1 00:00:15,474 --> 00:00:17,350 Structural collapse at the water park... 2 00:00:17,350 --> 00:00:19,643 two victims coming in via helicopter. 3 00:00:19,644 --> 00:00:21,478 ETA, five minutes. - Time to rally the troops. 4 00:00:21,480 --> 00:00:22,812 I'll get environmental 5 00:00:22,814 --> 00:00:24,315 to clear and prep the trauma rooms. 6 00:00:24,315 --> 00:00:25,858 Emma, restock the crash carts. 7 00:00:25,859 --> 00:00:27,609 Makedah, take the latest scripts to the drug cage. 8 00:00:27,611 --> 00:00:29,320 - Should be a fun one. - "Fun one"? What's up? 9 00:00:29,321 --> 00:00:30,655 Slide broke at the water park... 10 00:00:30,655 --> 00:00:32,323 two victims, five minutes to touchdown. 11 00:00:32,323 --> 00:00:33,990 No information on extent of injuries. 12 00:00:33,991 --> 00:00:35,659 I can jump in with... 13 00:00:35,661 --> 00:00:38,161 Ogilvie, grab some goggles, gloves, gown. 14 00:00:38,162 --> 00:00:39,454 Go up to the roof. 15 00:00:39,456 --> 00:00:40,872 First patient that lands, bring 'em down. 16 00:00:40,874 --> 00:00:42,165 We got two choppers. 17 00:00:42,167 --> 00:00:44,085 You want to grab some bodies and meet me? 18 00:00:44,085 --> 00:00:45,878 What injuries are we expecting? 19 00:00:45,878 --> 00:00:48,005 - Structural collapse. Could be anything. 20 00:00:48,006 --> 00:00:50,508 I can increase the morphine drip to manage the pain, 21 00:00:50,509 --> 00:00:53,176 but that could also slow down your breathing. 22 00:00:53,177 --> 00:00:55,095 You will likely feel very drowsy. 23 00:00:55,097 --> 00:00:58,057 You may lose consciousness. 24 00:00:58,057 --> 00:01:01,185 And it could cause you to stop breathing altogether. 25 00:01:03,521 --> 00:01:05,566 [gasps, mouths words] 26 00:01:07,733 --> 00:01:10,194 [door closes] 27 00:01:10,194 --> 00:01:12,028 I'll be right back. 28 00:01:12,030 --> 00:01:15,033 [indistinct chatter] 29 00:01:19,370 --> 00:01:22,539 Hey, you okay? - Yeah. 30 00:01:22,540 --> 00:01:23,915 Yeah. Sorry. 31 00:01:23,917 --> 00:01:27,335 Look, it's hard seeing your patients die. 32 00:01:27,337 --> 00:01:30,088 But as professionals, we have to create emotional boundaries 33 00:01:30,090 --> 00:01:31,549 for ourselves. 34 00:01:31,549 --> 00:01:33,968 It's not about us. It's about them. 35 00:01:36,054 --> 00:01:38,097 - She's so calm. I just... 36 00:01:38,097 --> 00:01:40,182 Yeah. 37 00:01:40,182 --> 00:01:44,061 She's had a long time to prepare for this moment. 38 00:01:44,061 --> 00:01:46,271 What she's doing for her sons... 39 00:01:46,272 --> 00:01:49,066 managing this with so much grace... 40 00:01:49,067 --> 00:01:50,776 it's a real gift of love. 41 00:01:50,777 --> 00:01:53,612 - I feel like an asshole. [breathes deeply] 42 00:01:53,614 --> 00:01:55,740 All they want is more time with their mother. 43 00:01:55,740 --> 00:01:57,490 All I want is less time with mine. 44 00:01:57,491 --> 00:01:59,576 Don't feel guilty. 45 00:01:59,578 --> 00:02:03,581 I mean, you can be grateful and gracious from a distance. 46 00:02:03,581 --> 00:02:05,582 Just talk to her. Tell her what you want. 47 00:02:05,584 --> 00:02:08,752 She'll understand. 48 00:02:08,753 --> 00:02:11,756 I just... I doubt that. 49 00:02:11,757 --> 00:02:14,967 - Give her a chance, you know? She may surprise you. 50 00:02:17,346 --> 00:02:18,846 Hey. 51 00:02:18,847 --> 00:02:20,806 Two birds headed our way. Need a hand? 52 00:02:20,806 --> 00:02:22,432 That's the rumor. 53 00:02:22,433 --> 00:02:25,436 Santos, trauma incoming. Grab a gown. 54 00:02:25,437 --> 00:02:27,771 You can assist Dr. Langdon. 55 00:02:27,772 --> 00:02:29,774 [elevator bell dings] 56 00:02:29,775 --> 00:02:31,275 Fuck me. 57 00:02:31,276 --> 00:02:34,069 Jesus, I got blood tubes growing moss over here. 58 00:02:34,070 --> 00:02:36,112 Ticktock, people. 59 00:02:36,114 --> 00:02:38,449 Hey, Olive, do me a solid... run these to the lab. 60 00:02:38,449 --> 00:02:39,616 No problem. 61 00:02:39,617 --> 00:02:41,493 Uh, I got more lab results. 62 00:02:41,495 --> 00:02:43,621 Start putting them on the patient clipboards, 63 00:02:43,622 --> 00:02:45,831 - PTMC Emergency. Go ahead, Medic Command. 64 00:02:45,831 --> 00:02:47,500 Do cyber attacks happen often? 65 00:02:47,501 --> 00:02:49,710 - More than you realize. - I blame the Russkies. 66 00:02:49,711 --> 00:02:52,796 Dr. Mohan, it's your mother? 67 00:02:52,798 --> 00:02:54,507 She sounds pretty upset. 68 00:02:54,508 --> 00:02:57,468 Says she really needs to talk to you. 69 00:02:57,468 --> 00:02:58,635 You're shitting me. 70 00:02:58,637 --> 00:03:00,681 Um, tell her I'm not available. 71 00:03:03,599 --> 00:03:06,645 [helicopter whirring loudly] 72 00:03:10,272 --> 00:03:12,483 How's your shift going? 73 00:03:12,484 --> 00:03:15,110 It's been a lot already. 74 00:03:15,111 --> 00:03:18,322 You know, I worked in an ER before, up in Vermont, 75 00:03:18,323 --> 00:03:22,075 and we had MVAs and ODs, MIs. 76 00:03:22,076 --> 00:03:23,868 But this place... 77 00:03:23,870 --> 00:03:26,247 this place is relentless. 78 00:03:26,247 --> 00:03:29,875 - Holiday weekend. We're not normally offline. 79 00:03:29,876 --> 00:03:32,836 I think we have a very different idea of normal. 80 00:03:32,837 --> 00:03:34,337 It's not for everyone. 81 00:03:34,338 --> 00:03:36,799 I'm not sure it's healthy for anybody. 82 00:03:36,800 --> 00:03:38,509 Here's her leg. 83 00:03:38,509 --> 00:03:40,262 Jesus. 84 00:03:46,852 --> 00:03:48,310 I need more runners. 85 00:03:48,311 --> 00:03:50,146 Oh, you could shut down the gift shop. 86 00:03:50,146 --> 00:03:52,272 They always have a couple of volunteers there. 87 00:03:52,274 --> 00:03:54,275 Most of those volunteers use walkers. 88 00:03:54,276 --> 00:03:55,901 - [chuckles] Beggars can't be choosers. 89 00:03:55,901 --> 00:03:57,360 Go get 'em. 90 00:03:57,361 --> 00:03:59,280 Okay, I'm gonna grab a smoke first. 91 00:03:59,281 --> 00:04:01,532 - No time. Nicotine gum... take the edge off. 92 00:04:01,532 --> 00:04:03,908 You two, head to triage to help out the front of the house. 93 00:04:03,909 --> 00:04:05,286 They're running out of space, 94 00:04:05,287 --> 00:04:07,079 and there's a line out the door. 95 00:04:07,080 --> 00:04:10,039 - Okay, let's go. - Hang on, Mohan. 96 00:04:10,040 --> 00:04:12,252 Sign this. 97 00:04:14,545 --> 00:04:16,213 Nicotine patch, 21 milligrams. 98 00:04:16,213 --> 00:04:17,714 Who's it for? 99 00:04:17,716 --> 00:04:19,175 - Monica. This nicotine gum's shit. 100 00:04:19,175 --> 00:04:20,675 She'll never survive the shift, 101 00:04:20,677 --> 00:04:22,971 and I need her so I don't lose my goddamn mind. 102 00:04:24,930 --> 00:04:26,223 Thanks. 103 00:04:26,223 --> 00:04:27,975 Is Dr. Abbot still around? 104 00:04:27,975 --> 00:04:29,476 He went to get some sleep 105 00:04:29,478 --> 00:04:31,312 before his night shift starts in a couple hours. 106 00:04:31,312 --> 00:04:33,521 Shit. Okay, I should have planned this better. 107 00:04:33,523 --> 00:04:36,317 I was hoping he'd write me a letter of rec for an elective 108 00:04:36,317 --> 00:04:38,735 so I could have a shot at a fellowship next year. 109 00:04:38,737 --> 00:04:40,446 Which one? 110 00:04:40,447 --> 00:04:42,363 Whichever will take me. 111 00:04:42,365 --> 00:04:44,574 Didn't the electives fill up a while ago? 112 00:04:44,576 --> 00:04:46,117 Don't remind me. 113 00:04:46,119 --> 00:04:47,952 I'm gonna throw myself at the mercy of the court, 114 00:04:47,954 --> 00:04:49,370 beg for them to take me anyway. 115 00:04:49,372 --> 00:04:51,581 Just kill me now. It'll be less painful. 116 00:04:51,582 --> 00:04:53,918 Dana, I can't read this handwriting. 117 00:04:53,918 --> 00:04:55,586 It says... 118 00:04:55,586 --> 00:04:58,254 1,000 milligrams acetaminophen orally, 119 00:04:58,255 --> 00:05:00,591 4 milligrams ondansetron under the tongue, 120 00:05:00,591 --> 00:05:02,759 and trial of clear fluids. 121 00:05:02,761 --> 00:05:04,345 - Seriously? It says all that? 122 00:05:04,346 --> 00:05:06,346 If it's not in a text with emojis, 123 00:05:06,348 --> 00:05:08,016 you kids can't read for shit. 124 00:05:10,601 --> 00:05:12,144 What do we have? 125 00:05:12,144 --> 00:05:14,230 A fall from 10 feet onto a metal fence. 126 00:05:14,230 --> 00:05:16,105 Right below the knee. Good vitals. 127 00:05:16,106 --> 00:05:17,817 - Oh, it hurts. Oh, my God. 128 00:05:17,817 --> 00:05:20,151 - What's she had so far? - 50 of fent, repeated 25. 129 00:05:20,153 --> 00:05:21,946 No meds, no allergies. 130 00:05:21,947 --> 00:05:23,947 - Where should I put this? - Just hang on to it for now. 131 00:05:23,949 --> 00:05:27,785 - On my count. One, two, three. 132 00:05:27,786 --> 00:05:29,495 [person groans in pain] 133 00:05:29,495 --> 00:05:32,706 - Okay, Whitaker, E-FAST. Donnie, primary survey, please. 134 00:05:32,706 --> 00:05:35,500 Pupils equal and reactive. 135 00:05:35,502 --> 00:05:38,002 What's your name? - My leg hurts really bad. 136 00:05:38,004 --> 00:05:39,797 Did I break it? 137 00:05:39,798 --> 00:05:41,841 Um, I-I wouldn't say that it's broken exactly. 138 00:05:41,841 --> 00:05:43,591 We're gonna get an X-ray to determine that. 139 00:05:43,593 --> 00:05:45,636 Put that on the gurney, line it up for X-ray, 140 00:05:45,637 --> 00:05:47,178 keep your fucking mouth shut. 141 00:05:47,180 --> 00:05:48,930 Good lung sliding right and left. 142 00:05:48,932 --> 00:05:51,641 Airway patent, breath sounds bilaterally. 143 00:05:51,643 --> 00:05:54,103 - Please, it hurts. - BP 100 over 60. 144 00:05:54,103 --> 00:05:57,105 Pulse 118, pulse ox 98%. 145 00:05:57,106 --> 00:06:00,401 - Does your belly hurt? - No, asshole! It's my leg! 146 00:06:00,401 --> 00:06:02,151 Okay, she's really moving here. 147 00:06:02,153 --> 00:06:03,528 100 of ketamine? 148 00:06:03,529 --> 00:06:06,197 Yeah, we can't evaluate like this. 149 00:06:06,199 --> 00:06:08,117 Hey, Ogilvie? 150 00:06:08,117 --> 00:06:10,326 Deep breaths, yeah? - Yeah, okay. 151 00:06:10,327 --> 00:06:11,829 Whitaker, what's next? 152 00:06:11,829 --> 00:06:14,372 Uh, once she's sedated, finish the E-FAST, 153 00:06:14,374 --> 00:06:16,332 plain X-ray, check her back, straight to CT. 154 00:06:16,334 --> 00:06:18,209 What if the ketamine wears off? 155 00:06:18,211 --> 00:06:19,670 Right. Uh, we should do 156 00:06:19,670 --> 00:06:22,298 a popliteal nerve block before the CT, 157 00:06:22,298 --> 00:06:24,173 anesthetize from the knee down. 158 00:06:24,175 --> 00:06:26,093 - Two view tib-fib. - Pushing ketamine now. 159 00:06:26,093 --> 00:06:27,427 What's the bullet? 160 00:06:27,428 --> 00:06:29,430 42-year-old male with 20-foot fall. 161 00:06:29,430 --> 00:06:31,598 Blunt chest trauma with hand injury. 162 00:06:31,600 --> 00:06:33,600 - Where's my son? Where's my son? 163 00:06:33,601 --> 00:06:36,019 He's tachy to 108, sats 98 on 2 liters, 164 00:06:36,021 --> 00:06:37,687 BP 122 over 84. 165 00:06:37,689 --> 00:06:39,439 We'll pan scan due to mechanism. 166 00:06:39,441 --> 00:06:41,399 You? - Tib-fib amputation. 167 00:06:41,401 --> 00:06:43,651 Hoping ortho can, uh, give us a little hope for replantation. 168 00:06:43,653 --> 00:06:46,322 - Derek, where are you hurting? - Chest and my finger. 169 00:06:46,322 --> 00:06:47,572 Did they find my son? 170 00:06:47,574 --> 00:06:49,699 - Did you hit your head? - Don't think so. 171 00:06:49,701 --> 00:06:50,992 I need to find my son! 172 00:06:50,994 --> 00:06:52,244 We'll find him for you, 173 00:06:52,245 --> 00:06:54,538 but we need to take care of you first. 174 00:06:54,538 --> 00:06:56,581 - Pericardium's clear. No fluid in Morrison's. 175 00:06:56,582 --> 00:06:58,709 Move both arms, wiggle your feet. 176 00:06:58,709 --> 00:07:01,086 Good. Any pain in your neck? - No. 177 00:07:01,086 --> 00:07:03,213 - Spleen looks good. - Start with his chest. 178 00:07:03,213 --> 00:07:04,464 That's where he hurts. 179 00:07:04,466 --> 00:07:07,091 No hemotympanum. - Normal sliding. 180 00:07:07,093 --> 00:07:09,762 Best to start with the side he's complaining about first. 181 00:07:09,762 --> 00:07:12,639 Uh, I don't see much sliding there. 182 00:07:12,641 --> 00:07:14,725 - His name is Zack. He's seven. 183 00:07:14,725 --> 00:07:16,894 - Pneumothorax? - Set up for a chest tube. 184 00:07:16,894 --> 00:07:19,562 - Not yet. Uh, let's go posterolateral. 185 00:07:19,564 --> 00:07:21,230 Look for fluid first. 186 00:07:21,231 --> 00:07:23,567 - Traumatic pneumothorax. We should prep the chest. 187 00:07:23,567 --> 00:07:26,069 - Not necessarily. He's hemodynamically stable. 188 00:07:26,071 --> 00:07:27,862 Okay. 189 00:07:27,863 --> 00:07:29,447 Does that look like some fluid there? 190 00:07:29,449 --> 00:07:30,990 Hard to say for sure. 191 00:07:30,992 --> 00:07:33,076 Okay, he's tachycardic hemopneumothorax. 192 00:07:33,077 --> 00:07:34,370 He needs a chest tube. 193 00:07:34,370 --> 00:07:36,413 - BP and sats are fine. We can wait for CT. 194 00:07:36,413 --> 00:07:38,122 If it's small, it'll resolve on its own. 195 00:07:38,124 --> 00:07:40,125 We observe and reimage. - I agree. He's stable for now. 196 00:07:40,125 --> 00:07:42,086 Let's wait for the scan, Dr. Santos. 197 00:07:42,086 --> 00:07:44,129 - Okay, let's order... - Okay. 198 00:07:44,129 --> 00:07:47,466 A CT chest, abdomen, pelvis, and X-ray left hand. 199 00:07:47,466 --> 00:07:50,386 - Whoa, major degloving. - Focus on the primary. 200 00:07:50,387 --> 00:07:53,305 - Dr. Langdon's correct. We need to logroll him. 201 00:07:53,305 --> 00:07:54,932 - [shouting in pain] - Oh, okay. 202 00:07:54,932 --> 00:07:56,975 How about another four of morphine? 203 00:07:56,976 --> 00:07:58,935 - Put it in. Hang in there, Derek. 204 00:07:58,937 --> 00:08:01,271 - We got you. - [mouths words] 205 00:08:01,271 --> 00:08:03,774 [cell phone vibrating] - Fuck off already. 206 00:08:03,774 --> 00:08:06,317 - Boyfriend? - Wish. My mom. 207 00:08:06,319 --> 00:08:08,319 Every time I get a second of service, 208 00:08:08,321 --> 00:08:09,779 another dozen texts come in. - Hey! 209 00:08:09,781 --> 00:08:11,615 How much longer do I have to wait? 210 00:08:11,615 --> 00:08:12,949 I got a broken leg here. 211 00:08:12,951 --> 00:08:14,660 Someone will be with you shortly, sir. 212 00:08:14,661 --> 00:08:16,327 Am I allowed to use the bathroom? 213 00:08:16,329 --> 00:08:18,163 I really have to go. - I don't know, ma'am. 214 00:08:18,163 --> 00:08:19,331 I am not your doctor. 215 00:08:19,331 --> 00:08:20,957 It says right there "doctor." 216 00:08:20,959 --> 00:08:22,500 Yes, but I'm not your doctor. 217 00:08:22,502 --> 00:08:24,168 But if you go back to your room, 218 00:08:24,170 --> 00:08:26,588 a nurse will come find you. - I wasn't in a room. 219 00:08:26,588 --> 00:08:29,591 I'm sorry. Um, are either of you treating my mother? 220 00:08:29,591 --> 00:08:32,010 Nope! 221 00:08:32,011 --> 00:08:35,056 [breathing heavily] 222 00:08:37,558 --> 00:08:39,976 - Take a seat. It's gonna be a while. 223 00:08:39,977 --> 00:08:42,980 [indistinct chatter] 224 00:08:42,980 --> 00:08:45,316 Helen Torres, come on down. 225 00:08:46,900 --> 00:08:48,985 Helen Torres? 226 00:08:48,986 --> 00:08:51,072 [speaking Spanish] 227 00:08:52,990 --> 00:08:56,619 - [speaking Spanish] - [speaking Spanish] 228 00:09:00,831 --> 00:09:04,208 [door buzzes] 229 00:09:04,210 --> 00:09:05,376 Thank you. 230 00:09:05,378 --> 00:09:07,672 Ay. [winces] 231 00:09:10,383 --> 00:09:12,341 - I'm Dr. Mohan. This is Student Doctor Kwon. 232 00:09:12,342 --> 00:09:13,885 Helen. 233 00:09:13,886 --> 00:09:16,179 How long has your leg been swollen, Helen? 234 00:09:16,181 --> 00:09:19,015 Uh, it's been getting worse over the past week. 235 00:09:19,017 --> 00:09:20,850 Dr. Mohan, your mom called again. 236 00:09:20,851 --> 00:09:22,394 She said you need to call her back. 237 00:09:22,394 --> 00:09:23,394 Not now! 238 00:09:23,395 --> 00:09:25,230 I'm with a patient. 239 00:09:27,357 --> 00:09:28,984 Sorry about that. 240 00:09:28,985 --> 00:09:31,861 Um, did you... did you fall or hit your leg? 241 00:09:31,863 --> 00:09:33,697 No. 242 00:09:33,697 --> 00:09:36,866 Have... have you ever had a blood clot before? 243 00:09:36,868 --> 00:09:38,869 - No. - [inhales deeply] 244 00:09:38,870 --> 00:09:41,038 [grunts softly] 245 00:09:41,038 --> 00:09:43,790 - Are you all right? - Excuse me? 246 00:09:43,792 --> 00:09:47,211 - Do you need to sit down? - Oh, no. I'm... I'm fine. 247 00:09:47,211 --> 00:09:48,836 You don't look too good. 248 00:09:48,837 --> 00:09:50,379 What? 249 00:09:50,380 --> 00:09:52,091 No, it's just, um... 250 00:09:52,091 --> 00:09:53,759 it's really hot in here. 251 00:09:53,759 --> 00:09:56,220 And, uh... and, uh... 252 00:09:56,221 --> 00:09:59,556 - You need to sit down. - I'm good. 253 00:09:59,557 --> 00:10:02,058 I just need some air. 254 00:10:02,059 --> 00:10:04,229 Excuse me one second. 255 00:10:07,899 --> 00:10:10,943 [wheezing, breathing heavily] 256 00:10:20,577 --> 00:10:22,287 [all voices echoing] - You a doctor? 257 00:10:22,288 --> 00:10:24,248 Sorry, Doctor, does this look infected? 258 00:10:24,249 --> 00:10:25,624 I've been waiting six hours, 259 00:10:25,625 --> 00:10:27,292 and people keep cutting in front of me. 260 00:10:27,293 --> 00:10:29,253 Doctor, can you just look at my throat 261 00:10:29,254 --> 00:10:30,754 just to see if it's strep? 262 00:10:30,754 --> 00:10:32,713 [normal voices] - Look out! Make way! 263 00:10:32,715 --> 00:10:34,466 - [breathing heavily] - Get in. 264 00:10:34,466 --> 00:10:36,134 No, I'm... I'm okay. 265 00:10:36,135 --> 00:10:39,096 I'm okay. - Get in the fucking chair. 266 00:10:39,096 --> 00:10:42,640 - [continues breathing heavily] - Excuse me, ma'am. 267 00:10:42,642 --> 00:10:45,309 Excuse me, coming through! 268 00:10:45,311 --> 00:10:47,104 Out of my way! 269 00:10:47,105 --> 00:10:49,022 We were going down the water slide, 270 00:10:49,023 --> 00:10:50,481 and the bottom just fell off. 271 00:10:50,482 --> 00:10:51,817 I grabbed Zack's arm, 272 00:10:51,817 --> 00:10:53,610 and I tried to hold on to the sides, 273 00:10:53,610 --> 00:10:55,486 but my hand slipped, and my ring got stuck. 274 00:10:55,488 --> 00:10:59,533 My finger was ripping off, and I just... and I lost him. 275 00:10:59,533 --> 00:11:01,994 We can numb up your finger as soon as we gauge 276 00:11:01,995 --> 00:11:03,620 the extent of the injury. 277 00:11:03,620 --> 00:11:05,706 You can cut the damn thing off for all I care. 278 00:11:05,706 --> 00:11:07,791 I just need to find Zack. 279 00:11:07,792 --> 00:11:09,458 Okay, do you feel anything here? 280 00:11:09,460 --> 00:11:10,626 Yeah, sharp. 281 00:11:10,628 --> 00:11:12,504 - How about here? - Sharp again. 282 00:11:12,504 --> 00:11:14,255 A little late for the show, Yoyo. 283 00:11:14,256 --> 00:11:16,341 - I am the show, Dr. Langdon. You're the warm-up act. 284 00:11:16,341 --> 00:11:18,177 I knew somebody missed me. 285 00:11:18,177 --> 00:11:20,095 Mr. Foster suffered a degloving injury 286 00:11:20,096 --> 00:11:21,346 of the ring finger. 287 00:11:21,346 --> 00:11:23,347 Stable pneumothorax awaiting imaging. 288 00:11:23,349 --> 00:11:25,975 Hello, sir. I'm Dr. Garcia from the trauma service. 289 00:11:25,976 --> 00:11:27,602 I need the ring cutter. 290 00:11:27,604 --> 00:11:29,980 That's why they pay the surgeons the big bucks. 291 00:11:29,980 --> 00:11:31,940 Possible flexor tendon injury. 292 00:11:31,941 --> 00:11:33,609 Ay. Ow. 293 00:11:33,610 --> 00:11:36,945 Try to bend up your ring finger. 294 00:11:36,946 --> 00:11:39,364 [groans in pain] 295 00:11:39,365 --> 00:11:40,948 Let's go with the block. 296 00:11:40,950 --> 00:11:43,368 You're gonna feel a pinprick and some burning. 297 00:11:43,369 --> 00:11:45,995 Which tendon did we test, Dr. Santos? 298 00:11:45,996 --> 00:11:48,498 - Seriously? That's a med-student question. 299 00:11:48,499 --> 00:11:52,168 - We're a teaching hospital. It's always good to review. 300 00:11:52,169 --> 00:11:55,838 [sighs] Flexor digitorum superficialis is intact 301 00:11:55,840 --> 00:11:58,174 as it inserts on the middle phalanx. 302 00:11:58,176 --> 00:11:59,509 Correct. 303 00:11:59,509 --> 00:12:01,177 Gee, thanks. 304 00:12:01,178 --> 00:12:03,221 No sign of tension. 305 00:12:03,222 --> 00:12:05,682 At least no tension pneumo. 306 00:12:05,682 --> 00:12:07,768 Let's wait for the CT. I'll be next door. 307 00:12:07,769 --> 00:12:10,562 Langdon, Mel's sister's been asking for you. 308 00:12:10,562 --> 00:12:12,813 She's getting antsy, and we could really use the room. 309 00:12:12,815 --> 00:12:14,066 - CT's ready. - Okay. 310 00:12:14,067 --> 00:12:16,025 Let Becca know I'll be there soon. 311 00:12:16,027 --> 00:12:18,195 And Mr. Foster got separated from his son Zack 312 00:12:18,196 --> 00:12:19,821 at the water park. 313 00:12:19,822 --> 00:12:22,407 - Anyone we can call for you? - My wife, Angela. 314 00:12:22,408 --> 00:12:25,620 Dr. Santos, will you escort Mr. Foster to CT? 315 00:12:28,038 --> 00:12:29,914 [smacks table] 316 00:12:29,916 --> 00:12:30,999 Help! 317 00:12:31,000 --> 00:12:33,335 Need a hand here. 318 00:12:33,336 --> 00:12:36,379 - What the hell happened? - I think I'm having an MI. 319 00:12:36,380 --> 00:12:38,548 My chest is so tight, I can barely breathe. 320 00:12:38,548 --> 00:12:40,091 Okay, I got to get a 12 lead. 321 00:12:40,092 --> 00:12:42,052 Perlah, can I get an assist here? 322 00:12:42,052 --> 00:12:44,263 - Yeah, I'm on it. - [wheezes] 323 00:12:44,264 --> 00:12:45,806 CT's normal. 324 00:12:45,807 --> 00:12:47,599 Why do we take down the tourniquet, Whitaker? 325 00:12:47,600 --> 00:12:49,433 To give the residual limb blood flow. 326 00:12:49,434 --> 00:12:51,602 - Uh-oh. Ah... - Just two little pumpers. 327 00:12:51,604 --> 00:12:53,813 A couple of figure eights ought to take care of those. 328 00:12:53,815 --> 00:12:55,982 - Uh-huh. - Park. 329 00:12:55,984 --> 00:12:58,943 Park the Shark, orthopedic surgeon. 330 00:12:58,945 --> 00:13:00,570 Is this a favorable amputation? 331 00:13:00,571 --> 00:13:01,904 Pretty clean cut. 332 00:13:01,905 --> 00:13:03,572 Fence sliced through like a guillotine. 333 00:13:03,573 --> 00:13:04,866 X-ray? 334 00:13:06,744 --> 00:13:08,120 Not too bad. - Mm-hmm. 335 00:13:10,248 --> 00:13:13,750 Just, uh, tying off a couple arterioles. 336 00:13:13,750 --> 00:13:15,961 I'm not blind. 337 00:13:15,961 --> 00:13:19,255 Where's the amputated leg? - Double bagged on ice. 338 00:13:19,256 --> 00:13:21,758 Sterile saline on the inner bag. 339 00:13:21,759 --> 00:13:25,803 Ice water in the outer bag. No direct ice-on-skin contact. 340 00:13:25,804 --> 00:13:27,889 We spent a lot of time prepping... 341 00:13:27,889 --> 00:13:29,933 He still needs to look. 342 00:13:33,479 --> 00:13:34,938 Get Robby. 343 00:13:37,649 --> 00:13:40,610 [breathing heavily] 344 00:13:43,947 --> 00:13:46,658 - Antibiotics? - Cefazolin and gent. 345 00:13:46,658 --> 00:13:49,119 We've cleared her chest, abdomen, and pelvis. 346 00:13:49,120 --> 00:13:51,663 Clean wound, no crush injury, 347 00:13:51,663 --> 00:13:53,831 rapid transport time. 348 00:13:53,832 --> 00:13:56,710 Replantation is a go. I'll book an OR. 349 00:13:56,711 --> 00:13:58,461 Irrigate the hell out of this with 3 liters. 350 00:13:58,462 --> 00:14:00,881 - 3 liters? - Of saline, genius. 351 00:14:02,674 --> 00:14:04,344 Thanks, Shark. 352 00:14:06,303 --> 00:14:09,472 - [scoffs] I knew he meant saline. 353 00:14:09,474 --> 00:14:12,893 Dr. Robby, we need you in Central 6. 354 00:14:12,894 --> 00:14:14,686 Dr. Mohan may be having a heart attack. 355 00:14:14,687 --> 00:14:15,812 What? 356 00:14:17,690 --> 00:14:20,274 - EKG is normal. - You sure? 357 00:14:20,275 --> 00:14:22,443 Check it out. You can be your own second opinion. 358 00:14:22,445 --> 00:14:24,696 - What's going on? - It's okay. I'm... I'm okay. 359 00:14:24,697 --> 00:14:26,197 You don't look okay. 360 00:14:26,198 --> 00:14:28,325 - You look like shit. - I feel like shit. 361 00:14:28,326 --> 00:14:30,951 - What happened? - I-I don't know. 362 00:14:30,952 --> 00:14:33,163 I just got really hot, 363 00:14:33,163 --> 00:14:35,539 and I started having trouble breathing. 364 00:14:35,540 --> 00:14:38,710 We should send up some labs just to be safe. 365 00:14:38,711 --> 00:14:40,711 Any chance you're pregnant? 366 00:14:40,712 --> 00:14:42,840 I'm not sure I feel comfortable answering that. 367 00:14:44,509 --> 00:14:45,884 No. 368 00:14:45,884 --> 00:14:47,719 She was tachy, but it's resolved now. 369 00:14:47,720 --> 00:14:49,553 - Have you eaten anything? - Yeah. 370 00:14:49,554 --> 00:14:51,472 - You staying hydrated? - 100%. 371 00:14:51,474 --> 00:14:53,015 I'm doing everything right. 372 00:14:53,017 --> 00:14:55,268 It's everything around me that's all fucked up. 373 00:14:55,269 --> 00:14:58,230 It's just my mom moving and calling me over and over again 374 00:14:58,230 --> 00:15:00,190 and now me scrambling to find a job next year. 375 00:15:00,191 --> 00:15:01,566 I had it all planned out, 376 00:15:01,567 --> 00:15:03,360 and now everything's just out the window. 377 00:15:03,360 --> 00:15:05,195 - Wait a minute... is this a panic attack 378 00:15:05,196 --> 00:15:07,072 because of your mommy issues? - What? No. 379 00:15:07,072 --> 00:15:09,198 - Jesus. Do you need to go home? 380 00:15:09,200 --> 00:15:11,076 You should go home. - No, I'm fine. 381 00:15:11,076 --> 00:15:13,202 I don't need the fucking liability... go home. 382 00:15:13,203 --> 00:15:15,205 And the rest of you, the last time I checked, 383 00:15:15,206 --> 00:15:16,373 the ED is a shit show. 384 00:15:16,374 --> 00:15:18,625 So let's all get back to work, huh? 385 00:15:25,341 --> 00:15:27,884 Sorry for taking so long, Becca. 386 00:15:27,884 --> 00:15:29,927 Nurse Dana said you'd be back in a few minutes, 387 00:15:29,928 --> 00:15:32,221 but it's definitely been more than a few minutes. 388 00:15:32,222 --> 00:15:34,599 - You're right. My apologies. 389 00:15:34,600 --> 00:15:36,851 I brought some drink options. - Okay. 390 00:15:36,852 --> 00:15:40,688 We've got apple juice, cranberry juice, 391 00:15:40,690 --> 00:15:43,774 OJ, and Pittsburgh's finest. 392 00:15:43,775 --> 00:15:46,027 - What's that? - Oh, water. 393 00:15:46,028 --> 00:15:47,988 - Oh. OJ, please. 394 00:15:47,989 --> 00:15:49,990 Okay. 395 00:15:49,990 --> 00:15:51,451 Let's see. 396 00:15:54,578 --> 00:15:56,620 All right. 397 00:15:56,621 --> 00:16:00,000 Now, I am going to give you two pills. 398 00:16:00,000 --> 00:16:02,126 The first is an antibiotic. 399 00:16:02,128 --> 00:16:04,421 That will get rid of the infection. 400 00:16:04,422 --> 00:16:06,255 The second should take care of the burning. 401 00:16:06,256 --> 00:16:08,633 You want to take both pills for three days 402 00:16:08,634 --> 00:16:09,926 and drink lots of water. 403 00:16:09,927 --> 00:16:11,260 I'll write it all down. 404 00:16:11,261 --> 00:16:13,304 I-I hate pills. 405 00:16:13,306 --> 00:16:16,265 Could you mash those up and put them in the OJ for me? 406 00:16:16,267 --> 00:16:18,059 Coming right up. 407 00:16:19,604 --> 00:16:21,312 Okay. 408 00:16:21,313 --> 00:16:24,607 Mel's gonna be super worried when you tell her. 409 00:16:24,609 --> 00:16:26,650 You are gonna be just fine. 410 00:16:26,652 --> 00:16:29,278 But, um, as far as telling your sister 411 00:16:29,279 --> 00:16:32,491 what's going on with you, that is your decision, not mine. 412 00:16:34,494 --> 00:16:38,120 So you're not going to tell Mel? 413 00:16:38,121 --> 00:16:42,501 I can't, not unless you, my patient, tell me to. 414 00:16:45,671 --> 00:16:47,838 Do you know when Mel's gonna be done 415 00:16:47,840 --> 00:16:49,966 with her important meeting? 416 00:16:49,966 --> 00:16:52,469 - Hopefully soon. [knock at door] 417 00:16:52,470 --> 00:16:56,306 Dr. Langdon, they need you back in Trauma Two. 418 00:16:56,307 --> 00:16:57,307 Hi. 419 00:16:59,644 --> 00:17:01,227 - Becca, I got to go. I'll be... 420 00:17:01,229 --> 00:17:03,480 Don't say "in a few minutes" unless you actually mean 421 00:17:03,480 --> 00:17:05,065 in a few minutes. 422 00:17:05,066 --> 00:17:07,943 - I would never. - [giggles] 423 00:17:11,196 --> 00:17:14,324 And I need you to be kind to each other. 424 00:17:14,325 --> 00:17:15,700 I am kind. 425 00:17:15,701 --> 00:17:19,496 Shane's just a butthead sometimes. 426 00:17:19,497 --> 00:17:23,334 He's your brother, and he loves you. 427 00:17:25,377 --> 00:17:27,336 Don't go. 428 00:17:27,337 --> 00:17:30,048 I don't want to go. 429 00:17:30,048 --> 00:17:33,676 But it's... it's not up to me. 430 00:17:33,677 --> 00:17:35,135 Hey. 431 00:17:35,136 --> 00:17:37,721 We'll always be connected... 432 00:17:37,722 --> 00:17:39,392 no matter what. 433 00:17:42,060 --> 00:17:44,188 Invisible string. 434 00:17:47,525 --> 00:17:49,568 Invisible string. 435 00:18:01,122 --> 00:18:02,582 Hey. 436 00:18:04,750 --> 00:18:07,751 You gonna go in and see your mom? 437 00:18:07,752 --> 00:18:10,462 Cancer sucks. 438 00:18:10,463 --> 00:18:11,881 Yeah. 439 00:18:11,882 --> 00:18:13,593 Yeah, it does. 440 00:18:16,386 --> 00:18:19,807 - It's not fair. - No, it's not. 441 00:18:23,935 --> 00:18:25,813 I don't want to go in there. 442 00:18:27,772 --> 00:18:30,233 Nobody's gonna make you. 443 00:18:34,947 --> 00:18:36,780 [sniffles] 444 00:18:36,781 --> 00:18:38,826 She didn't used to look like that. 445 00:18:41,202 --> 00:18:43,455 [sniffles] - Yeah, I get that. 446 00:18:47,042 --> 00:18:50,211 But if you don't go in there and say goodbye 447 00:18:50,211 --> 00:18:53,798 and tell your mom you love her... 448 00:18:53,798 --> 00:18:58,177 I think you might wish you had for a very long time. 449 00:18:58,179 --> 00:19:01,181 [sniffles] 450 00:19:01,182 --> 00:19:03,224 It's your call. 451 00:19:06,436 --> 00:19:11,191 D-5 half normal saline, 20 of K running at 125 an hour. 452 00:19:11,192 --> 00:19:12,817 One of the most common reasons 453 00:19:12,817 --> 00:19:15,278 for traumatic-replantation failure is infections. 454 00:19:15,278 --> 00:19:16,863 So we do what, Whitaker? 455 00:19:16,864 --> 00:19:20,450 Uh, rinse and repeat until surgery calls for us. 456 00:19:20,451 --> 00:19:23,036 I-is everything okay with Dr. Mohan? 457 00:19:23,037 --> 00:19:24,788 She's fine. 458 00:19:24,788 --> 00:19:26,664 Focus. 459 00:19:26,665 --> 00:19:30,085 [groaning softly] 460 00:19:30,086 --> 00:19:31,627 Where am I? 461 00:19:31,628 --> 00:19:34,048 Uh, ketamine's wearing off. 462 00:19:37,093 --> 00:19:39,134 I can't feel my leg. 463 00:19:39,135 --> 00:19:41,346 - I'm Dr. Michael Robinavitch. You're at a hospital. 464 00:19:41,346 --> 00:19:43,013 And we gave you a nerve block 465 00:19:43,015 --> 00:19:44,682 so that you can't feel any pain. 466 00:19:44,683 --> 00:19:46,142 Why? 467 00:19:46,143 --> 00:19:48,478 You were on a water slide that collapsed 468 00:19:48,479 --> 00:19:50,646 and did serious injury to your leg. 469 00:19:50,647 --> 00:19:53,482 [mutters indistinctly] 470 00:19:53,483 --> 00:19:56,568 What the fuck? Is that my leg? 471 00:19:56,569 --> 00:19:58,654 Is that my fu... did you cut my fucking leg off? 472 00:19:58,655 --> 00:20:00,490 Your leg was cut off in the accident. 473 00:20:00,490 --> 00:20:02,659 Our surgeons are going to try for replantation. 474 00:20:02,660 --> 00:20:04,326 I... No... 475 00:20:04,327 --> 00:20:06,162 - She needs more ketamine. - Just wrap up the leg. 476 00:20:06,163 --> 00:20:07,705 Emily, I know that this is really hard. 477 00:20:07,707 --> 00:20:09,039 I need you to focus on me right now, 478 00:20:09,040 --> 00:20:10,416 because we need to get your consent 479 00:20:10,417 --> 00:20:12,042 to proceed with the surgery. - Why? 480 00:20:12,044 --> 00:20:13,670 There are risks with the surgery. 481 00:20:13,671 --> 00:20:15,587 There's anesthesia, and there's no guarantee... 482 00:20:15,588 --> 00:20:16,923 Emily? 483 00:20:16,923 --> 00:20:20,009 - Can you just... just put it back on? 484 00:20:20,009 --> 00:20:22,386 Can you just put it back on? - Sounds like consent to me. 485 00:20:22,387 --> 00:20:24,012 - Now can she have sedation? - Okay, load her up. 486 00:20:24,013 --> 00:20:25,682 Ketamine and rock. It's gonna be okay. 487 00:20:25,682 --> 00:20:27,016 It's gonna be okay. 488 00:20:27,017 --> 00:20:28,684 We're gonna intubate before the OR. 489 00:20:28,685 --> 00:20:30,353 It's gonna be okay. 490 00:20:30,354 --> 00:20:32,063 Finishing second cut. 491 00:20:32,064 --> 00:20:33,690 - Success. [ring clatters] 492 00:20:33,691 --> 00:20:36,734 - Can that be saved? - The finger or the ring? 493 00:20:36,736 --> 00:20:38,403 - The wedding ring. - Uh, yes, sir. 494 00:20:38,403 --> 00:20:40,822 A jeweler can weld it back together good as new. 495 00:20:40,823 --> 00:20:42,323 Uh, uh, stop. 496 00:20:42,324 --> 00:20:44,909 Irrigate the ring shavings off first. 497 00:20:44,910 --> 00:20:47,412 [telephone rings] - What did I miss? 498 00:20:47,413 --> 00:20:49,413 Finishing irrigation. 499 00:20:49,414 --> 00:20:50,707 Okay. 500 00:20:50,708 --> 00:20:52,333 Doesn't look like you lost any skin. 501 00:20:52,334 --> 00:20:54,711 - It's a little dusky. Might not be viable. 502 00:20:54,711 --> 00:20:56,546 There's intact skin on the dorsum. 503 00:20:56,547 --> 00:20:58,882 More irrigation, then tack it down with one suture. 504 00:20:58,883 --> 00:21:00,383 Okay, thanks. 505 00:21:00,384 --> 00:21:03,051 Radiologist reports a 25% pneumothorax. 506 00:21:03,053 --> 00:21:04,804 Is that bad? 507 00:21:04,805 --> 00:21:07,222 That is a partially collapsed lung that needs treatment. 508 00:21:07,223 --> 00:21:09,808 - I can put in a chest tube. - He doesn't need a chest tube. 509 00:21:09,809 --> 00:21:11,935 - Okay, what do you want... a pigtail catheter? 510 00:21:11,936 --> 00:21:14,314 I was thinking a ThoraVent. 511 00:21:14,315 --> 00:21:15,815 What? Why? 512 00:21:15,816 --> 00:21:18,108 - It's not a bad idea. No need for wall suction. 513 00:21:18,109 --> 00:21:19,611 If Hand can operate today, 514 00:21:19,612 --> 00:21:21,570 he can go home tomorrow with the ThoraVent. 515 00:21:21,571 --> 00:21:23,740 You can learn a lot from your senior residents. 516 00:21:23,740 --> 00:21:25,825 I'm happy to teach Dr. Santos. 517 00:21:25,826 --> 00:21:27,994 Thank you, Dr. Langdon. 518 00:21:31,707 --> 00:21:34,917 Janelle, I need you to take the samples to the lab 519 00:21:34,919 --> 00:21:37,045 and come back with any results that are ready. 520 00:21:37,046 --> 00:21:39,713 Geoffrey, head to CT to see if any new results are printed 521 00:21:39,714 --> 00:21:41,257 and bring those back. 522 00:21:41,258 --> 00:21:43,926 Pam, check in with whoever's running the PDS 523 00:21:43,927 --> 00:21:45,970 to see if any orders need to go to the pharmacy 524 00:21:45,971 --> 00:21:48,263 and bring back any meds that are ready for pickup. 525 00:21:48,265 --> 00:21:50,767 Rinse and repeat every 15 minutes. 526 00:21:50,768 --> 00:21:52,769 Double-tie those shoelaces and hydrate. 527 00:21:52,769 --> 00:21:55,438 It's not a sprint. It's a marathon. 528 00:21:55,439 --> 00:21:57,773 Fly, my pretties. 529 00:21:57,775 --> 00:22:00,984 Okay, any word on finding our water slide dad's kid? 530 00:22:00,986 --> 00:22:04,446 Not yet. Called the wife, went straight to voicemail. 531 00:22:04,448 --> 00:22:06,782 Police dispatch said that there were a couple of fatalities 532 00:22:06,784 --> 00:22:09,952 on site... one adult, one kid. - Sweet Jesus. 533 00:22:09,953 --> 00:22:11,703 Who the fuck did this? 534 00:22:11,704 --> 00:22:13,789 No sign-off on orders for labs or X-rays, 535 00:22:13,790 --> 00:22:15,583 and it's in the wrong freaking rack? 536 00:22:15,584 --> 00:22:17,876 You guys trying to kill me and the patient? 537 00:22:17,877 --> 00:22:19,796 - Uh, I'll take care of it. - Thanks. 538 00:22:19,797 --> 00:22:23,007 - Dana, this gum is abso... - Shit. I know. 539 00:22:23,008 --> 00:22:25,009 Pharmacy said you needed this right away. 540 00:22:25,009 --> 00:22:27,554 Just in time. Slap one on and give it an hour to kick in. 541 00:22:27,555 --> 00:22:29,806 You're welcome. 542 00:22:29,807 --> 00:22:32,642 What? - The prescription is for you. 543 00:22:32,643 --> 00:22:35,185 - My insurance will cover it. Hers won't. 544 00:22:35,186 --> 00:22:37,355 Isn't that insurance fraud? 545 00:22:37,355 --> 00:22:39,816 - Throw me in jail. I could use a vacation. 546 00:22:39,817 --> 00:22:41,317 [chuckles] 547 00:22:41,317 --> 00:22:43,193 [clears throat] 548 00:22:43,194 --> 00:22:44,864 Mom. 549 00:22:48,826 --> 00:22:51,451 I'm... I'm really glad to see you, Mom. I... 550 00:22:51,452 --> 00:22:53,954 Garcia told me about the sigmoid volvulus you missed. 551 00:22:53,955 --> 00:22:56,457 - It was an oversight. - That could have killed her. 552 00:22:56,458 --> 00:22:58,000 Without electronic records, 553 00:22:58,001 --> 00:22:59,961 it's been kind of a challenge to figure out... 554 00:22:59,961 --> 00:23:01,503 Chaos is the status quo in the ED, 555 00:23:01,505 --> 00:23:03,423 even when the computers are working properly. 556 00:23:03,423 --> 00:23:05,424 You have to be hypervigilant and double-check everything. 557 00:23:05,425 --> 00:23:07,926 - I can handle it. Um, I... - Why would you want to? 558 00:23:07,928 --> 00:23:09,846 Down here your learning street-level medicine, 559 00:23:09,846 --> 00:23:11,556 all seat of your pants. 560 00:23:11,557 --> 00:23:13,057 Oh, well, I made a mistake, 561 00:23:13,057 --> 00:23:15,058 but the more talented practitioners upstairs 562 00:23:15,059 --> 00:23:16,853 will fix it. 563 00:23:16,854 --> 00:23:20,690 [sighs] You are better than this. 564 00:23:20,691 --> 00:23:24,111 [sighing] I love you, too. 565 00:23:28,240 --> 00:23:31,241 Well, that is one way to do a debrief. 566 00:23:31,242 --> 00:23:32,535 You should talk to her. 567 00:23:32,536 --> 00:23:35,038 - Which one? - Honestly, both of them. 568 00:23:35,038 --> 00:23:37,039 Can you call in some extra doctors? 569 00:23:37,040 --> 00:23:40,000 Sure. Everyone's dying to work on the Fourth of July. 570 00:23:40,001 --> 00:23:41,586 Why? - Dr. Mohan went down. 571 00:23:41,586 --> 00:23:44,505 - Yeah. I saw your pep talk. 572 00:23:44,506 --> 00:23:47,508 She's taking a little break until her labs are back. 573 00:23:47,509 --> 00:23:48,884 She's going to be fine, 574 00:23:48,885 --> 00:23:51,554 but I'm not sure her head is in the game. 575 00:23:51,555 --> 00:23:53,181 I'm on it, Cap. 576 00:23:53,182 --> 00:23:55,098 Small stab incision with the 11 blade, 577 00:23:55,099 --> 00:23:58,102 midclavicular line, second intercostal space. 578 00:23:58,103 --> 00:24:01,396 - Sh... she's gonna stab me? - It's just a medical term. 579 00:24:01,397 --> 00:24:03,523 Stay superior to the rib. 580 00:24:03,525 --> 00:24:07,487 [monitor beeping] 581 00:24:07,488 --> 00:24:09,404 Is there a problem? 582 00:24:09,405 --> 00:24:11,824 Nope, everything's going well. 583 00:24:11,825 --> 00:24:13,910 Place the trocar. 584 00:24:13,911 --> 00:24:16,621 Hold back the, uh, adhesive wings 585 00:24:16,622 --> 00:24:19,999 and advance until you see the red diaphragm move. 586 00:24:20,000 --> 00:24:22,835 That means you're in the pleural space. 587 00:24:22,836 --> 00:24:25,255 Now remove the trocar. 588 00:24:28,675 --> 00:24:31,176 - Perfect. - Okay. 589 00:24:31,178 --> 00:24:33,680 Now we can either, uh, hook up to wall suction, 590 00:24:33,681 --> 00:24:35,765 or we can use this one-way valve 591 00:24:35,766 --> 00:24:37,767 to repeatedly aspirate with a syringe. 592 00:24:37,768 --> 00:24:40,144 Well, with all your vast experience, Dr. Langdon, 593 00:24:40,144 --> 00:24:42,189 you should probably decide. 594 00:24:43,941 --> 00:24:46,776 We can avoid wall suction if I pump manually. 595 00:24:46,777 --> 00:24:48,403 - Have at it, Doc. - Enough. 596 00:24:48,403 --> 00:24:50,779 Apparently, decency and decorum need to be reintroduced 597 00:24:50,780 --> 00:24:52,781 to our R2 curriculum. 598 00:24:52,782 --> 00:24:54,616 Nice work, Dr. Langdon. 599 00:24:54,617 --> 00:24:58,162 I'll go check on an OR for Mr. Foster. 600 00:24:58,163 --> 00:25:01,289 [door opens, closes] 601 00:25:01,290 --> 00:25:02,791 Hey. 602 00:25:02,792 --> 00:25:05,336 I'm gonna need you to pick up the pace. 603 00:25:05,336 --> 00:25:06,796 Can I get a sec? 604 00:25:06,797 --> 00:25:08,964 Dr. Mohan just almost died on me. 605 00:25:08,965 --> 00:25:10,967 - Not even close. She's tougher than she looks. 606 00:25:10,968 --> 00:25:12,844 Propane hero in North 4. 607 00:25:12,845 --> 00:25:14,429 Hey, any word from surgery 608 00:25:14,430 --> 00:25:16,972 on how are big patient Howard's perforated diverticulitis 609 00:25:16,973 --> 00:25:18,557 is doing? - Still in the OR. 610 00:25:18,558 --> 00:25:20,183 What about our drunk firework kid? 611 00:25:20,184 --> 00:25:22,185 Waiting his turn in the surgical conga line. 612 00:25:22,186 --> 00:25:24,355 - Shoo. What about Social Services? 613 00:25:24,355 --> 00:25:26,566 Have they found a temporary foster home 614 00:25:26,567 --> 00:25:28,984 for our baby Jane Doe? - Still working on it. 615 00:25:28,986 --> 00:25:30,819 Kid's gonna be old enough to drive 616 00:25:30,820 --> 00:25:32,572 by the time she gets out of here. 617 00:25:32,573 --> 00:25:33,990 You joke... 618 00:25:33,990 --> 00:25:36,200 Oh, for fuck's sake! 619 00:25:36,201 --> 00:25:39,662 Go, quickly, before I change my mind. 620 00:25:39,663 --> 00:25:42,373 Hey, did the county pick up Louie's body yet? 621 00:25:42,374 --> 00:25:44,000 No. He's still in the viewing room. 622 00:25:44,000 --> 00:25:45,667 - Jesus. He's just laying in there? 623 00:25:45,669 --> 00:25:47,711 Yeah. Another couple minutes, I'm gonna wheel him 624 00:25:47,712 --> 00:25:50,006 down to the morgue myself. 625 00:25:50,007 --> 00:25:51,715 What's the bullet? 626 00:25:51,717 --> 00:25:53,634 Eight-year-old boy, part of the water park accident. 627 00:25:53,634 --> 00:25:55,470 Thrown off the water slide. - How far did he fall? 628 00:25:55,471 --> 00:25:57,387 Maybe 6 or 7 feet, landed in a tree. 629 00:25:57,388 --> 00:25:59,347 Had to wait for a ladder truck to get him down. 630 00:25:59,348 --> 00:26:01,392 Major neck trauma... must've taken all the impact there. 631 00:26:01,393 --> 00:26:03,227 Couldn't tube him, hard to bag. 632 00:26:03,228 --> 00:26:05,645 Sats in the 80s. BP 85 over 60. 633 00:26:05,646 --> 00:26:08,316 Pulse 50. 634 00:26:08,317 --> 00:26:12,278 Okay, one, two, and three. 635 00:26:12,278 --> 00:26:14,946 - Possible laryngeal fracture. - Hypoxic bradycardic. 636 00:26:14,948 --> 00:26:17,075 Kid needs an airway before he arrests. 637 00:26:17,076 --> 00:26:19,535 Broselow tape, pedes cart, set up suction. 638 00:26:19,536 --> 00:26:22,371 - Oh, my God. Is that Zack? 639 00:26:22,372 --> 00:26:25,040 - Hey. Hey, kid, can you look at me? 640 00:26:25,041 --> 00:26:28,461 No response, no purposeful movement to pain. 641 00:26:28,461 --> 00:26:30,296 Oh, my God. 642 00:26:30,297 --> 00:26:32,632 - Is this your kid? - No. 643 00:26:32,633 --> 00:26:34,049 Sir, go back to your room now. 644 00:26:34,050 --> 00:26:35,593 - Broselow says 25 kilograms. - Jesse? 645 00:26:35,594 --> 00:26:37,427 - 5 1/2 ET tube. - Okay. 646 00:26:37,429 --> 00:26:40,222 Uh, 30 of rock, 50 ketamine. 647 00:26:40,223 --> 00:26:41,766 - You're gonna paralyze? - Yep. 648 00:26:41,767 --> 00:26:43,058 If we can't intubate, we crike? 649 00:26:43,059 --> 00:26:44,684 He's too young for a crike. 650 00:26:44,685 --> 00:26:46,729 - Needle crike? - Can't ventilate through that. 651 00:26:46,730 --> 00:26:48,064 Sats down to 78. 652 00:26:48,065 --> 00:26:49,898 11 blade, Kelly, and a pedes bougie. 653 00:26:49,900 --> 00:26:51,733 One quick look, and then we cut. 654 00:26:51,734 --> 00:26:53,736 I can't tell if there's lung sliding. 655 00:26:53,737 --> 00:26:55,863 No movement, no air entry. - Way too edematous. 656 00:26:55,864 --> 00:26:57,198 I can't see the cords. 657 00:26:57,199 --> 00:27:00,451 - Better with cricoid pressure? - Nothing. Fuck. 658 00:27:00,451 --> 00:27:02,286 Okay. Towel roll between the shoulder blades, please. 659 00:27:02,287 --> 00:27:04,288 - Heart rate down to 49. Headed to cardiac arrest. 660 00:27:04,288 --> 00:27:05,748 Trake's going to take 20 minutes. 661 00:27:05,749 --> 00:27:07,583 This kid's not gonna last 60 seconds. 662 00:27:07,584 --> 00:27:09,210 That's why we're doing a slash trake. 663 00:27:09,211 --> 00:27:10,461 - Don't know it. - Me neither. 664 00:27:10,461 --> 00:27:12,296 - Boss? - Show me what you got. 665 00:27:12,297 --> 00:27:15,843 [monitor beeping rapidly] 666 00:27:20,888 --> 00:27:24,767 Pull up the trachea between your thumb and middle finger. 667 00:27:24,768 --> 00:27:27,854 Vertical incision right over the trachea. 668 00:27:27,855 --> 00:27:30,856 Vertical, not horizontal, or you transect the trachea 669 00:27:30,857 --> 00:27:33,608 and cut the jugular veins. 670 00:27:33,609 --> 00:27:34,986 That's a lot of blood. 671 00:27:34,987 --> 00:27:37,320 Now it's a tactile procedure. 672 00:27:37,322 --> 00:27:40,700 2-centimeter incision through the tracheal rings. 673 00:27:40,701 --> 00:27:43,702 Finger in the trachea. 674 00:27:43,703 --> 00:27:45,788 Bougie into the airway. 675 00:27:47,499 --> 00:27:49,500 Thoughts on what's next, Dr. Whitaker? 676 00:27:49,500 --> 00:27:52,420 Insert the ET tube into the trachea. 677 00:27:52,421 --> 00:27:54,963 - Suction. Lots of blood in the airway. 678 00:27:54,964 --> 00:27:57,968 [device slurping] 679 00:28:01,180 --> 00:28:03,471 Okay, bag him. 680 00:28:03,472 --> 00:28:05,974 Check the CO2. 681 00:28:05,976 --> 00:28:07,934 Sats coming up, in the 80s. 682 00:28:07,935 --> 00:28:10,980 - Bilateral breath sounds. End tidal CO2 is 70. 683 00:28:10,980 --> 00:28:12,772 That's crazy high. - It'll come down. 684 00:28:12,773 --> 00:28:14,942 Tie down the tube, control all the bleeders. 685 00:28:14,942 --> 00:28:17,361 Spray an amp of epi on a stack of 4-by-4s. 686 00:28:17,362 --> 00:28:20,155 - Okay. Sats are up to the 90s. 687 00:28:20,156 --> 00:28:22,532 Good. CO2's in the 50s. Good heart rate. 688 00:28:22,534 --> 00:28:24,076 You forgot the last step. 689 00:28:24,076 --> 00:28:25,994 Change your underwear. - [chuckles] 690 00:28:25,996 --> 00:28:28,663 - How many of these you done? - Uh, first one. 691 00:28:28,664 --> 00:28:29,999 You serious? 692 00:28:30,000 --> 00:28:31,750 How about you? - None. 693 00:28:31,751 --> 00:28:34,377 I practiced in the Sim Lab when I was at Stanford. 694 00:28:34,378 --> 00:28:36,005 - What'd I miss? - All the fun. 695 00:28:36,006 --> 00:28:37,714 - Slash trake. - Seriously? 696 00:28:37,715 --> 00:28:39,174 Uh, fractured larynx. 697 00:28:39,175 --> 00:28:40,926 Couldn't oxygenate, couldn't ventilate. 698 00:28:40,927 --> 00:28:43,011 You use a meat cleaver on this kid? 699 00:28:43,012 --> 00:28:45,347 ENT can revise the trake in the OR. 700 00:28:45,348 --> 00:28:48,017 They'll be thrilled to clean up your mess. 701 00:28:48,018 --> 00:28:50,854 Or maybe they'll thank us for not letting him die. 702 00:28:55,567 --> 00:28:57,984 So we're still waiting on your prescription, 703 00:28:57,986 --> 00:29:00,028 and the pharmacy is a little backed up. 704 00:29:00,029 --> 00:29:02,530 But I'm glad to see you're doing good. 705 00:29:02,531 --> 00:29:04,157 Well. 706 00:29:04,159 --> 00:29:06,576 I'm well. 707 00:29:06,577 --> 00:29:08,078 Glad to see you're well. 708 00:29:08,079 --> 00:29:11,039 Can you expedite my medication? 709 00:29:11,040 --> 00:29:13,917 Sure, but it may still be a little while 710 00:29:13,919 --> 00:29:18,798 before Dr. Mohan can sign off on the discharge, so sit tight. 711 00:29:18,798 --> 00:29:21,259 [sighs] And do what? 712 00:29:24,637 --> 00:29:28,015 [chuckles] You just keep this handy for occasions like this? 713 00:29:28,016 --> 00:29:31,143 Uh, I thought that I might not have that much to do today. 714 00:29:31,144 --> 00:29:33,061 But... 715 00:29:33,063 --> 00:29:35,605 man, I was wrong. 716 00:29:35,606 --> 00:29:38,859 [indistinct chatter] 717 00:29:41,404 --> 00:29:43,323 Thank you. 718 00:29:47,451 --> 00:29:50,871 What brings you in today? - A friend made me come in. 719 00:29:50,872 --> 00:29:52,873 Name's Robby. He said I should... 720 00:29:52,874 --> 00:29:54,709 Ah, you're Duke. 721 00:29:54,710 --> 00:29:56,251 Donnie? - Yep? 722 00:29:56,252 --> 00:29:59,547 Robby's VIP is here. 723 00:29:59,548 --> 00:30:01,214 [door opens] 724 00:30:01,215 --> 00:30:04,719 Hi. I'm Donnie, nurse practitioner. 725 00:30:04,720 --> 00:30:07,887 Robby's already put in orders for a numbing spray 726 00:30:07,888 --> 00:30:09,140 for your nostril. 727 00:30:09,141 --> 00:30:10,932 - "Nostril"? It's... it's my throat. 728 00:30:10,933 --> 00:30:12,893 It's not my nose. - Okay. 729 00:30:12,894 --> 00:30:14,644 Let's get you, uh... [device beeps] 730 00:30:14,645 --> 00:30:17,105 Set up in a room. 731 00:30:17,106 --> 00:30:18,606 [groans] 732 00:30:18,607 --> 00:30:20,651 That was the most unprofessional deposition 733 00:30:20,652 --> 00:30:22,361 I've ever witnessed. 734 00:30:22,362 --> 00:30:25,865 They were nowhere near that aggressive with Dr. Ellis. 735 00:30:25,865 --> 00:30:27,866 Oh, okay. 736 00:30:27,867 --> 00:30:29,492 [elevator bell dings, doors open] 737 00:30:29,493 --> 00:30:32,038 It didn't go as badly as you think. 738 00:30:32,038 --> 00:30:33,955 They suggested I was incompetent. 739 00:30:33,957 --> 00:30:35,875 They're posturing to set the stage 740 00:30:35,875 --> 00:30:38,044 for a ridiculous settlement request. 741 00:30:38,045 --> 00:30:40,086 This isn't about those parents or that kid. 742 00:30:40,087 --> 00:30:42,298 It's only about trying to make a lot of money. 743 00:30:42,298 --> 00:30:45,384 Well, I-I don't have a lot of money. 744 00:30:45,384 --> 00:30:48,136 - Not your money, Dr. King. It's an insurance game. 745 00:30:48,137 --> 00:30:50,138 You're protected by the hospital. 746 00:30:50,140 --> 00:30:51,974 This won't affect your career. 747 00:30:56,938 --> 00:30:58,939 - Hey. How was your deposition? 748 00:30:58,940 --> 00:31:00,941 - [stammers] Have you seen Dr. Langdon? 749 00:31:00,942 --> 00:31:02,942 Uh, no. Why? 750 00:31:02,943 --> 00:31:04,319 [bell dings] 751 00:31:04,320 --> 00:31:06,196 - Okay, okay. How... how's Becca? 752 00:31:06,198 --> 00:31:07,781 - Oh, she's fine. - Yeah? 753 00:31:07,782 --> 00:31:09,784 Okay, I should go see her, then. 754 00:31:09,785 --> 00:31:12,327 - How was your deposition? I'm sure it was stressful. 755 00:31:12,328 --> 00:31:14,163 It, uh... 756 00:31:14,163 --> 00:31:17,458 Um, what's going on with Becca? What's her diagnosis? 757 00:31:17,459 --> 00:31:19,292 I can't tell you. 758 00:31:19,294 --> 00:31:20,627 Why? 759 00:31:20,628 --> 00:31:22,171 - HIPAA. - Seriously? 760 00:31:22,172 --> 00:31:23,923 If you want to know what's going on with Becca, 761 00:31:23,923 --> 00:31:25,548 you're gonna have to ask her yourself. 762 00:31:25,549 --> 00:31:27,175 Hey, you survived your deposition. 763 00:31:27,176 --> 00:31:29,010 Welcome back to the seventh circle of hell. 764 00:31:29,011 --> 00:31:30,429 Wha... uh, what's this? 765 00:31:30,430 --> 00:31:32,390 You're welcome for covering your patients. 766 00:31:32,391 --> 00:31:34,307 They're yours again. 767 00:31:34,308 --> 00:31:36,143 Might want to check on the pancreatitis in North 3 first. 768 00:31:36,144 --> 00:31:37,560 O-okay. 769 00:31:37,561 --> 00:31:40,105 Langdon, I got some intel on Louie. 770 00:31:40,106 --> 00:31:41,731 They move him out of the viewing room? 771 00:31:41,732 --> 00:31:42,942 No, but county's promised 772 00:31:42,942 --> 00:31:44,567 they're on the way to come get him. 773 00:31:44,568 --> 00:31:46,362 Can I get the county coroner's number? 774 00:31:46,363 --> 00:31:47,947 What for? 775 00:31:47,948 --> 00:31:49,949 I just want to make sure if no family shows up, 776 00:31:49,950 --> 00:31:51,951 Louie gets a proper burial. - That's expensive. 777 00:31:51,951 --> 00:31:53,993 You may want to run it by the missus first. 778 00:31:53,994 --> 00:31:55,829 Uh, maybe I'll start a GoFundMe. 779 00:31:55,830 --> 00:31:57,664 I bet people around here would pitch in. 780 00:31:57,665 --> 00:32:00,250 Hey, kid, you can't do this for every unhoused guy 781 00:32:00,251 --> 00:32:02,001 that dies around here. 782 00:32:02,002 --> 00:32:03,753 There but for the grace of God. 783 00:32:03,755 --> 00:32:05,588 No, the success of your sobriety 784 00:32:05,589 --> 00:32:08,008 is a testament to your support system. 785 00:32:08,009 --> 00:32:09,844 Louie didn't have that. 786 00:32:09,845 --> 00:32:11,929 Still, Louie was a good man. 787 00:32:11,930 --> 00:32:14,222 He deserves to be put to rest with dignity. 788 00:32:14,223 --> 00:32:16,601 - Okay. I'll dig it up. 789 00:32:19,270 --> 00:32:22,189 You heard all that? 790 00:32:22,190 --> 00:32:25,483 - Robby, your VIP's here. Got him in Central 11. 791 00:32:25,484 --> 00:32:27,487 Finally. 792 00:32:29,405 --> 00:32:31,406 [door opens] About fucking time. 793 00:32:31,407 --> 00:32:33,616 If I knew you were gonna make me wear a dress, 794 00:32:33,617 --> 00:32:34,993 I wouldn't have come at all. 795 00:32:34,994 --> 00:32:36,996 Dennis Whitaker, meet my buddy Duke. 796 00:32:36,997 --> 00:32:38,497 Uh, nice to meet you. 797 00:32:38,498 --> 00:32:40,583 Any friend of Dr. Robby's is a friend of mine. 798 00:32:40,584 --> 00:32:42,585 "Friend" is a vast overstatement. 799 00:32:42,586 --> 00:32:44,336 He's more just a pain in my ass. 800 00:32:44,336 --> 00:32:46,422 Don't let his surly exterior fool you. 801 00:32:46,423 --> 00:32:48,423 Deep down inside, he's just as grumpy. 802 00:32:48,424 --> 00:32:50,342 How did you two meet? 803 00:32:50,343 --> 00:32:52,427 - Tinder. - [laughs] 804 00:32:52,429 --> 00:32:55,013 Duke is a motorcycle engineer. 805 00:32:55,015 --> 00:32:56,807 You should've seen his Bonneville 806 00:32:56,807 --> 00:32:58,808 when he first brought it in six months ago. 807 00:32:58,809 --> 00:33:00,269 Someone left it for dead. 808 00:33:00,269 --> 00:33:02,061 He helped me bring it back to life. 809 00:33:02,063 --> 00:33:03,646 Today we're going to return the favor. 810 00:33:03,647 --> 00:33:05,648 Dr. Whitaker's one of our most trusted physicians, 811 00:33:05,650 --> 00:33:07,651 and today he's going to help me oversee your care. 812 00:33:07,652 --> 00:33:10,112 Uh, what seems to be troubling you? 813 00:33:10,113 --> 00:33:12,448 Ask him. He's the one who made me come in. 814 00:33:12,449 --> 00:33:14,991 He's had some hoarseness on and off for a couple months. 815 00:33:14,992 --> 00:33:17,744 Okay, any history of tobacco or alcohol use? 816 00:33:17,746 --> 00:33:20,623 [chuckles] Two of my oldest and closest friends. 817 00:33:20,624 --> 00:33:23,666 Former two-pack-a-day smoker and lover of the drink. 818 00:33:23,667 --> 00:33:25,294 - Okay. He on any medication? 819 00:33:25,295 --> 00:33:27,462 - Uh, blood-pressure meds. - Mm-hmm. 820 00:33:27,463 --> 00:33:29,173 Which he forgets to take. 821 00:33:29,173 --> 00:33:31,049 He's all numbed up and ready to go. 822 00:33:31,050 --> 00:33:33,469 - Okay. Thank you, Donnie. 823 00:33:33,470 --> 00:33:36,680 My man, I am gonna take this scope, 824 00:33:36,681 --> 00:33:38,848 and I'm gonna stick it in your nose, 825 00:33:38,849 --> 00:33:41,309 and we're going to check out your upper airway. 826 00:33:41,310 --> 00:33:44,020 Eh, that seems like a lot of fuss for a sore throat. 827 00:33:44,021 --> 00:33:46,065 Dr. Whitaker, you want to explain to Duke 828 00:33:46,066 --> 00:33:48,107 why this procedure is absolutely necessary? 829 00:33:48,108 --> 00:33:50,861 The scope is gonna give us a better view of your voice box 830 00:33:50,862 --> 00:33:52,820 and your vocal cords. 831 00:33:52,822 --> 00:33:54,405 Here we go. 832 00:33:54,406 --> 00:33:56,451 [groans] 833 00:33:59,119 --> 00:34:01,663 Gonna feel a little pressure between your eyes. 834 00:34:01,664 --> 00:34:03,164 I am sorry about that. 835 00:34:03,165 --> 00:34:05,459 Okay, just breathe through your nose. 836 00:34:05,460 --> 00:34:08,128 This is gonna help us see if there are any abnormalities 837 00:34:08,128 --> 00:34:11,715 like inflammation, tumors, nodules. 838 00:34:11,715 --> 00:34:14,717 - That all looks pretty normal. I don't see too much drainage. 839 00:34:14,719 --> 00:34:16,887 Stick your tongue out for me, all the way. 840 00:34:16,887 --> 00:34:20,014 All the way out. Good. Now say "eeeh." 841 00:34:20,016 --> 00:34:22,351 - Eeeh. - Good. Now again, say "eeeh." 842 00:34:22,351 --> 00:34:24,143 - Eeeh. - Good. 843 00:34:24,144 --> 00:34:25,521 Removing the scope. 844 00:34:25,521 --> 00:34:26,855 Mm. 845 00:34:26,856 --> 00:34:29,023 Dr. Whitaker, what do you think? 846 00:34:29,025 --> 00:34:31,193 Looks normal, no abnormalities. 847 00:34:31,193 --> 00:34:33,027 Told you it was nothing. 848 00:34:33,028 --> 00:34:35,530 With your history of smoking, I'd like to do a chest X-ray. 849 00:34:35,532 --> 00:34:38,199 If there are growths, they can push 850 00:34:38,201 --> 00:34:41,036 against the recurrent laryngeal nerve intermittently. 851 00:34:41,036 --> 00:34:43,121 That can paralyze one of the vocal cords 852 00:34:43,123 --> 00:34:45,373 and cause the hoarseness. 853 00:34:45,375 --> 00:34:48,126 That sounds like a lot of bullshit doctor speak 854 00:34:48,128 --> 00:34:49,460 to charge me more. 855 00:34:49,461 --> 00:34:50,963 You've got Medicare. 856 00:34:50,963 --> 00:34:52,547 And, besides, I finally got you into my ED. 857 00:34:52,548 --> 00:34:54,382 You're gonna get the golden workup 858 00:34:54,384 --> 00:34:55,759 before I leave town tonight. 859 00:34:55,760 --> 00:34:57,760 Only an idiot would ride all night 860 00:34:57,762 --> 00:34:59,597 after working a 12-hour day. 861 00:34:59,597 --> 00:35:01,514 That does sound pretty dangerous. 862 00:35:01,516 --> 00:35:03,891 You gonna stay put, or do I have to tie you down? 863 00:35:03,893 --> 00:35:06,519 Fine, so long as you keep your hands where I can see 'em. 864 00:35:06,521 --> 00:35:07,938 No promises. 865 00:35:07,938 --> 00:35:09,565 Let me know when his chest X-ray is back. 866 00:35:09,565 --> 00:35:10,733 Yeah. 867 00:35:13,193 --> 00:35:15,778 - Hey. - Hey. 868 00:35:15,780 --> 00:35:18,407 Are we okay? 869 00:35:18,407 --> 00:35:21,784 - Uh, yeah. Why? - I don't know. 870 00:35:21,786 --> 00:35:25,789 You kind of ripped me a new one in front of Langdon. 871 00:35:25,789 --> 00:35:28,416 Whose side are you on? - This isn't middle school. 872 00:35:28,418 --> 00:35:30,585 Langdon made a mistake and owned up to it. 873 00:35:30,586 --> 00:35:32,630 Let it go. - He should... 874 00:35:34,798 --> 00:35:36,842 He should have been fired. 875 00:35:36,842 --> 00:35:39,637 But instead, he waltzes back in here, no big deal. 876 00:35:39,637 --> 00:35:41,929 Meanwhile, I've been a goddamn pariah for the last 10 months 877 00:35:41,931 --> 00:35:43,641 for doing the right thing. 878 00:35:43,641 --> 00:35:45,601 Or maybe you're a pariah 879 00:35:45,601 --> 00:35:48,186 because you don't play well with others. 880 00:35:48,188 --> 00:35:50,938 If you've still got beef with Langdon, go tell him. 881 00:35:50,940 --> 00:35:52,398 He's here to stay. 882 00:35:52,400 --> 00:35:54,360 So put on your big-girl panties and work it out. 883 00:35:54,360 --> 00:35:56,320 - He is no... - Nope. 884 00:35:56,320 --> 00:35:59,197 You want to have sex and eat ramen in bed, I'm your girl. 885 00:35:59,199 --> 00:36:02,451 But if you want to talk about this Langdon shit, again, 886 00:36:02,452 --> 00:36:04,119 call a therapist. 887 00:36:13,463 --> 00:36:15,255 How's it hanging, Dr. J? 888 00:36:15,255 --> 00:36:19,009 - Never call me that again. - It was a joke. 889 00:36:19,010 --> 00:36:22,637 Relax. He's clueless about your TikToks. 890 00:36:22,639 --> 00:36:24,264 But you're not. 891 00:36:24,264 --> 00:36:26,641 - Props on the side hustle. - There is no hustle. 892 00:36:26,643 --> 00:36:28,309 They're just some stupid videos. 893 00:36:28,311 --> 00:36:30,019 - Wait, are you an influencer? - No! 894 00:36:30,021 --> 00:36:32,313 - Yep. - [laughing] 895 00:36:32,315 --> 00:36:34,400 Yo, pre-docs, it's not happy hour yet. 896 00:36:34,400 --> 00:36:37,235 There's still a shit ton of patients to be seen. 897 00:36:37,237 --> 00:36:40,489 [bell dings] 898 00:36:40,489 --> 00:36:44,034 Uh, Ben, our slash-trake kid from the water park 899 00:36:44,034 --> 00:36:46,077 had some purposeful movement in pre-op. 900 00:36:46,079 --> 00:36:47,663 - That's a good sign. - Mm-hmm. 901 00:36:47,664 --> 00:36:49,081 Take the win. 902 00:36:51,041 --> 00:36:52,501 We need to talk. 903 00:36:54,503 --> 00:36:56,715 - We are talking. - In private. 904 00:37:05,514 --> 00:37:08,016 What the hell was that with Samira earlier? 905 00:37:08,016 --> 00:37:11,061 - That was tough love. - You are her superior. 906 00:37:11,061 --> 00:37:14,731 She was obviously struggling, and your advice was "go home"? 907 00:37:14,733 --> 00:37:16,233 Essentially, yeah. 908 00:37:16,233 --> 00:37:18,693 This is the ED... it's not for the faint of heart. 909 00:37:18,695 --> 00:37:20,695 It's not for the unempathetic either. 910 00:37:20,697 --> 00:37:23,239 [sighs] Samira's not having a panic attack 911 00:37:23,240 --> 00:37:24,699 because of her patient. 912 00:37:24,701 --> 00:37:26,492 She's having one because of personal baggage. 913 00:37:26,494 --> 00:37:28,536 What she needs to do is pull her head out of her ass 914 00:37:28,538 --> 00:37:30,164 and focus on the work. - What about you? 915 00:37:30,164 --> 00:37:32,206 What do you need to get some basic human empathy back? 916 00:37:32,208 --> 00:37:35,710 - [laughing] Sh... I don't know. 917 00:37:35,711 --> 00:37:37,713 Something that gives me a little hope this place 918 00:37:37,713 --> 00:37:40,423 won't fall to shit when I'm gone. 919 00:37:40,425 --> 00:37:41,717 Found him! 920 00:37:41,717 --> 00:37:43,469 Found who? 921 00:37:43,469 --> 00:37:45,929 - The water slide dad's kid. - How'd you manage that? 922 00:37:45,929 --> 00:37:48,056 I went outside, stalked the dad's IG, 923 00:37:48,056 --> 00:37:50,099 found a pic of his son, sent it to Pittsburgh PD. 924 00:37:50,101 --> 00:37:52,101 Now they're on their way over. - Oh. 925 00:37:52,103 --> 00:37:54,563 Well, maybe Gen Z should be working for the FBI. 926 00:37:57,567 --> 00:37:59,568 - [sighs] Hi, Becca. - Mel! 927 00:37:59,568 --> 00:38:01,445 - Hi. [door opens] 928 00:38:01,445 --> 00:38:04,739 You, uh... you doing all right? - I'm a little bored. 929 00:38:04,740 --> 00:38:06,324 [giggles] - Yeah? 930 00:38:06,326 --> 00:38:08,952 Um, how are you feeling? - A lot better. 931 00:38:08,952 --> 00:38:11,371 Dr. Langdon gave me some medicine and OJ. 932 00:38:11,371 --> 00:38:15,375 Oh, he's super nice. I see why you like him. 933 00:38:15,376 --> 00:38:18,085 Did he tell you what the medicine was for? 934 00:38:18,086 --> 00:38:20,963 - Yes. Um, did you tell her? 935 00:38:20,965 --> 00:38:22,382 I did not. 936 00:38:22,382 --> 00:38:23,967 Uh, I explained to Becca 937 00:38:23,967 --> 00:38:26,594 that due to doctor-patient confidentiality, 938 00:38:26,596 --> 00:38:28,931 everything she told me was private 939 00:38:28,931 --> 00:38:30,389 and that it was her decision 940 00:38:30,391 --> 00:38:34,228 if she wanted to share anything with you or not. 941 00:38:34,228 --> 00:38:37,481 - Um, do you want to share? - Yes. 942 00:38:41,777 --> 00:38:44,822 [breathes deeply] 943 00:38:48,617 --> 00:38:52,161 I have a urinary-tract infection. 944 00:38:52,163 --> 00:38:54,998 Oh. Okay. 945 00:38:54,998 --> 00:38:58,293 Yeah, those, um... those can happen if you, you know, 946 00:38:58,293 --> 00:39:01,045 hold your pee in for too long or you accidentally wipe 947 00:39:01,047 --> 00:39:03,215 from back to front... - Mel, I know. I know, Mel. 948 00:39:03,215 --> 00:39:06,009 He told me. - Oh, good. 949 00:39:06,010 --> 00:39:10,179 You know, he also told me it can happen from having sex. 950 00:39:10,181 --> 00:39:12,099 Uh, yeah, it can. 951 00:39:12,099 --> 00:39:14,434 Uh, it's not like you're having sex. 952 00:39:14,434 --> 00:39:15,644 Yes, I am. 953 00:39:19,315 --> 00:39:22,818 - I'm sorr... What? - I'm having sex. 954 00:39:24,653 --> 00:39:26,947 - With who? - My boyfriend. 955 00:39:26,947 --> 00:39:29,115 - You have a boyfriend? - Yes. 956 00:39:29,117 --> 00:39:33,954 His name is Adam, and we're having sex... 957 00:39:33,954 --> 00:39:35,331 lots of sex. 958 00:39:37,458 --> 00:39:39,085 Okay. 959 00:39:40,836 --> 00:39:45,090 Um, Mel, are... are you okay? 960 00:39:45,090 --> 00:39:47,509 Mm-hmm. 961 00:39:47,510 --> 00:39:49,677 [knock at door] 962 00:39:49,679 --> 00:39:51,889 - Got a sec? - Sure. 963 00:39:51,889 --> 00:39:55,057 - How you feeling? - I'm fine. 964 00:39:55,059 --> 00:39:56,768 - Are you sure? - Yeah. 965 00:39:56,768 --> 00:39:59,688 Troponin, D-dimer, and TSH all normal. 966 00:39:59,688 --> 00:40:01,690 Listen, I'm sorry about earlier. 967 00:40:01,690 --> 00:40:04,358 I think I was being... - A dick? 968 00:40:04,360 --> 00:40:06,445 I was gonna say "unprofessional," 969 00:40:06,445 --> 00:40:08,947 but probably that, too. 970 00:40:08,947 --> 00:40:12,242 I'm sorry. - Thanks. 971 00:40:12,242 --> 00:40:14,869 But now I kind of need you to stop feeling sorry for yourself 972 00:40:14,871 --> 00:40:16,746 and focus back on your patients. 973 00:40:16,748 --> 00:40:19,708 Think you can do that? - Sure. 974 00:40:19,708 --> 00:40:20,918 Great. 975 00:40:24,047 --> 00:40:26,882 With this extra dose and increased morphine 976 00:40:26,882 --> 00:40:28,507 from the pump, 977 00:40:28,509 --> 00:40:30,217 your pain should subside. 978 00:40:30,219 --> 00:40:32,929 Your breathing will slow down. 979 00:40:32,931 --> 00:40:35,891 You may get very sleepy. 980 00:40:35,891 --> 00:40:39,728 Paul, go be with the boys. 981 00:40:39,728 --> 00:40:43,106 They need you more than I do now. 982 00:40:43,106 --> 00:40:45,192 Later. 983 00:40:45,193 --> 00:40:48,153 Right now I'm exactly where I'm supposed to be. 984 00:40:56,119 --> 00:40:58,079 Yeah. 985 00:40:58,081 --> 00:40:59,498 Okay. 986 00:40:59,498 --> 00:41:01,166 Here we go. 987 00:41:08,298 --> 00:41:11,300 [Adam Torres's "Juniper Arms"] 988 00:41:11,302 --> 00:41:18,351 ♪ ♪ 989 00:41:25,315 --> 00:41:30,945 ♪ Carry me down ♪ 990 00:41:30,947 --> 00:41:32,947 ♪ ♪ 991 00:41:32,949 --> 00:41:38,161 ♪ Down from the stars ♪ 992 00:41:38,161 --> 00:41:40,329 ♪ ♪ 993 00:41:40,331 --> 00:41:45,543 ♪ Wrap me around ♪ 994 00:41:45,545 --> 00:41:47,795 ♪ ♪ 995 00:41:47,797 --> 00:41:52,342 ♪ Juniper arms ♪ 996 00:41:52,342 --> 00:41:54,969 ♪ ♪ 997 00:41:54,971 --> 00:42:01,976 ♪ Carry me down ♪ 998 00:42:01,978 --> 00:42:08,233 ♪ Down from the stars ♪ 999 00:42:09,527 --> 00:42:15,240 ♪ Wrap me around ♪ 1000 00:42:16,992 --> 00:42:20,996 ♪ Juniper arms ♪ 1001 00:42:20,996 --> 00:42:23,998 ♪ ♪ 1002 00:42:24,000 --> 00:42:29,713 ♪ Juniper arms ♪ 1003 00:42:29,713 --> 00:42:31,757 ♪ ♪