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I'm pretty sure it's
like "Game of Thrones"
6
00:00:15,971 --> 00:00:18,772
in this place right now.
7
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Everyone's aiming their
arrows at the new queen.
8
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Temporary queen.
9
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But here I am, and I have a job to do.
10
00:00:28,316 --> 00:00:31,752
So I've been working my way
through Taylor's staff notes.
11
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No small feat because
they're written in, you know,
12
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Martian Snark, and I see here that you
13
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haven't taken a day off in a month,
14
00:00:38,893 --> 00:00:40,828
haven't had a vacation in three years.
15
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I appreciate the dedication,
but from a liability standpoint,
16
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I'm gonna need you to
work the regular schedule.
17
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When you've been here
longer than five minutes,
18
00:00:51,673 --> 00:00:53,874
you'll understand that Angels
is not a regular hospital.
19
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- Got to go.
- Go save some lives.
20
00:00:56,344 --> 00:00:57,711
Good talk.
21
00:00:58,880 --> 00:01:02,282
Angels base, we don't
have thorazine on the rig.
22
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How far out are you?
23
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We're on your...
24
00:01:05,920 --> 00:01:08,489
142, say again?
25
00:01:08,523 --> 00:01:09,857
Did you say on the ramp?
26
00:01:11,893 --> 00:01:14,795
142, this is Angels base. Do you copy?
27
00:01:16,831 --> 00:01:19,533
142?
28
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What do we have?
29
00:01:27,275 --> 00:01:29,910
I don't know.
30
00:01:29,944 --> 00:01:31,812
What's he doing?
31
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Looks like he stalled.
32
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Why isn't anyone getting out?
33
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Christa, go get security.
34
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What the...
35
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Hell no.
36
00:02:03,812 --> 00:02:05,012
- Jesse!
- Aah!
37
00:02:05,046 --> 00:02:06,914
Hey, get back, get back!
38
00:02:06,948 --> 00:02:08,716
- Drop it!
- Take it easy!
39
00:02:08,750 --> 00:02:10,184
All right, get him down.
40
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Get him.
41
00:02:12,253 --> 00:02:14,054
Get that arm. Ready?
42
00:02:14,089 --> 00:02:15,189
Go!
43
00:02:15,223 --> 00:02:16,423
- Hey, you all right?
- I'm okay.
44
00:02:16,458 --> 00:02:18,158
Pupils reactive.
45
00:02:19,994 --> 00:02:21,962
- Restraints!
- Hold still.
46
00:02:21,996 --> 00:02:23,697
How is she? Get a C-collar.
47
00:02:23,732 --> 00:02:25,899
The Hulk looks like
he has superficial injuries.
48
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Minor abrasions on his elbows and knees.
49
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Minimally conscious.
50
00:02:29,137 --> 00:02:31,438
Moving spontaneously.
51
00:02:31,473 --> 00:02:33,574
- Positive battle signs.
- Dilated pupils.
52
00:02:33,608 --> 00:02:34,975
He's obviously on something.
53
00:02:35,009 --> 00:02:36,777
I think he's gonna need
a hefty dose of ativan.
54
00:02:36,811 --> 00:02:38,212
Breath sounds bilaterally.
55
00:02:38,246 --> 00:02:39,913
Minor abrasions everywhere.
56
00:02:39,948 --> 00:02:40,981
Get on his leg! Keep him down!
57
00:02:41,015 --> 00:02:43,751
All right, bite marks on
the shoulder and clavicle.
58
00:02:43,785 --> 00:02:44,985
De-gloving of the left knee,
59
00:02:45,019 --> 00:02:46,587
probably from the oxygen tank valve.
60
00:02:46,621 --> 00:02:47,588
Let's move her. Count of three.
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1, 2, 3.
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That's it.
63
00:02:50,158 --> 00:02:51,959
Great.
64
00:02:51,993 --> 00:02:53,727
Careful. Okay.
65
00:02:55,764 --> 00:02:56,897
Let's go.
66
00:02:56,931 --> 00:02:58,632
Let's get him inside now.
67
00:02:59,901 --> 00:03:01,568
- Let's bring it in bed one.
- I'm sorry. I can't hear you.
68
00:03:01,603 --> 00:03:03,637
We have traumas coming in.
69
00:03:03,671 --> 00:03:05,606
Tighten the restraints over there.
70
00:03:05,640 --> 00:03:07,274
You okay, mama?
71
00:03:07,308 --> 00:03:09,910
- You went down pretty hard.
- You call that hard?
72
00:03:09,944 --> 00:03:11,745
Okay, Jody.
73
00:03:11,780 --> 00:03:13,013
Just try and breathe deeply for me.
74
00:03:13,047 --> 00:03:14,481
You're in Center Stage at Angels.
75
00:03:14,516 --> 00:03:15,482
Risa, methylene blue, please.
76
00:03:15,517 --> 00:03:17,818
Inject it into the capsule through the skin.
77
00:03:17,852 --> 00:03:20,020
My partner, Jeff. How is he?
78
00:03:20,054 --> 00:03:21,622
He's here. We're working on him.
79
00:03:21,656 --> 00:03:22,656
Do you know what happened?
80
00:03:22,690 --> 00:03:24,715
We picked a guy in Pershing
Square, passed out.
81
00:03:24,726 --> 00:03:26,126
We were on our way to Angels
82
00:03:26,161 --> 00:03:27,862
when we woke and he just went crazy.
83
00:03:27,896 --> 00:03:30,698
Hold on. I'm sorry. Almost done, all right?
84
00:03:30,732 --> 00:03:32,900
- Hang in there.
- Joint looks intact.
85
00:03:32,934 --> 00:03:35,135
Close it up, please, and
push eight of morphine.
86
00:03:35,170 --> 00:03:36,570
- Do we know what he's on?
- No.
87
00:03:36,605 --> 00:03:38,472
Never seen anything like it.
88
00:03:38,507 --> 00:03:39,874
You got to stop. You got to stop it.
89
00:03:39,908 --> 00:03:41,642
Okay, you've give him elephant-dose benzos.
90
00:03:41,676 --> 00:03:43,878
- Yeah, with minimal effect.
- Suggestions, young squire?
91
00:03:43,912 --> 00:03:46,013
Knock this zombie out till
whatever he took wears off.
92
00:03:46,047 --> 00:03:47,915
Let's get some propofol.
93
00:03:47,949 --> 00:03:50,384
Sir, we're gonna give you a
chemically-induced time out.
94
00:03:50,418 --> 00:03:52,653
Amy, prep RSI, please.
95
00:03:52,687 --> 00:03:53,988
Whoa, whoa, whoa.
96
00:03:54,022 --> 00:03:55,489
What is this, Christa?
97
00:03:55,524 --> 00:03:57,558
Uh, blood in the airway
caused by the trauma.
98
00:03:57,592 --> 00:03:58,325
And how do we proceed?
99
00:03:58,360 --> 00:03:59,126
We need to see if the bleeding's
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00:03:59,160 --> 00:04:00,661
coming from the left or right lung.
101
00:04:00,695 --> 00:04:01,829
I'll grab the bronchoscope.
102
00:04:01,863 --> 00:04:03,597
Or we could use our instincts.
103
00:04:03,632 --> 00:04:04,932
- Deformity's on the right side of the chest, correct?
- Excuse me.
104
00:04:04,966 --> 00:04:07,434
- More than likely, the bleeding's in the right lung.
- Dr. Rorish.
105
00:04:07,469 --> 00:04:09,503
- Jesse, airway DL sux and etomidate.
- You're not attempting
106
00:04:09,538 --> 00:04:11,105
- a blind intubation, are you?
- Jesse, mask, please.
107
00:04:11,139 --> 00:04:14,241
How will you see the bleeding
source without a scope?
108
00:04:14,276 --> 00:04:15,876
Thank you. There we go.
109
00:04:15,911 --> 00:04:18,779
Okay, so bleeding is on the right side,
110
00:04:18,813 --> 00:04:21,715
- so we need to intubate on the left.
- We should call pulm.
111
00:04:21,750 --> 00:04:23,851
- Leanne, do you hear me?
- It's hard not to.
112
00:04:23,885 --> 00:04:25,219
We know how to use a scope, Gina.
113
00:04:25,253 --> 00:04:26,620
If I wait for the gear, he'll die.
114
00:04:26,655 --> 00:04:28,622
Tube, please.
115
00:04:28,657 --> 00:04:30,891
I'm in.
116
00:04:35,564 --> 00:04:37,097
We're running low on nasal packing.
117
00:04:37,132 --> 00:04:38,732
I'll go get some.
118
00:04:38,767 --> 00:04:40,601
You want to take over here? Thank you.
119
00:04:40,635 --> 00:04:41,435
All right, Christa.
120
00:04:41,469 --> 00:04:43,270
We'll need a CT head/neck, please.
121
00:04:44,673 --> 00:04:47,608
Let's go find you.
122
00:04:47,642 --> 00:04:51,612
Ooh, man.
123
00:04:51,646 --> 00:04:53,747
Where is it?
124
00:05:03,758 --> 00:05:05,593
Oh!
125
00:05:05,631 --> 00:05:11,100
Synced by emmasan
126
00:05:11,361 --> 00:05:13,162
We were trying to help this guy.
127
00:05:13,247 --> 00:05:14,914
And this is what we get... Nearly killed.
128
00:05:14,949 --> 00:05:16,416
The CT scan confirms that he has
129
00:05:16,450 --> 00:05:19,586
a basilar skull fracture, but, Dr. Lorenson,
130
00:05:19,620 --> 00:05:20,754
tell us why he's lucky.
131
00:05:20,788 --> 00:05:23,890
It doesn't appear to be severe
enough to require surgery.
132
00:05:23,924 --> 00:05:26,092
- But you have to keep him for a few days.
- Yes.
133
00:05:26,127 --> 00:05:28,528
The fracture exposed the
brain and spinal fluid.
134
00:05:28,562 --> 00:05:29,829
We need to watch him to make sure
135
00:05:29,864 --> 00:05:31,531
it doesn't develop into an infection.
136
00:05:31,565 --> 00:05:34,601
Luckily, you'll both be back
on the rig before you know it.
137
00:05:34,635 --> 00:05:36,436
- Have you seen Jesse?
- Mnh-mnh.
138
00:05:36,470 --> 00:05:39,005
Not since we were in Center Stage.
139
00:05:39,040 --> 00:05:41,174
Okay, Dr. Savetti has some paperwork
140
00:05:41,208 --> 00:05:43,843
for you to fill out so he can discharge you.
141
00:05:43,878 --> 00:05:45,679
I think I'll stick around for a while.
142
00:05:45,713 --> 00:05:48,748
Sleeping Beauty may need
me to save his butt again.
143
00:05:48,783 --> 00:05:52,886
Hey, that guy who attacked us...
What the hell was he on?
144
00:05:52,920 --> 00:05:54,354
It was like he was possessed.
145
00:05:54,388 --> 00:05:55,455
Negative.
146
00:05:55,489 --> 00:05:57,757
You want him to put negative
tox screen on the report?
147
00:05:57,792 --> 00:05:59,092
I ran the test twice.
148
00:05:59,126 --> 00:06:00,860
They were both negative.
149
00:06:00,895 --> 00:06:02,062
Young squire, how many times do we tell you,
150
00:06:02,096 --> 00:06:03,863
don't rely on tests?
151
00:06:05,066 --> 00:06:07,133
Dr. Savetti.
152
00:06:07,168 --> 00:06:09,969
Can you help your erstwhile colleague here?
153
00:06:10,004 --> 00:06:13,206
He's looking for clues into this
young man's drug of choice.
154
00:06:13,240 --> 00:06:14,941
His pupils are dilated so we know
155
00:06:14,975 --> 00:06:16,910
it's either sympathomimetic
or anticholinergic.
156
00:06:16,944 --> 00:06:18,712
So cocaine, meth, LSD, angel dust...
157
00:06:18,746 --> 00:06:20,146
Yeah, all covered in the tox panel.
158
00:06:20,181 --> 00:06:23,917
All right.
159
00:06:23,951 --> 00:06:24,951
Wait.
160
00:06:26,187 --> 00:06:29,823
His fingertips are yellow.
161
00:06:29,857 --> 00:06:32,625
- You knew.
- I suspected when I saw him earlier.
162
00:06:32,660 --> 00:06:34,961
Dr. Leighton, you missed that.
163
00:06:34,995 --> 00:06:37,997
I must have overlooked it
when he was trying to kill me.
164
00:06:38,032 --> 00:06:39,766
- What is this?
- Looks like spice resin.
165
00:06:39,800 --> 00:06:41,668
Spice resin? Is he a chef?
166
00:06:41,702 --> 00:06:43,903
Spice is a street name for synthetic pot.
167
00:06:43,938 --> 00:06:45,772
Dealers spray chemicals on dried plants.
168
00:06:45,806 --> 00:06:46,906
It doesn't show up on a drug test.
169
00:06:46,941 --> 00:06:49,242
- Idiots smoke this stuff?
- Yeah, it's a cheap high.
170
00:06:49,276 --> 00:06:50,844
Well, not so cheap.
171
00:06:50,878 --> 00:06:52,312
He's on his way up to ICU.
172
00:06:52,346 --> 00:06:53,813
If and when he awakens,
173
00:06:53,848 --> 00:06:55,982
he probably won't remember any of this.
174
00:06:59,120 --> 00:07:01,921
See, out of nasal packing.
175
00:07:01,956 --> 00:07:05,558
Jesse went for it a half-hour ago.
176
00:07:11,332 --> 00:07:13,266
Hello.
177
00:07:13,300 --> 00:07:15,969
I'm Dr. Rorish. What do you got?
178
00:07:16,003 --> 00:07:18,338
15-year-old Aubrey shopping with her mom...
179
00:07:18,372 --> 00:07:20,473
We found her on the dressing room floor.
180
00:07:20,508 --> 00:07:21,975
My heart was suddenly racing.
181
00:07:22,009 --> 00:07:23,676
And that's all I remember.
182
00:07:23,711 --> 00:07:25,945
EKG showed atrial fibrillation,
183
00:07:25,980 --> 00:07:28,515
normal rhythm restored with metoprolol.
184
00:07:28,549 --> 00:07:30,316
Any congenital heart issues?
185
00:07:30,351 --> 00:07:33,620
Heart? No, no, no. She's perfectly fine.
186
00:07:33,654 --> 00:07:35,955
She was totally healthy. She's only 15.
187
00:07:35,990 --> 00:07:39,893
Actually, I've been feeling
a little run-down lately.
188
00:07:39,927 --> 00:07:41,895
Sometimes I can't catch my breath.
189
00:07:41,929 --> 00:07:44,531
- For how long?
- Last few weeks.
190
00:07:44,565 --> 00:07:46,800
- Babe, why didn't you tell me?
- You know how you get.
191
00:07:46,834 --> 00:07:48,802
How do I get? What, concerned?
192
00:07:48,836 --> 00:07:52,038
- Controlling.
- I am not controlling.
193
00:07:52,072 --> 00:07:55,175
Okay, look, the ambulance brought us here,
194
00:07:55,209 --> 00:07:57,677
but I need her to go to
our doctor in Beverly Hills,
195
00:07:57,711 --> 00:07:59,712
so can we expedite the discharge paperwork?
196
00:07:59,747 --> 00:08:01,181
I'd like to keep her here for a while.
197
00:08:01,215 --> 00:08:03,216
She's my daughter, and I need her to be seen
198
00:08:03,250 --> 00:08:05,051
by someone that I know and that I trust.
199
00:08:05,085 --> 00:08:06,386
I'm happy to call her doctor.
200
00:08:06,420 --> 00:08:08,254
I mean, how old are you? What, 26?
201
00:08:08,289 --> 00:08:10,089
Excuse me, but I probably
just saved her life.
202
00:08:10,124 --> 00:08:11,391
No offense, but we can't be
203
00:08:11,425 --> 00:08:13,059
a part of someone's learning curve.
204
00:08:14,028 --> 00:08:16,362
- You're not controlling at all.
- Aubrey, not now.
205
00:08:16,397 --> 00:08:17,230
Okay, okay, okay.
206
00:08:17,264 --> 00:08:18,998
How about we all just take a minute,
207
00:08:19,033 --> 00:08:20,934
and then we'll call her doctor together.
208
00:08:20,968 --> 00:08:22,202
I'll explain what happened,
209
00:08:22,236 --> 00:08:24,804
and you two can decide together what's best.
210
00:08:25,639 --> 00:08:27,841
Dr. Pineda.
211
00:08:43,090 --> 00:08:45,225
Oh, crap.
212
00:08:45,259 --> 00:08:47,060
Jesse.
213
00:08:47,094 --> 00:08:49,929
Jesse.
214
00:08:51,966 --> 00:08:55,101
Jesse.
215
00:08:56,470 --> 00:08:58,104
Somebody, help!
216
00:08:58,138 --> 00:09:00,440
I need help in here!
217
00:09:00,474 --> 00:09:01,941
Come on.
218
00:09:01,976 --> 00:09:05,078
You can't die in my first
week, Jesse, please.
219
00:09:05,112 --> 00:09:08,047
Someone! Somebody get help in here!
220
00:09:08,082 --> 00:09:11,084
I need help in here! Someone!
221
00:09:11,118 --> 00:09:14,053
You've lost your cool like that
more than once recently.
222
00:09:14,088 --> 00:09:15,989
I'm sorry. I'm just tired.
223
00:09:16,023 --> 00:09:18,224
I'm worried about Carla and
she won't even speak to me.
224
00:09:18,259 --> 00:09:19,158
Somebody get help!
225
00:09:19,193 --> 00:09:21,227
This program is the second-hardest thing
226
00:09:21,262 --> 00:09:22,896
you'll ever face.
227
00:09:22,930 --> 00:09:24,898
Carla's illness is the first.
228
00:09:24,932 --> 00:09:28,401
You may have to decide if you can do both.
229
00:09:28,435 --> 00:09:30,603
Somebody, please help me in here now!
230
00:09:30,638 --> 00:09:32,071
Excuse me, Dr. Pineda. What do you have?
231
00:09:32,106 --> 00:09:34,641
47-year-old male clipped
by incoming Metro train,
232
00:09:34,675 --> 00:09:36,175
thrown back against station wall.
233
00:09:36,210 --> 00:09:37,977
Blunt trauma to chest, abdomen.
234
00:09:38,012 --> 00:09:39,078
No LOC, minimal EBL.
235
00:09:39,113 --> 00:09:40,346
BP 80 over 50.
236
00:09:40,381 --> 00:09:42,815
Someone has to get Eli!
237
00:09:42,850 --> 00:09:45,785
Center Stage, please.
He's going to Bed Three.
238
00:09:45,819 --> 00:09:48,788
I need help in here!
239
00:09:48,822 --> 00:09:50,423
Someone!
240
00:09:54,662 --> 00:09:55,662
Oh, my God.
241
00:09:55,696 --> 00:09:57,130
Get a gurney in here now!
242
00:09:57,164 --> 00:09:58,331
- I need a chest X-ray, please.
- Eli.
243
00:09:58,365 --> 00:09:59,832
On me. 1, 2, 3.
244
00:09:59,867 --> 00:10:02,135
Eli.
245
00:10:02,169 --> 00:10:03,836
- Roll him, please.
- Ow!
246
00:10:03,871 --> 00:10:04,837
Gently, gently.
247
00:10:04,872 --> 00:10:06,105
Take it out slowly.
248
00:10:06,140 --> 00:10:07,473
Is Eli your son?
249
00:10:07,508 --> 00:10:09,375
- Yes.
- Okay.
250
00:10:09,410 --> 00:10:12,045
I was
supposed to pick him up
251
00:10:12,079 --> 00:10:15,148
he's at the bus stop at Western
and Third, waiting for me.
252
00:10:15,182 --> 00:10:16,883
He has Down Syndrome.
253
00:10:16,917 --> 00:10:17,784
Is there someone we can call?
254
00:10:17,818 --> 00:10:19,819
No, he'll get scared if I'm not there.
255
00:10:19,853 --> 00:10:22,155
- He could get lost.
- X-ray ready.
256
00:10:22,189 --> 00:10:24,524
Clear for X-ray.
257
00:10:24,558 --> 00:10:26,292
Clear.
258
00:10:30,197 --> 00:10:31,164
What do you see?
259
00:10:31,198 --> 00:10:33,166
Multiple rib fractures,
260
00:10:33,200 --> 00:10:34,634
vascular markings all the
way to the periphery.
261
00:10:34,668 --> 00:10:35,802
No hemothorax.
262
00:10:35,836 --> 00:10:38,137
Clavicular dislocation, but
not compressing the airway.
263
00:10:38,172 --> 00:10:39,839
Good. He needs ultrasound.
264
00:10:39,873 --> 00:10:42,408
My son's afraid of the dark.
265
00:10:44,445 --> 00:10:46,412
And that's pelvic free fluid.
266
00:10:46,447 --> 00:10:47,680
Talk to me through it, Dr. Savetti.
267
00:10:47,715 --> 00:10:48,815
Most likely a leak from the bladder.
268
00:10:48,849 --> 00:10:49,949
Could have been blown open
by the impact of the train.
269
00:10:49,984 --> 00:10:53,052
- You're gonna need surgery, David.
- Ow. Wait, please.
270
00:10:53,087 --> 00:10:55,254
There's a Yoda doll in my coat pocket.
271
00:10:55,289 --> 00:10:56,656
It's his. You'll need it.
272
00:10:56,690 --> 00:10:58,691
- Need it for what?
- When you go get him.
273
00:10:58,726 --> 00:11:00,093
It's how he'll know you're safe.
274
00:11:00,127 --> 00:11:01,828
All right, the paramedics can pick him up.
275
00:11:01,862 --> 00:11:03,730
- We'll get him here.
- You promise?
276
00:11:03,764 --> 00:11:06,199
Yeah, I promise.
277
00:11:07,267 --> 00:11:09,535
- Clear a path.
- What is it?
278
00:11:09,570 --> 00:11:11,871
- Oh, my God.
- We didn't get a call.
279
00:11:11,905 --> 00:11:13,840
- Can you see who it is?
- Oh, no.
280
00:11:13,874 --> 00:11:15,174
- I can't believe it.
- Hey, what's going on?
281
00:11:15,209 --> 00:11:17,110
- What happened to him?
- Is he conscious?
282
00:11:17,144 --> 00:11:19,746
- What's going on?
- Find Dr. Rorish.
283
00:11:21,248 --> 00:11:23,182
- I need the cath team activated now.
- Holy...
284
00:11:23,217 --> 00:11:26,386
Dr. Rorish, it's Jesse.
285
00:11:26,420 --> 00:11:28,421
Get a crash cart and a defibrillator.
286
00:11:28,455 --> 00:11:30,390
Get an airway ready.
287
00:11:31,632 --> 00:11:32,913
Let me in.
288
00:11:35,426 --> 00:11:36,611
Jesse.
289
00:11:36,987 --> 00:11:39,079
You are not leaving me.
290
00:11:39,079 --> 00:11:41,180
I need someone from
Cardiology down here now.
291
00:11:41,214 --> 00:11:43,348
- Oh, my God.
- 12 lead, stat.
292
00:11:43,383 --> 00:11:44,917
- Got it.
- Leanne, are you okay?
293
00:11:44,951 --> 00:11:46,919
- I can come and help.
- Yeah, stay with your patient.
294
00:11:46,953 --> 00:11:49,888
Okay, Malaya, talk to him. Hold his hand.
295
00:11:49,923 --> 00:11:51,156
Angus, ultrasound.
296
00:11:51,191 --> 00:11:52,858
What does it say? Dr. Leighton!
297
00:11:53,693 --> 00:11:56,428
If you can't be useful to me, get out.
298
00:11:56,463 --> 00:11:59,064
Fight, mama. You hear me?
299
00:11:59,099 --> 00:11:59,932
You have to fight!
300
00:11:59,966 --> 00:12:02,000
Markedly reduced ventricular function.
301
00:12:02,035 --> 00:12:04,503
EF is 20%, maybe 30%.
302
00:12:04,537 --> 00:12:05,938
I don't see an embolus or a rupture.
303
00:12:05,972 --> 00:12:07,106
Let's get these on.
304
00:12:07,140 --> 00:12:08,941
Okay, massive heart attack.
305
00:12:08,975 --> 00:12:13,245
Diffuse S.T. elevations in II, III, and AVF.
306
00:12:13,279 --> 00:12:14,913
Probably the inferior right ventricle.
307
00:12:14,948 --> 00:12:16,014
Christa, vitals?
308
00:12:16,049 --> 00:12:17,950
BP borderline... 90s over 60s.
309
00:12:17,984 --> 00:12:19,184
Heart rate 80s.
310
00:12:19,219 --> 00:12:20,185
He's sat'ing well.
311
00:12:20,220 --> 00:12:21,720
I activated a code stemi.
312
00:12:21,754 --> 00:12:25,023
Take a look at this EKG, and I want to
know the exact time this happened.
313
00:12:25,058 --> 00:12:27,726
Malaya, what's the
single-most important thing
314
00:12:27,760 --> 00:12:29,294
we can do to save this patient's life?
315
00:12:29,329 --> 00:12:30,796
He needs a cath lab.
316
00:12:30,830 --> 00:12:31,964
The heart attack was caused
317
00:12:31,998 --> 00:12:33,065
by a blockage in one of his arteries.
318
00:12:33,099 --> 00:12:35,701
- He needs a stent to break it up.
- How long do we have?
319
00:12:35,735 --> 00:12:37,536
90 minutes from door to stent.
320
00:12:37,570 --> 00:12:39,071
Are we in the window?
321
00:12:39,105 --> 00:12:41,206
Um, he hasn't Q'ed out yet.
322
00:12:41,241 --> 00:12:42,875
He still has hyper-acute T-waves.
323
00:12:42,909 --> 00:12:44,776
This probably happened
less than an hour ago.
324
00:12:44,811 --> 00:12:45,711
He's conscious.
325
00:12:47,981 --> 00:12:49,882
Jesse.
326
00:12:49,916 --> 00:12:53,118
I know you're scared, but I got you, mama.
327
00:12:53,153 --> 00:12:54,686
You hear me?
328
00:12:54,721 --> 00:12:57,556
Cardiology's here.
329
00:12:57,590 --> 00:12:59,058
Cath lab's ready for him.
330
00:12:59,092 --> 00:13:00,859
I'm going with you.
331
00:13:20,580 --> 00:13:22,514
Look, I get this is tough.
332
00:13:22,549 --> 00:13:24,817
- I know Jesse's daddy, but...
- Mama.
333
00:13:24,851 --> 00:13:26,185
Jesse's mama.
334
00:13:26,219 --> 00:13:27,753
Mama.
335
00:13:27,787 --> 00:13:30,422
Maybe I don't quite get it,
but I have an ER to run.
336
00:13:30,457 --> 00:13:32,324
I need you to say something motivational,
337
00:13:32,358 --> 00:13:33,859
get the people back to work.
338
00:13:33,893 --> 00:13:35,227
I would, but coming from me,
339
00:13:35,261 --> 00:13:37,563
it might seem like I'm
a cold, unfeeling bitch.
340
00:13:37,597 --> 00:13:40,065
From you, they'll understand.
341
00:13:40,100 --> 00:13:42,534
Okay?
342
00:13:44,704 --> 00:13:46,371
Uh, hey, everyone.
343
00:13:48,141 --> 00:13:50,943
Look, I know mama is on all of our minds.
344
00:13:50,977 --> 00:13:56,882
Let's give ourselves a moment
to say a prayer for him,
345
00:13:56,916 --> 00:13:59,451
and then we have to get back to our patients
346
00:13:59,486 --> 00:14:01,720
and give them the same care and attention
347
00:14:01,754 --> 00:14:04,723
that we've just given to Jesse.
348
00:14:04,757 --> 00:14:06,892
'Cause you all know mama's number-one rule.
349
00:14:08,495 --> 00:14:10,095
We're not allowed...
350
00:14:10,130 --> 00:14:13,599
To kill a guest in mama's house.
351
00:14:23,410 --> 00:14:24,710
- Dr. Guthrie?
- Yes.
352
00:14:24,744 --> 00:14:26,445
She is here about a patient
353
00:14:26,479 --> 00:14:28,447
that came in just before shift change.
354
00:14:28,481 --> 00:14:30,115
Kyle Eldrich?
355
00:14:30,150 --> 00:14:31,684
Yeah, he's my husband.
356
00:14:31,718 --> 00:14:33,886
I'm Debbie.
357
00:14:33,920 --> 00:14:35,854
Stabbing victim.
358
00:14:35,889 --> 00:14:37,923
This young man was taken up to the O.R.
359
00:14:37,958 --> 00:14:39,358
Yeah, how is he?
360
00:14:42,228 --> 00:14:43,529
Please.
361
00:14:45,598 --> 00:14:47,032
His wounds are severe.
362
00:14:47,067 --> 00:14:48,767
He's being prepped for surgery.
363
00:14:48,802 --> 00:14:51,937
Okay, see, he has to be okay.
364
00:14:51,972 --> 00:14:54,406
'Cause he just got back
from a tour in Afghanistan.
365
00:14:54,441 --> 00:14:55,741
- Oh, he's active duty?
- Yeah.
366
00:14:55,775 --> 00:14:56,942
68 Whiskey.
367
00:14:56,977 --> 00:14:59,244
68 Whiskey?
368
00:14:59,279 --> 00:15:00,879
I'll check on him.
369
00:15:00,914 --> 00:15:02,247
Thank you.
370
00:15:04,918 --> 00:15:07,820
Hey, son.
371
00:15:07,854 --> 00:15:09,455
Your patient's wife just got here.
372
00:15:09,489 --> 00:15:10,789
She was asking about him.
373
00:15:10,824 --> 00:15:12,791
Well, he's holding on.
374
00:15:12,826 --> 00:15:14,994
I'll know more when I get inside.
375
00:15:15,028 --> 00:15:16,795
Well, I just wanted you to know
376
00:15:16,830 --> 00:15:19,098
that this young man is army,
just like you and me.
377
00:15:19,132 --> 00:15:22,067
Matter of fact, same M.O.S. and unit as you.
378
00:15:22,102 --> 00:15:24,236
- Yeah?
- Yeah.
379
00:15:24,270 --> 00:15:26,638
- He's a Whiskey?
- Yeah.
380
00:15:26,673 --> 00:15:29,508
Boy, those medics saved me more than once
381
00:15:29,542 --> 00:15:31,977
when I was still in the service.
382
00:15:32,012 --> 00:15:33,879
Let's repay the favor, huh?
383
00:15:36,616 --> 00:15:37,850
Yeah.
384
00:15:37,884 --> 00:15:39,985
Nothing I'd like more...
385
00:15:40,020 --> 00:15:43,022
But you saw his chart.
386
00:15:43,056 --> 00:15:45,591
Eight penetrating wounds,
EBL nearly a liter.
387
00:15:45,625 --> 00:15:49,028
BP still 70s over 40s
after six units of O-neg.
388
00:15:49,062 --> 00:15:50,796
That's why I'm glad he has you.
389
00:15:52,065 --> 00:15:54,833
No pressure.
390
00:15:57,971 --> 00:16:00,939
Hey.
391
00:16:00,974 --> 00:16:02,808
You want to scrub up, soldier?
392
00:16:02,842 --> 00:16:05,177
You sure?
393
00:16:05,211 --> 00:16:07,212
Why not?
394
00:16:11,718 --> 00:16:15,554
Aw, man, they... They're swamped down there.
395
00:16:15,588 --> 00:16:16,889
But rain check?
396
00:16:16,923 --> 00:16:19,625
I'll let you know how he does.
397
00:16:19,659 --> 00:16:22,161
Yeah, yeah.
398
00:16:22,195 --> 00:16:23,529
He's gonna pull through.
399
00:16:23,563 --> 00:16:24,963
He has to.
400
00:16:24,998 --> 00:16:27,199
I can't imagine this place without Jesse.
401
00:16:27,233 --> 00:16:29,034
So we'll keep her here for a few hours,
402
00:16:29,069 --> 00:16:31,737
I'll monitor her, and I'll
call you if anything changes.
403
00:16:31,771 --> 00:16:33,205
Thank you.
404
00:16:33,239 --> 00:16:36,041
Right now, she's stable.
405
00:16:36,076 --> 00:16:37,910
I just want to make sure she stays that way.
406
00:16:37,944 --> 00:16:40,646
Okay, thank you, and I'm sorry about before.
407
00:16:40,680 --> 00:16:42,815
No, I'm the one who's sorry.
408
00:16:42,849 --> 00:16:44,883
You're supposed to worry
about your daughter.
409
00:16:44,918 --> 00:16:46,051
What the hell is this doing here?
410
00:16:46,086 --> 00:16:48,654
Isabel, did the paramedics
forget to take this with them?
411
00:16:48,688 --> 00:16:51,056
They got called out and didn't
get a chance to go for the boy.
412
00:16:51,091 --> 00:16:53,926
- I'm waiting on a call back from social services.
- Are you kidding me?
413
00:16:53,960 --> 00:16:56,028
That kid could be out there somewhere alone.
414
00:16:56,062 --> 00:16:56,817
He could be in trouble!
415
00:16:56,817 --> 00:16:59,049
Yell at me again,
I'm gonna put you over my knee.
416
00:16:59,132 --> 00:17:00,866
I'd like to see that.
417
00:17:00,900 --> 00:17:02,534
- What's going on?
- Eli's still out there.
418
00:17:02,569 --> 00:17:04,002
No one went to go find him.
419
00:17:04,037 --> 00:17:05,070
I got to go get him.
420
00:17:05,105 --> 00:17:06,905
Hey, hey! We're all on edge.
421
00:17:06,940 --> 00:17:08,941
Someone's got to get that
kid. I promised his father.
422
00:17:08,975 --> 00:17:10,843
Well, you can't go... Not now.
423
00:17:10,877 --> 00:17:12,377
We're already down a doctor and a nurse.
424
00:17:12,412 --> 00:17:13,579
I'll be quick.
425
00:17:13,613 --> 00:17:15,280
Dr. Savetti, you're not going.
426
00:17:15,315 --> 00:17:19,351
Call social services or ask
the police to get the boy.
427
00:17:23,089 --> 00:17:25,124
- Okay, what is it?
- I need a favor.
428
00:17:25,158 --> 00:17:27,259
I am not taking that
impacted bowel from you.
429
00:17:27,293 --> 00:17:28,427
I need you guys to cover for me
430
00:17:28,461 --> 00:17:29,695
while I go find my patient's kid.
431
00:17:29,729 --> 00:17:31,930
But Dr. Hudson said to stay in-house.
432
00:17:31,965 --> 00:17:33,298
We could all get into trouble, I know.
433
00:17:33,333 --> 00:17:35,134
I can't just leave that kid out there.
434
00:17:35,168 --> 00:17:36,869
I'm in.
435
00:17:38,104 --> 00:17:42,307
It's a kid with Down Syndrome
alone out on the street.
436
00:17:42,342 --> 00:17:44,042
Okay. I'm in.
437
00:17:44,077 --> 00:17:46,912
Guys, we could get suspended or worse.
438
00:17:50,083 --> 00:17:52,084
Okay, you better hurry.
I'm not a very good liar.
439
00:17:52,118 --> 00:17:53,619
- One time, at summer camp...
- Angus.
440
00:17:53,653 --> 00:17:54,753
Thanks, I'll be quick.
441
00:17:54,787 --> 00:17:56,588
Malaya, Aubrey Clark is crumping.
442
00:17:56,623 --> 00:17:58,423
- Oh.
- I'll help.
443
00:17:58,458 --> 00:18:02,060
She can't get enough air and
her monitor keeps screaming.
444
00:18:02,095 --> 00:18:04,663
She's in sinus, but sats are
only in the 80s on four liters.
445
00:18:04,697 --> 00:18:06,398
- Diffuse crackles throughout.
- Okay.
446
00:18:06,432 --> 00:18:08,500
Okay, would you help her? Please fix this!
447
00:18:08,535 --> 00:18:10,936
I'm gonna raise the bed so you
can breathe a little easier, okay?
448
00:18:10,970 --> 00:18:12,437
I need a BIPAP and an ultrasound.
449
00:18:12,472 --> 00:18:13,839
- Page Respiratory, stat.
- Okay, wait a minute.
450
00:18:13,873 --> 00:18:14,973
What are you doing?
451
00:18:15,008 --> 00:18:17,643
Her heart isn't pushing her
blood forward effectively.
452
00:18:17,677 --> 00:18:19,178
It's backing up into her lungs,
453
00:18:19,212 --> 00:18:20,612
which is affecting her breathing.
454
00:18:20,647 --> 00:18:22,614
We're going to start a device called BIPAP
455
00:18:22,649 --> 00:18:24,750
that blows high-pressured
air into the lungs.
456
00:18:26,786 --> 00:18:28,153
Okay, start at 10 over 5.
457
00:18:30,023 --> 00:18:32,291
- 40 of Lasix.
- Yep.
458
00:18:32,325 --> 00:18:35,160
Aubrey, this is gonna make
you feel better, okay?
459
00:18:35,195 --> 00:18:36,995
Ultrasound.
460
00:18:42,569 --> 00:18:44,536
That looks like a poor squeeze.
461
00:18:44,571 --> 00:18:46,171
This is global hypokinesis.
462
00:18:47,473 --> 00:18:48,407
Sats back in the 90s.
463
00:18:48,441 --> 00:18:50,475
Okay, you see, this is why she's got to get
464
00:18:50,510 --> 00:18:52,211
out of here because this is getting worse.
465
00:18:52,245 --> 00:18:54,346
Based on this ultrasound,
this is early heart failure.
466
00:18:54,380 --> 00:18:56,148
- She's not going anywhere.
- What?
467
00:18:56,182 --> 00:18:57,082
Okay, wait a minute.
468
00:18:57,116 --> 00:18:59,785
What is causing this, and what can we do?
469
00:18:59,819 --> 00:19:00,786
- Okay.
- Hey, hey, hey.
470
00:19:00,820 --> 00:19:03,155
Absent family history or congenital issues,
471
00:19:03,189 --> 00:19:05,991
this condition could be caused
by cocaine or methamphetamine.
472
00:19:06,025 --> 00:19:07,326
- Is that possible?
- No, no.
473
00:19:07,360 --> 00:19:08,627
No, my daughter's not a druggie.
474
00:19:08,661 --> 00:19:10,195
Let's do a tox screen anyway.
475
00:19:10,230 --> 00:19:11,997
No, we don't need to do a tox screen.
476
00:19:12,031 --> 00:19:14,733
You see, this is why I
need real doctor here!
477
00:19:14,767 --> 00:19:16,134
Mrs. Clark, right now, I'm all you've got,
478
00:19:16,169 --> 00:19:17,536
so back off and let me do my job.
479
00:19:17,570 --> 00:19:19,004
- Malaya, easy.
- You said you were gonna help.
480
00:19:19,038 --> 00:19:22,040
- Tox screen, please.
- Okay, you got it.
481
00:19:31,918 --> 00:19:33,685
It's a big blockage.
482
00:19:33,720 --> 00:19:35,220
You're lucky to be alive.
483
00:19:35,255 --> 00:19:37,823
Heather, aren't you a surgical resident?
484
00:19:37,857 --> 00:19:39,925
Yes, but we have to do an interventional
485
00:19:39,959 --> 00:19:42,194
cardiac rotation as part of our residency.
486
00:19:42,228 --> 00:19:43,495
I just started mine.
487
00:19:43,529 --> 00:19:45,197
Well, I'm sure you're quite capable,
488
00:19:45,231 --> 00:19:46,765
but I'd prefer an attending.
489
00:19:46,799 --> 00:19:50,168
- Looks like a great doctor to me.
- Score.
490
00:19:50,203 --> 00:19:52,371
I'm flattered and offended at the same time.
491
00:19:52,405 --> 00:19:54,106
Light sedation feels
pretty good to you, huh?
492
00:19:54,140 --> 00:19:57,109
For sure, for sure.
493
00:19:57,143 --> 00:19:58,277
Want to dance?
494
00:19:58,311 --> 00:19:59,611
Jesse, stop talking.
495
00:19:59,646 --> 00:20:01,880
Don't worry, Dr. Rorish. I'm very good.
496
00:20:01,914 --> 00:20:04,283
I scared you, huh?
497
00:20:04,317 --> 00:20:06,451
Well, you're the one shaking in his boots.
498
00:20:06,486 --> 00:20:08,053
You cried.
499
00:20:08,087 --> 00:20:10,222
And it was an ugly cry, too.
500
00:20:10,256 --> 00:20:11,723
You made a face like this.
501
00:20:14,327 --> 00:20:16,428
Listen.
502
00:20:17,730 --> 00:20:20,399
Before I'm dead,
503
00:20:20,433 --> 00:20:22,701
there's something I got to tell you.
504
00:20:22,735 --> 00:20:24,403
Shut up. You're not dead.
505
00:20:24,437 --> 00:20:26,238
Neither are you.
506
00:20:26,272 --> 00:20:28,473
What are you talking about?
507
00:20:28,508 --> 00:20:30,609
You're alive.
508
00:20:30,643 --> 00:20:32,411
I know that.
509
00:20:32,445 --> 00:20:34,813
I don't think you do.
510
00:20:34,847 --> 00:20:36,948
You're alive.
511
00:20:36,983 --> 00:20:38,750
They're not.
512
00:20:38,785 --> 00:20:41,486
Jesse, what are you doing?
513
00:20:41,521 --> 00:20:45,757
What I'm telling you is that if I die today,
514
00:20:45,792 --> 00:20:49,628
my one wish would be that you live.
515
00:20:49,662 --> 00:20:52,764
Really live.
516
00:20:52,799 --> 00:20:55,600
I'm pretty sure that's their wish, too.
517
00:20:57,203 --> 00:20:59,237
Dr. Rorish.
518
00:20:59,272 --> 00:21:00,272
What?
519
00:21:00,306 --> 00:21:03,141
The artery wall in this
area appears very thin.
520
00:21:03,176 --> 00:21:06,278
I'm afraid I may rupture
it if I move too quickly.
521
00:21:06,312 --> 00:21:08,080
We don't have time to wait.
522
00:21:08,114 --> 00:21:11,750
I think I can get past it
without causing any damage.
523
00:21:14,287 --> 00:21:15,954
All right.
524
00:21:15,988 --> 00:21:17,589
We're through.
525
00:21:17,623 --> 00:21:20,092
Okay, there's the blockage.
526
00:21:20,126 --> 00:21:22,627
Now I just need to move the stent in place.
527
00:21:22,662 --> 00:21:25,497
And inflate it.
528
00:21:30,670 --> 00:21:32,337
You officially have an unblocked artery.
529
00:21:32,372 --> 00:21:34,606
- That's it?
- No.
530
00:21:34,640 --> 00:21:36,508
Now you have to listen to me when I say,
531
00:21:36,542 --> 00:21:38,043
"take the salad.
532
00:21:38,077 --> 00:21:39,211
Lay off the fries."
533
00:21:39,245 --> 00:21:41,847
A man's got to live.
534
00:21:49,889 --> 00:21:51,656
Have you, uh... Have you seen Dr. Savetti?
535
00:21:53,760 --> 00:21:55,460
- You okay, Dr. Leighton?
- Mm-hmm.
536
00:21:55,495 --> 00:21:58,196
I'm good.
537
00:21:58,231 --> 00:21:59,798
Gina got us this pizza.
538
00:21:59,832 --> 00:22:01,900
Have you tried it? Ooh, it is good.
539
00:22:01,934 --> 00:22:03,368
No, maybe later. Have you seen Dr. Savetti?
540
00:22:03,403 --> 00:22:05,303
Me?
541
00:22:05,338 --> 00:22:06,204
Yeah, you.
542
00:22:08,736 --> 00:22:12,339
I believe he took a patient for a CT scan.
543
00:22:12,373 --> 00:22:14,608
Yeah, I hear they're really backed up.
544
00:22:14,642 --> 00:22:16,610
Mm-hmm.
545
00:22:16,644 --> 00:22:19,846
If I, uh, run into Mario,
I'll send him your way.
546
00:22:26,254 --> 00:22:28,155
You're not lying to
cover for Mario, are you?
547
00:22:28,189 --> 00:22:31,725
Are you asking me as an
attending or as a friend?
548
00:22:31,759 --> 00:22:34,695
What's the difference?
549
00:22:34,729 --> 00:22:36,697
The answer is no.
550
00:22:36,731 --> 00:22:38,065
I don't know where Mario is.
551
00:22:41,169 --> 00:22:43,537
If I find out the residents
are lying to cover for Mario,
552
00:22:43,571 --> 00:22:45,906
there will be a reprimand,
and I won't protect you.
553
00:22:45,940 --> 00:22:49,042
I didn't ask you to.
554
00:23:06,227 --> 00:23:07,394
Eli?
555
00:23:11,532 --> 00:23:13,900
I was looking for you at your bus stop.
556
00:23:13,935 --> 00:23:16,236
I see you found your way home.
557
00:23:16,271 --> 00:23:19,606
My dad told me not to talk to strangers.
558
00:23:19,641 --> 00:23:21,575
Well, I'm Dr. Savetti.
559
00:23:21,609 --> 00:23:23,176
Your dad sent me to come get you.
560
00:23:27,415 --> 00:23:28,915
He gave me this.
561
00:23:31,286 --> 00:23:32,286
Can I tell you a secret?
562
00:23:32,320 --> 00:23:33,553
Sure.
563
00:23:33,588 --> 00:23:35,422
I like Yoda, too.
564
00:23:36,624 --> 00:23:40,594
When I was a kid, my dad, he, uh...
565
00:23:40,628 --> 00:23:43,730
He wasn't a good guy like yours.
566
00:23:43,765 --> 00:23:46,533
He'd go out a lot at
night and leave me alone.
567
00:23:46,568 --> 00:23:48,235
Were you scared?
568
00:23:48,269 --> 00:23:50,571
Hell, yeah.
569
00:23:50,605 --> 00:23:52,906
But I had a Star Wars videotape
570
00:23:52,941 --> 00:23:57,111
and I'd play it and it made me feel safe.
571
00:23:57,145 --> 00:24:00,013
What's a videotape?
572
00:24:03,585 --> 00:24:05,452
You're messing with me, huh?
573
00:24:07,489 --> 00:24:10,390
All right, come on.
574
00:24:10,425 --> 00:24:12,192
Let me call your dad
575
00:24:12,227 --> 00:24:16,029
and see if I can tell him you're all right.
576
00:24:17,499 --> 00:24:19,566
Angels, Trauma One, Risa speaking.
577
00:24:19,601 --> 00:24:20,834
Hey, risa. It's Mario.
578
00:24:20,869 --> 00:24:23,570
Can you tell me if a patient,
David Jacobs, is in recovery?
579
00:24:23,605 --> 00:24:25,973
- Seatbelt.
- Sure, hold on.
580
00:24:26,007 --> 00:24:29,143
Mario, he is still in surgery.
581
00:24:29,177 --> 00:24:31,078
You want me to check on him...
582
00:24:31,112 --> 00:24:34,248
Where are you? And be
careful how you answer.
583
00:24:36,351 --> 00:24:37,784
I found David's son.
584
00:24:37,819 --> 00:24:40,742
Get back to the hospital
immediately, Dr. Savetti.
585
00:24:51,699 --> 00:24:53,166
I hear he's okay?
586
00:24:53,200 --> 00:24:55,969
He seems to be.
587
00:24:56,003 --> 00:24:57,537
Thanks to you.
588
00:24:57,571 --> 00:24:59,873
Well, I needed to win you over somehow.
589
00:24:59,907 --> 00:25:02,575
I figured if I saved Jesse's
life, you might like me.
590
00:25:02,610 --> 00:25:04,711
Good strategy.
591
00:25:05,880 --> 00:25:06,913
Thank you.
592
00:25:06,947 --> 00:25:09,516
Forget about it.
593
00:25:09,550 --> 00:25:13,253
And I'm gonna need you to
work a regular schedule.
594
00:25:13,287 --> 00:25:14,854
What? Too soon?
595
00:25:16,557 --> 00:25:18,224
Your husband pulled through
596
00:25:18,259 --> 00:25:20,493
a very difficult surgery,
597
00:25:20,528 --> 00:25:22,395
but he is still in critical condition.
598
00:25:22,429 --> 00:25:24,364
Yeah, but he's gonna make it.
599
00:25:24,398 --> 00:25:26,065
Well, we have to wait and see.
600
00:25:26,100 --> 00:25:29,502
We found extensive internal
bleeding due to the damage
601
00:25:29,537 --> 00:25:32,071
in his stomach and bowel,
but he's a Whiskey.
602
00:25:32,106 --> 00:25:33,873
I'm sure he's tough.
603
00:25:33,908 --> 00:25:35,842
Yeah, he's gonna be fine.
604
00:25:35,876 --> 00:25:36,910
I know it.
605
00:25:36,944 --> 00:25:38,244
Has anyone looked at that arm?
606
00:25:38,279 --> 00:25:39,846
Oh, it's fine.
607
00:25:43,050 --> 00:25:44,884
Mrs. Eldrich, how did you know
608
00:25:44,919 --> 00:25:46,586
that your husband was in the hospital?
609
00:25:46,621 --> 00:25:47,821
Were you there when it happened?
610
00:25:53,594 --> 00:25:56,596
Is that a...
611
00:25:56,631 --> 00:25:58,531
Virgin Mary there?
612
00:26:00,968 --> 00:26:02,669
I went to catholic school.
613
00:26:02,703 --> 00:26:04,571
I used to go to mass every
Sunday with my mom.
614
00:26:04,605 --> 00:26:07,173
Debbie. What happened to your arm?
615
00:26:07,208 --> 00:26:09,409
- Did Kyle try to hurt you?
- God, no.
616
00:26:09,443 --> 00:26:11,378
No, he'd never.
617
00:26:11,412 --> 00:26:13,680
Do you mind if I take a look?
618
00:26:13,714 --> 00:26:15,348
Please.
619
00:26:31,432 --> 00:26:34,134
Kyle's been trying to...
620
00:26:34,168 --> 00:26:36,302
Get me quit my habit.
621
00:26:36,337 --> 00:26:38,571
He's taking me to meetings and all that.
622
00:26:40,274 --> 00:26:42,809
I waited until he was asleep...
623
00:26:42,843 --> 00:26:47,113
To go out and score tonight.
624
00:26:47,148 --> 00:26:49,749
He must have been following me
625
00:26:49,784 --> 00:26:52,619
because he knew where I was.
626
00:26:52,653 --> 00:26:56,489
And I was... I was high
by the time he came in,
627
00:26:56,524 --> 00:26:58,458
wanting to drag me home.
628
00:26:59,260 --> 00:27:01,761
The people I was with got
spooked, and before...
629
00:27:01,796 --> 00:27:04,431
Before I knew it, some son of a bitch
630
00:27:04,465 --> 00:27:07,100
had his knife out and...
631
00:27:07,134 --> 00:27:09,102
And you just left him there.
632
00:27:10,705 --> 00:27:13,506
Why the hell was he following me?
633
00:27:13,541 --> 00:27:14,908
I am his wife.
634
00:27:14,942 --> 00:27:16,342
I'm not... I'm not his daughter.
635
00:27:16,377 --> 00:27:18,411
- Did you at least call 911?
- Yes, of course.
636
00:27:18,446 --> 00:27:21,481
But I was... I was coming
down and I needed a fix.
637
00:27:21,515 --> 00:27:23,516
- I wasn't seeing straight.
- You just left him there.
638
00:27:23,551 --> 00:27:24,584
Cole.
639
00:27:24,618 --> 00:27:26,786
Your husband survived
terrorists and mortar attacks
640
00:27:26,821 --> 00:27:27,854
- but he couldn't survive you.
- Stop.
641
00:27:27,888 --> 00:27:30,623
No, she needs to hear this.
You did this to him.
642
00:27:30,658 --> 00:27:31,825
It should be you in that damn ICU, not him.
643
00:27:31,859 --> 00:27:33,626
Cole, that's enough.
644
00:27:38,866 --> 00:27:42,268
Oh, Jesus.
645
00:27:42,303 --> 00:27:44,270
I'm so sorry.
646
00:27:45,806 --> 00:27:48,675
I'm so sorry.
647
00:27:48,709 --> 00:27:51,311
You know, we have a command
hierarchy for a reason.
648
00:27:51,345 --> 00:27:52,946
We allow the residents to ignore it
649
00:27:52,980 --> 00:27:55,014
and there are consequences for the patients.
650
00:27:57,084 --> 00:28:00,353
I knew you had a tough job,
but I didn't know how hard.
651
00:28:00,387 --> 00:28:02,689
I'm confused.
652
00:28:02,723 --> 00:28:04,858
About what?
653
00:28:04,892 --> 00:28:07,694
You're the one who said that
every resident is a lock
654
00:28:07,728 --> 00:28:09,462
and you just have to find
the right combination.
655
00:28:09,497 --> 00:28:11,898
I still believe that.
656
00:28:11,932 --> 00:28:15,735
Mario just did two things he
could have never done before.
657
00:28:15,770 --> 00:28:18,705
He put himself at risk for a patient
658
00:28:18,739 --> 00:28:20,673
and he reached out for help.
659
00:28:20,708 --> 00:28:23,510
He disobeyed you, yes.
660
00:28:23,544 --> 00:28:27,714
But he also proved your point...
That they're all teachable.
661
00:28:29,850 --> 00:28:32,085
- So you wouldn't discipline him?
- Me?
662
00:28:32,119 --> 00:28:34,821
I'd throw him out of the
program if I knew he did this.
663
00:28:34,855 --> 00:28:36,389
But...
664
00:28:36,423 --> 00:28:38,825
I don't know a thing about it.
665
00:28:38,859 --> 00:28:42,028
I got to go check on Jesse.
666
00:29:10,457 --> 00:29:12,292
So...
667
00:29:12,326 --> 00:29:13,860
I'm sorry, I just...
668
00:29:13,894 --> 00:29:15,762
I just came to check on him.
669
00:29:15,796 --> 00:29:18,031
Maybe I'll just come back.
670
00:29:28,442 --> 00:29:30,777
I heard you had to take
Eldrich back into surgery.
671
00:29:30,811 --> 00:29:32,245
He's dead.
672
00:29:34,114 --> 00:29:36,616
Oh, man.
673
00:29:36,650 --> 00:29:37,550
Three liters of blood in the belly.
674
00:29:37,585 --> 00:29:39,552
The liver's shredded to pieces.
675
00:29:39,587 --> 00:29:40,954
I tried, but I couldn't save him.
676
00:29:40,988 --> 00:29:42,789
Yeah, I'm sure you did the best you could.
677
00:29:42,823 --> 00:29:45,692
- I'll go talk to his wife.
- No, he was my patient.
678
00:29:45,726 --> 00:29:47,594
I don't think that's a good idea, son.
679
00:29:47,628 --> 00:29:48,795
You already said enough.
680
00:29:48,829 --> 00:29:50,196
You don't get to make that decision.
681
00:29:50,231 --> 00:29:51,197
Wait a minute, Cole!
682
00:29:51,232 --> 00:29:54,200
It's my responsibility.
683
00:29:56,503 --> 00:29:58,605
- Yeah.
- Excuse me.
684
00:29:58,639 --> 00:30:00,740
Have you seen Kyle Eldrich's wife?
685
00:30:00,774 --> 00:30:02,475
- Ugh, I'm so sorry.
- What is it?
686
00:30:02,509 --> 00:30:04,911
She overhead some of the
trauma nurses talking.
687
00:30:04,945 --> 00:30:06,713
She knows her husband didn't make it.
688
00:30:06,747 --> 00:30:07,881
Well, where is she?
689
00:30:07,915 --> 00:30:09,949
She said she was gonna go
clean up in the ladies' room.
690
00:30:17,458 --> 00:30:19,158
Debbie?
691
00:30:19,193 --> 00:30:20,760
Debbie.
692
00:30:20,794 --> 00:30:23,229
I don't want this.
693
00:30:23,264 --> 00:30:25,064
I don't want this.
694
00:30:25,099 --> 00:30:26,466
I don't want this.
695
00:30:34,608 --> 00:30:35,942
Help me.
696
00:30:38,612 --> 00:30:40,313
- It's okay. It's okay.
- Help me.
697
00:30:40,347 --> 00:30:42,548
It's okay.
698
00:30:45,819 --> 00:30:48,121
We were able to wean your
daughter off BIPAP with Lasix.
699
00:30:48,155 --> 00:30:49,923
- Mm-hmm.
- That is the good news.
700
00:30:49,957 --> 00:30:50,890
Her tox panel came back.
701
00:30:50,925 --> 00:30:53,326
There's no meth or cocaine in her system.
702
00:30:53,360 --> 00:30:54,827
Yeah, I told you.
703
00:30:54,862 --> 00:30:56,963
But her thyroid levels are so high
704
00:30:56,997 --> 00:30:58,965
they can't be measured by our laboratory.
705
00:30:58,999 --> 00:31:01,334
She's in a thyroid storm.
706
00:31:01,368 --> 00:31:03,169
What... What is a thyroid storm?
707
00:31:03,203 --> 00:31:05,204
A side effect of thyroid
meds is weight loss.
708
00:31:05,239 --> 00:31:07,674
Sometimes patients abuse
those meds to get thin,
709
00:31:07,708 --> 00:31:09,642
but the excessive hormones in the blood
710
00:31:09,677 --> 00:31:11,210
can reach toxic levels.
711
00:31:11,245 --> 00:31:13,046
It's called a thyroid storm.
712
00:31:13,080 --> 00:31:15,448
It can cause heart failure
and abnormal rhythms.
713
00:31:15,482 --> 00:31:18,685
Aubrey, we've noticed
from your medical records
714
00:31:18,719 --> 00:31:21,888
that you've lost quite a few
pounds over the last year.
715
00:31:21,922 --> 00:31:23,990
From diet and exercise.
716
00:31:24,759 --> 00:31:27,027
You don't have a prescription
for thyroid medication,
717
00:31:27,061 --> 00:31:29,696
but we've known some girls
to sneak their mom's pills.
718
00:31:29,730 --> 00:31:32,098
Do you have a prescription, Mrs. Clark?
719
00:31:32,133 --> 00:31:33,700
Yes, I do.
720
00:31:33,734 --> 00:31:35,869
I've never taken my mom's pills.
721
00:31:35,903 --> 00:31:38,071
The only thing I take are my vitamins.
722
00:31:38,105 --> 00:31:39,673
Mom, you believe me, right?
723
00:31:39,707 --> 00:31:42,776
Yes, honey, of course I do.
724
00:31:42,810 --> 00:31:45,545
Mrs. Clark, could you
step out with me, please?
725
00:31:51,986 --> 00:31:53,386
You did this, didn't you?
726
00:31:53,421 --> 00:31:55,221
What are you talking about?
727
00:31:55,256 --> 00:31:57,590
She could die, and you're still lying.
728
00:31:57,625 --> 00:32:00,393
Who the hell do you think
you are, young lady?
729
00:32:00,428 --> 00:32:02,362
My name is Dr. Pineda.
730
00:32:02,396 --> 00:32:03,630
Are you gonna tell the truth or not?
731
00:32:03,664 --> 00:32:05,665
What's going on here?
732
00:32:06,667 --> 00:32:08,468
She's gmng her daughter
her thyroid medication
733
00:32:08,502 --> 00:32:09,769
without her knowledge.
734
00:32:09,804 --> 00:32:10,537
Am I right?
735
00:32:10,571 --> 00:32:12,739
Answer me! Am I right?
736
00:32:12,773 --> 00:32:14,407
Are you gonna let her talk to me like this?
737
00:32:14,442 --> 00:32:16,009
You bet your ass I am.
738
00:32:17,111 --> 00:32:20,814
She could die if you
don't tell me the truth.
739
00:32:20,848 --> 00:32:22,615
Did you give her your
medication... yes or no?
740
00:32:24,318 --> 00:32:27,821
Yes. Yes, but I didn't think
that this was gonna hurt her.
741
00:32:27,855 --> 00:32:30,423
You wanted her to lose
weight so you gave her
742
00:32:30,458 --> 00:32:33,426
your medication and you
told her it was a vitamin.
743
00:32:33,461 --> 00:32:36,096
Mom! Is that true?
744
00:32:36,130 --> 00:32:38,665
Honey, I never ever meant to hurt you.
745
00:32:38,699 --> 00:32:41,801
I just wanted... I wanted
you to like yourself, honey.
746
00:32:41,836 --> 00:32:43,069
And it worked!
747
00:32:43,104 --> 00:32:45,438
Didn't it? It worked.
748
00:32:45,473 --> 00:32:48,675
I wish there was a drug
to make you like me, mom.
749
00:32:50,978 --> 00:32:53,313
- Aubrey. Aubrey, honey!
- She's in V-tac.
750
00:32:53,347 --> 00:32:55,682
Angus, let's get her back in bed.
751
00:32:55,716 --> 00:32:56,750
Honey!
752
00:32:57,334 --> 00:33:00,825
__
753
00:33:03,991 --> 00:33:06,126
- He's bleeding out again.
- He's been fine until now.
754
00:33:06,160 --> 00:33:08,628
I thought Dr. Rorish fixed the
bleed with the breathing tube.
755
00:33:08,662 --> 00:33:09,629
Me, too.
756
00:33:09,663 --> 00:33:11,798
I need thoracic, or I.R. or...
757
00:33:11,832 --> 00:33:13,867
Oh, he's starting to vomit.
The tube could come out.
758
00:33:13,901 --> 00:33:14,968
Do something!
759
00:33:15,002 --> 00:33:16,469
Oh, my God.
760
00:33:16,504 --> 00:33:17,771
- Should I page Dr. Rorish?
- No!
761
00:33:17,805 --> 00:33:19,439
Hudson, we need a surgeon.
762
00:33:19,473 --> 00:33:21,941
- How's my heart rate?
- 210.
763
00:33:21,976 --> 00:33:24,377
It's fast, but it's not
irregularly irregular.
764
00:33:24,411 --> 00:33:25,678
I don't think it's A-fib.
765
00:33:25,713 --> 00:33:26,846
It's worse.
766
00:33:26,881 --> 00:33:29,883
It's a paroxysmal SVT.
767
00:33:29,917 --> 00:33:33,353
Get me to Center Stage. I need Leanne.
768
00:33:35,586 --> 00:33:37,438
Aubrey!
769
00:33:38,854 --> 00:33:40,321
Malaya, pads.
770
00:33:42,124 --> 00:33:43,758
- Charging. Ready?
- Okay, clear.
771
00:33:44,794 --> 00:33:46,628
And now.
772
00:33:50,966 --> 00:33:52,367
She's in sinus rhythm.
773
00:33:52,401 --> 00:33:54,803
- Is she gonna be okay?
- She's gonna be okay.
774
00:33:54,837 --> 00:33:56,838
She's gonna need anti-thyroid medication.
775
00:33:56,872 --> 00:33:58,807
Isabel, call the pharmacy.
776
00:33:58,841 --> 00:34:01,810
- Mom?
- Oh, honey, I'm so sorry.
777
00:34:01,844 --> 00:34:04,145
I... I'm so sorry.
778
00:34:04,180 --> 00:34:05,313
Doctor.
779
00:34:06,582 --> 00:34:09,050
- Coming through.
- What happened?
780
00:34:09,085 --> 00:34:10,685
I missed you.
781
00:34:10,720 --> 00:34:12,220
Heather, what is it?
782
00:34:12,254 --> 00:34:14,656
Paroxysmal supraventricular tachycardia.
783
00:34:14,690 --> 00:34:16,124
Uh, Mario, get over here.
784
00:34:16,158 --> 00:34:17,525
Heart rate in the 200s.
785
00:34:17,560 --> 00:34:19,828
- What's his BP?
- High 100s over 60s.
786
00:34:19,862 --> 00:34:22,363
Okay, post M.I., this
kind of heart rate places
787
00:34:22,398 --> 00:34:25,400
excessive demand on already
stressed cardiac tissue.
788
00:34:25,434 --> 00:34:27,168
How do we proceed from here?
789
00:34:27,203 --> 00:34:28,903
Are you still really teaching now?
790
00:34:28,938 --> 00:34:30,672
I mean, this is me on the table.
791
00:34:30,706 --> 00:34:32,040
Mario?
792
00:34:32,074 --> 00:34:34,509
- Adenosine.
- That's right... a medication...
793
00:34:35,878 --> 00:34:38,079
That will literally stop your heart.
794
00:34:38,114 --> 00:34:39,647
- Why?
- Because it...
795
00:34:39,682 --> 00:34:41,750
Heather. Why would we
want to stop his heart?
796
00:34:41,784 --> 00:34:43,818
To restart it like a computer.
797
00:34:43,853 --> 00:34:44,719
Exactly.
798
00:34:44,754 --> 00:34:46,988
It should restore normal heart rhythm.
799
00:34:47,022 --> 00:34:47,889
What's the catch?
800
00:34:47,923 --> 00:34:49,357
I'll tell you what the catch is.
801
00:34:49,391 --> 00:34:51,593
You're gonna do it while I'm still awake,
802
00:34:51,627 --> 00:34:52,994
and it's gonna hurt like hell.
803
00:34:53,028 --> 00:34:54,729
I'm sorry, mama.
804
00:34:54,764 --> 00:34:56,364
Get it done already.
805
00:34:56,398 --> 00:34:58,767
He was fine all shift
after we intubated him.
806
00:34:58,801 --> 00:35:01,336
I've checked the BP twice. It's still low.
807
00:35:01,370 --> 00:35:03,605
Okay, this breathing tube has to come out.
808
00:35:03,639 --> 00:35:05,573
I need to take a look at the
bronchi to see the bleeding.
809
00:35:05,608 --> 00:35:06,808
What, extubate him? He could bleed out.
810
00:35:06,842 --> 00:35:10,011
No, patients with bleeding lungs
don't die from losing blood.
811
00:35:10,045 --> 00:35:11,012
They drown in it.
812
00:35:11,046 --> 00:35:13,181
Hey.
813
00:35:13,215 --> 00:35:14,883
Jesse, I'm gonna tell you something.
814
00:35:14,917 --> 00:35:17,786
I must be about to die because
815
00:35:17,820 --> 00:35:20,021
you're gonna say something touchy-feely.
816
00:35:20,055 --> 00:35:24,793
You're not gonna die because I need you.
817
00:35:24,827 --> 00:35:27,061
Okay? I need you.
818
00:35:27,096 --> 00:35:28,363
I know.
819
00:35:28,397 --> 00:35:29,931
I love you, too.
820
00:35:29,965 --> 00:35:32,033
Risa, grab another airway.
Dr. Lorenson, tube out, now.
821
00:35:32,067 --> 00:35:33,768
Be ready to re-intubate.
822
00:35:45,915 --> 00:35:47,315
Okay, I think I see the bleed.
823
00:35:47,349 --> 00:35:49,651
It's in the left mainstem.
824
00:35:49,685 --> 00:35:50,919
Oh, my God.
825
00:35:50,953 --> 00:35:52,787
We intubated the wrong mainstem earlier.
826
00:35:52,822 --> 00:35:54,956
Nobody used the bronchoscope the first time?
827
00:35:54,990 --> 00:35:57,325
Dr. Rorish intubated blind.
828
00:35:57,359 --> 00:35:58,927
Okay.
829
00:35:58,961 --> 00:36:00,995
Thread the new breathing tube over my scope.
830
00:36:01,030 --> 00:36:02,831
Sat's in the 80s.
831
00:36:02,865 --> 00:36:04,933
You ready?
832
00:36:04,967 --> 00:36:06,334
I'm ready.
833
00:36:06,368 --> 00:36:10,004
Okay, stand by.
834
00:36:10,039 --> 00:36:11,906
Okay.
835
00:36:11,941 --> 00:36:13,575
Sat 75%.
836
00:36:14,343 --> 00:36:16,778
And I am in.
837
00:36:16,812 --> 00:36:18,346
Dr. Lorenson, inflate the tube, please.
838
00:36:23,152 --> 00:36:24,619
Good breath sounds on the right,
839
00:36:24,654 --> 00:36:26,121
not on the left... Just what we want.
840
00:36:26,155 --> 00:36:29,124
Let get some fluids in him,
please, and up to the I.R.
841
00:36:29,158 --> 00:36:30,792
Sat's normalizing.
842
00:36:30,826 --> 00:36:32,427
Dr. Rorish, we're ready.
843
00:36:32,461 --> 00:36:34,562
Okay.
844
00:36:37,266 --> 00:36:38,767
Jesse, you ready?
845
00:36:38,801 --> 00:36:41,069
Save my life, daddy.
846
00:36:43,105 --> 00:36:44,372
All right.
847
00:37:06,996 --> 00:37:09,097
- Sinus rhythm.
- Blood pressure's back.
848
00:37:09,131 --> 00:37:10,865
He's good!
849
00:37:12,902 --> 00:37:14,135
He's good.
850
00:37:14,170 --> 00:37:15,470
Oh, my God.
851
00:37:15,504 --> 00:37:16,771
Oh.
852
00:37:16,806 --> 00:37:18,873
Okay, mama.
853
00:37:18,908 --> 00:37:21,476
You're not going anywhere, okay?
854
00:37:21,510 --> 00:37:23,044
You're not going anywhere.
855
00:37:23,079 --> 00:37:24,946
Oh, I love you.
856
00:37:35,925 --> 00:37:37,525
Did you find an open bed
857
00:37:37,560 --> 00:37:39,994
in the addiction clinic for Mrs. Eldrich?
858
00:37:40,029 --> 00:37:43,498
The way you talked to that woman, Cole,
859
00:37:43,532 --> 00:37:46,601
in her state, your temper almost killed her.
860
00:37:48,037 --> 00:37:49,871
- I told her what she needed to hear.
- No.
861
00:37:49,905 --> 00:37:52,640
You told her what you needed her to hear.
862
00:37:52,675 --> 00:37:56,511
We both know what that temper
has cost you in the past, son.
863
00:37:56,545 --> 00:37:58,480
I hoped that you when you came here,
864
00:37:58,514 --> 00:38:00,315
you'd have put all of that behind you.
865
00:38:00,349 --> 00:38:02,751
I don't need a father-and-son talk from you.
866
00:38:02,785 --> 00:38:05,019
This isn't a father-and-son talk.
867
00:38:07,022 --> 00:38:10,725
This is a senior faculty member
telling a new attending
868
00:38:10,760 --> 00:38:13,394
that his behavior is unacceptable.
869
00:38:24,807 --> 00:38:27,208
He'll wake up soon.
870
00:38:30,379 --> 00:38:32,247
I'm here, dad.
871
00:38:34,784 --> 00:38:38,787
My friend Mario told me
you're gonna be okay.
872
00:38:40,890 --> 00:38:41,856
Eli?
873
00:38:41,891 --> 00:38:43,458
Dad.
874
00:38:43,492 --> 00:38:46,261
Don't worry, dad.
875
00:38:46,295 --> 00:38:48,596
I'm gonna take care of you.
876
00:39:11,086 --> 00:39:13,555
Do you have an explanation
for what you did today?
877
00:39:17,159 --> 00:39:18,593
Not really.
878
00:39:18,627 --> 00:39:20,495
Not really.
879
00:39:20,529 --> 00:39:22,463
That's it? That's an appropriate answer?
880
00:39:22,498 --> 00:39:23,998
I was trying to be Mayonnaise.
881
00:39:24,033 --> 00:39:25,767
Mayonnaise?
882
00:39:25,801 --> 00:39:28,169
Something Jesse said from that movie,
883
00:39:28,204 --> 00:39:30,271
"Officer and a Gentleman."
884
00:39:30,306 --> 00:39:31,172
They called him Mayonnaise
885
00:39:31,207 --> 00:39:34,409
'cause he's white and his name's Mayo.
886
00:39:34,443 --> 00:39:36,277
I've seen the movie. I'm talking about...
887
00:39:36,312 --> 00:39:37,912
I was just trying to do
the right thing, man.
888
00:39:40,609 --> 00:39:41,976
For Jesse.
889
00:39:46,748 --> 00:39:49,750
All right.
890
00:39:49,785 --> 00:39:51,786
What about the others?
891
00:39:53,355 --> 00:39:55,323
Do they get a pass?
892
00:39:55,357 --> 00:39:57,525
This time.
893
00:39:57,559 --> 00:39:59,126
Thank you.
894
00:40:01,463 --> 00:40:03,631
Thank you.
895
00:40:18,246 --> 00:40:20,114
There were, uh, complications
896
00:40:20,148 --> 00:40:23,217
with your patient, Jeff, the paramedic.
897
00:40:23,251 --> 00:40:24,852
He's fine, but the bleed was
898
00:40:24,886 --> 00:40:26,854
on the left side, not on the right.
899
00:40:26,888 --> 00:40:29,557
I intubated the wrong side?
900
00:40:30,826 --> 00:40:32,593
I could have killed him.
901
00:40:32,628 --> 00:40:36,631
Well, you didn't. I corrected it, so...
902
00:40:36,665 --> 00:40:38,032
Don't do that, Leanne.
903
00:40:38,066 --> 00:40:39,433
Don't internalize this.
904
00:40:39,468 --> 00:40:40,635
We all make mistakes.
905
00:40:40,669 --> 00:40:42,703
Not like that one.
906
00:40:45,240 --> 00:40:47,975
What is it Jesse says?
907
00:40:48,010 --> 00:40:49,810
"Lean on each other.
908
00:40:49,845 --> 00:40:52,413
That's what siblings are for."
909
00:40:52,447 --> 00:40:56,884
You think he's all you have,
but you're wrong, Leanne.
910
00:40:56,918 --> 00:40:58,419
You have me.
911
00:40:59,855 --> 00:41:01,622
You have all of us.
912
00:41:05,794 --> 00:41:07,795
Thank you.
913
00:42:03,752 --> 00:42:05,953
What are you doing?
914
00:42:05,987 --> 00:42:07,455
Living.
915
00:42:07,723 --> 00:42:09,771
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