1 00:00:08,634 --> 00:00:10,886 Baran, is this you? 2 00:00:16,475 --> 00:00:19,144 It began after a bad case of viral meningitis 3 00:00:19,228 --> 00:00:20,938 when I was five. 4 00:00:21,021 --> 00:00:23,273 They tried every anti-seizure medication, 5 00:00:23,357 --> 00:00:27,236 but I still had episodes every few months or so. 6 00:00:27,319 --> 00:00:28,445 No one's ever noticed before. 7 00:00:28,529 --> 00:00:29,988 They just think I'm thoughtful. 8 00:00:32,032 --> 00:00:33,408 Are you driving? 9 00:00:33,492 --> 00:00:36,495 I couldn't until laser ablation 10 00:00:36,578 --> 00:00:39,831 to my left temporal lobe 12 years ago. 11 00:00:39,915 --> 00:00:42,668 Between that and the Keppra, I've been seizure-free, 12 00:00:42,751 --> 00:00:46,380 cleared by Neurology to drive and to work as an attending. 13 00:00:48,215 --> 00:00:50,425 How long, uh, between the seizure 14 00:00:50,509 --> 00:00:52,302 you had today and the last one? 15 00:00:52,386 --> 00:00:55,597 It's been well over a year. 16 00:00:57,808 --> 00:00:59,184 But I had two today. 17 00:01:03,897 --> 00:01:05,357 I don't know why. 18 00:01:05,440 --> 00:01:08,610 It could be sleep deprivation, new job stress. 19 00:01:08,694 --> 00:01:11,863 I…I haven't had to deal with Peds cases 20 00:01:11,947 --> 00:01:13,407 since Afghanistan. 21 00:01:13,490 --> 00:01:15,158 What are your options now? 22 00:01:15,242 --> 00:01:17,286 Um… 23 00:01:17,369 --> 00:01:20,831 up my Keppra or maybe try 24 00:01:20,914 --> 00:01:22,457 one of the newer anti-seizure meds. 25 00:01:22,541 --> 00:01:25,294 But if that doesn't work, I'm left with two choices… 26 00:01:25,377 --> 00:01:29,715 um, a temporal lobectomy, which could impair my speech, 27 00:01:29,798 --> 00:01:32,175 or get a neuromodulation device, 28 00:01:32,259 --> 00:01:33,927 which can sense and stop the seizures 29 00:01:34,011 --> 00:01:35,762 almost immediately. 30 00:01:35,846 --> 00:01:37,598 You need to disclose this. 31 00:01:37,681 --> 00:01:39,641 I know. I have a plan. 32 00:01:39,725 --> 00:01:40,726 Hey, Robby, Dana's looking for you. 33 00:01:40,809 --> 00:01:41,977 She's in Peds. 34 00:01:42,060 --> 00:01:43,312 Yeah, OK, I'll be right there. 35 00:01:44,771 --> 00:01:45,897 Sounds like you're needed in Peds, 36 00:01:45,981 --> 00:01:48,025 and I have patients to see. 37 00:01:48,108 --> 00:01:49,943 Robby, pregnant woman with severe headache 38 00:01:50,027 --> 00:01:51,653 on her way in by ambulance. 39 00:01:51,737 --> 00:01:54,156 Find Abbot or a night shift resident. 40 00:02:09,254 --> 00:02:11,089 Need you to turn out your pockets. 41 00:02:17,387 --> 00:02:19,222 OK. Show me your hands. 42 00:02:47,209 --> 00:02:48,543 Come here often? 43 00:02:57,344 --> 00:02:58,762 What's going on? 44 00:02:58,845 --> 00:03:00,514 Oh, sorry…false alarm. 45 00:03:00,597 --> 00:03:02,724 We thought she spiked a fever, but it was the wrong chart 46 00:03:02,808 --> 00:03:05,143 from our analog hell. 47 00:03:05,227 --> 00:03:07,729 You know anybody who might consider kinship adoption? 48 00:03:07,813 --> 00:03:09,481 Doctors and nurses qualify. 49 00:03:09,564 --> 00:03:11,108 Don't look at me. 50 00:03:11,191 --> 00:03:13,235 Hey, can your staff keep an eye on Dr. Al-Hashimi 51 00:03:13,318 --> 00:03:14,318 until she leaves? 52 00:03:14,361 --> 00:03:16,738 Why? 53 00:03:16,822 --> 00:03:18,907 Uh, because I think she's tired, 54 00:03:18,990 --> 00:03:20,492 and I don't want her to make any mistakes. 55 00:03:20,575 --> 00:03:22,577 Oh, great advice. Maybe you should take it. 56 00:03:22,661 --> 00:03:23,829 Yeah. 57 00:03:23,912 --> 00:03:25,288 I'm gonna go get some fresh air. 58 00:03:25,372 --> 00:03:26,832 Grab some for me while you're out there. 59 00:03:26,915 --> 00:03:27,958 Your lungs wouldn't know what to do with it. 60 00:03:28,041 --> 00:03:29,041 Screw you! 61 00:03:29,084 --> 00:03:30,669 In front of the baby? Nice. 62 00:03:33,588 --> 00:03:35,132 Yeah. 63 00:03:35,215 --> 00:03:37,008 We are the night crawlers. 64 00:03:37,092 --> 00:03:39,970 We deal with the weirdest and the wildest because… 65 00:03:40,053 --> 00:03:42,514 all: We are the weirdest and the wildest of them all. 66 00:03:42,597 --> 00:03:43,640 That is right, and tonight, 67 00:03:43,724 --> 00:03:44,975 they are really gonna be crawling. 68 00:03:45,058 --> 00:03:46,351 Now go get some! 69 00:03:46,435 --> 00:03:47,435 all: Hooah! 70 00:03:51,898 --> 00:03:53,400 Sorry to wake you. 71 00:03:53,483 --> 00:03:54,901 I…I was thinking. 72 00:03:58,780 --> 00:04:00,031 Doubt PTX. 73 00:04:00,115 --> 00:04:02,284 You're supposed to be leaving. 74 00:04:02,367 --> 00:04:03,452 I am. 75 00:04:05,746 --> 00:04:07,247 You know, this spirit quest of yours 76 00:04:07,330 --> 00:04:09,124 has a lot of people up in arms around here. 77 00:04:09,207 --> 00:04:10,584 Everyone's gonna be fine without me, 78 00:04:10,667 --> 00:04:12,210 and it's hardly a spirit quest. 79 00:04:12,294 --> 00:04:13,920 Whatever it is, it seems you've given people 80 00:04:14,004 --> 00:04:15,172 the impression you might not be coming back. 81 00:04:15,255 --> 00:04:16,631 Well, who knows 82 00:04:16,715 --> 00:04:18,091 what the future has in store for any of us? 83 00:04:18,175 --> 00:04:19,468 Yeah, saying shit like that right there 84 00:04:19,551 --> 00:04:20,551 isn't helping. 85 00:04:20,594 --> 00:04:21,928 People are worried about you. 86 00:04:22,012 --> 00:04:23,847 Dr. Abbot, the patient in South 21, 87 00:04:23,930 --> 00:04:25,307 Digby, he's missing again. 88 00:04:25,390 --> 00:04:26,683 Sounds like a day shift problem. 89 00:04:26,767 --> 00:04:28,935 Not if he was handed off already. 90 00:04:33,190 --> 00:04:34,733 Best I can do under the circumstances. 91 00:04:34,816 --> 00:04:36,026 Thank you. 92 00:04:36,109 --> 00:04:37,527 Hey, don't leave before I get back, yeah? 93 00:04:37,611 --> 00:04:39,362 Hell, I feel like I live here now. 94 00:04:42,783 --> 00:04:44,034 Your friend fixing your bike? 95 00:04:44,117 --> 00:04:45,285 Ambulance clipped it 96 00:04:45,368 --> 00:04:47,162 while it was just parked here today. 97 00:04:47,245 --> 00:04:49,372 Jesus Christ. 98 00:04:49,456 --> 00:04:50,999 That's a sign if I've ever seen one. 99 00:04:52,626 --> 00:04:54,377 Yeah, here's the thing… when people worry about you, 100 00:04:54,461 --> 00:04:56,129 it makes me think that I should be worried about you, 101 00:04:56,213 --> 00:04:57,798 and I don't like worrying about things. 102 00:04:57,881 --> 00:04:59,007 Ooh. Now you're a shrink? 103 00:04:59,090 --> 00:05:00,091 No, I'm trying to be your friend. 104 00:05:00,175 --> 00:05:01,259 You got…you got Dana convinced 105 00:05:01,343 --> 00:05:03,053 that you're gonna hurt yourself. 106 00:05:03,136 --> 00:05:04,596 - Dana's got her own issues. - That sounds like projection. 107 00:05:04,679 --> 00:05:05,931 Are you seriously trying to have this fucking 108 00:05:06,014 --> 00:05:07,516 conversation with me right now, man? 109 00:05:07,599 --> 00:05:09,100 I…I'm not the one 110 00:05:09,184 --> 00:05:11,478 who spends his free time getting shot at. 111 00:05:11,561 --> 00:05:13,063 Hooah! 112 00:05:13,146 --> 00:05:15,398 Hey, Dr. Robby, this is Judith Lastrade… 113 00:05:15,482 --> 00:05:17,651 36 weeks pregnant with two days of headache, 114 00:05:17,734 --> 00:05:20,153 now a 10 out of 10 with blurred vision. 115 00:05:20,237 --> 00:05:23,365 BP 174/120, heart rate 92. 116 00:05:23,448 --> 00:05:25,450 - No relief with fentanyl. - Judith, I'm Dr. Abbot. 117 00:05:25,534 --> 00:05:26,868 Any weakness in your arms or legs? 118 00:05:26,952 --> 00:05:28,411 No, no. Is this a stroke? 119 00:05:28,495 --> 00:05:29,788 We need to check for everything. 120 00:05:29,871 --> 00:05:32,541 Pitting edema with severe preeclampsia. 121 00:05:32,624 --> 00:05:34,459 Where are you doing your prenatal care? 122 00:05:34,543 --> 00:05:35,710 Nowhere. 123 00:05:35,794 --> 00:05:37,212 It's a wild pregnancy. 124 00:05:37,295 --> 00:05:39,130 I want a free birth. 125 00:05:41,341 --> 00:05:44,678 This 81-year-old nun presents with red, itchy eyes 126 00:05:44,761 --> 00:05:47,848 with secretions for the past two days. 127 00:05:47,931 --> 00:05:50,350 Patient complains of no URI symptoms, 128 00:05:50,433 --> 00:05:51,935 - no contact with any chemical… - Hey. 129 00:05:52,018 --> 00:05:53,311 Agents, no known exposures… 130 00:05:53,395 --> 00:05:54,855 Want half a Monster? 131 00:05:54,938 --> 00:05:56,523 Oh, no, thanks. 132 00:05:56,606 --> 00:05:58,024 I…I don't really want to stay awake 133 00:05:58,108 --> 00:06:00,151 any longer than I have to. 134 00:06:00,235 --> 00:06:01,695 Yeah, I hear you. 135 00:06:03,238 --> 00:06:05,240 Did you find your ID badge? 136 00:06:05,323 --> 00:06:06,783 Uh, no. 137 00:06:06,867 --> 00:06:09,077 You any closer to deciding what's next for you? 138 00:06:09,160 --> 00:06:10,996 Uh, yeah, I'm seriously considering law school. 139 00:06:11,079 --> 00:06:12,497 What? What are you talking about? 140 00:06:12,581 --> 00:06:14,457 You're gonna be a great doctor. 141 00:06:15,917 --> 00:06:19,129 I mean, no offense, but look what this place does to you. 142 00:06:19,212 --> 00:06:20,797 Langdon's an addict. 143 00:06:20,881 --> 00:06:23,508 Is a person with a substance use disorder. 144 00:06:23,592 --> 00:06:25,468 McKay was on house arrest. 145 00:06:25,552 --> 00:06:26,970 Dana's a time bomb. 146 00:06:27,053 --> 00:06:28,680 Santos is one of the angriest people 147 00:06:28,763 --> 00:06:30,181 you are ever going to meet. 148 00:06:30,265 --> 00:06:31,683 Sarcastic, yes. Cynical, definitely. 149 00:06:31,766 --> 00:06:33,226 I don't know if she's, you know… 150 00:06:33,310 --> 00:06:34,644 Mel? 151 00:06:35,729 --> 00:06:38,648 Samira has no life. 152 00:06:38,732 --> 00:06:41,860 Abbot's an adrenaline junkie who gets shot at for fun. 153 00:06:41,943 --> 00:06:44,738 Robby's got, like, PTSD or something way fucking worse. 154 00:06:44,821 --> 00:06:45,989 OK, well, I…I mean, 155 00:06:46,072 --> 00:06:48,033 I'd hate to know what you think about me. 156 00:06:49,701 --> 00:06:51,286 I don't know, I just… 157 00:06:51,369 --> 00:06:53,914 the more time I spend here, 158 00:06:53,997 --> 00:06:55,165 the more I realize the importance 159 00:06:55,248 --> 00:06:57,834 of my mental health. 160 00:06:58,960 --> 00:07:00,003 Mm. 161 00:07:00,086 --> 00:07:01,296 For patients and for us. 162 00:07:01,379 --> 00:07:03,882 And this is… 163 00:07:03,965 --> 00:07:05,050 Yeah. 164 00:07:05,133 --> 00:07:06,343 Well, you know, 165 00:07:06,426 --> 00:07:09,179 maybe that's what you should focus on. 166 00:07:10,347 --> 00:07:12,515 - What? - Mental health. 167 00:07:12,599 --> 00:07:14,809 Clearly, you have a passion for it, right? 168 00:07:14,893 --> 00:07:16,353 I mean, that's…that's great. 169 00:07:16,436 --> 00:07:17,437 I don't know if I'd call it a passion. 170 00:07:17,520 --> 00:07:19,606 I would call it, like, a… 171 00:07:22,567 --> 00:07:24,110 Oh, my God. 172 00:07:26,071 --> 00:07:28,156 You might be right. 173 00:07:29,783 --> 00:07:31,326 Oh, you're a genius, Whitaker. 174 00:07:31,409 --> 00:07:32,577 Oh, OK. 175 00:07:34,245 --> 00:07:36,164 CTG is on. 176 00:07:36,247 --> 00:07:38,458 - CTG? - Cardiotocography. 177 00:07:38,541 --> 00:07:41,878 Measures the baby's heart rate and checks for contractions. 178 00:07:41,962 --> 00:07:43,463 Fetal heart rate 128. 179 00:07:43,546 --> 00:07:45,006 Normal range, Nazely? 180 00:07:45,090 --> 00:07:46,883 110 to 160. 181 00:07:46,967 --> 00:07:48,760 So the baby's OK? 182 00:07:48,843 --> 00:07:49,970 Right now, yes. 183 00:07:50,053 --> 00:07:51,388 128 is reassuring. 184 00:07:51,471 --> 00:07:53,598 BP's 170/119. 185 00:07:53,682 --> 00:07:55,392 6 grams of magnesium running in. 186 00:07:55,475 --> 00:07:56,977 Your next move, Crus? 187 00:07:57,060 --> 00:07:59,604 20 of labetalol, IV push over two minutes. 188 00:07:59,688 --> 00:08:01,147 Uh, what's happening? 189 00:08:01,231 --> 00:08:03,191 Uh, you have a condition called preeclampsia. 190 00:08:03,274 --> 00:08:04,442 And how did it happen? 191 00:08:04,526 --> 00:08:06,695 Uh, nobody really knows, actually. 192 00:08:06,778 --> 00:08:09,030 It affects about 10% of the pregnancies. 193 00:08:09,114 --> 00:08:10,490 High blood pressure, headaches, 194 00:08:10,573 --> 00:08:12,951 protein in the urine, and swollen ankles. 195 00:08:13,034 --> 00:08:15,245 OK, well, it's a wild pregnancy, 196 00:08:15,328 --> 00:08:17,455 so that means no medical care. 197 00:08:17,539 --> 00:08:19,499 Then why are you here? 198 00:08:21,042 --> 00:08:23,253 I just need to get rid of this headache. 199 00:08:25,463 --> 00:08:28,425 Well, if we don't lower your blood pressure 200 00:08:28,508 --> 00:08:31,344 and treat with magnesium, there can be problems. 201 00:08:31,428 --> 00:08:32,595 Like what? 202 00:08:32,679 --> 00:08:34,222 Seizures, bleeding, 203 00:08:34,305 --> 00:08:36,307 even death, for you and the baby. 204 00:08:36,391 --> 00:08:38,143 Oh, my God. 205 00:08:38,226 --> 00:08:39,853 Robby, your VIP's ready to go. 206 00:08:39,936 --> 00:08:41,938 OK, I'll be right there. 207 00:08:42,022 --> 00:08:43,565 - You good? - Yeah, I'm good. 208 00:08:43,648 --> 00:08:46,276 I got it. With my eyes closed. 209 00:08:46,359 --> 00:08:47,610 But I won't. Maybe one eye. 210 00:08:49,029 --> 00:08:50,071 Hey… 211 00:08:53,491 --> 00:08:54,826 Hey, Becca. How you feeling? 212 00:08:54,909 --> 00:08:57,078 I'm better. Thanks. 213 00:08:58,663 --> 00:08:59,956 Where are you? 214 00:09:00,040 --> 00:09:01,875 I'm at Adam's house. 215 00:09:01,958 --> 00:09:03,626 Can I call you later? We're watching a movie. 216 00:09:03,710 --> 00:09:04,878 Oh, sure. I just…I thought 217 00:09:04,961 --> 00:09:06,421 you were gonna see the fireworks. 218 00:09:06,504 --> 00:09:09,007 Nope, we decided to watch "Elf" instead. 219 00:09:09,090 --> 00:09:10,341 Ah. 220 00:09:10,425 --> 00:09:12,343 - Of course you did. - OK. 221 00:09:12,427 --> 00:09:14,054 - I'll call you tomorrow! - Tomorrow? Wait. 222 00:09:14,137 --> 00:09:16,347 Uh, are…are you spending the night? 223 00:09:16,431 --> 00:09:18,224 Um, uh, yes. 224 00:09:18,308 --> 00:09:19,976 His parents invited me. 225 00:09:20,060 --> 00:09:21,478 They…they need to ask me that. 226 00:09:21,561 --> 00:09:23,938 Are…are you staying here too? 227 00:09:24,022 --> 00:09:27,984 No, they…they needed to ask if it was OK if you stayed. 228 00:09:28,068 --> 00:09:29,360 Why? 229 00:09:29,444 --> 00:09:34,032 Be…because, uh, it's polite. 230 00:09:34,115 --> 00:09:36,326 It's the right… it's the right thing to do. 231 00:09:36,409 --> 00:09:39,412 Um, I need to talk to them. 232 00:09:39,496 --> 00:09:42,123 Um, they're not here. They're at a barbecue. 233 00:09:42,207 --> 00:09:44,250 OK, um, can you have them call me 234 00:09:44,334 --> 00:09:45,585 as soon as they get home? 235 00:09:45,668 --> 00:09:47,462 - Yes. - Can you promise? 236 00:09:47,545 --> 00:09:49,339 I promise. OK, bye, Mel! 237 00:09:49,422 --> 00:09:50,799 Bye. Have fun… 238 00:09:52,217 --> 00:09:53,718 Thanks for fixing my bike. 239 00:09:53,802 --> 00:09:55,970 Well, you keep me running, I'll keep her going. 240 00:09:57,889 --> 00:10:01,351 You know, the Cree don't have a word for goodbye. 241 00:10:01,434 --> 00:10:02,519 You know a lot of Cree? 242 00:10:03,520 --> 00:10:04,520 A bit. 243 00:10:04,562 --> 00:10:05,507 I got around, man. 244 00:10:05,522 --> 00:10:06,731 I don't doubt it. 245 00:10:09,359 --> 00:10:11,736 Look, I'll come back for all this other shit… 246 00:10:11,820 --> 00:10:13,113 Great. 247 00:10:13,196 --> 00:10:14,572 If you promise to come back 248 00:10:14,656 --> 00:10:16,449 and let me take the Bonnie for a ride. 249 00:10:16,533 --> 00:10:17,659 Uh, I don't know. 250 00:10:17,742 --> 00:10:19,035 I've seen you ride, old man. 251 00:10:19,119 --> 00:10:20,495 Fuck you. 252 00:10:20,578 --> 00:10:22,413 I mean it. 253 00:10:22,497 --> 00:10:23,665 We got a deal? 254 00:10:26,793 --> 00:10:28,628 I'll think about it. 255 00:10:41,808 --> 00:10:43,768 This looks like an ambush. 256 00:10:43,852 --> 00:10:45,436 We got a slight hiccup in chairs. 257 00:10:45,520 --> 00:10:46,521 ICE is back? 258 00:10:46,604 --> 00:10:48,523 No, we got a dead body. 259 00:10:48,606 --> 00:10:50,150 - Somebody died out there? - Yeah. 260 00:10:50,233 --> 00:10:51,943 Poor devil checked in at 5:00 this morning. 261 00:10:52,026 --> 00:10:53,444 He was a DNR. 262 00:10:53,528 --> 00:10:54,612 - What was his chief complaint? - Hemorrhoids 263 00:10:54,696 --> 00:10:56,156 - and constipation. - No shit. 264 00:10:56,239 --> 00:10:58,491 Hence the constipation. 265 00:10:58,575 --> 00:11:00,243 Throw me a slow one, I'm gonna hit it. 266 00:11:00,326 --> 00:11:01,911 Tell the night shift. I'm saying that's when he died. 267 00:11:01,995 --> 00:11:03,163 We all in agreement on that? 268 00:11:03,246 --> 00:11:04,539 To the grave. 269 00:11:04,622 --> 00:11:06,291 Just like poor Jasper. 270 00:11:06,374 --> 00:11:07,792 You're on fire. 271 00:11:07,876 --> 00:11:09,294 Just getting my second wind. 272 00:11:10,628 --> 00:11:11,796 How's the headache? 273 00:11:11,880 --> 00:11:13,131 Still a 10. 274 00:11:13,214 --> 00:11:14,632 More fentanyl? 275 00:11:14,716 --> 00:11:17,051 - Yep. - BP's good. Another 50. 276 00:11:17,135 --> 00:11:18,511 Hey, Abbot. 277 00:11:18,595 --> 00:11:20,471 Attending and resident are stuck in the OR. 278 00:11:20,555 --> 00:11:22,307 Oh, you're the next best thing. 279 00:11:22,390 --> 00:11:23,683 Better, some would say. 280 00:11:23,766 --> 00:11:25,018 Mm. 281 00:11:25,101 --> 00:11:26,561 - What do you got? - This is Judith. 282 00:11:26,644 --> 00:11:29,022 G1, P0 with no prenatal care. 283 00:11:29,105 --> 00:11:31,107 Preeclampsia with severe hypertension. 284 00:11:31,191 --> 00:11:33,568 Hi, Judith. Nurse Garvin from OB. 285 00:11:33,651 --> 00:11:34,986 Some jelly on the belly. 286 00:11:35,069 --> 00:11:36,571 Gonna take a quick look with ultrasound. 287 00:11:36,654 --> 00:11:38,489 No, no, no. Ultrasound can harm the baby. 288 00:11:38,573 --> 00:11:40,491 - Not true. - Not doing the ultrasound 289 00:11:40,575 --> 00:11:42,619 could end up harming you and the baby. 290 00:11:44,579 --> 00:11:47,582 OK. Just do it as fast as you can. 291 00:11:47,665 --> 00:11:50,043 Why no prenatal care, Judith? 292 00:11:51,169 --> 00:11:53,504 I wanted a free birth… 293 00:11:53,588 --> 00:11:55,673 no doctors, no hospital, no medicine. 294 00:11:55,757 --> 00:11:58,509 Mm. You have a midwife? 295 00:11:58,593 --> 00:11:59,594 A birth doula? 296 00:11:59,677 --> 00:12:02,013 No, I don't need one. 297 00:12:02,096 --> 00:12:03,306 Women have been having children on their own 298 00:12:03,389 --> 00:12:04,557 for thousands of years. 299 00:12:04,641 --> 00:12:06,100 Yeah, with an infant mortality rate 300 00:12:06,184 --> 00:12:08,978 of 30% for most of those thousands of years. 301 00:12:09,062 --> 00:12:11,272 - Femur length 7 centimeters. - 37 weeks. 302 00:12:11,356 --> 00:12:13,233 They'll probably induce. 303 00:12:13,316 --> 00:12:15,151 What? No. 304 00:12:15,235 --> 00:12:16,527 No, no, no, no. Absolutely not. 305 00:12:16,611 --> 00:12:18,071 At 37 weeks, 306 00:12:18,154 --> 00:12:20,281 the cure for preeclampsia is to deliver the baby. 307 00:12:20,365 --> 00:12:22,075 We need to get you upstairs so the OB doctors 308 00:12:22,158 --> 00:12:24,827 can induce labor to save you and your baby. 309 00:12:24,911 --> 00:12:27,330 No. No, no, no, no. Mm-mm. 310 00:12:29,707 --> 00:12:31,334 Yep, that's definitely Jasper. 311 00:12:31,417 --> 00:12:32,627 He was alive and kicking 312 00:12:32,710 --> 00:12:34,003 when my shift ended this morning. 313 00:12:34,087 --> 00:12:35,380 This is definitely a day shift patient. 314 00:12:35,463 --> 00:12:36,714 Now he's not a patient. 315 00:12:36,798 --> 00:12:38,258 He's a DB that we gotta deal with. 316 00:12:40,802 --> 00:12:42,011 Is this dude dead? 317 00:12:42,095 --> 00:12:43,513 both: Nope. 318 00:12:43,596 --> 00:12:45,348 All right, Mr. Reed, time to take you back 319 00:12:45,431 --> 00:12:46,808 and get you checked out, OK? 320 00:12:46,891 --> 00:12:48,226 - He sure looks dead. - Are you a doctor? 321 00:12:48,309 --> 00:12:50,561 - No, but he… - Has hypernarcolepsy. 322 00:12:50,645 --> 00:12:52,313 - It's no joke. - Mm-hmm. 323 00:12:52,397 --> 00:12:53,564 Excuse me. 324 00:12:54,649 --> 00:12:56,526 Oh, sometimes I hate nights. 325 00:12:56,609 --> 00:12:57,777 - Yep. - Oof. 326 00:13:08,746 --> 00:13:10,039 Wow. 327 00:13:10,123 --> 00:13:13,251 Crazy how muggy it still is out here. 328 00:13:13,334 --> 00:13:15,962 You, uh…you seen Robby? 329 00:13:16,045 --> 00:13:18,131 Uh, not for a bit. 330 00:13:18,214 --> 00:13:19,465 You catch up on your charts 331 00:13:19,549 --> 00:13:20,967 from the beginning of the shift? 332 00:13:21,050 --> 00:13:22,218 Yeah. 333 00:13:22,302 --> 00:13:23,303 What are you still doing here? 334 00:13:23,386 --> 00:13:25,096 Uh, just gonna… 335 00:13:25,179 --> 00:13:27,515 You staying for the fireworks? 336 00:13:27,598 --> 00:13:28,891 Yeah. 337 00:13:28,975 --> 00:13:30,310 I was supposed to see them with Becca, 338 00:13:30,393 --> 00:13:34,314 but she is at her boyfriend Adam's 339 00:13:34,397 --> 00:13:36,232 family's house instead. 340 00:13:40,570 --> 00:13:46,701 Your sister seems like she's, uh, pretty put-together. 341 00:13:46,784 --> 00:13:47,994 Yeah. 342 00:13:48,077 --> 00:13:50,788 Uh, a lot more than I realized. 343 00:13:52,707 --> 00:13:54,125 How was your day? 344 00:13:56,002 --> 00:13:58,421 I've had better. 345 00:13:58,504 --> 00:13:59,547 You? 346 00:14:02,508 --> 00:14:04,844 Yeah. 347 00:14:04,927 --> 00:14:08,139 But then again, I've had a lot worse. 348 00:14:08,222 --> 00:14:10,683 Hell, I did a closed cervical reduction, like, an hour ago. 349 00:14:10,767 --> 00:14:12,977 Oh, I heard. That must have been so intense. 350 00:14:14,687 --> 00:14:16,814 My hands are still shaking. 351 00:14:16,898 --> 00:14:18,858 Hey, um, do you think you could teach me 352 00:14:18,941 --> 00:14:20,985 how to do that sometime? 353 00:14:21,069 --> 00:14:22,445 Uh, yeah. 354 00:14:22,528 --> 00:14:23,654 - Yeah? - Yeah, sure. I mean, 355 00:14:23,738 --> 00:14:25,239 I hope you never have to use it. 356 00:14:25,323 --> 00:14:27,200 I could have paralyzed that guy. 357 00:14:27,283 --> 00:14:29,911 Yeah, but you didn't. 358 00:14:29,994 --> 00:14:33,206 No, I didn't. 359 00:14:33,289 --> 00:14:35,625 Thank you… 360 00:14:35,708 --> 00:14:37,752 by the way, for… 361 00:14:37,835 --> 00:14:40,463 talking me down earlier. 362 00:14:40,546 --> 00:14:42,382 I'm sorry I snapped. 363 00:14:43,966 --> 00:14:45,259 It's OK. 364 00:14:53,434 --> 00:14:56,020 Dr. Mohan, you ever heard of kinship fostering? 365 00:14:56,104 --> 00:14:57,772 It's where a nurse or doctor can 366 00:14:57,855 --> 00:14:59,273 - become an emergency foster… - Oh, no. 367 00:14:59,357 --> 00:15:00,775 I don't need any kids. 368 00:15:00,858 --> 00:15:02,944 I need to find a job first. 369 00:15:03,027 --> 00:15:05,363 Candice O'Grady is an 82-year-old female 370 00:15:05,446 --> 00:15:07,907 brought in by her son for intractable vomiting. 371 00:15:07,990 --> 00:15:10,910 No fever, no chills, no abdominal pain, no rash. 372 00:15:12,036 --> 00:15:13,955 Beep. 373 00:15:14,038 --> 00:15:17,333 Oh, I've already got one I can barely keep up with. 374 00:15:17,417 --> 00:15:19,252 What about Sleeping Beauty over here? 375 00:15:19,335 --> 00:15:21,295 She's already babysitting Whitaker. 376 00:15:21,379 --> 00:15:23,339 Well, if you know anyone who'd like to help us out 377 00:15:23,423 --> 00:15:25,299 with Baby Jane Doe, have them call the main desk. 378 00:15:25,383 --> 00:15:26,926 Sure thing. 379 00:15:27,009 --> 00:15:30,096 I'd take her myself, but Benji'd kill me. 380 00:15:31,556 --> 00:15:33,266 BP's 164/114. 381 00:15:33,349 --> 00:15:34,642 Another 40 of labetalol. 382 00:15:34,725 --> 00:15:35,768 Mag bolus is in. 383 00:15:35,852 --> 00:15:37,437 Now infusing 2 grams an hour. 384 00:15:37,520 --> 00:15:38,688 Labs are coming back. 385 00:15:38,771 --> 00:15:40,982 Hemoglobin 7.5, platelets 40. 386 00:15:41,065 --> 00:15:42,984 LFTs are sky high. 387 00:15:43,067 --> 00:15:44,735 - HELLP syndrome. - Hemolytic anemia, 388 00:15:44,819 --> 00:15:47,113 elevated liver enzymes, and low platelets. 389 00:15:47,196 --> 00:15:48,489 They're cleaning a room. 390 00:15:48,573 --> 00:15:50,408 We can bring her up in ten minutes. 391 00:15:50,491 --> 00:15:51,659 How you doing, Judith? 392 00:15:53,744 --> 00:15:55,830 I…I… 393 00:15:56,747 --> 00:15:57,874 Oh, she's seizing. 394 00:15:57,957 --> 00:15:59,542 Oh, shit. 395 00:15:59,625 --> 00:16:02,086 10 of IV diazepam. Have another 10 ready. 396 00:16:02,170 --> 00:16:04,088 With all the movement, we can't get a fetal heartbeat. 397 00:16:04,172 --> 00:16:06,382 Putting on 15 liters by mask. Should we intubate? 398 00:16:06,466 --> 00:16:08,384 Hold intubation. Let's try to break this. 399 00:16:08,468 --> 00:16:10,303 We don't want to mask seizures with paralysis 400 00:16:10,386 --> 00:16:11,888 unless we have to. 401 00:16:11,971 --> 00:16:13,431 OK, um… 402 00:16:15,975 --> 00:16:17,685 Crus, CTG isn't reading. 403 00:16:17,768 --> 00:16:19,145 - Check with ultrasound. - On it. 404 00:16:19,228 --> 00:16:20,730 Nazely, what's the diagnosis? 405 00:16:20,813 --> 00:16:23,774 Um, with the seizure, now it's eclampsia. 406 00:16:25,067 --> 00:16:27,028 - Fetal heart rate is about 90. - Way too low. 407 00:16:27,111 --> 00:16:28,279 Mom's sats are going down. 408 00:16:28,362 --> 00:16:29,739 Time to tube her? 409 00:16:29,822 --> 00:16:31,407 Set up for it, but wait. 410 00:16:31,491 --> 00:16:32,742 Another 10 of diazepam. 411 00:16:32,825 --> 00:16:35,244 Push 4 grams of Keppra. 412 00:16:38,080 --> 00:16:39,499 History of hypertension 413 00:16:39,582 --> 00:16:40,833 presents to the emergency department 414 00:16:40,917 --> 00:16:43,169 with a chief complaint of dizziness 415 00:16:43,252 --> 00:16:45,379 after inadvertently ingesting 80 milligrams… 416 00:16:45,463 --> 00:16:46,672 Hey, how are you guys making out? 417 00:16:46,756 --> 00:16:47,757 Yeah, we're getting there. 418 00:16:47,840 --> 00:16:49,509 Have you seen Dr. Al-Hashimi? 419 00:16:49,592 --> 00:16:51,385 - No. - Can I talk to you for a sec? 420 00:16:56,974 --> 00:16:58,226 So I just wanted to let you know that I've been 421 00:16:58,309 --> 00:16:59,477 checking out some of your online posts… 422 00:16:59,560 --> 00:17:00,686 Look, I was just trying to help 423 00:17:00,770 --> 00:17:02,271 get some health messages out there, 424 00:17:02,355 --> 00:17:03,814 - especially for young people. - I think they're great. 425 00:17:03,898 --> 00:17:05,816 Really good. 426 00:17:05,900 --> 00:17:07,818 - You do? - Yeah. 427 00:17:07,902 --> 00:17:10,071 Yeah, um, keep it up. 428 00:17:10,154 --> 00:17:11,489 OK. 429 00:17:11,572 --> 00:17:13,824 As long as you follow the HIPAA laws. 430 00:17:13,908 --> 00:17:15,243 I do. 431 00:17:15,326 --> 00:17:17,078 And wait until you're done charting. 432 00:17:17,161 --> 00:17:18,162 Sure. 433 00:17:20,706 --> 00:17:24,961 Actually, Dr. Robby…sorry, um, can I ask you a question? 434 00:17:25,044 --> 00:17:26,170 Shoot. 435 00:17:26,254 --> 00:17:27,672 Um, I…I may be 436 00:17:27,755 --> 00:17:30,466 considering emergency psychiatry. 437 00:17:31,759 --> 00:17:33,928 Very cool. 438 00:17:34,011 --> 00:17:35,680 Think I could do it? 439 00:17:37,932 --> 00:17:39,392 I think that you could do 440 00:17:39,475 --> 00:17:41,978 anything that you put your mind to, Victoria. 441 00:17:46,148 --> 00:17:47,483 OK. 442 00:17:47,567 --> 00:17:49,193 Pulse ox is 88. 443 00:17:50,486 --> 00:17:52,446 Dr. Abbot? 444 00:17:52,530 --> 00:17:54,615 - Intubate? - Let's do it. 445 00:17:54,699 --> 00:17:57,952 Nazely, what do you suggest for rapid sequence induction? 446 00:17:58,035 --> 00:17:59,161 Etomidate and roc. 447 00:17:59,245 --> 00:18:00,329 Mm, not quite. 448 00:18:00,413 --> 00:18:01,455 120 of propofol, 449 00:18:01,539 --> 00:18:02,525 60 of succinylcholine. 450 00:18:02,540 --> 00:18:03,916 Why is that, Crus? 451 00:18:04,000 --> 00:18:05,626 Propofol for the anti-seizure effect, 452 00:18:05,710 --> 00:18:07,253 sux to avoid prolonged paralysis 453 00:18:07,336 --> 00:18:09,338 - so we can check her neuro exam. - Exactly. 454 00:18:09,422 --> 00:18:10,673 Pushing the propofol. 455 00:18:10,756 --> 00:18:12,174 Once she's flat for intubation, 456 00:18:12,258 --> 00:18:13,759 we need to displace the uterus to the left. 457 00:18:13,843 --> 00:18:15,386 Nazely, that's you. Big hug, both arms. 458 00:18:15,469 --> 00:18:17,722 - Get the baby off the vena cava. - Sux is on board. 459 00:18:17,805 --> 00:18:20,474 But after she's paralyzed, the seizing stops, right? 460 00:18:20,558 --> 00:18:21,976 It might look like that, 461 00:18:22,059 --> 00:18:24,020 but an ongoing seizure will still fry the brain. 462 00:18:24,103 --> 00:18:25,855 We monitor with EEG. 463 00:18:25,938 --> 00:18:27,732 - Is there time for that? - Wait and see. 464 00:18:28,941 --> 00:18:30,151 Paralytics kicked in. 465 00:18:30,234 --> 00:18:31,736 Let's go. Roll her to her back. 466 00:18:32,778 --> 00:18:34,405 Intubate, then EEG 467 00:18:34,488 --> 00:18:36,949 to see if her brain is still seizing. 468 00:18:37,033 --> 00:18:38,492 I need first pass success. 469 00:18:38,576 --> 00:18:39,744 You and me both. 470 00:18:48,669 --> 00:18:50,004 Have you seen Dr. Al-Hashimi? 471 00:18:50,087 --> 00:18:51,213 No. 472 00:18:51,297 --> 00:18:53,591 Have you seen Dr. Al-Hashimi? 473 00:18:53,674 --> 00:18:55,384 Al-Hashimi? 474 00:18:55,468 --> 00:18:57,970 With how this day's going, she probably quit. 475 00:18:58,054 --> 00:19:01,223 Last I saw her, she was in Peds with Baby Jane Doe. 476 00:19:01,307 --> 00:19:03,643 Nope, I was just in there. 477 00:19:03,726 --> 00:19:04,712 Want me to page her? 478 00:19:04,727 --> 00:19:06,437 Uh, no, that's OK. 479 00:19:06,520 --> 00:19:07,813 I will find her. 480 00:19:12,443 --> 00:19:13,653 Hello. 481 00:19:16,489 --> 00:19:18,824 Hey, how did our people do at the deposition? 482 00:19:18,908 --> 00:19:21,369 Oh, well, Dr. Ellis is a pit bull. 483 00:19:21,452 --> 00:19:23,454 Dr. King is a petunia. 484 00:19:23,537 --> 00:19:24,789 They were pretty brutal with her. 485 00:19:24,872 --> 00:19:26,666 - She's sensitive. - Very. 486 00:19:26,749 --> 00:19:28,250 And I'm afraid it isn't over. 487 00:19:28,334 --> 00:19:29,418 They want to call her back. 488 00:19:29,502 --> 00:19:31,253 Oh, that's unfortunate. 489 00:19:31,337 --> 00:19:32,505 Maybe I should go with you 490 00:19:32,588 --> 00:19:34,173 to break that news to her, actually. 491 00:19:34,256 --> 00:19:36,008 - Misery loves company. - Um, hey, while I have you, 492 00:19:36,092 --> 00:19:38,761 can I pose a hypothetical to you? 493 00:19:38,844 --> 00:19:40,763 If a doctor suspects another physician 494 00:19:40,846 --> 00:19:43,057 of having a medical condition that could negatively 495 00:19:43,140 --> 00:19:45,184 affect the way they would treat a patient, 496 00:19:45,267 --> 00:19:46,894 where would disclosing that fall 497 00:19:46,977 --> 00:19:48,896 on the HIPAA violation scale? 498 00:19:49,980 --> 00:19:51,899 First, do no harm. 499 00:19:54,402 --> 00:19:56,821 Dr. King, do you have a second? 500 00:19:59,448 --> 00:20:02,159 Mm… 501 00:20:04,036 --> 00:20:05,996 Good lung sliding bilaterally. 502 00:20:06,080 --> 00:20:08,082 Fetal heart rate borderline at 98. 503 00:20:09,625 --> 00:20:11,711 Roll her to the left again. That can help. 504 00:20:11,794 --> 00:20:13,963 One, two, three. 505 00:20:14,964 --> 00:20:18,342 OK, all set here. 506 00:20:18,426 --> 00:20:19,844 EEG monitor's good to go. 507 00:20:19,927 --> 00:20:21,637 That was fast. 508 00:20:21,721 --> 00:20:23,097 Still seizing while paralyzed. 509 00:20:23,180 --> 00:20:25,641 It's nonconvulsive status. 510 00:20:25,725 --> 00:20:27,017 What's she had so far? 511 00:20:27,101 --> 00:20:28,686 30 of diazepam, a full load of mag, 512 00:20:28,769 --> 00:20:29,895 Keppra, and propofol. 513 00:20:29,979 --> 00:20:31,272 Damn. What's your next step? 514 00:20:31,355 --> 00:20:32,481 Any ideas? 515 00:20:32,565 --> 00:20:34,734 Hmm? Nazely? 516 00:20:34,817 --> 00:20:36,652 Dilantin? Valproate? 517 00:20:36,736 --> 00:20:37,987 Mm, infusion is too long. 518 00:20:38,070 --> 00:20:39,530 So is onset of action. 519 00:20:39,613 --> 00:20:40,990 Push 100 of ketamine. 520 00:20:41,073 --> 00:20:43,242 That's had results with refractory status. 521 00:20:43,325 --> 00:20:45,536 She also has HELLP syndrome… hemoglobin only 7, 522 00:20:45,619 --> 00:20:48,456 - platelets down to 30. - Two units whole blood? 523 00:20:48,539 --> 00:20:50,875 O-neg is going up on the rapid infuser as we speak. 524 00:20:50,958 --> 00:20:52,960 Uh, put the AP pads on, just in case. 525 00:20:53,043 --> 00:20:55,755 And 10 of Decadron IV push for the inflammatory storm. 526 00:20:55,838 --> 00:20:57,882 - Fetal heart rate up to 104. - Hmm. 527 00:20:57,965 --> 00:20:59,216 - Little better. - Yeah. 528 00:20:59,300 --> 00:21:01,594 She should be upstairs with OB. 529 00:21:01,677 --> 00:21:05,347 She will be after we break this seizure. 530 00:21:05,431 --> 00:21:08,559 There was a delay in history-taking 531 00:21:08,642 --> 00:21:11,687 due to a malfunctioning VRI interpretation device. 532 00:21:11,771 --> 00:21:14,273 During this time, there was a normal CBC 533 00:21:14,356 --> 00:21:15,941 and comprehensive metabolic panel 534 00:21:16,025 --> 00:21:17,693 that came back from the lab. 535 00:21:19,195 --> 00:21:21,030 What's wrong with you, Malfeasance? 536 00:21:21,113 --> 00:21:24,033 I have to do another deposition. 537 00:21:24,116 --> 00:21:25,993 Oh, that sucks. 538 00:21:26,076 --> 00:21:27,912 You must have really messed up. 539 00:21:29,079 --> 00:21:30,706 Dude, I'm joking. 540 00:21:30,790 --> 00:21:31,791 You gotta lighten up. 541 00:21:31,874 --> 00:21:33,501 It's all just bullshit. 542 00:21:36,086 --> 00:21:37,379 God, you know what? Fuck all this. 543 00:21:37,463 --> 00:21:38,798 Do you want to go get a drink? 544 00:21:39,965 --> 00:21:40,965 Me? 545 00:21:41,008 --> 00:21:42,593 Yes, you. 546 00:21:42,676 --> 00:21:44,929 You…you do go out, don't you? 547 00:21:45,012 --> 00:21:47,139 Well, I'm usually with Becca. 548 00:21:47,223 --> 00:21:48,432 Well, bring her along. 549 00:21:48,516 --> 00:21:49,767 Can she drive? 550 00:21:49,850 --> 00:21:52,061 No, and she's with her boyfriend. 551 00:21:53,103 --> 00:21:54,522 OK, Becca. 552 00:21:56,232 --> 00:21:58,108 So it's just you and me. 553 00:22:00,319 --> 00:22:02,655 Do you like karaoke? 554 00:22:02,738 --> 00:22:04,532 You do karaoke? 555 00:22:04,615 --> 00:22:08,911 Well, what I do is more like primal scream therapy. 556 00:22:08,994 --> 00:22:10,621 There's nothing like getting wasted 557 00:22:10,704 --> 00:22:12,122 and just absolutely wailing 558 00:22:12,206 --> 00:22:14,917 to shake off a shit show like today. 559 00:22:15,000 --> 00:22:16,794 I could use a fun night. 560 00:22:18,254 --> 00:22:20,047 You and me both, sister. 561 00:22:20,130 --> 00:22:21,799 There's been no improvement. 562 00:22:21,882 --> 00:22:23,384 Still seizing on the EEG. 563 00:22:23,467 --> 00:22:25,094 - Neurology has been called. - OK. Got it. 564 00:22:25,177 --> 00:22:27,054 OB says send her up. They have an OR ready. 565 00:22:27,137 --> 00:22:28,514 About time. 566 00:22:28,597 --> 00:22:30,224 Baby's been bradying down a bit more. 567 00:22:30,307 --> 00:22:31,767 This one looks like it took a turn for the worse. 568 00:22:31,851 --> 00:22:33,602 Eclampsia, refractory seizures, 569 00:22:33,686 --> 00:22:35,896 HELLP syndrome with anemia and thrombocytopenia. 570 00:22:35,980 --> 00:22:37,898 Yeah, about as bad as it gets. 571 00:22:37,982 --> 00:22:39,817 V-fib! 572 00:22:39,900 --> 00:22:41,861 Chest compressions, Nazely. 573 00:22:41,944 --> 00:22:44,613 Charge to 200. 574 00:22:44,697 --> 00:22:46,073 Prep the belly. 575 00:22:46,156 --> 00:22:47,408 Get a baby warmer. 576 00:22:47,491 --> 00:22:49,076 Call the NICU. Start a timer. 577 00:22:49,159 --> 00:22:50,911 Charged. 578 00:22:50,995 --> 00:22:52,162 Clear. 579 00:22:54,081 --> 00:22:55,332 Continue compressions. 580 00:22:55,416 --> 00:22:57,751 We'll check a rhythm in a minute. 581 00:22:57,835 --> 00:22:59,044 Gown up. 582 00:22:59,128 --> 00:23:00,379 Robby, it's you and me. 583 00:23:00,462 --> 00:23:02,381 Nazely, what's the four-minute rule? 584 00:23:02,464 --> 00:23:04,633 Uh, not sure. 585 00:23:04,717 --> 00:23:06,427 Pregnant patient with a viable fetus, 586 00:23:06,510 --> 00:23:08,053 you have four minutes after cardiac arrest 587 00:23:08,137 --> 00:23:10,347 - to save the baby. - And the mom. 588 00:23:10,431 --> 00:23:12,641 We don't call it a postmortem C-section anymore. 589 00:23:12,725 --> 00:23:13,893 It's a resuscitative hysterotomy 590 00:23:13,976 --> 00:23:15,394 to try to save them both. 591 00:23:15,477 --> 00:23:16,687 But she doesn't want any medical intervention. 592 00:23:16,770 --> 00:23:18,105 That doesn't matter. 593 00:23:18,188 --> 00:23:19,607 Mom and baby are both dead if we do nothing. 594 00:23:19,690 --> 00:23:21,400 OK, charge to 200. 595 00:23:21,483 --> 00:23:23,485 One more rhythm check and then Abbot and I are gonna cut. 596 00:23:24,820 --> 00:23:27,323 Ellis, you and Crus on Mom resuscitation. 597 00:23:27,406 --> 00:23:28,782 Shen, you and Nazely take the baby. 598 00:23:28,866 --> 00:23:30,284 OK, hold compressions. 599 00:23:32,036 --> 00:23:33,537 Still V-fib. 600 00:23:33,621 --> 00:23:34,747 Clear. 601 00:23:36,081 --> 00:23:37,541 No change. Resume compression, amp of epi. 602 00:23:37,625 --> 00:23:38,626 OK, showtime. 603 00:23:38,709 --> 00:23:40,294 We need to get this baby out right now. 604 00:23:40,377 --> 00:23:41,420 OK, take a break. 605 00:23:44,048 --> 00:23:47,468 OK, 10 blade. Good. 606 00:23:47,551 --> 00:23:49,678 First incision is from the xiphoid 607 00:23:49,762 --> 00:23:51,430 to the pubic symphysis 608 00:23:51,513 --> 00:23:54,391 through the skin to the linea alba. 609 00:23:54,475 --> 00:23:56,560 Units three and four on the infuser. 610 00:23:56,644 --> 00:23:59,396 Second incision goes through the peritoneum, 611 00:23:59,480 --> 00:24:01,190 exposing the uterus. 612 00:24:01,273 --> 00:24:02,900 Where do you need me? 613 00:24:02,983 --> 00:24:05,152 You're with the baby. Nazely's got the bag mask. 614 00:24:05,235 --> 00:24:07,363 You're on suction. Stand by for intubation. 615 00:24:07,446 --> 00:24:08,864 Bladder retractors. 616 00:24:08,948 --> 00:24:10,532 Neonatal monitor and pulse ox ready to go. 617 00:24:10,616 --> 00:24:12,952 Ellis, gentle traction. 618 00:24:13,035 --> 00:24:15,037 OK, making a small vertical incision 619 00:24:15,120 --> 00:24:18,666 through the lower uterus so as not to cut the baby. 620 00:24:18,749 --> 00:24:20,459 Mm-hmm. 621 00:24:20,542 --> 00:24:22,002 - Got it? - Yep, I got it. 622 00:24:22,086 --> 00:24:23,420 - OK. - OK. 623 00:24:23,504 --> 00:24:26,590 Using scissors to extend superiorly. 624 00:24:28,133 --> 00:24:30,135 Ellis, hand retract the uterus with me. 625 00:24:30,219 --> 00:24:32,054 Amniotic fluid looks good. 626 00:24:33,764 --> 00:24:35,391 Give me some fundal pressure. 627 00:24:35,474 --> 00:24:36,850 Breech position. 628 00:24:39,311 --> 00:24:42,398 OK, baby's out. 629 00:24:42,481 --> 00:24:44,233 - It's a girl. - All right. 630 00:24:45,985 --> 00:24:48,904 Milking the cord. 631 00:24:48,988 --> 00:24:51,407 Clamping. 632 00:24:51,490 --> 00:24:53,409 Cutting. 633 00:24:53,492 --> 00:24:55,035 OK, blue and flaccid. Coming to you, Shen. 634 00:24:55,119 --> 00:24:56,161 - You ready? - Yeah, you got her. 635 00:24:56,245 --> 00:24:58,205 I got it, yep. 636 00:24:58,288 --> 00:24:59,581 OK. 637 00:25:03,293 --> 00:25:05,629 Poor tone, no movement. 638 00:25:05,713 --> 00:25:08,298 Keep the blow-by closer. 639 00:25:08,382 --> 00:25:09,717 She's really blue. 640 00:25:09,800 --> 00:25:12,553 Some blue is normal, but not this much. 641 00:25:12,636 --> 00:25:14,471 - Do we need to intubate? - Not yet, no. 642 00:25:14,555 --> 00:25:17,224 They usually pink up with stimulation and blow-by. 643 00:25:17,307 --> 00:25:19,018 OK, removing the placenta. 644 00:25:19,101 --> 00:25:21,395 Sweeping to the left, trying to get it in one piece. 645 00:25:23,313 --> 00:25:24,523 - Looks intact. - Yeah. 646 00:25:24,606 --> 00:25:26,650 Nicely done. 647 00:25:26,734 --> 00:25:28,652 10 of IV Pitocin to contract the uterus. 648 00:25:28,736 --> 00:25:30,863 And lots of massage. 649 00:25:30,946 --> 00:25:32,489 Heart rate 76. 650 00:25:32,573 --> 00:25:34,116 Less than 100 means we need to bag. 651 00:25:34,199 --> 00:25:35,284 Suction first. 652 00:25:35,367 --> 00:25:36,452 OK. 653 00:25:38,495 --> 00:25:39,830 Hey, Jord, charge to 200. 654 00:25:39,913 --> 00:25:42,708 Stand by for the next rhythm check. 655 00:25:42,791 --> 00:25:44,418 She grimaced. Good sign. 656 00:25:44,501 --> 00:25:45,501 Bagging. 657 00:25:45,544 --> 00:25:47,463 Pulse ox 45%. 658 00:25:47,546 --> 00:25:49,089 Oh, I've never seen it that low. 659 00:25:49,173 --> 00:25:50,883 It's not as bad as it sounds. 660 00:25:50,966 --> 00:25:52,926 I'm more worried about the heart rate. 661 00:25:53,010 --> 00:25:55,095 McKay, get ready with an IO in case we need epi. 662 00:25:55,179 --> 00:25:56,513 OK. 663 00:25:58,432 --> 00:26:00,851 Rhythm check. Hold compressions. 664 00:26:00,934 --> 00:26:01,935 Still V-fib. 665 00:26:02,019 --> 00:26:03,437 - OK, shock it. - Clear. 666 00:26:04,521 --> 00:26:05,939 Resume compressions. 667 00:26:06,023 --> 00:26:07,441 Shen, how's she doing over there? 668 00:26:07,524 --> 00:26:08,734 Heart rate's up to 104. 669 00:26:08,817 --> 00:26:09,985 Uh, at one minute, 670 00:26:10,069 --> 00:26:12,321 she's 0 for color, 2 for heart rate, 671 00:26:12,404 --> 00:26:13,655 1 for reflex, tone, breathing. 672 00:26:13,739 --> 00:26:15,282 APGAR of 5. 673 00:26:15,365 --> 00:26:17,201 5 out of 10. Not great. 674 00:26:17,284 --> 00:26:18,911 Pulse ox 58%. 675 00:26:18,994 --> 00:26:20,829 - Intubation? - Uh, not yet. 676 00:26:20,913 --> 00:26:22,915 O2 sat in the 60s is normal at one minute. 677 00:26:22,998 --> 00:26:25,793 Her heart rate and pulse ox are trending higher. 678 00:26:25,876 --> 00:26:27,211 Let's keep doing what we're doing. 679 00:26:27,294 --> 00:26:28,754 A little tincture of time. 680 00:26:28,837 --> 00:26:30,422 Hold compressions. 681 00:26:30,506 --> 00:26:32,508 Looks like sinus. 682 00:26:32,591 --> 00:26:34,176 Can't feel a carotid. 683 00:26:34,259 --> 00:26:35,552 No. 684 00:26:35,636 --> 00:26:37,554 Heart's barely pumping. It's PEA. 685 00:26:37,638 --> 00:26:38,847 Back on compressions. 686 00:26:38,931 --> 00:26:40,349 Transfuse two more units. 687 00:26:40,432 --> 00:26:41,767 She needs more red cells and platelets. 688 00:26:41,850 --> 00:26:43,477 Ongoing blood loss from the uterus. 689 00:26:43,560 --> 00:26:45,062 Give me all the lap pads we got, please. 690 00:26:52,569 --> 00:26:53,821 Yeah. 691 00:26:53,904 --> 00:26:54,905 OK, yeah, thanks. 692 00:26:54,988 --> 00:26:56,365 I appreciate it, honey. 693 00:26:56,448 --> 00:26:58,283 Oh, gotta go. 694 00:26:58,367 --> 00:26:59,618 Whoa, whoa, whoa! 695 00:26:59,701 --> 00:27:00,687 Hold up. 696 00:27:00,702 --> 00:27:02,121 Is there a problem here? 697 00:27:02,204 --> 00:27:04,206 Yeah, you two aren't leaving empty-handed. 698 00:27:04,289 --> 00:27:05,290 What? 699 00:27:06,500 --> 00:27:08,043 One of you follow me. 700 00:27:09,753 --> 00:27:11,505 Rape kits are supposed to be picked up 701 00:27:11,588 --> 00:27:14,424 within 72 hours of collecting 'em. 702 00:27:14,508 --> 00:27:17,177 This one's been here for over two weeks. 703 00:27:17,261 --> 00:27:18,887 That's not on us. 704 00:27:18,971 --> 00:27:20,472 Well, it's on somebody. 705 00:27:20,556 --> 00:27:21,974 It's not bad enough these poor women 706 00:27:22,057 --> 00:27:23,559 go through an assault, plus the indignity 707 00:27:23,642 --> 00:27:25,227 of the whole collection process, 708 00:27:25,310 --> 00:27:26,979 but nobody from the police department 709 00:27:27,062 --> 00:27:29,565 even has the human decency to come get these things? 710 00:27:29,648 --> 00:27:30,691 Like nobody there gives a flying fuck? 711 00:27:30,774 --> 00:27:32,276 OK, we got it. 712 00:27:32,359 --> 00:27:34,236 We'll see that these get put into evidence properly. 713 00:27:34,319 --> 00:27:35,487 Thank you. 714 00:27:37,656 --> 00:27:38,824 How hard was that? 715 00:27:42,703 --> 00:27:43,829 Units five and six are in. 716 00:27:43,912 --> 00:27:45,247 Down to a slow ooze here. 717 00:27:45,330 --> 00:27:46,707 Hold compressions. 718 00:27:50,294 --> 00:27:52,254 Looks like sinus. 719 00:27:52,337 --> 00:27:53,672 - And I got a weak carotid. - OK. 720 00:27:53,755 --> 00:27:55,174 Cycle the BP. 721 00:27:55,257 --> 00:27:57,259 Better filling, better squeeze. 722 00:27:57,342 --> 00:27:58,886 No seizure activity on the EEG. 723 00:27:58,969 --> 00:28:00,387 That's progress. That's progress. 724 00:28:00,470 --> 00:28:01,470 We're at five minutes. 725 00:28:01,513 --> 00:28:03,390 Uh, heart rate is 132. 726 00:28:03,473 --> 00:28:05,058 Uh, pulse ox 79%. 727 00:28:05,142 --> 00:28:06,935 Nazely, the APGAR? 728 00:28:07,019 --> 00:28:08,520 Um… 729 00:28:08,604 --> 00:28:10,647 1 off for color, 1 off for tone, 730 00:28:10,731 --> 00:28:13,233 1 off for respiration with hypoxia, total of 7. 731 00:28:13,317 --> 00:28:14,610 Respiration score is for observed breathing, 732 00:28:14,693 --> 00:28:16,028 not pulse ox. 733 00:28:16,111 --> 00:28:17,571 Sat of 80 is normal at five minutes. 734 00:28:17,654 --> 00:28:19,031 With no crying, she still gets 1 off. 735 00:28:19,114 --> 00:28:20,114 Yeah. 736 00:28:24,411 --> 00:28:25,913 She just scored the winning point! 737 00:28:25,996 --> 00:28:28,290 APGAR of 8 is pretty normal. 738 00:28:31,585 --> 00:28:33,837 Holy shit. What did I miss? 739 00:28:33,921 --> 00:28:36,590 Eclampsia with status, HELLP syndrome, 740 00:28:36,673 --> 00:28:39,760 cardiac arrest, resuscitative hysterotomy. 741 00:28:39,843 --> 00:28:42,095 I was in the OR with a septic twin C-section. 742 00:28:42,179 --> 00:28:43,347 Got your text 12 minutes ago. 743 00:28:43,430 --> 00:28:44,890 Shit happens fast down here. 744 00:28:44,973 --> 00:28:47,434 Resuscitative hysterotomy in 36 seconds. 745 00:28:47,517 --> 00:28:49,728 - Impressive. - BP's 102/64. 746 00:28:49,811 --> 00:28:50,938 Hemoglobin is up to 9. 747 00:28:51,021 --> 00:28:52,981 That'll do. 748 00:28:53,065 --> 00:28:54,399 NICU's sending a team down. 749 00:28:54,483 --> 00:28:56,735 We can take Mom. You guys are rock stars. 750 00:28:56,818 --> 00:28:59,238 We like to be referred to as crawlers of the night. 751 00:29:02,491 --> 00:29:03,784 If you're not careful, 752 00:29:03,867 --> 00:29:05,327 you're gonna get stuck here all night. 753 00:29:05,410 --> 00:29:07,829 Nah, Henny said she'd be here in 30 minutes. 754 00:29:07,913 --> 00:29:10,415 - How's Mom and baby? - Whew. 755 00:29:10,499 --> 00:29:12,376 They're both gonna go upstairs. 756 00:29:12,459 --> 00:29:14,544 Good. You leaving now? 757 00:29:14,628 --> 00:29:16,213 Yeah, pretty soon. 758 00:29:16,296 --> 00:29:19,341 I gotta find Whitaker, I gotta find Al-Hashimi, 759 00:29:19,424 --> 00:29:21,593 and I gotta find Langdon before I leave. 760 00:29:21,677 --> 00:29:24,096 You missed Langdon. He just checked out. 761 00:29:27,474 --> 00:29:28,600 Shit. 762 00:29:52,082 --> 00:29:53,417 Can I help you? 763 00:29:53,500 --> 00:29:56,962 Uh, yeah, I'm Dr. Langdon from the ED. 764 00:29:57,045 --> 00:29:59,881 I was just, uh, checking in on the status 765 00:29:59,965 --> 00:30:02,551 of someone we sent up here earlier. 766 00:30:02,634 --> 00:30:05,178 Patient's name is, uh, Cohen. 767 00:30:05,262 --> 00:30:06,430 Let me check. 768 00:30:06,513 --> 00:30:07,723 What was she up here for? 769 00:30:07,806 --> 00:30:09,558 Uh, clean out a nasty neck fash. 770 00:30:12,311 --> 00:30:13,895 Oh, yeah, she's good. 771 00:30:13,979 --> 00:30:17,024 She's in 4202, recovering nicely. 772 00:30:17,107 --> 00:30:19,609 Great, great. 773 00:30:19,693 --> 00:30:22,529 I mean, she was…she was in not-great shape earlier. 774 00:30:22,612 --> 00:30:24,656 It was a good catch. 775 00:30:24,740 --> 00:30:28,660 Saved her life, even if we couldn't save her leg. 776 00:30:28,744 --> 00:30:31,621 Uh, was it below the knee? 777 00:30:31,705 --> 00:30:33,498 Unfortunately, it was above. 778 00:30:50,474 --> 00:30:53,518 My cell phone and the building manager's. 779 00:30:53,602 --> 00:30:55,437 He can help if there's any emergencies. 780 00:30:55,520 --> 00:30:57,564 Yeah, what kind of emergencies? 781 00:30:57,647 --> 00:30:58,940 Whatever. 782 00:30:59,024 --> 00:31:00,010 And follow up with Duke 783 00:31:00,025 --> 00:31:01,011 in a couple days, yeah? 784 00:31:01,026 --> 00:31:02,026 Yeah. 785 00:31:02,069 --> 00:31:04,404 You, um…you sure about this? 786 00:31:04,488 --> 00:31:06,239 I trust you, Whitaker. 787 00:31:06,323 --> 00:31:07,991 Great. 788 00:31:08,075 --> 00:31:09,451 Any questions? 789 00:31:09,534 --> 00:31:12,537 Uh, when are you back, exactly? 790 00:31:12,621 --> 00:31:13,997 You know, I'll text you. 791 00:31:14,081 --> 00:31:15,916 I'm trying to keep my dates kind of fluid. 792 00:31:17,334 --> 00:31:19,378 I think this is your ride. 793 00:31:19,461 --> 00:31:21,421 Yeah, uh, yes. 794 00:31:21,505 --> 00:31:23,965 I…I promise I'll check in on your house tomorrow. 795 00:31:24,049 --> 00:31:25,509 Sounds good. 796 00:31:26,676 --> 00:31:28,303 - Hey. - Hey. 797 00:31:28,387 --> 00:31:31,390 OK. Hey, Theo. 798 00:31:31,473 --> 00:31:33,225 You're up late, huh? 799 00:31:33,308 --> 00:31:34,601 What you got there? 800 00:31:37,521 --> 00:31:39,856 OK. 801 00:31:39,940 --> 00:31:41,525 He's been fussy all day. 802 00:31:41,608 --> 00:31:43,693 I think he's got another tooth coming in. 803 00:31:43,777 --> 00:31:45,404 Aw, right on, big guy. 804 00:31:45,487 --> 00:31:48,698 Are you ready to get funky? 805 00:31:48,782 --> 00:31:49,783 Yeah? 806 00:32:09,761 --> 00:32:11,096 Hey. 807 00:32:11,179 --> 00:32:13,098 Any luck picking an elective? 808 00:32:14,599 --> 00:32:15,934 Don't know. 809 00:32:17,436 --> 00:32:19,563 Maybe I will go into geriatrics. 810 00:32:21,148 --> 00:32:23,108 It's a smart choice. 811 00:32:26,862 --> 00:32:28,405 I know that life can be challenging, 812 00:32:28,488 --> 00:32:29,781 especially when it doesn't work out 813 00:32:29,865 --> 00:32:31,116 the way you expected. 814 00:32:31,199 --> 00:32:32,325 OK. 815 00:32:37,247 --> 00:32:38,623 I thought I would be married 816 00:32:38,707 --> 00:32:40,750 with two kids in college by now. 817 00:32:42,085 --> 00:32:44,754 Maybe have some property with a pond, 818 00:32:44,838 --> 00:32:47,007 and we could play hockey on it in the wintertime. 819 00:32:49,176 --> 00:32:50,343 And yet look at me now. 820 00:32:50,427 --> 00:32:54,473 No wife, no kids, no pond. 821 00:32:57,976 --> 00:33:00,103 It's never too late. 822 00:33:00,187 --> 00:33:02,606 Do you really believe that? 823 00:33:02,689 --> 00:33:03,982 Yeah. 824 00:33:04,065 --> 00:33:05,692 Only for me, or for you too? 825 00:33:05,775 --> 00:33:07,319 OK. 826 00:33:07,402 --> 00:33:08,945 I see what you did there. 827 00:33:10,197 --> 00:33:12,866 Was that true, or something you just said to make a point? 828 00:33:19,039 --> 00:33:21,708 Have you worked things out with your mom? 829 00:33:24,002 --> 00:33:25,545 We're not talking. 830 00:33:28,840 --> 00:33:33,136 I am sorry that, um, I let it distract me. 831 00:33:34,679 --> 00:33:36,264 She was treating me like a child, 832 00:33:36,348 --> 00:33:37,682 and I was letting her. 833 00:33:42,938 --> 00:33:44,397 Have a good trip. 834 00:33:45,565 --> 00:33:46,691 Please be safe. 835 00:33:48,693 --> 00:33:51,029 We need you here. 836 00:33:51,112 --> 00:33:53,198 Even if you can be a dick sometimes. 837 00:33:56,117 --> 00:33:57,285 Good luck. 838 00:33:58,662 --> 00:33:59,996 You too. 839 00:34:09,130 --> 00:34:11,174 Hey, I didn't think you were still here. 840 00:34:11,258 --> 00:34:13,677 I was just talking to the neurologist on call. 841 00:34:15,095 --> 00:34:16,805 And? 842 00:34:16,888 --> 00:34:20,141 We had a nice chat. 843 00:34:20,225 --> 00:34:22,811 She agrees I can work with double coverage. 844 00:34:22,894 --> 00:34:25,230 That's not her call to make. 845 00:34:25,313 --> 00:34:26,606 You can't do anything critical 846 00:34:26,690 --> 00:34:28,108 where a five-second lapse in consciousness 847 00:34:28,191 --> 00:34:29,943 could potentially kill a patient. 848 00:34:31,820 --> 00:34:32,988 I agree. 849 00:34:36,491 --> 00:34:37,701 But 90% of our patients 850 00:34:37,784 --> 00:34:38,994 don't require critical procedures. 851 00:34:39,077 --> 00:34:41,162 And the ones that do? 852 00:34:41,246 --> 00:34:43,540 Will be handled by whomever is working with me. 853 00:34:43,623 --> 00:34:45,458 Unless they're also tied up with a critical patient. 854 00:34:45,542 --> 00:34:46,835 What if it's a double or triple trauma? 855 00:34:46,918 --> 00:34:48,837 - Robby, I can handle it. - No, you can't. 856 00:34:48,920 --> 00:34:50,255 And I can't let you. 857 00:34:50,338 --> 00:34:51,673 I am fully capable of handling… 858 00:34:51,756 --> 00:34:53,258 No, you are not fully capable, 859 00:34:53,341 --> 00:34:54,718 and you know it. 860 00:34:58,513 --> 00:34:59,889 What do you want from me? 861 00:34:59,973 --> 00:35:01,016 I want what's best for this department… 862 00:35:01,099 --> 00:35:02,475 patients and staff. 863 00:35:02,559 --> 00:35:04,728 Best-case scenario, you get a handle on this, 864 00:35:04,811 --> 00:35:06,313 you're seizure-free for six months, 865 00:35:06,396 --> 00:35:07,522 you get your driver's license back, 866 00:35:07,606 --> 00:35:08,815 you are cleared to work. 867 00:35:08,898 --> 00:35:11,151 I am cleared for my driver's license. 868 00:35:11,234 --> 00:35:13,320 You shouldn't be driving at all like this. 869 00:35:13,403 --> 00:35:15,780 If you were a patient, we would have to report you. 870 00:35:15,864 --> 00:35:17,365 I am not your fucking patient. 871 00:35:17,449 --> 00:35:18,491 No, but I cannot let you work 872 00:35:18,575 --> 00:35:19,868 in my emergency department 873 00:35:19,951 --> 00:35:21,703 until you're fully capable of doing so. 874 00:35:21,786 --> 00:35:23,413 That is not your fucking call! 875 00:35:23,496 --> 00:35:24,956 You're fucking-A right, that's my call! 876 00:35:25,040 --> 00:35:26,916 I'm trying to protect you and my patients, 877 00:35:27,000 --> 00:35:28,251 and you know I'm right about this. 878 00:35:28,335 --> 00:35:30,003 Oh, "my department," "my patients." 879 00:35:30,086 --> 00:35:31,504 All you fucking think about is yourself! 880 00:35:31,588 --> 00:35:32,797 Do you hear yourself? 881 00:35:32,881 --> 00:35:33,881 You didn't rat out Langdon 882 00:35:33,923 --> 00:35:35,383 for stealing fucking drugs. 883 00:35:35,467 --> 00:35:36,968 No, but I kicked him out of this department 884 00:35:37,052 --> 00:35:38,887 until he got the appropriate help that he needs, 885 00:35:38,970 --> 00:35:40,764 and the same goes for you. 886 00:35:40,847 --> 00:35:42,390 You've got until Monday to let the administration know, 887 00:35:42,474 --> 00:35:43,558 or I will. 888 00:35:50,690 --> 00:35:52,484 I am finished. 889 00:35:52,567 --> 00:35:54,319 Last chart. 890 00:35:55,487 --> 00:35:56,905 - You and me both. - Really? 891 00:35:56,988 --> 00:35:58,448 Is this a thing? I finished a while ago. 892 00:35:59,991 --> 00:36:01,785 I never want to hear that fucking bell again. 893 00:36:06,373 --> 00:36:07,791 - Where's Dana? - Not sure. 894 00:36:07,874 --> 00:36:09,334 A bunch of day shift just headed to the roof 895 00:36:09,417 --> 00:36:10,543 to watch the fireworks. 896 00:36:10,627 --> 00:36:11,836 You want me to call her? 897 00:36:11,920 --> 00:36:13,380 No, that's OK. 898 00:36:15,298 --> 00:36:16,716 Yo. 899 00:36:16,800 --> 00:36:18,468 Thanks for your help in there. 900 00:36:20,387 --> 00:36:22,597 - Almost out? - Yep, just about. 901 00:36:24,891 --> 00:36:26,559 Is this where you try to talk me out of going? 902 00:36:26,643 --> 00:36:27,629 Me? 903 00:36:27,644 --> 00:36:29,354 No, not a chance. 904 00:36:29,437 --> 00:36:30,563 Why, are you having second thoughts? 905 00:36:30,647 --> 00:36:31,633 - Nope. - No? 906 00:36:31,648 --> 00:36:33,191 Nope. 907 00:36:33,274 --> 00:36:35,193 Don't have to convince me. 908 00:36:35,276 --> 00:36:36,528 I mean, it is a little strange the only place 909 00:36:36,611 --> 00:36:38,071 you talked about going is somewhere 910 00:36:38,154 --> 00:36:39,364 they used to drive buffalo off a cliff to die. 911 00:36:39,447 --> 00:36:40,657 - Here it comes. - I looked it up, 912 00:36:40,740 --> 00:36:42,367 and as far as summer vacations go, 913 00:36:42,450 --> 00:36:44,119 it's not exactly a holiday hotspot. 914 00:36:44,202 --> 00:36:47,247 I mean, what's in the fucking gift shop, man? 915 00:36:47,330 --> 00:36:48,456 It's just one place I'm going. 916 00:36:48,540 --> 00:36:50,041 As long as it's not the last. 917 00:36:50,125 --> 00:36:52,210 Don't be pulling a "Thelma and Louise" out there. 918 00:36:52,293 --> 00:36:54,421 I am minutes from taking a three-month vacation. 919 00:36:54,504 --> 00:36:55,964 When's the last time you took any time off, Jack? 920 00:36:56,047 --> 00:36:57,841 Yeah, but I've dealt with my demons. 921 00:36:59,217 --> 00:37:01,761 It's a process. 922 00:37:01,845 --> 00:37:04,472 You want to know why I never killed myself? 923 00:37:04,556 --> 00:37:07,892 After what I saw, lived through? 924 00:37:07,976 --> 00:37:11,521 Losing my leg, losing my wife? 925 00:37:12,814 --> 00:37:14,899 Because it comes for all of us, man. 926 00:37:14,983 --> 00:37:16,109 You and I know it more than most. 927 00:37:16,192 --> 00:37:17,819 We see it every shift, 928 00:37:17,902 --> 00:37:19,988 but we can't let ourselves succumb to it. 929 00:37:21,114 --> 00:37:22,907 Yes, life can suck. 930 00:37:24,284 --> 00:37:26,244 It can be unbearable 931 00:37:26,327 --> 00:37:28,079 and…and brutal 932 00:37:28,163 --> 00:37:30,790 and ugly and heartbreaking. 933 00:37:30,874 --> 00:37:34,961 But it's also beautiful… and hilarious. 934 00:37:35,044 --> 00:37:37,255 And that woman today… 935 00:37:40,300 --> 00:37:41,843 Her baby, they'd both be in the morgue 936 00:37:41,926 --> 00:37:43,762 if you hadn't been here. 937 00:37:43,845 --> 00:37:45,597 That's us. That's you and me. 938 00:37:45,680 --> 00:37:48,558 That's what we're here for. 939 00:37:48,641 --> 00:37:51,186 The most important things I've ever done in my life 940 00:37:51,269 --> 00:37:53,855 have been in this hospital. 941 00:37:53,938 --> 00:37:56,316 Nothing will ever matter more than what I've done 942 00:37:56,399 --> 00:37:59,319 in this hospital, but it is killing me. 943 00:38:00,987 --> 00:38:03,031 You know how they say that a part of you dies 944 00:38:03,114 --> 00:38:04,657 when you lose someone you love? 945 00:38:04,741 --> 00:38:07,035 I'm not convinced that a part of you doesn't die 946 00:38:07,118 --> 00:38:09,204 every time you see a fellow human pass. 947 00:38:09,287 --> 00:38:13,708 And I've seen so many people die 948 00:38:13,792 --> 00:38:16,753 that I feel like it's leaching something from my soul. 949 00:38:18,505 --> 00:38:20,507 Go on a cruise, man. 950 00:38:22,926 --> 00:38:25,678 Knock off this helmetless motorcycle shit. 951 00:38:25,762 --> 00:38:27,764 Yeah, people talk. 952 00:38:27,847 --> 00:38:29,140 That's death-wish behavior. 953 00:38:29,224 --> 00:38:30,600 I'm tired of being a role model. 954 00:38:30,683 --> 00:38:32,519 I'm tired of feeling like you can't get ahead. 955 00:38:32,602 --> 00:38:34,270 I'm tired of feeling like I'm drowning every day. 956 00:38:34,354 --> 00:38:35,563 I'm tired of all of it. 957 00:38:35,647 --> 00:38:36,773 You need to get away for a while, 958 00:38:36,856 --> 00:38:38,191 and you need to get some help. 959 00:38:38,274 --> 00:38:41,653 You need this place as much as it needs you. 960 00:38:46,115 --> 00:38:48,117 Am I fucked up? 961 00:38:48,201 --> 00:38:49,786 100%. 962 00:38:53,331 --> 00:38:55,458 But nobody works here as long as you and me 963 00:38:55,542 --> 00:38:56,626 and doesn't get screwed up. 964 00:38:56,709 --> 00:38:59,796 You…you gotta find somebody 965 00:38:59,879 --> 00:39:02,549 to help you dance through the darkness. 966 00:39:06,636 --> 00:39:08,263 Did you just make that up? 967 00:39:10,515 --> 00:39:12,016 Maybe it's a song lyric. 968 00:39:12,100 --> 00:39:13,601 I don't… maybe my therapist said it. 969 00:39:13,685 --> 00:39:15,603 I don't know. 970 00:39:18,439 --> 00:39:19,774 Some dude just pulled up. 971 00:39:19,858 --> 00:39:21,860 Looks like he blew half his face off. 972 00:39:24,737 --> 00:39:26,531 How can you not love this place? 973 00:39:28,992 --> 00:39:32,328 Look, don't make me look stupid. 974 00:39:32,412 --> 00:39:34,789 You come back to us in one piece. 975 00:39:38,209 --> 00:39:39,586 I'm still your emergency contact, 976 00:39:39,669 --> 00:39:42,005 and I do not want to be contacted. 977 00:39:44,382 --> 00:39:45,508 All right, night crawlers, 978 00:39:45,592 --> 00:39:46,801 what the hell's going on out here? 979 00:39:52,390 --> 00:39:53,641 25-year-old man… 980 00:39:53,725 --> 00:39:54,934 history, 981 00:39:55,018 --> 00:39:56,269 no meds, no allergies. 982 00:41:22,689 --> 00:41:24,565 More than 2,000 years ago, 983 00:41:24,649 --> 00:41:26,734 the Chinese were throwing bamboo into fire 984 00:41:26,818 --> 00:41:28,736 to make explosions. 985 00:41:28,820 --> 00:41:30,279 They went on to invent gunpowder. 986 00:41:30,363 --> 00:41:32,490 And boom! The rest is history. 987 00:41:34,158 --> 00:41:37,203 They had chemicals to get the different colors, you know? 988 00:41:37,286 --> 00:41:39,956 Sodium gives you yellow, strontium gives you red, 989 00:41:40,039 --> 00:41:43,042 and barium is green. 990 00:41:43,126 --> 00:41:46,629 Who knew chemistry could be so damn pretty? 991 00:42:55,615 --> 00:42:57,325 - Hey. - Hey. 992 00:42:57,408 --> 00:42:59,744 - I thought you'd left already. - On my way out. 993 00:42:59,827 --> 00:43:03,706 Hey, I'm sorry that I didn't find the time today 994 00:43:03,790 --> 00:43:04,874 to have that conversation. 995 00:43:04,957 --> 00:43:06,209 Yeah, that's all right. 996 00:43:06,292 --> 00:43:08,127 Seems like you didn't really want to. 997 00:43:08,211 --> 00:43:09,462 I didn't. 998 00:43:12,465 --> 00:43:13,841 Did you? 999 00:43:13,925 --> 00:43:16,177 Uh… 1000 00:43:16,260 --> 00:43:18,971 yeah, actually. 1001 00:43:19,055 --> 00:43:22,058 Look, I'm doing the work. 1002 00:43:22,141 --> 00:43:24,519 I'm…I've been sober 186 days. 1003 00:43:24,602 --> 00:43:26,771 I'm going to meetings. I'm taking the drug tests. 1004 00:43:26,854 --> 00:43:29,065 - That's good. - And you're still riding me. 1005 00:43:32,110 --> 00:43:35,446 What would have happened if I'd paralyzed that guy? 1006 00:43:35,530 --> 00:43:37,115 I don't know. 1007 00:43:37,198 --> 00:43:38,699 What would have happened if I hadn't been here today? 1008 00:43:38,783 --> 00:43:40,409 You'd still be questioning yourself. 1009 00:43:40,493 --> 00:43:42,161 Now you know you can do it. You're welcome. 1010 00:43:42,245 --> 00:43:43,746 Oh, so that's… that's how you teach now? 1011 00:43:43,830 --> 00:43:45,706 Sometimes. 1012 00:43:45,790 --> 00:43:48,042 You know who I saw in rehab? 1013 00:43:48,126 --> 00:43:50,711 I saw a bunch of guys just like you. 1014 00:43:50,795 --> 00:43:52,004 The only difference is, 1015 00:43:52,088 --> 00:43:55,133 they've accepted that they need help. 1016 00:43:55,216 --> 00:43:57,176 I think you're afraid to admit that 1017 00:43:57,260 --> 00:43:59,846 the mighty Dr. Robinavitch isn't perfect. 1018 00:43:59,929 --> 00:44:01,889 Oh, I never claimed to be perfect. 1019 00:44:01,973 --> 00:44:05,143 No, but you expect it of yourself, 1020 00:44:05,226 --> 00:44:07,603 and it's not realistic, man. 1021 00:44:07,687 --> 00:44:09,939 How can any of us live up to your standards 1022 00:44:10,022 --> 00:44:11,691 if you can't even do it? 1023 00:44:13,151 --> 00:44:16,028 You need help, Robby. 1024 00:44:16,112 --> 00:44:17,822 You need help. 1025 00:44:20,700 --> 00:44:21,826 Finished? 1026 00:44:23,077 --> 00:44:25,371 You don't gotta be honest with me, man. 1027 00:44:25,454 --> 00:44:27,415 At least be honest with yourself. 1028 00:44:42,972 --> 00:44:45,266 She is due for a new bottle. 1029 00:44:45,349 --> 00:44:48,060 I was hoping to get her some formula before I clocked out. 1030 00:44:49,812 --> 00:44:52,106 I'll stay with her. 1031 00:44:52,190 --> 00:44:53,399 Thanks. 1032 00:44:55,693 --> 00:44:57,820 Why are you…will you hit those lights on your way out? 1033 00:44:57,904 --> 00:45:00,865 - Yep. - Why are you crying? 1034 00:45:00,948 --> 00:45:03,451 Why are you crying, little one? 1035 00:45:03,534 --> 00:45:06,037 You're OK. You're safe. 1036 00:45:06,120 --> 00:45:08,331 Yeah, you're not alone. 1037 00:45:15,296 --> 00:45:17,757 Yeah, you're OK. 1038 00:45:17,840 --> 00:45:21,052 Do you need to be swaddled again? 1039 00:45:21,135 --> 00:45:22,803 Is that it? 1040 00:45:22,887 --> 00:45:24,764 I can do that. Look. 1041 00:45:24,847 --> 00:45:27,350 Aww. 1042 00:45:27,433 --> 00:45:31,103 I wish somebody would swaddle me. 1043 00:45:31,187 --> 00:45:33,522 Yes, I do. 1044 00:45:33,606 --> 00:45:35,608 Oh. 1045 00:45:38,069 --> 00:45:41,030 You got off to kind of a rough start, 1046 00:45:41,113 --> 00:45:44,158 didn't you, little one? 1047 00:45:44,242 --> 00:45:46,327 Yeah, you did. 1048 00:45:48,663 --> 00:45:51,249 Well, that makes two of us. 1049 00:45:54,919 --> 00:45:56,879 I got abandoned too. 1050 00:46:00,299 --> 00:46:02,635 When I was eight. 1051 00:46:06,222 --> 00:46:11,602 But I got through all of that, and so will you. 1052 00:46:11,686 --> 00:46:15,606 I got a good feeling that you're gonna be just fine. 1053 00:46:15,690 --> 00:46:19,110 Everything's gonna be just fine. 1054 00:46:19,193 --> 00:46:22,029 You got so many wonderful things to see 1055 00:46:22,113 --> 00:46:25,241 and so many people to love ahead of you. 1056 00:46:27,493 --> 00:46:32,456 So many wonderful things to see, 1057 00:46:32,540 --> 00:46:34,583 people to love ahead of you. 1058 00:46:43,134 --> 00:46:47,847 It's OK. It's gonna be OK. 1059 00:46:47,930 --> 00:46:49,515 It's OK.