1 00:00:20,145 --> 00:00:21,855 - What's up, Ghost Rider? - You good? 2 00:00:21,939 --> 00:00:23,065 Never better. 3 00:00:23,148 --> 00:00:24,900 OK, kids, bye-bye time. 4 00:00:24,983 --> 00:00:27,110 Thanks for the trip down memory lane. 5 00:00:27,194 --> 00:00:28,529 Um, where's Evans? 6 00:00:28,612 --> 00:00:30,822 Uh, I think she's by the family room. 7 00:00:30,906 --> 00:00:32,406 She is. 8 00:00:32,491 --> 00:00:33,909 Hey, hey, hey, where are you going? 9 00:00:33,992 --> 00:00:35,452 I'm not gonna scan all this by myself. 10 00:00:35,536 --> 00:00:37,037 Cruz has a question on my cellulitis. 11 00:00:37,120 --> 00:00:38,664 - I'll be right back. - You better. 12 00:00:38,747 --> 00:00:39,915 - Two minutes tops. - Where's Mel? 13 00:00:39,998 --> 00:00:41,416 Where's Donnie? 14 00:00:41,500 --> 00:00:42,876 - They should be helping you. - I don't know. 15 00:00:42,960 --> 00:00:44,628 OK, day shift, listen up. 16 00:00:44,711 --> 00:00:46,755 We're doing really well, but we still got a ways to go. 17 00:00:46,838 --> 00:00:48,882 And nobody's going home until all these paper charts 18 00:00:48,966 --> 00:00:50,592 are digitized, including me. 19 00:00:50,676 --> 00:00:52,553 And then we're free to celebrate our freedom? 20 00:00:52,636 --> 00:00:53,637 Exactly. 21 00:00:53,720 --> 00:00:54,888 Well, can you kick some ass 22 00:00:54,972 --> 00:00:56,056 and get the staff to hurry up 23 00:00:56,139 --> 00:00:57,224 on the EHR home pages? 24 00:00:57,307 --> 00:00:58,934 Where are Larry and Antoine? 25 00:00:59,017 --> 00:01:00,227 Antoine's fighting on the phone 26 00:01:00,310 --> 00:01:01,603 with his girlfriend outside. 27 00:01:01,687 --> 00:01:04,397 And Larry's on a cafeteria run. 28 00:01:04,480 --> 00:01:06,942 Yeah, that tracks. 29 00:01:07,025 --> 00:01:09,069 We've got five patients in beds waiting to be seen. 30 00:01:09,152 --> 00:01:11,071 How do you want to play this-- man to man or zone? 31 00:01:11,154 --> 00:01:12,531 The zone. 32 00:01:12,614 --> 00:01:14,199 Have Cruz and Ellis split up the new five. 33 00:01:14,283 --> 00:01:15,576 You take North and Central. 34 00:01:15,659 --> 00:01:17,286 - I'll take South and Trauma. - Cool. 35 00:01:17,369 --> 00:01:18,370 Want to switch at 1:00 AM? 36 00:01:18,453 --> 00:01:19,496 Why? 37 00:01:19,580 --> 00:01:20,706 Variety is the spice of life. 38 00:01:20,789 --> 00:01:22,124 I thought that was garlic. 39 00:01:22,207 --> 00:01:25,127 Oh, sorry. 40 00:01:25,210 --> 00:01:27,045 I told you I'd be fast. 41 00:01:27,129 --> 00:01:29,131 OK, let's do this and get out of here. 42 00:01:29,214 --> 00:01:30,257 What's the hurry? 43 00:01:30,340 --> 00:01:31,508 Got some hay to pitch? 44 00:01:31,592 --> 00:01:32,926 Ha. 45 00:01:34,511 --> 00:01:36,179 - Oh, shoot. - What? 46 00:01:36,263 --> 00:01:38,807 Uh, my ID badge is missing. 47 00:01:38,890 --> 00:01:39,850 Oh, no. The one you just got? 48 00:01:39,933 --> 00:01:41,226 How'd you lose it? 49 00:01:41,310 --> 00:01:42,227 I don't know. It must have come off. 50 00:01:42,311 --> 00:01:43,562 Classic. 51 00:01:43,645 --> 00:01:44,938 Hope you remember your login and password. 52 00:01:45,021 --> 00:01:46,106 OK. Retrace your steps. 53 00:01:46,189 --> 00:01:47,566 Where'd you have it last? 54 00:01:47,649 --> 00:01:50,235 Uh, I was with Ogilvie in the Ambulance Bay. 55 00:01:50,319 --> 00:01:52,404 Not with Colonel Mustard in the library? 56 00:01:52,487 --> 00:01:54,448 Who's--what? 57 00:01:54,531 --> 00:01:55,699 No. 58 00:01:57,033 --> 00:01:59,369 The boy has no clue. 59 00:02:03,790 --> 00:02:05,792 Please don't do that. 60 00:02:05,876 --> 00:02:07,544 Oh, ma'am, I gotta go. 61 00:02:07,628 --> 00:02:10,255 I sit here any longer, I'm gonna get bedsores. 62 00:02:12,466 --> 00:02:15,385 I--I'm supposed to get some CT results. 63 00:02:15,469 --> 00:02:17,846 Any idea how much longer that's gonna be? 64 00:02:17,929 --> 00:02:20,307 Shouldn't be much longer. 65 00:02:20,390 --> 00:02:22,893 Where's that Nurse Vivi? 66 00:02:22,976 --> 00:02:24,603 You don't want any of that. 67 00:02:24,686 --> 00:02:26,855 - No? - No, she's out of your league. 68 00:02:26,938 --> 00:02:28,815 What league do you think I play in? 69 00:02:28,899 --> 00:02:31,610 Uh, old timer's night. 70 00:02:31,693 --> 00:02:33,278 Yeah, you're probably right. 71 00:02:33,362 --> 00:02:36,406 But some teams still appreciate a veteran presence. 72 00:02:36,490 --> 00:02:38,617 Well, don't say I didn't warn you. 73 00:02:38,700 --> 00:02:40,369 You are here for your heart, after all. 74 00:02:40,452 --> 00:02:41,870 My heart's been broken before. 75 00:02:41,953 --> 00:02:43,413 What's one more time? 76 00:02:43,497 --> 00:02:45,499 Uh, she's engaged to a jujitsu instructor. 77 00:02:45,582 --> 00:02:47,209 With a bang, not a whimper, baby. 78 00:02:48,710 --> 00:02:50,295 And it's a cool bath a couple times a day 79 00:02:50,379 --> 00:02:52,839 for two days, followed by aloe vera to your skin. 80 00:02:52,923 --> 00:02:54,174 OK, that's it? 81 00:02:54,257 --> 00:02:56,426 And sunscreen in your future. 82 00:02:56,510 --> 00:02:59,429 No, I'm never going outside ever again. 83 00:02:59,513 --> 00:03:02,891 I wouldn't swear off the sun entirely, you know? 84 00:03:02,974 --> 00:03:05,394 But like most things, moderation. 85 00:03:05,477 --> 00:03:06,687 Hey, we're getting kind of shorthanded 86 00:03:06,770 --> 00:03:08,063 scanning charts out here. 87 00:03:08,146 --> 00:03:09,439 When you finish, can you come lend a hand? 88 00:03:09,523 --> 00:03:10,524 Yeah, happy to. 89 00:03:10,607 --> 00:03:11,608 Thank you. 90 00:03:13,652 --> 00:03:15,529 And by happy to, I mean there is nothing 91 00:03:15,612 --> 00:03:17,280 I would rather do less. 92 00:03:17,364 --> 00:03:19,908 They keep you pretty busy. 93 00:03:19,991 --> 00:03:24,037 Yeah, and today has brought some new challenges. 94 00:03:24,121 --> 00:03:25,288 This is really putting a crimp 95 00:03:25,372 --> 00:03:27,582 in my 4th of July evening plans. 96 00:03:27,666 --> 00:03:30,085 You're going to see the fireworks? 97 00:03:30,168 --> 00:03:33,505 Uh, no, I was gonna maybe meet up with this guy, 98 00:03:33,588 --> 00:03:35,090 though that's sounding less appealing 99 00:03:35,173 --> 00:03:37,591 than the three Bs at this point. 100 00:03:37,676 --> 00:03:39,219 The three Bs? 101 00:03:40,262 --> 00:03:42,597 Book, bath, and bed. 102 00:03:42,680 --> 00:03:45,058 College kid with mono and hemorrhagic tonsils, 103 00:03:45,142 --> 00:03:46,768 admit med-surge or observation? 104 00:03:46,852 --> 00:03:47,853 Uh, observation. 105 00:03:47,936 --> 00:03:49,271 Bleeding stopped with TXA. 106 00:03:49,353 --> 00:03:50,689 She's had steroids, so should be 107 00:03:50,772 --> 00:03:52,023 ready for discharge in the morning. 108 00:03:52,107 --> 00:03:53,775 Cool. 109 00:03:53,859 --> 00:03:55,527 How was your first shift back? 110 00:03:55,610 --> 00:03:58,196 Uh, slow start, finding my rhythm. 111 00:03:59,531 --> 00:04:01,533 You a little rusty, Rusty James? 112 00:04:01,616 --> 00:04:03,952 Now you won't have Motorcycle Boy to big brother you. 113 00:04:04,035 --> 00:04:05,579 Is that a "Rumble Fish" reference? 114 00:04:05,662 --> 00:04:07,038 Sure is. 115 00:04:07,122 --> 00:04:09,666 And Robby is my big brother in this analogy? 116 00:04:09,750 --> 00:04:10,917 Bingo. 117 00:04:11,001 --> 00:04:12,043 Yeah, I wouldn't say he's been 118 00:04:12,127 --> 00:04:13,920 looking out for me exactly. 119 00:04:14,004 --> 00:04:15,380 I think he'd probably prefer 120 00:04:15,464 --> 00:04:17,089 not to see me at all today, actually. 121 00:04:17,173 --> 00:04:20,010 And you think that's because he's mad at you? 122 00:04:20,093 --> 00:04:24,931 I think he feels like I let him down, because I did. 123 00:04:25,015 --> 00:04:27,100 Jesus, with all the martyrs around here, 124 00:04:27,184 --> 00:04:28,602 you'd think this was a passion play. 125 00:04:28,685 --> 00:04:30,228 What's your take? 126 00:04:32,314 --> 00:04:33,648 I worked with that man for 10 months 127 00:04:33,732 --> 00:04:34,858 while you were gone. 128 00:04:34,941 --> 00:04:36,568 He's not mad at you. 129 00:04:36,651 --> 00:04:39,738 He's mad at himself for failing you, Rusty James. 130 00:04:39,821 --> 00:04:41,156 Really? 131 00:04:42,491 --> 00:04:44,826 Just more White Knight/White noise. 132 00:04:44,909 --> 00:04:46,411 That's how it is. 133 00:04:48,705 --> 00:04:50,290 Share this video with your friends if you can. 134 00:04:50,373 --> 00:04:51,625 Thank you so much. 135 00:04:51,707 --> 00:04:53,585 Be kind, be safe, be brave. 136 00:04:53,668 --> 00:04:54,711 What you doing? 137 00:04:54,795 --> 00:04:56,129 Dr. Robby, sorry. 138 00:04:56,213 --> 00:04:57,130 I was just-- 139 00:04:57,214 --> 00:04:58,590 One of your TikToks? Yeah. 140 00:04:58,673 --> 00:05:00,175 About those, listen, I'm not so sure that-- 141 00:05:00,258 --> 00:05:02,010 - No, no, I was just sharing-- - No, I get it. 142 00:05:02,093 --> 00:05:03,512 I just--you know, we do have HIPAA laws here. 143 00:05:03,595 --> 00:05:05,180 We don't let anybody film-- 144 00:05:05,263 --> 00:05:06,431 I would never violate any HIPAA laws, Dr. Robby. 145 00:05:06,515 --> 00:05:07,682 - I swear it. - I understand. 146 00:05:07,766 --> 00:05:08,683 Even still, we're getting behind 147 00:05:08,767 --> 00:05:09,768 on scanning patient charts. 148 00:05:09,851 --> 00:05:10,769 So how about no TikTok 149 00:05:10,852 --> 00:05:13,647 on the company clock, Dr. J? 150 00:05:13,730 --> 00:05:15,565 Dr. Robby, I think you're-- 151 00:05:15,649 --> 00:05:17,025 Out of touch? Probably. 152 00:05:17,108 --> 00:05:18,443 You wouldn't be the first to accuse me of it. 153 00:05:18,527 --> 00:05:20,153 However, when I was in medical school-- 154 00:05:20,237 --> 00:05:22,030 You didn't have cell phones or TikTok 155 00:05:22,113 --> 00:05:24,574 or internet or ICE agents coming in here 156 00:05:24,658 --> 00:05:27,035 and taking away patients and staff. 157 00:05:28,870 --> 00:05:30,372 I get it. 158 00:05:34,251 --> 00:05:37,712 We did have cell phones, maybe not in the beginning. 159 00:05:42,425 --> 00:05:43,510 Where do you think you're going? 160 00:05:43,593 --> 00:05:45,178 Uh, home. 161 00:05:45,262 --> 00:05:47,514 I kind of need you to hang out a little longer 162 00:05:47,597 --> 00:05:49,432 and help digitize some of these analog patient records. 163 00:05:49,516 --> 00:05:50,892 Normally, I would, truly. 164 00:05:50,976 --> 00:05:55,021 But I gotta get home-- wife, baby, bed. 165 00:05:55,105 --> 00:05:57,148 OK. Go get some rest. 166 00:05:57,232 --> 00:05:58,316 You sure you're OK to drive home? 167 00:05:58,400 --> 00:05:59,317 Absolutely. 168 00:05:59,401 --> 00:06:01,278 Just enough in the tank. 169 00:06:01,361 --> 00:06:03,363 Don't tell anybody I let you go. 170 00:06:03,446 --> 00:06:04,656 Deal. 171 00:06:04,739 --> 00:06:06,157 Safe travels. 172 00:06:06,241 --> 00:06:08,243 Be sure to send some pictures from the road. 173 00:06:25,093 --> 00:06:26,803 Fight over at Zazu's Sports Bar. 174 00:06:26,887 --> 00:06:28,221 The two combatants are pulling up soon. 175 00:06:28,305 --> 00:06:29,472 One's a stabbing. 176 00:06:29,556 --> 00:06:30,473 Ellis, double trauma coming in. 177 00:06:30,557 --> 00:06:31,558 Grab the easy one. 178 00:06:31,641 --> 00:06:32,683 Bring the stabbing to Trauma 2. 179 00:06:32,767 --> 00:06:34,102 We will get the room set up. 180 00:06:34,185 --> 00:06:36,646 All right. Roger. 181 00:06:36,730 --> 00:06:40,942 OK, darling, time for this dinosaur to head to extinction. 182 00:06:41,026 --> 00:06:42,360 Got us through a real jam today. 183 00:06:42,444 --> 00:06:44,571 Can't thank you enough, Monica. 184 00:06:44,654 --> 00:06:45,822 Nice place to visit. 185 00:06:45,906 --> 00:06:47,240 Wouldn't want to live here anymore. 186 00:06:47,324 --> 00:06:49,075 Oh, me, neither some days. 187 00:06:49,159 --> 00:06:50,368 But hey, Virginia Slim, 188 00:06:50,452 --> 00:06:52,370 you've come a long way. 189 00:06:52,454 --> 00:06:54,581 Glad I was wrong about you. 190 00:06:54,664 --> 00:06:55,874 Keep training 'em up right. 191 00:06:55,957 --> 00:06:57,125 I'll try. 192 00:06:57,207 --> 00:06:58,752 OK, that's enough mush. 193 00:06:58,835 --> 00:07:00,670 Back to my life of mahjong and margaritas. 194 00:07:00,754 --> 00:07:02,088 - Bye, Evans. - Get home safe. 195 00:07:02,172 --> 00:07:03,673 I will. See ya. 196 00:07:03,757 --> 00:07:04,758 Bye. 197 00:07:09,679 --> 00:07:13,391 She's right, you are the mama bear glue that holds this place together. 198 00:07:17,854 --> 00:07:20,273 Hey, you OK? 199 00:07:20,357 --> 00:07:21,775 No. 200 00:07:21,858 --> 00:07:24,486 I'm sad or scared, 201 00:07:24,569 --> 00:07:28,031 or some fucking thing. 202 00:07:28,114 --> 00:07:29,824 I'm worried. 203 00:07:29,908 --> 00:07:31,952 What's going on? 204 00:07:32,034 --> 00:07:33,578 Robby. I got a bad feeling. 205 00:07:33,662 --> 00:07:35,372 He's... 206 00:07:35,455 --> 00:07:37,207 it's like I'm never going to see him again after tonight. 207 00:07:37,290 --> 00:07:38,541 Did he say something? 208 00:07:38,625 --> 00:07:40,001 Yeah, he said a lot of things. 209 00:07:40,085 --> 00:07:41,586 You should talk to him. He listens to you. 210 00:07:41,670 --> 00:07:42,879 He's a grown-up. 211 00:07:42,963 --> 00:07:45,215 He just needs to go on a vacation. 212 00:07:45,298 --> 00:07:47,050 Can't you at least try 213 00:07:47,133 --> 00:07:49,344 to get him to promise to come back in one piece? 214 00:07:51,012 --> 00:07:53,181 He doesn't like to listen. 215 00:07:53,264 --> 00:07:54,808 So make him. 216 00:08:01,231 --> 00:08:02,190 Fuck it. Check my DMs. 217 00:08:02,273 --> 00:08:03,525 She hit me up. 218 00:08:03,608 --> 00:08:05,402 Sure, baby. I didn't even respond. 219 00:08:05,485 --> 00:08:07,153 Scavenger hunt? 220 00:08:07,237 --> 00:08:08,154 Yeah, something like that. 221 00:08:08,238 --> 00:08:09,197 You need a hand? 222 00:08:09,280 --> 00:08:10,699 Nope. You do you. 223 00:08:13,034 --> 00:08:14,285 What do we got? 224 00:08:14,369 --> 00:08:16,287 Barrett Dunkle, 34, decent vitals 225 00:08:16,371 --> 00:08:18,623 given he has Old Glory jammed in his chest. 226 00:08:18,707 --> 00:08:22,210 Satting 91 on 15 liters, BP 132 over 87, 227 00:08:22,293 --> 00:08:23,878 tachy at 112. 228 00:08:23,962 --> 00:08:25,130 Dr. Abbot's expecting you. 229 00:08:25,213 --> 00:08:27,590 Whoa, whoa, whoa, whoa, whoa, man! 230 00:08:27,674 --> 00:08:29,843 - What the fuck? - I'll call you back, baby. 231 00:08:32,429 --> 00:08:33,346 Shit. 232 00:08:33,429 --> 00:08:34,389 I thought I cleared it. 233 00:08:34,472 --> 00:08:35,390 Was it sticking out? 234 00:08:35,472 --> 00:08:37,225 Sticking out, my ass! 235 00:08:37,308 --> 00:08:38,601 Man, this is on you. 236 00:08:38,684 --> 00:08:40,020 You went wide, and you clipped the shit. 237 00:08:40,102 --> 00:08:41,645 Bikes shouldn't be parked there. 238 00:08:41,730 --> 00:08:43,356 It was sticking out. Had to be. 239 00:08:43,440 --> 00:08:45,650 Ain't no fucking way. 240 00:08:45,734 --> 00:08:47,444 Oh, no, you paying for this. 241 00:08:47,527 --> 00:08:49,279 Either you or the city, but you paying for this! 242 00:08:49,362 --> 00:08:50,780 Seriously? We don't need this hassle. 243 00:08:50,864 --> 00:08:51,906 I know. I know. 244 00:08:51,990 --> 00:08:53,533 Fuck! How bad is it? 245 00:08:53,616 --> 00:08:54,534 Not really good. 246 00:08:54,617 --> 00:08:55,702 Fuck! 247 00:08:55,785 --> 00:08:56,745 Is that you, you motherfucker? 248 00:08:56,828 --> 00:08:58,413 Yeah, you better believe it! 249 00:08:58,496 --> 00:08:59,914 I'm gonna take this thing out of my chest 250 00:08:59,998 --> 00:09:01,833 and shove it up your fucking ass! 251 00:09:01,916 --> 00:09:03,752 You hit me with a fucking Rolling Rock, man. 252 00:09:03,835 --> 00:09:05,086 So you got Iwo Jima'd! 253 00:09:05,170 --> 00:09:06,463 You fucking cheated, man. 254 00:09:06,546 --> 00:09:07,714 Every detail must be-- 255 00:09:07,797 --> 00:09:09,716 OK, say bye-bye, gentlemen! 256 00:09:09,799 --> 00:09:11,301 You're on different health journeys now. 257 00:09:11,384 --> 00:09:12,927 I'm going to go see Ahmad. 258 00:09:13,011 --> 00:09:15,346 It's all gonna be on the security video. 259 00:09:16,765 --> 00:09:17,891 Robby's gonna shit. 260 00:09:20,310 --> 00:09:22,187 OK. 261 00:09:22,270 --> 00:09:23,730 Hey, a little help? 262 00:09:23,813 --> 00:09:25,148 All right, he's going straight to Trauma 2. 263 00:09:25,231 --> 00:09:26,483 What is his story? 264 00:09:26,566 --> 00:09:27,859 Bottle to the face, strong vitals, 265 00:09:27,942 --> 00:09:28,985 12-centimeter facial lac. 266 00:09:29,069 --> 00:09:30,487 Yeah, where do you want us? 267 00:09:30,570 --> 00:09:32,822 - North 4 just got cleaned. - To the North. 268 00:09:32,906 --> 00:09:35,116 Abbot, single MVA en route. Five away. 269 00:09:35,200 --> 00:09:36,993 Olive, can you find Robby and Al-Hashimi? 270 00:09:37,077 --> 00:09:38,369 We may need a couple more hands 271 00:09:38,453 --> 00:09:39,829 until we get caught up with these two. 272 00:09:39,913 --> 00:09:40,955 Sir, we are gonna get you more pain meds... 273 00:09:41,039 --> 00:09:42,415 It hurts. 274 00:09:42,499 --> 00:09:43,708 But you need to shut your fucking mouth. 275 00:09:43,792 --> 00:09:45,210 The acronym is SMART, 276 00:09:45,293 --> 00:09:47,504 Single Maintenance and Reliever Therapy. 277 00:09:47,587 --> 00:09:50,590 It's one inhaler that combines an inhaled corticosteroid 278 00:09:50,673 --> 00:09:53,259 with a fast-acting, long-lasting beta agonist. 279 00:09:53,343 --> 00:09:55,929 That's fancy talk for an anti-inflammatory 280 00:09:56,012 --> 00:09:58,765 and a lung muscle relaxer all rolled into one. 281 00:09:58,848 --> 00:10:01,184 But it's $400. And without Medicaid-- 282 00:10:01,267 --> 00:10:03,144 We can help you look into coverage options. 283 00:10:03,228 --> 00:10:04,938 - Thank you. - Of course. 284 00:10:05,021 --> 00:10:07,065 Grady should feel worlds better in a few hours. 285 00:10:07,148 --> 00:10:09,150 Thank you. 286 00:10:09,234 --> 00:10:13,404 So what are my chances of getting off the table alive? 287 00:10:13,488 --> 00:10:16,032 Once you're cleared by the heart and lung specialists 288 00:10:16,116 --> 00:10:20,245 next week, chances of death are low, like 1% or 2%. 289 00:10:20,328 --> 00:10:22,747 And how long would I be in surgery for? 290 00:10:22,831 --> 00:10:25,500 Between three and five hours. 291 00:10:25,583 --> 00:10:26,709 Jeez. 292 00:10:26,793 --> 00:10:28,169 It's long... 293 00:10:28,253 --> 00:10:31,589 Because they have to stop your heart. 294 00:10:31,673 --> 00:10:34,801 You will be on a heart-lung bypass machine, 295 00:10:34,884 --> 00:10:37,637 which will be circulating your blood while they repair 296 00:10:37,720 --> 00:10:39,806 the aneurysm with the graft. 297 00:10:39,889 --> 00:10:41,975 Well, what's the graft made out of? 298 00:10:42,058 --> 00:10:46,187 A synthetic fabric called Dacron, super strong. 299 00:10:46,271 --> 00:10:47,522 OK. 300 00:10:47,605 --> 00:10:49,566 New hoses, new gaskets. 301 00:10:49,649 --> 00:10:51,359 Then what happens after surgery? 302 00:10:51,442 --> 00:10:53,736 You will be in the hospital for about a week. 303 00:10:53,820 --> 00:10:55,613 No work for eight weeks after that, 304 00:10:55,697 --> 00:10:57,031 no strenuous activity, 305 00:10:57,115 --> 00:11:00,410 no lifting anything over 5 pounds. 306 00:11:00,493 --> 00:11:03,580 How am I supposed to take a piss? 307 00:11:03,663 --> 00:11:05,456 Nice. 308 00:11:08,626 --> 00:11:11,796 And how long till I'm back up to full speed? 309 00:11:11,880 --> 00:11:15,049 Three months, maybe more like six, given your age. 310 00:11:17,135 --> 00:11:18,928 And if I don't get the surgery? 311 00:11:21,389 --> 00:11:23,850 50% chance of death within 12 months 312 00:11:23,933 --> 00:11:25,435 if the aneurysm ruptures. 313 00:11:26,644 --> 00:11:29,606 What would I feel if it ruptured? 314 00:11:31,774 --> 00:11:34,194 Some chest pain, maybe some shortness of breath 315 00:11:34,277 --> 00:11:36,738 for about a minute before you passed out from blood loss. 316 00:11:36,821 --> 00:11:38,698 And then? 317 00:11:38,781 --> 00:11:40,033 The big fade out? 318 00:11:40,116 --> 00:11:42,827 Roll the credits. 319 00:11:48,625 --> 00:11:50,710 Quite the coin flip. 320 00:11:50,793 --> 00:11:53,046 No coin flip. This has to happen. 321 00:11:53,129 --> 00:11:55,798 But I do worry that you are not gonna make your appointments 322 00:11:55,882 --> 00:11:58,635 or follow your aftercare instructions if I'm not here. 323 00:11:58,718 --> 00:12:00,470 Sorry, Robby, Abbot asked for me to grab you 324 00:12:00,553 --> 00:12:01,763 for an MVA on route. 325 00:12:04,349 --> 00:12:05,600 Do what you gotta do, man. 326 00:12:05,683 --> 00:12:07,352 I gotta sit with this for a minute. 327 00:12:09,354 --> 00:12:11,981 You go ahead and get dressed. 328 00:12:12,065 --> 00:12:13,608 I'll come back. 329 00:12:41,427 --> 00:12:43,346 Monica got an ICU bed upstairs 330 00:12:43,429 --> 00:12:45,807 so we can take Orlando up now. 331 00:12:45,890 --> 00:12:47,892 - We'll prep him for transfer. - Thanks, hon. 332 00:12:47,976 --> 00:12:49,727 We need this room again in a minute. 333 00:13:01,155 --> 00:13:02,198 All good? 334 00:13:02,282 --> 00:13:04,742 Uh, totally. 335 00:13:04,826 --> 00:13:07,203 Uh, totally? 336 00:13:07,287 --> 00:13:09,580 Look, once more, I feel compelled 337 00:13:09,664 --> 00:13:13,918 to offer some unasked for and probably unwanted advice. 338 00:13:15,086 --> 00:13:17,422 Javadi wasn't making a TikTok video. 339 00:13:17,505 --> 00:13:18,965 She's been posting about Jesse, 340 00:13:19,048 --> 00:13:21,134 trying to find someone who knows where he is. 341 00:13:21,217 --> 00:13:22,468 Ah. 342 00:13:23,636 --> 00:13:26,347 And even if she were making one of her videos, 343 00:13:26,431 --> 00:13:27,557 you ever watched one? 344 00:13:27,640 --> 00:13:29,058 No. 345 00:13:29,142 --> 00:13:30,768 No, my account was suspended 346 00:13:30,852 --> 00:13:33,271 for erotically seditious content. 347 00:13:33,354 --> 00:13:35,231 Well, they're not what you think. 348 00:13:35,315 --> 00:13:36,607 They're actually kind of cool. 349 00:13:36,691 --> 00:13:38,735 It's like this badass self-care. 350 00:13:38,818 --> 00:13:40,695 Huh. 351 00:13:40,778 --> 00:13:42,155 OK, that is it. 352 00:13:42,238 --> 00:13:43,656 I'm going to bury myself in charting 353 00:13:43,740 --> 00:13:44,907 and try to dig my way out. 354 00:13:44,991 --> 00:13:46,200 Edith Lynch, 46, 355 00:13:46,284 --> 00:13:47,702 right-sided chest pain for an hour. 356 00:13:47,785 --> 00:13:49,037 No cardiac history, 357 00:13:49,120 --> 00:13:50,621 minimal relief from sublingual nitro, 358 00:13:50,705 --> 00:13:52,165 - no STEMI on the 12-lead. - Dana? 359 00:13:52,248 --> 00:13:54,417 South 15. 360 00:13:54,500 --> 00:13:56,044 Hi, Edith. I'm Dr. Al-Hashimi. 361 00:13:56,127 --> 00:13:58,004 We'll be taking care of you today. 362 00:13:58,087 --> 00:14:00,381 Absent lung sliding on the right. 363 00:14:00,465 --> 00:14:01,716 I could have told you that from here. 364 00:14:01,799 --> 00:14:03,176 God bless America. 365 00:14:03,259 --> 00:14:04,886 Hemodynamically stable. 366 00:14:04,969 --> 00:14:06,596 I'll put in a 20 French, and then right up to the OR. 367 00:14:06,679 --> 00:14:08,306 Whoa, whoa, whoa! Hold on! 368 00:14:08,389 --> 00:14:09,515 I need surgery? 369 00:14:09,599 --> 00:14:10,975 Sir, you have a collapsed lung. 370 00:14:11,059 --> 00:14:12,268 We need to put a tube in your chest to see 371 00:14:12,352 --> 00:14:13,686 how much internal bleeding there is. 372 00:14:13,770 --> 00:14:15,271 Oh, come on, man, just pull it out! 373 00:14:15,355 --> 00:14:16,773 - Nuh-uh. - No. 374 00:14:16,856 --> 00:14:18,858 OK, everyone knows what to do here, right? 375 00:14:18,941 --> 00:14:21,694 We're gonna take this at a nice slow pace, moving together. 376 00:14:21,778 --> 00:14:23,237 If anyone has an issue, speak up. 377 00:14:23,321 --> 00:14:25,323 There are a lot of moving parts here. 378 00:14:25,406 --> 00:14:26,991 Are they going up to ICU finally? 379 00:14:27,075 --> 00:14:27,992 - Yes. - Great. 380 00:14:28,076 --> 00:14:29,494 How you doing? 381 00:14:29,577 --> 00:14:30,953 Is that a trick question, or-- 382 00:14:31,037 --> 00:14:33,122 Not intended to be, no. 383 00:14:33,206 --> 00:14:34,582 Then not great. 384 00:14:34,665 --> 00:14:36,501 This one got past me. 385 00:14:36,584 --> 00:14:39,212 Well, listen, you tried to find a viable payment plan. 386 00:14:39,295 --> 00:14:40,880 You tried to keep him here. 387 00:14:40,963 --> 00:14:42,840 You even tried to give him a goodie bag, but he left. 388 00:14:42,924 --> 00:14:44,008 I'm not sure what else you could have done. 389 00:14:44,092 --> 00:14:45,718 Been more persuasive. 390 00:14:45,802 --> 00:14:48,805 This was the patient's call-- his life, his mistake. 391 00:14:48,888 --> 00:14:51,015 What mistake, getting diabetes? 392 00:14:51,099 --> 00:14:53,726 Not picking a higher spot to jump from. 393 00:15:04,028 --> 00:15:05,780 History of hyperlipidemia, 394 00:15:05,863 --> 00:15:08,032 an hour of substernal chest pain, 395 00:15:08,116 --> 00:15:10,660 minimal relief with nitro and 4 of MS. 396 00:15:10,743 --> 00:15:12,703 EKG is negative for STEMI. 397 00:15:12,787 --> 00:15:16,999 Heart score is 4, gave 324 milligrams of chewable aspirin, 398 00:15:17,083 --> 00:15:18,751 admit for new onset angina. 399 00:15:18,835 --> 00:15:20,753 Don't mind me. I'm just passing through. 400 00:15:20,837 --> 00:15:22,338 Seemed like you wanted an update. 401 00:15:22,422 --> 00:15:23,798 Well, as long as you feel like you got it covered. 402 00:15:23,881 --> 00:15:25,258 I do. 403 00:15:25,341 --> 00:15:26,968 Go ahead and repeat the 12-lead. 404 00:15:27,051 --> 00:15:28,553 Since I'm here, I did want to ask you about something 405 00:15:28,636 --> 00:15:29,846 I observed earlier. 406 00:15:29,929 --> 00:15:31,180 Oh, you gotta be fucking kidding me. 407 00:15:31,264 --> 00:15:32,682 What? 408 00:15:32,765 --> 00:15:34,392 Look where these anterior leads are placed. 409 00:15:34,475 --> 00:15:36,561 They're way too low. 410 00:15:36,644 --> 00:15:37,645 Holy shit! What's happening? 411 00:15:37,728 --> 00:15:39,605 Mrs. Lynch? V-tach! 412 00:15:39,689 --> 00:15:40,815 No pulse. 413 00:15:40,898 --> 00:15:43,276 Charge to 200. 414 00:15:43,359 --> 00:15:44,610 Charged. 415 00:15:44,694 --> 00:15:46,821 And clear. 416 00:15:46,904 --> 00:15:48,781 OK. Normal sinus. 417 00:15:48,865 --> 00:15:51,075 Strong pulse. Cycle a BP. 418 00:15:52,994 --> 00:15:54,579 Let's repeat that EKG, please. 419 00:15:54,662 --> 00:15:56,747 Put the leads in the right fucking place. 420 00:15:56,831 --> 00:15:59,375 - Who were the medics on this? - Bosco and Otero. 421 00:15:59,459 --> 00:16:01,085 Bosco and Otero. 422 00:16:01,169 --> 00:16:03,963 OK, Bosco and Otero. 423 00:16:04,046 --> 00:16:05,756 See you on Monday. 424 00:16:05,840 --> 00:16:07,633 May your night go smoother than my day. 425 00:16:07,717 --> 00:16:09,260 Happy 4th. 426 00:16:09,343 --> 00:16:11,137 Heard it's been crazy. They shut down when ICE came. 427 00:16:11,220 --> 00:16:13,389 Separate events. Get someone else to explain. 428 00:16:13,473 --> 00:16:14,682 I'm going home. 429 00:16:14,765 --> 00:16:16,851 Damn, what is that? That smells good. 430 00:16:16,934 --> 00:16:18,102 Food from home. 431 00:16:18,186 --> 00:16:19,729 I can't do the cafeteria. 432 00:16:19,812 --> 00:16:21,230 Oh, you gotta give me that recipe. 433 00:16:21,314 --> 00:16:22,940 - I'm going home. - Get home safe. 434 00:16:23,024 --> 00:16:23,983 Mm-hmm. 435 00:16:27,361 --> 00:16:29,572 - Hey. - Hey. 436 00:16:29,655 --> 00:16:31,324 - I'm starving. - Of course. 437 00:16:31,407 --> 00:16:33,534 I will give you $20 for whatever that smell is. 438 00:16:33,618 --> 00:16:34,911 I'll give you some. 439 00:16:34,994 --> 00:16:36,120 - I made too much anyway. - Thank you. 440 00:16:36,204 --> 00:16:37,288 - Just give me a sec. - Yeah. 441 00:16:37,371 --> 00:16:38,748 How can I help you? 442 00:16:38,831 --> 00:16:39,832 My granddad just about cut his hand off 443 00:16:39,915 --> 00:16:41,209 with a tug-of-war rope. 444 00:16:41,292 --> 00:16:43,920 Hi, I--I remember you from earlier. 445 00:16:44,003 --> 00:16:45,087 You're having a family reunion, right? 446 00:16:45,171 --> 00:16:46,339 Yeah. 447 00:16:46,422 --> 00:16:47,840 Is your hand actively bleeding? 448 00:16:47,924 --> 00:16:50,843 Oh, not so bad. Here, take a look. 449 00:16:50,927 --> 00:16:52,220 Mateo, one to come straight back! 450 00:16:52,303 --> 00:16:54,263 - Oh, my God. - Cover that up, please. 451 00:16:54,347 --> 00:16:56,265 I'll need to get a demographics from you. 452 00:16:56,349 --> 00:16:57,850 You got them already. 453 00:16:57,934 --> 00:16:59,685 Hansens been in and out of here all day long. 454 00:16:59,769 --> 00:17:00,978 How did this happen? 455 00:17:01,062 --> 00:17:02,188 He had the rope wrapped around his hand, 456 00:17:02,271 --> 00:17:03,648 cut through it like a machete. 457 00:17:03,731 --> 00:17:05,483 Have a seat, sir. I'll take you right back. 458 00:17:05,566 --> 00:17:08,361 And how would you rate your pain on a scale from 1 to 10? 459 00:17:08,444 --> 00:17:11,321 Oh, it's not too bad on account of my sugars. 460 00:17:12,448 --> 00:17:14,825 With his diabetes, his sensation's a little off. 461 00:17:14,909 --> 00:17:15,826 Yeah. 462 00:17:15,910 --> 00:17:16,953 After you. 463 00:17:17,036 --> 00:17:17,954 Thanks. 464 00:17:18,037 --> 00:17:20,205 Ow. What the fuck? 465 00:17:20,289 --> 00:17:21,874 Trigeminal nerve is good. 466 00:17:21,958 --> 00:17:24,167 Shit! You gonna fix me or torture me? 467 00:17:24,252 --> 00:17:26,462 Ooh, ouch! 468 00:17:26,546 --> 00:17:28,589 Yeah, I need to call plastics. 469 00:17:28,673 --> 00:17:31,217 I called a "kiss off the two, off the rail." 470 00:17:31,300 --> 00:17:33,219 Fucker said I didn't call it. 471 00:17:33,302 --> 00:17:36,180 Okay, yes, it was a bit noisy. The fourth is Styx night. 472 00:17:36,264 --> 00:17:37,974 But I called it. I have witnesses. 473 00:17:38,057 --> 00:17:39,350 Styx, the band? 474 00:17:39,433 --> 00:17:40,351 Yeah. 475 00:17:40,434 --> 00:17:41,519 Ah, love Styx. 476 00:17:41,602 --> 00:17:42,853 I never heard of them. 477 00:17:42,937 --> 00:17:44,772 You never heard of Styx? 478 00:17:44,855 --> 00:17:46,023 "Mr. Roboto"? 479 00:17:46,107 --> 00:17:48,609 My Spotify age isn't 62. 480 00:17:48,693 --> 00:17:51,237 "Come Sail Away"? "Lady"? "Babe"? 481 00:17:52,697 --> 00:17:55,032 Yeah, maybe best if you don't talk. 482 00:17:55,116 --> 00:17:57,702 Looks like there's some sort of foreign body in there. 483 00:17:57,785 --> 00:17:59,328 Mm-hmm. 484 00:17:59,412 --> 00:18:00,830 Are you OK? 485 00:18:00,913 --> 00:18:02,873 Yeah, it's just an awkward position. 486 00:18:02,957 --> 00:18:05,042 Go home. Rest, heat, ice. 487 00:18:05,126 --> 00:18:06,294 Yeah, no, no, I know. 488 00:18:06,377 --> 00:18:08,129 I'm just waiting for things to slow down. 489 00:18:08,212 --> 00:18:10,631 You know, express trains don't stop at your station. 490 00:18:11,882 --> 00:18:13,968 You just gotta jump. 491 00:18:14,051 --> 00:18:15,094 What is that? 492 00:18:15,177 --> 00:18:16,345 Heineken? 493 00:18:16,429 --> 00:18:17,346 Moosehead? 494 00:18:17,430 --> 00:18:18,806 Oh. 495 00:18:18,889 --> 00:18:21,475 From the glass-lined tanks of Old Latrobe. 496 00:18:21,559 --> 00:18:23,477 Ah, Rolling Rock. 497 00:18:23,561 --> 00:18:24,562 Nice. 498 00:18:29,191 --> 00:18:30,901 She's had four of morphine. 499 00:18:30,985 --> 00:18:32,361 How's the pain? 500 00:18:32,445 --> 00:18:33,654 Down to an 8. 501 00:18:33,738 --> 00:18:35,114 There it is, lateral STEMI. 502 00:18:35,197 --> 00:18:36,365 OK, call it in. 503 00:18:36,449 --> 00:18:38,034 The leads were too low to catch it? 504 00:18:38,117 --> 00:18:39,577 Yeah, it's not the first time it's happened. 505 00:18:39,660 --> 00:18:41,120 You get a male medic who's more concerned about 506 00:18:41,203 --> 00:18:42,663 getting sued or a complaint for undoing a bra. 507 00:18:42,747 --> 00:18:44,123 You see these anterior leads here? 508 00:18:44,206 --> 00:18:45,541 Code STEMI, South 15. 509 00:18:45,625 --> 00:18:46,876 Edith, you're having a heart attack 510 00:18:46,959 --> 00:18:48,377 from a blockage in the artery 511 00:18:48,461 --> 00:18:50,087 that brings oxygen to your heart muscle. 512 00:18:50,171 --> 00:18:52,298 - If we get you to the-- - Lateral STEMI, V-tach arrest. 513 00:18:52,381 --> 00:18:54,258 Got her back after one shock. She needs the cath lab. 514 00:18:54,342 --> 00:18:55,968 - And serious heart damage. - Oh, my God. 515 00:18:56,052 --> 00:18:58,721 - You're going to be OK. - Hello, I'm Dr. Cruz. 516 00:18:58,804 --> 00:19:00,431 And I'm Dr. Shen. How are you feeling? 517 00:19:00,514 --> 00:19:01,849 I'm really scared. 518 00:19:01,932 --> 00:19:03,559 We've got you. Anything else? 519 00:19:03,643 --> 00:19:05,645 Uh, like I got kicked in the chest. 520 00:19:05,728 --> 00:19:07,355 Normal after a shock to the heart. 521 00:19:07,438 --> 00:19:09,106 - Family? - Yeah, husband's en route. 522 00:19:09,190 --> 00:19:10,858 Leave the defib pads on and take her up in a minute. 523 00:19:10,941 --> 00:19:12,234 I'm gonna chaperone a nerve block real quick. 524 00:19:12,318 --> 00:19:13,319 Go. 525 00:19:15,363 --> 00:19:16,989 Where's Dr. Al-Hashimi? 526 00:19:17,073 --> 00:19:18,908 She was just here. 527 00:19:28,334 --> 00:19:30,461 Hello, everyone. I'm Dr. Shen. 528 00:19:30,544 --> 00:19:32,296 Heard a rumor someone needed a nerve block. 529 00:19:32,380 --> 00:19:33,964 I'm guessing that's you. 530 00:19:34,048 --> 00:19:36,008 Probably so, although, 531 00:19:36,092 --> 00:19:37,593 you know, I don't have much pain. 532 00:19:37,677 --> 00:19:39,679 I guess it's my diabetes. 533 00:19:39,762 --> 00:19:43,224 We still need to numb you up to do a proper deep clean. 534 00:19:43,307 --> 00:19:45,142 You guys do whatever you gotta do. 535 00:19:45,226 --> 00:19:47,603 Three shots, median, ulnar, and radial. 536 00:19:47,687 --> 00:19:49,480 2 grams of Ancef, 100 milligrams of Gent 537 00:19:49,563 --> 00:19:50,690 for gram-negative coverage. 538 00:19:50,773 --> 00:19:52,066 How'd you do this? 539 00:19:52,149 --> 00:19:54,735 Oh, a family reunion tug-of-war. 540 00:19:54,819 --> 00:19:56,904 I wrapped the rope around my hand for better grip. 541 00:19:56,987 --> 00:19:59,949 And when we fell down, those bastards just kept pulling. 542 00:20:00,032 --> 00:20:01,492 Dirty. 543 00:20:01,575 --> 00:20:04,036 Nah, it's just-- just the way we play. 544 00:20:06,914 --> 00:20:08,332 Michael, you got a second? 545 00:20:08,416 --> 00:20:09,917 Uh, not really, no. 546 00:20:10,000 --> 00:20:11,711 Well, how about showing me a little respect 547 00:20:11,794 --> 00:20:13,879 and finding one? 548 00:20:13,963 --> 00:20:15,005 Sorry, Caleb. 549 00:20:15,089 --> 00:20:16,507 Are you feeling disrespected? 550 00:20:16,590 --> 00:20:18,509 Given that you've been actively blowing me off 551 00:20:18,592 --> 00:20:20,136 all day, yeah, maybe a little bit. 552 00:20:20,219 --> 00:20:21,554 But I have a thick skin. 553 00:20:22,930 --> 00:20:24,473 What can I do for you? 554 00:20:24,557 --> 00:20:27,393 "Should have found a higher place to jump from." 555 00:20:27,476 --> 00:20:29,770 It's an interesting diagnosis, Doctor. 556 00:20:33,733 --> 00:20:35,359 No pithy retort? 557 00:20:35,443 --> 00:20:37,403 Yeah, I didn't think so. 558 00:20:37,486 --> 00:20:39,697 Uh, I just came to say goodbye. 559 00:20:39,780 --> 00:20:41,407 I'm leaving soon. 560 00:20:41,490 --> 00:20:43,117 I know you are too. 561 00:20:44,535 --> 00:20:46,120 Yes. 562 00:20:47,496 --> 00:20:49,749 Keep my number handy, just in case, huh? 563 00:20:49,832 --> 00:20:51,751 Yes, I promise I will. 564 00:20:51,834 --> 00:20:53,043 Thank you, Caleb. 565 00:20:55,546 --> 00:20:57,757 We're gonna give you one Diflucan pill to take home. 566 00:20:57,840 --> 00:21:00,634 Take it in three days if your symptoms persist. 567 00:21:00,718 --> 00:21:02,428 How do I get there? 568 00:21:02,511 --> 00:21:03,846 Where's that? 569 00:21:03,929 --> 00:21:05,514 Home. 570 00:21:05,598 --> 00:21:06,807 Do you know where you live? 571 00:21:06,891 --> 00:21:08,726 Of course I do. It's not far. 572 00:21:08,809 --> 00:21:11,103 But I don't have a way to get there. 573 00:21:12,354 --> 00:21:13,939 How'd you get here? 574 00:21:14,023 --> 00:21:16,275 My--my neighbor Gwen dropped me off, 575 00:21:16,358 --> 00:21:18,611 but she can't drive at night. 576 00:21:18,694 --> 00:21:21,322 We could call you an Uber or a taxi. 577 00:21:21,405 --> 00:21:23,991 I don't have any money. 578 00:21:24,074 --> 00:21:25,659 Excuse me. 579 00:21:25,743 --> 00:21:27,244 Can I help? 580 00:21:27,328 --> 00:21:28,954 Mrs. Clymer has been discharged, 581 00:21:29,038 --> 00:21:29,955 but has no way home. 582 00:21:30,039 --> 00:21:30,998 I'm so sorry. 583 00:21:31,081 --> 00:21:31,999 I don't mean to be a burden. 584 00:21:32,082 --> 00:21:33,375 No burden at all. 585 00:21:33,459 --> 00:21:36,295 Why don't we call you a Lyft? 586 00:21:36,378 --> 00:21:37,630 What is that? 587 00:21:37,713 --> 00:21:38,964 It's like a taxi service. 588 00:21:39,048 --> 00:21:40,800 If you put your address in here, 589 00:21:40,883 --> 00:21:43,219 a car will arrive in a few minutes to bring you home. 590 00:21:43,302 --> 00:21:44,553 - Oh. - My treat. 591 00:21:45,846 --> 00:21:49,850 That's very kind of you, truly. 592 00:21:49,934 --> 00:21:51,435 Perfect. 593 00:21:51,519 --> 00:21:53,479 OK, Olive, could you take Mrs. Clymer out 594 00:21:53,562 --> 00:21:56,190 to the ambulance bay, where Florian will be 595 00:21:56,273 --> 00:21:58,359 arriving in six minutes in a white Toyota Camry? 596 00:21:58,442 --> 00:21:59,568 You bet. 597 00:21:59,652 --> 00:22:00,945 Thank you. 598 00:22:01,028 --> 00:22:03,072 I could use some good karma. 599 00:22:03,155 --> 00:22:04,865 OK. 600 00:22:07,701 --> 00:22:09,912 Oh, uh, hey. 601 00:22:11,497 --> 00:22:12,790 Relax, buddy. 602 00:22:12,873 --> 00:22:14,625 It's Advil. 603 00:22:14,708 --> 00:22:16,919 No, I didn't think you were-- 604 00:22:18,337 --> 00:22:20,005 Headache? 605 00:22:20,089 --> 00:22:23,050 Uh, I tweaked my back a little 606 00:22:23,133 --> 00:22:25,886 lifting that overheated kid. 607 00:22:25,970 --> 00:22:27,221 I guess I should get used to 608 00:22:27,304 --> 00:22:29,974 playing through the pain again, huh? 609 00:22:30,057 --> 00:22:32,434 You look like you got into shape since I saw you last. 610 00:22:32,518 --> 00:22:34,395 Didn't peg you as a gym guy. 611 00:22:34,478 --> 00:22:35,813 Oh, no. 612 00:22:35,896 --> 00:22:38,607 I'm maybe more of a barn guy. 613 00:22:38,691 --> 00:22:41,652 I'm helping out a friend on the farm, so... 614 00:22:43,320 --> 00:22:44,363 Nice. 615 00:22:44,446 --> 00:22:46,073 I'm picturing "Babe," 616 00:22:46,156 --> 00:22:47,867 except instead of Farmer Hoggett, it's you. 617 00:22:47,950 --> 00:22:49,243 And instead of a pig-- 618 00:22:49,326 --> 00:22:51,120 Can you cut the shit? 619 00:22:52,746 --> 00:22:54,039 Excuse me? 620 00:22:54,123 --> 00:22:56,292 The sarcasm thing, the--the--the-- 621 00:22:56,375 --> 00:22:58,043 the little buddy routine, like--like--like, 622 00:22:58,127 --> 00:22:59,920 you're what, you're the Skipper, I'm Gilligan? 623 00:23:00,004 --> 00:23:01,839 Dude, you're not the Skipper. 624 00:23:01,922 --> 00:23:04,091 I know I'm not the Skipper. Robby is the Skipper. 625 00:23:04,174 --> 00:23:06,218 No, Robby is the Professor. Dana's the Skipper. 626 00:23:06,302 --> 00:23:07,761 OK, somebody's watched a lot of Nick at Nite. 627 00:23:07,845 --> 00:23:10,180 So who am I? 628 00:23:10,264 --> 00:23:12,349 Play whatever part you like. 629 00:23:12,433 --> 00:23:14,643 Just don't pick mine for me. 630 00:23:16,228 --> 00:23:17,521 OK. 631 00:23:17,605 --> 00:23:19,565 OK, that's fair. 632 00:23:19,648 --> 00:23:21,233 You got it. 633 00:23:21,317 --> 00:23:23,444 Thank you. 634 00:23:23,527 --> 00:23:25,863 You headed home? 635 00:23:25,946 --> 00:23:28,616 Uh, no, I'm waiting on Robby. 636 00:23:28,699 --> 00:23:30,409 He asked me to house-sit while he's gone. 637 00:23:30,492 --> 00:23:33,245 So I'm waiting for the keys, the alarm code. 638 00:23:34,663 --> 00:23:35,998 Nice. Nice. 639 00:23:36,081 --> 00:23:37,875 Yeah, I've-- I've seen his place. 640 00:23:37,958 --> 00:23:40,169 You're in for a sweet setup. 641 00:23:40,252 --> 00:23:42,254 Cool. 642 00:23:42,338 --> 00:23:46,091 I'm sorry if I came across a little strong. 643 00:23:46,175 --> 00:23:48,427 Don't apologize for standing up for yourself. 644 00:23:48,510 --> 00:23:50,429 It's a healthy habit. 645 00:23:52,473 --> 00:23:54,266 You know, I really don't need to see this again. 646 00:23:54,350 --> 00:23:55,768 No, this is my favorite part. 647 00:23:57,394 --> 00:23:58,354 My hand's starting to cramp. 648 00:23:58,437 --> 00:23:59,605 We gotta be done soon. 649 00:23:59,688 --> 00:24:01,357 Oh, you can be done now. 650 00:24:01,440 --> 00:24:04,401 But if you want to the hospital to cover you, last one. 651 00:24:10,074 --> 00:24:13,118 Hey, Robby. It was an accident, man. 652 00:24:13,202 --> 00:24:14,662 What are you talking about? 653 00:24:14,745 --> 00:24:16,789 Your bike. 654 00:24:24,713 --> 00:24:27,174 Son of a bitch. 655 00:24:27,257 --> 00:24:29,969 Oh, motherfucker! 656 00:24:31,470 --> 00:24:33,430 Robby, GSW to the head. 657 00:24:33,514 --> 00:24:34,723 Somebody hit my bike. 658 00:24:34,807 --> 00:24:36,308 Dude, that sucks. 659 00:24:36,392 --> 00:24:37,810 Is it still rideable? 660 00:24:39,144 --> 00:24:40,688 It better be. 661 00:24:40,771 --> 00:24:42,940 Elbridge Gerry, 25, stable with good vitals. 662 00:24:43,023 --> 00:24:44,525 Of thee I sing 663 00:24:44,608 --> 00:24:46,110 Was shooting his .22 caliber pistol in the air 664 00:24:46,193 --> 00:24:47,611 with an aluminum pot on his head for protection. 665 00:24:47,695 --> 00:24:48,946 Didn't work. 666 00:24:49,029 --> 00:24:50,322 He's had about a quart of Seagrams 7 667 00:24:50,406 --> 00:24:51,615 and will probably light up a tox screen 668 00:24:51,699 --> 00:24:53,951 like a Roman candle. 669 00:24:54,034 --> 00:24:56,537 We start fucking 670 00:24:56,620 --> 00:24:57,997 Real wordsmith. 671 00:24:58,080 --> 00:24:59,415 Entry wound in the frontal scalp, 672 00:24:59,498 --> 00:25:00,749 seems to have tracked down the forehead. 673 00:25:00,833 --> 00:25:01,875 As alert and oriented as you can be 674 00:25:01,959 --> 00:25:03,127 after multiple bong hits. 675 00:25:03,210 --> 00:25:04,586 Got vital satting 98 on room air. 676 00:25:04,670 --> 00:25:05,921 - Sorry, Robby. - Don't you fucking leave. 677 00:25:06,005 --> 00:25:06,922 - I can explain. - I will be right back. 678 00:25:07,006 --> 00:25:07,923 What's this? 679 00:25:08,007 --> 00:25:09,383 Trauma 2. 680 00:25:09,466 --> 00:25:10,801 Low velocity GSW to the head, 681 00:25:10,884 --> 00:25:12,219 seems to have remained extracranial. 682 00:25:12,302 --> 00:25:13,804 Lucky guy. 683 00:25:13,887 --> 00:25:17,933 Gloria, Gloria, here's a dollar! 684 00:25:18,017 --> 00:25:20,477 After a fireworks explosion resulting 685 00:25:20,561 --> 00:25:22,855 in the loss of two fingers. 686 00:25:22,938 --> 00:25:25,024 Ooh, that sounds nasty. 687 00:25:25,107 --> 00:25:27,693 Yeah, that was a sad one. 688 00:25:27,776 --> 00:25:29,069 Parents were deported. 689 00:25:29,153 --> 00:25:31,488 Big sister works a full-time job 690 00:25:31,572 --> 00:25:33,032 and is the sole caregiver. 691 00:25:33,115 --> 00:25:34,700 Been there, done that. 692 00:25:34,783 --> 00:25:36,493 Your parents were deported? 693 00:25:36,577 --> 00:25:38,287 Oh, no. I thought she said departed. 694 00:25:39,955 --> 00:25:41,749 Did either of you guys work on 695 00:25:41,832 --> 00:25:44,585 the Revolutionary War reenactors earlier? 696 00:25:44,668 --> 00:25:47,296 Why, you didn't think you could pull off a tricorn hat? 697 00:25:47,379 --> 00:25:50,174 Maybe. 698 00:25:50,257 --> 00:25:51,800 I've always loved history, 699 00:25:51,884 --> 00:25:55,846 and Colonial Williamsburg was my favorite school trip. 700 00:25:55,929 --> 00:25:57,514 And, you know, there's always the Ren Faire, 701 00:25:57,598 --> 00:25:59,933 but that's just once a year. 702 00:26:00,017 --> 00:26:02,227 How often do you think the reenactors get together? 703 00:26:03,937 --> 00:26:05,647 I don't know. No. 704 00:26:05,731 --> 00:26:07,524 You should definitely look into that. 705 00:26:07,608 --> 00:26:08,776 - Yeah? - Yeah. 706 00:26:08,859 --> 00:26:10,069 OK. 707 00:26:20,079 --> 00:26:22,206 Deep-throated husky with a touch of bitch. 708 00:26:22,289 --> 00:26:23,665 That's her tune. 709 00:26:23,749 --> 00:26:25,000 That's what I thought, but you're the expert. 710 00:26:25,084 --> 00:26:26,627 I just needed to make sure. 711 00:26:28,087 --> 00:26:29,797 I was going through Billings once. 712 00:26:29,880 --> 00:26:33,383 Cop saw my colors, jacked me up, 713 00:26:33,467 --> 00:26:34,802 kept me overnight. 714 00:26:34,885 --> 00:26:38,472 They threw my sweetheart in the impound yard. 715 00:26:38,555 --> 00:26:40,349 They claimed someone backed into it, 716 00:26:40,432 --> 00:26:43,560 but you could see where they took their hammer to it, man. 717 00:26:43,644 --> 00:26:45,020 You gotta be careful out there. 718 00:26:45,104 --> 00:26:46,355 This is all pretty minor, though, right? 719 00:26:46,438 --> 00:26:48,649 Yeah, shit, this is just cosmetic. 720 00:26:48,732 --> 00:26:51,151 Bring it in tomorrow, and we'll get Bonnie right. 721 00:26:51,235 --> 00:26:52,861 Well, this will bend back. This will tighten up. 722 00:26:52,945 --> 00:26:54,571 - I can do all that myself. - Jesus, let me do it. 723 00:26:54,655 --> 00:26:55,823 - There's no charge. - What? 724 00:26:55,906 --> 00:26:57,199 You don't owe me anything, except 725 00:26:57,282 --> 00:26:59,701 take care of yourself while I'm gone. 726 00:26:59,785 --> 00:27:01,578 Boy, this record never stops, huh? 727 00:27:01,662 --> 00:27:04,456 Nah, it's dance till you drop! 728 00:27:04,540 --> 00:27:05,958 Then what? 729 00:27:06,041 --> 00:27:08,043 Teach the kids the steps before you do. 730 00:27:08,127 --> 00:27:09,419 And then what? 731 00:27:09,503 --> 00:27:10,921 Hope they make it farther than you. 732 00:27:11,004 --> 00:27:12,548 Hey, Robby, you're coming or going? 733 00:27:12,631 --> 00:27:14,341 I'm going, pretty soon. What have you got here? 734 00:27:14,424 --> 00:27:17,261 Lyman Paine, 53, single MVC. 735 00:27:17,344 --> 00:27:18,428 Drove into a telephone pole. 736 00:27:18,512 --> 00:27:19,721 Passenger space intrusion? 737 00:27:19,805 --> 00:27:20,848 No, head on. 738 00:27:20,931 --> 00:27:21,849 Intoxicated? 739 00:27:21,932 --> 00:27:23,809 No ETOH on his breath. 740 00:27:23,892 --> 00:27:25,602 Either syncope, seizure, 741 00:27:25,686 --> 00:27:28,105 or he just fell asleep at the wheel. 742 00:27:28,188 --> 00:27:30,149 Airbag deployed, unconscious at the scene, 743 00:27:30,232 --> 00:27:31,150 but he's waking up. 744 00:27:31,233 --> 00:27:32,651 BP 140 over 80, 745 00:27:32,734 --> 00:27:34,444 pulse 120, pulse ox 98, 746 00:27:34,528 --> 00:27:35,696 no obvious injuries. 747 00:27:35,779 --> 00:27:36,697 Why don't you guys head on in? 748 00:27:36,780 --> 00:27:37,906 I'll meet you in a minute. 749 00:27:42,703 --> 00:27:45,414 Well, hey, buddy, I guess this is it. 750 00:27:45,497 --> 00:27:47,291 Make those appointments next week, you know? 751 00:27:47,374 --> 00:27:49,418 I'll call you from the road to make sure you do. 752 00:27:49,501 --> 00:27:51,086 - Don't do that, man. - What? 753 00:27:51,170 --> 00:27:53,046 Don't shine me on. 754 00:27:53,130 --> 00:27:55,007 I'm not. 755 00:27:55,090 --> 00:27:56,466 Jesus. 756 00:27:56,550 --> 00:27:58,260 I get it. 757 00:27:58,343 --> 00:28:01,263 Hard place to leave, a harder place to stay. 758 00:28:02,973 --> 00:28:04,099 Yeah. 759 00:28:06,518 --> 00:28:09,229 Look, I'm not ready to say goodbye yet. 760 00:28:09,313 --> 00:28:12,733 So go do what you gotta do, and I'll get some tools 761 00:28:12,816 --> 00:28:15,110 from the truck and see if I can't make 762 00:28:15,194 --> 00:28:17,321 Bonnie smile again for you. 763 00:28:20,991 --> 00:28:22,242 OK. 764 00:28:22,326 --> 00:28:23,911 OK, then. 765 00:28:30,959 --> 00:28:33,295 Robby, man, I'm so sorry. We've been on for 14 straight. 766 00:28:33,378 --> 00:28:34,922 - I thought I cleared it. - It's all right. 767 00:28:35,005 --> 00:28:36,215 Honestly, I feel terrible. 768 00:28:36,298 --> 00:28:38,050 No real harm done. 769 00:28:38,133 --> 00:28:39,843 I was bound to nick it up on the road anyway. 770 00:28:39,927 --> 00:28:43,138 First blood drawn, it's a good omen really. 771 00:28:43,222 --> 00:28:44,598 Thought he'd be more pissed. 772 00:28:44,681 --> 00:28:46,642 I thought you might get punched. 773 00:28:46,725 --> 00:28:48,143 Chest and belly look good. 774 00:28:48,227 --> 00:28:49,478 Let me drag Neurosurgery down here to deal with 775 00:28:49,561 --> 00:28:50,687 the C-spine before I go. 776 00:28:50,771 --> 00:28:53,190 - You off? - Yep, an hour ago. 777 00:28:53,273 --> 00:28:55,108 - Can't you tell? - How you doing, sir? 778 00:28:55,192 --> 00:28:57,819 Actually, not too good. 779 00:28:57,903 --> 00:28:59,154 The tingling is getting worse. 780 00:28:59,238 --> 00:29:00,822 It's in both my arms now. 781 00:29:00,906 --> 00:29:02,449 I feel like something's wrong. 782 00:29:02,532 --> 00:29:04,660 Hey, man. What are we looking at? 783 00:29:04,743 --> 00:29:07,287 Ran into a telephone pole, airbag deployed. 784 00:29:07,371 --> 00:29:08,830 Seizure? Stroke? 785 00:29:08,914 --> 00:29:10,165 Not sure. 786 00:29:10,249 --> 00:29:11,333 Possible C-spine. 787 00:29:11,416 --> 00:29:13,710 CT showed uni-facet dislocation. 788 00:29:13,794 --> 00:29:15,504 I'm trying not to freak out. 789 00:29:15,587 --> 00:29:17,089 I'm having trouble breathing. 790 00:29:17,172 --> 00:29:19,216 Squeeze my hand. 791 00:29:19,299 --> 00:29:20,801 Real hard. 792 00:29:20,884 --> 00:29:21,927 Three out of five strength. 793 00:29:22,010 --> 00:29:23,053 OK. 794 00:29:23,136 --> 00:29:24,554 10 milligrams dexamethasone. 795 00:29:24,638 --> 00:29:26,682 Dexamethasone? For spinal injury? 796 00:29:26,765 --> 00:29:28,267 It's compression from a jumped facet 797 00:29:28,350 --> 00:29:29,935 and maybe some ischemia from a kinked vessel. 798 00:29:30,018 --> 00:29:31,311 What's--what's happening? 799 00:29:31,395 --> 00:29:33,897 Sir, you have a partial dislocation 800 00:29:33,981 --> 00:29:35,482 of two vertebrae in your neck. 801 00:29:35,565 --> 00:29:37,317 It's putting pressure on your spinal cord. 802 00:29:37,401 --> 00:29:38,944 How do you fix it? 803 00:29:39,027 --> 00:29:41,697 We need Neurosurgery to screw a clamp 804 00:29:41,780 --> 00:29:43,615 into both sides of your skull 805 00:29:43,699 --> 00:29:46,493 and then use traction under X-ray guidance 806 00:29:46,576 --> 00:29:48,036 to get everything realigned. 807 00:29:48,120 --> 00:29:50,622 Like a chiropractic adjustment? 808 00:29:50,706 --> 00:29:53,458 It's a bit more complicated than that. 809 00:29:53,542 --> 00:29:55,335 I think I'm having a panic attack, 810 00:29:55,419 --> 00:29:58,297 because I can't even get a shallow breath. 811 00:29:58,380 --> 00:30:00,882 Or he's losing C3, 4, and 5. 812 00:30:00,966 --> 00:30:02,843 Uh, page Neurosurgery. 813 00:30:02,926 --> 00:30:04,928 - Garcia went to go get them. - No. Page overhead. 814 00:30:05,012 --> 00:30:07,597 Find Robby if he's still here. 815 00:30:07,681 --> 00:30:10,392 Any available neurosurgeon to ED Trauma 1, stat! 816 00:30:10,475 --> 00:30:13,687 Any available neurosurgeon to ED Trauma 1, stat! 817 00:30:15,522 --> 00:30:17,399 Dr. Robby? 818 00:30:17,482 --> 00:30:20,777 Uh, yeah? 819 00:30:20,861 --> 00:30:23,655 You're needed in Trauma 1. 820 00:30:23,739 --> 00:30:25,449 OK. 821 00:30:25,532 --> 00:30:26,825 - What patient? - Dr. Langdon's. 822 00:30:26,908 --> 00:30:28,160 It's a neck injury. 823 00:30:31,330 --> 00:30:32,497 I got the fellow. 824 00:30:32,581 --> 00:30:33,832 They could be down in 15 minutes. 825 00:30:33,915 --> 00:30:35,083 He's progressing too fast for that. 826 00:30:35,167 --> 00:30:37,002 What's going on? 827 00:30:37,085 --> 00:30:39,546 Uni-facet dislocation, C4/C5, 828 00:30:39,629 --> 00:30:41,298 paresthesia and decreased tidal volume. 829 00:30:41,381 --> 00:30:42,632 Sat's 85. 830 00:30:42,716 --> 00:30:44,593 We need to prepare for intubation. 831 00:30:44,676 --> 00:30:46,303 Any delay in reduction almost guarantees 832 00:30:46,386 --> 00:30:48,638 complete spinal cord injury. 833 00:30:48,722 --> 00:30:50,640 What other options do we have? 834 00:30:50,724 --> 00:30:54,311 Uh, I saw Neurosurgery do a closed reduction once in ICU. 835 00:30:54,394 --> 00:30:55,771 Blind? That's crazy risky. 836 00:30:55,854 --> 00:30:57,064 We gotta do something. 837 00:30:57,147 --> 00:30:58,648 What's that procedure, Dr. Langdon? 838 00:30:58,732 --> 00:31:00,817 It's just-- it's traction on the neck, 839 00:31:00,901 --> 00:31:03,487 we flex the dislocated side and into slight extension. 840 00:31:03,570 --> 00:31:04,946 Quadriplegia, if done wrong. 841 00:31:05,030 --> 00:31:06,573 I'm sorry, what-- did you say quadriplegic? 842 00:31:06,656 --> 00:31:08,075 It is a possibility, sir. 843 00:31:08,158 --> 00:31:09,910 It's also the same possibility if we do nothing. 844 00:31:09,993 --> 00:31:11,161 You wanna try? 845 00:31:11,244 --> 00:31:12,954 I've never seen it done. You have. 846 00:31:13,038 --> 00:31:14,414 I can't feel my feet. 847 00:31:14,498 --> 00:31:15,957 Sats 79. 100% non-rebreather? 848 00:31:16,041 --> 00:31:17,292 He's progressing, Dr. Langdon. 849 00:31:17,376 --> 00:31:18,752 What is your plan? 850 00:31:18,835 --> 00:31:20,253 Uh, Neuro-- 851 00:31:20,337 --> 00:31:21,922 Fuck Neuro. This is right here, right now. 852 00:31:22,005 --> 00:31:23,548 This guy's gonna be a living head if we do nothing. 853 00:31:23,632 --> 00:31:26,259 - I could paralyze him. - Doctor the fuck up. 854 00:31:30,555 --> 00:31:33,350 Sir, the partial dislocation of the two vertebrae 855 00:31:33,433 --> 00:31:35,685 in your neck is putting pressure on your spinal cord. 856 00:31:35,769 --> 00:31:38,313 I can try to move the neck bones back into place. 857 00:31:38,397 --> 00:31:40,273 That could help. There's no guarantees. 858 00:31:40,357 --> 00:31:41,817 If we do nothing, 859 00:31:41,900 --> 00:31:43,485 the weakness is definitely going to get worse. 860 00:31:43,568 --> 00:31:45,987 But either way, there's still a chance of paralysis. 861 00:31:46,071 --> 00:31:48,573 Do it. Please. Please. 862 00:31:48,657 --> 00:31:50,200 50 of fentanyl IV. 863 00:31:50,283 --> 00:31:51,993 You need to let us know if the weakness gets worse 864 00:31:52,077 --> 00:31:54,287 or if there's any sudden pain, and we'll stop immediately. 865 00:31:54,371 --> 00:31:55,831 Dr. Cruz, Robby, 866 00:31:55,914 --> 00:31:58,166 hold down his shoulders for countertraction. 867 00:31:58,250 --> 00:32:00,127 OK, I'm gonna pull on your head. 868 00:32:00,210 --> 00:32:02,087 Your job is to try to relax, 869 00:32:02,170 --> 00:32:04,548 breathe so we can overcome the muscle spasm. 870 00:32:09,469 --> 00:32:10,971 Flexing to the right. 871 00:32:14,224 --> 00:32:15,434 Any change? 872 00:32:15,517 --> 00:32:17,811 My legs are starting to tingle. 873 00:32:17,894 --> 00:32:19,396 Last step. 874 00:32:22,482 --> 00:32:23,900 Ah! 875 00:32:23,984 --> 00:32:25,110 - I felt something click. - Oh, fuck! Oh, fuck! 876 00:32:25,193 --> 00:32:26,695 - I felt it too. - Sir, talk to us. 877 00:32:26,778 --> 00:32:28,321 - What's going on? - Oh. 878 00:32:28,405 --> 00:32:30,365 I think-- 879 00:32:30,449 --> 00:32:31,783 I think... 880 00:32:31,867 --> 00:32:33,869 Yeah. I'm starting to breathe easier. 881 00:32:33,952 --> 00:32:35,996 Any change in your hand or feet? 882 00:32:36,079 --> 00:32:37,497 Oh. 883 00:32:37,581 --> 00:32:38,874 Oh, this is maybe a little less numb. 884 00:32:38,957 --> 00:32:40,459 Philadelphia collar is ready. 885 00:32:40,542 --> 00:32:41,626 Talk to me. 886 00:32:41,710 --> 00:32:42,919 Langdon just reduced 887 00:32:43,003 --> 00:32:44,754 a uni-facet cervical dislocation. 888 00:32:44,838 --> 00:32:47,549 What? Without neurosurgery? Don't try this at home, kids. 889 00:32:47,632 --> 00:32:49,134 He was deteriorating quickly. 890 00:32:49,217 --> 00:32:50,594 Neuro exam is improving. 891 00:32:50,677 --> 00:32:52,637 Oh, my God, it's definitely better. 892 00:32:52,721 --> 00:32:55,474 Oh, my God. 893 00:32:55,557 --> 00:32:57,309 Nice job. 894 00:32:57,392 --> 00:32:58,768 All right, repeat CT, 895 00:32:58,852 --> 00:33:00,270 then Neurosurgery can take him up for a halo. 896 00:33:00,353 --> 00:33:01,605 Brass balls, buddy. 897 00:33:01,688 --> 00:33:03,732 - See? You haven't lost it. - Um, excuse me. 898 00:33:03,815 --> 00:33:06,276 I'm just gonna step outside for a second. 899 00:33:21,249 --> 00:33:23,960 Langdon, honey, I just got a call from upstairs. 900 00:33:24,044 --> 00:33:25,378 Were you supposed to get a urine screen 901 00:33:25,462 --> 00:33:27,047 - and turn it in by 8:00 tonight? - Fuck! 902 00:33:27,130 --> 00:33:28,256 Um... 903 00:33:29,508 --> 00:33:31,718 Oh, no. Uh, ye--yes. 904 00:33:31,801 --> 00:33:33,720 Can you just--can you tell them that I was in a trauma? 905 00:33:33,803 --> 00:33:35,096 I'm going right now. 906 00:33:38,892 --> 00:33:40,352 Where's he off to? 907 00:33:40,435 --> 00:33:42,145 No idea. 908 00:33:42,229 --> 00:33:44,689 Did you find your ID badge yet? 909 00:33:44,773 --> 00:33:46,691 No, I've looked everywhere. 910 00:33:46,775 --> 00:33:48,360 Must have been thrown out on accident. 911 00:33:48,443 --> 00:33:49,861 They'll issue you a new one. 912 00:33:49,945 --> 00:33:51,154 You just have to fill out a bunch of forms. 913 00:33:51,238 --> 00:33:52,614 Oh, great. 914 00:33:56,576 --> 00:33:58,036 What? 915 00:33:58,119 --> 00:33:59,037 Cow in labor? 916 00:33:59,120 --> 00:34:00,497 No, I-- 917 00:34:00,580 --> 00:34:02,415 I ordered a patient a Lyft. 918 00:34:02,499 --> 00:34:06,878 Now I have a $250 surcharge and a complaint on my account. 919 00:34:06,962 --> 00:34:09,005 - What? - What'd they do? 920 00:34:09,089 --> 00:34:10,422 It was a sweet old lady. 921 00:34:10,507 --> 00:34:12,509 Who apparently had some racist 922 00:34:12,592 --> 00:34:14,135 and abusive things to say 923 00:34:14,219 --> 00:34:16,429 right before puking in the back. 924 00:34:16,513 --> 00:34:19,139 You never know with some people. 925 00:34:19,224 --> 00:34:20,516 There goes my first paycheck. 926 00:34:20,600 --> 00:34:21,976 St. Huckleberry. 927 00:34:22,060 --> 00:34:23,228 No good deed. 928 00:34:26,273 --> 00:34:29,275 I can see why you liked restoring this bike. 929 00:34:29,359 --> 00:34:30,985 You're a fixer. 930 00:34:31,069 --> 00:34:33,112 I fix bikes, but you fix people. 931 00:34:33,196 --> 00:34:35,782 That's pretty damn impressive, man. 932 00:34:35,864 --> 00:34:37,826 Some people can't be fixed. 933 00:34:39,286 --> 00:34:41,454 Look, I'm-- 934 00:34:41,538 --> 00:34:44,456 I've done plenty of things I'm not proud of. 935 00:34:44,541 --> 00:34:45,458 Yeah, me too. 936 00:34:45,542 --> 00:34:48,128 No, bad things-- 937 00:34:48,210 --> 00:34:50,714 hurt people on purpose, 938 00:34:50,797 --> 00:34:52,507 hurt myself. 939 00:34:52,591 --> 00:34:55,302 And I did my time, but that doesn't wash away the regret. 940 00:34:55,385 --> 00:34:57,679 I... 941 00:34:57,762 --> 00:34:59,973 wish I'd done things differently. 942 00:35:00,056 --> 00:35:02,434 I think about it every day. 943 00:35:02,517 --> 00:35:05,604 You know, they say that it's never too late to change. 944 00:35:05,687 --> 00:35:09,316 Some things can't be changed, like death. 945 00:35:09,399 --> 00:35:11,151 Death can't be changed. 946 00:35:11,234 --> 00:35:13,069 Hey, I know the surgery is scary. 947 00:35:13,153 --> 00:35:15,780 I'm not talking about me. 948 00:35:29,586 --> 00:35:32,589 Yeah, I don't know if I wanna be here anymore. 949 00:35:34,674 --> 00:35:36,968 I don't know how you stand 12 minutes in there, 950 00:35:37,052 --> 00:35:41,598 let alone 12 hours, 20 years. 951 00:35:41,681 --> 00:35:42,891 No. 952 00:35:42,974 --> 00:35:45,268 That's the only place I can be. 953 00:35:45,352 --> 00:35:50,482 I have purpose in there. I can be distracted in there. 954 00:35:50,565 --> 00:35:54,235 I don't know that I wanna be... 955 00:35:54,319 --> 00:35:58,198 anywhere anymore. 956 00:36:03,161 --> 00:36:06,122 So what's the plan? 957 00:36:06,206 --> 00:36:08,166 Ride. 958 00:36:08,249 --> 00:36:10,043 - Toward what? - I don't know. 959 00:36:10,126 --> 00:36:11,169 Away from what? 960 00:36:11,252 --> 00:36:13,129 Everything. 961 00:36:13,213 --> 00:36:16,341 Well, that's not riding. That's running. 962 00:36:16,424 --> 00:36:19,469 Is that your final lesson for these kids? 963 00:36:24,641 --> 00:36:26,101 What's up, Robby? 964 00:36:26,184 --> 00:36:29,813 Well, if it isn't Medics Bosco and Otero. 965 00:36:31,981 --> 00:36:33,024 You still on? 966 00:36:33,108 --> 00:36:34,234 Not for much longer. 967 00:36:34,317 --> 00:36:36,569 I was looking for you two. 968 00:36:36,653 --> 00:36:38,238 Rita Wolcott, 22. 969 00:36:38,321 --> 00:36:40,448 She was using a dumpster to climb a fire escape 970 00:36:40,532 --> 00:36:41,950 to get to a roof party. 971 00:36:42,033 --> 00:36:43,785 Slipped about 6 feet onto concrete. 972 00:36:43,868 --> 00:36:45,412 Possible tib-fib fracture. 973 00:36:45,495 --> 00:36:46,788 Oh, can I please tell it? 974 00:36:46,871 --> 00:36:48,540 You're making me sound like an idiot. 975 00:36:48,623 --> 00:36:50,166 My friends and I were just trying to watch the fireworks 976 00:36:50,250 --> 00:36:51,626 from the roof of our building. 977 00:36:51,710 --> 00:36:53,795 But the roof access door and the stairwells stuck, 978 00:36:53,878 --> 00:36:56,047 so we decided to climb the fire escape. 979 00:36:56,131 --> 00:36:58,007 They were supposed to hold the dumpster still while I... 980 00:36:58,800 --> 00:36:59,843 But they didn't. 981 00:36:59,926 --> 00:37:01,219 Then I fell. 982 00:37:01,302 --> 00:37:03,388 Like I said, 6 feet onto concrete. 983 00:37:03,471 --> 00:37:05,390 Yeah, because they didn't hold it still. 984 00:37:05,473 --> 00:37:06,975 Well, it's a good thing she didn't need a 12-lead. 985 00:37:07,058 --> 00:37:08,727 Why's that? 986 00:37:08,810 --> 00:37:10,061 'Cause you guys put one on about a half hour ago wrong 987 00:37:10,145 --> 00:37:11,271 and you missed the STEMI. 988 00:37:11,354 --> 00:37:12,272 Bullshit. 989 00:37:12,355 --> 00:37:13,440 46-year-old woman. 990 00:37:13,523 --> 00:37:15,233 A minute after you left, V-tach. 991 00:37:15,316 --> 00:37:17,610 Repeat EKG showed a massive lateral STEMI. 992 00:37:17,694 --> 00:37:18,820 No way. 993 00:37:18,903 --> 00:37:20,280 Leads were so inferior, 994 00:37:20,363 --> 00:37:21,906 you might as well have not put them on at all. 995 00:37:21,990 --> 00:37:23,450 What were you afraid of, her bra? 996 00:37:23,533 --> 00:37:24,951 What have we got? 997 00:37:25,034 --> 00:37:27,036 We've got a 22-year-old probable tib-fib fracture 998 00:37:27,120 --> 00:37:28,371 from a 6-foot fall. 999 00:37:28,455 --> 00:37:29,956 Why don't you take her to Central 13? 1000 00:37:30,039 --> 00:37:31,374 Got it. Right this way. 1001 00:37:31,458 --> 00:37:33,293 As I was saying, bad data is shit data. 1002 00:37:33,376 --> 00:37:35,628 Maybe she was diaphoretic and they slid down en route. 1003 00:37:35,712 --> 00:37:37,088 Yeah, she was moving a lot. 1004 00:37:37,172 --> 00:37:38,548 Diaphoretic, my ass. She had big breasts. 1005 00:37:38,631 --> 00:37:39,966 You didn't wanna move 'em out of the way 1006 00:37:40,049 --> 00:37:41,634 - to get under her bra line. - Come on, Robby. 1007 00:37:41,718 --> 00:37:43,052 Women are misdiagnosed for heart attacks all the time. 1008 00:37:43,136 --> 00:37:44,429 This is a big reason why. 1009 00:37:44,512 --> 00:37:45,805 Shall we put it to a vote? 1010 00:37:45,889 --> 00:37:48,183 Hey, ladies in the room, show of hands. 1011 00:37:48,266 --> 00:37:50,643 Death with modesty, or life with brief nudity? 1012 00:37:50,727 --> 00:37:53,229 Death or life? 1013 00:37:53,313 --> 00:37:55,023 Look at that-- turns out women wanna live. 1014 00:37:55,106 --> 00:37:56,441 Got it. 1015 00:37:56,524 --> 00:37:57,692 EKG is an amazing tool if you use it right. 1016 00:37:57,776 --> 00:37:59,068 You could have told us in private. 1017 00:37:59,152 --> 00:38:00,445 I think this was more instructive. 1018 00:38:00,528 --> 00:38:02,197 Agreed. 1019 00:38:03,823 --> 00:38:06,159 Hey, hell of a save your boy made. 1020 00:38:06,242 --> 00:38:07,494 On-the-fly reduction 1021 00:38:07,577 --> 00:38:09,329 of a uni-facet cervical dislocation-- 1022 00:38:09,412 --> 00:38:10,622 that's some cowboy shit. 1023 00:38:10,705 --> 00:38:11,998 Yeah, it was. Where is he? 1024 00:38:12,081 --> 00:38:13,833 Ran off for a drug test. 1025 00:38:13,917 --> 00:38:16,085 You got your wish. You don't have to say goodbye. 1026 00:38:21,925 --> 00:38:24,594 Hey, thank you for saying all that. 1027 00:38:24,677 --> 00:38:27,013 I may have taken a slightly different approach, but-- 1028 00:38:27,096 --> 00:38:28,389 I seem to have lost my filter. 1029 00:38:28,473 --> 00:38:29,891 I'm glad. 1030 00:38:29,974 --> 00:38:32,435 I could use an honest second opinion on a case. 1031 00:38:32,519 --> 00:38:34,729 Do you have five minutes to spare? 1032 00:38:36,147 --> 00:38:37,857 Sure. Why not? 1033 00:38:37,941 --> 00:38:39,192 What's the case? 1034 00:38:39,275 --> 00:38:41,069 I have the chart pulled up in 8. 1035 00:38:55,959 --> 00:38:57,836 I have some experience with this, 1036 00:38:57,919 --> 00:38:59,963 but I'd appreciate a fresh perspective. 1037 00:39:00,046 --> 00:39:02,090 After 14 hours, 1038 00:39:02,173 --> 00:39:03,633 I don't know how fresh my perspective is, 1039 00:39:03,716 --> 00:39:05,301 but I will give you what I got. 1040 00:39:05,385 --> 00:39:07,762 Well, after working with you, Dr. Robinavitch, 1041 00:39:07,846 --> 00:39:11,015 I've come to respect your opinion. 1042 00:39:13,268 --> 00:39:15,395 Thank you, Dr. Al-Hashimi. 1043 00:39:17,313 --> 00:39:19,482 Likewise. 1044 00:39:19,566 --> 00:39:22,193 OK, patient is a 40-year-old female with a history 1045 00:39:22,277 --> 00:39:24,070 of seizure disorder for the past 35 years. 1046 00:39:24,153 --> 00:39:25,655 She had no perinatal complications 1047 00:39:25,738 --> 00:39:27,574 and was in excellent health until age five, 1048 00:39:27,657 --> 00:39:29,367 when she had the onset seizure activity 1049 00:39:29,450 --> 00:39:31,911 following prolonged illness with viral meningitis. 1050 00:39:31,995 --> 00:39:34,914 Her altered mental status from the infec... 1051 00:39:42,839 --> 00:39:45,592 Baran, is this you?