1
00:00:05,795 --> 00:00:08,549
<b><font color="#ff0000">Sync and corrections by btsix
www.addic7ed.com</font></b>

2
00:00:08,550 --> 00:00:10,885
<i>Huh?</i>

3
00:00:13,805 --> 00:00:14,890
Hey!

4
00:00:19,561 --> 00:00:20,978
Donnie, thank you. I'm sorry.

5
00:00:20,979 --> 00:00:22,897
We'll get another nurse
to replace Jesse.

6
00:00:22,898 --> 00:00:24,732
Do we even know where
these ICE assholes took him?

7
00:00:24,733 --> 00:00:26,573
No, but the hospital
attorneys are all over it.

8
00:00:27,903 --> 00:00:30,404
I know you got child duty...
what's going on?

9
00:00:30,405 --> 00:00:32,616
It's a code Hula Hoop, Central 14.

10
00:00:34,785 --> 00:00:38,120
Move, move, move, move,
move, move, move, move.

11
00:00:38,121 --> 00:00:40,414
What the hell happened?

12
00:00:40,415 --> 00:00:43,584
He attacked Emma, so I gave
him a shot to settle him down.

13
00:00:43,585 --> 00:00:46,170
Are you all right?

14
00:00:46,171 --> 00:00:48,839
Let's see.

15
00:00:48,840 --> 00:00:52,052
- How did he get a bloody nose?
- He slipped.

16
00:00:53,428 --> 00:00:55,764
- Can I see?
- He had her in a headlock.

17
00:00:57,599 --> 00:01:00,810
{n8}- Uh, where's Ogilvy?
- Upstairs.

18
00:01:00,811 --> 00:01:03,646
{n8}They let him scrub in on that
kidney stone turned triple-A.

19
00:01:03,647 --> 00:01:05,606
Oh, great, on the one day med students

20
00:01:05,607 --> 00:01:08,442
might actually be useful in the ED.

21
00:01:08,443 --> 00:01:10,152
Oh, uh, present company excluded.

22
00:01:10,153 --> 00:01:12,196
You're doing great.

23
00:01:12,197 --> 00:01:13,368
Sure.

24
00:01:13,369 --> 00:01:15,616
Hey, uh, can I get a selfie with you?

25
00:01:15,617 --> 00:01:16,806
With me?

26
00:01:16,807 --> 00:01:18,869
Yeah, you're kind of a legend
among med students.

27
00:01:18,870 --> 00:01:20,018
Really?

28
00:01:20,019 --> 00:01:21,956
They call you Phantom of the Pitt,

29
00:01:21,957 --> 00:01:23,499
on account of you secretly living

30
00:01:23,500 --> 00:01:25,042
in the hospital for months.

31
00:01:25,043 --> 00:01:26,836
What? It wasn't months.

32
00:01:26,837 --> 00:01:28,462
Still waiting on labs...

33
00:01:28,463 --> 00:01:30,089
X-rays, meds.

34
00:01:30,090 --> 00:01:32,675
PTMC. Go ahead, Medic Command.

35
00:01:32,676 --> 00:01:34,051
Where are all the nurses?

36
00:01:34,052 --> 00:01:36,637
There was a code Hula Hoop
in Central 14.

37
00:01:36,638 --> 00:01:38,180
- Oh, no.
- What's that?

38
00:01:38,181 --> 00:01:39,974
Hospital worker assault.

39
00:01:39,975 --> 00:01:42,704
- Who?
- The new nurse Emma.

40
00:01:42,705 --> 00:01:44,645
- Is she okay?
- I don't know.

41
00:01:44,646 --> 00:01:46,230
I think so.

42
00:01:46,231 --> 00:01:49,151
Smoke 'em if you got 'em.
This place is going tits up.

43
00:01:52,070 --> 00:01:53,863
Okay, are we all good in here?

44
00:01:53,864 --> 00:01:55,990
Oh, yeah, boss, we got this.

45
00:01:55,991 --> 00:01:57,783
Are you sure you're all right?

46
00:01:57,784 --> 00:02:01,871
- Uh, I think so.
- Okay, good. Come.

47
00:02:01,872 --> 00:02:04,832
So what exactly happened?

48
00:02:04,833 --> 00:02:07,126
He grabbed Emma.
He threw her up against a wall.

49
00:02:07,127 --> 00:02:08,628
- I ran in and gave him a shot.
- Right.

50
00:02:08,629 --> 00:02:10,630
And did he slip before
or after the shot?

51
00:02:10,631 --> 00:02:12,214
Before.

52
00:02:12,215 --> 00:02:13,674
Yeah, he had me in a headlock.

53
00:02:13,675 --> 00:02:15,176
I didn't see what happened.

54
00:02:15,177 --> 00:02:17,345
- What did you give him?
- 4 milligrams of Versed.

55
00:02:17,346 --> 00:02:19,472
- Who wrote the order?
- I had it in my pocket.

56
00:02:19,473 --> 00:02:22,850
I was on my way to waste it
when shit went sideways.

57
00:02:22,851 --> 00:02:24,435
What?

58
00:02:24,436 --> 00:02:25,895
Okay, so now he's altered

59
00:02:25,896 --> 00:02:27,855
from alcohol, Versed, and a head trauma.

60
00:02:27,856 --> 00:02:29,315
Now he's gonna need
a head CT to rule out

61
00:02:29,316 --> 00:02:30,652
intracranial bleeding and a fracture.

62
00:02:30,653 --> 00:02:33,235
Would you rather it be Emma
with a head injury or worse?

63
00:02:33,236 --> 00:02:34,633
Don't worry about it. We got this.

64
00:02:34,634 --> 00:02:36,197
No, there's no we here.

65
00:02:36,198 --> 00:02:38,866
You need to pass this patient
off and report him.

66
00:02:38,867 --> 00:02:40,743
Fine. Emma, you're done
with this bastard.

67
00:02:40,744 --> 00:02:41,911
- I'll handle him now.
- No, no,

68
00:02:41,912 --> 00:02:43,245
this is my emergency department,

69
00:02:43,246 --> 00:02:44,580
and I'm telling you to pass it off.

70
00:02:44,581 --> 00:02:46,290
These are my nurses, and I choose

71
00:02:46,291 --> 00:02:47,833
what cases they work,
and if you think for one minute

72
00:02:47,834 --> 00:02:49,710
I'm putting anyone else
from my staff at risk

73
00:02:49,711 --> 00:02:51,712
with that asshole, you better
give your fucking head a shake.

74
00:02:51,713 --> 00:02:54,548
Come on. Come on.

75
00:02:54,549 --> 00:02:56,550
- MVA coming in.
- Okay, I'll be right there.

76
00:02:56,551 --> 00:02:57,761
Thank you.

77
00:03:01,723 --> 00:03:03,557
Did I kill my son?

78
00:03:03,558 --> 00:03:06,727
No, he's not dead.

79
00:03:06,728 --> 00:03:09,397
He's recovering in pediatric ICU.

80
00:03:09,398 --> 00:03:12,984
We'll be back to check on you
again shortly, Ms. Azurmendi.

81
00:03:18,073 --> 00:03:20,241
Um, has her husband arrived yet?

82
00:03:20,242 --> 00:03:21,951
Yeah, but he went straight upstairs.

83
00:03:21,952 --> 00:03:23,494
Really?

84
00:03:23,495 --> 00:03:25,746
He may have just wanted
to see his child first.

85
00:03:25,747 --> 00:03:27,748
Let's not jump to conclusions.

86
00:03:27,749 --> 00:03:30,876
- Dr. Robby, can I have a word?
- Shoot.

87
00:03:30,877 --> 00:03:32,753
In private.

88
00:03:32,754 --> 00:03:34,422
People are gonna start to talk.

89
00:03:39,428 --> 00:03:41,596
- Thank you.
- Mm-hmm.

90
00:03:43,473 --> 00:03:44,808
What is this about?

91
00:03:47,185 --> 00:03:50,438
I'm going to recommend this
ED have two attendings on shift

92
00:03:50,439 --> 00:03:52,815
at all times moving forward.

93
00:03:52,816 --> 00:03:54,859
This department is clearly too much

94
00:03:54,860 --> 00:03:56,277
for one person to handle.

95
00:03:56,278 --> 00:03:58,946
It's not healthy
for you or the patients,

96
00:03:58,947 --> 00:04:00,781
and I'm very concerned

97
00:04:00,782 --> 00:04:03,451
by what I've witnessed today
with some of the staff.

98
00:04:03,452 --> 00:04:05,911
What is going on
with Langdon and Santos?

99
00:04:05,912 --> 00:04:07,830
I saw them having it out
like it was fight night.

100
00:04:07,831 --> 00:04:10,124
Dr. Langdon hasn't even
been here for ten months,

101
00:04:10,125 --> 00:04:11,667
and you told me this morning

102
00:04:11,668 --> 00:04:13,461
there was nothing
to worry about with Dr. Santos.

103
00:04:13,462 --> 00:04:15,629
There isn't. There isn't.
Santos and Langdon have beef

104
00:04:15,630 --> 00:04:18,466
because she's the one who
turned him in for taking meds.

105
00:04:18,467 --> 00:04:20,551
I'm sorry, what?

106
00:04:20,552 --> 00:04:22,428
Santos is responsible

107
00:04:22,429 --> 00:04:25,390
for revealing Langdon's benzo addiction.

108
00:04:27,017 --> 00:04:30,644
Was he stealing drugs from this ED?

109
00:04:30,645 --> 00:04:33,355
This ED is the best of the best,

110
00:04:33,356 --> 00:04:35,816
and I would put it up against
any emergency department

111
00:04:35,817 --> 00:04:37,276
in the country.

112
00:04:37,277 --> 00:04:38,819
And it is going to be yours to fuck up,

113
00:04:38,820 --> 00:04:40,530
so don't fuck it up.

114
00:04:55,545 --> 00:04:58,047
You're not supposed to smoke out here.

115
00:04:58,048 --> 00:04:59,673
Really?

116
00:04:59,674 --> 00:05:02,677
Seems to be working for me so far.

117
00:05:04,221 --> 00:05:06,847
How old are you, kid?

118
00:05:06,848 --> 00:05:09,016
I'm 21...

119
00:05:09,017 --> 00:05:10,518
On Tuesday.

120
00:05:10,519 --> 00:05:14,688
Jesus, some kind of idiot savant.

121
00:05:14,689 --> 00:05:17,817
We no longer use that term.

122
00:05:17,818 --> 00:05:19,485
It's derogatory.

123
00:05:19,486 --> 00:05:22,571
- You bruise-easy Millennials.
- Actually, I'm Gen Z.

124
00:05:22,572 --> 00:05:24,865
Even worse.

125
00:05:24,866 --> 00:05:27,368
I was stripping at Purgatory
to put myself through school

126
00:05:27,369 --> 00:05:29,703
when I was your age.

127
00:05:29,704 --> 00:05:30,914
Snowflake.

128
00:05:32,457 --> 00:05:33,958
Hey, Amy?

129
00:05:33,959 --> 00:05:36,836
Yeah, I'm getting off
later than I thought.

130
00:05:36,837 --> 00:05:39,171
Um, I'll give you a call
when I get a better idea of...

131
00:05:39,172 --> 00:05:41,340
I need help!

132
00:05:41,341 --> 00:05:43,843
- I got to go.
- He can't breathe.

133
00:05:43,844 --> 00:05:45,845
I got the airway. You take the pulse.

134
00:05:45,846 --> 00:05:48,180
Yeah.

135
00:05:48,181 --> 00:05:49,390
- Oh, shit.
- Oh, my God.

136
00:05:49,391 --> 00:05:50,933
Okay, trying jaw thrust.

137
00:05:50,934 --> 00:05:52,643
- Radial's weak and thready.
- What's his name?

138
00:05:52,644 --> 00:05:54,270
My dad... uh, Oliver.

139
00:05:54,271 --> 00:05:57,565
Hey, Oliver, can you open
your eyes for me?

140
00:05:57,566 --> 00:05:59,150
Okay, here we go.

141
00:06:02,737 --> 00:06:06,407
Okay, one, two, three.

142
00:06:06,408 --> 00:06:08,534
Drive-in with severe
respiratory distress.

143
00:06:08,535 --> 00:06:10,578
Left-sided dialysis shunt,
probable renal failure

144
00:06:10,579 --> 00:06:11,871
and fluid overload.

145
00:06:11,872 --> 00:06:13,747
Have respiratory set up BiPAP.

146
00:06:13,748 --> 00:06:15,207
When was his last dialysis?

147
00:06:15,208 --> 00:06:17,126
It was supposed to be yesterday morning.

148
00:06:17,127 --> 00:06:19,044
I'm gonna need a nitro drip ASAP.

149
00:06:19,045 --> 00:06:20,921
- You got this?
- Yeah.

150
00:06:20,922 --> 00:06:22,590
Is that the guy who attacked Emma?

151
00:06:22,591 --> 00:06:23,924
Is he going to CT?

152
00:06:23,925 --> 00:06:25,801
Yeah, Ms. Emma here needs an H&P.

153
00:06:25,802 --> 00:06:28,137
Uh, Cassie, can you give
Emma here a workup?

154
00:06:28,138 --> 00:06:29,430
Start a chart.

155
00:06:29,431 --> 00:06:30,764
- Victim of assault.
- Really?

156
00:06:30,765 --> 00:06:32,474
- I'm fine.
- He was choking you.

157
00:06:32,475 --> 00:06:34,143
- He had me by the head mostly.
- You're a patient now.

158
00:06:34,144 --> 00:06:35,769
Full examine in South 18, McKay.

159
00:06:35,770 --> 00:06:37,438
She also needs to make
a statement to the police.

160
00:06:37,439 --> 00:06:39,607
Is that really necessary?

161
00:06:39,608 --> 00:06:41,775
- Yeah.
- Absolutely.

162
00:06:41,776 --> 00:06:44,111
{n8}Don't worry.
I'll be there with you.

163
00:06:44,112 --> 00:06:45,446
{n8}Come on, let's get you a spot.

164
00:06:45,447 --> 00:06:46,906
{n8}Well, your guy
just bumped my guy for CT.

165
00:06:46,907 --> 00:06:48,449
- Now he's my guy?
- Duke's gonna chew me

166
00:06:48,450 --> 00:06:49,909
a new one 'cause he's been
sitting here forever,

167
00:06:49,910 --> 00:06:51,410
and I'm never gonna get out of here.

168
00:06:51,411 --> 00:06:52,828
- Tell it to someone who cares.
- You know what?

169
00:06:52,829 --> 00:06:55,289
You should care,
because if you gave that guy

170
00:06:55,290 --> 00:06:57,625
a serious injury with force
inflicted from a sedative

171
00:06:57,626 --> 00:06:59,001
you are not licensed to prescribe...

172
00:06:59,002 --> 00:07:00,753
Anyone else uses force
to stop an assault,

173
00:07:00,754 --> 00:07:02,963
they're a hero, but a nurse
does it, and we're punished.

174
00:07:02,964 --> 00:07:04,798
You just happened to have a
vial of Versed in your pocket?

175
00:07:04,799 --> 00:07:07,468
It was extra from the medics.
Good timing, I guess.

176
00:07:07,469 --> 00:07:08,844
When we waste a controlled substance,

177
00:07:08,845 --> 00:07:10,429
we need a witness to sign off.

178
00:07:10,430 --> 00:07:12,181
I was on my way to
when I spotted that asshole

179
00:07:12,182 --> 00:07:13,432
attacking a girl.

180
00:07:13,433 --> 00:07:14,975
Anything else, Nancy Drew?

181
00:07:14,976 --> 00:07:16,977
- Where you going?
- Taking a pee.

182
00:07:16,978 --> 00:07:19,647
Do I need your permission
to do that, too, now?

183
00:07:26,988 --> 00:07:30,658
Fuck! Fuck! Fuck! Fuck!

184
00:07:37,248 --> 00:07:38,832
Should we intubate?

185
00:07:38,833 --> 00:07:41,043
Uh, best to avoid that if possible.

186
00:07:41,044 --> 00:07:42,670
Pressure support and afterload reduction

187
00:07:42,671 --> 00:07:44,004
buys us time for dialysis.

188
00:07:44,005 --> 00:07:45,506
BiPAP starting at 10 over 5.

189
00:07:45,507 --> 00:07:47,216
Good hard squeeze, good lung sliding,

190
00:07:47,217 --> 00:07:49,468
- but there's a ton of B lines.
- Pulmonary edema.

191
00:07:49,469 --> 00:07:52,221
Which is best treated
by what, Dr. Javadi?

192
00:07:52,222 --> 00:07:54,057
- Uh, nitrates.
- Dose?

193
00:07:56,351 --> 00:07:58,185
BP 198 over 132.

194
00:07:58,186 --> 00:07:59,603
Pulse 120.

195
00:07:59,604 --> 00:08:01,855
- Pulse ox only 85.
- Good BP.

196
00:08:01,856 --> 00:08:03,774
Let's start at 400 mikes per
minute for 2 to 5 minutes.

197
00:08:03,775 --> 00:08:05,818
I was asking Dr. Javadi.

198
00:08:05,819 --> 00:08:07,861
Don't you always start low
with nitro, then titrate up?

199
00:08:07,862 --> 00:08:10,197
In flash pulmonary edema,
we do the opposite.

200
00:08:10,198 --> 00:08:13,325
What he really needs is
dialysis to get the fluid off.

201
00:08:13,326 --> 00:08:16,036
- What's his dialysis schedule?
- Monday, Wednesday, Friday.

202
00:08:16,037 --> 00:08:18,080
He missed yesterday 'cause of a wedding.

203
00:08:18,081 --> 00:08:19,540
We tried to go
to the center this morning.

204
00:08:19,541 --> 00:08:21,000
It's usually open on Saturday,

205
00:08:21,001 --> 00:08:22,251
but I think they closed for the Fourth.

206
00:08:22,252 --> 00:08:23,752
- Where do you live?
- Uh, Brookville.

207
00:08:23,753 --> 00:08:25,004
That's, like, an hour and a half away.

208
00:08:25,005 --> 00:08:26,422
Yes, ma'am.

209
00:08:26,423 --> 00:08:27,881
I tried Pine Ridge Hospital
in Ford City,

210
00:08:27,882 --> 00:08:28,966
but I didn't know they shut down.

211
00:08:28,967 --> 00:08:30,552
Yeah, they sure did.

212
00:08:36,558 --> 00:08:38,642
All right, sister.

213
00:08:38,643 --> 00:08:40,769
How can I help uncluster
this clusterfuck?

214
00:08:40,770 --> 00:08:42,730
PTMC emergency, what do you got?

215
00:08:42,731 --> 00:08:44,440
You ready to finish our conversation?

216
00:08:44,441 --> 00:08:46,483
We talked, okay? Now I got an ED to run.

217
00:08:46,484 --> 00:08:48,068
Please.

218
00:08:48,069 --> 00:08:49,529
Okay.

219
00:08:52,657 --> 00:08:53,907
Talk to me.

220
00:08:53,908 --> 00:08:55,492
- Tired of this shit.
- Okay.

221
00:08:55,493 --> 00:08:57,494
That's the second time
that Emma was attacked

222
00:08:57,495 --> 00:08:58,954
- by a patient today.
- Okay.

223
00:08:58,955 --> 00:09:00,581
ICE took one of my nurses,

224
00:09:00,582 --> 00:09:04,418
and these cyber-assholes
have thrown us back into 1999.

225
00:09:04,419 --> 00:09:07,087
Well, I'm worried about you.
You are not yourself today.

226
00:09:07,088 --> 00:09:09,214
That makes two of us, then.

227
00:09:09,215 --> 00:09:11,925
Do you have something you want to say?

228
00:09:11,926 --> 00:09:14,261
Go ahead. I can take it.

229
00:09:14,262 --> 00:09:15,971
All right, then yeah.

230
00:09:15,972 --> 00:09:17,639
Sometimes it's like
you're just tempting death

231
00:09:17,640 --> 00:09:18,932
'cause you don't give a shit anymore.

232
00:09:18,933 --> 00:09:20,309
So this is about the motorcycle?

233
00:09:20,310 --> 00:09:21,602
It's not just about the motorcycle.

234
00:09:21,603 --> 00:09:22,936
It's about the whole damn thing.

235
00:09:22,937 --> 00:09:25,397
Robby, you're actually telling people

236
00:09:25,398 --> 00:09:27,733
that you're going to a place
called Smash My Head In.

237
00:09:27,734 --> 00:09:29,276
Close, not quite. That's not...

238
00:09:29,277 --> 00:09:31,320
Robby, your buddy Duke
is insisting on leaving,

239
00:09:31,321 --> 00:09:33,197
and that MVA is here.

240
00:09:33,198 --> 00:09:34,948
Okay, I'll be right there.

241
00:09:34,949 --> 00:09:36,950
- What's open?
- Uh, South 15.

242
00:09:36,951 --> 00:09:38,285
78-year-old woman,

243
00:09:38,286 --> 00:09:39,953
very low speed auto versus pedestrian

244
00:09:39,954 --> 00:09:41,497
with ground-level fall.

245
00:09:41,498 --> 00:09:43,040
Bruising on her left hip.
No head trauma.

246
00:09:43,041 --> 00:09:44,666
Her husband, Eddie, came along.

247
00:09:44,667 --> 00:09:46,543
Hi. How do you do, sir?
I'm Dr. Robby. Come with us.

248
00:09:46,544 --> 00:09:49,004
We're gonna get you
set up right over here.

249
00:09:49,005 --> 00:09:50,756
Sorry.

250
00:09:50,757 --> 00:09:52,508
We'll get you something
for the pain shortly.

251
00:09:52,509 --> 00:09:53,967
Thank you.

252
00:09:53,968 --> 00:09:55,969
Do you have any medical problems, Frida?

253
00:09:55,970 --> 00:10:00,140
Uh, high blood pressure,
low thyroid, um, AFib.

254
00:10:00,141 --> 00:10:02,351
Any chest pain, shortness of breath?

255
00:10:02,352 --> 00:10:04,019
- No.
- Front-row seat, sir.

256
00:10:04,020 --> 00:10:05,979
So, um, what happened?

257
00:10:05,980 --> 00:10:09,358
Well, she walked into the car.

258
00:10:09,359 --> 00:10:11,443
You hit me.

259
00:10:11,444 --> 00:10:14,446
No, I didn't hit you. You hit the car.

260
00:10:14,447 --> 00:10:16,490
You backed up right into me.

261
00:10:16,491 --> 00:10:19,159
I wasn't even moving.

262
00:10:19,160 --> 00:10:21,495
Well, you're both
in very good hands now.

263
00:10:21,496 --> 00:10:23,288
Yes?

264
00:10:23,289 --> 00:10:26,834
Before we get you in a gown,
we'd like to check your hip.

265
00:10:26,835 --> 00:10:28,545
Of course.

266
00:10:30,046 --> 00:10:31,505
I am sorry.

267
00:10:31,506 --> 00:10:33,257
We had a whole bunch
of craziness come in,

268
00:10:33,258 --> 00:10:36,176
and you got bumped down
a patient or two for CT.

269
00:10:36,177 --> 00:10:37,761
But take comfort in knowing

270
00:10:37,762 --> 00:10:39,513
it was for some pretty nasty stuff.

271
00:10:39,514 --> 00:10:42,015
How am I supposed
to find comfort in that

272
00:10:42,016 --> 00:10:43,892
or anything you've told me
since I got here,

273
00:10:43,893 --> 00:10:45,686
- for that matter?
- I don't know.

274
00:10:45,687 --> 00:10:47,688
But everything is supposed
to come with a lesson, right?

275
00:10:47,689 --> 00:10:51,024
Oh, this is more of your Zen
motorcycle bullshit.

276
00:10:51,025 --> 00:10:52,359
Maybe.

277
00:10:52,360 --> 00:10:53,861
No, no, the truth is, I'm just stalling

278
00:10:53,862 --> 00:10:55,529
'cause it's gonna be a while longer.

279
00:10:55,530 --> 00:10:57,614
Oh, hey, look, I appreciate the effort,

280
00:10:57,615 --> 00:10:59,366
but you guys are obviously jammed up.

281
00:10:59,367 --> 00:11:01,451
I'll just come back when it's
not our nation's birthday.

282
00:11:01,452 --> 00:11:02,911
You're already here.

283
00:11:02,912 --> 00:11:04,329
It's not gonna be
that much longer, I promise.

284
00:11:04,330 --> 00:11:05,539
Just stay and get your CT.

285
00:11:05,540 --> 00:11:07,875
I will do it all when you get back

286
00:11:07,876 --> 00:11:10,002
- and this place is less crazy.
- This place is always crazy.

287
00:11:10,003 --> 00:11:11,837
I don't know when I'm gonna get back.

288
00:11:11,838 --> 00:11:14,214
Can you just sit the fuck down
and wait a little bit longer?

289
00:11:14,215 --> 00:11:17,385
It won't kill you, but leaving might.

290
00:11:21,431 --> 00:11:23,682
Okay.

291
00:11:23,683 --> 00:11:25,225
No problem.

292
00:11:25,226 --> 00:11:26,728
Thank you.

293
00:11:28,229 --> 00:11:30,355
That's a nasty bruise.

294
00:11:30,356 --> 00:11:34,067
Do you take aspirin
or any blood thinners?

295
00:11:34,068 --> 00:11:37,237
Uh, Eliquis for my AFib.

296
00:11:37,238 --> 00:11:39,990
Any tenderness here?

297
00:11:39,991 --> 00:11:41,450
No, not really.

298
00:11:41,451 --> 00:11:44,036
- Here?
- Oh, yeah, that hurts.

299
00:11:44,037 --> 00:11:46,288
All right, 4 of, uh, morphine
and Zofran.

300
00:11:46,289 --> 00:11:49,917
- What about up here?
- Not really.

301
00:11:49,918 --> 00:11:52,461
All right, so let's start
with labs and plain film.

302
00:11:52,462 --> 00:11:54,463
No, CT abdomen pelvis.

303
00:11:54,464 --> 00:11:57,257
We'll get a better view of
the hip and check for bleeding.

304
00:11:57,258 --> 00:11:58,842
The Eliquis is concerning.

305
00:11:58,843 --> 00:12:01,803
Uh, you think she broke her hip?

306
00:12:01,804 --> 00:12:04,306
If it's broken, you broke it.

307
00:12:04,307 --> 00:12:05,933
Usually for a broken hip,

308
00:12:05,934 --> 00:12:08,477
the leg is shortened and rotates out,

309
00:12:08,478 --> 00:12:10,772
but we'll just wait for CT results.

310
00:12:17,737 --> 00:12:19,738
Mr. Cohen...

311
00:12:19,739 --> 00:12:22,115
I know that you were checked on scene,

312
00:12:22,116 --> 00:12:23,909
but I was wondering if I could do

313
00:12:23,910 --> 00:12:25,494
a quick examination of you.

314
00:12:25,495 --> 00:12:27,621
Oh, no, I'm fine. I was in the car.

315
00:12:27,622 --> 00:12:29,374
Just unofficially.

316
00:12:31,125 --> 00:12:33,252
Okay.

317
00:12:33,253 --> 00:12:36,713
Deep breath for me.

318
00:12:36,714 --> 00:12:38,465
Good. Again.

319
00:12:40,301 --> 00:12:42,302
Great. Thanks, Eddie.

320
00:12:42,303 --> 00:12:45,722
Next thing... would you mind
taking your shoes off?

321
00:12:45,723 --> 00:12:47,391
Uh...

322
00:12:47,392 --> 00:12:48,725
what for?

323
00:12:48,726 --> 00:12:51,311
Just being safe.

324
00:12:53,147 --> 00:12:55,107
My back's not what it used to be.

325
00:12:55,108 --> 00:12:56,359
Let me help you.

326
00:13:00,738 --> 00:13:03,657
I, uh, could use a pedicure.

327
00:13:03,658 --> 00:13:05,492
You and me both.

328
00:13:05,493 --> 00:13:09,371
Dr. King, what do you think
about doing a Romberg test?

329
00:13:09,372 --> 00:13:10,956
What is that?

330
00:13:10,957 --> 00:13:13,333
It's a general evaluation of balance.

331
00:13:13,334 --> 00:13:16,003
Um, can you stand up, sir?

332
00:13:16,004 --> 00:13:17,879
Yep.

333
00:13:17,880 --> 00:13:19,840
How are you doing, Oliver?

334
00:13:19,841 --> 00:13:21,341
Sats are not coming up.

335
00:13:21,342 --> 00:13:23,176
Pressure's holding on 400 of nitro.

336
00:13:23,177 --> 00:13:25,679
- Let's up the BiPAP to 20 on 10.
- We could try phlebotomy.

337
00:13:25,680 --> 00:13:27,514
Decrease the fluid burden on the lungs.

338
00:13:27,515 --> 00:13:29,683
Old school, but might buy time.

339
00:13:29,684 --> 00:13:31,018
Hemoglobin is only 9.2.

340
00:13:31,019 --> 00:13:32,519
He's anemic from renal failure.

341
00:13:32,520 --> 00:13:34,146
Then he can't afford more blood loss.

342
00:13:34,147 --> 00:13:35,897
We need to intubate.
We're losing this war.

343
00:13:35,898 --> 00:13:37,858
Intubation's not a trivial matter

344
00:13:37,859 --> 00:13:39,401
for immunosuppressed patients.

345
00:13:39,402 --> 00:13:41,278
So we just drop a bunch of red tops?

346
00:13:41,279 --> 00:13:42,904
No, we do the collection on the floor

347
00:13:42,905 --> 00:13:44,906
- as if he's giving blood.
- Like medieval bloodletting.

348
00:13:44,907 --> 00:13:46,742
Essentially, and that is something

349
00:13:46,743 --> 00:13:48,201
you should step out for, Mason.

350
00:13:48,202 --> 00:13:50,746
- Casey, thank you.
- Got a good vein for a 16.

351
00:13:50,747 --> 00:13:52,581
One donor bag, 500 cc's.

352
00:13:52,582 --> 00:13:54,291
No more.

353
00:13:56,586 --> 00:13:59,129
Okay, let it out.

354
00:13:59,130 --> 00:14:01,131
Same again. Deep breath in.

355
00:14:03,426 --> 00:14:05,052
Great. All done.

356
00:14:05,053 --> 00:14:08,221
- How's she doing?
- Pulse ox 100%, normal exam.

357
00:14:08,222 --> 00:14:10,015
- No evidence of injury.
- Great.

358
00:14:10,016 --> 00:14:11,725
I got way worse from my older brothers.

359
00:14:11,726 --> 00:14:13,185
I bet.

360
00:14:13,186 --> 00:14:16,063
All right, I'll go, uh,
write up her chart.

361
00:14:16,064 --> 00:14:18,398
How about we call it a day?

362
00:14:18,399 --> 00:14:20,233
My shift isn't over.

363
00:14:20,234 --> 00:14:23,779
This was a shift and a half
for anyone today, believe me.

364
00:14:23,780 --> 00:14:27,074
If it's all right with you,
I'd rather stay.

365
00:14:27,075 --> 00:14:28,575
I'm not a quitter.

366
00:14:28,576 --> 00:14:30,535
Okay, Ms. Emma, good for you.

367
00:14:30,536 --> 00:14:33,455
But stick close to Donnie for
the rest of the day, would you?

368
00:14:33,456 --> 00:14:35,207
Sure.

369
00:14:35,208 --> 00:14:38,210
And you also need to make
a statement to the police.

370
00:14:38,211 --> 00:14:40,629
If we don't stand up for
ourselves, no one else will.

371
00:14:40,630 --> 00:14:44,257
We're here to help,
not to be punching bags.

372
00:14:44,258 --> 00:14:46,009
Thank you for saving me.

373
00:14:46,010 --> 00:14:48,096
I got you, girl.

374
00:14:55,853 --> 00:14:58,105
- Something wrong?
- That depends.

375
00:14:58,106 --> 00:15:00,440
Are you a four-month-old
with severe diaper rash?

376
00:15:00,441 --> 00:15:02,025
No, I'm Dorion Cole,

377
00:15:02,026 --> 00:15:03,819
and I'm pretty sure
that I broke my collarbone.

378
00:15:03,820 --> 00:15:06,113
Okay, we can help with that.
I'll be back.

379
00:15:06,114 --> 00:15:07,697
Wait, wait. Are you serious?

380
00:15:07,698 --> 00:15:09,449
Can I at least get something
for my pain?

381
00:15:09,450 --> 00:15:11,535
- Sure. Sit tight.
- This place sucks.

382
00:15:11,536 --> 00:15:13,453
Tell me about it. Try working here.

383
00:15:13,454 --> 00:15:15,122
Boy, you're really working hard

384
00:15:15,123 --> 00:15:16,832
to boost those
patient satisfaction scores.

385
00:15:16,833 --> 00:15:18,291
The chart for Central 7

386
00:15:18,292 --> 00:15:19,626
doesn't match
the patient that's in there.

387
00:15:19,627 --> 00:15:21,253
Hang in there. We're almost over this.

388
00:15:21,254 --> 00:15:22,838
I was over this six hours ago.

389
00:15:22,839 --> 00:15:25,298
Chairs is looking like
Mullaney's on St. Paddy's Day.

390
00:15:25,299 --> 00:15:27,092
They're gonna break through
the doors like zombies...

391
00:15:27,093 --> 00:15:28,176
- Incoming.
- If we don't start moving

392
00:15:28,177 --> 00:15:29,302
more of the meat back there.

393
00:15:29,303 --> 00:15:31,096
Dante Casella, 34.

394
00:15:31,097 --> 00:15:34,099
Blunt trauma from a fireworks
explosion in a storage unit.

395
00:15:34,100 --> 00:15:35,684
A and O, good vitals,

396
00:15:35,685 --> 00:15:37,978
large scalp laceration
and bruising to the chest.

397
00:15:37,979 --> 00:15:39,312
No meds or allergies.

398
00:15:39,313 --> 00:15:40,647
Partial or full thickness burns?

399
00:15:40,648 --> 00:15:42,315
No burns. The blast launched him

400
00:15:42,316 --> 00:15:44,025
into a rolled-down garage door frame.

401
00:15:44,026 --> 00:15:46,361
- Am I fucking dying here?
- I'm Dr. Robby.

402
00:15:46,362 --> 00:15:49,573
{n8}- This is Dr. Santos.
- What? I can't hear you.

403
00:15:49,574 --> 00:15:51,032
{n8}Try the other side.

404
00:15:51,033 --> 00:15:52,659
{n8}I'm Dr. Santos.

405
00:15:52,660 --> 00:15:54,703
{n8}- Can you hear me?
- Yeah, yeah.

406
00:15:54,704 --> 00:15:57,205
{n8}Dante. Lot of ringing.

407
00:15:57,206 --> 00:15:59,959
Hey, McKay, Joy, you're with us.

408
00:16:01,919 --> 00:16:04,504
One, two, three.

409
00:16:04,505 --> 00:16:08,508
I need, like, four doctors?

410
00:16:08,509 --> 00:16:10,719
Oh, shit, I knew it was bad.

411
00:16:10,720 --> 00:16:12,512
This is a teaching hospital.

412
00:16:12,513 --> 00:16:14,723
You get all the extra help you need.

413
00:16:14,724 --> 00:16:17,976
Airway and breathing intact.

414
00:16:17,977 --> 00:16:19,728
Good lung sliding bilaterally.

415
00:16:21,314 --> 00:16:22,856
Tender over the sternum...
possible fracture.

416
00:16:22,857 --> 00:16:24,524
That's your breastbone.

417
00:16:24,525 --> 00:16:27,319
- No ectopy on monitor.
- No pericardial effusion.

418
00:16:27,320 --> 00:16:29,696
- The heart looks good.
- 130 over 85.

419
00:16:29,697 --> 00:16:32,032
Pulse 108, sats 98 on 2 liters.

420
00:16:32,033 --> 00:16:33,742
Good enough for 50 of fent.

421
00:16:33,743 --> 00:16:35,702
He soaked through his head dressing.

422
00:16:35,703 --> 00:16:37,037
Let's take a peek.

423
00:16:37,038 --> 00:16:38,371
Normally, we don't deal with scalp lacs

424
00:16:38,372 --> 00:16:39,539
on the primary survey,

425
00:16:39,540 --> 00:16:41,208
only if there's active bleeding.

426
00:16:41,209 --> 00:16:42,542
With blast injuries,

427
00:16:42,543 --> 00:16:44,377
the pressure wave can transmit energy

428
00:16:44,378 --> 00:16:46,046
through the body
and cause internal damage

429
00:16:46,047 --> 00:16:48,131
even without any external visible signs,

430
00:16:48,132 --> 00:16:50,050
especially with organs
that are air filled.

431
00:16:50,051 --> 00:16:52,302
- How are we looking, Dr. Santos?
- E-FAST negative.

432
00:16:52,303 --> 00:16:55,555
No free fluid in the belly.

433
00:16:55,556 --> 00:16:58,225
{n8}- Fuck me.
- What... what is it?

434
00:16:58,226 --> 00:17:01,228
{n8}It's a pretty big flap.
Checking for bleeding source.

435
00:17:01,229 --> 00:17:04,105
- Is that through the galea?
- It is, indeed.

436
00:17:04,106 --> 00:17:06,107
- Crack my head open or what?
- Don't worry.

437
00:17:06,108 --> 00:17:08,902
Your skull is intact.
It's just a, uh, very deep cut.

438
00:17:08,903 --> 00:17:11,738
Ugh.

439
00:17:11,739 --> 00:17:16,034
Okay, we got a couple
arterioles that need control.

440
00:17:16,035 --> 00:17:18,620
- Figure-of-eight sutures?
- Dr. Santos for 800.

441
00:17:18,621 --> 00:17:20,413
What are Raney clips, Alex?

442
00:17:20,414 --> 00:17:22,457
- Quicker than sutures.
- Ding, ding, ding, ding.

443
00:17:22,458 --> 00:17:24,376
Okay, clamp those bleeders, call for CT.

444
00:17:24,377 --> 00:17:27,630
I'll be next door, and Duke's
CT line keeps growing.

445
00:17:31,092 --> 00:17:33,093
500 cc's out.

446
00:17:33,094 --> 00:17:35,262
How you doing, Oliver?

447
00:17:35,263 --> 00:17:36,763
Making some progress in here.

448
00:17:36,764 --> 00:17:38,431
Can't tell if it was the phlebotomy

449
00:17:38,432 --> 00:17:39,766
or if the nitro finally kicked in.

450
00:17:39,767 --> 00:17:42,143
Oh, could have been both.

451
00:17:42,144 --> 00:17:43,979
Potassium's high. 6.5.

452
00:17:43,980 --> 00:17:45,772
Be expected with the missed dialysis

453
00:17:45,773 --> 00:17:47,065
and the added heat stress.

454
00:17:47,066 --> 00:17:48,942
- He needs, uh...
- Dr. Javadi.

455
00:17:48,943 --> 00:17:50,485
Uh, he needs insulin and glucose

456
00:17:50,486 --> 00:17:51,945
to shift the potassium intracellular.

457
00:17:51,946 --> 00:17:54,281
Exactly. Uh, 10 units, amp of D-50.

458
00:17:54,282 --> 00:17:56,616
Start with 5 milligrams
of nebulized albuterol.

459
00:17:56,617 --> 00:17:58,702
It'll shift some potassium
and help his breathing.

460
00:17:58,703 --> 00:18:00,954
He's at risk for arrhythmias.

461
00:18:00,955 --> 00:18:04,207
Mm, no peaked T waves, no QRS widening.

462
00:18:04,208 --> 00:18:06,376
Insulin puts him at risk
for hypoglycemia.

463
00:18:06,377 --> 00:18:08,628
And you tie up nurses
with frequent Accu-Cheks.

464
00:18:08,629 --> 00:18:10,213
Dr. Al-Hashimi's right.

465
00:18:10,214 --> 00:18:11,798
The nebs will hold him over
until dialysis gets here.

466
00:18:11,799 --> 00:18:13,842
- You got this?
- Mm-hmm.

467
00:18:16,387 --> 00:18:18,681
- All good in here?
- Yep.

468
00:18:21,100 --> 00:18:23,852
Uh, I'm gonna go give
this guy's kid an update.

469
00:18:23,853 --> 00:18:25,312
He's probably freaking out.

470
00:18:25,313 --> 00:18:28,232
- Come find me if you need me.
- Uh, yep.

471
00:18:30,526 --> 00:18:32,110
Um, hey.

472
00:18:32,111 --> 00:18:34,321
Where'd you learn that shoe trick?

473
00:18:34,322 --> 00:18:37,866
Oh, I did a clerkship
at NJMS senior care.

474
00:18:37,867 --> 00:18:39,951
One of the attendings
always said you can learn a lot

475
00:18:39,952 --> 00:18:41,995
about your patients
just by looking at their feet.

476
00:18:43,956 --> 00:18:45,165
Bravo, ladies.

477
00:18:45,166 --> 00:18:48,960
Now on to the next lucky customers.

478
00:18:48,961 --> 00:18:50,670
Probably gonna have to stay late

479
00:18:50,671 --> 00:18:52,339
to catch up on all these patients.

480
00:18:52,340 --> 00:18:54,174
Night-shift reinforcements
will be here soon.

481
00:18:54,175 --> 00:18:55,717
We're supposed to be
speeding up in the 11th hour,

482
00:18:55,718 --> 00:18:57,344
not slowing down.

483
00:18:57,345 --> 00:18:58,720
They don't call it
the final sprint for nothing.

484
00:18:58,721 --> 00:19:00,139
Chop-chop.

485
00:19:04,685 --> 00:19:07,771
Is that the, uh, mom of the heatstroke?

486
00:19:07,772 --> 00:19:09,022
Yeah.

487
00:19:09,023 --> 00:19:12,734
Do you believe it was just an accident?

488
00:19:12,735 --> 00:19:14,194
Does it matter?

489
00:19:14,195 --> 00:19:15,904
As a doctor, no.

490
00:19:15,905 --> 00:19:18,531
But as a mom...

491
00:19:18,532 --> 00:19:21,409
Sometimes I can't tell
if motherhood has made me

492
00:19:21,410 --> 00:19:24,372
more understanding or more judgmental.

493
00:19:26,540 --> 00:19:28,541
Dana, got a couple visitors.

494
00:19:28,542 --> 00:19:30,710
Uh, my... my brother.
There was an explosion.

495
00:19:30,711 --> 00:19:32,545
Hi. My mom was in a car accident.

496
00:19:32,546 --> 00:19:34,381
Uh, okay, Monica,
can you help these fine folks

497
00:19:34,382 --> 00:19:36,174
- find their loved ones?
- Yeah.

498
00:19:36,175 --> 00:19:38,176
And, Princess, what are you
still doing here?

499
00:19:38,177 --> 00:19:40,387
Don't you got some crazy luau
pig roast barbecue thing

500
00:19:40,388 --> 00:19:42,347
- to get to?
- It's <i>lechón,</i> but, yes, I do.

501
00:19:42,348 --> 00:19:44,724
- I'm gonna sneak out in a few.
- Okay, yeah, yeah.

502
00:19:44,725 --> 00:19:46,893
Go have some fun
for both of us, all right?

503
00:19:46,894 --> 00:19:49,854
- Don't stay too late.
- Okay.

504
00:19:49,855 --> 00:19:52,190
Hello, Ms. Stevens.

505
00:19:52,191 --> 00:19:53,400
I'm Dr. McKay.

506
00:19:53,401 --> 00:19:55,485
- How you feeling?
- Stupid...

507
00:19:55,486 --> 00:19:58,238
and really, really sore.

508
00:19:58,239 --> 00:20:01,157
Yeah, we'll, uh, get you
something for your pain, okay?

509
00:20:02,952 --> 00:20:05,954
Your last patient left her blanket.

510
00:20:05,955 --> 00:20:07,163
Oh.

511
00:20:07,164 --> 00:20:09,457
Uh, yeah.

512
00:20:09,458 --> 00:20:11,501
I...

513
00:20:11,502 --> 00:20:13,086
yeah, I'll take it.

514
00:20:13,087 --> 00:20:15,422
Thanks, Esme.

515
00:20:15,423 --> 00:20:17,591
Um, I'll be right back, yeah?

516
00:20:20,803 --> 00:20:23,179
Fuck!

517
00:20:23,180 --> 00:20:25,390
- You good?
- Yeah, yeah.

518
00:20:25,391 --> 00:20:28,768
I'm just... I'm looking
for something to put this in.

519
00:20:28,769 --> 00:20:31,272
A, uh... a patient left it.

520
00:20:33,649 --> 00:20:36,776
She died, the, uh, cancer mom
with the two kids.

521
00:20:36,777 --> 00:20:38,987
Sounds like a tough one.

522
00:20:38,988 --> 00:20:40,780
Yeah, that one sucked.

523
00:20:40,781 --> 00:20:43,283
Seeing those two young boys
say goodbye to their mother

524
00:20:43,284 --> 00:20:45,452
was brutal.

525
00:20:45,453 --> 00:20:49,789
Just makes you want to cry.

526
00:20:49,790 --> 00:20:51,958
You should cry. You'll feel better.

527
00:20:51,959 --> 00:20:54,294
I wish I could.

528
00:20:54,295 --> 00:20:58,882
No, I don't even remember
the last time I cried.

529
00:20:58,883 --> 00:21:00,967
I'm not even sure I can anymore.

530
00:21:00,968 --> 00:21:03,178
Is that what this place does to you?

531
00:21:03,179 --> 00:21:07,474
We get pretty good
at shutting down our feelings.

532
00:21:07,475 --> 00:21:09,893
Yeah, I'm a little scared

533
00:21:09,894 --> 00:21:12,228
I've shut them off for so long,

534
00:21:12,229 --> 00:21:15,815
I don't know how to turn them
back on again.

535
00:21:15,816 --> 00:21:19,403
I just wish I could cry again, you know?

536
00:21:21,238 --> 00:21:23,656
You want a hug?

537
00:21:23,657 --> 00:21:25,075
God, no.

538
00:21:26,660 --> 00:21:28,328
Your mom is stable,

539
00:21:28,329 --> 00:21:30,830
but she's still waiting
on the imaging of her hip.

540
00:21:30,831 --> 00:21:32,165
We'll know more soon.

541
00:21:32,166 --> 00:21:33,666
You can wait with your dad
in the meantime.

542
00:21:33,667 --> 00:21:34,834
I've told him a million times

543
00:21:34,835 --> 00:21:36,628
he shouldn't be driving anymore.

544
00:21:36,629 --> 00:21:39,047
May I ask what their home
situation is like right now?

545
00:21:39,048 --> 00:21:41,382
I don't know, they live
over in Squirrel Hill.

546
00:21:41,383 --> 00:21:43,343
Same house I grew up in,
just the two of them.

547
00:21:43,344 --> 00:21:45,303
We noticed your father

548
00:21:45,304 --> 00:21:47,514
exhibiting signs of an unsteady gait,

549
00:21:47,515 --> 00:21:50,391
along with other balance
and mobility issues.

550
00:21:50,392 --> 00:21:52,352
He sees an internist, neurologist,

551
00:21:52,353 --> 00:21:54,187
cardiologist, gastroenterologist.

552
00:21:54,188 --> 00:21:56,856
He's got a whole team of "ologists."

553
00:21:56,857 --> 00:21:59,025
Both my parents used to be
in pretty great shape,

554
00:21:59,026 --> 00:22:01,694
but lately, it's like they can
barely get up the stairs.

555
00:22:01,695 --> 00:22:03,571
Half their house
isn't accessible to them.

556
00:22:03,572 --> 00:22:06,074
Have you looked
into assisted living options?

557
00:22:06,075 --> 00:22:09,577
Yes, but they refuse
to even talk about it with me.

558
00:22:09,578 --> 00:22:11,871
Mr. Cohen, you have a visitor.

559
00:22:11,872 --> 00:22:14,207
- Care Bear.
- Dad.

560
00:22:14,208 --> 00:22:18,253
- You feeling okay?
- No, I'm feeling dumb.

561
00:22:18,254 --> 00:22:20,463
Carrie, this is Dr. King,

562
00:22:20,464 --> 00:22:22,549
who will be assisting
with your mother's care.

563
00:22:22,550 --> 00:22:24,717
I was just explaining that the treatment

564
00:22:24,718 --> 00:22:26,261
depends on the injuries,

565
00:22:26,262 --> 00:22:28,346
but there are complicating factors.

566
00:22:28,347 --> 00:22:30,723
We are required to report impairments

567
00:22:30,724 --> 00:22:32,350
that might affect driving,

568
00:22:32,351 --> 00:22:34,561
and you will likely have
to take another driver's test

569
00:22:34,562 --> 00:22:35,895
to keep your license.

570
00:22:35,896 --> 00:22:37,856
What's that got to do with Frida?

571
00:22:37,857 --> 00:22:39,566
Well, if the hip injury is serious

572
00:22:39,567 --> 00:22:43,111
and you're also, uh, limited,

573
00:22:43,112 --> 00:22:44,904
then it could mean

574
00:22:44,905 --> 00:22:46,948
an "unsafe to return home"
recommendation for your wife.

575
00:22:46,949 --> 00:22:49,117
You'd be looking at a temporary move

576
00:22:49,118 --> 00:22:52,036
to some form of assisted living
and rehabilitation

577
00:22:52,037 --> 00:22:53,121
for Frida's care.

578
00:22:53,122 --> 00:22:55,582
How temporary?

579
00:22:55,583 --> 00:22:57,709
Best case, three to six months,

580
00:22:57,710 --> 00:23:00,587
but she may never return
to the functionality she had

581
00:23:00,588 --> 00:23:02,505
prior to the injury and recovery.

582
00:23:02,506 --> 00:23:05,758
- Okay, well, kill me now.
- See what I'm dealing with?

583
00:23:05,759 --> 00:23:08,761
Dad, you need to find somewhere
to live that is safer

584
00:23:08,762 --> 00:23:10,471
and healthier for both of you.

585
00:23:10,472 --> 00:23:13,141
You... you know, the new
communities are not anything

586
00:23:13,142 --> 00:23:14,809
like the old, scary nursing homes.

587
00:23:14,810 --> 00:23:16,978
They're really nice, and you
get your own apartment.

588
00:23:16,979 --> 00:23:19,105
And, um, you know, my sister
actually lives in one.

589
00:23:19,106 --> 00:23:20,481
She just loves it.

590
00:23:20,482 --> 00:23:22,650
When the dog dies, we can talk.

591
00:23:22,651 --> 00:23:24,277
What if you fall?

592
00:23:24,278 --> 00:23:25,945
What if you have
a heart attack or a stroke,

593
00:23:25,946 --> 00:23:27,947
and there's no one there to help you?

594
00:23:27,948 --> 00:23:29,866
- You worry too much.
- How can I not?

595
00:23:29,867 --> 00:23:31,910
Look what happened today.

596
00:23:31,911 --> 00:23:34,245
Okay, we're gonna leave you two alone.

597
00:23:34,246 --> 00:23:36,624
We'll come back with Mrs. Cohen.

598
00:23:41,629 --> 00:23:45,131
Hey, Robby, our scalp victim
is back from CT.

599
00:23:45,132 --> 00:23:47,258
- They're prepping him now.
- Shit.

600
00:23:47,259 --> 00:23:49,093
Uh, okay. I'm coming.

601
00:23:49,094 --> 00:23:51,012
Um...

602
00:23:51,013 --> 00:23:53,598
- Is your friend doing okay?
- He's on my flight risk radar.

603
00:23:53,599 --> 00:23:56,267
Oh, and Dana put McKay on the
guy who attacked the new nurse.

604
00:23:56,268 --> 00:23:59,687
- Is she okay?
- Physically, yes.

605
00:23:59,688 --> 00:24:02,482
I heard you had a little chat
with Langdon earlier.

606
00:24:02,483 --> 00:24:04,067
Yeah, water under the bridge.

607
00:24:04,068 --> 00:24:05,568
You have to figure out a way
of working with him

608
00:24:05,569 --> 00:24:07,654
- now that he's back.
- Or until he relapses.

609
00:24:07,655 --> 00:24:09,197
You're becoming a very good doctor.

610
00:24:09,198 --> 00:24:10,907
Don't let old conflicts get in the way.

611
00:24:10,908 --> 00:24:12,825
Speaking of which,
I want you and everybody else

612
00:24:12,826 --> 00:24:15,662
to see the trauma counselor
while I'm gone, yes?

613
00:24:15,663 --> 00:24:17,080
- Yes.
- And I asked Whitaker

614
00:24:17,081 --> 00:24:18,706
to house-sit for me while I'm gone.

615
00:24:18,707 --> 00:24:20,041
I figured that would distract

616
00:24:20,042 --> 00:24:21,501
from the whole farmer's widow thing.

617
00:24:21,502 --> 00:24:22,585
- Wait, what?
- Bring in the mail,

618
00:24:22,586 --> 00:24:24,337
water the plants... cool?

619
00:24:24,338 --> 00:24:27,006
- Cool. Yeah. Fine.
- That looks good.

620
00:24:27,007 --> 00:24:29,008
You can start the repair after this one.

621
00:24:29,009 --> 00:24:31,052
Feeling any pain, sir?

622
00:24:31,053 --> 00:24:34,180
Uh, no pain, just wet.

623
00:24:34,181 --> 00:24:36,849
- You already numbed him up?
- I did.

624
00:24:36,850 --> 00:24:38,226
1% with epi.

625
00:24:38,227 --> 00:24:40,228
- CT back yet?
- No, not yet.

626
00:24:40,229 --> 00:24:42,021
I watched the slices come up.

627
00:24:42,022 --> 00:24:44,691
Isolated sternal fracture.
Everything else looked normal.

628
00:24:44,692 --> 00:24:47,068
Could send him home,
but given the mechanism,

629
00:24:47,069 --> 00:24:48,861
should probably watch him overnight.

630
00:24:48,862 --> 00:24:50,738
I agree with Dr. Garcia.

631
00:24:50,739 --> 00:24:54,492
I agree with Dr. Garcia, too.

632
00:24:54,493 --> 00:24:58,496
Three-layer closure...
galea, sub-Q, skin staples.

633
00:24:58,497 --> 00:24:59,914
Enjoy the fireworks.

634
00:24:59,915 --> 00:25:01,874
And hey, if I don't see you
before you leave,

635
00:25:01,875 --> 00:25:03,501
don't forget to buy me a souvenir,

636
00:25:03,502 --> 00:25:05,545
like a custom elk-bone-carved
hunting blade.

637
00:25:05,546 --> 00:25:07,463
Nothing less for my favorite butcher.

638
00:25:07,464 --> 00:25:09,465
Aww, you're gonna make
a great ex-husband

639
00:25:09,466 --> 00:25:11,677
one day, Robinavitch.

640
00:25:13,470 --> 00:25:15,722
Hospital's got a defense
attorney looking for Jesse.

641
00:25:15,723 --> 00:25:17,473
Probably took him
to an ICE detention center.

642
00:25:17,474 --> 00:25:19,726
Said we shouldn't hold
our breath, though.

643
00:25:19,727 --> 00:25:21,894
Whatever happened
to "we the people," huh?

644
00:25:24,481 --> 00:25:26,399
Anything back
on that drunk son of a bitch

645
00:25:26,400 --> 00:25:29,235
- that attacked Emma?
- Not yet.

646
00:25:29,236 --> 00:25:31,070
- Christ's sake.
- I'm making a run now.

647
00:25:31,071 --> 00:25:32,447
- I'll ask.
- Yeah.

648
00:25:32,448 --> 00:25:33,573
That's the guy who attacked Emma?

649
00:25:33,574 --> 00:25:36,534
- Mm-hmm.
- That's intense.

650
00:25:36,535 --> 00:25:38,911
How you doing?

651
00:25:38,912 --> 00:25:41,039
Peachy.

652
00:25:41,040 --> 00:25:42,582
Oh, that's me.

653
00:25:42,583 --> 00:25:44,751
Hey, you did what you had to do
with that guy.

654
00:25:44,752 --> 00:25:47,337
- Everything's gonna be fine.
- From your lips.

655
00:25:50,758 --> 00:25:53,092
Box of class B launch tubes to the van.

656
00:25:53,093 --> 00:25:56,054
Next second, kaboom!

657
00:25:56,055 --> 00:26:00,099
I get launched 10, 15 feet
across the garage,

658
00:26:00,100 --> 00:26:02,935
right up into the lift track.

659
00:26:02,936 --> 00:26:05,313
Hit something hard.

660
00:26:05,314 --> 00:26:08,107
Uh, I don't really remember the rest.

661
00:26:08,108 --> 00:26:11,611
Oh, just my brother screaming,
help, help!

662
00:26:11,612 --> 00:26:15,531
I'm lying there thinking,
oh, he must be dying.

663
00:26:15,532 --> 00:26:17,617
I guess it was me
he was screaming about.

664
00:26:17,618 --> 00:26:19,535
Your brother is in the family room.

665
00:26:19,536 --> 00:26:22,538
He's waiting to see you,
and he is alive and well.

666
00:26:22,539 --> 00:26:24,749
Oops.

667
00:26:24,750 --> 00:26:26,459
"Oops"?

668
00:26:26,460 --> 00:26:28,795
What... what's oops mean?

669
00:26:28,796 --> 00:26:32,674
- Hello?
- It's nothing to worry about.

670
00:26:34,093 --> 00:26:36,804
We never say "oops"
in front of a patient.

671
00:26:41,141 --> 00:26:43,142
All right, try again.

672
00:26:43,143 --> 00:26:45,186
- You sure?
- Mm-hmm.

673
00:26:45,187 --> 00:26:46,938
Okay.

674
00:26:46,939 --> 00:26:49,357
Better. Keep going.

675
00:26:49,358 --> 00:26:50,858
You might want to leave the fireworks

676
00:26:50,859 --> 00:26:52,110
to the professionals.

677
00:26:52,111 --> 00:26:53,986
We are professionals.

678
00:26:53,987 --> 00:26:58,783
Got our official PDA consumer
license a few years back.

679
00:26:58,784 --> 00:27:01,369
Gunpowder's in my blood, man.

680
00:27:01,370 --> 00:27:03,162
Nothing like that...

681
00:27:08,043 --> 00:27:10,169
Ain't no fighting it.

682
00:27:10,170 --> 00:27:12,004
Amor fati.

683
00:27:12,005 --> 00:27:14,841
More like memento mori.

684
00:27:14,842 --> 00:27:17,426
Tomato, tom-ah-to.

685
00:27:17,427 --> 00:27:19,178
Am I, like, the only one

686
00:27:19,179 --> 00:27:21,264
who didn't study Latin for med school?

687
00:27:21,265 --> 00:27:23,015
- Yep.
- Yes.

688
00:27:23,016 --> 00:27:25,017
And finished.

689
00:27:25,018 --> 00:27:26,686
Nicely done.

690
00:27:26,687 --> 00:27:28,688
- Can I see my brother now?
- Yep.

691
00:27:28,689 --> 00:27:30,857
Oh, motherfucker.

692
00:27:30,858 --> 00:27:33,693
- Chest pain?
- Only when I move.

693
00:27:33,694 --> 00:27:35,403
That would be the fracture
in your sternum,

694
00:27:35,404 --> 00:27:37,196
which we will give you
another 4 of morphine for that.

695
00:27:37,197 --> 00:27:38,573
Thank you.

696
00:27:38,574 --> 00:27:40,491
And try no laughing or sneezing

697
00:27:40,492 --> 00:27:42,034
for the next four weeks.

698
00:27:43,745 --> 00:27:45,371
Mr. Haas, we're gonna switch you over

699
00:27:45,372 --> 00:27:47,874
to a high-flow nasal oxygen
instead of the BiPAP

700
00:27:47,875 --> 00:27:49,667
and see how you do.

701
00:27:49,668 --> 00:27:51,210
This looks promising.

702
00:27:51,211 --> 00:27:54,046
Repeat potassium is at 6.1
with the albuterol.

703
00:27:59,720 --> 00:28:02,221
Feeling a...

704
00:28:02,222 --> 00:28:03,891
a little better.

705
00:28:06,101 --> 00:28:08,853
Don't you ever tell your mother
about how fast you drove here.

706
00:28:08,854 --> 00:28:11,439
I thought you were gonna die.

707
00:28:11,440 --> 00:28:15,234
Any longer,
and he might have, so good job.

708
00:28:15,235 --> 00:28:18,821
Boy just got his permit last week.

709
00:28:18,822 --> 00:28:20,364
Felt like I was living

710
00:28:20,365 --> 00:28:22,867
in one of those
"Fast and the Furious" movies.

711
00:28:22,868 --> 00:28:26,078
I can't believe Pine Ridge closed.

712
00:28:26,079 --> 00:28:27,455
When did that happen?

713
00:28:27,456 --> 00:28:29,749
I read about it a few months ago.

714
00:28:29,750 --> 00:28:31,500
Medicare spending cuts.

715
00:28:31,501 --> 00:28:33,669
Are there any other
emergency rooms in the area?

716
00:28:33,670 --> 00:28:35,004
Nope.

717
00:28:35,005 --> 00:28:36,589
It's gonna be a long way to drive

718
00:28:36,590 --> 00:28:38,299
for folks out where we live.

719
00:28:38,300 --> 00:28:40,760
Mr. Haas, you'll need
to stay here a few hours.

720
00:28:40,761 --> 00:28:42,094
Get you tuned up.

721
00:28:42,095 --> 00:28:45,598
Yeah. I know the drill.

722
00:28:45,599 --> 00:28:47,725
Hey, you know, Mason, if you're hungry,

723
00:28:47,726 --> 00:28:49,435
we've got a pretty good cafeteria.

724
00:28:49,436 --> 00:28:51,479
Don't lie to him.

725
00:28:51,480 --> 00:28:53,439
We have a cafeteria.

726
00:28:53,440 --> 00:28:55,399
I'm just gonna stay here with my dad.

727
00:28:55,400 --> 00:28:57,944
Yeah, sure.

728
00:28:57,945 --> 00:28:59,988
Thank you for saving him.

729
00:29:06,078 --> 00:29:08,287
Are you still thinking
rural emergency medicine

730
00:29:08,288 --> 00:29:09,956
when you're done here?

731
00:29:09,957 --> 00:29:12,959
Um, not thinking, doing.

732
00:29:12,960 --> 00:29:14,961
God, I hope there are
still some hospitals left

733
00:29:14,962 --> 00:29:16,797
- for you to work at.
- Yeah.

734
00:29:18,298 --> 00:29:19,882
Oh!

735
00:29:19,883 --> 00:29:21,926
So the march of the walking
dead night shift begins.

736
00:29:21,927 --> 00:29:23,970
First one in, Mateo.
You get a gold star.

737
00:29:23,971 --> 00:29:25,388
What happened in here?

738
00:29:25,389 --> 00:29:27,139
I left you guys
with a layup this morning.

739
00:29:27,140 --> 00:29:28,516
Don't ask.

740
00:29:28,517 --> 00:29:30,643
Speaking of layups, what up, Dr. J?

741
00:29:30,644 --> 00:29:32,395
Oh, right.

742
00:29:32,396 --> 00:29:35,189
That was, um, some sort of
basketball player, wasn't it?

743
00:29:35,190 --> 00:29:36,732
Shame on you.

744
00:29:36,733 --> 00:29:38,985
Only the greatest Sixer
to ever play the game.

745
00:29:38,986 --> 00:29:41,279
Week one of year four of med school.

746
00:29:41,280 --> 00:29:43,322
You'll be ordering me around
before you know it.

747
00:29:43,323 --> 00:29:45,157
Gonna join the dark side
when you graduate?

748
00:29:45,158 --> 00:29:46,659
The emergency department?

749
00:29:46,660 --> 00:29:50,121
The night shift, baby. It's wild.

750
00:29:50,122 --> 00:29:51,956
Um...

751
00:29:51,957 --> 00:29:54,625
I haven't even decided what
residency I'm applying for yet.

752
00:29:54,626 --> 00:29:57,044
You'll figure it out. Got lots of time.

753
00:29:57,045 --> 00:29:59,672
Tell that to my parents.

754
00:29:59,673 --> 00:30:02,008
Dana, results are back on your guy.

755
00:30:02,009 --> 00:30:03,385
Give me those.

756
00:30:07,973 --> 00:30:09,974
I-I choked her?

757
00:30:09,975 --> 00:30:12,351
No, I would never do
something like that.

758
00:30:12,352 --> 00:30:13,519
But you did.

759
00:30:16,857 --> 00:30:20,568
Can you, uh... sorry, can you
excuse me for a minute?

760
00:30:20,569 --> 00:30:23,030
- Jesus Christ, Dana.
- Read.

761
00:30:25,365 --> 00:30:27,283
What's he saying, anyway?

762
00:30:27,284 --> 00:30:29,493
He's in a bit of shock.

763
00:30:29,494 --> 00:30:32,538
Claims he doesn't remember anything.

764
00:30:32,539 --> 00:30:34,874
Says he was on the golf course
getting boozy,

765
00:30:34,875 --> 00:30:36,584
maybe a little too boozy.

766
00:30:36,585 --> 00:30:38,711
Things get hazy, next thing
you know, he's on the floor

767
00:30:38,712 --> 00:30:39,962
and everyone's screaming at him.

768
00:30:39,963 --> 00:30:42,465
How convenient.

769
00:30:42,466 --> 00:30:44,383
Maybe it's better for both of you

770
00:30:44,384 --> 00:30:46,553
that he doesn't remember what happened.

771
00:30:48,597 --> 00:30:51,224
Let me know when you're ready
to take my statement.

772
00:30:57,064 --> 00:30:58,939
All right, well, the good news is,

773
00:30:58,940 --> 00:31:01,859
your CT was negative for skull fracture

774
00:31:01,860 --> 00:31:03,736
or intracranial hemorrhage.

775
00:31:03,737 --> 00:31:07,031
You mean that's good news for
you and that blonde nurse lady.

776
00:31:07,032 --> 00:31:09,408
But your lab results
were positive for alcohol

777
00:31:09,409 --> 00:31:11,077
and cocaine.

778
00:31:12,871 --> 00:31:14,747
Okay, you got me.

779
00:31:14,748 --> 00:31:16,874
I did a couple
of birdie bumps on the turn,

780
00:31:16,875 --> 00:31:18,793
but we were just having fun
on the golf course.

781
00:31:18,794 --> 00:31:21,003
Look, when alcohol
is mixed with cocaine,

782
00:31:21,004 --> 00:31:22,755
your liver produces a metabolite

783
00:31:22,756 --> 00:31:24,173
called cocaethylene.

784
00:31:24,174 --> 00:31:26,175
What does that have to do with me

785
00:31:26,176 --> 00:31:29,136
allegedly doing what you said?

786
00:31:29,137 --> 00:31:30,846
It's a psychoactive molecule

787
00:31:30,847 --> 00:31:33,182
more toxic and potent than cocaine.

788
00:31:33,183 --> 00:31:37,436
And it can lead to confusion,
paranoia, aggression,

789
00:31:37,437 --> 00:31:40,064
and even psychosis.

790
00:31:41,858 --> 00:31:44,860
What happens now?

791
00:31:44,861 --> 00:31:47,113
We're gonna monitor you for a few hours,

792
00:31:47,114 --> 00:31:49,490
especially given your likely concussion.

793
00:31:49,491 --> 00:31:50,908
And you'll need to give a statement

794
00:31:50,909 --> 00:31:52,953
to the police outside in the meantime.

795
00:31:58,250 --> 00:32:00,418
Oh, you lucky this was just a poke.

796
00:32:00,419 --> 00:32:01,585
Spared the muscle.

797
00:32:01,586 --> 00:32:03,170
See? It could have been worse.

798
00:32:03,171 --> 00:32:04,797
No shit, Sherman.

799
00:32:04,798 --> 00:32:06,799
The triangular bayonets
they created back then

800
00:32:06,800 --> 00:32:08,134
were designed to leave wounds

801
00:32:08,135 --> 00:32:10,136
that are nearly impossible to stitch.

802
00:32:10,137 --> 00:32:12,471
Those bayonets had never met me.

803
00:32:12,472 --> 00:32:14,140
- Oh, wow.
- What?

804
00:32:14,141 --> 00:32:15,933
It's all good. We got it covered.

805
00:32:15,934 --> 00:32:19,186
No, are you guys
from the Fort Pitt Museum?

806
00:32:19,187 --> 00:32:21,480
- Yeah. You familiar?
- Yeah.

807
00:32:21,481 --> 00:32:22,898
I love you guys.

808
00:32:22,899 --> 00:32:24,400
My mom would take me to the fort

809
00:32:24,401 --> 00:32:26,068
every time we'd come down
to visit family as a kid.

810
00:32:26,069 --> 00:32:28,154
We've been volunteering there
as living historians

811
00:32:28,155 --> 00:32:30,531
- for over 20 years.
- I probably saw you then.

812
00:32:30,532 --> 00:32:33,075
Man, I can't wait to tell
my parents about this.

813
00:32:33,076 --> 00:32:34,827
Getting stabbed must have been scary.

814
00:32:34,828 --> 00:32:37,329
Yeah, well, Poindexter here
stumbled over his boots

815
00:32:37,330 --> 00:32:38,998
and nearly impaled me.

816
00:32:38,999 --> 00:32:40,666
Wouldn't have mattered if you
weren't out of formation.

817
00:32:40,667 --> 00:32:42,001
You're in good hands.

818
00:32:42,002 --> 00:32:43,919
This guy could have saved a lot of lives

819
00:32:43,920 --> 00:32:46,714
with his sutures back in 1776.

820
00:32:46,715 --> 00:32:50,009
- I was not out of formation.
- You were out of formation.

821
00:32:50,010 --> 00:32:51,427
Hi, again.

822
00:32:51,428 --> 00:32:53,137
Good news, Mrs. Cohen.

823
00:32:53,138 --> 00:32:55,973
Your imaging results
show no hip fracture

824
00:32:55,974 --> 00:32:58,017
and no internal bleeding.

825
00:32:58,018 --> 00:33:00,186
But you do have
a small hairline fracture

826
00:33:00,187 --> 00:33:01,854
of the superior pubic ramus.

827
00:33:01,855 --> 00:33:03,856
Well, that doesn't sound good.

828
00:33:03,857 --> 00:33:05,024
Well, if you're gonna have a fracture,

829
00:33:05,025 --> 00:33:06,317
it's the best one to have.

830
00:33:06,318 --> 00:33:08,736
Do I need to stay in the hospital?

831
00:33:08,737 --> 00:33:09,862
Not necessarily.

832
00:33:09,863 --> 00:33:11,530
Your recovery should be

833
00:33:11,531 --> 00:33:13,532
pretty straightforward
if we can control your pain.

834
00:33:13,533 --> 00:33:16,076
But you need to take it easy
and stay off your feet

835
00:33:16,077 --> 00:33:17,870
for six to eight weeks.

836
00:33:17,871 --> 00:33:19,663
How can she go home if she can't walk?

837
00:33:19,664 --> 00:33:22,166
Oh, she can bear weight
and walk with some help.

838
00:33:22,167 --> 00:33:25,044
And we'll get you a walker
and schedule physical therapy.

839
00:33:25,045 --> 00:33:28,756
{n8}- So... so we can go home.
- Yes.

840
00:33:28,757 --> 00:33:31,550
{n8}Dad, you can't take care
of Mom all by yourself.

841
00:33:31,551 --> 00:33:33,719
{n8}Oh, we'll manage.

842
00:33:33,720 --> 00:33:36,055
{n8}You guys, you need to be realistic.

843
00:33:36,056 --> 00:33:39,058
I don't want strangers
hanging around in the house.

844
00:33:39,059 --> 00:33:40,976
It's not strangers. It's helpers.

845
00:33:40,977 --> 00:33:42,728
Mm-mm, no. No, thanks.

846
00:33:42,729 --> 00:33:44,898
- Mm-mm.
- Doctors, please.

847
00:33:46,566 --> 00:33:48,567
I am worried about your ability

848
00:33:48,568 --> 00:33:51,445
to get the assistance
you need, Mrs. Cohen.

849
00:33:51,446 --> 00:33:53,822
It may be time to think about
some of those

850
00:33:53,823 --> 00:33:57,701
alternative living options we mentioned.

851
00:33:57,702 --> 00:33:59,411
I can take care of her.

852
00:33:59,412 --> 00:34:01,705
Dad, are you gonna be able
to get her into the bathroom

853
00:34:01,706 --> 00:34:03,582
onto the toilet
in the middle of the night?

854
00:34:03,583 --> 00:34:05,584
Are you gonna help her change
her clothes in the morning?

855
00:34:05,585 --> 00:34:07,378
- Are you gonna...
- We're... we're fine.

856
00:34:07,379 --> 00:34:11,048
Dad, please just try it.

857
00:34:11,049 --> 00:34:12,925
You don't have to sell
the house right away.

858
00:34:12,926 --> 00:34:16,136
Just see if you like it.

859
00:34:16,137 --> 00:34:18,597
- You could move in with us.
- No, I can't.

860
00:34:18,598 --> 00:34:20,266
I have work. I have the kids. I can't.

861
00:34:20,267 --> 00:34:22,226
No. No. No.

862
00:34:22,227 --> 00:34:24,437
No. Okay? Just no.

863
00:34:26,439 --> 00:34:29,609
Carrie, could I speak
with you outside for a minute?

864
00:34:37,284 --> 00:34:38,993
It's like that every time.

865
00:34:38,994 --> 00:34:40,661
It's tough to find the balance

866
00:34:40,662 --> 00:34:42,830
between respecting your
loved ones' needs for agency

867
00:34:42,831 --> 00:34:45,499
and doing what's best for their safety.

868
00:34:45,500 --> 00:34:49,003
I was wondering if you had
your parents' medication lists

869
00:34:49,004 --> 00:34:52,006
- with you or on your phone.
- Yeah.

870
00:34:52,007 --> 00:34:55,342
I'd like to take a quick
look at it, if that's okay.

871
00:34:55,343 --> 00:34:56,886
Yeah.

872
00:34:58,847 --> 00:35:00,931
My man, how you doing?

873
00:35:00,932 --> 00:35:02,182
Like you better roll in

874
00:35:02,183 --> 00:35:04,143
a bar cart and a happy hour buffet

875
00:35:04,144 --> 00:35:06,270
if I'm gonna be stuck
in this place much longer.

876
00:35:06,271 --> 00:35:07,646
This place is a traffic jam.

877
00:35:07,647 --> 00:35:09,023
We're trying to merge you in, I promise.

878
00:35:09,024 --> 00:35:10,316
That's no traffic jam.

879
00:35:10,317 --> 00:35:11,817
That's a 20-car pileup.

880
00:35:11,818 --> 00:35:13,861
The sooner you get out,
the sooner I get out,

881
00:35:13,862 --> 00:35:17,156
so you know I'm not bullshitting you.

882
00:35:17,157 --> 00:35:19,116
Why are you jonesing so hard to get out

883
00:35:19,117 --> 00:35:20,868
and start your ride tonight?

884
00:35:20,869 --> 00:35:22,661
I've got a schedule.

885
00:35:22,662 --> 00:35:25,540
I've got places to go.
I've got people to see.

886
00:35:29,586 --> 00:35:32,755
I just have to get going.

887
00:35:32,756 --> 00:35:34,840
You're worried
if you don't leave tonight,

888
00:35:34,841 --> 00:35:37,176
you won't leave at all.

889
00:35:37,177 --> 00:35:39,345
Look, I get it.

890
00:35:39,346 --> 00:35:42,514
I can feel it in the air here.
This place is like quicksand.

891
00:35:42,515 --> 00:35:45,351
Right.

892
00:35:45,352 --> 00:35:47,102
Dr. Robby?

893
00:35:47,103 --> 00:35:51,190
Uh, Dante, the fireworks guy...
something's wrong.

894
00:35:51,191 --> 00:35:52,900
Okay, shit.

895
00:35:52,901 --> 00:35:54,735
Um, do not go anywhere. You are next up.

896
00:35:54,736 --> 00:35:56,362
I'm gonna deliver you myself.

897
00:35:56,363 --> 00:35:58,280
I'm starting to feel like
a hostage in this place.

898
00:35:58,281 --> 00:36:00,199
How do you think I feel?

899
00:36:15,090 --> 00:36:17,925
- What's going on?
- Fucking chest hurts.

900
00:36:17,926 --> 00:36:21,095
Systolic's down to 78.

901
00:36:21,096 --> 00:36:23,097
- Blood loss from scalp lac?
- Uh, that's highly unlikely.

902
00:36:23,098 --> 00:36:24,932
- Dr. Santos?
- Good breath sounds.

903
00:36:24,933 --> 00:36:27,226
But neck veins are up.
Checking the heart now.

904
00:36:27,227 --> 00:36:29,728
Okay, 500-cc bolus,
100% non-rebreather please.

905
00:36:29,729 --> 00:36:32,398
Okay, pericardial effusion,
RV collapse... it's tamponade.

906
00:36:32,399 --> 00:36:34,274
Yeah, let's prep
for a pericardiocentesis.

907
00:36:34,275 --> 00:36:36,443
What's going on? Is he gonna be okay?

908
00:36:36,444 --> 00:36:38,946
- You said he was fine.
- CT scan was normal.

909
00:36:38,947 --> 00:36:40,864
Things change.

910
00:36:40,865 --> 00:36:44,284
Dante, there is a collection
of blood around your heart.

911
00:36:44,285 --> 00:36:46,745
- We need to drain it.
- Oh, fuck.

912
00:36:46,746 --> 00:36:48,914
Okay, 0.5 per kilo ketamine, please.

913
00:36:48,915 --> 00:36:50,582
Won't that drop his pressure even more?

914
00:36:50,583 --> 00:36:51,917
We don't have a choice.

915
00:36:51,918 --> 00:36:53,961
We cannot do this on a moving target.

916
00:36:53,962 --> 00:36:56,422
Dante, Jesus fucking Christ.
It's my baby brother.

917
00:36:56,423 --> 00:36:58,590
- Hey, Perlah?
- Sir, I'm so sorry,

918
00:36:58,591 --> 00:37:00,134
but you can't be in here right now.

919
00:37:00,135 --> 00:37:01,885
What's wrong with him?
Hey, Dante. Dante.

920
00:37:01,886 --> 00:37:04,555
- Hey, just hear me...
- Okay. I'm so sorry.

921
00:37:04,556 --> 00:37:06,140
You can't be in there right now, okay?

922
00:37:06,141 --> 00:37:07,808
- We have to stabilize.
- They said he was fine.

923
00:37:07,809 --> 00:37:09,393
Yeah. Okay. There's been a complication.

924
00:37:09,394 --> 00:37:11,228
I just need you to take
a couple deep breaths

925
00:37:11,229 --> 00:37:12,896
- and try to stay calm.
- Please. Please.

926
00:37:12,897 --> 00:37:15,774
Okay, just breathe with me.
In. Okay, out.

927
00:37:15,775 --> 00:37:17,609
Look at me. Breathe in.

928
00:37:17,610 --> 00:37:19,445
Out.

929
00:37:19,446 --> 00:37:21,822
Very good. In, out.

930
00:37:21,823 --> 00:37:24,284
Okay, stay calm, okay? We got this.

931
00:37:27,120 --> 00:37:28,787
I can't leave you <i>pendejos</i> alone.

932
00:37:28,788 --> 00:37:30,456
- Tamponade with shock.
- From what?

933
00:37:30,457 --> 00:37:32,040
Uh, I'm guessing a small tear

934
00:37:32,041 --> 00:37:33,709
in the right atrium
from the sternal fracture.

935
00:37:33,710 --> 00:37:35,043
If it was ventricular,

936
00:37:35,044 --> 00:37:36,628
he would have crashed in the field.

937
00:37:36,629 --> 00:37:38,380
I'll call cardiothoracic.
See if they have an OR.

938
00:37:38,381 --> 00:37:39,923
Systolic's down to 64.

939
00:37:39,924 --> 00:37:41,300
Okay, have you ever done
an apical approach?

940
00:37:41,301 --> 00:37:43,677
- Nope.
- No time like the present.

941
00:37:43,678 --> 00:37:45,804
- Go lateral to my probe.
- Why not subcostal?

942
00:37:45,805 --> 00:37:48,682
This is a shorter distance.
There are fewer structures.

943
00:37:48,683 --> 00:37:50,058
If you can see fluid, there's nothing

944
00:37:50,059 --> 00:37:52,144
between the probe and the pericardial.

945
00:37:52,145 --> 00:37:54,313
There? There.
The needle's in the effusion.

946
00:37:54,314 --> 00:37:57,691
- Mm-hmm. Draw back.
- Good blood return.

947
00:37:57,692 --> 00:37:59,568
Okay, sometimes it only takes 20 cc's

948
00:37:59,569 --> 00:38:01,320
to let that heart fill again.

949
00:38:01,321 --> 00:38:04,156
- Carotid pulse much stronger.
- Thanks. Be right up.

950
00:38:04,157 --> 00:38:05,824
They'll have a room ready in five.

951
00:38:05,825 --> 00:38:08,327
All right, that is 40 cc's out.

952
00:38:08,328 --> 00:38:09,953
Blood pressure's up. 90 systolic.

953
00:38:09,954 --> 00:38:11,705
Okay, now we're gonna place the J wire,

954
00:38:11,706 --> 00:38:13,040
and we're gonna leave the catheter in

955
00:38:13,041 --> 00:38:14,291
with a three-way stopcock.

956
00:38:14,292 --> 00:38:15,667
Still bleeding from the heart.

957
00:38:15,668 --> 00:38:17,294
He can live with a little blood loss

958
00:38:17,295 --> 00:38:19,171
but not with a pressure bag
squeezing his heart

959
00:38:19,172 --> 00:38:20,380
so it can't beat.

960
00:38:20,381 --> 00:38:21,673
Good thing we didn't send him home.

961
00:38:21,674 --> 00:38:24,134
Nice save, Robby. You too, Trinity.

962
00:38:24,135 --> 00:38:28,514
- Is that an actual compliment?
- Sometimes you guys get lucky.

963
00:38:28,515 --> 00:38:30,307
Got a couple of bad ones.

964
00:38:30,308 --> 00:38:32,976
- How old is he?
- 84.

965
00:38:32,977 --> 00:38:34,478
Meclizine for vertigo.

966
00:38:34,479 --> 00:38:36,480
Anticholinergic effects
can cause drowsiness.

967
00:38:36,481 --> 00:38:38,524
It's PRN, so maybe he doesn't
take it all the time.

968
00:38:38,525 --> 00:38:40,526
He's also been prescribed methocarbamol,

969
00:38:40,527 --> 00:38:42,069
another anticholinergic.

970
00:38:42,070 --> 00:38:43,904
Could definitely impair driving.

971
00:38:43,905 --> 00:38:46,365
And metoclopramide for his stomach.

972
00:38:46,366 --> 00:38:48,867
That could cause gait problems.

973
00:38:48,868 --> 00:38:51,286
Exactly.

974
00:38:51,287 --> 00:38:53,539
- Dr. Robby, may we present?
- Yeah, what do you got?

975
00:38:53,540 --> 00:38:54,957
Hey, you should probably get started

976
00:38:54,958 --> 00:38:56,291
crossing your T's and dotting your I's

977
00:38:56,292 --> 00:38:57,543
for night shift handoff Right.

978
00:38:57,544 --> 00:38:59,545
Well, <i>vaya con Dios,</i>

979
00:38:59,546 --> 00:39:02,756
or whatever the bikers
are saying these days.

980
00:39:02,757 --> 00:39:05,092
Our elderly couple, Frida and Ed...

981
00:39:05,093 --> 00:39:07,427
We're anxious about their
ability to recover at home

982
00:39:07,428 --> 00:39:09,429
or to remain at home in general.

983
00:39:09,430 --> 00:39:11,557
But a number of Mr. Cohen's medications

984
00:39:11,558 --> 00:39:13,350
are on the Beers List,

985
00:39:13,351 --> 00:39:16,353
and they may be contributing
to his deteriorating health.

986
00:39:16,354 --> 00:39:18,105
- "May be"?
- We can't be certain.

987
00:39:18,106 --> 00:39:20,357
But none of them are critical meds.

988
00:39:20,358 --> 00:39:22,401
We could have him stop them right now,

989
00:39:22,402 --> 00:39:23,902
follow up with his PCP,

990
00:39:23,903 --> 00:39:25,195
see how he's doing in a few weeks.

991
00:39:25,196 --> 00:39:26,446
Run it by the family.

992
00:39:26,447 --> 00:39:28,699
Sometimes just affirming a patient's...

993
00:39:28,700 --> 00:39:32,119
independence, autonomy can do
a world of good.

994
00:39:32,120 --> 00:39:34,746
Um, hey, Dr. Mohan.

995
00:39:34,747 --> 00:39:37,583
I heard a rumor that you were
looking for an elective.

996
00:39:37,584 --> 00:39:39,918
Consider geriatrics.

997
00:39:39,919 --> 00:39:41,753
It's as much of an art as a science.

998
00:39:41,754 --> 00:39:43,922
There's usually an opening,
and you seem to have

999
00:39:43,923 --> 00:39:46,551
a predisposition to the pace.

1000
00:39:52,765 --> 00:39:54,266
Hey, have you seen Dana?

1001
00:39:54,267 --> 00:39:56,184
I think she went out for a smoke,

1002
00:39:56,185 --> 00:39:57,604
lucky girl.

1003
00:40:14,579 --> 00:40:17,456
You ever gonna tell me
what really happened in there?

1004
00:40:17,457 --> 00:40:18,625
In where?

1005
00:40:20,793 --> 00:40:23,629
You could lose your nursing license.

1006
00:40:23,630 --> 00:40:26,632
Let me guess... that vial
of Versed in your pocket,

1007
00:40:26,633 --> 00:40:28,467
you drew that up for Doug Driscoll

1008
00:40:28,468 --> 00:40:30,093
in case he ever came back,

1009
00:40:30,094 --> 00:40:32,095
and now you've just been
carrying it around ever since.

1010
00:40:32,096 --> 00:40:33,680
I did exactly what I needed to,

1011
00:40:33,681 --> 00:40:35,307
and now there's a young nurse
who gets to go home

1012
00:40:35,308 --> 00:40:36,975
in one piece because of me.

1013
00:40:36,976 --> 00:40:38,769
McKay can sign the Versed order
for me if you won't.

1014
00:40:38,770 --> 00:40:40,145
I will sign the order!

1015
00:40:40,146 --> 00:40:41,813
I will sign an extra order

1016
00:40:41,814 --> 00:40:43,398
so you can have one when I'm gone.

1017
00:40:43,399 --> 00:40:45,108
That's hardly the point.

1018
00:40:45,109 --> 00:40:48,403
It's not exactly like
I'm against nurse safety.

1019
00:40:48,404 --> 00:40:50,405
I'm trying to advocate for your caution,

1020
00:40:50,406 --> 00:40:52,074
because you're the person
who's supposed to be here

1021
00:40:52,075 --> 00:40:53,533
keeping this running while I'm gone,

1022
00:40:53,534 --> 00:40:55,160
not roaming the halls like a vigilante

1023
00:40:55,161 --> 00:40:56,828
with a loaded syringe and a vendetta!

1024
00:40:56,829 --> 00:40:58,080
It's always "do as I say,

1025
00:40:58,081 --> 00:40:59,373
not as I do" with you, isn't it?

1026
00:40:59,374 --> 00:41:01,375
What is wrong with you today?

1027
00:41:01,376 --> 00:41:04,002
Samira missed a triple-A.
Mel and Ellis had a deposition.

1028
00:41:04,003 --> 00:41:05,921
McKay's treating people
in the park. Fucking Langdon...

1029
00:41:05,922 --> 00:41:07,381
At some point, you and Langdon

1030
00:41:07,382 --> 00:41:08,882
- got to work this out.
- I don't want him here!

1031
00:41:08,883 --> 00:41:10,175
He made a mistake, and he paid for it.

1032
00:41:10,176 --> 00:41:11,551
Did he? Did he go to jail?

1033
00:41:11,552 --> 00:41:13,178
Because I let him get away with a crime.

1034
00:41:13,179 --> 00:41:14,888
- So what does that make me?
- Human!

1035
00:41:14,889 --> 00:41:17,557
Are you angry at him,
or are you angry at you?

1036
00:41:17,558 --> 00:41:19,351
- Somebody could have died.
- Oh, it's the ED.

1037
00:41:19,352 --> 00:41:20,978
- Somebody's always dying.
- Go ahead and make jokes.

1038
00:41:20,979 --> 00:41:22,896
Make jokes instead
of acknowledging that...

1039
00:41:22,897 --> 00:41:24,523
- Langdon didn't kill anybody.
- That we know of.

1040
00:41:24,524 --> 00:41:27,693
And he saved a lot of lives
that we do know of.

1041
00:41:27,694 --> 00:41:29,236
Our kids disappoint us sometimes.

1042
00:41:29,237 --> 00:41:30,696
Langdon is not a kid.

1043
00:41:30,697 --> 00:41:31,905
No, but he's your guy,

1044
00:41:31,906 --> 00:41:33,198
and you're taking it personally.

1045
00:41:33,199 --> 00:41:34,408
Langdon fucked up, and you think

1046
00:41:34,409 --> 00:41:35,659
that makes you look bad,

1047
00:41:35,660 --> 00:41:37,828
but it's on him.

1048
00:41:37,829 --> 00:41:39,329
How am I supposed to leave this place

1049
00:41:39,330 --> 00:41:40,664
when it's a shit show?

1050
00:41:40,665 --> 00:41:43,208
First you can't stay. Now you can't go.

1051
00:41:43,209 --> 00:41:44,960
What is it, Robinavitch?

1052
00:41:44,961 --> 00:41:46,795
No, I'm going.

1053
00:41:46,796 --> 00:41:48,630
I just thought I could leave it
a little better when I did.

1054
00:41:48,631 --> 00:41:50,382
Oh, don't be such a martyr.

1055
00:41:50,383 --> 00:41:52,467
This place is always teetering
on the brink of disaster,

1056
00:41:52,468 --> 00:41:53,802
with or without you.

1057
00:41:53,803 --> 00:41:55,470
We do it every night, every day off.

1058
00:41:55,471 --> 00:41:57,139
This place is bigger than one person.

1059
00:41:57,140 --> 00:41:59,891
It survived without Adamson,
it survived without me,

1060
00:41:59,892 --> 00:42:01,894
and it'll survive without you.

1061
00:42:06,733 --> 00:42:08,734
My meds are making me worse?

1062
00:42:08,735 --> 00:42:10,819
Not worse, but they may be impacting

1063
00:42:10,820 --> 00:42:12,612
your balance and mobility.

1064
00:42:12,613 --> 00:42:14,906
Why would his doctors prescribe drugs

1065
00:42:14,907 --> 00:42:16,533
that could harm him?

1066
00:42:16,534 --> 00:42:18,243
Oh, it's not any one medication.

1067
00:42:18,244 --> 00:42:20,245
It's the combination
that could be impairing

1068
00:42:20,246 --> 00:42:21,580
his daily functioning.

1069
00:42:21,581 --> 00:42:23,123
We have a case manager

1070
00:42:23,124 --> 00:42:25,083
that will put together a robust plan

1071
00:42:25,084 --> 00:42:27,586
that I think will make everyone happy,

1072
00:42:27,587 --> 00:42:29,546
while allowing you to stay at home.

1073
00:42:29,547 --> 00:42:32,090
There's regular physical therapy,

1074
00:42:32,091 --> 00:42:35,385
an at-home nurse that visits
a few times a week, and, um...

1075
00:42:35,386 --> 00:42:38,263
oh, even personal shoppers
to help with groceries.

1076
00:42:38,264 --> 00:42:41,099
This sounds expensive.

1077
00:42:41,100 --> 00:42:42,893
Actually, Medicare covers most of it,

1078
00:42:42,894 --> 00:42:45,353
with some assistance
from the Area Agency on Aging.

1079
00:42:45,354 --> 00:42:49,524
You know, every old person
knows what it is to be young,

1080
00:42:49,525 --> 00:42:54,362
but no young person can know
what it is to be old.

1081
00:42:54,363 --> 00:42:56,948
Thank you for listening.

1082
00:42:56,949 --> 00:42:58,533
You guys are still coming with me

1083
00:42:58,534 --> 00:43:00,535
to visit a few assisted living places

1084
00:43:00,536 --> 00:43:01,870
just in case it's ever time.

1085
00:43:01,871 --> 00:43:03,664
Well, maybe.

1086
00:43:19,847 --> 00:43:23,600
Hey. You, uh... you doing all right?

1087
00:43:23,601 --> 00:43:26,187
Never better. Thanks. Bye.

1088
00:43:31,984 --> 00:43:33,360
God, you're really just gonna

1089
00:43:33,361 --> 00:43:34,486
keep standing there, aren't you?

1090
00:43:34,487 --> 00:43:36,531
Yeah. What's going on?

1091
00:43:41,160 --> 00:43:43,995
It was literally my first day
of being a doctor,

1092
00:43:43,996 --> 00:43:46,581
and Langdon gaslit me

1093
00:43:46,582 --> 00:43:49,000
and made me question my skills
over and over.

1094
00:43:49,001 --> 00:43:52,170
And it's taken me a long time
to feel like I belong here,

1095
00:43:52,171 --> 00:43:54,047
and now he's back.

1096
00:43:54,048 --> 00:43:56,007
And I don't even care
that he was an addict.

1097
00:43:56,008 --> 00:43:57,759
I care that he was a fucking asshole.

1098
00:43:57,760 --> 00:44:01,429
And it's like no one here
even remembers any of this.

1099
00:44:01,430 --> 00:44:04,683
And everyone here talks
about community and family,

1100
00:44:04,684 --> 00:44:07,602
all while they throw you
under the bus, and I...

1101
00:44:07,603 --> 00:44:09,354
Robby is the only attending

1102
00:44:09,355 --> 00:44:11,273
who actually sees through the bullshit,

1103
00:44:11,274 --> 00:44:13,775
but now he's leaving for some
grand ego-death spirit quest,

1104
00:44:13,776 --> 00:44:17,821
and Robo-Doc over there shoots
me in the proverbial dick.

1105
00:44:17,822 --> 00:44:20,157
Well, Garcia's here.

1106
00:44:20,158 --> 00:44:22,409
- She likes you, right?
- She doesn't like me.

1107
00:44:22,410 --> 00:44:24,244
She likes getting laid.

1108
00:44:24,245 --> 00:44:28,206
I'm her stress relief
squeeze toy... or was.

1109
00:44:28,207 --> 00:44:31,209
You know, she and Langdon
would make a great couple.

1110
00:44:31,210 --> 00:44:34,004
Yeah. That's dark.

1111
00:44:34,005 --> 00:44:36,423
I'm sorry.

1112
00:44:36,424 --> 00:44:38,675
Yeah? Why do you care?

1113
00:44:38,676 --> 00:44:41,052
Well, 'cause we're friends,
I thought... I think.

1114
00:44:41,053 --> 00:44:42,888
Are we? Because on top of all of that,

1115
00:44:42,889 --> 00:44:44,389
you're the one who's being super shady

1116
00:44:44,390 --> 00:44:45,557
about moving out on me.

1117
00:44:45,558 --> 00:44:46,892
Moving out?

1118
00:44:46,893 --> 00:44:48,393
Yeah, I heard you're gonna go squat

1119
00:44:48,394 --> 00:44:50,228
at Robby's sad bachelor pad.

1120
00:44:50,229 --> 00:44:53,231
Honestly, I thought
that was your idea to get me

1121
00:44:53,232 --> 00:44:54,816
- to move out of the apartment.
- No, no.

1122
00:44:54,817 --> 00:44:57,068
I wanted him to give you
some fatherly advice

1123
00:44:57,069 --> 00:44:58,570
about going all Farmers Only,

1124
00:44:58,571 --> 00:45:02,324
not giving you the keys
to his fucking house.

1125
00:45:02,325 --> 00:45:03,909
Oh, my God.

1126
00:45:03,910 --> 00:45:05,952
No, I know it was none of my business.

1127
00:45:05,953 --> 00:45:09,206
No, it's not that. It's...

1128
00:45:09,207 --> 00:45:13,085
you actually like
living with me, don't you?

1129
00:45:14,962 --> 00:45:17,422
What are you talking about?

1130
00:45:17,423 --> 00:45:19,341
You leave your dirty clothes everywhere.

1131
00:45:19,342 --> 00:45:21,801
You eat all of my avocados
as soon as they ripen.

1132
00:45:21,802 --> 00:45:24,095
You keep pausing the TV
to ask the dumbest questions.

1133
00:45:24,096 --> 00:45:25,889
No, I'm going back to the avocado thing,

1134
00:45:25,890 --> 00:45:27,933
because I've never seen
someone consume so many.

1135
00:45:27,934 --> 00:45:29,392
It's disgusting...

1136
00:45:29,393 --> 00:45:31,269
Just say it, and I won't move out, okay?

1137
00:45:31,270 --> 00:45:32,771
I'm not gonna be doing much at Robby's.

1138
00:45:32,772 --> 00:45:34,105
I'm gonna be taking in his mail.

1139
00:45:34,106 --> 00:45:36,483
I'm gonna be watering his plants.

1140
00:45:36,484 --> 00:45:38,152
Say what?

1141
00:45:40,488 --> 00:45:43,449
Admit that you like having me
as your roommate.

1142
00:45:45,117 --> 00:45:48,788
You are such a fuckle-berry.
Have fun with Robby's plants.

1143
00:45:51,707 --> 00:45:55,127
You have no idea how much joy
that just brought me.

1144
00:45:58,506 --> 00:46:00,382
Hey.

1145
00:46:00,383 --> 00:46:03,969
How much longer until I get
these things off and go home?

1146
00:46:03,970 --> 00:46:05,971
Oh...

1147
00:46:05,972 --> 00:46:08,056
You assaulted a nurse.

1148
00:46:08,057 --> 00:46:10,725
Yeah... you said it was
the cocaethylene thing

1149
00:46:10,726 --> 00:46:12,936
that made me go crazy.

1150
00:46:12,937 --> 00:46:15,355
Well, if you're drunk
and you kill someone,

1151
00:46:15,356 --> 00:46:17,232
you still kill someone.

1152
00:46:17,233 --> 00:46:19,276
So after we clear you in a few hours,

1153
00:46:19,277 --> 00:46:21,653
you're gonna take a ride with
the uniformed officer outside,

1154
00:46:21,654 --> 00:46:23,113
who's gonna take you in for processing.

1155
00:46:23,114 --> 00:46:24,823
No. No, no, no,
this cannot be happening.

1156
00:46:24,824 --> 00:46:27,325
No, since you golf and can buy cocaine,

1157
00:46:27,326 --> 00:46:29,202
I assume you can post bail
after your arraignment.

1158
00:46:29,203 --> 00:46:30,829
You're gonna ruin my fucking life!

1159
00:46:30,830 --> 00:46:32,706
But it being our nation's
big, beautiful birthday,

1160
00:46:32,707 --> 00:46:34,541
that hearing may take longer than usual.

1161
00:46:34,542 --> 00:46:36,919
So I'd cancel any grand plans
you have for the Fourth.

1162
00:46:41,799 --> 00:46:43,800
You know, I...

1163
00:46:43,801 --> 00:46:45,969
I can leave you with these.

1164
00:46:45,970 --> 00:46:48,221
Rehab? Fuck off.

1165
00:46:48,222 --> 00:46:51,725
I'm suing this whole hospital
and you for personal injury.

1166
00:46:51,726 --> 00:46:54,060
Well, good luck convincing
a jury of that one.

1167
00:46:54,061 --> 00:46:55,854
- Oh, fuck this whole place...
- Asshole.

1168
00:46:55,855 --> 00:46:58,023
And fuck all of you!

1169
00:46:58,024 --> 00:47:00,859
No, not you, Officer. Fuck!

1170
00:47:00,860 --> 00:47:03,111
Make sure discharge charts
are bundled and placed

1171
00:47:03,112 --> 00:47:05,196
in the "to be scanned" bin
with nursing notes,

1172
00:47:05,197 --> 00:47:07,449
order sheets, lab, and X-ray results.

1173
00:47:07,450 --> 00:47:09,200
Day shift needs completed T sheets

1174
00:47:09,201 --> 00:47:10,869
on every patient
and to write on the board

1175
00:47:10,870 --> 00:47:12,579
what tests are pending so nothing falls

1176
00:47:12,580 --> 00:47:17,208
through the cracks while
we wait to come back online.

1177
00:47:17,209 --> 00:47:18,418
Westbridge and Good Dominion

1178
00:47:18,419 --> 00:47:20,754
have settled their cyber dispute.

1179
00:47:20,755 --> 00:47:22,964
- They paid the ransom?
- Yeah.

1180
00:47:22,965 --> 00:47:25,008
Our IT department is confident
in our defenses,

1181
00:47:25,009 --> 00:47:27,844
so they will be rebooting
everything soon...

1182
00:47:27,845 --> 00:47:29,846
- slowly but surely.
- Okay.

1183
00:47:29,847 --> 00:47:31,848
So when everything comes back on,

1184
00:47:31,849 --> 00:47:33,224
all the residents have to do

1185
00:47:33,225 --> 00:47:35,060
is scan all the completed paper charts

1186
00:47:35,061 --> 00:47:38,021
and digitize them into the
patient's EHRs before they go?

1187
00:47:38,022 --> 00:47:40,398
I'm never getting out of this place.

1188
00:47:40,399 --> 00:47:42,942
This means you're clear for takeoff.

1189
00:47:42,943 --> 00:47:46,696
Nothing here we can't handle
with night shift coming in.

1190
00:47:46,697 --> 00:47:49,074
Yeah, right. Free to go.

1191
00:47:49,075 --> 00:47:51,785
Uh, hey, I told you
I would get you up there,

1192
00:47:51,786 --> 00:47:54,245
and I promise I'm not leaving
until you're back

1193
00:47:54,246 --> 00:47:55,914
and sent packing.

1194
00:47:55,915 --> 00:47:57,582
Robby, buddy, you got me to come in,

1195
00:47:57,583 --> 00:47:59,250
got me to take my tests.

1196
00:47:59,251 --> 00:48:01,461
You don't got to babysit me.
That's why I have a nurse.

1197
00:48:01,462 --> 00:48:03,630
- What's your name, sweetheart?
- Nurse Vivi, sir.

1198
00:48:03,631 --> 00:48:05,590
That's what I have
the lovely Nurse Vivi here for.

1199
00:48:05,591 --> 00:48:07,592
This will not take very long.

1200
00:48:07,593 --> 00:48:09,928
Where have I heard that before?

1201
00:48:09,929 --> 00:48:11,429
Hey.

1202
00:48:11,430 --> 00:48:13,848
So, uh, this is it, huh?

1203
00:48:13,849 --> 00:48:16,017
Uh, yeah.

1204
00:48:16,018 --> 00:48:18,270
Don't let the place burn down.

1205
00:48:20,272 --> 00:48:22,065
You know...

1206
00:48:22,066 --> 00:48:24,984
in a previous life, I had a lot
of friends who liked to see

1207
00:48:24,985 --> 00:48:27,278
how close the edge was...

1208
00:48:27,279 --> 00:48:30,657
as if it was a challenge
they were called to meet.

1209
00:48:30,658 --> 00:48:33,702
Trouble is,
they all inevitably found it.

1210
00:48:36,080 --> 00:48:37,540
Okay.

1211
00:48:39,917 --> 00:48:41,292
I'm just picking up

1212
00:48:41,293 --> 00:48:43,253
on a weird vibe from you today is all.

1213
00:48:43,254 --> 00:48:47,299
Yeah, well, it's been a weird day.

1214
00:48:52,304 --> 00:48:54,305
- You leaving?
- Uh, yeah.

1215
00:48:54,306 --> 00:48:57,267
My shift is over, and I ain't
getting paid to be here.

1216
00:48:57,268 --> 00:48:59,477
Quite literally the opposite, in fact.

1217
00:48:59,478 --> 00:49:01,271
Well, I don't know if you noticed,

1218
00:49:01,272 --> 00:49:04,149
but we're sort of, uh,
in disaster mode here still.

1219
00:49:04,150 --> 00:49:06,735
We put in the extra time
if we're needed.

1220
00:49:08,696 --> 00:49:13,241
You know 62% of ED docs
report suffering from burnout?

1221
00:49:13,242 --> 00:49:15,160
- Painfully aware.
- Mm.

1222
00:49:15,161 --> 00:49:17,704
So maybe all you lunatics need to learn

1223
00:49:17,705 --> 00:49:21,541
how to set some boundaries, like me.

1224
00:49:21,542 --> 00:49:24,170
Well, see you tomorrow, Doc.

1225
00:49:25,963 --> 00:49:28,047
Good luck in there.
Sorry about the mess.

1226
00:49:28,048 --> 00:49:29,340
"Mess"?

1227
00:49:33,804 --> 00:49:35,346
Yup.

1228
00:49:35,347 --> 00:49:37,140
- Incoming.
- Head trauma.

1229
00:49:37,141 --> 00:49:39,017
Unwitnessed fall
from the warehouse catwalk

1230
00:49:39,018 --> 00:49:42,312
where he works as a security guard.

1231
00:49:42,313 --> 00:49:44,022
Oh, my God.

1232
00:49:44,023 --> 00:49:45,523
Orlando.

1233
00:49:45,524 --> 00:49:47,177
He left five hours ago.

1234
00:49:47,178 --> 00:49:51,657
<b><font color="#ff0000">Sync and corrections by btsix
www.addic7ed.com</font></b>