1
00:00:09,995 --> 00:00:12,749
<b>Sync and corrections by btsix
www.addic7ed.com</b>

2
00:00:12,750 --> 00:00:15,085
<i>Huh?</i>

3
00:00:18,005 --> 00:00:19,090
Hey!

4
00:00:23,760 --> 00:00:25,177
Donnie, thank you. I'm sorry.

5
00:00:25,179 --> 00:00:27,097
We'll get another nurse
to replace Jesse.

6
00:00:27,098 --> 00:00:28,932
Do we even know where
these ICE assholes took him?

7
00:00:28,933 --> 00:00:30,773
No, but the hospital
attorneys are all over it.

8
00:00:32,103 --> 00:00:34,604
I know you got child duty...
what's going on?

9
00:00:34,605 --> 00:00:36,816
It's a code Hula Hoop, Central 14.

10
00:00:38,985 --> 00:00:42,320
Move, move, move, move,
move, move, move, move.

11
00:00:42,321 --> 00:00:44,614
What the hell happened?

12
00:00:44,615 --> 00:00:47,784
He attacked Emma, so I gave
him a shot to settle him down.

13
00:00:47,785 --> 00:00:50,370
Are you all right?

14
00:00:50,371 --> 00:00:53,039
Let's see.

15
00:00:53,040 --> 00:00:56,252
- How did he get a bloody nose?
- He slipped.

16
00:00:57,628 --> 00:00:59,964
- Can I see?
- He had her in a headlock.

17
00:01:01,799 --> 00:01:05,010
{an8}- Uh, where's Ogilvy?
- Upstairs.

18
00:01:05,011 --> 00:01:07,846
{an8}They let him scrub in on that
kidney stone turned triple-A.

19
00:01:07,847 --> 00:01:09,806
Oh, great, on the one day med students

20
00:01:09,807 --> 00:01:12,642
might actually be useful in the ED.

21
00:01:12,643 --> 00:01:14,352
Oh, uh, present company excluded.

22
00:01:14,353 --> 00:01:16,396
You're doing great.

23
00:01:16,397 --> 00:01:17,568
Sure.

24
00:01:17,569 --> 00:01:19,816
Hey, uh, can I get a selfie with you?

25
00:01:19,817 --> 00:01:21,006
With me?

26
00:01:21,007 --> 00:01:23,069
Yeah, you're kind of a legend
among med students.

27
00:01:23,070 --> 00:01:24,218
Really?

28
00:01:24,219 --> 00:01:26,156
They call you Phantom of the Pitt,

29
00:01:26,157 --> 00:01:27,699
on account of you secretly living

30
00:01:27,700 --> 00:01:29,242
in the hospital for months.

31
00:01:29,243 --> 00:01:31,036
What? It wasn't months.

32
00:01:31,037 --> 00:01:32,662
Still waiting on labs...

33
00:01:32,663 --> 00:01:34,289
X-rays, meds.

34
00:01:34,290 --> 00:01:36,875
PTMC. Go ahead, Medic Command.

35
00:01:36,876 --> 00:01:38,251
Where are all the nurses?

36
00:01:38,252 --> 00:01:40,837
There was a code Hula Hoop
in Central 14.

37
00:01:40,838 --> 00:01:42,380
- Oh, no.
- What's that?

38
00:01:42,381 --> 00:01:44,174
Hospital worker assault.

39
00:01:44,175 --> 00:01:46,904
- Who?
- The new nurse Emma.

40
00:01:46,905 --> 00:01:48,845
- Is she okay?
- I don't know.

41
00:01:48,846 --> 00:01:50,430
I think so.

42
00:01:50,431 --> 00:01:53,351
Smoke 'em if you got 'em.
This place is going tits up.

43
00:01:56,270 --> 00:01:58,063
Okay, are we all good in here?

44
00:01:58,064 --> 00:02:00,190
Oh, yeah, boss, we got this.

45
00:02:00,191 --> 00:02:01,983
Are you sure you're all right?

46
00:02:01,984 --> 00:02:06,071
- Uh, I think so.
- Okay, good. Come.

47
00:02:06,072 --> 00:02:09,032
So what exactly happened?

48
00:02:09,033 --> 00:02:11,326
He grabbed Emma.
He threw her up against a wall.

49
00:02:11,327 --> 00:02:12,828
- I ran in and gave him a shot.
- Right.

50
00:02:12,829 --> 00:02:14,830
And did he slip before
or after the shot?

51
00:02:14,831 --> 00:02:16,414
Before.

52
00:02:16,415 --> 00:02:17,874
Yeah, he had me in a headlock.

53
00:02:17,875 --> 00:02:19,376
I didn't see what happened.

54
00:02:19,377 --> 00:02:21,545
- What did you give him?
- 4 milligrams of Versed.

55
00:02:21,546 --> 00:02:23,672
- Who wrote the order?
- I had it in my pocket.

56
00:02:23,673 --> 00:02:27,050
I was on my way to waste it
when shit went sideways.

57
00:02:27,051 --> 00:02:28,635
What?

58
00:02:28,636 --> 00:02:30,095
Okay, so now he's altered

59
00:02:30,096 --> 00:02:32,055
from alcohol, Versed, and a head trauma.

60
00:02:32,056 --> 00:02:33,515
Now he's gonna need
a head CT to rule out

61
00:02:33,516 --> 00:02:34,852
intracranial bleeding and a fracture.

62
00:02:34,853 --> 00:02:37,435
Would you rather it be Emma
with a head injury or worse?

63
00:02:37,436 --> 00:02:38,833
Don't worry about it. We got this.

64
00:02:38,834 --> 00:02:40,397
No, there's no we here.

65
00:02:40,398 --> 00:02:43,066
You need to pass this patient
off and report him.

66
00:02:43,067 --> 00:02:44,943
Fine. Emma, you're done
with this bastard.

67
00:02:44,944 --> 00:02:46,111
- I'll handle him now.
- No, no,

68
00:02:46,112 --> 00:02:47,445
this is my emergency department,

69
00:02:47,446 --> 00:02:48,780
and I'm telling you to pass it off.

70
00:02:48,781 --> 00:02:50,490
These are my nurses, and I choose

71
00:02:50,491 --> 00:02:52,033
what cases they work,
and if you think for one minute

72
00:02:52,034 --> 00:02:53,910
I'm putting anyone else
from my staff at risk

73
00:02:53,911 --> 00:02:55,912
with that asshole, you better
give your fucking head a shake.

74
00:02:55,913 --> 00:02:58,748
Come on. Come on.

75
00:02:58,749 --> 00:03:00,750
- MVA coming in.
- Okay, I'll be right there.

76
00:03:00,751 --> 00:03:01,961
Thank you.

77
00:03:05,923 --> 00:03:07,757
Did I kill my son?

78
00:03:07,758 --> 00:03:10,927
No, he's not dead.

79
00:03:10,928 --> 00:03:13,597
He's recovering in pediatric ICU.

80
00:03:13,598 --> 00:03:17,184
We'll be back to check on you
again shortly, Ms. Azurmendi.

81
00:03:22,273 --> 00:03:24,441
Um, has her husband arrived yet?

82
00:03:24,442 --> 00:03:26,151
Yeah, but he went straight upstairs.

83
00:03:26,152 --> 00:03:27,694
Really?

84
00:03:27,695 --> 00:03:29,946
He may have just wanted
to see his child first.

85
00:03:29,947 --> 00:03:31,948
Let's not jump to conclusions.

86
00:03:31,949 --> 00:03:35,076
- Dr. Robby, can I have a word?
- Shoot.

87
00:03:35,077 --> 00:03:36,953
In private.

88
00:03:36,954 --> 00:03:38,622
People are gonna start to talk.

89
00:03:43,628 --> 00:03:45,796
- Thank you.
- Mm-hmm.

90
00:03:47,673 --> 00:03:49,008
What is this about?

91
00:03:51,385 --> 00:03:54,638
I'm going to recommend this
ED have two attendings on shift

92
00:03:54,639 --> 00:03:57,015
at all times moving forward.

93
00:03:57,016 --> 00:03:59,059
This department is clearly too much

94
00:03:59,060 --> 00:04:00,477
for one person to handle.

95
00:04:00,478 --> 00:04:03,146
It's not healthy
for you or the patients,

96
00:04:03,147 --> 00:04:04,981
and I'm very concerned

97
00:04:04,982 --> 00:04:07,651
by what I've witnessed today
with some of the staff.

98
00:04:07,652 --> 00:04:10,111
What is going on
with Langdon and Santos?

99
00:04:10,112 --> 00:04:12,030
I saw them having it out
like it was fight night.

100
00:04:12,031 --> 00:04:14,324
Dr. Langdon hasn't even
been here for ten months,

101
00:04:14,325 --> 00:04:15,867
and you told me this morning

102
00:04:15,868 --> 00:04:17,661
there was nothing
to worry about with Dr. Santos.

103
00:04:17,662 --> 00:04:19,829
There isn't. There isn't.
Santos and Langdon have beef

104
00:04:19,830 --> 00:04:22,666
because she's the one who
turned him in for taking meds.

105
00:04:22,667 --> 00:04:24,751
I'm sorry, what?

106
00:04:24,752 --> 00:04:26,628
Santos is responsible

107
00:04:26,629 --> 00:04:29,590
for revealing Langdon's benzo addiction.

108
00:04:31,217 --> 00:04:34,844
Was he stealing drugs from this ED?

109
00:04:34,845 --> 00:04:37,555
This ED is the best of the best,

110
00:04:37,556 --> 00:04:40,016
and I would put it up against
any emergency department

111
00:04:40,017 --> 00:04:41,476
in the country.

112
00:04:41,477 --> 00:04:43,019
And it is going to be yours to fuck up,

113
00:04:43,020 --> 00:04:44,730
so don't fuck it up.

114
00:04:59,745 --> 00:05:02,247
You're not supposed to smoke out here.

115
00:05:02,248 --> 00:05:03,873
Really?

116
00:05:03,874 --> 00:05:06,877
Seems to be working for me so far.

117
00:05:08,421 --> 00:05:11,047
How old are you, kid?

118
00:05:11,048 --> 00:05:13,216
I'm 21...

119
00:05:13,217 --> 00:05:14,718
On Tuesday.

120
00:05:14,719 --> 00:05:18,888
Jesus, some kind of idiot savant.

121
00:05:18,889 --> 00:05:22,017
We no longer use that term.

122
00:05:22,018 --> 00:05:23,685
It's derogatory.

123
00:05:23,686 --> 00:05:26,771
- You bruise-easy Millennials.
- Actually, I'm Gen Z.

124
00:05:26,772 --> 00:05:29,065
Even worse.

125
00:05:29,066 --> 00:05:31,568
I was stripping at Purgatory
to put myself through school

126
00:05:31,569 --> 00:05:33,903
when I was your age.

127
00:05:33,904 --> 00:05:35,114
Snowflake.

128
00:05:36,657 --> 00:05:38,158
Hey, Amy?

129
00:05:38,159 --> 00:05:41,036
Yeah, I'm getting off
later than I thought.

130
00:05:41,037 --> 00:05:43,371
Um, I'll give you a call
when I get a better idea of...

131
00:05:43,372 --> 00:05:45,540
I need help!

132
00:05:45,541 --> 00:05:48,043
- I got to go.
- He can't breathe.

133
00:05:48,044 --> 00:05:50,045
I got the airway. You take the pulse.

134
00:05:50,046 --> 00:05:52,380
Yeah.

135
00:05:52,381 --> 00:05:53,590
- Oh, shit.
- Oh, my God.

136
00:05:53,591 --> 00:05:55,133
Okay, trying jaw thrust.

137
00:05:55,134 --> 00:05:56,843
- Radial's weak and thready.
- What's his name?

138
00:05:56,844 --> 00:05:58,470
My dad... uh, Oliver.

139
00:05:58,471 --> 00:06:01,765
Hey, Oliver, can you open
your eyes for me?

140
00:06:01,766 --> 00:06:03,350
Okay, here we go.

141
00:06:06,937 --> 00:06:10,607
Okay, one, two, three.

142
00:06:10,608 --> 00:06:12,734
Drive-in with severe
respiratory distress.

143
00:06:12,735 --> 00:06:14,778
Left-sided dialysis shunt,
probable renal failure

144
00:06:14,779 --> 00:06:16,071
and fluid overload.

145
00:06:16,072 --> 00:06:17,947
Have respiratory set up BiPAP.

146
00:06:17,948 --> 00:06:19,407
When was his last dialysis?

147
00:06:19,408 --> 00:06:21,326
It was supposed to be yesterday morning.

148
00:06:21,327 --> 00:06:23,244
I'm gonna need a nitro drip ASAP.

149
00:06:23,245 --> 00:06:25,121
- You got this?
- Yeah.

150
00:06:25,122 --> 00:06:26,790
Is that the guy who attacked Emma?

151
00:06:26,791 --> 00:06:28,124
Is he going to CT?

152
00:06:28,125 --> 00:06:30,001
Yeah, Ms. Emma here needs an HandP.

153
00:06:30,002 --> 00:06:32,337
Uh, Cassie, can you give
Emma here a workup?

154
00:06:32,338 --> 00:06:33,630
Start a chart.

155
00:06:33,631 --> 00:06:34,964
- Victim of assault.
- Really?

156
00:06:34,965 --> 00:06:36,674
- I'm fine.
- He was choking you.

157
00:06:36,675 --> 00:06:38,343
- He had me by the head mostly.
- You're a patient now.

158
00:06:38,344 --> 00:06:39,969
Full examine in South 18, McKay.

159
00:06:39,970 --> 00:06:41,638
She also needs to make
a statement to the police.

160
00:06:41,639 --> 00:06:43,807
Is that really necessary?

161
00:06:43,808 --> 00:06:45,975
- Yeah.
- Absolutely.

162
00:06:45,976 --> 00:06:48,311
{an8}Don't worry.
I'll be there with you.

163
00:06:48,312 --> 00:06:49,646
{an8}Come on, let's get you a spot.

164
00:06:49,647 --> 00:06:51,106
{an8}Well, your guy
just bumped my guy for CT.

165
00:06:51,107 --> 00:06:52,649
- Now he's my guy?
- Duke's gonna chew me

166
00:06:52,650 --> 00:06:54,109
a new one 'cause he's been
sitting here forever,

167
00:06:54,110 --> 00:06:55,610
and I'm never gonna get out of here.

168
00:06:55,611 --> 00:06:57,028
- Tell it to someone who cares.
- You know what?

169
00:06:57,029 --> 00:06:59,489
You should care,
because if you gave that guy

170
00:06:59,490 --> 00:07:01,825
a serious injury with force
inflicted from a sedative

171
00:07:01,826 --> 00:07:03,201
you are not licensed to prescribe...

172
00:07:03,202 --> 00:07:04,953
Anyone else uses force
to stop an assault,

173
00:07:04,954 --> 00:07:07,163
they're a hero, but a nurse
does it, and we're punished.

174
00:07:07,164 --> 00:07:08,998
You just happened to have a
vial of Versed in your pocket?

175
00:07:08,999 --> 00:07:11,668
It was extra from the medics.
Good timing, I guess.

176
00:07:11,669 --> 00:07:13,044
When we waste a controlled substance,

177
00:07:13,045 --> 00:07:14,629
we need a witness to sign off.

178
00:07:14,630 --> 00:07:16,381
I was on my way to
when I spotted that asshole

179
00:07:16,382 --> 00:07:17,632
attacking a girl.

180
00:07:17,633 --> 00:07:19,175
Anything else, Nancy Drew?

181
00:07:19,176 --> 00:07:21,177
- Where you going?
- Taking a pee.

182
00:07:21,178 --> 00:07:23,847
Do I need your permission
to do that, too, now?

183
00:07:31,188 --> 00:07:34,858
Fuck! Fuck! Fuck! Fuck!

184
00:07:41,448 --> 00:07:43,032
Should we intubate?

185
00:07:43,033 --> 00:07:45,243
Uh, best to avoid that if possible.

186
00:07:45,244 --> 00:07:46,870
Pressure support and afterload reduction

187
00:07:46,871 --> 00:07:48,204
buys us time for dialysis.

188
00:07:48,205 --> 00:07:49,706
BiPAP starting at 10 over 5.

189
00:07:49,707 --> 00:07:51,416
Good hard squeeze, good lung sliding,

190
00:07:51,417 --> 00:07:53,668
- but there's a ton of B lines.
- Pulmonary edema.

191
00:07:53,669 --> 00:07:56,421
Which is best treated
by what, Dr. Javadi?

192
00:07:56,422 --> 00:07:58,257
- Uh, nitrates.
- Dose?

193
00:08:00,551 --> 00:08:02,385
BP 198 over 132.

194
00:08:02,386 --> 00:08:03,803
Pulse 120.

195
00:08:03,804 --> 00:08:06,055
- Pulse ox only 85.
- Good BP.

196
00:08:06,056 --> 00:08:07,974
Let's start at 400 mikes per
minute for 2 to 5 minutes.

197
00:08:07,975 --> 00:08:10,018
I was asking Dr. Javadi.

198
00:08:10,019 --> 00:08:12,061
Don't you always start low
with nitro, then titrate up?

199
00:08:12,062 --> 00:08:14,397
In flash pulmonary edema,
we do the opposite.

200
00:08:14,398 --> 00:08:17,525
What he really needs is
dialysis to get the fluid off.

201
00:08:17,526 --> 00:08:20,236
- What's his dialysis schedule?
- Monday, Wednesday, Friday.

202
00:08:20,237 --> 00:08:22,280
He missed yesterday 'cause of a wedding.

203
00:08:22,281 --> 00:08:23,740
We tried to go
to the center this morning.

204
00:08:23,741 --> 00:08:25,200
It's usually open on Saturday,

205
00:08:25,201 --> 00:08:26,451
but I think they closed for the Fourth.

206
00:08:26,452 --> 00:08:27,952
- Where do you live?
- Uh, Brookville.

207
00:08:27,953 --> 00:08:29,204
That's, like, an hour and a half away.

208
00:08:29,205 --> 00:08:30,622
Yes, ma'am.

209
00:08:30,623 --> 00:08:32,081
I tried Pine Ridge Hospital
in Ford City,

210
00:08:32,082 --> 00:08:33,166
but I didn't know they shut down.

211
00:08:33,167 --> 00:08:34,752
Yeah, they sure did.

212
00:08:40,758 --> 00:08:42,842
All right, sister.

213
00:08:42,843 --> 00:08:44,969
How can I help uncluster
this clusterfuck?

214
00:08:44,970 --> 00:08:46,930
PTMC emergency, what do you got?

215
00:08:46,931 --> 00:08:48,640
You ready to finish our conversation?

216
00:08:48,641 --> 00:08:50,683
We talked, okay? Now I got an ED to run.

217
00:08:50,684 --> 00:08:52,268
Please.

218
00:08:52,269 --> 00:08:53,729
Okay.

219
00:08:56,857 --> 00:08:58,107
Talk to me.

220
00:08:58,108 --> 00:08:59,692
- Tired of this shit.
- Okay.

221
00:08:59,693 --> 00:09:01,694
That's the second time
that Emma was attacked

222
00:09:01,695 --> 00:09:03,154
- by a patient today.
- Okay.

223
00:09:03,155 --> 00:09:04,781
ICE took one of my nurses,

224
00:09:04,782 --> 00:09:08,618
and these cyber-assholes
have thrown us back into 1999.

225
00:09:08,619 --> 00:09:11,287
Well, I'm worried about you.
You are not yourself today.

226
00:09:11,288 --> 00:09:13,414
That makes two of us, then.

227
00:09:13,415 --> 00:09:16,125
Do you have something you want to say?

228
00:09:16,126 --> 00:09:18,461
Go ahead. I can take it.

229
00:09:18,462 --> 00:09:20,171
All right, then yeah.

230
00:09:20,172 --> 00:09:21,839
Sometimes it's like
you're just tempting death

231
00:09:21,840 --> 00:09:23,132
'cause you don't give a shit anymore.

232
00:09:23,133 --> 00:09:24,509
So this is about the motorcycle?

233
00:09:24,510 --> 00:09:25,802
It's not just about the motorcycle.

234
00:09:25,803 --> 00:09:27,136
It's about the whole damn thing.

235
00:09:27,137 --> 00:09:29,597
Robby, you're actually telling people

236
00:09:29,598 --> 00:09:31,933
that you're going to a place
called Smash My Head In.

237
00:09:31,934 --> 00:09:33,476
Close, not quite. That's not...

238
00:09:33,477 --> 00:09:35,520
Robby, your buddy Duke
is insisting on leaving,

239
00:09:35,521 --> 00:09:37,397
and that MVA is here.

240
00:09:37,398 --> 00:09:39,148
Okay, I'll be right there.

241
00:09:39,149 --> 00:09:41,150
- What's open?
- Uh, South 15.

242
00:09:41,151 --> 00:09:42,485
78-year-old woman,

243
00:09:42,486 --> 00:09:44,153
very low speed auto versus pedestrian

244
00:09:44,154 --> 00:09:45,697
with ground-level fall.

245
00:09:45,698 --> 00:09:47,240
Bruising on her left hip.
No head trauma.

246
00:09:47,241 --> 00:09:48,866
Her husband, Eddie, came along.

247
00:09:48,867 --> 00:09:50,743
Hi. How do you do, sir?
I'm Dr. Robby. Come with us.

248
00:09:50,744 --> 00:09:53,204
We're gonna get you
set up right over here.

249
00:09:53,205 --> 00:09:54,956
Sorry.

250
00:09:54,957 --> 00:09:56,708
We'll get you something
for the pain shortly.

251
00:09:56,709 --> 00:09:58,167
Thank you.

252
00:09:58,168 --> 00:10:00,169
Do you have any medical problems, Frida?

253
00:10:00,170 --> 00:10:04,340
Uh, high blood pressure,
low thyroid, um, AFib.

254
00:10:04,341 --> 00:10:06,551
Any chest pain, shortness of breath?

255
00:10:06,552 --> 00:10:08,219
- No.
- Front-row seat, sir.

256
00:10:08,220 --> 00:10:10,179
So, um, what happened?

257
00:10:10,180 --> 00:10:13,558
Well, she walked into the car.

258
00:10:13,559 --> 00:10:15,643
You hit me.

259
00:10:15,644 --> 00:10:18,646
No, I didn't hit you. You hit the car.

260
00:10:18,647 --> 00:10:20,690
You backed up right into me.

261
00:10:20,691 --> 00:10:23,359
I wasn't even moving.

262
00:10:23,360 --> 00:10:25,695
Well, you're both
in very good hands now.

263
00:10:25,696 --> 00:10:27,488
Yes?

264
00:10:27,489 --> 00:10:31,034
Before we get you in a gown,
we'd like to check your hip.

265
00:10:31,035 --> 00:10:32,745
Of course.

266
00:10:34,246 --> 00:10:35,705
I am sorry.

267
00:10:35,706 --> 00:10:37,457
We had a whole bunch
of craziness come in,

268
00:10:37,458 --> 00:10:40,376
and you got bumped down
a patient or two for CT.

269
00:10:40,377 --> 00:10:41,961
But take comfort in knowing

270
00:10:41,962 --> 00:10:43,713
it was for some pretty nasty stuff.

271
00:10:43,714 --> 00:10:46,215
How am I supposed
to find comfort in that

272
00:10:46,216 --> 00:10:48,092
or anything you've told me
since I got here,

273
00:10:48,093 --> 00:10:49,886
- for that matter?
- I don't know.

274
00:10:49,887 --> 00:10:51,888
But everything is supposed
to come with a lesson, right?

275
00:10:51,889 --> 00:10:55,224
Oh, this is more of your Zen
motorcycle bullshit.

276
00:10:55,225 --> 00:10:56,559
Maybe.

277
00:10:56,560 --> 00:10:58,061
No, no, the truth is, I'm just stalling

278
00:10:58,062 --> 00:10:59,729
'cause it's gonna be a while longer.

279
00:10:59,730 --> 00:11:01,814
Oh, hey, look, I appreciate the effort,

280
00:11:01,815 --> 00:11:03,566
but you guys are obviously jammed up.

281
00:11:03,567 --> 00:11:05,651
I'll just come back when it's
not our nation's birthday.

282
00:11:05,652 --> 00:11:07,111
You're already here.

283
00:11:07,112 --> 00:11:08,529
It's not gonna be
that much longer, I promise.

284
00:11:08,530 --> 00:11:09,739
Just stay and get your CT.

285
00:11:09,740 --> 00:11:12,075
I will do it all when you get back

286
00:11:12,076 --> 00:11:14,202
- and this place is less crazy.
- This place is always crazy.

287
00:11:14,203 --> 00:11:16,037
I don't know when I'm gonna get back.

288
00:11:16,038 --> 00:11:18,414
Can you just sit the fuck down
and wait a little bit longer?

289
00:11:18,415 --> 00:11:21,585
It won't kill you, but leaving might.

290
00:11:25,631 --> 00:11:27,882
Okay.

291
00:11:27,883 --> 00:11:29,425
No problem.

292
00:11:29,426 --> 00:11:30,928
Thank you.

293
00:11:32,429 --> 00:11:34,555
That's a nasty bruise.

294
00:11:34,556 --> 00:11:38,267
Do you take aspirin
or any blood thinners?

295
00:11:38,268 --> 00:11:41,437
Uh, Eliquis for my AFib.

296
00:11:41,438 --> 00:11:44,190
Any tenderness here?

297
00:11:44,191 --> 00:11:45,650
No, not really.

298
00:11:45,651 --> 00:11:48,236
- Here?
- Oh, yeah, that hurts.

299
00:11:48,237 --> 00:11:50,488
All right, 4 of, uh, morphine
and Zofran.

300
00:11:50,489 --> 00:11:54,117
- What about up here?
- Not really.

301
00:11:54,118 --> 00:11:56,661
All right, so let's start
with labs and plain film.

302
00:11:56,662 --> 00:11:58,663
No, CT abdomen pelvis.

303
00:11:58,664 --> 00:12:01,457
We'll get a better view of
the hip and check for bleeding.

304
00:12:01,458 --> 00:12:03,042
The Eliquis is concerning.

305
00:12:03,043 --> 00:12:06,003
Uh, you think she broke her hip?

306
00:12:06,004 --> 00:12:08,506
If it's broken, you broke it.

307
00:12:08,507 --> 00:12:10,133
Usually for a broken hip,

308
00:12:10,134 --> 00:12:12,677
the leg is shortened and rotates out,

309
00:12:12,678 --> 00:12:14,972
but we'll just wait for CT results.

310
00:12:21,937 --> 00:12:23,938
Mr. Cohen...

311
00:12:23,939 --> 00:12:26,315
I know that you were checked on scene,

312
00:12:26,316 --> 00:12:28,109
but I was wondering if I could do

313
00:12:28,110 --> 00:12:29,694
a quick examination of you.

314
00:12:29,695 --> 00:12:31,821
Oh, no, I'm fine. I was in the car.

315
00:12:31,822 --> 00:12:33,574
Just unofficially.

316
00:12:35,325 --> 00:12:37,452
Okay.

317
00:12:37,453 --> 00:12:40,913
Deep breath for me.

318
00:12:40,914 --> 00:12:42,665
Good. Again.

319
00:12:44,501 --> 00:12:46,502
Great. Thanks, Eddie.

320
00:12:46,503 --> 00:12:49,922
Next thing... would you mind
taking your shoes off?

321
00:12:49,923 --> 00:12:51,591
Uh...

322
00:12:51,592 --> 00:12:52,925
what for?

323
00:12:52,926 --> 00:12:55,511
Just being safe.

324
00:12:57,347 --> 00:12:59,307
My back's not what it used to be.

325
00:12:59,308 --> 00:13:00,559
Let me help you.

326
00:13:04,938 --> 00:13:07,857
I, uh, could use a pedicure.

327
00:13:07,858 --> 00:13:09,692
You and me both.

328
00:13:09,693 --> 00:13:13,571
Dr. King, what do you think
about doing a Romberg test?

329
00:13:13,572 --> 00:13:15,156
What is that?

330
00:13:15,157 --> 00:13:17,533
It's a general evaluation of balance.

331
00:13:17,534 --> 00:13:20,203
Um, can you stand up, sir?

332
00:13:20,204 --> 00:13:22,079
Yep.

333
00:13:22,080 --> 00:13:24,040
How are you doing, Oliver?

334
00:13:24,041 --> 00:13:25,541
Sats are not coming up.

335
00:13:25,542 --> 00:13:27,376
Pressure's holding on 400 of nitro.

336
00:13:27,377 --> 00:13:29,879
- Let's up the BiPAP to 20 on 10.
- We could try phlebotomy.

337
00:13:29,880 --> 00:13:31,714
Decrease the fluid burden on the lungs.

338
00:13:31,715 --> 00:13:33,883
Old school, but might buy time.

339
00:13:33,884 --> 00:13:35,218
Hemoglobin is only 9.2.

340
00:13:35,219 --> 00:13:36,719
He's anemic from renal failure.

341
00:13:36,720 --> 00:13:38,346
Then he can't afford more blood loss.

342
00:13:38,347 --> 00:13:40,097
We need to intubate.
We're losing this war.

343
00:13:40,098 --> 00:13:42,058
Intubation's not a trivial matter

344
00:13:42,059 --> 00:13:43,601
for immunosuppressed patients.

345
00:13:43,602 --> 00:13:45,478
So we just drop a bunch of red tops?

346
00:13:45,479 --> 00:13:47,104
No, we do the collection on the floor

347
00:13:47,105 --> 00:13:49,106
- as if he's giving blood.
- Like medieval bloodletting.

348
00:13:49,107 --> 00:13:50,942
Essentially, and that is something

349
00:13:50,943 --> 00:13:52,401
you should step out for, Mason.

350
00:13:52,402 --> 00:13:54,946
- Casey, thank you.
- Got a good vein for a 16.

351
00:13:54,947 --> 00:13:56,781
One donor bag, 500 cc's.

352
00:13:56,782 --> 00:13:58,491
No more.

353
00:14:00,786 --> 00:14:03,329
Okay, let it out.

354
00:14:03,330 --> 00:14:05,331
Same again. Deep breath in.

355
00:14:07,626 --> 00:14:09,252
Great. All done.

356
00:14:09,253 --> 00:14:12,421
- How's she doing?
- Pulse ox 100%, normal exam.

357
00:14:12,422 --> 00:14:14,215
- No evidence of injury.
- Great.

358
00:14:14,216 --> 00:14:15,925
I got way worse from my older brothers.

359
00:14:15,926 --> 00:14:17,385
I bet.

360
00:14:17,386 --> 00:14:20,263
All right, I'll go, uh,
write up her chart.

361
00:14:20,264 --> 00:14:22,598
How about we call it a day?

362
00:14:22,599 --> 00:14:24,433
My shift isn't over.

363
00:14:24,434 --> 00:14:27,979
This was a shift and a half
for anyone today, believe me.

364
00:14:27,980 --> 00:14:31,274
If it's all right with you,
I'd rather stay.

365
00:14:31,275 --> 00:14:32,775
I'm not a quitter.

366
00:14:32,776 --> 00:14:34,735
Okay, Ms. Emma, good for you.

367
00:14:34,736 --> 00:14:37,655
But stick close to Donnie for
the rest of the day, would you?

368
00:14:37,656 --> 00:14:39,407
Sure.

369
00:14:39,408 --> 00:14:42,410
And you also need to make
a statement to the police.

370
00:14:42,411 --> 00:14:44,829
If we don't stand up for
ourselves, no one else will.

371
00:14:44,830 --> 00:14:48,457
We're here to help,
not to be punching bags.

372
00:14:48,458 --> 00:14:50,209
Thank you for saving me.

373
00:14:50,210 --> 00:14:52,296
I got you, girl.

374
00:15:00,053 --> 00:15:02,305
- Something wrong?
- That depends.

375
00:15:02,306 --> 00:15:04,640
Are you a four-month-old
with severe diaper rash?

376
00:15:04,641 --> 00:15:06,225
No, I'm Dorion Cole,

377
00:15:06,226 --> 00:15:08,019
and I'm pretty sure
that I broke my collarbone.

378
00:15:08,020 --> 00:15:10,313
Okay, we can help with that.
I'll be back.

379
00:15:10,314 --> 00:15:11,897
Wait, wait. Are you serious?

380
00:15:11,898 --> 00:15:13,649
Can I at least get something
for my pain?

381
00:15:13,650 --> 00:15:15,735
- Sure. Sit tight.
- This place sucks.

382
00:15:15,736 --> 00:15:17,653
Tell me about it. Try working here.

383
00:15:17,654 --> 00:15:19,322
Boy, you're really working hard

384
00:15:19,323 --> 00:15:21,032
to boost those
patient satisfaction scores.

385
00:15:21,033 --> 00:15:22,491
The chart for Central 7

386
00:15:22,492 --> 00:15:23,826
doesn't match
the patient that's in there.

387
00:15:23,827 --> 00:15:25,453
Hang in there. We're almost over this.

388
00:15:25,454 --> 00:15:27,038
I was over this six hours ago.

389
00:15:27,039 --> 00:15:29,498
Chairs is looking like
Mullaney's on St. Paddy's Day.

390
00:15:29,499 --> 00:15:31,292
They're gonna break through
the doors like zombies...

391
00:15:31,293 --> 00:15:32,376
- Incoming.
- If we don't start moving

392
00:15:32,377 --> 00:15:33,502
more of the meat back there.

393
00:15:33,503 --> 00:15:35,296
Dante Casella, 34.

394
00:15:35,297 --> 00:15:38,299
Blunt trauma from a fireworks
explosion in a storage unit.

395
00:15:38,300 --> 00:15:39,884
A and O, good vitals,

396
00:15:39,885 --> 00:15:42,178
large scalp laceration
and bruising to the chest.

397
00:15:42,179 --> 00:15:43,512
No meds or allergies.

398
00:15:43,513 --> 00:15:44,847
Partial or full thickness burns?

399
00:15:44,848 --> 00:15:46,515
No burns. The blast launched him

400
00:15:46,516 --> 00:15:48,225
into a rolled-down garage door frame.

401
00:15:48,226 --> 00:15:50,561
- Am I fucking dying here?
- I'm Dr. Robby.

402
00:15:50,562 --> 00:15:53,773
{an8}- This is Dr. Santos.
- What? I can't hear you.

403
00:15:53,774 --> 00:15:55,232
{an8}Try the other side.

404
00:15:55,233 --> 00:15:56,859
{an8}I'm Dr. Santos.

405
00:15:56,860 --> 00:15:58,903
{an8}- Can you hear me?
- Yeah, yeah.

406
00:15:58,904 --> 00:16:01,405
{an8}Dante. Lot of ringing.

407
00:16:01,406 --> 00:16:04,159
Hey, McKay, Joy, you're with us.

408
00:16:06,119 --> 00:16:08,704
One, two, three.

409
00:16:08,705 --> 00:16:12,708
I need, like, four doctors?

410
00:16:12,709 --> 00:16:14,919
Oh, shit, I knew it was bad.

411
00:16:14,920 --> 00:16:16,712
This is a teaching hospital.

412
00:16:16,713 --> 00:16:18,923
You get all the extra help you need.

413
00:16:18,924 --> 00:16:22,176
Airway and breathing intact.

414
00:16:22,177 --> 00:16:23,928
Good lung sliding bilaterally.

415
00:16:25,514 --> 00:16:27,056
Tender over the sternum...
possible fracture.

416
00:16:27,057 --> 00:16:28,724
That's your breastbone.

417
00:16:28,725 --> 00:16:31,519
- No ectopy on monitor.
- No pericardial effusion.

418
00:16:31,520 --> 00:16:33,896
- The heart looks good.
- 130 over 85.

419
00:16:33,897 --> 00:16:36,232
Pulse 108, sats 98 on 2 liters.

420
00:16:36,233 --> 00:16:37,942
Good enough for 50 of fent.

421
00:16:37,943 --> 00:16:39,902
He soaked through his head dressing.

422
00:16:39,903 --> 00:16:41,237
Let's take a peek.

423
00:16:41,238 --> 00:16:42,571
Normally, we don't deal with scalp lacs

424
00:16:42,572 --> 00:16:43,739
on the primary survey,

425
00:16:43,740 --> 00:16:45,408
only if there's active bleeding.

426
00:16:45,409 --> 00:16:46,742
With blast injuries,

427
00:16:46,743 --> 00:16:48,577
the pressure wave can transmit energy

428
00:16:48,578 --> 00:16:50,246
through the body
and cause internal damage

429
00:16:50,247 --> 00:16:52,331
even without any external visible signs,

430
00:16:52,332 --> 00:16:54,250
especially with organs
that are air filled.

431
00:16:54,251 --> 00:16:56,502
- How are we looking, Dr. Santos?
- E-FAST negative.

432
00:16:56,503 --> 00:16:59,755
No free fluid in the belly.

433
00:16:59,756 --> 00:17:02,425
{an8}- Fuck me.
- What... what is it?

434
00:17:02,426 --> 00:17:05,428
{an8}It's a pretty big flap.
Checking for bleeding source.

435
00:17:05,429 --> 00:17:08,305
- Is that through the galea?
- It is, indeed.

436
00:17:08,306 --> 00:17:10,307
- Crack my head open or what?
- Don't worry.

437
00:17:10,308 --> 00:17:13,102
Your skull is intact.
It's just a, uh, very deep cut.

438
00:17:13,103 --> 00:17:15,938
Ugh.

439
00:17:15,939 --> 00:17:20,234
Okay, we got a couple
arterioles that need control.

440
00:17:20,235 --> 00:17:22,820
- Figure-of-eight sutures?
- Dr. Santos for 800.

441
00:17:22,821 --> 00:17:24,613
What are Raney clips, Alex?

442
00:17:24,614 --> 00:17:26,657
- Quicker than sutures.
- Ding, ding, ding, ding.

443
00:17:26,658 --> 00:17:28,576
Okay, clamp those bleeders, call for CT.

444
00:17:28,577 --> 00:17:31,830
I'll be next door, and Duke's
CT line keeps growing.

445
00:17:35,292 --> 00:17:37,293
500 cc's out.

446
00:17:37,294 --> 00:17:39,462
How you doing, Oliver?

447
00:17:39,463 --> 00:17:40,963
Making some progress in here.

448
00:17:40,964 --> 00:17:42,631
Can't tell if it was the phlebotomy

449
00:17:42,632 --> 00:17:43,966
or if the nitro finally kicked in.

450
00:17:43,967 --> 00:17:46,343
Oh, could have been both.

451
00:17:46,344 --> 00:17:48,179
Potassium's high. 6.5.

452
00:17:48,180 --> 00:17:49,972
Be expected with the missed dialysis

453
00:17:49,973 --> 00:17:51,265
and the added heat stress.

454
00:17:51,266 --> 00:17:53,142
- He needs, uh...
- Dr. Javadi.

455
00:17:53,143 --> 00:17:54,685
Uh, he needs insulin and glucose

456
00:17:54,686 --> 00:17:56,145
to shift the potassium intracellular.

457
00:17:56,146 --> 00:17:58,481
Exactly. Uh, 10 units, amp of D-50.

458
00:17:58,482 --> 00:18:00,816
Start with 5 milligrams
of nebulized albuterol.

459
00:18:00,817 --> 00:18:02,902
It'll shift some potassium
and help his breathing.

460
00:18:02,903 --> 00:18:05,154
He's at risk for arrhythmias.

461
00:18:05,155 --> 00:18:08,407
Mm, no peaked T waves, no QRS widening.

462
00:18:08,408 --> 00:18:10,576
Insulin puts him at risk
for hypoglycemia.

463
00:18:10,577 --> 00:18:12,828
And you tie up nurses
with frequent Accu-Cheks.

464
00:18:12,829 --> 00:18:14,413
Dr. Al-Hashimi's right.

465
00:18:14,414 --> 00:18:15,998
The nebs will hold him over
until dialysis gets here.

466
00:18:15,999 --> 00:18:18,042
- You got this?
- Mm-hmm.

467
00:18:20,587 --> 00:18:22,881
- All good in here?
- Yep.

468
00:18:25,300 --> 00:18:28,052
Uh, I'm gonna go give
this guy's kid an update.

469
00:18:28,053 --> 00:18:29,512
He's probably freaking out.

470
00:18:29,513 --> 00:18:32,432
- Come find me if you need me.
- Uh, yep.

471
00:18:34,726 --> 00:18:36,310
Um, hey.

472
00:18:36,311 --> 00:18:38,521
Where'd you learn that shoe trick?

473
00:18:38,522 --> 00:18:42,066
Oh, I did a clerkship
at NJMS senior care.

474
00:18:42,067 --> 00:18:44,151
One of the attendings
always said you can learn a lot

475
00:18:44,152 --> 00:18:46,195
about your patients
just by looking at their feet.

476
00:18:48,156 --> 00:18:49,365
Bravo, ladies.

477
00:18:49,366 --> 00:18:53,160
Now on to the next lucky customers.

478
00:18:53,161 --> 00:18:54,870
Probably gonna have to stay late

479
00:18:54,871 --> 00:18:56,539
to catch up on all these patients.

480
00:18:56,540 --> 00:18:58,374
Night-shift reinforcements
will be here soon.

481
00:18:58,375 --> 00:18:59,917
We're supposed to be
speeding up in the 11th hour,

482
00:18:59,918 --> 00:19:01,544
not slowing down.

483
00:19:01,545 --> 00:19:02,920
They don't call it
the final sprint for nothing.

484
00:19:02,921 --> 00:19:04,339
Chop-chop.

485
00:19:08,885 --> 00:19:11,971
Is that the, uh, mom of the heatstroke?

486
00:19:11,972 --> 00:19:13,222
Yeah.

487
00:19:13,223 --> 00:19:16,934
Do you believe it was just an accident?

488
00:19:16,935 --> 00:19:18,394
Does it matter?

489
00:19:18,395 --> 00:19:20,104
As a doctor, no.

490
00:19:20,105 --> 00:19:22,731
But as a mom...

491
00:19:22,732 --> 00:19:25,609
Sometimes I can't tell
if motherhood has made me

492
00:19:25,610 --> 00:19:28,572
more understanding or more judgmental.

493
00:19:30,740 --> 00:19:32,741
Dana, got a couple visitors.

494
00:19:32,742 --> 00:19:34,910
Uh, my... my brother.
There was an explosion.

495
00:19:34,911 --> 00:19:36,745
Hi. My mom was in a car accident.

496
00:19:36,746 --> 00:19:38,581
Uh, okay, Monica,
can you help these fine folks

497
00:19:38,582 --> 00:19:40,374
- find their loved ones?
- Yeah.

498
00:19:40,375 --> 00:19:42,376
And, Princess, what are you
still doing here?

499
00:19:42,377 --> 00:19:44,587
Don't you got some crazy luau
pig roast barbecue thing

500
00:19:44,588 --> 00:19:46,547
- to get to?
- It's <i>lechón,</i> but, yes, I do.

501
00:19:46,548 --> 00:19:48,924
- I'm gonna sneak out in a few.
- Okay, yeah, yeah.

502
00:19:48,925 --> 00:19:51,093
Go have some fun
for both of us, all right?

503
00:19:51,094 --> 00:19:54,054
- Don't stay too late.
- Okay.

504
00:19:54,055 --> 00:19:56,390
Hello, Ms. Stevens.

505
00:19:56,391 --> 00:19:57,600
I'm Dr. McKay.

506
00:19:57,601 --> 00:19:59,685
- How you feeling?
- Stupid...

507
00:19:59,686 --> 00:20:02,438
and really, really sore.

508
00:20:02,439 --> 00:20:05,357
Yeah, we'll, uh, get you
something for your pain, okay?

509
00:20:07,152 --> 00:20:10,154
Your last patient left her blanket.

510
00:20:10,155 --> 00:20:11,363
Oh.

511
00:20:11,364 --> 00:20:13,657
Uh, yeah.

512
00:20:13,658 --> 00:20:15,701
I...

513
00:20:15,702 --> 00:20:17,286
yeah, I'll take it.

514
00:20:17,287 --> 00:20:19,622
Thanks, Esme.

515
00:20:19,623 --> 00:20:21,791
Um, I'll be right back, yeah?

516
00:20:25,003 --> 00:20:27,379
Fuck!

517
00:20:27,380 --> 00:20:29,590
- You good?
- Yeah, yeah.

518
00:20:29,591 --> 00:20:32,968
I'm just... I'm looking
for something to put this in.

519
00:20:32,969 --> 00:20:35,472
A, uh... a patient left it.

520
00:20:37,849 --> 00:20:40,976
She died, the, uh, cancer mom
with the two kids.

521
00:20:40,977 --> 00:20:43,187
Sounds like a tough one.

522
00:20:43,188 --> 00:20:44,980
Yeah, that one sucked.

523
00:20:44,981 --> 00:20:47,483
Seeing those two young boys
say goodbye to their mother

524
00:20:47,484 --> 00:20:49,652
was brutal.

525
00:20:49,653 --> 00:20:53,989
Just makes you want to cry.

526
00:20:53,990 --> 00:20:56,158
You should cry. You'll feel better.

527
00:20:56,159 --> 00:20:58,494
I wish I could.

528
00:20:58,495 --> 00:21:03,082
No, I don't even remember
the last time I cried.

529
00:21:03,083 --> 00:21:05,167
I'm not even sure I can anymore.

530
00:21:05,168 --> 00:21:07,378
Is that what this place does to you?

531
00:21:07,379 --> 00:21:11,674
We get pretty good
at shutting down our feelings.

532
00:21:11,675 --> 00:21:14,093
Yeah, I'm a little scared

533
00:21:14,094 --> 00:21:16,428
I've shut them off for so long,

534
00:21:16,429 --> 00:21:20,015
I don't know how to turn them
back on again.

535
00:21:20,016 --> 00:21:23,603
I just wish I could cry again, you know?

536
00:21:25,438 --> 00:21:27,856
You want a hug?

537
00:21:27,857 --> 00:21:29,275
God, no.

538
00:21:30,860 --> 00:21:32,528
Your mom is stable,

539
00:21:32,529 --> 00:21:35,030
but she's still waiting
on the imaging of her hip.

540
00:21:35,031 --> 00:21:36,365
We'll know more soon.

541
00:21:36,366 --> 00:21:37,866
You can wait with your dad
in the meantime.

542
00:21:37,867 --> 00:21:39,034
I've told him a million times

543
00:21:39,035 --> 00:21:40,828
he shouldn't be driving anymore.

544
00:21:40,829 --> 00:21:43,247
May I ask what their home
situation is like right now?

545
00:21:43,248 --> 00:21:45,582
I don't know, they live
over in Squirrel Hill.

546
00:21:45,583 --> 00:21:47,543
Same house I grew up in,
just the two of them.

547
00:21:47,544 --> 00:21:49,503
We noticed your father

548
00:21:49,504 --> 00:21:51,714
exhibiting signs of an unsteady gait,

549
00:21:51,715 --> 00:21:54,591
along with other balance
and mobility issues.

550
00:21:54,592 --> 00:21:56,552
He sees an internist, neurologist,

551
00:21:56,553 --> 00:21:58,387
cardiologist, gastroenterologist.

552
00:21:58,388 --> 00:22:01,056
He's got a whole team of "ologists."

553
00:22:01,057 --> 00:22:03,225
Both my parents used to be
in pretty great shape,

554
00:22:03,226 --> 00:22:05,894
but lately, it's like they can
barely get up the stairs.

555
00:22:05,895 --> 00:22:07,771
Half their house
isn't accessible to them.

556
00:22:07,772 --> 00:22:10,274
Have you looked
into assisted living options?

557
00:22:10,275 --> 00:22:13,777
Yes, but they refuse
to even talk about it with me.

558
00:22:13,778 --> 00:22:16,071
Mr. Cohen, you have a visitor.

559
00:22:16,072 --> 00:22:18,407
- Care Bear.
- Dad.

560
00:22:18,408 --> 00:22:22,453
- You feeling okay?
- No, I'm feeling dumb.

561
00:22:22,454 --> 00:22:24,663
Carrie, this is Dr. King,

562
00:22:24,664 --> 00:22:26,749
who will be assisting
with your mother's care.

563
00:22:26,750 --> 00:22:28,917
I was just explaining that the treatment

564
00:22:28,918 --> 00:22:30,461
depends on the injuries,

565
00:22:30,462 --> 00:22:32,546
but there are complicating factors.

566
00:22:32,547 --> 00:22:34,923
We are required to report impairments

567
00:22:34,924 --> 00:22:36,550
that might affect driving,

568
00:22:36,551 --> 00:22:38,761
and you will likely have
to take another driver's test

569
00:22:38,762 --> 00:22:40,095
to keep your license.

570
00:22:40,096 --> 00:22:42,056
What's that got to do with Frida?

571
00:22:42,057 --> 00:22:43,766
Well, if the hip injury is serious

572
00:22:43,767 --> 00:22:47,311
and you're also, uh, limited,

573
00:22:47,312 --> 00:22:49,104
then it could mean

574
00:22:49,105 --> 00:22:51,148
an "unsafe to return home"
recommendation for your wife.

575
00:22:51,149 --> 00:22:53,317
You'd be looking at a temporary move

576
00:22:53,318 --> 00:22:56,236
to some form of assisted living
and rehabilitation

577
00:22:56,237 --> 00:22:57,321
for Frida's care.

578
00:22:57,322 --> 00:22:59,782
How temporary?

579
00:22:59,783 --> 00:23:01,909
Best case, three to six months,

580
00:23:01,910 --> 00:23:04,787
but she may never return
to the functionality she had

581
00:23:04,788 --> 00:23:06,705
prior to the injury and recovery.

582
00:23:06,706 --> 00:23:09,958
- Okay, well, kill me now.
- See what I'm dealing with?

583
00:23:09,959 --> 00:23:12,961
Dad, you need to find somewhere
to live that is safer

584
00:23:12,962 --> 00:23:14,671
and healthier for both of you.

585
00:23:14,672 --> 00:23:17,341
You... you know, the new
communities are not anything

586
00:23:17,342 --> 00:23:19,009
like the old, scary nursing homes.

587
00:23:19,010 --> 00:23:21,178
They're really nice, and you
get your own apartment.

588
00:23:21,179 --> 00:23:23,305
And, um, you know, my sister
actually lives in one.

589
00:23:23,306 --> 00:23:24,681
She just loves it.

590
00:23:24,682 --> 00:23:26,850
When the dog dies, we can talk.

591
00:23:26,851 --> 00:23:28,477
What if you fall?

592
00:23:28,478 --> 00:23:30,145
What if you have
a heart attack or a stroke,

593
00:23:30,146 --> 00:23:32,147
and there's no one there to help you?

594
00:23:32,148 --> 00:23:34,066
- You worry too much.
- How can I not?

595
00:23:34,067 --> 00:23:36,110
Look what happened today.

596
00:23:36,111 --> 00:23:38,445
Okay, we're gonna leave you two alone.

597
00:23:38,446 --> 00:23:40,824
We'll come back with Mrs. Cohen.

598
00:23:45,829 --> 00:23:49,331
Hey, Robby, our scalp victim
is back from CT.

599
00:23:49,332 --> 00:23:51,458
- They're prepping him now.
- Shit.

600
00:23:51,459 --> 00:23:53,293
Uh, okay. I'm coming.

601
00:23:53,294 --> 00:23:55,212
Um...

602
00:23:55,213 --> 00:23:57,798
- Is your friend doing okay?
- He's on my flight risk radar.

603
00:23:57,799 --> 00:24:00,467
Oh, and Dana put McKay on the
guy who attacked the new nurse.

604
00:24:00,468 --> 00:24:03,887
- Is she okay?
- Physically, yes.

605
00:24:03,888 --> 00:24:06,682
I heard you had a little chat
with Langdon earlier.

606
00:24:06,683 --> 00:24:08,267
Yeah, water under the bridge.

607
00:24:08,268 --> 00:24:09,768
You have to figure out a way
of working with him

608
00:24:09,769 --> 00:24:11,854
- now that he's back.
- Or until he relapses.

609
00:24:11,855 --> 00:24:13,397
You're becoming a very good doctor.

610
00:24:13,398 --> 00:24:15,107
Don't let old conflicts get in the way.

611
00:24:15,108 --> 00:24:17,025
Speaking of which,
I want you and everybody else

612
00:24:17,026 --> 00:24:19,862
to see the trauma counselor
while I'm gone, yes?

613
00:24:19,863 --> 00:24:21,280
- Yes.
- And I asked Whitaker

614
00:24:21,281 --> 00:24:22,906
to house-sit for me while I'm gone.

615
00:24:22,907 --> 00:24:24,241
I figured that would distract

616
00:24:24,242 --> 00:24:25,701
from the whole farmer's widow thing.

617
00:24:25,702 --> 00:24:26,785
- Wait, what?
- Bring in the mail,

618
00:24:26,786 --> 00:24:28,537
water the plants... cool?

619
00:24:28,538 --> 00:24:31,206
- Cool. Yeah. Fine.
- That looks good.

620
00:24:31,207 --> 00:24:33,208
You can start the repair after this one.

621
00:24:33,209 --> 00:24:35,252
Feeling any pain, sir?

622
00:24:35,253 --> 00:24:38,380
Uh, no pain, just wet.

623
00:24:38,381 --> 00:24:41,049
- You already numbed him up?
- I did.

624
00:24:41,050 --> 00:24:42,426
1% with epi.

625
00:24:42,427 --> 00:24:44,428
- CT back yet?
- No, not yet.

626
00:24:44,429 --> 00:24:46,221
I watched the slices come up.

627
00:24:46,222 --> 00:24:48,891
Isolated sternal fracture.
Everything else looked normal.

628
00:24:48,892 --> 00:24:51,268
Could send him home,
but given the mechanism,

629
00:24:51,269 --> 00:24:53,061
should probably watch him overnight.

630
00:24:53,062 --> 00:24:54,938
I agree with Dr. Garcia.

631
00:24:54,939 --> 00:24:58,692
I agree with Dr. Garcia, too.

632
00:24:58,693 --> 00:25:02,696
Three-layer closure...
galea, sub-Q, skin staples.

633
00:25:02,697 --> 00:25:04,114
Enjoy the fireworks.

634
00:25:04,115 --> 00:25:06,074
And hey, if I don't see you
before you leave,

635
00:25:06,075 --> 00:25:07,701
don't forget to buy me a souvenir,

636
00:25:07,702 --> 00:25:09,745
like a custom elk-bone-carved
hunting blade.

637
00:25:09,746 --> 00:25:11,663
Nothing less for my favorite butcher.

638
00:25:11,664 --> 00:25:13,665
Aww, you're gonna make
a great ex-husband

639
00:25:13,666 --> 00:25:15,877
one day, Robinavitch.

640
00:25:17,670 --> 00:25:19,922
Hospital's got a defense
attorney looking for Jesse.

641
00:25:19,923 --> 00:25:21,673
Probably took him
to an ICE detention center.

642
00:25:21,674 --> 00:25:23,926
Said we shouldn't hold
our breath, though.

643
00:25:23,927 --> 00:25:26,094
Whatever happened
to "we the people," huh?

644
00:25:28,681 --> 00:25:30,599
Anything back
on that drunk son of a bitch

645
00:25:30,600 --> 00:25:33,435
- that attacked Emma?
- Not yet.

646
00:25:33,436 --> 00:25:35,270
- Christ's sake.
- I'm making a run now.

647
00:25:35,271 --> 00:25:36,647
- I'll ask.
- Yeah.

648
00:25:36,648 --> 00:25:37,773
That's the guy who attacked Emma?

649
00:25:37,774 --> 00:25:40,734
- Mm-hmm.
- That's intense.

650
00:25:40,735 --> 00:25:43,111
How you doing?

651
00:25:43,112 --> 00:25:45,239
Peachy.

652
00:25:45,240 --> 00:25:46,782
Oh, that's me.

653
00:25:46,783 --> 00:25:48,951
Hey, you did what you had to do
with that guy.

654
00:25:48,952 --> 00:25:51,537
- Everything's gonna be fine.
- From your lips.

655
00:25:54,958 --> 00:25:57,292
Box of class B launch tubes to the van.

656
00:25:57,293 --> 00:26:00,254
Next second, kaboom!

657
00:26:00,255 --> 00:26:04,299
I get launched 10, 15 feet
across the garage,

658
00:26:04,300 --> 00:26:07,135
right up into the lift track.

659
00:26:07,136 --> 00:26:09,513
Hit something hard.

660
00:26:09,514 --> 00:26:12,307
Uh, I don't really remember the rest.

661
00:26:12,308 --> 00:26:15,811
Oh, just my brother screaming,
help, help!

662
00:26:15,812 --> 00:26:19,731
I'm lying there thinking,
oh, he must be dying.

663
00:26:19,732 --> 00:26:21,817
I guess it was me
he was screaming about.

664
00:26:21,818 --> 00:26:23,735
Your brother is in the family room.

665
00:26:23,736 --> 00:26:26,738
He's waiting to see you,
and he is alive and well.

666
00:26:26,739 --> 00:26:28,949
Oops.

667
00:26:28,950 --> 00:26:30,659
"Oops"?

668
00:26:30,660 --> 00:26:32,995
What... what's oops mean?

669
00:26:32,996 --> 00:26:36,874
- Hello?
- It's nothing to worry about.

670
00:26:38,293 --> 00:26:41,004
We never say "oops"
in front of a patient.

671
00:26:45,341 --> 00:26:47,342
All right, try again.

672
00:26:47,343 --> 00:26:49,386
- You sure?
- Mm-hmm.

673
00:26:49,387 --> 00:26:51,138
Okay.

674
00:26:51,139 --> 00:26:53,557
Better. Keep going.

675
00:26:53,558 --> 00:26:55,058
You might want to leave the fireworks

676
00:26:55,059 --> 00:26:56,310
to the professionals.

677
00:26:56,311 --> 00:26:58,186
We are professionals.

678
00:26:58,187 --> 00:27:02,983
Got our official PDA consumer
license a few years back.

679
00:27:02,984 --> 00:27:05,569
Gunpowder's in my blood, man.

680
00:27:05,570 --> 00:27:07,362
Nothing like that...

681
00:27:12,243 --> 00:27:14,369
Ain't no fighting it.

682
00:27:14,370 --> 00:27:16,204
Amor fati.

683
00:27:16,205 --> 00:27:19,041
More like memento mori.

684
00:27:19,042 --> 00:27:21,626
Tomato, tom-ah-to.

685
00:27:21,627 --> 00:27:23,378
Am I, like, the only one

686
00:27:23,379 --> 00:27:25,464
who didn't study Latin for med school?

687
00:27:25,465 --> 00:27:27,215
- Yep.
- Yes.

688
00:27:27,216 --> 00:27:29,217
And finished.

689
00:27:29,218 --> 00:27:30,886
Nicely done.

690
00:27:30,887 --> 00:27:32,888
- Can I see my brother now?
- Yep.

691
00:27:32,889 --> 00:27:35,057
Oh, motherfucker.

692
00:27:35,058 --> 00:27:37,893
- Chest pain?
- Only when I move.

693
00:27:37,894 --> 00:27:39,603
That would be the fracture
in your sternum,

694
00:27:39,604 --> 00:27:41,396
which we will give you
another 4 of morphine for that.

695
00:27:41,397 --> 00:27:42,773
Thank you.

696
00:27:42,774 --> 00:27:44,691
And try no laughing or sneezing

697
00:27:44,692 --> 00:27:46,234
for the next four weeks.

698
00:27:47,945 --> 00:27:49,571
Mr. Haas, we're gonna switch you over

699
00:27:49,572 --> 00:27:52,074
to a high-flow nasal oxygen
instead of the BiPAP

700
00:27:52,075 --> 00:27:53,867
and see how you do.

701
00:27:53,868 --> 00:27:55,410
This looks promising.

702
00:27:55,411 --> 00:27:58,246
Repeat potassium is at 6.1
with the albuterol.

703
00:28:03,920 --> 00:28:06,421
Feeling a...

704
00:28:06,422 --> 00:28:08,091
a little better.

705
00:28:10,301 --> 00:28:13,053
Don't you ever tell your mother
about how fast you drove here.

706
00:28:13,054 --> 00:28:15,639
I thought you were gonna die.

707
00:28:15,640 --> 00:28:19,434
Any longer,
and he might have, so good job.

708
00:28:19,435 --> 00:28:23,021
Boy just got his permit last week.

709
00:28:23,022 --> 00:28:24,564
Felt like I was living

710
00:28:24,565 --> 00:28:27,067
in one of those
"Fast and the Furious" movies.

711
00:28:27,068 --> 00:28:30,278
I can't believe Pine Ridge closed.

712
00:28:30,279 --> 00:28:31,655
When did that happen?

713
00:28:31,656 --> 00:28:33,949
I read about it a few months ago.

714
00:28:33,950 --> 00:28:35,700
Medicare spending cuts.

715
00:28:35,701 --> 00:28:37,869
Are there any other
emergency rooms in the area?

716
00:28:37,870 --> 00:28:39,204
Nope.

717
00:28:39,205 --> 00:28:40,789
It's gonna be a long way to drive

718
00:28:40,790 --> 00:28:42,499
for folks out where we live.

719
00:28:42,500 --> 00:28:44,960
Mr. Haas, you'll need
to stay here a few hours.

720
00:28:44,961 --> 00:28:46,294
Get you tuned up.

721
00:28:46,295 --> 00:28:49,798
Yeah. I know the drill.

722
00:28:49,799 --> 00:28:51,925
Hey, you know, Mason, if you're hungry,

723
00:28:51,926 --> 00:28:53,635
we've got a pretty good cafeteria.

724
00:28:53,636 --> 00:28:55,679
Don't lie to him.

725
00:28:55,680 --> 00:28:57,639
We have a cafeteria.

726
00:28:57,640 --> 00:28:59,599
I'm just gonna stay here with my dad.

727
00:28:59,600 --> 00:29:02,144
Yeah, sure.

728
00:29:02,145 --> 00:29:04,188
Thank you for saving him.

729
00:29:10,278 --> 00:29:12,487
Are you still thinking
rural emergency medicine

730
00:29:12,488 --> 00:29:14,156
when you're done here?

731
00:29:14,157 --> 00:29:17,159
Um, not thinking, doing.

732
00:29:17,160 --> 00:29:19,161
God, I hope there are
still some hospitals left

733
00:29:19,162 --> 00:29:20,997
- for you to work at.
- Yeah.

734
00:29:22,498 --> 00:29:24,082
Oh!

735
00:29:24,083 --> 00:29:26,126
So the march of the walking
dead night shift begins.

736
00:29:26,127 --> 00:29:28,170
First one in, Mateo.
You get a gold star.

737
00:29:28,171 --> 00:29:29,588
What happened in here?

738
00:29:29,589 --> 00:29:31,339
I left you guys
with a layup this morning.

739
00:29:31,340 --> 00:29:32,716
Don't ask.

740
00:29:32,717 --> 00:29:34,843
Speaking of layups, what up, Dr. J?

741
00:29:34,844 --> 00:29:36,595
Oh, right.

742
00:29:36,596 --> 00:29:39,389
That was, um, some sort of
basketball player, wasn't it?

743
00:29:39,390 --> 00:29:40,932
Shame on you.

744
00:29:40,933 --> 00:29:43,185
Only the greatest Sixer
to ever play the game.

745
00:29:43,186 --> 00:29:45,479
Week one of year four of med school.

746
00:29:45,480 --> 00:29:47,522
You'll be ordering me around
before you know it.

747
00:29:47,523 --> 00:29:49,357
Gonna join the dark side
when you graduate?

748
00:29:49,358 --> 00:29:50,859
The emergency department?

749
00:29:50,860 --> 00:29:54,321
The night shift, baby. It's wild.

750
00:29:54,322 --> 00:29:56,156
Um...

751
00:29:56,157 --> 00:29:58,825
I haven't even decided what
residency I'm applying for yet.

752
00:29:58,826 --> 00:30:01,244
You'll figure it out. Got lots of time.

753
00:30:01,245 --> 00:30:03,872
Tell that to my parents.

754
00:30:03,873 --> 00:30:06,208
Dana, results are back on your guy.

755
00:30:06,209 --> 00:30:07,585
Give me those.

756
00:30:12,173 --> 00:30:14,174
I-I choked her?

757
00:30:14,175 --> 00:30:16,551
No, I would never do
something like that.

758
00:30:16,552 --> 00:30:17,719
But you did.

759
00:30:21,057 --> 00:30:24,768
Can you, uh... sorry, can you
excuse me for a minute?

760
00:30:24,769 --> 00:30:27,230
- Jesus Christ, Dana.
- Read.

761
00:30:29,565 --> 00:30:31,483
What's he saying, anyway?

762
00:30:31,484 --> 00:30:33,693
He's in a bit of shock.

763
00:30:33,694 --> 00:30:36,738
Claims he doesn't remember anything.

764
00:30:36,739 --> 00:30:39,074
Says he was on the golf course
getting boozy,

765
00:30:39,075 --> 00:30:40,784
maybe a little too boozy.

766
00:30:40,785 --> 00:30:42,911
Things get hazy, next thing
you know, he's on the floor

767
00:30:42,912 --> 00:30:44,162
and everyone's screaming at him.

768
00:30:44,163 --> 00:30:46,665
How convenient.

769
00:30:46,666 --> 00:30:48,583
Maybe it's better for both of you

770
00:30:48,584 --> 00:30:50,753
that he doesn't remember what happened.

771
00:30:52,797 --> 00:30:55,424
Let me know when you're ready
to take my statement.

772
00:31:01,264 --> 00:31:03,139
All right, well, the good news is,

773
00:31:03,140 --> 00:31:06,059
your CT was negative for skull fracture

774
00:31:06,060 --> 00:31:07,936
or intracranial hemorrhage.

775
00:31:07,937 --> 00:31:11,231
You mean that's good news for
you and that blonde nurse lady.

776
00:31:11,232 --> 00:31:13,608
But your lab results
were positive for alcohol

777
00:31:13,609 --> 00:31:15,277
and cocaine.

778
00:31:17,071 --> 00:31:18,947
Okay, you got me.

779
00:31:18,948 --> 00:31:21,074
I did a couple
of birdie bumps on the turn,

780
00:31:21,075 --> 00:31:22,993
but we were just having fun
on the golf course.

781
00:31:22,994 --> 00:31:25,203
Look, when alcohol
is mixed with cocaine,

782
00:31:25,204 --> 00:31:26,955
your liver produces a metabolite

783
00:31:26,956 --> 00:31:28,373
called cocaethylene.

784
00:31:28,374 --> 00:31:30,375
What does that have to do with me

785
00:31:30,376 --> 00:31:33,336
allegedly doing what you said?

786
00:31:33,337 --> 00:31:35,046
It's a psychoactive molecule

787
00:31:35,047 --> 00:31:37,382
more toxic and potent than cocaine.

788
00:31:37,383 --> 00:31:41,636
And it can lead to confusion,
paranoia, aggression,

789
00:31:41,637 --> 00:31:44,264
and even psychosis.

790
00:31:46,058 --> 00:31:49,060
What happens now?

791
00:31:49,061 --> 00:31:51,313
We're gonna monitor you for a few hours,

792
00:31:51,314 --> 00:31:53,690
especially given your likely concussion.

793
00:31:53,691 --> 00:31:55,108
And you'll need to give a statement

794
00:31:55,109 --> 00:31:57,153
to the police outside in the meantime.

795
00:32:02,450 --> 00:32:04,618
Oh, you lucky this was just a poke.

796
00:32:04,619 --> 00:32:05,785
Spared the muscle.

797
00:32:05,786 --> 00:32:07,370
See? It could have been worse.

798
00:32:07,371 --> 00:32:08,997
No shit, Sherman.

799
00:32:08,998 --> 00:32:10,999
The triangular bayonets
they created back then

800
00:32:11,000 --> 00:32:12,334
were designed to leave wounds

801
00:32:12,335 --> 00:32:14,336
that are nearly impossible to stitch.

802
00:32:14,337 --> 00:32:16,671
Those bayonets had never met me.

803
00:32:16,672 --> 00:32:18,340
- Oh, wow.
- What?

804
00:32:18,341 --> 00:32:20,133
It's all good. We got it covered.

805
00:32:20,134 --> 00:32:23,386
No, are you guys
from the Fort Pitt Museum?

806
00:32:23,387 --> 00:32:25,680
- Yeah. You familiar?
- Yeah.

807
00:32:25,681 --> 00:32:27,098
I love you guys.

808
00:32:27,099 --> 00:32:28,600
My mom would take me to the fort

809
00:32:28,601 --> 00:32:30,268
every time we'd come down
to visit family as a kid.

810
00:32:30,269 --> 00:32:32,354
We've been volunteering there
as living historians

811
00:32:32,355 --> 00:32:34,731
- for over 20 years.
- I probably saw you then.

812
00:32:34,732 --> 00:32:37,275
Man, I can't wait to tell
my parents about this.

813
00:32:37,276 --> 00:32:39,027
Getting stabbed must have been scary.

814
00:32:39,028 --> 00:32:41,529
Yeah, well, Poindexter here
stumbled over his boots

815
00:32:41,530 --> 00:32:43,198
and nearly impaled me.

816
00:32:43,199 --> 00:32:44,866
Wouldn't have mattered if you
weren't out of formation.

817
00:32:44,867 --> 00:32:46,201
You're in good hands.

818
00:32:46,202 --> 00:32:48,119
This guy could have saved a lot of lives

819
00:32:48,120 --> 00:32:50,914
with his sutures back in 1776.

820
00:32:50,915 --> 00:32:54,209
- I was not out of formation.
- You were out of formation.

821
00:32:54,210 --> 00:32:55,627
Hi, again.

822
00:32:55,628 --> 00:32:57,337
Good news, Mrs. Cohen.

823
00:32:57,338 --> 00:33:00,173
Your imaging results
show no hip fracture

824
00:33:00,174 --> 00:33:02,217
and no internal bleeding.

825
00:33:02,218 --> 00:33:04,386
But you do have
a small hairline fracture

826
00:33:04,387 --> 00:33:06,054
of the superior pubic ramus.

827
00:33:06,055 --> 00:33:08,056
Well, that doesn't sound good.

828
00:33:08,057 --> 00:33:09,224
Well, if you're gonna have a fracture,

829
00:33:09,225 --> 00:33:10,517
it's the best one to have.

830
00:33:10,518 --> 00:33:12,936
Do I need to stay in the hospital?

831
00:33:12,937 --> 00:33:14,062
Not necessarily.

832
00:33:14,063 --> 00:33:15,730
Your recovery should be

833
00:33:15,731 --> 00:33:17,732
pretty straightforward
if we can control your pain.

834
00:33:17,733 --> 00:33:20,276
But you need to take it easy
and stay off your feet

835
00:33:20,277 --> 00:33:22,070
for six to eight weeks.

836
00:33:22,071 --> 00:33:23,863
How can she go home if she can't walk?

837
00:33:23,864 --> 00:33:26,366
Oh, she can bear weight
and walk with some help.

838
00:33:26,367 --> 00:33:29,244
And we'll get you a walker
and schedule physical therapy.

839
00:33:29,245 --> 00:33:32,956
{an8}- So... so we can go home.
- Yes.

840
00:33:32,957 --> 00:33:35,750
{an8}Dad, you can't take care
of Mom all by yourself.

841
00:33:35,751 --> 00:33:37,919
{an8}Oh, we'll manage.

842
00:33:37,920 --> 00:33:40,255
{an8}You guys, you need to be realistic.

843
00:33:40,256 --> 00:33:43,258
I don't want strangers
hanging around in the house.

844
00:33:43,259 --> 00:33:45,176
It's not strangers. It's helpers.

845
00:33:45,177 --> 00:33:46,928
Mm-mm, no. No, thanks.

846
00:33:46,929 --> 00:33:49,098
- Mm-mm.
- Doctors, please.

847
00:33:50,766 --> 00:33:52,767
I am worried about your ability

848
00:33:52,768 --> 00:33:55,645
to get the assistance
you need, Mrs. Cohen.

849
00:33:55,646 --> 00:33:58,022
It may be time to think about
some of those

850
00:33:58,023 --> 00:34:01,901
alternative living options we mentioned.

851
00:34:01,902 --> 00:34:03,611
I can take care of her.

852
00:34:03,612 --> 00:34:05,905
Dad, are you gonna be able
to get her into the bathroom

853
00:34:05,906 --> 00:34:07,782
onto the toilet
in the middle of the night?

854
00:34:07,783 --> 00:34:09,784
Are you gonna help her change
her clothes in the morning?

855
00:34:09,785 --> 00:34:11,578
- Are you gonna...
- We're... we're fine.

856
00:34:11,579 --> 00:34:15,248
Dad, please just try it.

857
00:34:15,249 --> 00:34:17,125
You don't have to sell
the house right away.

858
00:34:17,126 --> 00:34:20,336
Just see if you like it.

859
00:34:20,337 --> 00:34:22,797
- You could move in with us.
- No, I can't.

860
00:34:22,798 --> 00:34:24,466
I have work. I have the kids. I can't.

861
00:34:24,467 --> 00:34:26,426
No. No. No.

862
00:34:26,427 --> 00:34:28,637
No. Okay? Just no.

863
00:34:30,639 --> 00:34:33,809
Carrie, could I speak
with you outside for a minute?

864
00:34:41,484 --> 00:34:43,193
It's like that every time.

865
00:34:43,194 --> 00:34:44,861
It's tough to find the balance

866
00:34:44,862 --> 00:34:47,030
between respecting your
loved ones' needs for agency

867
00:34:47,031 --> 00:34:49,699
and doing what's best for their safety.

868
00:34:49,700 --> 00:34:53,203
I was wondering if you had
your parents' medication lists

869
00:34:53,204 --> 00:34:56,206
- with you or on your phone.
- Yeah.

870
00:34:56,207 --> 00:34:59,542
I'd like to take a quick
look at it, if that's okay.

871
00:34:59,543 --> 00:35:01,086
Yeah.

872
00:35:03,047 --> 00:35:05,131
My man, how you doing?

873
00:35:05,132 --> 00:35:06,382
Like you better roll in

874
00:35:06,383 --> 00:35:08,343
a bar cart and a happy hour buffet

875
00:35:08,344 --> 00:35:10,470
if I'm gonna be stuck
in this place much longer.

876
00:35:10,471 --> 00:35:11,846
This place is a traffic jam.

877
00:35:11,847 --> 00:35:13,223
We're trying to merge you in, I promise.

878
00:35:13,224 --> 00:35:14,516
That's no traffic jam.

879
00:35:14,517 --> 00:35:16,017
That's a 20-car pileup.

880
00:35:16,018 --> 00:35:18,061
The sooner you get out,
the sooner I get out,

881
00:35:18,062 --> 00:35:21,356
so you know I'm not bullshitting you.

882
00:35:21,357 --> 00:35:23,316
Why are you jonesing so hard to get out

883
00:35:23,317 --> 00:35:25,068
and start your ride tonight?

884
00:35:25,069 --> 00:35:26,861
I've got a schedule.

885
00:35:26,862 --> 00:35:29,740
I've got places to go.
I've got people to see.

886
00:35:33,786 --> 00:35:36,955
I just have to get going.

887
00:35:36,956 --> 00:35:39,040
You're worried
if you don't leave tonight,

888
00:35:39,041 --> 00:35:41,376
you won't leave at all.

889
00:35:41,377 --> 00:35:43,545
Look, I get it.

890
00:35:43,546 --> 00:35:46,714
I can feel it in the air here.
This place is like quicksand.

891
00:35:46,715 --> 00:35:49,551
Right.

892
00:35:49,552 --> 00:35:51,302
Dr. Robby?

893
00:35:51,303 --> 00:35:55,390
Uh, Dante, the fireworks guy...
something's wrong.

894
00:35:55,391 --> 00:35:57,100
Okay, shit.

895
00:35:57,101 --> 00:35:58,935
Um, do not go anywhere. You are next up.

896
00:35:58,936 --> 00:36:00,562
I'm gonna deliver you myself.

897
00:36:00,563 --> 00:36:02,480
I'm starting to feel like
a hostage in this place.

898
00:36:02,481 --> 00:36:04,399
How do you think I feel?

899
00:36:19,290 --> 00:36:22,125
- What's going on?
- Fucking chest hurts.

900
00:36:22,126 --> 00:36:25,295
Systolic's down to 78.

901
00:36:25,296 --> 00:36:27,297
- Blood loss from scalp lac?
- Uh, that's highly unlikely.

902
00:36:27,298 --> 00:36:29,132
- Dr. Santos?
- Good breath sounds.

903
00:36:29,133 --> 00:36:31,426
But neck veins are up.
Checking the heart now.

904
00:36:31,427 --> 00:36:33,928
Okay, 500-cc bolus,
100% non-rebreather please.

905
00:36:33,929 --> 00:36:36,598
Okay, pericardial effusion,
RV collapse... it's tamponade.

906
00:36:36,599 --> 00:36:38,474
Yeah, let's prep
for a pericardiocentesis.

907
00:36:38,475 --> 00:36:40,643
What's going on? Is he gonna be okay?

908
00:36:40,644 --> 00:36:43,146
- You said he was fine.
- CT scan was normal.

909
00:36:43,147 --> 00:36:45,064
Things change.

910
00:36:45,065 --> 00:36:48,484
Dante, there is a collection
of blood around your heart.

911
00:36:48,485 --> 00:36:50,945
- We need to drain it.
- Oh, fuck.

912
00:36:50,946 --> 00:36:53,114
Okay, 0.5 per kilo ketamine, please.

913
00:36:53,115 --> 00:36:54,782
Won't that drop his pressure even more?

914
00:36:54,783 --> 00:36:56,117
We don't have a choice.

915
00:36:56,118 --> 00:36:58,161
We cannot do this on a moving target.

916
00:36:58,162 --> 00:37:00,622
Dante, Jesus fucking Christ.
It's my baby brother.

917
00:37:00,623 --> 00:37:02,790
- Hey, Perlah?
- Sir, I'm so sorry,

918
00:37:02,791 --> 00:37:04,334
but you can't be in here right now.

919
00:37:04,335 --> 00:37:06,085
What's wrong with him?
Hey, Dante. Dante.

920
00:37:06,086 --> 00:37:08,755
- Hey, just hear me...
- Okay. I'm so sorry.

921
00:37:08,756 --> 00:37:10,340
You can't be in there right now, okay?

922
00:37:10,341 --> 00:37:12,008
- We have to stabilize.
- They said he was fine.

923
00:37:12,009 --> 00:37:13,593
Yeah. Okay. There's been a complication.

924
00:37:13,594 --> 00:37:15,428
I just need you to take
a couple deep breaths

925
00:37:15,429 --> 00:37:17,096
- and try to stay calm.
- Please. Please.

926
00:37:17,097 --> 00:37:19,974
Okay, just breathe with me.
In. Okay, out.

927
00:37:19,975 --> 00:37:21,809
Look at me. Breathe in.

928
00:37:21,810 --> 00:37:23,645
Out.

929
00:37:23,646 --> 00:37:26,022
Very good. In, out.

930
00:37:26,023 --> 00:37:28,484
Okay, stay calm, okay? We got this.

931
00:37:31,320 --> 00:37:32,987
I can't leave you <i>pendejos</i> alone.

932
00:37:32,988 --> 00:37:34,656
- Tamponade with shock.
- From what?

933
00:37:34,657 --> 00:37:36,240
Uh, I'm guessing a small tear

934
00:37:36,241 --> 00:37:37,909
in the right atrium
from the sternal fracture.

935
00:37:37,910 --> 00:37:39,243
If it was ventricular,

936
00:37:39,244 --> 00:37:40,828
he would have crashed in the field.

937
00:37:40,829 --> 00:37:42,580
I'll call cardiothoracic.
See if they have an OR.

938
00:37:42,581 --> 00:37:44,123
Systolic's down to 64.

939
00:37:44,124 --> 00:37:45,500
Okay, have you ever done
an apical approach?

940
00:37:45,501 --> 00:37:47,877
- Nope.
- No time like the present.

941
00:37:47,878 --> 00:37:50,004
- Go lateral to my probe.
- Why not subcostal?

942
00:37:50,005 --> 00:37:52,882
This is a shorter distance.
There are fewer structures.

943
00:37:52,883 --> 00:37:54,258
If you can see fluid, there's nothing

944
00:37:54,259 --> 00:37:56,344
between the probe and the pericardial.

945
00:37:56,345 --> 00:37:58,513
There? There.
The needle's in the effusion.

946
00:37:58,514 --> 00:38:01,891
- Mm-hmm. Draw back.
- Good blood return.

947
00:38:01,892 --> 00:38:03,768
Okay, sometimes it only takes 20 cc's

948
00:38:03,769 --> 00:38:05,520
to let that heart fill again.

949
00:38:05,521 --> 00:38:08,356
- Carotid pulse much stronger.
- Thanks. Be right up.

950
00:38:08,357 --> 00:38:10,024
They'll have a room ready in five.

951
00:38:10,025 --> 00:38:12,527
All right, that is 40 cc's out.

952
00:38:12,528 --> 00:38:14,153
Blood pressure's up. 90 systolic.

953
00:38:14,154 --> 00:38:15,905
Okay, now we're gonna place the J wire,

954
00:38:15,906 --> 00:38:17,240
and we're gonna leave the catheter in

955
00:38:17,241 --> 00:38:18,491
with a three-way stopcock.

956
00:38:18,492 --> 00:38:19,867
Still bleeding from the heart.

957
00:38:19,868 --> 00:38:21,494
He can live with a little blood loss

958
00:38:21,495 --> 00:38:23,371
but not with a pressure bag
squeezing his heart

959
00:38:23,372 --> 00:38:24,580
so it can't beat.

960
00:38:24,581 --> 00:38:25,873
Good thing we didn't send him home.

961
00:38:25,874 --> 00:38:28,334
Nice save, Robby. You too, Trinity.

962
00:38:28,335 --> 00:38:32,714
- Is that an actual compliment?
- Sometimes you guys get lucky.

963
00:38:32,715 --> 00:38:34,507
Got a couple of bad ones.

964
00:38:34,508 --> 00:38:37,176
- How old is he?
- 84.

965
00:38:37,177 --> 00:38:38,678
Meclizine for vertigo.

966
00:38:38,679 --> 00:38:40,680
Anticholinergic effects
can cause drowsiness.

967
00:38:40,681 --> 00:38:42,724
It's PRN, so maybe he doesn't
take it all the time.

968
00:38:42,725 --> 00:38:44,726
He's also been prescribed methocarbamol,

969
00:38:44,727 --> 00:38:46,269
another anticholinergic.

970
00:38:46,270 --> 00:38:48,104
Could definitely impair driving.

971
00:38:48,105 --> 00:38:50,565
And metoclopramide for his stomach.

972
00:38:50,566 --> 00:38:53,067
That could cause gait problems.

973
00:38:53,068 --> 00:38:55,486
Exactly.

974
00:38:55,487 --> 00:38:57,739
- Dr. Robby, may we present?
- Yeah, what do you got?

975
00:38:57,740 --> 00:38:59,157
Hey, you should probably get started

976
00:38:59,158 --> 00:39:00,491
crossing your T's and dotting your I's

977
00:39:00,492 --> 00:39:01,743
for night shift handoff Right.

978
00:39:01,744 --> 00:39:03,745
Well, <i>vaya con Dios,</i>

979
00:39:03,746 --> 00:39:06,956
or whatever the bikers
are saying these days.

980
00:39:06,957 --> 00:39:09,292
Our elderly couple, Frida and Ed...

981
00:39:09,293 --> 00:39:11,627
We're anxious about their
ability to recover at home

982
00:39:11,628 --> 00:39:13,629
or to remain at home in general.

983
00:39:13,630 --> 00:39:15,757
But a number of Mr. Cohen's medications

984
00:39:15,758 --> 00:39:17,550
are on the Beers List,

985
00:39:17,551 --> 00:39:20,553
and they may be contributing
to his deteriorating health.

986
00:39:20,554 --> 00:39:22,305
- "May be"?
- We can't be certain.

987
00:39:22,306 --> 00:39:24,557
But none of them are critical meds.

988
00:39:24,558 --> 00:39:26,601
We could have him stop them right now,

989
00:39:26,602 --> 00:39:28,102
follow up with his PCP,

990
00:39:28,103 --> 00:39:29,395
see how he's doing in a few weeks.

991
00:39:29,396 --> 00:39:30,646
Run it by the family.

992
00:39:30,647 --> 00:39:32,899
Sometimes just affirming a patient's...

993
00:39:32,900 --> 00:39:36,319
independence, autonomy can do
a world of good.

994
00:39:36,320 --> 00:39:38,946
Um, hey, Dr. Mohan.

995
00:39:38,947 --> 00:39:41,783
I heard a rumor that you were
looking for an elective.

996
00:39:41,784 --> 00:39:44,118
Consider geriatrics.

997
00:39:44,119 --> 00:39:45,953
It's as much of an art as a science.

998
00:39:45,954 --> 00:39:48,122
There's usually an opening,
and you seem to have

999
00:39:48,123 --> 00:39:50,751
a predisposition to the pace.

1000
00:39:56,965 --> 00:39:58,466
Hey, have you seen Dana?

1001
00:39:58,467 --> 00:40:00,384
I think she went out for a smoke,

1002
00:40:00,385 --> 00:40:01,804
lucky girl.

1003
00:40:18,779 --> 00:40:21,656
You ever gonna tell me
what really happened in there?

1004
00:40:21,657 --> 00:40:22,825
In where?

1005
00:40:24,993 --> 00:40:27,829
You could lose your nursing license.

1006
00:40:27,830 --> 00:40:30,832
Let me guess... that vial
of Versed in your pocket,

1007
00:40:30,833 --> 00:40:32,667
you drew that up for Doug Driscoll

1008
00:40:32,668 --> 00:40:34,293
in case he ever came back,

1009
00:40:34,294 --> 00:40:36,295
and now you've just been
carrying it around ever since.

1010
00:40:36,296 --> 00:40:37,880
I did exactly what I needed to,

1011
00:40:37,881 --> 00:40:39,507
and now there's a young nurse
who gets to go home

1012
00:40:39,508 --> 00:40:41,175
in one piece because of me.

1013
00:40:41,176 --> 00:40:42,969
McKay can sign the Versed order
for me if you won't.

1014
00:40:42,970 --> 00:40:44,345
I will sign the order!

1015
00:40:44,346 --> 00:40:46,013
I will sign an extra order

1016
00:40:46,014 --> 00:40:47,598
so you can have one when I'm gone.

1017
00:40:47,599 --> 00:40:49,308
That's hardly the point.

1018
00:40:49,309 --> 00:40:52,603
It's not exactly like
I'm against nurse safety.

1019
00:40:52,604 --> 00:40:54,605
I'm trying to advocate for your caution,

1020
00:40:54,606 --> 00:40:56,274
because you're the person
who's supposed to be here

1021
00:40:56,275 --> 00:40:57,733
keeping this running while I'm gone,

1022
00:40:57,734 --> 00:40:59,360
not roaming the halls like a vigilante

1023
00:40:59,361 --> 00:41:01,028
with a loaded syringe and a vendetta!

1024
00:41:01,029 --> 00:41:02,280
It's always "do as I say,

1025
00:41:02,281 --> 00:41:03,573
not as I do" with you, isn't it?

1026
00:41:03,574 --> 00:41:05,575
What is wrong with you today?

1027
00:41:05,576 --> 00:41:08,202
Samira missed a triple-A.
Mel and Ellis had a deposition.

1028
00:41:08,203 --> 00:41:10,121
McKay's treating people
in the park. Fucking Langdon...

1029
00:41:10,122 --> 00:41:11,581
At some point, you and Langdon

1030
00:41:11,582 --> 00:41:13,082
- got to work this out.
- I don't want him here!

1031
00:41:13,083 --> 00:41:14,375
He made a mistake, and he paid for it.

1032
00:41:14,376 --> 00:41:15,751
Did he? Did he go to jail?

1033
00:41:15,752 --> 00:41:17,378
Because I let him get away with a crime.

1034
00:41:17,379 --> 00:41:19,088
- So what does that make me?
- Human!

1035
00:41:19,089 --> 00:41:21,757
Are you angry at him,
or are you angry at you?

1036
00:41:21,758 --> 00:41:23,551
- Somebody could have died.
- Oh, it's the ED.

1037
00:41:23,552 --> 00:41:25,178
- Somebody's always dying.
- Go ahead and make jokes.

1038
00:41:25,179 --> 00:41:27,096
Make jokes instead
of acknowledging that...

1039
00:41:27,097 --> 00:41:28,723
- Langdon didn't kill anybody.
- That we know of.

1040
00:41:28,724 --> 00:41:31,893
And he saved a lot of lives
that we do know of.

1041
00:41:31,894 --> 00:41:33,436
Our kids disappoint us sometimes.

1042
00:41:33,437 --> 00:41:34,896
Langdon is not a kid.

1043
00:41:34,897 --> 00:41:36,105
No, but he's your guy,

1044
00:41:36,106 --> 00:41:37,398
and you're taking it personally.

1045
00:41:37,399 --> 00:41:38,608
Langdon fucked up, and you think

1046
00:41:38,609 --> 00:41:39,859
that makes you look bad,

1047
00:41:39,860 --> 00:41:42,028
but it's on him.

1048
00:41:42,029 --> 00:41:43,529
How am I supposed to leave this place

1049
00:41:43,530 --> 00:41:44,864
when it's a shit show?

1050
00:41:44,865 --> 00:41:47,408
First you can't stay. Now you can't go.

1051
00:41:47,409 --> 00:41:49,160
What is it, Robinavitch?

1052
00:41:49,161 --> 00:41:50,995
No, I'm going.

1053
00:41:50,996 --> 00:41:52,830
I just thought I could leave it
a little better when I did.

1054
00:41:52,831 --> 00:41:54,582
Oh, don't be such a martyr.

1055
00:41:54,583 --> 00:41:56,667
This place is always teetering
on the brink of disaster,

1056
00:41:56,668 --> 00:41:58,002
with or without you.

1057
00:41:58,003 --> 00:41:59,670
We do it every night, every day off.

1058
00:41:59,671 --> 00:42:01,339
This place is bigger than one person.

1059
00:42:01,340 --> 00:42:04,091
It survived without Adamson,
it survived without me,

1060
00:42:04,092 --> 00:42:06,094
and it'll survive without you.

1061
00:42:10,933 --> 00:42:12,934
My meds are making me worse?

1062
00:42:12,935 --> 00:42:15,019
Not worse, but they may be impacting

1063
00:42:15,020 --> 00:42:16,812
your balance and mobility.

1064
00:42:16,813 --> 00:42:19,106
Why would his doctors prescribe drugs

1065
00:42:19,107 --> 00:42:20,733
that could harm him?

1066
00:42:20,734 --> 00:42:22,443
Oh, it's not any one medication.

1067
00:42:22,444 --> 00:42:24,445
It's the combination
that could be impairing

1068
00:42:24,446 --> 00:42:25,780
his daily functioning.

1069
00:42:25,781 --> 00:42:27,323
We have a case manager

1070
00:42:27,324 --> 00:42:29,283
that will put together a robust plan

1071
00:42:29,284 --> 00:42:31,786
that I think will make everyone happy,

1072
00:42:31,787 --> 00:42:33,746
while allowing you to stay at home.

1073
00:42:33,747 --> 00:42:36,290
There's regular physical therapy,

1074
00:42:36,291 --> 00:42:39,585
an at-home nurse that visits
a few times a week, and, um...

1075
00:42:39,586 --> 00:42:42,463
oh, even personal shoppers
to help with groceries.

1076
00:42:42,464 --> 00:42:45,299
This sounds expensive.

1077
00:42:45,300 --> 00:42:47,093
Actually, Medicare covers most of it,

1078
00:42:47,094 --> 00:42:49,553
with some assistance
from the Area Agency on Aging.

1079
00:42:49,554 --> 00:42:53,724
You know, every old person
knows what it is to be young,

1080
00:42:53,725 --> 00:42:58,562
but no young person can know
what it is to be old.

1081
00:42:58,563 --> 00:43:01,148
Thank you for listening.

1082
00:43:01,149 --> 00:43:02,733
You guys are still coming with me

1083
00:43:02,734 --> 00:43:04,735
to visit a few assisted living places

1084
00:43:04,736 --> 00:43:06,070
just in case it's ever time.

1085
00:43:06,071 --> 00:43:07,864
Well, maybe.

1086
00:43:24,047 --> 00:43:27,800
Hey. You, uh... you doing all right?

1087
00:43:27,801 --> 00:43:30,387
Never better. Thanks. Bye.

1088
00:43:36,184 --> 00:43:37,560
God, you're really just gonna

1089
00:43:37,561 --> 00:43:38,686
keep standing there, aren't you?

1090
00:43:38,687 --> 00:43:40,731
Yeah. What's going on?

1091
00:43:45,360 --> 00:43:48,195
It was literally my first day
of being a doctor,

1092
00:43:48,196 --> 00:43:50,781
and Langdon gaslit me

1093
00:43:50,782 --> 00:43:53,200
and made me question my skills
over and over.

1094
00:43:53,201 --> 00:43:56,370
And it's taken me a long time
to feel like I belong here,

1095
00:43:56,371 --> 00:43:58,247
and now he's back.

1096
00:43:58,248 --> 00:44:00,207
And I don't even care
that he was an addict.

1097
00:44:00,208 --> 00:44:01,959
I care that he was a fucking asshole.

1098
00:44:01,960 --> 00:44:05,629
And it's like no one here
even remembers any of this.

1099
00:44:05,630 --> 00:44:08,883
And everyone here talks
about community and family,

1100
00:44:08,884 --> 00:44:11,802
all while they throw you
under the bus, and I...

1101
00:44:11,803 --> 00:44:13,554
Robby is the only attending

1102
00:44:13,555 --> 00:44:15,473
who actually sees through the bullshit,

1103
00:44:15,474 --> 00:44:17,975
but now he's leaving for some
grand ego-death spirit quest,

1104
00:44:17,976 --> 00:44:22,021
and Robo-Doc over there shoots
me in the proverbial dick.

1105
00:44:22,022 --> 00:44:24,357
Well, Garcia's here.

1106
00:44:24,358 --> 00:44:26,609
- She likes you, right?
- She doesn't like me.

1107
00:44:26,610 --> 00:44:28,444
She likes getting laid.

1108
00:44:28,445 --> 00:44:32,406
I'm her stress relief
squeeze toy... or was.

1109
00:44:32,407 --> 00:44:35,409
You know, she and Langdon
would make a great couple.

1110
00:44:35,410 --> 00:44:38,204
Yeah. That's dark.

1111
00:44:38,205 --> 00:44:40,623
I'm sorry.

1112
00:44:40,624 --> 00:44:42,875
Yeah? Why do you care?

1113
00:44:42,876 --> 00:44:45,252
Well, 'cause we're friends,
I thought... I think.

1114
00:44:45,253 --> 00:44:47,088
Are we? Because on top of all of that,

1115
00:44:47,089 --> 00:44:48,589
you're the one who's being super shady

1116
00:44:48,590 --> 00:44:49,757
about moving out on me.

1117
00:44:49,758 --> 00:44:51,092
Moving out?

1118
00:44:51,093 --> 00:44:52,593
Yeah, I heard you're gonna go squat

1119
00:44:52,594 --> 00:44:54,428
at Robby's sad bachelor pad.

1120
00:44:54,429 --> 00:44:57,431
Honestly, I thought
that was your idea to get me

1121
00:44:57,432 --> 00:44:59,016
- to move out of the apartment.
- No, no.

1122
00:44:59,017 --> 00:45:01,268
I wanted him to give you
some fatherly advice

1123
00:45:01,269 --> 00:45:02,770
about going all Farmers Only,

1124
00:45:02,771 --> 00:45:06,524
not giving you the keys
to his fucking house.

1125
00:45:06,525 --> 00:45:08,109
Oh, my God.

1126
00:45:08,110 --> 00:45:10,152
No, I know it was none of my business.

1127
00:45:10,153 --> 00:45:13,406
No, it's not that. It's...

1128
00:45:13,407 --> 00:45:17,285
you actually like
living with me, don't you?

1129
00:45:19,162 --> 00:45:21,622
What are you talking about?

1130
00:45:21,623 --> 00:45:23,541
You leave your dirty clothes everywhere.

1131
00:45:23,542 --> 00:45:26,001
You eat all of my avocados
as soon as they ripen.

1132
00:45:26,002 --> 00:45:28,295
You keep pausing the TV
to ask the dumbest questions.

1133
00:45:28,296 --> 00:45:30,089
No, I'm going back to the avocado thing,

1134
00:45:30,090 --> 00:45:32,133
because I've never seen
someone consume so many.

1135
00:45:32,134 --> 00:45:33,592
It's disgusting...

1136
00:45:33,593 --> 00:45:35,469
Just say it, and I won't move out, okay?

1137
00:45:35,470 --> 00:45:36,971
I'm not gonna be doing much at Robby's.

1138
00:45:36,972 --> 00:45:38,305
I'm gonna be taking in his mail.

1139
00:45:38,306 --> 00:45:40,683
I'm gonna be watering his plants.

1140
00:45:40,684 --> 00:45:42,352
Say what?

1141
00:45:44,688 --> 00:45:47,649
Admit that you like having me
as your roommate.

1142
00:45:49,317 --> 00:45:52,988
You are such a fuckle-berry.
Have fun with Robby's plants.

1143
00:45:55,907 --> 00:45:59,327
You have no idea how much joy
that just brought me.

1144
00:46:02,706 --> 00:46:04,582
Hey.

1145
00:46:04,583 --> 00:46:08,169
How much longer until I get
these things off and go home?

1146
00:46:08,170 --> 00:46:10,171
Oh...

1147
00:46:10,172 --> 00:46:12,256
You assaulted a nurse.

1148
00:46:12,257 --> 00:46:14,925
Yeah... you said it was
the cocaethylene thing

1149
00:46:14,926 --> 00:46:17,136
that made me go crazy.

1150
00:46:17,137 --> 00:46:19,555
Well, if you're drunk
and you kill someone,

1151
00:46:19,556 --> 00:46:21,432
you still kill someone.

1152
00:46:21,433 --> 00:46:23,476
So after we clear you in a few hours,

1153
00:46:23,477 --> 00:46:25,853
you're gonna take a ride with
the uniformed officer outside,

1154
00:46:25,854 --> 00:46:27,313
who's gonna take you in for processing.

1155
00:46:27,314 --> 00:46:29,023
No. No, no, no,
this cannot be happening.

1156
00:46:29,024 --> 00:46:31,525
No, since you golf and can buy cocaine,

1157
00:46:31,526 --> 00:46:33,402
I assume you can post bail
after your arraignment.

1158
00:46:33,403 --> 00:46:35,029
You're gonna ruin my fucking life!

1159
00:46:35,030 --> 00:46:36,906
But it being our nation's
big, beautiful birthday,

1160
00:46:36,907 --> 00:46:38,741
that hearing may take longer than usual.

1161
00:46:38,742 --> 00:46:41,119
So I'd cancel any grand plans
you have for the Fourth.

1162
00:46:45,999 --> 00:46:48,000
You know, I...

1163
00:46:48,001 --> 00:46:50,169
I can leave you with these.

1164
00:46:50,170 --> 00:46:52,421
Rehab? Fuck off.

1165
00:46:52,422 --> 00:46:55,925
I'm suing this whole hospital
and you for personal injury.

1166
00:46:55,926 --> 00:46:58,260
Well, good luck convincing
a jury of that one.

1167
00:46:58,261 --> 00:47:00,054
- Oh, fuck this whole place...
- Asshole.

1168
00:47:00,055 --> 00:47:02,223
And fuck all of you!

1169
00:47:02,224 --> 00:47:05,059
No, not you, Officer. Fuck!

1170
00:47:05,060 --> 00:47:07,311
Make sure discharge charts
are bundled and placed

1171
00:47:07,312 --> 00:47:09,396
in the "to be scanned" bin
with nursing notes,

1172
00:47:09,397 --> 00:47:11,649
order sheets, lab, and X-ray results.

1173
00:47:11,650 --> 00:47:13,400
Day shift needs completed T sheets

1174
00:47:13,401 --> 00:47:15,069
on every patient
and to write on the board

1175
00:47:15,070 --> 00:47:16,779
what tests are pending so nothing falls

1176
00:47:16,780 --> 00:47:21,408
through the cracks while
we wait to come back online.

1177
00:47:21,409 --> 00:47:22,618
Westbridge and Good Dominion

1178
00:47:22,619 --> 00:47:24,954
have settled their cyber dispute.

1179
00:47:24,955 --> 00:47:27,164
- They paid the ransom?
- Yeah.

1180
00:47:27,165 --> 00:47:29,208
Our IT department is confident
in our defenses,

1181
00:47:29,209 --> 00:47:32,044
so they will be rebooting
everything soon...

1182
00:47:32,045 --> 00:47:34,046
- slowly but surely.
- Okay.

1183
00:47:34,047 --> 00:47:36,048
So when everything comes back on,

1184
00:47:36,049 --> 00:47:37,424
all the residents have to do

1185
00:47:37,425 --> 00:47:39,260
is scan all the completed paper charts

1186
00:47:39,261 --> 00:47:42,221
and digitize them into the
patient's EHRs before they go?

1187
00:47:42,222 --> 00:47:44,598
I'm never getting out of this place.

1188
00:47:44,599 --> 00:47:47,142
This means you're clear for takeoff.

1189
00:47:47,143 --> 00:47:50,896
Nothing here we can't handle
with night shift coming in.

1190
00:47:50,897 --> 00:47:53,274
Yeah, right. Free to go.

1191
00:47:53,275 --> 00:47:55,985
Uh, hey, I told you
I would get you up there,

1192
00:47:55,986 --> 00:47:58,445
and I promise I'm not leaving
until you're back

1193
00:47:58,446 --> 00:48:00,114
and sent packing.

1194
00:48:00,115 --> 00:48:01,782
Robby, buddy, you got me to come in,

1195
00:48:01,783 --> 00:48:03,450
got me to take my tests.

1196
00:48:03,451 --> 00:48:05,661
You don't got to babysit me.
That's why I have a nurse.

1197
00:48:05,662 --> 00:48:07,830
- What's your name, sweetheart?
- Nurse Vivi, sir.

1198
00:48:07,831 --> 00:48:09,790
That's what I have
the lovely Nurse Vivi here for.

1199
00:48:09,791 --> 00:48:11,792
This will not take very long.

1200
00:48:11,793 --> 00:48:14,128
Where have I heard that before?

1201
00:48:14,129 --> 00:48:15,629
Hey.

1202
00:48:15,630 --> 00:48:18,048
So, uh, this is it, huh?

1203
00:48:18,049 --> 00:48:20,217
Uh, yeah.

1204
00:48:20,218 --> 00:48:22,470
Don't let the place burn down.

1205
00:48:24,472 --> 00:48:26,265
You know...

1206
00:48:26,266 --> 00:48:29,184
in a previous life, I had a lot
of friends who liked to see

1207
00:48:29,185 --> 00:48:31,478
how close the edge was...

1208
00:48:31,479 --> 00:48:34,857
as if it was a challenge
they were called to meet.

1209
00:48:34,858 --> 00:48:37,902
Trouble is,
they all inevitably found it.

1210
00:48:40,280 --> 00:48:41,740
Okay.

1211
00:48:44,117 --> 00:48:45,492
I'm just picking up

1212
00:48:45,493 --> 00:48:47,453
on a weird vibe from you today is all.

1213
00:48:47,454 --> 00:48:51,499
Yeah, well, it's been a weird day.

1214
00:48:56,504 --> 00:48:58,505
- You leaving?
- Uh, yeah.

1215
00:48:58,506 --> 00:49:01,467
My shift is over, and I ain't
getting paid to be here.

1216
00:49:01,468 --> 00:49:03,677
Quite literally the opposite, in fact.

1217
00:49:03,678 --> 00:49:05,471
Well, I don't know if you noticed,

1218
00:49:05,472 --> 00:49:08,349
but we're sort of, uh,
in disaster mode here still.

1219
00:49:08,350 --> 00:49:10,935
We put in the extra time
if we're needed.

1220
00:49:12,896 --> 00:49:17,441
You know 62% of ED docs
report suffering from burnout?

1221
00:49:17,442 --> 00:49:19,360
- Painfully aware.
- Mm.

1222
00:49:19,361 --> 00:49:21,904
So maybe all you lunatics need to learn

1223
00:49:21,905 --> 00:49:25,741
how to set some boundaries, like me.

1224
00:49:25,742 --> 00:49:28,370
Well, see you tomorrow, Doc.

1225
00:49:30,163 --> 00:49:32,247
Good luck in there.
Sorry about the mess.

1226
00:49:32,248 --> 00:49:33,540
"Mess"?

1227
00:49:38,004 --> 00:49:39,546
Yup.

1228
00:49:39,547 --> 00:49:41,340
- Incoming.
- Head trauma.

1229
00:49:41,341 --> 00:49:43,217
Unwitnessed fall
from the warehouse catwalk

1230
00:49:43,218 --> 00:49:46,512
where he works as a security guard.

1231
00:49:46,513 --> 00:49:48,222
Oh, my God.

1232
00:49:48,223 --> 00:49:49,723
Orlando.

1233
00:49:49,724 --> 00:49:51,377
He left five hours ago.

1234
00:49:51,378 --> 00:49:55,857
<b>Sync and corrections by btsix
www.addic7ed.com</b>