1 00:00:10,844 --> 00:00:12,679 There is no way this is happening. 2 00:00:12,762 --> 00:00:14,305 Not now, not ever. 3 00:00:14,389 --> 00:00:15,640 Mom, stop! 4 00:00:15,724 --> 00:00:17,058 This is what you had in mind 5 00:00:17,142 --> 00:00:19,227 for your fun weekend with your aunt? 6 00:00:19,310 --> 00:00:21,855 - All right. Can we… - I was trying to help her. 7 00:00:21,938 --> 00:00:23,773 No, what would have been helpful is telling me 8 00:00:23,857 --> 00:00:25,442 that my daughter is pregnant! 9 00:00:25,525 --> 00:00:27,944 Instead, I find out from a confused teenage boy! 10 00:00:28,028 --> 00:00:29,612 - Jackson told you? - Yeah, he did. 11 00:00:29,696 --> 00:00:31,573 Whoa, whoa, everything OK in here? 12 00:00:31,656 --> 00:00:33,491 This is Mrs. Wheeler, Kristi's mother. 13 00:00:33,575 --> 00:00:35,660 Lynette is Kristi's aunt. 14 00:00:35,744 --> 00:00:37,037 She doesn't want to have this baby. 15 00:00:37,120 --> 00:00:38,872 This has nothing to do with you! 16 00:00:38,955 --> 00:00:41,666 - OK, maybe we just take… - Mom, I called Aunt Lynn, OK? 17 00:00:41,750 --> 00:00:43,543 I don't want to be a teen mom. 18 00:00:43,626 --> 00:00:45,045 Well, then maybe you should have thought of that 19 00:00:45,128 --> 00:00:46,588 before you started having sex. 20 00:00:46,671 --> 00:00:48,381 OK, emotions are running high. 21 00:00:48,465 --> 00:00:49,883 I think a private conversation 22 00:00:49,966 --> 00:00:51,259 between mother and daughter is in order. 23 00:00:51,342 --> 00:00:52,552 Lynette, let's you and I step out. 24 00:00:52,635 --> 00:00:54,012 I'll buy you a cup of coffee. 25 00:01:03,772 --> 00:01:05,523 The crashed ambulance thieves are en route. 26 00:01:05,607 --> 00:01:07,442 ETA, 10 minutes. Trauma 2's all yours. 27 00:01:07,525 --> 00:01:08,693 Great. 28 00:01:08,777 --> 00:01:10,195 They better be meth-head junkies 29 00:01:10,278 --> 00:01:11,696 'cause Abby wants a Birkin for her birthday. 30 00:01:11,780 --> 00:01:13,073 What's she gonna do with a Birkin? 31 00:01:13,156 --> 00:01:14,407 Hopefully forgive me for getting 32 00:01:14,491 --> 00:01:16,201 the kids a goldendoodle. 33 00:01:16,284 --> 00:01:17,827 You want to be a good husband? 34 00:01:17,911 --> 00:01:19,662 Send her on a vacation 35 00:01:19,746 --> 00:01:22,165 without you or the kids or a damn puppy. 36 00:01:22,248 --> 00:01:24,167 Are you mean to everyone or just me? 37 00:01:24,250 --> 00:01:26,461 Just you. 38 00:01:26,544 --> 00:01:28,088 Hey, what's the status 39 00:01:28,171 --> 00:01:29,756 of the head CT on Joseph Marino? 40 00:01:29,839 --> 00:01:31,257 Uh, still waiting on results. 41 00:01:31,341 --> 00:01:32,967 He's postictal and sleeping in North 2. 42 00:01:33,051 --> 00:01:34,636 - No more seizure activity. - Good. 43 00:01:34,719 --> 00:01:36,930 Let me know as soon as those CT results get back. 44 00:01:37,013 --> 00:01:38,014 Yeah, of course. 45 00:01:40,558 --> 00:01:42,769 How's, uh, Travis, our tonsillectomy patient? 46 00:01:42,852 --> 00:01:45,105 Oh, I, uh, just dropped him off at surgery. 47 00:01:45,188 --> 00:01:46,981 - He's doing well. - Good work. 48 00:01:47,065 --> 00:01:49,109 - You kept him from bleeding out. - Oh, no, come on. 49 00:01:49,192 --> 00:01:50,568 That was all you and Dr. Robby. 50 00:01:50,652 --> 00:01:51,820 I mean, I could never have done 51 00:01:51,903 --> 00:01:53,196 what you guys did with that airway. 52 00:01:53,279 --> 00:01:54,781 Not yet. That's why you're here. 53 00:01:54,864 --> 00:01:56,241 But you stayed with him the whole time. 54 00:01:56,324 --> 00:01:57,992 He would have died at most other hospitals. 55 00:01:58,076 --> 00:02:00,286 Yeah. Yeah, no, I guess you're right. 56 00:02:00,370 --> 00:02:02,080 Yeah, I usually am. 57 00:02:14,300 --> 00:02:16,177 I'm sorry about all of this. 58 00:02:16,261 --> 00:02:17,887 I didn't think that Eloise would find out. 59 00:02:17,971 --> 00:02:19,931 Yeah, well, she did. 60 00:02:20,014 --> 00:02:21,975 Kristi should make her own decisions. 61 00:02:22,058 --> 00:02:23,810 Unfortunately, she's still considered a minor. 62 00:02:23,893 --> 00:02:25,436 Why don't you take a seat? 63 00:02:25,520 --> 00:02:28,314 And we'll come find you if there's an update. 64 00:02:31,109 --> 00:02:32,694 - What do you need, Robby? - Escaping. 65 00:02:32,777 --> 00:02:33,862 Go, go. 66 00:02:33,945 --> 00:02:35,905 - Dr. Robinavitch. - Gloria. 67 00:02:35,989 --> 00:02:37,824 This is Dr. Tracy Morris, 68 00:02:37,907 --> 00:02:40,034 regional manager of ECQ America. 69 00:02:40,118 --> 00:02:41,578 The contract management group. 70 00:02:41,661 --> 00:02:43,246 - It's a pleasure to meet you. - Likewise. 71 00:02:43,329 --> 00:02:44,622 But if you'll excuse me, I'm a little slammed, 72 00:02:44,706 --> 00:02:46,207 as per usual. 73 00:02:46,291 --> 00:02:47,458 We were upstairs with the executive team 74 00:02:47,542 --> 00:02:48,793 going over a proposal. 75 00:02:48,877 --> 00:02:49,878 - A proposal? - Mm-hmm. 76 00:02:49,961 --> 00:02:51,087 We're interested in having 77 00:02:51,171 --> 00:02:52,672 your emergency department join us. 78 00:02:52,755 --> 00:02:54,883 The 500 or so ERs you have aren't enough? 79 00:02:54,966 --> 00:02:56,634 What can I say? Business is good. 80 00:02:56,718 --> 00:02:58,094 Yeah, for who? 81 00:02:58,178 --> 00:03:00,513 - Everyone benefits. - Do they, though? 82 00:03:00,597 --> 00:03:02,599 Your contract management's corporate mandate 83 00:03:02,682 --> 00:03:04,851 is profits for shareholders above everything else, yes? 84 00:03:04,934 --> 00:03:06,394 - Robby. - Dah-dah-dah. 85 00:03:06,477 --> 00:03:07,854 Your hospital's board was very impressed 86 00:03:07,937 --> 00:03:10,273 with ECQ's metrics on patient satisfaction, 87 00:03:10,356 --> 00:03:11,816 throughput time, and billing collections. 88 00:03:11,900 --> 00:03:13,359 Does your proposal include the part 89 00:03:13,443 --> 00:03:15,820 where you cut the pay for all my doctors? 90 00:03:15,904 --> 00:03:18,239 Maybe I can find an incentive for you. 91 00:03:18,323 --> 00:03:20,491 How does regional medical director sound? 92 00:03:20,575 --> 00:03:24,037 Lighter workload, better benefits, stock options. 93 00:03:24,120 --> 00:03:25,830 Did you go to business school or medical school? 94 00:03:25,914 --> 00:03:28,166 Both. 95 00:03:28,249 --> 00:03:29,667 We look forward to your decision. 96 00:03:29,751 --> 00:03:31,419 Of course. 97 00:03:31,502 --> 00:03:33,421 Hopefully we'll get a chance to work together soon, 98 00:03:33,504 --> 00:03:34,505 Dr. Robinavitch. 99 00:03:38,218 --> 00:03:40,595 I can't believe you're seriously considering this. 100 00:03:40,678 --> 00:03:42,513 Bottom line is, our current numbers aren't good, 101 00:03:42,597 --> 00:03:43,932 and theirs are. 102 00:03:44,015 --> 00:03:45,350 Just because their dashboard is pretty 103 00:03:45,433 --> 00:03:46,893 doesn't mean it's good for patients. 104 00:03:46,976 --> 00:03:49,187 If you want to keep this ED, improve metrics. 105 00:03:49,270 --> 00:03:51,189 There's a lot of OFI. 106 00:03:51,272 --> 00:03:52,649 Opportunities for improvement. 107 00:03:52,732 --> 00:03:54,442 Well, you could have just said that. 108 00:03:54,525 --> 00:03:56,778 I need you to care about patient-satisfaction scores. 109 00:03:56,861 --> 00:03:58,488 I would love nothing more. 110 00:03:58,571 --> 00:04:00,073 But right now the average wait time is six hours, 111 00:04:00,156 --> 00:04:01,449 and that's before you see a doctor. 112 00:04:01,532 --> 00:04:02,909 You need to hire more staff 113 00:04:02,992 --> 00:04:04,619 so we can open more inpatient beds. 114 00:04:04,702 --> 00:04:06,496 Are you prepared to do that? 115 00:04:06,579 --> 00:04:08,665 I need you to improve scores with the resources we have, 116 00:04:08,748 --> 00:04:10,583 or we will explore what ECQ has to offer. 117 00:04:10,667 --> 00:04:12,585 This is bullshit. You know this is bullshit. 118 00:04:12,669 --> 00:04:15,046 And if you don't, then we are all in trouble. 119 00:04:15,129 --> 00:04:17,966 - Maybe you need some time off. - Hey, we got a ladder fall. 120 00:04:18,049 --> 00:04:20,551 A couple of minutes out. Yeah. 121 00:04:23,763 --> 00:04:25,765 Mint? 122 00:04:25,848 --> 00:04:27,308 Who would have guessed frat boys? 123 00:04:27,392 --> 00:04:28,810 Collins. 124 00:04:28,893 --> 00:04:31,312 Damn it. I knew they were gonna crash. 125 00:04:31,396 --> 00:04:32,730 Then why didn't you bet crash? 126 00:04:32,814 --> 00:04:34,565 I didn't want anybody to get hurt. 127 00:04:34,649 --> 00:04:36,234 - It's bad karma, man. - So who won? 128 00:04:36,317 --> 00:04:38,361 Oh, Doc Collins hit the full parlay… 129 00:04:38,444 --> 00:04:41,531 in our zone, crash, and frat boys. 130 00:04:41,614 --> 00:04:44,325 That's uncanny, bordering on spooky. 131 00:04:44,409 --> 00:04:46,577 And the rich just get richer. 132 00:04:46,661 --> 00:04:48,371 You need to practice more gratitude. 133 00:04:48,454 --> 00:04:51,874 I'd be a lot more grateful if my paycheck was bigger. 134 00:04:51,958 --> 00:04:53,584 That part. 135 00:05:01,884 --> 00:05:03,761 Any luck finding Ginger's daughter? 136 00:05:03,845 --> 00:05:05,680 She was supposed to be right back to take her mom home. 137 00:05:05,763 --> 00:05:08,558 I just tried her cell again. Still no answer. 138 00:05:08,641 --> 00:05:10,852 Let me try the cafeteria one more time. 139 00:05:10,935 --> 00:05:12,228 What do we tell her? 140 00:05:12,312 --> 00:05:13,771 No, don't tell her anything yet. 141 00:05:13,855 --> 00:05:15,106 Oh, boy. 142 00:05:15,189 --> 00:05:16,983 Um, you should consult with Kiara 143 00:05:17,066 --> 00:05:18,818 just in case this goes south. 144 00:05:23,990 --> 00:05:26,743 - What do we have? - 45-year-old Silas Dunn. 145 00:05:26,826 --> 00:05:28,161 Fell off an 8-foot ladder. 146 00:05:28,244 --> 00:05:30,079 Right chest hit the carpeted floor. 147 00:05:30,163 --> 00:05:32,123 No LOC. Good vitals. No meds, no allergies. 148 00:05:32,206 --> 00:05:33,458 I'm Dr. Santos. How are you doing? 149 00:05:33,541 --> 00:05:35,918 Fine. My wife called 911. 150 00:05:36,002 --> 00:05:39,297 These guys said this was all necessary, but I-I can walk. 151 00:05:39,380 --> 00:05:41,090 We're gonna keep it on until we get you all checked out, OK? 152 00:05:41,174 --> 00:05:42,884 What are you thinking? 153 00:05:42,967 --> 00:05:45,094 What made him fall could have been cardiac or neuro. 154 00:05:45,178 --> 00:05:47,055 - Any headache? - I was a little dizzy. 155 00:05:47,138 --> 00:05:48,681 He needs a head CT. EKG and troponin. 156 00:05:48,765 --> 00:05:50,016 - Exactly. - On my count. 157 00:05:50,099 --> 00:05:52,977 One, two, three. 158 00:05:53,061 --> 00:05:54,937 I was installing a lighting fixture… 159 00:05:55,021 --> 00:05:57,106 Dr. Santos on E-fast, please. 160 00:05:57,190 --> 00:05:58,941 I'm Dr. Garcia. Can you spell "world"? 161 00:05:59,025 --> 00:06:01,361 W-O-R-L-D. 162 00:06:01,444 --> 00:06:02,820 Start with D, spell it backwards. 163 00:06:02,904 --> 00:06:05,698 Oof. D-L-R-O-W? 164 00:06:05,782 --> 00:06:07,116 Excellent. Your brain is fine. 165 00:06:07,200 --> 00:06:09,744 Pulse 92. BP 132 over 78. 166 00:06:09,827 --> 00:06:12,288 - Sat 98. - No pericardial effusion. 167 00:06:12,372 --> 00:06:14,165 - Ow. - Oh. Tender? 168 00:06:14,248 --> 00:06:16,250 - Yeah. - OK, ribs 7 and 8, MCL. 169 00:06:16,334 --> 00:06:17,919 You probably cracked a rib or two. 170 00:06:18,002 --> 00:06:19,545 Check for lung sliding. That could be a pneumo. 171 00:06:19,629 --> 00:06:21,214 Ah, I was gonna paint the living room next. 172 00:06:21,297 --> 00:06:22,423 My wife has a whole list of things 173 00:06:22,507 --> 00:06:23,800 she wants us to get done. 174 00:06:23,883 --> 00:06:25,510 I'm afraid the only home renovations 175 00:06:25,593 --> 00:06:26,761 you're gonna be doing in the next couple weeks 176 00:06:26,844 --> 00:06:28,221 are the kind you watch on TV. 177 00:06:28,304 --> 00:06:29,389 Can you tell my wife that? 178 00:06:29,472 --> 00:06:30,556 Lungs are up. 179 00:06:30,640 --> 00:06:32,350 What's your sign? 180 00:06:32,433 --> 00:06:34,602 - Scorpio. - Spicy. 181 00:06:34,685 --> 00:06:36,562 And I'm focused on our patient. 182 00:06:36,646 --> 00:06:39,023 Um, belly's clear. 183 00:06:39,107 --> 00:06:41,567 Dr. Garcia. 184 00:06:41,651 --> 00:06:42,819 Shit. Be right there. 185 00:06:42,902 --> 00:06:44,237 Wish I could stay. 186 00:06:44,320 --> 00:06:45,655 Post-op hemorrhage. 187 00:06:45,738 --> 00:06:48,116 You're in good hands. 188 00:06:48,199 --> 00:06:51,369 Tier One Trauma, ETA now. Trauma Tier One… 189 00:06:51,452 --> 00:06:53,704 OK, call me if anything changes. 190 00:06:53,788 --> 00:06:55,998 Stolen ambulance versus tree. 191 00:06:56,082 --> 00:06:58,459 PPD maintaining custody of suspects. 192 00:06:58,543 --> 00:07:00,128 This one doesn't meet criteria. 193 00:07:00,211 --> 00:07:02,922 Zac Dawson, 21, restrained front-seat passenger, 194 00:07:03,005 --> 00:07:04,590 was ambulatory on scene. 195 00:07:04,674 --> 00:07:06,676 Lacerations to the anterior thigh from broken glass. 196 00:07:06,759 --> 00:07:08,511 Otherwise no injuries. Good vitals. 197 00:07:08,594 --> 00:07:11,514 - You hurting anywhere, Zac? - Where's Miles? 198 00:07:11,597 --> 00:07:14,559 Miles Hernandez, 18, unrestrained driver 199 00:07:14,642 --> 00:07:15,977 of the stolen ambulance. 200 00:07:16,060 --> 00:07:17,687 Right chest, left leg injuries. 201 00:07:17,770 --> 00:07:19,147 Short of breath. Sat 91. 202 00:07:19,230 --> 00:07:21,441 Tachy 120s. BP 105 over 70. 203 00:07:21,524 --> 00:07:23,234 - Can I go with him? - Is this your friend? 204 00:07:23,317 --> 00:07:24,610 He's my pledge. 205 00:07:24,694 --> 00:07:26,279 We're gonna find a room for you. 206 00:07:26,362 --> 00:07:27,780 - Let us take care of Miles, OK? - I'm Dr. Collins. 207 00:07:27,864 --> 00:07:29,365 Can you talk? 208 00:07:29,449 --> 00:07:30,908 Breath sounds bilateral but lots of stridors. 209 00:07:30,992 --> 00:07:32,827 Set up for intubation. We got to fix this fast. 210 00:07:32,910 --> 00:07:35,079 Posterior hip dislocation. Good pedal pulse. 211 00:07:35,163 --> 00:07:36,956 We need induction meds, ketamine and rock. 212 00:07:37,039 --> 00:07:38,708 Ho, ho, ho, look at this clavicle. 213 00:07:38,791 --> 00:07:40,918 Depressed centrally. Sternoclavicular dislocation. 214 00:07:41,002 --> 00:07:42,587 It's compressing his trachea. 215 00:07:42,670 --> 00:07:45,590 Let's reduce it, see if it helps his breathing. 216 00:07:45,673 --> 00:07:47,341 All right, stabilize the leg. 217 00:07:47,425 --> 00:07:49,635 One, two, three. 218 00:07:49,719 --> 00:07:50,887 Four of morphine. 219 00:07:50,970 --> 00:07:52,638 Draw a rainbow, type and screen. 220 00:07:52,722 --> 00:07:54,182 Heart rate's 125. 221 00:07:54,265 --> 00:07:56,434 Langdon, get on the airway. Collins, E-fast. 222 00:07:56,517 --> 00:07:57,894 No blood in the oropharynx. 223 00:07:57,977 --> 00:07:59,937 Clavicle is dislocated posteriorly. 224 00:08:00,021 --> 00:08:01,564 Chlorhexidine swab. 225 00:08:01,647 --> 00:08:05,234 10 of lido with epi. Time is of the essence. 226 00:08:05,318 --> 00:08:07,028 BP's 108 over 74. 227 00:08:07,111 --> 00:08:09,989 All right, Miles, your collarbone 228 00:08:10,072 --> 00:08:11,157 is pushing against your windpipe. 229 00:08:11,240 --> 00:08:12,533 We're gonna pull it back up. 230 00:08:12,617 --> 00:08:14,035 I'm going to inject an anesthetic. 231 00:08:14,118 --> 00:08:17,205 You're gonna feel a pinprick and a big burn. 232 00:08:19,540 --> 00:08:21,959 All right, towel clip. 233 00:08:22,043 --> 00:08:23,336 All right, go deep. 234 00:08:23,419 --> 00:08:25,296 You want to get a really good grip 235 00:08:25,379 --> 00:08:27,006 on both sides of that bone. 236 00:08:30,009 --> 00:08:31,677 Got it. All right, Miles. 237 00:08:31,761 --> 00:08:34,096 It's gonna hurt for a second. You ready? 238 00:08:37,725 --> 00:08:39,227 Oh, motherfucker! 239 00:08:39,310 --> 00:08:41,103 - Ooh. - Screaming is good. 240 00:08:41,187 --> 00:08:43,147 Who are you torturing now? 241 00:08:43,231 --> 00:08:44,941 Reduced a sternoclavicular dislocation. 242 00:08:45,024 --> 00:08:46,526 - How's your breathing? - Better. 243 00:08:46,609 --> 00:08:48,194 What happened to your post-op hemorrhage? 244 00:08:48,277 --> 00:08:49,529 Panicky intern. 245 00:08:49,612 --> 00:08:51,197 False alarm. 246 00:08:51,280 --> 00:08:53,157 - Who is she? - Right? 247 00:08:53,241 --> 00:08:55,660 This is Dr. Garcia. We're gonna get your leg straightened out. 248 00:08:55,743 --> 00:08:57,036 After we do a CT. 249 00:08:57,119 --> 00:08:58,538 OK, looks like you got it from here. 250 00:08:58,621 --> 00:09:01,374 You know you guys were on the news? 251 00:09:01,457 --> 00:09:03,668 You stole an ambulance. What were you thinking? 252 00:09:03,751 --> 00:09:05,169 It wasn't my idea. 253 00:09:05,253 --> 00:09:07,129 Does he look like a meth head to you? 254 00:09:07,213 --> 00:09:10,800 Seriously, what is wrong with you? 255 00:09:10,883 --> 00:09:13,094 This was a terrible idea. 256 00:09:16,889 --> 00:09:18,474 OK, Chanel, all set. 257 00:09:18,558 --> 00:09:20,017 How bad does it look? 258 00:09:20,101 --> 00:09:21,269 I'm gonna be honest with you. 259 00:09:21,352 --> 00:09:23,271 It doesn't look great. 260 00:09:23,354 --> 00:09:24,855 Thankfully, there's no signs of infection. 261 00:09:24,939 --> 00:09:26,816 I'm such an idiot. 262 00:09:26,899 --> 00:09:29,694 And now I'm having a panic attack. 263 00:09:29,777 --> 00:09:31,779 Excuse me, Dr. Mohan… 264 00:09:31,862 --> 00:09:33,406 I'll be right back. 265 00:09:38,411 --> 00:09:40,079 I've only been in with her for a few minutes. 266 00:09:40,162 --> 00:09:41,789 I didn't say anything. What's the case? 267 00:09:41,872 --> 00:09:43,291 Chanel Sutton, 22, 268 00:09:43,374 --> 00:09:45,501 complications from silicone butt injections. 269 00:09:45,585 --> 00:09:47,169 So call the clinic that did it. 270 00:09:47,253 --> 00:09:48,754 She found the guy on TikTok. 271 00:09:48,838 --> 00:09:51,007 He did the injections in his living room. 272 00:09:51,090 --> 00:09:53,467 She thinks it was maybe silicone caulk from Home Depot. 273 00:09:53,551 --> 00:09:55,094 Jesus. 274 00:09:55,177 --> 00:09:56,470 Really? 275 00:09:56,554 --> 00:09:57,888 Kids today. 276 00:09:57,972 --> 00:09:59,682 She is tachycardic and tachypneic. 277 00:09:59,765 --> 00:10:01,142 I think it's a panic attack. 278 00:10:01,225 --> 00:10:02,685 But if a piece of silicone hit a vein, 279 00:10:02,768 --> 00:10:04,020 she could have a pulmonary embolism. 280 00:10:04,103 --> 00:10:05,563 - We should scan her. - Good. 281 00:10:05,646 --> 00:10:07,189 How's Joyce, our sickle cell patient doing? 282 00:10:07,273 --> 00:10:08,733 Holding up. 283 00:10:08,816 --> 00:10:10,401 She's intubated and waiting on an ICU bed. 284 00:10:10,484 --> 00:10:12,403 Good. Keep it up. 285 00:10:12,486 --> 00:10:14,030 Will do. 286 00:10:14,113 --> 00:10:17,199 Team rounds. CWA. Team rounds. CWA. 287 00:10:17,283 --> 00:10:19,035 Come join us when you're finished. 288 00:10:19,118 --> 00:10:21,203 As soon as I put in a few orders. 289 00:10:23,122 --> 00:10:25,207 - I'm so sorry. - Hi, how's she doing? 290 00:10:25,291 --> 00:10:27,877 Better. Faster. Still need ten more of her. 291 00:10:27,960 --> 00:10:29,086 Never thought I'd see the day 292 00:10:29,170 --> 00:10:30,338 where you'd wish for more Samiras. 293 00:10:30,421 --> 00:10:31,922 You can blame Gloria for that. 294 00:10:32,006 --> 00:10:33,591 If I don't get patient satisfaction scores up 295 00:10:33,674 --> 00:10:35,176 around here, they're bringing in 296 00:10:35,259 --> 00:10:36,969 an outside management company to run things. 297 00:10:37,053 --> 00:10:39,597 - Mother of God. Really? - Yep. 298 00:10:39,680 --> 00:10:40,890 Holy hell. 299 00:10:40,973 --> 00:10:42,558 Any word back on Nick Bradley's 300 00:10:42,642 --> 00:10:44,602 - cerebral perfusion test? - Still waiting on results. 301 00:10:44,685 --> 00:10:46,354 What about ipecac mom, Theresa Saunders? 302 00:10:46,437 --> 00:10:48,397 On fluids. Should be good to go soon. 303 00:10:48,481 --> 00:10:51,859 See, we do have patients that appreciate you. 304 00:10:54,070 --> 00:10:57,406 You're done with triage for the day. 305 00:10:57,490 --> 00:10:59,700 I'm sorry. Did I do something wrong? 306 00:10:59,784 --> 00:11:01,869 Because I know I said too much to the unhoused mom. 307 00:11:01,952 --> 00:11:03,579 No, don't… don't worry about it. 308 00:11:03,663 --> 00:11:04,955 It's cool. 309 00:11:05,039 --> 00:11:06,248 One of us just covers the waiting room 310 00:11:06,332 --> 00:11:07,833 and triage for the first few hours, 311 00:11:07,917 --> 00:11:09,460 try to thin the herd out there. 312 00:11:09,543 --> 00:11:11,587 We're back here for the rest of the shift now. 313 00:11:11,671 --> 00:11:13,255 OK, great. 314 00:11:13,339 --> 00:11:15,549 Hey, do you think they're gonna give us lunch? 315 00:11:15,633 --> 00:11:17,468 It's past 12:00, and I'm starving. 316 00:11:17,551 --> 00:11:20,096 Oh, you can pack a bunch of these for your next shift 317 00:11:20,179 --> 00:11:22,264 or grab a sandwich from the patient bin. 318 00:11:22,348 --> 00:11:24,350 There's no time for breaks around here. 319 00:11:24,433 --> 00:11:26,060 Thanks. 320 00:11:26,143 --> 00:11:28,020 Wardrobe change? 321 00:11:28,104 --> 00:11:30,398 Oh, I caught a gusher. 322 00:11:30,481 --> 00:11:32,233 Helped save his life. 323 00:11:32,316 --> 00:11:34,902 - How's triage? - It was good. 324 00:11:34,985 --> 00:11:36,821 I-I'm back with you guys now. 325 00:11:36,904 --> 00:11:39,365 Cool. So you're feeling OK? 326 00:11:39,448 --> 00:11:41,992 Yeah, I'm feeling fine. I slipped hours ago. 327 00:11:42,076 --> 00:11:43,703 I'm great. 328 00:11:43,786 --> 00:11:45,079 Ready to go. 329 00:11:45,162 --> 00:11:46,539 Let me guess. 330 00:11:46,622 --> 00:11:48,791 You got these ones from the lost and found. 331 00:11:48,874 --> 00:11:50,876 The scrub dispenser was out of my size. 332 00:11:50,960 --> 00:11:53,337 Well, it's a good look, Huckleberry. 333 00:11:53,421 --> 00:11:55,798 Show off those ankles. 334 00:11:55,881 --> 00:11:57,383 Aren't board rounds at 2:00? 335 00:11:57,466 --> 00:11:59,385 These aren't board rounds. 336 00:11:59,468 --> 00:12:03,305 I just want to remind you all of a few things, OK? 337 00:12:03,389 --> 00:12:05,975 So we do a great job coming up with the right diagnosis 338 00:12:06,058 --> 00:12:07,852 and treatment plan for our patients, 339 00:12:07,935 --> 00:12:11,272 but there are still some… opportunities for improvement. 340 00:12:11,355 --> 00:12:13,524 - Not this bullshit again. - First off… 341 00:12:13,607 --> 00:12:15,651 always sit down at the bedside of a stable patient. 342 00:12:15,735 --> 00:12:17,236 It will make you a better doctor. 343 00:12:17,319 --> 00:12:20,072 Second, if there's a discharge to be done, 344 00:12:20,156 --> 00:12:23,451 do it before you pick up a new patient. 345 00:12:23,534 --> 00:12:24,702 The patients are very aware of the time 346 00:12:24,785 --> 00:12:26,495 that they spend with us, so please 347 00:12:26,579 --> 00:12:28,205 don't keep them here any longer than they need to be. 348 00:12:28,289 --> 00:12:29,749 They complain about the wait. 349 00:12:29,832 --> 00:12:31,751 I get it, but for the sake of efficiency 350 00:12:31,834 --> 00:12:34,128 and running smoothly on our end and opening up beds 351 00:12:34,211 --> 00:12:35,921 and opening up rooms, let's discharge 352 00:12:36,005 --> 00:12:37,965 before we start with somebody new, OK? 353 00:12:38,048 --> 00:12:40,509 Thank you. Lastly, in your medical records, 354 00:12:40,593 --> 00:12:42,720 make sure that your decision-making and your notes 355 00:12:42,803 --> 00:12:45,014 reflect not just the diagnosis but all the thought 356 00:12:45,097 --> 00:12:47,057 that you put into ruling out all the critical illnesses 357 00:12:47,141 --> 00:12:48,809 - in the differential. - More work? 358 00:12:48,893 --> 00:12:50,311 I do enough charting as it is. 359 00:12:50,394 --> 00:12:52,021 The hospital won't admit this, 360 00:12:52,104 --> 00:12:54,690 but it's less about charting and more about profit. 361 00:12:54,774 --> 00:12:56,484 OK? Good. 362 00:12:56,567 --> 00:12:58,486 That's it. Goodbye. 363 00:12:58,569 --> 00:12:59,569 Go. 364 00:13:02,239 --> 00:13:03,824 Are our pregnant teen and mom still talking? 365 00:13:03,908 --> 00:13:05,117 Yeah. 366 00:13:05,201 --> 00:13:06,827 No more yelling from that room? 367 00:13:06,911 --> 00:13:08,704 - Not that I've heard. - Good, maybe it's working. 368 00:13:08,788 --> 00:13:10,164 Either that, or they killed each other. 369 00:13:10,247 --> 00:13:11,540 I'm good with either one at this point. 370 00:13:11,624 --> 00:13:13,000 And you wonder why your patient 371 00:13:13,083 --> 00:13:14,668 satisfaction scores are in the toilet. 372 00:13:14,752 --> 00:13:17,505 Always appreciate your support. 373 00:13:17,588 --> 00:13:19,757 I need to check on my Nepali patient. 374 00:13:19,840 --> 00:13:22,009 She likes me. 375 00:13:22,092 --> 00:13:24,929 Everybody likes you when they're on morphine. 376 00:13:25,012 --> 00:13:28,307 All right, I think we'll follow up with Gillian Dupree, 377 00:13:28,390 --> 00:13:30,935 the four-year-old we saw in triage with the fever. 378 00:13:31,018 --> 00:13:32,603 - OK. - Yeah. 379 00:13:32,686 --> 00:13:34,980 Dr. Javadi. 380 00:13:35,064 --> 00:13:37,733 Um, sorry. What…what are you doing here? 381 00:13:37,817 --> 00:13:39,902 Oh, I'm down to see a consult… 382 00:13:39,985 --> 00:13:42,530 young man with a hot appy. 383 00:13:42,613 --> 00:13:45,032 - Are you a med student? - Oh, yes, ma'am. 384 00:13:45,115 --> 00:13:46,700 This is a great case for the students. 385 00:13:46,784 --> 00:13:48,285 Can they come with? 386 00:13:48,369 --> 00:13:50,246 I'd be happy to do a little bedside teaching. 387 00:13:50,329 --> 00:13:51,914 - Oh, we have a four-year-old… - Oh, yeah, I would love that. 388 00:13:51,997 --> 00:13:53,165 Do you mind if I join? 389 00:13:53,249 --> 00:13:54,708 Maybe I can learn something new. 390 00:13:54,792 --> 00:13:56,001 - Sure. - Great. 391 00:13:56,085 --> 00:13:57,628 I just… I don't need anyone else 392 00:13:57,711 --> 00:13:59,296 associating me with my mom. 393 00:13:59,380 --> 00:14:02,341 I know, but I just can't say no to a hot appy. 394 00:14:02,424 --> 00:14:04,927 These are student doctors. 395 00:14:05,010 --> 00:14:07,054 - Mind if I do a little teaching? - Go for it. 396 00:14:07,137 --> 00:14:09,640 Now, everyone knows McBurney's point. 397 00:14:09,723 --> 00:14:12,726 But who can tell me the name of this sign? 398 00:14:12,810 --> 00:14:16,522 Tim, raise your right leg, please. 399 00:14:16,605 --> 00:14:18,649 - Oh! - Psoas sign. 400 00:14:18,732 --> 00:14:20,651 Causing friction of the psoas muscle 401 00:14:20,734 --> 00:14:22,361 over the inflamed appendix. 402 00:14:22,444 --> 00:14:23,863 Excellent. 403 00:14:23,946 --> 00:14:25,698 Now, back in the day, appendicitis meant 404 00:14:25,781 --> 00:14:27,867 you went straight to the OR. 405 00:14:27,950 --> 00:14:31,120 Who can tell me about the CODA study? 406 00:14:31,203 --> 00:14:34,039 Uh, well, it's from a 2020 "New England Journal" trial 407 00:14:34,123 --> 00:14:37,001 comparing surgery to antibiotics, you know? 408 00:14:37,084 --> 00:14:38,878 It, um…it showed that without an appendicolith, 409 00:14:38,961 --> 00:14:43,007 there was a 75% success rate in the antibiotic-only group. 410 00:14:43,090 --> 00:14:44,633 Exactly. 411 00:14:44,717 --> 00:14:48,220 Honey, we discussed the study at home, right? 412 00:14:48,304 --> 00:14:50,556 "Honey"? 413 00:14:50,639 --> 00:14:53,017 Wait. She's your mom? 414 00:14:53,100 --> 00:14:55,311 It's…it's Victoria.. 415 00:14:55,394 --> 00:14:57,605 or Javadi, Dr. Shamsi. 416 00:15:00,983 --> 00:15:02,651 Uh, hello? 417 00:15:02,735 --> 00:15:04,236 Oh, yeah, I'll be right there. 418 00:15:04,320 --> 00:15:05,613 Mrs. Grant now has chest pain. 419 00:15:05,696 --> 00:15:07,114 If you'll excuse us. 420 00:15:07,197 --> 00:15:10,117 Oh, yeah, go. Patients come first. 421 00:15:11,535 --> 00:15:14,955 - Who's Mrs. Grant? - Nobody. I made her up. 422 00:15:15,039 --> 00:15:16,498 Sorry. 423 00:15:16,582 --> 00:15:18,459 You just had that look on your face 424 00:15:18,542 --> 00:15:20,753 my son gives me when I give his basketball team 425 00:15:20,836 --> 00:15:23,464 pointers from the sideline. 426 00:15:23,547 --> 00:15:25,382 I'm sorry. 427 00:15:27,509 --> 00:15:29,011 No, I think renovations 428 00:15:29,094 --> 00:15:30,638 should be treated like dental care. 429 00:15:30,721 --> 00:15:32,514 Leave it to the professionals. 430 00:15:32,598 --> 00:15:35,768 They're the only ones that should be climbing on ladders. 431 00:15:35,851 --> 00:15:37,353 Um, is my family here yet? 432 00:15:37,436 --> 00:15:39,438 I'm not sure. We'll check. How was the CT? 433 00:15:39,521 --> 00:15:41,148 Head and neck normal, but tech found 434 00:15:41,231 --> 00:15:43,067 a small hemothorax on the right. 435 00:15:43,150 --> 00:15:44,526 - What's that? - It's a little bleeding 436 00:15:44,610 --> 00:15:45,861 around the lung where you broke a rib. 437 00:15:45,945 --> 00:15:47,404 He's also been more short of breath 438 00:15:47,488 --> 00:15:50,282 - since after the scan. - Is that from the pain? 439 00:15:50,366 --> 00:15:51,825 Silas? 440 00:15:51,909 --> 00:15:53,786 Hey, Silas, wake up. 441 00:15:53,869 --> 00:15:55,245 Lost the radial pulse. 442 00:15:55,329 --> 00:15:57,122 Thready carotid. His BP'S crashing. 443 00:15:57,206 --> 00:16:00,250 I think he might need a chest tube. 444 00:16:00,334 --> 00:16:01,710 Check another hemocue. 445 00:16:01,794 --> 00:16:03,462 Get type specific from the blood bank. 446 00:16:04,880 --> 00:16:06,215 BP 72 over 44. 447 00:16:06,298 --> 00:16:07,466 Pulse ox 89. 448 00:16:07,549 --> 00:16:09,385 He just dropped his BP and sats. 449 00:16:09,468 --> 00:16:10,886 Put him on 100% nonrebreather. 450 00:16:10,970 --> 00:16:13,055 - Call for two units. - Already done. 451 00:16:13,138 --> 00:16:15,766 Normal head CT. Small hemothorax on the right. 452 00:16:15,849 --> 00:16:18,143 Which has now turned into a huge collection of blood. 453 00:16:18,227 --> 00:16:19,561 Prep for a chest tube. 20 French. 454 00:16:19,645 --> 00:16:20,938 I would love to do the chest tube. 455 00:16:21,021 --> 00:16:22,564 You got it. I'll guide you. 456 00:16:22,648 --> 00:16:24,566 Sats are low. Should we intubate? 457 00:16:24,650 --> 00:16:26,151 Not until after the chest tube's in. 458 00:16:26,235 --> 00:16:27,861 We wouldn't want to cause a tension pneumo. 459 00:16:27,945 --> 00:16:29,738 She won't make that mistake again. 460 00:16:34,994 --> 00:16:37,621 Ten blade to Dr. Santos. 461 00:16:39,373 --> 00:16:41,208 There's a lot of breast tissue. 462 00:16:41,291 --> 00:16:43,377 Focus on the chest tube. 463 00:16:43,460 --> 00:16:45,587 Fifth intercostal space, 464 00:16:45,671 --> 00:16:48,215 - anterior axillary line. - Perfect. 465 00:16:51,719 --> 00:16:54,138 Long Kelly next. 466 00:16:55,597 --> 00:16:57,891 - Fuck! - Oh, my God. Are you OK? 467 00:16:57,975 --> 00:16:59,184 Oh, that's got to hurt. 468 00:16:59,268 --> 00:17:00,894 - Leave it! - OK, but… 469 00:17:00,978 --> 00:17:03,355 - OK, I'm stepping in. - No, you're not gloved. 470 00:17:03,439 --> 00:17:04,481 I got this. 471 00:17:04,565 --> 00:17:06,567 - I-I… - On my own. 472 00:17:12,197 --> 00:17:13,824 Glove up. You're sewing this in. 473 00:17:19,121 --> 00:17:21,999 - We're good. No need to hover. - OK. 474 00:17:22,082 --> 00:17:24,209 I'll be next door if you need me. 475 00:17:26,670 --> 00:17:28,630 - Sats and BP look perfect. - Mm-hmm. 476 00:17:28,714 --> 00:17:31,341 - We ready to go in here? - We're getting there. 477 00:17:31,425 --> 00:17:33,093 - You good? - Absolutely. 478 00:17:33,177 --> 00:17:35,137 You start feeling lightheaded, just speak up, OK? 479 00:17:35,220 --> 00:17:36,847 Yeah. 480 00:17:36,930 --> 00:17:39,391 OK, you're gonna pretend you're a pirate 481 00:17:39,475 --> 00:17:41,560 with your foot on a keg of rum. 482 00:17:41,643 --> 00:17:43,395 - Are you serious? - Yep. 483 00:17:43,479 --> 00:17:45,230 This is the Captain Morgan technique for hip reduction. 484 00:17:45,314 --> 00:17:47,066 Who's Captain Morgan? 485 00:17:47,149 --> 00:17:48,650 The guy on the rum bottle? 486 00:17:51,195 --> 00:17:52,863 I'll stabilize the pelvis. 487 00:17:52,946 --> 00:17:55,240 OK, you're gonna step up here. 488 00:17:55,324 --> 00:17:57,701 Actually, let me just…sorry. 489 00:17:57,785 --> 00:18:01,705 Yeah, and you are gonna put your right leg behind his knee. 490 00:18:01,789 --> 00:18:04,124 - Like this? - Yeah. 491 00:18:04,208 --> 00:18:06,919 And you are gonna use your leg as a hinge 492 00:18:07,002 --> 00:18:08,128 to put anterior force on his femur. 493 00:18:08,212 --> 00:18:09,797 Physics. 494 00:18:09,880 --> 00:18:11,465 Push down on the lower leg with your left hand. 495 00:18:11,548 --> 00:18:13,342 You got this. Put your back into it. 496 00:18:13,425 --> 00:18:15,928 The hip is a big joint with lots of muscle stabilizing it. 497 00:18:16,011 --> 00:18:19,056 OK. 498 00:18:22,392 --> 00:18:23,560 - Whoa! - Oh, shit. 499 00:18:23,644 --> 00:18:25,187 I mean, shoot. 500 00:18:25,270 --> 00:18:27,397 And that is what a hip reduction feels like. 501 00:18:27,481 --> 00:18:28,482 Nicely done. 502 00:18:28,565 --> 00:18:31,318 Thank you. 503 00:18:31,401 --> 00:18:33,570 I hear you have an 85-year-old patient 504 00:18:33,654 --> 00:18:35,948 who may have been abandoned by her primary caregiver. 505 00:18:36,031 --> 00:18:37,866 Well, maybe. I-I hope not. 506 00:18:37,950 --> 00:18:39,827 I don't really know what to do. We can't find the daughter. 507 00:18:39,910 --> 00:18:41,537 And I'm really worried about the mom… 508 00:18:41,620 --> 00:18:43,330 Slow down. We'll figure this out. 509 00:18:43,413 --> 00:18:45,499 What do you think happened? 510 00:18:45,582 --> 00:18:48,210 Um, well, Ginger has schizophrenia, and she fell. 511 00:18:48,293 --> 00:18:53,048 And the daughter was already so overwhelmed, I mean… 512 00:18:53,132 --> 00:18:54,716 maybe she ran. 513 00:18:54,800 --> 00:18:56,468 I don't want to say this is elder neglect, but… 514 00:18:56,552 --> 00:18:58,345 Don't jump to the worst case yet. 515 00:18:58,428 --> 00:19:01,223 I'll see if I can get ahold of any other family members. 516 00:19:01,306 --> 00:19:02,850 You know, I-I told the daughter… 517 00:19:02,933 --> 00:19:04,476 I told her to take a break, 518 00:19:04,560 --> 00:19:06,395 you know, to prioritize herself. 519 00:19:06,478 --> 00:19:08,063 And I-I just…I didn't think 520 00:19:08,147 --> 00:19:10,440 that she was gonna dump her mom, so… 521 00:19:10,524 --> 00:19:11,900 This isn't your fault. 522 00:19:11,984 --> 00:19:13,402 We're seeing more cases like this 523 00:19:13,485 --> 00:19:14,945 as Baby Boomers age. 524 00:19:15,028 --> 00:19:17,406 It's really tough on their families. 525 00:19:19,324 --> 00:19:20,701 Thanks. 526 00:19:20,784 --> 00:19:22,369 Dr. Robby, Nick Riley's 527 00:19:22,452 --> 00:19:24,663 cerebral perfusion study is back. 528 00:19:28,041 --> 00:19:30,544 No blood flow past the brain stem. 529 00:19:30,627 --> 00:19:32,296 OK. 530 00:19:32,379 --> 00:19:35,090 Let me know when the transplant people from CORE arrive. 531 00:19:35,174 --> 00:19:36,383 Will do. 532 00:19:44,808 --> 00:19:46,935 - Any news? - There is. 533 00:19:47,019 --> 00:19:49,062 Why don't we step outside? 534 00:19:52,065 --> 00:19:53,275 Mm. 535 00:19:55,027 --> 00:19:56,486 Let's go this way. 536 00:20:07,331 --> 00:20:10,876 So I have the results of Nick's cerebral perfusion scan. 537 00:20:13,337 --> 00:20:15,631 Unfortunately, it shows that there's no blood flow 538 00:20:15,714 --> 00:20:17,049 to Nick's brain. 539 00:20:20,636 --> 00:20:22,804 Uh, what am I looking at? 540 00:20:22,888 --> 00:20:25,224 It might help you if I showed you. 541 00:20:25,307 --> 00:20:27,142 This is a healthy brain. 542 00:20:27,226 --> 00:20:28,477 See the black? 543 00:20:28,560 --> 00:20:30,938 That's blood flowing to the cerebrum. 544 00:20:31,021 --> 00:20:33,190 When there's no blood flow… 545 00:20:33,273 --> 00:20:35,275 It's white. 546 00:20:35,359 --> 00:20:37,653 Yes. 547 00:20:37,736 --> 00:20:38,987 He's brain-dead. 548 00:20:39,071 --> 00:20:40,822 I am so very sorry. 549 00:20:42,241 --> 00:20:45,035 I prayed. I had hoped… 550 00:20:45,118 --> 00:20:47,496 We all did. 551 00:20:47,579 --> 00:20:49,373 So he's not… 552 00:20:49,456 --> 00:20:52,542 he's not coming back? 553 00:20:52,626 --> 00:20:54,461 No. 554 00:20:54,544 --> 00:20:58,131 The apnea test and now the perfusion scan prove that. 555 00:20:59,675 --> 00:21:01,093 What happens now? 556 00:21:01,176 --> 00:21:03,428 He's hooked up to all those machines… 557 00:21:03,512 --> 00:21:05,097 Take some time. 558 00:21:05,180 --> 00:21:07,891 Try to process this news. 559 00:21:07,975 --> 00:21:10,727 A family support specialist will come in very soon 560 00:21:10,811 --> 00:21:12,646 and help you through the next steps. 561 00:21:12,729 --> 00:21:14,064 Thank you. 562 00:21:36,378 --> 00:21:38,964 - Are you OK? - Yeah. 563 00:21:39,047 --> 00:21:41,133 I just had to show the parents of the OD'd teen 564 00:21:41,216 --> 00:21:43,677 the perfusion scan results. 565 00:21:43,760 --> 00:21:44,886 How'd it go? 566 00:21:44,970 --> 00:21:47,347 Oh, it never gets easier. 567 00:21:47,431 --> 00:21:49,599 Is that Dr. Robby? 568 00:21:49,683 --> 00:21:51,393 You owe me a dance. 569 00:21:51,476 --> 00:21:52,686 Looks like an opportunity 570 00:21:52,769 --> 00:21:55,147 to boost your patient satisfaction. 571 00:21:55,230 --> 00:21:57,149 Well, I am a little rusty, 572 00:21:57,232 --> 00:21:58,859 but let's give it a go, shall we? 573 00:21:58,942 --> 00:22:00,193 Mm-hmm. 574 00:22:00,277 --> 00:22:02,154 - Ready? - Mm-hmm. 575 00:22:02,237 --> 00:22:05,240 Whoo! 576 00:22:10,829 --> 00:22:15,000 Xeroform first, then two cut 4x4s. 577 00:22:15,083 --> 00:22:16,710 Kim will show you how to do it right. 578 00:22:16,793 --> 00:22:18,462 I absolutely will. 579 00:22:18,545 --> 00:22:19,713 Thanks. 580 00:22:19,796 --> 00:22:21,298 Only 500 out. 581 00:22:21,381 --> 00:22:23,633 He won't need the OR. 582 00:22:23,717 --> 00:22:27,346 You, follow me. 583 00:22:33,977 --> 00:22:35,270 I totally fucked up. 584 00:22:35,354 --> 00:22:37,230 Tell me something I don't know. 585 00:22:41,526 --> 00:22:44,112 You're confident. That's good. 586 00:22:44,196 --> 00:22:47,949 But there's a fine line between confidence and cockiness. 587 00:22:48,033 --> 00:22:49,910 Should I draw your blood? 588 00:22:49,993 --> 00:22:51,620 You already did. 589 00:22:51,703 --> 00:22:54,998 Yeah, I-I mean for the HIV and hepatitis panels. 590 00:22:55,082 --> 00:22:56,708 I can do Silas', too. 591 00:22:56,792 --> 00:23:00,420 No, I'll have Dana do it after the wound repair. 592 00:23:02,047 --> 00:23:03,298 C-can I suture for you? 593 00:23:03,382 --> 00:23:05,175 Hell, no. I'll do it myself. 594 00:23:05,258 --> 00:23:06,593 You can assist. 595 00:23:06,676 --> 00:23:09,012 Set me up a chux, suture tray, betadine, 596 00:23:09,096 --> 00:23:11,973 irrigation saline, syringe on splash guard, 597 00:23:12,057 --> 00:23:13,809 and 5-0 prolene. 598 00:23:13,892 --> 00:23:18,605 1% lido with epi, 5 CC syringe, 27-gauge needle. 599 00:23:32,160 --> 00:23:34,329 Mom and Kristi still talking in there? 600 00:23:34,413 --> 00:23:35,997 Mm-hmm. 601 00:23:36,081 --> 00:23:38,083 I'm giving them as much time as I can. 602 00:23:38,166 --> 00:23:39,584 Within reason. 603 00:23:39,668 --> 00:23:41,002 Do you think Mom will consent 604 00:23:41,086 --> 00:23:42,712 to Kristi terminating the pregnancy? 605 00:23:42,796 --> 00:23:46,425 A woman should only have a child if she wants to. 606 00:23:46,508 --> 00:23:48,552 Well, if you'd just gone with Abbot's measurements, 607 00:23:48,635 --> 00:23:51,304 they would have been discharged an hour ago. 608 00:23:51,388 --> 00:23:53,014 Are you serious? 609 00:23:53,098 --> 00:23:54,766 I need a doctor in triage ASAP. 610 00:23:54,850 --> 00:23:55,976 - What's up? - I have a teen 611 00:23:56,059 --> 00:23:57,060 with severe scrotal pain. 612 00:23:57,144 --> 00:23:58,437 I need to rule out torsion. 613 00:23:58,520 --> 00:24:00,439 Pull four of intranasal Versed. 614 00:24:00,522 --> 00:24:03,024 - I got this. - Be my guest. 615 00:24:08,029 --> 00:24:09,364 Hi. 616 00:24:09,448 --> 00:24:11,700 Look at this beautiful Black queen. 617 00:24:11,783 --> 00:24:13,702 - Are you our doctor? - Thank you. 618 00:24:13,785 --> 00:24:15,829 Uh, yes, I'm Dr. Heather Collins. 619 00:24:15,912 --> 00:24:17,706 And I take it this is Dillon? 620 00:24:17,789 --> 00:24:19,875 Mm-hmm. And I'm his mother, Tina. 621 00:24:19,958 --> 00:24:22,502 It's nice to meet you both. 622 00:24:22,586 --> 00:24:24,337 Dillon, when did the pain start? 623 00:24:24,421 --> 00:24:26,298 It started, like, an hour ago. 624 00:24:26,381 --> 00:24:28,300 Did you get kicked or hit with a ball or anything? 625 00:24:28,383 --> 00:24:30,927 No, it…it just came out of nowhere. 626 00:24:31,011 --> 00:24:32,387 Oh, God. 627 00:24:32,471 --> 00:24:33,847 OK. 628 00:24:33,930 --> 00:24:35,765 I need to do an ultrasound to make sure 629 00:24:35,849 --> 00:24:37,309 your testicle didn't twist on itself 630 00:24:37,392 --> 00:24:38,685 and cut off the blood supply. 631 00:24:38,768 --> 00:24:40,145 Is that all right with you? 632 00:24:40,228 --> 00:24:41,688 Can I get, like, a dude doctor? 633 00:24:41,771 --> 00:24:43,231 Come on, Dillon. 634 00:24:43,315 --> 00:24:45,650 This is the doctor you want. I promise you. 635 00:24:47,110 --> 00:24:48,487 OK, fine. It really fucking hurts. 636 00:24:48,570 --> 00:24:49,863 - Language, baby. - Thanks. 637 00:24:49,946 --> 00:24:51,615 - I'm sorry. It really does. - OK. 638 00:24:51,698 --> 00:24:53,492 We're going to squirt some medicine up your nose. 639 00:24:53,575 --> 00:24:56,203 It'll help you relax and help take away some of the pain. 640 00:24:56,286 --> 00:24:57,537 Then do it. 641 00:24:57,621 --> 00:24:59,080 OK, Dr. Collins says it'll help. 642 00:24:59,164 --> 00:25:00,582 I know, Mom. I heard her. My ears are fine. 643 00:25:00,665 --> 00:25:01,958 It's my junk that's killing me. Please. 644 00:25:02,042 --> 00:25:04,461 - OK, sorry, baby. - Come on, bro. 645 00:25:04,544 --> 00:25:06,963 Hold still. 646 00:25:07,047 --> 00:25:08,340 All good, Beto? 647 00:25:08,423 --> 00:25:11,301 All good, Doctor. 648 00:25:11,384 --> 00:25:12,928 That'll be us one day. 649 00:25:13,011 --> 00:25:14,387 You sooner than me, of course. 650 00:25:14,471 --> 00:25:16,348 Shit. Thanks. 651 00:25:16,431 --> 00:25:18,975 I was one crack pipe away from winning the whole thing. 652 00:25:19,059 --> 00:25:20,810 So Collins won, huh? 653 00:25:20,894 --> 00:25:23,104 You guys ever find out why those kids stole the rig? 654 00:25:23,188 --> 00:25:25,232 Uh, undeveloped prefrontal cortex. 655 00:25:25,315 --> 00:25:28,318 Idiots gonna do prison time now. 656 00:25:28,401 --> 00:25:31,613 Dr. Langdon, I have Joseph Marino's CT results. 657 00:25:31,696 --> 00:25:33,698 Our seizure patient. 658 00:25:33,782 --> 00:25:36,076 How's Garcia? 659 00:25:36,159 --> 00:25:38,995 Uh, she's fine. She's getting her labs drawn. 660 00:25:39,079 --> 00:25:40,956 I'll go visit her in a minute, start a chart on her. 661 00:25:41,039 --> 00:25:42,457 What happened to your old bud? 662 00:25:42,541 --> 00:25:43,750 Oh, long story. 663 00:25:43,833 --> 00:25:45,252 Let's take a look. 664 00:25:45,335 --> 00:25:46,962 You see what I'm seeing? 665 00:25:47,045 --> 00:25:48,755 Neurocysticercosis. 666 00:25:48,838 --> 00:25:50,507 Be gentle with this one. 667 00:25:50,590 --> 00:25:52,759 Patients don't usually handle this diagnosis very well. 668 00:25:52,842 --> 00:25:54,010 Got it. 669 00:25:59,516 --> 00:26:01,977 There is no blood flow here at all. 670 00:26:02,060 --> 00:26:03,520 Is that dangerous? 671 00:26:03,603 --> 00:26:05,188 If it goes untreated for more than six hours, 672 00:26:05,272 --> 00:26:06,898 he could lose a testicle. 673 00:26:06,982 --> 00:26:08,108 I could… 674 00:26:08,191 --> 00:26:09,651 I could lose my balls? 675 00:26:09,734 --> 00:26:11,570 One testicle. 676 00:26:11,653 --> 00:26:13,238 And we're going to try and prevent that. 677 00:26:13,321 --> 00:26:15,073 What the hell were you doing, Dillon? 678 00:26:15,156 --> 00:26:16,866 I'm taking that lock off your door. 679 00:26:16,950 --> 00:26:18,285 It's difficult to know 680 00:26:18,368 --> 00:26:20,537 what causes a torsion, unfortunately. 681 00:26:20,620 --> 00:26:22,414 Dillon, hey, 682 00:26:22,497 --> 00:26:25,750 it's really important that I try and fix this now. 683 00:26:25,834 --> 00:26:27,711 OK. 684 00:26:29,337 --> 00:26:33,258 And I see we're gonna have a new prescription sent to… 685 00:26:34,551 --> 00:26:36,219 To the pharmacy. 686 00:26:36,303 --> 00:26:38,305 And, uh, it's just one pill every morning. 687 00:26:38,388 --> 00:26:41,182 OK, up next, nausea and vomiting in North 4. 688 00:26:41,266 --> 00:26:43,226 Oh. Ah, ah, ah, ah. 689 00:26:43,310 --> 00:26:44,644 Forearm X-rays are back 690 00:26:44,728 --> 00:26:46,271 on Mr. Ofori in the south corridor. 691 00:26:46,354 --> 00:26:47,814 You can discharge with a volar splint. 692 00:26:47,897 --> 00:26:49,608 Notify ortho. ADF. 693 00:26:49,691 --> 00:26:52,235 Always discharge first. Got it. 694 00:26:56,531 --> 00:26:58,074 Four-year-old with a fever. 695 00:26:58,158 --> 00:27:00,535 Your medical decision-making says otitis media. 696 00:27:00,619 --> 00:27:02,245 Yeah, she had an ear infection. 697 00:27:02,329 --> 00:27:04,039 Did you also consider and rule out 698 00:27:04,122 --> 00:27:07,292 meningitis, mastoiditis, malignant otitis externa? 699 00:27:07,375 --> 00:27:09,169 I did. 700 00:27:09,252 --> 00:27:11,755 Then you should document your cognitive work in the MDM. 701 00:27:11,838 --> 00:27:13,298 You want me to pad my chart? 702 00:27:13,381 --> 00:27:14,924 No, I want you to show your work. 703 00:27:15,008 --> 00:27:17,260 Billing is a side effect of that. 704 00:27:18,511 --> 00:27:21,556 Did anyone listen to what I said earlier? 705 00:27:21,640 --> 00:27:24,601 Most of the time, the torsion is to the inside, 706 00:27:24,684 --> 00:27:27,437 so we rotate outward by opening the book. 707 00:27:29,189 --> 00:27:32,484 The testicle might have twisted the other way. 708 00:27:32,567 --> 00:27:35,070 Uh, let's go back 180 709 00:27:35,153 --> 00:27:38,531 and then try another 180 to the inside. 710 00:27:42,535 --> 00:27:44,788 That's good. 711 00:27:44,871 --> 00:27:46,581 That feels good. 712 00:27:46,665 --> 00:27:48,792 - I think I'm OK now. - It's fixed? 713 00:27:48,875 --> 00:27:50,210 For the time being. 714 00:27:50,293 --> 00:27:52,212 We need to admit to Urology. 715 00:27:52,295 --> 00:27:54,464 He'll need minor surgery to tack it down 716 00:27:54,547 --> 00:27:56,299 and prevent it from happening again. 717 00:27:56,383 --> 00:27:57,676 Thank you. 718 00:27:57,759 --> 00:27:59,636 Dillon, say thank you. 719 00:27:59,719 --> 00:28:01,554 Thank you. 720 00:28:01,638 --> 00:28:03,890 I'll call Urology and see about the wait. 721 00:28:03,973 --> 00:28:07,102 - Thanks. - Thank you, too. 722 00:28:07,185 --> 00:28:09,229 Any other questions I can answer for you? 723 00:28:09,312 --> 00:28:11,064 Yes, can you please let me know 724 00:28:11,147 --> 00:28:12,982 how we can sign up for you to be our doctor? 725 00:28:13,066 --> 00:28:15,026 I specialize in emergency medicine, 726 00:28:15,110 --> 00:28:18,446 so I only work at this hospital and not in primary care. 727 00:28:18,530 --> 00:28:20,073 Damn. 728 00:28:20,156 --> 00:28:22,033 Please let me know when you get your own office 729 00:28:22,117 --> 00:28:24,327 because you have been wonderful. 730 00:28:24,411 --> 00:28:28,039 And you have a great relationship with your son. 731 00:28:28,123 --> 00:28:31,126 He is my heart in human form. 732 00:28:31,209 --> 00:28:32,419 Oh. 733 00:28:32,502 --> 00:28:33,878 Do you have any? 734 00:28:33,962 --> 00:28:37,132 Uh… Not yet, but, uh… 735 00:28:37,215 --> 00:28:38,758 hopefully soon. 736 00:28:38,842 --> 00:28:40,343 Hey, I've been in triage. 737 00:28:40,427 --> 00:28:42,011 What's the update on incel kid's mom? 738 00:28:42,095 --> 00:28:44,347 Please don't refer to her that way. 739 00:28:44,431 --> 00:28:45,849 Theresa is rehydrated, 740 00:28:45,932 --> 00:28:47,559 and her electrolytes have been replaced. 741 00:28:47,642 --> 00:28:49,477 I'm gonna let her know that she can be discharged. 742 00:28:49,561 --> 00:28:51,312 Did she hear from her son who ran off? 743 00:28:51,396 --> 00:28:53,732 I have no idea. 744 00:28:53,815 --> 00:28:55,734 I'm ready to get law enforcement involved 745 00:28:55,817 --> 00:28:57,861 whenever you are. 746 00:28:57,944 --> 00:29:00,155 If he's not here, he could be out there hurting somebody. 747 00:29:00,238 --> 00:29:02,282 I'm not ready to ruin a kid's life over a thought crime. 748 00:29:02,365 --> 00:29:04,159 We just need to make sure that he's not… 749 00:29:04,242 --> 00:29:06,995 OK. OK. OK, I get it. 750 00:29:07,078 --> 00:29:09,080 I heard you loud and clear when you brought this up before. 751 00:29:09,164 --> 00:29:10,540 I will speak to Theresa. 752 00:29:10,623 --> 00:29:12,041 I will see if she's talked to her son. 753 00:29:12,125 --> 00:29:13,209 Fine. 754 00:29:13,293 --> 00:29:15,295 We should admit her. 755 00:29:15,378 --> 00:29:16,838 She's recovered. 756 00:29:16,921 --> 00:29:19,007 She's good physically, but she made herself sick 757 00:29:19,090 --> 00:29:20,300 to get her son here. 758 00:29:20,383 --> 00:29:21,634 She's clearly not coping, 759 00:29:21,718 --> 00:29:23,845 and she needs professional help. 760 00:29:26,556 --> 00:29:31,478 Neurocysticercosis, a parasite in your brain. 761 00:29:31,561 --> 00:29:34,564 I thought I just had a migraine, but I have… 762 00:29:34,647 --> 00:29:36,149 bugs in my head? 763 00:29:36,232 --> 00:29:37,525 Well, not exactly. 764 00:29:37,609 --> 00:29:40,570 You had larva from a pork tapeworm 765 00:29:40,653 --> 00:29:43,406 that made multiple cysts, but they're all dead now. 766 00:29:43,490 --> 00:29:45,033 A worm? 767 00:29:45,116 --> 00:29:46,785 In my fucking head? Are you kidding me? 768 00:29:46,868 --> 00:29:48,745 No, no, you don't have a worm in your head. 769 00:29:48,828 --> 00:29:50,330 You just said that I have… 770 00:29:50,413 --> 00:29:52,457 I said you had a worm in your head, 771 00:29:52,540 --> 00:29:53,917 but it's dead and long gone. 772 00:29:54,000 --> 00:29:56,127 What we're seeing on the CT is scarring 773 00:29:56,211 --> 00:29:58,671 around those dead cysts. 774 00:29:58,755 --> 00:30:01,049 - Like dead worm eggs? - Larvae. 775 00:30:06,721 --> 00:30:08,848 Is my brain like Swiss cheese? Am I dying? 776 00:30:08,932 --> 00:30:11,851 - No, no, you're not dying. - Joseph, you're gonna be OK. 777 00:30:11,935 --> 00:30:14,854 The…the cysts are tiny, and they're calcified over. 778 00:30:14,938 --> 00:30:16,981 There'll be no further damage. 779 00:30:17,065 --> 00:30:19,734 - Can you fix it? - Unfortunately, no. 780 00:30:19,818 --> 00:30:22,362 The…the little calcified spots will stay there. 781 00:30:22,445 --> 00:30:25,156 So there's gonna be a worm graveyard in my brain forever? 782 00:30:25,240 --> 00:30:27,951 Yeah, but they're resting in peace. 783 00:30:31,120 --> 00:30:33,790 Hi, Theresa. Any word from David? 784 00:30:33,873 --> 00:30:35,333 Not yet. 785 00:30:35,416 --> 00:30:37,168 It's still important that we talk to him, 786 00:30:37,252 --> 00:30:38,670 so keep trying. 787 00:30:38,753 --> 00:30:41,422 In the meantime, you are cleared to go home. 788 00:30:41,506 --> 00:30:43,925 But I had a thought. 789 00:30:44,008 --> 00:30:46,761 I'm concerned that you took so much ipecac. 790 00:30:46,845 --> 00:30:48,638 I don't want you to do that again. 791 00:30:48,721 --> 00:30:50,473 Oh, I won't. 792 00:30:52,851 --> 00:30:55,728 How have things been at home lately? 793 00:30:57,647 --> 00:30:59,107 Different. 794 00:31:01,860 --> 00:31:05,530 One of us is always sad since my husband died. 795 00:31:06,948 --> 00:31:08,449 Would you be willing to speak 796 00:31:08,533 --> 00:31:10,660 to a behavioral health specialist? 797 00:31:10,743 --> 00:31:12,370 I don't need that. 798 00:31:13,830 --> 00:31:16,082 Did you talk to anybody after your husband passed? 799 00:31:16,165 --> 00:31:19,419 Friends, family. 800 00:31:19,502 --> 00:31:20,753 Anybody professionally? 801 00:31:20,837 --> 00:31:24,382 Therapist, clergy, social worker? 802 00:31:26,968 --> 00:31:29,387 Devastating personal loss can be very hard 803 00:31:29,470 --> 00:31:31,723 to manage on your own. 804 00:31:31,806 --> 00:31:33,558 It's OK to need help. 805 00:31:35,059 --> 00:31:38,021 It might even improve your communication with David. 806 00:31:41,983 --> 00:31:44,569 - OK. - Great. 807 00:31:44,652 --> 00:31:47,655 I phoned in a favor with behavioral health. 808 00:31:47,739 --> 00:31:50,783 They can get you in to see a psychologist at 1:30. 809 00:31:50,867 --> 00:31:52,452 Today? 810 00:31:52,535 --> 00:31:54,412 Mm-hmm, in an hour. 811 00:31:57,206 --> 00:32:00,001 - O-OK. - Great. 812 00:32:01,878 --> 00:32:04,839 Oh, hey. I was just coming to check on you two. 813 00:32:04,923 --> 00:32:08,593 - Are…are you leaving? - Yes, we're going home. 814 00:32:08,676 --> 00:32:10,845 Were you able to come to a decision? 815 00:32:10,929 --> 00:32:13,681 Kristi is gonna stay in school until she's due. 816 00:32:13,765 --> 00:32:15,642 Is that what you want? 817 00:32:20,396 --> 00:32:22,941 Morning sickness. 818 00:32:23,024 --> 00:32:25,693 I hate this. 819 00:32:25,777 --> 00:32:27,195 OK. 820 00:32:27,278 --> 00:32:28,863 Let me get you some anti-nausea medicine. 821 00:32:28,947 --> 00:32:30,406 It'll help you feel better. 822 00:32:30,490 --> 00:32:33,868 And you've got a long drive ahead of you. 823 00:32:33,952 --> 00:32:35,453 OK, fine. 824 00:32:35,536 --> 00:32:38,957 I never did meds, but sure. 825 00:32:39,040 --> 00:32:40,667 Dr. Santos? 826 00:32:40,750 --> 00:32:42,418 Susan and Alana Dunn… 827 00:32:42,502 --> 00:32:45,129 here for an update on Silas Dunn, your ladder fall. 828 00:32:45,213 --> 00:32:46,255 - Thanks, Mateo. - Yeah. 829 00:32:46,339 --> 00:32:47,840 Is it serious? 830 00:32:47,924 --> 00:32:49,842 He broke a few ribs on his right side 831 00:32:49,926 --> 00:32:52,679 from the fall, which caused some bleeding around the lungs. 832 00:32:52,762 --> 00:32:54,973 So he has a drainage catheter in his chest. 833 00:32:55,056 --> 00:32:56,641 And with the trauma, 834 00:32:56,724 --> 00:32:58,393 his oxygen levels were really low, 835 00:32:58,476 --> 00:33:00,770 so he needed a breathing tube in his windpipe. 836 00:33:00,853 --> 00:33:02,397 Good Lord. 837 00:33:02,480 --> 00:33:04,190 Could he die? 838 00:33:04,273 --> 00:33:06,818 His condition is serious, but it's…it's stable now. 839 00:33:06,901 --> 00:33:08,695 Would you like to go see him? 840 00:33:08,778 --> 00:33:10,571 He won't be able to talk with the breathing tube in, but… 841 00:33:10,655 --> 00:33:11,906 Yeah. Where is he? 842 00:33:11,990 --> 00:33:13,408 No, we'll wait in the waiting room. 843 00:33:13,491 --> 00:33:15,284 - But, Mom… - Alana, please. 844 00:33:15,368 --> 00:33:18,997 Just let the doctors do what they need to do for your dad. 845 00:33:19,080 --> 00:33:21,040 We will find you with any updates. 846 00:33:21,124 --> 00:33:22,125 Thanks. 847 00:33:31,217 --> 00:33:33,261 Doing OK, kid? 848 00:33:33,344 --> 00:33:35,555 Oh, yeah, I was just checking something. 849 00:33:35,638 --> 00:33:37,306 I should get back to work. 850 00:33:37,390 --> 00:33:39,809 Anything I can do to help, I'm available. 851 00:33:39,892 --> 00:33:41,102 Thank you. 852 00:33:41,185 --> 00:33:43,104 It's just that I have, um… 853 00:33:43,187 --> 00:33:45,440 I have a dependent patient 854 00:33:45,523 --> 00:33:48,026 whose daughter might have ditched her. 855 00:33:48,109 --> 00:33:50,445 You don't always get to see the best side of people. 856 00:33:50,528 --> 00:33:52,530 I guess it just kind of makes me sad. 857 00:33:52,613 --> 00:33:54,240 It is sad. 858 00:33:54,323 --> 00:33:57,326 But you can't dwell on it. That'll tear you apart. 859 00:33:57,410 --> 00:33:59,328 Look, you've taken some time to step away. 860 00:33:59,412 --> 00:34:00,788 That's good. 861 00:34:00,872 --> 00:34:02,999 Don't forget, your patient needs you. 862 00:34:03,082 --> 00:34:05,293 - She still here? - Yes. I've… 863 00:34:05,376 --> 00:34:07,712 Mm, I've kind of been avoiding her. 864 00:34:07,795 --> 00:34:11,007 I don't really know what to tell her about her daughter. 865 00:34:11,090 --> 00:34:12,884 Well, you don't have to have all the answers. 866 00:34:12,967 --> 00:34:15,553 Sometimes just asking how someone's doing is enough. 867 00:34:19,223 --> 00:34:21,059 You got this. 868 00:34:21,142 --> 00:34:22,477 Come on. 869 00:34:29,734 --> 00:34:31,861 Will Miles be able to walk again? 870 00:34:31,944 --> 00:34:34,781 Yes, he will recover. 871 00:34:36,741 --> 00:34:38,367 None of this was supposed to happen. 872 00:34:38,451 --> 00:34:40,119 You want to share how it was supposed to go? 873 00:34:40,203 --> 00:34:42,038 'Cause you stole an ambulance. 874 00:34:43,331 --> 00:34:44,832 He did. 875 00:34:44,916 --> 00:34:46,501 That was dumb. 876 00:34:46,584 --> 00:34:49,170 Haven't you ever done anything stupid? 877 00:34:50,838 --> 00:34:53,257 No, not really. 878 00:34:53,341 --> 00:34:57,095 We were gonna drive it and bring it back to campus. 879 00:34:57,178 --> 00:35:00,640 I wanted the guys to see Miles, think he was cool. 880 00:35:00,723 --> 00:35:04,227 He has a hard time. He doesn't really fit in. 881 00:35:04,310 --> 00:35:06,229 That's actually kind of sweet. 882 00:35:06,312 --> 00:35:08,231 Some cops started chasing us. 883 00:35:08,314 --> 00:35:10,983 Miles freaked out. 884 00:35:11,067 --> 00:35:12,985 I'm pretty sure you saw the rest. 885 00:35:13,069 --> 00:35:15,947 It was just supposed to be a joke. 886 00:35:16,030 --> 00:35:18,157 Now we're going to jail. 887 00:35:20,326 --> 00:35:22,161 My mom's gonna kill me. 888 00:35:22,245 --> 00:35:24,705 Emma, no offense, but I can't exactly say 889 00:35:24,789 --> 00:35:26,332 I'm happy to see you. 890 00:35:26,415 --> 00:35:28,167 It comes with the territory. 891 00:35:28,251 --> 00:35:30,128 Is there anything more you can tell me about the parents? 892 00:35:30,211 --> 00:35:32,004 Lily and John Bradley. 893 00:35:32,088 --> 00:35:34,966 Middle class, college educated, Catholic. 894 00:35:35,049 --> 00:35:37,510 - How's their demeanor? - About what you'd expect. 895 00:35:37,593 --> 00:35:40,096 Nick was their only child. 896 00:35:40,179 --> 00:35:41,931 Got it. 897 00:35:42,014 --> 00:35:43,182 I'm ready. 898 00:35:43,266 --> 00:35:44,350 You? 899 00:35:46,352 --> 00:35:47,645 Never. 900 00:35:49,397 --> 00:35:50,898 John, Lily, 901 00:35:50,982 --> 00:35:52,900 uh, I want to introduce you to Emma Isaacs. 902 00:35:52,984 --> 00:35:54,694 She's a family support specialist 903 00:35:54,777 --> 00:35:57,780 that works with me and families in the emergency room. 904 00:35:57,864 --> 00:35:59,991 She's here to answer any questions that you have 905 00:36:00,074 --> 00:36:02,326 and to keep you informed. 906 00:36:02,410 --> 00:36:04,203 Hi, Mr. and Mrs. Bradley. 907 00:36:04,287 --> 00:36:05,997 Oh, uh, John and Lily, please. 908 00:36:06,080 --> 00:36:07,623 OK. I'll let you talk. 909 00:36:07,707 --> 00:36:09,959 Doctor, can you stay? 910 00:36:10,042 --> 00:36:12,378 Please. 911 00:36:12,461 --> 00:36:14,046 Sure. 912 00:36:14,130 --> 00:36:16,340 I'm happy to be here. 913 00:36:16,424 --> 00:36:19,969 Emma is really the expert, though. 914 00:36:20,052 --> 00:36:23,639 I understand your son is in here and not doing well. 915 00:36:23,723 --> 00:36:25,766 Can you tell me what Dr. Robby has told you 916 00:36:25,850 --> 00:36:28,686 about Nick's unfortunate situation? 917 00:36:30,563 --> 00:36:33,900 There's no blood going to Nick's brain. 918 00:36:33,983 --> 00:36:36,819 He's…he's brain-dead. 919 00:36:36,903 --> 00:36:38,988 So… 920 00:36:39,071 --> 00:36:41,657 he's dead. 921 00:36:41,741 --> 00:36:43,701 I'm so sorry for your loss. 922 00:36:43,784 --> 00:36:45,912 He was a wonderful son. 923 00:36:47,872 --> 00:36:50,416 He was the quietest baby. 924 00:36:50,499 --> 00:36:52,627 He slept…slept through the night. 925 00:36:52,710 --> 00:36:54,212 It was perfect. 926 00:36:54,295 --> 00:36:57,882 Um, if any one of his friends had a problem, 927 00:36:57,965 --> 00:37:01,385 he was there to listen, to… 928 00:37:01,469 --> 00:37:03,054 to lend a helping hand. 929 00:37:03,137 --> 00:37:04,639 He… 930 00:37:04,722 --> 00:37:07,099 he would have been a great man. 931 00:37:09,101 --> 00:37:12,730 Oh, I can't believe this is happening. 932 00:37:12,813 --> 00:37:15,316 I know how difficult this must be for you. 933 00:37:15,399 --> 00:37:17,443 Can you tell us what happens now? 934 00:37:17,526 --> 00:37:18,986 Yes. 935 00:37:19,070 --> 00:37:21,989 I can walk you through all the next steps. 936 00:37:25,910 --> 00:37:27,620 How are you… 937 00:37:27,703 --> 00:37:31,624 If you ask me how I'm doing, I swear I'll punch you. 938 00:37:31,707 --> 00:37:33,459 Did I miss something? 939 00:37:33,542 --> 00:37:36,629 I just didn't get to do my chest tube. 940 00:37:36,712 --> 00:37:37,922 He did. 941 00:37:39,882 --> 00:37:41,676 There's a little more to it than that… 942 00:37:41,759 --> 00:37:43,135 Not another word, 943 00:37:43,219 --> 00:37:46,472 unless you want your tongue stapled. 944 00:37:46,555 --> 00:37:47,541 All right, fuck it. 945 00:37:47,556 --> 00:37:49,016 I dropped a scalpel, 946 00:37:49,100 --> 00:37:51,435 and it stuck into Garcia's foot. 947 00:37:51,519 --> 00:37:53,145 Oh, that's bad. 948 00:37:53,229 --> 00:37:54,981 It might actually be worse than fainting, so… 949 00:37:55,064 --> 00:37:56,649 Well, at least I didn't kill anyone. 950 00:37:56,732 --> 00:37:58,776 - Day's only half over. - You killed a patient? 951 00:37:58,859 --> 00:37:59,944 Not really. 952 00:38:00,027 --> 00:38:01,237 You kind of did. 953 00:38:01,320 --> 00:38:03,572 I'm sorry. You did. 954 00:38:03,656 --> 00:38:05,616 It…it wasn't fully Huckleberry's fault. 955 00:38:05,700 --> 00:38:07,159 It was a fluke. 956 00:38:07,243 --> 00:38:09,245 He caught some gomer with a sneaky bad ticker. 957 00:38:09,328 --> 00:38:11,080 His name was Bennet. 958 00:38:11,163 --> 00:38:13,791 Oh, great, you can get his name tattooed on your chest. 959 00:38:13,874 --> 00:38:15,835 At least I'm not the only fuck-up here. 960 00:38:15,918 --> 00:38:17,712 I got nosebleed. 961 00:38:17,795 --> 00:38:19,922 So long, fellow losers. 962 00:38:24,885 --> 00:38:26,762 I'll reach out to a funeral director 963 00:38:26,846 --> 00:38:30,141 and get the paperwork started on arrangements. 964 00:38:30,224 --> 00:38:33,978 - What's the name of your church? - Um, St. Mary's. 965 00:38:35,604 --> 00:38:38,482 - Great. Thank you. - Mm-hmm. 966 00:38:38,566 --> 00:38:40,985 Do you have any other questions? 967 00:38:41,068 --> 00:38:43,738 Uh… 968 00:38:43,821 --> 00:38:45,740 No. 969 00:38:45,823 --> 00:38:47,950 I think we should talk about something else 970 00:38:48,034 --> 00:38:49,327 that is very important. 971 00:38:49,410 --> 00:38:51,787 Your son's driver's license indicated 972 00:38:51,871 --> 00:38:55,041 that he wanted to be an organ and tissue donor upon death. 973 00:38:55,124 --> 00:38:57,376 That means he's given his permission for that… 974 00:38:57,460 --> 00:38:59,462 No, no, I… 975 00:38:59,545 --> 00:39:01,339 I don't want to talk about that. 976 00:39:01,422 --> 00:39:05,551 No, he was too young to make that kind of decision. 977 00:39:05,634 --> 00:39:07,928 I can understand why you would think that, 978 00:39:08,012 --> 00:39:09,347 but he was 18. 979 00:39:09,430 --> 00:39:11,307 No! 980 00:39:11,390 --> 00:39:13,642 You didn't know him! 981 00:39:15,353 --> 00:39:17,813 He is still my son! 982 00:39:22,526 --> 00:39:24,320 Sorry. 983 00:39:31,786 --> 00:39:34,163 They need more time. 984 00:39:34,246 --> 00:39:36,123 850 bucks. 985 00:39:36,207 --> 00:39:38,376 I'll Zelle you the rest. 986 00:39:38,459 --> 00:39:40,795 PayPal is also fine. 987 00:39:40,878 --> 00:39:43,089 Winning. It never gets old. 988 00:39:43,172 --> 00:39:45,758 Hey, I'm serious about that vacation for your wife. 989 00:39:45,841 --> 00:39:47,343 - What about me? - What about you? 990 00:39:47,426 --> 00:39:48,969 Your wife has two kids under four. 991 00:39:49,053 --> 00:39:50,805 Abby works her ass off every day. 992 00:39:50,888 --> 00:39:52,348 I'm a doctor. 993 00:39:53,891 --> 00:39:55,351 They're all clueless. 994 00:39:55,434 --> 00:39:57,228 What, is this… is this a female thing? 995 00:39:57,311 --> 00:39:58,729 You should go, now. Go. 996 00:39:58,813 --> 00:40:00,564 Beat it. Go ahead, go. 997 00:40:00,648 --> 00:40:03,025 So what are you gonna buy with all that hard-earned cash? 998 00:40:03,109 --> 00:40:06,112 I have had this bookmarked for months. 999 00:40:06,195 --> 00:40:08,406 Oh, James Bond makes strollers now. 1000 00:40:08,489 --> 00:40:11,450 Convertible is the way to go. 1001 00:40:11,534 --> 00:40:13,244 - Ah, I'm gonna buy it. - You should. 1002 00:40:13,327 --> 00:40:15,621 You and baby absolutely deserve it. 1003 00:40:17,248 --> 00:40:19,458 Yeah, we do, right? 1004 00:40:19,542 --> 00:40:22,420 Yeah, it's good to be excited. 1005 00:40:22,503 --> 00:40:24,588 Just ran into a totally lost Uber Eats driver. 1006 00:40:24,672 --> 00:40:28,467 - Where do I put these? - I got this. Thank you. 1007 00:40:30,803 --> 00:40:32,346 Poor guy. 1008 00:40:32,430 --> 00:40:34,849 Not everyone's cut out for the home-reno life. 1009 00:40:48,112 --> 00:40:50,322 Um, I'll…I'll be right back. 1010 00:40:54,326 --> 00:40:56,412 - Dr. Robby? - What's up? 1011 00:40:56,495 --> 00:40:59,331 Silas's chest tube output has slowed down after 650 CCs. 1012 00:40:59,415 --> 00:41:01,250 - Good. - But on re-exam, 1013 00:41:01,333 --> 00:41:03,210 I noticed some breast enlargement, 1014 00:41:03,294 --> 00:41:06,046 bilateral and symmetrical with no palpable masses. 1015 00:41:06,130 --> 00:41:07,882 What's in the differential diagnosis 1016 00:41:07,965 --> 00:41:09,341 for male gynecomastia? 1017 00:41:09,425 --> 00:41:11,051 Definitely alcoholism. 1018 00:41:11,135 --> 00:41:13,846 But then there's pituitary and gonadal tumors 1019 00:41:13,929 --> 00:41:15,014 or pathology. 1020 00:41:15,097 --> 00:41:16,432 So what do you want to check? 1021 00:41:16,515 --> 00:41:19,226 LFTs for alcohol abuse, and for the rest, 1022 00:41:19,310 --> 00:41:21,187 hormonal levels… estrogen, testosterone, 1023 00:41:21,270 --> 00:41:23,564 Prolactin, hCG, progesterone. 1024 00:41:23,647 --> 00:41:25,024 Good. Go. 1025 00:41:27,693 --> 00:41:29,695 Ugh! 1026 00:41:29,778 --> 00:41:33,532 Oh, the things I would do for pastrami. 1027 00:41:33,616 --> 00:41:35,451 - Is there a turkey and cheese? - Uh, yeah. 1028 00:41:35,534 --> 00:41:38,329 - Oh, what is all this? - Lunch. Primanti's. 1029 00:41:38,412 --> 00:41:40,581 It appears that we have at least one grateful patient. 1030 00:41:40,664 --> 00:41:41,999 Hope is alive. 1031 00:41:42,082 --> 00:41:43,626 - Who do we have to thank? - I don't know. 1032 00:41:43,709 --> 00:41:45,544 I think there's a card… bottom of the bag. 1033 00:41:47,880 --> 00:41:51,509 Mmm. My God, that's so good. 1034 00:41:51,592 --> 00:41:53,010 Enjoy your lunch. 1035 00:41:55,596 --> 00:41:57,306 What was that? 1036 00:41:57,389 --> 00:41:59,892 I don't know. 1037 00:41:59,975 --> 00:42:01,769 - Aww. - What? 1038 00:42:01,852 --> 00:42:04,563 It's from Shelby Adamson, Dr. Adamson's sister. 1039 00:42:04,647 --> 00:42:06,565 She sends something every year. 1040 00:42:06,649 --> 00:42:08,526 - He doesn't like her? - It's not about her. 1041 00:42:08,609 --> 00:42:09,944 It's about him. 1042 00:42:10,027 --> 00:42:13,280 Dr. Adamson was Robby's mentor, and he… 1043 00:42:13,364 --> 00:42:15,991 he died during COVID, so… 1044 00:42:18,118 --> 00:42:21,664 Mr. Randolph in Central 10 can be moved to a chair. 1045 00:42:21,747 --> 00:42:23,082 Done. 1046 00:42:23,165 --> 00:42:24,625 Hey, if you're hungry, 1047 00:42:24,708 --> 00:42:26,585 there's Primanti's in the staff lounge. 1048 00:42:26,669 --> 00:42:28,003 Sorry. 1049 00:42:28,087 --> 00:42:29,505 Uh, daily reminder to call my sister. 1050 00:42:29,588 --> 00:42:30,881 You were saying? 1051 00:42:30,965 --> 00:42:32,299 There's free lunch in the lounge. 1052 00:42:32,383 --> 00:42:34,093 Do you need to take care of that? 1053 00:42:34,176 --> 00:42:36,720 I do. I just, um…I want to check on a patient first, 1054 00:42:36,804 --> 00:42:38,722 but thank you… 1055 00:42:38,806 --> 00:42:39,974 Jesse. 1056 00:42:40,057 --> 00:42:41,475 - Jesse. Jesse. - Yeah. 1057 00:42:45,938 --> 00:42:48,065 Hello, Mrs. Kitajima. How are you feeling? 1058 00:42:48,148 --> 00:42:49,984 Ginger, please. 1059 00:42:50,067 --> 00:42:51,777 I'm getting tired. 1060 00:42:51,860 --> 00:42:53,696 I want to go home. 1061 00:42:53,779 --> 00:42:56,156 Where's my daughter? 1062 00:42:56,240 --> 00:42:58,826 Um, I'm sorry, but I don't know. 1063 00:42:58,909 --> 00:43:01,412 But we're doing everything we can to find her. 1064 00:43:01,495 --> 00:43:03,414 Can I do something for you while we wait? 1065 00:43:03,497 --> 00:43:05,916 I wouldn't mind a snack. 1066 00:43:06,000 --> 00:43:08,002 I can have someone bring you a sandwich. 1067 00:43:08,085 --> 00:43:09,753 Wonderful. 1068 00:43:09,837 --> 00:43:12,840 Feel free to bring that Dr. Robby back around, too. 1069 00:43:12,923 --> 00:43:15,801 OK, yeah, I just… I have to make a quick call. 1070 00:43:15,884 --> 00:43:18,804 Um, can you get Mrs. Kitajima a sandwich from the bin? 1071 00:43:18,887 --> 00:43:20,931 Yeah, you got it. 1072 00:43:31,859 --> 00:43:33,152 Hi, Becca. 1073 00:43:33,235 --> 00:43:35,404 Mel! 1074 00:43:35,487 --> 00:43:37,406 - Uh, how was lunch? - It was good. 1075 00:43:37,489 --> 00:43:40,326 We had paninis and watermelon salad. 1076 00:43:40,409 --> 00:43:41,869 That sounds delicious. 1077 00:43:41,952 --> 00:43:43,621 Are you coming to get me? 1078 00:43:43,704 --> 00:43:45,247 Um, yeah, remember, 1079 00:43:45,331 --> 00:43:48,000 I'm coming, uh, to pick you up after my shift. 1080 00:43:48,083 --> 00:43:49,793 Have you found a boyfriend yet? 1081 00:43:49,877 --> 00:43:52,004 - Uh, no. - Hurry up. 1082 00:43:52,087 --> 00:43:53,631 You have to find somebody to kiss. 1083 00:43:53,714 --> 00:43:55,591 - You're right. I do. - Yeah. 1084 00:43:55,674 --> 00:43:57,343 I got to get on that right away. 1085 00:43:57,426 --> 00:43:59,178 Yeah. 1086 00:44:06,977 --> 00:44:09,730 Hey. Is everything all right? 1087 00:44:09,813 --> 00:44:11,273 Yeah. Yeah. 1088 00:44:11,357 --> 00:44:13,942 - Where's Kristi? - She's using the bathroom. 1089 00:44:17,196 --> 00:44:19,156 Hey, Kristi, it's Dr. Collins here. 1090 00:44:19,239 --> 00:44:21,075 Is everything all right in there? 1091 00:44:21,158 --> 00:44:23,869 - No, I want the pills! - Absolutely not. 1092 00:44:23,952 --> 00:44:26,747 Eloise, why don't you find a place to sit, and I will… 1093 00:44:26,830 --> 00:44:28,123 You're gonna what, give my daughter 1094 00:44:28,207 --> 00:44:29,541 - the abortion I've forbidden? - Hey. 1095 00:44:29,625 --> 00:44:31,335 What's going on? Kristi's texting. 1096 00:44:31,418 --> 00:44:33,379 - Is she OK? - You can't be back here. 1097 00:44:33,462 --> 00:44:36,340 - She's begging us for help. - Lynette, I got this. Come on. 1098 00:44:36,423 --> 00:44:37,800 You are treating Kristi like Mom treated you. 1099 00:44:37,883 --> 00:44:39,051 Oh, fuck you! 1100 00:44:39,134 --> 00:44:40,302 Hey, let's take it down a notch. 1101 00:44:40,386 --> 00:44:41,428 This is none of your business! 1102 00:44:41,512 --> 00:44:42,763 I am not abandoning Kristi. 1103 00:44:42,846 --> 00:44:44,306 Just get the fuck out of here! 1104 00:44:44,390 --> 00:44:46,100 - Fuck you. - Hey, ladies, that's enough. 1105 00:44:46,183 --> 00:44:47,685 - She is my daughter. - Just step away. 1106 00:44:47,768 --> 00:44:49,395 - Give her a chance. - She's mine! 1107 00:44:49,478 --> 00:44:51,605 That's enough!