1 00:00:10,860 --> 00:00:12,690 You know where your son is now? 2 00:00:12,700 --> 00:00:15,280 No, but he hasn't done anything. 3 00:00:15,280 --> 00:00:16,820 Officer, why are you here? 4 00:00:16,820 --> 00:00:19,030 We received a call that her son, David, 5 00:00:19,040 --> 00:00:21,830 has created a list of girls he would like to eliminate. 6 00:00:21,830 --> 00:00:23,290 Who called you? 7 00:00:23,290 --> 00:00:25,420 Do you know anything about this list? 8 00:00:25,420 --> 00:00:26,830 Somebody called you. Who? 9 00:00:26,830 --> 00:00:28,420 Somebody from my hospital? 10 00:00:28,420 --> 00:00:31,670 Uh, Dr. McKay. 11 00:00:31,670 --> 00:00:33,670 - Air retinue, ETA now. - Who is that? 12 00:00:33,670 --> 00:00:35,430 Air retinue, ETA now. 13 00:00:35,430 --> 00:00:37,300 I will be right back. 14 00:00:41,390 --> 00:00:45,100 Teddy, 28 years old, burned in a gas tank explosion. 15 00:00:45,100 --> 00:00:46,940 Paramedics estimate 90% BSA. 16 00:00:46,940 --> 00:00:48,520 Trauma 1's open. 17 00:00:48,520 --> 00:00:50,110 We managed to get a 20 gauge on the right AC. 18 00:00:50,110 --> 00:00:51,820 First liter of LR running wide open. 19 00:00:51,820 --> 00:00:54,190 Vitals are good, pulse ox 97. 20 00:00:54,200 --> 00:00:56,490 Teddy, are you in a lot of pain right now? 21 00:00:56,490 --> 00:00:58,910 Not as much as I should be. 22 00:00:58,910 --> 00:01:01,580 OK. 23 00:01:01,580 --> 00:01:03,910 Mainly third degree. 24 00:01:03,910 --> 00:01:06,710 Singed nasal hairs. Soot in oropharynx. 25 00:01:06,710 --> 00:01:08,460 Do you have family on the way? 26 00:01:08,460 --> 00:01:10,040 Amy. My wife. 27 00:01:10,040 --> 00:01:11,540 What happened? 28 00:01:11,550 --> 00:01:13,300 I was transferring gas from a 200-gallon 29 00:01:13,300 --> 00:01:15,420 fuel tank to my tractor. 30 00:01:15,420 --> 00:01:16,510 Kaboom. 31 00:01:16,510 --> 00:01:17,840 Let's set up for intubation. 32 00:01:17,840 --> 00:01:19,260 Whitaker, run the Parkland formula. 33 00:01:19,260 --> 00:01:21,100 OK, titrate morphine. Page Garcia. 34 00:01:21,100 --> 00:01:22,680 And I will be back for the intubation. 35 00:01:22,680 --> 00:01:23,970 On it, boss. 36 00:01:25,600 --> 00:01:27,600 Don't, don't, don't! Don't touch me! 37 00:01:27,600 --> 00:01:29,270 I'm fine. 38 00:01:29,270 --> 00:01:31,190 Jesus fucking Christ! 39 00:01:34,650 --> 00:01:37,200 - It's--it's OK. - OK. 40 00:01:37,200 --> 00:01:38,570 - I'm fine. - OK. OK, come here. 41 00:01:38,570 --> 00:01:39,990 - Holy shit! - Whoa, whoa, whoa, whoa! 42 00:01:39,990 --> 00:01:42,080 - Grabbing ice packs. - I got the cart. 43 00:01:42,080 --> 00:01:43,370 What happened? 44 00:01:43,370 --> 00:01:45,620 Just got punched. Just took a fall. 45 00:01:45,620 --> 00:01:47,160 OK. I'm fine. 46 00:01:47,160 --> 00:01:48,870 Who punched you? 47 00:01:48,870 --> 00:01:50,040 Just an unhappy patient. 48 00:01:50,040 --> 00:01:51,580 - A patient hit you? - Yeah. 49 00:01:51,590 --> 00:01:53,250 Happens all the time. I got my cheek broken. 50 00:01:53,250 --> 00:01:55,170 - I lost a tooth. - Oh. 51 00:01:55,170 --> 00:01:58,260 - We've all been assaulted. - Go get Ahmad. 52 00:01:58,260 --> 00:02:01,010 - Did you hit your head? - Uh, yep, probably, 53 00:02:01,010 --> 00:02:04,640 but no LOC, just-- just a bloody nose. 54 00:02:04,640 --> 00:02:05,640 OK, pressure. 55 00:02:05,640 --> 00:02:07,310 OK, OK, OK. 56 00:02:07,310 --> 00:02:09,310 Any trouble seeing? Any double vision? 57 00:02:09,310 --> 00:02:11,480 - No. - I'll grab you new scrubs. 58 00:02:11,480 --> 00:02:13,480 - What about a headache? - A little, yeah. 59 00:02:13,480 --> 00:02:15,570 - We need to find her a room. - I do not need a room! 60 00:02:15,570 --> 00:02:17,030 Dave, move North 1 to the hall. 61 00:02:17,030 --> 00:02:18,610 Follow my finger. 62 00:02:18,610 --> 00:02:22,950 Right, left, up, down. 63 00:02:22,950 --> 00:02:24,530 EOM is intact. 64 00:02:24,540 --> 00:02:26,240 Who did this? 65 00:02:26,250 --> 00:02:27,910 It was a pissed off patient, but he split, 66 00:02:27,910 --> 00:02:29,120 so just forget it. 67 00:02:29,120 --> 00:02:30,790 Forget--hell no. 68 00:02:30,790 --> 00:02:32,170 Look, I want a name. 69 00:02:33,710 --> 00:02:35,840 Doug Driscoll. Doug Driscoll. 70 00:02:35,840 --> 00:02:38,260 - That asshole in Chairs? - Yeah. 71 00:02:38,260 --> 00:02:39,300 I'm calling the cops. 72 00:02:39,300 --> 00:02:40,800 I'll get a wheelchair. 73 00:02:41,970 --> 00:02:43,760 Pupils are equal and reactive. 74 00:02:45,470 --> 00:02:47,430 No septal hematoma. 75 00:02:47,430 --> 00:02:49,600 Should someone call your husband? 76 00:02:49,600 --> 00:02:51,440 - Absolutely not. - OK. 77 00:02:51,440 --> 00:02:53,110 Tell me when it's sore. 78 00:02:55,320 --> 00:02:56,860 Ah! 79 00:02:56,860 --> 00:02:59,280 Tender at the nasion. CT head and maxillofacial. 80 00:02:59,280 --> 00:03:00,860 I'll give them a heads up. 81 00:03:00,860 --> 00:03:02,280 Is that really necessary? 82 00:03:02,280 --> 00:03:03,740 You have at least one facial fracture. 83 00:03:03,740 --> 00:03:05,330 With the headache and the fall, 84 00:03:05,330 --> 00:03:07,790 I want to rule out anything intracranial. 85 00:03:07,790 --> 00:03:10,460 OK, who can step up for Dana 86 00:03:10,460 --> 00:03:11,580 while she's getting checked out? 87 00:03:11,580 --> 00:03:12,580 - Perlah. - Thank you. 88 00:03:16,420 --> 00:03:18,800 OK, guys, we got about three hours left in this shift, 89 00:03:18,800 --> 00:03:20,220 and I need everybody to step up. 90 00:03:20,220 --> 00:03:21,220 - Is that clear? - Yes. 91 00:03:21,220 --> 00:03:22,300 - Yep. - Yes, sir. 92 00:03:24,050 --> 00:03:25,300 I can't believe they allow you 93 00:03:25,300 --> 00:03:27,010 around med students, Langdon. 94 00:03:27,010 --> 00:03:28,220 Don't pick up any of his bad habits. 95 00:03:28,220 --> 00:03:29,470 You know the difference 96 00:03:29,480 --> 00:03:30,980 between surgeons and serial killers? 97 00:03:30,980 --> 00:03:32,190 Serial killers don't bill their victims. 98 00:03:32,190 --> 00:03:33,480 Cute. 99 00:03:33,480 --> 00:03:35,100 You guys staying ahead with his fluids? 100 00:03:35,110 --> 00:03:37,770 Per the Parkland, 4 per kilo times 90% burned. 101 00:03:37,780 --> 00:03:39,820 - Wow. - 27 liters over 24 hours. 102 00:03:39,820 --> 00:03:41,690 He's had two so far. 103 00:03:41,700 --> 00:03:44,280 Lactated ringers at 1.785 liters per hour 104 00:03:44,280 --> 00:03:45,490 for the next seven hours. 105 00:03:45,490 --> 00:03:46,490 I'll program the pump. 106 00:03:46,490 --> 00:03:48,490 We got a second IV. 107 00:03:48,490 --> 00:03:50,080 Hello, sir. I'm Dr. Garcia. 108 00:03:50,080 --> 00:03:51,580 Need to peek under these dressings. 109 00:03:51,580 --> 00:03:52,870 Are we ready to intubate? 110 00:03:52,870 --> 00:03:55,290 Wife should be here any minute. 111 00:03:55,290 --> 00:03:58,250 Whitaker, earlier, you said third degree. 112 00:03:58,250 --> 00:04:00,130 We refer to burns as either being full thickness 113 00:04:00,130 --> 00:04:01,760 or partial thickness. 114 00:04:01,760 --> 00:04:04,340 Looks like 60% to 70% full, 20% to 30% partial. 115 00:04:04,340 --> 00:04:05,890 Intubation meds? 116 00:04:05,890 --> 00:04:07,640 - 120 Rocuronium, 100 Ketamine. - Got it. 117 00:04:07,640 --> 00:04:08,930 Can you draw them up and hold them? 118 00:04:08,930 --> 00:04:10,180 Vitals are good, but gonna need 119 00:04:10,180 --> 00:04:12,390 a pan scan after intubation. 120 00:04:12,390 --> 00:04:15,900 Oh, my God! No, no, no. 121 00:04:15,900 --> 00:04:17,610 Oh, Teddy. 122 00:04:17,610 --> 00:04:18,690 I--I'm Amy. 123 00:04:18,690 --> 00:04:20,070 I'm Teddy's wife. How is he? 124 00:04:20,070 --> 00:04:21,400 He's stable for now. 125 00:04:21,400 --> 00:04:23,650 - I'm OK, honey. - OK. 126 00:04:23,650 --> 00:04:25,240 Teddy, you've got severe burns 127 00:04:25,240 --> 00:04:26,910 covering most of your body. 128 00:04:26,910 --> 00:04:28,740 You've also burned the inside of your throat. 129 00:04:28,740 --> 00:04:30,990 Just to be safe, I need to put in a breathing tube, 130 00:04:31,000 --> 00:04:32,450 and you won't be able to speak. 131 00:04:32,450 --> 00:04:34,540 We need to do this now before his throat swells, 132 00:04:34,540 --> 00:04:36,370 and it becomes difficult for him to breathe. 133 00:04:36,380 --> 00:04:38,000 So if there's anything you two want to say to each other, 134 00:04:38,000 --> 00:04:40,750 this is the time to do it. 135 00:04:40,750 --> 00:04:41,750 OK. 136 00:04:41,760 --> 00:04:43,970 I'm gonna be OK. 137 00:04:46,010 --> 00:04:47,300 Can--can I kiss him? 138 00:04:47,300 --> 00:04:48,850 Yes, of course. 139 00:04:56,690 --> 00:04:57,650 Ready to intubate. 140 00:04:57,650 --> 00:04:58,810 Push Ketamine, then Roc. 141 00:04:58,810 --> 00:05:00,320 I'm right here, OK? 142 00:05:00,320 --> 00:05:03,440 Code stroke, emergency department. 143 00:05:03,440 --> 00:05:06,360 - Ketamine is going in. - OK, I will be right back. 144 00:05:09,330 --> 00:05:11,660 Jane Doe, looks like she's in her 20s. 145 00:05:11,660 --> 00:05:14,410 Obvious aphasia, right-sided hemiparesis, and facial droop. 146 00:05:14,410 --> 00:05:16,330 Hi. What's your name? 147 00:05:16,330 --> 00:05:18,170 Nod your head if you understand. 148 00:05:18,170 --> 00:05:19,710 Receptive and expressive aphasia. 149 00:05:19,710 --> 00:05:21,290 No motor strength in the right arm. 150 00:05:21,300 --> 00:05:22,500 Open your mouth. 151 00:05:24,800 --> 00:05:27,470 Gag reflex present. 152 00:05:27,470 --> 00:05:29,140 Left motor intact. 153 00:05:29,140 --> 00:05:31,260 BP's 150 over 88. 154 00:05:31,260 --> 00:05:33,060 - Where should we go? - AccuCheck is 73. 155 00:05:33,060 --> 00:05:34,520 Straight to Radiology. 156 00:05:34,520 --> 00:05:36,770 CT brain without contrast, perfusion scan, 157 00:05:36,770 --> 00:05:38,390 CT angio head and neck. 158 00:05:38,400 --> 00:05:40,690 - Hey, Crowe, wanna hang back? - Yeah. 159 00:05:40,690 --> 00:05:42,020 So you didn't get a name on her? 160 00:05:42,020 --> 00:05:43,190 Uh, we looked. 161 00:05:43,190 --> 00:05:44,980 Couldn't find a wallet or an ID. 162 00:05:44,990 --> 00:05:46,400 But we had to jam out of there 'cause it was a Code Stroke. 163 00:05:46,400 --> 00:05:48,030 - Who called 911? - Well, apparently, 164 00:05:48,030 --> 00:05:49,610 our Jane Doe is a professional gamer. 165 00:05:49,620 --> 00:05:51,490 She was a no-show for some big tournament. 166 00:05:51,490 --> 00:05:53,910 So her teammate in Dubai calls another teammate in Houston, 167 00:05:53,910 --> 00:05:56,080 who called 911 here. 168 00:05:56,080 --> 00:05:57,540 Who gets a stroke in their 20s? 169 00:05:57,540 --> 00:05:59,120 That's what you get to figure out. 170 00:05:59,120 --> 00:06:02,170 OK, come find me after the scan results are back. 171 00:06:06,470 --> 00:06:08,130 Who called the cops on David Saunders? 172 00:06:08,130 --> 00:06:09,720 I did. 173 00:06:09,720 --> 00:06:11,590 Mom! 174 00:06:11,600 --> 00:06:13,180 Harrison? 175 00:06:13,180 --> 00:06:15,850 Hey. Hey. 176 00:06:15,850 --> 00:06:17,730 Are you OK? How'd you get here? 177 00:06:17,730 --> 00:06:19,560 With Dad. 178 00:06:19,560 --> 00:06:22,690 Chad Ashcroft, 39, skateboarding accident. 179 00:06:22,690 --> 00:06:24,520 Deformity of the right ankle. 180 00:06:24,530 --> 00:06:25,900 No LOC, good vitals. 181 00:06:25,900 --> 00:06:28,110 Got four of morphine en route. 182 00:06:28,110 --> 00:06:29,860 Skateboarding? Really? 183 00:06:29,860 --> 00:06:30,950 I'm fine, by the way. 184 00:06:30,950 --> 00:06:33,030 You know this guy? 185 00:06:33,030 --> 00:06:35,330 Unfortunately. 186 00:06:35,330 --> 00:06:37,500 - Ah! - Looks trimalleolar. 187 00:06:37,500 --> 00:06:38,540 I was hoping for a dislocation. 188 00:06:38,540 --> 00:06:39,710 40 hospitals in Pittsburgh, 189 00:06:39,710 --> 00:06:41,000 and you just had to choose mine? 190 00:06:41,000 --> 00:06:42,250 You think I want to be in this shithole? 191 00:06:42,250 --> 00:06:43,540 I told him to take me to Presby. 192 00:06:43,540 --> 00:06:44,880 You were the closest hospital, 193 00:06:44,880 --> 00:06:46,630 so here we are. Where should we put him? 194 00:06:46,630 --> 00:06:48,510 - On the curb? - Ah. 195 00:06:48,510 --> 00:06:49,880 Are you two family? 196 00:06:49,880 --> 00:06:52,550 - Ex. - Ex. 197 00:06:52,550 --> 00:06:55,470 This is Chad, Harrison's dad. 198 00:06:55,470 --> 00:06:58,980 Oh, nice to finally put a face to a name. 199 00:06:58,980 --> 00:07:00,350 What's open? 200 00:07:00,350 --> 00:07:02,100 McKay, stay with your kid. 201 00:07:02,100 --> 00:07:04,190 Let's take this half-pipe prince 202 00:07:04,190 --> 00:07:05,770 to South 19. 203 00:07:11,530 --> 00:07:14,780 - Hey, what's the golden rule? - No hospitals. 204 00:07:14,780 --> 00:07:18,160 OK, let's add "no skating without a helmet ever again." 205 00:07:18,160 --> 00:07:20,000 - You hear me? - Yes, Mom. 206 00:07:24,840 --> 00:07:26,590 When was the last time you took a bath? 207 00:07:28,380 --> 00:07:29,380 Where's Robby? 208 00:07:29,380 --> 00:07:31,430 Intubating the burn patient. 209 00:07:33,220 --> 00:07:35,550 Ma'am, can you close your eyes for me? 210 00:07:37,760 --> 00:07:39,100 Robby, it's Samira. 211 00:07:39,100 --> 00:07:41,980 Jane Doe's CT came back-- no bleed, 212 00:07:41,980 --> 00:07:44,560 but there was a carotid artery dissection left neck 213 00:07:44,560 --> 00:07:46,020 with a thrombus that threw a clot 214 00:07:46,020 --> 00:07:48,570 to the left middle cerebral artery. 215 00:07:49,650 --> 00:07:50,690 OK, got it. 216 00:07:50,690 --> 00:07:52,200 We'll wait. 217 00:07:52,200 --> 00:07:53,400 With no intracranial hemorrhage, 218 00:07:53,410 --> 00:07:55,110 she might be a TNK candidate. 219 00:07:55,120 --> 00:07:57,950 But couldn't TNK cause a brain bleed and kill her? 220 00:07:57,950 --> 00:08:00,450 TNK is still the best clot-busting possibility. 221 00:08:00,450 --> 00:08:03,620 Um, shouldn't we do endovascular therapy? 222 00:08:03,620 --> 00:08:06,790 I mean, it's the safest option to-- 223 00:08:06,790 --> 00:08:10,630 What do you call a Tyrannosaurus under stress? 224 00:08:10,630 --> 00:08:12,090 What? 225 00:08:12,090 --> 00:08:13,510 A nervous Rex. 226 00:08:13,510 --> 00:08:15,220 Dr. King, meet Dr. Mehta, 227 00:08:15,220 --> 00:08:17,390 one of our esteemed stroke neurologists. 228 00:08:18,810 --> 00:08:19,760 How's the patient? 229 00:08:19,770 --> 00:08:21,310 NIH stroke scale of 27, 230 00:08:21,310 --> 00:08:23,730 no last known well time. 231 00:08:23,730 --> 00:08:27,190 Dr. Mehta, should we take her to EVT? 232 00:08:27,190 --> 00:08:28,650 Not yet. 233 00:08:28,650 --> 00:08:29,980 We'll take her for a spin in the MRI, 234 00:08:29,980 --> 00:08:31,650 check for irreversible damage first. 235 00:08:31,650 --> 00:08:33,320 If there's a diffusion-flare mismatch, 236 00:08:33,320 --> 00:08:34,990 she's still in the window for thrombolytics. 237 00:08:34,990 --> 00:08:36,610 And she still gets EVT-- 238 00:08:36,620 --> 00:08:38,200 two-for-one special. 239 00:08:40,370 --> 00:08:42,120 What type of person is best suited 240 00:08:42,120 --> 00:08:43,790 to work with an MRI machine? 241 00:08:43,790 --> 00:08:45,410 A trained technician. 242 00:08:45,420 --> 00:08:47,830 Someone with a magnetic personality. 243 00:08:49,250 --> 00:08:50,630 That one's new. 244 00:08:53,590 --> 00:08:54,880 Somebody punched her? 245 00:08:54,880 --> 00:08:56,630 A patient. Broke her nose. 246 00:08:56,640 --> 00:08:58,050 Is she OK? 247 00:08:58,050 --> 00:08:59,970 Robby checked her out, sent her to CT. 248 00:08:59,970 --> 00:09:01,470 Sorry to interrupt the hot goss, 249 00:09:01,470 --> 00:09:03,020 but what about me? 250 00:09:03,020 --> 00:09:06,190 Uh, you got some pretty good cuts here, sir. 251 00:09:06,190 --> 00:09:07,270 We're working on closing them up 252 00:09:07,270 --> 00:09:09,270 to prevent infection. 253 00:09:09,270 --> 00:09:11,400 Yeah, can you call in a plastic surgeon? 254 00:09:11,400 --> 00:09:14,780 Uh, the lacerations aren't that deep. 255 00:09:14,780 --> 00:09:16,610 Medical glue should do the trick. 256 00:09:16,610 --> 00:09:18,200 If you have any extra, do you want 257 00:09:18,200 --> 00:09:20,200 to maybe apply some to his lips? 258 00:09:20,200 --> 00:09:22,030 Your son was worried about you 259 00:09:22,040 --> 00:09:24,370 and wanted to make sure you were OK. 260 00:09:24,370 --> 00:09:26,080 - Are you OK? - Yeah, totally. 261 00:09:26,080 --> 00:09:28,540 Just a few battle wounds. 262 00:09:28,540 --> 00:09:30,710 Uh, did you hear? Dana got assaulted. 263 00:09:30,710 --> 00:09:32,210 - What? - Yeah. Patient. 264 00:09:32,210 --> 00:09:33,460 Broke her nose. 265 00:09:33,460 --> 00:09:34,920 When can I get out of here, please? 266 00:09:34,920 --> 00:09:36,970 We're waiting for Radiology to come down 267 00:09:36,970 --> 00:09:39,430 with a portable X-ray machine 268 00:09:39,430 --> 00:09:42,050 so we can take a better look at your leg. 269 00:09:42,060 --> 00:09:44,390 You'll need a splint and eventually a cast. 270 00:09:44,390 --> 00:09:45,680 Ah, hear that? 271 00:09:45,680 --> 00:09:47,640 Your dad's gonna have a cool cast. 272 00:09:47,640 --> 00:09:49,770 Big Harry in the house. Up top. 273 00:09:49,770 --> 00:09:52,190 Mateo! 274 00:09:52,190 --> 00:09:54,530 I told my dad that we went skateboarding last weekend. 275 00:09:54,530 --> 00:09:56,610 - Ah! - So he took me today, 276 00:09:56,610 --> 00:09:57,950 - and... - Ah. 277 00:09:57,950 --> 00:10:00,070 Then he fell and broke his leg. 278 00:10:00,070 --> 00:10:01,950 Yeah, I can see that. 279 00:10:01,950 --> 00:10:03,830 Hey, man. Mateo. 280 00:10:03,830 --> 00:10:05,490 Hey. 281 00:10:05,500 --> 00:10:07,040 Ugh. 282 00:10:07,040 --> 00:10:08,750 You wanna go raid the break room with me? 283 00:10:08,750 --> 00:10:11,920 I hear there's a bag of Takis with your name on it. 284 00:10:11,920 --> 00:10:14,130 Sure. Yeah, yeah. 285 00:10:14,130 --> 00:10:15,760 But not too much sugar. 286 00:10:15,760 --> 00:10:17,380 Says the man who eats Cap'n Crunch for breakfast. 287 00:10:17,380 --> 00:10:18,840 No, not anymore. 288 00:10:18,840 --> 00:10:21,430 Chloe makes me an acai bowl every morning. 289 00:10:21,430 --> 00:10:25,680 Oh, Chloe, the gift that keeps on giving. 290 00:10:25,680 --> 00:10:28,310 I already apologized for that. 291 00:10:28,310 --> 00:10:30,850 How are those lacs coming, Dr. Santos? 292 00:10:30,850 --> 00:10:32,900 - Good. All done. - Mm-hmm. 293 00:10:32,900 --> 00:10:34,190 I'm gonna go check on Radiology. 294 00:10:34,190 --> 00:10:35,690 I'll come with you. 295 00:10:35,690 --> 00:10:37,400 Sooner we get you in, sooner we get you out. 296 00:10:37,400 --> 00:10:39,200 Thank you. 297 00:10:47,950 --> 00:10:49,960 Dr. McKay. 298 00:10:49,960 --> 00:10:51,250 Somebody hit Dana? 299 00:10:51,250 --> 00:10:52,580 I specifically told you 300 00:10:52,580 --> 00:10:53,920 to leave Theresa Saunders alone, 301 00:10:53,920 --> 00:10:55,250 and you called the cops on her son? 302 00:10:55,250 --> 00:10:56,630 We talked about it. 303 00:10:56,630 --> 00:10:58,920 A decision-- a decision was not made. 304 00:10:58,920 --> 00:11:00,010 So I made it. 305 00:11:00,010 --> 00:11:01,470 It was not yours to make! 306 00:11:01,470 --> 00:11:03,680 No, it was yours, and you didn't do it. 307 00:11:03,680 --> 00:11:06,430 I didn't do it because it wasn't warranted. 308 00:11:06,430 --> 00:11:08,020 Wasn't it? 309 00:11:08,020 --> 00:11:09,390 If Theresa left, how are we gonna get David 310 00:11:09,390 --> 00:11:11,350 assessed for his risk to others? 311 00:11:11,350 --> 00:11:13,560 I couldn't live with myself if something terrible happened. 312 00:11:13,560 --> 00:11:15,400 Yeah, well, now the police are involved, 313 00:11:15,400 --> 00:11:17,940 so you may have ruined this kid's life forever. 314 00:11:17,940 --> 00:11:20,570 And what about the girls on this list? 315 00:11:20,570 --> 00:11:22,530 Are you telling me their safety, 316 00:11:22,530 --> 00:11:25,280 their lives, are worth less than his? 317 00:11:25,280 --> 00:11:27,030 I can live with this one. 318 00:11:27,040 --> 00:11:28,500 And now you can too. 319 00:11:40,590 --> 00:11:44,430 Uh, distal tibia and fibula with an unstable mortise. 320 00:11:44,430 --> 00:11:47,470 Hold on. Show us the lateral, please. 321 00:11:47,470 --> 00:11:49,220 Here you go. 322 00:11:49,220 --> 00:11:51,430 Mm. 323 00:11:51,440 --> 00:11:53,600 Not two--three breaks. 324 00:11:53,600 --> 00:11:54,940 Jesus. 325 00:11:54,940 --> 00:11:56,730 What, so now I get a cast? 326 00:11:56,730 --> 00:12:00,690 Uh, no, splint and surgery to stabilize the bones 327 00:12:00,690 --> 00:12:02,570 with plates and screws so they can heal properly. 328 00:12:02,570 --> 00:12:04,160 Ugh, how long am I gonna be stuck here? 329 00:12:04,160 --> 00:12:07,070 That is above my pay grade. 330 00:12:07,080 --> 00:12:08,660 Gabriel. 331 00:12:08,660 --> 00:12:10,290 But you may want to cancel 332 00:12:10,290 --> 00:12:12,660 any dinner reservations you may have. 333 00:12:12,660 --> 00:12:16,880 Set up for a double splint, posterior leg and sugar tong. 334 00:12:16,880 --> 00:12:18,920 Oh, is that gonna be painful? 335 00:12:18,920 --> 00:12:20,500 There may be some discomfort. 336 00:12:20,510 --> 00:12:22,590 I assure you, we will prescribe 337 00:12:22,590 --> 00:12:23,970 proper pain medication 338 00:12:23,970 --> 00:12:26,140 to provide you with adequate relief. 339 00:12:26,140 --> 00:12:28,680 Draw up 100 of propofol, 50 of fent. 340 00:12:28,680 --> 00:12:31,020 Whatever, just knock me out. 341 00:12:31,020 --> 00:12:33,230 With pleasure. 342 00:12:36,770 --> 00:12:39,360 Perlah, which of our patients 343 00:12:39,360 --> 00:12:40,820 can we send on their merry way? 344 00:12:40,820 --> 00:12:41,980 Right. 345 00:12:41,990 --> 00:12:43,440 Barry, yoga split lip, 346 00:12:43,450 --> 00:12:45,610 moved from North 1 to the Hall; 347 00:12:45,610 --> 00:12:46,780 Walter, road rash 348 00:12:46,780 --> 00:12:48,530 with the rat killing dog, South 20; 349 00:12:48,530 --> 00:12:50,790 and Vince, basketball elbow fracture, 350 00:12:50,790 --> 00:12:52,160 outside Central 2. 351 00:12:52,160 --> 00:12:53,870 OK, you can run another set of vitals 352 00:12:53,870 --> 00:12:55,500 on Crosby's papa and discharge. 353 00:12:55,500 --> 00:12:57,210 You can tell Ortho to get their head out of their ass 354 00:12:57,210 --> 00:12:58,710 and take Joel Embiid with them. 355 00:12:58,710 --> 00:13:00,500 And you can release Yoga Barry, but tell him 356 00:13:00,500 --> 00:13:02,090 to refrain from doing any handstands 357 00:13:02,090 --> 00:13:03,300 for at least 48 hours. 358 00:13:03,300 --> 00:13:04,670 Copy that. 359 00:13:04,670 --> 00:13:08,010 Go, go. You heard the man. 360 00:13:08,010 --> 00:13:09,970 I do not know how Dana does this every day. 361 00:13:09,970 --> 00:13:13,720 Haha, running the ER is a Sisyphean task. 362 00:13:13,730 --> 00:13:15,270 So this is a punishment? 363 00:13:15,270 --> 00:13:17,190 - No. - Sisyphus. 364 00:13:17,190 --> 00:13:19,690 Sisyphus pissed off the gods, so they punished him 365 00:13:19,690 --> 00:13:23,610 by making him push this massive boulder up a hill for eternity. 366 00:13:23,610 --> 00:13:28,030 One must imagine Sisyphus happy. 367 00:13:28,030 --> 00:13:29,660 You're doing great. 368 00:13:29,660 --> 00:13:31,740 Hey, Ahmad. 369 00:13:31,740 --> 00:13:33,870 Is Theresa still out in Chairs talking to those cops? 370 00:13:33,870 --> 00:13:35,200 - Yeah. - Will you do me a favor 371 00:13:35,210 --> 00:13:36,660 and just kind of keep an eye on it? 372 00:13:36,670 --> 00:13:38,250 Don't let her leave without talking to me. 373 00:13:38,250 --> 00:13:40,670 - OK. - Any word on Driscoll? 374 00:13:40,670 --> 00:13:42,960 I issued an alert throughout PTMC security 375 00:13:42,960 --> 00:13:45,300 and called the cops with his home address from his chart. 376 00:13:45,300 --> 00:13:46,510 They want a statement from Dana. 377 00:13:46,510 --> 00:13:47,800 She's in CT. 378 00:13:47,800 --> 00:13:50,930 Let's--let's, um, clear her medically, 379 00:13:50,930 --> 00:13:53,680 and then she can decide when she wants to talk to them. 380 00:13:53,680 --> 00:13:55,140 What about other hospitals? 381 00:13:55,140 --> 00:13:56,680 - You let them know? - Notified. 382 00:13:56,690 --> 00:13:58,640 Everyone's on the lookout for this guy, Driscoll. 383 00:13:58,650 --> 00:14:01,020 - Thanks, Ahmad. - You got it. 384 00:14:01,020 --> 00:14:03,230 Glad to know the authorities are looking for this psycho, 385 00:14:03,230 --> 00:14:05,690 but what are you gonna do to protect the rest of us? 386 00:14:05,690 --> 00:14:08,400 Violence against health care workers is a national problem. 387 00:14:08,410 --> 00:14:10,070 And it's only getting worse. 388 00:14:10,070 --> 00:14:11,620 No surprise there's a nursing shortage everywhere. 389 00:14:11,620 --> 00:14:13,200 I hear you, I hear you, I hear you, I hear you, 390 00:14:13,200 --> 00:14:14,950 and it is unacceptable. 391 00:14:14,950 --> 00:14:16,700 What the hell kind of circus are you running down here? 392 00:14:16,710 --> 00:14:18,000 My God. You're like a bad penny. 393 00:14:18,000 --> 00:14:19,620 Where is Dana? How is she? 394 00:14:19,620 --> 00:14:21,920 She's all right. We sent her to CT to make sure. 395 00:14:21,920 --> 00:14:24,090 Did you fill out an incident report? 396 00:14:24,090 --> 00:14:26,010 I don't know, I was more concerned with her 397 00:14:26,010 --> 00:14:27,590 having a skull fracture than with your liability. 398 00:14:27,590 --> 00:14:29,130 How'd a guy from the waiting room 399 00:14:29,130 --> 00:14:30,470 get back here without anyone noticing? 400 00:14:30,470 --> 00:14:32,260 Wow, Gloria! What a great question. 401 00:14:32,260 --> 00:14:34,140 Our hard-working nurses were just asking me 402 00:14:34,140 --> 00:14:35,640 what steps the hospital plans to take 403 00:14:35,640 --> 00:14:37,220 to ensure their safety in the future. 404 00:14:37,230 --> 00:14:38,850 Maybe you would like to explain to them 405 00:14:38,850 --> 00:14:40,140 why you've denied my request 406 00:14:40,150 --> 00:14:41,400 for additional security measures 407 00:14:41,400 --> 00:14:43,190 three times in the last four months? 408 00:14:43,190 --> 00:14:46,690 If nurses don't feel safe, they're not gonna come to work. 409 00:14:48,860 --> 00:14:52,240 First off, the safety of all our employees is paramount-- 410 00:14:52,240 --> 00:14:54,200 Do you remember the last nursing strike? 411 00:14:54,200 --> 00:14:55,990 Yeah, that was a real shit show. 412 00:14:55,990 --> 00:14:57,870 Maybe this is something our union rep should know about? 413 00:14:57,870 --> 00:14:59,500 OK, well, just take a beat 414 00:14:59,500 --> 00:15:01,920 and remember that PTMC is a family. 415 00:15:01,920 --> 00:15:03,750 - Come on. - A dysfunctional family. 416 00:15:03,750 --> 00:15:05,590 You should be worried about the nurses' satisfaction 417 00:15:05,590 --> 00:15:06,750 and the safety of-- 418 00:15:06,760 --> 00:15:08,670 We are worried about everyone. 419 00:15:08,670 --> 00:15:10,720 We worry--Robby. 420 00:15:10,720 --> 00:15:12,510 Robby. 421 00:15:12,510 --> 00:15:13,970 Dr. Robby, I got a question for you. 422 00:15:13,970 --> 00:15:15,510 Shoot. 423 00:15:15,510 --> 00:15:17,930 Uh, we're working on Chad in 19, McKay's ex. 424 00:15:17,930 --> 00:15:19,560 He's a nightmare. 425 00:15:43,250 --> 00:15:44,710 Here's your driver's license 426 00:15:44,710 --> 00:15:46,540 and insurance card, Mr. Pugliesi. 427 00:15:46,540 --> 00:15:48,880 Have a seat, and the triage nurse will call you back soon. 428 00:15:48,880 --> 00:15:50,670 - Thank you. - Hello. 429 00:15:50,670 --> 00:15:52,590 Uh, my--my son, he needs help, his eye. 430 00:15:52,590 --> 00:15:53,880 Let me ask you about your eyes. 431 00:15:53,890 --> 00:15:55,430 Do you see the line you just cut? 432 00:15:55,430 --> 00:15:57,350 What? No, please. It's an emergency. 433 00:15:57,350 --> 00:15:58,890 You think everybody's waiting for manicures? 434 00:15:58,890 --> 00:16:00,140 He caught a line drive to the eye. 435 00:16:00,140 --> 00:16:01,560 We're so sorry, ma'am. 436 00:16:01,560 --> 00:16:03,390 We thought this was the line for pediatrics. 437 00:16:03,400 --> 00:16:04,850 I'm 16. 438 00:16:06,440 --> 00:16:08,480 I'm doing this 'cause you're a minor and you have manners. 439 00:16:08,480 --> 00:16:09,900 Thank you so much. 440 00:16:09,900 --> 00:16:11,030 Name and date of birth? 441 00:16:11,030 --> 00:16:13,610 Everett Young. December 7, 2008. 442 00:16:13,610 --> 00:16:15,240 I'll get your insurance information from your father. 443 00:16:15,240 --> 00:16:17,160 - Take a seat. - What? No, we're not waiting. 444 00:16:17,160 --> 00:16:19,660 Show her. Show her. 445 00:16:22,460 --> 00:16:24,000 OK, then. 446 00:16:24,000 --> 00:16:25,540 Come around to the double doors. 447 00:16:27,920 --> 00:16:30,130 - Tenecteplase on deck? - All set. 448 00:16:30,130 --> 00:16:33,590 She's 62 kilos, 0.25 per kilo is 15.5 milligrams. 449 00:16:33,590 --> 00:16:35,470 - Push over 10 seconds. - What's the status? 450 00:16:35,470 --> 00:16:36,840 Diffusion flare mismatch means 451 00:16:36,850 --> 00:16:38,180 she's less than four hours into it. 452 00:16:38,180 --> 00:16:39,680 - Getting TNK now. - Sounds great. 453 00:16:39,680 --> 00:16:41,270 Would you mind hanging down here for a bit? 454 00:16:41,270 --> 00:16:42,770 I could use your expertise on this. 455 00:16:42,770 --> 00:16:44,520 Can't believe you have the nerve to ask. 456 00:16:44,520 --> 00:16:46,520 Good one. OK, keep me posted. 457 00:16:49,020 --> 00:16:50,230 50 on board. 458 00:16:50,230 --> 00:16:51,690 Anything I can do to help in here? 459 00:16:51,690 --> 00:16:54,780 No, I'm pretty good. 460 00:16:54,780 --> 00:16:56,660 How are you doing? 461 00:16:56,660 --> 00:16:59,120 Not as good as you, apparently. 462 00:16:59,120 --> 00:17:00,740 Push another 25. 463 00:17:00,740 --> 00:17:02,910 Wet the splints now, please. 464 00:17:02,910 --> 00:17:06,330 You can help lift his leg for the splint. 465 00:17:06,330 --> 00:17:10,710 And we're at 75, mm-hmm. 466 00:17:10,710 --> 00:17:12,670 When we lift his leg, it's really gonna hurt him, 467 00:17:12,670 --> 00:17:15,630 but he won't remember-- benefits of propofol. 468 00:17:15,630 --> 00:17:18,680 Pulse ox 99, good end tidal CO2. 469 00:17:18,680 --> 00:17:20,800 Mm-hmm. 470 00:17:20,810 --> 00:17:22,260 Hey, Chad? 471 00:17:22,270 --> 00:17:23,810 Chad. 472 00:17:23,810 --> 00:17:25,640 Ow. 473 00:17:25,640 --> 00:17:27,190 Perfect. 474 00:17:27,190 --> 00:17:29,150 Let's do this. 475 00:17:29,150 --> 00:17:31,900 Ow. 476 00:17:33,860 --> 00:17:36,570 I feel sad. 477 00:17:36,570 --> 00:17:38,070 Uh, don't worry. 478 00:17:38,070 --> 00:17:40,700 We'll have you fixed up good as new. 479 00:17:40,700 --> 00:17:45,200 What does he have that I don't have? 480 00:17:45,210 --> 00:17:48,120 I mean, sure, he's younger. 481 00:17:48,120 --> 00:17:51,290 And that hair. 482 00:17:51,290 --> 00:17:53,130 Who? 483 00:17:53,130 --> 00:17:55,550 Mateo. 484 00:17:55,550 --> 00:17:57,170 Oh. 485 00:17:57,180 --> 00:18:00,430 What's his story anyway? 486 00:18:00,430 --> 00:18:03,970 Is she having sex with him? 487 00:18:03,970 --> 00:18:07,310 Well, if she isn't, she probably should. 488 00:18:07,310 --> 00:18:08,810 Stop. 489 00:18:11,440 --> 00:18:13,570 Who do we have the pleasure of meeting this afternoon? 490 00:18:13,570 --> 00:18:16,360 Everett Young, 16, took a line drive to the left eye. 491 00:18:16,360 --> 00:18:18,360 - Tachy at 118. - Oof. 492 00:18:18,360 --> 00:18:19,610 4 of morphine, 4 of Zofran. 493 00:18:19,610 --> 00:18:20,740 Excuse me. 494 00:18:23,240 --> 00:18:24,830 It was easily 100 miles per hour. 495 00:18:24,830 --> 00:18:26,700 Oof. Did you pass out? 496 00:18:26,700 --> 00:18:28,210 - Uh, no, ma'am. - OK. 497 00:18:28,210 --> 00:18:29,750 Baseball is a fun activity. You any good? 498 00:18:29,750 --> 00:18:31,460 Any good? 499 00:18:31,460 --> 00:18:34,420 He's got a 95 mile an hour fastball, a 12-6 slider, 500 00:18:34,420 --> 00:18:37,590 a 0.94 ERA, and he's a southpaw. 501 00:18:37,590 --> 00:18:39,050 What's that? 502 00:18:39,050 --> 00:18:41,890 That's a future Cy Young. 503 00:18:41,890 --> 00:18:43,680 I don't know what that is either. 504 00:18:43,680 --> 00:18:45,350 Ms. Javadi is a student doctor. 505 00:18:45,350 --> 00:18:47,680 She's a bit of a prodigy herself, actually. 506 00:18:47,680 --> 00:18:49,850 Do you mind if she helps out? 507 00:18:49,850 --> 00:18:51,600 - No, ma'am. - OK. 508 00:18:51,600 --> 00:18:53,610 Tell me how many fingers I'm holding up. 509 00:18:53,610 --> 00:18:57,110 Um--ah, I can't tell. 510 00:18:57,110 --> 00:18:59,320 Oh, my God. Oh, my God. 511 00:18:59,320 --> 00:19:01,240 OK, tell me when the light turns on. 512 00:19:04,490 --> 00:19:05,660 Now? 513 00:19:05,660 --> 00:19:07,620 - Light perception only. - Mm-hmm. 514 00:19:07,620 --> 00:19:09,000 Do you want a portable slit lamp? 515 00:19:09,000 --> 00:19:10,460 Definitely, yeah. 516 00:19:10,460 --> 00:19:12,000 Javadi, what do you think of the anterior chamber? 517 00:19:12,000 --> 00:19:13,330 - Hyphema? - Exactly. 518 00:19:13,330 --> 00:19:14,500 Grade 4. 519 00:19:14,500 --> 00:19:17,590 - Yeah, meaning? - Javadi. 520 00:19:17,590 --> 00:19:19,800 Meaning blood is filling up the front eye chamber. 521 00:19:19,800 --> 00:19:21,800 He'll need an emergency evaluation by ophthalmology. 522 00:19:21,800 --> 00:19:23,260 OK, is that why he can't see? 523 00:19:23,260 --> 00:19:24,720 That's part of it. Yeah. 524 00:19:24,720 --> 00:19:26,890 You see how the eye is pushing out? 525 00:19:26,890 --> 00:19:29,020 There seems to be a collection of blood behind the eyeball. 526 00:19:29,020 --> 00:19:31,020 The eye pressure is too high. We have to act quickly. 527 00:19:31,020 --> 00:19:33,650 - OK, well, check the pressure! - We're going to right now. 528 00:19:33,650 --> 00:19:35,020 Can you get Robby? 529 00:19:41,400 --> 00:19:43,160 It looked like you were having 530 00:19:43,160 --> 00:19:46,370 a pretty intense conversation with Robby earlier. 531 00:19:46,370 --> 00:19:48,580 Everything OK? 532 00:19:48,580 --> 00:19:50,870 Uh, it was nothing. 533 00:19:50,870 --> 00:19:52,500 Nothing? 534 00:19:52,500 --> 00:19:53,960 Yeah, well, not nothing, 535 00:19:53,960 --> 00:19:56,420 but nothing for you to be concerned about. 536 00:19:56,420 --> 00:19:58,130 An intern has a problem around here, 537 00:19:58,130 --> 00:19:59,500 they come to the senior resident, 538 00:19:59,510 --> 00:20:01,170 not the attending. 539 00:20:03,220 --> 00:20:04,470 He is my attending, 540 00:20:04,470 --> 00:20:06,800 and I wanted his input on a patient. 541 00:20:06,800 --> 00:20:09,140 Is that not OK with you? 542 00:20:09,140 --> 00:20:12,270 Just, um... 543 00:20:12,270 --> 00:20:14,980 come to me first next time. 544 00:20:14,980 --> 00:20:16,560 Got it? 545 00:20:16,560 --> 00:20:17,560 Yep. 546 00:20:17,570 --> 00:20:18,690 Got it. 547 00:20:25,870 --> 00:20:26,990 Are you a junior? 548 00:20:26,990 --> 00:20:28,120 Yeah. 549 00:20:28,120 --> 00:20:29,790 You thinking about college? 550 00:20:29,790 --> 00:20:32,330 I have some D1 interest, but... 551 00:20:32,330 --> 00:20:33,750 where'd you go to college? 552 00:20:33,750 --> 00:20:36,330 Uh, Pitt for undergrad and now med school. 553 00:20:36,330 --> 00:20:37,830 Didn't wanna leave town? 554 00:20:37,840 --> 00:20:39,880 Look up at the ceiling for some numbing drops. 555 00:20:39,880 --> 00:20:42,550 It's not exactly an option to live anywhere but home 556 00:20:42,550 --> 00:20:44,760 when you go to college at 13. 557 00:20:44,760 --> 00:20:46,220 Wow. 558 00:20:46,220 --> 00:20:48,800 Add some drops to the fluorescein strip. 559 00:20:48,810 --> 00:20:50,390 I was thinking about California, 560 00:20:50,390 --> 00:20:52,220 maybe UCLA or USC. 561 00:20:52,230 --> 00:20:53,560 - Hold still. - Hey, maybe you go 562 00:20:53,560 --> 00:20:54,690 straight to the Majors, huh? 563 00:20:54,690 --> 00:20:56,060 College can wait. 564 00:20:56,060 --> 00:20:57,150 I don't know. 565 00:20:57,150 --> 00:20:58,310 I do. 566 00:20:58,310 --> 00:20:59,900 Ev's got a God-given gift. 567 00:20:59,900 --> 00:21:01,940 It's why we spent every weekend doing travel ball 568 00:21:01,940 --> 00:21:04,110 when he was young-- pro camp, showcases. 569 00:21:04,110 --> 00:21:06,780 He's not throwing away his shot at the Majors. 570 00:21:06,780 --> 00:21:08,490 Uh, we have to check for a puncture 571 00:21:08,490 --> 00:21:10,370 before we can measure the pressure. 572 00:21:10,370 --> 00:21:12,740 Look straight ahead and try not to move your eyes, OK? 573 00:21:12,750 --> 00:21:15,120 - Yes, ma'am. - Lights going out. 574 00:21:15,120 --> 00:21:17,500 Hello. I'm Dr. Robinavitch. 575 00:21:17,500 --> 00:21:19,170 Everybody calls me Dr. Robby. 576 00:21:19,170 --> 00:21:20,880 Hey, Greg Young. This is my boy, Everett. 577 00:21:20,880 --> 00:21:22,300 Nice to meet you both. 578 00:21:22,300 --> 00:21:23,760 OK, I will take that slit lamp, 579 00:21:23,760 --> 00:21:26,050 and you can calibrate for tonometry. 580 00:21:26,050 --> 00:21:27,680 - OK. - They're holding CT for him. 581 00:21:27,680 --> 00:21:29,470 Let's take a look. 582 00:21:29,470 --> 00:21:31,720 Negative Seidel. 583 00:21:31,720 --> 00:21:34,220 No globe rupture. OK, go with the Tono-Pen. 584 00:21:34,230 --> 00:21:36,310 OK. Hold still. 585 00:21:36,310 --> 00:21:37,850 OK. 586 00:21:42,440 --> 00:21:44,940 Left eye pressure 58. 587 00:21:44,940 --> 00:21:47,450 - Is that high? - Yes, it is. 1% lido with epi. 588 00:21:47,450 --> 00:21:49,160 Push one of Versed, and open a lateral canthotomy tray. 589 00:21:49,160 --> 00:21:50,490 - Excuse me. - What? 590 00:21:50,490 --> 00:21:52,280 - Whoa. - Without a CT? Isn't that-- 591 00:21:52,290 --> 00:21:53,620 Exactly what the patient needs? 592 00:21:53,620 --> 00:21:56,710 Yes, it is, Dr. McKay. 593 00:21:56,710 --> 00:21:58,370 OK. 594 00:21:58,370 --> 00:22:00,380 Uh, we're gonna lie you back a little, Everett, OK? 595 00:22:00,380 --> 00:22:03,000 We need to do a little minor surgery 596 00:22:03,000 --> 00:22:04,670 to relieve the pressure behind your eye. 597 00:22:04,670 --> 00:22:06,630 So we are going to cut a small opening 598 00:22:06,630 --> 00:22:08,680 on the side of your eye, not in your eye. 599 00:22:08,680 --> 00:22:09,680 - Got it? - Yeah. 600 00:22:09,680 --> 00:22:11,850 Do you wanna watch? 601 00:22:11,850 --> 00:22:14,350 No, I'll--I'll sit down. 602 00:22:14,350 --> 00:22:16,730 Javadi, step up so you can see. 603 00:22:16,730 --> 00:22:19,770 Dr. McKay, Chad is splinted and is awaiting Ortho 604 00:22:19,770 --> 00:22:21,150 for surgery to take him. 605 00:22:21,150 --> 00:22:22,440 Thanks for the update. 606 00:22:23,520 --> 00:22:25,480 Versed's on board. 607 00:22:25,490 --> 00:22:27,150 Numbing medicine here, OK? 608 00:22:27,150 --> 00:22:28,280 OK. 609 00:22:28,280 --> 00:22:31,990 Pinprick and some burning. 610 00:22:31,990 --> 00:22:32,990 Ouch. 611 00:22:32,990 --> 00:22:35,200 What--is Dana gonna be OK? 612 00:22:35,200 --> 00:22:37,120 It's gonna take more than a punch to the face 613 00:22:37,120 --> 00:22:38,500 to keep that mama down. 614 00:22:38,500 --> 00:22:39,500 She's tough. 615 00:22:39,500 --> 00:22:40,710 Yeah. 616 00:22:40,710 --> 00:22:42,880 Um, hi. 617 00:22:42,880 --> 00:22:44,880 I'm sorry to bother you. 618 00:22:44,880 --> 00:22:46,880 Hi. 619 00:22:46,880 --> 00:22:51,510 Uh, I--I just wanna make sure that Teddy's not in any pain. 620 00:22:51,510 --> 00:22:53,720 Oh, he's heavily sedated. 621 00:22:53,720 --> 00:22:55,930 - He can't feel a thing. - Right. 622 00:22:55,930 --> 00:22:59,140 It's just that when I look at him, I just-- 623 00:22:59,140 --> 00:23:02,400 I just feel so helpless. 624 00:23:02,400 --> 00:23:05,400 Look, his, uh, CT scans came back negative 625 00:23:05,400 --> 00:23:06,940 for internal injuries. 626 00:23:06,940 --> 00:23:09,990 He's on IV therapy to replace any lost fluids. 627 00:23:09,990 --> 00:23:12,450 I assure you, we are doing everything we can 628 00:23:12,450 --> 00:23:14,370 to give him the best treatment possible. 629 00:23:14,370 --> 00:23:15,370 Thank you. 630 00:23:15,370 --> 00:23:16,370 Yeah. 631 00:23:16,370 --> 00:23:17,830 Teddy's ring. 632 00:23:19,870 --> 00:23:21,540 Um... 633 00:23:21,540 --> 00:23:25,840 I had to cut it off because of the swelling. 634 00:23:25,840 --> 00:23:28,960 Hopefully you can find a good jeweler to fix it. 635 00:23:28,970 --> 00:23:31,340 I don't know how it works. 636 00:23:36,720 --> 00:23:40,020 Um... 637 00:23:40,020 --> 00:23:43,400 do you have a best friend, Doctor... 638 00:23:43,400 --> 00:23:48,020 Oh, it's a another year to go till you can call me "Doctor." 639 00:23:48,030 --> 00:23:50,400 You can just call me Whitaker, though. 640 00:23:50,400 --> 00:23:54,070 Do you have a best friend, Whitaker? 641 00:23:54,070 --> 00:23:59,200 Uh, I have three older brothers. 642 00:23:59,200 --> 00:24:02,500 I guess they're kind of my best friends. 643 00:24:02,500 --> 00:24:04,830 They kind of tortured me growing up, so maybe not. 644 00:24:04,830 --> 00:24:07,710 But yeah. 645 00:24:07,710 --> 00:24:11,170 Teddy's been my best friend since we were 15. 646 00:24:11,170 --> 00:24:13,680 High school sweethearts? 647 00:24:13,680 --> 00:24:17,350 We were just a couple of nerdy aggies who, uh-- 648 00:24:17,350 --> 00:24:21,310 we met in 4-H, and we fell in love. 649 00:24:21,310 --> 00:24:22,350 I'm sorry. 650 00:24:22,350 --> 00:24:23,850 No, it's fine. 651 00:24:23,850 --> 00:24:27,270 I'm a third generation Nebraska farm kid myself. 652 00:24:27,270 --> 00:24:28,940 Get out. 653 00:24:28,940 --> 00:24:32,110 Well--well, if you're ever homesick, you should, uh-- 654 00:24:32,110 --> 00:24:35,360 you should come by our farm sometime. 655 00:24:35,360 --> 00:24:37,410 That's very kind. 656 00:24:38,910 --> 00:24:40,160 I need some help in here! 657 00:24:42,330 --> 00:24:43,910 - What's going on? - Respiratory distress. 658 00:24:43,920 --> 00:24:45,750 Sats are dropping, 87%. 659 00:24:45,750 --> 00:24:48,080 Uh, lung injury from the fire? 660 00:24:48,090 --> 00:24:49,750 It's not just the low sats. The vent's showing 661 00:24:49,750 --> 00:24:51,710 high peak pressure, low tidal volume. 662 00:24:51,710 --> 00:24:54,420 - Uh, restrictive pattern? - Most likely. 663 00:24:54,430 --> 00:24:55,800 I'll grab Robby and Langdon. 664 00:24:55,800 --> 00:24:56,890 Wait, wait, wait, wait, wait, wait. 665 00:24:56,890 --> 00:24:58,760 What's that? What's going on? 666 00:24:58,760 --> 00:25:00,850 Ventilator is having trouble pumping air into Teddy's lungs. 667 00:25:00,850 --> 00:25:02,180 Burnt skin loses elasticity. 668 00:25:02,180 --> 00:25:03,560 Now his chest wall is too tight. 669 00:25:03,560 --> 00:25:04,940 What can you do? 670 00:25:04,940 --> 00:25:07,060 We're gonna have to cut the burnt skin, 671 00:25:07,060 --> 00:25:09,020 release pressure on the chest wall, 672 00:25:09,020 --> 00:25:10,440 help Teddy breathe. 673 00:25:10,440 --> 00:25:13,110 So after you cut his eye, he'll see again? 674 00:25:13,110 --> 00:25:15,030 This will give us our best shot 675 00:25:15,030 --> 00:25:16,780 at preserving his vision, yes. 676 00:25:16,780 --> 00:25:19,160 Dr. McKay, are you ready to do the honors? 677 00:25:19,160 --> 00:25:21,280 Who, me? 678 00:25:21,290 --> 00:25:22,950 We are a teaching hospital. 679 00:25:22,950 --> 00:25:24,410 Are you still here to learn? 680 00:25:24,410 --> 00:25:26,170 Yes. Yeah. 681 00:25:32,000 --> 00:25:33,920 OK. 682 00:25:33,920 --> 00:25:37,050 You can release that hemostat now. 683 00:25:40,890 --> 00:25:43,100 Pair of scissors. 684 00:25:44,350 --> 00:25:45,930 The length of the crushed area 685 00:25:45,940 --> 00:25:47,770 is going to be your guide for the length of your cut. 686 00:25:47,770 --> 00:25:48,900 OK. 687 00:25:50,690 --> 00:25:51,820 Good. 688 00:25:51,820 --> 00:25:53,360 Toothed forceps. 689 00:25:59,990 --> 00:26:02,410 Feeling for the inferior... 690 00:26:05,120 --> 00:26:07,580 And superior crus. 691 00:26:07,580 --> 00:26:09,460 How can you see with all that blood? 692 00:26:09,460 --> 00:26:11,040 You can't. It's all tactile. 693 00:26:11,040 --> 00:26:14,090 It feels like two guitar strings. 694 00:26:14,090 --> 00:26:15,760 Metzenbaum. 695 00:26:22,350 --> 00:26:23,890 Inferior... 696 00:26:23,890 --> 00:26:26,350 Yeah. 697 00:26:26,350 --> 00:26:29,440 And superior. 698 00:26:29,440 --> 00:26:30,480 Nice. 699 00:26:30,480 --> 00:26:32,860 Good. 700 00:26:32,860 --> 00:26:34,360 Oh, that's a lot of blood. 701 00:26:34,360 --> 00:26:36,030 OK, let's get a repeat pressure. 702 00:26:36,030 --> 00:26:38,200 It's getting a lot brighter in here. 703 00:26:40,200 --> 00:26:42,660 Pressure of 18. 704 00:26:42,660 --> 00:26:44,160 Perfect. 705 00:26:44,160 --> 00:26:46,080 CT can take him as soon as we dress the wound. 706 00:26:46,080 --> 00:26:48,250 Let's page Ophthalmology and tell them to prep for surgery. 707 00:26:48,250 --> 00:26:49,620 Doc, thank you. Thank you. 708 00:26:49,620 --> 00:26:50,920 My pleasure, my pleasure. 709 00:26:50,920 --> 00:26:53,630 Good luck to you, Everett. 710 00:26:53,630 --> 00:26:55,340 Hey. 711 00:26:55,340 --> 00:26:57,260 Thanks for letting me do that. 712 00:26:57,260 --> 00:26:59,090 You sound surprised. 713 00:26:59,090 --> 00:27:00,630 Yeah, I figured after the whole Theresa thing, 714 00:27:00,640 --> 00:27:02,550 you might bench me. 715 00:27:02,550 --> 00:27:05,680 Am I still pissed that you went behind my back? 716 00:27:05,680 --> 00:27:07,310 Absolutely. 717 00:27:07,310 --> 00:27:08,600 And if you ever do it again, you can bet your ass 718 00:27:08,600 --> 00:27:09,850 that I will bench you. 719 00:27:09,850 --> 00:27:11,690 But this is a teaching hospital, 720 00:27:11,690 --> 00:27:14,150 and teachers can still learn stuff. 721 00:27:14,150 --> 00:27:19,440 I saw a sad, confused boy, and that's all I thought about. 722 00:27:19,450 --> 00:27:21,780 I did not think enough about those girls. 723 00:27:24,740 --> 00:27:26,120 Any word on Dana? 724 00:27:26,120 --> 00:27:28,330 She should be coming back from CT soon. 725 00:27:28,330 --> 00:27:30,000 Burn victim's tanking. We need you. 726 00:27:30,000 --> 00:27:33,750 Oh, my God, I can't wait for this shift to be over. 727 00:27:37,380 --> 00:27:40,510 Hey, bud, you doing OK? 728 00:27:40,510 --> 00:27:43,300 Yeah. Mateo hooked me up. 729 00:27:43,300 --> 00:27:45,890 Right, I can see that. 730 00:27:45,890 --> 00:27:48,970 How's Dad? 731 00:27:48,970 --> 00:27:54,100 He's gonna need surgery, but he's gonna be OK. 732 00:27:54,110 --> 00:27:57,150 You know, I was thinking, since your dad's gonna be 733 00:27:57,150 --> 00:28:00,070 laid up for a while, maybe you'd wanna stay with me 734 00:28:00,070 --> 00:28:02,450 until he gets better? 735 00:28:02,450 --> 00:28:04,160 For real? 736 00:28:04,160 --> 00:28:05,160 For real. 737 00:28:05,160 --> 00:28:06,490 What do you think? 738 00:28:12,580 --> 00:28:15,250 I'll take that as a yes. 739 00:28:15,250 --> 00:28:17,500 This procedure is called an escharotomy. 740 00:28:17,500 --> 00:28:20,460 We need to cut the skin so that the chest wall can expand. 741 00:28:20,460 --> 00:28:21,760 That sounds painful. 742 00:28:21,760 --> 00:28:23,380 Whitaker? 743 00:28:23,380 --> 00:28:25,010 He's still heavily sedated. 744 00:28:25,010 --> 00:28:26,930 He won't feel a thing. 745 00:28:26,930 --> 00:28:29,680 This is gonna help Teddy breathe. 746 00:28:29,680 --> 00:28:31,270 Sat's 83. 747 00:28:31,270 --> 00:28:32,810 Peak pressure is over 40. 748 00:28:32,810 --> 00:28:34,390 Tidal volume is only 300. 749 00:28:34,400 --> 00:28:35,730 I want you to watch Dr. Langdon 750 00:28:35,730 --> 00:28:37,440 as he makes this vertical incision. 751 00:28:37,440 --> 00:28:39,360 Then you're gonna do the exact same thing on your side 752 00:28:39,360 --> 00:28:40,480 and follow his instructions. 753 00:28:40,480 --> 00:28:41,530 I'm sorry, I just-- 754 00:28:41,530 --> 00:28:42,690 I don't think I can watch it. 755 00:28:42,700 --> 00:28:43,950 Jordan, would you-- 756 00:28:46,160 --> 00:28:48,780 Start at lateral clavicle. 757 00:28:53,710 --> 00:28:58,330 Down anterior axillary 758 00:28:58,340 --> 00:29:01,380 to lower rib margin. 759 00:29:01,380 --> 00:29:03,550 That tissue is really popping out. 760 00:29:03,550 --> 00:29:04,720 Which illustrates what? 761 00:29:04,720 --> 00:29:07,220 The pressure underneath. 762 00:29:07,220 --> 00:29:08,720 Your turn. 763 00:29:09,850 --> 00:29:11,770 Here goes. 764 00:29:14,810 --> 00:29:16,440 - A little more pressure. - Yeah. 765 00:29:16,440 --> 00:29:17,810 Need to make a decisive incision 766 00:29:17,810 --> 00:29:20,730 to get through the eschar into sub-Q. 767 00:29:20,730 --> 00:29:22,650 Go back a little deeper on that first section. 768 00:29:22,650 --> 00:29:25,030 OK. 769 00:29:25,030 --> 00:29:26,740 Yep. 770 00:29:26,740 --> 00:29:28,280 - Yep, good. - Uh-huh. 771 00:29:28,280 --> 00:29:30,780 Looking good. 772 00:29:30,790 --> 00:29:32,200 OK. 773 00:29:32,200 --> 00:29:35,330 Now the horizontal incision, Dr. Langdon. 774 00:29:35,330 --> 00:29:41,340 And connecting the two incisions. 775 00:29:45,050 --> 00:29:46,760 That ought to do it. 776 00:29:46,760 --> 00:29:48,380 Peak pressure's already down to the 30s. 777 00:29:48,390 --> 00:29:50,640 And tidal volume is coming up. 778 00:29:50,640 --> 00:29:52,010 Sat's 91. 779 00:29:52,010 --> 00:29:54,020 That was wild. 780 00:29:54,020 --> 00:29:55,850 Let's dress these wounds and send off a blood gas. 781 00:29:55,850 --> 00:29:57,140 Well done, 782 00:29:57,140 --> 00:29:59,940 and very well taught, Dr. Langdon. 783 00:29:59,940 --> 00:30:01,650 Thank you. 784 00:30:12,200 --> 00:30:16,040 You think Wholey's will still be open by the time we get off? 785 00:30:16,040 --> 00:30:17,330 - No. - No. No. 786 00:30:17,330 --> 00:30:18,710 Damn. 787 00:30:18,710 --> 00:30:19,960 I was hoping to surprise Abby and the kids, 788 00:30:19,960 --> 00:30:21,330 grill up some salmon for dinner. 789 00:30:21,340 --> 00:30:24,380 Mm, such an adrenaline junkie. 790 00:30:24,380 --> 00:30:26,050 What'd you call me? 791 00:30:26,050 --> 00:30:28,420 Your ice plunges. Marathon man. 792 00:30:28,430 --> 00:30:29,630 Surprise, here's a dog. 793 00:30:29,640 --> 00:30:31,760 Surprise, here's some salmon. 794 00:30:33,390 --> 00:30:35,180 Who pissed in your cornflakes? 795 00:30:35,180 --> 00:30:36,520 Oh, oh. 796 00:30:36,520 --> 00:30:38,060 What, I touch a nerve? 797 00:30:38,060 --> 00:30:40,770 You're regretting buying that dog, aren't you? 798 00:30:49,070 --> 00:30:49,910 Ew. 799 00:30:50,450 --> 00:30:51,530 Ooh, Robby. 800 00:30:51,530 --> 00:30:53,160 Dana's CT results are back. 801 00:30:53,160 --> 00:30:55,450 No intracranial hemorrhage, no skull fracture, 802 00:30:55,450 --> 00:30:57,500 non-displaced nasal fracture, 803 00:30:57,500 --> 00:31:00,290 but the rest of the facial bones look intact. 804 00:31:00,290 --> 00:31:01,580 Any hemorrhaging into the sinuses? 805 00:31:01,580 --> 00:31:03,500 - Nada. - Great. 806 00:31:03,500 --> 00:31:05,960 We could really use her back on the floor. 807 00:31:05,960 --> 00:31:09,220 What? I'm just saying. 808 00:31:09,220 --> 00:31:10,720 Mind if I give her the good news? 809 00:31:10,720 --> 00:31:12,930 No, go for it-- and anything else she needs. 810 00:31:12,930 --> 00:31:14,180 I got it. 811 00:31:21,480 --> 00:31:24,270 About the whole thing with Santos 812 00:31:24,270 --> 00:31:26,440 and the seizure patient... 813 00:31:26,440 --> 00:31:28,400 What about it? 814 00:31:28,400 --> 00:31:32,360 I'm sorry for laying into her so hard. 815 00:31:34,280 --> 00:31:36,410 Why do I feel there's a "but" coming? 816 00:31:36,410 --> 00:31:39,250 But I don't think she's a team player. 817 00:31:39,250 --> 00:31:40,290 How so? 818 00:31:40,290 --> 00:31:42,330 She's cherry-picking cases. 819 00:31:42,330 --> 00:31:44,540 She gave Whitaker a shitty nickname 820 00:31:44,540 --> 00:31:46,000 after his patient died this morning. 821 00:31:46,000 --> 00:31:47,750 She's--she's even harassing Javadi 822 00:31:47,760 --> 00:31:49,630 to get a rec from her mom for surgery. 823 00:31:49,630 --> 00:31:51,550 If she wants to be in surgery, 824 00:31:51,550 --> 00:31:52,630 what's she doing in the ER? 825 00:31:52,640 --> 00:31:54,050 That's a great question. 826 00:31:54,050 --> 00:31:56,050 Why don't you ask her new BFF, Garcia? 827 00:31:56,060 --> 00:31:58,680 I know that you've seen those two. 828 00:31:58,680 --> 00:32:00,390 I'm the only one calling her out, 829 00:32:00,390 --> 00:32:02,690 so she has an axe to grind. 830 00:32:02,690 --> 00:32:05,900 You've always said that being in the Pitt 831 00:32:05,900 --> 00:32:08,110 is like playing a team sport. 832 00:32:08,110 --> 00:32:09,780 A team has to be able to trust each other. 833 00:32:09,780 --> 00:32:13,360 If we have one weak link, this whole place goes to shit. 834 00:32:15,490 --> 00:32:16,910 Good meeting. 835 00:32:22,960 --> 00:32:24,250 Call Zauzy in Family Med. 836 00:32:24,250 --> 00:32:25,880 They open up their urgent care at 5:00. 837 00:32:25,880 --> 00:32:27,630 Let them know we're sending up the two hockey kids. 838 00:32:27,630 --> 00:32:29,340 Yep, Zauzy in Fam Med. 839 00:32:29,340 --> 00:32:30,840 OK, copy that. 840 00:32:30,840 --> 00:32:32,880 And, uh, please check in on Earl. 841 00:32:32,880 --> 00:32:34,130 Poor thing got caught 842 00:32:34,130 --> 00:32:35,340 in the crosshairs of that mom fight. 843 00:32:35,340 --> 00:32:36,590 Maybe bring him another sandwich. 844 00:32:36,600 --> 00:32:38,600 - Yeah, OK. - Good. 845 00:32:38,600 --> 00:32:40,060 No egg salad. 846 00:32:40,060 --> 00:32:42,640 Dana, I got you. OK? Rest up, bud. 847 00:32:42,640 --> 00:32:44,810 You can take the girl out of the ER, 848 00:32:44,810 --> 00:32:47,310 but you can't take the ER out of the girl. 849 00:32:47,310 --> 00:32:49,070 Old habits die hard. 850 00:32:49,070 --> 00:32:50,150 Let me take a look? 851 00:32:51,860 --> 00:32:55,700 Oh, she's a real beauty, all right. 852 00:32:55,700 --> 00:32:57,820 But your CT came back clean-- 853 00:32:57,830 --> 00:33:00,120 nothing Mother Nature can't heal on her own. 854 00:33:00,120 --> 00:33:01,490 Hmm. Too bad. 855 00:33:01,500 --> 00:33:03,410 I was hoping for a free nose job. 856 00:33:03,410 --> 00:33:04,790 Probably get hazard pay. 857 00:33:04,790 --> 00:33:05,790 Two for one. 858 00:33:13,670 --> 00:33:14,630 Ooh. 859 00:33:14,630 --> 00:33:16,180 Ugh. 860 00:33:18,140 --> 00:33:22,180 You know, you're cleared to go back to work if you want-- 861 00:33:22,180 --> 00:33:24,100 or home. 862 00:33:24,100 --> 00:33:26,730 Oh, not ready yet. 863 00:33:27,940 --> 00:33:28,860 You? 864 00:33:28,860 --> 00:33:30,650 Nope. 865 00:33:30,650 --> 00:33:32,900 Got a lot to think about. 866 00:33:32,900 --> 00:33:34,110 Yeah. 867 00:33:35,900 --> 00:33:37,530 Been a pretty fucked up day. 868 00:33:39,740 --> 00:33:41,370 What do you call a group of brains 869 00:33:41,370 --> 00:33:43,370 who form a singing group? 870 00:33:43,370 --> 00:33:44,370 What? 871 00:33:44,370 --> 00:33:45,500 A glia club. 872 00:33:45,500 --> 00:33:46,750 Oh. 873 00:33:46,750 --> 00:33:48,370 Good one. 874 00:33:48,380 --> 00:33:50,460 Keep me posted if there are any changes. 875 00:33:52,710 --> 00:33:55,300 Um, what's with Dr. Mehta and the-- 876 00:33:55,300 --> 00:33:57,090 the jokes? 877 00:33:58,680 --> 00:34:01,350 You know why they say laughter is the best medicine? 878 00:34:01,350 --> 00:34:02,930 Because it's true. 879 00:34:02,930 --> 00:34:04,270 Laughter releases endorphins. 880 00:34:04,270 --> 00:34:06,390 Endorphins help relieve pain. 881 00:34:07,980 --> 00:34:10,150 Um, so-- 882 00:34:10,150 --> 00:34:13,650 Dr. Mehta thinks that if a joke helps raise spirits 883 00:34:13,650 --> 00:34:16,280 and makes people feel better, then he's all for it. 884 00:34:16,280 --> 00:34:18,200 It's his special sauce. 885 00:34:19,360 --> 00:34:20,780 Um, do you have a special sauce? 886 00:34:20,780 --> 00:34:23,700 I'm pretty data-driven, but I really like 887 00:34:23,700 --> 00:34:26,120 to talk to my patients about their lives. 888 00:34:26,120 --> 00:34:28,040 Makes them feel important. 889 00:34:30,130 --> 00:34:33,460 She's waking up. 890 00:34:33,460 --> 00:34:35,460 How are you feeling? 891 00:34:35,460 --> 00:34:37,010 OK. 892 00:34:37,010 --> 00:34:40,090 Are you trying to say "OK"? 893 00:34:40,090 --> 00:34:41,180 Yes! 894 00:34:41,180 --> 00:34:43,350 The thrombolytics are working. 895 00:34:43,350 --> 00:34:46,520 Um, can you, uh, lift your right leg for me? 896 00:34:46,520 --> 00:34:47,850 That's OK. 897 00:34:47,850 --> 00:34:50,270 Um, try moving it from side to side. 898 00:34:51,690 --> 00:34:54,230 Can you tell us your name? 899 00:34:57,610 --> 00:35:03,330 Oh, um, maybe you can type it out on the screen here. 900 00:35:07,620 --> 00:35:09,790 Vera. 901 00:35:09,790 --> 00:35:11,630 OK, uh, and what's your last name? 902 00:35:15,170 --> 00:35:16,550 Mullahy? 903 00:35:18,340 --> 00:35:20,550 Well, hello, Vera Mullahy. 904 00:35:23,350 --> 00:35:24,680 - Hey. - Oh. 905 00:35:24,680 --> 00:35:27,350 - Hey. - Chad's a real piece of work. 906 00:35:27,350 --> 00:35:29,270 I appreciate you dealing with him. 907 00:35:29,270 --> 00:35:32,940 You know, it was actually kind of fun. 908 00:35:34,360 --> 00:35:35,690 I did not have that on my bingo card. 909 00:35:35,690 --> 00:35:38,570 Well, you know, patients under propofol 910 00:35:38,570 --> 00:35:40,360 are always a good time. 911 00:35:42,410 --> 00:35:43,530 Yeah? 912 00:35:43,530 --> 00:35:44,820 What did he say? 913 00:35:44,830 --> 00:35:46,740 Nothing. 914 00:35:46,740 --> 00:35:49,330 Nothing to worry about, unless you're concerned 915 00:35:49,330 --> 00:35:52,460 he still has a thing for you. 916 00:35:52,460 --> 00:35:55,750 Oh, please, euthanize me if I ever even consider it. 917 00:35:58,340 --> 00:35:59,630 But, you know, if I could go back, 918 00:35:59,630 --> 00:36:01,300 I wouldn't change a thing. 919 00:36:01,300 --> 00:36:03,630 Without Chad, I wouldn't have Harrison. 920 00:36:03,640 --> 00:36:05,930 You're very lucky. 921 00:36:05,930 --> 00:36:08,510 I know, right? 922 00:36:08,520 --> 00:36:09,680 All right. 923 00:36:09,680 --> 00:36:11,060 Thanks again. 924 00:36:12,690 --> 00:36:14,270 I was getting ready to take her up 925 00:36:14,270 --> 00:36:16,440 when she developed angioedema, and her sats dropped. 926 00:36:17,860 --> 00:36:19,610 A little bit of stridor. 927 00:36:19,610 --> 00:36:21,440 Swollen lips, swollen tongue. 928 00:36:21,450 --> 00:36:23,530 Vera, this is a side effect of the medication we gave you. 929 00:36:24,620 --> 00:36:26,160 Sats are up with high flow nasal. 930 00:36:26,160 --> 00:36:27,660 It's anaphylaxis. Get Robby. 931 00:36:27,660 --> 00:36:29,790 Angioedema is not always anaphylaxis. 932 00:36:29,790 --> 00:36:32,290 I know, but it can progress to it and cause an obstruction. 933 00:36:32,290 --> 00:36:34,080 If it's just angioedema, I can reverse 934 00:36:34,080 --> 00:36:35,710 the swelling fast with IV epi. 935 00:36:35,710 --> 00:36:37,500 BP's 165 over 85. 936 00:36:37,500 --> 00:36:39,500 Prep Ketamine and Roc for intubation. 937 00:36:39,500 --> 00:36:41,420 Hold on. Wait, wait. But Dr. Mohan, you just said-- 938 00:36:41,420 --> 00:36:42,920 We're not intubating yet. 939 00:36:42,930 --> 00:36:44,430 But she's gonna arrest. 940 00:36:44,430 --> 00:36:45,680 What happened? 941 00:36:45,680 --> 00:36:47,180 Angioedema with stridor. 942 00:36:47,180 --> 00:36:49,140 Respiratory is on their way. 943 00:36:49,140 --> 00:36:51,140 - We should intubate, right? - Good BP and O2 sats. 944 00:36:51,140 --> 00:36:53,230 Epinephrine can reverse the swelling right away. 945 00:36:53,230 --> 00:36:54,810 I pushed 10 mics of IV epi. 946 00:36:54,810 --> 00:36:57,480 Starting her drip at 5 cc's, 5 mikes per minute. 947 00:36:57,480 --> 00:36:58,940 Sats are holding at 95 on high flow. 948 00:36:58,940 --> 00:37:00,400 BP is good. 949 00:37:00,400 --> 00:37:02,030 Vera, we're gonna sedate you 950 00:37:02,030 --> 00:37:03,360 so that we can help you breathe better. 951 00:37:03,360 --> 00:37:05,280 Or not. Let's just wait a minute. 952 00:37:05,280 --> 00:37:06,450 How'd you get that epi drip hung so fast? 953 00:37:06,450 --> 00:37:07,740 Bedside drip. 954 00:37:07,740 --> 00:37:09,330 I mixed 1 milligram with a liter. 955 00:37:09,330 --> 00:37:10,790 Nice. 956 00:37:10,790 --> 00:37:12,410 Are we intubating? Are we not intubating? 957 00:37:12,410 --> 00:37:13,580 Not. 958 00:37:13,580 --> 00:37:15,000 Stridor is improving. 959 00:37:15,000 --> 00:37:16,710 Is it getting easier to breathe? 960 00:37:16,710 --> 00:37:18,250 Mm-hmm, hmm. 961 00:37:18,250 --> 00:37:20,130 Speech is coming back. 962 00:37:20,130 --> 00:37:24,090 50 diphenhydramine, 125 Solumedrol. 963 00:37:24,090 --> 00:37:26,510 Do you think Dr. Mehta will want her intubated 964 00:37:26,510 --> 00:37:28,590 - for the thrombectomy? - Not necessarily. 965 00:37:28,600 --> 00:37:30,600 If she can talk and move during the procedure, 966 00:37:30,600 --> 00:37:33,560 then they can monitor any changes in the neuro exam. 967 00:37:33,560 --> 00:37:35,850 Slo-Mo, No-Mo! 968 00:37:35,850 --> 00:37:40,560 Sorry, I think Dr. Mehta is rubbing off on me. 969 00:37:40,570 --> 00:37:41,900 We're taking him up to our burn unit. 970 00:37:41,900 --> 00:37:43,530 He'll be in great hands. 971 00:37:43,530 --> 00:37:45,610 They've had lots of experience with cases like Teddy's. 972 00:37:45,610 --> 00:37:47,280 What now? 973 00:37:47,280 --> 00:37:51,950 We will continue with IV fluids and pain meds. 974 00:37:51,950 --> 00:37:53,870 We'll support his breathing with the ventilator, 975 00:37:53,870 --> 00:37:55,580 and we'll keep his wounds clean, 976 00:37:55,580 --> 00:37:57,160 look for any signs of infection. 977 00:37:57,170 --> 00:38:01,170 And later, the plastic surgeons can do skin grafts. 978 00:38:01,170 --> 00:38:03,170 He's gonna be OK. 979 00:38:03,170 --> 00:38:05,880 Teddy's condition is very critical, so no promises. 980 00:38:05,880 --> 00:38:07,380 But our team is gonna do everything they can 981 00:38:07,380 --> 00:38:10,340 to give him the best chance possible. 982 00:38:10,350 --> 00:38:12,470 I'll make sure to stop by the ICU, 983 00:38:12,470 --> 00:38:14,100 check in on both of you. 984 00:38:14,100 --> 00:38:16,770 I can't begin to thank you enough, Dr. Whitaker. 985 00:38:16,770 --> 00:38:19,100 Oh, uh, student doctor. 986 00:38:22,360 --> 00:38:25,820 Oh, uh, don't forget about dinner at the farm. 987 00:38:25,820 --> 00:38:29,860 And, uh, make sure to brush up on your diaper-changing skills. 988 00:38:29,870 --> 00:38:31,240 Oh, with seven nieces and nephews, 989 00:38:31,240 --> 00:38:33,040 I'm a Diaper Genie, so... 990 00:38:35,870 --> 00:38:39,000 You know you just called yourself a trash can, right? 991 00:38:39,000 --> 00:38:43,290 Before you grab your next patient, um, call Kiara. 992 00:38:43,300 --> 00:38:45,590 Have somebody go upstairs and talk to the wife. 993 00:38:45,590 --> 00:38:47,340 Amy? Why? 994 00:38:47,340 --> 00:38:48,970 We wanted to give her hope, but the reality is, 995 00:38:48,970 --> 00:38:51,140 her husband's not gonna make it. 996 00:38:51,140 --> 00:38:52,430 He's stable. 997 00:38:52,430 --> 00:38:53,890 His chance of dying in the next week 998 00:38:53,890 --> 00:38:55,770 is over 90%. 999 00:38:55,770 --> 00:38:57,520 He's young, he's strong. 1000 00:38:57,520 --> 00:39:00,060 - Maybe he's the 10%. - Maybe. 1001 00:39:00,060 --> 00:39:01,560 But he's a lot more likely to die of sepsis 1002 00:39:01,560 --> 00:39:03,440 before his kid is born. 1003 00:39:03,440 --> 00:39:04,860 Call Kiara. 1004 00:39:12,530 --> 00:39:15,740 The CT shows a hairline orbital floor fracture. 1005 00:39:15,740 --> 00:39:17,240 But thanks to the canthotomy, 1006 00:39:17,250 --> 00:39:19,210 the hematoma isn't pushing on his eyeball. 1007 00:39:19,210 --> 00:39:21,250 Will I be able to see? 1008 00:39:22,460 --> 00:39:24,540 That's why you need surgery. 1009 00:39:24,540 --> 00:39:26,800 The ophthalmologists will drain the blood inside the front 1010 00:39:26,800 --> 00:39:28,630 of your eye and replace it with the clear fluid 1011 00:39:28,630 --> 00:39:30,420 you need to see, OK? 1012 00:39:30,430 --> 00:39:31,800 They're ready for you now. 1013 00:39:31,800 --> 00:39:33,010 Hey, hey, hey. 1014 00:39:33,010 --> 00:39:34,300 Don't worry, bud. 1015 00:39:34,300 --> 00:39:35,640 All right? 1016 00:39:38,480 --> 00:39:41,520 So--so he has the surgery, stays overnight, 1017 00:39:41,520 --> 00:39:43,020 he goes home tomorrow? 1018 00:39:43,020 --> 00:39:44,610 It depends on how the surgery goes 1019 00:39:44,610 --> 00:39:46,900 and what his post-op results are like. 1020 00:39:46,900 --> 00:39:48,690 Give or take. 1021 00:39:48,690 --> 00:39:51,570 It could be as soon as tomorrow, yeah. 1022 00:39:51,570 --> 00:39:53,360 OK. 1023 00:39:53,370 --> 00:39:54,910 So he could be-- 1024 00:39:54,910 --> 00:39:57,990 could be game-ready by Thursday. 1025 00:39:57,990 --> 00:40:00,080 Sir, your son is freaking out 1026 00:40:00,080 --> 00:40:02,540 because he may never see out of his left eye again. 1027 00:40:02,540 --> 00:40:05,000 - Yeah, that's-- - No, no, forget baseball 1028 00:40:05,000 --> 00:40:07,090 and just be his dad. 1029 00:40:07,090 --> 00:40:09,340 God, it can't be that fucking hard. 1030 00:40:10,670 --> 00:40:12,970 Uh, there's a waiting room 1031 00:40:12,970 --> 00:40:15,300 up by surgery, sixth floor. 1032 00:40:15,300 --> 00:40:17,510 Right off the elevator. You can't miss it. 1033 00:40:17,510 --> 00:40:19,310 Angioedema responded to epi, 1034 00:40:19,310 --> 00:40:21,060 diphenhydramine, and steroids. 1035 00:40:21,060 --> 00:40:23,400 Excellent. 1036 00:40:25,310 --> 00:40:27,820 Thank you. 1037 00:40:27,820 --> 00:40:29,610 You're very welcome. 1038 00:40:31,360 --> 00:40:34,660 Which neurotransmitter makes the best adhesive? 1039 00:40:34,660 --> 00:40:36,870 - I don't know-- - Glutamate! 1040 00:40:36,870 --> 00:40:38,120 "Glue"-tamate. 1041 00:40:38,120 --> 00:40:39,700 Am I right? 1042 00:40:39,700 --> 00:40:41,750 Nicely done, Dr. King. 1043 00:40:44,080 --> 00:40:45,920 That was really quick thinking back there. 1044 00:40:45,920 --> 00:40:48,170 I'm really sorry if it seemed like I doubted you. 1045 00:40:48,170 --> 00:40:49,840 I didn't. I just-- 1046 00:40:49,840 --> 00:40:52,550 Honestly, I surprised myself a bit. 1047 00:40:52,550 --> 00:40:53,800 Yeah? 1048 00:40:53,800 --> 00:40:55,800 Well, you trusted your gut. 1049 00:40:55,800 --> 00:40:58,010 Maybe that's your special sauce. 1050 00:40:58,010 --> 00:40:59,470 Maybe. 1051 00:40:59,470 --> 00:41:02,480 Um, Dr. Mohan, 1052 00:41:02,480 --> 00:41:05,060 what if I don't have special sauce? 1053 00:41:05,060 --> 00:41:07,150 Of course you do. 1054 00:41:07,150 --> 00:41:08,520 Just be yourself. 1055 00:41:08,520 --> 00:41:10,150 It'll come. 1056 00:41:18,160 --> 00:41:21,330 So now might be a good time to go over 1057 00:41:21,330 --> 00:41:23,250 some doctor-patient interaction guidelines. 1058 00:41:23,250 --> 00:41:24,460 I'm sorry. That dad was just such... 1059 00:41:24,460 --> 00:41:26,670 - So overbearing. - An asshole. 1060 00:41:26,670 --> 00:41:28,380 I'm sorry. 1061 00:41:28,380 --> 00:41:31,210 Look, do I think he needed to chill out a little bit? 1062 00:41:31,210 --> 00:41:32,460 Yes. 1063 00:41:32,460 --> 00:41:34,760 But he's a parent, and this might be 1064 00:41:34,760 --> 00:41:36,130 his way of coping with the stress 1065 00:41:36,130 --> 00:41:38,010 of a very frightening situation. 1066 00:41:38,010 --> 00:41:40,720 I'm sorry. I don't know what came over me. 1067 00:41:40,720 --> 00:41:42,260 No, I do. 1068 00:41:42,270 --> 00:41:43,770 You and that baseball kid 1069 00:41:43,770 --> 00:41:46,190 are two pressure cooker prodigies in a pod. 1070 00:41:47,690 --> 00:41:49,940 Just as physicians, we gotta learn 1071 00:41:49,940 --> 00:41:51,900 to keep our emotions in check and not let 1072 00:41:51,900 --> 00:41:53,440 our personal experiences interfere 1073 00:41:53,440 --> 00:41:56,200 with our professional responsibilities. 1074 00:41:56,200 --> 00:41:58,910 How long did it take you to learn that? 1075 00:41:58,910 --> 00:42:00,530 I'm still learning. 1076 00:42:00,530 --> 00:42:03,660 And I also learned to never get on your bad side. 1077 00:42:03,660 --> 00:42:06,210 Yo, yo, yo. 1078 00:42:06,210 --> 00:42:08,420 - Hey. - Almost quitting time. 1079 00:42:08,420 --> 00:42:10,580 I so appreciate you helping me out with Harrison. 1080 00:42:10,590 --> 00:42:12,710 - Oh. - And my douchebag ex. 1081 00:42:12,710 --> 00:42:14,340 - Hey, we all have them. - Yeah. 1082 00:42:14,340 --> 00:42:16,630 Oh. Totally. 1083 00:42:16,630 --> 00:42:18,300 Me too. Me too. 1084 00:42:18,300 --> 00:42:20,340 Yeah. 1085 00:42:20,350 --> 00:42:21,850 I'm always happy to help. 1086 00:42:21,850 --> 00:42:22,930 Yeah. 1087 00:42:22,930 --> 00:42:24,560 So I get off in a couple hours. 1088 00:42:24,560 --> 00:42:26,100 Do you mind just doing a loop every once in a while 1089 00:42:26,100 --> 00:42:27,390 to make sure he's not burning the place down? 1090 00:42:27,390 --> 00:42:28,690 - Can do. - Great. 1091 00:42:28,690 --> 00:42:30,230 And, you know, a new foot massage place 1092 00:42:30,230 --> 00:42:31,690 just opened in the Strip District. 1093 00:42:31,690 --> 00:42:33,150 Do you wanna go on Sunday? 1094 00:42:33,150 --> 00:42:34,360 - For sure. Yeah, yeah. - OK, cool. 1095 00:42:34,360 --> 00:42:36,150 I'm free Sunday-- 1096 00:42:36,150 --> 00:42:39,150 um, to--to help or just do-- 1097 00:42:39,160 --> 00:42:40,530 yeah, whatever. Wherever. 1098 00:42:40,530 --> 00:42:42,370 Oh, my God. 1099 00:42:42,370 --> 00:42:45,330 I mean, Harrison would love a sitter closer to his own age. 1100 00:42:45,330 --> 00:42:46,910 I-- I'll get your number 1101 00:42:46,910 --> 00:42:48,460 and text you the address? That's awesome. 1102 00:42:48,460 --> 00:42:49,750 - Oh. - Thank you. 1103 00:42:49,750 --> 00:42:50,830 Oh, sure. 1104 00:42:50,830 --> 00:42:52,790 Dr. Santos, a moment, please? 1105 00:43:00,550 --> 00:43:03,470 So how's your first day going? 1106 00:43:03,470 --> 00:43:05,260 So far, so good. 1107 00:43:05,270 --> 00:43:06,640 Getting along with everyone? 1108 00:43:06,640 --> 00:43:07,680 Yeah, pretty much. 1109 00:43:07,680 --> 00:43:09,690 Except Langdon? 1110 00:43:11,650 --> 00:43:13,480 So in this ER, we all need to work together 1111 00:43:13,480 --> 00:43:15,270 as a single unified entity. 1112 00:43:15,280 --> 00:43:17,530 And if two people on my team can't work together, 1113 00:43:17,530 --> 00:43:19,780 it kind of throws the rhythm of the place off. 1114 00:43:19,780 --> 00:43:21,360 Understood. 1115 00:43:21,360 --> 00:43:24,870 My duty, regardless of personal relationships, 1116 00:43:24,870 --> 00:43:28,580 is to make sure everybody on my team is doing OK. 1117 00:43:28,580 --> 00:43:33,790 So are you doing OK? 1118 00:43:33,790 --> 00:43:35,790 Uh, it's not a big deal. 1119 00:43:35,800 --> 00:43:37,380 I can handle it. 1120 00:43:39,050 --> 00:43:42,430 Handle what? 1121 00:43:42,430 --> 00:43:44,720 Nothing. It--it's fine. 1122 00:43:44,720 --> 00:43:47,100 I-- 1123 00:43:47,100 --> 00:43:50,430 I don't wanna get anyone in trouble. 1124 00:43:50,440 --> 00:43:53,310 Hmm. 1125 00:43:53,310 --> 00:43:55,650 OK, if there is anything-- 1126 00:43:55,650 --> 00:43:57,690 anything that could affect my ER, 1127 00:43:57,690 --> 00:43:59,150 I need to know about it, 1128 00:43:59,150 --> 00:44:01,780 and you have a responsibility to tell me. 1129 00:44:11,330 --> 00:44:12,920 - Hey. - Hey. 1130 00:44:12,920 --> 00:44:15,420 Did they catch the bastard who sucker punched you? 1131 00:44:15,420 --> 00:44:16,920 I haven't heard. 1132 00:44:16,920 --> 00:44:20,010 Well, when they do, just send him to me. 1133 00:44:20,010 --> 00:44:22,930 I can make it look like an accident. 1134 00:44:24,340 --> 00:44:25,760 I might just take you up on that. 1135 00:44:25,760 --> 00:44:27,890 Mm, you betcha. 1136 00:44:30,480 --> 00:44:33,600 You've been paroled! 1137 00:44:33,600 --> 00:44:35,020 - Are you sure? - Yeah. 1138 00:44:35,020 --> 00:44:36,810 - Oh. - OK. Yeah. 1139 00:44:36,820 --> 00:44:38,110 Ow. OK. 1140 00:44:38,110 --> 00:44:40,440 Yep. Go check on Myrna. 1141 00:44:40,440 --> 00:44:42,030 - You got a sec? - Bless you. 1142 00:44:42,030 --> 00:44:43,200 For you, boss, I got two. 1143 00:44:43,200 --> 00:44:44,740 What's up? 1144 00:45:01,920 --> 00:45:03,720 I heard there's been 1145 00:45:03,720 --> 00:45:07,050 some inconsistencies with meds intended for your patients. 1146 00:45:07,050 --> 00:45:08,640 What? 1147 00:45:10,560 --> 00:45:14,890 Frank, have you been helping yourself to benzos from the ER? 1148 00:45:14,890 --> 00:45:17,270 Yeah, I've been stealing blood too. 1149 00:45:20,900 --> 00:45:22,990 I asked you a question. 1150 00:45:22,990 --> 00:45:25,450 Wait, are you serious? 1151 00:45:25,450 --> 00:45:26,870 What are you doing? 1152 00:45:28,370 --> 00:45:29,830 Really? 1153 00:45:29,830 --> 00:45:31,910 Santos? 1154 00:45:31,910 --> 00:45:34,460 Whatever the hell she told you is bullshit. 1155 00:45:36,420 --> 00:45:37,710 I didn't mention Santos. 1156 00:45:37,710 --> 00:45:39,790 You didn't have to. 1157 00:45:39,790 --> 00:45:42,840 I told you, she is trouble. 1158 00:45:42,840 --> 00:45:45,670 Have you ever taken a patient's medication? 1159 00:45:45,680 --> 00:45:46,970 This is insane. 1160 00:45:46,970 --> 00:45:48,220 This is completely fucking insane. 1161 00:45:48,220 --> 00:45:49,640 I need you to open your locker. 1162 00:45:49,640 --> 00:45:51,050 - Yeah, right. - Open your locker. 1163 00:45:51,060 --> 00:45:52,220 You're gonna regret-- 1164 00:45:52,220 --> 00:45:53,600 Open your fucking locker, 1165 00:45:53,600 --> 00:45:55,940 or I will have security smash it open. 1166 00:46:17,170 --> 00:46:18,500 Is the imprint code on these pills 1167 00:46:18,500 --> 00:46:20,590 gonna match Louie's Librium? 1168 00:46:28,680 --> 00:46:29,760 Go home, Frank. 1169 00:46:29,760 --> 00:46:31,260 No, no, it's not like you think. 1170 00:46:31,260 --> 00:46:33,600 You remember, whenever I helped my parents move, 1171 00:46:33,600 --> 00:46:35,310 I was too cheap to pay for movers. 1172 00:46:35,310 --> 00:46:36,810 I hurt my back. I told you that. 1173 00:46:36,810 --> 00:46:38,600 You teased me about it, remember? 1174 00:46:38,600 --> 00:46:41,020 Well, our own Dr. Hagan prescribed me 1175 00:46:41,020 --> 00:46:42,730 some pain meds and muscle relaxants. 1176 00:46:42,730 --> 00:46:44,020 I was just weaning myself off. 1177 00:46:44,030 --> 00:46:45,150 It was just for maintenance. I'm done. 1178 00:46:45,150 --> 00:46:46,280 Robby, come on. 1179 00:46:46,280 --> 00:46:47,690 You know me, Robby. 1180 00:46:47,700 --> 00:46:48,700 You know me, man. 1181 00:46:48,700 --> 00:46:50,200 I'm sorry. I fucked up. 1182 00:46:50,200 --> 00:46:52,070 - I just--I--I was trying to-- - Trying to what? 1183 00:46:52,080 --> 00:46:53,410 Steal pills without getting caught? 1184 00:46:53,410 --> 00:46:55,160 No, it's not like-- you don't under-- 1185 00:46:55,160 --> 00:46:56,580 - I don't fucking understand? - It's not like you think! 1186 00:46:56,580 --> 00:46:58,460 I'm not high. I'm not high. 1187 00:46:58,460 --> 00:47:00,500 You've seen what I do, Robby. 1188 00:47:00,500 --> 00:47:04,550 Could a drug addict do what I do? 1189 00:47:04,550 --> 00:47:06,300 Apparently. 1190 00:47:09,130 --> 00:47:11,840 And I just fucking let him! 1191 00:47:11,850 --> 00:47:13,930 You're done. 1192 00:47:13,930 --> 00:47:17,520 Leave now, or I will have Ahmad escort you out. 1193 00:47:17,520 --> 00:47:20,060 Robby, please. 1194 00:47:20,060 --> 00:47:21,730 You are done. 1195 00:47:26,280 --> 00:47:27,490 What?