1 00:00:21,620 --> 00:00:24,290 - The man is in his element. - What's he doing? 2 00:00:24,370 --> 00:00:26,000 Age-old ritual, meant to capitalize 3 00:00:26,080 --> 00:00:27,460 off the unknown origins 4 00:00:27,540 --> 00:00:31,260 of Westbridge's current state of affairs. 5 00:00:31,340 --> 00:00:33,550 Whoever guesses the reason they went code black wins the pot. 6 00:00:33,630 --> 00:00:36,930 Ah, interesting. We didn't do this at the VA. 7 00:00:37,010 --> 00:00:38,220 - You game? - Of course. 8 00:00:38,300 --> 00:00:39,970 Now, how's this look to you? 9 00:00:40,060 --> 00:00:41,680 My wager is on flooding. 10 00:00:41,770 --> 00:00:43,100 They're going to be down for 3 hours, 11 00:00:43,180 --> 00:00:44,940 and we're going to get 20 of their patients. 12 00:00:45,020 --> 00:00:48,900 Put me down for flooding, 4 hours and 30 patients. 13 00:00:48,980 --> 00:00:50,610 Okay, okay, okay. 14 00:00:50,690 --> 00:00:52,190 Hey, Dr. Robby, looks like you got some competition. 15 00:00:52,280 --> 00:00:53,610 Yes, it would appear that I do. 16 00:00:53,690 --> 00:00:55,280 All right, guys and gals, enough fun. 17 00:00:55,360 --> 00:00:57,240 We have people to take care of. 18 00:00:57,320 --> 00:00:58,820 You want to bring Langdon back from triage 19 00:00:58,910 --> 00:00:59,990 for the extra hands? 20 00:01:00,080 --> 00:01:02,200 No, I do not. I don't think that's necessary. 21 00:01:02,290 --> 00:01:03,830 We're doing just fine without him. 22 00:01:03,910 --> 00:01:05,080 You're the boss, boss. 23 00:01:07,290 --> 00:01:11,420 Daniel Ortiz, tu licencia en el mostrador. 24 00:01:12,920 --> 00:01:13,920 Next. 25 00:01:15,130 --> 00:01:17,430 Hi. Uh, the doctor guy told me 26 00:01:17,510 --> 00:01:19,850 to put this mineral oil on my eye for 20 minutes. 27 00:01:19,930 --> 00:01:21,930 That was 2 hours ago. 28 00:01:22,010 --> 00:01:24,180 We're really busy, but we'll get to you. 29 00:01:24,270 --> 00:01:26,440 - Oh, my God. Okay, when? - I will check. 30 00:01:26,520 --> 00:01:28,440 Listen for your name to be called. 31 00:01:28,520 --> 00:01:30,900 - Thanks. - Next. 32 00:01:30,980 --> 00:01:32,320 Excuse me. 33 00:01:32,400 --> 00:01:34,320 Uh, hi. I heard my brother was brought here. 34 00:01:34,400 --> 00:01:36,650 - His name is Jackson Davis. - Do you have ID? 35 00:01:36,740 --> 00:01:38,450 Yes, yes, um, 36 00:01:38,530 --> 00:01:41,530 I am his sister Jada Davis. 37 00:01:43,740 --> 00:01:45,450 I'm sorry. I just, uh-- 38 00:01:45,540 --> 00:01:47,920 my friend told me that he was brought in by campus police. 39 00:01:48,000 --> 00:01:49,790 There was some sort of fight that broke out at his school. 40 00:01:49,880 --> 00:01:52,090 - Is he okay? Is he here? - Don't know, hon. 41 00:01:52,170 --> 00:01:53,750 Can you just tell me if he's a patient here? 42 00:01:53,840 --> 00:01:57,170 I'll check. Take a seat. And I'll let you know. 43 00:01:57,260 --> 00:01:59,840 - Okay. - Next. 44 00:01:59,930 --> 00:02:02,560 Is Harlow feeling lightheaded or faint now? 45 00:02:05,060 --> 00:02:07,140 It's not as bad as it was before, 46 00:02:07,230 --> 00:02:09,310 but my head still hurts. 47 00:02:09,400 --> 00:02:11,650 And now my stomach does, too. 48 00:02:11,730 --> 00:02:14,190 Well, did she eat before she took her ibuprofen? 49 00:02:16,190 --> 00:02:18,280 Ugh, it's not my... 50 00:02:18,360 --> 00:02:20,780 Breakfast is my least favorite meal of the day. 51 00:02:25,790 --> 00:02:28,290 It's okay to look at me. 52 00:02:28,370 --> 00:02:29,750 I don't bite. 53 00:02:30,880 --> 00:02:31,920 I'm sorry. 54 00:02:32,000 --> 00:02:35,340 Um, we're going to get started with some blood tests. 55 00:02:38,090 --> 00:02:40,300 Is that baby from the bathroom going to be okay? 56 00:02:40,380 --> 00:02:41,470 She'll be fine. 57 00:02:41,550 --> 00:02:43,140 Uh, good news-- 58 00:02:43,220 --> 00:02:46,720 nose swab came back negative for COVID, 59 00:02:46,810 --> 00:02:48,600 influenza, and RSV, 60 00:02:48,680 --> 00:02:50,940 but a lot of other viruses can cause a cough. 61 00:02:51,020 --> 00:02:52,310 Lucky me. 62 00:02:52,400 --> 00:02:54,320 You can take off your mask. 63 00:02:54,400 --> 00:02:57,320 Pulse ox is at 91. 64 00:02:57,400 --> 00:02:59,150 Your oxygen level is down 65 00:02:59,240 --> 00:03:00,950 since we checked you an hour ago, 66 00:03:01,030 --> 00:03:03,410 and your temp is up to 102.4. 67 00:03:03,490 --> 00:03:05,080 Let's get you some Tylenol. 68 00:03:05,160 --> 00:03:07,410 Have you been outside today? It's already stifling. 69 00:03:07,490 --> 00:03:09,750 Could be heat-related, but we're going to take you 70 00:03:09,830 --> 00:03:12,750 back to the big ER for a full evaluation. 71 00:03:12,830 --> 00:03:14,500 Can't you just 72 00:03:14,590 --> 00:03:16,340 write me a prescription for some medicine? 73 00:03:16,420 --> 00:03:18,260 I'm sure it's just a summer cold. 74 00:03:18,340 --> 00:03:19,760 - Got somewhere to be? - Work. 75 00:03:23,470 --> 00:03:25,140 I know. It's Saturday. 76 00:03:25,220 --> 00:03:27,970 But I don't think I've had a day off since... 77 00:03:28,060 --> 00:03:31,190 Well, your holiday weekend starts now. 78 00:03:31,270 --> 00:03:32,650 Hey, Javadi. 79 00:03:32,730 --> 00:03:34,770 What are you doing for your birthday? 80 00:03:34,860 --> 00:03:37,440 - Who told you? - Word gets around. 81 00:03:37,520 --> 00:03:40,440 Nothing. I hate celebrating my birthday. 82 00:03:40,530 --> 00:03:42,110 You only turn 21 once. 83 00:03:42,200 --> 00:03:43,700 It's your birthday? 84 00:03:43,780 --> 00:03:47,200 Oh, that makes you a Cancer, right? 85 00:03:47,280 --> 00:03:49,660 I didn't peg you for an astrology girlie. 86 00:03:50,790 --> 00:03:53,290 Yeah. Been spending too much time around Santos. 87 00:03:53,370 --> 00:03:54,580 Yes, you have. 88 00:03:54,670 --> 00:03:55,830 I don't know how you guys do it. 89 00:03:55,920 --> 00:03:58,130 Live together and work together? 90 00:03:58,210 --> 00:04:00,170 It's my cross to bear. 91 00:04:00,260 --> 00:04:02,800 It can't be as bad as having to live with your parents. 92 00:04:02,880 --> 00:04:04,640 I don't know. I haven't lived at home in years. 93 00:04:04,720 --> 00:04:06,720 - I kind of miss it. - I can tell. 94 00:04:06,800 --> 00:04:08,810 You've been spending a lot of time on that farm. 95 00:04:08,890 --> 00:04:10,430 "Farm"? 96 00:04:10,520 --> 00:04:12,390 Remember the burned farmer who came in last year? 97 00:04:12,480 --> 00:04:14,520 Propane tank exploded, he died in the ICU? 98 00:04:14,600 --> 00:04:16,360 Yeah, that was sad. 99 00:04:16,440 --> 00:04:18,070 Well, this guy has been playing house 100 00:04:18,150 --> 00:04:20,440 with his widow and their baby. 101 00:04:20,530 --> 00:04:22,110 Oh, that's messy. 102 00:04:22,190 --> 00:04:23,110 No. 103 00:04:23,200 --> 00:04:25,320 It's not like that, okay? 104 00:04:25,410 --> 00:04:27,030 I've been helping Amy out on the farm 105 00:04:27,120 --> 00:04:29,410 after her husband died, and she is a friend. 106 00:04:29,490 --> 00:04:30,910 She's just a friend. 107 00:04:31,000 --> 00:04:33,710 Sure, just a friend, with farm benefits. 108 00:04:33,790 --> 00:04:35,750 What are farm benefits? 109 00:04:35,830 --> 00:04:37,670 Oh, use your imagination. 110 00:04:37,750 --> 00:04:39,550 You ever see a milking machine? 111 00:04:39,630 --> 00:04:41,550 Oh, can we not talk about this, please? 112 00:04:41,630 --> 00:04:43,130 We're getting two runs rerouted 113 00:04:43,220 --> 00:04:45,430 from Westbridge already-- chest pain and belly pain. 114 00:04:45,510 --> 00:04:47,680 - Robby wants you three out back. - Thank you. 115 00:04:47,760 --> 00:04:49,350 Come on. 116 00:04:49,430 --> 00:04:52,350 Dr. Santos, making progress on your charting, I hope? 117 00:04:52,430 --> 00:04:53,850 Getting there. 118 00:04:53,930 --> 00:04:55,770 Deficient charts leave a gap for the providers 119 00:04:55,850 --> 00:04:58,980 who give continuity of care and delays hospital billing. 120 00:04:59,060 --> 00:05:01,150 Oh, I'd hate to delay billing. 121 00:05:03,360 --> 00:05:05,860 Timely documentation is essential. 122 00:05:05,950 --> 00:05:08,450 Let's fix this before end of shift. 123 00:05:08,530 --> 00:05:11,660 - I'm on it, boss. - Good. 124 00:05:11,740 --> 00:05:13,870 You wouldn't want to repeat your R2 year again 125 00:05:13,950 --> 00:05:15,710 because of this. 126 00:05:18,790 --> 00:05:20,790 Fuck. 127 00:05:20,880 --> 00:05:24,300 God, it's humid as shit out here. 128 00:05:24,380 --> 00:05:25,880 It is. 129 00:05:25,970 --> 00:05:27,630 What's going on at Westbridge? 130 00:05:27,720 --> 00:05:29,510 They're closed, so we're covering their paramedic runs 131 00:05:29,600 --> 00:05:31,060 until they come back up. 132 00:05:31,140 --> 00:05:33,390 As if a holiday weekend wasn't enough. 133 00:05:33,470 --> 00:05:36,390 So, Dr. Al-Hashimi... 134 00:05:36,480 --> 00:05:37,480 Yes? 135 00:05:37,560 --> 00:05:39,810 Do we like her? 136 00:05:39,900 --> 00:05:42,110 She seems pretty cool so far. 137 00:05:42,190 --> 00:05:44,990 You're trying to gossip about an attending with an attending? 138 00:05:45,070 --> 00:05:47,780 Dr. Robby doesn't mind. Do you? 139 00:05:50,280 --> 00:05:52,450 Oh, uh, that's a nice bike, by the way. 140 00:05:52,530 --> 00:05:54,410 - Thank you. - Yeah. 141 00:05:56,870 --> 00:05:59,080 Pamela Perry, 48, abdominal pain 142 00:05:59,170 --> 00:06:02,040 with vomiting after eating chilaquiles with fried eggs. 143 00:06:02,130 --> 00:06:05,340 BP 108 over 64, pulse 98, good sats. 144 00:06:05,420 --> 00:06:08,340 Okay, let's see how she feels with some Zofran 145 00:06:08,430 --> 00:06:10,050 - and a liter wide open. - Got it. 146 00:06:10,140 --> 00:06:12,140 - Yo, Whitaker. - How are you feeling? OK? 147 00:06:12,220 --> 00:06:13,600 Not so good. 148 00:06:18,060 --> 00:06:19,730 - Who do we have here? - Jean Samba-- 149 00:06:19,810 --> 00:06:21,980 54, half an hour of left-sided chest pain. 150 00:06:22,060 --> 00:06:25,150 History of hypertension, on lisinopril and Crestor. 151 00:06:25,230 --> 00:06:26,990 Some relief with two nitro. 152 00:06:27,070 --> 00:06:29,410 Decent vitals, no STEMI on 12-lead. 153 00:06:29,490 --> 00:06:31,320 Gave him 324 of chewable aspirin. 154 00:06:31,410 --> 00:06:33,370 Okay, we're going to give you a full evaluation, sir. 155 00:06:33,450 --> 00:06:36,500 Oh, if I am to die, God willing, 156 00:06:36,580 --> 00:06:38,750 I will see His pearly gates. 157 00:06:38,830 --> 00:06:40,210 What's the plan? 158 00:06:40,290 --> 00:06:41,630 Repeat 12-lead, check a troponin, 159 00:06:41,710 --> 00:06:43,040 admit for new onset angina. 160 00:06:43,130 --> 00:06:44,710 Evaluate for PE, aortic dissection. 161 00:06:44,800 --> 00:06:46,550 - That goes without saying. - Sounds good. 162 00:06:46,630 --> 00:06:48,170 I'm a minute behind you. 163 00:07:02,480 --> 00:07:03,810 And who do we have here? 164 00:07:03,900 --> 00:07:06,980 Vince Cole, 23, fell through the skylight of a florist shop, 165 00:07:07,070 --> 00:07:08,690 10 feet down to a bunch of ferns. 166 00:07:08,780 --> 00:07:10,530 Complained of headache, asking repetitive questions, 167 00:07:10,610 --> 00:07:11,780 and only responds to pain. 168 00:07:11,860 --> 00:07:13,200 Multiple lacs from the glass. 169 00:07:13,280 --> 00:07:17,870 BP 118 over 72, pulse 98, sats 99 on 5 liters. 170 00:07:17,950 --> 00:07:19,120 No meds, no allergies. 171 00:07:19,200 --> 00:07:21,170 Hey, Vince, how'd you fall through a skylight? 172 00:07:21,250 --> 00:07:22,290 Vince? 173 00:07:22,370 --> 00:07:23,380 Were you with him? 174 00:07:23,460 --> 00:07:26,250 Yeah, we were parkouring, and he overshot a kong vault. 175 00:07:26,340 --> 00:07:27,420 What, like, jumping off of buildings? 176 00:07:27,500 --> 00:07:28,760 People still do that? 177 00:07:28,840 --> 00:07:29,840 It was almost an Olympic sport. 178 00:07:29,920 --> 00:07:32,130 Now we know why it isn't. 179 00:07:34,890 --> 00:07:36,350 Pupils are equal and reactive. 180 00:07:36,430 --> 00:07:38,180 - What do you got? - A 10-foot fall, altered. 181 00:07:38,270 --> 00:07:40,230 - That's a long way down. - 10 feet is the threshold 182 00:07:40,310 --> 00:07:42,350 for trauma center activation-- 10 feet, 10% mortality. 183 00:07:42,440 --> 00:07:45,060 0%, anything over 0% is a concern. 184 00:07:45,150 --> 00:07:47,900 Somebody's annoying, and it's not me. 185 00:07:47,980 --> 00:07:50,650 Hey, you said two. You missed one. 186 00:07:50,740 --> 00:07:52,030 Sent you backup, didn't I? 187 00:07:52,110 --> 00:07:54,450 One, two, three. 188 00:07:54,530 --> 00:07:57,450 Okay. Thanks, guys. Good to see you. 189 00:07:57,530 --> 00:07:58,700 Get the EFAST. 190 00:07:58,790 --> 00:08:01,000 Ogilvie, Joy, GCS, please. 191 00:08:01,080 --> 00:08:02,500 Uh, open your eyes, sir. 192 00:08:04,040 --> 00:08:05,330 Two for eyes, two for verbal. 193 00:08:05,420 --> 00:08:07,090 Uh, good lung sliding bilaterally. 194 00:08:07,170 --> 00:08:09,840 Joy, finish GCS. 195 00:08:09,920 --> 00:08:12,590 Squeeze my hand. 196 00:08:12,670 --> 00:08:14,640 He gets a 4 for motor. 197 00:08:14,720 --> 00:08:18,970 Pulse ox 99, heart rate 102, blood pressure 114 over 78. 198 00:08:19,060 --> 00:08:21,640 - And EFAST is negative. - Music to my ears. 199 00:08:21,730 --> 00:08:23,480 Somebody shooting a documentary here? 200 00:08:23,560 --> 00:08:25,190 Whoa, whoa, whoa, you can't film in here. 201 00:08:25,270 --> 00:08:27,020 We've got patient-privacy laws. 202 00:08:27,110 --> 00:08:28,860 - What happened to your hand? - Cut it. 203 00:08:28,940 --> 00:08:31,990 Can somebody show Spielberg here out to the waiting room 204 00:08:32,070 --> 00:08:33,700 and get her registered at triage, please? 205 00:08:33,780 --> 00:08:35,660 He's my creative partner-- I have his written consent 206 00:08:35,740 --> 00:08:37,450 to film everything for our TikTok page. 207 00:08:37,530 --> 00:08:38,780 Put the camera down. 208 00:08:38,870 --> 00:08:40,740 We have to drop this video for the Fourth tonight. 209 00:08:40,830 --> 00:08:42,370 That literally means nothing to me. 210 00:08:42,450 --> 00:08:44,080 Seriously, Sean, can you escort her out, please? 211 00:08:44,160 --> 00:08:45,750 Somebody will come and find you once he's stabilized. 212 00:08:45,830 --> 00:08:46,830 Thank you. 213 00:08:46,920 --> 00:08:49,210 I would have let her stay if she'd asked nicely. 214 00:08:49,290 --> 00:08:50,920 What is the, uh, story with surgery? 215 00:08:51,000 --> 00:08:52,630 You guys getting any Westbridge transfers yet? 216 00:08:52,710 --> 00:08:54,300 Not yet, but I'm sure it's coming. 217 00:08:54,380 --> 00:08:56,840 Pan scan, head through pelvis. Let's get him to CT ASAP. 218 00:08:56,930 --> 00:08:58,390 Absent gag. 219 00:08:58,470 --> 00:09:01,680 We need to intubate before CT. 220 00:09:01,770 --> 00:09:03,230 C-can I do it? 221 00:09:03,310 --> 00:09:04,690 Uh, I'm keeping a procedure log, 222 00:09:04,770 --> 00:09:06,480 and I need more intubations on this rotation. 223 00:09:06,560 --> 00:09:08,690 If Dr. McKay wants to teach? 224 00:09:08,770 --> 00:09:10,520 Sure. 225 00:09:10,610 --> 00:09:12,320 Okay, uh, I need suction. 226 00:09:12,400 --> 00:09:15,070 8-oh tube, etomidate and sux, end tidal CO2. 227 00:09:15,150 --> 00:09:16,570 Ambitious. 228 00:09:16,660 --> 00:09:19,120 He reminds me of someone I know very well. 229 00:09:21,580 --> 00:09:23,410 Can you not? 230 00:09:23,500 --> 00:09:24,750 Yeah, sorry. 231 00:09:24,830 --> 00:09:26,710 Hot off the press. 232 00:09:26,790 --> 00:09:28,330 Okay. 233 00:09:28,420 --> 00:09:31,750 No STEMI, doesn't need to go right to the cath lab. 234 00:09:33,880 --> 00:09:35,130 And orders are in. 235 00:09:35,220 --> 00:09:36,510 Whitaker, try another nitro 236 00:09:36,590 --> 00:09:38,050 and let me know when the troponin's back. 237 00:09:38,140 --> 00:09:40,550 - Yeah. Hey, hey, Jesse? - Mm. 238 00:09:40,640 --> 00:09:42,350 Do you think you could repeat this 239 00:09:42,430 --> 00:09:45,180 but with the chest leads on his back? 240 00:09:45,270 --> 00:09:46,890 Why? 241 00:09:46,980 --> 00:09:49,650 T Waves are kind of high with ST depression anterior. 242 00:09:49,730 --> 00:09:51,360 We see ST depression all the time. 243 00:09:51,440 --> 00:09:53,940 Yeah, but it could be a posterior MI. 244 00:09:54,030 --> 00:09:55,240 All right, run it by the attending. 245 00:09:55,320 --> 00:09:57,110 If they agree, we'll do it. 246 00:09:57,200 --> 00:09:58,740 Thank you. 247 00:09:58,820 --> 00:10:02,160 Uh, Victoria, if his CT's normal, he'll need an LP. 248 00:10:02,240 --> 00:10:04,290 Got it. 249 00:10:04,370 --> 00:10:05,580 Dr. Al-Hashimi. 250 00:10:05,660 --> 00:10:08,120 This is Jada Davis, Jackson's sister. 251 00:10:08,210 --> 00:10:10,380 - Oh, thank you. Hi. - Is he okay? 252 00:10:10,460 --> 00:10:12,000 And why is he asleep? 253 00:10:12,090 --> 00:10:14,300 Well, he was uncooperative when he first arrived 254 00:10:14,380 --> 00:10:17,340 - and needed to be sedated. - "Uncooperative"? 255 00:10:17,420 --> 00:10:20,470 That doesn't make any sense. What happened? 256 00:10:20,550 --> 00:10:22,640 We're still trying to piece the story together. 257 00:10:22,720 --> 00:10:24,770 He was brought in by a campus security guard 258 00:10:24,850 --> 00:10:26,600 who Tased him after he was allegedly... 259 00:10:26,680 --> 00:10:28,190 - "Tased him"? - Combative and violent. 260 00:10:28,270 --> 00:10:29,770 Wait, what do you mean, Tased him? 261 00:10:29,850 --> 00:10:31,480 We've treated his injury, and now we're trying 262 00:10:31,560 --> 00:10:34,320 to understand why he was so agitated. 263 00:10:34,400 --> 00:10:36,230 Okay, this doesn't sound like my brother. 264 00:10:36,320 --> 00:10:38,030 Well, his drug screen came back negative, 265 00:10:38,110 --> 00:10:40,160 so now we're taking Jackson to get a CT scan of his brain 266 00:10:40,240 --> 00:10:42,450 - to look for any abnormalities. - Can I go with him? 267 00:10:42,530 --> 00:10:44,120 You can't go into the CT, 268 00:10:44,200 --> 00:10:46,660 but you can wait for him to come back. 269 00:10:46,750 --> 00:10:49,790 And then we can discuss next steps. 270 00:10:49,870 --> 00:10:52,080 Okay. 271 00:10:52,170 --> 00:10:53,880 Just did my first ER intubation. 272 00:10:53,960 --> 00:10:55,590 - That's great, man. - Such a prick. 273 00:10:55,670 --> 00:10:57,260 - You got a second? - What's up? 274 00:10:57,340 --> 00:10:59,800 12-lead on my chest-pain patient shows no STEMI, 275 00:10:59,880 --> 00:11:03,640 but the anterior leads might be suspicious for a posterior MI? 276 00:11:03,720 --> 00:11:05,810 Uh... agreed. 277 00:11:05,890 --> 00:11:07,640 Yeah, I was going to repeat, but with the chest leads 278 00:11:07,720 --> 00:11:09,230 - on the back. - V7 through V9. 279 00:11:09,310 --> 00:11:10,890 - Good idea. - Thank you. 280 00:11:14,020 --> 00:11:16,230 Hey, Dr. Robby gave the go-ahead for the back leads. 281 00:11:16,320 --> 00:11:18,030 Sorry, man, I got a call report 282 00:11:18,110 --> 00:11:20,530 on a septic patient going to the ICU. 283 00:11:20,610 --> 00:11:22,110 Busy today, huh? 284 00:11:22,200 --> 00:11:24,450 Uh, well, it's 10:15. 285 00:11:24,530 --> 00:11:26,450 We're actually just getting started. 286 00:11:26,540 --> 00:11:28,080 - Oh. - There she is. 287 00:11:28,160 --> 00:11:32,330 Dr. Mohan, uh, this is Lorrie Diaz, Orlando's wife. 288 00:11:32,420 --> 00:11:33,790 - Thank you, Perlah. - Thank you. 289 00:11:33,880 --> 00:11:35,000 - Hi, Mrs. Diaz. - Hi. 290 00:11:35,090 --> 00:11:36,710 Let me take you to your husband. 291 00:11:36,800 --> 00:11:38,460 Ay, mi amor. 292 00:11:38,550 --> 00:11:40,800 I'm sorry you have to be here alone. 293 00:11:40,880 --> 00:11:43,840 I missed my first bus transfer and-- 294 00:11:43,930 --> 00:11:46,010 Anyway... 295 00:11:46,100 --> 00:11:47,100 Hey. 296 00:11:47,180 --> 00:11:49,310 How'd I get here? 297 00:11:49,390 --> 00:11:50,980 You fell at your construction site. 298 00:11:51,060 --> 00:11:52,730 A coworker brought you in. 299 00:11:52,810 --> 00:11:54,900 He's a lot better but doesn't remember anything. 300 00:11:54,980 --> 00:11:58,110 That's common after a concussion or DKA. 301 00:11:58,190 --> 00:11:59,900 DKA? 302 00:11:59,990 --> 00:12:03,160 It's a serious complication of your husband's diabetes. 303 00:12:03,240 --> 00:12:05,160 How serious? Can he go home? 304 00:12:05,240 --> 00:12:07,660 We still have to clear the ketones from his bloodstream. 305 00:12:07,740 --> 00:12:10,540 He'll need to be on an insulin drip for a while 306 00:12:10,620 --> 00:12:12,830 until things get back to normal. 307 00:12:12,910 --> 00:12:16,130 Best if he stays in the hospital. 308 00:12:16,210 --> 00:12:17,840 It's okay, Mom. 309 00:12:17,920 --> 00:12:20,050 Things are headed in the right direction, Mrs. Diaz. 310 00:12:20,130 --> 00:12:22,300 - He's going to be better. - Mm. 311 00:12:24,840 --> 00:12:27,220 Sorry. I got to check his blood sugar. 312 00:12:27,300 --> 00:12:29,770 - Oh, do you mind? - Absolutely. 313 00:12:31,060 --> 00:12:34,140 So the thing is... 314 00:12:34,230 --> 00:12:36,610 we don't have health insurance. 315 00:12:36,690 --> 00:12:38,230 So... 316 00:12:38,320 --> 00:12:41,650 I don't think that we can afford this. 317 00:12:41,740 --> 00:12:45,240 I'll have our case manager, Noelle Hastings, come by. 318 00:12:45,320 --> 00:12:47,530 She's an expert in health insurance. 319 00:12:47,620 --> 00:12:50,120 She might have some options for you for coverage. 320 00:12:50,200 --> 00:12:51,750 - Okay. - Thank you. 321 00:12:56,790 --> 00:12:58,920 - Crap. - What's wrong? 322 00:12:59,000 --> 00:13:01,760 Uh, some of the leads aren't sticking here. 323 00:13:01,840 --> 00:13:03,920 Can I lay down now? I'm tired. 324 00:13:04,010 --> 00:13:05,720 Yeah, as soon as we're done here. 325 00:13:05,800 --> 00:13:08,260 Whitaker, Louie's all numb. His tooth is ready for you. 326 00:13:08,350 --> 00:13:09,350 That's great. 327 00:13:09,430 --> 00:13:12,890 Hey, I'm having some trouble here with adherence. 328 00:13:12,970 --> 00:13:14,850 Oh. Of course you are. 329 00:13:14,940 --> 00:13:16,600 Uh, try this. 330 00:13:16,690 --> 00:13:18,400 Oh, yeah. That makes sense. 331 00:13:18,480 --> 00:13:20,860 Uh, you think you could-- 332 00:13:23,030 --> 00:13:24,900 Do you mind if I paint some sticky stuff on you? 333 00:13:24,990 --> 00:13:26,360 Oh. 334 00:13:26,450 --> 00:13:29,990 If you must prolong the inevitable, so be it. 335 00:13:30,080 --> 00:13:32,660 You'll get to lie down afterwards. 336 00:13:32,740 --> 00:13:34,410 No success with the mineral oil. 337 00:13:34,500 --> 00:13:36,540 That's what I said. 338 00:13:36,620 --> 00:13:38,460 So now what? 339 00:13:38,540 --> 00:13:39,790 You can wait one to two weeks 340 00:13:39,880 --> 00:13:42,170 for the superglue to break down on its own. 341 00:13:42,250 --> 00:13:44,170 I'm hosting a Fourth of July party tonight. 342 00:13:44,260 --> 00:13:46,510 You want me to show up like this? 343 00:13:46,590 --> 00:13:50,550 The other option is I trim your eyelashes halfway down. 344 00:13:50,640 --> 00:13:53,140 That'll lower the strength of the glue holding them together. 345 00:13:53,220 --> 00:13:55,560 Let's do that. 346 00:13:55,640 --> 00:13:57,690 Lie back, please. 347 00:14:01,650 --> 00:14:03,940 I need you to hold your head perfectly still, 348 00:14:04,030 --> 00:14:05,610 keep your eye closed. 349 00:14:05,690 --> 00:14:08,280 My eye can't open. That's why I'm here. 350 00:14:08,360 --> 00:14:10,700 No, I mean, your other eye, too. 351 00:14:15,620 --> 00:14:17,410 Okay, here we go. 352 00:14:17,500 --> 00:14:19,370 Perfect, Mr. Samba. 353 00:14:19,460 --> 00:14:21,790 All good here. 354 00:14:21,880 --> 00:14:24,420 Feeling... dizzy. 355 00:14:24,500 --> 00:14:28,130 We'll put you down in a second. 356 00:14:28,220 --> 00:14:29,760 Holy shit. 357 00:14:29,840 --> 00:14:33,560 ST elevation, V7, V8, V9. 358 00:14:33,640 --> 00:14:36,220 - It's a posterior STEMI. - What's that? 359 00:14:36,310 --> 00:14:38,230 It's the worst kind of heart attack. 360 00:14:38,310 --> 00:14:40,940 Mr. Samba. 361 00:14:41,020 --> 00:14:42,360 Mr. Samba! 362 00:14:42,440 --> 00:14:44,730 Hey, I could use a second set of hands here! 363 00:14:44,820 --> 00:14:46,320 Pulseless V tach. 364 00:14:46,400 --> 00:14:48,700 Start compressions. 365 00:14:48,780 --> 00:14:50,450 Charging to 200. 366 00:14:53,160 --> 00:14:55,490 Clear. 367 00:14:55,580 --> 00:14:57,910 Okay, resume compressions. 368 00:14:58,000 --> 00:14:59,460 Code STEMI. It was posterior. 369 00:14:59,540 --> 00:15:01,080 Yeah, good call. 370 00:15:01,170 --> 00:15:03,750 - You put the defib pads on? - Yeah, just in case. 371 00:15:03,840 --> 00:15:05,460 Hold compressions. 372 00:15:08,550 --> 00:15:11,010 - Normal sinus. - All right. 373 00:15:11,090 --> 00:15:12,760 Got a strong pulse. Check the BP. 374 00:15:12,840 --> 00:15:15,100 All right, we'll prep him for cath lab. 375 00:15:16,470 --> 00:15:19,430 Hey, Mr. Samba, you're going to be okay. 376 00:15:19,520 --> 00:15:20,940 No pearly gates today. 377 00:15:21,020 --> 00:15:24,480 - Really good pickup, Whitaker. - Thank you. 378 00:15:24,560 --> 00:15:25,900 Ah. 379 00:15:26,780 --> 00:15:28,860 Has a patient ever flirted with you? 380 00:15:28,940 --> 00:15:30,490 Sure. Why? 381 00:15:30,570 --> 00:15:32,740 There was this guy this morning-- 382 00:15:32,820 --> 00:15:34,490 he turned out to be a criminal, 383 00:15:34,570 --> 00:15:36,160 but, yeah, it was a nice distraction 384 00:15:36,240 --> 00:15:37,490 from the deposition. 385 00:15:37,580 --> 00:15:38,830 You still worried about that? 386 00:15:38,910 --> 00:15:40,290 Yep. Yeah, counting down the hours. 387 00:15:40,370 --> 00:15:42,460 There are five left, if you're wondering. 388 00:15:45,590 --> 00:15:47,000 Hi, Miss Ronson. 389 00:15:47,090 --> 00:15:48,250 Phylicia, please. 390 00:15:48,340 --> 00:15:49,920 Phylicia, I'm Dr. King. 391 00:15:50,010 --> 00:15:51,470 This is my colleague Dr. Santos. 392 00:15:51,550 --> 00:15:53,050 What brings you in today? 393 00:15:53,130 --> 00:15:55,350 I've had this pretty bad cough for a few days now. 394 00:15:55,430 --> 00:15:56,720 Do you smoke? 395 00:15:56,810 --> 00:15:58,390 Are coughing up anything, any chest pain? 396 00:15:58,470 --> 00:16:00,140 No, no, and no. 397 00:16:00,230 --> 00:16:02,390 I honestly think I picked it up at work. 398 00:16:02,480 --> 00:16:04,190 - It was going around. - Oh, where do you work? 399 00:16:04,270 --> 00:16:06,940 - I'm in corporate at PNC Bank. - Sit forward, please. 400 00:16:07,020 --> 00:16:08,730 It could be an office bug. 401 00:16:08,820 --> 00:16:11,820 Or I got it from the gym. I'm there all the time. 402 00:16:16,370 --> 00:16:18,740 Do you have anything to ask, Dr. Santos? 403 00:16:18,830 --> 00:16:20,330 What? 404 00:16:20,410 --> 00:16:22,160 Do you have any questions to ask our patient? 405 00:16:22,250 --> 00:16:24,080 Uh, no, I'm good. 406 00:16:24,170 --> 00:16:25,790 Okay. What'd you hear? 407 00:16:25,880 --> 00:16:28,090 Maybe some crackles at the right base. 408 00:16:28,170 --> 00:16:31,550 Okay, well, we're going to need a chest X-ray 409 00:16:31,630 --> 00:16:32,840 to check your lungs. 410 00:16:32,920 --> 00:16:34,380 Will that take long? 411 00:16:34,470 --> 00:16:35,970 Maybe I can still make it to the office. 412 00:16:36,050 --> 00:16:38,810 It shouldn't. 413 00:16:38,890 --> 00:16:42,060 - You can go put the orders in. - Yeah. 414 00:16:44,770 --> 00:16:47,560 - How are we doing in here? - Oh, this is thrilling. 415 00:16:47,650 --> 00:16:50,320 Definitely worth $200,000 worth of student debt. 416 00:16:50,400 --> 00:16:51,650 Ha. 417 00:16:51,740 --> 00:16:53,280 Superficial ones get a steri-strip. 418 00:16:53,360 --> 00:16:55,360 Full thickness, try Dermabond. 419 00:16:55,450 --> 00:16:57,530 How can you tell they need a suture, Joy? 420 00:16:57,620 --> 00:16:59,700 If the edges are under significant tension. 421 00:16:59,780 --> 00:17:01,580 I didn't realize your name was Joy. 422 00:17:01,660 --> 00:17:04,160 I'm going to have to tell my parents how trendy they were. 423 00:17:05,960 --> 00:17:08,380 CT head, neck, chest, abdomen, and pelvis, 424 00:17:08,460 --> 00:17:10,340 - all normal on preliminary read. - Lucky guy. 425 00:17:10,420 --> 00:17:11,880 Little bit of oozing. 426 00:17:11,960 --> 00:17:13,550 Uh, pressure for two minutes. 427 00:17:13,630 --> 00:17:16,180 Lidocaine and epi if that doesn't work. 428 00:17:16,260 --> 00:17:18,300 Are the admit orders in for Surgical ICU? 429 00:17:18,390 --> 00:17:19,850 Fuck! 430 00:17:19,930 --> 00:17:21,140 What? 431 00:17:21,220 --> 00:17:23,730 - This. - Ah. 432 00:17:23,810 --> 00:17:26,730 - Irrigation saline. - It's just a small cut. 433 00:17:26,810 --> 00:17:28,810 It is a work-related blood exposure, 434 00:17:28,900 --> 00:17:30,610 which means you're a patient now. 435 00:17:30,690 --> 00:17:31,860 - Are you serious? - Needle stick? 436 00:17:31,940 --> 00:17:33,400 Piece of glass. 437 00:17:33,490 --> 00:17:35,450 - Here you go. - Thanks. 438 00:17:36,740 --> 00:17:38,360 No past records on this guy. 439 00:17:38,450 --> 00:17:40,450 We don't know HIV or hepatitis status. 440 00:17:40,530 --> 00:17:44,040 I'll put the orders in, HIV antibody, Hep B surface, 441 00:17:44,120 --> 00:17:45,540 and Hep C. 442 00:17:45,620 --> 00:17:47,420 She needs post-exposure medication. 443 00:17:47,500 --> 00:17:48,920 Maybe not. 444 00:17:49,000 --> 00:17:51,290 For occupational exposure, the rapid HIV test 445 00:17:51,380 --> 00:17:54,260 - takes an hour or two. - Subcutaneous puncture wound. 446 00:17:54,340 --> 00:17:56,880 No risk of joint or tendon involvement. 447 00:17:56,970 --> 00:17:59,470 Elevate, pressure, and then a Band-Aid. 448 00:17:59,550 --> 00:18:01,430 Give yourself a dose of PEP if you want 449 00:18:01,510 --> 00:18:02,600 while you're waiting for results. 450 00:18:02,680 --> 00:18:04,520 Start a chart, and I'll find another nurse 451 00:18:04,600 --> 00:18:05,850 for your blood draw. 452 00:18:05,930 --> 00:18:07,730 Great. 453 00:18:07,810 --> 00:18:09,980 Looks like we've got a couple more diverted from Westbridge. 454 00:18:10,060 --> 00:18:11,520 Any estimate on their downtime? 455 00:18:11,610 --> 00:18:14,610 Not yet. 456 00:18:14,690 --> 00:18:16,440 Time to pull Dr. Langdon from triage? 457 00:18:16,530 --> 00:18:18,240 No, no. First day back. 458 00:18:18,320 --> 00:18:20,820 I want to let him kind of ease into things. 459 00:18:20,910 --> 00:18:22,950 Understood. I'll keep an eye on it. 460 00:18:23,030 --> 00:18:25,080 Thank you very much. 461 00:18:25,160 --> 00:18:26,660 Thinking about changing your bet? 462 00:18:26,750 --> 00:18:29,290 I am just weighing my odds. 463 00:18:29,370 --> 00:18:33,090 Don't worry. I'll buy you a drink with my winnings. 464 00:18:38,680 --> 00:18:40,260 Your brother should be back shortly. 465 00:18:40,340 --> 00:18:43,100 There was a little holdup at CT. 466 00:18:43,180 --> 00:18:45,520 Um, should I be worried? 467 00:18:45,600 --> 00:18:48,690 Let's wait and see what his test results say. 468 00:18:48,770 --> 00:18:51,270 This is just, um... 469 00:18:51,350 --> 00:18:53,770 this just doesn't make any sense. 470 00:18:53,860 --> 00:18:55,900 It doesn't sound like my brother at all. 471 00:18:55,980 --> 00:18:58,650 He's the--the friendliest guy I know. 472 00:18:58,740 --> 00:19:00,990 He never even gets angry, barely yells. 473 00:19:01,070 --> 00:19:03,530 He's never had an episode like this in the past? 474 00:19:03,620 --> 00:19:06,950 No, or not that I know of. 475 00:19:07,040 --> 00:19:09,210 He's in a great relationship. 476 00:19:09,290 --> 00:19:10,920 And he's in law school 477 00:19:11,000 --> 00:19:13,710 'cause he wants to help people. 478 00:19:13,790 --> 00:19:16,500 He always tells me that I should, um... 479 00:19:16,590 --> 00:19:18,920 follow my dreams, 480 00:19:19,010 --> 00:19:22,010 even if it means my parents may disown me. 481 00:19:24,010 --> 00:19:25,560 Should I call them? 482 00:19:25,640 --> 00:19:28,520 I think that's a good idea. 483 00:19:28,600 --> 00:19:30,850 This--this could be pretty serious. 484 00:19:35,610 --> 00:19:37,610 - Thanks. - Mm-hmm. 485 00:19:43,780 --> 00:19:46,160 The new radiologist is a hottie. 486 00:19:46,240 --> 00:19:47,740 Okay. 487 00:19:47,830 --> 00:19:49,410 Um... 488 00:19:49,500 --> 00:19:52,460 his head CT is normal, as are his blood and urine tests. 489 00:19:52,540 --> 00:19:54,330 Then--then what's wrong with him? 490 00:19:54,420 --> 00:19:56,460 We're not, um, sure yet. 491 00:19:56,540 --> 00:19:59,090 There is another test-- a-a spinal tap. 492 00:19:59,170 --> 00:20:00,970 This could be, um, an infection 493 00:20:01,050 --> 00:20:03,340 in the fluid that surrounds the brain--viral encephalitis. 494 00:20:03,430 --> 00:20:05,760 Um, it can also cause... 495 00:20:05,850 --> 00:20:08,810 altered mental status and confusion. 496 00:20:08,890 --> 00:20:11,180 Can you treat it, if it is? 497 00:20:11,270 --> 00:20:12,520 Yes. 498 00:20:14,270 --> 00:20:15,400 Okay. 499 00:20:15,480 --> 00:20:17,230 Okay. 500 00:20:17,320 --> 00:20:19,480 I'll go find Dr. Al-Hashimi, and--and we'll do it together. 501 00:20:19,570 --> 00:20:21,440 - Thank you. - Of course. 502 00:20:25,700 --> 00:20:28,830 Just what we thought-- it's a fracture of your coccyx. 503 00:20:28,910 --> 00:20:30,410 It's your tailbone. 504 00:20:30,500 --> 00:20:32,790 Yeah, see, these pieces here 505 00:20:32,870 --> 00:20:35,830 should be lined up with that part here. 506 00:20:35,920 --> 00:20:37,960 - Do I need surgery? - No. 507 00:20:38,040 --> 00:20:41,460 No, no, these heal pretty well, but it'll take about six weeks. 508 00:20:43,090 --> 00:20:45,340 "Six weeks"? 509 00:20:45,430 --> 00:20:47,800 I have dinner dates every weekend. 510 00:20:49,140 --> 00:20:52,230 You can keep your-- still keep your dinner plans. 511 00:20:52,310 --> 00:20:56,270 Dinner starts at Pino's, the best Italian in town. 512 00:20:56,350 --> 00:20:57,360 Mm-hmm. 513 00:20:57,440 --> 00:20:59,820 A nightcap at my place usually follows, 514 00:20:59,900 --> 00:21:02,320 and then breakfast in bed. 515 00:21:02,400 --> 00:21:04,530 Ah, okay. 516 00:21:04,610 --> 00:21:06,030 Well, in that case, you might-- 517 00:21:06,110 --> 00:21:09,280 you might need to take a little break. 518 00:21:09,370 --> 00:21:12,250 My greatest joy in life is my social calendar. 519 00:21:12,330 --> 00:21:14,330 - Mm. - Hmm? 520 00:21:19,340 --> 00:21:22,050 Is there something else you can do? 521 00:21:22,130 --> 00:21:25,430 W-well, there-- there is a procedure 522 00:21:25,510 --> 00:21:27,720 to push the fragments back in place. 523 00:21:27,800 --> 00:21:30,640 - It could help it heal faster. - Now we're talking. 524 00:21:30,720 --> 00:21:33,140 Yeah, but it'll hurt pretty bad but only for a second. 525 00:21:33,220 --> 00:21:34,770 I can take it. 526 00:21:36,520 --> 00:21:38,060 Okay. 527 00:21:38,150 --> 00:21:40,360 Come here. Back in the gown. 528 00:21:50,580 --> 00:21:52,490 How's it going over here? 529 00:21:52,580 --> 00:21:54,620 Better now. 530 00:21:56,750 --> 00:21:58,750 Uh... 531 00:22:00,170 --> 00:22:04,090 Oh, the X-ray is back on your foot, 532 00:22:04,170 --> 00:22:06,760 and no fracture. 533 00:22:06,840 --> 00:22:10,300 So, um, ACE wrap, ice, rest, and elevate, 534 00:22:10,390 --> 00:22:12,760 and you can take ibuprofen if you need it. 535 00:22:14,270 --> 00:22:15,770 So that's it? 536 00:22:15,850 --> 00:22:17,730 Well, if it's--if it's too painful to bear weight, 537 00:22:17,810 --> 00:22:21,020 we can give you crutches to use for a day or two. 538 00:22:21,110 --> 00:22:23,320 So I won't be seeing you again. 539 00:22:24,570 --> 00:22:26,190 Uh... 540 00:22:26,280 --> 00:22:28,700 as a patient, no, but... 541 00:22:28,780 --> 00:22:31,320 it was nice meeting you, Brian. 542 00:22:31,410 --> 00:22:33,790 It was nice meeting you, too, Dr. McKay. 543 00:22:49,260 --> 00:22:51,930 You know, I was-- I was going to go check out 544 00:22:52,010 --> 00:22:55,520 a few of the art galleries in Lawrenceville tonight. 545 00:22:55,600 --> 00:22:58,270 Have you been to that one on 40th and Butler? 546 00:22:58,350 --> 00:23:00,730 No, I was, um, gonna go by. 547 00:23:00,810 --> 00:23:03,150 Maybe around 9:00? 548 00:23:03,230 --> 00:23:04,270 Okay. 549 00:23:05,570 --> 00:23:07,490 - Cool. - Cool. 550 00:23:10,030 --> 00:23:11,950 Dude, I resuscitated that parkour guy 551 00:23:12,030 --> 00:23:13,160 and--and intubated a STEMI. 552 00:23:13,240 --> 00:23:14,530 I think I can handle this. 553 00:23:14,620 --> 00:23:16,740 It's best if you watch the first one. 554 00:23:16,830 --> 00:23:18,410 How's that tooth feeling? 555 00:23:18,500 --> 00:23:21,000 The whole side of my face is numb. 556 00:23:21,080 --> 00:23:23,290 That's how we like it. 557 00:23:23,380 --> 00:23:26,840 Okay, we've got a... 558 00:23:26,920 --> 00:23:28,880 a fluctuant gumline at-- 559 00:23:28,970 --> 00:23:31,590 Tooth number 23, lateral incisor. 560 00:23:31,680 --> 00:23:35,100 - With an extension to an-- - Apical abscess. 561 00:23:35,180 --> 00:23:37,520 - Right again. - Ah, the kid's smart. 562 00:23:37,600 --> 00:23:39,180 Mm-hmm. Hook up the Yankauer. 563 00:23:39,270 --> 00:23:41,270 Get ready to retract the gum. 564 00:23:41,350 --> 00:23:43,770 Hey, Louie, this is a temporary fix, okay? 565 00:23:43,860 --> 00:23:46,320 You're going to need to get that tooth pulled by a dentist. 566 00:23:46,400 --> 00:23:48,190 Hey, you going to find me one? 567 00:23:48,280 --> 00:23:50,700 We can have you talk to Dylan. 568 00:23:50,780 --> 00:23:52,990 Is Dr. Collins around? 569 00:23:53,070 --> 00:23:55,580 Sister always helps me out. 570 00:23:55,660 --> 00:23:59,040 Uh, Dr. Collins finished her residency, 571 00:23:59,120 --> 00:24:01,750 took up a job in Portland as an attending physician. 572 00:24:01,830 --> 00:24:03,080 "Portland"? 573 00:24:03,170 --> 00:24:04,960 Yeah, I think that's where she's from. 574 00:24:05,040 --> 00:24:06,380 She's adopting a baby. 575 00:24:06,460 --> 00:24:08,590 Wanted to be closer to her family. 576 00:24:08,670 --> 00:24:10,420 Well, that's a beautiful thing. 577 00:24:10,510 --> 00:24:13,340 - We're set. - Okay. Ready? 578 00:24:15,010 --> 00:24:18,600 Okay, 3-cc syringe, 579 00:24:18,680 --> 00:24:22,440 20-gauge needle entering at the juiciest part, 580 00:24:22,520 --> 00:24:24,900 aiming for the apex. 581 00:24:27,190 --> 00:24:29,030 - Send that for culture? - No. 582 00:24:29,110 --> 00:24:30,610 Pen V.K. for a few days. 583 00:24:30,690 --> 00:24:32,820 Bugs in the mouth are old school. 584 00:24:32,900 --> 00:24:35,030 Ah, just like me. 585 00:24:36,570 --> 00:24:38,120 Both parents work, 586 00:24:38,200 --> 00:24:40,040 but neither of them have health coverage? 587 00:24:40,120 --> 00:24:43,080 Orlando and his wife have multiple part-time jobs 588 00:24:43,160 --> 00:24:45,250 that don't offer insurance. 589 00:24:45,330 --> 00:24:47,000 Can they qualify for Medicaid? 590 00:24:47,080 --> 00:24:49,840 Unfortunately, no, because their combined annual income 591 00:24:49,920 --> 00:24:52,130 is over the Medicaid threshold for a family of five. 592 00:24:52,220 --> 00:24:53,670 So they make too much money? 593 00:24:53,760 --> 00:24:55,840 And not enough at the same time. 594 00:24:55,930 --> 00:24:57,850 They live over the poverty line, 595 00:24:57,930 --> 00:25:01,640 and yet they are still living paycheck to paycheck. 596 00:25:01,720 --> 00:25:03,480 I think their best option 597 00:25:03,560 --> 00:25:05,850 would be to buy private insurance 598 00:25:05,940 --> 00:25:07,650 through the Affordable Care Act. 599 00:25:07,730 --> 00:25:09,730 Thank you. 600 00:25:09,820 --> 00:25:12,490 My parents don't have insurance? 601 00:25:12,570 --> 00:25:14,570 I'm sorry, Ana. 602 00:25:14,650 --> 00:25:17,200 How much will it cost to keep my dad in the hospital? 603 00:25:17,280 --> 00:25:20,030 I don't know. 604 00:25:20,120 --> 00:25:22,830 But the ER visit alone will likely be in the thousands. 605 00:25:25,160 --> 00:25:28,580 We will figure something out, okay? 606 00:25:33,050 --> 00:25:34,800 Purple top for the CBC. 607 00:25:34,880 --> 00:25:37,640 Red top for chemistries and serologies. 608 00:25:37,720 --> 00:25:38,970 Okay. 609 00:25:40,890 --> 00:25:42,680 - Ready? - Uh, yeah. 610 00:25:42,770 --> 00:25:46,560 I can be a hard stick, though. 611 00:25:46,640 --> 00:25:48,190 Now or never, hon. 612 00:25:49,690 --> 00:25:51,690 Okay. 613 00:25:51,770 --> 00:25:54,820 One, two... 614 00:25:54,900 --> 00:25:56,570 three. 615 00:25:56,650 --> 00:25:58,700 - Good blood return. - Oh, thank God. 616 00:25:58,780 --> 00:25:59,990 Pop one on. 617 00:26:04,790 --> 00:26:06,750 You're supposed to release the tourniquet now. 618 00:26:06,830 --> 00:26:08,670 Right. Sorry. 619 00:26:12,170 --> 00:26:13,880 Lab won't take it without your initials, 620 00:26:13,960 --> 00:26:15,340 time, and date drawn. 621 00:26:15,420 --> 00:26:16,920 - How you feeling? - Peachy. 622 00:26:17,010 --> 00:26:20,430 Hopefully I get to do this several times every day. 623 00:26:20,510 --> 00:26:21,800 All set. 624 00:26:23,310 --> 00:26:25,640 Keep some pressure here for a minute. 625 00:26:25,730 --> 00:26:27,640 Initials, time, and date. 626 00:26:29,650 --> 00:26:30,810 Oh. 627 00:26:33,730 --> 00:26:35,230 Shit. 628 00:26:37,030 --> 00:26:38,820 Environmental to North. 629 00:26:38,900 --> 00:26:40,950 Sorry. 630 00:26:41,030 --> 00:26:42,910 How is he? 631 00:26:42,990 --> 00:26:45,370 He's stable. He's doing great. 632 00:26:45,450 --> 00:26:48,160 Doesn't look great. 633 00:26:48,250 --> 00:26:49,870 Is there brain damage? 634 00:26:49,960 --> 00:26:52,920 The head CT showed no bleeding or skull fracture. 635 00:26:53,000 --> 00:26:54,710 It's most likely a bad concussion. 636 00:26:54,800 --> 00:26:57,920 It's hard to know when he'll regain consciousness. 637 00:26:58,010 --> 00:26:59,930 - Did he break any bones? - We don't think so. 638 00:27:00,010 --> 00:27:02,390 He should thank those ferns. 639 00:27:02,470 --> 00:27:04,390 Uh, chest and abdomen CT scans 640 00:27:04,470 --> 00:27:06,890 also showed no major internal injuries. 641 00:27:06,970 --> 00:27:08,600 Mm-hmm. 642 00:27:08,680 --> 00:27:10,270 What's that? 643 00:27:13,900 --> 00:27:15,820 Whoa, whoa, whoa, whoa, whoa. 644 00:27:15,900 --> 00:27:18,490 We need respiratory therapy in here! 645 00:27:20,030 --> 00:27:21,660 Okay. 646 00:27:21,740 --> 00:27:24,200 One, two, three, over. 647 00:27:24,280 --> 00:27:25,620 You got a problem with the vent? 648 00:27:25,700 --> 00:27:26,990 No, he's bleeding from the back. 649 00:27:27,080 --> 00:27:28,450 Got to prone him to take a look. 650 00:27:28,540 --> 00:27:30,750 Back away, Tanya. One, two, three, up. 651 00:27:30,830 --> 00:27:32,670 One, two, three, over. 652 00:27:32,750 --> 00:27:34,590 - Good. - Oh, shit. 653 00:27:34,670 --> 00:27:36,380 - Left-flank area. - Careful. Careful, everybody. 654 00:27:36,460 --> 00:27:37,460 - There might be glass. - That's a lot of blood. 655 00:27:37,550 --> 00:27:38,800 2-centimeter simple laceration. 656 00:27:38,880 --> 00:27:41,090 Open a suture kit, 4-0 Prolene. 657 00:27:41,180 --> 00:27:42,800 He wasn't bleeding when we flipped him on arrival. 658 00:27:42,890 --> 00:27:44,600 No, but when we moved him around for CT, 659 00:27:44,680 --> 00:27:46,220 it might have rubbed off a clot. 660 00:27:46,310 --> 00:27:47,600 Slow venous oozing. 661 00:27:47,680 --> 00:27:50,020 I might need a figure of eight. 662 00:27:54,810 --> 00:27:56,820 Yeah, little piece of glass in there. 663 00:27:56,900 --> 00:27:57,900 It's just under the skin. 664 00:27:57,980 --> 00:28:00,280 - Is it a loose fragment? - Yeah, I can wiggle it around. 665 00:28:00,360 --> 00:28:01,650 - Here, I'll pull it out. - No, don't. 666 00:28:01,740 --> 00:28:03,030 Shit. 667 00:28:03,110 --> 00:28:05,030 Uh, that's--it's bigger than I thought it would be. 668 00:28:05,120 --> 00:28:06,490 - Shit. - That looks arterial. 669 00:28:06,580 --> 00:28:08,580 Can I get some 4-by-4s over here, please? 670 00:28:08,660 --> 00:28:09,790 Oh, I'm going to be sick. 671 00:28:09,870 --> 00:28:10,790 Put some pressure on this from all sides. 672 00:28:10,870 --> 00:28:12,040 Hard and deep, please. 673 00:28:12,120 --> 00:28:13,580 - I can push it back in. - No! 674 00:28:13,670 --> 00:28:15,000 No, you've done enough damage. 675 00:28:15,080 --> 00:28:16,460 Should I keep pulling it out, then? 676 00:28:16,540 --> 00:28:19,460 Absolutely not. The glass was tamponading a vessel. 677 00:28:19,550 --> 00:28:22,470 Not anymore. BP's down. Page surgery! 678 00:28:26,260 --> 00:28:29,270 - Ah, I was looking for you. - Well, you found me. 679 00:28:29,350 --> 00:28:31,600 Um, the X-ray came back on the lady with the cough. 680 00:28:31,680 --> 00:28:34,060 - Mm-hmm. - Weird infiltrate. Have you seen it yet? 681 00:28:34,150 --> 00:28:35,940 No, I've been trying to catch up on my charting. 682 00:28:36,020 --> 00:28:37,570 Right here. 683 00:28:37,650 --> 00:28:39,900 Yep, stringy right lower lobe. 684 00:28:39,980 --> 00:28:42,700 It looks like aspiration pneumonia. 685 00:28:42,780 --> 00:28:44,280 Think about it. 686 00:28:44,360 --> 00:28:47,370 How do oral and gastric fluids end up in lungs? 687 00:28:47,450 --> 00:28:50,290 Um, dysphagia, swallowing disorders. 688 00:28:50,370 --> 00:28:52,960 But she's not an old person choking on their food. 689 00:28:53,040 --> 00:28:55,080 Right, and there's protracted vomiting. 690 00:28:55,170 --> 00:28:56,710 Okay, maybe recent gastroenteritis, 691 00:28:56,790 --> 00:28:58,500 food poisoning. 692 00:28:58,590 --> 00:29:00,590 Yeah, or... 693 00:29:00,670 --> 00:29:02,880 or... 694 00:29:02,970 --> 00:29:04,260 an eating disorder. 695 00:29:04,340 --> 00:29:06,140 You think she's bulimic? 696 00:29:06,220 --> 00:29:09,390 I mean, she's fixated on working out. 697 00:29:09,470 --> 00:29:12,890 Check the, uh, enamel behind her front incisors. 698 00:29:12,980 --> 00:29:14,980 Um, oh, it's, uh-- 699 00:29:15,060 --> 00:29:17,690 if it's not in the differential, 700 00:29:17,770 --> 00:29:20,650 it won't be in the diagnosis. 701 00:29:20,730 --> 00:29:22,110 You know that-- 702 00:29:22,190 --> 00:29:24,820 Yeah, you know-- you know that. 703 00:29:29,870 --> 00:29:31,330 Nice job on the tap. 704 00:29:31,410 --> 00:29:32,830 Thanks. 705 00:29:32,910 --> 00:29:36,210 Hi. You called for a consult on Jackson Davis? 706 00:29:36,290 --> 00:29:37,790 Yes, we did. 707 00:29:37,880 --> 00:29:41,800 I'll let Victoria present the case. 708 00:29:41,880 --> 00:29:43,460 This is Jada, Jackson's sister. 709 00:29:43,550 --> 00:29:45,670 This is Dr. Jefferson from psychiatry. 710 00:29:45,760 --> 00:29:47,130 "Psychiatry"? 711 00:29:47,220 --> 00:29:48,840 Do you think this is a mental-health problem? 712 00:29:48,930 --> 00:29:50,930 We thought it best to cover all our bases. 713 00:29:51,010 --> 00:29:53,270 We'll know more once I speak with your brother. 714 00:29:53,350 --> 00:29:55,020 Okay. 715 00:29:56,940 --> 00:29:59,440 Hi, Jackson. 716 00:29:59,520 --> 00:30:02,690 Jackson, can you wake up? 717 00:30:02,780 --> 00:30:04,940 - Jackson. - They said he's sedated. 718 00:30:07,700 --> 00:30:09,780 I'll come back a little later. 719 00:30:11,870 --> 00:30:13,370 - Oh, that was fast. - Yeah. 720 00:30:13,450 --> 00:30:15,960 Next time, maybe wait until the patient wakes up 721 00:30:16,040 --> 00:30:17,460 before calling me down. 722 00:30:17,540 --> 00:30:18,960 Psychiatrists do best 723 00:30:19,040 --> 00:30:22,590 when we can actually talk to our patients. 724 00:30:22,670 --> 00:30:24,590 I got a little ahead of myself. 725 00:30:24,670 --> 00:30:26,800 Um, will do. 726 00:30:26,880 --> 00:30:28,800 Thank you. 727 00:30:28,880 --> 00:30:30,970 Sorry. 728 00:30:31,050 --> 00:30:33,810 Pressure's up with one unit type specific. 729 00:30:36,060 --> 00:30:37,810 What the fuck? He was stable. 730 00:30:37,890 --> 00:30:40,730 - Slight change in status. - Okay, get the clamp ready. 731 00:30:40,810 --> 00:30:43,070 Who's the genius who pulled that out? 732 00:30:43,150 --> 00:30:45,150 I thought it was a loose fragment. 733 00:30:45,230 --> 00:30:47,150 Next time, leave the decisions to the adults. 734 00:30:47,240 --> 00:30:49,280 Okay, Dr. McKay, ready to go? 735 00:30:53,950 --> 00:30:55,540 - Whoa. - Hoo. 736 00:30:55,620 --> 00:30:56,950 Looks like an icicle. 737 00:30:57,040 --> 00:30:59,000 Christmas in July. 738 00:30:59,080 --> 00:31:01,920 Hey, Sophie, can you answer that? 739 00:31:02,000 --> 00:31:03,880 Okay, I am injecting the X-stat. 740 00:31:03,960 --> 00:31:04,960 - Hello? - What is that? 741 00:31:05,050 --> 00:31:06,460 It's a syringe filled 742 00:31:06,550 --> 00:31:09,220 with tiny, rapid-expanding hemostatic sponges. 743 00:31:09,300 --> 00:31:10,800 Okay, got it. Thanks. 744 00:31:10,890 --> 00:31:13,100 Radiology attending says a resident missed something. 745 00:31:13,180 --> 00:31:14,720 There's a radiopaque foreign body 746 00:31:14,810 --> 00:31:16,930 in the left paralumbar musculature. 747 00:31:17,020 --> 00:31:18,480 Not anymore. 748 00:31:18,560 --> 00:31:20,310 Sounds like "first week in July" syndrome. 749 00:31:20,390 --> 00:31:21,650 Mm-hmm. 750 00:31:21,730 --> 00:31:24,190 Okay. 751 00:31:24,270 --> 00:31:27,650 - That looks pretty dry. - On the surface. 752 00:31:27,740 --> 00:31:30,240 Okay, let's turn him back down. 753 00:31:30,320 --> 00:31:34,070 Okay, one, two, three, over. 754 00:31:34,160 --> 00:31:36,700 One, two, three, flip. 755 00:31:36,790 --> 00:31:39,750 One, two, three, down. 756 00:31:39,830 --> 00:31:41,670 All right, CT is ready to rescan. 757 00:31:41,750 --> 00:31:43,580 Interventional radiology is holding a room. 758 00:31:43,670 --> 00:31:45,960 Look at you-- so on top of things. 759 00:31:46,050 --> 00:31:47,840 Hasta la próxima. 760 00:31:47,920 --> 00:31:50,170 How you doing over here? 761 00:31:50,260 --> 00:31:51,880 Definitely not great. 762 00:31:51,970 --> 00:31:54,260 Right, well, let's get you a ginger ale. 763 00:31:54,350 --> 00:31:57,180 So we never, ever remove a deep foreign body in the ER. 764 00:31:57,260 --> 00:31:59,020 We always leave that to surgery. 765 00:31:59,100 --> 00:32:01,520 It won't happen again. 766 00:32:01,600 --> 00:32:03,980 I was just coming to find you. 767 00:32:04,060 --> 00:32:05,230 Sure you were. 768 00:32:05,310 --> 00:32:07,070 It's almost like you're avoiding me. 769 00:32:07,150 --> 00:32:08,570 Me? Never. 770 00:32:08,650 --> 00:32:10,240 No, I'm just having one of those busy days, 771 00:32:10,320 --> 00:32:12,490 you know, living the dream, saving America's tired, 772 00:32:12,570 --> 00:32:14,740 poor, huddled masses yearning to breathe free. 773 00:32:14,820 --> 00:32:17,490 - You're a saint. - I tell myself that every day. 774 00:32:17,580 --> 00:32:20,040 I heard you had a, uh, motorcycle crash 775 00:32:20,120 --> 00:32:22,920 - come through about an hour ago. - Yeah. 776 00:32:23,000 --> 00:32:24,920 Couldn't save him. 777 00:32:25,000 --> 00:32:27,130 And, no, he was not wearing a helmet. 778 00:32:27,210 --> 00:32:28,960 Interesting. 779 00:32:29,050 --> 00:32:31,300 One motorcycle crash is not going to scare me off my trip. 780 00:32:31,380 --> 00:32:33,340 I didn't say it should. 781 00:32:33,430 --> 00:32:36,640 I hope he died doing what he loved. 782 00:32:36,720 --> 00:32:39,390 That's... optimistic. 783 00:32:39,470 --> 00:32:41,520 "Glass half full" kind of guy. 784 00:32:43,310 --> 00:32:45,900 - I am not on your couch. - I'm aware. 785 00:32:45,980 --> 00:32:48,520 - Conflict of interest here. - Why? Because we're friends? 786 00:32:48,610 --> 00:32:51,490 Ooh, look at you, using the F word. 787 00:32:51,570 --> 00:32:52,990 That's growth. 788 00:32:53,070 --> 00:32:54,360 I use F words all the time. 789 00:32:54,450 --> 00:32:55,860 I guess this therapy must be working. 790 00:32:55,950 --> 00:32:58,330 Ah, I got somebody new for you. 791 00:32:58,410 --> 00:33:00,830 She takes no shit. You'll love her. 792 00:33:00,910 --> 00:33:02,290 I hope so. 793 00:33:02,370 --> 00:33:05,920 The last two have not exactly been... my speed. 794 00:33:06,000 --> 00:33:09,210 Meaning what, empathetic? 795 00:33:09,290 --> 00:33:11,710 Look, sometimes it just takes a little while 796 00:33:11,800 --> 00:33:13,510 to, you know, find the right fit. 797 00:33:13,590 --> 00:33:14,930 Well, it's going to have to wait, 798 00:33:15,010 --> 00:33:16,140 because I'm going on my sabbatical tomorrow. 799 00:33:16,220 --> 00:33:17,720 There's always Zoom therapy. 800 00:33:17,800 --> 00:33:20,640 Motorcycle trip is zoom therapy. 801 00:33:22,890 --> 00:33:26,980 I'll bet somebody set off fireworks in the shitter. 802 00:33:27,060 --> 00:33:28,810 How dumb is that? 803 00:33:28,900 --> 00:33:30,270 You think people are smart? 804 00:33:30,360 --> 00:33:32,360 Yeah. 805 00:33:34,400 --> 00:33:35,950 What's up, man? 806 00:33:36,030 --> 00:33:38,160 You want to get on the books? 807 00:33:38,240 --> 00:33:39,620 Uh, yeah. 808 00:33:39,700 --> 00:33:41,330 Yeah, yeah. May--maybe. Yeah. 809 00:33:41,410 --> 00:33:42,410 Hey, look here. 810 00:33:42,490 --> 00:33:44,120 I only take real money, 811 00:33:44,200 --> 00:33:46,170 none of that "I owe you" bullshit. 812 00:33:47,710 --> 00:33:49,380 Okay, I have money, okay? 813 00:33:49,460 --> 00:33:52,460 My first direct deposit finally hit, so... 814 00:33:52,550 --> 00:33:54,670 Nice. Hmm. 815 00:33:54,760 --> 00:33:58,180 Put me down for $40... 816 00:33:58,260 --> 00:34:00,760 for power outage. 817 00:34:02,260 --> 00:34:05,350 - Nice. - We got a big baller on our hands. 818 00:34:05,430 --> 00:34:07,020 - Congrats, Doctor. - Thank you. 819 00:34:07,100 --> 00:34:08,980 I like this side of you, man. 820 00:34:09,060 --> 00:34:11,690 - Any improvement? - No. 821 00:34:11,770 --> 00:34:13,360 What kind of super glue did you use? 822 00:34:13,440 --> 00:34:16,240 Does it matter? My eye is still fucking shut. 823 00:34:16,320 --> 00:34:18,110 Okay, there's one other thing I can try. 824 00:34:18,200 --> 00:34:20,030 No. I'm done. I asked for Dr. J earlier, 825 00:34:20,120 --> 00:34:22,200 and I would like to see her now. 826 00:34:22,280 --> 00:34:24,040 I haven't been in the hospital for a while. 827 00:34:24,120 --> 00:34:26,000 I don't know a Dr. J. 828 00:34:26,080 --> 00:34:29,210 She's one of the best doctors in Pittsburgh. 829 00:34:34,300 --> 00:34:37,340 Oh, Dr. J. 830 00:34:37,420 --> 00:34:38,630 Hmm. 831 00:34:38,720 --> 00:34:40,800 - Do what you must, milady. - Mm-hmm. 832 00:34:40,890 --> 00:34:44,470 Okay, first, I need to get a good grip for the reduction. 833 00:34:44,560 --> 00:34:46,810 Uh-huh. 834 00:34:46,890 --> 00:34:48,440 Here we go. 835 00:34:48,520 --> 00:34:50,020 Try to relax. 836 00:34:50,100 --> 00:34:53,440 Deep breath, with your mouth open. 837 00:34:53,520 --> 00:34:56,900 Not how I imagined our first intimate encounter. 838 00:34:56,990 --> 00:34:59,990 Okay, got it. 839 00:35:00,070 --> 00:35:02,700 Now, on three, okay? 840 00:35:02,780 --> 00:35:04,870 One... 841 00:35:04,950 --> 00:35:08,120 Ah! Motherfucker. 842 00:35:08,210 --> 00:35:10,580 Ho-ho! You said "on three." 843 00:35:10,670 --> 00:35:11,920 I--I know. 844 00:35:12,000 --> 00:35:14,290 Sorry. It keeps you from tensing up. 845 00:35:14,380 --> 00:35:16,090 Okay, I think that worked. 846 00:35:16,170 --> 00:35:18,130 - How does it feel? - Can I sit up? 847 00:35:18,220 --> 00:35:21,090 - Uh-huh. - Oh. 848 00:35:21,180 --> 00:35:22,390 Oh. 849 00:35:25,060 --> 00:35:27,930 Oh, my God. 850 00:35:28,020 --> 00:35:30,270 Oh. 851 00:35:30,350 --> 00:35:33,310 That is definitely better. 852 00:35:33,400 --> 00:35:35,360 Oh, my God. 853 00:35:35,440 --> 00:35:37,400 Great. 854 00:35:37,480 --> 00:35:38,990 Can I give you a hug? 855 00:35:39,070 --> 00:35:41,490 Mm, maybe--maybe later, okay? 856 00:35:44,410 --> 00:35:47,290 Aspiration pneumonia? How does that happen? 857 00:35:47,370 --> 00:35:49,910 It's when bacteria from the mouth or stomach 858 00:35:50,000 --> 00:35:51,870 get into the breathing tube, 859 00:35:51,960 --> 00:35:53,710 uh, when you're choking, 860 00:35:53,790 --> 00:35:56,840 if you're eating or vomiting. 861 00:35:56,920 --> 00:35:58,130 Oh. 862 00:35:58,210 --> 00:36:00,010 Do you ever drink a lot of alcohol, 863 00:36:00,090 --> 00:36:02,130 maybe so much that you pass out? 864 00:36:02,220 --> 00:36:04,340 No, I'm not a big drinker. 865 00:36:04,430 --> 00:36:07,850 Have you had the stomach flu recently, food poisoning? 866 00:36:07,930 --> 00:36:09,390 No and no. 867 00:36:11,020 --> 00:36:13,600 Do you mind if we take a look inside your mouth? 868 00:36:20,400 --> 00:36:23,740 You can lean your head back... 869 00:36:23,820 --> 00:36:25,530 and open up wide. 870 00:36:29,700 --> 00:36:31,330 What? 871 00:36:31,410 --> 00:36:35,380 The enamel on the back of your teeth is worn away. 872 00:36:35,460 --> 00:36:37,340 What does that mean? 873 00:36:37,420 --> 00:36:38,960 Um, it can happen 874 00:36:39,050 --> 00:36:41,470 if someone makes themselves vomit repeatedly. 875 00:36:41,550 --> 00:36:44,680 All the stomach acid dissolves the enamel. 876 00:36:44,760 --> 00:36:47,600 What does that have to do with having pneumonia? 877 00:36:47,680 --> 00:36:49,140 It may have caused it. 878 00:36:51,480 --> 00:36:54,190 Can you just give me some medicine? 879 00:36:54,270 --> 00:36:55,650 Yeah, we can do that. 880 00:36:59,400 --> 00:37:01,990 Dr. J, finally. 881 00:37:02,070 --> 00:37:04,780 It is so nice to meet you, Dr. J. 882 00:37:04,860 --> 00:37:08,080 This is Willow, your new patient. 883 00:37:09,450 --> 00:37:11,620 I'm actually a student doctor. 884 00:37:11,700 --> 00:37:14,210 I, uh, watch all of your videos. 885 00:37:14,290 --> 00:37:16,210 The one about coping with difficult coworkers 886 00:37:16,290 --> 00:37:17,790 was super helpful. 887 00:37:17,880 --> 00:37:19,460 I got to watch that. 888 00:37:19,540 --> 00:37:22,170 Um, um, so--so what is Willow's health issue? 889 00:37:22,260 --> 00:37:26,050 Uh, my eye-- it's superglued shut. 890 00:37:26,130 --> 00:37:28,680 Halfway trim and mineral oil didn't work? 891 00:37:28,760 --> 00:37:30,430 Nope. 892 00:37:30,510 --> 00:37:33,270 Then--then I would suggest cutting the full lash down. 893 00:37:33,350 --> 00:37:36,350 I concur, Dr. J. 894 00:37:36,440 --> 00:37:39,650 As long as you're the one doing it. 895 00:37:39,730 --> 00:37:41,280 Oh. 896 00:37:41,360 --> 00:37:43,360 Okay, yeah, sure. 897 00:37:43,440 --> 00:37:45,530 Um, yeah. 898 00:37:45,610 --> 00:37:48,990 Uh, sit back for me. 899 00:37:49,070 --> 00:37:50,950 I'll get you to close both your eyes 900 00:37:51,030 --> 00:37:53,120 and be as still as possible. 901 00:37:53,200 --> 00:37:54,120 Okay. 902 00:37:54,200 --> 00:37:55,500 All you, Doc. 903 00:37:55,580 --> 00:37:58,750 Thank you, Dr. Langdon. 904 00:37:58,830 --> 00:38:01,340 Okay, here we go. 905 00:38:03,590 --> 00:38:06,550 How many followers do you have, Dr. J? 906 00:38:06,630 --> 00:38:09,340 More than you'd guess, Dr. Langdon. 907 00:38:12,350 --> 00:38:13,430 There. 908 00:38:18,350 --> 00:38:19,440 You did it. 909 00:38:25,240 --> 00:38:27,950 Oh, my God. This looks terrible. 910 00:38:28,030 --> 00:38:32,530 I can still put a false lash on it, though, right? 911 00:38:36,200 --> 00:38:38,580 How are you feeling, Mr. Diaz? 912 00:38:38,670 --> 00:38:41,080 Much better. 913 00:38:41,170 --> 00:38:43,130 We need to talk about how your diabetes 914 00:38:43,210 --> 00:38:46,760 progressed to this place. 915 00:38:46,840 --> 00:38:49,220 This is Student Dr. Kwon. 916 00:38:49,300 --> 00:38:51,760 What you say here remains between us. 917 00:38:54,220 --> 00:38:58,100 I'm taking a lower dose of insulin than I should be. 918 00:38:58,190 --> 00:39:01,310 How much of your prescribed dose are you using at a time? 919 00:39:01,400 --> 00:39:03,110 Half. 920 00:39:03,190 --> 00:39:05,110 I used to have insurance through work, 921 00:39:05,190 --> 00:39:07,940 but I lost that job when the pandemic hit. 922 00:39:08,030 --> 00:39:10,610 It was easy to keep up with my medication then. 923 00:39:10,700 --> 00:39:12,950 I had a great primary doctor, too. 924 00:39:13,030 --> 00:39:15,910 Now I'm kind of on my own. 925 00:39:15,990 --> 00:39:18,160 Do you have a glucose monitor? 926 00:39:18,250 --> 00:39:20,120 Uh, yes. 927 00:39:20,210 --> 00:39:22,330 But I can't afford the test strips every week. 928 00:39:22,420 --> 00:39:24,130 They're too expensive. 929 00:39:24,210 --> 00:39:26,380 Can we not talk about this in front of my family? 930 00:39:26,460 --> 00:39:28,050 - Hi. - Hi. 931 00:39:28,130 --> 00:39:29,970 There are my girls. 932 00:39:30,050 --> 00:39:32,340 - Did you call your brothers? - They're still at soccer. 933 00:39:32,430 --> 00:39:35,220 I have good news. I started a GoFundMe for Dad. 934 00:39:35,310 --> 00:39:36,720 A what? 935 00:39:36,810 --> 00:39:38,430 To help raise money for Dad's medical care 936 00:39:38,520 --> 00:39:41,020 - since we don't have insurance. - No, no. 937 00:39:41,100 --> 00:39:44,110 - Take it down, now. - But why? 938 00:39:44,190 --> 00:39:46,070 I work hard. I don't need charity. 939 00:39:46,150 --> 00:39:47,530 But, Dad, we've already-- 940 00:39:47,610 --> 00:39:49,690 Ana, you heard me! 941 00:39:49,780 --> 00:39:50,900 Take it down. 942 00:39:50,990 --> 00:39:52,360 Jesus, Orlando. 943 00:39:52,450 --> 00:39:55,910 No necesito eso. 944 00:39:55,990 --> 00:39:59,040 Louie, thought I'd sneak back here to check on you. 945 00:39:59,120 --> 00:40:01,160 - How we doing in here? - Good. 946 00:40:01,250 --> 00:40:05,170 - Tooth's feeling much better. - Glad to hear it. 947 00:40:05,250 --> 00:40:07,750 Looks like you're stuck with us for the next three hours. 948 00:40:07,840 --> 00:40:09,670 We need to monitor your blood pressure. 949 00:40:09,760 --> 00:40:11,510 How about a drink while I wait? 950 00:40:13,050 --> 00:40:14,680 Water or orange juice? 951 00:40:14,760 --> 00:40:17,560 Uh, never mind. 952 00:40:17,640 --> 00:40:19,470 So, uh... 953 00:40:19,560 --> 00:40:22,060 how are the kids doing? 954 00:40:22,140 --> 00:40:25,610 Oh, they're perfect little monsters. 955 00:40:25,690 --> 00:40:28,280 Tanner's five now. Penny's three. 956 00:40:28,360 --> 00:40:30,940 Oh, ain't that a blessing. 957 00:40:31,030 --> 00:40:34,070 It is, but they have zero interest in bedtime. 958 00:40:34,160 --> 00:40:36,410 And there's the dog always digging up the yard. 959 00:40:38,290 --> 00:40:40,250 How much sun does your lawn get? 960 00:40:40,330 --> 00:40:42,330 I don't know. Plenty. 961 00:40:42,410 --> 00:40:45,500 Seed it with perennial ryegrass. 962 00:40:45,580 --> 00:40:48,210 And you want to lightly water it 963 00:40:48,300 --> 00:40:52,050 and put up a temporary fence so the dog can't get back to it. 964 00:40:52,130 --> 00:40:54,220 Color me impressed. 965 00:40:54,300 --> 00:40:57,220 What can I say? I like grass. 966 00:40:59,470 --> 00:41:01,730 No, seriously, how do you-- how do you know all that? 967 00:41:03,270 --> 00:41:04,940 I was a groundskeeper. 968 00:41:05,020 --> 00:41:09,110 I worked with gardens and lawns back in the day. 969 00:41:10,530 --> 00:41:11,900 Robby. 970 00:41:14,110 --> 00:41:15,700 Got a sec? 971 00:41:18,620 --> 00:41:21,160 - Dr. Langdon. - Dr. Al-Hashimi. 972 00:41:21,240 --> 00:41:23,250 How's triage looking? 973 00:41:23,330 --> 00:41:25,040 Donnie and I have it under control. 974 00:41:25,120 --> 00:41:27,040 Good. I want you to wrap up what you're doing out there 975 00:41:27,130 --> 00:41:28,670 and join us back here. 976 00:41:28,750 --> 00:41:31,050 We're expecting more diverted traffic from Westbridge. 977 00:41:31,130 --> 00:41:32,460 Will do. 978 00:41:32,550 --> 00:41:34,550 And I just want to say, I think it's great 979 00:41:34,630 --> 00:41:36,760 that you're in the Physicians' Health Program. 980 00:41:36,840 --> 00:41:39,050 I know it's a big commitment. 981 00:41:39,140 --> 00:41:43,180 Uh, yeah, it was hard at the beginning, 982 00:41:43,270 --> 00:41:45,640 but, you know, I'm almost done with year one now. 983 00:41:45,730 --> 00:41:47,520 Only four more years to go. 984 00:41:48,940 --> 00:41:50,690 Penny for your thoughts. 985 00:41:50,770 --> 00:41:53,070 Oh, they're way more expensive than that. 986 00:41:53,150 --> 00:41:55,280 I'm on a budget. Take it or leave it. 987 00:41:55,360 --> 00:41:57,700 My day is not turning out the way that I expected. 988 00:41:57,780 --> 00:42:00,910 We had a callout. Langdon was available. 989 00:42:00,990 --> 00:42:03,250 I was sort of hoping to be on my sabbatical 990 00:42:03,330 --> 00:42:04,830 when he came back. 991 00:42:04,910 --> 00:42:06,580 You two were very close. 992 00:42:06,670 --> 00:42:08,500 Maybe this is the universe's way 993 00:42:08,580 --> 00:42:11,040 of telling you it's time to clear the air. 994 00:42:11,130 --> 00:42:13,090 Maybe it is. 995 00:42:13,170 --> 00:42:14,970 Maybe it isn't. 996 00:42:19,510 --> 00:42:22,310 Okay, so, um, we'll need to keep you for the day 997 00:42:22,390 --> 00:42:26,730 for your IV antibiotics and to monitor your oxygen level. 998 00:42:26,810 --> 00:42:29,100 Okay. 999 00:42:29,190 --> 00:42:30,400 Okay. 1000 00:42:35,570 --> 00:42:37,280 What if... 1001 00:42:40,370 --> 00:42:43,200 I have been making myself vomit? 1002 00:42:45,200 --> 00:42:47,710 Well... 1003 00:42:47,790 --> 00:42:50,170 bulimia is treatable. 1004 00:42:52,170 --> 00:42:54,210 I was going to stop. 1005 00:42:54,300 --> 00:42:56,210 I stopped before. 1006 00:42:58,880 --> 00:43:02,550 My family gathers around food. 1007 00:43:02,640 --> 00:43:05,270 We eat when we're celebrating. We eat when we're mourning. 1008 00:43:05,350 --> 00:43:06,770 We just eat. 1009 00:43:06,850 --> 00:43:08,270 But then I got to college, 1010 00:43:08,350 --> 00:43:10,600 and it was all about how you looked. 1011 00:43:10,690 --> 00:43:12,770 That's a lot of pressure. 1012 00:43:17,360 --> 00:43:20,200 I started vomiting. 1013 00:43:20,280 --> 00:43:22,740 Everyone said I looked great. 1014 00:43:22,820 --> 00:43:24,870 So I went to the gym more. 1015 00:43:24,950 --> 00:43:28,710 I didn't need to purge as much. 1016 00:43:31,250 --> 00:43:32,790 Last year, I went through a breakup. 1017 00:43:32,880 --> 00:43:34,250 It all came back. 1018 00:43:39,970 --> 00:43:41,380 You're... 1019 00:43:41,470 --> 00:43:45,140 doing long-term damage to your body. 1020 00:43:45,220 --> 00:43:48,890 And it doesn't just go away on its own. 1021 00:43:48,980 --> 00:43:51,350 It's okay to ask for help. 1022 00:43:51,440 --> 00:43:52,650 We can set you up 1023 00:43:52,730 --> 00:43:54,730 with our eating-disorder program upstairs. 1024 00:43:54,810 --> 00:43:58,400 - It's here in the hospital? - It's an outpatient program. 1025 00:43:58,490 --> 00:44:00,150 You'd meet with a therapist 1026 00:44:00,240 --> 00:44:04,280 for individual and group therapy once or twice a week. 1027 00:44:05,580 --> 00:44:07,700 Would you be open to meeting with a therapist? 1028 00:44:10,330 --> 00:44:12,670 I guess. 1029 00:44:12,750 --> 00:44:14,630 Do you have any preference for type of therapist-- 1030 00:44:14,710 --> 00:44:16,920 male, female? 1031 00:44:17,000 --> 00:44:19,630 If there's a Black woman, I'd like that. 1032 00:44:21,130 --> 00:44:23,260 Yeah, we can arrange that. 1033 00:44:25,510 --> 00:44:27,180 Thank you. 1034 00:44:30,520 --> 00:44:32,640 That was a good catch. 1035 00:44:32,730 --> 00:44:34,440 Black women tend to go underdiagnosed 1036 00:44:34,520 --> 00:44:35,980 when it comes to eating disorders. 1037 00:44:36,060 --> 00:44:38,230 - Really? - Yeah, unfortunately. 1038 00:44:38,320 --> 00:44:41,070 You know, I thought I had an eating disorder in high school, 1039 00:44:41,150 --> 00:44:43,410 and so I did a lot of research on the subject. 1040 00:44:43,490 --> 00:44:46,450 I didn't--no, I just-- 1041 00:44:46,530 --> 00:44:49,450 My sister and I were really picky eaters growing up, 1042 00:44:49,540 --> 00:44:51,040 you know? 1043 00:44:51,120 --> 00:44:53,250 Color and texture. 1044 00:44:53,330 --> 00:44:55,040 Vegetables and fish. 1045 00:44:55,130 --> 00:44:57,040 Oh, eggs. 1046 00:44:57,130 --> 00:45:00,260 Slimy okra, asparagus-- ugh, disgusting. 1047 00:45:00,340 --> 00:45:01,590 Drove our parents crazy. 1048 00:45:01,670 --> 00:45:04,300 Oh, eggs, weird. 1049 00:45:04,380 --> 00:45:05,640 It's not that weird. 1050 00:45:05,720 --> 00:45:08,640 I got to catch up on my charting. 1051 00:45:08,720 --> 00:45:10,220 Ah. 1052 00:45:10,310 --> 00:45:13,310 You know, if--if you want to talk, I'm around. 1053 00:45:13,390 --> 00:45:14,600 Talk about what? 1054 00:45:14,690 --> 00:45:16,150 Being an R2? 1055 00:45:16,230 --> 00:45:17,650 Way harder than intern year. 1056 00:45:17,730 --> 00:45:19,150 Oh, yeah, um... 1057 00:45:19,230 --> 00:45:22,530 yeah, overseeing the med students, the interns, 1058 00:45:22,610 --> 00:45:24,530 having no time to do my own charts. 1059 00:45:24,610 --> 00:45:26,910 Yeah, just wait until you get into Medical, 1060 00:45:26,990 --> 00:45:28,490 Surgical, and Cardiac ICU. 1061 00:45:28,580 --> 00:45:30,490 I stands for "intense." 1062 00:45:30,580 --> 00:45:33,410 Somehow that seems like an understatement. 1063 00:45:33,500 --> 00:45:36,080 Well, it does help you grow your clinical skills, 1064 00:45:36,170 --> 00:45:38,080 you know, caring for the sickest patients. 1065 00:45:38,170 --> 00:45:40,500 Tell that to these charts. 1066 00:45:40,590 --> 00:45:43,260 Um, dictate. Helps you go faster. 1067 00:45:46,380 --> 00:45:49,510 Oh, uh, what happened with our patient from Westbridge? 1068 00:45:49,600 --> 00:45:51,310 You never grabbed me for his troponin. 1069 00:45:51,390 --> 00:45:53,890 Mr. Samba-- it was a posterior STEMI. 1070 00:45:53,980 --> 00:45:56,230 What? Didn't show on the 12-lead. 1071 00:45:56,310 --> 00:45:57,850 Oh, usually doesn't. 1072 00:45:57,940 --> 00:46:00,900 And I think most clinicians would have missed it. 1073 00:46:00,980 --> 00:46:02,320 But you didn't. 1074 00:46:03,860 --> 00:46:05,490 Guess I got lucky. 1075 00:46:07,240 --> 00:46:10,070 Whatever, Fuckleberry. 1076 00:46:10,160 --> 00:46:12,330 Okay, I'm sorry. Did I do something to bother you? 1077 00:46:12,410 --> 00:46:13,620 Nope. 1078 00:46:16,250 --> 00:46:18,540 Okay. 1079 00:46:18,630 --> 00:46:20,290 - Yo. - What's up? 1080 00:46:20,380 --> 00:46:23,550 I got a bounce-back. You remember Debbie Cohen? 1081 00:46:23,630 --> 00:46:25,760 Not really. I've seen 16 patients this morning. 1082 00:46:25,840 --> 00:46:27,550 The restaurant worker with cellulitis 1083 00:46:27,630 --> 00:46:29,680 - on the dorsum of the foot? - Yes, yes, she's on Keflex. 1084 00:46:29,760 --> 00:46:30,890 I marked the border. 1085 00:46:30,970 --> 00:46:34,770 Yeah, I got a hot pack on it, but, uh, you should take a look. 1086 00:46:38,650 --> 00:46:40,560 Hi. Dr. Langdon. 1087 00:46:40,650 --> 00:46:43,190 I wasn't expecting to see you back so soon. 1088 00:46:43,270 --> 00:46:45,780 - Meds upset your stomach? - Uh, no. 1089 00:46:45,860 --> 00:46:48,780 The pain got worse, and you said to come back 1090 00:46:48,860 --> 00:46:51,160 if the redness spread outside the Sharpie line. 1091 00:46:51,240 --> 00:46:52,870 Let's take a look. 1092 00:46:54,950 --> 00:46:56,250 Ah. 1093 00:47:02,710 --> 00:47:04,090 It looks like the infection 1094 00:47:04,170 --> 00:47:06,130 isn't responding to the pills I prescribed you, 1095 00:47:06,210 --> 00:47:08,590 so we need to get you on some IV antibiotics 1096 00:47:08,680 --> 00:47:10,590 and get you back to the ED now. 1097 00:47:10,680 --> 00:47:12,550 Uh, i-is it bad? 1098 00:47:12,640 --> 00:47:15,180 Not if we can get a handle on it. 1099 00:47:15,270 --> 00:47:17,770 - MRSA? - Or maybe worse.