1 00:00:20,166 --> 00:00:21,876 - What's up, Ghost Rider? - You good? 2 00:00:21,960 --> 00:00:23,086 Never better. 3 00:00:23,169 --> 00:00:24,921 OK, kids, bye-bye time. 4 00:00:25,004 --> 00:00:27,131 Thanks for the trip down memory lane. 5 00:00:27,215 --> 00:00:28,550 Um, where's Evans? 6 00:00:28,633 --> 00:00:30,843 Uh, I think she's by the family room. 7 00:00:30,927 --> 00:00:32,427 She is. 8 00:00:32,512 --> 00:00:33,930 Hey, hey, hey, where are you going? 9 00:00:34,013 --> 00:00:35,473 I'm not gonna scan all this by myself. 10 00:00:35,557 --> 00:00:37,058 Cruz has a question on my cellulitis. 11 00:00:37,141 --> 00:00:38,685 - I'll be right back. - You better. 12 00:00:38,768 --> 00:00:39,936 - Two minutes tops. - Where's Mel? 13 00:00:40,019 --> 00:00:41,437 Where's Donnie? 14 00:00:41,521 --> 00:00:42,897 - They should be helping you. - I don't know. 15 00:00:42,981 --> 00:00:44,649 OK, day shift, listen up. 16 00:00:44,732 --> 00:00:46,776 We're doing really well, but we still got a ways to go. 17 00:00:46,859 --> 00:00:48,903 And nobody's going home until all these paper charts 18 00:00:48,987 --> 00:00:50,613 are digitized, including me. 19 00:00:50,697 --> 00:00:52,574 And then we're free to celebrate our freedom? 20 00:00:52,657 --> 00:00:53,658 Exactly. 21 00:00:53,741 --> 00:00:54,909 Well, can you kick some ass 22 00:00:54,993 --> 00:00:56,077 and get the staff to hurry up 23 00:00:56,160 --> 00:00:57,245 on the EHR home pages? 24 00:00:57,328 --> 00:00:58,955 Where are Larry and Antoine? 25 00:00:59,038 --> 00:01:00,248 Antoine's fighting on the phone 26 00:01:00,331 --> 00:01:01,624 with his girlfriend outside. 27 00:01:01,708 --> 00:01:04,418 And Larry's on a cafeteria run. 28 00:01:04,501 --> 00:01:06,963 Yeah, that tracks. 29 00:01:07,046 --> 00:01:09,090 We've got five patients in beds waiting to be seen. 30 00:01:09,173 --> 00:01:11,092 How do you want to play this-- man to man or zone? 31 00:01:11,175 --> 00:01:12,552 The zone. 32 00:01:12,635 --> 00:01:14,220 Have Cruz and Ellis split up the new five. 33 00:01:14,304 --> 00:01:15,597 You take North and Central. 34 00:01:15,680 --> 00:01:17,307 - I'll take South and Trauma. - Cool. 35 00:01:17,390 --> 00:01:18,391 Want to switch at 1:00 AM? 36 00:01:18,474 --> 00:01:19,517 Why? 37 00:01:19,601 --> 00:01:20,727 Variety is the spice of life. 38 00:01:20,810 --> 00:01:22,145 I thought that was garlic. 39 00:01:22,228 --> 00:01:25,148 Oh, sorry. 40 00:01:25,231 --> 00:01:27,066 I told you I'd be fast. 41 00:01:27,150 --> 00:01:29,152 OK, let's do this and get out of here. 42 00:01:29,235 --> 00:01:30,278 What's the hurry? 43 00:01:30,361 --> 00:01:31,529 Got some hay to pitch? 44 00:01:31,613 --> 00:01:32,947 Ha. 45 00:01:34,532 --> 00:01:36,200 - Oh, shoot. - What? 46 00:01:36,284 --> 00:01:38,828 Uh, my ID badge is missing. 47 00:01:38,911 --> 00:01:39,871 Oh, no. The one you just got? 48 00:01:39,954 --> 00:01:41,247 How'd you lose it? 49 00:01:41,331 --> 00:01:42,248 I don't know. It must have come off. 50 00:01:42,332 --> 00:01:43,583 Classic. 51 00:01:43,666 --> 00:01:44,959 Hope you remember your login and password. 52 00:01:45,042 --> 00:01:46,127 OK. Retrace your steps. 53 00:01:46,210 --> 00:01:47,587 Where'd you have it last? 54 00:01:47,670 --> 00:01:50,256 Uh, I was with Ogilvie in the Ambulance Bay. 55 00:01:50,340 --> 00:01:52,425 Not with Colonel Mustard in the library? 56 00:01:52,508 --> 00:01:54,469 Who's--what? 57 00:01:54,552 --> 00:01:55,720 No. 58 00:01:57,054 --> 00:01:59,390 The boy has no clue. 59 00:02:03,811 --> 00:02:05,813 Please don't do that. 60 00:02:05,897 --> 00:02:07,565 Oh, ma'am, I gotta go. 61 00:02:07,649 --> 00:02:10,276 I sit here any longer, I'm gonna get bedsores. 62 00:02:12,487 --> 00:02:15,406 I--I'm supposed to get some CT results. 63 00:02:15,490 --> 00:02:17,867 Any idea how much longer that's gonna be? 64 00:02:17,950 --> 00:02:20,328 Shouldn't be much longer. 65 00:02:20,411 --> 00:02:22,914 Where's that Nurse Vivi? 66 00:02:22,997 --> 00:02:24,624 You don't want any of that. 67 00:02:24,707 --> 00:02:26,876 - No? - No, she's out of your league. 68 00:02:26,959 --> 00:02:28,836 What league do you think I play in? 69 00:02:28,920 --> 00:02:31,631 Uh, old timer's night. 70 00:02:31,714 --> 00:02:33,299 Yeah, you're probably right. 71 00:02:33,383 --> 00:02:36,427 But some teams still appreciate a veteran presence. 72 00:02:36,511 --> 00:02:38,638 Well, don't say I didn't warn you. 73 00:02:38,721 --> 00:02:40,390 You are here for your heart, after all. 74 00:02:40,473 --> 00:02:41,891 My heart's been broken before. 75 00:02:41,974 --> 00:02:43,434 What's one more time? 76 00:02:43,518 --> 00:02:45,520 Uh, she's engaged to a jujitsu instructor. 77 00:02:45,603 --> 00:02:47,230 With a bang, not a whimper, baby. 78 00:02:48,731 --> 00:02:50,316 And it's a cool bath a couple times a day 79 00:02:50,400 --> 00:02:52,860 for two days, followed by aloe vera to your skin. 80 00:02:52,944 --> 00:02:54,195 OK, that's it? 81 00:02:54,278 --> 00:02:56,447 And sunscreen in your future. 82 00:02:56,531 --> 00:02:59,450 No, I'm never going outside ever again. 83 00:02:59,534 --> 00:03:02,912 I wouldn't swear off the sun entirely, you know? 84 00:03:02,995 --> 00:03:05,415 But like most things, moderation. 85 00:03:05,498 --> 00:03:06,708 Hey, we're getting kind of shorthanded 86 00:03:06,791 --> 00:03:08,084 scanning charts out here. 87 00:03:08,167 --> 00:03:09,460 When you finish, can you come lend a hand? 88 00:03:09,544 --> 00:03:10,545 Yeah, happy to. 89 00:03:10,628 --> 00:03:11,629 Thank you. 90 00:03:13,673 --> 00:03:15,550 And by happy to, I mean there is nothing 91 00:03:15,633 --> 00:03:17,301 I would rather do less. 92 00:03:17,385 --> 00:03:19,929 They keep you pretty busy. 93 00:03:20,012 --> 00:03:24,058 Yeah, and today has brought some new challenges. 94 00:03:24,142 --> 00:03:25,309 This is really putting a crimp 95 00:03:25,393 --> 00:03:27,603 in my 4th of July evening plans. 96 00:03:27,687 --> 00:03:30,106 You're going to see the fireworks? 97 00:03:30,189 --> 00:03:33,526 Uh, no, I was gonna maybe meet up with this guy, 98 00:03:33,609 --> 00:03:35,111 though that's sounding less appealing 99 00:03:35,194 --> 00:03:37,612 than the three Bs at this point. 100 00:03:37,697 --> 00:03:39,240 The three Bs? 101 00:03:40,283 --> 00:03:42,618 Book, bath, and bed. 102 00:03:42,701 --> 00:03:45,079 College kid with mono and hemorrhagic tonsils, 103 00:03:45,163 --> 00:03:46,789 admit med-surge or observation? 104 00:03:46,873 --> 00:03:47,874 Uh, observation. 105 00:03:47,957 --> 00:03:49,292 Bleeding stopped with TXA. 106 00:03:49,374 --> 00:03:50,710 She's had steroids, so should be 107 00:03:50,793 --> 00:03:52,044 ready for discharge in the morning. 108 00:03:52,128 --> 00:03:53,796 Cool. 109 00:03:53,880 --> 00:03:55,548 How was your first shift back? 110 00:03:55,631 --> 00:03:58,217 Uh, slow start, finding my rhythm. 111 00:03:59,552 --> 00:04:01,554 You a little rusty, Rusty James? 112 00:04:01,637 --> 00:04:03,973 Now you won't have Motorcycle Boy to big brother you. 113 00:04:04,056 --> 00:04:05,600 Is that a "Rumble Fish" reference? 114 00:04:05,683 --> 00:04:07,059 Sure is. 115 00:04:07,143 --> 00:04:09,687 And Robby is my big brother in this analogy? 116 00:04:09,771 --> 00:04:10,938 Bingo. 117 00:04:11,022 --> 00:04:12,064 Yeah, I wouldn't say he's been 118 00:04:12,148 --> 00:04:13,941 looking out for me exactly. 119 00:04:14,025 --> 00:04:15,401 I think he'd probably prefer 120 00:04:15,485 --> 00:04:17,110 not to see me at all today, actually. 121 00:04:17,194 --> 00:04:20,031 And you think that's because he's mad at you? 122 00:04:20,114 --> 00:04:24,952 I think he feels like I let him down, because I did. 123 00:04:25,036 --> 00:04:27,121 Jesus, with all the martyrs around here, 124 00:04:27,205 --> 00:04:28,623 you'd think this was a passion play. 125 00:04:28,706 --> 00:04:30,249 What's your take? 126 00:04:32,335 --> 00:04:33,669 I worked with that man for 10 months 127 00:04:33,753 --> 00:04:34,879 while you were gone. 128 00:04:34,962 --> 00:04:36,589 He's not mad at you. 129 00:04:36,672 --> 00:04:39,759 He's mad at himself for failing you, Rusty James. 130 00:04:39,842 --> 00:04:41,177 Really? 131 00:04:42,512 --> 00:04:44,847 Just more White Knight/White noise. 132 00:04:44,930 --> 00:04:46,432 That's how it is. 133 00:04:48,726 --> 00:04:50,311 Share this video with your friends if you can. 134 00:04:50,394 --> 00:04:51,646 Thank you so much. 135 00:04:51,728 --> 00:04:53,606 Be kind, be safe, be brave. 136 00:04:53,689 --> 00:04:54,732 What you doing? 137 00:04:54,816 --> 00:04:56,150 Dr. Robby, sorry. 138 00:04:56,234 --> 00:04:57,151 I was just-- 139 00:04:57,235 --> 00:04:58,611 One of your TikToks? Yeah. 140 00:04:58,694 --> 00:05:00,196 About those, listen, I'm not so sure that-- 141 00:05:00,279 --> 00:05:02,031 - No, no, I was just sharing-- - No, I get it. 142 00:05:02,114 --> 00:05:03,533 I just--you know, we do have HIPAA laws here. 143 00:05:03,616 --> 00:05:05,201 We don't let anybody film-- 144 00:05:05,284 --> 00:05:06,452 I would never violate any HIPAA laws, Dr. Robby. 145 00:05:06,536 --> 00:05:07,703 - I swear it. - I understand. 146 00:05:07,787 --> 00:05:08,704 Even still, we're getting behind 147 00:05:08,788 --> 00:05:09,789 on scanning patient charts. 148 00:05:09,872 --> 00:05:10,790 So how about no TikTok 149 00:05:10,873 --> 00:05:13,668 on the company clock, Dr. J? 150 00:05:13,751 --> 00:05:15,586 Dr. Robby, I think you're-- 151 00:05:15,670 --> 00:05:17,046 Out of touch? Probably. 152 00:05:17,129 --> 00:05:18,464 You wouldn't be the first to accuse me of it. 153 00:05:18,548 --> 00:05:20,174 However, when I was in medical school-- 154 00:05:20,258 --> 00:05:22,051 You didn't have cell phones or TikTok 155 00:05:22,134 --> 00:05:24,595 or internet or ICE agents coming in here 156 00:05:24,679 --> 00:05:27,056 and taking away patients and staff. 157 00:05:28,891 --> 00:05:30,393 I get it. 158 00:05:34,272 --> 00:05:37,733 We did have cell phones, maybe not in the beginning. 159 00:05:42,446 --> 00:05:43,531 Where do you think you're going? 160 00:05:43,614 --> 00:05:45,199 Uh, home. 161 00:05:45,283 --> 00:05:47,535 I kind of need you to hang out a little longer 162 00:05:47,618 --> 00:05:49,453 and help digitize some of these analog patient records. 163 00:05:49,537 --> 00:05:50,913 Normally, I would, truly. 164 00:05:50,997 --> 00:05:55,042 But I gotta get home-- wife, baby, bed. 165 00:05:55,126 --> 00:05:57,169 OK. Go get some rest. 166 00:05:57,253 --> 00:05:58,337 You sure you're OK to drive home? 167 00:05:58,421 --> 00:05:59,338 Absolutely. 168 00:05:59,422 --> 00:06:01,299 Just enough in the tank. 169 00:06:01,382 --> 00:06:03,384 Don't tell anybody I let you go. 170 00:06:03,467 --> 00:06:04,677 Deal. 171 00:06:04,760 --> 00:06:06,178 Safe travels. 172 00:06:06,262 --> 00:06:08,264 Be sure to send some pictures from the road. 173 00:06:25,114 --> 00:06:26,824 Fight over at Zazu's Sports Bar. 174 00:06:26,908 --> 00:06:28,242 The two combatants are pulling up soon. 175 00:06:28,326 --> 00:06:29,493 One's a stabbing. 176 00:06:29,577 --> 00:06:30,494 Ellis, double trauma coming in. 177 00:06:30,578 --> 00:06:31,579 Grab the easy one. 178 00:06:31,662 --> 00:06:32,704 Bring the stabbing to Trauma 2. 179 00:06:32,788 --> 00:06:34,123 We will get the room set up. 180 00:06:34,206 --> 00:06:36,667 All right. Roger. 181 00:06:36,751 --> 00:06:40,963 OK, darling, time for this dinosaur to head to extinction. 182 00:06:41,047 --> 00:06:42,381 Got us through a real jam today. 183 00:06:42,465 --> 00:06:44,592 Can't thank you enough, Monica. 184 00:06:44,675 --> 00:06:45,843 Nice place to visit. 185 00:06:45,927 --> 00:06:47,261 Wouldn't want to live here anymore. 186 00:06:47,345 --> 00:06:49,096 Oh, me, neither some days. 187 00:06:49,180 --> 00:06:50,389 But hey, Virginia Slim, 188 00:06:50,473 --> 00:06:52,391 you've come a long way. 189 00:06:52,475 --> 00:06:54,602 Glad I was wrong about you. 190 00:06:54,685 --> 00:06:55,895 Keep training 'em up right. 191 00:06:55,978 --> 00:06:57,146 I'll try. 192 00:06:57,228 --> 00:06:58,773 OK, that's enough mush. 193 00:06:58,856 --> 00:07:00,691 Back to my life of mahjong and margaritas. 194 00:07:00,775 --> 00:07:02,109 - Bye, Evans. - Get home safe. 195 00:07:02,193 --> 00:07:03,694 I will. See ya. 196 00:07:03,778 --> 00:07:04,779 Bye. 197 00:07:09,700 --> 00:07:13,412 She's right, you are the mama bear glue that holds this place together. 198 00:07:17,875 --> 00:07:20,294 Hey, you OK? 199 00:07:20,378 --> 00:07:21,796 No. 200 00:07:21,879 --> 00:07:24,507 I'm sad or scared, 201 00:07:24,590 --> 00:07:28,052 or some fucking thing. 202 00:07:28,135 --> 00:07:29,845 I'm worried. 203 00:07:29,929 --> 00:07:31,973 What's going on? 204 00:07:32,055 --> 00:07:33,599 Robby. I got a bad feeling. 205 00:07:33,683 --> 00:07:35,393 He's... 206 00:07:35,476 --> 00:07:37,228 it's like I'm never going to see him again after tonight. 207 00:07:37,311 --> 00:07:38,562 Did he say something? 208 00:07:38,646 --> 00:07:40,022 Yeah, he said a lot of things. 209 00:07:40,106 --> 00:07:41,607 You should talk to him. He listens to you. 210 00:07:41,691 --> 00:07:42,900 He's a grown-up. 211 00:07:42,984 --> 00:07:45,236 He just needs to go on a vacation. 212 00:07:45,319 --> 00:07:47,071 Can't you at least try 213 00:07:47,154 --> 00:07:49,365 to get him to promise to come back in one piece? 214 00:07:51,033 --> 00:07:53,202 He doesn't like to listen. 215 00:07:53,285 --> 00:07:54,829 So make him. 216 00:08:01,252 --> 00:08:02,211 Fuck it. Check my DMs. 217 00:08:02,294 --> 00:08:03,546 She hit me up. 218 00:08:03,629 --> 00:08:05,423 Sure, baby. I didn't even respond. 219 00:08:05,506 --> 00:08:07,174 Scavenger hunt? 220 00:08:07,258 --> 00:08:08,175 Yeah, something like that. 221 00:08:08,259 --> 00:08:09,218 You need a hand? 222 00:08:09,301 --> 00:08:10,720 Nope. You do you. 223 00:08:13,055 --> 00:08:14,306 What do we got? 224 00:08:14,390 --> 00:08:16,308 Barrett Dunkle, 34, decent vitals 225 00:08:16,392 --> 00:08:18,644 given he has Old Glory jammed in his chest. 226 00:08:18,728 --> 00:08:22,231 Satting 91 on 15 liters, BP 132 over 87, 227 00:08:22,314 --> 00:08:23,899 tachy at 112. 228 00:08:23,983 --> 00:08:25,151 Dr. Abbot's expecting you. 229 00:08:25,234 --> 00:08:27,611 Whoa, whoa, whoa, whoa, whoa, man! 230 00:08:27,695 --> 00:08:29,864 - What the fuck? - I'll call you back, baby. 231 00:08:32,450 --> 00:08:33,367 Shit. 232 00:08:33,450 --> 00:08:34,410 I thought I cleared it. 233 00:08:34,493 --> 00:08:35,411 Was it sticking out? 234 00:08:35,493 --> 00:08:37,246 Sticking out, my ass! 235 00:08:37,329 --> 00:08:38,622 Man, this is on you. 236 00:08:38,705 --> 00:08:40,041 You went wide, and you clipped the shit. 237 00:08:40,123 --> 00:08:41,666 Bikes shouldn't be parked there. 238 00:08:41,751 --> 00:08:43,377 It was sticking out. Had to be. 239 00:08:43,461 --> 00:08:45,671 Ain't no fucking way. 240 00:08:45,755 --> 00:08:47,465 Oh, no, you paying for this. 241 00:08:47,548 --> 00:08:49,300 Either you or the city, but you paying for this! 242 00:08:49,383 --> 00:08:50,801 Seriously? We don't need this hassle. 243 00:08:50,885 --> 00:08:51,927 I know. I know. 244 00:08:52,011 --> 00:08:53,554 Fuck! How bad is it? 245 00:08:53,637 --> 00:08:54,555 Not really good. 246 00:08:54,638 --> 00:08:55,723 Fuck! 247 00:08:55,806 --> 00:08:56,766 Is that you, you motherfucker? 248 00:08:56,849 --> 00:08:58,434 Yeah, you better believe it! 249 00:08:58,517 --> 00:08:59,935 I'm gonna take this thing out of my chest 250 00:09:00,019 --> 00:09:01,854 and shove it up your fucking ass! 251 00:09:01,937 --> 00:09:03,773 You hit me with a fucking Rolling Rock, man. 252 00:09:03,856 --> 00:09:05,107 So you got Iwo Jima'd! 253 00:09:05,191 --> 00:09:06,484 You fucking cheated, man. 254 00:09:06,567 --> 00:09:07,735 Every detail must be-- 255 00:09:07,818 --> 00:09:09,737 OK, say bye-bye, gentlemen! 256 00:09:09,820 --> 00:09:11,322 You're on different health journeys now. 257 00:09:11,405 --> 00:09:12,948 I'm going to go see Ahmad. 258 00:09:13,032 --> 00:09:15,367 It's all gonna be on the security video. 259 00:09:16,786 --> 00:09:17,912 Robby's gonna shit. 260 00:09:20,331 --> 00:09:22,208 OK. 261 00:09:22,291 --> 00:09:23,751 Hey, a little help? 262 00:09:23,834 --> 00:09:25,169 All right, he's going straight to Trauma 2. 263 00:09:25,252 --> 00:09:26,504 What is his story? 264 00:09:26,587 --> 00:09:27,880 Bottle to the face, strong vitals, 265 00:09:27,963 --> 00:09:29,006 12-centimeter facial lac. 266 00:09:29,090 --> 00:09:30,508 Yeah, where do you want us? 267 00:09:30,591 --> 00:09:32,843 - North 4 just got cleaned. - To the North. 268 00:09:32,927 --> 00:09:35,137 Abbot, single MVA en route. Five away. 269 00:09:35,221 --> 00:09:37,014 Olive, can you find Robby and Al-Hashimi? 270 00:09:37,098 --> 00:09:38,390 We may need a couple more hands 271 00:09:38,474 --> 00:09:39,850 until we get caught up with these two. 272 00:09:39,934 --> 00:09:40,976 Sir, we are gonna get you more pain meds... 273 00:09:41,060 --> 00:09:42,436 It hurts. 274 00:09:42,520 --> 00:09:43,729 But you need to shut your fucking mouth. 275 00:09:43,813 --> 00:09:45,231 The acronym is SMART, 276 00:09:45,314 --> 00:09:47,525 Single Maintenance and Reliever Therapy. 277 00:09:47,608 --> 00:09:50,611 It's one inhaler that combines an inhaled corticosteroid 278 00:09:50,694 --> 00:09:53,280 with a fast-acting, long-lasting beta agonist. 279 00:09:53,364 --> 00:09:55,950 That's fancy talk for an anti-inflammatory 280 00:09:56,033 --> 00:09:58,786 and a lung muscle relaxer all rolled into one. 281 00:09:58,869 --> 00:10:01,205 But it's $400. And without Medicaid-- 282 00:10:01,288 --> 00:10:03,165 We can help you look into coverage options. 283 00:10:03,249 --> 00:10:04,959 - Thank you. - Of course. 284 00:10:05,042 --> 00:10:07,086 Grady should feel worlds better in a few hours. 285 00:10:07,169 --> 00:10:09,171 Thank you. 286 00:10:09,255 --> 00:10:13,425 So what are my chances of getting off the table alive? 287 00:10:13,509 --> 00:10:16,053 Once you're cleared by the heart and lung specialists 288 00:10:16,137 --> 00:10:20,266 next week, chances of death are low, like 1% or 2%. 289 00:10:20,349 --> 00:10:22,768 And how long would I be in surgery for? 290 00:10:22,852 --> 00:10:25,521 Between three and five hours. 291 00:10:25,604 --> 00:10:26,730 Jeez. 292 00:10:26,814 --> 00:10:28,190 It's long... 293 00:10:28,274 --> 00:10:31,610 Because they have to stop your heart. 294 00:10:31,694 --> 00:10:34,822 You will be on a heart-lung bypass machine, 295 00:10:34,905 --> 00:10:37,658 which will be circulating your blood while they repair 296 00:10:37,741 --> 00:10:39,827 the aneurysm with the graft. 297 00:10:39,910 --> 00:10:41,996 Well, what's the graft made out of? 298 00:10:42,079 --> 00:10:46,208 A synthetic fabric called Dacron, super strong. 299 00:10:46,292 --> 00:10:47,543 OK. 300 00:10:47,626 --> 00:10:49,587 New hoses, new gaskets. 301 00:10:49,670 --> 00:10:51,380 Then what happens after surgery? 302 00:10:51,463 --> 00:10:53,757 You will be in the hospital for about a week. 303 00:10:53,841 --> 00:10:55,634 No work for eight weeks after that, 304 00:10:55,718 --> 00:10:57,052 no strenuous activity, 305 00:10:57,136 --> 00:11:00,431 no lifting anything over 5 pounds. 306 00:11:00,514 --> 00:11:03,601 How am I supposed to take a piss? 307 00:11:03,684 --> 00:11:05,477 Nice. 308 00:11:08,647 --> 00:11:11,817 And how long till I'm back up to full speed? 309 00:11:11,901 --> 00:11:15,070 Three months, maybe more like six, given your age. 310 00:11:17,156 --> 00:11:18,949 And if I don't get the surgery? 311 00:11:21,410 --> 00:11:23,871 50% chance of death within 12 months 312 00:11:23,954 --> 00:11:25,456 if the aneurysm ruptures. 313 00:11:26,665 --> 00:11:29,627 What would I feel if it ruptured? 314 00:11:31,795 --> 00:11:34,215 Some chest pain, maybe some shortness of breath 315 00:11:34,298 --> 00:11:36,759 for about a minute before you passed out from blood loss. 316 00:11:36,842 --> 00:11:38,719 And then? 317 00:11:38,802 --> 00:11:40,054 The big fade out? 318 00:11:40,137 --> 00:11:42,848 Roll the credits. 319 00:11:48,646 --> 00:11:50,731 Quite the coin flip. 320 00:11:50,814 --> 00:11:53,067 No coin flip. This has to happen. 321 00:11:53,150 --> 00:11:55,819 But I do worry that you are not gonna make your appointments 322 00:11:55,903 --> 00:11:58,656 or follow your aftercare instructions if I'm not here. 323 00:11:58,739 --> 00:12:00,491 Sorry, Robby, Abbot asked for me to grab you 324 00:12:00,574 --> 00:12:01,784 for an MVA on route. 325 00:12:04,370 --> 00:12:05,621 Do what you gotta do, man. 326 00:12:05,704 --> 00:12:07,373 I gotta sit with this for a minute. 327 00:12:09,375 --> 00:12:12,002 You go ahead and get dressed. 328 00:12:12,086 --> 00:12:13,629 I'll come back. 329 00:12:41,448 --> 00:12:43,367 Monica got an ICU bed upstairs 330 00:12:43,450 --> 00:12:45,828 so we can take Orlando up now. 331 00:12:45,911 --> 00:12:47,913 - We'll prep him for transfer. - Thanks, hon. 332 00:12:47,997 --> 00:12:49,748 We need this room again in a minute. 333 00:13:01,176 --> 00:13:02,219 All good? 334 00:13:02,303 --> 00:13:04,763 Uh, totally. 335 00:13:04,847 --> 00:13:07,224 Uh, totally? 336 00:13:07,308 --> 00:13:09,601 Look, once more, I feel compelled 337 00:13:09,685 --> 00:13:13,939 to offer some unasked for and probably unwanted advice. 338 00:13:15,107 --> 00:13:17,443 Javadi wasn't making a TikTok video. 339 00:13:17,526 --> 00:13:18,986 She's been posting about Jesse, 340 00:13:19,069 --> 00:13:21,155 trying to find someone who knows where he is. 341 00:13:21,238 --> 00:13:22,489 Ah. 342 00:13:23,657 --> 00:13:26,368 And even if she were making one of her videos, 343 00:13:26,452 --> 00:13:27,578 you ever watched one? 344 00:13:27,661 --> 00:13:29,079 No. 345 00:13:29,163 --> 00:13:30,789 No, my account was suspended 346 00:13:30,873 --> 00:13:33,292 for erotically seditious content. 347 00:13:33,375 --> 00:13:35,252 Well, they're not what you think. 348 00:13:35,336 --> 00:13:36,628 They're actually kind of cool. 349 00:13:36,712 --> 00:13:38,756 It's like this badass self-care. 350 00:13:38,839 --> 00:13:40,716 Huh. 351 00:13:40,799 --> 00:13:42,176 OK, that is it. 352 00:13:42,259 --> 00:13:43,677 I'm going to bury myself in charting 353 00:13:43,761 --> 00:13:44,928 and try to dig my way out. 354 00:13:45,012 --> 00:13:46,221 Edith Lynch, 46, 355 00:13:46,305 --> 00:13:47,723 right-sided chest pain for an hour. 356 00:13:47,806 --> 00:13:49,058 No cardiac history, 357 00:13:49,141 --> 00:13:50,642 minimal relief from sublingual nitro, 358 00:13:50,726 --> 00:13:52,186 - no STEMI on the 12-lead. - Dana? 359 00:13:52,269 --> 00:13:54,438 South 15. 360 00:13:54,521 --> 00:13:56,065 Hi, Edith. I'm Dr. Al-Hashimi. 361 00:13:56,148 --> 00:13:58,025 We'll be taking care of you today. 362 00:13:58,108 --> 00:14:00,402 Absent lung sliding on the right. 363 00:14:00,486 --> 00:14:01,737 I could have told you that from here. 364 00:14:01,820 --> 00:14:03,197 God bless America. 365 00:14:03,280 --> 00:14:04,907 Hemodynamically stable. 366 00:14:04,990 --> 00:14:06,617 I'll put in a 20 French, and then right up to the OR. 367 00:14:06,700 --> 00:14:08,327 Whoa, whoa, whoa! Hold on! 368 00:14:08,410 --> 00:14:09,536 I need surgery? 369 00:14:09,620 --> 00:14:10,996 Sir, you have a collapsed lung. 370 00:14:11,080 --> 00:14:12,289 We need to put a tube in your chest to see 371 00:14:12,373 --> 00:14:13,707 how much internal bleeding there is. 372 00:14:13,791 --> 00:14:15,292 Oh, come on, man, just pull it out! 373 00:14:15,376 --> 00:14:16,794 - Nuh-uh. - No. 374 00:14:16,877 --> 00:14:18,879 OK, everyone knows what to do here, right? 375 00:14:18,962 --> 00:14:21,715 We're gonna take this at a nice slow pace, moving together. 376 00:14:21,799 --> 00:14:23,258 If anyone has an issue, speak up. 377 00:14:23,342 --> 00:14:25,344 There are a lot of moving parts here. 378 00:14:25,427 --> 00:14:27,012 Are they going up to ICU finally? 379 00:14:27,096 --> 00:14:28,013 - Yes. - Great. 380 00:14:28,097 --> 00:14:29,515 How you doing? 381 00:14:29,598 --> 00:14:30,974 Is that a trick question, or-- 382 00:14:31,058 --> 00:14:33,143 Not intended to be, no. 383 00:14:33,227 --> 00:14:34,603 Then not great. 384 00:14:34,686 --> 00:14:36,522 This one got past me. 385 00:14:36,605 --> 00:14:39,233 Well, listen, you tried to find a viable payment plan. 386 00:14:39,316 --> 00:14:40,901 You tried to keep him here. 387 00:14:40,984 --> 00:14:42,861 You even tried to give him a goodie bag, but he left. 388 00:14:42,945 --> 00:14:44,029 I'm not sure what else you could have done. 389 00:14:44,113 --> 00:14:45,739 Been more persuasive. 390 00:14:45,823 --> 00:14:48,826 This was the patient's call-- his life, his mistake. 391 00:14:48,909 --> 00:14:51,036 What mistake, getting diabetes? 392 00:14:51,120 --> 00:14:53,747 Not picking a higher spot to jump from. 393 00:15:04,049 --> 00:15:05,801 History of hyperlipidemia, 394 00:15:05,884 --> 00:15:08,053 an hour of substernal chest pain, 395 00:15:08,137 --> 00:15:10,681 minimal relief with nitro and 4 of MS. 396 00:15:10,764 --> 00:15:12,724 EKG is negative for STEMI. 397 00:15:12,808 --> 00:15:17,020 Heart score is 4, gave 324 milligrams of chewable aspirin, 398 00:15:17,104 --> 00:15:18,772 admit for new onset angina. 399 00:15:18,856 --> 00:15:20,774 Don't mind me. I'm just passing through. 400 00:15:20,858 --> 00:15:22,359 Seemed like you wanted an update. 401 00:15:22,443 --> 00:15:23,819 Well, as long as you feel like you got it covered. 402 00:15:23,902 --> 00:15:25,279 I do. 403 00:15:25,362 --> 00:15:26,989 Go ahead and repeat the 12-lead. 404 00:15:27,072 --> 00:15:28,574 Since I'm here, I did want to ask you about something 405 00:15:28,657 --> 00:15:29,867 I observed earlier. 406 00:15:29,950 --> 00:15:31,201 Oh, you gotta be fucking kidding me. 407 00:15:31,285 --> 00:15:32,703 What? 408 00:15:32,786 --> 00:15:34,413 Look where these anterior leads are placed. 409 00:15:34,496 --> 00:15:36,582 They're way too low. 410 00:15:36,665 --> 00:15:37,666 Holy shit! What's happening? 411 00:15:37,749 --> 00:15:39,626 Mrs. Lynch? V-tach! 412 00:15:39,710 --> 00:15:40,836 No pulse. 413 00:15:40,919 --> 00:15:43,297 Charge to 200. 414 00:15:43,380 --> 00:15:44,631 Charged. 415 00:15:44,715 --> 00:15:46,842 And clear. 416 00:15:46,925 --> 00:15:48,802 OK. Normal sinus. 417 00:15:48,886 --> 00:15:51,096 Strong pulse. Cycle a BP. 418 00:15:53,015 --> 00:15:54,600 Let's repeat that EKG, please. 419 00:15:54,683 --> 00:15:56,768 Put the leads in the right fucking place. 420 00:15:56,852 --> 00:15:59,396 - Who were the medics on this? - Bosco and Otero. 421 00:15:59,480 --> 00:16:01,106 Bosco and Otero. 422 00:16:01,190 --> 00:16:03,984 OK, Bosco and Otero. 423 00:16:04,067 --> 00:16:05,777 See you on Monday. 424 00:16:05,861 --> 00:16:07,654 May your night go smoother than my day. 425 00:16:07,738 --> 00:16:09,281 Happy 4th. 426 00:16:09,364 --> 00:16:11,158 Heard it's been crazy. They shut down when ICE came. 427 00:16:11,241 --> 00:16:13,410 Separate events. Get someone else to explain. 428 00:16:13,494 --> 00:16:14,703 I'm going home. 429 00:16:14,786 --> 00:16:16,872 Damn, what is that? That smells good. 430 00:16:16,955 --> 00:16:18,123 Food from home. 431 00:16:18,207 --> 00:16:19,750 I can't do the cafeteria. 432 00:16:19,833 --> 00:16:21,251 Oh, you gotta give me that recipe. 433 00:16:21,335 --> 00:16:22,961 - I'm going home. - Get home safe. 434 00:16:23,045 --> 00:16:24,004 Mm-hmm. 435 00:16:27,382 --> 00:16:29,593 - Hey. - Hey. 436 00:16:29,676 --> 00:16:31,345 - I'm starving. - Of course. 437 00:16:31,428 --> 00:16:33,555 I will give you $20 for whatever that smell is. 438 00:16:33,639 --> 00:16:34,932 I'll give you some. 439 00:16:35,015 --> 00:16:36,141 - I made too much anyway. - Thank you. 440 00:16:36,225 --> 00:16:37,309 - Just give me a sec. - Yeah. 441 00:16:37,392 --> 00:16:38,769 How can I help you? 442 00:16:38,852 --> 00:16:39,853 My granddad just about cut his hand off 443 00:16:39,936 --> 00:16:41,230 with a tug-of-war rope. 444 00:16:41,313 --> 00:16:43,941 Hi, I--I remember you from earlier. 445 00:16:44,024 --> 00:16:45,108 You're having a family reunion, right? 446 00:16:45,192 --> 00:16:46,360 Yeah. 447 00:16:46,443 --> 00:16:47,861 Is your hand actively bleeding? 448 00:16:47,945 --> 00:16:50,864 Oh, not so bad. Here, take a look. 449 00:16:50,948 --> 00:16:52,241 Mateo, one to come straight back! 450 00:16:52,324 --> 00:16:54,284 - Oh, my God. - Cover that up, please. 451 00:16:54,368 --> 00:16:56,286 I'll need to get a demographics from you. 452 00:16:56,370 --> 00:16:57,871 You got them already. 453 00:16:57,955 --> 00:16:59,706 Hansens been in and out of here all day long. 454 00:16:59,790 --> 00:17:00,999 How did this happen? 455 00:17:01,083 --> 00:17:02,209 He had the rope wrapped around his hand, 456 00:17:02,292 --> 00:17:03,669 cut through it like a machete. 457 00:17:03,752 --> 00:17:05,504 Have a seat, sir. I'll take you right back. 458 00:17:05,587 --> 00:17:08,382 And how would you rate your pain on a scale from 1 to 10? 459 00:17:08,465 --> 00:17:11,342 Oh, it's not too bad on account of my sugars. 460 00:17:12,469 --> 00:17:14,846 With his diabetes, his sensation's a little off. 461 00:17:14,930 --> 00:17:15,847 Yeah. 462 00:17:15,931 --> 00:17:16,974 After you. 463 00:17:17,057 --> 00:17:17,975 Thanks. 464 00:17:18,058 --> 00:17:20,226 Ow. What the fuck? 465 00:17:20,310 --> 00:17:21,895 Trigeminal nerve is good. 466 00:17:21,979 --> 00:17:24,188 Shit! You gonna fix me or torture me? 467 00:17:24,273 --> 00:17:26,483 Ooh, ouch! 468 00:17:26,567 --> 00:17:28,610 Yeah, I need to call plastics. 469 00:17:28,694 --> 00:17:31,238 I called a "kiss off the two, off the rail." 470 00:17:31,321 --> 00:17:33,240 Fucker said I didn't call it. 471 00:17:33,323 --> 00:17:36,201 Okay, yes, it was a bit noisy. The fourth is Styx night. 472 00:17:36,285 --> 00:17:37,995 But I called it. I have witnesses. 473 00:17:38,078 --> 00:17:39,371 Styx, the band? 474 00:17:39,454 --> 00:17:40,372 Yeah. 475 00:17:40,455 --> 00:17:41,540 Ah, love Styx. 476 00:17:41,623 --> 00:17:42,874 I never heard of them. 477 00:17:42,958 --> 00:17:44,793 You never heard of Styx? 478 00:17:44,876 --> 00:17:46,044 "Mr. Roboto"? 479 00:17:46,128 --> 00:17:48,630 My Spotify age isn't 62. 480 00:17:48,714 --> 00:17:51,258 "Come Sail Away"? "Lady"? "Babe"? 481 00:17:52,718 --> 00:17:55,053 Yeah, maybe best if you don't talk. 482 00:17:55,137 --> 00:17:57,723 Looks like there's some sort of foreign body in there. 483 00:17:57,806 --> 00:17:59,349 Mm-hmm. 484 00:17:59,433 --> 00:18:00,851 Are you OK? 485 00:18:00,934 --> 00:18:02,894 Yeah, it's just an awkward position. 486 00:18:02,978 --> 00:18:05,063 Go home. Rest, heat, ice. 487 00:18:05,147 --> 00:18:06,315 Yeah, no, no, I know. 488 00:18:06,398 --> 00:18:08,150 I'm just waiting for things to slow down. 489 00:18:08,233 --> 00:18:10,652 You know, express trains don't stop at your station. 490 00:18:11,903 --> 00:18:13,989 You just gotta jump. 491 00:18:14,072 --> 00:18:15,115 What is that? 492 00:18:15,198 --> 00:18:16,366 Heineken? 493 00:18:16,450 --> 00:18:17,367 Moosehead? 494 00:18:17,451 --> 00:18:18,827 Oh. 495 00:18:18,910 --> 00:18:21,496 From the glass-lined tanks of Old Latrobe. 496 00:18:21,580 --> 00:18:23,498 Ah, Rolling Rock. 497 00:18:23,582 --> 00:18:24,583 Nice. 498 00:18:29,212 --> 00:18:30,922 She's had four of morphine. 499 00:18:31,006 --> 00:18:32,382 How's the pain? 500 00:18:32,466 --> 00:18:33,675 Down to an 8. 501 00:18:33,759 --> 00:18:35,135 There it is, lateral STEMI. 502 00:18:35,218 --> 00:18:36,386 OK, call it in. 503 00:18:36,470 --> 00:18:38,055 The leads were too low to catch it? 504 00:18:38,138 --> 00:18:39,598 Yeah, it's not the first time it's happened. 505 00:18:39,681 --> 00:18:41,141 You get a male medic who's more concerned about 506 00:18:41,224 --> 00:18:42,684 getting sued or a complaint for undoing a bra. 507 00:18:42,768 --> 00:18:44,144 You see these anterior leads here? 508 00:18:44,227 --> 00:18:45,562 Code STEMI, South 15. 509 00:18:45,646 --> 00:18:46,897 Edith, you're having a heart attack 510 00:18:46,980 --> 00:18:48,398 from a blockage in the artery 511 00:18:48,482 --> 00:18:50,108 that brings oxygen to your heart muscle. 512 00:18:50,192 --> 00:18:52,319 - If we get you to the-- - Lateral STEMI, V-tach arrest. 513 00:18:52,402 --> 00:18:54,279 Got her back after one shock. She needs the cath lab. 514 00:18:54,363 --> 00:18:55,989 - And serious heart damage. - Oh, my God. 515 00:18:56,073 --> 00:18:58,742 - You're going to be OK. - Hello, I'm Dr. Cruz. 516 00:18:58,825 --> 00:19:00,452 And I'm Dr. Shen. How are you feeling? 517 00:19:00,535 --> 00:19:01,870 I'm really scared. 518 00:19:01,953 --> 00:19:03,580 We've got you. Anything else? 519 00:19:03,664 --> 00:19:05,666 Uh, like I got kicked in the chest. 520 00:19:05,749 --> 00:19:07,376 Normal after a shock to the heart. 521 00:19:07,459 --> 00:19:09,127 - Family? - Yeah, husband's en route. 522 00:19:09,211 --> 00:19:10,879 Leave the defib pads on and take her up in a minute. 523 00:19:10,962 --> 00:19:12,255 I'm gonna chaperone a nerve block real quick. 524 00:19:12,339 --> 00:19:13,340 Go. 525 00:19:15,384 --> 00:19:17,010 Where's Dr. Al-Hashimi? 526 00:19:17,094 --> 00:19:18,929 She was just here. 527 00:19:28,355 --> 00:19:30,482 Hello, everyone. I'm Dr. Shen. 528 00:19:30,565 --> 00:19:32,317 Heard a rumor someone needed a nerve block. 529 00:19:32,401 --> 00:19:33,985 I'm guessing that's you. 530 00:19:34,069 --> 00:19:36,029 Probably so, although, 531 00:19:36,113 --> 00:19:37,614 you know, I don't have much pain. 532 00:19:37,698 --> 00:19:39,700 I guess it's my diabetes. 533 00:19:39,783 --> 00:19:43,245 We still need to numb you up to do a proper deep clean. 534 00:19:43,328 --> 00:19:45,163 You guys do whatever you gotta do. 535 00:19:45,247 --> 00:19:47,624 Three shots, median, ulnar, and radial. 536 00:19:47,708 --> 00:19:49,501 2 grams of Ancef, 100 milligrams of Gent 537 00:19:49,584 --> 00:19:50,711 for gram-negative coverage. 538 00:19:50,794 --> 00:19:52,087 How'd you do this? 539 00:19:52,170 --> 00:19:54,756 Oh, a family reunion tug-of-war. 540 00:19:54,840 --> 00:19:56,925 I wrapped the rope around my hand for better grip. 541 00:19:57,008 --> 00:19:59,970 And when we fell down, those bastards just kept pulling. 542 00:20:00,053 --> 00:20:01,513 Dirty. 543 00:20:01,596 --> 00:20:04,057 Nah, it's just-- just the way we play. 544 00:20:06,935 --> 00:20:08,353 Michael, you got a second? 545 00:20:08,437 --> 00:20:09,938 Uh, not really, no. 546 00:20:10,021 --> 00:20:11,732 Well, how about showing me a little respect 547 00:20:11,815 --> 00:20:13,900 and finding one? 548 00:20:13,984 --> 00:20:15,026 Sorry, Caleb. 549 00:20:15,110 --> 00:20:16,528 Are you feeling disrespected? 550 00:20:16,611 --> 00:20:18,530 Given that you've been actively blowing me off 551 00:20:18,613 --> 00:20:20,157 all day, yeah, maybe a little bit. 552 00:20:20,240 --> 00:20:21,575 But I have a thick skin. 553 00:20:22,951 --> 00:20:24,494 What can I do for you? 554 00:20:24,578 --> 00:20:27,414 "Should have found a higher place to jump from." 555 00:20:27,497 --> 00:20:29,791 It's an interesting diagnosis, Doctor. 556 00:20:33,754 --> 00:20:35,380 No pithy retort? 557 00:20:35,464 --> 00:20:37,424 Yeah, I didn't think so. 558 00:20:37,507 --> 00:20:39,718 Uh, I just came to say goodbye. 559 00:20:39,801 --> 00:20:41,428 I'm leaving soon. 560 00:20:41,511 --> 00:20:43,138 I know you are too. 561 00:20:44,556 --> 00:20:46,141 Yes. 562 00:20:47,517 --> 00:20:49,770 Keep my number handy, just in case, huh? 563 00:20:49,853 --> 00:20:51,772 Yes, I promise I will. 564 00:20:51,855 --> 00:20:53,064 Thank you, Caleb. 565 00:20:55,567 --> 00:20:57,778 We're gonna give you one Diflucan pill to take home. 566 00:20:57,861 --> 00:21:00,655 Take it in three days if your symptoms persist. 567 00:21:00,739 --> 00:21:02,449 How do I get there? 568 00:21:02,532 --> 00:21:03,867 Where's that? 569 00:21:03,950 --> 00:21:05,535 Home. 570 00:21:05,619 --> 00:21:06,828 Do you know where you live? 571 00:21:06,912 --> 00:21:08,747 Of course I do. It's not far. 572 00:21:08,830 --> 00:21:11,124 But I don't have a way to get there. 573 00:21:12,375 --> 00:21:13,960 How'd you get here? 574 00:21:14,044 --> 00:21:16,296 My--my neighbor Gwen dropped me off, 575 00:21:16,379 --> 00:21:18,632 but she can't drive at night. 576 00:21:18,715 --> 00:21:21,343 We could call you an Uber or a taxi. 577 00:21:21,426 --> 00:21:24,012 I don't have any money. 578 00:21:24,095 --> 00:21:25,680 Excuse me. 579 00:21:25,764 --> 00:21:27,265 Can I help? 580 00:21:27,349 --> 00:21:28,975 Mrs. Clymer has been discharged, 581 00:21:29,059 --> 00:21:29,976 but has no way home. 582 00:21:30,060 --> 00:21:31,019 I'm so sorry. 583 00:21:31,102 --> 00:21:32,020 I don't mean to be a burden. 584 00:21:32,103 --> 00:21:33,396 No burden at all. 585 00:21:33,480 --> 00:21:36,316 Why don't we call you a Lyft? 586 00:21:36,399 --> 00:21:37,651 What is that? 587 00:21:37,734 --> 00:21:38,985 It's like a taxi service. 588 00:21:39,069 --> 00:21:40,821 If you put your address in here, 589 00:21:40,904 --> 00:21:43,240 a car will arrive in a few minutes to bring you home. 590 00:21:43,323 --> 00:21:44,574 - Oh. - My treat. 591 00:21:45,867 --> 00:21:49,871 That's very kind of you, truly. 592 00:21:49,955 --> 00:21:51,456 Perfect. 593 00:21:51,540 --> 00:21:53,500 OK, Olive, could you take Mrs. Clymer out 594 00:21:53,583 --> 00:21:56,211 to the ambulance bay, where Florian will be 595 00:21:56,294 --> 00:21:58,380 arriving in six minutes in a white Toyota Camry? 596 00:21:58,463 --> 00:21:59,589 You bet. 597 00:21:59,673 --> 00:22:00,966 Thank you. 598 00:22:01,049 --> 00:22:03,093 I could use some good karma. 599 00:22:03,176 --> 00:22:04,886 OK. 600 00:22:07,722 --> 00:22:09,933 Oh, uh, hey. 601 00:22:11,518 --> 00:22:12,811 Relax, buddy. 602 00:22:12,894 --> 00:22:14,646 It's Advil. 603 00:22:14,729 --> 00:22:16,940 No, I didn't think you were-- 604 00:22:18,358 --> 00:22:20,026 Headache? 605 00:22:20,110 --> 00:22:23,071 Uh, I tweaked my back a little 606 00:22:23,154 --> 00:22:25,907 lifting that overheated kid. 607 00:22:25,991 --> 00:22:27,242 I guess I should get used to 608 00:22:27,325 --> 00:22:29,995 playing through the pain again, huh? 609 00:22:30,078 --> 00:22:32,455 You look like you got into shape since I saw you last. 610 00:22:32,539 --> 00:22:34,416 Didn't peg you as a gym guy. 611 00:22:34,499 --> 00:22:35,834 Oh, no. 612 00:22:35,917 --> 00:22:38,628 I'm maybe more of a barn guy. 613 00:22:38,712 --> 00:22:41,673 I'm helping out a friend on the farm, so... 614 00:22:43,341 --> 00:22:44,384 Nice. 615 00:22:44,467 --> 00:22:46,094 I'm picturing "Babe," 616 00:22:46,177 --> 00:22:47,888 except instead of Farmer Hoggett, it's you. 617 00:22:47,971 --> 00:22:49,264 And instead of a pig-- 618 00:22:49,347 --> 00:22:51,141 Can you cut the shit? 619 00:22:52,767 --> 00:22:54,060 Excuse me? 620 00:22:54,144 --> 00:22:56,313 The sarcasm thing, the--the--the-- 621 00:22:56,396 --> 00:22:58,064 the little buddy routine, like--like--like, 622 00:22:58,148 --> 00:22:59,941 you're what, you're the Skipper, I'm Gilligan? 623 00:23:00,025 --> 00:23:01,860 Dude, you're not the Skipper. 624 00:23:01,943 --> 00:23:04,112 I know I'm not the Skipper. Robby is the Skipper. 625 00:23:04,195 --> 00:23:06,239 No, Robby is the Professor. Dana's the Skipper. 626 00:23:06,323 --> 00:23:07,782 OK, somebody's watched a lot of Nick at Nite. 627 00:23:07,866 --> 00:23:10,201 So who am I? 628 00:23:10,285 --> 00:23:12,370 Play whatever part you like. 629 00:23:12,454 --> 00:23:14,664 Just don't pick mine for me. 630 00:23:16,249 --> 00:23:17,542 OK. 631 00:23:17,626 --> 00:23:19,586 OK, that's fair. 632 00:23:19,669 --> 00:23:21,254 You got it. 633 00:23:21,338 --> 00:23:23,465 Thank you. 634 00:23:23,548 --> 00:23:25,884 You headed home? 635 00:23:25,967 --> 00:23:28,637 Uh, no, I'm waiting on Robby. 636 00:23:28,720 --> 00:23:30,430 He asked me to house-sit while he's gone. 637 00:23:30,513 --> 00:23:33,266 So I'm waiting for the keys, the alarm code. 638 00:23:34,684 --> 00:23:36,019 Nice. Nice. 639 00:23:36,102 --> 00:23:37,896 Yeah, I've-- I've seen his place. 640 00:23:37,979 --> 00:23:40,190 You're in for a sweet setup. 641 00:23:40,273 --> 00:23:42,275 Cool. 642 00:23:42,359 --> 00:23:46,112 I'm sorry if I came across a little strong. 643 00:23:46,196 --> 00:23:48,448 Don't apologize for standing up for yourself. 644 00:23:48,531 --> 00:23:50,450 It's a healthy habit. 645 00:23:52,494 --> 00:23:54,287 You know, I really don't need to see this again. 646 00:23:54,371 --> 00:23:55,789 No, this is my favorite part. 647 00:23:57,415 --> 00:23:58,375 My hand's starting to cramp. 648 00:23:58,458 --> 00:23:59,626 We gotta be done soon. 649 00:23:59,709 --> 00:24:01,378 Oh, you can be done now. 650 00:24:01,461 --> 00:24:04,422 But if you want to the hospital to cover you, last one. 651 00:24:10,095 --> 00:24:13,139 Hey, Robby. It was an accident, man. 652 00:24:13,223 --> 00:24:14,683 What are you talking about? 653 00:24:14,766 --> 00:24:16,810 Your bike. 654 00:24:24,734 --> 00:24:27,195 Son of a bitch. 655 00:24:27,278 --> 00:24:29,990 Oh, motherfucker! 656 00:24:31,491 --> 00:24:33,451 Robby, GSW to the head. 657 00:24:33,535 --> 00:24:34,744 Somebody hit my bike. 658 00:24:34,828 --> 00:24:36,329 Dude, that sucks. 659 00:24:36,413 --> 00:24:37,831 Is it still rideable? 660 00:24:39,165 --> 00:24:40,709 It better be. 661 00:24:40,792 --> 00:24:42,961 Elbridge Gerry, 25, stable with good vitals. 662 00:24:43,044 --> 00:24:44,546 Of thee I sing 663 00:24:44,629 --> 00:24:46,131 Was shooting his .22 caliber pistol in the air 664 00:24:46,214 --> 00:24:47,632 with an aluminum pot on his head for protection. 665 00:24:47,716 --> 00:24:48,967 Didn't work. 666 00:24:49,050 --> 00:24:50,343 He's had about a quart of Seagrams 7 667 00:24:50,427 --> 00:24:51,636 and will probably light up a tox screen 668 00:24:51,720 --> 00:24:53,972 like a Roman candle. 669 00:24:54,055 --> 00:24:56,558 We start fucking 670 00:24:56,641 --> 00:24:58,018 Real wordsmith. 671 00:24:58,101 --> 00:24:59,436 Entry wound in the frontal scalp, 672 00:24:59,519 --> 00:25:00,770 seems to have tracked down the forehead. 673 00:25:00,854 --> 00:25:01,896 As alert and oriented as you can be 674 00:25:01,980 --> 00:25:03,148 after multiple bong hits. 675 00:25:03,231 --> 00:25:04,607 Got vital satting 98 on room air. 676 00:25:04,691 --> 00:25:05,942 - Sorry, Robby. - Don't you fucking leave. 677 00:25:06,026 --> 00:25:06,943 - I can explain. - I will be right back. 678 00:25:07,027 --> 00:25:07,944 What's this? 679 00:25:08,028 --> 00:25:09,404 Trauma 2. 680 00:25:09,487 --> 00:25:10,822 Low velocity GSW to the head, 681 00:25:10,905 --> 00:25:12,240 seems to have remained extracranial. 682 00:25:12,323 --> 00:25:13,825 Lucky guy. 683 00:25:13,908 --> 00:25:17,954 Gloria, Gloria, here's a dollar! 684 00:25:18,038 --> 00:25:20,498 After a fireworks explosion resulting 685 00:25:20,582 --> 00:25:22,876 in the loss of two fingers. 686 00:25:22,959 --> 00:25:25,045 Ooh, that sounds nasty. 687 00:25:25,128 --> 00:25:27,714 Yeah, that was a sad one. 688 00:25:27,797 --> 00:25:29,090 Parents were deported. 689 00:25:29,174 --> 00:25:31,509 Big sister works a full-time job 690 00:25:31,593 --> 00:25:33,053 and is the sole caregiver. 691 00:25:33,136 --> 00:25:34,721 Been there, done that. 692 00:25:34,804 --> 00:25:36,514 Your parents were deported? 693 00:25:36,598 --> 00:25:38,308 Oh, no. I thought she said departed. 694 00:25:39,976 --> 00:25:41,770 Did either of you guys work on 695 00:25:41,853 --> 00:25:44,606 the Revolutionary War reenactors earlier? 696 00:25:44,689 --> 00:25:47,317 Why, you didn't think you could pull off a tricorn hat? 697 00:25:47,400 --> 00:25:50,195 Maybe. 698 00:25:50,278 --> 00:25:51,821 I've always loved history, 699 00:25:51,905 --> 00:25:55,867 and Colonial Williamsburg was my favorite school trip. 700 00:25:55,950 --> 00:25:57,535 And, you know, there's always the Ren Faire, 701 00:25:57,619 --> 00:25:59,954 but that's just once a year. 702 00:26:00,038 --> 00:26:02,248 How often do you think the reenactors get together? 703 00:26:03,958 --> 00:26:05,668 I don't know. No. 704 00:26:05,752 --> 00:26:07,545 You should definitely look into that. 705 00:26:07,629 --> 00:26:08,797 - Yeah? - Yeah. 706 00:26:08,880 --> 00:26:10,090 OK. 707 00:26:20,100 --> 00:26:22,227 Deep-throated husky with a touch of bitch. 708 00:26:22,310 --> 00:26:23,686 That's her tune. 709 00:26:23,770 --> 00:26:25,021 That's what I thought, but you're the expert. 710 00:26:25,105 --> 00:26:26,648 I just needed to make sure. 711 00:26:28,108 --> 00:26:29,818 I was going through Billings once. 712 00:26:29,901 --> 00:26:33,404 Cop saw my colors, jacked me up, 713 00:26:33,488 --> 00:26:34,823 kept me overnight. 714 00:26:34,906 --> 00:26:38,493 They threw my sweetheart in the impound yard. 715 00:26:38,576 --> 00:26:40,370 They claimed someone backed into it, 716 00:26:40,453 --> 00:26:43,581 but you could see where they took their hammer to it, man. 717 00:26:43,665 --> 00:26:45,041 You gotta be careful out there. 718 00:26:45,125 --> 00:26:46,376 This is all pretty minor, though, right? 719 00:26:46,459 --> 00:26:48,670 Yeah, shit, this is just cosmetic. 720 00:26:48,753 --> 00:26:51,172 Bring it in tomorrow, and we'll get Bonnie right. 721 00:26:51,256 --> 00:26:52,882 Well, this will bend back. This will tighten up. 722 00:26:52,966 --> 00:26:54,592 - I can do all that myself. - Jesus, let me do it. 723 00:26:54,676 --> 00:26:55,844 - There's no charge. - What? 724 00:26:55,927 --> 00:26:57,220 You don't owe me anything, except 725 00:26:57,303 --> 00:26:59,722 take care of yourself while I'm gone. 726 00:26:59,806 --> 00:27:01,599 Boy, this record never stops, huh? 727 00:27:01,683 --> 00:27:04,477 Nah, it's dance till you drop! 728 00:27:04,561 --> 00:27:05,979 Then what? 729 00:27:06,062 --> 00:27:08,064 Teach the kids the steps before you do. 730 00:27:08,148 --> 00:27:09,440 And then what? 731 00:27:09,524 --> 00:27:10,942 Hope they make it farther than you. 732 00:27:11,025 --> 00:27:12,569 Hey, Robby, you're coming or going? 733 00:27:12,652 --> 00:27:14,362 I'm going, pretty soon. What have you got here? 734 00:27:14,445 --> 00:27:17,282 Lyman Paine, 53, single MVC. 735 00:27:17,365 --> 00:27:18,449 Drove into a telephone pole. 736 00:27:18,533 --> 00:27:19,742 Passenger space intrusion? 737 00:27:19,826 --> 00:27:20,869 No, head on. 738 00:27:20,952 --> 00:27:21,870 Intoxicated? 739 00:27:21,953 --> 00:27:23,830 No ETOH on his breath. 740 00:27:23,913 --> 00:27:25,623 Either syncope, seizure, 741 00:27:25,707 --> 00:27:28,126 or he just fell asleep at the wheel. 742 00:27:28,209 --> 00:27:30,170 Airbag deployed, unconscious at the scene, 743 00:27:30,253 --> 00:27:31,171 but he's waking up. 744 00:27:31,254 --> 00:27:32,672 BP 140 over 80, 745 00:27:32,755 --> 00:27:34,465 pulse 120, pulse ox 98, 746 00:27:34,549 --> 00:27:35,717 no obvious injuries. 747 00:27:35,800 --> 00:27:36,718 Why don't you guys head on in? 748 00:27:36,801 --> 00:27:37,927 I'll meet you in a minute. 749 00:27:42,724 --> 00:27:45,435 Well, hey, buddy, I guess this is it. 750 00:27:45,518 --> 00:27:47,312 Make those appointments next week, you know? 751 00:27:47,395 --> 00:27:49,439 I'll call you from the road to make sure you do. 752 00:27:49,522 --> 00:27:51,107 - Don't do that, man. - What? 753 00:27:51,191 --> 00:27:53,067 Don't shine me on. 754 00:27:53,151 --> 00:27:55,028 I'm not. 755 00:27:55,111 --> 00:27:56,487 Jesus. 756 00:27:56,571 --> 00:27:58,281 I get it. 757 00:27:58,364 --> 00:28:01,284 Hard place to leave, a harder place to stay. 758 00:28:02,994 --> 00:28:04,120 Yeah. 759 00:28:06,539 --> 00:28:09,250 Look, I'm not ready to say goodbye yet. 760 00:28:09,334 --> 00:28:12,754 So go do what you gotta do, and I'll get some tools 761 00:28:12,837 --> 00:28:15,131 from the truck and see if I can't make 762 00:28:15,215 --> 00:28:17,342 Bonnie smile again for you. 763 00:28:21,012 --> 00:28:22,263 OK. 764 00:28:22,347 --> 00:28:23,932 OK, then. 765 00:28:30,980 --> 00:28:33,316 Robby, man, I'm so sorry. We've been on for 14 straight. 766 00:28:33,399 --> 00:28:34,943 - I thought I cleared it. - It's all right. 767 00:28:35,026 --> 00:28:36,236 Honestly, I feel terrible. 768 00:28:36,319 --> 00:28:38,071 No real harm done. 769 00:28:38,154 --> 00:28:39,864 I was bound to nick it up on the road anyway. 770 00:28:39,948 --> 00:28:43,159 First blood drawn, it's a good omen really. 771 00:28:43,243 --> 00:28:44,619 Thought he'd be more pissed. 772 00:28:44,702 --> 00:28:46,663 I thought you might get punched. 773 00:28:46,746 --> 00:28:48,164 Chest and belly look good. 774 00:28:48,248 --> 00:28:49,499 Let me drag Neurosurgery down here to deal with 775 00:28:49,582 --> 00:28:50,708 the C-spine before I go. 776 00:28:50,792 --> 00:28:53,211 - You off? - Yep, an hour ago. 777 00:28:53,294 --> 00:28:55,129 - Can't you tell? - How you doing, sir? 778 00:28:55,213 --> 00:28:57,840 Actually, not too good. 779 00:28:57,924 --> 00:28:59,175 The tingling is getting worse. 780 00:28:59,259 --> 00:29:00,843 It's in both my arms now. 781 00:29:00,927 --> 00:29:02,470 I feel like something's wrong. 782 00:29:02,553 --> 00:29:04,681 Hey, man. What are we looking at? 783 00:29:04,764 --> 00:29:07,308 Ran into a telephone pole, airbag deployed. 784 00:29:07,392 --> 00:29:08,851 Seizure? Stroke? 785 00:29:08,935 --> 00:29:10,186 Not sure. 786 00:29:10,270 --> 00:29:11,354 Possible C-spine. 787 00:29:11,437 --> 00:29:13,731 CT showed uni-facet dislocation. 788 00:29:13,815 --> 00:29:15,525 I'm trying not to freak out. 789 00:29:15,608 --> 00:29:17,110 I'm having trouble breathing. 790 00:29:17,193 --> 00:29:19,237 Squeeze my hand. 791 00:29:19,320 --> 00:29:20,822 Real hard. 792 00:29:20,905 --> 00:29:21,948 Three out of five strength. 793 00:29:22,031 --> 00:29:23,074 OK. 794 00:29:23,157 --> 00:29:24,575 10 milligrams dexamethasone. 795 00:29:24,659 --> 00:29:26,703 Dexamethasone? For spinal injury? 796 00:29:26,786 --> 00:29:28,288 It's compression from a jumped facet 797 00:29:28,371 --> 00:29:29,956 and maybe some ischemia from a kinked vessel. 798 00:29:30,039 --> 00:29:31,332 What's--what's happening? 799 00:29:31,416 --> 00:29:33,918 Sir, you have a partial dislocation 800 00:29:34,002 --> 00:29:35,503 of two vertebrae in your neck. 801 00:29:35,586 --> 00:29:37,338 It's putting pressure on your spinal cord. 802 00:29:37,422 --> 00:29:38,965 How do you fix it? 803 00:29:39,048 --> 00:29:41,718 We need Neurosurgery to screw a clamp 804 00:29:41,801 --> 00:29:43,636 into both sides of your skull 805 00:29:43,720 --> 00:29:46,514 and then use traction under X-ray guidance 806 00:29:46,597 --> 00:29:48,057 to get everything realigned. 807 00:29:48,141 --> 00:29:50,643 Like a chiropractic adjustment? 808 00:29:50,727 --> 00:29:53,479 It's a bit more complicated than that. 809 00:29:53,563 --> 00:29:55,356 I think I'm having a panic attack, 810 00:29:55,440 --> 00:29:58,318 because I can't even get a shallow breath. 811 00:29:58,401 --> 00:30:00,903 Or he's losing C3, 4, and 5. 812 00:30:00,987 --> 00:30:02,864 Uh, page Neurosurgery. 813 00:30:02,947 --> 00:30:04,949 - Garcia went to go get them. - No. Page overhead. 814 00:30:05,033 --> 00:30:07,618 Find Robby if he's still here. 815 00:30:07,702 --> 00:30:10,413 Any available neurosurgeon to ED Trauma 1, stat! 816 00:30:10,496 --> 00:30:13,708 Any available neurosurgeon to ED Trauma 1, stat! 817 00:30:15,543 --> 00:30:17,420 Dr. Robby? 818 00:30:17,503 --> 00:30:20,798 Uh, yeah? 819 00:30:20,882 --> 00:30:23,676 You're needed in Trauma 1. 820 00:30:23,760 --> 00:30:25,470 OK. 821 00:30:25,553 --> 00:30:26,846 - What patient? - Dr. Langdon's. 822 00:30:26,929 --> 00:30:28,181 It's a neck injury. 823 00:30:31,351 --> 00:30:32,518 I got the fellow. 824 00:30:32,602 --> 00:30:33,853 They could be down in 15 minutes. 825 00:30:33,936 --> 00:30:35,104 He's progressing too fast for that. 826 00:30:35,188 --> 00:30:37,023 What's going on? 827 00:30:37,106 --> 00:30:39,567 Uni-facet dislocation, C4/C5, 828 00:30:39,650 --> 00:30:41,319 paresthesia and decreased tidal volume. 829 00:30:41,402 --> 00:30:42,653 Sat's 85. 830 00:30:42,737 --> 00:30:44,614 We need to prepare for intubation. 831 00:30:44,697 --> 00:30:46,324 Any delay in reduction almost guarantees 832 00:30:46,407 --> 00:30:48,659 complete spinal cord injury. 833 00:30:48,743 --> 00:30:50,661 What other options do we have? 834 00:30:50,745 --> 00:30:54,332 Uh, I saw Neurosurgery do a closed reduction once in ICU. 835 00:30:54,415 --> 00:30:55,792 Blind? That's crazy risky. 836 00:30:55,875 --> 00:30:57,085 We gotta do something. 837 00:30:57,168 --> 00:30:58,669 What's that procedure, Dr. Langdon? 838 00:30:58,753 --> 00:31:00,838 It's just-- it's traction on the neck, 839 00:31:00,922 --> 00:31:03,508 we flex the dislocated side and into slight extension. 840 00:31:03,591 --> 00:31:04,967 Quadriplegia, if done wrong. 841 00:31:05,051 --> 00:31:06,594 I'm sorry, what-- did you say quadriplegic? 842 00:31:06,677 --> 00:31:08,096 It is a possibility, sir. 843 00:31:08,179 --> 00:31:09,931 It's also the same possibility if we do nothing. 844 00:31:10,014 --> 00:31:11,182 You wanna try? 845 00:31:11,265 --> 00:31:12,975 I've never seen it done. You have. 846 00:31:13,059 --> 00:31:14,435 I can't feel my feet. 847 00:31:14,519 --> 00:31:15,978 Sats 79. 100% non-rebreather? 848 00:31:16,062 --> 00:31:17,313 He's progressing, Dr. Langdon. 849 00:31:17,397 --> 00:31:18,773 What is your plan? 850 00:31:18,856 --> 00:31:20,274 Uh, Neuro-- 851 00:31:20,358 --> 00:31:21,943 Fuck Neuro. This is right here, right now. 852 00:31:22,026 --> 00:31:23,569 This guy's gonna be a living head if we do nothing. 853 00:31:23,653 --> 00:31:26,280 - I could paralyze him. - Doctor the fuck up. 854 00:31:30,576 --> 00:31:33,371 Sir, the partial dislocation of the two vertebrae 855 00:31:33,454 --> 00:31:35,706 in your neck is putting pressure on your spinal cord. 856 00:31:35,790 --> 00:31:38,334 I can try to move the neck bones back into place. 857 00:31:38,418 --> 00:31:40,294 That could help. There's no guarantees. 858 00:31:40,378 --> 00:31:41,838 If we do nothing, 859 00:31:41,921 --> 00:31:43,506 the weakness is definitely going to get worse. 860 00:31:43,589 --> 00:31:46,008 But either way, there's still a chance of paralysis. 861 00:31:46,092 --> 00:31:48,594 Do it. Please. Please. 862 00:31:48,678 --> 00:31:50,221 50 of fentanyl IV. 863 00:31:50,304 --> 00:31:52,014 You need to let us know if the weakness gets worse 864 00:31:52,098 --> 00:31:54,308 or if there's any sudden pain, and we'll stop immediately. 865 00:31:54,392 --> 00:31:55,852 Dr. Cruz, Robby, 866 00:31:55,935 --> 00:31:58,187 hold down his shoulders for countertraction. 867 00:31:58,271 --> 00:32:00,148 OK, I'm gonna pull on your head. 868 00:32:00,231 --> 00:32:02,108 Your job is to try to relax, 869 00:32:02,191 --> 00:32:04,569 breathe so we can overcome the muscle spasm. 870 00:32:09,490 --> 00:32:10,992 Flexing to the right. 871 00:32:14,245 --> 00:32:15,455 Any change? 872 00:32:15,538 --> 00:32:17,832 My legs are starting to tingle. 873 00:32:17,915 --> 00:32:19,417 Last step. 874 00:32:22,503 --> 00:32:23,921 Ah! 875 00:32:24,005 --> 00:32:25,131 - I felt something click. - Oh, fuck! Oh, fuck! 876 00:32:25,214 --> 00:32:26,716 - I felt it too. - Sir, talk to us. 877 00:32:26,799 --> 00:32:28,342 - What's going on? - Oh. 878 00:32:28,426 --> 00:32:30,386 I think-- 879 00:32:30,470 --> 00:32:31,804 I think... 880 00:32:31,888 --> 00:32:33,890 Yeah. I'm starting to breathe easier. 881 00:32:33,973 --> 00:32:36,017 Any change in your hand or feet? 882 00:32:36,100 --> 00:32:37,518 Oh. 883 00:32:37,602 --> 00:32:38,895 Oh, this is maybe a little less numb. 884 00:32:38,978 --> 00:32:40,480 Philadelphia collar is ready. 885 00:32:40,563 --> 00:32:41,647 Talk to me. 886 00:32:41,731 --> 00:32:42,940 Langdon just reduced 887 00:32:43,024 --> 00:32:44,775 a uni-facet cervical dislocation. 888 00:32:44,859 --> 00:32:47,570 What? Without neurosurgery? Don't try this at home, kids. 889 00:32:47,653 --> 00:32:49,155 He was deteriorating quickly. 890 00:32:49,238 --> 00:32:50,615 Neuro exam is improving. 891 00:32:50,698 --> 00:32:52,658 Oh, my God, it's definitely better. 892 00:32:52,742 --> 00:32:55,495 Oh, my God. 893 00:32:55,578 --> 00:32:57,330 Nice job. 894 00:32:57,413 --> 00:32:58,789 All right, repeat CT, 895 00:32:58,873 --> 00:33:00,291 then Neurosurgery can take him up for a halo. 896 00:33:00,374 --> 00:33:01,626 Brass balls, buddy. 897 00:33:01,709 --> 00:33:03,753 - See? You haven't lost it. - Um, excuse me. 898 00:33:03,836 --> 00:33:06,297 I'm just gonna step outside for a second. 899 00:33:21,270 --> 00:33:23,981 Langdon, honey, I just got a call from upstairs. 900 00:33:24,065 --> 00:33:25,399 Were you supposed to get a urine screen 901 00:33:25,483 --> 00:33:27,068 - and turn it in by 8:00 tonight? - Fuck! 902 00:33:27,151 --> 00:33:28,277 Um... 903 00:33:29,529 --> 00:33:31,739 Oh, no. Uh, ye--yes. 904 00:33:31,822 --> 00:33:33,741 Can you just--can you tell them that I was in a trauma? 905 00:33:33,824 --> 00:33:35,117 I'm going right now. 906 00:33:38,913 --> 00:33:40,373 Where's he off to? 907 00:33:40,456 --> 00:33:42,166 No idea. 908 00:33:42,250 --> 00:33:44,710 Did you find your ID badge yet? 909 00:33:44,794 --> 00:33:46,712 No, I've looked everywhere. 910 00:33:46,796 --> 00:33:48,381 Must have been thrown out on accident. 911 00:33:48,464 --> 00:33:49,882 They'll issue you a new one. 912 00:33:49,966 --> 00:33:51,175 You just have to fill out a bunch of forms. 913 00:33:51,259 --> 00:33:52,635 Oh, great. 914 00:33:56,597 --> 00:33:58,057 What? 915 00:33:58,140 --> 00:33:59,058 Cow in labor? 916 00:33:59,141 --> 00:34:00,518 No, I-- 917 00:34:00,601 --> 00:34:02,436 I ordered a patient a Lyft. 918 00:34:02,520 --> 00:34:06,899 Now I have a $250 surcharge and a complaint on my account. 919 00:34:06,983 --> 00:34:09,026 - What? - What'd they do? 920 00:34:09,110 --> 00:34:10,443 It was a sweet old lady. 921 00:34:10,528 --> 00:34:12,530 Who apparently had some racist 922 00:34:12,613 --> 00:34:14,156 and abusive things to say 923 00:34:14,240 --> 00:34:16,450 right before puking in the back. 924 00:34:16,534 --> 00:34:19,160 You never know with some people. 925 00:34:19,245 --> 00:34:20,537 There goes my first paycheck. 926 00:34:20,621 --> 00:34:21,997 St. Huckleberry. 927 00:34:22,081 --> 00:34:23,249 No good deed. 928 00:34:26,294 --> 00:34:29,296 I can see why you liked restoring this bike. 929 00:34:29,380 --> 00:34:31,006 You're a fixer. 930 00:34:31,090 --> 00:34:33,133 I fix bikes, but you fix people. 931 00:34:33,217 --> 00:34:35,803 That's pretty damn impressive, man. 932 00:34:35,885 --> 00:34:37,847 Some people can't be fixed. 933 00:34:39,307 --> 00:34:41,475 Look, I'm-- 934 00:34:41,559 --> 00:34:44,477 I've done plenty of things I'm not proud of. 935 00:34:44,562 --> 00:34:45,479 Yeah, me too. 936 00:34:45,563 --> 00:34:48,149 No, bad things-- 937 00:34:48,231 --> 00:34:50,735 hurt people on purpose, 938 00:34:50,818 --> 00:34:52,528 hurt myself. 939 00:34:52,612 --> 00:34:55,323 And I did my time, but that doesn't wash away the regret. 940 00:34:55,406 --> 00:34:57,700 I... 941 00:34:57,783 --> 00:34:59,994 wish I'd done things differently. 942 00:35:00,077 --> 00:35:02,455 I think about it every day. 943 00:35:02,538 --> 00:35:05,625 You know, they say that it's never too late to change. 944 00:35:05,708 --> 00:35:09,337 Some things can't be changed, like death. 945 00:35:09,420 --> 00:35:11,172 Death can't be changed. 946 00:35:11,255 --> 00:35:13,090 Hey, I know the surgery is scary. 947 00:35:13,174 --> 00:35:15,801 I'm not talking about me. 948 00:35:29,607 --> 00:35:32,610 Yeah, I don't know if I wanna be here anymore. 949 00:35:34,695 --> 00:35:36,989 I don't know how you stand 12 minutes in there, 950 00:35:37,073 --> 00:35:41,619 let alone 12 hours, 20 years. 951 00:35:41,702 --> 00:35:42,912 No. 952 00:35:42,995 --> 00:35:45,289 That's the only place I can be. 953 00:35:45,373 --> 00:35:50,503 I have purpose in there. I can be distracted in there. 954 00:35:50,586 --> 00:35:54,256 I don't know that I wanna be... 955 00:35:54,340 --> 00:35:58,219 anywhere anymore. 956 00:36:03,182 --> 00:36:06,143 So what's the plan? 957 00:36:06,227 --> 00:36:08,187 Ride. 958 00:36:08,270 --> 00:36:10,064 - Toward what? - I don't know. 959 00:36:10,147 --> 00:36:11,190 Away from what? 960 00:36:11,273 --> 00:36:13,150 Everything. 961 00:36:13,234 --> 00:36:16,362 Well, that's not riding. That's running. 962 00:36:16,445 --> 00:36:19,490 Is that your final lesson for these kids? 963 00:36:24,662 --> 00:36:26,122 What's up, Robby? 964 00:36:26,205 --> 00:36:29,834 Well, if it isn't Medics Bosco and Otero. 965 00:36:32,002 --> 00:36:33,045 You still on? 966 00:36:33,129 --> 00:36:34,255 Not for much longer. 967 00:36:34,338 --> 00:36:36,590 I was looking for you two. 968 00:36:36,674 --> 00:36:38,259 Rita Wolcott, 22. 969 00:36:38,342 --> 00:36:40,469 She was using a dumpster to climb a fire escape 970 00:36:40,553 --> 00:36:41,971 to get to a roof party. 971 00:36:42,054 --> 00:36:43,806 Slipped about 6 feet onto concrete. 972 00:36:43,889 --> 00:36:45,433 Possible tib-fib fracture. 973 00:36:45,516 --> 00:36:46,809 Oh, can I please tell it? 974 00:36:46,892 --> 00:36:48,561 You're making me sound like an idiot. 975 00:36:48,644 --> 00:36:50,187 My friends and I were just trying to watch the fireworks 976 00:36:50,271 --> 00:36:51,647 from the roof of our building. 977 00:36:51,731 --> 00:36:53,816 But the roof access door and the stairwells stuck, 978 00:36:53,899 --> 00:36:56,068 so we decided to climb the fire escape. 979 00:36:56,152 --> 00:36:58,028 They were supposed to hold the dumpster still while I... 980 00:36:58,821 --> 00:36:59,864 But they didn't. 981 00:36:59,947 --> 00:37:01,240 Then I fell. 982 00:37:01,323 --> 00:37:03,409 Like I said, 6 feet onto concrete. 983 00:37:03,492 --> 00:37:05,411 Yeah, because they didn't hold it still. 984 00:37:05,494 --> 00:37:06,996 Well, it's a good thing she didn't need a 12-lead. 985 00:37:07,079 --> 00:37:08,748 Why's that? 986 00:37:08,831 --> 00:37:10,082 'Cause you guys put one on about a half hour ago wrong 987 00:37:10,166 --> 00:37:11,292 and you missed the STEMI. 988 00:37:11,375 --> 00:37:12,293 Bullshit. 989 00:37:12,376 --> 00:37:13,461 46-year-old woman. 990 00:37:13,544 --> 00:37:15,254 A minute after you left, V-tach. 991 00:37:15,337 --> 00:37:17,631 Repeat EKG showed a massive lateral STEMI. 992 00:37:17,715 --> 00:37:18,841 No way. 993 00:37:18,924 --> 00:37:20,301 Leads were so inferior, 994 00:37:20,384 --> 00:37:21,927 you might as well have not put them on at all. 995 00:37:22,011 --> 00:37:23,471 What were you afraid of, her bra? 996 00:37:23,554 --> 00:37:24,972 What have we got? 997 00:37:25,055 --> 00:37:27,057 We've got a 22-year-old probable tib-fib fracture 998 00:37:27,141 --> 00:37:28,392 from a 6-foot fall. 999 00:37:28,476 --> 00:37:29,977 Why don't you take her to Central 13? 1000 00:37:30,060 --> 00:37:31,395 Got it. Right this way. 1001 00:37:31,479 --> 00:37:33,314 As I was saying, bad data is shit data. 1002 00:37:33,397 --> 00:37:35,649 Maybe she was diaphoretic and they slid down en route. 1003 00:37:35,733 --> 00:37:37,109 Yeah, she was moving a lot. 1004 00:37:37,193 --> 00:37:38,569 Diaphoretic, my ass. She had big breasts. 1005 00:37:38,652 --> 00:37:39,987 You didn't wanna move 'em out of the way 1006 00:37:40,070 --> 00:37:41,655 - to get under her bra line. - Come on, Robby. 1007 00:37:41,739 --> 00:37:43,073 Women are misdiagnosed for heart attacks all the time. 1008 00:37:43,157 --> 00:37:44,450 This is a big reason why. 1009 00:37:44,533 --> 00:37:45,826 Shall we put it to a vote? 1010 00:37:45,910 --> 00:37:48,204 Hey, ladies in the room, show of hands. 1011 00:37:48,287 --> 00:37:50,664 Death with modesty, or life with brief nudity? 1012 00:37:50,748 --> 00:37:53,250 Death or life? 1013 00:37:53,334 --> 00:37:55,044 Look at that-- turns out women wanna live. 1014 00:37:55,127 --> 00:37:56,462 Got it. 1015 00:37:56,545 --> 00:37:57,713 EKG is an amazing tool if you use it right. 1016 00:37:57,797 --> 00:37:59,089 You could have told us in private. 1017 00:37:59,173 --> 00:38:00,466 I think this was more instructive. 1018 00:38:00,549 --> 00:38:02,218 Agreed. 1019 00:38:03,844 --> 00:38:06,180 Hey, hell of a save your boy made. 1020 00:38:06,263 --> 00:38:07,515 On-the-fly reduction 1021 00:38:07,598 --> 00:38:09,350 of a uni-facet cervical dislocation-- 1022 00:38:09,433 --> 00:38:10,643 that's some cowboy shit. 1023 00:38:10,726 --> 00:38:12,019 Yeah, it was. Where is he? 1024 00:38:12,102 --> 00:38:13,854 Ran off for a drug test. 1025 00:38:13,938 --> 00:38:16,106 You got your wish. You don't have to say goodbye. 1026 00:38:21,946 --> 00:38:24,615 Hey, thank you for saying all that. 1027 00:38:24,698 --> 00:38:27,034 I may have taken a slightly different approach, but-- 1028 00:38:27,117 --> 00:38:28,410 I seem to have lost my filter. 1029 00:38:28,494 --> 00:38:29,912 I'm glad. 1030 00:38:29,995 --> 00:38:32,456 I could use an honest second opinion on a case. 1031 00:38:32,540 --> 00:38:34,750 Do you have five minutes to spare? 1032 00:38:36,168 --> 00:38:37,878 Sure. Why not? 1033 00:38:37,962 --> 00:38:39,213 What's the case? 1034 00:38:39,296 --> 00:38:41,090 I have the chart pulled up in 8. 1035 00:38:55,980 --> 00:38:57,857 I have some experience with this, 1036 00:38:57,940 --> 00:38:59,984 but I'd appreciate a fresh perspective. 1037 00:39:00,067 --> 00:39:02,111 After 14 hours, 1038 00:39:02,194 --> 00:39:03,654 I don't know how fresh my perspective is, 1039 00:39:03,737 --> 00:39:05,322 but I will give you what I got. 1040 00:39:05,406 --> 00:39:07,783 Well, after working with you, Dr. Robinavitch, 1041 00:39:07,867 --> 00:39:11,036 I've come to respect your opinion. 1042 00:39:13,289 --> 00:39:15,416 Thank you, Dr. Al-Hashimi. 1043 00:39:17,334 --> 00:39:19,503 Likewise. 1044 00:39:19,587 --> 00:39:22,214 OK, patient is a 40-year-old female with a history 1045 00:39:22,298 --> 00:39:24,091 of seizure disorder for the past 35 years. 1046 00:39:24,174 --> 00:39:25,676 She had no perinatal complications 1047 00:39:25,759 --> 00:39:27,595 and was in excellent health until age five, 1048 00:39:27,678 --> 00:39:29,388 when she had the onset seizure activity 1049 00:39:29,471 --> 00:39:31,932 following prolonged illness with viral meningitis. 1050 00:39:32,016 --> 00:39:34,935 Her altered mental status from the infec... 1051 00:39:42,860 --> 00:39:45,613 Baran, is this you?