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WWW.MY-SUBS.CO
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Sync and corrections by btsix
www.MY-SUBS.com
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Structural collapse at the water park...
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two victims coming in via helicopter.
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- ETA, five minutes.
- Time to rally the troops.
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I'll get environmental
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to clear and prep the trauma rooms.
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Emma, restock the crash carts.
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Makedah, take the latest
scripts to the drug cage.
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- Should be a fun one.
- "Fun one"? What's up?
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Slide broke at the water park...
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two victims, five minutes to touchdown.
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No information on extent of injuries.
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I can jump in with...
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Ogilvie, grab some goggles,
gloves, gown.
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Go up to the roof. First patient
that lands, bring 'em down.
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We got two choppers.
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You want to grab
some bodies and meet me?
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What injuries are we expecting?
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Structural collapse. Could be anything.
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I can increase the morphine
drip to manage the pain,
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but that could also slow down
your breathing.
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You will likely feel very drowsy.
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You may lose consciousness.
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And it could cause you
to stop breathing altogether.
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I'll be right back.
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- Hey, you okay?
- Yeah.
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Yeah. Sorry.
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Look, it's hard seeing
your patients die.
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But as professionals, we have
to create emotional boundaries
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for ourselves.
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It's not about us. It's about them.
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She's so calm. I just...
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Yeah.
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She's had a long time
to prepare for this moment.
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What she's doing for her sons...
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managing this with so much grace...
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it's a real gift of love.
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I feel like an asshole.
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All they want is more time
with their mother.
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All I want is less time with mine.
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Don't feel guilty.
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I mean, you can be grateful
and gracious from a distance.
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Just talk to her.
Tell her what you want.
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She'll understand.
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I just... I doubt that.
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Give her a chance, you know?
She may surprise you.
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Hey.
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Two birds headed our way. Need a hand?
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That's the rumor.
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Santos, trauma incoming. Grab a gown.
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You can assist Dr. Langdon.
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Fuck me.
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Jesus, I got blood tubes
growing moss over here.
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Ticktock, people.
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Hey, Olive, do me a solid...
run these to the lab.
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No problem.
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Uh, I got more lab results.
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Start putting them
on the patient clipboards,
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PTMC Emergency. Go ahead, Medic Command.
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Do cyber attacks happen often?
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- More than you realize.
- I blame the Russkies.
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Dr. Mohan, it's your mother?
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She sounds pretty upset.
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Says she really needs to talk to you.
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You're shitting me.
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Um, tell her I'm not available.
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How's your shift going?
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It's been a lot already.
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You know, I worked in an ER
before, up in Vermont,
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00:03:14,219 --> 00:03:17,971
and we had MVAs and ODs, MIs.
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But this place...
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this place is relentless.
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Holiday weekend.
We're not normally offline.
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I think we have a very
different idea of normal.
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It's not for everyone.
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I'm not sure it's healthy for anybody.
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Here's her leg.
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Jesus.
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I need more runners.
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Oh, you could shut down the gift shop.
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They always have a couple
of volunteers there.
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Most of those volunteers use walkers.
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Beggars can't be choosers.
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Go get 'em.
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Okay, I'm gonna grab a smoke first.
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No time. Nicotine gum...
take the edge off.
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You two, head to triage to help
out the front of the house.
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They're running out of space,
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00:04:01,182 --> 00:04:02,975
and there's a line out the door.
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- Okay, let's go.
- Hang on, Mohan.
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00:04:05,937 --> 00:04:08,148
Sign this.
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Nicotine patch, 21 milligrams.
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Who's it for?
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Monica. This nicotine gum's shit.
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She'll never survive the shift,
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and I need her so I don't lose
my goddamn mind.
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Thanks.
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00:04:22,120 --> 00:04:23,871
Is Dr. Abbot still around?
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He went to get some sleep
100
00:04:25,373 --> 00:04:27,207
before his night shift
starts in a couple hours.
101
00:04:27,208 --> 00:04:29,418
Shit. Okay, I should have
planned this better.
102
00:04:29,419 --> 00:04:32,212
I was hoping he'd write me
a letter of rec for an elective
103
00:04:32,213 --> 00:04:34,631
so I could have a shot
at a fellowship next year.
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Which one?
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00:04:36,342 --> 00:04:38,260
Whichever will take me.
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Didn't the electives fill up
a while ago?
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Don't remind me.
108
00:04:42,015 --> 00:04:43,849
I'm gonna throw myself
at the mercy of the court,
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beg for them to take me anyway.
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Just kill me now. It'll be less painful.
111
00:04:47,479 --> 00:04:49,813
Dana, I can't read this handwriting.
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It says...
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1,000 milligrams acetaminophen orally,
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4 milligrams ondansetron
under the tongue,
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and trial of clear fluids.
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Seriously? It says all that?
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If it's not in a text with emojis,
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you kids can't read for shit.
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What do we have?
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A fall from 10 feet onto a metal fence.
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Right below the knee. Good vitals.
122
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Oh, it hurts. Oh, my God.
123
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- What's she had so far?
- 50 of fent, repeated 25.
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No meds, no allergies.
125
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- Where should I put this?
- Just hang on to it for now.
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On my count. One, two, three.
127
00:05:25,391 --> 00:05:28,602
Okay, Whitaker, E-FAST.
Donnie, primary survey, please.
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Pupils equal and reactive.
129
00:05:31,397 --> 00:05:33,899
- What's your name?
- My leg hurts really bad.
130
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Did I break it?
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Um, I-I wouldn't say
that it's broken exactly.
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We're gonna get an X-ray
to determine that.
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Put that on the gurney,
line it up for X-ray,
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keep your fucking mouth shut.
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Good lung sliding right and left.
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Airway patent,
breath sounds bilaterally.
137
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- Please, it hurts.
- BP 100 over 60.
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Pulse 118, pulse ox 98%.
139
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- Does your belly hurt?
- No, asshole! It's my leg!
140
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Okay, she's really moving here.
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100 of ketamine?
142
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Yeah, we can't evaluate like this.
143
00:06:02,095 --> 00:06:04,012
Hey, Ogilvie?
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00:06:04,013 --> 00:06:06,223
- Deep breaths, yeah?
- Yeah, okay.
145
00:06:06,224 --> 00:06:07,724
Whitaker, what's next?
146
00:06:07,725 --> 00:06:10,269
Uh, once she's sedated,
finish the E-FAST,
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plain X-ray, check her back,
straight to CT.
148
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What if the ketamine wears off?
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00:06:14,107 --> 00:06:15,566
Right. Uh, we should do
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00:06:15,567 --> 00:06:18,193
a popliteal nerve block before the CT,
151
00:06:18,194 --> 00:06:20,070
anesthetize from the knee down.
152
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- Two view tib-fib.
- Pushing ketamine now.
153
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What's the bullet?
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42-year-old male with 20-foot fall.
155
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Blunt chest trauma with hand injury.
156
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Where's my son? Where's my son?
157
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He's tachy to 108, sats 98 on 2 liters,
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00:06:31,916 --> 00:06:33,584
BP 122 over 84.
159
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We'll pan scan due to mechanism.
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00:06:35,336 --> 00:06:37,296
- You?
- Tib-fib amputation.
161
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Hoping ortho can, uh, give us
a little hope for replantation.
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- Derek, where are you hurting?
- Chest and my finger.
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Did they find my son?
164
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- Did you hit your head?
- Don't think so.
165
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I need to find my son!
166
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We'll find him for you,
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but we need to take care of you first.
168
00:06:50,435 --> 00:06:52,477
Pericardium's clear.
No fluid in Morrison's.
169
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Move both arms, wiggle your feet.
170
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- Good. Any pain in your neck?
- No.
171
00:06:56,983 --> 00:06:59,109
- Spleen looks good.
- Start with his chest.
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That's where he hurts.
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00:07:00,361 --> 00:07:02,988
- No hemotympanum.
- Normal sliding.
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00:07:02,989 --> 00:07:05,657
Best to start with the side
he's complaining about first.
175
00:07:05,658 --> 00:07:08,535
Uh, I don't see much sliding there.
176
00:07:08,536 --> 00:07:10,621
His name is Zack. He's seven.
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00:07:10,622 --> 00:07:12,789
- Pneumothorax?
- Set up for a chest tube.
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00:07:12,790 --> 00:07:15,459
Not yet. Uh, let's go posterolateral.
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Look for fluid first.
180
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Traumatic pneumothorax.
We should prep the chest.
181
00:07:19,464 --> 00:07:21,965
Not necessarily.
He's hemodynamically stable.
182
00:07:21,966 --> 00:07:23,759
Okay.
183
00:07:23,760 --> 00:07:25,344
Does that look like some fluid there?
184
00:07:25,345 --> 00:07:26,887
Hard to say for sure.
185
00:07:26,888 --> 00:07:28,972
Okay, he's tachycardic hemopneumothorax.
186
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He needs a chest tube.
187
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BP and sats are fine.
We can wait for CT.
188
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If it's small, it'll resolve on its own.
189
00:07:34,020 --> 00:07:36,021
- We observe and reimage.
- I agree. He's stable for now.
190
00:07:36,022 --> 00:07:37,981
Let's wait for the scan, Dr. Santos.
191
00:07:37,982 --> 00:07:40,025
- Okay, let's order...
- Okay.
192
00:07:40,026 --> 00:07:43,362
A CT chest, abdomen,
pelvis, and X-ray left hand.
193
00:07:43,363 --> 00:07:46,281
- Whoa, major degloving.
- Focus on the primary.
194
00:07:46,282 --> 00:07:49,201
Dr. Langdon's correct.
We need to logroll him.
195
00:07:49,202 --> 00:07:50,827
Oh, okay.
196
00:07:50,828 --> 00:07:52,871
How about another four of morphine?
197
00:07:52,872 --> 00:07:54,831
Put it in. Hang in there, Derek.
198
00:07:54,832 --> 00:07:57,167
We got you.
199
00:07:57,168 --> 00:07:59,670
Fuck off already.
200
00:07:59,671 --> 00:08:02,214
- Boyfriend?
- Wish. My mom.
201
00:08:02,215 --> 00:08:04,216
Every time I get a second of service,
202
00:08:04,217 --> 00:08:05,676
- another dozen texts come in.
- Hey!
203
00:08:05,677 --> 00:08:07,511
How much longer do I have to wait?
204
00:08:07,512 --> 00:08:08,845
I got a broken leg here.
205
00:08:08,846 --> 00:08:10,555
Someone will be with you shortly, sir.
206
00:08:10,556 --> 00:08:12,224
Am I allowed to use the bathroom?
207
00:08:12,225 --> 00:08:14,059
- I really have to go.
- I don't know, ma'am.
208
00:08:14,060 --> 00:08:15,227
I am not your doctor.
209
00:08:15,228 --> 00:08:16,853
It says right there "doctor."
210
00:08:16,854 --> 00:08:18,397
Yes, but I'm not your doctor.
211
00:08:18,398 --> 00:08:20,065
But if you go back to your room,
212
00:08:20,066 --> 00:08:22,484
- a nurse will come find you.
- I wasn't in a room.
213
00:08:22,485 --> 00:08:25,487
I'm sorry. Um, are either
of you treating my mother?
214
00:08:25,488 --> 00:08:27,906
Nope!
215
00:08:33,454 --> 00:08:35,872
Take a seat. It's gonna be a while.
216
00:08:38,876 --> 00:08:41,212
Helen Torres, come on down.
217
00:08:42,797 --> 00:08:44,881
Helen Torres?
218
00:09:00,106 --> 00:09:01,273
Thank you.
219
00:09:01,274 --> 00:09:03,568
Ay.
220
00:09:06,279 --> 00:09:08,238
I'm Dr. Mohan.
This is Student Doctor Kwon.
221
00:09:08,239 --> 00:09:09,781
Helen.
222
00:09:09,782 --> 00:09:12,075
How long has your leg been
swollen, Helen?
223
00:09:12,076 --> 00:09:14,911
Uh, it's been getting worse
over the past week.
224
00:09:14,912 --> 00:09:16,747
Dr. Mohan, your mom called again.
225
00:09:16,748 --> 00:09:18,290
She said you need to call her back.
226
00:09:18,291 --> 00:09:19,291
Not now!
227
00:09:19,292 --> 00:09:21,127
I'm with a patient.
228
00:09:23,254 --> 00:09:24,880
Sorry about that.
229
00:09:24,881 --> 00:09:27,758
Um, did you... did you fall
or hit your leg?
230
00:09:27,759 --> 00:09:29,593
No.
231
00:09:29,594 --> 00:09:32,763
Have... have you ever had
a blood clot before?
232
00:09:32,764 --> 00:09:34,765
No.
233
00:09:36,934 --> 00:09:39,686
- Are you all right?
- Excuse me?
234
00:09:39,687 --> 00:09:43,106
- Do you need to sit down?
- Oh, no. I'm... I'm fine.
235
00:09:43,107 --> 00:09:44,733
You don't look too good.
236
00:09:44,734 --> 00:09:46,276
What?
237
00:09:46,277 --> 00:09:47,986
No, it's just, um...
238
00:09:47,987 --> 00:09:49,654
it's really hot in here.
239
00:09:49,655 --> 00:09:52,115
And, uh... and, uh...
240
00:09:52,116 --> 00:09:55,452
- You need to sit down.
- I'm good.
241
00:09:55,453 --> 00:09:57,954
I just need some air.
242
00:09:57,955 --> 00:10:00,124
Excuse me one second.
243
00:10:16,474 --> 00:10:18,183
You a doctor?
244
00:10:18,184 --> 00:10:20,143
Sorry, Doctor, does this look infected?
245
00:10:20,144 --> 00:10:21,520
I've been waiting six hours,
246
00:10:21,521 --> 00:10:23,188
and people keep cutting in front of me.
247
00:10:23,189 --> 00:10:25,148
Doctor, can you just look at my throat
248
00:10:25,149 --> 00:10:26,650
just to see if it's strep?
249
00:10:26,651 --> 00:10:28,610
Look out! Make way!
250
00:10:28,611 --> 00:10:30,362
Get in.
251
00:10:30,363 --> 00:10:32,030
No, I'm... I'm okay.
252
00:10:32,031 --> 00:10:34,991
- I'm okay.
- Get in the fucking chair.
253
00:10:34,992 --> 00:10:38,537
Excuse me, ma'am.
254
00:10:38,538 --> 00:10:41,206
Excuse me, coming through!
255
00:10:41,207 --> 00:10:42,999
Out of my way!
256
00:10:43,000 --> 00:10:44,918
We were going down the water slide,
257
00:10:44,919 --> 00:10:46,378
and the bottom just fell off.
258
00:10:46,379 --> 00:10:47,712
I grabbed Zack's arm,
259
00:10:47,713 --> 00:10:49,506
and I tried to hold on to the sides,
260
00:10:49,507 --> 00:10:51,383
but my hand slipped,
and my ring got stuck.
261
00:10:51,384 --> 00:10:55,428
My finger was ripping off,
and I just... and I lost him.
262
00:10:55,429 --> 00:10:57,889
We can numb up your finger
as soon as we gauge
263
00:10:57,890 --> 00:10:59,516
the extent of the injury.
264
00:10:59,517 --> 00:11:01,601
You can cut the damn thing
off for all I care.
265
00:11:01,602 --> 00:11:03,687
I just need to find Zack.
266
00:11:03,688 --> 00:11:05,355
Okay, do you feel anything here?
267
00:11:05,356 --> 00:11:06,523
Yeah, sharp.
268
00:11:06,524 --> 00:11:08,400
- How about here?
- Sharp again.
269
00:11:08,401 --> 00:11:10,152
A little late for the show, Yoyo.
270
00:11:10,153 --> 00:11:12,237
I am the show, Dr. Langdon.
You're the warm-up act.
271
00:11:12,238 --> 00:11:14,072
I knew somebody missed me.
272
00:11:14,073 --> 00:11:15,991
Mr. Foster suffered a degloving injury
273
00:11:15,992 --> 00:11:17,242
of the ring finger.
274
00:11:17,243 --> 00:11:19,244
Stable pneumothorax awaiting imaging.
275
00:11:19,245 --> 00:11:21,872
Hello, sir. I'm Dr. Garcia
from the trauma service.
276
00:11:21,873 --> 00:11:23,498
I need the ring cutter.
277
00:11:23,499 --> 00:11:25,876
That's why they pay
the surgeons the big bucks.
278
00:11:25,877 --> 00:11:27,836
Possible flexor tendon injury.
279
00:11:27,837 --> 00:11:29,504
Ay. Ow.
280
00:11:29,505 --> 00:11:32,841
Try to bend up your ring finger.
281
00:11:35,261 --> 00:11:36,845
Let's go with the block.
282
00:11:36,846 --> 00:11:39,264
You're gonna feel a pinprick
and some burning.
283
00:11:39,265 --> 00:11:41,892
Which tendon did we test, Dr. Santos?
284
00:11:41,893 --> 00:11:44,394
Seriously?
That's a med-student question.
285
00:11:44,395 --> 00:11:48,064
We're a teaching hospital.
It's always good to review.
286
00:11:48,065 --> 00:11:51,735
Flexor digitorum superficialis is intact
287
00:11:51,736 --> 00:11:54,070
as it inserts on the middle phalanx.
288
00:11:54,071 --> 00:11:55,405
Correct.
289
00:11:55,406 --> 00:11:57,073
Gee, thanks.
290
00:11:57,074 --> 00:11:59,117
No sign of tension.
291
00:11:59,118 --> 00:12:01,578
At least no tension pneumo.
292
00:12:01,579 --> 00:12:03,663
Let's wait for the CT.
I'll be next door.
293
00:12:03,664 --> 00:12:06,458
Langdon, Mel's sister's
been asking for you.
294
00:12:06,459 --> 00:12:08,710
She's getting antsy, and we
could really use the room.
295
00:12:08,711 --> 00:12:09,961
- CT's ready.
- Okay.
296
00:12:09,962 --> 00:12:11,922
Let Becca know I'll be there soon.
297
00:12:11,923 --> 00:12:14,090
And Mr. Foster got separated
from his son Zack
298
00:12:14,091 --> 00:12:15,717
at the water park.
299
00:12:15,718 --> 00:12:18,303
- Anyone we can call for you?
- My wife, Angela.
300
00:12:18,304 --> 00:12:21,515
Dr. Santos, will you escort
Mr. Foster to CT?
301
00:12:25,811 --> 00:12:26,895
Help!
302
00:12:26,896 --> 00:12:29,231
Need a hand here.
303
00:12:29,232 --> 00:12:32,275
- What the hell happened?
- I think I'm having an MI.
304
00:12:32,276 --> 00:12:34,444
My chest is so tight,
I can barely breathe.
305
00:12:34,445 --> 00:12:35,987
Okay, I got to get a 12 lead.
306
00:12:35,988 --> 00:12:37,948
Perlah, can I get an assist here?
307
00:12:37,949 --> 00:12:40,158
Yeah, I'm on it.
308
00:12:40,159 --> 00:12:41,701
CT's normal.
309
00:12:41,702 --> 00:12:43,495
Why do we take down
the tourniquet, Whitaker?
310
00:12:43,496 --> 00:12:45,330
To give the residual limb blood flow.
311
00:12:45,331 --> 00:12:47,499
- Uh-oh. Ah...
- Just two little pumpers.
312
00:12:47,500 --> 00:12:49,709
A couple of figure eights
ought to take care of those.
313
00:12:49,710 --> 00:12:51,878
- Uh-huh.
- Park.
314
00:12:51,879 --> 00:12:54,839
Park the Shark, orthopedic surgeon.
315
00:12:54,840 --> 00:12:56,466
Is this a favorable amputation?
316
00:12:56,467 --> 00:12:57,801
Pretty clean cut.
317
00:12:57,802 --> 00:12:59,469
Fence sliced through like a guillotine.
318
00:12:59,470 --> 00:13:00,763
X-ray?
319
00:13:02,640 --> 00:13:04,016
- Not too bad.
- Mm-hmm.
320
00:13:06,143 --> 00:13:09,646
Just, uh, tying off a couple arterioles.
321
00:13:09,647 --> 00:13:11,856
I'm not blind.
322
00:13:11,857 --> 00:13:15,151
- Where's the amputated leg?
- Double bagged on ice.
323
00:13:15,152 --> 00:13:17,654
Sterile saline on the inner bag.
324
00:13:17,655 --> 00:13:21,700
Ice water in the outer bag.
No direct ice-on-skin contact.
325
00:13:21,701 --> 00:13:23,785
We spent a lot of time prepping...
326
00:13:23,786 --> 00:13:25,830
He still needs to look.
327
00:13:29,375 --> 00:13:30,835
Get Robby.
328
00:13:39,844 --> 00:13:42,554
- Antibiotics?
- Cefazolin and gent.
329
00:13:42,555 --> 00:13:45,015
We've cleared her chest,
abdomen, and pelvis.
330
00:13:45,016 --> 00:13:47,559
Clean wound, no crush injury,
331
00:13:47,560 --> 00:13:49,728
rapid transport time.
332
00:13:49,729 --> 00:13:52,605
Replantation is a go. I'll book an OR.
333
00:13:52,606 --> 00:13:54,357
Irrigate the hell
out of this with 3 liters.
334
00:13:54,358 --> 00:13:56,777
- 3 liters?
- Of saline, genius.
335
00:13:58,571 --> 00:14:00,239
Thanks, Shark.
336
00:14:02,199 --> 00:14:05,368
I knew he meant saline.
337
00:14:05,369 --> 00:14:08,788
Dr. Robby, we need you in Central 6.
338
00:14:08,789 --> 00:14:10,582
Dr. Mohan may be having a heart attack.
339
00:14:10,583 --> 00:14:11,709
What?
340
00:14:13,586 --> 00:14:16,171
- EKG is normal.
- You sure?
341
00:14:16,172 --> 00:14:18,340
Check it out. You can be
your own second opinion.
342
00:14:18,341 --> 00:14:20,592
- What's going on?
- It's okay. I'm... I'm okay.
343
00:14:20,593 --> 00:14:22,093
You don't look okay.
344
00:14:22,094 --> 00:14:24,220
- You look like shit.
- I feel like shit.
345
00:14:24,221 --> 00:14:26,848
- What happened?
- I-I don't know.
346
00:14:26,849 --> 00:14:29,059
I just got really hot,
347
00:14:29,060 --> 00:14:31,436
and I started having trouble breathing.
348
00:14:31,437 --> 00:14:34,606
We should send up
some labs just to be safe.
349
00:14:34,607 --> 00:14:36,608
Any chance you're pregnant?
350
00:14:36,609 --> 00:14:38,736
I'm not sure I feel
comfortable answering that.
351
00:14:40,404 --> 00:14:41,780
No.
352
00:14:41,781 --> 00:14:43,615
She was tachy, but it's resolved now.
353
00:14:43,616 --> 00:14:45,450
- Have you eaten anything?
- Yeah.
354
00:14:45,451 --> 00:14:47,369
- You staying hydrated?
- 100%.
355
00:14:47,370 --> 00:14:48,912
I'm doing everything right.
356
00:14:48,913 --> 00:14:51,164
It's everything around me
that's all fucked up.
357
00:14:51,165 --> 00:14:54,125
It's just my mom moving and
calling me over and over again
358
00:14:54,126 --> 00:14:56,086
and now me scrambling
to find a job next year.
359
00:14:56,087 --> 00:14:57,462
I had it all planned out,
360
00:14:57,463 --> 00:14:59,255
and now everything's
just out the window.
361
00:14:59,256 --> 00:15:01,091
Wait a minute... is this a panic attack
362
00:15:01,092 --> 00:15:02,967
- because of your mommy issues?
- What? No.
363
00:15:02,968 --> 00:15:05,095
Jesus. Do you need to go home?
364
00:15:05,096 --> 00:15:06,971
- You should go home.
- No, I'm fine.
365
00:15:06,972 --> 00:15:09,099
I don't need
the fucking liability... go home.
366
00:15:09,100 --> 00:15:11,101
And the rest of you,
the last time I checked,
367
00:15:11,102 --> 00:15:12,268
the ED is a shit show.
368
00:15:12,269 --> 00:15:14,522
So let's all get back to work, huh?
369
00:15:21,237 --> 00:15:23,780
Sorry for taking so long, Becca.
370
00:15:23,781 --> 00:15:25,824
Nurse Dana said you'd be back
in a few minutes,
371
00:15:25,825 --> 00:15:28,118
but it's definitely been
more than a few minutes.
372
00:15:28,119 --> 00:15:30,495
You're right. My apologies.
373
00:15:30,496 --> 00:15:32,747
- I brought some drink options.
- Okay.
374
00:15:32,748 --> 00:15:36,584
We've got apple juice, cranberry juice,
375
00:15:36,585 --> 00:15:39,671
OJ, and Pittsburgh's finest.
376
00:15:39,672 --> 00:15:41,923
- What's that?
- Oh, water.
377
00:15:41,924 --> 00:15:43,883
Oh. OJ, please.
378
00:15:43,884 --> 00:15:45,885
Okay.
379
00:15:45,886 --> 00:15:47,346
Let's see.
380
00:15:50,474 --> 00:15:52,517
All right.
381
00:15:52,518 --> 00:15:55,895
Now, I am going to give you two pills.
382
00:15:55,896 --> 00:15:58,022
The first is an antibiotic.
383
00:15:58,023 --> 00:16:00,316
That will get rid of the infection.
384
00:16:00,317 --> 00:16:02,152
The second should take care
of the burning.
385
00:16:02,153 --> 00:16:04,529
You want to take both pills
for three days
386
00:16:04,530 --> 00:16:05,822
and drink lots of water.
387
00:16:05,823 --> 00:16:07,157
I'll write it all down.
388
00:16:07,158 --> 00:16:09,200
I-I hate pills.
389
00:16:09,201 --> 00:16:12,162
Could you mash those up
and put them in the OJ for me?
390
00:16:12,163 --> 00:16:13,956
Coming right up.
391
00:16:15,499 --> 00:16:17,208
Okay.
392
00:16:17,209 --> 00:16:20,503
Mel's gonna be super worried
when you tell her.
393
00:16:20,504 --> 00:16:22,547
You are gonna be just fine.
394
00:16:22,548 --> 00:16:25,175
But, um, as far as telling your sister
395
00:16:25,176 --> 00:16:28,387
what's going on with you, that
is your decision, not mine.
396
00:16:30,389 --> 00:16:34,017
So you're not going to tell Mel?
397
00:16:34,018 --> 00:16:38,397
I can't, not unless you,
my patient, tell me to.
398
00:16:41,567 --> 00:16:43,735
Do you know when Mel's gonna be done
399
00:16:43,736 --> 00:16:45,862
with her important meeting?
400
00:16:45,863 --> 00:16:48,364
Hopefully soon.
401
00:16:48,365 --> 00:16:52,202
Dr. Langdon, they need you
back in Trauma Two.
402
00:16:52,203 --> 00:16:53,204
Hi.
403
00:16:55,539 --> 00:16:57,123
Becca, I got to go. I'll be...
404
00:16:57,124 --> 00:16:59,375
Don't say "in a few minutes"
unless you actually mean
405
00:16:59,376 --> 00:17:00,960
in a few minutes.
406
00:17:00,961 --> 00:17:03,839
I would never.
407
00:17:07,092 --> 00:17:10,220
And I need you to be kind to each other.
408
00:17:10,221 --> 00:17:11,596
I am kind.
409
00:17:11,597 --> 00:17:15,391
Shane's just a butthead sometimes.
410
00:17:15,392 --> 00:17:19,230
He's your brother, and he loves you.
411
00:17:21,273 --> 00:17:23,233
Don't go.
412
00:17:23,234 --> 00:17:25,944
I don't want to go.
413
00:17:25,945 --> 00:17:29,572
But it's... it's not up to me.
414
00:17:29,573 --> 00:17:31,032
Hey.
415
00:17:31,033 --> 00:17:33,618
We'll always be connected...
416
00:17:33,619 --> 00:17:35,287
no matter what.
417
00:17:37,957 --> 00:17:40,084
Invisible string.
418
00:17:43,420 --> 00:17:45,464
Invisible string.
419
00:17:57,017 --> 00:17:58,477
Hey.
420
00:18:00,646 --> 00:18:03,648
You gonna go in and see your mom?
421
00:18:03,649 --> 00:18:06,359
Cancer sucks.
422
00:18:06,360 --> 00:18:07,777
Yeah.
423
00:18:07,778 --> 00:18:09,488
Yeah, it does.
424
00:18:12,283 --> 00:18:15,703
- It's not fair.
- No, it's not.
425
00:18:19,832 --> 00:18:21,709
I don't want to go in there.
426
00:18:23,669 --> 00:18:26,130
Nobody's gonna make you.
427
00:18:32,678 --> 00:18:34,722
She didn't used to look like that.
428
00:18:37,099 --> 00:18:39,351
Yeah, I get that.
429
00:18:42,938 --> 00:18:46,107
But if you don't go in there
and say goodbye
430
00:18:46,108 --> 00:18:49,694
and tell your mom you love her...
431
00:18:49,695 --> 00:18:54,073
I think you might wish you had
for a very long time.
432
00:18:57,077 --> 00:18:59,121
It's your call.
433
00:19:02,333 --> 00:19:07,086
D-5 half normal saline,
20 of K running at 125 an hour.
434
00:19:07,087 --> 00:19:08,713
One of the most common reasons
435
00:19:08,714 --> 00:19:11,174
for traumatic-replantation
failure is infections.
436
00:19:11,175 --> 00:19:12,759
So we do what, Whitaker?
437
00:19:12,760 --> 00:19:16,346
Uh, rinse and repeat
until surgery calls for us.
438
00:19:16,347 --> 00:19:18,931
I-is everything okay with Dr. Mohan?
439
00:19:18,932 --> 00:19:20,683
She's fine.
440
00:19:20,684 --> 00:19:22,560
Focus.
441
00:19:25,981 --> 00:19:27,523
Where am I?
442
00:19:27,524 --> 00:19:29,943
Uh, ketamine's wearing off.
443
00:19:32,988 --> 00:19:35,031
I can't feel my leg.
444
00:19:35,032 --> 00:19:37,241
I'm Dr. Michael Robinavitch.
You're at a hospital.
445
00:19:37,242 --> 00:19:38,910
And we gave you a nerve block
446
00:19:38,911 --> 00:19:40,578
so that you can't feel any pain.
447
00:19:40,579 --> 00:19:42,038
Why?
448
00:19:42,039 --> 00:19:44,374
You were on a water slide that collapsed
449
00:19:44,375 --> 00:19:46,542
and did serious injury to your leg.
450
00:19:49,380 --> 00:19:52,465
What the fuck? Is that my leg?
451
00:19:52,466 --> 00:19:54,550
Is that my fu... did you cut
my fucking leg off?
452
00:19:54,551 --> 00:19:56,386
Your leg was cut off in the accident.
453
00:19:56,387 --> 00:19:58,554
Our surgeons are going to try
for replantation.
454
00:19:58,555 --> 00:20:00,223
I... No...
455
00:20:00,224 --> 00:20:02,058
- She needs more ketamine.
- Just wrap up the leg.
456
00:20:02,059 --> 00:20:03,601
Emily, I know that this is really hard.
457
00:20:03,602 --> 00:20:04,936
I need you to focus on me right now,
458
00:20:04,937 --> 00:20:06,312
because we need to get your consent
459
00:20:06,313 --> 00:20:07,939
- to proceed with the surgery.
- Why?
460
00:20:07,940 --> 00:20:09,565
There are risks with the surgery.
461
00:20:09,566 --> 00:20:11,484
There's anesthesia,
and there's no guarantee...
462
00:20:11,485 --> 00:20:12,819
Emily?
463
00:20:12,820 --> 00:20:15,905
Can you just... just put it back on?
464
00:20:15,906 --> 00:20:18,282
- Can you just put it back on?
- Sounds like consent to me.
465
00:20:18,283 --> 00:20:19,909
- Now can she have sedation?
- Okay, load her up.
466
00:20:19,910 --> 00:20:21,577
Ketamine and rock. It's gonna be okay.
467
00:20:21,578 --> 00:20:22,912
It's gonna be okay.
468
00:20:22,913 --> 00:20:24,580
We're gonna intubate before the OR.
469
00:20:24,581 --> 00:20:26,249
It's gonna be okay.
470
00:20:26,250 --> 00:20:27,959
Finishing second cut.
471
00:20:27,960 --> 00:20:29,585
Success.
472
00:20:29,586 --> 00:20:32,630
- Can that be saved?
- The finger or the ring?
473
00:20:32,631 --> 00:20:34,298
- The wedding ring.
- Uh, yes, sir.
474
00:20:34,299 --> 00:20:36,718
A jeweler can weld it
back together good as new.
475
00:20:36,719 --> 00:20:38,219
Uh, uh, stop.
476
00:20:38,220 --> 00:20:40,805
Irrigate the ring shavings off first.
477
00:20:40,806 --> 00:20:43,307
What did I miss?
478
00:20:43,308 --> 00:20:45,309
Finishing irrigation.
479
00:20:45,310 --> 00:20:46,602
Okay.
480
00:20:46,603 --> 00:20:48,229
Doesn't look like you lost any skin.
481
00:20:48,230 --> 00:20:50,606
It's a little dusky.
Might not be viable.
482
00:20:50,607 --> 00:20:52,442
There's intact skin on the dorsum.
483
00:20:52,443 --> 00:20:54,777
More irrigation, then tack
it down with one suture.
484
00:20:54,778 --> 00:20:56,279
Okay, thanks.
485
00:20:56,280 --> 00:20:58,948
Radiologist reports a 25% pneumothorax.
486
00:20:58,949 --> 00:21:00,700
Is that bad?
487
00:21:00,701 --> 00:21:03,119
That is a partially collapsed
lung that needs treatment.
488
00:21:03,120 --> 00:21:05,705
- I can put in a chest tube.
- He doesn't need a chest tube.
489
00:21:05,706 --> 00:21:07,832
Okay, what do you want...
a pigtail catheter?
490
00:21:07,833 --> 00:21:10,209
I was thinking a ThoraVent.
491
00:21:10,210 --> 00:21:11,711
What? Why?
492
00:21:11,712 --> 00:21:14,005
It's not a bad idea.
No need for wall suction.
493
00:21:14,006 --> 00:21:15,506
If Hand can operate today,
494
00:21:15,507 --> 00:21:17,467
he can go home tomorrow
with the ThoraVent.
495
00:21:17,468 --> 00:21:19,635
You can learn a lot
from your senior residents.
496
00:21:19,636 --> 00:21:21,721
I'm happy to teach Dr. Santos.
497
00:21:21,722 --> 00:21:23,891
Thank you, Dr. Langdon.
498
00:21:27,603 --> 00:21:30,813
Janelle, I need you to take
the samples to the lab
499
00:21:30,814 --> 00:21:32,940
and come back with any results
that are ready.
500
00:21:32,941 --> 00:21:35,610
Geoffrey, head to CT to see
if any new results are printed
501
00:21:35,611 --> 00:21:37,153
and bring those back.
502
00:21:37,154 --> 00:21:39,822
Pam, check in
with whoever's running the PDS
503
00:21:39,823 --> 00:21:41,866
to see if any orders
need to go to the pharmacy
504
00:21:41,867 --> 00:21:44,160
and bring back any meds
that are ready for pickup.
505
00:21:44,161 --> 00:21:46,662
Rinse and repeat every 15 minutes.
506
00:21:46,663 --> 00:21:48,664
Double-tie those shoelaces and hydrate.
507
00:21:48,665 --> 00:21:51,334
It's not a sprint. It's a marathon.
508
00:21:51,335 --> 00:21:53,669
Fly, my pretties.
509
00:21:53,670 --> 00:21:56,881
Okay, any word on finding
our water slide dad's kid?
510
00:21:56,882 --> 00:22:00,343
Not yet. Called the wife,
went straight to voicemail.
511
00:22:00,344 --> 00:22:02,678
Police dispatch said that there
were a couple of fatalities
512
00:22:02,679 --> 00:22:05,848
- on site... one adult, one kid.
- Sweet Jesus.
513
00:22:05,849 --> 00:22:07,600
Who the fuck did this?
514
00:22:07,601 --> 00:22:09,685
No sign-off on orders
for labs or X-rays,
515
00:22:09,686 --> 00:22:11,479
and it's in the wrong freaking rack?
516
00:22:11,480 --> 00:22:13,773
You guys trying to kill me
and the patient?
517
00:22:13,774 --> 00:22:15,691
- Uh, I'll take care of it.
- Thanks.
518
00:22:15,692 --> 00:22:18,903
- Dana, this gum is abso...
- Shit. I know.
519
00:22:18,904 --> 00:22:20,905
Pharmacy said you needed this
right away.
520
00:22:20,906 --> 00:22:23,449
Just in time. Slap one on
and give it an hour to kick in.
521
00:22:23,450 --> 00:22:25,701
You're welcome.
522
00:22:25,702 --> 00:22:28,538
- What?
- The prescription is for you.
523
00:22:28,539 --> 00:22:31,082
My insurance will cover it. Hers won't.
524
00:22:31,083 --> 00:22:33,251
Isn't that insurance fraud?
525
00:22:33,252 --> 00:22:35,711
Throw me in jail.
I could use a vacation.
526
00:22:39,091 --> 00:22:40,759
Mom.
527
00:22:44,721 --> 00:22:47,348
I'm... I'm really glad
to see you, Mom. I...
528
00:22:47,349 --> 00:22:49,851
Garcia told me about the
sigmoid volvulus you missed.
529
00:22:49,852 --> 00:22:52,353
- It was an oversight.
- That could have killed her.
530
00:22:52,354 --> 00:22:53,896
Without electronic records,
531
00:22:53,897 --> 00:22:55,857
it's been kind of a challenge
to figure out...
532
00:22:55,858 --> 00:22:57,400
Chaos is the status quo in the ED,
533
00:22:57,401 --> 00:22:59,318
even when the computers
are working properly.
534
00:22:59,319 --> 00:23:01,320
You have to be hypervigilant
and double-check everything.
535
00:23:01,321 --> 00:23:03,823
- I can handle it. Um, I...
- Why would you want to?
536
00:23:03,824 --> 00:23:05,741
Down here your learning
street-level medicine,
537
00:23:05,742 --> 00:23:07,451
all seat of your pants.
538
00:23:07,452 --> 00:23:08,953
Oh, well, I made a mistake,
539
00:23:08,954 --> 00:23:10,955
but the more talented
practitioners upstairs
540
00:23:10,956 --> 00:23:12,748
will fix it.
541
00:23:12,749 --> 00:23:16,586
You are better than this.
542
00:23:16,587 --> 00:23:20,007
I love you, too.
543
00:23:24,136 --> 00:23:27,138
Well, that is one way to do a debrief.
544
00:23:27,139 --> 00:23:28,431
You should talk to her.
545
00:23:28,432 --> 00:23:30,933
- Which one?
- Honestly, both of them.
546
00:23:30,934 --> 00:23:32,935
Can you call in some extra doctors?
547
00:23:32,936 --> 00:23:35,897
Sure. Everyone's dying
to work on the Fourth of July.
548
00:23:35,898 --> 00:23:37,481
- Why?
- Dr. Mohan went down.
549
00:23:37,482 --> 00:23:40,401
Yeah. I saw your pep talk.
550
00:23:40,402 --> 00:23:43,404
She's taking a little break
until her labs are back.
551
00:23:43,405 --> 00:23:44,780
She's going to be fine,
552
00:23:44,781 --> 00:23:47,450
but I'm not sure her head
is in the game.
553
00:23:47,451 --> 00:23:49,076
I'm on it, Cap.
554
00:23:49,077 --> 00:23:50,995
Small stab incision with the 11 blade,
555
00:23:50,996 --> 00:23:53,998
midclavicular line,
second intercostal space.
556
00:23:53,999 --> 00:23:57,293
- Sh... she's gonna stab me?
- It's just a medical term.
557
00:23:57,294 --> 00:23:59,420
Stay superior to the rib.
558
00:24:03,383 --> 00:24:05,301
Is there a problem?
559
00:24:05,302 --> 00:24:07,720
Nope, everything's going well.
560
00:24:07,721 --> 00:24:09,805
Place the trocar.
561
00:24:09,806 --> 00:24:12,516
Hold back the, uh, adhesive wings
562
00:24:12,517 --> 00:24:15,895
and advance until you see
the red diaphragm move.
563
00:24:15,896 --> 00:24:18,731
That means you're in the pleural space.
564
00:24:18,732 --> 00:24:21,151
Now remove the trocar.
565
00:24:24,571 --> 00:24:27,073
- Perfect.
- Okay.
566
00:24:27,074 --> 00:24:29,575
Now we can either, uh, hook up
to wall suction,
567
00:24:29,576 --> 00:24:31,661
or we can use this one-way valve
568
00:24:31,662 --> 00:24:33,663
to repeatedly aspirate with a syringe.
569
00:24:33,664 --> 00:24:36,040
Well, with all your vast
experience, Dr. Langdon,
570
00:24:36,041 --> 00:24:38,085
you should probably decide.
571
00:24:39,836 --> 00:24:42,672
We can avoid wall suction
if I pump manually.
572
00:24:42,673 --> 00:24:44,298
- Have at it, Doc.
- Enough.
573
00:24:44,299 --> 00:24:46,676
Apparently, decency and decorum
need to be reintroduced
574
00:24:46,677 --> 00:24:48,678
to our R2 curriculum.
575
00:24:48,679 --> 00:24:50,513
Nice work, Dr. Langdon.
576
00:24:50,514 --> 00:24:54,058
I'll go check on an OR for Mr. Foster.
577
00:24:57,187 --> 00:24:58,688
Hey.
578
00:24:58,689 --> 00:25:01,232
I'm gonna need you to pick up the pace.
579
00:25:01,233 --> 00:25:02,692
Can I get a sec?
580
00:25:02,693 --> 00:25:04,860
Dr. Mohan just almost died on me.
581
00:25:04,861 --> 00:25:06,862
Not even close.
She's tougher than she looks.
582
00:25:06,863 --> 00:25:08,739
Propane hero in North 4.
583
00:25:08,740 --> 00:25:10,324
Hey, any word from surgery
584
00:25:10,325 --> 00:25:12,868
on how are big patient Howard's
perforated diverticulitis
585
00:25:12,869 --> 00:25:14,453
- is doing?
- Still in the OR.
586
00:25:14,454 --> 00:25:16,080
What about our drunk firework kid?
587
00:25:16,081 --> 00:25:18,082
Waiting his turn
in the surgical conga line.
588
00:25:18,083 --> 00:25:20,251
Shoo. What about Social Services?
589
00:25:20,252 --> 00:25:22,461
Have they found a temporary foster home
590
00:25:22,462 --> 00:25:24,880
- for our baby Jane Doe?
- Still working on it.
591
00:25:24,881 --> 00:25:26,716
Kid's gonna be old enough to drive
592
00:25:26,717 --> 00:25:28,467
by the time she gets out of here.
593
00:25:28,468 --> 00:25:29,885
You joke...
594
00:25:29,886 --> 00:25:32,096
Oh, for fuck's sake!
595
00:25:32,097 --> 00:25:35,558
Go, quickly, before I change my mind.
596
00:25:35,559 --> 00:25:38,269
Hey, did the county pick up
Louie's body yet?
597
00:25:38,270 --> 00:25:39,895
No. He's still in the viewing room.
598
00:25:39,896 --> 00:25:41,564
Jesus. He's just laying in there?
599
00:25:41,565 --> 00:25:43,607
Yeah. Another couple minutes,
I'm gonna wheel him
600
00:25:43,608 --> 00:25:45,901
down to the morgue myself.
601
00:25:45,902 --> 00:25:47,611
What's the bullet?
602
00:25:47,612 --> 00:25:49,530
Eight-year-old boy, part
of the water park accident.
603
00:25:49,531 --> 00:25:51,365
- Thrown off the water slide.
- How far did he fall?
604
00:25:51,366 --> 00:25:53,284
Maybe 6 or 7 feet, landed in a tree.
605
00:25:53,285 --> 00:25:55,244
Had to wait for a ladder truck
to get him down.
606
00:25:55,245 --> 00:25:57,288
Major neck trauma... must've
taken all the impact there.
607
00:25:57,289 --> 00:25:59,123
Couldn't tube him, hard to bag.
608
00:25:59,124 --> 00:26:01,542
Sats in the 80s. BP 85 over 60.
609
00:26:01,543 --> 00:26:04,211
Pulse 50.
610
00:26:04,212 --> 00:26:08,174
Okay, one, two, and three.
611
00:26:08,175 --> 00:26:10,843
- Possible laryngeal fracture.
- Hypoxic bradycardic.
612
00:26:10,844 --> 00:26:12,970
Kid needs an airway before he arrests.
613
00:26:12,971 --> 00:26:15,431
Broselow tape, pedes cart,
set up suction.
614
00:26:15,432 --> 00:26:18,267
Oh, my God. Is that Zack?
615
00:26:18,268 --> 00:26:20,936
Hey. Hey, kid, can you look at me?
616
00:26:20,937 --> 00:26:24,356
No response, no purposeful
movement to pain.
617
00:26:24,357 --> 00:26:26,192
Oh, my God.
618
00:26:26,193 --> 00:26:28,527
- Is this your kid?
- No.
619
00:26:28,528 --> 00:26:29,945
Sir, go back to your room now.
620
00:26:29,946 --> 00:26:31,489
- Broselow says 25 kilograms.
- Jesse?
621
00:26:31,490 --> 00:26:33,324
- 5 1/2 ET tube.
- Okay.
622
00:26:33,325 --> 00:26:36,118
Uh, 30 of rock, 50 ketamine.
623
00:26:36,119 --> 00:26:37,661
- You're gonna paralyze?
- Yep.
624
00:26:37,662 --> 00:26:38,954
If we can't intubate, we crike?
625
00:26:38,955 --> 00:26:40,581
He's too young for a crike.
626
00:26:40,582 --> 00:26:42,625
- Needle crike?
- Can't ventilate through that.
627
00:26:42,626 --> 00:26:43,959
Sats down to 78.
628
00:26:43,960 --> 00:26:45,795
11 blade, Kelly, and a pedes bougie.
629
00:26:45,796 --> 00:26:47,630
One quick look, and then we cut.
630
00:26:47,631 --> 00:26:49,632
I can't tell if there's lung sliding.
631
00:26:49,633 --> 00:26:51,759
- No movement, no air entry.
- Way too edematous.
632
00:26:51,760 --> 00:26:53,094
I can't see the cords.
633
00:26:53,095 --> 00:26:56,347
- Better with cricoid pressure?
- Nothing. Fuck.
634
00:26:56,348 --> 00:26:58,182
Okay. Towel roll between
the shoulder blades, please.
635
00:26:58,183 --> 00:27:00,184
Heart rate down to 49.
Headed to cardiac arrest.
636
00:27:00,185 --> 00:27:01,644
Trake's going to take 20 minutes.
637
00:27:01,645 --> 00:27:03,479
This kid's not gonna last 60 seconds.
638
00:27:03,480 --> 00:27:05,106
That's why we're doing a slash trake.
639
00:27:05,107 --> 00:27:06,357
- Don't know it.
- Me neither.
640
00:27:06,358 --> 00:27:08,192
- Boss?
- Show me what you got.
641
00:27:16,785 --> 00:27:20,663
Pull up the trachea between
your thumb and middle finger.
642
00:27:20,664 --> 00:27:23,749
Vertical incision
right over the trachea.
643
00:27:23,750 --> 00:27:26,752
Vertical, not horizontal,
or you transect the trachea
644
00:27:26,753 --> 00:27:29,505
and cut the jugular veins.
645
00:27:29,506 --> 00:27:30,881
That's a lot of blood.
646
00:27:30,882 --> 00:27:33,217
Now it's a tactile procedure.
647
00:27:33,218 --> 00:27:36,595
2-centimeter incision
through the tracheal rings.
648
00:27:36,596 --> 00:27:39,598
Finger in the trachea.
649
00:27:39,599 --> 00:27:41,685
Bougie into the airway.
650
00:27:43,395 --> 00:27:45,396
Thoughts on what's next, Dr. Whitaker?
651
00:27:45,397 --> 00:27:48,315
Insert the ET tube into the trachea.
652
00:27:48,316 --> 00:27:50,860
Suction. Lots of blood in the airway.
653
00:27:57,075 --> 00:27:59,368
Okay, bag him.
654
00:27:59,369 --> 00:28:01,871
Check the CO2.
655
00:28:01,872 --> 00:28:03,831
Sats coming up, in the 80s.
656
00:28:03,832 --> 00:28:06,876
Bilateral breath sounds.
End tidal CO2 is 70.
657
00:28:06,877 --> 00:28:08,669
- That's crazy high.
- It'll come down.
658
00:28:08,670 --> 00:28:10,838
Tie down the tube,
control all the bleeders.
659
00:28:10,839 --> 00:28:13,257
Spray an amp of epi
on a stack of 4-by-4s.
660
00:28:13,258 --> 00:28:16,051
Okay. Sats are up to the 90s.
661
00:28:16,052 --> 00:28:18,429
Good. CO2's in the 50s. Good heart rate.
662
00:28:18,430 --> 00:28:19,972
You forgot the last step.
663
00:28:19,973 --> 00:28:21,891
Change your underwear.
664
00:28:21,892 --> 00:28:24,560
- How many of these you done?
- Uh, first one.
665
00:28:24,561 --> 00:28:25,895
You serious?
666
00:28:25,896 --> 00:28:27,646
- How about you?
- None.
667
00:28:27,647 --> 00:28:30,274
I practiced in the Sim Lab
when I was at Stanford.
668
00:28:30,275 --> 00:28:31,901
- What'd I miss?
- All the fun.
669
00:28:31,902 --> 00:28:33,611
- Slash trake.
- Seriously?
670
00:28:33,612 --> 00:28:35,070
Uh, fractured larynx.
671
00:28:35,071 --> 00:28:36,822
Couldn't oxygenate, couldn't ventilate.
672
00:28:36,823 --> 00:28:38,908
You use a meat cleaver on this kid?
673
00:28:38,909 --> 00:28:41,243
ENT can revise the trake in the OR.
674
00:28:41,244 --> 00:28:43,913
They'll be thrilled
to clean up your mess.
675
00:28:43,914 --> 00:28:46,750
Or maybe they'll thank us
for not letting him die.
676
00:28:51,463 --> 00:28:53,881
So we're still waiting
on your prescription,
677
00:28:53,882 --> 00:28:55,925
and the pharmacy is a little backed up.
678
00:28:55,926 --> 00:28:58,427
But I'm glad to see you're doing good.
679
00:28:58,428 --> 00:29:00,054
Well.
680
00:29:00,055 --> 00:29:02,473
I'm well.
681
00:29:02,474 --> 00:29:03,974
Glad to see you're well.
682
00:29:03,975 --> 00:29:06,936
Can you expedite my medication?
683
00:29:06,937 --> 00:29:09,813
Sure, but it may still be a little while
684
00:29:09,814 --> 00:29:14,693
before Dr. Mohan can sign off
on the discharge, so sit tight.
685
00:29:14,694 --> 00:29:17,155
And do what?
686
00:29:20,533 --> 00:29:23,911
You just keep this
handy for occasions like this?
687
00:29:23,912 --> 00:29:27,039
Uh, I thought that I might
not have that much to do today.
688
00:29:27,040 --> 00:29:28,958
But...
689
00:29:28,959 --> 00:29:31,502
man, I was wrong.
690
00:29:37,300 --> 00:29:39,219
Thank you.
691
00:29:43,348 --> 00:29:46,767
- What brings you in today?
- A friend made me come in.
692
00:29:46,768 --> 00:29:48,769
Name's Robby. He said I should...
693
00:29:48,770 --> 00:29:50,604
Ah, you're Duke.
694
00:29:50,605 --> 00:29:52,147
- Donnie?
- Yep?
695
00:29:52,148 --> 00:29:55,442
Robby's VIP is here.
696
00:29:57,112 --> 00:30:00,614
Hi. I'm Donnie, nurse practitioner.
697
00:30:00,615 --> 00:30:03,784
Robby's already put in orders
for a numbing spray
698
00:30:03,785 --> 00:30:05,035
for your nostril.
699
00:30:05,036 --> 00:30:06,829
"Nostril"? It's... it's my throat.
700
00:30:06,830 --> 00:30:08,789
- It's not my nose.
- Okay.
701
00:30:08,790 --> 00:30:10,541
Let's get you, uh...
702
00:30:10,542 --> 00:30:13,002
Set up in a room.
703
00:30:14,504 --> 00:30:16,547
That was the most
unprofessional deposition
704
00:30:16,548 --> 00:30:18,257
I've ever witnessed.
705
00:30:18,258 --> 00:30:21,760
They were nowhere near that
aggressive with Dr. Ellis.
706
00:30:21,761 --> 00:30:23,762
Oh, okay.
707
00:30:25,390 --> 00:30:27,933
It didn't go as badly as you think.
708
00:30:27,934 --> 00:30:29,852
They suggested I was incompetent.
709
00:30:29,853 --> 00:30:31,770
They're posturing to set the stage
710
00:30:31,771 --> 00:30:33,939
for a ridiculous settlement request.
711
00:30:33,940 --> 00:30:35,983
This isn't about those parents
or that kid.
712
00:30:35,984 --> 00:30:38,193
It's only about trying
to make a lot of money.
713
00:30:38,194 --> 00:30:41,280
Well, I-I don't have a lot of money.
714
00:30:41,281 --> 00:30:44,033
Not your money, Dr. King.
It's an insurance game.
715
00:30:44,034 --> 00:30:46,035
You're protected by the hospital.
716
00:30:46,036 --> 00:30:47,871
This won't affect your career.
717
00:30:52,834 --> 00:30:54,835
Hey. How was your deposition?
718
00:30:54,836 --> 00:30:56,837
Have you seen Dr. Langdon?
719
00:30:56,838 --> 00:30:58,839
Uh, no. Why?
720
00:31:00,216 --> 00:31:02,092
Okay, okay. How... how's Becca?
721
00:31:02,093 --> 00:31:03,677
- Oh, she's fine.
- Yeah?
722
00:31:03,678 --> 00:31:05,679
Okay, I should go see her, then.
723
00:31:05,680 --> 00:31:08,223
How was your deposition?
I'm sure it was stressful.
724
00:31:08,224 --> 00:31:10,059
It, uh...
725
00:31:10,060 --> 00:31:13,354
Um, what's going on with Becca?
What's her diagnosis?
726
00:31:13,355 --> 00:31:15,189
I can't tell you.
727
00:31:15,190 --> 00:31:16,523
Why?
728
00:31:16,524 --> 00:31:18,067
- HIPAA.
- Seriously?
729
00:31:18,068 --> 00:31:19,818
If you want to know what's
going on with Becca,
730
00:31:19,819 --> 00:31:21,445
you're gonna have to ask her yourself.
731
00:31:21,446 --> 00:31:23,072
Hey, you survived your deposition.
732
00:31:23,073 --> 00:31:24,907
Welcome back to the seventh
circle of hell.
733
00:31:24,908 --> 00:31:26,055
Wha... uh, what's this?
734
00:31:26,056 --> 00:31:28,011
You're welcome
for covering your patients.
735
00:31:28,012 --> 00:31:29,054
They're yours again.
736
00:31:29,055 --> 00:31:31,732
Might want to check on the
pancreatitis in North 3 first.
737
00:31:31,734 --> 00:31:33,151
O-okay.
738
00:31:33,152 --> 00:31:36,001
Langdon, I got some intel on Louie.
739
00:31:36,002 --> 00:31:37,628
They move him out of the viewing room?
740
00:31:37,629 --> 00:31:38,837
No, but county's promised
741
00:31:38,838 --> 00:31:40,464
they're on the way to come get him.
742
00:31:40,465 --> 00:31:42,257
Can I get the county coroner's number?
743
00:31:42,258 --> 00:31:43,331
What for?
744
00:31:43,332 --> 00:31:45,238
I just want to make sure
if no family shows up,
745
00:31:45,239 --> 00:31:47,846
- Louie gets a proper burial.
- That's expensive.
746
00:31:47,847 --> 00:31:49,890
You may want to run it
by the missus first.
747
00:31:49,891 --> 00:31:51,725
Uh, maybe I'll start a GoFundMe.
748
00:31:51,726 --> 00:31:53,560
I bet people around here would pitch in.
749
00:31:53,561 --> 00:31:56,146
Hey, kid, you can't do this
for every unhoused guy
750
00:31:56,147 --> 00:31:57,898
that dies around here.
751
00:31:57,899 --> 00:31:59,650
There but for the grace of God.
752
00:31:59,651 --> 00:32:01,485
No, the success of your sobriety
753
00:32:01,486 --> 00:32:03,904
is a testament to your support system.
754
00:32:03,905 --> 00:32:05,739
Louie didn't have that.
755
00:32:05,740 --> 00:32:07,825
Still, Louie was a good man.
756
00:32:07,826 --> 00:32:10,119
He deserves to be put
to rest with dignity.
757
00:32:10,120 --> 00:32:12,497
Okay. I'll dig it up.
758
00:32:15,166 --> 00:32:16,810
You heard all that?
759
00:32:18,086 --> 00:32:21,380
Robby, your VIP's here.
Got him in Central 11.
760
00:32:21,381 --> 00:32:23,383
Finally.
761
00:32:25,301 --> 00:32:27,302
About fucking time.
762
00:32:27,303 --> 00:32:29,513
If I knew you were gonna
make me wear a dress,
763
00:32:29,514 --> 00:32:30,889
I wouldn't have come at all.
764
00:32:30,890 --> 00:32:32,891
Dennis Whitaker, meet my buddy Duke.
765
00:32:32,892 --> 00:32:34,393
Uh, nice to meet you.
766
00:32:34,394 --> 00:32:36,478
Any friend of Dr. Robby's
is a friend of mine.
767
00:32:36,479 --> 00:32:38,480
"Friend" is a vast overstatement.
768
00:32:38,481 --> 00:32:40,232
He's more just a pain in my ass.
769
00:32:40,233 --> 00:32:42,317
Don't let his surly exterior fool you.
770
00:32:42,318 --> 00:32:44,319
Deep down inside, he's just as grumpy.
771
00:32:44,320 --> 00:32:46,238
How did you two meet?
772
00:32:46,239 --> 00:32:48,323
Tinder.
773
00:32:48,324 --> 00:32:50,909
Duke is a motorcycle engineer.
774
00:32:50,910 --> 00:32:52,703
You should've seen his Bonneville
775
00:32:52,704 --> 00:32:54,705
when he first brought it in
six months ago.
776
00:32:54,706 --> 00:32:56,165
Someone left it for dead.
777
00:32:56,166 --> 00:32:57,958
He helped me bring it back to life.
778
00:32:57,959 --> 00:32:59,543
Today we're going to return the favor.
779
00:32:59,544 --> 00:33:01,545
Dr. Whitaker's one
of our most trusted physicians,
780
00:33:01,546 --> 00:33:03,547
and today he's going to help me
oversee your care.
781
00:33:03,548 --> 00:33:06,008
Uh, what seems to be troubling you?
782
00:33:06,009 --> 00:33:08,343
Ask him. He's the one
who made me come in.
783
00:33:08,344 --> 00:33:10,888
He's had some hoarseness
on and off for a couple months.
784
00:33:10,889 --> 00:33:13,640
Okay, any history of tobacco
or alcohol use?
785
00:33:13,641 --> 00:33:16,518
Two of my oldest and closest friends.
786
00:33:16,519 --> 00:33:19,563
Former two-pack-a-day smoker
and lover of the drink.
787
00:33:19,564 --> 00:33:21,190
Okay. He on any medication?
788
00:33:21,191 --> 00:33:23,358
- Uh, blood-pressure meds.
- Mm-hmm.
789
00:33:23,359 --> 00:33:25,068
Which he forgets to take.
790
00:33:25,069 --> 00:33:26,945
He's all numbed up and ready to go.
791
00:33:26,946 --> 00:33:29,364
Okay. Thank you, Donnie.
792
00:33:29,365 --> 00:33:32,576
My man, I am gonna take this scope,
793
00:33:32,577 --> 00:33:34,745
and I'm gonna stick it in your nose,
794
00:33:34,746 --> 00:33:37,206
and we're going to check out
your upper airway.
795
00:33:37,207 --> 00:33:39,917
Eh, that seems like a lot
of fuss for a sore throat.
796
00:33:39,918 --> 00:33:41,960
Dr. Whitaker,
you want to explain to Duke
797
00:33:41,961 --> 00:33:44,004
why this procedure
is absolutely necessary?
798
00:33:44,005 --> 00:33:46,757
The scope is gonna give us
a better view of your voice box
799
00:33:46,758 --> 00:33:48,717
and your vocal cords.
800
00:33:48,718 --> 00:33:50,302
Here we go.
801
00:33:55,016 --> 00:33:57,559
Gonna feel a little pressure
between your eyes.
802
00:33:57,560 --> 00:33:59,061
I am sorry about that.
803
00:33:59,062 --> 00:34:01,355
Okay, just breathe through your nose.
804
00:34:01,356 --> 00:34:04,024
This is gonna help us see
if there are any abnormalities
805
00:34:04,025 --> 00:34:07,611
like inflammation, tumors, nodules.
806
00:34:07,612 --> 00:34:10,614
That all looks pretty normal.
I don't see too much drainage.
807
00:34:10,615 --> 00:34:12,783
Stick your tongue out for me,
all the way.
808
00:34:12,784 --> 00:34:15,911
All the way out. Good. Now say "eeeh."
809
00:34:15,912 --> 00:34:18,247
- Eeeh.
- Good. Now again, say "eeeh."
810
00:34:18,248 --> 00:34:20,040
- Eeeh.
- Good.
811
00:34:20,041 --> 00:34:21,416
Removing the scope.
812
00:34:21,417 --> 00:34:22,751
Mm.
813
00:34:22,752 --> 00:34:24,920
Dr. Whitaker, what do you think?
814
00:34:24,921 --> 00:34:27,089
Looks normal, no abnormalities.
815
00:34:27,090 --> 00:34:28,924
Told you it was nothing.
816
00:34:28,925 --> 00:34:31,426
With your history of smoking,
I'd like to do a chest X-ray.
817
00:34:31,427 --> 00:34:34,096
If there are growths, they can push
818
00:34:34,097 --> 00:34:36,932
against the recurrent
laryngeal nerve intermittently.
819
00:34:36,933 --> 00:34:39,017
That can paralyze one of the vocal cords
820
00:34:39,018 --> 00:34:41,270
and cause the hoarseness.
821
00:34:41,271 --> 00:34:44,022
That sounds like
a lot of bullshit doctor speak
822
00:34:44,023 --> 00:34:45,357
to charge me more.
823
00:34:45,358 --> 00:34:46,858
You've got Medicare.
824
00:34:46,859 --> 00:34:48,443
And, besides,
I finally got you into my ED.
825
00:34:48,444 --> 00:34:50,279
You're gonna get the golden workup
826
00:34:50,280 --> 00:34:51,655
before I leave town tonight.
827
00:34:51,656 --> 00:34:53,657
Only an idiot would ride all night
828
00:34:53,658 --> 00:34:55,492
after working a 12-hour day.
829
00:34:55,493 --> 00:34:57,411
That does sound pretty dangerous.
830
00:34:57,412 --> 00:34:59,788
You gonna stay put,
or do I have to tie you down?
831
00:34:59,789 --> 00:35:02,416
Fine, so long as you keep
your hands where I can see 'em.
832
00:35:02,417 --> 00:35:03,834
No promises.
833
00:35:03,835 --> 00:35:05,460
Let me know
when his chest X-ray is back.
834
00:35:05,461 --> 00:35:06,629
Yeah.
835
00:35:09,090 --> 00:35:11,675
- Hey.
- Hey.
836
00:35:11,676 --> 00:35:14,303
Are we okay?
837
00:35:14,304 --> 00:35:17,681
- Uh, yeah. Why?
- I don't know.
838
00:35:17,682 --> 00:35:21,685
You kind of ripped me a new one
in front of Langdon.
839
00:35:21,686 --> 00:35:24,313
- Whose side are you on?
- This isn't middle school.
840
00:35:24,314 --> 00:35:26,481
Langdon made a mistake
and owned up to it.
841
00:35:26,482 --> 00:35:28,526
- Let it go.
- He should...
842
00:35:30,695 --> 00:35:32,738
He should have been fired.
843
00:35:32,739 --> 00:35:35,532
But instead, he waltzes
back in here, no big deal.
844
00:35:35,533 --> 00:35:37,826
Meanwhile, I've been a goddamn
pariah for the last 10 months
845
00:35:37,827 --> 00:35:39,536
for doing the right thing.
846
00:35:39,537 --> 00:35:41,496
Or maybe you're a pariah
847
00:35:41,497 --> 00:35:44,082
because you don't play well with others.
848
00:35:44,083 --> 00:35:46,835
If you've still got beef
with Langdon, go tell him.
849
00:35:46,836 --> 00:35:48,295
He's here to stay.
850
00:35:48,296 --> 00:35:50,255
So put on your big-girl panties
and work it out.
851
00:35:50,256 --> 00:35:52,215
- He is no...
- Nope.
852
00:35:52,216 --> 00:35:55,093
You want to have sex and eat
ramen in bed, I'm your girl.
853
00:35:55,094 --> 00:35:58,347
But if you want to talk
about this Langdon shit, again,
854
00:35:58,348 --> 00:36:00,016
call a therapist.
855
00:36:09,359 --> 00:36:11,151
How's it hanging, Dr. J?
856
00:36:11,152 --> 00:36:14,905
- Never call me that again.
- It was a joke.
857
00:36:14,906 --> 00:36:18,533
Relax. He's clueless about your TikToks.
858
00:36:18,534 --> 00:36:20,160
But you're not.
859
00:36:20,161 --> 00:36:22,537
- Props on the side hustle.
- There is no hustle.
860
00:36:22,538 --> 00:36:24,206
They're just some stupid videos.
861
00:36:24,207 --> 00:36:25,916
- Wait, are you an influencer?
- No!
862
00:36:25,917 --> 00:36:28,210
Yep.
863
00:36:28,211 --> 00:36:30,295
Yo, pre-docs, it's not happy hour yet.
864
00:36:30,296 --> 00:36:33,131
There's still a shit ton
of patients to be seen.
865
00:36:36,386 --> 00:36:39,930
Uh, Ben, our slash-trake kid
from the water park
866
00:36:39,931 --> 00:36:41,973
had some purposeful movement in pre-op.
867
00:36:41,974 --> 00:36:43,558
- That's a good sign.
- Mm-hmm.
868
00:36:43,559 --> 00:36:44,977
Take the win.
869
00:36:46,938 --> 00:36:48,398
We need to talk.
870
00:36:50,400 --> 00:36:52,610
- We are talking.
- In private.
871
00:37:01,411 --> 00:37:03,912
What the hell was that
with Samira earlier?
872
00:37:03,913 --> 00:37:06,957
- That was tough love.
- You are her superior.
873
00:37:06,958 --> 00:37:10,627
She was obviously struggling,
and your advice was "go home"?
874
00:37:10,628 --> 00:37:12,129
Essentially, yeah.
875
00:37:12,130 --> 00:37:14,589
This is the ED... it's not
for the faint of heart.
876
00:37:14,590 --> 00:37:16,591
It's not for the unempathetic either.
877
00:37:16,592 --> 00:37:19,136
Samira's not having a panic attack
878
00:37:19,137 --> 00:37:20,595
because of her patient.
879
00:37:20,596 --> 00:37:22,389
She's having one
because of personal baggage.
880
00:37:22,390 --> 00:37:24,433
What she needs to do is
pull her head out of her ass
881
00:37:24,434 --> 00:37:26,059
- and focus on the work.
- What about you?
882
00:37:26,060 --> 00:37:28,103
What do you need to get some
basic human empathy back?
883
00:37:28,104 --> 00:37:31,606
Sh... I don't know.
884
00:37:31,607 --> 00:37:33,608
Something that gives me
a little hope this place
885
00:37:33,609 --> 00:37:36,319
won't fall to shit when I'm gone.
886
00:37:36,320 --> 00:37:37,612
Found him!
887
00:37:37,613 --> 00:37:39,364
Found who?
888
00:37:39,365 --> 00:37:41,825
- The water slide dad's kid.
- How'd you manage that?
889
00:37:41,826 --> 00:37:43,952
I went outside, stalked the dad's IG,
890
00:37:43,953 --> 00:37:45,996
found a pic of his son,
sent it to Pittsburgh PD.
891
00:37:45,997 --> 00:37:47,998
- Now they're on their way over.
- Oh.
892
00:37:47,999 --> 00:37:50,460
Well, maybe Gen Z
should be working for the FBI.
893
00:37:53,463 --> 00:37:55,464
- Hi, Becca.
- Mel!
894
00:37:55,465 --> 00:37:57,340
Hi.
895
00:37:57,341 --> 00:38:00,635
- You, uh... you doing all right?
- I'm a little bored.
896
00:38:00,636 --> 00:38:02,220
Yeah?
897
00:38:02,221 --> 00:38:04,848
- Um, how are you feeling?
- A lot better.
898
00:38:04,849 --> 00:38:07,267
Dr. Langdon gave me
some medicine and OJ.
899
00:38:07,268 --> 00:38:11,271
Oh, he's super nice.
I see why you like him.
900
00:38:11,272 --> 00:38:13,982
Did he tell you
what the medicine was for?
901
00:38:13,983 --> 00:38:16,860
Yes. Um, did you tell her?
902
00:38:16,861 --> 00:38:18,278
I did not.
903
00:38:18,279 --> 00:38:19,863
Uh, I explained to Becca
904
00:38:19,864 --> 00:38:22,491
that due to doctor-patient
confidentiality,
905
00:38:22,492 --> 00:38:24,826
everything she told me was private
906
00:38:24,827 --> 00:38:26,286
and that it was her decision
907
00:38:26,287 --> 00:38:30,123
if she wanted to share anything
with you or not.
908
00:38:30,124 --> 00:38:33,377
- Um, do you want to share?
- Yes.
909
00:38:44,514 --> 00:38:48,058
I have a urinary-tract infection.
910
00:38:48,059 --> 00:38:50,894
Oh. Okay.
911
00:38:50,895 --> 00:38:54,189
Yeah, those, um... those
can happen if you, you know,
912
00:38:54,190 --> 00:38:56,942
hold your pee in for too long
or you accidentally wipe
913
00:38:56,943 --> 00:38:59,110
- from back to front...
- Mel, I know. I know, Mel.
914
00:38:59,111 --> 00:39:01,905
- He told me.
- Oh, good.
915
00:39:01,906 --> 00:39:06,076
You know, he also told me
it can happen from having sex.
916
00:39:06,077 --> 00:39:07,994
Uh, yeah, it can.
917
00:39:07,995 --> 00:39:10,330
Uh, it's not like you're having sex.
918
00:39:10,331 --> 00:39:11,541
Yes, I am.
919
00:39:15,211 --> 00:39:18,714
- I'm sorr... What?
- I'm having sex.
920
00:39:20,550 --> 00:39:22,843
- With who?
- My boyfriend.
921
00:39:22,844 --> 00:39:25,011
- You have a boyfriend?
- Yes.
922
00:39:25,012 --> 00:39:29,850
His name is Adam,
and we're having sex...
923
00:39:29,851 --> 00:39:31,227
lots of sex.
924
00:39:33,354 --> 00:39:34,981
Okay.
925
00:39:36,732 --> 00:39:40,986
Um, Mel, are... are you okay?
926
00:39:40,987 --> 00:39:43,405
Mm-hmm.
927
00:39:45,575 --> 00:39:47,784
- Got a sec?
- Sure.
928
00:39:47,785 --> 00:39:50,954
- How you feeling?
- I'm fine.
929
00:39:50,955 --> 00:39:52,664
- Are you sure?
- Yeah.
930
00:39:52,665 --> 00:39:55,584
Troponin, D-dimer, and TSH all normal.
931
00:39:55,585 --> 00:39:57,586
Listen, I'm sorry about earlier.
932
00:39:57,587 --> 00:40:00,255
- I think I was being...
- A dick?
933
00:40:00,256 --> 00:40:02,340
I was gonna say "unprofessional,"
934
00:40:02,341 --> 00:40:04,843
but probably that, too.
935
00:40:04,844 --> 00:40:08,138
- I'm sorry.
- Thanks.
936
00:40:08,139 --> 00:40:10,765
But now I kind of need you to
stop feeling sorry for yourself
937
00:40:10,766 --> 00:40:12,642
and focus back on your patients.
938
00:40:12,643 --> 00:40:15,604
- Think you can do that?
- Sure.
939
00:40:15,605 --> 00:40:16,814
Great.
940
00:40:19,942 --> 00:40:22,777
With this extra dose
and increased morphine
941
00:40:22,778 --> 00:40:24,404
from the pump,
942
00:40:24,405 --> 00:40:26,114
your pain should subside.
943
00:40:26,115 --> 00:40:28,825
Your breathing will slow down.
944
00:40:28,826 --> 00:40:31,786
You may get very sleepy.
945
00:40:31,787 --> 00:40:35,624
Paul, go be with the boys.
946
00:40:35,625 --> 00:40:39,002
They need you more than I do now.
947
00:40:39,003 --> 00:40:41,087
Later.
948
00:40:41,088 --> 00:40:44,050
Right now I'm exactly
where I'm supposed to be.
949
00:40:52,016 --> 00:40:53,975
Yeah.
950
00:40:53,976 --> 00:40:55,393
Okay.
951
00:40:55,394 --> 00:40:56,594
Here we go.
952
00:40:56,596 --> 00:40:59,620
Sync and corrections by btsix
www.MY-SUBS.com