Original subtitles

- What's up, Ghost Rider? - You good?

Never better.

OK, kids, bye-bye time.

Thanks for the trip down memory lane.

Um, where's Evans?

Uh, I think she's by the family room.

She is.

Hey, hey, hey, where are you going?

I'm not gonna scan all this by myself.

Cruz has a question on my cellulitis.

- I'll be right back. - You better.

- Two minutes tops. - Where's Mel?

Where's Donnie?

- They should be helping you. - I don't know.

OK, day shift, listen up.

We're doing really well, but we still got a ways to go.

And nobody's going home until all these paper charts

are digitized, including me.

And then we're free to celebrate our freedom?

Exactly.

Well, can you kick some ass

and get the staff to hurry up

on the EHR home pages?

Where are Larry and Antoine?

Antoine's fighting on the phone

with his girlfriend outside.

And Larry's on a cafeteria run.

Yeah, that tracks.

We've got five patients in beds waiting to be seen.

How do you want to play this-- man to man or zone?

The zone.

Have Cruz and Ellis split up the new five.

You take North and Central.

- I'll take South and Trauma. - Cool.

Want to switch at 1:00 AM?

Why?

Variety is the spice of life.

I thought that was garlic.

Oh, sorry.

I told you I'd be fast.

OK, let's do this and get out of here.

What's the hurry?

Got some hay to pitch?

Ha.

- Oh, shoot. - What?

Uh, my ID badge is missing.

Oh, no. The one you just got?

How'd you lose it?

I don't know. It must have come off.

Classic.

Hope you remember your login and password.

OK. Retrace your steps.

Where'd you have it last?

Uh, I was with Ogilvie in the Ambulance Bay.

Not with Colonel Mustard in the library?

Who's--what?

No.

The boy has no clue.

Please don't do that.

Oh, ma'am, I gotta go.

I sit here any longer, I'm gonna get bedsores.

I--I'm supposed to get some CT results.

Any idea how much longer that's gonna be?

Shouldn't be much longer.

Where's that Nurse Vivi?

You don't want any of that.

- No? - No, she's out of your league.

What league do you think I play in?

Uh, old timer's night.

Yeah, you're probably right.

But some teams still appreciate a veteran presence.

Well, don't say I didn't warn you.

You are here for your heart, after all.

My heart's been broken before.

What's one more time?

Uh, she's engaged to a jujitsu instructor.

With a bang, not a whimper, baby.

And it's a cool bath a couple times a day

for two days, followed by aloe vera to your skin.

OK, that's it?

And sunscreen in your future.

No, I'm never going outside ever again.

I wouldn't swear off the sun entirely, you know?

But like most things, moderation.

Hey, we're getting kind of shorthanded

scanning charts out here.

When you finish, can you come lend a hand?

Yeah, happy to.

Thank you.

And by happy to, I mean there is nothing

I would rather do less.

They keep you pretty busy.

Yeah, and today has brought some new challenges.

This is really putting a crimp

in my 4th of July evening plans.

You're going to see the fireworks?

Uh, no, I was gonna maybe meet up with this guy,

though that's sounding less appealing

than the three Bs at this point.

The three Bs?

Book, bath, and bed.

College kid with mono and hemorrhagic tonsils,

admit med-surge or observation?

Uh, observation.

Bleeding stopped with TXA.

She's had steroids, so should be

ready for discharge in the morning.

Cool.

How was your first shift back?

Uh, slow start, finding my rhythm.

You a little rusty, Rusty James?

Now you won't have Motorcycle Boy to big brother you.

Is that a "Rumble Fish" reference?

Sure is.

And Robby is my big brother in this analogy?

Bingo.

Yeah, I wouldn't say he's been

looking out for me exactly.

I think he'd probably prefer

not to see me at all today, actually.

And you think that's because he's mad at you?

I think he feels like I let him down, because I did.

Jesus, with all the martyrs around here,

you'd think this was a passion play.

What's your take?

I worked with that man for 10 months

while you were gone.

He's not mad at you.

He's mad at himself for failing you, Rusty James.

Really?

Just more White Knight/White noise.

That's how it is.

Share this video with your friends if you can.

Thank you so much.

Be kind, be safe, be brave.

What you doing?

Dr. Robby, sorry.

I was just--

One of your TikToks? Yeah.

About those, listen, I'm not so sure that--

- No, no, I was just sharing-- - No, I get it.

I just--you know, we do have HIPAA laws here.

We don't let anybody film--

I would never violate any HIPAA laws, Dr. Robby.

- I swear it. - I understand.

Even still, we're getting behind

on scanning patient charts.

So how about no TikTok

on the company clock, Dr. J?

Dr. Robby, I think you're--

Out of touch? Probably.

You wouldn't be the first to accuse me of it.

However, when I was in medical school--

You didn't have cell phones or TikTok

or internet or ICE agents coming in here

and taking away patients and staff.

I get it.

We did have cell phones, maybe not in the beginning.

Where do you think you're going?

Uh, home.

I kind of need you to hang out a little longer

and help digitize some of these analog patient records.

Normally, I would, truly.

But I gotta get home-- wife, baby, bed.

OK. Go get some rest.

You sure you're OK to drive home?

Absolutely.

Just enough in the tank.

Don't tell anybody I let you go.

Deal.

Safe travels.

Be sure to send some pictures from the road.

Fight over at Zazu's Sports Bar.

The two combatants are pulling up soon.

One's a stabbing.

Ellis, double trauma coming in.

Grab the easy one.

Bring the stabbing to Trauma 2.

We will get the room set up.

All right. Roger.

OK, darling, time for this dinosaur to head to extinction.

Got us through a real jam today.

Can't thank you enough, Monica.

Nice place to visit.

Wouldn't want to live here anymore.

Oh, me, neither some days.

But hey, Virginia Slim,

you've come a long way.

Glad I was wrong about you.

Keep training 'em up right.

I'll try.

OK, that's enough mush.

Back to my life of mahjong and margaritas.

- Bye, Evans. - Get home safe.

I will. See ya.

Bye.

She's right, you are the mama bear glue that holds this place together.

Hey, you OK?

No.

I'm sad or scared,

or some fucking thing.

I'm worried.

What's going on?

Robby. I got a bad feeling.

He's...

it's like I'm never going to see him again after tonight.

Did he say something?

Yeah, he said a lot of things.

You should talk to him. He listens to you.

He's a grown-up.

He just needs to go on a vacation.

Can't you at least try

to get him to promise to come back in one piece?

He doesn't like to listen.

So make him.

Fuck it. Check my DMs.

She hit me up.

Sure, baby. I didn't even respond.

Scavenger hunt?

Yeah, something like that.

You need a hand?

Nope. You do you.

What do we got?

Barrett Dunkle, 34, decent vitals

given he has Old Glory jammed in his chest.

Satting 91 on 15 liters, BP 132 over 87,

tachy at 112.

Dr. Abbot's expecting you.

Whoa, whoa, whoa, whoa, whoa, man!

- What the fuck? - I'll call you back, baby.

Shit.

I thought I cleared it.

Was it sticking out?

Sticking out, my ass!

Man, this is on you.

You went wide, and you clipped the shit.

Bikes shouldn't be parked there.

It was sticking out. Had to be.

Ain't no fucking way.

Oh, no, you paying for this.

Either you or the city, but you paying for this!

Seriously? We don't need this hassle.

I know. I know.

Fuck! How bad is it?

Not really good.

Fuck!

Is that you, you motherfucker?

Yeah, you better believe it!

I'm gonna take this thing out of my chest

and shove it up your fucking ass!

You hit me with a fucking Rolling Rock, man.

So you got Iwo Jima'd!

You fucking cheated, man.

Every detail must be--

OK, say bye-bye, gentlemen!

You're on different health journeys now.

I'm going to go see Ahmad.

It's all gonna be on the security video.

Robby's gonna shit.

OK.

Hey, a little help?

All right, he's going straight to Trauma 2.

What is his story?

Bottle to the face, strong vitals,

12-centimeter facial lac.

Yeah, where do you want us?

- North 4 just got cleaned. - To the North.

Abbot, single MVA en route. Five away.

Olive, can you find Robby and Al-Hashimi?

We may need a couple more hands

until we get caught up with these two.

Sir, we are gonna get you more pain meds...

It hurts.

But you need to shut your fucking mouth.

The acronym is SMART,

Single Maintenance and Reliever Therapy.

It's one inhaler that combines an inhaled corticosteroid

with a fast-acting, long-lasting beta agonist.

That's fancy talk for an anti-inflammatory

and a lung muscle relaxer all rolled into one.

But it's $400. And without Medicaid--

We can help you look into coverage options.

- Thank you. - Of course.

Grady should feel worlds better in a few hours.

Thank you.

So what are my chances of getting off the table alive?

Once you're cleared by the heart and lung specialists

next week, chances of death are low, like 1% or 2%.

And how long would I be in surgery for?

Between three and five hours.

Jeez.

It's long...

Because they have to stop your heart.

You will be on a heart-lung bypass machine,

which will be circulating your blood while they repair

the aneurysm with the graft.

Well, what's the graft made out of?

A synthetic fabric called Dacron, super strong.

OK.

New hoses, new gaskets.

Then what happens after surgery?

You will be in the hospital for about a week.

No work for eight weeks after that,

no strenuous activity,

no lifting anything over 5 pounds.

How am I supposed to take a piss?

Nice.

And how long till I'm back up to full speed?

Three months, maybe more like six, given your age.

And if I don't get the surgery?

50% chance of death within 12 months

if the aneurysm ruptures.

What would I feel if it ruptured?

Some chest pain, maybe some shortness of breath

for about a minute before you passed out from blood loss.

And then?

The big fade out?

Roll the credits.

Quite the coin flip.

No coin flip. This has to happen.

But I do worry that you are not gonna make your appointments

or follow your aftercare instructions if I'm not here.

Sorry, Robby, Abbot asked for me to grab you

for an MVA on route.

Do what you gotta do, man.

I gotta sit with this for a minute.

You go ahead and get dressed.

I'll come back.

Monica got an ICU bed upstairs

so we can take Orlando up now.

- We'll prep him for transfer. - Thanks, hon.

We need this room again in a minute.

All good?

Uh, totally.

Uh, totally?

Look, once more, I feel compelled

to offer some unasked for and probably unwanted advice.

Javadi wasn't making a TikTok video.

She's been posting about Jesse,

trying to find someone who knows where he is.

Ah.

And even if she were making one of her videos,

you ever watched one?

No.

No, my account was suspended

for erotically seditious content.

Well, they're not what you think.

They're actually kind of cool.

It's like this badass self-care.

Huh.

OK, that is it.

I'm going to bury myself in charting

and try to dig my way out.

Edith Lynch, 46,

right-sided chest pain for an hour.

No cardiac history,

minimal relief from sublingual nitro,

- no STEMI on the 12-lead. - Dana?

South 15.

Hi, Edith. I'm Dr. Al-Hashimi.

We'll be taking care of you today.

Absent lung sliding on the right.

I could have told you that from here.

God bless America.

Hemodynamically stable.

I'll put in a 20 French, and then right up to the OR.

Whoa, whoa, whoa! Hold on!

I need surgery?

Sir, you have a collapsed lung.

We need to put a tube in your chest to see

how much internal bleeding there is.

Oh, come on, man, just pull it out!

- Nuh-uh. - No.

OK, everyone knows what to do here, right?

We're gonna take this at a nice slow pace, moving together.

If anyone has an issue, speak up.

There are a lot of moving parts here.

Are they going up to ICU finally?

- Yes. - Great.

How you doing?

Is that a trick question, or--

Not intended to be, no.

Then not great.

This one got past me.

Well, listen, you tried to find a viable payment plan.

You tried to keep him here.

You even tried to give him a goodie bag, but he left.

I'm not sure what else you could have done.

Been more persuasive.

This was the patient's call-- his life, his mistake.

What mistake, getting diabetes?

Not picking a higher spot to jump from.

History of hyperlipidemia,

an hour of substernal chest pain,

minimal relief with nitro and 4 of MS.

EKG is negative for STEMI.

Heart score is 4, gave 324 milligrams of chewable aspirin,

admit for new onset angina.

Don't mind me. I'm just passing through.

Seemed like you wanted an update.

Well, as long as you feel like you got it covered.

I do.

Go ahead and repeat the 12-lead.

Since I'm here, I did want to ask you about something

I observed earlier.

Oh, you gotta be fucking kidding me.

What?

Look where these anterior leads are placed.

They're way too low.

Holy shit! What's happening?

Mrs. Lynch? V-tach!

No pulse.

Charge to 200.

Charged.

And clear.

OK. Normal sinus.

Strong pulse. Cycle a BP.

Let's repeat that EKG, please.

Put the leads in the right fucking place.

- Who were the medics on this? - Bosco and Otero.

Bosco and Otero.

OK, Bosco and Otero.

See you on Monday.

May your night go smoother than my day.

Happy 4th.

Heard it's been crazy. They shut down when ICE came.

Separate events. Get someone else to explain.

I'm going home.

Damn, what is that? That smells good.

Food from home.

I can't do the cafeteria.

Oh, you gotta give me that recipe.

- I'm going home. - Get home safe.

Mm-hmm.

- Hey. - Hey.

- I'm starving. - Of course.

I will give you $20 for whatever that smell is.

I'll give you some.

- I made too much anyway. - Thank you.

- Just give me a sec. - Yeah.

How can I help you?

My granddad just about cut his hand off

with a tug-of-war rope.

Hi, I--I remember you from earlier.

You're having a family reunion, right?

Yeah.

Is your hand actively bleeding?

Oh, not so bad. Here, take a look.

Mateo, one to come straight back!

- Oh, my God. - Cover that up, please.

I'll need to get a demographics from you.

You got them already.

Hansens been in and out of here all day long.

How did this happen?

He had the rope wrapped around his hand,

cut through it like a machete.

Have a seat, sir. I'll take you right back.

And how would you rate your pain on a scale from 1 to 10?

Oh, it's not too bad on account of my sugars.

With his diabetes, his sensation's a little off.

Yeah.

After you.

Thanks.

Ow. What the fuck?

Trigeminal nerve is good.

Shit! You gonna fix me or torture me?

Ooh, ouch!

Yeah, I need to call plastics.

I called a "kiss off the two, off the rail."

Fucker said I didn't call it.

Okay, yes, it was a bit noisy. The fourth is Styx night.

But I called it. I have witnesses.

Styx, the band?

Yeah.

Ah, love Styx.

I never heard of them.

You never heard of Styx?

"Mr. Roboto"?

My Spotify age isn't 62.

"Come Sail Away"? "Lady"? "Babe"?

Yeah, maybe best if you don't talk.

Looks like there's some sort of foreign body in there.

Mm-hmm.

Are you OK?

Yeah, it's just an awkward position.

Go home. Rest, heat, ice.

Yeah, no, no, I know.

I'm just waiting for things to slow down.

You know, express trains don't stop at your station.

You just gotta jump.

What is that?

Heineken?

Moosehead?

Oh.

From the glass-lined tanks of Old Latrobe.

Ah, Rolling Rock.

Nice.

She's had four of morphine.

How's the pain?

Down to an 8.

There it is, lateral STEMI.

OK, call it in.

The leads were too low to catch it?

Yeah, it's not the first time it's happened.

You get a male medic who's more concerned about

getting sued or a complaint for undoing a bra.

You see these anterior leads here?

Code STEMI, South 15.

Edith, you're having a heart attack

from a blockage in the artery

that brings oxygen to your heart muscle.

- If we get you to the-- - Lateral STEMI, V-tach arrest.

Got her back after one shock. She needs the cath lab.

- And serious heart damage. - Oh, my God.

- You're going to be OK. - Hello, I'm Dr. Cruz.

And I'm Dr. Shen. How are you feeling?

I'm really scared.

We've got you. Anything else?

Uh, like I got kicked in the chest.

Normal after a shock to the heart.

- Family? - Yeah, husband's en route.

Leave the defib pads on and take her up in a minute.

I'm gonna chaperone a nerve block real quick.

Go.

Where's Dr. Al-Hashimi?

She was just here.

Hello, everyone. I'm Dr. Shen.

Heard a rumor someone needed a nerve block.

I'm guessing that's you.

Probably so, although,

you know, I don't have much pain.

I guess it's my diabetes.

We still need to numb you up to do a proper deep clean.

You guys do whatever you gotta do.

Three shots, median, ulnar, and radial.

2 grams of Ancef, 100 milligrams of Gent

for gram-negative coverage.

How'd you do this?

Oh, a family reunion tug-of-war.

I wrapped the rope around my hand for better grip.

And when we fell down, those bastards just kept pulling.

Dirty.

Nah, it's just-- just the way we play.

Michael, you got a second?

Uh, not really, no.

Well, how about showing me a little respect

and finding one?

Sorry, Caleb.

Are you feeling disrespected?

Given that you've been actively blowing me off

all day, yeah, maybe a little bit.

But I have a thick skin.

What can I do for you?

"Should have found a higher place to jump from."

It's an interesting diagnosis, Doctor.

No pithy retort?

Yeah, I didn't think so.

Uh, I just came to say goodbye.

I'm leaving soon.

I know you are too.

Yes.

Keep my number handy, just in case, huh?

Yes, I promise I will.

Thank you, Caleb.

We're gonna give you one Diflucan pill to take home.

Take it in three days if your symptoms persist.

How do I get there?

Where's that?

Home.

Do you know where you live?

Of course I do. It's not far.

But I don't have a way to get there.

How'd you get here?

My--my neighbor Gwen dropped me off,

but she can't drive at night.

We could call you an Uber or a taxi.

I don't have any money.

Excuse me.

Can I help?

Mrs. Clymer has been discharged,

but has no way home.

I'm so sorry.

I don't mean to be a burden.

No burden at all.

Why don't we call you a Lyft?

What is that?

It's like a taxi service.

If you put your address in here,

a car will arrive in a few minutes to bring you home.

- Oh. - My treat.

That's very kind of you, truly.

Perfect.

OK, Olive, could you take Mrs. Clymer out