay, got it. 838 00:35:00,168 --> 00:35:02,796 Now, on three, okay? 839 00:35:02,879 --> 00:35:04,965 One… 840 00:35:05,048 --> 00:35:08,218 Ah! Motherfucker. 841 00:35:08,302 --> 00:35:10,679 Ho-ho! You said "on three." 842 00:35:10,762 --> 00:35:12,014 I…I know. 843 00:35:12,097 --> 00:35:14,391 Sorry. It keeps you from tensing up. 844 00:35:14,474 --> 00:35:16,184 Okay, I think that worked. 845 00:35:16,268 --> 00:35:18,228 - How does it feel? - Can I sit up? 846 00:35:18,312 --> 00:35:21,189 - Uh-huh. - Oh. 847 00:35:21,273 --> 00:35:22,482 Oh. 848 00:35:25,152 --> 00:35:28,030 Oh, my God. 849 00:35:28,113 --> 00:35:30,365 Oh. 850 00:35:30,449 --> 00:35:33,410 That is definitely better. 851 00:35:33,493 --> 00:35:35,454 Oh, my God. 852 00:35:35,537 --> 00:35:37,497 Great. 853 00:35:37,581 --> 00:35:39,082 Can I give you a hug? 854 00:35:39,166 --> 00:35:41,585 Mm, maybe…maybe later, okay? 855 00:35:44,504 --> 00:35:47,382 Aspiration pneumonia? How does that happen? 856 00:35:47,466 --> 00:35:50,010 It's when bacteria from the mouth or stomach 857 00:35:50,093 --> 00:35:51,970 get into the breathing tube, 858 00:35:52,054 --> 00:35:53,805 uh, when you're choking, 859 00:35:53,889 --> 00:35:56,933 if you're eating or vomiting. 860 00:35:57,017 --> 00:35:58,226 Oh. 861 00:35:58,310 --> 00:36:00,103 Do you ever drink a lot of alcohol, 862 00:36:00,187 --> 00:36:02,230 maybe so much that you pass out? 863 00:36:02,314 --> 00:36:04,441 No, I'm not a big drinker. 864 00:36:04,524 --> 00:36:07,944 Have you had the stomach flu recently, food poisoning? 865 00:36:08,028 --> 00:36:09,488 No and no. 866 00:36:11,114 --> 00:36:13,700 Do you mind if we take a look inside your mouth? 867 00:36:20,499 --> 00:36:23,835 You can lean your head back… 868 00:36:23,919 --> 00:36:25,629 and open up wide. 869 00:36:29,800 --> 00:36:31,426 What? 870 00:36:31,510 --> 00:36:35,472 The enamel on the back of your teeth is worn away. 871 00:36:35,555 --> 00:36:37,432 What does that mean? 872 00:36:37,516 --> 00:36:39,059 Um, it can happen 873 00:36:39,142 --> 00:36:41,561 if someone makes themselves vomit repeatedly. 874 00:36:41,645 --> 00:36:44,773 All the stomach acid dissolves the enamel. 875 00:36:44,856 --> 00:36:47,692 What does that have to do with having pneumonia? 876 00:36:47,776 --> 00:36:49,236 It may have caused it. 877 00:36:51,571 --> 00:36:54,282 Can you just give me some medicine? 878 00:36:54,366 --> 00:36:55,742 Yeah, we can do that. 879 00:36:59,496 --> 00:37:02,082 Dr. J, finally. 880 00:37:02,165 --> 00:37:04,876 It is so nice to meet you, Dr. J. 881 00:37:04,960 --> 00:37:08,171 This is Willow, your new patient. 882 00:37:09,548 --> 00:37:11,716 I'm actually a student doctor. 883 00:37:11,800 --> 00:37:14,302 I, uh, watch all of your videos. 884 00:37:14,386 --> 00:37:16,304 The one about coping with difficult coworkers 885 00:37:16,388 --> 00:37:17,889 was super helpful. 886 00:37:17,973 --> 00:37:19,558 I got to watch that. 887 00:37:19,641 --> 00:37:22,269 Um, um, so…so what is Willow's health issue? 888 00:37:22,352 --> 00:37:26,148 Uh, my eye… it's superglued shut. 889 00:37:26,231 --> 00:37:28,775 Halfway trim and mineral oil didn't work? 890 00:37:28,859 --> 00:37:30,527 Nope. 891 00:37:30,610 --> 00:37:33,363 Then…then I would suggest cutting the full lash down. 892 00:37:33,447 --> 00:37:36,450 I concur, Dr. J. 893 00:37:36,533 --> 00:37:39,744 As long as you're the one doing it. 894 00:37:39,828 --> 00:37:41,371 Oh. 895 00:37:41,455 --> 00:37:43,457 Okay, yeah, sure. 896 00:37:43,540 --> 00:37:45,625 Um, yeah. 897 00:37:45,709 --> 00:37:49,087 Uh, sit back for me. 898 00:37:49,171 --> 00:37:51,047 I'll get you to close both your eyes 899 00:37:51,131 --> 00:37:53,216 and be as still as possible. 900 00:37:53,300 --> 00:37:54,286 Okay. 901 00:37:54,301 --> 00:37:55,594 All you, Doc. 902 00:37:55,677 --> 00:37:58,847 Thank you, Dr. Langdon. 903 00:37:58,930 --> 00:38:01,433 Okay, here we go. 904 00:38:03,685 --> 00:38:06,646 How many followers do you have, Dr. J? 905 00:38:06,730 --> 00:38:09,441 More than you'd guess, Dr. Langdon. 906 00:38:12,444 --> 00:38:13,528 There. 907 00:38:18,450 --> 00:38:19,534 You did it. 908 00:38:25,332 --> 00:38:28,043 Oh, my God. This looks terrible. 909 00:38:28,126 --> 00:38:32,631 I can still put a false lash on it, though, right? 910 00:38:36,301 --> 00:38:38,678 How are you feeling, Mr. Diaz? 911 00:38:38,762 --> 00:38:41,181 Much better. 912 00:38:41,264 --> 00:38:43,225 We need to talk about how your diabetes 913 00:38:43,308 --> 00:38:46,853 progressed to this place. 914 00:38:46,937 --> 00:38:49,314 This is Student Dr. Kwon. 915 00:38:49,397 --> 00:38:51,858 What you say here remains between us. 916 00:38:54,319 --> 00:38:58,198 I'm taking a lower dose of insulin than I should be. 917 00:38:58,281 --> 00:39:01,409 How much of your prescribed dose are you using at a time? 918 00:39:01,493 --> 00:39:03,203 Half. 919 00:39:03,286 --> 00:39:05,205 I used to have insurance through work, 920 00:39:05,288 --> 00:39:08,041 but I lost that job when the pandemic hit. 921 00:39:08,124 --> 00:39:10,710 It was easy to keep up with my medication then. 922 00:39:10,794 --> 00:39:13,046 I had a great primary doctor, too. 923 00:39:13,129 --> 00:39:16,007 Now I'm kind of on my own. 924 00:39:16,091 --> 00:39:18,260 Do you have a glucose monitor? 925 00:39:18,343 --> 00:39:20,220 Uh, yes. 926 00:39:20,303 --> 00:39:22,430 But I can't afford the test strips every week. 927 00:39:22,514 --> 00:39:24,224 They're too expensive. 928 00:39:24,307 --> 00:39:26,476 Can we not talk about this in front of my family? 929 00:39:26,560 --> 00:39:28,144 - Hi. - Hi. 930 00:39:28,228 --> 00:39:30,063 There are my girls. 931 00:39:30,146 --> 00:39:32,440 - Did you call your brothers? - They're still at soccer. 932 00:39:32,524 --> 00:39:35,318 I have good news. I started a GoFundMe for Dad. 933 00:39:35,402 --> 00:39:36,820 A what? 934 00:39:36,903 --> 00:39:38,530 To help raise money for Dad's medical care 935 00:39:38,613 --> 00:39:41,116 - since we don't have insurance. - No, no. 936 00:39:41,199 --> 00:39:44,202 - Take it down, now. - But why? 937 00:39:44,286 --> 00:39:46,162 I work hard. I don't need charity. 938 00:39:46,246 --> 00:39:47,622 But, Dad, we've already… 939 00:39:47,706 --> 00:39:49,791 Ana, you heard me! 940 00:39:49,874 --> 00:39:51,001 Take it down. 941 00:39:51,084 --> 00:39:52,460 Jesus, Orlando. 942 00:39:52,544 --> 00:39:56,006 No necesito eso. 943 00:39:56,089 --> 00:39:59,134 Louie, thought I'd sneak back here to check on you. 944 00:39:59,217 --> 00:40:01,261 - How we doing in here? - Good. 945 00:40:01,344 --> 00:40:05,265 - Tooth's feeling much better. - Glad to hear it. 946 00:40:05,348 --> 00:40:07,851 Looks like you're stuck with us for the next three hours. 947 00:40:07,934 --> 00:40:09,769 We need to monitor your blood pressure. 948 00:40:09,853 --> 00:40:11,605 How about a drink while I wait? 949 00:40:13,148 --> 00:40:14,774 Water or orange juice? 950 00:40:14,858 --> 00:40:17,652 Uh, never mind. 951 00:40:17,736 --> 00:40:19,571 So, uh… 952 00:40:19,654 --> 00:40:22,157 how are the kids doing? 953 00:40:22,240 --> 00:40:25,702 Oh, they're perfect little monsters. 954 00:40:25,785 --> 00:40:28,371 Tanner's five now. Penny's three. 955 00:40:28,455 --> 00:40:31,041 Oh, ain't that a blessing. 956 00:40:31,124 --> 00:40:34,169 It is, but they have zero interest in bedtime. 957 00:40:34,252 --> 00:40:36,504 And there's the dog always digging up the yard. 958 00:40:38,381 --> 00:40:40,342 How much sun does your lawn get? 959 00:40:40,425 --> 00:40:42,427 I don't know. Plenty. 960 00:40:42,510 --> 00:40:45,597 Seed it with perennial ryegrass. 961 00:40:45,680 --> 00:40:48,308 And you want to lightly water it 962 00:40:48,391 --> 00:40:52,145 and put up a temporary fence so the dog can't get back to it. 963 00:40:52,228 --> 00:40:54,314 Color me impressed. 964 00:40:54,397 --> 00:40:57,317 What can I say? I like grass. 965 00:40:59,569 --> 00:41:01,821 No, seriously, how do you… how do you know all that? 966 00:41:03,365 --> 00:41:05,033 I was a groundskeeper. 967 00:41:05,116 --> 00:41:09,204 I worked with gardens and lawns back in the day. 968 00:41:10,622 --> 00:41:11,998 Robby. 969 00:41:14,209 --> 00:41:15,794 Got a sec? 970 00:41:18,713 --> 00:41:21,257 - Dr. Langdon. - Dr. Al-Hashimi. 971 00:41:21,341 --> 00:41:23,343 How's triage looking? 972 00:41:23,426 --> 00:41:25,136 Donnie and I have it under control. 973 00:41:25,220 --> 00:41:27,138 Good. I want you to wrap up what you're doing out there 974 00:41:27,222 --> 00:41:28,765 and join us back here. 975 00:41:28,848 --> 00:41:31,142 We're expecting more diverted traffic from Westbridge. 976 00:41:31,226 --> 00:41:32,560 Will do. 977 00:41:32,644 --> 00:41:34,646 And I just want to say, I think it's great 978 00:41:34,729 --> 00:41:36,856 that you're in the Physicians' Health Program. 979 00:41:36,940 --> 00:41:39,150 I know it's a big commitment. 980 00:41:39,234 --> 00:41:43,279 Uh, yeah, it was hard at the beginning, 981 00:41:43,363 --> 00:41:45,740 but, you know, I'm almost done with year one now. 982 00:41:45,824 --> 00:41:47,617 Only four more years to go. 983 00:41:49,035 --> 00:41:50,787 Penny for your thoughts. 984 00:41:50,870 --> 00:41:53,164 Oh, they're way more expensive than that. 985 00:41:53,248 --> 00:41:55,375 I'm on a budget. Take it or leave it. 986 00:41:55,458 --> 00:41:57,794 My day is not turning out the way that I expected. 987 00:41:57,877 --> 00:42:01,005 We had a callout. Langdon was available. 988 00:42:01,089 --> 00:42:03,341 I was sort of hoping to be on my sabbatical 989 00:42:03,425 --> 00:42:04,926 when he came back. 990 00:42:05,009 --> 00:42:06,678 You two were very close. 991 00:42:06,761 --> 00:42:08,596 Maybe this is the universe's way 992 00:42:08,680 --> 00:42:11,141 of telling you it's time to clear the air. 993 00:42:11,224 --> 00:42:13,184 Maybe it is. 994 00:42:13,268 --> 00:42:15,061 Maybe it isn't. 995 00:42:19,607 --> 00:42:22,402 Okay, so, um, we'll need to keep you for the day 996 00:42:22,485 --> 00:42:26,823 for your IV antibiotics and to monitor your oxygen level. 997 00:42:26,906 --> 00:42:29,200 Okay. 998 00:42:29,284 --> 00:42:30,493 Okay. 999 00:42:35,665 --> 00:42:37,375 What if… 1000 00:42:40,462 --> 00:42:43,298 I have been making myself vomit? 1001 00:42:45,300 --> 00:42:47,802 Well… 1002 00:42:47,886 --> 00:42:50,263 bulimia is treatable. 1003 00:42:52,265 --> 00:42:54,309 I was going to stop. 1004 00:42:54,392 --> 00:42:56,311 I stopped before. 1005 00:42:58,980 --> 00:43:02,650 My family gathers around food. 1006 00:43:02,734 --> 00:43:05,361 We eat when we're celebrating. We eat when we're mourning. 1007 00:43:05,445 --> 00:43:06,863 We just eat. 1008 00:43:06,946 --> 00:43:08,364 But then I got to college, 1009 00:43:08,448 --> 00:43:10,700 and it was all about how you looked. 1010 00:43:10,784 --> 00:43:12,869 That's a lot of pressure. 1011 00:43:17,457 --> 00:43:20,293 I started vomiting. 1012 00:43:20,376 --> 00:43:22,837 Everyone said I looked great. 1013 00:43:22,921 --> 00:43:24,964 So I went to the gym more. 1014 00:43:25,048 --> 00:43:28,802 I didn't need to purge as much. 1015 00:43:31,346 --> 00:43:32,889 Last year, I went through a breakup. 1016 00:43:32,972 --> 00:43:34,349 It all came back. 1017 00:43:40,063 --> 00:43:41,481 You're… 1018 00:43:41,564 --> 00:43:45,235 doing long-term damage to your body. 1019 00:43:45,318 --> 00:43:48,988 And it doesn't just go away on its own. 1020 00:43:49,072 --> 00:43:51,449 It's okay to ask for help. 1021 00:43:51,533 --> 00:43:52,742 We can set you up 1022 00:43:52,826 --> 00:43:54,828 with our eating-disorder program upstairs. 1023 00:43:54,911 --> 00:43:58,498 - It's here in the hospital? - It's an outpatient program. 1024 00:43:58,581 --> 00:44:00,250 You'd meet with a therapist 1025 00:44:00,333 --> 00:44:04,379 for individual and group therapy once or twice a week. 1026 00:44:05,672 --> 00:44:07,799 Would you be open to meeting with a therapist? 1027 00:44:10,426 --> 00:44:12,762 I guess. 1028 00:44:12,846 --> 00:44:14,722 Do you have any preference for type of therapist… 1029 00:44:14,806 --> 00:44:17,016 male, female? 1030 00:44:17,100 --> 00:44:19,727 If there's a Black woman, I'd like that. 1031 00:44:21,229 --> 00:44:23,356 Yeah, we can arrange that. 1032 00:44:25,608 --> 00:44:27,277 Thank you. 1033 00:44:30,613 --> 00:44:32,740 That was a good catch. 1034 00:44:32,824 --> 00:44:34,534 Black women tend to go underdiagnosed 1035 00:44:34,617 --> 00:44:36,077 when it comes to eating disorders. 1036 00:44:36,160 --> 00:44:38,329 - Really? - Yeah, unfortunately. 1037 00:44:38,413 --> 00:44:41,165 You know, I thought I had an eating disorder in high school, 1038 00:44:41,249 --> 00:44:43,501 and so I did a lot of research on the subject. 1039 00:44:43,585 --> 00:44:46,546 I didn't…no, I just… 1040 00:44:46,629 --> 00:44:49,549 My sister and I were really picky eaters growing up, 1041 00:44:49,632 --> 00:44:51,134 you know? 1042 00:44:51,217 --> 00:44:53,344 Color and texture. 1043 00:44:53,428 --> 00:44:55,138 Vegetables and fish. 1044 00:44:55,221 --> 00:44:57,140 Oh, eggs. 1045 00:44:57,223 --> 00:45:00,351 Slimy okra, asparagus… ugh, disgusting. 1046 00:45:00,435 --> 00:45:01,686 Drove our parents crazy. 1047 00:45:01,769 --> 00:45:04,397 Oh, eggs, weird. 1048 00:45:04,480 --> 00:45:05,732 It's not that weird. 1049 00:45:05,815 --> 00:45:08,735 I got to catch up on my charting. 1050 00:45:08,818 --> 00:45:10,320 Ah. 1051 00:45:10,403 --> 00:45:13,406 You know, if…if you want to talk, I'm around. 1052 00:45:13,489 --> 00:45:14,699 Talk about what? 1053 00:45:14,782 --> 00:45:16,242 Being an R2? 1054 00:45:16,326 --> 00:45:17,744 Way harder than intern year. 1055 00:45:17,827 --> 00:45:19,245 Oh, yeah, um… 1056 00:45:19,329 --> 00:45:22,624 yeah, overseeing the med students, the interns, 1057 00:45:22,707 --> 00:45:24,626 having no time to do my own charts. 1058 00:45:24,709 --> 00:45:27,003 Yeah, just wait until you get into Medical, 1059 00:45:27,086 --> 00:45:28,588 Surgical, and Cardiac ICU. 1060 00:45:28,671 --> 00:45:30,590 I stands for "intense." 1061 00:45:30,673 --> 00:45:33,509 Somehow that seems like an understatement. 1062 00:45:33,593 --> 00:45:36,179 Well, it does help you grow your clinical skills, 1063 00:45:36,262 --> 00:45:38,181 you know, caring for the sickest patients. 1064 00:45:38,264 --> 00:45:40,600 Tell that to these charts. 1065 00:45:40,683 --> 00:45:43,353 Um, dictate. Helps you go faster. 1066 00:45:46,481 --> 00:45:49,609 Oh, uh, what happened with our patient from Westbridge? 1067 00:45:49,692 --> 00:45:51,402 You never grabbed me for his troponin. 1068 00:45:51,486 --> 00:45:53,988 Mr. Samba… it was a posterior STEMI. 1069 00:45:54,072 --> 00:45:56,324 What? Didn't show on the 12-lead. 1070 00:45:56,407 --> 00:45:57,951 Oh, usually doesn't. 1071 00:45:58,034 --> 00:46:00,995 And I think most clinicians would have missed it. 1072 00:46:01,079 --> 00:46:02,413 But you didn't. 1073 00:46:03,957 --> 00:46:05,583 Guess I got lucky. 1074 00:46:07,335 --> 00:46:10,171 Whatever, Fuckleberry. 1075 00:46:10,254 --> 00:46:12,423 Okay, I'm sorry. Did I do something to bother you? 1076 00:46:12,507 --> 00:46:13,716 Nope. 1077 00:46:16,344 --> 00:46:18,638 Okay. 1078 00:46:18,721 --> 00:46:20,390 - Yo. - What's up? 1079 00:46:20,473 --> 00:46:23,643 I got a bounce-back. You remember Debbie Cohen? 1080 00:46:23,726 --> 00:46:25,853 Not really. I've seen 16 patients this morning. 1081 00:46:25,937 --> 00:46:27,647 The restaurant worker with cellulitis 1082 00:46:27,730 --> 00:46:29,774 - on the dorsum of the foot? - Yes, yes, she's on Keflex. 1083 00:46:29,857 --> 00:46:30,984 I marked the border. 1084 00:46:31,067 --> 00:46:34,862 Yeah, I got a hot pack on it, but, uh, you should take a look. 1085 00:46:38,741 --> 00:46:40,660 Hi. Dr. Langdon. 1086 00:46:40,743 --> 00:46:43,287 I wasn't expecting to see you back so soon. 1087 00:46:43,371 --> 00:46:45,873 - Meds upset your stomach? - Uh, no. 1088 00:46:45,957 --> 00:46:48,876 The pain got worse, and you said to come back 1089 00:46:48,960 --> 00:46:51,254 if the redness spread outside the Sharpie line. 1090 00:46:51,337 --> 00:46:52,964 Let's take a look. 1091 00:46:55,049 --> 00:46:56,342 Ah. 1092 00:47:02,807 --> 00:47:04,183 It looks like the infection 1093 00:47:04,267 --> 00:47:06,227 isn't responding to the pills I prescribed you, 1094 00:47:06,310 --> 00:47:08,688 so we need to get you on some IV antibiotics 1095 00:47:08,771 --> 00:47:10,690 and get you back to the ED now. 1096 00:47:10,773 --> 00:47:12,650 Uh, i-is it bad? 1097 00:47:12,734 --> 00:47:15,278 Not if we can get a handle on it. 1098 00:47:15,361 --> 00:47:17,864 - MRSA? - Or maybe worse.