1 00:00:12,721 --> 00:00:13,846 HOUR FOUR 10AM - 11AM 2 00:00:13,847 --> 00:00:15,681 What the hell is going on out there? 3 00:00:15,682 --> 00:00:17,933 - They stole an ambulance. - Again? 4 00:00:17,934 --> 00:00:19,685 Where do they think they are going? 5 00:00:19,686 --> 00:00:21,103 We'll be right back. 6 00:00:21,104 --> 00:00:22,980 Antoine will show us the new bike. 7 00:00:22,981 --> 00:00:24,940 Good. We need organ donors. 8 00:00:24,941 --> 00:00:26,234 They stole your ambulance. 9 00:00:26,359 --> 00:00:28,527 Weren't you on video surveillance? How did you not see it? 10 00:00:28,528 --> 00:00:30,822 I saw him leave. But I thought you were going there. 11 00:00:30,947 --> 00:00:32,281 Did you leave your keys? 12 00:00:32,282 --> 00:00:33,824 - It's protocol. - No. 13 00:00:33,825 --> 00:00:34,826 I told him. 14 00:00:35,452 --> 00:00:36,369 And yes. 15 00:00:36,995 --> 00:00:39,955 And I... Who steals an ambulance at ten in the morning? 16 00:00:39,956 --> 00:00:42,958 Drug addicts thinking that are in the candy store. 17 00:00:42,959 --> 00:00:44,668 Or a psychiatric patient. 18 00:00:44,669 --> 00:00:47,129 They don't know. It will be dismantled and shipped. 19 00:00:47,130 --> 00:00:49,132 - They were professionals. - Shut up! 20 00:00:50,550 --> 00:00:51,675 Maybe another driver. 21 00:00:51,676 --> 00:00:53,552 - Did you call Central? - Of course. 22 00:00:53,553 --> 00:00:54,762 Did you call the police? 23 00:00:54,763 --> 00:00:57,765 I can do it, but there are two in the diner. 24 00:00:57,766 --> 00:00:59,309 - Talk to them. - Listen. 25 00:01:00,143 --> 00:01:01,561 - I am fine. - It's protocol. 26 00:01:02,437 --> 00:01:03,354 Let's go. 27 00:01:03,938 --> 00:01:07,275 - I bet on a psychiatric patient. - Accepted. 28 00:01:07,692 --> 00:01:10,778 - Are there crutches? - The orthopedics cabinet is full. 29 00:01:10,779 --> 00:01:13,072 Can you bring Sherry Davis? 30 00:01:13,073 --> 00:01:14,698 The mother with the burned hand? 31 00:01:14,699 --> 00:01:15,658 She left. 32 00:01:16,201 --> 00:01:17,326 Shit. When? 33 00:01:17,327 --> 00:01:20,370 I gave the kids breakfast and they left. 34 00:01:20,371 --> 00:01:21,413 Maybe for school. 35 00:01:21,414 --> 00:01:23,832 Did she talk about coming back because of the injury? 36 00:01:23,833 --> 00:01:24,959 Not with me. 37 00:01:26,336 --> 00:01:27,252 Fuck... 38 00:01:27,253 --> 00:01:29,630 I need rooms, I'm organizing them. 39 00:01:29,631 --> 00:01:31,548 But why do you switch to Pediatrics? 40 00:01:31,549 --> 00:01:33,217 I'm about to extubate him. 41 00:01:33,218 --> 00:01:36,136 Now there are no children there. The family can have privacy. 42 00:01:36,137 --> 00:01:38,764 The walls are beautiful. What's the problem? 43 00:01:38,765 --> 00:01:40,475 There is no problem at all. 44 00:01:41,434 --> 00:01:43,102 Mrs. Smith doesn't need the monitor. 45 00:01:43,103 --> 00:01:45,813 Gets a shout out in the hallway. There is a telebed. 46 00:01:45,814 --> 00:01:47,606 Give it to Otis before they steal it. 47 00:01:47,607 --> 00:01:48,524 Yes. 48 00:01:48,525 --> 00:01:52,152 Leaves the family of the 7 plant until Nuclear Medicine took the boy. 49 00:01:52,153 --> 00:01:53,862 We didn't change it twice. 50 00:01:53,863 --> 00:01:54,864 Yes, captain. 51 00:01:56,658 --> 00:01:57,659 Hello Robby. 52 00:01:59,410 --> 00:02:00,829 - Are you going to extubate? - I go. 53 00:02:00,954 --> 00:02:02,329 Shouldn't have been intubated. 54 00:02:02,330 --> 00:02:05,166 Yes, you already told me, just like this morning. 55 00:02:05,750 --> 00:02:07,919 - Do you want me to do it? - No. Why? 56 00:02:09,045 --> 00:02:10,046 Adamson. 57 00:02:10,797 --> 00:02:11,672 - I believe! - He is well. 58 00:02:11,673 --> 00:02:14,091 - There's something moving! - Madam, don't move. 59 00:02:14,092 --> 00:02:15,008 Get him out of here! 60 00:02:15,009 --> 00:02:16,844 I can't help her move her head. 61 00:02:16,845 --> 00:02:19,472 Take it off, I feel it! 62 00:02:19,597 --> 00:02:21,266 Arthropod in the CAE. 63 00:02:21,850 --> 00:02:22,851 My God! 64 00:02:24,227 --> 00:02:25,353 You better go. 65 00:02:25,728 --> 00:02:26,729 Yes. 66 00:02:31,151 --> 00:02:32,944 Will he survive without oxygen? 67 00:02:34,529 --> 00:02:35,822 It's hard to say. 68 00:02:36,656 --> 00:02:37,865 When the tube comes out, 69 00:02:37,866 --> 00:02:40,952 can take between 30 minutes and several hours. 70 00:02:42,370 --> 00:02:44,496 When I extubate, we suction the throat. 71 00:02:44,497 --> 00:02:46,373 We give him a few drops of glycopyrrolate 72 00:02:46,374 --> 00:02:48,626 and this will reduce secretions. 73 00:02:48,751 --> 00:02:50,378 Morphine for the pain. 74 00:02:51,296 --> 00:02:54,465 And we put oxygen in his nose as a comfort measure. 75 00:02:58,636 --> 00:02:59,636 My God! 76 00:02:59,637 --> 00:03:01,973 I don't think I can do that. 77 00:03:02,682 --> 00:03:07,729 Is this happening? Now? Today? 78 00:03:08,438 --> 00:03:12,358 We decided that the father will die in this room, 79 00:03:12,483 --> 00:03:15,653 with drawings of forest animals? 80 00:03:18,531 --> 00:03:21,826 If you think about it, it's perfect. 81 00:03:24,954 --> 00:03:27,456 Our father worked at Mister Rogers' Neighborhood 82 00:03:27,457 --> 00:03:29,082 while we were growing up. 83 00:03:29,083 --> 00:03:30,751 That's really cool. 84 00:03:30,752 --> 00:03:32,879 - The TV show? - Yes. 85 00:03:33,046 --> 00:03:33,921 Here in Pittsburgh? 86 00:03:33,922 --> 00:03:37,967 At WQED on 5th Avenue for 33 years. 87 00:03:38,426 --> 00:03:40,969 Dad worked with Jack Guest, the artistic director. 88 00:03:40,970 --> 00:03:45,850 He helped paint and build the sets. 89 00:03:51,731 --> 00:03:53,441 I don't think I can do that. 90 00:04:00,448 --> 00:04:04,118 He is well. Just to clarify, your father is dying, 91 00:04:05,245 --> 00:04:07,497 and allows you that this occurs naturally, 92 00:04:08,206 --> 00:04:10,874 instead of subjecting him to many procedures 93 00:04:10,875 --> 00:04:12,669 that would only delay the inevitable. 94 00:04:13,586 --> 00:04:15,463 I just thought it would be different. 95 00:04:16,047 --> 00:04:18,715 And that we would have more time. 96 00:04:18,716 --> 00:04:20,051 Are you religious? 97 00:04:21,302 --> 00:04:23,805 My God, no. There is no God. 98 00:04:27,517 --> 00:04:30,311 I had a teacher, a mentor, 99 00:04:31,479 --> 00:04:36,651 who told me about a Hawaiian ritual called ho'oponopono, 100 00:04:38,027 --> 00:04:39,988 or "the four things that matter most." 101 00:04:41,114 --> 00:04:43,240 Basically, these are essential things 102 00:04:43,241 --> 00:04:46,452 What can we say when we say goodbye and that can help 103 00:04:47,078 --> 00:04:48,746 in the early stages of loss. 104 00:04:50,623 --> 00:04:51,957 What are they? 105 00:04:51,958 --> 00:04:54,669 It will seem very simple, but I confirm that it works. 106 00:04:55,128 --> 00:04:56,004 He is well. 107 00:04:56,796 --> 00:04:57,797 "I love you." 108 00:04:59,966 --> 00:05:00,883 "Thanks." 109 00:05:01,759 --> 00:05:02,677 "I forgive you." 110 00:05:03,511 --> 00:05:04,345 "Pardon me." 111 00:05:07,181 --> 00:05:08,099 Is that all? 112 00:05:08,641 --> 00:05:10,560 Yes. I told you it was simple. 113 00:05:13,646 --> 00:05:14,647 He is well. 114 00:05:16,774 --> 00:05:19,777 Mr. Spencer, I'm going to take that tube out of your throat. 115 00:05:21,654 --> 00:05:24,407 I want you to take a really deep breath. 116 00:05:25,408 --> 00:05:27,827 Inhale. And now blow. 117 00:05:29,579 --> 00:05:30,580 That's right. 118 00:05:40,548 --> 00:05:41,424 Ready. 119 00:05:42,467 --> 00:05:43,343 Ready. 120 00:05:44,093 --> 00:05:46,262 I'm going to give you oxygen through your nose. 121 00:05:49,265 --> 00:05:50,767 A few drops under the tongue. 122 00:05:55,438 --> 00:05:57,147 - Are you well? - I am tired. 123 00:05:57,148 --> 00:05:58,149 You can rest. 124 00:05:58,941 --> 00:06:00,360 Close your eyes if you want. 125 00:06:00,943 --> 00:06:01,986 He has his children here. 126 00:06:03,529 --> 00:06:06,657 Dad, rest, okay? 127 00:06:07,450 --> 00:06:08,409 We are here. 128 00:06:09,452 --> 00:06:10,370 I am here. 129 00:06:23,091 --> 00:06:24,092 Come to me. 130 00:06:24,967 --> 00:06:26,386 Can you take a deep breath? 131 00:06:26,677 --> 00:06:29,263 Everyone is going to this concert tonight. 132 00:06:29,722 --> 00:06:31,848 Are there still decent tickets? 133 00:06:31,849 --> 00:06:32,934 Again. 134 00:06:34,852 --> 00:06:37,854 My God. You won't believe who sent me a message. 135 00:06:37,855 --> 00:06:39,356 I warned you. 136 00:06:39,357 --> 00:06:41,358 Jenna must be happy to have you here, 137 00:06:41,359 --> 00:06:43,652 But it's better to wait outside. 138 00:06:43,653 --> 00:06:44,611 Forgiveness? 139 00:06:44,612 --> 00:06:46,780 Sorry. I'm in the middle of an exam. 140 00:06:46,781 --> 00:06:49,241 I'll stay with her as long as she needs me. 141 00:06:49,242 --> 00:06:52,245 - I was the one who brought her. - A medal for you. 142 00:06:52,662 --> 00:06:55,540 - Listen. I am fine. - He is sure? 143 00:06:55,832 --> 00:06:56,666 I have. 144 00:07:05,258 --> 00:07:07,093 Thanks. I wanted her out of here. 145 00:07:08,344 --> 00:07:09,262 How are you? 146 00:07:11,889 --> 00:07:14,058 I called Nick's father an idiot 147 00:07:15,143 --> 00:07:16,811 and told him to ask his son. 148 00:07:19,063 --> 00:07:20,148 Why would you say that? 149 00:07:22,859 --> 00:07:25,111 Tell me about the school. What do you study? 150 00:07:26,154 --> 00:07:28,613 - What? - Do you do sports? 151 00:07:28,614 --> 00:07:31,659 Do you have extracurricular activities? 152 00:07:32,034 --> 00:07:34,911 I don't know why you ask me that. 153 00:07:34,912 --> 00:07:38,541 It is important to concentrate in the good things you have. 154 00:07:39,750 --> 00:07:40,585 As? 155 00:07:41,335 --> 00:07:45,839 A very sweet boy, that I barely knew, is dead. 156 00:07:45,840 --> 00:07:47,716 And I only made the situation worse. 157 00:07:47,717 --> 00:07:48,801 You just have to... 158 00:07:48,926 --> 00:07:52,387 Daddy thinks I killed him and you want to know if I do sports? 159 00:07:52,388 --> 00:07:55,557 Jenna, I understand how upset you are. 160 00:07:55,558 --> 00:07:56,976 I understand the pain. 161 00:07:57,560 --> 00:07:59,103 We don't even take drugs. 162 00:08:00,480 --> 00:08:03,106 We were studying. And does this happen? 163 00:08:03,107 --> 00:08:05,193 I can't imagine how difficult it must be. 164 00:08:07,862 --> 00:08:09,447 I just want to go home. 165 00:08:11,532 --> 00:08:13,743 Your vital signs are great. 166 00:08:14,452 --> 00:08:16,829 When your parents arrive, you can go. 167 00:08:18,956 --> 00:08:19,832 Thanks. 168 00:08:20,166 --> 00:08:21,501 If you need anything, let me know. 169 00:08:26,088 --> 00:08:27,548 Well, that went wrong. 170 00:08:28,466 --> 00:08:30,926 - Any observations? - Please. 171 00:08:30,927 --> 00:08:33,262 - Do you tolerate criticism? - Very good. 172 00:08:33,429 --> 00:08:35,180 Excellent. Distraction is bad. 173 00:08:35,181 --> 00:08:38,100 If a patient says he suffers, we do not stray. 174 00:08:38,851 --> 00:08:40,268 I didn't try to reduce... 175 00:08:40,269 --> 00:08:42,812 "I" works better than "you". 176 00:08:42,813 --> 00:08:44,105 "I realize it hurts" 177 00:08:44,106 --> 00:08:47,192 admit the situation and calls for a deeper examination. 178 00:08:47,193 --> 00:08:50,070 "You must move on" has the opposite effect. 179 00:08:50,071 --> 00:08:51,988 Okay, but my experience... 180 00:08:51,989 --> 00:08:53,783 That's not relevant here. 181 00:08:54,867 --> 00:08:57,245 - "Relevant"? - Adequate, pertinent, appropriate. 182 00:08:58,663 --> 00:08:59,871 I respectfully disagree. 183 00:08:59,872 --> 00:09:02,123 My life gives me another perspective... 184 00:09:02,124 --> 00:09:04,460 Do you know you have aggressive energy? 185 00:09:05,086 --> 00:09:07,505 Even this conversation feels confrontational. 186 00:09:08,256 --> 00:09:10,967 We bring education to work. 187 00:09:11,968 --> 00:09:14,136 Right. Thanks. 188 00:09:16,264 --> 00:09:19,016 - Good news or bad news? - What are the good ones? 189 00:09:19,183 --> 00:09:22,853 The channel is dormant. A saline wash will solve the problem. 190 00:09:23,563 --> 00:09:24,897 And bad news? 191 00:09:25,022 --> 00:09:26,732 He has a dead bug in his ear. 192 00:09:29,318 --> 00:09:30,486 A cockroach. 193 00:09:32,697 --> 00:09:33,572 POLICE 194 00:09:33,573 --> 00:09:35,991 We stayed here for 40 minutes at most. 195 00:09:35,992 --> 00:09:39,286 I went outside and it disappeared. No news on the radio? 196 00:09:39,287 --> 00:09:41,414 Not yet. Were the keys there? 197 00:09:41,539 --> 00:09:44,040 Yes. I leave them there in case they need to change the ambulance. 198 00:09:44,041 --> 00:09:45,625 You shouldn't do it. 199 00:09:45,626 --> 00:09:48,211 - I told him. - Take them so no one steals them. 200 00:09:48,212 --> 00:09:49,839 What is security for? 201 00:09:50,339 --> 00:09:51,464 - I'll show you. - Yes? 202 00:09:51,465 --> 00:09:52,424 - Go. - Calm down. 203 00:09:52,425 --> 00:09:55,010 Talk somewhere else. We have a new guest. 204 00:09:55,011 --> 00:09:56,970 Ahmad, clear this area. 205 00:09:56,971 --> 00:09:59,389 - Guys! - I'll bet five on the disassembly shop. 206 00:09:59,390 --> 00:10:02,350 Wendell Stone, 52, head of Pittfest assembly. 207 00:10:02,351 --> 00:10:05,979 Isolated trauma to the left when a tower of columns fell on him. 208 00:10:05,980 --> 00:10:09,566 Multiple rib fractures. Pulse 110, TA 130 by 85... 209 00:10:09,567 --> 00:10:11,985 Saturation at 96.50 fent on the ground. 210 00:10:11,986 --> 00:10:12,987 Right. 211 00:10:13,446 --> 00:10:16,449 - How are you, Mr. Stone? - It's just Stone. 212 00:10:18,784 --> 00:10:21,203 Damn. They woke up the Kraken. 213 00:10:21,746 --> 00:10:23,414 When is the next dose? 214 00:10:25,416 --> 00:10:26,500 40 minutes ago. 215 00:10:27,960 --> 00:10:28,836 Perfect. 216 00:10:30,713 --> 00:10:33,007 Mr. Driscoll? Mr. Doug Driscoll? 217 00:10:33,674 --> 00:10:34,634 Finally. 218 00:10:35,676 --> 00:10:36,844 See you later, suckers. 219 00:10:38,512 --> 00:10:39,847 - Excuse me. - Excuse me. 220 00:10:41,641 --> 00:10:44,643 Jia Yi Chen? I have Tylenol for Jia Yi Chen. 221 00:10:44,644 --> 00:10:46,395 Yes, please. Here. 222 00:10:47,772 --> 00:10:49,732 - It's Jia Yi. - Jia Yi Chen. Here it is. 223 00:10:49,857 --> 00:10:52,025 Is it long before we see the doctor? 224 00:10:52,026 --> 00:10:54,487 We have to wait for a free bed. It may take a while. 225 00:10:54,612 --> 00:10:55,655 Today we are full. 226 00:10:56,906 --> 00:10:58,157 The medicine helps. 227 00:10:58,991 --> 00:10:59,867 Four of morphine. 228 00:11:00,534 --> 00:11:01,910 No abdominal tenderness. 229 00:11:01,911 --> 00:11:02,827 What do we have? 230 00:11:02,828 --> 00:11:03,912 Bad luck. You pay. 231 00:11:03,913 --> 00:11:07,583 - Isolated chest trauma with... - No. I want Dr. Santos. 232 00:11:07,708 --> 00:11:10,126 Isolated chest trauma with obvious flail chest. 233 00:11:10,127 --> 00:11:12,879 No hemopneumothorax on POCUS. Good saturation and vitals. 234 00:11:12,880 --> 00:11:14,256 Great presentation. 235 00:11:14,382 --> 00:11:16,467 Sir, I'm Dr. Garcia from Surgery. 236 00:11:17,051 --> 00:11:18,760 - Do I need surgery? - No. 237 00:11:18,761 --> 00:11:21,055 - There is no abdominal blood in FAST. - Treat him? 238 00:11:22,139 --> 00:11:25,725 Benign abdomen. CT scan with contrast to the chest, abdomen, pelvis. 239 00:11:25,726 --> 00:11:27,937 I trust this more than ultrasounds. 240 00:11:29,772 --> 00:11:31,856 Give him more morphine! 241 00:11:31,857 --> 00:11:33,733 Don't knock me unconscious. 242 00:11:33,734 --> 00:11:35,360 I have to take care of the team. 243 00:11:35,361 --> 00:11:37,113 - What? - The festival. 244 00:11:37,279 --> 00:11:40,658 We will block the nerves that go to the broken ribs. 245 00:11:41,200 --> 00:11:44,744 Turn right. You will be awake and pain free. 246 00:11:44,745 --> 00:11:46,663 Yes, that's right. 247 00:11:46,664 --> 00:11:49,082 - There are many intercostal blockages. - An injection. 248 00:11:49,083 --> 00:11:51,251 The serratus anterior blocks up to T-9. 249 00:11:51,252 --> 00:11:53,337 You and the regional blocks... 250 00:11:53,462 --> 00:11:56,757 Dr. Santos, tell me the results of the CT scan. Extension 1121. 251 00:12:00,010 --> 00:12:03,597 Gabe is the same age as me when we made the first layout. 252 00:12:03,723 --> 00:12:05,181 Do you remember that, dad? 253 00:12:05,182 --> 00:12:07,767 The two-story basement track at the Clovis house. 254 00:12:07,768 --> 00:12:08,727 The... 255 00:12:08,728 --> 00:12:10,729 Exactly. Yes, it was O scale. 256 00:12:10,730 --> 00:12:15,151 It limited the carriages we could use, but the layout was beautiful. 257 00:12:16,235 --> 00:12:20,906 Doctor, the sound he's making Does that mean it could be any minute? 258 00:12:22,825 --> 00:12:26,328 No. It just means who has problems with secretions. 259 00:12:34,462 --> 00:12:36,005 Mr. Spencer, this should help. 260 00:12:46,474 --> 00:12:50,644 And I'll put a scopolamine patch on you behind the ear. 261 00:12:51,854 --> 00:12:54,981 This will reduce secretions in the next 24 hours. 262 00:12:54,982 --> 00:12:56,941 Do you think he has 24 hours? 263 00:12:56,942 --> 00:13:00,069 I don't know. We will give it to you plus two of morphine. 264 00:13:00,070 --> 00:13:02,781 Let's give you something to keep you comfortable. 265 00:13:02,782 --> 00:13:06,035 Doctor, what were those four things like? 266 00:13:08,245 --> 00:13:12,041 “I love you. Thank you. I forgive you. Please forgive me." 267 00:13:12,458 --> 00:13:13,375 It's easy. 268 00:13:14,835 --> 00:13:15,753 I love you, dad. 269 00:13:16,462 --> 00:13:21,050 I loved every minute that we spent together. Thanks. 270 00:13:22,301 --> 00:13:24,470 You are the best father I could have. 271 00:13:25,387 --> 00:13:26,596 You never lost a game. 272 00:13:26,597 --> 00:13:30,518 You always had time for me, to play ball, build models or... 273 00:13:32,645 --> 00:13:34,480 You helped me with my homework. 274 00:13:36,524 --> 00:13:39,568 Or if we woke up before everyone else... 275 00:13:40,820 --> 00:13:42,154 ... and we made sandwiches. 276 00:14:03,926 --> 00:14:05,010 I'll be back soon. 277 00:14:18,816 --> 00:14:20,317 Shit... 278 00:14:55,394 --> 00:14:57,605 They saw her. To this one on 376. 279 00:14:59,398 --> 00:15:01,774 - Let's go. - Now it will be. 280 00:15:01,775 --> 00:15:03,943 15 in accidents, another five in drug addiction. 281 00:15:03,944 --> 00:15:07,196 - Give me eight dollars with... - Only multiples of five. 282 00:15:07,197 --> 00:15:10,283 - I don't play those stripper notes. - What the fuck is this? 283 00:15:10,284 --> 00:15:12,410 Do they make little noise? 284 00:15:12,411 --> 00:15:14,663 This is a hospital, not a casino. 285 00:15:16,040 --> 00:15:17,791 Tell me, I'll look for Robby. 286 00:15:18,500 --> 00:15:19,585 I'm alive! 287 00:15:20,544 --> 00:15:22,712 The psychiatrist wanted him on oral medication. 288 00:15:22,713 --> 00:15:25,506 There is an order for olanzapine for 9:30. 289 00:15:25,507 --> 00:15:28,801 It's our fault. I spent the morning with critically ill patients. 290 00:15:28,802 --> 00:15:30,803 He has to go to Behavioral Health. 291 00:15:30,804 --> 00:15:33,973 We don't have time to distribute psychotropic drugs on time. 292 00:15:33,974 --> 00:15:36,644 Right. What options do we have left? 293 00:15:37,102 --> 00:15:40,189 Either he gets tired or we go in and give it to him. 294 00:15:40,564 --> 00:15:43,901 - I'm afraid he'll get hurt. - It has partial tethers. 295 00:15:44,860 --> 00:15:46,987 What we need is a pancuronium dart. 296 00:15:51,075 --> 00:15:51,992 Wait. 297 00:15:52,242 --> 00:15:55,745 You got me. I almost escaped. Take it easy on me, Ms. Agent. 298 00:15:55,746 --> 00:15:57,705 I want an order for a psychiatrist. 299 00:15:57,706 --> 00:16:00,333 Came a few days ago. Methamphetamine-induced psychosis. 300 00:16:00,334 --> 00:16:03,002 - The Kraken? - Don't call it that. 301 00:16:03,003 --> 00:16:04,295 How about a B-52? 302 00:16:04,296 --> 00:16:06,506 No. This takes time and personnel. 303 00:16:06,507 --> 00:16:07,716 - QTc? - Normal. 304 00:16:08,258 --> 00:16:11,010 Five of midazolam, five of Haldol and Mr... 305 00:16:11,011 --> 00:16:13,179 - Krakozhia. No. - You're joking. 306 00:16:13,180 --> 00:16:16,182 Mr. Krakozhia goes out in less than a minute. 307 00:16:16,183 --> 00:16:19,394 It's not that offensive call him Kraken if his name... 308 00:16:19,395 --> 00:16:22,398 - Irritable, five months old. - It is noted. I'm going now. 309 00:16:23,857 --> 00:16:24,900 I want more coffee. 310 00:16:26,902 --> 00:16:29,196 - Are you okay, captain? - Yes. Why? 311 00:16:29,822 --> 00:16:31,281 I can't lose sight of you. 312 00:16:34,410 --> 00:16:37,620 Mr. Tomas Cordera, come to the window. 313 00:16:37,621 --> 00:16:40,582 I have your insurance card. Tomas Cordera. 314 00:16:48,132 --> 00:16:50,009 - Yes? - Cordera. 315 00:16:50,175 --> 00:16:53,387 It's actually Tasha Cordera and "Mna." 316 00:16:53,971 --> 00:16:58,142 He is well. Do you want to enter? Go through those doors. 317 00:16:58,851 --> 00:16:59,976 Did you cut your arm? 318 00:16:59,977 --> 00:17:01,812 - Yes. - Okay. No problem. 319 00:17:07,067 --> 00:17:09,152 Hello. I'm Dr. Mckay. 320 00:17:09,153 --> 00:17:11,779 This is Victoria Javadi, student. 321 00:17:11,780 --> 00:17:12,780 Hi. Tasha. 322 00:17:12,781 --> 00:17:16,534 Hello. Sorry for the wait, Tasha. Can I take a peek? 323 00:17:16,535 --> 00:17:18,203 - Yes. - Okay. 324 00:17:20,956 --> 00:17:23,207 He is well. It's not too bad. 325 00:17:23,208 --> 00:17:25,501 But you will need some stitches. 326 00:17:25,502 --> 00:17:28,255 Come with us to treat her, yes? 327 00:17:29,339 --> 00:17:31,592 He is well. 328 00:17:32,217 --> 00:17:33,635 Is the pneumothorax big? 329 00:17:34,845 --> 00:17:36,346 Right. Thanks. 330 00:17:36,555 --> 00:17:37,931 What is a pneumothorax? 331 00:17:39,058 --> 00:17:41,977 Just a little air coming out of the lung injury. 332 00:17:43,270 --> 00:17:45,354 - I'm running out of breath. - Are you in pain? 333 00:17:45,355 --> 00:17:48,108 - No, they disappeared. - Excellent. The blockade worked. 334 00:17:48,817 --> 00:17:50,736 Saturation at 85 with 5 liters. 335 00:17:51,653 --> 00:17:53,405 Lung contusion needs help. 336 00:17:55,240 --> 00:17:57,075 Start BiPAP, 10 by 5. 337 00:17:57,076 --> 00:17:59,369 It will open the injured parts of the lung. 338 00:18:00,120 --> 00:18:00,995 Thanks. 339 00:18:00,996 --> 00:18:05,167 No need for surgery, but I'll let Dr. Garcia know about the CT scan. 340 00:18:05,959 --> 00:18:06,919 She likes you. 341 00:18:08,921 --> 00:18:10,214 I met her two hours ago. 342 00:18:11,256 --> 00:18:13,342 Must have caused a strong first impression. 343 00:18:16,261 --> 00:18:18,596 Was there a fever, vomiting or cough? 344 00:18:18,597 --> 00:18:20,474 - No, nothing. - Do you eat well? 345 00:18:21,058 --> 00:18:23,851 - Was she born full term? - Normal birth. 346 00:18:23,852 --> 00:18:27,397 - Childhood vaccines? - Yes, at two and four months. 347 00:18:28,315 --> 00:18:30,525 - The right temperature... - What do you think? 348 00:18:30,526 --> 00:18:32,819 - Delete the worst. - ... it's with a rectal thermometer. 349 00:18:32,820 --> 00:18:34,320 Is this really necessary? 350 00:18:34,321 --> 00:18:35,572 It's very important. 351 00:18:37,616 --> 00:18:39,827 I know. 352 00:18:40,494 --> 00:18:43,871 We have to discard serious bacterial infection, 353 00:18:43,872 --> 00:18:49,001 sepsis, pneumonia, pyelonephritis, appendicitis, meningitis. 354 00:18:49,002 --> 00:18:50,294 Could it be meningitis? 355 00:18:50,295 --> 00:18:53,298 No. These are just hypothetical possibilities. 356 00:18:53,924 --> 00:18:59,096 - Temperature 37.3 oC. - Which makes meningitis unlikely. 357 00:18:59,638 --> 00:19:02,933 Heart rate 164, saturation 99. 358 00:19:03,976 --> 00:19:07,479 This is Dr. Robby, our senior doctor. 359 00:19:07,604 --> 00:19:09,064 Hello. Nice to meet you. 360 00:19:11,150 --> 00:19:12,608 Afebrile, alert, vitals good. 361 00:19:12,609 --> 00:19:15,904 The Drs. Mohan and King The physical exam was about to begin. 362 00:19:16,029 --> 00:19:19,241 Because you won't see the students and I take care of it? 363 00:19:21,368 --> 00:19:23,787 Let's see. Here you are. 364 00:19:26,456 --> 00:19:28,125 Why do you poke me again? 365 00:19:28,542 --> 00:19:30,626 It arrived an hour after the chest pain. 366 00:19:30,627 --> 00:19:32,461 If it's a heart attack, it may take a while 367 00:19:32,462 --> 00:19:35,799 until damage appears in the blood. Put your finger. 368 00:19:35,924 --> 00:19:39,052 Even with a normal ECG. Therefore, we repeated the test. 369 00:19:40,804 --> 00:19:42,598 Raise your arm. Thanks. 370 00:19:45,017 --> 00:19:47,393 Let's go back to the waiting room. 371 00:19:47,394 --> 00:19:49,103 - What? No. - Yes. 372 00:19:49,104 --> 00:19:51,480 Until now, I've just waited. I need a doctor. 373 00:19:51,481 --> 00:19:53,108 Shortly. I call him. 374 00:19:58,030 --> 00:20:00,741 - This is a joke. - It's good to laugh. 375 00:20:03,410 --> 00:20:05,787 However, We are a third world country. 376 00:20:08,123 --> 00:20:09,249 Does it remind you of home? 377 00:20:11,877 --> 00:20:14,003 We shouldn't choose favorites, 378 00:20:14,004 --> 00:20:15,756 But I'll keep an eye on you. 379 00:20:16,757 --> 00:20:17,674 Then. 380 00:20:22,179 --> 00:20:24,431 - Do it. - Yes, I will. 381 00:20:29,770 --> 00:20:31,646 So, Tasha, was it a decanter? 382 00:20:31,647 --> 00:20:33,981 A nice bottle of baccarat. 383 00:20:33,982 --> 00:20:37,236 I was showing a colleague how to polish it 384 00:20:37,444 --> 00:20:40,529 and the bottleneck broke with my arm still inside. 385 00:20:40,530 --> 00:20:42,615 It wasn't my best moment. 386 00:20:42,616 --> 00:20:46,702 - Did it shatter? - No, it broke in half. 387 00:20:46,703 --> 00:20:50,749 But, as a reflection, I pulled my arm back and that was it. 388 00:20:51,416 --> 00:20:54,419 Reflexes. I regretted some. 389 00:20:54,878 --> 00:20:56,421 That. Now inject on the other side. 390 00:20:58,006 --> 00:21:01,635 Single layer, straight edges, It's as simple as possible. 391 00:21:02,844 --> 00:21:04,846 Good. It's a relief. 392 00:21:06,348 --> 00:21:08,683 - What's going on? - Hypoxia at 78. 393 00:21:08,684 --> 00:21:12,521 - BP falling, systolic 82. - Weak pulse. 394 00:21:12,646 --> 00:21:15,189 Should have been intubated. Massive transfusion protocol? 395 00:21:15,190 --> 00:21:19,485 No. No sounds left, tracheal deviation to the right. 396 00:21:19,486 --> 00:21:23,322 14 gauge angiocatheter, now. Place ambu. 397 00:21:23,323 --> 00:21:24,908 What does this do? 398 00:21:25,033 --> 00:21:27,828 Tension pneumothorax by positive pressure from BiPAP. 399 00:21:33,041 --> 00:21:36,086 Did you hear that? Who ordered BiPAP? Garcia? 400 00:21:36,795 --> 00:21:39,214 No. The saturation was low, it was me. 401 00:21:39,339 --> 00:21:41,967 Was it you? Without consulting me? 402 00:21:43,010 --> 00:21:45,261 - Can I put the chest tube in? - It is not necessary. 403 00:21:45,262 --> 00:21:47,806 You need a pigtail catheter. I do this. 404 00:21:48,432 --> 00:21:50,267 Saturation and TA rising. 405 00:21:51,351 --> 00:21:52,811 Give 75 ketamine. 406 00:22:00,777 --> 00:22:03,988 - Why are you still crying? - Soft and flat fontanelle. 407 00:22:03,989 --> 00:22:06,991 Equal and reactive pupils, going along the midline. 408 00:22:06,992 --> 00:22:10,912 - Dr. Mohan, stay focused. - Moist mucous membranes. 409 00:22:12,706 --> 00:22:15,959 It's hard to hear over the crying. Clean lungs. 410 00:22:17,336 --> 00:22:19,254 Tachycardic, but normal. 411 00:22:19,379 --> 00:22:22,174 Abdomen soft, without signs of tenderness. 412 00:22:22,799 --> 00:22:25,176 - The exam is normal. - What's going on? 413 00:22:25,177 --> 00:22:28,347 - Give us time to finish the exam. - I know. 414 00:22:28,722 --> 00:22:31,725 What am I looking for, Dr. King? 415 00:22:32,392 --> 00:22:35,187 Cellulite? Edema from nephrotic syndrome? 416 00:22:37,022 --> 00:22:38,731 - Diagnosis made. - Then? 417 00:22:38,732 --> 00:22:39,815 A hair tourniquet. 418 00:22:39,816 --> 00:22:42,360 Mom's wet hair wrapped around the toe. 419 00:22:42,361 --> 00:22:44,653 When it dries, it tightens and cuts off circulation. 420 00:22:44,654 --> 00:22:47,282 My hair? I took a shower before breastfeeding her. 421 00:22:48,575 --> 00:22:49,950 It's easy to miss, Mom. 422 00:22:49,951 --> 00:22:53,037 But we caught him early, there will be no permanent damage. 423 00:22:53,038 --> 00:22:55,664 - Treatment, Dr. Mohan? - It's tight for the scissors. 424 00:22:55,665 --> 00:22:57,166 - Is there depilatory cream? - There is. 425 00:22:57,167 --> 00:22:59,418 Like the pharmacy? 426 00:22:59,419 --> 00:23:02,714 In ten minutes, dissolve it and stop crying. 427 00:23:05,175 --> 00:23:06,259 You're fine. 428 00:23:06,718 --> 00:23:09,178 - Then? - Let's calm the savage. 429 00:23:09,179 --> 00:23:11,764 The medication is coming, but we need volunteers. 430 00:23:11,765 --> 00:23:14,350 The head is mine, I got kicked last time. 431 00:23:14,351 --> 00:23:15,518 - Arm. - Arm. 432 00:23:15,519 --> 00:23:17,436 - Right leg. - One more. 433 00:23:17,437 --> 00:23:18,854 Two. I just came to observe 434 00:23:18,855 --> 00:23:20,899 and talk to the patient when they control him. 435 00:23:21,733 --> 00:23:24,860 Robby, can you help us with Mr. Krakozhia? 436 00:23:24,861 --> 00:23:26,154 - No. - Coward. 437 00:23:27,572 --> 00:23:30,408 Whitaker, the man we needed. 438 00:23:30,409 --> 00:23:31,535 Come here, please. 439 00:23:31,660 --> 00:23:33,160 What did I miss? 440 00:23:33,161 --> 00:23:35,246 A little drama with a pneumothorax. 441 00:23:35,247 --> 00:23:37,456 - You called me. - It was under control. 442 00:23:37,457 --> 00:23:38,416 Fortunately. 443 00:23:38,417 --> 00:23:40,584 And Dr. Santos already knows what happens 444 00:23:40,585 --> 00:23:44,631 when you place a patient with a small pneumothorax on BiPAP. 445 00:23:45,841 --> 00:23:46,924 Scalpel. 446 00:23:46,925 --> 00:23:48,884 I was hypoxic, I thought it would help. 447 00:23:48,885 --> 00:23:52,389 But you didn't discuss it with me and he almost died. Dilator. 448 00:23:53,181 --> 00:23:56,768 You must confirm all orders with a senior intern or assistant. 449 00:23:56,935 --> 00:23:58,227 Hence the four years of this. 450 00:23:58,228 --> 00:24:00,230 When we do this procedure, 451 00:24:00,355 --> 00:24:03,983 we have to guarantee that we never lost this guide. 452 00:24:03,984 --> 00:24:06,944 If it gets sucked into the chest, you're screwed. 453 00:24:06,945 --> 00:24:08,488 You are ready for the pigtail. 454 00:24:10,949 --> 00:24:12,032 What are you doing? 455 00:24:12,033 --> 00:24:14,285 It was small. It resolved spontaneously. 456 00:24:14,286 --> 00:24:16,745 Yes, it was tiny until the patient is on BiPAP. 457 00:24:16,746 --> 00:24:19,331 - Are you kidding me? - Guide outside. 458 00:24:19,332 --> 00:24:20,542 It had low saturation. 459 00:24:21,084 --> 00:24:23,503 - I gave the order. - Without consulting me. 460 00:24:24,880 --> 00:24:27,841 Normal newbie mistake. This is how we learn. 461 00:24:31,720 --> 00:24:34,848 If she knew everything, I wouldn't be an intern. 462 00:24:36,433 --> 00:24:38,225 That is true. 463 00:24:38,226 --> 00:24:40,812 And it could have happened without BiPAP. 464 00:24:41,229 --> 00:24:44,316 What a beautiful moment. So much love in the room! 465 00:24:44,858 --> 00:24:47,444 Excuse me. Good job. 466 00:24:51,948 --> 00:24:53,074 It's Wheeler. 467 00:24:53,200 --> 00:24:58,662 Dr. Abbot said to come back at 6:30, that it would still be here, but we fell asleep. 468 00:24:58,663 --> 00:25:01,499 I ran out of battery. I apologize. 469 00:25:01,500 --> 00:25:02,918 He is well. Let's see. 470 00:25:03,585 --> 00:25:07,339 - Wheeler, Kristin? - It's Kristi, I'm her mother. 471 00:25:08,131 --> 00:25:11,425 Dr. Abbot left at 7am, but that's not a problem. 472 00:25:11,426 --> 00:25:14,303 Let's reinstate her. Sit down until you call her. 473 00:25:14,304 --> 00:25:15,971 - Thanks. - Thanks. 474 00:25:15,972 --> 00:25:17,641 You're welcome. Next. 475 00:25:25,148 --> 00:25:27,233 - How are you? - Well thank you. 476 00:25:27,234 --> 00:25:29,903 We missed the appointment, but we're fine. 477 00:25:30,153 --> 00:25:31,321 No. 478 00:25:32,280 --> 00:25:35,200 - Have you been here for a long time? - Four hours ago. 479 00:25:37,202 --> 00:25:39,496 We came two nights ago. We waited seven hours. 480 00:25:41,081 --> 00:25:42,165 It's all bullshit. 481 00:25:42,749 --> 00:25:45,085 Some people must have already died here. 482 00:25:52,551 --> 00:25:55,095 - How are we? - There are no changes. 483 00:25:56,555 --> 00:25:58,181 Only I speak. 484 00:25:58,682 --> 00:26:01,977 Do you want to... say some things? 485 00:26:06,648 --> 00:26:07,732 What is there to say? 486 00:26:08,817 --> 00:26:10,527 I am sad. I'm angry. 487 00:26:11,570 --> 00:26:13,029 I don't want him to leave. 488 00:26:13,697 --> 00:26:15,824 I wish things were different. 489 00:26:16,950 --> 00:26:17,867 It's not fair. 490 00:26:22,747 --> 00:26:23,581 Tell him. 491 00:26:23,582 --> 00:26:26,459 I'm telling you. I'm telling you both. 492 00:26:27,752 --> 00:26:28,753 It's not fair. 493 00:26:31,548 --> 00:26:32,966 I wanted what you had. 494 00:26:38,430 --> 00:26:39,472 I love you, dad. 495 00:26:41,266 --> 00:26:45,353 And I'm grateful for everything you've done to sustain us. 496 00:26:46,938 --> 00:26:48,815 But you weren't the father I wanted, 497 00:26:49,566 --> 00:26:54,529 because I didn't play baseball, I didn’t build models or fish. 498 00:26:57,324 --> 00:26:59,659 My friends' parents they had adult jobs. 499 00:27:00,243 --> 00:27:01,744 They didn't tell silly jokes, 500 00:27:01,745 --> 00:27:05,498 they didn't speak with character voices and they didn't make up stories. 501 00:27:08,877 --> 00:27:10,962 I was ashamed 502 00:27:11,838 --> 00:27:13,840 and I didn't want them to know you. 503 00:27:14,466 --> 00:27:16,176 - Helen. - And truth. 504 00:27:19,137 --> 00:27:21,348 I'm embarrassed to admit it, but it's true. 505 00:27:24,100 --> 00:27:27,562 I went to university and moved away. 506 00:27:32,984 --> 00:27:34,736 I could have gone fishing. 507 00:27:36,029 --> 00:27:37,697 You should have gone fishing. 508 00:27:40,742 --> 00:27:43,203 And now I want to know what it's like. 509 00:27:50,335 --> 00:27:51,293 And I forgive you 510 00:27:51,294 --> 00:27:54,296 because you're not the man that I wanted you to be. 511 00:27:54,297 --> 00:27:57,759 But I'm very grateful because you weren't. 512 00:27:58,885 --> 00:28:02,389 The world needed that you were exactly as you are. 513 00:28:03,431 --> 00:28:06,851 It got serious and ugly. 514 00:28:08,728 --> 00:28:14,025 And you and your friends built the Neighborhood of Make Believe. 515 00:28:16,653 --> 00:28:18,405 What an incredible offer. 516 00:28:24,953 --> 00:28:28,957 Daddy, I'm sorry. 517 00:28:30,500 --> 00:28:32,335 Please forgive me. 518 00:28:44,931 --> 00:28:46,391 Call me when you're done. 519 00:28:52,605 --> 00:28:54,983 There is no helicopter coverage. 520 00:28:55,442 --> 00:28:56,567 Not even a drone. 521 00:28:56,568 --> 00:28:59,111 There is no mystery. Police said east on 376. 522 00:28:59,112 --> 00:29:01,531 - They go to Swissvale. - I have a cousin there. 523 00:29:01,948 --> 00:29:03,073 He says it's crazy. 524 00:29:03,074 --> 00:29:06,785 They're not going to Swissvale. They will cross the border. Canada. 525 00:29:06,786 --> 00:29:09,329 That's for the other side. I'll win the bet. 526 00:29:09,330 --> 00:29:11,039 - No, you won't. - You keep his. 527 00:29:11,040 --> 00:29:14,168 I'm going to put an end to this joke. Antoine, triage. 528 00:29:14,169 --> 00:29:16,670 He gives Dennison a knee immobilizer. 529 00:29:16,671 --> 00:29:19,131 Paolo, check Thorpe's postural signs 530 00:29:19,132 --> 00:29:22,092 and repeats Fontaine Potassium on 18 south. 531 00:29:22,093 --> 00:29:25,429 Larry, you're coming with me. We have a quorum. 532 00:29:25,430 --> 00:29:28,348 - Has the medication arrived yet? - Yes. He's energetic. 533 00:29:28,349 --> 00:29:30,851 Let's do it. Donahue and Larry, legs. 534 00:29:30,852 --> 00:29:32,561 Kim, right hand man. I left him. 535 00:29:32,562 --> 00:29:35,272 Perlah gets the head and the young man will inject. Right? 536 00:29:35,273 --> 00:29:36,690 - He is well. - Oximer? 537 00:29:36,691 --> 00:29:38,025 - Here. - Good luck. 538 00:29:38,026 --> 00:29:41,070 IV Injection on the middle anterior left thigh. 539 00:29:41,196 --> 00:29:42,197 Are you ready? 540 00:29:42,572 --> 00:29:43,740 Listen, Whitaker. 541 00:29:44,783 --> 00:29:46,534 - Did you play ball? - Soccer? 542 00:29:47,786 --> 00:29:50,329 No, to kill. Football, of course. 543 00:29:50,330 --> 00:29:53,499 Yes, when I was little. I was a good kicker. 544 00:29:53,500 --> 00:29:56,418 It doesn't help. Me and Larry will block it for you. 545 00:29:56,419 --> 00:29:57,461 Come in after us. 546 00:29:57,462 --> 00:30:00,756 We break apart, grab your legs and you go in the middle. 547 00:30:00,757 --> 00:30:01,799 Zone Ends! 548 00:30:01,800 --> 00:30:03,843 - He is well. Right. - He is well. 549 00:30:04,803 --> 00:30:05,887 Are you ready? 550 00:30:06,387 --> 00:30:09,224 One two three. 551 00:30:09,974 --> 00:30:12,434 Mr. Krakozhia, we came to help you. 552 00:30:12,435 --> 00:30:14,145 We came to help you. Heavens! 553 00:30:14,729 --> 00:30:18,107 - What do I do? - Shit. 554 00:30:24,489 --> 00:30:27,199 Good one, kid. But you could have been faster. 555 00:30:27,200 --> 00:30:29,117 The midazolam will now take effect. 556 00:30:29,118 --> 00:30:31,703 Watch him for 20 minutes, until Haldol takes effect. 557 00:30:31,704 --> 00:30:33,080 Yes, it's calming down. 558 00:30:33,081 --> 00:30:35,624 - Do I need to be here? - Why, do you have a date? 559 00:30:35,625 --> 00:30:37,417 - I'm full of... - I'm kidding. 560 00:30:37,418 --> 00:30:39,962 Thanks for the help. It will wash you. 561 00:30:39,963 --> 00:30:40,963 Thank you everyone. 562 00:30:40,964 --> 00:30:42,673 Good job. I don't have to say, 563 00:30:42,674 --> 00:30:45,259 but be careful to Mr. Krakozhia's medications. 564 00:30:45,260 --> 00:30:47,177 - I'm sorry. - Thanks. 565 00:30:47,178 --> 00:30:49,973 - Can I help you with a new coat? - No, it's okay. 566 00:30:51,432 --> 00:30:53,351 But thanks for the offer. 567 00:30:58,523 --> 00:31:00,275 Tasha, do you work at a restaurant? 568 00:31:00,733 --> 00:31:02,277 No, do it twice. 569 00:31:02,777 --> 00:31:04,027 - He is well. - He turns his wrist. 570 00:31:04,028 --> 00:31:05,864 Follow the curve of the needle. 571 00:31:05,989 --> 00:31:08,575 90 degree outlet, same distance from the wound. 572 00:31:09,701 --> 00:31:13,121 - Very good. - I'm the sommelier at Altius. 573 00:31:13,663 --> 00:31:16,748 - Altius must be amazing. - Sorry. What does this do? 574 00:31:16,749 --> 00:31:19,419 I am sommelier, responsible for wines. 575 00:31:20,587 --> 00:31:23,673 We have the best winery in the city. Sorry for the bragging. 576 00:31:23,798 --> 00:31:25,215 Looks like a great job. 577 00:31:25,216 --> 00:31:29,095 - Do you have to go to school for that? - Yes, I have a degree. 578 00:31:29,596 --> 00:31:31,055 - Cool. - How about that? 579 00:31:31,681 --> 00:31:34,766 Very good. The first tightening is a surgeon's knot. 580 00:31:34,767 --> 00:31:36,101 Wrap the suture twice. 581 00:31:36,102 --> 00:31:38,687 Grab the shorter end. This gives you enough tension. 582 00:31:38,688 --> 00:31:40,564 Join the edges. 583 00:31:40,565 --> 00:31:43,150 Not too much, or it will get stuck. 584 00:31:43,151 --> 00:31:46,195 Tasha, what's your favorite wine? 585 00:31:46,446 --> 00:31:47,572 Or the most expensive? 586 00:31:49,365 --> 00:31:50,699 The answer is the same. 587 00:31:50,700 --> 00:31:54,287 A Domaine de la Romanée-Conti from 2011. 588 00:31:55,622 --> 00:31:57,581 - Three more loops. - Excellent. 589 00:31:57,582 --> 00:32:00,667 We square, unique wrap around driver. 590 00:32:00,668 --> 00:32:01,835 Is it French? 591 00:32:01,836 --> 00:32:05,882 - There's no more French. Burgundy. - And how much does it cost? 592 00:32:06,466 --> 00:32:09,177 I sold the bottle for $18,000. 593 00:32:10,303 --> 00:32:13,305 - It wasn't here, it was in New York. - Serious? 594 00:32:13,306 --> 00:32:15,308 Eighteen thousand for a bottle? 595 00:32:16,559 --> 00:32:17,810 Was it that good? 596 00:32:18,269 --> 00:32:21,481 Change a life. And I know a thing or two about that. 597 00:32:23,107 --> 00:32:26,486 Maybe one day. I'm not old enough to drink yet. 598 00:32:27,528 --> 00:32:28,404 Legally. 599 00:32:28,905 --> 00:32:30,782 This is a little scary. 600 00:32:31,908 --> 00:32:34,076 I'm 18 thousand short and I'm in recovery, 601 00:32:34,077 --> 00:32:36,204 so I have to believe you. 602 00:32:37,789 --> 00:32:39,958 My only extravagance is moisturizing. 603 00:32:40,959 --> 00:32:41,834 I understand. 604 00:32:42,877 --> 00:32:45,296 Jenna, people are here to see you. 605 00:32:45,421 --> 00:32:47,297 - Jenna. - My God. 606 00:32:47,298 --> 00:32:50,050 - Thank God! - I'm glad you're okay. 607 00:32:50,051 --> 00:32:52,970 Sorry. I don't know How did this happen, I swear. 608 00:32:52,971 --> 00:32:53,929 She... 609 00:32:53,930 --> 00:32:56,098 Yes, it is already discharged. You can take her. 610 00:32:56,099 --> 00:32:58,475 They have some bullish instructions here, 611 00:32:58,476 --> 00:33:01,478 but no pills, unless they are prescribed. 612 00:33:01,479 --> 00:33:02,396 He is well. 613 00:33:02,397 --> 00:33:04,314 You have fentanyl test strips here. 614 00:33:04,315 --> 00:33:08,110 They work with pills and liquids. And that's a naloxone spray. 615 00:33:08,111 --> 00:33:10,570 Please keep it in your bag, 616 00:33:10,571 --> 00:33:12,280 if you go to a party and need to. 617 00:33:12,281 --> 00:33:15,450 - Thanks. - Do you realize how lucky you are? 618 00:33:15,451 --> 00:33:17,078 - He has? - Yes. 619 00:33:22,917 --> 00:33:25,168 I spoke to nuclear medicine 620 00:33:25,169 --> 00:33:26,712 and they're ready for Nick 621 00:33:26,713 --> 00:33:29,339 to do the brain perfusion test in a few minutes. 622 00:33:29,340 --> 00:33:31,341 - Can we keep it? - Of course. 623 00:33:31,342 --> 00:33:33,510 The test involves radiation, 624 00:33:33,511 --> 00:33:35,304 so they will wait at the door. 625 00:33:35,430 --> 00:33:37,806 - Dave takes you. - I'll show you where you can stay. 626 00:33:37,807 --> 00:33:39,349 He will also bring you. 627 00:33:39,350 --> 00:33:43,855 The result takes about an hour and I will come to you when I have it. 628 00:33:44,397 --> 00:33:45,690 We'll see from there. 629 00:33:46,858 --> 00:33:48,776 - Thank you, doctor. - He is well. 630 00:33:52,530 --> 00:33:54,490 Sorry to keep you waiting. 631 00:33:55,366 --> 00:33:59,828 I'm Dr. Heather Collins. Is it Kristi and Lynette Wheeler? 632 00:33:59,829 --> 00:34:02,123 - Yes. - Yes. We were supposed to see Dr. Abbot. 633 00:34:02,874 --> 00:34:06,836 Dr. Abbot is a fantastic doctor, but even he needs sleep. 634 00:34:07,503 --> 00:34:12,174 I think I got tired, I ran out of battery and we slept. 635 00:34:12,175 --> 00:34:15,635 I use an old alarm clock since college. Never fails. 636 00:34:15,636 --> 00:34:17,889 I have one at home. I forgot to bring it. 637 00:34:18,681 --> 00:34:23,310 I see that today we are going to do a medical abortion, right? 638 00:34:23,311 --> 00:34:24,312 Yes. 639 00:34:24,896 --> 00:34:28,691 Since I didn't evaluate it initially, can I ask some questions 640 00:34:29,233 --> 00:34:30,151 and update me? 641 00:34:30,318 --> 00:34:32,361 - Of course. - Thanks. 642 00:34:33,529 --> 00:34:36,491 - Is this your first pregnancy? - Yes. 643 00:34:36,949 --> 00:34:41,162 And you are 17 years old? When it started your last menstrual cycle? 644 00:34:43,206 --> 00:34:44,956 I'm not really sure. 645 00:34:44,957 --> 00:34:47,960 At the end of June, maybe 23rd. 646 00:34:48,628 --> 00:34:50,921 - Any allergies to medications? - No. 647 00:34:50,922 --> 00:34:52,965 - Any previous surgery? - No. 648 00:34:54,801 --> 00:34:56,551 I'm going to do another ultrasound 649 00:34:56,552 --> 00:34:59,012 to make sure everything is ok for medication. 650 00:34:59,013 --> 00:35:02,474 Want to wear a smock to avoid getting gel on your clothes? 651 00:35:02,475 --> 00:35:03,434 He is well. 652 00:35:05,311 --> 00:35:07,772 - I'll be back soon. - Thanks. 653 00:35:09,107 --> 00:35:11,525 Joyce's transfusion is going well. 654 00:35:11,526 --> 00:35:12,901 Waiting for telemetry bed. 655 00:35:12,902 --> 00:35:16,447 Quinn, the night smoker, remains sinus after cardioversion. 656 00:35:17,115 --> 00:35:20,200 Four hours of heart monitoring and discharge him. 657 00:35:20,201 --> 00:35:23,036 The good Samaritan has vitals and neurology stable. 658 00:35:23,037 --> 00:35:25,080 I want another head scan in an hour, 659 00:35:25,081 --> 00:35:26,581 to rule out increases. 660 00:35:26,582 --> 00:35:29,126 And Mr. Gold tested positive for campylobacter 661 00:35:29,127 --> 00:35:30,752 and was discharged on azithromycin. 662 00:35:30,753 --> 00:35:32,796 I hope you fill up on water and electrolytes. 663 00:35:32,797 --> 00:35:35,883 He got tired of filling bedpans. It must be a record. 664 00:35:36,050 --> 00:35:39,095 Without sounding like a broken record, is everything ok with you? 665 00:35:39,220 --> 00:35:41,596 - It's the third breakfast. - I've been sleeping badly. 666 00:35:41,597 --> 00:35:44,182 But I'm leaving for four days next week. 667 00:35:44,183 --> 00:35:46,226 I'm heading for the hills. 668 00:35:46,227 --> 00:35:47,185 I hope so. 669 00:35:47,186 --> 00:35:49,896 Shakespeare said: "Physician, heal yourself." 670 00:35:49,897 --> 00:35:52,524 Have you spoken to Collins? It's not Shakespeare. 671 00:35:52,525 --> 00:35:56,111 It is from Luke, the disciple, who owes it having heard from Paul the Apostle. 672 00:35:56,112 --> 00:35:57,404 But I don't know, I'm Jewish. 673 00:35:57,405 --> 00:35:59,990 All I know is that Shakespeare He wasn't involved in that. 674 00:35:59,991 --> 00:36:02,243 Maybe some time away will do you good. 675 00:36:03,327 --> 00:36:05,454 - Do you have everything? - I think so. 676 00:36:17,466 --> 00:36:18,467 - That's... - Yeah. 677 00:36:19,969 --> 00:36:21,095 Come on, baby. 678 00:36:22,847 --> 00:36:23,723 Wait. 679 00:36:24,182 --> 00:36:28,852 Mr. Bradley, I just wanted to say sorry. for the way I spoke to you. 680 00:36:28,853 --> 00:36:31,355 - Please wait. - There's no excuse. 681 00:36:32,064 --> 00:36:34,107 I was going to ask for this to be given to you, but... 682 00:36:34,108 --> 00:36:35,902 It's my number and email. 683 00:36:36,944 --> 00:36:40,281 If you can help somehow, please. 684 00:36:41,616 --> 00:36:42,867 I don't know who you are. 685 00:36:44,911 --> 00:36:46,537 Sorry. I'm Jenna. 686 00:36:48,748 --> 00:36:51,459 I met Nick at orientation, he was very sweet. 687 00:36:55,338 --> 00:36:58,798 We were in the same economics class and we were going to have a big test. 688 00:36:58,799 --> 00:37:01,509 Some of us created a kind of study group. 689 00:37:01,510 --> 00:37:04,095 We stayed up late 690 00:37:04,096 --> 00:37:06,724 drinking coffee and then we had difficulty falling asleep. 691 00:37:08,476 --> 00:37:11,395 And a girl said who knew how to get Xanax, 692 00:37:13,105 --> 00:37:14,732 but I was afraid to go look for it. 693 00:37:16,484 --> 00:37:18,903 Nick was just cool when I said I would. 694 00:37:22,740 --> 00:37:23,824 I'm really sorry. 695 00:37:26,118 --> 00:37:29,247 I hope he survives this. I pray for it. 696 00:37:30,831 --> 00:37:31,832 He will survive. 697 00:37:34,252 --> 00:37:35,253 Yes. Thank you. 698 00:37:37,630 --> 00:37:38,631 You better go. 699 00:37:39,674 --> 00:37:41,842 Your parents must want to take you. 700 00:37:48,891 --> 00:37:50,476 Very good. Let's go. 701 00:37:53,729 --> 00:37:57,817 Sorry about before. I think I still have a lot to learn. 702 00:37:59,277 --> 00:38:00,152 You really do. 703 00:38:02,989 --> 00:38:05,366 - It seems good. - Very good, doctor. 704 00:38:05,950 --> 00:38:07,159 Thank you for your trust. 705 00:38:07,868 --> 00:38:11,037 Keep it clean and dry and we'll check on her in two days. 706 00:38:11,038 --> 00:38:12,998 It was fine, I didn't feel anything. 707 00:38:12,999 --> 00:38:14,124 It's only a week, 708 00:38:14,125 --> 00:38:16,584 but come first if you have flushing, fever or pus. 709 00:38:16,585 --> 00:38:18,129 - Yes? - Yes. Thank you. 710 00:38:20,089 --> 00:38:23,801 I noticed that there is a gender error on the form. 711 00:38:24,010 --> 00:38:25,135 I'm sorry about that. 712 00:38:25,136 --> 00:38:27,929 I already corrected it here and in your insurance file, 713 00:38:27,930 --> 00:38:29,515 it won't happen again. 714 00:38:30,891 --> 00:38:33,269 I'm... 715 00:38:34,937 --> 00:38:35,813 Thank you. 716 00:38:36,856 --> 00:38:39,942 - Serious. Thank you both. - Yes of course. 717 00:38:43,279 --> 00:38:46,157 Okay, I didn't remember to check. 718 00:38:47,366 --> 00:38:48,951 Any other medication? 719 00:38:49,618 --> 00:38:52,538 Just Tylenol, and she has no allergies. 720 00:38:53,581 --> 00:38:56,459 - Hello, I'm Dr. Mohan. - Hello, I really like it. 721 00:38:56,959 --> 00:38:58,209 Let me update you. 722 00:38:58,210 --> 00:39:02,590 Jia Yi is 12 years and six weeks old of constant pain in the suprapubic region. 723 00:39:03,174 --> 00:39:08,720 There is no fever, dysuria, nausea, vomiting, diarrhea, vaginal discharge 724 00:39:08,721 --> 00:39:10,973 and the pregnancy test is negative. 725 00:39:11,682 --> 00:39:12,600 Pregnancy test? 726 00:39:13,184 --> 00:39:15,227 Of course it was negative. It's a stomach ache. 727 00:39:16,354 --> 00:39:19,481 Tell me more about your pain. Can you give me a number from one to ten? 728 00:39:19,482 --> 00:39:23,026 - Ten is the worst. - It was a couple in the first few weeks. 729 00:39:23,027 --> 00:39:27,113 Then it went up to a five. Now it's worse, a seven. 730 00:39:27,114 --> 00:39:28,948 When was your last period? 731 00:39:28,949 --> 00:39:30,658 - I didn't have it. - This month? 732 00:39:30,659 --> 00:39:33,495 No, never. Some of my friends have already had it. 733 00:39:33,496 --> 00:39:35,623 - I'm still waiting. - She is 12 years old. 734 00:39:36,957 --> 00:39:39,000 He is well. We'll come and do an exam. 735 00:39:39,001 --> 00:39:41,545 Put on an open coat in the back. 736 00:39:44,715 --> 00:39:45,591 It's strange. 737 00:39:46,050 --> 00:39:48,301 There is no period, 738 00:39:48,302 --> 00:39:51,679 but it has characteristics initial secondary sexual. 739 00:39:51,680 --> 00:39:54,350 breast development, widening of the hips. 740 00:39:55,017 --> 00:39:57,853 It's primary amenorrhea. What are you thinking about? 741 00:39:58,479 --> 00:40:00,856 It could be a pituitary dysfunction or... 742 00:40:00,981 --> 00:40:02,982 How are we? Will anyone come out? 743 00:40:02,983 --> 00:40:03,900 We are trying. 744 00:40:03,901 --> 00:40:06,611 The asthma is gone, went home on steroids and albuterol. 745 00:40:06,612 --> 00:40:07,905 Good. Who else? 746 00:40:09,281 --> 00:40:11,992 Guys don't distinguish cable ties? 747 00:40:12,743 --> 00:40:14,619 Find out. 748 00:40:14,620 --> 00:40:17,622 On Monday, the prosecutor will hear from my lawyer 749 00:40:17,623 --> 00:40:19,290 and don't get involved in anything else. 750 00:40:19,291 --> 00:40:20,458 How are we here? 751 00:40:20,459 --> 00:40:23,546 The vitals are great. Saturation at 98 with 4 liters. 752 00:40:24,505 --> 00:40:26,715 Good. Can I go back to work now? 753 00:40:26,924 --> 00:40:29,551 With rib fractures, a wounded lung and a catheter? 754 00:40:29,552 --> 00:40:32,138 Not a great idea. But I respect the work ethic. 755 00:40:33,347 --> 00:40:37,100 Ritchie, put Cecil on FaceTime. I need to see this. 756 00:40:37,101 --> 00:40:39,310 Call Dr. Gregorian from Thoracic 757 00:40:39,311 --> 00:40:41,354 and see if he takes Stone as a favor. 758 00:40:41,355 --> 00:40:43,565 Tell him he doesn't need a nanny. 759 00:40:43,566 --> 00:40:45,150 It's stable, we just want the bed. 760 00:40:45,151 --> 00:40:48,486 Right. The projected vomit improved with ondansetron. 761 00:40:48,487 --> 00:40:51,614 - Normal analysis, waiting for food. - And the lady with the fall? 762 00:40:51,615 --> 00:40:54,242 Antibiotics, no pain, Go to the block at 3pm. 763 00:40:54,243 --> 00:40:56,370 - It's in the hallway. - Right. Excellent. 764 00:40:57,288 --> 00:40:58,497 Belly gel. 765 00:41:00,207 --> 00:41:02,168 Sorry. It's cold. 766 00:41:04,587 --> 00:41:07,130 And just to be sure, is not being treated 767 00:41:07,131 --> 00:41:09,717 for clots, taking blood thinners? 768 00:41:10,176 --> 00:41:11,760 No, I don't take medication. 769 00:41:24,231 --> 00:41:25,274 Everything is fine? 770 00:41:27,151 --> 00:41:28,152 Yes, it is. 771 00:41:28,861 --> 00:41:32,197 Here it is. Helicopter 7, I knew you wouldn't disappoint me. 772 00:41:32,198 --> 00:41:33,531 Here we go. 773 00:41:33,532 --> 00:41:36,410 - Wait. Where is it? - It's not Swissvale. 774 00:41:36,535 --> 00:41:39,078 They're in Monroeville, with the police behind. 775 00:41:39,079 --> 00:41:41,664 - What do they do? - They drive until they can handle it. 776 00:41:41,665 --> 00:41:43,583 It's almost out of our zone. 777 00:41:43,584 --> 00:41:45,836 I bet they wouldn't reach another county. 778 00:41:46,128 --> 00:41:47,504 - They're coming back. - I don't know. 779 00:41:47,505 --> 00:41:49,340 Yes, I accept that. 780 00:41:49,465 --> 00:41:51,008 They're already Westmoreland's problem. 781 00:41:52,593 --> 00:41:53,593 Is it in the news? 782 00:41:53,594 --> 00:41:55,303 - Yes. - Where are they? 783 00:41:55,304 --> 00:41:58,474 - Go east, to Monroeville. - Let me see. 784 00:42:06,857 --> 00:42:09,443 I bet 20 on junkies caught outside our area. 785 00:42:10,528 --> 00:42:11,529 Damn! 786 00:42:12,404 --> 00:42:13,280 He is well. 787 00:42:18,953 --> 00:42:20,245 Soft, insensitive. 788 00:42:20,246 --> 00:42:22,873 Jia Yi, let's see below the waist. 789 00:42:23,040 --> 00:42:25,083 You'll be covered. Do you want your father here? 790 00:42:25,084 --> 00:42:28,295 - Yes, please. Don't go. - I am here. 791 00:42:29,338 --> 00:42:31,840 Knees up. Keep your feet on the bed. 792 00:42:33,008 --> 00:42:34,468 And let your knees drop. 793 00:42:35,844 --> 00:42:37,596 Let's just take a look. 794 00:42:41,267 --> 00:42:43,978 I'll touch your leg, so we can see where you pee. 795 00:42:44,812 --> 00:42:47,398 - Any pain? - No, it's okay. 796 00:42:51,527 --> 00:42:53,778 Ready. You can lower your legs. 797 00:42:53,779 --> 00:42:55,948 You did very well and we know how to help you. 798 00:42:56,282 --> 00:42:57,157 Thanks. 799 00:42:57,575 --> 00:42:59,285 Dad, can we talk outside? 800 00:43:02,913 --> 00:43:03,789 Good job. 801 00:43:07,835 --> 00:43:09,295 What's up with her? 802 00:43:10,296 --> 00:43:12,464 The mother died of colon cancer. 803 00:43:12,715 --> 00:43:15,049 No. This is not related to that. 804 00:43:15,050 --> 00:43:16,594 Do you know what a hymen is? 805 00:43:19,430 --> 00:43:20,306 Not really. 806 00:43:20,764 --> 00:43:22,890 When the baby develops in the womb, 807 00:43:22,891 --> 00:43:26,269 there is a membrane called hymen which blocks the vaginal passage. 808 00:43:26,270 --> 00:43:29,815 Before birth, most disappears, but sometimes it doesn't. 809 00:43:30,691 --> 00:43:32,900 - Is this dangerous? - No, nothing like that. 810 00:43:32,901 --> 00:43:34,068 The good news is 811 00:43:34,069 --> 00:43:37,072 that the hymen is not pierced and completely blocks the vagina. 812 00:43:37,573 --> 00:43:40,158 We saw what they appear to be about three months 813 00:43:40,159 --> 00:43:43,287 of violet menstrual blood bulging from behind. 814 00:43:44,246 --> 00:43:47,041 - My God! - It is curable and easy to resolve. 815 00:43:47,916 --> 00:43:50,460 She needs a little surgery, under anesthesia, 816 00:43:50,461 --> 00:43:53,087 performed by a gynecologist. 817 00:43:53,088 --> 00:43:54,173 And is it okay? 818 00:43:55,299 --> 00:43:57,051 Yes, everything back to normal. 819 00:43:59,094 --> 00:44:01,388 Thanks. We... 820 00:44:02,681 --> 00:44:06,393 We lost Jia Yi's mother when she was six years old. 821 00:44:08,020 --> 00:44:10,314 I do what I can to take her place. 822 00:44:11,607 --> 00:44:12,816 But she's growing... 823 00:44:15,611 --> 00:44:17,112 Mom would know what to do. 824 00:44:17,905 --> 00:44:20,699 I'm sure you're doing well. She'll be fine. 825 00:44:22,284 --> 00:44:23,160 Thanks. 826 00:44:28,499 --> 00:44:31,627 We should inform her. This time, I speak. 827 00:44:35,297 --> 00:44:37,298 Cleaning is on 20 south. 828 00:44:37,299 --> 00:44:39,467 We are fine. What's it like when I'm not there? 829 00:44:39,468 --> 00:44:42,220 I hate to tell you this, but I'm strict with you or without you. 830 00:44:42,221 --> 00:44:43,555 With me it's more fun. 831 00:44:43,681 --> 00:44:44,973 - Just for the jokes. - Always. 832 00:44:45,599 --> 00:44:47,892 But the more complicated it gets, 833 00:44:47,893 --> 00:44:50,521 the funnier you become, and today you are red hot. 834 00:44:51,397 --> 00:44:53,691 Dr. Robby, it's time. 835 00:45:01,615 --> 00:45:02,449 Give it here. 836 00:45:12,793 --> 00:45:14,211 Is he still with us? 837 00:45:15,087 --> 00:45:17,339 This is agonal breathing. 838 00:45:18,465 --> 00:45:19,466 Near the end. 839 00:45:21,385 --> 00:45:26,390 He said our mother's name a few minutes ago. Marge. 840 00:45:27,808 --> 00:45:28,808 He said? 841 00:45:28,809 --> 00:45:31,311 As if she were here with us. 842 00:45:32,312 --> 00:45:36,608 And then he smiled and closed his eyes. 843 00:45:40,612 --> 00:45:42,030 How are you? 844 00:45:42,406 --> 00:45:43,740 I'm exhausted. 845 00:45:43,741 --> 00:45:46,702 Yes, I think I'm fine. 846 00:45:47,870 --> 00:45:50,997 Jereme, I'm very happy for you being here. 847 00:45:50,998 --> 00:45:51,956 Me too. 848 00:45:51,957 --> 00:45:54,501 I wouldn't know how to do this alone. 849 00:45:56,128 --> 00:45:58,922 You don't have to do it. Sara and I are here. 850 00:45:59,548 --> 00:46:01,133 I know, thank you. 851 00:46:01,884 --> 00:46:02,885 I need you. 852 00:46:04,511 --> 00:46:06,513 It's good for families to live close together. 853 00:46:08,515 --> 00:46:11,101 This now becomes a primary relationship. 854 00:46:13,187 --> 00:46:15,564 They are the last witnesses of each other's lives. 855 00:46:16,398 --> 00:46:17,524 They keep the memories. 856 00:46:19,818 --> 00:46:21,904 With my memory like this, it's scary. 857 00:46:23,781 --> 00:46:26,200 I had a crazy idea. 858 00:46:26,909 --> 00:46:28,619 Do you know what we should do? 859 00:46:28,869 --> 00:46:31,789 Why don't we go boating on the weekend? 860 00:47:26,385 --> 00:47:27,261 No. 861 00:47:32,474 --> 00:47:33,350 Daddy. 862 00:47:56,498 --> 00:47:59,250 Bactrim twice a day, hot baths, 863 00:47:59,251 --> 00:48:02,546 and come in two days to see the wound. Questions? 864 00:48:02,671 --> 00:48:03,671 Attention! 865 00:48:03,672 --> 00:48:08,802 I need a stretcher now! 866 00:49:30,509 --> 00:49:32,511 Subtitles: Luís Costa Passadouro