1 00:00:38,301 --> 00:00:39,510 What now? 2 00:00:39,594 --> 00:00:41,721 Now we wait. 3 00:00:41,804 --> 00:00:43,765 How long before… 4 00:00:43,848 --> 00:00:45,224 I have no idea. 5 00:00:45,308 --> 00:00:47,018 Could be hours. 6 00:00:47,101 --> 00:00:48,978 This doesn't feel right. 7 00:00:49,062 --> 00:00:51,022 Remember, Robby talked about… 8 00:00:51,105 --> 00:00:53,650 It still feels wrong. 9 00:00:53,733 --> 00:00:56,569 OK. This is Roxie's decision. 10 00:00:56,653 --> 00:01:00,448 Everything else in her life is out of her control except this. 11 00:01:00,531 --> 00:01:03,326 She wants to go out on her own terms. 12 00:01:03,409 --> 00:01:05,036 Very few of us get to do that. 13 00:01:05,119 --> 00:01:06,913 I should pick up more patients. 14 00:01:11,709 --> 00:01:13,711 So Adam lives at Middle Hill? 15 00:01:13,795 --> 00:01:15,088 He lives at Middle Hill. 16 00:01:15,171 --> 00:01:16,631 And he's three years older than you? 17 00:01:16,714 --> 00:01:19,008 He's three years older than me. 18 00:01:19,092 --> 00:01:22,053 And he asked you to be his girlfriend 19 00:01:22,136 --> 00:01:24,263 6 months ago? 20 00:01:24,347 --> 00:01:28,184 He asked me to be his girlfriend at game night, 21 00:01:28,267 --> 00:01:29,811 and I said yes. 22 00:01:29,894 --> 00:01:31,229 Got a patient waiting for a doctor. 23 00:01:31,312 --> 00:01:32,522 Vertigo in 13. 24 00:01:32,605 --> 00:01:34,315 OK. I'll be right there. 25 00:01:37,235 --> 00:01:39,946 Did Adam ask you if you wanted to have sex? 26 00:01:40,029 --> 00:01:43,282 I…Mel, I don't know if I can tell you. 27 00:01:43,366 --> 00:01:45,159 Of course you can tell me. I'm your sister. 28 00:01:45,243 --> 00:01:47,078 Well, it's private. 29 00:01:47,161 --> 00:01:49,956 Look, it's just…it's really important that I know. 30 00:01:50,039 --> 00:01:51,749 - Why? - Because. 31 00:01:51,833 --> 00:01:54,544 Well…I can tell Dr. Langdon 32 00:01:54,627 --> 00:01:56,337 because Dr. Langdon is my doctor, 33 00:01:56,421 --> 00:01:58,589 but I don't think I can tell you. 34 00:01:58,673 --> 00:02:00,049 Becca, just tell me! 35 00:02:00,133 --> 00:02:02,051 - Why are you yelling? - I'm not yelling. 36 00:02:02,135 --> 00:02:04,429 It's just…look, it's really important that I know. 37 00:02:04,512 --> 00:02:05,847 - You're definitely yelling. - Becca… 38 00:02:05,930 --> 00:02:07,890 Uh, maybe…maybe we should step outside for a minute. 39 00:02:07,974 --> 00:02:09,142 Why won't you tell me? 40 00:02:09,225 --> 00:02:11,477 Dr. King. 41 00:02:11,561 --> 00:02:13,521 Why don't you get some air? 42 00:02:16,607 --> 00:02:17,900 Sorry. 43 00:02:19,193 --> 00:02:20,945 Sorry. 44 00:02:25,408 --> 00:02:27,326 Hey, have you seen any of the X-ray techs around? 45 00:02:27,410 --> 00:02:28,494 Nope. 46 00:02:30,371 --> 00:02:31,456 Got an update for me? 47 00:02:31,539 --> 00:02:32,999 I'm just checking in. 48 00:02:33,082 --> 00:02:35,209 What are the chances of me getting out of here on time, 49 00:02:35,293 --> 00:02:36,627 - do you think? - That's up to you, Cap. 50 00:02:36,711 --> 00:02:37,712 We can handle this. 51 00:02:37,795 --> 00:02:39,630 Question is, will you let us? 52 00:02:45,678 --> 00:02:47,638 How are you two getting along? 53 00:02:47,722 --> 00:02:49,724 I can play nice for another two hours. 54 00:02:51,225 --> 00:02:52,602 OK. 55 00:02:52,685 --> 00:02:54,103 Kept calling me "Doc." 56 00:02:54,187 --> 00:02:57,356 Didn't know he was the real doc until a few months in. 57 00:02:57,440 --> 00:02:59,025 He was keeping his secret life from me. 58 00:03:00,318 --> 00:03:01,778 Where are we with his chest X-ray? 59 00:03:01,861 --> 00:03:04,739 Uh, X-rays are still six or seven behind. 60 00:03:04,822 --> 00:03:06,365 When's the last time you checked? 61 00:03:07,575 --> 00:03:09,160 Maybe 10 minutes ago, but I… 62 00:03:09,243 --> 00:03:10,369 - Stay on them. - Yeah. 63 00:03:10,453 --> 00:03:11,788 Come on, give the kid a break. 64 00:03:11,871 --> 00:03:14,207 It says here it takes an hour to get an X-ray. 65 00:03:14,290 --> 00:03:15,374 You're the first person 66 00:03:15,458 --> 00:03:16,709 who read this fucking thing all day. 67 00:03:19,796 --> 00:03:21,672 Don't get me started on those. 68 00:03:23,424 --> 00:03:25,259 How are you feeling? 69 00:03:25,343 --> 00:03:26,803 I'm good. 70 00:03:28,012 --> 00:03:29,931 You know, I take Lexapro. 71 00:03:30,014 --> 00:03:32,266 It helps with panic attacks, not just depression. 72 00:03:32,350 --> 00:03:33,893 Promise, I'm fine. 73 00:03:35,061 --> 00:03:36,854 Sorry about that, Mrs. Torres. 74 00:03:36,938 --> 00:03:38,105 Are you OK? 75 00:03:38,189 --> 00:03:39,273 I thought you were going to pass out. 76 00:03:39,357 --> 00:03:40,608 Yep, all good. 77 00:03:40,691 --> 00:03:42,819 Let's just pick up where we left off. 78 00:03:44,445 --> 00:03:47,114 Mrs. Torres presents with one week 79 00:03:47,198 --> 00:03:48,825 of painful, swollen right calf. 80 00:03:48,908 --> 00:03:50,535 No trauma, no fever, 81 00:03:50,618 --> 00:03:52,745 no history of hypercoagulable state. 82 00:03:52,829 --> 00:03:54,789 However, she did take a 15-hour bus ride 83 00:03:54,872 --> 00:03:57,500 from Orlando to Pittsburgh last week. 84 00:03:57,583 --> 00:04:00,002 Mrs. Torres, we're concerned about 85 00:04:00,086 --> 00:04:02,296 a possible blood clot in your leg 86 00:04:02,380 --> 00:04:04,465 that can lead to serious complications. 87 00:04:04,549 --> 00:04:07,009 We need to do an ultrasound, but no need to worry. 88 00:04:07,093 --> 00:04:08,177 If it's positive, 89 00:04:08,261 --> 00:04:09,595 we can treat with a blood thinner. 90 00:04:09,679 --> 00:04:10,805 Bueno. 91 00:04:10,888 --> 00:04:11,973 If there's something I've learned, 92 00:04:12,056 --> 00:04:13,474 it's to stop worrying. 93 00:04:13,558 --> 00:04:16,352 Can all your worries add a single moment to your life? 94 00:04:19,856 --> 00:04:20,857 Fresh from the lab. 95 00:04:20,940 --> 00:04:22,650 - They said one's critical. - They're supposed to 96 00:04:22,733 --> 00:04:24,068 - call those up. - I know. 97 00:04:24,151 --> 00:04:25,903 Every time they try, the red phone's been busy. 98 00:04:25,987 --> 00:04:27,029 Jesus Christ. 99 00:04:27,113 --> 00:04:28,948 This was resulted 25 minutes ago. 100 00:04:29,031 --> 00:04:30,825 Sodium 112. 101 00:04:30,908 --> 00:04:32,869 Mohan! 102 00:04:32,952 --> 00:04:36,163 Sprinkle some salt on your patient before he seizes. 103 00:04:36,247 --> 00:04:37,456 Where are we? 104 00:04:37,540 --> 00:04:39,375 Kidney stone patient's not obstructed. 105 00:04:39,458 --> 00:04:40,668 Just waiting on meds. 106 00:04:40,751 --> 00:04:42,253 Ortho is performing the replantation 107 00:04:42,336 --> 00:04:43,754 on our water slide trauma. 108 00:04:43,838 --> 00:04:46,507 Our perforated diverticulitis patient, Howard, 109 00:04:46,591 --> 00:04:47,842 made it through surgery. 110 00:04:47,925 --> 00:04:50,177 And I'm calling the CYF resource navigator 111 00:04:50,261 --> 00:04:51,637 to see if we're getting anywhere 112 00:04:51,721 --> 00:04:54,557 with emergency foster care for Baby Jane Doe. 113 00:04:54,640 --> 00:04:57,518 Other than that, labs and X-rays are way behind, 114 00:04:57,602 --> 00:04:59,854 but our Golden Girls are getting their steps in. 115 00:05:01,480 --> 00:05:03,858 Does Robby usually leave as soon as his shift ends, 116 00:05:03,941 --> 00:05:05,318 or does he like to stick around 117 00:05:05,401 --> 00:05:07,486 for all the handoffs to night shift? 118 00:05:07,570 --> 00:05:09,405 Depends, but he's usually pretty good 119 00:05:09,488 --> 00:05:11,324 about getting out of here. 120 00:05:14,076 --> 00:05:15,953 Shortness of breath in South 16. 121 00:05:16,037 --> 00:05:17,872 He could totally decompensate. 122 00:05:19,457 --> 00:05:21,959 I'm hoping to catch another intubation before 7:00. 123 00:05:22,043 --> 00:05:24,629 One more gets me to three in my first week. 124 00:05:24,712 --> 00:05:26,255 Probably a record. 125 00:05:27,882 --> 00:05:30,176 I'm looking for an easy one. 126 00:05:30,259 --> 00:05:32,845 Shift ends in 2 hours. 127 00:05:32,929 --> 00:05:35,765 You're supposed to pick up the stable patients in order. 128 00:05:35,848 --> 00:05:38,517 Do you need a…a second opinion on that? 129 00:05:38,601 --> 00:05:39,644 No. 130 00:05:40,561 --> 00:05:42,021 - Dr. McKay. - Yeah. 131 00:05:42,104 --> 00:05:44,065 A girl named Kiki came into reception looking for you. 132 00:05:44,148 --> 00:05:45,232 Kiki? 133 00:05:45,316 --> 00:05:46,316 She said she'll be in the park. 134 00:05:46,359 --> 00:05:47,652 Yeah, great, thanks. 135 00:05:52,114 --> 00:05:56,160 Hey, I think the labs are back on your PID patient. 136 00:05:56,243 --> 00:05:58,162 Thanks. 137 00:05:58,245 --> 00:06:00,289 Is everything OK? 138 00:06:00,373 --> 00:06:02,625 Uh, fantastic. 139 00:06:06,128 --> 00:06:07,213 Langdon? 140 00:06:07,296 --> 00:06:10,299 Kind of hoping I would never see him again. 141 00:06:10,383 --> 00:06:13,219 Well, you know, maybe he's changed. 142 00:06:15,972 --> 00:06:17,682 When you got a sec, there's something… 143 00:06:17,765 --> 00:06:19,100 Santos! 144 00:06:19,183 --> 00:06:21,143 I need you to pick up food poisoning in 12. 145 00:06:21,227 --> 00:06:22,770 Yeah, sure. Why not? 146 00:06:22,853 --> 00:06:24,188 What? 147 00:06:24,271 --> 00:06:25,773 No snark? No pushback? 148 00:06:25,856 --> 00:06:27,149 What have you done with Santos? 149 00:06:27,233 --> 00:06:29,235 Only 2 hours to go. 150 00:06:29,318 --> 00:06:30,403 I surrender. 151 00:06:31,529 --> 00:06:33,406 That's the spirit. 152 00:06:39,370 --> 00:06:40,496 How's Becca? 153 00:06:40,579 --> 00:06:41,831 She's good. 154 00:06:41,914 --> 00:06:43,833 I'm trying to call her living community, 155 00:06:43,916 --> 00:06:45,751 but they are not picking up. 156 00:06:45,835 --> 00:06:47,253 Why you calling 'em? 157 00:06:48,295 --> 00:06:51,257 Because I don't know anything about this Adam person. 158 00:06:51,340 --> 00:06:53,884 I mean, they've been dating for 6 months, and…and… 159 00:06:53,968 --> 00:06:55,761 and I don't know anything. 160 00:06:55,845 --> 00:06:57,805 She never said anything about wanting a boyfriend 161 00:06:57,888 --> 00:06:59,640 or even liking anyone. 162 00:06:59,724 --> 00:07:02,268 Yeah, but that doesn't mean she hasn't thought about it. 163 00:07:02,351 --> 00:07:03,853 No, I don't…I don't want to think about my sister 164 00:07:03,936 --> 00:07:05,646 thinking about having sex. 165 00:07:05,730 --> 00:07:08,399 I mean, who's to say he didn't take advantage of her? 166 00:07:08,482 --> 00:07:10,276 Middle Hill just let it happen. 167 00:07:10,359 --> 00:07:11,610 Why didn't they tell me? 168 00:07:11,694 --> 00:07:12,987 Well, maybe they didn't know about it. 169 00:07:13,070 --> 00:07:15,322 Six months, they had to have known. 170 00:07:15,406 --> 00:07:18,617 I just…maybe it was a mistake choosing Middle Hill. 171 00:07:18,701 --> 00:07:21,370 I…I mean, we saw a lot of good places, 172 00:07:21,454 --> 00:07:23,414 but that…that is where Becca wanted to go. 173 00:07:23,497 --> 00:07:24,582 I… 174 00:07:24,665 --> 00:07:27,168 Are you Becca's legal guardian? 175 00:07:27,251 --> 00:07:29,003 No, I have durable power of attorney. 176 00:07:29,086 --> 00:07:31,338 But we did this thing called supportive decision-making, 177 00:07:31,422 --> 00:07:32,882 where she can… 178 00:07:32,965 --> 00:07:34,925 make her own decisions. 179 00:07:35,009 --> 00:07:36,594 There you go. 180 00:07:36,677 --> 00:07:38,554 - Well, this is different. - Why? 181 00:07:38,637 --> 00:07:40,014 Because it is. 182 00:07:40,097 --> 00:07:41,348 I… 183 00:07:46,479 --> 00:07:48,564 My son, he's…he's not moving. 184 00:07:51,525 --> 00:07:53,194 OK. 185 00:07:53,277 --> 00:07:54,737 Come on, buddy. 186 00:07:54,820 --> 00:07:55,946 Come on. 187 00:08:00,159 --> 00:08:01,994 I got a hot and unresponsive child. 188 00:08:02,078 --> 00:08:03,120 I need a room, Dana. 189 00:08:03,204 --> 00:08:04,455 Trauma Two. 190 00:08:05,247 --> 00:08:07,750 We need a core temp ASAP. 191 00:08:07,833 --> 00:08:09,877 Hi, I'm Dr. Al-Hashimi. Are you Mom? 192 00:08:09,960 --> 00:08:11,754 - Brenda Azurmendi. - And this is? 193 00:08:11,837 --> 00:08:13,672 Micah. 194 00:08:13,756 --> 00:08:15,257 Has Micah been sick with a fever? 195 00:08:15,341 --> 00:08:16,801 No. He was fine all day. 196 00:08:16,884 --> 00:08:18,677 I found him in the car. 197 00:08:19,929 --> 00:08:22,473 Pupils are sluggish, but reactive. 198 00:08:22,556 --> 00:08:24,225 No reaction to pain. 199 00:08:25,893 --> 00:08:28,646 Uh, airway is patent with low tidal volume. 200 00:08:28,729 --> 00:08:30,773 Uh, let's set up for intubation. 201 00:08:31,899 --> 00:08:33,150 Heart rate is 22 in 10 seconds. 202 00:08:33,234 --> 00:08:35,611 - That's 132. - Do you know his weight? 203 00:08:35,694 --> 00:08:37,321 - No. - Joy, the Broselow. 204 00:08:37,404 --> 00:08:39,365 - The what? - The Broselow tape gives us 205 00:08:39,448 --> 00:08:41,408 all the drug doses based on length. 206 00:08:41,492 --> 00:08:42,535 Assisting with ventilation. 207 00:08:42,618 --> 00:08:44,120 Somebody call respiratory. 208 00:08:44,203 --> 00:08:45,788 You said you just found him in the car? 209 00:08:45,871 --> 00:08:47,498 I was working in the garden 210 00:08:47,581 --> 00:08:49,250 while he rode his trike in the driveway. 211 00:08:49,333 --> 00:08:51,377 One minute he was there, and then he wasn't. 212 00:08:51,460 --> 00:08:53,129 I…I thought he had gone into the house, 213 00:08:53,212 --> 00:08:54,755 but I couldn't find him anywhere. 214 00:08:54,839 --> 00:08:56,549 He must have gotten tired 215 00:08:56,632 --> 00:08:59,009 and…and climbed in and fallen asleep. 216 00:08:59,093 --> 00:09:01,720 By the time I found him, I…I couldn't wake him up. 217 00:09:01,804 --> 00:09:03,055 How long was he in there? 218 00:09:03,139 --> 00:09:04,139 Uh, m-m-maybe… 219 00:09:04,181 --> 00:09:06,225 maybe 15 minutes or…or 20. 220 00:09:06,308 --> 00:09:08,602 And the car was just unlocked? 221 00:09:08,686 --> 00:09:10,062 It's a safe neighborhood. 222 00:09:10,146 --> 00:09:11,689 Uh, Joy. 223 00:09:11,772 --> 00:09:16,777 OK, so you're gonna want to start at the head, 224 00:09:16,861 --> 00:09:20,030 measure the length, and then read it off. 225 00:09:20,114 --> 00:09:22,449 Uh, approximate weight is 25 kilograms. 226 00:09:22,533 --> 00:09:24,285 250 bolus of LR. 227 00:09:24,368 --> 00:09:26,120 I have doses for rock and ketamine. 228 00:09:26,203 --> 00:09:28,497 Almost no tone. I can do this without meds. 229 00:09:28,581 --> 00:09:29,582 Uh, it's easy enough to bag. 230 00:09:29,665 --> 00:09:30,791 Let's wait for RT. 231 00:09:30,875 --> 00:09:32,418 When the temperature is this high, 232 00:09:32,501 --> 00:09:34,336 the muscles can lose their strength, 233 00:09:34,420 --> 00:09:36,380 so we're going to help him breathe with a tube. 234 00:09:36,463 --> 00:09:38,924 Uh, rectal temp is 105.5. 235 00:09:39,008 --> 00:09:40,092 Heatstroke. 236 00:09:40,176 --> 00:09:41,594 Ice packs to the groin and axilla. 237 00:09:41,677 --> 00:09:43,095 See if we have an Arctic Sun that's not in use. 238 00:09:43,179 --> 00:09:44,638 We need all the ice we can get. 239 00:09:45,764 --> 00:09:47,933 And a pediatric body bag. 240 00:09:50,769 --> 00:09:52,605 Still waiting on your ketorolac pills. 241 00:09:52,688 --> 00:09:54,190 I will keep following up with the pharmacy. 242 00:09:54,273 --> 00:09:55,816 I told my son I would meet him at the park. 243 00:09:55,900 --> 00:09:57,484 We always watch the fireworks together. 244 00:09:57,568 --> 00:09:58,554 Sorry, Mr. Green. 245 00:09:58,569 --> 00:09:59,695 We won't forget about you. 246 00:09:59,778 --> 00:10:00,988 Mm. 247 00:10:05,159 --> 00:10:06,327 Heard you had a heart attack. 248 00:10:06,410 --> 00:10:08,495 I did not have a heart attack. 249 00:10:09,413 --> 00:10:11,540 Hey, Samira, how are you feeling? 250 00:10:11,624 --> 00:10:13,792 I am totally fine. 251 00:10:13,876 --> 00:10:14,960 Uh, glad to hear it. 252 00:10:15,044 --> 00:10:16,128 Hey, do you mind watching my patients 253 00:10:16,212 --> 00:10:17,296 for 5 minutes? 254 00:10:17,379 --> 00:10:18,379 I have to step out for a sec. 255 00:10:18,422 --> 00:10:19,673 No problem. 256 00:10:19,757 --> 00:10:22,301 Ogilvie, you, uh, want to get some air? 257 00:10:22,384 --> 00:10:23,594 Got a good case for you. 258 00:10:23,677 --> 00:10:26,055 Might an intubation be required? 259 00:10:26,138 --> 00:10:27,139 No. 260 00:10:27,223 --> 00:10:28,307 It's an unhoused patient 261 00:10:28,390 --> 00:10:30,226 I've treated on the street team. 262 00:10:32,353 --> 00:10:34,104 Thank you so much. 263 00:10:42,112 --> 00:10:43,989 - Hi, Becca. - Hey. 264 00:10:54,250 --> 00:10:56,710 I'm sorry I yelled at you. 265 00:10:56,794 --> 00:10:59,129 I was just… 266 00:10:59,213 --> 00:11:00,381 surprised. 267 00:11:00,464 --> 00:11:02,424 The nurse said I can leave. 268 00:11:02,508 --> 00:11:03,717 Yeah, um, 269 00:11:03,801 --> 00:11:05,594 can we just finish our conversation first? 270 00:11:05,678 --> 00:11:07,513 About what? 271 00:11:07,596 --> 00:11:09,765 Look, I…I know you don't have to tell me anything. 272 00:11:09,848 --> 00:11:11,517 I just… 273 00:11:11,600 --> 00:11:15,521 kind of hope you'd want to. 274 00:11:17,564 --> 00:11:19,066 When Adam asked you to have sex… 275 00:11:19,149 --> 00:11:20,734 He didn't ask me. 276 00:11:20,818 --> 00:11:22,319 I asked him. 277 00:11:23,779 --> 00:11:24,947 So he didn't pressure… 278 00:11:25,030 --> 00:11:26,699 No. 279 00:11:26,782 --> 00:11:29,660 So you wanted to have sex. 280 00:11:29,743 --> 00:11:31,412 I wanted to have sex. 281 00:11:31,495 --> 00:11:32,788 Sex is great! 282 00:11:32,871 --> 00:11:35,541 We talked about sex in my mind and body class. 283 00:11:35,624 --> 00:11:37,376 I told my therapist too. 284 00:11:39,753 --> 00:11:41,505 Hey, the, uh, pancreatitis in North 3's 285 00:11:41,588 --> 00:11:43,132 - still waiting for you. - OK. 286 00:11:43,215 --> 00:11:45,259 - Can I go now? - Uh, just one second. 287 00:11:45,342 --> 00:11:46,552 Uh, I'll be right there. 288 00:11:46,635 --> 00:11:48,429 I'm just gonna walk my sister out. 289 00:11:53,934 --> 00:11:56,103 Yeah, sorry, I'm right behind you. 290 00:11:58,147 --> 00:12:00,232 Curtis Larson, 42. 291 00:12:00,316 --> 00:12:01,859 Called to the golf course for combative behavior 292 00:12:01,942 --> 00:12:03,277 with his buddies. 293 00:12:03,360 --> 00:12:05,571 No signs of trauma, just alcohol on the breath. 294 00:12:05,654 --> 00:12:07,364 Seems to have calmed down a bit. 295 00:12:07,448 --> 00:12:08,615 He was fighting us so hard, 296 00:12:08,699 --> 00:12:10,200 had to give 4 milligrams of Versed 297 00:12:10,284 --> 00:12:11,577 to get vitals and a line. 298 00:12:11,660 --> 00:12:13,704 Good BP, pulse ox 99 on two liters. 299 00:12:13,787 --> 00:12:15,080 Between the booze and the Versed, 300 00:12:15,164 --> 00:12:16,540 he'll be sleeping it off for a while. 301 00:12:16,623 --> 00:12:18,250 Central 14, guys. 302 00:12:25,424 --> 00:12:26,550 Roxie's gone. 303 00:12:27,926 --> 00:12:29,345 Is the husband still in there with her? 304 00:12:29,428 --> 00:12:31,138 Yeah, Javadi's with him. 305 00:12:31,221 --> 00:12:33,849 She needs a death note. I can't find McKay. 306 00:12:33,932 --> 00:12:35,184 OK, I'll be right there. 307 00:12:35,267 --> 00:12:36,393 OK. 308 00:12:36,477 --> 00:12:38,520 Have you seen McKay anywhere? 309 00:12:38,604 --> 00:12:39,938 No. 310 00:12:42,566 --> 00:12:44,234 Have you ever seen a xylazine wound? 311 00:12:44,318 --> 00:12:46,278 - No. - But you know what it is? 312 00:12:46,362 --> 00:12:47,571 Yes. 313 00:12:47,654 --> 00:12:49,156 Then you know its street name is Tranq, 314 00:12:49,239 --> 00:12:50,239 and this shit is nasty 315 00:12:50,282 --> 00:12:52,368 and can lead to skin necrosis. 316 00:12:52,451 --> 00:12:54,703 I've never understood drug addiction. 317 00:12:54,787 --> 00:12:56,872 Well, you need to try. 318 00:12:56,955 --> 00:12:59,124 A little empathy goes a long way in this job. 319 00:12:59,208 --> 00:13:00,501 I am empathetic, I ju… 320 00:13:00,584 --> 00:13:01,960 I don't understand how an intelligent person 321 00:13:02,044 --> 00:13:04,296 - allows themselves to… - Can make mistakes? 322 00:13:04,380 --> 00:13:06,006 Heal themselves? Take away the pain? 323 00:13:06,090 --> 00:13:08,175 Hide from the abuse? 324 00:13:08,258 --> 00:13:11,178 We're healers, not judges. 325 00:13:11,261 --> 00:13:13,555 Shouldn't we go to the crosswalk? 326 00:13:13,639 --> 00:13:14,848 No? 327 00:13:14,932 --> 00:13:16,433 OK, this is what we're doing. 328 00:13:16,517 --> 00:13:18,727 I see organ donation in my future. 329 00:13:18,811 --> 00:13:20,020 Sorry! 330 00:14:15,909 --> 00:14:18,078 How's it going, Kiki? 331 00:14:18,162 --> 00:14:19,621 Who's this? 332 00:14:19,705 --> 00:14:21,039 Oh, it's, uh, Ogilvie. 333 00:14:21,123 --> 00:14:23,417 He's a student doctor here to help me. 334 00:14:23,500 --> 00:14:25,878 So what's happening with you? 335 00:14:25,961 --> 00:14:27,629 My leg's getting stinky again. 336 00:14:27,713 --> 00:14:29,965 Yeah? OK, let's take a look. 337 00:14:30,048 --> 00:14:31,258 OK. 338 00:14:35,179 --> 00:14:37,014 Is that an injection site? 339 00:14:37,097 --> 00:14:38,724 - No. - No. 340 00:14:38,807 --> 00:14:41,518 Xylazine wounds can show up anywhere. 341 00:14:41,602 --> 00:14:43,479 You, uh…you still using Tranq? 342 00:14:43,562 --> 00:14:44,897 Sometimes. 343 00:14:44,980 --> 00:14:46,732 Sometimes is not good, Kiki. 344 00:14:46,815 --> 00:14:48,108 You know it's nasty stuff. 345 00:14:48,192 --> 00:14:49,443 I'm trying to quit. 346 00:14:49,526 --> 00:14:51,320 How you going about that? 347 00:14:51,403 --> 00:14:53,489 I go to meetings sometimes. 348 00:14:53,572 --> 00:14:54,823 Meetings are good. 349 00:14:54,907 --> 00:14:57,701 Uh, not using's even better. 350 00:15:00,120 --> 00:15:02,998 Uh, OK. What's your plan, Ogilvie? 351 00:15:06,460 --> 00:15:08,003 Ogilvie, you OK? 352 00:15:08,086 --> 00:15:09,254 - Yes. - Yeah? 353 00:15:09,338 --> 00:15:10,422 Absolutely. 354 00:15:10,506 --> 00:15:15,219 Uh, my plan is clean with saline. 355 00:15:15,302 --> 00:15:16,386 Antibiotics? 356 00:15:16,470 --> 00:15:18,514 Medihoney to break down the eschar. 357 00:15:18,597 --> 00:15:19,848 And then? 358 00:15:19,932 --> 00:15:22,851 Um, redress with Xeroform 359 00:15:22,935 --> 00:15:24,102 and an ABD pad and a Kerlix wrap. 360 00:15:24,186 --> 00:15:25,646 Yeah, that'll do it. 361 00:15:25,729 --> 00:15:28,148 You need to change this dressing every day, Kiki, OK? 362 00:15:28,232 --> 00:15:29,858 I don't think I can do that. 363 00:15:29,942 --> 00:15:30,928 We'll give you all the supplies. 364 00:15:30,943 --> 00:15:32,110 You can do it yourself. 365 00:15:32,194 --> 00:15:33,862 You won't even have to come back here. 366 00:15:33,946 --> 00:15:36,698 Yeah. OK. 367 00:15:36,782 --> 00:15:38,659 OK. 368 00:15:38,742 --> 00:15:40,118 OK, pass the saline. 369 00:15:49,419 --> 00:15:51,338 Hey, I'm Dr. Whitaker. 370 00:15:51,421 --> 00:15:52,965 This is Dr. Santos. 371 00:15:53,048 --> 00:15:55,259 Roberto. Like Roberto Clemente. 372 00:15:56,510 --> 00:15:59,012 Oh, sorry. I…I don't know who that is. 373 00:16:00,055 --> 00:16:02,266 Pirates Hall of Famer Roberto Clemente. 374 00:16:02,349 --> 00:16:04,351 You…you don't watch baseball? 375 00:16:05,644 --> 00:16:07,729 Well, I am from Nebraska. 376 00:16:07,813 --> 00:16:10,315 We went to a few Storm Chasers games as a kid. 377 00:16:10,399 --> 00:16:11,400 That's about it. 378 00:16:11,483 --> 00:16:13,151 No Major League team, you know. 379 00:16:14,653 --> 00:16:16,905 All right. What happened to your elbow? 380 00:16:16,989 --> 00:16:19,950 Oneil Cruz hits a walk-off tater, right? 381 00:16:20,033 --> 00:16:23,078 And I…I…I catch it, you know, 382 00:16:23,161 --> 00:16:24,830 um, but then somebody fell on top of me, 383 00:16:24,913 --> 00:16:26,623 and I…I think I heard a pop, 384 00:16:26,707 --> 00:16:28,834 but hard to tell with all the screaming. 385 00:16:28,917 --> 00:16:30,627 - That sounds pretty dangerous. - Yeah. 386 00:16:30,711 --> 00:16:31,795 You're not one of those guys 387 00:16:31,878 --> 00:16:34,464 who steals balls from kids, are you? 388 00:16:34,548 --> 00:16:36,133 I didn't steal this. I wouldn't do that. 389 00:16:36,216 --> 00:16:38,135 I would never do that. I would never do that. 390 00:16:38,218 --> 00:16:39,219 OK. 391 00:16:39,303 --> 00:16:41,305 Can you move your fingers for me? 392 00:16:43,890 --> 00:16:45,892 And the thumb? 393 00:16:45,976 --> 00:16:47,519 Uh… 394 00:16:47,603 --> 00:16:48,854 - No. - OK, you know what? 395 00:16:48,937 --> 00:16:50,480 We can put that in a belongings bag… 396 00:16:50,564 --> 00:16:51,565 No, thanks. 397 00:16:51,648 --> 00:16:53,400 I, um…I think I will hold on to this. 398 00:16:54,693 --> 00:16:55,944 OK. Uh, you know what? 399 00:16:56,028 --> 00:16:57,863 We can put you in a sling, 400 00:16:57,946 --> 00:16:59,406 and then you can hold on to the ball 401 00:16:59,489 --> 00:17:00,741 while we examine you. 402 00:17:02,326 --> 00:17:04,411 OK. Yeah, I guess. 403 00:17:05,704 --> 00:17:06,997 Uh, you're gonna throw in an IV 404 00:17:07,080 --> 00:17:08,582 and start with 4 of morphine. 405 00:17:08,665 --> 00:17:11,043 No, no, no, no. I don't want to be knocked out. 406 00:17:11,126 --> 00:17:13,128 No, it's a low dose. You won't be knocked out. 407 00:17:13,211 --> 00:17:14,546 It'll just help with the pain. 408 00:17:14,630 --> 00:17:15,756 Might make you a little drowsy. 409 00:17:15,839 --> 00:17:18,342 No. I need to stay alert. 410 00:17:18,425 --> 00:17:19,593 OK. 411 00:17:19,676 --> 00:17:21,762 Uh, we will order you an X-ray. 412 00:17:21,845 --> 00:17:24,598 Just please let us know if you change your mind. 413 00:17:25,599 --> 00:17:27,059 OK, yeah. 414 00:17:30,270 --> 00:17:32,898 Temp is down to 103.5. 415 00:17:32,981 --> 00:17:34,858 Long way to 98.6. 416 00:17:34,941 --> 00:17:36,443 102, we take him off the ice. 417 00:17:36,526 --> 00:17:39,529 Otherwise, we can overshoot and cause hypothermia. 418 00:17:39,613 --> 00:17:41,323 I put in orders for CK. 419 00:17:41,406 --> 00:17:43,492 What does the CK tell us, Joy? 420 00:17:43,575 --> 00:17:46,411 Rhabdo from muscle breakdown can take out the kidneys. 421 00:17:46,495 --> 00:17:49,039 I'm more concerned about his brain. 422 00:17:54,836 --> 00:17:56,588 It's two times a day for three days, 423 00:17:56,672 --> 00:17:58,423 and, uh, a nurse can crush it up. 424 00:17:58,507 --> 00:18:00,634 Dr. Langdon already told me. 425 00:18:00,717 --> 00:18:02,302 OK, bye, Mel. 426 00:18:02,386 --> 00:18:03,762 I'll see you, uh… I'll see you at fireworks. 427 00:18:03,845 --> 00:18:06,515 Oh, I was going to watch fireworks 428 00:18:06,598 --> 00:18:09,101 with Adam and his parents. 429 00:18:09,184 --> 00:18:11,061 - Where? - At the park. 430 00:18:11,144 --> 00:18:13,647 They're picking us up. They go every year. 431 00:18:13,730 --> 00:18:15,315 But we always watch the fireworks together. 432 00:18:15,399 --> 00:18:16,441 I have your headphones. 433 00:18:16,525 --> 00:18:18,485 Adam said that he has extra. 434 00:18:18,568 --> 00:18:21,446 OK, well, um, do you have Adam's parents' phone number? 435 00:18:21,530 --> 00:18:22,614 Why? 436 00:18:22,698 --> 00:18:24,783 Just in case I need to reach them. 437 00:18:26,910 --> 00:18:28,328 I want to go now. 438 00:18:28,412 --> 00:18:30,706 - Well, I guess I could call… - Bye, Mel! 439 00:18:33,417 --> 00:18:35,711 So how long have you been part of the street team? 440 00:18:35,794 --> 00:18:37,879 Oh, about a year. 441 00:18:37,963 --> 00:18:39,548 And why do you do it? 442 00:18:39,631 --> 00:18:42,384 Oh, most of these unhoused folks feel abandoned. 443 00:18:42,467 --> 00:18:43,467 Sorry. 444 00:18:43,510 --> 00:18:45,262 They, uh, don't trust easily. 445 00:18:45,345 --> 00:18:48,056 Meeting them where they're at makes a big difference. 446 00:18:48,140 --> 00:18:51,560 I've been trying to get Kiki to come by for months. 447 00:18:51,643 --> 00:18:54,020 You should, uh, volunteer. 448 00:18:54,104 --> 00:18:55,439 It's great training. 449 00:18:55,522 --> 00:18:57,858 Street team could always use the help. 450 00:18:57,941 --> 00:19:00,402 Yeah, uh, maybe. 451 00:19:00,485 --> 00:19:01,778 Thank you. 452 00:19:01,862 --> 00:19:03,864 Hey, how did the deposition go? 453 00:19:03,947 --> 00:19:06,533 Um, I'm glad it's over, 454 00:19:06,616 --> 00:19:09,327 but I didn't feel good about it at all. 455 00:19:09,411 --> 00:19:11,037 You know, I'm still not supposed to talk about it. 456 00:19:11,121 --> 00:19:13,081 No, but you can talk about how you feel. 457 00:19:13,165 --> 00:19:15,584 Who do you have to talk to when things aren't going so good? 458 00:19:15,667 --> 00:19:17,502 Friends? Family? 459 00:19:17,586 --> 00:19:18,837 Actually, I don't really have anyone… 460 00:19:18,920 --> 00:19:20,338 Hey, McKay, where have you been? 461 00:19:20,422 --> 00:19:22,048 Oh, I, uh…I stepped out. 462 00:19:22,132 --> 00:19:23,842 Did you tell anybody? 463 00:19:23,925 --> 00:19:25,677 Oh, I was, uh, treating a young woman 464 00:19:25,761 --> 00:19:26,970 I met on the street team. 465 00:19:27,053 --> 00:19:28,847 Did she check in as a patient? 466 00:19:28,930 --> 00:19:31,349 No, we treated her in the park. 467 00:19:32,601 --> 00:19:34,895 "We"? 468 00:19:34,978 --> 00:19:36,897 I, uh…I took Ogilvie. 469 00:19:36,980 --> 00:19:39,149 Oh, OK, so you treated her 470 00:19:39,232 --> 00:19:41,276 outside the ED on PTMC's dime 471 00:19:41,359 --> 00:19:42,778 and you brought a medical student with you, 472 00:19:42,861 --> 00:19:44,321 right when we're in the middle of crisis mode, 473 00:19:44,404 --> 00:19:45,906 and we need all hands on deck. 474 00:19:45,989 --> 00:19:47,199 We were gone for 10 minutes, tops. 475 00:19:47,282 --> 00:19:48,658 When you're here, I need you to be here. 476 00:19:48,742 --> 00:19:51,995 And while you stepped out, Roxie died. 477 00:19:53,413 --> 00:19:54,539 What? 478 00:19:58,877 --> 00:20:01,379 Oh, man, I'm sorry. 479 00:20:01,463 --> 00:20:03,173 I didn't think she would be gone that quickly. 480 00:20:03,256 --> 00:20:05,008 Shit. 481 00:20:07,052 --> 00:20:08,220 Excuse me. 482 00:20:08,303 --> 00:20:11,223 Um, she took a nasty fall. Her shoulder. 483 00:20:11,306 --> 00:20:12,641 Screamed in pain when we put the ties on her. 484 00:20:12,724 --> 00:20:13,975 Hello, I'm Dr. Robinavitch. 485 00:20:14,059 --> 00:20:15,519 This is Dr. McKay. 486 00:20:15,602 --> 00:20:18,230 Agents Correa and Russo. 487 00:20:18,313 --> 00:20:20,524 She needs to be looked at before we process her. 488 00:20:20,607 --> 00:20:22,108 What's your name, ma'am? 489 00:20:23,819 --> 00:20:25,028 Pranita. 490 00:20:25,111 --> 00:20:27,697 We're gonna take care of you, OK? 491 00:20:27,781 --> 00:20:29,074 You said she fell? 492 00:20:29,157 --> 00:20:31,409 We were conducting a sweep at her restaurant. 493 00:20:31,493 --> 00:20:33,078 Everyone in the kitchen took off. 494 00:20:33,161 --> 00:20:35,330 She was shoved down some alley stairs. 495 00:20:35,413 --> 00:20:37,749 - Right. - Could be a rotator cuff tear 496 00:20:37,833 --> 00:20:40,418 or an AC separation. 497 00:20:40,502 --> 00:20:42,212 Let's put her in a chair, find her a room. 498 00:20:42,295 --> 00:20:43,964 South 19. 499 00:20:48,343 --> 00:20:49,845 Yeah. Just through here. 500 00:20:51,054 --> 00:20:52,973 Curtis, dude. 501 00:20:53,056 --> 00:20:54,057 What happened? 502 00:20:54,140 --> 00:20:55,892 Medics had to sedate him to transport. 503 00:20:57,310 --> 00:20:59,104 I didn't realize he was such an angry drunk. 504 00:20:59,187 --> 00:21:00,397 So you've seen him drunk before? 505 00:21:00,480 --> 00:21:02,691 Sure, yeah, but never like this. 506 00:21:02,774 --> 00:21:04,734 He tried to pick a fight with the guys in front of us. 507 00:21:04,818 --> 00:21:06,027 He said they were going too slow. 508 00:21:06,111 --> 00:21:07,946 That's when they called the cops. 509 00:21:08,029 --> 00:21:10,282 Could he have taken drugs? 510 00:21:10,365 --> 00:21:12,367 If he did, they were not the performance-enhancing kind. 511 00:21:13,577 --> 00:21:15,203 He shot a 112. 512 00:21:16,621 --> 00:21:19,624 We'll order labs, see what we can figure out. 513 00:21:19,708 --> 00:21:21,626 Uh, any family we can contact? 514 00:21:21,710 --> 00:21:23,587 I have no idea. We don't talk about that shit. 515 00:21:23,670 --> 00:21:24,963 How long is he gonna be here? 516 00:21:25,046 --> 00:21:27,299 At least 3 or 4 hours, till he sobers up. 517 00:21:27,382 --> 00:21:28,592 Cool. 518 00:21:28,675 --> 00:21:30,594 Is it OK if I just come back around 9:00? 519 00:21:30,677 --> 00:21:32,679 - Sure. - Great, thanks. 520 00:21:35,932 --> 00:21:38,643 I need those removed so I can check her vital signs. 521 00:21:42,689 --> 00:21:44,482 OK, tender over the AC. 522 00:21:51,031 --> 00:21:53,241 Can you, uh, lift your right arm up 523 00:21:53,325 --> 00:21:55,619 above your shoulder like this? 524 00:22:00,749 --> 00:22:02,751 - Ah! - Heart rate's 110. 525 00:22:02,834 --> 00:22:03,835 Pulse ox 98. 526 00:22:03,919 --> 00:22:05,921 Painful arc test is positive. 527 00:22:06,004 --> 00:22:07,380 Try the drop arm test. 528 00:22:07,464 --> 00:22:10,300 I'm gonna lift your arm up, OK? 529 00:22:10,383 --> 00:22:13,803 And you just lower it as slowly as you can, OK? 530 00:22:13,887 --> 00:22:15,597 OK. 531 00:22:15,680 --> 00:22:18,183 - Positive drop arm test. - What's that mean? 532 00:22:18,266 --> 00:22:20,060 That means that she's gonna require an X-ray. 533 00:22:20,143 --> 00:22:21,978 It's most likely a rotator cuff tear, 534 00:22:22,062 --> 00:22:23,730 which sometimes can come with a fracture. 535 00:22:23,813 --> 00:22:25,231 We need an X-ray to rule it out. 536 00:22:25,315 --> 00:22:27,192 How long is that gonna take? 537 00:22:27,275 --> 00:22:28,902 Our computers are down today. 538 00:22:28,985 --> 00:22:30,528 Everything's moving a little slower than usual, 539 00:22:30,612 --> 00:22:32,113 but we will fast-track her. 540 00:22:32,197 --> 00:22:34,366 Is there anyone you want us to call, Pranita? 541 00:22:34,449 --> 00:22:36,785 No phone calls. 542 00:22:36,868 --> 00:22:38,536 Got a bathroom? 543 00:22:46,920 --> 00:22:48,296 Right there. 544 00:22:50,173 --> 00:22:51,216 I do not want these guys here 545 00:22:51,299 --> 00:22:52,717 any longer than they need to be, 546 00:22:52,801 --> 00:22:54,469 so let's find X-ray and fast-track this one. 547 00:22:54,552 --> 00:22:56,554 Her family might be worried. Maybe I can call them… 548 00:22:56,638 --> 00:22:58,139 No, no, no. Just stay with her. 549 00:22:58,223 --> 00:22:59,474 Make sure she has everything she needs. 550 00:22:59,557 --> 00:23:00,892 We treat her injury, and that's it. 551 00:23:00,976 --> 00:23:02,560 OK. 552 00:23:02,644 --> 00:23:05,522 Jamie Guerrero to window three, please. 553 00:23:05,605 --> 00:23:08,191 Jamie Guerrero to window three. 554 00:23:34,634 --> 00:23:36,803 Got a lateral. 555 00:23:36,886 --> 00:23:38,096 Best I could. 556 00:23:38,179 --> 00:23:40,515 Posterior dislocation, no fracture. 557 00:23:40,598 --> 00:23:42,350 - Thanks. - Mm-hmm. 558 00:23:42,434 --> 00:23:43,810 OK, good news, Roberto. 559 00:23:43,893 --> 00:23:47,313 No broken bones, but the elbow joint is dislocated 560 00:23:47,397 --> 00:23:49,232 and we need to get the ball back in the socket. 561 00:23:49,315 --> 00:23:51,735 The best way is with sedation and pain meds. 562 00:23:51,818 --> 00:23:53,737 - No, no, no. - I know you said no morphine, 563 00:23:53,820 --> 00:23:55,822 but we can put local anesthetic into the joint 564 00:23:55,905 --> 00:23:56,906 to block the pain. 565 00:23:56,990 --> 00:23:58,074 That way you won't be sedated. 566 00:23:58,158 --> 00:23:59,951 No, thanks, Doc. 567 00:24:00,035 --> 00:24:02,245 Just…just give me a bullet to bite on. 568 00:24:07,083 --> 00:24:08,960 They raided Joe's over in Green Tree. 569 00:24:09,044 --> 00:24:10,545 Oh, man, I love that place. 570 00:24:10,628 --> 00:24:11,880 Brought in one of the employees. 571 00:24:11,963 --> 00:24:13,048 So ICE is here? 572 00:24:13,131 --> 00:24:14,340 People are leaving the waiting room. 573 00:24:14,424 --> 00:24:15,967 Ten patients already. What should I do? 574 00:24:16,051 --> 00:24:17,719 Just tell them the truth and hope they stay 575 00:24:17,802 --> 00:24:18,970 for the treatment that they need. 576 00:24:19,054 --> 00:24:20,388 Martha took off. 577 00:24:20,472 --> 00:24:21,598 I'm gonna call her when I get a chance. 578 00:24:21,681 --> 00:24:23,099 Oh, shit. Yeah, make sure she's OK. 579 00:24:23,183 --> 00:24:24,642 Will you call the EVS department too 580 00:24:24,726 --> 00:24:25,852 - and let 'em know? - Will do. 581 00:24:25,935 --> 00:24:27,062 All right, hold down the fort. 582 00:24:27,145 --> 00:24:28,145 Let us know if you need backup. 583 00:24:28,188 --> 00:24:29,481 You got it. 584 00:24:29,564 --> 00:24:32,067 Can't we just tell the agents to fuck off? 585 00:24:32,150 --> 00:24:34,611 They are not gonna leave without their patient. 586 00:24:34,694 --> 00:24:35,987 We just need to treat her. 587 00:24:36,071 --> 00:24:37,614 Even if she's undocumented? 588 00:24:37,697 --> 00:24:39,741 All patients, regardless of immigration status, 589 00:24:39,824 --> 00:24:42,744 have the right to emergency care under EMTALA. 590 00:24:43,828 --> 00:24:45,622 Pranita is next in line for X-ray. 591 00:24:45,705 --> 00:24:47,123 OK, good. Thank you. 592 00:24:48,875 --> 00:24:51,336 Propofol is down to 100 mikes per minute. 593 00:24:51,419 --> 00:24:52,796 Temp is 101.8. 594 00:24:52,879 --> 00:24:54,714 Great, let's get him off the ice. 595 00:24:54,798 --> 00:24:56,674 OK, hands. 596 00:24:56,758 --> 00:24:59,052 On my count. One, two, three. 597 00:25:02,222 --> 00:25:03,348 What's the latest? 598 00:25:03,431 --> 00:25:06,392 Uh, we got some arm movement. 599 00:25:06,476 --> 00:25:08,186 That's a good sign. 600 00:25:10,021 --> 00:25:13,358 And pupils are minimally reactive. 601 00:25:14,609 --> 00:25:16,945 Plantars are downgoing. 602 00:25:17,028 --> 00:25:19,155 All encouraging signs. 603 00:25:21,157 --> 00:25:23,159 Any luck getting a lawyer for our detainee? 604 00:25:23,243 --> 00:25:24,744 Uh, no. 605 00:25:24,828 --> 00:25:26,704 Keep me posted. 606 00:25:26,788 --> 00:25:28,164 Yeah. 607 00:25:33,253 --> 00:25:34,754 That's a pretty bracelet. 608 00:25:36,172 --> 00:25:38,174 My daughter made it for me. 609 00:25:40,093 --> 00:25:41,302 She doesn't know where I am. 610 00:25:41,386 --> 00:25:44,097 I just want her to know that I'm OK. 611 00:25:45,932 --> 00:25:48,351 You seriously won't let her make a phone call? 612 00:25:48,434 --> 00:25:50,728 Not until she's processed. 613 00:25:50,812 --> 00:25:52,355 Unbelievable. 614 00:25:54,065 --> 00:25:56,651 Thanks, and just let me know when she gets back. 615 00:25:56,734 --> 00:25:57,986 Uh, one other thing. 616 00:25:58,069 --> 00:26:00,864 Uh, do you have a resident named Adam? 617 00:26:00,947 --> 00:26:03,116 I was wondering if I could get his parents' phone number. 618 00:26:03,199 --> 00:26:04,367 - Nope! - I… 619 00:26:04,450 --> 00:26:05,952 Red phone is for emergencies only. 620 00:26:06,035 --> 00:26:08,121 This is kind of an emergency. 621 00:26:09,664 --> 00:26:11,082 Sorry. Bye. 622 00:26:12,333 --> 00:26:14,002 Hey, Mel, we need an R3 623 00:26:14,085 --> 00:26:15,503 to supervise a reduction in North 4. 624 00:26:15,587 --> 00:26:17,672 - Are you free? - Uh, I guess. 625 00:26:18,631 --> 00:26:20,383 Should we move the deceased woman 626 00:26:20,466 --> 00:26:22,343 in Central 9 to viewing? 627 00:26:22,427 --> 00:26:24,012 Uh, no, let's leave the husband in there 628 00:26:24,095 --> 00:26:26,181 - for a little while longer. - We need the room. 629 00:26:26,264 --> 00:26:28,141 We're not moving her yet! 630 00:26:28,224 --> 00:26:29,934 OK, sorry. 631 00:26:30,018 --> 00:26:31,311 I'm gonna do a room check. 632 00:26:32,687 --> 00:26:35,190 Pedes ICU says they'll have a bed soon. 633 00:26:35,273 --> 00:26:36,941 OK. 634 00:26:41,362 --> 00:26:43,198 So what do we think? 635 00:26:43,281 --> 00:26:44,699 About what? 636 00:26:44,782 --> 00:26:46,784 The mom of our heatstroke kid. 637 00:26:46,868 --> 00:26:48,369 Uh, that is not our job. 638 00:26:48,453 --> 00:26:50,538 That is what CYF is for. 639 00:26:50,622 --> 00:26:52,290 So you think it was on purpose? 640 00:26:52,373 --> 00:26:54,542 No, I did not say that. 641 00:26:54,626 --> 00:26:55,835 I just don't buy it. 642 00:26:55,919 --> 00:26:57,420 She lost her kid at home? 643 00:26:57,503 --> 00:26:58,713 Plus, she just looks guilty. 644 00:26:58,796 --> 00:27:00,465 Has anyone seen her cry? 645 00:27:01,925 --> 00:27:03,635 People don't always respond to trauma 646 00:27:03,718 --> 00:27:05,428 the way you expect them to. 647 00:27:05,511 --> 00:27:07,847 Stay focused on the kid. 648 00:27:10,475 --> 00:27:13,102 BP 78 over 42, sats 87. 649 00:27:13,186 --> 00:27:15,980 You having some pain again, Mr. Green? 650 00:27:16,064 --> 00:27:17,815 - Mr. Green? - This one's yours? 651 00:27:17,899 --> 00:27:20,526 Yeah, a kidney stone. Possible vasovagal. 652 00:27:20,610 --> 00:27:22,278 Can't assume that. We need some help here! 653 00:27:22,362 --> 00:27:23,446 Does he have an IV? 654 00:27:23,529 --> 00:27:25,740 N-no, he didn't need one. 655 00:27:25,823 --> 00:27:28,159 Hypotensive and hypoxic. 656 00:27:28,243 --> 00:27:29,619 Clear a trauma room. 657 00:27:29,702 --> 00:27:31,120 Yeah. 658 00:27:31,204 --> 00:27:33,665 Uh, he was just waiting on his discharge meds. 659 00:27:33,748 --> 00:27:35,333 Pain-free. 660 00:27:36,542 --> 00:27:38,169 A few more patients are gone from chairs. 661 00:27:38,253 --> 00:27:40,296 South 15 took off too. 662 00:27:40,380 --> 00:27:41,547 History of renal colic. 663 00:27:41,631 --> 00:27:43,466 Heme-positive urine. BP crashing. 664 00:27:43,549 --> 00:27:45,885 Heme-positive urine doesn't always mean kidney stone. 665 00:27:45,969 --> 00:27:48,263 Two antecubital lines, biggest ones we've got, 666 00:27:48,346 --> 00:27:52,976 E-FAST, and let's get two units of whole blood hung, please. 667 00:27:53,059 --> 00:27:54,143 Good. 668 00:27:55,937 --> 00:27:58,022 - Who worked up this patient? - I did. 669 00:27:58,106 --> 00:28:00,525 Ultrasound showed dilated ureter a… 670 00:28:00,608 --> 00:28:01,985 and mild left hydronephrosis 671 00:28:02,068 --> 00:28:04,070 consistent with his history of renal colic. 672 00:28:04,153 --> 00:28:05,571 What about the aorta? 673 00:28:05,655 --> 00:28:07,532 I didn't look at the aorta. 674 00:28:07,615 --> 00:28:09,575 - Who did you present to? - Dr. Mohan. 675 00:28:09,659 --> 00:28:11,244 You said the rest of the ultrasound was normal. 676 00:28:11,327 --> 00:28:13,371 I meant that the other kidney was normal. 677 00:28:15,623 --> 00:28:17,250 8-centimeter triple-A with massive free fluid. 678 00:28:17,333 --> 00:28:19,127 Ruptured aortic aneurysm. He's bleeding out. 679 00:28:19,210 --> 00:28:20,461 OK, go with the MTP. 680 00:28:20,545 --> 00:28:21,879 16-gauge in the left AC. 681 00:28:21,963 --> 00:28:24,132 Two units whole blood on the infuser. 682 00:28:25,216 --> 00:28:27,135 Assisting ventilations. 683 00:28:27,218 --> 00:28:28,636 Resps are agonal. 684 00:28:28,720 --> 00:28:30,888 OK, who wants to intubate? 685 00:28:32,974 --> 00:28:34,559 - Javadi? - Sure. 686 00:28:34,642 --> 00:28:36,185 OK, call for six more units of whole blood. 687 00:28:36,269 --> 00:28:37,854 Eusebio, call surgery. 688 00:28:37,937 --> 00:28:40,648 If we stay ahead of him, we might get him up to the OR. 689 00:28:40,732 --> 00:28:42,025 Here you go. 690 00:28:56,039 --> 00:28:57,498 We're lightening up his sedation 691 00:28:57,582 --> 00:29:00,084 to see if he has any purposeful movement. 692 00:29:00,168 --> 00:29:03,379 If so, that will be an encouraging sign. 693 00:29:03,463 --> 00:29:05,256 He'll be back to normal? 694 00:29:06,883 --> 00:29:08,092 There's no certainty 695 00:29:08,176 --> 00:29:10,845 as to how much recovery Micah will have. 696 00:29:10,928 --> 00:29:15,058 His response over the next 24 hours will tell. 697 00:29:15,141 --> 00:29:19,520 There is a chance of cognitive impairment, 698 00:29:19,604 --> 00:29:22,690 but also a chance of meaningful recovery. 699 00:29:22,774 --> 00:29:25,860 Dr. Al-Hashimi, the patient in 22 needs you. 700 00:29:27,612 --> 00:29:29,614 I will be right back. 701 00:29:45,213 --> 00:29:46,798 I'm in. Bag him. 702 00:29:46,881 --> 00:29:48,049 Nicely done. Good job. 703 00:29:48,132 --> 00:29:49,342 Unit three is up and running. 704 00:29:49,425 --> 00:29:50,676 I've got a 16-gauge EJ. 705 00:29:50,760 --> 00:29:52,303 That one goes on the rapid infuser. 706 00:29:52,387 --> 00:29:53,763 Good end tidal waveform. 707 00:29:56,140 --> 00:29:58,101 Strong radial pulse. That's a very good sign. 708 00:29:58,184 --> 00:30:00,228 BP's up. 86 over 52. 709 00:30:00,311 --> 00:30:01,354 Some progress. 710 00:30:01,437 --> 00:30:03,189 - How about 2 grams TXA? - Yeah. 711 00:30:03,272 --> 00:30:05,608 What else do we give after four units of blood? 712 00:30:08,194 --> 00:30:09,278 - Um… - Calcium gluconate 713 00:30:09,362 --> 00:30:10,530 to counteract hypocalcemia 714 00:30:10,613 --> 00:30:12,657 caused by the citrate anticoagulant. 715 00:30:12,740 --> 00:30:14,367 Why don't you see if you can't squeeze a unit 716 00:30:14,450 --> 00:30:16,285 into that peripheral line? 717 00:30:19,497 --> 00:30:20,748 Should somebody place a central line? 718 00:30:20,832 --> 00:30:22,125 Long central line is slower than 719 00:30:22,208 --> 00:30:23,709 short large-bore peripheral. 720 00:30:23,793 --> 00:30:24,919 Flow is proportional 721 00:30:25,002 --> 00:30:27,004 to the fourth power of the radius. 722 00:30:27,088 --> 00:30:28,548 Physics. 723 00:30:28,631 --> 00:30:30,425 Right. 724 00:30:30,508 --> 00:30:32,260 OK. 725 00:30:33,594 --> 00:30:35,179 Bite down on this. 726 00:30:36,472 --> 00:30:37,598 OK. 727 00:30:37,682 --> 00:30:39,642 - I'm stabilizing the humerus. - All right. 728 00:30:39,725 --> 00:30:41,102 After I supinate with traction, 729 00:30:41,185 --> 00:30:43,938 Dr. Whitaker will apply downward pressure 730 00:30:44,021 --> 00:30:45,731 on the proximal forearm. 731 00:30:45,815 --> 00:30:46,816 OK. 732 00:30:46,899 --> 00:30:48,025 This is gonna hurt like hell, Roberto. 733 00:30:48,109 --> 00:30:49,109 Mm, mm. 734 00:30:49,152 --> 00:30:51,195 One, two, three. 735 00:30:53,531 --> 00:30:55,908 OK. I'm flexing at the elbow. 736 00:31:02,540 --> 00:31:04,292 Systolic's down to 68. 737 00:31:04,375 --> 00:31:06,627 Units five and six are up and running. 738 00:31:08,171 --> 00:31:10,256 I'm here for Garcia. Vascular can't come down. 739 00:31:10,339 --> 00:31:11,632 Triple A with hemorrhagic shock. 740 00:31:11,716 --> 00:31:12,800 Most of these die in the field. 741 00:31:12,884 --> 00:31:14,135 He was stable. 742 00:31:14,218 --> 00:31:15,720 Presented with a history of renal colic. 743 00:31:15,803 --> 00:31:18,306 And nobody saw the triple A on ultrasound? 744 00:31:18,389 --> 00:31:19,765 Was this you? 745 00:31:19,849 --> 00:31:21,809 No. It was me. 746 00:31:23,561 --> 00:31:24,562 Looks like sinus tach. 747 00:31:24,645 --> 00:31:26,230 Nope, lost the pulse. It's PEA. 748 00:31:26,314 --> 00:31:27,690 Bag him. Ogilvie, start compressions. 749 00:31:27,773 --> 00:31:28,900 We're having a hard time 750 00:31:28,983 --> 00:31:30,234 staying ahead of the blood loss. 751 00:31:30,318 --> 00:31:31,903 Sterile gloves. Prep for a thoracotomy. 752 00:31:31,986 --> 00:31:34,197 Dr. Javadi, why don't you glove up and show Dr. Shamsi 753 00:31:34,280 --> 00:31:35,781 why you belong in the ED? 754 00:31:37,033 --> 00:31:39,118 If we can cross-clamp the aorta, 755 00:31:39,202 --> 00:31:40,912 we can stop the blood flow from below the diaphragm. 756 00:31:40,995 --> 00:31:42,538 We can perfuse the heart and the brain. 757 00:31:45,833 --> 00:31:47,960 - Ten blade. - Right in there. 758 00:31:55,676 --> 00:31:57,053 Mayo scissors. 759 00:32:04,435 --> 00:32:05,895 Rib spreader. 760 00:32:10,983 --> 00:32:12,485 Satinsky. 761 00:32:13,736 --> 00:32:15,696 Let me know when you have enough exposure. 762 00:32:20,076 --> 00:32:21,118 Right there. 763 00:32:23,871 --> 00:32:25,039 Do you need me on suction? 764 00:32:25,122 --> 00:32:26,165 No, there's no blood in the chest. 765 00:32:26,249 --> 00:32:27,249 It's all in the belly. 766 00:32:27,291 --> 00:32:28,668 Here, keep squeezing. 767 00:32:33,464 --> 00:32:34,924 Aorta's clamped. 768 00:32:36,175 --> 00:32:37,161 Heart is empty. 769 00:32:37,176 --> 00:32:38,162 OK, Javadi, get in there. 770 00:32:38,177 --> 00:32:39,387 Internal compressions, go. 771 00:32:43,849 --> 00:32:45,560 Put two more units on the rapid infuser, please. 772 00:32:45,643 --> 00:32:47,478 That'll be units seven and eight. 773 00:32:54,110 --> 00:32:55,319 All right. Neuro's intact. 774 00:32:55,403 --> 00:32:56,862 So we'll do a posterior splint, 775 00:32:56,946 --> 00:32:59,407 a sling, and an ortho referral. 776 00:32:59,490 --> 00:33:00,908 You know, I'm actually kind of impressed 777 00:33:00,992 --> 00:33:02,785 you did that without pain meds. 778 00:33:02,868 --> 00:33:03,953 Definitely worth it. 779 00:33:04,036 --> 00:33:07,039 You know, last year I caught McCutchen's 300th career homer, 780 00:33:07,123 --> 00:33:09,375 but another fan stole it from me. 781 00:33:09,458 --> 00:33:11,586 I promised myself I would never let that happen again. 782 00:33:13,087 --> 00:33:15,131 Whitaker, can you write the procedure note? 783 00:33:15,214 --> 00:33:16,549 Yeah, you already filled in the T-sheet, so… 784 00:33:16,632 --> 00:33:17,842 Yeah, well, I'm already here. 785 00:33:17,925 --> 00:33:18,925 Yeah, I kind of had a handle… 786 00:33:18,968 --> 00:33:20,303 I just did everything else, 787 00:33:20,386 --> 00:33:21,470 so can you just fill out the chart? 788 00:33:21,554 --> 00:33:22,555 You should probably finish it. 789 00:33:22,638 --> 00:33:23,848 - Well… - OK, someone do this! 790 00:33:23,931 --> 00:33:25,683 I don't…I don't…I don't care who. 791 00:33:27,518 --> 00:33:28,644 Yeah. 792 00:33:37,403 --> 00:33:38,696 Where's Mrs. Azurmendi? 793 00:33:38,779 --> 00:33:40,239 She stepped out. 794 00:33:40,323 --> 00:33:41,657 Stepped out? 795 00:33:46,996 --> 00:33:48,497 Feels like the heart's filling back up. 796 00:33:48,581 --> 00:33:50,249 Let's have a peek. 797 00:33:52,627 --> 00:33:55,004 Looks good. Really good. 798 00:33:55,087 --> 00:33:56,756 Strong radial pulse. 799 00:33:58,382 --> 00:34:00,760 Moist lap pads. Prep for transfer. 800 00:34:01,761 --> 00:34:03,763 Systolic of 94. That's the best so far. 801 00:34:03,846 --> 00:34:05,222 Can I go with you? 802 00:34:06,599 --> 00:34:08,809 He's my patient. 803 00:34:08,893 --> 00:34:10,394 OK by me. 804 00:34:10,478 --> 00:34:12,229 Bring two extra units. 805 00:34:17,443 --> 00:34:19,028 ICE is in the building? 806 00:34:19,111 --> 00:34:20,321 Word travels fast. Yeah. 807 00:34:20,404 --> 00:34:22,698 We have a detainee with a rotator cuff tear. 808 00:34:22,782 --> 00:34:23,908 Two of our nurses went home. 809 00:34:23,991 --> 00:34:25,159 They have temporary protected status, 810 00:34:25,242 --> 00:34:27,286 but they just don't feel safe. 811 00:34:30,206 --> 00:34:32,458 Um, I'm really sorry, Dr. Robby. 812 00:34:32,541 --> 00:34:33,626 I should have checked the aorta. 813 00:34:33,709 --> 00:34:35,086 It's an easy one to miss. 814 00:34:35,169 --> 00:34:38,047 Got a heartbeat back, though, so still some hope. 815 00:34:41,717 --> 00:34:42,718 I'm sorry too. 816 00:34:42,802 --> 00:34:44,345 I…I should have asked Ogilvie 817 00:34:44,428 --> 00:34:45,846 if he'd checked the aorta. 818 00:34:45,930 --> 00:34:48,057 - It's…it's my fault. - It is. 819 00:34:48,140 --> 00:34:49,433 You're the senior resident. 820 00:34:49,517 --> 00:34:51,185 You don't look to others. Others look to you. 821 00:34:51,268 --> 00:34:53,479 - I know. I'm really sorry. - This is what happens 822 00:34:53,562 --> 00:34:55,481 when you bring your personal life into work. 823 00:34:55,564 --> 00:34:57,149 - Patient almost died. - I know. 824 00:34:58,609 --> 00:35:01,070 You have to think of these walls like a force field. 825 00:35:01,153 --> 00:35:02,738 You cannot let anything in. 826 00:35:02,822 --> 00:35:04,532 Your mother's not in here. She is out there. 827 00:35:04,615 --> 00:35:06,409 You keep everything out there. That is the key. 828 00:35:06,492 --> 00:35:08,744 That is the difference between the best doctors 829 00:35:08,828 --> 00:35:10,705 and the ones that don't make it. 830 00:35:10,788 --> 00:35:12,039 You're right. 831 00:35:13,416 --> 00:35:15,751 Maybe I just don't belong here. 832 00:35:19,755 --> 00:35:21,424 Pranita's X-ray results. 833 00:35:21,507 --> 00:35:23,134 - No fracture. - OK. 834 00:35:23,217 --> 00:35:25,386 We'll just have Jesse fit her for a sling, I guess, 835 00:35:25,469 --> 00:35:26,929 and then we have to discharge her. 836 00:35:27,012 --> 00:35:28,889 To the immigration guys? 837 00:35:28,973 --> 00:35:30,391 I'm afraid so. 838 00:35:32,643 --> 00:35:34,770 OK, time for you to go. 839 00:35:34,854 --> 00:35:37,314 I was just having a chat with Ms. Peters here. 840 00:35:37,398 --> 00:35:39,567 You can see how busy this department is, right? 841 00:35:39,650 --> 00:35:40,901 You've been nothing but a distraction 842 00:35:40,985 --> 00:35:42,528 and a disruption since you've been here. 843 00:35:42,611 --> 00:35:44,697 I'm already short-staffed, and I just lost five nurses 844 00:35:44,780 --> 00:35:46,574 and half my environmental services team 845 00:35:46,657 --> 00:35:48,826 because you walked in. 846 00:35:48,909 --> 00:35:50,870 You know patients come in here for help, right? 847 00:35:50,953 --> 00:35:52,663 Because they're either sick or they're injured, 848 00:35:52,747 --> 00:35:54,206 and documented or undocumented, 849 00:35:54,290 --> 00:35:56,250 they have a right to emergency care. 850 00:35:56,333 --> 00:35:58,878 TB, measles, fractures… none of it's getting treated 851 00:35:58,961 --> 00:36:00,045 'cause everybody's too scared to come in. 852 00:36:00,129 --> 00:36:01,130 But then they end up here anyway, 853 00:36:01,213 --> 00:36:02,631 but then it's too fucking late! 854 00:36:02,715 --> 00:36:04,216 So please, for the love of God, can you just go 855 00:36:04,300 --> 00:36:06,051 wait over there in the room with your detainee, 856 00:36:06,135 --> 00:36:08,554 so I don't lose any more patients or staff? 857 00:36:10,222 --> 00:36:12,016 No problem, Doc. 858 00:36:22,485 --> 00:36:24,612 Mrs. Azurmendi. 859 00:36:26,071 --> 00:36:27,990 Brenda. 860 00:36:28,073 --> 00:36:30,075 Where are you going? 861 00:36:30,159 --> 00:36:31,160 Brenda! 862 00:36:36,207 --> 00:36:37,541 OK, OK. 863 00:36:37,625 --> 00:36:39,126 It's OK. 864 00:36:39,210 --> 00:36:40,878 Let's get you back inside to your son. 865 00:36:40,961 --> 00:36:43,130 It's OK. It's OK. It's OK. It's OK. 866 00:36:45,800 --> 00:36:48,469 Come on. She's cleared to go. 867 00:36:48,552 --> 00:36:50,221 Wait. Hold on. She needs a sling. 868 00:36:50,304 --> 00:36:52,097 - This will only take a minute. - We're leaving. 869 00:36:52,181 --> 00:36:53,390 Hey, man, you're hurting her! 870 00:36:56,018 --> 00:36:58,062 Jesus Christ. What's going on now? 871 00:36:58,145 --> 00:36:59,146 Robby! 872 00:36:59,230 --> 00:37:00,564 Help! 873 00:37:00,648 --> 00:37:03,234 You can't do this! What are you doing? 874 00:37:03,317 --> 00:37:04,568 - This is bullshit. - What the hell is going on? 875 00:37:04,652 --> 00:37:05,653 - Get your hands off me. - He hurt her, 876 00:37:05,736 --> 00:37:06,904 and Jesse stepped in! 877 00:37:06,987 --> 00:37:08,447 - Robby, I didn't do shit. - I know. 878 00:37:08,531 --> 00:37:09,573 I know. I'm just gonna… 879 00:37:11,700 --> 00:37:13,077 - No! - We gotta go. 880 00:37:13,160 --> 00:37:15,412 - No, don't! - Come on. 881 00:37:15,496 --> 00:37:17,122 Don't say anything. You don't have to say anything. 882 00:37:17,206 --> 00:37:18,192 They can't make you say anything. 883 00:37:18,207 --> 00:37:19,193 We'll get you an attorney. 884 00:37:19,208 --> 00:37:20,960 I promise we'll get you out. 885 00:37:21,043 --> 00:37:22,461 Call the hospital attorney again. 886 00:37:22,545 --> 00:37:23,879 - No, no! - Can't believe this shit! 887 00:37:23,963 --> 00:37:25,381 Can you at least tell us where you're taking them? 888 00:37:25,464 --> 00:37:26,674 No! 889 00:37:26,757 --> 00:37:28,175 Is there a detention center near Pittsburgh? 890 00:37:28,259 --> 00:37:29,635 That's gotta be where they're going, right? 891 00:37:29,718 --> 00:37:31,470 It could be hours before he's processed. 892 00:37:31,554 --> 00:37:33,430 I'll stay on it. 893 00:37:33,514 --> 00:37:35,516 What can we do? 894 00:37:35,599 --> 00:37:37,101 Uh…hey, Javadi! 895 00:37:37,184 --> 00:37:38,936 Javadi, please come back. 896 00:37:39,019 --> 00:37:41,188 Everybody, just go check on your patients. 897 00:37:41,272 --> 00:37:42,606 Assure them. Tell them what happened. 898 00:37:42,690 --> 00:37:44,191 But please, everybody get back to work. 899 00:37:44,275 --> 00:37:45,734 Who's gonna take Jesse's patients? 900 00:37:45,818 --> 00:37:47,820 - I can do it, D. - Thanks, Perlah. 901 00:37:49,405 --> 00:37:50,948 - Hey, you OK? - Yeah, I'm OK. 902 00:37:51,031 --> 00:37:52,700 - Are you OK? - Yeah. 903 00:37:52,783 --> 00:37:54,493 The lawyers are tied up with the cyberattacks upstairs. 904 00:37:54,577 --> 00:37:56,370 They probably won't come down for a while. 905 00:37:58,122 --> 00:37:59,748 What's the latest with the heatstroke kid? 906 00:37:59,832 --> 00:38:01,959 I sent him up to Pedes ICU. 907 00:38:06,714 --> 00:38:08,340 What's going on? 908 00:38:08,424 --> 00:38:10,050 I found her outside, wandering into the street. 909 00:38:10,134 --> 00:38:11,802 She almost got hit by a truck. 910 00:38:11,886 --> 00:38:13,512 I think it was intentional. 911 00:38:13,596 --> 00:38:15,055 Christ almighty. 912 00:38:15,139 --> 00:38:16,515 I told Nurse Kim not to let her out of her sight. 913 00:38:16,599 --> 00:38:18,726 We need to call a 302 and observe her. 914 00:38:18,809 --> 00:38:19,977 Danger to self. 915 00:38:20,060 --> 00:38:21,562 Is she gonna be able to see her kid? 916 00:38:21,645 --> 00:38:23,606 Not if she's on an involuntary psych hold. 917 00:38:23,689 --> 00:38:25,524 Well, what happens if he's ready to be discharged 918 00:38:25,608 --> 00:38:26,942 before she is? 919 00:38:27,026 --> 00:38:28,777 Does she have a partner or a relative we can call? 920 00:38:28,861 --> 00:38:30,154 I can find out. 921 00:38:30,237 --> 00:38:31,614 Why don't you and I talk to her together? 922 00:38:31,697 --> 00:38:33,449 Sure, I just need to check on a patient, 923 00:38:33,532 --> 00:38:35,743 - and I will meet you there. - OK. 924 00:38:48,422 --> 00:38:51,175 Uh, OK. 925 00:38:52,259 --> 00:38:53,510 Hey, Emma, 926 00:38:53,594 --> 00:38:54,720 have you seen this patient? 927 00:38:54,803 --> 00:38:56,013 Oh, I…I haven't. 928 00:38:56,096 --> 00:38:57,598 Oh, she took off when those ICE guys 929 00:38:57,681 --> 00:38:58,891 arrested your nurse. 930 00:39:01,644 --> 00:39:03,020 Damn it. 931 00:39:04,188 --> 00:39:06,732 I tried to get him 932 00:39:06,815 --> 00:39:08,651 to help me in the garden, 933 00:39:08,734 --> 00:39:11,445 but he just wanted to ride his trike. 934 00:39:13,614 --> 00:39:15,616 So I let him. 935 00:39:15,699 --> 00:39:18,118 Every time I looked over, 936 00:39:18,202 --> 00:39:22,373 he was just riding around. 937 00:39:24,792 --> 00:39:27,920 And then he wasn't. 938 00:39:28,003 --> 00:39:31,131 Have you ever thought about hurting yourself? 939 00:39:34,468 --> 00:39:35,719 CBC and blood alcohol are 940 00:39:35,803 --> 00:39:37,179 back on your golfer, Curtis Larson. 941 00:39:37,262 --> 00:39:39,223 - 0.14. - Copy that. 942 00:39:39,306 --> 00:39:41,517 OK, we'll wait for the other labs. 943 00:39:41,600 --> 00:39:43,227 He'll need to sleep it off in the meantime. 944 00:39:44,979 --> 00:39:47,564 Hey, Gabriel, can you wait up a sec? 945 00:39:47,648 --> 00:39:49,274 Do you have Duke Ekins' chest X-ray? 946 00:39:49,358 --> 00:39:50,734 - Yeah. - How's it look? 947 00:39:50,818 --> 00:39:52,403 Radiologists still need to read it. 948 00:39:52,486 --> 00:39:54,154 Can you pull it up for me? 949 00:39:58,742 --> 00:40:01,161 Shit. 950 00:40:01,245 --> 00:40:02,496 I gotta call the funeral home, 951 00:40:02,579 --> 00:40:03,706 start making arrangements. 952 00:40:03,789 --> 00:40:04,832 Or you could slow down, 953 00:40:04,915 --> 00:40:06,667 take some time for yourself. 954 00:40:06,750 --> 00:40:08,043 How you doing? 955 00:40:08,127 --> 00:40:10,671 Oh, you know, been better. 956 00:40:10,754 --> 00:40:12,631 You spend so much time with these people, 957 00:40:12,715 --> 00:40:14,174 you become a part of their family. 958 00:40:14,258 --> 00:40:16,301 It's not like it is here, where patients come and go. 959 00:40:16,385 --> 00:40:17,803 Don't stay for the night shift. 960 00:40:17,886 --> 00:40:19,471 We got reinforcements coming in. 961 00:40:19,555 --> 00:40:20,848 I'd rather work. 962 00:40:20,931 --> 00:40:22,182 I don't know if I want to sit with this at home. 963 00:40:22,266 --> 00:40:23,350 Try. For once, just listen to me. 964 00:40:23,434 --> 00:40:24,420 Take the night off. 965 00:40:24,435 --> 00:40:25,602 I'll cover for you until 966 00:40:25,686 --> 00:40:27,146 I can find someone else to come in. 967 00:40:27,229 --> 00:40:28,939 - Go. - OK. 968 00:40:30,149 --> 00:40:31,400 OK. 969 00:40:36,405 --> 00:40:38,323 You think she's gonna be OK? 970 00:40:39,616 --> 00:40:40,868 I don't know. 971 00:40:40,951 --> 00:40:43,162 I just hope she can forgive herself. 972 00:40:50,878 --> 00:40:54,006 I've noticed some tension between you and Dr. Santos. 973 00:40:54,089 --> 00:40:55,466 You two have history? 974 00:40:55,549 --> 00:40:57,009 Uh, yeah. 975 00:40:57,092 --> 00:40:58,844 She doesn't like me very much. 976 00:41:01,680 --> 00:41:03,724 Uh… 977 00:41:03,807 --> 00:41:05,768 we worked together one time. 978 00:41:05,851 --> 00:41:08,896 I was a pretty big asshole. 979 00:41:08,979 --> 00:41:11,482 She called me out on some things that I… 980 00:41:11,565 --> 00:41:16,028 wasn't ready to face, and I overreacted. 981 00:41:16,111 --> 00:41:17,279 I'm gonna talk to her. 982 00:41:17,362 --> 00:41:20,491 I just haven't found the right time. 983 00:41:20,574 --> 00:41:21,909 Good. 984 00:41:21,992 --> 00:41:23,327 Do. 985 00:41:32,544 --> 00:41:34,630 Thought you might be in here. 986 00:41:34,713 --> 00:41:36,048 What's going on? 987 00:41:36,131 --> 00:41:38,801 It's just the deposition and my sister coming in. 988 00:41:38,884 --> 00:41:40,803 It's been a…a day. 989 00:41:40,886 --> 00:41:42,137 Oh. 990 00:41:42,221 --> 00:41:44,431 Screw the deposition. 991 00:41:44,515 --> 00:41:46,391 Is your sister OK? 992 00:41:47,601 --> 00:41:49,394 Yeah, it's just a UTI, 993 00:41:49,478 --> 00:41:51,105 so meds will clear it up. 994 00:41:51,188 --> 00:41:53,148 Well, that's good. 995 00:41:54,483 --> 00:41:59,113 She has a boyfriend she didn't tell me about, 996 00:41:59,196 --> 00:42:01,448 and other things she didn't tell me about. 997 00:42:01,532 --> 00:42:03,033 Well, maybe she didn't know how. 998 00:42:03,117 --> 00:42:04,868 She's having sex. 999 00:42:06,537 --> 00:42:09,039 Great s-sex. 1000 00:42:09,123 --> 00:42:10,374 And she lied to me. 1001 00:42:10,457 --> 00:42:12,918 I mean, she…she lied to my face for 6 months. 1002 00:42:13,001 --> 00:42:14,837 My sister is a fucking liar. 1003 00:42:16,630 --> 00:42:18,048 Did you just curse? 1004 00:42:20,050 --> 00:42:22,427 It's how I feel. 1005 00:42:22,511 --> 00:42:24,471 Look, kid, 1006 00:42:24,555 --> 00:42:26,807 I say this with love. 1007 00:42:26,890 --> 00:42:29,685 People got their own reasons for keeping secrets. 1008 00:42:29,768 --> 00:42:32,146 Most of the time, it's got nothing to do with you. 1009 00:42:32,229 --> 00:42:35,649 I've seen "Elf" 164 times. 1010 00:42:35,732 --> 00:42:38,777 Becca loves "Elf," so we watch "Elf." 1011 00:42:38,861 --> 00:42:40,028 And she's got everything, 1012 00:42:40,112 --> 00:42:41,738 and n…and now she's got a boyfriend, 1013 00:42:41,822 --> 00:42:43,532 and they're gonna fall in love and they're gonna get married, 1014 00:42:43,615 --> 00:42:45,826 and I'm gonna be completely alone. 1015 00:42:49,830 --> 00:42:52,332 Did it feel good to say that out loud? 1016 00:42:53,750 --> 00:42:54,960 No. 1017 00:42:56,712 --> 00:43:00,632 Mel, you're a good egg, 1018 00:43:00,716 --> 00:43:03,886 but this is not about you. 1019 00:43:03,969 --> 00:43:05,053 I learned a long time ago 1020 00:43:05,137 --> 00:43:06,847 to quit feeling sorry for myself. 1021 00:43:06,930 --> 00:43:07,916 Now come on. 1022 00:43:07,931 --> 00:43:09,516 Pity party's over. 1023 00:43:17,274 --> 00:43:19,276 OK, so this is your heart, 1024 00:43:19,359 --> 00:43:21,945 and these are your lungs. 1025 00:43:22,029 --> 00:43:23,572 - They look OK? - Yeah. 1026 00:43:23,655 --> 00:43:24,781 It's this part right here, 1027 00:43:24,865 --> 00:43:26,283 this space right between your lungs. 1028 00:43:26,366 --> 00:43:29,077 It's called the mediastinum, and it is enlarged. 1029 00:43:29,161 --> 00:43:30,871 It is too wide. 1030 00:43:30,954 --> 00:43:32,289 From what? 1031 00:43:32,372 --> 00:43:34,124 Can't really tell from the plain film. 1032 00:43:34,208 --> 00:43:35,459 Could be any number of things. 1033 00:43:35,542 --> 00:43:37,669 Yeah, stop the bullshit. 1034 00:43:37,753 --> 00:43:39,588 It could be an enlarged thyroid. 1035 00:43:39,671 --> 00:43:41,840 It could be enlarged lymph nodes 1036 00:43:41,924 --> 00:43:42,924 from an infection. 1037 00:43:42,966 --> 00:43:45,594 It could possibly be a tumor. 1038 00:43:46,970 --> 00:43:48,764 You think I have lung cancer? 1039 00:43:48,847 --> 00:43:50,849 Nope, I don't see that. 1040 00:43:50,933 --> 00:43:53,435 But cancer of the lymph nodes is called lymphoma. 1041 00:43:53,518 --> 00:43:55,520 And there are a lot of diseases of the aorta, 1042 00:43:55,604 --> 00:43:57,439 which is this big artery that comes off the heart, 1043 00:43:57,522 --> 00:43:58,607 which can get enlarged 1044 00:43:58,690 --> 00:44:00,400 because of weak spot in the wall. 1045 00:44:00,484 --> 00:44:05,197 Kind of like a, uh, bubble in a tire that can have a blowout. 1046 00:44:05,280 --> 00:44:07,824 And the only way to make sure 1047 00:44:07,908 --> 00:44:10,953 is to do a CT scan of your chest. 1048 00:44:11,036 --> 00:44:12,287 Today. 1049 00:44:12,371 --> 00:44:13,997 How long does that take? 1050 00:44:15,958 --> 00:44:18,335 A few hours, couple hours. 1051 00:44:19,878 --> 00:44:21,880 You still gonna be here? 1052 00:44:25,592 --> 00:44:30,138 Yeah, I would not feel good about riding if I rushed this. 1053 00:44:33,058 --> 00:44:34,685 This is important? 1054 00:44:39,189 --> 00:44:40,565 Hey. 1055 00:44:41,358 --> 00:44:43,402 I think the, uh, labs are back 1056 00:44:43,485 --> 00:44:45,237 on your COPD patient. 1057 00:44:45,320 --> 00:44:46,697 Saw 'em in the rack. 1058 00:44:46,780 --> 00:44:48,365 Thanks. 1059 00:44:48,448 --> 00:44:49,908 Uh, look. 1060 00:44:49,992 --> 00:44:51,618 I don't know how to say this. 1061 00:44:51,702 --> 00:44:53,203 Um… 1062 00:44:55,372 --> 00:44:58,750 I know you don't like me, and…and that's fine. 1063 00:44:58,834 --> 00:45:00,585 You don't have to. I just… 1064 00:45:00,669 --> 00:45:02,254 I want to say I'm sorry 1065 00:45:02,337 --> 00:45:04,256 for being an asshole on your first day. 1066 00:45:04,339 --> 00:45:06,216 That was completely inappropriate, 1067 00:45:06,300 --> 00:45:09,303 and if I could take back what happened, 1068 00:45:09,386 --> 00:45:11,430 I would, but I can't. 1069 00:45:13,557 --> 00:45:14,557 OK. 1070 00:45:17,978 --> 00:45:19,062 OK, I'm sorry, I just… 1071 00:45:19,146 --> 00:45:20,480 I don't buy it. 1072 00:45:20,564 --> 00:45:21,857 Everyone thinks you're just an addict 1073 00:45:21,940 --> 00:45:23,066 who went to rehab, 1074 00:45:23,150 --> 00:45:24,484 and you've convinced everyone here 1075 00:45:24,568 --> 00:45:25,694 that you've changed 1076 00:45:25,777 --> 00:45:27,112 and you're owning up to your mistakes, 1077 00:45:27,195 --> 00:45:28,739 and they welcome you back with open arms 1078 00:45:28,822 --> 00:45:30,198 because you're still the golden boy, 1079 00:45:30,282 --> 00:45:31,700 and I think it's bullshit. 1080 00:45:33,035 --> 00:45:34,786 I'm genuinely sorry. 1081 00:45:34,870 --> 00:45:37,039 And I can promise you, I have faced my fair share 1082 00:45:37,122 --> 00:45:38,290 of punishment for what I did. 1083 00:45:38,373 --> 00:45:40,625 You fucking stole drugs from the hospital. 1084 00:45:40,709 --> 00:45:42,294 Only three people here actually know that. 1085 00:45:42,377 --> 00:45:44,254 Have you told anyone else what you did? 1086 00:45:44,338 --> 00:45:45,672 - Have you? - Look. 1087 00:45:45,756 --> 00:45:47,466 I'm just trying to get through my first day back. 1088 00:45:47,549 --> 00:45:48,967 You shouldn't even be here! 1089 00:45:49,051 --> 00:45:50,844 I should have reported you to the state medical board. 1090 00:45:50,927 --> 00:45:52,971 You should have lost your license and gone to prison. 1091 00:45:53,055 --> 00:45:54,431 You don't know what I've been through. 1092 00:45:54,514 --> 00:45:55,724 What you've been through? 1093 00:45:55,807 --> 00:45:57,017 My wife threatened to divorce me, OK? 1094 00:45:57,100 --> 00:45:58,352 I almost lost my kids. 1095 00:45:58,435 --> 00:46:00,395 Yeah, that's what happens when you fuck up. 1096 00:46:03,648 --> 00:46:05,067 You don't have to accept my apology. 1097 00:46:05,150 --> 00:46:07,986 I just…I wanted to say it, OK? 1098 00:46:08,904 --> 00:46:11,281 You really want to atone for your sins? 1099 00:46:11,365 --> 00:46:12,699 Tell everyone here you stole drugs 1100 00:46:12,783 --> 00:46:14,451 and got kicked out of the ED because of it. 1101 00:46:14,534 --> 00:46:16,912 Until then, stay out of my way. 1102 00:46:29,716 --> 00:46:30,717 Oh, hi. 1103 00:46:30,801 --> 00:46:32,010 What the fuck? 1104 00:46:32,094 --> 00:46:33,553 I'm just checking your vital signs. 1105 00:46:33,637 --> 00:46:34,638 Oh. 1106 00:46:34,721 --> 00:46:36,765 Where am I? 1107 00:46:36,848 --> 00:46:38,225 - Oh! - What did you do to me? 1108 00:46:38,308 --> 00:46:39,643 Huh?