1
00:00:05,908 --> 00:00:10,884
Sync and corrections by btsix
www.addic7ed.com
2
00:00:34,201 --> 00:00:35,451
What now?
3
00:00:35,452 --> 00:00:37,703
Now we wait.
4
00:00:37,704 --> 00:00:39,747
How long before...
5
00:00:39,748 --> 00:00:41,165
I have no idea.
6
00:00:41,166 --> 00:00:42,959
Could be hours.
7
00:00:42,960 --> 00:00:44,919
This doesn't feel right.
8
00:00:44,920 --> 00:00:46,963
Remember, Robby talked about...
9
00:00:46,964 --> 00:00:49,590
It still feels wrong.
10
00:00:49,591 --> 00:00:52,510
OK. This is Roxie's decision.
11
00:00:52,511 --> 00:00:56,430
Everything else in her life is
out of her control except this.
12
00:00:56,431 --> 00:00:59,267
She wants to go out on her own terms.
13
00:00:59,268 --> 00:01:00,977
Very few of us get to do that.
14
00:01:00,978 --> 00:01:02,854
I should pick up more patients.
15
00:01:07,609 --> 00:01:09,652
So Adam lives at Middle Hill?
16
00:01:09,653 --> 00:01:11,028
He lives at Middle Hill.
17
00:01:11,029 --> 00:01:12,613
And he's three years older than you?
18
00:01:12,614 --> 00:01:14,949
He's three years older than me.
19
00:01:14,950 --> 00:01:17,994
And he asked you to be his girlfriend
20
00:01:17,995 --> 00:01:20,204
6 months ago?
21
00:01:20,205 --> 00:01:24,125
He asked me to be
his girlfriend at game night,
22
00:01:24,126 --> 00:01:25,793
and I said yes.
23
00:01:25,794 --> 00:01:28,462
Got a patient waiting
for a doctor. Vertigo in 13.
24
00:01:28,463 --> 00:01:30,215
OK. I'll be right there.
25
00:01:33,135 --> 00:01:35,928
Did Adam ask you
if you wanted to have sex?
26
00:01:35,929 --> 00:01:39,265
I... Mel, I don't know
if I can tell you.
27
00:01:39,266 --> 00:01:41,142
Of course you can tell me.
I'm your sister.
28
00:01:41,143 --> 00:01:43,019
Well, it's private.
29
00:01:43,020 --> 00:01:45,896
Look, it's just... it's
really important that I know.
30
00:01:45,897 --> 00:01:47,690
- Why?
- Because.
31
00:01:47,691 --> 00:01:50,484
Well... I can tell Dr. Langdon
32
00:01:50,485 --> 00:01:52,320
because Dr. Langdon is my doctor,
33
00:01:52,321 --> 00:01:54,530
but I don't think I can tell you.
34
00:01:54,531 --> 00:01:55,990
Becca, just tell me!
35
00:01:55,991 --> 00:01:57,992
- Why are you yelling?
- I'm not yelling.
36
00:01:57,993 --> 00:02:00,369
It's just... look, it's
really important that I know.
37
00:02:00,370 --> 00:02:01,829
- You're definitely yelling.
- Becca...
38
00:02:01,830 --> 00:02:03,831
Uh, maybe... maybe we should
step outside for a minute.
39
00:02:03,832 --> 00:02:05,124
Why won't you tell me?
40
00:02:05,125 --> 00:02:07,460
Dr. King.
41
00:02:07,461 --> 00:02:09,503
Why don't you get some air?
42
00:02:12,507 --> 00:02:13,800
Sorry.
43
00:02:15,052 --> 00:02:16,886
Sorry.
44
00:02:21,266 --> 00:02:23,267
Hey, have you seen any
of the X-ray techs around?
45
00:02:23,268 --> 00:02:24,394
Nope.
46
00:02:26,229 --> 00:02:27,396
Got an update for me?
47
00:02:27,397 --> 00:02:28,981
I'm just checking in.
48
00:02:28,982 --> 00:02:31,192
What are the chances of me
getting out of here on time,
49
00:02:31,193 --> 00:02:32,568
- do you think?
- That's up to you, Cap.
50
00:02:32,569 --> 00:02:33,694
We can handle this.
51
00:02:33,695 --> 00:02:35,530
Question is, will you let us?
52
00:02:41,536 --> 00:02:43,579
How are you two getting along?
53
00:02:43,580 --> 00:02:45,666
I can play nice for another two hours.
54
00:02:47,084 --> 00:02:48,542
OK.
55
00:02:48,543 --> 00:02:50,044
Kept calling me "Doc."
56
00:02:50,045 --> 00:02:53,297
Didn't know he was the real doc
until a few months in.
57
00:02:53,298 --> 00:02:54,965
He was keeping his secret life from me.
58
00:02:54,966 --> 00:02:56,217
Hmm.
59
00:02:56,218 --> 00:02:57,718
Where are we with his chest X-ray?
60
00:02:57,719 --> 00:03:00,721
Uh, X-rays are still
six or seven behind.
61
00:03:00,722 --> 00:03:02,307
When's the last time you checked?
62
00:03:03,432 --> 00:03:05,100
Maybe 10 minutes ago, but I...
63
00:03:05,102 --> 00:03:06,352
- Stay on them.
- Yeah.
64
00:03:06,353 --> 00:03:07,404
Come on, give the kid a break.
65
00:03:07,405 --> 00:03:10,642
It says here it takes an hour
to get an X-ray.
66
00:03:10,643 --> 00:03:13,003
You're the first person who
read this fucking thing all day.
67
00:03:15,654 --> 00:03:17,614
Don't get me started on those.
68
00:03:19,282 --> 00:03:21,242
How are you feeling?
69
00:03:21,243 --> 00:03:22,703
I'm good.
70
00:03:23,912 --> 00:03:25,913
You know, I take Lexapro.
71
00:03:25,914 --> 00:03:28,249
It helps with panic attacks,
not just depression.
72
00:03:28,250 --> 00:03:29,835
Promise, I'm fine.
73
00:03:30,919 --> 00:03:32,795
Sorry about that, Mrs. Torres.
74
00:03:32,796 --> 00:03:34,088
Are you OK?
75
00:03:34,089 --> 00:03:35,256
I thought you were going to pass out.
76
00:03:35,257 --> 00:03:36,590
Yep, all good.
77
00:03:36,591 --> 00:03:38,760
Let's just pick up where we left off.
78
00:03:40,303 --> 00:03:43,097
Mrs. Torres presents with one week
79
00:03:43,098 --> 00:03:44,765
of painful, swollen right calf.
80
00:03:44,766 --> 00:03:46,475
No trauma, no fever,
81
00:03:46,476 --> 00:03:48,686
no history of hypercoagulable state.
82
00:03:48,687 --> 00:03:50,771
However, she did take a 15-hour bus ride
83
00:03:50,772 --> 00:03:53,441
from Orlando to Pittsburgh last week.
84
00:03:53,442 --> 00:03:55,943
Mrs. Torres, we're concerned about
85
00:03:55,944 --> 00:03:58,279
a possible blood clot in your leg
86
00:03:58,280 --> 00:04:00,448
that can lead to serious complications.
87
00:04:00,449 --> 00:04:02,950
We need to do an ultrasound,
but no need to worry.
88
00:04:02,951 --> 00:04:04,118
If it's positive,
89
00:04:04,119 --> 00:04:05,578
we can treat with a blood thinner.
90
00:04:05,579 --> 00:04:06,787
Bueno.
91
00:04:06,788 --> 00:04:07,955
If there's something I've learned,
92
00:04:07,956 --> 00:04:09,415
it's to stop worrying.
93
00:04:09,416 --> 00:04:12,294
Can all your worries add
a single moment to your life?
94
00:04:14,588 --> 00:04:16,797
Fresh from the lab.
95
00:04:16,798 --> 00:04:18,632
- They said one's critical.
- They're supposed to
96
00:04:18,633 --> 00:04:20,009
- call those up.
- I know.
97
00:04:20,010 --> 00:04:21,844
Every time they try,
the red phone's been busy.
98
00:04:21,845 --> 00:04:22,970
Jesus Christ.
99
00:04:22,971 --> 00:04:24,889
This was resulted 25 minutes ago.
100
00:04:24,890 --> 00:04:26,807
Sodium 112.
101
00:04:26,808 --> 00:04:28,809
Mohan!
102
00:04:28,810 --> 00:04:32,146
Sprinkle some salt on
your patient before he seizes.
103
00:04:32,147 --> 00:04:33,439
Where are we?
104
00:04:33,440 --> 00:04:35,316
Kidney stone patient's not obstructed.
105
00:04:35,317 --> 00:04:36,650
Just waiting on meds.
106
00:04:36,651 --> 00:04:38,194
Ortho is performing the replantation
107
00:04:38,195 --> 00:04:39,695
on our water slide trauma.
108
00:04:39,696 --> 00:04:42,490
Our perforated diverticulitis
patient, Howard,
109
00:04:42,491 --> 00:04:43,783
made it through surgery.
110
00:04:43,784 --> 00:04:46,160
And I'm calling
the CYF resource navigator
111
00:04:46,161 --> 00:04:47,620
to see if we're getting anywhere
112
00:04:47,621 --> 00:04:50,498
with emergency foster care
for Baby Jane Doe.
113
00:04:50,499 --> 00:04:53,459
Other than that,
labs and X-rays are way behind,
114
00:04:53,460 --> 00:04:55,796
but our Golden Girls are
getting their steps in.
115
00:04:57,339 --> 00:04:59,840
Does Robby usually leave
as soon as his shift ends,
116
00:04:59,841 --> 00:05:01,258
or does he like to stick around
117
00:05:01,259 --> 00:05:03,427
for all the handoffs to night shift?
118
00:05:03,428 --> 00:05:05,346
Depends, but he's usually pretty good
119
00:05:05,347 --> 00:05:07,306
about getting out of here.
120
00:05:09,976 --> 00:05:11,894
Shortness of breath in South 16.
121
00:05:11,895 --> 00:05:13,855
He could totally decompensate.
122
00:05:15,357 --> 00:05:17,900
I'm hoping to catch another
intubation before 7:00.
123
00:05:17,901 --> 00:05:20,569
One more gets me to three
in my first week.
124
00:05:20,570 --> 00:05:22,197
Probably a record.
125
00:05:23,740 --> 00:05:25,616
I'm looking for an easy one.
126
00:05:25,617 --> 00:05:28,786
Shift ends in 2 hours.
127
00:05:28,787 --> 00:05:31,705
You're supposed to pick up
the stable patients in order.
128
00:05:31,706 --> 00:05:34,458
Do you need a...
a second opinion on that?
129
00:05:34,459 --> 00:05:35,585
No.
130
00:05:36,419 --> 00:05:38,003
- Dr. McKay.
- Yeah.
131
00:05:38,004 --> 00:05:40,047
A girl named Kiki came
into reception looking for you.
132
00:05:40,048 --> 00:05:41,215
Kiki?
133
00:05:41,216 --> 00:05:42,216
She said she'll be in the park.
134
00:05:42,217 --> 00:05:43,551
Yeah, great, thanks.
135
00:05:48,014 --> 00:05:52,101
Hey, I think the labs are
back on your PID patient.
136
00:05:52,102 --> 00:05:54,103
Thanks.
137
00:05:54,104 --> 00:05:56,230
Is everything OK?
138
00:05:56,231 --> 00:05:58,567
Uh, fantastic.
139
00:06:01,987 --> 00:06:03,153
Langdon?
140
00:06:03,154 --> 00:06:06,240
Kind of hoping
I would never see him again.
141
00:06:06,241 --> 00:06:09,160
Well, you know, maybe he's changed.
142
00:06:11,872 --> 00:06:13,622
When you got a sec, there's something...
143
00:06:13,623 --> 00:06:15,082
Santos!
144
00:06:15,083 --> 00:06:17,084
I need you to pick up
food poisoning in 12.
145
00:06:17,085 --> 00:06:18,752
Yeah, sure. Why not?
146
00:06:18,753 --> 00:06:20,129
What?
147
00:06:20,130 --> 00:06:21,755
No snark? No pushback?
148
00:06:21,756 --> 00:06:23,090
What have you done with Santos?
149
00:06:23,091 --> 00:06:25,175
Only 2 hours to go.
150
00:06:25,176 --> 00:06:26,344
I surrender.
151
00:06:27,429 --> 00:06:29,346
That's the spirit.
152
00:06:35,270 --> 00:06:36,437
How's Becca?
153
00:06:36,438 --> 00:06:37,771
She's good.
154
00:06:37,772 --> 00:06:39,773
I'm trying to call her living community,
155
00:06:39,774 --> 00:06:41,734
but they are not picking up.
156
00:06:41,735 --> 00:06:43,194
Why you calling 'em?
157
00:06:44,154 --> 00:06:47,239
Because I don't know anything
about this Adam person.
158
00:06:47,240 --> 00:06:49,825
I mean, they've been dating
for 6 months, and... and...
159
00:06:49,826 --> 00:06:51,744
and I don't know anything.
160
00:06:51,745 --> 00:06:53,787
She never said anything
about wanting a boyfriend
161
00:06:53,788 --> 00:06:55,581
or even liking anyone.
162
00:06:55,582 --> 00:06:58,208
Yeah, but that doesn't mean
she hasn't thought about it.
163
00:06:58,209 --> 00:06:59,793
No, I don't... I don't want
to think about my sister
164
00:06:59,794 --> 00:07:01,587
thinking about having sex.
165
00:07:01,588 --> 00:07:04,340
I mean, who's to say he didn't
take advantage of her?
166
00:07:04,341 --> 00:07:06,216
Middle Hill just let it happen.
167
00:07:06,217 --> 00:07:07,551
Why didn't they tell me?
168
00:07:07,552 --> 00:07:08,969
Well, maybe they didn't know about it.
169
00:07:08,970 --> 00:07:11,305
Six months, they had to have known.
170
00:07:11,306 --> 00:07:14,600
I just... maybe it was a mistake
choosing Middle Hill.
171
00:07:14,601 --> 00:07:17,311
I... I mean, we saw
a lot of good places,
172
00:07:17,312 --> 00:07:19,355
but that... that is where
Becca wanted to go.
173
00:07:19,356 --> 00:07:20,522
I...
174
00:07:20,523 --> 00:07:23,150
Are you Becca's legal guardian?
175
00:07:23,151 --> 00:07:24,985
No, I have durable power of attorney.
176
00:07:24,986 --> 00:07:27,321
But we did this thing called
supportive decision-making,
177
00:07:27,322 --> 00:07:28,822
where she can...
178
00:07:28,823 --> 00:07:30,866
make her own decisions.
179
00:07:30,867 --> 00:07:32,534
There you go.
180
00:07:32,535 --> 00:07:34,495
- Well, this is different.
- Why?
181
00:07:34,496 --> 00:07:35,996
Because it is.
182
00:07:35,997 --> 00:07:39,167
I...
183
00:07:42,337 --> 00:07:44,506
My son, he's... he's not moving.
184
00:07:47,384 --> 00:07:49,176
OK.
185
00:07:49,177 --> 00:07:50,678
Come on, buddy.
186
00:07:50,679 --> 00:07:51,846
Come on.
187
00:07:56,017 --> 00:07:57,935
I got a hot and unresponsive child.
188
00:07:57,936 --> 00:07:59,061
I need a room, Dana.
189
00:07:59,062 --> 00:08:00,355
Trauma Two.
190
00:08:01,106 --> 00:08:03,691
We need a core temp ASAP.
191
00:08:03,692 --> 00:08:05,859
Hi, I'm Dr. Al-Hashimi. Are you Mom?
192
00:08:05,860 --> 00:08:07,695
- Brenda Azurmendi.
- And this is?
193
00:08:07,696 --> 00:08:09,655
Micah.
194
00:08:09,656 --> 00:08:11,198
Has Micah been sick with a fever?
195
00:08:11,199 --> 00:08:12,741
No. He was fine all day.
196
00:08:12,742 --> 00:08:14,660
I found him in the car.
197
00:08:15,829 --> 00:08:18,414
Pupils are sluggish, but reactive.
198
00:08:18,415 --> 00:08:20,165
No reaction to pain.
199
00:08:21,751 --> 00:08:24,586
Uh, airway is patent
with low tidal volume.
200
00:08:24,587 --> 00:08:26,715
Uh, let's set up for intubation.
201
00:08:27,757 --> 00:08:29,091
Heart rate is 22 in 10 seconds.
202
00:08:29,092 --> 00:08:31,552
- That's 132.
- Do you know his weight?
203
00:08:31,553 --> 00:08:33,262
- No.
- Joy, the Broselow.
204
00:08:33,263 --> 00:08:35,305
- The what?
- The Broselow tape gives us
205
00:08:35,306 --> 00:08:37,391
all the drug doses based on length.
206
00:08:37,392 --> 00:08:38,475
Assisting with ventilation.
207
00:08:38,476 --> 00:08:40,060
Somebody call respiratory.
208
00:08:40,061 --> 00:08:41,729
You said you just found him in the car?
209
00:08:41,730 --> 00:08:43,439
I was working in the garden
210
00:08:43,440 --> 00:08:45,232
while he rode his trike in the driveway.
211
00:08:45,233 --> 00:08:47,317
One minute he was there,
and then he wasn't.
212
00:08:47,318 --> 00:08:49,069
I... I thought he had gone
into the house,
213
00:08:49,070 --> 00:08:50,738
but I couldn't find him anywhere.
214
00:08:50,739 --> 00:08:52,489
He must have gotten tired
215
00:08:52,490 --> 00:08:54,950
and... and climbed in and fallen asleep.
216
00:08:54,951 --> 00:08:57,661
By the time I found him,
I... I couldn't wake him up.
217
00:08:57,662 --> 00:08:59,038
How long was he in there?
218
00:08:59,039 --> 00:09:00,039
Uh, m-m-maybe...
219
00:09:00,040 --> 00:09:02,207
maybe 15 minutes or... or 20.
220
00:09:02,208 --> 00:09:04,585
And the car was just unlocked?
221
00:09:04,586 --> 00:09:06,045
It's a safe neighborhood.
222
00:09:06,046 --> 00:09:07,629
Uh, Joy.
223
00:09:07,630 --> 00:09:12,760
OK, so you're gonna want
to start at the head,
224
00:09:12,761 --> 00:09:15,971
measure the length,
and then read it off.
225
00:09:15,972 --> 00:09:18,432
Uh, approximate weight is 25 kilograms.
226
00:09:18,433 --> 00:09:20,267
250 bolus of LR.
227
00:09:20,268 --> 00:09:22,102
I have doses for rock and ketamine.
228
00:09:22,103 --> 00:09:24,438
Almost no tone.
I can do this without meds.
229
00:09:24,439 --> 00:09:25,564
Uh, it's easy enough to bag.
230
00:09:25,565 --> 00:09:26,774
Let's wait for RT.
231
00:09:26,775 --> 00:09:28,400
When the temperature is this high,
232
00:09:28,401 --> 00:09:30,277
the muscles can lose their strength,
233
00:09:30,278 --> 00:09:32,321
so we're going to help him
breathe with a tube.
234
00:09:32,322 --> 00:09:34,865
Uh, rectal temp is 105.5.
235
00:09:34,866 --> 00:09:36,033
Heatstroke.
236
00:09:36,034 --> 00:09:37,534
Ice packs to the groin and axilla.
237
00:09:37,535 --> 00:09:39,036
See if we have an Arctic Sun
that's not in use.
238
00:09:39,037 --> 00:09:40,580
We need all the ice we can get.
239
00:09:41,623 --> 00:09:43,833
And a pediatric body bag.
240
00:09:46,628 --> 00:09:48,545
Still waiting on your ketorolac pills.
241
00:09:48,546 --> 00:09:50,130
I will keep following up
with the pharmacy.
242
00:09:50,131 --> 00:09:51,757
I told my son
I would meet him at the park.
243
00:09:51,758 --> 00:09:53,467
We always watch the fireworks together.
244
00:09:53,468 --> 00:09:54,468
Sorry, Mr. Green.
245
00:09:54,469 --> 00:09:55,636
We won't forget about you.
246
00:09:55,637 --> 00:09:56,888
Mm.
247
00:10:01,017 --> 00:10:02,309
Heard you had a heart attack.
248
00:10:02,310 --> 00:10:04,395
I did not have a heart attack.
249
00:10:05,271 --> 00:10:07,481
Hey, Samira, how are you feeling?
250
00:10:07,482 --> 00:10:09,775
I am totally fine.
251
00:10:09,776 --> 00:10:10,943
Uh, glad to hear it.
252
00:10:10,944 --> 00:10:12,111
Hey, do you mind watching my patients
253
00:10:12,112 --> 00:10:13,278
for 5 minutes?
254
00:10:13,279 --> 00:10:14,321
I have to step out for a sec.
255
00:10:14,322 --> 00:10:15,614
No problem.
256
00:10:15,615 --> 00:10:18,283
Ogilvie, you, uh, want to get some air?
257
00:10:18,284 --> 00:10:19,535
Got a good case for you.
258
00:10:19,536 --> 00:10:21,995
Might an intubation be required?
259
00:10:21,996 --> 00:10:23,122
No.
260
00:10:23,123 --> 00:10:24,289
It's an unhoused patient
261
00:10:24,290 --> 00:10:26,167
I've treated on the street team.
262
00:10:28,211 --> 00:10:30,004
Thank you so much.
263
00:10:38,012 --> 00:10:39,889
- Hi, Becca.
- Hey.
264
00:10:50,108 --> 00:10:52,693
I'm sorry I yelled at you.
265
00:10:52,694 --> 00:10:55,070
I was just...
266
00:10:55,071 --> 00:10:56,363
surprised.
267
00:10:56,364 --> 00:10:58,365
The nurse said I can leave.
268
00:10:58,366 --> 00:10:59,658
Yeah, um,
269
00:10:59,659 --> 00:11:01,535
can we just finish
our conversation first?
270
00:11:01,536 --> 00:11:03,495
About what?
271
00:11:03,496 --> 00:11:05,706
Look, I... I know you don't
have to tell me anything.
272
00:11:05,707 --> 00:11:07,499
I just...
273
00:11:07,500 --> 00:11:11,462
kind of hope you'd want to.
274
00:11:13,423 --> 00:11:15,048
When Adam asked you to have sex...
275
00:11:15,049 --> 00:11:16,717
He didn't ask me.
276
00:11:16,718 --> 00:11:18,261
I asked him.
277
00:11:19,679 --> 00:11:20,888
So he didn't pressure...
278
00:11:20,889 --> 00:11:22,681
No.
279
00:11:22,682 --> 00:11:25,601
So you wanted to have sex.
280
00:11:25,602 --> 00:11:27,394
I wanted to have sex.
281
00:11:27,395 --> 00:11:28,729
Sex is great!
282
00:11:28,730 --> 00:11:31,523
We talked about sex
in my mind and body class.
283
00:11:31,524 --> 00:11:33,318
I told my therapist too.
284
00:11:35,612 --> 00:11:37,446
Hey, the, uh, pancreatitis in North 3's
285
00:11:37,447 --> 00:11:39,072
- still waiting for you.
- OK.
286
00:11:39,073 --> 00:11:41,241
- Can I go now?
- Uh, just one second.
287
00:11:41,242 --> 00:11:42,492
Uh, I'll be right there.
288
00:11:42,493 --> 00:11:44,370
I'm just gonna walk my sister out.
289
00:11:49,792 --> 00:11:52,003
Yeah, sorry, I'm right behind you.
290
00:11:54,005 --> 00:11:56,173
Curtis Larson, 42.
291
00:11:56,174 --> 00:11:57,799
Called to the golf course
for combative behavior
292
00:11:57,800 --> 00:11:59,218
with his buddies.
293
00:11:59,219 --> 00:12:01,511
No signs of trauma,
just alcohol on the breath.
294
00:12:01,512 --> 00:12:03,305
Seems to have calmed down a bit.
295
00:12:03,306 --> 00:12:04,598
He was fighting us so hard,
296
00:12:04,599 --> 00:12:06,141
had to give 4 milligrams of Versed
297
00:12:06,142 --> 00:12:07,559
to get vitals and a line.
298
00:12:07,560 --> 00:12:09,645
Good BP, pulse ox 99 on two liters.
299
00:12:09,646 --> 00:12:11,063
Between the booze and the Versed,
300
00:12:11,064 --> 00:12:12,481
he'll be sleeping it off for a while.
301
00:12:12,482 --> 00:12:14,149
Central 14, guys.
302
00:12:21,282 --> 00:12:22,492
Roxie's gone.
303
00:12:23,785 --> 00:12:25,285
Is the husband still in there with her?
304
00:12:25,286 --> 00:12:27,079
Yeah, Javadi's with him.
305
00:12:27,080 --> 00:12:29,790
She needs a death note.
I can't find McKay.
306
00:12:29,791 --> 00:12:31,124
OK, I'll be right there.
307
00:12:31,125 --> 00:12:32,334
OK.
308
00:12:32,335 --> 00:12:34,461
Have you seen McKay anywhere?
309
00:12:34,462 --> 00:12:35,838
No.
310
00:12:38,466 --> 00:12:40,175
Have you ever seen a xylazine wound?
311
00:12:40,176 --> 00:12:42,219
- No.
- But you know what it is?
312
00:12:42,220 --> 00:12:43,512
Yes.
313
00:12:43,513 --> 00:12:45,138
Then you know its street name is Tranq,
314
00:12:45,139 --> 00:12:46,139
and this shit is nasty
315
00:12:46,140 --> 00:12:48,308
and can lead to skin necrosis.
316
00:12:48,309 --> 00:12:50,644
I've never understood drug addiction.
317
00:12:50,645 --> 00:12:52,813
Well, you need to try.
318
00:12:52,814 --> 00:12:55,065
A little empathy goes
a long way in this job.
319
00:12:55,066 --> 00:12:56,483
I am empathetic, I ju...
320
00:12:56,484 --> 00:12:57,901
I don't understand how
an intelligent person
321
00:12:57,902 --> 00:13:00,237
- allows themselves to...
- Can make mistakes?
322
00:13:00,238 --> 00:13:01,989
Heal themselves? Take away the pain?
323
00:13:01,990 --> 00:13:04,157
Hide from the abuse?
324
00:13:04,158 --> 00:13:07,160
We're healers, not judges.
325
00:13:07,161 --> 00:13:09,496
Shouldn't we go to the crosswalk?
326
00:13:09,497 --> 00:13:10,831
No?
327
00:13:10,832 --> 00:13:12,374
OK, this is what we're doing.
328
00:13:12,375 --> 00:13:14,668
I see organ donation in my future.
329
00:13:14,669 --> 00:13:16,295
Sorry!
330
00:14:11,768 --> 00:14:14,061
How's it going, Kiki?
331
00:14:14,062 --> 00:14:15,562
Who's this?
332
00:14:15,563 --> 00:14:17,022
Oh, it's, uh, Ogilvie.
333
00:14:17,023 --> 00:14:19,399
He's a student doctor here to help me.
334
00:14:19,400 --> 00:14:21,860
So what's happening with you?
335
00:14:21,861 --> 00:14:23,570
My leg's getting stinky again.
336
00:14:23,571 --> 00:14:25,906
Yeah? OK, let's take a look.
337
00:14:25,907 --> 00:14:27,158
OK.
338
00:14:31,079 --> 00:14:32,954
Is that an injection site?
339
00:14:32,955 --> 00:14:34,706
- No.
- No.
340
00:14:34,707 --> 00:14:37,459
Xylazine wounds can show up anywhere.
341
00:14:37,460 --> 00:14:39,419
You, uh... you still using Tranq?
342
00:14:39,420 --> 00:14:40,837
Sometimes.
343
00:14:40,838 --> 00:14:42,672
Sometimes is not good, Kiki.
344
00:14:42,673 --> 00:14:44,091
You know it's nasty stuff.
345
00:14:44,092 --> 00:14:45,384
I'm trying to quit.
346
00:14:45,385 --> 00:14:47,260
How you going about that?
347
00:14:47,261 --> 00:14:49,429
I go to meetings sometimes.
348
00:14:49,430 --> 00:14:50,764
Meetings are good.
349
00:14:50,765 --> 00:14:53,601
Uh, not using's even better.
350
00:14:55,978 --> 00:14:58,898
Uh, OK. What's your plan, Ogilvie?
351
00:15:02,318 --> 00:15:03,944
Ogilvie, you OK?
352
00:15:03,945 --> 00:15:05,195
- Yes.
- Yeah?
353
00:15:05,196 --> 00:15:06,363
Absolutely.
354
00:15:06,364 --> 00:15:11,159
Uh, my plan is clean with saline.
355
00:15:11,160 --> 00:15:12,327
Antibiotics?
356
00:15:12,328 --> 00:15:14,454
Medihoney to break down the eschar.
357
00:15:14,455 --> 00:15:15,789
And then?
358
00:15:15,790 --> 00:15:18,792
Um, redress with Xeroform
359
00:15:18,793 --> 00:15:20,085
and an ABD pad and a Kerlix wrap.
360
00:15:20,086 --> 00:15:21,628
Yeah, that'll do it.
361
00:15:21,629 --> 00:15:24,131
You need to change this
dressing every day, Kiki, OK?
362
00:15:24,132 --> 00:15:25,799
I don't think I can do that.
363
00:15:25,800 --> 00:15:26,800
We'll give you all the supplies.
364
00:15:26,801 --> 00:15:28,093
You can do it yourself.
365
00:15:28,094 --> 00:15:29,803
You won't even have to come back here.
366
00:15:29,804 --> 00:15:32,639
Yeah. OK.
367
00:15:32,640 --> 00:15:34,641
OK.
368
00:15:34,642 --> 00:15:36,060
OK, pass the saline.
369
00:15:45,319 --> 00:15:47,320
Hey, I'm Dr. Whitaker.
370
00:15:47,321 --> 00:15:48,905
This is Dr. Santos.
371
00:15:48,906 --> 00:15:51,200
Roberto. Like Roberto Clemente.
372
00:15:52,368 --> 00:15:54,954
Oh, sorry.
I... I don't know who that is.
373
00:15:55,913 --> 00:15:58,206
Pirates Hall of Famer Roberto Clemente.
374
00:15:58,207 --> 00:16:00,293
You... you don't watch baseball?
375
00:16:01,502 --> 00:16:03,670
Well, I am from Nebraska.
376
00:16:03,671 --> 00:16:06,256
We went to a few
Storm Chasers games as a kid.
377
00:16:06,257 --> 00:16:07,340
That's about it.
378
00:16:07,341 --> 00:16:09,093
No Major League team, you know.
379
00:16:10,511 --> 00:16:12,095
All right. What happened to your elbow?
380
00:16:12,096 --> 00:16:15,891
Oneil Cruz hits a walk-off tater, right?
381
00:16:15,892 --> 00:16:19,019
And I... I... I catch it, you know,
382
00:16:19,020 --> 00:16:20,812
um, but then somebody fell on top of me,
383
00:16:20,813 --> 00:16:22,564
and I... I think I heard a pop,
384
00:16:22,565 --> 00:16:24,816
but hard to tell with all the screaming.
385
00:16:24,817 --> 00:16:26,568
- That sounds pretty dangerous.
- Yeah.
386
00:16:26,569 --> 00:16:27,736
You're not one of those guys
387
00:16:27,737 --> 00:16:30,405
who steals balls from kids, are you?
388
00:16:30,406 --> 00:16:32,073
I didn't steal this. I wouldn't do that.
389
00:16:32,074 --> 00:16:33,408
I would never do that.
I would never do that.
390
00:16:33,409 --> 00:16:34,993
OK.
391
00:16:34,994 --> 00:16:37,205
Can you move your fingers for me?
392
00:16:39,749 --> 00:16:41,875
And the thumb?
393
00:16:41,876 --> 00:16:43,502
Uh...
394
00:16:43,503 --> 00:16:44,836
- No.
- OK, you know what?
395
00:16:44,837 --> 00:16:46,213
We can put that in a belongings bag...
396
00:16:46,214 --> 00:16:47,422
No, thanks.
397
00:16:47,423 --> 00:16:49,342
I, um... I think I will hold on to this.
398
00:16:50,551 --> 00:16:51,885
OK. Uh, you know what?
399
00:16:51,886 --> 00:16:53,803
We can put you in a sling,
400
00:16:53,804 --> 00:16:55,388
and then you can hold on to the ball
401
00:16:55,389 --> 00:16:56,641
while we examine you.
402
00:16:58,226 --> 00:17:00,393
OK. Yeah, I guess.
403
00:17:01,562 --> 00:17:02,938
Uh, you're gonna throw in an IV
404
00:17:02,939 --> 00:17:04,523
and start with 4 of morphine.
405
00:17:04,524 --> 00:17:06,983
No, no, no, no.
I don't want to be knocked out.
406
00:17:06,984 --> 00:17:09,069
No, it's a low dose.
You won't be knocked out.
407
00:17:09,070 --> 00:17:10,487
It'll just help with the pain.
408
00:17:10,488 --> 00:17:11,738
Might make you a little drowsy.
409
00:17:11,739 --> 00:17:14,282
No. I need to stay alert.
410
00:17:14,283 --> 00:17:15,575
OK.
411
00:17:15,576 --> 00:17:17,702
Uh, we will order you an X-ray.
412
00:17:17,703 --> 00:17:20,581
Just please let us know
if you change your mind.
413
00:17:21,457 --> 00:17:22,958
OK, yeah.
414
00:17:26,128 --> 00:17:28,880
Temp is down to 103.5.
415
00:17:28,881 --> 00:17:30,799
Long way to 98.6.
416
00:17:30,800 --> 00:17:32,384
102, we take him off the ice.
417
00:17:32,385 --> 00:17:35,470
Otherwise, we can overshoot
and cause hypothermia.
418
00:17:35,471 --> 00:17:37,264
I put in orders for CK.
419
00:17:37,265 --> 00:17:39,432
What does the CK tell us, Joy?
420
00:17:39,433 --> 00:17:42,394
Rhabdo from muscle breakdown
can take out the kidneys.
421
00:17:42,395 --> 00:17:44,939
I'm more concerned about his brain.
422
00:17:50,695 --> 00:17:52,529
It's two times a day for three days,
423
00:17:52,530 --> 00:17:54,364
and, uh, a nurse can crush it up.
424
00:17:54,365 --> 00:17:56,616
Dr. Langdon already told me.
425
00:17:56,617 --> 00:17:58,243
OK, bye, Mel.
426
00:17:58,244 --> 00:17:59,703
I'll see you, uh...
I'll see you at fireworks.
427
00:17:59,704 --> 00:18:02,455
Oh, I was going to watch fireworks
428
00:18:02,456 --> 00:18:05,041
with Adam and his parents.
429
00:18:05,042 --> 00:18:07,002
- Where?
- At the park.
430
00:18:07,003 --> 00:18:09,629
They're picking us up.
They go every year.
431
00:18:09,630 --> 00:18:11,298
But we always watch
the fireworks together.
432
00:18:11,299 --> 00:18:12,382
I have your headphones.
433
00:18:12,383 --> 00:18:14,467
Adam said that he has extra.
434
00:18:14,468 --> 00:18:17,387
OK, well, um, do you have
Adam's parents' phone number?
435
00:18:17,388 --> 00:18:18,555
Why?
436
00:18:18,556 --> 00:18:20,725
Just in case I need to reach them.
437
00:18:22,810 --> 00:18:24,311
I want to go now.
438
00:18:24,312 --> 00:18:26,647
- Well, I guess I could call...
- Bye, Mel!
439
00:18:29,317 --> 00:18:31,651
So how long have you been
part of the street team?
440
00:18:31,652 --> 00:18:33,820
Oh, about a year.
441
00:18:33,821 --> 00:18:35,488
And why do you do it?
442
00:18:35,489 --> 00:18:38,325
Oh, most of these unhoused
folks feel abandoned.
443
00:18:38,326 --> 00:18:39,367
Sorry.
444
00:18:39,368 --> 00:18:41,202
They, uh, don't trust easily.
445
00:18:41,203 --> 00:18:43,997
Meeting them where they're at
makes a big difference.
446
00:18:43,998 --> 00:18:47,500
I've been trying to get Kiki
to come by for months.
447
00:18:47,501 --> 00:18:50,003
You should, uh, volunteer.
448
00:18:50,004 --> 00:18:51,379
It's great training.
449
00:18:51,380 --> 00:18:53,840
Street team could always use the help.
450
00:18:53,841 --> 00:18:56,343
Yeah, uh, maybe.
451
00:18:56,344 --> 00:18:57,719
Thank you.
452
00:18:57,720 --> 00:18:59,846
Hey, how did the deposition go?
453
00:18:59,847 --> 00:19:02,515
Um, I'm glad it's over,
454
00:19:02,516 --> 00:19:05,268
but I didn't feel good about it at all.
455
00:19:05,269 --> 00:19:07,020
You know, I'm still not
supposed to talk about it.
456
00:19:07,021 --> 00:19:09,022
No, but you can talk about how you feel.
457
00:19:09,023 --> 00:19:11,524
Who do you have to talk to when
things aren't going so good?
458
00:19:11,525 --> 00:19:13,443
Friends? Family?
459
00:19:13,444 --> 00:19:14,778
Actually, I don't really have anyone...
460
00:19:14,779 --> 00:19:16,279
Hey, McKay, where have you been?
461
00:19:16,280 --> 00:19:18,031
Oh, I, uh... I stepped out.
462
00:19:18,032 --> 00:19:19,783
Did you tell anybody?
463
00:19:19,784 --> 00:19:21,660
Oh, I was, uh, treating a young woman
464
00:19:21,661 --> 00:19:22,911
I met on the street team.
465
00:19:22,912 --> 00:19:24,829
Did she check in as a patient?
466
00:19:24,830 --> 00:19:27,249
No, we treated her in the park.
467
00:19:28,501 --> 00:19:30,877
"We"?
468
00:19:30,878 --> 00:19:32,879
I, uh... I took Ogilvie.
469
00:19:32,880 --> 00:19:35,090
Oh, OK, so you treated her
470
00:19:35,091 --> 00:19:37,217
outside the ED on PTMC's dime
471
00:19:37,218 --> 00:19:38,718
and you brought
a medical student with you,
472
00:19:38,719 --> 00:19:40,261
right when we're in
the middle of crisis mode,
473
00:19:40,262 --> 00:19:41,888
and we need all hands on deck.
474
00:19:41,889 --> 00:19:43,181
We were gone for 10 minutes, tops.
475
00:19:43,182 --> 00:19:44,599
When you're here, I need you to be here.
476
00:19:44,600 --> 00:19:47,895
And while you stepped out, Roxie died.
477
00:19:49,271 --> 00:19:50,481
What?
478
00:19:54,735 --> 00:19:57,320
Oh, man, I'm sorry.
479
00:19:57,321 --> 00:19:59,114
I didn't think she would
be gone that quickly.
480
00:19:59,115 --> 00:20:00,908
Shit.
481
00:20:02,910 --> 00:20:04,160
Excuse me.
482
00:20:04,161 --> 00:20:07,163
Um, she took a nasty fall. Her shoulder.
483
00:20:07,164 --> 00:20:08,581
Screamed in pain
when we put the ties on her.
484
00:20:08,582 --> 00:20:09,916
Hello, I'm Dr. Robinavitch.
485
00:20:09,917 --> 00:20:11,459
This is Dr. McKay.
486
00:20:11,460 --> 00:20:14,170
Agents Correa and Russo.
487
00:20:14,171 --> 00:20:16,464
She needs to be looked at
before we process her.
488
00:20:16,465 --> 00:20:18,050
What's your name, ma'am?
489
00:20:19,677 --> 00:20:20,969
Pranita.
490
00:20:20,970 --> 00:20:23,638
We're gonna take care of you, OK?
491
00:20:23,639 --> 00:20:25,056
You said she fell?
492
00:20:25,057 --> 00:20:27,392
We were conducting
a sweep at her restaurant.
493
00:20:27,393 --> 00:20:29,060
Everyone in the kitchen took off.
494
00:20:29,061 --> 00:20:31,271
She was shoved down some alley stairs.
495
00:20:31,272 --> 00:20:33,732
- Right.
- Could be a rotator cuff tear
496
00:20:33,733 --> 00:20:36,401
or an AC separation.
497
00:20:36,402 --> 00:20:38,153
Let's put her in a chair,
find her a room.
498
00:20:38,154 --> 00:20:39,864
South 19.
499
00:20:44,243 --> 00:20:45,786
Yeah. Just through here.
500
00:20:46,954 --> 00:20:48,580
Curtis, dude.
501
00:20:48,581 --> 00:20:49,998
What happened?
502
00:20:49,999 --> 00:20:51,833
Medics had to sedate him to transport.
503
00:20:53,169 --> 00:20:55,044
I didn't realize he was
such an angry drunk.
504
00:20:55,045 --> 00:20:56,337
So you've seen him drunk before?
505
00:20:56,338 --> 00:20:58,631
Sure, yeah, but never like this.
506
00:20:58,632 --> 00:21:00,675
He tried to pick a fight
with the guys in front of us.
507
00:21:00,676 --> 00:21:01,968
He said they were going too slow.
508
00:21:01,969 --> 00:21:03,887
That's when they called the cops.
509
00:21:03,888 --> 00:21:06,222
Could he have taken drugs?
510
00:21:06,223 --> 00:21:08,423
If he did, they were not
the performance-enhancing kind.
511
00:21:09,477 --> 00:21:11,145
He shot a 112.
512
00:21:12,480 --> 00:21:15,565
We'll order labs,
see what we can figure out.
513
00:21:15,566 --> 00:21:17,567
Uh, any family we can contact?
514
00:21:17,568 --> 00:21:19,527
I have no idea.
We don't talk about that shit.
515
00:21:19,528 --> 00:21:20,904
How long is he gonna be here?
516
00:21:20,905 --> 00:21:23,239
At least 3 or 4 hours,
till he sobers up.
517
00:21:23,240 --> 00:21:24,532
Cool.
518
00:21:24,533 --> 00:21:26,534
Is it OK if I just come back
around 9:00?
519
00:21:26,535 --> 00:21:28,579
- Sure.
- Great, thanks.
520
00:21:31,791 --> 00:21:34,543
I need those removed
so I can check her vital signs.
521
00:21:38,547 --> 00:21:40,382
OK, tender over the AC.
522
00:21:46,889 --> 00:21:49,182
Can you, uh, lift your right arm up
523
00:21:49,183 --> 00:21:51,519
above your shoulder like this?
524
00:21:56,649 --> 00:21:58,691
- Ah!
- Heart rate's 110.
525
00:21:58,692 --> 00:21:59,776
Pulse ox 98.
526
00:21:59,777 --> 00:22:01,861
Painful arc test is positive.
527
00:22:01,862 --> 00:22:03,363
Try the drop arm test.
528
00:22:03,364 --> 00:22:06,241
I'm gonna lift your arm up, OK?
529
00:22:06,242 --> 00:22:09,744
And you just lower it
as slowly as you can, OK?
530
00:22:09,745 --> 00:22:11,538
OK.
531
00:22:11,539 --> 00:22:14,123
- Positive drop arm test.
- What's that mean?
532
00:22:14,124 --> 00:22:16,000
That means that
she's gonna require an X-ray.
533
00:22:16,001 --> 00:22:17,919
It's most likely a rotator cuff tear,
534
00:22:17,920 --> 00:22:19,712
which sometimes can come
with a fracture.
535
00:22:19,713 --> 00:22:21,214
We need an X-ray to rule it out.
536
00:22:21,215 --> 00:22:23,132
How long is that gonna take?
537
00:22:23,133 --> 00:22:24,843
Our computers are down today.
538
00:22:24,844 --> 00:22:26,469
Everything's moving
a little slower than usual,
539
00:22:26,470 --> 00:22:28,054
but we will fast-track her.
540
00:22:28,055 --> 00:22:30,348
Is there anyone you want us
to call, Pranita?
541
00:22:30,349 --> 00:22:32,725
No phone calls.
542
00:22:32,726 --> 00:22:34,478
Got a bathroom?
543
00:22:42,778 --> 00:22:44,238
Right there.
544
00:22:46,073 --> 00:22:47,198
I do not want these guys here
545
00:22:47,199 --> 00:22:48,700
any longer than they need to be,
546
00:22:48,701 --> 00:22:50,410
so let's find X-ray
and fast-track this one.
547
00:22:50,411 --> 00:22:52,537
Her family might be worried.
Maybe I can call them...
548
00:22:52,538 --> 00:22:54,080
No, no, no. Just stay with her.
549
00:22:54,081 --> 00:22:55,415
Make sure she has everything she needs.
550
00:22:55,416 --> 00:22:56,875
We treat her injury, and that's it.
551
00:22:56,876 --> 00:22:58,543
OK.
552
00:22:58,544 --> 00:23:01,462
Jamie Guerrero to window three, please.
553
00:23:01,463 --> 00:23:04,091
Jamie Guerrero to window three.
554
00:23:30,492 --> 00:23:32,785
Got a lateral.
555
00:23:32,786 --> 00:23:34,078
Best I could.
556
00:23:34,079 --> 00:23:36,456
Posterior dislocation, no fracture.
557
00:23:36,457 --> 00:23:38,291
- Thanks.
- Mm-hmm.
558
00:23:38,292 --> 00:23:39,751
OK, good news, Roberto.
559
00:23:39,752 --> 00:23:43,296
No broken bones, but the elbow
joint is dislocated
560
00:23:43,297 --> 00:23:45,173
and we need to get the ball
back in the socket.
561
00:23:45,174 --> 00:23:47,675
The best way is with
sedation and pain meds.
562
00:23:47,676 --> 00:23:49,677
- No, no, no.
- I know you said no morphine,
563
00:23:49,678 --> 00:23:51,763
but we can put local
anesthetic into the joint
564
00:23:51,764 --> 00:23:52,847
to block the pain.
565
00:23:52,848 --> 00:23:54,015
That way you won't be sedated.
566
00:23:54,016 --> 00:23:55,934
No, thanks, Doc.
567
00:23:55,935 --> 00:23:58,187
Just... just give me
a bullet to bite on.
568
00:24:02,983 --> 00:24:04,901
They raided Joe's over in Green Tree.
569
00:24:04,902 --> 00:24:06,486
Oh, man, I love that place.
570
00:24:06,487 --> 00:24:07,820
Brought in one of the employees.
571
00:24:07,821 --> 00:24:08,988
So ICE is here?
572
00:24:08,989 --> 00:24:10,323
People are leaving the waiting room.
573
00:24:10,324 --> 00:24:11,908
Ten patients already. What should I do?
574
00:24:11,909 --> 00:24:13,660
Just tell them the truth
and hope they stay
575
00:24:13,661 --> 00:24:14,911
for the treatment that they need.
576
00:24:14,912 --> 00:24:16,329
Martha took off.
577
00:24:16,330 --> 00:24:17,538
I'm gonna call her when I get a chance.
578
00:24:17,539 --> 00:24:19,040
Oh, shit. Yeah, make sure she's OK.
579
00:24:19,041 --> 00:24:20,583
Will you call the EVS department too
580
00:24:20,584 --> 00:24:21,834
- and let 'em know?
- Will do.
581
00:24:21,835 --> 00:24:23,002
All right, hold down the fort.
582
00:24:23,003 --> 00:24:24,045
Let us know if you need backup.
583
00:24:24,046 --> 00:24:25,421
You got it.
584
00:24:25,422 --> 00:24:28,007
Can't we just tell
the agents to fuck off?
585
00:24:28,008 --> 00:24:30,551
They are not gonna leave
without their patient.
586
00:24:30,552 --> 00:24:31,928
We just need to treat her.
587
00:24:31,929 --> 00:24:33,554
Even if she's undocumented?
588
00:24:33,555 --> 00:24:35,682
All patients, regardless
of immigration status,
589
00:24:35,683 --> 00:24:38,686
have the right to emergency
care under EMTALA.
590
00:24:39,687 --> 00:24:41,562
Pranita is next in line for X-ray.
591
00:24:41,563 --> 00:24:43,023
OK, good. Thank you.
592
00:24:44,733 --> 00:24:47,318
Propofol is down
to 100 mikes per minute.
593
00:24:47,319 --> 00:24:48,736
Temp is 101.8.
594
00:24:48,737 --> 00:24:50,697
Great, let's get him off the ice.
595
00:24:50,698 --> 00:24:52,657
OK, hands.
596
00:24:52,658 --> 00:24:55,035
On my count. One, two, three.
597
00:24:58,080 --> 00:24:59,330
What's the latest?
598
00:24:59,331 --> 00:25:02,375
Uh, we got some arm movement.
599
00:25:02,376 --> 00:25:04,086
That's a good sign.
600
00:25:05,879 --> 00:25:09,258
And pupils are minimally reactive.
601
00:25:10,467 --> 00:25:12,885
Plantars are downgoing.
602
00:25:12,886 --> 00:25:15,055
All encouraging signs.
603
00:25:17,057 --> 00:25:19,100
Any luck getting a lawyer
for our detainee?
604
00:25:19,101 --> 00:25:20,727
Uh, no.
605
00:25:20,728 --> 00:25:22,645
Keep me posted.
606
00:25:22,646 --> 00:25:24,063
Yeah.
607
00:25:29,111 --> 00:25:30,653
That's a pretty bracelet.
608
00:25:32,031 --> 00:25:34,074
My daughter made it for me.
609
00:25:35,951 --> 00:25:37,243
She doesn't know where I am.
610
00:25:37,244 --> 00:25:40,080
I just want her to know that I'm OK.
611
00:25:41,790 --> 00:25:44,292
You seriously won't let her
make a phone call?
612
00:25:44,293 --> 00:25:46,711
Not until she's processed.
613
00:25:46,712 --> 00:25:48,255
Unbelievable.
614
00:25:49,923 --> 00:25:52,592
Thanks, and just let me know
when she gets back.
615
00:25:52,593 --> 00:25:53,926
Uh, one other thing.
616
00:25:53,927 --> 00:25:56,804
Uh, do you have a resident named Adam?
617
00:25:56,805 --> 00:25:59,098
I was wondering if I could get
his parents' phone number.
618
00:25:59,099 --> 00:26:00,308
- Nope!
- I...
619
00:26:00,309 --> 00:26:01,934
Red phone is for emergencies only.
620
00:26:01,935 --> 00:26:04,104
This is kind of an emergency.
621
00:26:05,564 --> 00:26:06,982
Sorry. Bye.
622
00:26:08,192 --> 00:26:09,942
Hey, Mel, we need an R3
623
00:26:09,943 --> 00:26:11,444
to supervise a reduction in North 4.
624
00:26:11,445 --> 00:26:13,614
- Are you free?
- Uh, I guess.
625
00:26:14,490 --> 00:26:16,324
Should we move the deceased woman
626
00:26:16,325 --> 00:26:18,284
in Central 9 to viewing?
627
00:26:18,285 --> 00:26:19,952
Uh, no, let's leave the husband in there
628
00:26:19,953 --> 00:26:22,121
- for a little while longer.
- We need the room.
629
00:26:22,122 --> 00:26:24,123
We're not moving her yet!
630
00:26:24,124 --> 00:26:25,541
OK, sorry.
631
00:26:25,542 --> 00:26:27,252
I'm gonna do a room check.
632
00:26:28,545 --> 00:26:31,130
Pedes ICU says they'll have a bed soon.
633
00:26:31,131 --> 00:26:32,882
OK.
634
00:26:37,221 --> 00:26:39,138
So what do we think?
635
00:26:39,139 --> 00:26:40,640
About what?
636
00:26:40,641 --> 00:26:42,767
The mom of our heatstroke kid.
637
00:26:42,768 --> 00:26:44,310
Uh, that is not our job.
638
00:26:44,311 --> 00:26:46,479
That is what CYF is for.
639
00:26:46,480 --> 00:26:48,272
So you think it was on purpose?
640
00:26:48,273 --> 00:26:50,483
No, I did not say that.
641
00:26:50,484 --> 00:26:51,818
I just don't buy it.
642
00:26:51,819 --> 00:26:53,361
She lost her kid at home?
643
00:26:53,362 --> 00:26:54,654
Plus, she just looks guilty.
644
00:26:54,655 --> 00:26:56,365
Has anyone seen her cry?
645
00:26:57,825 --> 00:26:59,617
People don't always respond to trauma
646
00:26:59,618 --> 00:27:01,369
the way you expect them to.
647
00:27:01,370 --> 00:27:03,830
Stay focused on the kid.
648
00:27:06,333 --> 00:27:09,043
BP 78 over 42, sats 87.
649
00:27:09,044 --> 00:27:11,921
You having some pain again, Mr. Green?
650
00:27:11,922 --> 00:27:13,756
- Mr. Green?
- This one's yours?
651
00:27:13,757 --> 00:27:16,467
Yeah, a kidney stone.
Possible vasovagal.
652
00:27:16,468 --> 00:27:18,219
Can't assume that.
We need some help here!
653
00:27:18,220 --> 00:27:19,387
Does he have an IV?
654
00:27:19,388 --> 00:27:21,681
N-no, he didn't need one.
655
00:27:21,682 --> 00:27:24,100
Hypotensive and hypoxic.
656
00:27:24,101 --> 00:27:25,560
Clear a trauma room.
657
00:27:25,561 --> 00:27:27,061
Yeah.
658
00:27:27,062 --> 00:27:29,605
Uh, he was just waiting on
his discharge meds.
659
00:27:29,606 --> 00:27:31,275
Pain-free.
660
00:27:32,401 --> 00:27:34,110
A few more patients
are gone from chairs.
661
00:27:34,111 --> 00:27:36,237
South 15 took off too.
662
00:27:36,238 --> 00:27:37,530
History of renal colic.
663
00:27:37,531 --> 00:27:39,407
Heme-positive urine. BP crashing.
664
00:27:39,408 --> 00:27:41,826
Heme-positive urine doesn't
always mean kidney stone.
665
00:27:41,827 --> 00:27:44,203
Two antecubital lines,
biggest ones we've got,
666
00:27:44,204 --> 00:27:48,916
E-FAST, and let's get two units
of whole blood hung, please.
667
00:27:48,917 --> 00:27:50,043
Good.
668
00:27:51,837 --> 00:27:54,005
- Who worked up this patient?
- I did.
669
00:27:54,006 --> 00:27:56,507
Ultrasound showed dilated ureter a...
670
00:27:56,508 --> 00:27:57,925
and mild left hydronephrosis
671
00:27:57,926 --> 00:28:00,052
consistent with his history
of renal colic.
672
00:28:00,053 --> 00:28:01,554
What about the aorta?
673
00:28:01,555 --> 00:28:03,514
I didn't look at the aorta.
674
00:28:03,515 --> 00:28:05,516
- Who did you present to?
- Dr. Mohan.
675
00:28:05,517 --> 00:28:07,226
You said the rest
of the ultrasound was normal.
676
00:28:07,227 --> 00:28:09,353
I meant that the other
kidney was normal.
677
00:28:11,481 --> 00:28:13,232
8-centimeter triple-A
with massive free fluid.
678
00:28:13,233 --> 00:28:15,067
Ruptured aortic aneurysm.
He's bleeding out.
679
00:28:15,068 --> 00:28:16,402
OK, go with the MTP.
680
00:28:16,403 --> 00:28:17,820
16-gauge in the left AC.
681
00:28:17,821 --> 00:28:20,072
Two units whole blood on the infuser.
682
00:28:21,074 --> 00:28:23,075
Assisting ventilations.
683
00:28:23,076 --> 00:28:24,577
Resps are agonal.
684
00:28:24,578 --> 00:28:26,788
OK, who wants to intubate?
685
00:28:28,832 --> 00:28:30,499
- Javadi?
- Sure.
686
00:28:30,500 --> 00:28:32,126
OK, call for six more units
of whole blood.
687
00:28:32,127 --> 00:28:33,794
Eusebio, call surgery.
688
00:28:33,795 --> 00:28:36,589
If we stay ahead of him,
we might get him up to the OR.
689
00:28:36,590 --> 00:28:37,965
Here you go.
690
00:28:51,939 --> 00:28:53,439
We're lightening up his sedation
691
00:28:53,440 --> 00:28:56,067
to see if he has
any purposeful movement.
692
00:28:56,068 --> 00:28:59,320
If so, that will be an encouraging sign.
693
00:28:59,321 --> 00:29:01,156
He'll be back to normal?
694
00:29:02,783 --> 00:29:04,075
There's no certainty
695
00:29:04,076 --> 00:29:06,786
as to how much recovery Micah will have.
696
00:29:06,787 --> 00:29:10,998
His response over
the next 24 hours will tell.
697
00:29:10,999 --> 00:29:15,461
There is a chance
of cognitive impairment,
698
00:29:15,462 --> 00:29:18,631
but also a chance
of meaningful recovery.
699
00:29:18,632 --> 00:29:21,760
Dr. Al-Hashimi,
the patient in 22 needs you.
700
00:29:23,470 --> 00:29:25,514
I will be right back.
701
00:29:41,071 --> 00:29:42,738
I'm in. Bag him.
702
00:29:42,739 --> 00:29:43,990
Nicely done. Good job.
703
00:29:43,991 --> 00:29:45,324
Unit three is up and running.
704
00:29:45,325 --> 00:29:46,659
I've got a 16-gauge EJ.
705
00:29:46,660 --> 00:29:48,286
That one goes on the rapid infuser.
706
00:29:48,287 --> 00:29:49,662
Good end tidal waveform.
707
00:29:51,999 --> 00:29:54,041
Strong radial pulse.
That's a very good sign.
708
00:29:54,042 --> 00:29:56,168
BP's up. 86 over 52.
709
00:29:56,169 --> 00:29:57,336
Some progress.
710
00:29:57,337 --> 00:29:59,171
- How about 2 grams TXA?
- Yeah.
711
00:29:59,172 --> 00:30:01,508
What else do we give
after four units of blood?
712
00:30:04,052 --> 00:30:05,219
- Um...
- Calcium gluconate
713
00:30:05,220 --> 00:30:06,512
to counteract hypocalcemia
714
00:30:06,513 --> 00:30:08,639
caused by the citrate anticoagulant.
715
00:30:08,640 --> 00:30:10,349
Why don't you see
if you can't squeeze a unit
716
00:30:10,350 --> 00:30:12,184
into that peripheral line?
717
00:30:15,355 --> 00:30:16,689
Should somebody place a central line?
718
00:30:16,690 --> 00:30:18,065
Long central line is slower than
719
00:30:18,066 --> 00:30:19,692
short large-bore peripheral.
720
00:30:19,693 --> 00:30:20,860
Flow is proportional
721
00:30:20,861 --> 00:30:22,945
to the fourth power of the radius.
722
00:30:22,946 --> 00:30:24,530
Physics.
723
00:30:24,531 --> 00:30:26,365
Right.
724
00:30:26,366 --> 00:30:28,160
OK.
725
00:30:29,453 --> 00:30:31,079
Bite down on this.
726
00:30:32,372 --> 00:30:33,539
OK.
727
00:30:33,540 --> 00:30:35,583
- I'm stabilizing the humerus.
- All right.
728
00:30:35,584 --> 00:30:37,043
After I supinate with traction,
729
00:30:37,044 --> 00:30:39,879
Dr. Whitaker will apply
downward pressure
730
00:30:39,880 --> 00:30:41,297
on the proximal forearm.
731
00:30:41,298 --> 00:30:42,548
OK.
732
00:30:42,549 --> 00:30:43,966
This is gonna hurt like hell, Roberto.
733
00:30:43,967 --> 00:30:45,051
Mm, mm.
734
00:30:45,052 --> 00:30:47,178
One, two, three.
735
00:30:48,388 --> 00:30:50,056
OK.
736
00:30:50,057 --> 00:30:51,891
I'm flexing at the elbow.
737
00:30:58,398 --> 00:31:00,232
Systolic's down to 68.
738
00:31:00,233 --> 00:31:02,568
Units five and six are up and running.
739
00:31:04,029 --> 00:31:06,238
I'm here for Garcia.
Vascular can't come down.
740
00:31:06,239 --> 00:31:07,573
Triple A with hemorrhagic shock.
741
00:31:07,574 --> 00:31:08,741
Most of these die in the field.
742
00:31:08,742 --> 00:31:10,076
He was stable.
743
00:31:10,077 --> 00:31:11,702
Presented with a history of renal colic.
744
00:31:11,703 --> 00:31:14,246
And nobody saw
the triple A on ultrasound?
745
00:31:14,247 --> 00:31:15,748
Was this you?
746
00:31:15,749 --> 00:31:18,250
No. It was me.
747
00:31:18,251 --> 00:31:20,503
Looks like sinus tach.
748
00:31:20,504 --> 00:31:22,171
Nope, lost the pulse. It's PEA.
749
00:31:22,172 --> 00:31:23,631
Bag him. Ogilvie, start compressions.
750
00:31:23,632 --> 00:31:24,840
We're having a hard time
751
00:31:24,841 --> 00:31:26,175
staying ahead of the blood loss.
752
00:31:26,176 --> 00:31:27,843
Sterile gloves. Prep for a thoracotomy.
753
00:31:27,844 --> 00:31:30,137
Dr. Javadi, why don't you
glove up and show Dr. Shamsi
754
00:31:30,138 --> 00:31:31,723
why you belong in the ED?
755
00:31:32,933 --> 00:31:35,101
If we can cross-clamp the aorta,
756
00:31:35,102 --> 00:31:36,852
we can stop the blood flow
from below the diaphragm.
757
00:31:36,853 --> 00:31:38,480
We can perfuse the heart and the brain.
758
00:31:41,691 --> 00:31:43,943
- Ten blade.
- Right in there.
759
00:31:51,576 --> 00:31:52,953
Mayo scissors.
760
00:32:00,293 --> 00:32:01,795
Rib spreader.
761
00:32:06,842 --> 00:32:08,385
Satinsky.
762
00:32:09,636 --> 00:32:11,638
Let me know when you have
enough exposure.
763
00:32:15,976 --> 00:32:17,060
Right there.
764
00:32:19,771 --> 00:32:20,980
Do you need me on suction?
765
00:32:20,981 --> 00:32:22,148
No, there's no blood in the chest.
766
00:32:22,149 --> 00:32:23,149
It's all in the belly.
767
00:32:23,150 --> 00:32:24,568
Here, keep squeezing.
768
00:32:29,322 --> 00:32:30,824
Aorta's clamped.
769
00:32:32,033 --> 00:32:33,033
Heart is empty.
770
00:32:33,034 --> 00:32:34,034
OK, Javadi, get in there.
771
00:32:34,035 --> 00:32:35,328
Internal compressions, go.
772
00:32:39,708 --> 00:32:41,500
Put two more units
on the rapid infuser, please.
773
00:32:41,501 --> 00:32:43,378
That'll be units seven and eight.
774
00:32:50,010 --> 00:32:51,260
All right. Neuro's intact.
775
00:32:51,261 --> 00:32:52,845
So we'll do a posterior splint,
776
00:32:52,846 --> 00:32:55,347
a sling, and an ortho referral.
777
00:32:55,348 --> 00:32:56,849
You know, I'm actually kind of impressed
778
00:32:56,850 --> 00:32:58,058
you did that without pain meds.
779
00:32:58,059 --> 00:32:59,894
Definitely worth it.
780
00:32:59,895 --> 00:33:03,022
You know, last year I caught
McCutchen's 300th career homer,
781
00:33:03,023 --> 00:33:05,357
but another fan stole it from me.
782
00:33:05,358 --> 00:33:07,527
I promised myself I would never
let that happen again.
783
00:33:08,987 --> 00:33:11,071
Whitaker, can you write
the procedure note?
784
00:33:11,072 --> 00:33:12,531
Yeah, you already filled
in the T-sheet, so...
785
00:33:12,532 --> 00:33:13,824
Yeah, well, I'm already here.
786
00:33:13,825 --> 00:33:14,867
Yeah, I kind of had a handle...
787
00:33:14,868 --> 00:33:16,243
I just did everything else,
788
00:33:16,244 --> 00:33:17,411
so can you just fill out the chart?
789
00:33:17,412 --> 00:33:18,537
You should probably finish it.
790
00:33:18,538 --> 00:33:19,830
- Well...
- OK, someone do this!
791
00:33:19,831 --> 00:33:21,583
I don't... I don't... I don't care who.
792
00:33:23,376 --> 00:33:24,544
Yeah.
793
00:33:33,261 --> 00:33:34,637
Where's Mrs. Azurmendi?
794
00:33:34,638 --> 00:33:36,222
She stepped out.
795
00:33:36,223 --> 00:33:37,599
Stepped out?
796
00:33:42,896 --> 00:33:44,438
Feels like the heart's filling back up.
797
00:33:44,439 --> 00:33:46,232
Let's have a peek.
798
00:33:48,485 --> 00:33:50,945
Looks good. Really good.
799
00:33:50,946 --> 00:33:52,697
Strong radial pulse.
800
00:33:54,241 --> 00:33:56,743
Moist lap pads. Prep for transfer.
801
00:33:57,619 --> 00:33:59,745
Systolic of 94. That's the best so far.
802
00:33:59,746 --> 00:34:01,164
Can I go with you?
803
00:34:02,457 --> 00:34:04,750
He's my patient.
804
00:34:04,751 --> 00:34:06,377
OK by me.
805
00:34:06,378 --> 00:34:08,129
Bring two extra units.
806
00:34:13,301 --> 00:34:14,969
ICE is in the building?
807
00:34:14,970 --> 00:34:16,262
Word travels fast. Yeah.
808
00:34:16,263 --> 00:34:18,639
We have a detainee
with a rotator cuff tear.
809
00:34:18,640 --> 00:34:19,890
Two of our nurses went home.
810
00:34:19,891 --> 00:34:21,100
They have temporary protected status,
811
00:34:21,101 --> 00:34:23,270
but they just don't feel safe.
812
00:34:26,106 --> 00:34:28,440
Um, I'm really sorry, Dr. Robby.
813
00:34:28,441 --> 00:34:29,567
I should have checked the aorta.
814
00:34:29,568 --> 00:34:31,026
It's an easy one to miss.
815
00:34:31,027 --> 00:34:33,989
Got a heartbeat back, though,
so still some hope.
816
00:34:37,617 --> 00:34:38,659
I'm sorry too.
817
00:34:38,660 --> 00:34:40,286
I... I should have asked Ogilvie
818
00:34:40,287 --> 00:34:41,787
if he'd checked the aorta.
819
00:34:41,788 --> 00:34:43,998
- It's... it's my fault.
- It is.
820
00:34:43,999 --> 00:34:45,374
You're the senior resident.
821
00:34:45,375 --> 00:34:47,126
You don't look to others.
Others look to you.
822
00:34:47,127 --> 00:34:49,461
- I know. I'm really sorry.
- This is what happens
823
00:34:49,462 --> 00:34:51,463
when you bring your
personal life into work.
824
00:34:51,464 --> 00:34:53,091
- Patient almost died.
- I know.
825
00:34:54,467 --> 00:34:57,011
You have to think of these
walls like a force field.
826
00:34:57,012 --> 00:34:58,679
You cannot let anything in.
827
00:34:58,680 --> 00:35:00,472
Your mother's not in here.
She is out there.
828
00:35:00,473 --> 00:35:02,349
You keep everything out there.
That is the key.
829
00:35:02,350 --> 00:35:04,685
That is the difference
between the best doctors
830
00:35:04,686 --> 00:35:06,645
and the ones that don't make it.
831
00:35:06,646 --> 00:35:07,981
You're right.
832
00:35:09,316 --> 00:35:11,693
Maybe I just don't belong here.
833
00:35:15,655 --> 00:35:17,364
Pranita's X-ray results.
834
00:35:17,365 --> 00:35:19,116
- No fracture.
- OK.
835
00:35:19,117 --> 00:35:21,327
We'll just have Jesse fit her
for a sling, I guess,
836
00:35:21,328 --> 00:35:22,870
and then we have to discharge her.
837
00:35:22,871 --> 00:35:24,830
To the immigration guys?
838
00:35:24,831 --> 00:35:26,333
I'm afraid so.
839
00:35:28,501 --> 00:35:30,711
OK, time for you to go.
840
00:35:30,712 --> 00:35:33,255
I was just having a chat
with Ms. Peters here.
841
00:35:33,256 --> 00:35:35,507
You can see how busy
this department is, right?
842
00:35:35,508 --> 00:35:36,842
You've been nothing but a distraction
843
00:35:36,843 --> 00:35:38,510
and a disruption since you've been here.
844
00:35:38,511 --> 00:35:40,679
I'm already short-staffed,
and I just lost five nurses
845
00:35:40,680 --> 00:35:42,514
and half my environmental services team
846
00:35:42,515 --> 00:35:44,767
because you walked in.
847
00:35:44,768 --> 00:35:46,852
You know patients come in
here for help, right?
848
00:35:46,853 --> 00:35:48,604
Because they're either sick
or they're injured,
849
00:35:48,605 --> 00:35:50,189
and documented or undocumented,
850
00:35:50,190 --> 00:35:52,191
they have a right to emergency care.
851
00:35:52,192 --> 00:35:54,818
TB, measles, fractures...
none of it's getting treated
852
00:35:54,819 --> 00:35:56,028
'cause everybody's
too scared to come in.
853
00:35:56,029 --> 00:35:57,071
But then they end up here anyway,
854
00:35:57,072 --> 00:35:58,572
but then it's too fucking late!
855
00:35:58,573 --> 00:36:00,157
So please, for the love of God,
can you just go
856
00:36:00,158 --> 00:36:02,034
wait over there in the room
with your detainee,
857
00:36:02,035 --> 00:36:04,454
so I don't lose any more
patients or staff?
858
00:36:06,081 --> 00:36:07,916
No problem, Doc.
859
00:36:18,385 --> 00:36:20,553
Mrs. Azurmendi.
860
00:36:21,930 --> 00:36:23,931
Brenda.
861
00:36:23,932 --> 00:36:25,724
Where are you going?
862
00:36:25,725 --> 00:36:27,102
Brenda!
863
00:36:32,065 --> 00:36:33,482
OK, OK.
864
00:36:33,483 --> 00:36:35,067
It's OK.
865
00:36:35,068 --> 00:36:36,819
Let's get you back inside to your son.
866
00:36:36,820 --> 00:36:39,072
It's OK. It's OK. It's OK. It's OK.
867
00:36:41,658 --> 00:36:44,410
Come on. She's cleared to go.
868
00:36:44,411 --> 00:36:46,161
Wait. Hold on. She needs a sling.
869
00:36:46,162 --> 00:36:47,663
- This will only take a minute.
- We're leaving.
870
00:36:47,664 --> 00:36:49,289
Hey, man, you're hurting her!
871
00:36:51,918 --> 00:36:53,669
Jesus Christ. What's going on now?
872
00:36:53,670 --> 00:36:55,003
Robby!
873
00:36:55,004 --> 00:36:56,505
Help!
874
00:36:56,506 --> 00:36:59,174
You can't do this! What are you doing?
875
00:36:59,175 --> 00:37:00,509
- This is bullshit.
- What the hell is going on?
876
00:37:00,510 --> 00:37:01,593
- Get your hands off me.
- He hurt her,
877
00:37:01,594 --> 00:37:02,886
and Jesse stepped in!
878
00:37:02,887 --> 00:37:04,388
- Robby, I didn't do shit.
- I know.
879
00:37:04,389 --> 00:37:05,889
I know. I'm just gonna...
880
00:37:07,600 --> 00:37:09,059
- No!
- We gotta go.
881
00:37:09,060 --> 00:37:11,395
- No, don't!
- Come on.
882
00:37:11,396 --> 00:37:13,105
Don't say anything.
You don't have to say anything.
883
00:37:13,106 --> 00:37:14,106
They can't make you say anything.
884
00:37:14,107 --> 00:37:15,107
We'll get you an attorney.
885
00:37:15,108 --> 00:37:16,942
I promise we'll get you out.
886
00:37:16,943 --> 00:37:18,444
Call the hospital attorney again.
887
00:37:18,445 --> 00:37:19,820
- No, no!
- Can't believe this shit!
888
00:37:19,821 --> 00:37:21,321
Can you at least tell us
where you're taking them?
889
00:37:21,322 --> 00:37:22,614
No!
890
00:37:22,615 --> 00:37:24,116
Is there a detention center
near Pittsburgh?
891
00:37:24,117 --> 00:37:25,617
That's gotta be where
they're going, right?
892
00:37:25,618 --> 00:37:27,453
It could be hours before he's processed.
893
00:37:27,454 --> 00:37:29,413
I'll stay on it.
894
00:37:29,414 --> 00:37:31,457
What can we do?
895
00:37:31,458 --> 00:37:33,041
Uh... hey, Javadi!
896
00:37:33,042 --> 00:37:34,877
Javadi, please come back.
897
00:37:34,878 --> 00:37:37,129
Everybody, just go
check on your patients.
898
00:37:37,130 --> 00:37:38,547
Assure them. Tell them what happened.
899
00:37:38,548 --> 00:37:40,132
But please, everybody get back to work.
900
00:37:40,133 --> 00:37:41,675
Who's gonna take Jesse's patients?
901
00:37:41,676 --> 00:37:43,719
- I can do it, D.
- Thanks, Perlah.
902
00:37:45,305 --> 00:37:46,889
- Hey, you OK?
- Yeah, I'm OK.
903
00:37:46,890 --> 00:37:48,640
- Are you OK?
- Yeah.
904
00:37:48,641 --> 00:37:50,476
The lawyers are tied up
with the cyberattacks upstairs.
905
00:37:50,477 --> 00:37:52,311
They probably won't come down
for a while.
906
00:37:53,980 --> 00:37:55,689
What's the latest
with the heatstroke kid?
907
00:37:55,690 --> 00:37:57,859
I sent him up to Pedes ICU.
908
00:38:02,572 --> 00:38:04,281
What's going on?
909
00:38:04,282 --> 00:38:05,991
I found her outside,
wandering into the street.
910
00:38:05,992 --> 00:38:07,785
She almost got hit by a truck.
911
00:38:07,786 --> 00:38:09,495
I think it was intentional.
912
00:38:09,496 --> 00:38:10,996
Christ almighty.
913
00:38:10,997 --> 00:38:12,498
I told Nurse Kim not
to let her out of her sight.
914
00:38:12,499 --> 00:38:14,666
We need to call a 302 and observe her.
915
00:38:14,667 --> 00:38:15,959
Danger to self.
916
00:38:15,960 --> 00:38:17,503
Is she gonna be able to see her kid?
917
00:38:17,504 --> 00:38:19,546
Not if she's on
an involuntary psych hold.
918
00:38:19,547 --> 00:38:21,507
Well, what happens if
he's ready to be discharged
919
00:38:21,508 --> 00:38:22,883
before she is?
920
00:38:22,884 --> 00:38:24,718
Does she have a partner
or a relative we can call?
921
00:38:24,719 --> 00:38:26,136
I can find out.
922
00:38:26,137 --> 00:38:27,554
Why don't you and I
talk to her together?
923
00:38:27,555 --> 00:38:29,389
Sure, I just need to check on a patient,
924
00:38:29,390 --> 00:38:31,683
- and I will meet you there.
- OK.
925
00:38:44,280 --> 00:38:47,075
Uh, OK.
926
00:38:48,117 --> 00:38:49,451
Hey, Emma,
927
00:38:49,452 --> 00:38:50,702
have you seen this patient?
928
00:38:50,703 --> 00:38:51,954
Oh, I... I haven't.
929
00:38:51,955 --> 00:38:53,539
Oh, she took off when those ICE guys
930
00:38:53,540 --> 00:38:54,833
arrested your nurse.
931
00:38:57,544 --> 00:38:58,962
Damn it.
932
00:39:00,046 --> 00:39:02,714
I tried to get him
933
00:39:02,715 --> 00:39:04,591
to help me in the garden,
934
00:39:04,592 --> 00:39:07,387
but he just wanted to ride his trike.
935
00:39:09,514 --> 00:39:11,557
So I let him.
936
00:39:11,558 --> 00:39:14,059
Every time I looked over,
937
00:39:14,060 --> 00:39:18,314
he was just riding around.
938
00:39:20,692 --> 00:39:23,861
And then he wasn't.
939
00:39:23,862 --> 00:39:27,073
Have you ever thought
about hurting yourself?
940
00:39:30,368 --> 00:39:31,702
CBC and blood alcohol are
941
00:39:31,703 --> 00:39:33,120
back on your golfer, Curtis Larson.
942
00:39:33,121 --> 00:39:35,205
- 0.14.
- Copy that.
943
00:39:35,206 --> 00:39:37,457
OK, we'll wait for the other labs.
944
00:39:37,458 --> 00:39:39,168
He'll need to sleep it off
in the meantime.
945
00:39:40,837 --> 00:39:43,505
Hey, Gabriel, can you wait up a sec?
946
00:39:43,506 --> 00:39:45,257
Do you have Duke Ekins' chest X-ray?
947
00:39:45,258 --> 00:39:46,675
- Yeah.
- How's it look?
948
00:39:46,676 --> 00:39:48,343
Radiologists still need to read it.
949
00:39:48,344 --> 00:39:50,054
Can you pull it up for me?
950
00:39:54,601 --> 00:39:56,268
Shit.
951
00:39:56,269 --> 00:39:58,312
I gotta call the funeral home,
952
00:39:58,313 --> 00:39:59,646
start making arrangements.
953
00:39:59,647 --> 00:40:00,772
Or you could slow down,
954
00:40:00,773 --> 00:40:02,608
take some time for yourself.
955
00:40:02,609 --> 00:40:03,984
How you doing?
956
00:40:03,985 --> 00:40:06,612
Oh, you know, been better.
957
00:40:06,613 --> 00:40:08,614
You spend so much time
with these people,
958
00:40:08,615 --> 00:40:10,115
you become a part of their family.
959
00:40:10,116 --> 00:40:12,284
It's not like it is here,
where patients come and go.
960
00:40:12,285 --> 00:40:13,785
Don't stay for the night shift.
961
00:40:13,786 --> 00:40:15,454
We got reinforcements coming in.
962
00:40:15,455 --> 00:40:16,788
I'd rather work.
963
00:40:16,789 --> 00:40:18,123
I don't know if I want
to sit with this at home.
964
00:40:18,124 --> 00:40:19,291
Try. For once, just listen to me.
965
00:40:19,292 --> 00:40:20,292
Take the night off.
966
00:40:20,293 --> 00:40:21,585
I'll cover for you until
967
00:40:21,586 --> 00:40:23,128
I can find someone else to come in.
968
00:40:23,129 --> 00:40:24,839
- Go.
- OK.
969
00:40:26,007 --> 00:40:27,300
OK.
970
00:40:32,305 --> 00:40:34,307
You think she's gonna be OK?
971
00:40:35,475 --> 00:40:36,808
I don't know.
972
00:40:36,809 --> 00:40:39,144
I just hope she can forgive herself.
973
00:40:46,736 --> 00:40:49,988
I've noticed some tension
between you and Dr. Santos.
974
00:40:49,989 --> 00:40:51,406
You two have history?
975
00:40:51,407 --> 00:40:52,991
Uh, yeah.
976
00:40:52,992 --> 00:40:54,786
She doesn't like me very much.
977
00:40:57,538 --> 00:40:59,665
Uh...
978
00:40:59,666 --> 00:41:01,708
we worked together one time.
979
00:41:01,709 --> 00:41:04,836
I was a pretty big asshole.
980
00:41:04,837 --> 00:41:07,422
She called me out
on some things that I...
981
00:41:07,423 --> 00:41:12,010
wasn't ready to face, and I overreacted.
982
00:41:12,011 --> 00:41:13,220
I'm gonna talk to her.
983
00:41:13,221 --> 00:41:16,473
I just haven't found the right time.
984
00:41:16,474 --> 00:41:17,849
Good.
985
00:41:17,850 --> 00:41:19,227
Do.
986
00:41:28,403 --> 00:41:30,570
Thought you might be in here.
987
00:41:30,571 --> 00:41:32,030
What's going on?
988
00:41:32,031 --> 00:41:34,741
It's just the deposition
and my sister coming in.
989
00:41:34,742 --> 00:41:36,743
It's been a... a day.
990
00:41:36,744 --> 00:41:38,078
Oh.
991
00:41:38,079 --> 00:41:40,372
Screw the deposition.
992
00:41:40,373 --> 00:41:42,333
Is your sister OK?
993
00:41:43,459 --> 00:41:45,377
Yeah, it's just a UTI,
994
00:41:45,378 --> 00:41:47,045
so meds will clear it up.
995
00:41:47,046 --> 00:41:49,090
Well, that's good.
996
00:41:50,383 --> 00:41:55,053
She has a boyfriend
she didn't tell me about,
997
00:41:55,054 --> 00:41:57,389
and other things
she didn't tell me about.
998
00:41:57,390 --> 00:41:58,974
Well, maybe she didn't know how.
999
00:41:58,975 --> 00:42:00,768
She's having sex.
1000
00:42:02,395 --> 00:42:04,980
Great s-sex.
1001
00:42:04,981 --> 00:42:06,314
And she lied to me.
1002
00:42:06,315 --> 00:42:08,900
I mean, she... she lied
to my face for 6 months.
1003
00:42:08,901 --> 00:42:10,778
My sister is a fucking liar.
1004
00:42:12,488 --> 00:42:13,990
Did you just curse?
1005
00:42:15,908 --> 00:42:18,410
It's how I feel.
1006
00:42:18,411 --> 00:42:20,412
Look, kid,
1007
00:42:20,413 --> 00:42:22,748
I say this with love.
1008
00:42:22,749 --> 00:42:25,625
People got their own reasons
for keeping secrets.
1009
00:42:25,626 --> 00:42:28,086
Most of the time, it's got
nothing to do with you.
1010
00:42:28,087 --> 00:42:31,590
I've seen "Elf" 164 times.
1011
00:42:31,591 --> 00:42:34,760
Becca loves "Elf," so we watch "Elf."
1012
00:42:34,761 --> 00:42:35,969
And she's got everything,
1013
00:42:35,970 --> 00:42:37,721
and n... and now she's got a boyfriend,
1014
00:42:37,722 --> 00:42:39,473
and they're gonna fall in love
and they're gonna get married,
1015
00:42:39,474 --> 00:42:41,768
and I'm gonna be completely alone.
1016
00:42:45,688 --> 00:42:48,274
Did it feel good to say that out loud?
1017
00:42:49,609 --> 00:42:50,860
No.
1018
00:42:52,612 --> 00:42:56,615
Mel, you're a good egg,
1019
00:42:56,616 --> 00:42:59,826
but this is not about you.
1020
00:42:59,827 --> 00:43:00,994
I learned a long time ago
1021
00:43:00,995 --> 00:43:02,788
to quit feeling sorry for myself.
1022
00:43:02,789 --> 00:43:03,789
Now come on.
1023
00:43:03,790 --> 00:43:05,416
Pity party's over.
1024
00:43:13,132 --> 00:43:15,258
OK, so this is your heart,
1025
00:43:15,259 --> 00:43:17,928
and these are your lungs.
1026
00:43:17,929 --> 00:43:19,513
- They look OK?
- Yeah.
1027
00:43:19,514 --> 00:43:20,764
It's this part right here,
1028
00:43:20,765 --> 00:43:22,265
this space right between your lungs.
1029
00:43:22,266 --> 00:43:25,018
It's called the mediastinum,
and it is enlarged.
1030
00:43:25,019 --> 00:43:26,812
It is too wide.
1031
00:43:26,813 --> 00:43:28,271
From what?
1032
00:43:28,272 --> 00:43:30,107
Can't really tell from the plain film.
1033
00:43:30,108 --> 00:43:31,441
Could be any number of things.
1034
00:43:31,442 --> 00:43:33,652
Yeah, stop the bullshit.
1035
00:43:33,653 --> 00:43:35,529
It could be an enlarged thyroid.
1036
00:43:35,530 --> 00:43:37,823
It could be enlarged lymph nodes
1037
00:43:37,824 --> 00:43:38,824
from an infection.
1038
00:43:38,825 --> 00:43:41,494
It could possibly be a tumor.
1039
00:43:42,829 --> 00:43:44,704
You think I have lung cancer?
1040
00:43:44,705 --> 00:43:46,832
Nope, I don't see that.
1041
00:43:46,833 --> 00:43:49,376
But cancer of the lymph nodes
is called lymphoma.
1042
00:43:49,377 --> 00:43:51,503
And there are a lot
of diseases of the aorta,
1043
00:43:51,504 --> 00:43:53,380
which is this big artery
that comes off the heart,
1044
00:43:53,381 --> 00:43:54,548
which can get enlarged
1045
00:43:54,549 --> 00:43:56,341
because of weak spot in the wall.
1046
00:43:56,342 --> 00:44:01,179
Kind of like a, uh, bubble in
a tire that can have a blowout.
1047
00:44:01,180 --> 00:44:03,765
And the only way to make sure
1048
00:44:03,766 --> 00:44:06,893
is to do a CT scan of your chest.
1049
00:44:06,894 --> 00:44:08,228
Today.
1050
00:44:08,229 --> 00:44:09,897
How long does that take?
1051
00:44:11,858 --> 00:44:14,277
A few hours, couple hours.
1052
00:44:15,736 --> 00:44:17,864
You still gonna be here?
1053
00:44:21,492 --> 00:44:26,080
Yeah, I would not feel good
about riding if I rushed this.
1054
00:44:28,916 --> 00:44:30,626
This is important?
1055
00:44:35,047 --> 00:44:36,465
Hey.
1056
00:44:37,216 --> 00:44:39,384
I think the, uh, labs are back
1057
00:44:39,385 --> 00:44:41,219
on your COPD patient.
1058
00:44:41,220 --> 00:44:42,679
Saw 'em in the rack.
1059
00:44:42,680 --> 00:44:44,347
Thanks.
1060
00:44:44,348 --> 00:44:45,891
Uh, look.
1061
00:44:45,892 --> 00:44:47,559
I don't know how to say this.
1062
00:44:47,560 --> 00:44:49,103
Um...
1063
00:44:51,230 --> 00:44:54,733
I know you don't like me,
and... and that's fine.
1064
00:44:54,734 --> 00:44:56,568
You don't have to. I just...
1065
00:44:56,569 --> 00:44:58,236
I want to say I'm sorry
1066
00:44:58,237 --> 00:45:00,238
for being an asshole on your first day.
1067
00:45:00,239 --> 00:45:02,157
That was completely inappropriate,
1068
00:45:02,158 --> 00:45:05,243
and if I could take back what happened,
1069
00:45:05,244 --> 00:45:07,330
I would, but I can't.
1070
00:45:09,415 --> 00:45:10,458
OK.
1071
00:45:13,836 --> 00:45:15,003
OK, I'm sorry, I just...
1072
00:45:15,004 --> 00:45:16,421
I don't buy it.
1073
00:45:16,422 --> 00:45:17,797
Everyone thinks you're just an addict
1074
00:45:17,798 --> 00:45:19,007
who went to rehab,
1075
00:45:19,008 --> 00:45:20,425
and you've convinced everyone here
1076
00:45:20,426 --> 00:45:21,635
that you've changed
1077
00:45:21,636 --> 00:45:23,094
and you're owning up to your mistakes,
1078
00:45:23,095 --> 00:45:24,721
and they welcome you back with open arms
1079
00:45:24,722 --> 00:45:26,139
because you're still the golden boy,
1080
00:45:26,140 --> 00:45:27,642
and I think it's bullshit.
1081
00:45:28,935 --> 00:45:30,727
I'm genuinely sorry.
1082
00:45:30,728 --> 00:45:32,979
And I can promise you,
I have faced my fair share
1083
00:45:32,980 --> 00:45:34,231
of punishment for what I did.
1084
00:45:34,232 --> 00:45:36,608
You fucking stole drugs
from the hospital.
1085
00:45:36,609 --> 00:45:38,276
Only three people here
actually know that.
1086
00:45:38,277 --> 00:45:40,237
Have you told anyone else what you did?
1087
00:45:40,238 --> 00:45:41,613
- Have you?
- Look.
1088
00:45:41,614 --> 00:45:43,448
I'm just trying to get through
my first day back.
1089
00:45:43,449 --> 00:45:44,950
You shouldn't even be here!
1090
00:45:44,951 --> 00:45:46,785
I should have reported you
to the state medical board.
1091
00:45:46,786 --> 00:45:48,954
You should have lost your
license and gone to prison.
1092
00:45:48,955 --> 00:45:50,413
You don't know what I've been through.
1093
00:45:50,414 --> 00:45:51,665
What you've been through?
1094
00:45:51,666 --> 00:45:52,958
My wife threatened to divorce me, OK?
1095
00:45:52,959 --> 00:45:54,292
I almost lost my kids.
1096
00:45:54,293 --> 00:45:56,295
Yeah, that's what happens
when you fuck up.
1097
00:45:59,507 --> 00:46:01,007
You don't have to accept my apology.
1098
00:46:01,008 --> 00:46:03,928
I just... I wanted to say it, OK?
1099
00:46:04,804 --> 00:46:07,222
You really want to atone for your sins?
1100
00:46:07,223 --> 00:46:08,640
Tell everyone here you stole drugs
1101
00:46:08,641 --> 00:46:10,392
and got kicked out of the ED
because of it.
1102
00:46:10,393 --> 00:46:12,812
Until then, stay out of my way.
1103
00:46:24,991 --> 00:46:26,491
Oh, hi.
1104
00:46:26,492 --> 00:46:27,993
What the fuck?
1105
00:46:27,994 --> 00:46:29,202
I'm just checking your vital signs.
1106
00:46:29,203 --> 00:46:30,620
Oh.
1107
00:46:30,621 --> 00:46:32,706
Where am I?
1108
00:46:32,707 --> 00:46:34,165
- Oh!
- What did you do to me?
1109
00:46:34,166 --> 00:46:35,625
Huh?
1110
00:46:38,747 --> 00:46:42,341
Sync and corrections by btsix
www.addic7ed.com