1 00:00:13,650 --> 00:00:15,660 What the hell is going on out there? 2 00:00:15,740 --> 00:00:17,910 - Somebody stole the rig. - Again? 3 00:00:17,990 --> 00:00:19,740 Hey, where do you guys think you're going? 4 00:00:19,830 --> 00:00:21,330 We'll be back in two minutes max. 5 00:00:21,410 --> 00:00:22,750 Antoine is going to show us his new motorcycle. 6 00:00:22,830 --> 00:00:24,710 Great. We always need organ donors. 7 00:00:24,790 --> 00:00:26,250 Yeah, someone stole your rig. 8 00:00:26,330 --> 00:00:27,710 Yeah, you weren't watching the screens? 9 00:00:27,790 --> 00:00:29,880 - How'd you miss it? - Oh, I saw it pull out. 10 00:00:29,960 --> 00:00:32,300 But I figured you were in it. Why'd you leave the keys in it? 11 00:00:32,380 --> 00:00:33,970 - It's protocol. - No, it's not. 12 00:00:34,050 --> 00:00:34,970 That's what I said. 13 00:00:35,050 --> 00:00:36,760 Yes, it is. 14 00:00:36,840 --> 00:00:39,970 And I--who steals a fucking ambulance at 10:00 a.m.? 15 00:00:40,060 --> 00:00:41,430 Easy--junkies, meth heads, 16 00:00:41,520 --> 00:00:42,930 thinking they just stole the candy store. 17 00:00:43,020 --> 00:00:44,480 Or a psych patient kicked loose last night. 18 00:00:44,560 --> 00:00:45,730 Y'all don't know. That thing is getting 19 00:00:45,810 --> 00:00:47,100 stripped, chopped, and shipped. 20 00:00:47,190 --> 00:00:49,230 - That's a pro job. - Shut the fuck up. 21 00:00:50,780 --> 00:00:52,740 Maybe another driver took it. Did you call your dispatch? 22 00:00:52,820 --> 00:00:53,940 Of course we called our dispatch. 23 00:00:54,030 --> 00:00:55,610 - Did you call the cops? - I can, 24 00:00:55,700 --> 00:00:57,410 but there are two having breakfast in the cafeteria. 25 00:00:57,490 --> 00:00:58,620 Help yourself. 26 00:00:58,700 --> 00:00:59,780 Hey. 27 00:00:59,870 --> 00:01:00,910 I'm good. Thanks. 28 00:01:00,990 --> 00:01:02,240 Protocol. 29 00:01:02,330 --> 00:01:03,830 Come on. 30 00:01:03,910 --> 00:01:05,410 I'd put $20 on the psych patient. 31 00:01:05,500 --> 00:01:07,290 Oh, I'll take that action. 32 00:01:07,370 --> 00:01:08,710 Hey, do we have crutches? 33 00:01:08,790 --> 00:01:10,000 Yeah, ortho locker just restocked. 34 00:01:10,090 --> 00:01:11,420 Okay, great. 35 00:01:11,500 --> 00:01:12,920 Can you bring back Sherry Davis next? 36 00:01:13,010 --> 00:01:14,260 Sterno mom with the hand burn? 37 00:01:14,340 --> 00:01:15,840 - Mm-hmm. - She split. 38 00:01:15,930 --> 00:01:17,300 Shit. When? 39 00:01:17,380 --> 00:01:18,800 I gave the kids two breakfasts each 40 00:01:18,890 --> 00:01:20,180 off the boarders' cart, and they left. 41 00:01:20,260 --> 00:01:22,010 In school probably? 42 00:01:22,100 --> 00:01:23,850 Did she say anything about coming back for wound care? 43 00:01:23,930 --> 00:01:25,850 Not to me. 44 00:01:25,940 --> 00:01:27,230 Fuck. 45 00:01:27,310 --> 00:01:28,350 I need rooms cleared and cleaned, 46 00:01:28,440 --> 00:01:29,980 so I'm shuffling the deck. 47 00:01:30,060 --> 00:01:31,400 Yeah, but why are you moving him into Pedes? 48 00:01:31,480 --> 00:01:33,110 I'm just about to extubate him. 49 00:01:33,190 --> 00:01:34,650 There's no kids in there at the moment. 50 00:01:34,740 --> 00:01:36,110 The family can have some privacy. 51 00:01:36,200 --> 00:01:37,660 There's nice pictures on the wall. 52 00:01:37,740 --> 00:01:38,700 What's the problem? 53 00:01:38,780 --> 00:01:39,780 There's no problem. 54 00:01:39,860 --> 00:01:41,370 There's no problem. 55 00:01:41,450 --> 00:01:43,290 Mrs. Smith does not need a cardiac monitor. 56 00:01:43,370 --> 00:01:44,660 She can get her Vanco in the hall. 57 00:01:44,750 --> 00:01:46,370 We've got one tele-bed available. 58 00:01:46,460 --> 00:01:48,080 Let's give it to Otis before someone else snags it. 59 00:01:48,170 --> 00:01:49,580 - Yep. - Leave the family 60 00:01:49,670 --> 00:01:51,170 in Central 7 alone until nuclear medicine 61 00:01:51,250 --> 00:01:52,630 is ready to take the kid. 62 00:01:52,710 --> 00:01:53,880 There's no sense in moving them twice. 63 00:01:53,960 --> 00:01:55,260 Aye-aye, Cap. 64 00:01:56,630 --> 00:01:58,050 Hey, Robby. 65 00:01:59,340 --> 00:02:00,720 - You're going to extubate? - Yes. 66 00:02:00,800 --> 00:02:02,140 Good. You shouldn't have intubated. 67 00:02:02,220 --> 00:02:03,390 Yeah, I remember you saying that, 68 00:02:03,470 --> 00:02:05,430 just like it was this morning. 69 00:02:05,520 --> 00:02:06,850 You want me to do it? 70 00:02:06,930 --> 00:02:08,560 No, why? 71 00:02:08,640 --> 00:02:10,230 Adamson. 72 00:02:10,310 --> 00:02:11,730 - Jesus! - Okay. 73 00:02:11,810 --> 00:02:13,230 There's something moving in there! 74 00:02:13,320 --> 00:02:14,820 - Ma'am, hold still. - Get it out! 75 00:02:14,900 --> 00:02:16,610 I can't help you if you keep moving your head. 76 00:02:16,690 --> 00:02:18,320 Get it fucking out! 77 00:02:18,400 --> 00:02:19,530 I can feel it! 78 00:02:19,610 --> 00:02:21,280 Arthropod in the EAC. 79 00:02:21,370 --> 00:02:22,780 Oh, my God. 80 00:02:23,990 --> 00:02:25,490 I better get in there. 81 00:02:25,580 --> 00:02:26,910 Yeah. 82 00:02:31,460 --> 00:02:34,170 How long will he live without the oxygen? 83 00:02:34,250 --> 00:02:36,260 It's difficult to say. 84 00:02:36,340 --> 00:02:38,590 Once the tube comes out, it could be anywhere 85 00:02:38,670 --> 00:02:41,800 from 30 minutes to several hours. 86 00:02:41,890 --> 00:02:44,140 When I extubate, we're gonna suction the back of his throat. 87 00:02:44,220 --> 00:02:46,310 We're going to give him some glycopyrrolate drops, 88 00:02:46,390 --> 00:02:48,600 which will cut down on his secretions. 89 00:02:48,680 --> 00:02:50,190 He'll get morphine for any pain. 90 00:02:51,810 --> 00:02:53,310 And we'll give him some oxygen in his nose 91 00:02:53,400 --> 00:02:55,070 as a comfort measure. 92 00:02:58,400 --> 00:03:00,150 Jesus. 93 00:03:00,240 --> 00:03:02,450 I don't--I don't think that I can go through with this. 94 00:03:02,530 --> 00:03:05,080 I mean, this-- this is happening? 95 00:03:05,160 --> 00:03:08,040 Like, now? Like--like, today? 96 00:03:08,120 --> 00:03:10,580 We--we just decided that Dad is gonna 97 00:03:10,660 --> 00:03:12,330 die in this room, 98 00:03:12,420 --> 00:03:16,710 in a room with cartoon forest animals all over it? 99 00:03:18,380 --> 00:03:22,800 If you think about it, it's kind of perfect. 100 00:03:24,640 --> 00:03:27,310 Our--our dad worked on "Mister Rogers' Neighborhood" 101 00:03:27,390 --> 00:03:28,770 the whole time that we were growing up. 102 00:03:28,850 --> 00:03:30,640 Oh, no kidding. That's very cool. 103 00:03:30,730 --> 00:03:32,520 "Mister Rogers," the television program? 104 00:03:32,600 --> 00:03:33,940 - That's right. - Here in Pittsburgh? 105 00:03:34,020 --> 00:03:38,400 At WQED on Fifth Ave for 33 years. 106 00:03:38,480 --> 00:03:41,030 Dad worked with Jack Guest, the art director. 107 00:03:41,110 --> 00:03:43,820 So he helped, um, 108 00:03:43,910 --> 00:03:46,580 paint and build all those sets. 109 00:03:51,160 --> 00:03:53,830 I don't think that I can do this. 110 00:04:00,460 --> 00:04:01,800 Okay. 111 00:04:01,880 --> 00:04:04,970 Just to be clear, your father is dying, 112 00:04:05,050 --> 00:04:07,930 and you're choosing to allow that to occur naturally, 113 00:04:08,010 --> 00:04:10,100 rather than subject him to a torturous amount 114 00:04:10,180 --> 00:04:13,520 of procedures, which would only delay the inevitable. 115 00:04:13,600 --> 00:04:15,650 I just thought that it would be different. 116 00:04:15,730 --> 00:04:17,230 And I thought that there'd-- 117 00:04:17,310 --> 00:04:18,610 we'd have more time. 118 00:04:18,690 --> 00:04:20,070 Is your family religious? 119 00:04:20,150 --> 00:04:21,110 Oh. 120 00:04:21,190 --> 00:04:22,530 God, no. 121 00:04:22,610 --> 00:04:24,570 No God. 122 00:04:27,320 --> 00:04:31,040 I had a teacher, mentor, 123 00:04:31,120 --> 00:04:34,460 who told me about a Hawaiian ritual 124 00:04:34,540 --> 00:04:37,880 called ho'oponopono, 125 00:04:37,960 --> 00:04:40,880 or "the four things that matter most." 126 00:04:40,960 --> 00:04:43,090 It's basically just a few key things 127 00:04:43,170 --> 00:04:44,590 that we can say when we're saying goodbye 128 00:04:44,680 --> 00:04:46,840 to a loved one that can really help 129 00:04:46,930 --> 00:04:49,470 at the early stages of loss. 130 00:04:50,680 --> 00:04:52,020 What are they? 131 00:04:52,100 --> 00:04:53,350 They're gonna sound really simple, 132 00:04:53,430 --> 00:04:54,850 but I swear I've seen them work. 133 00:04:54,940 --> 00:04:56,650 Okay. 134 00:04:56,730 --> 00:04:59,690 I love you. 135 00:04:59,770 --> 00:05:01,440 Thank you. 136 00:05:01,530 --> 00:05:03,320 I forgive you. 137 00:05:03,400 --> 00:05:05,030 Please forgive me. 138 00:05:06,450 --> 00:05:08,200 That's--that's it? 139 00:05:08,280 --> 00:05:09,330 Yep. 140 00:05:09,410 --> 00:05:10,780 Told you it was simple. 141 00:05:13,580 --> 00:05:15,000 Okay. 142 00:05:16,580 --> 00:05:18,580 Mr. Spencer, I'm gonna take this tube out 143 00:05:18,670 --> 00:05:20,210 of your throat now. 144 00:05:21,500 --> 00:05:24,800 What I want you to do is to take a very deep breath. 145 00:05:24,880 --> 00:05:26,550 Breathe in. 146 00:05:26,630 --> 00:05:27,970 And now blow it out. 147 00:05:29,220 --> 00:05:30,510 There we go. 148 00:05:40,480 --> 00:05:41,900 Okay. 149 00:05:42,110 --> 00:05:43,820 Okay. 150 00:05:43,900 --> 00:05:46,070 I'm gonna give you some oxygen in your nose. 151 00:05:48,820 --> 00:05:51,620 A couple drops under your tongue. 152 00:05:54,700 --> 00:05:55,750 You okay? 153 00:05:55,830 --> 00:05:57,080 Tired. 154 00:05:57,160 --> 00:05:58,750 You can rest. 155 00:05:58,830 --> 00:06:00,710 Close your eyes if you want. 156 00:06:00,790 --> 00:06:03,130 Your children are here. 157 00:06:03,210 --> 00:06:07,090 Uh, Dad, you just-- you just rest, okay? 158 00:06:07,170 --> 00:06:09,180 We're right here. 159 00:06:09,260 --> 00:06:11,260 I'm right here. 160 00:06:23,270 --> 00:06:24,820 Come find me. 161 00:06:24,900 --> 00:06:26,610 Okay, take a deep breath for me. 162 00:06:26,690 --> 00:06:29,610 Jesus, everybody's going to this concert tonight. 163 00:06:29,700 --> 00:06:31,700 I wonder if there's any decent passes left. 164 00:06:31,780 --> 00:06:33,160 Another deep breath. 165 00:06:34,490 --> 00:06:35,950 Oh, my God, Jenna. 166 00:06:36,040 --> 00:06:37,790 You're never gonna believe who DM'd me. 167 00:06:37,870 --> 00:06:39,500 I fucking told you this would happen. 168 00:06:39,580 --> 00:06:41,250 I'm sure Jenna is happy you're here to support her, 169 00:06:41,330 --> 00:06:43,340 but perhaps you could wait outside until we finished. 170 00:06:43,420 --> 00:06:44,960 Excuse me? 171 00:06:45,050 --> 00:06:46,710 Excuse me, I'm in the middle of an examination. 172 00:06:46,800 --> 00:06:48,220 Yeah, and I'm gonna stay with my friend for as long 173 00:06:48,300 --> 00:06:49,510 as she needs me. 174 00:06:49,590 --> 00:06:50,840 I'm the one who brought her here. 175 00:06:50,930 --> 00:06:52,260 Gold star for you. 176 00:06:52,340 --> 00:06:54,720 Hey. It's fine. I'm fine. 177 00:06:54,810 --> 00:06:56,970 - Are you sure? - Yeah. 178 00:07:04,480 --> 00:07:05,570 Thank you. 179 00:07:05,650 --> 00:07:08,030 I wanted her to leave. 180 00:07:08,110 --> 00:07:09,700 How are you doing? 181 00:07:11,860 --> 00:07:14,910 I called Nick's dad an asshole 182 00:07:14,990 --> 00:07:17,580 and told him to go ask his son. 183 00:07:18,950 --> 00:07:21,000 Why would I say that? 184 00:07:22,330 --> 00:07:24,080 Uh, why don't you tell me about school? 185 00:07:24,170 --> 00:07:25,500 What are you studying? 186 00:07:25,590 --> 00:07:26,590 What? 187 00:07:26,670 --> 00:07:28,710 Do you do any sports? 188 00:07:28,800 --> 00:07:31,680 Are you into any extracurricular activities? 189 00:07:31,760 --> 00:07:33,090 I don't-- 190 00:07:33,180 --> 00:07:34,930 I don't know why you're asking me that. 191 00:07:35,010 --> 00:07:36,970 Well, it's important that you focus on the good things 192 00:07:37,060 --> 00:07:39,350 in your life right now. 193 00:07:39,430 --> 00:07:41,190 How? 194 00:07:41,270 --> 00:07:43,730 A boy--a very sweet boy 195 00:07:43,810 --> 00:07:45,860 that I barely even knew is dead. 196 00:07:45,940 --> 00:07:47,400 And I just fucking made it worse. 197 00:07:47,480 --> 00:07:48,860 You just need to-- 198 00:07:48,940 --> 00:07:50,360 And his father thinks I killed him, 199 00:07:50,440 --> 00:07:52,400 and you're asking me if I play sports? 200 00:07:52,490 --> 00:07:55,570 Jenna, Jenna, I can tell how upset you are right now. 201 00:07:55,660 --> 00:07:57,330 I see how painful this is. 202 00:07:57,410 --> 00:08:00,200 We don't even do drugs. 203 00:08:00,290 --> 00:08:03,120 We were studying. I mean, how does that happen? 204 00:08:03,210 --> 00:08:05,290 I can't imagine how hard this must be for you. 205 00:08:07,710 --> 00:08:09,920 I just really want to go home. 206 00:08:11,340 --> 00:08:14,180 Well, your vitals are excellent. 207 00:08:14,260 --> 00:08:16,850 When your parents arrive, they can take you. 208 00:08:18,720 --> 00:08:20,060 Thank you. 209 00:08:20,140 --> 00:08:21,930 We're here if you need anything. 210 00:08:25,850 --> 00:08:28,070 Oh, well, that went south. 211 00:08:28,150 --> 00:08:29,730 A couple of observations? 212 00:08:29,820 --> 00:08:30,820 Please. 213 00:08:30,900 --> 00:08:32,280 How thin is your skin? 214 00:08:32,360 --> 00:08:33,860 - Rhino. - Good. 215 00:08:33,950 --> 00:08:35,280 Distraction is a terrible strategy. 216 00:08:35,360 --> 00:08:36,700 When a patient says, "I'm hurting," 217 00:08:36,780 --> 00:08:38,370 we don't respond, "What's your major?" 218 00:08:38,450 --> 00:08:39,990 Oh, I wasn't trying to diminish-- 219 00:08:40,080 --> 00:08:41,370 Additionally, "I" statements work better 220 00:08:41,450 --> 00:08:42,950 than "you" statements. 221 00:08:43,040 --> 00:08:44,540 "I can see how painful this is" acknowledges 222 00:08:44,620 --> 00:08:46,120 the reality of the situation and invites 223 00:08:46,210 --> 00:08:47,670 further examination. 224 00:08:47,750 --> 00:08:49,800 "You need to move on" has the opposite effect. 225 00:08:49,880 --> 00:08:51,880 Understood, but in my personal experience-- 226 00:08:51,960 --> 00:08:54,170 Your personal experience isn't germane here. 227 00:08:54,260 --> 00:08:55,680 Germane? 228 00:08:55,760 --> 00:08:58,260 Relevant, pertinent, appropriate. 229 00:08:58,350 --> 00:09:00,260 Well, I respectfully disagree. 230 00:09:00,350 --> 00:09:02,100 My life gives me a perspective that's-- 231 00:09:02,180 --> 00:09:04,480 Are you aware you have an aggressive energy, Trinity? 232 00:09:04,560 --> 00:09:08,150 Even this conversation feels confrontational. 233 00:09:08,230 --> 00:09:11,530 We bring our education to the job, not our baggage. 234 00:09:11,610 --> 00:09:12,900 Got it. 235 00:09:12,990 --> 00:09:14,950 Thank you. Will do. 236 00:09:16,110 --> 00:09:17,780 Good news or bad news first? 237 00:09:17,860 --> 00:09:18,990 What's the good news? 238 00:09:19,070 --> 00:09:20,530 Ear canal is numb. 239 00:09:20,620 --> 00:09:23,120 Simple flush with saline will fix the problem. 240 00:09:23,200 --> 00:09:24,710 What's the bad news? 241 00:09:24,790 --> 00:09:26,920 You've got a dead bug in your ear. 242 00:09:29,000 --> 00:09:30,380 A cockroach. 243 00:09:33,300 --> 00:09:35,840 We were in here for maybe 35, 40 minutes, tops. 244 00:09:35,920 --> 00:09:37,550 I go outside, it's gone. 245 00:09:37,630 --> 00:09:39,140 Seriously, there's nothing on the radio? 246 00:09:39,220 --> 00:09:41,180 Not yet. The keys were inside? 247 00:09:41,260 --> 00:09:43,930 Yes, I leave them in there in case somebody needs to move it. 248 00:09:44,020 --> 00:09:45,140 You're not supposed to leave the keys. 249 00:09:45,230 --> 00:09:46,640 That's what I said. 250 00:09:46,730 --> 00:09:48,230 You take the keys so nobody steals it. 251 00:09:48,310 --> 00:09:49,860 So what the fuck is security for? 252 00:09:49,940 --> 00:09:51,110 Oh, I'm about to show you. 253 00:09:51,190 --> 00:09:52,230 - Oh, yeah? - Hey, guys, 254 00:09:52,320 --> 00:09:54,030 can we congregate somewhere else? 255 00:09:54,110 --> 00:09:55,070 Give a little room. We got a new guest checking in. 256 00:09:55,150 --> 00:09:56,900 Guys, Ahmad, we got to keep this area clear. 257 00:09:56,990 --> 00:09:59,870 - Everybody, please. - Hey, 5 bucks on "Chop Shop." 258 00:09:59,950 --> 00:10:01,780 Wendell Stone, 52, chief rigger from Pitfest. 259 00:10:01,870 --> 00:10:02,830 - Isolated trauma-- - Get Cecil and Tony. 260 00:10:02,910 --> 00:10:04,080 To the left chest-- 261 00:10:04,160 --> 00:10:05,500 Tell them to bring their guys. 262 00:10:05,580 --> 00:10:06,870 When a speaker tower came down on him. 263 00:10:06,960 --> 00:10:08,000 Looks like multiple rib fractures. 264 00:10:08,080 --> 00:10:09,330 Pulse 110, BP 130 over 85-- 265 00:10:09,420 --> 00:10:10,580 They gotta go back over everything. 266 00:10:10,670 --> 00:10:11,790 Decent sats at 96. 267 00:10:11,880 --> 00:10:13,130 - 50 of fent in the field. - Got it? 268 00:10:13,210 --> 00:10:14,590 How we doing, Mr. Stone? 269 00:10:14,670 --> 00:10:15,840 Mr. Stone was my dad. 270 00:10:15,920 --> 00:10:17,050 Just Stone. 271 00:10:18,760 --> 00:10:19,840 Damn. 272 00:10:19,930 --> 00:10:21,510 They woke the Kraken. 273 00:10:21,600 --> 00:10:23,220 When's he due for his next round? 274 00:10:25,390 --> 00:10:27,980 40 minutes ago. 275 00:10:28,060 --> 00:10:30,400 Perfect. 276 00:10:30,480 --> 00:10:31,560 Mr. Driscoll? 277 00:10:31,650 --> 00:10:33,360 Mr. Doug Driscoll? 278 00:10:33,440 --> 00:10:35,280 About fucking time. 279 00:10:35,360 --> 00:10:38,070 See you later, suckers. 280 00:10:38,150 --> 00:10:41,320 - Excuse me. - Sorry. 281 00:10:41,410 --> 00:10:42,820 "Jiya" Yi Chen? 282 00:10:42,910 --> 00:10:44,410 I have some Tylenol for "Jiya" Yi Chen. 283 00:10:44,490 --> 00:10:45,540 Yes, please. 284 00:10:45,620 --> 00:10:47,160 Over here. 285 00:10:47,250 --> 00:10:48,500 Jia Yi. 286 00:10:48,580 --> 00:10:50,120 Jia Yi Chen. Here you go. 287 00:10:50,210 --> 00:10:51,830 How much longer until we can see the doctor? 288 00:10:51,920 --> 00:10:53,340 Uh, we have to wait for a bed to open up. 289 00:10:53,420 --> 00:10:54,500 Might be a little while. 290 00:10:54,590 --> 00:10:56,000 Pretty popular today. 291 00:10:57,090 --> 00:10:58,920 The medicine should help. 292 00:10:59,010 --> 00:11:00,180 Four of morphine. 293 00:11:00,260 --> 00:11:01,680 No abdominal tenderness. 294 00:11:01,760 --> 00:11:02,760 - What have we got? - What have we got? 295 00:11:02,840 --> 00:11:04,220 Jinx, you owe me a Coke. 296 00:11:04,300 --> 00:11:05,680 - Isolated chest trauma with-- - Stop. 297 00:11:05,760 --> 00:11:07,470 I want to hear from Dr. Santos. 298 00:11:07,560 --> 00:11:09,940 Isolated chest trauma with obvious flail chest. 299 00:11:10,020 --> 00:11:11,520 No hemopneumo on POCUS. 300 00:11:11,600 --> 00:11:12,940 Good sats and vitals. 301 00:11:13,020 --> 00:11:14,310 Excellent presentation. 302 00:11:14,400 --> 00:11:16,610 Sir, I'm Dr. Garcia from Surgery. 303 00:11:16,690 --> 00:11:17,690 I need surgery? 304 00:11:17,780 --> 00:11:18,860 Not necessarily. 305 00:11:18,940 --> 00:11:20,070 No blood in the belly on FAST. 306 00:11:20,150 --> 00:11:21,820 You got this? 307 00:11:21,910 --> 00:11:23,320 Abdomen is benign. 308 00:11:23,410 --> 00:11:25,830 CT chest, abdomen, pelvis with contrast, 309 00:11:25,910 --> 00:11:28,290 which I trust way more than your ultrasound skills. 310 00:11:29,790 --> 00:11:31,460 And more morphine, for God's sake. 311 00:11:31,540 --> 00:11:33,500 No, no, no, no. Don't knock me out. 312 00:11:33,580 --> 00:11:35,290 I gotta stay on top of the crew doing the put in. 313 00:11:35,380 --> 00:11:37,000 - The what? - The festival. 314 00:11:37,090 --> 00:11:40,720 We'll block all the nerves going to the broken ribs. 315 00:11:40,800 --> 00:11:42,220 Roll to the right. 316 00:11:42,300 --> 00:11:44,550 You'll be awake and pain-free. 317 00:11:44,640 --> 00:11:46,760 Yeah, that's what I'm talking about. 318 00:11:46,850 --> 00:11:48,010 That's a ton of intercostal blocks. 319 00:11:48,100 --> 00:11:49,390 Nope, one shot. 320 00:11:49,470 --> 00:11:51,100 Serratus anterior blocks down to T-9. 321 00:11:51,180 --> 00:11:53,190 You kids and your crazy regional blocks. 322 00:11:53,270 --> 00:11:55,560 Dr. Santos, call me with the CT results. 323 00:11:55,650 --> 00:11:57,480 Extension 1121. 324 00:11:59,690 --> 00:12:01,530 Gabe's the same age that I was 325 00:12:01,610 --> 00:12:03,360 when we made our first layout. 326 00:12:03,450 --> 00:12:04,990 You remember that, Dad? 327 00:12:05,070 --> 00:12:06,410 The--the two level track in the basement 328 00:12:06,490 --> 00:12:07,700 of the Clovis house? 329 00:12:07,780 --> 00:12:09,200 - O. - That's right. 330 00:12:09,290 --> 00:12:10,700 Yeah, it was an O gauge. 331 00:12:10,790 --> 00:12:13,460 It limited the cars we could use, but... 332 00:12:13,540 --> 00:12:14,830 that layout was a beauty. 333 00:12:14,920 --> 00:12:16,210 Hmm. 334 00:12:16,290 --> 00:12:18,960 Doctor, does that sound he's making 335 00:12:19,050 --> 00:12:21,010 mean it could be any minute? 336 00:12:22,550 --> 00:12:23,930 No, no. 337 00:12:24,010 --> 00:12:25,140 It just means that he's having trouble 338 00:12:25,220 --> 00:12:26,970 handling his secretions. 339 00:12:34,390 --> 00:12:36,650 Mr. Spencer, this should help. 340 00:12:46,240 --> 00:12:49,410 I'm also going to give you a scopolamine patch 341 00:12:49,490 --> 00:12:51,330 behind your ear. 342 00:12:51,410 --> 00:12:53,160 That will cut down on his secretions 343 00:12:53,250 --> 00:12:54,750 for the next 24 hours. 344 00:12:54,830 --> 00:12:56,750 Do you think he has 24 hours? 345 00:12:56,830 --> 00:12:58,420 There's really no way to know. 346 00:12:58,500 --> 00:12:59,750 Let's give another two of morphine. 347 00:12:59,840 --> 00:13:01,090 Repeat PRN. 348 00:13:01,170 --> 00:13:02,130 We're going to give him something 349 00:13:02,210 --> 00:13:03,630 to keep him comfortable. 350 00:13:03,720 --> 00:13:06,760 Doctor, what were those four things again? 351 00:13:08,010 --> 00:13:09,640 I love you. Thank you. 352 00:13:09,720 --> 00:13:12,100 I forgive you. Please forgive me. 353 00:13:12,180 --> 00:13:13,560 That's easy. 354 00:13:14,680 --> 00:13:16,350 I love you, Dad. 355 00:13:16,440 --> 00:13:19,940 I've loved every minute we've gotten to spend together. 356 00:13:20,020 --> 00:13:22,070 Thank you. 357 00:13:22,150 --> 00:13:24,990 You're the best dad a boy could have wanted. 358 00:13:25,070 --> 00:13:26,530 You--you never missed a game. 359 00:13:26,610 --> 00:13:28,990 You always made time for me to play catch 360 00:13:29,070 --> 00:13:30,580 or to build models or-- 361 00:13:32,330 --> 00:13:34,040 When you helped me with my homework... 362 00:13:36,410 --> 00:13:38,540 Or when we would wake up 363 00:13:38,630 --> 00:13:40,540 before everybody else-- 364 00:13:40,630 --> 00:13:42,460 And make sandwiches. 365 00:14:03,610 --> 00:14:04,860 Be right back. 366 00:14:55,040 --> 00:14:56,040 They spotted it. 367 00:14:56,120 --> 00:14:57,620 East on 376. 368 00:14:57,700 --> 00:14:58,830 Ho, ho! 369 00:14:58,910 --> 00:15:00,040 Oh, let's go. 370 00:15:00,120 --> 00:15:01,710 It is on now. 371 00:15:01,790 --> 00:15:03,710 $15 on crash, another $5 on junkies. 372 00:15:03,790 --> 00:15:05,090 Give me $8 on catch with another-- 373 00:15:05,170 --> 00:15:06,090 Uh-uh-uh. 374 00:15:06,170 --> 00:15:07,420 Multiples of 5 only. 375 00:15:07,510 --> 00:15:08,840 I'm not touching your stripper bills. 376 00:15:08,920 --> 00:15:10,260 Yo, what's that shit? 377 00:15:10,340 --> 00:15:11,300 Hey! 378 00:15:11,380 --> 00:15:12,760 Wanna keep it down? 379 00:15:12,840 --> 00:15:15,600 This is a hospital, not Rivers Casino. 380 00:15:15,680 --> 00:15:17,180 Keep talking. I'ma find Robby. 381 00:15:17,270 --> 00:15:18,390 Mm-hmm. 382 00:15:18,480 --> 00:15:20,350 I'm alive! 383 00:15:20,440 --> 00:15:22,600 Psych wanted to transition him to oral meds. 384 00:15:22,690 --> 00:15:25,730 There's an order for an olanzapine tablet at 9:30 a.m. 385 00:15:25,820 --> 00:15:27,190 Yeah, that's on us. 386 00:15:27,280 --> 00:15:28,900 I've been with criticals all morning. 387 00:15:28,990 --> 00:15:30,740 He needs to go upstairs to behavioral health. 388 00:15:30,820 --> 00:15:32,110 We're too busy down here to dispense 389 00:15:32,200 --> 00:15:33,780 psych meds on a schedule. 390 00:15:33,870 --> 00:15:34,910 Understood. 391 00:15:34,990 --> 00:15:36,910 What options are we left with? 392 00:15:36,990 --> 00:15:38,700 Either we let him tire himself out, 393 00:15:38,790 --> 00:15:40,330 or we go in and stick him. 394 00:15:40,410 --> 00:15:42,120 I'm worried he's gonna hurt himself. 395 00:15:42,210 --> 00:15:44,540 He's in partial soft restraints. 396 00:15:44,630 --> 00:15:47,590 What we really need is a Pavulon blow dart. 397 00:15:50,760 --> 00:15:51,720 Hold it. 398 00:15:51,800 --> 00:15:52,880 You caught me! 399 00:15:52,970 --> 00:15:54,470 And I was almost over the wall. 400 00:15:54,550 --> 00:15:56,050 Go easy on me, warden. 401 00:15:56,140 --> 00:15:57,640 I need an order for an agitated psych patient. 402 00:15:57,720 --> 00:15:59,020 Been here for days. 403 00:15:59,100 --> 00:16:00,180 Methamphetamine induced psychosis. 404 00:16:00,270 --> 00:16:01,600 The Kraken? 405 00:16:01,690 --> 00:16:02,980 We really shouldn't call him that. 406 00:16:03,060 --> 00:16:04,770 - How about a B-52? - No, no, no. 407 00:16:04,850 --> 00:16:06,400 That would take way too long, tie up the staff. 408 00:16:06,480 --> 00:16:08,070 - QTC? - Normal. 409 00:16:08,150 --> 00:16:10,650 Five of midazolam, five of Haldol, and Mister-- 410 00:16:10,740 --> 00:16:11,900 Krakozhia. 411 00:16:11,990 --> 00:16:13,820 - You're joking. - No. 412 00:16:13,910 --> 00:16:15,780 Mr. Krakozhia will be out like a light in under a minute. 413 00:16:15,870 --> 00:16:17,370 It hardly seems as offensive 414 00:16:17,450 --> 00:16:19,160 to call him Kraken if his name is actually-- 415 00:16:19,240 --> 00:16:21,330 - Irritable five-month-old. - Clearly. 416 00:16:21,410 --> 00:16:22,790 I'll be right there. 417 00:16:22,870 --> 00:16:25,330 Um, I need more coffee. 418 00:16:26,790 --> 00:16:28,170 You doing okay, Cap? 419 00:16:28,250 --> 00:16:29,750 Yeah, why? 420 00:16:29,840 --> 00:16:31,510 Can't have you going over the wall. 421 00:16:34,050 --> 00:16:36,640 Tomas Cordera, Mr. Tomas Cordera, 422 00:16:36,720 --> 00:16:37,760 please come to the window. 423 00:16:37,850 --> 00:16:39,060 I have your insurance card. 424 00:16:39,140 --> 00:16:41,100 Tomas Cordera. 425 00:16:47,900 --> 00:16:50,110 - Yes? - Cordera. 426 00:16:50,190 --> 00:16:53,570 It's actually Tasha Cordera, and "Ms." 427 00:16:53,650 --> 00:16:55,160 Okay. 428 00:16:55,240 --> 00:16:56,610 Do you want to come on back? 429 00:16:56,700 --> 00:16:58,370 Go through those doors. 430 00:16:58,450 --> 00:16:59,660 You cut your arm? 431 00:16:59,740 --> 00:17:00,830 - Yes. - Okay. 432 00:17:00,910 --> 00:17:02,250 No problem. 433 00:17:06,580 --> 00:17:07,500 Hi. 434 00:17:07,580 --> 00:17:08,920 I'm Dr. McKay. 435 00:17:09,000 --> 00:17:11,090 This is Victoria Javadi, student doctor. 436 00:17:11,170 --> 00:17:12,630 Hello. Tasha. 437 00:17:12,710 --> 00:17:13,840 Hi. 438 00:17:13,920 --> 00:17:15,260 Sorry for the long wait, Tasha. 439 00:17:15,340 --> 00:17:16,430 Do you mind if I take a quick peek? 440 00:17:16,510 --> 00:17:18,220 - Yeah. - Okay. 441 00:17:20,640 --> 00:17:21,930 All right. 442 00:17:22,020 --> 00:17:23,560 Not too bad. 443 00:17:23,640 --> 00:17:25,350 Definitely gonna need a few stitches, though. 444 00:17:25,440 --> 00:17:26,640 Why don't you come on back? 445 00:17:26,730 --> 00:17:28,100 And we'll get you patched up, okay? 446 00:17:28,190 --> 00:17:29,150 All right. 447 00:17:29,230 --> 00:17:30,770 Okay. 448 00:17:30,860 --> 00:17:31,900 Okay. 449 00:17:31,980 --> 00:17:34,490 How big is the pneumothorax? 450 00:17:34,570 --> 00:17:36,360 Got it. Thanks. 451 00:17:36,450 --> 00:17:38,110 What's a pneumothorax? 452 00:17:38,200 --> 00:17:40,120 Uh, just a little air leaking 453 00:17:40,200 --> 00:17:41,910 from the big bruise in your lung. 454 00:17:41,990 --> 00:17:43,040 Oh. 455 00:17:43,120 --> 00:17:44,250 Getting short of breath here. 456 00:17:44,330 --> 00:17:45,370 Pain? 457 00:17:45,460 --> 00:17:46,660 No, all that's gone. 458 00:17:46,750 --> 00:17:48,670 Good. The block worked. 459 00:17:48,750 --> 00:17:51,380 Sats are down to 85 on 5 liters. 460 00:17:51,460 --> 00:17:54,960 His lung contusions need some help. 461 00:17:55,050 --> 00:17:56,930 Start BiPAP, 10 over 5. 462 00:17:57,010 --> 00:17:59,340 That'll open up the bruised parts of your lung. 463 00:17:59,430 --> 00:18:00,850 Thanks. 464 00:18:00,930 --> 00:18:02,510 Good news is, you don't need surgery, 465 00:18:02,600 --> 00:18:05,230 but I'll let Dr. Garcia know about the CT. 466 00:18:05,310 --> 00:18:07,640 Oh. She likes you. 467 00:18:08,810 --> 00:18:10,270 I met her two hours ago. 468 00:18:11,820 --> 00:18:13,820 Must have made a strong first impression. 469 00:18:16,530 --> 00:18:18,240 Any fever, vomiting, or cough? 470 00:18:18,320 --> 00:18:19,410 None of that. 471 00:18:19,490 --> 00:18:20,740 Good feedings? 472 00:18:20,820 --> 00:18:22,410 Was she full term at birth? 473 00:18:22,490 --> 00:18:23,620 Normal delivery. 474 00:18:23,700 --> 00:18:25,080 Childhood vaccines? 475 00:18:25,160 --> 00:18:27,870 Um, yeah, two months and four months. 476 00:18:27,960 --> 00:18:29,330 To get an accurate temperature-- 477 00:18:29,420 --> 00:18:30,500 What's your differential diagnosis? 478 00:18:30,580 --> 00:18:32,090 Gotta rule out the worst first. 479 00:18:32,170 --> 00:18:33,340 We need to check with a rectal thermometer. 480 00:18:33,420 --> 00:18:34,460 Is that really necessary? 481 00:18:34,550 --> 00:18:36,590 It's really important. 482 00:18:36,670 --> 00:18:38,630 Ooh, I know. 483 00:18:38,720 --> 00:18:40,390 I know. 484 00:18:40,470 --> 00:18:43,760 We gotta rule out any serious bacterial infection, 485 00:18:43,850 --> 00:18:46,060 sepsis, pneumonia, 486 00:18:46,140 --> 00:18:48,850 pyelo, appendicitis, meningitis. 487 00:18:48,940 --> 00:18:50,690 You think she has meningitis? 488 00:18:50,770 --> 00:18:53,820 No, we're just discussing hypothetical possibilities. 489 00:18:53,900 --> 00:18:55,480 Temp 99.2. 490 00:18:55,570 --> 00:18:59,610 Making meningitis extremely unlikely. 491 00:18:59,700 --> 00:19:03,740 Heart rate 164, sats 99. 492 00:19:03,830 --> 00:19:07,700 This is Dr. Robby, our senior physician. 493 00:19:07,790 --> 00:19:09,160 Hi, nice to meet you. 494 00:19:09,250 --> 00:19:10,710 Hi, hi. 495 00:19:10,790 --> 00:19:12,460 Afebrile, alert, good vitals. 496 00:19:12,540 --> 00:19:13,880 Doctors Mohan and King were 497 00:19:13,960 --> 00:19:15,880 just about to start their physical. 498 00:19:15,960 --> 00:19:18,670 Why don't you go check on our students, and I'll handle this? 499 00:19:18,760 --> 00:19:19,920 Mm-hmm. 500 00:19:20,010 --> 00:19:21,180 Oh. 501 00:19:26,430 --> 00:19:28,350 So why are you sticking me again? 502 00:19:28,430 --> 00:19:30,600 You came in an hour after the chest pain. 503 00:19:30,690 --> 00:19:32,350 If it's a heart attack, it can take 504 00:19:32,440 --> 00:19:34,110 more time for the heart damage to show up in the blood-- 505 00:19:34,190 --> 00:19:35,650 put your finger on that-- 506 00:19:35,730 --> 00:19:37,820 even with the normal EKG. 507 00:19:37,900 --> 00:19:39,400 That's why we repeat the test. 508 00:19:40,610 --> 00:19:41,650 Lift your arm up. 509 00:19:41,740 --> 00:19:43,240 Thank you. 510 00:19:44,870 --> 00:19:47,410 All right, let's get you back to the waiting room. 511 00:19:47,490 --> 00:19:49,000 - What? No. - Yeah. 512 00:19:49,080 --> 00:19:50,290 No, all I've been doing is waiting. 513 00:19:50,370 --> 00:19:51,290 I'm supposed to see a doctor now. 514 00:19:51,370 --> 00:19:52,330 Soon. 515 00:19:52,420 --> 00:19:53,830 I'll let you know. 516 00:19:57,880 --> 00:19:59,590 This is a fucking joke. 517 00:19:59,670 --> 00:20:01,340 Yeah, it's good to laugh. 518 00:20:03,180 --> 00:20:05,640 Laughing our way to being a third world country. 519 00:20:07,890 --> 00:20:09,350 Remind you of home? 520 00:20:11,810 --> 00:20:12,940 Okay, I know we're not supposed 521 00:20:13,020 --> 00:20:14,440 to pick favorites here. 522 00:20:14,520 --> 00:20:16,360 I'ma keep my eye on you. 523 00:20:16,440 --> 00:20:17,860 Yeah. 524 00:20:21,900 --> 00:20:23,240 You do that. 525 00:20:23,320 --> 00:20:24,570 Oh, yeah. 526 00:20:29,580 --> 00:20:31,410 So, Tasha, it was a decanter? 527 00:20:31,500 --> 00:20:33,790 A beautiful Baccarat carafe. 528 00:20:33,870 --> 00:20:37,170 I was, uh, showing a colleague how to polish it, 529 00:20:37,250 --> 00:20:39,880 and the neck broke with my arm still inside-- 530 00:20:39,960 --> 00:20:42,220 - Mm. - So not my finest. 531 00:20:42,300 --> 00:20:43,680 Did it shatter? 532 00:20:43,760 --> 00:20:46,510 No, no, it cracked cleanly in two. 533 00:20:46,590 --> 00:20:49,260 But as a reflex, I jerked my arm back, 534 00:20:49,350 --> 00:20:51,470 and that's what did it. 535 00:20:51,560 --> 00:20:54,440 Reflexes, I have regretted a few of my own. 536 00:20:54,520 --> 00:20:57,650 Good. Now inject to other side. 537 00:20:57,730 --> 00:20:59,980 Single layer, straight edges, 538 00:21:00,070 --> 00:21:01,820 about as straightforward as it gets. 539 00:21:01,900 --> 00:21:04,950 Oh, good. That's a relief. 540 00:21:06,200 --> 00:21:07,200 What's going on? 541 00:21:07,280 --> 00:21:08,620 Hypoxic to 78. 542 00:21:08,700 --> 00:21:09,700 BP's crashing. 543 00:21:09,780 --> 00:21:11,040 Systolic's 82. 544 00:21:11,120 --> 00:21:12,200 Pulse is thready. 545 00:21:12,290 --> 00:21:13,790 I should intubate. 546 00:21:13,870 --> 00:21:15,250 Does he need a massive transfusion protocol? 547 00:21:15,330 --> 00:21:17,710 No. Absent breath sounds on the left, 548 00:21:17,790 --> 00:21:19,340 tracheal deviation to the right. 549 00:21:19,420 --> 00:21:21,300 14 gauge angiocath now. 550 00:21:21,380 --> 00:21:23,340 Put him on a non-rebreather. 551 00:21:23,420 --> 00:21:25,220 What are you doing? 552 00:21:25,300 --> 00:21:28,470 Tension pneumothorax from the BiPAP's positive pressure. 553 00:21:32,930 --> 00:21:34,270 You hear that? 554 00:21:34,350 --> 00:21:36,390 Who the hell ordered BiPAP? Garcia? 555 00:21:36,480 --> 00:21:38,060 No, his--his sats were down. 556 00:21:38,150 --> 00:21:39,270 I did. 557 00:21:39,360 --> 00:21:40,480 You did? 558 00:21:40,570 --> 00:21:42,730 Without running it by me? 559 00:21:42,820 --> 00:21:44,070 Can I put in a chest tube? 560 00:21:44,150 --> 00:21:45,190 He doesn't need a chest tube. 561 00:21:45,280 --> 00:21:46,530 He needs a pigtail catheter. 562 00:21:46,610 --> 00:21:48,280 And I'll be doing it. 563 00:21:48,360 --> 00:21:51,080 Sats and pressure both coming up. 564 00:21:51,160 --> 00:21:53,330 Draw up 75 of ketamine. 565 00:22:00,790 --> 00:22:02,420 Why is she still crying? 566 00:22:02,500 --> 00:22:04,090 Fontanelle soft and flat. 567 00:22:04,170 --> 00:22:06,880 Pupils equal and reactive, tracking across midline. 568 00:22:06,970 --> 00:22:08,550 Dr. Mohan, keep it focused, please. 569 00:22:08,630 --> 00:22:10,430 Mucous membranes nice and moist. 570 00:22:12,680 --> 00:22:16,850 Hard to hear over the crying, but lungs are clear. 571 00:22:16,930 --> 00:22:19,020 Heart rate's tachy but normal. 572 00:22:19,100 --> 00:22:22,770 Soft abdomen, no obvious signs of tenderness. 573 00:22:22,860 --> 00:22:25,190 - So basically a normal exam. - Then what's wrong? 574 00:22:25,280 --> 00:22:26,990 Give us a little time to finish our exam. 575 00:22:27,070 --> 00:22:28,700 Yeah, I know. I know. 576 00:22:28,780 --> 00:22:31,820 What am I looking for, Dr. King? 577 00:22:31,910 --> 00:22:33,160 Uh, cellulitis? 578 00:22:33,240 --> 00:22:35,500 Edema from nephrotic syndrome? 579 00:22:36,870 --> 00:22:38,540 - Diagnosis made. - What is it? 580 00:22:38,620 --> 00:22:40,420 Hair tourniquet. 581 00:22:40,500 --> 00:22:42,420 Mother's wet hair can wrap around the toe multiple times. 582 00:22:42,500 --> 00:22:44,340 When it dries, it tightens and cuts off circulation. 583 00:22:44,420 --> 00:22:45,710 My hair? 584 00:22:45,800 --> 00:22:48,300 I--I showered before nursing her. 585 00:22:48,380 --> 00:22:49,800 Easy to miss, Mom. 586 00:22:49,880 --> 00:22:51,510 But we caught it early, so there won't be 587 00:22:51,590 --> 00:22:52,890 any permanent damage to the toe. 588 00:22:52,970 --> 00:22:54,260 Treatment, Dr. Mohan? 589 00:22:54,350 --> 00:22:55,560 Uh, it's too tight for scissors. 590 00:22:55,640 --> 00:22:57,020 - Do we have Nair? - We do indeed. 591 00:22:57,100 --> 00:22:59,390 Nair? Like from the drugstore? 592 00:22:59,480 --> 00:23:00,980 10 minutes, should dissolve it right off 593 00:23:01,060 --> 00:23:03,020 and stop the crying. 594 00:23:04,940 --> 00:23:06,280 Hey, you're okay. 595 00:23:06,360 --> 00:23:07,740 What's up? 596 00:23:07,820 --> 00:23:09,070 We're gonna give the wild one a shot. 597 00:23:09,150 --> 00:23:10,450 Have the order, meds on the way, 598 00:23:10,530 --> 00:23:11,700 but we need bodies. 599 00:23:11,780 --> 00:23:13,120 I call the head. 600 00:23:13,200 --> 00:23:14,620 - I got kicked last time. - Right arm. 601 00:23:14,700 --> 00:23:16,160 - Left arm. - Right leg. 602 00:23:16,240 --> 00:23:17,950 - Need one more. - Uh, two more. 603 00:23:18,040 --> 00:23:19,540 I'm just here to observe and speak with the patient 604 00:23:19,620 --> 00:23:21,370 - once he's under control. - Oh. 605 00:23:21,460 --> 00:23:22,880 Hey, Robby! 606 00:23:22,960 --> 00:23:24,880 Can--can you help us with Mr. Krakozhia? 607 00:23:24,960 --> 00:23:27,300 - No. - Coward! 608 00:23:27,380 --> 00:23:30,130 Whitaker-- just the man we need. 609 00:23:30,220 --> 00:23:31,550 Come over here, please. 610 00:23:31,630 --> 00:23:33,140 Whoa, what did I miss? 611 00:23:33,220 --> 00:23:34,970 A little drama from a tension pneumo. 612 00:23:35,050 --> 00:23:36,350 You could have called me. 613 00:23:36,430 --> 00:23:38,270 - We got it under control. - Good. 614 00:23:38,350 --> 00:23:40,690 And Dr. Santos learned what can happen 615 00:23:40,770 --> 00:23:43,350 when you put a patient with a small pneumothorax 616 00:23:43,440 --> 00:23:45,360 - on BiPAP. - Ah. 617 00:23:45,440 --> 00:23:46,940 Thumb scalpel. 618 00:23:47,020 --> 00:23:48,730 He was hypoxic. I thought it would help. 619 00:23:48,820 --> 00:23:50,450 But you didn't discuss it with me, 620 00:23:50,530 --> 00:23:53,070 and he almost died. Dilator. 621 00:23:53,160 --> 00:23:56,660 You need to run every order by a senior resident or attending. 622 00:23:56,740 --> 00:23:58,080 That's why it's a four-year program. 623 00:23:58,160 --> 00:24:00,290 Now, when you do this procedure, 624 00:24:00,370 --> 00:24:03,960 you want to make sure to never, ever lose this guidewire. 625 00:24:04,040 --> 00:24:06,790 That gets sucked in the chest, you're screwed. 626 00:24:06,880 --> 00:24:08,420 Now, ready for the pigtail. 627 00:24:10,630 --> 00:24:12,130 What the hell are you doing? 628 00:24:12,220 --> 00:24:14,140 Pneumo is tiny. It'll resolve spontaneously. 629 00:24:14,220 --> 00:24:16,550 Yeah, it was tiny until the patient went on BiPAP. 630 00:24:16,640 --> 00:24:18,010 Are you fucking kidding me? 631 00:24:18,100 --> 00:24:19,270 Guidewire out. 632 00:24:19,350 --> 00:24:20,560 His sats were down. 633 00:24:20,640 --> 00:24:21,810 I--I gave the order. 634 00:24:21,890 --> 00:24:24,600 Without clearing it with me. 635 00:24:24,690 --> 00:24:26,730 Honest mistake from the rookie. 636 00:24:26,810 --> 00:24:28,650 That's how we learn. 637 00:24:31,360 --> 00:24:33,910 If she knew everything, she'd be your attending, 638 00:24:33,990 --> 00:24:36,320 not an intern. 639 00:24:36,410 --> 00:24:37,950 That is very true. 640 00:24:38,030 --> 00:24:39,330 Besides, it could have happened on its own 641 00:24:39,410 --> 00:24:41,040 without the BiPAP. 642 00:24:41,120 --> 00:24:43,040 Wow. Beautiful moment. 643 00:24:43,120 --> 00:24:44,670 A lot of love in the room. 644 00:24:44,750 --> 00:24:46,500 If you'll excuse me. 645 00:24:46,580 --> 00:24:48,210 Nice save. 646 00:24:51,960 --> 00:24:53,300 It's Wheeler. 647 00:24:53,380 --> 00:24:55,340 Dr. Abbot said to come back at 6:30, 648 00:24:55,430 --> 00:24:58,350 and he'd still be here, but we overslept. 649 00:24:58,430 --> 00:25:00,100 I forgot to charge my phone. 650 00:25:00,180 --> 00:25:01,430 I'm really sorry. 651 00:25:01,520 --> 00:25:03,060 Okay, let's see. 652 00:25:03,140 --> 00:25:04,730 Wheeler, Kristin? 653 00:25:04,810 --> 00:25:06,350 It--it's Kristi, and-- 654 00:25:06,440 --> 00:25:07,980 and I'm her mom. 655 00:25:08,060 --> 00:25:09,940 Dr. Abbot went off duty at 7:00, 656 00:25:10,020 --> 00:25:11,280 but that's no problem. 657 00:25:11,360 --> 00:25:12,690 We'll get you back. 658 00:25:12,780 --> 00:25:14,030 Have a seat until we call your name. 659 00:25:14,110 --> 00:25:15,490 - Okay. - Thank you. 660 00:25:15,570 --> 00:25:16,700 - Thank you so much. - You're welcome. 661 00:25:16,780 --> 00:25:19,160 Next. 662 00:25:25,000 --> 00:25:27,330 - How you guys doing? - Good, thanks. 663 00:25:27,420 --> 00:25:29,880 We missed our appointment, but otherwise, we're fine. 664 00:25:29,960 --> 00:25:31,960 Oh, no. 665 00:25:32,050 --> 00:25:33,510 Have you been here long? 666 00:25:33,590 --> 00:25:35,550 I've been here about four hours. 667 00:25:35,630 --> 00:25:36,930 Oh. 668 00:25:37,010 --> 00:25:38,180 We were here two nights ago. 669 00:25:38,260 --> 00:25:39,640 We waited seven hours. 670 00:25:39,720 --> 00:25:40,890 Hmm. 671 00:25:40,970 --> 00:25:42,640 It's all bullshit. 672 00:25:42,720 --> 00:25:45,350 Can't believe somebody hasn't died out here. 673 00:25:52,230 --> 00:25:53,940 How we doing? 674 00:25:54,030 --> 00:25:56,320 No change. 675 00:25:56,400 --> 00:25:58,280 I--I've been doing all the talking. 676 00:25:58,360 --> 00:26:00,490 Do you want to... 677 00:26:00,580 --> 00:26:02,290 say some things? 678 00:26:06,500 --> 00:26:08,420 What is there to say? 679 00:26:08,500 --> 00:26:09,500 I'm sad. 680 00:26:09,580 --> 00:26:11,210 I'm angry. 681 00:26:11,290 --> 00:26:13,300 I don't want him to go. 682 00:26:13,380 --> 00:26:15,920 There's so much that I wish were different. 683 00:26:16,970 --> 00:26:18,090 It's not fair. 684 00:26:22,470 --> 00:26:23,430 Tell him. 685 00:26:23,510 --> 00:26:24,970 I am telling him. 686 00:26:25,060 --> 00:26:27,390 I'm telling both of you. 687 00:26:27,480 --> 00:26:29,480 It's not fair. 688 00:26:31,310 --> 00:26:33,940 I wanted what you had. 689 00:26:38,320 --> 00:26:40,990 I love you, Dad. 690 00:26:41,070 --> 00:26:46,700 And I'm thankful for everything you did to provide for us. 691 00:26:46,790 --> 00:26:50,830 But you weren't the dad I wanted, because I didn't-- 692 00:26:50,920 --> 00:26:55,590 I didn't play baseball or build models or fish. 693 00:26:57,170 --> 00:27:00,050 My friends' dads all had grown-up jobs. 694 00:27:00,130 --> 00:27:03,180 They didn't tell silly jokes or talk in character voices 695 00:27:03,260 --> 00:27:06,100 or make up stories. 696 00:27:08,770 --> 00:27:11,560 I was embarrassed, and I-- 697 00:27:11,650 --> 00:27:14,270 I didn't want my friends to meet you. 698 00:27:14,360 --> 00:27:16,900 - Helen. - It's true. 699 00:27:18,860 --> 00:27:21,990 I'm ashamed to admit it, but it's true. 700 00:27:23,990 --> 00:27:25,910 I left for college, and I-- 701 00:27:25,990 --> 00:27:28,500 I stayed away. 702 00:27:32,500 --> 00:27:35,710 I could have gone fishing. 703 00:27:35,800 --> 00:27:38,550 I should have gone fishing. 704 00:27:40,510 --> 00:27:44,100 And I'm--I'm curious now. 705 00:27:50,270 --> 00:27:52,520 And I forgive you, Dad, for not being the man 706 00:27:52,600 --> 00:27:54,060 that I wanted you to be. 707 00:27:54,150 --> 00:27:55,400 But I am-- 708 00:27:55,480 --> 00:27:58,400 I am so grateful that you weren't. 709 00:27:58,480 --> 00:28:03,200 The world needed you to be exactly as you are. 710 00:28:03,280 --> 00:28:05,490 It got--it got serious, and-- 711 00:28:05,570 --> 00:28:07,120 and it turned ugly. 712 00:28:07,200 --> 00:28:11,210 And you and your friends built 713 00:28:11,290 --> 00:28:14,670 the Neighborhood of Make-Believe. 714 00:28:16,500 --> 00:28:19,000 What an incredible gift. 715 00:28:24,720 --> 00:28:26,760 Oh, Daddy. 716 00:28:26,850 --> 00:28:30,350 I am so sorry. 717 00:28:30,430 --> 00:28:34,230 Please, please forgive me. 718 00:28:44,780 --> 00:28:47,240 Come find me when it's time. 719 00:28:52,580 --> 00:28:53,830 No news chopper coverage. 720 00:28:53,910 --> 00:28:55,250 No eye in the sky. 721 00:28:55,330 --> 00:28:56,330 Not even a damn drone. 722 00:28:56,420 --> 00:28:57,420 No mystery here. 723 00:28:57,500 --> 00:28:59,000 The cop said east on 376. 724 00:28:59,090 --> 00:29:00,170 They're headed to Swissvale. 725 00:29:00,250 --> 00:29:01,510 I have a cousin in Swissvale. 726 00:29:01,590 --> 00:29:03,050 Says it's crazy. 727 00:29:03,130 --> 00:29:04,680 Fellas, they are not going to Swissvale. 728 00:29:04,760 --> 00:29:06,680 They're crossing the line. Canada, baby. 729 00:29:06,760 --> 00:29:09,100 That's the other way, genius. See, I'm taking all your money. 730 00:29:09,180 --> 00:29:10,220 - No, you're not. - You're taking his money. 731 00:29:10,310 --> 00:29:11,600 You think so? 732 00:29:11,680 --> 00:29:12,930 I'm breaking up this sewing circle. 733 00:29:13,020 --> 00:29:14,520 Antoine, you're supposed to be in triage. 734 00:29:14,600 --> 00:29:15,850 Dennison needs a knee immobilizer and crutches. 735 00:29:15,940 --> 00:29:17,560 Go on. 736 00:29:17,650 --> 00:29:19,230 Paolo, take postural vitals on Thorpe in North 5, 737 00:29:19,320 --> 00:29:21,900 and a repeat potassium draw on Fontaine in South 18. 738 00:29:21,980 --> 00:29:23,740 Larry, you're coming with me. 739 00:29:23,820 --> 00:29:25,240 Okay, we have a quorum. 740 00:29:25,320 --> 00:29:27,030 - Meds finally here? - Yep. 741 00:29:27,110 --> 00:29:28,910 - Guy's got some energy. - Let's do this. 742 00:29:28,990 --> 00:29:30,450 Donahue, right leg. Larry, left leg. 743 00:29:30,530 --> 00:29:31,830 Kim, right arm. 744 00:29:31,910 --> 00:29:33,370 I call left arm. Perlah takes the head. 745 00:29:33,450 --> 00:29:34,910 And our young man here will inject. Clear? 746 00:29:35,000 --> 00:29:36,370 - Yeah. - Pulse ox? 747 00:29:36,460 --> 00:29:37,920 - Right here. - Good luck. 748 00:29:38,000 --> 00:29:40,920 IM injection to the mid-anterior left thigh. 749 00:29:41,000 --> 00:29:42,420 Everybody ready? 750 00:29:42,510 --> 00:29:44,550 Yo, Whitaker. 751 00:29:44,630 --> 00:29:45,720 You play any ball? 752 00:29:45,800 --> 00:29:47,340 What, football? 753 00:29:47,430 --> 00:29:49,010 No, dodgeball. 754 00:29:49,090 --> 00:29:50,350 Of course football. 755 00:29:50,430 --> 00:29:51,890 Yeah, some peewee. 756 00:29:51,970 --> 00:29:53,470 You know, I was actually a pretty good kicker. 757 00:29:53,560 --> 00:29:55,020 Not helpful. 758 00:29:55,100 --> 00:29:56,390 Look, Larry and I are gonna block for you. 759 00:29:56,480 --> 00:29:57,770 Come in right behind us. 760 00:29:57,850 --> 00:29:59,150 When we split and go for his legs, 761 00:29:59,230 --> 00:30:00,900 you go right up the middle. 762 00:30:00,980 --> 00:30:02,270 - End zone, baby. - Okay, yeah. 763 00:30:02,360 --> 00:30:04,400 - Got it. - Okay. 764 00:30:04,490 --> 00:30:06,200 You ready? 765 00:30:06,280 --> 00:30:09,950 One, two, three. 766 00:30:10,030 --> 00:30:12,030 Okay, Mr. Krakozhia, we're here to help you. 767 00:30:12,120 --> 00:30:14,330 We're here to help you-- oh, God! 768 00:30:14,410 --> 00:30:16,330 What do I do? Ahh! 769 00:30:17,330 --> 00:30:18,420 Shit. 770 00:30:18,500 --> 00:30:20,250 Ahh! 771 00:30:20,330 --> 00:30:22,210 Oh. 772 00:30:22,290 --> 00:30:23,380 That's it. 773 00:30:24,300 --> 00:30:25,380 Congrats, kid. 774 00:30:25,460 --> 00:30:27,090 You just earned your yellow wings. 775 00:30:27,170 --> 00:30:28,880 Okay, midazolam will take him down in a minute. 776 00:30:28,970 --> 00:30:30,430 We'll monitor him for 20. 777 00:30:30,510 --> 00:30:31,600 After that, the Haldol will have kicked in. 778 00:30:31,680 --> 00:30:33,220 Yeah, he's settling down now. 779 00:30:33,310 --> 00:30:34,470 Do I really need to be here for 20 minutes? 780 00:30:34,560 --> 00:30:35,980 Why? You got a date? 781 00:30:36,060 --> 00:30:37,230 - I mean, I'm covered in-- - I'm kidding. 782 00:30:37,310 --> 00:30:38,440 Thanks for your help. 783 00:30:38,520 --> 00:30:39,980 Go get cleaned up. 784 00:30:40,060 --> 00:30:41,560 Okay. Thanks, everyone. Good work. 785 00:30:41,650 --> 00:30:43,150 I know I don't need to say it, but let's try 786 00:30:43,230 --> 00:30:44,690 to stay on top of Mr. Krakozhia's med schedule. 787 00:30:44,780 --> 00:30:46,070 - Ugh. - Sorry. 788 00:30:46,150 --> 00:30:47,360 Yeah, thanks. 789 00:30:47,440 --> 00:30:48,700 Can I help you get new scrubs? 790 00:30:48,780 --> 00:30:51,530 Oh, no, it's good. I'm gonna... 791 00:30:51,620 --> 00:30:54,330 Uh, thank you for the offer, though. 792 00:30:58,500 --> 00:31:00,330 So, Tasha, you work in a restaurant? 793 00:31:00,420 --> 00:31:02,500 No, take it in two bites. 794 00:31:02,590 --> 00:31:04,130 - Okay. - Rotate your wrist. 795 00:31:04,210 --> 00:31:06,010 Follow the curve of the needle. 796 00:31:06,090 --> 00:31:09,300 Exit at 90 degrees, same distance from the wound. 797 00:31:09,380 --> 00:31:10,760 Good. 798 00:31:10,840 --> 00:31:12,970 Yes, I'm the sommelier at Altius. 799 00:31:13,050 --> 00:31:15,470 Oh, Altius is supposed to be amazing. 800 00:31:15,560 --> 00:31:17,060 Sorry. What--what is it you do? 801 00:31:17,140 --> 00:31:19,390 I'm the sommelier, the wine steward. 802 00:31:19,480 --> 00:31:20,770 Ah. 803 00:31:20,850 --> 00:31:22,230 We have the best cellar in the city. 804 00:31:22,310 --> 00:31:23,520 I don't mind bragging. 805 00:31:23,610 --> 00:31:25,110 Ah, it sounds like a great gig. 806 00:31:25,190 --> 00:31:26,400 Do you have to go to school for that? 807 00:31:26,480 --> 00:31:27,690 Oh, my. Yeah. 808 00:31:27,780 --> 00:31:28,990 Yeah, I have a degree. 809 00:31:29,070 --> 00:31:30,280 - Mm, cool. - Okay. 810 00:31:30,360 --> 00:31:31,610 How's that? 811 00:31:31,700 --> 00:31:32,820 Really good. 812 00:31:32,910 --> 00:31:34,580 First tie is a surgeon's knot. 813 00:31:34,660 --> 00:31:35,950 Wrap the suture twice. 814 00:31:36,040 --> 00:31:37,330 Grab the short end. 815 00:31:37,410 --> 00:31:38,620 Pull with just enough tension. 816 00:31:38,700 --> 00:31:40,250 Bring the wound edges together. 817 00:31:40,330 --> 00:31:42,960 Not too tight or she'll have railroad tracks. 818 00:31:43,040 --> 00:31:46,090 So, Tasha, what's your favorite wine you've ever tasted-- 819 00:31:46,170 --> 00:31:47,880 or most expensive? 820 00:31:49,090 --> 00:31:51,130 Same answer for both-- 821 00:31:51,220 --> 00:31:54,350 a 2011 Domaine de la Romanée-Conti. 822 00:31:55,350 --> 00:31:56,510 Three more instrument ties. 823 00:31:56,600 --> 00:31:58,100 Great. 824 00:31:58,180 --> 00:32:00,480 Square knots, single wrap around the needle driver. 825 00:32:00,560 --> 00:32:01,980 Is that French? 826 00:32:02,060 --> 00:32:03,310 As French as it gets, 827 00:32:03,400 --> 00:32:04,770 - a burgundy. - Ah. 828 00:32:04,860 --> 00:32:06,320 And how much does that cost? 829 00:32:06,400 --> 00:32:09,150 I sold that bottle for $18,000. 830 00:32:09,230 --> 00:32:10,860 Not here. 831 00:32:10,950 --> 00:32:12,150 That was in New York. 832 00:32:12,240 --> 00:32:13,360 Are you kidding? 833 00:32:13,450 --> 00:32:16,280 18 grand for a bottle of wine? 834 00:32:16,370 --> 00:32:17,870 I mean, was it really that good? 835 00:32:17,950 --> 00:32:19,620 Life changing. 836 00:32:19,700 --> 00:32:21,830 And I know something about life changing. 837 00:32:23,000 --> 00:32:24,540 Maybe one day. 838 00:32:24,630 --> 00:32:28,420 I'm still not old enough to drink--legally. 839 00:32:28,500 --> 00:32:31,800 That's a little scary. 840 00:32:31,880 --> 00:32:34,050 And I'm about 18 grand short and a friend of Bill's, 841 00:32:34,130 --> 00:32:37,720 so I'll have to take your word for it too. 842 00:32:37,810 --> 00:32:40,890 My only extravagance these days is moisturizer. 843 00:32:40,980 --> 00:32:42,520 I hear you. 844 00:32:42,600 --> 00:32:44,940 Jenna, I have some people here to see you. 845 00:32:45,020 --> 00:32:47,020 - Jenna, oh. - Oh, my God. 846 00:32:47,110 --> 00:32:48,440 Hi. 847 00:32:48,520 --> 00:32:49,730 Oh, my God. I'm glad you're okay. 848 00:32:49,820 --> 00:32:51,280 I'm so sorry. 849 00:32:51,360 --> 00:32:52,610 I have no idea how this happened, I swear. 850 00:32:52,700 --> 00:32:54,410 Is she, um-- 851 00:32:54,490 --> 00:32:56,160 Yes, she's cleared medically. You may take her home. 852 00:32:56,240 --> 00:32:58,160 Here's some discharge instructions, 853 00:32:58,240 --> 00:32:59,790 but no more pills unless they're 854 00:32:59,870 --> 00:33:01,250 from a doctor or pharmacy. 855 00:33:01,330 --> 00:33:02,870 Yeah. I won't. 856 00:33:02,960 --> 00:33:04,290 We're giving you some fentanyl test strips. 857 00:33:04,370 --> 00:33:06,040 These work on pills and liquids. 858 00:33:06,130 --> 00:33:08,040 And this is a Narcan spray. 859 00:33:08,130 --> 00:33:10,460 Please, just keep it in your purse just in case 860 00:33:10,550 --> 00:33:12,170 if you're at a party, and someone's out of it. 861 00:33:12,260 --> 00:33:13,670 Yeah, thank you. 862 00:33:13,760 --> 00:33:14,970 You realize how lucky you are? 863 00:33:15,050 --> 00:33:16,180 Yes? 864 00:33:16,260 --> 00:33:17,890 Yeah, I--I do. 865 00:33:22,600 --> 00:33:24,810 Mr. and Mrs. Bradley, I just spoke to nuclear medicine, 866 00:33:24,890 --> 00:33:26,600 and they are ready to take Nick 867 00:33:26,690 --> 00:33:29,020 for the cerebral perfusion study test in a few minutes. 868 00:33:29,110 --> 00:33:30,190 Can we stay with him? 869 00:33:30,270 --> 00:33:31,650 Absolutely. 870 00:33:31,730 --> 00:33:33,570 The test itself involves radiation imaging, 871 00:33:33,650 --> 00:33:35,240 so you'll have to wait just outside the door. 872 00:33:35,320 --> 00:33:36,530 But Dave will take you down. 873 00:33:36,610 --> 00:33:37,910 I'll show you where you can be. 874 00:33:37,990 --> 00:33:39,370 He'll also bring you back here. 875 00:33:39,450 --> 00:33:41,080 The results take about an hour or so, 876 00:33:41,160 --> 00:33:44,160 and I'll come find you when I get them. 877 00:33:44,250 --> 00:33:46,710 And we'll take it from there. 878 00:33:46,790 --> 00:33:47,960 Thank you, Doctor. 879 00:33:48,040 --> 00:33:49,710 Okay. 880 00:33:52,420 --> 00:33:54,970 So sorry to keep you waiting. 881 00:33:55,050 --> 00:33:56,880 I'm Dr. Heather Collins. 882 00:33:56,970 --> 00:33:59,640 You must be Kristi and Lynette Wheeler? 883 00:33:59,720 --> 00:34:00,970 - Yes. - Yes. 884 00:34:01,060 --> 00:34:02,640 We were supposed to see Dr. Abbot. 885 00:34:02,720 --> 00:34:04,810 Yes, Dr. Abbot is an amazing physician, 886 00:34:04,890 --> 00:34:07,310 but even he needs sleep occasionally. 887 00:34:07,390 --> 00:34:08,770 I guess I just got tired. 888 00:34:08,850 --> 00:34:10,560 And I forgot to charge my phone, 889 00:34:10,650 --> 00:34:12,320 - and we overslept. - Mm. 890 00:34:12,400 --> 00:34:14,280 I use an old-fashioned alarm clock since med school. 891 00:34:14,360 --> 00:34:15,610 Never fails. 892 00:34:15,690 --> 00:34:16,740 That's what I have at home. 893 00:34:16,820 --> 00:34:18,450 I just forgot to bring it. 894 00:34:18,530 --> 00:34:20,160 Okay. 895 00:34:20,240 --> 00:34:22,990 I see we're doing a medication abortion today, correct? 896 00:34:23,080 --> 00:34:24,620 Yep. 897 00:34:24,700 --> 00:34:26,660 Well, since I didn't initially assess you, 898 00:34:26,750 --> 00:34:28,750 do you mind if I ask a few questions? 899 00:34:28,830 --> 00:34:30,040 Get up to speed? 900 00:34:30,130 --> 00:34:31,420 No. 901 00:34:31,500 --> 00:34:33,090 Thanks. 902 00:34:33,170 --> 00:34:35,460 Is this your first pregnancy? 903 00:34:35,550 --> 00:34:36,800 Yes. 904 00:34:36,880 --> 00:34:38,380 And you're 17? 905 00:34:38,470 --> 00:34:41,850 When did your last menstrual cycle start? 906 00:34:41,930 --> 00:34:44,810 Um, I'm not exactly sure. 907 00:34:44,890 --> 00:34:46,390 End of June-- 908 00:34:46,470 --> 00:34:48,270 23rd maybe? 909 00:34:48,350 --> 00:34:49,850 Any allergies to medication? 910 00:34:49,940 --> 00:34:50,980 No. 911 00:34:51,060 --> 00:34:52,400 Any surgeries in the past? 912 00:34:52,480 --> 00:34:54,570 No. 913 00:34:54,650 --> 00:34:56,490 I need to do another quick ultrasound 914 00:34:56,570 --> 00:34:58,530 to make sure everything is okay for the medication. 915 00:34:58,610 --> 00:35:00,410 Do you want to put on a gown 916 00:35:00,490 --> 00:35:02,490 to make sure you don't get gel all over your clothes? 917 00:35:02,570 --> 00:35:03,910 Okay. 918 00:35:05,290 --> 00:35:06,790 I'll be right back. 919 00:35:06,870 --> 00:35:08,500 Thank you. 920 00:35:08,580 --> 00:35:10,040 Joyce, our sickler, is doing well 921 00:35:10,120 --> 00:35:11,420 on the exchange transfusion. 922 00:35:11,500 --> 00:35:12,840 Awaiting a telemetry bed. 923 00:35:12,920 --> 00:35:14,420 Quinn, the midnight vaper, 924 00:35:14,500 --> 00:35:16,590 is still in sinus after cardioversion. 925 00:35:16,670 --> 00:35:18,760 Uh, four hours of cardiac monitoring starting now, 926 00:35:18,840 --> 00:35:20,180 and you can discharge him. 927 00:35:20,260 --> 00:35:21,390 Our Good Samaritan's hanging in, 928 00:35:21,470 --> 00:35:23,100 stable vitals and neuro checks. 929 00:35:23,180 --> 00:35:25,060 Yeah, I want to get a repeat head CT in an hour, 930 00:35:25,140 --> 00:35:26,770 rule out any increased bleeding. 931 00:35:26,850 --> 00:35:28,770 And Mr. Gold was stool positive for campylobacter, 932 00:35:28,850 --> 00:35:30,560 has gone home on azithromycin. 933 00:35:30,640 --> 00:35:32,440 Well, I hope he loads up on water and electrolytes. 934 00:35:32,520 --> 00:35:34,190 The guy filled up half a dozen bedpans. 935 00:35:34,270 --> 00:35:35,690 Must be a record. 936 00:35:35,770 --> 00:35:37,440 Without sounding like a broken record, 937 00:35:37,530 --> 00:35:38,860 everything okay with you? 938 00:35:38,940 --> 00:35:40,200 That's your third cup before 11:00. 939 00:35:40,280 --> 00:35:41,570 Yeah, I'm not sleeping great. 940 00:35:41,660 --> 00:35:42,990 It's fucking with me a little bit. 941 00:35:43,070 --> 00:35:44,870 But I've got four days off next week. 942 00:35:44,950 --> 00:35:46,410 I think I'm gonna get out of Dodge and head for the hills. 943 00:35:46,490 --> 00:35:47,950 I wish you would. What'd Shakespeare say-- 944 00:35:48,040 --> 00:35:49,500 "Physician, heal thyself"? 945 00:35:49,580 --> 00:35:51,250 What? Have you been talking to Collins? 946 00:35:51,330 --> 00:35:52,790 Not Shakespeare. 947 00:35:52,880 --> 00:35:54,380 Luke, the disciple, 948 00:35:54,460 --> 00:35:56,090 who probably heard it from Paul the Apostle. 949 00:35:56,170 --> 00:35:57,300 But what do I know? I'm Jewish. 950 00:35:57,380 --> 00:35:58,920 It's not my book. 951 00:35:59,010 --> 00:36:00,050 Shakespeare had nothing to do with it, though. 952 00:36:00,130 --> 00:36:01,510 Yeah. 953 00:36:01,590 --> 00:36:03,180 Maybe a little time off would be good. 954 00:36:03,260 --> 00:36:04,430 Oh. You have everything? 955 00:36:04,510 --> 00:36:06,220 Yeah, I think so. 956 00:36:16,940 --> 00:36:18,030 Is that-- 957 00:36:18,110 --> 00:36:19,610 Yeah. 958 00:36:19,690 --> 00:36:22,400 Let's go, sweetheart. 959 00:36:22,490 --> 00:36:26,030 Wait. Um, Mr. Bradley? 960 00:36:26,120 --> 00:36:28,700 I just wanted to apologize for the way I spoke to you. 961 00:36:28,790 --> 00:36:29,910 Please wait. Please. 962 00:36:30,000 --> 00:36:31,790 There's no excuse. 963 00:36:31,870 --> 00:36:33,460 I was gonna ask a nurse to give you this, 964 00:36:33,540 --> 00:36:36,630 but it's my number and email. 965 00:36:36,710 --> 00:36:41,260 If I can ever be of any help in any way, please. 966 00:36:41,340 --> 00:36:43,470 I don't know who you are. 967 00:36:43,550 --> 00:36:44,720 - Oh. - Oh. 968 00:36:44,800 --> 00:36:47,050 I'm sorry. I'm Jenna. 969 00:36:48,510 --> 00:36:52,100 I met Nick at orientation, and he was really sweet. 970 00:36:55,100 --> 00:36:56,940 We were in the same econ class, 971 00:36:57,020 --> 00:36:58,820 and we had this really big test coming up. 972 00:36:58,900 --> 00:37:01,360 So some of us made this kind of study group. 973 00:37:01,440 --> 00:37:04,660 And we'd stay up way too late drinking coffee 974 00:37:04,740 --> 00:37:06,870 and then have a really hard time falling asleep. 975 00:37:06,950 --> 00:37:09,740 And one girl said 976 00:37:09,830 --> 00:37:12,830 she knew how to get Xanax, 977 00:37:12,910 --> 00:37:16,250 but was too afraid to go pick it up. 978 00:37:16,330 --> 00:37:19,750 Nick was just being nice when he said he'd do it. 979 00:37:22,590 --> 00:37:25,760 I am so sorry. 980 00:37:25,840 --> 00:37:27,760 I really hope he pulls through this. 981 00:37:27,840 --> 00:37:30,600 I'm praying he pulls through this. 982 00:37:30,680 --> 00:37:32,890 He will. 983 00:37:32,980 --> 00:37:34,350 Uh, yeah. 984 00:37:34,430 --> 00:37:35,810 Thank you. 985 00:37:37,770 --> 00:37:39,560 You should go. 986 00:37:39,650 --> 00:37:42,280 I'm sure your parents want to take you home. 987 00:37:48,700 --> 00:37:51,910 All right. Come on. 988 00:37:53,580 --> 00:37:55,870 Sorry about earlier. 989 00:37:55,960 --> 00:37:58,830 I think I still have a lot to learn. 990 00:37:58,920 --> 00:38:00,420 You do. 991 00:38:02,880 --> 00:38:04,090 Looks good. 992 00:38:04,170 --> 00:38:05,630 Nice job, Doc. 993 00:38:05,720 --> 00:38:07,510 Thank you for the trust. 994 00:38:07,590 --> 00:38:09,180 Now keep it clean and dry, 995 00:38:09,260 --> 00:38:10,970 and we'll see you for a wound check in two days. 996 00:38:11,050 --> 00:38:12,890 You did great. I didn't feel a thing. 997 00:38:12,970 --> 00:38:14,680 Sutures out in a week, but come back sooner 998 00:38:14,770 --> 00:38:16,270 for any redness, fever, or drainage. 999 00:38:16,350 --> 00:38:17,640 - Okay? - Okay. 1000 00:38:17,730 --> 00:38:19,560 Thank you. 1001 00:38:19,650 --> 00:38:21,320 Um, I couldn't help but notice. 1002 00:38:21,400 --> 00:38:23,690 There's a misgendering error on your chart. 1003 00:38:23,780 --> 00:38:25,070 I'm really sorry about that. 1004 00:38:25,150 --> 00:38:26,490 I've gone ahead and fixed it here 1005 00:38:26,570 --> 00:38:27,780 and on your insurance data file, 1006 00:38:27,860 --> 00:38:30,660 but it shouldn't happen again. 1007 00:38:30,740 --> 00:38:32,120 Wow. 1008 00:38:32,200 --> 00:38:34,790 I am... 1009 00:38:34,870 --> 00:38:36,330 Thank you. 1010 00:38:36,410 --> 00:38:37,460 Truly. 1011 00:38:37,540 --> 00:38:38,750 Thank you both. 1012 00:38:38,830 --> 00:38:40,500 Yeah, of course. 1013 00:38:43,000 --> 00:38:44,210 That was cool. 1014 00:38:44,300 --> 00:38:45,300 Didn't think to check that. 1015 00:38:45,380 --> 00:38:47,300 Good catch. 1016 00:38:47,380 --> 00:38:49,260 Oh, any other medications? 1017 00:38:49,340 --> 00:38:53,140 The only medicine is Tylenol, and she has no allergies. 1018 00:38:53,220 --> 00:38:54,560 Hi, I'm Dr. Mohan. 1019 00:38:54,640 --> 00:38:56,430 Hello. Nice to meet you. 1020 00:38:56,520 --> 00:38:58,100 Oh, let me catch her up. 1021 00:38:58,190 --> 00:39:00,440 Jia Yi is a 12-year-old with six weeks 1022 00:39:00,520 --> 00:39:02,610 of constant pain in the suprapubic area. 1023 00:39:02,690 --> 00:39:05,230 There's no fever, no dysuria, 1024 00:39:05,320 --> 00:39:07,320 no nausea, vomiting, diarrhea, 1025 00:39:07,400 --> 00:39:08,820 no vaginal discharge. 1026 00:39:08,900 --> 00:39:10,990 And the urine pregnancy test is negative. 1027 00:39:11,070 --> 00:39:12,740 A--a pregnancy test? 1028 00:39:12,820 --> 00:39:14,280 Of course it's negative. 1029 00:39:14,370 --> 00:39:15,950 She has a stomachache. 1030 00:39:16,040 --> 00:39:17,870 Tell me a little bit more about your pain. 1031 00:39:17,950 --> 00:39:20,420 Can you give me a number from 1 to 10, 10 being the worst? 1032 00:39:20,500 --> 00:39:23,090 It was like a two the first few weeks. 1033 00:39:23,170 --> 00:39:24,290 Then it went up to a five. 1034 00:39:24,380 --> 00:39:27,050 Now it's worse, like a seven. 1035 00:39:27,130 --> 00:39:28,880 And when was your last menstrual period? 1036 00:39:28,970 --> 00:39:30,340 - Haven't had it. - This month? 1037 00:39:30,430 --> 00:39:32,050 No, never. 1038 00:39:32,140 --> 00:39:34,600 A few of my friends got theirs. I'm still waiting. 1039 00:39:34,680 --> 00:39:36,810 She's only 12. 1040 00:39:36,890 --> 00:39:38,930 Okay. We'll be back for an exam. 1041 00:39:39,020 --> 00:39:41,770 Why don't you change into a gown open in the back? 1042 00:39:44,440 --> 00:39:45,770 It's weird. 1043 00:39:45,860 --> 00:39:48,240 I mean, no period, 1044 00:39:48,320 --> 00:39:51,410 but she has early secondary sexual characteristics-- 1045 00:39:51,490 --> 00:39:54,780 you know, breast development, widening hips. 1046 00:39:54,870 --> 00:39:56,830 Yeah, it's primary amenorrhea. 1047 00:39:56,910 --> 00:39:58,250 What are you thinking? 1048 00:39:58,330 --> 00:40:00,330 Could be a pituitary dysfunction or... 1049 00:40:00,410 --> 00:40:01,710 Okay, how are we doing? 1050 00:40:01,790 --> 00:40:03,330 Are we moving anybody out of here? 1051 00:40:03,420 --> 00:40:04,960 We're trying. Asthma cleared after two nebs, 1052 00:40:05,040 --> 00:40:06,290 went home with steroids and albuterol. 1053 00:40:06,380 --> 00:40:07,710 I like that. Who else? 1054 00:40:07,800 --> 00:40:09,550 Uh... 1055 00:40:09,630 --> 00:40:11,720 Hire scabs that don't know zip ties from airline cable? 1056 00:40:12,880 --> 00:40:14,300 Fuck around and find out. 1057 00:40:14,390 --> 00:40:15,890 Come Monday, that promoter is gonna have 1058 00:40:15,970 --> 00:40:17,470 my lawyer's shoe so far up his ass, 1059 00:40:17,560 --> 00:40:19,020 he's gonna be flossing with the laces. 1060 00:40:19,100 --> 00:40:20,270 How are we doing in here? 1061 00:40:20,350 --> 00:40:21,480 Vitals are perfect. 1062 00:40:21,560 --> 00:40:24,190 Satting 98 on 4 liters. 1063 00:40:24,270 --> 00:40:25,440 Nice. 1064 00:40:25,520 --> 00:40:27,020 So I can go back to work now? 1065 00:40:27,110 --> 00:40:28,400 With six rib fractures, a bruised lung, 1066 00:40:28,480 --> 00:40:29,530 and a catheter in your chest? 1067 00:40:29,610 --> 00:40:30,820 Not the best idea. 1068 00:40:30,900 --> 00:40:32,490 But I do respect the work ethic. 1069 00:40:33,320 --> 00:40:34,950 Ritchie, get Cecil on FaceTime again. 1070 00:40:35,030 --> 00:40:36,450 I need to see this shit myself. 1071 00:40:36,530 --> 00:40:37,740 Do me a favor. 1072 00:40:37,830 --> 00:40:39,540 Call Dr. Gregorian in thoracic 1073 00:40:39,620 --> 00:40:41,000 and see if he'll take Stone as a personal favor to me, 1074 00:40:41,080 --> 00:40:42,500 and make sure he knows he doesn't need 1075 00:40:42,580 --> 00:40:44,000 any real babysitting. He's stable. 1076 00:40:44,080 --> 00:40:45,580 - We just need a bed. - Copy that. 1077 00:40:45,670 --> 00:40:48,300 Projectile vomiting is better with ondansetron. 1078 00:40:48,380 --> 00:40:50,260 Labs normal, awaiting a PO challenge. 1079 00:40:50,340 --> 00:40:51,630 What about Minu, the fall lady? 1080 00:40:51,720 --> 00:40:53,010 Antibiotics on board, pain free, 1081 00:40:53,090 --> 00:40:54,510 on the OR schedule at 3:00 p.m. 1082 00:40:54,590 --> 00:40:55,800 We parked her in the hall for a few hours. 1083 00:40:55,890 --> 00:40:57,180 Okay, good. 1084 00:40:57,260 --> 00:40:59,930 A little jelly on the belly. 1085 00:41:00,020 --> 00:41:01,220 Sorry. 1086 00:41:01,310 --> 00:41:02,730 It's cold. 1087 00:41:04,560 --> 00:41:06,480 And just to be sure, you're not being 1088 00:41:06,560 --> 00:41:10,110 treated for any blood clots, taking any anticoagulants? 1089 00:41:10,190 --> 00:41:11,990 No, I don't take any medicines. 1090 00:41:24,000 --> 00:41:26,790 Is everything okay? 1091 00:41:26,880 --> 00:41:28,290 Yeah. 1092 00:41:28,380 --> 00:41:30,210 There it is. There it is. 1093 00:41:30,300 --> 00:41:31,880 Chopper 7, I knew you wouldn't let me down. 1094 00:41:31,960 --> 00:41:33,170 Here we go. 1095 00:41:33,260 --> 00:41:34,630 Wait, where is it? 1096 00:41:34,720 --> 00:41:36,090 Well, it sure as shit ain't Swissvale. 1097 00:41:36,180 --> 00:41:37,470 - Hmm. - They're out in Monroeville-- 1098 00:41:37,550 --> 00:41:38,800 - Mm-hmm. - Trailing PPD. 1099 00:41:38,890 --> 00:41:40,350 What are they doing out there? 1100 00:41:40,430 --> 00:41:41,680 They're driving till the wheels fall off. 1101 00:41:41,770 --> 00:41:43,560 And it's almost outside our catch. 1102 00:41:43,640 --> 00:41:45,940 I got $10 that say they don't make it to the county line. 1103 00:41:46,020 --> 00:41:47,400 - They coming back. - I don't know. 1104 00:41:47,480 --> 00:41:49,020 Yeah, yeah, yeah, yeah, I'll take that. 1105 00:41:49,110 --> 00:41:50,610 They're Westmoreland's problem now. 1106 00:41:50,690 --> 00:41:51,860 - Mm. - Yep. 1107 00:41:51,940 --> 00:41:53,070 - Uh-oh. - It's on the news? 1108 00:41:53,150 --> 00:41:54,280 Yes, ma'am. 1109 00:41:54,360 --> 00:41:55,820 Where are they? 1110 00:41:55,900 --> 00:41:57,660 They're headed east toward Monroeville. 1111 00:41:57,740 --> 00:41:59,570 Let me see. 1112 00:42:06,580 --> 00:42:10,210 Give me $20 on junkies, caught, outside our zone. 1113 00:42:10,290 --> 00:42:12,090 Well, damn. 1114 00:42:12,170 --> 00:42:14,630 All right. 1115 00:42:18,680 --> 00:42:20,890 - Soft, non-tender. - Okay. 1116 00:42:20,970 --> 00:42:23,060 Jia Yi, we're going to check below the waist. 1117 00:42:23,140 --> 00:42:24,810 You'll be all covered up. Would you like Dad to stay? 1118 00:42:24,890 --> 00:42:26,730 Yes, please. Don't go. 1119 00:42:26,810 --> 00:42:29,060 Okay, I'm here. I'm here. 1120 00:42:29,150 --> 00:42:32,820 All right, knees up, but keep your feet on the bed. 1121 00:42:32,900 --> 00:42:35,490 And let the knees flop apart. 1122 00:42:35,570 --> 00:42:37,780 We're just gonna take a quick look. 1123 00:42:40,950 --> 00:42:42,490 You'll feel me touch your upper leg 1124 00:42:42,580 --> 00:42:44,410 so we can see where you pee. 1125 00:42:44,490 --> 00:42:45,790 Any pain? 1126 00:42:45,870 --> 00:42:47,660 No, it's okay. 1127 00:42:50,830 --> 00:42:52,000 Okay. 1128 00:42:52,090 --> 00:42:53,670 You can put your legs back down. 1129 00:42:53,750 --> 00:42:56,010 You did great, and we know how we can help you. 1130 00:42:56,090 --> 00:42:57,420 Thank you. 1131 00:42:57,510 --> 00:42:59,760 Dad, can we step out for a minute? 1132 00:43:02,390 --> 00:43:04,930 Yay. Good job. 1133 00:43:07,640 --> 00:43:10,020 What's--what's wrong with her? 1134 00:43:10,100 --> 00:43:11,610 Her mother died of colon cancer. 1135 00:43:11,690 --> 00:43:12,980 Is it-- 1136 00:43:13,060 --> 00:43:14,900 No, that has nothing to do with this. 1137 00:43:14,980 --> 00:43:17,440 Do you know what a hymen is? 1138 00:43:17,530 --> 00:43:20,200 I--not really. 1139 00:43:20,280 --> 00:43:22,740 When the baby is developing in the womb, 1140 00:43:22,820 --> 00:43:24,370 there's a membrane called the hymen 1141 00:43:24,450 --> 00:43:26,160 which blocks the vaginal passage. 1142 00:43:26,240 --> 00:43:27,910 Before birth, most of it goes away, 1143 00:43:28,000 --> 00:43:30,580 but sometimes it doesn't. 1144 00:43:30,670 --> 00:43:32,790 - Is that dangerous? - No, not at all. 1145 00:43:32,880 --> 00:43:34,460 The good news is that your daughter 1146 00:43:34,540 --> 00:43:37,260 has an imperforate hymen totally blocking the vagina. 1147 00:43:37,340 --> 00:43:40,220 We saw what looks to be about three months of 1148 00:43:40,300 --> 00:43:43,680 violaceous menstrual blood bulging from behind it. 1149 00:43:43,760 --> 00:43:45,060 Oh, my God. 1150 00:43:45,140 --> 00:43:47,770 It's totally curable and an easy fix. 1151 00:43:47,850 --> 00:43:49,230 Your daughter needs minor surgery 1152 00:43:49,310 --> 00:43:50,770 best done under anesthesia 1153 00:43:50,850 --> 00:43:52,980 in an operating room by a gynecologist. 1154 00:43:53,060 --> 00:43:55,020 Then she'll be okay? 1155 00:43:55,110 --> 00:43:57,440 Yes, totally back to normal. 1156 00:43:58,990 --> 00:44:00,610 Thank you. 1157 00:44:00,700 --> 00:44:02,410 We, uh-- 1158 00:44:02,490 --> 00:44:06,370 we lost Jia Yi's mother when Jia Yi was six. 1159 00:44:06,450 --> 00:44:11,330 And I do my best to fill her place. 1160 00:44:11,410 --> 00:44:13,710 But as she gets older... 1161 00:44:15,590 --> 00:44:17,590 Her mother would have known what to do. 1162 00:44:17,670 --> 00:44:20,920 I'm sure you do great. She's going to be fine. 1163 00:44:22,550 --> 00:44:24,340 Thank you. 1164 00:44:28,220 --> 00:44:29,850 We should let her know. 1165 00:44:29,930 --> 00:44:32,480 I'll do the talking this time. 1166 00:44:35,110 --> 00:44:36,940 Housekeeping is turning over South 20. 1167 00:44:37,020 --> 00:44:38,270 Damn, we're good. 1168 00:44:38,360 --> 00:44:39,440 What's it like when I'm not here? 1169 00:44:39,530 --> 00:44:40,990 I hate to break it to you, 1170 00:44:41,070 --> 00:44:42,530 but I run a tight ship with or without you. 1171 00:44:42,610 --> 00:44:43,740 More fun with me, though, right? 1172 00:44:43,820 --> 00:44:45,490 - Jokes are better. - Always. 1173 00:44:45,570 --> 00:44:47,870 But your tell is the hairier it gets, 1174 00:44:47,950 --> 00:44:51,000 the funnier you get, and you are on fire today. 1175 00:44:51,080 --> 00:44:53,960 Dr. Robby, it's time. 1176 00:45:01,420 --> 00:45:03,010 Hey. 1177 00:45:12,640 --> 00:45:14,850 Is he still with us? 1178 00:45:14,940 --> 00:45:18,270 Those are called agonal respirations. 1179 00:45:18,360 --> 00:45:19,820 Close to the end. 1180 00:45:21,530 --> 00:45:25,360 He said our mother's name a few minutes ago. 1181 00:45:25,450 --> 00:45:27,530 Marge. 1182 00:45:27,620 --> 00:45:29,080 Did he? 1183 00:45:29,160 --> 00:45:32,040 Like she was here in the room with us. 1184 00:45:32,120 --> 00:45:36,880 And--and then he smiled and just closed his eyes. 1185 00:45:40,420 --> 00:45:42,170 How are you both holding up? 1186 00:45:42,260 --> 00:45:43,590 I'm exhausted. 1187 00:45:43,670 --> 00:45:45,430 Yeah, I--I-- 1188 00:45:45,510 --> 00:45:47,300 I think I'm doing okay. 1189 00:45:47,390 --> 00:45:50,430 Oh, Jereme, I am so glad that you are here. 1190 00:45:50,510 --> 00:45:51,970 Same. 1191 00:45:52,060 --> 00:45:55,640 I--I couldn't go through this by myself. 1192 00:45:55,730 --> 00:45:57,400 You don't have to. 1193 00:45:57,480 --> 00:45:59,360 Sara and I are here. 1194 00:45:59,440 --> 00:46:01,780 I know. Thank you. 1195 00:46:01,860 --> 00:46:04,150 I need you. 1196 00:46:04,240 --> 00:46:07,070 It's good that your families live close. 1197 00:46:08,700 --> 00:46:11,740 This becomes a primary relationship now. 1198 00:46:13,080 --> 00:46:16,040 You're the last witnesses to each other's lives. 1199 00:46:16,120 --> 00:46:18,170 You hold the memories. 1200 00:46:19,630 --> 00:46:22,460 Scary thought, the way my memory's going. 1201 00:46:23,670 --> 00:46:26,630 I just had the craziest idea. 1202 00:46:26,720 --> 00:46:28,640 You know what we should think about doing? 1203 00:46:28,720 --> 00:46:31,350 Why don't we take the boat out, like, this weekend? 1204 00:47:26,280 --> 00:47:27,780 Oh, no. 1205 00:47:56,260 --> 00:47:58,980 Bactrim twice a day, warm soaks, 1206 00:47:59,060 --> 00:48:01,770 and we'll see you here again in two days for a wound check. 1207 00:48:01,850 --> 00:48:03,480 - Do you have any questions? - Oh, hey, hey, hey, hey! 1208 00:48:03,560 --> 00:48:05,570 Hey, I need a gurney in here! 1209 00:48:05,650 --> 00:48:07,690 Now! 1210 00:48:07,780 --> 00:48:09,530 Gurney!