1 00:00:11,041 --> 00:00:12,375 You sent labs? 2 00:00:12,459 --> 00:00:13,710 No indication. 3 00:00:13,793 --> 00:00:15,045 Normal vitals, normal neuro exam. 4 00:00:15,128 --> 00:00:16,671 Dude just dropped…no warning. 5 00:00:16,755 --> 00:00:19,132 - What's open? - Trauma 1. 6 00:00:19,215 --> 00:00:21,885 Grab Langdon or whoever else is avail. 7 00:00:24,387 --> 00:00:25,638 What have we got? 8 00:00:25,722 --> 00:00:27,223 Seizure in chairs. 9 00:00:27,307 --> 00:00:28,308 Thank you. 10 00:00:28,391 --> 00:00:29,642 How is it out there? 11 00:00:29,726 --> 00:00:32,020 Chaos. We're never gonna catch up. 12 00:00:33,563 --> 00:00:35,190 Lorazepam's on board. 13 00:00:35,273 --> 00:00:36,983 Okay, draw up another 4. 14 00:00:38,985 --> 00:00:40,445 Yeah, no history. 15 00:00:40,528 --> 00:00:42,530 Doesn't look like he's been here before. 16 00:00:42,614 --> 00:00:45,033 Satting low 90s on 5 liters. 17 00:00:45,116 --> 00:00:46,618 Another 4 milligrams. 18 00:00:46,701 --> 00:00:49,287 I can't get the top off. 19 00:00:49,370 --> 00:00:51,206 It's just the plastic, not the metal. 20 00:00:51,289 --> 00:00:52,665 No, I know. I know, I know. 21 00:00:52,749 --> 00:00:53,749 Here, give it to me. 22 00:00:53,792 --> 00:00:55,085 No, I got it. 23 00:00:55,168 --> 00:00:56,920 Okay. 24 00:00:57,003 --> 00:00:59,214 Ordering CBC, CMP, 25 00:00:59,297 --> 00:01:01,758 and a straight cath for a urine tox. 26 00:01:01,841 --> 00:01:05,178 All right. Pushing the second 4. 27 00:01:05,261 --> 00:01:07,055 If this doesn't work, we need to prep Keppra. 28 00:01:07,138 --> 00:01:09,015 No, we'll give more lorazepam. 29 00:01:09,099 --> 00:01:10,308 It's already ordered. 30 00:01:10,391 --> 00:01:11,893 He's already had 8 milligrams. 31 00:01:11,976 --> 00:01:13,394 - He'll stop breathing. - Then we'll intubate. 32 00:01:13,478 --> 00:01:15,105 Sometimes a patient needs a little more. 33 00:01:15,188 --> 00:01:17,232 - How long has he been seizing? - About four minutes ago. 34 00:01:17,315 --> 00:01:18,733 He started seizing in chairs. 35 00:01:18,817 --> 00:01:20,527 He's already had 8 of lorazepam. 36 00:01:20,610 --> 00:01:22,987 I want to move on to Keppra, but Dr. Langdon disagrees. 37 00:01:23,071 --> 00:01:25,031 I just want us to try another 2 milligrams before moving on. 38 00:01:25,115 --> 00:01:27,992 Dr. Langdon's patient, Dr. Langdon's call. 39 00:01:33,665 --> 00:01:35,959 Dennis Whitaker, meet Bob Chazen, 40 00:01:36,042 --> 00:01:38,503 a 53-year-old cyclist who injured his leg 41 00:01:38,586 --> 00:01:40,797 about ten days ago on a trip to Utah. 42 00:01:40,880 --> 00:01:43,591 I was in Moab, coming downhill fast, 43 00:01:43,675 --> 00:01:46,553 and jammed my pedal into my leg. 44 00:01:46,636 --> 00:01:47,679 Ouch. 45 00:01:47,762 --> 00:01:49,597 That's some gnarly road rash. 46 00:01:49,681 --> 00:01:51,432 White Rim Trail. 47 00:01:51,516 --> 00:01:53,977 I've been putting Neosporin on it a couple times a day, 48 00:01:54,060 --> 00:01:56,563 but now it hurts to walk. 49 00:01:56,646 --> 00:01:57,856 What do you see, Whitaker? 50 00:01:58,857 --> 00:02:00,859 Outside of the wound looks cellulitic. 51 00:02:00,942 --> 00:02:02,026 What's that? 52 00:02:02,110 --> 00:02:03,570 It's a bacterial infection. 53 00:02:03,653 --> 00:02:05,613 We'll need to get you on oral antibiotics. 54 00:02:05,697 --> 00:02:06,781 Figured. 55 00:02:06,865 --> 00:02:08,074 What about the center of the wound? 56 00:02:09,284 --> 00:02:11,995 It's a simple hematoma. 57 00:02:12,078 --> 00:02:14,122 Which you can now debride. 58 00:02:14,205 --> 00:02:15,707 Whitaker will take off the dead skin covering the blister 59 00:02:15,790 --> 00:02:17,000 to help it heal better. 60 00:02:17,083 --> 00:02:18,501 I'll be right back. 61 00:02:18,585 --> 00:02:20,295 Yeah, quick question. 62 00:02:20,378 --> 00:02:22,213 Get some Iris scissors, toothed forceps, sterile gauze. 63 00:02:22,297 --> 00:02:24,174 No, it's just… 64 00:02:26,968 --> 00:02:28,636 Blister guy? Really? 65 00:02:28,720 --> 00:02:30,388 Mr. Chazen was the next patient on deck. 66 00:02:30,471 --> 00:02:31,890 I know I screwed up earlier. 67 00:02:31,973 --> 00:02:33,016 You didn't screw up. 68 00:02:33,099 --> 00:02:34,517 The patient died. 69 00:02:34,601 --> 00:02:36,019 It happens. 70 00:02:36,102 --> 00:02:39,439 Just don't amputate Mr. Chazen's leg. 71 00:02:43,234 --> 00:02:45,445 Okay. Hey. 72 00:02:45,528 --> 00:02:46,946 Another 2 of lorazepam. 73 00:02:47,030 --> 00:02:49,324 - For a total of 10. - I'm well aware. 74 00:02:49,407 --> 00:02:50,700 He's still seizing. 75 00:02:51,993 --> 00:02:53,119 Call respiratory. 76 00:02:53,203 --> 00:02:54,370 I'm setting up an intubation tray. 77 00:02:54,454 --> 00:02:55,830 Which we won't need. 78 00:02:55,914 --> 00:02:59,125 Dr. Santos, what is the definition of status epilepticus? 79 00:02:59,209 --> 00:03:01,836 A seizure lasting more than five minutes or at least two seizures 80 00:03:01,920 --> 00:03:03,421 without full recovery in between. 81 00:03:03,504 --> 00:03:04,797 Excellent. 82 00:03:06,549 --> 00:03:07,967 Seizure activity has stopped. 83 00:03:08,051 --> 00:03:09,802 Also excellent. 84 00:03:09,886 --> 00:03:13,389 Spontaneous breathing, good tidal volume. 85 00:03:13,473 --> 00:03:15,225 Sats up to 98. 86 00:03:15,308 --> 00:03:16,893 Welcome back, Mr. Marino. 87 00:03:16,976 --> 00:03:19,729 Now we can do a Keppra load slowly and safely. 88 00:03:19,812 --> 00:03:21,356 Nice work, Dr. Langdon. 89 00:03:21,439 --> 00:03:23,608 I will be at Central if you need me. 90 00:03:23,691 --> 00:03:25,068 This must have been a bad vial. 91 00:03:25,151 --> 00:03:26,778 8 milligrams should have worked. 92 00:03:26,861 --> 00:03:28,321 According to your textbook of emergency medicine. 93 00:03:28,404 --> 00:03:29,614 But sometimes they need a little bit more. 94 00:03:29,697 --> 00:03:30,949 You'll learn that with time. 95 00:03:31,032 --> 00:03:32,158 Well, why couldn't I open the vial? 96 00:03:32,242 --> 00:03:33,952 Because you're an intern 97 00:03:34,035 --> 00:03:35,995 who also needs to learn to trust her senior resident, 98 00:03:36,079 --> 00:03:38,289 especially in front of an attending. 99 00:03:39,624 --> 00:03:41,668 Now check his labs, 100 00:03:41,751 --> 00:03:43,544 babysit him until he goes to CT, 101 00:03:43,628 --> 00:03:46,547 and get some blankets on these side rails 102 00:03:46,631 --> 00:03:48,299 as a seizure precaution. 103 00:03:56,391 --> 00:03:58,309 - Is this gonna hurt? - Oh, no. 104 00:03:58,393 --> 00:04:00,395 Skin's dead. You won't feel a thing. 105 00:04:00,478 --> 00:04:01,813 First time in Moab? 106 00:04:01,896 --> 00:04:03,147 No, no. 107 00:04:03,231 --> 00:04:06,192 I belong to a club, Gears and Beers. 108 00:04:06,276 --> 00:04:09,279 We started riding to Frick Park during the pandemic… 109 00:04:09,362 --> 00:04:11,656 you know, just something to do to get out of the house. 110 00:04:11,739 --> 00:04:15,618 But we all stuck with it, and now we go on biking trips. 111 00:04:21,624 --> 00:04:23,042 Help! Do something, man! 112 00:04:24,419 --> 00:04:25,712 Dude! 113 00:04:25,795 --> 00:04:27,338 I need a little help here! 114 00:04:27,422 --> 00:04:28,422 Jesus! 115 00:04:30,925 --> 00:04:32,427 Hey. What's up? 116 00:04:32,510 --> 00:04:34,637 Arterial pumper under a blood blister. 117 00:04:34,721 --> 00:04:36,222 Let's see. 118 00:04:36,306 --> 00:04:38,141 - Jesus! - Oh, God. 119 00:04:38,224 --> 00:04:39,642 Noob. 120 00:04:39,726 --> 00:04:41,728 Hi, I'm Dr. King. We can fix this. 121 00:04:41,811 --> 00:04:43,896 - Did you cut an artery? - No, no. 122 00:04:43,980 --> 00:04:45,773 I punctured the top of the blood blister, 123 00:04:45,857 --> 00:04:47,358 but there was an artery hiding under there. 124 00:04:47,442 --> 00:04:48,860 Hiding? 125 00:04:48,943 --> 00:04:50,695 Like you didn't know it was there? 126 00:04:50,778 --> 00:04:53,072 Don't you have to know basic anatomy to become a doctor? 127 00:04:53,156 --> 00:04:54,365 He's a student doctor. 128 00:04:54,449 --> 00:04:56,075 What the fuck? 129 00:04:56,159 --> 00:04:57,368 Student? 130 00:04:57,452 --> 00:04:58,911 Oh, hell, no. No, no, no. 131 00:04:58,995 --> 00:05:00,204 Can you help me? 132 00:05:00,288 --> 00:05:02,165 - Can you fix it? - Oh, absolutely. 133 00:05:02,248 --> 00:05:06,961 First, we are going to put this BP cuff on to stop the bleeding. 134 00:05:07,045 --> 00:05:08,212 A little forward. 135 00:05:08,296 --> 00:05:09,589 There we go. 136 00:05:12,925 --> 00:05:15,136 All right, you can let go. 137 00:05:15,219 --> 00:05:17,263 Yeah? 138 00:05:17,347 --> 00:05:19,557 - Thank God. - Oh, thank God. 139 00:05:19,640 --> 00:05:22,769 All right, Whitaker, 10 ccs of 1% lidocaine with epi. 140 00:05:22,852 --> 00:05:24,187 Yep. 141 00:05:24,270 --> 00:05:28,024 The shot is gonna numb the area and also constrict any blood vessels 142 00:05:28,107 --> 00:05:30,068 so that we can put a little stitch in there. 143 00:05:32,737 --> 00:05:34,572 What happened in here? 144 00:05:34,655 --> 00:05:38,534 Hidden laceration of an arteriole under the vesicle. 145 00:05:38,618 --> 00:05:40,870 Bleeding stopped at 180 on the BP cuff, 146 00:05:40,953 --> 00:05:43,081 and we are now injecting lidocaine with epi. 147 00:05:43,164 --> 00:05:44,624 Thank you, Dr. King. 148 00:05:44,707 --> 00:05:46,918 Let's set up a suture tray with 3-0 nylon. 149 00:05:47,001 --> 00:05:48,669 Okay. A pinprick and some burning… 150 00:05:48,753 --> 00:05:51,672 Doc, Doc, can you step in here, please? 151 00:05:51,756 --> 00:05:53,758 You got this, Whitaker. 152 00:05:56,344 --> 00:05:58,763 That ambulance chase is on live TV. 153 00:05:58,846 --> 00:06:00,598 - What channel? - Every channel. 154 00:06:00,681 --> 00:06:03,476 What do you think the over-under on clipped cars should be? 155 00:06:03,559 --> 00:06:04,685 15. 156 00:06:04,769 --> 00:06:06,270 Come on. 157 00:06:06,354 --> 00:06:08,231 Can I put it on the TVs in the waiting room? 158 00:06:08,314 --> 00:06:12,235 Fine by me. I just hope wherever it ends up, it's out of our catchment zone. 159 00:06:15,488 --> 00:06:17,156 Got a second? 160 00:06:17,240 --> 00:06:19,117 It's never a second, but shoot. 161 00:06:19,200 --> 00:06:21,619 I think there was an issue with a vial of lorazepam used 162 00:06:21,702 --> 00:06:23,413 on our last patient and it should be reported 163 00:06:23,496 --> 00:06:24,747 to the drug manufacturer. 164 00:06:24,831 --> 00:06:26,207 What kind of issue? 165 00:06:26,290 --> 00:06:30,461 The cap was really hard to take off, almost like it was super-sealed shut. 166 00:06:30,545 --> 00:06:32,046 I'm worried it could be a bigger issue. 167 00:06:32,130 --> 00:06:33,840 Like? 168 00:06:33,923 --> 00:06:37,802 Like maybe the temperature wasn't properly controlled during transportation 169 00:06:37,885 --> 00:06:40,179 and the seal on the vial melted shut, 170 00:06:40,263 --> 00:06:41,931 which could mean the medication is compromised. 171 00:06:42,014 --> 00:06:43,933 Any other vials affected? 172 00:06:45,351 --> 00:06:47,645 Just this one. 173 00:06:47,728 --> 00:06:49,147 Okay. 174 00:06:49,230 --> 00:06:50,815 Check the manufacturer's website, 175 00:06:50,898 --> 00:06:52,567 see if there's been a recall of the lot number. 176 00:06:52,650 --> 00:06:54,819 And what if this is the first irregular vial? 177 00:06:54,902 --> 00:06:57,905 Then hold on to the vial in case there are any other issues. 178 00:06:57,989 --> 00:06:59,782 Hey, look who's in the house! 179 00:06:59,866 --> 00:07:01,492 Hey. 180 00:07:01,576 --> 00:07:03,286 Jake the Snake! 181 00:07:03,369 --> 00:07:05,580 It's 11:00 a.m. Aren't you supposed to be in school? 182 00:07:05,663 --> 00:07:07,999 - Mom let me ditch for Pittfest. - How's your mama? 183 00:07:08,082 --> 00:07:10,418 Oh, she's restoring some house in Squirrel Hill, 184 00:07:10,501 --> 00:07:13,296 - so, you know, she's pretty busy. - That's cool. You looking for Robby? 185 00:07:13,379 --> 00:07:14,589 Yeah, he's got our festival passes. 186 00:07:14,672 --> 00:07:16,007 Oh, you going together? 187 00:07:16,090 --> 00:07:17,675 We were supposed to, but, you know, 188 00:07:17,758 --> 00:07:20,678 - I decided to go with a friend. - What's her name? 189 00:07:20,761 --> 00:07:22,263 - Leah. - Okay. Okay. 190 00:07:22,346 --> 00:07:23,931 - Okay, okay. - Don't hold out on us. 191 00:07:24,015 --> 00:07:28,102 We need details. Where'd you meet? How long have you been together? 192 00:07:28,186 --> 00:07:31,772 We met at junior lifeguards this summer, and we've been dating for two months. 193 00:07:31,856 --> 00:07:34,192 - Yeah, she's pretty great. - That's sweet. 194 00:07:34,275 --> 00:07:35,776 I'm happy for you, kiddo. 195 00:07:35,860 --> 00:07:38,446 I'm gonna go find Robby, let him know you're here. 196 00:07:38,529 --> 00:07:40,490 Hey. 197 00:07:40,573 --> 00:07:42,867 A little advice, man-to-man… 198 00:07:42,950 --> 00:07:45,077 always compliment her outfit, 199 00:07:45,161 --> 00:07:48,623 hold her hand in front of your friends, 200 00:07:48,706 --> 00:07:51,125 and always wrap it before you tap it. 201 00:07:51,209 --> 00:07:53,544 Okay. 202 00:07:53,628 --> 00:07:55,755 Slowly letting down the cuff pressure 203 00:07:55,838 --> 00:07:58,549 until we can identify the exact spot. 204 00:07:58,633 --> 00:08:00,176 Oh, I see it. I see it. 205 00:08:00,259 --> 00:08:01,511 Right there. 206 00:08:01,594 --> 00:08:03,095 Okay. 207 00:08:03,179 --> 00:08:04,889 Now you can place a figure-of-eight suture. 208 00:08:04,972 --> 00:08:06,724 I've never done one of those before. 209 00:08:08,851 --> 00:08:10,269 Look, maybe you should just do it. 210 00:08:10,353 --> 00:08:11,896 You should definitely do it. 211 00:08:11,979 --> 00:08:13,356 Whitaker's got this. 212 00:08:13,439 --> 00:08:15,316 It's easy, just two stitches in one. 213 00:08:15,399 --> 00:08:17,652 Take a big bite, a simple interrupted suture 214 00:08:17,735 --> 00:08:18,903 anterior to the bleeder. 215 00:08:18,986 --> 00:08:20,363 Okay. 216 00:08:22,865 --> 00:08:24,242 Okay. 217 00:08:29,747 --> 00:08:33,084 Now instead of tying, throw another one posterior. 218 00:08:35,211 --> 00:08:36,504 Looks good. 219 00:08:36,587 --> 00:08:38,172 Now a normal tie for a figure-of-eight. 220 00:08:38,256 --> 00:08:40,508 What did I miss in here? 221 00:08:40,591 --> 00:08:42,260 I am so sorry. I just… 222 00:08:42,343 --> 00:08:44,512 Made an excellent catch and saved Mr. Chazen's life. 223 00:08:44,595 --> 00:08:46,138 - Really? - Really? 224 00:08:46,222 --> 00:08:47,390 Really? 225 00:08:47,473 --> 00:08:50,476 There was a cut arteriole under a ballotable vesicle. 226 00:08:50,560 --> 00:08:52,436 If Mr. Chazen had gone home without debridement, 227 00:08:52,520 --> 00:08:55,273 the blister could have eroded with uncontrollable hemorrhage. 228 00:08:55,356 --> 00:08:57,233 Nice work. 229 00:08:57,316 --> 00:09:00,528 Jackson Pollock here might want to go hit the scrubs exchange. 230 00:09:00,611 --> 00:09:02,154 Yeah. 231 00:09:15,710 --> 00:09:17,128 All right. 232 00:09:17,211 --> 00:09:19,839 Next up is an ingrown toenail. 233 00:09:19,922 --> 00:09:21,591 It should be pretty quick, though. 234 00:09:21,674 --> 00:09:22,717 And… 235 00:09:24,385 --> 00:09:26,220 Sherry, you're back. 236 00:09:26,304 --> 00:09:27,763 The kids get to school okay? 237 00:09:27,847 --> 00:09:29,473 - Yeah. Thanks. - Hey, cool. 238 00:09:29,557 --> 00:09:31,017 Well, come with me, 239 00:09:31,100 --> 00:09:32,685 and we'll finish up your wound care, okay? 240 00:09:32,768 --> 00:09:34,729 Earl, what are you doing out here? 241 00:09:34,812 --> 00:09:36,439 I'm hungry. 242 00:09:36,522 --> 00:09:37,815 Head back inside, and we'll get you a sandwich. 243 00:09:37,898 --> 00:09:40,276 - No egg salad. - Sure. Come on. 244 00:09:40,359 --> 00:09:41,819 Excuse me. Excuse me. 245 00:09:41,902 --> 00:09:44,947 I've been here for over five hours, okay, way longer than that chick. 246 00:09:45,031 --> 00:09:46,741 Can you check the list? Driscoll? 247 00:09:46,824 --> 00:09:48,492 Doug Driscoll. 248 00:09:50,286 --> 00:09:54,373 Everybody is seen as quickly as possible and in order of medical care needed. 249 00:09:54,457 --> 00:09:55,791 Unless they die waiting. 250 00:09:55,875 --> 00:09:57,209 Would you look at that, Mr. Driscoll? 251 00:09:57,293 --> 00:09:58,419 It's actually time to bring you back. 252 00:09:58,502 --> 00:09:59,795 Thank God. 253 00:09:59,879 --> 00:10:01,130 Would you take care of Mr. Driscoll? 254 00:10:01,213 --> 00:10:02,923 Yeah, absolutely. 255 00:10:03,007 --> 00:10:04,550 Sherry, you're with me. 256 00:10:05,551 --> 00:10:07,094 Oh, yeah. 257 00:10:07,178 --> 00:10:08,971 Yeah, let's take care of this. 258 00:10:15,353 --> 00:10:17,104 Hey, I need a minute. 259 00:10:17,188 --> 00:10:20,191 I already put $20 on disgruntled ex-EMT 260 00:10:20,274 --> 00:10:22,109 caught outside of our catchment. 261 00:10:22,193 --> 00:10:24,570 And I will gladly take your money when that mess is over, 262 00:10:24,654 --> 00:10:26,405 but this is about a patient. 263 00:10:26,489 --> 00:10:28,741 Kristi Wheeler, 17 years old, pregnant. 264 00:10:28,824 --> 00:10:31,160 These are Abbot's fetal measurements from yesterday, 265 00:10:31,243 --> 00:10:33,788 and these are mine. 266 00:10:33,871 --> 00:10:35,790 10-5 and 11-2. 267 00:10:35,873 --> 00:10:38,376 Well, ultrasound is an art, not a science. 268 00:10:38,459 --> 00:10:40,878 Even in the very best hands, the EGA differential can be 269 00:10:40,961 --> 00:10:42,838 within three to five days in the first trimester. 270 00:10:42,922 --> 00:10:44,382 Definitely room for error. 271 00:10:44,465 --> 00:10:45,966 Not if you're here for a medication abortion 272 00:10:46,050 --> 00:10:49,095 and you're past the mandated 11-week cutoff. 273 00:10:49,178 --> 00:10:51,889 There can also be inter-operator variability. 274 00:10:51,972 --> 00:10:54,058 I measured the gestational sac, 11-3, 275 00:10:54,141 --> 00:10:56,519 and the biparietal diameter, 11-1. 276 00:10:56,602 --> 00:10:58,729 I didn't get a single measurement under 11 weeks. 277 00:10:58,813 --> 00:11:00,439 So what are you saying, 278 00:11:00,523 --> 00:11:02,400 that Abbot lowballed his measurements to help a teen 279 00:11:02,483 --> 00:11:04,402 get the abortion that she wants? 280 00:11:06,195 --> 00:11:07,405 Maybe. 281 00:11:07,488 --> 00:11:08,864 Well, then you've got two choices. 282 00:11:08,948 --> 00:11:12,118 You can go with Abbot's measurements, or you can redo your measurements, 283 00:11:12,201 --> 00:11:14,662 go back in, and pick an angle that shows 11 weeks or less. 284 00:11:14,745 --> 00:11:16,080 Please tell me you're joking. 285 00:11:16,163 --> 00:11:17,873 You were ready to roll up your sleeves 286 00:11:17,957 --> 00:11:19,375 and arm-wrestle the Ethics Committee a couple hours ago 287 00:11:19,458 --> 00:11:21,001 to override Mr. Spencer's children. 288 00:11:21,085 --> 00:11:23,587 - What changed? - Apples and oranges. 289 00:11:23,671 --> 00:11:25,589 There was a clear, bright line that Mr. Spencer 290 00:11:25,673 --> 00:11:27,466 was never going to make it. 291 00:11:27,550 --> 00:11:30,386 Falsifying medical records for Kristi is flat-out illegal. 292 00:11:30,469 --> 00:11:32,638 She's 17. She deserves a life. 293 00:11:32,722 --> 00:11:34,306 Of course she does. 294 00:11:34,390 --> 00:11:37,143 But I will not jeopardize my future in the process. 295 00:11:37,226 --> 00:11:39,019 You'll be fine. 296 00:11:39,103 --> 00:11:42,440 Someone finds out I falsified medical records, 297 00:11:42,523 --> 00:11:44,358 I'll get booted from the residency program. 298 00:11:44,442 --> 00:11:46,026 You've got tenure. 299 00:11:46,110 --> 00:11:49,905 Worst case, you have to take a job in Youngstown. 300 00:11:49,989 --> 00:11:53,701 The risks are not the same for you as they are for me. 301 00:11:56,787 --> 00:11:58,205 You're right. 302 00:11:58,289 --> 00:12:00,583 - I'll do it. - What? 303 00:12:00,666 --> 00:12:03,210 Erase your history, physical, and impression from Kristi's chart. 304 00:12:03,294 --> 00:12:04,420 It'll be like you never saw the patient. 305 00:12:04,503 --> 00:12:06,088 I will take over. 306 00:12:06,172 --> 00:12:07,673 I will complete a new chart and upload my own image. 307 00:12:07,757 --> 00:12:09,216 Robby, I'm not asking you to… 308 00:12:09,300 --> 00:12:10,634 As your attending, it is my decision. 309 00:12:10,718 --> 00:12:12,219 I am a certified provider for Mifepristone. 310 00:12:12,303 --> 00:12:13,721 You are not. 311 00:12:13,804 --> 00:12:15,431 And as a prudent physician, I should examine 312 00:12:15,514 --> 00:12:16,640 every patient before I order medication… 313 00:12:16,724 --> 00:12:18,142 - Robby. - Yeah. 314 00:12:18,225 --> 00:12:20,394 - Jake's here. - Hey. Great. 315 00:12:20,478 --> 00:12:22,021 Any word back on Nick Bradley's 316 00:12:22,104 --> 00:12:23,647 - perfusion study results? - Still waiting. 317 00:12:23,731 --> 00:12:25,191 Will you come find me when the imaging's back? 318 00:12:25,274 --> 00:12:27,985 These people have already been through enough. 319 00:12:28,068 --> 00:12:30,863 - Is that Mr. Spencer? - Yeah. 320 00:12:30,946 --> 00:12:33,365 - Robby? - Excuse me for one second. 321 00:12:33,449 --> 00:12:34,950 I want to go see if I can find Mr. Spencer's children 322 00:12:35,034 --> 00:12:36,327 before they leave. 323 00:12:36,410 --> 00:12:38,245 You look a little peaked. You okay? 324 00:12:38,329 --> 00:12:40,206 I just need a good night's sleep. 325 00:12:40,289 --> 00:12:41,916 I'm gonna grab you a grilled cheese 326 00:12:41,999 --> 00:12:43,250 before the noon lunch rush; it'll help some color 327 00:12:43,334 --> 00:12:45,002 - back to your cheeks. - Thank you. 328 00:12:45,085 --> 00:12:46,337 I got you. 329 00:12:48,714 --> 00:12:50,466 Can someone please help? 330 00:12:50,549 --> 00:12:51,717 It's my mother. 331 00:12:51,801 --> 00:12:52,927 She fell. 332 00:12:53,010 --> 00:12:54,386 What happened? 333 00:12:54,470 --> 00:12:55,763 I fell in the yard. 334 00:12:55,846 --> 00:12:58,432 I hurt my arm. That's all. 335 00:12:58,516 --> 00:13:00,226 We've been hugging this wall for almost an hour. 336 00:13:00,309 --> 00:13:01,894 Relax. We're just gonna take her vitals. 337 00:13:01,977 --> 00:13:03,479 Oh, Mom, you've got cuts all over. 338 00:13:03,562 --> 00:13:05,523 I fell in the rose bush. 339 00:13:05,606 --> 00:13:07,566 I'll be fine. 340 00:13:10,736 --> 00:13:13,030 I'm Dr. King. This is Perlah. 341 00:13:13,113 --> 00:13:15,157 - What's your name? - Ginger Kitajima. 342 00:13:15,741 --> 00:13:17,243 I'm her daughter, Rita. 343 00:13:17,326 --> 00:13:18,828 Ginger, did you hit your head? 344 00:13:18,911 --> 00:13:20,162 No. 345 00:13:20,246 --> 00:13:21,831 Any chance she could have fainted? 346 00:13:21,914 --> 00:13:24,333 - I told you. I tripped. - I don't know. 347 00:13:24,416 --> 00:13:26,293 I was taking a shower, and she went outside. 348 00:13:26,377 --> 00:13:29,255 She's not supposed to go outside anywhere without me. 349 00:13:29,338 --> 00:13:31,382 She needs 24-7 assistance with ADLs. 350 00:13:31,465 --> 00:13:32,758 Are you the primary caregiver? 351 00:13:32,842 --> 00:13:34,969 I'm her only caregiver. 352 00:13:35,052 --> 00:13:37,763 Ma'am, what medications are you on? 353 00:13:37,847 --> 00:13:40,432 Oh, just one. 354 00:13:40,516 --> 00:13:42,142 Risperidone. 355 00:13:42,226 --> 00:13:43,894 My mom has schizophrenia. 356 00:13:43,978 --> 00:13:46,272 BP 132 over 78. 357 00:13:46,355 --> 00:13:47,857 Pulse 84. Sats 98. 358 00:13:47,940 --> 00:13:49,483 I haven't seen this young lady around before. 359 00:13:49,567 --> 00:13:50,901 Somebody new? 360 00:13:50,985 --> 00:13:52,778 Flattery will get you everywhere. 361 00:13:52,862 --> 00:13:55,072 Ground-level fall. Good vitals. 362 00:13:55,155 --> 00:13:56,532 No head trauma, no AMS, 363 00:13:56,615 --> 00:13:58,242 and just an isolated shoulder injury. 364 00:13:58,325 --> 00:13:59,785 You have any pain in your belly? 365 00:13:59,869 --> 00:14:01,328 No, but next time, 366 00:14:01,412 --> 00:14:03,163 buy me dinner before you do that. 367 00:14:04,623 --> 00:14:06,917 Okay, let's order some basic labs 368 00:14:07,001 --> 00:14:09,128 and get some pain meds on board. 369 00:14:09,211 --> 00:14:10,504 And call me when the X-rays are back. 370 00:14:10,588 --> 00:14:12,006 Your mom's in very good hands. 371 00:14:12,089 --> 00:14:13,299 You're leaving so soon? 372 00:14:13,382 --> 00:14:15,050 Oh, I'm never far away. 373 00:14:15,134 --> 00:14:16,635 I'll save a dance for you. 374 00:14:16,719 --> 00:14:18,679 I'll be counting on it. 375 00:14:18,762 --> 00:14:20,848 Looks like more than just vitals to me. 376 00:14:20,931 --> 00:14:22,766 That's it. You're on the list, Harley. 377 00:14:22,850 --> 00:14:24,602 Aw, shit. No. 378 00:14:24,685 --> 00:14:26,186 Perlah, I'm sorry! 379 00:14:26,270 --> 00:14:27,479 - I take it back! - Too late! 380 00:14:27,563 --> 00:14:29,023 You're on the list. 381 00:14:44,496 --> 00:14:45,831 Okay. 382 00:14:50,586 --> 00:14:51,629 What? 383 00:14:57,760 --> 00:15:01,013 I like big butts, and I cannot lie. 384 00:15:02,348 --> 00:15:03,724 You scared me there. 385 00:15:03,807 --> 00:15:05,517 Want a pony ride, big boy? 386 00:15:05,601 --> 00:15:07,394 - What? - Excuse me, Myrna. 387 00:15:07,478 --> 00:15:08,938 I need to discuss a confidential patient issue 388 00:15:09,021 --> 00:15:10,147 with my colleague here. 389 00:15:10,230 --> 00:15:11,482 We need a little privacy. 390 00:15:11,565 --> 00:15:13,067 Catch you later, sweet cheeks. 391 00:15:13,150 --> 00:15:14,818 Don't mind Myrna. She's harmless. 392 00:15:14,902 --> 00:15:16,028 She's handcuffed. 393 00:15:16,111 --> 00:15:17,863 That's why she's harmless. 394 00:15:21,700 --> 00:15:24,662 You gotta stay on top of Ozzie's ear infection. 395 00:15:24,745 --> 00:15:26,497 His meds are in the fridge. 396 00:15:26,580 --> 00:15:28,666 Our dog has really bad allergies. 397 00:15:29,667 --> 00:15:32,086 And I changed Ruby's food order to Monday. 398 00:15:33,087 --> 00:15:35,631 Bougie bitch. She only likes the good stuff. 399 00:15:35,714 --> 00:15:37,257 Like mother, like daughter. 400 00:15:42,429 --> 00:15:44,431 Nice to know you still make each other laugh. 401 00:15:44,515 --> 00:15:45,933 Make each other laugh. 402 00:15:46,016 --> 00:15:48,018 Make each other deliriously happy. 403 00:15:53,482 --> 00:15:56,443 Sorry. Didn't mean to get all mushy in front of you. 404 00:15:56,527 --> 00:15:57,653 Are you kidding me? 405 00:15:57,736 --> 00:15:59,613 You two are the sweetest. 406 00:15:59,697 --> 00:16:02,491 I never got to see this kind of love between a married couple. 407 00:16:02,574 --> 00:16:05,244 Your parents weren't the lovey-dovey type? 408 00:16:05,327 --> 00:16:07,246 My dad died when I was 13. 409 00:16:08,414 --> 00:16:09,623 I'm so sorry. 410 00:16:09,707 --> 00:16:11,125 Yeah, me too. 411 00:16:11,208 --> 00:16:13,502 He's the reason why I got into medicine 412 00:16:13,585 --> 00:16:15,713 and the reason why I'm conducting research 413 00:16:15,796 --> 00:16:17,589 on racial disparity in the ER. 414 00:16:17,673 --> 00:16:19,174 I'm doing a retrospective chart review 415 00:16:19,258 --> 00:16:21,510 on our past five years of patients of color. 416 00:16:21,593 --> 00:16:24,263 Is that how you knew what was going on with me? 417 00:16:24,346 --> 00:16:27,599 We don't treat sickle cell here as well as they do in other hospitals, 418 00:16:27,683 --> 00:16:29,351 but I'm hoping to change that. 419 00:16:29,435 --> 00:16:31,270 Status, Dr. Mohan? 420 00:16:31,353 --> 00:16:33,689 Still on exchange transfusion and high flow nasal oxygen, 421 00:16:33,772 --> 00:16:35,024 but oxygen sats are dropping. 422 00:16:35,107 --> 00:16:36,442 She's at 84. 423 00:16:36,525 --> 00:16:38,652 - That's really low. - Yes, it is. 424 00:16:38,736 --> 00:16:40,863 The goal of exchange transfusion is 425 00:16:40,946 --> 00:16:44,033 to reduce the percentage of sickle hemoglobin to under 30%. 426 00:16:44,116 --> 00:16:46,243 That is not happening at the rate that your wife needs, 427 00:16:46,326 --> 00:16:48,579 which is causing your blood to be unable to carry oxygen, 428 00:16:48,662 --> 00:16:49,997 causing further blocked blood cells. 429 00:16:50,080 --> 00:16:52,916 - What does that mean? - Dr. Mohan. 430 00:16:53,000 --> 00:16:55,210 To prevent stroke or heart attack, 431 00:16:55,294 --> 00:17:00,215 we need to get you more oxygen, but we will need to intubate. 432 00:17:02,926 --> 00:17:05,387 How long can we wait to see if that's really necessary? 433 00:17:05,471 --> 00:17:07,848 Acute chest syndrome can progress very quickly. 434 00:17:07,931 --> 00:17:09,516 It is the most common cause of death 435 00:17:09,600 --> 00:17:10,893 for patients with sickle cell. 436 00:17:10,976 --> 00:17:14,021 It is imperative that we intubate. 437 00:17:14,104 --> 00:17:15,189 I… 438 00:17:16,982 --> 00:17:18,567 I don't know. 439 00:17:18,650 --> 00:17:22,696 Why don't we give you and Ondine some privacy so you can talk? 440 00:17:27,701 --> 00:17:29,203 Look, you want to be their friend, but right now, 441 00:17:29,286 --> 00:17:30,537 you need to be Joyce's doctor. 442 00:17:30,621 --> 00:17:33,415 So get her to sign the consent form and prep for the intubation. 443 00:17:36,668 --> 00:17:39,713 43, 44, 45, 444 00:17:39,797 --> 00:17:42,716 46, 47. 445 00:17:42,800 --> 00:17:44,593 You're not gonna beat my record. 446 00:17:45,803 --> 00:17:47,679 How the hell did you stay on for 80? 447 00:17:47,763 --> 00:17:50,307 I'm 17, and I'm more fit than you. 448 00:17:53,060 --> 00:17:54,728 That kid looks my age. 449 00:17:54,812 --> 00:17:56,313 Yeah, he is. 450 00:17:56,396 --> 00:17:58,482 What happened to him? 451 00:17:58,565 --> 00:18:00,818 Stressed-out 18-year-old took some pills off the internet 452 00:18:00,901 --> 00:18:02,402 to help him sleep. 453 00:18:02,486 --> 00:18:04,863 They were laced with fentanyl. 454 00:18:04,947 --> 00:18:07,241 Is he gonna make it? 455 00:18:17,417 --> 00:18:18,919 Poor Huckleberry. 456 00:18:19,002 --> 00:18:22,131 Not even 11:30 and you've already been demoted. 457 00:18:22,214 --> 00:18:24,424 They had only morgue scrubs left in my size. 458 00:18:24,508 --> 00:18:25,759 Then I guess you better not 459 00:18:25,843 --> 00:18:27,553 fuck anything else up today, huh? 460 00:18:33,642 --> 00:18:34,768 Donahue. 461 00:18:34,852 --> 00:18:36,728 You get in on that ambulance-chase action? 462 00:18:36,812 --> 00:18:40,023 Yeah, $20 on catch, chop shop, out of our zone. 463 00:18:40,107 --> 00:18:41,567 Bold. 464 00:18:41,650 --> 00:18:43,485 I like it. 465 00:18:43,569 --> 00:18:46,196 What can I do you for? 466 00:18:46,280 --> 00:18:48,115 Hypothetical question… 467 00:18:48,198 --> 00:18:52,578 would you ever go over a resident's head to the attending? 468 00:18:52,661 --> 00:18:54,997 Hypothetically, I wouldn't recommend it 469 00:18:55,080 --> 00:18:57,457 unless it's a behavioral issue or harassment. 470 00:18:57,541 --> 00:19:00,460 And in that case, you can make a confidential report to HR. 471 00:19:00,544 --> 00:19:02,546 What if it's more patient care related? 472 00:19:02,629 --> 00:19:03,964 Depends. 473 00:19:04,047 --> 00:19:05,549 If it's something minor, leave it alone. 474 00:19:05,632 --> 00:19:07,718 If it's something that endangers the patient, 475 00:19:07,801 --> 00:19:09,553 then definitely yes. 476 00:19:09,636 --> 00:19:11,180 Pick your battles. 477 00:19:11,263 --> 00:19:13,390 You don't want to be the intern who cried wolf. 478 00:19:16,393 --> 00:19:19,229 - Yeah? Okay, still pretty raw. - Yeah. 479 00:19:19,313 --> 00:19:22,608 Let me put some more anesthetic on there, numb you up some more. 480 00:19:22,691 --> 00:19:24,860 It's my own fault. 481 00:19:24,943 --> 00:19:28,822 I should have known better than to try to make s'mores over a Sterno, 482 00:19:28,906 --> 00:19:30,782 but they kept asking. 483 00:19:30,866 --> 00:19:32,951 Yeah. The things we do for our kids. 484 00:19:33,035 --> 00:19:34,244 Yeah. 485 00:19:34,328 --> 00:19:36,121 - You have a kid, right? - Yeah. 486 00:19:36,205 --> 00:19:39,249 He's 11. 487 00:19:39,333 --> 00:19:41,251 And when he turned 8, 488 00:19:41,335 --> 00:19:43,212 he begged me to go camping for his birthday. 489 00:19:44,838 --> 00:19:47,799 We drove four hours to New River Gorge. 490 00:19:47,883 --> 00:19:51,094 Took me an hour to set up the tent. 491 00:19:51,178 --> 00:19:53,680 Guess how long we lasted. 492 00:19:53,764 --> 00:19:55,515 Three hours? 493 00:19:55,599 --> 00:19:57,517 37 minutes. 494 00:19:57,601 --> 00:19:58,977 A thunderstorm came out of nowhere, 495 00:19:59,061 --> 00:20:00,604 filled the tent with water so fast, 496 00:20:00,687 --> 00:20:03,273 I felt like I was being flushed down a toilet. 497 00:20:03,357 --> 00:20:05,567 I'm so sorry. 498 00:20:05,651 --> 00:20:08,612 Ran out of there like a couple of gutter rats. 499 00:20:08,695 --> 00:20:11,865 Ended up celebrating his birthday at 2:00 a.m. with a Happy Meal. 500 00:20:11,949 --> 00:20:14,451 Oh, what my kids wouldn't give for a Happy Meal. 501 00:20:17,120 --> 00:20:21,625 Yeah, they must have some pretty fancy McDonald's 502 00:20:21,708 --> 00:20:24,211 up there in Shadyside. 503 00:20:24,294 --> 00:20:25,379 Yeah. 504 00:20:26,171 --> 00:20:28,006 That's where you live? 505 00:20:28,090 --> 00:20:30,175 It's the address on your patient file. 506 00:20:31,551 --> 00:20:34,054 Technically, no. 507 00:20:34,137 --> 00:20:38,517 I just use the address so my kids can go to a decent school. 508 00:20:38,600 --> 00:20:40,060 Right. 509 00:20:40,143 --> 00:20:41,770 I know it's illegal, but it's just temporary. 510 00:20:41,853 --> 00:20:42,938 - Oh, God. - I promise. 511 00:20:43,021 --> 00:20:44,773 No judgment here. 512 00:20:44,856 --> 00:20:46,566 My son always comes first, no matter what. 513 00:20:46,650 --> 00:20:48,068 Yeah. 514 00:20:48,151 --> 00:20:50,028 Even If it means I have to do without. 515 00:20:54,449 --> 00:20:56,201 I know, I'm a doctor, right? 516 00:20:56,285 --> 00:20:58,745 How bad could it be? 517 00:20:58,829 --> 00:21:01,915 But I used to be an addict. 518 00:21:01,999 --> 00:21:03,959 I even lost custody of my kid. 519 00:21:06,211 --> 00:21:08,130 I never would have guessed. 520 00:21:08,213 --> 00:21:09,840 Yeah. 521 00:21:09,923 --> 00:21:13,844 I went through some really dark times before I finally got help. 522 00:21:13,927 --> 00:21:16,013 And I've been sober now 9 years, 523 00:21:16,096 --> 00:21:18,640 5 months, and 11 days. 524 00:21:19,933 --> 00:21:21,518 And your son? 525 00:21:21,601 --> 00:21:22,853 He's good. 526 00:21:22,936 --> 00:21:25,814 - Okay. - You know, we're good. 527 00:21:25,897 --> 00:21:27,941 He gets to stay with me every other weekend. 528 00:21:28,025 --> 00:21:29,860 And… 529 00:21:32,112 --> 00:21:34,573 We'll be back to joint custody 530 00:21:34,656 --> 00:21:38,410 just as soon as I get this stupid thing off next week. 531 00:21:44,541 --> 00:21:47,085 Don't worry. I only killed three people. 532 00:21:47,169 --> 00:21:49,171 Oh, God, I'm kidding. 533 00:21:49,254 --> 00:21:51,840 I'm kidding. I'm sorry. It was a bad joke. 534 00:21:54,343 --> 00:21:57,929 The whole thing was just this… 535 00:21:58,013 --> 00:22:00,057 giant misunderstanding. 536 00:22:03,769 --> 00:22:07,439 I guess I'm oversharing because I want you to know, 537 00:22:07,522 --> 00:22:10,484 not everybody has it all figured out all the time. 538 00:22:11,485 --> 00:22:12,569 Yeah. 539 00:22:20,285 --> 00:22:22,204 I'm struggling. 540 00:22:23,789 --> 00:22:26,208 And I feel like such a bad mom. 541 00:22:29,503 --> 00:22:32,297 And every day is so hard. 542 00:22:33,840 --> 00:22:37,677 And I don't know what's gonna happen tomorrow or the next day. 543 00:22:41,098 --> 00:22:45,268 Sometimes I wonder if they would just be better off without me. 544 00:22:48,814 --> 00:22:50,440 Yeah? 545 00:22:50,524 --> 00:22:52,067 Do you… 546 00:22:52,150 --> 00:22:53,902 Not like that. I just… 547 00:22:55,153 --> 00:22:56,863 I've just messed up so much. 548 00:22:56,947 --> 00:22:59,241 - Yeah. - And I don't know. 549 00:23:05,205 --> 00:23:07,624 You're their mom. 550 00:23:07,707 --> 00:23:10,752 You love them, and nothing and no one can replace that. 551 00:23:10,836 --> 00:23:12,129 Yeah. 552 00:23:15,132 --> 00:23:18,969 You deserve a little grace, you know. 553 00:23:19,052 --> 00:23:21,388 Be kind to yourself. 554 00:23:24,683 --> 00:23:27,269 Well, you had a normal EKG and chest X-ray. 555 00:23:27,352 --> 00:23:30,439 But it looks like you sustained 556 00:23:30,522 --> 00:23:34,609 a proximal humerus fracture on the left upper arm. 557 00:23:34,693 --> 00:23:37,696 There goes my backhand. 558 00:23:39,698 --> 00:23:41,324 That was a joke, dear. 559 00:23:41,408 --> 00:23:44,578 Okay, because the fracture isn't displaced, 560 00:23:44,661 --> 00:23:46,872 the good news is, you don't need surgery. 561 00:23:46,955 --> 00:23:49,332 Oh, that's a relief. 562 00:23:49,416 --> 00:23:51,751 The bad news is, you do need to wear a sling 563 00:23:51,835 --> 00:23:53,795 for at least six weeks. 564 00:23:53,879 --> 00:23:56,590 And I have to insist, absolutely no shoulder mobility 565 00:23:56,673 --> 00:23:58,383 for the first few weeks. 566 00:23:58,467 --> 00:24:01,136 And that means you're gonna have to step up even more, 567 00:24:01,219 --> 00:24:03,013 because on top of your usual ADLs, 568 00:24:03,096 --> 00:24:05,015 you're also gonna have to help your mom bathe, 569 00:24:05,098 --> 00:24:07,642 dress, and use the toilet. 570 00:24:07,726 --> 00:24:09,603 I'm so sorry, Mom. 571 00:24:09,686 --> 00:24:12,606 This would never have happened if I was more on top of things. 572 00:24:12,689 --> 00:24:17,402 Any more on top, you'd be back in my womb. 573 00:24:17,486 --> 00:24:20,405 It's going to be fine. 574 00:24:20,489 --> 00:24:23,033 I know how hard it can be. 575 00:24:23,116 --> 00:24:24,868 I was my sister's primary caregiver 576 00:24:24,951 --> 00:24:27,245 until a few weeks ago. 577 00:24:27,329 --> 00:24:29,331 Where is she now? 578 00:24:29,414 --> 00:24:31,541 She's in an amazing facility in North Hills. 579 00:24:34,544 --> 00:24:37,297 I know I can be a burden, 580 00:24:37,380 --> 00:24:41,134 but I like being in my own home, 581 00:24:41,218 --> 00:24:43,929 just me and my girl. 582 00:24:44,012 --> 00:24:46,139 You're not a burden. 583 00:24:46,223 --> 00:24:48,475 You're my mom. 584 00:24:48,558 --> 00:24:50,560 I'll refer you to Ortho. 585 00:24:50,644 --> 00:24:54,189 They'll get you set up with PT and exercises. 586 00:24:54,272 --> 00:24:57,442 You're very lucky to have such a caring daughter. 587 00:24:57,526 --> 00:24:59,945 Don't I know it. 588 00:25:00,028 --> 00:25:02,572 Park a red Subaru in the ambulance bay? 589 00:25:02,656 --> 00:25:03,823 Yes, that's me. 590 00:25:03,907 --> 00:25:06,284 Gonna need to move that to open the space for ambulances. 591 00:25:06,368 --> 00:25:07,369 I'm so sorry. 592 00:25:07,452 --> 00:25:08,870 Okay. 593 00:25:08,954 --> 00:25:12,040 I'll walk Rita out. Perlah, would you stay with Ginger for a minute? 594 00:25:12,123 --> 00:25:13,875 - I'll be right back. - Yeah, no problem. 595 00:25:13,959 --> 00:25:15,585 Okay. After you. 596 00:25:19,589 --> 00:25:23,593 Look, I put your mom's prescription in at the pharmacy, 597 00:25:23,677 --> 00:25:28,557 and by the time you get back from parking, she should be ready to be discharged. 598 00:25:28,640 --> 00:25:31,142 Just don't worry. 599 00:25:31,226 --> 00:25:34,437 Things will be back to normal in a few weeks. 600 00:25:36,231 --> 00:25:38,650 I'm not sure what normal is anymore. 601 00:25:38,733 --> 00:25:41,194 I can't even remember the last time I slept through the night. 602 00:25:41,278 --> 00:25:43,196 It's just… 603 00:25:43,280 --> 00:25:44,406 It's a lot. 604 00:25:46,700 --> 00:25:48,618 Do you have any support at home? 605 00:25:49,494 --> 00:25:50,870 I wish. 606 00:25:50,954 --> 00:25:52,289 It's just us. 607 00:25:53,290 --> 00:25:55,959 You know, I hired a part-time aide for my sister 608 00:25:56,042 --> 00:25:57,377 to cover me when I was at work. 609 00:25:57,460 --> 00:26:00,213 It was really helpful. 610 00:26:00,297 --> 00:26:02,132 It's out of our price range. 611 00:26:02,215 --> 00:26:03,717 I mean, I already work from home. 612 00:26:03,800 --> 00:26:05,760 And then there's the cooking and the cleaning 613 00:26:05,844 --> 00:26:08,179 and the doctor's appointments. 614 00:26:08,263 --> 00:26:10,307 It never ends. 615 00:26:10,390 --> 00:26:14,185 You know, caretaker's fatigue is a real thing. 616 00:26:14,269 --> 00:26:15,937 You have to take care of yourself. 617 00:26:16,021 --> 00:26:18,773 Otherwise, you're gonna end up in here, too. 618 00:26:25,989 --> 00:26:28,283 I still don't understand why Kristi needs 619 00:26:28,366 --> 00:26:30,827 to go through this a third time with a third doctor. 620 00:26:30,910 --> 00:26:32,287 Yeah, that's our bad. 621 00:26:32,370 --> 00:26:34,956 Our computerized medical records have been glitching lately, 622 00:26:35,040 --> 00:26:38,084 and Dr. Collins' image didn't upload properly. 623 00:26:38,168 --> 00:26:40,670 Okay, crown to rump…that's top of the head to the bottom of the butt… 624 00:26:40,754 --> 00:26:44,591 is how you measure gestational age, and we are at 10 weeks and 6 days. 625 00:26:45,759 --> 00:26:47,510 I made it by one day? 626 00:26:47,594 --> 00:26:49,012 I will order the medication. 627 00:26:49,095 --> 00:26:50,889 Dr. Collins will go over instructions 628 00:26:50,972 --> 00:26:53,016 on taking the pills when they come back from the pharmacy. 629 00:26:53,099 --> 00:26:54,517 Thank you so much, Dr. Robby. 630 00:26:54,601 --> 00:26:56,269 Oh, I'm glad I could help. 631 00:26:56,353 --> 00:26:59,105 Even more glad to see you have such a supportive mom. 632 00:26:59,189 --> 00:27:01,066 Okay, take care. 633 00:27:06,863 --> 00:27:08,740 Appreciate you stepping up. 634 00:27:08,823 --> 00:27:10,450 All good. I got you. 635 00:27:12,327 --> 00:27:14,537 Robby, I have Emma Isaacs on line 3 for you. 636 00:27:14,621 --> 00:27:16,039 She's the organ donation counselor coming 637 00:27:16,122 --> 00:27:17,707 - to speak to Nick's parents. - Thank you. 638 00:27:17,791 --> 00:27:19,250 What was that all about? 639 00:27:19,334 --> 00:27:20,877 - Oh, nothing. - Didn't look like nothing. 640 00:27:20,960 --> 00:27:22,212 - Please. - What? 641 00:27:22,295 --> 00:27:23,672 You two were once a thing. 642 00:27:23,755 --> 00:27:26,299 We dated briefly a million years ago. 643 00:27:26,383 --> 00:27:28,426 - Never again. - Never say never. 644 00:27:28,510 --> 00:27:30,345 Settle down, Jane Austen. 645 00:27:30,428 --> 00:27:32,389 The lady doth protest too much. 646 00:27:35,725 --> 00:27:37,519 Jake! 647 00:27:37,602 --> 00:27:39,729 There he is… the man, the myth, the legend. 648 00:27:39,813 --> 00:27:41,356 And there's the kid who stole my concert pass 649 00:27:41,439 --> 00:27:42,816 and gave it to a girl. 650 00:27:42,899 --> 00:27:43,885 Where is she? Do I get to meet her? 651 00:27:43,900 --> 00:27:45,068 Need an assist! 652 00:27:45,151 --> 00:27:46,611 - Hold that thought. - Okay. 653 00:27:46,695 --> 00:27:48,029 Travis Johnson, 17, had a tonsillectomy 654 00:27:48,113 --> 00:27:49,531 ten days ago at St. Michael's. 655 00:27:49,614 --> 00:27:51,241 Started spitting blood about an hour ago. 656 00:27:51,324 --> 00:27:53,368 - Good vitals. - Hey, Travis. I'm Dr. Robby. 657 00:27:53,451 --> 00:27:54,994 - How much blood? - Couple mouthfuls. 658 00:27:55,078 --> 00:27:56,204 Can you open up for me? 659 00:27:58,915 --> 00:28:01,710 Hey, Whitaker, Jesse. Got a post-tonsillectomy hemorrhage. 660 00:28:01,793 --> 00:28:03,586 Nebulized TXA, quick as you can. 661 00:28:03,670 --> 00:28:05,422 - I'm on it. Let's go. - Let's go, Trauma 2. 662 00:28:05,505 --> 00:28:07,215 So this can go south pretty quickly. 663 00:28:07,298 --> 00:28:08,508 - You up for it? - Well, I can… 664 00:28:08,591 --> 00:28:09,592 Of course you are. 665 00:28:15,849 --> 00:28:17,434 Ready? Here we go. 666 00:28:17,517 --> 00:28:19,644 One, two, three. 667 00:28:25,275 --> 00:28:26,735 Take long, slow, deep breaths on that. 668 00:28:26,818 --> 00:28:28,570 The TXA is gonna help your blood clot. 669 00:28:28,653 --> 00:28:30,196 Any medical problems? 670 00:28:30,280 --> 00:28:31,489 No, just a ton of strep. 671 00:28:31,573 --> 00:28:32,657 That's why I had the surgery. 672 00:28:32,741 --> 00:28:33,867 You take aspirin? 673 00:28:33,950 --> 00:28:36,286 Any other medications? 674 00:28:36,369 --> 00:28:38,538 Lungs are clear bilaterally, no stridor. 675 00:28:38,621 --> 00:28:40,165 Okay, sure. 676 00:28:40,248 --> 00:28:42,333 You feel like throwing up? Any pain in your belly? 677 00:28:42,417 --> 00:28:44,127 No. 678 00:28:44,210 --> 00:28:45,295 Labs? 679 00:28:45,378 --> 00:28:48,298 CBC, BMP, maybe coags? 680 00:28:48,381 --> 00:28:49,841 Add a type and screen, just in case. 681 00:28:49,924 --> 00:28:50,925 Yeah. 682 00:28:51,009 --> 00:28:52,469 Good sats at 98%. 683 00:28:52,552 --> 00:28:54,596 BP is 115 over 80. 684 00:28:54,679 --> 00:28:55,764 Okay, good. 685 00:28:55,847 --> 00:28:57,056 Four by four on a ring forceps. 686 00:28:57,140 --> 00:28:59,434 - Let's take a look. - Okay. 687 00:28:59,517 --> 00:29:01,978 Head back, open wide for me. 688 00:29:03,521 --> 00:29:05,732 - What do you see? - No active bleeding, 689 00:29:05,815 --> 00:29:07,400 but there's some white and dark brown stuff 690 00:29:07,484 --> 00:29:09,110 - where the tonsils used to be. - Oh, that's good. 691 00:29:09,194 --> 00:29:11,154 That's a fibrinous clot. That means the TXA is working. 692 00:29:11,237 --> 00:29:12,572 Your parents on the way? 693 00:29:12,655 --> 00:29:13,907 They're in Baltimore for a wedding. 694 00:29:13,990 --> 00:29:15,283 I didn't want to bother them. 695 00:29:15,366 --> 00:29:18,411 Trust me. They're your parents, and you are in an emergency room. 696 00:29:18,495 --> 00:29:19,996 It is never a bother. 697 00:29:20,079 --> 00:29:21,372 Write their numbers down, and I will call them. 698 00:29:21,456 --> 00:29:22,874 Call Head and Neck. 699 00:29:22,957 --> 00:29:24,209 Stay with him until they get here, okay? 700 00:29:24,292 --> 00:29:25,292 Good. 701 00:29:25,335 --> 00:29:26,878 Pen. 702 00:29:26,961 --> 00:29:28,087 Can I get the… 703 00:29:35,929 --> 00:29:38,848 Sam Wallace, our Good Samaritan who saved a Nepali lady, 704 00:29:38,932 --> 00:29:40,683 is in line for a repeat head CT 705 00:29:40,767 --> 00:29:43,269 to be sure there's no extension of the intraparenchymal bleed. 706 00:29:43,353 --> 00:29:44,854 Okay, so we can dial down the sedation, 707 00:29:44,938 --> 00:29:46,856 and, if he's alert, check extubation parameters. 708 00:29:46,940 --> 00:29:48,233 - Copy. - Did you get the consent form 709 00:29:48,316 --> 00:29:49,317 signed by Joyce the sickler 710 00:29:49,400 --> 00:29:50,610 - for the intubation? - Not yet. 711 00:29:50,693 --> 00:29:52,320 - Jesus fucking… - She's scared. 712 00:29:52,403 --> 00:29:53,822 I just wanted to give her some time to talk to her… 713 00:29:53,905 --> 00:29:55,198 To do what, make funeral arrangements? 714 00:29:55,281 --> 00:29:57,200 Joyce is hypoxic at 84. 715 00:29:57,283 --> 00:29:59,536 84. This goes on much longer, 716 00:29:59,619 --> 00:30:01,496 she runs the risk of permanent lung damage, 717 00:30:01,579 --> 00:30:02,705 - heart attack… - I know. 718 00:30:02,789 --> 00:30:04,207 - Stroke, death. - I know. 719 00:30:04,290 --> 00:30:05,333 Then move! 720 00:30:05,416 --> 00:30:06,793 Now. 721 00:30:17,512 --> 00:30:19,848 Just have a seat, and we'll be with you shortly. 722 00:30:19,931 --> 00:30:22,267 Oh, I've heard that load of bullshit before. 723 00:30:26,354 --> 00:30:27,939 My fucking God. 724 00:30:43,413 --> 00:30:46,708 Took me all the way back there just to stick a goddamn thermometer 725 00:30:46,791 --> 00:30:48,334 in my mouth, you know. 726 00:30:48,418 --> 00:30:51,337 Repeat vitals every four hours. 727 00:30:56,384 --> 00:30:57,969 Oh, dang! 728 00:30:58,052 --> 00:31:00,179 Saw how it swerved and almost hit the taxi? 729 00:31:01,598 --> 00:31:03,057 I gotta get out of here; I mean, this thing is 730 00:31:03,141 --> 00:31:04,809 totally gonna screw up the traffic to Pittfest. 731 00:31:04,893 --> 00:31:06,811 Nice score. You going with Robby? 732 00:31:06,895 --> 00:31:08,313 Well, I was supposed to. 733 00:31:08,396 --> 00:31:09,981 But I have this new girlfriend, 734 00:31:10,064 --> 00:31:11,733 and she's super excited about the lineup, so… 735 00:31:11,816 --> 00:31:14,527 So you ditched the old man for a hot piece of ass. 736 00:31:14,611 --> 00:31:17,238 Been there, done that. 737 00:31:17,322 --> 00:31:19,824 Senior year, Lollapalooza, I met this guy. 738 00:31:19,908 --> 00:31:21,284 Think his name was Rich… 739 00:31:21,367 --> 00:31:22,452 or was it Rick? 740 00:31:22,535 --> 00:31:23,828 Doesn't matter. 741 00:31:23,912 --> 00:31:25,997 But he looked like Dave Navarro. 742 00:31:27,874 --> 00:31:31,544 Warm breeze, cool grass, 743 00:31:31,628 --> 00:31:34,297 a million stars in the sky. 744 00:31:35,673 --> 00:31:37,467 Best sex of my life. 745 00:31:37,550 --> 00:31:39,385 You had sex in public? 746 00:31:39,469 --> 00:31:41,137 We were under a blanket. 747 00:31:42,055 --> 00:31:43,139 It's turning around. 748 00:31:43,222 --> 00:31:44,641 It's turning around, baby. 749 00:31:44,724 --> 00:31:47,185 - Come home to Papa. - Shit. 750 00:31:47,268 --> 00:31:49,979 I had money on it crashing in Beaver County. 751 00:32:00,865 --> 00:32:02,784 Better safe than sorry. 752 00:32:02,867 --> 00:32:04,327 Okay. 753 00:32:06,788 --> 00:32:08,957 - Jake, what's up? - Hey, how are you? 754 00:32:12,961 --> 00:32:14,671 Where's Rita? 755 00:32:16,255 --> 00:32:17,423 She went to park the car. 756 00:32:17,507 --> 00:32:19,050 Shouldn't have been more than five minutes. 757 00:32:19,133 --> 00:32:21,886 Why don't you dial her number for me? 758 00:32:29,894 --> 00:32:32,021 - Did she pick up? - Straight to voicemail. 759 00:32:32,105 --> 00:32:33,106 That's weird. 760 00:32:37,485 --> 00:32:42,115 Sole caretaker, overwhelmed, exhausted. 761 00:32:45,118 --> 00:32:50,039 I told her to take a break, but you don't think she ditched her mom, do you? 762 00:32:50,915 --> 00:32:51,958 I mean, it happens. 763 00:32:54,919 --> 00:32:57,630 You're gonna need to use the antibiotic ointment twice a day 764 00:32:57,714 --> 00:33:01,009 and come in for a wound check in two days, okay? 765 00:33:01,092 --> 00:33:03,219 Mateo, can you grab me enough samples to last a couple weeks? 766 00:33:03,302 --> 00:33:04,721 - Yeah, I'm on it. - Thank you. 767 00:33:06,222 --> 00:33:07,682 Thanks. 768 00:33:07,765 --> 00:33:09,392 I really appreciate it. 769 00:33:09,475 --> 00:33:11,477 Yeah. No problem. 770 00:33:11,561 --> 00:33:14,105 Has Kiara been here yet? 771 00:33:14,188 --> 00:33:16,107 No, who's Kiara? 772 00:33:16,190 --> 00:33:17,900 Oh, she's the hospital social worker. 773 00:33:17,984 --> 00:33:19,652 She can help you out with, like, housing and childcare 774 00:33:19,736 --> 00:33:21,070 - and food and security… - You told her? 775 00:33:21,154 --> 00:33:23,322 - No, I… - No, no, it's all free. 776 00:33:23,406 --> 00:33:24,657 The system works if you use it. 777 00:33:24,741 --> 00:33:25,867 - You just have to… - Enough! 778 00:33:27,118 --> 00:33:28,953 I don't need your help. 779 00:33:30,621 --> 00:33:31,956 Nice speech. 780 00:33:32,040 --> 00:33:34,125 Next time, mind your own business. 781 00:33:39,797 --> 00:33:42,300 You ever heard of impact over intent? 782 00:33:44,135 --> 00:33:46,471 I would never intentionally embarrass anybody. 783 00:33:46,554 --> 00:33:48,431 But you did. 784 00:33:48,514 --> 00:33:52,560 You didn't have a conversation with Sherry or ask her what she needed. 785 00:33:52,643 --> 00:33:54,604 Instead, you walked in here and told her what to do. 786 00:33:54,687 --> 00:33:58,524 You gotta slow down, take a beat, and listen 787 00:33:58,608 --> 00:34:00,401 instead of judging people. 788 00:34:01,819 --> 00:34:03,154 - I don't judge. - Please. 789 00:34:03,237 --> 00:34:05,448 You've been eyeing me sideways all day. 790 00:34:07,200 --> 00:34:09,702 Look, maybe I have a better perspective because I've been 791 00:34:09,786 --> 00:34:12,413 on both sides, but we gotta try to at least 792 00:34:12,497 --> 00:34:15,208 put ourselves in their shoes. 793 00:34:15,291 --> 00:34:18,961 Listening and building trust will make us better doctors… 794 00:34:19,045 --> 00:34:20,588 and better people. 795 00:34:24,217 --> 00:34:25,510 I'm sorry. 796 00:34:25,593 --> 00:34:28,304 I'm not telling you this to reprimand you. 797 00:34:28,387 --> 00:34:31,974 I'm trying to teach you to help you. 798 00:34:33,726 --> 00:34:36,854 Wait, what about Sherry? 799 00:34:36,938 --> 00:34:38,856 I doubt she'll be back. 800 00:34:38,940 --> 00:34:41,984 But sadly, there will be many, many more just like her. 801 00:34:46,322 --> 00:34:47,657 No. No, no, no. 802 00:34:47,740 --> 00:34:50,952 He had the surgery at St. Michael's, but he's here now. 803 00:34:52,036 --> 00:34:53,871 No, he doesn't have a car. 804 00:34:53,955 --> 00:34:55,623 His parents are out of town. 805 00:34:57,792 --> 00:34:59,252 Okay, okay, well, 806 00:34:59,335 --> 00:35:00,628 how am I to send him back to St. Michael's, 807 00:35:00,711 --> 00:35:02,588 call him an Uber? 808 00:35:02,672 --> 00:35:05,174 You can't…that doesn't make… 809 00:35:05,258 --> 00:35:07,218 Hey, hello. 810 00:35:07,301 --> 00:35:08,553 Hello! 811 00:35:08,636 --> 00:35:10,429 What's wrong? 812 00:35:14,267 --> 00:35:18,396 They said it is not their job to fix another hospital's problem. 813 00:35:18,479 --> 00:35:20,481 Don't worry about it, though. I'll talk to my attending… 814 00:35:21,649 --> 00:35:23,568 Oh, shit! 815 00:35:24,861 --> 00:35:26,404 I need a little help here! 816 00:35:27,738 --> 00:35:29,365 Okay, come on, open up. 817 00:35:29,448 --> 00:35:31,284 It's a post-tonsillectomy hemorrhage. 818 00:35:32,285 --> 00:35:34,245 Yankauer and sponge stick. 819 00:35:34,328 --> 00:35:35,955 He was stable. Then it just opened. 820 00:35:36,038 --> 00:35:37,498 Call the blood bank. 821 00:35:37,582 --> 00:35:40,168 Two units, whole blood. Get a second line. 822 00:35:40,251 --> 00:35:41,586 Head and Neck wouldn't come down to see him. 823 00:35:41,669 --> 00:35:43,337 - Assholes. - Tachy to 120. 824 00:35:43,421 --> 00:35:45,214 His sats are down to 90%. 825 00:35:45,298 --> 00:35:47,300 Okay, get a high-flow nasal cannula, 826 00:35:47,383 --> 00:35:48,718 100 of ketamine. 827 00:35:48,801 --> 00:35:50,803 Set up the GlideScope. 828 00:35:52,471 --> 00:35:53,764 Hold suction. 829 00:35:53,848 --> 00:35:55,975 I'm gonna try for direct pressure. 830 00:35:56,058 --> 00:36:00,104 If Head and Neck still won't come down, call Garcia. 831 00:36:00,188 --> 00:36:02,440 You're good. You're good. 832 00:36:02,523 --> 00:36:05,651 Okay, before we begin, let's take a time-out. 833 00:36:05,735 --> 00:36:07,612 This is Joyce St. Claire. 834 00:36:07,695 --> 00:36:09,906 Procedure is endotracheal intubation 835 00:36:09,989 --> 00:36:12,325 for hypoxia due to acute chest syndrome. 836 00:36:12,408 --> 00:36:14,202 We'll be using video laryngoscopy 837 00:36:14,285 --> 00:36:17,205 and an 8-0 ET tube with a 7.5 on standby. 838 00:36:17,288 --> 00:36:21,000 Induction with 75 of propofol, 100 rocuronium. 839 00:36:21,083 --> 00:36:22,668 Got it. 840 00:36:22,752 --> 00:36:25,379 For backup, we have a bougie and an LMA ready. 841 00:36:25,463 --> 00:36:26,881 Yep. 842 00:36:26,964 --> 00:36:28,925 Any questions or concerns before we start? 843 00:36:29,008 --> 00:36:30,843 I wanna be awake. 844 00:36:30,927 --> 00:36:33,137 We can't perform an intubation that way. 845 00:36:33,221 --> 00:36:34,931 I mean after. 846 00:36:35,014 --> 00:36:37,516 After, we will lighten your sedation. 847 00:36:37,600 --> 00:36:40,519 You won't be able to talk, but you can use a pen and paper 848 00:36:40,603 --> 00:36:42,563 or an iPad to communicate. 849 00:36:45,316 --> 00:36:48,611 I love you. 850 00:36:48,694 --> 00:36:50,488 Till the end of time. 851 00:36:51,989 --> 00:36:53,741 Robby, Trauma 2 right now. 852 00:36:53,824 --> 00:36:56,369 - Cover the intubation? - Of course. 853 00:36:58,412 --> 00:37:00,414 - What happened? - Bleeder opened up. 854 00:37:00,498 --> 00:37:01,582 Ketamine on board to intubate. 855 00:37:01,666 --> 00:37:02,959 Sats holding at 97. 856 00:37:03,042 --> 00:37:04,961 - Can you get an airway? - Come on. 857 00:37:05,044 --> 00:37:06,420 Let's lie him down. 858 00:37:06,504 --> 00:37:08,047 Keep pressure on the scab. 859 00:37:09,548 --> 00:37:10,925 Nothing but blood. 860 00:37:11,008 --> 00:37:12,760 Can't see the cords. 861 00:37:12,843 --> 00:37:14,679 Sats 94. 862 00:37:14,762 --> 00:37:16,222 Not sure we have room for the tube with the sponge stick. 863 00:37:16,305 --> 00:37:17,974 If I pull out, there's gonna be even more blood. 864 00:37:18,057 --> 00:37:19,475 Doesn't look like you secured that airway. 865 00:37:19,558 --> 00:37:21,102 - He's working on it. - Bougie. 866 00:37:21,185 --> 00:37:22,687 Open a crike tray and prep the neck. 867 00:37:24,814 --> 00:37:26,607 Hold on, I'm going in blind with the bougie. 868 00:37:26,691 --> 00:37:28,192 I might be able to feel the tracheal rings. 869 00:37:28,276 --> 00:37:30,278 And I might have a three-way with Madonna. 870 00:37:30,361 --> 00:37:32,571 Move. 871 00:37:32,655 --> 00:37:33,739 Not happening. 872 00:37:33,823 --> 00:37:34,949 Pressure. 873 00:37:35,032 --> 00:37:36,450 Make room for the grown-ups. 874 00:37:37,660 --> 00:37:38,995 Okay, okay. Hold on, hold on. 875 00:37:39,078 --> 00:37:40,454 We can try a retrograde intubation. 876 00:37:40,538 --> 00:37:41,872 - A what? - There's no obstruction. 877 00:37:41,956 --> 00:37:43,249 We just can't see what we're doing. 878 00:37:43,332 --> 00:37:44,834 So we take a needle, 879 00:37:44,917 --> 00:37:46,711 and we put it in the cricothyroid. 880 00:37:46,794 --> 00:37:50,631 We run a guide wire up and out the mouth, and we slide the ET tube up over the wire. 881 00:37:50,715 --> 00:37:52,591 - Never seen one before. - Sats 90. 882 00:37:52,675 --> 00:37:53,968 No time to play MacGyver with this kid. 883 00:37:54,051 --> 00:37:55,928 - Time to crike. - It'll be quick. 884 00:37:56,012 --> 00:37:57,596 You got one shot, and then I cut. 885 00:38:00,266 --> 00:38:02,351 Propofol and rock are on board. 886 00:38:02,435 --> 00:38:05,646 Now we wait for the sedative and paralytic to start working. 887 00:38:05,730 --> 00:38:08,232 Should Dr. Robby be in here? 888 00:38:08,316 --> 00:38:11,277 Between Dr. Mohan and myself, we've done hundreds of these. 889 00:38:11,360 --> 00:38:13,779 I'm getting sleepy. 890 00:38:13,863 --> 00:38:15,531 I'm right here, babe. 891 00:38:25,166 --> 00:38:27,126 Okay, I'm in. 892 00:38:27,209 --> 00:38:29,754 Guide wire. 893 00:38:33,591 --> 00:38:36,135 Let me know when you start to feel it up top. 894 00:38:37,887 --> 00:38:39,513 Nothing yet. 895 00:38:39,597 --> 00:38:41,265 - More suction. - I'm trying. 896 00:38:42,058 --> 00:38:43,184 Still can't find it. 897 00:38:43,267 --> 00:38:44,393 Well, keep feeling in there. 898 00:38:44,477 --> 00:38:45,853 It's gotta be there somewhere. 899 00:38:45,936 --> 00:38:48,564 - Maybe it's curling up. - Sats down to 89. 900 00:38:48,647 --> 00:38:50,816 - Guys, this is not working. - Just give me a second. 901 00:38:50,900 --> 00:38:52,234 - Until he arrests? - Oh, my God. 902 00:38:52,318 --> 00:38:53,694 I'm gonna lose another patient. 903 00:38:53,778 --> 00:38:55,279 Shut up, Whitaker. Let's get on this. 904 00:38:55,363 --> 00:38:56,655 Sats down to 87. 905 00:38:56,739 --> 00:38:58,741 Okay, I'm gonna redirect the wire. 906 00:39:01,160 --> 00:39:03,287 Sats still dropping. 86. 907 00:39:05,164 --> 00:39:06,290 You got this. 908 00:39:11,962 --> 00:39:15,091 Ondine, if you'd like, you can watch on the screen. 909 00:39:15,174 --> 00:39:16,842 I'm okay. 910 00:39:18,803 --> 00:39:20,930 Excellent view of the cords, Dr. Mohan. 911 00:39:22,848 --> 00:39:25,184 I'm in. 912 00:39:25,267 --> 00:39:27,061 Inflate the balloon. 913 00:39:35,694 --> 00:39:37,279 Good breath sounds bilaterally. 914 00:39:37,363 --> 00:39:39,907 Sats 92 and rising. 915 00:39:39,990 --> 00:39:42,201 That's it? You're done? 916 00:39:42,284 --> 00:39:43,285 Yes. 917 00:39:43,369 --> 00:39:45,830 It all went perfectly. 918 00:39:48,124 --> 00:39:49,834 How long until she gets better? 919 00:39:49,917 --> 00:39:51,252 Depends. 920 00:39:51,335 --> 00:39:54,004 It can take anywhere from a few days to a few weeks for the lungs to heal 921 00:39:54,088 --> 00:39:55,631 from acute chest syndrome. 922 00:39:55,714 --> 00:39:57,633 I can ask the ICU to set up a recliner for you 923 00:39:57,716 --> 00:39:59,677 in Joyce's room so you can stay with her. 924 00:39:59,760 --> 00:40:02,179 Thank you both so much. 925 00:40:02,263 --> 00:40:03,347 You're welcome. 926 00:40:03,431 --> 00:40:05,349 Take care. 927 00:40:10,771 --> 00:40:12,398 Sats 84. We need to bag him. 928 00:40:12,481 --> 00:40:14,275 - Still not seeing it. - I'm suctioning like crazy. 929 00:40:14,358 --> 00:40:15,693 Okay, we're done playing doctor. 930 00:40:15,776 --> 00:40:17,027 Lose the wire. I'm criking this kid. 931 00:40:17,111 --> 00:40:18,195 All right, we tried. I'm sorry. 932 00:40:18,279 --> 00:40:19,697 No, wait. Wait. 933 00:40:19,780 --> 00:40:22,199 I've got it. 934 00:40:22,283 --> 00:40:23,826 You still don't have an airway. 935 00:40:23,909 --> 00:40:26,871 Okay, keep the laryngoscope in place so the tube passes easily. 936 00:40:26,954 --> 00:40:30,124 Pass the T, the T tube over the wire. 937 00:40:30,207 --> 00:40:31,750 - Come on. - Hang on to that wire. 938 00:40:31,834 --> 00:40:34,003 Do not let go of that wire. 939 00:40:34,086 --> 00:40:37,214 Okay. 940 00:40:37,298 --> 00:40:40,384 Okay, I'm gonna give you a little slack so you can get past the cords. 941 00:40:42,011 --> 00:40:43,846 Yeah, yeah. I feel you at the trachea. 942 00:40:43,929 --> 00:40:46,015 25 centimeters at the lips. 943 00:40:46,098 --> 00:40:47,099 That ought to do it. 944 00:40:47,183 --> 00:40:49,268 Pull the wire, bag him. 945 00:40:49,351 --> 00:40:50,853 Balloon's up. 946 00:40:53,355 --> 00:40:55,024 Yellow on CO2. That's good. 947 00:40:55,107 --> 00:40:57,902 That is very good. 948 00:40:57,985 --> 00:40:59,695 Good breath sounds bilaterally. 949 00:40:59,778 --> 00:41:00,905 Sats coming up. 950 00:41:00,988 --> 00:41:03,491 90, 92. 951 00:41:03,574 --> 00:41:05,701 Guess you're gonna have to save that scalpel for another day. 952 00:41:05,784 --> 00:41:08,245 - You guys got lucky. - No, we got skills, baby. 953 00:41:08,329 --> 00:41:09,622 We got skills! 954 00:41:10,873 --> 00:41:11,916 Keep gauze on the clot. 955 00:41:11,999 --> 00:41:13,417 Yeah, copy. 956 00:41:13,501 --> 00:41:15,294 Ordering propofol and fentanyl drips. 957 00:41:16,962 --> 00:41:19,131 Oh, nice of you to join us, Dr. Flores. 958 00:41:19,215 --> 00:41:22,384 Sorry, I got stuck in a nasty radical neck dissection. 959 00:41:22,468 --> 00:41:24,053 - Still bleeding? - Not with direct pressure. 960 00:41:24,136 --> 00:41:25,971 We got the airway. You get the bleeder. 961 00:41:26,055 --> 00:41:27,306 OR's standing by. 962 00:41:27,389 --> 00:41:30,559 So I can cancel the Uber? 963 00:41:30,643 --> 00:41:32,394 Let's get him upstairs. 964 00:41:33,812 --> 00:41:35,981 Fresh sponge stick for you, Whitaker. 965 00:41:36,065 --> 00:41:37,399 You need me to stay with the… 966 00:41:37,483 --> 00:41:39,026 Your patient. You did a good job. 967 00:41:39,109 --> 00:41:40,444 It's only till the anesthesiologist takes over. 968 00:41:40,528 --> 00:41:41,862 - You got it? - Yeah, I got it. 969 00:41:41,946 --> 00:41:43,906 Get yourself a fresh pair of scrubs on your way back down. 970 00:41:51,247 --> 00:41:52,998 I'm sorry that took so long. 971 00:41:53,082 --> 00:41:54,792 - I was just… - Don't apologize. 972 00:41:54,875 --> 00:41:57,586 What you did in there, building a relationship with your patients, 973 00:41:57,670 --> 00:42:01,090 earning their trust, that's what this is all about. 974 00:42:01,173 --> 00:42:03,259 Robby doesn't seem to think so. 975 00:42:03,342 --> 00:42:05,386 Don't worry about him. 976 00:42:05,469 --> 00:42:09,265 You know, I should be apologizing to you. 977 00:42:09,348 --> 00:42:13,269 Slo-Mo, you deserve better. 978 00:42:13,352 --> 00:42:15,271 Keep doing you, Dr. Mohan. 979 00:42:17,314 --> 00:42:18,857 Where'd you get that move? 980 00:42:18,941 --> 00:42:21,151 Retrograde intubation, that's an Adamson special. 981 00:42:21,235 --> 00:42:22,861 I learned that from the best. 982 00:42:22,945 --> 00:42:24,572 Well, you're not too shabby yourself, Professor. 983 00:42:24,655 --> 00:42:26,448 Yeah, that got kind of rough in there. 984 00:42:26,532 --> 00:42:28,158 You kept your composure, though… 985 00:42:28,242 --> 00:42:31,579 exactly the kind of candidate they want for the ED Medical Education Fellowship. 986 00:42:31,662 --> 00:42:34,623 Oh, there's probably over 50 applicants for that one slot. 987 00:42:34,707 --> 00:42:36,041 Yeah, probably. 988 00:42:36,125 --> 00:42:38,210 But I know that they like to go with someone that they know 989 00:42:38,294 --> 00:42:41,380 from firsthand experience has the skills to be successful. 990 00:42:41,463 --> 00:42:44,383 At least that's what I told them in my letter of recommendation. 991 00:42:44,466 --> 00:42:45,593 Thank you. 992 00:42:47,886 --> 00:42:49,263 Glad you stuck around. 993 00:42:49,346 --> 00:42:50,764 It's not like I had a choice, did I? 994 00:42:50,848 --> 00:42:53,142 No, not really. 995 00:42:53,225 --> 00:42:56,437 So how's your day going? 996 00:42:56,520 --> 00:42:57,646 It's going. 997 00:42:57,730 --> 00:43:00,232 Cool, cool, cool. 998 00:43:00,316 --> 00:43:01,692 Why do you ask? 999 00:43:01,775 --> 00:43:03,152 Guy can't ask? 1000 00:43:03,235 --> 00:43:04,695 You never ask me about my work. 1001 00:43:04,778 --> 00:43:06,739 What gives? 1002 00:43:06,822 --> 00:43:08,532 Mom wanted me to ask because she just wants 1003 00:43:08,616 --> 00:43:10,117 to make sure that you're doing okay. 1004 00:43:10,200 --> 00:43:12,161 That's very sweet of her. I'm doing fine. 1005 00:43:12,244 --> 00:43:13,662 Thank you for these again. 1006 00:43:13,746 --> 00:43:16,290 You can thank me by finally introducing me to your girlfriend. 1007 00:43:16,373 --> 00:43:18,459 - Not today but soon. - Have fun. 1008 00:43:18,542 --> 00:43:21,795 Hey, I know it goes without saying, but please be safe. 1009 00:43:21,879 --> 00:43:23,172 - I will. - Seriously. 1010 00:43:23,255 --> 00:43:24,757 Don't take anything from anyone. 1011 00:43:24,840 --> 00:43:26,300 I've already seen two fentanyl overdoses today. 1012 00:43:26,383 --> 00:43:27,843 - It's not even noon. - I promise. 1013 00:43:27,926 --> 00:43:29,053 - Okay. - Basketball Sunday? 1014 00:43:29,136 --> 00:43:30,471 Yep, wouldn't miss it. 1015 00:43:30,554 --> 00:43:31,805 Hey, before you go, before you go. 1016 00:43:31,889 --> 00:43:33,098 Please don't hand me a condom. 1017 00:43:33,182 --> 00:43:34,433 Condom? 1018 00:43:34,516 --> 00:43:35,893 I was gonna give you extra cash. 1019 00:43:35,976 --> 00:43:36,962 Wait, are you having sex? 1020 00:43:36,977 --> 00:43:38,479 Thank you. 1021 00:43:40,230 --> 00:43:44,234 Looks like the driver lost control as the police cars were closing in. 1022 00:43:44,318 --> 00:43:46,403 The ambulance has definitely stopped. 1023 00:43:46,487 --> 00:43:47,905 Check it out. 1024 00:43:47,988 --> 00:43:49,490 It's difficult to tell from this angle, 1025 00:43:49,573 --> 00:43:51,784 but it does look like they may have hit something. 1026 00:43:51,867 --> 00:43:54,328 - Damn! - That's in our zone. 1027 00:43:54,411 --> 00:43:56,080 Ambulance crashed in our catchment. 1028 00:43:56,163 --> 00:43:57,498 Get ready for incoming. 1029 00:43:57,581 --> 00:44:01,210 - How many you think? - Other than the driver? No idea. 1030 00:44:01,293 --> 00:44:05,464 Since you're past ten weeks, you'll need to take mifepristone twice, 1031 00:44:05,547 --> 00:44:08,175 once now and once in 24 hours. 1032 00:44:08,258 --> 00:44:10,803 Then 24 hours after that, you'll take misoprostol, 1033 00:44:10,886 --> 00:44:13,430 two pills which dissolve between the cheek and the gum, 1034 00:44:13,514 --> 00:44:16,058 then two more of the same pills six hours later. 1035 00:44:16,141 --> 00:44:17,309 That's a lot to remember. 1036 00:44:17,393 --> 00:44:19,645 Everything is clearly labeled with the names of the meds, 1037 00:44:19,728 --> 00:44:22,898 the dose, and the exact time to take them. 1038 00:44:22,981 --> 00:44:24,525 Will it hurt? 1039 00:44:24,608 --> 00:44:27,277 You can expect some vaginal bleeding. 1040 00:44:27,361 --> 00:44:30,155 There may be some cramping, like when you're on your period. 1041 00:44:30,239 --> 00:44:32,282 If you're bleeding more than two pads an hour 1042 00:44:32,366 --> 00:44:34,535 or the pain gets to be too much, 1043 00:44:34,618 --> 00:44:36,161 come back in and see us. 1044 00:44:36,245 --> 00:44:38,455 And I'll be with you the whole time. 1045 00:44:43,669 --> 00:44:45,379 Kristi? 1046 00:44:45,462 --> 00:44:47,423 Kristi! 1047 00:44:47,506 --> 00:44:48,549 What the hell are you doing here? 1048 00:44:48,632 --> 00:44:50,092 Hey, language! 1049 00:44:50,175 --> 00:44:51,593 And I should be asking you the same thing. 1050 00:44:51,677 --> 00:44:52,803 Excuse me. Who are you? 1051 00:44:52,886 --> 00:44:55,180 - I'm her mom. - Mom? 1052 00:44:55,264 --> 00:44:56,265 Aren't you her mom? 1053 00:44:56,348 --> 00:44:57,725 I can explain. 1054 00:44:57,808 --> 00:44:59,101 No, that's my sister, Lynette. 1055 00:44:59,184 --> 00:45:00,811 I am Kristi's mother. 1056 00:45:00,894 --> 00:45:02,020 Kris… 1057 00:45:03,021 --> 00:45:05,107 Kris, baby, what are you doing here? 1058 00:45:06,942 --> 00:45:08,652 I'm here for an abortion. 1059 00:45:10,404 --> 00:45:12,114 Did you do it already? 1060 00:45:12,197 --> 00:45:14,408 - Not yet. - Okay. Thank God. 1061 00:45:14,491 --> 00:45:16,660 Okay, okay, can we all just take a step back here and… 1062 00:45:16,744 --> 00:45:19,288 Mom, I want this. This is my decision. 1063 00:45:19,371 --> 00:45:20,372 - No. - Just listen to her, El. 1064 00:45:20,456 --> 00:45:21,623 You can shut up! 1065 00:45:21,707 --> 00:45:23,876 You have done enough. 1066 00:45:23,959 --> 00:45:28,797 My daughter is a minor, so she can't get this abortion 1067 00:45:28,881 --> 00:45:30,674 without my say-so, right? 1068 00:45:32,301 --> 00:45:33,469 Is that right? 1069 00:45:34,678 --> 00:45:37,055 That's correct. 1070 00:45:39,600 --> 00:45:42,603 Then there is no way this is happening. 1071 00:45:42,686 --> 00:45:44,188 Not now, not ever.