1 00:01:02,312 --> 00:01:03,438 16 is open. 2 00:01:03,521 --> 00:01:05,356 How come nobody's been… 3 00:01:05,440 --> 00:01:07,067 my bad, it's taken. 4 00:01:07,150 --> 00:01:08,693 Sorry. 5 00:01:08,777 --> 00:01:10,653 Mr. Louie was found unresponsive 6 00:01:10,737 --> 00:01:13,239 and on the sidewalk next to Fine Wine and Good Spirits. 7 00:01:13,323 --> 00:01:14,949 Decent vitals, no head trauma. 8 00:01:15,033 --> 00:01:16,868 Didn't we just discharge him a couple hours ago? 9 00:01:16,951 --> 00:01:19,120 Yeah. Stone-cold sober at 7:00 a.m. 10 00:01:19,204 --> 00:01:20,580 Oh, God. 11 00:01:20,663 --> 00:01:21,664 Don't light any matches. 12 00:01:21,748 --> 00:01:22,999 Hey, Doc, how you doing? 13 00:01:23,083 --> 00:01:24,292 Not as good as you, Louie. 14 00:01:24,375 --> 00:01:25,835 Hey, you know it, Doc. 15 00:01:25,919 --> 00:01:27,337 How much did you have to drink, Louie? 16 00:01:27,420 --> 00:01:29,923 Uh, just a couple of shots of vodka. 17 00:01:30,006 --> 00:01:31,049 So like a half-gallon? 18 00:01:31,132 --> 00:01:32,132 Oh, hell no. 19 00:01:32,175 --> 00:01:33,676 Just…just a quart. 20 00:01:33,760 --> 00:01:35,053 If you overexaggerate with your question, 21 00:01:35,136 --> 00:01:36,137 you usually get a truthful answer. 22 00:01:36,221 --> 00:01:37,889 Learned from the best. 23 00:01:37,972 --> 00:01:39,808 Uh, he's got Librium from this morning. 24 00:01:39,891 --> 00:01:41,267 That's what I prescribed him. 25 00:01:41,351 --> 00:01:44,187 All right, Louie, let's scoot it on over. 26 00:01:44,270 --> 00:01:46,940 You want to guess the blood alcohol level? 27 00:01:47,023 --> 00:01:48,483 Why would I want to do that? 28 00:01:48,566 --> 00:01:49,734 I don't know, because it's fun? 29 00:01:49,818 --> 00:01:51,486 You prescribed 20 Librium. 30 00:01:51,569 --> 00:01:52,946 There's only 10 left. 31 00:01:53,029 --> 00:01:54,656 See you next time. 32 00:01:54,739 --> 00:01:56,282 Uh, shouldn't we be concerned about an overdose? 33 00:01:56,366 --> 00:01:57,534 Oh, no. 34 00:01:57,617 --> 00:01:59,369 Vodka is Louie's drug of choice. 35 00:01:59,452 --> 00:02:00,578 Quickest way to kill the shakes. 36 00:02:00,662 --> 00:02:01,955 Oh, true that. 37 00:02:02,038 --> 00:02:03,024 Where did the other 10 pills go? 38 00:02:03,039 --> 00:02:04,025 I don't know. 39 00:02:04,040 --> 00:02:05,375 Maybe, uh, lost, stolen. 40 00:02:05,458 --> 00:02:07,377 Maybe he sold them to buy the vodka. 41 00:02:07,460 --> 00:02:09,170 What'd you do with the other pills, Louie? 42 00:02:09,254 --> 00:02:10,240 In my pocket. 43 00:02:10,255 --> 00:02:11,464 I didn't need them. 44 00:02:12,507 --> 00:02:15,176 Come on, give it a rest. 45 00:02:22,016 --> 00:02:23,560 Is everything OK with Collins? 46 00:02:23,643 --> 00:02:26,604 She seems fine to me, unlike our patient board. 47 00:02:26,688 --> 00:02:27,688 How's the Kraken? 48 00:02:27,730 --> 00:02:29,107 Sleeping like a baby. 49 00:02:29,190 --> 00:02:30,483 What's the story with beds upstairs? 50 00:02:30,567 --> 00:02:32,193 A ladder fall took the last ICU bed. 51 00:02:32,277 --> 00:02:34,571 One tele bed's open, no med-surge, no pedes. 52 00:02:34,654 --> 00:02:35,655 So which one of our 21 boarders 53 00:02:35,738 --> 00:02:37,240 is going to win the lottery? 54 00:02:37,323 --> 00:02:39,492 CHF exacerbation's been with us for two days. 55 00:02:39,576 --> 00:02:40,910 Sounds like a winner. 56 00:02:40,994 --> 00:02:42,162 The rest will receive our lovely 57 00:02:42,245 --> 00:02:43,621 consolation prize package. 58 00:02:43,705 --> 00:02:45,081 - Tell them what they won, Dana. - Stop. 59 00:02:45,165 --> 00:02:47,000 It's another 24 hours of bright lights, 60 00:02:47,083 --> 00:02:48,209 screaming trauma patients, hard gurneys, 61 00:02:48,293 --> 00:02:49,669 and sleep deprivation, 62 00:02:49,752 --> 00:02:51,171 all while you wait for a bed upstairs. 63 00:02:51,254 --> 00:02:52,422 Hey, uh, Nandi, 64 00:02:52,505 --> 00:02:53,756 the influencer in Central Eight, 65 00:02:53,840 --> 00:02:54,826 still waiting for psych? 66 00:02:54,841 --> 00:02:55,925 Nope. She's a keeper. 67 00:02:56,009 --> 00:02:57,010 Her mercury levels are sky high 68 00:02:57,093 --> 00:02:58,178 from that face cream. 69 00:02:58,261 --> 00:03:00,180 I ordered chelation TID, 70 00:03:00,263 --> 00:03:01,890 10 per kilo of DMSO. 71 00:03:01,973 --> 00:03:03,725 I'll make sure it comes up from pharmacy. 72 00:03:03,808 --> 00:03:04,808 Great pickup. 73 00:03:04,851 --> 00:03:06,561 Hey. You OK? 74 00:03:06,644 --> 00:03:08,438 Excuse me. 75 00:03:08,521 --> 00:03:09,856 I'm sorry, Dr. Robinavitch? 76 00:03:09,939 --> 00:03:11,608 - Yes, that is me. - Father McGill. 77 00:03:11,691 --> 00:03:12,942 Here to see John and Lily Bradley. 78 00:03:13,026 --> 00:03:14,360 Oh, yes. Thank you for coming. 79 00:03:14,444 --> 00:03:15,737 No problem. 80 00:03:15,820 --> 00:03:17,739 I will take you to the family room. 81 00:03:17,822 --> 00:03:18,907 Dana, I need some help. 82 00:03:18,990 --> 00:03:20,700 What's up? 83 00:03:20,783 --> 00:03:22,035 I've been trying to check the nursing notes on Louie 84 00:03:22,118 --> 00:03:23,995 from 7:00 a.m. this morning. 85 00:03:24,078 --> 00:03:26,789 Uh, Langdon ordered lorazepam, but I don't think it was given. 86 00:03:26,873 --> 00:03:28,625 Yeah, lorazepam ordered, dispensed, 87 00:03:28,708 --> 00:03:31,211 and then returned unused to the PDS per Dr. Langdon, 88 00:03:31,294 --> 00:03:33,129 as patient's tremor had resolved. 89 00:03:33,213 --> 00:03:34,255 Is that unusual? 90 00:03:34,339 --> 00:03:35,840 No, it happens all the time. 91 00:03:35,924 --> 00:03:37,508 You think that could be the vial I couldn't open 92 00:03:37,592 --> 00:03:38,760 on our seizure patient? 93 00:03:38,843 --> 00:03:40,511 Possibly. 94 00:03:40,595 --> 00:03:41,971 Can we check the other vials in the PDS? 95 00:03:42,055 --> 00:03:43,223 Make sure they're OK? 96 00:03:43,306 --> 00:03:44,766 - If you really want to. - I do. 97 00:03:44,849 --> 00:03:46,351 All right, come on. 98 00:03:46,434 --> 00:03:48,269 Dysuria in North Two's been waiting a long time. 99 00:03:48,353 --> 00:03:49,395 I'll take it. 100 00:03:49,479 --> 00:03:51,064 Oh, Dr. King. 101 00:03:51,147 --> 00:03:52,133 Rita! 102 00:03:52,148 --> 00:03:53,134 We were so worried. 103 00:03:53,149 --> 00:03:54,149 Oh, I'm so sorry. 104 00:03:54,192 --> 00:03:55,860 My phone was on silent. 105 00:03:55,944 --> 00:03:57,528 I missed 10 calls from the hospital. 106 00:03:57,612 --> 00:03:58,655 Is my mom OK? 107 00:03:58,738 --> 00:04:00,573 Oh, yeah, she's fine. 108 00:04:00,657 --> 00:04:03,368 Uh, I went to move my car, 109 00:04:03,451 --> 00:04:05,662 and it was so peaceful and quiet when I parked 110 00:04:05,745 --> 00:04:10,083 in the garage, I dozed off. 111 00:04:10,166 --> 00:04:11,960 I'm just really glad you're back. 112 00:04:12,043 --> 00:04:13,461 Oh, your mom is going to be so happy. 113 00:04:13,544 --> 00:04:14,796 She's…she's waiting in the hall. 114 00:04:14,879 --> 00:04:16,214 OK. 115 00:04:16,297 --> 00:04:19,092 So if I order lorazepam for Louie, 116 00:04:19,175 --> 00:04:21,636 the log shows me we have five vials left. 117 00:04:24,389 --> 00:04:27,308 Take one out, and now we have four left. 118 00:04:27,392 --> 00:04:31,354 But if I click that I want to return one unused, 119 00:04:31,437 --> 00:04:34,482 you put it back, and the computer count 120 00:04:34,565 --> 00:04:36,317 goes back up to five. 121 00:04:36,401 --> 00:04:37,387 Yeah. 122 00:04:37,402 --> 00:04:38,388 Same lot numbers. 123 00:04:38,403 --> 00:04:39,612 Everything looks good. 124 00:04:39,696 --> 00:04:40,697 No way of knowing which vial 125 00:04:40,780 --> 00:04:42,282 was returned by Dr. Langdon. 126 00:04:42,365 --> 00:04:43,825 Yeah, I guess. 127 00:04:43,908 --> 00:04:45,618 - Thanks. - Yeah. 128 00:04:45,702 --> 00:04:47,829 Old man coming in with a heart rate of 30. 129 00:04:47,912 --> 00:04:49,330 Sounds like pacemaker failure. 130 00:04:49,414 --> 00:04:50,957 Could be a good case. 131 00:04:51,040 --> 00:04:52,959 Putting an amputation in 15. 132 00:04:53,042 --> 00:04:54,544 Ooh, that one sounds even better. 133 00:04:54,627 --> 00:04:56,045 Yeah. 134 00:04:58,381 --> 00:04:59,674 Rocco DeJulio. 135 00:04:59,757 --> 00:05:01,050 Amputation of the fourth fingertip 136 00:05:01,134 --> 00:05:03,511 at the base of the nail, bone exposed. 137 00:05:03,594 --> 00:05:05,263 Uh, how'd this happen? 138 00:05:05,346 --> 00:05:08,516 I, uh…I crushed it under an air conditioning unit 139 00:05:08,599 --> 00:05:09,684 we were installing. 140 00:05:09,767 --> 00:05:11,144 We'll numb up your finger. 141 00:05:11,227 --> 00:05:13,313 One shot will help with the pain. 142 00:05:13,396 --> 00:05:14,522 Amazing. 143 00:05:14,605 --> 00:05:15,648 Digital block, 144 00:05:15,732 --> 00:05:17,567 three ccs of marcaine. 145 00:05:17,650 --> 00:05:20,737 Pulse 110, BP 135 over 88 in triage. 146 00:05:20,820 --> 00:05:22,155 Any drug allergies, sir? 147 00:05:22,238 --> 00:05:23,239 Uh-uh. 148 00:05:23,323 --> 00:05:24,365 Two grams of Cefazolin? 149 00:05:24,449 --> 00:05:26,242 Uh-huh. 150 00:05:27,702 --> 00:05:28,995 Oh, wow. 151 00:05:31,331 --> 00:05:33,124 Go with the block. 152 00:05:33,207 --> 00:05:34,193 Are you ready? 153 00:05:34,208 --> 00:05:35,710 Mm-hmm. 154 00:05:35,793 --> 00:05:38,212 Pinprick and some burning. 155 00:05:38,296 --> 00:05:40,590 Uh, where's the missing piece of skin? 156 00:05:40,673 --> 00:05:44,427 It's, um, under a thousand-pound unit. 157 00:05:44,510 --> 00:05:46,429 It's flat as a pancake. 158 00:05:46,512 --> 00:05:48,222 Well, then we have nothing to reattach. 159 00:05:48,306 --> 00:05:49,891 Plan, Dr. McKay? 160 00:05:49,974 --> 00:05:52,143 Bone rongeur, V-Y flap. 161 00:05:52,226 --> 00:05:53,895 - Exactly. - Awesome. 162 00:05:53,978 --> 00:05:55,480 I picked the right case. 163 00:05:57,398 --> 00:05:58,858 Can somebody translate? 164 00:05:58,941 --> 00:06:00,151 To close the wound, 165 00:06:00,234 --> 00:06:01,694 we're going to trim down the bone, 166 00:06:01,778 --> 00:06:03,321 then use a plastic surgery trick so the skin 167 00:06:03,404 --> 00:06:04,405 will cover everything. 168 00:06:04,489 --> 00:06:05,990 OK. 169 00:06:06,074 --> 00:06:07,825 Your finger is going to be a little shorter. 170 00:06:07,909 --> 00:06:09,077 No nail. 171 00:06:09,160 --> 00:06:10,620 Great. 172 00:06:10,703 --> 00:06:12,330 10% off manicures. 173 00:06:15,166 --> 00:06:17,001 Looks like they found you guys a new rig. 174 00:06:17,085 --> 00:06:18,336 Nah, we Ubered. 175 00:06:18,419 --> 00:06:20,046 Willie Alexander, 81, near syncope 176 00:06:20,129 --> 00:06:21,547 from the Memory Day Center. 177 00:06:21,631 --> 00:06:22,715 They said he's more altered than usual. 178 00:06:22,799 --> 00:06:24,634 Pulse is 30, BP's 80 over 40. 179 00:06:24,717 --> 00:06:26,719 No change with a mig of atropine. 180 00:06:26,803 --> 00:06:28,930 He's got a pacer in his chest, but there's no capture. 181 00:06:29,013 --> 00:06:30,681 How are you feeling, Mr. Alexander? 182 00:06:30,765 --> 00:06:32,141 Call me Willie. 183 00:06:32,225 --> 00:06:33,393 I'm fine, I'm fine. 184 00:06:33,476 --> 00:06:34,519 Any chest pain? 185 00:06:34,602 --> 00:06:35,603 No, ma'am. 186 00:06:35,686 --> 00:06:37,146 Do you take beta blockers? 187 00:06:37,230 --> 00:06:39,732 I take walks every day. 188 00:06:39,816 --> 00:06:40,983 Only med is Namenda. 189 00:06:41,067 --> 00:06:42,053 On my count. 190 00:06:42,068 --> 00:06:43,194 One, two, three. 191 00:06:45,196 --> 00:06:47,532 Pacemaker patient with dementia. 192 00:06:47,615 --> 00:06:48,950 Heart rate of 30. 193 00:06:49,033 --> 00:06:50,660 A little altered with a systolic of 80. 194 00:06:50,743 --> 00:06:52,245 What's your plan, Dr. Langdon? 195 00:06:52,328 --> 00:06:54,372 Second mig of atropine now. 196 00:06:54,455 --> 00:06:57,291 Push dose epi, 0.1 milligram. 197 00:06:57,375 --> 00:06:58,375 Portable chest. 198 00:06:58,418 --> 00:07:00,086 31 on the monitor. 199 00:07:00,169 --> 00:07:01,963 Dr. Javadi, what do you think of that heart rate? 200 00:07:02,046 --> 00:07:03,464 Uh, it's not beta blockers, so junctional escape rhythm? 201 00:07:03,548 --> 00:07:04,590 Exactly…common with 202 00:07:04,674 --> 00:07:06,050 a non-functioning pacemaker. 203 00:07:06,134 --> 00:07:07,260 Etiology, Dr. Mohan? 204 00:07:07,343 --> 00:07:09,220 Dead battery or lead failure? 205 00:07:09,303 --> 00:07:10,596 Indeed. 206 00:07:10,680 --> 00:07:12,723 Good squeeze, even if it is slow. 207 00:07:12,807 --> 00:07:14,225 Atropine and epi on board. 208 00:07:14,308 --> 00:07:15,601 What's next, Dr. Langdon? 209 00:07:15,685 --> 00:07:17,228 We can try percutaneous pacing, 210 00:07:17,311 --> 00:07:18,938 but eventually, he'll need transvenous. 211 00:07:19,021 --> 00:07:20,106 Agreed. 212 00:07:20,189 --> 00:07:21,274 Systolic's up to 95 with epi. 213 00:07:21,357 --> 00:07:23,025 It's too low. 214 00:07:23,109 --> 00:07:24,652 Let's start a drip. 215 00:07:24,735 --> 00:07:26,446 Two mikes per minute. Check the mental status. 216 00:07:26,529 --> 00:07:27,780 Um, he knows his name. 217 00:07:27,864 --> 00:07:29,490 Sir, do you know what year it is? 218 00:07:29,574 --> 00:07:31,868 Um, it's 20-something. 219 00:07:31,951 --> 00:07:32,952 Uh… 220 00:07:33,035 --> 00:07:34,245 Do you know where you are? 221 00:07:34,328 --> 00:07:36,414 It looks like a hospital to me. 222 00:07:36,497 --> 00:07:37,623 Pittsburgh Trauma Medical Center. 223 00:07:37,707 --> 00:07:38,693 Yep. 224 00:07:38,708 --> 00:07:40,460 Yep, I know this place. 225 00:07:40,543 --> 00:07:43,254 It's Dr. Adamson's place. 226 00:07:43,337 --> 00:07:44,323 Where's he at? 227 00:07:44,338 --> 00:07:45,715 He working today? 228 00:07:48,092 --> 00:07:49,135 Are you feeling any pain? 229 00:07:49,218 --> 00:07:50,470 No, that shot worked great. 230 00:07:50,553 --> 00:07:51,539 OK. 231 00:07:51,554 --> 00:07:53,347 Just like this. 232 00:07:56,184 --> 00:07:57,518 Uh, how far down? 233 00:07:57,602 --> 00:07:59,437 Just so the sub-Q will cover. 234 00:07:59,520 --> 00:08:01,147 You'll need to take a few days off work, sir. 235 00:08:01,230 --> 00:08:02,607 Good. More time to study. 236 00:08:02,690 --> 00:08:03,676 Oh, yeah? 237 00:08:03,691 --> 00:08:04,677 For what? 238 00:08:04,692 --> 00:08:05,818 Uh, master's degree. 239 00:08:05,902 --> 00:08:07,945 - Psychology. - Oh, no kidding. 240 00:08:08,029 --> 00:08:10,072 Yeah. HVAC's just my day job. 241 00:08:10,156 --> 00:08:12,909 I went to trade school because I couldn't afford college. 242 00:08:12,992 --> 00:08:14,785 Now I can. 243 00:08:14,869 --> 00:08:17,788 Good on the rongeur. 244 00:08:17,872 --> 00:08:19,916 Marking the surgical borders. 245 00:08:19,999 --> 00:08:21,459 Two incisions. 246 00:08:23,211 --> 00:08:26,255 Advance the triangle to cover the tip. 247 00:08:26,339 --> 00:08:28,007 Until the V becomes a Y? 248 00:08:28,090 --> 00:08:29,842 Exactly. 249 00:08:31,344 --> 00:08:33,471 I guess you're the boss here? 250 00:08:33,554 --> 00:08:35,139 Something like that. 251 00:08:35,223 --> 00:08:37,600 You're very good at teaching. 252 00:08:37,683 --> 00:08:39,018 Seriously. 253 00:08:39,101 --> 00:08:40,603 You step back, and with a few words, 254 00:08:40,686 --> 00:08:43,272 you impart wisdom. 255 00:08:43,356 --> 00:08:45,107 If you say so. 256 00:08:45,191 --> 00:08:48,694 Do you mind if I ask what you do when you don't work? 257 00:08:48,778 --> 00:08:50,238 Sleep. 258 00:08:50,321 --> 00:08:53,866 Now a blunt dissect to undermine the tissue. 259 00:08:56,702 --> 00:08:58,204 What do you think, Dr. Javadi? 260 00:08:58,287 --> 00:08:59,539 Third degree. 261 00:08:59,622 --> 00:09:00,622 - Complete heart block. - Because? 262 00:09:00,665 --> 00:09:01,999 AV dissociation. 263 00:09:02,083 --> 00:09:03,543 No relationship between the P waves 264 00:09:03,626 --> 00:09:04,794 and the QRS complexes. 265 00:09:04,877 --> 00:09:05,863 Clear. 266 00:09:05,878 --> 00:09:07,463 Heart rate is 30. 267 00:09:07,547 --> 00:09:09,382 His low BP is going to make him a lot more confused. 268 00:09:09,465 --> 00:09:11,968 Could cause a heart attack or a stroke if we don't fix it. 269 00:09:12,051 --> 00:09:13,037 Oh. 270 00:09:13,052 --> 00:09:14,428 Well, mystery solved. 271 00:09:14,512 --> 00:09:15,596 The wires aren't even touching. 272 00:09:15,680 --> 00:09:16,973 They're totally disconnected. 273 00:09:17,056 --> 00:09:18,099 Shit happens. 274 00:09:18,182 --> 00:09:19,350 Heart rate still in low 30s. 275 00:09:19,433 --> 00:09:20,601 No change with atropine. 276 00:09:20,685 --> 00:09:21,685 Pacing pads are on. 277 00:09:21,727 --> 00:09:23,062 We can try. 278 00:09:23,145 --> 00:09:25,690 Willie, your pacemaker isn't working. 279 00:09:25,773 --> 00:09:27,525 Well, you better fix it. 280 00:09:27,608 --> 00:09:29,277 We're going to try to pace your heart from the outside. 281 00:09:29,360 --> 00:09:30,778 You might feel it in your chest. 282 00:09:30,861 --> 00:09:32,613 Let's start at 10 milliamps, rate of 60. 283 00:09:32,697 --> 00:09:34,240 Pacer on. 284 00:09:36,659 --> 00:09:37,952 I'm twitching. 285 00:09:38,035 --> 00:09:39,579 No capture. 286 00:09:39,662 --> 00:09:41,080 Increase to 20 milliamps. 287 00:09:41,163 --> 00:09:42,623 Now it's more like a shock. 288 00:09:42,707 --> 00:09:43,693 Still no capture. 289 00:09:43,708 --> 00:09:44,708 Up to 30. 290 00:09:45,710 --> 00:09:47,211 Whoa! 291 00:09:47,295 --> 00:09:48,754 - Y'all trying to electrocute me? - Pacer off. 292 00:09:48,838 --> 00:09:49,838 - Can't tolerate it. - Get rid of this shit! 293 00:09:49,880 --> 00:09:50,866 Dr. Langdon? 294 00:09:50,881 --> 00:09:51,924 One of versed. 295 00:09:52,008 --> 00:09:53,301 Can we set up for transvenous? 296 00:09:53,384 --> 00:09:55,052 I was set up before you got here. 297 00:09:57,888 --> 00:09:59,473 Versed's on board. 298 00:09:59,557 --> 00:10:01,892 Willie, we need to float a temporary pacemaker 299 00:10:01,976 --> 00:10:04,186 from your neck into your heart. 300 00:10:04,270 --> 00:10:05,563 Why is that? 301 00:10:05,646 --> 00:10:07,398 Because your heart rate is only 30. 302 00:10:07,481 --> 00:10:11,277 Then, uh, hit me with, uh, a shot of atropine. 303 00:10:11,360 --> 00:10:13,404 You've already had three. 304 00:10:13,487 --> 00:10:14,989 Wait, are you a doctor? 305 00:10:18,576 --> 00:10:20,328 He's out. 306 00:10:22,788 --> 00:10:27,710 Ginger, what do you think about having some help at home? 307 00:10:27,793 --> 00:10:31,797 I think Rita could use a little break 308 00:10:31,881 --> 00:10:35,134 every now and then. 309 00:10:35,217 --> 00:10:36,886 We can't afford it. 310 00:10:36,969 --> 00:10:40,556 Oh, um, Kiara told me about DHS senior phone line. 311 00:10:40,640 --> 00:10:45,394 It's part of AAA, the Area Agency on Aging. 312 00:10:45,478 --> 00:10:48,272 They make referrals for in-home services. 313 00:10:48,356 --> 00:10:50,066 Uh, what's that going to cost? 314 00:10:50,149 --> 00:10:51,942 Medicare will cover short-term home care, 315 00:10:52,026 --> 00:10:55,404 at least 10 hours a week. 316 00:10:55,488 --> 00:10:57,657 Ginger, have you ever been to a senior center? 317 00:10:57,740 --> 00:10:58,741 I went once. 318 00:10:58,824 --> 00:11:00,826 Nothing but old people. 319 00:11:00,910 --> 00:11:02,745 AAA also has senior companions 320 00:11:02,828 --> 00:11:04,288 for a few hours a day. 321 00:11:04,372 --> 00:11:05,915 And if Rita needs to be away at lunchtime, 322 00:11:05,998 --> 00:11:08,209 the OPTIONS program can deliver a meal. 323 00:11:13,339 --> 00:11:16,342 Uh, is everything all right? 324 00:11:16,425 --> 00:11:18,594 Yeah. 325 00:11:18,678 --> 00:11:20,638 Did I say something that upset you? 326 00:11:21,722 --> 00:11:23,140 No, it's all good. 327 00:11:23,224 --> 00:11:24,850 This is… 328 00:11:27,561 --> 00:11:30,314 This is way more than I expected, so… 329 00:11:37,530 --> 00:11:38,531 Bam. 330 00:11:38,614 --> 00:11:40,700 Internal jugular accessed. 331 00:11:40,783 --> 00:11:42,827 Pulse ox 99 on five liters. 332 00:11:42,910 --> 00:11:44,370 Systolic's 95 on epi. 333 00:11:44,453 --> 00:11:45,746 That's good enough to perfuse the brain. 334 00:11:45,830 --> 00:11:47,748 Guidewire. 335 00:11:47,832 --> 00:11:49,875 You doing OK under there, Willie? 336 00:11:49,959 --> 00:11:51,252 I guess. 337 00:11:51,335 --> 00:11:52,920 So this is just like a triple lumen? 338 00:11:53,003 --> 00:11:55,589 Except you need a big seven French introducer 339 00:11:55,673 --> 00:11:56,673 to fit the pacing wire. 340 00:12:00,010 --> 00:12:02,930 I could use some air. 341 00:12:03,013 --> 00:12:04,724 Is that any better? 342 00:12:06,183 --> 00:12:07,476 What y'all doing? 343 00:12:07,560 --> 00:12:10,771 We're putting a temporary wire into an external pacemaker 344 00:12:10,855 --> 00:12:14,358 until you can have surgery to repair the one in your chest. 345 00:12:14,442 --> 00:12:16,110 Heart rate's still 31. 346 00:12:16,193 --> 00:12:19,530 Bradycardia. 347 00:12:19,613 --> 00:12:21,490 Are you a doctor, Willie? 348 00:12:24,702 --> 00:12:26,579 Yeah, right. 349 00:12:26,662 --> 00:12:30,082 No mention of any medical career in his past records. 350 00:12:30,166 --> 00:12:31,459 Just mild dementia. 351 00:12:31,542 --> 00:12:33,711 "Are you a doctor?" 352 00:12:33,794 --> 00:12:34,794 That's a good one. 353 00:12:35,921 --> 00:12:37,590 OK, last one. 354 00:12:37,673 --> 00:12:40,676 How's it look? 355 00:12:40,760 --> 00:12:41,844 Perfect. 356 00:12:41,927 --> 00:12:43,095 Uh, Xeroform and tube gauze? 357 00:12:43,179 --> 00:12:44,221 Mm-hmm. 358 00:12:44,305 --> 00:12:45,848 What's up, party people? 359 00:12:45,931 --> 00:12:47,767 Uh, V-Y flap. 360 00:12:47,850 --> 00:12:49,935 Nicely done. Can I borrow Dr. Santos? 361 00:12:50,019 --> 00:12:52,396 As long as Dr. McKay can finish the dressing. 362 00:12:52,480 --> 00:12:53,814 Sure. 363 00:12:59,820 --> 00:13:03,699 I can't stop thinking about your foot. 364 00:13:03,783 --> 00:13:05,201 Uh, you know what I mean. 365 00:13:05,284 --> 00:13:07,995 - I'm…I'm sorry, but… - I know. Move on. 366 00:13:08,078 --> 00:13:10,456 - I already did. - OK. 367 00:13:10,539 --> 00:13:12,374 There's a high-maintenance surgery clinic patient 368 00:13:12,458 --> 00:13:15,336 down here… as in total pain in the ass. 369 00:13:15,419 --> 00:13:17,671 I could use your help distracting her. 370 00:13:17,755 --> 00:13:20,382 So we're…we're good? 371 00:13:20,466 --> 00:13:23,010 Every hero needs a sidekick. 372 00:13:23,093 --> 00:13:24,845 I need to find a tube gauze cage. 373 00:13:24,929 --> 00:13:26,597 I'll be right back. 374 00:13:26,680 --> 00:13:29,683 You'll need to elevate, antibiotics three times a day 375 00:13:29,767 --> 00:13:33,062 for a week, a couple of painkiller tablets, 376 00:13:33,145 --> 00:13:36,106 but try to get by on Tylenol and ibuprofen. 377 00:13:36,190 --> 00:13:38,150 Are you OK? 378 00:13:38,234 --> 00:13:39,360 Is today a bad day? 379 00:13:39,443 --> 00:13:40,429 Drowning victim. 380 00:13:40,444 --> 00:13:43,155 ETA three minutes. 381 00:13:43,239 --> 00:13:44,949 Sorry, I got to go. 382 00:13:47,076 --> 00:13:50,037 20 centimeters clears the cordis. 383 00:13:50,120 --> 00:13:53,290 Pacing box rate of 80, five milliamps. 384 00:13:53,374 --> 00:13:54,360 Confirmed. 385 00:13:54,375 --> 00:13:55,793 On ventricular setting. 386 00:13:55,876 --> 00:13:58,671 Passing to 30, just outside the heart. 387 00:13:58,754 --> 00:14:00,214 Why do we inflate the balloon now? 388 00:14:00,297 --> 00:14:01,590 So it'll float into the right ventricle. 389 00:14:01,674 --> 00:14:03,717 Exactly. And we're looking for? 390 00:14:03,801 --> 00:14:06,011 An injury pattern, since it's below the AV node. 391 00:14:06,095 --> 00:14:07,179 Looking good. 392 00:14:07,263 --> 00:14:09,932 Check the pulse. 393 00:14:10,015 --> 00:14:11,517 Strong radial. Really strong. 394 00:14:11,600 --> 00:14:13,686 Man, I feel like I just woke up. 395 00:14:13,769 --> 00:14:15,271 Nice work, Dr. Langdon. 396 00:14:15,354 --> 00:14:16,772 Systolic's up to 130. 397 00:14:16,856 --> 00:14:18,607 How do you feel? 398 00:14:18,691 --> 00:14:20,734 Feel like a million bucks. 399 00:14:20,818 --> 00:14:23,279 Widened QRS on the scope. 400 00:14:23,362 --> 00:14:25,573 Willie, did you used to work at this hospital? 401 00:14:25,656 --> 00:14:26,642 Hell, no. 402 00:14:26,657 --> 00:14:28,200 I just brought the mail. 403 00:14:28,284 --> 00:14:29,535 Can we steal Javadi? 404 00:14:29,618 --> 00:14:31,161 Absolutely. 405 00:14:31,245 --> 00:14:33,414 Time to shine, Crash. 406 00:14:33,497 --> 00:14:35,624 Do you have time to write the procedure note? 407 00:14:35,708 --> 00:14:37,042 No problem. 408 00:14:37,126 --> 00:14:38,252 I'll be at Central if you need me. 409 00:14:38,335 --> 00:14:39,879 Oh, jeez. 410 00:14:39,962 --> 00:14:41,839 I still need to tell Nandi about her mercury level. 411 00:14:41,922 --> 00:14:44,717 The average emergency doctor gets pulled from task A 412 00:14:44,800 --> 00:14:46,677 to task B every three to five minutes. 413 00:14:46,760 --> 00:14:48,637 Remind me again why we picked this specialty? 414 00:14:48,721 --> 00:14:50,180 Because we all have ADHD, 415 00:14:50,264 --> 00:14:52,433 and anything else would be boring as hell. 416 00:15:01,191 --> 00:15:02,568 Another ICU admission. 417 00:15:02,651 --> 00:15:04,361 I'll call to confirm. 418 00:15:04,445 --> 00:15:06,196 Dr. Collins, do you think that we might be able to… 419 00:15:06,280 --> 00:15:07,280 Drowning victim here. 420 00:15:07,323 --> 00:15:08,490 Not right now. 421 00:15:10,367 --> 00:15:12,328 Amber Phillips, six years old. 422 00:15:12,411 --> 00:15:14,288 Found at the bottom of a home pool with an unknown downtime. 423 00:15:14,371 --> 00:15:16,040 Asystole on the monitor. 424 00:15:16,123 --> 00:15:19,501 Intubated with a cuffed 4.5, 22-gauge left AC, 425 00:15:19,585 --> 00:15:21,211 0.25 epi three minutes ago. 426 00:15:21,295 --> 00:15:23,797 One, two, three. 427 00:15:23,881 --> 00:15:25,215 OK. 428 00:15:27,509 --> 00:15:29,303 Whitaker, take over compressions. 429 00:15:29,386 --> 00:15:31,055 - Any family coming in? - Grandma and little sister. 430 00:15:31,138 --> 00:15:32,723 Fast and deep. 431 00:15:34,183 --> 00:15:35,169 Ready? 432 00:15:35,184 --> 00:15:36,170 Yeah. 433 00:15:36,185 --> 00:15:38,228 Go. 434 00:15:38,312 --> 00:15:39,298 She's really cold. 435 00:15:39,313 --> 00:15:40,299 OK. 436 00:15:40,314 --> 00:15:41,732 Get a core temp. 437 00:15:44,318 --> 00:15:45,486 Good breath sounds bilaterally. 438 00:15:45,569 --> 00:15:46,862 Should we use the Lucas? 439 00:15:46,946 --> 00:15:48,447 No, she's way too small for that. 440 00:15:48,530 --> 00:15:50,950 - Rectal temp only 85. - What do you think, Mel? 441 00:15:51,033 --> 00:15:53,202 Uh, she's cold. Moderate hypothermia. 442 00:15:53,285 --> 00:15:54,745 We need to get her up to 90 if we have any chance 443 00:15:54,828 --> 00:15:55,814 of restarting her heart. 444 00:15:55,829 --> 00:15:57,790 250 ccs heated saline. 445 00:15:57,873 --> 00:15:59,124 Set up the Arctic Sun. 446 00:15:59,208 --> 00:16:00,376 Continuous core temp monitoring, 447 00:16:00,459 --> 00:16:01,752 and prep another epi 0.25. 448 00:16:01,835 --> 00:16:03,253 Yep. 449 00:16:05,881 --> 00:16:07,800 Preemptive orders done. Let's go. 450 00:16:07,883 --> 00:16:09,677 I just…I don't understand why you need me. 451 00:16:09,760 --> 00:16:11,971 Crohn's disease status post colectomy 10 years ago, 452 00:16:12,054 --> 00:16:13,847 now with severe abdominal pain. 453 00:16:13,931 --> 00:16:16,392 Could be perforation, fistula, obstruction. 454 00:16:16,475 --> 00:16:18,185 Great teaching case. 455 00:16:18,268 --> 00:16:21,355 Someone give me something for the pain! 456 00:16:22,564 --> 00:16:23,565 Good afternoon, Ms. Walker. 457 00:16:23,649 --> 00:16:25,109 I'm Dr. Garcia from surgery. 458 00:16:25,192 --> 00:16:26,694 This is Dr. Santos and Javadi. 459 00:16:26,777 --> 00:16:28,112 It looks like you're in a lot of pain. 460 00:16:28,195 --> 00:16:29,363 No shit! 461 00:16:29,446 --> 00:16:30,489 We ordered you some morphine. 462 00:16:30,572 --> 00:16:31,558 Did you read my chart? 463 00:16:31,573 --> 00:16:32,908 I'm allergic to morphine! 464 00:16:32,992 --> 00:16:34,702 I'll puke my guts out. 465 00:16:34,785 --> 00:16:36,870 That's a side effect, not an allergy. 466 00:16:36,954 --> 00:16:38,205 Oh, give me some Dilaudid. 467 00:16:38,288 --> 00:16:39,274 OK. 468 00:16:39,289 --> 00:16:40,624 One milligram Dilaudid. 469 00:16:40,708 --> 00:16:41,694 I'll grab it from the PDS. 470 00:16:41,709 --> 00:16:42,710 One is never enough. 471 00:16:42,793 --> 00:16:43,779 I need two, sometimes four. 472 00:16:43,794 --> 00:16:44,794 Got it. 473 00:16:44,837 --> 00:16:46,505 Pertinent history, Javadi? 474 00:16:46,588 --> 00:16:49,299 Um, have you had any fever or vomiting? 475 00:16:49,383 --> 00:16:51,218 Shut up with your questions! 476 00:16:51,301 --> 00:16:52,886 Ma'am, we can't help you if we don't know your… 477 00:16:52,970 --> 00:16:54,346 If you want to help me, get me my doctor. 478 00:16:54,430 --> 00:16:55,639 Dr. Shamsi. 479 00:16:55,723 --> 00:16:57,391 10 years, no one knows me better. 480 00:16:57,474 --> 00:16:59,101 I don't want to talk to anybody else. 481 00:16:59,184 --> 00:17:01,311 I'm very sorry, but she's in surgery right now. 482 00:17:01,395 --> 00:17:02,980 - How long? - Unknown. 483 00:17:04,398 --> 00:17:07,067 But ma'am, right here we have 484 00:17:07,151 --> 00:17:09,361 Dr. Shamsi's daughter, Victoria. 485 00:17:09,445 --> 00:17:12,614 She's the next best thing. 486 00:17:15,743 --> 00:17:18,912 Time for another epi. 487 00:17:18,996 --> 00:17:20,664 Dr. Robby? 488 00:17:20,748 --> 00:17:22,499 I'll be right back. 489 00:17:26,587 --> 00:17:29,131 Uh, my wife and I decided. 490 00:17:29,214 --> 00:17:30,841 We're on board with organ donation. 491 00:17:30,924 --> 00:17:33,093 Oh, I'm really glad to hear it. 492 00:17:33,177 --> 00:17:35,596 Uh, the church supports their decision. 493 00:17:35,679 --> 00:17:37,723 The OPO is sending an ambulance. 494 00:17:37,806 --> 00:17:39,600 I'll be staying with the family. 495 00:17:43,353 --> 00:17:44,354 How's it going in there? 496 00:17:44,438 --> 00:17:46,648 Oh, not good. Not good. 497 00:17:46,732 --> 00:17:48,067 - Robby. - Yeah? 498 00:17:48,150 --> 00:17:49,610 For the little girl in Trauma One, 499 00:17:49,693 --> 00:17:52,488 this is grandmother Frances and sister Bella. 500 00:17:52,571 --> 00:17:54,031 Hi, I'm Dr. Robinavitch. 501 00:17:54,114 --> 00:17:55,532 How is she? 502 00:17:55,616 --> 00:17:56,909 Um… 503 00:17:56,992 --> 00:17:58,660 Bella, would you like to color? 504 00:17:58,744 --> 00:17:59,787 Maybe get a snack? 505 00:17:59,870 --> 00:18:01,330 Yes, please. 506 00:18:01,413 --> 00:18:02,873 My name is Kiara. 507 00:18:02,956 --> 00:18:04,500 Let's find you some crayons. 508 00:18:04,583 --> 00:18:05,834 I like to draw. 509 00:18:05,918 --> 00:18:06,918 Let's do it. 510 00:18:06,960 --> 00:18:08,504 Come on. 511 00:18:10,547 --> 00:18:12,758 They are still doing CPR. 512 00:18:12,841 --> 00:18:13,842 Can I please see her? 513 00:18:13,926 --> 00:18:15,928 Yes, of course. 514 00:18:16,011 --> 00:18:17,262 Got Grandma coming in. 515 00:18:17,346 --> 00:18:19,098 You can sit right by the bedside. 516 00:18:19,181 --> 00:18:20,307 Ready to switch? 517 00:18:20,390 --> 00:18:22,643 Go. 518 00:18:22,726 --> 00:18:25,979 Here you go, ma'am. 519 00:18:26,063 --> 00:18:27,189 You can hold her hand. 520 00:18:27,272 --> 00:18:28,565 She wasn't breathing, 521 00:18:28,649 --> 00:18:29,983 so the medics put a tube in her throat. 522 00:18:30,067 --> 00:18:31,235 She's so cold. 523 00:18:31,318 --> 00:18:32,611 We're warming her up. 524 00:18:32,694 --> 00:18:33,987 That way, she'll have a better chance 525 00:18:34,071 --> 00:18:36,365 to respond to the medicines. 526 00:18:36,448 --> 00:18:39,618 They moved a bench next to the pool fence 527 00:18:39,701 --> 00:18:42,287 so they could go over, 528 00:18:42,371 --> 00:18:44,790 because their soccer ball went in the water. 529 00:18:44,873 --> 00:18:47,209 Amber couldn't make it out of the deep end. 530 00:18:47,292 --> 00:18:48,710 The gate was locked. 531 00:18:48,794 --> 00:18:49,837 I was vacuuming. 532 00:18:49,920 --> 00:18:51,672 I didn't hear them. 533 00:18:56,009 --> 00:18:57,803 My mercury level is 94? 534 00:18:57,886 --> 00:19:00,139 That's high enough to cause all your symptoms… 535 00:19:00,222 --> 00:19:03,767 insomnia, tremors, imbalance, psychosis. 536 00:19:03,851 --> 00:19:05,894 From a stupid face cream? 537 00:19:05,978 --> 00:19:07,729 We're going to start chelation therapy. 538 00:19:07,813 --> 00:19:10,149 It's a medication that binds with the mercury 539 00:19:10,232 --> 00:19:11,984 and helps your body excrete it. 540 00:19:12,067 --> 00:19:13,861 And then I'll be back to normal? 541 00:19:13,944 --> 00:19:15,445 I don't know. 542 00:19:15,529 --> 00:19:17,406 Are any of us normal? 543 00:19:17,489 --> 00:19:19,241 Where's my phone? 544 00:19:19,324 --> 00:19:20,868 They locked it away with all your valuables. 545 00:19:20,951 --> 00:19:22,119 I…I need my phone. 546 00:19:22,202 --> 00:19:23,620 OK. 547 00:19:23,704 --> 00:19:25,038 But when you post, you have to tell everyone 548 00:19:25,122 --> 00:19:26,874 - not to use the cream. - Definitely. 549 00:19:26,957 --> 00:19:27,958 Can I borrow your phone? 550 00:19:28,041 --> 00:19:29,459 Just the camera. 551 00:19:29,543 --> 00:19:31,003 I was wearing a wig when I left my apartment 552 00:19:31,086 --> 00:19:32,754 and I had a wig when I came in, right? 553 00:19:32,838 --> 00:19:34,673 Not when you came in. 554 00:19:36,341 --> 00:19:38,468 Oh my God. 555 00:19:40,053 --> 00:19:42,181 I look like shit. 556 00:19:48,312 --> 00:19:50,063 - How is he doing? - Stable. 557 00:19:50,147 --> 00:19:52,149 Scheduled for a new pacer tomorrow with cardiology. 558 00:19:52,232 --> 00:19:53,859 - Great. - Robby. 559 00:19:53,942 --> 00:19:55,861 Parents of T1. 560 00:19:55,944 --> 00:19:56,987 This is Dr. Robby. 561 00:19:57,070 --> 00:19:58,405 Where's Amber? Is she OK? 562 00:19:58,488 --> 00:19:59,823 What have you heard? 563 00:19:59,907 --> 00:20:01,658 That she got pulled from the pool. 564 00:20:01,742 --> 00:20:02,993 She wasn't breathing, 565 00:20:03,076 --> 00:20:04,620 so we're doing that for her now. 566 00:20:04,703 --> 00:20:06,371 And we're trying to get her heart started again. 567 00:20:06,455 --> 00:20:08,582 Wait, her heart stopped? 568 00:20:08,665 --> 00:20:09,875 I have to be with her. 569 00:20:09,958 --> 00:20:11,168 Of course. 570 00:20:11,251 --> 00:20:12,419 There are a lot of people in here 571 00:20:12,502 --> 00:20:13,837 right now trying to help her. 572 00:20:13,921 --> 00:20:15,923 We understand. 573 00:20:16,006 --> 00:20:16,992 Amber. 574 00:20:17,007 --> 00:20:19,009 Oh my God, Amber! 575 00:20:19,092 --> 00:20:20,677 I'm here. I love you. 576 00:20:20,761 --> 00:20:21,761 I love you so much. 577 00:20:21,803 --> 00:20:23,263 Gina, I am so sorry. 578 00:20:23,347 --> 00:20:24,431 Where's Bella? 579 00:20:24,514 --> 00:20:26,058 She's with our social worker. 580 00:20:26,141 --> 00:20:27,768 Oh, I should be with her. 581 00:20:27,851 --> 00:20:28,837 I'll go with you, Mom. 582 00:20:28,852 --> 00:20:30,229 I'll be right back. 583 00:20:30,312 --> 00:20:33,065 OK. Come on. She's just down the hall. 584 00:20:33,148 --> 00:20:36,818 - Hang on. We got it. - Oh. 585 00:20:40,405 --> 00:20:41,391 Rhythm check. 586 00:20:41,406 --> 00:20:42,991 Hold compressions. 587 00:20:45,369 --> 00:20:46,355 Asystole. 588 00:20:46,370 --> 00:20:49,122 Resume compressions. 589 00:20:49,206 --> 00:20:50,540 Three minutes since the last epi. 590 00:20:50,624 --> 00:20:51,624 Push another. 591 00:20:51,667 --> 00:20:53,210 Did you shock the heart? 592 00:20:53,293 --> 00:20:54,628 Uh, no. 593 00:20:54,711 --> 00:20:56,380 Why didn't you shock the heart? 594 00:20:56,463 --> 00:20:58,131 We've got to save her. You've got to shock the heart. 595 00:20:58,215 --> 00:20:59,508 Heart rhythm right now is flatlining. 596 00:20:59,591 --> 00:21:01,301 That's not treatable with a shock. 597 00:21:01,385 --> 00:21:02,636 We're trying to get the rhythm to change to something 598 00:21:02,719 --> 00:21:04,221 we can shock by warming her up. 599 00:21:04,304 --> 00:21:06,098 OK. So we've got to warm up. 600 00:21:06,181 --> 00:21:07,557 You've got to get some more blankets in here or something. 601 00:21:07,641 --> 00:21:08,725 We are giving her warm IV fluids, 602 00:21:08,809 --> 00:21:10,227 and you can feel these blue pads. 603 00:21:10,310 --> 00:21:11,478 They have warm water running through them 604 00:21:11,561 --> 00:21:12,980 like a hot tub. 605 00:21:17,651 --> 00:21:20,237 Are you sure you're doing everything? 606 00:21:20,320 --> 00:21:22,781 Yes, we are. 607 00:21:25,575 --> 00:21:28,912 Amber, honey, I'm here. 608 00:21:28,996 --> 00:21:30,497 It's going to be OK. 609 00:21:30,580 --> 00:21:34,710 I promise you, everything's going to be OK. 610 00:21:34,793 --> 00:21:36,420 I can't take much longer! 611 00:21:36,503 --> 00:21:38,839 I've got Dr. Shamsi on speakerphone from the OR. 612 00:21:38,922 --> 00:21:40,924 Eileen, how soon can you get here? 613 00:21:41,008 --> 00:21:42,384 I'm finishing a lap chole. 614 00:21:42,467 --> 00:21:43,453 Shouldn't be long. 615 00:21:43,468 --> 00:21:45,053 Your daughter is here. 616 00:21:45,137 --> 00:21:47,014 Hi, honey. 617 00:21:47,097 --> 00:21:48,890 Minimal relief with two of Dilaudid. 618 00:21:48,974 --> 00:21:50,350 She needs four. 619 00:21:50,434 --> 00:21:51,768 That's what I've been telling them! 620 00:21:51,852 --> 00:21:53,186 We're titrating. 621 00:21:53,270 --> 00:21:54,771 We didn't want her to stop breathing. 622 00:21:54,855 --> 00:21:56,690 - Is Dr. Garcia with you? - Right here. 623 00:21:56,773 --> 00:21:57,759 How's the exam? 624 00:21:57,774 --> 00:21:59,109 Rigidity with guarding. 625 00:21:59,192 --> 00:22:00,902 Sounds like peritonitis. 626 00:22:00,986 --> 00:22:03,363 Two sets of blood cultures and 3.375 of Zosyn. 627 00:22:03,447 --> 00:22:05,574 Make sure she's next in line for a CT scan. 628 00:22:05,657 --> 00:22:06,867 Bump everyone else. 629 00:22:06,950 --> 00:22:08,243 Do you understand? Victoria? 630 00:22:08,327 --> 00:22:09,911 - Got it. - See you soon. 631 00:22:09,995 --> 00:22:10,995 Thank you, Eileen. 632 00:22:12,164 --> 00:22:13,749 Ready for some more Dilaudid? 633 00:22:13,832 --> 00:22:15,417 God, yes. 634 00:22:15,500 --> 00:22:16,543 Victoria will make sure all of Dr. Shamsi's 635 00:22:16,626 --> 00:22:17,794 orders are followed. 636 00:22:17,878 --> 00:22:18,878 Call if you need us. 637 00:22:18,920 --> 00:22:21,048 Yeah. 638 00:22:21,131 --> 00:22:24,009 Great move bringing in Javadi. 639 00:22:24,092 --> 00:22:27,429 Is this patient payback for dropping the scalpel? 640 00:22:27,512 --> 00:22:29,639 Look at the bright side… if she goes to the OR for perf, 641 00:22:29,723 --> 00:22:30,723 you can scrub in. 642 00:22:30,766 --> 00:22:32,434 I'll coach you. 643 00:22:32,517 --> 00:22:33,852 You'll make a brilliant first impression on Dr. Shamsi. 644 00:22:33,935 --> 00:22:36,563 - Really? You'd do that? - Mm-hmm. 645 00:22:36,646 --> 00:22:38,357 Thanks. 646 00:22:38,440 --> 00:22:43,612 I, um…I have something unusual to ask. 647 00:22:43,695 --> 00:22:45,697 OK. 648 00:22:45,781 --> 00:22:48,116 I've been on two cases with Langdon, 649 00:22:48,200 --> 00:22:50,535 and there have been irregularities 650 00:22:50,619 --> 00:22:53,121 with benzos… Lorazepam with a seizure, 651 00:22:53,205 --> 00:22:54,748 Librium with an alcoholic. 652 00:22:54,831 --> 00:22:55,832 And? 653 00:22:55,916 --> 00:22:58,251 And I'm concerned. 654 00:22:58,335 --> 00:23:00,253 Concerned about what? 655 00:23:01,463 --> 00:23:04,383 That he could be stealing. 656 00:23:04,466 --> 00:23:05,675 Whoa, whoa, whoa. 657 00:23:05,759 --> 00:23:07,344 I insult the shit out of Langdon, 658 00:23:07,427 --> 00:23:08,970 but he's a great doctor. 659 00:23:09,054 --> 00:23:10,889 I've never seen him impaired. 660 00:23:10,972 --> 00:23:12,724 What do I do? 661 00:23:12,808 --> 00:23:14,810 You've been here for, what, seven hours? 662 00:23:14,893 --> 00:23:16,686 Just do your job. 663 00:23:30,409 --> 00:23:32,285 Kind of a weird vibe out here. 664 00:23:32,369 --> 00:23:36,331 Yeah, pediatric drowning will do that. 665 00:23:36,415 --> 00:23:37,791 Glad I didn't end up in there. 666 00:23:37,874 --> 00:23:40,669 Yeah, you and me both. 667 00:23:40,752 --> 00:23:43,422 Uh, what's with the scarf? 668 00:23:43,505 --> 00:23:44,965 Oh, it's from the lost and found, 669 00:23:45,048 --> 00:23:46,341 for my patient in Central Eight. 670 00:23:46,425 --> 00:23:47,411 Cool. 671 00:23:47,426 --> 00:23:49,344 I'm off to North Two. 672 00:23:49,428 --> 00:23:51,263 Dysuria. 673 00:23:51,346 --> 00:23:54,724 What happened to two visitors a patient? 674 00:23:54,808 --> 00:23:56,935 It's the fentanyl overdose. 675 00:23:57,018 --> 00:23:58,770 There's going to be an honor walk. 676 00:23:58,854 --> 00:24:01,523 He's an organ donor. 677 00:24:01,606 --> 00:24:02,816 Well, see you later. 678 00:24:02,899 --> 00:24:03,984 See you. 679 00:24:12,117 --> 00:24:13,243 Myrna? 680 00:24:15,662 --> 00:24:17,164 Myrna! 681 00:24:19,124 --> 00:24:20,459 Oh, no. No, not today. 682 00:24:20,542 --> 00:24:22,586 Myrna! 683 00:24:22,669 --> 00:24:24,421 What the fuck? 684 00:24:24,504 --> 00:24:26,381 What do you think you're doing? 685 00:24:26,465 --> 00:24:29,593 I…I was just checking on you, ma'am. 686 00:24:29,676 --> 00:24:32,804 You can't even take a nap in this hellhole. 687 00:24:32,888 --> 00:24:34,181 Fuck off! 688 00:24:34,264 --> 00:24:35,307 Sorry. 689 00:24:37,058 --> 00:24:39,519 Hi, I'm Dr. McKay. 690 00:24:39,603 --> 00:24:40,729 Uh, Piper. 691 00:24:40,812 --> 00:24:41,798 Laura. 692 00:24:41,813 --> 00:24:43,315 And you guys are? 693 00:24:43,398 --> 00:24:44,398 She's my boss. 694 00:24:44,441 --> 00:24:46,026 Oh, what kind of work? 695 00:24:46,109 --> 00:24:48,028 I'm an accountant, and she's my assistant. 696 00:24:48,111 --> 00:24:50,030 Oh, cool. 697 00:24:50,113 --> 00:24:53,867 Um, Piper, are you OK with your boss being here while we talk? 698 00:24:53,950 --> 00:24:55,118 Yeah, I'm…I'm good. 699 00:24:55,202 --> 00:24:56,995 Are you sure? 700 00:24:57,078 --> 00:24:58,497 I'm going to be asking you some pretty personal questions. 701 00:24:58,580 --> 00:24:59,580 She doesn't mind. 702 00:24:59,623 --> 00:25:01,708 We…we have no secrets. 703 00:25:04,336 --> 00:25:05,837 OK. 704 00:25:05,921 --> 00:25:06,922 So burning with urination. 705 00:25:07,005 --> 00:25:07,991 Mm-hmm. 706 00:25:08,006 --> 00:25:09,049 When did that start? 707 00:25:09,132 --> 00:25:11,176 About two days ago. 708 00:25:11,259 --> 00:25:13,303 Why don't we let Piper answer the questions? 709 00:25:13,386 --> 00:25:16,014 I'm sorry, it's just, we've been waiting so long. 710 00:25:18,517 --> 00:25:19,518 About two days ago. 711 00:25:19,601 --> 00:25:21,770 Any blood in the urine? 712 00:25:21,853 --> 00:25:23,271 I don't think so. 713 00:25:23,355 --> 00:25:25,607 No, she would have definitely noticed that. 714 00:25:27,275 --> 00:25:29,027 OK. 715 00:25:29,110 --> 00:25:30,737 I'm going to get you a gown and I'll be right back, OK? 716 00:25:30,820 --> 00:25:31,863 OK. 717 00:25:37,202 --> 00:25:39,162 Any change with the extra Dilaudid? 718 00:25:39,246 --> 00:25:40,580 Not really. 719 00:25:40,664 --> 00:25:42,249 The pain is still there. 720 00:25:45,544 --> 00:25:49,130 Sorry. Sorry. 721 00:25:49,214 --> 00:25:52,634 Just to review, no fever, no vomiting, 722 00:25:52,717 --> 00:25:55,053 no diarrhea, no constipation. 723 00:25:55,136 --> 00:25:56,680 Correct. 724 00:25:56,763 --> 00:25:59,307 When exactly did the pain start? 725 00:25:59,391 --> 00:26:03,478 10:15 this morning, all of a sudden. 726 00:26:03,562 --> 00:26:04,813 That's very strange. 727 00:26:04,896 --> 00:26:06,231 I agree. 728 00:26:08,400 --> 00:26:10,652 Will you tell me everything you did this morning? 729 00:26:10,735 --> 00:26:12,153 Took a shower. 730 00:26:12,237 --> 00:26:17,325 I had breakfast, some coffee, toast with jam. 731 00:26:17,409 --> 00:26:18,910 Yard work. 732 00:26:18,994 --> 00:26:20,662 Moved some firewood. 733 00:26:20,745 --> 00:26:23,832 Did the pain start before or after the firewood? 734 00:26:23,915 --> 00:26:25,917 A little bit after. 735 00:26:26,001 --> 00:26:27,460 I might have got a splinter in my foot. 736 00:26:27,544 --> 00:26:29,212 I wasn't wearing socks. 737 00:26:32,299 --> 00:26:34,384 Other one. 738 00:26:40,307 --> 00:26:43,268 Two small puncture wounds, one millimeter apart. 739 00:26:45,061 --> 00:26:48,023 Two splinters? 740 00:26:48,106 --> 00:26:49,816 Whoa. 741 00:26:49,899 --> 00:26:51,985 What? 742 00:26:53,236 --> 00:26:55,614 There's a dead black widow spider in your shoe. 743 00:26:55,697 --> 00:26:57,032 You're shitting me. 744 00:26:57,115 --> 00:26:58,575 Red hourglass marking. 745 00:26:58,658 --> 00:27:00,368 We need IV diazepam. Start with five. 746 00:27:00,452 --> 00:27:01,745 Might need 10. 747 00:27:06,458 --> 00:27:09,210 What does a spider bite have to do with my Crohn's disease? 748 00:27:09,294 --> 00:27:11,129 Oh, nothing. 749 00:27:11,212 --> 00:27:13,465 Um, black widow venom can cause muscle spasms in the belly. 750 00:27:13,548 --> 00:27:16,426 People have had surgery thinking it was appendicitis. 751 00:27:16,509 --> 00:27:18,136 Hi, Dolores. 752 00:27:18,219 --> 00:27:19,846 Why didn't you get her to CT yet? 753 00:27:19,929 --> 00:27:21,431 I…I don't think she needs it. 754 00:27:21,514 --> 00:27:23,224 The abdomen is rigid. She's perfed. 755 00:27:23,308 --> 00:27:24,294 Maybe not. 756 00:27:24,309 --> 00:27:25,602 What are you giving? 757 00:27:25,685 --> 00:27:27,103 - Diazepam. - I didn't order that. 758 00:27:27,187 --> 00:27:28,355 I did. 759 00:27:28,438 --> 00:27:29,731 She has a rigid abdomen 760 00:27:29,814 --> 00:27:30,982 but no other GI signs or symptoms. 761 00:27:31,066 --> 00:27:32,817 It didn't make any sense. 762 00:27:32,901 --> 00:27:34,861 There's a black widow spider and a bite mark on the foot. 763 00:27:34,944 --> 00:27:38,114 The venom is causing spasm of the abdominal wall musculature. 764 00:27:38,198 --> 00:27:41,117 Whatever you guys gave me, it's working. 765 00:27:41,201 --> 00:27:42,187 Possibly. 766 00:27:42,202 --> 00:27:46,539 No, definitely. 767 00:27:46,623 --> 00:27:48,708 I'm much better. 768 00:27:54,089 --> 00:27:55,089 Take a deep breath. 769 00:27:59,678 --> 00:28:01,179 Good, good. 770 00:28:01,262 --> 00:28:02,681 Are you from Pittsburgh? 771 00:28:02,764 --> 00:28:04,849 Uh, two hours north. 772 00:28:04,933 --> 00:28:06,309 Like, Mill Village. 773 00:28:06,393 --> 00:28:07,686 OK. 774 00:28:07,769 --> 00:28:09,229 You have any family you want to call? 775 00:28:09,312 --> 00:28:10,647 I don't have a phone. 776 00:28:10,730 --> 00:28:12,774 She can use mine if she needs to. 777 00:28:15,193 --> 00:28:17,153 OK. 778 00:28:17,237 --> 00:28:19,322 Lay down. 779 00:28:22,200 --> 00:28:25,036 I've, uh, never heard of Mill Village. 780 00:28:25,120 --> 00:28:26,788 Yeah, nobody has. 781 00:28:26,871 --> 00:28:28,081 Population 400. 782 00:28:28,164 --> 00:28:29,249 Wow, that's small. 783 00:28:29,332 --> 00:28:30,834 Tell me about it. 784 00:28:30,917 --> 00:28:32,585 After high school, I had to get out of there. 785 00:28:32,669 --> 00:28:33,920 Mm. 786 00:28:34,003 --> 00:28:35,839 Well, you're lucky you found a job. 787 00:28:35,922 --> 00:28:37,465 Any pain around here? 788 00:28:37,549 --> 00:28:40,009 Mm-hmm, a little. 789 00:28:40,093 --> 00:28:41,079 OK. 790 00:28:41,094 --> 00:28:42,470 Sit up for me. 791 00:28:43,888 --> 00:28:44,931 All right. 792 00:28:45,014 --> 00:28:46,266 You gave us a urine specimen? 793 00:28:46,349 --> 00:28:48,309 Hours ago, in the waiting room. 794 00:28:48,393 --> 00:28:49,436 OK. 795 00:28:49,519 --> 00:28:50,895 Well, I'll find the results, 796 00:28:50,979 --> 00:28:52,564 and then you might need a pelvic exam. 797 00:28:52,647 --> 00:28:55,400 Is that really necessary? 798 00:28:55,483 --> 00:28:56,735 It could be. 799 00:28:56,818 --> 00:28:57,902 If there's no bladder infection, 800 00:28:57,986 --> 00:28:59,446 it's important to check. 801 00:28:59,529 --> 00:29:00,822 OK. 802 00:29:00,905 --> 00:29:02,407 And if we do a pelvic, Laura, 803 00:29:02,490 --> 00:29:03,950 we'll have you step outside for a minute. 804 00:29:04,033 --> 00:29:07,245 I'd prefer to stay with her, for support. 805 00:29:10,039 --> 00:29:12,167 Piper, do you want some privacy? 806 00:29:14,210 --> 00:29:15,462 No, it's cool. 807 00:29:15,545 --> 00:29:18,256 She…she can stay. 808 00:29:18,339 --> 00:29:19,924 OK. 809 00:29:21,342 --> 00:29:22,342 All right. 810 00:29:22,385 --> 00:29:23,803 I'll be back. 811 00:29:26,931 --> 00:29:29,517 Core temp is 88. 812 00:29:29,601 --> 00:29:31,311 Is…is that good? 813 00:29:31,394 --> 00:29:33,980 It's up from 85 on her arrival, 814 00:29:34,063 --> 00:29:36,566 so we're headed in the right direction. 815 00:29:37,942 --> 00:29:40,028 You hear that, Amber? 816 00:29:40,111 --> 00:29:41,237 It's better. 817 00:29:41,321 --> 00:29:43,531 You're getting better. 818 00:29:45,992 --> 00:29:47,368 I need to step out for a second. 819 00:29:47,452 --> 00:29:49,704 You're in good hands. 820 00:29:49,788 --> 00:29:52,290 Come find me when it's over 90. 821 00:29:59,881 --> 00:30:01,716 Parents are going to need the family room. 822 00:30:01,800 --> 00:30:02,967 It's available now. 823 00:30:05,762 --> 00:30:07,722 Last rites for Nick. 824 00:30:07,806 --> 00:30:09,265 Just one of those days. 825 00:30:09,349 --> 00:30:10,335 Yeah. 826 00:30:10,350 --> 00:30:11,643 Anyone else dying? 827 00:30:11,726 --> 00:30:12,977 Not at the moment. 828 00:30:15,688 --> 00:30:17,607 What the hell is that? 829 00:30:19,901 --> 00:30:22,195 You asked for better patient satisfaction scores. 830 00:30:23,279 --> 00:30:24,489 What do you want, man? 831 00:30:24,572 --> 00:30:25,698 Oh, jeez. 832 00:30:25,782 --> 00:30:27,033 Excuse me, Dr. Robby. 833 00:30:27,116 --> 00:30:28,701 This is Eli, son of Willie Alexander. 834 00:30:28,785 --> 00:30:30,119 - Hey, nice to meet you. - Likewise. 835 00:30:30,203 --> 00:30:31,788 - How's he doing? - He's doing better. 836 00:30:31,871 --> 00:30:32,956 He's going to need to stay with us, 837 00:30:33,039 --> 00:30:34,332 though, for a new pacemaker. 838 00:30:34,415 --> 00:30:35,750 He got a new one at Presby 839 00:30:35,834 --> 00:30:37,418 about, uh, a year ago. 840 00:30:37,502 --> 00:30:39,003 They said it'd be good for 10 years. 841 00:30:39,087 --> 00:30:41,339 Yes, but the wires separated from the box. 842 00:30:41,422 --> 00:30:43,341 It happens sometimes. 843 00:30:43,424 --> 00:30:44,509 Can he have a visitor? 844 00:30:44,592 --> 00:30:46,928 Of course. Right this way. 845 00:30:47,011 --> 00:30:49,138 Hey, Eli, what did your dad do for a living? 846 00:30:49,222 --> 00:30:52,350 Uh, postal worker, 40 years. 847 00:30:52,433 --> 00:30:54,602 Did he ever do any volunteer work at the hospital? 848 00:30:54,686 --> 00:30:56,062 No. 849 00:30:56,145 --> 00:30:57,897 But when he was a kid, he was a medic 850 00:30:57,981 --> 00:30:59,899 for the Freedom House Ambulance Service. 851 00:31:02,026 --> 00:31:03,194 That's incredible. 852 00:31:03,278 --> 00:31:05,029 Uh, I will be in as soon as I can. 853 00:31:05,113 --> 00:31:06,531 Thank you. 854 00:31:06,614 --> 00:31:08,575 That guy's a legend. 855 00:31:08,658 --> 00:31:10,159 I know. 856 00:31:10,243 --> 00:31:11,244 Sorry, can I get your help with something? 857 00:31:11,327 --> 00:31:12,704 Yeah. 858 00:31:12,787 --> 00:31:15,081 Um, 18-year-old woman with dysuria, 859 00:31:15,164 --> 00:31:17,375 moved here two months ago from rural Pennsylvania. 860 00:31:17,458 --> 00:31:19,210 She's with her female boss, 861 00:31:19,294 --> 00:31:22,714 who's very controlling and answers questions for her 862 00:31:22,797 --> 00:31:25,842 and won't leave her side for anything, even a pelvic exam. 863 00:31:25,925 --> 00:31:28,261 And you're thinking? 864 00:31:28,344 --> 00:31:30,722 - Red flags for trafficking. - Sounds like it. 865 00:31:30,805 --> 00:31:32,348 I need to take a sexual history 866 00:31:32,432 --> 00:31:34,017 and do a pelvic in private. 867 00:31:34,100 --> 00:31:36,102 She's not going to talk unless we separate them. 868 00:31:36,185 --> 00:31:37,854 That we can do. Come on. 869 00:31:41,316 --> 00:31:44,235 That looks like ST elevation. 870 00:31:44,319 --> 00:31:45,945 That could be bad. 871 00:31:46,029 --> 00:31:47,655 Oh, no. 872 00:31:47,739 --> 00:31:50,074 That's just because we're pacing your right ventricle. 873 00:31:50,158 --> 00:31:51,576 Willie, I'm impressed. 874 00:31:51,659 --> 00:31:52,952 After all these years, you still remember 875 00:31:53,036 --> 00:31:54,621 your medical training. 876 00:31:54,704 --> 00:31:56,414 He couldn't tell you what he had for breakfast. 877 00:31:57,457 --> 00:31:58,458 It's all right. 878 00:31:58,541 --> 00:32:00,543 I remember what's important. 879 00:32:00,627 --> 00:32:02,211 Like the Freedom House. 880 00:32:02,295 --> 00:32:03,671 What's that? 881 00:32:03,755 --> 00:32:04,756 A damn shame. 882 00:32:04,839 --> 00:32:06,257 That's your history. 883 00:32:06,341 --> 00:32:07,675 Dad, they're busy. 884 00:32:07,759 --> 00:32:09,969 Back in the '60s, no 911, 885 00:32:10,053 --> 00:32:11,679 no ambulances. 886 00:32:11,763 --> 00:32:13,473 All we had was police paddy wagons 887 00:32:13,556 --> 00:32:17,226 that took you to the hospital, if you were lucky. 888 00:32:17,310 --> 00:32:20,563 Then this doc from Pitt, Dr. Safar, 889 00:32:20,647 --> 00:32:22,941 he got some money and trained us up. 890 00:32:23,024 --> 00:32:25,026 Well, you must have been a good student. 891 00:32:25,109 --> 00:32:26,527 Hell, no. 892 00:32:26,611 --> 00:32:28,446 I was a knucklehead. 893 00:32:28,529 --> 00:32:32,075 Smoked a lot of weed, dropped out of high school. 894 00:32:32,158 --> 00:32:34,744 But Freedom House trained me up. 895 00:32:34,827 --> 00:32:36,371 Saved my life. 896 00:32:36,454 --> 00:32:38,581 What are you doing there, Willie? 897 00:32:38,665 --> 00:32:39,999 Nothing. 898 00:32:40,083 --> 00:32:41,960 You're moving your old pacemaker. 899 00:32:42,043 --> 00:32:43,086 Diagnosis made. 900 00:32:43,169 --> 00:32:44,155 What? 901 00:32:44,170 --> 00:32:45,964 Twiddler's syndrome. 902 00:32:46,047 --> 00:32:48,299 Spinning that thing around caused the wires to break off. 903 00:32:48,383 --> 00:32:49,968 Oh, Dad. 904 00:32:50,051 --> 00:32:51,511 - I didn't mean to. - It's OK. 905 00:32:51,594 --> 00:32:52,929 We'll put the new one in a little deeper. 906 00:32:53,012 --> 00:32:54,097 Won't happen again. 907 00:32:56,307 --> 00:32:59,227 Some of your tests are concerning for a kidney stone. 908 00:32:59,310 --> 00:33:00,937 Wouldn't that give more pain? 909 00:33:01,020 --> 00:33:02,480 Not always. 910 00:33:02,563 --> 00:33:03,898 If it's a urine infection with a stone, 911 00:33:03,982 --> 00:33:04,968 you'll need to stay in the hospital 912 00:33:04,983 --> 00:33:07,402 for some IV antibiotics. 913 00:33:07,485 --> 00:33:08,653 What do we have to do? 914 00:33:08,736 --> 00:33:10,613 A CT scan of your kidneys. 915 00:33:10,697 --> 00:33:12,198 How long is that going to take? 916 00:33:12,281 --> 00:33:13,825 - They can do it right now. - Great. 917 00:33:13,908 --> 00:33:15,618 - Let's go. - I'm…I'm sorry. 918 00:33:15,702 --> 00:33:16,995 There's radiation. 919 00:33:17,078 --> 00:33:18,621 You won't be able to stay with her. 920 00:33:18,705 --> 00:33:20,999 But we'll be back as soon as the scan is done. 921 00:33:21,082 --> 00:33:22,458 You're good with this, right? 922 00:33:22,542 --> 00:33:25,378 Yeah, I'll be fine. 923 00:33:25,461 --> 00:33:27,880 We'll see you in a minute. 924 00:33:27,964 --> 00:33:29,590 So Laura's an accountant? 925 00:33:29,674 --> 00:33:31,050 - Uh-huh. - Oh. 926 00:33:31,134 --> 00:33:33,261 How'd you get the job? 927 00:33:33,344 --> 00:33:34,387 - Online ad. - Yeah. 928 00:33:34,470 --> 00:33:36,222 Zoom interview. 929 00:33:36,305 --> 00:33:37,890 You must be good at math. 930 00:33:37,974 --> 00:33:40,018 Not really. 931 00:33:40,101 --> 00:33:42,228 So what do you do for work? 932 00:33:42,311 --> 00:33:46,149 I answer the phones, I make appointments, I… 933 00:33:46,232 --> 00:33:48,234 I bring deposits to the bank. 934 00:33:48,317 --> 00:33:51,029 You work with spreadsheets? 935 00:33:51,112 --> 00:33:53,906 She hasn't taught me that yet. 936 00:33:53,990 --> 00:33:56,034 This is where you do the CT? 937 00:33:56,117 --> 00:33:58,327 Uh, no. 938 00:33:58,411 --> 00:34:02,540 We wanted to give you some privacy for your pelvic exam. 939 00:34:02,623 --> 00:34:04,208 Laura's going to be so pissed. 940 00:34:04,292 --> 00:34:05,793 Why would she be mad? 941 00:34:05,877 --> 00:34:07,545 Piper, do you have any concerns 942 00:34:07,628 --> 00:34:09,797 you want to talk about? 943 00:34:09,881 --> 00:34:13,426 No, just the pain when I pee. 944 00:34:13,509 --> 00:34:17,096 Anything you need to tell us about your job or your boss? 945 00:34:17,180 --> 00:34:18,180 No. 946 00:34:18,222 --> 00:34:20,975 No, it's all really great. 947 00:34:25,313 --> 00:34:27,148 OK. 948 00:34:27,231 --> 00:34:29,192 Temp is up to 91. 949 00:34:29,275 --> 00:34:30,860 She's so much warmer. 950 00:34:30,943 --> 00:34:32,862 Is it working? 951 00:34:32,945 --> 00:34:35,156 Can you shock the heart now? 952 00:34:35,239 --> 00:34:37,992 91 is warm enough for her heart to respond. 953 00:34:38,076 --> 00:34:39,077 Hold compressions. 954 00:34:41,329 --> 00:34:42,789 Asystole. 955 00:34:42,872 --> 00:34:45,333 Resuming compressions. 956 00:34:45,416 --> 00:34:46,793 Got the potassium level back. 957 00:34:46,876 --> 00:34:48,795 12.2. 958 00:35:03,726 --> 00:35:06,270 No one has ever survived a cardiac arrest 959 00:35:06,354 --> 00:35:08,606 with a potassium over 11. 960 00:35:10,316 --> 00:35:14,821 There is absolutely no chance of recovery. 961 00:35:14,904 --> 00:35:17,740 I am so sorry. 962 00:35:17,824 --> 00:35:19,200 Amber has died. 963 00:35:20,701 --> 00:35:21,744 No. 964 00:35:21,828 --> 00:35:23,579 No, no, no, no, no, no, no. 965 00:35:23,663 --> 00:35:24,649 It's not happening. 966 00:35:24,664 --> 00:35:25,664 No, no, no! 967 00:35:25,706 --> 00:35:26,999 No! 968 00:35:27,083 --> 00:35:29,168 No! No! 969 00:35:29,252 --> 00:35:30,419 I'm sorry. 970 00:35:30,503 --> 00:35:32,755 I am so… 971 00:35:32,839 --> 00:35:36,300 Before we stop, do you think her sister 972 00:35:36,384 --> 00:35:38,803 would like a chance to say goodbye? 973 00:35:38,886 --> 00:35:40,263 No. 974 00:35:40,346 --> 00:35:43,057 Uh, Bella shouldn't see her like this. 975 00:35:43,141 --> 00:35:44,141 OK. 976 00:35:45,685 --> 00:35:47,228 You can stay in here for as long as you like. 977 00:35:48,312 --> 00:35:50,898 It's OK. It's OK. 978 00:35:50,982 --> 00:35:54,152 We are going to stop now. 979 00:35:57,989 --> 00:36:01,784 Resuscitation efforts discontinued at 14:51. 980 00:36:04,453 --> 00:36:07,498 Oh, sweetheart, I'm sorry. 981 00:36:13,421 --> 00:36:14,797 OK, that's it. 982 00:36:14,881 --> 00:36:16,799 We're done. 983 00:36:16,883 --> 00:36:18,050 Let me get the gurney up. 984 00:36:23,598 --> 00:36:24,974 Is everything OK? 985 00:36:25,057 --> 00:36:26,142 Yeah. 986 00:36:26,225 --> 00:36:27,225 There's no infection 987 00:36:27,268 --> 00:36:28,686 in your uterus or ovaries. 988 00:36:28,769 --> 00:36:30,938 OK, that's…that's good. 989 00:36:31,022 --> 00:36:34,650 But your urine test was positive for chlamydia. 990 00:36:34,734 --> 00:36:36,068 Shit. 991 00:36:36,152 --> 00:36:38,821 It's a sexually transmitted infection. 992 00:36:38,905 --> 00:36:41,782 Any idea how that happened? 993 00:36:41,866 --> 00:36:43,910 Yeah, my cheating 994 00:36:43,993 --> 00:36:46,412 piece of shit ex-boyfriend back home. 995 00:36:46,495 --> 00:36:48,789 But we broke up before I moved. 996 00:36:48,873 --> 00:36:51,459 You need antibiotics twice a day for 10 days. 997 00:36:51,542 --> 00:36:52,585 That'll clear it up. 998 00:36:52,668 --> 00:36:54,170 And he'll need treatment too. 999 00:36:54,253 --> 00:36:55,880 If I don't tell him, is there a chance 1000 00:36:55,963 --> 00:36:57,840 his dick will fall off? 1001 00:36:57,924 --> 00:37:00,468 If you don't tell him, a public health nurse will. 1002 00:37:00,551 --> 00:37:02,345 You should also test for HIV, syphilis, 1003 00:37:02,428 --> 00:37:04,013 gonorrhea, and hepatitis. 1004 00:37:04,096 --> 00:37:05,348 OK. 1005 00:37:05,431 --> 00:37:06,557 Any other sexual partners 1006 00:37:06,641 --> 00:37:09,101 in the last few months? 1007 00:37:09,185 --> 00:37:10,561 Not really. 1008 00:37:10,645 --> 00:37:11,646 Use condoms? 1009 00:37:11,729 --> 00:37:13,189 Most of the time. 1010 00:37:13,272 --> 00:37:14,523 It's important to use them all the time. 1011 00:37:14,607 --> 00:37:15,900 Yeah, but if I forget, 1012 00:37:15,983 --> 00:37:17,068 you can just give me a shot, right? 1013 00:37:17,151 --> 00:37:18,236 Not for some infections. 1014 00:37:18,319 --> 00:37:20,071 This is serious. 1015 00:37:20,154 --> 00:37:21,154 Birth control? 1016 00:37:21,197 --> 00:37:22,197 Norplant. 1017 00:37:22,240 --> 00:37:25,493 It's good for five years. 1018 00:37:25,576 --> 00:37:29,413 Piper, we have a question that we ask everyone. 1019 00:37:29,497 --> 00:37:31,749 Sometimes people are pressured 1020 00:37:31,832 --> 00:37:33,876 to have sex when they don't want to. 1021 00:37:33,960 --> 00:37:35,795 Does that ever happen to you? 1022 00:37:38,464 --> 00:37:40,383 No, never. 1023 00:37:40,466 --> 00:37:42,677 And when you signed in, you put down Laura 1024 00:37:42,760 --> 00:37:44,345 as your emergency contact. 1025 00:37:44,428 --> 00:37:46,430 Yeah. 1026 00:37:46,514 --> 00:37:48,808 You have the same address as Laura? 1027 00:37:48,891 --> 00:37:50,184 Yeah. 1028 00:37:50,268 --> 00:37:51,727 She's letting me use her guest room 1029 00:37:51,811 --> 00:37:53,729 until I can save up for a place of my own. 1030 00:37:55,398 --> 00:37:57,525 OK. 1031 00:37:57,608 --> 00:37:59,110 Why don't we have you lie down again? 1032 00:37:59,193 --> 00:38:00,194 What for? 1033 00:38:00,278 --> 00:38:01,612 Uh, ultrasound. 1034 00:38:01,696 --> 00:38:03,447 We're going to check your kidneys. 1035 00:38:03,531 --> 00:38:07,368 You got bumped from CT by a couple of emergency cases. 1036 00:38:22,633 --> 00:38:26,762 Bella, Dr. King and Dr. Collins are here. 1037 00:38:26,846 --> 00:38:27,888 Hi. 1038 00:38:27,972 --> 00:38:30,474 I'm coloring. 1039 00:38:30,558 --> 00:38:32,435 You're a very good artist. 1040 00:38:32,518 --> 00:38:34,186 Thanks. 1041 00:38:37,148 --> 00:38:39,942 Um, Bella? 1042 00:38:40,026 --> 00:38:41,319 Yeah? 1043 00:38:41,402 --> 00:38:43,654 What have you heard about Amber? 1044 00:38:43,738 --> 00:38:47,074 She's really sick, but the doctor and the nurse 1045 00:38:47,158 --> 00:38:50,328 is trying to make her better. 1046 00:38:50,411 --> 00:38:52,663 That must make you sad. 1047 00:38:54,623 --> 00:38:56,125 You know, I have a sister too, 1048 00:38:56,208 --> 00:38:59,211 and I don't like it when she's sick. 1049 00:38:59,295 --> 00:39:01,255 She saved me. 1050 00:39:03,466 --> 00:39:05,301 She did? 1051 00:39:05,384 --> 00:39:07,428 I fell in the pool. 1052 00:39:07,511 --> 00:39:11,182 She helped me get out, but then she couldn't get out. 1053 00:39:13,642 --> 00:39:16,228 I'm making her a card. 1054 00:39:27,823 --> 00:39:31,952 Freedom House took us in and trained us for 300 hours. 1055 00:39:32,036 --> 00:39:34,163 They turned out the very first medics 1056 00:39:34,246 --> 00:39:35,873 in the United States. 1057 00:39:35,956 --> 00:39:39,752 We started IVs, defibrillated, 1058 00:39:39,835 --> 00:39:42,546 intubated in the field. 1059 00:39:42,630 --> 00:39:44,548 They were the heroes of Hill District, 1060 00:39:44,632 --> 00:39:47,843 a bunch of young Black dudes saving lives every day. 1061 00:39:47,927 --> 00:39:49,053 Why'd you quit? 1062 00:39:49,136 --> 00:39:50,471 I didn't. 1063 00:39:50,554 --> 00:39:51,639 The city saw how successful it was 1064 00:39:51,722 --> 00:39:53,474 and took over the program. 1065 00:39:53,557 --> 00:39:55,309 Trained new medics. 1066 00:39:55,393 --> 00:39:56,852 All white. 1067 00:39:56,936 --> 00:39:58,437 Everything that Willie and his friends did 1068 00:39:58,521 --> 00:40:01,315 set the EMS standard for the entire country. 1069 00:40:01,399 --> 00:40:04,360 Their program created the 911 system. 1070 00:40:04,443 --> 00:40:06,153 It wasn't just us. 1071 00:40:06,237 --> 00:40:09,073 We had the best teachers. 1072 00:40:09,156 --> 00:40:12,952 Dr. Safar invented CPR. 1073 00:40:13,035 --> 00:40:16,539 Dr. Adamson, med student when I arrived. 1074 00:40:16,622 --> 00:40:20,459 But I'm telling you, boy, that guy could teach 1075 00:40:20,543 --> 00:40:23,295 like there was no tomorrow. 1076 00:40:23,379 --> 00:40:25,172 You ever hear him give a lecture? 1077 00:40:25,256 --> 00:40:26,674 Many times. 1078 00:40:26,757 --> 00:40:29,218 Every time I saved a patient, 1079 00:40:29,301 --> 00:40:30,845 it was like he was standing right here, 1080 00:40:30,928 --> 00:40:32,012 whispering in my ear, 1081 00:40:32,096 --> 00:40:34,056 telling me what to do. 1082 00:40:34,140 --> 00:40:35,307 Me too. 1083 00:40:35,391 --> 00:40:37,017 Yeah. 1084 00:40:37,101 --> 00:40:39,061 Where is he working now? 1085 00:40:39,145 --> 00:40:42,815 Dr. Adamson died a few years ago, during COVID. 1086 00:40:42,898 --> 00:40:44,608 Oh. 1087 00:40:44,692 --> 00:40:46,902 Hard to believe. 1088 00:40:46,986 --> 00:40:48,946 He was so young, so full of life. 1089 00:40:49,029 --> 00:40:50,781 A force of nature. 1090 00:40:50,865 --> 00:40:53,409 Yes, he was. 1091 00:40:57,288 --> 00:40:58,789 We're back. 1092 00:40:58,873 --> 00:41:01,792 I should be out there for the honor walk. 1093 00:41:01,876 --> 00:41:03,502 Right. 1094 00:41:03,586 --> 00:41:04,962 Hey, Mrs. Phillips. 1095 00:41:05,045 --> 00:41:06,338 Your son would like to speak with you. 1096 00:41:06,422 --> 00:41:07,408 Oh. 1097 00:41:07,423 --> 00:41:09,341 Dr. King can stay here. 1098 00:41:09,425 --> 00:41:12,178 Bella, I'll be right back. 1099 00:41:25,983 --> 00:41:28,486 I finished my card. 1100 00:41:30,070 --> 00:41:31,947 Oh. 1101 00:41:34,366 --> 00:41:35,366 It's beautiful. 1102 00:41:35,409 --> 00:41:37,077 - I love it. - Thanks. 1103 00:41:38,496 --> 00:41:41,916 Can I see Amber now? 1104 00:41:41,999 --> 00:41:45,294 Um, not quite yet. 1105 00:41:45,377 --> 00:41:46,795 What is that? 1106 00:41:46,879 --> 00:41:49,298 Oh, uh, it's from the gift shop. 1107 00:41:49,381 --> 00:41:50,966 For Amber? 1108 00:41:51,050 --> 00:41:53,928 For you and for Amber. 1109 00:41:54,011 --> 00:41:56,805 Um, but you get to name it. 1110 00:41:56,889 --> 00:41:59,517 I think her name will be Bear. 1111 00:41:59,600 --> 00:42:00,586 Bear. 1112 00:42:00,601 --> 00:42:02,019 All right. 1113 00:42:02,102 --> 00:42:05,397 Um, since you can't see Amber right now, 1114 00:42:05,481 --> 00:42:08,234 but I bet you got a lot of things to tell her, 1115 00:42:08,317 --> 00:42:09,902 Bear is going to help. 1116 00:42:09,985 --> 00:42:11,362 How? 1117 00:42:11,445 --> 00:42:14,782 Well, um, if you tell Bear 1118 00:42:14,865 --> 00:42:16,825 everything you want to tell Amber, 1119 00:42:16,909 --> 00:42:19,161 then I'll take Bear and sit her on Amber's pillow, 1120 00:42:19,245 --> 00:42:21,330 and then she'll tell her everything you said. 1121 00:42:21,413 --> 00:42:22,540 What do you think of that plan? 1122 00:42:22,623 --> 00:42:23,916 - I like it. - Yeah? 1123 00:42:23,999 --> 00:42:25,042 OK. 1124 00:42:25,125 --> 00:42:26,627 Do you want to give it a try? 1125 00:42:26,710 --> 00:42:27,753 There you go. 1126 00:42:30,422 --> 00:42:32,007 Hi, Amber. 1127 00:42:32,091 --> 00:42:33,884 It's me, Bella. 1128 00:42:33,968 --> 00:42:36,720 Thank you for saving me. 1129 00:42:36,804 --> 00:42:40,224 When you come home, I promise 1130 00:42:40,307 --> 00:42:44,311 I won't touch your toys without asking. 1131 00:42:44,395 --> 00:42:48,274 And I'll try not to fight, because you're my best friend 1132 00:42:48,357 --> 00:42:50,067 in the whole entire world. 1133 00:42:50,150 --> 00:42:51,819 I love you. 1134 00:42:56,490 --> 00:42:59,493 Amber is going to be so happy with that. 1135 00:43:03,831 --> 00:43:05,082 Hey. 1136 00:43:05,165 --> 00:43:07,543 Hey. 1137 00:43:07,626 --> 00:43:11,255 Uh, how long have you been working here? 1138 00:43:11,338 --> 00:43:12,798 32 years. 1139 00:43:12,881 --> 00:43:14,216 All in the ER? 1140 00:43:14,300 --> 00:43:15,286 Yeah. 1141 00:43:15,301 --> 00:43:16,927 Oh, man. 1142 00:43:17,011 --> 00:43:18,887 How do you do it? 1143 00:43:18,971 --> 00:43:20,806 I like taking care of everyone, 1144 00:43:20,889 --> 00:43:22,725 especially the ones who fall through the cracks. 1145 00:43:22,808 --> 00:43:24,727 They got nowhere else to go. 1146 00:43:24,810 --> 00:43:26,437 Well, you deserve a medal. 1147 00:43:28,272 --> 00:43:31,025 Yeah, I'd settle for a raise. 1148 00:43:42,911 --> 00:43:45,539 Thank you for everything. 1149 00:43:45,623 --> 00:43:47,249 Uh… 1150 00:43:51,295 --> 00:43:53,422 I wish they could do the surgery here. 1151 00:43:53,505 --> 00:43:55,758 Surgical teams are flying in from all over the country 1152 00:43:55,841 --> 00:43:59,053 to meet Nick at the Center for Organ Recovery. 1153 00:43:59,136 --> 00:44:00,888 We have a car and driver waiting 1154 00:44:00,971 --> 00:44:03,390 so John and Lily can follow right behind the ambulance. 1155 00:44:03,474 --> 00:44:05,434 Thank you. 1156 00:44:05,517 --> 00:44:07,978 So we won't be seeing you again? 1157 00:44:10,105 --> 00:44:12,024 If it's all right, I think a lot of us here 1158 00:44:12,107 --> 00:44:13,984 would like to attend Nick's funeral. 1159 00:44:22,493 --> 00:44:23,952 Yeah, of course. 1160 00:44:48,435 --> 00:44:50,604 Thank you.