1 00:00:25,955 --> 00:00:27,915 Oh, okay. 2 00:00:27,999 --> 00:00:29,500 Where are we now? 3 00:00:29,584 --> 00:00:31,502 Got the VRI for our deaf patient in Central 12. 4 00:00:31,586 --> 00:00:33,546 Still waiting on Pedes for Baby Jane Doe. 5 00:00:33,630 --> 00:00:35,506 Central 6 is sitting pretty with his insulin drip. 6 00:00:35,590 --> 00:00:37,133 And the Westbridge diversions are 7 00:00:37,216 --> 00:00:38,468 kindly waiting their turn to sit 8 00:00:38,551 --> 00:00:40,053 for hours in our lovely halls. 9 00:00:40,136 --> 00:00:42,013 You are some kind of savant. 10 00:00:42,096 --> 00:00:43,097 Worthy of a raise? 11 00:00:43,181 --> 00:00:44,974 Just more of my love. 12 00:00:45,058 --> 00:00:46,351 I got enough of that. 13 00:00:46,434 --> 00:00:48,603 I have a sexual assault victim in triage. 14 00:00:48,686 --> 00:00:50,980 I called PAAR, so an advocate is on the way. 15 00:00:51,064 --> 00:00:53,107 Okay. We'll take care of it. 16 00:00:53,191 --> 00:00:56,235 Uh, Dr. McKay, what's going on with your patient in Central 9? 17 00:00:56,319 --> 00:00:57,570 Isn't she good to go? 18 00:00:57,654 --> 00:00:59,280 Oh, she was, but she decided 19 00:00:59,364 --> 00:01:00,782 she wanted to stay in the hospital now 20 00:01:00,865 --> 00:01:02,116 because she's in too much pain. 21 00:01:02,200 --> 00:01:03,993 In our loud and overcrowded ED 22 00:01:04,077 --> 00:01:06,329 with more Westbridge cases arriving every moment? 23 00:01:06,412 --> 00:01:08,331 She would be more comfortable at home. 24 00:01:08,414 --> 00:01:11,751 The debrief was lovely. 25 00:01:11,834 --> 00:01:13,294 Thank you. 26 00:01:13,378 --> 00:01:15,338 Would you mind helping Dana with a sexual assault victim 27 00:01:15,421 --> 00:01:17,256 - who just came in? - Of course. Sure. 28 00:01:17,340 --> 00:01:19,092 Why don't you and I go see if we can't convince 29 00:01:19,175 --> 00:01:20,843 - your patient to leave? - All right. 30 00:01:20,927 --> 00:01:23,513 I need to take care of a sexual assault victim in triage. 31 00:01:23,596 --> 00:01:25,264 One of you needs to hold down the fort. 32 00:01:25,348 --> 00:01:27,934 We can call for a SANE. On a holiday? Could be hours. 33 00:01:28,017 --> 00:01:29,686 We're not gonna make this patient wait. 34 00:01:29,769 --> 00:01:30,895 And since I'm the only SANE on staff… 35 00:01:30,978 --> 00:01:32,313 Princess will cover. 36 00:01:34,190 --> 00:01:35,775 Hey! Hey! 37 00:01:35,858 --> 00:01:37,318 You two better not be teaching her any bad habits. 38 00:01:37,402 --> 00:01:39,904 - Come on. You ready, Doc? - Sure. 39 00:01:39,987 --> 00:01:42,865 A SANE is a Sexual Assault Nurse Examiner. 40 00:01:42,949 --> 00:01:44,992 We do forensic exams, collect evidence, 41 00:01:45,076 --> 00:01:47,704 and hand it over to the police if a report is made. 42 00:01:47,787 --> 00:01:49,706 We also provide resources, support, 43 00:01:49,789 --> 00:01:51,999 - sometimes even testimony. - You go to court? 44 00:01:52,083 --> 00:01:54,961 SANEs are very valuable in a hospital, especially an ED. 45 00:01:55,044 --> 00:01:56,921 More nurses should train for it. 46 00:01:57,004 --> 00:01:59,173 That's a not so subtle hint. 47 00:02:07,265 --> 00:02:09,350 Looks like this is the new hot spot, huh? 48 00:02:09,434 --> 00:02:10,852 And only getting hotter. 49 00:02:10,935 --> 00:02:12,770 Any word on what's going on with Westbridge? 50 00:02:12,854 --> 00:02:14,105 I got 20 on lantern flies. 51 00:02:14,188 --> 00:02:16,149 Nope, nothing. 52 00:02:16,232 --> 00:02:19,569 These patient passports have an interesting alternative use. 53 00:02:19,652 --> 00:02:21,070 Where's the sexual assault victim? 54 00:02:21,154 --> 00:02:22,655 She's in Triage, Chair 2. 55 00:02:22,739 --> 00:02:24,657 Thanks, Lupe. 56 00:02:24,741 --> 00:02:25,741 Here's her intake. 57 00:02:25,783 --> 00:02:27,702 Got it. 58 00:02:34,083 --> 00:02:36,043 Hi, Ms. Miller. 59 00:02:36,127 --> 00:02:37,336 I'm Dana. 60 00:02:37,420 --> 00:02:38,880 How are you doing? 61 00:02:38,963 --> 00:02:41,507 - I've been better. - Yeah. 62 00:02:41,591 --> 00:02:42,925 You're in a safe place now. 63 00:02:43,009 --> 00:02:44,677 I'm the charge nurse in the ED 64 00:02:44,761 --> 00:02:46,929 and a sexual assault nurse examiner. 65 00:02:47,013 --> 00:02:48,639 This is Emma, who will be assisting. 66 00:02:48,723 --> 00:02:50,141 And I'm Dr. Al-Hashimi. 67 00:02:50,224 --> 00:02:51,517 I'll be checking you for any injuries 68 00:02:51,601 --> 00:02:54,228 that need immediate attention. 69 00:02:54,312 --> 00:02:56,105 You can just call me Ilana. 70 00:02:56,189 --> 00:02:57,440 I don't have any injuries. 71 00:02:57,523 --> 00:02:59,108 Okay, that's good. 72 00:02:59,192 --> 00:03:00,902 We're gonna get a room ready for you. 73 00:03:00,985 --> 00:03:02,987 Meanwhile, Dr. Al-Hashimi is gonna ask you a few questions. 74 00:03:03,070 --> 00:03:05,072 How long is this gonna take? 75 00:03:05,156 --> 00:03:06,657 I can't promise an exact time, 76 00:03:06,741 --> 00:03:09,660 but we'll try to be as fast as you need. 77 00:03:09,744 --> 00:03:11,245 - Thank you. - Yeah. 78 00:03:15,208 --> 00:03:18,461 Okay, Ilana, do you take any prescription medications? 79 00:03:18,544 --> 00:03:20,463 Just Synthroid, one tab a day. 80 00:03:20,546 --> 00:03:22,423 Okay, and any allergies to medications? 81 00:03:22,507 --> 00:03:24,467 - No. No. - Okay. 82 00:03:24,550 --> 00:03:26,511 Dana will come get you when the room is ready, 83 00:03:26,594 --> 00:03:28,930 and I'll be back to finish your exam. 84 00:03:35,812 --> 00:03:37,271 Come find me when she's in a gown. 85 00:03:37,355 --> 00:03:38,856 Will do. 86 00:03:38,940 --> 00:03:40,691 We're gonna use Triage Exam Rooms 1 and 2 for this. 87 00:03:40,775 --> 00:03:43,694 It's the most private space we have away from the ED. 88 00:03:43,778 --> 00:03:45,488 All right, this can be a lot. 89 00:03:45,571 --> 00:03:47,448 You up for it? 90 00:03:47,532 --> 00:03:48,616 Yeah. 91 00:03:48,699 --> 00:03:50,326 Yes. I'm good. 92 00:03:50,409 --> 00:03:52,829 Let me know if you need to step out. 93 00:03:59,126 --> 00:04:01,671 Yes. 94 00:04:03,840 --> 00:04:05,424 Dr. Ellis. 95 00:04:05,508 --> 00:04:07,593 - Oh, no. - Oh, yes. 96 00:04:07,677 --> 00:04:08,845 Need the room. 97 00:04:08,928 --> 00:04:10,847 Find another place to lay your head. 98 00:04:10,930 --> 00:04:13,432 Not even a 20-minute power nap? 99 00:04:13,516 --> 00:04:15,059 You know, my double is at 1:30. I'm… 100 00:04:15,142 --> 00:04:17,061 Nope, we're getting Westbridge diversions. 101 00:04:17,144 --> 00:04:18,271 And chairs is insane. 102 00:04:18,354 --> 00:04:19,772 - Did you see out there? - No. 103 00:04:19,856 --> 00:04:21,482 I do not come in through that mess. 104 00:04:21,566 --> 00:04:23,234 Okay. 105 00:04:23,317 --> 00:04:24,443 Yeah. 106 00:04:24,527 --> 00:04:25,903 People sleep in here? 107 00:04:25,987 --> 00:04:28,114 Yeah, the night shift docs just need rest, 108 00:04:28,197 --> 00:04:30,032 especially if they have to come in during the day. 109 00:04:30,116 --> 00:04:32,118 But today, we can't waste the space. 110 00:04:32,201 --> 00:04:37,540 I need you to get me a stool on wheels and Esme for a turnover. 111 00:04:40,418 --> 00:04:43,921 So you're having a headache and abdominal pain? 112 00:04:47,508 --> 00:04:49,218 Yeah, that's right. 113 00:04:49,302 --> 00:04:52,054 Okay, and which would you say is worse? 114 00:04:55,391 --> 00:04:57,143 My headache was terrible last week… 115 00:04:57,226 --> 00:05:00,187 But now… 116 00:05:00,271 --> 00:05:01,439 Hey, you're… you're breaking up. 117 00:05:01,522 --> 00:05:03,065 Can you run that back again? 118 00:05:03,149 --> 00:05:04,650 Sure. 119 00:05:07,570 --> 00:05:09,739 My headache was terrible last week… 120 00:05:09,822 --> 00:05:13,326 But now my abdominal pain… 121 00:05:13,409 --> 00:05:14,410 Oh, my God. 122 00:05:14,493 --> 00:05:16,454 Come on, you piece of… 123 00:05:16,537 --> 00:05:18,039 fuck. 124 00:05:18,122 --> 00:05:19,540 Um… 125 00:05:45,316 --> 00:05:47,735 I'll…I'll be right back. 126 00:05:47,818 --> 00:05:49,612 Sorry. 127 00:05:55,743 --> 00:05:57,119 Um, Dr. Al-Hashimi? 128 00:05:57,203 --> 00:05:58,871 Jackson's parents are here. 129 00:05:58,955 --> 00:06:01,415 Okay. I'll take that. 130 00:06:01,499 --> 00:06:04,335 Um, Mr. and Mrs. Davis, this is one of my attendings, 131 00:06:04,418 --> 00:06:06,587 - Dr. Al-Hashimi. - Hi. Nice to meet you. 132 00:06:06,671 --> 00:06:08,714 - Demi. - Charles. 133 00:06:08,798 --> 00:06:10,549 What the hell's going on? 134 00:06:10,633 --> 00:06:12,468 He's barely conscious. 135 00:06:12,551 --> 00:06:14,178 Jackson's just a little tired due to the sedative 136 00:06:14,261 --> 00:06:16,263 - he was given. - You sedated him? 137 00:06:16,347 --> 00:06:18,641 Oh, your son was brought in extremely agitated. 138 00:06:18,724 --> 00:06:19,976 You'd be, too, if you were tased. 139 00:06:20,059 --> 00:06:22,228 And why the fuck did they do that? 140 00:06:22,311 --> 00:06:24,981 This is bullshit. We're taking him home. 141 00:06:25,064 --> 00:06:27,108 Why don't we step out for a second? 142 00:06:35,533 --> 00:06:38,869 Right now, Jackson is on an involuntary psych hold. 143 00:06:38,953 --> 00:06:40,788 What? That's not necessary. 144 00:06:40,871 --> 00:06:42,164 He just needs some rest. 145 00:06:42,248 --> 00:06:44,125 He's been studying for the bar exam. 146 00:06:44,208 --> 00:06:45,543 We can watch him at home. 147 00:06:45,626 --> 00:06:47,128 So far, all of his tests look good, 148 00:06:47,211 --> 00:06:50,214 but Jackson has reported hearing voices. 149 00:06:50,297 --> 00:06:51,799 This could be serious. 150 00:06:51,882 --> 00:06:53,884 Dr. Jefferson will come back and speak with you. 151 00:06:53,968 --> 00:06:57,054 He can explain more of what may be going on with Jackson. 152 00:06:57,138 --> 00:06:58,556 And who is Dr. Jefferson? 153 00:06:58,639 --> 00:07:00,516 He's from Psychiatry, and he's excellent. 154 00:07:00,599 --> 00:07:02,643 He can explain next steps and answer all of your questions. 155 00:07:02,727 --> 00:07:05,229 Javadi, why don't you take the Davises to the family room? 156 00:07:05,312 --> 00:07:06,605 - Sure. - Excuse me. 157 00:07:06,689 --> 00:07:08,065 It's just this way. 158 00:07:29,628 --> 00:07:32,256 You have reached the Pittsburgh Neuroscience Group. 159 00:07:32,339 --> 00:07:34,300 If this is a medical emergency, 160 00:07:34,383 --> 00:07:37,303 please hang up and dial 911. 161 00:07:37,386 --> 00:07:40,347 For our address and office hours, press 1. 162 00:07:40,431 --> 00:07:43,100 To refill a prescription, press 2. 163 00:07:43,184 --> 00:07:47,688 To leave a message for the doctor on call… 164 00:07:47,772 --> 00:07:49,857 Hi, this is Dr. Baran al-Hashimi. 165 00:07:49,940 --> 00:07:51,776 I'm a patient of Dr. Fairgraves. 166 00:07:51,859 --> 00:07:55,654 I need to speak to him if he's on call. 167 00:07:55,738 --> 00:07:58,991 If he's not, I'll take his next available appointment. 168 00:07:59,075 --> 00:08:02,328 And please call me if he has a cancellation. 169 00:08:02,411 --> 00:08:04,205 Thank you. 170 00:08:04,288 --> 00:08:06,749 Like I said, you're more than welcome to stay down here 171 00:08:06,832 --> 00:08:08,584 until an inpatient bed opens up upstairs. 172 00:08:08,667 --> 00:08:11,962 But that can take a while, sometimes days, 173 00:08:12,046 --> 00:08:14,298 even longer. 174 00:08:14,381 --> 00:08:15,883 It's gonna be really noisy here, 175 00:08:15,966 --> 00:08:17,384 and you won't get any rest. 176 00:08:17,468 --> 00:08:19,178 At home, you'll be surrounded by your family 177 00:08:19,261 --> 00:08:22,681 and be more comfortable. 178 00:08:22,765 --> 00:08:24,975 It's your choice, Roxie. 179 00:08:27,019 --> 00:08:29,897 It's not that I don't wanna go home, but… 180 00:08:29,980 --> 00:08:31,982 - Hi, Mom. - Mom. 181 00:08:32,066 --> 00:08:35,778 Lena texted me to come back. I figured I'd bring the boys. 182 00:08:35,861 --> 00:08:38,280 What's going on? Is everything okay? 183 00:08:38,364 --> 00:08:42,076 Robby, police officer, incoming trauma. 184 00:08:42,159 --> 00:08:43,202 Coming. 185 00:08:43,285 --> 00:08:44,537 I'll be right back. 186 00:08:44,620 --> 00:08:46,288 We'll give you a chance to talk. 187 00:08:48,666 --> 00:08:51,377 Okay, why don't you have a seat? 188 00:08:59,051 --> 00:09:01,554 Do you need anything before we begin? 189 00:09:06,308 --> 00:09:08,936 You're in control now, Ilana. 190 00:09:09,019 --> 00:09:11,647 We're here to help and support you. 191 00:09:11,730 --> 00:09:15,109 Once I open this kit, I cannot leave the room. 192 00:09:15,192 --> 00:09:18,195 But if you need a break or some air, just let us know. 193 00:09:18,279 --> 00:09:21,448 Okay? Emma can go with you if you like. 194 00:09:21,532 --> 00:09:23,993 An advocate from Pittsburgh Action Against Rape 195 00:09:24,076 --> 00:09:25,661 has been called, and they should arrive soon. 196 00:09:25,744 --> 00:09:28,372 - Can we start? - Sure. 197 00:09:28,455 --> 00:09:29,748 I'm gonna put my face shield on 198 00:09:29,832 --> 00:09:31,959 so I don't contaminate anything. 199 00:09:32,042 --> 00:09:34,920 Emma has already done the same. 200 00:09:35,004 --> 00:09:39,008 Now, in order for the doctor to do her exam, 201 00:09:39,091 --> 00:09:40,384 I need you in a gown, 202 00:09:40,467 --> 00:09:41,802 but I need to collect your clothing first. 203 00:09:41,886 --> 00:09:43,888 Is that okay? 204 00:09:47,683 --> 00:09:50,686 I'm gonna need you to undress on top of these pads. 205 00:09:50,769 --> 00:09:53,606 Put each item of clothing on the pads, okay? 206 00:09:53,689 --> 00:09:57,276 Then we'll package each piece in a separate bag. 207 00:09:57,359 --> 00:09:58,402 We'll get you new clothes. 208 00:09:58,485 --> 00:09:59,778 - Don't worry. - All right. 209 00:09:59,862 --> 00:10:01,530 Emma's gonna be behind this curtain, 210 00:10:01,614 --> 00:10:04,575 and I'll be in here with you. 211 00:10:04,658 --> 00:10:07,578 And take off your shoes first. 212 00:10:07,661 --> 00:10:12,124 When you're done, I want you to put on your gown 213 00:10:12,208 --> 00:10:15,211 open in the back. 214 00:10:39,485 --> 00:10:41,654 What if the mom doesn't wanna leave? 215 00:10:41,737 --> 00:10:44,114 Well, then she's gonna have to put up with us. 216 00:10:45,991 --> 00:10:48,786 I can't imagine…her boys. 217 00:10:48,869 --> 00:10:50,496 Oh, don't go there. 218 00:10:50,579 --> 00:10:52,248 I'm gonna see if I can grease the wheels, 219 00:10:52,331 --> 00:10:53,457 get her a room upstairs soon. 220 00:10:53,540 --> 00:10:55,376 Good luck. What was that? 221 00:10:55,459 --> 00:10:56,877 Battle plan for our hall space. 222 00:10:56,961 --> 00:10:58,379 It's filling up fast. 223 00:10:58,462 --> 00:11:00,047 Police officer should be here any minute. 224 00:11:00,130 --> 00:11:01,966 Yeah, well, as soon as you can, please, 225 00:11:02,049 --> 00:11:03,300 I need you to fix the VRI. 226 00:11:03,384 --> 00:11:04,635 All right. Thanks. 227 00:11:04,718 --> 00:11:06,178 Santos, I need you to pick up some more 228 00:11:06,262 --> 00:11:07,721 - of these Westbridge diversions. - Sure. 229 00:11:07,805 --> 00:11:09,139 You want my firstborn too? 230 00:11:09,223 --> 00:11:11,308 Maybe. Will they know how to suture? 231 00:11:11,392 --> 00:11:12,935 Intubated neck wound, sats not great. 232 00:11:13,018 --> 00:11:15,020 We were diverted here. Is there a trauma room open? 233 00:11:15,104 --> 00:11:16,730 - Trauma 1! - What's the story? 234 00:11:16,814 --> 00:11:19,400 My buddy, Officer Hiro, high-velocity GSW. 235 00:11:19,483 --> 00:11:20,776 He's getting harder to bag. 236 00:11:20,859 --> 00:11:23,612 Warehouse robbery gone sideways. 237 00:11:23,696 --> 00:11:24,780 One, two, three. 238 00:11:24,863 --> 00:11:26,156 You guys wait here. 239 00:11:26,240 --> 00:11:27,908 We'll take care of him, I promise. 240 00:11:27,992 --> 00:11:29,660 I thought you left us already for the open road? 241 00:11:29,743 --> 00:11:31,245 And miss seeing you in uniform? 242 00:11:31,328 --> 00:11:32,997 You should see me as a flight attendant. 243 00:11:33,080 --> 00:11:35,207 - Did you do this intubation? - Under active fire, yeah. 244 00:11:35,291 --> 00:11:36,792 Are you serious? 245 00:11:36,875 --> 00:11:38,460 I go in with the team in case there's an injury. 246 00:11:38,544 --> 00:11:39,920 That's badass. 247 00:11:40,004 --> 00:11:41,547 Dr. Santos, let's make sure these lungs are up. 248 00:11:41,630 --> 00:11:43,340 - Could you see the cords? - Yeah, there was a great view, 249 00:11:43,424 --> 00:11:45,134 but it was hard to pass after I cleared them. 250 00:11:45,217 --> 00:11:46,969 Yeah, sats down to 85. 251 00:11:47,052 --> 00:11:49,013 Dr. Santos, what could cause respiratory failure 252 00:11:49,096 --> 00:11:50,597 in an intubated patient? 253 00:11:50,681 --> 00:11:51,932 There are a lot of possibilities. 254 00:11:52,016 --> 00:11:53,350 Think DOPE. 255 00:11:53,434 --> 00:11:55,728 Displacement, Obstruction, Pneumothorax, 256 00:11:55,811 --> 00:11:57,062 Equipment failure. 257 00:11:57,146 --> 00:11:59,606 Good lung sliding, no pneumo. 258 00:11:59,690 --> 00:12:01,108 It is displacement. 259 00:12:01,191 --> 00:12:03,652 Okay, that is a transected trachea. 260 00:12:05,654 --> 00:12:07,656 Pulling out. 261 00:12:07,740 --> 00:12:09,158 Bag. 262 00:12:09,241 --> 00:12:10,701 But if you intubate again, won't it just come straight 263 00:12:10,784 --> 00:12:12,161 - out the wound? - Yep, exactly. 264 00:12:12,244 --> 00:12:13,579 So we're gonna need another plan. 265 00:12:13,662 --> 00:12:15,289 Okay. Sats down to 83. 266 00:12:15,372 --> 00:12:16,790 Yeah, he's not moving any air. 267 00:12:16,874 --> 00:12:18,709 Okay, I need a neonatal mask. 268 00:12:18,792 --> 00:12:21,211 - Neonatal? - Yep. 269 00:12:21,295 --> 00:12:23,714 I'm just going to finish my initial exam. 270 00:12:23,797 --> 00:12:25,966 Let me know if you feel any pain, okay? 271 00:12:29,762 --> 00:12:32,389 My legs are fine. 272 00:12:32,473 --> 00:12:34,016 All looks good. 273 00:12:34,099 --> 00:12:36,560 No need for X-rays or advanced imaging. 274 00:12:36,643 --> 00:12:37,978 Got it. 275 00:12:38,062 --> 00:12:40,522 - Two areas of ecchymosis… - That means bruising. 276 00:12:40,606 --> 00:12:42,191 Over the shoulders bilaterally. 277 00:12:42,274 --> 00:12:43,901 - I'll document with photos. - Okay. 278 00:12:43,984 --> 00:12:46,028 Dana will finish up her work, and I will be in the ER 279 00:12:46,111 --> 00:12:47,738 if you have any questions. 280 00:12:47,821 --> 00:12:49,323 You're in great hands. 281 00:12:49,406 --> 00:12:51,909 Thank you. 282 00:12:51,992 --> 00:12:54,244 All right, Ilana. 283 00:12:54,328 --> 00:12:56,205 I read your intake. 284 00:12:56,288 --> 00:12:57,581 Why don't you give me your description 285 00:12:57,664 --> 00:12:59,208 of exactly what happened? 286 00:13:02,086 --> 00:13:06,131 I was at a 4th of July barbecue 287 00:13:06,215 --> 00:13:08,967 with a bunch of friends. 288 00:13:09,051 --> 00:13:11,762 I helped set up. 289 00:13:19,144 --> 00:13:20,604 Where does it hurt? 290 00:13:20,687 --> 00:13:24,066 Like here, under my belly button. 291 00:13:24,149 --> 00:13:27,444 Okay, do you have any fever, vomiting, diarrhea? 292 00:13:27,528 --> 00:13:30,864 Oh, no. It's…it's just a stomachache. 293 00:13:30,948 --> 00:13:33,158 Okay, well, still, go see the nurse and have her call me. 294 00:13:33,242 --> 00:13:34,618 Okay. 295 00:13:34,701 --> 00:13:37,079 But I'm still having ice cream tonight. 296 00:13:37,162 --> 00:13:39,248 Why don't you see how you feel later? 297 00:13:39,331 --> 00:13:42,793 It…it's not bad. You don't have to get so sad. 298 00:13:42,876 --> 00:13:45,170 I'm not sad. I'm…I'm good. 299 00:13:45,254 --> 00:13:47,506 Your face doesn't look good. 300 00:13:47,589 --> 00:13:48,924 Oh. 301 00:13:49,007 --> 00:13:51,009 Well, you still wanna watch the fireworks tonight? 302 00:13:51,093 --> 00:13:52,386 I have our headphones… 303 00:13:54,012 --> 00:13:56,473 - I'm not being rude. - Sorry, Becca. I gotta go. 304 00:14:02,479 --> 00:14:05,774 Elliot Green, 17, syncopal episode at football practice. 305 00:14:05,858 --> 00:14:07,651 Look, I just got dizzy, okay? 306 00:14:07,734 --> 00:14:09,236 It's hell week. I need to get back. 307 00:14:09,319 --> 00:14:10,988 Yeah, okay, tough guy. 308 00:14:11,071 --> 00:14:14,992 A and O, systolic of 95, tachy at 122, no meds, no allergies. 309 00:14:15,075 --> 00:14:16,493 How long were you at practice? 310 00:14:16,577 --> 00:14:18,996 I started at 9:00, so, like, four hours. 311 00:14:19,079 --> 00:14:21,457 Four hours in this heat with all that gear? 312 00:14:21,540 --> 00:14:23,667 No pain, no game. 313 00:14:25,627 --> 00:14:28,172 God, I'm hungry. 314 00:14:29,715 --> 00:14:33,010 Hey. When's our break? There's no breaks down here. 315 00:14:33,093 --> 00:14:36,054 Always make sure you pack a protein bar, something quick. 316 00:14:36,138 --> 00:14:39,975 Ogilvie, Joy, jump in on this. 317 00:14:40,058 --> 00:14:41,477 Syncope at football practice. 318 00:14:41,560 --> 00:14:44,646 No, I just… I just needed to hydrate. 319 00:14:44,730 --> 00:14:46,023 Possible heatstroke? 320 00:14:46,106 --> 00:14:47,274 Well, with heatstroke, you would have 321 00:14:47,357 --> 00:14:48,650 an altered mental status. 322 00:14:48,734 --> 00:14:50,152 And they're usually dry, not sweaty. 323 00:14:50,235 --> 00:14:52,029 Mortality is 50%, especially in the elderly. 324 00:14:52,112 --> 00:14:54,364 In extreme heat like this… 325 00:14:55,407 --> 00:14:56,783 Langdon, can you cover this? 326 00:14:56,867 --> 00:14:59,286 - No problem. - Mr. Diaz. Orlando. 327 00:14:59,369 --> 00:15:01,163 Orlando, where are you going? 328 00:15:01,246 --> 00:15:02,998 - Home. Can you take these out? - Uh, no. 329 00:15:03,081 --> 00:15:05,125 It takes 48 hours for you to get out of DKA. 330 00:15:05,209 --> 00:15:06,919 Your blood is still full of acid. 331 00:15:07,002 --> 00:15:08,504 Look, I can't add thousands of dollars 332 00:15:08,587 --> 00:15:09,796 to the 100 grand I already owe. 333 00:15:09,880 --> 00:15:11,715 I'm…I'm sorry. 100 grand? 334 00:15:11,798 --> 00:15:13,967 In medical debt. My wife doesn't even know. 335 00:15:14,051 --> 00:15:15,969 I'll never be able to pay it off as it is. 336 00:15:16,053 --> 00:15:17,179 Where are your wife and daughter? 337 00:15:17,262 --> 00:15:18,639 Maybe we can all talk. 338 00:15:18,722 --> 00:15:20,224 I told them to go back to work a couple hours ago. 339 00:15:20,307 --> 00:15:21,892 But the hospital is giving you a big discount. 340 00:15:21,975 --> 00:15:23,685 And, Mr. Diaz, I know it's not ideal, 341 00:15:23,769 --> 00:15:25,437 but can you stay for at least 12 hours? 342 00:15:25,521 --> 00:15:27,147 It would get you out of the danger zone. 343 00:15:27,231 --> 00:15:29,733 No. I really can't. 344 00:15:29,816 --> 00:15:33,195 Every minute I stay is a meal, shoes, school supplies. 345 00:15:33,278 --> 00:15:35,697 Plus, I have a second job I have to get to by 4:00. 346 00:15:35,781 --> 00:15:38,617 - You need fluids! - I drink plenty of water. 347 00:15:38,700 --> 00:15:40,994 And potassium and insulin. Okay, how about this? 348 00:15:41,078 --> 00:15:43,747 You stay and I'll get together everything you'll need at home. 349 00:15:43,830 --> 00:15:48,085 Also, a referral to Northside Christian Health Center. 350 00:15:48,168 --> 00:15:50,462 Come on. You don't work until 4:00. 351 00:15:50,546 --> 00:15:53,173 It'll keep you from passing out on the job again… 352 00:15:53,257 --> 00:15:54,508 or worse. 353 00:15:58,470 --> 00:15:59,930 Okay, I guess. 354 00:16:00,013 --> 00:16:01,098 Great. 355 00:16:01,181 --> 00:16:03,016 Thank you. Please. 356 00:16:06,395 --> 00:16:07,896 Sats up to 98. 357 00:16:07,980 --> 00:16:10,649 - Neonatal mask is working. - Santos, finish the FAST. 358 00:16:10,732 --> 00:16:11,942 What…what are you injecting? 359 00:16:12,025 --> 00:16:13,193 Lido with epi. 360 00:16:13,277 --> 00:16:14,695 It'll clamp off any little bleeders. 361 00:16:14,778 --> 00:16:16,196 We need some skin hooks. 4 Shiley? 362 00:16:16,280 --> 00:16:18,574 Mm, I don't like the curve of a Shiley. 363 00:16:18,657 --> 00:16:20,242 I didn't know you were so picky. 364 00:16:20,325 --> 00:16:21,326 Santos, take a break. 365 00:16:21,410 --> 00:16:23,453 Help me cut down a 6-0 ET tube. 366 00:16:23,537 --> 00:16:24,871 What is going on here? 367 00:16:24,955 --> 00:16:26,582 You have a field medic assisting you? 368 00:16:26,665 --> 00:16:27,958 Dr. Abbot is an attending, 369 00:16:28,041 --> 00:16:29,501 and he's also a SWAT physician. 370 00:16:29,585 --> 00:16:32,671 My buddy Hiro here is in bad need of an airway. 371 00:16:32,754 --> 00:16:34,047 - Cut it right here. - We can do this. 372 00:16:34,131 --> 00:16:35,299 No, no, I got it. 373 00:16:35,382 --> 00:16:36,425 You must be Gloria's new hire. 374 00:16:36,508 --> 00:16:37,926 Yes. Dr. Al-Hashimi. 375 00:16:38,010 --> 00:16:40,053 Well, I'd shake your hand, but my tube is ready. 376 00:16:40,137 --> 00:16:41,847 And if I could find and secure the distal trachea, 377 00:16:41,930 --> 00:16:43,181 we have a shot at this. 378 00:16:43,265 --> 00:16:45,642 Okay, keeping an eye on the sats. 379 00:16:45,726 --> 00:16:47,769 Slow is smooth. Smooth is fast. 380 00:16:47,853 --> 00:16:50,147 You know, you can call me just to say hi sometimes. 381 00:16:50,230 --> 00:16:51,440 What's up now? 382 00:16:51,523 --> 00:16:52,983 GSW with tracheal transection. 383 00:16:53,066 --> 00:16:56,361 Very retracted, but I think I can get it. 384 00:16:56,445 --> 00:16:58,113 Both lungs are up? 385 00:16:58,196 --> 00:17:00,490 - Sats down to 91. - Scanning the belly now. 386 00:17:00,574 --> 00:17:02,075 Okay. 387 00:17:03,619 --> 00:17:05,370 I got it. I got it. 388 00:17:08,290 --> 00:17:10,208 Gently, gently, or we're gonna lose it. 389 00:17:10,292 --> 00:17:12,044 Down to 89. 390 00:17:12,127 --> 00:17:13,211 Oh, no. 391 00:17:13,295 --> 00:17:15,255 I'm in. Balloon up. 392 00:17:17,174 --> 00:17:19,801 End tidal, excellent wave form. 393 00:17:19,885 --> 00:17:21,970 Good breath sounds. 394 00:17:22,054 --> 00:17:25,474 I'll sew the tracheal to the skin, 2-0 silk. 395 00:17:25,557 --> 00:17:27,184 - Sats are coming up. - Whoo. 396 00:17:27,267 --> 00:17:29,645 Not bad, Abbot. 397 00:17:29,728 --> 00:17:31,772 Mm, while you were playing with that airway, 398 00:17:31,855 --> 00:17:33,857 you missed a big bruise in the left upper quadrant. 399 00:17:33,940 --> 00:17:35,275 He was wearing body armor. 400 00:17:35,359 --> 00:17:36,526 High-velocity projectile doesn't have 401 00:17:36,610 --> 00:17:38,570 to penetrate to damage. 402 00:17:38,654 --> 00:17:41,031 There's no fluid in the suprasplenic space. 403 00:17:41,114 --> 00:17:43,241 Let me look. 404 00:17:43,325 --> 00:17:44,534 Okay, right there. 405 00:17:46,828 --> 00:17:49,122 Looks like a subcapsular hematoma of his spleen. 406 00:17:49,206 --> 00:17:50,666 Must have been a big impact. 407 00:17:50,749 --> 00:17:53,585 AR-15 muzzle velocity is 3,000 feet per second. 408 00:17:53,669 --> 00:17:55,087 CT angio of the neck ASAP, 409 00:17:55,170 --> 00:17:57,714 along with CT chest, abdomen, pelvis. 410 00:17:57,798 --> 00:18:00,967 Yep, just as soon as we secure this tube. 411 00:18:04,513 --> 00:18:07,015 - First liter's in. - Mucous membranes dry. 412 00:18:07,099 --> 00:18:09,226 Pupils 4 millimeters reactive. 413 00:18:09,309 --> 00:18:10,602 Did you get tackled today? 414 00:18:10,686 --> 00:18:12,020 No, just running drills. 415 00:18:12,104 --> 00:18:13,939 Any chest pain? Palpitations? 416 00:18:14,022 --> 00:18:15,273 No. 417 00:18:15,357 --> 00:18:16,650 Hands off, please, running the 12 lead. 418 00:18:16,733 --> 00:18:18,151 How are we looking? 419 00:18:18,235 --> 00:18:19,778 Good. Healthy kid. 420 00:18:19,861 --> 00:18:21,279 No history, no trauma. 421 00:18:21,363 --> 00:18:24,241 Differential for syncope in an adolescent? 422 00:18:24,324 --> 00:18:26,368 Cardiac arrhythmia from drugs… 423 00:18:26,451 --> 00:18:27,619 - Hypovolemia, seizure… - Long QT, WPW… 424 00:18:27,703 --> 00:18:29,246 - Sepsis. - Or Brugada. 425 00:18:29,329 --> 00:18:31,540 Uh, Brugada is more common in Asian males. 426 00:18:31,623 --> 00:18:33,041 But still should be considered. 427 00:18:33,125 --> 00:18:34,543 Long odds, though. 428 00:18:34,626 --> 00:18:36,461 Brugada prevalence is 1 in 20,000 in North America, 429 00:18:36,545 --> 00:18:39,297 as high as 1 in 300 in Asia and the Middle East. 430 00:18:39,381 --> 00:18:40,632 And? 431 00:18:40,716 --> 00:18:42,801 First described in 1992, has a high incidence 432 00:18:42,884 --> 00:18:44,678 of sudden death among young patients with otherwise 433 00:18:44,761 --> 00:18:47,180 - structurally normal hearts… - Oof, oof, wait. 434 00:18:47,264 --> 00:18:48,807 Did you just say "sudden death"? 435 00:18:48,890 --> 00:18:50,267 Temp is 102.5. 436 00:18:50,350 --> 00:18:51,685 Sorry, our student doctors are discussing 437 00:18:51,768 --> 00:18:54,187 a rare condition you don't have. 438 00:18:54,271 --> 00:18:57,399 I…I just didn't drink enough water. 439 00:18:57,482 --> 00:19:00,402 I overheated. 440 00:19:00,485 --> 00:19:01,945 Not my type, bud. 441 00:19:02,028 --> 00:19:05,198 Other than standard labs, what else to order? 442 00:19:08,660 --> 00:19:10,454 CK to rule out rhabdo. 443 00:19:10,537 --> 00:19:11,705 To make sure you don't have 444 00:19:11,788 --> 00:19:13,248 any muscle breakdown from the heat. 445 00:19:13,331 --> 00:19:15,333 Let's set up a cooling room for Elliot here 446 00:19:15,417 --> 00:19:18,712 and the other heat exhaustions we'll inevitably get today. 447 00:19:22,424 --> 00:19:24,050 Last photo. 448 00:19:28,054 --> 00:19:29,139 Okay. 449 00:19:29,222 --> 00:19:31,391 We'll take the SD card and seal it 450 00:19:31,475 --> 00:19:34,686 in an evidence envelope with everything else. 451 00:19:34,770 --> 00:19:36,062 Okay. 452 00:19:36,146 --> 00:19:40,025 Next, Emma's gonna turn off the light, 453 00:19:40,108 --> 00:19:42,527 and I'll run a blue light over your skin. 454 00:19:42,611 --> 00:19:48,158 Anything glows, I'll swab it with a wet, then dry Q-tip. 455 00:19:48,241 --> 00:19:49,409 Is that okay? 456 00:19:49,493 --> 00:19:50,619 Yeah, sure. 457 00:19:53,079 --> 00:19:54,247 All right. 458 00:19:54,331 --> 00:19:56,374 Take off your gown on the left side 459 00:19:56,458 --> 00:19:59,127 and turn a little bit towards me, just to the left. 460 00:20:01,087 --> 00:20:02,506 There. 461 00:20:27,113 --> 00:20:28,698 Something on the left wrist. 462 00:20:28,782 --> 00:20:29,950 Swab. 463 00:20:37,332 --> 00:20:38,332 Sorry. 464 00:20:38,375 --> 00:20:39,626 Don't be. 465 00:20:39,709 --> 00:20:41,419 - It's just cold. - Yeah. 466 00:20:41,503 --> 00:20:43,255 Almost done. 467 00:20:49,511 --> 00:20:51,763 - Thanks, Antoine. - No problem. 468 00:20:51,847 --> 00:20:53,390 Keep your head down out there. 469 00:20:53,473 --> 00:20:54,933 What's the story? 470 00:20:55,016 --> 00:20:56,518 Neck angio is negative, missed the carotids. 471 00:20:56,601 --> 00:20:58,311 - He's lucky. - What about the belly? 472 00:20:58,395 --> 00:21:01,189 Small splenic injury, no free fluid in the abdomen. 473 00:21:01,273 --> 00:21:03,066 - That should heal on its own. - What's the plan? 474 00:21:03,149 --> 00:21:04,526 Head and Neck will have an OR ready 475 00:21:04,609 --> 00:21:05,861 with thoracic standing by. 476 00:21:05,944 --> 00:21:07,571 How soon can they take him? 477 00:21:07,654 --> 00:21:09,114 We're a little backed up with Westbridge patients, 478 00:21:09,197 --> 00:21:10,365 but let's bring him up. 479 00:21:10,448 --> 00:21:12,868 I'll get him taken care of for you. 480 00:21:12,951 --> 00:21:14,494 Hey. 481 00:21:14,578 --> 00:21:17,622 You're gonna be okay, Hiro. We're getting you to surgery. 482 00:21:17,706 --> 00:21:18,790 I'll write the procedure note. 483 00:21:18,874 --> 00:21:20,000 Thank you. 484 00:21:25,005 --> 00:21:26,047 SWAT? Really? 485 00:21:26,131 --> 00:21:28,049 I suck at golf. 486 00:21:28,133 --> 00:21:30,385 You spend time in the Middle East? 487 00:21:30,468 --> 00:21:31,970 More than I would have liked. 488 00:21:32,053 --> 00:21:34,806 I worked in Kabul with Médecins Sans Frontières 489 00:21:34,890 --> 00:21:37,559 and in 2020, at the maternity hospital. 490 00:21:37,642 --> 00:21:41,354 I met the most incredible, bravest doctors there. 491 00:21:41,438 --> 00:21:43,690 Dasht-e-Barchi. 492 00:21:43,773 --> 00:21:46,234 Tragedy. 493 00:21:46,318 --> 00:21:49,487 We should grab a beer sometime, share war stories. 494 00:21:49,571 --> 00:21:51,656 I'd like that. 495 00:21:54,659 --> 00:21:55,645 She seems cool. 496 00:21:55,660 --> 00:21:57,162 Yep, maybe. 497 00:21:57,245 --> 00:22:00,874 I'm not gonna be around long enough to find out. 498 00:22:00,957 --> 00:22:03,126 Oh, there she is! Vic! 499 00:22:03,209 --> 00:22:04,294 Dad! 500 00:22:04,377 --> 00:22:07,589 Victoria, this is Dr. Amy Joon. 501 00:22:07,672 --> 00:22:09,424 Dr. Joon is the smartest person I know. 502 00:22:09,507 --> 00:22:10,884 Don't tell your mother. Just kidding. 503 00:22:12,260 --> 00:22:13,260 But seriously, don't. 504 00:22:13,303 --> 00:22:14,554 - Hi. - Hello. 505 00:22:14,638 --> 00:22:16,723 Are…are you here to see a patient? 506 00:22:16,806 --> 00:22:18,350 No. We're here to see you. 507 00:22:18,433 --> 00:22:19,726 Dr. Joon is Chief of Dermatology. 508 00:22:19,809 --> 00:22:21,311 And Victoria's first shift in the ER 509 00:22:21,394 --> 00:22:24,189 was on the day of the PittFest shooting. 510 00:22:24,272 --> 00:22:26,274 I heard all the incredible stories, 511 00:22:26,358 --> 00:22:30,195 including your own acts of med student prowess. 512 00:22:30,278 --> 00:22:31,947 Wow, med student prowess. 513 00:22:32,030 --> 00:22:34,074 That's… I'm…I'm pretty sure 514 00:22:34,157 --> 00:22:35,659 I was just trying to stay out of the way. 515 00:22:35,742 --> 00:22:36,993 Ah, she's modest, like her dad. 516 00:22:37,077 --> 00:22:38,828 And her mother? 517 00:22:38,912 --> 00:22:41,039 Oh. Sorry. 518 00:22:41,122 --> 00:22:42,832 Dr. Joon. 519 00:22:42,916 --> 00:22:44,709 Yep, coming. 520 00:22:44,793 --> 00:22:46,836 I'm doing a favor for someone at the mayor's office 521 00:22:46,920 --> 00:22:49,798 who needs Mohs surgery on a basal cell carcinoma. 522 00:22:49,881 --> 00:22:51,758 And then I am grilling for 30. 523 00:22:51,841 --> 00:22:53,760 - Oh, wow. - Happy 4th, all. 524 00:22:53,843 --> 00:22:55,053 - Happy 4th. - Yeah. 525 00:22:55,136 --> 00:22:57,263 - Thanks for coming down. - My pleasure. 526 00:22:57,347 --> 00:22:59,474 - Let's grab a coffee sometime. - Absolutely. Yes. 527 00:22:59,557 --> 00:23:01,810 Thank you. 528 00:23:01,893 --> 00:23:04,354 You know Mom really wants me to go into surgery. 529 00:23:04,437 --> 00:23:06,189 Ah, your mom wants me to stop drinking 530 00:23:06,272 --> 00:23:08,650 - and join a pickleball league. - Oh, that's the same. 531 00:23:08,733 --> 00:23:10,276 - Yeah, well… - Exact same. 532 00:23:10,360 --> 00:23:12,654 I will risk an Achilles tear before I give up scotch. 533 00:23:12,737 --> 00:23:14,739 Hey, I hope I didn't embarrass you coming down here. 534 00:23:14,823 --> 00:23:16,157 No. 535 00:23:16,241 --> 00:23:17,951 I'm just trying to present you with some options 536 00:23:18,034 --> 00:23:19,411 for your residency. 537 00:23:19,494 --> 00:23:21,496 I…I really appreciate it, Dad. 538 00:23:21,579 --> 00:23:23,665 I do. I just… 539 00:23:23,748 --> 00:23:25,792 I'm still not sure. 540 00:23:25,875 --> 00:23:27,544 Well, either way, you'll do what's right. 541 00:23:27,627 --> 00:23:28,878 You always do. 542 00:23:28,962 --> 00:23:30,797 - Proud of ya. - Okay. 543 00:23:30,880 --> 00:23:33,383 Dr. Javadi, you are a man of many talents. 544 00:23:33,466 --> 00:23:35,176 You don't know the half of it. 545 00:23:35,260 --> 00:23:36,344 Your daughter has some 546 00:23:36,428 --> 00:23:37,929 high standards to live up to. 547 00:23:38,013 --> 00:23:40,724 Oh, you don't know the half of it. 548 00:23:43,643 --> 00:23:46,980 Mr. and Mrs. Davis, this is Dr. Jefferson from Psychiatry. 549 00:23:47,063 --> 00:23:48,857 Please call me Caleb. 550 00:23:48,940 --> 00:23:51,276 Can you tell us what's going on with our son? 551 00:23:51,359 --> 00:23:55,113 All of his labs and X-rays came back normal. 552 00:23:55,196 --> 00:23:58,783 Given his age and his hearing voices, 553 00:23:58,867 --> 00:24:03,496 do either of you have a family history of mental illness? 554 00:24:03,580 --> 00:24:04,998 Not mine. 555 00:24:11,838 --> 00:24:13,423 My brother took his own life. 556 00:24:13,506 --> 00:24:15,800 Wait, what? 557 00:24:15,884 --> 00:24:18,011 Uncle Ken? 558 00:24:18,094 --> 00:24:19,888 You said he drank himself to death. 559 00:24:19,971 --> 00:24:21,723 - Ma. - He did that too. 560 00:24:21,806 --> 00:24:23,016 Was he ever formally diagnosed 561 00:24:23,099 --> 00:24:24,225 with a mental health issue? 562 00:24:24,309 --> 00:24:25,518 No. 563 00:24:25,602 --> 00:24:28,605 He was depressed, had mood swings. 564 00:24:28,688 --> 00:24:30,398 - But he didn't wanna see anyone. - Oh, my God. 565 00:24:30,482 --> 00:24:32,567 Okay, why am I just now hearing about this? 566 00:24:32,650 --> 00:24:34,944 - Jada, please. - Please what, Mom? 567 00:24:35,028 --> 00:24:37,906 Why would you not tell Jackson or me? 568 00:24:37,989 --> 00:24:39,365 I can't believe this. 569 00:24:39,449 --> 00:24:41,117 - Jada. - Excuse me. 570 00:24:41,201 --> 00:24:42,285 Jada. 571 00:24:49,834 --> 00:24:51,628 What happens next? 572 00:24:51,711 --> 00:24:54,047 We keep your son here for the next three days 573 00:24:54,130 --> 00:24:56,049 for observation and therapy. 574 00:24:56,132 --> 00:24:58,676 And that will help us to understand what is going on. 575 00:24:58,760 --> 00:25:00,178 Jada should really hear this. 576 00:25:00,261 --> 00:25:03,056 Let me see if I can find her, bring her back. 577 00:25:05,725 --> 00:25:08,144 Okay. I'm gonna swab your mouth now. 578 00:25:08,228 --> 00:25:09,854 My mouth? 579 00:25:09,938 --> 00:25:13,858 Two dry swabs along the inside of your cheek 580 00:25:13,942 --> 00:25:15,985 and then along the gum line. 581 00:25:19,697 --> 00:25:21,658 How you feeling? 582 00:25:23,326 --> 00:25:25,245 I wish this day never happened. 583 00:25:25,328 --> 00:25:27,288 Would you like some medicine to help you relax? 584 00:25:27,372 --> 00:25:29,541 You've experienced a horrific trauma. 585 00:25:32,043 --> 00:25:33,878 You've been doing this a while? 586 00:25:33,962 --> 00:25:35,380 Let's just say Florence Nightingale 587 00:25:35,463 --> 00:25:37,382 and I were roommates. 588 00:25:37,465 --> 00:25:39,926 Who? 589 00:25:40,009 --> 00:25:41,469 I rest my case. 590 00:25:41,553 --> 00:25:43,805 She was the founder of modern nursing. 591 00:25:45,723 --> 00:25:48,017 Okay, you can have something to eat or drink now. 592 00:25:48,101 --> 00:25:50,061 - I'm fine. - Are you sure? 593 00:25:50,145 --> 00:25:51,855 I'll just keep going. 594 00:25:51,938 --> 00:25:53,898 Okay. 595 00:26:00,613 --> 00:26:05,326 We now have a heat exhaustion treatment area in North 5. 596 00:26:05,410 --> 00:26:07,829 Evaporated cooling. Great plan. 597 00:26:07,912 --> 00:26:12,542 Yeah, it was Dr. Langdon's idea. 598 00:26:12,625 --> 00:26:16,462 He figured we'd be seeing a lot more patients in this heat. 599 00:26:16,546 --> 00:26:18,214 He's right. 600 00:26:18,298 --> 00:26:19,424 How are you feeling? 601 00:26:19,507 --> 00:26:21,926 That's a loaded question. 602 00:26:22,010 --> 00:26:23,970 It wasn't meant to be. 603 00:26:24,053 --> 00:26:26,222 You have a deposition in a couple of hours? 604 00:26:26,306 --> 00:26:28,474 - Yes. - How are you feeling about it? 605 00:26:28,558 --> 00:26:30,560 Um, trying to think positively 606 00:26:30,643 --> 00:26:33,646 but feeling, um, less so. 607 00:26:33,730 --> 00:26:35,940 This job's really important to me and my sister. 608 00:26:36,024 --> 00:26:37,525 You know, I support both of us. 609 00:26:37,609 --> 00:26:38,609 It's gonna go great. 610 00:26:38,651 --> 00:26:40,236 Just tell them what happened. 611 00:26:40,320 --> 00:26:41,821 You're not at fault. Your job's not in jeopardy. 612 00:26:41,905 --> 00:26:43,907 I mean, the lawyers said that I could… 613 00:26:43,990 --> 00:26:46,075 The lawyers' job is to try and shake your confidence. 614 00:26:46,159 --> 00:26:48,494 So don't let them. You're a very good doctor. 615 00:26:48,578 --> 00:26:50,663 I have been training residents for years. 616 00:26:50,747 --> 00:26:53,374 You are one of the very best. 617 00:26:53,458 --> 00:26:54,667 I am? 618 00:26:54,751 --> 00:26:55,835 No, we need to stick to the plan. 619 00:26:55,919 --> 00:26:57,003 - I promise. - Look. 620 00:26:57,086 --> 00:26:58,213 Thanks. 621 00:26:58,296 --> 00:26:59,547 She's not thinking clearly, okay? 622 00:26:59,631 --> 00:27:00,673 It's gonna be great. 623 00:27:00,757 --> 00:27:02,008 This is not what she wants. 624 00:27:02,091 --> 00:27:03,801 Then I'm taking her home. That's it. 625 00:27:03,885 --> 00:27:05,845 We have to honor your wife's wishes. 626 00:27:05,929 --> 00:27:07,347 Even if she's loaded up on morphine 627 00:27:07,430 --> 00:27:09,182 - and can't think straight? - Especially then. 628 00:27:09,265 --> 00:27:10,725 Hello. 629 00:27:10,808 --> 00:27:12,810 Paul Hamler, this is my attending, Dr. Robinavitch. 630 00:27:12,894 --> 00:27:14,187 - Hi. - Hi. 631 00:27:14,270 --> 00:27:16,689 Uh, my wife is not thinking clearly. 632 00:27:16,773 --> 00:27:19,234 What is it that she's asking for? 633 00:27:19,317 --> 00:27:21,486 Said she wants to stay here. 634 00:27:21,569 --> 00:27:23,529 Why don't we all go in and talk? 635 00:27:24,822 --> 00:27:26,783 Brian Jenkins is allowed to hunt with a .22 636 00:27:26,866 --> 00:27:28,243 on his grandpa's farm. 637 00:27:28,326 --> 00:27:30,286 Sounds like an accident just waiting to happen. 638 00:27:30,370 --> 00:27:32,830 Mm-hmm. And you're not Brian Jenkins. 639 00:27:32,914 --> 00:27:35,583 How are we doing in here, Roxie? 640 00:27:35,667 --> 00:27:37,210 Been better. 641 00:27:37,293 --> 00:27:38,836 Rumor has it you're still interested 642 00:27:38,920 --> 00:27:41,256 in booking a room with us? 643 00:27:41,339 --> 00:27:43,466 I don't wanna go back home yet. 644 00:27:43,549 --> 00:27:44,842 It's all set up, Rox. 645 00:27:44,926 --> 00:27:47,053 You're gonna be more comfortable at home. 646 00:27:47,136 --> 00:27:49,305 Paul, I changed my mind. 647 00:27:49,389 --> 00:27:50,765 It is our home. 648 00:27:52,725 --> 00:27:54,477 I don't… 649 00:27:54,560 --> 00:27:56,312 I don't want you living with my ghost. 650 00:27:56,396 --> 00:27:58,273 I will happily live with your ghost. 651 00:27:58,356 --> 00:28:01,859 Can we just all stop talking about ghosts, please? 652 00:28:01,943 --> 00:28:03,069 Yes. I'm sorry. 653 00:28:03,152 --> 00:28:05,822 I'm sorry, sweetie. You're right. 654 00:28:05,905 --> 00:28:07,824 Got trauma flying in. ETA, five minutes. 655 00:28:07,907 --> 00:28:10,034 Okay. Um, I'm very sorry. 656 00:28:10,118 --> 00:28:11,577 I will be right back. 657 00:28:11,661 --> 00:28:13,913 Excuse me. 658 00:28:13,997 --> 00:28:16,332 It's a boating accident, swimmer versus propeller. 659 00:28:16,416 --> 00:28:17,667 Ouch. 660 00:28:17,750 --> 00:28:19,335 - What body parts involved? - They didn't say. 661 00:28:19,419 --> 00:28:20,837 - How old? - Nope. 662 00:28:20,920 --> 00:28:22,088 Anything? 663 00:28:22,171 --> 00:28:23,589 All I got was boating accident, 664 00:28:23,673 --> 00:28:25,633 - swimmer versus propeller. - Propeller. Got it. 665 00:28:56,497 --> 00:28:59,792 Picked a hell of a day to come back, huh? 666 00:28:59,876 --> 00:29:02,754 How's Jake? 667 00:29:02,837 --> 00:29:04,464 He's good. 668 00:29:04,547 --> 00:29:06,632 He's better. He's coping. 669 00:29:06,716 --> 00:29:08,760 He's gonna be a senior this fall. 670 00:29:08,843 --> 00:29:11,179 That's great. 671 00:29:11,262 --> 00:29:14,349 That was a lot for him to go through. 672 00:29:14,432 --> 00:29:16,434 A lot for all of us to go through. 673 00:29:16,517 --> 00:29:17,935 Yeah. 674 00:29:19,562 --> 00:29:21,522 Okay, I'm just gonna say it! 675 00:29:21,606 --> 00:29:22,982 I'm sorry. 676 00:29:23,066 --> 00:29:24,609 I betrayed your trust. 677 00:29:24,692 --> 00:29:26,611 I betrayed our patients' trust. 678 00:29:26,694 --> 00:29:27,945 And I'm really fucking sorry. 679 00:29:28,029 --> 00:29:30,406 It'll never happen again, I swear. 680 00:29:34,535 --> 00:29:38,331 I'm really glad that you got the help that you need. 681 00:29:40,833 --> 00:29:44,754 But I don't know if I want you working in my ER. 682 00:29:52,720 --> 00:29:53,930 Why'd you intubate him? 683 00:29:54,013 --> 00:29:55,306 He was splinting from the pain, 684 00:29:55,390 --> 00:29:56,891 barely moving air with sats in the 80s. 685 00:29:56,974 --> 00:29:58,267 How'd he get sliced up in the propeller? 686 00:29:58,351 --> 00:29:59,644 He was in the Allegheny 687 00:29:59,727 --> 00:30:01,062 trying to untangle a water ski tow line 688 00:30:01,145 --> 00:30:02,146 when his buddy started the engine. 689 00:30:02,230 --> 00:30:03,356 Drunk buddy, I assume? 690 00:30:03,439 --> 00:30:04,816 Well, it's 4th of July. You tell me. 691 00:30:04,899 --> 00:30:06,192 Focus on the patient, please. 692 00:30:06,275 --> 00:30:08,319 Sofie, take over bagging. 693 00:30:10,321 --> 00:30:12,448 Okay. One, two, three. 694 00:30:12,532 --> 00:30:13,658 Watch that buckle. 695 00:30:14,951 --> 00:30:16,244 - Do you need me in here? - Nope. 696 00:30:16,327 --> 00:30:18,955 We have a senior resident and an attending. 697 00:30:19,038 --> 00:30:20,248 Mel, can we start with a… 698 00:30:20,331 --> 00:30:22,834 - An EFAST? Sure. - Yes, please. 699 00:30:22,917 --> 00:30:24,335 Why? 700 00:30:24,419 --> 00:30:25,795 To check and make sure there's no pneumothorax. 701 00:30:25,878 --> 00:30:27,505 Otherwise, it could become a tension. 702 00:30:27,588 --> 00:30:30,133 Exactly. Oh, wow. 703 00:30:30,216 --> 00:30:32,385 - You want O-neg? - Not without a BP first. 704 00:30:32,468 --> 00:30:35,430 108/64, pulse is 102. 705 00:30:35,513 --> 00:30:37,682 - Sats are good. - Okay, let's have O-neg ready, 706 00:30:37,765 --> 00:30:40,852 - but don't give it just yet. - Anything else? 707 00:30:43,104 --> 00:30:44,564 How about a hemocue? 708 00:30:44,647 --> 00:30:46,858 Uh, yeah. Yeah, yeah, of course. 709 00:30:54,824 --> 00:30:56,617 Next step is fingernails. 710 00:30:58,411 --> 00:31:00,580 We'll go under each nail, 711 00:31:00,663 --> 00:31:05,042 first with the wet swab and then with the dry one. 712 00:31:05,126 --> 00:31:07,587 Do you wanna take a break, hon? 713 00:31:07,670 --> 00:31:09,464 No. 714 00:31:12,341 --> 00:31:15,428 How much longer? 715 00:31:15,511 --> 00:31:17,221 After these, we'll get to external… 716 00:31:18,514 --> 00:31:20,433 And internal vaginal collection. 717 00:31:23,895 --> 00:31:27,523 It's the advocate from PAAR. 718 00:31:27,607 --> 00:31:29,192 They've been doing this longer than I have. 719 00:31:29,275 --> 00:31:31,569 They provide resources, assistance, and support 720 00:31:31,652 --> 00:31:33,529 for sexual assault survivors. 721 00:31:35,698 --> 00:31:38,409 Hey. 722 00:31:38,493 --> 00:31:40,703 This will not define you, okay? 723 00:31:40,786 --> 00:31:44,540 You don't have to talk to them, but I recommend you do. 724 00:31:44,624 --> 00:31:46,626 They're available 24/7. 725 00:31:48,377 --> 00:31:50,713 - Okay. - Okay. 726 00:31:56,719 --> 00:31:58,304 Hi. 727 00:31:58,387 --> 00:32:00,640 I'm Paulette Sanderson from Pittsburgh Action Against Rape. 728 00:32:00,723 --> 00:32:02,808 Hi, Paulette. I'm the SANE, Dana. 729 00:32:02,892 --> 00:32:04,810 - And this is Ilana. - Hello. 730 00:32:04,894 --> 00:32:07,313 I'm sorry to meet you under these circumstances, 731 00:32:07,396 --> 00:32:09,482 but I and my organization are here to help you navigate 732 00:32:09,565 --> 00:32:11,442 everything that comes next. 733 00:32:11,526 --> 00:32:14,529 I brought you some clothes and basic necessities. 734 00:32:14,612 --> 00:32:16,155 I can even stay with you through the rest 735 00:32:16,239 --> 00:32:18,533 of your examination if you'd like. 736 00:32:20,618 --> 00:32:22,161 I don't think that's necessary. 737 00:32:22,245 --> 00:32:24,664 - Okay. - That's fine. 738 00:32:24,747 --> 00:32:27,542 Would it be okay if I asked you a few questions? 739 00:32:37,969 --> 00:32:39,220 Sure. 740 00:32:41,514 --> 00:32:44,934 Mm, our VRI isn't working. 741 00:32:45,017 --> 00:32:47,687 Video Relay Interpreter? 742 00:32:47,770 --> 00:32:49,230 Yeah, of course I rebooted it. 743 00:32:49,313 --> 00:32:50,898 Wait, how are you gonna fix it if you don't know 744 00:32:50,982 --> 00:32:53,025 what the hell it is? 745 00:32:53,109 --> 00:32:55,194 Yeah, okay. Whatever. 746 00:32:55,278 --> 00:32:57,238 I wanna do a head and belly scan on Harlow. 747 00:32:57,321 --> 00:32:58,531 Can you try telling her why? 748 00:32:58,614 --> 00:32:59,740 What about the VRI? 749 00:32:59,824 --> 00:33:01,617 It's DOA. 750 00:33:01,701 --> 00:33:04,620 I'm charting every free minute I get. 751 00:33:04,704 --> 00:33:06,455 I wasn't coming over for that. 752 00:33:06,539 --> 00:33:08,374 Good job in the Trauma earlier. 753 00:33:11,502 --> 00:33:12,545 What's this? 754 00:33:12,628 --> 00:33:13,754 Daniel Scott, 32, 755 00:33:13,838 --> 00:33:15,548 weak and dizzy while washing his car. 756 00:33:15,631 --> 00:33:18,050 Tachy at 106, BP 90/60. 757 00:33:18,134 --> 00:33:19,510 Temp's too high to register. 758 00:33:19,594 --> 00:33:21,137 We have a cooling room set up in North 5. 759 00:33:21,220 --> 00:33:22,388 Okay, how are you feeling, Mr. Scott? 760 00:33:22,471 --> 00:33:23,556 Thirsty. 761 00:33:23,639 --> 00:33:24,932 Let's see if we can't fix that. 762 00:33:25,016 --> 00:33:26,892 He's gonna need a core temp, a CMP…whoa. 763 00:33:26,976 --> 00:33:28,436 Oh, hey, we need a trauma room. 764 00:33:28,519 --> 00:33:29,687 - What's open? - 2. 765 00:33:29,770 --> 00:33:31,230 I'll grab the Ativan. 766 00:33:31,314 --> 00:33:32,857 - Any past medical history? - No. 767 00:33:32,940 --> 00:33:34,734 Wife says he's healthy. No meds, no allergies. 768 00:33:34,817 --> 00:33:37,570 He needs a core temp. 769 00:33:41,574 --> 00:33:43,075 Ready to transfer. 770 00:33:43,159 --> 00:33:44,368 Let's give 2 of Ativan. 771 00:33:44,452 --> 00:33:45,828 Don't want him seizing again. 772 00:33:45,911 --> 00:33:47,121 I gotta get back to my patients. 773 00:33:47,204 --> 00:33:48,190 Okay. 774 00:33:48,205 --> 00:33:50,875 One, two, three. 775 00:33:50,958 --> 00:33:51,958 Orders? 776 00:33:52,001 --> 00:33:54,045 Second IV with saline open. 777 00:33:54,128 --> 00:33:57,423 Sepsis panel, UA, urine drug screen, EKG, and CK. 778 00:33:57,506 --> 00:33:59,508 I don't see any apparent trauma. 779 00:34:01,052 --> 00:34:03,763 - Pupils reactive. - Mr. Scott? Daniel? 780 00:34:03,846 --> 00:34:05,306 Can you talk to me? 781 00:34:05,389 --> 00:34:07,058 Post-ictal, but moving all extremities. 782 00:34:07,141 --> 00:34:08,976 Pulse 137, BP 88/60. 783 00:34:09,060 --> 00:34:10,603 What are you thinking, Dr. Santos? 784 00:34:10,686 --> 00:34:13,773 Uh, heat stroke, but consider sepsis or drugs. 785 00:34:17,193 --> 00:34:20,529 Rectal temp is 104.6. 786 00:34:20,613 --> 00:34:22,615 All right, let's start with four ice packs 787 00:34:22,698 --> 00:34:24,408 on the groin and axilla. 788 00:34:24,492 --> 00:34:26,285 Should we do a full body ice bath? 789 00:34:26,369 --> 00:34:27,745 That'll take too long. Do you have an Arctic Sun? 790 00:34:27,828 --> 00:34:29,121 Yeah, we do. 791 00:34:29,205 --> 00:34:30,790 Get pads on the chest, abdomen, and both legs. 792 00:34:30,873 --> 00:34:32,500 I'll check back in. 793 00:34:34,043 --> 00:34:37,421 Ceftazidime is up, and first hemoglobin, 8.2. 794 00:34:37,505 --> 00:34:40,257 8 is pretty low. He must have bled down from 14. 795 00:34:40,341 --> 00:34:41,884 Anything you wanna do about that? 796 00:34:41,967 --> 00:34:44,887 Um, young, healthy guy. We transfuse at 7. 797 00:34:44,970 --> 00:34:46,389 Do we? 798 00:34:46,472 --> 00:34:48,099 We'd be in real trouble if he equilibrates 799 00:34:48,182 --> 00:34:50,184 - from acute blood loss. - Am I interrupting something? 800 00:34:50,267 --> 00:34:52,853 - Multiple deep lacerations… - Motorboat versus… 801 00:34:55,523 --> 00:34:56,899 Jesus. 802 00:34:56,982 --> 00:34:58,567 This looks like some "Jurassic Park" shit. 803 00:34:58,651 --> 00:35:00,736 Is that your official surgical diagnosis? 804 00:35:00,820 --> 00:35:02,238 He is hemodynamically stable. 805 00:35:02,321 --> 00:35:04,573 What else do we know? 806 00:35:04,657 --> 00:35:08,327 Uh, intubated in the field due to poor tidal volume. 807 00:35:08,411 --> 00:35:10,579 EFAST was negative for pneumothorax, 808 00:35:10,663 --> 00:35:13,082 so no need to do a chest tube. 809 00:35:13,165 --> 00:35:15,751 And no free fluid in the abdomen, 810 00:35:15,835 --> 00:35:17,586 good hemostasis inside the wounds. 811 00:35:17,670 --> 00:35:18,963 Nothing arterial. 812 00:35:19,046 --> 00:35:20,715 At first, he had a hemoglobin of 8.2. 813 00:35:20,798 --> 00:35:22,216 We'll follow that closely. 814 00:35:22,299 --> 00:35:25,052 With no active bleeding, I wouldn't transfuse just yet. 815 00:35:27,304 --> 00:35:29,140 Dr. Langdon agrees with you. 816 00:35:29,223 --> 00:35:31,308 Let's get him to CT. 817 00:35:31,392 --> 00:35:33,728 Jason Stills, 62, was gathering the makings 818 00:35:33,811 --> 00:35:36,480 of a salad when he started feeling dizzy and nauseated. 819 00:35:36,564 --> 00:35:37,690 Vomited once. 820 00:35:37,773 --> 00:35:38,941 How are you feeling, Mr. Stills? 821 00:35:39,024 --> 00:35:40,609 Like I'm gonna die. 822 00:35:40,693 --> 00:35:42,653 Well, you came to the right place to prevent that. 823 00:35:42,737 --> 00:35:44,739 Do you mind if I touch your abdomen? 824 00:35:44,822 --> 00:35:46,907 - Yeah, sure. - Okay. 825 00:35:46,991 --> 00:35:49,243 - Does this hurt at all? - No. 826 00:35:49,326 --> 00:35:52,496 He's tachycardic at 124 with a temp of 102.4. 827 00:35:52,580 --> 00:35:54,498 Hey, Joy, what's your suggestion? 828 00:35:54,582 --> 00:35:56,167 Keep hydrating, check electrolytes, 829 00:35:56,250 --> 00:35:57,376 and move him to the cooling room. 830 00:35:57,460 --> 00:35:58,586 Precisely. 831 00:35:58,669 --> 00:35:59,795 Good luck finding a parking spot. 832 00:35:59,879 --> 00:36:02,840 - North 5. - What? No valet? 833 00:36:06,969 --> 00:36:08,637 Jada. Hey. 834 00:36:08,721 --> 00:36:10,848 I…I've been looking all over for you. 835 00:36:10,931 --> 00:36:12,349 I just went for a walk. 836 00:36:12,433 --> 00:36:15,519 I wanted to talk to you, if that's okay. 837 00:36:17,354 --> 00:36:19,106 So does Dr. Jefferson. 838 00:36:19,190 --> 00:36:21,525 It's important that you get to hear what he has to say. 839 00:36:21,609 --> 00:36:22,818 Why? 840 00:36:22,902 --> 00:36:24,904 He doesn't want me to go crazy like my brother? 841 00:36:24,987 --> 00:36:27,782 Or kill myself like my uncle? 842 00:36:27,865 --> 00:36:29,825 Of course not. 843 00:36:29,909 --> 00:36:32,745 We…we still have no idea what caused Jackson's episode. 844 00:36:32,828 --> 00:36:35,456 Episode. 845 00:36:35,539 --> 00:36:37,583 Right. 846 00:36:37,666 --> 00:36:41,837 Look, I…I know this must be so scary for you. 847 00:36:41,921 --> 00:36:45,382 And you probably feel betrayed by your parents. 848 00:36:45,466 --> 00:36:48,260 But they had no way of knowing about Jackson. 849 00:36:48,344 --> 00:36:50,638 You know, and some families just have a difficult time 850 00:36:50,721 --> 00:36:54,058 talking about mental health. 851 00:36:54,141 --> 00:36:56,101 Now you can help us take the first steps 852 00:36:56,185 --> 00:36:59,563 to finding out what we can do to help your brother. 853 00:37:04,652 --> 00:37:09,990 Mr. Diaz, I have a surprise for you. 854 00:37:10,074 --> 00:37:11,826 Oh. 855 00:37:11,909 --> 00:37:13,077 Sorry. 856 00:37:13,160 --> 00:37:14,495 It's okay. 857 00:37:14,578 --> 00:37:16,330 Have you…have you seen my patient? 858 00:37:16,413 --> 00:37:19,083 Orlando? Mr. Diaz? 859 00:37:19,166 --> 00:37:21,418 Room was empty. 860 00:37:21,502 --> 00:37:24,421 - Seriously? - Yeah. 861 00:37:28,968 --> 00:37:30,594 What happened to you? 862 00:37:30,678 --> 00:37:32,471 Oh. 863 00:37:32,555 --> 00:37:33,889 Bullet grazed my vest. 864 00:37:33,973 --> 00:37:35,099 You were shot? 865 00:37:35,182 --> 00:37:36,767 Shot at. 866 00:37:36,851 --> 00:37:39,979 Geniuses thought today was the day to rob a goods warehouse. 867 00:37:40,062 --> 00:37:41,272 Didn't think about how long it would take 868 00:37:41,355 --> 00:37:42,648 to load the appliances. 869 00:37:42,731 --> 00:37:43,941 They panicked. 870 00:37:44,024 --> 00:37:45,234 All hell broke loose. 871 00:37:45,317 --> 00:37:47,027 Jesus. 872 00:37:49,363 --> 00:37:51,240 Why do you do this? 873 00:37:51,323 --> 00:37:53,409 My therapist said I needed a hobby. 874 00:37:53,492 --> 00:37:54,994 Funny. 875 00:37:55,077 --> 00:37:57,079 Shit. 876 00:37:57,162 --> 00:37:59,248 This…this sucks. 877 00:37:59,331 --> 00:38:00,916 - Oh, it's nothing. - No. 878 00:38:01,000 --> 00:38:03,335 No, don't worry about me. I'm fine. Seriously. 879 00:38:03,419 --> 00:38:04,587 No, my patient. 880 00:38:04,670 --> 00:38:06,255 He didn't have any insurance, 881 00:38:06,338 --> 00:38:10,593 and he was already in a mountain of medical debt. 882 00:38:10,676 --> 00:38:12,553 He couldn't afford any of his meds. 883 00:38:14,972 --> 00:38:16,307 What's in the bag? 884 00:38:16,390 --> 00:38:21,270 Insulin, test strips, electrolyte powder. 885 00:38:21,353 --> 00:38:24,064 I…I got him everything he needed for home care. 886 00:38:24,148 --> 00:38:26,275 So Uber it to his house. 887 00:38:26,358 --> 00:38:28,694 Is the hospital gonna pay for that? 888 00:38:28,777 --> 00:38:30,905 I'll pay for it. 889 00:38:40,998 --> 00:38:42,958 What are you doing? 890 00:38:43,042 --> 00:38:45,586 What you clearly can't. 891 00:38:45,669 --> 00:38:47,379 Did you make a chart? 892 00:38:47,463 --> 00:38:48,672 No. 893 00:38:48,756 --> 00:38:50,257 This can stay off the books. 894 00:38:50,341 --> 00:38:52,259 Don't need the paperwork from the hospital 895 00:38:52,343 --> 00:38:54,094 or the police department. 896 00:38:54,178 --> 00:38:56,180 Okay. 897 00:38:56,263 --> 00:38:57,890 Our little secret. 898 00:39:01,268 --> 00:39:03,729 How's he doing? Any more seizures? 899 00:39:03,812 --> 00:39:04,855 Nope. 900 00:39:04,939 --> 00:39:06,148 Temp 102.9. 901 00:39:06,231 --> 00:39:07,441 Labs back? 902 00:39:07,524 --> 00:39:09,068 Mostly signs of dehydration. 903 00:39:09,151 --> 00:39:12,780 A tad hypernatremic, mild BUN and creatinine bump. 904 00:39:12,863 --> 00:39:15,366 CK 400 something… nothing worrisome yet. 905 00:39:15,449 --> 00:39:16,909 Okay, good. Keep cooling. 906 00:39:16,992 --> 00:39:18,911 - I'll monitor him. - Great. 907 00:39:18,994 --> 00:39:22,081 That'll give Dr. Santos a chance to get caught up. 908 00:39:25,417 --> 00:39:28,045 Your R2 year can be challenging. 909 00:39:28,128 --> 00:39:30,881 You just have to keep grinding. 910 00:39:30,965 --> 00:39:33,050 What's your dispo plan for Mr. Scott? 911 00:39:33,133 --> 00:39:34,885 Uh, ICU admission. 912 00:39:34,969 --> 00:39:37,054 You should call Neurology to consult. 913 00:39:37,137 --> 00:39:38,597 Yeah, done. 914 00:39:38,681 --> 00:39:41,058 Since it was exertional heat illness in a young person, 915 00:39:41,141 --> 00:39:42,768 the mortality is low. 916 00:39:42,851 --> 00:39:45,729 But non-exertional heatstroke in an elderly person, 917 00:39:45,813 --> 00:39:47,773 - you need to worry. - Okay. 918 00:39:47,856 --> 00:39:50,859 I'll put in orders for repeat labs. 919 00:39:50,943 --> 00:39:52,903 Good work in there. 920 00:40:05,791 --> 00:40:09,795 This 49-year-old woman presents to the emergency department… 921 00:40:13,007 --> 00:40:17,636 Uh, with the chief complaint of right ear pain. 922 00:40:17,720 --> 00:40:20,431 Hey, Donnie, can you do something about that? 923 00:40:20,514 --> 00:40:21,849 What? 924 00:40:21,932 --> 00:40:23,350 Seriously? 925 00:40:23,434 --> 00:40:25,185 That…that's not driving you nuts? 926 00:40:25,269 --> 00:40:27,229 The baby, it won't stop crying. 927 00:40:27,312 --> 00:40:29,314 Oh, that? It's music to my ears now. 928 00:40:29,398 --> 00:40:30,691 I think Jesse's the nurse. 929 00:40:30,774 --> 00:40:33,402 Well, can't you…ugh. 930 00:40:39,533 --> 00:40:40,784 Fuck. 931 00:40:45,831 --> 00:40:48,208 What the hell is going on? 932 00:40:48,292 --> 00:40:50,419 With what? 933 00:40:50,502 --> 00:40:53,422 With her. Can't you make her stop crying? 934 00:40:53,505 --> 00:40:56,592 She's been fed and changed. She's cranky from rhinovirus. 935 00:40:58,218 --> 00:41:00,512 Isn't there something that you can do? 936 00:41:00,596 --> 00:41:03,140 She's due for her next Tylenol. 937 00:41:03,223 --> 00:41:04,516 Give me a minute. I'll be right back. 938 00:41:04,600 --> 00:41:06,769 Wait, no, no, no, I'm not gonna stay here. 939 00:41:09,563 --> 00:41:11,565 What is your problem? 940 00:41:14,276 --> 00:41:18,614 This is precisely why I didn't go into Pedes. 941 00:41:18,697 --> 00:41:19,823 Okay. 942 00:41:19,907 --> 00:41:21,658 Hey, hey. 943 00:41:21,742 --> 00:41:24,787 Hey, little Miss Sunshine. 944 00:41:26,288 --> 00:41:28,624 Is it time for you to take a little nap? 945 00:41:28,707 --> 00:41:30,793 That would be so fucking nice. 946 00:41:30,876 --> 00:41:32,127 Yes, it would. 947 00:41:35,339 --> 00:41:38,509 I'm starting to understand why you got left here. 948 00:41:38,592 --> 00:41:40,761 Hey, shh. 949 00:42:27,015 --> 00:42:28,559 What's the word from CT? 950 00:42:28,642 --> 00:42:31,562 Nothing intrathoracic, nothing intra-abdominal. 951 00:42:31,645 --> 00:42:33,021 Propeller just missed gutting him. 952 00:42:33,105 --> 00:42:34,439 - Very fortunate. - Okay. 953 00:42:34,523 --> 00:42:36,358 Repeat hemoglobin is 8. 954 00:42:36,441 --> 00:42:39,069 We're holding off on transfusing. 955 00:42:39,153 --> 00:42:40,654 Plan? 956 00:42:40,737 --> 00:42:42,823 I'll have Mel and Langdon suture up the lacerations. 957 00:42:42,906 --> 00:42:45,075 Wait, what? That could take days. 958 00:42:45,159 --> 00:42:46,368 I…I can't… 959 00:42:46,451 --> 00:42:48,328 Calm down, Sadness. I'm kidding. 960 00:42:48,412 --> 00:42:50,914 This is one for my skilled surgical residents upstairs, 961 00:42:50,998 --> 00:42:52,416 not you Boy Scout butchers. 962 00:42:52,499 --> 00:42:53,792 Boy, I missed you, Yoyo. 963 00:42:53,876 --> 00:42:56,044 Mm. Can't say the same. 964 00:42:56,128 --> 00:42:59,590 Okay, let's take up this art project. 965 00:42:59,673 --> 00:43:00,924 So about before… 966 00:43:01,008 --> 00:43:02,968 Back to it. 967 00:43:03,051 --> 00:43:04,386 Good talk. 968 00:43:04,469 --> 00:43:05,888 How we doing, Princess? 969 00:43:05,971 --> 00:43:07,472 All right. A little bloated. 970 00:43:07,556 --> 00:43:10,934 I had one too many hot dogs from the truck. 971 00:43:11,018 --> 00:43:12,978 You meant the board, huh? 972 00:43:13,061 --> 00:43:16,106 Gus, our incarcerated patient, got a spot upstairs. 973 00:43:16,190 --> 00:43:19,735 Looking for our unhoused patient, Digby, and, of course, 974 00:43:19,818 --> 00:43:22,613 we have Whitaker, Donahue, and the med students 975 00:43:22,696 --> 00:43:25,282 on these diversion intakes, but they just keep coming. 976 00:43:25,365 --> 00:43:27,242 Yeah, we may need to start just sending people up 977 00:43:27,326 --> 00:43:29,578 and ask for forgiveness instead of permission. 978 00:43:29,661 --> 00:43:32,080 Hello? 979 00:43:32,164 --> 00:43:34,374 Oh, okay. 980 00:43:34,458 --> 00:43:36,627 Yes, I will be right there. 981 00:43:36,710 --> 00:43:38,212 C-suite wants to see me upstairs. 982 00:43:38,295 --> 00:43:39,588 Ooh, called to the principal's office 983 00:43:39,671 --> 00:43:42,841 on your first day… not a good sign. 984 00:43:42,925 --> 00:43:45,427 - I think I'm a baby whisperer. - Hey, great. 985 00:43:45,510 --> 00:43:47,638 We'll add Baby Jane Doe to your patient load. 986 00:43:47,721 --> 00:43:49,097 Forget I said anything. 987 00:43:49,181 --> 00:43:50,974 Where are we with your deaf patient, Harlow? 988 00:43:51,058 --> 00:43:54,603 Uh, the VRI was a bust, but the interpreter's on the way. 989 00:43:54,686 --> 00:43:56,563 Figured I'd just give her a head and belly scan 990 00:43:56,647 --> 00:43:58,774 - and go from there. - No, wait for the interpreter. 991 00:43:58,857 --> 00:44:01,276 No need to give the patient unnecessary radiation. 992 00:44:01,360 --> 00:44:03,654 And your charting? 993 00:44:03,737 --> 00:44:05,113 Catching up and checking it twice. 994 00:44:05,197 --> 00:44:06,573 Good. 995 00:44:06,657 --> 00:44:08,992 Hey, have you had a chance to speak to Langdon today? 996 00:44:09,076 --> 00:44:10,786 Uh, no. 997 00:44:10,869 --> 00:44:12,079 Why? Did he say something? 998 00:44:12,162 --> 00:44:13,705 No, just curious. 999 00:44:13,789 --> 00:44:17,084 How is everything at home with you and Whitaker? 1000 00:44:17,167 --> 00:44:19,461 He's weirder than you'd expect. 1001 00:44:19,544 --> 00:44:21,255 - Hmm. - Yeah. 1002 00:44:21,338 --> 00:44:23,340 But I don't see him all that much. 1003 00:44:23,423 --> 00:44:24,967 He spends a lot of time at Amy's. 1004 00:44:25,050 --> 00:44:27,344 He has a girlfriend? 1005 00:44:27,427 --> 00:44:31,139 I don't know what to call it. 1006 00:44:31,223 --> 00:44:33,684 The…the farmer who got burned last year 1007 00:44:33,767 --> 00:44:36,270 the day of the mass cas, his widow, Amy. 1008 00:44:36,353 --> 00:44:37,562 Oh, he died? 1009 00:44:37,646 --> 00:44:39,606 Yeah, he had burns on 90% of his body. 1010 00:44:39,690 --> 00:44:41,483 His chance of survival was very slim. 1011 00:44:41,566 --> 00:44:43,068 Okay, so I'm an optimist. 1012 00:44:43,151 --> 00:44:45,654 The sun doesn't always come out tomorrow, Annie. 1013 00:44:45,737 --> 00:44:47,531 Wait, wasn't she pregnant? 1014 00:44:47,614 --> 00:44:50,200 No, she was a young orphan. 1015 00:44:50,284 --> 00:44:52,536 No, not Annie. Amy. 1016 00:44:52,619 --> 00:44:56,248 Yes. Yes, very pregnant and young. 1017 00:44:56,331 --> 00:44:58,208 Whitaker is now seeing this Amy? 1018 00:44:58,292 --> 00:45:00,252 And her baby. 1019 00:45:00,335 --> 00:45:02,087 He got really close to the family 1020 00:45:02,170 --> 00:45:03,922 when the husband was dying. 1021 00:45:04,006 --> 00:45:06,091 He really believed that the guy would pull through. 1022 00:45:06,174 --> 00:45:08,593 He helped her through the loss of her husband, 1023 00:45:08,677 --> 00:45:10,220 and then again when she had the kid, 1024 00:45:10,304 --> 00:45:13,557 and now he spends almost every weekend at the farm. 1025 00:45:13,640 --> 00:45:14,808 Huh. 1026 00:45:14,891 --> 00:45:16,268 Plus, he's on the street team, 1027 00:45:16,351 --> 00:45:18,061 and he just wants to help everybody. 1028 00:45:18,145 --> 00:45:21,189 And I just don't wanna see him taken advantage of, you know? 1029 00:45:21,273 --> 00:45:23,358 He's just a fucking Huckleberry. 1030 00:45:23,442 --> 00:45:26,111 Yeah, but he's our fucking Huckleberry. 1031 00:45:26,194 --> 00:45:27,612 I'll talk to him. 1032 00:45:27,696 --> 00:45:28,822 Hey, your call. 1033 00:45:28,905 --> 00:45:30,741 Strong deflection. Well played. 1034 00:45:30,824 --> 00:45:32,075 You're the boss. 1035 00:45:32,159 --> 00:45:33,785 Or you are until end of shift today. 1036 00:45:33,869 --> 00:45:34,995 Still the boss. 1037 00:45:35,078 --> 00:45:37,331 When you see me in here, still the boss. 1038 00:45:37,414 --> 00:45:39,750 Copy that, Boss. 1039 00:45:39,833 --> 00:45:43,211 Dr. Robby, can… can I grab you for a second? 1040 00:45:43,295 --> 00:45:46,089 Yeah. Sure. What's up? 1041 00:45:46,173 --> 00:45:51,136 Um, can't you order my wife to go home? 1042 00:45:51,219 --> 00:45:52,888 I'm sorry. 1043 00:45:55,098 --> 00:45:56,767 My wife's dying, 1044 00:45:56,850 --> 00:45:59,644 and you're telling me there's nothing I can do? 1045 00:45:59,728 --> 00:46:01,229 Mr. Hamler, that's not… 1046 00:46:01,313 --> 00:46:02,731 No, no. 1047 00:46:02,814 --> 00:46:05,525 There's gotta be something. 1048 00:46:05,609 --> 00:46:07,319 Please. 1049 00:46:07,402 --> 00:46:09,446 It may not seem like much, but right now, 1050 00:46:09,529 --> 00:46:11,990 you being here for her and respecting her wishes 1051 00:46:12,074 --> 00:46:14,826 is the best thing that you can do for her. 1052 00:46:14,910 --> 00:46:18,789 Supporting her and her choices is the most remarkable gift 1053 00:46:18,872 --> 00:46:22,084 that you can give her at this time. 1054 00:46:22,167 --> 00:46:24,878 And the meds we have her on will help her pain. 1055 00:46:24,961 --> 00:46:26,838 And she may get to a point where 1056 00:46:26,922 --> 00:46:29,633 she feels well enough to go home. 1057 00:46:45,690 --> 00:46:46,983 Give me one second. 1058 00:46:53,198 --> 00:46:55,033 Okay, I'm gonna let you guys get acquainted. 1059 00:46:55,117 --> 00:46:56,410 I will be right back. 1060 00:46:56,493 --> 00:46:57,828 Oh, oh, oh, excuse me! 1061 00:46:57,911 --> 00:47:00,747 I…I'm waiting for Dr. Mohan. Is she available? 1062 00:47:00,831 --> 00:47:03,458 I will try and find her for you, sir. 1063 00:47:07,379 --> 00:47:10,382 Whether you choose to report or not, we're here for you. 1064 00:47:10,465 --> 00:47:11,758 Call me any time. 1065 00:47:11,842 --> 00:47:15,303 It could be a month or a year from now. 1066 00:47:15,387 --> 00:47:16,638 I'll follow up with you too. 1067 00:47:16,721 --> 00:47:18,432 Thank you. 1068 00:47:18,515 --> 00:47:20,267 Thanks. 1069 00:47:23,645 --> 00:47:25,188 You've had a pap smear before? 1070 00:47:25,272 --> 00:47:27,357 Yeah, every few years. 1071 00:47:27,441 --> 00:47:28,733 Good. 1072 00:47:28,817 --> 00:47:31,236 Same position, but I'll start with swabs 1073 00:47:31,319 --> 00:47:34,114 on the outside, external genitalia. 1074 00:47:34,197 --> 00:47:36,575 Then I'll use a speculum to get internal swabs. 1075 00:47:36,658 --> 00:47:38,493 You ready? Okay. 1076 00:47:38,577 --> 00:47:41,037 I'll help you get your feet in the stirrups. 1077 00:47:41,121 --> 00:47:44,082 Good. 1078 00:47:44,166 --> 00:47:46,460 Okay. All right. 1079 00:47:46,543 --> 00:47:49,421 Now, slide your bottom down. 1080 00:47:49,504 --> 00:47:52,090 Oh. Yeah, a little bit more. 1081 00:47:52,174 --> 00:47:53,717 A little more. 1082 00:47:53,800 --> 00:47:56,386 - Sorry. I…I can't. - Okay. It's okay. 1083 00:47:56,470 --> 00:47:57,971 We can take a break. No problem. 1084 00:47:58,054 --> 00:48:00,515 I don't want a break. I wanna stop. 1085 00:48:00,599 --> 00:48:03,351 Okay. Is this about reporting? 1086 00:48:03,435 --> 00:48:04,978 Because you can do this collection 1087 00:48:05,061 --> 00:48:06,605 without a police report for now. 1088 00:48:06,688 --> 00:48:09,232 And none of it goes in your permanent medical record. 1089 00:48:09,316 --> 00:48:11,151 I don't wanna do this anymore. 1090 00:48:11,234 --> 00:48:13,403 Tell me why you wanna stop. 1091 00:48:16,156 --> 00:48:18,783 He's my friend. 1092 00:48:18,867 --> 00:48:22,787 He knows all my friends. 1093 00:48:22,871 --> 00:48:26,208 It was just a dumb… 1094 00:48:26,291 --> 00:48:28,543 he was drunk, he didn't mean it. 1095 00:48:28,627 --> 00:48:31,213 - It didn't mean anything. - Okay. 1096 00:48:31,296 --> 00:48:33,465 Okay. 1097 00:48:33,548 --> 00:48:36,551 It's okay. I understand. 1098 00:48:36,635 --> 00:48:39,054 I do. 1099 00:48:39,137 --> 00:48:43,850 Ilana, this is a difficult process, to say the least. 1100 00:48:43,934 --> 00:48:45,894 Why don't you take a breather and come back? 1101 00:48:45,977 --> 00:48:48,730 And whatever you wanna do, we'll do. 1102 00:48:56,488 --> 00:48:59,491 Let's go find the good snacks. 1103 00:49:22,389 --> 00:49:23,723 Jesus Christ. 1104 00:49:23,807 --> 00:49:25,267 Sorry. 1105 00:49:25,350 --> 00:49:27,811 Giving new meaning to the nickname Crash, huh? 1106 00:49:27,894 --> 00:49:29,354 I've been trying to get to the bathroom 1107 00:49:29,437 --> 00:49:30,897 for over an hour now. 1108 00:49:30,981 --> 00:49:33,817 Yeah, you and me both, sister. 1109 00:49:43,910 --> 00:49:46,496 Uh-oh, this can't be good. 1110 00:49:46,580 --> 00:49:47,831 Who's this? 1111 00:49:47,914 --> 00:49:49,124 That is hospital CEO Trent Norris. 1112 00:49:49,207 --> 00:49:51,626 He's the big boss. 1113 00:49:51,710 --> 00:49:53,044 Hmm. Nice outfit. 1114 00:49:53,128 --> 00:49:54,963 Hey, Rockstar. Gather your staff, please. 1115 00:49:55,046 --> 00:49:57,257 Sure, anything you wanna tell me first? 1116 00:49:57,340 --> 00:49:59,301 - No. - Okay. 1117 00:49:59,384 --> 00:50:01,636 Hey, everybody, can you, uh, gather 'round 1118 00:50:01,720 --> 00:50:04,139 and listen up for a moment, please? 1119 00:50:04,222 --> 00:50:07,684 Can I have your attention, everyone? 1120 00:50:07,767 --> 00:50:10,312 Internal disaster at Westbridge 1121 00:50:10,395 --> 00:50:12,522 has been identified as a cyberattack. 1122 00:50:15,150 --> 00:50:18,236 And now Good Dominion Hospital has been hit as well. 1123 00:50:18,320 --> 00:50:20,655 Their ambulances are being diverted over to St. Mary's, 1124 00:50:20,739 --> 00:50:24,159 but we can expect more walk-ins and Westbridge diversions. 1125 00:50:24,242 --> 00:50:25,952 Uh, for how long? 1126 00:50:26,036 --> 00:50:29,289 We don't know how long. If the ransom is paid… 1127 00:50:29,372 --> 00:50:30,957 Ransom? 1128 00:50:31,041 --> 00:50:32,626 Are we next? 1129 00:50:32,709 --> 00:50:35,337 Our IT protection system has blocked thousands 1130 00:50:35,420 --> 00:50:36,921 of intrusion attempts in the hours 1131 00:50:37,005 --> 00:50:39,090 since Westbridge was hit this morning. 1132 00:50:39,174 --> 00:50:43,136 But IT believes we're still vulnerable. 1133 00:50:43,219 --> 00:50:45,847 So we're gonna preemptively shut down 1134 00:50:45,930 --> 00:50:47,432 all the computer systems. 1135 00:50:47,515 --> 00:50:50,101 - Oh, my God. - Jesus. 1136 00:50:50,185 --> 00:50:52,854 Patient registration, electronic health records, 1137 00:50:52,937 --> 00:50:56,024 lab and radiology interfaces, email, internet. 1138 00:50:56,107 --> 00:50:57,275 You didn't wanna talk to me first? 1139 00:50:57,359 --> 00:50:58,652 You didn't wanna consult my department? 1140 00:50:58,735 --> 00:51:01,488 I consulted your fellow attending. 1141 00:51:03,281 --> 00:51:06,034 When are we going down? 1142 00:51:06,117 --> 00:51:08,828 Soon. Very soon. 1143 00:51:08,912 --> 00:51:11,247 Okay, hey, somebody get a picture of the board. 1144 00:51:11,331 --> 00:51:14,501 Quickly, quickly! We're about to go analog. 1145 00:51:16,670 --> 00:51:18,254 - No! - Oh, my gosh. 1146 00:51:21,299 --> 00:51:23,551 - Phones work? - They don't work. 1147 00:51:23,635 --> 00:51:25,345 - Oh, my gosh. - Did you get the photo? 1148 00:51:25,428 --> 00:51:28,098 Yeah, yeah, I got it. 1149 00:51:28,181 --> 00:51:29,599 This is gonna be fun.