1 00:00:10,844 --> 00:00:12,679 You know where your son is now? 2 00:00:12,762 --> 00:00:15,265 No, but he hasn't done anything. 3 00:00:15,348 --> 00:00:16,808 Officer, why are you here? 4 00:00:16,891 --> 00:00:19,019 We received a call that her son, David, 5 00:00:19,102 --> 00:00:21,813 has created a list of girls he would like to eliminate. 6 00:00:21,896 --> 00:00:23,273 Who called you? 7 00:00:23,356 --> 00:00:25,400 Do you know anything about this list? 8 00:00:25,483 --> 00:00:26,818 Somebody called you. Who? 9 00:00:26,901 --> 00:00:28,403 Somebody from my hospital? 10 00:00:28,486 --> 00:00:31,656 Uh, Dr. McKay. 11 00:00:31,740 --> 00:00:33,658 - Air retinue, ETA now. - Who is that? 12 00:00:33,742 --> 00:00:35,410 Air retinue, ETA now. 13 00:00:35,493 --> 00:00:37,287 I will be right back. 14 00:00:41,374 --> 00:00:45,086 Teddy, 28 years old, burned in a gas tank explosion. 15 00:00:45,170 --> 00:00:46,921 Paramedics estimate 90% BSA. 16 00:00:47,005 --> 00:00:48,506 Trauma 1's open. 17 00:00:48,590 --> 00:00:50,091 We managed to get a 20 gauge on the right AC. 18 00:00:50,175 --> 00:00:51,801 First liter of LR running wide open. 19 00:00:51,885 --> 00:00:54,179 Vitals are good, pulse ox 97. 20 00:00:54,262 --> 00:00:56,473 Teddy, are you in a lot of pain right now? 21 00:00:56,556 --> 00:00:58,892 Not as much as I should be. 22 00:00:58,975 --> 00:01:01,561 OK. 23 00:01:01,644 --> 00:01:03,897 Mainly third degree. 24 00:01:03,980 --> 00:01:06,691 Singed nasal hairs. Soot in oropharynx. 25 00:01:06,775 --> 00:01:08,443 Do you have family on the way? 26 00:01:08,526 --> 00:01:10,028 Amy. My wife. 27 00:01:10,111 --> 00:01:11,529 What happened? 28 00:01:11,613 --> 00:01:13,281 I was transferring gas from a 200-gallon 29 00:01:13,364 --> 00:01:15,408 fuel tank to my tractor. 30 00:01:15,492 --> 00:01:16,493 Kaboom. 31 00:01:16,576 --> 00:01:17,827 Let's set up for intubation. 32 00:01:17,911 --> 00:01:19,245 Whitaker, run the Parkland formula. 33 00:01:19,329 --> 00:01:21,081 OK, titrate morphine. Page Garcia. 34 00:01:21,164 --> 00:01:22,665 And I will be back for the intubation. 35 00:01:22,749 --> 00:01:23,958 On it, boss. 36 00:01:25,585 --> 00:01:27,587 Don't, don't, don't! Don't touch me! 37 00:01:27,670 --> 00:01:29,255 I'm fine. 38 00:01:29,339 --> 00:01:31,174 Jesus fucking Christ! 39 00:01:34,636 --> 00:01:37,180 - It's…it's OK. - OK. 40 00:01:37,263 --> 00:01:38,556 - I'm fine. - OK. OK, come here. 41 00:01:38,640 --> 00:01:39,974 - Holy shit! - Whoa, whoa, whoa, whoa! 42 00:01:40,058 --> 00:01:42,060 - Grabbing ice packs. - I got the cart. 43 00:01:42,143 --> 00:01:43,353 What happened? 44 00:01:43,436 --> 00:01:45,605 Just got punched. Just took a fall. 45 00:01:45,688 --> 00:01:47,148 OK. I'm fine. 46 00:01:47,232 --> 00:01:48,858 Who punched you? 47 00:01:48,942 --> 00:01:50,026 Just an unhappy patient. 48 00:01:50,110 --> 00:01:51,569 - A patient hit you? - Yeah. 49 00:01:51,653 --> 00:01:53,238 Happens all the time. I got my cheek broken. 50 00:01:53,321 --> 00:01:55,156 - I lost a tooth. - Oh. 51 00:01:55,240 --> 00:01:58,243 - We've all been assaulted. - Go get Ahmad. 52 00:01:58,326 --> 00:02:00,995 - Did you hit your head? - Uh, yep, probably, 53 00:02:01,079 --> 00:02:04,624 but no LOC, just… just a bloody nose. 54 00:02:04,707 --> 00:02:05,693 OK, pressure. 55 00:02:05,708 --> 00:02:07,293 OK, OK, OK. 56 00:02:07,377 --> 00:02:09,295 Any trouble seeing? Any double vision? 57 00:02:09,379 --> 00:02:11,464 - No. - I'll grab you new scrubs. 58 00:02:11,548 --> 00:02:13,466 - What about a headache? - A little, yeah. 59 00:02:13,550 --> 00:02:15,552 - We need to find her a room. - I do not need a room! 60 00:02:15,635 --> 00:02:17,011 Dave, move North 1 to the hall. 61 00:02:17,095 --> 00:02:18,596 Follow my finger. 62 00:02:18,680 --> 00:02:22,934 Right, left, up, down. 63 00:02:23,017 --> 00:02:24,519 EOM is intact. 64 00:02:24,602 --> 00:02:26,229 Who did this? 65 00:02:26,312 --> 00:02:27,897 It was a pissed off patient, but he split, 66 00:02:27,981 --> 00:02:29,107 so just forget it. 67 00:02:29,190 --> 00:02:30,775 Forget…hell no. 68 00:02:30,859 --> 00:02:32,152 Look, I want a name. 69 00:02:33,695 --> 00:02:35,822 Doug Driscoll. Doug Driscoll. 70 00:02:35,905 --> 00:02:38,241 - That asshole in Chairs? - Yeah. 71 00:02:38,324 --> 00:02:39,324 I'm calling the cops. 72 00:02:39,367 --> 00:02:40,785 I'll get a wheelchair. 73 00:02:41,953 --> 00:02:43,746 Pupils are equal and reactive. 74 00:02:45,456 --> 00:02:47,417 No septal hematoma. 75 00:02:47,500 --> 00:02:49,586 Should someone call your husband? 76 00:02:49,669 --> 00:02:51,421 - Absolutely not. - OK. 77 00:02:51,504 --> 00:02:53,089 Tell me when it's sore. 78 00:02:56,926 --> 00:02:59,262 Tender at the nasion. CT head and maxillofacial. 79 00:02:59,345 --> 00:03:00,847 I'll give them a heads up. 80 00:03:00,930 --> 00:03:02,265 Is that really necessary? 81 00:03:02,348 --> 00:03:03,725 You have at least one facial fracture. 82 00:03:03,808 --> 00:03:05,310 With the headache and the fall, 83 00:03:05,393 --> 00:03:07,770 I want to rule out anything intracranial. 84 00:03:07,854 --> 00:03:10,440 OK, who can step up for Dana 85 00:03:10,523 --> 00:03:11,566 while she's getting checked out? 86 00:03:11,649 --> 00:03:12,649 - Perlah. - Thank you. 87 00:03:16,404 --> 00:03:18,781 OK, guys, we got about three hours left in this shift, 88 00:03:18,865 --> 00:03:20,200 and I need everybody to step up. 89 00:03:20,283 --> 00:03:21,269 - Is that clear? - Yes. 90 00:03:21,284 --> 00:03:22,285 - Yep. - Yes, sir. 91 00:03:24,037 --> 00:03:25,288 I can't believe they allow you 92 00:03:25,371 --> 00:03:26,998 around med students, Langdon. 93 00:03:27,081 --> 00:03:28,208 Don't pick up any of his bad habits. 94 00:03:28,291 --> 00:03:29,459 You know the difference 95 00:03:29,542 --> 00:03:30,960 between surgeons and serial killers? 96 00:03:31,044 --> 00:03:32,170 Serial killers don't bill their victims. 97 00:03:32,253 --> 00:03:33,463 Cute. 98 00:03:33,546 --> 00:03:35,089 You guys staying ahead with his fluids? 99 00:03:35,173 --> 00:03:37,759 Per the Parkland, 4 per kilo times 90% burned. 100 00:03:37,842 --> 00:03:39,802 - Wow. - 27 liters over 24 hours. 101 00:03:39,886 --> 00:03:41,679 He's had two so far. 102 00:03:41,763 --> 00:03:44,265 Lactated ringers at 1.785 liters per hour 103 00:03:44,349 --> 00:03:45,475 for the next seven hours. 104 00:03:45,558 --> 00:03:46,544 I'll program the pump. 105 00:03:46,559 --> 00:03:48,478 We got a second IV. 106 00:03:48,561 --> 00:03:50,063 Hello, sir. I'm Dr. Garcia. 107 00:03:50,146 --> 00:03:51,564 Need to peek under these dressings. 108 00:03:51,648 --> 00:03:52,857 Are we ready to intubate? 109 00:03:52,941 --> 00:03:55,276 Wife should be here any minute. 110 00:03:55,360 --> 00:03:58,238 Whitaker, earlier, you said third degree. 111 00:03:58,321 --> 00:04:00,114 We refer to burns as either being full thickness 112 00:04:00,198 --> 00:04:01,741 or partial thickness. 113 00:04:01,824 --> 00:04:04,327 Looks like 60% to 70% full, 20% to 30% partial. 114 00:04:04,410 --> 00:04:05,870 Intubation meds? 115 00:04:05,954 --> 00:04:07,622 - 120 Rocuronium, 100 Ketamine. - Got it. 116 00:04:07,705 --> 00:04:08,915 Can you draw them up and hold them? 117 00:04:08,998 --> 00:04:10,166 Vitals are good, but gonna need 118 00:04:10,250 --> 00:04:12,377 a pan scan after intubation. 119 00:04:12,460 --> 00:04:13,753 Oh, my God! 120 00:04:13,836 --> 00:04:15,880 Oh, my God! No, no, no. 121 00:04:15,964 --> 00:04:17,590 Oh, Teddy. 122 00:04:17,674 --> 00:04:18,675 I…I'm Amy. 123 00:04:18,758 --> 00:04:20,051 I'm Teddy's wife. How is he? 124 00:04:20,134 --> 00:04:21,386 He's stable for now. 125 00:04:21,469 --> 00:04:23,638 - I'm OK, honey. - OK. 126 00:04:23,721 --> 00:04:25,223 Teddy, you've got severe burns 127 00:04:25,306 --> 00:04:26,891 covering most of your body. 128 00:04:26,975 --> 00:04:28,726 You've also burned the inside of your throat. 129 00:04:28,810 --> 00:04:30,979 Just to be safe, I need to put in a breathing tube, 130 00:04:31,062 --> 00:04:32,438 and you won't be able to speak. 131 00:04:32,522 --> 00:04:34,524 We need to do this now before his throat swells, 132 00:04:34,607 --> 00:04:36,359 and it becomes difficult for him to breathe. 133 00:04:36,442 --> 00:04:37,986 So if there's anything you two want to say to each other, 134 00:04:38,069 --> 00:04:40,738 this is the time to do it. 135 00:04:40,822 --> 00:04:41,808 OK. 136 00:04:41,823 --> 00:04:43,950 I'm gonna be OK. 137 00:04:45,994 --> 00:04:47,287 Can…can I kiss him? 138 00:04:47,370 --> 00:04:48,830 Yes, of course. 139 00:04:56,671 --> 00:04:57,671 Ready to intubate. 140 00:04:57,714 --> 00:04:58,798 Push Ketamine, then Roc. 141 00:04:58,881 --> 00:05:00,300 I'm right here, OK? 142 00:05:00,383 --> 00:05:01,759 Code stroke, emergency department. 143 00:05:01,843 --> 00:05:03,428 Code stroke, emergency department. 144 00:05:03,511 --> 00:05:06,347 - Ketamine is going in. - OK, I will be right back. 145 00:05:09,309 --> 00:05:11,644 Jane Doe, looks like she's in her 20s. 146 00:05:11,728 --> 00:05:14,397 Obvious aphasia, right-sided hemiparesis, and facial droop. 147 00:05:14,480 --> 00:05:16,316 Hi. What's your name? 148 00:05:16,399 --> 00:05:18,151 Nod your head if you understand. 149 00:05:18,234 --> 00:05:19,694 Receptive and expressive aphasia. 150 00:05:19,777 --> 00:05:21,279 No motor strength in the right arm. 151 00:05:21,362 --> 00:05:22,488 Open your mouth. 152 00:05:24,782 --> 00:05:27,452 Gag reflex present. 153 00:05:27,535 --> 00:05:29,120 Left motor intact. 154 00:05:29,203 --> 00:05:31,247 BP's 150 over 88. 155 00:05:31,331 --> 00:05:33,041 - Where should we go? - AccuCheck is 73. 156 00:05:33,124 --> 00:05:34,500 Straight to Radiology. 157 00:05:34,584 --> 00:05:36,753 CT brain without contrast, perfusion scan, 158 00:05:36,836 --> 00:05:38,379 CT angio head and neck. 159 00:05:38,463 --> 00:05:40,673 - Hey, Crowe, wanna hang back? - Yeah. 160 00:05:40,757 --> 00:05:42,008 So you didn't get a name on her? 161 00:05:42,091 --> 00:05:43,176 Uh, we looked. 162 00:05:43,259 --> 00:05:44,969 Couldn't find a wallet or an ID. 163 00:05:45,053 --> 00:05:46,387 But we had to jam out of there 'cause it was a Code Stroke. 164 00:05:46,471 --> 00:05:48,014 - Who called 911? - Well, apparently, 165 00:05:48,097 --> 00:05:49,599 our Jane Doe is a professional gamer. 166 00:05:49,682 --> 00:05:51,476 She was a no-show for some big tournament. 167 00:05:51,559 --> 00:05:53,895 So her teammate in Dubai calls another teammate in Houston, 168 00:05:53,978 --> 00:05:56,064 who called 911 here. 169 00:05:56,147 --> 00:05:57,523 Who gets a stroke in their 20s? 170 00:05:57,607 --> 00:05:59,108 That's what you get to figure out. 171 00:05:59,192 --> 00:06:02,153 OK, come find me after the scan results are back. 172 00:06:06,449 --> 00:06:08,117 Who called the cops on David Saunders? 173 00:06:08,201 --> 00:06:09,702 I did. 174 00:06:09,786 --> 00:06:11,579 Mom! 175 00:06:11,662 --> 00:06:13,164 Harrison? 176 00:06:13,247 --> 00:06:15,833 Hey. Hey. 177 00:06:15,917 --> 00:06:17,710 Are you OK? How'd you get here? 178 00:06:17,794 --> 00:06:19,545 With Dad. 179 00:06:19,629 --> 00:06:22,673 Chad Ashcroft, 39, skateboarding accident. 180 00:06:22,757 --> 00:06:24,509 Deformity of the right ankle. 181 00:06:24,592 --> 00:06:25,885 No LOC, good vitals. 182 00:06:25,968 --> 00:06:28,096 Got four of morphine en route. 183 00:06:28,179 --> 00:06:29,847 Skateboarding? Really? 184 00:06:29,931 --> 00:06:30,932 I'm fine, by the way. 185 00:06:31,015 --> 00:06:33,017 You know this guy? 186 00:06:33,101 --> 00:06:35,311 Unfortunately. 187 00:06:35,395 --> 00:06:37,480 - Ah! - Looks trimalleolar. 188 00:06:37,563 --> 00:06:38,563 I was hoping for a dislocation. 189 00:06:38,606 --> 00:06:39,690 40 hospitals in Pittsburgh, 190 00:06:39,774 --> 00:06:40,983 and you just had to choose mine? 191 00:06:41,067 --> 00:06:42,235 You think I want to be in this shithole? 192 00:06:42,318 --> 00:06:43,528 I told him to take me to Presby. 193 00:06:43,611 --> 00:06:44,862 You were the closest hospital, 194 00:06:44,946 --> 00:06:46,614 so here we are. Where should we put him? 195 00:06:46,697 --> 00:06:48,491 - On the curb? - Ah. 196 00:06:48,574 --> 00:06:49,867 Are you two family? 197 00:06:49,951 --> 00:06:52,537 - Ex. - Ex. 198 00:06:52,620 --> 00:06:55,456 This is Chad, Harrison's dad. 199 00:06:55,540 --> 00:06:58,960 Oh, nice to finally put a face to a name. 200 00:06:59,043 --> 00:07:00,336 What's open? 201 00:07:00,420 --> 00:07:02,088 McKay, stay with your kid. 202 00:07:02,171 --> 00:07:04,173 Let's take this half-pipe prince 203 00:07:04,257 --> 00:07:05,758 to South 19. 204 00:07:11,514 --> 00:07:14,767 - Hey, what's the golden rule? - No hospitals. 205 00:07:14,851 --> 00:07:18,146 OK, let's add "no skating without a helmet ever again." 206 00:07:18,229 --> 00:07:19,981 - You hear me? - Yes, Mom. 207 00:07:24,819 --> 00:07:26,571 When was the last time you took a bath? 208 00:07:28,364 --> 00:07:29,365 Where's Robby? 209 00:07:29,449 --> 00:07:31,409 Intubating the burn patient. 210 00:07:33,202 --> 00:07:35,538 Ma'am, can you close your eyes for me? 211 00:07:37,748 --> 00:07:39,083 Robby, it's Samira. 212 00:07:39,167 --> 00:07:41,961 Jane Doe's CT came back… no bleed, 213 00:07:42,044 --> 00:07:44,547 but there was a carotid artery dissection left neck 214 00:07:44,630 --> 00:07:46,007 with a thrombus that threw a clot 215 00:07:46,090 --> 00:07:48,551 to the left middle cerebral artery. 216 00:07:49,635 --> 00:07:50,678 OK, got it. 217 00:07:50,761 --> 00:07:52,180 We'll wait. 218 00:07:52,263 --> 00:07:53,389 With no intracranial hemorrhage, 219 00:07:53,473 --> 00:07:55,099 she might be a TNK candidate. 220 00:07:55,183 --> 00:07:57,935 But couldn't TNK cause a brain bleed and kill her? 221 00:07:58,019 --> 00:08:00,438 TNK is still the best clot-busting possibility. 222 00:08:00,521 --> 00:08:03,608 Um, shouldn't we do endovascular therapy? 223 00:08:03,691 --> 00:08:06,777 I mean, it's the safest option to… 224 00:08:06,861 --> 00:08:10,615 What do you call a Tyrannosaurus under stress? 225 00:08:10,698 --> 00:08:12,074 What? 226 00:08:12,158 --> 00:08:13,493 A nervous Rex. 227 00:08:13,576 --> 00:08:15,203 Dr. King, meet Dr. Mehta, 228 00:08:15,286 --> 00:08:17,371 one of our esteemed stroke neurologists. 229 00:08:18,789 --> 00:08:19,789 How's the patient? 230 00:08:19,832 --> 00:08:21,292 NIH stroke scale of 27, 231 00:08:21,375 --> 00:08:23,711 no last known well time. 232 00:08:23,794 --> 00:08:27,173 Dr. Mehta, should we take her to EVT? 233 00:08:27,256 --> 00:08:28,633 Not yet. 234 00:08:28,716 --> 00:08:29,967 We'll take her for a spin in the MRI, 235 00:08:30,051 --> 00:08:31,636 check for irreversible damage first. 236 00:08:31,719 --> 00:08:33,304 If there's a diffusion-flare mismatch, 237 00:08:33,387 --> 00:08:34,972 she's still in the window for thrombolytics. 238 00:08:35,056 --> 00:08:36,599 And she still gets EVT… 239 00:08:36,682 --> 00:08:38,184 two-for-one special. 240 00:08:40,353 --> 00:08:42,104 What type of person is best suited 241 00:08:42,188 --> 00:08:43,773 to work with an MRI machine? 242 00:08:43,856 --> 00:08:45,399 A trained technician. 243 00:08:45,483 --> 00:08:47,818 Someone with a magnetic personality. 244 00:08:49,237 --> 00:08:50,613 That one's new. 245 00:08:53,574 --> 00:08:54,867 Somebody punched her? 246 00:08:54,951 --> 00:08:56,619 A patient. Broke her nose. 247 00:08:56,702 --> 00:08:58,037 Is she OK? 248 00:08:58,120 --> 00:08:59,956 Robby checked her out, sent her to CT. 249 00:09:00,039 --> 00:09:01,457 Sorry to interrupt the hot goss, 250 00:09:01,541 --> 00:09:03,000 but what about me? 251 00:09:03,084 --> 00:09:06,170 Uh, you got some pretty good cuts here, sir. 252 00:09:06,254 --> 00:09:07,255 We're working on closing them up 253 00:09:07,338 --> 00:09:09,257 to prevent infection. 254 00:09:09,340 --> 00:09:11,384 Yeah, can you call in a plastic surgeon? 255 00:09:11,467 --> 00:09:14,762 Uh, the lacerations aren't that deep. 256 00:09:14,845 --> 00:09:16,597 Medical glue should do the trick. 257 00:09:16,681 --> 00:09:18,182 If you have any extra, do you want 258 00:09:18,266 --> 00:09:20,184 to maybe apply some to his lips? 259 00:09:20,268 --> 00:09:22,019 Your son was worried about you 260 00:09:22,103 --> 00:09:24,355 and wanted to make sure you were OK. 261 00:09:24,438 --> 00:09:26,065 - Are you OK? - Yeah, totally. 262 00:09:26,148 --> 00:09:28,526 Just a few battle wounds. 263 00:09:28,609 --> 00:09:30,695 Uh, did you hear? Dana got assaulted. 264 00:09:30,778 --> 00:09:32,196 - What? - Yeah. Patient. 265 00:09:32,280 --> 00:09:33,447 Broke her nose. 266 00:09:33,531 --> 00:09:34,907 When can I get out of here, please? 267 00:09:34,991 --> 00:09:36,951 We're waiting for Radiology to come down 268 00:09:37,034 --> 00:09:39,412 with a portable X-ray machine 269 00:09:39,495 --> 00:09:42,039 so we can take a better look at your leg. 270 00:09:42,123 --> 00:09:44,375 You'll need a splint and eventually a cast. 271 00:09:44,458 --> 00:09:45,668 Ah, hear that? 272 00:09:45,751 --> 00:09:47,628 Your dad's gonna have a cool cast. 273 00:09:47,712 --> 00:09:49,755 Big Harry in the house. Up top. 274 00:09:49,839 --> 00:09:52,174 Mateo! 275 00:09:52,258 --> 00:09:54,510 I told my dad that we went skateboarding last weekend. 276 00:09:54,594 --> 00:09:56,596 - Ah! - So he took me today, 277 00:09:56,679 --> 00:09:57,930 - and… - Ah. 278 00:09:58,014 --> 00:10:00,057 Then he fell and broke his leg. 279 00:10:00,141 --> 00:10:01,934 Yeah, I can see that. 280 00:10:02,018 --> 00:10:03,811 Hey, man. Mateo. 281 00:10:03,894 --> 00:10:05,479 Hey. 282 00:10:05,563 --> 00:10:07,023 Ugh. 283 00:10:07,106 --> 00:10:08,733 You wanna go raid the break room with me? 284 00:10:08,816 --> 00:10:11,902 I hear there's a bag of Takis with your name on it. 285 00:10:11,986 --> 00:10:14,113 Sure. Yeah, yeah. 286 00:10:14,196 --> 00:10:15,740 But not too much sugar. 287 00:10:15,823 --> 00:10:17,366 Says the man who eats Cap'n Crunch for breakfast. 288 00:10:17,450 --> 00:10:18,826 No, not anymore. 289 00:10:18,909 --> 00:10:21,412 Chloe makes me an acai bowl every morning. 290 00:10:21,495 --> 00:10:25,666 Oh, Chloe, the gift that keeps on giving. 291 00:10:25,750 --> 00:10:28,294 I already apologized for that. 292 00:10:28,377 --> 00:10:30,838 How are those lacs coming, Dr. Santos? 293 00:10:30,921 --> 00:10:32,882 - Good. All done. - Mm-hmm. 294 00:10:32,965 --> 00:10:34,175 I'm gonna go check on Radiology. 295 00:10:34,258 --> 00:10:35,676 I'll come with you. 296 00:10:35,760 --> 00:10:37,386 Sooner we get you in, sooner we get you out. 297 00:10:37,470 --> 00:10:39,180 Thank you. 298 00:10:47,938 --> 00:10:49,940 Dr. McKay. 299 00:10:50,024 --> 00:10:51,233 Somebody hit Dana? 300 00:10:51,317 --> 00:10:52,568 I specifically told you 301 00:10:52,652 --> 00:10:53,903 to leave Theresa Saunders alone, 302 00:10:53,986 --> 00:10:55,237 and you called the cops on her son? 303 00:10:55,321 --> 00:10:56,614 We talked about it. 304 00:10:56,697 --> 00:10:58,908 A decision… a decision was not made. 305 00:10:58,991 --> 00:10:59,992 So I made it. 306 00:11:00,076 --> 00:11:01,452 It was not yours to make! 307 00:11:01,535 --> 00:11:03,663 No, it was yours, and you didn't do it. 308 00:11:03,746 --> 00:11:06,415 I didn't do it because it wasn't warranted. 309 00:11:06,499 --> 00:11:08,000 Wasn't it? 310 00:11:08,084 --> 00:11:09,377 If Theresa left, how are we gonna get David 311 00:11:09,460 --> 00:11:11,337 assessed for his risk to others? 312 00:11:11,420 --> 00:11:13,547 I couldn't live with myself if something terrible happened. 313 00:11:13,631 --> 00:11:15,383 Yeah, well, now the police are involved, 314 00:11:15,466 --> 00:11:17,927 so you may have ruined this kid's life forever. 315 00:11:18,010 --> 00:11:20,554 And what about the girls on this list? 316 00:11:20,638 --> 00:11:22,515 Are you telling me their safety, 317 00:11:22,598 --> 00:11:25,267 their lives, are worth less than his? 318 00:11:25,351 --> 00:11:27,019 I can live with this one. 319 00:11:27,103 --> 00:11:28,479 And now you can too. 320 00:11:40,574 --> 00:11:44,412 Uh, distal tibia and fibula with an unstable mortise. 321 00:11:44,495 --> 00:11:47,456 Hold on. Show us the lateral, please. 322 00:11:47,540 --> 00:11:49,208 Here you go. 323 00:11:49,291 --> 00:11:51,419 Mm. 324 00:11:51,502 --> 00:11:53,587 Not two…three breaks. 325 00:11:53,671 --> 00:11:54,922 Jesus. 326 00:11:55,005 --> 00:11:56,716 What, so now I get a cast? 327 00:11:56,799 --> 00:12:00,678 Uh, no, splint and surgery to stabilize the bones 328 00:12:00,761 --> 00:12:02,555 with plates and screws so they can heal properly. 329 00:12:02,638 --> 00:12:04,140 Ugh, how long am I gonna be stuck here? 330 00:12:04,223 --> 00:12:07,059 That is above my pay grade. 331 00:12:07,143 --> 00:12:08,644 Gabriel. 332 00:12:08,728 --> 00:12:10,271 But you may want to cancel 333 00:12:10,354 --> 00:12:12,648 any dinner reservations you may have. 334 00:12:12,732 --> 00:12:16,861 Set up for a double splint, posterior leg and sugar tong. 335 00:12:16,944 --> 00:12:18,904 Oh, is that gonna be painful? 336 00:12:18,988 --> 00:12:20,489 There may be some discomfort. 337 00:12:20,573 --> 00:12:22,575 I assure you, we will prescribe 338 00:12:22,658 --> 00:12:23,951 proper pain medication 339 00:12:24,034 --> 00:12:26,120 to provide you with adequate relief. 340 00:12:26,203 --> 00:12:28,664 Draw up 100 of propofol, 50 of fent. 341 00:12:28,748 --> 00:12:31,000 Whatever, just knock me out. 342 00:12:31,083 --> 00:12:33,210 With pleasure. 343 00:12:36,756 --> 00:12:39,341 Perlah, which of our patients 344 00:12:39,425 --> 00:12:40,801 can we send on their merry way? 345 00:12:40,885 --> 00:12:41,969 Right. 346 00:12:42,052 --> 00:12:43,429 Barry, yoga split lip, 347 00:12:43,512 --> 00:12:45,598 moved from North 1 to the Hall; 348 00:12:45,681 --> 00:12:46,766 Walter, road rash 349 00:12:46,849 --> 00:12:48,517 with the rat killing dog, South 20; 350 00:12:48,601 --> 00:12:50,770 and Vince, basketball elbow fracture, 351 00:12:50,853 --> 00:12:52,146 outside Central 2. 352 00:12:52,229 --> 00:12:53,856 OK, you can run another set of vitals 353 00:12:53,939 --> 00:12:55,483 on Crosby's papa and discharge. 354 00:12:55,566 --> 00:12:57,193 You can tell Ortho to get their head out of their ass 355 00:12:57,276 --> 00:12:58,694 and take Joel Embiid with them. 356 00:12:58,778 --> 00:13:00,488 And you can release Yoga Barry, but tell him 357 00:13:00,571 --> 00:13:02,072 to refrain from doing any handstands 358 00:13:02,156 --> 00:13:03,282 for at least 48 hours. 359 00:13:03,365 --> 00:13:04,658 Copy that. 360 00:13:04,742 --> 00:13:07,995 Go, go. You heard the man. 361 00:13:08,078 --> 00:13:09,955 I do not know how Dana does this every day. 362 00:13:10,039 --> 00:13:13,709 Haha, running the ER is a Sisyphean task. 363 00:13:13,793 --> 00:13:15,252 So this is a punishment? 364 00:13:15,336 --> 00:13:17,171 - No. - Sisyphus. 365 00:13:17,254 --> 00:13:19,673 Sisyphus pissed off the gods, so they punished him 366 00:13:19,757 --> 00:13:23,594 by making him push this massive boulder up a hill for eternity. 367 00:13:23,677 --> 00:13:28,015 One must imagine Sisyphus happy. 368 00:13:28,098 --> 00:13:29,642 You're doing great. 369 00:13:29,725 --> 00:13:31,727 Hey, Ahmad. 370 00:13:31,811 --> 00:13:33,854 Is Theresa still out in Chairs talking to those cops? 371 00:13:33,938 --> 00:13:35,189 - Yeah. - Will you do me a favor 372 00:13:35,272 --> 00:13:36,649 and just kind of keep an eye on it? 373 00:13:36,732 --> 00:13:38,234 Don't let her leave without talking to me. 374 00:13:38,317 --> 00:13:40,653 - OK. - Any word on Driscoll? 375 00:13:40,736 --> 00:13:42,947 I issued an alert throughout PTMC security 376 00:13:43,030 --> 00:13:45,282 and called the cops with his home address from his chart. 377 00:13:45,366 --> 00:13:46,492 They want a statement from Dana. 378 00:13:46,575 --> 00:13:47,785 She's in CT. 379 00:13:47,868 --> 00:13:50,913 Let's…let's, um, clear her medically, 380 00:13:50,996 --> 00:13:53,666 and then she can decide when she wants to talk to them. 381 00:13:53,749 --> 00:13:55,125 What about other hospitals? 382 00:13:55,209 --> 00:13:56,669 - You let them know? - Notified. 383 00:13:56,752 --> 00:13:58,629 Everyone's on the lookout for this guy, Driscoll. 384 00:13:58,712 --> 00:14:01,006 - Thanks, Ahmad. - You got it. 385 00:14:01,090 --> 00:14:03,217 Glad to know the authorities are looking for this psycho, 386 00:14:03,300 --> 00:14:05,678 but what are you gonna do to protect the rest of us? 387 00:14:05,761 --> 00:14:08,389 Violence against health care workers is a national problem. 388 00:14:08,472 --> 00:14:10,057 And it's only getting worse. 389 00:14:10,140 --> 00:14:11,600 No surprise there's a nursing shortage everywhere. 390 00:14:11,684 --> 00:14:13,185 I hear you, I hear you, I hear you, I hear you, 391 00:14:13,269 --> 00:14:14,937 and it is unacceptable. 392 00:14:15,020 --> 00:14:16,689 What the hell kind of circus are you running down here? 393 00:14:16,772 --> 00:14:17,982 My God. You're like a bad penny. 394 00:14:18,065 --> 00:14:19,608 Where is Dana? How is she? 395 00:14:19,692 --> 00:14:21,902 She's all right. We sent her to CT to make sure. 396 00:14:21,986 --> 00:14:24,071 Did you fill out an incident report? 397 00:14:24,154 --> 00:14:25,990 I don't know, I was more concerned with her 398 00:14:26,073 --> 00:14:27,575 having a skull fracture than with your liability. 399 00:14:27,658 --> 00:14:29,118 How'd a guy from the waiting room 400 00:14:29,201 --> 00:14:30,452 get back here without anyone noticing? 401 00:14:30,536 --> 00:14:32,246 Wow, Gloria! What a great question. 402 00:14:32,329 --> 00:14:34,123 Our hard-working nurses were just asking me 403 00:14:34,206 --> 00:14:35,624 what steps the hospital plans to take 404 00:14:35,708 --> 00:14:37,209 to ensure their safety in the future. 405 00:14:37,293 --> 00:14:38,836 Maybe you would like to explain to them 406 00:14:38,919 --> 00:14:40,129 why you've denied my request 407 00:14:40,212 --> 00:14:41,380 for additional security measures 408 00:14:41,463 --> 00:14:43,173 three times in the last four months? 409 00:14:43,257 --> 00:14:46,677 If nurses don't feel safe, they're not gonna come to work. 410 00:14:48,846 --> 00:14:52,224 First off, the safety of all our employees is paramount… 411 00:14:52,308 --> 00:14:54,184 Do you remember the last nursing strike? 412 00:14:54,268 --> 00:14:55,978 Yeah, that was a real shit show. 413 00:14:56,061 --> 00:14:57,855 Maybe this is something our union rep should know about? 414 00:14:57,938 --> 00:14:59,481 OK, well, just take a beat 415 00:14:59,565 --> 00:15:01,901 and remember that PTMC is a family. 416 00:15:01,984 --> 00:15:03,736 - Come on. - A dysfunctional family. 417 00:15:03,819 --> 00:15:05,571 You should be worried about the nurses' satisfaction 418 00:15:05,654 --> 00:15:06,739 and the safety of… 419 00:15:06,822 --> 00:15:08,657 We are worried about everyone. 420 00:15:08,741 --> 00:15:10,701 We worry…Robby. 421 00:15:10,784 --> 00:15:12,494 Robby. 422 00:15:12,578 --> 00:15:13,954 Dr. Robby, I got a question for you. 423 00:15:14,038 --> 00:15:15,497 Shoot. 424 00:15:15,581 --> 00:15:17,917 Uh, we're working on Chad in 19, McKay's ex. 425 00:15:18,000 --> 00:15:19,543 He's a nightmare. 426 00:15:43,233 --> 00:15:44,693 Here's your driver's license 427 00:15:44,777 --> 00:15:46,528 and insurance card, Mr. Pugliesi. 428 00:15:46,612 --> 00:15:48,864 Have a seat, and the triage nurse will call you back soon. 429 00:15:48,948 --> 00:15:50,658 - Thank you. - Hello. 430 00:15:50,741 --> 00:15:52,576 Uh, my…my son, he needs help, his eye. 431 00:15:52,660 --> 00:15:53,869 Let me ask you about your eyes. 432 00:15:53,953 --> 00:15:55,412 Do you see the line you just cut? 433 00:15:55,496 --> 00:15:57,331 What? No, please. It's an emergency. 434 00:15:57,414 --> 00:15:58,874 You think everybody's waiting for manicures? 435 00:15:58,958 --> 00:16:00,125 He caught a line drive to the eye. 436 00:16:00,209 --> 00:16:01,543 We're so sorry, ma'am. 437 00:16:01,627 --> 00:16:03,379 We thought this was the line for pediatrics. 438 00:16:03,462 --> 00:16:04,838 I'm 16. 439 00:16:06,423 --> 00:16:08,467 I'm doing this 'cause you're a minor and you have manners. 440 00:16:08,550 --> 00:16:09,885 Thank you so much. 441 00:16:09,969 --> 00:16:11,011 Name and date of birth? 442 00:16:11,095 --> 00:16:13,597 Everett Young. December 7, 2008. 443 00:16:13,681 --> 00:16:15,224 I'll get your insurance information from your father. 444 00:16:15,307 --> 00:16:17,142 - Take a seat. - What? No, we're not waiting. 445 00:16:17,226 --> 00:16:19,645 Show her. Show her. 446 00:16:22,439 --> 00:16:23,983 OK, then. 447 00:16:24,066 --> 00:16:25,526 Come around to the double doors. 448 00:16:27,903 --> 00:16:30,114 - Tenecteplase on deck? - All set. 449 00:16:30,197 --> 00:16:33,575 She's 62 kilos, 0.25 per kilo is 15.5 milligrams. 450 00:16:33,659 --> 00:16:35,452 - Push over 10 seconds. - What's the status? 451 00:16:35,536 --> 00:16:36,829 Diffusion flare mismatch means 452 00:16:36,912 --> 00:16:38,163 she's less than four hours into it. 453 00:16:38,247 --> 00:16:39,665 - Getting TNK now. - Sounds great. 454 00:16:39,748 --> 00:16:41,250 Would you mind hanging down here for a bit? 455 00:16:41,333 --> 00:16:42,751 I could use your expertise on this. 456 00:16:42,835 --> 00:16:44,503 Can't believe you have the nerve to ask. 457 00:16:44,586 --> 00:16:46,505 Good one. OK, keep me posted. 458 00:16:49,008 --> 00:16:50,217 50 on board. 459 00:16:50,300 --> 00:16:51,677 Anything I can do to help in here? 460 00:16:51,760 --> 00:16:54,763 No, I'm pretty good. 461 00:16:54,847 --> 00:16:56,640 How are you doing? 462 00:16:56,724 --> 00:16:59,101 Not as good as you, apparently. 463 00:16:59,184 --> 00:17:00,728 Push another 25. 464 00:17:00,811 --> 00:17:02,896 Wet the splints now, please. 465 00:17:02,980 --> 00:17:06,316 You can help lift his leg for the splint. 466 00:17:06,400 --> 00:17:10,696 And we're at 75, mm-hmm. 467 00:17:10,779 --> 00:17:12,656 When we lift his leg, it's really gonna hurt him, 468 00:17:12,740 --> 00:17:15,617 but he won't remember… benefits of propofol. 469 00:17:15,701 --> 00:17:18,662 Pulse ox 99, good end tidal CO2. 470 00:17:18,746 --> 00:17:20,789 Mm-hmm. 471 00:17:20,873 --> 00:17:22,249 Hey, Chad? 472 00:17:22,332 --> 00:17:23,792 Chad. 473 00:17:23,876 --> 00:17:25,627 Ow. 474 00:17:25,711 --> 00:17:27,171 Perfect. 475 00:17:27,254 --> 00:17:29,131 Let's do this. 476 00:17:29,214 --> 00:17:31,884 Ow. 477 00:17:33,844 --> 00:17:36,555 I feel sad. 478 00:17:36,638 --> 00:17:38,057 Uh, don't worry. 479 00:17:38,140 --> 00:17:40,684 We'll have you fixed up good as new. 480 00:17:40,768 --> 00:17:45,189 What does he have that I don't have? 481 00:17:45,272 --> 00:17:48,108 I mean, sure, he's younger. 482 00:17:48,192 --> 00:17:51,278 And that hair. 483 00:17:51,361 --> 00:17:53,113 Who? 484 00:17:53,197 --> 00:17:55,532 Mateo. 485 00:17:55,616 --> 00:17:57,159 Oh. 486 00:17:57,242 --> 00:18:00,412 What's his story anyway? 487 00:18:00,496 --> 00:18:03,957 Is she having sex with him? 488 00:18:04,041 --> 00:18:07,294 Well, if she isn't, she probably should. 489 00:18:07,377 --> 00:18:08,796 Stop. 490 00:18:11,423 --> 00:18:13,550 Who do we have the pleasure of meeting this afternoon? 491 00:18:13,634 --> 00:18:16,345 Everett Young, 16, took a line drive to the left eye. 492 00:18:16,428 --> 00:18:18,347 - Tachy at 118. - Oof. 493 00:18:18,430 --> 00:18:19,598 4 of morphine, 4 of Zofran. 494 00:18:19,681 --> 00:18:20,724 Excuse me. 495 00:18:23,227 --> 00:18:24,812 It was easily 100 miles per hour. 496 00:18:24,895 --> 00:18:26,688 Oof. Did you pass out? 497 00:18:26,772 --> 00:18:28,190 - Uh, no, ma'am. - OK. 498 00:18:28,273 --> 00:18:29,733 Baseball is a fun activity. You any good? 499 00:18:29,817 --> 00:18:31,443 Any good? 500 00:18:31,527 --> 00:18:34,404 He's got a 95 mile an hour fastball, a 12-6 slider, 501 00:18:34,488 --> 00:18:37,574 a 0.94 ERA, and he's a southpaw. 502 00:18:37,658 --> 00:18:39,034 What's that? 503 00:18:39,118 --> 00:18:41,870 That's a future Cy Young. 504 00:18:41,954 --> 00:18:43,664 I don't know what that is either. 505 00:18:43,747 --> 00:18:45,332 Ms. Javadi is a student doctor. 506 00:18:45,415 --> 00:18:47,668 She's a bit of a prodigy herself, actually. 507 00:18:47,751 --> 00:18:49,837 Do you mind if she helps out? 508 00:18:49,920 --> 00:18:51,588 - No, ma'am. - OK. 509 00:18:51,672 --> 00:18:53,590 Tell me how many fingers I'm holding up. 510 00:18:53,674 --> 00:18:57,094 Um…ah, I can't tell. 511 00:18:57,177 --> 00:18:59,304 Oh, my God. Oh, my God. 512 00:18:59,388 --> 00:19:01,223 OK, tell me when the light turns on. 513 00:19:04,476 --> 00:19:05,644 Now? 514 00:19:05,727 --> 00:19:07,604 - Light perception only. - Mm-hmm. 515 00:19:07,688 --> 00:19:08,981 Do you want a portable slit lamp? 516 00:19:09,064 --> 00:19:10,440 Definitely, yeah. 517 00:19:10,524 --> 00:19:11,984 Javadi, what do you think of the anterior chamber? 518 00:19:12,067 --> 00:19:13,318 - Hyphema? - Exactly. 519 00:19:13,402 --> 00:19:14,486 Grade 4. 520 00:19:14,570 --> 00:19:17,573 - Yeah, meaning? - Javadi. 521 00:19:17,656 --> 00:19:19,783 Meaning blood is filling up the front eye chamber. 522 00:19:19,867 --> 00:19:21,785 He'll need an emergency evaluation by ophthalmology. 523 00:19:21,869 --> 00:19:23,245 OK, is that why he can't see? 524 00:19:23,328 --> 00:19:24,705 That's part of it. Yeah. 525 00:19:24,788 --> 00:19:26,874 You see how the eye is pushing out? 526 00:19:26,957 --> 00:19:29,001 There seems to be a collection of blood behind the eyeball. 527 00:19:29,084 --> 00:19:31,003 The eye pressure is too high. We have to act quickly. 528 00:19:31,086 --> 00:19:33,630 - OK, well, check the pressure! - We're going to right now. 529 00:19:33,714 --> 00:19:35,007 Can you get Robby? 530 00:19:41,388 --> 00:19:43,140 It looked like you were having 531 00:19:43,223 --> 00:19:46,351 a pretty intense conversation with Robby earlier. 532 00:19:46,435 --> 00:19:48,562 Everything OK? 533 00:19:48,645 --> 00:19:50,856 Uh, it was nothing. 534 00:19:50,939 --> 00:19:52,482 Nothing? 535 00:19:52,566 --> 00:19:53,942 Yeah, well, not nothing, 536 00:19:54,026 --> 00:19:56,403 but nothing for you to be concerned about. 537 00:19:56,486 --> 00:19:58,113 An intern has a problem around here, 538 00:19:58,197 --> 00:19:59,489 they come to the senior resident, 539 00:19:59,573 --> 00:20:01,158 not the attending. 540 00:20:03,202 --> 00:20:04,453 He is my attending, 541 00:20:04,536 --> 00:20:06,788 and I wanted his input on a patient. 542 00:20:06,872 --> 00:20:09,124 Is that not OK with you? 543 00:20:09,208 --> 00:20:12,252 Just, um… 544 00:20:12,336 --> 00:20:14,963 come to me first next time. 545 00:20:15,047 --> 00:20:16,548 Got it? 546 00:20:16,632 --> 00:20:17,618 Yep. 547 00:20:17,633 --> 00:20:18,675 Got it. 548 00:20:25,849 --> 00:20:26,975 Are you a junior? 549 00:20:27,059 --> 00:20:28,101 Yeah. 550 00:20:28,185 --> 00:20:29,770 You thinking about college? 551 00:20:29,853 --> 00:20:32,314 I have some D1 interest, but… 552 00:20:32,397 --> 00:20:33,732 where'd you go to college? 553 00:20:33,815 --> 00:20:36,318 Uh, Pitt for undergrad and now med school. 554 00:20:36,401 --> 00:20:37,819 Didn't wanna leave town? 555 00:20:37,903 --> 00:20:39,863 Look up at the ceiling for some numbing drops. 556 00:20:39,947 --> 00:20:42,532 It's not exactly an option to live anywhere but home 557 00:20:42,616 --> 00:20:44,743 when you go to college at 13. 558 00:20:44,826 --> 00:20:46,203 Wow. 559 00:20:46,286 --> 00:20:48,789 Add some drops to the fluorescein strip. 560 00:20:48,872 --> 00:20:50,374 I was thinking about California, 561 00:20:50,457 --> 00:20:52,209 maybe UCLA or USC. 562 00:20:52,292 --> 00:20:53,543 - Hold still. - Hey, maybe you go 563 00:20:53,627 --> 00:20:54,670 straight to the Majors, huh? 564 00:20:54,753 --> 00:20:56,046 College can wait. 565 00:20:56,129 --> 00:20:57,130 I don't know. 566 00:20:57,214 --> 00:20:58,298 I do. 567 00:20:58,382 --> 00:20:59,883 Ev's got a God-given gift. 568 00:20:59,967 --> 00:21:01,927 It's why we spent every weekend doing travel ball 569 00:21:02,010 --> 00:21:04,096 when he was young… pro camp, showcases. 570 00:21:04,179 --> 00:21:06,765 He's not throwing away his shot at the Majors. 571 00:21:06,848 --> 00:21:08,475 Uh, we have to check for a puncture 572 00:21:08,558 --> 00:21:10,352 before we can measure the pressure. 573 00:21:10,435 --> 00:21:12,729 Look straight ahead and try not to move your eyes, OK? 574 00:21:12,813 --> 00:21:15,107 - Yes, ma'am. - Lights going out. 575 00:21:15,190 --> 00:21:17,484 Hello. I'm Dr. Robinavitch. 576 00:21:17,567 --> 00:21:19,152 Everybody calls me Dr. Robby. 577 00:21:19,236 --> 00:21:20,862 Hey, Greg Young. This is my boy, Everett. 578 00:21:20,946 --> 00:21:22,281 Nice to meet you both. 579 00:21:22,364 --> 00:21:23,740 OK, I will take that slit lamp, 580 00:21:23,824 --> 00:21:26,034 and you can calibrate for tonometry. 581 00:21:26,118 --> 00:21:27,661 - OK. - They're holding CT for him. 582 00:21:27,744 --> 00:21:29,454 Let's take a look. 583 00:21:29,538 --> 00:21:31,707 Negative Seidel. 584 00:21:31,790 --> 00:21:34,209 No globe rupture. OK, go with the Tono-Pen. 585 00:21:34,293 --> 00:21:36,295 OK. Hold still. 586 00:21:36,378 --> 00:21:37,838 OK. 587 00:21:42,426 --> 00:21:44,928 Left eye pressure 58. 588 00:21:45,012 --> 00:21:47,431 - Is that high? - Yes, it is. 1% lido with epi. 589 00:21:47,514 --> 00:21:49,141 Push one of Versed, and open a lateral canthotomy tray. 590 00:21:49,224 --> 00:21:50,475 - Excuse me. - What? 591 00:21:50,559 --> 00:21:52,269 - Whoa. - Without a CT? Isn't that… 592 00:21:52,352 --> 00:21:53,603 Exactly what the patient needs? 593 00:21:53,687 --> 00:21:56,690 Yes, it is, Dr. McKay. 594 00:21:56,773 --> 00:21:58,358 OK. 595 00:21:58,442 --> 00:22:00,360 Uh, we're gonna lie you back a little, Everett, OK? 596 00:22:00,444 --> 00:22:02,988 We need to do a little minor surgery 597 00:22:03,071 --> 00:22:04,656 to relieve the pressure behind your eye. 598 00:22:04,740 --> 00:22:06,616 So we are going to cut a small opening 599 00:22:06,700 --> 00:22:08,660 on the side of your eye, not in your eye. 600 00:22:08,744 --> 00:22:09,730 - Got it? - Yeah. 601 00:22:09,745 --> 00:22:11,830 Do you wanna watch? 602 00:22:11,913 --> 00:22:14,333 No, I'll…I'll sit down. 603 00:22:14,416 --> 00:22:16,710 Javadi, step up so you can see. 604 00:22:16,793 --> 00:22:19,755 Dr. McKay, Chad is splinted and is awaiting Ortho 605 00:22:19,838 --> 00:22:21,131 for surgery to take him. 606 00:22:21,214 --> 00:22:22,424 Thanks for the update. 607 00:22:23,508 --> 00:22:25,469 Versed's on board. 608 00:22:25,552 --> 00:22:27,137 Numbing medicine here, OK? 609 00:22:27,220 --> 00:22:28,263 OK. 610 00:22:28,347 --> 00:22:31,975 Pinprick and some burning. 611 00:22:32,059 --> 00:22:33,045 Ouch. 612 00:22:33,060 --> 00:22:35,187 What…is Dana gonna be OK? 613 00:22:35,270 --> 00:22:37,105 It's gonna take more than a punch to the face 614 00:22:37,189 --> 00:22:38,482 to keep that mama down. 615 00:22:38,565 --> 00:22:39,551 She's tough. 616 00:22:39,566 --> 00:22:40,692 Yeah. 617 00:22:40,776 --> 00:22:42,861 Um, hi. 618 00:22:42,944 --> 00:22:44,863 I'm sorry to bother you. 619 00:22:44,946 --> 00:22:46,865 Hi. 620 00:22:46,948 --> 00:22:51,495 Uh, I…I just wanna make sure that Teddy's not in any pain. 621 00:22:51,578 --> 00:22:53,705 Oh, he's heavily sedated. 622 00:22:53,789 --> 00:22:55,916 - He can't feel a thing. - Right. 623 00:22:55,999 --> 00:22:59,127 It's just that when I look at him, I just… 624 00:22:59,211 --> 00:23:02,381 I just feel so helpless. 625 00:23:02,464 --> 00:23:05,384 Look, his, uh, CT scans came back negative 626 00:23:05,467 --> 00:23:06,927 for internal injuries. 627 00:23:07,010 --> 00:23:09,971 He's on IV therapy to replace any lost fluids. 628 00:23:10,055 --> 00:23:12,432 I assure you, we are doing everything we can 629 00:23:12,516 --> 00:23:14,351 to give him the best treatment possible. 630 00:23:14,434 --> 00:23:15,420 Thank you. 631 00:23:15,435 --> 00:23:16,421 Yeah. 632 00:23:16,436 --> 00:23:17,813 Teddy's ring. 633 00:23:19,856 --> 00:23:21,525 Um… 634 00:23:21,608 --> 00:23:25,821 I had to cut it off because of the swelling. 635 00:23:25,904 --> 00:23:28,949 Hopefully you can find a good jeweler to fix it. 636 00:23:29,032 --> 00:23:31,326 I don't know how it works. 637 00:23:36,706 --> 00:23:40,001 Um… 638 00:23:40,085 --> 00:23:43,380 do you have a best friend, Doctor… 639 00:23:43,463 --> 00:23:48,009 Oh, it's a another year to go till you can call me "Doctor." 640 00:23:48,093 --> 00:23:50,387 You can just call me Whitaker, though. 641 00:23:50,470 --> 00:23:54,057 Do you have a best friend, Whitaker? 642 00:23:54,141 --> 00:23:59,187 Uh, I have three older brothers. 643 00:23:59,271 --> 00:24:02,482 I guess they're kind of my best friends. 644 00:24:02,566 --> 00:24:04,818 They kind of tortured me growing up, so maybe not. 645 00:24:04,901 --> 00:24:07,696 But yeah. 646 00:24:07,779 --> 00:24:11,158 Teddy's been my best friend since we were 15. 647 00:24:11,241 --> 00:24:13,660 High school sweethearts? 648 00:24:13,743 --> 00:24:17,330 We were just a couple of nerdy aggies who, uh… 649 00:24:17,414 --> 00:24:21,293 we met in 4-H, and we fell in love. 650 00:24:21,376 --> 00:24:22,376 I'm sorry. 651 00:24:22,419 --> 00:24:23,837 No, it's fine. 652 00:24:23,920 --> 00:24:27,257 I'm a third generation Nebraska farm kid myself. 653 00:24:27,340 --> 00:24:28,925 Get out. 654 00:24:29,009 --> 00:24:32,095 Well…well, if you're ever homesick, you should, uh… 655 00:24:32,179 --> 00:24:35,348 you should come by our farm sometime. 656 00:24:35,432 --> 00:24:37,392 That's very kind. 657 00:24:38,894 --> 00:24:40,145 I need some help in here! 658 00:24:42,314 --> 00:24:43,899 - What's going on? - Respiratory distress. 659 00:24:43,982 --> 00:24:45,734 Sats are dropping, 87%. 660 00:24:45,817 --> 00:24:48,069 Uh, lung injury from the fire? 661 00:24:48,153 --> 00:24:49,738 It's not just the low sats. The vent's showing 662 00:24:49,821 --> 00:24:51,698 high peak pressure, low tidal volume. 663 00:24:51,781 --> 00:24:54,409 - Uh, restrictive pattern? - Most likely. 664 00:24:54,493 --> 00:24:55,785 I'll grab Robby and Langdon. 665 00:24:55,869 --> 00:24:56,870 Wait, wait, wait, wait, wait, wait. 666 00:24:56,953 --> 00:24:58,747 What's that? What's going on? 667 00:24:58,830 --> 00:25:00,832 Ventilator is having trouble pumping air into Teddy's lungs. 668 00:25:00,916 --> 00:25:02,167 Burnt skin loses elasticity. 669 00:25:02,250 --> 00:25:03,543 Now his chest wall is too tight. 670 00:25:03,627 --> 00:25:04,920 What can you do? 671 00:25:05,003 --> 00:25:07,047 We're gonna have to cut the burnt skin, 672 00:25:07,130 --> 00:25:09,007 release pressure on the chest wall, 673 00:25:09,090 --> 00:25:10,425 help Teddy breathe. 674 00:25:10,509 --> 00:25:13,094 So after you cut his eye, he'll see again? 675 00:25:13,178 --> 00:25:15,013 This will give us our best shot 676 00:25:15,096 --> 00:25:16,765 at preserving his vision, yes. 677 00:25:16,848 --> 00:25:19,142 Dr. McKay, are you ready to do the honors? 678 00:25:19,226 --> 00:25:21,269 Who, me? 679 00:25:21,353 --> 00:25:22,938 We are a teaching hospital. 680 00:25:23,021 --> 00:25:24,397 Are you still here to learn? 681 00:25:24,481 --> 00:25:26,149 Yes. Yeah. 682 00:25:31,988 --> 00:25:33,907 OK. 683 00:25:33,990 --> 00:25:37,035 You can release that hemostat now. 684 00:25:40,872 --> 00:25:43,083 Pair of scissors. 685 00:25:44,334 --> 00:25:45,919 The length of the crushed area 686 00:25:46,002 --> 00:25:47,754 is going to be your guide for the length of your cut. 687 00:25:47,837 --> 00:25:48,880 OK. 688 00:25:50,674 --> 00:25:51,800 Good. 689 00:25:51,883 --> 00:25:53,343 Toothed forceps. 690 00:25:59,975 --> 00:26:02,394 Feeling for the inferior… 691 00:26:05,105 --> 00:26:07,566 And superior crus. 692 00:26:07,649 --> 00:26:09,442 How can you see with all that blood? 693 00:26:09,526 --> 00:26:11,027 You can't. It's all tactile. 694 00:26:11,111 --> 00:26:14,072 It feels like two guitar strings. 695 00:26:14,155 --> 00:26:15,740 Metzenbaum. 696 00:26:22,330 --> 00:26:23,873 Inferior… 697 00:26:23,957 --> 00:26:26,334 Yeah. 698 00:26:26,418 --> 00:26:29,421 And superior. 699 00:26:29,504 --> 00:26:30,504 Nice. 700 00:26:30,547 --> 00:26:32,841 Good. 701 00:26:32,924 --> 00:26:34,342 Oh, that's a lot of blood. 702 00:26:34,426 --> 00:26:36,011 OK, let's get a repeat pressure. 703 00:26:36,094 --> 00:26:38,179 It's getting a lot brighter in here. 704 00:26:40,181 --> 00:26:42,642 Pressure of 18. 705 00:26:42,726 --> 00:26:44,144 Perfect. 706 00:26:44,227 --> 00:26:46,062 CT can take him as soon as we dress the wound. 707 00:26:46,146 --> 00:26:48,231 Let's page Ophthalmology and tell them to prep for surgery. 708 00:26:48,315 --> 00:26:49,608 Doc, thank you. Thank you. 709 00:26:49,691 --> 00:26:50,900 My pleasure, my pleasure. 710 00:26:50,984 --> 00:26:53,612 Good luck to you, Everett. 711 00:26:53,695 --> 00:26:55,322 Hey. 712 00:26:55,405 --> 00:26:57,240 Thanks for letting me do that. 713 00:26:57,324 --> 00:26:59,075 You sound surprised. 714 00:26:59,159 --> 00:27:00,619 Yeah, I figured after the whole Theresa thing, 715 00:27:00,702 --> 00:27:02,537 you might bench me. 716 00:27:02,621 --> 00:27:05,665 Am I still pissed that you went behind my back? 717 00:27:05,749 --> 00:27:07,292 Absolutely. 718 00:27:07,375 --> 00:27:08,585 And if you ever do it again, you can bet your ass 719 00:27:08,668 --> 00:27:09,836 that I will bench you. 720 00:27:09,919 --> 00:27:11,671 But this is a teaching hospital, 721 00:27:11,755 --> 00:27:14,132 and teachers can still learn stuff. 722 00:27:14,215 --> 00:27:19,429 I saw a sad, confused boy, and that's all I thought about. 723 00:27:19,512 --> 00:27:21,765 I did not think enough about those girls. 724 00:27:24,726 --> 00:27:26,102 Any word on Dana? 725 00:27:26,186 --> 00:27:28,313 She should be coming back from CT soon. 726 00:27:28,396 --> 00:27:29,981 Burn victim's tanking. We need you. 727 00:27:30,065 --> 00:27:33,735 Oh, my God, I can't wait for this shift to be over. 728 00:27:37,364 --> 00:27:40,492 Hey, bud, you doing OK? 729 00:27:40,575 --> 00:27:43,286 Yeah. Mateo hooked me up. 730 00:27:43,370 --> 00:27:45,872 Right, I can see that. 731 00:27:45,955 --> 00:27:48,958 How's Dad? 732 00:27:49,042 --> 00:27:54,089 He's gonna need surgery, but he's gonna be OK. 733 00:27:54,172 --> 00:27:57,133 You know, I was thinking, since your dad's gonna be 734 00:27:57,217 --> 00:28:00,053 laid up for a while, maybe you'd wanna stay with me 735 00:28:00,136 --> 00:28:02,430 until he gets better? 736 00:28:02,514 --> 00:28:04,140 For real? 737 00:28:04,224 --> 00:28:05,210 For real. 738 00:28:05,225 --> 00:28:06,476 What do you think? 739 00:28:12,565 --> 00:28:15,235 I'll take that as a yes. 740 00:28:15,318 --> 00:28:17,487 This procedure is called an escharotomy. 741 00:28:17,570 --> 00:28:20,448 We need to cut the skin so that the chest wall can expand. 742 00:28:20,532 --> 00:28:21,741 That sounds painful. 743 00:28:21,825 --> 00:28:23,368 Whitaker? 744 00:28:23,451 --> 00:28:24,994 He's still heavily sedated. 745 00:28:25,078 --> 00:28:26,913 He won't feel a thing. 746 00:28:26,996 --> 00:28:29,666 This is gonna help Teddy breathe. 747 00:28:29,749 --> 00:28:31,251 Sat's 83. 748 00:28:31,334 --> 00:28:32,794 Peak pressure is over 40. 749 00:28:32,877 --> 00:28:34,379 Tidal volume is only 300. 750 00:28:34,462 --> 00:28:35,714 I want you to watch Dr. Langdon 751 00:28:35,797 --> 00:28:37,424 as he makes this vertical incision. 752 00:28:37,507 --> 00:28:39,342 Then you're gonna do the exact same thing on your side 753 00:28:39,426 --> 00:28:40,468 and follow his instructions. 754 00:28:40,552 --> 00:28:41,552 I'm sorry, I just… 755 00:28:41,594 --> 00:28:42,679 I don't think I can watch it. 756 00:28:42,762 --> 00:28:43,930 Jordan, would you… 757 00:28:46,141 --> 00:28:48,768 Start at lateral clavicle. 758 00:28:53,690 --> 00:28:58,319 Down anterior axillary 759 00:28:58,403 --> 00:29:01,364 to lower rib margin. 760 00:29:01,448 --> 00:29:03,533 That tissue is really popping out. 761 00:29:03,616 --> 00:29:04,701 Which illustrates what? 762 00:29:04,784 --> 00:29:07,203 The pressure underneath. 763 00:29:07,287 --> 00:29:08,705 Your turn. 764 00:29:09,831 --> 00:29:11,750 Here goes. 765 00:29:14,794 --> 00:29:16,421 - A little more pressure. - Yeah. 766 00:29:16,504 --> 00:29:17,797 Need to make a decisive incision 767 00:29:17,881 --> 00:29:20,717 to get through the eschar into sub-Q. 768 00:29:20,800 --> 00:29:22,635 Go back a little deeper on that first section. 769 00:29:22,719 --> 00:29:25,013 OK. 770 00:29:25,096 --> 00:29:26,723 Yep. 771 00:29:26,806 --> 00:29:28,266 - Yep, good. - Uh-huh. 772 00:29:28,349 --> 00:29:30,769 Looking good. 773 00:29:30,852 --> 00:29:32,187 OK. 774 00:29:32,270 --> 00:29:35,315 Now the horizontal incision, Dr. Langdon. 775 00:29:35,398 --> 00:29:41,321 And connecting the two incisions. 776 00:29:45,033 --> 00:29:46,743 That ought to do it. 777 00:29:46,826 --> 00:29:48,369 Peak pressure's already down to the 30s. 778 00:29:48,453 --> 00:29:50,622 And tidal volume is coming up. 779 00:29:50,705 --> 00:29:51,998 Sat's 91. 780 00:29:52,081 --> 00:29:54,000 That was wild. 781 00:29:54,083 --> 00:29:55,835 Let's dress these wounds and send off a blood gas. 782 00:29:55,919 --> 00:29:57,128 Well done, 783 00:29:57,212 --> 00:29:59,923 and very well taught, Dr. Langdon. 784 00:30:00,006 --> 00:30:01,633 Thank you. 785 00:30:12,185 --> 00:30:16,022 You think Wholey's will still be open by the time we get off? 786 00:30:16,105 --> 00:30:17,315 - No. - No. No. 787 00:30:17,398 --> 00:30:18,691 Damn. 788 00:30:18,775 --> 00:30:19,943 I was hoping to surprise Abby and the kids, 789 00:30:20,026 --> 00:30:21,319 grill up some salmon for dinner. 790 00:30:21,402 --> 00:30:24,364 Mm, such an adrenaline junkie. 791 00:30:24,447 --> 00:30:26,032 What'd you call me? 792 00:30:26,115 --> 00:30:28,409 Your ice plunges. Marathon man. 793 00:30:28,493 --> 00:30:29,619 Surprise, here's a dog. 794 00:30:29,702 --> 00:30:31,746 Surprise, here's some salmon. 795 00:30:33,373 --> 00:30:35,166 Who pissed in your cornflakes? 796 00:30:35,250 --> 00:30:36,501 Oh, oh. 797 00:30:36,584 --> 00:30:38,044 What, I touch a nerve? 798 00:30:38,127 --> 00:30:40,755 You're regretting buying that dog, aren't you? 799 00:30:49,055 --> 00:30:50,055 Ew. 800 00:30:50,431 --> 00:30:51,516 Ooh, Robby. 801 00:30:51,599 --> 00:30:53,142 Dana's CT results are back. 802 00:30:53,226 --> 00:30:55,436 No intracranial hemorrhage, no skull fracture, 803 00:30:55,520 --> 00:30:57,480 non-displaced nasal fracture, 804 00:30:57,564 --> 00:31:00,275 but the rest of the facial bones look intact. 805 00:31:00,358 --> 00:31:01,568 Any hemorrhaging into the sinuses? 806 00:31:01,651 --> 00:31:03,486 - Nada. - Great. 807 00:31:03,570 --> 00:31:05,947 We could really use her back on the floor. 808 00:31:06,030 --> 00:31:09,200 What? I'm just saying. 809 00:31:09,284 --> 00:31:10,702 Mind if I give her the good news? 810 00:31:10,785 --> 00:31:12,912 No, go for it… and anything else she needs. 811 00:31:12,996 --> 00:31:14,163 I got it. 812 00:31:21,462 --> 00:31:24,257 About the whole thing with Santos 813 00:31:24,340 --> 00:31:26,426 and the seizure patient… 814 00:31:26,509 --> 00:31:28,386 What about it? 815 00:31:28,469 --> 00:31:32,348 I'm sorry for laying into her so hard. 816 00:31:34,267 --> 00:31:36,394 Why do I feel there's a "but" coming? 817 00:31:36,477 --> 00:31:39,230 But I don't think she's a team player. 818 00:31:39,314 --> 00:31:40,314 How so? 819 00:31:40,356 --> 00:31:42,317 She's cherry-picking cases. 820 00:31:42,400 --> 00:31:44,527 She gave Whitaker a shitty nickname 821 00:31:44,611 --> 00:31:45,987 after his patient died this morning. 822 00:31:46,070 --> 00:31:47,739 She's…she's even harassing Javadi 823 00:31:47,822 --> 00:31:49,616 to get a rec from her mom for surgery. 824 00:31:49,699 --> 00:31:51,534 If she wants to be in surgery, 825 00:31:51,618 --> 00:31:52,619 what's she doing in the ER? 826 00:31:52,702 --> 00:31:54,037 That's a great question. 827 00:31:54,120 --> 00:31:56,039 Why don't you ask her new BFF, Garcia? 828 00:31:56,122 --> 00:31:58,666 I know that you've seen those two. 829 00:31:58,750 --> 00:32:00,376 I'm the only one calling her out, 830 00:32:00,460 --> 00:32:02,670 so she has an axe to grind. 831 00:32:02,754 --> 00:32:05,882 You've always said that being in the Pitt 832 00:32:05,965 --> 00:32:08,092 is like playing a team sport. 833 00:32:08,176 --> 00:32:09,761 A team has to be able to trust each other. 834 00:32:09,844 --> 00:32:13,348 If we have one weak link, this whole place goes to shit. 835 00:32:15,475 --> 00:32:16,893 Good meeting. 836 00:32:22,941 --> 00:32:24,233 Call Zauzy in Family Med. 837 00:32:24,317 --> 00:32:25,860 They open up their urgent care at 5:00. 838 00:32:25,944 --> 00:32:27,612 Let them know we're sending up the two hockey kids. 839 00:32:27,695 --> 00:32:29,322 Yep, Zauzy in Fam Med. 840 00:32:29,405 --> 00:32:30,823 OK, copy that. 841 00:32:30,907 --> 00:32:32,867 And, uh, please check in on Earl. 842 00:32:32,951 --> 00:32:34,118 Poor thing got caught 843 00:32:34,202 --> 00:32:35,328 in the crosshairs of that mom fight. 844 00:32:35,411 --> 00:32:36,579 Maybe bring him another sandwich. 845 00:32:36,663 --> 00:32:38,581 - Yeah, OK. - Good. 846 00:32:38,665 --> 00:32:40,041 No egg salad. 847 00:32:40,124 --> 00:32:42,627 Dana, I got you. OK? Rest up, bud. 848 00:32:42,710 --> 00:32:44,796 You can take the girl out of the ER, 849 00:32:44,879 --> 00:32:47,298 but you can't take the ER out of the girl. 850 00:32:47,382 --> 00:32:49,050 Old habits die hard. 851 00:32:49,133 --> 00:32:50,134 Let me take a look? 852 00:32:51,844 --> 00:32:55,682 Oh, she's a real beauty, all right. 853 00:32:55,765 --> 00:32:57,809 But your CT came back clean… 854 00:32:57,892 --> 00:33:00,103 nothing Mother Nature can't heal on her own. 855 00:33:00,186 --> 00:33:01,479 Hmm. Too bad. 856 00:33:01,562 --> 00:33:03,398 I was hoping for a free nose job. 857 00:33:03,481 --> 00:33:04,774 Probably get hazard pay. 858 00:33:04,857 --> 00:33:05,857 Two for one. 859 00:33:13,658 --> 00:33:14,658 Ooh. 860 00:33:14,701 --> 00:33:16,160 Ugh. 861 00:33:18,121 --> 00:33:22,166 You know, you're cleared to go back to work if you want… 862 00:33:22,250 --> 00:33:24,085 or home. 863 00:33:24,168 --> 00:33:26,713 Oh, not ready yet. 864 00:33:27,922 --> 00:33:28,908 You? 865 00:33:28,923 --> 00:33:30,633 Nope. 866 00:33:30,717 --> 00:33:32,885 Got a lot to think about. 867 00:33:32,969 --> 00:33:34,095 Yeah. 868 00:33:35,888 --> 00:33:37,515 Been a pretty fucked up day. 869 00:33:39,726 --> 00:33:41,352 What do you call a group of brains 870 00:33:41,436 --> 00:33:43,354 who form a singing group? 871 00:33:43,438 --> 00:33:44,424 What? 872 00:33:44,439 --> 00:33:45,481 A glia club. 873 00:33:45,565 --> 00:33:46,733 Oh. 874 00:33:46,816 --> 00:33:48,359 Good one. 875 00:33:48,443 --> 00:33:50,445 Keep me posted if there are any changes. 876 00:33:52,697 --> 00:33:55,283 Um, what's with Dr. Mehta and the… 877 00:33:55,366 --> 00:33:57,076 the jokes? 878 00:33:58,661 --> 00:34:01,330 You know why they say laughter is the best medicine? 879 00:34:01,414 --> 00:34:02,915 Because it's true. 880 00:34:02,999 --> 00:34:04,250 Laughter releases endorphins. 881 00:34:04,333 --> 00:34:06,377 Endorphins help relieve pain. 882 00:34:07,962 --> 00:34:10,131 Um, so… 883 00:34:10,214 --> 00:34:13,634 Dr. Mehta thinks that if a joke helps raise spirits 884 00:34:13,718 --> 00:34:16,262 and makes people feel better, then he's all for it. 885 00:34:16,345 --> 00:34:18,181 It's his special sauce. 886 00:34:19,348 --> 00:34:20,767 Um, do you have a special sauce? 887 00:34:20,850 --> 00:34:23,686 I'm pretty data-driven, but I really like 888 00:34:23,770 --> 00:34:26,105 to talk to my patients about their lives. 889 00:34:26,189 --> 00:34:28,024 Makes them feel important. 890 00:34:30,109 --> 00:34:33,446 She's waking up. 891 00:34:33,529 --> 00:34:35,448 How are you feeling? 892 00:34:35,531 --> 00:34:36,991 OK. 893 00:34:37,075 --> 00:34:40,078 Are you trying to say "OK"? 894 00:34:40,161 --> 00:34:41,162 Yes! 895 00:34:41,245 --> 00:34:43,331 The thrombolytics are working. 896 00:34:43,414 --> 00:34:46,501 Um, can you, uh, lift your right leg for me? 897 00:34:46,584 --> 00:34:47,835 That's OK. 898 00:34:47,919 --> 00:34:50,254 Um, try moving it from side to side. 899 00:34:51,672 --> 00:34:54,217 Can you tell us your name? 900 00:34:57,595 --> 00:35:03,309 Oh, um, maybe you can type it out on the screen here. 901 00:35:07,605 --> 00:35:09,774 Vera. 902 00:35:09,857 --> 00:35:11,609 OK, uh, and what's your last name? 903 00:35:15,154 --> 00:35:16,531 Mullahy? 904 00:35:18,324 --> 00:35:20,535 Well, hello, Vera Mullahy. 905 00:35:23,329 --> 00:35:24,664 - Hey. - Oh. 906 00:35:24,747 --> 00:35:27,333 - Hey. - Chad's a real piece of work. 907 00:35:27,416 --> 00:35:29,252 I appreciate you dealing with him. 908 00:35:29,335 --> 00:35:32,922 You know, it was actually kind of fun. 909 00:35:34,340 --> 00:35:35,675 I did not have that on my bingo card. 910 00:35:35,758 --> 00:35:38,553 Well, you know, patients under propofol 911 00:35:38,636 --> 00:35:40,346 are always a good time. 912 00:35:42,390 --> 00:35:43,516 Yeah? 913 00:35:43,599 --> 00:35:44,809 What did he say? 914 00:35:44,892 --> 00:35:46,727 Nothing. 915 00:35:46,811 --> 00:35:49,313 Nothing to worry about, unless you're concerned 916 00:35:49,397 --> 00:35:52,441 he still has a thing for you. 917 00:35:52,525 --> 00:35:55,736 Oh, please, euthanize me if I ever even consider it. 918 00:35:58,322 --> 00:35:59,615 But, you know, if I could go back, 919 00:35:59,699 --> 00:36:01,284 I wouldn't change a thing. 920 00:36:01,367 --> 00:36:03,619 Without Chad, I wouldn't have Harrison. 921 00:36:03,703 --> 00:36:05,913 You're very lucky. 922 00:36:05,997 --> 00:36:08,499 I know, right? 923 00:36:08,583 --> 00:36:09,667 All right. 924 00:36:09,750 --> 00:36:11,043 Thanks again. 925 00:36:12,670 --> 00:36:14,255 I was getting ready to take her up 926 00:36:14,338 --> 00:36:16,424 when she developed angioedema, and her sats dropped. 927 00:36:17,842 --> 00:36:19,594 A little bit of stridor. 928 00:36:19,677 --> 00:36:21,429 Swollen lips, swollen tongue. 929 00:36:21,512 --> 00:36:23,514 Vera, this is a side effect of the medication we gave you. 930 00:36:24,599 --> 00:36:26,142 Sats are up with high flow nasal. 931 00:36:26,225 --> 00:36:27,643 It's anaphylaxis. Get Robby. 932 00:36:27,727 --> 00:36:29,770 Angioedema is not always anaphylaxis. 933 00:36:29,854 --> 00:36:32,273 I know, but it can progress to it and cause an obstruction. 934 00:36:32,356 --> 00:36:34,066 If it's just angioedema, I can reverse 935 00:36:34,150 --> 00:36:35,693 the swelling fast with IV epi. 936 00:36:35,776 --> 00:36:37,486 BP's 165 over 85. 937 00:36:37,570 --> 00:36:39,488 Prep Ketamine and Roc for intubation. 938 00:36:39,572 --> 00:36:41,407 Hold on. Wait, wait. But Dr. Mohan, you just said… 939 00:36:41,490 --> 00:36:42,909 We're not intubating yet. 940 00:36:42,992 --> 00:36:44,410 But she's gonna arrest. 941 00:36:44,493 --> 00:36:45,661 What happened? 942 00:36:45,745 --> 00:36:47,163 Angioedema with stridor. 943 00:36:47,246 --> 00:36:49,123 Respiratory is on their way. 944 00:36:49,207 --> 00:36:51,125 - We should intubate, right? - Good BP and O2 sats. 945 00:36:51,209 --> 00:36:53,211 Epinephrine can reverse the swelling right away. 946 00:36:53,294 --> 00:36:54,795 I pushed 10 mics of IV epi. 947 00:36:54,879 --> 00:36:57,465 Starting her drip at 5 cc's, 5 mikes per minute. 948 00:36:57,548 --> 00:36:58,925 Sats are holding at 95 on high flow. 949 00:36:59,008 --> 00:37:00,384 BP is good. 950 00:37:00,468 --> 00:37:02,011 Vera, we're gonna sedate you 951 00:37:02,094 --> 00:37:03,346 so that we can help you breathe better. 952 00:37:03,429 --> 00:37:05,264 Or not. Let's just wait a minute. 953 00:37:05,348 --> 00:37:06,432 How'd you get that epi drip hung so fast? 954 00:37:06,515 --> 00:37:07,725 Bedside drip. 955 00:37:07,808 --> 00:37:09,310 I mixed 1 milligram with a liter. 956 00:37:09,393 --> 00:37:10,770 Nice. 957 00:37:10,853 --> 00:37:12,396 Are we intubating? Are we not intubating? 958 00:37:12,480 --> 00:37:13,564 Not. 959 00:37:13,648 --> 00:37:14,982 Stridor is improving. 960 00:37:15,066 --> 00:37:16,692 Is it getting easier to breathe? 961 00:37:16,776 --> 00:37:18,236 Mm-hmm, hmm. 962 00:37:18,319 --> 00:37:20,112 Speech is coming back. 963 00:37:20,196 --> 00:37:24,075 50 diphenhydramine, 125 Solumedrol. 964 00:37:24,158 --> 00:37:26,494 Do you think Dr. Mehta will want her intubated 965 00:37:26,577 --> 00:37:28,579 - for the thrombectomy? - Not necessarily. 966 00:37:28,663 --> 00:37:30,581 If she can talk and move during the procedure, 967 00:37:30,665 --> 00:37:33,542 then they can monitor any changes in the neuro exam. 968 00:37:33,626 --> 00:37:35,836 Slo-Mo, No-Mo! 969 00:37:35,920 --> 00:37:40,549 Sorry, I think Dr. Mehta is rubbing off on me. 970 00:37:40,633 --> 00:37:41,884 We're taking him up to our burn unit. 971 00:37:41,968 --> 00:37:43,511 He'll be in great hands. 972 00:37:43,594 --> 00:37:45,596 They've had lots of experience with cases like Teddy's. 973 00:37:45,680 --> 00:37:47,265 What now? 974 00:37:47,348 --> 00:37:51,936 We will continue with IV fluids and pain meds. 975 00:37:52,019 --> 00:37:53,854 We'll support his breathing with the ventilator, 976 00:37:53,938 --> 00:37:55,564 and we'll keep his wounds clean, 977 00:37:55,648 --> 00:37:57,149 look for any signs of infection. 978 00:37:57,233 --> 00:38:01,153 And later, the plastic surgeons can do skin grafts. 979 00:38:01,237 --> 00:38:03,155 He's gonna be OK. 980 00:38:03,239 --> 00:38:05,866 Teddy's condition is very critical, so no promises. 981 00:38:05,950 --> 00:38:07,368 But our team is gonna do everything they can 982 00:38:07,451 --> 00:38:10,329 to give him the best chance possible. 983 00:38:10,413 --> 00:38:12,456 I'll make sure to stop by the ICU, 984 00:38:12,540 --> 00:38:14,083 check in on both of you. 985 00:38:14,166 --> 00:38:16,752 I can't begin to thank you enough, Dr. Whitaker. 986 00:38:16,836 --> 00:38:19,088 Oh, uh, student doctor. 987 00:38:22,341 --> 00:38:25,803 Oh, uh, don't forget about dinner at the farm. 988 00:38:25,886 --> 00:38:29,849 And, uh, make sure to brush up on your diaper-changing skills. 989 00:38:29,932 --> 00:38:31,225 Oh, with seven nieces and nephews, 990 00:38:31,309 --> 00:38:33,019 I'm a Diaper Genie, so… 991 00:38:35,855 --> 00:38:38,983 You know you just called yourself a trash can, right? 992 00:38:39,066 --> 00:38:43,279 Before you grab your next patient, um, call Kiara. 993 00:38:43,362 --> 00:38:45,573 Have somebody go upstairs and talk to the wife. 994 00:38:45,656 --> 00:38:47,325 Amy? Why? 995 00:38:47,408 --> 00:38:48,951 We wanted to give her hope, but the reality is, 996 00:38:49,035 --> 00:38:51,120 her husband's not gonna make it. 997 00:38:51,203 --> 00:38:52,413 He's stable. 998 00:38:52,496 --> 00:38:53,873 His chance of dying in the next week 999 00:38:53,956 --> 00:38:55,750 is over 90%. 1000 00:38:55,833 --> 00:38:57,501 He's young, he's strong. 1001 00:38:57,585 --> 00:39:00,046 - Maybe he's the 10%. - Maybe. 1002 00:39:00,129 --> 00:39:01,547 But he's a lot more likely to die of sepsis 1003 00:39:01,630 --> 00:39:03,424 before his kid is born. 1004 00:39:03,507 --> 00:39:04,842 Call Kiara. 1005 00:39:12,516 --> 00:39:15,728 The CT shows a hairline orbital floor fracture. 1006 00:39:15,811 --> 00:39:17,229 But thanks to the canthotomy, 1007 00:39:17,313 --> 00:39:19,190 the hematoma isn't pushing on his eyeball. 1008 00:39:19,273 --> 00:39:21,233 Will I be able to see? 1009 00:39:22,443 --> 00:39:24,528 That's why you need surgery. 1010 00:39:24,612 --> 00:39:26,781 The ophthalmologists will drain the blood inside the front 1011 00:39:26,864 --> 00:39:28,616 of your eye and replace it with the clear fluid 1012 00:39:28,699 --> 00:39:30,409 you need to see, OK? 1013 00:39:30,493 --> 00:39:31,786 They're ready for you now. 1014 00:39:31,869 --> 00:39:32,995 Hey, hey, hey. 1015 00:39:33,079 --> 00:39:34,288 Don't worry, bud. 1016 00:39:34,372 --> 00:39:35,623 All right? 1017 00:39:38,459 --> 00:39:41,504 So…so he has the surgery, stays overnight, 1018 00:39:41,587 --> 00:39:43,005 he goes home tomorrow? 1019 00:39:43,089 --> 00:39:44,590 It depends on how the surgery goes 1020 00:39:44,673 --> 00:39:46,884 and what his post-op results are like. 1021 00:39:46,967 --> 00:39:48,677 Give or take. 1022 00:39:48,761 --> 00:39:51,555 It could be as soon as tomorrow, yeah. 1023 00:39:51,639 --> 00:39:53,349 OK. 1024 00:39:53,432 --> 00:39:54,892 So he could be… 1025 00:39:54,975 --> 00:39:57,978 could be game-ready by Thursday. 1026 00:39:58,062 --> 00:40:00,064 Sir, your son is freaking out 1027 00:40:00,147 --> 00:40:02,525 because he may never see out of his left eye again. 1028 00:40:02,608 --> 00:40:04,985 - Yeah, that's… - No, no, forget baseball 1029 00:40:05,069 --> 00:40:07,071 and just be his dad. 1030 00:40:07,154 --> 00:40:09,323 God, it can't be that fucking hard. 1031 00:40:10,658 --> 00:40:12,952 Uh, there's a waiting room 1032 00:40:13,035 --> 00:40:15,287 up by surgery, sixth floor. 1033 00:40:15,371 --> 00:40:17,498 Right off the elevator. You can't miss it. 1034 00:40:17,581 --> 00:40:19,291 Angioedema responded to epi, 1035 00:40:19,375 --> 00:40:21,043 diphenhydramine, and steroids. 1036 00:40:21,127 --> 00:40:23,379 Excellent. 1037 00:40:25,297 --> 00:40:27,800 Thank you. 1038 00:40:27,883 --> 00:40:29,593 You're very welcome. 1039 00:40:31,345 --> 00:40:34,640 Which neurotransmitter makes the best adhesive? 1040 00:40:34,723 --> 00:40:36,851 - I don't know… - Glutamate! 1041 00:40:36,934 --> 00:40:38,102 "Glue"-tamate. 1042 00:40:38,185 --> 00:40:39,687 Am I right? 1043 00:40:39,770 --> 00:40:41,730 Nicely done, Dr. King. 1044 00:40:44,066 --> 00:40:45,901 That was really quick thinking back there. 1045 00:40:45,985 --> 00:40:48,154 I'm really sorry if it seemed like I doubted you. 1046 00:40:48,237 --> 00:40:49,822 I didn't. I just… 1047 00:40:49,905 --> 00:40:52,533 Honestly, I surprised myself a bit. 1048 00:40:52,616 --> 00:40:53,784 Yeah? 1049 00:40:53,868 --> 00:40:55,786 Well, you trusted your gut. 1050 00:40:55,870 --> 00:40:57,997 Maybe that's your special sauce. 1051 00:40:58,080 --> 00:40:59,457 Maybe. 1052 00:40:59,540 --> 00:41:02,460 Um, Dr. Mohan, 1053 00:41:02,543 --> 00:41:05,045 what if I don't have special sauce? 1054 00:41:05,129 --> 00:41:07,131 Of course you do. 1055 00:41:07,214 --> 00:41:08,507 Just be yourself. 1056 00:41:08,591 --> 00:41:10,134 It'll come. 1057 00:41:18,142 --> 00:41:21,312 So now might be a good time to go over 1058 00:41:21,395 --> 00:41:23,230 some doctor-patient interaction guidelines. 1059 00:41:23,314 --> 00:41:24,440 I'm sorry. That dad was just such… 1060 00:41:24,523 --> 00:41:26,650 - So overbearing. - An asshole. 1061 00:41:26,734 --> 00:41:28,360 I'm sorry. 1062 00:41:28,444 --> 00:41:31,197 Look, do I think he needed to chill out a little bit? 1063 00:41:31,280 --> 00:41:32,448 Yes. 1064 00:41:32,531 --> 00:41:34,742 But he's a parent, and this might be 1065 00:41:34,825 --> 00:41:36,118 his way of coping with the stress 1066 00:41:36,202 --> 00:41:37,995 of a very frightening situation. 1067 00:41:38,078 --> 00:41:40,706 I'm sorry. I don't know what came over me. 1068 00:41:40,789 --> 00:41:42,249 No, I do. 1069 00:41:42,333 --> 00:41:43,751 You and that baseball kid 1070 00:41:43,834 --> 00:41:46,170 are two pressure cooker prodigies in a pod. 1071 00:41:47,671 --> 00:41:49,924 Just as physicians, we gotta learn 1072 00:41:50,007 --> 00:41:51,884 to keep our emotions in check and not let 1073 00:41:51,967 --> 00:41:53,427 our personal experiences interfere 1074 00:41:53,511 --> 00:41:56,180 with our professional responsibilities. 1075 00:41:56,263 --> 00:41:58,891 How long did it take you to learn that? 1076 00:41:58,974 --> 00:42:00,518 I'm still learning. 1077 00:42:00,601 --> 00:42:03,646 And I also learned to never get on your bad side. 1078 00:42:03,729 --> 00:42:06,190 Yo, yo, yo. 1079 00:42:06,273 --> 00:42:08,400 - Hey. - Almost quitting time. 1080 00:42:08,484 --> 00:42:10,569 I so appreciate you helping me out with Harrison. 1081 00:42:10,653 --> 00:42:12,696 - Oh. - And my douchebag ex. 1082 00:42:12,780 --> 00:42:14,323 - Hey, we all have them. - Yeah. 1083 00:42:14,406 --> 00:42:16,617 Oh. Totally. 1084 00:42:16,700 --> 00:42:18,285 Me too. Me too. 1085 00:42:18,369 --> 00:42:20,329 Yeah. 1086 00:42:20,412 --> 00:42:21,830 I'm always happy to help. 1087 00:42:21,914 --> 00:42:22,915 Yeah. 1088 00:42:22,998 --> 00:42:24,542 So I get off in a couple hours. 1089 00:42:24,625 --> 00:42:26,085 Do you mind just doing a loop every once in a while 1090 00:42:26,168 --> 00:42:27,378 to make sure he's not burning the place down? 1091 00:42:27,461 --> 00:42:28,671 - Can do. - Great. 1092 00:42:28,754 --> 00:42:30,214 And, you know, a new foot massage place 1093 00:42:30,297 --> 00:42:31,674 just opened in the Strip District. 1094 00:42:31,757 --> 00:42:33,133 Do you wanna go on Sunday? 1095 00:42:33,217 --> 00:42:34,343 - For sure. Yeah, yeah. - OK, cool. 1096 00:42:34,426 --> 00:42:36,136 I'm free Sunday… 1097 00:42:36,220 --> 00:42:39,139 um, to…to help or just do… 1098 00:42:39,223 --> 00:42:40,516 yeah, whatever. Wherever. 1099 00:42:40,599 --> 00:42:42,351 Oh, my God. 1100 00:42:42,434 --> 00:42:45,312 I mean, Harrison would love a sitter closer to his own age. 1101 00:42:45,396 --> 00:42:46,897 I… I'll get your number 1102 00:42:46,981 --> 00:42:48,440 and text you the address? That's awesome. 1103 00:42:48,524 --> 00:42:49,733 - Oh. - Thank you. 1104 00:42:49,817 --> 00:42:50,818 Oh, sure. 1105 00:42:50,901 --> 00:42:52,778 Dr. Santos, a moment, please? 1106 00:43:00,536 --> 00:43:03,455 So how's your first day going? 1107 00:43:03,539 --> 00:43:05,249 So far, so good. 1108 00:43:05,332 --> 00:43:06,625 Getting along with everyone? 1109 00:43:06,709 --> 00:43:07,709 Yeah, pretty much. 1110 00:43:07,751 --> 00:43:09,670 Except Langdon? 1111 00:43:11,630 --> 00:43:13,465 So in this ER, we all need to work together 1112 00:43:13,549 --> 00:43:15,259 as a single unified entity. 1113 00:43:15,342 --> 00:43:17,511 And if two people on my team can't work together, 1114 00:43:17,595 --> 00:43:19,763 it kind of throws the rhythm of the place off. 1115 00:43:19,847 --> 00:43:21,348 Understood. 1116 00:43:21,432 --> 00:43:24,852 My duty, regardless of personal relationships, 1117 00:43:24,935 --> 00:43:28,564 is to make sure everybody on my team is doing OK. 1118 00:43:28,647 --> 00:43:33,777 So are you doing OK? 1119 00:43:33,861 --> 00:43:35,779 Uh, it's not a big deal. 1120 00:43:35,863 --> 00:43:37,364 I can handle it. 1121 00:43:39,033 --> 00:43:42,411 Handle what? 1122 00:43:42,494 --> 00:43:44,705 Nothing. It…it's fine. 1123 00:43:44,788 --> 00:43:47,082 I… 1124 00:43:47,166 --> 00:43:50,419 I don't wanna get anyone in trouble. 1125 00:43:53,380 --> 00:43:55,633 OK, if there is anything… 1126 00:43:55,716 --> 00:43:57,676 anything that could affect my ER, 1127 00:43:57,760 --> 00:43:59,136 I need to know about it, 1128 00:43:59,219 --> 00:44:01,764 and you have a responsibility to tell me. 1129 00:44:11,315 --> 00:44:12,900 - Hey. - Hey. 1130 00:44:12,983 --> 00:44:15,402 Did they catch the bastard who sucker punched you? 1131 00:44:15,486 --> 00:44:16,904 I haven't heard. 1132 00:44:16,987 --> 00:44:19,990 Well, when they do, just send him to me. 1133 00:44:20,074 --> 00:44:22,910 I can make it look like an accident. 1134 00:44:24,328 --> 00:44:25,746 I might just take you up on that. 1135 00:44:25,829 --> 00:44:27,873 Mm, you betcha. 1136 00:44:30,459 --> 00:44:33,587 You've been paroled! 1137 00:44:33,671 --> 00:44:35,005 - Are you sure? - Yeah. 1138 00:44:35,089 --> 00:44:36,799 - Oh. - OK. Yeah. 1139 00:44:36,882 --> 00:44:38,092 Ow. OK. 1140 00:44:38,175 --> 00:44:40,427 Yep. Go check on Myrna. 1141 00:44:40,511 --> 00:44:42,012 - You got a sec? - Bless you. 1142 00:44:42,096 --> 00:44:43,180 For you, boss, I got two. 1143 00:44:43,263 --> 00:44:44,723 What's up? 1144 00:45:01,907 --> 00:45:03,701 I heard there's been 1145 00:45:03,784 --> 00:45:07,037 some inconsistencies with meds intended for your patients. 1146 00:45:07,121 --> 00:45:08,622 What? 1147 00:45:10,541 --> 00:45:14,878 Frank, have you been helping yourself to benzos from the ER? 1148 00:45:14,962 --> 00:45:17,256 Yeah, I've been stealing blood too. 1149 00:45:20,884 --> 00:45:22,970 I asked you a question. 1150 00:45:23,053 --> 00:45:25,431 Wait, are you serious? 1151 00:45:25,514 --> 00:45:26,849 What are you doing? 1152 00:45:28,350 --> 00:45:29,810 Really? 1153 00:45:29,893 --> 00:45:31,895 Santos? 1154 00:45:31,979 --> 00:45:34,440 Whatever the hell she told you is bullshit. 1155 00:45:36,400 --> 00:45:37,693 I didn't mention Santos. 1156 00:45:37,776 --> 00:45:39,778 You didn't have to. 1157 00:45:39,862 --> 00:45:42,823 I told you, she is trouble. 1158 00:45:42,906 --> 00:45:45,659 Have you ever taken a patient's medication? 1159 00:45:45,743 --> 00:45:46,952 This is insane. 1160 00:45:47,035 --> 00:45:48,203 This is completely fucking insane. 1161 00:45:48,287 --> 00:45:49,621 I need you to open your locker. 1162 00:45:49,705 --> 00:45:51,039 - Yeah, right. - Open your locker. 1163 00:45:51,123 --> 00:45:52,207 You're gonna regret… 1164 00:45:52,291 --> 00:45:53,584 Open your fucking locker, 1165 00:45:53,667 --> 00:45:55,919 or I will have security smash it open. 1166 00:46:17,149 --> 00:46:18,484 Is the imprint code on these pills 1167 00:46:18,567 --> 00:46:20,569 gonna match Louie's Librium? 1168 00:46:28,660 --> 00:46:29,745 Go home, Frank. 1169 00:46:29,828 --> 00:46:31,246 No, no, it's not like you think. 1170 00:46:31,330 --> 00:46:33,582 You remember, whenever I helped my parents move, 1171 00:46:33,665 --> 00:46:35,292 I was too cheap to pay for movers. 1172 00:46:35,375 --> 00:46:36,794 I hurt my back. I told you that. 1173 00:46:36,877 --> 00:46:38,587 You teased me about it, remember? 1174 00:46:38,670 --> 00:46:41,006 Well, our own Dr. Hagan prescribed me 1175 00:46:41,089 --> 00:46:42,716 some pain meds and muscle relaxants. 1176 00:46:42,800 --> 00:46:44,009 I was just weaning myself off. 1177 00:46:44,092 --> 00:46:45,135 It was just for maintenance. I'm done. 1178 00:46:45,219 --> 00:46:46,261 Robby, come on. 1179 00:46:46,345 --> 00:46:47,679 You know me, Robby. 1180 00:46:47,763 --> 00:46:48,749 You know me, man. 1181 00:46:48,764 --> 00:46:50,182 I'm sorry. I fucked up. 1182 00:46:50,265 --> 00:46:52,059 - I just…I…I was trying to… - Trying to what? 1183 00:46:52,142 --> 00:46:53,393 Steal pills without getting caught? 1184 00:46:53,477 --> 00:46:55,145 No, it's not like… you don't under… 1185 00:46:55,229 --> 00:46:56,563 - I don't fucking understand? - It's not like you think! 1186 00:46:56,647 --> 00:46:58,440 I'm not high. I'm not high. 1187 00:46:58,524 --> 00:47:00,484 You've seen what I do, Robby. 1188 00:47:00,567 --> 00:47:04,530 Could a drug addict do what I do? 1189 00:47:04,613 --> 00:47:06,281 Apparently. 1190 00:47:09,117 --> 00:47:11,829 And I just fucking let him! 1191 00:47:11,912 --> 00:47:13,914 You're done. 1192 00:47:13,997 --> 00:47:17,501 Leave now, or I will have Ahmad escort you out. 1193 00:47:17,584 --> 00:47:20,045 Robby, please. 1194 00:47:20,128 --> 00:47:21,713 You are done. 1195 00:47:26,260 --> 00:47:27,469 What?