1 00:00:13,678 --> 00:00:15,680 What the hell is going on out there? 2 00:00:15,764 --> 00:00:17,932 - Somebody stole the rig. - Again? 3 00:00:18,016 --> 00:00:19,768 Hey, where do you guys think you're going? 4 00:00:19,851 --> 00:00:21,352 We'll be back in two minutes max. 5 00:00:21,436 --> 00:00:22,771 Antoine is going to show us his new motorcycle. 6 00:00:22,854 --> 00:00:24,731 Great. We always need organ donors. 7 00:00:24,814 --> 00:00:26,274 Yeah, someone stole your rig. 8 00:00:26,357 --> 00:00:27,734 Yeah, you weren't watching the screens? 9 00:00:27,817 --> 00:00:29,903 - How'd you miss it? - Oh, I saw it pull out. 10 00:00:29,986 --> 00:00:32,322 But I figured you were in it. Why'd you leave the keys in it? 11 00:00:32,405 --> 00:00:33,990 - It's protocol. - No, it's not. 12 00:00:34,074 --> 00:00:35,060 That's what I said. 13 00:00:35,075 --> 00:00:36,785 Yes, it is. 14 00:00:36,868 --> 00:00:39,996 And I…who steals a fucking ambulance at 10:00 a.m.? 15 00:00:40,080 --> 00:00:41,456 Easy…junkies, meth heads, 16 00:00:41,539 --> 00:00:42,957 thinking they just stole the candy store. 17 00:00:43,041 --> 00:00:44,501 Or a psych patient kicked loose last night. 18 00:00:44,584 --> 00:00:45,752 Y'all don't know. That thing is getting 19 00:00:45,835 --> 00:00:47,128 stripped, chopped, and shipped. 20 00:00:47,212 --> 00:00:49,255 - That's a pro job. - Shut the fuck up. 21 00:00:50,799 --> 00:00:52,759 Maybe another driver took it. Did you call your dispatch? 22 00:00:52,842 --> 00:00:53,968 Of course we called our dispatch. 23 00:00:54,052 --> 00:00:55,637 - Did you call the cops? - I can, 24 00:00:55,720 --> 00:00:57,430 but there are two having breakfast in the cafeteria. 25 00:00:57,514 --> 00:00:58,640 Help yourself. 26 00:00:58,723 --> 00:00:59,808 Hey. 27 00:00:59,891 --> 00:01:00,934 I'm good. Thanks. 28 00:01:01,017 --> 00:01:02,268 Protocol. 29 00:01:02,352 --> 00:01:03,853 Come on. 30 00:01:03,937 --> 00:01:05,438 I'd put $20 on the psych patient. 31 00:01:05,522 --> 00:01:07,315 Oh, I'll take that action. 32 00:01:07,398 --> 00:01:08,733 Hey, do we have crutches? 33 00:01:08,817 --> 00:01:10,026 Yeah, ortho locker just restocked. 34 00:01:10,110 --> 00:01:11,444 Okay, great. 35 00:01:11,528 --> 00:01:12,946 Can you bring back Sherry Davis next? 36 00:01:13,029 --> 00:01:14,280 Sterno mom with the hand burn? 37 00:01:14,364 --> 00:01:15,865 - Mm-hmm. - She split. 38 00:01:15,949 --> 00:01:17,325 Shit. When? 39 00:01:17,408 --> 00:01:18,827 I gave the kids two breakfasts each 40 00:01:18,910 --> 00:01:20,203 off the boarders' cart, and they left. 41 00:01:20,286 --> 00:01:22,038 In school probably? 42 00:01:22,122 --> 00:01:23,873 Did she say anything about coming back for wound care? 43 00:01:23,957 --> 00:01:25,875 Not to me. 44 00:01:25,959 --> 00:01:27,252 Fuck. 45 00:01:27,335 --> 00:01:28,378 I need rooms cleared and cleaned, 46 00:01:28,461 --> 00:01:30,004 so I'm shuffling the deck. 47 00:01:30,088 --> 00:01:31,422 Yeah, but why are you moving him into Pedes? 48 00:01:31,506 --> 00:01:33,133 I'm just about to extubate him. 49 00:01:33,216 --> 00:01:34,676 There's no kids in there at the moment. 50 00:01:34,759 --> 00:01:36,136 The family can have some privacy. 51 00:01:36,219 --> 00:01:37,679 There's nice pictures on the wall. 52 00:01:37,762 --> 00:01:38,762 What's the problem? 53 00:01:38,805 --> 00:01:39,806 There's no problem. 54 00:01:39,889 --> 00:01:41,391 There's no problem. 55 00:01:41,474 --> 00:01:43,309 Mrs. Smith does not need a cardiac monitor. 56 00:01:43,393 --> 00:01:44,686 She can get her Vanco in the hall. 57 00:01:44,769 --> 00:01:46,396 We've got one tele-bed available. 58 00:01:46,479 --> 00:01:48,106 Let's give it to Otis before someone else snags it. 59 00:01:48,189 --> 00:01:49,607 - Yep. - Leave the family 60 00:01:49,691 --> 00:01:51,192 in Central 7 alone until nuclear medicine 61 00:01:51,276 --> 00:01:52,652 is ready to take the kid. 62 00:01:52,735 --> 00:01:53,903 There's no sense in moving them twice. 63 00:01:53,987 --> 00:01:55,280 Aye-aye, Cap. 64 00:01:56,656 --> 00:01:58,074 Hey, Robby. 65 00:01:59,367 --> 00:02:00,743 - You're going to extubate? - Yes. 66 00:02:00,827 --> 00:02:02,162 Good. You shouldn't have intubated. 67 00:02:02,245 --> 00:02:03,413 Yeah, I remember you saying that, 68 00:02:03,496 --> 00:02:05,456 just like it was this morning. 69 00:02:05,540 --> 00:02:06,875 You want me to do it? 70 00:02:06,958 --> 00:02:08,585 No, why? 71 00:02:08,668 --> 00:02:10,253 Adamson. 72 00:02:10,336 --> 00:02:11,754 - Jesus! - Okay. 73 00:02:11,838 --> 00:02:13,256 There's something moving in there! 74 00:02:13,339 --> 00:02:14,841 - Ma'am, hold still. - Get it out! 75 00:02:14,924 --> 00:02:16,634 I can't help you if you keep moving your head. 76 00:02:16,718 --> 00:02:18,344 Get it fucking out! 77 00:02:18,428 --> 00:02:19,554 I can feel it! 78 00:02:19,637 --> 00:02:21,306 Arthropod in the EAC. 79 00:02:21,389 --> 00:02:22,807 Oh, my God. 80 00:02:24,017 --> 00:02:25,518 I better get in there. 81 00:02:25,602 --> 00:02:26,936 Yeah. 82 00:02:31,482 --> 00:02:34,194 How long will he live without the oxygen? 83 00:02:34,277 --> 00:02:36,279 It's difficult to say. 84 00:02:36,362 --> 00:02:38,615 Once the tube comes out, it could be anywhere 85 00:02:38,698 --> 00:02:41,826 from 30 minutes to several hours. 86 00:02:41,910 --> 00:02:44,162 When I extubate, we're gonna suction the back of his throat. 87 00:02:44,245 --> 00:02:46,331 We're going to give him some glycopyrrolate drops, 88 00:02:46,414 --> 00:02:48,625 which will cut down on his secretions. 89 00:02:48,708 --> 00:02:50,210 He'll get morphine for any pain. 90 00:02:51,836 --> 00:02:53,338 And we'll give him some oxygen in his nose 91 00:02:53,421 --> 00:02:55,089 as a comfort measure. 92 00:02:58,426 --> 00:03:00,178 Jesus. 93 00:03:00,261 --> 00:03:02,472 I don't…I don't think that I can go through with this. 94 00:03:02,555 --> 00:03:05,099 I mean, this… this is happening? 95 00:03:05,183 --> 00:03:08,061 Like, now? Like…like, today? 96 00:03:08,144 --> 00:03:10,605 We…we just decided that Dad is gonna 97 00:03:10,688 --> 00:03:12,357 die in this room, 98 00:03:12,440 --> 00:03:16,736 in a room with cartoon forest animals all over it? 99 00:03:18,404 --> 00:03:22,825 If you think about it, it's kind of perfect. 100 00:03:24,661 --> 00:03:27,330 Our…our dad worked on "Mister Rogers' Neighborhood" 101 00:03:27,413 --> 00:03:28,790 the whole time that we were growing up. 102 00:03:28,873 --> 00:03:30,667 Oh, no kidding. That's very cool. 103 00:03:30,750 --> 00:03:32,543 "Mister Rogers," the television program? 104 00:03:32,627 --> 00:03:33,962 - That's right. - Here in Pittsburgh? 105 00:03:34,045 --> 00:03:38,424 At WQED on Fifth Ave for 33 years. 106 00:03:38,508 --> 00:03:41,052 Dad worked with Jack Guest, the art director. 107 00:03:41,135 --> 00:03:43,846 So he helped, um, 108 00:03:43,930 --> 00:03:46,599 paint and build all those sets. 109 00:03:51,187 --> 00:03:53,856 I don't think that I can do this. 110 00:04:00,488 --> 00:04:01,823 Okay. 111 00:04:01,906 --> 00:04:04,993 Just to be clear, your father is dying, 112 00:04:05,076 --> 00:04:07,954 and you're choosing to allow that to occur naturally, 113 00:04:08,037 --> 00:04:10,123 rather than subject him to a torturous amount 114 00:04:10,206 --> 00:04:13,543 of procedures, which would only delay the inevitable. 115 00:04:13,626 --> 00:04:15,670 I just thought that it would be different. 116 00:04:15,753 --> 00:04:17,255 And I thought that there'd… 117 00:04:17,338 --> 00:04:18,631 we'd have more time. 118 00:04:18,715 --> 00:04:20,091 Is your family religious? 119 00:04:20,174 --> 00:04:21,174 Oh. 120 00:04:21,217 --> 00:04:22,552 God, no. 121 00:04:22,635 --> 00:04:24,595 No God. 122 00:04:27,348 --> 00:04:31,060 I had a teacher, mentor, 123 00:04:31,144 --> 00:04:34,480 who told me about a Hawaiian ritual 124 00:04:34,564 --> 00:04:37,900 called ho'oponopono, 125 00:04:37,984 --> 00:04:40,903 or "the four things that matter most." 126 00:04:40,987 --> 00:04:43,114 It's basically just a few key things 127 00:04:43,197 --> 00:04:44,615 that we can say when we're saying goodbye 128 00:04:44,699 --> 00:04:46,868 to a loved one that can really help 129 00:04:46,951 --> 00:04:49,495 at the early stages of loss. 130 00:04:50,705 --> 00:04:52,040 What are they? 131 00:04:52,123 --> 00:04:53,374 They're gonna sound really simple, 132 00:04:53,458 --> 00:04:54,876 but I swear I've seen them work. 133 00:04:54,959 --> 00:04:56,669 Okay. 134 00:04:56,753 --> 00:04:59,714 I love you. 135 00:04:59,797 --> 00:05:01,466 Thank you. 136 00:05:01,549 --> 00:05:03,343 I forgive you. 137 00:05:03,426 --> 00:05:05,053 Please forgive me. 138 00:05:06,471 --> 00:05:08,222 That's…that's it? 139 00:05:08,306 --> 00:05:09,349 Yep. 140 00:05:09,432 --> 00:05:10,808 Told you it was simple. 141 00:05:13,603 --> 00:05:15,021 Okay. 142 00:05:16,606 --> 00:05:18,608 Mr. Spencer, I'm gonna take this tube out 143 00:05:18,691 --> 00:05:20,234 of your throat now. 144 00:05:21,527 --> 00:05:24,822 What I want you to do is to take a very deep breath. 145 00:05:24,906 --> 00:05:26,574 Breathe in. 146 00:05:26,657 --> 00:05:27,992 And now blow it out. 147 00:05:29,243 --> 00:05:30,536 There we go. 148 00:05:40,505 --> 00:05:41,923 Okay. 149 00:05:42,131 --> 00:05:43,841 Okay. 150 00:05:43,925 --> 00:05:46,094 I'm gonna give you some oxygen in your nose. 151 00:05:48,846 --> 00:05:51,641 A couple drops under your tongue. 152 00:05:54,727 --> 00:05:55,770 You okay? 153 00:05:55,853 --> 00:05:57,105 Tired. 154 00:05:57,188 --> 00:05:58,773 You can rest. 155 00:05:58,856 --> 00:06:00,733 Close your eyes if you want. 156 00:06:00,817 --> 00:06:03,152 Your children are here. 157 00:06:03,236 --> 00:06:07,115 Uh, Dad, you just… you just rest, okay? 158 00:06:07,198 --> 00:06:09,200 We're right here. 159 00:06:09,283 --> 00:06:11,285 I'm right here. 160 00:06:23,297 --> 00:06:24,841 Come find me. 161 00:06:24,924 --> 00:06:26,634 Okay, take a deep breath for me. 162 00:06:26,717 --> 00:06:29,637 Jesus, everybody's going to this concert tonight. 163 00:06:29,720 --> 00:06:31,722 I wonder if there's any decent passes left. 164 00:06:31,806 --> 00:06:33,182 Another deep breath. 165 00:06:34,517 --> 00:06:35,977 Oh, my God, Jenna. 166 00:06:36,060 --> 00:06:37,812 You're never gonna believe who DM'd me. 167 00:06:37,895 --> 00:06:39,522 I fucking told you this would happen. 168 00:06:39,605 --> 00:06:41,274 I'm sure Jenna is happy you're here to support her, 169 00:06:41,357 --> 00:06:43,359 but perhaps you could wait outside until we finished. 170 00:06:43,443 --> 00:06:44,986 Excuse me? 171 00:06:45,069 --> 00:06:46,737 Excuse me, I'm in the middle of an examination. 172 00:06:46,821 --> 00:06:48,239 Yeah, and I'm gonna stay with my friend for as long 173 00:06:48,322 --> 00:06:49,532 as she needs me. 174 00:06:49,615 --> 00:06:50,867 I'm the one who brought her here. 175 00:06:50,950 --> 00:06:52,285 Gold star for you. 176 00:06:52,368 --> 00:06:54,745 Hey. It's fine. I'm fine. 177 00:06:54,829 --> 00:06:56,998 - Are you sure? - Yeah. 178 00:07:04,505 --> 00:07:05,590 Thank you. 179 00:07:05,673 --> 00:07:08,050 I wanted her to leave. 180 00:07:08,134 --> 00:07:09,719 How are you doing? 181 00:07:11,888 --> 00:07:14,932 I called Nick's dad an asshole 182 00:07:15,016 --> 00:07:17,602 and told him to go ask his son. 183 00:07:18,978 --> 00:07:21,022 Why would I say that? 184 00:07:22,356 --> 00:07:24,108 Uh, why don't you tell me about school? 185 00:07:24,192 --> 00:07:25,526 What are you studying? 186 00:07:25,610 --> 00:07:26,611 What? 187 00:07:26,694 --> 00:07:28,738 Do you do any sports? 188 00:07:28,821 --> 00:07:31,699 Are you into any extracurricular activities? 189 00:07:31,782 --> 00:07:33,117 I don't… 190 00:07:33,201 --> 00:07:34,952 I don't know why you're asking me that. 191 00:07:35,036 --> 00:07:36,996 Well, it's important that you focus on the good things 192 00:07:37,079 --> 00:07:39,373 in your life right now. 193 00:07:39,457 --> 00:07:41,209 How? 194 00:07:41,292 --> 00:07:43,753 A boy…a very sweet boy 195 00:07:43,836 --> 00:07:45,880 that I barely even knew is dead. 196 00:07:45,963 --> 00:07:47,423 And I just fucking made it worse. 197 00:07:47,507 --> 00:07:48,883 You just need to… 198 00:07:48,966 --> 00:07:50,384 And his father thinks I killed him, 199 00:07:50,468 --> 00:07:52,428 and you're asking me if I play sports? 200 00:07:52,512 --> 00:07:55,598 Jenna, Jenna, I can tell how upset you are right now. 201 00:07:55,681 --> 00:07:57,350 I see how painful this is. 202 00:07:57,433 --> 00:08:00,228 We don't even do drugs. 203 00:08:00,311 --> 00:08:03,147 We were studying. I mean, how does that happen? 204 00:08:03,231 --> 00:08:05,316 I can't imagine how hard this must be for you. 205 00:08:07,735 --> 00:08:09,946 I just really want to go home. 206 00:08:11,364 --> 00:08:14,200 Well, your vitals are excellent. 207 00:08:14,283 --> 00:08:16,869 When your parents arrive, they can take you. 208 00:08:18,746 --> 00:08:20,081 Thank you. 209 00:08:20,164 --> 00:08:21,958 We're here if you need anything. 210 00:08:25,878 --> 00:08:28,089 Oh, well, that went south. 211 00:08:28,172 --> 00:08:29,757 A couple of observations? 212 00:08:29,840 --> 00:08:30,841 Please. 213 00:08:30,925 --> 00:08:32,301 How thin is your skin? 214 00:08:32,385 --> 00:08:33,886 - Rhino. - Good. 215 00:08:33,970 --> 00:08:35,304 Distraction is a terrible strategy. 216 00:08:35,388 --> 00:08:36,722 When a patient says, "I'm hurting," 217 00:08:36,806 --> 00:08:38,391 we don't respond, "What's your major?" 218 00:08:38,474 --> 00:08:40,017 Oh, I wasn't trying to diminish… 219 00:08:40,101 --> 00:08:41,394 Additionally, "I" statements work better 220 00:08:41,477 --> 00:08:42,979 than "you" statements. 221 00:08:43,062 --> 00:08:44,564 "I can see how painful this is" acknowledges 222 00:08:44,647 --> 00:08:46,148 the reality of the situation and invites 223 00:08:46,232 --> 00:08:47,692 further examination. 224 00:08:47,775 --> 00:08:49,819 "You need to move on" has the opposite effect. 225 00:08:49,902 --> 00:08:51,904 Understood, but in my personal experience… 226 00:08:51,988 --> 00:08:54,198 Your personal experience isn't germane here. 227 00:08:54,282 --> 00:08:55,700 Germane? 228 00:08:55,783 --> 00:08:58,286 Relevant, pertinent, appropriate. 229 00:08:58,369 --> 00:09:00,288 Well, I respectfully disagree. 230 00:09:00,371 --> 00:09:02,123 My life gives me a perspective that's… 231 00:09:02,206 --> 00:09:04,500 Are you aware you have an aggressive energy, Trinity? 232 00:09:04,584 --> 00:09:08,170 Even this conversation feels confrontational. 233 00:09:08,254 --> 00:09:11,549 We bring our education to the job, not our baggage. 234 00:09:11,632 --> 00:09:12,925 Got it. 235 00:09:13,009 --> 00:09:14,969 Thank you. Will do. 236 00:09:16,137 --> 00:09:17,805 Good news or bad news first? 237 00:09:17,888 --> 00:09:19,015 What's the good news? 238 00:09:19,098 --> 00:09:20,558 Ear canal is numb. 239 00:09:20,641 --> 00:09:23,144 Simple flush with saline will fix the problem. 240 00:09:23,227 --> 00:09:24,729 What's the bad news? 241 00:09:24,812 --> 00:09:26,939 You've got a dead bug in your ear. 242 00:09:29,025 --> 00:09:30,401 A cockroach. 243 00:09:33,321 --> 00:09:35,865 We were in here for maybe 35, 40 minutes, tops. 244 00:09:35,948 --> 00:09:37,575 I go outside, it's gone. 245 00:09:37,658 --> 00:09:39,160 Seriously, there's nothing on the radio? 246 00:09:39,243 --> 00:09:41,203 Not yet. The keys were inside? 247 00:09:41,287 --> 00:09:43,956 Yes, I leave them in there in case somebody needs to move it. 248 00:09:44,040 --> 00:09:45,166 You're not supposed to leave the keys. 249 00:09:45,249 --> 00:09:46,667 That's what I said. 250 00:09:46,751 --> 00:09:48,252 You take the keys so nobody steals it. 251 00:09:48,336 --> 00:09:49,879 So what the fuck is security for? 252 00:09:49,962 --> 00:09:51,130 Oh, I'm about to show you. 253 00:09:51,213 --> 00:09:52,256 - Oh, yeah? - Hey, guys, 254 00:09:52,340 --> 00:09:54,050 can we congregate somewhere else? 255 00:09:54,133 --> 00:09:55,133 Give a little room. We got a new guest checking in. 256 00:09:55,176 --> 00:09:56,927 Guys, Ahmad, we got to keep this area clear. 257 00:09:57,011 --> 00:09:59,889 - Everybody, please. - Hey, 5 bucks on "Chop Shop." 258 00:09:59,972 --> 00:10:01,807 Wendell Stone, 52, chief rigger from Pitfest. 259 00:10:01,891 --> 00:10:02,891 - Isolated trauma… - Get Cecil and Tony. 260 00:10:02,933 --> 00:10:04,101 To the left chest… 261 00:10:04,185 --> 00:10:05,519 Tell them to bring their guys. 262 00:10:05,603 --> 00:10:06,896 When a speaker tower came down on him. 263 00:10:06,979 --> 00:10:08,022 Looks like multiple rib fractures. 264 00:10:08,105 --> 00:10:09,357 Pulse 110, BP 130 over 85… 265 00:10:09,440 --> 00:10:10,608 They gotta go back over everything. 266 00:10:10,691 --> 00:10:11,817 Decent sats at 96. 267 00:10:11,901 --> 00:10:13,152 - 50 of fent in the field. - Got it? 268 00:10:13,235 --> 00:10:14,612 How we doing, Mr. Stone? 269 00:10:14,695 --> 00:10:15,863 Mr. Stone was my dad. 270 00:10:15,946 --> 00:10:17,073 Just Stone. 271 00:10:18,783 --> 00:10:19,867 Damn. 272 00:10:19,950 --> 00:10:21,535 They woke the Kraken. 273 00:10:21,619 --> 00:10:23,245 When's he due for his next round? 274 00:10:25,414 --> 00:10:28,000 40 minutes ago. 275 00:10:28,084 --> 00:10:30,419 Perfect. 276 00:10:30,503 --> 00:10:31,587 Mr. Driscoll? 277 00:10:31,671 --> 00:10:33,381 Mr. Doug Driscoll? 278 00:10:33,464 --> 00:10:35,299 About fucking time. 279 00:10:35,383 --> 00:10:38,094 See you later, suckers. 280 00:10:38,177 --> 00:10:41,347 - Excuse me. - Sorry. 281 00:10:41,430 --> 00:10:42,848 "Jiya" Yi Chen? 282 00:10:42,932 --> 00:10:44,433 I have some Tylenol for "Jiya" Yi Chen. 283 00:10:44,517 --> 00:10:45,559 Yes, please. 284 00:10:45,643 --> 00:10:47,186 Over here. 285 00:10:47,269 --> 00:10:48,521 Jia Yi. 286 00:10:48,604 --> 00:10:50,147 Jia Yi Chen. Here you go. 287 00:10:50,231 --> 00:10:51,857 How much longer until we can see the doctor? 288 00:10:51,941 --> 00:10:53,359 Uh, we have to wait for a bed to open up. 289 00:10:53,442 --> 00:10:54,527 Might be a little while. 290 00:10:54,610 --> 00:10:56,028 Pretty popular today. 291 00:10:57,113 --> 00:10:58,948 The medicine should help. 292 00:10:59,031 --> 00:11:00,199 Four of morphine. 293 00:11:00,282 --> 00:11:01,701 No abdominal tenderness. 294 00:11:01,784 --> 00:11:02,785 - What have we got? - What have we got? 295 00:11:02,868 --> 00:11:04,245 Jinx, you owe me a Coke. 296 00:11:04,328 --> 00:11:05,705 - Isolated chest trauma with… - Stop. 297 00:11:05,788 --> 00:11:07,498 I want to hear from Dr. Santos. 298 00:11:07,581 --> 00:11:09,959 Isolated chest trauma with obvious flail chest. 299 00:11:10,042 --> 00:11:11,544 No hemopneumo on POCUS. 300 00:11:11,627 --> 00:11:12,962 Good sats and vitals. 301 00:11:13,045 --> 00:11:14,338 Excellent presentation. 302 00:11:14,422 --> 00:11:16,632 Sir, I'm Dr. Garcia from Surgery. 303 00:11:16,716 --> 00:11:17,717 I need surgery? 304 00:11:17,800 --> 00:11:18,884 Not necessarily. 305 00:11:18,968 --> 00:11:20,094 No blood in the belly on FAST. 306 00:11:20,177 --> 00:11:21,846 You got this? 307 00:11:21,929 --> 00:11:23,347 Abdomen is benign. 308 00:11:23,431 --> 00:11:25,850 CT chest, abdomen, pelvis with contrast, 309 00:11:25,933 --> 00:11:28,310 which I trust way more than your ultrasound skills. 310 00:11:29,812 --> 00:11:31,480 And more morphine, for God's sake. 311 00:11:31,564 --> 00:11:33,524 No, no, no, no. Don't knock me out. 312 00:11:33,607 --> 00:11:35,317 I gotta stay on top of the crew doing the put in. 313 00:11:35,401 --> 00:11:37,027 - The what? - The festival. 314 00:11:37,111 --> 00:11:40,740 We'll block all the nerves going to the broken ribs. 315 00:11:40,823 --> 00:11:42,241 Roll to the right. 316 00:11:42,324 --> 00:11:44,577 You'll be awake and pain-free. 317 00:11:44,660 --> 00:11:46,787 Yeah, that's what I'm talking about. 318 00:11:46,871 --> 00:11:48,038 That's a ton of intercostal blocks. 319 00:11:48,122 --> 00:11:49,415 Nope, one shot. 320 00:11:49,498 --> 00:11:51,125 Serratus anterior blocks down to T-9. 321 00:11:51,208 --> 00:11:53,210 You kids and your crazy regional blocks. 322 00:11:53,294 --> 00:11:55,588 Dr. Santos, call me with the CT results. 323 00:11:55,671 --> 00:11:57,506 Extension 1121. 324 00:11:59,717 --> 00:12:01,552 Gabe's the same age that I was 325 00:12:01,635 --> 00:12:03,387 when we made our first layout. 326 00:12:03,471 --> 00:12:05,014 You remember that, Dad? 327 00:12:05,097 --> 00:12:06,432 The…the two level track in the basement 328 00:12:06,515 --> 00:12:07,725 of the Clovis house? 329 00:12:07,808 --> 00:12:09,226 - O. - That's right. 330 00:12:09,310 --> 00:12:10,728 Yeah, it was an O gauge. 331 00:12:10,811 --> 00:12:13,481 It limited the cars we could use, but… 332 00:12:13,564 --> 00:12:14,857 that layout was a beauty. 333 00:12:16,317 --> 00:12:18,986 Doctor, does that sound he's making 334 00:12:19,069 --> 00:12:21,030 mean it could be any minute? 335 00:12:22,573 --> 00:12:23,949 No, no. 336 00:12:24,033 --> 00:12:25,159 It just means that he's having trouble 337 00:12:25,242 --> 00:12:26,994 handling his secretions. 338 00:12:34,418 --> 00:12:36,670 Mr. Spencer, this should help. 339 00:12:46,263 --> 00:12:49,433 I'm also going to give you a scopolamine patch 340 00:12:49,517 --> 00:12:51,352 behind your ear. 341 00:12:51,435 --> 00:12:53,187 That will cut down on his secretions 342 00:12:53,270 --> 00:12:54,772 for the next 24 hours. 343 00:12:54,855 --> 00:12:56,774 Do you think he has 24 hours? 344 00:12:56,857 --> 00:12:58,442 There's really no way to know. 345 00:12:58,526 --> 00:12:59,777 Let's give another two of morphine. 346 00:12:59,860 --> 00:13:01,111 Repeat PRN. 347 00:13:01,195 --> 00:13:02,195 We're going to give him something 348 00:13:02,238 --> 00:13:03,656 to keep him comfortable. 349 00:13:03,739 --> 00:13:06,784 Doctor, what were those four things again? 350 00:13:08,035 --> 00:13:09,662 I love you. Thank you. 351 00:13:09,745 --> 00:13:12,122 I forgive you. Please forgive me. 352 00:13:12,206 --> 00:13:13,582 That's easy. 353 00:13:14,708 --> 00:13:16,377 I love you, Dad. 354 00:13:16,460 --> 00:13:19,964 I've loved every minute we've gotten to spend together. 355 00:13:20,047 --> 00:13:22,091 Thank you. 356 00:13:22,174 --> 00:13:25,010 You're the best dad a boy could have wanted. 357 00:13:25,094 --> 00:13:26,554 You…you never missed a game. 358 00:13:26,637 --> 00:13:29,014 You always made time for me to play catch 359 00:13:29,098 --> 00:13:30,599 or to build models or… 360 00:13:32,351 --> 00:13:34,061 When you helped me with my homework… 361 00:13:36,438 --> 00:13:38,566 Or when we would wake up 362 00:13:38,649 --> 00:13:40,568 before everybody else… 363 00:13:40,651 --> 00:13:42,486 And make sandwiches. 364 00:14:03,632 --> 00:14:04,884 Be right back. 365 00:14:55,059 --> 00:14:56,060 They spotted it. 366 00:14:56,143 --> 00:14:57,645 East on 376. 367 00:14:57,728 --> 00:14:58,854 Ho, ho! 368 00:14:58,938 --> 00:15:00,064 Oh, let's go. 369 00:15:00,147 --> 00:15:01,732 It is on now. 370 00:15:01,815 --> 00:15:03,734 $15 on crash, another $5 on junkies. 371 00:15:03,817 --> 00:15:05,110 Give me $8 on catch with another… 372 00:15:05,194 --> 00:15:06,180 Uh-uh-uh. 373 00:15:06,195 --> 00:15:07,446 Multiples of 5 only. 374 00:15:07,529 --> 00:15:08,864 I'm not touching your stripper bills. 375 00:15:08,948 --> 00:15:10,282 Yo, what's that shit? 376 00:15:10,366 --> 00:15:11,366 Hey! 377 00:15:11,408 --> 00:15:12,785 Wanna keep it down? 378 00:15:12,868 --> 00:15:15,621 This is a hospital, not Rivers Casino. 379 00:15:15,704 --> 00:15:17,206 Keep talking. I'ma find Robby. 380 00:15:17,289 --> 00:15:18,415 Mm-hmm. 381 00:15:18,499 --> 00:15:20,376 I'm alive! 382 00:15:20,459 --> 00:15:22,628 Psych wanted to transition him to oral meds. 383 00:15:22,711 --> 00:15:25,756 There's an order for an olanzapine tablet at 9:30 a.m. 384 00:15:25,839 --> 00:15:27,216 Yeah, that's on us. 385 00:15:27,299 --> 00:15:28,926 I've been with criticals all morning. 386 00:15:29,009 --> 00:15:30,761 He needs to go upstairs to behavioral health. 387 00:15:30,844 --> 00:15:32,137 We're too busy down here to dispense 388 00:15:32,221 --> 00:15:33,806 psych meds on a schedule. 389 00:15:33,889 --> 00:15:34,932 Understood. 390 00:15:35,015 --> 00:15:36,934 What options are we left with? 391 00:15:37,017 --> 00:15:38,727 Either we let him tire himself out, 392 00:15:38,811 --> 00:15:40,354 or we go in and stick him. 393 00:15:40,437 --> 00:15:42,147 I'm worried he's gonna hurt himself. 394 00:15:42,231 --> 00:15:44,566 He's in partial soft restraints. 395 00:15:44,650 --> 00:15:47,611 What we really need is a Pavulon blow dart. 396 00:15:50,781 --> 00:15:51,781 Hold it. 397 00:15:51,824 --> 00:15:52,908 You caught me! 398 00:15:52,992 --> 00:15:54,493 And I was almost over the wall. 399 00:15:54,576 --> 00:15:56,078 Go easy on me, warden. 400 00:15:56,161 --> 00:15:57,663 I need an order for an agitated psych patient. 401 00:15:57,746 --> 00:15:59,039 Been here for days. 402 00:15:59,123 --> 00:16:00,207 Methamphetamine induced psychosis. 403 00:16:00,290 --> 00:16:01,625 The Kraken? 404 00:16:01,709 --> 00:16:03,002 We really shouldn't call him that. 405 00:16:03,085 --> 00:16:04,795 - How about a B-52? - No, no, no. 406 00:16:04,878 --> 00:16:06,422 That would take way too long, tie up the staff. 407 00:16:06,505 --> 00:16:08,090 - QTC? - Normal. 408 00:16:08,173 --> 00:16:10,676 Five of midazolam, five of Haldol, and Mister… 409 00:16:10,759 --> 00:16:11,927 Krakozhia. 410 00:16:12,011 --> 00:16:13,846 - You're joking. - No. 411 00:16:13,929 --> 00:16:15,806 Mr. Krakozhia will be out like a light in under a minute. 412 00:16:15,889 --> 00:16:17,391 It hardly seems as offensive 413 00:16:17,474 --> 00:16:19,184 to call him Kraken if his name is actually… 414 00:16:19,268 --> 00:16:21,353 - Irritable five-month-old. - Clearly. 415 00:16:21,437 --> 00:16:22,813 I'll be right there. 416 00:16:22,896 --> 00:16:25,357 Um, I need more coffee. 417 00:16:26,817 --> 00:16:28,193 You doing okay, Cap? 418 00:16:28,277 --> 00:16:29,778 Yeah, why? 419 00:16:29,862 --> 00:16:31,530 Can't have you going over the wall. 420 00:16:34,074 --> 00:16:36,660 Tomas Cordera, Mr. Tomas Cordera, 421 00:16:36,744 --> 00:16:37,786 please come to the window. 422 00:16:37,870 --> 00:16:39,079 I have your insurance card. 423 00:16:39,163 --> 00:16:41,123 Tomas Cordera. 424 00:16:47,921 --> 00:16:50,132 - Yes? - Cordera. 425 00:16:50,215 --> 00:16:53,594 It's actually Tasha Cordera, and "Ms." 426 00:16:53,677 --> 00:16:55,179 Okay. 427 00:16:55,262 --> 00:16:56,638 Do you want to come on back? 428 00:16:56,722 --> 00:16:58,390 Go through those doors. 429 00:16:58,474 --> 00:16:59,683 You cut your arm? 430 00:16:59,767 --> 00:17:00,851 - Yes. - Okay. 431 00:17:00,934 --> 00:17:02,269 No problem. 432 00:17:06,607 --> 00:17:07,593 Hi. 433 00:17:07,608 --> 00:17:08,942 I'm Dr. McKay. 434 00:17:09,026 --> 00:17:11,111 This is Victoria Javadi, student doctor. 435 00:17:11,195 --> 00:17:12,654 Hello. Tasha. 436 00:17:12,738 --> 00:17:13,864 Hi. 437 00:17:13,947 --> 00:17:15,282 Sorry for the long wait, Tasha. 438 00:17:15,365 --> 00:17:16,450 Do you mind if I take a quick peek? 439 00:17:16,533 --> 00:17:18,243 - Yeah. - Okay. 440 00:17:20,662 --> 00:17:21,955 All right. 441 00:17:22,039 --> 00:17:23,582 Not too bad. 442 00:17:23,665 --> 00:17:25,375 Definitely gonna need a few stitches, though. 443 00:17:25,459 --> 00:17:26,668 Why don't you come on back? 444 00:17:26,752 --> 00:17:28,128 And we'll get you patched up, okay? 445 00:17:28,212 --> 00:17:29,212 All right. 446 00:17:29,254 --> 00:17:30,798 Okay. 447 00:17:30,881 --> 00:17:31,924 Okay. 448 00:17:32,007 --> 00:17:34,510 How big is the pneumothorax? 449 00:17:34,593 --> 00:17:36,386 Got it. Thanks. 450 00:17:36,470 --> 00:17:38,138 What's a pneumothorax? 451 00:17:38,222 --> 00:17:40,140 Uh, just a little air leaking 452 00:17:40,224 --> 00:17:41,934 from the big bruise in your lung. 453 00:17:42,017 --> 00:17:43,060 Oh. 454 00:17:43,143 --> 00:17:44,269 Getting short of breath here. 455 00:17:44,353 --> 00:17:45,395 Pain? 456 00:17:45,479 --> 00:17:46,688 No, all that's gone. 457 00:17:46,772 --> 00:17:48,690 Good. The block worked. 458 00:17:48,774 --> 00:17:51,401 Sats are down to 85 on 5 liters. 459 00:17:51,485 --> 00:17:54,988 His lung contusions need some help. 460 00:17:55,072 --> 00:17:56,949 Start BiPAP, 10 over 5. 461 00:17:57,032 --> 00:17:59,368 That'll open up the bruised parts of your lung. 462 00:17:59,451 --> 00:18:00,869 Thanks. 463 00:18:00,953 --> 00:18:02,538 Good news is, you don't need surgery, 464 00:18:02,621 --> 00:18:05,249 but I'll let Dr. Garcia know about the CT. 465 00:18:05,332 --> 00:18:07,668 Oh. She likes you. 466 00:18:08,836 --> 00:18:10,295 I met her two hours ago. 467 00:18:11,839 --> 00:18:13,841 Must have made a strong first impression. 468 00:18:16,552 --> 00:18:18,262 Any fever, vomiting, or cough? 469 00:18:18,345 --> 00:18:19,429 None of that. 470 00:18:19,513 --> 00:18:20,764 Good feedings? 471 00:18:20,848 --> 00:18:22,432 Was she full term at birth? 472 00:18:22,516 --> 00:18:23,642 Normal delivery. 473 00:18:23,725 --> 00:18:25,102 Childhood vaccines? 474 00:18:25,185 --> 00:18:27,896 Um, yeah, two months and four months. 475 00:18:27,980 --> 00:18:29,356 To get an accurate temperature… 476 00:18:29,439 --> 00:18:30,524 What's your differential diagnosis? 477 00:18:30,607 --> 00:18:32,109 Gotta rule out the worst first. 478 00:18:32,192 --> 00:18:33,360 We need to check with a rectal thermometer. 479 00:18:33,443 --> 00:18:34,486 Is that really necessary? 480 00:18:34,570 --> 00:18:36,613 It's really important. 481 00:18:36,697 --> 00:18:38,657 Ooh, I know. 482 00:18:38,740 --> 00:18:40,409 I know. 483 00:18:40,492 --> 00:18:43,787 We gotta rule out any serious bacterial infection, 484 00:18:43,871 --> 00:18:46,081 sepsis, pneumonia, 485 00:18:46,165 --> 00:18:48,876 pyelo, appendicitis, meningitis. 486 00:18:48,959 --> 00:18:50,711 You think she has meningitis? 487 00:18:50,794 --> 00:18:53,839 No, we're just discussing hypothetical possibilities. 488 00:18:53,922 --> 00:18:55,507 Temp 99.2. 489 00:18:55,591 --> 00:18:59,636 Making meningitis extremely unlikely. 490 00:18:59,720 --> 00:19:03,765 Heart rate 164, sats 99. 491 00:19:03,849 --> 00:19:07,728 This is Dr. Robby, our senior physician. 492 00:19:07,811 --> 00:19:09,188 Hi, nice to meet you. 493 00:19:09,271 --> 00:19:10,731 Hi, hi. 494 00:19:10,814 --> 00:19:12,482 Afebrile, alert, good vitals. 495 00:19:12,566 --> 00:19:13,901 Doctors Mohan and King were 496 00:19:13,984 --> 00:19:15,903 just about to start their physical. 497 00:19:15,986 --> 00:19:18,697 Why don't you go check on our students, and I'll handle this? 498 00:19:18,780 --> 00:19:19,948 Mm-hmm. 499 00:19:20,032 --> 00:19:21,200 Oh. 500 00:19:26,455 --> 00:19:28,373 So why are you sticking me again? 501 00:19:28,457 --> 00:19:30,626 You came in an hour after the chest pain. 502 00:19:30,709 --> 00:19:32,377 If it's a heart attack, it can take 503 00:19:32,461 --> 00:19:34,129 more time for the heart damage to show up in the blood… 504 00:19:34,213 --> 00:19:35,672 put your finger on that… 505 00:19:35,756 --> 00:19:37,841 even with the normal EKG. 506 00:19:37,925 --> 00:19:39,426 That's why we repeat the test. 507 00:19:40,636 --> 00:19:41,678 Lift your arm up. 508 00:19:41,762 --> 00:19:43,263 Thank you. 509 00:19:44,890 --> 00:19:47,434 All right, let's get you back to the waiting room. 510 00:19:47,517 --> 00:19:49,019 - What? No. - Yeah. 511 00:19:49,102 --> 00:19:50,312 No, all I've been doing is waiting. 512 00:19:50,395 --> 00:19:51,381 I'm supposed to see a doctor now. 513 00:19:51,396 --> 00:19:52,396 Soon. 514 00:19:52,439 --> 00:19:53,857 I'll let you know. 515 00:19:57,903 --> 00:19:59,613 This is a fucking joke. 516 00:19:59,696 --> 00:20:01,365 Yeah, it's good to laugh. 517 00:20:03,200 --> 00:20:05,661 Laughing our way to being a third world country. 518 00:20:07,913 --> 00:20:09,373 Remind you of home? 519 00:20:11,833 --> 00:20:12,960 Okay, I know we're not supposed 520 00:20:13,043 --> 00:20:14,461 to pick favorites here. 521 00:20:14,544 --> 00:20:16,380 I'ma keep my eye on you. 522 00:20:16,463 --> 00:20:17,881 Yeah. 523 00:20:21,927 --> 00:20:23,262 You do that. 524 00:20:23,345 --> 00:20:24,596 Oh, yeah. 525 00:20:29,601 --> 00:20:31,436 So, Tasha, it was a decanter? 526 00:20:31,520 --> 00:20:33,814 A beautiful Baccarat carafe. 527 00:20:33,897 --> 00:20:37,192 I was, uh, showing a colleague how to polish it, 528 00:20:37,276 --> 00:20:39,903 and the neck broke with my arm still inside… 529 00:20:39,987 --> 00:20:42,239 - Mm. - So not my finest. 530 00:20:42,322 --> 00:20:43,699 Did it shatter? 531 00:20:43,782 --> 00:20:46,535 No, no, it cracked cleanly in two. 532 00:20:46,618 --> 00:20:49,288 But as a reflex, I jerked my arm back, 533 00:20:49,371 --> 00:20:51,498 and that's what did it. 534 00:20:51,581 --> 00:20:54,459 Reflexes, I have regretted a few of my own. 535 00:20:54,543 --> 00:20:57,671 Good. Now inject to other side. 536 00:20:57,754 --> 00:21:00,007 Single layer, straight edges, 537 00:21:00,090 --> 00:21:01,842 about as straightforward as it gets. 538 00:21:01,925 --> 00:21:04,970 Oh, good. That's a relief. 539 00:21:06,221 --> 00:21:07,222 What's going on? 540 00:21:07,306 --> 00:21:08,640 Hypoxic to 78. 541 00:21:08,724 --> 00:21:09,725 BP's crashing. 542 00:21:09,808 --> 00:21:11,059 Systolic's 82. 543 00:21:11,143 --> 00:21:12,227 Pulse is thready. 544 00:21:12,311 --> 00:21:13,812 I should intubate. 545 00:21:13,895 --> 00:21:15,272 Does he need a massive transfusion protocol? 546 00:21:15,355 --> 00:21:17,733 No. Absent breath sounds on the left, 547 00:21:17,816 --> 00:21:19,359 tracheal deviation to the right. 548 00:21:19,443 --> 00:21:21,320 14 gauge angiocath now. 549 00:21:21,403 --> 00:21:23,363 Put him on a non-rebreather. 550 00:21:23,447 --> 00:21:25,240 What are you doing? 551 00:21:25,324 --> 00:21:28,493 Tension pneumothorax from the BiPAP's positive pressure. 552 00:21:32,956 --> 00:21:34,291 You hear that? 553 00:21:34,374 --> 00:21:36,418 Who the hell ordered BiPAP? Garcia? 554 00:21:36,501 --> 00:21:38,086 No, his…his sats were down. 555 00:21:38,170 --> 00:21:39,296 I did. 556 00:21:39,379 --> 00:21:40,505 You did? 557 00:21:40,589 --> 00:21:42,758 Without running it by me? 558 00:21:42,841 --> 00:21:44,092 Can I put in a chest tube? 559 00:21:44,176 --> 00:21:45,218 He doesn't need a chest tube. 560 00:21:45,302 --> 00:21:46,553 He needs a pigtail catheter. 561 00:21:46,636 --> 00:21:48,305 And I'll be doing it. 562 00:21:48,388 --> 00:21:51,099 Sats and pressure both coming up. 563 00:21:51,183 --> 00:21:53,352 Draw up 75 of ketamine. 564 00:22:00,817 --> 00:22:02,444 Why is she still crying? 565 00:22:02,527 --> 00:22:04,112 Fontanelle soft and flat. 566 00:22:04,196 --> 00:22:06,907 Pupils equal and reactive, tracking across midline. 567 00:22:06,990 --> 00:22:08,575 Dr. Mohan, keep it focused, please. 568 00:22:08,658 --> 00:22:10,452 Mucous membranes nice and moist. 569 00:22:12,704 --> 00:22:16,875 Hard to hear over the crying, but lungs are clear. 570 00:22:16,958 --> 00:22:19,044 Heart rate's tachy but normal. 571 00:22:19,127 --> 00:22:22,798 Soft abdomen, no obvious signs of tenderness. 572 00:22:22,881 --> 00:22:25,217 - So basically a normal exam. - Then what's wrong? 573 00:22:25,300 --> 00:22:27,010 Give us a little time to finish our exam. 574 00:22:27,094 --> 00:22:28,720 Yeah, I know. I know. 575 00:22:28,804 --> 00:22:31,848 What am I looking for, Dr. King? 576 00:22:31,932 --> 00:22:33,183 Uh, cellulitis? 577 00:22:33,266 --> 00:22:35,519 Edema from nephrotic syndrome? 578 00:22:36,895 --> 00:22:38,563 - Diagnosis made. - What is it? 579 00:22:38,647 --> 00:22:40,440 Hair tourniquet. 580 00:22:40,524 --> 00:22:42,442 Mother's wet hair can wrap around the toe multiple times. 581 00:22:42,526 --> 00:22:44,361 When it dries, it tightens and cuts off circulation. 582 00:22:44,444 --> 00:22:45,737 My hair? 583 00:22:45,821 --> 00:22:48,323 I…I showered before nursing her. 584 00:22:48,407 --> 00:22:49,825 Easy to miss, Mom. 585 00:22:49,908 --> 00:22:51,535 But we caught it early, so there won't be 586 00:22:51,618 --> 00:22:52,911 any permanent damage to the toe. 587 00:22:52,994 --> 00:22:54,287 Treatment, Dr. Mohan? 588 00:22:54,371 --> 00:22:55,580 Uh, it's too tight for scissors. 589 00:22:55,664 --> 00:22:57,040 - Do we have Nair? - We do indeed. 590 00:22:57,124 --> 00:22:59,418 Nair? Like from the drugstore? 591 00:22:59,501 --> 00:23:01,002 10 minutes, should dissolve it right off 592 00:23:01,086 --> 00:23:03,046 and stop the crying. 593 00:23:04,965 --> 00:23:06,299 Hey, you're okay. 594 00:23:06,383 --> 00:23:07,759 What's up? 595 00:23:07,843 --> 00:23:09,094 We're gonna give the wild one a shot. 596 00:23:09,177 --> 00:23:10,470 Have the order, meds on the way, 597 00:23:10,554 --> 00:23:11,721 but we need bodies. 598 00:23:11,805 --> 00:23:13,140 I call the head. 599 00:23:13,223 --> 00:23:14,641 - I got kicked last time. - Right arm. 600 00:23:14,724 --> 00:23:16,184 - Left arm. - Right leg. 601 00:23:16,268 --> 00:23:17,978 - Need one more. - Uh, two more. 602 00:23:18,061 --> 00:23:19,563 I'm just here to observe and speak with the patient 603 00:23:19,646 --> 00:23:21,398 - once he's under control. - Oh. 604 00:23:21,481 --> 00:23:22,899 Hey, Robby! 605 00:23:22,983 --> 00:23:24,901 Can…can you help us with Mr. Krakozhia? 606 00:23:24,985 --> 00:23:27,320 - No. - Coward! 607 00:23:27,404 --> 00:23:30,157 Whitaker… just the man we need. 608 00:23:30,240 --> 00:23:31,575 Come over here, please. 609 00:23:31,658 --> 00:23:33,160 Whoa, what did I miss? 610 00:23:33,243 --> 00:23:34,995 A little drama from a tension pneumo. 611 00:23:35,078 --> 00:23:36,371 You could have called me. 612 00:23:36,455 --> 00:23:38,290 - We got it under control. - Good. 613 00:23:38,373 --> 00:23:40,709 And Dr. Santos learned what can happen 614 00:23:40,792 --> 00:23:43,378 when you put a patient with a small pneumothorax 615 00:23:43,462 --> 00:23:45,380 - on BiPAP. - Ah. 616 00:23:45,464 --> 00:23:46,965 Thumb scalpel. 617 00:23:47,048 --> 00:23:48,758 He was hypoxic. I thought it would help. 618 00:23:48,842 --> 00:23:50,469 But you didn't discuss it with me, 619 00:23:50,552 --> 00:23:53,096 and he almost died. Dilator. 620 00:23:53,180 --> 00:23:56,683 You need to run every order by a senior resident or attending. 621 00:23:56,766 --> 00:23:58,101 That's why it's a four-year program. 622 00:23:58,185 --> 00:24:00,312 Now, when you do this procedure, 623 00:24:00,395 --> 00:24:03,982 you want to make sure to never, ever lose this guidewire. 624 00:24:04,065 --> 00:24:06,818 That gets sucked in the chest, you're screwed. 625 00:24:06,902 --> 00:24:08,445 Now, ready for the pigtail. 626 00:24:10,655 --> 00:24:12,157 What the hell are you doing? 627 00:24:12,240 --> 00:24:14,159 Pneumo is tiny. It'll resolve spontaneously. 628 00:24:14,242 --> 00:24:16,578 Yeah, it was tiny until the patient went on BiPAP. 629 00:24:16,661 --> 00:24:18,038 Are you fucking kidding me? 630 00:24:18,121 --> 00:24:19,289 Guidewire out. 631 00:24:19,372 --> 00:24:20,582 His sats were down. 632 00:24:20,665 --> 00:24:21,833 I…I gave the order. 633 00:24:21,917 --> 00:24:24,628 Without clearing it with me. 634 00:24:24,711 --> 00:24:26,755 Honest mistake from the rookie. 635 00:24:26,838 --> 00:24:28,673 That's how we learn. 636 00:24:31,384 --> 00:24:33,929 If she knew everything, she'd be your attending, 637 00:24:34,012 --> 00:24:36,348 not an intern. 638 00:24:36,431 --> 00:24:37,974 That is very true. 639 00:24:38,058 --> 00:24:39,351 Besides, it could have happened on its own 640 00:24:39,434 --> 00:24:41,061 without the BiPAP. 641 00:24:41,144 --> 00:24:43,063 Wow. Beautiful moment. 642 00:24:43,146 --> 00:24:44,689 A lot of love in the room. 643 00:24:44,773 --> 00:24:46,525 If you'll excuse me. 644 00:24:46,608 --> 00:24:48,235 Nice save. 645 00:24:51,988 --> 00:24:53,323 It's Wheeler. 646 00:24:53,406 --> 00:24:55,367 Dr. Abbot said to come back at 6:30, 647 00:24:55,450 --> 00:24:58,370 and he'd still be here, but we overslept. 648 00:24:58,453 --> 00:25:00,121 I forgot to charge my phone. 649 00:25:00,205 --> 00:25:01,456 I'm really sorry. 650 00:25:01,540 --> 00:25:03,083 Okay, let's see. 651 00:25:03,166 --> 00:25:04,751 Wheeler, Kristin? 652 00:25:04,834 --> 00:25:06,378 It…it's Kristi, and… 653 00:25:06,461 --> 00:25:08,004 and I'm her mom. 654 00:25:08,088 --> 00:25:09,965 Dr. Abbot went off duty at 7:00, 655 00:25:10,048 --> 00:25:11,299 but that's no problem. 656 00:25:11,383 --> 00:25:12,717 We'll get you back. 657 00:25:12,801 --> 00:25:14,052 Have a seat until we call your name. 658 00:25:14,135 --> 00:25:15,512 - Okay. - Thank you. 659 00:25:15,595 --> 00:25:16,721 - Thank you so much. - You're welcome. 660 00:25:16,805 --> 00:25:19,182 Next. 661 00:25:25,021 --> 00:25:27,357 - How you guys doing? - Good, thanks. 662 00:25:27,440 --> 00:25:29,901 We missed our appointment, but otherwise, we're fine. 663 00:25:29,985 --> 00:25:31,987 Oh, no. 664 00:25:32,070 --> 00:25:33,530 Have you been here long? 665 00:25:33,613 --> 00:25:35,574 I've been here about four hours. 666 00:25:35,657 --> 00:25:36,950 Oh. 667 00:25:37,033 --> 00:25:38,201 We were here two nights ago. 668 00:25:38,285 --> 00:25:39,661 We waited seven hours. 669 00:25:40,996 --> 00:25:42,664 It's all bullshit. 670 00:25:42,747 --> 00:25:45,375 Can't believe somebody hasn't died out here. 671 00:25:52,257 --> 00:25:53,967 How we doing? 672 00:25:54,050 --> 00:25:56,344 No change. 673 00:25:56,428 --> 00:25:58,305 I…I've been doing all the talking. 674 00:25:58,388 --> 00:26:00,515 Do you want to… 675 00:26:00,599 --> 00:26:02,309 say some things? 676 00:26:06,521 --> 00:26:08,440 What is there to say? 677 00:26:08,523 --> 00:26:09,524 I'm sad. 678 00:26:09,608 --> 00:26:11,234 I'm angry. 679 00:26:11,318 --> 00:26:13,320 I don't want him to go. 680 00:26:13,403 --> 00:26:15,947 There's so much that I wish were different. 681 00:26:16,990 --> 00:26:18,116 It's not fair. 682 00:26:22,495 --> 00:26:23,495 Tell him. 683 00:26:23,538 --> 00:26:24,998 I am telling him. 684 00:26:25,081 --> 00:26:27,417 I'm telling both of you. 685 00:26:27,500 --> 00:26:29,502 It's not fair. 686 00:26:31,338 --> 00:26:33,965 I wanted what you had. 687 00:26:38,345 --> 00:26:41,014 I love you, Dad. 688 00:26:41,097 --> 00:26:46,728 And I'm thankful for everything you did to provide for us. 689 00:26:46,811 --> 00:26:50,857 But you weren't the dad I wanted, because I didn't… 690 00:26:50,940 --> 00:26:55,612 I didn't play baseball or build models or fish. 691 00:26:57,197 --> 00:27:00,075 My friends' dads all had grown-up jobs. 692 00:27:00,158 --> 00:27:03,203 They didn't tell silly jokes or talk in character voices 693 00:27:03,286 --> 00:27:06,122 or make up stories. 694 00:27:08,792 --> 00:27:11,586 I was embarrassed, and I… 695 00:27:11,670 --> 00:27:14,297 I didn't want my friends to meet you. 696 00:27:14,381 --> 00:27:16,925 - Helen. - It's true. 697 00:27:18,885 --> 00:27:22,013 I'm ashamed to admit it, but it's true. 698 00:27:24,015 --> 00:27:25,934 I left for college, and I… 699 00:27:26,017 --> 00:27:28,520 I stayed away. 700 00:27:32,524 --> 00:27:35,735 I could have gone fishing. 701 00:27:35,819 --> 00:27:38,571 I should have gone fishing. 702 00:27:40,532 --> 00:27:44,119 And I'm…I'm curious now. 703 00:27:50,291 --> 00:27:52,544 And I forgive you, Dad, for not being the man 704 00:27:52,627 --> 00:27:54,087 that I wanted you to be. 705 00:27:54,170 --> 00:27:55,422 But I am… 706 00:27:55,505 --> 00:27:58,425 I am so grateful that you weren't. 707 00:27:58,508 --> 00:28:03,221 The world needed you to be exactly as you are. 708 00:28:03,304 --> 00:28:05,515 It got…it got serious, and… 709 00:28:05,598 --> 00:28:07,142 and it turned ugly. 710 00:28:07,225 --> 00:28:11,229 And you and your friends built 711 00:28:11,312 --> 00:28:14,691 the Neighborhood of Make-Believe. 712 00:28:16,526 --> 00:28:19,028 What an incredible gift. 713 00:28:24,743 --> 00:28:26,786 Oh, Daddy. 714 00:28:26,870 --> 00:28:30,373 I am so sorry. 715 00:28:30,457 --> 00:28:34,252 Please, please forgive me. 716 00:28:44,804 --> 00:28:47,265 Come find me when it's time. 717 00:28:52,604 --> 00:28:53,855 No news chopper coverage. 718 00:28:53,938 --> 00:28:55,273 No eye in the sky. 719 00:28:55,356 --> 00:28:56,357 Not even a damn drone. 720 00:28:56,441 --> 00:28:57,442 No mystery here. 721 00:28:57,525 --> 00:28:59,027 The cop said east on 376. 722 00:28:59,110 --> 00:29:00,195 They're headed to Swissvale. 723 00:29:00,278 --> 00:29:01,529 I have a cousin in Swissvale. 724 00:29:01,613 --> 00:29:03,072 Says it's crazy. 725 00:29:03,156 --> 00:29:04,699 Fellas, they are not going to Swissvale. 726 00:29:04,783 --> 00:29:06,701 They're crossing the line. Canada, baby. 727 00:29:06,785 --> 00:29:09,120 That's the other way, genius. See, I'm taking all your money. 728 00:29:09,204 --> 00:29:10,246 - No, you're not. - You're taking his money. 729 00:29:10,330 --> 00:29:11,623 You think so? 730 00:29:11,706 --> 00:29:12,957 I'm breaking up this sewing circle. 731 00:29:13,041 --> 00:29:14,542 Antoine, you're supposed to be in triage. 732 00:29:14,626 --> 00:29:15,877 Dennison needs a knee immobilizer and crutches. 733 00:29:15,960 --> 00:29:17,587 Go on. 734 00:29:17,670 --> 00:29:19,255 Paolo, take postural vitals on Thorpe in North 5, 735 00:29:19,339 --> 00:29:21,925 and a repeat potassium draw on Fontaine in South 18. 736 00:29:22,008 --> 00:29:23,760 Larry, you're coming with me. 737 00:29:23,843 --> 00:29:25,261 Okay, we have a quorum. 738 00:29:25,345 --> 00:29:27,055 - Meds finally here? - Yep. 739 00:29:27,138 --> 00:29:28,932 - Guy's got some energy. - Let's do this. 740 00:29:29,015 --> 00:29:30,475 Donahue, right leg. Larry, left leg. 741 00:29:30,558 --> 00:29:31,851 Kim, right arm. 742 00:29:31,935 --> 00:29:33,394 I call left arm. Perlah takes the head. 743 00:29:33,478 --> 00:29:34,938 And our young man here will inject. Clear? 744 00:29:35,021 --> 00:29:36,397 - Yeah. - Pulse ox? 745 00:29:36,481 --> 00:29:37,941 - Right here. - Good luck. 746 00:29:38,024 --> 00:29:40,944 IM injection to the mid-anterior left thigh. 747 00:29:41,027 --> 00:29:42,445 Everybody ready? 748 00:29:42,529 --> 00:29:44,572 Yo, Whitaker. 749 00:29:44,656 --> 00:29:45,740 You play any ball? 750 00:29:45,824 --> 00:29:47,367 What, football? 751 00:29:47,450 --> 00:29:49,035 No, dodgeball. 752 00:29:49,118 --> 00:29:50,370 Of course football. 753 00:29:50,453 --> 00:29:51,913 Yeah, some peewee. 754 00:29:51,996 --> 00:29:53,498 You know, I was actually a pretty good kicker. 755 00:29:53,581 --> 00:29:55,041 Not helpful. 756 00:29:55,124 --> 00:29:56,417 Look, Larry and I are gonna block for you. 757 00:29:56,501 --> 00:29:57,794 Come in right behind us. 758 00:29:57,877 --> 00:29:59,170 When we split and go for his legs, 759 00:29:59,254 --> 00:30:00,922 you go right up the middle. 760 00:30:01,005 --> 00:30:02,298 - End zone, baby. - Okay, yeah. 761 00:30:02,382 --> 00:30:04,425 - Got it. - Okay. 762 00:30:04,509 --> 00:30:06,219 You ready? 763 00:30:06,302 --> 00:30:09,973 One, two, three. 764 00:30:10,056 --> 00:30:12,058 Okay, Mr. Krakozhia, we're here to help you. 765 00:30:12,141 --> 00:30:14,352 We're here to help you… oh, God! 766 00:30:14,435 --> 00:30:16,354 What do I do? Ahh! 767 00:30:17,355 --> 00:30:18,439 Shit. 768 00:30:18,523 --> 00:30:20,275 Ahh! 769 00:30:20,358 --> 00:30:22,235 Oh. 770 00:30:22,318 --> 00:30:23,403 That's it. 771 00:30:24,320 --> 00:30:25,405 Congrats, kid. 772 00:30:25,488 --> 00:30:27,115 You just earned your yellow wings. 773 00:30:27,198 --> 00:30:28,908 Okay, midazolam will take him down in a minute. 774 00:30:28,992 --> 00:30:30,451 We'll monitor him for 20. 775 00:30:30,535 --> 00:30:31,619 After that, the Haldol will have kicked in. 776 00:30:31,703 --> 00:30:33,246 Yeah, he's settling down now. 777 00:30:33,329 --> 00:30:34,497 Do I really need to be here for 20 minutes? 778 00:30:34,581 --> 00:30:35,999 Why? You got a date? 779 00:30:36,082 --> 00:30:37,250 - I mean, I'm covered in… - I'm kidding. 780 00:30:37,333 --> 00:30:38,459 Thanks for your help. 781 00:30:38,543 --> 00:30:40,003 Go get cleaned up. 782 00:30:40,086 --> 00:30:41,588 Okay. Thanks, everyone. Good work. 783 00:30:41,671 --> 00:30:43,172 I know I don't need to say it, but let's try 784 00:30:43,256 --> 00:30:44,716 to stay on top of Mr. Krakozhia's med schedule. 785 00:30:44,799 --> 00:30:46,092 - Ugh. - Sorry. 786 00:30:46,175 --> 00:30:47,385 Yeah, thanks. 787 00:30:47,468 --> 00:30:48,720 Can I help you get new scrubs? 788 00:30:48,803 --> 00:30:51,556 Oh, no, it's good. I'm gonna… 789 00:30:51,639 --> 00:30:54,350 Uh, thank you for the offer, though. 790 00:30:58,521 --> 00:31:00,356 So, Tasha, you work in a restaurant? 791 00:31:00,440 --> 00:31:02,525 No, take it in two bites. 792 00:31:02,609 --> 00:31:04,152 - Okay. - Rotate your wrist. 793 00:31:04,235 --> 00:31:06,029 Follow the curve of the needle. 794 00:31:06,112 --> 00:31:09,324 Exit at 90 degrees, same distance from the wound. 795 00:31:09,407 --> 00:31:10,783 Good. 796 00:31:10,867 --> 00:31:12,994 Yes, I'm the sommelier at Altius. 797 00:31:13,077 --> 00:31:15,496 Oh, Altius is supposed to be amazing. 798 00:31:15,580 --> 00:31:17,081 Sorry. What…what is it you do? 799 00:31:17,165 --> 00:31:19,417 I'm the sommelier, the wine steward. 800 00:31:19,500 --> 00:31:20,793 Ah. 801 00:31:20,877 --> 00:31:22,253 We have the best cellar in the city. 802 00:31:22,337 --> 00:31:23,546 I don't mind bragging. 803 00:31:23,630 --> 00:31:25,131 Ah, it sounds like a great gig. 804 00:31:25,214 --> 00:31:26,424 Do you have to go to school for that? 805 00:31:26,507 --> 00:31:27,717 Oh, my. Yeah. 806 00:31:27,800 --> 00:31:29,010 Yeah, I have a degree. 807 00:31:29,093 --> 00:31:30,303 - Mm, cool. - Okay. 808 00:31:30,386 --> 00:31:31,638 How's that? 809 00:31:31,721 --> 00:31:32,847 Really good. 810 00:31:32,931 --> 00:31:34,599 First tie is a surgeon's knot. 811 00:31:34,682 --> 00:31:35,975 Wrap the suture twice. 812 00:31:36,059 --> 00:31:37,352 Grab the short end. 813 00:31:37,435 --> 00:31:38,645 Pull with just enough tension. 814 00:31:38,728 --> 00:31:40,271 Bring the wound edges together. 815 00:31:40,355 --> 00:31:42,982 Not too tight or she'll have railroad tracks. 816 00:31:43,066 --> 00:31:46,110 So, Tasha, what's your favorite wine you've ever tasted… 817 00:31:46,194 --> 00:31:47,904 or most expensive? 818 00:31:49,113 --> 00:31:51,157 Same answer for both… 819 00:31:51,240 --> 00:31:54,369 a 2011 Domaine de la Romanée-Conti. 820 00:31:55,370 --> 00:31:56,537 Three more instrument ties. 821 00:31:56,621 --> 00:31:58,122 Great. 822 00:31:58,206 --> 00:32:00,500 Square knots, single wrap around the needle driver. 823 00:32:00,583 --> 00:32:02,001 Is that French? 824 00:32:02,085 --> 00:32:03,336 As French as it gets, 825 00:32:03,419 --> 00:32:04,796 - a burgundy. - Ah. 826 00:32:04,879 --> 00:32:06,339 And how much does that cost? 827 00:32:06,422 --> 00:32:09,175 I sold that bottle for $18,000. 828 00:32:09,258 --> 00:32:10,885 Not here. 829 00:32:10,969 --> 00:32:12,178 That was in New York. 830 00:32:12,261 --> 00:32:13,388 Are you kidding? 831 00:32:13,471 --> 00:32:16,307 18 grand for a bottle of wine? 832 00:32:16,391 --> 00:32:17,892 I mean, was it really that good? 833 00:32:17,976 --> 00:32:19,644 Life changing. 834 00:32:19,727 --> 00:32:21,854 And I know something about life changing. 835 00:32:23,022 --> 00:32:24,565 Maybe one day. 836 00:32:24,649 --> 00:32:28,444 I'm still not old enough to drink…legally. 837 00:32:28,528 --> 00:32:31,823 That's a little scary. 838 00:32:31,906 --> 00:32:34,075 And I'm about 18 grand short and a friend of Bill's, 839 00:32:34,158 --> 00:32:37,745 so I'll have to take your word for it too. 840 00:32:37,829 --> 00:32:40,915 My only extravagance these days is moisturizer. 841 00:32:40,999 --> 00:32:42,542 I hear you. 842 00:32:42,625 --> 00:32:44,961 Jenna, I have some people here to see you. 843 00:32:45,044 --> 00:32:47,046 - Jenna, oh. - Oh, my God. 844 00:32:47,130 --> 00:32:48,464 Hi. 845 00:32:48,548 --> 00:32:49,757 Oh, my God. I'm glad you're okay. 846 00:32:49,841 --> 00:32:51,300 I'm so sorry. 847 00:32:51,384 --> 00:32:52,635 I have no idea how this happened, I swear. 848 00:32:52,719 --> 00:32:54,429 Is she, um… 849 00:32:54,512 --> 00:32:56,180 Yes, she's cleared medically. You may take her home. 850 00:32:56,264 --> 00:32:58,182 Here's some discharge instructions, 851 00:32:58,266 --> 00:32:59,809 but no more pills unless they're 852 00:32:59,892 --> 00:33:01,269 from a doctor or pharmacy. 853 00:33:01,352 --> 00:33:02,895 Yeah. I won't. 854 00:33:02,979 --> 00:33:04,313 We're giving you some fentanyl test strips. 855 00:33:04,397 --> 00:33:06,065 These work on pills and liquids. 856 00:33:06,149 --> 00:33:08,067 And this is a Narcan spray. 857 00:33:08,151 --> 00:33:10,486 Please, just keep it in your purse just in case 858 00:33:10,570 --> 00:33:12,196 if you're at a party, and someone's out of it. 859 00:33:12,280 --> 00:33:13,698 Yeah, thank you. 860 00:33:13,781 --> 00:33:14,991 You realize how lucky you are? 861 00:33:15,074 --> 00:33:16,200 Yes? 862 00:33:16,284 --> 00:33:17,910 Yeah, I…I do. 863 00:33:22,623 --> 00:33:24,834 Mr. and Mrs. Bradley, I just spoke to nuclear medicine, 864 00:33:24,917 --> 00:33:26,627 and they are ready to take Nick 865 00:33:26,711 --> 00:33:29,047 for the cerebral perfusion study test in a few minutes. 866 00:33:29,130 --> 00:33:30,214 Can we stay with him? 867 00:33:30,298 --> 00:33:31,674 Absolutely. 868 00:33:31,758 --> 00:33:33,593 The test itself involves radiation imaging, 869 00:33:33,676 --> 00:33:35,261 so you'll have to wait just outside the door. 870 00:33:35,344 --> 00:33:36,554 But Dave will take you down. 871 00:33:36,637 --> 00:33:37,930 I'll show you where you can be. 872 00:33:38,014 --> 00:33:39,390 He'll also bring you back here. 873 00:33:39,474 --> 00:33:41,100 The results take about an hour or so, 874 00:33:41,184 --> 00:33:44,187 and I'll come find you when I get them. 875 00:33:44,270 --> 00:33:46,731 And we'll take it from there. 876 00:33:46,814 --> 00:33:47,982 Thank you, Doctor. 877 00:33:48,066 --> 00:33:49,734 Okay. 878 00:33:52,445 --> 00:33:54,989 So sorry to keep you waiting. 879 00:33:55,073 --> 00:33:56,908 I'm Dr. Heather Collins. 880 00:33:56,991 --> 00:33:59,660 You must be Kristi and Lynette Wheeler? 881 00:33:59,744 --> 00:34:00,995 - Yes. - Yes. 882 00:34:01,079 --> 00:34:02,663 We were supposed to see Dr. Abbot. 883 00:34:02,747 --> 00:34:04,832 Yes, Dr. Abbot is an amazing physician, 884 00:34:04,916 --> 00:34:07,335 but even he needs sleep occasionally. 885 00:34:07,418 --> 00:34:08,795 I guess I just got tired. 886 00:34:08,878 --> 00:34:10,588 And I forgot to charge my phone, 887 00:34:10,671 --> 00:34:12,340 - and we overslept. - Mm. 888 00:34:12,423 --> 00:34:14,300 I use an old-fashioned alarm clock since med school. 889 00:34:14,383 --> 00:34:15,635 Never fails. 890 00:34:15,718 --> 00:34:16,761 That's what I have at home. 891 00:34:16,844 --> 00:34:18,471 I just forgot to bring it. 892 00:34:18,554 --> 00:34:20,181 Okay. 893 00:34:20,264 --> 00:34:23,017 I see we're doing a medication abortion today, correct? 894 00:34:23,101 --> 00:34:24,644 Yep. 895 00:34:24,727 --> 00:34:26,687 Well, since I didn't initially assess you, 896 00:34:26,771 --> 00:34:28,773 do you mind if I ask a few questions? 897 00:34:28,856 --> 00:34:30,066 Get up to speed? 898 00:34:30,149 --> 00:34:31,442 No. 899 00:34:31,526 --> 00:34:33,111 Thanks. 900 00:34:33,194 --> 00:34:35,488 Is this your first pregnancy? 901 00:34:35,571 --> 00:34:36,823 Yes. 902 00:34:36,906 --> 00:34:38,407 And you're 17? 903 00:34:38,491 --> 00:34:41,869 When did your last menstrual cycle start? 904 00:34:41,953 --> 00:34:44,831 Um, I'm not exactly sure. 905 00:34:44,914 --> 00:34:46,415 End of June… 906 00:34:46,499 --> 00:34:48,292 23rd maybe? 907 00:34:48,376 --> 00:34:49,877 Any allergies to medication? 908 00:34:49,961 --> 00:34:51,003 No. 909 00:34:51,087 --> 00:34:52,421 Any surgeries in the past? 910 00:34:52,505 --> 00:34:54,590 No. 911 00:34:54,674 --> 00:34:56,509 I need to do another quick ultrasound 912 00:34:56,592 --> 00:34:58,553 to make sure everything is okay for the medication. 913 00:34:58,636 --> 00:35:00,429 Do you want to put on a gown 914 00:35:00,513 --> 00:35:02,515 to make sure you don't get gel all over your clothes? 915 00:35:02,598 --> 00:35:03,933 Okay. 916 00:35:05,309 --> 00:35:06,811 I'll be right back. 917 00:35:06,894 --> 00:35:08,521 Thank you. 918 00:35:08,604 --> 00:35:10,064 Joyce, our sickler, is doing well 919 00:35:10,148 --> 00:35:11,440 on the exchange transfusion. 920 00:35:11,524 --> 00:35:12,859 Awaiting a telemetry bed. 921 00:35:12,942 --> 00:35:14,443 Quinn, the midnight vaper, 922 00:35:14,527 --> 00:35:16,612 is still in sinus after cardioversion. 923 00:35:16,696 --> 00:35:18,781 Uh, four hours of cardiac monitoring starting now, 924 00:35:18,865 --> 00:35:20,199 and you can discharge him. 925 00:35:20,283 --> 00:35:21,409 Our Good Samaritan's hanging in, 926 00:35:21,492 --> 00:35:23,119 stable vitals and neuro checks. 927 00:35:23,202 --> 00:35:25,079 Yeah, I want to get a repeat head CT in an hour, 928 00:35:25,163 --> 00:35:26,789 rule out any increased bleeding. 929 00:35:26,873 --> 00:35:28,791 And Mr. Gold was stool positive for campylobacter, 930 00:35:28,875 --> 00:35:30,585 has gone home on azithromycin. 931 00:35:30,668 --> 00:35:32,461 Well, I hope he loads up on water and electrolytes. 932 00:35:32,545 --> 00:35:34,213 The guy filled up half a dozen bedpans. 933 00:35:34,297 --> 00:35:35,715 Must be a record. 934 00:35:35,798 --> 00:35:37,466 Without sounding like a broken record, 935 00:35:37,550 --> 00:35:38,885 everything okay with you? 936 00:35:38,968 --> 00:35:40,219 That's your third cup before 11:00. 937 00:35:40,303 --> 00:35:41,596 Yeah, I'm not sleeping great. 938 00:35:41,679 --> 00:35:43,014 It's fucking with me a little bit. 939 00:35:43,097 --> 00:35:44,891 But I've got four days off next week. 940 00:35:44,974 --> 00:35:46,434 I think I'm gonna get out of Dodge and head for the hills. 941 00:35:46,517 --> 00:35:47,977 I wish you would. What'd Shakespeare say… 942 00:35:48,060 --> 00:35:49,520 "Physician, heal thyself"? 943 00:35:49,604 --> 00:35:51,272 What? Have you been talking to Collins? 944 00:35:51,355 --> 00:35:52,815 Not Shakespeare. 945 00:35:52,899 --> 00:35:54,400 Luke, the disciple, 946 00:35:54,483 --> 00:35:56,110 who probably heard it from Paul the Apostle. 947 00:35:56,194 --> 00:35:57,320 But what do I know? I'm Jewish. 948 00:35:57,403 --> 00:35:58,946 It's not my book. 949 00:35:59,030 --> 00:36:00,072 Shakespeare had nothing to do with it, though. 950 00:36:00,156 --> 00:36:01,532 Yeah. 951 00:36:01,616 --> 00:36:03,201 Maybe a little time off would be good. 952 00:36:03,284 --> 00:36:04,452 Oh. You have everything? 953 00:36:04,535 --> 00:36:06,245 Yeah, I think so. 954 00:36:16,964 --> 00:36:18,049 Is that… 955 00:36:18,132 --> 00:36:19,634 Yeah. 956 00:36:19,717 --> 00:36:22,428 Let's go, sweetheart. 957 00:36:22,511 --> 00:36:26,057 Wait. Um, Mr. Bradley? 958 00:36:26,140 --> 00:36:28,726 I just wanted to apologize for the way I spoke to you. 959 00:36:28,809 --> 00:36:29,936 Please wait. Please. 960 00:36:30,019 --> 00:36:31,812 There's no excuse. 961 00:36:31,896 --> 00:36:33,481 I was gonna ask a nurse to give you this, 962 00:36:33,564 --> 00:36:36,651 but it's my number and email. 963 00:36:36,734 --> 00:36:41,280 If I can ever be of any help in any way, please. 964 00:36:41,364 --> 00:36:43,491 I don't know who you are. 965 00:36:43,574 --> 00:36:44,742 - Oh. - Oh. 966 00:36:44,825 --> 00:36:47,078 I'm sorry. I'm Jenna. 967 00:36:48,537 --> 00:36:52,124 I met Nick at orientation, and he was really sweet. 968 00:36:55,127 --> 00:36:56,963 We were in the same econ class, 969 00:36:57,046 --> 00:36:58,839 and we had this really big test coming up. 970 00:36:58,923 --> 00:37:01,384 So some of us made this kind of study group. 971 00:37:01,467 --> 00:37:04,679 And we'd stay up way too late drinking coffee 972 00:37:04,762 --> 00:37:06,889 and then have a really hard time falling asleep. 973 00:37:06,973 --> 00:37:09,767 And one girl said 974 00:37:09,850 --> 00:37:12,853 she knew how to get Xanax, 975 00:37:12,937 --> 00:37:16,274 but was too afraid to go pick it up. 976 00:37:16,357 --> 00:37:19,777 Nick was just being nice when he said he'd do it. 977 00:37:22,613 --> 00:37:25,783 I am so sorry. 978 00:37:25,866 --> 00:37:27,785 I really hope he pulls through this. 979 00:37:27,868 --> 00:37:30,621 I'm praying he pulls through this. 980 00:37:30,705 --> 00:37:32,915 He will. 981 00:37:32,999 --> 00:37:34,375 Uh, yeah. 982 00:37:34,458 --> 00:37:35,835 Thank you. 983 00:37:37,795 --> 00:37:39,588 You should go. 984 00:37:39,672 --> 00:37:42,300 I'm sure your parents want to take you home. 985 00:37:48,723 --> 00:37:51,934 All right. Come on. 986 00:37:53,602 --> 00:37:55,896 Sorry about earlier. 987 00:37:55,980 --> 00:37:58,858 I think I still have a lot to learn. 988 00:37:58,941 --> 00:38:00,443 You do. 989 00:38:02,903 --> 00:38:04,113 Looks good. 990 00:38:04,196 --> 00:38:05,656 Nice job, Doc. 991 00:38:05,740 --> 00:38:07,533 Thank you for the trust. 992 00:38:07,616 --> 00:38:09,201 Now keep it clean and dry, 993 00:38:09,285 --> 00:38:10,995 and we'll see you for a wound check in two days. 994 00:38:11,078 --> 00:38:12,913 You did great. I didn't feel a thing. 995 00:38:12,997 --> 00:38:14,707 Sutures out in a week, but come back sooner 996 00:38:14,790 --> 00:38:16,292 for any redness, fever, or drainage. 997 00:38:16,375 --> 00:38:17,668 - Okay? - Okay. 998 00:38:17,752 --> 00:38:19,587 Thank you. 999 00:38:19,670 --> 00:38:21,339 Um, I couldn't help but notice. 1000 00:38:21,422 --> 00:38:23,716 There's a misgendering error on your chart. 1001 00:38:23,799 --> 00:38:25,092 I'm really sorry about that. 1002 00:38:25,176 --> 00:38:26,510 I've gone ahead and fixed it here 1003 00:38:26,594 --> 00:38:27,803 and on your insurance data file, 1004 00:38:27,887 --> 00:38:30,681 but it shouldn't happen again. 1005 00:38:30,765 --> 00:38:32,141 Wow. 1006 00:38:32,224 --> 00:38:34,810 I am… 1007 00:38:34,894 --> 00:38:36,354 Thank you. 1008 00:38:36,437 --> 00:38:37,480 Truly. 1009 00:38:37,563 --> 00:38:38,773 Thank you both. 1010 00:38:38,856 --> 00:38:40,524 Yeah, of course. 1011 00:38:43,027 --> 00:38:44,236 That was cool. 1012 00:38:44,320 --> 00:38:45,321 Didn't think to check that. 1013 00:38:45,404 --> 00:38:47,323 Good catch. 1014 00:38:47,406 --> 00:38:49,283 Oh, any other medications? 1015 00:38:49,367 --> 00:38:53,162 The only medicine is Tylenol, and she has no allergies. 1016 00:38:53,245 --> 00:38:54,580 Hi, I'm Dr. Mohan. 1017 00:38:54,663 --> 00:38:56,457 Hello. Nice to meet you. 1018 00:38:56,540 --> 00:38:58,125 Oh, let me catch her up. 1019 00:38:58,209 --> 00:39:00,461 Jia Yi is a 12-year-old with six weeks 1020 00:39:00,544 --> 00:39:02,630 of constant pain in the suprapubic area. 1021 00:39:02,713 --> 00:39:05,257 There's no fever, no dysuria, 1022 00:39:05,341 --> 00:39:07,343 no nausea, vomiting, diarrhea, 1023 00:39:07,426 --> 00:39:08,844 no vaginal discharge. 1024 00:39:08,928 --> 00:39:11,013 And the urine pregnancy test is negative. 1025 00:39:11,097 --> 00:39:12,765 A…a pregnancy test? 1026 00:39:12,848 --> 00:39:14,308 Of course it's negative. 1027 00:39:14,392 --> 00:39:15,976 She has a stomachache. 1028 00:39:16,060 --> 00:39:17,895 Tell me a little bit more about your pain. 1029 00:39:17,978 --> 00:39:20,439 Can you give me a number from 1 to 10, 10 being the worst? 1030 00:39:20,523 --> 00:39:23,109 It was like a two the first few weeks. 1031 00:39:23,192 --> 00:39:24,318 Then it went up to a five. 1032 00:39:24,402 --> 00:39:27,071 Now it's worse, like a seven. 1033 00:39:27,154 --> 00:39:28,906 And when was your last menstrual period? 1034 00:39:28,989 --> 00:39:30,366 - Haven't had it. - This month? 1035 00:39:30,449 --> 00:39:32,076 No, never. 1036 00:39:32,159 --> 00:39:34,620 A few of my friends got theirs. I'm still waiting. 1037 00:39:34,703 --> 00:39:36,831 She's only 12. 1038 00:39:36,914 --> 00:39:38,958 Okay. We'll be back for an exam. 1039 00:39:39,041 --> 00:39:41,794 Why don't you change into a gown open in the back? 1040 00:39:44,463 --> 00:39:45,798 It's weird. 1041 00:39:45,881 --> 00:39:48,259 I mean, no period, 1042 00:39:48,342 --> 00:39:51,429 but she has early secondary sexual characteristics… 1043 00:39:51,512 --> 00:39:54,807 you know, breast development, widening hips. 1044 00:39:54,890 --> 00:39:56,851 Yeah, it's primary amenorrhea. 1045 00:39:56,934 --> 00:39:58,269 What are you thinking? 1046 00:39:58,352 --> 00:40:00,354 Could be a pituitary dysfunction or… 1047 00:40:00,438 --> 00:40:01,730 Okay, how are we doing? 1048 00:40:01,814 --> 00:40:03,357 Are we moving anybody out of here? 1049 00:40:03,441 --> 00:40:04,984 We're trying. Asthma cleared after two nebs, 1050 00:40:05,067 --> 00:40:06,318 went home with steroids and albuterol. 1051 00:40:06,402 --> 00:40:07,736 I like that. Who else? 1052 00:40:07,820 --> 00:40:09,572 Uh… 1053 00:40:09,655 --> 00:40:11,740 Hire scabs that don't know zip ties from airline cable? 1054 00:40:12,908 --> 00:40:14,326 Fuck around and find out. 1055 00:40:14,410 --> 00:40:15,911 Come Monday, that promoter is gonna have 1056 00:40:15,995 --> 00:40:17,496 my lawyer's shoe so far up his ass, 1057 00:40:17,580 --> 00:40:19,039 he's gonna be flossing with the laces. 1058 00:40:19,123 --> 00:40:20,291 How are we doing in here? 1059 00:40:20,374 --> 00:40:21,500 Vitals are perfect. 1060 00:40:21,584 --> 00:40:24,211 Satting 98 on 4 liters. 1061 00:40:24,295 --> 00:40:25,463 Nice. 1062 00:40:25,546 --> 00:40:27,047 So I can go back to work now? 1063 00:40:27,131 --> 00:40:28,424 With six rib fractures, a bruised lung, 1064 00:40:28,507 --> 00:40:29,550 and a catheter in your chest? 1065 00:40:29,633 --> 00:40:30,843 Not the best idea. 1066 00:40:30,926 --> 00:40:32,511 But I do respect the work ethic. 1067 00:40:33,345 --> 00:40:34,972 Ritchie, get Cecil on FaceTime again. 1068 00:40:35,055 --> 00:40:36,474 I need to see this shit myself. 1069 00:40:36,557 --> 00:40:37,766 Do me a favor. 1070 00:40:37,850 --> 00:40:39,560 Call Dr. Gregorian in thoracic 1071 00:40:39,643 --> 00:40:41,020 and see if he'll take Stone as a personal favor to me, 1072 00:40:41,103 --> 00:40:42,521 and make sure he knows he doesn't need 1073 00:40:42,605 --> 00:40:44,023 any real babysitting. He's stable. 1074 00:40:44,106 --> 00:40:45,608 - We just need a bed. - Copy that. 1075 00:40:45,691 --> 00:40:48,319 Projectile vomiting is better with ondansetron. 1076 00:40:48,402 --> 00:40:50,279 Labs normal, awaiting a PO challenge. 1077 00:40:50,362 --> 00:40:51,655 What about Minu, the fall lady? 1078 00:40:51,739 --> 00:40:53,032 Antibiotics on board, pain free, 1079 00:40:53,115 --> 00:40:54,533 on the OR schedule at 3:00 p.m. 1080 00:40:54,617 --> 00:40:55,826 We parked her in the hall for a few hours. 1081 00:40:55,910 --> 00:40:57,203 Okay, good. 1082 00:40:57,286 --> 00:40:59,955 A little jelly on the belly. 1083 00:41:00,039 --> 00:41:01,248 Sorry. 1084 00:41:01,332 --> 00:41:02,750 It's cold. 1085 00:41:04,585 --> 00:41:06,504 And just to be sure, you're not being 1086 00:41:06,587 --> 00:41:10,132 treated for any blood clots, taking any anticoagulants? 1087 00:41:10,216 --> 00:41:12,009 No, I don't take any medicines. 1088 00:41:24,021 --> 00:41:26,815 Is everything okay? 1089 00:41:26,899 --> 00:41:28,317 Yeah. 1090 00:41:28,400 --> 00:41:30,236 There it is. There it is. 1091 00:41:30,319 --> 00:41:31,904 Chopper 7, I knew you wouldn't let me down. 1092 00:41:31,987 --> 00:41:33,197 Here we go. 1093 00:41:33,280 --> 00:41:34,657 Wait, where is it? 1094 00:41:34,740 --> 00:41:36,116 Well, it sure as shit ain't Swissvale. 1095 00:41:36,200 --> 00:41:37,493 - Hmm. - They're out in Monroeville… 1096 00:41:37,576 --> 00:41:38,827 - Mm-hmm. - Trailing PPD. 1097 00:41:38,911 --> 00:41:40,371 What are they doing out there? 1098 00:41:40,454 --> 00:41:41,705 They're driving till the wheels fall off. 1099 00:41:41,789 --> 00:41:43,582 And it's almost outside our catch. 1100 00:41:43,666 --> 00:41:45,960 I got $10 that say they don't make it to the county line. 1101 00:41:46,043 --> 00:41:47,419 - They coming back. - I don't know. 1102 00:41:47,503 --> 00:41:49,046 Yeah, yeah, yeah, yeah, I'll take that. 1103 00:41:49,129 --> 00:41:50,631 They're Westmoreland's problem now. 1104 00:41:50,714 --> 00:41:51,882 - Mm. - Yep. 1105 00:41:51,966 --> 00:41:53,092 - Uh-oh. - It's on the news? 1106 00:41:53,175 --> 00:41:54,301 Yes, ma'am. 1107 00:41:54,385 --> 00:41:55,844 Where are they? 1108 00:41:55,928 --> 00:41:57,680 They're headed east toward Monroeville. 1109 00:41:57,763 --> 00:41:59,598 Let me see. 1110 00:42:06,605 --> 00:42:10,234 Give me $20 on junkies, caught, outside our zone. 1111 00:42:10,317 --> 00:42:12,111 Well, damn. 1112 00:42:12,194 --> 00:42:14,655 All right. 1113 00:42:18,701 --> 00:42:20,911 - Soft, non-tender. - Okay. 1114 00:42:20,995 --> 00:42:23,080 Jia Yi, we're going to check below the waist. 1115 00:42:23,163 --> 00:42:24,832 You'll be all covered up. Would you like Dad to stay? 1116 00:42:24,915 --> 00:42:26,750 Yes, please. Don't go. 1117 00:42:26,834 --> 00:42:29,086 Okay, I'm here. I'm here. 1118 00:42:29,169 --> 00:42:32,840 All right, knees up, but keep your feet on the bed. 1119 00:42:32,923 --> 00:42:35,509 And let the knees flop apart. 1120 00:42:35,593 --> 00:42:37,803 We're just gonna take a quick look. 1121 00:42:40,973 --> 00:42:42,516 You'll feel me touch your upper leg 1122 00:42:42,600 --> 00:42:44,435 so we can see where you pee. 1123 00:42:44,518 --> 00:42:45,811 Any pain? 1124 00:42:45,894 --> 00:42:47,688 No, it's okay. 1125 00:42:50,858 --> 00:42:52,026 Okay. 1126 00:42:52,109 --> 00:42:53,694 You can put your legs back down. 1127 00:42:53,777 --> 00:42:56,030 You did great, and we know how we can help you. 1128 00:42:56,113 --> 00:42:57,448 Thank you. 1129 00:42:57,531 --> 00:42:59,783 Dad, can we step out for a minute? 1130 00:43:02,411 --> 00:43:04,955 Yay. Good job. 1131 00:43:07,666 --> 00:43:10,044 What's…what's wrong with her? 1132 00:43:10,127 --> 00:43:11,629 Her mother died of colon cancer. 1133 00:43:11,712 --> 00:43:13,005 Is it… 1134 00:43:13,088 --> 00:43:14,923 No, that has nothing to do with this. 1135 00:43:15,007 --> 00:43:17,468 Do you know what a hymen is? 1136 00:43:17,551 --> 00:43:20,220 I…not really. 1137 00:43:20,304 --> 00:43:22,765 When the baby is developing in the womb, 1138 00:43:22,848 --> 00:43:24,391 there's a membrane called the hymen 1139 00:43:24,475 --> 00:43:26,185 which blocks the vaginal passage. 1140 00:43:26,268 --> 00:43:27,936 Before birth, most of it goes away, 1141 00:43:28,020 --> 00:43:30,606 but sometimes it doesn't. 1142 00:43:30,689 --> 00:43:32,816 - Is that dangerous? - No, not at all. 1143 00:43:32,900 --> 00:43:34,485 The good news is that your daughter 1144 00:43:34,568 --> 00:43:37,279 has an imperforate hymen totally blocking the vagina. 1145 00:43:37,363 --> 00:43:40,240 We saw what looks to be about three months of 1146 00:43:40,324 --> 00:43:43,702 violaceous menstrual blood bulging from behind it. 1147 00:43:43,786 --> 00:43:45,079 Oh, my God. 1148 00:43:45,162 --> 00:43:47,790 It's totally curable and an easy fix. 1149 00:43:47,873 --> 00:43:49,249 Your daughter needs minor surgery 1150 00:43:49,333 --> 00:43:50,793 best done under anesthesia 1151 00:43:50,876 --> 00:43:53,003 in an operating room by a gynecologist. 1152 00:43:53,087 --> 00:43:55,047 Then she'll be okay? 1153 00:43:55,130 --> 00:43:57,466 Yes, totally back to normal. 1154 00:43:59,009 --> 00:44:00,636 Thank you. 1155 00:44:00,719 --> 00:44:02,429 We, uh… 1156 00:44:02,513 --> 00:44:06,392 we lost Jia Yi's mother when Jia Yi was six. 1157 00:44:06,475 --> 00:44:11,355 And I do my best to fill her place. 1158 00:44:11,438 --> 00:44:13,732 But as she gets older… 1159 00:44:15,609 --> 00:44:17,611 Her mother would have known what to do. 1160 00:44:17,695 --> 00:44:20,948 I'm sure you do great. She's going to be fine. 1161 00:44:22,574 --> 00:44:24,368 Thank you. 1162 00:44:28,247 --> 00:44:29,873 We should let her know. 1163 00:44:29,957 --> 00:44:32,501 I'll do the talking this time. 1164 00:44:35,129 --> 00:44:36,964 Housekeeping is turning over South 20. 1165 00:44:37,047 --> 00:44:38,298 Damn, we're good. 1166 00:44:38,382 --> 00:44:39,466 What's it like when I'm not here? 1167 00:44:39,550 --> 00:44:41,009 I hate to break it to you, 1168 00:44:41,093 --> 00:44:42,553 but I run a tight ship with or without you. 1169 00:44:42,636 --> 00:44:43,762 More fun with me, though, right? 1170 00:44:43,846 --> 00:44:45,514 - Jokes are better. - Always. 1171 00:44:45,597 --> 00:44:47,891 But your tell is the hairier it gets, 1172 00:44:47,975 --> 00:44:51,019 the funnier you get, and you are on fire today. 1173 00:44:51,103 --> 00:44:53,981 Dr. Robby, it's time. 1174 00:45:01,447 --> 00:45:03,031 Hey. 1175 00:45:12,666 --> 00:45:14,877 Is he still with us? 1176 00:45:14,960 --> 00:45:18,297 Those are called agonal respirations. 1177 00:45:18,380 --> 00:45:19,840 Close to the end. 1178 00:45:21,550 --> 00:45:25,387 He said our mother's name a few minutes ago. 1179 00:45:25,471 --> 00:45:27,556 Marge. 1180 00:45:27,639 --> 00:45:29,099 Did he? 1181 00:45:29,183 --> 00:45:32,060 Like she was here in the room with us. 1182 00:45:32,144 --> 00:45:36,899 And…and then he smiled and just closed his eyes. 1183 00:45:40,444 --> 00:45:42,196 How are you both holding up? 1184 00:45:42,279 --> 00:45:43,614 I'm exhausted. 1185 00:45:43,697 --> 00:45:45,449 Yeah, I…I… 1186 00:45:45,532 --> 00:45:47,326 I think I'm doing okay. 1187 00:45:47,409 --> 00:45:50,454 Oh, Jereme, I am so glad that you are here. 1188 00:45:50,537 --> 00:45:51,997 Same. 1189 00:45:52,080 --> 00:45:55,667 I…I couldn't go through this by myself. 1190 00:45:55,751 --> 00:45:57,419 You don't have to. 1191 00:45:57,503 --> 00:45:59,379 Sara and I are here. 1192 00:45:59,463 --> 00:46:01,799 I know. Thank you. 1193 00:46:01,882 --> 00:46:04,176 I need you. 1194 00:46:04,259 --> 00:46:07,095 It's good that your families live close. 1195 00:46:08,722 --> 00:46:11,767 This becomes a primary relationship now. 1196 00:46:13,101 --> 00:46:16,063 You're the last witnesses to each other's lives. 1197 00:46:16,146 --> 00:46:18,190 You hold the memories. 1198 00:46:19,650 --> 00:46:22,486 Scary thought, the way my memory's going. 1199 00:46:23,695 --> 00:46:26,657 I just had the craziest idea. 1200 00:46:26,740 --> 00:46:28,659 You know what we should think about doing? 1201 00:46:28,742 --> 00:46:31,370 Why don't we take the boat out, like, this weekend? 1202 00:47:26,300 --> 00:47:27,801 Oh, no. 1203 00:47:56,288 --> 00:47:58,999 Bactrim twice a day, warm soaks, 1204 00:47:59,082 --> 00:48:01,793 and we'll see you here again in two days for a wound check. 1205 00:48:01,877 --> 00:48:03,503 - Do you have any questions? - Oh, hey, hey, hey, hey! 1206 00:48:03,587 --> 00:48:05,589 Hey, I need a gurney in here! 1207 00:48:05,672 --> 00:48:07,716 Now! 1208 00:48:07,799 --> 00:48:09,551 Gurney!