1 00:00:14,251 --> 00:00:16,671 - Robby! - Whoa, whoa, whoa. 2 00:00:16,754 --> 00:00:18,881 What's going on here? 3 00:00:18,965 --> 00:00:21,384 I disabled my ankle monitor because it was going off 4 00:00:21,467 --> 00:00:23,177 and fucking with our ability to help patients 5 00:00:23,260 --> 00:00:25,137 during the mass casualty. 6 00:00:25,221 --> 00:00:26,430 Tell that to your judge. 7 00:00:26,514 --> 00:00:28,182 This is my resident. I need her. 8 00:00:28,265 --> 00:00:29,642 Call Gloria. Can you at least wait a second 9 00:00:29,725 --> 00:00:31,018 to speak to our chief medical officer? 10 00:00:31,102 --> 00:00:32,088 No, but they can call the Department 11 00:00:32,103 --> 00:00:33,729 if they have any questions. 12 00:00:33,813 --> 00:00:35,356 We just came through the worst mass casualty incident 13 00:00:35,439 --> 00:00:36,732 in this city's history, and you two are 14 00:00:36,816 --> 00:00:38,275 fucking around with this? Are you serious? 15 00:00:38,359 --> 00:00:39,610 You don't have anything better to do? 16 00:00:41,195 --> 00:00:45,074 Officer Harrelson, can you…please. 17 00:00:45,157 --> 00:00:46,450 Is there a problem here? 18 00:00:46,534 --> 00:00:47,868 She disabled her ankle monitor. 19 00:00:47,952 --> 00:00:49,537 It was malfunctioning. 20 00:00:49,620 --> 00:00:51,330 She's in a custody battle with a restraining order 21 00:00:51,414 --> 00:00:52,707 and is considered a flight risk. 22 00:00:52,790 --> 00:00:54,375 That is bullshit. 23 00:00:54,458 --> 00:00:57,169 It was interfering with our ability to treat patients. 24 00:00:57,253 --> 00:00:59,755 I'm not sure we could have saved Officer Stefano 25 00:00:59,839 --> 00:01:02,383 if she hadn't disabled the damn thing. 26 00:01:02,466 --> 00:01:04,802 Is that true? 27 00:01:04,885 --> 00:01:06,429 They saved Stefano's life. 28 00:01:06,512 --> 00:01:08,097 They saved a lot of lives. 29 00:01:10,224 --> 00:01:12,518 Take care of this first thing tomorrow morning? 30 00:01:12,601 --> 00:01:14,270 I swear. 31 00:01:14,353 --> 00:01:15,771 Take the cuffs off. 32 00:01:15,855 --> 00:01:17,815 Thank you. 33 00:01:17,898 --> 00:01:19,400 - Thank you. - Thank you. 34 00:01:19,483 --> 00:01:21,402 For everything you did here tonight. 35 00:01:25,239 --> 00:01:28,034 - Do I even want to know? - Probably not. 36 00:01:28,117 --> 00:01:30,453 Good. 37 00:01:30,536 --> 00:01:33,622 What's your status down here? 38 00:01:33,706 --> 00:01:35,958 We have had 112 mass casualty patients 39 00:01:36,042 --> 00:01:37,877 come through here in the last three hours. 40 00:01:37,960 --> 00:01:40,212 Only six people that we couldn't save. 41 00:01:40,296 --> 00:01:42,923 They are still in our makeshift morgue in Pedes. 42 00:01:43,007 --> 00:01:44,550 71 people went upstairs. 43 00:01:44,633 --> 00:01:47,595 Last I heard, surgery had stabilized 44 00:01:47,678 --> 00:01:51,057 the 39 most critical red zone, 32 pink zone patients. 45 00:01:51,140 --> 00:01:52,808 We also had 24 yellow zone patients, 46 00:01:52,892 --> 00:01:55,686 many of whom are getting orthopedic surgery as we speak. 47 00:01:55,770 --> 00:01:57,104 The police are still interviewing 48 00:01:57,188 --> 00:01:58,355 everybody else that's still down here. 49 00:01:58,439 --> 00:02:00,066 We discharged eight people, 50 00:02:00,149 --> 00:02:01,442 and I don't know the status of the green zone patients 51 00:02:01,525 --> 00:02:02,902 because I wasn't there. 52 00:02:02,985 --> 00:02:04,612 You'll have to check with Family Medicine. 53 00:02:04,695 --> 00:02:06,489 Impressive. 54 00:02:06,572 --> 00:02:08,491 I need you and Abbot to turn your patients over 55 00:02:08,574 --> 00:02:09,867 to the night shift now, and then… 56 00:02:09,950 --> 00:02:11,535 Oh, sorry. 57 00:02:11,619 --> 00:02:13,537 Hello? 58 00:02:13,621 --> 00:02:14,955 What? No. 59 00:02:15,039 --> 00:02:17,750 We need to be back up and running now. 60 00:02:17,833 --> 00:02:21,587 Tell security to open the ER doors for walk-ins. 61 00:02:21,670 --> 00:02:24,298 If you've got a triage nurse and registration clerks, 62 00:02:24,381 --> 00:02:26,509 you should already be open. 63 00:02:36,310 --> 00:02:38,229 You ready to give this measles kid to Dr. Shen 64 00:02:38,312 --> 00:02:40,439 - and go home? - Oh, no. I'm…I'm OK. 65 00:02:40,523 --> 00:02:43,442 - Are you sure? - Yeah. 66 00:02:43,526 --> 00:02:47,238 It's just… we've repeatedly tried 67 00:02:47,321 --> 00:02:50,074 to explain the importance and low risk of the spinal tap, 68 00:02:50,157 --> 00:02:53,244 and the parents are… 69 00:02:53,327 --> 00:02:55,079 they're risking their son's life. 70 00:02:55,162 --> 00:02:57,456 Hopefully, they'll come around. 71 00:02:57,540 --> 00:02:59,041 And if they don't? 72 00:02:59,125 --> 00:03:00,543 We do the best that we can. 73 00:03:00,626 --> 00:03:02,545 Some things are out of our control. 74 00:03:02,628 --> 00:03:04,713 Dr. Shen, how are we progressing in here? 75 00:03:04,797 --> 00:03:09,343 No improvement… in the patient or his family. 76 00:03:09,426 --> 00:03:11,887 Where is your wife and daughter, Mr. Edwards? 77 00:03:11,971 --> 00:03:13,305 My wife took Georgia to the bathroom. 78 00:03:13,389 --> 00:03:14,723 OK. 79 00:03:14,807 --> 00:03:16,642 Well, your son, Flynn, is critically ill, 80 00:03:16,725 --> 00:03:19,019 and the longer that we wait, the worse this could get. 81 00:03:19,103 --> 00:03:20,563 Without the spinal tap, 82 00:03:20,646 --> 00:03:22,231 we don't know the best treatment to give him 83 00:03:22,314 --> 00:03:23,816 to give him the best chance of recovery. 84 00:03:23,899 --> 00:03:25,526 What's going on? 85 00:03:25,609 --> 00:03:27,278 We were discussing the options 86 00:03:27,361 --> 00:03:29,280 for treating your son. 87 00:03:29,363 --> 00:03:31,991 He already looks better. 88 00:03:32,074 --> 00:03:33,868 He is not. 89 00:03:33,951 --> 00:03:37,746 And by refusing the spinal tap, we don't know how to help him. 90 00:03:37,830 --> 00:03:39,790 The steroids could kill him if it's just pneumonia. 91 00:03:39,874 --> 00:03:41,417 The steroids could save him if it's ADEM, 92 00:03:41,500 --> 00:03:42,710 and the longer that we wait, 93 00:03:42,793 --> 00:03:44,044 the greater the risk of him dying. 94 00:03:44,128 --> 00:03:46,130 - Flynn might die? - No, honey. 95 00:03:46,213 --> 00:03:48,174 He's just got a worse version of what you had. 96 00:03:49,383 --> 00:03:51,135 I'll keep him intubated, hydrated, 97 00:03:51,218 --> 00:03:52,469 and pumping the antibiotics. 98 00:03:52,553 --> 00:03:54,013 I'll let you know if anything changes. 99 00:03:54,096 --> 00:03:57,433 Mr. Edwards, may I speak with you outside please? 100 00:03:57,516 --> 00:03:59,435 Go. I've heard enough. 101 00:04:07,151 --> 00:04:09,695 Tell me about your son. 102 00:04:09,778 --> 00:04:11,697 He's a great kid. He's kind. 103 00:04:11,780 --> 00:04:14,617 He's very good to his little sister. 104 00:04:14,700 --> 00:04:17,077 - You two close? - Yeah. 105 00:04:17,161 --> 00:04:19,455 Not like my old man. 106 00:04:19,538 --> 00:04:22,708 - Samira, finish up. - He was not around very much. 107 00:04:22,791 --> 00:04:25,044 He didn't really care what we were doing. 108 00:04:25,127 --> 00:04:26,629 Does Flynn play any sports? 109 00:04:26,712 --> 00:04:29,381 Baseball, soccer, basketball. 110 00:04:29,465 --> 00:04:31,175 David? 111 00:04:31,258 --> 00:04:32,635 My wife doesn't want him playing football, 112 00:04:32,718 --> 00:04:35,012 or he'd be doing that too. 113 00:04:35,095 --> 00:04:36,972 Do you get to many games? 114 00:04:37,056 --> 00:04:38,682 I do my best. 115 00:04:40,267 --> 00:04:41,894 Vic identification. 116 00:04:57,159 --> 00:04:58,786 What the hell is this? 117 00:04:58,869 --> 00:05:01,163 These are the people from the PittFest shooting 118 00:05:01,247 --> 00:05:03,749 that we couldn't save today. 119 00:05:03,832 --> 00:05:05,501 We couldn't save them, 120 00:05:05,584 --> 00:05:08,837 but we can still save your son. 121 00:05:08,921 --> 00:05:10,756 You're an asshole. 122 00:05:15,636 --> 00:05:17,513 Yeah. 123 00:05:17,596 --> 00:05:19,890 I'm an asshole 124 00:05:19,974 --> 00:05:22,309 who's trying to save your son's life. 125 00:05:22,393 --> 00:05:23,811 We still need charts for two patients 126 00:05:23,894 --> 00:05:25,521 in North, three in South. 127 00:05:25,604 --> 00:05:27,439 All right, we're on it. Just give us a hot minute. 128 00:05:27,523 --> 00:05:30,192 Hey, Lee Ann, can you check out the ones she's talking about? 129 00:05:30,276 --> 00:05:32,111 Code Tan, basement receiving. 130 00:05:32,194 --> 00:05:34,822 - Code Tan, basement receiving. - What's a Code Tan? 131 00:05:34,905 --> 00:05:36,991 Illness or injury in a public area of the hospital. 132 00:05:37,074 --> 00:05:38,575 Usually a fainting or a fall. 133 00:05:38,659 --> 00:05:41,161 Hey, Gloria wants day shift to get out of here, 134 00:05:41,245 --> 00:05:43,414 sooner rather than later, so wrap it up. 135 00:05:43,497 --> 00:05:44,790 Gotcha. 136 00:05:44,873 --> 00:05:47,167 Repeat labs back on our blue man, Max. 137 00:05:47,251 --> 00:05:49,837 Running through agents that cause methemoglobinemia, 138 00:05:49,920 --> 00:05:51,588 mainly drugs and toxins. 139 00:05:51,672 --> 00:05:54,925 Yeah, drugs like topical anesthetics from the dentist, 140 00:05:55,009 --> 00:05:57,720 antibiotics to treat malaria, leprosy. 141 00:05:57,803 --> 00:05:59,930 Yeah, I can see if he's taking any of those. 142 00:06:00,014 --> 00:06:01,974 Also ask about industrial toxins. 143 00:06:02,057 --> 00:06:03,851 Aniline dyes, benzene. 144 00:06:03,934 --> 00:06:08,188 There's also food additives, nitrates, nitrites. 145 00:06:08,272 --> 00:06:13,027 Some of those are available online as suicide kits. 146 00:06:13,110 --> 00:06:15,863 You think he may have tried to hurt himself? 147 00:06:15,946 --> 00:06:19,033 Maybe, or he was poisoned. 148 00:06:19,116 --> 00:06:21,201 I had a guy today whose wife was spiking 149 00:06:21,285 --> 00:06:23,996 - his coffee with progesterone. - Jesus. 150 00:06:24,079 --> 00:06:26,540 And I thought the crazies were for the night shift. 151 00:06:26,623 --> 00:06:29,126 She wasn't crazy, just desperate. 152 00:06:29,209 --> 00:06:31,128 Help. Police! 153 00:06:31,211 --> 00:06:32,713 Officer. 154 00:06:32,796 --> 00:06:34,673 I'm being held here against my will. 155 00:06:36,884 --> 00:06:38,969 What else do we know about him? 156 00:06:39,053 --> 00:06:40,929 Nothing, really. 157 00:06:41,013 --> 00:06:44,516 He was too groggy to talk, but I can give it another shot. 158 00:06:44,600 --> 00:06:48,729 - Go for it, Sherlock. - Will do. 159 00:06:48,812 --> 00:06:50,356 Last pink patient going upstairs. 160 00:06:50,439 --> 00:06:51,982 - You two hanging in? - Oh, yeah. 161 00:06:52,066 --> 00:06:53,692 OK, start wrapping it up, and then hand off 162 00:06:53,776 --> 00:06:56,278 what you have left to the night shift. 163 00:06:56,362 --> 00:06:58,072 - Can we talk? - Go home. 164 00:06:58,155 --> 00:06:59,948 - I don't want to tell you again. - You needed me here. 165 00:07:00,032 --> 00:07:02,326 Do you have any idea how much trouble you're in? 166 00:07:02,409 --> 00:07:03,660 Only if you report me. 167 00:07:03,744 --> 00:07:05,162 I'm gonna pretend that I didn't… 168 00:07:05,245 --> 00:07:06,955 Robby! Pelvic crush injury. 169 00:07:07,039 --> 00:07:08,707 Don't even think about it. 170 00:07:08,791 --> 00:07:10,209 Thought we were closed to trauma. 171 00:07:10,292 --> 00:07:12,044 This is the Code Tan. 172 00:07:12,127 --> 00:07:13,504 He got pinned behind a truck backing up 173 00:07:13,587 --> 00:07:14,880 with replacement supplies. 174 00:07:14,963 --> 00:07:16,548 Pulse is weak and thready, tachy at… 175 00:07:16,632 --> 00:07:18,050 Grab me some monitor leads please. 176 00:07:18,133 --> 00:07:19,385 100% non-rebreather. 177 00:07:19,468 --> 00:07:20,886 Let's draw up 120 of ketamine, 178 00:07:20,969 --> 00:07:22,805 100 of rock, and page trauma surgery please. 179 00:07:22,888 --> 00:07:24,431 The hell did this guy come from? 180 00:07:24,515 --> 00:07:26,642 - Our loading dock. - Oh, my God. 181 00:07:26,725 --> 00:07:28,727 OK, I got the EFAST. Grab a binder. 182 00:07:28,811 --> 00:07:31,730 - Obvious pelvic fracture. - I'm in a lot of pain! 183 00:07:31,814 --> 00:07:33,023 You taking any medications? 184 00:07:33,107 --> 00:07:34,191 Crestor. 185 00:07:34,274 --> 00:07:36,610 - Any drug allergies? - No. 186 00:07:36,693 --> 00:07:39,363 - Am I gonna be OK? - Absolutely. 187 00:07:39,446 --> 00:07:42,783 - We got you, Hector. - BP 68 over 42, pulse 130. 188 00:07:42,866 --> 00:07:44,785 I got a 14 gauge in the left AC. 189 00:07:44,868 --> 00:07:47,621 Whole blood massive transfusion protocol. 190 00:07:47,704 --> 00:07:49,289 Uh, we got whole blood coming in 191 00:07:49,373 --> 00:07:51,041 from Erie and Youngstown. I'm not sure it's here yet. 192 00:07:51,125 --> 00:07:52,751 Let's go one-to-one-to-one, red cells, 193 00:07:52,835 --> 00:07:54,378 platelets, and plasma. We've got that. 194 00:07:54,461 --> 00:07:55,921 Let's place an IJ after the intubation please. 195 00:07:56,004 --> 00:07:57,464 - On it. - OK, EFAST negative. 196 00:07:57,548 --> 00:08:00,259 It's all retroperitoneal. No blood at the meatus. 197 00:08:00,342 --> 00:08:01,927 Pass a Foley. 198 00:08:02,010 --> 00:08:04,221 Hector, you crushed all the bones in your pelvis, 199 00:08:04,304 --> 00:08:05,597 and you've got some internal bleeding. 200 00:08:05,681 --> 00:08:07,266 We need to sedate you to treat you. 201 00:08:07,349 --> 00:08:08,934 Hurts a lot! 202 00:08:09,017 --> 00:08:10,644 When you wake up, you're not gonna be able to talk. 203 00:08:10,727 --> 00:08:12,146 You're going to have a breathing tube in your throat. 204 00:08:12,229 --> 00:08:13,897 Can I speak to my wife first? 205 00:08:13,981 --> 00:08:15,566 Afraid we have to move now, Hector. 206 00:08:15,649 --> 00:08:17,276 First unit of packed cells in the infuser. 207 00:08:18,610 --> 00:08:20,195 What have we here? 208 00:08:20,279 --> 00:08:22,948 It looks like two old white guys poached our patient. 209 00:08:23,031 --> 00:08:24,908 Oh, I know you're not talking about us. 210 00:08:24,992 --> 00:08:27,035 Well, I know he's not talking about me. 211 00:08:27,119 --> 00:08:29,371 Crushed pelvis, hemorrhagic shock. 212 00:08:29,455 --> 00:08:30,914 MTP, pelvic binder. 213 00:08:30,998 --> 00:08:33,375 I'm doing an intubation, about to place an IJ. 214 00:08:33,459 --> 00:08:34,918 You need us? 215 00:08:35,002 --> 00:08:36,462 We got this for now. Hold down the fort. 216 00:08:36,545 --> 00:08:38,046 Get caught up on the day shift's remaining 217 00:08:38,130 --> 00:08:40,883 PittFest patients, and we'll get this guy stabilized. 218 00:08:40,966 --> 00:08:42,342 How are you feeling, Max? 219 00:08:42,426 --> 00:08:44,928 Yeah, I'm all right. 220 00:08:45,012 --> 00:08:48,390 So, we are treating you for methemoglobinemia. 221 00:08:48,474 --> 00:08:52,311 Um, have you taken anything or eaten anything 222 00:08:52,394 --> 00:08:53,979 out of the ordinary lately? 223 00:08:54,062 --> 00:08:56,482 No, just some unhealthy food truck choices. 224 00:08:56,565 --> 00:08:57,983 OK. 225 00:08:58,066 --> 00:08:59,693 Do you work around toxic chemicals? 226 00:08:59,776 --> 00:09:01,528 No, I'm a graphic designer. 227 00:09:02,863 --> 00:09:04,948 Have you had dental work done lately? 228 00:09:05,032 --> 00:09:07,784 - Used topical pain relievers? - Nope. 229 00:09:09,745 --> 00:09:12,915 Do you know anyone with leprosy? 230 00:09:12,998 --> 00:09:14,416 Leprosy? 231 00:09:15,542 --> 00:09:17,586 Yeah, I don't know anyone with leprosy. 232 00:09:18,879 --> 00:09:22,132 Well, something that you ingested 233 00:09:22,216 --> 00:09:25,260 or came into contact with made you really sick, 234 00:09:25,344 --> 00:09:27,012 and you could have died. 235 00:09:27,095 --> 00:09:28,639 So we need to figure out what caused it 236 00:09:28,722 --> 00:09:30,724 - so it doesn't happen again. - It won't. 237 00:09:35,979 --> 00:09:40,234 Um, is there anything else going on in your life 238 00:09:40,317 --> 00:09:42,027 that you want to talk about? 239 00:09:42,110 --> 00:09:45,489 Anything causing you undue stress or worry? 240 00:09:45,572 --> 00:09:47,574 No. 241 00:09:49,117 --> 00:09:51,787 I think I just need a little rest. 242 00:09:53,789 --> 00:09:55,541 All right. 243 00:09:55,624 --> 00:09:58,001 Well, I will be back. 244 00:10:06,343 --> 00:10:08,387 This has to be the slowest elevator in the world. 245 00:10:10,097 --> 00:10:12,224 Are you in a hurry to get back down there? 246 00:10:12,307 --> 00:10:15,269 There's still a backlog of cases to check on. 247 00:10:15,352 --> 00:10:18,230 Our shift was over hours ago. 248 00:10:18,313 --> 00:10:21,650 You don't want to go home and sleep? 249 00:10:21,733 --> 00:10:22,985 I hope this didn't turn you off 250 00:10:23,068 --> 00:10:25,237 of practicing emergency medicine. 251 00:10:25,320 --> 00:10:27,698 I'm pretty sure today turned me off of practicing 252 00:10:27,781 --> 00:10:29,241 all forms of medicine. 253 00:10:29,324 --> 00:10:31,201 Everything will be a cakewalk after today. 254 00:10:31,285 --> 00:10:32,494 I promise. 255 00:10:32,578 --> 00:10:35,205 Come on, let's go find a good case. 256 00:10:36,415 --> 00:10:37,833 Yeah. 257 00:10:37,916 --> 00:10:39,918 I'll be right there. 258 00:10:48,677 --> 00:10:50,345 Sorry. 259 00:10:53,724 --> 00:10:55,183 Central line is in. 260 00:10:55,267 --> 00:10:57,311 Let's hook up the rapid infuser over to the IJ, 261 00:10:57,394 --> 00:10:59,771 and then we can shoot the film. 262 00:10:59,855 --> 00:11:01,773 Clear for X-ray. 263 00:11:08,614 --> 00:11:09,698 Shooting. 264 00:11:09,781 --> 00:11:11,783 Clear. 265 00:11:15,162 --> 00:11:18,081 Oh, that ain't good. 266 00:11:18,165 --> 00:11:20,000 What have you got? 267 00:11:21,793 --> 00:11:24,254 Widened symphysis pubis anteriorly. 268 00:11:24,338 --> 00:11:25,756 Distorted sacroiliac posteriorly. 269 00:11:25,839 --> 00:11:27,549 Guy's bleeding like a stuck pig. 270 00:11:27,633 --> 00:11:30,093 I got Dr. Walsh on speakerphone from the OR. 271 00:11:30,177 --> 00:11:32,137 Hey, guys. What's up? 272 00:11:32,220 --> 00:11:33,972 We've got an unstable pelvic ring fracture, 273 00:11:34,056 --> 00:11:36,266 systolic of 68, EFAST negative. 274 00:11:36,350 --> 00:11:37,809 I thought we were closed to trauma. 275 00:11:37,893 --> 00:11:40,228 Hospital worker versus reversing supply truck. 276 00:11:40,312 --> 00:11:42,814 MTP and pelvic binder in place. 277 00:11:42,898 --> 00:11:44,399 - TXA? - Gave it. 278 00:11:44,483 --> 00:11:46,068 Stable for CT angiogram? 279 00:11:46,151 --> 00:11:49,404 - Uh, not at the moment, no. - Keep transfusing. 280 00:11:49,488 --> 00:11:51,323 The blood bank is still waiting on a delivery, 281 00:11:51,406 --> 00:11:52,532 unless you have some upstairs. 282 00:11:52,616 --> 00:11:53,784 He doesn't need surgery. 283 00:11:53,867 --> 00:11:55,160 He needs interventional radiology 284 00:11:55,243 --> 00:11:57,037 to embolize the bleeders. 285 00:11:57,120 --> 00:11:58,664 They don't like unstable patients. 286 00:11:58,747 --> 00:12:00,082 They will tonight. 287 00:12:00,165 --> 00:12:01,583 I'll be down as soon as I finish 288 00:12:01,667 --> 00:12:05,003 this grade 5 liver lac. 289 00:12:05,087 --> 00:12:08,382 - Hodges, wrist shrapnel. - Check. 290 00:12:11,093 --> 00:12:14,846 - Malloy, leg shrapnel. - Yup. 291 00:12:17,724 --> 00:12:20,102 Montgomery, abdominal shrapnel. 292 00:12:20,185 --> 00:12:21,812 Uh, no. 293 00:12:21,895 --> 00:12:24,064 This is supposed to be Cheu, 294 00:12:24,147 --> 00:12:25,524 female with a head lac. 295 00:12:25,607 --> 00:12:29,444 Ugh, great. Where the hell did she go? 296 00:12:29,528 --> 00:12:30,946 Dr. King, Whitaker! 297 00:12:31,029 --> 00:12:32,572 There's supposed to be a female Asian patient 298 00:12:32,656 --> 00:12:34,366 with a head lac in this bed! 299 00:12:37,411 --> 00:12:39,621 Uh, yeah, I don't think that's her. 300 00:12:39,705 --> 00:12:41,039 Right. 301 00:12:41,123 --> 00:12:42,374 Whitaker, I need you to find the patient 302 00:12:42,457 --> 00:12:43,750 that's supposed to be here. 303 00:12:43,834 --> 00:12:45,252 Cheu, elderly female with a head lac. 304 00:12:45,335 --> 00:12:47,713 - Me? - I saw you caught that rat. 305 00:12:47,796 --> 00:12:49,131 You're the closest thing we got to a bloodhound. 306 00:12:49,214 --> 00:12:52,175 I mean that as a compliment. 307 00:12:52,259 --> 00:12:54,761 - Hey, is this a good time? - No, I got a missing patient. 308 00:12:54,845 --> 00:12:56,722 You've seen a woman with a scalp lac, last name Cheu? 309 00:12:56,805 --> 00:12:58,640 Uh, no, but I need to talk to you. 310 00:12:58,724 --> 00:13:00,100 So talk. 311 00:13:00,183 --> 00:13:02,561 You treat a woman with a scalp lac named Cheu? 312 00:13:02,644 --> 00:13:05,230 - Doesn't ring a bell. - You're a lot of help. 313 00:13:05,313 --> 00:13:06,523 Start wrapping up and get out of here. 314 00:13:06,606 --> 00:13:08,817 - Oh, gladly. - In private. 315 00:13:08,900 --> 00:13:10,485 Ugh! Keep looking. 316 00:13:10,569 --> 00:13:13,196 - I'll be with you in a minute. - Yeah. 317 00:13:13,280 --> 00:13:14,906 OK. 318 00:13:19,119 --> 00:13:20,579 What the hell? 319 00:13:20,662 --> 00:13:24,458 It's not like I'm gonna sleep tonight anyway. 320 00:13:24,541 --> 00:13:25,792 What have you been hearing? 321 00:13:25,876 --> 00:13:27,461 A lot of screaming and crying. 322 00:13:27,544 --> 00:13:29,838 Got a feeling that's gonna stick with me for a while. 323 00:13:29,921 --> 00:13:31,506 I mean about me. 324 00:13:31,590 --> 00:13:34,176 Doctors. 325 00:13:34,259 --> 00:13:37,596 Always with the me, me, me. 326 00:13:37,679 --> 00:13:39,556 I heard you went home early, but you came back, 327 00:13:39,639 --> 00:13:41,975 so cutting you some slack this time. 328 00:13:42,058 --> 00:13:45,103 Why? Why'd I go home? 329 00:13:45,187 --> 00:13:47,898 Just figured you were being a pussy. 330 00:13:47,981 --> 00:13:50,484 What did Robby tell you? 331 00:13:52,611 --> 00:13:54,237 Dana. 332 00:13:55,697 --> 00:13:56,740 He said I didn't want to know, 333 00:13:56,823 --> 00:13:59,451 so I didn't ask. 334 00:13:59,534 --> 00:14:01,161 You in trouble, kid? 335 00:14:01,244 --> 00:14:02,871 No, no, it's just a… 336 00:14:02,954 --> 00:14:05,707 - just a stupid misunderstanding. - Then no worries. 337 00:14:05,791 --> 00:14:07,459 Misunderstandings can be sorted out. 338 00:14:07,542 --> 00:14:09,586 Look, everyone's nerves are frazzled from today. 339 00:14:09,669 --> 00:14:11,963 Just go home, get some rest. 340 00:14:12,047 --> 00:14:14,424 Robby believes something that's not entirely true. 341 00:14:16,092 --> 00:14:17,385 That's not like Robby. 342 00:14:17,469 --> 00:14:18,887 I need you to have my back on this. 343 00:14:18,970 --> 00:14:20,889 Look, I love you, kid, but this sounds like 344 00:14:20,972 --> 00:14:22,891 it's between you and Robby and above my pay grade. 345 00:14:22,974 --> 00:14:24,351 Hell, I'm not even sure I'm ever coming back 346 00:14:24,434 --> 00:14:25,852 after I walk out of here tonight…fuck! 347 00:14:25,936 --> 00:14:27,270 What are you talking about? 348 00:14:27,354 --> 00:14:29,356 Just… 349 00:14:30,732 --> 00:14:33,735 Just… 350 00:14:33,819 --> 00:14:35,195 I think I'm done. 351 00:14:35,278 --> 00:14:37,989 Just getting too old for this shit. 352 00:14:38,073 --> 00:14:39,699 What? 353 00:14:39,783 --> 00:14:41,701 No, Dana, you can't quit. 354 00:14:41,785 --> 00:14:43,328 It's like the fucking world is imploding. 355 00:14:43,411 --> 00:14:45,038 Dana, you can't quit. 356 00:14:45,121 --> 00:14:46,331 We need you. 357 00:14:46,414 --> 00:14:49,209 Robby, me, everybody. 358 00:14:49,292 --> 00:14:53,255 I just gotta wrap things up and get out of here. 359 00:14:56,508 --> 00:14:58,552 I need you to vouch for me. 360 00:14:58,635 --> 00:15:00,637 Robby thinks I'm a fucking drug addict. 361 00:15:03,139 --> 00:15:05,058 Are you? 362 00:15:05,141 --> 00:15:06,142 No. 363 00:15:08,436 --> 00:15:10,355 No, what I… 364 00:15:10,438 --> 00:15:12,357 what I am is scared, OK? 365 00:15:12,440 --> 00:15:14,359 I'm really fucking… 366 00:15:14,442 --> 00:15:17,070 fucking scared of what happens next. 367 00:15:17,153 --> 00:15:19,781 I fucked up, Dana. 368 00:15:19,865 --> 00:15:22,450 I fucked up, and I don't know what I'm supposed to do. 369 00:15:24,202 --> 00:15:26,788 You're a smart kid. 370 00:15:26,872 --> 00:15:30,000 You'll figure it out. Trust Robby, OK? 371 00:15:30,083 --> 00:15:31,585 He'll do what's best for you. 372 00:15:31,668 --> 00:15:33,336 What's best for me is being a doctor. 373 00:15:34,796 --> 00:15:37,966 Hey, um, no luck finding Mrs. Cheu. 374 00:15:38,049 --> 00:15:39,175 All right, I'm coming. 375 00:15:41,011 --> 00:15:42,220 Shit. 376 00:15:57,986 --> 00:16:01,072 - Yes, yes. I told him that. - How's he doing? 377 00:16:01,156 --> 00:16:03,283 The same. 378 00:16:03,366 --> 00:16:05,702 So he's not getting any worse? 379 00:16:05,785 --> 00:16:07,203 Uh, not at the moment. 380 00:16:07,287 --> 00:16:09,331 Our family physician is making arrangements 381 00:16:09,414 --> 00:16:11,416 to move him to West Penn. 382 00:16:12,834 --> 00:16:15,170 Will you excuse me for a second? 383 00:16:18,131 --> 00:16:19,966 54 after 3 rounds packed cells, 384 00:16:20,050 --> 00:16:22,469 - FFP, and platelets. - Not too shabby. 385 00:16:22,552 --> 00:16:24,012 Our measle kid's parents are trying 386 00:16:24,095 --> 00:16:26,264 to move him to West Penn. 387 00:16:26,348 --> 00:16:27,766 Let 'em. 388 00:16:27,849 --> 00:16:29,267 They've been warned multiple times. 389 00:16:29,351 --> 00:16:30,977 I even took the father into the PittFest morgue 390 00:16:31,061 --> 00:16:32,479 - to drive the point home. - You what? 391 00:16:32,562 --> 00:16:33,980 Yeah, I doubt any hospital will take him 392 00:16:34,064 --> 00:16:35,774 without a spinal tap. 393 00:16:35,857 --> 00:16:37,359 I'll be there in a minute. Don't let them move that kid. 394 00:16:37,442 --> 00:16:39,027 OK, great. Thank you. 395 00:16:39,110 --> 00:16:40,570 They can see this guy in 45 minutes 396 00:16:40,654 --> 00:16:42,030 in Interventional Radiology. 397 00:16:42,113 --> 00:16:43,198 That's a long time for this guy. 398 00:16:43,281 --> 00:16:44,532 They're just starting a REBOA. 399 00:16:44,616 --> 00:16:46,242 You did a REBOA during the mass casualty? 400 00:16:46,326 --> 00:16:47,702 One of his interns did. 401 00:16:47,786 --> 00:16:49,454 - Shut up. - I was busy. 402 00:16:49,537 --> 00:16:51,289 That was ballsy. 403 00:16:51,373 --> 00:16:53,333 Yeah, we can babysit this guy until IR is ready. 404 00:16:53,416 --> 00:16:54,834 You guys are three hours post-shift. 405 00:16:54,918 --> 00:16:56,002 - Whoo! - This was supposed to be 406 00:16:56,086 --> 00:16:57,128 my day off. 407 00:16:57,212 --> 00:16:58,713 We got this. 408 00:16:58,797 --> 00:17:00,882 Hasta la vista, vatos. 409 00:17:03,468 --> 00:17:05,595 Hey, hey, hey, have you seen 410 00:17:05,679 --> 00:17:07,722 an elderly woman with a head lac? 411 00:17:07,806 --> 00:17:09,432 Last name Cheu? 412 00:17:09,516 --> 00:17:11,559 No, sorry. 413 00:17:11,643 --> 00:17:13,478 Our shift is over. 414 00:17:13,561 --> 00:17:15,271 Dana asked me to find her, 415 00:17:15,355 --> 00:17:17,482 said I'm the department bloodhound now. 416 00:17:17,565 --> 00:17:20,652 Well, you did catch the rat. 417 00:17:20,735 --> 00:17:23,488 Hey, have you seen a elderly woman with a head lac? 418 00:17:23,571 --> 00:17:26,157 - Last name Cheu? - Nope. 419 00:17:27,409 --> 00:17:28,743 OK. 420 00:17:28,827 --> 00:17:30,787 Anything interesting up here? 421 00:17:33,748 --> 00:17:36,584 - Oh, we are off the clock. - I know. 422 00:17:36,668 --> 00:17:37,877 But it's gonna take a couple more hours 423 00:17:37,961 --> 00:17:39,879 to get caught up on every patient. 424 00:17:41,339 --> 00:17:42,841 Are you feeling OK? 425 00:17:42,924 --> 00:17:45,176 I feel great. 426 00:17:45,260 --> 00:17:46,803 Better than great. 427 00:17:47,846 --> 00:17:50,640 Today was horrific, but we got through it. 428 00:17:50,724 --> 00:17:52,767 We did some amazing things. 429 00:17:52,851 --> 00:17:54,102 Yeah. 430 00:17:54,185 --> 00:17:56,104 Like, I drilled a burr hole 431 00:17:56,187 --> 00:17:57,856 with an EZ-IO. 432 00:17:59,149 --> 00:18:01,192 Yeah, that was something. 433 00:18:01,276 --> 00:18:03,945 Uh, you should probably go home now. 434 00:18:04,029 --> 00:18:05,405 I'm good. 435 00:18:05,488 --> 00:18:07,991 No, you're running on an adrenaline high, 436 00:18:08,074 --> 00:18:09,784 and you are going to crash soon. 437 00:18:09,868 --> 00:18:12,412 - Trust me. - I'd rather be here. 438 00:18:14,330 --> 00:18:16,708 This job can't be your life, Samira. 439 00:18:18,585 --> 00:18:21,421 It's not. 440 00:18:21,504 --> 00:18:23,298 What, because I'm not in a relationship 441 00:18:23,381 --> 00:18:25,967 and I don't like socializing after work? 442 00:18:26,051 --> 00:18:28,470 All that other stuff can wait until I finish my residency 443 00:18:28,553 --> 00:18:30,930 and get to where I want to be in my career. 444 00:18:31,014 --> 00:18:33,558 Yeah. For sure. 445 00:18:33,641 --> 00:18:35,852 Yeah. 446 00:18:35,935 --> 00:18:37,854 Yeah. 447 00:18:37,937 --> 00:18:39,939 I love my life. 448 00:18:43,109 --> 00:18:45,111 Can you let me in? 449 00:18:47,906 --> 00:18:49,616 Hey. 450 00:18:49,699 --> 00:18:53,203 Can I, um…can I talk to David alone for a sec? 451 00:18:54,370 --> 00:18:57,207 I guess so. 452 00:18:57,290 --> 00:19:00,293 I'll be right outside. 453 00:19:09,511 --> 00:19:12,222 Can I get you anything, David? 454 00:19:12,305 --> 00:19:14,557 Yeah, get me out of here. 455 00:19:14,641 --> 00:19:16,017 I mean, I can't do that. 456 00:19:16,101 --> 00:19:17,393 They caught the guy that did this. 457 00:19:17,477 --> 00:19:19,479 He's dead. 458 00:19:19,562 --> 00:19:21,689 I'm still locked up. 459 00:19:24,275 --> 00:19:26,486 Yeah. 460 00:19:31,533 --> 00:19:34,119 Look. 461 00:19:34,202 --> 00:19:38,081 Do you know what it's like to be afraid? 462 00:19:38,164 --> 00:19:40,667 I mean, really, truly frightened 463 00:19:40,750 --> 00:19:42,710 for your own physical safety? 464 00:19:44,295 --> 00:19:46,673 I'm pretty sure I got a taste of that tonight. 465 00:19:46,756 --> 00:19:48,800 Right. 466 00:19:48,883 --> 00:19:53,138 So imagine if you felt that way every day 467 00:19:53,221 --> 00:19:56,391 from half the people that you meet, 468 00:19:56,474 --> 00:19:58,560 because that's every woman's life. 469 00:20:01,938 --> 00:20:04,232 So when you make a hit list for girls at your school… 470 00:20:04,315 --> 00:20:06,025 - I didn't make a hit list. - Eliminate, man, 471 00:20:06,109 --> 00:20:08,695 whatever you want to call it, it's unacceptable. 472 00:20:08,778 --> 00:20:12,490 And it's a form of violence against women. 473 00:20:12,574 --> 00:20:13,908 How would you feel if your mom 474 00:20:13,992 --> 00:20:15,994 was on somebody's eliminate list? 475 00:20:23,209 --> 00:20:26,504 I know life can be shitty, 476 00:20:26,588 --> 00:20:29,549 and we all do stupid things, 477 00:20:29,632 --> 00:20:31,885 but you're 18. 478 00:20:31,968 --> 00:20:33,428 They're gonna treat you like an adult, 479 00:20:33,511 --> 00:20:35,805 so I suggest you start acting like one. 480 00:20:43,104 --> 00:20:47,567 Look, this is your chance to turn things around. 481 00:20:48,693 --> 00:20:51,154 Take the help that's offered. 482 00:20:51,237 --> 00:20:54,407 Try and figure out why you wrote what you did, 483 00:20:54,490 --> 00:20:57,744 and please never, ever think that way again. 484 00:21:16,346 --> 00:21:18,014 Uh, OK. 485 00:21:18,097 --> 00:21:19,599 I'm gonna take this and this out there. 486 00:21:19,682 --> 00:21:21,726 If anybody needs me, that is where I will be. 487 00:21:21,809 --> 00:21:22,809 Yep. 488 00:21:26,439 --> 00:21:29,359 What was that all about? 489 00:21:29,442 --> 00:21:32,111 You told me it was my mess to fix, right? 490 00:21:32,195 --> 00:21:33,947 So that's what I was trying to do. 491 00:21:34,030 --> 00:21:36,241 Did he talk to you? 492 00:21:36,324 --> 00:21:37,617 Not really. 493 00:21:40,078 --> 00:21:41,287 Do you think I made it worse 494 00:21:41,371 --> 00:21:43,289 by bringing the police in on this one? 495 00:21:43,373 --> 00:21:45,500 We may never know. 496 00:21:45,583 --> 00:21:47,377 He's probably gonna be stuck down here 497 00:21:47,460 --> 00:21:50,171 for his entire 72-hour hold. 498 00:21:50,255 --> 00:21:51,547 Well, maybe if he gets 499 00:21:51,631 --> 00:21:53,174 the help he needs, it's worth it. 500 00:21:59,097 --> 00:22:00,431 Go home. 501 00:22:00,515 --> 00:22:02,308 Don't show up tomorrow before taking care 502 00:22:02,392 --> 00:22:04,394 of the ankle monitor. 503 00:22:07,605 --> 00:22:10,358 I think our blue man, Max, needs a psych eval. 504 00:22:10,441 --> 00:22:12,151 Based on what? 505 00:22:12,235 --> 00:22:14,112 No health reason for taking anything 506 00:22:14,195 --> 00:22:15,488 that could have caused this. 507 00:22:15,571 --> 00:22:17,156 No exposure to anything in the workplace. 508 00:22:17,240 --> 00:22:19,450 He didn't ask me to call anyone. 509 00:22:19,534 --> 00:22:21,494 I'm just worried he was trying to hurt himself. 510 00:22:21,577 --> 00:22:23,496 It's a stretch, new girl. 511 00:22:23,579 --> 00:22:26,541 Well, he's also not asking to go home. 512 00:22:26,624 --> 00:22:29,002 I mean, if this was a failed suicide attempt, 513 00:22:29,085 --> 00:22:31,337 it makes sense that he's too frightened 514 00:22:31,421 --> 00:22:33,339 or embarrassed to admit to what he did 515 00:22:33,423 --> 00:22:34,924 and too afraid to go home 516 00:22:35,008 --> 00:22:37,093 because of what he might still do. 517 00:22:37,176 --> 00:22:38,511 OK, I'll call Psych, 518 00:22:38,594 --> 00:22:40,388 but find someone to take over for you. 519 00:22:40,471 --> 00:22:43,558 Your shift ended a couple of hours ago. 520 00:22:43,641 --> 00:22:46,477 I'd like to try and get a little more out of him, 521 00:22:46,561 --> 00:22:49,731 see if I can get him to confess to something. 522 00:22:49,814 --> 00:22:51,607 I've seen your bedside manner. 523 00:22:51,691 --> 00:22:54,027 OK, that is reserved for assholes. 524 00:22:54,110 --> 00:22:56,946 I don't want this kid slipping through the cracks. 525 00:22:58,156 --> 00:23:00,158 OK. 526 00:23:00,241 --> 00:23:02,744 Thanks. 527 00:23:09,250 --> 00:23:12,503 Thanks for letting me come back. 528 00:23:12,587 --> 00:23:14,047 I didn't let you come back. 529 00:23:14,130 --> 00:23:17,175 You came back on your own, and I let you stay. 530 00:23:17,258 --> 00:23:19,260 I figured it was the one time throwing my career away 531 00:23:19,344 --> 00:23:21,804 was for a greater good. 532 00:23:21,888 --> 00:23:23,389 I…I was never high. 533 00:23:23,473 --> 00:23:25,600 I was just treating my own withdrawal symptoms. 534 00:23:25,683 --> 00:23:27,143 Well, you should have done that 535 00:23:27,226 --> 00:23:29,520 under the care and supervision of a physician. 536 00:23:29,604 --> 00:23:31,773 With that on my record, I could… 537 00:23:31,856 --> 00:23:33,775 I could have my hospital privileges denied 538 00:23:33,858 --> 00:23:35,651 - whenever I apply for a job. - No. 539 00:23:35,735 --> 00:23:37,612 No, that's not true anymore. 540 00:23:37,695 --> 00:23:40,698 That's not true anymore. You could have come to me. 541 00:23:40,782 --> 00:23:43,117 Instead, you could be arrested on felony charges 542 00:23:43,201 --> 00:23:45,286 for stealing controlled substances from the hospital. 543 00:23:45,370 --> 00:23:50,041 Robby, I could lose my medical license. 544 00:23:50,124 --> 00:23:51,584 Come on, man. 545 00:23:51,667 --> 00:23:54,462 You never heard of second chances? 546 00:23:54,545 --> 00:23:56,547 Here's your second chance. 547 00:23:56,631 --> 00:23:58,674 30-day inpatient treatment program, 548 00:23:58,758 --> 00:24:01,302 followed by random urine tests, 50 to 60 a year, 549 00:24:01,386 --> 00:24:03,096 followed by mandatory NA meetings 550 00:24:03,179 --> 00:24:05,056 three to four times a week for the first three years. 551 00:24:05,139 --> 00:24:06,933 - Three years? - Of a five-year program. 552 00:24:07,016 --> 00:24:09,894 - You need help. - What about you, man? 553 00:24:09,977 --> 00:24:11,270 What about you? I'm not the only one 554 00:24:11,354 --> 00:24:12,855 who's a little fucked up here, Robby! 555 00:24:12,939 --> 00:24:13,981 Why don't you look in the mirror? 556 00:24:14,065 --> 00:24:15,400 What's that supposed to mean? 557 00:24:15,483 --> 00:24:17,026 I never had a complete meltdown. 558 00:24:17,110 --> 00:24:18,778 No, you just caused them in other people. 559 00:24:18,861 --> 00:24:20,655 You're blaming me for what happened to you? 560 00:24:20,738 --> 00:24:22,698 What happened to me? 561 00:24:22,782 --> 00:24:24,409 - What happened to me? - Yeah. 562 00:24:24,492 --> 00:24:27,328 You are so full of shit! 563 00:24:27,412 --> 00:24:29,247 You let me down! 564 00:24:29,330 --> 00:24:32,542 You let everybody down, especially yourself. 565 00:24:32,625 --> 00:24:34,627 Someone saw you in Pedes. 566 00:24:37,463 --> 00:24:40,341 Who, Whitaker? 567 00:24:40,425 --> 00:24:41,926 No. 568 00:24:42,009 --> 00:24:44,554 A night shift nurse saw you on the floor, 569 00:24:44,637 --> 00:24:46,389 said it looked like… 570 00:24:46,472 --> 00:24:48,307 Looked like what? 571 00:24:48,391 --> 00:24:50,393 Looked like what? 572 00:24:52,812 --> 00:24:56,107 This job will fuck you up if you let it. 573 00:24:56,190 --> 00:24:58,568 - You let it. - Yeah? 574 00:24:58,651 --> 00:25:00,945 I wasn't the one talking to cartoon animals in Pedes. 575 00:25:01,028 --> 00:25:03,656 Fuck you! 576 00:25:14,041 --> 00:25:15,585 Doing OK, man? 577 00:25:15,668 --> 00:25:17,837 Why do you keep asking me that? 578 00:25:17,920 --> 00:25:19,172 Oh, I don't know. 579 00:25:19,255 --> 00:25:20,298 You did take the parent of a patient 580 00:25:20,381 --> 00:25:21,924 into our makeshift morgue. 581 00:25:22,008 --> 00:25:23,759 Forget that it's technically a fucking crime scene. 582 00:25:23,843 --> 00:25:25,845 That's just not cool, man. 583 00:25:25,928 --> 00:25:28,139 Just the two heroes I wanted to see. 584 00:25:28,222 --> 00:25:29,932 We're holding a press conference 585 00:25:30,016 --> 00:25:31,684 in the education auditorium. 586 00:25:31,767 --> 00:25:33,186 Not a chance. 587 00:25:33,269 --> 00:25:34,812 I know you hate this stuff, 588 00:25:34,896 --> 00:25:37,607 but it's important for this department 589 00:25:37,690 --> 00:25:39,484 - and the hospital. - Trust me, Gloria. 590 00:25:39,567 --> 00:25:41,444 You don't want me speaking to the press right now. 591 00:25:41,527 --> 00:25:42,820 Or ever. 592 00:25:42,904 --> 00:25:44,780 Look, as much as you ER cowboys 593 00:25:44,864 --> 00:25:47,867 are a pain in my ass, what you and your department 594 00:25:47,950 --> 00:25:50,203 did here tonight was nothing short of miraculous. 595 00:25:50,286 --> 00:25:52,830 People need to know that. 596 00:25:52,914 --> 00:25:56,083 - Take the win. - Need a second round of MTP. 597 00:25:56,167 --> 00:25:58,169 What the fuck? 598 00:25:59,879 --> 00:26:02,256 Systolic's down to 64 over 38. 599 00:26:02,340 --> 00:26:04,592 - He's tachy to 132. - Pelvic fracture? 600 00:26:04,675 --> 00:26:07,762 Yeah, rechecking for delayed intra-abdominal bleed. 601 00:26:07,845 --> 00:26:08,930 I thought you said he was stable. 602 00:26:09,013 --> 00:26:10,389 He was, after three units. 603 00:26:10,473 --> 00:26:12,058 And he continued to improve. 604 00:26:12,141 --> 00:26:14,560 Pressure got up to 118 systolic after the full MTP. 605 00:26:14,644 --> 00:26:17,271 - Systolic at 118? - It was 90 after three units. 606 00:26:17,355 --> 00:26:19,482 You gave him too much blood and raised his pressure so high 607 00:26:19,565 --> 00:26:21,067 that it blew apart the developing clots 608 00:26:21,150 --> 00:26:23,444 that was stopping him from bleeding out. 609 00:26:23,528 --> 00:26:26,030 First round of MTP is 6 units red cells, 610 00:26:26,113 --> 00:26:28,783 6 FFP, 6 platelets. That's what we gave him. 611 00:26:28,866 --> 00:26:31,202 Treat the patient, not the protocol. 612 00:26:31,285 --> 00:26:33,079 Systolic of 90 is ideal. 613 00:26:33,162 --> 00:26:35,414 Robby, you teach your residents about permissive hypotension? 614 00:26:35,498 --> 00:26:37,708 - Dr. Shen was on this case. - Shen is a resident. 615 00:26:37,792 --> 00:26:39,252 He is an attending now. 616 00:26:39,335 --> 00:26:40,419 We thought with the long delay 617 00:26:40,503 --> 00:26:41,754 in getting him to IR, that… 618 00:26:41,837 --> 00:26:43,214 He might not make it to IR. 619 00:26:43,297 --> 00:26:44,882 You over-transfused, you popped the clots, 620 00:26:44,966 --> 00:26:46,175 - and now he's exsanguinating. - OK. 621 00:26:46,259 --> 00:26:47,802 There's no bleeding in the belly. 622 00:26:47,885 --> 00:26:49,428 It's too deep in the pelvis to see on ultrasound. 623 00:26:49,512 --> 00:26:50,805 Second round of MTP is here. 624 00:26:50,888 --> 00:26:52,306 Blood and plasma on the infuser. 625 00:26:52,390 --> 00:26:54,517 We got him back once. We'll get him back again. 626 00:26:54,600 --> 00:26:57,603 - 3 grams calcium gluconate. - Why calcium? 627 00:26:57,687 --> 00:26:59,438 Citrate in the transfusions chelates, 628 00:26:59,522 --> 00:27:01,023 leading to hypercalcemia. 629 00:27:01,107 --> 00:27:03,901 Excellent call, Dr. Ellis. 630 00:27:03,985 --> 00:27:07,154 Hey, I found Mrs. Cheu in the stairwell smoking. 631 00:27:07,238 --> 00:27:08,781 Oh, good job. 632 00:27:08,864 --> 00:27:10,116 You know, Mrs. Cheu, 633 00:27:10,199 --> 00:27:11,492 tobacco use is not a healthy habit. 634 00:27:11,576 --> 00:27:13,369 I've outlived three husbands. 635 00:27:13,452 --> 00:27:15,705 Yeah, they probably died of secondhand smoke. 636 00:27:15,788 --> 00:27:18,666 Dr. King, we want you to do the spinal tap 637 00:27:18,749 --> 00:27:20,209 before Flynn gets any worse. 638 00:27:20,293 --> 00:27:22,712 Great. I will meet you in there. 639 00:27:30,261 --> 00:27:32,555 Dr. Shen, nice of you to join us. 640 00:27:32,638 --> 00:27:34,515 - Systolic's only 68. - After how many units? 641 00:27:34,599 --> 00:27:35,808 Three units into the second MTP. 642 00:27:35,891 --> 00:27:37,143 Total of nine. 643 00:27:37,226 --> 00:27:38,936 This is not looking good, kids. 644 00:27:39,020 --> 00:27:41,731 I'm…I'm sorry if I gave him too much blood. 645 00:27:41,814 --> 00:27:42,800 - I thought… - Dr. Ellis, 646 00:27:42,815 --> 00:27:43,899 now that Dr. Shen is here, 647 00:27:43,983 --> 00:27:45,443 we have plenty of hands on deck. 648 00:27:45,526 --> 00:27:47,820 Why don't you go check on your other patients? 649 00:27:47,903 --> 00:27:49,614 Hey, what about REBOA? 650 00:27:49,697 --> 00:27:51,032 The balloon cuts off blood to the lower half of the body… 651 00:27:51,115 --> 00:27:52,825 No, with bilateral crush injuries, 652 00:27:52,908 --> 00:27:54,744 we don't know if we have an intact artery to thread it in. 653 00:27:54,827 --> 00:27:56,078 We can always crack the chest, 654 00:27:56,162 --> 00:27:58,247 cross-clamp the aorta, and stabilize. 655 00:27:58,331 --> 00:27:59,624 - I got a better idea. - Yeah? 656 00:27:59,707 --> 00:28:01,125 Preperitoneal packing. 657 00:28:01,208 --> 00:28:03,294 Simple midline incision below the umbilicus, 658 00:28:03,377 --> 00:28:05,046 pack like hell around and behind the bladder. 659 00:28:05,129 --> 00:28:06,672 That pressure should stop the bleeding 660 00:28:06,756 --> 00:28:08,507 until we get him upstairs. 661 00:28:11,218 --> 00:28:12,470 Robby. 662 00:28:12,553 --> 00:28:14,764 Preperitoneal packing. Thoughts? 663 00:28:14,847 --> 00:28:17,642 Uh, I've only ever done one in cadaver lab. 664 00:28:17,725 --> 00:28:19,477 Because it's an OR procedure. 665 00:28:19,560 --> 00:28:22,313 We did them all the time at the combat support hospitals. 666 00:28:25,816 --> 00:28:27,818 All right! What the hell? 667 00:28:27,902 --> 00:28:30,029 Suprapubic prep and drape. Sterile gowns all around. 668 00:28:30,112 --> 00:28:31,822 Hey, let's go. Get on the horn to the OR. 669 00:28:31,906 --> 00:28:33,574 We need at least six lap pads 670 00:28:33,658 --> 00:28:35,493 and the biggest goddamn retractors you got. 671 00:28:35,576 --> 00:28:37,662 Deavers, right angles, whatever. 672 00:28:39,872 --> 00:28:42,249 Saddle up, cowboy. We got this. 673 00:28:45,211 --> 00:28:47,213 Dr. Ellis, where do you need me? 674 00:28:47,296 --> 00:28:50,007 Back here at 7:00 a.m. to relieve the night shift. 675 00:28:50,091 --> 00:28:51,384 I can work a double. 676 00:28:51,467 --> 00:28:54,220 Samira, you are a great doctor, 677 00:28:54,303 --> 00:28:55,930 but you need to know when to turn it off. 678 00:28:56,013 --> 00:28:58,099 Go home. 679 00:28:58,182 --> 00:29:02,269 Oh, Dr. Ellis, the parents of the measles patient 680 00:29:02,353 --> 00:29:04,730 have finally consented to an LP, 681 00:29:04,814 --> 00:29:07,066 but Dr. Shen is tied up with a trauma. 682 00:29:07,149 --> 00:29:10,569 - I can do it. - We got this. Go. 683 00:29:18,202 --> 00:29:20,955 - You still doing OK? - I'm fine. 684 00:29:23,833 --> 00:29:28,337 Did you witness any of the shooting? 685 00:29:28,421 --> 00:29:30,381 No. 686 00:29:30,464 --> 00:29:32,633 OK, but, um, 687 00:29:32,717 --> 00:29:35,928 you were found in one of the parking lots. 688 00:29:36,011 --> 00:29:38,222 Yeah. 689 00:29:38,305 --> 00:29:40,307 What were you doing? 690 00:29:42,560 --> 00:29:44,729 I was just hanging out. 691 00:29:44,812 --> 00:29:46,981 Were you with friends? 692 00:29:47,064 --> 00:29:49,191 No. 693 00:29:53,404 --> 00:29:56,323 You know… 694 00:29:56,407 --> 00:29:59,785 you can tell me anything, right? 695 00:29:59,869 --> 00:30:04,832 I'm…I'm here to help, if I can. 696 00:30:12,465 --> 00:30:17,470 I had a…a good friend who, um, 697 00:30:17,553 --> 00:30:22,308 went through some really ugly stuff with me. 698 00:30:22,391 --> 00:30:27,188 We were young, and someone older was 699 00:30:27,271 --> 00:30:29,982 taking advantage of our age. 700 00:30:32,151 --> 00:30:35,196 And things got so bad that 701 00:30:35,279 --> 00:30:39,074 my friend took her own life. 702 00:30:40,951 --> 00:30:43,037 There isn't a day that I don't regret 703 00:30:43,120 --> 00:30:46,081 not being able to stop my friend, 704 00:30:46,165 --> 00:30:49,794 but there also isn't a day that I'm not grateful 705 00:30:49,877 --> 00:30:53,214 I didn't do the same. 706 00:30:53,297 --> 00:30:57,551 Life can be so fucking hard. 707 00:31:01,680 --> 00:31:04,892 But it gets better. 708 00:31:04,975 --> 00:31:09,021 And there are people who can and want to help you 709 00:31:09,104 --> 00:31:11,524 with whatever you're dealing with. 710 00:31:18,239 --> 00:31:21,492 I just don't want to be here anymore. 711 00:31:28,874 --> 00:31:32,086 Then let's have you talk to a professional 712 00:31:32,169 --> 00:31:34,797 who can help you with those feelings. 713 00:31:36,799 --> 00:31:39,468 So what do you say? 714 00:31:39,552 --> 00:31:41,220 Will you talk to someone? 715 00:31:52,815 --> 00:31:55,109 - Here come more lap pads. - Drop them on the Mayo. 716 00:31:55,192 --> 00:31:56,777 Ten blade to me. 717 00:31:56,861 --> 00:31:59,405 I've done a hundred of these. 718 00:31:59,488 --> 00:32:01,532 Just somebody fucking do it. 719 00:32:01,615 --> 00:32:03,409 All right, fine. 720 00:32:03,492 --> 00:32:04,743 But just down to the linea alba. 721 00:32:04,827 --> 00:32:06,078 I don't want you going down too deep 722 00:32:06,161 --> 00:32:07,413 and slicing the bladder. 723 00:32:07,496 --> 00:32:09,290 Thank you for the safety tip. 724 00:32:09,373 --> 00:32:10,541 Metz. 725 00:32:10,624 --> 00:32:12,376 OK. 726 00:32:12,459 --> 00:32:13,794 Adson forceps. 727 00:32:15,754 --> 00:32:17,256 Once I'm through the fascia, 728 00:32:17,339 --> 00:32:19,049 you're gonna sweep a finger around the bladder, 729 00:32:19,133 --> 00:32:20,467 open up the space of Retzius. 730 00:32:20,551 --> 00:32:22,052 Named after Anders Retzius, 731 00:32:22,136 --> 00:32:23,888 19th-century Swedish professor of anatomy. 732 00:32:23,971 --> 00:32:25,347 Seriously? 733 00:32:25,431 --> 00:32:26,473 History of medicine is the closest thing 734 00:32:26,557 --> 00:32:28,100 I have to a hobby. 735 00:32:28,183 --> 00:32:29,643 You might want to leave that off your dating profile. 736 00:32:29,727 --> 00:32:31,103 All right, three lap pads 737 00:32:31,186 --> 00:32:32,605 on each side of the bladder, deep as you can. 738 00:32:32,688 --> 00:32:34,732 Deaver retractor. 739 00:32:34,815 --> 00:32:36,650 Named for John Blair Deaver, 740 00:32:36,734 --> 00:32:38,277 Philadelphia surgeon who revolutionized 741 00:32:38,360 --> 00:32:40,321 abdominal surgery in the early 1900s. 742 00:32:40,404 --> 00:32:43,908 - I'm surrounded by med nerds. - I went to med school at Penn. 743 00:32:43,991 --> 00:32:45,534 I walked by his portrait every day. 744 00:32:45,618 --> 00:32:47,953 Dude did, like, 100,000 surgeries. 745 00:32:48,037 --> 00:32:49,413 Guys, BP is not any better. 746 00:32:49,496 --> 00:32:51,790 Systolic is 72. 747 00:32:51,874 --> 00:32:53,834 One more check of the transverse view. 748 00:32:56,962 --> 00:32:58,464 Perfectly in the midline. 749 00:33:00,591 --> 00:33:02,843 And the longitudinal view? 750 00:33:05,554 --> 00:33:07,723 Right between the vertebra. 751 00:33:07,806 --> 00:33:10,225 Good to go. 752 00:33:10,309 --> 00:33:12,227 - You're up. - OK. 753 00:33:12,311 --> 00:33:14,438 Is it painful? Will he feel it? 754 00:33:14,521 --> 00:33:17,024 Not at all. He's fully sedated. 755 00:33:17,107 --> 00:33:18,776 Enter bevel up. 756 00:33:18,859 --> 00:33:20,611 Aim for the umbilicus. 757 00:33:20,694 --> 00:33:22,029 Oh, I felt a pop. 758 00:33:22,112 --> 00:33:23,781 That's the supraspinous ligament. 759 00:33:23,864 --> 00:33:25,616 Enter slowly. 760 00:33:25,699 --> 00:33:27,743 The next pop is the ligamentum flavum, 761 00:33:27,826 --> 00:33:30,120 and you're in. 762 00:33:30,204 --> 00:33:31,205 Felt it. 763 00:33:31,288 --> 00:33:32,748 All right. 764 00:33:32,831 --> 00:33:35,000 Removing stylet. 765 00:33:35,084 --> 00:33:36,877 OK, Dad, we're in. 766 00:33:36,961 --> 00:33:39,213 It's gonna take a minute to collect, 767 00:33:39,296 --> 00:33:41,048 but the fluid looks clear. 768 00:33:41,131 --> 00:33:42,967 - That's good, right? - It's a good sign. 769 00:33:43,050 --> 00:33:45,344 The lab still needs to run some tests, 770 00:33:45,427 --> 00:33:47,721 look under the microscope to rule out some bad stuff. 771 00:33:54,853 --> 00:33:57,064 What are you doing? 772 00:33:57,147 --> 00:33:58,816 You said she didn't want to be in the room. 773 00:33:58,899 --> 00:34:00,985 I was getting Georgia something to eat. 774 00:34:01,068 --> 00:34:02,319 OK, wait outside. 775 00:34:05,531 --> 00:34:06,824 Stop what you're doing right now. 776 00:34:06,907 --> 00:34:08,325 No, they're almost done! 777 00:34:08,409 --> 00:34:09,868 I can't believe you went behind my back. 778 00:34:09,952 --> 00:34:12,287 I did what was best for Flynn, not for you. 779 00:34:12,371 --> 00:34:13,539 Take that needle out of his back! 780 00:34:13,622 --> 00:34:15,165 - No. - Yes! 781 00:34:15,249 --> 00:34:17,292 Ma'am, I don't want to have to ask you to leave. 782 00:34:17,376 --> 00:34:19,086 Take it out right now. 783 00:34:19,169 --> 00:34:24,049 Yep, coming out…now. All done. 784 00:34:29,513 --> 00:34:32,141 My son is leaving this hospital. 785 00:34:35,310 --> 00:34:37,813 I'm sorry. 786 00:34:37,896 --> 00:34:39,356 She really is a good mom. 787 00:34:44,236 --> 00:34:46,822 Fifth lap pad in place. 788 00:34:46,905 --> 00:34:48,657 Yep. 789 00:34:50,367 --> 00:34:52,661 - Number six, and we're done. - OK. 790 00:34:54,204 --> 00:34:56,081 BP 92 over 48. 791 00:34:56,165 --> 00:34:59,084 - That's good enough for me. - How much blood so far? 792 00:34:59,168 --> 00:35:01,211 Uh, up to five on the second MTP. 793 00:35:01,295 --> 00:35:02,379 No more unless he tanks again. 794 00:35:02,463 --> 00:35:03,881 Sounds good. 795 00:35:03,964 --> 00:35:05,632 Hey, I'll stay with him until IR's ready. 796 00:35:05,716 --> 00:35:07,926 - OK. By yourself? - Yeah. 797 00:35:08,010 --> 00:35:10,554 I need to make sure he doesn't get another drop of blood. 798 00:35:12,431 --> 00:35:14,224 You're not needed in the OR? 799 00:35:14,308 --> 00:35:16,685 Nah, it's ortho surgeries all night long now. 800 00:35:16,769 --> 00:35:18,771 Hey, is he OK? 801 00:35:18,854 --> 00:35:20,773 Yeah. 802 00:35:20,856 --> 00:35:23,275 He's just tired. I think we all are. 803 00:35:23,358 --> 00:35:26,028 - Holler if you need us. - I won't. 804 00:35:27,905 --> 00:35:29,907 Why are you still here? 805 00:35:29,990 --> 00:35:32,367 Almost done. 806 00:35:32,451 --> 00:35:34,536 That was the cops. They arrested Doug Driscoll. 807 00:35:34,620 --> 00:35:36,455 Good. 808 00:35:36,538 --> 00:35:38,624 They want to know if I want to press charges. 809 00:35:38,707 --> 00:35:41,043 Uh, yes. 810 00:35:41,126 --> 00:35:42,920 I just want to forget this whole fucking day. 811 00:35:43,003 --> 00:35:44,379 Me too. 812 00:35:44,463 --> 00:35:46,048 But you still have to press charges. 813 00:35:49,134 --> 00:35:50,969 Have you heard anything about me today? 814 00:35:51,053 --> 00:35:52,930 Just, like, any kind of rumors? 815 00:35:53,013 --> 00:35:54,348 Since when do you care about rumors? 816 00:35:54,431 --> 00:35:55,891 - About you or anybody else? - I don't. 817 00:35:55,974 --> 00:35:58,018 It's just something I heard that… 818 00:35:58,102 --> 00:36:00,479 Langdon told me that he heard from a night shift nurse. 819 00:36:00,562 --> 00:36:01,730 Yeah, well, there's a reason 820 00:36:01,814 --> 00:36:03,065 we stick 'em on the night shift. 821 00:36:03,148 --> 00:36:05,484 - Hey. - I'm kidding. 822 00:36:05,567 --> 00:36:06,819 You want to tell me what it was? 823 00:36:06,902 --> 00:36:09,988 I'll tell you if I heard something. 824 00:36:10,072 --> 00:36:12,116 No. Never mind. 825 00:36:12,199 --> 00:36:14,618 Can you find the remaining day shifts 826 00:36:14,701 --> 00:36:16,745 so I can do a debrief before we all go home? 827 00:36:16,829 --> 00:36:18,705 - Yeah. - Is Jake still here? 828 00:36:18,789 --> 00:36:21,041 Yeah, he and Mom are in North 3 now. 829 00:36:22,751 --> 00:36:23,877 Dr. Robby, I think you need to look at this kid. 830 00:36:23,961 --> 00:36:25,129 Find Dr. Shen. I'm done. 831 00:36:25,212 --> 00:36:26,338 You're gonna want to see this. 832 00:36:26,421 --> 00:36:28,715 - Trust me. - I got this. 833 00:36:28,799 --> 00:36:30,384 What am I looking at? 834 00:36:30,467 --> 00:36:32,719 14-year-old girl playing with her older brother, 835 00:36:32,803 --> 00:36:34,596 takes a fall as her older brother 836 00:36:34,680 --> 00:36:36,765 chases her up the stairs after she stole 837 00:36:36,849 --> 00:36:38,851 a forkful of his takeout. 838 00:36:42,813 --> 00:36:45,315 Told you you'd want to see this one 839 00:36:47,568 --> 00:36:50,404 This has Dr. Shen written all over it. 840 00:36:50,487 --> 00:36:54,074 Don't worry, we're bringing in our, um… 841 00:36:54,158 --> 00:36:56,869 utensils specialist. 842 00:36:59,830 --> 00:37:01,999 We're gonna start you out with some nasal numbing spray 843 00:37:02,082 --> 00:37:05,085 for the pain. 844 00:37:05,169 --> 00:37:07,921 Do you mind if I take a photo? 845 00:37:08,005 --> 00:37:10,257 For the medical record. 846 00:38:09,358 --> 00:38:12,402 Are you OK? 847 00:38:12,486 --> 00:38:14,112 Yeah. 848 00:38:14,196 --> 00:38:17,199 I think today is finally catching up to me, 849 00:38:17,282 --> 00:38:19,159 physically and emotionally. 850 00:38:19,243 --> 00:38:21,453 It happens. 851 00:38:21,536 --> 00:38:23,205 How are you two still going? 852 00:38:23,288 --> 00:38:25,040 I'm not. 853 00:38:25,123 --> 00:38:29,002 I don't require much sleep, and I have a fast metabolism. 854 00:38:45,269 --> 00:38:47,771 All right, everybody! 855 00:38:47,854 --> 00:38:50,857 Listen up! 856 00:38:58,240 --> 00:38:59,574 You got it, Cap. 857 00:39:03,412 --> 00:39:06,415 Today should never have happened. 858 00:39:06,498 --> 00:39:08,959 It's impossible to imagine what would possess somebody 859 00:39:09,042 --> 00:39:12,421 to commit such a horrific act. 860 00:39:12,504 --> 00:39:15,674 It's the worst of humanity, 861 00:39:15,757 --> 00:39:19,219 but it brought out the best in the rest of us. 862 00:39:19,303 --> 00:39:22,472 We saw our better angels 863 00:39:22,556 --> 00:39:24,016 come to the aid of our patients. 864 00:39:24,099 --> 00:39:28,854 Each of you rose to the occasion. 865 00:39:28,937 --> 00:39:31,606 And I…I can't tell you 866 00:39:31,690 --> 00:39:33,692 how proud I am of all of you. 867 00:39:36,361 --> 00:39:37,612 This place will break your heart. 868 00:39:40,198 --> 00:39:41,950 But it is also full of miracles, 869 00:39:42,034 --> 00:39:44,536 and that is a testament to all of you coming together 870 00:39:44,619 --> 00:39:46,621 and doing what we do best. 871 00:39:48,832 --> 00:39:52,836 Thank you for everything you did here today. 872 00:39:56,256 --> 00:39:59,051 We saw 112 mass casualty patients 873 00:39:59,134 --> 00:40:01,678 come through here in the last four hours, 874 00:40:01,762 --> 00:40:04,222 and 106 of them are gonna live. 875 00:40:09,353 --> 00:40:11,313 None of us are gonna forget today… 876 00:40:13,273 --> 00:40:17,527 Even if we really, really want to. 877 00:40:18,653 --> 00:40:20,655 So go home. 878 00:40:20,739 --> 00:40:22,741 Let yourselves cry. 879 00:40:22,824 --> 00:40:25,535 You'll feel better. 880 00:40:25,619 --> 00:40:31,208 It's just grief leaving the body. 881 00:40:45,722 --> 00:40:47,391 You want to grab a drink? 882 00:40:47,474 --> 00:40:50,227 Um, yeah. Yes. 883 00:40:50,310 --> 00:40:53,438 - When? - Now. 884 00:40:53,522 --> 00:40:57,317 Oh, some of us just get a beer in the park across the street. 885 00:40:57,401 --> 00:40:58,860 - Oh. - Helps to download 886 00:40:58,944 --> 00:41:00,278 before you go home. 887 00:41:00,362 --> 00:41:02,823 OK. Sure, sure. 888 00:41:02,906 --> 00:41:04,282 OK. 889 00:41:16,628 --> 00:41:17,712 Mom! 890 00:41:17,796 --> 00:41:20,257 Hey, buddy. You're still up? 891 00:41:20,340 --> 00:41:22,175 Yeah, me and Grandpa just started watching 892 00:41:22,259 --> 00:41:23,677 "Planet of the Apes." 893 00:41:23,760 --> 00:41:26,096 What did I tell you about scary movies? 894 00:41:38,108 --> 00:41:40,152 Sorry. 895 00:41:40,235 --> 00:41:42,070 I need to get past. Sorry. 896 00:41:45,991 --> 00:41:48,368 Hey, hey, sorry. Excuse me. 897 00:42:52,557 --> 00:42:55,393 Doc Anderson would have made the same decision you did. 898 00:42:57,103 --> 00:42:59,147 I could have kept him for a few more days on ECMO. 899 00:42:59,231 --> 00:43:01,525 You gave him a fighting chance, 900 00:43:01,608 --> 00:43:03,401 and then you used the limited resources we had 901 00:43:03,485 --> 00:43:06,530 to give that little girl a chance. 902 00:43:06,613 --> 00:43:08,990 - And lost them both. - Yeah. 903 00:43:09,074 --> 00:43:11,535 But you did your best. 904 00:43:11,618 --> 00:43:13,703 We all did. 905 00:43:13,787 --> 00:43:15,914 Hey. 906 00:43:15,997 --> 00:43:19,292 He would have been proud of you for what you did 907 00:43:19,376 --> 00:43:22,128 and for everything else since then. 908 00:43:22,212 --> 00:43:24,673 Come here. 909 00:43:24,756 --> 00:43:28,552 You wouldn't let anyone else blame themselves for this. 910 00:43:28,635 --> 00:43:30,512 Time to give yourself some grace. 911 00:43:39,396 --> 00:43:41,398 See you Monday. 912 00:44:10,343 --> 00:44:13,513 Yeah 913 00:44:23,315 --> 00:44:25,442 Body makes me… 914 00:44:25,525 --> 00:44:27,861 - Nice moves, Raygun. - Holy shit! 915 00:44:27,944 --> 00:44:29,446 What the hell are you doing up here? 916 00:44:29,529 --> 00:44:31,489 What the hell are you doing up here? 917 00:44:31,573 --> 00:44:34,993 Just one second. 918 00:44:35,076 --> 00:44:37,329 OK. OK. 919 00:44:37,412 --> 00:44:42,000 Uh, I will, on occasion, 920 00:44:42,083 --> 00:44:46,671 after a long shift, crash here. 921 00:44:46,755 --> 00:44:49,341 This was your first day here. 922 00:44:49,424 --> 00:44:51,217 Well, it's my first day… 923 00:44:51,301 --> 00:44:54,554 uh, it's my first day of emergency rotation. 924 00:44:54,638 --> 00:44:57,557 I did internal medicine last month. 925 00:45:00,435 --> 00:45:04,981 Do you actually have a place to live? 926 00:45:05,065 --> 00:45:09,861 Uh, I'm currently between places. 927 00:45:11,029 --> 00:45:12,822 Do you own a car? 928 00:45:14,949 --> 00:45:18,119 Uh, not at the moment, no, I… 929 00:45:18,203 --> 00:45:19,245 I'm actually… 930 00:45:19,329 --> 00:45:20,955 Between cars. 931 00:45:21,039 --> 00:45:23,291 Yeah, something like that. 932 00:45:27,921 --> 00:45:32,384 OK, so I have a spare room with its own bathroom. 933 00:45:34,094 --> 00:45:36,096 Sweet. 934 00:45:36,179 --> 00:45:39,140 Oh, for God's sakes. Do you want the room or not? 935 00:45:39,224 --> 00:45:41,393 OK, that is extremely generous, 936 00:45:41,476 --> 00:45:46,314 but no, I can't afford to pay you rent right now. 937 00:45:46,398 --> 00:45:49,901 How are you at cleaning and fixing things? 938 00:45:49,984 --> 00:45:52,862 Grew up on a farm. I guess I'm pretty handy. 939 00:45:52,946 --> 00:45:56,199 Cleaning, I know how to muck out a stall. 940 00:45:56,282 --> 00:45:58,993 Just keep to yourself, don't annoy me, 941 00:45:59,077 --> 00:46:02,455 and you can move in. 942 00:46:02,539 --> 00:46:03,707 Wow. 943 00:46:03,790 --> 00:46:07,711 Wow. I…I don't know what to say. 944 00:46:07,794 --> 00:46:09,546 Thank you. 945 00:46:11,131 --> 00:46:14,050 Well, you can move in tonight if you want. 946 00:46:14,134 --> 00:46:15,510 Really? 947 00:46:15,593 --> 00:46:16,845 Yeah, but quick, before I change my mind. 948 00:46:16,928 --> 00:46:18,263 Yeah, yeah. No, I mean, this is… 949 00:46:18,346 --> 00:46:20,557 this is all I really have, so… 950 00:46:20,640 --> 00:46:22,726 Oh, God, you're not some, like, nudist 951 00:46:22,809 --> 00:46:24,269 or religious freak, are you? 952 00:46:24,352 --> 00:46:25,937 No. 953 00:46:26,020 --> 00:46:29,149 No, I like to remain fully dressed at all times, 954 00:46:29,232 --> 00:46:30,900 except bathing. I'm just… 955 00:46:30,984 --> 00:46:33,319 - I know Krav Maga. - Cool. 956 00:46:33,403 --> 00:46:34,696 I don't know who that is, 957 00:46:34,779 --> 00:46:36,906 but he sounds very protective of you. 958 00:46:36,990 --> 00:46:41,619 The chances of this working are diminishing by the second. 959 00:46:41,703 --> 00:46:43,663 I'm just fucking with you, Whitaker. 960 00:46:43,747 --> 00:46:45,749 You're such a Huckleberry. 961 00:46:49,127 --> 00:46:51,463 Yeah. OK. Uh, hold on! 962 00:46:54,674 --> 00:46:56,301 How are we doing? 963 00:46:56,384 --> 00:46:59,387 Uh, we're doing OK. Right? 964 00:47:02,432 --> 00:47:04,809 I know that this is difficult. 965 00:47:04,893 --> 00:47:08,897 This is gonna hurt for a long time, 966 00:47:08,980 --> 00:47:12,734 and it's OK if you want to blame me. 967 00:47:12,817 --> 00:47:15,612 Just please don't blame yourself. 968 00:47:15,695 --> 00:47:18,114 We've been friends a long time. I would hate it. 969 00:47:18,198 --> 00:47:19,908 No, we're not friends. 970 00:47:19,991 --> 00:47:21,826 And you're not my father, so fuck off! 971 00:47:21,910 --> 00:47:23,828 Jake. 972 00:47:23,912 --> 00:47:26,247 Robby. 973 00:47:32,670 --> 00:47:35,965 Parents of Jake's girlfriend, Leah, are here. 974 00:47:37,717 --> 00:47:39,719 I put them in the viewing room. 975 00:48:10,416 --> 00:48:12,585 Hello. 976 00:48:50,540 --> 00:48:52,417 - Hey, Becca. - Hi, Mel! 977 00:48:52,500 --> 00:48:54,002 - You ready to go? - Yep. 978 00:48:54,085 --> 00:48:56,129 - All right, let's go! - Let's go. 979 00:48:58,798 --> 00:49:02,302 Oh, wow. It's, uh…it's dark out. 980 00:49:02,385 --> 00:49:04,304 Oh, yeah. Sorry about that. 981 00:49:04,387 --> 00:49:07,307 I had to stay a little later than expected at work. 982 00:49:07,390 --> 00:49:10,476 - Because of your boss? - Oh, no, no, no. 983 00:49:10,560 --> 00:49:12,604 A bunch of people got hurt at a music festival. 984 00:49:12,687 --> 00:49:13,897 And you had to help them. 985 00:49:13,980 --> 00:49:15,523 Yeah. 986 00:49:15,607 --> 00:49:18,651 We're supposed to go to a restaurant on Fridays. 987 00:49:18,735 --> 00:49:20,820 We could still go to a restaurant. 988 00:49:20,904 --> 00:49:22,530 It's not too late? 989 00:49:22,614 --> 00:49:24,991 Not for us King sisters. 990 00:49:25,074 --> 00:49:27,869 - What do you want to eat? - Pizza! 991 00:49:27,952 --> 00:49:29,704 Or spaghetti! 992 00:49:29,787 --> 00:49:31,080 I don't know. I can't decide. 993 00:49:31,164 --> 00:49:32,832 Well, why don't we do both? 994 00:49:32,916 --> 00:49:34,459 - Both? - Yeah. 995 00:49:34,542 --> 00:49:36,336 We can go out for spaghetti, 996 00:49:36,419 --> 00:49:37,670 and then take a pizza home with us. 997 00:49:37,754 --> 00:49:39,964 - Really? - Yeah, why not? 998 00:49:40,048 --> 00:49:42,175 Can we still watch a movie? 999 00:49:42,258 --> 00:49:44,177 It is Friday, isn't it? 1000 00:49:44,260 --> 00:49:45,970 "Elf"! 1001 00:49:46,054 --> 00:49:49,515 Yeah. Um, we could do "Elf." 1002 00:49:49,599 --> 00:49:53,102 Or we could see a movie that we've never seen before. 1003 00:49:53,186 --> 00:49:56,272 - But "Elf" is so funny! - Yup. 1004 00:50:11,579 --> 00:50:13,581 You're in my spot. 1005 00:50:16,125 --> 00:50:19,420 Just so you know, Grubhub will not deliver 1006 00:50:19,504 --> 00:50:22,840 to the roof, but there is a DoorDash guy… 1007 00:50:22,924 --> 00:50:26,970 uh, Marco…who will trek up here for an extra 10 bucks, 1008 00:50:27,053 --> 00:50:29,263 20 if you want beer. 1009 00:50:35,937 --> 00:50:38,398 Nice speech down there. 1010 00:50:38,481 --> 00:50:40,441 Wish I had given it. 1011 00:50:40,525 --> 00:50:43,486 No, you don't. 1012 00:50:45,530 --> 00:50:46,906 No. Fuck no. 1013 00:50:46,990 --> 00:50:50,702 But I'm glad somebody did. 1014 00:50:56,332 --> 00:50:58,334 Yeah. 1015 00:51:01,212 --> 00:51:04,132 I think I finally understand 1016 00:51:04,215 --> 00:51:06,342 why I keep coming back now. 1017 00:51:09,387 --> 00:51:12,015 It's in our DNA. 1018 00:51:12,098 --> 00:51:13,850 It's what we do. We can't help it. 1019 00:51:13,933 --> 00:51:17,895 We're the…we're the bees that protect the hive. 1020 00:51:21,858 --> 00:51:23,901 Maybe you, not me. 1021 00:51:23,985 --> 00:51:25,737 What are you talking about? 1022 00:51:25,820 --> 00:51:27,196 You know damn well what I'm talk… 1023 00:51:27,280 --> 00:51:30,992 I'm talking about. 1024 00:51:31,075 --> 00:51:32,952 I broke. 1025 00:51:33,036 --> 00:51:35,371 You didn't break. 1026 00:51:35,455 --> 00:51:38,666 - You didn't break. - I shut down. 1027 00:51:38,750 --> 00:51:40,460 At the moment everybody needed me the most, 1028 00:51:40,543 --> 00:51:42,462 I wasn't there. 1029 00:51:42,545 --> 00:51:44,088 I couldn't do it. I choked. 1030 00:51:44,172 --> 00:51:47,842 For what, for 40 seconds? 1031 00:51:49,969 --> 00:51:53,514 Three minutes? Ten minutes? 1032 00:51:53,598 --> 00:51:56,517 So fucking what? We all have that. 1033 00:51:56,601 --> 00:51:58,352 That is what happens when you're in a war 1034 00:51:58,436 --> 00:52:01,397 and nothing makes sense. 1035 00:52:01,481 --> 00:52:03,775 We survived as a species because we learned 1036 00:52:03,858 --> 00:52:07,070 how to cooperate and communicate, 1037 00:52:07,153 --> 00:52:10,907 so when we're in the middle of killing each other, 1038 00:52:10,990 --> 00:52:14,410 it divides the very logic of our existence. 1039 00:52:14,494 --> 00:52:18,873 Your brain starts to short-circuit. 1040 00:52:18,956 --> 00:52:21,793 All you can do is focus on the medicine. 1041 00:52:21,876 --> 00:52:24,670 The medicine's the only thing that saves the patient 1042 00:52:24,754 --> 00:52:26,506 and your sanity. 1043 00:52:26,589 --> 00:52:29,509 I'm gonna need a drink if you keep talking. 1044 00:52:30,927 --> 00:52:33,971 You get what I'm saying, right? 1045 00:52:34,055 --> 00:52:36,641 You rocked that shit down there tonight. 1046 00:52:39,852 --> 00:52:41,312 Yeah? 1047 00:52:41,395 --> 00:52:44,273 You rocked that shit down there tonight. 1048 00:52:47,235 --> 00:52:48,778 We all did. 1049 00:52:50,613 --> 00:52:52,281 Now that is a compliment. 1050 00:52:52,365 --> 00:52:54,992 Accept the damn compliment for once. 1051 00:52:55,076 --> 00:52:57,787 What if we just didn't talk for a minute? 1052 00:52:57,870 --> 00:52:59,622 - I'm just trying to help. - I know. 1053 00:52:59,705 --> 00:53:02,416 - I appreciate you… - Still talking. 1054 00:53:04,418 --> 00:53:06,420 Sorry. 1055 00:53:18,724 --> 00:53:22,228 - Get that drink now? - Yeah. 1056 00:53:28,609 --> 00:53:31,529 Whoa. 1057 00:53:31,612 --> 00:53:33,614 It didn't take long to fill up in here. 1058 00:53:33,698 --> 00:53:35,283 Never does. 1059 00:53:35,366 --> 00:53:38,119 How long until we run out of boarding beds? 1060 00:53:38,202 --> 00:53:40,121 Probably sunrise. 1061 00:53:40,204 --> 00:53:42,456 Mm. Mm-mm. 1062 00:53:42,540 --> 00:53:45,126 - She had a seizure. - Of course she did. 1063 00:53:45,209 --> 00:53:47,461 Looking good, Dr. Abbot. 1064 00:53:47,545 --> 00:53:50,214 - You too, Myrna. - Oh, thanks. 1065 00:53:50,298 --> 00:53:53,259 Hey, fruitcake. 1066 00:53:55,344 --> 00:53:57,013 - Fruitcake. - Don't ask. 1067 00:53:59,348 --> 00:54:01,893 - When are you coming back? - I don't know. 1068 00:54:01,976 --> 00:54:05,479 Grab a couple hours' sleep, come back around 2:00. 1069 00:54:05,563 --> 00:54:06,814 I don't think they're gonna need relief 1070 00:54:06,898 --> 00:54:08,274 - until the morning. - You know me. 1071 00:54:08,357 --> 00:54:11,736 I prefer working nights. 1072 00:54:11,819 --> 00:54:14,864 You're not sick of working nights yet? 1073 00:54:14,947 --> 00:54:18,034 My therapist thinks I find comfort in the darkness. 1074 00:54:18,117 --> 00:54:19,452 Huh. 1075 00:54:21,579 --> 00:54:22,872 Could give you his number 1076 00:54:22,955 --> 00:54:26,000 if you ever feel like talking to him. 1077 00:54:26,083 --> 00:54:27,960 Does it help? 1078 00:54:29,337 --> 00:54:33,299 I haven't jumped off the roof, have I? 1079 00:54:33,382 --> 00:54:34,884 Not yet. 1080 00:54:49,398 --> 00:54:50,858 Hey! Hey! 1081 00:54:50,942 --> 00:54:54,695 Somebody help me! There are rats in here! 1082 00:54:54,779 --> 00:54:56,739 There were rats in my bed! 1083 00:54:56,822 --> 00:54:58,950 I don't think there are any rats in your bed. 1084 00:54:59,033 --> 00:55:00,785 - There were two of them. - OK, sir. 1085 00:55:00,868 --> 00:55:03,579 We'll take care of that. 1086 00:55:03,663 --> 00:55:05,706 Head trauma. Starting to hallucinate. 1087 00:55:05,790 --> 00:55:08,000 Put him in line for a CT. 1088 00:55:12,713 --> 00:55:14,924 Hey, hide the hard drugs, kids. 1089 00:55:16,467 --> 00:55:19,011 Oh, nice catch. 1090 00:55:19,095 --> 00:55:20,096 Oh. 1091 00:55:22,139 --> 00:55:24,392 Man. 1092 00:55:32,191 --> 00:55:33,567 Today was a motherfucker. 1093 00:55:37,738 --> 00:55:39,699 Have you ever been in anything like that before? 1094 00:55:44,120 --> 00:55:46,622 Let's hope none of us ever has to again. 1095 00:55:46,706 --> 00:55:49,041 No shit. 1096 00:55:49,125 --> 00:55:51,711 We probably will. 1097 00:55:51,794 --> 00:55:55,006 If not us, others. 1098 00:55:55,089 --> 00:55:59,427 Yeah, but we survived that craziness, right? 1099 00:55:59,510 --> 00:56:01,262 To the Pitt crew. 1100 00:56:01,345 --> 00:56:02,972 To all the people we saved. 1101 00:56:03,055 --> 00:56:05,224 - Here, here. - And the ones we couldn't. 1102 00:56:08,769 --> 00:56:10,896 Is this where all the cool kids hang out? 1103 00:56:10,980 --> 00:56:12,273 Oh, you know it. 1104 00:56:12,356 --> 00:56:13,858 Nice of you to join us. 1105 00:56:13,941 --> 00:56:15,776 If there ever was a day. 1106 00:56:18,529 --> 00:56:19,989 Actually, sorry, I don't drink. 1107 00:56:20,072 --> 00:56:21,699 I don't know why I took that. 1108 00:56:21,782 --> 00:56:23,993 - She's not old enough. - I'd say if she's old enough 1109 00:56:24,076 --> 00:56:25,494 to put in a chest tube and intubate, 1110 00:56:25,578 --> 00:56:27,496 she's old enough to drink a beer. 1111 00:56:27,580 --> 00:56:29,290 We won't tell your mom. 1112 00:56:29,373 --> 00:56:31,584 Shut up. 1113 00:56:31,667 --> 00:56:33,836 But seriously, don't. 1114 00:56:39,925 --> 00:56:41,969 Thank you. 1115 00:56:42,053 --> 00:56:44,764 You guys do this after every shift? 1116 00:56:44,847 --> 00:56:46,432 Not always. 1117 00:56:46,515 --> 00:56:48,809 Usually, it's a little more lively. 1118 00:56:48,893 --> 00:56:53,064 The Emergency Department throws wicked parties. 1119 00:56:56,984 --> 00:56:59,070 - What's so funny? - Mm. 1120 00:56:59,153 --> 00:57:01,739 I just realized this is your first shift. 1121 00:57:01,822 --> 00:57:02,990 Yeah. 1122 00:57:07,578 --> 00:57:11,332 That was baptism by fire, baby. 1123 00:57:11,415 --> 00:57:12,708 I can pretty much guarantee you 1124 00:57:12,792 --> 00:57:14,210 the next one will be easier. 1125 00:57:14,293 --> 00:57:16,962 I really fucking hope so. 1126 00:57:17,046 --> 00:57:19,090 Hey, at least you didn't get pissed on. 1127 00:57:19,173 --> 00:57:21,509 I will drink to that. 1128 00:57:21,592 --> 00:57:23,511 Aww, poor Whitaker. 1129 00:57:23,594 --> 00:57:25,137 Where is he? 1130 00:57:25,221 --> 00:57:27,348 Yeah, probably quit. 1131 00:57:27,431 --> 00:57:29,725 Oh, that kid's tough. 1132 00:57:29,809 --> 00:57:32,269 He'll be back. 1133 00:57:32,353 --> 00:57:34,563 Just like the rest of us. 1134 00:57:45,908 --> 00:57:48,661 OK, that's it for me. 1135 00:57:48,744 --> 00:57:49,870 Beer for the road? 1136 00:57:49,954 --> 00:57:51,122 Yeah, why not? 1137 00:57:55,626 --> 00:57:57,795 Good night. 1138 00:57:57,878 --> 00:58:00,673 Get some rest. 1139 00:58:00,756 --> 00:58:02,758 Tomorrow is another day.