1 00:00:10,807 --> 00:00:12,640 There is no way this is happening. 2 00:00:12,641 --> 00:00:14,307 Not now, not ever. 3 00:00:14,308 --> 00:00:15,643 Mom, stop! 4 00:00:15,644 --> 00:00:17,019 This is what you had in mind 5 00:00:17,021 --> 00:00:19,187 for your fun weekend with your aunt? 6 00:00:19,189 --> 00:00:21,815 - All right. Can we-- - I was trying to help her. 7 00:00:21,817 --> 00:00:23,775 No, what would have been helpful is telling me 8 00:00:23,777 --> 00:00:25,445 that my daughter is pregnant! 9 00:00:25,446 --> 00:00:27,946 Instead, I find out from a confused teenage boy! 10 00:00:27,948 --> 00:00:29,614 - Jackson told you? - Yeah, he did. 11 00:00:29,615 --> 00:00:31,576 Whoa, whoa, everything OK in here? 12 00:00:31,577 --> 00:00:33,493 This is Mrs. Wheeler, Kristi's mother. 13 00:00:33,494 --> 00:00:35,662 Lynette is Kristi's aunt. 14 00:00:35,664 --> 00:00:36,997 She doesn't want to have this baby. 15 00:00:36,999 --> 00:00:38,832 This has nothing to do with you! 16 00:00:38,834 --> 00:00:41,668 - OK, maybe we just take-- - Mom, I called Aunt Lynn, OK? 17 00:00:41,670 --> 00:00:43,503 I don't want to be a teen mom. 18 00:00:43,505 --> 00:00:45,006 Well, then maybe you should have thought of that 19 00:00:45,006 --> 00:00:46,548 before you started having sex. 20 00:00:46,549 --> 00:00:48,341 OK, emotions are running high. 21 00:00:48,343 --> 00:00:49,844 I think a private conversation 22 00:00:49,844 --> 00:00:51,219 between mother and daughter is in order. 23 00:00:51,220 --> 00:00:52,512 Lynette, let's you and I step out. 24 00:00:52,514 --> 00:00:54,017 I'll buy you a cup of coffee. 25 00:01:03,734 --> 00:01:05,525 The crashed ambulance thieves are en route. 26 00:01:05,527 --> 00:01:07,444 ETA, 10 minutes. Trauma 2's all yours. 27 00:01:07,445 --> 00:01:08,695 Great. 28 00:01:08,697 --> 00:01:10,198 They better be meth-head junkies 29 00:01:10,198 --> 00:01:11,698 'cause Abby wants a Birkin for her birthday. 30 00:01:11,700 --> 00:01:13,034 What's she gonna do with a Birkin? 31 00:01:13,034 --> 00:01:14,367 Hopefully forgive me for getting 32 00:01:14,368 --> 00:01:16,204 the kids a goldendoodle. 33 00:01:16,204 --> 00:01:17,829 You want to be a good husband? 34 00:01:17,831 --> 00:01:19,664 Send her on a vacation 35 00:01:19,665 --> 00:01:22,168 without you or the kids or a damn puppy. 36 00:01:22,168 --> 00:01:24,170 Are you mean to everyone or just me? 37 00:01:24,170 --> 00:01:26,463 Just you. 38 00:01:26,465 --> 00:01:28,049 Hey, what's the status 39 00:01:28,049 --> 00:01:29,716 of the head CT on Joseph Marino? 40 00:01:29,718 --> 00:01:31,218 Uh, still waiting on results. 41 00:01:31,219 --> 00:01:32,969 He's postictal and sleeping in North 2. 42 00:01:32,971 --> 00:01:34,639 No more seizure activity. - Good. 43 00:01:34,640 --> 00:01:36,890 Let me know as soon as those CT results get back. 44 00:01:36,891 --> 00:01:38,018 Yeah, of course. 45 00:01:40,479 --> 00:01:42,729 How's, uh, Travis, our tonsillectomy patient? 46 00:01:42,730 --> 00:01:45,066 Oh, I, uh, just dropped him off at surgery. 47 00:01:45,067 --> 00:01:46,942 He's doing well. - Good work. 48 00:01:46,944 --> 00:01:49,069 You kept him from bleeding out. - Oh, no, come on. 49 00:01:49,070 --> 00:01:50,570 That was all you and Dr. Robby. 50 00:01:50,572 --> 00:01:51,781 I mean, I could never have done 51 00:01:51,781 --> 00:01:53,198 what you guys did with that airway. 52 00:01:53,200 --> 00:01:54,741 Not yet. That's why you're here. 53 00:01:54,742 --> 00:01:56,243 But you stayed with him the whole time. 54 00:01:56,245 --> 00:01:57,995 He would have died at most other hospitals. 55 00:01:57,996 --> 00:02:00,248 Yeah. Yeah, no, I guess you're right. 56 00:02:00,248 --> 00:02:02,084 Yeah, I usually am. 57 00:02:14,264 --> 00:02:16,139 I'm sorry about all of this. 58 00:02:16,139 --> 00:02:17,889 I didn't think that Eloise would find out. 59 00:02:17,890 --> 00:02:19,933 Yeah, well, she did. 60 00:02:19,935 --> 00:02:21,936 Kristi should make her own decisions. 61 00:02:21,937 --> 00:02:23,771 Unfortunately, she's still considered a minor. 62 00:02:23,771 --> 00:02:25,438 Why don't you take a seat? 63 00:02:25,439 --> 00:02:28,276 And we'll come find you if there's an update. 64 00:02:31,030 --> 00:02:32,697 - What do you need, Robby? - Escaping. 65 00:02:32,698 --> 00:02:33,865 Go, go. 66 00:02:33,865 --> 00:02:35,908 - Dr. Robinavitch. - Gloria. 67 00:02:35,908 --> 00:02:37,784 This is Dr. Tracy Morris, 68 00:02:37,786 --> 00:02:40,037 regional manager of ECQ America. 69 00:02:40,038 --> 00:02:41,581 The contract management group. 70 00:02:41,581 --> 00:02:43,248 - It's a pleasure to meet you. - Likewise. 71 00:02:43,250 --> 00:02:44,625 But if you'll excuse me, I'm a little slammed, 72 00:02:44,626 --> 00:02:46,168 as per usual. 73 00:02:46,170 --> 00:02:47,461 We were upstairs with the executive team 74 00:02:47,461 --> 00:02:48,795 going over a proposal. 75 00:02:48,796 --> 00:02:49,838 - A proposal? - Mm-hmm. 76 00:02:49,840 --> 00:02:51,090 We're interested in having 77 00:02:51,091 --> 00:02:52,633 your emergency department join us. 78 00:02:52,634 --> 00:02:54,843 The 500 or so ERs you have aren't enough? 79 00:02:54,844 --> 00:02:56,637 What can I say? Business is good. 80 00:02:56,638 --> 00:02:58,097 Yeah, for who? 81 00:02:58,098 --> 00:03:00,473 - Everyone benefits. - Do they, though? 82 00:03:00,474 --> 00:03:02,602 Your contract management's corporate mandate 83 00:03:02,603 --> 00:03:04,812 is profits for shareholders above everything else, yes? 84 00:03:04,812 --> 00:03:06,396 - Robby. - Dah-dah-dah. 85 00:03:06,397 --> 00:03:07,814 Your hospital's board was very impressed 86 00:03:07,816 --> 00:03:10,276 with ECQ's metrics on patient satisfaction, 87 00:03:10,276 --> 00:03:11,818 throughput time, and billing collections. 88 00:03:11,819 --> 00:03:13,320 Does your proposal include the part 89 00:03:13,322 --> 00:03:15,823 where you cut the pay for all my doctors? 90 00:03:15,824 --> 00:03:18,200 Maybe I can find an incentive for you. 91 00:03:18,201 --> 00:03:20,493 How does regional medical director sound? 92 00:03:20,495 --> 00:03:23,997 Lighter workload, better benefits, stock options. 93 00:03:23,998 --> 00:03:25,832 Did you go to business school or medical school? 94 00:03:25,834 --> 00:03:28,169 Both. 95 00:03:28,170 --> 00:03:29,670 We look forward to your decision. 96 00:03:29,670 --> 00:03:31,421 Of course. 97 00:03:31,423 --> 00:03:33,424 Hopefully we'll get a chance to work together soon, 98 00:03:33,425 --> 00:03:34,509 Dr. Robinavitch. 99 00:03:38,180 --> 00:03:40,598 I can't believe you're seriously considering this. 100 00:03:40,598 --> 00:03:42,515 Bottom line is, our current numbers aren't good, 101 00:03:42,516 --> 00:03:43,935 and theirs are. 102 00:03:43,936 --> 00:03:45,353 Just because their dashboard is pretty 103 00:03:45,353 --> 00:03:46,853 doesn't mean it's good for patients. 104 00:03:46,854 --> 00:03:49,189 If you want to keep this ED, improve metrics. 105 00:03:49,191 --> 00:03:51,192 There's a lot of OFI. 106 00:03:51,192 --> 00:03:52,651 Opportunities for improvement. 107 00:03:52,652 --> 00:03:54,402 Well, you could have just said that. 108 00:03:54,403 --> 00:03:56,739 I need you to care about patient-satisfaction scores. 109 00:03:56,740 --> 00:03:58,490 I would love nothing more. 110 00:03:58,491 --> 00:04:00,033 But right now the average wait time is six hours, 111 00:04:00,034 --> 00:04:01,409 and that's before you see a doctor. 112 00:04:01,411 --> 00:04:02,870 You need to hire more staff 113 00:04:02,871 --> 00:04:04,622 so we can open more inpatient beds. 114 00:04:04,622 --> 00:04:06,498 Are you prepared to do that? 115 00:04:06,500 --> 00:04:08,668 I need you to improve scores with the resources we have, 116 00:04:08,669 --> 00:04:10,544 or we will explore what ECQ has to offer. 117 00:04:10,544 --> 00:04:12,545 This is bullshit. You know this is bullshit. 118 00:04:12,546 --> 00:04:15,049 And if you don't, then we are all in trouble. 119 00:04:15,050 --> 00:04:17,927 - Maybe you need some time off. - Hey, we got a ladder fall. 120 00:04:17,927 --> 00:04:20,555 A couple of minutes out. Yeah. 121 00:04:23,685 --> 00:04:25,725 Mint? 122 00:04:25,726 --> 00:04:27,269 Who would have guessed frat boys? 123 00:04:27,271 --> 00:04:28,771 Collins. 124 00:04:28,771 --> 00:04:31,274 Damn it. I knew they were gonna crash. 125 00:04:31,274 --> 00:04:32,733 Then why didn't you bet crash? 126 00:04:32,733 --> 00:04:34,567 I didn't want anybody to get hurt. 127 00:04:34,569 --> 00:04:36,237 It's bad karma, man. - So who won? 128 00:04:36,237 --> 00:04:38,363 Oh, Doc Collins hit the full parlay-- 129 00:04:38,365 --> 00:04:41,533 in our zone, crash, and frat boys. 130 00:04:41,534 --> 00:04:44,327 That's uncanny, bordering on spooky. 131 00:04:44,329 --> 00:04:46,579 And the rich just get richer. 132 00:04:46,581 --> 00:04:48,374 You need to practice more gratitude. 133 00:04:48,375 --> 00:04:51,877 I'd be a lot more grateful if my paycheck was bigger. 134 00:04:51,877 --> 00:04:53,588 That part. 135 00:05:01,848 --> 00:05:03,764 Any luck finding Ginger's daughter? 136 00:05:03,764 --> 00:05:05,682 She was supposed to be right back to take her mom home. 137 00:05:05,684 --> 00:05:08,560 I just tried her cell again. Still no answer. 138 00:05:08,562 --> 00:05:10,855 Let me try the cafeteria one more time. 139 00:05:10,855 --> 00:05:12,230 What do we tell her? 140 00:05:12,231 --> 00:05:13,774 No, don't tell her anything yet. 141 00:05:13,774 --> 00:05:15,108 Oh, boy. 142 00:05:15,110 --> 00:05:16,944 Um, you should consult with Kiara 143 00:05:16,944 --> 00:05:18,822 just in case this goes south. 144 00:05:23,911 --> 00:05:26,745 - What do we have? - 45-year-old Silas Dunn. 145 00:05:26,747 --> 00:05:28,122 Fell off an 8-foot ladder. 146 00:05:28,122 --> 00:05:30,081 Right chest hit the carpeted floor. 147 00:05:30,082 --> 00:05:32,125 No LOC. Good vitals. No meds, no allergies. 148 00:05:32,127 --> 00:05:33,461 I'm Dr. Santos. How are you doing? 149 00:05:33,461 --> 00:05:35,920 Fine. My wife called 911. 150 00:05:35,922 --> 00:05:39,300 These guys said this was all necessary, but I-I can walk. 151 00:05:39,300 --> 00:05:41,093 We're gonna keep it on until we get you all checked out, OK? 152 00:05:41,093 --> 00:05:42,887 What are you thinking? 153 00:05:42,887 --> 00:05:45,096 What made him fall could have been cardiac or neuro. 154 00:05:45,098 --> 00:05:47,057 Any headache? - I was a little dizzy. 155 00:05:47,058 --> 00:05:48,641 He needs a head CT. EKG and troponin. 156 00:05:48,643 --> 00:05:49,976 - Exactly. - On my count. 157 00:05:49,978 --> 00:05:52,980 One, two, three. 158 00:05:52,980 --> 00:05:54,939 I was installing a lighting fixture-- 159 00:05:54,941 --> 00:05:57,108 Dr. Santos on E-fast, please. 160 00:05:57,110 --> 00:05:58,944 I'm Dr. Garcia. Can you spell "world"? 161 00:05:58,944 --> 00:06:01,322 W-O-R-L-D. 162 00:06:01,322 --> 00:06:02,822 Start with D, spell it backwards. 163 00:06:02,824 --> 00:06:05,658 Oof. D-L-R-O-W? 164 00:06:05,660 --> 00:06:07,119 Excellent. Your brain is fine. 165 00:06:07,120 --> 00:06:09,747 Pulse 92. BP 132 over 78. 166 00:06:09,747 --> 00:06:12,290 Sat 98. - No pericardial effusion. 167 00:06:12,291 --> 00:06:14,168 - Ow. - Oh. Tender? 168 00:06:14,168 --> 00:06:16,252 - Yeah. - OK, ribs 7 and 8, MCL. 169 00:06:16,254 --> 00:06:17,922 You probably cracked a rib or two. 170 00:06:17,923 --> 00:06:19,507 Check for lung sliding. That could be a pneumo. 171 00:06:19,507 --> 00:06:21,175 Ah, I was gonna paint the living room next. 172 00:06:21,175 --> 00:06:22,384 My wife has a whole list of things 173 00:06:22,386 --> 00:06:23,802 she wants us to get done. 174 00:06:23,803 --> 00:06:25,512 I'm afraid the only home renovations 175 00:06:25,514 --> 00:06:26,721 you're gonna be doing in the next couple weeks 176 00:06:26,723 --> 00:06:28,182 are the kind you watch on TV. 177 00:06:28,182 --> 00:06:29,350 Can you tell my wife that? 178 00:06:29,350 --> 00:06:30,518 Lungs are up. 179 00:06:30,519 --> 00:06:32,353 What's your sign? 180 00:06:32,353 --> 00:06:34,562 - Scorpio. - Spicy. 181 00:06:34,564 --> 00:06:36,524 And I'm focused on our patient. 182 00:06:36,524 --> 00:06:39,026 Um, belly's clear. 183 00:06:39,026 --> 00:06:41,528 Dr. Garcia. 184 00:06:41,529 --> 00:06:42,822 Shit. Be right there. 185 00:06:42,822 --> 00:06:44,197 Wish I could stay. 186 00:06:44,199 --> 00:06:45,658 Post-op hemorrhage. 187 00:06:45,658 --> 00:06:48,119 You're in good hands. 188 00:06:48,120 --> 00:06:51,372 Tier One Trauma, ETA now. Trauma Tier One-- 189 00:06:51,372 --> 00:06:53,706 OK, call me if anything changes. 190 00:06:53,707 --> 00:06:56,000 Stolen ambulance versus tree. 191 00:06:56,002 --> 00:06:58,420 PPD maintaining custody of suspects. 192 00:06:58,422 --> 00:07:00,088 This one doesn't meet criteria. 193 00:07:00,089 --> 00:07:02,882 Zac Dawson, 21, restrained front-seat passenger, 194 00:07:02,884 --> 00:07:04,552 was ambulatory on scene. 195 00:07:04,552 --> 00:07:06,678 Lacerations to the anterior thigh from broken glass. 196 00:07:06,680 --> 00:07:08,514 Otherwise no injuries. Good vitals. 197 00:07:08,514 --> 00:07:11,516 - You hurting anywhere, Zac? - Where's Miles? 198 00:07:11,518 --> 00:07:14,562 Miles Hernandez, 18, unrestrained driver 199 00:07:14,562 --> 00:07:15,980 of the stolen ambulance. 200 00:07:15,980 --> 00:07:17,689 Right chest, left leg injuries. 201 00:07:17,690 --> 00:07:19,149 Short of breath. Sat 91. 202 00:07:19,151 --> 00:07:21,401 Tachy 120s. BP 105 over 70. 203 00:07:21,403 --> 00:07:23,237 - Can I go with him? - Is this your friend? 204 00:07:23,237 --> 00:07:24,572 He's my pledge. 205 00:07:24,572 --> 00:07:26,240 We're gonna find a room for you. 206 00:07:26,240 --> 00:07:27,740 Let us take care of Miles, OK? - I'm Dr. Collins. 207 00:07:27,742 --> 00:07:29,367 Can you talk? 208 00:07:29,369 --> 00:07:30,911 Breath sounds bilateral but lots of stridors. 209 00:07:30,911 --> 00:07:32,788 Set up for intubation. We got to fix this fast. 210 00:07:32,788 --> 00:07:35,081 Posterior hip dislocation. Good pedal pulse. 211 00:07:35,082 --> 00:07:36,917 We need induction meds, ketamine and rock. 212 00:07:36,918 --> 00:07:38,711 Ho, ho, ho, look at this clavicle. 213 00:07:38,711 --> 00:07:40,920 Depressed centrally. Sternoclavicular dislocation. 214 00:07:40,922 --> 00:07:42,590 It's compressing his trachea. 215 00:07:42,591 --> 00:07:45,593 Let's reduce it, see if it helps his breathing. 216 00:07:45,593 --> 00:07:47,343 All right, stabilize the leg. 217 00:07:47,345 --> 00:07:49,596 One, two, three. 218 00:07:49,598 --> 00:07:50,889 Four of morphine. 219 00:07:50,891 --> 00:07:52,600 Draw a rainbow, type and screen. 220 00:07:52,600 --> 00:07:54,185 Heart rate's 125. 221 00:07:54,185 --> 00:07:56,437 Langdon, get on the airway. Collins, E-fast. 222 00:07:56,437 --> 00:07:57,896 No blood in the oropharynx. 223 00:07:57,898 --> 00:07:59,939 Clavicle is dislocated posteriorly. 224 00:07:59,941 --> 00:08:01,567 Chlorhexidine swab. 225 00:08:01,567 --> 00:08:05,237 10 of lido with epi. Time is of the essence. 226 00:08:05,237 --> 00:08:06,988 BP's 108 over 74. 227 00:08:06,990 --> 00:08:09,949 All right, Miles, your collarbone 228 00:08:09,951 --> 00:08:11,117 is pushing against your windpipe. 229 00:08:11,119 --> 00:08:12,536 We're gonna pull it back up. 230 00:08:12,536 --> 00:08:14,038 I'm going to inject an anesthetic. 231 00:08:14,038 --> 00:08:17,209 You're gonna feel a pinprick and a big burn. 232 00:08:19,461 --> 00:08:21,961 All right, towel clip. 233 00:08:21,963 --> 00:08:23,297 All right, go deep. 234 00:08:23,298 --> 00:08:25,298 You want to get a really good grip 235 00:08:25,300 --> 00:08:27,011 on both sides of that bone. 236 00:08:29,930 --> 00:08:31,639 Got it. All right, Miles. 237 00:08:31,639 --> 00:08:34,100 It's gonna hurt for a second. You ready? 238 00:08:37,647 --> 00:08:39,187 Oh, motherfucker! 239 00:08:39,188 --> 00:08:41,105 - Ooh. - Screaming is good. 240 00:08:41,106 --> 00:08:43,149 Who are you torturing now? 241 00:08:43,150 --> 00:08:44,943 Reduced a sternoclavicular dislocation. 242 00:08:44,945 --> 00:08:46,486 - How's your breathing? - Better. 243 00:08:46,488 --> 00:08:48,154 What happened to your post-op hemorrhage? 244 00:08:48,155 --> 00:08:49,490 Panicky intern. 245 00:08:49,490 --> 00:08:51,158 False alarm. 246 00:08:51,158 --> 00:08:53,159 - Who is she? - Right? 247 00:08:53,161 --> 00:08:55,663 This is Dr. Garcia. We're gonna get your leg straightened out. 248 00:08:55,663 --> 00:08:56,996 After we do a CT. 249 00:08:56,998 --> 00:08:58,499 OK, looks like you got it from here. 250 00:08:58,500 --> 00:09:01,335 You know you guys were on the news? 251 00:09:01,336 --> 00:09:03,671 You stole an ambulance. What were you thinking? 252 00:09:03,672 --> 00:09:05,172 It wasn't my idea. 253 00:09:05,173 --> 00:09:07,131 Does he look like a meth head to you? 254 00:09:07,133 --> 00:09:10,802 Seriously, what is wrong with you? 255 00:09:10,803 --> 00:09:13,099 This was a terrible idea. 256 00:09:16,851 --> 00:09:18,476 OK, Chanel, all set. 257 00:09:18,477 --> 00:09:20,019 How bad does it look? 258 00:09:20,020 --> 00:09:21,272 I'm gonna be honest with you. 259 00:09:21,273 --> 00:09:23,274 It doesn't look great. 260 00:09:23,274 --> 00:09:24,857 Thankfully, there's no signs of infection. 261 00:09:24,859 --> 00:09:26,818 I'm such an idiot. 262 00:09:26,820 --> 00:09:29,697 And now I'm having a panic attack. 263 00:09:29,697 --> 00:09:31,740 Excuse me, Dr. Mohan-- 264 00:09:31,740 --> 00:09:33,411 I'll be right back. 265 00:09:38,374 --> 00:09:40,039 I've only been in with her for a few minutes. 266 00:09:40,040 --> 00:09:41,750 I didn't say anything. What's the case? 267 00:09:41,750 --> 00:09:43,251 Chanel Sutton, 22, 268 00:09:43,253 --> 00:09:45,504 complications from silicone butt injections. 269 00:09:45,504 --> 00:09:47,172 So call the clinic that did it. 270 00:09:47,173 --> 00:09:48,716 She found the guy on TikTok. 271 00:09:48,716 --> 00:09:51,009 He did the injections in his living room. 272 00:09:51,010 --> 00:09:53,428 She thinks it was maybe silicone caulk from Home Depot. 273 00:09:53,429 --> 00:09:55,054 Jesus. 274 00:09:55,056 --> 00:09:56,432 Really? 275 00:09:56,432 --> 00:09:57,890 Kids today. 276 00:09:57,892 --> 00:09:59,684 She is tachycardic and tachypneic. 277 00:09:59,686 --> 00:10:01,144 I think it's a panic attack. 278 00:10:01,145 --> 00:10:02,687 But if a piece of silicone hit a vein, 279 00:10:02,688 --> 00:10:04,023 she could have a pulmonary embolism. 280 00:10:04,024 --> 00:10:05,566 We should scan her. - Good. 281 00:10:05,567 --> 00:10:07,192 How's Joyce, our sickle cell patient doing? 282 00:10:07,192 --> 00:10:08,735 Holding up. 283 00:10:08,736 --> 00:10:10,403 She's intubated and waiting on an ICU bed. 284 00:10:10,404 --> 00:10:12,405 Good. Keep it up. 285 00:10:12,407 --> 00:10:14,033 Will do. 286 00:10:14,033 --> 00:10:17,201 Team rounds. CWA. Team rounds. CWA. 287 00:10:17,202 --> 00:10:19,038 Come join us when you're finished. 288 00:10:19,038 --> 00:10:21,207 As soon as I put in a few orders. 289 00:10:23,085 --> 00:10:25,210 I'm so sorry. - Hi, how's she doing? 290 00:10:25,211 --> 00:10:27,879 Better. Faster. Still need ten more of her. 291 00:10:27,880 --> 00:10:29,088 Never thought I'd see the day 292 00:10:29,090 --> 00:10:30,341 where you'd wish for more Samiras. 293 00:10:30,341 --> 00:10:31,924 You can blame Gloria for that. 294 00:10:31,926 --> 00:10:33,594 If I don't get patient satisfaction scores up 295 00:10:33,595 --> 00:10:35,136 around here, they're bringing in 296 00:10:35,138 --> 00:10:36,929 an outside management company to run things. 297 00:10:36,931 --> 00:10:39,600 - Mother of God. Really? - Yep. 298 00:10:39,600 --> 00:10:40,893 Holy hell. 299 00:10:40,894 --> 00:10:42,561 Any word back on Nick Bradley's 300 00:10:42,562 --> 00:10:44,605 cerebral perfusion test? - Still waiting on results. 301 00:10:44,605 --> 00:10:46,315 What about ipecac mom, Theresa Saunders? 302 00:10:46,316 --> 00:10:48,399 On fluids. Should be good to go soon. 303 00:10:48,400 --> 00:10:51,864 See, we do have patients that appreciate you. 304 00:10:54,033 --> 00:10:57,408 You're done with triage for the day. 305 00:10:57,409 --> 00:10:59,662 I'm sorry. Did I do something wrong? 306 00:10:59,663 --> 00:11:01,830 Because I know I said too much to the unhoused mom. 307 00:11:01,831 --> 00:11:03,581 No, don't-- don't worry about it. 308 00:11:03,582 --> 00:11:04,957 It's cool. 309 00:11:04,958 --> 00:11:06,250 One of us just covers the waiting room 310 00:11:06,251 --> 00:11:07,794 and triage for the first few hours, 311 00:11:07,796 --> 00:11:09,462 try to thin the herd out there. 312 00:11:09,464 --> 00:11:11,590 We're back here for the rest of the shift now. 313 00:11:11,591 --> 00:11:13,258 OK, great. 314 00:11:13,259 --> 00:11:15,552 Hey, do you think they're gonna give us lunch? 315 00:11:15,552 --> 00:11:17,471 It's past 12:00, and I'm starving. 316 00:11:17,471 --> 00:11:20,099 Oh, you can pack a bunch of these for your next shift 317 00:11:20,100 --> 00:11:22,267 or grab a sandwich from the patient bin. 318 00:11:22,268 --> 00:11:24,311 There's no time for breaks around here. 319 00:11:24,312 --> 00:11:26,062 Thanks. 320 00:11:26,063 --> 00:11:27,980 Wardrobe change? 321 00:11:27,981 --> 00:11:30,400 Oh, I caught a gusher. 322 00:11:30,402 --> 00:11:32,235 Helped save his life. 323 00:11:32,236 --> 00:11:34,863 How's triage? - It was good. 324 00:11:34,864 --> 00:11:36,823 I-I'm back with you guys now. 325 00:11:36,825 --> 00:11:39,326 Cool. So you're feeling OK? 326 00:11:39,326 --> 00:11:41,995 Yeah, I'm feeling fine. I slipped hours ago. 327 00:11:41,995 --> 00:11:43,663 I'm great. 328 00:11:43,664 --> 00:11:45,039 Ready to go. 329 00:11:45,040 --> 00:11:46,500 Let me guess. 330 00:11:46,500 --> 00:11:48,793 You got these ones from the lost and found. 331 00:11:48,794 --> 00:11:50,837 The scrub dispenser was out of my size. 332 00:11:50,838 --> 00:11:53,340 Well, it's a good look, Huckleberry. 333 00:11:53,341 --> 00:11:55,801 Show off those ankles. 334 00:11:55,802 --> 00:11:57,344 Aren't board rounds at 2:00? 335 00:11:57,345 --> 00:11:59,346 These aren't board rounds. 336 00:11:59,346 --> 00:12:03,307 I just want to remind you all of a few things, OK? 337 00:12:03,308 --> 00:12:05,977 So we do a great job coming up with the right diagnosis 338 00:12:05,979 --> 00:12:07,855 and treatment plan for our patients, 339 00:12:07,855 --> 00:12:11,274 but there are still some... opportunities for improvement. 340 00:12:11,275 --> 00:12:13,527 - Not this bullshit again. - First off... 341 00:12:13,528 --> 00:12:15,653 always sit down at the bedside of a stable patient. 342 00:12:15,654 --> 00:12:17,197 It will make you a better doctor. 343 00:12:17,197 --> 00:12:20,033 Second, if there's a discharge to be done, 344 00:12:20,033 --> 00:12:23,453 do it before you pick up a new patient. 345 00:12:23,455 --> 00:12:24,705 The patients are very aware of the time 346 00:12:24,706 --> 00:12:26,498 that they spend with us, so please 347 00:12:26,499 --> 00:12:28,207 don't keep them here any longer than they need to be. 348 00:12:28,208 --> 00:12:29,710 They complain about the wait. 349 00:12:29,711 --> 00:12:31,711 I get it, but for the sake of efficiency 350 00:12:31,712 --> 00:12:34,130 and running smoothly on our end and opening up beds 351 00:12:34,131 --> 00:12:35,883 and opening up rooms, let's discharge 352 00:12:35,884 --> 00:12:37,926 before we start with somebody new, OK? 353 00:12:37,927 --> 00:12:40,511 Thank you. Lastly, in your medical records, 354 00:12:40,513 --> 00:12:42,722 make sure that your decision-making and your notes 355 00:12:42,724 --> 00:12:45,017 reflect not just the diagnosis but all the thought 356 00:12:45,018 --> 00:12:47,059 that you put into ruling out all the critical illnesses 357 00:12:47,061 --> 00:12:48,770 in the differential. - More work? 358 00:12:48,772 --> 00:12:50,272 I do enough charting as it is. 359 00:12:50,273 --> 00:12:52,024 The hospital won't admit this, 360 00:12:52,024 --> 00:12:54,692 but it's less about charting and more about profit. 361 00:12:54,693 --> 00:12:56,445 OK? Good. 362 00:12:56,446 --> 00:12:58,447 That's it. Goodbye. 363 00:12:58,447 --> 00:12:59,532 Go. 364 00:13:02,119 --> 00:13:03,785 Are our pregnant teen and mom still talking? 365 00:13:03,787 --> 00:13:05,077 Yeah. 366 00:13:05,078 --> 00:13:06,788 No more yelling from that room? 367 00:13:06,789 --> 00:13:08,706 - Not that I've heard. - Good, maybe it's working. 368 00:13:08,707 --> 00:13:10,167 Either that, or they killed each other. 369 00:13:10,168 --> 00:13:11,543 I'm good with either one at this point. 370 00:13:11,543 --> 00:13:13,003 And you wonder why your patient 371 00:13:13,004 --> 00:13:14,671 satisfaction scores are in the toilet. 372 00:13:14,672 --> 00:13:17,508 Always appreciate your support. 373 00:13:17,509 --> 00:13:19,759 I need to check on my Nepali patient. 374 00:13:19,760 --> 00:13:22,011 She likes me. 375 00:13:22,013 --> 00:13:24,932 Everybody likes you when they're on morphine. 376 00:13:24,932 --> 00:13:28,268 All right, I think we'll follow up with Gillian Dupree, 377 00:13:28,269 --> 00:13:30,937 the four-year-old we saw in triage with the fever. 378 00:13:30,938 --> 00:13:32,605 - OK. - Yeah. 379 00:13:32,606 --> 00:13:34,942 Dr. Javadi. 380 00:13:34,942 --> 00:13:37,735 Um, sorry. What--what are you doing here? 381 00:13:37,736 --> 00:13:39,904 Oh, I'm down to see a consult-- 382 00:13:39,905 --> 00:13:42,490 young man with a hot appy. 383 00:13:42,491 --> 00:13:44,993 Are you a med student? - Oh, yes, ma'am. 384 00:13:44,994 --> 00:13:46,662 This is a great case for the students. 385 00:13:46,663 --> 00:13:48,288 Can they come with? 386 00:13:48,288 --> 00:13:50,249 I'd be happy to do a little bedside teaching. 387 00:13:50,250 --> 00:13:51,917 - Oh, we have a four-year-old-- - Oh, yeah, I would love that. 388 00:13:51,918 --> 00:13:53,125 Do you mind if I join? 389 00:13:53,126 --> 00:13:54,669 Maybe I can learn something new. 390 00:13:54,671 --> 00:13:55,962 - Sure. - Great. 391 00:13:55,963 --> 00:13:57,630 I just-- I don't need anyone else 392 00:13:57,631 --> 00:13:59,298 associating me with my mom. 393 00:13:59,299 --> 00:14:02,302 I know, but I just can't say no to a hot appy. 394 00:14:02,302 --> 00:14:04,929 These are student doctors. 395 00:14:04,931 --> 00:14:07,014 Mind if I do a little teaching? - Go for it. 396 00:14:07,015 --> 00:14:09,643 Now, everyone knows McBurney's point. 397 00:14:09,644 --> 00:14:12,729 But who can tell me the name of this sign? 398 00:14:12,730 --> 00:14:16,482 Tim, raise your right leg, please. 399 00:14:16,484 --> 00:14:18,652 - Oh! - Psoas sign. 400 00:14:18,653 --> 00:14:20,653 Causing friction of the psoas muscle 401 00:14:20,654 --> 00:14:22,322 over the inflamed appendix. 402 00:14:22,322 --> 00:14:23,823 Excellent. 403 00:14:23,825 --> 00:14:25,658 Now, back in the day, appendicitis meant 404 00:14:25,659 --> 00:14:27,827 you went straight to the OR. 405 00:14:27,828 --> 00:14:31,123 Who can tell me about the CODA study? 406 00:14:31,124 --> 00:14:34,000 Uh, well, it's from a 2020 "New England Journal" trial 407 00:14:34,001 --> 00:14:37,004 comparing surgery to antibiotics, you know? 408 00:14:37,004 --> 00:14:38,838 It, um--it showed that without an appendicolith, 409 00:14:38,840 --> 00:14:43,009 there was a 75% success rate in the antibiotic-only group. 410 00:14:43,010 --> 00:14:44,635 Exactly. 411 00:14:44,636 --> 00:14:48,181 Honey, we discussed the study at home, right? 412 00:14:48,182 --> 00:14:50,517 "Honey"? 413 00:14:50,518 --> 00:14:53,019 Wait. She's your mom? 414 00:14:53,020 --> 00:14:55,313 It's--it's Victoria... 415 00:14:55,315 --> 00:14:57,610 or Javadi, Dr. Shamsi. 416 00:15:00,946 --> 00:15:02,653 Uh, hello? 417 00:15:02,654 --> 00:15:04,197 Oh, yeah, I'll be right there. 418 00:15:04,197 --> 00:15:05,573 Mrs. Grant now has chest pain. 419 00:15:05,575 --> 00:15:07,075 If you'll excuse us. 420 00:15:07,076 --> 00:15:10,121 Oh, yeah, go. Patients come first. 421 00:15:11,498 --> 00:15:14,957 - Who's Mrs. Grant? - Nobody. I made her up. 422 00:15:14,958 --> 00:15:16,500 Sorry. 423 00:15:16,501 --> 00:15:18,461 You just had that look on your face 424 00:15:18,462 --> 00:15:20,713 my son gives me when I give his basketball team 425 00:15:20,715 --> 00:15:23,466 pointers from the sideline. 426 00:15:23,467 --> 00:15:25,385 I'm sorry. 427 00:15:27,389 --> 00:15:29,014 No, I think renovations 428 00:15:29,014 --> 00:15:30,640 should be treated like dental care. 429 00:15:30,642 --> 00:15:32,517 Leave it to the professionals. 430 00:15:32,518 --> 00:15:35,729 They're the only ones that should be climbing on ladders. 431 00:15:35,730 --> 00:15:37,355 Um, is my family here yet? 432 00:15:37,356 --> 00:15:39,399 I'm not sure. We'll check. How was the CT? 433 00:15:39,399 --> 00:15:41,150 Head and neck normal, but tech found 434 00:15:41,152 --> 00:15:43,070 a small hemothorax on the right. 435 00:15:43,071 --> 00:15:44,528 - What's that? - It's a little bleeding 436 00:15:44,529 --> 00:15:45,864 around the lung where you broke a rib. 437 00:15:45,865 --> 00:15:47,407 He's also been more short of breath 438 00:15:47,408 --> 00:15:50,243 since after the scan. - Is that from the pain? 439 00:15:50,244 --> 00:15:51,787 Silas? 440 00:15:51,788 --> 00:15:53,746 Hey, Silas, wake up. 441 00:15:53,748 --> 00:15:55,248 Lost the radial pulse. 442 00:15:55,249 --> 00:15:57,084 Thready carotid. His BP'S crashing. 443 00:15:57,085 --> 00:16:00,253 I think he might need a chest tube. 444 00:16:00,254 --> 00:16:01,712 Check another hemocue. 445 00:16:01,714 --> 00:16:03,423 Get type specific from the blood bank. 446 00:16:04,759 --> 00:16:06,217 BP 72 over 44. 447 00:16:06,219 --> 00:16:07,427 Pulse ox 89. 448 00:16:07,427 --> 00:16:09,388 He just dropped his BP and sats. 449 00:16:09,389 --> 00:16:10,889 Put him on 100% nonrebreather. 450 00:16:10,889 --> 00:16:13,057 - Call for two units. - Already done. 451 00:16:13,058 --> 00:16:15,769 Normal head CT. Small hemothorax on the right. 452 00:16:15,769 --> 00:16:18,105 Which has now turned into a huge collection of blood. 453 00:16:18,105 --> 00:16:19,563 Prep for a chest tube. 20 French. 454 00:16:19,565 --> 00:16:20,941 I would love to do the chest tube. 455 00:16:20,942 --> 00:16:22,567 You got it. I'll guide you. 456 00:16:22,567 --> 00:16:24,568 Sats are low. Should we intubate? 457 00:16:24,570 --> 00:16:26,113 Not until after the chest tube's in. 458 00:16:26,114 --> 00:16:27,864 We wouldn't want to cause a tension pneumo. 459 00:16:27,865 --> 00:16:29,743 She won't make that mistake again. 460 00:16:34,956 --> 00:16:37,625 Ten blade to Dr. Santos. 461 00:16:39,336 --> 00:16:41,211 There's a lot of breast tissue. 462 00:16:41,211 --> 00:16:43,379 Focus on the chest tube. 463 00:16:43,380 --> 00:16:45,590 Fifth intercostal space, 464 00:16:45,591 --> 00:16:48,177 anterior axillary line. - Perfect. 465 00:16:51,639 --> 00:16:54,142 Long Kelly next. 466 00:16:55,476 --> 00:16:57,852 Fuck! - Oh, my God. Are you OK? 467 00:16:57,854 --> 00:16:59,145 Oh, that's got to hurt. 468 00:16:59,147 --> 00:17:00,855 - Leave it! - OK, but-- 469 00:17:00,856 --> 00:17:03,316 - OK, I'm stepping in. - No, you're not gloved. 470 00:17:03,317 --> 00:17:04,483 I got this. 471 00:17:04,484 --> 00:17:06,571 - I-I-- - On my own. 472 00:17:12,161 --> 00:17:13,827 Glove up. You're sewing this in. 473 00:17:19,084 --> 00:17:22,001 We're good. No need to hover. - OK. 474 00:17:22,002 --> 00:17:24,172 I'll be next door if you need me. 475 00:17:26,592 --> 00:17:28,633 - Sats and BP look perfect. - Mm-hmm. 476 00:17:28,634 --> 00:17:31,344 - We ready to go in here? - We're getting there. 477 00:17:31,345 --> 00:17:33,096 - You good? - Absolutely. 478 00:17:33,096 --> 00:17:35,140 You start feeling lightheaded, just speak up, OK? 479 00:17:35,141 --> 00:17:36,849 Yeah. 480 00:17:36,851 --> 00:17:39,352 OK, you're gonna pretend you're a pirate 481 00:17:39,353 --> 00:17:41,520 with your foot on a keg of rum. 482 00:17:41,521 --> 00:17:43,355 - Are you serious? - Yep. 483 00:17:43,356 --> 00:17:45,192 This is the Captain Morgan technique for hip reduction. 484 00:17:45,192 --> 00:17:47,027 Who's Captain Morgan? 485 00:17:47,028 --> 00:17:48,653 The guy on the rum bottle? 486 00:17:51,075 --> 00:17:52,865 I'll stabilize the pelvis. 487 00:17:52,866 --> 00:17:55,201 OK, you're gonna step up here. 488 00:17:55,202 --> 00:17:57,703 Actually, let me just--sorry. 489 00:17:57,704 --> 00:18:01,708 Yeah, and you are gonna put your right leg behind his knee. 490 00:18:01,709 --> 00:18:04,086 - Like this? - Yeah. 491 00:18:04,086 --> 00:18:06,880 And you are gonna use your leg as a hinge 492 00:18:06,881 --> 00:18:08,089 to put anterior force on his femur. 493 00:18:08,090 --> 00:18:09,758 Physics. 494 00:18:09,759 --> 00:18:11,425 Push down on the lower leg with your left hand. 495 00:18:11,426 --> 00:18:13,345 You got this. Put your back into it. 496 00:18:13,346 --> 00:18:15,888 The hip is a big joint with lots of muscle stabilizing it. 497 00:18:15,890 --> 00:18:19,060 OK. 498 00:18:22,314 --> 00:18:23,563 - Whoa! - Oh, shit. 499 00:18:23,564 --> 00:18:25,190 I mean, shoot. 500 00:18:25,191 --> 00:18:27,400 And that is what a hip reduction feels like. 501 00:18:27,401 --> 00:18:28,484 Nicely done. 502 00:18:28,486 --> 00:18:31,320 Thank you. 503 00:18:31,321 --> 00:18:33,573 I hear you have an 85-year-old patient 504 00:18:33,574 --> 00:18:35,909 who may have been abandoned by her primary caregiver. 505 00:18:35,910 --> 00:18:37,868 Well, maybe. I-I hope not. 506 00:18:37,869 --> 00:18:39,829 I don't really know what to do. We can't find the daughter. 507 00:18:39,830 --> 00:18:41,539 And I'm really worried about the mom-- 508 00:18:41,540 --> 00:18:43,333 Slow down. We'll figure this out. 509 00:18:43,334 --> 00:18:45,501 What do you think happened? 510 00:18:45,502 --> 00:18:48,212 Um, well, Ginger has schizophrenia, and she fell. 511 00:18:48,213 --> 00:18:53,050 And the daughter was already so overwhelmed, I mean... 512 00:18:53,051 --> 00:18:54,719 maybe she ran. 513 00:18:54,720 --> 00:18:56,429 I don't want to say this is elder neglect, but-- 514 00:18:56,430 --> 00:18:58,306 Don't jump to the worst case yet. 515 00:18:58,307 --> 00:19:01,226 I'll see if I can get ahold of any other family members. 516 00:19:01,227 --> 00:19:02,810 You know, I-I told the daughter-- 517 00:19:02,811 --> 00:19:04,436 I told her to take a break, 518 00:19:04,438 --> 00:19:06,397 you know, to prioritize herself. 519 00:19:06,398 --> 00:19:08,066 And I-I just--I didn't think 520 00:19:08,067 --> 00:19:10,442 that she was gonna dump her mom, so-- 521 00:19:10,443 --> 00:19:11,903 This isn't your fault. 522 00:19:11,903 --> 00:19:13,404 We're seeing more cases like this 523 00:19:13,405 --> 00:19:14,948 as Baby Boomers age. 524 00:19:14,949 --> 00:19:17,411 It's really tough on their families. 525 00:19:19,288 --> 00:19:20,662 Thanks. 526 00:19:20,663 --> 00:19:22,372 Dr. Robby, Nick Riley's 527 00:19:22,373 --> 00:19:24,625 cerebral perfusion study is back. 528 00:19:27,962 --> 00:19:30,547 No blood flow past the brain stem. 529 00:19:30,548 --> 00:19:32,298 OK. 530 00:19:32,299 --> 00:19:35,093 Let me know when the transplant people from CORE arrive. 531 00:19:35,094 --> 00:19:36,386 Will do. 532 00:19:44,813 --> 00:19:46,938 - Any news? - There is. 533 00:19:46,939 --> 00:19:49,067 Why don't we step outside? 534 00:19:52,028 --> 00:19:53,279 Mm. 535 00:19:54,990 --> 00:19:56,490 Let's go this way. 536 00:20:07,294 --> 00:20:10,881 So I have the results of Nick's cerebral perfusion scan. 537 00:20:13,299 --> 00:20:15,634 Unfortunately, it shows that there's no blood flow 538 00:20:15,634 --> 00:20:17,054 to Nick's brain. 539 00:20:20,598 --> 00:20:22,807 Uh, what am I looking at? 540 00:20:22,807 --> 00:20:25,184 It might help you if I showed you. 541 00:20:25,185 --> 00:20:27,144 This is a healthy brain. 542 00:20:27,145 --> 00:20:28,480 See the black? 543 00:20:28,480 --> 00:20:30,941 That's blood flowing to the cerebrum. 544 00:20:30,942 --> 00:20:33,192 When there's no blood flow... 545 00:20:33,193 --> 00:20:35,278 It's white. 546 00:20:35,278 --> 00:20:37,655 Yes. 547 00:20:37,656 --> 00:20:38,990 He's brain-dead. 548 00:20:38,990 --> 00:20:40,825 I am so very sorry. 549 00:20:40,826 --> 00:20:45,038 I prayed. I had hoped... 550 00:20:45,038 --> 00:20:47,499 We all did. 551 00:20:47,500 --> 00:20:49,375 So he's not-- 552 00:20:49,376 --> 00:20:52,545 he's not coming back? 553 00:20:52,546 --> 00:20:54,463 No. 554 00:20:54,464 --> 00:20:58,135 The apnea test and now the perfusion scan prove that. 555 00:20:59,637 --> 00:21:01,054 What happens now? 556 00:21:01,055 --> 00:21:03,390 He's hooked up to all those machines... 557 00:21:03,391 --> 00:21:05,057 Take some time. 558 00:21:05,058 --> 00:21:07,894 Try to process this news. 559 00:21:07,894 --> 00:21:10,730 A family support specialist will come in very soon 560 00:21:10,730 --> 00:21:12,606 and help you through the next steps. 561 00:21:12,607 --> 00:21:14,067 Thank you. 562 00:21:36,340 --> 00:21:38,924 - Are you OK? - Yeah. 563 00:21:38,925 --> 00:21:41,094 I just had to show the parents of the OD'd teen 564 00:21:41,095 --> 00:21:43,680 the perfusion scan results. 565 00:21:43,681 --> 00:21:44,888 How'd it go? 566 00:21:44,890 --> 00:21:47,349 Oh, it never gets easier. 567 00:21:47,351 --> 00:21:49,602 Is that Dr. Robby? 568 00:21:49,603 --> 00:21:51,395 You owe me a dance. 569 00:21:51,396 --> 00:21:52,689 Looks like an opportunity 570 00:21:52,690 --> 00:21:55,107 to boost your patient satisfaction. 571 00:21:55,108 --> 00:21:57,109 Well, I am a little rusty, 572 00:21:57,111 --> 00:21:58,819 but let's give it a go, shall we? 573 00:21:58,820 --> 00:22:00,154 Mm-hmm. 574 00:22:00,155 --> 00:22:02,115 - Ready? - Mm-hmm. 575 00:22:02,115 --> 00:22:05,244 Whoo! 576 00:22:10,791 --> 00:22:14,961 Xeroform first, then two cut 4x4s. 577 00:22:14,961 --> 00:22:16,671 Kim will show you how to do it right. 578 00:22:16,672 --> 00:22:18,464 I absolutely will. 579 00:22:18,465 --> 00:22:19,673 Thanks. 580 00:22:19,674 --> 00:22:21,300 Only 500 out. 581 00:22:21,301 --> 00:22:23,635 He won't need the OR. 582 00:22:23,636 --> 00:22:27,351 You, follow me. 583 00:22:33,898 --> 00:22:35,272 I totally fucked up. 584 00:22:35,273 --> 00:22:37,234 Tell me something I don't know. 585 00:22:41,490 --> 00:22:44,115 You're confident. That's good. 586 00:22:44,115 --> 00:22:47,951 But there's a fine line between confidence and cockiness. 587 00:22:47,952 --> 00:22:49,913 Should I draw your blood? 588 00:22:49,913 --> 00:22:51,623 You already did. 589 00:22:51,624 --> 00:22:55,000 Yeah, I-I mean for the HIV and hepatitis panels. 590 00:22:55,001 --> 00:22:56,669 I can do Silas', too. 591 00:22:56,670 --> 00:23:00,383 No, I'll have Dana do it after the wound repair. 592 00:23:01,968 --> 00:23:03,300 C-can I suture for you? 593 00:23:03,301 --> 00:23:05,178 Hell, no. I'll do it myself. 594 00:23:05,179 --> 00:23:06,554 You can assist. 595 00:23:06,555 --> 00:23:09,015 Set me up a chux, suture tray, betadine, 596 00:23:09,016 --> 00:23:11,976 irrigation saline, syringe on splash guard, 597 00:23:11,977 --> 00:23:13,811 and 5-0 prolene. 598 00:23:13,813 --> 00:23:18,567 1% lido with epi, 5 CC syringe, 27-gauge needle. 599 00:23:32,124 --> 00:23:34,332 Mom and Kristi still talking in there? 600 00:23:34,333 --> 00:23:36,000 Mm-hmm. 601 00:23:36,000 --> 00:23:38,044 I'm giving them as much time as I can. 602 00:23:38,045 --> 00:23:39,546 Within reason. 603 00:23:39,547 --> 00:23:41,005 Do you think Mom will consent 604 00:23:41,006 --> 00:23:42,714 to Kristi terminating the pregnancy? 605 00:23:42,715 --> 00:23:46,385 A woman should only have a child if she wants to. 606 00:23:46,386 --> 00:23:48,555 Well, if you'd just gone with Abbot's measurements, 607 00:23:48,556 --> 00:23:51,307 they would have been discharged an hour ago. 608 00:23:51,307 --> 00:23:53,017 Are you serious? 609 00:23:53,018 --> 00:23:54,727 I need a doctor in triage ASAP. 610 00:23:54,728 --> 00:23:55,979 - What's up? - I have a teen 611 00:23:55,980 --> 00:23:57,063 with severe scrotal pain. 612 00:23:57,064 --> 00:23:58,397 I need to rule out torsion. 613 00:23:58,398 --> 00:24:00,400 Pull four of intranasal Versed. 614 00:24:00,401 --> 00:24:03,028 I got this. - Be my guest. 615 00:24:07,909 --> 00:24:09,366 Hi. 616 00:24:09,367 --> 00:24:11,702 Look at this beautiful Black queen. 617 00:24:11,703 --> 00:24:13,704 Are you our doctor? - Thank you. 618 00:24:13,705 --> 00:24:15,789 Uh, yes, I'm Dr. Heather Collins. 619 00:24:15,790 --> 00:24:17,709 And I take it this is Dillon? 620 00:24:17,710 --> 00:24:19,877 Mm-hmm. And I'm his mother, Tina. 621 00:24:19,878 --> 00:24:22,463 It's nice to meet you both. 622 00:24:22,464 --> 00:24:24,298 Dillon, when did the pain start? 623 00:24:24,299 --> 00:24:26,259 It started, like, an hour ago. 624 00:24:26,259 --> 00:24:28,260 Did you get kicked or hit with a ball or anything? 625 00:24:28,261 --> 00:24:30,930 No, it--it just came out of nowhere. 626 00:24:30,931 --> 00:24:32,390 Oh, God. 627 00:24:32,391 --> 00:24:33,849 OK. 628 00:24:33,851 --> 00:24:35,768 I need to do an ultrasound to make sure 629 00:24:35,769 --> 00:24:37,269 your testicle didn't twist on itself 630 00:24:37,270 --> 00:24:38,688 and cut off the blood supply. 631 00:24:38,689 --> 00:24:40,105 Is that all right with you? 632 00:24:40,106 --> 00:24:41,691 Can I get, like, a dude doctor? 633 00:24:41,692 --> 00:24:43,233 Come on, Dillon. 634 00:24:43,234 --> 00:24:45,613 This is the doctor you want. I promise you. 635 00:24:47,031 --> 00:24:48,448 OK, fine. It really fucking hurts. 636 00:24:48,449 --> 00:24:49,865 - Language, baby. - Thanks. 637 00:24:49,866 --> 00:24:51,617 - I'm sorry. It really does. - OK. 638 00:24:51,618 --> 00:24:53,452 We're going to squirt some medicine up your nose. 639 00:24:53,453 --> 00:24:56,205 It'll help you relax and help take away some of the pain. 640 00:24:56,207 --> 00:24:57,539 Then do it. 641 00:24:57,540 --> 00:24:59,083 OK, Dr. Collins says it'll help. 642 00:24:59,084 --> 00:25:00,585 I know, Mom. I heard her. My ears are fine. 643 00:25:00,586 --> 00:25:01,961 It's my junk that's killing me. Please. 644 00:25:01,961 --> 00:25:04,463 - OK, sorry, baby. - Come on, bro. 645 00:25:04,464 --> 00:25:06,965 Hold still. 646 00:25:06,967 --> 00:25:08,300 All good, Beto? 647 00:25:08,301 --> 00:25:11,304 All good, Doctor. 648 00:25:11,305 --> 00:25:12,931 That'll be us one day. 649 00:25:12,932 --> 00:25:14,348 You sooner than me, of course. 650 00:25:14,349 --> 00:25:16,308 Shit. Thanks. 651 00:25:16,309 --> 00:25:18,978 I was one crack pipe away from winning the whole thing. 652 00:25:18,979 --> 00:25:20,813 So Collins won, huh? 653 00:25:20,814 --> 00:25:23,106 You guys ever find out why those kids stole the rig? 654 00:25:23,107 --> 00:25:25,192 Uh, undeveloped prefrontal cortex. 655 00:25:25,193 --> 00:25:28,320 Idiots gonna do prison time now. 656 00:25:28,321 --> 00:25:31,615 Dr. Langdon, I have Joseph Marino's CT results. 657 00:25:31,616 --> 00:25:33,660 Our seizure patient. 658 00:25:33,661 --> 00:25:36,078 How's Garcia? 659 00:25:36,079 --> 00:25:38,998 Uh, she's fine. She's getting her labs drawn. 660 00:25:38,999 --> 00:25:40,959 I'll go visit her in a minute, start a chart on her. 661 00:25:40,960 --> 00:25:42,460 What happened to your old bud? 662 00:25:42,461 --> 00:25:43,752 Oh, long story. 663 00:25:43,753 --> 00:25:45,255 Let's take a look. 664 00:25:45,256 --> 00:25:46,964 You see what I'm seeing? 665 00:25:46,965 --> 00:25:48,758 Neurocysticercosis. 666 00:25:48,759 --> 00:25:50,509 Be gentle with this one. 667 00:25:50,510 --> 00:25:52,761 Patients don't usually handle this diagnosis very well. 668 00:25:52,762 --> 00:25:54,015 Got it. 669 00:25:59,520 --> 00:26:01,980 There is no blood flow here at all. 670 00:26:01,980 --> 00:26:03,522 Is that dangerous? 671 00:26:03,523 --> 00:26:05,191 If it goes untreated for more than six hours, 672 00:26:05,192 --> 00:26:06,858 he could lose a testicle. 673 00:26:06,859 --> 00:26:08,068 I could-- 674 00:26:08,069 --> 00:26:09,653 I could lose my balls? 675 00:26:09,654 --> 00:26:11,530 One testicle. 676 00:26:11,531 --> 00:26:13,199 And we're going to try and prevent that. 677 00:26:13,200 --> 00:26:15,034 What the hell were you doing, Dillon? 678 00:26:15,035 --> 00:26:16,868 I'm taking that lock off your door. 679 00:26:16,869 --> 00:26:18,246 It's difficult to know 680 00:26:18,247 --> 00:26:20,539 what causes a torsion, unfortunately. 681 00:26:20,540 --> 00:26:22,375 Dillon, hey, 682 00:26:22,375 --> 00:26:25,711 it's really important that I try and fix this now. 683 00:26:25,712 --> 00:26:27,715 OK. 684 00:26:29,300 --> 00:26:33,262 And I see we're gonna have a new prescription sent to-- 685 00:26:34,513 --> 00:26:36,221 To the pharmacy. 686 00:26:36,222 --> 00:26:38,307 And, uh, it's just one pill every morning. 687 00:26:38,308 --> 00:26:41,184 OK, up next, nausea and vomiting in North 4. 688 00:26:41,185 --> 00:26:43,229 Oh. Ah, ah, ah, ah. 689 00:26:43,230 --> 00:26:44,646 Forearm X-rays are back 690 00:26:44,647 --> 00:26:46,231 on Mr. Ofori in the south corridor. 691 00:26:46,232 --> 00:26:47,817 You can discharge with a volar splint. 692 00:26:47,817 --> 00:26:49,568 Notify ortho. ADF. 693 00:26:49,569 --> 00:26:52,240 Always discharge first. Got it. 694 00:26:56,493 --> 00:26:58,076 Four-year-old with a fever. 695 00:26:58,077 --> 00:27:00,538 Your medical decision-making says otitis media. 696 00:27:00,538 --> 00:27:02,248 Yeah, she had an ear infection. 697 00:27:02,249 --> 00:27:04,041 Did you also consider and rule out 698 00:27:04,042 --> 00:27:07,252 meningitis, mastoiditis, malignant otitis externa? 699 00:27:07,253 --> 00:27:09,130 I did. 700 00:27:09,131 --> 00:27:11,758 Then you should document your cognitive work in the MDM. 701 00:27:11,759 --> 00:27:13,259 You want me to pad my chart? 702 00:27:13,259 --> 00:27:14,926 No, I want you to show your work. 703 00:27:14,928 --> 00:27:17,805 Billing is a side effect of that. 704 00:27:17,806 --> 00:27:21,558 Did anyone listen to what I said earlier? 705 00:27:21,559 --> 00:27:24,604 Most of the time, the torsion is to the inside, 706 00:27:24,605 --> 00:27:27,441 so we rotate outward by opening the book. 707 00:27:29,109 --> 00:27:32,444 The testicle might have twisted the other way. 708 00:27:32,445 --> 00:27:35,073 Uh, let's go back 180 709 00:27:35,074 --> 00:27:38,493 and then try another 180 to the inside. 710 00:27:42,457 --> 00:27:44,790 That's good. 711 00:27:44,791 --> 00:27:46,584 That feels good. 712 00:27:46,585 --> 00:27:48,795 I think I'm OK now. - It's fixed? 713 00:27:48,796 --> 00:27:50,212 For the time being. 714 00:27:50,213 --> 00:27:52,214 We need to admit to Urology. 715 00:27:52,215 --> 00:27:54,467 He'll need minor surgery to tack it down 716 00:27:54,468 --> 00:27:56,301 and prevent it from happening again. 717 00:27:56,302 --> 00:27:57,636 Thank you. 718 00:27:57,637 --> 00:27:59,638 Dillon, say thank you. 719 00:27:59,640 --> 00:28:01,557 Thank you. 720 00:28:01,557 --> 00:28:03,893 I'll call Urology and see about the wait. 721 00:28:03,894 --> 00:28:07,105 - Thanks. - Thank you, too. 722 00:28:07,105 --> 00:28:09,231 Any other questions I can answer for you? 723 00:28:09,232 --> 00:28:11,025 Yes, can you please let me know 724 00:28:11,026 --> 00:28:12,984 how we can sign up for you to be our doctor? 725 00:28:12,986 --> 00:28:14,987 I specialize in emergency medicine, 726 00:28:14,988 --> 00:28:18,449 so I only work at this hospital and not in primary care. 727 00:28:18,450 --> 00:28:20,034 Damn. 728 00:28:20,035 --> 00:28:21,993 Please let me know when you get your own office 729 00:28:21,994 --> 00:28:24,329 because you have been wonderful. 730 00:28:24,330 --> 00:28:26,958 And you have a great relationship with your son. 731 00:28:26,959 --> 00:28:31,128 He is my heart in human form. 732 00:28:31,130 --> 00:28:32,380 Oh. 733 00:28:32,381 --> 00:28:33,839 Do you have any? 734 00:28:33,840 --> 00:28:37,134 Uh... Not yet, but, uh... 735 00:28:37,135 --> 00:28:38,720 hopefully soon. 736 00:28:38,721 --> 00:28:40,346 Hey, I've been in triage. 737 00:28:40,346 --> 00:28:42,013 What's the update on incel kid's mom? 738 00:28:42,015 --> 00:28:44,349 Please don't refer to her that way. 739 00:28:44,351 --> 00:28:45,852 Theresa is rehydrated, 740 00:28:45,853 --> 00:28:47,519 and her electrolytes have been replaced. 741 00:28:47,520 --> 00:28:49,480 I'm gonna let her know that she can be discharged. 742 00:28:49,480 --> 00:28:51,315 Did she hear from her son who ran off? 743 00:28:51,316 --> 00:28:53,692 I have no idea. 744 00:28:53,693 --> 00:28:55,694 I'm ready to get law enforcement involved 745 00:28:55,695 --> 00:28:57,864 whenever you are. 746 00:28:57,865 --> 00:29:00,157 If he's not here, he could be out there hurting somebody. 747 00:29:00,159 --> 00:29:02,285 I'm not ready to ruin a kid's life over a thought crime. 748 00:29:02,286 --> 00:29:04,162 We just need to make sure that he's not-- 749 00:29:04,163 --> 00:29:06,998 OK. OK. OK, I get it. 750 00:29:06,999 --> 00:29:09,040 I heard you loud and clear when you brought this up before. 751 00:29:09,041 --> 00:29:10,542 I will speak to Theresa. 752 00:29:10,544 --> 00:29:12,044 I will see if she's talked to her son. 753 00:29:12,045 --> 00:29:13,211 Fine. 754 00:29:13,212 --> 00:29:15,256 We should admit her. 755 00:29:15,257 --> 00:29:16,840 She's recovered. 756 00:29:16,842 --> 00:29:19,009 She's good physically, but she made herself sick 757 00:29:19,010 --> 00:29:20,260 to get her son here. 758 00:29:20,261 --> 00:29:21,596 She's clearly not coping, 759 00:29:21,596 --> 00:29:23,849 and she needs professional help. 760 00:29:26,519 --> 00:29:31,439 Neurocysticercosis, a parasite in your brain. 761 00:29:31,440 --> 00:29:34,567 I thought I just had a migraine, but I have... 762 00:29:34,567 --> 00:29:36,109 bugs in my head? 763 00:29:36,111 --> 00:29:37,528 Well, not exactly. 764 00:29:37,528 --> 00:29:40,573 You had larva from a pork tapeworm 765 00:29:40,574 --> 00:29:43,409 that made multiple cysts, but they're all dead now. 766 00:29:43,410 --> 00:29:45,036 A worm? 767 00:29:45,037 --> 00:29:46,746 In my fucking head? Are you kidding me? 768 00:29:46,747 --> 00:29:48,748 No, no, you don't have a worm in your head. 769 00:29:48,749 --> 00:29:50,333 You just said that I have-- 770 00:29:50,334 --> 00:29:52,417 I said you had a worm in your head, 771 00:29:52,419 --> 00:29:53,920 but it's dead and long gone. 772 00:29:53,921 --> 00:29:56,087 What we're seeing on the CT is scarring 773 00:29:56,088 --> 00:29:58,673 around those dead cysts. 774 00:29:58,674 --> 00:30:01,054 - Like dead worm eggs? - Larvae. 775 00:30:06,601 --> 00:30:08,851 Is my brain like Swiss cheese? Am I dying? 776 00:30:08,852 --> 00:30:11,854 - No, no, you're not dying. - Joseph, you're gonna be OK. 777 00:30:11,855 --> 00:30:14,856 The--the cysts are tiny, and they're calcified over. 778 00:30:14,857 --> 00:30:16,942 There'll be no further damage. 779 00:30:16,943 --> 00:30:19,737 - Can you fix it? - Unfortunately, no. 780 00:30:19,738 --> 00:30:22,323 The--the little calcified spots will stay there. 781 00:30:22,324 --> 00:30:25,116 So there's gonna be a worm graveyard in my brain forever? 782 00:30:25,117 --> 00:30:27,954 Yeah, but they're resting in peace. 783 00:30:31,000 --> 00:30:33,792 Hi, Theresa. Any word from David? 784 00:30:33,794 --> 00:30:35,294 Not yet. 785 00:30:35,295 --> 00:30:37,128 It's still important that we talk to him, 786 00:30:37,130 --> 00:30:38,631 so keep trying. 787 00:30:38,632 --> 00:30:41,424 In the meantime, you are cleared to go home. 788 00:30:41,425 --> 00:30:43,927 But I had a thought. 789 00:30:43,929 --> 00:30:46,763 I'm concerned that you took so much ipecac. 790 00:30:46,765 --> 00:30:48,641 I don't want you to do that again. 791 00:30:48,642 --> 00:30:50,478 Oh, I won't. 792 00:30:52,814 --> 00:30:55,732 How have things been at home lately? 793 00:30:57,652 --> 00:30:59,112 Different. 794 00:31:01,823 --> 00:31:05,535 One of us is always sad since my husband died. 795 00:31:06,911 --> 00:31:08,451 Would you be willing to speak 796 00:31:08,452 --> 00:31:10,663 to a behavioral health specialist? 797 00:31:10,663 --> 00:31:12,375 I don't need that. 798 00:31:13,835 --> 00:31:16,085 Did you talk to anybody after your husband passed? 799 00:31:16,086 --> 00:31:19,380 Friends, family. 800 00:31:19,381 --> 00:31:20,714 Anybody professionally? 801 00:31:20,715 --> 00:31:24,386 Therapist, clergy, social worker? 802 00:31:26,931 --> 00:31:29,347 Devastating personal loss can be very hard 803 00:31:29,348 --> 00:31:31,683 to manage on your own. 804 00:31:31,684 --> 00:31:33,563 It's OK to need help. 805 00:31:35,022 --> 00:31:38,026 It might even improve your communication with David. 806 00:31:41,945 --> 00:31:44,529 - OK. - Great. 807 00:31:44,530 --> 00:31:47,657 I phoned in a favor with behavioral health. 808 00:31:47,659 --> 00:31:50,786 They can get you in to see a psychologist at 1:30. 809 00:31:50,787 --> 00:31:52,454 Today? 810 00:31:52,455 --> 00:31:54,416 Mm-hmm, in an hour. 811 00:31:57,211 --> 00:32:00,006 - O-OK. - Great. 812 00:32:01,883 --> 00:32:04,842 Oh, hey. I was just coming to check on you two. 813 00:32:04,843 --> 00:32:08,554 Are--are you leaving? - Yes, we're going home. 814 00:32:08,555 --> 00:32:10,847 Were you able to come to a decision? 815 00:32:10,848 --> 00:32:13,683 Kristi is gonna stay in school until she's due. 816 00:32:13,684 --> 00:32:15,645 Is that what you want? 817 00:32:20,401 --> 00:32:22,902 Morning sickness. 818 00:32:22,903 --> 00:32:25,695 I hate this. 819 00:32:25,696 --> 00:32:27,198 OK. 820 00:32:27,199 --> 00:32:28,865 Let me get you some anti-nausea medicine. 821 00:32:28,866 --> 00:32:30,409 It'll help you feel better. 822 00:32:30,410 --> 00:32:33,871 And you've got a long drive ahead of you. 823 00:32:33,872 --> 00:32:35,413 OK, fine. 824 00:32:35,414 --> 00:32:38,917 I never did meds, but sure. 825 00:32:38,919 --> 00:32:40,627 Dr. Santos? 826 00:32:40,628 --> 00:32:42,421 Susan and Alana Dunn-- 827 00:32:42,422 --> 00:32:45,090 here for an update on Silas Dunn, your ladder fall. 828 00:32:45,092 --> 00:32:46,258 - Thanks, Mateo. - Yeah. 829 00:32:46,259 --> 00:32:47,801 Is it serious? 830 00:32:47,802 --> 00:32:49,804 He broke a few ribs on his right side 831 00:32:49,805 --> 00:32:52,682 from the fall, which caused some bleeding around the lungs. 832 00:32:52,682 --> 00:32:54,933 So he has a drainage catheter in his chest. 833 00:32:54,934 --> 00:32:56,602 And with the trauma, 834 00:32:56,603 --> 00:32:58,395 his oxygen levels were really low, 835 00:32:58,396 --> 00:33:00,772 so he needed a breathing tube in his windpipe. 836 00:33:00,773 --> 00:33:02,400 Good Lord. 837 00:33:02,401 --> 00:33:04,192 Could he die? 838 00:33:04,193 --> 00:33:06,778 His condition is serious, but it's--it's stable now. 839 00:33:06,779 --> 00:33:08,698 Would you like to go see him? 840 00:33:08,699 --> 00:33:10,574 He won't be able to talk with the breathing tube in, but-- 841 00:33:10,575 --> 00:33:11,909 Yeah. Where is he? 842 00:33:11,910 --> 00:33:13,411 No, we'll wait in the waiting room. 843 00:33:13,412 --> 00:33:15,287 - But, Mom-- - Alana, please. 844 00:33:15,288 --> 00:33:18,958 Just let the doctors do what they need to do for your dad. 845 00:33:18,959 --> 00:33:21,042 We will find you with any updates. 846 00:33:21,044 --> 00:33:22,130 Thanks. 847 00:33:31,180 --> 00:33:33,263 Doing OK, kid? 848 00:33:33,265 --> 00:33:35,516 Oh, yeah, I was just checking something. 849 00:33:35,517 --> 00:33:37,308 I should get back to work. 850 00:33:37,309 --> 00:33:39,811 Anything I can do to help, I'm available. 851 00:33:39,813 --> 00:33:41,105 Thank you. 852 00:33:41,105 --> 00:33:43,106 It's just that I have, um-- 853 00:33:43,107 --> 00:33:45,442 I have a dependent patient 854 00:33:45,443 --> 00:33:47,987 whose daughter might have ditched her. 855 00:33:47,988 --> 00:33:50,448 You don't always get to see the best side of people. 856 00:33:50,449 --> 00:33:52,490 I guess it just kind of makes me sad. 857 00:33:52,491 --> 00:33:54,242 It is sad. 858 00:33:54,243 --> 00:33:57,328 But you can't dwell on it. That'll tear you apart. 859 00:33:57,329 --> 00:33:59,330 Look, you've taken some time to step away. 860 00:33:59,332 --> 00:34:00,790 That's good. 861 00:34:00,791 --> 00:34:03,001 Don't forget, your patient needs you. 862 00:34:03,002 --> 00:34:05,296 She still here? - Yes. I've-- 863 00:34:05,297 --> 00:34:07,673 Mm, I've kind of been avoiding her. 864 00:34:07,673 --> 00:34:11,010 I don't really know what to tell her about her daughter. 865 00:34:11,010 --> 00:34:12,844 Well, you don't have to have all the answers. 866 00:34:12,846 --> 00:34:15,557 Sometimes just asking how someone's doing is enough. 867 00:34:19,186 --> 00:34:21,019 You got this. 868 00:34:21,021 --> 00:34:22,481 Come on. 869 00:34:29,697 --> 00:34:31,864 Will Miles be able to walk again? 870 00:34:31,864 --> 00:34:34,786 Yes, he will recover. 871 00:34:36,704 --> 00:34:38,369 None of this was supposed to happen. 872 00:34:38,371 --> 00:34:40,081 You want to share how it was supposed to go? 873 00:34:40,081 --> 00:34:41,998 'Cause you stole an ambulance. 874 00:34:42,000 --> 00:34:44,835 He did. 875 00:34:44,835 --> 00:34:46,503 That was dumb. 876 00:34:46,505 --> 00:34:49,175 Haven't you ever done anything stupid? 877 00:34:50,802 --> 00:34:53,219 No, not really. 878 00:34:53,219 --> 00:34:57,056 We were gonna drive it and bring it back to campus. 879 00:34:57,056 --> 00:35:00,643 I wanted the guys to see Miles, think he was cool. 880 00:35:00,643 --> 00:35:04,230 He has a hard time. He doesn't really fit in. 881 00:35:04,231 --> 00:35:06,231 That's actually kind of sweet. 882 00:35:06,233 --> 00:35:08,233 Some cops started chasing us. 883 00:35:08,235 --> 00:35:10,985 Miles freaked out. 884 00:35:10,987 --> 00:35:12,987 I'm pretty sure you saw the rest. 885 00:35:12,989 --> 00:35:15,907 It was just supposed to be a joke. 886 00:35:15,909 --> 00:35:18,161 Now we're going to jail. 887 00:35:20,289 --> 00:35:22,164 My mom's gonna kill me. 888 00:35:22,164 --> 00:35:24,708 Emma, no offense, but I can't exactly say 889 00:35:24,708 --> 00:35:26,335 I'm happy to see you. 890 00:35:26,335 --> 00:35:28,128 It comes with the territory. 891 00:35:28,130 --> 00:35:30,088 Is there anything more you can tell me about the parents? 892 00:35:30,090 --> 00:35:31,965 Lily and John Bradley. 893 00:35:31,967 --> 00:35:34,927 Middle class, college educated, Catholic. 894 00:35:34,927 --> 00:35:37,471 - How's their demeanor? - About what you'd expect. 895 00:35:37,472 --> 00:35:40,099 Nick was their only child. 896 00:35:40,099 --> 00:35:41,934 Got it. 897 00:35:41,934 --> 00:35:43,143 I'm ready. 898 00:35:43,144 --> 00:35:44,311 You? 899 00:35:46,273 --> 00:35:47,650 Never. 900 00:35:49,360 --> 00:35:50,900 John, Lily, 901 00:35:50,902 --> 00:35:52,902 uh, I want to introduce you to Emma Isaacs. 902 00:35:52,903 --> 00:35:54,655 She's a family support specialist 903 00:35:54,655 --> 00:35:57,782 that works with me and families in the emergency room. 904 00:35:57,784 --> 00:35:59,952 She's here to answer any questions that you have 905 00:35:59,952 --> 00:36:02,288 and to keep you informed. 906 00:36:02,289 --> 00:36:04,206 Hi, Mr. and Mrs. Bradley. 907 00:36:04,206 --> 00:36:05,958 Oh, uh, John and Lily, please. 908 00:36:05,958 --> 00:36:07,626 OK. I'll let you talk. 909 00:36:07,626 --> 00:36:09,961 Doctor, can you stay? 910 00:36:09,963 --> 00:36:12,380 Please. 911 00:36:12,382 --> 00:36:14,048 Sure. 912 00:36:14,050 --> 00:36:16,302 I'm happy to be here. 913 00:36:16,302 --> 00:36:19,972 Emma is really the expert, though. 914 00:36:19,972 --> 00:36:23,641 I understand your son is in here and not doing well. 915 00:36:23,643 --> 00:36:25,768 Can you tell me what Dr. Robby has told you 916 00:36:25,769 --> 00:36:28,690 about Nick's unfortunate situation? 917 00:36:30,525 --> 00:36:33,860 There's no blood going to Nick's brain. 918 00:36:33,862 --> 00:36:36,822 He's--he's brain-dead. 919 00:36:36,822 --> 00:36:38,990 So... 920 00:36:38,992 --> 00:36:41,659 he's dead. 921 00:36:41,661 --> 00:36:43,661 I'm so sorry for your loss. 922 00:36:43,663 --> 00:36:45,916 He was a wonderful son. 923 00:36:47,835 --> 00:36:50,376 He was the quietest baby. 924 00:36:50,378 --> 00:36:52,630 He slept--slept through the night. 925 00:36:52,630 --> 00:36:54,172 It was perfect. 926 00:36:54,173 --> 00:36:57,842 Um, if any one of his friends had a problem, 927 00:36:57,844 --> 00:37:01,347 he was there to listen, to-- 928 00:37:01,347 --> 00:37:03,014 to lend a helping hand. 929 00:37:03,016 --> 00:37:04,641 He... 930 00:37:04,643 --> 00:37:07,103 he would have been a great man. 931 00:37:09,065 --> 00:37:12,690 Oh, I can't believe this is happening. 932 00:37:12,692 --> 00:37:15,318 I know how difficult this must be for you. 933 00:37:15,320 --> 00:37:17,445 Can you tell us what happens now? 934 00:37:17,447 --> 00:37:18,989 Yes. 935 00:37:18,989 --> 00:37:21,992 I can walk you through all the next steps. 936 00:37:25,831 --> 00:37:27,623 How are you-- 937 00:37:27,623 --> 00:37:31,626 If you ask me how I'm doing, I swear I'll punch you. 938 00:37:31,628 --> 00:37:33,420 Did I miss something? 939 00:37:33,420 --> 00:37:36,590 I just didn't get to do my chest tube. 940 00:37:36,590 --> 00:37:37,927 He did. 941 00:37:39,844 --> 00:37:41,679 There's a little more to it than that-- 942 00:37:41,679 --> 00:37:43,097 Not another word, 943 00:37:43,097 --> 00:37:46,432 unless you want your tongue stapled. 944 00:37:46,434 --> 00:37:47,434 All right, fuck it. 945 00:37:47,434 --> 00:37:49,018 I dropped a scalpel, 946 00:37:49,019 --> 00:37:51,396 and it stuck into Garcia's foot. 947 00:37:51,398 --> 00:37:53,106 Oh, that's bad. 948 00:37:53,108 --> 00:37:54,942 It might actually be worse than fainting, so-- 949 00:37:54,943 --> 00:37:56,610 Well, at least I didn't kill anyone. 950 00:37:56,610 --> 00:37:58,737 - Day's only half over. - You killed a patient? 951 00:37:58,737 --> 00:37:59,905 Not really. 952 00:37:59,905 --> 00:38:01,239 You kind of did. 953 00:38:01,240 --> 00:38:03,574 I'm sorry. You did. 954 00:38:03,576 --> 00:38:05,577 It--it wasn't fully Huckleberry's fault. 955 00:38:05,577 --> 00:38:07,161 It was a fluke. 956 00:38:07,163 --> 00:38:09,248 He caught some gomer with a sneaky bad ticker. 957 00:38:09,248 --> 00:38:11,083 His name was Bennet. 958 00:38:11,083 --> 00:38:13,751 Oh, great, you can get his name tattooed on your chest. 959 00:38:13,753 --> 00:38:15,838 At least I'm not the only fuck-up here. 960 00:38:15,838 --> 00:38:17,715 I got nosebleed. 961 00:38:17,715 --> 00:38:19,927 So long, fellow losers. 962 00:38:24,764 --> 00:38:26,764 I'll reach out to a funeral director 963 00:38:26,766 --> 00:38:30,101 and get the paperwork started on arrangements. 964 00:38:30,103 --> 00:38:33,983 What's the name of your church? - Um, St. Mary's. 965 00:38:35,568 --> 00:38:38,443 - Great. Thank you. - Mm-hmm. 966 00:38:38,445 --> 00:38:40,945 Do you have any other questions? 967 00:38:40,947 --> 00:38:43,740 Uh... 968 00:38:43,742 --> 00:38:45,742 No. 969 00:38:45,744 --> 00:38:47,952 I think we should talk about something else 970 00:38:47,954 --> 00:38:49,288 that is very important. 971 00:38:49,289 --> 00:38:51,789 Your son's driver's license indicated 972 00:38:51,791 --> 00:38:55,001 that he wanted to be an organ and tissue donor upon death. 973 00:38:55,003 --> 00:38:57,338 That means he's given his permission for that-- 974 00:38:57,338 --> 00:38:59,465 No, no, I-- 975 00:38:59,465 --> 00:39:01,300 I don't want to talk about that. 976 00:39:01,300 --> 00:39:05,512 No, he was too young to make that kind of decision. 977 00:39:05,512 --> 00:39:07,931 I can understand why you would think that, 978 00:39:07,931 --> 00:39:09,307 but he was 18. 979 00:39:09,309 --> 00:39:11,309 No! 980 00:39:11,311 --> 00:39:13,646 You didn't know him! 981 00:39:15,315 --> 00:39:17,818 He is still my son! 982 00:39:22,447 --> 00:39:24,324 Sorry. 983 00:39:31,748 --> 00:39:34,166 They need more time. 984 00:39:34,166 --> 00:39:36,126 850 bucks. 985 00:39:36,126 --> 00:39:38,336 I'll Zelle you the rest. 986 00:39:38,338 --> 00:39:40,797 PayPal is also fine. 987 00:39:40,798 --> 00:39:43,050 Winning. It never gets old. 988 00:39:43,050 --> 00:39:45,719 Hey, I'm serious about that vacation for your wife. 989 00:39:45,719 --> 00:39:47,346 - What about me? - What about you? 990 00:39:47,347 --> 00:39:48,972 Your wife has two kids under four. 991 00:39:48,972 --> 00:39:50,807 Abby works her ass off every day. 992 00:39:50,809 --> 00:39:52,351 I'm a doctor. 993 00:39:53,813 --> 00:39:55,353 They're all clueless. 994 00:39:55,355 --> 00:39:57,188 What, is this-- is this a female thing? 995 00:39:57,190 --> 00:39:58,690 You should go, now. Go. 996 00:39:58,690 --> 00:40:00,525 Beat it. Go ahead, go. 997 00:40:00,527 --> 00:40:03,027 So what are you gonna buy with all that hard-earned cash? 998 00:40:03,028 --> 00:40:06,072 I have had this bookmarked for months. 999 00:40:06,074 --> 00:40:08,367 Oh, James Bond makes strollers now. 1000 00:40:08,367 --> 00:40:11,452 Convertible is the way to go. 1001 00:40:11,454 --> 00:40:13,204 Ah, I'm gonna buy it. - You should. 1002 00:40:13,206 --> 00:40:15,625 You and baby absolutely deserve it. 1003 00:40:17,168 --> 00:40:19,460 Yeah, we do, right? 1004 00:40:19,461 --> 00:40:22,380 Yeah, it's good to be excited. 1005 00:40:22,382 --> 00:40:24,550 Just ran into a totally lost Uber Eats driver. 1006 00:40:24,550 --> 00:40:28,471 Where do I put these? - I got this. Thank you. 1007 00:40:30,724 --> 00:40:32,349 Poor guy. 1008 00:40:32,349 --> 00:40:34,853 Not everyone's cut out for the home-reno life. 1009 00:40:48,074 --> 00:40:50,327 Um, I'll--I'll be right back. 1010 00:40:54,289 --> 00:40:56,414 Dr. Robby? - What's up? 1011 00:40:56,416 --> 00:40:59,293 Silas's chest tube output has slowed down after 650 CCs. 1012 00:40:59,293 --> 00:41:01,253 - Good. - But on re-exam, 1013 00:41:01,253 --> 00:41:03,213 I noticed some breast enlargement, 1014 00:41:03,213 --> 00:41:06,048 bilateral and symmetrical with no palpable masses. 1015 00:41:06,050 --> 00:41:07,885 What's in the differential diagnosis 1016 00:41:07,885 --> 00:41:09,302 for male gynecomastia? 1017 00:41:09,304 --> 00:41:11,054 Definitely alcoholism. 1018 00:41:11,054 --> 00:41:13,849 But then there's pituitary and gonadal tumors 1019 00:41:13,849 --> 00:41:15,016 or pathology. 1020 00:41:15,018 --> 00:41:16,434 So what do you want to check? 1021 00:41:16,436 --> 00:41:19,228 LFTs for alcohol abuse, and for the rest, 1022 00:41:19,230 --> 00:41:21,190 hormonal levels-- estrogen, testosterone, 1023 00:41:21,190 --> 00:41:23,567 Prolactin, hCG, progesterone. 1024 00:41:23,568 --> 00:41:25,027 Good. Go. 1025 00:41:27,614 --> 00:41:29,697 Ugh! 1026 00:41:29,699 --> 00:41:33,534 Oh, the things I would do for pastrami. 1027 00:41:33,536 --> 00:41:35,454 - Is there a turkey and cheese? - Uh, yeah. 1028 00:41:35,454 --> 00:41:38,289 - Oh, what is all this? - Lunch. Primanti's. 1029 00:41:38,291 --> 00:41:40,583 It appears that we have at least one grateful patient. 1030 00:41:40,585 --> 00:41:41,960 Hope is alive. 1031 00:41:41,960 --> 00:41:43,628 Who do we have to thank? - I don't know. 1032 00:41:43,630 --> 00:41:45,548 I think there's a card-- bottom of the bag. 1033 00:41:47,842 --> 00:41:51,469 Mmm. My God, that's so good. 1034 00:41:51,471 --> 00:41:53,014 Enjoy your lunch. 1035 00:41:55,559 --> 00:41:57,309 What was that? 1036 00:41:57,309 --> 00:41:59,853 I don't know. 1037 00:41:59,853 --> 00:42:01,771 Aww. - What? 1038 00:42:01,773 --> 00:42:04,525 It's from Shelby Adamson, Dr. Adamson's sister. 1039 00:42:04,525 --> 00:42:06,527 She sends something every year. 1040 00:42:06,527 --> 00:42:08,487 - He doesn't like her? - It's not about her. 1041 00:42:08,487 --> 00:42:09,947 It's about him. 1042 00:42:09,947 --> 00:42:13,282 Dr. Adamson was Robby's mentor, and he-- 1043 00:42:13,284 --> 00:42:15,996 he died during COVID, so... 1044 00:42:18,081 --> 00:42:21,666 Mr. Randolph in Central 10 can be moved to a chair. 1045 00:42:21,668 --> 00:42:23,085 Done. 1046 00:42:23,085 --> 00:42:24,628 Hey, if you're hungry, 1047 00:42:24,628 --> 00:42:26,588 there's Primanti's in the staff lounge. 1048 00:42:26,588 --> 00:42:28,005 Sorry. 1049 00:42:28,007 --> 00:42:29,507 Uh, daily reminder to call my sister. 1050 00:42:29,509 --> 00:42:30,842 You were saying? 1051 00:42:30,842 --> 00:42:32,302 There's free lunch in the lounge. 1052 00:42:32,302 --> 00:42:34,096 Do you need to take care of that? 1053 00:42:34,097 --> 00:42:36,681 I do. I just, um--I want to check on a patient first, 1054 00:42:36,682 --> 00:42:38,684 but thank you... 1055 00:42:38,684 --> 00:42:41,480 - Jesse. Jesse. - Yeah. 1056 00:42:45,900 --> 00:42:48,025 Hello, Mrs. Kitajima. How are you feeling? 1057 00:42:48,027 --> 00:42:49,987 Ginger, please. 1058 00:42:49,987 --> 00:42:51,737 I'm getting tired. 1059 00:42:51,739 --> 00:42:53,699 I want to go home. 1060 00:42:53,699 --> 00:42:56,159 Where's my daughter? 1061 00:42:56,159 --> 00:42:58,829 Um, I'm sorry, but I don't know. 1062 00:42:58,829 --> 00:43:01,373 But we're doing everything we can to find her. 1063 00:43:01,373 --> 00:43:03,375 Can I do something for you while we wait? 1064 00:43:03,376 --> 00:43:05,876 I wouldn't mind a snack. 1065 00:43:05,878 --> 00:43:08,005 I can have someone bring you a sandwich. 1066 00:43:08,005 --> 00:43:09,715 Wonderful. 1067 00:43:09,715 --> 00:43:12,842 Feel free to bring that Dr. Robby back around, too. 1068 00:43:12,844 --> 00:43:15,804 OK, yeah, I just-- I have to make a quick call. 1069 00:43:15,804 --> 00:43:18,806 Um, can you get Mrs. Kitajima a sandwich from the bin? 1070 00:43:18,807 --> 00:43:20,893 Yeah, you got it. 1071 00:43:31,739 --> 00:43:33,155 Hi, Becca. 1072 00:43:33,155 --> 00:43:35,407 Mel! 1073 00:43:35,407 --> 00:43:37,409 - Uh, how was lunch? - It was good. 1074 00:43:37,409 --> 00:43:40,329 We had paninis and watermelon salad. 1075 00:43:40,329 --> 00:43:41,871 That sounds delicious. 1076 00:43:41,873 --> 00:43:43,581 Are you coming to get me? 1077 00:43:43,583 --> 00:43:45,250 Um, yeah, remember, 1078 00:43:45,251 --> 00:43:47,960 I'm coming, uh, to pick you up after my shift. 1079 00:43:47,961 --> 00:43:49,755 Have you found a boyfriend yet? 1080 00:43:49,755 --> 00:43:51,965 - Uh, no. - Hurry up. 1081 00:43:51,965 --> 00:43:53,592 You have to find somebody to kiss. 1082 00:43:53,592 --> 00:43:55,594 - You're right. I do. - Yeah. [giggles] 1083 00:43:55,594 --> 00:43:57,304 I got to get on that right away. 1084 00:43:57,304 --> 00:43:59,182 Yeah. 1085 00:44:06,898 --> 00:44:09,733 Hey. Is everything all right? 1086 00:44:09,733 --> 00:44:11,275 Yeah. Yeah. 1087 00:44:11,277 --> 00:44:13,947 - Where's Kristi? - She's using the bathroom. 1088 00:44:17,159 --> 00:44:19,117 Hey, Kristi, it's Dr. Collins here. 1089 00:44:19,117 --> 00:44:21,077 Is everything all right in there? 1090 00:44:21,079 --> 00:44:23,871 - No, I want the pills! - Absolutely not. 1091 00:44:23,873 --> 00:44:26,750 Eloise, why don't you find a place to sit, and I will-- 1092 00:44:26,751 --> 00:44:28,126 You're gonna what, give my daughter 1093 00:44:28,126 --> 00:44:29,543 the abortion I've forbidden? - Hey. 1094 00:44:29,545 --> 00:44:31,295 What's going on? Kristi's texting. 1095 00:44:31,297 --> 00:44:33,382 Is she OK? - You can't be back here. 1096 00:44:33,382 --> 00:44:36,300 - She's begging us for help. - Lynette, I got this. Come on. 1097 00:44:36,302 --> 00:44:37,802 You are treating Kristi like Mom treated you. 1098 00:44:37,804 --> 00:44:39,054 Oh, fuck you! 1099 00:44:39,054 --> 00:44:40,304 Hey, let's take it down a notch. 1100 00:44:40,306 --> 00:44:41,431 This is none of your business! 1101 00:44:41,431 --> 00:44:42,766 I am not abandoning Kristi. 1102 00:44:42,766 --> 00:44:44,309 Just get the fuck out of here! 1103 00:44:44,309 --> 00:44:46,103 - Fuck you. - Hey, ladies, that's enough. 1104 00:44:46,103 --> 00:44:47,646 - She is my daughter. - Just step away. 1105 00:44:47,646 --> 00:44:49,356 Give her a chance. - She's mine! 1106 00:44:49,356 --> 00:44:51,610 That's enough!