All language subtitles for the.pitt.s02e03.720p.hevc.x265-megusta_eztvx.to

Is there a medic alert bracelet?

Do you have an ID on him?

Student ID. Name says Jackson Davis.
That's the start. Jackson, what's going

I'm 18.

Title 6. Be with us.

You're in a safe place. You're okay. I'm
a one.

Reasonableness 2709. We're going to need
you to calm down. Get the taser bars

out of your neck. You need to jump on
that?

Covering calls for Dana.

Stop talking to me. You can't. Title
2776. Hard to assess pupils.

A person must have anything.

Yeah, yeah. Wait till after he's
sedated. Can't have a Lanzapine?

No, it won't take 15 minutes to kick in.

Uh, five of Gepardot. Put them down at
five. No, you can't give it without

knowing your campaign. Two beats of a
rhythm strip before we take off the

weights.

Can't be in here. Get out.

That looks good. Go with the Gepardot.

Fuck out.

Get off me. Get off me now. Get away
till it comes. Get off me, man.

29 -01. Get out. Get out.

27 -10.

Title 18, section 1938.

Mr. Randall, happy 20th anniversary and
a very happy 4th of July.

But no sex fireworks for you tonight.
Give everything a chance to heal. Don't

worry. I won't.

Thank God.

Ow.

We're going right back through here,
okay, man? Oh, thank you.

Change the dressing twice a day, doggy
bag of the ointment, and nonstick dog.

Cool. I know the drill. Come back if it
starts to ache or stink.

Exactly. Good luck. Stay steady.

Shit, it's daddy. You're daddy.

Lord, what'd they get up to now?

Treating street.

Rose from Dover.

I'm sorry, Ms. Graham. I just saw the
ASO note in your chart.

This is Lindsay. We'll bring you back as
soon as possible.

Stay with her.

All right.

Who here needs help?

You?

You need help?

Oh, no, no, no, ma 'am. I've been on
these since 1987.

This one here, he got busy, fell down.

Forgot my blood pressure medication.

I left it back home in Georgia.

And presto, we're back, Mr. Digby, with
some IV antibiotics. First we scrub your

outsides, then we clean your insides.

What do you need to document in this
chart?

Uh, time started, time completed, and
any adverse reactions. What else?

Um, lot number on the antibiotic file.
Excellent. Mr. Digby.

Mr. Digby.

Digby, why'd you wait so long to come
see us?

I don't like going to doctors. Well,
that makes two of us. We all need help

time to time. Think maybe we could
arrange for some ongoing care?

I just kind of want to get patched up,
you know?

I do know.

But that's today.

What's tomorrow?

Sunday.

Use the system. That's what it's there
for.

But am I Dylan?

Knows all the angles. Even works the
occasional miracle.

You think maybe I could have him stop
by?

I guess, yeah.

Right. How about a sandwich?

Yeah. Yes, please.

We always offer two most important
things. That they know we're here.

And that we'll never stop offering.

Thanks for covering, princess.

Anytime.

Yo, can I get some help over here?

Yeah. What's going on, man?

A crazy kid and they're screaming.

All right, have a seat. Yeah, that's
him.

Still going nuts.

Probably meth.

Fucking animal.

What's your name, sir?

Tony Cianciolo.

Campus security.

I was at work when this happened, so I'm
going to do everything documented.

Okay. All right, heart rate's 89.

Pulse ox, 97.

Scout blacks.

Tiny, five millimeters, should hold
together with Dermabond.

Get through a fucking chair at me.

Work -related injury gets a full exam.
Jesse here will take you.

No, I'm going to stay here until the
cops come, so I can give my statement,

so I can watch him.

Yeah. Trust me.

You do not want him getting out of
there.

How? Fuck.

Did she say anything?

No more than she said to you.

Nothing going on at home, nothing at
school.

And you believe her?

There's some flag.

Grieving in various stages of healing.

She's a little withdrawn, doesn't engage
much for girls her age.

It's good just to be a little shy.

We're scared of being in here.

Or she's being abused.

That too. We'll find out more when Dad
shows up.

Yep, if he shows up.

I need a hand here.

There's the first barb out.

All right, Javadi, you're up.

Okay, so you're going to want to clamp
where the shaft meets the barb.

Mm -hmm. Yeah.

Stabilize the skin.

Not so close to it. Stick yourself
between that once or twice.

Pull up at 90 degrees.

Harder? Yeah, harder.

Oh.

Do we suture those?

Nope, just a Band -Aid.

Mal, we need orders. Right.

I got a rainbow.

Uh, CBC, CMP.

You a what I'll come on talks all the
above cap with this young man stable Can

he go to Central 10 pronto double trauma
at the back door? Okay, you heard the

boss. Let's get going today. It's
starting to heat up

Marquis 32 year old

restrained driver Auto versus motorcycle
altered with normal BP setting 99 and 2

liters with the hospital now mark

What's wrong with him? Why isn't he
talking? His wife, Nancy, front seat

passenger, declined transport. I'm fine.
We weren't going all that fast.

The motorcycle ran the light.

I'm Dr. Robbie. This is Dr.

Alashini. Nice to meet you.

And this is Nurse Dana. She's our charge
nurse. We need to look over your

husband. Hold on. Let's sit over here
for a minute. I'll let him get to work,

okay? Antoine, Larry, transfer out here.
Do you want to be open in a sec?

I can't.

One, two, three.

Keep going.

Okay, Joy, you stay with me.

Samira, you stay with Dr. Alashimi.

Open skull fracture. Two dimperagonal
respirations.

BP -60 pap initially started a liter of
NF, but lost pulse and root.

Oh, boy. This doesn't look good.

One, two, three.

Joy, check its pupils.

Somebody hand me a pair of scissors.

Eight millimeters.

It's not reactive.

A .K .A. Blum.

Dilated.

Oh. Crushed skull with tons of gray
matter extravasation. At least it was

No helmet?

Nope. Because he took the PennDOT
motorcycle safety course. Isn't that

took, Robbie?

All compressions, yes, but I still wear
a helmet.

Is he a donor?

Also, nope. That is too bad. Hey,
sisterly, I think we are done here.

next door? The guy who hit him. Joy,
you're with me.

What about a moment of reflection? I
thought... He'll still be dead when we

back. Pulse ox 99, BP 108 over 72.

EFAS negative.

That was a lot better than the guy next
door. How's the airway? Good volume,

good saps, gag reflex.

Present. Intubate?

Maybe, maybe not.

Mr. Yee.

Joyce, don't rub on his chest like this
really hard, please.

Mr. Yee.

Spontaneous eye movement, response to
pain, GCS is 10, borderline for

intubation. No muscle tone, flaccid
paralysis in the left arm.

Same on the right. And both legs. Add
towels to both sides of the collar for

more stability.

Let's not make this worse.

Hand scan with 3D reconstruction of the
spine.

He's quadriplegic?

If so, it's a low cervical injury.

Why is that, Joy?

Um... C -3, 4, and 5 helps you breathe
to stay alive.

Mr. Montrose, you can't just be
wandering around talking to patients.

That's what I do.

I'm a greeter at Walmart.

I get paid to wander and to talk to
folks.

Well, as a personal favor to me, can you
at least stay in your general vicinity?

I can get you a wheelchair where we'll
wait for your x -rays, but it might take

a minute. My dear, I cannot sit. My
backside is killing me from where I fell

it, which is an embarrassing admission
to make to such a lovely woman.

Well, thanks for the compliment, but
there's no need to be embarrassed. You

a very nasty fall.

Well, then may I say, that one look in
your beautiful eyes, and I think, I'm

falling again!

What a charmer.

Just for that, I'm going to get you a
foam donut. The eighth wonder of the

world.

Pretty great laugh you got there, Doc.

Oh, God.

My witch's cackle.

Got CT results for Mr. Williams.

Okay.

Right on time.

Just getting full.

Yeah, I'm ready for number five. That's
impressive.

Yeah, that's more where that came from.

Although my intake is running low.

Yeah, well, two more bottles ought to do
it. Then we'll drain your tooth and

we'll get you out of here before the
fireworks tonight.

Okay,

clamped. Ogilvy, make the change.

Okay.

All right, let her rip.

Flowing like a river.

I love me some fireworks.

Oh, yeah?

Shit, I met Mr. Zambelli.

Lean forward?

Many times on the field.

Who's Mr. Zambelli?

Son, you don't know fireworks if you
don't know the name Zambelli.

He helped Pittsburgh become the firework
capital of America.

You did know that.

Didn't you? No.

Y 'all don't know nothing about
pyrotechnics.

Stick to doctrine.

Yes, will do.

I'm sure you have some questions.

I know it's a lot to take in.

It's a tumor.

It's a brain tumor.

Well, it's a mass.

About. Four centimeters in the frontal
lobe.

Is it cancer?

We can't say for sure right now.

It could be many things.

Infection, inflammation, a benign cyst.

Is it what made me fall?

Yeah, possibly.

We'd like to keep you here and treat
with dexamethasone, which is a steroid

take down the swelling.

And then we'll need a brain biopsy to
know exactly what it is.

You're going to cut open my head.

It's just a small hole.

We'll do a CT -guided stereotactical
biopsy with a blunt, thin needle.

Which sounds crazy, but it's actually
pretty amazing.

We'll have patients go home the next
day.

I don't know.

What do you think I should do?

I think this is a pretty good plan.

Okay.

BP 95 over 67.

This thing's a little on the low side.

It is.

Have you ever had low blood pressure in
the past?

No, sir.

My blood pressure is always high.

Hold still, sir. No talking while we do
the EKG.

The Hansons all run high.

Except for Monty. He ran low, but he's
dead. It's not helpful.

You want to help quit playing family
pharmacist. Pooling meds is how we've

always done it.

You put everything in a big pile in the
middle of the table. Well, look where

that got us now. No, I'm going to jump
in here and echo that sharing meds which

haven't been prescribed to you is
actually a real big no -no. Well, how

doing on remembering what your brother
might have taken?

We could call back to the house. Great
idea.

Okay.

Whatever little round pill you took,
sir, has caused your heart rate and

pressure to drop so low you're at risk
of fainting, falling, or having a

injury.

We can take him back to the ER so we can
get a liter of fluids. We can check his

blood tests and monitor his heart rate
and blood pressure until he recovers.

Pulse locks holding steady at 99. Good
tidal volume.

How you doing there, Mr. Yee?

Scanner can take him now. I'll check the
results from upstairs.

Why is he so altered?

Could be concussion. Maybe a small
intracranial hemorrhage.

All will be revealed by the donut of
truth.

Need a portable monitor?

Joy, stay with him, please. See if the
radiologist can give us a chat. How is

he? Did I hear someone say he's...

paralyzed there are signs of weakness in
both arms and legs but before we can

make any prognosis we'll need a full
body scan head ct will show us any brain

injury and xct will show us any spinal
cord injury chest abdomen pelvis will

rule out any internal bleeding oh my god
the scan should only take about 15

minutes in the meantime perhaps you'd
let us look you over as well i'm fine

medics checked me i just want to stay
with my husband

Well, you can't go into the CT with him,
but you can wait just outside if you

like. Princess, this is Nancy. Mrs.
Yee's going to go with her husband to

Will you show her where to go? Sure,
come on in. Thank you.

So, what's the plan now? Keep observing
me in my natural habitat?

No telling what I might do next?

I think I've got the gist.

How about we each take a lap and meet
here when Mr. Yee's back from CT?

Splitting up so soon?

It's free to see other people, Dr.

Rabinovich. I'm looking for cooperation,
not commitment.

So you bandaged the burn yourself?

No, no, no.

Ma 'am, you're making it difficult for
me to see under this dressing.

Is that a tablecloth?

Part of a window curtain.

Cleaner than tablecloth. I'll look for
the doctor, thank you.

But may I ask how this happened?

For weeks on end, the kids with their
hoochie firecrackers going all day and

night. Oh, it... Is this a firecracker
burn?

No, sweetie, this is from the full
samovar I dropped on the floor when

The firecracker started going on again.

I'm sorry, what's a samovar? It is a big
metal urn for coffee or tea.

It can get super -duper hot.

And I was never allowed to touch ours.

Hello, Mrs. Kovalenko, my name is Dr.
Michael Rabinovich. Everybody calls me

Robbie. Rabinovich? Jewish?

You guessed it.

And I see that you are here today for a
burn.

Why don't we take a look?

Oh, not married?

No, I'm not married.

Do you attend synagogue?

Uh, not for a while.

I mean, I holidays mostly.

Where?

Oh, what did you put on this?

Where? On your burn. Is this honey?

Yes, honey, where do you go on holidays?

Uh, my grandparents, um, I grew up in
the Rodef Shalom.

You? Tree of life.

They're rebuilding.

Yes, something new.

Remember, rebuild, renew.

That's a slogan.

I'm sorry, did you say honey?

You think honey's funny?

Works like a charm.

My father kept beef, I know.

If the honey is medical grade and the
burns are not too bad, honey actually

have some antibacterial and anti
-inflammatory properties. However, these

are very deep in some places. They're
going to need debridement.

I'm glad you came in.

That's what I thought.

I was hoping no, but figured as much.

Not to worry. We are going to have you
patched up and home in time for dinner

and fireworks.

No.

No more fireworks.

Anyone here treating Kylie Connors?

She's my daughter. She's nine. I'm Benny
Connors.

Mr. Connors, I'm Dr.

Santos. I'm treating Kylie.

Is she okay?

Can I see her? My girlfriend Gina says
she got a cut on her chin. Yeah, I can

take you to her. She has a small
laceration on her chin, but it was

repaired with medical super glue, so no
stitches necessary.

Okay. She chipped her tooth, but it's a
baby tooth, so it won't need dental

work. All right. Well, that's a relief.

Has Kylie had any previous injuries?

Uh, yeah. She, um, she broke her wrist
last year. She was skateboarding.

Dana, if you could get Dylan to come to
North One and Ahmad. You bet.

Okay, I got it now. One, two, three.

Daddy, you came.

Baby, what's going on, huh?

My teeth broke and my chin got cut. Oh,
no.

What happened?

She was running up the stairs.

She was chasing me. We were playing.

As I was saying, Mr. Connors, the
laceration's pretty minor.

On the stairs?

It was an accident.

Perhaps we can step out. An accident
that wouldn't have happened if you

running up the stairs. Do you understand
what I'm saying? This is the last thing

that I need.

Right now, is her mother finding out
that she got hurt when she's with you?

was an accident.

And before you get all high and mighty,
I've got questions of my own. Like what?

Hey, Mr. Connors, I'm sorry. I meant to
be here when you arrived.

I'm Dylan Easton. I'm a social
service... We have insurance. Thank you.

we can step outside and chat for a
second. I can fill you in where we are.

Hey, Jesse, do you want to keep Kylie
entertained for a few minutes while I

borrow her dad?

We'll just head down to the family room.
It's a little quieter there.

Why do I got to talk to a social worker?

Anytime a child's injured, we ask them
standard questions that we ask parents

and caregivers.

Good. That's fine. Great. Ask me here.

Well, we noticed some bruising on
Kylie's body, some old, some new on her

and legs.

Any idea how she got those? Yeah,
shocker. She plays for a club team.

you know, little girls, but they play
like they're in the Hunger Games.

Well, I understand that you and Kylie do
a fair amount of roughhousing.

What?

I'm sorry, are you fucking kidding me?

Where are you going with this? Are you
saying that I hurt my daughter?

Oh, no, no, no, no, no, no. Gina!

Gina!

Gina,

what did you say to them? Nothing. I
said that you're a great dad. Okay, what

else?

That you guys like to wrestle. Jesus
Christ. What? They wanted to know where

her bruises are from. Who the fuck are
you to talk about me and my daughter?

the fuck am I? Yeah, that's what I'm
asking. Hey, big man, take one more

step. Hey, that's enough. You need to
calm down.

Hey, everybody back the fuck up!

It's early 9 ,000.

What does that mean?

It's not what we thought.

It's probably ITP.

What the hell is ITP?

Something we can treat.

You feel that?

No.

Hey, come on.

This is looking very good.

Tell me, Mr. Kavalenko.

This is Kovalenko.

Yes. Jana, please.

Jana. You mentioned that you dropped the
samovar when you heard firecrackers.

Yeah.

I was on my way inside October 27, 2018,

to the synagogue when the shooting
started.

Nothing I could do.

I went in after the police arrived.

I felt I had to.

I'm better now.

But New Year's Eve, 4th of July, when

kids have their fireworks and
firecrackers, I...

There is no clock on how long it takes.

No clock.

You must be joking.

Robbie? Yeah? Marky is back from PT.

Oh, okay.

Um, brother, why don't we go ahead and
see if we can put a nonstick dressing on

this. And I will come back, and we can
discuss aftercare instructions.

Yeah, you got it, boss.

Thank you, doctor.

Bite is stable, plus ox holding at 99.

Okay, heart and lungs look good.

Dr. Mullen. Dr. Robbie.

Yeah.

Please make him be okay.

I can assure you that we are going to do
absolutely... Everything you can, I

know.

God, this is all my fault.

This is he?

He's been so distressed.

So I planned this weekend away at Seven
Springs, but he didn't want to go

because of work.

So we fought.

Those can't be the last words we say to
each other, doctor, please.

Good news.

CT looks normal.

No bleeding inside the skull, C -spine,
no fracture, C.

Can't break his neck? Then why is he
paralyzed?

You can have spinal injuries without
radiologic abnormalities. Sometimes it

doesn't show up on CT, only on MRI.

Dr. Mohan?

Are you sure?

Okay.

Critical potassium level 1 .2.

Wow. Okay.

Extremely low potassium with generalized
weakness and no cervical injury. We may

be looking at... Hypokalemic periodic
paralysis.

What is that? It's a rare condition
where potassium gets shifted into the

causing profound weakness, just like
paralysis.

Will he get better? Yes.

Back to normal in a few hours.

Did you hear that, Mark?

Oh, baby.

You're going to get better.

All right, Dee Dee. Hey, come on now,
man. Oh, how you doing, DeJuante?

Fine. Great. If you're fine, you go
home.

Really? Yeah.

Hey, tell them.

Me and my sister are making bracelets,
and I put beads up my nose.

How many?

One on each side.

I got to ask.

Why do you stick them up there?

See how many will fit?

To shoot them out like rockets.

But I bring them in, and they went
deeper.

And now won't come out.

Did you try anything at all?

Yeah, I tried blowing in his mouth, but
just got a little snot on my cheek.

Hey, forever dead.

OK, we need to take a look with our
little flashlight, OK?

OK. This what I have to look forward to?

This is so much more.

Red bead below the inferior turbinate.

Got a blue one.

Afrin, benzocaine, cath extractor? Yep.

Dad looks like we've got to go up and
get him. No way, he's sitting still.

He'll be numbed up. You don't know this
child.

Hey, Duante, you like video games?

Everybody does.

We have a 3D video game.

Yeah. Cool.

That's KCL and saline at 10 mEq per
hour.

We avoid dextrose because the insulin
response drops a K even lower. If it's

genetic, why didn't it happen when he
was a kid?

It usually starts after the teen years.
And it can be intermittent. Sometimes

it's triggered by intense exercise or
stress.

We've been married eight years. We've
had fights.

He's never collapsed.

If a thyroid gets overactive, that
brings it on later in life. I order TSH,

T4.

So now we just wait.

Starting compressions. Charge to 200.

What is happening?

Low potassium can harm electrical
activity in the heart.

Charge. Clear.

Resuming compressions.

So you're a little girl with ITP?

Go figure. Nothing like a zebra to
kickstart your morning.

It's better than the alternative.

True.

ITP.

So that's intra... Immune
thrombocytopenia.

Used to be called idiopathic
thrombocytopenic purpura. Know what

means? That we don't know the exact
cause.

Means the patient is pathetic and the
doctor is an idiot.

Just checked on baby Jane Doe.

Looking good. Taking formula well.

We're here to take a statement.

We're looking for a Tony Chincholo.

Yo! Right over here, boys.

For officers.

I heard you had some trouble over at the
campus library.

Shit. Let me just say, new appreciation
for what you guys do every day.

Freaking junkie jungle, right?

At the campus library?

Yeah.

I'm in four finger make a C, bottom
three fingers make a T for jaw lift, one

breath every five seconds. Come here.
All right.

About two minutes since defibrillation.
Holding compressions?

Normal sinus.

Carotid, strong carotid. Okay, let's try
for a BP.

Why don't we check after the shock?

2024 ACLS guidelines.

Patients can remain pulseless for a
little bit even after successful

He came back with one shock. That's as
good as it gets.

104 over 68.

Good squeeze, good EF.

Spontaneous respirations. He's breathing
on his arm.

Excellent sign.

Can I touch him? Of course.

Oh, shit.

We need a gurney.

Nancy.

Mrs. Yee.

Mrs. Yee, weak carotid, shallow breath.
Did she vasovagal constrict?

Can't assume that. Positive seatbelts.
Oh, shit.

Hang two units of Odegaard, the rapid
diffuser. Somebody call Garcia.

Shit, we really should have been sitting
on the examiner. Okay, I got the head.

Platelets are the tiny things in the
blood that help it clot.

And thrombocytopenia is fancy for low
platelets, which explains why your skin

bruises so easily.

And what causes it?

It's actually her immune system that's
causing the destruction of the

Sometimes it's a triggered response to
an environmental factor or a virus.

And what's the treatment? What are you
giving her?

We'll be treating her with high dose
steroids to suppress the immune system

IV immunoglobulin, which reduces the
destruction of the platelets in the

Can I go home?

You're going to have to stay in the
hospital for about three days to make

that the treatment is working.

Okay.

Okay, so when can she get a room in the
hospital?

That is an excellent question. I'm going
to see if I can make that happen sooner

rather than later, but it might take a
while. Okay. GPS says I should be there

by 11. Do you have any other questions
for me, ma 'am?

No, I'm sure I will, but I'll let you go
for now.

Thank you, Benny.

All right, I'll see you when you get
here. See you soon, baby.

I love you. Bye, Mom. Love you, too.

There you are.

And there you are.

Don't try to charm me. You promised to
stay put.

I was going to come right back.

My backside is killing me. I need to
keep moving or I get all achy and stiff.

Well, I got you this foam donut to sit
on while we wait for your x -rays.

Dr.

Hazel Eyes, it says here that it's only
supposed to take an hour or two for an x

-ray. Well, the patient passport holiday
edition would better reflect reality.

It could be double that.

There's no need for reality.

We romantics prefer life, the dream.

We do, don't we?

Oui.

Hey,

save the dance for me.

Yeah, okay.

I will. Dr. McKay. Yes.

This is Gretchen Williams.

Actually, it's Lambden.

He called about my ex -husband, Michael.

Yes, yes, yes. Thank you for coming in.
You were listed as his emergency

contact? Yeah, I don't know why.

We have been divorced for years.

Is he all right?

He's going through a lot right now.

Would you like to see him?

Okay, Leo, can you zoom in and please
hold it a little steadier?

Okay, atorvastatin, simvastatin,
ezetimibe. Those are all high

medications.

Can you go to the right?

Lisinopril,

losartan, propranolol. Wait, wait.

That's it.

Wendy's pile.

Yellowish bottle, little round blue
pills.

Just like I said.

Propranolol? Bingo, little lady.

Okay, yeah, well, this makes a lot of
sense now.

Propranolol is a high blood pressure
medication.

Those are 20 milligrams each, and the
starting dose is 40 mg. How many pills

you take?

No, ma 'am, I went just before I came
here.

Dad.

How many pills did you take?

Oh, I think four, maybe five.

That is a lot. Okay.

No full stomach, mind you.

Well, the good news is it has a short
half -life, so...

We're going to need to keep you for
about four hours to monitor, but then

be able to rejoin for all the late
afternoon festivities. All right.

Unit 3 and 4 running in. BP 84 over 56,
heart rate 112.

It's much bigger than before.

She's not turning the corner. OR is
holding a room.

I'll let the husband know.

Why'd you guys wait so long to check
her? Good vitals in the field, no

She refused to sign in. You should have
convinced her. 2020 hindsight, she was

stable. Until she wasn't. Next time,
I'll use my x -ray vision goggles.

Let's get her upstairs.

Gotta do an acu -check on my DKA
patient.

Thanks for the backup.

Anytime.

Now, try and lift your arm, Mark.

I'm trying.

Can't do it.

Like... You are getting stronger, and
your speech is improving.

How did I lose so much potassium?

You didn't lose it. It got shifted into
cells.

When it comes back, you'll return to
normal.

Where's Nancy?

She had an injury to her spleen right
about here with some internal bleeding.

Oh, God.

She passed out from blood loss. We were
able to transfuse her, and she's now on

her way to surgery to repair that
damage.

This is my fault.

She's trying to...

She booked a trip for us. For me.

I fought her the whole time. I've
been... Please don't...

Oh, my God, please don't let her die.

Please.

I can assure you that she is in
excellent hands.

Is this how it works?

How what works?

You think things are important?

That everything's so important?

And then you end up here in C.

Yeah, that is how it works.

No, it's a small hole, like the size of
a dime.

Right, Doc?

Mm -hmm.

Yeah, even smaller.

It's a minor enough procedure that most
patients go in the next day.

And then?

And then they'll know what it is and how
to treat it.

Isn't that right? Yeah, exactly.

I'm sorry that they called you.

I never updated the form, I guess. No,
no, it's okay.

You know, they called, and I was kind of
surprised.

Well, you didn't have to come.

But I did.

I heard you got married.

Congratulations.

Thank you.

I hope he treats you well.

And you deserve to be happy.

I'm really sorry you're going through
this, Michael.

Yeah.

Me too.

But you know me.

I'm a survivor.

I leave you guys to talk for a few
minutes.

I have a patient to check on.

Sure. Yeah.

Mr. Diaz should be improving after two
liters.

Blood sugar?

Down from 521 to 436.

That's good, right?

Moving in the right direction.

Were you able to get a hold of your mom?

Yes. She's on her way. She doesn't have
a car. She takes buses, so it takes

longer. I'm sorry.

Don't be.

Current insulin is 0 .1 units per kilo
per hour. Next step. Once the glucose is

down to 250, reduce the insulin to 0 .05
units per kilo per hour. Because you

can normalize the blood sugar before you
clear the ketones and you don't get

hypoglycemia. But as treatment
continues, you'll have to give IV

keep the blood glucose in between 150
and 200 while the insulin clears the

ketones. Obviously.

I'm sorry, what?

Got it.

Duante, what are you doing in there,
son?

all cats before the farmer gets me. Keep
going.

This is a cat's extractor with a tiny
balloon at the end. What we're going to

is we're going to slip it past the bead,
inflate the balloon, try to pull out

the bead. Is it painful?

No, he's numbed up.

Made to level three.

And pretty distracted.

Dad's going to hold your head still, OK?

Look up. OK.

Now go back perpendicular below the
turbinates.

You guys ever hear of John O'Donohue?

No. Been reading him a lot lately. He's
got this book of, um, blessings.

And there's this one about fatherhood.

Really stuck with me.

Voila. One red bead.

Yeah? How's it go?

The ending goes, may you be gentle and
loving, clear and sure.

May you trust in the unseen providence
that has chosen you to be a family.

May you stand sure on your ground and
know that every grace you need will

before you like all the mornings of your
life.

Hmm, that's good.

I'd add, support your woman and pack
good snacks.

It's beautiful.

It turns out there's no handbook for
fatherhood, so I will take all the

can.

Bluebeard, out.

Anything else?

You tell me. I have my own report to do.

Anything I left out? I have to back on
that kid. We'll follow up with Mr.

When Mr.

Davis comes off the ceiling.

Jackson Davis.

Talk screen negative for cocaine,
amphetamines, marijuana, PCP, benzos,

opioids. So no drugs in that system?

Nope. Taser barbs on the back of the
victim's neck?

Yep.

Changes things, Tony.

Hey, Louie. How we doing? Not so good.

I can barely use a drink.

I'm feeling a little empty.

Okay, well, empty is what we want, and
it looks like we are there.

Hey, well, if I can't get a drink, well,
too, you got to do something.

We're going to get right to that. Let's
hang some IV antibiotics, three grams of

Unison.

He's gonna be right back. We're gonna
numb it up and drain it. Ten minutes

okay? Hey, uh, you said you met Mr.
Zambelli, the fireworks guy on the

What field was that?

No more talking. You gotta fix my tooth.

Deal.

You're Muslim?

I am.

Thank you.

Oh, for what?

After the shooting, it was the Muslims
that came together for us in support and

walked with us.

You raised money.

You paid for all the funerals.

Anyway.

Thank you.

Hello. How's it going in here?

Did I miss all the gross stuff?

Timed it perfectly.

Excellent. My job's all about delegation
and time management. Oh, not for much

longer. That is very true.

Why for not longer? Because tomorrow I
am leaving to go on sabbatical. He's

leaving us for three months on a
motorcycle.

Motorcycle? You're joking.

Why would you do this?

Why? Why?

Why? Because... You middle -aged man,
don't be stupid.

Don't hold back. Tell me how you really
feel. Forgive me for being blunt, Dr.

Rabinovich, but how old are you, huh?

Fifty? Ish.

Ish.

50 -ish year old man on a motorcycle.

Very sad.

I, um... I don't know what to say.

You ever heard of IPP? I never did.

I really appreciate you bringing her
here, okay? Of course.

What do you think I am?

Oh, that's right. You think I'm some
kind of child.

No, I never said that. The fuck you
didn't.

In front of all those people, you made
it sound like she might have been

her while I was watching her. Like it
was my fault. You basically said the

thing about me. No, I said that you guys
roughhouse this all because you do. You

know I would never hurt my daughter.

Actually, I don't.

I've known you six months.

You could be anybody.

Okay, well, I am sorry for what I said,
okay? I was upset, and I was worried,

and I just... I said something stupid,
and I just... You think? You just

let me finish! You are finished!

We're finished.

Well, happy fucking Fourth of July.
Yeah, happy Independence Day.

Excuse me.

Yes, what can I do for you?

My wife and I were in an accident.

She's in surgery right now.

Would you mind holding my phone up for
me so I could record a message for her?

Of course I will.

Happy to. Oh, good. I have the same one.

I know how this works.

Ready?

Go.

Hi,

my love.

So, uh... Us...

listening to this couple argue.

And they were yelling.

Both so angry.

And I just wanted you to know that I was
wrong.

I was so wrong and I'm sorry about all
of it.

Hey.

How you doing?

I haven't seen him in like... Four
years.

I can't imagine.

That must have been so crazy.

You know, things were not good at the
end. He was a really different person.

Huge temper.

Not like when we first got married.

I'm so sorry.

Could that math have been there for a
while and only recently got worse?

Yes. Could it be responsible for how
much he changed?

You know, his moods and tempers. He was
getting into fights with strangers.

It's possible.

Oh.

Thank you.

Unless he's asked you to change it,
would you please leave me as...

The emergency contact.

Yeah, absolutely.

Okay, I'm sending Mrs. Kovalenko home
with burn dressing, but not before she

turned my sabbatical into a midlife
crisis.

No comment.

Wound check, two days.

Got it. What about Kylie, this little
girl? She gone up yet?

Hopefully soon.

Hey, we're starting to clear some space
around here.

Yep.

PTMC charge nurse, go ahead, medic
command.

Is this a drill?

Is this a joke? It's the 4th of fucking
July.

Got it.

Thanks. What's up?

Westbridge has a code black and it's
closing to internal disaster.

Central's subverting all their ambulance
traffic to us.

What's the issue? The prospect didn't
say. Shit, it could be anything from a

flooding toilet to a power outage. How
long?

Didn't know. A couple of doctors
probably got the holiday flu and they're

understaffed.

How come?

How long? How many?

Sounds like a betting grid to me.

We are back.

Oh, I should have left last night.