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<b><font color="#ff0000">Sync and corrections by btsix
www.addic7ed.com</font></b>

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<i>[INDISTINCT CHATTER]</i>

3
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- You know this guy?
- Orlando Diaz.

4
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We were treating him
for DKA when he eloped.

5
00:00:14,765 --> 00:00:16,390
- How far did he fall?
- 20 feet or so.

6
00:00:16,391 --> 00:00:17,909
- Anyone see him pass out?
- No.

7
00:00:17,910 --> 00:00:19,953
They went looking for him after
he didn't answer his radio.

8
00:00:19,954 --> 00:00:21,562
Pupils equal but sluggish.

9
00:00:21,563 --> 00:00:22,786
He left against medical advice.

10
00:00:22,787 --> 00:00:26,776
On my count, three, two, one. [GRUNTS]

11
00:00:26,777 --> 00:00:29,070
Dr. Ellis on the case.
Day shift, we got this.

12
00:00:29,071 --> 00:00:31,447
- I'm staying.
- Continuity of care.

13
00:00:31,448 --> 00:00:32,865
Dr. Al-Hashimi, why don't you go cover

14
00:00:32,866 --> 00:00:34,116
sign-out rounds with Dr. Abbot?

15
00:00:34,117 --> 00:00:35,451
- Shen, you too.
- Got it.

16
00:00:35,452 --> 00:00:37,537
OK, let me know if you need anything.

17
00:00:37,538 --> 00:00:40,122
- Lungs are up bilaterally.
- Pelvis is stable.

18
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Right tib-fib hematoma,
deformed right forearm.

19
00:00:44,002 --> 00:00:46,003
Ruptured TM on the left
with sero-sanguinous fluid.

20
00:00:46,004 --> 00:00:47,797
That means basilar skull fracture.

21
00:00:47,798 --> 00:00:49,590
We've got a diabetic patient,
20-foot fall.

22
00:00:49,591 --> 00:00:51,926
BP 204 over 98, pulse 56.

23
00:00:51,927 --> 00:00:53,594
Dr. Mohan, what do those
numbers indicate?

24
00:00:53,595 --> 00:00:55,429
I'm trying to treat the patient.

25
00:00:55,430 --> 00:00:56,722
It's the Cushing's reflex.

26
00:00:56,723 --> 00:00:58,808
From increased intracranial pressure.

27
00:00:58,809 --> 00:01:01,143
Yeah, we need to get him
to CT right away.

28
00:01:01,144 --> 00:01:02,812
No free fluid in the belly.

29
00:01:02,813 --> 00:01:06,148
- Any family to notify?
- Wife and three kids.

30
00:01:06,149 --> 00:01:08,276
Is there a card to sign for Robby?

31
00:01:08,277 --> 00:01:10,278
No, he said no card, no presents.

32
00:01:10,279 --> 00:01:11,696
Oh. Was there a cake?

33
00:01:11,697 --> 00:01:13,281
Oh, he didn't want that either.

34
00:01:13,282 --> 00:01:15,241
That sucks. I need some cake.

35
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Patient was injured
when they raided a restaurant.

36
00:01:17,452 --> 00:01:19,245
And they actually arrested the nurse?

37
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- With a takedown and zip ties.
- Damn.

38
00:01:21,790 --> 00:01:24,178
Crus, you, uh, know
the computer downtime drill?

39
00:01:24,179 --> 00:01:25,376
Yeah, no biggie.

40
00:01:25,377 --> 00:01:27,200
I prefer to treat 'em
without labs and X-rays.

41
00:01:27,201 --> 00:01:28,274
Welcome back.

42
00:01:28,275 --> 00:01:30,464
If you do have orders
for labs and X-rays,

43
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clipboards go here.

44
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If it's just nursing orders, here.

45
00:01:35,304 --> 00:01:37,096
Please write neatly, for God's sake.

46
00:01:37,097 --> 00:01:39,640
Oh, Monica, this is Nazely, new intern.

47
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- I don't need to know that.
- So nice to meet you.

48
00:01:43,562 --> 00:01:45,313
Looks like you and me, Jack.

49
00:01:45,314 --> 00:01:46,731
Yeah, who's our senior?

50
00:01:46,732 --> 00:01:49,859
- Dr. Henderson.
- Excellent.

51
00:01:49,860 --> 00:01:51,736
Night shift's on Crus control.

52
00:01:51,737 --> 00:01:53,863
You hear ICE brought us a patient?

53
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Oh, yeah? How'd that go?

54
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There was some collateral damage.

55
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They arrested Jesse.

56
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- For what?
- Assaulting a federal officer.

57
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Are you fucking kidding me?

58
00:02:01,830 --> 00:02:03,205
Oh, Dr. Al-Hashimi,

59
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this is Nazely Toomarian... new intern.

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[BOTH SPEAKING ARMENIAN]

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OK, everybody, let's huddle up.

62
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Before we start,

63
00:02:15,510 --> 00:02:17,094
let me address the elephant in the room.

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For those of you who don't know,

65
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Jesse tried to intervene

66
00:02:20,349 --> 00:02:22,183
when a federal agent
was handling his patient,

67
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and both he and the patient
were taken away by ICE.

68
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- Did he punch the guy?
- No.

69
00:02:26,188 --> 00:02:28,648
He put out a hand to stop him,
made physical contact.

70
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[SOFTLY] It was a little bit
more than that.

71
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The hospital lawyers are on the case,

72
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and we will brief the staff
every 12 hours

73
00:02:34,154 --> 00:02:35,863
at sign-out rounds
with an official update.

74
00:02:35,864 --> 00:02:38,366
In the meantime,
don't feed the rumor mill.

75
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You may have also heard
that new grad nurse Emma here

76
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- was assaulted by a patient.
- I... I'm fine.

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Please don't forget "code hula hoop,"

78
00:02:44,873 --> 00:02:46,207
and with risky patients,

79
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always keep a path to the door clear.

80
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Sounds like one hell of a day.

81
00:02:50,212 --> 00:02:52,046
And we're still dealing with downtime,

82
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so day shift should brief
night residents

83
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about the protocol... [CLICKING]

84
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- [CROWD MURMURING]
- Hey!

85
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Oh, all right!

86
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- [APPLAUSE]
- Oh, thank God.

87
00:03:00,389 --> 00:03:01,722
Yeah, not so fast.

88
00:03:01,723 --> 00:03:03,599
Every chart from the last five hours

89
00:03:03,600 --> 00:03:05,935
needs to be scanned into
the Electronic Health Record

90
00:03:05,936 --> 00:03:08,020
and checked for accuracy...

91
00:03:08,021 --> 00:03:10,189
- Um, whose job is that?
- Day shift.

92
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With a completed and signed T-sheet.

93
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- Are you kidding me?
- That's gonna take forever.

94
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We will set up stations for scanning.

95
00:03:15,570 --> 00:03:17,405
OK, everybody, let's get moving.

96
00:03:17,406 --> 00:03:19,573
Triage is 20 behind.
Gotta help 'em clean up.

97
00:03:19,574 --> 00:03:20,783
I'm skipping rounds.

98
00:03:20,784 --> 00:03:22,618
Consider yourself lucky.

99
00:03:22,619 --> 00:03:25,246
- Should we join them?
- [SIGHS]

100
00:03:25,247 --> 00:03:26,914
Might as well witness the magic.

101
00:03:26,915 --> 00:03:29,166
It's like changing of the guard
at Buckingham Palace.

102
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Except we're allowed to smile.

103
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"Smile though your heart is aching."

104
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[MACHINE BEEPING]

105
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Plain films, right tib-fib

106
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and right forearm after CT.

107
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Got the chem-8. Blood sugar's 284.

108
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That's not too bad.
Potassium looks good.

109
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Mm-hmm. Anion gap's up at 14.

110
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It was 24 this morning.

111
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He's definitely improving.

112
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The DKA is resolving.

113
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So what made him pass out?

114
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It's hot as hell out there.

115
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He could have been dehydrated
from sweating.

116
00:03:54,276 --> 00:03:57,778
Or he could have had
an N-STEMI or a posterior CVA.

117
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Ready to roll.

118
00:04:00,949 --> 00:04:03,659
- I can babysit him at CT.
- Thank you.

119
00:04:03,660 --> 00:04:05,954
I'll stay in case he needs the OR.

120
00:04:07,748 --> 00:04:09,665
Hey, we're back up.

121
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It's about time.

122
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- Ooh, Robby.
- Yeah.

123
00:04:13,128 --> 00:04:15,337
I got intel on where
ICE has taken Jesse.

124
00:04:15,338 --> 00:04:16,630
Intel from who?

125
00:04:16,631 --> 00:04:18,466
Uh, my brother-in-law's a cop.

126
00:04:18,467 --> 00:04:20,801
So he'll be processed at DHS Southside

127
00:04:20,802 --> 00:04:23,304
and then transferred
to ICE detention in Clearfield.

128
00:04:23,305 --> 00:04:24,638
Clearfield? That's two hours away.

129
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Mm-hmm.

130
00:04:26,141 --> 00:04:28,225
OK, I'll let
the hospital attorneys know.

131
00:04:28,226 --> 00:04:30,144
- How are you doing, Oliver?
- Alive and kicking.

132
00:04:30,145 --> 00:04:31,520
Uh, Mr. Haas.

133
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Pulmonary edema after missed dialysis,

134
00:04:33,815 --> 00:04:36,442
now stable with his son Mason
at the bedside.

135
00:04:36,443 --> 00:04:38,027
- Hello.
- I'm Dr. Shen.

136
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I'll be back.

137
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Dialysis tech says

138
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I'm off the machine at 10:42.

139
00:04:42,115 --> 00:04:44,200
Hit the call light,
and I'll come running.

140
00:04:44,201 --> 00:04:46,328
South 21 next...

141
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Mr. Digby.

142
00:04:50,081 --> 00:04:51,665
J-just Digby.

143
00:04:51,666 --> 00:04:53,334
Dr. Mohan's patient.

144
00:04:53,335 --> 00:04:55,544
Forearm cellulitis, admit med-surge.

145
00:04:55,545 --> 00:04:57,171
- Awaiting a bed.
- I can take him.

146
00:04:57,172 --> 00:04:59,006
Sold to Dr. Toomarian.

147
00:04:59,007 --> 00:05:01,383
Moving right along.

148
00:05:01,384 --> 00:05:03,177
Get enough to eat?

149
00:05:03,178 --> 00:05:05,513
We'll be back.

150
00:05:05,514 --> 00:05:08,974
Lillian Stegman.
Tweaked her knee water-skiing.

151
00:05:08,975 --> 00:05:11,018
Doing a 360 off a 5-foot ramp.

152
00:05:11,019 --> 00:05:12,478
Ooh, respect.

153
00:05:12,479 --> 00:05:13,813
X-rays ordered in triage.

154
00:05:13,814 --> 00:05:15,064
That was hours ago.

155
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Ma'am, I'm Dr. Crus Henderson.

156
00:05:17,317 --> 00:05:19,527
Let's get you home real fast.

157
00:05:19,528 --> 00:05:21,278
- That would be wonderful.
- OK, heading to North.

158
00:05:21,279 --> 00:05:23,030
Thank you.

159
00:05:23,031 --> 00:05:25,533
Looks like our first scanning
station is almost ready.

160
00:05:25,534 --> 00:05:28,285
Whitaker, Santos, after rounds,
this will be your post.

161
00:05:28,286 --> 00:05:30,955
- Seriously?
- For... how long?

162
00:05:30,956 --> 00:05:33,082
Till we mop up this mess.

163
00:05:33,083 --> 00:05:34,750
And away we go.

164
00:05:34,751 --> 00:05:36,919
All right, now you know everything

165
00:05:36,920 --> 00:05:38,170
there is to know about rounds.

166
00:05:38,171 --> 00:05:39,338
Fascinating, right?

167
00:05:39,339 --> 00:05:41,507
Uh... yeah.

168
00:05:41,508 --> 00:05:43,718
Here, I got something better for you.

169
00:05:45,512 --> 00:05:48,389
So, Digby, we're gonna find you
some new clothes,

170
00:05:48,390 --> 00:05:50,182
but my friend Emma and I
wondered if you'd like

171
00:05:50,183 --> 00:05:52,768
to get cleaned up a bit first.

172
00:05:52,769 --> 00:05:54,562
I already had a shower.

173
00:05:54,563 --> 00:05:56,146
I know, and you look good.

174
00:05:56,147 --> 00:05:58,232
But the offer also comes
with a shave and a haircut,

175
00:05:58,233 --> 00:05:59,483
if you're interested.

176
00:05:59,484 --> 00:06:00,734
No pressure... like I said,

177
00:06:00,735 --> 00:06:01,903
you already look great.

178
00:06:03,280 --> 00:06:06,282
- Sure, I guess.
- Fantastic.

179
00:06:06,283 --> 00:06:08,284
All right, kid, fill that basin
with some warm water

180
00:06:08,285 --> 00:06:09,953
and lather him up.

181
00:06:12,873 --> 00:06:15,374
- Hey, stay safe out there.
- Back at you in here.

182
00:06:15,375 --> 00:06:17,376
Hey, Cary.

183
00:06:17,377 --> 00:06:19,461
You were on scene with Orlando, right?

184
00:06:19,462 --> 00:06:21,922
Did you notice anything about his fall?

185
00:06:21,923 --> 00:06:23,424
Like what?

186
00:06:23,425 --> 00:06:26,594
Like, um, if there was
a break in the railing

187
00:06:26,595 --> 00:06:29,597
or if there were security cameras?

188
00:06:29,598 --> 00:06:31,140
Too busy working on the guy...

189
00:06:31,141 --> 00:06:33,601
IV, intubation, backboard, splint.

190
00:06:33,602 --> 00:06:34,768
Thanks.

191
00:06:34,769 --> 00:06:36,437
Oh, two names is a start.

192
00:06:36,438 --> 00:06:38,147
Pretty soon, we'll retire
the clipboards.

193
00:06:38,148 --> 00:06:39,481
Baby Jane Doe in Pedes?

194
00:06:39,482 --> 00:06:41,400
Uh, yeah, abandoned

195
00:06:41,401 --> 00:06:44,111
in the waiting room bathroom
at 7:30 a.m.

196
00:06:44,112 --> 00:06:46,614
- Safe haven drop-off?
- No, she's too old for that.

197
00:06:46,615 --> 00:06:48,449
- At least two months.
- I'll take her.

198
00:06:48,450 --> 00:06:50,618
Awaiting foster placement by CYF.

199
00:06:50,619 --> 00:06:52,953
- What if the mom comes back?
- Call the cops.

200
00:06:52,954 --> 00:06:54,371
Day shift, get to work scanning.

201
00:06:54,372 --> 00:06:55,956
Night shift, the room numbers

202
00:06:55,957 --> 00:06:58,125
on top of the dry-erase board
need a doctor.

203
00:06:58,126 --> 00:07:01,003
- Who's in BH-1?
- Psych hold, danger to self.

204
00:07:01,004 --> 00:07:02,463
What's the story?

205
00:07:02,464 --> 00:07:04,340
Doctors King and Langdon
were on the case.

206
00:07:04,341 --> 00:07:06,592
It's a sad story...
she says her 5-year-old

207
00:07:06,593 --> 00:07:08,469
snuck into the back seat
of the car to take a nap.

208
00:07:08,470 --> 00:07:10,137
Heat stroke.

209
00:07:10,138 --> 00:07:12,514
Mom was extremely distraught.
Walked out into traffic.

210
00:07:12,515 --> 00:07:14,099
Grady Barnhill, wheezing

211
00:07:14,100 --> 00:07:15,684
and not responding to albuterol.

212
00:07:15,685 --> 00:07:17,603
Pulse ox 87. His mother, Naomi.

213
00:07:17,604 --> 00:07:19,772
- OK, Trauma Two's open.
- On our way.

214
00:07:19,773 --> 00:07:22,316
- Uh, Mom, history of asthma?
- His whole life.

215
00:07:22,317 --> 00:07:24,401
- Never this bad.
- Barely moving air.

216
00:07:24,402 --> 00:07:27,029
Using all his accessory muscles.

217
00:07:27,030 --> 00:07:28,489
Call RT!

218
00:07:28,490 --> 00:07:31,241
Uh, continuous nebs,
20 milligrams an hour.

219
00:07:31,242 --> 00:07:32,743
We have a home nebulizer.

220
00:07:32,744 --> 00:07:35,663
I've been giving him
albuterol every hour.

221
00:07:35,664 --> 00:07:36,747
Ready?

222
00:07:36,748 --> 00:07:39,667
On my count, one, two, three.

223
00:07:39,668 --> 00:07:41,168
Does he take any other medications?

224
00:07:41,169 --> 00:07:42,670
Just the albuterol.

225
00:07:42,671 --> 00:07:44,171
He used to be on montelukast
and Symbicort.

226
00:07:44,172 --> 00:07:45,798
Why did you stop that?

227
00:07:45,799 --> 00:07:47,841
Because he lost his Medicaid
two months ago.

228
00:07:47,842 --> 00:07:49,677
He's so tight,
nothing's getting through.

229
00:07:49,678 --> 00:07:51,220
- Mel, EpiPen.
- On it.

230
00:07:51,221 --> 00:07:52,721
0.3 milligrams.

231
00:07:52,722 --> 00:07:55,849
That may open his lungs
so the nebs can work.

232
00:07:55,850 --> 00:07:57,893
All right, Grady, shot in the thigh.

233
00:07:57,894 --> 00:08:00,104
[GRUNTS]

234
00:08:00,105 --> 00:08:02,898
[BEEPING]

235
00:08:02,899 --> 00:08:04,733
Hey.

236
00:08:04,734 --> 00:08:06,193
Something to scan?

237
00:08:06,194 --> 00:08:07,736
Critical labs on North Three.

238
00:08:07,737 --> 00:08:09,363
Oh, it's, uh... it's not my patient.

239
00:08:09,364 --> 00:08:10,699
She's about to be.

240
00:08:12,534 --> 00:08:14,868
I'm, uh... I'm off the clock, so...

241
00:08:14,869 --> 00:08:17,496
These were ordered
three hours ago from triage,

242
00:08:17,497 --> 00:08:19,999
so, technically,
she is a day-shift patient.

243
00:08:20,000 --> 00:08:21,250
Just get the intern started.

244
00:08:21,251 --> 00:08:22,835
I got a meeting upstairs with admin

245
00:08:22,836 --> 00:08:24,837
to get things back on track.

246
00:08:24,838 --> 00:08:26,547
Sorry. Everyone else is tied up.

247
00:08:26,548 --> 00:08:27,923
That's OK.

248
00:08:27,924 --> 00:08:29,133
How'd you get stuck on night shift

249
00:08:29,134 --> 00:08:30,300
for your first rotation?

250
00:08:30,301 --> 00:08:31,760
Just lucky, I guess.

251
00:08:31,761 --> 00:08:33,303
Yeah, if you like a good horror movie.

252
00:08:33,304 --> 00:08:34,638
[CHUCKLES]

253
00:08:34,639 --> 00:08:36,598
- Where was med school?
- Uh, UC Irvine.

254
00:08:36,599 --> 00:08:38,392
- California, right?
- Yep.

255
00:08:38,393 --> 00:08:39,643
Pittsburgh's a little different.

256
00:08:39,644 --> 00:08:40,894
Yeah, a lot more humidity.

257
00:08:40,895 --> 00:08:41,937
Yeah, that'll go away

258
00:08:41,938 --> 00:08:43,897
with your first foot of snow.

259
00:08:43,898 --> 00:08:46,650
Uh, hi, Mrs. Davis.

260
00:08:46,651 --> 00:08:48,736
I am Dr. McKay. This is Doctor...

261
00:08:48,737 --> 00:08:50,946
- Toomarian.
- Hello.

262
00:08:50,947 --> 00:08:54,074
Uh, your labs show a lot
of inflammation in your liver.

263
00:08:54,075 --> 00:08:57,453
- Is that why I'm so nauseated?
- Definitely, yeah.

264
00:08:57,454 --> 00:09:00,581
Have you, um, noticed a change
in your skin coloration?

265
00:09:00,582 --> 00:09:02,583
I've been using this bronzing cream

266
00:09:02,584 --> 00:09:05,252
so I don't look like a ghost
in my bathing suit.

267
00:09:05,253 --> 00:09:07,254
Do you remember the name of the bronzer?

268
00:09:07,255 --> 00:09:08,756
It could have a chemical
that can cause...

269
00:09:08,757 --> 00:09:10,799
Oh, no, no, it's 100% natural.

270
00:09:10,800 --> 00:09:14,094
- It's DHA from sugar beets.
- OK.

271
00:09:14,095 --> 00:09:16,263
Why would my liver be inflamed?

272
00:09:16,264 --> 00:09:18,223
Uh, there's a lot of possibilities.

273
00:09:18,224 --> 00:09:20,059
Are you taking any
prescription medications?

274
00:09:20,060 --> 00:09:21,060
Not a single one.

275
00:09:21,061 --> 00:09:22,603
- Tylenol?
- God, no.

276
00:09:22,604 --> 00:09:24,813
We have to ask everybody
about injection drug use.

277
00:09:24,814 --> 00:09:25,939
Never.

278
00:09:25,940 --> 00:09:27,608
Raw clams or oysters?

279
00:09:27,609 --> 00:09:29,443
I'm a vegan.

280
00:09:29,444 --> 00:09:31,653
One step at a time, OK?

281
00:09:31,654 --> 00:09:32,822
We'll be back.

282
00:09:34,157 --> 00:09:36,030
Digby, Haas, now on the big board.

283
00:09:36,031 --> 00:09:37,076
Progress.

284
00:09:37,077 --> 00:09:39,787
So he's just been waiting
in the hall the whole time?

285
00:09:39,788 --> 00:09:42,665
OK, well, can you maybe get to him next?

286
00:09:43,917 --> 00:09:46,126
Thank you. [SIGHS]

287
00:09:46,127 --> 00:09:47,753
Duke goes to CT, and they bump him.

288
00:09:47,754 --> 00:09:50,255
Yeah, he may end up
waiting for hours over there.

289
00:09:50,256 --> 00:09:52,800
Oh, look at that. 7:15 already.

290
00:09:52,801 --> 00:09:54,718
Just a few more loose ends to tie up.

291
00:09:54,719 --> 00:09:57,971
You got more loose ends
than a macramé wall hanging.

292
00:09:57,972 --> 00:10:00,265
My mom had one.
Took up the whole goddamn wall.

293
00:10:00,266 --> 00:10:01,975
Seriously, you should
think about signing out

294
00:10:01,976 --> 00:10:03,769
- and hitting the road.
- Yeah, maybe you should too.

295
00:10:03,770 --> 00:10:05,479
Oh, that's right, you sent Lena home.

296
00:10:05,480 --> 00:10:07,356
Are you planning on
calling in a replacement,

297
00:10:07,357 --> 00:10:09,149
or are you just gonna work till sunrise?

298
00:10:09,150 --> 00:10:10,609
If I have to.

299
00:10:10,610 --> 00:10:12,653
Oh, so you get to go the extra mile,

300
00:10:12,654 --> 00:10:15,155
and the rest of us just get
accused of being martyrs.

301
00:10:15,156 --> 00:10:16,533
- Robby.
- Excuse me.

302
00:10:18,493 --> 00:10:20,494
- What's the word?
- No subdural, no epidural.

303
00:10:20,495 --> 00:10:22,496
Diffuse brain swelling with effacement

304
00:10:22,497 --> 00:10:24,164
and compression of the ventricles.

305
00:10:24,165 --> 00:10:26,375
C-spine? Chest-abdomen-pelvis?

306
00:10:26,376 --> 00:10:28,669
Uh, left pulmonary contusion,
no intra-abdominal hemorrhage.

307
00:10:28,670 --> 00:10:29,837
Which means I'm off the hook.

308
00:10:29,838 --> 00:10:31,338
I'll send Neurosurgery down.

309
00:10:31,339 --> 00:10:33,841
If he doesn't need the OR,
why Neurosurgery?

310
00:10:33,842 --> 00:10:35,259
- Wait and see.
- Let's get busy.

311
00:10:35,260 --> 00:10:36,510
CVP and an art line.

312
00:10:36,511 --> 00:10:39,680
Orlando. Orlando, squeeze my hand.

313
00:10:39,681 --> 00:10:42,057
[BEEPING] Open your eyes.

314
00:10:42,058 --> 00:10:44,601
We already know his GCS
is going to be three.

315
00:10:44,602 --> 00:10:46,603
Hey, Javadi, anti-seizure prophylaxis?

316
00:10:46,604 --> 00:10:48,605
- Keppra, 20 migs per kilo.
- Mixing it now.

317
00:10:48,606 --> 00:10:50,274
Gotta get this brain swelling
down, Samira.

318
00:10:50,275 --> 00:10:51,401
How we gonna do that?

319
00:10:52,694 --> 00:10:54,236
- Samira?
- What?

320
00:10:54,237 --> 00:10:57,447
We have to lower
the intracranial pressure.

321
00:10:57,448 --> 00:10:59,199
- Mannitol.
- Not the best.

322
00:10:59,200 --> 00:11:00,534
Can cause diuresis and hypotension.

323
00:11:00,535 --> 00:11:01,869
Then hypertonic saline.

324
00:11:01,870 --> 00:11:04,371
23%. 50 cc's through a central line.

325
00:11:04,372 --> 00:11:06,206
[BEEPING]

326
00:11:06,207 --> 00:11:07,833
Still tight as a drum.

327
00:11:07,834 --> 00:11:08,917
Five minutes since the epi.

328
00:11:08,918 --> 00:11:10,335
He can have one more EpiPen.

329
00:11:10,336 --> 00:11:12,045
Sats are borderline, 87.

330
00:11:12,046 --> 00:11:13,505
How about BiPap? 10 over 5.

331
00:11:13,506 --> 00:11:15,674
Yes, with in-line nebs.

332
00:11:15,675 --> 00:11:17,509
All right, Grady, shot number two.

333
00:11:17,510 --> 00:11:19,720
Might as well throw in
some magnesium, 50 per kilo.

334
00:11:19,721 --> 00:11:21,054
I'm sorry. He's not ventilating.

335
00:11:21,055 --> 00:11:22,389
We should be ready to intubate.

336
00:11:22,390 --> 00:11:23,765
With an asthma patient?

337
00:11:23,766 --> 00:11:25,684
There's a high risk of cardiac arrest.

338
00:11:25,685 --> 00:11:27,936
Naomi, has he ever been put
on a breathing machine before?

339
00:11:27,937 --> 00:11:29,605
- Never.
- Hospitalized?

340
00:11:29,606 --> 00:11:31,565
No, we could always break him
with the Symbicort.

341
00:11:31,566 --> 00:11:33,025
We're gonna give the current treatment

342
00:11:33,026 --> 00:11:35,068
a few more minutes to help him
turn the corner.

343
00:11:35,069 --> 00:11:38,238
[MACHINES BEEPING]

344
00:11:38,239 --> 00:11:40,115
I could probably do this myself

345
00:11:40,116 --> 00:11:41,575
now that my cast is off.

346
00:11:41,576 --> 00:11:43,452
Oh, that's OK.

347
00:11:43,453 --> 00:11:45,121
I don't mind.

348
00:11:49,000 --> 00:11:50,919
How long have you been a nurse?

349
00:11:52,295 --> 00:11:54,005
This is my first day.

350
00:11:56,674 --> 00:11:58,718
You're doing really good.

351
00:12:00,637 --> 00:12:02,222
Thank you.

352
00:12:06,226 --> 00:12:07,976
- Oh, shit, you OK?
- Yeah.

353
00:12:07,977 --> 00:12:09,478
There's water on the floor.

354
00:12:09,479 --> 00:12:10,979
Sorry! I... I might have spilled.

355
00:12:10,980 --> 00:12:12,439
Yeah, no worries.

356
00:12:12,440 --> 00:12:14,441
We're gonna have to sort
these all by patient

357
00:12:14,442 --> 00:12:16,235
before we scan them.

358
00:12:16,236 --> 00:12:18,946
Is, uh, Joy still around?

359
00:12:18,947 --> 00:12:21,615
I heard she left at 6:59.

360
00:12:21,616 --> 00:12:23,617
- Smart girl.
- Mm-hmm.

361
00:12:23,618 --> 00:12:25,786
You know what? Find Ogilvie.
He's such an ass-kisser.

362
00:12:25,787 --> 00:12:27,412
He might stay and scan
all the charts himself.

363
00:12:27,413 --> 00:12:29,623
Oh, he, uh, scrubbed in in the OR,

364
00:12:29,624 --> 00:12:31,500
scrubbed in on the ruptured triple-A.

365
00:12:31,501 --> 00:12:33,252
Oh, the kidney stone that wasn't.

366
00:12:33,253 --> 00:12:35,046
That'll be four hours at least.

367
00:12:36,965 --> 00:12:40,384
So are you still going
to Amy's after work?

368
00:12:40,385 --> 00:12:42,302
Yeah, maybe just for tonight,

369
00:12:42,303 --> 00:12:44,681
after Robby briefs me
on all the house stuff.

370
00:12:45,723 --> 00:12:47,224
Sounds fun.

371
00:12:47,225 --> 00:12:48,558
[SCOFFS]

372
00:12:48,559 --> 00:12:50,560
When he asked, it was hard to say no.

373
00:12:50,561 --> 00:12:52,146
Sure. [SIGHS]

374
00:12:54,148 --> 00:12:56,400
It's gonna be very weird
without him here.

375
00:12:56,401 --> 00:12:57,818
Yeah.

376
00:12:57,819 --> 00:13:00,362
You think Dr. Al-Hashimi can handle it?

377
00:13:00,363 --> 00:13:01,905
In a word, no.

378
00:13:01,906 --> 00:13:03,323
She's smart.

379
00:13:03,324 --> 00:13:04,658
It takes more than that.

380
00:13:04,659 --> 00:13:06,243
Yeah, well, at least

381
00:13:06,244 --> 00:13:07,661
it's only three months.

382
00:13:07,662 --> 00:13:09,788
Yeah, three long months.

383
00:13:09,789 --> 00:13:11,498
Then you need to find a new home.

384
00:13:11,499 --> 00:13:13,792
[CHUCKLES] Not necessarily.

385
00:13:13,793 --> 00:13:15,877
I mean, if I wanted,
I could just check on

386
00:13:15,878 --> 00:13:19,006
Robby's house once
or twice a day, you know.

387
00:13:19,007 --> 00:13:20,717
Why would you do that?

388
00:13:22,010 --> 00:13:24,219
I don't know. Why not?

389
00:13:24,220 --> 00:13:27,222
[BEEPING, WHIRRING]

390
00:13:27,223 --> 00:13:28,682
Hypertonic's in.

391
00:13:28,683 --> 00:13:30,851
Maintenance LR in the AC.

392
00:13:30,852 --> 00:13:32,644
Looks like a halo sign.

393
00:13:32,645 --> 00:13:35,188
Cerebrospinal fluid
from a basilar skull fracture.

394
00:13:35,189 --> 00:13:39,192
The halo sign is neither
sensitive nor specific for CSF.

395
00:13:39,193 --> 00:13:41,528
Saline, tap water, and runny noses

396
00:13:41,529 --> 00:13:42,696
all separate from blood.

397
00:13:42,697 --> 00:13:44,197
- Hello, Linda.
- Robby.

398
00:13:44,198 --> 00:13:46,700
Division chief working
on a holiday weekend.

399
00:13:46,701 --> 00:13:48,785
Well, somebody's got to.

400
00:13:48,786 --> 00:13:51,580
Saw the scans. This guy needs an EVD.

401
00:13:51,581 --> 00:13:53,874
External ventricular drain
to take down the pressure.

402
00:13:53,875 --> 00:13:57,127
Because CPP equals "MAP" minus ICP.

403
00:13:57,128 --> 00:13:59,796
Cerebral perfusion pressure in the brain

404
00:13:59,797 --> 00:14:01,715
equals mean arterial blood pressure

405
00:14:01,716 --> 00:14:03,216
minus the pressure in the skull.

406
00:14:03,217 --> 00:14:04,926
ICP less than 22

407
00:14:04,927 --> 00:14:07,471
predicts survival and favorable outcome.

408
00:14:07,472 --> 00:14:11,892
CPP from 60 to 70 reduces
morbidity and mortality.

409
00:14:11,893 --> 00:14:13,268
Can somebody assist?

410
00:14:13,269 --> 00:14:14,436
Dr. Mohan?

411
00:14:14,437 --> 00:14:15,605
I'm good.

412
00:14:16,689 --> 00:14:18,231
Samira, you should lend a hand.

413
00:14:18,232 --> 00:14:20,025
I said I'm good.

414
00:14:20,026 --> 00:14:22,903
- Javadi?
- I don't think so.

415
00:14:22,904 --> 00:14:24,404
Javadi?

416
00:14:24,405 --> 00:14:27,866
As in, daughter of Raymond and Eileen?

417
00:14:27,867 --> 00:14:29,868
I was at your mother's baby shower.

418
00:14:29,869 --> 00:14:31,244
[CHUCKLES] She was a resident.

419
00:14:31,245 --> 00:14:32,663
You were in utero.

420
00:14:34,123 --> 00:14:35,248
I don't know how she got through

421
00:14:35,249 --> 00:14:37,084
motherhood and training.

422
00:14:37,085 --> 00:14:38,627
Feel free to join me.

423
00:14:38,628 --> 00:14:40,545
Oh, my... my shift was over a while ago.

424
00:14:40,546 --> 00:14:41,963
OK.

425
00:14:41,964 --> 00:14:44,007
Masks all around. Two sterile gowns.

426
00:14:44,008 --> 00:14:46,635
We brought the surgical towels.
Just need some Betadine.

427
00:14:46,636 --> 00:14:48,304
This is kind of an amazing opportunity.

428
00:14:49,430 --> 00:14:50,680
I'm exhausted.

429
00:14:50,681 --> 00:14:52,641
The Chief of Neurosurgery is here.

430
00:14:52,642 --> 00:14:54,101
She's kind of a legend.

431
00:14:54,102 --> 00:14:56,144
Maybe one of the night
residents can do it.

432
00:14:56,145 --> 00:14:58,438
Is this about
the volvulus case from earlier?

433
00:14:58,439 --> 00:14:59,981
'Cause if it is, you made a mistake.

434
00:14:59,982 --> 00:15:01,942
You need to move on.

435
00:15:01,943 --> 00:15:03,610
I do not want to come back here
and find that

436
00:15:03,611 --> 00:15:06,780
you've applied for a residency in derm.

437
00:15:06,781 --> 00:15:09,449
Step up to the plate. Do it.

438
00:15:09,450 --> 00:15:10,659
Javadi will assist.

439
00:15:10,660 --> 00:15:12,327
Excellent.

440
00:15:12,328 --> 00:15:14,121
You know, I think Eileen did
her first EVD with me

441
00:15:14,122 --> 00:15:16,623
back when I was a brand-new
assistant professor.

442
00:15:16,624 --> 00:15:17,958
[SCOFFS]

443
00:15:17,959 --> 00:15:19,460
Time flies.

444
00:15:21,129 --> 00:15:22,337
[RASPY BREATHING]

445
00:15:22,338 --> 00:15:23,463
How you doing, Grady?

446
00:15:23,464 --> 00:15:24,965
Still retracting.

447
00:15:24,966 --> 00:15:26,633
- Any improvement?
- Not really.

448
00:15:26,634 --> 00:15:27,802
You feeling tired?

449
00:15:29,595 --> 00:15:32,139
- Do we have Aerogen in the ED?
- Just in the unit.

450
00:15:32,140 --> 00:15:33,807
How fast can you get back?

451
00:15:33,808 --> 00:15:34,975
Two minutes if I take the stairs.

452
00:15:34,976 --> 00:15:35,976
Go.

453
00:15:35,977 --> 00:15:37,310
Uh, Aerogen?

454
00:15:37,311 --> 00:15:39,271
It has a 5-millimeter mesh

455
00:15:39,272 --> 00:15:42,525
that vibrates
over 120,000 times per second.

456
00:15:47,655 --> 00:15:49,031
Dr. Al-Hashimi?

457
00:15:53,327 --> 00:15:54,745
You OK?

458
00:15:57,165 --> 00:15:59,208
Uh, you were telling us about Aerogen.

459
00:16:00,334 --> 00:16:01,752
Dr. Shen can explain.

460
00:16:03,087 --> 00:16:06,047
It produces droplets
in the 2-to 5-micron range

461
00:16:06,048 --> 00:16:08,009
for medication delivery.

462
00:16:15,308 --> 00:16:17,851
- How's it going?
- Just about to start.

463
00:16:17,852 --> 00:16:19,019
Securing the art line here.

464
00:16:19,020 --> 00:16:21,313
Measure twice, cut once.

465
00:16:21,314 --> 00:16:25,066
We enter 11 centimeters
back from the nasion,

466
00:16:25,067 --> 00:16:26,693
3 centimeters lateral.

467
00:16:26,694 --> 00:16:28,320
Without any direct imaging?

468
00:16:28,321 --> 00:16:31,364
No, straight shot
into the lateral ventricle...

469
00:16:31,365 --> 00:16:34,910
tried and true since 1890.

470
00:16:34,911 --> 00:16:37,246
OK, go ahead with the incision.

471
00:16:38,748 --> 00:16:40,999
Hey, you worked
with Dr. Al-Hashimi at the VA.

472
00:16:41,000 --> 00:16:42,083
I did.

473
00:16:42,084 --> 00:16:43,585
For how long?

474
00:16:43,586 --> 00:16:45,545
During my R2 rotation

475
00:16:45,546 --> 00:16:47,757
and then one again last year.

476
00:16:51,093 --> 00:16:54,262
OK. Hand drill's all set.

477
00:16:54,263 --> 00:16:55,722
Maybe you should do this part.

478
00:16:55,723 --> 00:16:57,057
No, no, there's a safety stop here.

479
00:16:57,058 --> 00:16:58,558
You can't go too deep.

480
00:16:58,559 --> 00:17:00,603
It's not brain surgery.

481
00:17:02,772 --> 00:17:04,023
OK.

482
00:17:07,235 --> 00:17:09,069
- Stay perpendicular.
- OK.

483
00:17:09,070 --> 00:17:10,987
Good.

484
00:17:10,988 --> 00:17:12,739
All right, now, four turns

485
00:17:12,740 --> 00:17:13,949
to get through the outer table...

486
00:17:13,950 --> 00:17:15,242
- Yep.
- Then half turns

487
00:17:15,243 --> 00:17:16,911
till you penetrate the skull.

488
00:17:20,540 --> 00:17:22,833
[EXHALING SLOWLY]

489
00:17:27,713 --> 00:17:31,383
Three, four.

490
00:17:31,384 --> 00:17:32,635
One...

491
00:17:34,595 --> 00:17:36,263
Holy smoke!

492
00:17:36,264 --> 00:17:39,724
I thought it was Tom Cruise
for a second over here.

493
00:17:39,725 --> 00:17:42,769
Nice job. How's that feel, Digby?

494
00:17:42,770 --> 00:17:44,312
- Pretty good.
- I bet.

495
00:17:44,313 --> 00:17:45,605
What do you say we trim up

496
00:17:45,606 --> 00:17:47,441
those gorgeous locks of yours now?

497
00:17:49,026 --> 00:17:51,069
I don't like having my hair cut.

498
00:17:51,070 --> 00:17:54,447
I get it, Rapunzel,
but you need your ears lowered.

499
00:17:54,448 --> 00:17:56,533
You'll feel better
with a fresh summer look

500
00:17:56,534 --> 00:17:58,578
that won't go unnoticed by the ladies.

501
00:18:00,454 --> 00:18:02,831
- Maybe just a trim?
- Great.

502
00:18:02,832 --> 00:18:05,041
I'm thinking a pixie cut.

503
00:18:05,042 --> 00:18:06,835
- What?
- I'm kidding.

504
00:18:06,836 --> 00:18:08,628
I cut my husband Benji's hair
all the time.

505
00:18:08,629 --> 00:18:10,130
Trust me, you're gonna look fabulous.

506
00:18:10,131 --> 00:18:11,799
When's the last time you had a haircut?

507
00:18:13,342 --> 00:18:16,636
Maybe my daughter's wedding
a few years ago.

508
00:18:16,637 --> 00:18:17,971
Where?

509
00:18:17,972 --> 00:18:19,180
St. Sebastian,

510
00:18:19,181 --> 00:18:21,182
Our Lady of Mount Carmel Parish.

511
00:18:21,183 --> 00:18:23,810
Does your daughter know where you are?

512
00:18:23,811 --> 00:18:26,980
Of course. We all live in Pittsburgh.

513
00:18:26,981 --> 00:18:29,233
In fact, they live in my old house.

514
00:18:31,819 --> 00:18:34,154
Your daughter lives in your house?

515
00:18:34,155 --> 00:18:36,031
Yep.

516
00:18:36,032 --> 00:18:38,617
Where do you live?

517
00:18:38,618 --> 00:18:40,828
Wherever I want.

518
00:18:42,538 --> 00:18:44,664
You're gonna pass it 5 to 6 centimeters

519
00:18:44,665 --> 00:18:47,209
from the inner table of the skull, OK?

520
00:18:49,170 --> 00:18:51,338
Centered...

521
00:18:51,339 --> 00:18:53,173
perpendicular...

522
00:18:53,174 --> 00:18:55,009
aiming for the medial canthus.

523
00:18:56,093 --> 00:18:57,761
All yours.

524
00:18:57,762 --> 00:18:59,095
A-and just keep going?

525
00:18:59,096 --> 00:19:00,555
You'll feel a pop when you pass

526
00:19:00,556 --> 00:19:03,183
the ependymal lining.

527
00:19:03,184 --> 00:19:04,934
Art line is calibrated. Good to go.

528
00:19:04,935 --> 00:19:08,855
Titrate the nicardipine
to a MAP of 85, please.

529
00:19:08,856 --> 00:19:10,273
And if we can get
the intracranial pressure

530
00:19:10,274 --> 00:19:12,109
down to 20?

531
00:19:13,527 --> 00:19:14,944
Dr. Mohan?

532
00:19:14,945 --> 00:19:16,404
I'm sorry.

533
00:19:16,405 --> 00:19:18,698
MAP of 85, ICP of 20?

534
00:19:18,699 --> 00:19:21,701
Um, cerebral perfusion pressure 65.

535
00:19:21,702 --> 00:19:24,496
Which gives him
the best shot at survival.

536
00:19:24,497 --> 00:19:25,997
A third of patients like this die.

537
00:19:25,998 --> 00:19:28,541
Half have long-term disability.

538
00:19:28,542 --> 00:19:30,543
We'll know in two weeks
if there's a possibility

539
00:19:30,544 --> 00:19:32,879
for a good prognosis.

540
00:19:32,880 --> 00:19:34,047
Felt a pop.

541
00:19:34,048 --> 00:19:35,716
Remove the stylet.

542
00:19:38,219 --> 00:19:40,971
OK, let it drain a bit.

543
00:19:42,890 --> 00:19:45,142
And now pinch it shut.

544
00:19:46,602 --> 00:19:47,602
Perfect.

545
00:19:47,603 --> 00:19:49,521
BP is down, 190 over 88.

546
00:19:49,522 --> 00:19:50,898
Heart rate's 67.

547
00:19:54,944 --> 00:19:56,903
How are you guys doing?

548
00:19:56,904 --> 00:19:58,822
Yeah, making some progress.

549
00:19:58,823 --> 00:20:00,156
You seen Abbot?

550
00:20:00,157 --> 00:20:01,950
Not since rounds.

551
00:20:01,951 --> 00:20:04,661
He asked me to see a patient
with the night intern.

552
00:20:04,662 --> 00:20:06,287
[YAWNING] And you said yes?

553
00:20:06,288 --> 00:20:09,165
48-year-old woman, new onset jaundice,

554
00:20:09,166 --> 00:20:12,252
elevated liver enzymes,
no history of alcohol use.

555
00:20:12,253 --> 00:20:13,586
Take your pick...

556
00:20:13,587 --> 00:20:16,297
hepatitis A, B, C, D, or E.

557
00:20:16,298 --> 00:20:19,175
- No risk factors, no fever.
- Tylenol?

558
00:20:19,176 --> 00:20:21,094
Never, and no prescription meds.

559
00:20:21,095 --> 00:20:23,305
Does she eat polar bear liver?

560
00:20:24,473 --> 00:20:26,767
It can cause vitamin A toxicity.

561
00:20:27,643 --> 00:20:28,727
- No.
- Yeah.

562
00:20:28,728 --> 00:20:29,978
She, uh, doesn't eat meat,

563
00:20:29,979 --> 00:20:31,604
kind of a health nut.

564
00:20:31,605 --> 00:20:33,064
Well, maybe she's gulping down

565
00:20:33,065 --> 00:20:34,649
cod liver oil to prevent measles.

566
00:20:34,650 --> 00:20:36,901
No. Vegan, no fish.

567
00:20:36,902 --> 00:20:38,945
Would you, uh, mind laying eyes on her?

568
00:20:38,946 --> 00:20:40,572
[SIGHS] Seriously?

569
00:20:40,573 --> 00:20:42,907
You have a way of
figuring out the weird stuff.

570
00:20:42,908 --> 00:20:44,452
Take the compliment.

571
00:20:45,786 --> 00:20:47,162
OK, fine.

572
00:20:47,163 --> 00:20:49,456
Five minutes at the bedside...
that's it.

573
00:20:49,457 --> 00:20:51,458
I'm already gonna be here
for hours as it is.

574
00:20:51,459 --> 00:20:53,668
Thank you.

575
00:20:53,669 --> 00:20:55,254
What am I doing...

576
00:20:58,466 --> 00:21:00,800
- Definitely improving.
- Tidal volume's up.

577
00:21:00,801 --> 00:21:03,303
Wheezes now expiratory only.

578
00:21:03,304 --> 00:21:04,888
Oh, making some progress.

579
00:21:04,889 --> 00:21:07,015
You feeling better, baby?

580
00:21:07,016 --> 00:21:10,310
- You scared the shit out of me.
- Language!

581
00:21:10,311 --> 00:21:12,645
Does he have a primary-care doctor?

582
00:21:12,646 --> 00:21:14,022
Not anymore.

583
00:21:14,023 --> 00:21:16,649
How do you get
his prescriptions renewed?

584
00:21:16,650 --> 00:21:18,818
Neighborhood clinic. We pay cash.

585
00:21:18,819 --> 00:21:20,653
- Albuterol's cheap.
- Symbicort?

586
00:21:20,654 --> 00:21:23,573
Without Medicaid, 400 bucks a month.

587
00:21:23,574 --> 00:21:25,075
Just for a little inhaler?

588
00:21:27,161 --> 00:21:29,662
Trocar is on the tube. [INHALES DEEPLY]

589
00:21:29,663 --> 00:21:33,041
I tunnel underneath the scalp
about 5 centimeters

590
00:21:33,042 --> 00:21:34,542
and poke through.

591
00:21:34,543 --> 00:21:36,337
- To prevent infection?
- Mm-hmm, exactly.

592
00:21:37,797 --> 00:21:40,424
Now you hold the knuckle steady
while I pull it through.

593
00:21:43,719 --> 00:21:45,888
And you can staple the wound shut.

594
00:21:47,348 --> 00:21:49,516
That looks like something
from Home Depot.

595
00:21:49,517 --> 00:21:51,351
Yeah, big Fourth of July sale.

596
00:21:51,352 --> 00:21:52,685
The brain pressure is measured by

597
00:21:52,686 --> 00:21:54,521
the height of the fluid column.

598
00:21:54,522 --> 00:21:57,065
We need to calibrate it to zero
at the level of the tragus.

599
00:21:57,066 --> 00:21:59,108
Stopcock's on, ready to attach.

600
00:21:59,109 --> 00:22:00,527
First troponin's normal,

601
00:22:00,528 --> 00:22:02,946
but you need a second to rule out MI.

602
00:22:02,947 --> 00:22:04,782
Hey, can you step out for a second?

603
00:22:10,913 --> 00:22:12,372
I really did do everything I could

604
00:22:12,373 --> 00:22:13,957
to try to make Orlando stay.

605
00:22:13,958 --> 00:22:14,958
Yeah, I don't doubt it.

606
00:22:14,959 --> 00:22:15,959
I wanted to ask you about

607
00:22:15,960 --> 00:22:18,169
Dr. Al-Hashimi at the VA.

608
00:22:18,170 --> 00:22:20,880
Did you ever notice anything
unusual about her behavior?

609
00:22:20,881 --> 00:22:22,882
Um, like what?

610
00:22:22,883 --> 00:22:25,510
Lapses in focus, attention?

611
00:22:25,511 --> 00:22:28,097
No, she was always on top of her game.

612
00:22:31,058 --> 00:22:34,727
But this morning when she was
checking labs on Baby Jane Doe,

613
00:22:34,728 --> 00:22:37,106
it was like she zoned out
for a few seconds.

614
00:22:38,566 --> 00:22:40,401
Maybe she was just tired.

615
00:22:42,361 --> 00:22:45,029
[INHALES DEEPLY]

616
00:22:45,030 --> 00:22:46,490
[SIGHS]

617
00:22:47,408 --> 00:22:49,742
No congestion, nodules,

618
00:22:49,743 --> 00:22:51,202
or cirrhosis.

619
00:22:51,203 --> 00:22:52,871
Good-looking liver.

620
00:22:52,872 --> 00:22:54,747
I should not be sick.

621
00:22:54,748 --> 00:22:57,375
I work so hard to stay healthy...

622
00:22:57,376 --> 00:23:00,253
diet, exercise, eight hours of sleep.

623
00:23:00,254 --> 00:23:04,090
I can't remember the last
time I got eight hours.

624
00:23:04,091 --> 00:23:06,092
Maybe you should try sleepmaxxing.

625
00:23:06,093 --> 00:23:08,011
Oh, you definitely should.

626
00:23:08,012 --> 00:23:10,930
Yeah, cold room,
white noise, eye shades.

627
00:23:10,931 --> 00:23:14,767
Kiwis before bedtime,
lettuce water, mouth taping.

628
00:23:14,768 --> 00:23:16,436
Who do you follow for health?

629
00:23:16,437 --> 00:23:18,771
A few naturopaths
and some functional healers.

630
00:23:18,772 --> 00:23:20,773
Do you... do you buy vitamins from them?

631
00:23:20,774 --> 00:23:22,567
Oh, no, no, I don't take vitamins.

632
00:23:22,568 --> 00:23:25,361
Food is the best medicine...
kale, blueberries,

633
00:23:25,362 --> 00:23:27,947
- kidney beans, turmeric.
- Turmeric?

634
00:23:27,948 --> 00:23:29,657
Uh, how long have you been taking that?

635
00:23:29,658 --> 00:23:32,243
For a few months.
It's an anti-inflammatory.

636
00:23:32,244 --> 00:23:34,787
It detoxes the body,
and it can prevent Alzheimer's.

637
00:23:34,788 --> 00:23:36,247
How much do you take?

638
00:23:36,248 --> 00:23:38,249
500 milligram capsules,

639
00:23:38,250 --> 00:23:39,501
but I take five a day.

640
00:23:41,170 --> 00:23:42,795
What?

641
00:23:42,796 --> 00:23:44,631
With doses that large of turmeric,

642
00:23:44,632 --> 00:23:47,258
there have been cases of liver failure.

643
00:23:47,259 --> 00:23:48,968
From eating a spice?

644
00:23:48,969 --> 00:23:51,638
All right, Digby,
I think you're good to go.

645
00:23:51,639 --> 00:23:53,724
Mm-hmm. Would you like to see?

646
00:24:04,068 --> 00:24:05,319
[SNIFFLES]

647
00:24:06,320 --> 00:24:08,821
I haven't looked like this
in a long time.

648
00:24:08,822 --> 00:24:11,241
Your family won't recognize you.

649
00:24:13,160 --> 00:24:15,328
Then how will they find me?

650
00:24:15,329 --> 00:24:17,330
They... they won't know
what I look like.

651
00:24:17,331 --> 00:24:18,373
They won't know this is me.

652
00:24:18,374 --> 00:24:19,499
Of course they will.

653
00:24:19,500 --> 00:24:20,750
They know your voice.

654
00:24:20,751 --> 00:24:22,585
They know where you hang out.

655
00:24:22,586 --> 00:24:26,422
They even remember that
you used to look like this.

656
00:24:26,423 --> 00:24:28,467
They remember the wedding.

657
00:24:31,387 --> 00:24:33,680
Did you dance with your daughter

658
00:24:33,681 --> 00:24:35,099
at her wedding?

659
00:24:36,517 --> 00:24:38,685
I did.

660
00:24:38,686 --> 00:24:41,772
Then she will always remember you.

661
00:24:44,483 --> 00:24:46,026
- Yeah.
- OK.

662
00:24:47,528 --> 00:24:49,153
Hey, I was just looking for you.

663
00:24:49,154 --> 00:24:50,488
- What's up?
- You tell me.

664
00:24:50,489 --> 00:24:52,824
- The, uh, asthma patient.
- What about him?

665
00:24:52,825 --> 00:24:54,200
Seemed like you were hesitating

666
00:24:54,201 --> 00:24:55,868
talking about using Aerogen.

667
00:24:55,869 --> 00:24:57,537
I was wondering if you were
having second thoughts.

668
00:24:57,538 --> 00:24:59,330
No. Just thinking.

669
00:24:59,331 --> 00:25:00,581
About?

670
00:25:00,582 --> 00:25:02,583
The best treatment plan for the patient.

671
00:25:02,584 --> 00:25:04,711
And I think he's on it.

672
00:25:04,712 --> 00:25:06,212
- Anything else?
- I don't know.

673
00:25:06,213 --> 00:25:08,756
You tell me.
Anything else I need to know?

674
00:25:08,757 --> 00:25:10,092
I don't think so.

675
00:25:11,719 --> 00:25:13,219
This is Dr. Robby in the ED.

676
00:25:13,220 --> 00:25:14,929
I'm checking on a patient, Ekins.

677
00:25:14,930 --> 00:25:17,473
We can take Larson
and Stevens off the dry-erase.

678
00:25:17,474 --> 00:25:18,558
Consider it done.

679
00:25:18,559 --> 00:25:19,726
He's in the scanner now?

680
00:25:19,727 --> 00:25:21,185
Oh, great.

681
00:25:21,186 --> 00:25:22,270
No, I was just calling to confirm.

682
00:25:22,271 --> 00:25:23,563
Thank you.

683
00:25:23,564 --> 00:25:25,398
Any new information from upstairs?

684
00:25:25,399 --> 00:25:26,816
Nothing we don't already know.

685
00:25:26,817 --> 00:25:28,484
Same old story, huh?

686
00:25:28,485 --> 00:25:29,902
You think we should take up a collection

687
00:25:29,903 --> 00:25:31,738
for Jesse for... for bail money?

688
00:25:31,739 --> 00:25:33,281
They don't usually set bail

689
00:25:33,282 --> 00:25:35,074
until after you've appeared
in front of a judge.

690
00:25:35,075 --> 00:25:36,951
With the holiday, it's not
likely to happen till Monday.

691
00:25:36,952 --> 00:25:39,120
So he's gonna be locked up all weekend?

692
00:25:39,121 --> 00:25:40,872
That sucks.

693
00:25:40,873 --> 00:25:42,874
It does suck.

694
00:25:42,875 --> 00:25:45,877
Dr. Langdon, Grady's worse...
much worse.

695
00:25:45,878 --> 00:25:48,713
- Need an attending?
- Uh, no, we have Shen.

696
00:25:48,714 --> 00:25:50,089
Sat's down to 83.

697
00:25:50,090 --> 00:25:52,216
- What's happening?
- Give us a minute.

698
00:25:52,217 --> 00:25:53,718
He's tiring out.

699
00:25:53,719 --> 00:25:55,762
Ketamine and rock.
It's time to intubate.

700
00:25:55,763 --> 00:25:56,929
I'll call Volk.

701
00:25:56,930 --> 00:25:58,723
Ma'am, we have to put a tube

702
00:25:58,724 --> 00:25:59,932
down your son's windpipe

703
00:25:59,933 --> 00:26:01,434
so a machine can breathe for him.

704
00:26:01,435 --> 00:26:02,769
[CRYING] Oh, my God.

705
00:26:02,770 --> 00:26:04,270
Hold on, hold on.

706
00:26:04,271 --> 00:26:05,480
No lung sliding on the right.

707
00:26:05,481 --> 00:26:06,981
Pneumothorax.

708
00:26:06,982 --> 00:26:09,025
No need to intubate.

709
00:26:09,026 --> 00:26:10,318
What's going on?

710
00:26:10,319 --> 00:26:12,278
He has a collapsed lung.

711
00:26:12,279 --> 00:26:14,197
There was no history of trauma

712
00:26:14,198 --> 00:26:15,698
that would have caused pneumothorax.

713
00:26:15,699 --> 00:26:17,784
Glove up, Dr. King.

714
00:26:17,785 --> 00:26:20,119
In asthma, you can get "air trapping."

715
00:26:20,120 --> 00:26:21,829
When the lungs can't fully exhale,

716
00:26:21,830 --> 00:26:23,206
eventually they overinflate,

717
00:26:23,207 --> 00:26:25,124
causing some of the tiny
air sacs to burst.

718
00:26:25,125 --> 00:26:26,334
How do you fix it?

719
00:26:26,335 --> 00:26:29,379
[RAPID BEEPING]

720
00:26:30,547 --> 00:26:32,215
- [AIR WHOOSHING]
- [GASPING]

721
00:26:32,216 --> 00:26:33,258
Like that.

722
00:26:38,847 --> 00:26:41,474
It's a good thing Dr. Conley was here.

723
00:26:41,475 --> 00:26:42,809
- Yeah.
- We should probably try

724
00:26:42,810 --> 00:26:44,310
to find him a Neuro-Critical ICU bed.

725
00:26:44,311 --> 00:26:45,937
We don't want to board
a patient like this.

726
00:26:45,938 --> 00:26:47,605
- Mm-hmm.
- Hey, Robby.

727
00:26:47,606 --> 00:26:50,149
- Hey, how did the scan go?
- Fine.

728
00:26:50,150 --> 00:26:51,651
It is probably gonna take a little while

729
00:26:51,652 --> 00:26:53,111
to get the results from the radiologist.

730
00:26:53,112 --> 00:26:54,529
Well, that's not a problem.

731
00:26:54,530 --> 00:26:56,781
Nurse Vivi and I need a little time

732
00:26:56,782 --> 00:26:59,325
to coordinate our schedules
over the next few months.

733
00:26:59,326 --> 00:27:00,326
- Really?
- Yeah.

734
00:27:00,327 --> 00:27:01,327
I've always wanted to learn

735
00:27:01,328 --> 00:27:02,370
how to ride a motorcycle,

736
00:27:02,371 --> 00:27:03,871
and Duke offered to teach me.

737
00:27:03,872 --> 00:27:06,165
Well, nobody knows
motorcycles like Duke.

738
00:27:06,166 --> 00:27:08,626
He's giving me the health
care worker discount.

739
00:27:08,627 --> 00:27:09,919
He's quite the gentleman.

740
00:27:09,920 --> 00:27:11,712
Let's get him back to his room.

741
00:27:11,713 --> 00:27:14,507
How would next Saturday be
for you, Vivi?

742
00:27:14,508 --> 00:27:17,844
Uh, maybe we could have
some dinner after.

743
00:27:17,845 --> 00:27:19,470
Dr. Mohan, Lorrie Diaz is here.

744
00:27:19,471 --> 00:27:21,222
She wants to see her husband.
She's heading back.

745
00:27:21,223 --> 00:27:22,766
OK, I'm on my way.

746
00:27:24,893 --> 00:27:26,894
- Mrs. Diaz?
- Hi.

747
00:27:26,895 --> 00:27:29,772
Did Orlando go up to his room yet?

748
00:27:29,773 --> 00:27:31,274
No. Um...

749
00:27:31,275 --> 00:27:33,401
I brought him some dinner
from Burgatory.

750
00:27:33,402 --> 00:27:34,777
It's a chicken burger...

751
00:27:34,778 --> 00:27:36,404
no bun, just lettuce.

752
00:27:36,405 --> 00:27:39,116
Figured it would be better
than hospital food.

753
00:27:42,369 --> 00:27:46,664
He's being treated by our top
brain-injury specialists.

754
00:27:46,665 --> 00:27:48,166
Will he wake up?

755
00:27:48,167 --> 00:27:50,042
We won't know for several weeks.

756
00:27:50,043 --> 00:27:52,670
And then he could be back to normal?

757
00:27:52,671 --> 00:27:55,756
Best-case scenario,
it would take about a year

758
00:27:55,757 --> 00:27:58,384
before he could be independent at home.

759
00:27:58,385 --> 00:28:00,052
And the worst case?

760
00:28:00,053 --> 00:28:03,557
Round-the-clock nursing care
for severe disability.

761
00:28:07,102 --> 00:28:09,353
You let him leave?

762
00:28:09,354 --> 00:28:13,316
He insisted on leaving
to work at his second job.

763
00:28:13,317 --> 00:28:15,568
You couldn't make him stay?

764
00:28:15,569 --> 00:28:18,571
He was competent. He knew the risks.

765
00:28:18,572 --> 00:28:20,573
We honored his decision to leave.

766
00:28:20,574 --> 00:28:22,325
Even if it was a stupid one?

767
00:28:22,326 --> 00:28:23,826
I tried to stop him.

768
00:28:23,827 --> 00:28:25,453
Offered to get him
all the supplies he'd need

769
00:28:25,454 --> 00:28:26,954
to take care of himself at home.

770
00:28:26,955 --> 00:28:29,498
But he left before
I could give them to him.

771
00:28:29,499 --> 00:28:31,960
He said he couldn't afford
to lose a paycheck.

772
00:28:39,468 --> 00:28:41,761
Dr. Langdon.

773
00:28:41,762 --> 00:28:42,763
[DOOR CLOSES]

774
00:28:43,931 --> 00:28:45,640
Are you OK?

775
00:28:45,641 --> 00:28:48,768
Yeah. I'm just kind of, uh...

776
00:28:48,769 --> 00:28:51,270
wondering if I'm really
ready to be back here.

777
00:28:51,271 --> 00:28:53,564
Well, of course you are.

778
00:28:53,565 --> 00:28:55,650
Ten months is a long time.

779
00:28:55,651 --> 00:28:58,945
I almost killed that kid
with an intubation.

780
00:28:58,946 --> 00:29:02,240
Didn't even occur to me
to check for pneumothorax.

781
00:29:02,241 --> 00:29:03,950
There wasn't any trauma to indicate...

782
00:29:03,951 --> 00:29:05,191
- I should have caught it.
- OK.

783
00:29:07,913 --> 00:29:09,539
[SIGHS]

784
00:29:11,792 --> 00:29:13,167
You know, I, um...

785
00:29:13,168 --> 00:29:15,002
[CHAIR SCRAPING]

786
00:29:15,003 --> 00:29:17,922
I had a deposition today,

787
00:29:17,923 --> 00:29:21,384
and all the lawyer's questions
made me feel like

788
00:29:21,385 --> 00:29:23,720
I was a really, really bad doctor.

789
00:29:26,056 --> 00:29:29,601
We don't always get everything
right the first time.

790
00:29:30,686 --> 00:29:33,229
You would have caught
the collapsed lung.

791
00:29:33,230 --> 00:29:35,941
And it may have taken a minute,
but you would have saved him.

792
00:29:37,150 --> 00:29:39,527
I'm not sure Robby would agree with you.

793
00:29:39,528 --> 00:29:42,238
He's been riding me all day.

794
00:29:42,239 --> 00:29:44,156
Well, Robby's leaving for three months.

795
00:29:44,157 --> 00:29:46,993
And, you know, with Robby gone...

796
00:29:46,994 --> 00:29:48,996
I really don't want you to leave either.

797
00:29:52,499 --> 00:29:55,167
That which does not kill me
makes me stronger.

798
00:29:55,168 --> 00:29:58,462
Wow, Friedrich Nietzsche.

799
00:29:58,463 --> 00:30:01,674
Yeah, Nietzsche, yeah...

800
00:30:01,675 --> 00:30:04,010
not Kelly Clarkson.

801
00:30:04,011 --> 00:30:05,970
[CHUCKLES]

802
00:30:05,971 --> 00:30:07,972
Hey, that's a thick one.

803
00:30:07,973 --> 00:30:10,850
Yeah, Austin Green. Ogilvie's triple-A.

804
00:30:10,851 --> 00:30:13,853
[BEEPING, WHIRRING]

805
00:30:13,854 --> 00:30:16,439
Uh, G-R-E-E-N?

806
00:30:16,440 --> 00:30:17,857
Yeah. Why? What are you doing?

807
00:30:17,858 --> 00:30:19,358
Checking to see when we'll get Ogilvie

808
00:30:19,359 --> 00:30:21,235
back from the OR.

809
00:30:21,236 --> 00:30:23,279
- Oh, shit.
- What?

810
00:30:23,280 --> 00:30:25,031
The guy didn't make it.

811
00:30:25,032 --> 00:30:27,366
He died on the table
about 40 minutes ago.

812
00:30:27,367 --> 00:30:29,535
Then where's Ogilvie?

813
00:30:29,536 --> 00:30:31,454
Oh, man.

814
00:30:31,455 --> 00:30:34,081
His patient had a CT
a year and a half ago

815
00:30:34,082 --> 00:30:36,375
that showed a 4-centimeter triple-A.

816
00:30:36,376 --> 00:30:38,044
That's too small for surgery.

817
00:30:38,045 --> 00:30:39,378
He was supposed to come back

818
00:30:39,379 --> 00:30:41,130
every six months
for a repeat ultrasound,

819
00:30:41,131 --> 00:30:42,840
but looks like he didn't.

820
00:30:42,841 --> 00:30:45,551
We would've seen that
if the computers were working.

821
00:30:45,552 --> 00:30:47,219
Why wouldn't he tell Ogilvie?

822
00:30:47,220 --> 00:30:49,055
[SIGHING] I don't know.
Maybe he forgot all about it.

823
00:30:49,056 --> 00:30:51,099
Or Ogilvie didn't ask
the right questions.

824
00:30:52,184 --> 00:30:54,226
Dennis, hey, got a minute?

825
00:30:54,227 --> 00:30:56,729
Uh, sure. What do you need?

826
00:30:56,730 --> 00:30:58,397
Teenager with jewelry magnets

827
00:30:58,398 --> 00:31:00,399
stuck to both sides of her nasal septum.

828
00:31:00,400 --> 00:31:02,401
I tried to move them
with a plastic curette.

829
00:31:02,402 --> 00:31:04,236
Too much pain,
and then there was bleeding.

830
00:31:04,237 --> 00:31:06,572
Those need to come off before
they cause permanent damage.

831
00:31:06,573 --> 00:31:08,115
Yeah, you think, uh,
you could find, like,

832
00:31:08,116 --> 00:31:10,034
a senior or an attending?

833
00:31:10,035 --> 00:31:11,911
We're really trying
to get off the clock here.

834
00:31:11,912 --> 00:31:13,080
They're all busy.

835
00:31:15,749 --> 00:31:17,416
I already took one for the team.

836
00:31:17,417 --> 00:31:19,335
Yeah, fine.

837
00:31:19,336 --> 00:31:22,922
Uh, labs on your yellow lady.

838
00:31:22,923 --> 00:31:25,341
INR is elevated, 2.2.

839
00:31:25,342 --> 00:31:27,301
Liver's in trouble but not dead yet.

840
00:31:27,302 --> 00:31:28,886
Tell her to skip the turmeric.

841
00:31:28,887 --> 00:31:31,097
Admit for monitoring,
and follow the LFTs.

842
00:31:31,098 --> 00:31:32,264
- Got it.
- Mm-hmm.

843
00:31:32,265 --> 00:31:33,725
- Central 10?
- Yeah.

844
00:31:38,105 --> 00:31:40,272
"Sleepmaxxing"? Really?

845
00:31:40,273 --> 00:31:41,816
I track the online trends.

846
00:31:41,817 --> 00:31:44,193
Is that your secret for the tough ones?

847
00:31:44,194 --> 00:31:45,903
I just think,

848
00:31:45,904 --> 00:31:48,280
what's the stupidest thing
this person could have done?

849
00:31:48,281 --> 00:31:49,533
Then assume they did it.

850
00:31:50,951 --> 00:31:53,119
Well, I mean,
she was trying to be healthy.

851
00:31:53,120 --> 00:31:55,454
Yeah, by taking advice from fools.

852
00:31:55,455 --> 00:31:57,665
Turmeric is recommended
by a lot of doctors.

853
00:31:57,666 --> 00:31:59,667
Yeah, then ask your doctor for the dose

854
00:31:59,668 --> 00:32:02,294
or check someplace reputable,
like the CDC.

855
00:32:02,295 --> 00:32:05,589
Oh, right, I forgot, it's now
a medical toxic waste site.

856
00:32:05,590 --> 00:32:08,592
I mean, she's in pretty bad shape.

857
00:32:08,593 --> 00:32:10,928
If things get worse, she could
need a liver transplant.

858
00:32:10,929 --> 00:32:13,014
Yeah, 'cause she's a big fucking idiot.

859
00:32:14,516 --> 00:32:16,350
Wow.

860
00:32:16,351 --> 00:32:18,602
No, I actually appreciate her.

861
00:32:18,603 --> 00:32:21,356
Our job security depends on
all these big fucking idiots.

862
00:32:23,733 --> 00:32:24,985
OK.

863
00:32:27,320 --> 00:32:30,739
Uh, good night, Perlah, Monica.

864
00:32:30,740 --> 00:32:33,492
- Good night, Dr. Robby.
- Good night.

865
00:32:33,493 --> 00:32:35,077
Bye, Emma.

866
00:32:35,078 --> 00:32:36,537
You could stay to pitch in.

867
00:32:36,538 --> 00:32:38,497
Mm, Dana told me to go and get some rest

868
00:32:38,498 --> 00:32:39,915
before tomorrow's shift.

869
00:32:39,916 --> 00:32:41,584
Yeah, you had quite a day.

870
00:32:41,585 --> 00:32:42,961
Wasn't so bad.

871
00:32:44,921 --> 00:32:46,755
Why can't I find Duke's results?

872
00:32:46,756 --> 00:32:49,508
Oh, new patient, no EHR yet.

873
00:32:49,509 --> 00:32:52,344
I can run over to Radiology,
get a printout.

874
00:32:52,345 --> 00:32:53,722
Thank you, Monica.

875
00:32:56,224 --> 00:32:58,225
Ready to pick up a few more.

876
00:32:58,226 --> 00:32:59,685
Orlando's all tucked in for now.

877
00:32:59,686 --> 00:33:01,312
- How's he doing?
- Numbers are good.

878
00:33:01,313 --> 00:33:03,147
CPP 22.

879
00:33:03,148 --> 00:33:05,733
OK, so he's got a shot
at a decent outcome at least.

880
00:33:05,734 --> 00:33:07,359
You think he has a chance?

881
00:33:07,360 --> 00:33:09,570
Oh, I don't know that survival was

882
00:33:09,571 --> 00:33:11,572
the outcome he was hoping for.

883
00:33:11,573 --> 00:33:13,199
What?

884
00:33:13,200 --> 00:33:15,409
He told Samira he's got
$100,000 in medical debt,

885
00:33:15,410 --> 00:33:17,871
- that his life is probably...
- Mrs. Diaz!

886
00:33:20,207 --> 00:33:22,666
- How can we help you?
- The bathroom?

887
00:33:22,667 --> 00:33:25,337
Uh, yeah. Perlah can show you the way.

888
00:33:27,088 --> 00:33:29,548
Not a great idea to have
a private conversation

889
00:33:29,549 --> 00:33:30,758
about a patient in a public area.

890
00:33:30,759 --> 00:33:32,760
I know. I know.

891
00:33:32,761 --> 00:33:34,136
You were about to start yapping...

892
00:33:34,137 --> 00:33:35,680
But I didn't!

893
00:33:38,225 --> 00:33:41,143
OK.

894
00:33:41,144 --> 00:33:43,479
And how long have they been in there?

895
00:33:43,480 --> 00:33:44,939
At least two hours.

896
00:33:44,940 --> 00:33:47,399
- How did it happen?
- With my earring.

897
00:33:47,400 --> 00:33:50,277
It was supposed to be, uh,
red, white, and blue

898
00:33:50,278 --> 00:33:52,071
to look cool at the fireworks.

899
00:33:52,072 --> 00:33:53,781
I told her for the nose, one side only,

900
00:33:53,782 --> 00:33:55,074
but she never listens.

901
00:33:55,075 --> 00:33:56,283
This can be pretty serious.

902
00:33:56,284 --> 00:33:57,576
If we don't get them out quickly,

903
00:33:57,577 --> 00:33:59,036
it can cut off the blood supply

904
00:33:59,037 --> 00:34:00,913
and cause the septum to collapse.

905
00:34:00,914 --> 00:34:04,501
Like, my nose could be deformed?

906
00:34:06,711 --> 00:34:09,296
- Oh, my God, get them off.
- Yeah, that's the plan.

907
00:34:09,297 --> 00:34:11,048
Yeah, she tried already.
It hurt like crazy.

908
00:34:11,049 --> 00:34:12,216
Because they're stuck together

909
00:34:12,217 --> 00:34:14,301
by a very strong magnetic force.

910
00:34:14,302 --> 00:34:16,262
- Yeah.
- No, no, no.

911
00:34:16,263 --> 00:34:17,972
Oh, uh, I'm not gonna use the tips.

912
00:34:17,973 --> 00:34:21,058
I'm gonna flip it around
and use the handle.

913
00:34:21,059 --> 00:34:22,643
It's still gonna hurt.

914
00:34:22,644 --> 00:34:23,894
Probably not.

915
00:34:23,895 --> 00:34:25,230
Just, uh, hold still.

916
00:34:27,774 --> 00:34:29,192
OK.

917
00:34:32,445 --> 00:34:34,697
[SIGHS] Voilà.

918
00:34:34,698 --> 00:34:37,449
- Really?
- That was amazing.

919
00:34:37,450 --> 00:34:39,285
I think another half hour,

920
00:34:39,286 --> 00:34:40,953
we can send this dry-erase
board back to storage.

921
00:34:40,954 --> 00:34:42,162
With pleasure.

922
00:34:42,163 --> 00:34:43,539
- Dr. Robinavitch?
- Yep.

923
00:34:43,540 --> 00:34:45,000
Results on your friend.

924
00:34:49,629 --> 00:34:51,840
- Fuck.
- Duke?

925
00:34:55,802 --> 00:34:57,469
Are you gonna tell him?

926
00:34:57,470 --> 00:34:59,096
I want to talk to a surgeon first.

927
00:34:59,097 --> 00:35:01,140
Uh, Dr. Robby, I have
an update on the patient.

928
00:35:01,141 --> 00:35:02,600
Now is not a great time.

929
00:35:02,601 --> 00:35:03,976
Oh, I thought you were going home.

930
00:35:03,977 --> 00:35:05,185
Uh, I was.

931
00:35:05,186 --> 00:35:06,979
Dr. Ogilvie is just sitting

932
00:35:06,980 --> 00:35:08,689
out in the ambulance bay
covered in blood.

933
00:35:08,690 --> 00:35:10,316
Sorry, what...
what's he doing out there?

934
00:35:10,317 --> 00:35:12,276
Kind of, uh, staring off into space.

935
00:35:12,277 --> 00:35:13,611
I tried to talk to him, but it was like

936
00:35:13,612 --> 00:35:15,029
- he couldn't hear me.
- Monica,

937
00:35:15,030 --> 00:35:16,655
can you stat page CardioThoracic?

938
00:35:16,656 --> 00:35:18,825
- I'll go check on Ogilvie.
- Please.

939
00:35:21,119 --> 00:35:22,329
Oh.

940
00:35:31,504 --> 00:35:33,714
[SIGHS]

941
00:35:33,715 --> 00:35:35,925
Hey, Ogilvie.

942
00:35:38,511 --> 00:35:40,512
Ogilvie...

943
00:35:40,513 --> 00:35:42,349
y-you OK, man?

944
00:35:45,769 --> 00:35:47,394
[SIGHS]

945
00:35:47,395 --> 00:35:49,521
99 on 2 liters.

946
00:35:49,522 --> 00:35:51,857
Scattered end expiratory wheezes.

947
00:35:51,858 --> 00:35:54,068
He is so much better.

948
00:35:54,069 --> 00:35:56,111
The steroids should kick in soon.

949
00:35:56,112 --> 00:35:58,530
So he'll keep improving.

950
00:35:58,531 --> 00:36:00,866
Um, when can I go home?

951
00:36:00,867 --> 00:36:02,534
In a day or two.

952
00:36:02,535 --> 00:36:05,829
And we will, uh, discharge you
with a Symbicort inhaler.

953
00:36:05,830 --> 00:36:07,998
That should last about a month.

954
00:36:07,999 --> 00:36:10,542
Hopefully we'll be
back on Medicaid by then.

955
00:36:10,543 --> 00:36:12,544
How'd you lose it?

956
00:36:12,545 --> 00:36:16,048
They sent a redetermination
letter to our old apartment.

957
00:36:16,049 --> 00:36:18,592
It didn't get forwarded.

958
00:36:18,593 --> 00:36:20,678
When I went to pick up his prescription,

959
00:36:20,679 --> 00:36:24,515
pharmacist told me
we were no longer covered.

960
00:36:24,516 --> 00:36:26,725
And you haven't been able
to get it back since?

961
00:36:26,726 --> 00:36:29,061
I've been trying for months.

962
00:36:29,062 --> 00:36:31,563
To get re-enrolled,
you need tax returns,

963
00:36:31,564 --> 00:36:32,940
pay stubs.

964
00:36:32,941 --> 00:36:35,901
I cut hair. My income fluctuates.

965
00:36:35,902 --> 00:36:38,320
A lot of my regulars are struggling,

966
00:36:38,321 --> 00:36:41,448
so it's been tough.

967
00:36:41,449 --> 00:36:43,409
Well, if you run out of Symbicort

968
00:36:43,410 --> 00:36:45,744
before your Medicaid kicks in,
you can come back,

969
00:36:45,745 --> 00:36:48,664
and we'll, uh, set you up
with another one.

970
00:36:48,665 --> 00:36:50,666
Oh, is there a patient in here?

971
00:36:50,667 --> 00:36:53,752
'Cause everyone in this room
looks extremely healthy to me.

972
00:36:53,753 --> 00:36:56,255
Dr. Shen and I will be
with Grady all night long.

973
00:36:56,256 --> 00:36:58,173
Yeah. Day shift, we got this.

974
00:36:58,174 --> 00:37:00,134
We're leaving you in good hands.

975
00:37:00,135 --> 00:37:01,969
Um...

976
00:37:01,970 --> 00:37:04,430
I was really scared.

977
00:37:04,431 --> 00:37:05,598
Thank you.

978
00:37:07,267 --> 00:37:09,269
You're very welcome.

979
00:37:13,148 --> 00:37:15,775
Due to his injury, things have changed.

980
00:37:17,235 --> 00:37:19,486
I was looking for Dr. Abbot.

981
00:37:19,487 --> 00:37:22,322
I haven't seen him for a while.

982
00:37:22,323 --> 00:37:23,616
Excuse me.

983
00:37:25,326 --> 00:37:26,618
[DOOR OPENS]

984
00:37:26,619 --> 00:37:28,620
So now, with a long-term disability,

985
00:37:28,621 --> 00:37:31,331
things may be easier.

986
00:37:31,332 --> 00:37:32,499
"Easier"?

987
00:37:32,500 --> 00:37:34,001
His condition will qualify him

988
00:37:34,002 --> 00:37:35,502
for Medicare and Medicaid.

989
00:37:35,503 --> 00:37:38,005
So, moving forward,
costs should be covered,

990
00:37:38,006 --> 00:37:39,798
including home health care.

991
00:37:39,799 --> 00:37:41,133
OK.

992
00:37:41,134 --> 00:37:42,634
Perhaps this isn't the best time...

993
00:37:42,635 --> 00:37:43,969
I just wanted to reassure you

994
00:37:43,970 --> 00:37:45,847
about future costs.

995
00:37:54,022 --> 00:37:55,439
Robby.

996
00:37:55,440 --> 00:37:57,649
Noelle.

997
00:37:57,650 --> 00:37:59,234
You're still here.

998
00:37:59,235 --> 00:38:01,570
It's not the best day
to try to get out on time.

999
00:38:01,571 --> 00:38:03,280
Mm.

1000
00:38:03,281 --> 00:38:04,698
So I guess this is it for a while.

1001
00:38:04,699 --> 00:38:06,200
Unless you want to come with me.

1002
00:38:06,201 --> 00:38:08,619
No, but thank you,

1003
00:38:08,620 --> 00:38:10,662
even if it isn't a legitimate offer.

1004
00:38:10,663 --> 00:38:12,164
- What do you mean?
- Oh, please.

1005
00:38:12,165 --> 00:38:13,999
I know well enough not to get in between

1006
00:38:14,000 --> 00:38:16,085
a man and his vision quest.

1007
00:38:17,504 --> 00:38:18,837
"Vision quest."

1008
00:38:18,838 --> 00:38:22,008
That is my nice way of putting it.

1009
00:38:23,176 --> 00:38:24,510
I probably don't want to hear

1010
00:38:24,511 --> 00:38:26,386
your not-so-nice way of putting it.

1011
00:38:26,387 --> 00:38:27,847
No, probably not.

1012
00:38:29,516 --> 00:38:33,143
I-I hope that this is not, um...

1013
00:38:33,144 --> 00:38:34,520
about you running away from me.

1014
00:38:34,521 --> 00:38:35,729
I'm a big girl.

1015
00:38:35,730 --> 00:38:37,397
You can tell me just to get lost.

1016
00:38:37,398 --> 00:38:39,233
This has nothing to do with you.

1017
00:38:39,234 --> 00:38:40,526
Oh, right.

1018
00:38:40,527 --> 00:38:43,279
It's the old, uh,
"it's not you, it's me"?

1019
00:38:44,739 --> 00:38:46,950
In this case, it's actually true.

1020
00:38:53,122 --> 00:38:54,791
Excuse me.

1021
00:39:00,880 --> 00:39:02,214
I'll see you next week?

1022
00:39:02,215 --> 00:39:03,549
It's a three-month sabbatical.

1023
00:39:03,550 --> 00:39:05,552
Like I said, I will see you next week.

1024
00:39:12,225 --> 00:39:15,519
My first day here as a med student...

1025
00:39:15,520 --> 00:39:17,229
there was a patient.

1026
00:39:17,230 --> 00:39:18,939
[SIGHS]

1027
00:39:18,940 --> 00:39:20,732
He was a real nice guy,

1028
00:39:20,733 --> 00:39:23,569
came in with belly pain.

1029
00:39:23,570 --> 00:39:27,197
I saw a gall stone on the ultrasound,

1030
00:39:27,198 --> 00:39:29,366
normal EKG, troponin.

1031
00:39:29,367 --> 00:39:32,744
The pain resolved,
and he was in the hall

1032
00:39:32,745 --> 00:39:34,622
when he had a cardiac arrest.

1033
00:39:37,417 --> 00:39:38,793
I couldn't save him.

1034
00:39:40,336 --> 00:39:41,796
People die.

1035
00:39:43,256 --> 00:39:46,758
And we do the best we can...

1036
00:39:46,759 --> 00:39:49,178
but people die.

1037
00:39:50,346 --> 00:39:52,348
You ever get used to it?

1038
00:39:53,850 --> 00:39:55,476
[CHUCKLES] No.

1039
00:39:56,853 --> 00:39:59,688
No, you...

1040
00:39:59,689 --> 00:40:01,608
you try to accept it.

1041
00:40:03,610 --> 00:40:05,361
You try to find balance.

1042
00:40:10,783 --> 00:40:13,703
I don't know if I can take
another day like today.

1043
00:40:15,246 --> 00:40:18,624
Primary care specialty
sounds way better.

1044
00:40:18,625 --> 00:40:20,417
Pedes, maybe.

1045
00:40:20,418 --> 00:40:21,961
Yeah, maybe.

1046
00:40:23,463 --> 00:40:26,633
I know I'd be bored
out of my fucking mind.

1047
00:40:27,926 --> 00:40:31,970
Seriously, I like the challenge
of undiagnosed illness,

1048
00:40:31,971 --> 00:40:36,975
of quick decisions,
of life-saving procedures.

1049
00:40:36,976 --> 00:40:39,394
And I like being here for people

1050
00:40:39,395 --> 00:40:41,814
on the worst days of their lives.

1051
00:40:46,653 --> 00:40:47,946
[CLEARS THROAT]

1052
00:40:49,989 --> 00:40:51,990
You know what I think?

1053
00:40:51,991 --> 00:40:53,700
What?

1054
00:40:53,701 --> 00:40:56,036
I think you should go home.

1055
00:40:56,037 --> 00:40:57,496
I think you should sleep on it.

1056
00:40:57,497 --> 00:40:58,997
And I think you should at least wait

1057
00:40:58,998 --> 00:41:00,207
till the morning to decide

1058
00:41:00,208 --> 00:41:01,668
if you want to come back.

1059
00:41:04,671 --> 00:41:07,005
I don't really want to...

1060
00:41:07,006 --> 00:41:09,633
go back in there and see anybody.

1061
00:41:09,634 --> 00:41:10,843
Yeah.

1062
00:41:12,345 --> 00:41:14,888
OK, pull off your gown. I'll take it in.

1063
00:41:14,889 --> 00:41:17,349
Shift is over.

1064
00:41:17,350 --> 00:41:18,851
Go home.

1065
00:41:20,812 --> 00:41:23,856
[INDISTINCT CHATTER]

1066
00:41:31,698 --> 00:41:33,031
- Oh!
- [GASPS] Oh, God.

1067
00:41:33,032 --> 00:41:34,074
- No, I'm... I'm...
- Sorry.

1068
00:41:34,075 --> 00:41:35,534
I'm good. I'm good. I'm good.

1069
00:41:35,535 --> 00:41:37,202
There's a dummy in a wheelchair.

1070
00:41:37,203 --> 00:41:39,122
Uh, yeah, he moves around.

1071
00:41:42,208 --> 00:41:44,376
I see I've been replaced.

1072
00:41:44,377 --> 00:41:45,919
Oh, did I take your spot?

1073
00:41:45,920 --> 00:41:47,587
- Not really, no.
- Are you sure?

1074
00:41:47,588 --> 00:41:49,047
Where the hell have you been?

1075
00:41:49,048 --> 00:41:50,716
I found Ogilvie.

1076
00:41:50,717 --> 00:41:51,967
And?

1077
00:41:51,968 --> 00:41:54,302
And he's going home.

1078
00:41:54,303 --> 00:41:55,554
That's it?

1079
00:41:55,555 --> 00:41:56,888
It's a long story.

1080
00:41:56,889 --> 00:41:58,306
Well, I got nothing but time.

1081
00:41:58,307 --> 00:42:00,475
I need to respect his privacy.

1082
00:42:00,476 --> 00:42:02,060
Where's the fun in that?

1083
00:42:02,061 --> 00:42:04,063
- Beep. Beep, beep. [CHUCKLES]
- Sorry.

1084
00:42:05,314 --> 00:42:07,358
[WHIRRING]

1085
00:42:12,613 --> 00:42:14,072
Um, the shredder jammed.

1086
00:42:14,073 --> 00:42:17,075
Yeah, uh, try putting it in reverse.

1087
00:42:17,076 --> 00:42:19,411
[WHIRRING]

1088
00:42:19,412 --> 00:42:20,620
Perfect.

1089
00:42:20,621 --> 00:42:22,748
Just give it a little love tap.

1090
00:42:22,749 --> 00:42:24,291
- OK.
- Kick it.

1091
00:42:24,292 --> 00:42:25,417
[BANGING]

1092
00:42:25,418 --> 00:42:27,044
Jesus Christ.

1093
00:42:27,045 --> 00:42:28,920
[LAUGHTER]

1094
00:42:28,921 --> 00:42:31,089
Guess Mr. Digby got a room upstairs.

1095
00:42:31,090 --> 00:42:32,591
In your dreams.

1096
00:42:32,592 --> 00:42:34,593
He's not in South 21.

1097
00:42:34,594 --> 00:42:35,969
Yeah, he is.

1098
00:42:35,970 --> 00:42:38,305
There's a new guy in the bed.

1099
00:42:38,306 --> 00:42:40,307
Short hair, clean-shaved?

1100
00:42:40,308 --> 00:42:42,768
I'll take care of it.

1101
00:42:42,769 --> 00:42:44,436
Scout film showed obvious pathology,

1102
00:42:44,437 --> 00:42:45,979
so we ordered the CT angiogram.

1103
00:42:45,980 --> 00:42:47,647
Textbook ascending aortic aneurysm.

1104
00:42:47,648 --> 00:42:49,483
Eight centimeters.

1105
00:42:49,484 --> 00:42:51,359
50% one-year mortality.

1106
00:42:51,360 --> 00:42:52,652
So he definitely needs surgery.

1107
00:42:52,653 --> 00:42:53,653
If he wants to live.

1108
00:42:53,654 --> 00:42:54,696
OK, well, he's a friend,

1109
00:42:54,697 --> 00:42:55,989
so I will talk to him.

1110
00:42:55,990 --> 00:42:57,157
I'll get him admitted to your service.

1111
00:42:57,158 --> 00:42:59,284
- Not today.
- Why not?

1112
00:42:59,285 --> 00:43:01,119
He needs to see Cardiology
and Pulmonary first

1113
00:43:01,120 --> 00:43:02,370
to be cleared for the OR.

1114
00:43:02,371 --> 00:43:04,289
They can do a stress echo, PFTs.

1115
00:43:04,290 --> 00:43:06,541
He needs to be admitted
and evaluated as an inpatient.

1116
00:43:06,542 --> 00:43:08,210
Nothing ever gets done
over a holiday weekend.

1117
00:43:08,211 --> 00:43:09,294
He can take it easy at home.

1118
00:43:09,295 --> 00:43:10,712
He's a ticking time bomb.

1119
00:43:10,713 --> 00:43:12,047
He's probably been that way for years.

1120
00:43:12,048 --> 00:43:13,340
We can get him in early next week

1121
00:43:13,341 --> 00:43:14,966
with a specialist
to get his testing done.

1122
00:43:14,967 --> 00:43:16,927
All goes well, he's on
the OR schedule in a week.

1123
00:43:16,928 --> 00:43:18,512
What happens if it ruptures before then?

1124
00:43:18,513 --> 00:43:20,347
Call 911.

1125
00:43:20,348 --> 00:43:22,015
Sorry, Robby. Best we can do.

1126
00:43:22,016 --> 00:43:24,016
Text me his number.
I'll have my office coordinate.

1127
00:43:26,145 --> 00:43:27,813
- Fuck!
- Hey!

1128
00:43:27,814 --> 00:43:29,524
Take a walk. Come on!

1129
00:43:32,985 --> 00:43:34,653
- [BELL DINGS]
- Two for discharge.

1130
00:43:34,654 --> 00:43:36,321
Yeah, please don't ring the bell.

1131
00:43:36,322 --> 00:43:37,948
The computers are back up and running.

1132
00:43:37,949 --> 00:43:39,491
Not for these two.

1133
00:43:39,492 --> 00:43:40,867
They don't have electronic
health records yet.

1134
00:43:40,868 --> 00:43:42,285
Wait, hold up.

1135
00:43:42,286 --> 00:43:44,496
This kid had a wrist X-ray ordered.

1136
00:43:44,497 --> 00:43:45,789
Ugh, it never happened.

1137
00:43:45,790 --> 00:43:47,082
And water-skiing lady's

1138
00:43:47,083 --> 00:43:48,416
still waiting on a knee series.

1139
00:43:48,417 --> 00:43:49,668
I canceled the X-rays.

1140
00:43:49,669 --> 00:43:52,003
Diagnosed them both with ultrasound.

1141
00:43:52,004 --> 00:43:53,255
Really?

1142
00:43:53,256 --> 00:43:55,006
Yeah.

1143
00:43:55,007 --> 00:43:57,509
The, uh, little boy had
a simple buckle fracture.

1144
00:43:57,510 --> 00:44:00,095
Distal radius. He got a Velcro splint.

1145
00:44:00,096 --> 00:44:02,848
And Mrs. Stegman had
a small medial meniscus tear.

1146
00:44:02,849 --> 00:44:05,225
Knee immobilizer, crutches,
and a follow up with ortho.

1147
00:44:05,226 --> 00:44:07,561
Could have used you
on the day shift today.

1148
00:44:07,562 --> 00:44:10,021
They don't teach us a lot
of musculoskeletal ultrasound.

1149
00:44:10,022 --> 00:44:11,523
I know.

1150
00:44:11,524 --> 00:44:14,192
That's why I did electives
at Harvard and Highland.

1151
00:44:14,193 --> 00:44:17,028
Are you applying for
an ultrasound fellowship here?

1152
00:44:17,029 --> 00:44:19,823
I am, but it is so competitive.

1153
00:44:19,824 --> 00:44:22,033
- That's what I hear.
- Kind of a long shot.

1154
00:44:22,034 --> 00:44:23,493
I only have one publication,

1155
00:44:23,494 --> 00:44:25,370
but it's a series
of case reports diagnosing

1156
00:44:25,371 --> 00:44:27,914
shoulder dislocations
with ultrasound only.

1157
00:44:27,915 --> 00:44:29,916
If you want to learn some MSK,
you can tag along.

1158
00:44:29,917 --> 00:44:31,418
I got three more to scan.

1159
00:44:31,419 --> 00:44:33,420
Maybe some other time.

1160
00:44:33,421 --> 00:44:35,881
Cool.

1161
00:44:35,882 --> 00:44:38,216
[WHIRRING]

1162
00:44:38,217 --> 00:44:40,218
Hey, don't jam the shredder.

1163
00:44:40,219 --> 00:44:41,720
What is that, two charts?

1164
00:44:41,721 --> 00:44:44,265
No, it's my ultrasound
fellowship application.

1165
00:44:46,058 --> 00:44:47,726
Hey.

1166
00:44:47,727 --> 00:44:50,729
Uh, sorry about your patient.

1167
00:44:50,730 --> 00:44:53,732
Yeah, Orlando's in pretty bad shape.

1168
00:44:53,733 --> 00:44:55,609
Oh, no, I... I was talking about

1169
00:44:55,610 --> 00:44:59,279
the triple-A guy
you worked on with Ogilvie.

1170
00:44:59,280 --> 00:45:00,406
[SIGHS]

1171
00:45:01,824 --> 00:45:04,451
He didn't make it through surgery.

1172
00:45:04,452 --> 00:45:05,994
I tried to talk to Robby about it,

1173
00:45:05,995 --> 00:45:07,996
but I think he's busy.

1174
00:45:07,997 --> 00:45:09,665
Excuse me.

1175
00:45:11,959 --> 00:45:13,836
[SIGHING] Oh, shit.

1176
00:45:18,007 --> 00:45:19,549
You think I'm on edge?

1177
00:45:19,550 --> 00:45:21,301
First you're shaming Samira,
then McKay...

1178
00:45:21,302 --> 00:45:22,636
They both needed to be called out

1179
00:45:22,637 --> 00:45:23,970
- for unacceptable behavior.
- Yeah?

1180
00:45:23,971 --> 00:45:25,263
Yeah, well, you do that in private.

1181
00:45:25,264 --> 00:45:26,723
Same place you share your thoughts

1182
00:45:26,724 --> 00:45:27,933
about a patient's possible suicide.

1183
00:45:27,934 --> 00:45:29,392
And slamming stuff? Please.

1184
00:45:29,393 --> 00:45:30,602
Sign out all the shit that's bugging you

1185
00:45:30,603 --> 00:45:31,770
and get out of here.

1186
00:45:31,771 --> 00:45:33,563
- I can't.
- Yes, you can.

1187
00:45:33,564 --> 00:45:34,940
When either of my kids
was acting like this,

1188
00:45:34,941 --> 00:45:36,399
I gave them a time-out in their room.

1189
00:45:36,400 --> 00:45:37,567
Whoa, whoa, whoa, you're not my mother.

1190
00:45:37,568 --> 00:45:38,777
Yeah? Well, too bad.

1191
00:45:38,778 --> 00:45:39,945
- You need one.
- No, I had one.

1192
00:45:39,946 --> 00:45:41,655
She left. I don't need another one.

1193
00:45:41,656 --> 00:45:42,989
What I need is someone
who can actually run this place

1194
00:45:42,990 --> 00:45:44,950
- while I'm gone.
- OK, I'm sorry.

1195
00:45:44,951 --> 00:45:46,284
- I didn't know.
- Nobody knows.

1196
00:45:46,285 --> 00:45:48,578
Who needs to know? Who gives a fuck?

1197
00:45:48,579 --> 00:45:49,913
I think you need a break.

1198
00:45:49,914 --> 00:45:51,456
That is what the sabbatical is for.

1199
00:45:51,457 --> 00:45:52,999
Then start it now. Walk away.

1200
00:45:53,000 --> 00:45:54,292
I have too much to do.

1201
00:45:54,293 --> 00:45:55,961
Let someone else talk to Duke.

1202
00:45:55,962 --> 00:45:57,712
No, that needs to come from me.

1203
00:45:57,713 --> 00:45:59,047
Why?

1204
00:45:59,048 --> 00:46:00,632
Because I owe him that.

1205
00:46:00,633 --> 00:46:02,467
It needs to come from a friend,
not a stranger,

1206
00:46:02,468 --> 00:46:04,511
otherwise he's gonna bail
and drop dead while I'm gone.

1207
00:46:04,512 --> 00:46:07,389
OK, wrap that up and then leave.

1208
00:46:07,390 --> 00:46:09,015
It's not just Duke.

1209
00:46:09,016 --> 00:46:10,767
I'm not sure that Al-Hashimi
is fit to run this place.

1210
00:46:10,768 --> 00:46:11,977
- What's that supposed to mean?
- I'm not sure.

1211
00:46:11,978 --> 00:46:13,392
I'm trying to figure that out.

1212
00:46:13,393 --> 00:46:14,854
Did you know that she wants
to have two attendings

1213
00:46:14,855 --> 00:46:16,243
- on at all times?
- No.

1214
00:46:16,244 --> 00:46:17,983
Is that something
she's worked out with Gloria?

1215
00:46:17,984 --> 00:46:19,526
- I don't know.
- I also don't know

1216
00:46:19,527 --> 00:46:20,860
if Langdon is going to relapse.

1217
00:46:20,861 --> 00:46:23,280
I don't know if Whitaker's gonna
be able to take care of my shit.

1218
00:46:23,281 --> 00:46:24,823
I don't know if
Javadi's gonna give up on

1219
00:46:24,824 --> 00:46:26,700
what she's good at
or if Samira's gonna flame out

1220
00:46:26,701 --> 00:46:28,159
because of some bullshit
with her mother.

1221
00:46:28,160 --> 00:46:30,537
- Is there anything else?
- Yeah, you.

1222
00:46:30,538 --> 00:46:32,789
I don't know about you running around

1223
00:46:32,790 --> 00:46:34,541
with a full syringe of Versed
in your pocket.

1224
00:46:34,542 --> 00:46:36,960
I'm worried about the people
that I care about.

1225
00:46:36,961 --> 00:46:39,337
We'll all manage until you come back.

1226
00:46:39,338 --> 00:46:40,505
We always do.

1227
00:46:40,506 --> 00:46:41,863
Yeah? What if I don't come back?

1228
00:46:46,273 --> 00:46:49,780
<b><font color="#ff0000">Sync and corrections by btsix
www.addic7ed.com</font></b>

1229
00:46:52,977 --> 00:46:55,937
<i>[PENSIVE MUSIC]</i>

1230
00:46:55,938 --> 00:47:02,987
<i>♪ ♪</i>