1 00:00:16,058 --> 00:00:17,768 - What's up, Ghost Rider? - You good? 2 00:00:17,851 --> 00:00:18,977 Never better. 3 00:00:19,061 --> 00:00:20,812 OK, kids, bye-bye time. 4 00:00:20,896 --> 00:00:23,023 Thanks for the trip down memory lane. 5 00:00:23,106 --> 00:00:24,441 Um, where's Evans? 6 00:00:24,525 --> 00:00:26,735 Uh, I think she's by the family room. 7 00:00:26,818 --> 00:00:28,320 She is. 8 00:00:28,403 --> 00:00:29,821 Hey, hey, hey, where are you going? 9 00:00:29,905 --> 00:00:31,365 I'm not gonna scan all this by myself. 10 00:00:31,448 --> 00:00:32,950 Cruz has a question on my cellulitis. 11 00:00:33,033 --> 00:00:34,576 - I'll be right back. - You better. 12 00:00:34,660 --> 00:00:35,827 - Two minutes tops. - Where's Mel? 13 00:00:35,911 --> 00:00:37,329 Where's Donnie? 14 00:00:37,412 --> 00:00:38,789 - They should be helping you. - I don't know. 15 00:00:38,872 --> 00:00:40,541 OK, day shift, listen up. 16 00:00:40,624 --> 00:00:42,668 We're doing really well, but we still got a ways to go. 17 00:00:42,751 --> 00:00:44,795 And nobody's going home until all these paper charts 18 00:00:44,878 --> 00:00:46,505 are digitized, including me. 19 00:00:46,588 --> 00:00:48,465 And then we're free to celebrate our freedom? 20 00:00:48,549 --> 00:00:49,550 Exactly. 21 00:00:49,633 --> 00:00:50,801 Well, can you kick some ass 22 00:00:50,884 --> 00:00:51,969 and get the staff to hurry up 23 00:00:52,052 --> 00:00:53,136 on the EHR home pages? 24 00:00:53,220 --> 00:00:54,846 Where are Larry and Antoine? 25 00:00:54,930 --> 00:00:56,139 Antoine's fighting on the phone 26 00:00:56,223 --> 00:00:57,516 with his girlfriend outside. 27 00:00:57,599 --> 00:01:00,310 And Larry's on a cafeteria run. 28 00:01:00,394 --> 00:01:02,854 Yeah, that tracks. 29 00:01:02,938 --> 00:01:04,982 We've got five patients in beds waiting to be seen. 30 00:01:05,065 --> 00:01:06,984 How do you want to play this… man to man or zone? 31 00:01:07,067 --> 00:01:08,443 The zone. 32 00:01:08,527 --> 00:01:10,112 Have Cruz and Ellis split up the new five. 33 00:01:10,195 --> 00:01:11,488 You take North and Central. 34 00:01:11,572 --> 00:01:13,198 - I'll take South and Trauma. - Cool. 35 00:01:13,282 --> 00:01:14,283 Want to switch at 1:00 AM? 36 00:01:14,366 --> 00:01:15,409 Why? 37 00:01:15,492 --> 00:01:16,618 Variety is the spice of life. 38 00:01:16,702 --> 00:01:18,036 I thought that was garlic. 39 00:01:18,120 --> 00:01:21,039 Oh, sorry. 40 00:01:21,123 --> 00:01:22,958 I told you I'd be fast. 41 00:01:23,041 --> 00:01:25,043 OK, let's do this and get out of here. 42 00:01:25,127 --> 00:01:26,169 What's the hurry? 43 00:01:26,253 --> 00:01:27,421 Got some hay to pitch? 44 00:01:27,504 --> 00:01:28,839 Ha. 45 00:01:30,424 --> 00:01:32,092 - Oh, shoot. - What? 46 00:01:32,175 --> 00:01:34,720 Uh, my ID badge is missing. 47 00:01:34,803 --> 00:01:35,803 Oh, no. The one you just got? 48 00:01:35,846 --> 00:01:37,139 How'd you lose it? 49 00:01:37,222 --> 00:01:38,208 I don't know. It must have come off. 50 00:01:38,223 --> 00:01:39,474 Classic. 51 00:01:39,558 --> 00:01:40,851 Hope you remember your login and password. 52 00:01:40,934 --> 00:01:42,019 OK. Retrace your steps. 53 00:01:42,102 --> 00:01:43,478 Where'd you have it last? 54 00:01:43,562 --> 00:01:46,148 Uh, I was with Ogilvie in the Ambulance Bay. 55 00:01:46,231 --> 00:01:48,317 Not with Colonel Mustard in the library? 56 00:01:48,400 --> 00:01:50,360 Who's…what? 57 00:01:50,444 --> 00:01:51,612 No. 58 00:01:52,946 --> 00:01:55,282 The boy has no clue. 59 00:01:59,703 --> 00:02:01,705 Please don't do that. 60 00:02:01,788 --> 00:02:03,457 Oh, ma'am, I gotta go. 61 00:02:03,540 --> 00:02:06,168 I sit here any longer, I'm gonna get bedsores. 62 00:02:08,378 --> 00:02:11,298 I…I'm supposed to get some CT results. 63 00:02:11,381 --> 00:02:13,759 Any idea how much longer that's gonna be? 64 00:02:13,842 --> 00:02:16,219 Shouldn't be much longer. 65 00:02:16,303 --> 00:02:18,805 Where's that Nurse Vivi? 66 00:02:18,889 --> 00:02:20,515 You don't want any of that. 67 00:02:20,599 --> 00:02:22,768 - No? - No, she's out of your league. 68 00:02:22,851 --> 00:02:24,728 What league do you think I play in? 69 00:02:24,811 --> 00:02:27,522 Uh, old timer's night. 70 00:02:27,606 --> 00:02:29,191 Yeah, you're probably right. 71 00:02:29,274 --> 00:02:32,319 But some teams still appreciate a veteran presence. 72 00:02:32,402 --> 00:02:34,529 Well, don't say I didn't warn you. 73 00:02:34,613 --> 00:02:36,281 You are here for your heart, after all. 74 00:02:36,365 --> 00:02:37,783 My heart's been broken before. 75 00:02:37,866 --> 00:02:39,326 What's one more time? 76 00:02:39,409 --> 00:02:41,411 Uh, she's engaged to a jujitsu instructor. 77 00:02:41,495 --> 00:02:43,121 With a bang, not a whimper, baby. 78 00:02:44,623 --> 00:02:46,208 And it's a cool bath a couple times a day 79 00:02:46,291 --> 00:02:48,752 for two days, followed by aloe vera to your skin. 80 00:02:48,835 --> 00:02:50,087 OK, that's it? 81 00:02:50,170 --> 00:02:52,339 And sunscreen in your future. 82 00:02:52,422 --> 00:02:55,342 No, I'm never going outside ever again. 83 00:02:55,425 --> 00:02:58,804 I wouldn't swear off the sun entirely, you know? 84 00:02:58,887 --> 00:03:01,306 But like most things, moderation. 85 00:03:01,390 --> 00:03:02,599 Hey, we're getting kind of shorthanded 86 00:03:02,683 --> 00:03:03,975 scanning charts out here. 87 00:03:04,059 --> 00:03:05,352 When you finish, can you come lend a hand? 88 00:03:05,435 --> 00:03:06,436 Yeah, happy to. 89 00:03:06,520 --> 00:03:07,521 Thank you. 90 00:03:09,564 --> 00:03:11,441 And by happy to, I mean there is nothing 91 00:03:11,525 --> 00:03:13,193 I would rather do less. 92 00:03:13,276 --> 00:03:15,821 They keep you pretty busy. 93 00:03:15,904 --> 00:03:19,950 Yeah, and today has brought some new challenges. 94 00:03:20,033 --> 00:03:21,201 This is really putting a crimp 95 00:03:21,284 --> 00:03:23,495 in my 4th of July evening plans. 96 00:03:23,578 --> 00:03:25,997 You're going to see the fireworks? 97 00:03:26,081 --> 00:03:29,418 Uh, no, I was gonna maybe meet up with this guy, 98 00:03:29,501 --> 00:03:31,002 though that's sounding less appealing 99 00:03:31,086 --> 00:03:33,505 than the three Bs at this point. 100 00:03:33,588 --> 00:03:35,132 The three Bs? 101 00:03:36,174 --> 00:03:38,510 Book, bath, and bed. 102 00:03:38,593 --> 00:03:40,971 College kid with mono and hemorrhagic tonsils, 103 00:03:41,054 --> 00:03:42,681 admit med-surge or observation? 104 00:03:42,764 --> 00:03:43,765 Uh, observation. 105 00:03:43,849 --> 00:03:45,183 Bleeding stopped with TXA. 106 00:03:45,267 --> 00:03:46,601 She's had steroids, so should be 107 00:03:46,685 --> 00:03:47,936 ready for discharge in the morning. 108 00:03:48,019 --> 00:03:49,688 Cool. 109 00:03:49,771 --> 00:03:51,440 How was your first shift back? 110 00:03:51,523 --> 00:03:54,109 Uh, slow start, finding my rhythm. 111 00:03:55,444 --> 00:03:57,446 You a little rusty, Rusty James? 112 00:03:57,529 --> 00:03:59,865 Now you won't have Motorcycle Boy to big brother you. 113 00:03:59,948 --> 00:04:01,491 Is that a "Rumble Fish" reference? 114 00:04:01,575 --> 00:04:02,951 Sure is. 115 00:04:03,034 --> 00:04:05,579 And Robby is my big brother in this analogy? 116 00:04:05,662 --> 00:04:06,830 Bingo. 117 00:04:06,913 --> 00:04:07,956 Yeah, I wouldn't say he's been 118 00:04:08,039 --> 00:04:09,833 looking out for me exactly. 119 00:04:09,916 --> 00:04:11,293 I think he'd probably prefer 120 00:04:11,376 --> 00:04:13,003 not to see me at all today, actually. 121 00:04:13,086 --> 00:04:15,922 And you think that's because he's mad at you? 122 00:04:16,006 --> 00:04:20,844 I think he feels like I let him down, because I did. 123 00:04:20,927 --> 00:04:23,013 Jesus, with all the martyrs around here, 124 00:04:23,096 --> 00:04:24,514 you'd think this was a passion play. 125 00:04:24,598 --> 00:04:26,141 What's your take? 126 00:04:28,226 --> 00:04:29,561 I worked with that man for 10 months 127 00:04:29,644 --> 00:04:30,771 while you were gone. 128 00:04:30,854 --> 00:04:32,481 He's not mad at you. 129 00:04:32,564 --> 00:04:35,650 He's mad at himself for failing you, Rusty James. 130 00:04:35,734 --> 00:04:37,068 Really? 131 00:04:38,403 --> 00:04:40,739 Just more White Knight/White noise. 132 00:04:40,822 --> 00:04:42,324 That's how it is. 133 00:04:44,618 --> 00:04:46,203 Share this video with your friends if you can. 134 00:04:46,286 --> 00:04:47,537 Thank you so much. 135 00:04:47,621 --> 00:04:49,498 Be kind, be safe, be brave. 136 00:04:49,581 --> 00:04:50,624 What you doing? 137 00:04:50,707 --> 00:04:52,042 Dr. Robby, sorry. 138 00:04:52,125 --> 00:04:53,111 I was just… 139 00:04:53,126 --> 00:04:54,503 One of your TikToks? Yeah. 140 00:04:54,586 --> 00:04:56,087 About those, listen, I'm not so sure that… 141 00:04:56,171 --> 00:04:57,923 - No, no, I was just sharing… - No, I get it. 142 00:04:58,006 --> 00:04:59,424 I just…you know, we do have HIPAA laws here. 143 00:04:59,508 --> 00:05:01,092 We don't let anybody film… 144 00:05:01,176 --> 00:05:02,344 I would never violate any HIPAA laws, Dr. Robby. 145 00:05:02,427 --> 00:05:03,595 - I swear it. - I understand. 146 00:05:03,678 --> 00:05:04,664 Even still, we're getting behind 147 00:05:04,679 --> 00:05:05,680 on scanning patient charts. 148 00:05:05,764 --> 00:05:06,750 So how about no TikTok 149 00:05:06,765 --> 00:05:09,559 on the company clock, Dr. J? 150 00:05:09,643 --> 00:05:11,478 Dr. Robby, I think you're… 151 00:05:11,561 --> 00:05:12,938 Out of touch? Probably. 152 00:05:13,021 --> 00:05:14,356 You wouldn't be the first to accuse me of it. 153 00:05:14,439 --> 00:05:16,066 However, when I was in medical school… 154 00:05:16,149 --> 00:05:17,943 You didn't have cell phones or TikTok 155 00:05:18,026 --> 00:05:20,487 or internet or ICE agents coming in here 156 00:05:20,570 --> 00:05:22,948 and taking away patients and staff. 157 00:05:24,783 --> 00:05:26,284 I get it. 158 00:05:30,163 --> 00:05:33,625 We did have cell phones, maybe not in the beginning. 159 00:05:38,338 --> 00:05:39,422 Where do you think you're going? 160 00:05:39,506 --> 00:05:41,091 Uh, home. 161 00:05:41,174 --> 00:05:43,426 I kind of need you to hang out a little longer 162 00:05:43,510 --> 00:05:45,345 and help digitize some of these analog patient records. 163 00:05:45,428 --> 00:05:46,805 Normally, I would, truly. 164 00:05:46,888 --> 00:05:50,934 But I gotta get home… wife, baby, bed. 165 00:05:51,017 --> 00:05:53,061 OK. Go get some rest. 166 00:05:53,144 --> 00:05:54,229 You sure you're OK to drive home? 167 00:05:54,312 --> 00:05:55,298 Absolutely. 168 00:05:55,313 --> 00:05:57,190 Just enough in the tank. 169 00:05:57,274 --> 00:05:59,276 Don't tell anybody I let you go. 170 00:05:59,359 --> 00:06:00,569 Deal. 171 00:06:00,652 --> 00:06:02,070 Safe travels. 172 00:06:02,153 --> 00:06:04,155 Be sure to send some pictures from the road. 173 00:06:21,006 --> 00:06:22,716 Fight over at Zazu's Sports Bar. 174 00:06:22,799 --> 00:06:24,134 The two combatants are pulling up soon. 175 00:06:24,217 --> 00:06:25,385 One's a stabbing. 176 00:06:25,468 --> 00:06:26,454 Ellis, double trauma coming in. 177 00:06:26,469 --> 00:06:27,470 Grab the easy one. 178 00:06:27,554 --> 00:06:28,597 Bring the stabbing to Trauma 2. 179 00:06:28,680 --> 00:06:30,015 We will get the room set up. 180 00:06:30,098 --> 00:06:32,559 All right. Roger. 181 00:06:32,642 --> 00:06:36,855 OK, darling, time for this dinosaur to head to extinction. 182 00:06:36,938 --> 00:06:38,273 Got us through a real jam today. 183 00:06:38,356 --> 00:06:40,483 Can't thank you enough, Monica. 184 00:06:40,567 --> 00:06:41,735 Nice place to visit. 185 00:06:41,818 --> 00:06:43,153 Wouldn't want to live here anymore. 186 00:06:43,236 --> 00:06:44,988 Oh, me, neither some days. 187 00:06:45,071 --> 00:06:46,281 But hey, Virginia Slim, 188 00:06:46,364 --> 00:06:48,283 you've come a long way. 189 00:06:48,366 --> 00:06:50,493 Glad I was wrong about you. 190 00:06:50,577 --> 00:06:51,786 Keep training 'em up right. 191 00:06:51,870 --> 00:06:53,038 I'll try. 192 00:06:53,121 --> 00:06:54,664 OK, that's enough mush. 193 00:06:54,748 --> 00:06:56,583 Back to my life of mahjong and margaritas. 194 00:06:56,666 --> 00:06:58,001 - Bye, Evans. - Get home safe. 195 00:06:58,084 --> 00:06:59,586 I will. See ya. 196 00:06:59,669 --> 00:07:00,670 Bye. 197 00:07:05,592 --> 00:07:09,304 She's right, you are the mama bear glue that holds this place together. 198 00:07:13,767 --> 00:07:16,186 Hey, you OK? 199 00:07:16,269 --> 00:07:17,687 No. 200 00:07:17,771 --> 00:07:20,398 I'm sad or scared, 201 00:07:20,482 --> 00:07:23,944 or some fucking thing. 202 00:07:24,027 --> 00:07:25,737 I'm worried. 203 00:07:25,820 --> 00:07:27,864 What's going on? 204 00:07:27,948 --> 00:07:29,491 Robby. I got a bad feeling. 205 00:07:29,574 --> 00:07:31,284 He's… 206 00:07:31,368 --> 00:07:33,119 it's like I'm never going to see him again after tonight. 207 00:07:33,203 --> 00:07:34,454 Did he say something? 208 00:07:34,537 --> 00:07:35,914 Yeah, he said a lot of things. 209 00:07:35,997 --> 00:07:37,499 You should talk to him. He listens to you. 210 00:07:37,582 --> 00:07:38,792 He's a grown-up. 211 00:07:38,875 --> 00:07:41,127 He just needs to go on a vacation. 212 00:07:41,211 --> 00:07:42,963 Can't you at least try 213 00:07:43,046 --> 00:07:45,256 to get him to promise to come back in one piece? 214 00:07:46,925 --> 00:07:49,094 He doesn't like to listen. 215 00:07:49,177 --> 00:07:50,720 So make him. 216 00:07:57,143 --> 00:07:58,143 Fuck it. Check my DMs. 217 00:07:58,186 --> 00:07:59,437 She hit me up. 218 00:07:59,521 --> 00:08:01,314 Sure, baby. I didn't even respond. 219 00:08:01,398 --> 00:08:03,066 Scavenger hunt? 220 00:08:03,149 --> 00:08:04,135 Yeah, something like that. 221 00:08:04,150 --> 00:08:05,150 You need a hand? 222 00:08:05,193 --> 00:08:06,611 Nope. You do you. 223 00:08:08,947 --> 00:08:10,198 What do we got? 224 00:08:10,281 --> 00:08:12,200 Barrett Dunkle, 34, decent vitals 225 00:08:12,283 --> 00:08:14,536 given he has Old Glory jammed in his chest. 226 00:08:14,619 --> 00:08:18,123 Satting 91 on 15 liters, BP 132 over 87, 227 00:08:18,206 --> 00:08:19,791 tachy at 112. 228 00:08:19,874 --> 00:08:21,042 Dr. Abbot's expecting you. 229 00:08:21,126 --> 00:08:23,503 Whoa, whoa, whoa, whoa, whoa, man! 230 00:08:23,586 --> 00:08:25,755 - What the fuck? - I'll call you back, baby. 231 00:08:28,341 --> 00:08:29,327 Shit. 232 00:08:29,342 --> 00:08:30,342 I thought I cleared it. 233 00:08:30,385 --> 00:08:31,371 Was it sticking out? 234 00:08:31,386 --> 00:08:33,138 Sticking out, my ass! 235 00:08:33,221 --> 00:08:34,514 Man, this is on you. 236 00:08:34,597 --> 00:08:35,932 You went wide, and you clipped the shit. 237 00:08:36,016 --> 00:08:37,559 Bikes shouldn't be parked there. 238 00:08:37,642 --> 00:08:39,269 It was sticking out. Had to be. 239 00:08:39,352 --> 00:08:41,563 Ain't no fucking way. 240 00:08:41,646 --> 00:08:43,356 Oh, no, you paying for this. 241 00:08:43,440 --> 00:08:45,191 Either you or the city, but you paying for this! 242 00:08:45,275 --> 00:08:46,693 Seriously? We don't need this hassle. 243 00:08:46,776 --> 00:08:47,819 I know. I know. 244 00:08:47,902 --> 00:08:49,446 Fuck! How bad is it? 245 00:08:49,529 --> 00:08:50,515 Not really good. 246 00:08:50,530 --> 00:08:51,614 Fuck! 247 00:08:51,698 --> 00:08:52,698 Is that you, you motherfucker? 248 00:08:52,741 --> 00:08:54,325 Yeah, you better believe it! 249 00:08:54,409 --> 00:08:55,827 I'm gonna take this thing out of my chest 250 00:08:55,910 --> 00:08:57,746 and shove it up your fucking ass! 251 00:08:57,829 --> 00:08:59,664 You hit me with a fucking Rolling Rock, man. 252 00:08:59,748 --> 00:09:00,999 So you got Iwo Jima'd! 253 00:09:01,082 --> 00:09:02,375 You fucking cheated, man. 254 00:09:02,459 --> 00:09:03,626 Every detail must be… 255 00:09:03,710 --> 00:09:05,628 OK, say bye-bye, gentlemen! 256 00:09:05,712 --> 00:09:07,213 You're on different health journeys now. 257 00:09:07,297 --> 00:09:08,840 I'm going to go see Ahmad. 258 00:09:08,923 --> 00:09:11,259 It's all gonna be on the security video. 259 00:09:12,677 --> 00:09:13,803 Robby's gonna shit. 260 00:09:16,222 --> 00:09:18,099 OK. 261 00:09:18,183 --> 00:09:19,642 Hey, a little help? 262 00:09:19,726 --> 00:09:21,061 All right, he's going straight to Trauma 2. 263 00:09:21,144 --> 00:09:22,395 What is his story? 264 00:09:22,479 --> 00:09:23,772 Bottle to the face, strong vitals, 265 00:09:23,855 --> 00:09:24,898 12-centimeter facial lac. 266 00:09:24,981 --> 00:09:26,399 Yeah, where do you want us? 267 00:09:26,483 --> 00:09:28,735 - North 4 just got cleaned. - To the North. 268 00:09:28,818 --> 00:09:31,029 Abbot, single MVA en route. Five away. 269 00:09:31,112 --> 00:09:32,906 Olive, can you find Robby and Al-Hashimi? 270 00:09:32,989 --> 00:09:34,282 We may need a couple more hands 271 00:09:34,365 --> 00:09:35,742 until we get caught up with these two. 272 00:09:35,825 --> 00:09:36,868 Sir, we are gonna get you more pain meds… 273 00:09:36,951 --> 00:09:38,328 It hurts. 274 00:09:38,411 --> 00:09:39,621 But you need to shut your fucking mouth. 275 00:09:39,704 --> 00:09:41,122 The acronym is SMART, 276 00:09:41,206 --> 00:09:43,416 Single Maintenance and Reliever Therapy. 277 00:09:43,500 --> 00:09:46,503 It's one inhaler that combines an inhaled corticosteroid 278 00:09:46,586 --> 00:09:49,172 with a fast-acting, long-lasting beta agonist. 279 00:09:49,255 --> 00:09:51,841 That's fancy talk for an anti-inflammatory 280 00:09:51,925 --> 00:09:54,677 and a lung muscle relaxer all rolled into one. 281 00:09:54,761 --> 00:09:57,097 But it's $400. And without Medicaid… 282 00:09:57,180 --> 00:09:59,057 We can help you look into coverage options. 283 00:09:59,140 --> 00:10:00,850 - Thank you. - Of course. 284 00:10:00,934 --> 00:10:02,977 Grady should feel worlds better in a few hours. 285 00:10:03,061 --> 00:10:05,063 Thank you. 286 00:10:05,146 --> 00:10:09,317 So what are my chances of getting off the table alive? 287 00:10:09,400 --> 00:10:11,945 Once you're cleared by the heart and lung specialists 288 00:10:12,028 --> 00:10:16,157 next week, chances of death are low, like 1% or 2%. 289 00:10:16,241 --> 00:10:18,660 And how long would I be in surgery for? 290 00:10:18,743 --> 00:10:21,412 Between three and five hours. 291 00:10:21,496 --> 00:10:22,622 Jeez. 292 00:10:22,705 --> 00:10:24,082 It's long… 293 00:10:24,165 --> 00:10:27,502 Because they have to stop your heart. 294 00:10:27,585 --> 00:10:30,713 You will be on a heart-lung bypass machine, 295 00:10:30,797 --> 00:10:33,550 which will be circulating your blood while they repair 296 00:10:33,633 --> 00:10:35,718 the aneurysm with the graft. 297 00:10:35,802 --> 00:10:37,887 Well, what's the graft made out of? 298 00:10:37,971 --> 00:10:42,100 A synthetic fabric called Dacron, super strong. 299 00:10:42,183 --> 00:10:43,434 OK. 300 00:10:43,518 --> 00:10:45,478 New hoses, new gaskets. 301 00:10:45,562 --> 00:10:47,272 Then what happens after surgery? 302 00:10:47,355 --> 00:10:49,649 You will be in the hospital for about a week. 303 00:10:49,732 --> 00:10:51,526 No work for eight weeks after that, 304 00:10:51,609 --> 00:10:52,944 no strenuous activity, 305 00:10:53,027 --> 00:10:56,322 no lifting anything over 5 pounds. 306 00:10:56,406 --> 00:10:59,492 How am I supposed to take a piss? 307 00:10:59,576 --> 00:11:01,369 Nice. 308 00:11:04,539 --> 00:11:07,709 And how long till I'm back up to full speed? 309 00:11:07,792 --> 00:11:10,962 Three months, maybe more like six, given your age. 310 00:11:13,047 --> 00:11:14,841 And if I don't get the surgery? 311 00:11:17,302 --> 00:11:19,762 50% chance of death within 12 months 312 00:11:19,846 --> 00:11:21,347 if the aneurysm ruptures. 313 00:11:22,557 --> 00:11:25,518 What would I feel if it ruptured? 314 00:11:27,687 --> 00:11:30,106 Some chest pain, maybe some shortness of breath 315 00:11:30,190 --> 00:11:32,650 for about a minute before you passed out from blood loss. 316 00:11:32,734 --> 00:11:34,611 And then? 317 00:11:34,694 --> 00:11:35,945 The big fade out? 318 00:11:36,029 --> 00:11:38,740 Roll the credits. 319 00:11:44,537 --> 00:11:46,623 Quite the coin flip. 320 00:11:46,706 --> 00:11:48,958 No coin flip. This has to happen. 321 00:11:49,042 --> 00:11:51,711 But I do worry that you are not gonna make your appointments 322 00:11:51,794 --> 00:11:54,547 or follow your aftercare instructions if I'm not here. 323 00:11:54,631 --> 00:11:56,382 Sorry, Robby, Abbot asked for me to grab you 324 00:11:56,466 --> 00:11:57,675 for an MVA on route. 325 00:12:00,261 --> 00:12:01,512 Do what you gotta do, man. 326 00:12:01,596 --> 00:12:03,264 I gotta sit with this for a minute. 327 00:12:05,266 --> 00:12:07,894 You go ahead and get dressed. 328 00:12:07,977 --> 00:12:09,520 I'll come back. 329 00:12:37,340 --> 00:12:39,259 Monica got an ICU bed upstairs 330 00:12:39,342 --> 00:12:41,719 so we can take Orlando up now. 331 00:12:41,803 --> 00:12:43,805 - We'll prep him for transfer. - Thanks, hon. 332 00:12:43,888 --> 00:12:45,640 We need this room again in a minute. 333 00:12:57,068 --> 00:12:58,111 All good? 334 00:12:58,194 --> 00:13:00,655 Uh, totally. 335 00:13:00,738 --> 00:13:03,116 Uh, totally? 336 00:13:03,199 --> 00:13:05,493 Look, once more, I feel compelled 337 00:13:05,576 --> 00:13:09,831 to offer some unasked for and probably unwanted advice. 338 00:13:10,999 --> 00:13:13,334 Javadi wasn't making a TikTok video. 339 00:13:13,418 --> 00:13:14,877 She's been posting about Jesse, 340 00:13:14,961 --> 00:13:17,046 trying to find someone who knows where he is. 341 00:13:17,130 --> 00:13:18,381 Ah. 342 00:13:19,549 --> 00:13:22,260 And even if she were making one of her videos, 343 00:13:22,343 --> 00:13:23,469 you ever watched one? 344 00:13:23,553 --> 00:13:24,971 No. 345 00:13:25,054 --> 00:13:26,681 No, my account was suspended 346 00:13:26,764 --> 00:13:29,183 for erotically seditious content. 347 00:13:29,267 --> 00:13:31,144 Well, they're not what you think. 348 00:13:31,227 --> 00:13:32,520 They're actually kind of cool. 349 00:13:32,603 --> 00:13:34,647 It's like this badass self-care. 350 00:13:34,731 --> 00:13:36,607 Huh. 351 00:13:36,691 --> 00:13:38,067 OK, that is it. 352 00:13:38,151 --> 00:13:39,569 I'm going to bury myself in charting 353 00:13:39,652 --> 00:13:40,820 and try to dig my way out. 354 00:13:40,903 --> 00:13:42,113 Edith Lynch, 46, 355 00:13:42,196 --> 00:13:43,614 right-sided chest pain for an hour. 356 00:13:43,698 --> 00:13:44,949 No cardiac history, 357 00:13:45,033 --> 00:13:46,534 minimal relief from sublingual nitro, 358 00:13:46,617 --> 00:13:48,077 - no STEMI on the 12-lead. - Dana? 359 00:13:48,161 --> 00:13:50,330 South 15. 360 00:13:50,413 --> 00:13:51,956 Hi, Edith. I'm Dr. Al-Hashimi. 361 00:13:52,040 --> 00:13:53,916 We'll be taking care of you today. 362 00:13:54,000 --> 00:13:56,294 Absent lung sliding on the right. 363 00:13:56,377 --> 00:13:57,628 I could have told you that from here. 364 00:13:57,712 --> 00:13:59,088 God bless America. 365 00:13:59,172 --> 00:14:00,798 Hemodynamically stable. 366 00:14:00,882 --> 00:14:02,508 I'll put in a 20 French, and then right up to the OR. 367 00:14:02,592 --> 00:14:04,218 Whoa, whoa, whoa! Hold on! 368 00:14:04,302 --> 00:14:05,428 I need surgery? 369 00:14:05,511 --> 00:14:06,888 Sir, you have a collapsed lung. 370 00:14:06,971 --> 00:14:08,181 We need to put a tube in your chest to see 371 00:14:08,264 --> 00:14:09,599 how much internal bleeding there is. 372 00:14:09,682 --> 00:14:11,184 Oh, come on, man, just pull it out! 373 00:14:11,267 --> 00:14:12,685 - Nuh-uh. - No. 374 00:14:12,769 --> 00:14:14,771 OK, everyone knows what to do here, right? 375 00:14:14,854 --> 00:14:17,607 We're gonna take this at a nice slow pace, moving together. 376 00:14:17,690 --> 00:14:19,150 If anyone has an issue, speak up. 377 00:14:19,233 --> 00:14:21,235 There are a lot of moving parts here. 378 00:14:21,319 --> 00:14:22,904 Are they going up to ICU finally? 379 00:14:22,987 --> 00:14:23,973 - Yes. - Great. 380 00:14:23,988 --> 00:14:25,406 How you doing? 381 00:14:25,490 --> 00:14:26,866 Is that a trick question, or… 382 00:14:26,949 --> 00:14:29,035 Not intended to be, no. 383 00:14:29,118 --> 00:14:30,495 Then not great. 384 00:14:30,578 --> 00:14:32,413 This one got past me. 385 00:14:32,497 --> 00:14:35,124 Well, listen, you tried to find a viable payment plan. 386 00:14:35,208 --> 00:14:36,793 You tried to keep him here. 387 00:14:36,876 --> 00:14:38,753 You even tried to give him a goodie bag, but he left. 388 00:14:38,836 --> 00:14:39,921 I'm not sure what else you could have done. 389 00:14:40,004 --> 00:14:41,631 Been more persuasive. 390 00:14:41,714 --> 00:14:44,717 This was the patient's call… his life, his mistake. 391 00:14:44,801 --> 00:14:46,928 What mistake, getting diabetes? 392 00:14:47,011 --> 00:14:49,639 Not picking a higher spot to jump from. 393 00:14:59,941 --> 00:15:01,692 History of hyperlipidemia, 394 00:15:01,776 --> 00:15:03,945 an hour of substernal chest pain, 395 00:15:04,028 --> 00:15:06,572 minimal relief with nitro and 4 of MS. 396 00:15:06,656 --> 00:15:08,616 EKG is negative for STEMI. 397 00:15:08,699 --> 00:15:12,912 Heart score is 4, gave 324 milligrams of chewable aspirin, 398 00:15:12,995 --> 00:15:14,664 admit for new onset angina. 399 00:15:14,747 --> 00:15:16,666 Don't mind me. I'm just passing through. 400 00:15:16,749 --> 00:15:18,251 Seemed like you wanted an update. 401 00:15:18,334 --> 00:15:19,710 Well, as long as you feel like you got it covered. 402 00:15:19,794 --> 00:15:21,170 I do. 403 00:15:21,254 --> 00:15:22,880 Go ahead and repeat the 12-lead. 404 00:15:22,964 --> 00:15:24,465 Since I'm here, I did want to ask you about something 405 00:15:24,549 --> 00:15:25,758 I observed earlier. 406 00:15:25,842 --> 00:15:27,093 Oh, you gotta be fucking kidding me. 407 00:15:27,176 --> 00:15:28,594 What? 408 00:15:28,678 --> 00:15:30,304 Look where these anterior leads are placed. 409 00:15:30,388 --> 00:15:32,473 They're way too low. 410 00:15:32,557 --> 00:15:33,558 Holy shit! What's happening? 411 00:15:33,641 --> 00:15:35,518 Mrs. Lynch? V-tach! 412 00:15:35,601 --> 00:15:36,727 No pulse. 413 00:15:36,811 --> 00:15:39,188 Charge to 200. 414 00:15:39,272 --> 00:15:40,523 Charged. 415 00:15:40,606 --> 00:15:42,733 And clear. 416 00:15:42,817 --> 00:15:44,694 OK. Normal sinus. 417 00:15:44,777 --> 00:15:46,988 Strong pulse. Cycle a BP. 418 00:15:48,906 --> 00:15:50,491 Let's repeat that EKG, please. 419 00:15:50,575 --> 00:15:52,660 Put the leads in the right fucking place. 420 00:15:52,743 --> 00:15:55,288 - Who were the medics on this? - Bosco and Otero. 421 00:15:55,371 --> 00:15:56,998 Bosco and Otero. 422 00:15:57,081 --> 00:15:59,876 OK, Bosco and Otero. 423 00:15:59,959 --> 00:16:01,669 See you on Monday. 424 00:16:01,752 --> 00:16:03,546 May your night go smoother than my day. 425 00:16:03,629 --> 00:16:05,173 Happy 4th. 426 00:16:05,256 --> 00:16:07,049 Heard it's been crazy. They shut down when ICE came. 427 00:16:07,133 --> 00:16:09,302 Separate events. Get someone else to explain. 428 00:16:09,385 --> 00:16:10,595 I'm going home. 429 00:16:10,678 --> 00:16:12,763 Damn, what is that? That smells good. 430 00:16:12,847 --> 00:16:14,015 Food from home. 431 00:16:14,098 --> 00:16:15,641 I can't do the cafeteria. 432 00:16:15,725 --> 00:16:17,143 Oh, you gotta give me that recipe. 433 00:16:17,226 --> 00:16:18,853 - I'm going home. - Get home safe. 434 00:16:18,936 --> 00:16:19,936 Mm-hmm. 435 00:16:23,274 --> 00:16:25,485 - Hey. - Hey. 436 00:16:25,568 --> 00:16:27,236 - I'm starving. - Of course. 437 00:16:27,320 --> 00:16:29,447 I will give you $20 for whatever that smell is. 438 00:16:29,530 --> 00:16:30,823 I'll give you some. 439 00:16:30,907 --> 00:16:32,033 - I made too much anyway. - Thank you. 440 00:16:32,116 --> 00:16:33,201 - Just give me a sec. - Yeah. 441 00:16:33,284 --> 00:16:34,660 How can I help you? 442 00:16:34,744 --> 00:16:35,745 My granddad just about cut his hand off 443 00:16:35,828 --> 00:16:37,121 with a tug-of-war rope. 444 00:16:37,205 --> 00:16:39,832 Hi, I…I remember you from earlier. 445 00:16:39,916 --> 00:16:41,000 You're having a family reunion, right? 446 00:16:41,083 --> 00:16:42,251 Yeah. 447 00:16:42,335 --> 00:16:43,753 Is your hand actively bleeding? 448 00:16:43,836 --> 00:16:46,756 Oh, not so bad. Here, take a look. 449 00:16:46,839 --> 00:16:48,132 Mateo, one to come straight back! 450 00:16:48,216 --> 00:16:50,176 - Oh, my God. - Cover that up, please. 451 00:16:50,259 --> 00:16:52,178 I'll need to get a demographics from you. 452 00:16:52,261 --> 00:16:53,763 You got them already. 453 00:16:53,846 --> 00:16:55,598 Hansens been in and out of here all day long. 454 00:16:55,681 --> 00:16:56,891 How did this happen? 455 00:16:56,974 --> 00:16:58,100 He had the rope wrapped around his hand, 456 00:16:58,184 --> 00:16:59,560 cut through it like a machete. 457 00:16:59,644 --> 00:17:01,395 Have a seat, sir. I'll take you right back. 458 00:17:01,479 --> 00:17:04,273 And how would you rate your pain on a scale from 1 to 10? 459 00:17:04,357 --> 00:17:07,235 Oh, it's not too bad on account of my sugars. 460 00:17:08,361 --> 00:17:10,738 With his diabetes, his sensation's a little off. 461 00:17:10,821 --> 00:17:11,807 Yeah. 462 00:17:11,822 --> 00:17:12,865 After you. 463 00:17:12,949 --> 00:17:13,935 Thanks. 464 00:17:13,950 --> 00:17:16,118 Ow. What the fuck? 465 00:17:16,202 --> 00:17:17,787 Trigeminal nerve is good. 466 00:17:17,870 --> 00:17:20,081 Shit! You gonna fix me or torture me? 467 00:17:20,164 --> 00:17:22,375 Ooh, ouch! 468 00:17:22,458 --> 00:17:24,502 Yeah, I need to call plastics. 469 00:17:24,585 --> 00:17:27,129 I called a "kiss off the two, off the rail." 470 00:17:27,213 --> 00:17:29,131 Fucker said I didn't call it. 471 00:17:29,215 --> 00:17:32,093 Okay, yes, it was a bit noisy. The fourth is Styx night. 472 00:17:32,176 --> 00:17:33,886 But I called it. I have witnesses. 473 00:17:33,970 --> 00:17:35,263 Styx, the band? 474 00:17:35,346 --> 00:17:36,332 Yeah. 475 00:17:36,347 --> 00:17:37,431 Ah, love Styx. 476 00:17:37,515 --> 00:17:38,766 I never heard of them. 477 00:17:38,849 --> 00:17:40,685 You never heard of Styx? 478 00:17:40,768 --> 00:17:41,936 "Mr. Roboto"? 479 00:17:42,019 --> 00:17:44,522 My Spotify age isn't 62. 480 00:17:44,605 --> 00:17:47,149 "Come Sail Away"? "Lady"? "Babe"? 481 00:17:48,609 --> 00:17:50,945 Yeah, maybe best if you don't talk. 482 00:17:51,028 --> 00:17:53,614 Looks like there's some sort of foreign body in there. 483 00:17:53,698 --> 00:17:55,241 Mm-hmm. 484 00:17:55,324 --> 00:17:56,742 Are you OK? 485 00:17:56,826 --> 00:17:58,786 Yeah, it's just an awkward position. 486 00:17:58,869 --> 00:18:00,955 Go home. Rest, heat, ice. 487 00:18:01,038 --> 00:18:02,206 Yeah, no, no, I know. 488 00:18:02,290 --> 00:18:04,041 I'm just waiting for things to slow down. 489 00:18:04,125 --> 00:18:06,544 You know, express trains don't stop at your station. 490 00:18:07,795 --> 00:18:09,880 You just gotta jump. 491 00:18:09,964 --> 00:18:11,007 What is that? 492 00:18:11,090 --> 00:18:12,258 Heineken? 493 00:18:12,341 --> 00:18:13,327 Moosehead? 494 00:18:13,342 --> 00:18:14,719 Oh. 495 00:18:14,802 --> 00:18:17,388 From the glass-lined tanks of Old Latrobe. 496 00:18:17,471 --> 00:18:19,390 Ah, Rolling Rock. 497 00:18:19,473 --> 00:18:20,474 Nice. 498 00:18:25,104 --> 00:18:26,814 She's had four of morphine. 499 00:18:26,897 --> 00:18:28,274 How's the pain? 500 00:18:28,357 --> 00:18:29,567 Down to an 8. 501 00:18:29,650 --> 00:18:31,027 There it is, lateral STEMI. 502 00:18:31,110 --> 00:18:32,278 OK, call it in. 503 00:18:32,361 --> 00:18:33,946 The leads were too low to catch it? 504 00:18:34,030 --> 00:18:35,489 Yeah, it's not the first time it's happened. 505 00:18:35,573 --> 00:18:37,033 You get a male medic who's more concerned about 506 00:18:37,116 --> 00:18:38,576 getting sued or a complaint for undoing a bra. 507 00:18:38,659 --> 00:18:40,036 You see these anterior leads here? 508 00:18:40,119 --> 00:18:41,454 Code STEMI, South 15. 509 00:18:41,537 --> 00:18:42,788 Edith, you're having a heart attack 510 00:18:42,872 --> 00:18:44,290 from a blockage in the artery 511 00:18:44,373 --> 00:18:46,000 that brings oxygen to your heart muscle. 512 00:18:46,083 --> 00:18:48,210 - If we get you to the… - Lateral STEMI, V-tach arrest. 513 00:18:48,294 --> 00:18:50,171 Got her back after one shock. She needs the cath lab. 514 00:18:50,254 --> 00:18:51,881 - And serious heart damage. - Oh, my God. 515 00:18:51,964 --> 00:18:54,634 - You're going to be OK. - Hello, I'm Dr. Cruz. 516 00:18:54,717 --> 00:18:56,344 And I'm Dr. Shen. How are you feeling? 517 00:18:56,427 --> 00:18:57,762 I'm really scared. 518 00:18:57,845 --> 00:18:59,472 We've got you. Anything else? 519 00:18:59,555 --> 00:19:01,557 Uh, like I got kicked in the chest. 520 00:19:01,641 --> 00:19:03,267 Normal after a shock to the heart. 521 00:19:03,351 --> 00:19:05,019 - Family? - Yeah, husband's en route. 522 00:19:05,102 --> 00:19:06,771 Leave the defib pads on and take her up in a minute. 523 00:19:06,854 --> 00:19:08,147 I'm gonna chaperone a nerve block real quick. 524 00:19:08,230 --> 00:19:09,231 Go. 525 00:19:11,275 --> 00:19:12,902 Where's Dr. Al-Hashimi? 526 00:19:12,985 --> 00:19:14,820 She was just here. 527 00:19:24,246 --> 00:19:26,374 Hello, everyone. I'm Dr. Shen. 528 00:19:26,457 --> 00:19:28,209 Heard a rumor someone needed a nerve block. 529 00:19:28,292 --> 00:19:29,877 I'm guessing that's you. 530 00:19:29,960 --> 00:19:31,921 Probably so, although, 531 00:19:32,004 --> 00:19:33,506 you know, I don't have much pain. 532 00:19:33,589 --> 00:19:35,591 I guess it's my diabetes. 533 00:19:35,675 --> 00:19:39,136 We still need to numb you up to do a proper deep clean. 534 00:19:39,220 --> 00:19:41,055 You guys do whatever you gotta do. 535 00:19:41,138 --> 00:19:43,516 Three shots, median, ulnar, and radial. 536 00:19:43,599 --> 00:19:45,393 2 grams of Ancef, 100 milligrams of Gent 537 00:19:45,476 --> 00:19:46,602 for gram-negative coverage. 538 00:19:46,686 --> 00:19:47,978 How'd you do this? 539 00:19:48,062 --> 00:19:50,648 Oh, a family reunion tug-of-war. 540 00:19:50,731 --> 00:19:52,817 I wrapped the rope around my hand for better grip. 541 00:19:52,900 --> 00:19:55,861 And when we fell down, those bastards just kept pulling. 542 00:19:55,945 --> 00:19:57,405 Dirty. 543 00:19:57,488 --> 00:19:59,949 Nah, it's just… just the way we play. 544 00:20:02,827 --> 00:20:04,245 Michael, you got a second? 545 00:20:04,328 --> 00:20:05,830 Uh, not really, no. 546 00:20:05,913 --> 00:20:07,623 Well, how about showing me a little respect 547 00:20:07,707 --> 00:20:09,792 and finding one? 548 00:20:09,875 --> 00:20:10,918 Sorry, Caleb. 549 00:20:11,001 --> 00:20:12,420 Are you feeling disrespected? 550 00:20:12,503 --> 00:20:14,422 Given that you've been actively blowing me off 551 00:20:14,505 --> 00:20:16,048 all day, yeah, maybe a little bit. 552 00:20:16,132 --> 00:20:17,466 But I have a thick skin. 553 00:20:18,843 --> 00:20:20,386 What can I do for you? 554 00:20:20,469 --> 00:20:23,305 "Should have found a higher place to jump from." 555 00:20:23,389 --> 00:20:25,683 It's an interesting diagnosis, Doctor. 556 00:20:29,645 --> 00:20:31,272 No pithy retort? 557 00:20:31,355 --> 00:20:33,315 Yeah, I didn't think so. 558 00:20:33,399 --> 00:20:35,609 Uh, I just came to say goodbye. 559 00:20:35,693 --> 00:20:37,319 I'm leaving soon. 560 00:20:37,403 --> 00:20:39,029 I know you are too. 561 00:20:40,448 --> 00:20:42,032 Yes. 562 00:20:43,409 --> 00:20:45,661 Keep my number handy, just in case, huh? 563 00:20:45,745 --> 00:20:47,663 Yes, I promise I will. 564 00:20:47,747 --> 00:20:48,956 Thank you, Caleb. 565 00:20:51,459 --> 00:20:53,669 We're gonna give you one Diflucan pill to take home. 566 00:20:53,753 --> 00:20:56,547 Take it in three days if your symptoms persist. 567 00:20:56,630 --> 00:20:58,340 How do I get there? 568 00:20:58,424 --> 00:20:59,759 Where's that? 569 00:20:59,842 --> 00:21:01,427 Home. 570 00:21:01,510 --> 00:21:02,720 Do you know where you live? 571 00:21:02,803 --> 00:21:04,638 Of course I do. It's not far. 572 00:21:04,722 --> 00:21:07,016 But I don't have a way to get there. 573 00:21:08,267 --> 00:21:09,852 How'd you get here? 574 00:21:09,935 --> 00:21:12,188 My…my neighbor Gwen dropped me off, 575 00:21:12,271 --> 00:21:14,523 but she can't drive at night. 576 00:21:14,607 --> 00:21:17,234 We could call you an Uber or a taxi. 577 00:21:17,318 --> 00:21:19,904 I don't have any money. 578 00:21:19,987 --> 00:21:21,572 Excuse me. 579 00:21:21,655 --> 00:21:23,157 Can I help? 580 00:21:23,240 --> 00:21:24,867 Mrs. Clymer has been discharged, 581 00:21:24,950 --> 00:21:25,936 but has no way home. 582 00:21:25,951 --> 00:21:26,951 I'm so sorry. 583 00:21:26,994 --> 00:21:27,980 I don't mean to be a burden. 584 00:21:27,995 --> 00:21:29,288 No burden at all. 585 00:21:29,371 --> 00:21:32,208 Why don't we call you a Lyft? 586 00:21:32,291 --> 00:21:33,542 What is that? 587 00:21:33,626 --> 00:21:34,877 It's like a taxi service. 588 00:21:34,960 --> 00:21:36,712 If you put your address in here, 589 00:21:36,796 --> 00:21:39,131 a car will arrive in a few minutes to bring you home. 590 00:21:39,215 --> 00:21:40,466 - Oh. - My treat. 591 00:21:41,759 --> 00:21:45,763 That's very kind of you, truly. 592 00:21:45,846 --> 00:21:47,348 Perfect. 593 00:21:47,431 --> 00:21:49,391 OK, Olive, could you take Mrs. Clymer out 594 00:21:49,475 --> 00:21:52,102 to the ambulance bay, where Florian will be 595 00:21:52,186 --> 00:21:54,271 arriving in six minutes in a white Toyota Camry? 596 00:21:54,355 --> 00:21:55,481 You bet. 597 00:21:55,564 --> 00:21:56,857 Thank you. 598 00:21:56,941 --> 00:21:58,984 I could use some good karma. 599 00:21:59,068 --> 00:22:00,778 OK. 600 00:22:03,614 --> 00:22:05,825 Oh, uh, hey. 601 00:22:07,409 --> 00:22:08,702 Relax, buddy. 602 00:22:08,786 --> 00:22:10,538 It's Advil. 603 00:22:10,621 --> 00:22:12,832 No, I didn't think you were… 604 00:22:14,250 --> 00:22:15,918 Headache? 605 00:22:16,001 --> 00:22:18,963 Uh, I tweaked my back a little 606 00:22:19,046 --> 00:22:21,799 lifting that overheated kid. 607 00:22:21,882 --> 00:22:23,133 I guess I should get used to 608 00:22:23,217 --> 00:22:25,886 playing through the pain again, huh? 609 00:22:25,970 --> 00:22:28,347 You look like you got into shape since I saw you last. 610 00:22:28,430 --> 00:22:30,307 Didn't peg you as a gym guy. 611 00:22:30,391 --> 00:22:31,725 Oh, no. 612 00:22:31,809 --> 00:22:34,520 I'm maybe more of a barn guy. 613 00:22:34,603 --> 00:22:37,565 I'm helping out a friend on the farm, so… 614 00:22:39,233 --> 00:22:40,276 Nice. 615 00:22:40,359 --> 00:22:41,986 I'm picturing "Babe," 616 00:22:42,069 --> 00:22:43,779 except instead of Farmer Hoggett, it's you. 617 00:22:43,863 --> 00:22:45,155 And instead of a pig… 618 00:22:45,239 --> 00:22:47,032 Can you cut the shit? 619 00:22:48,659 --> 00:22:49,952 Excuse me? 620 00:22:50,035 --> 00:22:52,204 The sarcasm thing, the…the…the… 621 00:22:52,288 --> 00:22:53,956 the little buddy routine, like…like…like, 622 00:22:54,039 --> 00:22:55,833 you're what, you're the Skipper, I'm Gilligan? 623 00:22:55,916 --> 00:22:57,751 Dude, you're not the Skipper. 624 00:22:57,835 --> 00:23:00,004 I know I'm not the Skipper. Robby is the Skipper. 625 00:23:00,087 --> 00:23:02,131 No, Robby is the Professor. Dana's the Skipper. 626 00:23:02,214 --> 00:23:03,674 OK, somebody's watched a lot of Nick at Nite. 627 00:23:03,757 --> 00:23:06,093 So who am I? 628 00:23:06,176 --> 00:23:08,262 Play whatever part you like. 629 00:23:08,345 --> 00:23:10,556 Just don't pick mine for me. 630 00:23:12,141 --> 00:23:13,434 OK. 631 00:23:13,517 --> 00:23:15,477 OK, that's fair. 632 00:23:15,561 --> 00:23:17,146 You got it. 633 00:23:17,229 --> 00:23:19,356 Thank you. 634 00:23:19,440 --> 00:23:21,775 You headed home? 635 00:23:21,859 --> 00:23:24,528 Uh, no, I'm waiting on Robby. 636 00:23:24,612 --> 00:23:26,322 He asked me to house-sit while he's gone. 637 00:23:26,405 --> 00:23:29,158 So I'm waiting for the keys, the alarm code. 638 00:23:30,576 --> 00:23:31,911 Nice. Nice. 639 00:23:31,994 --> 00:23:33,787 Yeah, I've… I've seen his place. 640 00:23:33,871 --> 00:23:36,081 You're in for a sweet setup. 641 00:23:36,165 --> 00:23:38,167 Cool. 642 00:23:38,250 --> 00:23:42,004 I'm sorry if I came across a little strong. 643 00:23:42,087 --> 00:23:44,340 Don't apologize for standing up for yourself. 644 00:23:44,423 --> 00:23:46,342 It's a healthy habit. 645 00:23:48,385 --> 00:23:50,179 You know, I really don't need to see this again. 646 00:23:50,262 --> 00:23:51,680 No, this is my favorite part. 647 00:23:53,307 --> 00:23:54,307 My hand's starting to cramp. 648 00:23:54,350 --> 00:23:55,517 We gotta be done soon. 649 00:23:55,601 --> 00:23:57,269 Oh, you can be done now. 650 00:23:57,353 --> 00:24:00,314 But if you want to the hospital to cover you, last one. 651 00:24:05,986 --> 00:24:09,031 Hey, Robby. It was an accident, man. 652 00:24:09,114 --> 00:24:10,574 What are you talking about? 653 00:24:10,658 --> 00:24:12,701 Your bike. 654 00:24:20,626 --> 00:24:23,087 Son of a bitch. 655 00:24:23,170 --> 00:24:25,881 Oh, motherfucker! 656 00:24:27,383 --> 00:24:29,343 Robby, GSW to the head. 657 00:24:29,426 --> 00:24:30,636 Somebody hit my bike. 658 00:24:30,719 --> 00:24:32,221 Dude, that sucks. 659 00:24:32,304 --> 00:24:33,722 Is it still rideable? 660 00:24:35,057 --> 00:24:36,600 It better be. 661 00:24:36,684 --> 00:24:38,852 Elbridge Gerry, 25, stable with good vitals. 662 00:24:38,936 --> 00:24:40,437 Of thee I sing 663 00:24:40,521 --> 00:24:42,022 Was shooting his .22 caliber pistol in the air 664 00:24:42,106 --> 00:24:43,524 with an aluminum pot on his head for protection. 665 00:24:43,607 --> 00:24:44,858 Didn't work. 666 00:24:44,942 --> 00:24:46,235 He's had about a quart of Seagrams 7 667 00:24:46,318 --> 00:24:47,528 and will probably light up a tox screen 668 00:24:47,611 --> 00:24:49,863 like a Roman candle. 669 00:24:49,947 --> 00:24:52,449 We start fucking 670 00:24:52,533 --> 00:24:53,909 Real wordsmith. 671 00:24:53,993 --> 00:24:55,327 Entry wound in the frontal scalp, 672 00:24:55,411 --> 00:24:56,662 seems to have tracked down the forehead. 673 00:24:56,745 --> 00:24:57,788 As alert and oriented as you can be 674 00:24:57,871 --> 00:24:59,039 after multiple bong hits. 675 00:24:59,123 --> 00:25:00,499 Got vital satting 98 on room air. 676 00:25:00,582 --> 00:25:01,834 - Sorry, Robby. - Don't you fucking leave. 677 00:25:01,917 --> 00:25:02,903 - I can explain. - I will be right back. 678 00:25:02,918 --> 00:25:03,904 What's this? 679 00:25:03,919 --> 00:25:05,295 Trauma 2. 680 00:25:05,379 --> 00:25:06,714 Low velocity GSW to the head, 681 00:25:06,797 --> 00:25:08,132 seems to have remained extracranial. 682 00:25:08,215 --> 00:25:09,717 Lucky guy. 683 00:25:09,800 --> 00:25:13,846 Gloria, Gloria, here's a dollar! 684 00:25:13,929 --> 00:25:16,390 After a fireworks explosion resulting 685 00:25:16,473 --> 00:25:18,767 in the loss of two fingers. 686 00:25:18,851 --> 00:25:20,936 Ooh, that sounds nasty. 687 00:25:21,020 --> 00:25:23,605 Yeah, that was a sad one. 688 00:25:23,689 --> 00:25:24,982 Parents were deported. 689 00:25:25,065 --> 00:25:27,401 Big sister works a full-time job 690 00:25:27,484 --> 00:25:28,944 and is the sole caregiver. 691 00:25:29,028 --> 00:25:30,612 Been there, done that. 692 00:25:30,696 --> 00:25:32,406 Your parents were deported? 693 00:25:32,489 --> 00:25:34,199 Oh, no. I thought she said departed. 694 00:25:35,868 --> 00:25:37,661 Did either of you guys work on 695 00:25:37,745 --> 00:25:40,497 the Revolutionary War reenactors earlier? 696 00:25:40,581 --> 00:25:43,208 Why, you didn't think you could pull off a tricorn hat? 697 00:25:43,292 --> 00:25:46,086 Maybe. 698 00:25:46,170 --> 00:25:47,713 I've always loved history, 699 00:25:47,796 --> 00:25:51,759 and Colonial Williamsburg was my favorite school trip. 700 00:25:51,842 --> 00:25:53,427 And, you know, there's always the Ren Faire, 701 00:25:53,510 --> 00:25:55,846 but that's just once a year. 702 00:25:55,929 --> 00:25:58,140 How often do you think the reenactors get together? 703 00:25:59,850 --> 00:26:01,560 I don't know. No. 704 00:26:01,643 --> 00:26:03,437 You should definitely look into that. 705 00:26:03,520 --> 00:26:04,688 - Yeah? - Yeah. 706 00:26:04,772 --> 00:26:05,981 OK. 707 00:26:15,991 --> 00:26:18,118 Deep-throated husky with a touch of bitch. 708 00:26:18,202 --> 00:26:19,578 That's her tune. 709 00:26:19,661 --> 00:26:20,913 That's what I thought, but you're the expert. 710 00:26:20,996 --> 00:26:22,539 I just needed to make sure. 711 00:26:23,999 --> 00:26:25,709 I was going through Billings once. 712 00:26:25,793 --> 00:26:29,296 Cop saw my colors, jacked me up, 713 00:26:29,379 --> 00:26:30,714 kept me overnight. 714 00:26:30,798 --> 00:26:34,384 They threw my sweetheart in the impound yard. 715 00:26:34,468 --> 00:26:36,261 They claimed someone backed into it, 716 00:26:36,345 --> 00:26:39,473 but you could see where they took their hammer to it, man. 717 00:26:39,556 --> 00:26:40,933 You gotta be careful out there. 718 00:26:41,016 --> 00:26:42,267 This is all pretty minor, though, right? 719 00:26:42,351 --> 00:26:44,561 Yeah, shit, this is just cosmetic. 720 00:26:44,645 --> 00:26:47,064 Bring it in tomorrow, and we'll get Bonnie right. 721 00:26:47,147 --> 00:26:48,774 Well, this will bend back. This will tighten up. 722 00:26:48,857 --> 00:26:50,484 - I can do all that myself. - Jesus, let me do it. 723 00:26:50,567 --> 00:26:51,735 - There's no charge. - What? 724 00:26:51,819 --> 00:26:53,112 You don't owe me anything, except 725 00:26:53,195 --> 00:26:55,614 take care of yourself while I'm gone. 726 00:26:55,697 --> 00:26:57,491 Boy, this record never stops, huh? 727 00:26:57,574 --> 00:27:00,369 Nah, it's dance till you drop! 728 00:27:00,452 --> 00:27:01,870 Then what? 729 00:27:01,954 --> 00:27:03,956 Teach the kids the steps before you do. 730 00:27:04,039 --> 00:27:05,332 And then what? 731 00:27:05,415 --> 00:27:06,834 Hope they make it farther than you. 732 00:27:06,917 --> 00:27:08,460 Hey, Robby, you're coming or going? 733 00:27:08,544 --> 00:27:10,254 I'm going, pretty soon. What have you got here? 734 00:27:10,337 --> 00:27:13,173 Lyman Paine, 53, single MVC. 735 00:27:13,257 --> 00:27:14,341 Drove into a telephone pole. 736 00:27:14,424 --> 00:27:15,634 Passenger space intrusion? 737 00:27:15,717 --> 00:27:16,760 No, head on. 738 00:27:16,844 --> 00:27:17,830 Intoxicated? 739 00:27:17,845 --> 00:27:19,721 No ETOH on his breath. 740 00:27:19,805 --> 00:27:21,515 Either syncope, seizure, 741 00:27:21,598 --> 00:27:24,017 or he just fell asleep at the wheel. 742 00:27:24,101 --> 00:27:26,061 Airbag deployed, unconscious at the scene, 743 00:27:26,145 --> 00:27:27,131 but he's waking up. 744 00:27:27,146 --> 00:27:28,564 BP 140 over 80, 745 00:27:28,647 --> 00:27:30,357 pulse 120, pulse ox 98, 746 00:27:30,440 --> 00:27:31,608 no obvious injuries. 747 00:27:31,692 --> 00:27:32,678 Why don't you guys head on in? 748 00:27:32,693 --> 00:27:33,819 I'll meet you in a minute. 749 00:27:38,615 --> 00:27:41,326 Well, hey, buddy, I guess this is it. 750 00:27:41,410 --> 00:27:43,203 Make those appointments next week, you know? 751 00:27:43,287 --> 00:27:45,330 I'll call you from the road to make sure you do. 752 00:27:45,414 --> 00:27:46,999 - Don't do that, man. - What? 753 00:27:47,082 --> 00:27:48,959 Don't shine me on. 754 00:27:49,042 --> 00:27:50,919 I'm not. 755 00:27:51,003 --> 00:27:52,379 Jesus. 756 00:27:52,462 --> 00:27:54,173 I get it. 757 00:27:54,256 --> 00:27:57,176 Hard place to leave, a harder place to stay. 758 00:27:58,886 --> 00:28:00,012 Yeah. 759 00:28:02,431 --> 00:28:05,142 Look, I'm not ready to say goodbye yet. 760 00:28:05,225 --> 00:28:08,645 So go do what you gotta do, and I'll get some tools 761 00:28:08,729 --> 00:28:11,023 from the truck and see if I can't make 762 00:28:11,106 --> 00:28:13,233 Bonnie smile again for you. 763 00:28:16,904 --> 00:28:18,155 OK. 764 00:28:18,238 --> 00:28:19,823 OK, then. 765 00:28:26,872 --> 00:28:29,208 Robby, man, I'm so sorry. We've been on for 14 straight. 766 00:28:29,291 --> 00:28:30,834 - I thought I cleared it. - It's all right. 767 00:28:30,918 --> 00:28:32,127 Honestly, I feel terrible. 768 00:28:32,211 --> 00:28:33,962 No real harm done. 769 00:28:34,046 --> 00:28:35,756 I was bound to nick it up on the road anyway. 770 00:28:35,839 --> 00:28:39,051 First blood drawn, it's a good omen really. 771 00:28:39,134 --> 00:28:40,510 Thought he'd be more pissed. 772 00:28:40,594 --> 00:28:42,554 I thought you might get punched. 773 00:28:42,638 --> 00:28:44,056 Chest and belly look good. 774 00:28:44,139 --> 00:28:45,390 Let me drag Neurosurgery down here to deal with 775 00:28:45,474 --> 00:28:46,600 the C-spine before I go. 776 00:28:46,683 --> 00:28:49,102 - You off? - Yep, an hour ago. 777 00:28:49,186 --> 00:28:51,021 - Can't you tell? - How you doing, sir? 778 00:28:51,104 --> 00:28:53,732 Actually, not too good. 779 00:28:53,815 --> 00:28:55,067 The tingling is getting worse. 780 00:28:55,150 --> 00:28:56,735 It's in both my arms now. 781 00:28:56,818 --> 00:28:58,362 I feel like something's wrong. 782 00:28:58,445 --> 00:29:00,572 Hey, man. What are we looking at? 783 00:29:00,656 --> 00:29:03,200 Ran into a telephone pole, airbag deployed. 784 00:29:03,283 --> 00:29:04,743 Seizure? Stroke? 785 00:29:04,826 --> 00:29:06,078 Not sure. 786 00:29:06,161 --> 00:29:07,246 Possible C-spine. 787 00:29:07,329 --> 00:29:09,623 CT showed uni-facet dislocation. 788 00:29:09,706 --> 00:29:11,416 I'm trying not to freak out. 789 00:29:11,500 --> 00:29:13,001 I'm having trouble breathing. 790 00:29:13,085 --> 00:29:15,128 Squeeze my hand. 791 00:29:15,212 --> 00:29:16,713 Real hard. 792 00:29:16,797 --> 00:29:17,839 Three out of five strength. 793 00:29:17,923 --> 00:29:18,966 OK. 794 00:29:19,049 --> 00:29:20,467 10 milligrams dexamethasone. 795 00:29:20,550 --> 00:29:22,594 Dexamethasone? For spinal injury? 796 00:29:22,678 --> 00:29:24,179 It's compression from a jumped facet 797 00:29:24,263 --> 00:29:25,847 and maybe some ischemia from a kinked vessel. 798 00:29:25,931 --> 00:29:27,224 What's…what's happening? 799 00:29:27,307 --> 00:29:29,810 Sir, you have a partial dislocation 800 00:29:29,893 --> 00:29:31,395 of two vertebrae in your neck. 801 00:29:31,478 --> 00:29:33,230 It's putting pressure on your spinal cord. 802 00:29:33,313 --> 00:29:34,856 How do you fix it? 803 00:29:34,940 --> 00:29:37,609 We need Neurosurgery to screw a clamp 804 00:29:37,693 --> 00:29:39,528 into both sides of your skull 805 00:29:39,611 --> 00:29:42,406 and then use traction under X-ray guidance 806 00:29:42,489 --> 00:29:43,949 to get everything realigned. 807 00:29:44,032 --> 00:29:46,535 Like a chiropractic adjustment? 808 00:29:46,618 --> 00:29:49,371 It's a bit more complicated than that. 809 00:29:49,454 --> 00:29:51,248 I think I'm having a panic attack, 810 00:29:51,331 --> 00:29:54,209 because I can't even get a shallow breath. 811 00:29:54,293 --> 00:29:56,795 Or he's losing C3, 4, and 5. 812 00:29:56,878 --> 00:29:58,755 Uh, page Neurosurgery. 813 00:29:58,839 --> 00:30:00,841 - Garcia went to go get them. - No. Page overhead. 814 00:30:00,924 --> 00:30:03,510 Find Robby if he's still here. 815 00:30:03,593 --> 00:30:06,305 Any available neurosurgeon to ED Trauma 1, stat! 816 00:30:06,388 --> 00:30:09,599 Any available neurosurgeon to ED Trauma 1, stat! 817 00:30:11,435 --> 00:30:13,312 Dr. Robby? 818 00:30:13,395 --> 00:30:16,690 Uh, yeah? 819 00:30:16,773 --> 00:30:19,568 You're needed in Trauma 1. 820 00:30:19,651 --> 00:30:21,361 OK. 821 00:30:21,445 --> 00:30:22,738 - What patient? - Dr. Langdon's. 822 00:30:22,821 --> 00:30:24,072 It's a neck injury. 823 00:30:27,242 --> 00:30:28,410 I got the fellow. 824 00:30:28,493 --> 00:30:29,745 They could be down in 15 minutes. 825 00:30:29,828 --> 00:30:30,996 He's progressing too fast for that. 826 00:30:31,079 --> 00:30:32,914 What's going on? 827 00:30:32,998 --> 00:30:35,459 Uni-facet dislocation, C4/C5, 828 00:30:35,542 --> 00:30:37,210 paresthesia and decreased tidal volume. 829 00:30:37,294 --> 00:30:38,545 Sat's 85. 830 00:30:38,628 --> 00:30:40,505 We need to prepare for intubation. 831 00:30:40,589 --> 00:30:42,215 Any delay in reduction almost guarantees 832 00:30:42,299 --> 00:30:44,551 complete spinal cord injury. 833 00:30:44,634 --> 00:30:46,553 What other options do we have? 834 00:30:46,636 --> 00:30:50,223 Uh, I saw Neurosurgery do a closed reduction once in ICU. 835 00:30:50,307 --> 00:30:51,683 Blind? That's crazy risky. 836 00:30:51,767 --> 00:30:52,976 We gotta do something. 837 00:30:53,060 --> 00:30:54,561 What's that procedure, Dr. Langdon? 838 00:30:54,644 --> 00:30:56,730 It's just… it's traction on the neck, 839 00:30:56,813 --> 00:30:59,399 we flex the dislocated side and into slight extension. 840 00:30:59,483 --> 00:31:00,859 Quadriplegia, if done wrong. 841 00:31:00,942 --> 00:31:02,486 I'm sorry, what… did you say quadriplegic? 842 00:31:02,569 --> 00:31:03,987 It is a possibility, sir. 843 00:31:04,071 --> 00:31:05,822 It's also the same possibility if we do nothing. 844 00:31:05,906 --> 00:31:07,074 You wanna try? 845 00:31:07,157 --> 00:31:08,867 I've never seen it done. You have. 846 00:31:08,950 --> 00:31:10,327 I can't feel my feet. 847 00:31:10,410 --> 00:31:11,870 Sats 79. 100% non-rebreather? 848 00:31:11,953 --> 00:31:13,205 He's progressing, Dr. Langdon. 849 00:31:13,288 --> 00:31:14,664 What is your plan? 850 00:31:14,748 --> 00:31:16,166 Uh, Neuro… 851 00:31:16,249 --> 00:31:17,834 Fuck Neuro. This is right here, right now. 852 00:31:17,918 --> 00:31:19,461 This guy's gonna be a living head if we do nothing. 853 00:31:19,544 --> 00:31:22,172 - I could paralyze him. - Doctor the fuck up. 854 00:31:26,468 --> 00:31:29,262 Sir, the partial dislocation of the two vertebrae 855 00:31:29,346 --> 00:31:31,598 in your neck is putting pressure on your spinal cord. 856 00:31:31,681 --> 00:31:34,226 I can try to move the neck bones back into place. 857 00:31:34,309 --> 00:31:36,186 That could help. There's no guarantees. 858 00:31:36,269 --> 00:31:37,729 If we do nothing, 859 00:31:37,813 --> 00:31:39,398 the weakness is definitely going to get worse. 860 00:31:39,481 --> 00:31:41,900 But either way, there's still a chance of paralysis. 861 00:31:41,983 --> 00:31:44,486 Do it. Please. Please. 862 00:31:44,569 --> 00:31:46,113 50 of fentanyl IV. 863 00:31:46,196 --> 00:31:47,906 You need to let us know if the weakness gets worse 864 00:31:47,989 --> 00:31:50,200 or if there's any sudden pain, and we'll stop immediately. 865 00:31:50,283 --> 00:31:51,743 Dr. Cruz, Robby, 866 00:31:51,827 --> 00:31:54,079 hold down his shoulders for countertraction. 867 00:31:54,162 --> 00:31:56,039 OK, I'm gonna pull on your head. 868 00:31:56,123 --> 00:31:57,999 Your job is to try to relax, 869 00:31:58,083 --> 00:32:00,460 breathe so we can overcome the muscle spasm. 870 00:32:05,382 --> 00:32:06,883 Flexing to the right. 871 00:32:10,137 --> 00:32:11,346 Any change? 872 00:32:11,430 --> 00:32:13,723 My legs are starting to tingle. 873 00:32:13,807 --> 00:32:15,308 Last step. 874 00:32:19,896 --> 00:32:21,022 - I felt something click. - Oh, fuck! Oh, fuck! 875 00:32:21,106 --> 00:32:22,607 - I felt it too. - Sir, talk to us. 876 00:32:22,691 --> 00:32:24,234 - What's going on? - Oh. 877 00:32:24,317 --> 00:32:26,278 I think… 878 00:32:26,361 --> 00:32:27,696 I think… 879 00:32:27,779 --> 00:32:29,781 Yeah. I'm starting to breathe easier. 880 00:32:29,865 --> 00:32:31,908 Any change in your hand or feet? 881 00:32:31,992 --> 00:32:33,410 Oh. 882 00:32:33,493 --> 00:32:34,786 Oh, this is maybe a little less numb. 883 00:32:34,870 --> 00:32:36,371 Philadelphia collar is ready. 884 00:32:36,455 --> 00:32:37,539 Talk to me. 885 00:32:37,622 --> 00:32:38,832 Langdon just reduced 886 00:32:38,915 --> 00:32:40,667 a uni-facet cervical dislocation. 887 00:32:40,750 --> 00:32:43,462 What? Without neurosurgery? Don't try this at home, kids. 888 00:32:43,545 --> 00:32:45,046 He was deteriorating quickly. 889 00:32:45,130 --> 00:32:46,506 Neuro exam is improving. 890 00:32:46,590 --> 00:32:48,550 Oh, my God, it's definitely better. 891 00:32:48,633 --> 00:32:51,386 Oh, my God. 892 00:32:51,470 --> 00:32:53,221 Nice job. 893 00:32:53,305 --> 00:32:54,681 All right, repeat CT, 894 00:32:54,764 --> 00:32:56,183 then Neurosurgery can take him up for a halo. 895 00:32:56,266 --> 00:32:57,517 Brass balls, buddy. 896 00:32:57,601 --> 00:32:59,644 - See? You haven't lost it. - Um, excuse me. 897 00:32:59,728 --> 00:33:02,189 I'm just gonna step outside for a second. 898 00:33:17,162 --> 00:33:19,873 Langdon, honey, I just got a call from upstairs. 899 00:33:19,956 --> 00:33:21,291 Were you supposed to get a urine screen 900 00:33:21,374 --> 00:33:22,959 - and turn it in by 8:00 tonight? - Fuck! 901 00:33:23,043 --> 00:33:24,169 Um… 902 00:33:25,420 --> 00:33:27,631 Oh, no. Uh, ye…yes. 903 00:33:27,714 --> 00:33:29,633 Can you just…can you tell them that I was in a trauma? 904 00:33:29,716 --> 00:33:31,009 I'm going right now. 905 00:33:34,804 --> 00:33:36,264 Where's he off to? 906 00:33:36,348 --> 00:33:38,058 No idea. 907 00:33:38,141 --> 00:33:40,602 Did you find your ID badge yet? 908 00:33:40,685 --> 00:33:42,604 No, I've looked everywhere. 909 00:33:42,687 --> 00:33:44,272 Must have been thrown out on accident. 910 00:33:44,356 --> 00:33:45,774 They'll issue you a new one. 911 00:33:45,857 --> 00:33:47,067 You just have to fill out a bunch of forms. 912 00:33:47,150 --> 00:33:48,527 Oh, great. 913 00:33:52,489 --> 00:33:53,949 What? 914 00:33:54,032 --> 00:33:55,018 Cow in labor? 915 00:33:55,033 --> 00:33:56,409 No, I… 916 00:33:56,493 --> 00:33:58,328 I ordered a patient a Lyft. 917 00:33:58,411 --> 00:34:02,791 Now I have a $250 surcharge and a complaint on my account. 918 00:34:02,874 --> 00:34:04,918 - What? - What'd they do? 919 00:34:05,001 --> 00:34:06,336 It was a sweet old lady. 920 00:34:06,419 --> 00:34:08,421 Who apparently had some racist 921 00:34:08,505 --> 00:34:10,048 and abusive things to say 922 00:34:10,131 --> 00:34:12,342 right before puking in the back. 923 00:34:12,425 --> 00:34:15,053 You never know with some people. 924 00:34:15,136 --> 00:34:16,429 There goes my first paycheck. 925 00:34:16,513 --> 00:34:17,889 St. Huckleberry. 926 00:34:17,973 --> 00:34:19,140 No good deed. 927 00:34:22,185 --> 00:34:25,188 I can see why you liked restoring this bike. 928 00:34:25,272 --> 00:34:26,898 You're a fixer. 929 00:34:26,982 --> 00:34:29,025 I fix bikes, but you fix people. 930 00:34:29,109 --> 00:34:31,695 That's pretty damn impressive, man. 931 00:34:31,778 --> 00:34:33,738 Some people can't be fixed. 932 00:34:35,198 --> 00:34:37,367 Look, I'm… 933 00:34:37,450 --> 00:34:40,370 I've done plenty of things I'm not proud of. 934 00:34:40,453 --> 00:34:41,439 Yeah, me too. 935 00:34:41,454 --> 00:34:44,040 No, bad things… 936 00:34:44,124 --> 00:34:46,626 hurt people on purpose, 937 00:34:46,710 --> 00:34:48,420 hurt myself. 938 00:34:48,503 --> 00:34:51,214 And I did my time, but that doesn't wash away the regret. 939 00:34:51,298 --> 00:34:53,592 I… 940 00:34:53,675 --> 00:34:55,885 wish I'd done things differently. 941 00:34:55,969 --> 00:34:58,346 I think about it every day. 942 00:34:58,430 --> 00:35:01,516 You know, they say that it's never too late to change. 943 00:35:01,600 --> 00:35:05,228 Some things can't be changed, like death. 944 00:35:05,312 --> 00:35:07,063 Death can't be changed. 945 00:35:07,147 --> 00:35:08,982 Hey, I know the surgery is scary. 946 00:35:09,065 --> 00:35:11,693 I'm not talking about me. 947 00:35:25,498 --> 00:35:28,501 Yeah, I don't know if I wanna be here anymore. 948 00:35:30,587 --> 00:35:32,881 I don't know how you stand 12 minutes in there, 949 00:35:32,964 --> 00:35:37,510 let alone 12 hours, 20 years. 950 00:35:37,594 --> 00:35:38,803 No. 951 00:35:38,887 --> 00:35:41,181 That's the only place I can be. 952 00:35:41,264 --> 00:35:46,394 I have purpose in there. I can be distracted in there. 953 00:35:46,478 --> 00:35:50,148 I don't know that I wanna be… 954 00:35:50,231 --> 00:35:54,110 anywhere anymore. 955 00:35:59,074 --> 00:36:02,035 So what's the plan? 956 00:36:02,118 --> 00:36:04,079 Ride. 957 00:36:04,162 --> 00:36:05,955 - Toward what? - I don't know. 958 00:36:06,039 --> 00:36:07,082 Away from what? 959 00:36:07,165 --> 00:36:09,042 Everything. 960 00:36:09,125 --> 00:36:12,253 Well, that's not riding. That's running. 961 00:36:12,337 --> 00:36:15,382 Is that your final lesson for these kids? 962 00:36:20,553 --> 00:36:22,013 What's up, Robby? 963 00:36:22,097 --> 00:36:25,725 Well, if it isn't Medics Bosco and Otero. 964 00:36:27,894 --> 00:36:28,937 You still on? 965 00:36:29,020 --> 00:36:30,146 Not for much longer. 966 00:36:30,230 --> 00:36:32,482 I was looking for you two. 967 00:36:32,565 --> 00:36:34,150 Rita Wolcott, 22. 968 00:36:34,234 --> 00:36:36,361 She was using a dumpster to climb a fire escape 969 00:36:36,444 --> 00:36:37,862 to get to a roof party. 970 00:36:37,946 --> 00:36:39,698 Slipped about 6 feet onto concrete. 971 00:36:39,781 --> 00:36:41,324 Possible tib-fib fracture. 972 00:36:41,408 --> 00:36:42,701 Oh, can I please tell it? 973 00:36:42,784 --> 00:36:44,452 You're making me sound like an idiot. 974 00:36:44,536 --> 00:36:46,079 My friends and I were just trying to watch the fireworks 975 00:36:46,162 --> 00:36:47,539 from the roof of our building. 976 00:36:47,622 --> 00:36:49,708 But the roof access door and the stairwells stuck, 977 00:36:49,791 --> 00:36:51,960 so we decided to climb the fire escape. 978 00:36:52,043 --> 00:36:53,920 They were supposed to hold the dumpster still while I… 979 00:36:54,713 --> 00:36:55,755 But they didn't. 980 00:36:55,839 --> 00:36:57,132 Then I fell. 981 00:36:57,215 --> 00:36:59,300 Like I said, 6 feet onto concrete. 982 00:36:59,384 --> 00:37:01,302 Yeah, because they didn't hold it still. 983 00:37:01,386 --> 00:37:02,887 Well, it's a good thing she didn't need a 12-lead. 984 00:37:02,971 --> 00:37:04,639 Why's that? 985 00:37:04,723 --> 00:37:05,974 'Cause you guys put one on about a half hour ago wrong 986 00:37:06,057 --> 00:37:07,183 and you missed the STEMI. 987 00:37:07,267 --> 00:37:08,253 Bullshit. 988 00:37:08,268 --> 00:37:09,352 46-year-old woman. 989 00:37:09,436 --> 00:37:11,146 A minute after you left, V-tach. 990 00:37:11,229 --> 00:37:13,523 Repeat EKG showed a massive lateral STEMI. 991 00:37:13,606 --> 00:37:14,733 No way. 992 00:37:14,816 --> 00:37:16,192 Leads were so inferior, 993 00:37:16,276 --> 00:37:17,819 you might as well have not put them on at all. 994 00:37:17,902 --> 00:37:19,362 What were you afraid of, her bra? 995 00:37:19,446 --> 00:37:20,864 What have we got? 996 00:37:20,947 --> 00:37:22,949 We've got a 22-year-old probable tib-fib fracture 997 00:37:23,032 --> 00:37:24,284 from a 6-foot fall. 998 00:37:24,367 --> 00:37:25,869 Why don't you take her to Central 13? 999 00:37:25,952 --> 00:37:27,287 Got it. Right this way. 1000 00:37:27,370 --> 00:37:29,205 As I was saying, bad data is shit data. 1001 00:37:29,289 --> 00:37:31,541 Maybe she was diaphoretic and they slid down en route. 1002 00:37:31,624 --> 00:37:33,001 Yeah, she was moving a lot. 1003 00:37:33,084 --> 00:37:34,461 Diaphoretic, my ass. She had big breasts. 1004 00:37:34,544 --> 00:37:35,879 You didn't wanna move 'em out of the way 1005 00:37:35,962 --> 00:37:37,547 - to get under her bra line. - Come on, Robby. 1006 00:37:37,630 --> 00:37:38,965 Women are misdiagnosed for heart attacks all the time. 1007 00:37:39,048 --> 00:37:40,341 This is a big reason why. 1008 00:37:40,425 --> 00:37:41,718 Shall we put it to a vote? 1009 00:37:41,801 --> 00:37:44,095 Hey, ladies in the room, show of hands. 1010 00:37:44,179 --> 00:37:46,556 Death with modesty, or life with brief nudity? 1011 00:37:46,639 --> 00:37:49,142 Death or life? 1012 00:37:49,225 --> 00:37:50,935 Look at that… turns out women wanna live. 1013 00:37:51,019 --> 00:37:52,353 Got it. 1014 00:37:52,437 --> 00:37:53,605 EKG is an amazing tool if you use it right. 1015 00:37:53,688 --> 00:37:54,981 You could have told us in private. 1016 00:37:55,064 --> 00:37:56,357 I think this was more instructive. 1017 00:37:56,441 --> 00:37:58,109 Agreed. 1018 00:37:59,736 --> 00:38:02,071 Hey, hell of a save your boy made. 1019 00:38:02,155 --> 00:38:03,406 On-the-fly reduction 1020 00:38:03,490 --> 00:38:05,241 of a uni-facet cervical dislocation… 1021 00:38:05,325 --> 00:38:06,534 that's some cowboy shit. 1022 00:38:06,618 --> 00:38:07,911 Yeah, it was. Where is he? 1023 00:38:07,994 --> 00:38:09,746 Ran off for a drug test. 1024 00:38:09,829 --> 00:38:11,998 You got your wish. You don't have to say goodbye. 1025 00:38:17,837 --> 00:38:20,507 Hey, thank you for saying all that. 1026 00:38:20,590 --> 00:38:22,926 I may have taken a slightly different approach, but… 1027 00:38:23,009 --> 00:38:24,302 I seem to have lost my filter. 1028 00:38:24,385 --> 00:38:25,804 I'm glad. 1029 00:38:25,887 --> 00:38:28,348 I could use an honest second opinion on a case. 1030 00:38:28,431 --> 00:38:30,642 Do you have five minutes to spare? 1031 00:38:32,060 --> 00:38:33,770 Sure. Why not? 1032 00:38:33,853 --> 00:38:35,104 What's the case? 1033 00:38:35,188 --> 00:38:36,981 I have the chart pulled up in 8. 1034 00:38:51,871 --> 00:38:53,748 I have some experience with this, 1035 00:38:53,832 --> 00:38:55,875 but I'd appreciate a fresh perspective. 1036 00:38:55,959 --> 00:38:58,002 After 14 hours, 1037 00:38:58,086 --> 00:38:59,546 I don't know how fresh my perspective is, 1038 00:38:59,629 --> 00:39:01,214 but I will give you what I got. 1039 00:39:01,297 --> 00:39:03,675 Well, after working with you, Dr. Robinavitch, 1040 00:39:03,758 --> 00:39:06,928 I've come to respect your opinion. 1041 00:39:09,180 --> 00:39:11,307 Thank you, Dr. Al-Hashimi. 1042 00:39:13,226 --> 00:39:15,395 Likewise. 1043 00:39:15,478 --> 00:39:18,106 OK, patient is a 40-year-old female with a history 1044 00:39:18,189 --> 00:39:19,983 of seizure disorder for the past 35 years. 1045 00:39:20,066 --> 00:39:21,568 She had no perinatal complications 1046 00:39:21,651 --> 00:39:23,486 and was in excellent health until age five, 1047 00:39:23,570 --> 00:39:25,280 when she had the onset seizure activity 1048 00:39:25,363 --> 00:39:27,824 following prolonged illness with viral meningitis. 1049 00:39:27,907 --> 00:39:30,827 Her altered mental status from the infec… 1050 00:39:38,751 --> 00:39:41,504 Baran, is this you?