1 00:00:12,684 --> 00:00:14,936 Baran, is this you? 2 00:00:20,525 --> 00:00:23,194 It began after a bad case of viral meningitis 3 00:00:23,278 --> 00:00:24,988 when I was five. 4 00:00:25,071 --> 00:00:27,323 They tried every anti-seizure medication, 5 00:00:27,407 --> 00:00:31,286 but I still had episodes every few months or so. 6 00:00:31,369 --> 00:00:32,495 No one's ever noticed before. 7 00:00:32,579 --> 00:00:34,038 They just think I'm thoughtful. 8 00:00:36,082 --> 00:00:37,458 Are you driving? 9 00:00:37,542 --> 00:00:40,545 I couldn't until laser ablation 10 00:00:40,628 --> 00:00:43,881 to my left temporal lobe 12 years ago. 11 00:00:43,965 --> 00:00:46,718 Between that and the Keppra, I've been seizure-free, 12 00:00:46,801 --> 00:00:50,430 cleared by Neurology to drive and to work as an attending. 13 00:00:52,265 --> 00:00:54,475 How long, uh, between the seizure 14 00:00:54,559 --> 00:00:56,352 you had today and the last one? 15 00:00:56,436 --> 00:00:59,647 It's been well over a year. 16 00:01:01,858 --> 00:01:03,234 But I had two today. 17 00:01:07,947 --> 00:01:09,407 I don't know why. 18 00:01:09,490 --> 00:01:12,660 It could be sleep deprivation, new job stress. 19 00:01:12,744 --> 00:01:15,913 I…I haven't had to deal with Peds cases 20 00:01:15,997 --> 00:01:17,457 since Afghanistan. 21 00:01:17,540 --> 00:01:19,208 What are your options now? 22 00:01:19,292 --> 00:01:21,336 Um… 23 00:01:21,419 --> 00:01:24,881 up my Keppra or maybe try 24 00:01:24,964 --> 00:01:26,507 one of the newer anti-seizure meds. 25 00:01:26,591 --> 00:01:29,344 But if that doesn't work, I'm left with two choices… 26 00:01:29,427 --> 00:01:33,765 um, a temporal lobectomy, which could impair my speech, 27 00:01:33,848 --> 00:01:36,225 or get a neuromodulation device, 28 00:01:36,309 --> 00:01:37,977 which can sense and stop the seizures 29 00:01:38,061 --> 00:01:39,812 almost immediately. 30 00:01:39,896 --> 00:01:41,648 You need to disclose this. 31 00:01:41,731 --> 00:01:43,691 I know. I have a plan. 32 00:01:43,775 --> 00:01:44,776 Hey, Robby, Dana's looking for you. 33 00:01:44,859 --> 00:01:46,027 She's in Peds. 34 00:01:46,110 --> 00:01:47,362 Yeah, OK, I'll be right there. 35 00:01:48,821 --> 00:01:49,947 Sounds like you're needed in Peds, 36 00:01:50,031 --> 00:01:52,075 and I have patients to see. 37 00:01:52,158 --> 00:01:53,993 Robby, pregnant woman with severe headache 38 00:01:54,077 --> 00:01:55,703 on her way in by ambulance. 39 00:01:55,787 --> 00:01:58,206 Find Abbot or a night shift resident. 40 00:02:13,304 --> 00:02:15,139 Need you to turn out your pockets. 41 00:02:21,437 --> 00:02:23,272 OK. Show me your hands. 42 00:02:51,259 --> 00:02:52,593 Come here often? 43 00:03:01,394 --> 00:03:02,812 What's going on? 44 00:03:02,895 --> 00:03:04,564 Oh, sorry…false alarm. 45 00:03:04,647 --> 00:03:06,774 We thought she spiked a fever, but it was the wrong chart 46 00:03:06,858 --> 00:03:09,193 from our analog hell. 47 00:03:09,277 --> 00:03:11,779 You know anybody who might consider kinship adoption? 48 00:03:11,863 --> 00:03:13,531 Doctors and nurses qualify. 49 00:03:13,614 --> 00:03:15,158 Don't look at me. 50 00:03:15,241 --> 00:03:17,285 Hey, can your staff keep an eye on Dr. Al-Hashimi 51 00:03:17,368 --> 00:03:18,368 until she leaves? 52 00:03:18,411 --> 00:03:20,788 Why? 53 00:03:20,872 --> 00:03:22,957 Uh, because I think she's tired, 54 00:03:23,040 --> 00:03:24,542 and I don't want her to make any mistakes. 55 00:03:24,625 --> 00:03:26,627 Oh, great advice. Maybe you should take it. 56 00:03:26,711 --> 00:03:27,879 Yeah. 57 00:03:27,962 --> 00:03:29,338 I'm gonna go get some fresh air. 58 00:03:29,422 --> 00:03:30,882 Grab some for me while you're out there. 59 00:03:30,965 --> 00:03:32,008 Your lungs wouldn't know what to do with it. 60 00:03:32,091 --> 00:03:33,091 Screw you! 61 00:03:33,134 --> 00:03:34,719 In front of the baby? Nice. 62 00:03:37,638 --> 00:03:39,182 Yeah. 63 00:03:39,265 --> 00:03:41,058 We are the night crawlers. 64 00:03:41,142 --> 00:03:44,020 We deal with the weirdest and the wildest because… 65 00:03:44,103 --> 00:03:46,564 all: We are the weirdest and the wildest of them all. 66 00:03:46,647 --> 00:03:47,690 That is right, and tonight, 67 00:03:47,774 --> 00:03:49,025 they are really gonna be crawling. 68 00:03:49,108 --> 00:03:50,401 Now go get some! 69 00:03:50,485 --> 00:03:51,485 all: Hooah! 70 00:03:55,948 --> 00:03:57,450 Sorry to wake you. 71 00:03:57,533 --> 00:03:58,951 I…I was thinking. 72 00:04:02,830 --> 00:04:04,081 Doubt PTX. 73 00:04:04,165 --> 00:04:06,334 You're supposed to be leaving. 74 00:04:06,417 --> 00:04:07,502 I am. 75 00:04:09,796 --> 00:04:11,297 You know, this spirit quest of yours 76 00:04:11,380 --> 00:04:13,174 has a lot of people up in arms around here. 77 00:04:13,257 --> 00:04:14,634 Everyone's gonna be fine without me, 78 00:04:14,717 --> 00:04:16,260 and it's hardly a spirit quest. 79 00:04:16,344 --> 00:04:17,970 Whatever it is, it seems you've given people 80 00:04:18,054 --> 00:04:19,222 the impression you might not be coming back. 81 00:04:19,305 --> 00:04:20,681 Well, who knows 82 00:04:20,765 --> 00:04:22,141 what the future has in store for any of us? 83 00:04:22,225 --> 00:04:23,518 Yeah, saying shit like that right there 84 00:04:23,601 --> 00:04:24,601 isn't helping. 85 00:04:24,644 --> 00:04:25,978 People are worried about you. 86 00:04:26,062 --> 00:04:27,897 Dr. Abbot, the patient in South 21, 87 00:04:27,980 --> 00:04:29,357 Digby, he's missing again. 88 00:04:29,440 --> 00:04:30,733 Sounds like a day shift problem. 89 00:04:30,817 --> 00:04:32,985 Not if he was handed off already. 90 00:04:37,240 --> 00:04:38,783 Best I can do under the circumstances. 91 00:04:38,866 --> 00:04:40,076 Thank you. 92 00:04:40,159 --> 00:04:41,577 Hey, don't leave before I get back, yeah? 93 00:04:41,661 --> 00:04:43,412 Hell, I feel like I live here now. 94 00:04:46,833 --> 00:04:48,084 Your friend fixing your bike? 95 00:04:48,167 --> 00:04:49,335 Ambulance clipped it 96 00:04:49,418 --> 00:04:51,212 while it was just parked here today. 97 00:04:51,295 --> 00:04:53,422 Jesus Christ. 98 00:04:53,506 --> 00:04:55,049 That's a sign if I've ever seen one. 99 00:04:56,676 --> 00:04:58,427 Yeah, here's the thing… when people worry about you, 100 00:04:58,511 --> 00:05:00,179 it makes me think that I should be worried about you, 101 00:05:00,263 --> 00:05:01,848 and I don't like worrying about things. 102 00:05:01,931 --> 00:05:03,057 Ooh. Now you're a shrink? 103 00:05:03,140 --> 00:05:04,141 No, I'm trying to be your friend. 104 00:05:04,225 --> 00:05:05,309 You got…you got Dana convinced 105 00:05:05,393 --> 00:05:07,103 that you're gonna hurt yourself. 106 00:05:07,186 --> 00:05:08,646 - Dana's got her own issues. - That sounds like projection. 107 00:05:08,729 --> 00:05:09,981 Are you seriously trying to have this fucking 108 00:05:10,064 --> 00:05:11,566 conversation with me right now, man? 109 00:05:11,649 --> 00:05:13,150 I…I'm not the one 110 00:05:13,234 --> 00:05:15,528 who spends his free time getting shot at. 111 00:05:15,611 --> 00:05:17,113 Hooah! 112 00:05:17,196 --> 00:05:19,448 Hey, Dr. Robby, this is Judith Lastrade… 113 00:05:19,532 --> 00:05:21,701 36 weeks pregnant with two days of headache, 114 00:05:21,784 --> 00:05:24,203 now a 10 out of 10 with blurred vision. 115 00:05:24,287 --> 00:05:27,415 BP 174/120, heart rate 92. 116 00:05:27,498 --> 00:05:29,500 - No relief with fentanyl. - Judith, I'm Dr. Abbot. 117 00:05:29,584 --> 00:05:30,918 Any weakness in your arms or legs? 118 00:05:31,002 --> 00:05:32,461 No, no. Is this a stroke? 119 00:05:32,545 --> 00:05:33,838 We need to check for everything. 120 00:05:33,921 --> 00:05:36,591 Pitting edema with severe preeclampsia. 121 00:05:36,674 --> 00:05:38,509 Where are you doing your prenatal care? 122 00:05:38,593 --> 00:05:39,760 Nowhere. 123 00:05:39,844 --> 00:05:41,262 It's a wild pregnancy. 124 00:05:41,345 --> 00:05:43,180 I want a free birth. 125 00:05:45,391 --> 00:05:48,728 This 81-year-old nun presents with red, itchy eyes 126 00:05:48,811 --> 00:05:51,898 with secretions for the past two days. 127 00:05:51,981 --> 00:05:54,400 Patient complains of no URI symptoms, 128 00:05:54,483 --> 00:05:55,985 - no contact with any chemical… - Hey. 129 00:05:56,068 --> 00:05:57,361 Agents, no known exposures… 130 00:05:57,445 --> 00:05:58,905 Want half a Monster? 131 00:05:58,988 --> 00:06:00,573 Oh, no, thanks. 132 00:06:00,656 --> 00:06:02,074 I…I don't really want to stay awake 133 00:06:02,158 --> 00:06:04,201 any longer than I have to. 134 00:06:04,285 --> 00:06:05,745 Yeah, I hear you. 135 00:06:07,288 --> 00:06:09,290 Did you find your ID badge? 136 00:06:09,373 --> 00:06:10,833 Uh, no. 137 00:06:10,917 --> 00:06:13,127 You any closer to deciding what's next for you? 138 00:06:13,210 --> 00:06:15,046 Uh, yeah, I'm seriously considering law school. 139 00:06:15,129 --> 00:06:16,547 What? What are you talking about? 140 00:06:16,631 --> 00:06:18,507 You're gonna be a great doctor. 141 00:06:19,967 --> 00:06:23,179 I mean, no offense, but look what this place does to you. 142 00:06:23,262 --> 00:06:24,847 Langdon's an addict. 143 00:06:24,931 --> 00:06:27,558 Is a person with a substance use disorder. 144 00:06:27,642 --> 00:06:29,518 McKay was on house arrest. 145 00:06:29,602 --> 00:06:31,020 Dana's a time bomb. 146 00:06:31,103 --> 00:06:32,730 Santos is one of the angriest people 147 00:06:32,813 --> 00:06:34,231 you are ever going to meet. 148 00:06:34,315 --> 00:06:35,733 Sarcastic, yes. Cynical, definitely. 149 00:06:35,816 --> 00:06:37,276 I don't know if she's, you know… 150 00:06:37,360 --> 00:06:38,694 Mel? 151 00:06:39,779 --> 00:06:42,698 Samira has no life. 152 00:06:42,782 --> 00:06:45,910 Abbot's an adrenaline junkie who gets shot at for fun. 153 00:06:45,993 --> 00:06:48,788 Robby's got, like, PTSD or something way fucking worse. 154 00:06:48,871 --> 00:06:50,039 OK, well, I…I mean, 155 00:06:50,122 --> 00:06:52,083 I'd hate to know what you think about me. 156 00:06:53,751 --> 00:06:55,336 I don't know, I just… 157 00:06:55,419 --> 00:06:57,964 the more time I spend here, 158 00:06:58,047 --> 00:06:59,215 the more I realize the importance 159 00:06:59,298 --> 00:07:01,884 of my mental health. 160 00:07:03,010 --> 00:07:04,053 Mm. 161 00:07:04,136 --> 00:07:05,346 For patients and for us. 162 00:07:05,429 --> 00:07:07,932 And this is… 163 00:07:08,015 --> 00:07:09,100 Yeah. 164 00:07:09,183 --> 00:07:10,393 Well, you know, 165 00:07:10,476 --> 00:07:13,229 maybe that's what you should focus on. 166 00:07:14,397 --> 00:07:16,565 - What? - Mental health. 167 00:07:16,649 --> 00:07:18,859 Clearly, you have a passion for it, right? 168 00:07:18,943 --> 00:07:20,403 I mean, that's…that's great. 169 00:07:20,486 --> 00:07:21,487 I don't know if I'd call it a passion. 170 00:07:21,570 --> 00:07:23,656 I would call it, like, a… 171 00:07:26,617 --> 00:07:28,160 Oh, my God. 172 00:07:30,121 --> 00:07:32,206 You might be right. 173 00:07:33,833 --> 00:07:35,376 Oh, you're a genius, Whitaker. 174 00:07:35,459 --> 00:07:36,627 Oh, OK. 175 00:07:38,295 --> 00:07:40,214 CTG is on. 176 00:07:40,297 --> 00:07:42,508 - CTG? - Cardiotocography. 177 00:07:42,591 --> 00:07:45,928 Measures the baby's heart rate and checks for contractions. 178 00:07:46,012 --> 00:07:47,513 Fetal heart rate 128. 179 00:07:47,596 --> 00:07:49,056 Normal range, Nazely? 180 00:07:49,140 --> 00:07:50,933 110 to 160. 181 00:07:51,017 --> 00:07:52,810 So the baby's OK? 182 00:07:52,893 --> 00:07:54,020 Right now, yes. 183 00:07:54,103 --> 00:07:55,438 128 is reassuring. 184 00:07:55,521 --> 00:07:57,648 BP's 170/119. 185 00:07:57,732 --> 00:07:59,442 6 grams of magnesium running in. 186 00:07:59,525 --> 00:08:01,027 Your next move, Crus? 187 00:08:01,110 --> 00:08:03,654 20 of labetalol, IV push over two minutes. 188 00:08:03,738 --> 00:08:05,197 Uh, what's happening? 189 00:08:05,281 --> 00:08:07,241 Uh, you have a condition called preeclampsia. 190 00:08:07,324 --> 00:08:08,492 And how did it happen? 191 00:08:08,576 --> 00:08:10,745 Uh, nobody really knows, actually. 192 00:08:10,828 --> 00:08:13,080 It affects about 10% of the pregnancies. 193 00:08:13,164 --> 00:08:14,540 High blood pressure, headaches, 194 00:08:14,623 --> 00:08:17,001 protein in the urine, and swollen ankles. 195 00:08:17,084 --> 00:08:19,295 OK, well, it's a wild pregnancy, 196 00:08:19,378 --> 00:08:21,505 so that means no medical care. 197 00:08:21,589 --> 00:08:23,549 Then why are you here? 198 00:08:25,092 --> 00:08:27,303 I just need to get rid of this headache. 199 00:08:29,513 --> 00:08:32,475 Well, if we don't lower your blood pressure 200 00:08:32,558 --> 00:08:35,394 and treat with magnesium, there can be problems. 201 00:08:35,478 --> 00:08:36,645 Like what? 202 00:08:36,729 --> 00:08:38,272 Seizures, bleeding, 203 00:08:38,355 --> 00:08:40,357 even death, for you and the baby. 204 00:08:40,441 --> 00:08:42,193 Oh, my God. 205 00:08:42,276 --> 00:08:43,903 Robby, your VIP's ready to go. 206 00:08:43,986 --> 00:08:45,988 OK, I'll be right there. 207 00:08:46,072 --> 00:08:47,615 - You good? - Yeah, I'm good. 208 00:08:47,698 --> 00:08:50,326 I got it. With my eyes closed. 209 00:08:50,409 --> 00:08:51,660 But I won't. Maybe one eye. 210 00:08:53,079 --> 00:08:54,121 Hey… 211 00:08:57,541 --> 00:08:58,876 Hey, Becca. How you feeling? 212 00:08:58,959 --> 00:09:01,128 I'm better. Thanks. 213 00:09:02,713 --> 00:09:04,006 Where are you? 214 00:09:04,090 --> 00:09:05,925 I'm at Adam's house. 215 00:09:06,008 --> 00:09:07,676 Can I call you later? We're watching a movie. 216 00:09:07,760 --> 00:09:08,928 Oh, sure. I just…I thought 217 00:09:09,011 --> 00:09:10,471 you were gonna see the fireworks. 218 00:09:10,554 --> 00:09:13,057 Nope, we decided to watch "Elf" instead. 219 00:09:13,140 --> 00:09:14,391 Ah. 220 00:09:14,475 --> 00:09:16,393 - Of course you did. - OK. 221 00:09:16,477 --> 00:09:18,104 - I'll call you tomorrow! - Tomorrow? Wait. 222 00:09:18,187 --> 00:09:20,397 Uh, are…are you spending the night? 223 00:09:20,481 --> 00:09:22,274 Um, uh, yes. 224 00:09:22,358 --> 00:09:24,026 His parents invited me. 225 00:09:24,110 --> 00:09:25,528 They…they need to ask me that. 226 00:09:25,611 --> 00:09:27,988 Are…are you staying here too? 227 00:09:28,072 --> 00:09:32,034 No, they…they needed to ask if it was OK if you stayed. 228 00:09:32,118 --> 00:09:33,410 Why? 229 00:09:33,494 --> 00:09:38,082 Be…because, uh, it's polite. 230 00:09:38,165 --> 00:09:40,376 It's the right… it's the right thing to do. 231 00:09:40,459 --> 00:09:43,462 Um, I need to talk to them. 232 00:09:43,546 --> 00:09:46,173 Um, they're not here. They're at a barbecue. 233 00:09:46,257 --> 00:09:48,300 OK, um, can you have them call me 234 00:09:48,384 --> 00:09:49,635 as soon as they get home? 235 00:09:49,718 --> 00:09:51,512 - Yes. - Can you promise? 236 00:09:51,595 --> 00:09:53,389 I promise. OK, bye, Mel! 237 00:09:53,472 --> 00:09:54,849 Bye. Have fun… 238 00:09:56,267 --> 00:09:57,768 Thanks for fixing my bike. 239 00:09:57,852 --> 00:10:00,020 Well, you keep me running, I'll keep her going. 240 00:10:01,939 --> 00:10:05,401 You know, the Cree don't have a word for goodbye. 241 00:10:05,484 --> 00:10:06,569 You know a lot of Cree? 242 00:10:07,570 --> 00:10:08,570 A bit. 243 00:10:08,612 --> 00:10:09,557 I got around, man. 244 00:10:09,572 --> 00:10:10,781 I don't doubt it. 245 00:10:13,409 --> 00:10:15,786 Look, I'll come back for all this other shit… 246 00:10:15,870 --> 00:10:17,163 Great. 247 00:10:17,246 --> 00:10:18,622 If you promise to come back 248 00:10:18,706 --> 00:10:20,499 and let me take the Bonnie for a ride. 249 00:10:20,583 --> 00:10:21,709 Uh, I don't know. 250 00:10:21,792 --> 00:10:23,085 I've seen you ride, old man. 251 00:10:23,169 --> 00:10:24,545 Fuck you. 252 00:10:24,628 --> 00:10:26,463 I mean it. 253 00:10:26,547 --> 00:10:27,715 We got a deal? 254 00:10:30,843 --> 00:10:32,678 I'll think about it. 255 00:10:45,858 --> 00:10:47,818 This looks like an ambush. 256 00:10:47,902 --> 00:10:49,486 We got a slight hiccup in chairs. 257 00:10:49,570 --> 00:10:50,571 ICE is back? 258 00:10:50,654 --> 00:10:52,573 No, we got a dead body. 259 00:10:52,656 --> 00:10:54,200 - Somebody died out there? - Yeah. 260 00:10:54,283 --> 00:10:55,993 Poor devil checked in at 5:00 this morning. 261 00:10:56,076 --> 00:10:57,494 He was a DNR. 262 00:10:57,578 --> 00:10:58,662 - What was his chief complaint? - Hemorrhoids 263 00:10:58,746 --> 00:11:00,206 - and constipation. - No shit. 264 00:11:00,289 --> 00:11:02,541 Hence the constipation. 265 00:11:02,625 --> 00:11:04,293 Throw me a slow one, I'm gonna hit it. 266 00:11:04,376 --> 00:11:05,961 Tell the night shift. I'm saying that's when he died. 267 00:11:06,045 --> 00:11:07,213 We all in agreement on that? 268 00:11:07,296 --> 00:11:08,589 To the grave. 269 00:11:08,672 --> 00:11:10,341 Just like poor Jasper. 270 00:11:10,424 --> 00:11:11,842 You're on fire. 271 00:11:11,926 --> 00:11:13,344 Just getting my second wind. 272 00:11:14,678 --> 00:11:15,846 How's the headache? 273 00:11:15,930 --> 00:11:17,181 Still a 10. 274 00:11:17,264 --> 00:11:18,682 More fentanyl? 275 00:11:18,766 --> 00:11:21,101 - Yep. - BP's good. Another 50. 276 00:11:21,185 --> 00:11:22,561 Hey, Abbot. 277 00:11:22,645 --> 00:11:24,521 Attending and resident are stuck in the OR. 278 00:11:24,605 --> 00:11:26,357 Oh, you're the next best thing. 279 00:11:26,440 --> 00:11:27,733 Better, some would say. 280 00:11:27,816 --> 00:11:29,068 Mm. 281 00:11:29,151 --> 00:11:30,611 - What do you got? - This is Judith. 282 00:11:30,694 --> 00:11:33,072 G1, P0 with no prenatal care. 283 00:11:33,155 --> 00:11:35,157 Preeclampsia with severe hypertension. 284 00:11:35,241 --> 00:11:37,618 Hi, Judith. Nurse Garvin from OB. 285 00:11:37,701 --> 00:11:39,036 Some jelly on the belly. 286 00:11:39,119 --> 00:11:40,621 Gonna take a quick look with ultrasound. 287 00:11:40,704 --> 00:11:42,539 No, no, no. Ultrasound can harm the baby. 288 00:11:42,623 --> 00:11:44,541 - Not true. - Not doing the ultrasound 289 00:11:44,625 --> 00:11:46,669 could end up harming you and the baby. 290 00:11:48,629 --> 00:11:51,632 OK. Just do it as fast as you can. 291 00:11:51,715 --> 00:11:54,093 Why no prenatal care, Judith? 292 00:11:55,219 --> 00:11:57,554 I wanted a free birth… 293 00:11:57,638 --> 00:11:59,723 no doctors, no hospital, no medicine. 294 00:11:59,807 --> 00:12:02,559 Mm. You have a midwife? 295 00:12:02,643 --> 00:12:03,644 A birth doula? 296 00:12:03,727 --> 00:12:06,063 No, I don't need one. 297 00:12:06,146 --> 00:12:07,356 Women have been having children on their own 298 00:12:07,439 --> 00:12:08,607 for thousands of years. 299 00:12:08,691 --> 00:12:10,150 Yeah, with an infant mortality rate 300 00:12:10,234 --> 00:12:13,028 of 30% for most of those thousands of years. 301 00:12:13,112 --> 00:12:15,322 - Femur length 7 centimeters. - 37 weeks. 302 00:12:15,406 --> 00:12:17,283 They'll probably induce. 303 00:12:17,366 --> 00:12:19,201 What? No. 304 00:12:19,285 --> 00:12:20,577 No, no, no, no. Absolutely not. 305 00:12:20,661 --> 00:12:22,121 At 37 weeks, 306 00:12:22,204 --> 00:12:24,331 the cure for preeclampsia is to deliver the baby. 307 00:12:24,415 --> 00:12:26,125 We need to get you upstairs so the OB doctors 308 00:12:26,208 --> 00:12:28,877 can induce labor to save you and your baby. 309 00:12:28,961 --> 00:12:31,380 No. No, no, no, no. Mm-mm. 310 00:12:33,757 --> 00:12:35,384 Yep, that's definitely Jasper. 311 00:12:35,467 --> 00:12:36,677 He was alive and kicking 312 00:12:36,760 --> 00:12:38,053 when my shift ended this morning. 313 00:12:38,137 --> 00:12:39,430 This is definitely a day shift patient. 314 00:12:39,513 --> 00:12:40,764 Now he's not a patient. 315 00:12:40,848 --> 00:12:42,308 He's a DB that we gotta deal with. 316 00:12:44,852 --> 00:12:46,061 Is this dude dead? 317 00:12:46,145 --> 00:12:47,563 both: Nope. 318 00:12:47,646 --> 00:12:49,398 All right, Mr. Reed, time to take you back 319 00:12:49,481 --> 00:12:50,858 and get you checked out, OK? 320 00:12:50,941 --> 00:12:52,276 - He sure looks dead. - Are you a doctor? 321 00:12:52,359 --> 00:12:54,611 - No, but he… - Has hypernarcolepsy. 322 00:12:54,695 --> 00:12:56,363 - It's no joke. - Mm-hmm. 323 00:12:56,447 --> 00:12:57,614 Excuse me. 324 00:12:58,699 --> 00:13:00,576 Oh, sometimes I hate nights. 325 00:13:00,659 --> 00:13:01,827 - Yep. - Oof. 326 00:13:12,796 --> 00:13:14,089 Wow. 327 00:13:14,173 --> 00:13:17,301 Crazy how muggy it still is out here. 328 00:13:17,384 --> 00:13:20,012 You, uh…you seen Robby? 329 00:13:20,095 --> 00:13:22,181 Uh, not for a bit. 330 00:13:22,264 --> 00:13:23,515 You catch up on your charts 331 00:13:23,599 --> 00:13:25,017 from the beginning of the shift? 332 00:13:25,100 --> 00:13:26,268 Yeah. 333 00:13:26,352 --> 00:13:27,353 What are you still doing here? 334 00:13:27,436 --> 00:13:29,146 Uh, just gonna… 335 00:13:29,229 --> 00:13:31,565 You staying for the fireworks? 336 00:13:31,648 --> 00:13:32,941 Yeah. 337 00:13:33,025 --> 00:13:34,360 I was supposed to see them with Becca, 338 00:13:34,443 --> 00:13:38,364 but she is at her boyfriend Adam's 339 00:13:38,447 --> 00:13:40,282 family's house instead. 340 00:13:44,620 --> 00:13:50,751 Your sister seems like she's, uh, pretty put-together. 341 00:13:50,834 --> 00:13:52,044 Yeah. 342 00:13:52,127 --> 00:13:54,838 Uh, a lot more than I realized. 343 00:13:56,757 --> 00:13:58,175 How was your day? 344 00:14:00,052 --> 00:14:02,471 I've had better. 345 00:14:02,554 --> 00:14:03,597 You? 346 00:14:06,558 --> 00:14:08,894 Yeah. 347 00:14:08,977 --> 00:14:12,189 But then again, I've had a lot worse. 348 00:14:12,272 --> 00:14:14,733 Hell, I did a closed cervical reduction, like, an hour ago. 349 00:14:14,817 --> 00:14:17,027 Oh, I heard. That must have been so intense. 350 00:14:18,737 --> 00:14:20,864 My hands are still shaking. 351 00:14:20,948 --> 00:14:22,908 Hey, um, do you think you could teach me 352 00:14:22,991 --> 00:14:25,035 how to do that sometime? 353 00:14:25,119 --> 00:14:26,495 Uh, yeah. 354 00:14:26,578 --> 00:14:27,704 - Yeah? - Yeah, sure. I mean, 355 00:14:27,788 --> 00:14:29,289 I hope you never have to use it. 356 00:14:29,373 --> 00:14:31,250 I could have paralyzed that guy. 357 00:14:31,333 --> 00:14:33,961 Yeah, but you didn't. 358 00:14:34,044 --> 00:14:37,256 No, I didn't. 359 00:14:37,339 --> 00:14:39,675 Thank you… 360 00:14:39,758 --> 00:14:41,802 by the way, for… 361 00:14:41,885 --> 00:14:44,513 talking me down earlier. 362 00:14:44,596 --> 00:14:46,432 I'm sorry I snapped. 363 00:14:48,016 --> 00:14:49,309 It's OK. 364 00:14:57,484 --> 00:15:00,070 Dr. Mohan, you ever heard of kinship fostering? 365 00:15:00,154 --> 00:15:01,822 It's where a nurse or doctor can 366 00:15:01,905 --> 00:15:03,323 - become an emergency foster… - Oh, no. 367 00:15:03,407 --> 00:15:04,825 I don't need any kids. 368 00:15:04,908 --> 00:15:06,994 I need to find a job first. 369 00:15:07,077 --> 00:15:09,413 Candice O'Grady is an 82-year-old female 370 00:15:09,496 --> 00:15:11,957 brought in by her son for intractable vomiting. 371 00:15:12,040 --> 00:15:14,960 No fever, no chills, no abdominal pain, no rash. 372 00:15:16,086 --> 00:15:18,005 Beep. 373 00:15:18,088 --> 00:15:21,383 Oh, I've already got one I can barely keep up with. 374 00:15:21,467 --> 00:15:23,302 What about Sleeping Beauty over here? 375 00:15:23,385 --> 00:15:25,345 She's already babysitting Whitaker. 376 00:15:25,429 --> 00:15:27,389 Well, if you know anyone who'd like to help us out 377 00:15:27,473 --> 00:15:29,349 with Baby Jane Doe, have them call the main desk. 378 00:15:29,433 --> 00:15:30,976 Sure thing. 379 00:15:31,059 --> 00:15:34,146 I'd take her myself, but Benji'd kill me. 380 00:15:35,606 --> 00:15:37,316 BP's 164/114. 381 00:15:37,399 --> 00:15:38,692 Another 40 of labetalol. 382 00:15:38,775 --> 00:15:39,818 Mag bolus is in. 383 00:15:39,902 --> 00:15:41,487 Now infusing 2 grams an hour. 384 00:15:41,570 --> 00:15:42,738 Labs are coming back. 385 00:15:42,821 --> 00:15:45,032 Hemoglobin 7.5, platelets 40. 386 00:15:45,115 --> 00:15:47,034 LFTs are sky high. 387 00:15:47,117 --> 00:15:48,785 - HELLP syndrome. - Hemolytic anemia, 388 00:15:48,869 --> 00:15:51,163 elevated liver enzymes, and low platelets. 389 00:15:51,246 --> 00:15:52,539 They're cleaning a room. 390 00:15:52,623 --> 00:15:54,458 We can bring her up in ten minutes. 391 00:15:54,541 --> 00:15:55,709 How you doing, Judith? 392 00:15:57,794 --> 00:15:59,880 I…I… 393 00:16:00,797 --> 00:16:01,924 Oh, she's seizing. 394 00:16:02,007 --> 00:16:03,592 Oh, shit. 395 00:16:03,675 --> 00:16:06,136 10 of IV diazepam. Have another 10 ready. 396 00:16:06,220 --> 00:16:08,138 With all the movement, we can't get a fetal heartbeat. 397 00:16:08,222 --> 00:16:10,432 Putting on 15 liters by mask. Should we intubate? 398 00:16:10,516 --> 00:16:12,434 Hold intubation. Let's try to break this. 399 00:16:12,518 --> 00:16:14,353 We don't want to mask seizures with paralysis 400 00:16:14,436 --> 00:16:15,938 unless we have to. 401 00:16:16,021 --> 00:16:17,481 OK, um… 402 00:16:20,025 --> 00:16:21,735 Crus, CTG isn't reading. 403 00:16:21,818 --> 00:16:23,195 - Check with ultrasound. - On it. 404 00:16:23,278 --> 00:16:24,780 Nazely, what's the diagnosis? 405 00:16:24,863 --> 00:16:27,824 Um, with the seizure, now it's eclampsia. 406 00:16:29,117 --> 00:16:31,078 - Fetal heart rate is about 90. - Way too low. 407 00:16:31,161 --> 00:16:32,329 Mom's sats are going down. 408 00:16:32,412 --> 00:16:33,789 Time to tube her? 409 00:16:33,872 --> 00:16:35,457 Set up for it, but wait. 410 00:16:35,541 --> 00:16:36,792 Another 10 of diazepam. 411 00:16:36,875 --> 00:16:39,294 Push 4 grams of Keppra. 412 00:16:42,130 --> 00:16:43,549 History of hypertension 413 00:16:43,632 --> 00:16:44,883 presents to the emergency department 414 00:16:44,967 --> 00:16:47,219 with a chief complaint of dizziness 415 00:16:47,302 --> 00:16:49,429 after inadvertently ingesting 80 milligrams… 416 00:16:49,513 --> 00:16:50,722 Hey, how are you guys making out? 417 00:16:50,806 --> 00:16:51,807 Yeah, we're getting there. 418 00:16:51,890 --> 00:16:53,559 Have you seen Dr. Al-Hashimi? 419 00:16:53,642 --> 00:16:55,435 - No. - Can I talk to you for a sec? 420 00:17:01,024 --> 00:17:02,276 So I just wanted to let you know that I've been 421 00:17:02,359 --> 00:17:03,527 checking out some of your online posts… 422 00:17:03,610 --> 00:17:04,736 Look, I was just trying to help 423 00:17:04,820 --> 00:17:06,321 get some health messages out there, 424 00:17:06,405 --> 00:17:07,864 - especially for young people. - I think they're great. 425 00:17:07,948 --> 00:17:09,866 Really good. 426 00:17:09,950 --> 00:17:11,868 - You do? - Yeah. 427 00:17:11,952 --> 00:17:14,121 Yeah, um, keep it up. 428 00:17:14,204 --> 00:17:15,539 OK. 429 00:17:15,622 --> 00:17:17,874 As long as you follow the HIPAA laws. 430 00:17:17,958 --> 00:17:19,293 I do. 431 00:17:19,376 --> 00:17:21,128 And wait until you're done charting. 432 00:17:21,211 --> 00:17:22,212 Sure. 433 00:17:24,756 --> 00:17:29,011 Actually, Dr. Robby…sorry, um, can I ask you a question? 434 00:17:29,094 --> 00:17:30,220 Shoot. 435 00:17:30,304 --> 00:17:31,722 Um, I…I may be 436 00:17:31,805 --> 00:17:34,516 considering emergency psychiatry. 437 00:17:35,809 --> 00:17:37,978 Very cool. 438 00:17:38,061 --> 00:17:39,730 Think I could do it? 439 00:17:41,982 --> 00:17:43,442 I think that you could do 440 00:17:43,525 --> 00:17:46,028 anything that you put your mind to, Victoria. 441 00:17:50,198 --> 00:17:51,533 OK. 442 00:17:51,617 --> 00:17:53,243 Pulse ox is 88. 443 00:17:54,536 --> 00:17:56,496 Dr. Abbot? 444 00:17:56,580 --> 00:17:58,665 - Intubate? - Let's do it. 445 00:17:58,749 --> 00:18:02,002 Nazely, what do you suggest for rapid sequence induction? 446 00:18:02,085 --> 00:18:03,211 Etomidate and roc. 447 00:18:03,295 --> 00:18:04,379 Mm, not quite. 448 00:18:04,463 --> 00:18:05,505 120 of propofol, 449 00:18:05,589 --> 00:18:06,575 60 of succinylcholine. 450 00:18:06,590 --> 00:18:07,966 Why is that, Crus? 451 00:18:08,050 --> 00:18:09,676 Propofol for the anti-seizure effect, 452 00:18:09,760 --> 00:18:11,303 sux to avoid prolonged paralysis 453 00:18:11,386 --> 00:18:13,388 - so we can check her neuro exam. - Exactly. 454 00:18:13,472 --> 00:18:14,723 Pushing the propofol. 455 00:18:14,806 --> 00:18:16,224 Once she's flat for intubation, 456 00:18:16,308 --> 00:18:17,809 we need to displace the uterus to the left. 457 00:18:17,893 --> 00:18:19,436 Nazely, that's you. Big hug, both arms. 458 00:18:19,519 --> 00:18:21,772 - Get the baby off the vena cava. - Sux is on board. 459 00:18:21,855 --> 00:18:24,524 But after she's paralyzed, the seizing stops, right? 460 00:18:24,608 --> 00:18:26,026 It might look like that, 461 00:18:26,109 --> 00:18:28,070 but an ongoing seizure will still fry the brain. 462 00:18:28,153 --> 00:18:29,905 We monitor with EEG. 463 00:18:29,988 --> 00:18:31,782 - Is there time for that? - Wait and see. 464 00:18:32,991 --> 00:18:34,201 Paralytics kicked in. 465 00:18:34,284 --> 00:18:35,786 Let's go. Roll her to her back. 466 00:18:36,828 --> 00:18:38,455 Intubate, then EEG 467 00:18:38,538 --> 00:18:40,999 to see if her brain is still seizing. 468 00:18:41,083 --> 00:18:42,542 I need first pass success. 469 00:18:42,626 --> 00:18:43,794 You and me both. 470 00:18:52,719 --> 00:18:54,054 Have you seen Dr. Al-Hashimi? 471 00:18:54,137 --> 00:18:55,263 No. 472 00:18:55,347 --> 00:18:57,641 Have you seen Dr. Al-Hashimi? 473 00:18:57,724 --> 00:18:59,434 Al-Hashimi? 474 00:18:59,518 --> 00:19:02,020 With how this day's going, she probably quit. 475 00:19:02,104 --> 00:19:05,273 Last I saw her, she was in Peds with Baby Jane Doe. 476 00:19:05,357 --> 00:19:07,693 Nope, I was just in there. 477 00:19:07,776 --> 00:19:08,762 Want me to page her? 478 00:19:08,777 --> 00:19:10,487 Uh, no, that's OK. 479 00:19:10,570 --> 00:19:11,863 I will find her. 480 00:19:16,493 --> 00:19:17,703 Hello. 481 00:19:20,539 --> 00:19:22,874 Hey, how did our people do at the deposition? 482 00:19:22,958 --> 00:19:25,419 Oh, well, Dr. Ellis is a pit bull. 483 00:19:25,502 --> 00:19:27,504 Dr. King is a petunia. 484 00:19:27,587 --> 00:19:28,839 They were pretty brutal with her. 485 00:19:28,922 --> 00:19:30,716 - She's sensitive. - Very. 486 00:19:30,799 --> 00:19:32,300 And I'm afraid it isn't over. 487 00:19:32,384 --> 00:19:33,468 They want to call her back. 488 00:19:33,552 --> 00:19:35,303 Oh, that's unfortunate. 489 00:19:35,387 --> 00:19:36,555 Maybe I should go with you 490 00:19:36,638 --> 00:19:38,223 to break that news to her, actually. 491 00:19:38,306 --> 00:19:40,058 - Misery loves company. - Um, hey, while I have you, 492 00:19:40,142 --> 00:19:42,811 can I pose a hypothetical to you? 493 00:19:42,894 --> 00:19:44,813 If a doctor suspects another physician 494 00:19:44,896 --> 00:19:47,107 of having a medical condition that could negatively 495 00:19:47,190 --> 00:19:49,234 affect the way they would treat a patient, 496 00:19:49,317 --> 00:19:50,944 where would disclosing that fall 497 00:19:51,027 --> 00:19:52,946 on the HIPAA violation scale? 498 00:19:54,030 --> 00:19:55,949 First, do no harm. 499 00:19:58,452 --> 00:20:00,871 Dr. King, do you have a second? 500 00:20:03,498 --> 00:20:06,209 Mm… 501 00:20:08,086 --> 00:20:10,046 Good lung sliding bilaterally. 502 00:20:10,130 --> 00:20:12,132 Fetal heart rate borderline at 98. 503 00:20:13,675 --> 00:20:15,761 Roll her to the left again. That can help. 504 00:20:15,844 --> 00:20:18,013 One, two, three. 505 00:20:19,014 --> 00:20:22,392 OK, all set here. 506 00:20:22,476 --> 00:20:23,894 EEG monitor's good to go. 507 00:20:23,977 --> 00:20:25,687 That was fast. 508 00:20:25,771 --> 00:20:27,147 Still seizing while paralyzed. 509 00:20:27,230 --> 00:20:29,691 It's nonconvulsive status. 510 00:20:29,775 --> 00:20:31,067 What's she had so far? 511 00:20:31,151 --> 00:20:32,736 30 of diazepam, a full load of mag, 512 00:20:32,819 --> 00:20:33,945 Keppra, and propofol. 513 00:20:34,029 --> 00:20:35,322 Damn. What's your next step? 514 00:20:35,405 --> 00:20:36,531 Any ideas? 515 00:20:36,615 --> 00:20:38,784 Hmm? Nazely? 516 00:20:38,867 --> 00:20:40,702 Dilantin? Valproate? 517 00:20:40,786 --> 00:20:42,037 Mm, infusion is too long. 518 00:20:42,120 --> 00:20:43,580 So is onset of action. 519 00:20:43,663 --> 00:20:45,040 Push 100 of ketamine. 520 00:20:45,123 --> 00:20:47,292 That's had results with refractory status. 521 00:20:47,375 --> 00:20:49,586 She also has HELLP syndrome… hemoglobin only 7, 522 00:20:49,669 --> 00:20:52,506 - platelets down to 30. - Two units whole blood? 523 00:20:52,589 --> 00:20:54,925 O-neg is going up on the rapid infuser as we speak. 524 00:20:55,008 --> 00:20:57,010 Uh, put the AP pads on, just in case. 525 00:20:57,093 --> 00:20:59,805 And 10 of Decadron IV push for the inflammatory storm. 526 00:20:59,888 --> 00:21:01,932 - Fetal heart rate up to 104. - Hmm. 527 00:21:02,015 --> 00:21:03,266 - Little better. - Yeah. 528 00:21:03,350 --> 00:21:05,644 She should be upstairs with OB. 529 00:21:05,727 --> 00:21:09,397 She will be after we break this seizure. 530 00:21:09,481 --> 00:21:12,609 There was a delay in history-taking 531 00:21:12,692 --> 00:21:15,737 due to a malfunctioning VRI interpretation device. 532 00:21:15,821 --> 00:21:18,323 During this time, there was a normal CBC 533 00:21:18,406 --> 00:21:19,991 and comprehensive metabolic panel 534 00:21:20,075 --> 00:21:21,743 that came back from the lab. 535 00:21:23,245 --> 00:21:25,080 What's wrong with you, Malfeasance? 536 00:21:25,163 --> 00:21:28,083 I have to do another deposition. 537 00:21:28,166 --> 00:21:30,043 Oh, that sucks. 538 00:21:30,126 --> 00:21:31,962 You must have really messed up. 539 00:21:33,129 --> 00:21:34,756 Dude, I'm joking. 540 00:21:34,840 --> 00:21:35,841 You gotta lighten up. 541 00:21:35,924 --> 00:21:37,551 It's all just bullshit. 542 00:21:40,136 --> 00:21:41,429 God, you know what? Fuck all this. 543 00:21:41,513 --> 00:21:42,848 Do you want to go get a drink? 544 00:21:44,015 --> 00:21:45,015 Me? 545 00:21:45,058 --> 00:21:46,643 Yes, you. 546 00:21:46,726 --> 00:21:48,979 You…you do go out, don't you? 547 00:21:49,062 --> 00:21:51,189 Well, I'm usually with Becca. 548 00:21:51,273 --> 00:21:52,482 Well, bring her along. 549 00:21:52,566 --> 00:21:53,817 Can she drive? 550 00:21:53,900 --> 00:21:56,111 No, and she's with her boyfriend. 551 00:21:57,153 --> 00:21:58,572 OK, Becca. 552 00:22:00,282 --> 00:22:02,158 So it's just you and me. 553 00:22:04,369 --> 00:22:06,705 Do you like karaoke? 554 00:22:06,788 --> 00:22:08,582 You do karaoke? 555 00:22:08,665 --> 00:22:12,961 Well, what I do is more like primal scream therapy. 556 00:22:13,044 --> 00:22:14,671 There's nothing like getting wasted 557 00:22:14,754 --> 00:22:16,172 and just absolutely wailing 558 00:22:16,256 --> 00:22:18,967 to shake off a shit show like today. 559 00:22:19,050 --> 00:22:20,844 I could use a fun night. 560 00:22:22,304 --> 00:22:24,097 You and me both, sister. 561 00:22:24,180 --> 00:22:25,849 There's been no improvement. 562 00:22:25,932 --> 00:22:27,434 Still seizing on the EEG. 563 00:22:27,517 --> 00:22:29,144 - Neurology has been called. - OK. Got it. 564 00:22:29,227 --> 00:22:31,104 OB says send her up. They have an OR ready. 565 00:22:31,187 --> 00:22:32,564 About time. 566 00:22:32,647 --> 00:22:34,274 Baby's been bradying down a bit more. 567 00:22:34,357 --> 00:22:35,817 This one looks like it took a turn for the worse. 568 00:22:35,901 --> 00:22:37,652 Eclampsia, refractory seizures, 569 00:22:37,736 --> 00:22:39,946 HELLP syndrome with anemia and thrombocytopenia. 570 00:22:40,030 --> 00:22:41,948 Yeah, about as bad as it gets. 571 00:22:42,032 --> 00:22:43,867 V-fib! 572 00:22:43,950 --> 00:22:45,911 Chest compressions, Nazely. 573 00:22:45,994 --> 00:22:48,663 Charge to 200. 574 00:22:48,747 --> 00:22:50,123 Prep the belly. 575 00:22:50,206 --> 00:22:51,458 Get a baby warmer. 576 00:22:51,541 --> 00:22:53,126 Call the NICU. Start a timer. 577 00:22:53,209 --> 00:22:54,961 Charged. 578 00:22:55,045 --> 00:22:56,212 Clear. 579 00:22:58,131 --> 00:22:59,382 Continue compressions. 580 00:22:59,466 --> 00:23:01,801 We'll check a rhythm in a minute. 581 00:23:01,885 --> 00:23:03,094 Gown up. 582 00:23:03,178 --> 00:23:04,429 Robby, it's you and me. 583 00:23:04,512 --> 00:23:06,431 Nazely, what's the four-minute rule? 584 00:23:06,514 --> 00:23:08,683 Uh, not sure. 585 00:23:08,767 --> 00:23:10,477 Pregnant patient with a viable fetus, 586 00:23:10,560 --> 00:23:12,103 you have four minutes after cardiac arrest 587 00:23:12,187 --> 00:23:14,397 - to save the baby. - And the mom. 588 00:23:14,481 --> 00:23:16,691 We don't call it a postmortem C-section anymore. 589 00:23:16,775 --> 00:23:17,943 It's a resuscitative hysterotomy 590 00:23:18,026 --> 00:23:19,444 to try to save them both. 591 00:23:19,527 --> 00:23:20,737 But she doesn't want any medical intervention. 592 00:23:20,820 --> 00:23:22,155 That doesn't matter. 593 00:23:22,238 --> 00:23:23,657 Mom and baby are both dead if we do nothing. 594 00:23:23,740 --> 00:23:25,450 OK, charge to 200. 595 00:23:25,533 --> 00:23:27,535 One more rhythm check and then Abbot and I are gonna cut. 596 00:23:28,870 --> 00:23:31,373 Ellis, you and Crus on Mom resuscitation. 597 00:23:31,456 --> 00:23:32,832 Shen, you and Nazely take the baby. 598 00:23:32,916 --> 00:23:34,334 OK, hold compressions. 599 00:23:36,086 --> 00:23:37,587 Still V-fib. 600 00:23:37,671 --> 00:23:38,797 Clear. 601 00:23:40,131 --> 00:23:41,591 No change. Resume compression, amp of epi. 602 00:23:41,675 --> 00:23:42,676 OK, showtime. 603 00:23:42,759 --> 00:23:44,344 We need to get this baby out right now. 604 00:23:44,427 --> 00:23:45,470 OK, take a break. 605 00:23:48,098 --> 00:23:51,518 OK, 10 blade. Good. 606 00:23:51,601 --> 00:23:53,728 First incision is from the xiphoid 607 00:23:53,812 --> 00:23:55,480 to the pubic symphysis 608 00:23:55,563 --> 00:23:58,441 through the skin to the linea alba. 609 00:23:58,525 --> 00:24:00,610 Units three and four on the infuser. 610 00:24:00,694 --> 00:24:03,446 Second incision goes through the peritoneum, 611 00:24:03,530 --> 00:24:05,240 exposing the uterus. 612 00:24:05,323 --> 00:24:06,950 Where do you need me? 613 00:24:07,033 --> 00:24:09,202 You're with the baby. Nazely's got the bag mask. 614 00:24:09,285 --> 00:24:11,413 You're on suction. Stand by for intubation. 615 00:24:11,496 --> 00:24:12,914 Bladder retractors. 616 00:24:12,998 --> 00:24:14,582 Neonatal monitor and pulse ox ready to go. 617 00:24:14,666 --> 00:24:17,002 Ellis, gentle traction. 618 00:24:17,085 --> 00:24:19,087 OK, making a small vertical incision 619 00:24:19,170 --> 00:24:22,716 through the lower uterus so as not to cut the baby. 620 00:24:22,799 --> 00:24:24,509 Mm-hmm. 621 00:24:24,592 --> 00:24:26,052 - Got it? - Yep, I got it. 622 00:24:26,136 --> 00:24:27,470 - OK. - OK. 623 00:24:27,554 --> 00:24:30,640 Using scissors to extend superiorly. 624 00:24:32,183 --> 00:24:34,185 Ellis, hand retract the uterus with me. 625 00:24:34,269 --> 00:24:36,104 Amniotic fluid looks good. 626 00:24:37,814 --> 00:24:39,441 Give me some fundal pressure. 627 00:24:39,524 --> 00:24:40,900 Breech position. 628 00:24:43,361 --> 00:24:46,448 OK, baby's out. 629 00:24:46,531 --> 00:24:48,283 - It's a girl. - All right. 630 00:24:50,035 --> 00:24:52,954 Milking the cord. 631 00:24:53,038 --> 00:24:55,457 Clamping. 632 00:24:55,540 --> 00:24:57,459 Cutting. 633 00:24:57,542 --> 00:24:59,085 OK, blue and flaccid. Coming to you, Shen. 634 00:24:59,169 --> 00:25:00,211 - You ready? - Yeah, you got her. 635 00:25:00,295 --> 00:25:02,255 I got it, yep. 636 00:25:02,338 --> 00:25:03,631 OK. 637 00:25:07,343 --> 00:25:09,679 Poor tone, no movement. 638 00:25:09,763 --> 00:25:12,348 Keep the blow-by closer. 639 00:25:12,432 --> 00:25:13,767 She's really blue. 640 00:25:13,850 --> 00:25:16,603 Some blue is normal, but not this much. 641 00:25:16,686 --> 00:25:18,521 - Do we need to intubate? - Not yet, no. 642 00:25:18,605 --> 00:25:21,274 They usually pink up with stimulation and blow-by. 643 00:25:21,357 --> 00:25:23,068 OK, removing the placenta. 644 00:25:23,151 --> 00:25:25,445 Sweeping to the left, trying to get it in one piece. 645 00:25:27,363 --> 00:25:28,573 - Looks intact. - Yeah. 646 00:25:28,656 --> 00:25:30,700 Nicely done. 647 00:25:30,784 --> 00:25:32,702 10 of IV Pitocin to contract the uterus. 648 00:25:32,786 --> 00:25:34,913 And lots of massage. 649 00:25:34,996 --> 00:25:36,539 Heart rate 76. 650 00:25:36,623 --> 00:25:38,166 Less than 100 means we need to bag. 651 00:25:38,249 --> 00:25:39,334 Suction first. 652 00:25:39,417 --> 00:25:40,502 OK. 653 00:25:42,545 --> 00:25:43,880 Hey, Jord, charge to 200. 654 00:25:43,963 --> 00:25:46,758 Stand by for the next rhythm check. 655 00:25:46,841 --> 00:25:48,468 She grimaced. Good sign. 656 00:25:48,551 --> 00:25:49,551 Bagging. 657 00:25:49,594 --> 00:25:51,513 Pulse ox 45%. 658 00:25:51,596 --> 00:25:53,139 Oh, I've never seen it that low. 659 00:25:53,223 --> 00:25:54,933 It's not as bad as it sounds. 660 00:25:55,016 --> 00:25:56,976 I'm more worried about the heart rate. 661 00:25:57,060 --> 00:25:59,145 McKay, get ready with an IO in case we need epi. 662 00:25:59,229 --> 00:26:00,563 OK. 663 00:26:02,482 --> 00:26:04,901 Rhythm check. Hold compressions. 664 00:26:04,984 --> 00:26:05,985 Still V-fib. 665 00:26:06,069 --> 00:26:07,487 - OK, shock it. - Clear. 666 00:26:08,571 --> 00:26:09,989 Resume compressions. 667 00:26:10,073 --> 00:26:11,491 Shen, how's she doing over there? 668 00:26:11,574 --> 00:26:12,784 Heart rate's up to 104. 669 00:26:12,867 --> 00:26:14,035 Uh, at one minute, 670 00:26:14,119 --> 00:26:16,371 she's 0 for color, 2 for heart rate, 671 00:26:16,454 --> 00:26:17,705 1 for reflex, tone, breathing. 672 00:26:17,789 --> 00:26:19,332 APGAR of 5. 673 00:26:19,415 --> 00:26:21,251 5 out of 10. Not great. 674 00:26:21,334 --> 00:26:22,961 Pulse ox 58%. 675 00:26:23,044 --> 00:26:24,879 - Intubation? - Uh, not yet. 676 00:26:24,963 --> 00:26:26,965 O2 sat in the 60s is normal at one minute. 677 00:26:27,048 --> 00:26:29,843 Her heart rate and pulse ox are trending higher. 678 00:26:29,926 --> 00:26:31,261 Let's keep doing what we're doing. 679 00:26:31,344 --> 00:26:32,804 A little tincture of time. 680 00:26:32,887 --> 00:26:34,472 Hold compressions. 681 00:26:34,556 --> 00:26:36,558 Looks like sinus. 682 00:26:36,641 --> 00:26:38,226 Can't feel a carotid. 683 00:26:38,309 --> 00:26:39,602 No. 684 00:26:39,686 --> 00:26:41,604 Heart's barely pumping. It's PEA. 685 00:26:41,688 --> 00:26:42,897 Back on compressions. 686 00:26:42,981 --> 00:26:44,399 Transfuse two more units. 687 00:26:44,482 --> 00:26:45,817 She needs more red cells and platelets. 688 00:26:45,900 --> 00:26:47,527 Ongoing blood loss from the uterus. 689 00:26:47,610 --> 00:26:49,112 Give me all the lap pads we got, please. 690 00:26:56,619 --> 00:26:57,871 Yeah. 691 00:26:57,954 --> 00:26:58,955 OK, yeah, thanks. 692 00:26:59,038 --> 00:27:00,415 I appreciate it, honey. 693 00:27:00,498 --> 00:27:02,333 Oh, gotta go. 694 00:27:02,417 --> 00:27:03,668 Whoa, whoa, whoa! 695 00:27:03,751 --> 00:27:04,737 Hold up. 696 00:27:04,752 --> 00:27:06,171 Is there a problem here? 697 00:27:06,254 --> 00:27:08,256 Yeah, you two aren't leaving empty-handed. 698 00:27:08,339 --> 00:27:09,340 What? 699 00:27:10,550 --> 00:27:12,093 One of you follow me. 700 00:27:13,803 --> 00:27:15,555 Rape kits are supposed to be picked up 701 00:27:15,638 --> 00:27:18,474 within 72 hours of collecting 'em. 702 00:27:18,558 --> 00:27:21,227 This one's been here for over two weeks. 703 00:27:21,311 --> 00:27:22,937 That's not on us. 704 00:27:23,021 --> 00:27:24,522 Well, it's on somebody. 705 00:27:24,606 --> 00:27:26,024 It's not bad enough these poor women 706 00:27:26,107 --> 00:27:27,609 go through an assault, plus the indignity 707 00:27:27,692 --> 00:27:29,277 of the whole collection process, 708 00:27:29,360 --> 00:27:31,029 but nobody from the police department 709 00:27:31,112 --> 00:27:33,615 even has the human decency to come get these things? 710 00:27:33,698 --> 00:27:34,741 Like nobody there gives a flying fuck? 711 00:27:34,824 --> 00:27:36,326 OK, we got it. 712 00:27:36,409 --> 00:27:38,286 We'll see that these get put into evidence properly. 713 00:27:38,369 --> 00:27:39,537 Thank you. 714 00:27:41,706 --> 00:27:42,874 How hard was that? 715 00:27:46,753 --> 00:27:47,879 Units five and six are in. 716 00:27:47,962 --> 00:27:49,297 Down to a slow ooze here. 717 00:27:49,380 --> 00:27:50,757 Hold compressions. 718 00:27:54,344 --> 00:27:56,304 Looks like sinus. 719 00:27:56,387 --> 00:27:57,722 - And I got a weak carotid. - OK. 720 00:27:57,805 --> 00:27:59,224 Cycle the BP. 721 00:27:59,307 --> 00:28:01,309 Better filling, better squeeze. 722 00:28:01,392 --> 00:28:02,936 No seizure activity on the EEG. 723 00:28:03,019 --> 00:28:04,437 That's progress. That's progress. 724 00:28:04,520 --> 00:28:05,520 We're at five minutes. 725 00:28:05,563 --> 00:28:07,440 Uh, heart rate is 132. 726 00:28:07,523 --> 00:28:09,108 Uh, pulse ox 79%. 727 00:28:09,192 --> 00:28:10,985 Nazely, the APGAR? 728 00:28:11,069 --> 00:28:12,570 Um… 729 00:28:12,654 --> 00:28:14,697 1 off for color, 1 off for tone, 730 00:28:14,781 --> 00:28:17,283 1 off for respiration with hypoxia, total of 7. 731 00:28:17,367 --> 00:28:18,660 Respiration score is for observed breathing, 732 00:28:18,743 --> 00:28:20,078 not pulse ox. 733 00:28:20,161 --> 00:28:21,621 Sat of 80 is normal at five minutes. 734 00:28:21,704 --> 00:28:23,081 With no crying, she still gets 1 off. 735 00:28:23,164 --> 00:28:24,164 Yeah. 736 00:28:28,461 --> 00:28:29,963 She just scored the winning point! 737 00:28:30,046 --> 00:28:32,340 APGAR of 8 is pretty normal. 738 00:28:35,635 --> 00:28:37,887 Holy shit. What did I miss? 739 00:28:37,971 --> 00:28:40,640 Eclampsia with status, HELLP syndrome, 740 00:28:40,723 --> 00:28:43,810 cardiac arrest, resuscitative hysterotomy. 741 00:28:43,893 --> 00:28:46,145 I was in the OR with a septic twin C-section. 742 00:28:46,229 --> 00:28:47,397 Got your text 12 minutes ago. 743 00:28:47,480 --> 00:28:48,940 Shit happens fast down here. 744 00:28:49,023 --> 00:28:51,484 Resuscitative hysterotomy in 36 seconds. 745 00:28:51,567 --> 00:28:53,778 - Impressive. - BP's 102/64. 746 00:28:53,861 --> 00:28:54,988 Hemoglobin is up to 9. 747 00:28:55,071 --> 00:28:57,031 That'll do. 748 00:28:57,115 --> 00:28:58,449 NICU's sending a team down. 749 00:28:58,533 --> 00:29:00,785 We can take Mom. You guys are rock stars. 750 00:29:00,868 --> 00:29:03,288 We like to be referred to as crawlers of the night. 751 00:29:06,541 --> 00:29:07,834 If you're not careful, 752 00:29:07,917 --> 00:29:09,377 you're gonna get stuck here all night. 753 00:29:09,460 --> 00:29:11,879 Nah, Henny said she'd be here in 30 minutes. 754 00:29:11,963 --> 00:29:14,465 - How's Mom and baby? - Whew. 755 00:29:14,549 --> 00:29:16,426 They're both gonna go upstairs. 756 00:29:16,509 --> 00:29:18,594 Good. You leaving now? 757 00:29:18,678 --> 00:29:20,263 Yeah, pretty soon. 758 00:29:20,346 --> 00:29:23,391 I gotta find Whitaker, I gotta find Al-Hashimi, 759 00:29:23,474 --> 00:29:25,643 and I gotta find Langdon before I leave. 760 00:29:25,727 --> 00:29:28,146 You missed Langdon. He just checked out. 761 00:29:31,524 --> 00:29:32,650 Shit. 762 00:29:56,132 --> 00:29:57,467 Can I help you? 763 00:29:57,550 --> 00:30:01,012 Uh, yeah, I'm Dr. Langdon from the ED. 764 00:30:01,095 --> 00:30:03,931 I was just, uh, checking in on the status 765 00:30:04,015 --> 00:30:06,601 of someone we sent up here earlier. 766 00:30:06,684 --> 00:30:09,228 Patient's name is, uh, Cohen. 767 00:30:09,312 --> 00:30:10,480 Let me check. 768 00:30:10,563 --> 00:30:11,773 What was she up here for? 769 00:30:11,856 --> 00:30:13,608 Uh, clean out a nasty neck fash. 770 00:30:16,361 --> 00:30:17,945 Oh, yeah, she's good. 771 00:30:18,029 --> 00:30:21,074 She's in 4202, recovering nicely. 772 00:30:21,157 --> 00:30:23,659 Great, great. 773 00:30:23,743 --> 00:30:26,579 I mean, she was…she was in not-great shape earlier. 774 00:30:26,662 --> 00:30:28,706 It was a good catch. 775 00:30:28,790 --> 00:30:32,710 Saved her life, even if we couldn't save her leg. 776 00:30:32,794 --> 00:30:35,671 Uh, was it below the knee? 777 00:30:35,755 --> 00:30:37,548 Unfortunately, it was above. 778 00:30:54,524 --> 00:30:57,568 My cell phone and the building manager's. 779 00:30:57,652 --> 00:30:59,487 He can help if there's any emergencies. 780 00:30:59,570 --> 00:31:01,614 Yeah, what kind of emergencies? 781 00:31:01,697 --> 00:31:02,990 Whatever. 782 00:31:03,074 --> 00:31:04,060 And follow up with Duke 783 00:31:04,075 --> 00:31:05,061 in a couple days, yeah? 784 00:31:05,076 --> 00:31:06,076 Yeah. 785 00:31:06,119 --> 00:31:08,454 You, um…you sure about this? 786 00:31:08,538 --> 00:31:10,289 I trust you, Whitaker. 787 00:31:10,373 --> 00:31:12,041 Great. 788 00:31:12,125 --> 00:31:13,501 Any questions? 789 00:31:13,584 --> 00:31:16,587 Uh, when are you back, exactly? 790 00:31:16,671 --> 00:31:18,047 You know, I'll text you. 791 00:31:18,131 --> 00:31:19,966 I'm trying to keep my dates kind of fluid. 792 00:31:21,384 --> 00:31:23,428 I think this is your ride. 793 00:31:23,511 --> 00:31:25,471 Yeah, uh, yes. 794 00:31:25,555 --> 00:31:28,015 I…I promise I'll check in on your house tomorrow. 795 00:31:28,099 --> 00:31:29,559 Sounds good. 796 00:31:30,726 --> 00:31:32,353 - Hey. - Hey. 797 00:31:32,437 --> 00:31:35,440 OK. Hey, Theo. 798 00:31:35,523 --> 00:31:37,275 You're up late, huh? 799 00:31:37,358 --> 00:31:38,651 What you got there? 800 00:31:41,571 --> 00:31:43,906 OK. 801 00:31:43,990 --> 00:31:45,575 He's been fussy all day. 802 00:31:45,658 --> 00:31:47,743 I think he's got another tooth coming in. 803 00:31:47,827 --> 00:31:49,454 Aw, right on, big guy. 804 00:31:49,537 --> 00:31:52,748 Are you ready to get funky? 805 00:31:52,832 --> 00:31:53,833 Yeah? 806 00:32:13,811 --> 00:32:15,146 Hey. 807 00:32:15,229 --> 00:32:17,148 Any luck picking an elective? 808 00:32:18,649 --> 00:32:19,984 Don't know. 809 00:32:21,486 --> 00:32:23,613 Maybe I will go into geriatrics. 810 00:32:25,198 --> 00:32:27,158 It's a smart choice. 811 00:32:30,912 --> 00:32:32,455 I know that life can be challenging, 812 00:32:32,538 --> 00:32:33,831 especially when it doesn't work out 813 00:32:33,915 --> 00:32:35,166 the way you expected. 814 00:32:35,249 --> 00:32:36,375 OK. 815 00:32:41,297 --> 00:32:42,673 I thought I would be married 816 00:32:42,757 --> 00:32:44,800 with two kids in college by now. 817 00:32:46,135 --> 00:32:48,804 Maybe have some property with a pond, 818 00:32:48,888 --> 00:32:51,057 and we could play hockey on it in the wintertime. 819 00:32:53,226 --> 00:32:54,393 And yet look at me now. 820 00:32:54,477 --> 00:32:58,523 No wife, no kids, no pond. 821 00:33:02,026 --> 00:33:04,153 It's never too late. 822 00:33:04,237 --> 00:33:06,656 Do you really believe that? 823 00:33:06,739 --> 00:33:08,032 Yeah. 824 00:33:08,115 --> 00:33:09,742 Only for me, or for you too? 825 00:33:09,825 --> 00:33:11,369 OK. 826 00:33:11,452 --> 00:33:12,995 I see what you did there. 827 00:33:14,247 --> 00:33:16,916 Was that true, or something you just said to make a point? 828 00:33:23,089 --> 00:33:25,758 Have you worked things out with your mom? 829 00:33:28,052 --> 00:33:29,595 We're not talking. 830 00:33:32,890 --> 00:33:37,186 I am sorry that, um, I let it distract me. 831 00:33:38,729 --> 00:33:40,314 She was treating me like a child, 832 00:33:40,398 --> 00:33:41,732 and I was letting her. 833 00:33:46,988 --> 00:33:48,447 Have a good trip. 834 00:33:49,615 --> 00:33:50,741 Please be safe. 835 00:33:52,743 --> 00:33:55,079 We need you here. 836 00:33:55,162 --> 00:33:57,248 Even if you can be a dick sometimes. 837 00:34:00,167 --> 00:34:01,335 Good luck. 838 00:34:02,712 --> 00:34:04,046 You too. 839 00:34:13,180 --> 00:34:15,224 Hey, I didn't think you were still here. 840 00:34:15,308 --> 00:34:17,727 I was just talking to the neurologist on call. 841 00:34:19,145 --> 00:34:20,855 And? 842 00:34:20,938 --> 00:34:24,191 We had a nice chat. 843 00:34:24,275 --> 00:34:26,861 She agrees I can work with double coverage. 844 00:34:26,944 --> 00:34:29,280 That's not her call to make. 845 00:34:29,363 --> 00:34:30,656 You can't do anything critical 846 00:34:30,740 --> 00:34:32,158 where a five-second lapse in consciousness 847 00:34:32,241 --> 00:34:33,993 could potentially kill a patient. 848 00:34:35,870 --> 00:34:37,038 I agree. 849 00:34:40,541 --> 00:34:41,751 But 90% of our patients 850 00:34:41,834 --> 00:34:43,044 don't require critical procedures. 851 00:34:43,127 --> 00:34:45,212 And the ones that do? 852 00:34:45,296 --> 00:34:47,590 Will be handled by whomever is working with me. 853 00:34:47,673 --> 00:34:49,508 Unless they're also tied up with a critical patient. 854 00:34:49,592 --> 00:34:50,885 What if it's a double or triple trauma? 855 00:34:50,968 --> 00:34:52,887 - Robby, I can handle it. - No, you can't. 856 00:34:52,970 --> 00:34:54,305 And I can't let you. 857 00:34:54,388 --> 00:34:55,723 I am fully capable of handling… 858 00:34:55,806 --> 00:34:57,308 No, you are not fully capable, 859 00:34:57,391 --> 00:34:58,768 and you know it. 860 00:35:02,563 --> 00:35:03,939 What do you want from me? 861 00:35:04,023 --> 00:35:05,066 I want what's best for this department… 862 00:35:05,149 --> 00:35:06,525 patients and staff. 863 00:35:06,609 --> 00:35:08,778 Best-case scenario, you get a handle on this, 864 00:35:08,861 --> 00:35:10,363 you're seizure-free for six months, 865 00:35:10,446 --> 00:35:11,572 you get your driver's license back, 866 00:35:11,656 --> 00:35:12,865 you are cleared to work. 867 00:35:12,948 --> 00:35:15,201 I am cleared for my driver's license. 868 00:35:15,284 --> 00:35:17,370 You shouldn't be driving at all like this. 869 00:35:17,453 --> 00:35:19,830 If you were a patient, we would have to report you. 870 00:35:19,914 --> 00:35:21,415 I am not your fucking patient. 871 00:35:21,499 --> 00:35:22,541 No, but I cannot let you work 872 00:35:22,625 --> 00:35:23,918 in my emergency department 873 00:35:24,001 --> 00:35:25,753 until you're fully capable of doing so. 874 00:35:25,836 --> 00:35:27,463 That is not your fucking call! 875 00:35:27,546 --> 00:35:29,006 You're fucking-A right, that's my call! 876 00:35:29,090 --> 00:35:30,966 I'm trying to protect you and my patients, 877 00:35:31,050 --> 00:35:32,301 and you know I'm right about this. 878 00:35:32,385 --> 00:35:34,053 Oh, "my department," "my patients." 879 00:35:34,136 --> 00:35:35,554 All you fucking think about is yourself! 880 00:35:35,638 --> 00:35:36,847 Do you hear yourself? 881 00:35:36,931 --> 00:35:37,931 You didn't rat out Langdon 882 00:35:37,973 --> 00:35:39,433 for stealing fucking drugs. 883 00:35:39,517 --> 00:35:41,018 No, but I kicked him out of this department 884 00:35:41,102 --> 00:35:42,937 until he got the appropriate help that he needs, 885 00:35:43,020 --> 00:35:44,814 and the same goes for you. 886 00:35:44,897 --> 00:35:46,440 You've got until Monday to let the administration know, 887 00:35:46,524 --> 00:35:47,608 or I will. 888 00:35:54,740 --> 00:35:56,534 I am finished. 889 00:35:56,617 --> 00:35:58,369 Last chart. 890 00:35:59,537 --> 00:36:00,955 - You and me both. - Really? 891 00:36:01,038 --> 00:36:02,498 Is this a thing? I finished a while ago. 892 00:36:04,041 --> 00:36:05,835 I never want to hear that fucking bell again. 893 00:36:10,423 --> 00:36:11,841 - Where's Dana? - Not sure. 894 00:36:11,924 --> 00:36:13,384 A bunch of day shift just headed to the roof 895 00:36:13,467 --> 00:36:14,593 to watch the fireworks. 896 00:36:14,677 --> 00:36:15,886 You want me to call her? 897 00:36:15,970 --> 00:36:17,430 No, that's OK. 898 00:36:19,348 --> 00:36:20,766 Yo. 899 00:36:20,850 --> 00:36:22,518 Thanks for your help in there. 900 00:36:24,437 --> 00:36:26,647 - Almost out? - Yep, just about. 901 00:36:28,941 --> 00:36:30,609 Is this where you try to talk me out of going? 902 00:36:30,693 --> 00:36:31,679 Me? 903 00:36:31,694 --> 00:36:33,404 No, not a chance. 904 00:36:33,487 --> 00:36:34,613 Why, are you having second thoughts? 905 00:36:34,697 --> 00:36:35,683 - Nope. - No? 906 00:36:35,698 --> 00:36:37,241 Nope. 907 00:36:37,324 --> 00:36:39,243 Don't have to convince me. 908 00:36:39,326 --> 00:36:40,578 I mean, it is a little strange the only place 909 00:36:40,661 --> 00:36:42,121 you talked about going is somewhere 910 00:36:42,204 --> 00:36:43,414 they used to drive buffalo off a cliff to die. 911 00:36:43,497 --> 00:36:44,707 - Here it comes. - I looked it up, 912 00:36:44,790 --> 00:36:46,417 and as far as summer vacations go, 913 00:36:46,500 --> 00:36:48,169 it's not exactly a holiday hotspot. 914 00:36:48,252 --> 00:36:51,297 I mean, what's in the fucking gift shop, man? 915 00:36:51,380 --> 00:36:52,506 It's just one place I'm going. 916 00:36:52,590 --> 00:36:54,091 As long as it's not the last. 917 00:36:54,175 --> 00:36:56,260 Don't be pulling a "Thelma and Louise" out there. 918 00:36:56,343 --> 00:36:58,471 I am minutes from taking a three-month vacation. 919 00:36:58,554 --> 00:37:00,014 When's the last time you took any time off, Jack? 920 00:37:00,097 --> 00:37:01,891 Yeah, but I've dealt with my demons. 921 00:37:03,267 --> 00:37:05,811 It's a process. 922 00:37:05,895 --> 00:37:08,522 You want to know why I never killed myself? 923 00:37:08,606 --> 00:37:11,942 After what I saw, lived through? 924 00:37:12,026 --> 00:37:15,571 Losing my leg, losing my wife? 925 00:37:16,864 --> 00:37:18,949 Because it comes for all of us, man. 926 00:37:19,033 --> 00:37:20,159 You and I know it more than most. 927 00:37:20,242 --> 00:37:21,869 We see it every shift, 928 00:37:21,952 --> 00:37:24,038 but we can't let ourselves succumb to it. 929 00:37:25,164 --> 00:37:26,957 Yes, life can suck. 930 00:37:28,334 --> 00:37:30,294 It can be unbearable 931 00:37:30,377 --> 00:37:32,129 and…and brutal 932 00:37:32,213 --> 00:37:34,840 and ugly and heartbreaking. 933 00:37:34,924 --> 00:37:39,011 But it's also beautiful… and hilarious. 934 00:37:39,094 --> 00:37:41,305 And that woman today… 935 00:37:44,350 --> 00:37:45,893 Her baby, they'd both be in the morgue 936 00:37:45,976 --> 00:37:47,812 if you hadn't been here. 937 00:37:47,895 --> 00:37:49,647 That's us. That's you and me. 938 00:37:49,730 --> 00:37:52,608 That's what we're here for. 939 00:37:52,691 --> 00:37:55,236 The most important things I've ever done in my life 940 00:37:55,319 --> 00:37:57,905 have been in this hospital. 941 00:37:57,988 --> 00:38:00,366 Nothing will ever matter more than what I've done 942 00:38:00,449 --> 00:38:03,369 in this hospital, but it is killing me. 943 00:38:05,037 --> 00:38:07,081 You know how they say that a part of you dies 944 00:38:07,164 --> 00:38:08,707 when you lose someone you love? 945 00:38:08,791 --> 00:38:11,085 I'm not convinced that a part of you doesn't die 946 00:38:11,168 --> 00:38:13,254 every time you see a fellow human pass. 947 00:38:13,337 --> 00:38:17,758 And I've seen so many people die 948 00:38:17,842 --> 00:38:20,803 that I feel like it's leaching something from my soul. 949 00:38:22,555 --> 00:38:24,557 Go on a cruise, man. 950 00:38:26,976 --> 00:38:29,728 Knock off this helmetless motorcycle shit. 951 00:38:29,812 --> 00:38:31,814 Yeah, people talk. 952 00:38:31,897 --> 00:38:33,190 That's death-wish behavior. 953 00:38:33,274 --> 00:38:34,650 I'm tired of being a role model. 954 00:38:34,733 --> 00:38:36,569 I'm tired of feeling like you can't get ahead. 955 00:38:36,652 --> 00:38:38,320 I'm tired of feeling like I'm drowning every day. 956 00:38:38,404 --> 00:38:39,613 I'm tired of all of it. 957 00:38:39,697 --> 00:38:40,823 You need to get away for a while, 958 00:38:40,906 --> 00:38:42,241 and you need to get some help. 959 00:38:42,324 --> 00:38:45,703 You need this place as much as it needs you. 960 00:38:50,165 --> 00:38:52,167 Am I fucked up? 961 00:38:52,251 --> 00:38:53,836 100%. 962 00:38:57,381 --> 00:38:59,508 But nobody works here as long as you and me 963 00:38:59,592 --> 00:39:00,676 and doesn't get screwed up. 964 00:39:00,759 --> 00:39:03,846 You…you gotta find somebody 965 00:39:03,929 --> 00:39:06,599 to help you dance through the darkness. 966 00:39:10,686 --> 00:39:12,313 Did you just make that up? 967 00:39:14,565 --> 00:39:16,066 Maybe it's a song lyric. 968 00:39:16,150 --> 00:39:17,651 I don't… maybe my therapist said it. 969 00:39:17,735 --> 00:39:19,653 I don't know. 970 00:39:22,489 --> 00:39:23,824 Some dude just pulled up. 971 00:39:23,908 --> 00:39:25,910 Looks like he blew half his face off. 972 00:39:28,787 --> 00:39:30,581 How can you not love this place? 973 00:39:33,042 --> 00:39:36,378 Look, don't make me look stupid. 974 00:39:36,462 --> 00:39:38,839 You come back to us in one piece. 975 00:39:42,259 --> 00:39:43,636 I'm still your emergency contact, 976 00:39:43,719 --> 00:39:46,055 and I do not want to be contacted. 977 00:39:48,432 --> 00:39:49,558 All right, night crawlers, 978 00:39:49,642 --> 00:39:50,851 what the hell's going on out here? 979 00:39:56,440 --> 00:39:57,691 25-year-old man… 980 00:39:57,775 --> 00:39:58,984 history, 981 00:39:59,068 --> 00:40:00,319 no meds, no allergies. 982 00:41:26,739 --> 00:41:28,615 More than 2,000 years ago, 983 00:41:28,699 --> 00:41:30,784 the Chinese were throwing bamboo into fire 984 00:41:30,868 --> 00:41:32,786 to make explosions. 985 00:41:32,870 --> 00:41:34,329 They went on to invent gunpowder. 986 00:41:34,413 --> 00:41:36,540 And boom! The rest is history. 987 00:41:38,208 --> 00:41:41,253 They had chemicals to get the different colors, you know? 988 00:41:41,336 --> 00:41:44,006 Sodium gives you yellow, strontium gives you red, 989 00:41:44,089 --> 00:41:47,092 and barium is green. 990 00:41:47,176 --> 00:41:50,679 Who knew chemistry could be so damn pretty? 991 00:42:59,665 --> 00:43:01,375 - Hey. - Hey. 992 00:43:01,458 --> 00:43:03,794 - I thought you'd left already. - On my way out. 993 00:43:03,877 --> 00:43:07,756 Hey, I'm sorry that I didn't find the time today 994 00:43:07,840 --> 00:43:08,924 to have that conversation. 995 00:43:09,007 --> 00:43:10,259 Yeah, that's all right. 996 00:43:10,342 --> 00:43:12,177 Seems like you didn't really want to. 997 00:43:12,261 --> 00:43:13,512 I didn't. 998 00:43:16,515 --> 00:43:17,891 Did you? 999 00:43:17,975 --> 00:43:20,227 Uh… 1000 00:43:20,310 --> 00:43:23,021 yeah, actually. 1001 00:43:23,105 --> 00:43:26,108 Look, I'm doing the work. 1002 00:43:26,191 --> 00:43:28,569 I'm…I've been sober 186 days. 1003 00:43:28,652 --> 00:43:30,821 I'm going to meetings. I'm taking the drug tests. 1004 00:43:30,904 --> 00:43:33,115 - That's good. - And you're still riding me. 1005 00:43:36,160 --> 00:43:39,496 What would have happened if I'd paralyzed that guy? 1006 00:43:39,580 --> 00:43:41,165 I don't know. 1007 00:43:41,248 --> 00:43:42,749 What would have happened if I hadn't been here today? 1008 00:43:42,833 --> 00:43:44,459 You'd still be questioning yourself. 1009 00:43:44,543 --> 00:43:46,211 Now you know you can do it. You're welcome. 1010 00:43:46,295 --> 00:43:47,796 Oh, so that's… that's how you teach now? 1011 00:43:47,880 --> 00:43:49,756 Sometimes. 1012 00:43:49,840 --> 00:43:52,092 You know who I saw in rehab? 1013 00:43:52,176 --> 00:43:54,761 I saw a bunch of guys just like you. 1014 00:43:54,845 --> 00:43:56,054 The only difference is, 1015 00:43:56,138 --> 00:43:59,183 they've accepted that they need help. 1016 00:43:59,266 --> 00:44:01,226 I think you're afraid to admit that 1017 00:44:01,310 --> 00:44:03,896 the mighty Dr. Robinavitch isn't perfect. 1018 00:44:03,979 --> 00:44:05,939 Oh, I never claimed to be perfect. 1019 00:44:06,023 --> 00:44:09,193 No, but you expect it of yourself, 1020 00:44:09,276 --> 00:44:11,653 and it's not realistic, man. 1021 00:44:11,737 --> 00:44:13,989 How can any of us live up to your standards 1022 00:44:14,072 --> 00:44:15,741 if you can't even do it? 1023 00:44:17,201 --> 00:44:20,078 You need help, Robby. 1024 00:44:20,162 --> 00:44:21,872 You need help. 1025 00:44:24,750 --> 00:44:25,876 Finished? 1026 00:44:27,127 --> 00:44:29,421 You don't gotta be honest with me, man. 1027 00:44:29,504 --> 00:44:31,465 At least be honest with yourself. 1028 00:44:47,022 --> 00:44:49,316 She is due for a new bottle. 1029 00:44:49,399 --> 00:44:52,110 I was hoping to get her some formula before I clocked out. 1030 00:44:53,862 --> 00:44:56,156 I'll stay with her. 1031 00:44:56,240 --> 00:44:57,449 Thanks. 1032 00:44:59,743 --> 00:45:01,870 Why are you…will you hit those lights on your way out? 1033 00:45:01,954 --> 00:45:04,915 - Yep. - Why are you crying? 1034 00:45:04,998 --> 00:45:07,501 Why are you crying, little one? 1035 00:45:07,584 --> 00:45:10,087 You're OK. You're safe. 1036 00:45:10,170 --> 00:45:12,381 Yeah, you're not alone. 1037 00:45:19,346 --> 00:45:21,807 Yeah, you're OK. 1038 00:45:21,890 --> 00:45:25,102 Do you need to be swaddled again? 1039 00:45:25,185 --> 00:45:26,853 Is that it? 1040 00:45:26,937 --> 00:45:28,814 I can do that. Look. 1041 00:45:28,897 --> 00:45:31,400 Aww. 1042 00:45:31,483 --> 00:45:35,153 I wish somebody would swaddle me. 1043 00:45:35,237 --> 00:45:37,572 Yes, I do. 1044 00:45:37,656 --> 00:45:39,658 Oh. 1045 00:45:42,119 --> 00:45:45,080 You got off to kind of a rough start, 1046 00:45:45,163 --> 00:45:48,208 didn't you, little one? 1047 00:45:48,292 --> 00:45:50,377 Yeah, you did. 1048 00:45:52,713 --> 00:45:55,299 Well, that makes two of us. 1049 00:45:58,969 --> 00:46:00,929 I got abandoned too. 1050 00:46:04,349 --> 00:46:06,685 When I was eight. 1051 00:46:10,272 --> 00:46:15,652 But I got through all of that, and so will you. 1052 00:46:15,736 --> 00:46:19,656 I got a good feeling that you're gonna be just fine. 1053 00:46:19,740 --> 00:46:23,160 Everything's gonna be just fine. 1054 00:46:23,243 --> 00:46:26,079 You got so many wonderful things to see 1055 00:46:26,163 --> 00:46:29,291 and so many people to love ahead of you. 1056 00:46:31,543 --> 00:46:36,506 So many wonderful things to see, 1057 00:46:36,590 --> 00:46:38,633 people to love ahead of you. 1058 00:46:47,184 --> 00:46:51,897 It's OK. It's gonna be OK. 1059 00:46:51,980 --> 00:46:53,565 It's OK.