1 00:00:38,090 --> 00:00:39,090 What now? 2 00:00:39,330 --> 00:00:40,450 Now we wait. 3 00:00:41,410 --> 00:00:42,490 How long before? 4 00:00:43,270 --> 00:00:44,550 I have no idea. 5 00:00:45,150 --> 00:00:46,210 Could be hours. 6 00:00:46,650 --> 00:00:47,710 It doesn't feel right. 7 00:00:49,010 --> 00:00:51,690 Remember Robbie talked about... It still feels wrong. 8 00:00:54,230 --> 00:00:55,770 This is Roxy's decision. 9 00:00:56,630 --> 00:00:59,350 Everything else in her life is out of her control except this. 10 00:01:00,250 --> 00:01:02,170 She wants to go out on her own terms. 11 00:01:02,990 --> 00:01:04,709 Very few of us get to do that. 12 00:01:05,069 --> 00:01:06,170 I should pick up more patients. 13 00:01:11,880 --> 00:01:14,680 So Adam lives at Middle Hill? He lives in Middle Hill. 14 00:01:15,000 --> 00:01:18,040 And he's three years older than you? He's three years older than me. 15 00:01:18,940 --> 00:01:22,880 And he asked you to be his girlfriend six months ago? 16 00:01:24,220 --> 00:01:29,020 He asked me to be his girlfriend at game night, and I said yes. 17 00:01:29,740 --> 00:01:32,040 Got a patient waiting for a doctor. Heard he's going 13. 18 00:01:32,460 --> 00:01:33,460 Okay, I'll be right there. 19 00:01:36,960 --> 00:01:39,420 Did Adam ask you if you wanted to have sex? 20 00:01:40,020 --> 00:01:42,550 I, Mel, I... I don't know if I can tell you. 21 00:01:43,290 --> 00:01:44,930 Of course you can tell me I'm your sister. 22 00:01:45,290 --> 00:01:46,290 Well, it's private. 23 00:01:47,170 --> 00:01:49,730 Look, it's just, it's really important that I know. 24 00:01:49,970 --> 00:01:51,110 Why? Because. 25 00:01:51,650 --> 00:01:58,190 Well, I can tell Dr. Langdon because Dr. Langdon's my doctor, but I don't think 26 00:01:58,190 --> 00:02:02,330 I can tell you. Becca, just tell me. Why are you yelling? I'm not yelling. It's 27 00:02:02,330 --> 00:02:04,210 just, look, it's really important that I know. 28 00:02:04,450 --> 00:02:08,210 You're definitely yelling. Becca. Maybe we should step outside for a minute. Why 29 00:02:08,210 --> 00:02:09,690 won't you tell me? Dr. King. 30 00:02:11,610 --> 00:02:12,610 Why don't you get some air? 31 00:02:16,570 --> 00:02:17,570 Sorry. 32 00:02:18,810 --> 00:02:19,810 Sorry. 33 00:02:25,310 --> 00:02:26,970 Hey, have you seen any of the x -ray techs around? 34 00:02:27,250 --> 00:02:28,250 Nope. 35 00:02:30,590 --> 00:02:32,450 Got an update for me? I'm just checking in. 36 00:02:32,970 --> 00:02:35,830 What are the chances of me getting out of here on time, do you think? 37 00:02:36,050 --> 00:02:38,790 It's up to you, Cap. We can handle this. Question us where you let us. 38 00:02:45,520 --> 00:02:46,640 Are you two getting along? 39 00:02:47,380 --> 00:02:49,100 I can play nice for another two hours. 40 00:02:52,600 --> 00:02:57,440 Kept calling me Doc. Didn't know he was the real Doc until a few months in. He 41 00:02:57,440 --> 00:02:59,180 was keeping his secret life from me. 42 00:03:00,140 --> 00:03:01,580 Where are we with this chest x -ray? 43 00:03:02,140 --> 00:03:04,040 X -rays are still six or seven behind. 44 00:03:04,720 --> 00:03:05,720 When was the last time you checked? 45 00:03:07,600 --> 00:03:08,740 Maybe ten minutes ago. 46 00:03:09,600 --> 00:03:14,260 Yeah. Come on, give the kid a break. It says here it takes an hour to get an x 47 00:03:14,260 --> 00:03:16,200 -ray. First person to read this fucking thing all day. 48 00:03:19,640 --> 00:03:20,940 Don't get me started on those. 49 00:03:23,320 --> 00:03:24,320 How are you feeling? 50 00:03:25,240 --> 00:03:26,240 I'm good. 51 00:03:27,820 --> 00:03:29,420 You know, I take Lexapro. 52 00:03:29,940 --> 00:03:32,040 It helps with panic attacks, not just depression. 53 00:03:32,320 --> 00:03:33,460 Promise? I'm fine. 54 00:03:34,920 --> 00:03:36,140 Sorry about that, Mrs. Torres. 55 00:03:36,910 --> 00:03:40,050 Are you okay? I thought you were going to pass out. Yep, all good. 56 00:03:40,530 --> 00:03:42,150 Let's just pick up where we left off. 57 00:03:44,290 --> 00:03:50,150 Mrs. Torres presents with one week of painful swollen right calf. No trauma, 58 00:03:50,150 --> 00:03:52,510 fever, no history of hypercoagulable state. 59 00:03:52,790 --> 00:03:56,690 However, she did take a 15 -hour bus ride from Orlando to Pittsburgh last 60 00:03:57,430 --> 00:04:02,650 Mrs. Torres, we're concerned about a possible blood clot in your leg that can 61 00:04:02,650 --> 00:04:03,790 lead to serious complications. 62 00:04:04,330 --> 00:04:06,130 We need to do an ultrasound, but... 63 00:04:06,430 --> 00:04:09,390 No need to worry. If it's positive, we can treat with a blood thinner. 64 00:04:09,830 --> 00:04:12,830 Bueno. If there's something I learned, it's to stop worrying. 65 00:04:13,550 --> 00:04:16,089 Can all you worries add a single moment to your life? 66 00:04:20,050 --> 00:04:21,769 Start to the lab. They said one's critical. 67 00:04:22,130 --> 00:04:25,370 I'm supposed to call those up. I know. Every time they try, the red phone's 68 00:04:25,370 --> 00:04:29,610 busy. Jesus Christ, this was resulted 25 minutes ago. Sodium 112. 69 00:04:30,870 --> 00:04:31,870 Mohan. 70 00:04:32,890 --> 00:04:35,330 Bring us some salt on your patient before he seizes. 71 00:04:36,640 --> 00:04:40,580 Where are we? Kidney stone patient's not obstructed. Just waiting on meds. 72 00:04:40,760 --> 00:04:44,360 Ortho's performing the replantation on our water slide trauma. A perforated 73 00:04:44,360 --> 00:04:47,400 diverticulitis patient, Howard, made it through surgery. 74 00:04:47,780 --> 00:04:51,860 And I'm calling the CYF resource navigator to see if we're getting 75 00:04:51,860 --> 00:04:54,100 emergency foster care for baby Jane Doe. 76 00:04:54,540 --> 00:04:58,780 Other than that, labs and x -rays are way behind, but our golden girls are 77 00:04:58,780 --> 00:04:59,780 getting their steps done. 78 00:05:01,520 --> 00:05:05,120 Does Robbie usually leave as soon as the shift ends, or does he like to stick 79 00:05:05,120 --> 00:05:07,060 around for all the handoffs and night shifts? 80 00:05:07,740 --> 00:05:10,180 Depends. He's usually pretty good about getting out of here. 81 00:05:14,220 --> 00:05:17,420 Shortness of breath in top 16. He could totally decompensate. 82 00:05:19,460 --> 00:05:23,460 I'm hoping to catch another intubation before 7. One more gets me to 3 in my 83 00:05:23,460 --> 00:05:24,460 first week. 84 00:05:24,580 --> 00:05:25,580 Probably a record. 85 00:05:27,940 --> 00:05:29,440 I'm looking for an easy one. 86 00:05:30,190 --> 00:05:32,070 Chef Dan's in two hours. 87 00:05:32,890 --> 00:05:35,010 You're supposed to pick up the stable patients in order. 88 00:05:35,590 --> 00:05:37,570 Do you need a second opinion on that? 89 00:05:38,410 --> 00:05:39,410 No. 90 00:05:40,570 --> 00:05:44,450 Dr. McKay. Yeah. A girl named Kiki came into reception looking for you. Kiki? 91 00:05:44,790 --> 00:05:47,210 She said she'd be in the park. Yeah, great. Thanks. 92 00:05:52,050 --> 00:05:55,650 Hey, I think the labs are back on your PID patient. 93 00:05:56,050 --> 00:05:57,050 Thanks. 94 00:05:57,870 --> 00:05:58,870 Is everything okay? 95 00:06:01,760 --> 00:06:02,760 Fantastic. 96 00:06:06,300 --> 00:06:09,420 Langdon. Kind of hoping I would never see him again. 97 00:06:10,540 --> 00:06:12,800 You know, maybe he's changed. 98 00:06:15,780 --> 00:06:18,140 When you got a sec, there's something... Santos! 99 00:06:18,720 --> 00:06:20,760 I need you to pick up food poisoning in 12. 100 00:06:21,320 --> 00:06:22,380 Yeah, sure, why not? 101 00:06:22,880 --> 00:06:26,660 What? No snark? No pushback? What have you done with Santos? 102 00:06:27,060 --> 00:06:28,920 Only two hours to go. 103 00:06:29,160 --> 00:06:30,160 I surrender. 104 00:06:31,550 --> 00:06:32,550 That's a spirit. 105 00:06:39,190 --> 00:06:40,190 How's Becca? 106 00:06:40,390 --> 00:06:41,390 She's good. 107 00:06:41,930 --> 00:06:44,890 I'm trying to call her a living community, but they are not picking up. 108 00:06:45,690 --> 00:06:46,690 Why are you calling them? 109 00:06:48,230 --> 00:06:50,270 Because I don't know anything about this Adam person. 110 00:06:51,190 --> 00:06:54,810 I mean, they've been dating for six months, and I don't know anything. 111 00:06:55,920 --> 00:06:59,300 She never said anything about wanting a boyfriend or even liking anyone. 112 00:06:59,700 --> 00:07:01,580 That doesn't mean she hasn't thought about it. 113 00:07:02,340 --> 00:07:04,900 I don't want to think about my sister thinking about having sex. 114 00:07:05,500 --> 00:07:07,920 I mean, you could say he didn't take advantage of her. 115 00:07:08,460 --> 00:07:09,580 Middle Hill just let it happen. 116 00:07:10,440 --> 00:07:13,620 Why didn't they tell me? Well, maybe they didn't know about it. Six months, 117 00:07:13,620 --> 00:07:14,620 had to have known. 118 00:07:15,620 --> 00:07:18,300 Maybe it was a mistake choosing Middle Hill. 119 00:07:18,540 --> 00:07:23,360 I mean, we saw a lot of good places, but that is where Becca wanted to go. 120 00:07:24,420 --> 00:07:26,580 Are you... Becca's legal guardian? 121 00:07:27,200 --> 00:07:30,660 No, I have durable power of attorney, but we did this thing called supportive 122 00:07:30,660 --> 00:07:33,920 decision -making where she can make her own decisions. 123 00:07:35,020 --> 00:07:36,020 There you go. 124 00:07:36,460 --> 00:07:38,140 Well, this is different. Why? 125 00:07:38,780 --> 00:07:39,860 Because it is. 126 00:07:43,920 --> 00:07:47,820 My son, he's not moving. 127 00:08:00,240 --> 00:08:02,700 I got a hot and unresponsive child. I need a room, Dana. 128 00:08:03,060 --> 00:08:04,060 Trauma, too. 129 00:08:04,960 --> 00:08:06,300 We need a core temp ASAP. 130 00:08:07,780 --> 00:08:09,740 Hi, I'm Dr. Al -Hashimi. Are you Mom? 131 00:08:10,000 --> 00:08:12,200 Brenda, is there Mindy? And this is... Micah. 132 00:08:13,720 --> 00:08:17,640 Has Micah been sick with a fever? No, he was fine all day. I found him in the 133 00:08:17,640 --> 00:08:18,640 car. 134 00:08:19,820 --> 00:08:21,320 Pupils are sluggish but reactive. 135 00:08:22,400 --> 00:08:23,500 No reaction to pain. 136 00:08:26,240 --> 00:08:28,220 Airway is patent with low tidal volume. 137 00:08:29,550 --> 00:08:30,550 Set up for intubation? 138 00:08:31,630 --> 00:08:33,850 Heart rate is 22 in 10 seconds. That's 132. 139 00:08:34,130 --> 00:08:35,130 Do you know his weight? 140 00:08:35,650 --> 00:08:37,789 No. Joy, the Proslow? The what? 141 00:08:38,030 --> 00:08:41,110 The Proslow tape gives us all the drug doses based on length. 142 00:08:41,530 --> 00:08:42,530 Assisting with ventilation. 143 00:08:42,630 --> 00:08:43,630 Somebody call respiratory. 144 00:08:44,049 --> 00:08:45,650 You said you just found him in the car? 145 00:08:45,870 --> 00:08:49,930 I was working in the garden while he rode his trike in the driveway. One 146 00:08:49,930 --> 00:08:53,450 he was there, and then he wasn't. I thought he had gone into the house, but 147 00:08:53,450 --> 00:08:55,910 couldn't find him anywhere. He must have gotten... 148 00:08:56,330 --> 00:09:01,150 Tired and climbed in and fallen asleep. By the time I found him, I couldn't wake 149 00:09:01,150 --> 00:09:02,850 him up. How long was he in there? 150 00:09:03,250 --> 00:09:07,270 Maybe 15 minutes or 20. And the car was just unlocked. 151 00:09:08,670 --> 00:09:09,950 It's a safe neighborhood. 152 00:09:10,230 --> 00:09:11,230 Joy? 153 00:09:11,690 --> 00:09:17,790 Okay, so you're going to want to start at the head, measure the length, 154 00:09:17,930 --> 00:09:19,310 and then read it off. 155 00:09:20,750 --> 00:09:22,070 Approximate weight is 25 kilograms. 156 00:09:22,410 --> 00:09:23,850 250 bullets of LR. 157 00:09:24,330 --> 00:09:27,930 I have doses for rock and ketamine. Almost no tone. I can do this dot med. 158 00:09:28,830 --> 00:09:30,430 It's easy enough to bag. Let's wait for RP. 159 00:09:30,650 --> 00:09:34,630 When the temperature is this high, the muscles can lose their strength. So 160 00:09:34,630 --> 00:09:35,870 going to help him breathe through the tooth. 161 00:09:36,930 --> 00:09:38,750 Rectal temp is 105 .5. 162 00:09:39,230 --> 00:09:40,009 Heat stroke. 163 00:09:40,010 --> 00:09:42,990 Ice packs to the groin and axilla. See if we have an arctic sun that's not in 164 00:09:42,990 --> 00:09:44,390 use. We need all the ice we can get. 165 00:09:45,590 --> 00:09:47,050 And a pediatric body bag. 166 00:09:50,830 --> 00:09:53,970 Still waiting on your Ketorolac pills. I will keep following up with the 167 00:09:53,970 --> 00:09:56,910 pharmacy. I told my son I would meet him at the park. We always watch the 168 00:09:56,910 --> 00:09:59,970 fireworks together. Sorry, Mr. Green, we won't forget about you. All right. 169 00:10:05,110 --> 00:10:06,170 Heard you had a heart attack. 170 00:10:06,430 --> 00:10:07,790 I did not have a heart attack. 171 00:10:09,550 --> 00:10:11,210 Hey, Tamara, how are you feeling? 172 00:10:11,450 --> 00:10:12,470 I am totally fine. 173 00:10:13,830 --> 00:10:17,490 I'm glad to hear it. Hey, do you mind watching my patients for five minutes? I 174 00:10:17,490 --> 00:10:19,230 have to step out for a sec. No problem. 175 00:10:19,660 --> 00:10:21,900 Ogilvy, you want to get some air? 176 00:10:22,100 --> 00:10:25,480 I've got a good case for you. Might an intubation be required? 177 00:10:26,040 --> 00:10:29,600 No. It's an unhoused patient I've treated on the street team. 178 00:10:41,780 --> 00:10:42,780 Hi, Becca. 179 00:10:54,440 --> 00:10:55,660 I'm sorry I yelled at you. 180 00:10:56,460 --> 00:10:59,660 I was just surprised. 181 00:11:00,100 --> 00:11:01,640 The nurse said I can leave. 182 00:11:02,460 --> 00:11:06,080 Yeah, um, can we just finish our conversation first? About what? 183 00:11:07,560 --> 00:11:14,180 Look, I know you don't have to tell me anything. I just kind of hope you'd want 184 00:11:14,180 --> 00:11:15,180 to. 185 00:11:17,360 --> 00:11:21,680 When Adam asked you to have sex... He didn't ask me. I asked him. 186 00:11:23,480 --> 00:11:24,439 So you didn't... 187 00:11:24,440 --> 00:11:25,440 Pressure? No. 188 00:11:26,480 --> 00:11:28,500 So you wanted to have sex? 189 00:11:29,860 --> 00:11:32,320 I wanted to have sex. Sex is great. 190 00:11:32,600 --> 00:11:35,080 We talked about sex in my mind and body class. 191 00:11:35,300 --> 00:11:36,880 I told my therapist, too. 192 00:11:39,700 --> 00:11:43,760 You have pancreatitis in your three still waiting for you. Can I go now? 193 00:11:44,060 --> 00:11:45,280 Just one second. 194 00:11:45,600 --> 00:11:47,720 I'll be right there. I'm just going to walk my sister out. 195 00:11:53,940 --> 00:11:55,620 Yep, sorry, I'm right behind you. 196 00:11:58,080 --> 00:12:02,300 Curtis Larson, 42, called to the golf course for combative behavior with his 197 00:12:02,300 --> 00:12:05,520 buddies. No signs of trauma, just alcohol in the breath. 198 00:12:05,720 --> 00:12:06,860 Seems to have calmed down a bit. 199 00:12:07,220 --> 00:12:10,620 He was fighting us so hard we had to give four milligrams of Versed to get 200 00:12:10,620 --> 00:12:11,619 vitals in a line. 201 00:12:11,620 --> 00:12:15,220 Good BP, pulse ox 99 on two liters. Between the booze and the Versed, he'll 202 00:12:15,220 --> 00:12:16,260 sleeping it off for a while. 203 00:12:16,520 --> 00:12:17,660 Central 14, guys. 204 00:12:27,850 --> 00:12:30,710 Is her husband still in there with her? Yeah, she bodies with him. 205 00:12:31,090 --> 00:12:32,990 She needs a death note. I can't find McKay. 206 00:12:33,850 --> 00:12:34,850 Okay, I'll be right there. 207 00:12:34,970 --> 00:12:35,970 Okay. 208 00:12:36,310 --> 00:12:38,230 Have you seen McKay anywhere? 209 00:12:38,510 --> 00:12:39,510 No. 210 00:12:42,110 --> 00:12:44,070 Have you ever seen a xylosine wound? 211 00:12:44,330 --> 00:12:45,770 No. But you know what it is? 212 00:12:46,490 --> 00:12:50,670 Yes. Then you know its street name is Prank, and this shit is nasty and can 213 00:12:50,670 --> 00:12:51,670 to skin necrosis. 214 00:12:52,370 --> 00:12:53,830 I've never understood drug addiction. 215 00:12:54,530 --> 00:12:56,210 Well, you need to try. 216 00:12:56,910 --> 00:12:58,790 A little empathy goes a long way in this job. 217 00:12:59,130 --> 00:13:03,070 I am empathetic. I don't understand how an intelligent person allows themselves. 218 00:13:03,170 --> 00:13:06,850 Can make mistakes, heal themselves, take away the pain, hide from the abuse. 219 00:13:08,050 --> 00:13:09,730 A healer is not judges. 220 00:13:11,290 --> 00:13:13,730 Shouldn't we go to the crosswalk now? 221 00:13:14,570 --> 00:13:15,970 Okay, this is what we're doing. 222 00:13:16,470 --> 00:13:18,310 I see organ donation in my future. 223 00:13:18,810 --> 00:13:19,810 Sorry. 224 00:14:15,760 --> 00:14:16,860 How's it going, Kiki? 225 00:14:17,900 --> 00:14:18,900 Who's this? 226 00:14:19,500 --> 00:14:22,740 Oh, it's Uncle V. He's a student doctor here to help me. 227 00:14:23,340 --> 00:14:24,420 What's happening with you? 228 00:14:25,760 --> 00:14:28,140 My leg's getting stinky again. Yeah? 229 00:14:28,700 --> 00:14:29,720 Okay, let's take a look. 230 00:14:35,120 --> 00:14:36,700 Is that an injection site? 231 00:14:37,280 --> 00:14:40,720 No. No, xylosine wounds can show up anywhere. 232 00:14:41,320 --> 00:14:42,880 You still need to drink? 233 00:14:43,520 --> 00:14:44,520 Sometimes. 234 00:14:44,970 --> 00:14:46,250 Sometimes it's not good, Kiki. 235 00:14:46,510 --> 00:14:47,910 You know, it's nasty stuff. 236 00:14:48,170 --> 00:14:49,170 I'm trying to quit. 237 00:14:49,270 --> 00:14:50,470 How are you going about that? 238 00:14:51,050 --> 00:14:52,750 I go to meetings sometimes. 239 00:14:53,370 --> 00:14:54,370 Meetings are good. 240 00:14:54,670 --> 00:14:56,790 And not you seems even better. 241 00:15:00,270 --> 00:15:01,930 Okay, what's your plan, Uncle V? 242 00:15:06,130 --> 00:15:07,130 Uncle V, you okay? 243 00:15:08,050 --> 00:15:09,050 Yes. Yeah? 244 00:15:09,510 --> 00:15:10,510 Absolutely. 245 00:15:10,750 --> 00:15:13,830 My plan is clean with saline. 246 00:15:15,710 --> 00:15:17,810 Antibiotics? Meta honey to break down the eschar. 247 00:15:18,370 --> 00:15:19,370 And then? 248 00:15:21,410 --> 00:15:25,550 Redress with zero form and an ABD pad and acrylic spray. Yeah, that'll do it. 249 00:15:25,750 --> 00:15:29,230 You need to change this dressing every day, Kiki, okay? I don't think I can do 250 00:15:29,230 --> 00:15:32,630 that. We'll give you all the supplies you can do yourself. You won't even have 251 00:15:32,630 --> 00:15:33,630 to come back here. 252 00:15:33,910 --> 00:15:34,910 Yeah. 253 00:15:35,570 --> 00:15:37,030 Okay. Okay. 254 00:15:38,690 --> 00:15:39,910 Okay, pass the saline. 255 00:15:49,560 --> 00:15:52,300 Hey, I'm Dr. Whitaker. This is Dr. Santos. 256 00:15:52,900 --> 00:15:54,860 Roberto. Like Roberto Clemente. 257 00:15:56,280 --> 00:15:58,460 Oh, sorry. I don't know who that is. 258 00:16:00,080 --> 00:16:01,680 Pirates Hall of Famer Roberto Clemente. 259 00:16:02,200 --> 00:16:04,040 You don't watch baseball? 260 00:16:05,500 --> 00:16:07,040 Well, I'm from Nebraska. 261 00:16:07,560 --> 00:16:12,100 We went to a few Storm Chasers games as a kid. That's about it. No major league 262 00:16:12,100 --> 00:16:13,100 team, you know. 263 00:16:14,420 --> 00:16:16,040 All right. What happened to your elbow? 264 00:16:17,040 --> 00:16:23,840 O 'Neal Cruz hits a walk -off tater, right? And I catch it, you know, but 265 00:16:23,840 --> 00:16:27,940 somebody fell on top of me. And I think I heard a pop, but hard to tell with all 266 00:16:27,940 --> 00:16:28,799 the screaming. 267 00:16:28,800 --> 00:16:30,120 That sounds pretty dangerous. 268 00:16:30,560 --> 00:16:33,240 You're not one of those guys who steals balls from kids, are you? 269 00:16:34,540 --> 00:16:37,080 I didn't steal this. I wouldn't do that. I would never do that. I would never do 270 00:16:37,080 --> 00:16:38,080 that. 271 00:16:39,020 --> 00:16:40,560 Can you move your fingers for me? 272 00:16:43,740 --> 00:16:44,740 And the thumb? 273 00:16:47,609 --> 00:16:49,930 No. You know what? We can put that in a balloon. 274 00:16:50,770 --> 00:16:53,270 No, thanks. I think I will hold on to this. 275 00:16:54,790 --> 00:16:59,130 Okay. You know what? We can put you in a sling, and then you can hold on to the 276 00:16:59,130 --> 00:17:00,170 ball while we examine you. 277 00:17:02,370 --> 00:17:03,370 Okay. Yeah, I guess. 278 00:17:05,890 --> 00:17:09,710 You're going to throw in an IV and start with four morphine? No, no, no, no. I 279 00:17:09,710 --> 00:17:10,710 don't want to be knocked out. 280 00:17:11,290 --> 00:17:14,930 No, it's a low dose. You won't be knocked out. It'll just help with the 281 00:17:14,930 --> 00:17:15,930 might make you a little drowsy. Oh. 282 00:17:16,750 --> 00:17:17,770 I need to stay alert. 283 00:17:18,790 --> 00:17:19,790 Okay. 284 00:17:20,010 --> 00:17:24,390 We will order you an X -ray. Just please let us know if you change your mind. 285 00:17:25,430 --> 00:17:26,430 Okay, yeah. 286 00:17:30,230 --> 00:17:31,870 Temp is down to 103 .5. 287 00:17:32,790 --> 00:17:34,470 On way to 98 .6. 288 00:17:34,870 --> 00:17:38,810 102, we take him off the ice. Otherwise, we can overshoot and cause hypothermia. 289 00:17:39,290 --> 00:17:40,650 I put in orders for CK. 290 00:17:41,370 --> 00:17:42,950 What does the CK tell us, Julie? 291 00:17:43,870 --> 00:17:45,910 Raptor from muscle breakdown can take out the kidneys. 292 00:17:46,640 --> 00:17:48,080 More concerned about his brain. 293 00:17:54,620 --> 00:17:59,200 It's two times a day for three days, and a nurse can crush it up. Dr. Langdon 294 00:17:59,200 --> 00:18:00,200 already told me. 295 00:18:00,520 --> 00:18:01,520 Okay, bye, Mel. 296 00:18:02,000 --> 00:18:03,620 I'll see you at fireworks. 297 00:18:03,880 --> 00:18:07,700 Oh, I was going to watch fireworks with Adam and his parents. 298 00:18:08,980 --> 00:18:10,760 Where? At the park. 299 00:18:11,100 --> 00:18:12,100 They're picking us up. 300 00:18:12,320 --> 00:18:13,400 They go every year. 301 00:18:13,640 --> 00:18:16,100 We always watch the fireworks together. I have your headphones. 302 00:18:16,570 --> 00:18:17,610 Adam said he has extra. 303 00:18:18,630 --> 00:18:21,070 Okay, well, do you have Adam's parents' phone number? 304 00:18:21,610 --> 00:18:22,610 Why? 305 00:18:22,950 --> 00:18:24,270 In case I need to reach them. 306 00:18:26,890 --> 00:18:27,890 I want to go now. 307 00:18:28,450 --> 00:18:29,850 I guess I could... Bye now. 308 00:18:33,270 --> 00:18:35,170 So how long have you been part of the street team? 309 00:18:35,570 --> 00:18:36,570 Oh, about a year. 310 00:18:37,690 --> 00:18:39,170 And why do you do it? 311 00:18:39,790 --> 00:18:42,870 Oh, most of these unhoused folks feel abandoned. Sorry. 312 00:18:43,500 --> 00:18:44,940 They, uh, don't trust easily. 313 00:18:45,420 --> 00:18:47,220 Meeting them where they're at makes a big difference. 314 00:18:48,240 --> 00:18:50,320 I've been trying to get Kiki to come by for a month. 315 00:18:51,580 --> 00:18:53,140 You should, uh, volunteer. 316 00:18:54,140 --> 00:18:56,240 It's great training. Street Team could always use the help. 317 00:18:57,960 --> 00:18:59,760 Yeah. Uh, maybe. 318 00:19:00,200 --> 00:19:01,200 Thank you. 319 00:19:01,700 --> 00:19:03,300 Hey, how did the deposition go? 320 00:19:03,900 --> 00:19:05,700 Um, I'm glad it's over. 321 00:19:06,420 --> 00:19:08,780 But I didn't feel good about it at all. 322 00:19:09,500 --> 00:19:12,220 You know, I'm still not supposed to talk about it. No, but you can talk about 323 00:19:12,220 --> 00:19:13,220 how you feel. 324 00:19:13,350 --> 00:19:15,950 Who do you have to talk to when things aren't going so good? Friends? 325 00:19:16,270 --> 00:19:17,270 Family? 326 00:19:17,510 --> 00:19:20,090 Actually, I don't really have any. Hey, McKay, where have you been? 327 00:19:20,410 --> 00:19:21,770 Oh, I stepped out. 328 00:19:22,050 --> 00:19:23,690 Did you tell anybody? 329 00:19:23,990 --> 00:19:26,530 I was treating a young woman I met on the street team. 330 00:19:26,810 --> 00:19:28,130 Did she check in as a patient? 331 00:19:28,870 --> 00:19:30,550 No, we treated her in the park. 332 00:19:32,370 --> 00:19:33,370 We? 333 00:19:34,790 --> 00:19:38,090 I, uh, I took Opal B. Oh, okay, so... 334 00:19:38,490 --> 00:19:42,190 You treated her outside the ED on PTMC's diamond. You brought a medical student 335 00:19:42,190 --> 00:19:45,490 with you. Right when we're in the middle of crisis mode and we need all hands on 336 00:19:45,490 --> 00:19:48,590 deck. I'm gone for ten minutes. Talk. When you're here, I need you to be here. 337 00:19:48,790 --> 00:19:50,910 And while you stepped out, Roxy died. 338 00:19:53,390 --> 00:19:54,390 What? 339 00:19:58,650 --> 00:19:59,509 Oh, man. 340 00:19:59,510 --> 00:20:00,510 I'm sorry. 341 00:20:01,330 --> 00:20:03,310 I didn't think she would be gone that quickly. 342 00:20:06,870 --> 00:20:07,870 Excuse me? 343 00:20:08,899 --> 00:20:10,900 She took a nasty fall, her shoulder. 344 00:20:11,440 --> 00:20:14,480 Screamed in pain when we put the ties on her. Hello, I'm Dr. Rabinovich. This is 345 00:20:14,480 --> 00:20:15,480 Dr. McKay. 346 00:20:15,560 --> 00:20:17,440 Agents Correa and Russo. 347 00:20:17,880 --> 00:20:19,960 She needs to be looked at before we process her. 348 00:20:20,480 --> 00:20:21,480 What's your name, ma 'am? 349 00:20:23,720 --> 00:20:24,720 Anita. 350 00:20:25,120 --> 00:20:26,480 We're going to take care of you, okay? 351 00:20:27,600 --> 00:20:28,600 You say she fell? 352 00:20:29,080 --> 00:20:31,160 We'll conduct a sleep at her restaurant. 353 00:20:31,460 --> 00:20:34,540 When the kitchen took off, she was shoved down some alley stairs. 354 00:20:35,480 --> 00:20:38,740 Hey. Be a rotator, cuff tear, and AC separation? 355 00:20:40,520 --> 00:20:42,060 Let's put her in a chair, find her a room. 356 00:20:42,300 --> 00:20:43,300 South 19. 357 00:20:49,000 --> 00:20:50,000 Curtis. 358 00:20:51,980 --> 00:20:52,980 Dude. 359 00:20:53,140 --> 00:20:54,119 What happened? 360 00:20:54,120 --> 00:20:55,640 Medics had to sedate him to transport. 361 00:20:57,120 --> 00:20:58,680 Didn't realize he was such an angry drunk. 362 00:20:58,980 --> 00:21:00,120 So you've seen him drunk before? 363 00:21:00,440 --> 00:21:02,600 Sure. Yeah, but never like this. 364 00:21:03,050 --> 00:21:05,570 He tried to pick a fight with the guys in front of us. He said they were going 365 00:21:05,570 --> 00:21:07,170 too slow. That's what they call the cops. 366 00:21:07,890 --> 00:21:09,230 Could he have taken drugs? 367 00:21:09,870 --> 00:21:12,070 If he did, they were not the performance -enhancing kind. 368 00:21:13,230 --> 00:21:14,230 He shot a 112. 369 00:21:16,710 --> 00:21:19,030 We'll order labs. See what we can figure out. 370 00:21:19,770 --> 00:21:21,670 Uh, any family we can contact? 371 00:21:21,950 --> 00:21:24,850 I have no idea. We don't talk about that shit. How long is he going to be here? 372 00:21:25,070 --> 00:21:26,830 At least three or four hours until he silvers up. 373 00:21:27,670 --> 00:21:29,870 Cool. It's okay if I just come back around nine? 374 00:21:30,490 --> 00:21:31,970 Sure. Great, thanks. 375 00:21:35,880 --> 00:21:37,900 Need those removed so I can check her vital signs. 376 00:21:42,180 --> 00:21:43,460 Okay, tender over the IC. 377 00:21:50,780 --> 00:21:54,540 Can you lift your right arm up above your shoulder like this? 378 00:22:01,360 --> 00:22:03,420 Heart rate's 110, pulse ox 98. 379 00:22:04,040 --> 00:22:05,380 Painful. Our test is positive. 380 00:22:05,780 --> 00:22:06,780 Try a drop arm test. 381 00:22:07,300 --> 00:22:08,460 I'm going to lift your arm up. 382 00:22:10,240 --> 00:22:12,280 And you just lower it as slowly as you can, okay? 383 00:22:15,840 --> 00:22:16,840 Positive drop arm test. 384 00:22:17,480 --> 00:22:20,520 What's that mean? That means that she's going to require an x -ray. It's most 385 00:22:20,520 --> 00:22:24,200 likely a rotator cuff tear, which sometimes can come with a fracture. We 386 00:22:24,200 --> 00:22:26,100 x -ray to rule it out. How long is that going to take? 387 00:22:27,460 --> 00:22:30,360 Our computers are down today. Everything's moving a little slower than 388 00:22:30,460 --> 00:22:31,740 but we will fast track her. 389 00:22:32,020 --> 00:22:33,020 Is there anyone? 390 00:22:33,050 --> 00:22:34,230 You want us to call Pernita? 391 00:22:34,610 --> 00:22:35,610 No phone calls. 392 00:22:36,650 --> 00:22:37,650 Got a bathroom? 393 00:22:46,870 --> 00:22:47,870 Right there. 394 00:22:50,130 --> 00:22:53,430 I do not want these guys here any longer than they need to be, so let's find x 395 00:22:53,430 --> 00:22:54,450 -ray and fast -track this one. 396 00:22:54,670 --> 00:22:58,170 Your family might be worried. Maybe I can call them. No, no, no. Just stay 397 00:22:58,170 --> 00:23:00,730 her. Make sure she has everything she needs. We treat her injury, and that's 398 00:23:00,830 --> 00:23:01,830 Okay. 399 00:23:03,600 --> 00:23:04,600 Jaime Guerrero to window three, please. 400 00:23:05,600 --> 00:23:07,440 Jaime Guerrero to window three. 401 00:23:34,830 --> 00:23:35,830 Got a lateral. 402 00:23:36,810 --> 00:23:37,810 Best I could. 403 00:23:38,350 --> 00:23:40,150 Posterior dislocation, no fracture. 404 00:23:40,590 --> 00:23:41,590 Thanks. 405 00:23:42,170 --> 00:23:44,850 Okay, good news, Roberto. No broken bones. 406 00:23:45,110 --> 00:23:48,550 But the elbow joint is dislocated, and we need to get the ball back in the 407 00:23:48,550 --> 00:23:53,070 socket. The best way is with sedation and pain meds. No, no, no. I know you 408 00:23:53,070 --> 00:23:56,810 no morphine, but we can put local anesthetic into the joint to block the 409 00:23:56,870 --> 00:23:59,250 That way you won't be sedated. Oh, thanks, Doc. 410 00:23:59,690 --> 00:24:01,990 Just give me a bullet to bite off. 411 00:24:07,000 --> 00:24:11,220 The Red Joe's over in Green Tree. Oh, man, I love that place. What I wanted 412 00:24:11,220 --> 00:24:15,180 employees. So ICE is here. People are leaving the waiting room. 10 patients 413 00:24:15,180 --> 00:24:17,960 ready. What should I do? Just tell them the truth and hope they stay for the 414 00:24:17,960 --> 00:24:18,960 treatment that they need. 415 00:24:19,260 --> 00:24:22,400 Martha took off. I'm going to call her when I get a chance. Oh, shit. Yeah, 416 00:24:22,400 --> 00:24:25,600 sure she's okay. Will you call the EVS department too and let them know? Will 417 00:24:25,600 --> 00:24:28,680 do. All right, hold down the fort. Let us know if you need backup. You got it. 418 00:24:29,460 --> 00:24:31,600 Can't we just tell the agents to fuck off? 419 00:24:32,100 --> 00:24:33,920 They are not going to leave without their patient. 420 00:24:34,520 --> 00:24:35,620 We just need to treat her. 421 00:24:36,090 --> 00:24:37,090 Even if she's undocumented? 422 00:24:37,450 --> 00:24:41,290 All patients, regardless of immigration status, have the right to emergency care 423 00:24:41,290 --> 00:24:42,290 under EMTALA. 424 00:24:43,710 --> 00:24:46,490 Prenita is next in line for x -ray. Okay, good. Thank you. 425 00:24:49,090 --> 00:24:50,890 Propofol is down to 100 mics per minute. 426 00:24:51,230 --> 00:24:54,250 Temp is 101 .8. Great. Let's get him off the ice. 427 00:24:54,670 --> 00:24:58,930 Okay, hands on my count. One, two, three. 428 00:25:02,070 --> 00:25:03,070 What's the latest? 429 00:25:04,380 --> 00:25:05,380 We got some arm movement. 430 00:25:06,460 --> 00:25:07,460 That's a good sign. 431 00:25:09,800 --> 00:25:12,500 And pupils are minimally reactive. 432 00:25:14,700 --> 00:25:15,760 Planters are down going. 433 00:25:16,820 --> 00:25:18,140 All encouraging signs. 434 00:25:21,060 --> 00:25:23,080 Any luck getting a lawyer for our detainee? 435 00:25:23,280 --> 00:25:24,280 Uh, no. 436 00:25:24,440 --> 00:25:25,440 Keep him posted. 437 00:25:33,420 --> 00:25:34,420 It's a pretty bracelet. 438 00:25:36,100 --> 00:25:37,480 My daughter made it for me. 439 00:25:39,980 --> 00:25:43,000 She doesn't know where I am. I just want her to know that I'm okay. 440 00:25:45,820 --> 00:25:48,220 You seriously won't let her make a phone call? 441 00:25:48,460 --> 00:25:49,480 Not until she's processed. 442 00:25:50,840 --> 00:25:51,840 Unbelievable. 443 00:25:53,860 --> 00:25:55,580 Thanks, and just let me know when she gets back. 444 00:25:57,000 --> 00:25:59,680 One other thing. Do you have a resident named Adam? 445 00:26:00,940 --> 00:26:03,700 I was wondering if I could get his parents' phone number. Nope. 446 00:26:03,940 --> 00:26:05,680 Red phone is for emergencies only. 447 00:26:05,900 --> 00:26:07,140 This is kind of an emergency. 448 00:26:09,480 --> 00:26:10,480 Sorry. Bye. 449 00:26:12,100 --> 00:26:16,160 Hey, Mel, we need an R3 to supervise a reduction in North 4. Are you free? 450 00:26:16,560 --> 00:26:17,560 Uh, I guess. 451 00:26:18,460 --> 00:26:21,920 Should we move the deceased woman in Central 9 to viewing? 452 00:26:22,420 --> 00:26:25,440 Uh, no. Let's leave the husband in there for a little while longer. We need the 453 00:26:25,440 --> 00:26:27,220 room. We're not moving her yet. 454 00:26:28,000 --> 00:26:29,060 Okay. Sorry. 455 00:26:30,060 --> 00:26:31,160 I need to do a room check. 456 00:26:32,660 --> 00:26:34,700 Heat's ITU says they'll have the beds soon. 457 00:26:35,120 --> 00:26:36,120 Okay. 458 00:26:41,380 --> 00:26:42,380 So what do we think? 459 00:26:43,140 --> 00:26:44,140 About what? 460 00:26:44,840 --> 00:26:46,700 The mom of our heat stroke kid. 461 00:26:46,920 --> 00:26:49,740 Uh, that is not our job. That is what CYF is for. 462 00:26:50,620 --> 00:26:51,860 So you think it was on purpose? 463 00:26:52,240 --> 00:26:53,400 No, I did not say that. 464 00:26:54,460 --> 00:26:55,480 I just don't buy it. 465 00:26:55,740 --> 00:26:57,040 She lost her kid at home? 466 00:26:57,500 --> 00:26:58,560 Plus, she just looks guilty. 467 00:26:58,760 --> 00:26:59,760 Has anyone seen her cry? 468 00:27:01,860 --> 00:27:04,760 People don't always respond to trauma the way you expect them to. 469 00:27:05,240 --> 00:27:06,440 Stay focused on the kid. 470 00:27:10,660 --> 00:27:12,920 BP 78042, stats 87. 471 00:27:13,320 --> 00:27:14,700 You having some pain again, Mr. Green? 472 00:27:16,160 --> 00:27:17,500 Mr. Green? This one's yours? 473 00:27:18,140 --> 00:27:21,760 Yeah, a kidney stone, possible vasovagal. Can't assume that we need 474 00:27:21,760 --> 00:27:22,820 here. Does he have an ID? 475 00:27:23,440 --> 00:27:24,680 No, he didn't need one. 476 00:27:25,940 --> 00:27:27,020 Hypotensive and hypoxic. 477 00:27:28,600 --> 00:27:29,820 Clear trauma room? Yes. 478 00:27:31,340 --> 00:27:34,160 He was just waiting on his discharge meds, pain -free. 479 00:27:36,140 --> 00:27:39,380 A few more patients are gone from chair stop. His team took off, too. 480 00:27:40,360 --> 00:27:42,940 History of renal coli, key in positive urine, BP crashing. 481 00:27:43,340 --> 00:27:45,700 Key in positive urine doesn't always mean kidney stone. 482 00:27:45,980 --> 00:27:48,100 Two anti -cubital lines, biggest ones we've got. 483 00:27:48,320 --> 00:27:49,320 E -fast. 484 00:27:49,600 --> 00:27:51,400 Let's get two units of whole blood hung, please. 485 00:27:52,940 --> 00:27:53,940 Good. 486 00:27:55,940 --> 00:27:56,980 Who worked up this patient? 487 00:27:57,460 --> 00:27:58,460 I did. 488 00:27:58,580 --> 00:28:02,760 Ultrasound showed dilated ureter and mild left hydronephrosis consistent with 489 00:28:02,760 --> 00:28:04,980 this history of renal colic. What about the aorta? 490 00:28:05,560 --> 00:28:06,600 I didn't look at the aorta. 491 00:28:07,600 --> 00:28:08,600 Who did you present to? 492 00:28:08,920 --> 00:28:11,660 Dr. Mohan. You said the rest of the ultrasound was normal. I meant that the 493 00:28:11,660 --> 00:28:12,660 other kidney was normal. 494 00:28:15,420 --> 00:28:18,520 Eight centimeter triple A with massive free fluid. I'm sure you make any reason 495 00:28:18,520 --> 00:28:20,060 bleeding out. Okay, go with the MTP. 496 00:28:20,620 --> 00:28:23,560 16 gauge in the left AC, two units whole blood on the infuser. 497 00:28:25,130 --> 00:28:27,690 Well, assisting ventilation, breast diagonal. 498 00:28:28,970 --> 00:28:30,230 Okay, who wants to intubate? 499 00:28:32,910 --> 00:28:34,150 Everybody? Sure. 500 00:28:34,750 --> 00:28:37,390 Okay, call for six more units of whole blood euthybocal surgery. 501 00:28:37,690 --> 00:28:41,050 If we stay ahead of them, we might get them up to the OR. Here we go. 502 00:28:56,360 --> 00:29:00,320 We're lightening up his sedation to see if he has any purposeful movements. If 503 00:29:00,320 --> 00:29:02,520 so, that will be an encouraging sign. 504 00:29:03,100 --> 00:29:04,300 Can you be back tomorrow? 505 00:29:06,740 --> 00:29:10,420 There's no certainty as to how much recovery Michael will have. 506 00:29:10,660 --> 00:29:13,420 His response over the next 24 hours will tell. 507 00:29:14,840 --> 00:29:21,120 There is a chance of cognitive impairment, but also a chance of 508 00:29:21,120 --> 00:29:22,120 recovery. 509 00:29:22,560 --> 00:29:24,900 Dr. Alashimi, the patient in 22 needs you. 510 00:29:27,580 --> 00:29:28,620 I will be right back. 511 00:29:45,480 --> 00:29:46,520 I'm in. Bag him. 512 00:29:46,820 --> 00:29:47,820 Thanks, Lieutenant. Good job. 513 00:29:48,100 --> 00:29:50,480 Unit 3 is up and running. I've got a 16 -day, DJ. 514 00:29:50,720 --> 00:29:52,080 That one goes on the rapid infuser. 515 00:29:52,380 --> 00:29:53,480 Good and tight away for him. 516 00:29:56,110 --> 00:29:59,590 Strong radial pulse. That's a very good sign. BP's up 86 over 52. 517 00:30:00,210 --> 00:30:01,210 Some progress. 518 00:30:01,270 --> 00:30:02,750 About two grams TXA? Yeah. 519 00:30:03,110 --> 00:30:04,890 What else do we give after four units of blood? 520 00:30:08,370 --> 00:30:12,050 Calcium gluconate to counteract hypocalcemia caused by the tissue 521 00:30:12,630 --> 00:30:15,450 Why don't you see if you can't squeeze a unit into that peripheral line? 522 00:30:19,250 --> 00:30:20,710 Should somebody place a central line? 523 00:30:20,910 --> 00:30:23,210 Long central line is slower than short large bore peripheral. 524 00:30:23,840 --> 00:30:25,840 The flow is proportional to the fourth power of the radius. 525 00:30:26,880 --> 00:30:27,880 Physics. 526 00:30:28,260 --> 00:30:29,260 Right. 527 00:30:30,780 --> 00:30:31,780 Okay. 528 00:30:33,380 --> 00:30:34,380 Bite down on this. 529 00:30:36,280 --> 00:30:37,280 Okay. 530 00:30:37,460 --> 00:30:38,920 I'm stabilizing the humerus. 531 00:30:39,220 --> 00:30:43,120 All right, after I supinate with traction, Dr. Whittaker will apply 532 00:30:43,120 --> 00:30:47,640 pressure on the proximal forearm. Okay, this is going to hurt like hell, 533 00:30:47,680 --> 00:30:48,680 Roberto. 534 00:30:48,780 --> 00:30:51,060 One, two, three. 535 00:30:53,520 --> 00:30:55,340 Okay, and then flexing at the elbow. 536 00:30:59,160 --> 00:31:03,860 His dolly's down 68. 537 00:31:04,160 --> 00:31:05,820 You know, it's five and six are up and running. 538 00:31:08,320 --> 00:31:09,340 I'm here for Garcia. 539 00:31:09,680 --> 00:31:11,720 Vascular can't come down. Triple A with hemorrhagic shock. 540 00:31:11,960 --> 00:31:15,400 Most of these die in the field. He was stable, presented with a history of 541 00:31:15,400 --> 00:31:17,420 colic. And nobody saw the triple A on ultrasound? 542 00:31:18,380 --> 00:31:19,380 Was this you? 543 00:31:19,680 --> 00:31:21,280 No. It was me. 544 00:31:23,440 --> 00:31:24,440 Looks like sinus attack. 545 00:31:24,800 --> 00:31:26,160 Nope, lost the pulse. It's PEA. 546 00:31:26,400 --> 00:31:27,119 Bag him. 547 00:31:27,120 --> 00:31:28,120 Over the start compression. 548 00:31:28,320 --> 00:31:30,460 I'm having a hard time staying out of the blood loss here. General gloves. 549 00:31:30,660 --> 00:31:31,740 Prep for a thoracotomy. 550 00:31:31,960 --> 00:31:35,320 Dr. Javadi, why don't you glove up and show Dr. Shamsi why you belong in the 551 00:31:37,080 --> 00:31:38,560 We can cross -temp the aorta. 552 00:31:39,000 --> 00:31:41,840 We can stop the blood flow from below the diaphragm. We can prep for use of 553 00:31:41,840 --> 00:31:42,840 heart and the brain. 554 00:31:46,160 --> 00:31:47,540 Tendly. Better get in there. 555 00:32:09,340 --> 00:32:14,920 Let me know when you have enough exposure 556 00:32:14,920 --> 00:32:20,720 Right there 557 00:32:23,920 --> 00:32:26,820 Do you need me on suction? No, there's no blood in the chest. It's all in the 558 00:32:26,820 --> 00:32:27,820 belly. Here, keep squeezing. 559 00:32:33,300 --> 00:32:34,400 It was just clamped. 560 00:32:36,100 --> 00:32:38,760 Heart is empty. Okay, Javadi, get in there. Internal compressions. Go. 561 00:32:43,780 --> 00:32:45,600 Put two more units on the rabbit infuser, please. 562 00:32:45,800 --> 00:32:46,800 They'll be units seven and eight. 563 00:32:54,260 --> 00:32:55,239 Neuro is intact. 564 00:32:55,240 --> 00:32:58,520 So we'll do a posterior splint, a thing, and an ortho referral. 565 00:32:59,440 --> 00:33:02,180 You know, I'm actually kind of impressed you did that without pain meds. 566 00:33:02,800 --> 00:33:03,800 Definitely worth it. 567 00:33:04,160 --> 00:33:08,380 You know, last year I caught McCutcheon's 300th career homer, but 568 00:33:08,380 --> 00:33:11,180 stole it from me. I promised myself I would never let that happen again. 569 00:33:13,100 --> 00:33:14,920 What if there's a new, right, the procedure? No. 570 00:33:15,470 --> 00:33:17,790 Yeah, you already filled in the t -sheets. Well, I'm already here. 571 00:33:17,990 --> 00:33:19,630 Yeah, I kind of had a handle. 572 00:33:19,910 --> 00:33:22,830 Can you just fill out the trash? You should probably finish it. Well, okay, 573 00:33:22,910 --> 00:33:24,630 someone do this. I don't, I don't, I don't care who. 574 00:33:27,390 --> 00:33:28,390 Yep. 575 00:33:37,410 --> 00:33:38,069 Where's Mrs. 576 00:33:38,070 --> 00:33:39,370 Azamendi? She stepped out. 577 00:33:40,250 --> 00:33:41,250 Stepped out? 578 00:33:46,960 --> 00:33:49,200 Feels like the heart's filling back up. Let's have a peek. 579 00:33:52,540 --> 00:33:53,540 Looks good. 580 00:33:54,180 --> 00:33:55,039 Really good. 581 00:33:55,040 --> 00:33:56,040 Strong radial pulse. 582 00:33:58,460 --> 00:34:00,160 Moist lap pads. Prep for transfer. 583 00:34:01,880 --> 00:34:04,600 Systolic in 94. It's the best so far. Can I go with you? 584 00:34:06,360 --> 00:34:07,360 He's my patient. 585 00:34:08,780 --> 00:34:09,780 Okay by me. 586 00:34:10,260 --> 00:34:11,260 Bring two extra units. 587 00:34:17,580 --> 00:34:18,580 Ice is in the building. 588 00:34:19,100 --> 00:34:20,100 Word travels fast. 589 00:34:20,280 --> 00:34:23,900 Yeah, we have a detainee with a rotator cuff there. Two of our nurses went home. 590 00:34:23,920 --> 00:34:26,219 They have temporary protective status, but they just don't feel safe. 591 00:34:30,120 --> 00:34:32,340 Um, I'm really sorry, Dr. 592 00:34:32,620 --> 00:34:34,520 Robbie. I should have checked the air. Too easy one to miss. 593 00:34:35,060 --> 00:34:37,620 Got a heartbeat back, though, so still smoke. 594 00:34:41,710 --> 00:34:46,270 I'm sorry, too. I should have asked Ogilvy if he'd checked the aorta. It's 595 00:34:46,270 --> 00:34:47,270 fault. It is. 596 00:34:48,030 --> 00:34:49,030 You're the senior resident. 597 00:34:49,530 --> 00:34:52,630 You don't look to others. Others look to you. I know. I'm really sorry. 598 00:34:52,870 --> 00:34:55,170 This is what happens when you bring your personal life into work. 599 00:34:55,389 --> 00:34:56,790 The patient almost died. I know. 600 00:34:58,570 --> 00:35:02,490 You have to think of these walls like a force field. You cannot let anything in. 601 00:35:02,690 --> 00:35:06,050 Your mother's not in here. She is out there. You keep everything out there. 602 00:35:06,050 --> 00:35:09,410 is the key. That is the difference between the best doctors and the ones 603 00:35:09,410 --> 00:35:10,410 don't make it. 604 00:35:10,589 --> 00:35:11,589 You're right. 605 00:35:13,210 --> 00:35:14,630 Maybe I just don't belong here. 606 00:35:19,790 --> 00:35:20,910 Benita's x -ray results? 607 00:35:21,630 --> 00:35:22,630 No fracture. 608 00:35:22,670 --> 00:35:25,990 Okay, we'll just have Jesse fit her for a sling, I guess, and then we have to 609 00:35:25,990 --> 00:35:26,928 discharge her. 610 00:35:26,930 --> 00:35:27,990 To the immigration guys? 611 00:35:28,670 --> 00:35:29,670 I'm afraid so. 612 00:35:32,570 --> 00:35:33,910 Okay, time for you to go. 613 00:35:34,490 --> 00:35:36,250 I was just having a chat with one of the speeders here. 614 00:35:37,360 --> 00:35:40,540 You can see how busy this department is, right? You've been nothing but a 615 00:35:40,540 --> 00:35:43,840 distraction and a disruption since you've been here. I'm already short 616 00:35:43,840 --> 00:35:47,200 and I just lost five nurses and half my environmental services team because you 617 00:35:47,200 --> 00:35:48,200 walked in. 618 00:35:48,860 --> 00:35:52,080 You know, patients come in here for help, right? Because they're either sick 619 00:35:52,080 --> 00:35:55,360 they're injured, and documented or undocumented, they have a right to 620 00:35:55,360 --> 00:35:56,360 care. 621 00:35:56,899 --> 00:35:59,600 TB, measles, fractures, none of it's getting treated because everybody's too 622 00:35:59,600 --> 00:36:02,200 scared to come in. But then they end up here anyway, but then it's too fucking 623 00:36:02,200 --> 00:36:04,800 late. So please, for the love of God, can you just go wait over there in the 624 00:36:04,800 --> 00:36:07,840 room with your detainees so I don't lose any more patients or staff? 625 00:36:10,200 --> 00:36:11,200 No problem, Doc. 626 00:36:22,560 --> 00:36:23,720 This is Asurmendi. 627 00:36:27,589 --> 00:36:28,770 Brenda, where are you going? 628 00:36:36,590 --> 00:36:37,850 Okay, okay, that's okay. 629 00:36:39,170 --> 00:36:42,210 Let's get you back inside to your son. That's okay, that's okay, that's okay. 630 00:36:45,670 --> 00:36:47,110 Come on, she's cleared to go. 631 00:36:48,590 --> 00:36:51,810 Hold on, she needs to sleep. It'll only take a minute. We're leaving. 632 00:36:52,310 --> 00:36:53,470 Hey man, you're hurting her. 633 00:36:56,080 --> 00:36:57,640 Jesus Christ, what's going on now? 634 00:37:15,400 --> 00:37:17,760 Don't say anything. You don't have to say anything. They can't make you say 635 00:37:17,760 --> 00:37:19,680 anything. We'll get you an attorney. I promise we'll get you out. 636 00:37:20,960 --> 00:37:22,420 Call the hospital attorney again. 637 00:37:22,990 --> 00:37:25,610 I can't believe this shit. Can you at least tell us where you're taking them? 638 00:37:26,090 --> 00:37:28,670 Is there a detention center near Pittsburgh? That's got to be where 639 00:37:28,670 --> 00:37:30,770 going, right? Could be hours before he's processed. 640 00:37:31,390 --> 00:37:32,390 I'll stay on it. 641 00:37:33,250 --> 00:37:34,270 What can we do? 642 00:37:35,530 --> 00:37:38,570 Uh, hey, Javadi, Javadi, please come back. 643 00:37:38,830 --> 00:37:42,810 Everybody, just go check on your patients, assure them, tell them what 644 00:37:42,850 --> 00:37:44,110 but please, everybody get back to work. 645 00:37:44,390 --> 00:37:46,610 Who's going to take Jesse's patient? I can do it, dear. 646 00:37:46,850 --> 00:37:47,850 Thanks, Perla. 647 00:37:49,210 --> 00:37:51,530 Hey, you okay? Yeah, I'm okay. You okay? 648 00:37:51,970 --> 00:37:54,900 Yeah. The lawyers are tied up with the cyber attacks upstairs. They probably 649 00:37:54,900 --> 00:37:55,900 won't come down for a while. 650 00:37:58,180 --> 00:38:00,980 Where's Elias with the heat stroke kid? I sent him up to Pete's ICU. 651 00:38:06,620 --> 00:38:07,620 What's going on? 652 00:38:08,280 --> 00:38:11,100 I found her outside wandering into the street. She almost got hit by a truck. 653 00:38:12,180 --> 00:38:13,260 I think it was intentional. 654 00:38:13,880 --> 00:38:17,080 Christ almighty. I told Nurse Kim not to let her out of her sight. We need to 655 00:38:17,080 --> 00:38:18,560 call a 302 and observe her. 656 00:38:18,760 --> 00:38:19,738 Danger to herself? 657 00:38:19,740 --> 00:38:21,100 Is she going to be able to see her kid? 658 00:38:21,610 --> 00:38:23,350 Not if she's on an involuntary cycle. 659 00:38:23,690 --> 00:38:26,550 What happens if he's ready to be discharged before she is? 660 00:38:26,830 --> 00:38:30,370 Does she have a partner or a relative we can call? I can find out. Why don't you 661 00:38:30,370 --> 00:38:31,370 and I talk to her together? 662 00:38:31,570 --> 00:38:34,450 Sure. I just need to check on a patient and I will meet you there. 663 00:38:52,799 --> 00:38:54,340 Emma, have you seen this patient? 664 00:38:54,720 --> 00:38:58,540 Oh, I haven't. Oh, she took off when those ice guys arrested your nurse. 665 00:39:28,170 --> 00:39:29,910 Have you ever thought about hurting yourself? 666 00:39:34,750 --> 00:39:36,970 CBC and blood alcohol are back on your goal for Curtis Larson. 667 00:39:37,230 --> 00:39:38,230 0 .14. 668 00:39:38,450 --> 00:39:39,189 Copy that. 669 00:39:39,190 --> 00:39:41,410 Okay, we'll wait for the other labs. 670 00:39:41,650 --> 00:39:42,950 We'll need to sweep it off in the meantime. 671 00:39:45,090 --> 00:39:46,310 Hey, Gabriel, can you wait up a sec? 672 00:39:47,670 --> 00:39:50,130 Do you have Duke Eakin's chest x -ray? Yeah. How's it look? 673 00:39:51,090 --> 00:39:52,090 Radiologist still needs to read it. 674 00:39:52,310 --> 00:39:53,310 Can you pull it up for me? 675 00:40:01,390 --> 00:40:03,330 I've got to call the funeral home and start making arrangements. 676 00:40:03,690 --> 00:40:05,890 Take some time for yourself. 677 00:40:06,690 --> 00:40:07,690 How are you doing? 678 00:40:08,030 --> 00:40:09,890 Oh, you know, I've been better. 679 00:40:10,710 --> 00:40:14,170 I spend so much time with these people. You've become a part of their family. 680 00:40:14,210 --> 00:40:17,270 It's not like it is here where patients come and go. Don't stay for the night 681 00:40:17,270 --> 00:40:19,310 shift. I've got reinforcements coming in. 682 00:40:19,730 --> 00:40:22,470 I'd rather work. I don't know if I want to sit with this at home. Try. 683 00:40:22,710 --> 00:40:25,610 For once, just listen to me. Take the night off. I'll cover for you until I 684 00:40:25,610 --> 00:40:26,610 find someone else to come in. 685 00:40:36,400 --> 00:40:37,500 You think she's going to be okay? 686 00:40:39,360 --> 00:40:40,360 I don't know. 687 00:40:40,480 --> 00:40:42,340 I just hope she can forgive herself. 688 00:40:50,720 --> 00:40:53,140 I've noticed some tension between you and Dr. Santos. 689 00:40:53,980 --> 00:40:55,060 You two have history? 690 00:40:55,560 --> 00:40:58,460 Yeah, she doesn't like me very much. 691 00:41:01,620 --> 00:41:04,900 We worked together one time. 692 00:41:06,410 --> 00:41:08,330 was a pretty big asshole. 693 00:41:08,730 --> 00:41:15,050 She called me out on some things that I wasn't ready to face and I overreacted. 694 00:41:15,950 --> 00:41:19,470 I'm going to talk to her. I just haven't found the right time. 695 00:41:20,270 --> 00:41:21,270 Good. 696 00:41:22,130 --> 00:41:23,130 Well, 697 00:41:32,810 --> 00:41:33,810 you might be in here. 698 00:41:34,230 --> 00:41:35,230 What's going on? 699 00:41:36,960 --> 00:41:39,980 The deposition of my sister coming in has been a day. 700 00:41:41,640 --> 00:41:42,900 That's a good deposition. 701 00:41:44,160 --> 00:41:45,400 Is your sister okay? 702 00:41:47,340 --> 00:41:50,840 Yeah. She's in UTI, so meds will clear her. 703 00:41:51,080 --> 00:41:52,080 That's good. 704 00:41:54,360 --> 00:41:55,360 She's a boyfriend. 705 00:41:56,860 --> 00:41:57,920 She didn't tell me about. 706 00:41:59,040 --> 00:42:01,460 And other things she didn't tell me about. 707 00:42:01,680 --> 00:42:02,780 Maybe she didn't know how. 708 00:42:03,100 --> 00:42:04,100 She's having sex. 709 00:42:06,560 --> 00:42:07,560 Great sex. 710 00:42:09,080 --> 00:42:13,780 And she lied to me. I mean, she lied to my face for six months. My sister is a 711 00:42:13,780 --> 00:42:14,780 fucking liar. 712 00:42:16,480 --> 00:42:17,480 She's just cursed. 713 00:42:19,820 --> 00:42:20,820 It's how I feel. 714 00:42:22,220 --> 00:42:23,220 Look, kid. 715 00:42:24,260 --> 00:42:25,680 I say this with love. 716 00:42:26,760 --> 00:42:29,180 People got their own reasons for keeping secrets. 717 00:42:29,800 --> 00:42:31,800 Most times it's got nothing to do with you. 718 00:42:32,100 --> 00:42:34,440 I've seen Elf 164 times. 719 00:42:35,730 --> 00:42:37,590 Becca loves Elf, so we watch Elf. 720 00:42:38,670 --> 00:42:42,330 And she's got everything, and now she's got a boyfriend, and they're going to 721 00:42:42,330 --> 00:42:44,370 fall in love, and they're going to get married, and I'm going to be completely 722 00:42:44,370 --> 00:42:45,370 alone. 723 00:42:49,710 --> 00:42:51,390 Do I feel good to say that out loud? 724 00:42:53,730 --> 00:42:54,730 No. 725 00:42:56,650 --> 00:43:02,190 Mel, you're a good egg, but this is not about you. 726 00:43:03,950 --> 00:43:08,410 Lived a long time ago, quit feeling sorry for myself. Now come on, pity 727 00:43:08,410 --> 00:43:09,410 over. 728 00:43:17,210 --> 00:43:20,450 Okay, so this is your heart, and these are your lungs. 729 00:43:21,770 --> 00:43:22,770 They look okay? 730 00:43:23,130 --> 00:43:26,490 Yeah, it's this part right here, this space right between your lungs. It's 731 00:43:26,490 --> 00:43:30,330 called the mediastinum, and it is enlarged. It is too wide. 732 00:43:30,570 --> 00:43:31,570 From what? 733 00:43:32,490 --> 00:43:35,290 Can't really tell from the plain film. Could be any number of things. 734 00:43:35,510 --> 00:43:36,730 Yeah, stop the bullshit. 735 00:43:37,610 --> 00:43:39,110 It could be an enlarged thyroid. 736 00:43:39,630 --> 00:43:44,610 It could be enlarged lymph nodes from an infection. It could possibly be a 737 00:43:44,610 --> 00:43:45,610 tumor. 738 00:43:46,790 --> 00:43:48,310 You think I have lung cancer? 739 00:43:48,570 --> 00:43:49,610 Nope, I don't see that. 740 00:43:50,770 --> 00:43:54,150 The cancer of the lymph nodes is called lymphoma. And there are a lot of 741 00:43:54,150 --> 00:43:57,810 diseases of the aorta, which is this big artery that comes off the heart, which 742 00:43:57,810 --> 00:44:01,510 can get enlarged because of a weak spot in the wall, kind of like a... 743 00:44:01,850 --> 00:44:04,670 bubble in the tire that can have a blowout. 744 00:44:05,150 --> 00:44:11,270 And the only way to make sure is to do a CT scan of your chest today. 745 00:44:12,090 --> 00:44:13,350 How long does that take? 746 00:44:15,570 --> 00:44:16,990 A few hours, a couple hours. 747 00:44:19,630 --> 00:44:20,770 You're still going to be here? 748 00:44:25,410 --> 00:44:29,250 Yeah, I would not feel good about riding if I rushed this. 749 00:44:32,960 --> 00:44:33,960 This is important. 750 00:44:39,280 --> 00:44:40,280 Hey. 751 00:44:41,240 --> 00:44:44,760 I think the labs are back on your COPD patient. 752 00:44:45,100 --> 00:44:46,100 Saw him in the rack. 753 00:44:46,600 --> 00:44:47,600 Thanks. 754 00:44:48,760 --> 00:44:50,880 Look, I don't know how to say this. 755 00:44:52,480 --> 00:44:56,560 I know you don't like me. 756 00:44:57,780 --> 00:45:01,460 And that's fine. You don't have to. I just want to say I'm sorry. 757 00:45:02,250 --> 00:45:06,550 for being an asshole on your first day. That was completely inappropriate, and 758 00:45:06,550 --> 00:45:10,890 if I could take back what happened, I would, but I can't. 759 00:45:13,590 --> 00:45:14,590 Okay. 760 00:45:17,850 --> 00:45:19,670 Hey, I'm sorry. I just, I don't buy it. 761 00:45:20,410 --> 00:45:24,130 Everyone thinks you're just an addict who went to rehab, and you've convinced 762 00:45:24,130 --> 00:45:27,410 everyone here that you've changed, and you're owning up to your mistakes, and 763 00:45:27,410 --> 00:45:30,490 they welcome you back with open arms because you're still the golden boy, and 764 00:45:30,490 --> 00:45:31,490 think it's bullshit. 765 00:45:32,860 --> 00:45:33,940 I'm genuinely sorry. 766 00:45:34,740 --> 00:45:38,460 And I can promise you I have faced my fair share of punishment for what I did. 767 00:45:38,540 --> 00:45:40,040 You fucking stole drugs from the hospital. 768 00:45:40,680 --> 00:45:43,620 Only three people here actually know that. Have you told anyone else what you 769 00:45:43,620 --> 00:45:44,618 did? 770 00:45:44,620 --> 00:45:47,980 Have you? Look, I'm just trying to get through my first day back. You shouldn't 771 00:45:47,980 --> 00:45:51,360 even be here. I should have reported you to the state medical board. You should 772 00:45:51,360 --> 00:45:54,420 have lost your license and gone to prison. You don't know what I've been 773 00:45:54,420 --> 00:45:57,460 through. What you've been through? My wife threatened to divorce me, okay? I 774 00:45:57,460 --> 00:45:59,760 almost lost my kid. Yeah, that's what happens when you fuck up. 775 00:46:03,500 --> 00:46:06,440 You don't have to accept my apology. I just, I wanted to say it. 776 00:46:06,900 --> 00:46:07,900 Okay? 777 00:46:08,740 --> 00:46:10,360 You really want to atone for your sins? 778 00:46:11,300 --> 00:46:14,380 Tell everyone here you stole drugs and got kicked out of the ED because of it. 779 00:46:14,440 --> 00:46:16,000 Until then, stay out of my way. 780 00:46:25,100 --> 00:46:26,100 Oh, 781 00:46:27,740 --> 00:46:31,440 hi. The fuck? 782 00:46:31,960 --> 00:46:33,480 I'm just checking your vital signs. 783 00:46:33,740 --> 00:46:35,120 Where am I? 784 00:46:36,880 --> 00:46:38,160 What are you doing to me?