All language subtitles for Watch The Pitt Season 2 Episode 13 7 00 P.M. full HD on SFlix Free

You know this guy? Orlando Diaz. We were
treating him for DPA when he eloped.

How far did he fall? 20 feet or so.
Anyone see him pass out? No, they went

looking for him after he didn't answer
his radio.

He was equal with sluggish.

He left against medical advice.

On my count.

Three, two, one.

Dr. Alex on the case.

Patient, we got this.

I'm saying.

Continuity of care. Dr. Alex, give me
one to go. Cover send out rounds with

Abbott. Ken, you too. Got it. Okay, let
me know if you need anything.

Lungs are up bilaterally.

Pelvis is stable.

Right tib, fib, hematoma.

Deformed right forearm.

Rubbed through GM1, left
stereosanguineous fluid.

That means basically a skull fracture.

We've got a diabetic patient, 20 foot
fall. BP 204 over 98, pulse at 6.

Dr. Mohan, what do those numbers
indicate? I'm trying to treat the

The Cushing's reflex.

From increased intracranial pressure.

Yeah, we need to get him a CT right
away.

No free fluid in the belly.

Any family to notify?

Wife and three kids.

Is there a card to sign for Robbie? He
said no card, no present.

Was there a cake?

Oh, he didn't want that either.

That sucks.

I need some cake.

The patient was injured when they raided
a restaurant.

And they actually arrested a nurse.

The takedown and zip ties.

Hey, Cruz, you know the computer
downtime drill?

Yeah, no biggie. I prefer to treat them
without labs and x -rays.

Welcome back.

If you do have orders for labs and x
-rays, clipboards, go here.

If it's just nursing orders, here.

Please write neatly, for God's sake. Oh,
Monica, this is Nazly, new intern.

I don't need to know that.

So nice to meet you.

Looks like you and me, Jack.

Yeah, who's our senior?

Dr. Henderson.

Excellent. Night shift's on cruise
control.

You hear Ice brought us a patient?

Oh, yeah?

How'd that go? There was some collateral
damage to the arrest of Jesse.

For what?

Insulting a federal officer.

Are you fucking kidding me?

Dr. Alshimi, this is Nazli Tumerian, new
intern.

Okay,

everybody, let's huddle up.

Before we start, let me address the
elephant in the room. For those of you

don't know,

Jesse tried to intervene when a federal
agent was handling this patient, and

both he and the patient were taken away
by ICE. Did he punch the guy?

No, he put out a hand to stop him, made
physical contact.

And he was a little bit more... The
hospital lawyers are on the case, and we

will brief the staff every 12 hours at
sign -out rounds with an official

In the meantime, don't feed the rumor
mill.

You may have also heard that new grad
nurse Emma here was assaulted by a

patient. I'm fine.

Please don't forget code hula hoop, and
with risky patients, always keep a path

to the door clear.

Sounds like one hell of a day, and we're
still dealing with downtime, so day

shift should brief night residents about
the protocol.

Hey. All right.

Thank God.

Yeah, not so fast. Every chart from the
last five hours needs to be scanned into

the electronic health record and checked
for accuracy.

I mean, whose job is that?

Day shift. With a completed and signed T
-sheet. Are you kidding me? It's going

to take forever. We will set up stations
for scanning. Okay, everybody, let's

get moving.

Triage is 20 behind.

Got to help him clean up. Skipping
around.

Set yourself lucky.

Should we join them?

Might as well witness the magic. It's
like changing the guard at Buckingham

Palace. Except we're allowed to smile.

Mother, your heart is aching.

Clean films, right tip -fib, and right
form after CT.

Got the chem -8. Blood sugar's 284.
That's not too bad.

Test. Looks good.

And he got stuff at 14.

It was 24 this morning. He's definitely
improving.

The DKA is resolving.

So what made him pass out?

It's hot as hell out there.

He could have been dehydrated from
sweating, or he could have had an NSTEMI

posterior CVA.

Ready to roll.

If I could babysit him at CT.

Thank you. I'll stay in case he needs
VOR.

Hey, we're back up.

Out of time.

Robbie, I got intel on where Ice is
taking Jesse.

Intel from who?

My brother -in -law's a cop.

So, he'll be processed at DHS Southside
and then transferred to ICE detention in

Clearfield. Clearfield? That's two hours
away.

Okay, I'll let the hospital attorney
know.

How are you doing, Oliver?

Alive and kicking.

Mr. Haas, pulmonary edema after a
misdiagnosis.

Now stable with his son Mason at the
bedside.

Hello. I'm Dr. Shen.

I'll be back.

Dialysis tech says I'm off the machine
at 1042.

Cut the call light and I'll come
running.

South 21 next.

Mr. Digby.

You just did me.

Dr. Mohan's patient, forearm cellulitis.
Admit med surge awaiting a bed. I can

take him. Sold.

Dr. Tamarian, moving right along.

Good enough to eat?

We'll be back.

Lillian Stegman, tweet your knee water
skiing.

In the 360 off a five -foot ramp.

Respect. X -rays ordered in triage. That
was hours ago.

Ma 'am, I'm Dr. Cruz Henderson.

Let's get you home real fast.

That would be wonderful.

Okay, heading to North.

It's like our first scanning station is
almost ready. Whitaker, Santos, after

rounds, this will be your post.

Seriously? For how long?

Until we mop up this mess.

And away we go.

All right.

Now you know everything there is to know
about rounds. Fascinating, right?

Here.

I've got something better for you.

So take me.

We're going to find you some new
clothes, but my friend Emma and I

you'd like to get cleaned up a bit
first.

I already had a shower. I know. And you
look good. But the offer also comes with

the shave and the haircut if you're
interested.

No pressure. Like I said, you already
look great.

Sure, I guess.

Fantastic.

All right, kid, fill that basin with
some warm water and lather him up.

Hey, stay safe out there.

Back at you in here.

Hey, Carrie.

You were on scene with Orlando, right?

Did you notice anything about his fall?
Like what?

Like, um, there was a break in the
railing or there were security cameras.

Too busy working on the guy.

IV, intubation, backboard, splint.

Thanks. Oh, two names as a start. Pretty
soon we'll retire the clipboard. Baby

Jane Doe and Peds?

Uh, yeah.

Abandoned in the waiting room bathroom
at 7 .30 a .m. Safe haven drop -off?

No, she's too old for that. At least two
months.

I'll take her. Awaiting foster placement
by CYF. What if the mom comes back?

Call the cops?

Day shift, get to work scanning, night
shift, the room number's on top of the

dry erase board, need a doctor.

Who's in BH1?

Psych hold, danger to self.

What's the story?

Doctors King and Langdon were on the
case.

It's a sad story. She says her five
-year -old snuck in the backseat of the

to take a nap.

Heat stroke. Mom was extremely
distraught, walked out into traffic.

Barnhill wheezing and not responding to
albuterol. Full Fox 87 is Mother Naomi.

Okay, trauma two's open.

On our way.

Mom, history of asthma? His whole life.
Never this fast.

Barely moving air.

Using all of your accessory muscles.

Call our team.

Continuous nebs, 20 milligrams an hour.

Yeah, the whole nebula. I've been giving
him albuterol every hour.

Ready? On my count. One.

Two, three.

Does he take any other medications?

Just the albuterol. He used to be on
Montezuma. Why did you stop that?

Because he lost his medication two
months ago.

It's so tight, nothing's getting
through.

No, EpiPen, 0 .3 milligrams.

That may open his lungs for the next
week.

All right, Grady, shot in the thigh.

Hi.

Coming to scan?

Critical labs on North 3.

Oh, it's not my patient. She's about to
be.

I'm off the clock.

These were ordered three hours ago from
triage, so technically she is a day

shift patient.

Just get the intern started. I got a
meeting upstairs with admin to get

back on track.

Sorry, everyone else is tied up. That's
okay.

I should get stuck on night shifts for
your first rotation.

Just lucky, I guess.

I feel like a good horror movie.

Where's med school?

UC Irvine. California, right?

Pittsburgh's a little different.

Yeah, a lot more humidity.

Yeah, that'll go away with your first
foot of snow.

Hi, Mrs. Davis.

I am Dr. McKay. This is Dr. Tim Marion.

Hello.

Your labs show a lot of inflammation in
your liver.

So I am so nauseated.

Definitely, yeah.

Have you noticed a change in your skin
coloration?

I've been using this bronzing cream.

So I don't look like a ghost in my
bathing suit.

Do you remember the name of the bronzer?
It could have a chemical that can cause

it. Oh, no, no. It's 100 % natural.

DHA from sugar beet.

Why would my liver be inflamed?

Uh, there's a lot of possibilities.

Are you taking any prescription
medications?

Not a single one. Tylenol? God, no.

We have to ask everybody about injection
drug use.

Never. Rock clams or oysters?

I'm a vegan.

One step at a time.

I'll be back.

Digby Haas now on the big board.

Progress. He's just been waiting in the
hall the whole time?

Okay, well, can you maybe get to him
next?

Thank you.

Duke goes to CT and they bump him.

Yeah, he may end up waiting for hours
over there.

Oh, look at that. 7 .15 already.

Just a few more loose ends to tie up.
He's got more loose ends than a macrame

wall hanging.

My mom had one. Took up the whole
goddamn wall.

Seriously, you should think about
signing that and hitting the road. Yeah,

you should, too. Oh, that's right. You
sent Lena home. Are you planning on

calling in a replacement, or are you
just going to work till sunrise?

I have to.

Oh, so you get to go the extra mile, and
the rest of us just get accused of

being martyrs.

Robbie? Excuse me.

What's the word? No subdural, no
epidural. Confused brain swelling with

effacement and compression of the
ventricles.

C -spine, chest, abdomen, pelvis?

Left pulmonary contusion, no
intradominal hemorrhage. Which means I'm

hook. I'll send neurosurgery down.

If he doesn't need the OR, why
neurosurgery?

Wait and see. Let's get busy.

CBP to the heart line.

Orlando.

Orlando, squeeze my hand.

Open your eyes.

We already know his GCS is going to be
free.

Hey, Javadi, anti -seizure prophylaxis.
Kepra, can you mix for Kela? Mixing it

now. Better get this brain swelling
down, Samira. How are we going to do

Samira. What?

We have to lower the intracranial
pressure.

Not at all.

Not the best in caulk, diuresis, and
hypertension. And hypertonic saline.

23%, 53 % through central line.

So tight as a drum. 25 minutes to CFC.

We can have one more EpiPen.

Stats are borderline, 87.

How about BiPAP, 10 over 5?

Yes, with inline nebs.

All right, Grady, shot number two.

Might as well throw in some magnesium,
54 kilos.

I'm sorry, he's not ventilating. We
should be ready to intubate.

With an asthma patient?

There's a high risk of cardiac arrest.

Naomi, has he ever been put on a
breathing machine before?

Never. Hospitalized? No. We could always
break him with a simicort. We're going

to give the current treatment a few more
minutes to help him turn.

I could probably do this myself now that
my cast is off.

That's okay.

I don't mind.

How long have you been a nurse?

My first day.

You're doing really good.

Thank you.

Shit, you okay?

Yeah, there's water in the floor. Sorry,
I might have spilled.

Yeah, no worries.

I'm gonna have to sort these out by the
patient before we scan them.

Is Joy still around?

I heard she left at 6 .59.

Smart girl.

You know what? Find Ogilvy. He's got
some ass cancer. He might stay in

and try some stuff. Oh, he scrubbed in
in the OR, scrubbed in on the ruptured

AAA. There's a kidney stone that wasn't.
That'll be four hours at least.

So, are you still going to Amy's after
work?

Yeah, maybe just for tonight, after
Robbie briefs me on all the house stuff.

Sounds fun.

When he asked, it was hard to say no.

Sure.

It's going to be very weird without him
here.

Yeah. You think Dr. Al Hashimi can
handle it?

A word, no.

She smart?

Yeah, it takes more than that.

Well, at least it's only three months.

Yeah, three long months.

Then you need to find a new home.

Not necessarily.

I mean, if I wanted, I could just check
on Robbie's house once or twice a day.

Why would you do that?

I don't know.

Why not?

Hypertonics in. Maintenance. LR in the
AC.

It's like a halo sign.

Cerebral spinal fluid from a basal skull
fracture.

The halo sign is neither sensitive nor
specific for CSF.

Saline, tap water, and runny nose is all
separate from blood.

Hello, Linda.

Robbie. Vision chief working on a
holiday weekend.

Somebody's got to.

Saw the scans. This guy needs an EBD.

External ventricular drain to take down
the pressure.

Because CPP equals MET minus ICP.

Cerebral perfusion pressure in the brain
equals mean arterial blood pressure

minus the pressure in the skull.

ICP less than 22 predicts survival and
favorable outcome.

CPP from 60 to 70 reduces morbidity and
mortality.

Can somebody assist?

Dr. Mohan.

I'm good.

You should lend a hand.

I said I'm good.

Javadi. I don't think so.

Javadi? As in?

Daughter of Raymond and Eileen?

I was at your mother's baby shower.

She was a resident. You were in utero.

I don't know how she got through
motherhood and training.

Feel free to join me.

Oh, my shift was over a while ago.

Okay. Masks all around. Two sterile
gowns. We brought the surgical towels.

need some beta dye. This is kind of an
amazing opportunity.

I'm exhausted.

The chief of neurosurgery is here.

She's kind of a legend.

Maybe one of the night residents can do
it?

Is this about the vulvulus case from
earlier? Because if it is, you made a

mistake. You need to move on.

I do not want to come back here and find
that you've applied for a residency in

Durham.

Step up to the plate. Do it.

Giovanni will assist.

Excellent.

You know, I think Eileen did her first
DVD with me back when I was a brand new

assistant professor.

Time flies.

How you doing, Grady?

Still retracting.

Any improvement?

Not really.

You feeling tired?

Do we have aerogen in the ED? Just in
the unit. How fast can you get back?

Two minutes if I take the stairs. Go.

Uh, aerogen?

It has a five millimeter mesh that
vibrates over 120 ,000 times per second.

Dr. Oshimi.

You okay?

Are you telling us about aerogen?

Dr. Shen can explain.

It produces droplets in the 2 to 5
micron range.

How's it going?

Just about to start.

Secure an art line here. Measure twice,
cut once.

We enter 11 centimeters back from the
nasium.

Three centimeters low.

Without any direct imaging?

Nope. Straight shot into the lateral
ventricle.

Tried and true since 1890.

Okay. Go ahead with the incision.

Hey, you worked with Dr. Ellis. You met
the VA?

I did.

For how long?

During my R2 rotation and then one again
last year.

Okay. Handrails all set.

Maybe you should do this part.

I don't know. There's a safety stop
here. You can't go too deep.

It's not brain surgery.

Okay.

Stay perpendicular.

Yeah. Good.

All right. Now, four turns to get
through the outer table. Yep. And half

till you penetrate the skull.

Smoke, I thought it was Tom Cruise for a
second over here.

Nice job. How's that feel, Digby?

It's pretty good.

I bet.

Well, you say we trim up those gorgeous
locksuits now.

I don't like having my hair cut.

I get it, Rapunzel, but you need your
ears lowered.

You'll feel better with a fresh summer
look that won't go unnoticed by the

ladies.

Maybe just a trim?

Great. I'm thinking a pixie cut.

What? I'm kidding.

Come, my husband Benji's here all the
time. Trust me, you're going to look

fabulous. When's the last time you had a
haircut?

Maybe my daughter's wedding a few years
ago.

Where? St.

Sebastian, Our Lady of Mount Carmel
Parish.

Does your daughter know where you are?

Of course.

We all live in Pittsburgh.

In fact, they live in my old house.

Your daughter lives in your house?

Yeah.

Where do you live?

Wherever I want.

You're going to pass it five to six
centimeters from the inner table of the

skull. Okay.

Centered.

Perpendicular.

Aiming for the medial canthus.

All yours.

And just keep going?

You'll feel a pop when you pass the
appendable lining.

All right, line is calibrated. Good to
go.

I'd try the nicartapine to a MAP of 85,
please.

And if we can get the intracranial
pressure down to 20.

Dr. Bohan.

I'm sorry.

MAP of 85, ICP of 20.

Um, cerebral perfusion pressure 65.

Which gives him the best shot at
survival.

A third of patients like this die half
have long -term disability.

We'll know in two weeks if there's a
possibility for a good prognosis.

Felt a pop.

Remove the stylet.

Okay. Let it drain a bit.

And now pinch it shut.

Perfect. BP is down 190 over 88. Heart
rate 67.

How are you guys doing?

Yeah, making some progress.

You seen Abbott?

Not since rounds.

Yes, I just see a patient with a night
intern.

So you said yes?

48 -year -old woman, new onset jaundice,
elevated liver enzymes, no history of

alcohol use.

Take your pick, hepatitis A, B, C, D, or
E. No risk factors, no fever.

Tylenol? Never, no prescription meds.

Does she eat polar bear liver?

It can cause vitamin A toxicity.

No, she doesn't eat meat, kind of a...

Health nut.

Well, maybe she's gulping down cod liver
oil to prevent measles. You get no

fish.

Would you mind laying eyes on her?

Seriously. You have a way of figuring
out the weird stuff.

Take the compliment.

Okay, fine.

Five minutes at the bedside, that's it.

I'm already going to be here for hours
as it is. Thank you.

What am I doing?

Definitely improving.

Title volumes up.

We have now expiratory only.

Oh, making some progress.

You feeling better, baby?

You scared the shit out of me.

Language.

Does he have a primary care doctor?

Not anymore.

How do you get his prescriptions we
need?

Neighborhood clinic.

We pay cash. Not Peter Ross cheap.

Send him to court. Without Medicaid, 400
bucks a month.

Just for a little inhaler?

Took ours on the tube.

Tunnel underneath the scalp about five
centimeters and poke through.

To prevent infection?

Exactly.

Now you hold the knuckle steady while I
pull it through.

And you can staple the wound shut.

That looks like something from Home
Depot.

Yeah, big Fourth of July sale. The brain
pressure is measured by the height of

the fluid column. You need to calibrate
it to zero at the level of the tragus.

Stopcock's on, ready to attach.

First troponin's normal, but you need a
second to rule out, am I?

Hey, can you step out for a second?

I really did do everything I could to
try to make Orlando stay.

Yeah, I don't doubt it. I wanted to ask
you about Dr. Alashimi, the VA.

Did you ever notice anything unusual
about her behavior?

Um, like what?

Lapses in focus, attention?

No, she was always on top of her game.

But this morning when she was checking
labs on baby Jane Doe, it was like she

zoned out for a few seconds.

Maybe she was just tired.

No congestion, nodules, or cirrhosis.
Good -looking liver.

I should not be sick.

I worked so hard to stay healthy.

Diet.

Exercise. Eight hours of sleep. I can't
remember the last time I got eight

hours.

Maybe you should try sleep maxing. Oh,
you definitely should.

Yeah, cold room, white noise, eye
shades.

Kiwis before bedtime, lettuce, water,
mouth taping.

Who do you follow for health?

A few naturopaths and some functional
healers.

Do you buy vitamins from them? Oh, no,
no. I don't take vitamins. Food is the

best medicine.

Kale, blueberries, kidney beans,
turmeric.

Turmeric? How long have you been taking
that? For a few months.

It's an anti -inflammatory.

It detoxes the body and it can prevent
Alzheimer's. How much do you take?

500 milligram capsules, but I take five
a day.

What?

With doses that large of turmeric, there
have been cases of liver failure.

From eating a spice?

All right, Digby. Thank you. Good to go.

Would you like to see it?

I haven't looked like this in a long
time.

Your family won't recognize you.

Then how will they find me?

They won't know what I look like. They
won't know this is me. Of course they

will. They know your voice.

They know where you hang out.

They even remember that you used to look
like this.

They remember the wedding.

Did you dance with your daughter at her
wedding?

And she will always remember you.

Hey, I was just looking for you.

What's up? You tell me, the asthma
patient.

What about him?

Seemed like you were hesitating, talking
about using aerogen. I was wondering if

you were having second thoughts.

No, just thinking.

About? The best treatment plan for the
patient.

And I think he's on it.

Anything else? I don't know. You tell
me. Anything else I need to know?

I don't think so.

This is Dr. Robbie in the ED. I'm
checking on a patient, Eakins.

We can take Larkin and Stevens off the
dry erase.

Consider it done.

He's in the scanner now?

Oh, great. No, I was just calling to
confirm. Thank you.

Any new information from upstairs?

Nothing we already know.

Same old story, huh?

You think we should take up a collection
for Jesse for bail money? They don't

usually send bail until after you've
appeared in front of a judge. With the

holiday, it's not likely to happen until
Monday.

So he's going to be locked up all
weekend?

That sucks.

It does suck.

Dr. Langdon?

Grady's worse. Much worse.

Need an attending?

No, we have Shen.

Sat's down 83.

What's happening? Give us a minute.

He's tiring out.

Ketamine and rock. It's time to
intubate. I'll call Vogue.

Ma 'am, we have to put a tube down your
son's windpipe so a machine can breathe

for him. Oh, my God.

Hold on. Hold on.

No lung sliding on the right.

Pneumothorax. No need to intubate.

What's going on?

He has a collapsed lung.

There was no history of trauma that
would have caused a pneumothorax. What

Dr. King?

In asthma, you can get air trapping.

When the lungs can't fully exhale,
eventually they overinflate, causing

the tiny air sacs to burst.

How do you fix it?

Like that.

It's a good thing Dr. Connolly was here.

Yeah. We should probably try to find him
in a neurocritical ICU, but we don't

want to board a patient like this.

Mm -hmm.

Hey, Robbie. Hey, how did the scan go?

It's fine.

It is probably going to take a little
while to get the results from the

radiologist. Well, that's not a problem.

Vivian and I need a little time to
coordinate our schedules over the next

months. Really? Yeah, I've always wanted
to learn how to ride a motorcycle, and

Duke offered to teach me.

Well, nobody knows motorcycles like
Duke.

He's giving me the health care worker
discount.

He's quite the gentleman.

Let's get him back to his room.

How would next Saturday be for you,
baby?

Maybe we could have some dinner after.

Dr. Mohan, Lori Diaz is here. She wants
to see her husband.

She's heading back. Okay, I'm on my way.

Mrs. Diaz? Hi.

Did Orlando go up to his room yet?

No. I brought him some dinner from
Burgatory.

It's a chicken burger.

No bun. Just lettuce.

Figured it would be better than hospital
food.

He's being treated by our top brain
injury specialist.

Will he wake up? We won't know for
several weeks.

And then he could be back to normal.

Best case scenario, it would take about
a year before he could be independent at

home.

And the worst case?

Round -the -clock nursing care for
severe disability.

You let him leave.

He insisted on leaving to work at a
second job.

We're going to make him stay.

He was competent.

He knew the risks.

We honored his decision to leave.

Even if it was a stupid plan. I tried to
stop him.

Offered to get him all the supplies he'd
need to take care of himself at home.

But he left before I could give them to
him.

He said he couldn't afford to lose a
paycheck.

Dr. Langdon?

Are you okay?

Yeah, I'm just kind of, uh, wondering if
I'm really ready to be back here.

Well, of course you are.

Ten months is a long time.

I almost killed that kid with an
intubation.

Didn't even occur to me to check for
pneumothorax.

Well, there isn't any trauma to
indicate. I should have caught it.

You know, I, um... I had a septetition
today.

And all the lawyers' questions made me
feel like I was a really, really bad

doctor.

We don't always get everything right
first time.

You would have caught the collapsed
lung.

It may have taken a minute, but you
would have saved him.

I'm not sure Robbie would agree with
you.

He's been...

riding me all day.

Well, Robbie's leaving for three months.

And, you know, with Robbie gone, I
really don't want you to leave either.

That which does not kill me makes me
stronger.

Well, Frederick needs you.

Yeah?

Needs you, yeah.

Not Kelly Clarkson.

Hey, that's a thick one. Yeah. Austin
Green, Ogilvy's AAA.

Uh, G -R -E -E -N?

Yeah, why? What are you doing?

Checking to see when we'll get Ogilvy
back from the OR.

Oh, shit.

What? The guy didn't make it.

He died on the table about 40 minutes
ago.

Then where's Ogilvy?

Oh, man.

His patient had a CT a year and a half
ago that showed a 4 -centimeter AAA.

It's too small for surgery.

You were supposed to come back every six
months for a leafy ultrasound, but

looks like you didn't. You would have
seen that if the computers were working.

Why wouldn't you tell Ogilvy?

Maybe he forgot all about it, or Ogilvy
didn't ask the right questions.

Dennis, is that a minute?

Sure, what do you need?

Teenager with jewelry magnets stuck to
both sides of her nasal septum. I tried

to move them with a plastic curette.

Too much pain, and then there was
bleeding.

Those need to come off before they cause
permanent damage. Yeah, you think you

could find, like, a senior or an
attending? We're really trying to get

clock here.

They're all busy.

I already took one for the team.

Fine.

Yeah, I laughed on your yell, lady.

INR is elevated 2 .2.

Liver's in trouble, but not dead yet.

Tell her to skip the turmeric, admit for
monitoring, and follow the LFTs.

Got it.

Central time? Yeah.

Sleep maxing, really?

I track the online trends.

Is that your secret for the tough ones?

I just think what's the stupidest thing
this person could have done?

Assume they did it.

Well, I mean, if she was trying to be
healthy.

Yeah, right. Taking advice from fools.

Tumor is recommended by a lot of
doctors.

Yeah, then ask your doctor for the dose.

Or check some place reputable like the
CDC.

Oh, right, I forgot. It's a medical
toxic waste site.

She's in pretty bad shape.

Things get worse, she could need a liver
transplant.

Because she's a big fucking idiot.

Wow.

No, I actually appreciate her. Our job
security depends on all these big

idiots.

Okay.

Good night, Perla.

Monica, good night, Dr. Robbie.

Good night. Bye, Emma.

You can stay to pitch in.

Dana told me to go and get some rest
before tomorrow's shift.

Yeah, you had quite a day.

It wasn't so bad.

Why can't I find Duke's results?

Oh, new patient, no EHR yet.

I can run over to radiology, get a
printout.

Thank you, Monica.

Ready to pick up a few more.

Atlanta's all tucked in for now. How's
he doing?

Numbers are good.

CPP 22.

Okay, so he's got a shot at a decent
outcome, at least.

You think he has a chance?

Oh, I don't know that survival was the
outcome he was hoping for.

What? I told Samir he's got $100 ,000 in
medical debt. His life is probably...

This is Diaz.

How can we help you?

The bathroom?

Uh, yeah, probably can show you the way.

What a great idea to have a private
conversation about a patient in a public

area.

You were about to start yapping. But I
didn't.

Okay.

How long have they been in there?

At least two hours.

How did it happen?

With Mary.

It was supposed to be red, white, and
blue to look cool with the fireworks.

I told her for the nose one side only,
but she never listened. This can be

pretty serious. If we don't get them out
quickly, it can cut off the blood

supply and cause the septum to collapse.

Like, my nose could be deformed.

Oh, my God. Get them off. Yeah, that's
the plan.

Yeah, she tried already. It hurt like
crazy. Because they're stuck together by

very strong magnetic force.

Yeah. No, no, no.

Oh, I'm not going to use the tips. I'm
going to flip it around and use the

handle. It's still going to hurt.

Probably not.

Just hold still.

Okay.

Voila.

Really? That was amazing.

I think in another half hour we can send
this dry erase to Rebecca's storage.

With pleasure.

Dr. Romanovich. Yep. Results on your
friend.

Fuck. Duke.

Are you going to tell him?

I want to talk to a surgeon. Dr.

Ravi, I have an update on the patient.
It was not a great time.

Oh, you were going home.

I was.

Dr. Ogilvie is just sitting out in the
ambulance bay covered in blood.

Sorry, what's he doing out there?

Kind of staring off into space. I tried
to talk to him, but it was like he

couldn't hear me. Monica, can you step
his cardiothoracic?

I'll go check on Ogilvie. Please.

Hey, Ogilvy.

Ogilvy.

You okay, man?

99 on two liters.

Scattered and expiratory wheezes.

He is so much better.

The steroids should kick in soon.

So he'll keep improving.

When can I go home?

In a day or two.

And we will discharge you with a
Simbacort inhaler. That should last

month.

Hopefully, we'll be back on Medicaid by
then.

How'd you lose it?

They sent a redetermination letter to
our old apartment.

It didn't get forwarded.

When I went to pick up his prescription,
pharmacist told me we were no longer

covered.

And you haven't been able to get it back
since?

I've been trying for months.

To get re -enrolled, you need...

Tax returns, pay stubs.

I cut hair.

My income fluctuates.

A lot of my regulars are struggling, so
it's been tough.

Well, if you run out of him before your
Medicaid kicks in, you can come back and

we'll set you up with another one.

Is there a patient in here? Because
everyone in this room looks extremely

healthy to me.

Dr. Shin and I will be with Grady all
night long.

Day shift, we got this.

We're leaving you in good hands.

Um, I was really scared.

Thank you.

You're very welcome.

Due to his injury, things have changed.

I was looking for Dr.

Abbott. I haven't seen him for a while.

Excuse me.

So now with a long -term disability,
things may be easier.

Easier. His condition will qualify him
for Medicare and Medicaid, so moving

forward, costs should be covered,
including home health care.

Perhaps this isn't the best time. I just
wanted to reassure you about future

costs.

Robbie?

Noelle? You're still here.

It's not the best day to try to get out
on time.

Hmm.

So I guess this is it for a while.
Unless you want to come with me.

No. Thank you.

Even if it isn't a legitimate offer.

What do you mean?

Oh, please. I know well enough not to
get in between a man and his vision

Vision quest.

That is my nice way of putting it.

I probably don't want to hear you're not
so nice when you're putting it.

No, probably not.

I hope that this is not about you
running away from me. I'm a big girl.

tell me just to get lost.

This has nothing to do with you.

Oh, right.

It's the old, it's not you, it's me?

In this case, it's actually true.

Excuse me.

I'll see you next week. It's a three
-month sabbatical. Like I said, I will

you next week.

My first day here as a med student,
there was a patient.

He was a really nice guy.

Came in with belly pain.

I saw a gallstone on the ultrasound,
normal EKG, troponin. The pain resolved,

and he was in the hall when he had a
cardiac arrest.

I couldn't save him.

People die.

And we do the best we can, but people
die.

You ever get used to that?

No.

No, you... You try to accept it.

You try to find balance.

I don't know if I can take another day
like today.

Primary care specialty sounds way
better.

Peds, maybe.

Yeah, maybe.

I know I'd be bored out of my fucking
mind.

Seriously, I like the challenge of
undiagnosed illness, of quick decisions,

life -saving procedures.

And I like being here for people on the
worst days of their lives.

You know what I think?

What?

I think you should go home.

I think you should sleep on it, and I
think you should at least wait till the

morning to decide if you want to come
back.

I don't really want to go back in there
and see anybody.

No.

Okay, pull off your gown. I'll take it
in.

Shift is over.

Go home.

Oh, God. Sorry.

I'm good, I'm good, I'm good.

Tummy in a wheelchair.

Yeah, he moves around.

I see I've been replaced.

Oh, did I take your spot?

Not really, no. Are you sure? Where the
hell have you been?

I found Ogilvy.

And?

And he's going home.

That's it?

It's a long story.

Well, I got nothing but time. I need to
respect his privacy.

Where's the fun in that?

Sorry.

Um, the shredder jam?

Yeah, try putting it in reverse.

Perfect. Just give it a little love tap.

Kick it.

Jesus Christ.

I guess Mr. Digby got a room upstairs.

In your dreams.

He's not in South 21.

Yeah, he is.

There's a new guy in the bed.

Short hair, clean shades.

I'll take care of him.

Scout from Chirabi's pathology, so we
ordered a CT angiogram.

Textbook is sending out again. He was in
8 centimeters.

50 % one -year mortality.

So he definitely needs surgery.

If he wants to live.

Okay. Well, he's a friend, so I will
talk to him. I'll get him admitted to

service. Not today.

Why not?

He needs to see cardiology and pulmonary
first to be cleared for the OR. They

can do a stress echo, PFTs. He needs to
be admitted and evaluated as an

inpatient. Nothing ever gets done over a
holiday weekend. He can take it easy at

home. He's a ticking time bomb.

He's probably been that way for years.
We can get him in early next week with a

specialist, get his testing done, all
goes well. He's on the OR schedule in a

week. What happens if it ruptures before
then? Call 911.

Sorry, Robbie. Best we can do.

Text me his number. I'll have my office
coordinate.

Take a walk. Come on.

Two for discharge.

Yeah, please don't ring the bell. The
computers are back up and running.

Not for these two. They don't have
electronic health records yet.

Wait, hold up. This kid had a wrist x
-ray ordered.

It never happened. And water skiing
lady's still waiting on a knee series.

I canceled the x -rays.

Diagnosed them both with ultrasound.

Really?

Yeah.

The little boy had a simple buccal
fracture, distal radius. He got a velcro

splint. And Mrs. Stegman had a small
medial meniscus tear.

The immobilizer crutches and a follow
-up with ortho.

Could have used you on the day shift
today.

They don't teach us a lot of
musculoskeletal ultrasound.

I know.

That's why I did electives at Harvard
and Highland.

Are you applying for an ultrasound
fellowship here?

I am, but it is so competitive.

That's what I hear.

Kind of a long shot.

Only have one publication, but it's a
series of case reports diagnosing

dislocations with ultrasound only.

If you want to learn some MSK, you can
tag along. I got three more to scan.

Maybe some other time.

Cool.

Hey, don't jam the shredder.

What is it, two charts?

No, it's my ultrasound fellowship
application.

Hey,

uh, sorry, got your patient.

Yeah. Orlando's in pretty bad shape.

Oh, no. I was talking about the AAA guy
you worked on with Uncle V.

He didn't make it through surgery.

I tried to talk to Robbie about it, but
I think he's busy.

He's busy.

Oh, shit.

You think I'm on edge?

First you shame and smear it, then the
case. They both needed to be called out

for an exception to their behavior.
Yeah, well, you do that in private. Same

place you share your thoughts about a
patient's possible suicide and slam and

stuff. Please, find out all the shit
that's bugging you and get out of here.

can't. Yes, you can. When either of my
kids was acting like this, I gave them a

time out in their room. Whoa, whoa,
whoa. You're not my mother. Yeah? Well,

bad. You need... No, I had one. She
left. I don't need another one. What I

is someone who can actually run this
place while I'm gone. Okay, I'm sorry.

I didn't know.

Nobody knows. Who needs to know? Well,
give the fuck.

I think you need a break.

That's what the sabbatical is for. Let's
start it now. Walk away.

I have too much to do.

Let someone else talk to Duke.

No, that needs to come from me. Why?

Because I owe him that. It needs to come
from a friend, not a stranger.

Otherwise, he's going to bail and drop
dead while I'm gone. Okay, wrap that up

and then leave.

It's not just Duke. I'm not sure that
Alishimi is fit to run this place.

that supposed to mean? I'm not sure. I'm
trying to figure that out. Did you know

that she wants to have two attendings on
at all times? No. Is that something

she's worked out with Gloria?

I don't know.

I also don't know if Lanyon is going to
relapse. I don't know if Whitaker is

going to be able to take care of my
shit. I don't know if Javadi is going to

give up on what she's good at or if
Samira is going to flame out because of

bullshit with her mother. Is there
anything else? Yeah, you.

I don't know about you running around
with a full syringe of Versed in your

pocket. I'm worried about the people
that I care about.

We'll all manage until you come back.

We always do. Yeah, what if I don't come
back?