1 00:00:12,512 --> 00:00:13,722 Dr. Al? 2 00:00:16,099 --> 00:00:17,142 Dr. Al. 3 00:00:19,561 --> 00:00:21,312 Trauma's at the back door. 4 00:00:26,943 --> 00:00:29,195 Let me know when the rest of her labs are back. 5 00:00:31,740 --> 00:00:33,949 The girlfriend hasn't been much help. 6 00:00:33,950 --> 00:00:37,119 - Is she being uncooperative? - No, not really. 7 00:00:37,120 --> 00:00:39,747 {\an8}Apparently, she's only been going out with the little girl Kylie's father 8 00:00:39,748 --> 00:00:41,123 {\an8}for a few months. 9 00:00:41,124 --> 00:00:44,126 {\an8}- Where is he now? - He's in New Castle for work. 10 00:00:44,127 --> 00:00:46,003 {\an8}I left him a message to come in. 11 00:00:46,004 --> 00:00:47,755 Okay, come find me when he gets here. 12 00:00:47,756 --> 00:00:49,757 You talk to the trauma counselor this week? 13 00:00:49,758 --> 00:00:51,467 I'm going to. 14 00:00:51,468 --> 00:00:52,926 - Promise. - Okay, good. 15 00:00:52,927 --> 00:00:54,678 - Medics are rolling in. - I'll be right there. 16 00:00:54,679 --> 00:00:56,972 How's our little girl who took a stair tumble? 17 00:00:56,973 --> 00:00:59,558 I'm going to check for internal hemorrhage with an ultrasound. 18 00:00:59,559 --> 00:01:02,436 - What is your gut telling you? - Her gut? 19 00:01:02,437 --> 00:01:04,856 Yeah, it's this thing that AI will never have. 20 00:01:05,482 --> 00:01:08,568 I don't want to think about what my gut is saying right now. 21 00:01:09,569 --> 00:01:10,986 Come find me when you know more. 22 00:01:10,987 --> 00:01:12,571 - Us, if you don't mind. - I don't mind. 23 00:01:12,572 --> 00:01:14,364 Us, come find us when you know more. 24 00:01:14,365 --> 00:01:17,159 - Do you want to jump on this trauma? - I've got my hands full. 25 00:01:17,160 --> 00:01:18,994 I don't want this one getting away from me. 26 00:01:18,995 --> 00:01:21,163 We don't know what this is yet. Don't go jumping to conclusions. 27 00:01:21,164 --> 00:01:23,792 I'm not jumping to anything. I'm just looking out for my patient. 28 00:01:28,004 --> 00:01:30,297 Something I should know about Santos? 29 00:01:30,298 --> 00:01:33,133 Very confident, not afraid to get her hands dirty, 30 00:01:33,134 --> 00:01:35,010 strong patient advocate, fearless. 31 00:01:35,011 --> 00:01:37,262 Seems like you were suggesting she jumps to conclusions. 32 00:01:37,263 --> 00:01:39,807 No, no, no, no. I was merely suggesting or reminding her not to. 33 00:01:39,808 --> 00:01:41,809 - Yeah. - 58-year-old guy. 34 00:01:41,810 --> 00:01:43,602 Tripped with a scaphoid fracture. 35 00:01:43,603 --> 00:01:47,481 Epistaxis, non-focal neuro, but denies head trauma. 36 00:01:47,482 --> 00:01:50,943 But every time I check on him, his affect has drastically changed. 37 00:01:50,944 --> 00:01:53,404 My gut is telling me something's not right. 38 00:01:57,158 --> 00:01:58,617 - What? - Nothing. 39 00:01:58,618 --> 00:01:59,827 Your play. 40 00:01:59,828 --> 00:02:01,203 Start with a head CT. 41 00:02:01,204 --> 00:02:03,122 If normal, LP, rule out encephalitis. 42 00:02:03,123 --> 00:02:04,414 Put in your orders. 43 00:02:04,415 --> 00:02:06,125 Has he been here before? 44 00:02:06,126 --> 00:02:08,627 Have you called the family to rule out any psychiatric history? 45 00:02:08,628 --> 00:02:09,753 No, but I will. 46 00:02:09,754 --> 00:02:11,421 Do you want to jump on this trauma in the meantime? 47 00:02:11,422 --> 00:02:13,215 - What is it? - It's a surprise. 48 00:02:13,216 --> 00:02:14,425 Wonderful. 49 00:02:17,053 --> 00:02:18,679 Mel, you want to jump on this? 50 00:02:18,680 --> 00:02:21,431 - What is it? - It's a surprise. 51 00:02:21,432 --> 00:02:23,433 - What do you got for us, Amboy? - Allen Billings. 52 00:02:23,434 --> 00:02:25,644 Pallet of roofing tiles fell eight feet, 53 00:02:25,645 --> 00:02:28,230 hit his upper arm with an open dislocation. 54 00:02:28,231 --> 00:02:29,439 Ouch. 55 00:02:29,440 --> 00:02:33,235 Two rounds of fent, 1 then 0.5 per kilo. A and O, with good vitals. 56 00:02:33,236 --> 00:02:35,654 - Mel, hold the arm steady. - Sure. 57 00:02:35,655 --> 00:02:37,657 Uno, dos, tres. 58 00:02:39,117 --> 00:02:42,786 - Mr. Billings, I'm Dr. McKay. - And I'm Dr. Garcia from surgery. 59 00:02:42,787 --> 00:02:44,746 - And this is Dr. King. - Hi. 60 00:02:44,747 --> 00:02:46,206 - Oh, it really hurts. - Give us a minute. 61 00:02:46,207 --> 00:02:48,041 And we're gonna take care of that, okay? 62 00:02:48,042 --> 00:02:49,418 Any headache, chest or belly pain? 63 00:02:49,419 --> 00:02:52,004 - No, just the arm. - Sats 99. Pulse 104. 64 00:02:52,005 --> 00:02:53,547 BP 116/78. 65 00:02:53,548 --> 00:02:56,884 - What do you think, Dr. King? - Oh, it is an open dislocation. 66 00:02:56,885 --> 00:02:58,469 Can you be more specific? 67 00:02:59,679 --> 00:03:01,847 I think it's inferior, yeah? 68 00:03:01,848 --> 00:03:04,642 Do you remember the name for that? 69 00:03:07,145 --> 00:03:09,771 Sounds like a Harry Potter spell. 70 00:03:09,772 --> 00:03:10,898 I... 71 00:03:10,899 --> 00:03:13,108 Luxatio erecta. 72 00:03:13,109 --> 00:03:15,027 Correct. Check the neuro-circ. 73 00:03:15,028 --> 00:03:16,696 Sir, can you feel me touching you? 74 00:03:17,488 --> 00:03:20,116 - Okay. Can you wiggle your fingers? - Yeah. 75 00:03:21,492 --> 00:03:24,995 - Good radial pulse. - E-FAST is negative. 76 00:03:24,996 --> 00:03:28,373 - Okay, what's next, Dr. McKay? - Ancef and gentamicin. 77 00:03:28,374 --> 00:03:30,667 Sedate for traction, countertraction. 78 00:03:30,668 --> 00:03:33,420 And he needs a CT angiogram to rule out vascular injury. 79 00:03:33,421 --> 00:03:34,504 That sounds like a plan. 80 00:03:34,505 --> 00:03:37,299 But with an open joint, he needs a washout in the OR with ortho. 81 00:03:37,300 --> 00:03:38,383 Agreed. 82 00:03:38,384 --> 00:03:39,551 Instead of wasting time down here, 83 00:03:39,552 --> 00:03:41,929 it should be easier to reduce under general anesthesia 84 00:03:41,930 --> 00:03:44,306 - with fewer risks. - Possibly. 85 00:03:44,307 --> 00:03:46,142 Let's get an opinion from ortho. 86 00:03:47,352 --> 00:03:48,936 You're definitely new, Doctor. Wishful thinking. 87 00:03:48,937 --> 00:03:50,938 Ortho like to take their sweet time. 88 00:03:50,939 --> 00:03:52,940 Okay, sedation orders, Dr. McKay. 89 00:03:52,941 --> 00:03:54,942 100 of propofol. Titrate to effect. 90 00:03:54,943 --> 00:03:56,194 Be back with that. 91 00:03:56,861 --> 00:03:57,946 Excuse me. 92 00:04:01,532 --> 00:04:04,534 - How's your day going, Doc? - Yeah, pretty good. 93 00:04:04,535 --> 00:04:06,955 Looks like your albumin's infusing. 94 00:04:09,832 --> 00:04:13,794 Oh, medical students Ogilvie and Kwon are gonna be working with me. 95 00:04:13,795 --> 00:04:15,379 - Hello. - Student doctors. 96 00:04:15,380 --> 00:04:16,797 You want them to try it? 97 00:04:16,798 --> 00:04:18,966 They got to learn sometime. 98 00:04:18,967 --> 00:04:21,218 It's best if they watch the first one. 99 00:04:21,219 --> 00:04:22,928 - I can prep and drape. - Yeah. 100 00:04:22,929 --> 00:04:26,765 - After your albumin's in. - That's correct. 101 00:04:26,766 --> 00:04:29,017 To prevent hypotension, we introduce albumin 102 00:04:29,018 --> 00:04:31,687 if we anticipate more than five liters. 103 00:04:31,688 --> 00:04:33,146 Last time it was six. 104 00:04:33,147 --> 00:04:35,691 That's, like, a gallon and a half. 105 00:04:35,692 --> 00:04:37,193 Of high-octane premium. 106 00:04:37,986 --> 00:04:39,987 Okay, you need anything else, Mr. Louie? 107 00:04:39,988 --> 00:04:41,363 - No, ma'am. - Okay. 108 00:04:41,364 --> 00:04:43,949 - Grab me when you're ready? - Yeah. 109 00:04:43,950 --> 00:04:47,035 Whitaker, wife of your DNR this morning is in Central 8. 110 00:04:47,036 --> 00:04:49,037 Does she know her husband died? 111 00:04:49,038 --> 00:04:50,373 Not till you tell her. 112 00:04:51,207 --> 00:04:52,625 I'll be right there. 113 00:04:53,793 --> 00:04:58,213 Yeah, always make sure your entry point is safe 114 00:04:58,214 --> 00:05:00,340 by identifying the pocket of fluid. 115 00:05:00,341 --> 00:05:02,009 That's not a pocket. That's a lake. 116 00:05:02,010 --> 00:05:04,594 Yeah, but you do not want to hit a vein or artery on the way in, 117 00:05:04,595 --> 00:05:06,597 so make sure you check with color Doppler. 118 00:05:09,017 --> 00:05:10,600 Joy? 119 00:05:10,601 --> 00:05:12,978 I can't see. I can't see anything. 120 00:05:12,979 --> 00:05:15,397 - That's 'cause your eye is shut. - I can't open it. It's glued shut. 121 00:05:15,398 --> 00:05:17,607 I was trying to put on lashes. 122 00:05:17,608 --> 00:05:20,819 Oh, my God. Oh, my God, am I gonna go blind? 123 00:05:20,820 --> 00:05:23,030 No, no, I'm pretty sure this is something we can fix. 124 00:05:23,031 --> 00:05:25,199 Just take a deep breath. 125 00:05:26,743 --> 00:05:30,954 Okay, so you glued your eye shut with what exactly? 126 00:05:30,955 --> 00:05:32,456 - Super glue. - Okay. 127 00:05:32,457 --> 00:05:35,083 Well, is it something you typically use to apply your lashes? 128 00:05:35,084 --> 00:05:37,836 No, it's typically something you use to glue shit you break, 129 00:05:37,837 --> 00:05:39,171 like coffee mugs and stuff. 130 00:05:39,172 --> 00:05:41,631 You know what I'm talking about. It's super glue. 131 00:05:41,632 --> 00:05:43,550 Okay, okay. Yeah, got it. 132 00:05:43,551 --> 00:05:46,429 Can I just talk to Dr. J? She'll know what to do. 133 00:05:47,347 --> 00:05:49,264 Is that an ophthalmologist? 134 00:05:49,265 --> 00:05:51,683 No, she works here in the ER. 135 00:05:51,684 --> 00:05:55,270 Yeah, I don't think so, but I know what I'm doing... 136 00:05:55,271 --> 00:05:56,689 most of the time. 137 00:05:59,525 --> 00:06:02,527 For a Z-track, we pull up the skin 138 00:06:02,528 --> 00:06:05,656 before advancing into the peritoneal space. 139 00:06:06,282 --> 00:06:08,784 - Looks good. - Fluid's clear. 140 00:06:08,785 --> 00:06:10,911 Does that hurt as much as it looks? 141 00:06:10,912 --> 00:06:12,163 Oh, it's not too bad. 142 00:06:13,539 --> 00:06:15,457 Ogilvie, spike the bottle for me. 143 00:06:15,458 --> 00:06:17,709 What tests do we want on these fluids? 144 00:06:17,710 --> 00:06:20,003 Cell count to rule out spontaneous bacterial peritonitis. 145 00:06:20,004 --> 00:06:21,088 Ding. 146 00:06:21,089 --> 00:06:23,049 What would make that diagnosis, Joy? 147 00:06:24,675 --> 00:06:26,344 Absolute neutrophil count over 250. 148 00:06:28,012 --> 00:06:31,890 - How are we doing in here? - They are doing great. 149 00:06:31,891 --> 00:06:33,184 I think they got this. 150 00:06:37,063 --> 00:06:38,980 Hey, Dana, can you get Kiara down here for me? 151 00:06:38,981 --> 00:06:40,482 She isn't answering her Spectralink. 152 00:06:40,483 --> 00:06:42,693 She's not working today. It's... 153 00:06:43,319 --> 00:06:45,153 I forget. I'll find out and get 'em down here. 154 00:06:45,154 --> 00:06:46,238 What else you need? 155 00:06:46,239 --> 00:06:48,783 How about a double espresso martini? 156 00:06:49,367 --> 00:06:50,910 I like the way you think. 157 00:06:51,911 --> 00:06:54,663 Hey, Trudy, it's Dana. What's going on up there? 158 00:06:54,664 --> 00:06:56,164 What's up, Crash? 159 00:06:56,165 --> 00:06:59,251 You mean besides my mother driving me insane? 160 00:06:59,252 --> 00:07:02,587 Just tell her that her efforts would be better suited 161 00:07:02,588 --> 00:07:05,006 endorsing someone like myself. 162 00:07:05,007 --> 00:07:08,468 If you're seriously thinking of a double residency, 163 00:07:08,469 --> 00:07:10,304 let me save you the trouble-- you can't do it. 164 00:07:11,514 --> 00:07:14,142 Why? Just because you couldn't do it? 165 00:07:14,934 --> 00:07:17,727 Honestly, yes. 166 00:07:17,728 --> 00:07:19,147 Because you're a genius. 167 00:07:19,939 --> 00:07:21,148 Yes. 168 00:07:21,149 --> 00:07:23,024 What's the square root of 841? 169 00:07:23,025 --> 00:07:25,026 I'm not a human calculator. 170 00:07:25,027 --> 00:07:27,737 Social worker Dylan Easton is covering for Kiara this weekend. 171 00:07:27,738 --> 00:07:29,739 - They're on their way down. - Thank you. 172 00:07:29,740 --> 00:07:30,949 Yep. 173 00:07:30,950 --> 00:07:32,534 Oh, shit. 174 00:07:32,535 --> 00:07:34,744 I have a nun with conjunctivitis. 175 00:07:34,745 --> 00:07:37,290 Her swab is showing gram-negative intracellular diplococci. 176 00:07:37,957 --> 00:07:39,291 Gonorrhea? 177 00:07:39,292 --> 00:07:40,918 Come to Jesus. 178 00:07:41,752 --> 00:07:43,795 Well, the lab must have made a mistake. 179 00:07:43,796 --> 00:07:46,131 Maybe it's an immaculate infection. 180 00:07:46,132 --> 00:07:49,134 I'll call the lab supe, clear this up. Tread carefully, missy. 181 00:07:49,135 --> 00:07:53,264 There's a nun with gonorrhea in her eye. 182 00:07:55,308 --> 00:07:57,767 Seriously, you guys are gonna take this away from me? 183 00:07:57,768 --> 00:07:59,187 I'm disappointed in you two. 184 00:07:59,896 --> 00:08:01,313 29. 185 00:08:01,314 --> 00:08:02,647 What? 186 00:08:02,648 --> 00:08:03,983 The square root of 841. 187 00:08:04,984 --> 00:08:06,818 How we doing with Mr. Digby? 188 00:08:06,819 --> 00:08:08,987 He's in a gown in South 21. 189 00:08:08,988 --> 00:08:10,655 Is there someplace we can get this laundered? 190 00:08:10,656 --> 00:08:12,407 Those are going right in the incinerator. 191 00:08:12,408 --> 00:08:14,409 We'll get him a whole new wardrobe. 192 00:08:14,410 --> 00:08:16,411 You ever use a cast saw before? 193 00:08:16,412 --> 00:08:18,580 Of course you haven't. Well, today's your lucky day. 194 00:08:18,581 --> 00:08:19,915 Follow me. 195 00:08:19,916 --> 00:08:22,417 - Dr. Mohan, you got a minute? - Yeah. 196 00:08:22,418 --> 00:08:25,712 Have you met Emma? First day. New grad RN. 197 00:08:25,713 --> 00:08:27,214 - Hi. - Nice to meet you. 198 00:08:27,215 --> 00:08:29,007 Emma needs to learn cast removal. 199 00:08:29,008 --> 00:08:32,427 - How long has the cast been on? - Months, maybe years. 200 00:08:32,428 --> 00:08:34,597 Probably gonna want to breathe through your mouth. 201 00:08:37,350 --> 00:08:39,476 All right, Mr. Digby. 202 00:08:39,477 --> 00:08:42,229 Dr. Mohan can cut your cast off now. 203 00:08:42,230 --> 00:08:43,813 How long's the cast been on? 204 00:08:43,814 --> 00:08:46,775 I don't know, but it's really getting itchy. 205 00:08:46,776 --> 00:08:51,154 {\an8}Okay, this cuts the cast, not the skin. 206 00:08:51,155 --> 00:08:52,823 This should relieve the itching. 207 00:09:06,295 --> 00:09:07,380 Get the cast spreader. 208 00:09:14,262 --> 00:09:15,846 Thank you. 209 00:09:17,265 --> 00:09:18,474 Okay. 210 00:09:23,646 --> 00:09:24,855 Okay. 211 00:09:29,277 --> 00:09:31,653 Oh, I see you brought some friends. 212 00:09:31,654 --> 00:09:33,823 - Oh, my God, are those-- - Maggots. 213 00:09:39,453 --> 00:09:41,539 I'll need ethyl chloride spray to freeze them off. 214 00:09:42,498 --> 00:09:45,084 Never saw that in nursing school, am I right? 215 00:09:50,631 --> 00:09:53,258 Now irrigate like hell, Mel. 216 00:09:53,259 --> 00:09:54,302 Okay. 217 00:09:58,806 --> 00:10:00,682 Okay, on my count. 218 00:10:00,683 --> 00:10:03,311 One, two, three. 219 00:10:04,687 --> 00:10:06,314 Come on, motherfucker. 220 00:10:06,814 --> 00:10:08,690 Humeral head is not reducing. 221 00:10:08,691 --> 00:10:10,942 - Should be done in the OR. - I am the OR. 222 00:10:10,943 --> 00:10:14,404 Okay, we're gonna get this back in before ortho even answers the page. 223 00:10:14,405 --> 00:10:17,115 Mel, stick four fingers under that humeral head. 224 00:10:17,116 --> 00:10:19,285 - Really? - Yeah, get in there really, really deep. 225 00:10:19,910 --> 00:10:22,996 And when you feel the traction, lift it above the glenoid. 226 00:10:22,997 --> 00:10:25,332 That will convert this to an anterior dislocation, 227 00:10:25,333 --> 00:10:27,459 and it should pop right back in. 228 00:10:27,460 --> 00:10:28,461 Okay. 229 00:10:29,337 --> 00:10:30,545 Ready to go. 230 00:10:30,546 --> 00:10:33,883 One, two, three. 231 00:10:34,925 --> 00:10:37,969 - Okay. - Oh, very cool. 232 00:10:37,970 --> 00:10:39,555 Sterile saline dressing. 233 00:10:40,181 --> 00:10:42,641 - Shoulder immobilizer and CT. - Okay. 234 00:10:42,642 --> 00:10:44,935 Guess you guys don't need me anymore. 235 00:10:47,188 --> 00:10:49,857 - You all right, Dr. King? - Yeah. 236 00:10:50,483 --> 00:10:51,734 You don't seem all right. 237 00:10:52,401 --> 00:10:54,362 Well, my deposition is today. 238 00:10:55,404 --> 00:10:58,323 - Do you want to talk about it? - I'm not allowed to. 239 00:10:58,324 --> 00:11:00,158 No, we don't have to talk about the deposition, 240 00:11:00,159 --> 00:11:03,495 but we can talk about how it is affecting you. 241 00:11:03,496 --> 00:11:06,748 Average emergency physician catches a med-mal case every seven years. 242 00:11:06,749 --> 00:11:08,375 Nine times out of ten, the doctor wins. 243 00:11:08,376 --> 00:11:10,085 I've been sued four times myself. 244 00:11:10,086 --> 00:11:11,170 Dr. Al? 245 00:11:12,588 --> 00:11:14,965 I've never been named in a lawsuit. 246 00:11:20,930 --> 00:11:22,598 But sometime... 247 00:11:25,810 --> 00:11:27,519 Sister Grace. 248 00:11:27,520 --> 00:11:29,771 This is one of my residents, Dr. Mohan. 249 00:11:29,772 --> 00:11:31,564 - Nice to meet you. - You as well. 250 00:11:31,565 --> 00:11:35,985 I wish we could recruit as dedicated and talented young women as you two. 251 00:11:35,986 --> 00:11:38,613 I imagine it's a calling, much like medicine. 252 00:11:38,614 --> 00:11:40,574 Yes, very much so. 253 00:11:41,617 --> 00:11:44,202 Sister Grace, under the microscope, 254 00:11:44,203 --> 00:11:47,956 we're seeing something called a gram-negative bacteria. 255 00:11:47,957 --> 00:11:49,624 Is that serious? 256 00:11:49,625 --> 00:11:51,835 It can be if left untreated. 257 00:11:51,836 --> 00:11:54,295 But, fortunately, we can give you a shot of antibiotics, 258 00:11:54,296 --> 00:11:56,005 irrigate your eye with a liter of saline, 259 00:11:56,006 --> 00:11:58,550 and give you drops to use at home every few hours. 260 00:11:58,551 --> 00:12:00,219 How did I get it? 261 00:12:02,012 --> 00:12:05,432 So the appearance of the bacteria in your eye 262 00:12:05,433 --> 00:12:09,018 suggests that it's gonorrhea. 263 00:12:09,019 --> 00:12:12,981 - Traditionally, that's a sexually-- - I know what gonorrhea is, Dr. Javadi. 264 00:12:12,982 --> 00:12:15,400 I'm a nun, not a numbskull. 265 00:12:15,401 --> 00:12:18,737 I do a lot of work at an unhoused shelter. 266 00:12:18,738 --> 00:12:21,448 Are you handling dirty sheets, 267 00:12:21,449 --> 00:12:25,243 - pillowcases, soiled clothes? - Yes. 268 00:12:25,244 --> 00:12:28,037 Part of my day is spent doing laundry, 269 00:12:28,038 --> 00:12:31,249 making beds, disposing of old clothes. 270 00:12:31,250 --> 00:12:33,251 Do you wear gloves? 271 00:12:33,252 --> 00:12:35,420 - When they're available. - Okay. 272 00:12:35,421 --> 00:12:39,966 Well, let's get you your shot and set up for irrigating your eye. 273 00:12:39,967 --> 00:12:43,052 I bet we can scrounge up a couple boxes of gloves while you're here. 274 00:12:43,053 --> 00:12:46,097 It's important to protect yourself. 275 00:12:46,098 --> 00:12:47,475 We'll be back. 276 00:12:49,685 --> 00:12:51,020 Why am I here? 277 00:12:51,854 --> 00:12:53,271 I'm not sick. 278 00:12:53,272 --> 00:12:57,567 Oh, we took care of your husband, Ethan, earlier today. 279 00:12:57,568 --> 00:12:59,612 Is Ethan sick? 280 00:13:00,654 --> 00:13:03,239 Well, he was very ill. 281 00:13:03,240 --> 00:13:06,576 And we did everything we could to treat him, 282 00:13:06,577 --> 00:13:09,496 but his heart stopped beating. 283 00:13:09,497 --> 00:13:13,042 And I'm so sorry to say that he died. 284 00:13:15,085 --> 00:13:16,712 He died? 285 00:13:17,505 --> 00:13:18,631 Ethan? 286 00:13:19,298 --> 00:13:21,717 No, no. 287 00:13:22,635 --> 00:13:24,303 Are you sure? 288 00:13:26,514 --> 00:13:27,556 Yes. 289 00:13:28,474 --> 00:13:31,392 No, no, no, no, no. 290 00:13:31,393 --> 00:13:33,103 Ethan isn't sick. 291 00:13:33,604 --> 00:13:34,979 No! 292 00:13:34,980 --> 00:13:37,733 I know how difficult this must be for you. 293 00:13:44,907 --> 00:13:48,243 Kidneys look good on ultrasound. No intra-abdominal injury. 294 00:13:48,244 --> 00:13:50,119 - Hey, Dylan. - Robby. 295 00:13:50,120 --> 00:13:52,205 Is this the "tumble down the stairs" kid--Kylie? 296 00:13:52,206 --> 00:13:53,748 - Yeah. - And? 297 00:13:53,749 --> 00:13:56,334 I'd like to talk to the girlfriend first, away from the little girl. 298 00:13:56,335 --> 00:13:57,502 We can arrange that. 299 00:13:57,503 --> 00:13:58,920 - Okay. - Keep us informed. 300 00:13:58,921 --> 00:14:00,965 Yes, keep us informed. 301 00:14:01,924 --> 00:14:05,593 More labs are back on our abandoned baby Jane Doe. 302 00:14:05,594 --> 00:14:10,391 Everything looks normal so far, but you seemed really concerned earlier. 303 00:14:11,141 --> 00:14:12,809 She still needs a cathed urine. 304 00:14:12,810 --> 00:14:14,144 Or not. 305 00:14:15,646 --> 00:14:17,897 You can't trust a bagged urine. 306 00:14:17,898 --> 00:14:20,316 Agreed, but we can avoid the trauma of a catheter. 307 00:14:20,317 --> 00:14:21,776 With a suprapubic tap? 308 00:14:21,777 --> 00:14:24,572 Oh, I may have a trick or two up my sleeve, Dr. Al-Hashimi. 309 00:14:28,242 --> 00:14:30,160 Hey, Princess, hold up. 310 00:14:31,161 --> 00:14:34,247 - Hi. How you feeling, Mr. Williams? - Okay. 311 00:14:34,248 --> 00:14:36,457 A little nervous about going in the machine. 312 00:14:36,458 --> 00:14:38,626 I can get a tad claustrophobic. 313 00:14:38,627 --> 00:14:42,630 Yeah, well, we're sending you for a CT, not an MRI. 314 00:14:42,631 --> 00:14:45,049 So it's like a open doughnut. 315 00:14:45,050 --> 00:14:46,802 Oh, good. I like doughnuts. 316 00:14:48,470 --> 00:14:51,139 There you are. Thought you forgot about me. 317 00:14:51,140 --> 00:14:53,684 Oh, no, I was just with other patients. 318 00:14:54,727 --> 00:14:57,062 So what do you do for fun? 319 00:14:57,813 --> 00:14:59,606 I mainly do what my sister likes. 320 00:14:59,607 --> 00:15:01,774 She loves Kennywood and the zoo. 321 00:15:01,775 --> 00:15:03,861 No, what about you? 322 00:15:04,403 --> 00:15:06,196 What do you like to do? 323 00:15:11,201 --> 00:15:13,828 I used to like the Renaissance fair. 324 00:15:13,829 --> 00:15:15,788 - Really? - Yeah. 325 00:15:15,789 --> 00:15:16,998 Isn't that kind of dorky, though, 326 00:15:16,999 --> 00:15:19,208 where everybody dresses up like somebody they're not? 327 00:15:19,209 --> 00:15:22,503 Yeah, but that's the fun, you know? You can be anyone or anything you want. 328 00:15:22,504 --> 00:15:27,050 I actually had this alter ego that was a 17th-century French woman-- 329 00:15:27,051 --> 00:15:28,719 Stop! 330 00:15:31,889 --> 00:15:34,850 - You okay, kid? - That was a doozy. 331 00:15:36,685 --> 00:15:40,229 - Okay, we ready? - Cleaned and dried with sterile gauze. 332 00:15:40,230 --> 00:15:42,398 - Is that water cold? - Right out the fridge. 333 00:15:42,399 --> 00:15:45,652 Okay, Jesse, you can take the armpits. I'm gonna take the legs. 334 00:15:45,653 --> 00:15:47,612 One, two, three, up. 335 00:15:47,613 --> 00:15:49,865 Dr. Al-Hashimi, you're gonna be our catcher. 336 00:15:50,449 --> 00:15:53,660 And, Samira, you're gonna do suprapubic circles with that gauze. 337 00:15:53,661 --> 00:15:55,788 And the cold should stimulate voiding. 338 00:15:56,664 --> 00:15:58,957 Even if she pees, it's likely to be contaminated. 339 00:15:58,958 --> 00:16:00,875 Not according to the "British Medical Journal." 340 00:16:00,876 --> 00:16:02,460 They did the wee-search. 341 00:16:02,461 --> 00:16:04,880 Any leuks or nitrates, and we cath. 342 00:16:06,256 --> 00:16:07,716 Dr. Al-Hashimi, get it. 343 00:16:08,467 --> 00:16:11,720 I was gonna invite you to join the softball team, but now I'm not so sure. 344 00:16:12,930 --> 00:16:16,474 There we go. Looks like you got a good midstream sample. 345 00:16:16,475 --> 00:16:18,017 Here's a fresh blanket. 346 00:16:18,018 --> 00:16:19,311 Okay. Plan. 347 00:16:20,062 --> 00:16:23,606 Ceftriaxone, two-day admit till blood culture is negative. 348 00:16:23,607 --> 00:16:26,067 - Next steps? - Foster care. 349 00:16:26,068 --> 00:16:27,695 Oh, yeah. 350 00:16:29,697 --> 00:16:34,283 Someone must have been in a bad way to walk away from you, little one. 351 00:16:34,284 --> 00:16:35,744 We need to call the police? 352 00:16:37,329 --> 00:16:39,498 Let me know what the urine dip shows. 353 00:16:42,292 --> 00:16:45,087 We will let you know what the urine dip shows. 354 00:16:46,547 --> 00:16:48,716 You must be Dr. Al-Hashimi. 355 00:16:49,341 --> 00:16:51,134 And you must be Dr. Langdon. 356 00:16:51,135 --> 00:16:53,094 I've heard all about you. 357 00:16:53,095 --> 00:16:54,512 Welcome back. 358 00:16:54,513 --> 00:16:57,181 - And this is? - Linda Stevens. 359 00:16:57,182 --> 00:17:00,101 One episode of substernal chest pressure resolved with rest. 360 00:17:00,102 --> 00:17:01,519 12-lead negative for STEMI. 361 00:17:01,520 --> 00:17:04,439 Heading for North 4. 362 00:17:04,440 --> 00:17:07,275 Hello, I'm Dr. Al-Hashimi. 363 00:17:07,276 --> 00:17:09,944 - Nice to meet you. - Nice to meet you. 364 00:17:09,945 --> 00:17:12,071 Ma'am, this is a teaching hospital. 365 00:17:12,072 --> 00:17:14,532 Is it okay if some of our trainees join me? 366 00:17:14,533 --> 00:17:15,868 Not a problem. 367 00:17:16,410 --> 00:17:19,747 Dr. Whitaker, Javadi, Ogilvie, Joy... 368 00:17:20,748 --> 00:17:22,540 ...gather round. 369 00:17:22,541 --> 00:17:25,127 Dr. Langdon, you are more than welcome to stay, too. 370 00:17:25,753 --> 00:17:28,171 Maybe for a minute. We're pretty busy in triage. 371 00:17:28,172 --> 00:17:29,339 Okay. 372 00:17:29,965 --> 00:17:31,341 Ms. Stevens... 373 00:17:32,051 --> 00:17:35,553 ...I have an app on my phone that can listen to our conversation 374 00:17:35,554 --> 00:17:37,680 and the details of my physical exam 375 00:17:37,681 --> 00:17:39,932 and write it all up in your medical record. 376 00:17:39,933 --> 00:17:41,559 Wow. 377 00:17:41,560 --> 00:17:46,272 It's protected, confidential, doesn't even stay on my phone... 378 00:17:46,273 --> 00:17:47,523 What's going on? 379 00:17:47,524 --> 00:17:49,650 Some A-hole perp took off when he saw the cops, 380 00:17:49,651 --> 00:17:51,402 knocked her backwards off a stool. 381 00:17:51,403 --> 00:17:53,613 - Oh, Jesus. - Head trauma, no LOC. 382 00:17:53,614 --> 00:17:55,573 - Okay, you need to get checked out. - I'm fine. 383 00:17:55,574 --> 00:17:57,575 No choice. It's work-related. 384 00:17:57,576 --> 00:18:00,661 Let's find her a room and prep for a burr hole. 385 00:18:00,662 --> 00:18:02,081 What? 386 00:18:04,374 --> 00:18:08,169 I forgot how much you like to joke, Captain Scurvy. 387 00:18:08,170 --> 00:18:10,546 Who the hell's Captain Scurvy? 388 00:18:10,547 --> 00:18:11,965 It's an inside thing. 389 00:18:12,508 --> 00:18:16,010 - How's our shoulder guy? - Oh, he slept like a baby. 390 00:18:16,011 --> 00:18:18,554 CT angio shows no vascular injury. 391 00:18:18,555 --> 00:18:22,809 What about your slip-and-fall guy with a labile affect? 392 00:18:22,810 --> 00:18:26,020 Michael Williams. He's still in the scanner. 393 00:18:26,021 --> 00:18:28,397 He seems to have settled down, so he doesn't need babysitting. 394 00:18:28,398 --> 00:18:29,816 Good. Maybe he's coming around. 395 00:18:29,817 --> 00:18:31,609 Ortho can take Mr. Billings here up for surgery. 396 00:18:31,610 --> 00:18:33,194 Belay that order, sailor. 397 00:18:33,195 --> 00:18:36,072 - Dr. Robinavitch. - Nurse Hastings. 398 00:18:36,073 --> 00:18:37,740 You can call me Robby. 399 00:18:37,741 --> 00:18:39,409 You can call me Noelle. 400 00:18:42,621 --> 00:18:45,081 You could just tell me what the hell's going on here. 401 00:18:45,082 --> 00:18:47,208 This is Noelle. She's our... 402 00:18:47,209 --> 00:18:49,836 - Bed control manager. No, we met. - Case manager. 403 00:18:49,837 --> 00:18:51,671 And this guy won't be staying. 404 00:18:51,672 --> 00:18:53,214 Oh, he needs surgery. 405 00:18:53,215 --> 00:18:57,052 Which his insurance will pay for at Westbridge Memorial, not here. 406 00:18:58,011 --> 00:19:01,723 - Wait, so we have to transfer? - If he's stable. 407 00:19:02,432 --> 00:19:04,225 I believe that he is. 408 00:19:04,226 --> 00:19:07,186 Look on the bright side. We're gonna free up a bed, discharge a patient. 409 00:19:07,187 --> 00:19:09,730 I mean, that's great for us, not so good for him. 410 00:19:09,731 --> 00:19:14,569 He will get great care at Westbridge, don't you agree, Robby? 411 00:19:14,570 --> 00:19:16,655 - I'm sure that he will. - Yeah. 412 00:19:17,406 --> 00:19:18,782 What am I missing? 413 00:19:19,324 --> 00:19:22,077 Is there something else happening with Allen Billings that I don't know about? 414 00:19:23,245 --> 00:19:24,453 Not medically. 415 00:19:24,454 --> 00:19:26,498 This is just a simple insurance transfer. 416 00:19:28,667 --> 00:19:30,169 Yeah, okay. 417 00:19:34,464 --> 00:19:35,883 What's that about? 418 00:19:36,717 --> 00:19:39,677 - Nothing. - Didn't feel like nothing. 419 00:19:39,678 --> 00:19:41,804 Dr. McKay has a very heightened sense of empathy. 420 00:19:41,805 --> 00:19:42,889 Meaning? 421 00:19:42,890 --> 00:19:45,267 Meaning she's good at picking up on stuff. 422 00:19:46,101 --> 00:19:48,686 - You didn't say anything, did you? - Nope. 423 00:19:48,687 --> 00:19:51,105 I subscribe to the Falstaff advice. 424 00:19:51,106 --> 00:19:52,900 Discretion is the better part of valor. 425 00:19:54,109 --> 00:19:55,693 You still planning on leaving tonight? 426 00:19:55,694 --> 00:19:57,487 Yep. 427 00:19:58,197 --> 00:20:01,533 I don't understand why you can't leave in the morning. 428 00:20:02,701 --> 00:20:03,910 Will you excuse me for a second? 429 00:20:03,911 --> 00:20:05,661 I got to go talk to a patient while she's separated 430 00:20:05,662 --> 00:20:06,996 - from her caregiver. - Oh, yeah. 431 00:20:06,997 --> 00:20:08,706 - That doesn't sound ideal. - It's not ideal. 432 00:20:08,707 --> 00:20:09,916 I got to figure out what's going on. 433 00:20:09,917 --> 00:20:13,044 And I'll find you before I leave. 434 00:20:13,045 --> 00:20:14,129 Okay. 435 00:20:17,090 --> 00:20:19,509 Okay, you got to stop this. 436 00:20:20,636 --> 00:20:22,304 Hastings. 437 00:20:22,888 --> 00:20:24,096 Evans. 438 00:20:24,097 --> 00:20:25,514 Hope you know what you're doing. 439 00:20:25,515 --> 00:20:27,142 What is that supposed to mean? 440 00:20:29,061 --> 00:20:30,437 I'm a big girl. 441 00:20:31,605 --> 00:20:33,148 Okay, big girl. 442 00:20:34,650 --> 00:20:35,942 I'm fine. 443 00:20:35,943 --> 00:20:37,945 That's good. Follow my finger. 444 00:20:39,655 --> 00:20:42,324 - How's the head? - It's a little sore. 445 00:20:42,950 --> 00:20:44,743 Lean forward. Let me take a look. 446 00:20:45,911 --> 00:20:48,330 Yeah, you're gonna have a pretty good goose egg. 447 00:20:48,956 --> 00:20:50,958 - Headache? - A little. 448 00:20:51,541 --> 00:20:54,627 I can get you some Tylenol, unless you need something stronger. 449 00:20:54,628 --> 00:20:56,754 Oh, no, that's okay. I'm not very drug tolerant. 450 00:20:56,755 --> 00:20:58,340 Lucky you. 451 00:21:01,969 --> 00:21:03,844 You know, I'm glad you're back. 452 00:21:03,845 --> 00:21:06,556 Thanks. Yeah, I'm glad to be back. 453 00:21:08,558 --> 00:21:10,559 - You know why I was away? - I should see my patient-- 454 00:21:10,560 --> 00:21:13,020 No, not really. 455 00:21:13,021 --> 00:21:15,982 I mean, I heard rumors, but I learned a long time ago not to listen. 456 00:21:15,983 --> 00:21:19,569 I was in rehab for an addiction to benzos. 457 00:21:21,571 --> 00:21:25,992 Yeah, but I'm clean now, and it never affected my work. 458 00:21:25,993 --> 00:21:30,289 I just needed to get it all out of my system once and for all. 459 00:21:32,499 --> 00:21:35,876 Yeah, I didn't handle things the way I should have. 460 00:21:35,877 --> 00:21:40,215 I thought I could treat myself, and I let a lot of people down. 461 00:21:40,841 --> 00:21:42,175 I'm sorry, Mel. 462 00:21:43,510 --> 00:21:45,262 You never let me down. 463 00:21:46,596 --> 00:21:48,807 Yeah. Yeah, I did. 464 00:21:49,808 --> 00:21:53,228 I should be setting an example, not a cautionary tale. 465 00:21:54,021 --> 00:21:55,022 Hey. 466 00:21:56,023 --> 00:21:58,190 - How you doing? - I'm okay. 467 00:21:58,191 --> 00:22:00,985 Listen, I'm really sorry about all that. 468 00:22:00,986 --> 00:22:03,487 The guy robbed a liquor store last night. 469 00:22:03,488 --> 00:22:06,741 He tried to get away on a bicycle but wiped out and took off on foot. 470 00:22:06,742 --> 00:22:08,034 He must've hobbled in here, 471 00:22:08,035 --> 00:22:10,745 more so to hide out than to get stitched up, I think. 472 00:22:10,746 --> 00:22:12,413 - You catch him? - We will. 473 00:22:12,414 --> 00:22:14,290 Anything you could tell us about him will help. 474 00:22:14,291 --> 00:22:16,167 You think he gave legit information? 475 00:22:16,168 --> 00:22:19,628 Probably not, but it's all we have at the moment. 476 00:22:19,629 --> 00:22:23,425 If we do find him, you may have to testify in court, Dr. King. 477 00:22:24,468 --> 00:22:26,802 - "In court"? - As a material witness. 478 00:22:26,803 --> 00:22:29,847 Attest to his injuries, his treatments... 479 00:22:29,848 --> 00:22:31,182 simple stuff. 480 00:22:31,183 --> 00:22:33,852 Yeah, but we'll cross that bridge when we come to it, right? 481 00:22:34,770 --> 00:22:35,854 Mel? 482 00:22:36,813 --> 00:22:38,857 Rest here a minute. I'll be right back. 483 00:22:42,361 --> 00:22:44,445 You know, I'm fine, really. I should-- 484 00:22:44,446 --> 00:22:46,865 Ten minutes, please. Doctor's orders. 485 00:22:49,659 --> 00:22:52,079 ER can be a little bright and noisy. 486 00:22:57,042 --> 00:22:59,168 Dorsalis pedis 487 00:22:59,169 --> 00:23:02,713 and posterior tibial pulses 2 plus and equal. 488 00:23:02,714 --> 00:23:04,382 Your exam is perfect, ma'am. 489 00:23:04,383 --> 00:23:06,467 Oh, that is good to hear. 490 00:23:06,468 --> 00:23:08,886 I will be back when your blood tests are ready. 491 00:23:08,887 --> 00:23:11,097 Let us know if the chest pain returns. 492 00:23:11,098 --> 00:23:13,308 - Thank you. - You are so welcome. 493 00:23:15,310 --> 00:23:18,354 - What do you think? - Well, I don't think it's cardiac. 494 00:23:18,355 --> 00:23:20,314 I mean, what do you think of the app? 495 00:23:20,315 --> 00:23:22,608 I mean, it's hard to say without seeing the full thing. 496 00:23:22,609 --> 00:23:23,610 Take a look. 497 00:23:25,404 --> 00:23:26,779 Oh, my God. 498 00:23:26,780 --> 00:23:28,656 Do you know how much time this will save? 499 00:23:28,657 --> 00:23:31,701 Studies show you can spend 80% less time charting. 500 00:23:32,536 --> 00:23:35,913 You'll get out of here sooner, improving both patient and physician satisfaction. 501 00:23:35,914 --> 00:23:37,123 Oh, excuse me. 502 00:23:37,124 --> 00:23:39,834 It says here she takes Risperdal, an antipsychotic. 503 00:23:39,835 --> 00:23:43,712 She takes Restoril when needed for sleep. So is that... 504 00:23:43,713 --> 00:23:46,215 AI, "almost intelligent." 505 00:23:46,216 --> 00:23:49,927 Generative AI is 98% accurate at present. 506 00:23:49,928 --> 00:23:52,930 You must always carefully proofread and correct the minor errors. 507 00:23:52,931 --> 00:23:54,932 It's excellent but not perfect. 508 00:23:54,933 --> 00:23:57,476 This is amazing. 509 00:23:57,477 --> 00:23:59,020 Moteshakeram. 510 00:23:59,729 --> 00:24:01,772 Khahesh mikonam. 511 00:24:01,773 --> 00:24:04,859 - You speak Farsi? - Oh, I did my undergrad at UCLA. 512 00:24:04,860 --> 00:24:07,737 - A lot of my friends were Persian. - So you learned the language? 513 00:24:08,363 --> 00:24:10,281 Enough to break the ice. 514 00:24:10,282 --> 00:24:12,159 I am impressed. 515 00:24:13,743 --> 00:24:15,286 Me too... 516 00:24:15,287 --> 00:24:16,704 that you had friends. 517 00:24:16,705 --> 00:24:19,748 Dr. Whitaker, I said hello to your widow with Alzheimer's, 518 00:24:19,749 --> 00:24:21,167 but she only wants to talk to a doctor. 519 00:24:21,168 --> 00:24:23,169 She's also very overdue for a diaper change. 520 00:24:23,170 --> 00:24:25,546 Okay. Yeah, thank you. 521 00:24:25,547 --> 00:24:27,382 Ogilvie, you're with me. 522 00:24:28,967 --> 00:24:30,010 Come on. 523 00:24:31,178 --> 00:24:32,554 Mrs. Bostick? 524 00:24:34,973 --> 00:24:37,392 - Takotsubo? Broken heart syndrome? - No. 525 00:24:38,602 --> 00:24:39,935 Hello? 526 00:24:39,936 --> 00:24:40,979 Hey. 527 00:24:41,771 --> 00:24:43,272 You wanted to see me? 528 00:24:43,273 --> 00:24:44,399 No. 529 00:24:45,108 --> 00:24:46,109 Who are you? 530 00:24:47,235 --> 00:24:49,028 I'm Dr. Whitaker. 531 00:24:49,029 --> 00:24:51,072 We talked about your husband? 532 00:24:52,199 --> 00:24:53,908 Oh, Ethan. 533 00:24:53,909 --> 00:24:56,786 Oh, can he please come see me? 534 00:25:01,583 --> 00:25:02,584 No. 535 00:25:03,502 --> 00:25:07,171 Unfortunately, he was very sick, 536 00:25:07,172 --> 00:25:09,424 and he died. 537 00:25:11,593 --> 00:25:12,802 Ethan? 538 00:25:13,803 --> 00:25:15,138 Died? 539 00:25:16,014 --> 00:25:17,223 {\an8}No. 540 00:25:17,224 --> 00:25:18,599 {\an8}Oh, no. 541 00:25:18,600 --> 00:25:21,227 {\an8}No, that's impossible. 542 00:25:21,228 --> 00:25:24,230 No. 543 00:25:24,231 --> 00:25:27,316 No, no, no, no, no. 544 00:25:27,317 --> 00:25:29,026 What do you like to do for fun? 545 00:25:29,027 --> 00:25:30,819 I love horseback riding. 546 00:25:30,820 --> 00:25:32,821 - Does your dad take you? - Yep. 547 00:25:32,822 --> 00:25:36,784 Sometimes he even rides, but most of the time, he just watches me. 548 00:25:36,785 --> 00:25:39,453 Have you ever fallen off? Have you ever been thrown? 549 00:25:39,454 --> 00:25:42,456 Nope. I'm a very good rider. 550 00:25:42,457 --> 00:25:44,833 - Do you have your own horse? - I wish. 551 00:25:44,834 --> 00:25:47,044 We live in an apartment. 552 00:25:47,045 --> 00:25:49,463 Okay, Kylie, we need to take some blood now. 553 00:25:49,464 --> 00:25:51,340 Do you have to do that? 554 00:25:51,341 --> 00:25:54,051 Yeah, but I promise it'll go super fast 555 00:25:54,052 --> 00:25:56,845 and only hurt for, like, a moment, okay? 556 00:25:56,846 --> 00:26:00,432 So I'm just gonna put this rubber band 557 00:26:00,433 --> 00:26:02,936 around your arm to help me find your vein better. 558 00:26:03,478 --> 00:26:07,273 And then this makes sure no germs 559 00:26:07,274 --> 00:26:09,066 get in your body when we do it. 560 00:26:09,067 --> 00:26:12,278 Okay, now you're just gonna feel this teeny little prick. 561 00:26:12,279 --> 00:26:13,863 But you can look away, okay? 562 00:26:16,700 --> 00:26:18,493 Worst part's over. 563 00:26:20,870 --> 00:26:22,080 Tough little girl. 564 00:26:22,831 --> 00:26:26,500 Yeah, well, little girls can be just as tough as little boys, even tougher. 565 00:26:26,501 --> 00:26:30,921 Yes. I just hope it's not because she's become accustomed to pain. 566 00:26:30,922 --> 00:26:33,090 At the very least, she's gonna need a visual exam 567 00:26:33,091 --> 00:26:35,467 of external genitalia to look for signs of trauma. 568 00:26:35,468 --> 00:26:38,304 - I can have Dr. Al-Hashimi-- - No, she's my patient. 569 00:26:38,305 --> 00:26:39,514 I can do it. 570 00:26:47,689 --> 00:26:49,232 Nice and clear. 571 00:26:49,899 --> 00:26:54,570 With an infection, it'd be kind of cloudy. 572 00:26:54,571 --> 00:26:57,906 Joy, get ready to spike the third bottle here after I clamp. 573 00:26:57,907 --> 00:27:00,117 - All good in here? - Yes. 574 00:27:00,118 --> 00:27:02,536 Dr. Whitaker was just explaining that with SBP, 575 00:27:02,537 --> 00:27:04,538 we would see a turbid appearance. 576 00:27:04,539 --> 00:27:06,332 However, he failed to mention 577 00:27:06,333 --> 00:27:08,917 that bloody fluid indicates either a traumatic tap 578 00:27:08,918 --> 00:27:11,128 or the likelihood of hepatocellular carcinoma, 579 00:27:11,129 --> 00:27:13,839 in which case, we would send for cytology. 580 00:27:13,840 --> 00:27:15,049 That is correct. 581 00:27:15,050 --> 00:27:16,884 Kid knows his shit. 582 00:27:16,885 --> 00:27:19,429 He's so smart. 583 00:27:22,641 --> 00:27:24,558 - Oh, hey. - Hey. 584 00:27:24,559 --> 00:27:26,935 How's it feel to officially be a doctor? 585 00:27:26,936 --> 00:27:29,063 It's pretty cool, actually. 586 00:27:29,064 --> 00:27:30,939 I get my first paycheck today. 587 00:27:30,940 --> 00:27:33,692 It's only for the first week, but I will take it. 588 00:27:33,693 --> 00:27:37,571 - How are the med students? - Joy is pretty peculiar. 589 00:27:37,572 --> 00:27:40,699 And the other guy, Ogilvie, is really smart 590 00:27:40,700 --> 00:27:42,868 and likes to show people. 591 00:27:42,869 --> 00:27:45,287 - He's obnoxious. - Well... 592 00:27:45,288 --> 00:27:47,790 What he is, is your competition. 593 00:27:47,791 --> 00:27:50,585 - He's a gunner. - Yeah, right. 594 00:27:53,630 --> 00:27:55,798 He's not my competition. 595 00:27:55,799 --> 00:27:58,926 He's from out of state for a four-week sub-internship. 596 00:27:58,927 --> 00:28:00,386 You don't think he's angling 597 00:28:00,387 --> 00:28:02,847 for an emergency residency spot here next year? 598 00:28:03,390 --> 00:28:06,392 - I mean, even if he was... - What? 599 00:28:06,393 --> 00:28:09,771 He couldn't possibly compete with your gigantic brain? 600 00:28:14,109 --> 00:28:16,778 I'd step it up if I were you, Crash. 601 00:28:19,406 --> 00:28:22,366 Oh, she's still calling you that, huh? 602 00:28:22,367 --> 00:28:24,201 I don't really even care anymore. 603 00:28:24,202 --> 00:28:26,036 I mean, she still calls you Huckleberry. 604 00:28:26,037 --> 00:28:28,997 Yeah, but, you know, friends now, so... 605 00:28:28,998 --> 00:28:31,626 Friends don't give each other shitty nicknames. 606 00:28:32,210 --> 00:28:35,088 You think Huckleberry is a shitty nickname? 607 00:28:36,631 --> 00:28:37,798 No. 608 00:28:37,799 --> 00:28:39,843 No, Huckleberry is cute. 609 00:28:41,177 --> 00:28:43,804 It's cool. It's not like Crash. 610 00:28:43,805 --> 00:28:46,098 Oh, come on, man, Crash is pretty cool. 611 00:28:46,099 --> 00:28:48,225 It's, like, you know, Crash. 612 00:28:48,226 --> 00:28:49,811 It's got momentum. 613 00:28:51,062 --> 00:28:53,605 Dr. Javadi, Dr. Whitaker. 614 00:28:53,606 --> 00:28:57,234 Oh, I'm still a student doctor. Whitaker's the real deal now. 615 00:28:57,235 --> 00:28:58,236 Right. 616 00:29:00,029 --> 00:29:03,157 - Welcome back. - Thanks. Yeah, thank you. 617 00:29:03,158 --> 00:29:04,451 It's good to be back. 618 00:29:06,828 --> 00:29:10,956 Okay, I will be in exile on Triage Island 619 00:29:10,957 --> 00:29:13,835 with the rest of the drug addicts, if anyone needs me. 620 00:29:15,295 --> 00:29:17,922 - That was weird. - Very. 621 00:29:20,675 --> 00:29:21,718 {\an8}What? 622 00:29:44,491 --> 00:29:46,033 That's got to hurt. 623 00:29:46,034 --> 00:29:48,619 Dr. Langdon, Clint Hansen, his cousin Mona. 624 00:29:48,620 --> 00:29:49,704 How'd this happen? 625 00:29:51,164 --> 00:29:53,290 Bacon grease from a big griddle. 626 00:29:53,291 --> 00:29:54,917 Oh, looks like more than a splatter. 627 00:29:54,918 --> 00:29:57,252 Yeah, some fool poured it in the sink while I was washing dishes. 628 00:29:57,253 --> 00:29:58,504 I was so far away. 629 00:29:58,505 --> 00:30:00,005 You reached for the soap without even looking. 630 00:30:00,006 --> 00:30:02,299 - You couldn't hear me? - No, not with the water running. 631 00:30:02,300 --> 00:30:04,301 Who the hell pours bacon grease down the drain? 632 00:30:04,302 --> 00:30:07,054 - There's a jar under the sink. - Well, you could have told me that. 633 00:30:07,055 --> 00:30:09,515 You're a guest in my house, and now you've totally fucked up my plumbing. 634 00:30:09,516 --> 00:30:11,141 Okay, how about we focus on treating this burn? 635 00:30:11,142 --> 00:30:12,518 I'll grab the LET. 636 00:30:12,519 --> 00:30:14,895 We're gonna need to trim off some of the dead skin so it doesn't get infected. 637 00:30:14,896 --> 00:30:17,982 I'm in charge of the brunch buffet. Can you make it fast? 638 00:30:18,525 --> 00:30:20,442 - Sure. Yeah, we-- - This one came in by car. 639 00:30:20,443 --> 00:30:22,319 All I got is a name--Orlando Diaz. 640 00:30:22,320 --> 00:30:24,321 - What's the story? - He tripped over some rebar. 641 00:30:24,322 --> 00:30:25,948 - Tripped or fainted? - I don't know. 642 00:30:25,949 --> 00:30:28,283 Orlando, open your eyes. 643 00:30:28,284 --> 00:30:29,743 - Hit his head? - I guess. 644 00:30:29,744 --> 00:30:31,537 - Why didn't you call 911? - He wouldn't let me. 645 00:30:31,538 --> 00:30:33,455 He was talking--not so much now. 646 00:30:33,456 --> 00:30:35,833 Orlando. Mr. Diaz. 647 00:30:35,834 --> 00:30:36,917 Jesus. 648 00:30:36,918 --> 00:30:38,544 - He drunk? - No. Ketones on his breath. 649 00:30:38,545 --> 00:30:40,337 - He diabetic? - I don't know. 650 00:30:40,338 --> 00:30:43,007 Altered head trauma, possible DKA. Call it overhead. 651 00:30:45,552 --> 00:30:48,554 Code trauma tier one now. Code trauma tier one now. 652 00:30:48,555 --> 00:30:51,557 Dr. Whitaker, your assessment was spot-on. 653 00:30:51,558 --> 00:30:54,017 Your Alzheimer's widow definitely needs placement. 654 00:30:54,018 --> 00:30:56,144 Do you have a nursing home that can take her today? 655 00:30:56,145 --> 00:30:59,565 I wish. Medicare requires a three-day hospitalization 656 00:30:59,566 --> 00:31:00,941 before they'll approve that. 657 00:31:00,942 --> 00:31:02,776 I don't really have a reason to admit her. 658 00:31:02,777 --> 00:31:05,779 But I do. She's gravely disabled. 659 00:31:05,780 --> 00:31:08,156 I'll put her on a cycle. We'll make it work. 660 00:31:08,157 --> 00:31:09,534 Thank you, Caleb. 661 00:31:10,785 --> 00:31:14,580 - Yeah, you have a few moments, Michael? - Actually, I do not. 662 00:31:14,581 --> 00:31:17,584 But once I get things settled here, I will come and find you. 663 00:31:18,376 --> 00:31:19,377 Okay. 664 00:31:21,796 --> 00:31:24,298 Dr. Robby, Dylan just talked to the girlfriend-- 665 00:31:24,299 --> 00:31:26,174 - Robby! - You'll have to fill me in in a minute. 666 00:31:26,175 --> 00:31:27,384 - What do you got? - AMS. 667 00:31:27,385 --> 00:31:30,053 I can't tell if he fell 'cause he was altered or he's altered because he fell. 668 00:31:30,054 --> 00:31:31,973 - There's ketones on his breath. - Okay, I got this. Thank you. 669 00:31:35,393 --> 00:31:39,187 All right, I guess it's just us. What did the girlfriend have to say? 670 00:31:39,188 --> 00:31:41,398 Well, Gina seems a little confused and on edge by this, 671 00:31:41,399 --> 00:31:43,358 but I'm not suspicious about abuse on her part. 672 00:31:43,359 --> 00:31:44,818 What about Kylie's father? 673 00:31:44,819 --> 00:31:46,445 Well, I'm a social worker, not a mind reader. 674 00:31:46,446 --> 00:31:47,613 I need to speak with him. 675 00:31:47,614 --> 00:31:49,281 Yeah, he's supposed to come in. 676 00:31:49,282 --> 00:31:51,283 If he doesn't, looks pretty guilty. 677 00:31:51,284 --> 00:31:53,327 Let's not jump to any conclusions just yet. 678 00:31:53,328 --> 00:31:54,411 I'm not jumping. 679 00:31:54,412 --> 00:31:57,998 I'm just saying, if this dude doesn't show up, 680 00:31:57,999 --> 00:32:00,168 hell, I'll go find him myself. 681 00:32:01,628 --> 00:32:02,753 Kidding. 682 00:32:02,754 --> 00:32:04,589 I will speak to Kylie before her dad gets here. 683 00:32:05,214 --> 00:32:06,633 If he shows up. 684 00:32:07,634 --> 00:32:08,967 Yes. 685 00:32:08,968 --> 00:32:11,511 That's definitely ketones. We need to do an Accu-Check. 686 00:32:11,512 --> 00:32:16,099 I'm on it. He's tachy at 124. Pulse ox 97. BP's 106/72. 687 00:32:16,100 --> 00:32:18,852 - Lung sliding bilaterally. - Good bowel sounds. 688 00:32:18,853 --> 00:32:20,604 Abdomen is soft, non-tender. 689 00:32:20,605 --> 00:32:22,440 How do you know it's non-tender? 690 00:32:23,024 --> 00:32:25,108 Because I didn't see any grimacing. 691 00:32:25,109 --> 00:32:27,278 He's altered. He didn't even flinch for the IV start. 692 00:32:27,820 --> 00:32:29,489 I meant to say non-rigid. 693 00:32:30,698 --> 00:32:33,867 Toes down, going bilaterally, no evidence of upper motor neuron deficit. 694 00:32:33,868 --> 00:32:35,160 Good. 695 00:32:35,161 --> 00:32:37,037 - E-FAST negative. - How can I assist? 696 00:32:37,038 --> 00:32:39,873 You can check in with Dr. McKay or Dr. Santos. 697 00:32:39,874 --> 00:32:43,043 If you don't mind, I'd like to observe, learn how you handle things. 698 00:32:43,044 --> 00:32:45,128 Blood sugar's critical high-- it's over 500. 699 00:32:45,129 --> 00:32:47,839 - Ding, ding, ding, ding. - Sounds like diabetic ketoacidosis. 700 00:32:47,840 --> 00:32:49,049 We need to start treating that, 701 00:32:49,050 --> 00:32:51,468 then right to CT to rule out an intracranial bleed. 702 00:32:51,469 --> 00:32:53,887 Severe respiratory distress coming in. ETA three minutes. 703 00:32:53,888 --> 00:32:55,389 - I'll stick them in Trauma 1. - Yep. 704 00:32:55,390 --> 00:32:58,016 - Would you like me to take that? - Yes, please. Thank you. 705 00:32:58,017 --> 00:33:00,686 This guy needs an insulin drip, right? 0.1 units per kilo? 706 00:33:00,687 --> 00:33:03,563 No, not without knowing his potassium. 707 00:33:03,564 --> 00:33:05,273 Insulin causes an intracellular shift. 708 00:33:05,274 --> 00:33:07,651 And if the potassium is under 3.5, the drip would kill him. 709 00:33:07,652 --> 00:33:08,986 That is very true. 710 00:33:08,987 --> 00:33:10,696 We can start with lactated ringers. 711 00:33:10,697 --> 00:33:14,074 1 liter per hour until we get the results from the chem-7 and the VBG. 712 00:33:14,075 --> 00:33:15,242 Why is he in DKA? 713 00:33:15,243 --> 00:33:17,077 Maybe he's not taking enough insulin. 714 00:33:17,078 --> 00:33:19,371 More frequently, a precipitating event can be identified, 715 00:33:19,372 --> 00:33:21,498 such as pneumonia, urinary tract infection, stroke, 716 00:33:21,499 --> 00:33:23,166 myocardial infarction, pancreatitis. 717 00:33:23,167 --> 00:33:24,501 Yeah, we always check for those. 718 00:33:24,502 --> 00:33:28,381 They're part of the standard order set, right, Dr. Mohan? 719 00:33:36,222 --> 00:33:37,723 He's from crazy Grandpa Jimmy's side. 720 00:33:37,724 --> 00:33:39,725 She's from my grandfather's brother's side. 721 00:33:39,726 --> 00:33:43,520 Grandpa Ricky is still a psycho. Clearly runs in the family. 722 00:33:43,521 --> 00:33:46,983 Well, hold on. Your grandparents are Ricky and Jimmy Hansen? 723 00:33:47,525 --> 00:33:49,109 From the racing family? 724 00:33:49,110 --> 00:33:50,527 Unfortunately. 725 00:33:50,528 --> 00:33:52,405 I got something that needs attention. 726 00:33:52,989 --> 00:33:54,532 Not another baby. 727 00:33:56,701 --> 00:33:58,327 Sorry. Excuse me. 728 00:34:00,747 --> 00:34:05,333 This is Mr. Randall. He's been erect for the last eight hours. 729 00:34:05,334 --> 00:34:07,961 - Should have gone down by now, right? - It happens. 730 00:34:07,962 --> 00:34:10,088 It's a good thing you came in, Mr. Randall. 731 00:34:10,089 --> 00:34:11,256 I'll take him right back. 732 00:34:11,257 --> 00:34:12,966 Do you mind finishing up with the Bickersons? 733 00:34:12,967 --> 00:34:14,551 I'd rather not. 734 00:34:14,552 --> 00:34:17,137 - So, Mr. Randall-- - Ian. 735 00:34:17,138 --> 00:34:21,349 Ian, did you take anything that might have led to this condition? 736 00:34:21,350 --> 00:34:24,352 I used an ED injection--two, actually. 737 00:34:24,353 --> 00:34:28,398 I gave myself a second shot, one on each side. 738 00:34:28,399 --> 00:34:31,360 So double the recommended dosage? 739 00:34:33,362 --> 00:34:35,739 It's our wedding anniversary. 740 00:34:35,740 --> 00:34:37,366 Is this a big one? 741 00:34:38,576 --> 00:34:42,954 The anniversary, is it important? Like, significant? Like, a milestone or-- 742 00:34:42,955 --> 00:34:44,706 - It's our 20th. - Oh, nice. 743 00:34:44,707 --> 00:34:46,793 Well done. Congratulations. 744 00:34:48,002 --> 00:34:50,712 Glucose 521. Sodium 129. 745 00:34:50,713 --> 00:34:54,382 Potassium's 3.7. Chloride's 97. 746 00:34:54,383 --> 00:34:56,176 - Bicarb's 8. - Meaning? 747 00:34:56,177 --> 00:34:59,387 We can start the insulin drip and add 20 of K to each liter. 748 00:34:59,388 --> 00:35:03,058 Big anion gap of 24. It should be under 10. 749 00:35:03,059 --> 00:35:04,851 We follow it to assess progress. 750 00:35:04,852 --> 00:35:07,395 Actually, the 2024 international guidelines 751 00:35:07,396 --> 00:35:10,565 state that anion gaps should not be used, as they can be misleading 752 00:35:10,566 --> 00:35:13,402 in the presence of hyperchloremic metabolic acidosis. 753 00:35:15,238 --> 00:35:17,030 I recently had a case in the ICU. 754 00:35:17,031 --> 00:35:20,742 - VBG is back--pH of 6.97. - Normal's 7.4. 755 00:35:20,743 --> 00:35:22,410 What causes the acidemia? 756 00:35:22,411 --> 00:35:24,246 Without insulin, the body can't use glucose, 757 00:35:24,247 --> 00:35:27,207 so it breaks down fat-producing ketones, leading to severe acidosis, 758 00:35:27,208 --> 00:35:28,625 which can cause cardiac arrest. 759 00:35:28,626 --> 00:35:31,837 But the hyperglycemia causes the body to excrete more water and electrolytes, 760 00:35:31,838 --> 00:35:34,422 leading to severe dehydration, cardiac and renal dysfunction. 761 00:35:34,423 --> 00:35:36,633 Insulin drip, fluids with KCL, 762 00:35:36,634 --> 00:35:39,427 capillary glucose every hour, chem-7 every four hours. 763 00:35:39,428 --> 00:35:41,221 ICU is gonna want a double lumen midline, too. 764 00:35:41,222 --> 00:35:42,347 - I can do it. - I can do it. 765 00:35:42,348 --> 00:35:43,431 - 6 1/2 gloves. - 7 1/2 gloves. 766 00:35:43,432 --> 00:35:46,935 Can I just say, we evaluate our students not only on their fund of knowledge 767 00:35:46,936 --> 00:35:49,855 and on their procedural mastery but, also, maybe more importantly, 768 00:35:49,856 --> 00:35:51,649 on their skills as team players? 769 00:35:52,233 --> 00:35:53,860 - He can do it. - She can do it. 770 00:35:55,069 --> 00:35:56,695 Otero, will you update everyone? 771 00:35:56,696 --> 00:35:58,864 Barry Mitchell. Eating breakfast at Pamela's. 772 00:35:58,865 --> 00:36:00,782 Sudden onset respiratory distress. 773 00:36:00,783 --> 00:36:03,243 Some stridor. Decent pulse ox but trouble speaking. 774 00:36:03,244 --> 00:36:05,246 - And they tried the Heimlich? - Three times. 775 00:36:06,873 --> 00:36:08,666 Any history of asthma? 776 00:36:10,501 --> 00:36:12,502 - Set up for intubation. - Agreed. 777 00:36:12,503 --> 00:36:14,547 Okay, sir, scoot across. 778 00:36:15,089 --> 00:36:17,799 Always a good sign when they slide over on their own. 779 00:36:17,800 --> 00:36:20,385 Came from a diner with an upper-airway obstruction. 780 00:36:20,386 --> 00:36:23,430 Didn't clear with abdominal thrusts. We got to take a look. 781 00:36:23,431 --> 00:36:25,891 Heart rate's 118. Pulse ox 96. 782 00:36:25,892 --> 00:36:29,144 Mr. Mitchell, we're gonna sedate you to look down your throat, okay? 783 00:36:29,145 --> 00:36:31,062 Draw up ketamine and rocuronium. 784 00:36:31,063 --> 00:36:33,481 What about ketamine only? 785 00:36:33,482 --> 00:36:37,277 No, we need full paralysis for a successful first-pass intubation. 786 00:36:37,278 --> 00:36:39,905 Might not need an intubation if it's just a foreign body. 787 00:36:39,906 --> 00:36:41,114 We can't assume that. 788 00:36:41,115 --> 00:36:43,575 It could be subglottic stenosis, epiglottitis. 789 00:36:43,576 --> 00:36:45,286 I got ketamine and roc. 790 00:36:47,205 --> 00:36:49,290 Ketamine only, 80 milligrams. 791 00:36:50,124 --> 00:36:52,919 In that case, I'll leave this in your capable hands. 792 00:36:54,712 --> 00:36:57,715 Cetacaine spray and a Yankauer, please. 793 00:36:58,507 --> 00:37:00,717 30 minutes ago, I told you I'd never been sued. 794 00:37:00,718 --> 00:37:01,844 I'd like to keep it that way. 795 00:37:05,723 --> 00:37:07,140 Instead of showing up here, 796 00:37:07,141 --> 00:37:10,143 you'd think he'd put an eight-hour hard-on to good use. 797 00:37:10,144 --> 00:37:11,978 Well, it is a medical emergency. 798 00:37:11,979 --> 00:37:15,941 If left untreated, priapism can cause permanent damage to the penis 799 00:37:15,942 --> 00:37:17,776 and erectile dysfunction forever. 800 00:37:17,777 --> 00:37:19,361 Thanks for the PSA. 801 00:37:19,362 --> 00:37:23,740 Pharmacist mixed up phenylephrine. 10 cc's of 100 mikes per cc. 802 00:37:23,741 --> 00:37:26,159 - Great. That's the maximum dose. - Sterile bolus saline. 803 00:37:26,160 --> 00:37:28,870 You might need to refill since they'll be flushing over and over again. 804 00:37:28,871 --> 00:37:31,957 Hold out the empty basin to catch whatever they pull out. 805 00:37:31,958 --> 00:37:34,334 - Got it? - I think so. 806 00:37:34,335 --> 00:37:35,752 Holler if you need me. 807 00:37:35,753 --> 00:37:38,380 - How we doing? - Oh, he's out from Versed. 808 00:37:38,381 --> 00:37:41,967 Did a lidocaine block to the dorsal penile nerves at 10 and 2. 809 00:37:41,968 --> 00:37:43,886 - Yeah, he's ready. - Excellent. 810 00:37:44,720 --> 00:37:47,973 Enter the dorsal side to hit the corpus cavernosum. 811 00:37:47,974 --> 00:37:49,057 I'll hold the glans. 812 00:37:49,058 --> 00:37:51,185 - How deep? - 2 centimeters. 813 00:37:52,561 --> 00:37:53,854 Now aspirate. 814 00:37:56,565 --> 00:37:59,193 You guys do this, like, every day? 815 00:38:00,486 --> 00:38:01,988 If we're lucky. 816 00:38:02,571 --> 00:38:03,739 Come here. 817 00:38:06,742 --> 00:38:09,203 Okay, let's lay him down and take a look. 818 00:38:10,371 --> 00:38:11,580 Okay. 819 00:38:18,296 --> 00:38:21,006 Good view of the epiglottis. 820 00:38:21,007 --> 00:38:24,259 And mystery solved. 821 00:38:24,260 --> 00:38:27,387 This is what you get for eating broccoli for breakfast. 822 00:38:27,388 --> 00:38:29,015 Get a good grip on it. 823 00:38:29,598 --> 00:38:30,808 Okay. 824 00:38:32,601 --> 00:38:33,811 Okay. 825 00:38:39,775 --> 00:38:43,028 I can see why the Heimlich didn't work. 826 00:38:43,029 --> 00:38:44,488 Rotate a little bit. 827 00:38:47,950 --> 00:38:49,035 Voilà! 828 00:38:50,119 --> 00:38:52,871 That is why you give ketamine alone, 829 00:38:52,872 --> 00:38:54,497 because if we gave a paralytic, 830 00:38:54,498 --> 00:38:56,792 we would have to intubate and ventilate for an hour. 831 00:38:58,836 --> 00:39:02,088 All right, this guy is going to Westbridge for surgery. 832 00:39:02,089 --> 00:39:04,257 Trauma 1 will move out shortly. 833 00:39:04,258 --> 00:39:08,636 And our Alzheimer's widow, Evelyn Bostick, can see her husband in the viewing room. 834 00:39:08,637 --> 00:39:10,263 God bless her. 835 00:39:10,264 --> 00:39:12,390 My CT results back on Michael Williams? 836 00:39:12,391 --> 00:39:14,559 Not yet. Neither are the labs on our little girl, Kylie. 837 00:39:14,560 --> 00:39:15,643 That's not me. 838 00:39:15,644 --> 00:39:19,439 I did, however, get a few things back on our abandoned baby Jane Doe. 839 00:39:19,440 --> 00:39:20,565 Still not me. 840 00:39:20,566 --> 00:39:22,150 I'll take those. 841 00:39:22,151 --> 00:39:23,652 Just keeping you informed. 842 00:39:24,653 --> 00:39:25,654 Yep. 843 00:39:26,530 --> 00:39:27,656 Okay. 844 00:39:28,616 --> 00:39:30,368 We're just trying to get her upstairs. 845 00:39:32,078 --> 00:39:34,454 Okay. All right, got it. 846 00:39:34,455 --> 00:39:37,582 Superbaby's urine dipped negative 0 WBCs. 847 00:39:37,583 --> 00:39:41,002 Respiratory panel is positive for rhinovirus, giving us a benign source. 848 00:39:41,003 --> 00:39:42,670 Procalcitonin and CRP are pending. 849 00:39:42,671 --> 00:39:44,672 Now Pedes is saying they want a urine tox screen 850 00:39:44,673 --> 00:39:46,674 and an HIV antigen before they'll take her. 851 00:39:46,675 --> 00:39:47,885 That sounds excessive. 852 00:39:48,886 --> 00:39:50,887 I feel like they're just trying to keep her down here. 853 00:39:50,888 --> 00:39:52,389 Can you blame them? 854 00:39:52,390 --> 00:39:54,557 Never met a Pedes nurse yet that wasn't a little wacky. 855 00:39:54,558 --> 00:39:57,894 You know what 12 hours of crying babies does to a person's psyche? 856 00:39:57,895 --> 00:40:00,313 - I almost went into Pedes. - Good thing you didn't, trust me. 857 00:40:00,314 --> 00:40:02,482 Too long up there, you're cuckoo for Cocoa Puffs. 858 00:40:02,483 --> 00:40:05,693 - You are very punchy today. - Punchy's my new baseline. 859 00:40:05,694 --> 00:40:08,029 Anyone even looks at me funny, I'm taking them out, 860 00:40:08,030 --> 00:40:09,489 going right for the eyes. 861 00:40:09,490 --> 00:40:11,825 I'll eye-gouge you. Bet you never knew that about me. 862 00:40:11,826 --> 00:40:12,909 I did not. 863 00:40:12,910 --> 00:40:16,121 - Where is Dr. Al-Hashimi? - In North 5 with the priapism. 864 00:40:16,122 --> 00:40:17,372 Better her than me. 865 00:40:17,373 --> 00:40:22,127 I did not intend for that to come off as sexual in any way. 866 00:40:22,128 --> 00:40:24,045 And on that note, I'm gonna go check on Louie, 867 00:40:24,046 --> 00:40:25,839 and then I'm gonna get some air in the ambulance bay. 868 00:40:25,840 --> 00:40:27,507 So, if anybody needs me, that's where I'll be. 869 00:40:27,508 --> 00:40:28,717 Got it, Cap. 870 00:40:31,846 --> 00:40:34,681 It looks like some pus at the base of the lateral incisor. 871 00:40:34,682 --> 00:40:35,933 We can drain that for you. 872 00:40:36,934 --> 00:40:40,186 - Sounds like it's gonna hurt. - No, we'll numb you up. 873 00:40:40,187 --> 00:40:42,814 Make sure you use the good stuff. 874 00:40:42,815 --> 00:40:45,234 It'll be top shelf, Louie, I promise. 875 00:40:45,943 --> 00:40:47,944 - How we doing in here? - Good. 876 00:40:47,945 --> 00:40:50,071 Almost 4 liters out. 877 00:40:50,072 --> 00:40:52,866 I already feel like a million bucks. 878 00:40:52,867 --> 00:40:55,076 I just needed an oil change. 879 00:40:55,077 --> 00:40:57,454 And I'm just about to drain an apical abscess. 880 00:40:57,455 --> 00:40:59,414 That's what I'm talking about. 881 00:40:59,415 --> 00:41:01,750 I feel like I'm having a spa day. 882 00:41:03,544 --> 00:41:04,712 Keep it up, Whitaker. 883 00:41:08,382 --> 00:41:10,258 How long does this take? 884 00:41:10,259 --> 00:41:12,553 Up to an hour, sometimes two. 885 00:41:13,179 --> 00:41:14,638 Mel, any suggestions? 886 00:41:17,099 --> 00:41:19,559 Mel, you did these at the VA. 887 00:41:19,560 --> 00:41:21,978 How can we facilitate detumescence? 888 00:41:21,979 --> 00:41:26,024 Oh, sometimes massaging the shaft can help. 889 00:41:26,025 --> 00:41:27,817 Oh, that's what she said. 890 00:41:27,818 --> 00:41:31,779 You can break up the clots with massage or compression. 891 00:41:31,780 --> 00:41:32,781 Got it. 892 00:41:33,491 --> 00:41:34,782 You okay, Mel? 893 00:41:34,783 --> 00:41:37,411 She's thinking about her deposition. 894 00:41:38,204 --> 00:41:41,581 Just stick with the facts of the case, and it always goes well. 895 00:41:41,582 --> 00:41:43,291 I thought you said you hadn't been sued. 896 00:41:43,292 --> 00:41:46,336 I haven't, but I know many colleagues who have. 897 00:41:46,337 --> 00:41:49,047 I also know your work, Dr. King. 898 00:41:49,048 --> 00:41:52,592 Your medical decision-making in the chart is always extremely thorough. 899 00:41:52,593 --> 00:41:54,594 Now we're getting somewhere. 900 00:41:54,595 --> 00:41:56,972 First signs of flaccidity. 901 00:42:00,601 --> 00:42:02,435 I don't know how I could ever thank you. 902 00:42:02,436 --> 00:42:04,646 Well, I think you just did. 903 00:42:04,647 --> 00:42:06,023 You saved my life. 904 00:42:06,815 --> 00:42:08,234 I didn't do anything. 905 00:42:08,817 --> 00:42:12,320 This is what happens when your wife starts being a Nazi about your diet. 906 00:42:12,321 --> 00:42:14,614 She's got me keeping a food journal. 907 00:42:14,615 --> 00:42:16,616 It's a good way to count calories. 908 00:42:16,617 --> 00:42:18,284 What calories? 909 00:42:18,285 --> 00:42:21,287 She insists I eat five servings of vegetables a day. 910 00:42:21,288 --> 00:42:23,831 A rabbit don't even eat that many vegetables. 911 00:42:23,832 --> 00:42:26,252 I ain't never choked on a Sausage Egg McMuffin. 912 00:42:27,044 --> 00:42:29,462 I feel like I've been here all day. 913 00:42:29,463 --> 00:42:33,258 It's actually only been a couple of hours, Mrs. Bostick. 914 00:42:33,259 --> 00:42:35,261 Well, where are we going now? 915 00:42:37,263 --> 00:42:41,642 I thought you might like to see your husband. 916 00:42:42,476 --> 00:42:44,645 Is Ethan still here? 917 00:42:45,854 --> 00:42:47,063 Yeah. 918 00:42:47,064 --> 00:42:49,066 Yes, yes, please. 919 00:42:57,491 --> 00:43:00,494 This has been such a long day. 920 00:43:01,328 --> 00:43:04,205 I'm so glad to see you resting, 921 00:43:04,206 --> 00:43:07,083 but I think it's time. 922 00:43:07,084 --> 00:43:09,294 We should be going home. 923 00:43:09,295 --> 00:43:11,254 If we stop at the store on the way, 924 00:43:11,255 --> 00:43:14,257 I can pick up what I need to make your shepherd's pie. 925 00:43:14,258 --> 00:43:15,884 But not if it's hot out. 926 00:43:16,510 --> 00:43:19,096 You know how I hate using the oven in the heat. 927 00:43:21,265 --> 00:43:23,267 We're ready to leave now. 928 00:43:30,899 --> 00:43:33,192 Dr. Robby, is this a good time? 929 00:43:33,193 --> 00:43:36,738 That depends on what you have in mind, Dr. Al-Hashimi. 930 00:43:36,739 --> 00:43:40,117 I'd hoped you would have viewed my ideas for improving the department. 931 00:43:41,327 --> 00:43:43,328 I was looking forward to getting some feedback from you. 932 00:43:43,329 --> 00:43:45,121 Okay, well, I think the department 933 00:43:45,122 --> 00:43:46,914 functions pretty well, all things considered. 934 00:43:46,915 --> 00:43:49,334 I mean, we face the same challenges that most emergency departments face. 935 00:43:49,335 --> 00:43:51,377 Let's take generative AI, for instance. 936 00:43:51,378 --> 00:43:54,339 ER doctors spend 40% of their time charting, 937 00:43:54,340 --> 00:43:57,343 only 28% of their time at the bedside. 938 00:43:58,552 --> 00:44:00,386 That doesn't sound accurate. 939 00:44:00,387 --> 00:44:03,139 - I've included the study in my packet. - Right. 940 00:44:03,140 --> 00:44:06,142 And patient passports have been shown to increase satisfaction 941 00:44:06,143 --> 00:44:07,935 because they show the time required 942 00:44:07,936 --> 00:44:10,355 - for each phase of the visit. - Yeah, I got it right here. 943 00:44:10,356 --> 00:44:12,023 - What do you got? - Combative college kid. 944 00:44:12,024 --> 00:44:14,359 Flipped out in the library, Tased in the neck by campus security. 945 00:44:14,360 --> 00:44:17,403 - 5 midazolam didn't touch him. - Will you get the fuck off me? 946 00:44:17,404 --> 00:44:19,781 2901! 2901, motherfucker! 947 00:44:19,782 --> 00:44:21,991 Get off! Fuck you, man! 948 00:44:21,992 --> 00:44:23,911 Want to tell me some more about your ideas? 949 00:44:24,745 --> 00:44:26,162 - Maybe later. - Let me out. 950 00:44:26,163 --> 00:44:28,957 Let me the fuck out! Let me out! Let me out!