1 00:01:02,312 --> 00:01:03,437 16 is open. 2 00:01:03,438 --> 00:01:05,355 How come nobody's been-- 3 00:01:05,356 --> 00:01:07,066 my bad, it's taken. 4 00:01:07,067 --> 00:01:08,692 Sorry. 5 00:01:08,693 --> 00:01:10,652 Mr. Louie was found unresponsive 6 00:01:10,653 --> 00:01:13,238 and on the sidewalk next to Fine Wine and Good Spirits. 7 00:01:13,239 --> 00:01:14,948 Decent vitals, no head trauma. 8 00:01:14,949 --> 00:01:16,867 Didn't we just discharge him a couple hours ago? 9 00:01:16,868 --> 00:01:19,119 Yeah. Stone-cold sober at 7:00 a.m. 10 00:01:19,120 --> 00:01:20,579 Oh, God. 11 00:01:20,580 --> 00:01:21,663 Don't light any matches. 12 00:01:21,664 --> 00:01:22,998 Hey, Doc, how you doing? 13 00:01:22,999 --> 00:01:24,291 Not as good as you, Louie. 14 00:01:24,292 --> 00:01:25,834 Hey, you know it, Doc. 15 00:01:25,835 --> 00:01:27,336 How much did you have to drink, Louie? 16 00:01:27,337 --> 00:01:29,922 Uh, just a couple of shots of vodka. 17 00:01:29,923 --> 00:01:31,048 So like a half-gallon? 18 00:01:31,049 --> 00:01:32,091 Oh, hell no. 19 00:01:32,092 --> 00:01:33,675 Just--just a quart. 20 00:01:33,676 --> 00:01:35,052 If you overexaggerate with your question, 21 00:01:35,053 --> 00:01:36,136 you usually get a truthful answer. 22 00:01:36,137 --> 00:01:37,888 Learned from the best. 23 00:01:37,889 --> 00:01:39,807 Uh, he's got Librium from this morning. 24 00:01:39,808 --> 00:01:41,266 That's what I prescribed him. 25 00:01:41,267 --> 00:01:44,186 All right, Louie, let's scoot it on over. 26 00:01:44,187 --> 00:01:46,939 You want to guess the blood alcohol level? 27 00:01:46,940 --> 00:01:48,482 Why would I want to do that? 28 00:01:48,483 --> 00:01:49,733 I don't know, because it's fun? 29 00:01:49,734 --> 00:01:51,485 You prescribed 20 Librium. 30 00:01:51,486 --> 00:01:52,945 There's only 10 left. 31 00:01:52,946 --> 00:01:54,655 See you next time. 32 00:01:54,656 --> 00:01:56,281 Uh, shouldn't we be concerned about an overdose? 33 00:01:56,282 --> 00:01:57,533 Oh, no. 34 00:01:57,534 --> 00:01:59,368 Vodka is Louie's drug of choice. 35 00:01:59,369 --> 00:02:00,577 Quickest way to kill the shakes. 36 00:02:00,578 --> 00:02:01,954 Oh, true that. 37 00:02:01,955 --> 00:02:02,955 Where did the other 10 pills go? 38 00:02:02,956 --> 00:02:03,956 I don't know. 39 00:02:03,957 --> 00:02:05,374 Maybe, uh, lost, stolen. 40 00:02:05,375 --> 00:02:07,376 Maybe he sold them to buy the vodka. 41 00:02:07,377 --> 00:02:09,169 What'd you do with the other pills, Louie? 42 00:02:09,170 --> 00:02:10,170 In my pocket. 43 00:02:10,171 --> 00:02:11,464 I didn't need them. 44 00:02:12,507 --> 00:02:15,176 Come on, give it a rest. 45 00:02:22,016 --> 00:02:23,559 Is everything OK with Collins? 46 00:02:23,560 --> 00:02:26,603 She seems fine to me, unlike our patient board. 47 00:02:26,604 --> 00:02:27,646 How's the Kraken? 48 00:02:27,647 --> 00:02:29,106 Sleeping like a baby. 49 00:02:29,107 --> 00:02:30,482 What's the story with beds upstairs? 50 00:02:30,483 --> 00:02:32,192 A ladder fall took the last ICU bed. 51 00:02:32,193 --> 00:02:34,570 One tele bed's open, no med-surge, no pedes. 52 00:02:34,571 --> 00:02:35,654 So which one of our 21 boarders 53 00:02:35,655 --> 00:02:37,239 is going to win the lottery? 54 00:02:37,240 --> 00:02:39,491 CHF exacerbation's been with us for two days. 55 00:02:39,492 --> 00:02:40,909 Sounds like a winner. 56 00:02:40,910 --> 00:02:42,161 The rest will receive our lovely 57 00:02:42,162 --> 00:02:43,620 consolation prize package. 58 00:02:43,621 --> 00:02:45,080 - Tell them what they won, Dana. - Stop. 59 00:02:45,081 --> 00:02:46,999 It's another 24 hours of bright lights, 60 00:02:47,000 --> 00:02:48,208 screaming trauma patients, hard gurneys, 61 00:02:48,209 --> 00:02:49,668 and sleep deprivation, 62 00:02:49,669 --> 00:02:51,170 all while you wait for a bed upstairs. 63 00:02:51,171 --> 00:02:52,421 Hey, uh, Nandi, 64 00:02:52,422 --> 00:02:53,755 the influencer in Central Eight, 65 00:02:53,756 --> 00:02:54,756 still waiting for psych? 66 00:02:54,757 --> 00:02:55,924 Nope. She's a keeper. 67 00:02:55,925 --> 00:02:57,009 Her mercury levels are sky high 68 00:02:57,010 --> 00:02:58,177 from that face cream. 69 00:02:58,178 --> 00:03:00,179 I ordered chelation TID, 70 00:03:00,180 --> 00:03:01,889 10 per kilo of DMSO. 71 00:03:01,890 --> 00:03:03,724 I'll make sure it comes up from pharmacy. 72 00:03:03,725 --> 00:03:04,766 Great pickup. 73 00:03:04,767 --> 00:03:06,560 Hey. You OK? 74 00:03:06,561 --> 00:03:08,437 Excuse me. 75 00:03:08,438 --> 00:03:09,855 I'm sorry, Dr. Robinavitch? 76 00:03:09,856 --> 00:03:11,607 - Yes, that is me. - Father McGill. 77 00:03:11,608 --> 00:03:12,941 Here to see John and Lily Bradley. 78 00:03:12,942 --> 00:03:14,359 Oh, yes. Thank you for coming. 79 00:03:14,360 --> 00:03:15,736 No problem. 80 00:03:15,737 --> 00:03:17,738 I will take you to the family room. 81 00:03:17,739 --> 00:03:18,906 Dana, I need some help. 82 00:03:18,907 --> 00:03:20,699 What's up? 83 00:03:20,700 --> 00:03:22,034 I've been trying to check the nursing notes on Louie 84 00:03:22,035 --> 00:03:23,994 from 7:00 a.m. this morning. 85 00:03:23,995 --> 00:03:26,788 Uh, Langdon ordered lorazepam, but I don't think it was given. 86 00:03:26,789 --> 00:03:28,624 Yeah, lorazepam ordered, dispensed, 87 00:03:28,625 --> 00:03:31,210 and then returned unused to the PDS per Dr. Langdon, 88 00:03:31,211 --> 00:03:33,128 as patient's tremor had resolved. 89 00:03:33,129 --> 00:03:34,254 Is that unusual? 90 00:03:34,255 --> 00:03:35,839 No, it happens all the time. 91 00:03:35,840 --> 00:03:37,507 You think that could be the vial I couldn't open 92 00:03:37,508 --> 00:03:38,759 on our seizure patient? 93 00:03:38,760 --> 00:03:40,510 Possibly. 94 00:03:40,511 --> 00:03:41,970 Can we check the other vials in the PDS? 95 00:03:41,971 --> 00:03:43,222 Make sure they're OK? 96 00:03:43,223 --> 00:03:44,765 - If you really want to. - I do. 97 00:03:44,766 --> 00:03:46,350 All right, come on. 98 00:03:46,351 --> 00:03:48,268 Dysuria in North Two's been waiting a long time. 99 00:03:48,269 --> 00:03:49,394 I'll take it. 100 00:03:49,395 --> 00:03:51,063 Oh, Dr. King. 101 00:03:51,064 --> 00:03:52,064 Rita! 102 00:03:52,065 --> 00:03:53,065 We were so worried. 103 00:03:53,066 --> 00:03:54,107 Oh, I'm so sorry. 104 00:03:54,108 --> 00:03:55,859 My phone was on silent. 105 00:03:55,860 --> 00:03:57,527 I missed 10 calls from the hospital. 106 00:03:57,528 --> 00:03:58,654 Is my mom OK? 107 00:03:58,655 --> 00:04:00,572 Oh, yeah, she's fine. 108 00:04:00,573 --> 00:04:03,367 Uh, I went to move my car, 109 00:04:03,368 --> 00:04:05,661 and it was so peaceful and quiet when I parked 110 00:04:05,662 --> 00:04:10,082 in the garage, I dozed off. 111 00:04:10,083 --> 00:04:11,959 I'm just really glad you're back. 112 00:04:11,960 --> 00:04:13,460 Oh, your mom is going to be so happy. 113 00:04:13,461 --> 00:04:14,795 She's--she's waiting in the hall. 114 00:04:14,796 --> 00:04:16,213 OK. 115 00:04:16,214 --> 00:04:19,091 So if I order lorazepam for Louie, 116 00:04:19,092 --> 00:04:21,636 the log shows me we have five vials left. 117 00:04:24,389 --> 00:04:27,307 Take one out, and now we have four left. 118 00:04:27,308 --> 00:04:31,353 But if I click that I want to return one unused, 119 00:04:31,354 --> 00:04:34,481 you put it back, and the computer count 120 00:04:34,482 --> 00:04:36,316 goes back up to five. 121 00:04:36,317 --> 00:04:37,317 Yeah. 122 00:04:37,318 --> 00:04:38,318 Same lot numbers. 123 00:04:38,319 --> 00:04:39,611 Everything looks good. 124 00:04:39,612 --> 00:04:40,696 No way of knowing which vial 125 00:04:40,697 --> 00:04:42,281 was returned by Dr. Langdon. 126 00:04:42,282 --> 00:04:43,824 Yeah, I guess. 127 00:04:43,825 --> 00:04:45,617 - Thanks. - Yeah. 128 00:04:45,618 --> 00:04:47,828 Old man coming in with a heart rate of 30. 129 00:04:47,829 --> 00:04:49,329 Sounds like pacemaker failure. 130 00:04:49,330 --> 00:04:50,956 Could be a good case. 131 00:04:50,957 --> 00:04:52,958 Putting an amputation in 15. 132 00:04:52,959 --> 00:04:54,543 Ooh, that one sounds even better. 133 00:04:54,544 --> 00:04:56,045 Yeah. 134 00:04:58,381 --> 00:04:59,673 Rocco DeJulio. 135 00:04:59,674 --> 00:05:01,049 Amputation of the fourth fingertip 136 00:05:01,050 --> 00:05:03,510 at the base of the nail, bone exposed. 137 00:05:03,511 --> 00:05:05,262 Uh, how'd this happen? 138 00:05:05,263 --> 00:05:08,515 I, uh--I crushed it under an air conditioning unit 139 00:05:08,516 --> 00:05:09,683 we were installing. 140 00:05:09,684 --> 00:05:11,143 We'll numb up your finger. 141 00:05:11,144 --> 00:05:13,312 One shot will help with the pain. 142 00:05:13,313 --> 00:05:14,521 Amazing. 143 00:05:14,522 --> 00:05:15,647 Digital block, 144 00:05:15,648 --> 00:05:17,566 three ccs of marcaine. 145 00:05:17,567 --> 00:05:20,736 Pulse 110, BP 135 over 88 in triage. 146 00:05:20,737 --> 00:05:22,154 Any drug allergies, sir? 147 00:05:22,155 --> 00:05:23,238 Uh-uh. 148 00:05:23,239 --> 00:05:24,364 Two grams of Cefazolin? 149 00:05:24,365 --> 00:05:26,242 Uh-huh. 150 00:05:27,702 --> 00:05:28,995 Oh, wow. 151 00:05:31,331 --> 00:05:33,123 Go with the block. 152 00:05:33,124 --> 00:05:34,124 Are you ready? 153 00:05:34,125 --> 00:05:35,709 Mm-hmm. 154 00:05:35,710 --> 00:05:38,211 Pinprick and some burning. 155 00:05:38,212 --> 00:05:40,589 Uh, where's the missing piece of skin? 156 00:05:40,590 --> 00:05:44,426 It's, um, under a thousand-pound unit. 157 00:05:44,427 --> 00:05:46,428 It's flat as a pancake. 158 00:05:46,429 --> 00:05:48,221 Well, then we have nothing to reattach. 159 00:05:48,222 --> 00:05:49,890 Plan, Dr. McKay? 160 00:05:49,891 --> 00:05:52,142 Bone rongeur, V-Y flap. 161 00:05:52,143 --> 00:05:53,894 - Exactly. - Awesome. 162 00:05:53,895 --> 00:05:55,480 I picked the right case. 163 00:05:57,398 --> 00:05:58,857 Can somebody translate? 164 00:05:58,858 --> 00:06:00,150 To close the wound, 165 00:06:00,151 --> 00:06:01,693 we're going to trim down the bone, 166 00:06:01,694 --> 00:06:03,320 then use a plastic surgery trick so the skin 167 00:06:03,321 --> 00:06:04,404 will cover everything. 168 00:06:04,405 --> 00:06:05,989 OK. 169 00:06:05,990 --> 00:06:07,824 Your finger is going to be a little shorter. 170 00:06:07,825 --> 00:06:09,076 No nail. 171 00:06:09,077 --> 00:06:10,619 Great. 172 00:06:10,620 --> 00:06:12,330 10% off manicures. 173 00:06:15,166 --> 00:06:17,000 Looks like they found you guys a new rig. 174 00:06:17,001 --> 00:06:18,335 Nah, we Ubered. 175 00:06:18,336 --> 00:06:20,045 Willie Alexander, 81, near syncope 176 00:06:20,046 --> 00:06:21,546 from the Memory Day Center. 177 00:06:21,547 --> 00:06:22,714 They said he's more altered than usual. 178 00:06:22,715 --> 00:06:24,633 Pulse is 30, BP's 80 over 40. 179 00:06:24,634 --> 00:06:26,718 No change with a mig of atropine. 180 00:06:26,719 --> 00:06:28,929 He's got a pacer in his chest, but there's no capture. 181 00:06:28,930 --> 00:06:30,680 How are you feeling, Mr. Alexander? 182 00:06:30,681 --> 00:06:32,140 Call me Willie. 183 00:06:32,141 --> 00:06:33,392 I'm fine, I'm fine. 184 00:06:33,393 --> 00:06:34,518 Any chest pain? 185 00:06:34,519 --> 00:06:35,602 No, ma'am. 186 00:06:35,603 --> 00:06:37,145 Do you take beta blockers? 187 00:06:37,146 --> 00:06:39,731 I take walks every day. 188 00:06:39,732 --> 00:06:40,982 Only med is Namenda. 189 00:06:40,983 --> 00:06:41,983 On my count. 190 00:06:41,984 --> 00:06:43,194 One, two, three. 191 00:06:45,196 --> 00:06:47,531 Pacemaker patient with dementia. 192 00:06:47,532 --> 00:06:48,949 Heart rate of 30. 193 00:06:48,950 --> 00:06:50,659 A little altered with a systolic of 80. 194 00:06:50,660 --> 00:06:52,244 What's your plan, Dr. Langdon? 195 00:06:52,245 --> 00:06:54,371 Second mig of atropine now. 196 00:06:54,372 --> 00:06:57,290 Push dose epi, 0.1 milligram. 197 00:06:57,291 --> 00:06:58,333 Portable chest. 198 00:06:58,334 --> 00:07:00,085 31 on the monitor. 199 00:07:00,086 --> 00:07:01,962 Dr. Javadi, what do you think of that heart rate? 200 00:07:01,963 --> 00:07:03,463 Uh, it's not beta blockers, so junctional escape rhythm? 201 00:07:03,464 --> 00:07:04,589 Exactly--common with 202 00:07:04,590 --> 00:07:06,049 a non-functioning pacemaker. 203 00:07:06,050 --> 00:07:07,259 Etiology, Dr. Mohan? 204 00:07:07,260 --> 00:07:09,219 Dead battery or lead failure? 205 00:07:09,220 --> 00:07:10,595 Indeed. 206 00:07:10,596 --> 00:07:12,722 Good squeeze, even if it is slow. 207 00:07:12,723 --> 00:07:14,224 Atropine and epi on board. 208 00:07:14,225 --> 00:07:15,600 What's next, Dr. Langdon? 209 00:07:15,601 --> 00:07:17,227 We can try percutaneous pacing, 210 00:07:17,228 --> 00:07:18,937 but eventually, he'll need transvenous. 211 00:07:18,938 --> 00:07:20,105 Agreed. 212 00:07:20,106 --> 00:07:21,273 Systolic's up to 95 with epi. 213 00:07:21,274 --> 00:07:23,024 It's too low. 214 00:07:23,025 --> 00:07:24,651 Let's start a drip. 215 00:07:24,652 --> 00:07:26,445 Two mikes per minute. Check the mental status. 216 00:07:26,446 --> 00:07:27,779 Um, he knows his name. 217 00:07:27,780 --> 00:07:29,489 Sir, do you know what year it is? 218 00:07:29,490 --> 00:07:31,867 Um, it's 20-something. 219 00:07:31,868 --> 00:07:32,951 Uh-- 220 00:07:32,952 --> 00:07:34,244 Do you know where you are? 221 00:07:34,245 --> 00:07:36,413 It looks like a hospital to me. 222 00:07:36,414 --> 00:07:37,622 Pittsburgh Trauma Medical Center. 223 00:07:37,623 --> 00:07:38,623 Yep. 224 00:07:38,624 --> 00:07:40,459 Yep, I know this place. 225 00:07:40,460 --> 00:07:43,253 It's Dr. Adamson's place. 226 00:07:43,254 --> 00:07:44,254 Where's he at? 227 00:07:44,255 --> 00:07:45,715 He working today? 228 00:07:48,092 --> 00:07:49,134 Are you feeling any pain? 229 00:07:49,135 --> 00:07:50,469 No, that shot worked great. 230 00:07:50,470 --> 00:07:51,470 OK. 231 00:07:51,471 --> 00:07:53,347 Just like this. 232 00:07:56,184 --> 00:07:57,517 Uh, how far down? 233 00:07:57,518 --> 00:07:59,436 Just so the sub-Q will cover. 234 00:07:59,437 --> 00:08:01,146 You'll need to take a few days off work, sir. 235 00:08:01,147 --> 00:08:02,606 Good. More time to study. 236 00:08:02,607 --> 00:08:03,607 Oh, yeah? 237 00:08:03,608 --> 00:08:04,608 For what? 238 00:08:04,609 --> 00:08:05,817 Uh, master's degree. 239 00:08:05,818 --> 00:08:07,944 - Psychology. - Oh, no kidding. 240 00:08:07,945 --> 00:08:10,071 Yeah. HVAC's just my day job. 241 00:08:10,072 --> 00:08:12,908 I went to trade school because I couldn't afford college. 242 00:08:12,909 --> 00:08:14,784 Now I can. 243 00:08:14,785 --> 00:08:17,787 Good on the rongeur. 244 00:08:17,788 --> 00:08:19,915 Marking the surgical borders. 245 00:08:19,916 --> 00:08:21,459 Two incisions. 246 00:08:23,211 --> 00:08:26,254 Advance the triangle to cover the tip. 247 00:08:26,255 --> 00:08:28,006 Until the V becomes a Y? 248 00:08:28,007 --> 00:08:29,842 Exactly. 249 00:08:31,344 --> 00:08:33,470 I guess you're the boss here? 250 00:08:33,471 --> 00:08:35,138 Something like that. 251 00:08:35,139 --> 00:08:37,599 You're very good at teaching. 252 00:08:37,600 --> 00:08:39,017 Seriously. 253 00:08:39,018 --> 00:08:40,602 You step back, and with a few words, 254 00:08:40,603 --> 00:08:43,271 you impart wisdom. 255 00:08:43,272 --> 00:08:45,106 If you say so. 256 00:08:45,107 --> 00:08:48,693 Do you mind if I ask what you do when you don't work? 257 00:08:48,694 --> 00:08:50,237 Sleep. 258 00:08:50,238 --> 00:08:53,866 Now a blunt dissect to undermine the tissue. 259 00:08:56,702 --> 00:08:58,203 What do you think, Dr. Javadi? 260 00:08:58,204 --> 00:08:59,538 Third degree. 261 00:08:59,539 --> 00:09:00,580 - Complete heart block. - Because? 262 00:09:00,581 --> 00:09:01,998 AV dissociation. 263 00:09:01,999 --> 00:09:03,542 No relationship between the P waves 264 00:09:03,543 --> 00:09:04,793 and the QRS complexes. 265 00:09:04,794 --> 00:09:05,794 Clear. 266 00:09:05,795 --> 00:09:07,462 Heart rate is 30. 267 00:09:07,463 --> 00:09:09,381 His low BP is going to make him a lot more confused. 268 00:09:09,382 --> 00:09:11,967 Could cause a heart attack or a stroke if we don't fix it. 269 00:09:11,968 --> 00:09:12,968 Oh. 270 00:09:12,969 --> 00:09:14,427 Well, mystery solved. 271 00:09:14,428 --> 00:09:15,595 The wires aren't even touching. 272 00:09:15,596 --> 00:09:16,972 They're totally disconnected. 273 00:09:16,973 --> 00:09:18,098 Shit happens. 274 00:09:18,099 --> 00:09:19,349 Heart rate still in low 30s. 275 00:09:19,350 --> 00:09:20,600 No change with atropine. 276 00:09:20,601 --> 00:09:21,643 Pacing pads are on. 277 00:09:21,644 --> 00:09:23,061 We can try. 278 00:09:23,062 --> 00:09:25,689 Willie, your pacemaker isn't working. 279 00:09:25,690 --> 00:09:27,524 Well, you better fix it. 280 00:09:27,525 --> 00:09:29,276 We're going to try to pace your heart from the outside. 281 00:09:29,277 --> 00:09:30,777 You might feel it in your chest. 282 00:09:30,778 --> 00:09:32,612 Let's start at 10 milliamps, rate of 60. 283 00:09:32,613 --> 00:09:34,240 Pacer on. 284 00:09:36,659 --> 00:09:37,951 I'm twitching. 285 00:09:37,952 --> 00:09:39,578 No capture. 286 00:09:39,579 --> 00:09:41,079 Increase to 20 milliamps. 287 00:09:41,080 --> 00:09:42,622 Now it's more like a shock. 288 00:09:42,623 --> 00:09:43,623 Still no capture. 289 00:09:43,624 --> 00:09:44,625 Up to 30. 290 00:09:45,710 --> 00:09:47,210 Whoa! 291 00:09:47,211 --> 00:09:48,753 - Y'all trying to electrocute me? - Pacer off. 292 00:09:48,754 --> 00:09:49,796 - Can't tolerate it. - Get rid of this shit! 293 00:09:49,797 --> 00:09:50,797 Dr. Langdon? 294 00:09:50,798 --> 00:09:51,923 One of versed. 295 00:09:51,924 --> 00:09:53,300 Can we set up for transvenous? 296 00:09:53,301 --> 00:09:55,052 I was set up before you got here. 297 00:09:57,888 --> 00:09:59,472 Versed's on board. 298 00:09:59,473 --> 00:10:01,891 Willie, we need to float a temporary pacemaker 299 00:10:01,892 --> 00:10:04,185 from your neck into your heart. 300 00:10:04,186 --> 00:10:05,562 Why is that? 301 00:10:05,563 --> 00:10:07,397 Because your heart rate is only 30. 302 00:10:07,398 --> 00:10:11,276 Then, uh, hit me with, uh, a shot of atropine. 303 00:10:11,277 --> 00:10:13,403 You've already had three. 304 00:10:13,404 --> 00:10:14,989 Wait, are you a doctor? 305 00:10:18,576 --> 00:10:20,328 He's out. 306 00:10:22,788 --> 00:10:27,709 Ginger, what do you think about having some help at home? 307 00:10:27,710 --> 00:10:31,796 I think Rita could use a little break 308 00:10:31,797 --> 00:10:35,133 every now and then. 309 00:10:35,134 --> 00:10:36,885 We can't afford it. 310 00:10:36,886 --> 00:10:40,555 Oh, um, Kiara told me about DHS senior phone line. 311 00:10:40,556 --> 00:10:45,393 It's part of AAA, the Area Agency on Aging. 312 00:10:45,394 --> 00:10:48,271 They make referrals for in-home services. 313 00:10:48,272 --> 00:10:50,065 Uh, what's that going to cost? 314 00:10:50,066 --> 00:10:51,941 Medicare will cover short-term home care, 315 00:10:51,942 --> 00:10:55,403 at least 10 hours a week. 316 00:10:55,404 --> 00:10:57,656 Ginger, have you ever been to a senior center? 317 00:10:57,657 --> 00:10:58,740 I went once. 318 00:10:58,741 --> 00:11:00,825 Nothing but old people. 319 00:11:00,826 --> 00:11:02,744 AAA also has senior companions 320 00:11:02,745 --> 00:11:04,287 for a few hours a day. 321 00:11:04,288 --> 00:11:05,914 And if Rita needs to be away at lunchtime, 322 00:11:05,915 --> 00:11:08,209 the OPTIONS program can deliver a meal. 323 00:11:13,339 --> 00:11:16,341 Uh, is everything all right? 324 00:11:16,342 --> 00:11:18,593 Yeah. 325 00:11:18,594 --> 00:11:20,638 Did I say something that upset you? 326 00:11:21,722 --> 00:11:23,139 No, it's all good. 327 00:11:23,140 --> 00:11:24,850 This is-- 328 00:11:27,561 --> 00:11:30,314 This is way more than I expected, so... 329 00:11:37,530 --> 00:11:38,530 Bam. 330 00:11:38,531 --> 00:11:40,699 Internal jugular accessed. 331 00:11:40,700 --> 00:11:42,826 Pulse ox 99 on five liters. 332 00:11:42,827 --> 00:11:44,369 Systolic's 95 on epi. 333 00:11:44,370 --> 00:11:45,745 That's good enough to perfuse the brain. 334 00:11:45,746 --> 00:11:47,747 Guidewire. 335 00:11:47,748 --> 00:11:49,874 You doing OK under there, Willie? 336 00:11:49,875 --> 00:11:51,251 I guess. 337 00:11:51,252 --> 00:11:52,919 So this is just like a triple lumen? 338 00:11:52,920 --> 00:11:55,588 Except you need a big seven French introducer 339 00:11:55,589 --> 00:11:56,632 to fit the pacing wire. 340 00:12:00,010 --> 00:12:02,929 I could use some air. 341 00:12:02,930 --> 00:12:04,724 Is that any better? 342 00:12:06,183 --> 00:12:07,475 What y'all doing? 343 00:12:07,476 --> 00:12:10,770 We're putting a temporary wire into an external pacemaker 344 00:12:10,771 --> 00:12:14,357 until you can have surgery to repair the one in your chest. 345 00:12:14,358 --> 00:12:16,109 Heart rate's still 31. 346 00:12:16,110 --> 00:12:19,529 Bradycardia. 347 00:12:19,530 --> 00:12:21,490 Are you a doctor, Willie? 348 00:12:24,702 --> 00:12:26,578 Yeah, right. 349 00:12:26,579 --> 00:12:30,081 No mention of any medical career in his past records. 350 00:12:30,082 --> 00:12:31,458 Just mild dementia. 351 00:12:31,459 --> 00:12:33,710 "Are you a doctor?" 352 00:12:33,711 --> 00:12:34,754 That's a good one. 353 00:12:35,921 --> 00:12:37,589 OK, last one. 354 00:12:37,590 --> 00:12:40,675 How's it look? 355 00:12:40,676 --> 00:12:41,843 Perfect. 356 00:12:41,844 --> 00:12:43,094 Uh, Xeroform and tube gauze? 357 00:12:43,095 --> 00:12:44,220 Mm-hmm. 358 00:12:44,221 --> 00:12:45,847 What's up, party people? 359 00:12:45,848 --> 00:12:47,766 Uh, V-Y flap. 360 00:12:47,767 --> 00:12:49,934 Nicely done. Can I borrow Dr. Santos? 361 00:12:49,935 --> 00:12:52,395 As long as Dr. McKay can finish the dressing. 362 00:12:52,396 --> 00:12:53,814 Sure. 363 00:12:59,820 --> 00:13:03,698 I can't stop thinking about your foot. 364 00:13:03,699 --> 00:13:05,200 Uh, you know what I mean. 365 00:13:05,201 --> 00:13:07,994 - I'm--I'm sorry, but-- - I know. Move on. 366 00:13:07,995 --> 00:13:10,455 - I already did. - OK. 367 00:13:10,456 --> 00:13:12,373 There's a high-maintenance surgery clinic patient 368 00:13:12,374 --> 00:13:15,335 down here-- as in total pain in the ass. 369 00:13:15,336 --> 00:13:17,670 I could use your help distracting her. 370 00:13:17,671 --> 00:13:20,381 So we're--we're good? 371 00:13:20,382 --> 00:13:23,009 Every hero needs a sidekick. 372 00:13:23,010 --> 00:13:24,844 I need to find a tube gauze cage. 373 00:13:24,845 --> 00:13:26,596 I'll be right back. 374 00:13:26,597 --> 00:13:29,682 You'll need to elevate, antibiotics three times a day 375 00:13:29,683 --> 00:13:33,061 for a week, a couple of painkiller tablets, 376 00:13:33,062 --> 00:13:36,105 but try to get by on Tylenol and ibuprofen. 377 00:13:36,106 --> 00:13:38,149 Are you OK? 378 00:13:38,150 --> 00:13:39,359 Is today a bad day? 379 00:13:39,360 --> 00:13:40,360 Drowning victim. 380 00:13:40,361 --> 00:13:43,154 ETA three minutes. 381 00:13:43,155 --> 00:13:44,949 Sorry, I got to go. 382 00:13:47,076 --> 00:13:50,036 20 centimeters clears the cordis. 383 00:13:50,037 --> 00:13:53,289 Pacing box rate of 80, five milliamps. 384 00:13:53,290 --> 00:13:54,290 Confirmed. 385 00:13:54,291 --> 00:13:55,792 On ventricular setting. 386 00:13:55,793 --> 00:13:58,670 Passing to 30, just outside the heart. 387 00:13:58,671 --> 00:14:00,213 Why do we inflate the balloon now? 388 00:14:00,214 --> 00:14:01,589 So it'll float into the right ventricle. 389 00:14:01,590 --> 00:14:03,716 Exactly. And we're looking for? 390 00:14:03,717 --> 00:14:06,010 An injury pattern, since it's below the AV node. 391 00:14:06,011 --> 00:14:07,178 Looking good. 392 00:14:07,179 --> 00:14:09,931 Check the pulse. 393 00:14:09,932 --> 00:14:11,516 Strong radial. Really strong. 394 00:14:11,517 --> 00:14:13,685 Man, I feel like I just woke up. 395 00:14:13,686 --> 00:14:15,270 Nice work, Dr. Langdon. 396 00:14:15,271 --> 00:14:16,771 Systolic's up to 130. 397 00:14:16,772 --> 00:14:18,606 How do you feel? 398 00:14:18,607 --> 00:14:20,733 Feel like a million bucks. 399 00:14:20,734 --> 00:14:23,278 Widened QRS on the scope. 400 00:14:23,279 --> 00:14:25,572 Willie, did you used to work at this hospital? 401 00:14:25,573 --> 00:14:26,573 Hell, no. 402 00:14:26,574 --> 00:14:28,199 I just brought the mail. 403 00:14:28,200 --> 00:14:29,534 Can we steal Javadi? 404 00:14:29,535 --> 00:14:31,160 Absolutely. 405 00:14:31,161 --> 00:14:33,413 Time to shine, Crash. 406 00:14:33,414 --> 00:14:35,623 Do you have time to write the procedure note? 407 00:14:35,624 --> 00:14:37,041 No problem. 408 00:14:37,042 --> 00:14:38,251 I'll be at Central if you need me. 409 00:14:38,252 --> 00:14:39,878 Oh, jeez. 410 00:14:39,879 --> 00:14:41,838 I still need to tell Nandi about her mercury level. 411 00:14:41,839 --> 00:14:44,716 The average emergency doctor gets pulled from task A 412 00:14:44,717 --> 00:14:46,676 to task B every three to five minutes. 413 00:14:46,677 --> 00:14:48,636 Remind me again why we picked this specialty? 414 00:14:48,637 --> 00:14:50,179 Because we all have ADHD, 415 00:14:50,180 --> 00:14:52,433 and anything else would be boring as hell. 416 00:15:01,191 --> 00:15:02,567 Another ICU admission. 417 00:15:02,568 --> 00:15:04,360 I'll call to confirm. 418 00:15:04,361 --> 00:15:06,195 Dr. Collins, do you think that we might be able to-- 419 00:15:06,196 --> 00:15:07,238 Drowning victim here. 420 00:15:07,239 --> 00:15:08,490 Not right now. 421 00:15:10,367 --> 00:15:12,327 Amber Phillips, six years old. 422 00:15:12,328 --> 00:15:14,287 Found at the bottom of a home pool with an unknown downtime. 423 00:15:14,288 --> 00:15:16,039 Asystole on the monitor. 424 00:15:16,040 --> 00:15:19,500 Intubated with a cuffed 4.5, 22-gauge left AC, 425 00:15:19,501 --> 00:15:21,210 0.25 epi three minutes ago. 426 00:15:21,211 --> 00:15:23,796 One, two, three. 427 00:15:23,797 --> 00:15:25,215 OK. 428 00:15:27,509 --> 00:15:29,302 Whitaker, take over compressions. 429 00:15:29,303 --> 00:15:31,054 - Any family coming in? - Grandma and little sister. 430 00:15:31,055 --> 00:15:32,723 Fast and deep. 431 00:15:34,183 --> 00:15:35,099 Ready? 432 00:15:35,100 --> 00:15:36,100 Yeah. 433 00:15:36,101 --> 00:15:38,227 Go. 434 00:15:38,228 --> 00:15:39,228 She's really cold. 435 00:15:39,229 --> 00:15:40,229 OK. 436 00:15:40,230 --> 00:15:41,732 Get a core temp. 437 00:15:44,318 --> 00:15:45,485 Good breath sounds bilaterally. 438 00:15:45,486 --> 00:15:46,861 Should we use the Lucas? 439 00:15:46,862 --> 00:15:48,446 No, she's way too small for that. 440 00:15:48,447 --> 00:15:50,949 - Rectal temp only 85. - What do you think, Mel? 441 00:15:50,950 --> 00:15:53,201 Uh, she's cold. Moderate hypothermia. 442 00:15:53,202 --> 00:15:54,744 We need to get her up to 90 if we have any chance 443 00:15:54,745 --> 00:15:55,745 of restarting her heart. 444 00:15:55,746 --> 00:15:57,789 250 ccs heated saline. 445 00:15:57,790 --> 00:15:59,123 Set up the Arctic Sun. 446 00:15:59,124 --> 00:16:00,375 Continuous core temp monitoring, 447 00:16:00,376 --> 00:16:01,751 and prep another epi 0.25. 448 00:16:01,752 --> 00:16:03,253 Yep. 449 00:16:05,881 --> 00:16:07,799 Preemptive orders done. Let's go. 450 00:16:07,800 --> 00:16:09,676 I just--I don't understand why you need me. 451 00:16:09,677 --> 00:16:11,970 Crohn's disease status post colectomy 10 years ago, 452 00:16:11,971 --> 00:16:13,846 now with severe abdominal pain. 453 00:16:13,847 --> 00:16:16,391 Could be perforation, fistula, obstruction. 454 00:16:16,392 --> 00:16:18,184 Great teaching case. 455 00:16:18,185 --> 00:16:21,355 Someone give me something for the pain! 456 00:16:22,564 --> 00:16:23,564 Good afternoon, Ms. Walker. 457 00:16:23,565 --> 00:16:25,108 I'm Dr. Garcia from surgery. 458 00:16:25,109 --> 00:16:26,693 This is Dr. Santos and Javadi. 459 00:16:26,694 --> 00:16:28,111 It looks like you're in a lot of pain. 460 00:16:28,112 --> 00:16:29,362 No shit! 461 00:16:29,363 --> 00:16:30,488 We ordered you some morphine. 462 00:16:30,489 --> 00:16:31,489 Did you read my chart? 463 00:16:31,490 --> 00:16:32,907 I'm allergic to morphine! 464 00:16:32,908 --> 00:16:34,701 I'll puke my guts out. 465 00:16:34,702 --> 00:16:36,869 That's a side effect, not an allergy. 466 00:16:36,870 --> 00:16:38,204 Oh, give me some Dilaudid. 467 00:16:38,205 --> 00:16:39,205 OK. 468 00:16:39,206 --> 00:16:40,623 One milligram Dilaudid. 469 00:16:40,624 --> 00:16:41,624 I'll grab it from the PDS. 470 00:16:41,625 --> 00:16:42,709 One is never enough. 471 00:16:42,710 --> 00:16:43,710 I need two, sometimes four. 472 00:16:43,711 --> 00:16:44,752 Got it. 473 00:16:44,753 --> 00:16:46,504 Pertinent history, Javadi? 474 00:16:46,505 --> 00:16:49,298 Um, have you had any fever or vomiting? 475 00:16:49,299 --> 00:16:51,217 Shut up with your questions! 476 00:16:51,218 --> 00:16:52,885 Ma'am, we can't help you if we don't know your-- 477 00:16:52,886 --> 00:16:54,345 If you want to help me, get me my doctor. 478 00:16:54,346 --> 00:16:55,638 Dr. Shamsi. 479 00:16:55,639 --> 00:16:57,390 10 years, no one knows me better. 480 00:16:57,391 --> 00:16:59,100 I don't want to talk to anybody else. 481 00:16:59,101 --> 00:17:01,310 I'm very sorry, but she's in surgery right now. 482 00:17:01,311 --> 00:17:02,980 - How long? - Unknown. 483 00:17:04,398 --> 00:17:07,066 But ma'am, right here we have 484 00:17:07,067 --> 00:17:09,360 Dr. Shamsi's daughter, Victoria. 485 00:17:09,361 --> 00:17:12,614 She's the next best thing. 486 00:17:15,743 --> 00:17:18,911 Time for another epi. 487 00:17:18,912 --> 00:17:20,663 Dr. Robby? 488 00:17:20,664 --> 00:17:22,499 I'll be right back. 489 00:17:26,587 --> 00:17:29,130 Uh, my wife and I decided. 490 00:17:29,131 --> 00:17:30,840 We're on board with organ donation. 491 00:17:30,841 --> 00:17:33,092 Oh, I'm really glad to hear it. 492 00:17:33,093 --> 00:17:35,595 Uh, the church supports their decision. 493 00:17:35,596 --> 00:17:37,722 The OPO is sending an ambulance. 494 00:17:37,723 --> 00:17:39,600 I'll be staying with the family. 495 00:17:43,353 --> 00:17:44,353 How's it going in there? 496 00:17:44,354 --> 00:17:46,647 Oh, not good. Not good. 497 00:17:46,648 --> 00:17:48,066 - Robby. - Yeah? 498 00:17:48,067 --> 00:17:49,609 For the little girl in Trauma One, 499 00:17:49,610 --> 00:17:52,487 this is grandmother Frances and sister Bella. 500 00:17:52,488 --> 00:17:54,030 Hi, I'm Dr. Robinavitch. 501 00:17:54,031 --> 00:17:55,531 How is she? 502 00:17:55,532 --> 00:17:56,908 Um-- 503 00:17:56,909 --> 00:17:58,659 Bella, would you like to color? 504 00:17:58,660 --> 00:17:59,786 Maybe get a snack? 505 00:17:59,787 --> 00:18:01,329 Yes, please. 506 00:18:01,330 --> 00:18:02,872 My name is Kiara. 507 00:18:02,873 --> 00:18:04,499 Let's find you some crayons. 508 00:18:04,500 --> 00:18:05,833 I like to draw. 509 00:18:05,834 --> 00:18:06,876 Let's do it. 510 00:18:06,877 --> 00:18:08,504 Come on. 511 00:18:10,547 --> 00:18:12,757 They are still doing CPR. 512 00:18:12,758 --> 00:18:13,841 Can I please see her? 513 00:18:13,842 --> 00:18:15,927 Yes, of course. 514 00:18:15,928 --> 00:18:17,261 Got Grandma coming in. 515 00:18:17,262 --> 00:18:19,097 You can sit right by the bedside. 516 00:18:19,098 --> 00:18:20,306 Ready to switch? 517 00:18:20,307 --> 00:18:22,642 Go. 518 00:18:22,643 --> 00:18:25,978 Here you go, ma'am. 519 00:18:25,979 --> 00:18:27,188 You can hold her hand. 520 00:18:27,189 --> 00:18:28,564 She wasn't breathing, 521 00:18:28,565 --> 00:18:29,982 so the medics put a tube in her throat. 522 00:18:29,983 --> 00:18:31,234 She's so cold. 523 00:18:31,235 --> 00:18:32,610 We're warming her up. 524 00:18:32,611 --> 00:18:33,986 That way, she'll have a better chance 525 00:18:33,987 --> 00:18:36,364 to respond to the medicines. 526 00:18:36,365 --> 00:18:39,617 They moved a bench next to the pool fence 527 00:18:39,618 --> 00:18:42,286 so they could go over, 528 00:18:42,287 --> 00:18:44,789 because their soccer ball went in the water. 529 00:18:44,790 --> 00:18:47,208 Amber couldn't make it out of the deep end. 530 00:18:47,209 --> 00:18:48,709 The gate was locked. 531 00:18:48,710 --> 00:18:49,836 I was vacuuming. 532 00:18:49,837 --> 00:18:51,672 I didn't hear them. 533 00:18:56,009 --> 00:18:57,802 My mercury level is 94? 534 00:18:57,803 --> 00:19:00,138 That's high enough to cause all your symptoms-- 535 00:19:00,139 --> 00:19:03,766 insomnia, tremors, imbalance, psychosis. 536 00:19:03,767 --> 00:19:05,893 From a stupid face cream? 537 00:19:05,894 --> 00:19:07,728 We're going to start chelation therapy. 538 00:19:07,729 --> 00:19:10,148 It's a medication that binds with the mercury 539 00:19:10,149 --> 00:19:11,983 and helps your body excrete it. 540 00:19:11,984 --> 00:19:13,860 And then I'll be back to normal? 541 00:19:13,861 --> 00:19:15,444 I don't know. 542 00:19:15,445 --> 00:19:17,405 Are any of us normal? 543 00:19:17,406 --> 00:19:19,240 Where's my phone? 544 00:19:19,241 --> 00:19:20,867 They locked it away with all your valuables. 545 00:19:20,868 --> 00:19:22,118 I--I need my phone. 546 00:19:22,119 --> 00:19:23,619 OK. 547 00:19:23,620 --> 00:19:25,037 But when you post, you have to tell everyone 548 00:19:25,038 --> 00:19:26,873 - not to use the cream. - Definitely. 549 00:19:26,874 --> 00:19:27,957 Can I borrow your phone? 550 00:19:27,958 --> 00:19:29,458 Just the camera. 551 00:19:29,459 --> 00:19:31,002 I was wearing a wig when I left my apartment 552 00:19:31,003 --> 00:19:32,753 and I had a wig when I came in, right? 553 00:19:32,754 --> 00:19:34,673 Not when you came in. 554 00:19:36,341 --> 00:19:38,468 Oh my God. 555 00:19:40,053 --> 00:19:42,181 I look like shit. 556 00:19:48,312 --> 00:19:50,062 - How is he doing? - Stable. 557 00:19:50,063 --> 00:19:52,148 Scheduled for a new pacer tomorrow with cardiology. 558 00:19:52,149 --> 00:19:53,858 - Great. - Robby. 559 00:19:53,859 --> 00:19:55,860 Parents of T1. 560 00:19:55,861 --> 00:19:56,986 This is Dr. Robby. 561 00:19:56,987 --> 00:19:58,404 Where's Amber? Is she OK? 562 00:19:58,405 --> 00:19:59,822 What have you heard? 563 00:19:59,823 --> 00:20:01,657 That she got pulled from the pool. 564 00:20:01,658 --> 00:20:02,992 She wasn't breathing, 565 00:20:02,993 --> 00:20:04,619 so we're doing that for her now. 566 00:20:04,620 --> 00:20:06,370 And we're trying to get her heart started again. 567 00:20:06,371 --> 00:20:08,581 Wait, her heart stopped? 568 00:20:08,582 --> 00:20:09,874 I have to be with her. 569 00:20:09,875 --> 00:20:11,167 Of course. 570 00:20:11,168 --> 00:20:12,418 There are a lot of people in here 571 00:20:12,419 --> 00:20:13,836 right now trying to help her. 572 00:20:13,837 --> 00:20:15,922 We understand. 573 00:20:15,923 --> 00:20:16,923 Amber. 574 00:20:16,924 --> 00:20:19,008 Oh my God, Amber! 575 00:20:19,009 --> 00:20:20,676 I'm here. I love you. 576 00:20:20,677 --> 00:20:21,719 I love you so much. 577 00:20:21,720 --> 00:20:23,262 Gina, I am so sorry. 578 00:20:23,263 --> 00:20:24,430 Where's Bella? 579 00:20:24,431 --> 00:20:26,057 She's with our social worker. 580 00:20:26,058 --> 00:20:27,767 Oh, I should be with her. 581 00:20:27,768 --> 00:20:28,768 I'll go with you, Mom. 582 00:20:28,769 --> 00:20:30,228 I'll be right back. 583 00:20:30,229 --> 00:20:33,064 OK. Come on. She's just down the hall. 584 00:20:33,065 --> 00:20:36,818 - Hang on. We got it. - Oh. 585 00:20:40,405 --> 00:20:41,322 Rhythm check. 586 00:20:41,323 --> 00:20:42,991 Hold compressions. 587 00:20:45,369 --> 00:20:46,285 Asystole. 588 00:20:46,286 --> 00:20:49,121 Resume compressions. 589 00:20:49,122 --> 00:20:50,539 Three minutes since the last epi. 590 00:20:50,540 --> 00:20:51,582 Push another. 591 00:20:51,583 --> 00:20:53,209 Did you shock the heart? 592 00:20:53,210 --> 00:20:54,627 Uh, no. 593 00:20:54,628 --> 00:20:56,379 Why didn't you shock the heart? 594 00:20:56,380 --> 00:20:58,130 We've got to save her. You've got to shock the heart. 595 00:20:58,131 --> 00:20:59,507 Heart rhythm right now is flatlining. 596 00:20:59,508 --> 00:21:01,300 That's not treatable with a shock. 597 00:21:01,301 --> 00:21:02,635 We're trying to get the rhythm to change to something 598 00:21:02,636 --> 00:21:04,220 we can shock by warming her up. 599 00:21:04,221 --> 00:21:06,097 OK. So we've got to warm up. 600 00:21:06,098 --> 00:21:07,556 You've got to get some more blankets in here or something. 601 00:21:07,557 --> 00:21:08,724 We are giving her warm IV fluids, 602 00:21:08,725 --> 00:21:10,226 and you can feel these blue pads. 603 00:21:10,227 --> 00:21:11,477 They have warm water running through them 604 00:21:11,478 --> 00:21:12,980 like a hot tub. 605 00:21:17,651 --> 00:21:20,236 Are you sure you're doing everything? 606 00:21:20,237 --> 00:21:22,781 Yes, we are. 607 00:21:25,575 --> 00:21:28,911 Amber, honey, I'm here. 608 00:21:28,912 --> 00:21:30,496 It's going to be OK. 609 00:21:30,497 --> 00:21:34,709 I promise you, everything's going to be OK. 610 00:21:34,710 --> 00:21:36,419 I can't take much longer! 611 00:21:36,420 --> 00:21:38,838 I've got Dr. Shamsi on speakerphone from the OR. 612 00:21:38,839 --> 00:21:40,923 Eileen, how soon can you get here? 613 00:21:40,924 --> 00:21:42,383 I'm finishing a lap chole. 614 00:21:42,384 --> 00:21:43,384 Shouldn't be long. 615 00:21:43,385 --> 00:21:45,052 Your daughter is here. 616 00:21:45,053 --> 00:21:47,013 Hi, honey. 617 00:21:47,014 --> 00:21:48,889 Minimal relief with two of Dilaudid. 618 00:21:48,890 --> 00:21:50,349 She needs four. 619 00:21:50,350 --> 00:21:51,767 That's what I've been telling them! 620 00:21:51,768 --> 00:21:53,185 We're titrating. 621 00:21:53,186 --> 00:21:54,770 We didn't want her to stop breathing. 622 00:21:54,771 --> 00:21:56,689 - Is Dr. Garcia with you? - Right here. 623 00:21:56,690 --> 00:21:57,690 How's the exam? 624 00:21:57,691 --> 00:21:59,108 Rigidity with guarding. 625 00:21:59,109 --> 00:22:00,901 Sounds like peritonitis. 626 00:22:00,902 --> 00:22:03,362 Two sets of blood cultures and 3.375 of Zosyn. 627 00:22:03,363 --> 00:22:05,573 Make sure she's next in line for a CT scan. 628 00:22:05,574 --> 00:22:06,866 Bump everyone else. 629 00:22:06,867 --> 00:22:08,242 Do you understand? Victoria? 630 00:22:08,243 --> 00:22:09,910 - Got it. - See you soon. 631 00:22:09,911 --> 00:22:10,912 Thank you, Eileen. 632 00:22:12,164 --> 00:22:13,748 Ready for some more Dilaudid? 633 00:22:13,749 --> 00:22:15,416 God, yes. 634 00:22:15,417 --> 00:22:16,542 Victoria will make sure all of Dr. Shamsi's 635 00:22:16,543 --> 00:22:17,793 orders are followed. 636 00:22:17,794 --> 00:22:18,836 Call if you need us. 637 00:22:18,837 --> 00:22:21,047 Yeah. 638 00:22:21,048 --> 00:22:24,008 Great move bringing in Javadi. 639 00:22:24,009 --> 00:22:27,428 Is this patient payback for dropping the scalpel? 640 00:22:27,429 --> 00:22:29,638 Look at the bright side-- if she goes to the OR for perf, 641 00:22:29,639 --> 00:22:30,681 you can scrub in. 642 00:22:30,682 --> 00:22:32,433 I'll coach you. 643 00:22:32,434 --> 00:22:33,851 You'll make a brilliant first impression on Dr. Shamsi. 644 00:22:33,852 --> 00:22:36,562 - Really? You'd do that? - Mm-hmm. 645 00:22:36,563 --> 00:22:38,356 Thanks. 646 00:22:38,357 --> 00:22:43,611 I, um--I have something unusual to ask. 647 00:22:43,612 --> 00:22:45,696 OK. 648 00:22:45,697 --> 00:22:48,115 I've been on two cases with Langdon, 649 00:22:48,116 --> 00:22:50,534 and there have been irregularities 650 00:22:50,535 --> 00:22:53,120 with benzos-- Lorazepam with a seizure, 651 00:22:53,121 --> 00:22:54,747 Librium with an alcoholic. 652 00:22:54,748 --> 00:22:55,831 And? 653 00:22:55,832 --> 00:22:58,250 And I'm concerned. 654 00:22:58,251 --> 00:23:00,253 Concerned about what? 655 00:23:01,463 --> 00:23:04,382 That he could be stealing. 656 00:23:04,383 --> 00:23:05,674 Whoa, whoa, whoa. 657 00:23:05,675 --> 00:23:07,343 I insult the shit out of Langdon, 658 00:23:07,344 --> 00:23:08,969 but he's a great doctor. 659 00:23:08,970 --> 00:23:10,888 I've never seen him impaired. 660 00:23:10,889 --> 00:23:12,723 What do I do? 661 00:23:12,724 --> 00:23:14,809 You've been here for, what, seven hours? 662 00:23:14,810 --> 00:23:16,686 Just do your job. 663 00:23:30,409 --> 00:23:32,284 Kind of a weird vibe out here. 664 00:23:32,285 --> 00:23:36,330 Yeah, pediatric drowning will do that. 665 00:23:36,331 --> 00:23:37,790 Glad I didn't end up in there. 666 00:23:37,791 --> 00:23:40,668 Yeah, you and me both. 667 00:23:40,669 --> 00:23:43,421 Uh, what's with the scarf? 668 00:23:43,422 --> 00:23:44,964 Oh, it's from the lost and found, 669 00:23:44,965 --> 00:23:46,340 for my patient in Central Eight. 670 00:23:46,341 --> 00:23:47,341 Cool. 671 00:23:47,342 --> 00:23:49,343 I'm off to North Two. 672 00:23:49,344 --> 00:23:51,262 Dysuria. 673 00:23:51,263 --> 00:23:54,723 What happened to two visitors a patient? 674 00:23:54,724 --> 00:23:56,934 It's the fentanyl overdose. 675 00:23:56,935 --> 00:23:58,769 There's going to be an honor walk. 676 00:23:58,770 --> 00:24:01,522 He's an organ donor. 677 00:24:01,523 --> 00:24:02,815 Well, see you later. 678 00:24:02,816 --> 00:24:03,984 See you. 679 00:24:12,117 --> 00:24:13,243 Myrna? 680 00:24:15,662 --> 00:24:17,164 Myrna! 681 00:24:19,124 --> 00:24:20,458 Oh, no. No, not today. 682 00:24:20,459 --> 00:24:22,585 Myrna! 683 00:24:22,586 --> 00:24:24,420 What the fuck? 684 00:24:24,421 --> 00:24:26,380 What do you think you're doing? 685 00:24:26,381 --> 00:24:29,592 I--I was just checking on you, ma'am. 686 00:24:29,593 --> 00:24:32,803 You can't even take a nap in this hellhole. 687 00:24:32,804 --> 00:24:34,180 Fuck off! 688 00:24:34,181 --> 00:24:35,307 Sorry. 689 00:24:37,058 --> 00:24:39,518 Hi, I'm Dr. McKay. 690 00:24:39,519 --> 00:24:40,728 Uh, Piper. 691 00:24:40,729 --> 00:24:41,729 Laura. 692 00:24:41,730 --> 00:24:43,314 And you guys are? 693 00:24:43,315 --> 00:24:44,356 She's my boss. 694 00:24:44,357 --> 00:24:46,025 Oh, what kind of work? 695 00:24:46,026 --> 00:24:48,027 I'm an accountant, and she's my assistant. 696 00:24:48,028 --> 00:24:50,029 Oh, cool. 697 00:24:50,030 --> 00:24:53,866 Um, Piper, are you OK with your boss being here while we talk? 698 00:24:53,867 --> 00:24:55,117 Yeah, I'm--I'm good. 699 00:24:55,118 --> 00:24:56,994 Are you sure? 700 00:24:56,995 --> 00:24:58,496 I'm going to be asking you some pretty personal questions. 701 00:24:58,497 --> 00:24:59,538 She doesn't mind. 702 00:24:59,539 --> 00:25:01,708 We--we have no secrets. 703 00:25:04,336 --> 00:25:05,836 OK. 704 00:25:05,837 --> 00:25:06,921 So burning with urination. 705 00:25:06,922 --> 00:25:07,922 Mm-hmm. 706 00:25:07,923 --> 00:25:09,048 When did that start? 707 00:25:09,049 --> 00:25:11,175 About two days ago. 708 00:25:11,176 --> 00:25:13,302 Why don't we let Piper answer the questions? 709 00:25:13,303 --> 00:25:16,014 I'm sorry, it's just, we've been waiting so long. 710 00:25:18,517 --> 00:25:19,517 About two days ago. 711 00:25:19,518 --> 00:25:21,769 Any blood in the urine? 712 00:25:21,770 --> 00:25:23,270 I don't think so. 713 00:25:23,271 --> 00:25:25,607 No, she would have definitely noticed that. 714 00:25:27,275 --> 00:25:29,026 OK. 715 00:25:29,027 --> 00:25:30,736 I'm going to get you a gown and I'll be right back, OK? 716 00:25:30,737 --> 00:25:31,863 OK. 717 00:25:37,202 --> 00:25:39,161 Any change with the extra Dilaudid? 718 00:25:39,162 --> 00:25:40,579 Not really. 719 00:25:40,580 --> 00:25:42,249 The pain is still there. 720 00:25:45,544 --> 00:25:49,129 Sorry. Sorry. 721 00:25:49,130 --> 00:25:52,633 Just to review, no fever, no vomiting, 722 00:25:52,634 --> 00:25:55,052 no diarrhea, no constipation. 723 00:25:55,053 --> 00:25:56,679 Correct. 724 00:25:56,680 --> 00:25:59,306 When exactly did the pain start? 725 00:25:59,307 --> 00:26:03,477 10:15 this morning, all of a sudden. 726 00:26:03,478 --> 00:26:04,812 That's very strange. 727 00:26:04,813 --> 00:26:06,231 I agree. 728 00:26:08,400 --> 00:26:10,651 Will you tell me everything you did this morning? 729 00:26:10,652 --> 00:26:12,152 Took a shower. 730 00:26:12,153 --> 00:26:17,324 I had breakfast, some coffee, toast with jam. 731 00:26:17,325 --> 00:26:18,909 Yard work. 732 00:26:18,910 --> 00:26:20,661 Moved some firewood. 733 00:26:20,662 --> 00:26:23,831 Did the pain start before or after the firewood? 734 00:26:23,832 --> 00:26:25,916 A little bit after. 735 00:26:25,917 --> 00:26:27,459 I might have got a splinter in my foot. 736 00:26:27,460 --> 00:26:29,212 I wasn't wearing socks. 737 00:26:32,299 --> 00:26:34,384 Other one. 738 00:26:40,307 --> 00:26:43,268 Two small puncture wounds, one millimeter apart. 739 00:26:45,061 --> 00:26:48,022 Two splinters? 740 00:26:48,023 --> 00:26:49,815 Whoa. 741 00:26:49,816 --> 00:26:51,985 What? 742 00:26:53,236 --> 00:26:55,613 There's a dead black widow spider in your shoe. 743 00:26:55,614 --> 00:26:57,031 You're shitting me. 744 00:26:57,032 --> 00:26:58,574 Red hourglass marking. 745 00:26:58,575 --> 00:27:00,367 We need IV diazepam. Start with five. 746 00:27:00,368 --> 00:27:01,745 Might need 10. 747 00:27:06,458 --> 00:27:09,209 What does a spider bite have to do with my Crohn's disease? 748 00:27:09,210 --> 00:27:11,128 Oh, nothing. 749 00:27:11,129 --> 00:27:13,464 Um, black widow venom can cause muscle spasms in the belly. 750 00:27:13,465 --> 00:27:16,425 People have had surgery thinking it was appendicitis. 751 00:27:16,426 --> 00:27:18,135 Hi, Dolores. 752 00:27:18,136 --> 00:27:19,845 Why didn't you get her to CT yet? 753 00:27:19,846 --> 00:27:21,430 I--I don't think she needs it. 754 00:27:21,431 --> 00:27:23,223 The abdomen is rigid. She's perfed. 755 00:27:23,224 --> 00:27:24,224 Maybe not. 756 00:27:24,225 --> 00:27:25,601 What are you giving? 757 00:27:25,602 --> 00:27:27,102 - Diazepam. - I didn't order that. 758 00:27:27,103 --> 00:27:28,354 I did. 759 00:27:28,355 --> 00:27:29,730 She has a rigid abdomen 760 00:27:29,731 --> 00:27:30,981 but no other GI signs or symptoms. 761 00:27:30,982 --> 00:27:32,816 It didn't make any sense. 762 00:27:32,817 --> 00:27:34,860 There's a black widow spider and a bite mark on the foot. 763 00:27:34,861 --> 00:27:38,113 The venom is causing spasm of the abdominal wall musculature. 764 00:27:38,114 --> 00:27:41,116 Whatever you guys gave me, it's working. 765 00:27:41,117 --> 00:27:42,117 Possibly. 766 00:27:42,118 --> 00:27:46,538 No, definitely. 767 00:27:46,539 --> 00:27:48,708 I'm much better. 768 00:27:54,089 --> 00:27:55,006 Take a deep breath. 769 00:27:59,678 --> 00:28:01,178 Good, good. 770 00:28:01,179 --> 00:28:02,680 Are you from Pittsburgh? 771 00:28:02,681 --> 00:28:04,848 Uh, two hours north. 772 00:28:04,849 --> 00:28:06,308 Like, Mill Village. 773 00:28:06,309 --> 00:28:07,685 OK. 774 00:28:07,686 --> 00:28:09,228 You have any family you want to call? 775 00:28:09,229 --> 00:28:10,646 I don't have a phone. 776 00:28:10,647 --> 00:28:12,774 She can use mine if she needs to. 777 00:28:15,193 --> 00:28:17,152 OK. 778 00:28:17,153 --> 00:28:19,322 Lay down. 779 00:28:22,200 --> 00:28:25,035 I've, uh, never heard of Mill Village. 780 00:28:25,036 --> 00:28:26,787 Yeah, nobody has. 781 00:28:26,788 --> 00:28:28,080 Population 400. 782 00:28:28,081 --> 00:28:29,248 Wow, that's small. 783 00:28:29,249 --> 00:28:30,833 Tell me about it. 784 00:28:30,834 --> 00:28:32,584 After high school, I had to get out of there. 785 00:28:32,585 --> 00:28:33,919 Mm. 786 00:28:33,920 --> 00:28:35,838 Well, you're lucky you found a job. 787 00:28:35,839 --> 00:28:37,464 Any pain around here? 788 00:28:37,465 --> 00:28:40,008 Mm-hmm, a little. 789 00:28:40,009 --> 00:28:41,009 OK. 790 00:28:41,010 --> 00:28:42,470 Sit up for me. 791 00:28:43,888 --> 00:28:44,930 All right. 792 00:28:44,931 --> 00:28:46,265 You gave us a urine specimen? 793 00:28:46,266 --> 00:28:48,308 Hours ago, in the waiting room. 794 00:28:48,309 --> 00:28:49,435 OK. 795 00:28:49,436 --> 00:28:50,894 Well, I'll find the results, 796 00:28:50,895 --> 00:28:52,563 and then you might need a pelvic exam. 797 00:28:52,564 --> 00:28:55,399 Is that really necessary? 798 00:28:55,400 --> 00:28:56,734 It could be. 799 00:28:56,735 --> 00:28:57,901 If there's no bladder infection, 800 00:28:57,902 --> 00:28:59,445 it's important to check. 801 00:28:59,446 --> 00:29:00,821 OK. 802 00:29:00,822 --> 00:29:02,406 And if we do a pelvic, Laura, 803 00:29:02,407 --> 00:29:03,949 we'll have you step outside for a minute. 804 00:29:03,950 --> 00:29:07,245 I'd prefer to stay with her, for support. 805 00:29:10,039 --> 00:29:12,167 Piper, do you want some privacy? 806 00:29:14,210 --> 00:29:15,461 No, it's cool. 807 00:29:15,462 --> 00:29:18,255 She--she can stay. 808 00:29:18,256 --> 00:29:19,924 OK. 809 00:29:21,342 --> 00:29:22,301 All right. 810 00:29:22,302 --> 00:29:23,803 I'll be back. 811 00:29:26,931 --> 00:29:29,516 Core temp is 88. 812 00:29:29,517 --> 00:29:31,310 Is--is that good? 813 00:29:31,311 --> 00:29:33,979 It's up from 85 on her arrival, 814 00:29:33,980 --> 00:29:36,566 so we're headed in the right direction. 815 00:29:37,942 --> 00:29:40,027 You hear that, Amber? 816 00:29:40,028 --> 00:29:41,236 It's better. 817 00:29:41,237 --> 00:29:43,531 You're getting better. 818 00:29:45,992 --> 00:29:47,367 I need to step out for a second. 819 00:29:47,368 --> 00:29:49,703 You're in good hands. 820 00:29:49,704 --> 00:29:52,290 Come find me when it's over 90. 821 00:29:59,881 --> 00:30:01,715 Parents are going to need the family room. 822 00:30:01,716 --> 00:30:02,967 It's available now. 823 00:30:05,762 --> 00:30:07,721 Last rites for Nick. 824 00:30:07,722 --> 00:30:09,264 Just one of those days. 825 00:30:09,265 --> 00:30:10,265 Yeah. 826 00:30:10,266 --> 00:30:11,642 Anyone else dying? 827 00:30:11,643 --> 00:30:12,977 Not at the moment. 828 00:30:15,688 --> 00:30:17,607 What the hell is that? 829 00:30:19,901 --> 00:30:22,195 You asked for better patient satisfaction scores. 830 00:30:23,279 --> 00:30:24,488 What do you want, man? 831 00:30:24,489 --> 00:30:25,697 Oh, jeez. 832 00:30:25,698 --> 00:30:27,032 Excuse me, Dr. Robby. 833 00:30:27,033 --> 00:30:28,700 This is Eli, son of Willie Alexander. 834 00:30:28,701 --> 00:30:30,118 - Hey, nice to meet you. - Likewise. 835 00:30:30,119 --> 00:30:31,787 - How's he doing? - He's doing better. 836 00:30:31,788 --> 00:30:32,955 He's going to need to stay with us, 837 00:30:32,956 --> 00:30:34,331 though, for a new pacemaker. 838 00:30:34,332 --> 00:30:35,749 He got a new one at Presby 839 00:30:35,750 --> 00:30:37,417 about, uh, a year ago. 840 00:30:37,418 --> 00:30:39,002 They said it'd be good for 10 years. 841 00:30:39,003 --> 00:30:41,338 Yes, but the wires separated from the box. 842 00:30:41,339 --> 00:30:43,340 It happens sometimes. 843 00:30:43,341 --> 00:30:44,508 Can he have a visitor? 844 00:30:44,509 --> 00:30:46,927 Of course. Right this way. 845 00:30:46,928 --> 00:30:49,137 Hey, Eli, what did your dad do for a living? 846 00:30:49,138 --> 00:30:52,349 Uh, postal worker, 40 years. 847 00:30:52,350 --> 00:30:54,601 Did he ever do any volunteer work at the hospital? 848 00:30:54,602 --> 00:30:56,061 No. 849 00:30:56,062 --> 00:30:57,896 But when he was a kid, he was a medic 850 00:30:57,897 --> 00:30:59,899 for the Freedom House Ambulance Service. 851 00:31:02,026 --> 00:31:03,193 That's incredible. 852 00:31:03,194 --> 00:31:05,028 Uh, I will be in as soon as I can. 853 00:31:05,029 --> 00:31:06,530 Thank you. 854 00:31:06,531 --> 00:31:08,574 That guy's a legend. 855 00:31:08,575 --> 00:31:10,158 I know. 856 00:31:10,159 --> 00:31:11,243 Sorry, can I get your help with something? 857 00:31:11,244 --> 00:31:12,703 Yeah. 858 00:31:12,704 --> 00:31:15,080 Um, 18-year-old woman with dysuria, 859 00:31:15,081 --> 00:31:17,374 moved here two months ago from rural Pennsylvania. 860 00:31:17,375 --> 00:31:19,209 She's with her female boss, 861 00:31:19,210 --> 00:31:22,713 who's very controlling and answers questions for her 862 00:31:22,714 --> 00:31:25,841 and won't leave her side for anything, even a pelvic exam. 863 00:31:25,842 --> 00:31:28,260 And you're thinking? 864 00:31:28,261 --> 00:31:30,721 - Red flags for trafficking. - Sounds like it. 865 00:31:30,722 --> 00:31:32,347 I need to take a sexual history 866 00:31:32,348 --> 00:31:34,016 and do a pelvic in private. 867 00:31:34,017 --> 00:31:36,101 She's not going to talk unless we separate them. 868 00:31:36,102 --> 00:31:37,854 That we can do. Come on. 869 00:31:41,316 --> 00:31:44,234 That looks like ST elevation. 870 00:31:44,235 --> 00:31:45,944 That could be bad. 871 00:31:45,945 --> 00:31:47,654 Oh, no. 872 00:31:47,655 --> 00:31:50,073 That's just because we're pacing your right ventricle. 873 00:31:50,074 --> 00:31:51,575 Willie, I'm impressed. 874 00:31:51,576 --> 00:31:52,951 After all these years, you still remember 875 00:31:52,952 --> 00:31:54,620 your medical training. 876 00:31:54,621 --> 00:31:56,414 He couldn't tell you what he had for breakfast. 877 00:31:57,457 --> 00:31:58,457 It's all right. 878 00:31:58,458 --> 00:32:00,542 I remember what's important. 879 00:32:00,543 --> 00:32:02,210 Like the Freedom House. 880 00:32:02,211 --> 00:32:03,670 What's that? 881 00:32:03,671 --> 00:32:04,755 A damn shame. 882 00:32:04,756 --> 00:32:06,256 That's your history. 883 00:32:06,257 --> 00:32:07,674 Dad, they're busy. 884 00:32:07,675 --> 00:32:09,968 Back in the '60s, no 911, 885 00:32:09,969 --> 00:32:11,678 no ambulances. 886 00:32:11,679 --> 00:32:13,472 All we had was police paddy wagons 887 00:32:13,473 --> 00:32:17,225 that took you to the hospital, if you were lucky. 888 00:32:17,226 --> 00:32:20,562 Then this doc from Pitt, Dr. Safar, 889 00:32:20,563 --> 00:32:22,940 he got some money and trained us up. 890 00:32:22,941 --> 00:32:25,025 Well, you must have been a good student. 891 00:32:25,026 --> 00:32:26,526 Hell, no. 892 00:32:26,527 --> 00:32:28,445 I was a knucklehead. 893 00:32:28,446 --> 00:32:32,074 Smoked a lot of weed, dropped out of high school. 894 00:32:32,075 --> 00:32:34,743 But Freedom House trained me up. 895 00:32:34,744 --> 00:32:36,370 Saved my life. 896 00:32:36,371 --> 00:32:38,580 What are you doing there, Willie? 897 00:32:38,581 --> 00:32:39,998 Nothing. 898 00:32:39,999 --> 00:32:41,959 You're moving your old pacemaker. 899 00:32:41,960 --> 00:32:43,085 Diagnosis made. 900 00:32:43,086 --> 00:32:44,086 What? 901 00:32:44,087 --> 00:32:45,963 Twiddler's syndrome. 902 00:32:45,964 --> 00:32:48,298 Spinning that thing around caused the wires to break off. 903 00:32:48,299 --> 00:32:49,967 Oh, Dad. 904 00:32:49,968 --> 00:32:51,510 - I didn't mean to. - It's OK. 905 00:32:51,511 --> 00:32:52,928 We'll put the new one in a little deeper. 906 00:32:52,929 --> 00:32:54,097 Won't happen again. 907 00:32:56,307 --> 00:32:59,226 Some of your tests are concerning for a kidney stone. 908 00:32:59,227 --> 00:33:00,936 Wouldn't that give more pain? 909 00:33:00,937 --> 00:33:02,479 Not always. 910 00:33:02,480 --> 00:33:03,897 If it's a urine infection with a stone, 911 00:33:03,898 --> 00:33:04,898 you'll need to stay in the hospital 912 00:33:04,899 --> 00:33:07,401 for some IV antibiotics. 913 00:33:07,402 --> 00:33:08,652 What do we have to do? 914 00:33:08,653 --> 00:33:10,612 A CT scan of your kidneys. 915 00:33:10,613 --> 00:33:12,197 How long is that going to take? 916 00:33:12,198 --> 00:33:13,824 - They can do it right now. - Great. 917 00:33:13,825 --> 00:33:15,617 - Let's go. - I'm--I'm sorry. 918 00:33:15,618 --> 00:33:16,994 There's radiation. 919 00:33:16,995 --> 00:33:18,620 You won't be able to stay with her. 920 00:33:18,621 --> 00:33:20,998 But we'll be back as soon as the scan is done. 921 00:33:20,999 --> 00:33:22,457 You're good with this, right? 922 00:33:22,458 --> 00:33:25,377 Yeah, I'll be fine. 923 00:33:25,378 --> 00:33:27,879 We'll see you in a minute. 924 00:33:27,880 --> 00:33:29,589 So Laura's an accountant? 925 00:33:29,590 --> 00:33:31,049 - Uh-huh. - Oh. 926 00:33:31,050 --> 00:33:33,260 How'd you get the job? 927 00:33:33,261 --> 00:33:34,386 - Online ad. - Yeah. 928 00:33:34,387 --> 00:33:36,221 Zoom interview. 929 00:33:36,222 --> 00:33:37,889 You must be good at math. 930 00:33:37,890 --> 00:33:40,017 Not really. 931 00:33:40,018 --> 00:33:42,227 So what do you do for work? 932 00:33:42,228 --> 00:33:46,148 I answer the phones, I make appointments, I-- 933 00:33:46,149 --> 00:33:48,233 I bring deposits to the bank. 934 00:33:48,234 --> 00:33:51,028 You work with spreadsheets? 935 00:33:51,029 --> 00:33:53,905 She hasn't taught me that yet. 936 00:33:53,906 --> 00:33:56,033 This is where you do the CT? 937 00:33:56,034 --> 00:33:58,326 Uh, no. 938 00:33:58,327 --> 00:34:02,539 We wanted to give you some privacy for your pelvic exam. 939 00:34:02,540 --> 00:34:04,207 Laura's going to be so pissed. 940 00:34:04,208 --> 00:34:05,792 Why would she be mad? 941 00:34:05,793 --> 00:34:07,544 Piper, do you have any concerns 942 00:34:07,545 --> 00:34:09,796 you want to talk about? 943 00:34:09,797 --> 00:34:13,425 No, just the pain when I pee. 944 00:34:13,426 --> 00:34:17,095 Anything you need to tell us about your job or your boss? 945 00:34:17,096 --> 00:34:18,138 No. 946 00:34:18,139 --> 00:34:20,975 No, it's all really great. 947 00:34:25,313 --> 00:34:27,147 OK. 948 00:34:27,148 --> 00:34:29,191 Temp is up to 91. 949 00:34:29,192 --> 00:34:30,859 She's so much warmer. 950 00:34:30,860 --> 00:34:32,861 Is it working? 951 00:34:32,862 --> 00:34:35,155 Can you shock the heart now? 952 00:34:35,156 --> 00:34:37,991 91 is warm enough for her heart to respond. 953 00:34:37,992 --> 00:34:39,077 Hold compressions. 954 00:34:41,329 --> 00:34:42,788 Asystole. 955 00:34:42,789 --> 00:34:45,332 Resuming compressions. 956 00:34:45,333 --> 00:34:46,792 Got the potassium level back. 957 00:34:46,793 --> 00:34:48,795 12.2. 958 00:35:03,726 --> 00:35:06,269 No one has ever survived a cardiac arrest 959 00:35:06,270 --> 00:35:08,606 with a potassium over 11. 960 00:35:10,316 --> 00:35:14,820 There is absolutely no chance of recovery. 961 00:35:14,821 --> 00:35:17,739 I am so sorry. 962 00:35:17,740 --> 00:35:19,200 Amber has died. 963 00:35:20,701 --> 00:35:21,743 No. 964 00:35:21,744 --> 00:35:23,578 No, no, no, no, no, no, no. 965 00:35:23,579 --> 00:35:24,579 It's not happening. 966 00:35:24,580 --> 00:35:25,622 No, no, no! 967 00:35:25,623 --> 00:35:29,167 No! No! 968 00:35:29,168 --> 00:35:30,418 I'm sorry. 969 00:35:30,419 --> 00:35:32,754 I am so-- 970 00:35:32,755 --> 00:35:36,299 Before we stop, do you think her sister 971 00:35:36,300 --> 00:35:38,802 would like a chance to say goodbye? 972 00:35:38,803 --> 00:35:40,262 No. 973 00:35:40,263 --> 00:35:43,056 Uh, Bella shouldn't see her like this. 974 00:35:43,057 --> 00:35:44,058 OK. 975 00:35:45,685 --> 00:35:47,227 You can stay in here for as long as you like. 976 00:35:47,228 --> 00:35:48,228 Shh. 977 00:35:48,229 --> 00:35:50,897 It's OK. It's OK. 978 00:35:50,898 --> 00:35:54,152 We are going to stop now. 979 00:35:57,989 --> 00:36:01,784 Resuscitation efforts discontinued at 14:51. 980 00:36:04,453 --> 00:36:07,498 Oh, sweetheart, I'm sorry. 981 00:36:13,421 --> 00:36:14,796 OK, that's it. 982 00:36:14,797 --> 00:36:16,798 We're done. 983 00:36:16,799 --> 00:36:18,050 Let me get the gurney up. 984 00:36:23,598 --> 00:36:24,973 Is everything OK? 985 00:36:24,974 --> 00:36:26,141 Yeah. 986 00:36:26,142 --> 00:36:27,184 There's no infection 987 00:36:27,185 --> 00:36:28,685 in your uterus or ovaries. 988 00:36:28,686 --> 00:36:30,937 OK, that's--that's good. 989 00:36:30,938 --> 00:36:34,649 But your urine test was positive for chlamydia. 990 00:36:34,650 --> 00:36:36,067 Shit. 991 00:36:36,068 --> 00:36:38,820 It's a sexually transmitted infection. 992 00:36:38,821 --> 00:36:41,781 Any idea how that happened? 993 00:36:41,782 --> 00:36:43,909 Yeah, my cheating 994 00:36:43,910 --> 00:36:46,411 piece of shit ex-boyfriend back home. 995 00:36:46,412 --> 00:36:48,788 But we broke up before I moved. 996 00:36:48,789 --> 00:36:51,458 You need antibiotics twice a day for 10 days. 997 00:36:51,459 --> 00:36:52,584 That'll clear it up. 998 00:36:52,585 --> 00:36:54,169 And he'll need treatment too. 999 00:36:54,170 --> 00:36:55,879 If I don't tell him, is there a chance 1000 00:36:55,880 --> 00:36:57,839 his dick will fall off? 1001 00:36:57,840 --> 00:37:00,467 If you don't tell him, a public health nurse will. 1002 00:37:00,468 --> 00:37:02,344 You should also test for HIV, syphilis, 1003 00:37:02,345 --> 00:37:04,012 gonorrhea, and hepatitis. 1004 00:37:04,013 --> 00:37:05,347 OK. 1005 00:37:05,348 --> 00:37:06,556 Any other sexual partners 1006 00:37:06,557 --> 00:37:09,100 in the last few months? 1007 00:37:09,101 --> 00:37:10,560 Not really. 1008 00:37:10,561 --> 00:37:11,645 Use condoms? 1009 00:37:11,646 --> 00:37:13,188 Most of the time. 1010 00:37:13,189 --> 00:37:14,522 It's important to use them all the time. 1011 00:37:14,523 --> 00:37:15,899 Yeah, but if I forget, 1012 00:37:15,900 --> 00:37:17,067 you can just give me a shot, right? 1013 00:37:17,068 --> 00:37:18,235 Not for some infections. 1014 00:37:18,236 --> 00:37:20,070 This is serious. 1015 00:37:20,071 --> 00:37:21,112 Birth control? 1016 00:37:21,113 --> 00:37:22,155 Norplant. 1017 00:37:22,156 --> 00:37:25,492 It's good for five years. 1018 00:37:25,493 --> 00:37:29,412 Piper, we have a question that we ask everyone. 1019 00:37:29,413 --> 00:37:31,748 Sometimes people are pressured 1020 00:37:31,749 --> 00:37:33,875 to have sex when they don't want to. 1021 00:37:33,876 --> 00:37:35,795 Does that ever happen to you? 1022 00:37:38,464 --> 00:37:40,382 No, never. 1023 00:37:40,383 --> 00:37:42,676 And when you signed in, you put down Laura 1024 00:37:42,677 --> 00:37:44,344 as your emergency contact. 1025 00:37:44,345 --> 00:37:46,429 Yeah. 1026 00:37:46,430 --> 00:37:48,807 You have the same address as Laura? 1027 00:37:48,808 --> 00:37:50,183 Yeah. 1028 00:37:50,184 --> 00:37:51,726 She's letting me use her guest room 1029 00:37:51,727 --> 00:37:53,729 until I can save up for a place of my own. 1030 00:37:55,398 --> 00:37:57,524 OK. 1031 00:37:57,525 --> 00:37:59,109 Why don't we have you lie down again? 1032 00:37:59,110 --> 00:38:00,193 What for? 1033 00:38:00,194 --> 00:38:01,611 Uh, ultrasound. 1034 00:38:01,612 --> 00:38:03,446 We're going to check your kidneys. 1035 00:38:03,447 --> 00:38:07,368 You got bumped from CT by a couple of emergency cases. 1036 00:38:22,633 --> 00:38:26,761 Bella, Dr. King and Dr. Collins are here. 1037 00:38:26,762 --> 00:38:27,887 Hi. 1038 00:38:27,888 --> 00:38:30,473 I'm coloring. 1039 00:38:30,474 --> 00:38:32,434 You're a very good artist. 1040 00:38:32,435 --> 00:38:34,186 Thanks. 1041 00:38:37,148 --> 00:38:39,941 Um, Bella? 1042 00:38:39,942 --> 00:38:41,318 Yeah? 1043 00:38:41,319 --> 00:38:43,653 What have you heard about Amber? 1044 00:38:43,654 --> 00:38:47,073 She's really sick, but the doctor and the nurse 1045 00:38:47,074 --> 00:38:50,327 is trying to make her better. 1046 00:38:50,328 --> 00:38:52,663 That must make you sad. 1047 00:38:54,623 --> 00:38:56,124 You know, I have a sister too, 1048 00:38:56,125 --> 00:38:59,210 and I don't like it when she's sick. 1049 00:38:59,211 --> 00:39:01,255 She saved me. 1050 00:39:03,466 --> 00:39:05,300 She did? 1051 00:39:05,301 --> 00:39:07,427 I fell in the pool. 1052 00:39:07,428 --> 00:39:11,182 She helped me get out, but then she couldn't get out. 1053 00:39:13,642 --> 00:39:16,228 I'm making her a card. 1054 00:39:27,823 --> 00:39:31,951 Freedom House took us in and trained us for 300 hours. 1055 00:39:31,952 --> 00:39:34,162 They turned out the very first medics 1056 00:39:34,163 --> 00:39:35,872 in the United States. 1057 00:39:35,873 --> 00:39:39,751 We started IVs, defibrillated, 1058 00:39:39,752 --> 00:39:42,545 intubated in the field. 1059 00:39:42,546 --> 00:39:44,547 They were the heroes of Hill District, 1060 00:39:44,548 --> 00:39:47,842 a bunch of young Black dudes saving lives every day. 1061 00:39:47,843 --> 00:39:49,052 Why'd you quit? 1062 00:39:49,053 --> 00:39:50,470 I didn't. 1063 00:39:50,471 --> 00:39:51,638 The city saw how successful it was 1064 00:39:51,639 --> 00:39:53,473 and took over the program. 1065 00:39:53,474 --> 00:39:55,308 Trained new medics. 1066 00:39:55,309 --> 00:39:56,851 All white. 1067 00:39:56,852 --> 00:39:58,436 Everything that Willie and his friends did 1068 00:39:58,437 --> 00:40:01,314 set the EMS standard for the entire country. 1069 00:40:01,315 --> 00:40:04,359 Their program created the 911 system. 1070 00:40:04,360 --> 00:40:06,152 It wasn't just us. 1071 00:40:06,153 --> 00:40:09,072 We had the best teachers. 1072 00:40:09,073 --> 00:40:12,951 Dr. Safar invented CPR. 1073 00:40:12,952 --> 00:40:16,538 Dr. Adamson, med student when I arrived. 1074 00:40:16,539 --> 00:40:20,458 But I'm telling you, boy, that guy could teach 1075 00:40:20,459 --> 00:40:23,294 like there was no tomorrow. 1076 00:40:23,295 --> 00:40:25,171 You ever hear him give a lecture? 1077 00:40:25,172 --> 00:40:26,673 Many times. 1078 00:40:26,674 --> 00:40:29,217 Every time I saved a patient, 1079 00:40:29,218 --> 00:40:30,844 it was like he was standing right here, 1080 00:40:30,845 --> 00:40:32,011 whispering in my ear, 1081 00:40:32,012 --> 00:40:34,055 telling me what to do. 1082 00:40:34,056 --> 00:40:35,306 Me too. 1083 00:40:35,307 --> 00:40:37,016 Yeah. 1084 00:40:37,017 --> 00:40:39,060 Where is he working now? 1085 00:40:39,061 --> 00:40:42,814 Dr. Adamson died a few years ago, during COVID. 1086 00:40:42,815 --> 00:40:44,607 Oh. 1087 00:40:44,608 --> 00:40:46,901 Hard to believe. 1088 00:40:46,902 --> 00:40:48,945 He was so young, so full of life. 1089 00:40:48,946 --> 00:40:50,780 A force of nature. 1090 00:40:50,781 --> 00:40:53,409 Yes, he was. 1091 00:40:57,288 --> 00:40:58,788 We're back. 1092 00:40:58,789 --> 00:41:01,791 I should be out there for the honor walk. 1093 00:41:01,792 --> 00:41:03,501 Right. 1094 00:41:03,502 --> 00:41:04,961 Hey, Mrs. Phillips. 1095 00:41:04,962 --> 00:41:06,337 Your son would like to speak with you. 1096 00:41:06,338 --> 00:41:07,338 Oh. 1097 00:41:07,339 --> 00:41:09,340 Dr. King can stay here. 1098 00:41:09,341 --> 00:41:12,178 Bella, I'll be right back. 1099 00:41:25,983 --> 00:41:28,486 I finished my card. 1100 00:41:30,070 --> 00:41:31,947 Oh. 1101 00:41:34,366 --> 00:41:35,325 It's beautiful. 1102 00:41:35,326 --> 00:41:37,077 - I love it. - Thanks. 1103 00:41:38,496 --> 00:41:41,915 Can I see Amber now? 1104 00:41:41,916 --> 00:41:45,293 Um, not quite yet. 1105 00:41:45,294 --> 00:41:46,794 What is that? 1106 00:41:46,795 --> 00:41:49,297 Oh, uh, it's from the gift shop. 1107 00:41:49,298 --> 00:41:50,965 For Amber? 1108 00:41:50,966 --> 00:41:53,927 For you and for Amber. 1109 00:41:53,928 --> 00:41:56,804 Um, but you get to name it. 1110 00:41:56,805 --> 00:41:59,516 I think her name will be Bear. 1111 00:41:59,517 --> 00:42:00,517 Bear. 1112 00:42:00,518 --> 00:42:02,018 All right. 1113 00:42:02,019 --> 00:42:05,396 Um, since you can't see Amber right now, 1114 00:42:05,397 --> 00:42:08,233 but I bet you got a lot of things to tell her, 1115 00:42:08,234 --> 00:42:09,901 Bear is going to help. 1116 00:42:09,902 --> 00:42:11,361 How? 1117 00:42:11,362 --> 00:42:14,781 Well, um, if you tell Bear 1118 00:42:14,782 --> 00:42:16,824 everything you want to tell Amber, 1119 00:42:16,825 --> 00:42:19,160 then I'll take Bear and sit her on Amber's pillow, 1120 00:42:19,161 --> 00:42:21,329 and then she'll tell her everything you said. 1121 00:42:21,330 --> 00:42:22,539 What do you think of that plan? 1122 00:42:22,540 --> 00:42:23,915 - I like it. - Yeah? 1123 00:42:23,916 --> 00:42:25,041 OK. 1124 00:42:25,042 --> 00:42:26,626 Do you want to give it a try? 1125 00:42:26,627 --> 00:42:27,753 There you go. 1126 00:42:30,422 --> 00:42:32,006 Hi, Amber. 1127 00:42:32,007 --> 00:42:33,883 It's me, Bella. 1128 00:42:33,884 --> 00:42:36,719 Thank you for saving me. 1129 00:42:36,720 --> 00:42:40,223 When you come home, I promise 1130 00:42:40,224 --> 00:42:44,310 I won't touch your toys without asking. 1131 00:42:44,311 --> 00:42:48,273 And I'll try not to fight, because you're my best friend 1132 00:42:48,274 --> 00:42:50,066 in the whole entire world. 1133 00:42:50,067 --> 00:42:51,819 I love you. 1134 00:42:56,490 --> 00:42:59,493 Amber is going to be so happy with that. 1135 00:43:03,831 --> 00:43:07,542 Hey. 1136 00:43:07,543 --> 00:43:11,254 Uh, how long have you been working here? 1137 00:43:11,255 --> 00:43:12,797 32 years. 1138 00:43:12,798 --> 00:43:14,215 All in the ER? 1139 00:43:14,216 --> 00:43:15,216 Yeah. 1140 00:43:15,217 --> 00:43:16,926 Oh, man. 1141 00:43:16,927 --> 00:43:18,886 How do you do it? 1142 00:43:18,887 --> 00:43:20,805 I like taking care of everyone, 1143 00:43:20,806 --> 00:43:22,724 especially the ones who fall through the cracks. 1144 00:43:22,725 --> 00:43:24,726 They got nowhere else to go. 1145 00:43:24,727 --> 00:43:26,437 Well, you deserve a medal. 1146 00:43:28,272 --> 00:43:31,025 Yeah, I'd settle for a raise. 1147 00:43:42,911 --> 00:43:45,538 Thank you for everything. 1148 00:43:45,539 --> 00:43:47,249 Uh... 1149 00:43:51,295 --> 00:43:53,421 I wish they could do the surgery here. 1150 00:43:53,422 --> 00:43:55,757 Surgical teams are flying in from all over the country 1151 00:43:55,758 --> 00:43:59,052 to meet Nick at the Center for Organ Recovery. 1152 00:43:59,053 --> 00:44:00,887 We have a car and driver waiting 1153 00:44:00,888 --> 00:44:03,389 so John and Lily can follow right behind the ambulance. 1154 00:44:03,390 --> 00:44:05,433 Thank you. 1155 00:44:05,434 --> 00:44:07,978 So we won't be seeing you again? 1156 00:44:10,105 --> 00:44:12,023 If it's all right, I think a lot of us here 1157 00:44:12,024 --> 00:44:13,984 would like to attend Nick's funeral. 1158 00:44:22,493 --> 00:44:23,952 Yeah, of course. 1159 00:44:48,435 --> 00:44:50,604 Thank you.