1 00:00:10,802 --> 00:00:12,637 You know where your son is now? 2 00:00:12,721 --> 00:00:15,265 No, but he hasn't done anything. 3 00:00:15,306 --> 00:00:16,808 Officer, why are you here? 4 00:00:16,850 --> 00:00:18,977 We received a call that her son, David, 5 00:00:19,060 --> 00:00:21,813 has created a list of girls he would like to eliminate. 6 00:00:21,855 --> 00:00:23,273 Who called you? 7 00:00:23,314 --> 00:00:25,400 Do you know anything about this list? 8 00:00:25,483 --> 00:00:26,818 Somebody called you. Who? 9 00:00:26,860 --> 00:00:28,403 Somebody from my hospital? 10 00:00:28,486 --> 00:00:31,656 Uh, Dr. McKay. 11 00:00:31,698 --> 00:00:33,658 - Air retinue, ETA now. - Who is that? 12 00:00:33,700 --> 00:00:35,410 Air retinue, ETA now. 13 00:00:35,493 --> 00:00:37,287 I will be right back. 14 00:00:39,247 --> 00:00:41,291 [elevator dings] 15 00:00:41,332 --> 00:00:45,045 Teddy, 28 years old, burned in a gas tank explosion. 16 00:00:45,128 --> 00:00:46,880 Paramedics estimate 90% BSA. 17 00:00:46,963 --> 00:00:48,506 Trauma 1's open. 18 00:00:48,548 --> 00:00:50,050 We managed to get a 20 gauge on the right AC. 19 00:00:50,133 --> 00:00:51,801 First liter of LR running wide open. 20 00:00:51,843 --> 00:00:54,179 Vitals are good, pulse ox 97. 21 00:00:54,220 --> 00:00:56,473 Teddy, are you in a lot of pain right now? 22 00:00:56,514 --> 00:00:58,850 [hoarsely] Not as much as I should be. 23 00:00:58,933 --> 00:01:01,519 OK. 24 00:01:01,603 --> 00:01:03,855 Mainly third degree. 25 00:01:03,938 --> 00:01:06,691 Singed nasal hairs. Soot in oropharynx. 26 00:01:06,733 --> 00:01:08,443 Do you have family on the way? 27 00:01:08,526 --> 00:01:10,028 Amy. My wife. 28 00:01:10,070 --> 00:01:11,529 What happened? 29 00:01:11,571 --> 00:01:13,239 I was transferring gas from a 200-gallon 30 00:01:13,323 --> 00:01:15,366 fuel tank to my tractor. 31 00:01:15,450 --> 00:01:16,493 Kaboom. 32 00:01:16,533 --> 00:01:17,827 Let's set up for intubation. 33 00:01:17,869 --> 00:01:19,204 Whitaker, run the Parkland formula. 34 00:01:19,287 --> 00:01:21,039 OK, titrate morphine. Page Garcia. 35 00:01:21,122 --> 00:01:22,664 And I will be back for the intubation. 36 00:01:22,707 --> 00:01:23,958 On it, boss. 37 00:01:25,543 --> 00:01:27,545 Don't, don't, don't! Don't touch me! 38 00:01:27,629 --> 00:01:29,214 I'm fine. 39 00:01:29,297 --> 00:01:31,174 Jesus fucking Christ! 40 00:01:32,133 --> 00:01:34,551 [groans] 41 00:01:34,594 --> 00:01:37,180 - It's... it's OK. - OK. 42 00:01:37,222 --> 00:01:38,556 - I'm fine. - OK. OK, come here. 43 00:01:38,598 --> 00:01:39,973 - Holy shit! - Whoa, whoa, whoa, whoa! 44 00:01:40,058 --> 00:01:42,060 - Grabbing ice packs. - I got the cart. 45 00:01:42,102 --> 00:01:43,353 What happened? 46 00:01:43,394 --> 00:01:45,563 Just got punched. Just took a fall. 47 00:01:45,646 --> 00:01:47,107 OK. I'm fine. 48 00:01:47,190 --> 00:01:48,858 Who punched you? 49 00:01:48,900 --> 00:01:50,026 Just an unhappy patient. 50 00:01:50,068 --> 00:01:51,569 - A patient hit you? - Yeah. 51 00:01:51,610 --> 00:01:53,238 Happens all the time. I got my cheek broken. 52 00:01:53,279 --> 00:01:55,115 - I lost a tooth. - Oh. 53 00:01:55,198 --> 00:01:58,243 - We've all been assaulted. - Go get Ahmad. 54 00:01:58,283 --> 00:02:00,995 - Did you hit your head? - Uh, yep, probably, 55 00:02:01,079 --> 00:02:04,582 but no LOC, just... just a bloody nose. 56 00:02:04,666 --> 00:02:05,583 OK, pressure. 57 00:02:05,667 --> 00:02:07,252 OK, OK, OK. 58 00:02:07,335 --> 00:02:09,253 Any trouble seeing? Any double vision? 59 00:02:09,336 --> 00:02:11,422 - No. - I'll grab you new scrubs. 60 00:02:11,506 --> 00:02:13,424 - What about a headache? - A little, yeah. 61 00:02:13,508 --> 00:02:15,552 - We need to find her a room. - I do not need a room! 62 00:02:15,593 --> 00:02:16,970 Dave, move North 1 to the hall. 63 00:02:17,053 --> 00:02:18,596 - Follow my finger. - [breathing heavily] 64 00:02:18,638 --> 00:02:22,934 Right, left, up, down. 65 00:02:22,976 --> 00:02:24,477 EOM is intact. 66 00:02:24,561 --> 00:02:26,228 Who did this? 67 00:02:26,271 --> 00:02:27,897 It was a pissed off patient, but he split, 68 00:02:27,939 --> 00:02:29,107 so just forget it. 69 00:02:29,149 --> 00:02:30,775 Forget... hell no. 70 00:02:30,817 --> 00:02:32,152 Look, I want a name. 71 00:02:33,653 --> 00:02:35,780 Doug Driscoll. Doug Driscoll. 72 00:02:35,864 --> 00:02:38,241 - That asshole in Chairs? - Yeah. 73 00:02:38,283 --> 00:02:39,284 I'm calling the cops. 74 00:02:39,325 --> 00:02:40,743 I'll get a wheelchair. 75 00:02:41,953 --> 00:02:43,746 Pupils are equal and reactive. 76 00:02:45,415 --> 00:02:47,417 No septal hematoma. 77 00:02:47,458 --> 00:02:49,586 Should someone call your husband? 78 00:02:49,627 --> 00:02:51,421 - Absolutely not. - OK. 79 00:02:51,462 --> 00:02:53,089 - [sighs] - Tell me when it's sore. 80 00:02:55,258 --> 00:02:56,801 Ah! [gasping] 81 00:02:56,885 --> 00:02:59,262 Tender at the nasion. CT head and maxillofacial. 82 00:02:59,304 --> 00:03:00,805 I'll give them a heads up. 83 00:03:00,889 --> 00:03:02,265 Is that really necessary? 84 00:03:02,307 --> 00:03:03,725 You have at least one facial fracture. 85 00:03:03,808 --> 00:03:05,310 With the headache and the fall, 86 00:03:05,351 --> 00:03:07,770 I want to rule out anything intracranial. 87 00:03:07,812 --> 00:03:10,440 OK, who can step up for Dana 88 00:03:10,481 --> 00:03:11,566 while she's getting checked out? 89 00:03:11,649 --> 00:03:12,567 - Perlah. - Thank you. 90 00:03:12,650 --> 00:03:16,321 [both speaking Tagalog] 91 00:03:16,362 --> 00:03:18,781 OK, guys, we got about three hours left in this shift, 92 00:03:18,823 --> 00:03:20,158 and I need everybody to step up. 93 00:03:20,241 --> 00:03:21,159 - Is that clear? - Yes. 94 00:03:21,242 --> 00:03:22,285 - Yep. - Yes, sir. 95 00:03:23,995 --> 00:03:25,288 I can't believe they allow you 96 00:03:25,329 --> 00:03:26,998 around med students, Langdon. 97 00:03:27,040 --> 00:03:28,166 Don't pick up any of his bad habits. 98 00:03:28,249 --> 00:03:29,459 You know the difference 99 00:03:29,500 --> 00:03:30,960 between surgeons and serial killers? 100 00:03:31,002 --> 00:03:32,170 Serial killers don't bill their victims. 101 00:03:32,212 --> 00:03:33,463 Cute. 102 00:03:33,504 --> 00:03:35,089 You guys staying ahead with his fluids? 103 00:03:35,173 --> 00:03:37,759 Per the Parkland, 4 per kilo times 90% burned. 104 00:03:37,841 --> 00:03:39,802 - Wow. - 27 liters over 24 hours. 105 00:03:39,844 --> 00:03:41,679 He's had two so far. 106 00:03:41,721 --> 00:03:44,265 Lactated ringers at 1.785 liters per hour 107 00:03:44,349 --> 00:03:45,475 for the next seven hours. 108 00:03:45,516 --> 00:03:46,476 I'll program the pump. 109 00:03:46,517 --> 00:03:48,478 We got a second IV. 110 00:03:48,519 --> 00:03:50,021 Hello, sir. I'm Dr. Garcia. 111 00:03:50,103 --> 00:03:51,522 Need to peek under these dressings. 112 00:03:51,606 --> 00:03:52,857 Are we ready to intubate? 113 00:03:52,899 --> 00:03:55,235 Wife should be here any minute. 114 00:03:55,317 --> 00:03:58,196 Whitaker, earlier, you said third degree. 115 00:03:58,279 --> 00:04:00,073 We refer to burns as either being full thickness 116 00:04:00,156 --> 00:04:01,699 or partial thickness. 117 00:04:01,783 --> 00:04:04,327 Looks like 60% to 70% full, 20% to 30% partial. 118 00:04:04,369 --> 00:04:05,870 Intubation meds? 119 00:04:05,912 --> 00:04:07,622 - 120 Rocuronium, 100 Ketamine. - Got it. 120 00:04:07,705 --> 00:04:08,873 Can you draw them up and hold them? 121 00:04:08,957 --> 00:04:10,166 Vitals are good, but gonna need 122 00:04:10,208 --> 00:04:12,377 a pan scan after intubation. 123 00:04:12,418 --> 00:04:13,711 Oh, my God! 124 00:04:13,795 --> 00:04:15,880 Oh, my God! No, no, no. 125 00:04:15,922 --> 00:04:17,548 Oh, Teddy. 126 00:04:17,632 --> 00:04:18,675 I... I'm Amy. 127 00:04:18,716 --> 00:04:20,051 I'm Teddy's wife. How is he? 128 00:04:20,093 --> 00:04:21,386 He's stable for now. 129 00:04:21,427 --> 00:04:23,596 - I'm OK, honey. - OK. 130 00:04:23,680 --> 00:04:25,223 Teddy, you've got severe burns 131 00:04:25,265 --> 00:04:26,891 covering most of your body. 132 00:04:26,933 --> 00:04:28,726 You've also burned the inside of your throat. 133 00:04:28,768 --> 00:04:30,937 Just to be safe, I need to put in a breathing tube, 134 00:04:31,020 --> 00:04:32,397 and you won't be able to speak. 135 00:04:32,480 --> 00:04:34,524 We need to do this now before his throat swells, 136 00:04:34,565 --> 00:04:36,359 and it becomes difficult for him to breathe. 137 00:04:36,401 --> 00:04:37,986 So if there's anything you two want to say to each other, 138 00:04:38,069 --> 00:04:40,738 this is the time to do it. 139 00:04:40,780 --> 00:04:41,739 OK. 140 00:04:41,781 --> 00:04:43,866 I'm gonna be OK. 141 00:04:43,908 --> 00:04:45,909 [crying] 142 00:04:45,952 --> 00:04:47,245 Can... can I kiss him? 143 00:04:47,328 --> 00:04:48,830 Yes, of course. 144 00:04:55,628 --> 00:04:56,587 - [chuckles] - [coughing] 145 00:04:56,629 --> 00:04:57,588 Ready to intubate. 146 00:04:57,672 --> 00:04:58,756 Push Ketamine, then Roc. 147 00:04:58,840 --> 00:05:00,258 I'm right here, OK? 148 00:05:00,341 --> 00:05:01,759 Code stroke, emergency department. 149 00:05:01,801 --> 00:05:03,428 Code stroke, emergency department. 150 00:05:03,469 --> 00:05:06,347 - Ketamine is going in. - OK, I will be right back. 151 00:05:09,267 --> 00:05:11,602 Jane Doe, looks like she's in her 20s. 152 00:05:11,686 --> 00:05:14,397 Obvious aphasia, right-sided hemiparesis, and facial droop. 153 00:05:14,439 --> 00:05:16,274 - Hi. What's your name? - [moaning] 154 00:05:16,357 --> 00:05:18,109 Nod your head if you understand. 155 00:05:18,192 --> 00:05:19,652 Receptive and expressive aphasia. 156 00:05:19,736 --> 00:05:21,279 No motor strength in the right arm. 157 00:05:21,321 --> 00:05:22,447 Open your mouth. 158 00:05:22,530 --> 00:05:24,657 [moaning, choking] 159 00:05:24,741 --> 00:05:27,452 Gag reflex present. 160 00:05:27,493 --> 00:05:29,120 Left motor intact. 161 00:05:29,162 --> 00:05:31,247 BP's 150 over 88. 162 00:05:31,289 --> 00:05:32,999 - Where should we go? - AccuCheck is 73. 163 00:05:33,082 --> 00:05:34,459 Straight to Radiology. 164 00:05:34,542 --> 00:05:36,753 CT brain without contrast, perfusion scan, 165 00:05:36,794 --> 00:05:38,379 CT angio head and neck. 166 00:05:38,463 --> 00:05:40,631 - Hey, Crowe, wanna hang back? - Yeah. 167 00:05:40,715 --> 00:05:41,966 So you didn't get a name on her? 168 00:05:42,050 --> 00:05:43,134 Uh, we looked. 169 00:05:43,217 --> 00:05:44,969 Couldn't find a wallet or an ID. 170 00:05:45,011 --> 00:05:46,387 But we had to jam out of there 'cause it was a Code Stroke. 171 00:05:46,471 --> 00:05:47,972 - Who called 911? - Well, apparently, 172 00:05:48,056 --> 00:05:49,599 our Jane Doe is a professional gamer. 173 00:05:49,640 --> 00:05:51,476 She was a no-show for some big tournament. 174 00:05:51,517 --> 00:05:53,853 So her teammate in Dubai calls another teammate in Houston, 175 00:05:53,936 --> 00:05:56,022 who called 911 here. 176 00:05:56,105 --> 00:05:57,482 Who gets a stroke in their 20s? 177 00:05:57,565 --> 00:05:59,108 That's what you get to figure out. 178 00:05:59,150 --> 00:06:02,153 OK, come find me after the scan results are back. 179 00:06:06,407 --> 00:06:08,117 Who called the cops on David Saunders? 180 00:06:08,159 --> 00:06:09,660 I did. 181 00:06:09,744 --> 00:06:11,579 Mom! 182 00:06:11,662 --> 00:06:13,164 Harrison? 183 00:06:13,206 --> 00:06:15,833 Hey. Hey. 184 00:06:15,875 --> 00:06:17,668 Are you OK? How'd you get here? 185 00:06:17,752 --> 00:06:19,504 With Dad. 186 00:06:19,587 --> 00:06:22,673 Chad Ashcroft, 39, skateboarding accident. 187 00:06:22,715 --> 00:06:24,509 Deformity of the right ankle. 188 00:06:24,550 --> 00:06:25,843 No LOC, good vitals. 189 00:06:25,927 --> 00:06:28,054 Got four of morphine en route. 190 00:06:28,137 --> 00:06:29,847 Skateboarding? Really? 191 00:06:29,889 --> 00:06:30,890 I'm fine, by the way. 192 00:06:30,973 --> 00:06:33,017 You know this guy? 193 00:06:33,058 --> 00:06:35,311 Unfortunately. 194 00:06:35,353 --> 00:06:37,480 - Ah! - Looks trimalleolar. 195 00:06:37,522 --> 00:06:38,523 I was hoping for a dislocation. 196 00:06:38,564 --> 00:06:39,690 40 hospitals in Pittsburgh, 197 00:06:39,732 --> 00:06:40,983 and you just had to choose mine? 198 00:06:41,025 --> 00:06:42,193 You think I want to be in this shithole? 199 00:06:42,276 --> 00:06:43,528 I told him to take me to Presby. 200 00:06:43,569 --> 00:06:44,862 You were the closest hospital, 201 00:06:44,904 --> 00:06:46,614 so here we are. Where should we put him? 202 00:06:46,697 --> 00:06:48,491 - On the curb? - Ah. 203 00:06:48,533 --> 00:06:49,867 Are you two family? 204 00:06:49,909 --> 00:06:52,537 - Ex. - Ex. 205 00:06:52,578 --> 00:06:55,415 This is Chad, Harrison's dad. 206 00:06:55,498 --> 00:06:58,918 Oh, nice to finally put a face to a name. 207 00:06:59,001 --> 00:07:00,336 What's open? 208 00:07:00,378 --> 00:07:02,046 McKay, stay with your kid. 209 00:07:02,130 --> 00:07:04,173 Let's take this half-pipe prince 210 00:07:04,215 --> 00:07:05,758 to South 19. 211 00:07:11,472 --> 00:07:14,725 - Hey, what's the golden rule? - No hospitals. 212 00:07:14,809 --> 00:07:18,146 OK, let's add "no skating without a helmet ever again." 213 00:07:18,229 --> 00:07:19,981 - You hear me? - Yes, Mom. 214 00:07:24,777 --> 00:07:26,571 When was the last time you took a bath? 215 00:07:28,322 --> 00:07:29,365 Where's Robby? 216 00:07:29,407 --> 00:07:31,409 Intubating the burn patient. 217 00:07:33,161 --> 00:07:35,538 Ma'am, can you close your eyes for me? 218 00:07:37,707 --> 00:07:39,082 Robby, it's Samira. 219 00:07:39,125 --> 00:07:41,919 Jane Doe's CT came back... no bleed, 220 00:07:42,003 --> 00:07:44,547 but there was a carotid artery dissection left neck 221 00:07:44,589 --> 00:07:46,007 with a thrombus that threw a clot 222 00:07:46,090 --> 00:07:48,551 to the left middle cerebral artery. 223 00:07:49,594 --> 00:07:50,678 OK, got it. 224 00:07:50,761 --> 00:07:52,180 We'll wait. 225 00:07:52,263 --> 00:07:53,389 With no intracranial hemorrhage, 226 00:07:53,431 --> 00:07:55,099 she might be a TNK candidate. 227 00:07:55,141 --> 00:07:57,935 But couldn't TNK cause a brain bleed and kill her? 228 00:07:57,977 --> 00:08:00,438 TNK is still the best clot-busting possibility. 229 00:08:00,480 --> 00:08:03,608 Um, shouldn't we do endovascular therapy? 230 00:08:03,649 --> 00:08:06,777 I mean, it's the safest option to... 231 00:08:06,819 --> 00:08:10,615 What do you call a Tyrannosaurus under stress? 232 00:08:10,656 --> 00:08:12,074 What? 233 00:08:12,116 --> 00:08:13,451 A nervous Rex. 234 00:08:13,534 --> 00:08:15,203 Dr. King, meet Dr. Mehta, 235 00:08:15,286 --> 00:08:17,371 one of our esteemed stroke neurologists. 236 00:08:18,789 --> 00:08:19,749 How's the patient? 237 00:08:19,790 --> 00:08:21,292 NIH stroke scale of 27, 238 00:08:21,334 --> 00:08:23,711 no last known well time. 239 00:08:23,794 --> 00:08:27,131 Dr. Mehta, should we take her to EVT? 240 00:08:27,215 --> 00:08:28,633 Not yet. 241 00:08:28,674 --> 00:08:29,967 We'll take her for a spin in the MRI, 242 00:08:30,009 --> 00:08:31,636 check for irreversible damage first. 243 00:08:31,677 --> 00:08:33,304 If there's a diffusion-flare mismatch, 244 00:08:33,346 --> 00:08:34,972 she's still in the window for thrombolytics. 245 00:08:35,014 --> 00:08:36,599 And she still gets EVT... 246 00:08:36,640 --> 00:08:38,183 two-for-one special. 247 00:08:40,311 --> 00:08:42,104 What type of person is best suited 248 00:08:42,145 --> 00:08:43,773 to work with an MRI machine? 249 00:08:43,813 --> 00:08:45,358 A trained technician. 250 00:08:45,441 --> 00:08:47,818 Someone with a magnetic personality. 251 00:08:47,860 --> 00:08:49,153 [chuckles] 252 00:08:49,195 --> 00:08:50,488 That one's new. 253 00:08:50,571 --> 00:08:51,614 [chuckles] 254 00:08:53,533 --> 00:08:54,825 Somebody punched her? 255 00:08:54,909 --> 00:08:56,619 A patient. Broke her nose. 256 00:08:56,661 --> 00:08:57,995 Is she OK? 257 00:08:58,079 --> 00:08:59,956 Robby checked her out, sent her to CT. 258 00:08:59,997 --> 00:09:01,457 Sorry to interrupt the hot goss, 259 00:09:01,499 --> 00:09:03,000 but what about me? 260 00:09:03,042 --> 00:09:06,170 Uh, you got some pretty good cuts here, sir. 261 00:09:06,212 --> 00:09:07,255 We're working on closing them up 262 00:09:07,338 --> 00:09:09,257 to prevent infection. 263 00:09:09,340 --> 00:09:11,342 Yeah, can you call in a plastic surgeon? 264 00:09:11,425 --> 00:09:14,762 Uh, the lacerations aren't that deep. 265 00:09:14,845 --> 00:09:16,597 Medical glue should do the trick. 266 00:09:16,681 --> 00:09:18,182 If you have any extra, do you want 267 00:09:18,224 --> 00:09:20,184 to maybe apply some to his lips? 268 00:09:20,226 --> 00:09:22,019 Your son was worried about you 269 00:09:22,061 --> 00:09:24,355 and wanted to make sure you were OK. 270 00:09:24,397 --> 00:09:26,023 - Are you OK? - Yeah, totally. 271 00:09:26,107 --> 00:09:28,526 Just a few battle wounds. [chuckles] 272 00:09:28,568 --> 00:09:30,695 Uh, did you hear? Dana got assaulted. 273 00:09:30,736 --> 00:09:32,196 - What? - Yeah. Patient. 274 00:09:32,238 --> 00:09:33,406 Broke her nose. 275 00:09:33,489 --> 00:09:34,865 When can I get out of here, please? 276 00:09:34,949 --> 00:09:36,909 We're waiting for Radiology to come down 277 00:09:36,993 --> 00:09:39,370 with a portable X-ray machine 278 00:09:39,453 --> 00:09:42,039 so we can take a better look at your leg. 279 00:09:42,081 --> 00:09:44,375 You'll need a splint and eventually a cast. 280 00:09:44,417 --> 00:09:45,668 Ah, hear that? 281 00:09:45,710 --> 00:09:47,587 Your dad's gonna have a cool cast. 282 00:09:47,670 --> 00:09:49,714 Big Harry in the house. Up top. 283 00:09:49,797 --> 00:09:52,174 Mateo! 284 00:09:52,216 --> 00:09:54,510 I told my dad that we went skateboarding last weekend. 285 00:09:54,552 --> 00:09:56,554 - Ah! - So he took me today, 286 00:09:56,637 --> 00:09:57,888 - and... - Ah. 287 00:09:57,972 --> 00:10:00,057 Then he fell and broke his leg. 288 00:10:00,099 --> 00:10:01,892 [whispering] Yeah, I can see that. 289 00:10:01,976 --> 00:10:03,811 [normally] Hey, man. Mateo. 290 00:10:03,894 --> 00:10:05,479 Hey. 291 00:10:05,563 --> 00:10:07,023 Ugh. 292 00:10:07,064 --> 00:10:08,733 You wanna go raid the break room with me? 293 00:10:08,774 --> 00:10:11,902 I hear there's a bag of Takis with your name on it. 294 00:10:11,944 --> 00:10:14,071 Sure. Yeah, yeah. 295 00:10:14,155 --> 00:10:15,740 But not too much sugar. 296 00:10:15,823 --> 00:10:17,366 Says the man who eats Cap'n Crunch for breakfast. 297 00:10:17,408 --> 00:10:18,826 No, not anymore. 298 00:10:18,909 --> 00:10:21,412 Chloe makes me an acai bowl every morning. 299 00:10:21,454 --> 00:10:25,666 Oh, Chloe, the gift that keeps on giving. 300 00:10:25,750 --> 00:10:28,252 I already apologized for that. 301 00:10:28,336 --> 00:10:30,838 How are those lacs coming, Dr. Santos? 302 00:10:30,921 --> 00:10:32,882 - Good. All done. - Mm-hmm. 303 00:10:32,923 --> 00:10:34,133 I'm gonna go check on Radiology. 304 00:10:34,216 --> 00:10:35,635 I'll come with you. 305 00:10:35,718 --> 00:10:37,386 Sooner we get you in, sooner we get you out. 306 00:10:37,428 --> 00:10:39,096 both: Thank you. 307 00:10:39,138 --> 00:10:42,350 [indistinct chatter] 308 00:10:47,897 --> 00:10:49,940 Dr. McKay. 309 00:10:49,982 --> 00:10:51,233 Somebody hit Dana? 310 00:10:51,275 --> 00:10:52,568 I specifically told you 311 00:10:52,610 --> 00:10:53,903 to leave Theresa Saunders alone, 312 00:10:53,944 --> 00:10:55,237 and you called the cops on her son? 313 00:10:55,279 --> 00:10:56,614 We talked about it. 314 00:10:56,656 --> 00:10:58,908 A decision... a decision was not made. 315 00:10:58,949 --> 00:10:59,950 So I made it. 316 00:11:00,034 --> 00:11:01,452 It was not yours to make! 317 00:11:01,494 --> 00:11:03,621 No, it was yours, and you didn't do it. 318 00:11:03,704 --> 00:11:06,415 I didn't do it because it wasn't warranted. 319 00:11:06,457 --> 00:11:07,958 Wasn't it? 320 00:11:08,042 --> 00:11:09,377 If Theresa left, how are we gonna get David 321 00:11:09,460 --> 00:11:11,295 assessed for his risk to others? 322 00:11:11,379 --> 00:11:13,547 I couldn't live with myself if something terrible happened. 323 00:11:13,631 --> 00:11:15,383 Yeah, well, now the police are involved, 324 00:11:15,466 --> 00:11:17,927 so you may have ruined this kid's life forever. 325 00:11:17,968 --> 00:11:20,554 And what about the girls on this list? 326 00:11:20,638 --> 00:11:22,473 Are you telling me their safety, 327 00:11:22,556 --> 00:11:25,267 their lives, are worth less than his? 328 00:11:25,309 --> 00:11:26,977 I can live with this one. 329 00:11:27,061 --> 00:11:28,479 And now you can too. 330 00:11:38,239 --> 00:11:40,491 [button beeps] 331 00:11:40,533 --> 00:11:44,370 Uh, distal tibia and fibula with an unstable mortise. 332 00:11:44,453 --> 00:11:47,456 Hold on. Show us the lateral, please. 333 00:11:47,498 --> 00:11:49,165 - [beeps] - Here you go. 334 00:11:49,250 --> 00:11:51,377 - [clicks tongue] - Mm. 335 00:11:51,460 --> 00:11:53,546 Not two... three breaks. 336 00:11:53,629 --> 00:11:54,880 Jesus. 337 00:11:54,964 --> 00:11:56,674 What, so now I get a cast? 338 00:11:56,757 --> 00:12:00,678 Uh, no, splint and surgery to stabilize the bones 339 00:12:00,720 --> 00:12:02,513 with plates and screws so they can heal properly. 340 00:12:02,596 --> 00:12:04,140 Ugh, how long am I gonna be stuck here? 341 00:12:04,181 --> 00:12:06,016 [chuckles] That is above my pay grade. 342 00:12:06,058 --> 00:12:07,309 - [groaning] - Gabriel. 343 00:12:07,351 --> 00:12:08,644 [crying] 344 00:12:08,686 --> 00:12:10,271 But you may want to cancel 345 00:12:10,354 --> 00:12:12,648 any dinner reservations you may have. 346 00:12:12,690 --> 00:12:16,861 Set up for a double splint, posterior leg and sugar tong. 347 00:12:16,902 --> 00:12:18,863 Oh, is that gonna be painful? 348 00:12:18,946 --> 00:12:20,489 There may be some discomfort. 349 00:12:20,531 --> 00:12:22,533 I assure you, we will prescribe 350 00:12:22,616 --> 00:12:23,951 proper pain medication 351 00:12:24,034 --> 00:12:26,120 to provide you with adequate relief. 352 00:12:26,203 --> 00:12:28,664 Draw up 100 of propofol, 50 of fent. 353 00:12:28,706 --> 00:12:31,000 Whatever, just knock me out. 354 00:12:31,041 --> 00:12:33,210 With pleasure. 355 00:12:35,254 --> 00:12:36,672 [background chatter] 356 00:12:36,714 --> 00:12:39,341 Perlah, which of our patients 357 00:12:39,383 --> 00:12:40,760 can we send on their merry way? 358 00:12:40,843 --> 00:12:41,927 Right. 359 00:12:42,011 --> 00:12:43,387 Barry, yoga split lip, 360 00:12:43,471 --> 00:12:45,556 moved from North 1 to the Hall; 361 00:12:45,639 --> 00:12:46,724 Walter, road rash 362 00:12:46,807 --> 00:12:48,517 with the rat killing dog, South 20; 363 00:12:48,559 --> 00:12:50,728 and Vince, basketball elbow fracture, 364 00:12:50,811 --> 00:12:52,104 outside Central 2. 365 00:12:52,188 --> 00:12:53,856 OK, you can run another set of vitals 366 00:12:53,898 --> 00:12:55,441 on Crosby's papa and discharge. 367 00:12:55,524 --> 00:12:57,193 You can tell Ortho to get their head out of their ass 368 00:12:57,234 --> 00:12:58,694 and take Joel Embiid with them. 369 00:12:58,736 --> 00:13:00,446 And you can release Yoga Barry, but tell him 370 00:13:00,529 --> 00:13:02,072 to refrain from doing any handstands 371 00:13:02,114 --> 00:13:03,240 for at least 48 hours. 372 00:13:03,324 --> 00:13:04,617 Copy that. 373 00:13:04,700 --> 00:13:07,995 Go, go. You heard the man. 374 00:13:08,078 --> 00:13:09,914 I do not know how Dana does this every day. 375 00:13:09,997 --> 00:13:13,709 Haha, running the ER is a Sisyphean task. 376 00:13:13,751 --> 00:13:15,252 So this is a punishment? 377 00:13:15,294 --> 00:13:17,171 - No. - Sisyphus. 378 00:13:17,254 --> 00:13:19,673 Sisyphus pissed off the gods, so they punished him 379 00:13:19,757 --> 00:13:23,594 by making him push this massive boulder up a hill for eternity. 380 00:13:23,636 --> 00:13:28,015 One must imagine Sisyphus happy. 381 00:13:28,098 --> 00:13:29,600 You're doing great. 382 00:13:29,683 --> 00:13:31,727 Hey, Ahmad. 383 00:13:31,769 --> 00:13:33,854 Is Theresa still out in Chairs talking to those cops? 384 00:13:33,938 --> 00:13:35,189 - Yeah. - Will you do me a favor 385 00:13:35,272 --> 00:13:36,607 and just kind of keep an eye on it? 386 00:13:36,690 --> 00:13:38,234 Don't let her leave without talking to me. 387 00:13:38,275 --> 00:13:40,611 - OK. - Any word on Driscoll? 388 00:13:40,694 --> 00:13:42,947 I issued an alert throughout PTMC security 389 00:13:42,988 --> 00:13:45,282 and called the cops with his home address from his chart. 390 00:13:45,324 --> 00:13:46,450 They want a statement from Dana. 391 00:13:46,534 --> 00:13:47,785 She's in CT. 392 00:13:47,827 --> 00:13:50,913 Let's... let's, um, clear her medically, 393 00:13:50,955 --> 00:13:53,624 and then she can decide when she wants to talk to them. 394 00:13:53,707 --> 00:13:55,125 What about other hospitals? 395 00:13:55,167 --> 00:13:56,627 - You let them know? - Notified. 396 00:13:56,710 --> 00:13:58,629 Everyone's on the lookout for this guy, Driscoll. 397 00:13:58,671 --> 00:14:00,965 - Thanks, Ahmad. - You got it. 398 00:14:01,048 --> 00:14:03,175 Glad to know the authorities are looking for this psycho, 399 00:14:03,259 --> 00:14:05,636 but what are you gonna do to protect the rest of us? 400 00:14:05,719 --> 00:14:08,347 Violence against health care workers is a national problem. 401 00:14:08,430 --> 00:14:10,057 And it's only getting worse. 402 00:14:10,140 --> 00:14:11,600 No surprise there's a nursing shortage everywhere. 403 00:14:11,642 --> 00:14:13,143 I hear you, I hear you, I hear you, I hear you, 404 00:14:13,227 --> 00:14:14,937 and it is unacceptable. 405 00:14:14,979 --> 00:14:16,647 What the hell kind of circus are you running down here? 406 00:14:16,730 --> 00:14:17,982 My God. You're like a bad penny. 407 00:14:18,023 --> 00:14:19,608 Where is Dana? How is she? 408 00:14:19,650 --> 00:14:21,902 She's all right. We sent her to CT to make sure. 409 00:14:21,986 --> 00:14:24,071 Did you fill out an incident report? 410 00:14:24,154 --> 00:14:25,990 I don't know, I was more concerned with her 411 00:14:26,031 --> 00:14:27,575 having a skull fracture than with your liability. 412 00:14:27,658 --> 00:14:29,118 How'd a guy from the waiting room 413 00:14:29,159 --> 00:14:30,452 get back here without anyone noticing? 414 00:14:30,494 --> 00:14:32,246 Wow, Gloria! What a great question. 415 00:14:32,329 --> 00:14:34,123 Our hard-working nurses were just asking me 416 00:14:34,164 --> 00:14:35,624 what steps the hospital plans to take 417 00:14:35,665 --> 00:14:37,167 to ensure their safety in the future. 418 00:14:37,251 --> 00:14:38,836 Maybe you would like to explain to them 419 00:14:38,878 --> 00:14:40,129 why you've denied my request 420 00:14:40,170 --> 00:14:41,338 for additional security measures 421 00:14:41,422 --> 00:14:43,173 three times in the last four months? 422 00:14:43,215 --> 00:14:46,677 If nurses don't feel safe, they're not gonna come to work. 423 00:14:48,804 --> 00:14:52,182 First off, the safety of all our employees is paramount... 424 00:14:52,266 --> 00:14:54,184 Do you remember the last nursing strike? 425 00:14:54,226 --> 00:14:55,978 Yeah, that was a real shit show. 426 00:14:56,020 --> 00:14:57,855 Maybe this is something our union rep should know about? 427 00:14:57,897 --> 00:14:59,481 OK, well, just take a beat 428 00:14:59,523 --> 00:15:01,859 and remember that PTMC is a family. 429 00:15:01,942 --> 00:15:03,694 - Come on. - A dysfunctional family. 430 00:15:03,777 --> 00:15:05,529 You should be worried about the nurses' satisfaction 431 00:15:05,613 --> 00:15:06,697 and the safety of... 432 00:15:06,780 --> 00:15:08,657 We are worried about everyone. 433 00:15:08,699 --> 00:15:10,701 We worry... Robby. 434 00:15:10,743 --> 00:15:12,494 Robby. 435 00:15:12,536 --> 00:15:13,954 Dr. Robby, I got a question for you. 436 00:15:14,038 --> 00:15:15,497 Shoot. 437 00:15:15,539 --> 00:15:17,875 Uh, we're working on Chad in 19, McKay's ex. 438 00:15:17,958 --> 00:15:19,543 He's a nightmare. 439 00:15:23,422 --> 00:15:26,675 [indistinct chatter] 440 00:15:38,395 --> 00:15:41,440 [indistinct chatter] 441 00:15:43,192 --> 00:15:44,693 Here's your driver's license 442 00:15:44,735 --> 00:15:46,528 and insurance card, Mr. Pugliesi. 443 00:15:46,570 --> 00:15:48,864 Have a seat, and the triage nurse will call you back soon. 444 00:15:48,906 --> 00:15:50,616 - Thank you. - Hello. 445 00:15:50,699 --> 00:15:52,576 Uh, my... my son, he needs help, his eye. 446 00:15:52,618 --> 00:15:53,869 Let me ask you about your eyes. 447 00:15:53,911 --> 00:15:55,412 Do you see the line you just cut? 448 00:15:55,454 --> 00:15:57,289 What? No, please. It's an emergency. 449 00:15:57,373 --> 00:15:58,874 You think everybody's waiting for manicures? 450 00:15:58,915 --> 00:16:00,084 He caught a line drive to the eye. 451 00:16:00,167 --> 00:16:01,543 We're so sorry, ma'am. 452 00:16:01,585 --> 00:16:03,379 We thought this was the line for pediatrics. 453 00:16:03,420 --> 00:16:04,797 I'm 16. 454 00:16:06,382 --> 00:16:08,425 I'm doing this 'cause you're a minor and you have manners. 455 00:16:08,509 --> 00:16:09,885 Thank you so much. 456 00:16:09,927 --> 00:16:10,970 Name and date of birth? 457 00:16:11,053 --> 00:16:13,597 Everett Young. December 7, 2008. 458 00:16:13,639 --> 00:16:15,224 I'll get your insurance information from your father. 459 00:16:15,265 --> 00:16:17,101 - Take a seat. - What? No, we're not waiting. 460 00:16:17,184 --> 00:16:19,645 Show her. Show her. 461 00:16:22,439 --> 00:16:23,941 OK, then. 462 00:16:24,024 --> 00:16:25,526 Come around to the double doors. 463 00:16:25,609 --> 00:16:27,778 [door buzzes] 464 00:16:27,861 --> 00:16:30,114 - Tenecteplase on deck? - All set. 465 00:16:30,155 --> 00:16:33,575 She's 62 kilos, 0.25 per kilo is 15.5 milligrams. 466 00:16:33,617 --> 00:16:35,452 - Push over 10 seconds. - What's the status? 467 00:16:35,494 --> 00:16:36,787 Diffusion flare mismatch means 468 00:16:36,870 --> 00:16:38,122 she's less than four hours into it. 469 00:16:38,205 --> 00:16:39,623 - Getting TNK now. - Sounds great. 470 00:16:39,707 --> 00:16:41,250 Would you mind hanging down here for a bit? 471 00:16:41,290 --> 00:16:42,751 I could use your expertise on this. 472 00:16:42,793 --> 00:16:44,461 Can't believe you have the nerve to ask. 473 00:16:44,545 --> 00:16:46,505 Good one. OK, keep me posted. 474 00:16:48,966 --> 00:16:50,175 50 on board. 475 00:16:50,259 --> 00:16:51,635 Anything I can do to help in here? 476 00:16:51,719 --> 00:16:54,763 - [slurring] - No, I'm pretty good. 477 00:16:54,805 --> 00:16:56,640 How are you doing? 478 00:16:56,682 --> 00:16:59,101 [chuckles] Not as good as you, apparently. 479 00:16:59,143 --> 00:17:00,686 Push another 25. 480 00:17:00,769 --> 00:17:02,855 Wet the splints now, please. 481 00:17:02,938 --> 00:17:06,316 You can help lift his leg for the splint. 482 00:17:06,358 --> 00:17:10,654 And we're at 75, mm-hmm. 483 00:17:10,738 --> 00:17:12,656 When we lift his leg, it's really gonna hurt him, 484 00:17:12,698 --> 00:17:15,617 but he won't remember... benefits of propofol. 485 00:17:15,659 --> 00:17:18,662 Pulse ox 99, good end tidal CO2. 486 00:17:18,704 --> 00:17:20,789 Mm-hmm. 487 00:17:20,830 --> 00:17:22,249 Hey, Chad? 488 00:17:22,332 --> 00:17:23,791 Chad. 489 00:17:23,834 --> 00:17:25,627 [slurring] Ow. 490 00:17:25,669 --> 00:17:27,171 Perfect. 491 00:17:27,212 --> 00:17:29,131 Let's do this. 492 00:17:29,173 --> 00:17:31,884 [slurring] Ow. 493 00:17:33,844 --> 00:17:36,513 I feel sad. 494 00:17:36,597 --> 00:17:38,015 Uh, don't worry. 495 00:17:38,098 --> 00:17:40,684 We'll have you fixed up good as new. 496 00:17:40,726 --> 00:17:45,189 [slurring] What does he have that I don't have? 497 00:17:45,230 --> 00:17:48,067 I mean, sure, he's younger. 498 00:17:48,150 --> 00:17:51,236 And that hair. 499 00:17:51,320 --> 00:17:53,072 Who? 500 00:17:53,155 --> 00:17:55,532 [slurring] Mateo. 501 00:17:55,574 --> 00:17:57,159 - Oh. - [chuckling] 502 00:17:57,201 --> 00:18:00,370 - [slurring] - What's his story anyway? 503 00:18:00,454 --> 00:18:03,916 Is she having sex with him? 504 00:18:03,999 --> 00:18:07,252 Well, if she isn't, she probably should. 505 00:18:07,336 --> 00:18:08,754 Stop. 506 00:18:08,837 --> 00:18:11,340 [snorting] 507 00:18:11,381 --> 00:18:13,550 Who do we have the pleasure of meeting this afternoon? 508 00:18:13,592 --> 00:18:16,345 Everett Young, 16, took a line drive to the left eye. 509 00:18:16,386 --> 00:18:18,347 - Tachy at 118. - Oof. 510 00:18:18,388 --> 00:18:19,556 4 of morphine, 4 of Zofran. 511 00:18:19,640 --> 00:18:20,724 Excuse me. 512 00:18:23,227 --> 00:18:24,812 It was easily 100 miles per hour. 513 00:18:24,895 --> 00:18:26,688 Oof. Did you pass out? 514 00:18:26,730 --> 00:18:28,190 - Uh, no, ma'am. - OK. 515 00:18:28,232 --> 00:18:29,733 Baseball is a fun activity. You any good? 516 00:18:29,775 --> 00:18:31,401 [scoffs] Any good? 517 00:18:31,485 --> 00:18:34,404 He's got a 95 mile an hour fastball, a 12-6 slider, 518 00:18:34,446 --> 00:18:37,574 a 0.94 ERA, and he's a southpaw. 519 00:18:37,616 --> 00:18:39,034 What's that? 520 00:18:39,076 --> 00:18:41,870 That's a future Cy Young. 521 00:18:41,912 --> 00:18:43,664 I don't know what that is either. 522 00:18:43,747 --> 00:18:45,332 Ms. Javadi is a student doctor. 523 00:18:45,415 --> 00:18:47,668 She's a bit of a prodigy herself, actually. 524 00:18:47,751 --> 00:18:49,837 Do you mind if she helps out? 525 00:18:49,920 --> 00:18:51,588 - No, ma'am. - OK. 526 00:18:51,630 --> 00:18:53,590 Tell me how many fingers I'm holding up. 527 00:18:53,632 --> 00:18:57,094 Um... ah, I can't tell. 528 00:18:57,136 --> 00:18:59,263 Oh, my God. Oh, my God. 529 00:18:59,346 --> 00:19:01,223 OK, tell me when the light turns on. 530 00:19:04,434 --> 00:19:05,602 Now? 531 00:19:05,686 --> 00:19:07,604 - Light perception only. - Mm-hmm. 532 00:19:07,646 --> 00:19:08,939 Do you want a portable slit lamp? 533 00:19:09,022 --> 00:19:10,440 Definitely, yeah. 534 00:19:10,482 --> 00:19:11,942 Javadi, what do you think of the anterior chamber? 535 00:19:12,025 --> 00:19:13,277 - Hyphema? - Exactly. 536 00:19:13,360 --> 00:19:14,444 Grade 4. 537 00:19:14,528 --> 00:19:17,573 - Yeah, meaning? - Javadi. 538 00:19:17,614 --> 00:19:19,783 Meaning blood is filling up the front eye chamber. 539 00:19:19,825 --> 00:19:21,785 He'll need an emergency evaluation by ophthalmology. 540 00:19:21,827 --> 00:19:23,245 OK, is that why he can't see? 541 00:19:23,287 --> 00:19:24,705 That's part of it. Yeah. 542 00:19:24,788 --> 00:19:26,874 You see how the eye is pushing out? 543 00:19:26,957 --> 00:19:28,959 There seems to be a collection of blood behind the eyeball. 544 00:19:29,042 --> 00:19:30,961 The eye pressure is too high. We have to act quickly. 545 00:19:31,044 --> 00:19:33,630 - OK, well, check the pressure! - We're going to right now. 546 00:19:33,672 --> 00:19:35,007 Can you get Robby? 547 00:19:36,466 --> 00:19:39,511 [keyboard clacking] 548 00:19:41,346 --> 00:19:43,140 It looked like you were having 549 00:19:43,182 --> 00:19:46,310 a pretty intense conversation with Robby earlier. 550 00:19:46,393 --> 00:19:48,562 Everything OK? 551 00:19:48,645 --> 00:19:50,814 Uh, it was nothing. 552 00:19:50,898 --> 00:19:52,482 Nothing? 553 00:19:52,524 --> 00:19:53,942 Yeah, well, not nothing, 554 00:19:53,984 --> 00:19:56,361 but nothing for you to be concerned about. 555 00:19:56,445 --> 00:19:58,113 An intern has a problem around here, 556 00:19:58,155 --> 00:19:59,489 they come to the senior resident, 557 00:19:59,531 --> 00:20:01,158 not the attending. 558 00:20:03,160 --> 00:20:04,453 He is my attending, 559 00:20:04,494 --> 00:20:06,788 and I wanted his input on a patient. 560 00:20:06,830 --> 00:20:09,124 Is that not OK with you? 561 00:20:09,166 --> 00:20:12,211 Just, um... 562 00:20:12,294 --> 00:20:14,963 come to me first next time. 563 00:20:15,005 --> 00:20:16,506 Got it? 564 00:20:16,590 --> 00:20:17,507 Yep. 565 00:20:17,591 --> 00:20:18,675 Got it. 566 00:20:25,849 --> 00:20:26,975 Are you a junior? 567 00:20:27,017 --> 00:20:28,101 Yeah. 568 00:20:28,185 --> 00:20:29,770 You thinking about college? 569 00:20:29,853 --> 00:20:32,314 I have some D1 interest, but... 570 00:20:32,356 --> 00:20:33,690 where'd you go to college? 571 00:20:33,774 --> 00:20:36,318 Uh, Pitt for undergrad and now med school. 572 00:20:36,360 --> 00:20:37,819 Didn't wanna leave town? 573 00:20:37,861 --> 00:20:39,863 Look up at the ceiling for some numbing drops. 574 00:20:39,905 --> 00:20:42,532 It's not exactly an option to live anywhere but home 575 00:20:42,574 --> 00:20:44,701 when you go to college at 13. 576 00:20:44,785 --> 00:20:46,203 Wow. 577 00:20:46,245 --> 00:20:48,789 Add some drops to the fluorescein strip. 578 00:20:48,872 --> 00:20:50,374 I was thinking about California, 579 00:20:50,415 --> 00:20:52,209 maybe UCLA or USC. 580 00:20:52,251 --> 00:20:53,543 - Hold still. - Hey, maybe you go 581 00:20:53,585 --> 00:20:54,670 straight to the Majors, huh? 582 00:20:54,711 --> 00:20:56,046 College can wait. 583 00:20:56,088 --> 00:20:57,089 I don't know. 584 00:20:57,172 --> 00:20:58,257 I do. 585 00:20:58,340 --> 00:20:59,883 Ev's got a God-given gift. 586 00:20:59,925 --> 00:21:01,885 It's why we spent every weekend doing travel ball 587 00:21:01,969 --> 00:21:04,054 when he was young... pro camp, showcases. 588 00:21:04,137 --> 00:21:06,723 He's not throwing away his shot at the Majors. 589 00:21:06,807 --> 00:21:08,433 Uh, we have to check for a puncture 590 00:21:08,517 --> 00:21:10,352 before we can measure the pressure. 591 00:21:10,394 --> 00:21:12,729 Look straight ahead and try not to move your eyes, OK? 592 00:21:12,771 --> 00:21:15,065 - Yes, ma'am. - Lights going out. 593 00:21:15,148 --> 00:21:17,442 Hello. I'm Dr. Robinavitch. 594 00:21:17,526 --> 00:21:19,111 Everybody calls me Dr. Robby. 595 00:21:19,194 --> 00:21:20,862 Hey, Greg Young. This is my boy, Everett. 596 00:21:20,904 --> 00:21:22,239 Nice to meet you both. 597 00:21:22,322 --> 00:21:23,740 OK, I will take that slit lamp, 598 00:21:23,782 --> 00:21:26,034 and you can calibrate for tonometry. 599 00:21:26,076 --> 00:21:27,661 - OK. - They're holding CT for him. 600 00:21:27,744 --> 00:21:29,413 Let's take a look. 601 00:21:29,496 --> 00:21:31,707 Negative Seidel. 602 00:21:31,748 --> 00:21:34,209 No globe rupture. OK, go with the Tono-Pen. 603 00:21:34,251 --> 00:21:36,253 OK. Hold still. 604 00:21:36,336 --> 00:21:37,838 OK. 605 00:21:42,426 --> 00:21:44,928 Left eye pressure 58. 606 00:21:44,970 --> 00:21:47,431 - Is that high? - Yes, it is. 1% lido with epi. 607 00:21:47,472 --> 00:21:49,099 Push one of Versed, and open a lateral canthotomy tray. 608 00:21:49,182 --> 00:21:50,434 - Excuse me. - What? 609 00:21:50,517 --> 00:21:52,269 - Whoa. - Without a CT? Isn't that... 610 00:21:52,311 --> 00:21:53,603 Exactly what the patient needs? 611 00:21:53,645 --> 00:21:56,690 Yes, it is, Dr. McKay. 612 00:21:56,773 --> 00:21:58,317 OK. 613 00:21:58,400 --> 00:22:00,319 Uh, we're gonna lie you back a little, Everett, OK? 614 00:22:00,402 --> 00:22:02,946 We need to do a little minor surgery 615 00:22:03,030 --> 00:22:04,614 to relieve the pressure behind your eye. 616 00:22:04,698 --> 00:22:06,616 So we are going to cut a small opening 617 00:22:06,658 --> 00:22:08,618 on the side of your eye, not in your eye. 618 00:22:08,702 --> 00:22:09,619 - Got it? - Yeah. 619 00:22:09,703 --> 00:22:11,788 Do you wanna watch? 620 00:22:11,872 --> 00:22:14,291 No, I'll... I'll sit down. 621 00:22:14,374 --> 00:22:16,668 Javadi, step up so you can see. 622 00:22:16,752 --> 00:22:19,755 Dr. McKay, Chad is splinted and is awaiting Ortho 623 00:22:19,796 --> 00:22:21,131 for surgery to take him. 624 00:22:21,173 --> 00:22:22,424 Thanks for the update. 625 00:22:22,466 --> 00:22:23,425 [clears throat] 626 00:22:23,467 --> 00:22:25,469 Versed's on board. 627 00:22:25,510 --> 00:22:27,137 Numbing medicine here, OK? 628 00:22:27,179 --> 00:22:28,263 OK. 629 00:22:28,305 --> 00:22:31,975 Pinprick and some burning. 630 00:22:32,017 --> 00:22:32,976 Ouch. 631 00:22:33,018 --> 00:22:35,145 What... is Dana gonna be OK? 632 00:22:35,228 --> 00:22:37,105 It's gonna take more than a punch to the face 633 00:22:37,147 --> 00:22:38,482 to keep that mama down. 634 00:22:38,523 --> 00:22:39,483 She's tough. 635 00:22:39,524 --> 00:22:40,650 Yeah. 636 00:22:40,734 --> 00:22:42,819 Um, hi. 637 00:22:42,903 --> 00:22:44,821 I'm sorry to bother you. 638 00:22:44,905 --> 00:22:46,823 Hi. 639 00:22:46,907 --> 00:22:51,495 Uh, I... I just wanna make sure that Teddy's not in any pain. 640 00:22:51,536 --> 00:22:53,663 Oh, he's heavily sedated. 641 00:22:53,747 --> 00:22:55,916 - He can't feel a thing. - Right. 642 00:22:55,999 --> 00:22:59,127 It's just that when I look at him, I just... 643 00:22:59,169 --> 00:23:02,339 I just feel so helpless. 644 00:23:02,422 --> 00:23:05,342 Look, his, uh, CT scans came back negative 645 00:23:05,425 --> 00:23:06,885 for internal injuries. 646 00:23:06,968 --> 00:23:09,971 He's on IV therapy to replace any lost fluids. 647 00:23:10,013 --> 00:23:12,391 I assure you, we are doing everything we can 648 00:23:12,474 --> 00:23:14,351 to give him the best treatment possible. 649 00:23:14,393 --> 00:23:15,352 Thank you. 650 00:23:15,394 --> 00:23:16,353 Yeah. 651 00:23:16,395 --> 00:23:17,813 Teddy's ring. 652 00:23:19,815 --> 00:23:21,525 Um... 653 00:23:21,566 --> 00:23:25,821 I had to cut it off because of the swelling. 654 00:23:25,862 --> 00:23:28,907 Hopefully you can find a good jeweler to fix it. 655 00:23:28,990 --> 00:23:31,326 I don't know how it works. 656 00:23:33,703 --> 00:23:36,623 [sniffling] 657 00:23:36,706 --> 00:23:40,001 Um... 658 00:23:40,043 --> 00:23:43,380 do you have a best friend, Doctor... 659 00:23:43,422 --> 00:23:48,009 Oh, it's a another year to go till you can call me "Doctor." 660 00:23:48,051 --> 00:23:50,387 You can just call me Whitaker, though. 661 00:23:50,429 --> 00:23:54,057 Do you have a best friend, Whitaker? 662 00:23:54,099 --> 00:23:59,187 Uh, I have three older brothers. 663 00:23:59,229 --> 00:24:02,441 I guess they're kind of my best friends. 664 00:24:02,524 --> 00:24:04,776 They kind of tortured me growing up, so maybe not. 665 00:24:04,860 --> 00:24:07,696 [chuckles] But yeah. 666 00:24:07,737 --> 00:24:11,116 Teddy's been my best friend since we were 15. 667 00:24:11,199 --> 00:24:13,618 High school sweethearts? 668 00:24:13,702 --> 00:24:17,289 We were just a couple of nerdy aggies who, uh... 669 00:24:17,372 --> 00:24:21,251 we met in 4-H, and we fell in love. 670 00:24:21,334 --> 00:24:22,294 I'm sorry. 671 00:24:22,377 --> 00:24:23,795 No, it's fine. 672 00:24:23,879 --> 00:24:27,257 I'm a third generation Nebraska farm kid myself. 673 00:24:27,299 --> 00:24:28,925 Get out. 674 00:24:28,967 --> 00:24:32,095 Well... well, if you're ever homesick, you should, uh... 675 00:24:32,137 --> 00:24:35,348 you should come by our farm sometime. 676 00:24:35,432 --> 00:24:37,392 That's very kind. 677 00:24:37,434 --> 00:24:38,768 [chuckles] 678 00:24:38,852 --> 00:24:40,061 I need some help in here! 679 00:24:40,103 --> 00:24:42,230 [rapid beeping] 680 00:24:42,272 --> 00:24:43,899 - What's going on? - Respiratory distress. 681 00:24:43,940 --> 00:24:45,734 Sats are dropping, 87%. 682 00:24:45,775 --> 00:24:48,069 Uh, lung injury from the fire? 683 00:24:48,111 --> 00:24:49,738 It's not just the low sats. The vent's showing 684 00:24:49,779 --> 00:24:51,698 high peak pressure, low tidal volume. 685 00:24:51,781 --> 00:24:54,409 - Uh, restrictive pattern? - Most likely. 686 00:24:54,451 --> 00:24:55,785 I'll grab Robby and Langdon. 687 00:24:55,827 --> 00:24:56,870 Wait, wait, wait, wait, wait, wait. 688 00:24:56,953 --> 00:24:58,747 What's that? What's going on? 689 00:24:58,788 --> 00:25:00,790 Ventilator is having trouble pumping air into Teddy's lungs. 690 00:25:00,874 --> 00:25:02,125 Burnt skin loses elasticity. 691 00:25:02,209 --> 00:25:03,543 Now his chest wall is too tight. 692 00:25:03,627 --> 00:25:04,920 What can you do? 693 00:25:04,961 --> 00:25:07,005 We're gonna have to cut the burnt skin, 694 00:25:07,088 --> 00:25:08,965 release pressure on the chest wall, 695 00:25:09,049 --> 00:25:10,425 help Teddy breathe. 696 00:25:10,467 --> 00:25:13,094 So after you cut his eye, he'll see again? 697 00:25:13,136 --> 00:25:14,971 This will give us our best shot 698 00:25:15,055 --> 00:25:16,765 at preserving his vision, yes. 699 00:25:16,806 --> 00:25:19,142 Dr. McKay, are you ready to do the honors? 700 00:25:19,184 --> 00:25:21,269 Who, me? 701 00:25:21,311 --> 00:25:22,938 We are a teaching hospital. 702 00:25:22,979 --> 00:25:24,356 Are you still here to learn? 703 00:25:24,439 --> 00:25:26,149 Yes. Yeah. 704 00:25:30,820 --> 00:25:31,863 [grunts] 705 00:25:31,947 --> 00:25:33,865 OK. 706 00:25:33,949 --> 00:25:37,035 You can release that hemostat now. 707 00:25:40,830 --> 00:25:43,083 Pair of scissors. 708 00:25:44,334 --> 00:25:45,919 The length of the crushed area 709 00:25:46,002 --> 00:25:47,754 is going to be your guide for the length of your cut. 710 00:25:47,837 --> 00:25:48,880 OK. 711 00:25:50,674 --> 00:25:51,800 Good. 712 00:25:51,841 --> 00:25:53,343 Toothed forceps. 713 00:25:59,933 --> 00:26:02,394 Feeling for the inferior... 714 00:26:05,063 --> 00:26:07,524 And superior crus. 715 00:26:07,607 --> 00:26:09,401 How can you see with all that blood? 716 00:26:09,484 --> 00:26:11,027 You can't. It's all tactile. 717 00:26:11,069 --> 00:26:14,030 It feels like two guitar strings. 718 00:26:14,114 --> 00:26:15,740 Metzenbaum. 719 00:26:20,787 --> 00:26:22,205 [squelching] 720 00:26:22,289 --> 00:26:23,873 Inferior... 721 00:26:23,915 --> 00:26:26,334 Yeah. 722 00:26:26,376 --> 00:26:29,379 And superior. 723 00:26:29,462 --> 00:26:30,422 Nice. 724 00:26:30,505 --> 00:26:32,841 Good. 725 00:26:32,882 --> 00:26:34,342 Oh, that's a lot of blood. 726 00:26:34,384 --> 00:26:36,011 OK, let's get a repeat pressure. 727 00:26:36,052 --> 00:26:38,179 It's getting a lot brighter in here. 728 00:26:40,140 --> 00:26:42,642 Pressure of 18. 729 00:26:42,726 --> 00:26:44,144 Perfect. 730 00:26:44,227 --> 00:26:46,062 CT can take him as soon as we dress the wound. 731 00:26:46,104 --> 00:26:48,231 Let's page Ophthalmology and tell them to prep for surgery. 732 00:26:48,273 --> 00:26:49,566 Doc, thank you. Thank you. 733 00:26:49,649 --> 00:26:50,900 My pleasure, my pleasure. 734 00:26:50,942 --> 00:26:53,570 Good luck to you, Everett. 735 00:26:53,653 --> 00:26:55,322 Hey. 736 00:26:55,405 --> 00:26:57,240 Thanks for letting me do that. 737 00:26:57,282 --> 00:26:59,075 You sound surprised. 738 00:26:59,117 --> 00:27:00,577 Yeah, I figured after the whole Theresa thing, 739 00:27:00,660 --> 00:27:02,537 you might bench me. 740 00:27:02,579 --> 00:27:05,665 [sighs] Am I still pissed that you went behind my back? 741 00:27:05,749 --> 00:27:07,250 Absolutely. 742 00:27:07,334 --> 00:27:08,585 And if you ever do it again, you can bet your ass 743 00:27:08,627 --> 00:27:09,794 that I will bench you. 744 00:27:09,878 --> 00:27:11,630 But this is a teaching hospital, 745 00:27:11,713 --> 00:27:14,090 and teachers can still learn stuff. 746 00:27:14,174 --> 00:27:19,429 I saw a sad, confused boy, and that's all I thought about. 747 00:27:19,471 --> 00:27:21,765 I did not think enough about those girls. 748 00:27:24,684 --> 00:27:26,102 Any word on Dana? 749 00:27:26,144 --> 00:27:28,271 She should be coming back from CT soon. 750 00:27:28,355 --> 00:27:29,939 Burn victim's tanking. We need you. 751 00:27:30,023 --> 00:27:33,610 Oh, my God, I can't wait for this shift to be over. 752 00:27:33,693 --> 00:27:37,280 [mystical music playing] 753 00:27:37,322 --> 00:27:40,450 Hey, bud, you doing OK? 754 00:27:40,533 --> 00:27:43,286 Yeah. Mateo hooked me up. 755 00:27:43,328 --> 00:27:45,872 Right, I can see that. 756 00:27:45,955 --> 00:27:48,958 How's Dad? 757 00:27:49,000 --> 00:27:54,089 He's gonna need surgery, but he's gonna be OK. 758 00:27:54,130 --> 00:27:57,133 You know, I was thinking, since your dad's gonna be 759 00:27:57,175 --> 00:28:00,053 laid up for a while, maybe you'd wanna stay with me 760 00:28:00,136 --> 00:28:02,430 until he gets better? 761 00:28:02,472 --> 00:28:04,140 For real? 762 00:28:04,182 --> 00:28:05,141 For real. 763 00:28:05,183 --> 00:28:06,476 What do you think? 764 00:28:12,524 --> 00:28:15,193 I'll take that as a yes. [chuckles] 765 00:28:15,276 --> 00:28:17,487 This procedure is called an escharotomy. 766 00:28:17,529 --> 00:28:20,448 We need to cut the skin so that the chest wall can expand. 767 00:28:20,490 --> 00:28:21,700 That sounds painful. 768 00:28:21,783 --> 00:28:23,326 Whitaker? 769 00:28:23,410 --> 00:28:24,994 He's still heavily sedated. 770 00:28:25,036 --> 00:28:26,871 He won't feel a thing. 771 00:28:26,955 --> 00:28:29,666 This is gonna help Teddy breathe. 772 00:28:29,708 --> 00:28:31,209 Sat's 83. 773 00:28:31,292 --> 00:28:32,794 Peak pressure is over 40. 774 00:28:32,836 --> 00:28:34,337 Tidal volume is only 300. 775 00:28:34,421 --> 00:28:35,672 I want you to watch Dr. Langdon 776 00:28:35,755 --> 00:28:37,382 as he makes this vertical incision. 777 00:28:37,465 --> 00:28:39,342 Then you're gonna do the exact same thing on your side 778 00:28:39,384 --> 00:28:40,468 and follow his instructions. 779 00:28:40,510 --> 00:28:41,511 I'm sorry, I just... 780 00:28:41,553 --> 00:28:42,679 I don't think I can watch it. 781 00:28:42,721 --> 00:28:43,847 Jordan, would you... 782 00:28:43,888 --> 00:28:46,015 [crying] 783 00:28:46,099 --> 00:28:48,768 Start at lateral clavicle. 784 00:28:48,852 --> 00:28:51,855 [squelching] 785 00:28:53,690 --> 00:28:58,319 Down anterior axillary 786 00:28:58,361 --> 00:29:01,364 to lower rib margin. 787 00:29:01,406 --> 00:29:03,533 That tissue is really popping out. 788 00:29:03,575 --> 00:29:04,701 Which illustrates what? 789 00:29:04,743 --> 00:29:07,203 The pressure underneath. 790 00:29:07,245 --> 00:29:08,705 Your turn. 791 00:29:08,747 --> 00:29:09,706 [exhales sharply] 792 00:29:09,789 --> 00:29:11,750 Here goes. 793 00:29:14,753 --> 00:29:16,379 - A little more pressure. - Yeah. 794 00:29:16,463 --> 00:29:17,756 Need to make a decisive incision 795 00:29:17,839 --> 00:29:20,717 to get through the eschar into sub-Q. 796 00:29:20,759 --> 00:29:22,594 Go back a little deeper on that first section. 797 00:29:22,677 --> 00:29:25,013 OK. 798 00:29:25,054 --> 00:29:26,723 Yep. 799 00:29:26,765 --> 00:29:28,224 - Yep, good. - Uh-huh. 800 00:29:28,308 --> 00:29:30,727 Looking good. 801 00:29:30,810 --> 00:29:32,187 OK. 802 00:29:32,228 --> 00:29:35,273 Now the horizontal incision, Dr. Langdon. 803 00:29:35,356 --> 00:29:41,321 And connecting the two incisions. 804 00:29:44,991 --> 00:29:46,743 That ought to do it. 805 00:29:46,785 --> 00:29:48,369 Peak pressure's already down to the 30s. 806 00:29:48,411 --> 00:29:50,580 And tidal volume is coming up. 807 00:29:50,663 --> 00:29:51,998 Sat's 91. 808 00:29:52,081 --> 00:29:54,000 That was wild. 809 00:29:54,083 --> 00:29:55,835 Let's dress these wounds and send off a blood gas. 810 00:29:55,919 --> 00:29:57,086 Well done, 811 00:29:57,170 --> 00:29:59,923 and very well taught, Dr. Langdon. 812 00:29:59,964 --> 00:30:01,633 Thank you. 813 00:30:07,305 --> 00:30:09,015 [background chatter] 814 00:30:09,098 --> 00:30:12,101 [phone ringing] 815 00:30:12,143 --> 00:30:15,980 You think Wholey's will still be open by the time we get off? 816 00:30:16,064 --> 00:30:17,273 - No. - No. No. 817 00:30:17,357 --> 00:30:18,650 Damn. 818 00:30:18,733 --> 00:30:19,943 I was hoping to surprise Abby and the kids, 819 00:30:19,984 --> 00:30:21,277 grill up some salmon for dinner. 820 00:30:21,361 --> 00:30:24,322 Mm, such an adrenaline junkie. 821 00:30:24,405 --> 00:30:25,990 What'd you call me? 822 00:30:26,074 --> 00:30:28,409 Your ice plunges. Marathon man. 823 00:30:28,451 --> 00:30:29,619 Surprise, here's a dog. 824 00:30:29,661 --> 00:30:31,621 Surprise, here's some salmon. 825 00:30:31,704 --> 00:30:33,289 [laughter] 826 00:30:33,331 --> 00:30:35,124 Who pissed in your cornflakes? 827 00:30:35,208 --> 00:30:36,459 Oh, oh. 828 00:30:36,543 --> 00:30:38,002 What, I touch a nerve? 829 00:30:38,086 --> 00:30:40,421 You're regretting buying that dog, aren't you? 830 00:30:49,013 --> 00:30:50,306 Ew. 831 00:30:50,390 --> 00:30:51,474 Ooh, Robby. 832 00:30:51,558 --> 00:30:53,142 Dana's CT results are back. 833 00:30:53,184 --> 00:30:55,436 No intracranial hemorrhage, no skull fracture, 834 00:30:55,478 --> 00:30:57,480 non-displaced nasal fracture, 835 00:30:57,522 --> 00:31:00,275 but the rest of the facial bones look intact. 836 00:31:00,316 --> 00:31:01,568 Any hemorrhaging into the sinuses? 837 00:31:01,651 --> 00:31:03,486 - Nada. - Great. 838 00:31:03,528 --> 00:31:05,947 We could really use her back on the floor. 839 00:31:05,989 --> 00:31:09,158 - [clears throat] - What? I'm just saying. 840 00:31:09,242 --> 00:31:10,660 Mind if I give her the good news? 841 00:31:10,743 --> 00:31:12,912 No, go for it... and anything else she needs. 842 00:31:12,996 --> 00:31:14,163 I got it. 843 00:31:21,421 --> 00:31:24,215 About the whole thing with Santos 844 00:31:24,299 --> 00:31:26,384 and the seizure patient... 845 00:31:26,467 --> 00:31:28,344 What about it? 846 00:31:28,428 --> 00:31:32,348 I'm sorry for laying into her so hard. 847 00:31:34,225 --> 00:31:36,352 Why do I feel there's a "but" coming? 848 00:31:36,436 --> 00:31:39,188 But I don't think she's a team player. 849 00:31:39,272 --> 00:31:40,231 How so? 850 00:31:40,315 --> 00:31:42,317 She's cherry-picking cases. 851 00:31:42,358 --> 00:31:44,527 She gave Whitaker a shitty nickname 852 00:31:44,569 --> 00:31:45,987 after his patient died this morning. 853 00:31:46,029 --> 00:31:47,697 She's... she's even harassing Javadi 854 00:31:47,780 --> 00:31:49,616 to get a rec from her mom for surgery. 855 00:31:49,699 --> 00:31:51,534 [laughs] If she wants to be in surgery, 856 00:31:51,576 --> 00:31:52,619 what's she doing in the ER? 857 00:31:52,702 --> 00:31:54,037 That's a great question. 858 00:31:54,078 --> 00:31:56,039 Why don't you ask her new BFF, Garcia? 859 00:31:56,080 --> 00:31:58,666 I know that you've seen those two. 860 00:31:58,708 --> 00:32:00,376 I'm the only one calling her out, 861 00:32:00,418 --> 00:32:02,670 so she has an axe to grind. 862 00:32:02,712 --> 00:32:05,882 You've always said that being in the Pitt 863 00:32:05,924 --> 00:32:08,051 is like playing a team sport. 864 00:32:08,134 --> 00:32:09,719 A team has to be able to trust each other. 865 00:32:09,802 --> 00:32:13,348 If we have one weak link, this whole place goes to shit. 866 00:32:15,433 --> 00:32:16,893 Good meeting. 867 00:32:22,899 --> 00:32:24,233 Call Zauzy in Family Med. 868 00:32:24,275 --> 00:32:25,860 They open up their urgent care at 5:00. 869 00:32:25,902 --> 00:32:27,570 Let them know we're sending up the two hockey kids. 870 00:32:27,654 --> 00:32:29,280 Yep, Zauzy in Fam Med. 871 00:32:29,364 --> 00:32:30,782 OK, copy that. 872 00:32:30,865 --> 00:32:32,867 And, uh, please check in on Earl. 873 00:32:32,909 --> 00:32:34,077 Poor thing got caught 874 00:32:34,160 --> 00:32:35,286 in the crosshairs of that mom fight. 875 00:32:35,370 --> 00:32:36,579 Maybe bring him another sandwich. 876 00:32:36,621 --> 00:32:38,581 - Yeah, OK. - Good. 877 00:32:38,623 --> 00:32:40,041 No egg salad. 878 00:32:40,083 --> 00:32:42,585 Dana, I got you. OK? Rest up, bud. 879 00:32:42,669 --> 00:32:44,754 [sighs] You can take the girl out of the ER, 880 00:32:44,837 --> 00:32:47,256 but you can't take the ER out of the girl. 881 00:32:47,340 --> 00:32:49,050 Old habits die hard. 882 00:32:49,092 --> 00:32:50,093 Let me take a look? 883 00:32:50,176 --> 00:32:51,761 [breathing sharply] 884 00:32:51,803 --> 00:32:55,682 Oh, she's a real beauty, all right. 885 00:32:55,765 --> 00:32:57,767 But your CT came back clean... 886 00:32:57,850 --> 00:33:00,103 nothing Mother Nature can't heal on her own. 887 00:33:00,144 --> 00:33:01,437 Hmm. Too bad. 888 00:33:01,521 --> 00:33:03,398 I was hoping for a free nose job. 889 00:33:03,439 --> 00:33:04,774 Probably get hazard pay. 890 00:33:04,816 --> 00:33:05,775 Two for one. 891 00:33:05,817 --> 00:33:07,402 [both laugh] 892 00:33:07,443 --> 00:33:10,405 [sighing] 893 00:33:13,616 --> 00:33:14,617 Ooh. 894 00:33:14,659 --> 00:33:16,119 Ugh. 895 00:33:16,202 --> 00:33:18,037 [chuckles] 896 00:33:18,121 --> 00:33:22,125 You know, you're cleared to go back to work if you want... 897 00:33:22,208 --> 00:33:24,085 or home. 898 00:33:24,127 --> 00:33:26,629 Oh, not ready yet. 899 00:33:26,713 --> 00:33:28,339 [sighs] You? 900 00:33:28,423 --> 00:33:30,633 Nope. 901 00:33:30,675 --> 00:33:32,844 Got a lot to think about. 902 00:33:32,927 --> 00:33:34,095 Yeah. 903 00:33:35,847 --> 00:33:37,473 Been a pretty fucked up day. 904 00:33:37,557 --> 00:33:39,642 [both laugh] 905 00:33:39,684 --> 00:33:41,310 What do you call a group of brains 906 00:33:41,394 --> 00:33:43,312 who form a singing group? 907 00:33:43,396 --> 00:33:44,313 What? 908 00:33:44,397 --> 00:33:45,481 A glia club. 909 00:33:45,523 --> 00:33:46,691 Oh. [laughs] 910 00:33:46,774 --> 00:33:48,317 Good one. 911 00:33:48,401 --> 00:33:50,319 Keep me posted if there are any changes. 912 00:33:50,403 --> 00:33:52,613 [line beeps] 913 00:33:52,655 --> 00:33:55,283 Um, what's with Dr. Mehta and the... 914 00:33:55,324 --> 00:33:57,076 the jokes? 915 00:33:58,661 --> 00:34:01,330 You know why they say laughter is the best medicine? 916 00:34:01,372 --> 00:34:02,915 Because it's true. 917 00:34:02,999 --> 00:34:04,250 Laughter releases endorphins. 918 00:34:04,333 --> 00:34:06,377 Endorphins help relieve pain. 919 00:34:07,920 --> 00:34:10,130 Um, so... 920 00:34:10,172 --> 00:34:13,634 Dr. Mehta thinks that if a joke helps raise spirits 921 00:34:13,676 --> 00:34:16,262 and makes people feel better, then he's all for it. 922 00:34:16,344 --> 00:34:18,097 It's his special sauce. 923 00:34:18,181 --> 00:34:19,264 [laughs] 924 00:34:19,348 --> 00:34:20,766 Um, do you have a special sauce? 925 00:34:20,850 --> 00:34:23,686 I'm pretty data-driven, but I really like 926 00:34:23,728 --> 00:34:26,063 to talk to my patients about their lives. 927 00:34:26,147 --> 00:34:28,024 Makes them feel important. 928 00:34:30,068 --> 00:34:33,404 She's waking up. 929 00:34:33,487 --> 00:34:35,406 How are you feeling? 930 00:34:35,489 --> 00:34:36,991 [slurring] OK. 931 00:34:37,033 --> 00:34:40,036 Are you trying to say "OK"? 932 00:34:40,119 --> 00:34:41,161 Yes! 933 00:34:41,204 --> 00:34:43,331 The thrombolytics are working. 934 00:34:43,371 --> 00:34:46,501 Um, can you, uh, lift your right leg for me? 935 00:34:46,542 --> 00:34:47,835 That's OK. 936 00:34:47,877 --> 00:34:50,254 Um, try moving it from side to side. 937 00:34:51,630 --> 00:34:54,217 Can you tell us your name? 938 00:34:55,259 --> 00:34:57,512 [slurring indistinctly] 939 00:34:57,553 --> 00:35:03,309 Oh, um, maybe you can type it out on the screen here. 940 00:35:07,563 --> 00:35:09,732 Vera. 941 00:35:09,816 --> 00:35:11,609 OK, uh, and what's your last name? 942 00:35:15,113 --> 00:35:16,531 Mullahy? 943 00:35:18,282 --> 00:35:20,535 Well, hello, Vera Mullahy. 944 00:35:23,287 --> 00:35:24,664 - Hey. - Oh. 945 00:35:24,747 --> 00:35:27,333 - Hey. - Chad's a real piece of work. 946 00:35:27,416 --> 00:35:29,252 I appreciate you dealing with him. 947 00:35:29,293 --> 00:35:32,922 You know, it was actually kind of fun. 948 00:35:34,298 --> 00:35:35,633 I did not have that on my bingo card. 949 00:35:35,716 --> 00:35:38,553 Well, you know, patients under propofol 950 00:35:38,594 --> 00:35:40,346 are always a good time. 951 00:35:42,348 --> 00:35:43,474 Yeah? 952 00:35:43,558 --> 00:35:44,767 What did he say? 953 00:35:44,851 --> 00:35:46,727 Nothing. 954 00:35:46,769 --> 00:35:49,272 Nothing to worry about, unless you're concerned 955 00:35:49,355 --> 00:35:52,441 he still has a thing for you. 956 00:35:52,483 --> 00:35:55,736 Oh, please, euthanize me if I ever even consider it. 957 00:35:58,281 --> 00:35:59,615 But, you know, if I could go back, 958 00:35:59,657 --> 00:36:01,284 I wouldn't change a thing. 959 00:36:01,325 --> 00:36:03,619 Without Chad, I wouldn't have Harrison. 960 00:36:03,661 --> 00:36:05,913 You're very lucky. 961 00:36:05,955 --> 00:36:08,457 I know, right? 962 00:36:08,541 --> 00:36:09,625 [sighs] All right. 963 00:36:09,709 --> 00:36:11,043 Thanks again. 964 00:36:12,628 --> 00:36:14,255 I was getting ready to take her up 965 00:36:14,297 --> 00:36:16,424 when she developed angioedema, and her sats dropped. 966 00:36:16,465 --> 00:36:17,758 [rapid beeping] 967 00:36:17,800 --> 00:36:19,594 A little bit of stridor. 968 00:36:19,635 --> 00:36:21,429 Swollen lips, swollen tongue. 969 00:36:21,470 --> 00:36:23,139 Vera, this is a side effect of the medication we gave you. 970 00:36:23,222 --> 00:36:24,473 [moaning] 971 00:36:24,557 --> 00:36:26,142 Sats are up with high flow nasal. 972 00:36:26,184 --> 00:36:27,643 It's anaphylaxis. Get Robby. 973 00:36:27,685 --> 00:36:29,770 Angioedema is not always anaphylaxis. 974 00:36:29,812 --> 00:36:32,273 I know, but it can progress to it and cause an obstruction. 975 00:36:32,315 --> 00:36:34,025 If it's just angioedema, I can reverse 976 00:36:34,108 --> 00:36:35,651 the swelling fast with IV epi. 977 00:36:35,735 --> 00:36:37,486 BP's 165 over 85. 978 00:36:37,528 --> 00:36:39,488 Prep Ketamine and Roc for intubation. 979 00:36:39,530 --> 00:36:41,365 Hold on. Wait, wait. But Dr. Mohan, you just said... 980 00:36:41,449 --> 00:36:42,867 We're not intubating yet. 981 00:36:42,950 --> 00:36:44,368 But she's gonna arrest. 982 00:36:44,452 --> 00:36:45,661 What happened? 983 00:36:45,703 --> 00:36:47,163 Angioedema with stridor. 984 00:36:47,205 --> 00:36:49,123 Respiratory is on their way. 985 00:36:49,165 --> 00:36:51,125 - We should intubate, right? - Good BP and O2 sats. 986 00:36:51,167 --> 00:36:53,169 Epinephrine can reverse the swelling right away. 987 00:36:53,252 --> 00:36:54,795 I pushed 10 mics of IV epi. 988 00:36:54,837 --> 00:36:57,465 Starting her drip at 5 cc's, 5 mikes per minute. 989 00:36:57,506 --> 00:36:58,883 Sats are holding at 95 on high flow. 990 00:36:58,966 --> 00:37:00,343 BP is good. 991 00:37:00,426 --> 00:37:02,011 Vera, we're gonna sedate you 992 00:37:02,053 --> 00:37:03,346 so that we can help you breathe better. 993 00:37:03,387 --> 00:37:05,264 Or not. Let's just wait a minute. 994 00:37:05,348 --> 00:37:06,432 How'd you get that epi drip hung so fast? 995 00:37:06,515 --> 00:37:07,683 Bedside drip. 996 00:37:07,767 --> 00:37:09,310 I mixed 1 milligram with a liter. 997 00:37:09,352 --> 00:37:10,770 Nice. 998 00:37:10,853 --> 00:37:12,355 Are we intubating? Are we not intubating? 999 00:37:12,438 --> 00:37:13,522 Not. 1000 00:37:13,606 --> 00:37:14,982 Stridor is improving. 1001 00:37:15,024 --> 00:37:16,692 Is it getting easier to breathe? 1002 00:37:16,734 --> 00:37:18,194 Mm-hmm, hmm. 1003 00:37:18,277 --> 00:37:20,112 Speech is coming back. 1004 00:37:20,196 --> 00:37:24,033 50 diphenhydramine, 125 Solumedrol. 1005 00:37:24,116 --> 00:37:26,494 Do you think Dr. Mehta will want her intubated 1006 00:37:26,535 --> 00:37:28,537 - for the thrombectomy? - Not necessarily. 1007 00:37:28,621 --> 00:37:30,539 If she can talk and move during the procedure, 1008 00:37:30,623 --> 00:37:33,542 then they can monitor any changes in the neuro exam. 1009 00:37:33,584 --> 00:37:35,836 Slo-Mo, No-Mo! 1010 00:37:35,878 --> 00:37:40,549 Sorry, I think Dr. Mehta is rubbing off on me. 1011 00:37:40,591 --> 00:37:41,884 We're taking him up to our burn unit. 1012 00:37:41,926 --> 00:37:43,511 He'll be in great hands. 1013 00:37:43,552 --> 00:37:45,554 They've had lots of experience with cases like Teddy's. 1014 00:37:45,638 --> 00:37:47,223 What now? 1015 00:37:47,306 --> 00:37:51,894 We will continue with IV fluids and pain meds. 1016 00:37:51,978 --> 00:37:53,854 We'll support his breathing with the ventilator, 1017 00:37:53,896 --> 00:37:55,564 and we'll keep his wounds clean, 1018 00:37:55,606 --> 00:37:57,108 look for any signs of infection. 1019 00:37:57,191 --> 00:38:01,112 And later, the plastic surgeons can do skin grafts. 1020 00:38:01,195 --> 00:38:03,114 He's gonna be OK. 1021 00:38:03,197 --> 00:38:05,866 Teddy's condition is very critical, so no promises. 1022 00:38:05,908 --> 00:38:07,368 But our team is gonna do everything they can 1023 00:38:07,410 --> 00:38:10,329 to give him the best chance possible. 1024 00:38:10,413 --> 00:38:12,415 I'll make sure to stop by the ICU, 1025 00:38:12,498 --> 00:38:14,083 check in on both of you. 1026 00:38:14,125 --> 00:38:16,752 I can't begin to thank you enough, Dr. Whitaker. 1027 00:38:16,794 --> 00:38:19,088 Oh, uh, student doctor. 1028 00:38:22,300 --> 00:38:25,761 Oh, uh, don't forget about dinner at the farm. 1029 00:38:25,845 --> 00:38:29,849 And, uh, make sure to brush up on your diaper-changing skills. 1030 00:38:29,932 --> 00:38:31,225 Oh, with seven nieces and nephews, 1031 00:38:31,267 --> 00:38:33,019 I'm a Diaper Genie, so... 1032 00:38:33,102 --> 00:38:35,771 [chuckles] 1033 00:38:35,813 --> 00:38:38,941 You know you just called yourself a trash can, right? 1034 00:38:39,025 --> 00:38:43,279 Before you grab your next patient, um, call Kiara. 1035 00:38:43,321 --> 00:38:45,573 Have somebody go upstairs and talk to the wife. 1036 00:38:45,614 --> 00:38:47,283 Amy? Why? 1037 00:38:47,366 --> 00:38:48,951 We wanted to give her hope, but the reality is, 1038 00:38:48,993 --> 00:38:51,120 her husband's not gonna make it. 1039 00:38:51,162 --> 00:38:52,413 He's stable. 1040 00:38:52,455 --> 00:38:53,831 His chance of dying in the next week 1041 00:38:53,914 --> 00:38:55,750 is over 90%. 1042 00:38:55,791 --> 00:38:57,460 He's young, he's strong. 1043 00:38:57,543 --> 00:39:00,004 - Maybe he's the 10%. - Maybe. 1044 00:39:00,087 --> 00:39:01,505 But he's a lot more likely to die of sepsis 1045 00:39:01,589 --> 00:39:03,424 before his kid is born. 1046 00:39:03,466 --> 00:39:04,842 Call Kiara. 1047 00:39:12,475 --> 00:39:15,728 The CT shows a hairline orbital floor fracture. 1048 00:39:15,811 --> 00:39:17,229 But thanks to the canthotomy, 1049 00:39:17,313 --> 00:39:19,148 the hematoma isn't pushing on his eyeball. 1050 00:39:19,231 --> 00:39:21,233 Will I be able to see? 1051 00:39:22,401 --> 00:39:24,487 That's why you need surgery. 1052 00:39:24,570 --> 00:39:26,781 The ophthalmologists will drain the blood inside the front 1053 00:39:26,822 --> 00:39:28,616 of your eye and replace it with the clear fluid 1054 00:39:28,657 --> 00:39:30,409 you need to see, OK? 1055 00:39:30,493 --> 00:39:31,786 They're ready for you now. 1056 00:39:31,827 --> 00:39:32,995 Hey, hey, hey. 1057 00:39:33,037 --> 00:39:34,288 Don't worry, bud. 1058 00:39:34,330 --> 00:39:35,623 All right? 1059 00:39:38,417 --> 00:39:41,504 So... so he has the surgery, stays overnight, 1060 00:39:41,545 --> 00:39:43,005 he goes home tomorrow? 1061 00:39:43,047 --> 00:39:44,548 It depends on how the surgery goes 1062 00:39:44,632 --> 00:39:46,842 and what his post-op results are like. 1063 00:39:46,926 --> 00:39:48,677 Give or take. 1064 00:39:48,719 --> 00:39:51,514 It could be as soon as tomorrow, yeah. 1065 00:39:51,597 --> 00:39:53,349 OK. 1066 00:39:53,391 --> 00:39:54,850 So he could be... 1067 00:39:54,934 --> 00:39:57,978 could be game-ready by Thursday. 1068 00:39:58,020 --> 00:40:00,022 Sir, your son is freaking out 1069 00:40:00,106 --> 00:40:02,525 because he may never see out of his left eye again. 1070 00:40:02,566 --> 00:40:04,985 - Yeah, that's... - No, no, forget baseball 1071 00:40:05,027 --> 00:40:07,029 and just be his dad. 1072 00:40:07,113 --> 00:40:09,323 God, it can't be that fucking hard. 1073 00:40:10,616 --> 00:40:12,952 - [scoffs] - Uh, there's a waiting room 1074 00:40:13,035 --> 00:40:15,287 up by surgery, sixth floor. 1075 00:40:15,371 --> 00:40:17,498 Right off the elevator. You can't miss it. 1076 00:40:17,540 --> 00:40:19,291 Angioedema responded to epi, 1077 00:40:19,375 --> 00:40:21,043 diphenhydramine, and steroids. 1078 00:40:21,085 --> 00:40:23,379 Excellent. 1079 00:40:25,256 --> 00:40:27,800 Thank you. 1080 00:40:27,883 --> 00:40:29,593 You're very welcome. 1081 00:40:31,303 --> 00:40:34,640 Which neurotransmitter makes the best adhesive? 1082 00:40:34,723 --> 00:40:36,851 - I don't know... - Glutamate! 1083 00:40:36,892 --> 00:40:38,060 "Glue" -tamate. 1084 00:40:38,144 --> 00:40:39,687 Am I right? 1085 00:40:39,728 --> 00:40:41,730 Nicely done, Dr. King. [laughs] 1086 00:40:44,024 --> 00:40:45,901 That was really quick thinking back there. 1087 00:40:45,943 --> 00:40:48,112 I'm really sorry if it seemed like I doubted you. 1088 00:40:48,195 --> 00:40:49,780 I didn't. I just... 1089 00:40:49,864 --> 00:40:52,533 Honestly, I surprised myself a bit. 1090 00:40:52,575 --> 00:40:53,742 Yeah? 1091 00:40:53,826 --> 00:40:55,744 Well, you trusted your gut. 1092 00:40:55,828 --> 00:40:57,955 Maybe that's your special sauce. 1093 00:40:58,038 --> 00:40:59,415 Maybe. 1094 00:40:59,498 --> 00:41:02,418 Um, Dr. Mohan, 1095 00:41:02,501 --> 00:41:05,045 what if I don't have special sauce? 1096 00:41:05,087 --> 00:41:07,089 Of course you do. 1097 00:41:07,173 --> 00:41:08,466 Just be yourself. 1098 00:41:08,549 --> 00:41:10,134 It'll come. 1099 00:41:18,100 --> 00:41:21,270 So now might be a good time to go over 1100 00:41:21,353 --> 00:41:23,230 some doctor-patient interaction guidelines. 1101 00:41:23,272 --> 00:41:24,440 I'm sorry. That dad was just such... 1102 00:41:24,482 --> 00:41:26,609 - So overbearing. - An asshole. 1103 00:41:26,692 --> 00:41:28,360 I'm sorry. 1104 00:41:28,444 --> 00:41:31,197 Look, do I think he needed to chill out a little bit? 1105 00:41:31,280 --> 00:41:32,448 Yes. 1106 00:41:32,490 --> 00:41:34,742 But he's a parent, and this might be 1107 00:41:34,783 --> 00:41:36,118 his way of coping with the stress 1108 00:41:36,160 --> 00:41:37,953 of a very frightening situation. 1109 00:41:38,037 --> 00:41:40,706 I'm sorry. I don't know what came over me. 1110 00:41:40,789 --> 00:41:42,249 No, I do. 1111 00:41:42,291 --> 00:41:43,751 You and that baseball kid 1112 00:41:43,792 --> 00:41:46,170 are two pressure cooker prodigies in a pod. 1113 00:41:47,630 --> 00:41:49,924 Just as physicians, we gotta learn 1114 00:41:49,965 --> 00:41:51,842 to keep our emotions in check and not let 1115 00:41:51,926 --> 00:41:53,427 our personal experiences interfere 1116 00:41:53,469 --> 00:41:56,138 with our professional responsibilities. 1117 00:41:56,222 --> 00:41:58,849 How long did it take you to learn that? 1118 00:41:58,933 --> 00:42:00,476 I'm still learning. 1119 00:42:00,559 --> 00:42:03,646 And I also learned to never get on your bad side. 1120 00:42:03,687 --> 00:42:06,148 - [chuckles] - Yo, yo, yo. 1121 00:42:06,232 --> 00:42:08,359 - Hey. - Almost quitting time. 1122 00:42:08,442 --> 00:42:10,528 I so appreciate you helping me out with Harrison. 1123 00:42:10,611 --> 00:42:12,655 - Oh. - And my douchebag ex. 1124 00:42:12,738 --> 00:42:14,323 - Hey, we all have them. - Yeah. 1125 00:42:14,365 --> 00:42:16,617 Oh. Totally. 1126 00:42:16,659 --> 00:42:18,285 Me too. Me too. 1127 00:42:18,327 --> 00:42:20,329 Yeah. 1128 00:42:20,371 --> 00:42:21,830 I'm always happy to help. 1129 00:42:21,872 --> 00:42:22,915 Yeah. 1130 00:42:22,998 --> 00:42:24,500 So I get off in a couple hours. 1131 00:42:24,583 --> 00:42:26,085 Do you mind just doing a loop every once in a while 1132 00:42:26,168 --> 00:42:27,336 to make sure he's not burning the place down? 1133 00:42:27,419 --> 00:42:28,671 - Can do. - Great. 1134 00:42:28,712 --> 00:42:30,172 And, you know, a new foot massage place 1135 00:42:30,256 --> 00:42:31,674 just opened in the Strip District. 1136 00:42:31,715 --> 00:42:33,133 Do you wanna go on Sunday? 1137 00:42:33,175 --> 00:42:34,343 - For sure. Yeah, yeah. - OK, cool. 1138 00:42:34,385 --> 00:42:36,136 I'm free Sunday... 1139 00:42:36,178 --> 00:42:39,139 um, to... to help or just do... 1140 00:42:39,181 --> 00:42:40,516 yeah, whatever. Wherever. 1141 00:42:40,558 --> 00:42:42,351 Oh, my God. 1142 00:42:42,393 --> 00:42:45,312 I mean, Harrison would love a sitter closer to his own age. 1143 00:42:45,354 --> 00:42:46,855 I...[laughs] I'll get your number 1144 00:42:46,939 --> 00:42:48,399 and text you the address? That's awesome. 1145 00:42:48,482 --> 00:42:49,692 - Oh. - Thank you. 1146 00:42:49,775 --> 00:42:50,818 Oh, sure. 1147 00:42:50,859 --> 00:42:52,778 Dr. Santos, a moment, please? 1148 00:42:56,907 --> 00:42:58,534 [clears throat] 1149 00:43:00,494 --> 00:43:03,414 So how's your first day going? 1150 00:43:03,497 --> 00:43:05,207 So far, so good. 1151 00:43:05,291 --> 00:43:06,584 Getting along with everyone? 1152 00:43:06,667 --> 00:43:07,668 Yeah, pretty much. 1153 00:43:07,710 --> 00:43:11,046 Except Langdon? 1154 00:43:11,088 --> 00:43:13,424 So in this ER, we all need to work together 1155 00:43:13,507 --> 00:43:15,217 as a single unified entity. 1156 00:43:15,301 --> 00:43:17,511 And if two people on my team can't work together, 1157 00:43:17,553 --> 00:43:19,722 it kind of throws the rhythm of the place off. 1158 00:43:19,805 --> 00:43:21,348 Understood. 1159 00:43:21,390 --> 00:43:24,852 My duty, regardless of personal relationships, 1160 00:43:24,893 --> 00:43:28,564 is to make sure everybody on my team is doing OK. 1161 00:43:28,606 --> 00:43:33,736 So are you doing OK? 1162 00:43:33,819 --> 00:43:35,738 Uh, it's not a big deal. 1163 00:43:35,821 --> 00:43:37,364 I can handle it. 1164 00:43:38,991 --> 00:43:42,411 Handle what? 1165 00:43:42,453 --> 00:43:44,705 Nothing. It... it's fine. 1166 00:43:44,747 --> 00:43:47,082 I... 1167 00:43:47,124 --> 00:43:50,419 I don't wanna get anyone in trouble. 1168 00:43:50,461 --> 00:43:53,255 Hmm. 1169 00:43:53,339 --> 00:43:55,591 OK, if there is anything... 1170 00:43:55,674 --> 00:43:57,635 anything that could affect my ER, 1171 00:43:57,718 --> 00:43:59,094 I need to know about it, 1172 00:43:59,178 --> 00:44:01,764 and you have a responsibility to tell me. 1173 00:44:11,273 --> 00:44:12,900 - Hey. - Hey. 1174 00:44:12,941 --> 00:44:15,402 Did they catch the bastard who sucker punched you? 1175 00:44:15,444 --> 00:44:16,904 I haven't heard. 1176 00:44:16,945 --> 00:44:19,948 Well, when they do, just send him to me. 1177 00:44:20,032 --> 00:44:22,910 I can make it look like an accident. 1178 00:44:22,951 --> 00:44:24,244 [chuckles] 1179 00:44:24,286 --> 00:44:25,746 I might just take you up on that. 1180 00:44:25,788 --> 00:44:27,873 Mm, you betcha. 1181 00:44:30,459 --> 00:44:33,587 You've been paroled! 1182 00:44:33,629 --> 00:44:34,963 - Are you sure? - Yeah. 1183 00:44:35,047 --> 00:44:36,799 - Oh. - OK. Yeah. 1184 00:44:36,840 --> 00:44:38,092 Ow. OK. 1185 00:44:38,133 --> 00:44:40,427 Yep. Go check on Myrna. 1186 00:44:40,469 --> 00:44:41,970 - You got a sec? - Bless you. 1187 00:44:42,054 --> 00:44:43,138 For you, boss, I got two. 1188 00:44:43,222 --> 00:44:44,723 What's up? 1189 00:44:44,807 --> 00:44:47,810 [indistinct chatter] 1190 00:45:00,656 --> 00:45:01,824 [sighs] 1191 00:45:01,865 --> 00:45:03,659 I heard there's been 1192 00:45:03,742 --> 00:45:06,995 some inconsistencies with meds intended for your patients. 1193 00:45:07,079 --> 00:45:08,622 What? 1194 00:45:10,499 --> 00:45:14,837 Frank, have you been helping yourself to benzos from the ER? 1195 00:45:14,920 --> 00:45:17,256 Yeah, I've been stealing blood too. 1196 00:45:20,843 --> 00:45:22,970 I asked you a question. 1197 00:45:23,011 --> 00:45:25,431 Wait, are you serious? 1198 00:45:25,514 --> 00:45:26,849 What are you doing? 1199 00:45:28,350 --> 00:45:29,810 Really? 1200 00:45:29,852 --> 00:45:31,854 Santos? 1201 00:45:31,937 --> 00:45:34,440 Whatever the hell she told you is bullshit. 1202 00:45:34,523 --> 00:45:36,316 [sighs] 1203 00:45:36,358 --> 00:45:37,693 I didn't mention Santos. 1204 00:45:37,735 --> 00:45:39,778 You didn't have to. 1205 00:45:39,862 --> 00:45:42,823 I told you, she is trouble. 1206 00:45:42,865 --> 00:45:45,659 Have you ever taken a patient's medication? 1207 00:45:45,701 --> 00:45:46,952 This is insane. 1208 00:45:47,035 --> 00:45:48,203 This is completely fucking insane. 1209 00:45:48,245 --> 00:45:49,621 I need you to open your locker. 1210 00:45:49,705 --> 00:45:51,039 - Yeah, right. - Open your locker. 1211 00:45:51,081 --> 00:45:52,207 - You're gonna regret... - [banging] 1212 00:45:52,249 --> 00:45:53,542 Open your fucking locker, 1213 00:45:53,625 --> 00:45:55,919 or I will have security smash it open. 1214 00:45:59,256 --> 00:46:02,301 [keypad beeping] 1215 00:46:12,394 --> 00:46:14,438 [sighs] 1216 00:46:17,107 --> 00:46:18,442 Is the imprint code on these pills 1217 00:46:18,525 --> 00:46:20,569 gonna match Louie's Librium? 1218 00:46:28,619 --> 00:46:29,745 Go home, Frank. 1219 00:46:29,787 --> 00:46:31,246 No, no, it's not like you think. 1220 00:46:31,288 --> 00:46:33,582 You remember, whenever I helped my parents move, 1221 00:46:33,624 --> 00:46:35,250 I was too cheap to pay for movers. 1222 00:46:35,334 --> 00:46:36,752 I hurt my back. I told you that. 1223 00:46:36,835 --> 00:46:38,587 You teased me about it, remember? 1224 00:46:38,629 --> 00:46:41,006 Well, our own Dr. Hagan prescribed me 1225 00:46:41,089 --> 00:46:42,716 some pain meds and muscle relaxants. 1226 00:46:42,758 --> 00:46:44,009 I was just weaning myself off. 1227 00:46:44,092 --> 00:46:45,093 It was just for maintenance. I'm done. 1228 00:46:45,177 --> 00:46:46,261 Robby, come on. 1229 00:46:46,303 --> 00:46:47,679 You know me, Robby. 1230 00:46:47,763 --> 00:46:48,680 You know me, man. 1231 00:46:48,764 --> 00:46:50,182 I'm sorry. I fucked up. 1232 00:46:50,265 --> 00:46:52,059 - I just... I... I was trying to... - Trying to what? 1233 00:46:52,100 --> 00:46:53,393 Steal pills without getting caught? 1234 00:46:53,435 --> 00:46:55,103 No, it's not like... you don't under... 1235 00:46:55,187 --> 00:46:56,563 - I don't fucking understand? - It's not like you think! 1236 00:46:56,605 --> 00:46:58,440 I'm not high. I'm not high. 1237 00:46:58,482 --> 00:47:00,442 You've seen what I do, Robby. 1238 00:47:00,526 --> 00:47:04,488 Could a drug addict do what I do? 1239 00:47:04,571 --> 00:47:06,281 Apparently. 1240 00:47:09,076 --> 00:47:11,787 And I just fucking let him! 1241 00:47:11,870 --> 00:47:13,914 You're done. 1242 00:47:13,956 --> 00:47:17,459 Leave now, or I will have Ahmad escort you out. 1243 00:47:17,543 --> 00:47:20,003 Robby, please. 1244 00:47:20,087 --> 00:47:21,713 You are done. 1245 00:47:26,218 --> 00:47:27,469 [shouting] What? 1246 00:47:40,816 --> 00:47:43,735 [upbeat music] 1247 00:47:43,819 --> 00:47:50,826 ♪ ♪