1 00:00:17,517 --> 00:00:20,020 Boop-bee-doop. Boop-bee-doop. 2 00:00:20,103 --> 00:00:21,896 Boop-bee-doop. 3 00:00:22,897 --> 00:00:23,898 Hey! 4 00:00:23,982 --> 00:00:25,275 - Not now, Myrna. - Aw. 5 00:00:25,358 --> 00:00:27,068 Woman in labor. 10 minutes out. 6 00:00:27,152 --> 00:00:28,403 What are you still doing here? 7 00:00:28,486 --> 00:00:30,196 I have one hour left on my shift. 8 00:00:30,280 --> 00:00:32,240 If I get home before 6:00, Benji will know something's up. 9 00:00:32,323 --> 00:00:34,409 Pretty sure the black eye is going to give you away. 10 00:00:34,492 --> 00:00:35,869 Well, sadly, it's not the first time 11 00:00:35,952 --> 00:00:37,912 I've gone home with a war wound from a patient. 12 00:00:37,996 --> 00:00:39,039 Hey, Doc. 13 00:00:39,122 --> 00:00:40,749 You got a sandwich? 14 00:00:40,832 --> 00:00:43,001 You know what, Earl? I can do you one better. 15 00:00:43,084 --> 00:00:45,045 I'm going to order Tagari's pizza. 16 00:00:45,128 --> 00:00:46,963 I think we could all use a morale boost around here. 17 00:00:47,047 --> 00:00:48,465 No sandwich? 18 00:00:48,548 --> 00:00:50,091 You could fold it in half, New York style, 19 00:00:50,175 --> 00:00:52,052 - just like a sandwich. - Better not be pineapple… 20 00:00:52,135 --> 00:00:54,429 No pineapple, I promise. Not this time, okay? 21 00:00:54,512 --> 00:00:55,805 We good? 22 00:00:57,265 --> 00:01:00,018 I say this with all the love and respect in my heart. 23 00:01:00,101 --> 00:01:01,394 I honestly do. 24 00:01:01,478 --> 00:01:03,813 - Get the hell out of here. - You need me. 25 00:01:03,897 --> 00:01:05,231 The CT came back normal. 26 00:01:05,315 --> 00:01:06,733 Nasal bone just has a hairline fracture. 27 00:01:06,816 --> 00:01:08,860 I'm fine. Don't worry about me. I don't like it. 28 00:01:08,943 --> 00:01:10,820 You sound like me. That's not a good thing. 29 00:01:10,904 --> 00:01:12,280 - Just let me finish my day. - Okay. 30 00:01:12,363 --> 00:01:13,823 I'm not going to argue with you. 31 00:01:13,907 --> 00:01:15,158 Yeah, all that knowledge and still learning. 32 00:01:15,241 --> 00:01:16,701 - It really is impressive. - Yes. 33 00:01:16,785 --> 00:01:18,703 Well, can you at least keep a cold pack on it? 34 00:01:18,787 --> 00:01:19,954 No promises. 35 00:01:20,038 --> 00:01:21,581 I've had so much coffee, I've got to pee again. 36 00:01:21,664 --> 00:01:24,084 Walk with me…I also need to fill you in on something. 37 00:01:24,167 --> 00:01:26,336 - What? - So Langdon is gone. 38 00:01:26,419 --> 00:01:28,755 - Gone? Where? - Home. 39 00:01:28,838 --> 00:01:31,466 I will handle his caseload. It won't fall on anybody else. 40 00:01:31,549 --> 00:01:33,593 And Dr. Ellis usually comes in early. 41 00:01:33,676 --> 00:01:35,637 I get punched in the face, and he goes home early? 42 00:01:35,720 --> 00:01:37,180 Nope. It's not like that. Trust me. 43 00:01:37,263 --> 00:01:39,265 You do not want to be Langdon right now. 44 00:01:40,683 --> 00:01:42,185 And I need a favor. 45 00:01:42,268 --> 00:01:44,354 I need you to run a pharmacy audit on Langdon 46 00:01:44,437 --> 00:01:45,563 for the last three days. 47 00:01:45,647 --> 00:01:47,357 I need a list of all the patients he's treated 48 00:01:47,440 --> 00:01:50,026 and all the medications he's prescribed. 49 00:01:50,110 --> 00:01:52,529 - Do I want to know why? - No, you do not. 50 00:01:54,614 --> 00:01:56,991 You sure you're still good to stay? 51 00:01:57,075 --> 00:01:58,785 Yeah. Are you? 52 00:01:58,868 --> 00:02:00,578 Honestly, I'm beginning to have my doubts. 53 00:02:00,662 --> 00:02:02,580 You ever feel like God's trying to tell you something? 54 00:02:02,664 --> 00:02:04,916 We stopped talking a long time ago. 55 00:03:12,942 --> 00:03:15,737 2-0-2-2-8. 56 00:03:16,529 --> 00:03:18,656 Yeah. 20 boxes ought to be enough. 57 00:03:18,740 --> 00:03:21,326 10 cheese, 10 pepperoni. 58 00:03:22,327 --> 00:03:24,245 God, no. No pineapple. No. 59 00:03:31,294 --> 00:03:32,962 Okay. Thank you very much. 60 00:03:34,339 --> 00:03:35,632 Can I have a word? 61 00:03:35,715 --> 00:03:36,799 With us? 62 00:03:36,883 --> 00:03:38,384 With Dr. Santos. 63 00:03:38,468 --> 00:03:39,454 Sure. 64 00:03:39,469 --> 00:03:40,970 Let me just wrap this up. 65 00:03:41,054 --> 00:03:42,180 Okay. 66 00:03:46,768 --> 00:03:48,561 I told you she was Filipina. 67 00:03:50,021 --> 00:03:53,816 So the situation we discussed earlier has been handled. 68 00:03:53,900 --> 00:03:55,360 I sent Dr. Langdon home. 69 00:03:56,569 --> 00:03:58,446 Well, I wanted to make a big impression on my… 70 00:03:58,529 --> 00:03:59,656 - Save it. - Okay. 71 00:03:59,739 --> 00:04:02,575 We're now down a senior resident, so it's all hands on deck. 72 00:04:02,659 --> 00:04:04,369 - Got it? - Got it. 73 00:04:04,452 --> 00:04:06,871 And I trust you have not mentioned this to anybody else. 74 00:04:08,206 --> 00:04:09,999 No. No, I don't know anyone. 75 00:04:10,083 --> 00:04:11,251 Good. 76 00:04:11,334 --> 00:04:13,419 Let's keep it that way. 77 00:04:20,593 --> 00:04:21,719 Dr. Garcia? 78 00:04:21,803 --> 00:04:26,140 This is Trinity Santos, ED intern, day one. 79 00:04:26,224 --> 00:04:27,600 I need to talk to you about something. 80 00:04:27,684 --> 00:04:30,645 So at your earliest convenience would be great. 81 00:04:30,728 --> 00:04:32,188 Thanks. 82 00:04:32,272 --> 00:04:35,233 Oh, and there's pizza coming, if you want to… 83 00:04:35,316 --> 00:04:36,317 Yeah. 84 00:04:39,654 --> 00:04:41,531 Dr. Robby! 85 00:04:41,614 --> 00:04:43,157 Theresa, did you hear from David? 86 00:04:43,241 --> 00:04:46,411 No, but he posted this on his Instagram 10 minutes ago. 87 00:04:46,494 --> 00:04:48,955 "All I ever wanted was to fit in and be loved, 88 00:04:49,038 --> 00:04:51,291 "but they mocked me and forced me into an existence 89 00:04:51,374 --> 00:04:52,834 "of loneliness and pain. 90 00:04:52,917 --> 00:04:55,211 It didn't need to be this way." Wow. 91 00:04:55,295 --> 00:04:57,755 They did this. They did this. 92 00:04:57,839 --> 00:05:00,258 I think he's talking about the girls on the list. 93 00:05:00,341 --> 00:05:02,844 But the police said it's not enough for a BOLA. 94 00:05:02,927 --> 00:05:04,929 BOLO. It means "Be On The Lookout." 95 00:05:05,013 --> 00:05:07,140 Yeah, well, police are gone. 96 00:05:07,223 --> 00:05:08,850 I heard Langdon left. 97 00:05:11,102 --> 00:05:14,188 Theresa, why don't you take a deep breath and go have a seat in the waiting room? 98 00:05:14,272 --> 00:05:15,648 I will come and find you. 99 00:05:15,732 --> 00:05:17,442 We will finish this conversation, I promise. 100 00:05:18,401 --> 00:05:19,402 Yes, Langdon left. 101 00:05:19,485 --> 00:05:20,862 I will be covering for him. 102 00:05:20,945 --> 00:05:23,114 There are two hours left in this shift. 103 00:05:23,197 --> 00:05:25,867 And if you need to go, I will call somebody to come in early. 104 00:05:27,118 --> 00:05:29,078 Why would I want to go home? 105 00:05:31,080 --> 00:05:32,457 You tell me. 106 00:05:38,463 --> 00:05:39,589 Okay. 107 00:05:39,672 --> 00:05:41,257 I'm only going to say this once. 108 00:05:42,050 --> 00:05:43,760 I had a miscarriage. 109 00:05:49,057 --> 00:05:51,184 Oh, Heather, I'm so sorry. 110 00:05:51,893 --> 00:05:54,270 I'm fine. And, no, I don't want to go home, 111 00:05:54,354 --> 00:05:55,897 and, no, I don't want to talk about it. 112 00:05:56,731 --> 00:05:59,275 I was trying on my own with IVF. 113 00:06:00,193 --> 00:06:01,694 I… 114 00:06:01,778 --> 00:06:04,697 I don't know what to say. 115 00:06:04,781 --> 00:06:06,908 I'm ready to get back to work. 116 00:06:08,493 --> 00:06:09,744 - Okay. - Okay. 117 00:06:09,827 --> 00:06:11,662 Hey, we need a doctor here! 118 00:06:16,292 --> 00:06:18,711 Natalie Malone, 35-year-old G3P2, 119 00:06:18,795 --> 00:06:21,089 39-week pregnancy, in active labor after a SROM. 120 00:06:21,172 --> 00:06:23,216 I'm fine, really. It's not my first time. 121 00:06:23,299 --> 00:06:25,593 All right, let's get her into Trauma Two for a quick check, 122 00:06:25,676 --> 00:06:27,887 and then we'll send her up to Labor and Delivery. 123 00:06:27,970 --> 00:06:29,764 Got it. 124 00:06:29,847 --> 00:06:32,058 - I'm Dr. Heather Collins. - Nice to meet you. 125 00:06:32,141 --> 00:06:35,478 Justin should be here any minute. He was right behind me. 126 00:06:35,561 --> 00:06:37,146 Any problems with the pregnancy? 127 00:06:37,230 --> 00:06:38,815 Well, third time's a charm. 128 00:06:38,898 --> 00:06:41,109 Justin's pretty nervous, though. This is his first time. 129 00:06:41,192 --> 00:06:44,654 BP's 112 over 72, heart rate 84. 130 00:06:44,737 --> 00:06:46,030 Dr. Collins, can I join? 131 00:06:46,114 --> 00:06:47,698 Sure. 132 00:06:47,782 --> 00:06:49,575 Okay, when did the contractions start? 133 00:06:49,659 --> 00:06:50,827 Yesterday. 134 00:06:50,910 --> 00:06:52,286 Really? 135 00:06:52,370 --> 00:06:54,414 Well, my last two labors were very long, 136 00:06:54,497 --> 00:06:56,541 so I decided to wait it out this time. 137 00:06:56,624 --> 00:06:58,251 But then my water broke. 138 00:06:58,334 --> 00:07:00,837 Natalie, I'm here. Sorry, I got a little lost. 139 00:07:00,920 --> 00:07:02,964 - Contraction! - Curtain. 140 00:07:03,047 --> 00:07:04,382 Don't push. Just breathe. 141 00:07:05,591 --> 00:07:06,843 Check her, Dr. King. 142 00:07:08,553 --> 00:07:09,762 Okay, good. 143 00:07:10,930 --> 00:07:12,265 I see hair. 144 00:07:15,101 --> 00:07:16,769 Baby's hair. 145 00:07:22,900 --> 00:07:24,777 Natalie, you're crowning. 146 00:07:24,861 --> 00:07:26,487 You were right. I waited too long. 147 00:07:26,571 --> 00:07:27,738 I thought I had more time. 148 00:07:27,822 --> 00:07:29,240 It's okay. It's okay. Just breathe. 149 00:07:29,323 --> 00:07:30,783 All right, we can try and rush you 150 00:07:30,867 --> 00:07:32,452 upstairs to OB, but at the rate you're moving, 151 00:07:32,535 --> 00:07:34,745 you may end up having this baby in the elevator. 152 00:07:34,829 --> 00:07:36,164 So what's my other option? 153 00:07:36,247 --> 00:07:37,790 We deliver your baby here. 154 00:07:37,874 --> 00:07:40,751 Grab a BOA kit and get a baby warmer in here. 155 00:07:40,835 --> 00:07:44,839 Call I and D, and tell them this baby is coming now! 156 00:07:44,922 --> 00:07:47,133 We're 20 behind in triage. 157 00:07:47,216 --> 00:07:48,718 Mateo, treat 'em and street 'em. 158 00:07:48,801 --> 00:07:50,595 See how many you can dispo. 159 00:07:50,678 --> 00:07:52,221 I hear we're down a senior resident. 160 00:07:52,305 --> 00:07:54,182 - How can I help? - Oh, yeah? What senior? 161 00:07:54,265 --> 00:07:55,933 Langdon had to go home early to deal with something. 162 00:07:56,017 --> 00:07:57,018 Robby's covering. 163 00:07:57,101 --> 00:07:58,478 You can follow Mateo to Chairs. 164 00:07:58,561 --> 00:08:00,062 That's where we could really use you. 165 00:08:00,146 --> 00:08:01,564 Chairs is about to be my bitch. 166 00:08:02,732 --> 00:08:04,400 So, D… 167 00:08:04,484 --> 00:08:07,028 is this all about the fight? 168 00:08:07,820 --> 00:08:09,238 What fight? 169 00:08:09,322 --> 00:08:11,866 Robby and Langdon got into it at the lockers. 170 00:08:11,949 --> 00:08:13,784 - Shit was flying. - Literal shit. 171 00:08:13,868 --> 00:08:16,621 That's enough from you two. Not another word. 172 00:08:20,041 --> 00:08:21,125 Keep it up! 173 00:08:21,209 --> 00:08:23,461 You'll both be working the holidays! 174 00:08:27,215 --> 00:08:28,758 What have we got? 175 00:08:28,841 --> 00:08:30,676 39 weeks, crowning after a SROM. 176 00:08:30,760 --> 00:08:32,553 Hi, Mom. I'm the attending. 177 00:08:32,637 --> 00:08:33,846 I'm Dr. Robinavitch. 178 00:08:33,930 --> 00:08:35,515 I'm Natalie, but I'm not the mom. 179 00:08:35,598 --> 00:08:36,974 What's happening? 180 00:08:37,058 --> 00:08:38,476 You got here just in time. 181 00:08:38,559 --> 00:08:41,187 We're the dads. Natalie's my best friend and surrogate. 182 00:08:41,270 --> 00:08:43,856 We both teach fourth grade and even share a classroom. 183 00:08:43,940 --> 00:08:45,483 Same room, same womb. 184 00:08:45,566 --> 00:08:48,027 We've been urging her to stop saying that. 185 00:08:48,110 --> 00:08:49,987 I've got the prenatal bag, 186 00:08:50,071 --> 00:08:52,532 and let me pull up the birthing playlist on my phone. 187 00:08:52,615 --> 00:08:53,908 It's time. 188 00:08:53,991 --> 00:08:55,743 Fuck Beyoncé. Fuck her. 189 00:08:58,788 --> 00:08:59,872 I can take this. 190 00:09:00,831 --> 00:09:02,208 No. 191 00:09:02,291 --> 00:09:03,459 I got it. 192 00:09:03,543 --> 00:09:05,336 Go, Dr. Collins. 193 00:09:06,295 --> 00:09:07,463 Okay, Natalie. 194 00:09:07,547 --> 00:09:10,258 Good chance we'll deliver on the next contraction. 195 00:09:10,341 --> 00:09:11,884 Bulb suction is ready. 196 00:09:21,143 --> 00:09:23,896 Right. Head is out! 197 00:09:23,980 --> 00:09:26,816 Nice. Take a break. Catch your breath before the next one. 198 00:09:29,193 --> 00:09:30,278 All right. 199 00:09:30,361 --> 00:09:33,030 I'm going to need another big push from you. 200 00:09:33,114 --> 00:09:34,282 You got this. 201 00:09:34,365 --> 00:09:35,950 Three, two… 202 00:09:37,034 --> 00:09:38,077 Who do we have in here? 203 00:09:39,328 --> 00:09:42,290 Ivan Pugliesi, 55, has experienced 204 00:09:42,373 --> 00:09:44,750 a day of abdominal cramps, vomiting, and diarrhea. 205 00:09:44,834 --> 00:09:49,255 Afebrile, tachy at 124, BP 192 over 100. 206 00:09:50,006 --> 00:09:51,173 I'm Dr. Mohan. 207 00:09:51,257 --> 00:09:52,967 I'm Student Doctor Whitaker. 208 00:09:53,050 --> 00:09:54,844 Nice to meet you guys. 209 00:09:54,927 --> 00:09:58,556 I would have called my own doctor, but I'm from New York. 210 00:09:58,639 --> 00:10:00,182 You two kids ever been out there? 211 00:10:00,266 --> 00:10:01,851 Oh, I've never been to New York. 212 00:10:01,934 --> 00:10:05,146 Coming to Pittsburgh was my first time leaving Nebraska. 213 00:10:06,856 --> 00:10:09,233 - How long are you in town? - Just till Monday. 214 00:10:09,317 --> 00:10:13,404 My daughter's getting married. She's my baby and the only girl. 215 00:10:13,487 --> 00:10:16,073 - Congratulations. - Yeah, thanks. 216 00:10:16,157 --> 00:10:19,452 You know, they say you're not supposed to have a favorite kid, but… 217 00:10:19,535 --> 00:10:22,288 I'm an only child, so I was born the favorite. 218 00:10:22,371 --> 00:10:23,372 Whitaker? 219 00:10:23,456 --> 00:10:25,082 Oh, youngest of four. 220 00:10:25,166 --> 00:10:27,501 I'm just happy when my parents remember my name. 221 00:10:28,461 --> 00:10:31,380 No, I meant, do you have any questions for the patient? 222 00:10:32,381 --> 00:10:34,383 Hey, can I just get something for the pain, you think? 223 00:10:34,467 --> 00:10:36,177 As soon as we're done with this assessment. 224 00:10:36,260 --> 00:10:38,179 We just want to do our due diligence. 225 00:10:38,971 --> 00:10:41,390 Any intestinal disease in your past? 226 00:10:41,474 --> 00:10:42,725 Ulcers, gallstones? 227 00:10:42,808 --> 00:10:45,102 General stomach ailments? Surgeries? 228 00:10:45,186 --> 00:10:46,812 No. No, nothing. 229 00:10:46,896 --> 00:10:48,314 Good bowel sounds. 230 00:10:48,397 --> 00:10:49,690 Thank you. 231 00:10:50,358 --> 00:10:52,318 Abdomen's soft. 232 00:10:52,401 --> 00:10:53,444 Nothing focal. 233 00:10:53,527 --> 00:10:55,029 Anything else bothering you? 234 00:10:55,613 --> 00:10:57,365 You know, my back is killing me. 235 00:10:57,448 --> 00:10:59,742 Four-hour car ride will do it. 236 00:10:59,825 --> 00:11:02,203 I mean, the last time I tweaked it, 237 00:11:02,286 --> 00:11:03,954 I think they gave me… 238 00:11:04,038 --> 00:11:07,041 they gave me morphine, and that worked pretty good. 239 00:11:09,168 --> 00:11:10,461 - Do you smoke? - No. 240 00:11:10,544 --> 00:11:13,339 - Drink alcohol? - Once, twice a month. 241 00:11:13,422 --> 00:11:14,548 I'm not a big drinker. 242 00:11:14,632 --> 00:11:17,385 Any recreational drugs, either pills or by injection? 243 00:11:17,468 --> 00:11:19,929 Tranquilizers, hallucinogens, painkillers? 244 00:11:20,012 --> 00:11:21,347 All of the above. 245 00:11:22,515 --> 00:11:24,016 Yeah. I'm kidding. 246 00:11:24,100 --> 00:11:25,935 No, no drugs, never. 247 00:11:26,018 --> 00:11:28,020 And what do you spend your time doing? 248 00:11:28,854 --> 00:11:32,149 I'm an actuary. It's risk management, stats. 249 00:11:32,233 --> 00:11:33,901 It's pretty much a desk job. 250 00:11:33,984 --> 00:11:35,361 I pulled Zofran for the nausea. 251 00:11:35,444 --> 00:11:37,279 Start with 4, repeat PRN. 252 00:11:39,782 --> 00:11:41,409 What, and that's it? 253 00:11:41,492 --> 00:11:43,703 For now, we're going to start with some blood tests. 254 00:11:43,786 --> 00:11:45,788 We'll be back soon and check in on you. 255 00:11:45,871 --> 00:11:47,039 All right. Fine. 256 00:11:49,667 --> 00:11:52,044 What do you think we should be looking at? 257 00:11:52,128 --> 00:11:55,214 A big differential of pretty serious stuff to rule out. 258 00:11:55,297 --> 00:11:57,049 So what's your plan? 259 00:11:57,133 --> 00:11:59,760 Besides Zofran, CBC, CMP, 260 00:11:59,844 --> 00:12:02,388 IV fluids, morphine, maybe CT. 261 00:12:02,471 --> 00:12:04,849 Good on labs and IV fluids, but no morphine. 262 00:12:04,932 --> 00:12:07,184 Treat his symptoms with Clonidine and muscle relaxants. 263 00:12:07,268 --> 00:12:09,019 What if he's… 264 00:12:09,103 --> 00:12:12,815 Look, I really can't lose another patient today. 265 00:12:12,898 --> 00:12:15,484 Remember how I said you get good at spotting the fakers? 266 00:12:16,193 --> 00:12:17,194 Yeah. 267 00:12:17,278 --> 00:12:19,822 He's exhibiting every sign of opiate withdrawal. 268 00:12:19,905 --> 00:12:22,032 Eyes dilated, tearing, 269 00:12:22,116 --> 00:12:24,994 skin has piloerection and goosebumps. 270 00:12:25,077 --> 00:12:26,579 Hypertension, tachycardia. 271 00:12:26,662 --> 00:12:28,748 Agitation, restlessness, perspiration. 272 00:12:28,831 --> 00:12:30,458 He's checking every box. 273 00:12:30,541 --> 00:12:34,837 Right, but he said he doesn't take drugs and seldom drinks alcohol, so… 274 00:12:36,255 --> 00:12:38,174 That's exactly what he would want you to believe 275 00:12:38,257 --> 00:12:40,050 if he was drug-seeking. 276 00:12:40,134 --> 00:12:41,677 Wow. You're good. 277 00:12:42,219 --> 00:12:43,304 Thanks. 278 00:12:43,971 --> 00:12:45,097 I am. 279 00:12:46,307 --> 00:12:47,808 So how do we treat him? 280 00:12:47,892 --> 00:12:49,769 By getting him to admit his opiate usage. 281 00:12:49,852 --> 00:12:52,104 - Right. How do we do that? - By being smarter than the patient. 282 00:12:52,188 --> 00:12:53,189 Got it. 283 00:12:53,272 --> 00:12:54,857 Another big one. 284 00:12:54,940 --> 00:12:57,193 You said that the last two times. 285 00:12:57,276 --> 00:12:58,861 Shoulder dystocia. 286 00:13:02,114 --> 00:13:03,199 The head's pulling back. 287 00:13:03,282 --> 00:13:04,825 That's called the turtle sign. 288 00:13:04,909 --> 00:13:06,660 Hey, Donahue, can you call an I and D nurse 289 00:13:06,744 --> 00:13:08,746 and ask her to bring down a fetal monitor, please? 290 00:13:08,829 --> 00:13:10,122 What's going on? 291 00:13:10,206 --> 00:13:13,417 Baby's shoulder might be a little stuck on your pelvic bone. 292 00:13:13,501 --> 00:13:15,085 It's nothing for you to worry about. 293 00:13:15,169 --> 00:13:17,671 We'll just try something different on the next push. 294 00:13:17,755 --> 00:13:19,381 Ready? 295 00:13:19,465 --> 00:13:21,509 Why don't we all take a deep breath, huh? 296 00:13:21,592 --> 00:13:22,593 Everybody. 297 00:13:24,678 --> 00:13:27,848 One more time. Dads too. And in. 298 00:13:29,183 --> 00:13:31,310 If you want him for Halloween, just say it. 299 00:13:31,393 --> 00:13:33,729 I want him for Halloween and everything until then. 300 00:13:33,813 --> 00:13:35,272 - Give me Thanksgiving. - Fine. 301 00:13:35,356 --> 00:13:38,359 You can celebrate bringing smallpox to wipe out the Native Americans. 302 00:13:38,442 --> 00:13:39,819 You know, I'm the one who's hurt. 303 00:13:39,902 --> 00:13:41,987 A little sympathy wouldn't kill you. 304 00:13:42,071 --> 00:13:46,992 You broke your ankle doing something stupid with our son. 305 00:13:47,076 --> 00:13:48,327 I need surgery. 306 00:13:48,410 --> 00:13:50,120 He wasn't wearing a helmet, Chad. 307 00:13:50,204 --> 00:13:52,164 What if he had fallen and hit his head? 308 00:13:52,248 --> 00:13:54,959 - He didn't. - No, but he could have. 309 00:13:56,377 --> 00:13:59,171 Do you know what it's like to watch a child die? 310 00:13:59,255 --> 00:14:00,256 Oh, here we go. 311 00:14:00,339 --> 00:14:01,882 You know how many kids come in here 312 00:14:01,966 --> 00:14:05,219 who are messed up because of one stupid parental mistake? 313 00:14:05,302 --> 00:14:07,263 You know I would never let anything happen to our son. 314 00:14:07,346 --> 00:14:09,056 Then act like it. 315 00:14:09,139 --> 00:14:10,349 Be a grown-up. 316 00:14:10,432 --> 00:14:12,059 You're his father, not his friend. 317 00:14:12,142 --> 00:14:14,311 Yeah, and you're his mother, not my wife. 318 00:14:14,395 --> 00:14:15,521 - Do you think… - Chad! 319 00:14:15,604 --> 00:14:17,189 - Oh, my God! - Hey, babe. 320 00:14:20,985 --> 00:14:22,111 Where's Harrison? 321 00:14:22,194 --> 00:14:23,737 Staff lounge. 322 00:14:23,821 --> 00:14:25,573 - Is he okay? - He's fine. 323 00:14:30,202 --> 00:14:32,746 I'm going to go check on Harrison. 324 00:14:32,830 --> 00:14:34,331 I'm pretty sure being in the same room 325 00:14:34,415 --> 00:14:37,042 with her violates the restraining order, so… 326 00:14:37,126 --> 00:14:38,127 I'll go. 327 00:14:38,210 --> 00:14:40,337 I can take him home. 328 00:14:40,421 --> 00:14:44,341 Actually, Chloe, since it'll be hard for me to get around after my surgery, 329 00:14:44,425 --> 00:14:47,761 Harrison is going to stay with Cassie for a little while. 330 00:14:47,845 --> 00:14:49,388 - Right. - No. 331 00:14:50,014 --> 00:14:51,098 I'm here. 332 00:14:51,181 --> 00:14:53,434 I can help take care of him while you're recovering. 333 00:14:53,517 --> 00:14:55,769 - Absolutely not. - Babe, I don't mind. 334 00:14:55,853 --> 00:14:57,229 I do. 335 00:14:57,313 --> 00:15:00,065 Yeah, sure, if you don't mind… just till I'm back on my feet. 336 00:15:00,149 --> 00:15:02,568 - Wait. Hold on! - Dr. McKay, sorry to interrupt! 337 00:15:02,651 --> 00:15:04,862 We're moving Central 6 to Trauma One. We need you. 338 00:15:06,030 --> 00:15:07,865 We are not done here. 339 00:15:12,953 --> 00:15:15,623 ICU boarder, 48-year-old cirrhotic, 340 00:15:15,706 --> 00:15:17,666 here for hematemesis. 341 00:15:19,084 --> 00:15:21,712 Intubated overnight and after one unit pBRCs and FFP 342 00:15:21,795 --> 00:15:24,256 - was supposedly stable. - Not anymore. Weak carotid. 343 00:15:24,340 --> 00:15:26,675 Javadi? I need you on suction. 344 00:15:27,676 --> 00:15:29,386 Why is she bleeding all of a sudden? 345 00:15:29,470 --> 00:15:32,139 Most likely, bleeding is from the esophageal varices. 346 00:15:32,222 --> 00:15:34,516 With cirrhosis, you get enlarged veins under pressure 347 00:15:34,600 --> 00:15:36,185 at the entry of the stomach. 348 00:15:36,268 --> 00:15:38,312 Varicose veins, and they can burst. 349 00:15:38,395 --> 00:15:39,980 What does that mean? 350 00:15:40,064 --> 00:15:42,858 The cirrhosis from hepatitis B caused a vein to burst 351 00:15:42,942 --> 00:15:46,487 where the esophagus meets the stomach, and that's where the blood is coming from. 352 00:15:46,570 --> 00:15:47,571 In through the nose… 353 00:15:47,655 --> 00:15:49,865 Mel, I'll have you help with the McRoberts maneuver. 354 00:15:49,949 --> 00:15:52,034 - Of course. - Hey, Natalie… 355 00:15:52,117 --> 00:15:54,119 we're going to lift your knees up to your chest now. 356 00:15:54,203 --> 00:15:55,287 Doing great. 357 00:15:56,288 --> 00:15:59,041 Justin, is this the worst you've ever seen me? 358 00:15:59,124 --> 00:16:00,793 This is the most I've ever seen of you. 359 00:16:00,876 --> 00:16:02,419 You're beautiful. 360 00:16:02,503 --> 00:16:04,213 All right, a little suprapubic pressure here. 361 00:16:04,296 --> 00:16:05,297 We got you. 362 00:16:05,381 --> 00:16:07,841 You're going to feel me pressing on your bladder. 363 00:16:07,925 --> 00:16:09,510 Two minutes since head delivery. 364 00:16:09,593 --> 00:16:11,136 Fetal heart rate looks good… normal variability. 365 00:16:11,220 --> 00:16:12,471 You're doing great, Nat. 366 00:16:12,554 --> 00:16:14,932 Feel free to step in and take over. 367 00:16:15,766 --> 00:16:18,018 - Another one's coming! - Give me a big push! 368 00:16:18,102 --> 00:16:19,937 Okay, Natalie. Here we go. You got this. 369 00:16:22,564 --> 00:16:24,358 - You're almost there. - Keep going. 370 00:16:24,441 --> 00:16:25,985 - We love you. - Go, Team Natalie. 371 00:16:26,068 --> 00:16:27,194 Late decel. 372 00:16:27,277 --> 00:16:30,447 Okay, can you call Dr. Ingram and tell him to come down here, please, from the NICU? 373 00:16:30,531 --> 00:16:31,573 What's happening? 374 00:16:31,657 --> 00:16:35,035 The baby's heart rate has slowed, which could be a sign of distress. 375 00:16:35,119 --> 00:16:37,037 - So what do we do? - We deliver this baby. 376 00:16:37,121 --> 00:16:38,706 We got this. 377 00:16:38,789 --> 00:16:40,124 We got this. 378 00:16:42,543 --> 00:16:44,294 Eusebio, can you page the OR 379 00:16:44,378 --> 00:16:46,463 and tell them to prep for a possible crash C-section? 380 00:16:46,547 --> 00:16:48,549 BP's only 82 over 46. 381 00:16:48,632 --> 00:16:50,092 Hey, Mom, you're going to be okay. 382 00:16:50,175 --> 00:16:53,053 Rapid infuser, massive transfusion protocol, 383 00:16:53,137 --> 00:16:54,680 octreotide bolus and drip, 384 00:16:54,763 --> 00:16:56,974 80 pantoprazole and ceftriaxone. 385 00:16:57,057 --> 00:16:59,059 Perlah, get Robby in here. 386 00:17:02,730 --> 00:17:04,064 Hey, Peggy. Where's Robby? 387 00:17:04,148 --> 00:17:05,149 Thank you. 388 00:17:08,944 --> 00:17:11,864 Robby, MTP from bleeding varices in Trauma One. 389 00:17:11,947 --> 00:17:14,366 A little burning from the local. 390 00:17:15,200 --> 00:17:17,578 Oh, fuck! That hurts. 391 00:17:18,245 --> 00:17:22,583 If I can get my hand inside, under the baby's head, 392 00:17:22,666 --> 00:17:24,668 I can release that lower arm. 393 00:17:26,253 --> 00:17:27,713 Three minutes since head delivery. 394 00:17:27,796 --> 00:17:28,964 - Dr. Robby. - Yeah. 395 00:17:29,048 --> 00:17:31,216 My hands are a little tied up at the moment. 396 00:17:31,300 --> 00:17:33,135 I'll need the Minnesota box. Who's in there? 397 00:17:33,218 --> 00:17:35,095 - Dr. McKay. - Tell her to go ahead and get set up. 398 00:17:35,179 --> 00:17:36,638 She knows what to do. I'll be there as soon as I can. 399 00:17:36,722 --> 00:17:38,807 - Yeah. - I'm Dr. Myers with Obstetrics. 400 00:17:38,891 --> 00:17:40,934 - Nice to meet you. - And who's the father? 401 00:17:41,018 --> 00:17:42,102 We are. 402 00:17:42,186 --> 00:17:43,937 - And who's the mother? - We are. 403 00:17:44,021 --> 00:17:45,022 Roger that. 404 00:17:45,105 --> 00:17:47,316 OR is prepped and ready. Do we need to go up? 405 00:17:47,399 --> 00:17:50,486 Not if I can rotate this posterior shoulder. 406 00:17:50,569 --> 00:17:52,738 - All right, there's the elbow. - Make sure it's flexed. 407 00:17:52,821 --> 00:17:55,324 It's flexed. Good call. 408 00:17:55,407 --> 00:17:57,493 We're getting closer. Just stay with me, okay? 409 00:17:57,576 --> 00:17:59,036 - I'm trying. - Okay. 410 00:17:59,119 --> 00:18:01,747 I've got control of the hand and forearm. 411 00:18:01,830 --> 00:18:03,123 That hurts! 412 00:18:03,207 --> 00:18:07,503 Rotating posterior shoulder up and out! 413 00:18:07,586 --> 00:18:09,004 Fuck! 414 00:18:09,088 --> 00:18:10,547 - Perfect. - You're right there. 415 00:18:10,631 --> 00:18:12,966 Give me one good push. 416 00:18:13,759 --> 00:18:15,094 Yeah, yeah, yeah, yeah. 417 00:18:15,177 --> 00:18:17,012 Good! Hey! 418 00:18:17,096 --> 00:18:18,555 We got a baby boy! 419 00:18:21,225 --> 00:18:24,144 I've got a stubborn set of twins upstairs. Admit her to postpartum. 420 00:18:24,228 --> 00:18:26,063 Congratulations, everyone. 421 00:18:34,113 --> 00:18:35,197 Good job. 422 00:18:35,823 --> 00:18:38,575 - He's pretty quiet. - Sometimes it takes them a minute. 423 00:18:38,659 --> 00:18:40,953 Put the baby on a pulse ox and a heart monitor. 424 00:18:41,036 --> 00:18:42,579 Hey, Amy, swap out with me. 425 00:18:42,663 --> 00:18:44,748 Mel, dry and stimulate vigorously. 426 00:18:44,832 --> 00:18:46,125 - On it. - Very vigorously. 427 00:18:46,208 --> 00:18:47,376 Shouldn't he be crying by now? 428 00:18:47,459 --> 00:18:49,795 - Heart rate is 95. - Too slow. 429 00:18:49,878 --> 00:18:51,296 Dr. Collins, BVM. 430 00:18:53,132 --> 00:18:55,092 Tiny volumes, once per second. 431 00:18:55,926 --> 00:18:57,886 - This kid needs oxygen. - Come on, baby. 432 00:18:57,970 --> 00:18:59,179 Come on, let's breathe. 433 00:18:59,263 --> 00:19:01,223 - Suction ready? - Ready. Dr. Ingram? 434 00:19:01,306 --> 00:19:02,683 I'm opening the intubation tray. 435 00:19:02,766 --> 00:19:04,184 - Yep. - One minute apgar is three. 436 00:19:04,268 --> 00:19:06,145 Isn't apgar supposed to be nine or ten? 437 00:19:06,228 --> 00:19:07,437 - What does that mean? - Come on, baby. 438 00:19:07,521 --> 00:19:08,689 Breath, baby, breathe. 439 00:19:10,482 --> 00:19:12,901 - There we go! - We got him back. 440 00:19:13,694 --> 00:19:14,820 That's good, right? 441 00:19:14,903 --> 00:19:16,738 That is very good, very good. 442 00:19:16,822 --> 00:19:18,031 - Okay, you got this? - Yeah, go. 443 00:19:18,115 --> 00:19:19,116 Looking much better. 444 00:19:19,199 --> 00:19:20,826 Hemorrhagic shock from varices. 445 00:19:20,909 --> 00:19:22,494 Failed medical therapy. 446 00:19:23,203 --> 00:19:24,663 Suction stopped working. 447 00:19:25,247 --> 00:19:26,832 Because your canister is full. 448 00:19:26,915 --> 00:19:28,333 - I'm on it. - Oh, my God. 449 00:19:28,417 --> 00:19:30,460 - Someone please take her out. - Mom! 450 00:19:30,544 --> 00:19:31,712 Thank you very much. 451 00:19:31,795 --> 00:19:34,548 By the way, that is not how you raise patient-satisfaction scores. 452 00:19:34,631 --> 00:19:36,633 Okay, Dr. McKay, do you want to explain to Javadi here 453 00:19:36,717 --> 00:19:38,635 - all about the Minnesota? - Yeah. 454 00:19:38,719 --> 00:19:41,221 So best way to stop the bleeding is direct pressure. 455 00:19:41,305 --> 00:19:43,056 First balloon goes in the stomach as an anchor. 456 00:19:43,140 --> 00:19:46,226 Second runs the length of the esophagus for direct pressure on the varices. 457 00:19:46,310 --> 00:19:49,855 First, we want to inflate the balloon under water like a bicycle inner tube 458 00:19:49,938 --> 00:19:51,523 - to check for any air leaks. - Yeah. 459 00:19:51,607 --> 00:19:54,193 - Javadi, stopcock in the ports. - Use that 50-cc syringe. 460 00:19:54,276 --> 00:19:56,528 - Suction's good and running. - I got it. 461 00:19:59,114 --> 00:20:00,657 What did you give me? 462 00:20:00,741 --> 00:20:02,242 Because I feel worse. 463 00:20:02,951 --> 00:20:05,996 I told you that I got better last time with morphine. 464 00:20:06,079 --> 00:20:07,831 I have a morphine-like drug called BUPE. 465 00:20:07,915 --> 00:20:09,958 Works the same way and faster, goes right under your tongue. 466 00:20:10,042 --> 00:20:11,710 If this doesn't work, we'll switch to morphine. 467 00:20:11,793 --> 00:20:13,670 But let's try this first, okay? 468 00:20:13,754 --> 00:20:15,797 I just want the pain to stop. 469 00:20:15,881 --> 00:20:17,049 Open up. 470 00:20:17,132 --> 00:20:18,550 Lift your tongue. 471 00:20:18,634 --> 00:20:20,469 Leave it there and let it dissolve. 472 00:20:20,552 --> 00:20:21,970 We'll be back in ten minutes. 473 00:20:27,142 --> 00:20:31,480 Just so I'm clear, our plan is lying to patients? 474 00:20:31,563 --> 00:20:32,689 I didn't lie. 475 00:20:32,773 --> 00:20:35,275 BUPE is a morphine-like drug, binds to the same receptor. 476 00:20:35,359 --> 00:20:36,818 He said he isn't an addict, 477 00:20:36,902 --> 00:20:40,906 so why give him an opiate agonist to treat his withdrawal symptoms? 478 00:20:40,989 --> 00:20:43,325 Because I don't believe him. And I know this will work. 479 00:20:43,408 --> 00:20:45,077 Then once he feels better, 480 00:20:45,160 --> 00:20:48,705 we can get him to admit to his addiction and treat him long-term. 481 00:20:48,789 --> 00:20:50,332 If you say so. 482 00:20:50,415 --> 00:20:52,167 First do no harm. 483 00:20:52,251 --> 00:20:54,211 Then do what's best for the patient. 484 00:20:58,590 --> 00:20:59,800 Here you go, hon. 485 00:21:03,804 --> 00:21:05,639 Langdon called the main line. 486 00:21:05,722 --> 00:21:07,516 - You got to be kidding me. - Princess answered. 487 00:21:07,599 --> 00:21:09,142 Told him you were busy. Just wanted you to know. 488 00:21:09,226 --> 00:21:11,228 Okay, noted. Thank you. 489 00:21:13,438 --> 00:21:15,816 - Can you see anything? - I don't have to. 490 00:21:15,899 --> 00:21:17,734 You just have to push the tongue out of the way 491 00:21:17,818 --> 00:21:19,152 in order to pass the tube. 492 00:21:19,236 --> 00:21:21,029 Okay. 493 00:21:21,113 --> 00:21:22,531 Here we go. 494 00:21:28,078 --> 00:21:30,956 Heart rate's 124. BP's still only 84 over 42. 495 00:21:31,039 --> 00:21:32,124 Bleeding is still brisk. 496 00:21:32,207 --> 00:21:34,042 Get another unit on that infuser, please. 497 00:21:34,126 --> 00:21:36,628 - How far did you go? - 50 centimeters. 498 00:21:39,047 --> 00:21:40,257 Dr. Robby? 499 00:21:41,341 --> 00:21:43,593 Did you say 50 centimeters? Yes, that's plenty. 500 00:21:43,677 --> 00:21:44,761 Inflate the gastric balloon. 501 00:21:44,845 --> 00:21:46,555 Start with 50, and then we'll check the placement 502 00:21:46,638 --> 00:21:47,848 in the stomach with an X-ray. 503 00:21:53,895 --> 00:21:55,230 Apgar is now ten. 504 00:21:57,107 --> 00:21:58,108 Go on. 505 00:21:58,191 --> 00:21:59,901 - Yeah? - Yeah. 506 00:22:02,738 --> 00:22:04,698 Okay, little one. 507 00:22:04,781 --> 00:22:06,283 Okay. 508 00:22:09,286 --> 00:22:11,246 All right, support his head right away. 509 00:22:11,330 --> 00:22:13,498 - All right, come here. - Right there. 510 00:22:13,582 --> 00:22:14,666 There you go. 511 00:22:19,463 --> 00:22:21,214 You're a natural. 512 00:22:43,070 --> 00:22:44,696 Whenever you're ready. 513 00:22:47,199 --> 00:22:49,785 We're gonna take him now. 514 00:22:49,868 --> 00:22:51,078 Okay. 515 00:22:51,161 --> 00:22:53,038 Already miss your dad. 516 00:22:53,121 --> 00:22:54,831 - I'll be up soon. - Okay. 517 00:22:58,627 --> 00:23:01,088 Can I put my legs down now? 518 00:23:01,171 --> 00:23:03,215 As soon as your placenta's out. 519 00:23:07,344 --> 00:23:09,471 Breathe. Good, good. 520 00:23:09,554 --> 00:23:11,348 Here it comes. 521 00:23:14,518 --> 00:23:16,061 Oh, wow. 522 00:23:16,144 --> 00:23:18,063 - What? - That is a lot of blood. 523 00:23:18,146 --> 00:23:19,564 Starting a second line. Spike a liter of saline. 524 00:23:19,648 --> 00:23:20,732 - On it. - What's going on? 525 00:23:20,816 --> 00:23:22,192 This happens sometimes. 526 00:23:22,275 --> 00:23:24,236 We have to help the uterus clamp back down. 527 00:23:24,319 --> 00:23:27,489 Starting uterine massage. 40 of oxytocin in the back. 528 00:23:27,572 --> 00:23:30,992 800 mikes of sublingual misoprostol and 1,000 of TXA. 529 00:23:31,076 --> 00:23:32,994 2 units from the blood bank, just in case. 530 00:23:33,078 --> 00:23:34,830 Call OB and get Robby! 531 00:23:34,913 --> 00:23:37,582 - Why is Dana still here? - She refuses to leave. 532 00:23:37,666 --> 00:23:38,917 That's perfect placement. 533 00:23:39,000 --> 00:23:41,086 She wants to finish her shift. 534 00:23:41,169 --> 00:23:43,088 Of course she does. 535 00:23:43,171 --> 00:23:45,090 I've never met a charge nurse who wasn't a stubborn bitch. 536 00:23:45,173 --> 00:23:46,118 McKay. 537 00:23:46,133 --> 00:23:48,385 In an adorable way, of course. 538 00:23:48,468 --> 00:23:50,095 I honestly don't know what we'd do without her. 539 00:23:50,178 --> 00:23:53,014 The mouth is filling up again. It's like a fountain. 540 00:23:53,098 --> 00:23:54,558 Dr. Robby, we need you in Trauma Two. 541 00:23:54,641 --> 00:23:55,892 Yeah, okay, I'll be right there. 542 00:23:55,976 --> 00:23:57,727 She's still bleeding higher up in the esophagus. 543 00:23:57,811 --> 00:23:59,604 Natalie. Keep your eyes open. 544 00:23:59,688 --> 00:24:00,730 We got it. 545 00:24:00,814 --> 00:24:01,815 - Perlah? - Yeah. 546 00:24:01,898 --> 00:24:03,108 She's not bleeding in her stomach. 547 00:24:03,191 --> 00:24:05,318 We have to inflate the second balloon up in the esophagus. 548 00:24:05,402 --> 00:24:07,112 - Dr. Robby, we need you! - Yes! Fuck! 549 00:24:07,195 --> 00:24:09,239 I'm coming, I'm coming. Fucking Langdon. 550 00:24:09,322 --> 00:24:11,575 This port is in the esophagus. 551 00:24:12,951 --> 00:24:14,411 With a ton of blood. 552 00:24:14,494 --> 00:24:16,746 Mystery solved. 553 00:24:16,830 --> 00:24:20,333 Pump up the esophageal balloon to 30 millimeters mercury. 554 00:24:20,417 --> 00:24:22,043 That's an insufflator and a manometer? 555 00:24:22,127 --> 00:24:23,920 Yep, just like a fancy bike pump. 556 00:24:24,004 --> 00:24:27,924 We are at 30, and shut the stopcock. 557 00:24:28,008 --> 00:24:30,510 Barely any blood coming from the esophageal port. 558 00:24:30,594 --> 00:24:33,346 The balloon stopped the bleeding. Tomorrow GI can cauterize the veins. 559 00:24:33,430 --> 00:24:34,598 That was awesome. 560 00:24:35,974 --> 00:24:37,726 I learned from the best. 561 00:24:40,729 --> 00:24:43,732 - Is she going to be okay? - We are doing everything that we can. 562 00:24:43,815 --> 00:24:46,026 Massive PPH on MTP and all uterotonics. 563 00:24:46,109 --> 00:24:48,528 Any rupture? Any inversion? Any retained products? 564 00:24:48,612 --> 00:24:50,280 Checked for all. None present. 565 00:24:50,363 --> 00:24:52,532 - This is all my fault. - Second unit's going up. 566 00:24:52,616 --> 00:24:55,202 Still tachy at 130. Systolic's only 84. 567 00:24:55,285 --> 00:24:58,163 Let's try carboprost, 0.25 milligrams IM. 568 00:24:58,246 --> 00:25:00,081 And get a Bakri balloon from Central. 569 00:25:00,165 --> 00:25:01,833 You could talk to her. Get in there. 570 00:25:01,917 --> 00:25:04,044 Tell her some of your favorite memories with her. That'll help. 571 00:25:06,046 --> 00:25:08,381 - Thanks for coming down. - You said there was pizza. 572 00:25:08,465 --> 00:25:10,967 Do you remember that thing I was worried about? 573 00:25:11,051 --> 00:25:14,095 My foot is fine, but I'll let you make it up to me with a cocktail. 574 00:25:14,179 --> 00:25:16,556 - No, about Langdon. - What about him? 575 00:25:16,640 --> 00:25:19,142 Unfortunately, I was right, and he's been dismissed. 576 00:25:19,226 --> 00:25:22,187 - What do you mean "dismissed"? - Dr. Robby sent him home. 577 00:25:22,270 --> 00:25:23,647 Why? 578 00:25:23,730 --> 00:25:25,732 You know, it's probably best if we don't talk about it anymore. 579 00:25:25,815 --> 00:25:27,526 But if you could just keep a lid 580 00:25:27,609 --> 00:25:29,486 on what I mentioned earlier, that would be really great. 581 00:25:29,569 --> 00:25:32,781 You called me down to talk about it, but you don't want to talk about it? 582 00:25:32,864 --> 00:25:35,867 - What is going on? - He's been stealing meds. 583 00:25:35,951 --> 00:25:37,911 Stop. I don't want to talk about this. 584 00:25:37,994 --> 00:25:39,871 - You just said… - I said stop. 585 00:25:39,955 --> 00:25:41,665 I don't want any part of this. 586 00:25:43,083 --> 00:25:44,292 You're trouble. 587 00:25:49,297 --> 00:25:50,298 Fuck. 588 00:25:52,467 --> 00:25:54,261 - Bakri's here. Need a fresh saline bag. - On it. 589 00:25:54,344 --> 00:25:55,595 Third and fourth units are coming up. 590 00:25:55,679 --> 00:25:57,556 - FFP is also infusing. - Keep going. 591 00:25:57,639 --> 00:25:59,224 Keep talking to her. More memories. It'll help. 592 00:25:59,307 --> 00:26:01,851 There was the time that we got that glass table 593 00:26:01,935 --> 00:26:03,937 off of Craigslist, and we went to go pick it up, 594 00:26:04,020 --> 00:26:05,522 and they mugged us, and they stole it back from us? 595 00:26:05,605 --> 00:26:08,108 - Estimated blood loss? - About two liters, maybe three. 596 00:26:08,191 --> 00:26:09,234 What's she had? 597 00:26:09,317 --> 00:26:12,696 Oxytocin drip, TXA, carboprost, 598 00:26:12,779 --> 00:26:14,489 massive transfusion protocol. 599 00:26:14,573 --> 00:26:18,410 - Spike the saline. - Balloon is past the cervix. 600 00:26:18,493 --> 00:26:20,495 - How much should we put in? - Up to 500. 601 00:26:20,579 --> 00:26:22,414 If that doesn't work, she'll need a hysterectomy. 602 00:26:22,497 --> 00:26:24,749 - "Hysterectomy"? - This is going to work. 603 00:26:24,833 --> 00:26:26,209 Come on, keep talking. More memories. 604 00:26:26,293 --> 00:26:27,919 It's good for her, and it's good for all of us. 605 00:26:28,003 --> 00:26:29,671 And the time we binged "Game of Thrones" 606 00:26:29,754 --> 00:26:33,758 two months before the finale because of FOMO. 607 00:26:33,842 --> 00:26:35,635 Natalie! Hey, Natalie! 608 00:26:35,719 --> 00:26:37,762 Natalie! Stay with us! 609 00:26:38,930 --> 00:26:40,473 How are you feeling, Mr. Pugliesi? 610 00:26:40,557 --> 00:26:43,810 Oh, I'm feeling a lot better. Nausea's gone. 611 00:26:46,146 --> 00:26:48,648 What about your stomachaches? Muscle cramps? 612 00:26:49,441 --> 00:26:52,569 I mean, I'd say I'm 75% better. 613 00:26:53,361 --> 00:26:55,405 Blood pressure and heart rate are back to normal. 614 00:26:56,364 --> 00:26:57,490 Incredible. 615 00:26:57,574 --> 00:26:59,284 You sound surprised. 616 00:26:59,367 --> 00:27:02,495 Oh, no, I'm just relieved for you, so… 617 00:27:03,997 --> 00:27:06,750 Good news is you can have another dose. 618 00:27:06,833 --> 00:27:08,627 That should get you back to 100%. 619 00:27:08,710 --> 00:27:10,086 Tongue up. 620 00:27:10,170 --> 00:27:13,173 I think we did it. 621 00:27:13,256 --> 00:27:15,342 No more blood loss. 622 00:27:16,760 --> 00:27:17,802 Thanks for your help. 623 00:27:17,886 --> 00:27:19,929 I'll tell OR to stand down. 624 00:27:20,764 --> 00:27:23,933 Nice save, Dr. Robinavitch, Dr. Collins. 625 00:27:24,017 --> 00:27:25,518 Pulse ox 99. 626 00:27:25,602 --> 00:27:27,979 BP 102 over 68. 627 00:27:28,063 --> 00:27:29,314 She doesn't need the mask. 628 00:27:31,399 --> 00:27:35,278 Thank you for being my best friend in the whole world. 629 00:27:36,946 --> 00:27:38,615 We're family. 630 00:27:41,117 --> 00:27:43,787 How long does this thing need to stay in me? 631 00:27:43,870 --> 00:27:46,706 12 to 24 hours. We'll take it out tomorrow. 632 00:27:46,790 --> 00:27:49,167 We're going to admit you to the ICU for overnight monitoring. 633 00:27:49,250 --> 00:27:51,002 Thanks, Dr. Robby. 634 00:27:51,628 --> 00:27:53,088 Thank you, Dr. Collins. 635 00:27:55,799 --> 00:27:57,008 Excuse me. 636 00:27:59,761 --> 00:28:01,471 BP's 98 over 70. 637 00:28:01,554 --> 00:28:03,223 Heart rate's 104. 638 00:28:09,312 --> 00:28:11,773 So what happens next? 639 00:28:11,856 --> 00:28:14,359 Once she's stabilized, the GI specialist 640 00:28:14,442 --> 00:28:17,112 can do an endoscopy to try to cauterize the bleeders. 641 00:28:17,195 --> 00:28:20,824 Or they might put in a shunt to take pressure off the bleeding veins. 642 00:28:20,907 --> 00:28:24,035 And she'll go to the top of the transplant list for a new liver. 643 00:28:24,119 --> 00:28:26,371 "The top of the list"? It's that serious? 644 00:28:26,454 --> 00:28:29,040 It is, yeah, but… 645 00:28:31,000 --> 00:28:32,168 Once she gets her new liver, 646 00:28:32,252 --> 00:28:34,838 she should be able to return to normal life. 647 00:28:35,839 --> 00:28:36,840 Okay. 648 00:28:37,674 --> 00:28:41,177 I guess I always knew that this day would come, but… 649 00:28:41,261 --> 00:28:44,764 somewhere in the back of my mind, I hoped that maybe it wouldn't. 650 00:28:44,848 --> 00:28:47,100 It's a lot for someone your age to handle. 651 00:28:47,183 --> 00:28:49,352 Is there anybody we can call or… 652 00:28:49,436 --> 00:28:50,562 Oh, no. 653 00:28:50,645 --> 00:28:51,938 No, it's just us. 654 00:28:52,021 --> 00:28:54,274 It's been that way for a long time. 655 00:28:55,066 --> 00:28:56,943 I'm sorry. That's really hard. 656 00:28:57,026 --> 00:28:59,070 Yeah, it's good she has you. 657 00:28:59,696 --> 00:29:03,199 Yeah, I'm the same age that she was when she first got hep B. 658 00:29:03,283 --> 00:29:05,285 I know it's hard to believe when you look at her, 659 00:29:05,368 --> 00:29:07,120 but she was a wild child 660 00:29:07,203 --> 00:29:09,956 and an intravenous drug user. 661 00:29:11,374 --> 00:29:13,334 But she got clean the day that she found out 662 00:29:13,418 --> 00:29:17,088 she was pregnant with me, and she has been ever since. 663 00:29:17,172 --> 00:29:19,466 She sounds like a good mom. 664 00:29:19,549 --> 00:29:21,217 She's the best. 665 00:29:21,301 --> 00:29:23,219 Are you close with your mom? 666 00:29:24,095 --> 00:29:25,430 Sure, yeah. 667 00:29:27,307 --> 00:29:29,642 Like, proximity-wise? 668 00:29:29,726 --> 00:29:31,644 It's just not the first word that comes to mind. 669 00:29:31,728 --> 00:29:32,812 It's complicated. 670 00:29:32,896 --> 00:29:35,106 - Usually is, right? - Yeah. 671 00:29:35,190 --> 00:29:37,484 I mean, my mom hasn't been perfect. 672 00:29:37,567 --> 00:29:39,611 I mean, sometimes I really hated her. 673 00:29:39,694 --> 00:29:43,031 But I always loved her, 674 00:29:43,114 --> 00:29:45,533 and I knew that she loved me. 675 00:29:47,118 --> 00:29:49,162 Yeah, it's a long road ahead. 676 00:29:49,245 --> 00:29:51,581 But it's a marathon, not a sprint. 677 00:29:52,332 --> 00:29:54,626 All you can do is take it day by day. 678 00:29:54,709 --> 00:29:57,504 We have a great social worker here, Kiara Alfaro, 679 00:29:57,587 --> 00:29:59,464 if you want to talk to her. 680 00:29:59,547 --> 00:30:01,049 Maybe a little bit later. 681 00:30:01,132 --> 00:30:04,761 I think I just want to be with my mom right now. 682 00:30:05,637 --> 00:30:08,097 Yeah. Of course. 683 00:30:08,181 --> 00:30:09,349 Yeah. 684 00:30:10,600 --> 00:30:11,851 I know. 685 00:30:11,935 --> 00:30:14,437 Dude, you got to stop calling me, okay? 686 00:30:14,521 --> 00:30:16,272 Yeah, okay. 687 00:30:16,356 --> 00:30:18,441 I'll tell him. I'll… 688 00:30:18,525 --> 00:30:20,193 Whenever I see him next. 689 00:30:22,612 --> 00:30:23,780 Okay. 690 00:30:27,992 --> 00:30:29,285 Guess who that was. 691 00:30:29,369 --> 00:30:30,578 God. 692 00:30:31,412 --> 00:30:32,914 No. I told you. He never calls. 693 00:30:32,997 --> 00:30:35,291 Well, Langdon's desperate to get ahold of you. 694 00:30:35,375 --> 00:30:36,876 You don't say. 695 00:30:36,960 --> 00:30:39,128 God damn it. 696 00:30:39,212 --> 00:30:40,880 Hey, Jake. 697 00:30:40,964 --> 00:30:42,715 Hey, man. How's it going? 698 00:30:42,799 --> 00:30:44,592 Everything okay with the passes and the tickets? 699 00:30:44,676 --> 00:30:46,261 Yeah, yeah, it's all good. 700 00:30:46,344 --> 00:30:47,387 Want to say hi? 701 00:30:47,470 --> 00:30:49,472 Hey, Jake. Long time no see. 702 00:30:49,556 --> 00:30:51,266 How's the festival? 703 00:30:51,349 --> 00:30:52,350 It's really cool. 704 00:30:52,433 --> 00:30:55,103 I mean, there's tons of people, and there's a lot of cool stuff going on. 705 00:30:55,186 --> 00:30:56,813 Good. I'm glad you're having a good time. 706 00:30:56,896 --> 00:30:58,106 How's your friend? 707 00:30:58,189 --> 00:31:00,733 Oh, she actually wanted to thank you personally. 708 00:31:00,817 --> 00:31:02,735 Hi, Dr. Robinavitch! 709 00:31:02,819 --> 00:31:04,445 Just Robby. 710 00:31:04,529 --> 00:31:06,906 Robby, I'm Leah, Jake's friend. 711 00:31:06,990 --> 00:31:08,241 - Girlfriend. - Stop! 712 00:31:08,324 --> 00:31:10,118 You said you weren't going to embarrass me. 713 00:31:10,201 --> 00:31:11,870 I know you were supposed to be here with Jake, 714 00:31:11,953 --> 00:31:14,122 so thank you so much for letting me use your tickets. 715 00:31:14,205 --> 00:31:16,624 - We're having a blast. - You're more than welcome. 716 00:31:16,708 --> 00:31:18,126 All right, well, we got to get out of here, 717 00:31:18,209 --> 00:31:19,544 but thanks again for the tickets, man. 718 00:31:19,627 --> 00:31:21,921 Thank you! Nice meeting you! 719 00:31:22,005 --> 00:31:23,006 You too. 720 00:31:34,017 --> 00:31:35,435 Can I get you anything? 721 00:31:37,020 --> 00:31:38,021 No. 722 00:31:39,188 --> 00:31:41,941 I didn't even know that you were trying. 723 00:31:42,025 --> 00:31:44,235 I really didn't tell anyone. 724 00:31:46,112 --> 00:31:48,865 It's not like it's the first time, but… 725 00:31:51,242 --> 00:31:52,744 It's probably the last. 726 00:31:53,620 --> 00:31:55,038 Why do you say that? 727 00:32:03,546 --> 00:32:06,674 Do you know how much IVF costs? 728 00:32:08,635 --> 00:32:11,888 I should have gone into reproduction endocrinology. 729 00:32:13,222 --> 00:32:16,476 Oh, those fertility doctors are making a killing. 730 00:32:19,020 --> 00:32:21,189 Even if my insurance would pay for more rounds 731 00:32:21,272 --> 00:32:24,901 or I could pay out of pocket, I… 732 00:32:29,864 --> 00:32:31,783 I'm… 733 00:32:31,866 --> 00:32:34,702 I'm not sure I could go through this again. 734 00:32:37,830 --> 00:32:40,500 Maybe it's just not meant to be. 735 00:32:44,379 --> 00:32:47,507 I've never known you to give up on anything. 736 00:32:50,760 --> 00:32:52,095 Except maybe me. 737 00:32:54,097 --> 00:32:55,598 Unbelievable. 738 00:32:56,933 --> 00:32:58,226 I had it coming. 739 00:33:02,105 --> 00:33:03,856 Do you want me to go find Kiara? Do you want… 740 00:33:03,940 --> 00:33:07,318 No. No, look, I know you mean well, but I just… 741 00:33:07,402 --> 00:33:09,028 I just want to be left alone. 742 00:33:09,112 --> 00:33:10,196 Go home. 743 00:33:10,279 --> 00:33:11,781 You sure? 744 00:33:11,864 --> 00:33:13,116 Absolutely. 745 00:33:14,117 --> 00:33:16,035 There's only an hour left in the shift. 746 00:33:16,119 --> 00:33:17,704 It's not like we're going to get ahead of it. 747 00:33:17,787 --> 00:33:20,456 We never do. Maybe we never can. 748 00:33:20,540 --> 00:33:22,333 So, yeah, go home. 749 00:33:23,543 --> 00:33:25,586 Turn off your phone. Turn off the TV. 750 00:33:25,670 --> 00:33:28,339 Pour a glass of wine. Have a bath. 751 00:33:29,340 --> 00:33:31,050 Go to bed. 752 00:33:31,134 --> 00:33:33,761 And if you need anything… 753 00:33:35,346 --> 00:33:36,347 Thank you. 754 00:33:44,397 --> 00:33:45,773 I got… 755 00:33:47,150 --> 00:33:49,527 I got pregnant a few years ago. 756 00:33:52,447 --> 00:33:55,158 I wasn't ready to be a mom then. 757 00:33:55,241 --> 00:33:57,827 I wasn't even sure about the relationship. 758 00:33:58,578 --> 00:34:01,372 I never told him. 759 00:34:07,462 --> 00:34:09,005 I was afraid. 760 00:34:09,088 --> 00:34:10,590 I was afraid of… 761 00:34:13,259 --> 00:34:14,802 All of it. 762 00:34:17,388 --> 00:34:21,100 But, mostly, I was afraid he'd hate me 763 00:34:21,184 --> 00:34:23,269 for being selfish. 764 00:34:26,189 --> 00:34:28,524 Not selfish. 765 00:34:28,608 --> 00:34:30,151 Heather… 766 00:34:30,234 --> 00:34:31,903 not selfish. 767 00:34:34,781 --> 00:34:37,033 Do you think he'd forgive me if he knew? 768 00:34:44,165 --> 00:34:45,166 Yes. 769 00:34:48,836 --> 00:34:50,129 And, more importantly, 770 00:34:50,213 --> 00:34:54,759 I know he would want you to forgive yourself. 771 00:35:11,109 --> 00:35:13,319 The mom had nine babies on her back. 772 00:35:13,402 --> 00:35:14,862 That's a big family. 773 00:35:14,946 --> 00:35:18,783 Opossums are marsupials, so they have a pouch like a kangaroo. 774 00:35:18,866 --> 00:35:20,409 - You're smart. - Thanks. 775 00:35:20,493 --> 00:35:22,036 I read a lot when I was your age, too. 776 00:35:22,120 --> 00:35:24,413 Hey, Victoria, do you want to show Harrison 777 00:35:24,497 --> 00:35:26,499 - how an ultrasound works? - Sure, yeah. 778 00:35:26,582 --> 00:35:27,792 You want to see inside your guts? 779 00:35:27,875 --> 00:35:29,669 - Always. - Okay. 780 00:35:32,380 --> 00:35:33,840 Bye, Mom. 781 00:35:33,923 --> 00:35:35,091 See you in a sec. 782 00:35:39,679 --> 00:35:42,265 This definitely violates the restraining order. 783 00:35:42,974 --> 00:35:44,392 I tried to warn you. 784 00:35:44,475 --> 00:35:46,435 Chad was severely injured. 785 00:35:46,519 --> 00:35:48,104 I wish. 786 00:35:49,689 --> 00:35:53,192 Look, whatever's going on between you and Chad, 787 00:35:53,276 --> 00:35:55,570 it's not really my business, okay? 788 00:35:55,653 --> 00:35:57,280 He's yours. Believe me. 789 00:35:58,531 --> 00:36:00,616 But mind your place with my son. 790 00:36:01,576 --> 00:36:03,494 Harrison loves living with us. 791 00:36:04,453 --> 00:36:06,873 An 11-year-old needs stability. 792 00:36:07,498 --> 00:36:10,835 I've been Harrison's mother for 11 years, okay? 793 00:36:10,918 --> 00:36:12,670 I made him. 794 00:36:12,753 --> 00:36:15,214 And I've made a lot of mistakes in my life, 795 00:36:15,298 --> 00:36:17,884 but I am a damn good mom. 796 00:36:19,343 --> 00:36:22,388 Look, Cassie, it's really about what's best for Harrison. 797 00:36:23,347 --> 00:36:25,850 Chloe, Harrison wants to live with me. 798 00:36:25,933 --> 00:36:27,059 I don't believe that. 799 00:36:27,143 --> 00:36:29,145 That's because at your age, your prefrontal cortex 800 00:36:29,228 --> 00:36:30,771 hasn't really even fully formed. 801 00:36:30,855 --> 00:36:32,565 I'll be 25 next month. 802 00:36:32,648 --> 00:36:35,735 Congratulations. You can rent a car. 803 00:36:35,818 --> 00:36:38,738 If you really care what's best for Harrison, 804 00:36:38,821 --> 00:36:41,866 - you will back the fuck off. - But… 805 00:36:41,949 --> 00:36:44,535 And if I ever, so help me God, 806 00:36:44,619 --> 00:36:46,746 see you in that shirt again… 807 00:36:49,749 --> 00:36:52,335 Let's just say you will have wished you hadn't, okay? 808 00:36:52,418 --> 00:36:55,504 And he still hasn't admitted to any opiate use? 809 00:36:55,588 --> 00:36:58,341 No, but, again, he exhibited every symptom, 810 00:36:58,424 --> 00:36:59,926 and now he's 100% better. 811 00:37:00,009 --> 00:37:02,094 And it feels like it was just a few hours ago 812 00:37:02,178 --> 00:37:03,846 I was asking you why didn't you consult me first 813 00:37:03,930 --> 00:37:06,265 and specifically telling you never to do that again. 814 00:37:06,349 --> 00:37:08,476 But instead, you went behind my back and… 815 00:37:08,559 --> 00:37:11,729 - I did it again. - You did it again, for fuck's sake. 816 00:37:11,812 --> 00:37:13,856 Is anybody honest about anything anymore? 817 00:37:13,940 --> 00:37:16,150 Or are we all just bullshitting our way through life? 818 00:37:16,234 --> 00:37:18,110 - It's just a case of… - That was rhetorical. 819 00:37:18,194 --> 00:37:20,112 - Why didn't you come and find me? - You were a little busy. 820 00:37:21,447 --> 00:37:22,448 Really? 821 00:37:23,532 --> 00:37:25,076 Do better, Dr. Mohan. 822 00:37:26,077 --> 00:37:27,063 Yes, sir. 823 00:37:27,078 --> 00:37:28,663 Using BUPE was unconventional, 824 00:37:28,746 --> 00:37:31,123 and while it wasn't dangerous, it could be subject for scrutiny, 825 00:37:31,207 --> 00:37:34,001 which I really don't need any more of right now from Gloria. 826 00:37:34,752 --> 00:37:36,796 I expect a level of this from medical students. 827 00:37:36,879 --> 00:37:38,798 I expect more from an R3. 828 00:37:42,593 --> 00:37:45,388 You know what? Just give 'em to Cindy, have her hold 'em, 829 00:37:45,471 --> 00:37:46,931 and then you don't got to think about it. 830 00:37:47,014 --> 00:37:48,599 Because I'm your father, that's why. 831 00:37:48,683 --> 00:37:50,309 Listen, the doctors are back. I got to go. 832 00:37:50,393 --> 00:37:51,727 I'll talk to you later. 833 00:37:51,811 --> 00:37:53,229 Yes, I love you. 834 00:37:53,312 --> 00:37:54,730 Bye. 835 00:37:54,814 --> 00:37:58,234 - How you feeling, Mr. Pugliesi? - Oh, so much better. Thank you. 836 00:37:58,317 --> 00:38:00,945 You guys think that I could have a little bit more of that medicine, 837 00:38:01,028 --> 00:38:03,281 just for the few days that I'm out here? 838 00:38:03,364 --> 00:38:06,450 I just want to be able to walk my daughter down the aisle without shitting myself. 839 00:38:06,534 --> 00:38:08,828 The medication we gave you wasn't morphine. 840 00:38:08,911 --> 00:38:11,789 It was something called buprenorphine, or BUPE. 841 00:38:11,872 --> 00:38:12,873 Yeah, no, she said that. 842 00:38:12,957 --> 00:38:15,167 I mean, whatever you call it, Doc, it worked great. 843 00:38:16,252 --> 00:38:20,339 It's a medicine specifically targeted to treat opioid withdrawal. 844 00:38:20,423 --> 00:38:22,049 That's why it worked. 845 00:38:22,842 --> 00:38:24,844 Wait, I don't understand. 846 00:38:26,679 --> 00:38:29,932 All indicators are that you have been using opioids. 847 00:38:30,016 --> 00:38:33,894 That would include pain medication like hydrocodone, oxycodone. 848 00:38:33,978 --> 00:38:36,063 I told them I don't do drugs. 849 00:38:37,690 --> 00:38:39,191 Wow. 850 00:38:39,275 --> 00:38:40,776 - You lied to me. - I didn't lie. 851 00:38:40,860 --> 00:38:42,862 I said I was giving you a morphine-like drug 852 00:38:42,945 --> 00:38:44,488 that got rid of your cravings. 853 00:38:44,572 --> 00:38:47,992 Well, you know what? This is bullshit. 854 00:38:48,075 --> 00:38:51,203 I mean, you know, I could sue all of you. You hear me? 855 00:38:51,287 --> 00:38:53,372 I'm not some junkie on the street. 856 00:38:53,456 --> 00:38:58,210 Look, look, I got a family. I got a job. I make good money. 857 00:38:58,294 --> 00:39:00,796 You know, I return my shopping carts. I pay my taxes. 858 00:39:00,880 --> 00:39:02,214 That sound like a drug addict to you? 859 00:39:02,298 --> 00:39:06,093 Yes, because anybody can be an addict. You are proof of that. 860 00:39:06,177 --> 00:39:09,013 These pills that you were taking, they're not helping you with your pain. 861 00:39:09,096 --> 00:39:10,556 They are keeping you stuck in it. 862 00:39:12,391 --> 00:39:16,020 A lot of really good people struggle with addiction. 863 00:39:16,103 --> 00:39:17,355 It is a brain disease. 864 00:39:17,438 --> 00:39:19,023 But social environment and personal choice 865 00:39:19,106 --> 00:39:20,691 - are also factors. - I don't have a problem. 866 00:39:20,775 --> 00:39:24,403 The good news is that the brain is highly dynamic, as is the environment. 867 00:39:24,487 --> 00:39:27,198 But you need to stop now before the damage is irreparable. 868 00:39:27,281 --> 00:39:29,158 No, screw this hospital, okay? 869 00:39:29,241 --> 00:39:31,077 - And screw you. - Hey. 870 00:39:32,203 --> 00:39:35,247 Doctor Mohan… Doctor Mohan will advise you 871 00:39:35,331 --> 00:39:37,083 on our proposed action plan. 872 00:39:37,166 --> 00:39:40,503 You can either choose to follow it or not. That is entirely up to you. 873 00:39:42,338 --> 00:39:45,132 I wish you luck, Mr. Pugliesi. 874 00:39:49,512 --> 00:39:53,265 We're giving you a seven-day supply of a drug called Suboxone. 875 00:39:53,349 --> 00:39:56,143 - We can set you up with a medic… - Fuck off. I'm not interested. 876 00:39:59,021 --> 00:40:01,357 My father passed away when I was young. 877 00:40:03,526 --> 00:40:04,860 I don't know if I'll ever get married, 878 00:40:04,944 --> 00:40:07,738 but if I do, it'll be without him walking me down the aisle. 879 00:40:09,156 --> 00:40:11,826 I'm glad your daughter has you there on her wedding day. 880 00:40:11,909 --> 00:40:15,538 I hope she gets to have you there for all of her other big days to come, too. 881 00:40:22,002 --> 00:40:23,379 Dr. Mohan. 882 00:40:25,756 --> 00:40:28,050 I don't always know the exact right thing to say, 883 00:40:28,134 --> 00:40:31,178 but I am sorry about your dad. 884 00:40:32,179 --> 00:40:34,765 It was a long time ago, but thank you. 885 00:40:36,016 --> 00:40:37,560 Dr. Robby. 886 00:40:37,643 --> 00:40:39,895 I've been waiting in the lobby for almost an hour. 887 00:40:39,979 --> 00:40:43,899 - You said you'd be right there. - Theresa, oh, I am so sorry. 888 00:40:43,983 --> 00:40:46,694 We are a little understaffed, and, truthfully, my head has been 889 00:40:46,777 --> 00:40:48,904 in a million different places… can you forgive me? 890 00:40:48,988 --> 00:40:51,615 I'm here now. Please. What's going on? 891 00:40:51,699 --> 00:40:55,494 The psychologist spoke to me about becoming a petitioner 892 00:40:55,578 --> 00:40:58,789 to place David on a involuntary psychiatric hold. 893 00:40:58,873 --> 00:41:01,417 - Yes. - But can that be anonymous? 894 00:41:02,418 --> 00:41:03,627 No. 895 00:41:03,711 --> 00:41:05,421 To call a 302 in the state of Pennsylvania, 896 00:41:05,504 --> 00:41:07,631 the petitioner needs to admit to having witnessed 897 00:41:07,715 --> 00:41:09,091 the concerning behavior, 898 00:41:09,175 --> 00:41:12,720 and you need a physician and a social worker to sign off, 899 00:41:12,803 --> 00:41:14,597 which both Kiara and I can do. 900 00:41:15,806 --> 00:41:17,224 What if I'm wrong? 901 00:41:17,933 --> 00:41:19,518 Then you apologize. 902 00:41:19,602 --> 00:41:21,020 And we will help you explain 903 00:41:21,103 --> 00:41:23,397 that this came from concern for his safety. 904 00:41:24,023 --> 00:41:25,524 What if you're right? 905 00:41:25,608 --> 00:41:29,862 But if I become a petitioner, what am I doing to my son? 906 00:41:29,945 --> 00:41:33,741 You are trying to get him the help 907 00:41:33,824 --> 00:41:35,826 that it sounds like he needs. 908 00:41:35,910 --> 00:41:38,746 David lost his father. That would affect anyone. 909 00:41:38,829 --> 00:41:40,247 But we are failing young men, 910 00:41:40,331 --> 00:41:42,750 because we don't teach them how to express their emotions. 911 00:41:42,833 --> 00:41:44,627 We just tell them to man up, and then we let them 912 00:41:44,710 --> 00:41:46,712 get their lessons in manhood from toxic podcasts. 913 00:41:46,795 --> 00:41:50,257 And these young men then feel isolated from themselves and society, 914 00:41:50,341 --> 00:41:54,053 and they find community and comfort in all the wrong places. 915 00:41:54,887 --> 00:41:56,555 David needs help. 916 00:41:56,639 --> 00:41:58,516 We don't want to fail him, too. 917 00:42:00,518 --> 00:42:02,102 You have kids? 918 00:42:03,062 --> 00:42:06,106 I sort of have a stepson, yeah. 919 00:42:06,190 --> 00:42:10,778 His mom and I dated for a while, but Jake and I have a great relationship. 920 00:42:11,487 --> 00:42:14,865 - Jake's lucky. - Oh, I think I'm the lucky one there. 921 00:42:16,367 --> 00:42:19,411 I'm going to check in with the psychologist 922 00:42:19,495 --> 00:42:21,497 and tell her I want to become a petitioner. 923 00:42:21,580 --> 00:42:23,749 Great, and then come find me, 924 00:42:23,832 --> 00:42:26,085 and I will sign off on that paperwork. 925 00:42:30,172 --> 00:42:31,549 Knock, knock. 926 00:42:32,550 --> 00:42:34,802 To what do I owe this pleasure? 927 00:42:34,885 --> 00:42:37,221 I found these. 928 00:42:37,304 --> 00:42:39,223 You must have dropped them. Got to be more careful. 929 00:42:39,306 --> 00:42:41,225 You don't want these ending up in the wrong hands. 930 00:42:41,308 --> 00:42:42,685 You can keep 'em. 931 00:42:45,229 --> 00:42:47,064 You ever think about quitting? 932 00:42:49,316 --> 00:42:50,859 I'm not a quitter. 933 00:42:50,943 --> 00:42:53,654 Oh, I know you're a happy drunk today. 934 00:42:53,737 --> 00:42:56,115 But one day, when your liver fails… 935 00:42:56,198 --> 00:42:58,242 and believe me, it will fail… 936 00:42:58,325 --> 00:42:59,994 you won't be so happy. 937 00:43:00,077 --> 00:43:01,412 It's not a nice way to go. 938 00:43:02,329 --> 00:43:04,331 I'm digging my own grave. 939 00:43:05,124 --> 00:43:06,250 Let me. 940 00:43:07,126 --> 00:43:09,211 I don't have to give you the shovel. 941 00:43:21,140 --> 00:43:22,808 Have you seen Dr. Langdon? 942 00:43:24,143 --> 00:43:26,270 He left for the day. 943 00:43:27,813 --> 00:43:29,607 He didn't say goodbye. That's… 944 00:43:30,733 --> 00:43:32,735 I really wanted to tell him about this delivery. 945 00:43:32,818 --> 00:43:34,111 It was really cool. 946 00:43:34,194 --> 00:43:38,073 I mean, the dads were so happy, and… 947 00:43:38,157 --> 00:43:39,283 Great stuff. 948 00:43:39,366 --> 00:43:40,743 Dr. Robby? 949 00:43:42,661 --> 00:43:44,872 I just wanted to apologize for what happened with Langdon. 950 00:43:44,955 --> 00:43:45,956 Apology accepted. 951 00:43:46,040 --> 00:43:47,416 If I hadn't said anything, he would still be… 952 00:43:47,499 --> 00:43:49,293 Nobody's fault but Langdon's. Now, if you'll excuse me… 953 00:43:49,376 --> 00:43:50,878 Well, it doesn't feel that way. 954 00:43:52,755 --> 00:43:57,092 Some people might have turned a blind eye, but you didn't. 955 00:43:57,176 --> 00:44:00,095 It took a strong moral compass to do what you did… 956 00:44:00,179 --> 00:44:02,139 on your first day, nonetheless. 957 00:44:02,222 --> 00:44:03,682 I just wonder if… 958 00:44:03,766 --> 00:44:05,976 You did the right thing, Dr. Santos. 959 00:44:08,604 --> 00:44:10,189 Thanks, Dr. Robinavitch. 960 00:44:10,272 --> 00:44:11,815 Have you seen Dana? 961 00:44:11,899 --> 00:44:14,193 Yeah, she was headed to the ambulance bay. 962 00:44:16,195 --> 00:44:19,073 Keep your distance. I'm already in a bad mood. 963 00:44:19,156 --> 00:44:21,617 - I'm just getting some air. - Yeah, right. 964 00:44:21,700 --> 00:44:23,535 You're a terrible liar. 965 00:44:23,619 --> 00:44:25,663 Hope you're better at security. 966 00:44:25,746 --> 00:44:27,790 Hey, now you're just being mean. 967 00:44:28,624 --> 00:44:31,919 You realize that this is the second person to accuse you of that today. 968 00:44:32,002 --> 00:44:33,921 - You starting to see a pattern? - No. 969 00:44:34,004 --> 00:44:35,839 But I am starting to see why Gloria's unhappy 970 00:44:35,923 --> 00:44:37,591 with your patient-satisfaction scores. 971 00:44:39,134 --> 00:44:41,345 You need something, or you just here to ruin one of the few things 972 00:44:41,428 --> 00:44:43,138 that still brings me a little joy in life? 973 00:44:43,222 --> 00:44:44,765 I sent Collins home. 974 00:44:45,808 --> 00:44:48,227 You don't want to work with anybody today. 975 00:44:48,936 --> 00:44:50,646 You must be in a mood. 976 00:44:50,729 --> 00:44:52,231 She's had a rough day. 977 00:44:54,441 --> 00:44:56,318 It's going around. 978 00:44:56,402 --> 00:44:57,945 You should leave, too. 979 00:44:58,028 --> 00:44:59,029 Yeah. 980 00:44:59,988 --> 00:45:01,615 You're good. 981 00:45:01,699 --> 00:45:03,450 You're not that good. 982 00:45:05,452 --> 00:45:07,204 You know I was born at this hospital? 983 00:45:07,830 --> 00:45:10,332 I even volunteered here in high school. 984 00:45:11,375 --> 00:45:16,171 I've been punched, kicked, spit at, pissed on, had feces thrown at me. 985 00:45:16,255 --> 00:45:17,381 I talked to Gloria. 986 00:45:17,464 --> 00:45:20,384 I told her, listen, we got to do something to beef up security. 987 00:45:20,467 --> 00:45:22,469 - This can't happen again. - It will. 988 00:45:23,470 --> 00:45:24,888 It will. 989 00:45:24,972 --> 00:45:26,890 Maybe not to me, but to somebody. 990 00:45:26,974 --> 00:45:28,809 World's changed. People are angry. 991 00:45:28,892 --> 00:45:30,310 Our tempers are shorter. 992 00:45:30,394 --> 00:45:32,187 And we're still just trying to help. 993 00:45:33,522 --> 00:45:34,690 You do help. 994 00:45:35,441 --> 00:45:37,067 You do make a difference. 995 00:45:37,860 --> 00:45:40,404 One asshole doesn't get to change that. 996 00:45:44,450 --> 00:45:45,868 I think I'm done. 997 00:45:50,581 --> 00:45:51,582 Yeah. 998 00:45:52,750 --> 00:45:54,293 I know that one. 999 00:45:56,462 --> 00:45:58,297 And I don't blame you. 1000 00:45:59,548 --> 00:46:01,008 I… 1001 00:46:02,885 --> 00:46:04,887 I don't know. I don't know. 1002 00:46:04,970 --> 00:46:08,432 Maybe what I want and what the patients need isn't what's best for you anymore. 1003 00:46:08,515 --> 00:46:09,516 Yeah. 1004 00:46:11,018 --> 00:46:14,521 I just honestly don't know what I'm going to do without you. 1005 00:46:15,189 --> 00:46:16,899 You'll figure it out. 1006 00:46:17,733 --> 00:46:19,318 You always do. 1007 00:46:21,111 --> 00:46:23,280 You're a good man, Robinavitch. 1008 00:46:23,363 --> 00:46:25,407 Don't let this place take that from you. 1009 00:46:27,910 --> 00:46:29,036 Okay? 1010 00:46:30,746 --> 00:46:31,872 God. 1011 00:46:33,707 --> 00:46:34,750 Yeah? 1012 00:46:35,959 --> 00:46:37,461 Code triage. 1013 00:46:39,338 --> 00:46:40,964 Multiple GSWs. 1014 00:46:41,048 --> 00:46:42,925 There's an active shooter at Pittfest. 1015 00:46:46,053 --> 00:46:47,930 Jake and his girlfriend are there.