1 00:00:07,800 --> 00:00:09,800 Sync and corrections by btsix www.addic7ed.com 2 00:00:09,801 --> 00:00:12,344 Prep to intubate. 3 00:00:12,345 --> 00:00:13,554 Ketamine and Roc on board. 4 00:00:13,555 --> 00:00:15,597 Chest tube is in. Hook me up. 5 00:00:15,598 --> 00:00:18,350 Yellow zone, we are running out of everything. 6 00:00:18,351 --> 00:00:21,729 Only change bandages that are completely bled through. 7 00:00:21,730 --> 00:00:23,522 Yo. 8 00:00:23,523 --> 00:00:25,399 Overheard a nurse say the shooter's here. 9 00:00:25,400 --> 00:00:26,483 Holy shit. 10 00:00:26,484 --> 00:00:27,568 Oh, my God. 11 00:00:27,569 --> 00:00:28,819 Sorry. 12 00:00:28,820 --> 00:00:30,904 He's handcuffed, but he's in a room. 13 00:00:30,905 --> 00:00:32,531 He gets a room while the rest of us 14 00:00:32,532 --> 00:00:33,907 are stacked up like firewood. 15 00:00:33,908 --> 00:00:35,325 Sorry to interrupt. 16 00:00:35,326 --> 00:00:36,744 Anything you could tell us about the shooter? 17 00:00:36,745 --> 00:00:38,537 - Is he here? - Where'd you hear that? 18 00:00:38,538 --> 00:00:39,913 Nurses be talking. 19 00:00:39,914 --> 00:00:41,582 I don't know anything about that. 20 00:00:41,583 --> 00:00:43,250 Yeah, let's keep the rumor mill in check. 21 00:00:43,251 --> 00:00:46,754 The cops will alert us when they know something. 22 00:00:46,755 --> 00:00:48,881 Uh, Dawn, how are you doing? Do you need anything? 23 00:00:48,882 --> 00:00:50,591 I'm better. Kind of hungry, though. 24 00:00:50,592 --> 00:00:52,968 Well, we can discontinue your IV, 25 00:00:52,969 --> 00:00:54,762 give you a sandwich so your sugar doesn't tank, 26 00:00:54,763 --> 00:00:56,055 - and then you can go home. - Thanks. 27 00:00:56,056 --> 00:00:58,390 But my phone died at PittFest, so I wasn't getting 28 00:00:58,391 --> 00:01:00,100 any alerts from my glucose monitor. 29 00:01:00,101 --> 00:01:01,268 What about me? 30 00:01:01,269 --> 00:01:02,603 Can I go home? 31 00:01:02,604 --> 00:01:04,396 Since you OD'd, we need to keep you here 32 00:01:04,397 --> 00:01:05,773 for a couple more hours, make sure 33 00:01:05,774 --> 00:01:07,107 you don't need any more Narcan. 34 00:01:07,108 --> 00:01:08,609 How's your pain doing, Buster? 35 00:01:08,610 --> 00:01:10,110 I mean, my arm still hurts pretty bad. 36 00:01:10,111 --> 00:01:11,987 Hey, can I get a sandwich, too? 37 00:01:11,988 --> 00:01:13,447 Uh, we can up your pain meds, 38 00:01:13,448 --> 00:01:14,948 but you're on the list for the OR, 39 00:01:14,949 --> 00:01:16,784 so we need to keep you NPO. 40 00:01:16,785 --> 00:01:17,785 Meaning? 41 00:01:17,786 --> 00:01:19,161 Nothing more to eat. 42 00:01:19,162 --> 00:01:20,913 We'll keep you hydrated with IV fluids. 43 00:01:20,914 --> 00:01:23,957 Can I at least get a blanket? It's so cold in here. 44 00:01:23,958 --> 00:01:25,626 Yeah, uh... 45 00:01:25,627 --> 00:01:28,545 All the blankets are in Pedes... 46 00:01:28,546 --> 00:01:29,797 the morgue. 47 00:01:31,132 --> 00:01:32,926 Rock Paper Scissors? 48 00:01:36,805 --> 00:01:38,639 Shit. 49 00:01:38,640 --> 00:01:40,808 Dawn, I can charge your phone for you. 50 00:01:40,809 --> 00:01:41,850 Thank you. 51 00:01:41,851 --> 00:01:44,478 Fucking circus. 52 00:01:44,479 --> 00:01:48,399 - Robby here? - No. Check trauma rooms. 53 00:01:53,863 --> 00:01:55,364 500 cc's from the chest tube already. 54 00:01:55,365 --> 00:01:56,824 We're out of O-neg again. 55 00:01:56,825 --> 00:01:58,492 Hang the cell saver for autotransfusion. 56 00:01:58,493 --> 00:01:59,993 - This is weird. - What? 57 00:01:59,994 --> 00:02:01,161 Shot in the chest, but nothing 58 00:02:01,162 --> 00:02:03,080 out of the thoracostomy tube. 59 00:02:03,081 --> 00:02:04,623 You got through the pleura okay? 60 00:02:04,624 --> 00:02:06,500 Yeah, I definitely felt the lung with my finger. 61 00:02:06,501 --> 00:02:08,168 I lost the radial pulse. I got a femoral. 62 00:02:08,169 --> 00:02:09,628 This guy's bleeding out. 63 00:02:09,629 --> 00:02:10,671 Probably tore through the spleen. 64 00:02:10,672 --> 00:02:12,005 How? 65 00:02:12,006 --> 00:02:13,715 Okay, nipples to navel is no man's land. 66 00:02:13,716 --> 00:02:15,843 If he got shot while exhaling, the bullet possibly 67 00:02:15,844 --> 00:02:17,636 passed below the diaphragm. 68 00:02:17,637 --> 00:02:20,514 Start a second IO, transfuse two units O-positive. 69 00:02:20,515 --> 00:02:21,682 Where's Robby? 70 00:02:21,683 --> 00:02:23,183 Let's find him and call Walsh. 71 00:02:23,184 --> 00:02:26,228 This guy needs the next OR immediately. 72 00:02:26,229 --> 00:02:27,855 - Dana! - Yeah? 73 00:02:27,856 --> 00:02:29,273 Have you seen Robby? 74 00:02:29,274 --> 00:02:31,024 I was about to ask you the same thing. 75 00:02:31,025 --> 00:02:32,693 - McKay! - Yeah? 76 00:02:32,694 --> 00:02:34,111 You seen Robby? 77 00:02:34,112 --> 00:02:36,655 Uh, no, not in Pink. 78 00:02:38,700 --> 00:02:41,869 I was at the festival 79 00:02:41,870 --> 00:02:45,372 with my husband and my daughter. 80 00:02:45,373 --> 00:02:50,002 My husband is in a wheelchair from MS. 81 00:02:50,003 --> 00:02:53,046 I did my best to protect him. 82 00:02:53,047 --> 00:02:56,258 A bullet went through my arm and through his head. 83 00:03:03,933 --> 00:03:06,560 The medics declared him dead. 84 00:03:06,561 --> 00:03:08,395 What about your daughter? 85 00:03:08,396 --> 00:03:10,898 What's her name? 86 00:03:10,899 --> 00:03:13,066 Morgan. 87 00:03:13,067 --> 00:03:15,903 Some family members are meeting in the cafeteria. 88 00:03:15,904 --> 00:03:17,739 I can see if she's there. 89 00:03:19,365 --> 00:03:22,202 How do you deal with all this death and carnage? 90 00:03:25,747 --> 00:03:27,039 I don't... 91 00:03:27,040 --> 00:03:28,874 I don't know. 92 00:03:28,875 --> 00:03:30,417 Any more Pleur-evacs in Pink? 93 00:03:30,418 --> 00:03:31,835 - Maybe. - What do you need? 94 00:03:31,836 --> 00:03:33,587 - A couple units of blood. - Good luck. 95 00:03:33,588 --> 00:03:35,088 Princess. 96 00:03:50,188 --> 00:03:51,438 Whoa. Jeez. 97 00:03:51,439 --> 00:03:54,316 Sh'ma Yisra'eil... 98 00:03:54,317 --> 00:03:56,276 Dr. Robby? 99 00:03:56,277 --> 00:03:58,111 - Adonai. - Dr. Robby, you okay? 100 00:03:58,112 --> 00:04:00,489 Eloheinu. 101 00:04:02,533 --> 00:04:06,120 Adonai echad. 102 00:04:07,664 --> 00:04:11,124 Barukh sheim 103 00:04:11,125 --> 00:04:15,088 k'vod malhkuto. 104 00:04:24,555 --> 00:04:26,014 You have to go. You have to go. 105 00:04:26,015 --> 00:04:27,808 They need you out there. 106 00:04:27,809 --> 00:04:30,270 We need you out there. 107 00:04:36,484 --> 00:04:38,861 Okay, come on, give me your hand. 108 00:04:40,238 --> 00:04:41,613 I can't. 109 00:04:41,614 --> 00:04:42,990 You have to... 110 00:04:44,492 --> 00:04:47,495 Because if you don't, we're fucked. 111 00:05:12,770 --> 00:05:14,354 Okay. 112 00:05:14,355 --> 00:05:16,440 See you out there, Captain. 113 00:05:31,539 --> 00:05:33,206 Once your phone is charged and able to monitor 114 00:05:33,207 --> 00:05:35,042 your blood sugar, we'll let you go. 115 00:05:35,043 --> 00:05:37,210 Thank you. 116 00:05:37,211 --> 00:05:39,046 Any update on the guy who did this? 117 00:05:39,047 --> 00:05:40,881 Nothing yet. 118 00:05:40,882 --> 00:05:43,216 I'm kind of glad I was out of it when the shit went down. 119 00:05:43,217 --> 00:05:45,886 You OD'd. You could have died. 120 00:05:45,887 --> 00:05:48,555 - You okay, Huckleberry? - Yeah. 121 00:05:48,556 --> 00:05:50,140 You sure? 122 00:05:50,141 --> 00:05:51,767 I know it's tough in there with all the bodies. 123 00:05:51,768 --> 00:05:53,393 - Yeah. - Can I get help 124 00:05:53,394 --> 00:05:55,687 - with a pressure dressing here? - Yeah, I'm on it. 125 00:05:55,688 --> 00:05:58,065 2 grams of Ancef primed for your leg guy. 126 00:05:58,066 --> 00:05:59,942 With pleasure. 127 00:06:04,489 --> 00:06:06,656 You okay, Dr. Robby? 128 00:06:06,657 --> 00:06:08,951 Do you need something to eat or drink? 129 00:06:10,745 --> 00:06:13,705 No, no. I'm good. Thank you. Thank you. 130 00:06:13,706 --> 00:06:15,749 Uh, Esme, your team's doing a great job 131 00:06:15,750 --> 00:06:17,918 staying on top of all this. 132 00:06:17,919 --> 00:06:19,753 Um, I need another four of morphine here. 133 00:06:19,754 --> 00:06:21,922 Yeah, coming right up. 134 00:06:21,923 --> 00:06:23,632 Uh, yeah, that's two. 135 00:06:23,633 --> 00:06:26,760 Tourniquet's down on MCI-9, looks dry. 136 00:06:26,761 --> 00:06:28,679 Good job, Whitaker, Donahue. 137 00:06:34,227 --> 00:06:36,145 Dr. King, keep it up. 138 00:06:41,901 --> 00:06:45,195 All right, maintenance fluids at 125 an hour for all NPOs. 139 00:06:45,196 --> 00:06:47,406 - Heard. - Turn them down. 140 00:06:47,407 --> 00:06:48,782 Well, it looks like you have everyone tucked in, 141 00:06:48,783 --> 00:06:50,450 - Huckleberry. - Yeah. 142 00:06:50,451 --> 00:06:51,785 - We're getting there. - Well, I'm going to leave you 143 00:06:51,786 --> 00:06:52,953 in charge of the boring Yellow stuff. 144 00:06:52,954 --> 00:06:54,287 Where are you going? 145 00:06:54,288 --> 00:06:55,998 Get in on the Red Zone action. 146 00:07:00,294 --> 00:07:03,588 Robby, are you okay? 147 00:07:03,589 --> 00:07:04,756 Right. 148 00:07:04,757 --> 00:07:06,758 Well, I got some good news. 149 00:07:06,759 --> 00:07:08,635 County Public Health is sending out a truckload 150 00:07:08,636 --> 00:07:10,971 of supplies from Magee-Womens and Mercy. 151 00:07:10,972 --> 00:07:12,973 Gloria, are we gonna have to call in more blood donors? 152 00:07:12,974 --> 00:07:15,559 - Already done. - Donated. 153 00:07:15,560 --> 00:07:17,769 I-I don't... 154 00:07:17,770 --> 00:07:19,271 my blood, needles... 155 00:07:19,272 --> 00:07:20,814 Choppers are coming 156 00:07:20,815 --> 00:07:23,150 from blood banks in Erie and Youngstown. 157 00:07:23,151 --> 00:07:25,277 - Oh, thank God. - I appreciate the way 158 00:07:25,278 --> 00:07:27,821 - you've handled logistics today. - Wait, hold on. 159 00:07:27,822 --> 00:07:31,783 W-what does she mean, more blood donors? 160 00:07:31,784 --> 00:07:35,036 You didn't use unscreened blood donations, did you? 161 00:07:35,037 --> 00:07:36,329 We did what we had to do 162 00:07:36,330 --> 00:07:37,789 to save as many people as we could. 163 00:07:37,790 --> 00:07:39,040 You're killing me, Robinavitch. 164 00:07:39,041 --> 00:07:40,959 And for the love of God, can you tell me 165 00:07:40,960 --> 00:07:43,295 that you didn't know about a-a shooter's hit list, 166 00:07:43,296 --> 00:07:44,796 and then you let him go this morning? 167 00:07:44,797 --> 00:07:45,964 He didn't do it. 168 00:07:45,965 --> 00:07:48,008 - Police confirmation? - No. 169 00:07:48,009 --> 00:07:49,301 Then this nightmare... 170 00:07:49,302 --> 00:07:51,970 Jesus, Gloria! 171 00:07:51,971 --> 00:07:53,346 The police are still looking. 172 00:07:53,347 --> 00:07:54,973 Why don't you go back to your micro-managerial 173 00:07:54,974 --> 00:07:56,976 ivory tower and let us get the fuck back to work? 174 00:08:02,899 --> 00:08:05,525 Robby, get some air, brother. 175 00:08:05,526 --> 00:08:08,612 Check on triage. 176 00:08:08,613 --> 00:08:12,866 Dr. Abbot, I got your carotid bypass guy up to the OR. 177 00:08:12,867 --> 00:08:15,703 Vascular surgery says to give you mad props. 178 00:08:17,288 --> 00:08:19,372 Okay. 179 00:08:19,373 --> 00:08:21,833 You think he told Jake his girlfriend died? 180 00:08:21,834 --> 00:08:24,212 - Yeah. - Fuck. 181 00:08:33,012 --> 00:08:35,889 Hey. Hey. 182 00:08:35,890 --> 00:08:37,517 Oh. 183 00:08:45,399 --> 00:08:47,567 - How's it going out here? - Good. 184 00:08:47,568 --> 00:08:49,569 12 minutes since the last pink or red. 185 00:08:49,570 --> 00:08:50,570 I think it's quieting. 186 00:08:50,571 --> 00:08:52,197 - Jesus! - What? 187 00:08:52,198 --> 00:08:54,074 - Don't say that. - Come on. 188 00:08:54,075 --> 00:08:56,243 Don't tell me you believe in that superstitious shit. 189 00:08:56,244 --> 00:08:58,578 It's like saying "Macbeth" in the theater. 190 00:08:58,579 --> 00:09:00,247 Yeah, and you call yourself a person of science. 191 00:09:00,248 --> 00:09:01,373 Watch out! 192 00:09:06,921 --> 00:09:07,921 Hands up! 193 00:09:07,922 --> 00:09:08,922 Any weapons? 194 00:09:08,923 --> 00:09:10,048 Everyone stand back! 195 00:09:10,049 --> 00:09:11,675 No... no weapons. 196 00:09:11,676 --> 00:09:13,093 All clear! 197 00:09:14,929 --> 00:09:16,763 - Are you okay, sir? - Yeah, I'm good. 198 00:09:16,764 --> 00:09:18,056 Guy in the back needs help. 199 00:09:18,057 --> 00:09:19,182 Sorry about the parking job. 200 00:09:19,183 --> 00:09:20,600 Getting a little woozy. 201 00:09:20,601 --> 00:09:22,060 Okay, what happened? 202 00:09:22,061 --> 00:09:23,895 I found him in the festival parking lot. 203 00:09:23,896 --> 00:09:25,897 Gave him Narcan from my kit, but he didn't respond. 204 00:09:25,898 --> 00:09:27,691 - Might be benzos... I don't know. - You a medical worker? 205 00:09:27,692 --> 00:09:28,692 Navy corpsman. 206 00:09:28,693 --> 00:09:30,902 I'm okay. 207 00:09:30,903 --> 00:09:32,612 Your leg does not look okay. 208 00:09:32,613 --> 00:09:34,614 I got shot through and through. 209 00:09:34,615 --> 00:09:36,324 I stayed to help as long as I could. 210 00:09:36,325 --> 00:09:38,451 Bullets flying everywhere. It was a fucking nightmare. 211 00:09:38,452 --> 00:09:39,953 Hey, Ellis. How's the passenger? 212 00:09:39,954 --> 00:09:41,997 No sign of trauma, but he's pretty cyanotic. 213 00:09:41,998 --> 00:09:45,083 Needs oxygen. Let's move him in. 214 00:09:45,084 --> 00:09:46,459 Grabbing a gurney. 215 00:09:46,460 --> 00:09:48,003 Any headache, neck pain, 216 00:09:48,004 --> 00:09:49,838 chest pain, belly pain? 217 00:09:49,839 --> 00:09:51,298 Sir! 218 00:09:51,299 --> 00:09:52,924 No, I'm good. 219 00:09:52,925 --> 00:09:55,135 I'm gonna get a wheelchair. Do not try to walk. 220 00:09:57,763 --> 00:09:59,806 Must have missed the bone because I could... 221 00:09:59,807 --> 00:10:01,933 Whoa, whoa, whoa, whoa! Cancel the wheelchair. 222 00:10:01,934 --> 00:10:03,811 - Bring a gurney. - Gurney! 223 00:10:05,354 --> 00:10:06,813 Any new customers for the OR? 224 00:10:06,814 --> 00:10:08,565 - Yes. - Yeah. 225 00:10:08,566 --> 00:10:10,317 This one looked like chest, but it was intra-abdominal. 226 00:10:10,318 --> 00:10:11,818 Nipples to navel is no man's land. 227 00:10:11,819 --> 00:10:13,486 Am I the only one who missed that day 228 00:10:13,487 --> 00:10:15,072 in medical school? 229 00:10:17,658 --> 00:10:20,660 I need high-flow O2, maybe BiPAP for this guy. 230 00:10:20,661 --> 00:10:22,746 - Trauma rooms open? - No, still getting cleaned. 231 00:10:22,747 --> 00:10:25,081 - South 15 is avail. - Okay, South 15 it is. 232 00:10:25,082 --> 00:10:27,167 Find out if the ICU is ready for her. 233 00:10:27,168 --> 00:10:29,336 All right, get me a tech and an RT, 234 00:10:29,337 --> 00:10:32,172 - and we'll take him up. - Yeah, I'm on it. 235 00:10:32,173 --> 00:10:33,798 Hey, McKay. 236 00:10:33,799 --> 00:10:35,300 There's someone from Allegheny County Courthouse 237 00:10:35,301 --> 00:10:37,053 - on the line. - Not now! 238 00:10:38,387 --> 00:10:39,846 I'm in. Bag her. 239 00:10:39,847 --> 00:10:41,014 Dr. McKay, you have a visitor. 240 00:10:41,015 --> 00:10:42,557 I said not now! 241 00:10:42,558 --> 00:10:44,184 Jesus Christ. 242 00:10:44,185 --> 00:10:46,019 Sorry, Dad. Hey. 243 00:10:46,020 --> 00:10:48,188 Thank you so much for coming in to pick up Harrison. 244 00:10:48,189 --> 00:10:49,522 Are you okay? 245 00:10:49,523 --> 00:10:51,691 Ah, I mean, relatively speaking, 246 00:10:51,692 --> 00:10:54,986 - I'm fan-fucking-tastic. - Good. 247 00:10:54,987 --> 00:10:57,697 Hey, Dr. Abbot, can you keep an eye on this one? 248 00:10:57,698 --> 00:11:01,368 - Stable after 1 unit pRBCs. - No problem. 249 00:11:01,369 --> 00:11:03,787 Ellis, get him started. Holler if you need me. 250 00:11:03,788 --> 00:11:05,205 Copy. 251 00:11:07,166 --> 00:11:09,709 Dana, hypotensive and altered. 252 00:11:09,710 --> 00:11:11,211 Untreated GSW to the thigh. 253 00:11:11,212 --> 00:11:12,629 Perfect timing. 254 00:11:12,630 --> 00:11:14,214 Trauma One's open, but be careful. 255 00:11:14,215 --> 00:11:15,548 Floor's probably still wet. 256 00:11:15,549 --> 00:11:17,677 - Mohan, you're on this. - Okay. 257 00:11:23,432 --> 00:11:25,725 Dr. Abbot, you need anything? 258 00:11:25,726 --> 00:11:28,270 Check with Ellis in South 15. 259 00:11:33,401 --> 00:11:34,734 - What do we got? - What do we got? 260 00:11:34,735 --> 00:11:36,861 Pulse ox is low, 85 on room air. 261 00:11:36,862 --> 00:11:38,738 100% non-rebreather mask. 262 00:11:38,739 --> 00:11:40,782 This guy needs a major workup. 263 00:11:46,247 --> 00:11:48,081 Everyone in Yellow is stable. 264 00:11:48,082 --> 00:11:50,792 Okay. Uh, check in with Robby. 265 00:11:50,793 --> 00:11:52,252 - Holy shit. - See where he can use 266 00:11:52,253 --> 00:11:53,586 another set of hands. 267 00:11:53,587 --> 00:11:55,880 Okay, great. Thanks. 268 00:11:55,881 --> 00:11:57,757 Trauma One, I know that guy. 269 00:11:57,758 --> 00:11:59,217 His sister's in the cafeteria. 270 00:11:59,218 --> 00:12:00,593 Her husband was shot and killed today. 271 00:12:00,594 --> 00:12:01,970 Oh, sweet Jesus. 272 00:12:01,971 --> 00:12:03,596 Do you think I can bring the lady in 273 00:12:03,597 --> 00:12:04,806 to see her brother? 274 00:12:04,807 --> 00:12:06,891 Uh, Robby, 275 00:12:06,892 --> 00:12:08,393 lady in the cafeteria, dead husband, 276 00:12:08,394 --> 00:12:10,562 brother in Trauma One, can we bring her back? 277 00:12:10,563 --> 00:12:12,605 It seems like it's slowing down around here... go ahead. 278 00:12:12,606 --> 00:12:14,858 Um, I have a patient in Central 9. 279 00:12:14,859 --> 00:12:17,444 She was shot trying to protect her husband, who, um, died. 280 00:12:17,445 --> 00:12:19,446 But her daughter is in the cafeteria. 281 00:12:19,447 --> 00:12:21,281 I don't think I can spare any doctors right now. 282 00:12:21,282 --> 00:12:23,950 In fact, why don't you go cover triage until Shen 283 00:12:23,951 --> 00:12:25,785 - and Ellis get back there? - Okay. 284 00:12:25,786 --> 00:12:27,871 Give me her name. I'll find her. 285 00:12:27,872 --> 00:12:29,289 Oh, thank you so much. 286 00:12:29,290 --> 00:12:32,959 Um, her name is Morgan. Her mom is Trish Gregory. 287 00:12:34,795 --> 00:12:36,629 Okay if we bring her up here, too? 288 00:12:36,630 --> 00:12:38,966 Sure. Why not? 289 00:12:40,426 --> 00:12:42,093 Pulse ox is still 85 on high-flow oxygen. 290 00:12:42,094 --> 00:12:43,636 BP is borderline. 291 00:12:43,637 --> 00:12:46,806 Dr. Santos, differential diagnosis of cyanosis? 292 00:12:46,807 --> 00:12:49,851 Hypoxia, low oxygen from lung disease... 293 00:12:49,852 --> 00:12:51,811 pneumonia, PE, asthma. 294 00:12:51,812 --> 00:12:53,813 Good breath sounds, no crackles, no wheezing. 295 00:12:53,814 --> 00:12:55,857 Pulmonary problems should improve with O2. 296 00:12:55,858 --> 00:12:58,485 - What else? - Heart disease, heart failure. 297 00:12:58,486 --> 00:13:00,361 - No B line. - Right to left shunt? 298 00:13:00,362 --> 00:13:01,988 That's usually in congenital heart disease. 299 00:13:01,989 --> 00:13:04,157 PDA, Tetralogy of Fallot. 300 00:13:04,158 --> 00:13:06,159 Cardiac ECHO looks good. 301 00:13:06,160 --> 00:13:09,162 Normal ejection fraction, no valvular disease. 302 00:13:09,163 --> 00:13:11,289 Hmm, what else could it be? 303 00:13:11,290 --> 00:13:13,666 Okay, is Dr. Ellis running this resuscitation, or are you? 304 00:13:13,667 --> 00:13:15,668 Because last time I checked, you're not supposed to be here. 305 00:13:15,669 --> 00:13:17,170 We both are. 306 00:13:17,171 --> 00:13:19,339 The senior resident's job is to teach. 307 00:13:19,340 --> 00:13:21,341 What else, Dr. Santos? 308 00:13:21,342 --> 00:13:22,842 Hemoglobinopathies? 309 00:13:22,843 --> 00:13:23,968 Excellent. 310 00:13:23,969 --> 00:13:25,429 Blood is chocolate brown. 311 00:13:27,181 --> 00:13:28,348 Santos? 312 00:13:28,349 --> 00:13:29,766 Methemoglobinemia? 313 00:13:29,767 --> 00:13:30,767 Bingo. 314 00:13:30,768 --> 00:13:32,268 Put him on BiPAP. 315 00:13:32,269 --> 00:13:34,145 Send off a blood gas. Order methylene blue. 316 00:13:34,146 --> 00:13:35,188 Etiology? 317 00:13:35,189 --> 00:13:36,606 Drugs, toxins. 318 00:13:36,607 --> 00:13:38,191 Smart money is poppers, amyl nitrates, 319 00:13:38,192 --> 00:13:39,400 and partied a little too hard at PittFest. 320 00:13:39,401 --> 00:13:40,401 Mm-hmm. 321 00:13:40,402 --> 00:13:42,195 Langdon, got a sec? 322 00:13:42,196 --> 00:13:43,905 Yep. 323 00:13:43,906 --> 00:13:46,032 Keep me posted. 324 00:13:46,033 --> 00:13:48,535 - Can I do the intubation? - Not necessary yet. 325 00:13:48,536 --> 00:13:51,162 But his pulse ox is low. He's altered. 326 00:13:51,163 --> 00:13:53,414 All the oxygen in the world won't fix that. 327 00:13:53,415 --> 00:13:55,208 His methemoglobin level is sky-high. 328 00:13:55,209 --> 00:13:56,709 Nothing but methylene blue will help. 329 00:13:56,710 --> 00:13:58,378 I'll run the blood gas up to the lab, 330 00:13:58,379 --> 00:14:00,213 see if they've caught up with all the traumas yet. 331 00:14:00,214 --> 00:14:01,548 First day? 332 00:14:01,549 --> 00:14:03,383 Yeah. 333 00:14:03,384 --> 00:14:05,718 What's the beef with Langdon? 334 00:14:05,719 --> 00:14:06,761 Um... 335 00:14:06,762 --> 00:14:08,429 Are you good here? 336 00:14:08,430 --> 00:14:11,057 Yeah, methemoglobinemia, ordered methylene blue. 337 00:14:11,058 --> 00:14:12,058 Perfect. 338 00:14:12,059 --> 00:14:14,227 Keep it up. 339 00:14:14,228 --> 00:14:16,187 Will do. 340 00:14:16,188 --> 00:14:18,147 And here he is. 341 00:14:18,148 --> 00:14:20,567 - Hey. - Grandpa! 342 00:14:20,568 --> 00:14:23,403 How's my favorite grandchild? 343 00:14:23,404 --> 00:14:25,447 I'm your only grandchild. 344 00:14:27,157 --> 00:14:31,244 Chadwick Harrison Ashcroft III. 345 00:14:31,245 --> 00:14:32,912 Please don't call me that. 346 00:14:32,913 --> 00:14:35,081 Douchebag name for a douchebag guy. 347 00:14:35,082 --> 00:14:36,708 - Dad! - Are you ready? 348 00:14:36,709 --> 00:14:39,752 'Cause Grandma is making your favorite... 349 00:14:39,753 --> 00:14:41,254 carbonara. 350 00:14:41,255 --> 00:14:42,922 Thanks for taking him, Dad. 351 00:14:42,923 --> 00:14:45,091 Will you save some pasta for me? 352 00:14:45,092 --> 00:14:46,760 Okay. 353 00:14:50,931 --> 00:14:52,140 Tapping in. 354 00:14:52,141 --> 00:14:53,766 - Thanks, brother. - Yeah. 355 00:14:53,767 --> 00:14:55,226 EFAST normal. 356 00:14:55,227 --> 00:14:57,979 No abdominal hemorrhage, no tamponade. 357 00:14:57,980 --> 00:15:01,107 Pulse ox borderline, 89% on 15 liters. 358 00:15:01,108 --> 00:15:03,484 BP's only 95 over 58. 359 00:15:03,485 --> 00:15:06,779 Vinny Rivera... is he here? 360 00:15:06,780 --> 00:15:08,781 I'm not sure, man. 361 00:15:08,782 --> 00:15:10,116 I'm so sleepy. 362 00:15:10,117 --> 00:15:12,619 Were you tired right after you got shot? 363 00:15:12,620 --> 00:15:14,287 Uh, no. 364 00:15:14,288 --> 00:15:16,956 I helped move 20, 30 people. 365 00:15:16,957 --> 00:15:18,917 What's causing his oxygen levels to tank? 366 00:15:18,918 --> 00:15:20,126 Up the oxygen. 367 00:15:20,127 --> 00:15:21,961 15's as high as it goes. 368 00:15:21,962 --> 00:15:24,088 Gauge only goes to 15. Keep cranking. 369 00:15:24,089 --> 00:15:25,298 You can get to 50. 370 00:15:25,299 --> 00:15:26,925 Brian? 371 00:15:26,926 --> 00:15:29,969 Vinny got shot. 372 00:15:29,970 --> 00:15:32,138 I sent him with the first car I saw. 373 00:15:32,139 --> 00:15:33,599 Is he okay? 374 00:15:36,143 --> 00:15:38,895 You fight, Brian, okay? 375 00:15:38,896 --> 00:15:41,981 You fight like the stubborn bastard you are. 376 00:15:41,982 --> 00:15:43,608 I tried, Whit. 377 00:15:43,609 --> 00:15:45,985 I tried. 378 00:15:54,703 --> 00:15:56,496 - Oh, no, thanks. - It's not coffee. 379 00:15:56,497 --> 00:15:58,373 It's bourbon. 380 00:15:58,374 --> 00:16:00,000 That was a joke. 381 00:16:02,002 --> 00:16:06,631 Robby did everything he could to save your girlfriend. 382 00:16:06,632 --> 00:16:10,677 If he couldn't save her, nobody could. 383 00:16:19,353 --> 00:16:21,646 Wait, wait, wait. What do you mean, neutralized? 384 00:16:21,647 --> 00:16:23,106 Means he's dead. 385 00:16:23,107 --> 00:16:26,359 Wait. I thought the kid in BH-2 was the shooter. 386 00:16:26,360 --> 00:16:28,861 What's going on? 387 00:16:28,862 --> 00:16:30,863 SWAT found the shooter. 388 00:16:30,864 --> 00:16:34,701 Self-inflicted gunshot to the head. 389 00:16:34,702 --> 00:16:36,703 He had a duffel bag full of ammo. 390 00:16:36,704 --> 00:16:39,789 He was in some bushes down by the river 391 00:16:39,790 --> 00:16:42,875 with his AR-15. 392 00:16:44,545 --> 00:16:46,504 Do we know why he did it? 393 00:16:46,505 --> 00:16:47,880 Does it matter? 394 00:16:47,881 --> 00:16:51,592 Are we expecting any more victims? 395 00:16:51,593 --> 00:16:53,720 SWAT cleared the festival grounds. 396 00:16:53,721 --> 00:16:56,180 Probably no more coming our way. 397 00:16:56,181 --> 00:16:59,726 What you've done down here... 398 00:16:59,727 --> 00:17:02,729 all the lives you've saved... 399 00:17:02,730 --> 00:17:05,857 there aren't adequate words. 400 00:17:05,858 --> 00:17:07,276 Thank you. 401 00:17:11,238 --> 00:17:13,740 We need to prep to open back up to the public. 402 00:17:13,741 --> 00:17:15,241 Walk-ins only. 403 00:17:15,242 --> 00:17:17,076 No traumas until we get word from surgery 404 00:17:17,077 --> 00:17:18,745 that a few ORs have cleared. 405 00:17:18,746 --> 00:17:21,998 That could be hours. 406 00:17:21,999 --> 00:17:24,167 Blood Bank, pick up line two. 407 00:17:24,168 --> 00:17:26,753 Blood Bank, pick up line two. 408 00:17:26,754 --> 00:17:29,088 Everybody seems to know exactly what to do. 409 00:17:29,089 --> 00:17:31,174 - Is this kind of thing normal? - Thankfully, no. 410 00:17:31,175 --> 00:17:34,052 But preparing for the worst and hoping for the best, 411 00:17:34,053 --> 00:17:35,929 that's what we do. 412 00:17:47,441 --> 00:17:48,941 Hey, is Dr. King still outside? 413 00:17:48,942 --> 00:17:50,234 Yep. 414 00:17:50,235 --> 00:17:51,944 We don't need a doctor covering triage. 415 00:17:51,945 --> 00:17:54,155 - We can bring her back in. - Yeah. 416 00:17:54,156 --> 00:17:56,074 And, everybody else, let's process 417 00:17:56,075 --> 00:17:58,326 these remaining patients 418 00:17:58,327 --> 00:18:00,328 so my day shift can finally go home. 419 00:18:00,329 --> 00:18:01,954 On it, Cap. 420 00:18:15,636 --> 00:18:17,136 Ah, you hear that? 421 00:18:17,137 --> 00:18:19,597 - Hear what? - It's quiet. 422 00:18:19,598 --> 00:18:22,767 It's over. 423 00:18:22,768 --> 00:18:26,105 Oh, son of a... 424 00:18:29,817 --> 00:18:31,901 Hey, yo, yo, we're closed. 425 00:18:31,902 --> 00:18:34,904 We're way over capacity. Take them to West Penn. 426 00:18:34,905 --> 00:18:37,448 Kid in extremis. You were the closest EDAP. 427 00:18:37,449 --> 00:18:40,243 13-year-old hypoxic and hypertensive. 428 00:18:40,244 --> 00:18:42,328 He looks pale and tachypneic. 429 00:18:42,329 --> 00:18:44,413 Flynn Edwards, home alone with his little sister. 430 00:18:44,414 --> 00:18:46,499 Cough, fever, rash, altered. 431 00:18:46,500 --> 00:18:49,836 Tachy at 150, BP 80 over 55, breathing at 36, 432 00:18:49,837 --> 00:18:52,214 and satting low 80s on the face mask. 433 00:18:56,593 --> 00:18:57,635 Hi. 434 00:18:57,636 --> 00:18:59,846 - What's your name? - Georgia. 435 00:18:59,847 --> 00:19:01,807 Hi, Georgia. I'm Mel. 436 00:19:03,976 --> 00:19:05,643 Oh, yeah. That's scary. 437 00:19:05,644 --> 00:19:06,979 Yep. 438 00:19:12,484 --> 00:19:14,569 Georgia, where are your parents? 439 00:19:14,570 --> 00:19:16,154 At the movies. 440 00:19:16,155 --> 00:19:18,364 - Did you try calling them? - I texted. 441 00:19:18,365 --> 00:19:20,074 Can you give us their numbers? 442 00:19:20,075 --> 00:19:22,118 Do you remember what happened before you called 911? 443 00:19:22,119 --> 00:19:24,328 Flynn was talking weird. 444 00:19:24,329 --> 00:19:25,705 Okay. 445 00:19:25,706 --> 00:19:27,665 Um, and then after he was talking weird? 446 00:19:27,666 --> 00:19:29,041 He got super sleepy, 447 00:19:29,042 --> 00:19:30,877 and then I couldn't wake him up. 448 00:19:33,130 --> 00:19:34,297 Um, this is Princess. 449 00:19:34,298 --> 00:19:35,715 I have to go help your brother now. 450 00:19:35,716 --> 00:19:37,300 But Princess is going to get you a snack. 451 00:19:37,301 --> 00:19:38,718 I already brushed my teeth. 452 00:19:38,719 --> 00:19:40,887 Then maybe just a glass of water? 453 00:19:46,643 --> 00:19:50,063 My count, one, two, three. 454 00:19:52,941 --> 00:19:55,693 Flynn, open your eyes, buddy. 455 00:19:57,571 --> 00:19:59,739 Start a second line. 2 liters of Ringer's wide open. 456 00:19:59,740 --> 00:20:01,532 100% non-rebreather. 457 00:20:03,869 --> 00:20:05,244 Crackles bilaterally. 458 00:20:05,245 --> 00:20:07,455 Temp 101, O2 sat only up to 82. 459 00:20:07,456 --> 00:20:08,456 Shit. 460 00:20:08,457 --> 00:20:09,957 It's code sepsis. 461 00:20:09,958 --> 00:20:11,375 Blood cultures, labs, 462 00:20:11,376 --> 00:20:13,544 portable chest, gram of ceftriaxone. 463 00:20:13,545 --> 00:20:15,588 Dr. King, what are you thinking? 464 00:20:15,589 --> 00:20:19,091 Uh, well, rash, altered with sepsis... 465 00:20:19,092 --> 00:20:23,137 could be meningococcus, Strep pneumo, 466 00:20:23,138 --> 00:20:27,350 something viral like disseminated HSV, encephalitis? 467 00:20:27,351 --> 00:20:29,018 BP's 82 over 49. 468 00:20:29,019 --> 00:20:30,436 Sat up to 87. 469 00:20:30,437 --> 00:20:31,854 What about the rash? 470 00:20:31,855 --> 00:20:33,856 It's more prominent on the lower body, 471 00:20:33,857 --> 00:20:34,941 not much on the face. 472 00:20:34,942 --> 00:20:36,776 There's no vesicles. 473 00:20:36,777 --> 00:20:39,904 It doesn't look like chicken pox or typical Lyme rash. 474 00:20:39,905 --> 00:20:40,905 Agreed. 475 00:20:40,906 --> 00:20:42,740 Do you know what this is? 476 00:20:42,741 --> 00:20:43,950 Nope. 477 00:20:43,951 --> 00:20:46,535 Resuscitate first, diagnose later. 478 00:20:46,536 --> 00:20:48,204 We're moving patients from the Yellow Zone 479 00:20:48,205 --> 00:20:51,082 into real rooms along the South and Central Corridors. 480 00:20:51,083 --> 00:20:53,376 Till now, all these patients have just been numbers to us. 481 00:20:53,377 --> 00:20:54,794 Time to ask them their names. 482 00:20:54,795 --> 00:20:56,170 So we scan their wristbands 483 00:20:56,171 --> 00:20:57,755 and put them into the big board. 484 00:20:57,756 --> 00:20:59,423 Yeah, and then Dana and I will assign rooms 485 00:20:59,424 --> 00:21:00,800 based on medical priority. 486 00:21:00,801 --> 00:21:02,636 Ortho extremity wounds go get X-rays. 487 00:21:05,430 --> 00:21:08,975 Dr. McKay, can you finish up whatever it is you're doing 488 00:21:08,976 --> 00:21:10,977 and come meet me in BH-2? 489 00:21:12,813 --> 00:21:16,023 Uh, yeah, sure. 490 00:21:16,024 --> 00:21:18,484 I told you he didn't do it. 491 00:21:18,485 --> 00:21:19,986 I know. 492 00:21:19,987 --> 00:21:22,446 But you said yourself his threats were serious. 493 00:21:22,447 --> 00:21:24,365 At least now we're nipping it in the bud. 494 00:21:24,366 --> 00:21:26,325 You think this is that easy? 495 00:21:26,326 --> 00:21:28,412 Think again. 496 00:21:30,664 --> 00:21:32,832 He's on 100% oxygen. 497 00:21:32,833 --> 00:21:34,792 His pulse ox is still only 88. 498 00:21:34,793 --> 00:21:38,129 - How's it going upstairs? - Regular spa day at the OR. 499 00:21:38,130 --> 00:21:41,299 - 42 ex-laps and thoracotomies. - Impressive. 500 00:21:41,300 --> 00:21:42,591 What do you got? 501 00:21:42,592 --> 00:21:44,010 GSW through and through the thigh, 502 00:21:44,011 --> 00:21:46,804 not arterial, now hypotensive and hypoxic. 503 00:21:46,805 --> 00:21:48,806 - Sounds like blood loss. - No. 504 00:21:48,807 --> 00:21:50,516 Hemoglobin times 2 is stable. 505 00:21:50,517 --> 00:21:52,685 Vena cava is plump... it would be flat with hemorrhage. 506 00:21:52,686 --> 00:21:54,186 It's actually a little too plump. 507 00:21:54,187 --> 00:21:55,980 Let me see the phased array probe. 508 00:21:55,981 --> 00:21:57,648 Any history of heart disease? 509 00:21:57,649 --> 00:22:00,359 Not sure, but he's a strong guy. 510 00:22:00,360 --> 00:22:02,862 Got shot, strapped a T-shirt and a belt around his thigh 511 00:22:02,863 --> 00:22:04,697 and ran around helping people for a few hours. 512 00:22:04,698 --> 00:22:06,073 Holy shit. 513 00:22:06,074 --> 00:22:09,160 Check out the four chamber apical view. 514 00:22:09,161 --> 00:22:11,579 Dilated right atrium and right ventricle. 515 00:22:11,580 --> 00:22:13,205 Right-sided strain with bowing of the septum. 516 00:22:13,206 --> 00:22:14,707 Sounds like a PE. 517 00:22:14,708 --> 00:22:15,875 He throw a clot from having the tourniquet on? 518 00:22:15,876 --> 00:22:17,418 Way too soon for a DVT. 519 00:22:17,419 --> 00:22:19,879 Okay, let's get him in left lateral decubitus. 520 00:22:19,880 --> 00:22:21,881 One, two. 521 00:22:21,882 --> 00:22:23,507 Trendelenburg ASAP. 522 00:22:23,508 --> 00:22:24,592 What for? 523 00:22:24,593 --> 00:22:26,344 Intracardiac air embolism. 524 00:22:26,345 --> 00:22:27,928 All that running around introduced air 525 00:22:27,929 --> 00:22:29,472 into the femoral vein right up to the heart. 526 00:22:29,473 --> 00:22:30,973 Now it's blocking blood flow to the lungs. 527 00:22:30,974 --> 00:22:32,350 Need a CT to confirm. 528 00:22:32,351 --> 00:22:33,726 They're still backed up with other patients. 529 00:22:33,727 --> 00:22:35,061 Well, maybe the cath lab can take them. 530 00:22:35,062 --> 00:22:36,562 They have fluoro. 531 00:22:36,563 --> 00:22:39,691 - I'll go check. - Yeah, good luck with that. 532 00:22:41,068 --> 00:22:42,568 I need a central line kit 533 00:22:42,569 --> 00:22:44,070 and a 5 French pigtail catheter. 534 00:22:44,071 --> 00:22:45,321 I got it. 535 00:22:45,322 --> 00:22:47,073 He doesn't have a collapsed lung. 536 00:22:47,074 --> 00:22:49,408 - Yeah? - So what are you going to do? 537 00:22:49,409 --> 00:22:52,287 I'm not gonna do anything. You are. 538 00:23:01,046 --> 00:23:02,254 Thank you, Casey. 539 00:23:02,255 --> 00:23:05,049 Hey, David. How you doing? 540 00:23:05,050 --> 00:23:06,801 Hi, David. 541 00:23:09,471 --> 00:23:11,430 I didn't shoot anybody. 542 00:23:12,891 --> 00:23:14,600 I wouldn't do that. 543 00:23:14,601 --> 00:23:16,853 I know. 544 00:23:22,109 --> 00:23:25,821 Did you make a list of girls you wanted to hurt? 545 00:23:27,322 --> 00:23:29,573 - Where's my mom? - Did you make a list? 546 00:23:29,574 --> 00:23:31,450 I want to go home. 547 00:23:31,451 --> 00:23:33,285 You're gonna get to go home. 548 00:23:33,286 --> 00:23:34,912 But, first, we have to keep you here 549 00:23:34,913 --> 00:23:36,580 for a mandatory 72-hour hold. 550 00:23:36,581 --> 00:23:39,917 What? Why? I didn't do anything. 551 00:23:39,918 --> 00:23:41,752 I know you're upset. 552 00:23:41,753 --> 00:23:44,130 We're only doing what we think is in your best interest. 553 00:23:44,131 --> 00:23:46,549 No, fuck you! You don't know me! 554 00:23:46,550 --> 00:23:48,884 You don't know anything about me! 555 00:23:51,138 --> 00:23:53,139 Look, I know it's a lot to process, but... 556 00:23:53,140 --> 00:23:54,390 No, no! 557 00:23:54,391 --> 00:23:56,642 I want to see my mom. 558 00:23:56,643 --> 00:23:59,145 Where is she? Is she out there? 559 00:23:59,146 --> 00:24:00,646 - I... - Mom! 560 00:24:00,647 --> 00:24:02,440 Mom! 561 00:24:02,441 --> 00:24:04,316 This is not helping your case, David. 562 00:24:04,317 --> 00:24:05,860 Mom! Mom! 563 00:24:05,861 --> 00:24:07,778 This is not helping your case... 564 00:24:07,779 --> 00:24:09,989 Oh, fuck you! 565 00:24:09,990 --> 00:24:11,615 Let's go outside. 566 00:24:11,616 --> 00:24:16,163 I just want to see my mom, please! 567 00:24:17,581 --> 00:24:20,250 Please, I just want to see my mom. 568 00:24:22,002 --> 00:24:26,046 Mom! Mom! 569 00:24:26,047 --> 00:24:28,340 BP's 92 over 60 after 2 liters. 570 00:24:28,341 --> 00:24:29,884 Still tachy. 571 00:24:29,885 --> 00:24:32,803 Sats are way down at 84 on the non-rebreather. 572 00:24:32,804 --> 00:24:34,013 Flynn, open your eyes. 573 00:24:34,014 --> 00:24:35,598 How you doing, bud? 574 00:24:35,599 --> 00:24:37,766 He's still having trouble breathing. 575 00:24:37,767 --> 00:24:39,435 He's more lethargic than before. 576 00:24:39,436 --> 00:24:41,187 Let's give him a third liter and prep for intubation. 577 00:24:41,188 --> 00:24:42,646 Can we do that without parental consent? 578 00:24:42,647 --> 00:24:44,023 We wait, he dies. 579 00:24:44,024 --> 00:24:46,358 Tech is here for a portable chest. 580 00:24:46,359 --> 00:24:47,943 Dr. King, what are your intubation meds? 581 00:24:47,944 --> 00:24:49,987 - Etomidate and Roc. - Great. 582 00:24:49,988 --> 00:24:51,989 Gather up everything you need. What size tube? 583 00:24:51,990 --> 00:24:54,283 Age divided by 4 plus 3 584 00:24:54,284 --> 00:24:56,994 would be 6.5 cuffed. 585 00:24:56,995 --> 00:24:58,204 Let's do it. 586 00:24:58,205 --> 00:24:59,622 - And find his parents. - Okay. 587 00:24:59,623 --> 00:25:00,916 Prep these. 588 00:25:05,921 --> 00:25:08,589 What time you start today? 589 00:25:08,590 --> 00:25:11,258 7:00 a.m. 590 00:25:11,259 --> 00:25:12,551 Thanks. 591 00:25:12,552 --> 00:25:14,553 Can I get one of those? I'm starving. 592 00:25:14,554 --> 00:25:16,847 No can do. 593 00:25:16,848 --> 00:25:18,682 But I'm hungry. 594 00:25:18,683 --> 00:25:21,393 We can't give you any food in case you need surgery. 595 00:25:21,394 --> 00:25:24,063 You might aspirate. 596 00:25:24,064 --> 00:25:26,232 You need to work on your bedside manner. 597 00:25:26,233 --> 00:25:28,067 Mm, asshole reporter. 598 00:25:28,068 --> 00:25:30,236 - ABG back on the blue man? - Not yet. 599 00:25:30,237 --> 00:25:32,112 Should we just give him the methylene blue? 600 00:25:32,113 --> 00:25:34,031 Mm, pulse ox holding at 85. 601 00:25:34,032 --> 00:25:35,658 We can wait a little. 602 00:25:39,412 --> 00:25:41,664 Dr. Santos... 603 00:25:41,665 --> 00:25:43,666 how do we evaluate methemoglobinemia 604 00:25:43,667 --> 00:25:45,460 and determine a treatment plan? 605 00:25:47,671 --> 00:25:50,256 Um... 606 00:25:52,884 --> 00:25:54,426 Tired? 607 00:25:54,427 --> 00:25:56,178 Yeah. 608 00:25:56,179 --> 00:25:57,721 Feet hurt? 609 00:25:57,722 --> 00:25:59,431 Brain feeling like mush? 610 00:25:59,432 --> 00:26:01,725 Absolutely. 611 00:26:01,726 --> 00:26:04,770 That patient doesn't give a shit. 612 00:26:04,771 --> 00:26:06,730 He needs you. 613 00:26:06,731 --> 00:26:09,441 Methemoglobinemia. 614 00:26:09,442 --> 00:26:11,444 Let's go. 615 00:26:18,660 --> 00:26:19,827 Robby? 616 00:26:19,828 --> 00:26:21,161 Hey, Janey. 617 00:26:21,162 --> 00:26:22,454 Where's Jake? 618 00:26:22,455 --> 00:26:24,081 I got here as fast as I could, 619 00:26:24,082 --> 00:26:25,791 but there were street closures... 620 00:26:25,792 --> 00:26:27,126 He's okay. He's okay. 621 00:26:27,127 --> 00:26:28,794 He had some minor injuries 622 00:26:28,795 --> 00:26:30,796 that are going to need to be treated, but he's okay. 623 00:26:30,797 --> 00:26:33,841 - He's gonna go home tonight. - Oh, thank God. 624 00:26:33,842 --> 00:26:35,467 Um... 625 00:26:35,468 --> 00:26:38,304 Leah didn't make it. 626 00:26:38,305 --> 00:26:40,390 She's dead? 627 00:26:41,975 --> 00:26:43,642 Oh, my God. 628 00:26:43,643 --> 00:26:48,314 He, um, is kind of blaming me for not saving her. 629 00:26:48,315 --> 00:26:51,734 Robby, he's just a kid. 630 00:26:51,735 --> 00:26:53,944 So was she. 631 00:26:53,945 --> 00:26:56,655 Don't do that to yourself. 632 00:26:56,656 --> 00:26:59,117 Hey, look at me. 633 00:27:00,994 --> 00:27:03,038 Jake loves you, okay? 634 00:27:05,498 --> 00:27:07,333 - Where is he? - Hey, Dana. 635 00:27:07,334 --> 00:27:09,126 You remember Janey? 636 00:27:09,127 --> 00:27:10,961 - Of course. - Thank you for calling me. 637 00:27:10,962 --> 00:27:12,338 Mind taking her to go find Jake? 638 00:27:12,339 --> 00:27:14,883 Yeah, no problem. Come on. 639 00:27:20,388 --> 00:27:21,972 Tube's in. 640 00:27:21,973 --> 00:27:24,350 Good color change. 641 00:27:24,351 --> 00:27:25,559 Nicely done. 642 00:27:25,560 --> 00:27:27,186 Present. 643 00:27:27,187 --> 00:27:29,730 Uh, we have a septic 13-year-old with pneumonia. 644 00:27:29,731 --> 00:27:32,858 I just intubated, and ceftriaxone is on board. 645 00:27:32,859 --> 00:27:34,860 Patchy consolidation, maybe some nodules. 646 00:27:34,861 --> 00:27:36,236 It could be viral pneumonia 647 00:27:36,237 --> 00:27:38,155 with or without bacterial superinfection. 648 00:27:38,156 --> 00:27:40,199 Kid's got a weird rash, too. 649 00:27:40,200 --> 00:27:42,619 Oh, and it's maculopapular on the legs. 650 00:27:44,704 --> 00:27:47,706 Pretty faded on the neck and chest. 651 00:27:47,707 --> 00:27:49,417 Starting to desquamate. 652 00:27:52,253 --> 00:27:54,171 You ever seen anything like this before? 653 00:27:54,172 --> 00:27:56,006 - Nope. - Me neither. 654 00:27:56,007 --> 00:27:58,217 Well, that just goes to show you how old I am. 655 00:27:58,218 --> 00:27:59,635 This looks like measles. 656 00:27:59,636 --> 00:28:00,886 - "Measles"? - Holy shit. 657 00:28:00,887 --> 00:28:03,055 Any travel history? 658 00:28:03,056 --> 00:28:04,848 He wasn't able to talk before we intubated. 659 00:28:04,849 --> 00:28:06,308 Measles is super contagious. 660 00:28:06,309 --> 00:28:07,726 It's not contagious if it's resolving. 661 00:28:07,727 --> 00:28:09,395 We need more history. 662 00:28:09,396 --> 00:28:11,063 - Where are the parents? - Oh, they're at the movies. 663 00:28:11,064 --> 00:28:12,523 I'm sure their phone's off. 664 00:28:12,524 --> 00:28:14,400 But he came in with his little sister. 665 00:28:14,401 --> 00:28:15,567 We can talk to her. 666 00:28:15,568 --> 00:28:17,569 - What theater? - I don't know. 667 00:28:17,570 --> 00:28:19,196 Shen, try every theater. 668 00:28:19,197 --> 00:28:21,031 There's got to be over a dozen in Pittsburgh. 669 00:28:21,032 --> 00:28:22,741 Start with the ones closest to where they live. 670 00:28:22,742 --> 00:28:24,618 We need to find those parents. And call Public Health. 671 00:28:24,619 --> 00:28:27,037 Tell them we might have a measles outbreak. 672 00:28:28,707 --> 00:28:30,582 We get blood gas results back? 673 00:28:30,583 --> 00:28:32,042 I just got them. 674 00:28:32,043 --> 00:28:33,961 Methemoglobin level of 42%, 675 00:28:33,962 --> 00:28:35,546 enough for cyanosis and lethargy. 676 00:28:35,547 --> 00:28:36,964 Ooh, party on, Wayne. 677 00:28:36,965 --> 00:28:38,757 Okay, let's go ahead and start methylene blue. 678 00:28:38,758 --> 00:28:41,093 Uh, 1 mg per kg, slow IV push over five minutes. 679 00:28:41,094 --> 00:28:42,428 On it. 680 00:28:42,429 --> 00:28:44,221 Gonna need somebody to stand bedside, 681 00:28:44,222 --> 00:28:47,850 - push it with a syringe. - Santos, tag, you're it. 682 00:28:47,851 --> 00:28:51,019 How long until his cyanosis resolves? 683 00:28:51,020 --> 00:28:54,690 Five minutes, bright spark. 684 00:28:54,691 --> 00:28:57,527 Oh, you two definitely got beef. 685 00:29:03,616 --> 00:29:04,950 Hi, Georgia. 686 00:29:04,951 --> 00:29:06,869 Um, this is Dr. Robby. 687 00:29:06,870 --> 00:29:09,246 He's gonna ask you some questions so we can help Flynn. 688 00:29:09,247 --> 00:29:11,582 Is that okay? 689 00:29:11,583 --> 00:29:12,624 Hi, Georgia. 690 00:29:12,625 --> 00:29:13,834 Can you tell me 691 00:29:13,835 --> 00:29:15,753 when your brother first got sick? 692 00:29:15,754 --> 00:29:17,129 A week ago. 693 00:29:17,130 --> 00:29:19,423 I was already getting better. 694 00:29:19,424 --> 00:29:21,592 You were sick, too? 695 00:29:21,593 --> 00:29:23,844 Fever, rash like Flynn? 696 00:29:23,845 --> 00:29:25,929 Has your family traveled anywhere recently 697 00:29:25,930 --> 00:29:28,807 on an airplane or to another state? 698 00:29:28,808 --> 00:29:31,268 Orlando for a dance competition 699 00:29:31,269 --> 00:29:32,853 a couple of weeks ago. 700 00:29:32,854 --> 00:29:36,482 And where on your body did the rash start? 701 00:29:36,483 --> 00:29:38,358 On my face. 702 00:29:38,359 --> 00:29:41,820 Then it went down to my legs. 703 00:29:41,821 --> 00:29:43,030 Okay. 704 00:29:43,031 --> 00:29:44,740 Thank you, Georgia. 705 00:29:44,741 --> 00:29:47,993 - Is Flynn gonna be okay? - Oh, well, yeah. 706 00:29:47,994 --> 00:29:50,913 We're gonna do everything we can to help him. 707 00:29:53,500 --> 00:29:55,125 The story is consistent with measles. 708 00:29:55,126 --> 00:29:57,085 Plenty of opportunity for exposure in Orlando 709 00:29:57,086 --> 00:29:58,337 with all the international travelers. 710 00:29:58,338 --> 00:29:59,671 Isolation? 711 00:29:59,672 --> 00:30:01,131 No, 'cause you're only infectious 712 00:30:01,132 --> 00:30:02,925 for four days after the rash starts, 713 00:30:02,926 --> 00:30:04,134 so we're past that point. 714 00:30:04,135 --> 00:30:05,928 But the altered mental status, 715 00:30:05,929 --> 00:30:07,638 he's in the right time frame for ADEM. 716 00:30:07,639 --> 00:30:09,139 ADEM? 717 00:30:09,140 --> 00:30:10,933 Acute Disseminated Encephalomyelitis, 718 00:30:10,934 --> 00:30:12,768 post-infection immune response. 719 00:30:12,769 --> 00:30:15,771 - So a head CT and an LP? - Afraid so. 720 00:30:15,772 --> 00:30:18,524 It has a 20% death rate. 721 00:30:18,525 --> 00:30:22,319 - Dr. King, this is Morgan. - Trish Gregory's daughter. 722 00:30:22,320 --> 00:30:25,489 - Is my mom okay? - Oh, yeah, um, she's fine. 723 00:30:25,490 --> 00:30:27,908 Uh, Dr. Robby, do you mind if I show Morgan to her mom? 724 00:30:27,909 --> 00:30:30,077 No, go ahead. I'm going to send Flynn for a head CT 725 00:30:30,078 --> 00:30:31,537 and get Shen to prep the LP. 726 00:30:31,538 --> 00:30:33,038 What about the parents? 727 00:30:33,039 --> 00:30:35,040 I think he's still trying to find them. 728 00:30:35,041 --> 00:30:37,376 - I can help. Go. We got this. - Thanks, Lupe. 729 00:30:37,377 --> 00:30:38,836 Um, just this way. 730 00:30:38,837 --> 00:30:42,714 So she's gonna need surgery, but she's... 731 00:30:42,715 --> 00:30:44,968 - Take a seat. - What? 732 00:30:46,386 --> 00:30:47,886 Why? 733 00:30:47,887 --> 00:30:50,431 Adrenaline crash after a big event. 734 00:30:53,059 --> 00:30:55,228 A juice box? Thanks. 735 00:30:56,813 --> 00:31:00,524 What happened here today, it's not normal. 736 00:31:00,525 --> 00:31:02,359 But you... 737 00:31:02,360 --> 00:31:04,696 You were a rock star, Victoria. 738 00:31:10,785 --> 00:31:13,662 He knows my name. 739 00:31:15,748 --> 00:31:17,833 Got the IJ. 740 00:31:17,834 --> 00:31:20,085 Okay, back to business as usual, thank God. 741 00:31:20,086 --> 00:31:23,380 - Guidewire and introducer. - What the hell are you doing? 742 00:31:23,381 --> 00:31:25,757 Dr. Mohan is about to pull air from the right atrium 743 00:31:25,758 --> 00:31:27,759 - and right ventricle. - With what? 744 00:31:27,760 --> 00:31:30,220 - 5 French pigtail catheter. - Inside his heart? 745 00:31:30,221 --> 00:31:32,264 Multiple side-holes gives you a better shot 746 00:31:32,265 --> 00:31:33,974 at sucking out all the air. 747 00:31:33,975 --> 00:31:36,435 Dr. Abbot showed me a case report from South Korea. 748 00:31:36,436 --> 00:31:38,061 What the actual fuck? 749 00:31:38,062 --> 00:31:39,771 I just talked to cardiology. They want a CT scan. 750 00:31:39,772 --> 00:31:41,607 If it's showing air, then you need to dive him 751 00:31:41,608 --> 00:31:43,567 - in the hyperbaric chamber. - He'll be dead by then. 752 00:31:43,568 --> 00:31:44,776 Not if you kill him first 753 00:31:44,777 --> 00:31:46,612 with this banana-pants procedure. 754 00:31:46,613 --> 00:31:48,322 We don't have time to wait for your fancy-pants machine. 755 00:31:48,323 --> 00:31:50,407 If we don't get the air out of his heart, he'll die. 756 00:31:50,408 --> 00:31:51,783 This is not the standard of care. 757 00:31:51,784 --> 00:31:53,118 Oh, fuck standard of care. 758 00:31:53,119 --> 00:31:54,620 If we want to save him, we go in now. 759 00:31:54,621 --> 00:31:55,787 Maybe I should... 760 00:31:55,788 --> 00:31:57,414 Thread in the pigtail? 761 00:31:57,415 --> 00:31:59,709 Excellent idea, Dr. Mohan. 762 00:32:07,133 --> 00:32:08,967 Go down to 24 centimeters, 763 00:32:08,968 --> 00:32:10,802 and then we'll confirm with X-ray. 764 00:32:10,803 --> 00:32:12,137 Good. 765 00:32:12,138 --> 00:32:13,931 Think I'll stick around in case you need 766 00:32:13,932 --> 00:32:15,641 another set of hands to resuscitate 767 00:32:15,642 --> 00:32:17,143 your patient when he crashes. 768 00:32:22,106 --> 00:32:24,691 Oh, my God. You're bleeding. What... 769 00:32:24,692 --> 00:32:26,818 - Are you okay? - Mom, I'm fine. 770 00:32:28,488 --> 00:32:30,113 You got to get me out of here. 771 00:32:30,114 --> 00:32:31,823 Well, they... they just want to help you. 772 00:32:31,824 --> 00:32:33,283 - We all do. - I don't need help. 773 00:32:33,284 --> 00:32:35,494 - I just want to go, okay? - David... 774 00:32:35,495 --> 00:32:38,789 you haven't called me back or texted me all day. 775 00:32:38,790 --> 00:32:40,165 Mom. 776 00:32:40,166 --> 00:32:42,834 You didn't go to school. 777 00:32:42,835 --> 00:32:47,214 I saw the Instagram post you made. 778 00:32:47,215 --> 00:32:50,134 And I found the list about all the girls. 779 00:32:52,929 --> 00:32:54,638 You went through my stuff? 780 00:32:54,639 --> 00:32:56,014 - I love you. - No, Mom, Mom. 781 00:32:56,015 --> 00:32:57,683 - And I don't... - Those are my things. 782 00:32:57,684 --> 00:32:59,851 Can I just say that we all have scary thoughts? 783 00:32:59,852 --> 00:33:01,937 It does not make you a bad person. 784 00:33:01,938 --> 00:33:05,816 And... and dealing with those feelings can be hard. 785 00:33:05,817 --> 00:33:07,693 Talking to somebody can really help somebody about that. 786 00:33:07,694 --> 00:33:09,111 Oh, my God. Just shut up. 787 00:33:09,112 --> 00:33:12,197 I'm not gonna fucking talk to anyone, okay? 788 00:33:12,198 --> 00:33:14,742 You can't make me. 789 00:33:19,205 --> 00:33:21,541 David, I signed a petition. 790 00:33:23,751 --> 00:33:25,877 What the fuck? 791 00:33:25,878 --> 00:33:28,088 What, you signed some paper to get me locked up? 792 00:33:28,089 --> 00:33:30,425 I signed a petition to get you help. 793 00:33:32,468 --> 00:33:34,720 This is fucking bullshit. 794 00:33:34,721 --> 00:33:37,848 Seeing all those people come in here today... 795 00:33:37,849 --> 00:33:42,519 all those hurt people and the death and the blood... 796 00:33:42,520 --> 00:33:44,354 I was so afraid 797 00:33:44,355 --> 00:33:48,026 of you being that sad and angry. 798 00:33:50,611 --> 00:33:53,031 I cannot bear to lose you. 799 00:33:54,949 --> 00:33:57,576 I would never do something like that. 800 00:33:57,577 --> 00:34:00,078 There's nothing wrong with me. It's me, Mom. 801 00:34:00,079 --> 00:34:02,372 You know I'd never hurt someone like that. 802 00:34:02,373 --> 00:34:04,041 Please, don't... don't do this to me. 803 00:34:04,042 --> 00:34:05,751 Why are you doing this? 804 00:34:05,752 --> 00:34:10,255 All we're asking is that you speak with a professional. 805 00:34:10,256 --> 00:34:12,174 It's important to talk to somebody 806 00:34:12,175 --> 00:34:14,176 about how you're feeling. 807 00:34:14,177 --> 00:34:16,637 You think you might be open to that? 808 00:34:19,432 --> 00:34:21,767 Fuck you. 809 00:34:21,768 --> 00:34:23,935 Fuck all of you. 810 00:34:23,936 --> 00:34:26,313 Can you just get out? 811 00:34:26,314 --> 00:34:27,481 Get out! 812 00:34:33,196 --> 00:34:35,822 Hey, Perlah, can you take Theresa 813 00:34:35,823 --> 00:34:38,534 - to go find a cup of tea? - Yeah, of course. 814 00:34:40,328 --> 00:34:42,079 Jesus. 815 00:34:42,080 --> 00:34:44,414 What now? 816 00:34:44,415 --> 00:34:46,458 Well, I suggested a better way, 817 00:34:46,459 --> 00:34:48,627 but you had him taken down by the police, handcuffed, 818 00:34:48,628 --> 00:34:51,129 and dragged in here. 819 00:34:51,130 --> 00:34:54,175 You made this fucking mess. You're gonna have to fix it. 820 00:35:01,641 --> 00:35:03,600 Pigtail's in the right atrium, good position. 821 00:35:03,601 --> 00:35:05,477 Aspirate, see what you get. 822 00:35:05,478 --> 00:35:07,605 Pulling back blood from the heart... 823 00:35:11,526 --> 00:35:12,734 Along with some air. 824 00:35:12,735 --> 00:35:14,152 How about that? 825 00:35:14,153 --> 00:35:16,321 BP's still only 85 systolic. 826 00:35:16,322 --> 00:35:18,073 No improvement. 827 00:35:18,074 --> 00:35:19,574 Advance slowly into the right ventricle. 828 00:35:19,575 --> 00:35:21,326 - How do I know when I'm... - PVCs. 829 00:35:21,327 --> 00:35:23,161 That's how you know. Aspirate again. 830 00:35:23,162 --> 00:35:25,789 Run of three. 831 00:35:25,790 --> 00:35:27,165 More blood and air coming out. 832 00:35:27,166 --> 00:35:28,834 - Run of five. - Non-sustained V tach. 833 00:35:28,835 --> 00:35:30,377 Charge to 200 for when he deteriorates. 834 00:35:30,378 --> 00:35:31,670 Mainly blood now. 835 00:35:31,671 --> 00:35:33,171 Pull the pigtail back to the RA. 836 00:35:33,172 --> 00:35:35,048 - Step aside. - Pull the pigtail, Dr. Mohan. 837 00:35:35,049 --> 00:35:36,926 - Step aside! - You got this. 838 00:35:38,594 --> 00:35:41,555 Normal sinus rhythm, 92. 839 00:35:41,556 --> 00:35:46,227 Pulse ox is improving. BP's 112 over 84. 840 00:35:51,399 --> 00:35:53,692 Not too shabby, huh, Dr. Walsh? 841 00:35:53,693 --> 00:35:55,569 I think we can admit him to General Surgery now. 842 00:35:55,570 --> 00:35:57,237 Hell, no. 843 00:35:57,238 --> 00:35:59,656 - He's a gunshot victim. - Admit him to the cardiac ICU. 844 00:35:59,657 --> 00:36:00,991 We'll consult from there. 845 00:36:00,992 --> 00:36:02,868 Well, you can admit him yourself, 846 00:36:02,869 --> 00:36:04,786 with Cardiology consulting. 847 00:36:04,787 --> 00:36:06,705 I thought you liked flying the plane. 848 00:36:06,706 --> 00:36:08,708 Not when it's gonna crash. 849 00:36:13,629 --> 00:36:15,046 Solid work. 850 00:36:15,047 --> 00:36:17,507 That was your save, not mine. 851 00:36:17,508 --> 00:36:19,968 Take the win, Dr. Mohan. 852 00:36:19,969 --> 00:36:22,387 Thanks. 853 00:36:22,388 --> 00:36:26,349 Besides, it was a little too risky for me to do myself. 854 00:36:26,350 --> 00:36:28,394 - What? - Suture. 855 00:36:32,148 --> 00:36:35,233 Whoa, this is so cool. 856 00:36:35,234 --> 00:36:37,153 Blue plus blue equals pink. 857 00:36:39,155 --> 00:36:41,406 Can you tell us your name? 858 00:36:41,407 --> 00:36:42,908 Max. 859 00:36:42,909 --> 00:36:45,243 Max, can you tell us what you took? 860 00:36:45,244 --> 00:36:47,078 Sleep. 861 00:36:47,079 --> 00:36:49,122 Yeah, he might need a second dose of methylene blue 862 00:36:49,123 --> 00:36:51,958 if his methemoglobin level stays above 30. 863 00:36:51,959 --> 00:36:53,627 This definitely wasn't poppers. 864 00:36:53,628 --> 00:36:56,087 He would have had to have sniffed, like, a gallon of it. 865 00:36:56,088 --> 00:36:58,924 So what caused the overdose? 866 00:36:58,925 --> 00:37:00,926 Got to wait for him to wake up 867 00:37:00,927 --> 00:37:02,428 so we can get more answers. 868 00:37:05,181 --> 00:37:06,431 Trish... 869 00:37:06,432 --> 00:37:08,516 I have a special visitor for you. 870 00:37:08,517 --> 00:37:11,937 Mom, are you okay? 871 00:37:11,938 --> 00:37:14,773 Yeah, I'm fine. 872 00:37:14,774 --> 00:37:17,192 Okay. I was so scared. 873 00:37:17,193 --> 00:37:19,736 - I know. - And Dad. 874 00:37:29,205 --> 00:37:31,122 - You okay? - Mm-hmm. 875 00:37:31,123 --> 00:37:34,084 Just... my patient hasn't seen her daughter, 876 00:37:34,085 --> 00:37:36,795 and it won't... it won't happen again. 877 00:37:36,796 --> 00:37:40,757 Never apologize for feeling something for your patients. 878 00:37:40,758 --> 00:37:43,969 Today was chaos. 879 00:37:43,970 --> 00:37:46,346 You were awesome. 880 00:37:46,347 --> 00:37:49,432 I'm really glad you're with us, Dr. King. 881 00:37:49,433 --> 00:37:52,686 Robby, Flynn's parents are here, the measles kid. 882 00:37:52,687 --> 00:37:55,064 You should go home. 883 00:37:58,401 --> 00:38:00,151 How did Flynn get measles? 884 00:38:00,152 --> 00:38:02,612 Uh, from his sister. Hi. I'm Dr. Robby. 885 00:38:02,613 --> 00:38:04,447 Georgia is fine. She's in our staff room. 886 00:38:04,448 --> 00:38:06,574 She's the one who actually called 911 887 00:38:06,575 --> 00:38:08,910 and probably saved her brother's life. 888 00:38:08,911 --> 00:38:11,162 Georgia was sick, but she got better on her own quickly. 889 00:38:11,163 --> 00:38:13,623 Yeah, many people get better on their own, like Georgia. 890 00:38:13,624 --> 00:38:16,293 However, as many as 1 in 20 kids that get measles 891 00:38:16,294 --> 00:38:18,253 get pneumonia, like your son. 892 00:38:18,254 --> 00:38:20,171 Are your children vaccinated against measles? 893 00:38:20,172 --> 00:38:21,923 No. 894 00:38:21,924 --> 00:38:24,801 The MMR vaccine is perfectly safe. 895 00:38:24,802 --> 00:38:26,469 Measles is not. 896 00:38:26,470 --> 00:38:28,430 We're concerned about inflammation 897 00:38:28,431 --> 00:38:31,141 and possible damage to Flynn's brain and spinal cord. 898 00:38:31,142 --> 00:38:32,600 The measles got to his brain? 899 00:38:32,601 --> 00:38:34,728 Well, his head CT was normal, but the only way 900 00:38:34,729 --> 00:38:38,023 to find out if he's okay is to perform a lumbar puncture. 901 00:38:38,024 --> 00:38:39,524 A spinal tap? 902 00:38:39,525 --> 00:38:41,192 I've read about kids who've been paralyzed 903 00:38:41,193 --> 00:38:42,736 from a spinal tap. 904 00:38:42,737 --> 00:38:44,654 There is zero risk of paralysis. 905 00:38:44,655 --> 00:38:46,364 What about bleeding or infection? 906 00:38:46,365 --> 00:38:48,533 It's a perfectly safe procedure... we do it every day. 907 00:38:48,534 --> 00:38:50,160 We need spinal fluid to see 908 00:38:50,161 --> 00:38:52,579 if Flynn has acute disseminated encephalomyelitis. 909 00:38:52,580 --> 00:38:54,247 And if he does? 910 00:38:54,248 --> 00:38:56,333 We treat with high-dose steroids to decrease the risk 911 00:38:56,334 --> 00:38:59,169 of blindness, deafness, intellectual disability, 912 00:38:59,170 --> 00:39:00,337 even death. 913 00:39:00,338 --> 00:39:01,921 He could die from this? 914 00:39:01,922 --> 00:39:04,549 Yes, the death rate from ADEM is high... 1 in 5. 915 00:39:04,550 --> 00:39:06,134 Do the spinal tap. 916 00:39:06,135 --> 00:39:08,386 No! 917 00:39:08,387 --> 00:39:10,388 Can't you just give him steroids 918 00:39:10,389 --> 00:39:12,849 - without the spinal tap? - If there's no ADEM, 919 00:39:12,850 --> 00:39:14,559 the steroids could suppress his immune system, 920 00:39:14,560 --> 00:39:16,478 making it harder to fight off the pneumonia. 921 00:39:16,479 --> 00:39:17,812 But it says here that... 922 00:39:17,813 --> 00:39:20,148 Can you put your damn phone away? 923 00:39:20,149 --> 00:39:21,358 Your son is critically ill. 924 00:39:21,359 --> 00:39:22,901 The longer that we wait, 925 00:39:22,902 --> 00:39:24,569 the higher the risk of permanent brain damage. 926 00:39:24,570 --> 00:39:26,571 What is not clear here? 927 00:39:26,572 --> 00:39:28,740 Hillary, he has a tube down his throat. 928 00:39:28,741 --> 00:39:30,241 He can't breathe on his own. 929 00:39:30,242 --> 00:39:32,410 They're not poking holes in my son's spine! 930 00:39:32,411 --> 00:39:33,578 Wow. 931 00:39:33,579 --> 00:39:35,330 Okay. 932 00:39:35,331 --> 00:39:38,041 Let's just wait and see if he gets better. 933 00:39:38,042 --> 00:39:39,417 Dr. King, could you please take 934 00:39:39,418 --> 00:39:40,752 Flynn's parents to see their daughter? 935 00:39:40,753 --> 00:39:43,588 No problem. 936 00:39:43,589 --> 00:39:45,590 They are going to see their daughter. 937 00:39:45,591 --> 00:39:46,716 Fucking Dr. Google bullshit. 938 00:39:46,717 --> 00:39:48,051 They want medical treatment, 939 00:39:48,052 --> 00:39:49,594 but they don't want medical advice. 940 00:39:49,595 --> 00:39:51,262 What the actual fuck are we doing? 941 00:39:51,263 --> 00:39:53,098 Yeah, I know, and we'll keep trying. 942 00:39:53,099 --> 00:39:54,933 - Hey, you okay, boss? - Yes. 943 00:39:54,934 --> 00:39:56,142 Hey, Whitaker. 944 00:39:56,143 --> 00:39:59,062 - You got a minute? - Yeah, yeah. 945 00:39:59,063 --> 00:40:02,607 I just wanted to say thank you 946 00:40:02,608 --> 00:40:05,902 for earlier when I was, um... 947 00:40:05,903 --> 00:40:09,614 Oh, your brief moment of silent reflection? 948 00:40:09,615 --> 00:40:11,783 Yeah. You didn't mention that to anybody? 949 00:40:11,784 --> 00:40:14,119 - No, no. God, no. No. - I don't know what that was. 950 00:40:14,120 --> 00:40:16,705 I was just... felt like I was drowning. 951 00:40:18,457 --> 00:40:21,709 What was that you were reciting? 952 00:40:21,710 --> 00:40:23,044 It's called the Shema prayer. 953 00:40:23,045 --> 00:40:25,880 It's a declaration of faith in God. 954 00:40:25,881 --> 00:40:28,925 I lived with my grandmother when I was little, 955 00:40:28,926 --> 00:40:32,137 and she and I used to recite it every morning. 956 00:40:32,138 --> 00:40:34,472 "Even youths grow tired and weary, 957 00:40:34,473 --> 00:40:36,975 "and young men stumble and fall. 958 00:40:36,976 --> 00:40:40,770 "But those who hold hope in the Lord 959 00:40:40,771 --> 00:40:42,939 "will renew their strength 960 00:40:42,940 --> 00:40:46,151 and soar on wings like eagles." 961 00:40:46,152 --> 00:40:48,653 It's Isaiah 40. 962 00:40:48,654 --> 00:40:51,698 I was an undergrad theology major. 963 00:40:51,699 --> 00:40:53,576 I don't know why I said that. 964 00:40:54,952 --> 00:40:57,036 I don't know if I actually believe in God, 965 00:40:57,037 --> 00:40:59,039 especially on days like today. 966 00:41:00,958 --> 00:41:05,336 A wise man once told me that you learn to live with it, 967 00:41:05,337 --> 00:41:07,547 learn to accept it, 968 00:41:07,548 --> 00:41:10,342 and find balance if you can. 969 00:41:12,553 --> 00:41:14,971 I hope we all do. 970 00:41:27,526 --> 00:41:28,818 Only one pink left. 971 00:41:28,819 --> 00:41:30,528 The rest all went up. 972 00:41:30,529 --> 00:41:32,030 Hey. 973 00:41:32,031 --> 00:41:33,656 You guys need any help with new patients, or... 974 00:41:33,657 --> 00:41:35,116 No, no, no. We're good. 975 00:41:35,117 --> 00:41:36,534 It's quick and easy stuff. Go home. 976 00:41:36,535 --> 00:41:37,702 - Yeah? - Yeah. 977 00:41:37,703 --> 00:41:39,288 - Hey, you got a second? - Yeah. 978 00:41:42,416 --> 00:41:43,708 What is up with Robby? 979 00:41:43,709 --> 00:41:45,168 He's been better. 980 00:41:45,169 --> 00:41:46,753 I'm really worried about him. 981 00:41:46,754 --> 00:41:48,838 I've never seen him like this. Have you? 982 00:41:48,839 --> 00:41:51,216 No. 983 00:41:51,217 --> 00:41:53,885 How about you, slugger? 984 00:41:53,886 --> 00:41:55,220 Been better. 985 00:41:55,221 --> 00:41:57,222 - Preach. - Yeah. 986 00:41:59,350 --> 00:42:01,392 Sorry to interrupt. 987 00:42:01,393 --> 00:42:04,187 Oh, uh, if you guys are looking for Officer Stefano, 988 00:42:04,188 --> 00:42:06,022 he went up to surgery about an hour ago. 989 00:42:06,023 --> 00:42:08,274 We're looking for Dr. Cassie McKay. 990 00:42:08,275 --> 00:42:10,777 Uh, yeah, that's me. 991 00:42:10,778 --> 00:42:12,237 We were alerted about your ankle monitor 992 00:42:12,238 --> 00:42:13,905 being tampered with. 993 00:42:13,906 --> 00:42:15,740 County probation called to check in earlier, 994 00:42:15,741 --> 00:42:17,492 but you never responded. 995 00:42:17,493 --> 00:42:20,036 Yeah, it was... it was beeping and giving an error message. 996 00:42:20,037 --> 00:42:23,248 And we were in the middle of a mass casualty from PittFest. 997 00:42:23,249 --> 00:42:26,751 Did you tamper with your ankle monitor? 998 00:42:29,255 --> 00:42:31,756 Yeah, I, um... I might have... 999 00:42:31,757 --> 00:42:33,550 I might have drilled a hole in it. 1000 00:42:33,551 --> 00:42:35,593 Officers, look around. She was saving lives. 1001 00:42:35,594 --> 00:42:37,053 Put your hands behind your head. 1002 00:42:37,054 --> 00:42:38,346 Whoa! 1003 00:42:38,347 --> 00:42:39,764 Whoa, whoa, whoa, hang on a second. 1004 00:42:39,765 --> 00:42:41,849 - Are you joking? - Officers, wait a second. 1005 00:42:41,850 --> 00:42:43,685 You're under arrest. 1006 00:42:45,437 --> 00:42:47,856 Great. 1007 00:42:47,857 --> 00:42:53,857 Sync and corrections by btsix www.addic7ed.com