1 00:00:13,680 --> 00:00:16,223 Prep to intubate. 2 00:00:16,224 --> 00:00:17,433 Ketamine and Roc on board. 3 00:00:17,434 --> 00:00:19,476 Chest tube is in. Hook me up. 4 00:00:19,477 --> 00:00:22,229 Yellow zone, we are running out of everything. 5 00:00:22,230 --> 00:00:25,607 Only change bandages that are completely bled through. 6 00:00:25,608 --> 00:00:27,401 Yo. 7 00:00:27,402 --> 00:00:29,278 Overheard a nurse say the shooter's here. 8 00:00:29,279 --> 00:00:30,362 Holy shit. 9 00:00:30,363 --> 00:00:31,447 Oh, my God. 10 00:00:31,448 --> 00:00:32,698 Sorry. 11 00:00:32,699 --> 00:00:34,783 He's handcuffed, but he's in a room. 12 00:00:34,784 --> 00:00:36,410 He gets a room while the rest of us 13 00:00:36,411 --> 00:00:37,786 are stacked up like firewood. 14 00:00:37,787 --> 00:00:39,204 Sorry to interrupt. 15 00:00:39,205 --> 00:00:40,622 Anything you could tell us about the shooter? 16 00:00:40,623 --> 00:00:42,416 Is he here? - Where'd you hear that? 17 00:00:42,417 --> 00:00:43,792 Nurses be talking. 18 00:00:43,793 --> 00:00:45,461 I don't know anything about that. 19 00:00:45,462 --> 00:00:47,129 Yeah, let's keep the rumor mill in check. 20 00:00:47,130 --> 00:00:50,632 The cops will alert us when they know something. 21 00:00:50,633 --> 00:00:52,760 Uh, Dawn, how are you doing? Do you need anything? 22 00:00:52,761 --> 00:00:54,470 I'm better. Kind of hungry, though. 23 00:00:54,471 --> 00:00:56,847 Well, we can discontinue your IV, 24 00:00:56,848 --> 00:00:58,640 give you a sandwich so your sugar doesn't tank, 25 00:00:58,641 --> 00:00:59,933 and then you can go home. - Thanks. 26 00:00:59,934 --> 00:01:02,269 But my phone died at PittFest, so I wasn't getting 27 00:01:02,270 --> 00:01:03,979 any alerts from my glucose monitor. 28 00:01:03,980 --> 00:01:05,147 What about me? 29 00:01:05,148 --> 00:01:06,482 Can I go home? 30 00:01:06,483 --> 00:01:08,275 Since you OD'd, we need to keep you here 31 00:01:08,276 --> 00:01:09,651 for a couple more hours, make sure 32 00:01:09,652 --> 00:01:10,986 you don't need any more Narcan. 33 00:01:10,987 --> 00:01:12,488 How's your pain doing, Buster? 34 00:01:12,489 --> 00:01:13,989 I mean, my arm still hurts pretty bad. 35 00:01:13,990 --> 00:01:15,866 Hey, can I get a sandwich, too? 36 00:01:15,867 --> 00:01:17,326 Uh, we can up your pain meds, 37 00:01:17,327 --> 00:01:18,827 but you're on the list for the OR, 38 00:01:18,828 --> 00:01:20,662 so we need to keep you NPO. 39 00:01:20,663 --> 00:01:21,663 Meaning? 40 00:01:21,664 --> 00:01:23,040 Nothing more to eat. 41 00:01:23,041 --> 00:01:24,792 We'll keep you hydrated with IV fluids. 42 00:01:24,793 --> 00:01:27,836 Can I at least get a blanket? It's so cold in here. 43 00:01:27,837 --> 00:01:29,505 Yeah, uh... 44 00:01:29,506 --> 00:01:32,424 All the blankets are in Pedes... 45 00:01:32,425 --> 00:01:33,675 the morgue. 46 00:01:35,011 --> 00:01:36,805 Rock Paper Scissors? 47 00:01:40,683 --> 00:01:42,518 Shit. 48 00:01:42,519 --> 00:01:44,686 Dawn, I can charge your phone for you. 49 00:01:44,687 --> 00:01:45,729 Thank you. 50 00:01:45,730 --> 00:01:48,357 Fucking circus. 51 00:01:48,358 --> 00:01:52,278 - Robby here? - No. Check trauma rooms. 52 00:01:57,742 --> 00:01:59,243 500 cc's from the chest tube already. 53 00:01:59,244 --> 00:02:00,702 We're out of O-neg again. 54 00:02:00,703 --> 00:02:02,371 Hang the cell saver for autotransfusion. 55 00:02:02,372 --> 00:02:03,872 - This is weird. - What? 56 00:02:03,873 --> 00:02:05,040 Shot in the chest, but nothing 57 00:02:05,041 --> 00:02:06,959 out of the thoracostomy tube. 58 00:02:06,960 --> 00:02:08,502 You got through the pleura okay? 59 00:02:08,503 --> 00:02:10,379 Yeah, I definitely felt the lung with my finger. 60 00:02:10,380 --> 00:02:12,047 I lost the radial pulse. I got a femoral. 61 00:02:12,048 --> 00:02:13,507 This guy's bleeding out. 62 00:02:13,508 --> 00:02:14,550 Probably tore through the spleen. 63 00:02:14,551 --> 00:02:15,884 How? 64 00:02:15,885 --> 00:02:17,594 Okay, nipples to navel is no man's land. 65 00:02:17,595 --> 00:02:19,721 If he got shot while exhaling, the bullet possibly 66 00:02:19,722 --> 00:02:21,515 passed below the diaphragm. 67 00:02:21,516 --> 00:02:24,393 Start a second IO, transfuse two units O-positive. 68 00:02:24,394 --> 00:02:25,561 Where's Robby? 69 00:02:25,562 --> 00:02:27,062 Let's find him and call Walsh. 70 00:02:27,063 --> 00:02:30,107 This guy needs the next OR immediately. 71 00:02:30,108 --> 00:02:31,733 - Dana! - Yeah? 72 00:02:31,734 --> 00:02:33,152 Have you seen Robby? 73 00:02:33,153 --> 00:02:34,903 I was about to ask you the same thing. 74 00:02:34,904 --> 00:02:36,572 McKay! - Yeah? 75 00:02:36,573 --> 00:02:37,990 You seen Robby? 76 00:02:37,991 --> 00:02:40,534 Uh, no, not in Pink. 77 00:02:42,579 --> 00:02:45,747 I was at the festival 78 00:02:45,748 --> 00:02:49,251 with my husband and my daughter. 79 00:02:49,252 --> 00:02:53,881 My husband is in a wheelchair from MS. 80 00:02:53,882 --> 00:02:56,925 I did my best to protect him. 81 00:02:56,926 --> 00:03:00,137 A bullet went through my arm and through his head. 82 00:03:07,812 --> 00:03:10,439 The medics declared him dead. 83 00:03:10,440 --> 00:03:12,274 What about your daughter? 84 00:03:12,275 --> 00:03:14,776 What's her name? 85 00:03:14,777 --> 00:03:16,945 Morgan. 86 00:03:16,946 --> 00:03:19,781 Some family members are meeting in the cafeteria. 87 00:03:19,782 --> 00:03:21,618 I can see if she's there. 88 00:03:23,244 --> 00:03:26,080 How do you deal with all this death and carnage? 89 00:03:29,626 --> 00:03:30,918 I don't... 90 00:03:30,919 --> 00:03:32,753 I don't know. 91 00:03:32,754 --> 00:03:34,296 Any more Pleur-evacs in Pink? 92 00:03:34,297 --> 00:03:35,714 - Maybe. - What do you need? 93 00:03:35,715 --> 00:03:37,466 - A couple units of blood. - Good luck. 94 00:03:37,467 --> 00:03:38,967 Princess. 95 00:03:54,067 --> 00:03:55,317 Whoa. Jeez. 96 00:03:55,318 --> 00:03:58,195 Sh'ma Yisra'eil... 97 00:03:58,196 --> 00:04:00,155 Dr. Robby? 98 00:04:00,156 --> 00:04:01,990 - Adonai. - Dr. Robby, you okay? 99 00:04:01,991 --> 00:04:04,368 Eloheinu. 100 00:04:06,412 --> 00:04:09,999 Adonai echad. 101 00:04:11,542 --> 00:04:15,003 Barukh sheim 102 00:04:15,004 --> 00:04:18,967 k'vod malhkuto. 103 00:04:28,434 --> 00:04:29,893 You have to go. You have to go. 104 00:04:29,894 --> 00:04:31,687 They need you out there. 105 00:04:31,688 --> 00:04:34,148 We need you out there. 106 00:04:40,363 --> 00:04:42,740 Okay, come on, give me your hand. 107 00:04:44,117 --> 00:04:45,492 I can't. 108 00:04:45,493 --> 00:04:46,868 You have to... 109 00:04:48,371 --> 00:04:51,374 Because if you don't, we're fucked. 110 00:05:16,649 --> 00:05:18,233 Okay. 111 00:05:18,234 --> 00:05:20,319 See you out there, Captain. 112 00:05:35,418 --> 00:05:37,085 Once your phone is charged and able to monitor 113 00:05:37,086 --> 00:05:38,920 your blood sugar, we'll let you go. 114 00:05:38,921 --> 00:05:41,089 Thank you. 115 00:05:41,090 --> 00:05:42,924 Any update on the guy who did this? 116 00:05:42,925 --> 00:05:44,760 Nothing yet. 117 00:05:44,761 --> 00:05:47,095 I'm kind of glad I was out of it when the shit went down. 118 00:05:47,096 --> 00:05:49,765 You OD'd. You could have died. 119 00:05:49,766 --> 00:05:52,434 You okay, Huckleberry? - Yeah. 120 00:05:52,435 --> 00:05:54,019 You sure? 121 00:05:54,020 --> 00:05:55,645 I know it's tough in there with all the bodies. 122 00:05:55,646 --> 00:05:57,272 - Yeah. - Can I get help 123 00:05:57,273 --> 00:05:59,566 with a pressure dressing here? - Yeah, I'm on it. 124 00:05:59,567 --> 00:06:01,943 2 grams of Ancef primed for your leg guy. 125 00:06:01,944 --> 00:06:03,821 With pleasure. 126 00:06:08,368 --> 00:06:10,535 You okay, Dr. Robby? 127 00:06:10,536 --> 00:06:12,830 Do you need something to eat or drink? 128 00:06:14,624 --> 00:06:17,584 No, no. I'm good. Thank you. Thank you. 129 00:06:17,585 --> 00:06:19,628 Uh, Esme, your team's doing a great job 130 00:06:19,629 --> 00:06:21,797 staying on top of all this. 131 00:06:21,798 --> 00:06:23,632 Um, I need another four of morphine here. 132 00:06:23,633 --> 00:06:25,801 Yeah, coming right up. 133 00:06:25,802 --> 00:06:27,511 Uh, yeah, that's two. 134 00:06:27,512 --> 00:06:30,639 Tourniquet's down on MCI-9, looks dry. 135 00:06:30,640 --> 00:06:32,558 Good job, Whitaker, Donahue. 136 00:06:38,106 --> 00:06:40,024 Dr. King, keep it up. 137 00:06:45,780 --> 00:06:49,074 All right, maintenance fluids at 125 an hour for all NPOs. 138 00:06:49,075 --> 00:06:51,284 - Heard. - Turn them down. 139 00:06:51,285 --> 00:06:52,661 Well, it looks like you have everyone tucked in, 140 00:06:52,662 --> 00:06:54,329 Huckleberry. - Yeah. 141 00:06:54,330 --> 00:06:55,664 We're getting there. - Well, I'm going to leave you 142 00:06:55,665 --> 00:06:56,832 in charge of the boring Yellow stuff. 143 00:06:56,833 --> 00:06:58,166 Where are you going? 144 00:06:58,167 --> 00:06:59,877 Get in on the Red Zone action. 145 00:07:04,173 --> 00:07:07,467 Robby, are you okay? 146 00:07:07,468 --> 00:07:08,635 Right. 147 00:07:08,636 --> 00:07:10,637 Well, I got some good news. 148 00:07:10,638 --> 00:07:12,514 County Public Health is sending out a truckload 149 00:07:12,515 --> 00:07:14,850 of supplies from Magee-Womens and Mercy. 150 00:07:14,851 --> 00:07:16,852 Gloria, are we gonna have to call in more blood donors? 151 00:07:16,853 --> 00:07:19,438 - Already done. - Donated. 152 00:07:19,439 --> 00:07:21,648 I-I don't... 153 00:07:21,649 --> 00:07:23,150 my blood, needles... 154 00:07:23,151 --> 00:07:24,693 Choppers are coming 155 00:07:24,694 --> 00:07:27,028 from blood banks in Erie and Youngstown. 156 00:07:27,029 --> 00:07:29,156 - Oh, thank God. - I appreciate the way 157 00:07:29,157 --> 00:07:31,700 you've handled logistics today. - Wait, hold on. 158 00:07:31,701 --> 00:07:35,662 W-what does she mean, more blood donors? 159 00:07:35,663 --> 00:07:38,915 You didn't use unscreened blood donations, did you? 160 00:07:38,916 --> 00:07:40,208 We did what we had to do 161 00:07:40,209 --> 00:07:41,668 to save as many people as we could. 162 00:07:41,669 --> 00:07:42,919 You're killing me, Robinavitch. 163 00:07:42,920 --> 00:07:44,838 And for the love of God, can you tell me 164 00:07:44,839 --> 00:07:47,174 that you didn't know about a-a shooter's hit list, 165 00:07:47,175 --> 00:07:48,675 and then you let him go this morning? 166 00:07:48,676 --> 00:07:49,843 He didn't do it. 167 00:07:49,844 --> 00:07:51,887 - Police confirmation? - No. 168 00:07:51,888 --> 00:07:53,180 Then this nightmare... 169 00:07:53,181 --> 00:07:55,849 Jesus, Gloria! 170 00:07:55,850 --> 00:07:57,225 The police are still looking. 171 00:07:57,226 --> 00:07:58,852 Why don't you go back to your micro-managerial 172 00:07:58,853 --> 00:08:00,855 ivory tower and let us get the fuck back to work? 173 00:08:06,777 --> 00:08:09,404 Robby, get some air, brother. 174 00:08:09,405 --> 00:08:12,491 Check on triage. 175 00:08:12,492 --> 00:08:16,745 Dr. Abbot, I got your carotid bypass guy up to the OR. 176 00:08:16,746 --> 00:08:19,582 Vascular surgery says to give you mad props. 177 00:08:21,167 --> 00:08:23,251 Okay. 178 00:08:23,252 --> 00:08:25,712 You think he told Jake his girlfriend died? 179 00:08:25,713 --> 00:08:28,090 - Yeah. - Fuck. 180 00:08:36,891 --> 00:08:39,768 Hey. Hey. 181 00:08:39,769 --> 00:08:41,395 Oh. 182 00:08:49,278 --> 00:08:51,446 - How's it going out here? - Good. 183 00:08:51,447 --> 00:08:53,448 12 minutes since the last pink or red. 184 00:08:53,449 --> 00:08:54,449 I think it's quieting. 185 00:08:54,450 --> 00:08:56,076 - Jesus! - What? 186 00:08:56,077 --> 00:08:57,953 - Don't say that. - Come on. 187 00:08:57,954 --> 00:09:00,121 Don't tell me you believe in that superstitious shit. 188 00:09:00,122 --> 00:09:02,457 It's like saying "Macbeth" in the theater. 189 00:09:02,458 --> 00:09:04,125 Yeah, and you call yourself a person of science. 190 00:09:04,126 --> 00:09:05,252 Watch out! 191 00:09:10,800 --> 00:09:11,800 Hands up! 192 00:09:11,801 --> 00:09:12,801 Any weapons? 193 00:09:12,802 --> 00:09:13,927 Everyone stand back! 194 00:09:13,928 --> 00:09:15,554 No... no weapons. 195 00:09:15,555 --> 00:09:16,972 All clear! 196 00:09:18,808 --> 00:09:20,642 - Are you okay, sir? - Yeah, I'm good. 197 00:09:20,643 --> 00:09:21,935 Guy in the back needs help. 198 00:09:21,936 --> 00:09:23,061 Sorry about the parking job. 199 00:09:23,062 --> 00:09:24,479 Getting a little woozy. 200 00:09:24,480 --> 00:09:25,939 Okay, what happened? 201 00:09:25,940 --> 00:09:27,774 I found him in the festival parking lot. 202 00:09:27,775 --> 00:09:29,776 Gave him Narcan from my kit, but he didn't respond. 203 00:09:29,777 --> 00:09:31,570 Might be benzos... I don't know. - You a medical worker? 204 00:09:31,571 --> 00:09:32,571 Navy corpsman. 205 00:09:32,572 --> 00:09:34,781 I'm okay. 206 00:09:34,782 --> 00:09:36,491 Your leg does not look okay. 207 00:09:36,492 --> 00:09:38,493 I got shot through and through. 208 00:09:38,494 --> 00:09:40,203 I stayed to help as long as I could. 209 00:09:40,204 --> 00:09:42,330 Bullets flying everywhere. It was a fucking nightmare. 210 00:09:42,331 --> 00:09:43,832 Hey, Ellis. How's the passenger? 211 00:09:43,833 --> 00:09:45,875 No sign of trauma, but he's pretty cyanotic. 212 00:09:45,876 --> 00:09:48,962 Needs oxygen. Let's move him in. 213 00:09:48,963 --> 00:09:50,338 Grabbing a gurney. 214 00:09:50,339 --> 00:09:51,881 Any headache, neck pain, 215 00:09:51,882 --> 00:09:53,717 chest pain, belly pain? 216 00:09:53,718 --> 00:09:55,176 Sir! 217 00:09:55,177 --> 00:09:56,803 No, I'm good. 218 00:09:56,804 --> 00:09:59,014 I'm gonna get a wheelchair. Do not try to walk. 219 00:10:01,642 --> 00:10:03,685 Must have missed the bone because I could... 220 00:10:03,686 --> 00:10:05,812 Whoa, whoa, whoa, whoa! Cancel the wheelchair. 221 00:10:05,813 --> 00:10:07,690 Bring a gurney. - Gurney! 222 00:10:09,233 --> 00:10:10,692 Any new customers for the OR? 223 00:10:10,693 --> 00:10:12,444 - Yes. - Yeah. 224 00:10:12,445 --> 00:10:14,195 This one looked like chest, but it was intra-abdominal. 225 00:10:14,196 --> 00:10:15,697 Nipples to navel is no man's land. 226 00:10:15,698 --> 00:10:17,365 Am I the only one who missed that day 227 00:10:17,366 --> 00:10:18,951 in medical school? 228 00:10:21,537 --> 00:10:24,539 I need high-flow O2, maybe BiPAP for this guy. 229 00:10:24,540 --> 00:10:26,625 Trauma rooms open? - No, still getting cleaned. 230 00:10:26,626 --> 00:10:28,960 South 15 is avail. - Okay, South 15 it is. 231 00:10:28,961 --> 00:10:31,046 Find out if the ICU is ready for her. 232 00:10:31,047 --> 00:10:33,214 All right, get me a tech and an RT, 233 00:10:33,215 --> 00:10:36,051 and we'll take him up. - Yeah, I'm on it. 234 00:10:36,052 --> 00:10:37,677 Hey, McKay. 235 00:10:37,678 --> 00:10:39,179 There's someone from Allegheny County Courthouse 236 00:10:39,180 --> 00:10:40,931 on the line. - Not now! 237 00:10:42,266 --> 00:10:43,725 I'm in. Bag her. 238 00:10:43,726 --> 00:10:44,893 Dr. McKay, you have a visitor. 239 00:10:44,894 --> 00:10:46,436 I said not now! 240 00:10:46,437 --> 00:10:48,063 Jesus Christ. 241 00:10:48,064 --> 00:10:49,898 Sorry, Dad. Hey. 242 00:10:49,899 --> 00:10:52,067 Thank you so much for coming in to pick up Harrison. 243 00:10:52,068 --> 00:10:53,401 Are you okay? 244 00:10:53,402 --> 00:10:55,570 Ah, I mean, relatively speaking, 245 00:10:55,571 --> 00:10:58,865 I'm fan-fucking-tastic. - Good. 246 00:10:58,866 --> 00:11:01,576 Hey, Dr. Abbot, can you keep an eye on this one? 247 00:11:01,577 --> 00:11:05,246 Stable after 1 unit pRBCs. - No problem. 248 00:11:05,247 --> 00:11:07,666 Ellis, get him started. Holler if you need me. 249 00:11:07,667 --> 00:11:09,084 Copy. 250 00:11:11,045 --> 00:11:13,588 Dana, hypotensive and altered. 251 00:11:13,589 --> 00:11:15,090 Untreated GSW to the thigh. 252 00:11:15,091 --> 00:11:16,508 Perfect timing. 253 00:11:16,509 --> 00:11:18,093 Trauma One's open, but be careful. 254 00:11:18,094 --> 00:11:19,427 Floor's probably still wet. 255 00:11:19,428 --> 00:11:21,555 - Mohan, you're on this. - Okay. 256 00:11:27,311 --> 00:11:29,604 Dr. Abbot, you need anything? 257 00:11:29,605 --> 00:11:32,149 Check with Ellis in South 15. 258 00:11:37,279 --> 00:11:38,613 - What do we got? - What do we got? 259 00:11:38,614 --> 00:11:40,740 Pulse ox is low, 85 on room air. 260 00:11:40,741 --> 00:11:42,617 100% non-rebreather mask. 261 00:11:42,618 --> 00:11:44,661 This guy needs a major workup. 262 00:11:50,126 --> 00:11:51,960 Everyone in Yellow is stable. 263 00:11:51,961 --> 00:11:54,671 Okay. Uh, check in with Robby. 264 00:11:54,672 --> 00:11:56,131 - Holy shit. - See where he can use 265 00:11:56,132 --> 00:11:57,465 another set of hands. 266 00:11:57,466 --> 00:11:59,759 Okay, great. Thanks. 267 00:11:59,760 --> 00:12:01,636 Trauma One, I know that guy. 268 00:12:01,637 --> 00:12:03,096 His sister's in the cafeteria. 269 00:12:03,097 --> 00:12:04,472 Her husband was shot and killed today. 270 00:12:04,473 --> 00:12:05,849 Oh, sweet Jesus. 271 00:12:05,850 --> 00:12:07,475 Do you think I can bring the lady in 272 00:12:07,476 --> 00:12:08,685 to see her brother? 273 00:12:08,686 --> 00:12:10,770 Uh, Robby, 274 00:12:10,771 --> 00:12:12,272 lady in the cafeteria, dead husband, 275 00:12:12,273 --> 00:12:14,441 brother in Trauma One, can we bring her back? 276 00:12:14,442 --> 00:12:16,484 It seems like it's slowing down around here... go ahead. 277 00:12:16,485 --> 00:12:18,737 Um, I have a patient in Central 9. 278 00:12:18,738 --> 00:12:21,322 She was shot trying to protect her husband, who, um, died. 279 00:12:21,323 --> 00:12:23,324 But her daughter is in the cafeteria. 280 00:12:23,325 --> 00:12:25,160 I don't think I can spare any doctors right now. 281 00:12:25,161 --> 00:12:27,829 In fact, why don't you go cover triage until Shen 282 00:12:27,830 --> 00:12:29,664 and Ellis get back there? - Okay. 283 00:12:29,665 --> 00:12:31,750 Give me her name. I'll find her. 284 00:12:31,751 --> 00:12:33,168 Oh, thank you so much. 285 00:12:33,169 --> 00:12:36,838 Um, her name is Morgan. Her mom is Trish Gregory. 286 00:12:38,674 --> 00:12:40,508 Okay if we bring her up here, too? 287 00:12:40,509 --> 00:12:42,845 Sure. Why not? 288 00:12:44,305 --> 00:12:45,972 Pulse ox is still 85 on high-flow oxygen. 289 00:12:45,973 --> 00:12:47,515 BP is borderline. 290 00:12:47,516 --> 00:12:50,685 Dr. Santos, differential diagnosis of cyanosis? 291 00:12:50,686 --> 00:12:53,730 Hypoxia, low oxygen from lung disease... 292 00:12:53,731 --> 00:12:55,690 pneumonia, PE, asthma. 293 00:12:55,691 --> 00:12:57,692 Good breath sounds, no crackles, no wheezing. 294 00:12:57,693 --> 00:12:59,736 Pulmonary problems should improve with O2. 295 00:12:59,737 --> 00:13:02,363 What else? - Heart disease, heart failure. 296 00:13:02,364 --> 00:13:04,240 - No B line. - Right to left shunt? 297 00:13:04,241 --> 00:13:05,867 That's usually in congenital heart disease. 298 00:13:05,868 --> 00:13:08,036 PDA, Tetralogy of Fallot. 299 00:13:08,037 --> 00:13:10,038 Cardiac ECHO looks good. 300 00:13:10,039 --> 00:13:13,041 Normal ejection fraction, no valvular disease. 301 00:13:13,042 --> 00:13:15,168 Hmm, what else could it be? 302 00:13:15,169 --> 00:13:17,545 Okay, is Dr. Ellis running this resuscitation, or are you? 303 00:13:17,546 --> 00:13:19,547 Because last time I checked, you're not supposed to be here. 304 00:13:19,548 --> 00:13:21,049 We both are. 305 00:13:21,050 --> 00:13:23,218 The senior resident's job is to teach. 306 00:13:23,219 --> 00:13:25,220 What else, Dr. Santos? 307 00:13:25,221 --> 00:13:26,721 Hemoglobinopathies? 308 00:13:26,722 --> 00:13:27,847 Excellent. 309 00:13:27,848 --> 00:13:29,308 Blood is chocolate brown. 310 00:13:31,060 --> 00:13:32,227 Santos? 311 00:13:32,228 --> 00:13:33,645 Methemoglobinemia? 312 00:13:33,646 --> 00:13:34,646 Bingo. 313 00:13:34,647 --> 00:13:36,147 Put him on BiPAP. 314 00:13:36,148 --> 00:13:38,024 Send off a blood gas. Order methylene blue. 315 00:13:38,025 --> 00:13:39,067 Etiology? 316 00:13:39,068 --> 00:13:40,485 Drugs, toxins. 317 00:13:40,486 --> 00:13:42,070 Smart money is poppers, amyl nitrates, 318 00:13:42,071 --> 00:13:43,279 and partied a little too hard at PittFest. 319 00:13:43,280 --> 00:13:44,280 Mm-hmm. 320 00:13:44,281 --> 00:13:46,074 Langdon, got a sec? 321 00:13:46,075 --> 00:13:47,784 Yep. 322 00:13:47,785 --> 00:13:49,911 Keep me posted. 323 00:13:49,912 --> 00:13:52,413 - Can I do the intubation? - Not necessary yet. 324 00:13:52,414 --> 00:13:55,041 But his pulse ox is low. He's altered. 325 00:13:55,042 --> 00:13:57,293 All the oxygen in the world won't fix that. 326 00:13:57,294 --> 00:13:59,087 His methemoglobin level is sky-high. 327 00:13:59,088 --> 00:14:00,588 Nothing but methylene blue will help. 328 00:14:00,589 --> 00:14:02,257 I'll run the blood gas up to the lab, 329 00:14:02,258 --> 00:14:04,092 see if they've caught up with all the traumas yet. 330 00:14:04,093 --> 00:14:05,426 First day? 331 00:14:05,427 --> 00:14:07,262 Yeah. 332 00:14:07,263 --> 00:14:09,597 What's the beef with Langdon? 333 00:14:09,598 --> 00:14:10,640 Um... 334 00:14:10,641 --> 00:14:12,308 Are you good here? 335 00:14:12,309 --> 00:14:14,936 Yeah, methemoglobinemia, ordered methylene blue. 336 00:14:14,937 --> 00:14:15,937 Perfect. 337 00:14:15,938 --> 00:14:18,106 Keep it up. 338 00:14:18,107 --> 00:14:20,066 Will do. 339 00:14:20,067 --> 00:14:22,026 And here he is. 340 00:14:22,027 --> 00:14:24,445 - Hey. - Grandpa! 341 00:14:24,446 --> 00:14:27,282 How's my favorite grandchild? 342 00:14:27,283 --> 00:14:29,326 I'm your only grandchild. 343 00:14:31,036 --> 00:14:35,123 Chadwick Harrison Ashcroft III. 344 00:14:35,124 --> 00:14:36,791 Please don't call me that. 345 00:14:36,792 --> 00:14:38,960 Douchebag name for a douchebag guy. 346 00:14:38,961 --> 00:14:40,587 - Dad! - Are you ready? 347 00:14:40,588 --> 00:14:43,631 'Cause Grandma is making your favorite... 348 00:14:43,632 --> 00:14:45,133 carbonara. 349 00:14:45,134 --> 00:14:46,801 Thanks for taking him, Dad. 350 00:14:46,802 --> 00:14:48,970 Will you save some pasta for me? 351 00:14:48,971 --> 00:14:50,639 Okay. 352 00:14:54,810 --> 00:14:56,019 Tapping in. 353 00:14:56,020 --> 00:14:57,645 - Thanks, brother. - Yeah. 354 00:14:57,646 --> 00:14:59,105 EFAST normal. 355 00:14:59,106 --> 00:15:01,858 No abdominal hemorrhage, no tamponade. 356 00:15:01,859 --> 00:15:04,986 Pulse ox borderline, 89% on 15 liters. 357 00:15:04,987 --> 00:15:07,363 BP's only 95 over 58. 358 00:15:07,364 --> 00:15:10,658 Vinny Rivera... is he here? 359 00:15:10,659 --> 00:15:12,660 I'm not sure, man. 360 00:15:12,661 --> 00:15:13,995 I'm so sleepy. 361 00:15:13,996 --> 00:15:16,497 Were you tired right after you got shot? 362 00:15:16,498 --> 00:15:18,166 Uh, no. 363 00:15:18,167 --> 00:15:20,835 I helped move 20, 30 people. 364 00:15:20,836 --> 00:15:22,795 What's causing his oxygen levels to tank? 365 00:15:22,796 --> 00:15:24,005 Up the oxygen. 366 00:15:24,006 --> 00:15:25,840 15's as high as it goes. 367 00:15:25,841 --> 00:15:27,967 Gauge only goes to 15. Keep cranking. 368 00:15:27,968 --> 00:15:29,177 You can get to 50. 369 00:15:29,178 --> 00:15:30,803 Brian? 370 00:15:30,804 --> 00:15:33,848 Vinny got shot. 371 00:15:33,849 --> 00:15:36,017 I sent him with the first car I saw. 372 00:15:36,018 --> 00:15:37,478 Is he okay? 373 00:15:40,022 --> 00:15:42,774 You fight, Brian, okay? 374 00:15:42,775 --> 00:15:45,860 You fight like the stubborn bastard you are. 375 00:15:45,861 --> 00:15:47,487 I tried, Whit. 376 00:15:47,488 --> 00:15:49,864 I tried. 377 00:15:58,582 --> 00:16:00,375 - Oh, no, thanks. - It's not coffee. 378 00:16:00,376 --> 00:16:02,251 It's bourbon. 379 00:16:02,252 --> 00:16:03,879 That was a joke. 380 00:16:05,881 --> 00:16:10,510 Robby did everything he could to save your girlfriend. 381 00:16:10,511 --> 00:16:14,555 If he couldn't save her, nobody could. 382 00:16:23,232 --> 00:16:25,525 Wait, wait, wait. What do you mean, neutralized? 383 00:16:25,526 --> 00:16:26,985 Means he's dead. 384 00:16:26,986 --> 00:16:30,238 Wait. I thought the kid in BH-2 was the shooter. 385 00:16:30,239 --> 00:16:32,740 What's going on? 386 00:16:32,741 --> 00:16:34,742 SWAT found the shooter. 387 00:16:34,743 --> 00:16:38,579 Self-inflicted gunshot to the head. 388 00:16:38,580 --> 00:16:40,581 He had a duffel bag full of ammo. 389 00:16:40,582 --> 00:16:43,668 He was in some bushes down by the river 390 00:16:43,669 --> 00:16:46,754 with his AR-15. 391 00:16:48,424 --> 00:16:50,383 Do we know why he did it? 392 00:16:50,384 --> 00:16:51,759 Does it matter? 393 00:16:51,760 --> 00:16:55,471 Are we expecting any more victims? 394 00:16:55,472 --> 00:16:57,598 SWAT cleared the festival grounds. 395 00:16:57,599 --> 00:17:00,059 Probably no more coming our way. 396 00:17:00,060 --> 00:17:03,604 What you've done down here... 397 00:17:03,605 --> 00:17:06,607 all the lives you've saved... 398 00:17:06,608 --> 00:17:09,736 there aren't adequate words. 399 00:17:09,737 --> 00:17:11,155 Thank you. 400 00:17:15,117 --> 00:17:17,618 We need to prep to open back up to the public. 401 00:17:17,619 --> 00:17:19,120 Walk-ins only. 402 00:17:19,121 --> 00:17:20,955 No traumas until we get word from surgery 403 00:17:20,956 --> 00:17:22,623 that a few ORs have cleared. 404 00:17:22,624 --> 00:17:25,877 That could be hours. 405 00:17:25,878 --> 00:17:28,046 Blood Bank, pick up line two. 406 00:17:28,047 --> 00:17:30,631 Blood Bank, pick up line two. 407 00:17:30,632 --> 00:17:32,967 Everybody seems to know exactly what to do. 408 00:17:32,968 --> 00:17:35,053 Is this kind of thing normal? - Thankfully, no. 409 00:17:35,054 --> 00:17:37,930 But preparing for the worst and hoping for the best, 410 00:17:37,931 --> 00:17:39,808 that's what we do. 411 00:17:51,320 --> 00:17:52,820 Hey, is Dr. King still outside? 412 00:17:52,821 --> 00:17:54,113 Yep. 413 00:17:54,114 --> 00:17:55,823 We don't need a doctor covering triage. 414 00:17:55,824 --> 00:17:58,034 We can bring her back in. - Yeah. 415 00:17:58,035 --> 00:17:59,952 And, everybody else, let's process 416 00:17:59,953 --> 00:18:02,205 these remaining patients 417 00:18:02,206 --> 00:18:04,207 so my day shift can finally go home. 418 00:18:04,208 --> 00:18:05,833 On it, Cap. 419 00:18:19,515 --> 00:18:21,015 Ah, you hear that? 420 00:18:21,016 --> 00:18:23,476 - Hear what? - It's quiet. 421 00:18:23,477 --> 00:18:26,646 It's over. 422 00:18:26,647 --> 00:18:29,983 Oh, son of a... 423 00:18:33,695 --> 00:18:35,780 Hey, yo, yo, we're closed. 424 00:18:35,781 --> 00:18:38,783 We're way over capacity. Take them to West Penn. 425 00:18:38,784 --> 00:18:41,327 Kid in extremis. You were the closest EDAP. 426 00:18:41,328 --> 00:18:44,122 13-year-old hypoxic and hypertensive. 427 00:18:44,123 --> 00:18:46,207 He looks pale and tachypneic. 428 00:18:46,208 --> 00:18:48,292 Flynn Edwards, home alone with his little sister. 429 00:18:48,293 --> 00:18:50,378 Cough, fever, rash, altered. 430 00:18:50,379 --> 00:18:53,714 Tachy at 150, BP 80 over 55, breathing at 36, 431 00:18:53,715 --> 00:18:56,093 and satting low 80s on the face mask. 432 00:19:00,472 --> 00:19:01,514 Hi. 433 00:19:01,515 --> 00:19:03,724 What's your name? - Georgia. 434 00:19:03,725 --> 00:19:05,686 Hi, Georgia. I'm Mel. 435 00:19:07,855 --> 00:19:09,522 Oh, yeah. That's scary. 436 00:19:09,523 --> 00:19:10,858 Yep. 437 00:19:16,363 --> 00:19:18,447 Georgia, where are your parents? 438 00:19:18,448 --> 00:19:20,032 At the movies. 439 00:19:20,033 --> 00:19:22,243 - Did you try calling them? - I texted. 440 00:19:22,244 --> 00:19:23,953 Can you give us their numbers? 441 00:19:23,954 --> 00:19:25,997 Do you remember what happened before you called 911? 442 00:19:25,998 --> 00:19:28,207 Flynn was talking weird. 443 00:19:28,208 --> 00:19:29,584 Okay. 444 00:19:29,585 --> 00:19:31,544 Um, and then after he was talking weird? 445 00:19:31,545 --> 00:19:32,920 He got super sleepy, 446 00:19:32,921 --> 00:19:34,755 and then I couldn't wake him up. 447 00:19:37,009 --> 00:19:38,176 Um, this is Princess. 448 00:19:38,177 --> 00:19:39,594 I have to go help your brother now. 449 00:19:39,595 --> 00:19:41,179 But Princess is going to get you a snack. 450 00:19:41,180 --> 00:19:42,597 I already brushed my teeth. 451 00:19:42,598 --> 00:19:44,765 Then maybe just a glass of water? 452 00:19:50,522 --> 00:19:53,942 My count, one, two, three. 453 00:19:56,820 --> 00:19:59,572 Flynn, open your eyes, buddy. 454 00:20:01,450 --> 00:20:03,618 Start a second line. 2 liters of Ringer's wide open. 455 00:20:03,619 --> 00:20:05,411 100% non-rebreather. 456 00:20:07,748 --> 00:20:09,123 Crackles bilaterally. 457 00:20:09,124 --> 00:20:11,334 Temp 101, O2 sat only up to 82. 458 00:20:11,335 --> 00:20:12,335 Shit. 459 00:20:12,336 --> 00:20:13,836 It's code sepsis. 460 00:20:13,837 --> 00:20:15,254 Blood cultures, labs, 461 00:20:15,255 --> 00:20:17,423 portable chest, gram of ceftriaxone. 462 00:20:17,424 --> 00:20:19,467 Dr. King, what are you thinking? 463 00:20:19,468 --> 00:20:22,970 Uh, well, rash, altered with sepsis... 464 00:20:22,971 --> 00:20:27,016 could be meningococcus, Strep pneumo, 465 00:20:27,017 --> 00:20:31,229 something viral like disseminated HSV, encephalitis? 466 00:20:31,230 --> 00:20:32,897 BP's 82 over 49. 467 00:20:32,898 --> 00:20:34,315 Sat up to 87. 468 00:20:34,316 --> 00:20:35,733 What about the rash? 469 00:20:35,734 --> 00:20:37,735 It's more prominent on the lower body, 470 00:20:37,736 --> 00:20:38,819 not much on the face. 471 00:20:38,820 --> 00:20:40,655 There's no vesicles. 472 00:20:40,656 --> 00:20:43,783 It doesn't look like chicken pox or typical Lyme rash. 473 00:20:43,784 --> 00:20:44,784 Agreed. 474 00:20:44,785 --> 00:20:46,619 Do you know what this is? 475 00:20:46,620 --> 00:20:47,828 Nope. 476 00:20:47,829 --> 00:20:50,414 Resuscitate first, diagnose later. 477 00:20:50,415 --> 00:20:52,083 We're moving patients from the Yellow Zone 478 00:20:52,084 --> 00:20:54,961 into real rooms along the South and Central Corridors. 479 00:20:54,962 --> 00:20:57,255 Till now, all these patients have just been numbers to us. 480 00:20:57,256 --> 00:20:58,673 Time to ask them their names. 481 00:20:58,674 --> 00:21:00,049 So we scan their wristbands 482 00:21:00,050 --> 00:21:01,634 and put them into the big board. 483 00:21:01,635 --> 00:21:03,302 Yeah, and then Dana and I will assign rooms 484 00:21:03,303 --> 00:21:04,679 based on medical priority. 485 00:21:04,680 --> 00:21:06,515 Ortho extremity wounds go get X-rays. 486 00:21:09,309 --> 00:21:12,853 Dr. McKay, can you finish up whatever it is you're doing 487 00:21:12,854 --> 00:21:14,855 and come meet me in BH-2? 488 00:21:16,692 --> 00:21:19,902 Uh, yeah, sure. 489 00:21:19,903 --> 00:21:22,363 I told you he didn't do it. 490 00:21:22,364 --> 00:21:23,864 I know. 491 00:21:23,865 --> 00:21:26,325 But you said yourself his threats were serious. 492 00:21:26,326 --> 00:21:28,244 At least now we're nipping it in the bud. 493 00:21:28,245 --> 00:21:30,204 You think this is that easy? 494 00:21:30,205 --> 00:21:32,291 Think again. 495 00:21:34,543 --> 00:21:36,711 He's on 100% oxygen. 496 00:21:36,712 --> 00:21:38,671 His pulse ox is still only 88. 497 00:21:38,672 --> 00:21:42,008 - How's it going upstairs? - Regular spa day at the OR. 498 00:21:42,009 --> 00:21:45,177 42 ex-laps and thoracotomies. - Impressive. 499 00:21:45,178 --> 00:21:46,470 What do you got? 500 00:21:46,471 --> 00:21:47,888 GSW through and through the thigh, 501 00:21:47,889 --> 00:21:50,683 not arterial, now hypotensive and hypoxic. 502 00:21:50,684 --> 00:21:52,685 - Sounds like blood loss. - No. 503 00:21:52,686 --> 00:21:54,395 Hemoglobin times 2 is stable. 504 00:21:54,396 --> 00:21:56,564 Vena cava is plump... it would be flat with hemorrhage. 505 00:21:56,565 --> 00:21:58,065 It's actually a little too plump. 506 00:21:58,066 --> 00:21:59,859 Let me see the phased array probe. 507 00:21:59,860 --> 00:22:01,527 Any history of heart disease? 508 00:22:01,528 --> 00:22:04,238 Not sure, but he's a strong guy. 509 00:22:04,239 --> 00:22:06,741 Got shot, strapped a T-shirt and a belt around his thigh 510 00:22:06,742 --> 00:22:08,576 and ran around helping people for a few hours. 511 00:22:08,577 --> 00:22:09,952 Holy shit. 512 00:22:09,953 --> 00:22:13,039 Check out the four chamber apical view. 513 00:22:13,040 --> 00:22:15,458 Dilated right atrium and right ventricle. 514 00:22:15,459 --> 00:22:17,084 Right-sided strain with bowing of the septum. 515 00:22:17,085 --> 00:22:18,586 Sounds like a PE. 516 00:22:18,587 --> 00:22:19,754 He throw a clot from having the tourniquet on? 517 00:22:19,755 --> 00:22:21,297 Way too soon for a DVT. 518 00:22:21,298 --> 00:22:23,758 Okay, let's get him in left lateral decubitus. 519 00:22:23,759 --> 00:22:25,760 One, two. 520 00:22:25,761 --> 00:22:27,386 Trendelenburg ASAP. 521 00:22:27,387 --> 00:22:28,471 What for? 522 00:22:28,472 --> 00:22:30,222 Intracardiac air embolism. 523 00:22:30,223 --> 00:22:31,807 All that running around introduced air 524 00:22:31,808 --> 00:22:33,351 into the femoral vein right up to the heart. 525 00:22:33,352 --> 00:22:34,852 Now it's blocking blood flow to the lungs. 526 00:22:34,853 --> 00:22:36,228 Need a CT to confirm. 527 00:22:36,229 --> 00:22:37,605 They're still backed up with other patients. 528 00:22:37,606 --> 00:22:38,939 Well, maybe the cath lab can take them. 529 00:22:38,940 --> 00:22:40,441 They have fluoro. 530 00:22:40,442 --> 00:22:43,570 I'll go check. - Yeah, good luck with that. 531 00:22:44,946 --> 00:22:46,447 I need a central line kit 532 00:22:46,448 --> 00:22:47,948 and a 5 French pigtail catheter. 533 00:22:47,949 --> 00:22:49,200 I got it. 534 00:22:49,201 --> 00:22:50,951 He doesn't have a collapsed lung. 535 00:22:50,952 --> 00:22:53,287 - Yeah? - So what are you going to do? 536 00:22:53,288 --> 00:22:56,166 I'm not gonna do anything. You are. 537 00:23:04,925 --> 00:23:06,133 Thank you, Casey. 538 00:23:06,134 --> 00:23:08,928 Hey, David. How you doing? 539 00:23:08,929 --> 00:23:10,679 Hi, David. 540 00:23:13,350 --> 00:23:15,309 I didn't shoot anybody. 541 00:23:16,770 --> 00:23:18,479 I wouldn't do that. 542 00:23:18,480 --> 00:23:20,732 I know. 543 00:23:25,987 --> 00:23:29,699 Did you make a list of girls you wanted to hurt? 544 00:23:31,201 --> 00:23:33,452 - Where's my mom? - Did you make a list? 545 00:23:33,453 --> 00:23:35,329 I want to go home. 546 00:23:35,330 --> 00:23:37,164 You're gonna get to go home. 547 00:23:37,165 --> 00:23:38,791 But, first, we have to keep you here 548 00:23:38,792 --> 00:23:40,459 for a mandatory 72-hour hold. 549 00:23:40,460 --> 00:23:43,796 What? Why? I didn't do anything. 550 00:23:43,797 --> 00:23:45,631 I know you're upset. 551 00:23:45,632 --> 00:23:48,008 We're only doing what we think is in your best interest. 552 00:23:48,009 --> 00:23:50,428 No, fuck you! You don't know me! 553 00:23:50,429 --> 00:23:52,763 You don't know anything about me! 554 00:23:55,016 --> 00:23:57,017 Look, I know it's a lot to process, but... 555 00:23:57,018 --> 00:23:58,269 No, no! 556 00:23:58,270 --> 00:24:00,521 I want to see my mom. 557 00:24:00,522 --> 00:24:03,023 Where is she? Is she out there? 558 00:24:03,024 --> 00:24:04,525 - I... - Mom! 559 00:24:04,526 --> 00:24:06,318 Mom! 560 00:24:06,319 --> 00:24:08,195 This is not helping your case, David. 561 00:24:08,196 --> 00:24:09,738 Mom! Mom! 562 00:24:09,739 --> 00:24:11,657 This is not helping your case... 563 00:24:11,658 --> 00:24:13,868 Oh, fuck you! 564 00:24:13,869 --> 00:24:15,494 Let's go outside. 565 00:24:15,495 --> 00:24:20,041 I just want to see my mom, please! 566 00:24:21,460 --> 00:24:24,129 Please, I just want to see my mom. 567 00:24:25,881 --> 00:24:29,925 Mom! Mom! 568 00:24:29,926 --> 00:24:32,219 BP's 92 over 60 after 2 liters. 569 00:24:32,220 --> 00:24:33,762 Still tachy. 570 00:24:33,763 --> 00:24:36,682 Sats are way down at 84 on the non-rebreather. 571 00:24:36,683 --> 00:24:37,892 Flynn, open your eyes. 572 00:24:37,893 --> 00:24:39,477 How you doing, bud? 573 00:24:39,478 --> 00:24:41,645 He's still having trouble breathing. 574 00:24:41,646 --> 00:24:43,314 He's more lethargic than before. 575 00:24:43,315 --> 00:24:45,065 Let's give him a third liter and prep for intubation. 576 00:24:45,066 --> 00:24:46,525 Can we do that without parental consent? 577 00:24:46,526 --> 00:24:47,902 We wait, he dies. 578 00:24:47,903 --> 00:24:50,237 Tech is here for a portable chest. 579 00:24:50,238 --> 00:24:51,822 Dr. King, what are your intubation meds? 580 00:24:51,823 --> 00:24:53,866 - Etomidate and Roc. - Great. 581 00:24:53,867 --> 00:24:55,868 Gather up everything you need. What size tube? 582 00:24:55,869 --> 00:24:58,162 Age divided by 4 plus 3 583 00:24:58,163 --> 00:25:00,873 would be 6.5 cuffed. 584 00:25:00,874 --> 00:25:02,082 Let's do it. 585 00:25:02,083 --> 00:25:03,501 And find his parents. - Okay. 586 00:25:03,502 --> 00:25:04,794 Prep these. 587 00:25:09,799 --> 00:25:12,468 What time you start today? 588 00:25:12,469 --> 00:25:15,137 7:00 a.m. 589 00:25:15,138 --> 00:25:16,430 Thanks. 590 00:25:16,431 --> 00:25:18,432 Can I get one of those? I'm starving. 591 00:25:18,433 --> 00:25:20,726 No can do. 592 00:25:20,727 --> 00:25:22,561 But I'm hungry. 593 00:25:22,562 --> 00:25:25,272 We can't give you any food in case you need surgery. 594 00:25:25,273 --> 00:25:27,942 You might aspirate. 595 00:25:27,943 --> 00:25:30,110 You need to work on your bedside manner. 596 00:25:30,111 --> 00:25:31,946 Mm, asshole reporter. 597 00:25:31,947 --> 00:25:34,114 - ABG back on the blue man? - Not yet. 598 00:25:34,115 --> 00:25:35,991 Should we just give him the methylene blue? 599 00:25:35,992 --> 00:25:37,910 Mm, pulse ox holding at 85. 600 00:25:37,911 --> 00:25:39,537 We can wait a little. 601 00:25:43,291 --> 00:25:45,543 Dr. Santos... 602 00:25:45,544 --> 00:25:47,545 how do we evaluate methemoglobinemia 603 00:25:47,546 --> 00:25:49,339 and determine a treatment plan? 604 00:25:51,550 --> 00:25:54,134 Um... 605 00:25:56,763 --> 00:25:58,305 Tired? 606 00:25:58,306 --> 00:26:00,057 Yeah. 607 00:26:00,058 --> 00:26:01,600 Feet hurt? 608 00:26:01,601 --> 00:26:03,310 Brain feeling like mush? 609 00:26:03,311 --> 00:26:05,604 Absolutely. 610 00:26:05,605 --> 00:26:08,649 That patient doesn't give a shit. 611 00:26:08,650 --> 00:26:10,609 He needs you. 612 00:26:10,610 --> 00:26:13,320 Methemoglobinemia. 613 00:26:13,321 --> 00:26:15,323 Let's go. 614 00:26:22,539 --> 00:26:23,706 Robby? 615 00:26:23,707 --> 00:26:25,040 Hey, Janey. 616 00:26:25,041 --> 00:26:26,333 Where's Jake? 617 00:26:26,334 --> 00:26:27,960 I got here as fast as I could, 618 00:26:27,961 --> 00:26:29,670 but there were street closures... 619 00:26:29,671 --> 00:26:31,005 He's okay. He's okay. 620 00:26:31,006 --> 00:26:32,673 He had some minor injuries 621 00:26:32,674 --> 00:26:34,675 that are going to need to be treated, but he's okay. 622 00:26:34,676 --> 00:26:37,720 He's gonna go home tonight. - Oh, thank God. 623 00:26:37,721 --> 00:26:39,346 Um... 624 00:26:39,347 --> 00:26:42,182 Leah didn't make it. 625 00:26:42,183 --> 00:26:44,269 She's dead? 626 00:26:45,854 --> 00:26:47,521 Oh, my God. 627 00:26:47,522 --> 00:26:52,192 He, um, is kind of blaming me for not saving her. 628 00:26:52,193 --> 00:26:55,613 Robby, he's just a kid. 629 00:26:55,614 --> 00:26:57,823 So was she. 630 00:26:57,824 --> 00:27:00,534 Don't do that to yourself. 631 00:27:00,535 --> 00:27:02,996 Hey, look at me. 632 00:27:04,873 --> 00:27:06,916 Jake loves you, okay? 633 00:27:09,377 --> 00:27:11,211 Where is he? - Hey, Dana. 634 00:27:11,212 --> 00:27:13,005 You remember Janey? 635 00:27:13,006 --> 00:27:14,840 - Of course. - Thank you for calling me. 636 00:27:14,841 --> 00:27:16,216 Mind taking her to go find Jake? 637 00:27:16,217 --> 00:27:18,762 Yeah, no problem. Come on. 638 00:27:24,267 --> 00:27:25,851 Tube's in. 639 00:27:25,852 --> 00:27:28,228 Good color change. 640 00:27:28,229 --> 00:27:29,438 Nicely done. 641 00:27:29,439 --> 00:27:31,065 Present. 642 00:27:31,066 --> 00:27:33,609 Uh, we have a septic 13-year-old with pneumonia. 643 00:27:33,610 --> 00:27:36,737 I just intubated, and ceftriaxone is on board. 644 00:27:36,738 --> 00:27:38,739 Patchy consolidation, maybe some nodules. 645 00:27:38,740 --> 00:27:40,115 It could be viral pneumonia 646 00:27:40,116 --> 00:27:42,034 with or without bacterial superinfection. 647 00:27:42,035 --> 00:27:44,078 Kid's got a weird rash, too. 648 00:27:44,079 --> 00:27:46,498 Oh, and it's maculopapular on the legs. 649 00:27:48,583 --> 00:27:51,585 Pretty faded on the neck and chest. 650 00:27:51,586 --> 00:27:53,296 Starting to desquamate. 651 00:27:56,132 --> 00:27:58,050 You ever seen anything like this before? 652 00:27:58,051 --> 00:27:59,885 - Nope. - Me neither. 653 00:27:59,886 --> 00:28:02,096 Well, that just goes to show you how old I am. 654 00:28:02,097 --> 00:28:03,514 This looks like measles. 655 00:28:03,515 --> 00:28:04,765 - "Measles"? - Holy shit. 656 00:28:04,766 --> 00:28:06,934 Any travel history? 657 00:28:06,935 --> 00:28:08,727 He wasn't able to talk before we intubated. 658 00:28:08,728 --> 00:28:10,187 Measles is super contagious. 659 00:28:10,188 --> 00:28:11,605 It's not contagious if it's resolving. 660 00:28:11,606 --> 00:28:13,273 We need more history. 661 00:28:13,274 --> 00:28:14,942 Where are the parents? - Oh, they're at the movies. 662 00:28:14,943 --> 00:28:16,402 I'm sure their phone's off. 663 00:28:16,403 --> 00:28:18,278 But he came in with his little sister. 664 00:28:18,279 --> 00:28:19,446 We can talk to her. 665 00:28:19,447 --> 00:28:21,448 - What theater? - I don't know. 666 00:28:21,449 --> 00:28:23,075 Shen, try every theater. 667 00:28:23,076 --> 00:28:24,910 There's got to be over a dozen in Pittsburgh. 668 00:28:24,911 --> 00:28:26,620 Start with the ones closest to where they live. 669 00:28:26,621 --> 00:28:28,497 We need to find those parents. And call Public Health. 670 00:28:28,498 --> 00:28:30,916 Tell them we might have a measles outbreak. 671 00:28:32,585 --> 00:28:34,461 We get blood gas results back? 672 00:28:34,462 --> 00:28:35,921 I just got them. 673 00:28:35,922 --> 00:28:37,840 Methemoglobin level of 42%, 674 00:28:37,841 --> 00:28:39,425 enough for cyanosis and lethargy. 675 00:28:39,426 --> 00:28:40,843 Ooh, party on, Wayne. 676 00:28:40,844 --> 00:28:42,636 Okay, let's go ahead and start methylene blue. 677 00:28:42,637 --> 00:28:44,972 Uh, 1 mg per kg, slow IV push over five minutes. 678 00:28:44,973 --> 00:28:46,306 On it. 679 00:28:46,307 --> 00:28:48,100 Gonna need somebody to stand bedside, 680 00:28:48,101 --> 00:28:51,729 push it with a syringe. - Santos, tag, you're it. 681 00:28:51,730 --> 00:28:54,898 How long until his cyanosis resolves? 682 00:28:54,899 --> 00:28:58,569 Five minutes, bright spark. 683 00:28:58,570 --> 00:29:01,406 Oh, you two definitely got beef. 684 00:29:07,495 --> 00:29:08,829 Hi, Georgia. 685 00:29:08,830 --> 00:29:10,748 Um, this is Dr. Robby. 686 00:29:10,749 --> 00:29:13,125 He's gonna ask you some questions so we can help Flynn. 687 00:29:13,126 --> 00:29:15,461 Is that okay? 688 00:29:15,462 --> 00:29:16,503 Hi, Georgia. 689 00:29:16,504 --> 00:29:17,713 Can you tell me 690 00:29:17,714 --> 00:29:19,631 when your brother first got sick? 691 00:29:19,632 --> 00:29:21,008 A week ago. 692 00:29:21,009 --> 00:29:23,302 I was already getting better. 693 00:29:23,303 --> 00:29:25,471 You were sick, too? 694 00:29:25,472 --> 00:29:27,723 Fever, rash like Flynn? 695 00:29:27,724 --> 00:29:29,808 Has your family traveled anywhere recently 696 00:29:29,809 --> 00:29:32,686 on an airplane or to another state? 697 00:29:32,687 --> 00:29:35,147 Orlando for a dance competition 698 00:29:35,148 --> 00:29:36,732 a couple of weeks ago. 699 00:29:36,733 --> 00:29:40,360 And where on your body did the rash start? 700 00:29:40,361 --> 00:29:42,237 On my face. 701 00:29:42,238 --> 00:29:45,699 Then it went down to my legs. 702 00:29:45,700 --> 00:29:46,909 Okay. 703 00:29:46,910 --> 00:29:48,619 Thank you, Georgia. 704 00:29:48,620 --> 00:29:51,872 - Is Flynn gonna be okay? - Oh, well, yeah. 705 00:29:51,873 --> 00:29:54,792 We're gonna do everything we can to help him. 706 00:29:57,378 --> 00:29:59,004 The story is consistent with measles. 707 00:29:59,005 --> 00:30:00,964 Plenty of opportunity for exposure in Orlando 708 00:30:00,965 --> 00:30:02,216 with all the international travelers. 709 00:30:02,217 --> 00:30:03,550 Isolation? 710 00:30:03,551 --> 00:30:05,010 No, 'cause you're only infectious 711 00:30:05,011 --> 00:30:06,804 for four days after the rash starts, 712 00:30:06,805 --> 00:30:08,013 so we're past that point. 713 00:30:08,014 --> 00:30:09,807 But the altered mental status, 714 00:30:09,808 --> 00:30:11,517 he's in the right time frame for ADEM. 715 00:30:11,518 --> 00:30:13,018 ADEM? 716 00:30:13,019 --> 00:30:14,812 Acute Disseminated Encephalomyelitis, 717 00:30:14,813 --> 00:30:16,647 post-infection immune response. 718 00:30:16,648 --> 00:30:19,650 - So a head CT and an LP? - Afraid so. 719 00:30:19,651 --> 00:30:22,402 It has a 20% death rate. 720 00:30:22,403 --> 00:30:26,198 - Dr. King, this is Morgan. - Trish Gregory's daughter. 721 00:30:26,199 --> 00:30:29,368 Is my mom okay? - Oh, yeah, um, she's fine. 722 00:30:29,369 --> 00:30:31,787 Uh, Dr. Robby, do you mind if I show Morgan to her mom? 723 00:30:31,788 --> 00:30:33,956 No, go ahead. I'm going to send Flynn for a head CT 724 00:30:33,957 --> 00:30:35,415 and get Shen to prep the LP. 725 00:30:35,416 --> 00:30:36,917 What about the parents? 726 00:30:36,918 --> 00:30:38,919 I think he's still trying to find them. 727 00:30:38,920 --> 00:30:41,255 - I can help. Go. We got this. - Thanks, Lupe. 728 00:30:41,256 --> 00:30:42,714 Um, just this way. 729 00:30:42,715 --> 00:30:46,593 So she's gonna need surgery, but she's... 730 00:30:46,594 --> 00:30:48,847 - Take a seat. - What? 731 00:30:50,265 --> 00:30:51,765 Why? 732 00:30:51,766 --> 00:30:54,310 Adrenaline crash after a big event. 733 00:30:56,938 --> 00:30:59,107 A juice box? Thanks. 734 00:31:00,692 --> 00:31:04,403 What happened here today, it's not normal. 735 00:31:04,404 --> 00:31:06,238 But you... 736 00:31:06,239 --> 00:31:08,575 You were a rock star, Victoria. 737 00:31:14,664 --> 00:31:17,541 He knows my name. 738 00:31:19,627 --> 00:31:21,712 Got the IJ. 739 00:31:21,713 --> 00:31:23,964 Okay, back to business as usual, thank God. 740 00:31:23,965 --> 00:31:27,259 Guidewire and introducer. - What the hell are you doing? 741 00:31:27,260 --> 00:31:29,636 Dr. Mohan is about to pull air from the right atrium 742 00:31:29,637 --> 00:31:31,638 and right ventricle. - With what? 743 00:31:31,639 --> 00:31:34,099 - 5 French pigtail catheter. - Inside his heart? 744 00:31:34,100 --> 00:31:36,143 Multiple side-holes gives you a better shot 745 00:31:36,144 --> 00:31:37,853 at sucking out all the air. 746 00:31:37,854 --> 00:31:40,314 Dr. Abbot showed me a case report from South Korea. 747 00:31:40,315 --> 00:31:41,940 What the actual fuck? 748 00:31:41,941 --> 00:31:43,650 I just talked to cardiology. They want a CT scan. 749 00:31:43,651 --> 00:31:45,485 If it's showing air, then you need to dive him 750 00:31:45,486 --> 00:31:47,446 in the hyperbaric chamber. - He'll be dead by then. 751 00:31:47,447 --> 00:31:48,655 Not if you kill him first 752 00:31:48,656 --> 00:31:50,490 with this banana-pants procedure. 753 00:31:50,491 --> 00:31:52,200 We don't have time to wait for your fancy-pants machine. 754 00:31:52,201 --> 00:31:54,286 If we don't get the air out of his heart, he'll die. 755 00:31:54,287 --> 00:31:55,662 This is not the standard of care. 756 00:31:55,663 --> 00:31:56,997 Oh, fuck standard of care. 757 00:31:56,998 --> 00:31:58,498 If we want to save him, we go in now. 758 00:31:58,499 --> 00:31:59,666 Maybe I should... 759 00:31:59,667 --> 00:32:01,293 Thread in the pigtail? 760 00:32:01,294 --> 00:32:03,588 Excellent idea, Dr. Mohan. 761 00:32:11,012 --> 00:32:12,846 Go down to 24 centimeters, 762 00:32:12,847 --> 00:32:14,681 and then we'll confirm with X-ray. 763 00:32:14,682 --> 00:32:16,016 Good. 764 00:32:16,017 --> 00:32:17,809 Think I'll stick around in case you need 765 00:32:17,810 --> 00:32:19,519 another set of hands to resuscitate 766 00:32:19,520 --> 00:32:21,022 your patient when he crashes. 767 00:32:25,985 --> 00:32:28,570 Oh, my God. You're bleeding. What... 768 00:32:28,571 --> 00:32:30,697 Are you okay? - Mom, I'm fine. 769 00:32:32,367 --> 00:32:33,992 You got to get me out of here. 770 00:32:33,993 --> 00:32:35,702 Well, they... they just want to help you. 771 00:32:35,703 --> 00:32:37,162 We all do. - I don't need help. 772 00:32:37,163 --> 00:32:39,373 I just want to go, okay? - David... 773 00:32:39,374 --> 00:32:42,668 you haven't called me back or texted me all day. 774 00:32:42,669 --> 00:32:44,044 Mom. 775 00:32:44,045 --> 00:32:46,713 You didn't go to school. 776 00:32:46,714 --> 00:32:51,093 I saw the Instagram post you made. 777 00:32:51,094 --> 00:32:54,013 And I found the list about all the girls. 778 00:32:56,808 --> 00:32:58,517 You went through my stuff? 779 00:32:58,518 --> 00:32:59,893 - I love you. - No, Mom, Mom. 780 00:32:59,894 --> 00:33:01,561 - And I don't... - Those are my things. 781 00:33:01,562 --> 00:33:03,730 Can I just say that we all have scary thoughts? 782 00:33:03,731 --> 00:33:05,816 It does not make you a bad person. 783 00:33:05,817 --> 00:33:09,695 And... and dealing with those feelings can be hard. 784 00:33:09,696 --> 00:33:11,571 Talking to somebody can really help somebody about that. 785 00:33:11,572 --> 00:33:12,990 Oh, my God. Just shut up. 786 00:33:12,991 --> 00:33:16,076 I'm not gonna fucking talk to anyone, okay? 787 00:33:16,077 --> 00:33:18,621 You can't make me. 788 00:33:23,084 --> 00:33:25,420 David, I signed a petition. 789 00:33:27,630 --> 00:33:29,756 What the fuck? 790 00:33:29,757 --> 00:33:31,967 What, you signed some paper to get me locked up? 791 00:33:31,968 --> 00:33:34,303 I signed a petition to get you help. 792 00:33:36,347 --> 00:33:38,598 This is fucking bullshit. 793 00:33:38,599 --> 00:33:41,727 Seeing all those people come in here today... 794 00:33:41,728 --> 00:33:46,398 all those hurt people and the death and the blood... 795 00:33:46,399 --> 00:33:48,233 I was so afraid 796 00:33:48,234 --> 00:33:51,904 of you being that sad and angry. 797 00:33:54,490 --> 00:33:56,909 I cannot bear to lose you. 798 00:33:58,828 --> 00:34:01,455 I would never do something like that. 799 00:34:01,456 --> 00:34:03,957 There's nothing wrong with me. It's me, Mom. 800 00:34:03,958 --> 00:34:06,251 You know I'd never hurt someone like that. 801 00:34:06,252 --> 00:34:07,919 Please, don't... don't do this to me. 802 00:34:07,920 --> 00:34:09,629 Why are you doing this? 803 00:34:09,630 --> 00:34:14,134 All we're asking is that you speak with a professional. 804 00:34:14,135 --> 00:34:16,053 It's important to talk to somebody 805 00:34:16,054 --> 00:34:18,055 about how you're feeling. 806 00:34:18,056 --> 00:34:20,516 You think you might be open to that? 807 00:34:23,311 --> 00:34:25,645 Fuck you. 808 00:34:25,646 --> 00:34:27,814 Fuck all of you. 809 00:34:27,815 --> 00:34:30,192 Can you just get out? 810 00:34:30,193 --> 00:34:31,359 Get out! 811 00:34:37,075 --> 00:34:39,701 Hey, Perlah, can you take Theresa 812 00:34:39,702 --> 00:34:42,413 to go find a cup of tea? - Yeah, of course. 813 00:34:44,207 --> 00:34:45,957 Jesus. 814 00:34:45,958 --> 00:34:48,293 What now? 815 00:34:48,294 --> 00:34:50,337 Well, I suggested a better way, 816 00:34:50,338 --> 00:34:52,506 but you had him taken down by the police, handcuffed, 817 00:34:52,507 --> 00:34:55,008 and dragged in here. 818 00:34:55,009 --> 00:34:58,054 You made this fucking mess. You're gonna have to fix it. 819 00:35:05,520 --> 00:35:07,479 Pigtail's in the right atrium, good position. 820 00:35:07,480 --> 00:35:09,356 Aspirate, see what you get. 821 00:35:09,357 --> 00:35:11,484 Pulling back blood from the heart... 822 00:35:15,404 --> 00:35:16,613 Along with some air. 823 00:35:16,614 --> 00:35:18,031 How about that? 824 00:35:18,032 --> 00:35:20,200 BP's still only 85 systolic. 825 00:35:20,201 --> 00:35:21,952 No improvement. 826 00:35:21,953 --> 00:35:23,453 Advance slowly into the right ventricle. 827 00:35:23,454 --> 00:35:25,205 - How do I know when I'm... - PVCs. 828 00:35:25,206 --> 00:35:27,040 That's how you know. Aspirate again. 829 00:35:27,041 --> 00:35:29,668 Run of three. 830 00:35:29,669 --> 00:35:31,044 More blood and air coming out. 831 00:35:31,045 --> 00:35:32,712 - Run of five. - Non-sustained V tach. 832 00:35:32,713 --> 00:35:34,256 Charge to 200 for when he deteriorates. 833 00:35:34,257 --> 00:35:35,549 Mainly blood now. 834 00:35:35,550 --> 00:35:37,050 Pull the pigtail back to the RA. 835 00:35:37,051 --> 00:35:38,927 - Step aside. - Pull the pigtail, Dr. Mohan. 836 00:35:38,928 --> 00:35:40,805 - Step aside! - You got this. 837 00:35:42,473 --> 00:35:45,433 Normal sinus rhythm, 92. 838 00:35:45,434 --> 00:35:50,106 Pulse ox is improving. BP's 112 over 84. 839 00:35:55,278 --> 00:35:57,571 Not too shabby, huh, Dr. Walsh? 840 00:35:57,572 --> 00:35:59,447 I think we can admit him to General Surgery now. 841 00:35:59,448 --> 00:36:01,116 Hell, no. 842 00:36:01,117 --> 00:36:03,535 - He's a gunshot victim. - Admit him to the cardiac ICU. 843 00:36:03,536 --> 00:36:04,870 We'll consult from there. 844 00:36:04,871 --> 00:36:06,746 Well, you can admit him yourself, 845 00:36:06,747 --> 00:36:08,665 with Cardiology consulting. 846 00:36:08,666 --> 00:36:10,584 I thought you liked flying the plane. 847 00:36:10,585 --> 00:36:12,587 Not when it's gonna crash. 848 00:36:17,508 --> 00:36:18,925 Solid work. 849 00:36:18,926 --> 00:36:21,386 That was your save, not mine. 850 00:36:21,387 --> 00:36:23,847 Take the win, Dr. Mohan. 851 00:36:23,848 --> 00:36:26,266 Thanks. 852 00:36:26,267 --> 00:36:30,228 Besides, it was a little too risky for me to do myself. 853 00:36:30,229 --> 00:36:32,273 - What? - Suture. 854 00:36:36,027 --> 00:36:39,112 Whoa, this is so cool. 855 00:36:39,113 --> 00:36:41,032 Blue plus blue equals pink. 856 00:36:43,034 --> 00:36:45,285 Can you tell us your name? 857 00:36:45,286 --> 00:36:46,786 Max. 858 00:36:46,787 --> 00:36:49,122 Max, can you tell us what you took? 859 00:36:49,123 --> 00:36:50,957 Sleep. 860 00:36:50,958 --> 00:36:53,001 Yeah, he might need a second dose of methylene blue 861 00:36:53,002 --> 00:36:55,837 if his methemoglobin level stays above 30. 862 00:36:55,838 --> 00:36:57,505 This definitely wasn't poppers. 863 00:36:57,506 --> 00:36:59,966 He would have had to have sniffed, like, a gallon of it. 864 00:36:59,967 --> 00:37:02,802 So what caused the overdose? 865 00:37:02,803 --> 00:37:04,804 Got to wait for him to wake up 866 00:37:04,805 --> 00:37:06,307 so we can get more answers. 867 00:37:09,060 --> 00:37:10,310 Trish... 868 00:37:10,311 --> 00:37:12,395 I have a special visitor for you. 869 00:37:12,396 --> 00:37:15,815 Mom, are you okay? 870 00:37:15,816 --> 00:37:18,652 Yeah, I'm fine. 871 00:37:18,653 --> 00:37:21,071 Okay. I was so scared. 872 00:37:21,072 --> 00:37:23,615 - I know. - And Dad. 873 00:37:33,084 --> 00:37:35,001 - You okay? - Mm-hmm. 874 00:37:35,002 --> 00:37:37,963 Just... my patient hasn't seen her daughter, 875 00:37:37,964 --> 00:37:40,674 and it won't... it won't happen again. 876 00:37:40,675 --> 00:37:44,636 Never apologize for feeling something for your patients. 877 00:37:44,637 --> 00:37:47,847 Today was chaos. 878 00:37:47,848 --> 00:37:50,225 You were awesome. 879 00:37:50,226 --> 00:37:53,311 I'm really glad you're with us, Dr. King. 880 00:37:53,312 --> 00:37:56,564 Robby, Flynn's parents are here, the measles kid. 881 00:37:56,565 --> 00:37:58,943 You should go home. 882 00:38:02,280 --> 00:38:04,030 How did Flynn get measles? 883 00:38:04,031 --> 00:38:06,491 Uh, from his sister. Hi. I'm Dr. Robby. 884 00:38:06,492 --> 00:38:08,326 Georgia is fine. She's in our staff room. 885 00:38:08,327 --> 00:38:10,453 She's the one who actually called 911 886 00:38:10,454 --> 00:38:12,789 and probably saved her brother's life. 887 00:38:12,790 --> 00:38:15,041 Georgia was sick, but she got better on her own quickly. 888 00:38:15,042 --> 00:38:17,502 Yeah, many people get better on their own, like Georgia. 889 00:38:17,503 --> 00:38:20,171 However, as many as 1 in 20 kids that get measles 890 00:38:20,172 --> 00:38:22,132 get pneumonia, like your son. 891 00:38:22,133 --> 00:38:24,050 Are your children vaccinated against measles? 892 00:38:24,051 --> 00:38:25,802 No. 893 00:38:25,803 --> 00:38:28,680 The MMR vaccine is perfectly safe. 894 00:38:28,681 --> 00:38:30,348 Measles is not. 895 00:38:30,349 --> 00:38:32,309 We're concerned about inflammation 896 00:38:32,310 --> 00:38:35,020 and possible damage to Flynn's brain and spinal cord. 897 00:38:35,021 --> 00:38:36,479 The measles got to his brain? 898 00:38:36,480 --> 00:38:38,606 Well, his head CT was normal, but the only way 899 00:38:38,607 --> 00:38:41,901 to find out if he's okay is to perform a lumbar puncture. 900 00:38:41,902 --> 00:38:43,403 A spinal tap? 901 00:38:43,404 --> 00:38:45,071 I've read about kids who've been paralyzed 902 00:38:45,072 --> 00:38:46,614 from a spinal tap. 903 00:38:46,615 --> 00:38:48,533 There is zero risk of paralysis. 904 00:38:48,534 --> 00:38:50,243 What about bleeding or infection? 905 00:38:50,244 --> 00:38:52,412 It's a perfectly safe procedure... we do it every day. 906 00:38:52,413 --> 00:38:54,039 We need spinal fluid to see 907 00:38:54,040 --> 00:38:56,458 if Flynn has acute disseminated encephalomyelitis. 908 00:38:56,459 --> 00:38:58,126 And if he does? 909 00:38:58,127 --> 00:39:00,211 We treat with high-dose steroids to decrease the risk 910 00:39:00,212 --> 00:39:03,048 of blindness, deafness, intellectual disability, 911 00:39:03,049 --> 00:39:04,215 even death. 912 00:39:04,216 --> 00:39:05,800 He could die from this? 913 00:39:05,801 --> 00:39:08,428 Yes, the death rate from ADEM is high... 1 in 5. 914 00:39:08,429 --> 00:39:10,013 Do the spinal tap. 915 00:39:10,014 --> 00:39:12,265 No! 916 00:39:12,266 --> 00:39:14,267 Can't you just give him steroids 917 00:39:14,268 --> 00:39:16,728 without the spinal tap? - If there's no ADEM, 918 00:39:16,729 --> 00:39:18,438 the steroids could suppress his immune system, 919 00:39:18,439 --> 00:39:20,357 making it harder to fight off the pneumonia. 920 00:39:20,358 --> 00:39:21,691 But it says here that... 921 00:39:21,692 --> 00:39:24,027 Can you put your damn phone away? 922 00:39:24,028 --> 00:39:25,236 Your son is critically ill. 923 00:39:25,237 --> 00:39:26,780 The longer that we wait, 924 00:39:26,781 --> 00:39:28,448 the higher the risk of permanent brain damage. 925 00:39:28,449 --> 00:39:30,450 What is not clear here? 926 00:39:30,451 --> 00:39:32,619 Hillary, he has a tube down his throat. 927 00:39:32,620 --> 00:39:34,120 He can't breathe on his own. 928 00:39:34,121 --> 00:39:36,289 They're not poking holes in my son's spine! 929 00:39:36,290 --> 00:39:37,457 Wow. 930 00:39:37,458 --> 00:39:39,209 Okay. 931 00:39:39,210 --> 00:39:41,920 Let's just wait and see if he gets better. 932 00:39:41,921 --> 00:39:43,296 Dr. King, could you please take 933 00:39:43,297 --> 00:39:44,631 Flynn's parents to see their daughter? 934 00:39:44,632 --> 00:39:47,467 No problem. 935 00:39:47,468 --> 00:39:49,469 They are going to see their daughter. 936 00:39:49,470 --> 00:39:50,595 Fucking Dr. Google bullshit. 937 00:39:50,596 --> 00:39:51,930 They want medical treatment, 938 00:39:51,931 --> 00:39:53,473 but they don't want medical advice. 939 00:39:53,474 --> 00:39:55,141 What the actual fuck are we doing? 940 00:39:55,142 --> 00:39:56,976 Yeah, I know, and we'll keep trying. 941 00:39:56,977 --> 00:39:58,812 Hey, you okay, boss? - Yes. 942 00:39:58,813 --> 00:40:00,021 Hey, Whitaker. 943 00:40:00,022 --> 00:40:02,941 You got a minute? - Yeah, yeah. 944 00:40:02,942 --> 00:40:06,486 I just wanted to say thank you 945 00:40:06,487 --> 00:40:09,781 for earlier when I was, um... 946 00:40:09,782 --> 00:40:13,493 Oh, your brief moment of silent reflection? 947 00:40:13,494 --> 00:40:15,662 Yeah. You didn't mention that to anybody? 948 00:40:15,663 --> 00:40:17,997 - No, no. God, no. No. - I don't know what that was. 949 00:40:17,998 --> 00:40:20,584 I was just... felt like I was drowning. 950 00:40:22,336 --> 00:40:25,588 What was that you were reciting? 951 00:40:25,589 --> 00:40:26,923 It's called the Shema prayer. 952 00:40:26,924 --> 00:40:29,759 It's a declaration of faith in God. 953 00:40:29,760 --> 00:40:32,804 I lived with my grandmother when I was little, 954 00:40:32,805 --> 00:40:36,015 and she and I used to recite it every morning. 955 00:40:36,016 --> 00:40:38,351 "Even youths grow tired and weary, 956 00:40:38,352 --> 00:40:40,854 "and young men stumble and fall. 957 00:40:40,855 --> 00:40:44,649 "But those who hold hope in the Lord 958 00:40:44,650 --> 00:40:46,818 "will renew their strength 959 00:40:46,819 --> 00:40:50,029 and soar on wings like eagles." 960 00:40:50,030 --> 00:40:52,532 It's Isaiah 40. 961 00:40:52,533 --> 00:40:55,577 I was an undergrad theology major. 962 00:40:55,578 --> 00:40:57,455 I don't know why I said that. 963 00:40:58,831 --> 00:41:00,915 I don't know if I actually believe in God, 964 00:41:00,916 --> 00:41:02,918 especially on days like today. 965 00:41:04,837 --> 00:41:09,215 A wise man once told me that you learn to live with it, 966 00:41:09,216 --> 00:41:11,426 learn to accept it, 967 00:41:11,427 --> 00:41:14,221 and find balance if you can. 968 00:41:16,432 --> 00:41:18,850 I hope we all do. 969 00:41:31,405 --> 00:41:32,697 Only one pink left. 970 00:41:32,698 --> 00:41:34,407 The rest all went up. 971 00:41:34,408 --> 00:41:35,909 Hey. 972 00:41:35,910 --> 00:41:37,535 You guys need any help with new patients, or... 973 00:41:37,536 --> 00:41:38,995 No, no, no. We're good. 974 00:41:38,996 --> 00:41:40,413 It's quick and easy stuff. Go home. 975 00:41:40,414 --> 00:41:41,581 - Yeah? - Yeah. 976 00:41:41,582 --> 00:41:43,167 - Hey, you got a second? - Yeah. 977 00:41:46,295 --> 00:41:47,587 What is up with Robby? 978 00:41:47,588 --> 00:41:49,047 He's been better. 979 00:41:49,048 --> 00:41:50,632 I'm really worried about him. 980 00:41:50,633 --> 00:41:52,717 I've never seen him like this. Have you? 981 00:41:52,718 --> 00:41:55,094 No. 982 00:41:55,095 --> 00:41:57,764 How about you, slugger? 983 00:41:57,765 --> 00:41:59,098 Been better. 984 00:41:59,099 --> 00:42:01,100 - Preach. - Yeah. 985 00:42:03,229 --> 00:42:05,271 Sorry to interrupt. 986 00:42:05,272 --> 00:42:08,066 Oh, uh, if you guys are looking for Officer Stefano, 987 00:42:08,067 --> 00:42:09,901 he went up to surgery about an hour ago. 988 00:42:09,902 --> 00:42:12,153 We're looking for Dr. Cassie McKay. 989 00:42:12,154 --> 00:42:14,656 Uh, yeah, that's me. 990 00:42:14,657 --> 00:42:16,115 We were alerted about your ankle monitor 991 00:42:16,116 --> 00:42:17,784 being tampered with. 992 00:42:17,785 --> 00:42:19,619 County probation called to check in earlier, 993 00:42:19,620 --> 00:42:21,371 but you never responded. 994 00:42:21,372 --> 00:42:23,915 Yeah, it was... it was beeping and giving an error message. 995 00:42:23,916 --> 00:42:27,126 And we were in the middle of a mass casualty from PittFest. 996 00:42:27,127 --> 00:42:30,630 Did you tamper with your ankle monitor? 997 00:42:33,133 --> 00:42:35,635 Yeah, I, um... I might have... 998 00:42:35,636 --> 00:42:37,428 I might have drilled a hole in it. 999 00:42:37,429 --> 00:42:39,472 Officers, look around. She was saving lives. 1000 00:42:39,473 --> 00:42:40,932 Put your hands behind your head. 1001 00:42:40,933 --> 00:42:42,225 Whoa! 1002 00:42:42,226 --> 00:42:43,643 Whoa, whoa, whoa, hang on a second. 1003 00:42:43,644 --> 00:42:45,728 - Are you joking? - Officers, wait a second. 1004 00:42:45,729 --> 00:42:47,564 You're under arrest. 1005 00:42:49,316 --> 00:42:51,735 Great.