1 00:00:20,158 --> 00:00:21,868 - What's up, Ghost Rider? - You good? 2 00:00:21,951 --> 00:00:23,077 Never better. 3 00:00:23,161 --> 00:00:24,912 OK, kids, bye-bye time. 4 00:00:24,996 --> 00:00:27,123 Thanks for the trip down memory lane. 5 00:00:27,206 --> 00:00:28,541 Um, where's Evans? 6 00:00:28,625 --> 00:00:30,835 Uh, I think she's by the family room. 7 00:00:30,918 --> 00:00:32,420 She is. 8 00:00:32,503 --> 00:00:33,921 Hey, hey, hey, where are you going? 9 00:00:34,005 --> 00:00:35,465 I'm not gonna scan all this by myself. 10 00:00:35,548 --> 00:00:37,050 Cruz has a question on my cellulitis. 11 00:00:37,133 --> 00:00:38,676 - I'll be right back. - You better. 12 00:00:38,760 --> 00:00:39,927 - Two minutes tops. - Where's Mel? 13 00:00:40,011 --> 00:00:41,429 Where's Donnie? 14 00:00:41,512 --> 00:00:42,889 - They should be helping you. - I don't know. 15 00:00:42,972 --> 00:00:44,641 OK, day shift, listen up. 16 00:00:44,724 --> 00:00:46,768 We're doing really well, but we still got a ways to go. 17 00:00:46,851 --> 00:00:48,895 And nobody's going home until all these paper charts 18 00:00:48,978 --> 00:00:50,605 are digitized, including me. 19 00:00:50,688 --> 00:00:52,565 And then we're free to celebrate our freedom? 20 00:00:52,649 --> 00:00:53,650 Exactly. 21 00:00:53,733 --> 00:00:54,901 Well, can you kick some ass 22 00:00:54,984 --> 00:00:56,069 and get the staff to hurry up 23 00:00:56,152 --> 00:00:57,236 on the EHR home pages? 24 00:00:57,320 --> 00:00:58,946 Where are Larry and Antoine? 25 00:00:59,030 --> 00:01:00,239 Antoine's fighting on the phone 26 00:01:00,323 --> 00:01:01,616 with his girlfriend outside. 27 00:01:01,699 --> 00:01:04,410 And Larry's on a cafeteria run. 28 00:01:04,494 --> 00:01:06,954 Yeah, that tracks. 29 00:01:07,038 --> 00:01:09,082 We've got five patients in beds waiting to be seen. 30 00:01:09,165 --> 00:01:11,084 How do you want to play this… man to man or zone? 31 00:01:11,167 --> 00:01:12,543 The zone. 32 00:01:12,627 --> 00:01:14,212 Have Cruz and Ellis split up the new five. 33 00:01:14,295 --> 00:01:15,588 You take North and Central. 34 00:01:15,672 --> 00:01:17,298 - I'll take South and Trauma. - Cool. 35 00:01:17,382 --> 00:01:18,383 Want to switch at 1:00 AM? 36 00:01:18,466 --> 00:01:19,509 Why? 37 00:01:19,592 --> 00:01:20,718 Variety is the spice of life. 38 00:01:20,802 --> 00:01:22,136 I thought that was garlic. 39 00:01:22,220 --> 00:01:25,139 Oh, sorry. 40 00:01:25,223 --> 00:01:27,058 I told you I'd be fast. 41 00:01:27,141 --> 00:01:29,143 OK, let's do this and get out of here. 42 00:01:29,227 --> 00:01:30,269 What's the hurry? 43 00:01:30,353 --> 00:01:31,521 Got some hay to pitch? 44 00:01:31,604 --> 00:01:32,939 Ha. 45 00:01:34,524 --> 00:01:36,192 - Oh, shoot. - What? 46 00:01:36,275 --> 00:01:38,820 Uh, my ID badge is missing. 47 00:01:38,903 --> 00:01:39,903 Oh, no. The one you just got? 48 00:01:39,946 --> 00:01:41,239 How'd you lose it? 49 00:01:41,322 --> 00:01:42,308 I don't know. It must have come off. 50 00:01:42,323 --> 00:01:43,574 Classic. 51 00:01:43,658 --> 00:01:44,951 Hope you remember your login and password. 52 00:01:45,034 --> 00:01:46,119 OK. Retrace your steps. 53 00:01:46,202 --> 00:01:47,578 Where'd you have it last? 54 00:01:47,662 --> 00:01:50,248 Uh, I was with Ogilvie in the Ambulance Bay. 55 00:01:50,331 --> 00:01:52,417 Not with Colonel Mustard in the library? 56 00:01:52,500 --> 00:01:54,460 Who's…what? 57 00:01:54,544 --> 00:01:55,712 No. 58 00:01:57,046 --> 00:01:59,382 The boy has no clue. 59 00:02:03,803 --> 00:02:05,805 Please don't do that. 60 00:02:05,888 --> 00:02:07,557 Oh, ma'am, I gotta go. 61 00:02:07,640 --> 00:02:10,268 I sit here any longer, I'm gonna get bedsores. 62 00:02:12,478 --> 00:02:15,398 I…I'm supposed to get some CT results. 63 00:02:15,481 --> 00:02:17,859 Any idea how much longer that's gonna be? 64 00:02:17,942 --> 00:02:20,319 Shouldn't be much longer. 65 00:02:20,403 --> 00:02:22,905 Where's that Nurse Vivi? 66 00:02:22,989 --> 00:02:24,615 You don't want any of that. 67 00:02:24,699 --> 00:02:26,868 - No? - No, she's out of your league. 68 00:02:26,951 --> 00:02:28,828 What league do you think I play in? 69 00:02:28,911 --> 00:02:31,622 Uh, old timer's night. 70 00:02:31,706 --> 00:02:33,291 Yeah, you're probably right. 71 00:02:33,374 --> 00:02:36,419 But some teams still appreciate a veteran presence. 72 00:02:36,502 --> 00:02:38,629 Well, don't say I didn't warn you. 73 00:02:38,713 --> 00:02:40,381 You are here for your heart, after all. 74 00:02:40,465 --> 00:02:41,883 My heart's been broken before. 75 00:02:41,966 --> 00:02:43,426 What's one more time? 76 00:02:43,509 --> 00:02:45,511 Uh, she's engaged to a jujitsu instructor. 77 00:02:45,595 --> 00:02:47,221 With a bang, not a whimper, baby. 78 00:02:48,723 --> 00:02:50,308 And it's a cool bath a couple times a day 79 00:02:50,391 --> 00:02:52,852 for two days, followed by aloe vera to your skin. 80 00:02:52,935 --> 00:02:54,187 OK, that's it? 81 00:02:54,270 --> 00:02:56,439 And sunscreen in your future. 82 00:02:56,522 --> 00:02:59,442 No, I'm never going outside ever again. 83 00:02:59,525 --> 00:03:02,904 I wouldn't swear off the sun entirely, you know? 84 00:03:02,987 --> 00:03:05,406 But like most things, moderation. 85 00:03:05,490 --> 00:03:06,699 Hey, we're getting kind of shorthanded 86 00:03:06,783 --> 00:03:08,075 scanning charts out here. 87 00:03:08,159 --> 00:03:09,452 When you finish, can you come lend a hand? 88 00:03:09,535 --> 00:03:10,536 Yeah, happy to. 89 00:03:10,620 --> 00:03:11,621 Thank you. 90 00:03:13,664 --> 00:03:15,541 And by happy to, I mean there is nothing 91 00:03:15,625 --> 00:03:17,293 I would rather do less. 92 00:03:17,376 --> 00:03:19,921 They keep you pretty busy. 93 00:03:20,004 --> 00:03:24,050 Yeah, and today has brought some new challenges. 94 00:03:24,133 --> 00:03:25,301 This is really putting a crimp 95 00:03:25,384 --> 00:03:27,595 in my 4th of July evening plans. 96 00:03:27,678 --> 00:03:30,097 You're going to see the fireworks? 97 00:03:30,181 --> 00:03:33,518 Uh, no, I was gonna maybe meet up with this guy, 98 00:03:33,601 --> 00:03:35,102 though that's sounding less appealing 99 00:03:35,186 --> 00:03:37,605 than the three Bs at this point. 100 00:03:37,688 --> 00:03:39,232 The three Bs? 101 00:03:40,274 --> 00:03:42,610 Book, bath, and bed. 102 00:03:42,693 --> 00:03:45,071 College kid with mono and hemorrhagic tonsils, 103 00:03:45,154 --> 00:03:46,781 admit med-surge or observation? 104 00:03:46,864 --> 00:03:47,865 Uh, observation. 105 00:03:47,949 --> 00:03:49,283 Bleeding stopped with TXA. 106 00:03:49,367 --> 00:03:50,701 She's had steroids, so should be 107 00:03:50,785 --> 00:03:52,036 ready for discharge in the morning. 108 00:03:52,119 --> 00:03:53,788 Cool. 109 00:03:53,871 --> 00:03:55,540 How was your first shift back? 110 00:03:55,623 --> 00:03:58,209 Uh, slow start, finding my rhythm. 111 00:03:59,544 --> 00:04:01,546 You a little rusty, Rusty James? 112 00:04:01,629 --> 00:04:03,965 Now you won't have Motorcycle Boy to big brother you. 113 00:04:04,048 --> 00:04:05,591 Is that a "Rumble Fish" reference? 114 00:04:05,675 --> 00:04:07,051 Sure is. 115 00:04:07,134 --> 00:04:09,679 And Robby is my big brother in this analogy? 116 00:04:09,762 --> 00:04:10,930 Bingo. 117 00:04:11,013 --> 00:04:12,056 Yeah, I wouldn't say he's been 118 00:04:12,139 --> 00:04:13,933 looking out for me exactly. 119 00:04:14,016 --> 00:04:15,393 I think he'd probably prefer 120 00:04:15,476 --> 00:04:17,103 not to see me at all today, actually. 121 00:04:17,186 --> 00:04:20,022 And you think that's because he's mad at you? 122 00:04:20,106 --> 00:04:24,944 I think he feels like I let him down, because I did. 123 00:04:25,027 --> 00:04:27,113 Jesus, with all the martyrs around here, 124 00:04:27,196 --> 00:04:28,614 you'd think this was a passion play. 125 00:04:28,698 --> 00:04:30,241 What's your take? 126 00:04:32,326 --> 00:04:33,661 I worked with that man for 10 months 127 00:04:33,744 --> 00:04:34,871 while you were gone. 128 00:04:34,954 --> 00:04:36,581 He's not mad at you. 129 00:04:36,664 --> 00:04:39,750 He's mad at himself for failing you, Rusty James. 130 00:04:39,834 --> 00:04:41,168 Really? 131 00:04:42,503 --> 00:04:44,839 Just more White Knight/White noise. 132 00:04:44,922 --> 00:04:46,424 That's how it is. 133 00:04:48,718 --> 00:04:50,303 Share this video with your friends if you can. 134 00:04:50,386 --> 00:04:51,637 Thank you so much. 135 00:04:51,721 --> 00:04:53,598 Be kind, be safe, be brave. 136 00:04:53,681 --> 00:04:54,724 What you doing? 137 00:04:54,807 --> 00:04:56,142 Dr. Robby, sorry. 138 00:04:56,225 --> 00:04:57,211 I was just… 139 00:04:57,226 --> 00:04:58,603 One of your TikToks? Yeah. 140 00:04:58,686 --> 00:05:00,187 About those, listen, I'm not so sure that… 141 00:05:00,271 --> 00:05:02,023 - No, no, I was just sharing… - No, I get it. 142 00:05:02,106 --> 00:05:03,524 I just…you know, we do have HIPAA laws here. 143 00:05:03,608 --> 00:05:05,192 We don't let anybody film… 144 00:05:05,276 --> 00:05:06,444 I would never violate any HIPAA laws, Dr. Robby. 145 00:05:06,527 --> 00:05:07,695 - I swear it. - I understand. 146 00:05:07,778 --> 00:05:08,764 Even still, we're getting behind 147 00:05:08,779 --> 00:05:09,780 on scanning patient charts. 148 00:05:09,864 --> 00:05:10,850 So how about no TikTok 149 00:05:10,865 --> 00:05:13,659 on the company clock, Dr. J? 150 00:05:13,743 --> 00:05:15,578 Dr. Robby, I think you're… 151 00:05:15,661 --> 00:05:17,038 Out of touch? Probably. 152 00:05:17,121 --> 00:05:18,456 You wouldn't be the first to accuse me of it. 153 00:05:18,539 --> 00:05:20,166 However, when I was in medical school… 154 00:05:20,249 --> 00:05:22,043 You didn't have cell phones or TikTok 155 00:05:22,126 --> 00:05:24,587 or internet or ICE agents coming in here 156 00:05:24,670 --> 00:05:27,048 and taking away patients and staff. 157 00:05:28,883 --> 00:05:30,384 I get it. 158 00:05:34,263 --> 00:05:37,725 We did have cell phones, maybe not in the beginning. 159 00:05:42,438 --> 00:05:43,522 Where do you think you're going? 160 00:05:43,606 --> 00:05:45,191 Uh, home. 161 00:05:45,274 --> 00:05:47,526 I kind of need you to hang out a little longer 162 00:05:47,610 --> 00:05:49,445 and help digitize some of these analog patient records. 163 00:05:49,528 --> 00:05:50,905 Normally, I would, truly. 164 00:05:50,988 --> 00:05:55,034 But I gotta get home… wife, baby, bed. 165 00:05:55,117 --> 00:05:57,161 OK. Go get some rest. 166 00:05:57,244 --> 00:05:58,329 You sure you're OK to drive home? 167 00:05:58,412 --> 00:05:59,398 Absolutely. 168 00:05:59,413 --> 00:06:01,290 Just enough in the tank. 169 00:06:01,374 --> 00:06:03,376 Don't tell anybody I let you go. 170 00:06:03,459 --> 00:06:04,669 Deal. 171 00:06:04,752 --> 00:06:06,170 Safe travels. 172 00:06:06,253 --> 00:06:08,255 Be sure to send some pictures from the road. 173 00:06:25,106 --> 00:06:26,816 Fight over at Zazu's Sports Bar. 174 00:06:26,899 --> 00:06:28,234 The two combatants are pulling up soon. 175 00:06:28,317 --> 00:06:29,485 One's a stabbing. 176 00:06:29,568 --> 00:06:30,554 Ellis, double trauma coming in. 177 00:06:30,569 --> 00:06:31,570 Grab the easy one. 178 00:06:31,654 --> 00:06:32,697 Bring the stabbing to Trauma 2. 179 00:06:32,780 --> 00:06:34,115 We will get the room set up. 180 00:06:34,198 --> 00:06:36,659 All right. Roger. 181 00:06:36,742 --> 00:06:40,955 OK, darling, time for this dinosaur to head to extinction. 182 00:06:41,038 --> 00:06:42,373 Got us through a real jam today. 183 00:06:42,456 --> 00:06:44,583 Can't thank you enough, Monica. 184 00:06:44,667 --> 00:06:45,835 Nice place to visit. 185 00:06:45,918 --> 00:06:47,253 Wouldn't want to live here anymore. 186 00:06:47,336 --> 00:06:49,088 Oh, me, neither some days. 187 00:06:49,171 --> 00:06:50,381 But hey, Virginia Slim, 188 00:06:50,464 --> 00:06:52,383 you've come a long way. 189 00:06:52,466 --> 00:06:54,593 Glad I was wrong about you. 190 00:06:54,677 --> 00:06:55,886 Keep training 'em up right. 191 00:06:55,970 --> 00:06:57,138 I'll try. 192 00:06:57,221 --> 00:06:58,764 OK, that's enough mush. 193 00:06:58,848 --> 00:07:00,683 Back to my life of mahjong and margaritas. 194 00:07:00,766 --> 00:07:02,101 - Bye, Evans. - Get home safe. 195 00:07:02,184 --> 00:07:03,686 I will. See ya. 196 00:07:03,769 --> 00:07:04,770 Bye. 197 00:07:09,692 --> 00:07:13,404 She's right, you are the mama bear glue that holds this place together. 198 00:07:17,867 --> 00:07:20,286 Hey, you OK? 199 00:07:20,369 --> 00:07:21,787 No. 200 00:07:21,871 --> 00:07:24,498 I'm sad or scared, 201 00:07:24,582 --> 00:07:28,044 or some fucking thing. 202 00:07:28,127 --> 00:07:29,837 I'm worried. 203 00:07:29,920 --> 00:07:31,964 What's going on? 204 00:07:32,048 --> 00:07:33,591 Robby. I got a bad feeling. 205 00:07:33,674 --> 00:07:35,384 He's… 206 00:07:35,468 --> 00:07:37,219 it's like I'm never going to see him again after tonight. 207 00:07:37,303 --> 00:07:38,554 Did he say something? 208 00:07:38,637 --> 00:07:40,014 Yeah, he said a lot of things. 209 00:07:40,097 --> 00:07:41,599 You should talk to him. He listens to you. 210 00:07:41,682 --> 00:07:42,892 He's a grown-up. 211 00:07:42,975 --> 00:07:45,227 He just needs to go on a vacation. 212 00:07:45,311 --> 00:07:47,063 Can't you at least try 213 00:07:47,146 --> 00:07:49,356 to get him to promise to come back in one piece? 214 00:07:51,025 --> 00:07:53,194 He doesn't like to listen. 215 00:07:53,277 --> 00:07:54,820 So make him. 216 00:08:01,243 --> 00:08:02,243 Fuck it. Check my DMs. 217 00:08:02,286 --> 00:08:03,537 She hit me up. 218 00:08:03,621 --> 00:08:05,414 Sure, baby. I didn't even respond. 219 00:08:05,498 --> 00:08:07,166 Scavenger hunt? 220 00:08:07,249 --> 00:08:08,235 Yeah, something like that. 221 00:08:08,250 --> 00:08:09,250 You need a hand? 222 00:08:09,293 --> 00:08:10,711 Nope. You do you. 223 00:08:13,047 --> 00:08:14,298 What do we got? 224 00:08:14,381 --> 00:08:16,300 Barrett Dunkle, 34, decent vitals 225 00:08:16,383 --> 00:08:18,636 given he has Old Glory jammed in his chest. 226 00:08:18,719 --> 00:08:22,223 Satting 91 on 15 liters, BP 132 over 87, 227 00:08:22,306 --> 00:08:23,891 tachy at 112. 228 00:08:23,974 --> 00:08:25,142 Dr. Abbot's expecting you. 229 00:08:25,226 --> 00:08:27,603 Whoa, whoa, whoa, whoa, whoa, man! 230 00:08:27,686 --> 00:08:29,855 - What the fuck? - I'll call you back, baby. 231 00:08:32,441 --> 00:08:33,427 Shit. 232 00:08:33,442 --> 00:08:34,442 I thought I cleared it. 233 00:08:34,485 --> 00:08:35,471 Was it sticking out? 234 00:08:35,486 --> 00:08:37,238 Sticking out, my ass! 235 00:08:37,321 --> 00:08:38,614 Man, this is on you. 236 00:08:38,697 --> 00:08:40,032 You went wide, and you clipped the shit. 237 00:08:40,116 --> 00:08:41,659 Bikes shouldn't be parked there. 238 00:08:41,742 --> 00:08:43,369 It was sticking out. Had to be. 239 00:08:43,452 --> 00:08:45,663 Ain't no fucking way. 240 00:08:45,746 --> 00:08:47,456 Oh, no, you paying for this. 241 00:08:47,540 --> 00:08:49,291 Either you or the city, but you paying for this! 242 00:08:49,375 --> 00:08:50,793 Seriously? We don't need this hassle. 243 00:08:50,876 --> 00:08:51,919 I know. I know. 244 00:08:52,002 --> 00:08:53,546 Fuck! How bad is it? 245 00:08:53,629 --> 00:08:54,615 Not really good. 246 00:08:54,630 --> 00:08:55,714 Fuck! 247 00:08:55,798 --> 00:08:56,798 Is that you, you motherfucker? 248 00:08:56,841 --> 00:08:58,425 Yeah, you better believe it! 249 00:08:58,509 --> 00:08:59,927 I'm gonna take this thing out of my chest 250 00:09:00,010 --> 00:09:01,846 and shove it up your fucking ass! 251 00:09:01,929 --> 00:09:03,764 You hit me with a fucking Rolling Rock, man. 252 00:09:03,848 --> 00:09:05,099 So you got Iwo Jima'd! 253 00:09:05,182 --> 00:09:06,475 You fucking cheated, man. 254 00:09:06,559 --> 00:09:07,726 Every detail must be… 255 00:09:07,810 --> 00:09:09,728 OK, say bye-bye, gentlemen! 256 00:09:09,812 --> 00:09:11,313 You're on different health journeys now. 257 00:09:11,397 --> 00:09:12,940 I'm going to go see Ahmad. 258 00:09:13,023 --> 00:09:15,359 It's all gonna be on the security video. 259 00:09:16,777 --> 00:09:17,903 Robby's gonna shit. 260 00:09:20,322 --> 00:09:22,199 OK. 261 00:09:22,283 --> 00:09:23,742 Hey, a little help? 262 00:09:23,826 --> 00:09:25,161 All right, he's going straight to Trauma 2. 263 00:09:25,244 --> 00:09:26,495 What is his story? 264 00:09:26,579 --> 00:09:27,872 Bottle to the face, strong vitals, 265 00:09:27,955 --> 00:09:28,998 12-centimeter facial lac. 266 00:09:29,081 --> 00:09:30,499 Yeah, where do you want us? 267 00:09:30,583 --> 00:09:32,835 - North 4 just got cleaned. - To the North. 268 00:09:32,918 --> 00:09:35,129 Abbot, single MVA en route. Five away. 269 00:09:35,212 --> 00:09:37,006 Olive, can you find Robby and Al-Hashimi? 270 00:09:37,089 --> 00:09:38,382 We may need a couple more hands 271 00:09:38,465 --> 00:09:39,842 until we get caught up with these two. 272 00:09:39,925 --> 00:09:40,968 Sir, we are gonna get you more pain meds… 273 00:09:41,051 --> 00:09:42,428 It hurts. 274 00:09:42,511 --> 00:09:43,721 But you need to shut your fucking mouth. 275 00:09:43,804 --> 00:09:45,222 The acronym is SMART, 276 00:09:45,306 --> 00:09:47,516 Single Maintenance and Reliever Therapy. 277 00:09:47,600 --> 00:09:50,603 It's one inhaler that combines an inhaled corticosteroid 278 00:09:50,686 --> 00:09:53,272 with a fast-acting, long-lasting beta agonist. 279 00:09:53,355 --> 00:09:55,941 That's fancy talk for an anti-inflammatory 280 00:09:56,025 --> 00:09:58,777 and a lung muscle relaxer all rolled into one. 281 00:09:58,861 --> 00:10:01,197 But it's $400. And without Medicaid… 282 00:10:01,280 --> 00:10:03,157 We can help you look into coverage options. 283 00:10:03,240 --> 00:10:04,950 - Thank you. - Of course. 284 00:10:05,034 --> 00:10:07,077 Grady should feel worlds better in a few hours. 285 00:10:07,161 --> 00:10:09,163 Thank you. 286 00:10:09,246 --> 00:10:13,417 So what are my chances of getting off the table alive? 287 00:10:13,500 --> 00:10:16,045 Once you're cleared by the heart and lung specialists 288 00:10:16,128 --> 00:10:20,257 next week, chances of death are low, like 1% or 2%. 289 00:10:20,341 --> 00:10:22,760 And how long would I be in surgery for? 290 00:10:22,843 --> 00:10:25,512 Between three and five hours. 291 00:10:25,596 --> 00:10:26,722 Jeez. 292 00:10:26,805 --> 00:10:28,182 It's long… 293 00:10:28,265 --> 00:10:31,602 Because they have to stop your heart. 294 00:10:31,685 --> 00:10:34,813 You will be on a heart-lung bypass machine, 295 00:10:34,897 --> 00:10:37,650 which will be circulating your blood while they repair 296 00:10:37,733 --> 00:10:39,818 the aneurysm with the graft. 297 00:10:39,902 --> 00:10:41,987 Well, what's the graft made out of? 298 00:10:42,071 --> 00:10:46,200 A synthetic fabric called Dacron, super strong. 299 00:10:46,283 --> 00:10:47,534 OK. 300 00:10:47,618 --> 00:10:49,578 New hoses, new gaskets. 301 00:10:49,662 --> 00:10:51,372 Then what happens after surgery? 302 00:10:51,455 --> 00:10:53,749 You will be in the hospital for about a week. 303 00:10:53,832 --> 00:10:55,626 No work for eight weeks after that, 304 00:10:55,709 --> 00:10:57,044 no strenuous activity, 305 00:10:57,127 --> 00:11:00,422 no lifting anything over 5 pounds. 306 00:11:00,506 --> 00:11:03,592 How am I supposed to take a piss? 307 00:11:03,676 --> 00:11:05,469 Nice. 308 00:11:08,639 --> 00:11:11,809 And how long till I'm back up to full speed? 309 00:11:11,892 --> 00:11:15,062 Three months, maybe more like six, given your age. 310 00:11:17,147 --> 00:11:18,941 And if I don't get the surgery? 311 00:11:21,402 --> 00:11:23,862 50% chance of death within 12 months 312 00:11:23,946 --> 00:11:25,447 if the aneurysm ruptures. 313 00:11:26,657 --> 00:11:29,618 What would I feel if it ruptured? 314 00:11:31,787 --> 00:11:34,206 Some chest pain, maybe some shortness of breath 315 00:11:34,290 --> 00:11:36,750 for about a minute before you passed out from blood loss. 316 00:11:36,834 --> 00:11:38,711 And then? 317 00:11:38,794 --> 00:11:40,045 The big fade out? 318 00:11:40,129 --> 00:11:42,840 Roll the credits. 319 00:11:48,637 --> 00:11:50,723 Quite the coin flip. 320 00:11:50,806 --> 00:11:53,058 No coin flip. This has to happen. 321 00:11:53,142 --> 00:11:55,811 But I do worry that you are not gonna make your appointments 322 00:11:55,894 --> 00:11:58,647 or follow your aftercare instructions if I'm not here. 323 00:11:58,731 --> 00:12:00,482 Sorry, Robby, Abbot asked for me to grab you 324 00:12:00,566 --> 00:12:01,775 for an MVA on route. 325 00:12:04,361 --> 00:12:05,612 Do what you gotta do, man. 326 00:12:05,696 --> 00:12:07,364 I gotta sit with this for a minute. 327 00:12:09,366 --> 00:12:11,994 You go ahead and get dressed. 328 00:12:12,077 --> 00:12:13,620 I'll come back. 329 00:12:41,440 --> 00:12:43,359 Monica got an ICU bed upstairs 330 00:12:43,442 --> 00:12:45,819 so we can take Orlando up now. 331 00:12:45,903 --> 00:12:47,905 - We'll prep him for transfer. - Thanks, hon. 332 00:12:47,988 --> 00:12:49,740 We need this room again in a minute. 333 00:13:01,168 --> 00:13:02,211 All good? 334 00:13:02,294 --> 00:13:04,755 Uh, totally. 335 00:13:04,838 --> 00:13:07,216 Uh, totally? 336 00:13:07,299 --> 00:13:09,593 Look, once more, I feel compelled 337 00:13:09,676 --> 00:13:13,931 to offer some unasked for and probably unwanted advice. 338 00:13:15,099 --> 00:13:17,434 Javadi wasn't making a TikTok video. 339 00:13:17,518 --> 00:13:18,977 She's been posting about Jesse, 340 00:13:19,061 --> 00:13:21,146 trying to find someone who knows where he is. 341 00:13:21,230 --> 00:13:22,481 Ah. 342 00:13:23,649 --> 00:13:26,360 And even if she were making one of her videos, 343 00:13:26,443 --> 00:13:27,569 you ever watched one? 344 00:13:27,653 --> 00:13:29,071 No. 345 00:13:29,154 --> 00:13:30,781 No, my account was suspended 346 00:13:30,864 --> 00:13:33,283 for erotically seditious content. 347 00:13:33,367 --> 00:13:35,244 Well, they're not what you think. 348 00:13:35,327 --> 00:13:36,620 They're actually kind of cool. 349 00:13:36,703 --> 00:13:38,747 It's like this badass self-care. 350 00:13:38,831 --> 00:13:40,707 Huh. 351 00:13:40,791 --> 00:13:42,167 OK, that is it. 352 00:13:42,251 --> 00:13:43,669 I'm going to bury myself in charting 353 00:13:43,752 --> 00:13:44,920 and try to dig my way out. 354 00:13:45,003 --> 00:13:46,213 Edith Lynch, 46, 355 00:13:46,296 --> 00:13:47,714 right-sided chest pain for an hour. 356 00:13:47,798 --> 00:13:49,049 No cardiac history, 357 00:13:49,133 --> 00:13:50,634 minimal relief from sublingual nitro, 358 00:13:50,717 --> 00:13:52,177 - no STEMI on the 12-lead. - Dana? 359 00:13:52,261 --> 00:13:54,430 South 15. 360 00:13:54,513 --> 00:13:56,056 Hi, Edith. I'm Dr. Al-Hashimi. 361 00:13:56,140 --> 00:13:58,016 We'll be taking care of you today. 362 00:13:58,100 --> 00:14:00,394 Absent lung sliding on the right. 363 00:14:00,477 --> 00:14:01,728 I could have told you that from here. 364 00:14:01,812 --> 00:14:03,188 God bless America. 365 00:14:03,272 --> 00:14:04,898 Hemodynamically stable. 366 00:14:04,982 --> 00:14:06,608 I'll put in a 20 French, and then right up to the OR. 367 00:14:06,692 --> 00:14:08,318 Whoa, whoa, whoa! Hold on! 368 00:14:08,402 --> 00:14:09,528 I need surgery? 369 00:14:09,611 --> 00:14:10,988 Sir, you have a collapsed lung. 370 00:14:11,071 --> 00:14:12,281 We need to put a tube in your chest to see 371 00:14:12,364 --> 00:14:13,699 how much internal bleeding there is. 372 00:14:13,782 --> 00:14:15,284 Oh, come on, man, just pull it out! 373 00:14:15,367 --> 00:14:16,785 - Nuh-uh. - No. 374 00:14:16,869 --> 00:14:18,871 OK, everyone knows what to do here, right? 375 00:14:18,954 --> 00:14:21,707 We're gonna take this at a nice slow pace, moving together. 376 00:14:21,790 --> 00:14:23,250 If anyone has an issue, speak up. 377 00:14:23,333 --> 00:14:25,335 There are a lot of moving parts here. 378 00:14:25,419 --> 00:14:27,004 Are they going up to ICU finally? 379 00:14:27,087 --> 00:14:28,073 - Yes. - Great. 380 00:14:28,088 --> 00:14:29,506 How you doing? 381 00:14:29,590 --> 00:14:30,966 Is that a trick question, or… 382 00:14:31,049 --> 00:14:33,135 Not intended to be, no. 383 00:14:33,218 --> 00:14:34,595 Then not great. 384 00:14:34,678 --> 00:14:36,513 This one got past me. 385 00:14:36,597 --> 00:14:39,224 Well, listen, you tried to find a viable payment plan. 386 00:14:39,308 --> 00:14:40,893 You tried to keep him here. 387 00:14:40,976 --> 00:14:42,853 You even tried to give him a goodie bag, but he left. 388 00:14:42,936 --> 00:14:44,021 I'm not sure what else you could have done. 389 00:14:44,104 --> 00:14:45,731 Been more persuasive. 390 00:14:45,814 --> 00:14:48,817 This was the patient's call… his life, his mistake. 391 00:14:48,901 --> 00:14:51,028 What mistake, getting diabetes? 392 00:14:51,111 --> 00:14:53,739 Not picking a higher spot to jump from. 393 00:15:04,041 --> 00:15:05,792 History of hyperlipidemia, 394 00:15:05,876 --> 00:15:08,045 an hour of substernal chest pain, 395 00:15:08,128 --> 00:15:10,672 minimal relief with nitro and 4 of MS. 396 00:15:10,756 --> 00:15:12,716 EKG is negative for STEMI. 397 00:15:12,799 --> 00:15:17,012 Heart score is 4, gave 324 milligrams of chewable aspirin, 398 00:15:17,095 --> 00:15:18,764 admit for new onset angina. 399 00:15:18,847 --> 00:15:20,766 Don't mind me. I'm just passing through. 400 00:15:20,849 --> 00:15:22,351 Seemed like you wanted an update. 401 00:15:22,434 --> 00:15:23,810 Well, as long as you feel like you got it covered. 402 00:15:23,894 --> 00:15:25,270 I do. 403 00:15:25,354 --> 00:15:26,980 Go ahead and repeat the 12-lead. 404 00:15:27,064 --> 00:15:28,565 Since I'm here, I did want to ask you about something 405 00:15:28,649 --> 00:15:29,858 I observed earlier. 406 00:15:29,942 --> 00:15:31,193 Oh, you gotta be fucking kidding me. 407 00:15:31,276 --> 00:15:32,694 What? 408 00:15:32,778 --> 00:15:34,404 Look where these anterior leads are placed. 409 00:15:34,488 --> 00:15:36,573 They're way too low. 410 00:15:36,657 --> 00:15:37,658 Holy shit! What's happening? 411 00:15:37,741 --> 00:15:39,618 Mrs. Lynch? V-tach! 412 00:15:39,701 --> 00:15:40,827 No pulse. 413 00:15:40,911 --> 00:15:43,288 Charge to 200. 414 00:15:43,372 --> 00:15:44,623 Charged. 415 00:15:44,706 --> 00:15:46,833 And clear. 416 00:15:46,917 --> 00:15:48,794 OK. Normal sinus. 417 00:15:48,877 --> 00:15:51,088 Strong pulse. Cycle a BP. 418 00:15:53,006 --> 00:15:54,591 Let's repeat that EKG, please. 419 00:15:54,675 --> 00:15:56,760 Put the leads in the right fucking place. 420 00:15:56,843 --> 00:15:59,388 - Who were the medics on this? - Bosco and Otero. 421 00:15:59,471 --> 00:16:01,098 Bosco and Otero. 422 00:16:01,181 --> 00:16:03,976 OK, Bosco and Otero. 423 00:16:04,059 --> 00:16:05,769 See you on Monday. 424 00:16:05,852 --> 00:16:07,646 May your night go smoother than my day. 425 00:16:07,729 --> 00:16:09,273 Happy 4th. 426 00:16:09,356 --> 00:16:11,149 Heard it's been crazy. They shut down when ICE came. 427 00:16:11,233 --> 00:16:13,402 Separate events. Get someone else to explain. 428 00:16:13,485 --> 00:16:14,695 I'm going home. 429 00:16:14,778 --> 00:16:16,863 Damn, what is that? That smells good. 430 00:16:16,947 --> 00:16:18,115 Food from home. 431 00:16:18,198 --> 00:16:19,741 I can't do the cafeteria. 432 00:16:19,825 --> 00:16:21,243 Oh, you gotta give me that recipe. 433 00:16:21,326 --> 00:16:22,953 - I'm going home. - Get home safe. 434 00:16:23,036 --> 00:16:24,036 Mm-hmm. 435 00:16:27,374 --> 00:16:29,585 - Hey. - Hey. 436 00:16:29,668 --> 00:16:31,336 - I'm starving. - Of course. 437 00:16:31,420 --> 00:16:33,547 I will give you $20 for whatever that smell is. 438 00:16:33,630 --> 00:16:34,923 I'll give you some. 439 00:16:35,007 --> 00:16:36,133 - I made too much anyway. - Thank you. 440 00:16:36,216 --> 00:16:37,301 - Just give me a sec. - Yeah. 441 00:16:37,384 --> 00:16:38,760 How can I help you? 442 00:16:38,844 --> 00:16:39,845 My granddad just about cut his hand off 443 00:16:39,928 --> 00:16:41,221 with a tug-of-war rope. 444 00:16:41,305 --> 00:16:43,932 Hi, I…I remember you from earlier. 445 00:16:44,016 --> 00:16:45,100 You're having a family reunion, right? 446 00:16:45,183 --> 00:16:46,351 Yeah. 447 00:16:46,435 --> 00:16:47,853 Is your hand actively bleeding? 448 00:16:47,936 --> 00:16:50,856 Oh, not so bad. Here, take a look. 449 00:16:50,939 --> 00:16:52,232 Mateo, one to come straight back! 450 00:16:52,316 --> 00:16:54,276 - Oh, my God. - Cover that up, please. 451 00:16:54,359 --> 00:16:56,278 I'll need to get a demographics from you. 452 00:16:56,361 --> 00:16:57,863 You got them already. 453 00:16:57,946 --> 00:16:59,698 Hansens been in and out of here all day long. 454 00:16:59,781 --> 00:17:00,991 How did this happen? 455 00:17:01,074 --> 00:17:02,200 He had the rope wrapped around his hand, 456 00:17:02,284 --> 00:17:03,660 cut through it like a machete. 457 00:17:03,744 --> 00:17:05,495 Have a seat, sir. I'll take you right back. 458 00:17:05,579 --> 00:17:08,373 And how would you rate your pain on a scale from 1 to 10? 459 00:17:08,457 --> 00:17:11,335 Oh, it's not too bad on account of my sugars. 460 00:17:12,461 --> 00:17:14,838 With his diabetes, his sensation's a little off. 461 00:17:14,921 --> 00:17:15,907 Yeah. 462 00:17:15,922 --> 00:17:16,965 After you. 463 00:17:17,049 --> 00:17:18,035 Thanks. 464 00:17:18,050 --> 00:17:20,218 Ow. What the fuck? 465 00:17:20,302 --> 00:17:21,887 Trigeminal nerve is good. 466 00:17:21,970 --> 00:17:24,181 Shit! You gonna fix me or torture me? 467 00:17:24,264 --> 00:17:26,475 Ooh, ouch! 468 00:17:26,558 --> 00:17:28,602 Yeah, I need to call plastics. 469 00:17:28,685 --> 00:17:31,229 I called a "kiss off the two, off the rail." 470 00:17:31,313 --> 00:17:33,231 Fucker said I didn't call it. 471 00:17:33,315 --> 00:17:36,193 Okay, yes, it was a bit noisy. The fourth is Styx night. 472 00:17:36,276 --> 00:17:37,986 But I called it. I have witnesses. 473 00:17:38,070 --> 00:17:39,363 Styx, the band? 474 00:17:39,446 --> 00:17:40,432 Yeah. 475 00:17:40,447 --> 00:17:41,531 Ah, love Styx. 476 00:17:41,615 --> 00:17:42,866 I never heard of them. 477 00:17:42,949 --> 00:17:44,785 You never heard of Styx? 478 00:17:44,868 --> 00:17:46,036 "Mr. Roboto"? 479 00:17:46,119 --> 00:17:48,622 My Spotify age isn't 62. 480 00:17:48,705 --> 00:17:51,249 "Come Sail Away"? "Lady"? "Babe"? 481 00:17:52,709 --> 00:17:55,045 Yeah, maybe best if you don't talk. 482 00:17:55,128 --> 00:17:57,714 Looks like there's some sort of foreign body in there. 483 00:17:57,798 --> 00:17:59,341 Mm-hmm. 484 00:17:59,424 --> 00:18:00,842 Are you OK? 485 00:18:00,926 --> 00:18:02,886 Yeah, it's just an awkward position. 486 00:18:02,969 --> 00:18:05,055 Go home. Rest, heat, ice. 487 00:18:05,138 --> 00:18:06,306 Yeah, no, no, I know. 488 00:18:06,390 --> 00:18:08,141 I'm just waiting for things to slow down. 489 00:18:08,225 --> 00:18:10,644 You know, express trains don't stop at your station. 490 00:18:11,895 --> 00:18:13,980 You just gotta jump. 491 00:18:14,064 --> 00:18:15,107 What is that? 492 00:18:15,190 --> 00:18:16,358 Heineken? 493 00:18:16,441 --> 00:18:17,427 Moosehead? 494 00:18:17,442 --> 00:18:18,819 Oh. 495 00:18:18,902 --> 00:18:21,488 From the glass-lined tanks of Old Latrobe. 496 00:18:21,571 --> 00:18:23,490 Ah, Rolling Rock. 497 00:18:23,573 --> 00:18:24,574 Nice. 498 00:18:29,204 --> 00:18:30,914 She's had four of morphine. 499 00:18:30,997 --> 00:18:32,374 How's the pain? 500 00:18:32,457 --> 00:18:33,667 Down to an 8. 501 00:18:33,750 --> 00:18:35,127 There it is, lateral STEMI. 502 00:18:35,210 --> 00:18:36,378 OK, call it in. 503 00:18:36,461 --> 00:18:38,046 The leads were too low to catch it? 504 00:18:38,130 --> 00:18:39,589 Yeah, it's not the first time it's happened. 505 00:18:39,673 --> 00:18:41,133 You get a male medic who's more concerned about 506 00:18:41,216 --> 00:18:42,676 getting sued or a complaint for undoing a bra. 507 00:18:42,759 --> 00:18:44,136 You see these anterior leads here? 508 00:18:44,219 --> 00:18:45,554 Code STEMI, South 15. 509 00:18:45,637 --> 00:18:46,888 Edith, you're having a heart attack 510 00:18:46,972 --> 00:18:48,390 from a blockage in the artery 511 00:18:48,473 --> 00:18:50,100 that brings oxygen to your heart muscle. 512 00:18:50,183 --> 00:18:52,310 - If we get you to the… - Lateral STEMI, V-tach arrest. 513 00:18:52,394 --> 00:18:54,271 Got her back after one shock. She needs the cath lab. 514 00:18:54,354 --> 00:18:55,981 - And serious heart damage. - Oh, my God. 515 00:18:56,064 --> 00:18:58,734 - You're going to be OK. - Hello, I'm Dr. Cruz. 516 00:18:58,817 --> 00:19:00,444 And I'm Dr. Shen. How are you feeling? 517 00:19:00,527 --> 00:19:01,862 I'm really scared. 518 00:19:01,945 --> 00:19:03,572 We've got you. Anything else? 519 00:19:03,655 --> 00:19:05,657 Uh, like I got kicked in the chest. 520 00:19:05,741 --> 00:19:07,367 Normal after a shock to the heart. 521 00:19:07,451 --> 00:19:09,119 - Family? - Yeah, husband's en route. 522 00:19:09,202 --> 00:19:10,871 Leave the defib pads on and take her up in a minute. 523 00:19:10,954 --> 00:19:12,247 I'm gonna chaperone a nerve block real quick. 524 00:19:12,330 --> 00:19:13,331 Go. 525 00:19:15,375 --> 00:19:17,002 Where's Dr. Al-Hashimi? 526 00:19:17,085 --> 00:19:18,920 She was just here. 527 00:19:28,346 --> 00:19:30,474 Hello, everyone. I'm Dr. Shen. 528 00:19:30,557 --> 00:19:32,309 Heard a rumor someone needed a nerve block. 529 00:19:32,392 --> 00:19:33,977 I'm guessing that's you. 530 00:19:34,060 --> 00:19:36,021 Probably so, although, 531 00:19:36,104 --> 00:19:37,606 you know, I don't have much pain. 532 00:19:37,689 --> 00:19:39,691 I guess it's my diabetes. 533 00:19:39,775 --> 00:19:43,236 We still need to numb you up to do a proper deep clean. 534 00:19:43,320 --> 00:19:45,155 You guys do whatever you gotta do. 535 00:19:45,238 --> 00:19:47,616 Three shots, median, ulnar, and radial. 536 00:19:47,699 --> 00:19:49,493 2 grams of Ancef, 100 milligrams of Gent 537 00:19:49,576 --> 00:19:50,702 for gram-negative coverage. 538 00:19:50,786 --> 00:19:52,078 How'd you do this? 539 00:19:52,162 --> 00:19:54,748 Oh, a family reunion tug-of-war. 540 00:19:54,831 --> 00:19:56,917 I wrapped the rope around my hand for better grip. 541 00:19:57,000 --> 00:19:59,961 And when we fell down, those bastards just kept pulling. 542 00:20:00,045 --> 00:20:01,505 Dirty. 543 00:20:01,588 --> 00:20:04,049 Nah, it's just… just the way we play. 544 00:20:06,927 --> 00:20:08,345 Michael, you got a second? 545 00:20:08,428 --> 00:20:09,930 Uh, not really, no. 546 00:20:10,013 --> 00:20:11,723 Well, how about showing me a little respect 547 00:20:11,807 --> 00:20:13,892 and finding one? 548 00:20:13,975 --> 00:20:15,018 Sorry, Caleb. 549 00:20:15,101 --> 00:20:16,520 Are you feeling disrespected? 550 00:20:16,603 --> 00:20:18,522 Given that you've been actively blowing me off 551 00:20:18,605 --> 00:20:20,148 all day, yeah, maybe a little bit. 552 00:20:20,232 --> 00:20:21,566 But I have a thick skin. 553 00:20:22,943 --> 00:20:24,486 What can I do for you? 554 00:20:24,569 --> 00:20:27,405 "Should have found a higher place to jump from." 555 00:20:27,489 --> 00:20:29,783 It's an interesting diagnosis, Doctor. 556 00:20:33,745 --> 00:20:35,372 No pithy retort? 557 00:20:35,455 --> 00:20:37,415 Yeah, I didn't think so. 558 00:20:37,499 --> 00:20:39,709 Uh, I just came to say goodbye. 559 00:20:39,793 --> 00:20:41,419 I'm leaving soon. 560 00:20:41,503 --> 00:20:43,129 I know you are too. 561 00:20:44,548 --> 00:20:46,132 Yes. 562 00:20:47,509 --> 00:20:49,761 Keep my number handy, just in case, huh? 563 00:20:49,845 --> 00:20:51,763 Yes, I promise I will. 564 00:20:51,847 --> 00:20:53,056 Thank you, Caleb. 565 00:20:55,559 --> 00:20:57,769 We're gonna give you one Diflucan pill to take home. 566 00:20:57,853 --> 00:21:00,647 Take it in three days if your symptoms persist. 567 00:21:00,730 --> 00:21:02,440 How do I get there? 568 00:21:02,524 --> 00:21:03,859 Where's that? 569 00:21:03,942 --> 00:21:05,527 Home. 570 00:21:05,610 --> 00:21:06,820 Do you know where you live? 571 00:21:06,903 --> 00:21:08,738 Of course I do. It's not far. 572 00:21:08,822 --> 00:21:11,116 But I don't have a way to get there. 573 00:21:12,367 --> 00:21:13,952 How'd you get here? 574 00:21:14,035 --> 00:21:16,288 My…my neighbor Gwen dropped me off, 575 00:21:16,371 --> 00:21:18,623 but she can't drive at night. 576 00:21:18,707 --> 00:21:21,334 We could call you an Uber or a taxi. 577 00:21:21,418 --> 00:21:24,004 I don't have any money. 578 00:21:24,087 --> 00:21:25,672 Excuse me. 579 00:21:25,755 --> 00:21:27,257 Can I help? 580 00:21:27,340 --> 00:21:28,967 Mrs. Clymer has been discharged, 581 00:21:29,050 --> 00:21:30,036 but has no way home. 582 00:21:30,051 --> 00:21:31,051 I'm so sorry. 583 00:21:31,094 --> 00:21:32,080 I don't mean to be a burden. 584 00:21:32,095 --> 00:21:33,388 No burden at all. 585 00:21:33,471 --> 00:21:36,308 Why don't we call you a Lyft? 586 00:21:36,391 --> 00:21:37,642 What is that? 587 00:21:37,726 --> 00:21:38,977 It's like a taxi service. 588 00:21:39,060 --> 00:21:40,812 If you put your address in here, 589 00:21:40,896 --> 00:21:43,231 a car will arrive in a few minutes to bring you home. 590 00:21:43,315 --> 00:21:44,566 - Oh. - My treat. 591 00:21:45,859 --> 00:21:49,863 That's very kind of you, truly. 592 00:21:49,946 --> 00:21:51,448 Perfect. 593 00:21:51,531 --> 00:21:53,491 OK, Olive, could you take Mrs. Clymer out 594 00:21:53,575 --> 00:21:56,202 to the ambulance bay, where Florian will be 595 00:21:56,286 --> 00:21:58,371 arriving in six minutes in a white Toyota Camry? 596 00:21:58,455 --> 00:21:59,581 You bet. 597 00:21:59,664 --> 00:22:00,957 Thank you. 598 00:22:01,041 --> 00:22:03,084 I could use some good karma. 599 00:22:03,168 --> 00:22:04,878 OK. 600 00:22:07,714 --> 00:22:09,925 Oh, uh, hey. 601 00:22:11,509 --> 00:22:12,802 Relax, buddy. 602 00:22:12,886 --> 00:22:14,638 It's Advil. 603 00:22:14,721 --> 00:22:16,932 No, I didn't think you were… 604 00:22:18,350 --> 00:22:20,018 Headache? 605 00:22:20,101 --> 00:22:23,063 Uh, I tweaked my back a little 606 00:22:23,146 --> 00:22:25,899 lifting that overheated kid. 607 00:22:25,982 --> 00:22:27,233 I guess I should get used to 608 00:22:27,317 --> 00:22:29,986 playing through the pain again, huh? 609 00:22:30,070 --> 00:22:32,447 You look like you got into shape since I saw you last. 610 00:22:32,530 --> 00:22:34,407 Didn't peg you as a gym guy. 611 00:22:34,491 --> 00:22:35,825 Oh, no. 612 00:22:35,909 --> 00:22:38,620 I'm maybe more of a barn guy. 613 00:22:38,703 --> 00:22:41,665 I'm helping out a friend on the farm, so… 614 00:22:43,333 --> 00:22:44,376 Nice. 615 00:22:44,459 --> 00:22:46,086 I'm picturing "Babe," 616 00:22:46,169 --> 00:22:47,879 except instead of Farmer Hoggett, it's you. 617 00:22:47,963 --> 00:22:49,255 And instead of a pig… 618 00:22:49,339 --> 00:22:51,132 Can you cut the shit? 619 00:22:52,759 --> 00:22:54,052 Excuse me? 620 00:22:54,135 --> 00:22:56,304 The sarcasm thing, the…the…the… 621 00:22:56,388 --> 00:22:58,056 the little buddy routine, like…like…like, 622 00:22:58,139 --> 00:22:59,933 you're what, you're the Skipper, I'm Gilligan? 623 00:23:00,016 --> 00:23:01,851 Dude, you're not the Skipper. 624 00:23:01,935 --> 00:23:04,104 I know I'm not the Skipper. Robby is the Skipper. 625 00:23:04,187 --> 00:23:06,231 No, Robby is the Professor. Dana's the Skipper. 626 00:23:06,314 --> 00:23:07,774 OK, somebody's watched a lot of Nick at Nite. 627 00:23:07,857 --> 00:23:10,193 So who am I? 628 00:23:10,276 --> 00:23:12,362 Play whatever part you like. 629 00:23:12,445 --> 00:23:14,656 Just don't pick mine for me. 630 00:23:16,241 --> 00:23:17,534 OK. 631 00:23:17,617 --> 00:23:19,577 OK, that's fair. 632 00:23:19,661 --> 00:23:21,246 You got it. 633 00:23:21,329 --> 00:23:23,456 Thank you. 634 00:23:23,540 --> 00:23:25,875 You headed home? 635 00:23:25,959 --> 00:23:28,628 Uh, no, I'm waiting on Robby. 636 00:23:28,712 --> 00:23:30,422 He asked me to house-sit while he's gone. 637 00:23:30,505 --> 00:23:33,258 So I'm waiting for the keys, the alarm code. 638 00:23:34,676 --> 00:23:36,011 Nice. Nice. 639 00:23:36,094 --> 00:23:37,887 Yeah, I've… I've seen his place. 640 00:23:37,971 --> 00:23:40,181 You're in for a sweet setup. 641 00:23:40,265 --> 00:23:42,267 Cool. 642 00:23:42,350 --> 00:23:46,104 I'm sorry if I came across a little strong. 643 00:23:46,187 --> 00:23:48,440 Don't apologize for standing up for yourself. 644 00:23:48,523 --> 00:23:50,442 It's a healthy habit. 645 00:23:52,485 --> 00:23:54,279 You know, I really don't need to see this again. 646 00:23:54,362 --> 00:23:55,780 No, this is my favorite part. 647 00:23:57,407 --> 00:23:58,407 My hand's starting to cramp. 648 00:23:58,450 --> 00:23:59,617 We gotta be done soon. 649 00:23:59,701 --> 00:24:01,369 Oh, you can be done now. 650 00:24:01,453 --> 00:24:04,414 But if you want to the hospital to cover you, last one. 651 00:24:10,086 --> 00:24:13,131 Hey, Robby. It was an accident, man. 652 00:24:13,214 --> 00:24:14,674 What are you talking about? 653 00:24:14,758 --> 00:24:16,801 Your bike. 654 00:24:24,726 --> 00:24:27,187 Son of a bitch. 655 00:24:27,270 --> 00:24:29,981 Oh, motherfucker! 656 00:24:31,483 --> 00:24:33,443 Robby, GSW to the head. 657 00:24:33,526 --> 00:24:34,736 Somebody hit my bike. 658 00:24:34,819 --> 00:24:36,321 Dude, that sucks. 659 00:24:36,404 --> 00:24:37,822 Is it still rideable? 660 00:24:39,157 --> 00:24:40,700 It better be. 661 00:24:40,784 --> 00:24:42,952 Elbridge Gerry, 25, stable with good vitals. 662 00:24:43,036 --> 00:24:44,537 Of thee I sing 663 00:24:44,621 --> 00:24:46,122 Was shooting his .22 caliber pistol in the air 664 00:24:46,206 --> 00:24:47,624 with an aluminum pot on his head for protection. 665 00:24:47,707 --> 00:24:48,958 Didn't work. 666 00:24:49,042 --> 00:24:50,335 He's had about a quart of Seagrams 7 667 00:24:50,418 --> 00:24:51,628 and will probably light up a tox screen 668 00:24:51,711 --> 00:24:53,963 like a Roman candle. 669 00:24:54,047 --> 00:24:56,549 We start fucking 670 00:24:56,633 --> 00:24:58,009 Real wordsmith. 671 00:24:58,093 --> 00:24:59,427 Entry wound in the frontal scalp, 672 00:24:59,511 --> 00:25:00,762 seems to have tracked down the forehead. 673 00:25:00,845 --> 00:25:01,888 As alert and oriented as you can be 674 00:25:01,971 --> 00:25:03,139 after multiple bong hits. 675 00:25:03,223 --> 00:25:04,599 Got vital satting 98 on room air. 676 00:25:04,682 --> 00:25:05,934 - Sorry, Robby. - Don't you fucking leave. 677 00:25:06,017 --> 00:25:07,003 - I can explain. - I will be right back. 678 00:25:07,018 --> 00:25:08,004 What's this? 679 00:25:08,019 --> 00:25:09,395 Trauma 2. 680 00:25:09,479 --> 00:25:10,814 Low velocity GSW to the head, 681 00:25:10,897 --> 00:25:12,232 seems to have remained extracranial. 682 00:25:12,315 --> 00:25:13,817 Lucky guy. 683 00:25:13,900 --> 00:25:17,946 Gloria, Gloria, here's a dollar! 684 00:25:18,029 --> 00:25:20,490 After a fireworks explosion resulting 685 00:25:20,573 --> 00:25:22,867 in the loss of two fingers. 686 00:25:22,951 --> 00:25:25,036 Ooh, that sounds nasty. 687 00:25:25,120 --> 00:25:27,705 Yeah, that was a sad one. 688 00:25:27,789 --> 00:25:29,082 Parents were deported. 689 00:25:29,165 --> 00:25:31,501 Big sister works a full-time job 690 00:25:31,584 --> 00:25:33,044 and is the sole caregiver. 691 00:25:33,128 --> 00:25:34,712 Been there, done that. 692 00:25:34,796 --> 00:25:36,506 Your parents were deported? 693 00:25:36,589 --> 00:25:38,299 Oh, no. I thought she said departed. 694 00:25:39,968 --> 00:25:41,761 Did either of you guys work on 695 00:25:41,845 --> 00:25:44,597 the Revolutionary War reenactors earlier? 696 00:25:44,681 --> 00:25:47,308 Why, you didn't think you could pull off a tricorn hat? 697 00:25:47,392 --> 00:25:50,186 Maybe. 698 00:25:50,270 --> 00:25:51,813 I've always loved history, 699 00:25:51,896 --> 00:25:55,859 and Colonial Williamsburg was my favorite school trip. 700 00:25:55,942 --> 00:25:57,527 And, you know, there's always the Ren Faire, 701 00:25:57,610 --> 00:25:59,946 but that's just once a year. 702 00:26:00,029 --> 00:26:02,240 How often do you think the reenactors get together? 703 00:26:03,950 --> 00:26:05,660 I don't know. No. 704 00:26:05,743 --> 00:26:07,537 You should definitely look into that. 705 00:26:07,620 --> 00:26:08,788 - Yeah? - Yeah. 706 00:26:08,872 --> 00:26:10,081 OK. 707 00:26:20,091 --> 00:26:22,218 Deep-throated husky with a touch of bitch. 708 00:26:22,302 --> 00:26:23,678 That's her tune. 709 00:26:23,761 --> 00:26:25,013 That's what I thought, but you're the expert. 710 00:26:25,096 --> 00:26:26,639 I just needed to make sure. 711 00:26:28,099 --> 00:26:29,809 I was going through Billings once. 712 00:26:29,893 --> 00:26:33,396 Cop saw my colors, jacked me up, 713 00:26:33,479 --> 00:26:34,814 kept me overnight. 714 00:26:34,898 --> 00:26:38,484 They threw my sweetheart in the impound yard. 715 00:26:38,568 --> 00:26:40,361 They claimed someone backed into it, 716 00:26:40,445 --> 00:26:43,573 but you could see where they took their hammer to it, man. 717 00:26:43,656 --> 00:26:45,033 You gotta be careful out there. 718 00:26:45,116 --> 00:26:46,367 This is all pretty minor, though, right? 719 00:26:46,451 --> 00:26:48,661 Yeah, shit, this is just cosmetic. 720 00:26:48,745 --> 00:26:51,164 Bring it in tomorrow, and we'll get Bonnie right. 721 00:26:51,247 --> 00:26:52,874 Well, this will bend back. This will tighten up. 722 00:26:52,957 --> 00:26:54,584 - I can do all that myself. - Jesus, let me do it. 723 00:26:54,667 --> 00:26:55,835 - There's no charge. - What? 724 00:26:55,919 --> 00:26:57,212 You don't owe me anything, except 725 00:26:57,295 --> 00:26:59,714 take care of yourself while I'm gone. 726 00:26:59,797 --> 00:27:01,591 Boy, this record never stops, huh? 727 00:27:01,674 --> 00:27:04,469 Nah, it's dance till you drop! 728 00:27:04,552 --> 00:27:05,970 Then what? 729 00:27:06,054 --> 00:27:08,056 Teach the kids the steps before you do. 730 00:27:08,139 --> 00:27:09,432 And then what? 731 00:27:09,515 --> 00:27:10,934 Hope they make it farther than you. 732 00:27:11,017 --> 00:27:12,560 Hey, Robby, you're coming or going? 733 00:27:12,644 --> 00:27:14,354 I'm going, pretty soon. What have you got here? 734 00:27:14,437 --> 00:27:17,273 Lyman Paine, 53, single MVC. 735 00:27:17,357 --> 00:27:18,441 Drove into a telephone pole. 736 00:27:18,524 --> 00:27:19,734 Passenger space intrusion? 737 00:27:19,817 --> 00:27:20,860 No, head on. 738 00:27:20,944 --> 00:27:21,930 Intoxicated? 739 00:27:21,945 --> 00:27:23,821 No ETOH on his breath. 740 00:27:23,905 --> 00:27:25,615 Either syncope, seizure, 741 00:27:25,698 --> 00:27:28,117 or he just fell asleep at the wheel. 742 00:27:28,201 --> 00:27:30,161 Airbag deployed, unconscious at the scene, 743 00:27:30,245 --> 00:27:31,231 but he's waking up. 744 00:27:31,246 --> 00:27:32,664 BP 140 over 80, 745 00:27:32,747 --> 00:27:34,457 pulse 120, pulse ox 98, 746 00:27:34,540 --> 00:27:35,708 no obvious injuries. 747 00:27:35,792 --> 00:27:36,778 Why don't you guys head on in? 748 00:27:36,793 --> 00:27:37,919 I'll meet you in a minute. 749 00:27:42,715 --> 00:27:45,426 Well, hey, buddy, I guess this is it. 750 00:27:45,510 --> 00:27:47,303 Make those appointments next week, you know? 751 00:27:47,387 --> 00:27:49,430 I'll call you from the road to make sure you do. 752 00:27:49,514 --> 00:27:51,099 - Don't do that, man. - What? 753 00:27:51,182 --> 00:27:53,059 Don't shine me on. 754 00:27:53,142 --> 00:27:55,019 I'm not. 755 00:27:55,103 --> 00:27:56,479 Jesus. 756 00:27:56,562 --> 00:27:58,273 I get it. 757 00:27:58,356 --> 00:28:01,276 Hard place to leave, a harder place to stay. 758 00:28:02,986 --> 00:28:04,112 Yeah. 759 00:28:06,531 --> 00:28:09,242 Look, I'm not ready to say goodbye yet. 760 00:28:09,325 --> 00:28:12,745 So go do what you gotta do, and I'll get some tools 761 00:28:12,829 --> 00:28:15,123 from the truck and see if I can't make 762 00:28:15,206 --> 00:28:17,333 Bonnie smile again for you. 763 00:28:21,004 --> 00:28:22,255 OK. 764 00:28:22,338 --> 00:28:23,923 OK, then. 765 00:28:30,972 --> 00:28:33,308 Robby, man, I'm so sorry. We've been on for 14 straight. 766 00:28:33,391 --> 00:28:34,934 - I thought I cleared it. - It's all right. 767 00:28:35,018 --> 00:28:36,227 Honestly, I feel terrible. 768 00:28:36,311 --> 00:28:38,062 No real harm done. 769 00:28:38,146 --> 00:28:39,856 I was bound to nick it up on the road anyway. 770 00:28:39,939 --> 00:28:43,151 First blood drawn, it's a good omen really. 771 00:28:43,234 --> 00:28:44,610 Thought he'd be more pissed. 772 00:28:44,694 --> 00:28:46,654 I thought you might get punched. 773 00:28:46,738 --> 00:28:48,156 Chest and belly look good. 774 00:28:48,239 --> 00:28:49,490 Let me drag Neurosurgery down here to deal with 775 00:28:49,574 --> 00:28:50,700 the C-spine before I go. 776 00:28:50,783 --> 00:28:53,202 - You off? - Yep, an hour ago. 777 00:28:53,286 --> 00:28:55,121 - Can't you tell? - How you doing, sir? 778 00:28:55,204 --> 00:28:57,832 Actually, not too good. 779 00:28:57,915 --> 00:28:59,167 The tingling is getting worse. 780 00:28:59,250 --> 00:29:00,835 It's in both my arms now. 781 00:29:00,918 --> 00:29:02,462 I feel like something's wrong. 782 00:29:02,545 --> 00:29:04,672 Hey, man. What are we looking at? 783 00:29:04,756 --> 00:29:07,300 Ran into a telephone pole, airbag deployed. 784 00:29:07,383 --> 00:29:08,843 Seizure? Stroke? 785 00:29:08,926 --> 00:29:10,178 Not sure. 786 00:29:10,261 --> 00:29:11,346 Possible C-spine. 787 00:29:11,429 --> 00:29:13,723 CT showed uni-facet dislocation. 788 00:29:13,806 --> 00:29:15,516 I'm trying not to freak out. 789 00:29:15,600 --> 00:29:17,101 I'm having trouble breathing. 790 00:29:17,185 --> 00:29:19,228 Squeeze my hand. 791 00:29:19,312 --> 00:29:20,813 Real hard. 792 00:29:20,897 --> 00:29:21,939 Three out of five strength. 793 00:29:22,023 --> 00:29:23,066 OK. 794 00:29:23,149 --> 00:29:24,567 10 milligrams dexamethasone. 795 00:29:24,650 --> 00:29:26,694 Dexamethasone? For spinal injury? 796 00:29:26,778 --> 00:29:28,279 It's compression from a jumped facet 797 00:29:28,363 --> 00:29:29,947 and maybe some ischemia from a kinked vessel. 798 00:29:30,031 --> 00:29:31,324 What's…what's happening? 799 00:29:31,407 --> 00:29:33,910 Sir, you have a partial dislocation 800 00:29:33,993 --> 00:29:35,495 of two vertebrae in your neck. 801 00:29:35,578 --> 00:29:37,330 It's putting pressure on your spinal cord. 802 00:29:37,413 --> 00:29:38,956 How do you fix it? 803 00:29:39,040 --> 00:29:41,709 We need Neurosurgery to screw a clamp 804 00:29:41,793 --> 00:29:43,628 into both sides of your skull 805 00:29:43,711 --> 00:29:46,506 and then use traction under X-ray guidance 806 00:29:46,589 --> 00:29:48,049 to get everything realigned. 807 00:29:48,132 --> 00:29:50,635 Like a chiropractic adjustment? 808 00:29:50,718 --> 00:29:53,471 It's a bit more complicated than that. 809 00:29:53,554 --> 00:29:55,348 I think I'm having a panic attack, 810 00:29:55,431 --> 00:29:58,309 because I can't even get a shallow breath. 811 00:29:58,393 --> 00:30:00,895 Or he's losing C3, 4, and 5. 812 00:30:00,978 --> 00:30:02,855 Uh, page Neurosurgery. 813 00:30:02,939 --> 00:30:04,941 - Garcia went to go get them. - No. Page overhead. 814 00:30:05,024 --> 00:30:07,610 Find Robby if he's still here. 815 00:30:07,693 --> 00:30:10,405 Any available neurosurgeon to ED Trauma 1, stat! 816 00:30:10,488 --> 00:30:13,699 Any available neurosurgeon to ED Trauma 1, stat! 817 00:30:15,535 --> 00:30:17,412 Dr. Robby? 818 00:30:17,495 --> 00:30:20,790 Uh, yeah? 819 00:30:20,873 --> 00:30:23,668 You're needed in Trauma 1. 820 00:30:23,751 --> 00:30:25,461 OK. 821 00:30:25,545 --> 00:30:26,838 - What patient? - Dr. Langdon's. 822 00:30:26,921 --> 00:30:28,172 It's a neck injury. 823 00:30:31,342 --> 00:30:32,510 I got the fellow. 824 00:30:32,593 --> 00:30:33,845 They could be down in 15 minutes. 825 00:30:33,928 --> 00:30:35,096 He's progressing too fast for that. 826 00:30:35,179 --> 00:30:37,014 What's going on? 827 00:30:37,098 --> 00:30:39,559 Uni-facet dislocation, C4/C5, 828 00:30:39,642 --> 00:30:41,310 paresthesia and decreased tidal volume. 829 00:30:41,394 --> 00:30:42,645 Sat's 85. 830 00:30:42,728 --> 00:30:44,605 We need to prepare for intubation. 831 00:30:44,689 --> 00:30:46,315 Any delay in reduction almost guarantees 832 00:30:46,399 --> 00:30:48,651 complete spinal cord injury. 833 00:30:48,734 --> 00:30:50,653 What other options do we have? 834 00:30:50,736 --> 00:30:54,323 Uh, I saw Neurosurgery do a closed reduction once in ICU. 835 00:30:54,407 --> 00:30:55,783 Blind? That's crazy risky. 836 00:30:55,867 --> 00:30:57,076 We gotta do something. 837 00:30:57,160 --> 00:30:58,661 What's that procedure, Dr. Langdon? 838 00:30:58,744 --> 00:31:00,830 It's just… it's traction on the neck, 839 00:31:00,913 --> 00:31:03,499 we flex the dislocated side and into slight extension. 840 00:31:03,583 --> 00:31:04,959 Quadriplegia, if done wrong. 841 00:31:05,042 --> 00:31:06,586 I'm sorry, what… did you say quadriplegic? 842 00:31:06,669 --> 00:31:08,087 It is a possibility, sir. 843 00:31:08,171 --> 00:31:09,922 It's also the same possibility if we do nothing. 844 00:31:10,006 --> 00:31:11,174 You wanna try? 845 00:31:11,257 --> 00:31:12,967 I've never seen it done. You have. 846 00:31:13,050 --> 00:31:14,427 I can't feel my feet. 847 00:31:14,510 --> 00:31:15,970 Sats 79. 100% non-rebreather? 848 00:31:16,053 --> 00:31:17,305 He's progressing, Dr. Langdon. 849 00:31:17,388 --> 00:31:18,764 What is your plan? 850 00:31:18,848 --> 00:31:20,266 Uh, Neuro… 851 00:31:20,349 --> 00:31:21,934 Fuck Neuro. This is right here, right now. 852 00:31:22,018 --> 00:31:23,561 This guy's gonna be a living head if we do nothing. 853 00:31:23,644 --> 00:31:26,272 - I could paralyze him. - Doctor the fuck up. 854 00:31:30,568 --> 00:31:33,362 Sir, the partial dislocation of the two vertebrae 855 00:31:33,446 --> 00:31:35,698 in your neck is putting pressure on your spinal cord. 856 00:31:35,781 --> 00:31:38,326 I can try to move the neck bones back into place. 857 00:31:38,409 --> 00:31:40,286 That could help. There's no guarantees. 858 00:31:40,369 --> 00:31:41,829 If we do nothing, 859 00:31:41,913 --> 00:31:43,498 the weakness is definitely going to get worse. 860 00:31:43,581 --> 00:31:46,000 But either way, there's still a chance of paralysis. 861 00:31:46,083 --> 00:31:48,586 Do it. Please. Please. 862 00:31:48,669 --> 00:31:50,213 50 of fentanyl IV. 863 00:31:50,296 --> 00:31:52,006 You need to let us know if the weakness gets worse 864 00:31:52,089 --> 00:31:54,300 or if there's any sudden pain, and we'll stop immediately. 865 00:31:54,383 --> 00:31:55,843 Dr. Cruz, Robby, 866 00:31:55,927 --> 00:31:58,179 hold down his shoulders for countertraction. 867 00:31:58,262 --> 00:32:00,139 OK, I'm gonna pull on your head. 868 00:32:00,223 --> 00:32:02,099 Your job is to try to relax, 869 00:32:02,183 --> 00:32:04,560 breathe so we can overcome the muscle spasm. 870 00:32:09,482 --> 00:32:10,983 Flexing to the right. 871 00:32:14,237 --> 00:32:15,446 Any change? 872 00:32:15,530 --> 00:32:17,823 My legs are starting to tingle. 873 00:32:17,907 --> 00:32:19,408 Last step. 874 00:32:23,996 --> 00:32:25,122 - I felt something click. - Oh, fuck! Oh, fuck! 875 00:32:25,206 --> 00:32:26,707 - I felt it too. - Sir, talk to us. 876 00:32:26,791 --> 00:32:28,334 - What's going on? - Oh. 877 00:32:28,417 --> 00:32:30,378 I think… 878 00:32:30,461 --> 00:32:31,796 I think… 879 00:32:31,879 --> 00:32:33,881 Yeah. I'm starting to breathe easier. 880 00:32:33,965 --> 00:32:36,008 Any change in your hand or feet? 881 00:32:36,092 --> 00:32:37,510 Oh. 882 00:32:37,593 --> 00:32:38,886 Oh, this is maybe a little less numb. 883 00:32:38,970 --> 00:32:40,471 Philadelphia collar is ready. 884 00:32:40,555 --> 00:32:41,639 Talk to me. 885 00:32:41,722 --> 00:32:42,932 Langdon just reduced 886 00:32:43,015 --> 00:32:44,767 a uni-facet cervical dislocation. 887 00:32:44,850 --> 00:32:47,562 What? Without neurosurgery? Don't try this at home, kids. 888 00:32:47,645 --> 00:32:49,146 He was deteriorating quickly. 889 00:32:49,230 --> 00:32:50,606 Neuro exam is improving. 890 00:32:50,690 --> 00:32:52,650 Oh, my God, it's definitely better. 891 00:32:52,733 --> 00:32:55,486 Oh, my God. 892 00:32:55,570 --> 00:32:57,321 Nice job. 893 00:32:57,405 --> 00:32:58,781 All right, repeat CT, 894 00:32:58,864 --> 00:33:00,283 then Neurosurgery can take him up for a halo. 895 00:33:00,366 --> 00:33:01,617 Brass balls, buddy. 896 00:33:01,701 --> 00:33:03,744 - See? You haven't lost it. - Um, excuse me. 897 00:33:03,828 --> 00:33:06,289 I'm just gonna step outside for a second. 898 00:33:21,262 --> 00:33:23,973 Langdon, honey, I just got a call from upstairs. 899 00:33:24,056 --> 00:33:25,391 Were you supposed to get a urine screen 900 00:33:25,474 --> 00:33:27,059 - and turn it in by 8:00 tonight? - Fuck! 901 00:33:27,143 --> 00:33:28,269 Um… 902 00:33:29,520 --> 00:33:31,731 Oh, no. Uh, ye…yes. 903 00:33:31,814 --> 00:33:33,733 Can you just…can you tell them that I was in a trauma? 904 00:33:33,816 --> 00:33:35,109 I'm going right now. 905 00:33:38,904 --> 00:33:40,364 Where's he off to? 906 00:33:40,448 --> 00:33:42,158 No idea. 907 00:33:42,241 --> 00:33:44,702 Did you find your ID badge yet? 908 00:33:44,785 --> 00:33:46,704 No, I've looked everywhere. 909 00:33:46,787 --> 00:33:48,372 Must have been thrown out on accident. 910 00:33:48,456 --> 00:33:49,874 They'll issue you a new one. 911 00:33:49,957 --> 00:33:51,167 You just have to fill out a bunch of forms. 912 00:33:51,250 --> 00:33:52,627 Oh, great. 913 00:33:56,589 --> 00:33:58,049 What? 914 00:33:58,132 --> 00:33:59,118 Cow in labor? 915 00:33:59,133 --> 00:34:00,509 No, I… 916 00:34:00,593 --> 00:34:02,428 I ordered a patient a Lyft. 917 00:34:02,511 --> 00:34:06,891 Now I have a $250 surcharge and a complaint on my account. 918 00:34:06,974 --> 00:34:09,018 - What? - What'd they do? 919 00:34:09,101 --> 00:34:10,436 It was a sweet old lady. 920 00:34:10,519 --> 00:34:12,521 Who apparently had some racist 921 00:34:12,605 --> 00:34:14,148 and abusive things to say 922 00:34:14,231 --> 00:34:16,442 right before puking in the back. 923 00:34:16,525 --> 00:34:19,153 You never know with some people. 924 00:34:19,236 --> 00:34:20,529 There goes my first paycheck. 925 00:34:20,613 --> 00:34:21,989 St. Huckleberry. 926 00:34:22,073 --> 00:34:23,240 No good deed. 927 00:34:26,285 --> 00:34:29,288 I can see why you liked restoring this bike. 928 00:34:29,372 --> 00:34:30,998 You're a fixer. 929 00:34:31,082 --> 00:34:33,125 I fix bikes, but you fix people. 930 00:34:33,209 --> 00:34:35,795 That's pretty damn impressive, man. 931 00:34:35,878 --> 00:34:37,838 Some people can't be fixed. 932 00:34:39,298 --> 00:34:41,467 Look, I'm… 933 00:34:41,550 --> 00:34:44,470 I've done plenty of things I'm not proud of. 934 00:34:44,553 --> 00:34:45,539 Yeah, me too. 935 00:34:45,554 --> 00:34:48,140 No, bad things… 936 00:34:48,224 --> 00:34:50,726 hurt people on purpose, 937 00:34:50,810 --> 00:34:52,520 hurt myself. 938 00:34:52,603 --> 00:34:55,314 And I did my time, but that doesn't wash away the regret. 939 00:34:55,398 --> 00:34:57,692 I… 940 00:34:57,775 --> 00:34:59,985 wish I'd done things differently. 941 00:35:00,069 --> 00:35:02,446 I think about it every day. 942 00:35:02,530 --> 00:35:05,616 You know, they say that it's never too late to change. 943 00:35:05,700 --> 00:35:09,328 Some things can't be changed, like death. 944 00:35:09,412 --> 00:35:11,163 Death can't be changed. 945 00:35:11,247 --> 00:35:13,082 Hey, I know the surgery is scary. 946 00:35:13,165 --> 00:35:15,793 I'm not talking about me. 947 00:35:29,598 --> 00:35:32,601 Yeah, I don't know if I wanna be here anymore. 948 00:35:34,687 --> 00:35:36,981 I don't know how you stand 12 minutes in there, 949 00:35:37,064 --> 00:35:41,610 let alone 12 hours, 20 years. 950 00:35:41,694 --> 00:35:42,903 No. 951 00:35:42,987 --> 00:35:45,281 That's the only place I can be. 952 00:35:45,364 --> 00:35:50,494 I have purpose in there. I can be distracted in there. 953 00:35:50,578 --> 00:35:54,248 I don't know that I wanna be… 954 00:35:54,331 --> 00:35:58,210 anywhere anymore. 955 00:36:03,174 --> 00:36:06,135 So what's the plan? 956 00:36:06,218 --> 00:36:08,179 Ride. 957 00:36:08,262 --> 00:36:10,055 - Toward what? - I don't know. 958 00:36:10,139 --> 00:36:11,182 Away from what? 959 00:36:11,265 --> 00:36:13,142 Everything. 960 00:36:13,225 --> 00:36:16,353 Well, that's not riding. That's running. 961 00:36:16,437 --> 00:36:19,482 Is that your final lesson for these kids? 962 00:36:24,653 --> 00:36:26,113 What's up, Robby? 963 00:36:26,197 --> 00:36:29,825 Well, if it isn't Medics Bosco and Otero. 964 00:36:31,994 --> 00:36:33,037 You still on? 965 00:36:33,120 --> 00:36:34,246 Not for much longer. 966 00:36:34,330 --> 00:36:36,582 I was looking for you two. 967 00:36:36,665 --> 00:36:38,250 Rita Wolcott, 22. 968 00:36:38,334 --> 00:36:40,461 She was using a dumpster to climb a fire escape 969 00:36:40,544 --> 00:36:41,962 to get to a roof party. 970 00:36:42,046 --> 00:36:43,798 Slipped about 6 feet onto concrete. 971 00:36:43,881 --> 00:36:45,424 Possible tib-fib fracture. 972 00:36:45,508 --> 00:36:46,801 Oh, can I please tell it? 973 00:36:46,884 --> 00:36:48,552 You're making me sound like an idiot. 974 00:36:48,636 --> 00:36:50,179 My friends and I were just trying to watch the fireworks 975 00:36:50,262 --> 00:36:51,639 from the roof of our building. 976 00:36:51,722 --> 00:36:53,808 But the roof access door and the stairwells stuck, 977 00:36:53,891 --> 00:36:56,060 so we decided to climb the fire escape. 978 00:36:56,143 --> 00:36:58,020 They were supposed to hold the dumpster still while I… 979 00:36:58,813 --> 00:36:59,855 But they didn't. 980 00:36:59,939 --> 00:37:01,232 Then I fell. 981 00:37:01,315 --> 00:37:03,400 Like I said, 6 feet onto concrete. 982 00:37:03,484 --> 00:37:05,402 Yeah, because they didn't hold it still. 983 00:37:05,486 --> 00:37:06,987 Well, it's a good thing she didn't need a 12-lead. 984 00:37:07,071 --> 00:37:08,739 Why's that? 985 00:37:08,823 --> 00:37:10,074 'Cause you guys put one on about a half hour ago wrong 986 00:37:10,157 --> 00:37:11,283 and you missed the STEMI. 987 00:37:11,367 --> 00:37:12,353 Bullshit. 988 00:37:12,368 --> 00:37:13,452 46-year-old woman. 989 00:37:13,536 --> 00:37:15,246 A minute after you left, V-tach. 990 00:37:15,329 --> 00:37:17,623 Repeat EKG showed a massive lateral STEMI. 991 00:37:17,706 --> 00:37:18,833 No way. 992 00:37:18,916 --> 00:37:20,292 Leads were so inferior, 993 00:37:20,376 --> 00:37:21,919 you might as well have not put them on at all. 994 00:37:22,002 --> 00:37:23,462 What were you afraid of, her bra? 995 00:37:23,546 --> 00:37:24,964 What have we got? 996 00:37:25,047 --> 00:37:27,049 We've got a 22-year-old probable tib-fib fracture 997 00:37:27,132 --> 00:37:28,384 from a 6-foot fall. 998 00:37:28,467 --> 00:37:29,969 Why don't you take her to Central 13? 999 00:37:30,052 --> 00:37:31,387 Got it. Right this way. 1000 00:37:31,470 --> 00:37:33,305 As I was saying, bad data is shit data. 1001 00:37:33,389 --> 00:37:35,641 Maybe she was diaphoretic and they slid down en route. 1002 00:37:35,724 --> 00:37:37,101 Yeah, she was moving a lot. 1003 00:37:37,184 --> 00:37:38,561 Diaphoretic, my ass. She had big breasts. 1004 00:37:38,644 --> 00:37:39,979 You didn't wanna move 'em out of the way 1005 00:37:40,062 --> 00:37:41,647 - to get under her bra line. - Come on, Robby. 1006 00:37:41,730 --> 00:37:43,065 Women are misdiagnosed for heart attacks all the time. 1007 00:37:43,148 --> 00:37:44,441 This is a big reason why. 1008 00:37:44,525 --> 00:37:45,818 Shall we put it to a vote? 1009 00:37:45,901 --> 00:37:48,195 Hey, ladies in the room, show of hands. 1010 00:37:48,279 --> 00:37:50,656 Death with modesty, or life with brief nudity? 1011 00:37:50,739 --> 00:37:53,242 Death or life? 1012 00:37:53,325 --> 00:37:55,035 Look at that… turns out women wanna live. 1013 00:37:55,119 --> 00:37:56,453 Got it. 1014 00:37:56,537 --> 00:37:57,705 EKG is an amazing tool if you use it right. 1015 00:37:57,788 --> 00:37:59,081 You could have told us in private. 1016 00:37:59,164 --> 00:38:00,457 I think this was more instructive. 1017 00:38:00,541 --> 00:38:02,209 Agreed. 1018 00:38:03,836 --> 00:38:06,171 Hey, hell of a save your boy made. 1019 00:38:06,255 --> 00:38:07,506 On-the-fly reduction 1020 00:38:07,590 --> 00:38:09,341 of a uni-facet cervical dislocation… 1021 00:38:09,425 --> 00:38:10,634 that's some cowboy shit. 1022 00:38:10,718 --> 00:38:12,011 Yeah, it was. Where is he? 1023 00:38:12,094 --> 00:38:13,846 Ran off for a drug test. 1024 00:38:13,929 --> 00:38:16,098 You got your wish. You don't have to say goodbye. 1025 00:38:21,937 --> 00:38:24,607 Hey, thank you for saying all that. 1026 00:38:24,690 --> 00:38:27,026 I may have taken a slightly different approach, but… 1027 00:38:27,109 --> 00:38:28,402 I seem to have lost my filter. 1028 00:38:28,485 --> 00:38:29,904 I'm glad. 1029 00:38:29,987 --> 00:38:32,448 I could use an honest second opinion on a case. 1030 00:38:32,531 --> 00:38:34,742 Do you have five minutes to spare? 1031 00:38:36,160 --> 00:38:37,870 Sure. Why not? 1032 00:38:37,953 --> 00:38:39,204 What's the case? 1033 00:38:39,288 --> 00:38:41,081 I have the chart pulled up in 8. 1034 00:38:55,971 --> 00:38:57,848 I have some experience with this, 1035 00:38:57,932 --> 00:38:59,975 but I'd appreciate a fresh perspective. 1036 00:39:00,059 --> 00:39:02,102 After 14 hours, 1037 00:39:02,186 --> 00:39:03,646 I don't know how fresh my perspective is, 1038 00:39:03,729 --> 00:39:05,314 but I will give you what I got. 1039 00:39:05,397 --> 00:39:07,775 Well, after working with you, Dr. Robinavitch, 1040 00:39:07,858 --> 00:39:11,028 I've come to respect your opinion. 1041 00:39:13,280 --> 00:39:15,407 Thank you, Dr. Al-Hashimi. 1042 00:39:17,326 --> 00:39:19,495 Likewise. 1043 00:39:19,578 --> 00:39:22,206 OK, patient is a 40-year-old female with a history 1044 00:39:22,289 --> 00:39:24,083 of seizure disorder for the past 35 years. 1045 00:39:24,166 --> 00:39:25,668 She had no perinatal complications 1046 00:39:25,751 --> 00:39:27,586 and was in excellent health until age five, 1047 00:39:27,670 --> 00:39:29,380 when she had the onset seizure activity 1048 00:39:29,463 --> 00:39:31,924 following prolonged illness with viral meningitis. 1049 00:39:32,007 --> 00:39:34,927 Her altered mental status from the infec… 1050 00:39:42,851 --> 00:39:45,604 Baran, is this you?