1 00:00:09,887 --> 00:00:13,487 Sync and corrections by btsix www.addic7ed.com 2 00:00:14,934 --> 00:00:16,935 2701! Get the fuck out! 3 00:00:16,936 --> 00:00:18,478 Is there a MedicAlert bracelet? 4 00:00:18,479 --> 00:00:20,980 - Did you get an ID on him? - Student ID. 5 00:00:20,981 --> 00:00:22,899 - Name says Jackson Davis. - That's a start. 6 00:00:22,900 --> 00:00:25,360 - Jackson, what's going on? - Title 18! 7 00:00:25,361 --> 00:00:26,945 - Title section 508! - Javadi, you're with us. 8 00:00:26,946 --> 00:00:28,738 We're gonna take good care of you, Mr. Davis. 9 00:00:28,739 --> 00:00:30,240 - You're in a safe place. - You're okay. 10 00:00:30,241 --> 00:00:31,407 - Get off! - Trauma One. 11 00:00:31,408 --> 00:00:32,992 - Reasonableness! 2709! - Okay, okay, Jackson. 12 00:00:32,993 --> 00:00:33,993 We're gonna need you to calm down 13 00:00:33,994 --> 00:00:35,745 to get the Taser barbs out of your neck. 14 00:00:35,746 --> 00:00:37,455 - Do you need to jump on that? - Mm-mm. 15 00:00:37,456 --> 00:00:39,791 Covering calls for Dana. 16 00:00:39,792 --> 00:00:41,584 Stop talking to me. 17 00:00:41,585 --> 00:00:43,545 You can't! Title 2710... 18 00:00:43,546 --> 00:00:45,213 Hard to assess pupils. 19 00:00:45,214 --> 00:00:46,923 - Hard to assess anything. - Yeah, yeah. 20 00:00:46,924 --> 00:00:48,174 Wait till after he's sedated. 21 00:00:48,175 --> 00:00:49,717 - 10 of olanzapine. - No, no. 22 00:00:49,718 --> 00:00:51,177 That'll take 15 minutes to kick in. 23 00:00:51,178 --> 00:00:53,429 Uh, 5 of droperidol puts him down in 5. 24 00:00:53,430 --> 00:00:55,265 No, you can't give it without knowing his QT. 25 00:00:55,266 --> 00:00:58,017 Two beats of a rhythm strip before he took off the leads. 26 00:00:58,018 --> 00:00:59,435 No. 27 00:00:59,436 --> 00:01:00,979 You can't be in here. Get out! 28 00:01:00,980 --> 00:01:02,689 That looks good. Go with the droperidol. 29 00:01:02,690 --> 00:01:04,816 Get the fuck out! Get off me! 30 00:01:04,817 --> 00:01:06,651 Do we take the Taser barbs out? 31 00:01:06,652 --> 00:01:08,153 - 2701. - No. 32 00:01:08,154 --> 00:01:09,779 We got to wait till he calms down first. 33 00:01:09,780 --> 00:01:12,448 Get off me, man. 2901, get out! 34 00:01:12,449 --> 00:01:14,367 Get out! 2710. 35 00:01:14,368 --> 00:01:16,911 Title 18, section... 1938. 36 00:01:16,912 --> 00:01:20,373 Mr. Randall, happy 20th anniversary 37 00:01:20,374 --> 00:01:22,500 and a very happy Fourth of July. 38 00:01:22,501 --> 00:01:24,335 But no sex fireworks for you tonight. 39 00:01:24,336 --> 00:01:25,628 Give everything a chance to heal. 40 00:01:25,629 --> 00:01:27,297 Don't worry, I will. 41 00:01:27,298 --> 00:01:29,299 Thanks, Doc. Ow. 42 00:01:29,300 --> 00:01:31,301 We're going right back through here, okay, ma'am? 43 00:01:31,302 --> 00:01:32,552 Oh, thank you. 44 00:01:32,553 --> 00:01:34,137 Change the dressing twice a day. 45 00:01:34,138 --> 00:01:37,140 Doggy bag of the ointment and nonstick gauze. 46 00:01:37,141 --> 00:01:38,641 Cool. I know the drill. 47 00:01:38,642 --> 00:01:40,351 Come back if it starts to ache or stink. 48 00:01:40,352 --> 00:01:42,478 Exactly. Good luck. Stay safe. 49 00:01:42,479 --> 00:01:44,147 Oh, shit, it's Daddy, with your daddy. 50 00:01:44,148 --> 00:01:46,816 Lord, what'd they get up to now? 51 00:01:46,817 --> 00:01:48,401 Treatin' and streetin'. 52 00:01:48,402 --> 00:01:50,653 "Pros from Dover." 53 00:01:50,654 --> 00:01:52,113 I'm sorry, Ms. Graham. 54 00:01:52,114 --> 00:01:54,407 I just saw the ASL note in your chart. 55 00:01:54,408 --> 00:01:55,992 This is Lindsey. 56 00:01:55,993 --> 00:01:59,454 We'll bring you back as soon as possible. 57 00:01:59,455 --> 00:02:00,705 Stay with her. 58 00:02:02,082 --> 00:02:04,751 All right. Who here needs help? 59 00:02:06,837 --> 00:02:08,338 You? You need help? 60 00:02:08,339 --> 00:02:11,090 Oh, no, no, no, ma'am. I've been on these since 1987. 61 00:02:11,091 --> 00:02:13,509 This one here, he got dizzy, fell down. 62 00:02:13,510 --> 00:02:15,720 Forgot my blood-pressure medication. 63 00:02:15,721 --> 00:02:18,515 I left it back home in Georgia. 64 00:02:20,059 --> 00:02:21,601 And presto. 65 00:02:21,602 --> 00:02:24,354 We're back, Mr. Digby, with some IV antibiotics. 66 00:02:24,355 --> 00:02:28,024 First we scrub your outsides, then we clean your insides. 67 00:02:28,025 --> 00:02:29,943 What do you need to document in his chart? 68 00:02:29,944 --> 00:02:32,111 Uh, time started, time completed, 69 00:02:32,112 --> 00:02:33,571 and any adverse reactions. 70 00:02:33,572 --> 00:02:36,199 What else? 71 00:02:36,200 --> 00:02:39,744 Um, lot number on the antibiotic vial. 72 00:02:39,745 --> 00:02:41,537 Excellent. Mr. Digby. 73 00:02:41,538 --> 00:02:43,122 It's just Digby. 74 00:02:43,123 --> 00:02:45,834 Digby, why'd you wait so long to come see us? 75 00:02:47,378 --> 00:02:49,754 I don't like going to doctors. 76 00:02:49,755 --> 00:02:51,130 Well, that makes two of us. 77 00:02:51,131 --> 00:02:52,840 We all need help from time to time. 78 00:02:52,841 --> 00:02:55,677 Think maybe we could arrange for some ongoing care? 79 00:02:55,678 --> 00:02:58,596 I just kind of want to get patched up, you know? 80 00:02:58,597 --> 00:03:00,306 I do know. 81 00:03:00,307 --> 00:03:03,726 But that's today. What's tomorrow? 82 00:03:03,727 --> 00:03:05,770 Sunday. 83 00:03:05,771 --> 00:03:08,731 Use the system. That's what it's there for. 84 00:03:08,732 --> 00:03:11,234 Buddy of mine, Dylan, knows all the angles. 85 00:03:11,235 --> 00:03:13,569 He even works the occasional miracle. 86 00:03:13,570 --> 00:03:16,073 You think maybe I could have him stop by? 87 00:03:18,075 --> 00:03:19,617 I guess, yeah. 88 00:03:19,618 --> 00:03:20,702 Great. 89 00:03:20,703 --> 00:03:22,787 - How about a sandwich? - Yeah. 90 00:03:22,788 --> 00:03:24,665 Yes, please. 91 00:03:27,209 --> 00:03:28,668 We always offer. 92 00:03:28,669 --> 00:03:31,421 Two most important things... that they know we're here 93 00:03:31,422 --> 00:03:33,840 and that we'll never stop offering. 94 00:03:33,841 --> 00:03:35,258 Thanks for covering, Princess. 95 00:03:35,259 --> 00:03:36,676 Anytime. 96 00:03:36,677 --> 00:03:38,511 Yo, can I get some help over here? 97 00:03:38,512 --> 00:03:40,263 Yeah. What's going on, man? 98 00:03:40,264 --> 00:03:42,015 The crazy kid in there, screaming. 99 00:03:42,016 --> 00:03:43,975 - All right, have a seat. - Yeah, that's him. 100 00:03:43,976 --> 00:03:45,601 Still going nuts. 101 00:03:45,602 --> 00:03:47,937 Probably meth... fucking animal. 102 00:03:47,938 --> 00:03:49,939 - What's your name, sir? - You don't understand! 103 00:03:49,940 --> 00:03:52,150 Tony Chinchiolo, campus security. 104 00:03:52,151 --> 00:03:53,818 Yeah, I was at work when this happened, 105 00:03:53,819 --> 00:03:55,987 so I'm gonna need everything documented. 106 00:03:55,988 --> 00:03:57,322 Okay. 107 00:03:57,323 --> 00:03:59,991 All right. Heart rate's 89. 108 00:03:59,992 --> 00:04:01,743 Pulse ox 97. 109 00:04:01,744 --> 00:04:03,244 Scalp lac's tiny... 110 00:04:03,245 --> 00:04:04,245 - 5 millimeters. - Ow. 111 00:04:04,246 --> 00:04:05,997 Should hold together with Dermabond. 112 00:04:05,998 --> 00:04:07,999 Kid threw a fucking chair at me. 113 00:04:08,000 --> 00:04:09,959 Work-related injury gets a full exam. 114 00:04:09,960 --> 00:04:12,045 - Jesse here will take you. - Oh, no. 115 00:04:12,046 --> 00:04:13,546 I-I'm gonna stay here till the cops come 116 00:04:13,547 --> 00:04:16,341 so I can give my statement and so I can watch him. 117 00:04:16,342 --> 00:04:17,842 Yeah. 118 00:04:17,843 --> 00:04:20,970 Trust me, you do not want him getting out of there. 119 00:04:20,971 --> 00:04:23,598 Ow, fuck. 120 00:04:23,599 --> 00:04:27,226 - Did she say anything? - No more than she said to you. 121 00:04:27,227 --> 00:04:29,604 Nothing going on at home. Nothing at school. 122 00:04:29,605 --> 00:04:32,273 - And you believe her? - There's some flags. 123 00:04:32,274 --> 00:04:34,484 Bruising in various stages of healing. 124 00:04:34,485 --> 00:04:35,818 She's a little withdrawn, 125 00:04:35,819 --> 00:04:37,820 doesn't engage much for girls her age. 126 00:04:37,821 --> 00:04:40,156 But she could just be a little shy... 127 00:04:40,157 --> 00:04:41,824 or scared of being in here. 128 00:04:41,825 --> 00:04:43,868 Or she's being abused. 129 00:04:43,869 --> 00:04:45,078 That too. 130 00:04:45,079 --> 00:04:46,746 We'll find out more when Dad shows up. 131 00:04:46,747 --> 00:04:48,791 Yep. If he shows up. 132 00:04:52,002 --> 00:04:54,128 I need a hand here! 133 00:04:54,129 --> 00:04:57,590 There's the first barb out. 134 00:04:57,591 --> 00:04:59,342 All right, Javadi, you're up. 135 00:05:02,012 --> 00:05:03,846 Okay, so you're gonna want to clamp 136 00:05:03,847 --> 00:05:06,391 where the shaft meets the barb. 137 00:05:06,392 --> 00:05:07,642 - Mm-hmm. - Yep. 138 00:05:07,643 --> 00:05:09,602 Stabilize the skin. 139 00:05:09,603 --> 00:05:12,063 Not so close so as to stick yourself. 140 00:05:12,064 --> 00:05:13,523 I've seen that once or twice. 141 00:05:13,524 --> 00:05:15,942 Uh, pull up at 90 degrees. 142 00:05:15,943 --> 00:05:17,693 Harder. Yep. 143 00:05:17,694 --> 00:05:19,028 Harder. 144 00:05:19,029 --> 00:05:20,029 Oh. 145 00:05:20,030 --> 00:05:22,031 Do we suture those? 146 00:05:22,032 --> 00:05:23,699 Nope, just a Band-Aid. 147 00:05:23,700 --> 00:05:26,202 - Mel, we need orders. - Right. 148 00:05:26,203 --> 00:05:27,286 I got a rainbow. 149 00:05:27,287 --> 00:05:29,914 Uh, CBC... 150 00:05:29,915 --> 00:05:33,209 CMP, UA, blood alcohol, and tox screen. 151 00:05:33,210 --> 00:05:34,627 All of the above. 152 00:05:34,628 --> 00:05:35,962 Cap, if this young man's stable, 153 00:05:35,963 --> 00:05:37,380 can he go to Central 10 pronto? 154 00:05:37,381 --> 00:05:38,589 Double trauma at the back door. 155 00:05:38,590 --> 00:05:40,716 Okay, you heard the boss. Let's get going. 156 00:05:40,717 --> 00:05:43,219 Today is starting to heat up. 157 00:05:46,890 --> 00:05:49,767 Mark Yee, 32-year-old restrained driver, 158 00:05:49,768 --> 00:05:51,227 auto versus motorcycle. 159 00:05:51,228 --> 00:05:53,729 Altered with normal BP, satting 99 on 2 liters. 160 00:05:53,730 --> 00:05:55,731 We're at the hospital now, Mark. 161 00:05:55,732 --> 00:05:57,525 What's wrong with him? Why isn't he talking? 162 00:05:57,526 --> 00:05:59,360 His wife, Nancy, front-seat passenger, 163 00:05:59,361 --> 00:06:00,945 - declined transport. - I'm fine. 164 00:06:00,946 --> 00:06:04,198 We weren't going all that fast. The motorcycle ran the light. 165 00:06:04,199 --> 00:06:06,325 I'm Dr. Robby. This is Dr. Al-Hashimi. 166 00:06:06,326 --> 00:06:07,785 - Nice to meet you. - And this is Nurse Dana. 167 00:06:07,786 --> 00:06:09,036 She's our charge nurse. 168 00:06:09,037 --> 00:06:10,580 We need to look over your husband. 169 00:06:10,581 --> 00:06:11,956 Hello. Let's step over here for a minute, hon. 170 00:06:11,957 --> 00:06:13,249 Let them get to work, okay? 171 00:06:13,250 --> 00:06:15,334 Antoine, Larry, transfer out here. 172 00:06:15,335 --> 00:06:16,752 T-1 will be open in a sec. 173 00:06:16,753 --> 00:06:18,129 Aye, aye, Cap. 174 00:06:18,130 --> 00:06:20,465 One, two, three. 175 00:06:20,466 --> 00:06:22,258 Incoming. 176 00:06:22,259 --> 00:06:23,926 Okay, Joy, you stay with me. 177 00:06:23,927 --> 00:06:26,305 Samira, you stay with Dr. Al-Hashimi. 178 00:06:28,140 --> 00:06:29,474 Open skull fracture. 179 00:06:29,475 --> 00:06:31,100 Tubed him for agonal respirations. 180 00:06:31,101 --> 00:06:32,852 BP 60 palp initially. 181 00:06:32,853 --> 00:06:35,230 Started a liter of NS, but lost his pulse en route. 182 00:06:37,065 --> 00:06:39,150 Oh, boy, this doesn't look good. 183 00:06:39,151 --> 00:06:40,735 One, two, three. 184 00:06:40,736 --> 00:06:42,612 Joy, check his pupils. 185 00:06:42,613 --> 00:06:44,053 Somebody hand me a pair of scissors. 186 00:06:48,619 --> 00:06:50,203 8 millimeters. Nonreactive. 187 00:06:50,204 --> 00:06:53,122 AKA blown pupils, fixed and dilated. 188 00:06:53,123 --> 00:06:54,457 Oh. 189 00:06:54,458 --> 00:06:56,292 Crushed skull with tons of gray matter extravasation. 190 00:06:56,293 --> 00:06:57,793 At least it was quick. 191 00:06:57,794 --> 00:06:59,670 - No helmet? - Nope, 'cause he took 192 00:06:59,671 --> 00:07:01,130 the PennDOT Motorcycle Safety Course. 193 00:07:01,131 --> 00:07:02,548 Isn't that what you took, Robby? 194 00:07:02,549 --> 00:07:05,426 Hold compressions. Yes, but I still wear a helmet. 195 00:07:05,427 --> 00:07:07,553 - Is he a donor? - Also nope. 196 00:07:07,554 --> 00:07:08,846 That is too bad. 197 00:07:08,847 --> 00:07:11,599 Asystole. I think we are done here. 198 00:07:11,600 --> 00:07:13,392 - What's next door? - The guy who hit him. 199 00:07:13,393 --> 00:07:14,810 Joy, you're with me. 200 00:07:14,811 --> 00:07:17,522 What about a moment of reflection? I thought... 201 00:07:17,523 --> 00:07:19,315 He'll still be dead when we get back. 202 00:07:19,316 --> 00:07:22,318 Pulse ox 99. BP 108 over 72. 203 00:07:22,319 --> 00:07:23,402 EFAST negative. 204 00:07:23,403 --> 00:07:24,695 Hell of a lot better than the guy next door. 205 00:07:24,696 --> 00:07:26,072 - How's the airway? - Good volume. 206 00:07:26,073 --> 00:07:28,407 Good sats. Gag reflex... 207 00:07:28,408 --> 00:07:30,326 Present. 208 00:07:30,327 --> 00:07:31,869 - Intubate? - Maybe. 209 00:07:31,870 --> 00:07:33,079 - Maybe not. - Mr. Yee? 210 00:07:33,080 --> 00:07:34,872 Joy, sternal rub on his chest, like this. 211 00:07:34,873 --> 00:07:36,082 Really hard, please. 212 00:07:36,083 --> 00:07:38,084 Mr. Yee? 213 00:07:38,085 --> 00:07:40,253 Spontaneous eye movement. Responds to pain. 214 00:07:40,254 --> 00:07:42,255 GCS is 10. Borderline for intubation. 215 00:07:42,256 --> 00:07:45,174 No muscle tone... flaccid paralysis in the left arm. 216 00:07:45,175 --> 00:07:46,717 - Same on the right. - And both legs. 217 00:07:46,718 --> 00:07:48,719 Add towels to both sides of the collar for more stability. 218 00:07:48,720 --> 00:07:50,930 Let's not make this worse. 219 00:07:50,931 --> 00:07:53,849 Pan scan with 3D reconstruction of the spine. 220 00:07:53,850 --> 00:07:55,351 He's quadriplegic? 221 00:07:55,352 --> 00:07:57,728 If so, it's a low cervical injury. 222 00:07:57,729 --> 00:07:59,897 - Why is that, Joy? - Uh... 223 00:07:59,898 --> 00:08:03,818 C3, 4, and 5 helps you breathe to stay alive. 224 00:08:03,819 --> 00:08:05,403 Mr. Montrose... 225 00:08:05,404 --> 00:08:08,239 you can't just be wandering around, talking to patients. 226 00:08:08,240 --> 00:08:10,074 Well, that's... that's what I do. 227 00:08:10,075 --> 00:08:11,659 I'm a greeter at Walmart. 228 00:08:11,660 --> 00:08:15,204 I get paid to wander and to talk to folks. 229 00:08:15,205 --> 00:08:17,456 Well, as a... as a personal favor to me, 230 00:08:17,457 --> 00:08:20,585 can you at least stay in your general vicinity? 231 00:08:20,586 --> 00:08:22,795 I can get you a wheelchair while we wait for your X-rays, 232 00:08:22,796 --> 00:08:24,130 but it might take a minute. 233 00:08:24,131 --> 00:08:25,631 My dear, I cannot sit. 234 00:08:25,632 --> 00:08:27,717 My backside is killing me from where I fell on it, 235 00:08:27,718 --> 00:08:30,261 which is an embarrassing admission to make 236 00:08:30,262 --> 00:08:32,972 to such a lovely woman. 237 00:08:32,973 --> 00:08:34,557 Well, thank you for the compliment, 238 00:08:34,558 --> 00:08:36,350 but there's no need to be embarrassed. 239 00:08:36,351 --> 00:08:37,852 You took a very nasty fall. 240 00:08:37,853 --> 00:08:40,730 Well, then may I say that one look in your beautiful eyes 241 00:08:40,731 --> 00:08:42,940 and I think I'm falling again. 242 00:08:46,236 --> 00:08:47,695 What a charmer. 243 00:08:47,696 --> 00:08:49,947 Just for that, I'm gonna get you a foam donut. 244 00:08:49,948 --> 00:08:52,325 It's the eighth wonder of the world. 245 00:08:52,326 --> 00:08:54,827 Pretty great laugh you got there, Doc. 246 00:08:56,788 --> 00:08:59,165 Oh, God. My witch's cackle? 247 00:08:59,166 --> 00:09:00,958 Got CT results for Mr. Williams. 248 00:09:00,959 --> 00:09:02,502 Ah. 249 00:09:04,838 --> 00:09:06,923 Oh, wow. 250 00:09:08,842 --> 00:09:10,176 Okay. 251 00:09:10,177 --> 00:09:11,677 Okay. 252 00:09:11,678 --> 00:09:13,929 Ah. Right on time. 253 00:09:13,930 --> 00:09:15,973 Just... just getting full. 254 00:09:15,974 --> 00:09:17,808 Yeah, I'm ready for number five. 255 00:09:17,809 --> 00:09:19,685 - That's impressive. - Uh-huh. 256 00:09:19,686 --> 00:09:21,937 Yeah, there's more where that came from. 257 00:09:21,938 --> 00:09:25,691 Although, uh, my intake is running low. 258 00:09:25,692 --> 00:09:27,485 Yeah, well, two more bottles ought to do it. 259 00:09:27,486 --> 00:09:29,445 Then we'll drain your tooth, and we'll get you out of here 260 00:09:29,446 --> 00:09:31,947 - before the fireworks tonight. - Oh. 261 00:09:31,948 --> 00:09:33,115 Okay. Clamped. 262 00:09:33,116 --> 00:09:36,035 Ogilvie, make the change. 263 00:09:36,036 --> 00:09:38,913 - Okay. - Mm-hmm. 264 00:09:38,914 --> 00:09:41,957 All right. Let her rip. 265 00:09:41,958 --> 00:09:44,460 Flowing like a river. 266 00:09:44,461 --> 00:09:47,338 I love me some fireworks. 267 00:09:47,339 --> 00:09:49,382 Oh, yeah? 268 00:09:49,383 --> 00:09:52,385 Shit, I-I met Mr. Zambelli... 269 00:09:52,386 --> 00:09:54,136 Lean forward. 270 00:09:54,137 --> 00:09:56,263 Many times on the field. 271 00:09:56,264 --> 00:09:58,933 Who's Mr. Zambelli? 272 00:09:58,934 --> 00:10:00,434 Son, you don't know fireworks 273 00:10:00,435 --> 00:10:02,978 if you don't know the name Zambelli. 274 00:10:02,979 --> 00:10:04,980 He helped Pittsburgh become 275 00:10:04,981 --> 00:10:07,566 the firework capital of America. 276 00:10:07,567 --> 00:10:09,902 You did know that, didn't you? 277 00:10:09,903 --> 00:10:11,570 - No. - Ah. 278 00:10:11,571 --> 00:10:14,865 Y'all don't know nothing about pyrotechnics. 279 00:10:14,866 --> 00:10:16,325 Stick to doctoring. 280 00:10:16,326 --> 00:10:18,495 Yes, will do. 281 00:10:24,501 --> 00:10:28,337 I'm sure you have some questions. 282 00:10:28,338 --> 00:10:31,757 I know it's a lot to take in. 283 00:10:31,758 --> 00:10:34,176 It's a tumor. 284 00:10:34,177 --> 00:10:35,344 It's a brain tumor. 285 00:10:35,345 --> 00:10:38,472 Well, it's a mass, about 4 centimeters, 286 00:10:38,473 --> 00:10:40,517 in the frontal lobe. 287 00:10:41,768 --> 00:10:43,811 Is it cancer? 288 00:10:43,812 --> 00:10:46,313 We can't say for sure right now. 289 00:10:46,314 --> 00:10:47,773 It could be many things... 290 00:10:47,774 --> 00:10:50,943 uh, infection, inflammation, 291 00:10:50,944 --> 00:10:53,904 a benign cyst. 292 00:10:53,905 --> 00:10:57,199 Is it what made me fall? 293 00:10:57,200 --> 00:10:59,077 Yeah, possibly. 294 00:11:00,996 --> 00:11:03,789 We'd like to keep you here and treat with dexamethasone, 295 00:11:03,790 --> 00:11:05,875 which is a steroid to take down the swelling. 296 00:11:05,876 --> 00:11:07,376 - Hmm. - And then we'll need 297 00:11:07,377 --> 00:11:10,379 a brain biopsy to know exactly what it is. 298 00:11:10,380 --> 00:11:14,258 What, you're... you're gonna cut open my head? 299 00:11:14,259 --> 00:11:16,594 It's just a small hole. 300 00:11:16,595 --> 00:11:20,473 We'll do a-a CT-guided stereotactical biopsy 301 00:11:20,474 --> 00:11:22,808 with a-a blunt, thin needle... 302 00:11:22,809 --> 00:11:25,644 Which sounds crazy, but it's actually pretty amazing. 303 00:11:25,645 --> 00:11:28,565 I mean, most patients go home the next day. 304 00:11:32,402 --> 00:11:34,779 I don't know. 305 00:11:34,780 --> 00:11:38,324 What do you think I should do? 306 00:11:38,325 --> 00:11:41,786 I think this is a pretty good plan. 307 00:11:41,787 --> 00:11:43,204 - Okay. - Yeah? 308 00:11:43,205 --> 00:11:47,249 BP 95 over 67. 309 00:11:47,250 --> 00:11:49,251 Seems a little on the low side. 310 00:11:49,252 --> 00:11:50,753 It is. 311 00:11:50,754 --> 00:11:52,963 Have you ever had low blood pressure in the past? 312 00:11:52,964 --> 00:11:55,966 No, sir. My blood pressure's always high. 313 00:11:55,967 --> 00:11:59,011 Hold still, sir. No talking while we do the EKG. 314 00:11:59,012 --> 00:12:01,639 The Hansens all run high, except for Monty. 315 00:12:01,640 --> 00:12:04,058 - He ran low, but he's dead. - That's not helpful. 316 00:12:04,059 --> 00:12:06,936 You want to help, quit playing family pharmacist. 317 00:12:06,937 --> 00:12:09,438 Pooling meds is how we've always done it. 318 00:12:09,439 --> 00:12:10,773 You put everything in a big pile 319 00:12:10,774 --> 00:12:11,982 in the middle of the table... 320 00:12:11,983 --> 00:12:13,317 Well, look where that got us now. 321 00:12:13,318 --> 00:12:15,444 No, I'm gonna jump in here and echo that sharing meds 322 00:12:15,445 --> 00:12:16,612 which haven't been prescribed to you 323 00:12:16,613 --> 00:12:17,947 is actually a real big no-no. 324 00:12:17,948 --> 00:12:18,948 How we doing on remembering 325 00:12:18,949 --> 00:12:20,366 what your brother might've taken? 326 00:12:20,367 --> 00:12:21,534 We could call back to the house. 327 00:12:21,535 --> 00:12:24,119 Great idea. Okay. 328 00:12:24,120 --> 00:12:26,497 Whatever little round pill you took, sir, 329 00:12:26,498 --> 00:12:28,624 has caused your heart rate and blood pressure 330 00:12:28,625 --> 00:12:30,835 to drop so low, you're at risk of fainting, 331 00:12:30,836 --> 00:12:33,003 falling, or having a serious injury. 332 00:12:33,004 --> 00:12:34,129 Oh. 333 00:12:34,130 --> 00:12:35,798 We need to take him back to the ER 334 00:12:35,799 --> 00:12:36,841 so he can get a liter of fluids, 335 00:12:36,842 --> 00:12:38,175 we can check his blood tests 336 00:12:38,176 --> 00:12:39,510 and monitor his heart rate and blood pressure 337 00:12:39,511 --> 00:12:41,679 till he recovers. 338 00:12:41,680 --> 00:12:43,347 Pulse ox holding steady at 99. 339 00:12:43,348 --> 00:12:44,515 Good tidal volume. 340 00:12:44,516 --> 00:12:46,183 How you doing there, Mr. Yee? 341 00:12:46,184 --> 00:12:47,560 Scanner can take him now. 342 00:12:47,561 --> 00:12:48,894 I'll check the results from upstairs. 343 00:12:48,895 --> 00:12:51,647 - Why is he so altered? - Could be concussion. 344 00:12:51,648 --> 00:12:53,566 Maybe a small intracranial hemorrhage. 345 00:12:53,567 --> 00:12:56,110 All will be revealed by the Donut of Truth. 346 00:12:56,111 --> 00:12:58,779 - Need a portable monitor. - Joy, stay with him, please. 347 00:12:58,780 --> 00:13:00,739 See if the radiologist can give us a STAT read. 348 00:13:00,740 --> 00:13:01,824 How is he? 349 00:13:01,825 --> 00:13:04,201 Did I hear someone say he's paralyzed? 350 00:13:04,202 --> 00:13:06,537 There are signs of weakness in both arms and legs. 351 00:13:06,538 --> 00:13:08,914 But before we can make any prognosis, 352 00:13:08,915 --> 00:13:10,249 we'll need a full-body scan. 353 00:13:10,250 --> 00:13:12,585 Head CT will show us any brain injury. 354 00:13:12,586 --> 00:13:14,753 Neck CT will show us any spinal-cord injury. 355 00:13:14,754 --> 00:13:17,506 Chest, abdomen, pelvis will rule out any internal bleeding. 356 00:13:17,507 --> 00:13:18,549 Oh, my God. 357 00:13:18,550 --> 00:13:21,427 The scans should only take about 15 minutes. 358 00:13:21,428 --> 00:13:24,221 In the meantime, perhaps you'd let us look you over as well? 359 00:13:24,222 --> 00:13:26,515 I'm fine. The medics checked me. 360 00:13:26,516 --> 00:13:29,059 I just want to stay with my husband. 361 00:13:29,060 --> 00:13:31,353 Well, you can't go into the CT with him, 362 00:13:31,354 --> 00:13:33,564 but you can wait just outside if you like. 363 00:13:33,565 --> 00:13:34,857 - Excuse me. - Princess, this is Nancy. 364 00:13:34,858 --> 00:13:36,525 Mrs. Yee is gonna go with her husband to CT. 365 00:13:36,526 --> 00:13:37,610 Will you show her where to go? 366 00:13:37,611 --> 00:13:40,280 - Sure. Come on in. - Thank you. 367 00:13:42,073 --> 00:13:43,949 So what's the plan now? 368 00:13:43,950 --> 00:13:46,118 Keep observing me in my natural habitat? 369 00:13:46,119 --> 00:13:47,536 No telling what I might do next. 370 00:13:47,537 --> 00:13:49,121 I think I've got the gist. 371 00:13:49,122 --> 00:13:51,248 How about we each take a lap and meet here 372 00:13:51,249 --> 00:13:52,750 when Mr. Yee is back from CT? 373 00:13:52,751 --> 00:13:54,668 Splitting up so soon? 374 00:13:54,669 --> 00:13:57,838 You're free to see other people, Dr. Robinavitch. 375 00:13:57,839 --> 00:14:00,592 I'm looking for cooperation, not commitment. 376 00:14:05,180 --> 00:14:07,222 So you bandaged the burn yourself? 377 00:14:07,223 --> 00:14:09,016 Oh, no, no, no, no, no, no, no, no... 378 00:14:09,017 --> 00:14:11,101 Ma'am, you're... you're making it difficult for me 379 00:14:11,102 --> 00:14:12,811 to see under this dressing. 380 00:14:12,812 --> 00:14:16,148 - Is that a tablecloth? - Part of a window curtain. 381 00:14:16,149 --> 00:14:17,566 Cleaner than tablecloth. 382 00:14:17,567 --> 00:14:19,234 I'll wait for the doctor. Thank you. 383 00:14:19,235 --> 00:14:22,655 May I ask how this happened? 384 00:14:22,656 --> 00:14:24,406 For weeks on end, the kids with their 385 00:14:24,407 --> 00:14:26,742 guchnyy firecrackers, going all day and night. 386 00:14:26,743 --> 00:14:28,786 Oh, i-is this a firecracker burn? 387 00:14:28,787 --> 00:14:31,789 No, sweetie, this is from the full samovar 388 00:14:31,790 --> 00:14:34,750 I drop on the floor when the sh... 389 00:14:34,751 --> 00:14:37,336 the firecrackers started going on again. 390 00:14:37,337 --> 00:14:39,296 I'm sorry. What's a samovar? 391 00:14:39,297 --> 00:14:42,591 It is a big metal urn for coffee or tea. 392 00:14:42,592 --> 00:14:44,677 They can get super-duper hot, 393 00:14:44,678 --> 00:14:46,929 and I was never allowed to touch ours. 394 00:14:46,930 --> 00:14:48,347 Uh, hello, Mrs. Kovalenko. 395 00:14:48,348 --> 00:14:49,640 My name is Dr. Michael Robinavitch. 396 00:14:49,641 --> 00:14:51,308 Everybody calls me Dr. Robby. 397 00:14:51,309 --> 00:14:54,311 - Robinavitch? Jewish? - You guessed it. 398 00:14:54,312 --> 00:14:57,815 And I see that you are here today for a burn. 399 00:14:57,816 --> 00:14:59,233 Why don't we take a look? 400 00:14:59,234 --> 00:15:00,818 Oh, not married? 401 00:15:00,819 --> 00:15:02,528 No, I'm not married. 402 00:15:02,529 --> 00:15:05,155 Do you attend synagogue? 403 00:15:05,156 --> 00:15:08,117 Uh, not for a while. 404 00:15:08,118 --> 00:15:12,079 I mean, High Holidays mostly. 405 00:15:12,080 --> 00:15:13,247 Where? 406 00:15:13,248 --> 00:15:14,915 Ooh. 407 00:15:14,916 --> 00:15:17,209 What did you put on this? 408 00:15:17,210 --> 00:15:18,794 - Where? - On your burn. 409 00:15:18,795 --> 00:15:21,046 - Is this honey? - Yes, honey. 410 00:15:21,047 --> 00:15:23,048 Where do you go on holy days? 411 00:15:23,049 --> 00:15:26,051 Uh, my grandparents, um... 412 00:15:26,052 --> 00:15:27,803 I grew up going to Rodef Shalom. 413 00:15:27,804 --> 00:15:28,804 You? 414 00:15:28,805 --> 00:15:31,099 Tree of Life. 415 00:15:32,809 --> 00:15:34,309 They're rebuilding. 416 00:15:34,310 --> 00:15:36,687 Yes, something new. 417 00:15:36,688 --> 00:15:40,190 Remember, Rebuild, Renew. 418 00:15:40,191 --> 00:15:42,610 That's the slogan. 419 00:15:44,654 --> 00:15:47,406 I'm sorry, did you say "honey"? 420 00:15:47,407 --> 00:15:49,575 You think honey's funny? 421 00:15:49,576 --> 00:15:51,577 Works like a charm. 422 00:15:51,578 --> 00:15:53,704 My father kept bees. I know. 423 00:15:53,705 --> 00:15:56,999 If the honey is medical grade and the burns are not too bad, 424 00:15:57,000 --> 00:15:59,126 honey actually does have some antibacterial 425 00:15:59,127 --> 00:16:00,711 and anti-inflammatory properties. 426 00:16:00,712 --> 00:16:03,297 However, these burns are very deep in some places. 427 00:16:03,298 --> 00:16:05,674 They're going to need debridement. 428 00:16:05,675 --> 00:16:08,677 I'm glad you came in. 429 00:16:08,678 --> 00:16:10,512 That's what I thought. 430 00:16:10,513 --> 00:16:14,516 I was hoping no, but I figured as much. 431 00:16:14,517 --> 00:16:15,642 Not to worry. 432 00:16:15,643 --> 00:16:18,520 We are gonna have you patched up and home 433 00:16:18,521 --> 00:16:20,189 in time for dinner and fireworks. 434 00:16:20,190 --> 00:16:22,066 No. 435 00:16:22,067 --> 00:16:23,567 No more fireworks. 436 00:16:23,568 --> 00:16:24,860 No. 437 00:16:24,861 --> 00:16:25,944 Okay. 438 00:16:25,945 --> 00:16:30,240 Anyone here treating Kylie Connors? 439 00:16:30,241 --> 00:16:31,742 She's my daughter. 440 00:16:31,743 --> 00:16:33,869 She's nine. I'm Benny Connors. 441 00:16:33,870 --> 00:16:36,288 Mr. Connors, I'm Dr. Santos. 442 00:16:36,289 --> 00:16:37,706 I'm treating Kylie. 443 00:16:37,707 --> 00:16:39,249 Is she okay? Can I see her? 444 00:16:39,250 --> 00:16:41,210 My... my girlfriend, Gina, says she got a cut on her chin? 445 00:16:41,211 --> 00:16:42,294 Yeah, I can take you to her. 446 00:16:42,295 --> 00:16:44,046 She has a small laceration on her chin, 447 00:16:44,047 --> 00:16:46,298 but it was easily repaired with medical superglue, 448 00:16:46,299 --> 00:16:48,467 - so no stitches necessary. - Okay. 449 00:16:48,468 --> 00:16:51,011 She chipped a tooth, but it's a baby tooth, 450 00:16:51,012 --> 00:16:52,805 so it won't need dental work. 451 00:16:52,806 --> 00:16:54,723 All right, well, that's a relief. 452 00:16:54,724 --> 00:16:57,226 Has Kylie had any previous injuries? 453 00:16:57,227 --> 00:16:58,894 Uh, yeah. 454 00:16:58,895 --> 00:17:01,146 She, um... she broke her wrist last year. 455 00:17:01,147 --> 00:17:02,773 She was skateboarding. 456 00:17:02,774 --> 00:17:05,984 Dana, if you could get Dylan to come to North 1, 457 00:17:05,985 --> 00:17:08,070 - and Ahmad. - You bet. 458 00:17:08,071 --> 00:17:10,405 Okay, I got it now. One, two, three. 459 00:17:10,406 --> 00:17:11,657 Daddy, you came. 460 00:17:11,658 --> 00:17:13,492 Baby, what's going on, huh? 461 00:17:13,493 --> 00:17:15,202 My tooth broke, and my chin got cut. 462 00:17:15,203 --> 00:17:18,455 Oh, no. 463 00:17:18,456 --> 00:17:19,665 What happened? 464 00:17:19,666 --> 00:17:21,917 She was running up the stairs. 465 00:17:21,918 --> 00:17:24,586 - Gina was chasing me. - We were playing. 466 00:17:24,587 --> 00:17:27,131 As I was saying, Mr. Connors, the laceration is pretty minor. 467 00:17:27,132 --> 00:17:28,173 On the stairs? 468 00:17:28,174 --> 00:17:30,342 - It was an accident. - Perhaps we can... 469 00:17:30,343 --> 00:17:31,927 An accident that wouldn't have happened 470 00:17:31,928 --> 00:17:33,262 if you weren't running up the stairs. 471 00:17:33,263 --> 00:17:34,429 Do you understand what I'm saying? 472 00:17:34,430 --> 00:17:36,932 This is the last thing that I need right now, 473 00:17:36,933 --> 00:17:38,600 is her mother finding out that she got hurt 474 00:17:38,601 --> 00:17:40,269 - when she's with you. - It was an accident. 475 00:17:40,270 --> 00:17:41,770 And before you get all high and mighty, 476 00:17:41,771 --> 00:17:43,772 - I've got questions of my own. - Like what? 477 00:17:43,773 --> 00:17:45,107 Hey, Mr. Connors. 478 00:17:45,108 --> 00:17:46,942 I'm sorry, I meant to be here when you arrived. 479 00:17:46,943 --> 00:17:48,944 I'm Dylan Easton. I'm with Social Services. 480 00:17:48,945 --> 00:17:50,112 We have insurance. Thank you. 481 00:17:50,113 --> 00:17:51,738 Perhaps we can step outside and chat for a second? 482 00:17:51,739 --> 00:17:53,657 I can fill you in on where we are. 483 00:17:53,658 --> 00:17:55,534 Hey, uh, Jesse, do you want to keep Kylie entertained 484 00:17:55,535 --> 00:17:57,202 - for a few minutes while I... - Absolutely. 485 00:17:57,203 --> 00:17:58,245 Borrow her dad? 486 00:17:58,246 --> 00:17:59,413 We'll just head down to the family room. 487 00:17:59,414 --> 00:18:01,623 It's a little quieter there. 488 00:18:01,624 --> 00:18:03,417 Why do I got to talk to a social worker? 489 00:18:03,418 --> 00:18:05,919 Anytime a child is injured, we have some standard questions 490 00:18:05,920 --> 00:18:07,421 that we ask parents and caregivers. 491 00:18:07,422 --> 00:18:10,591 Good. That's fine. Great. Ask me here. 492 00:18:10,592 --> 00:18:14,136 Well, we noticed some bruising on Kylie's body, 493 00:18:14,137 --> 00:18:17,556 some old, some new, on her back and legs. 494 00:18:17,557 --> 00:18:19,766 - Any idea how she got those? - Yeah, soccer. 495 00:18:19,767 --> 00:18:20,976 She plays for a club team. 496 00:18:20,977 --> 00:18:22,269 They're, you know, little girls, 497 00:18:22,270 --> 00:18:24,354 but they play like they're in "The Hunger Games." 498 00:18:24,355 --> 00:18:26,481 Well, I understand that you and Kylie do 499 00:18:26,482 --> 00:18:29,359 a fair amount of roughhousing. 500 00:18:29,360 --> 00:18:31,361 What? 501 00:18:31,362 --> 00:18:34,072 I'm sorry. Are you fucking kidding me? 502 00:18:34,073 --> 00:18:35,240 Where are you going with this? 503 00:18:35,241 --> 00:18:36,533 Are you saying that I hurt my daughter? 504 00:18:36,534 --> 00:18:37,826 Mr. Connors, nobody's saying that... 505 00:18:37,827 --> 00:18:38,994 Oh, no, no, no, no, no, no, no, no. 506 00:18:38,995 --> 00:18:40,162 - Gina! - Mr. Connors... 507 00:18:40,163 --> 00:18:41,538 Just... just... Gina! 508 00:18:41,539 --> 00:18:42,539 Sir, take a breath. 509 00:18:42,540 --> 00:18:43,707 Gina, what did you say to them? 510 00:18:43,708 --> 00:18:45,542 Nothing. I said that you're a great dad. 511 00:18:45,543 --> 00:18:47,044 Okay. What else? 512 00:18:47,045 --> 00:18:48,545 That you guys like to wrestle. 513 00:18:48,546 --> 00:18:49,755 - Jesus Christ. - What? 514 00:18:49,756 --> 00:18:51,256 They wanted to know where all her bruises are from. 515 00:18:51,257 --> 00:18:53,175 Who the fuck are you to talk about me and my daughter? 516 00:18:53,176 --> 00:18:54,676 - Who the fuck am I? - Yeah, that's what I'm asking. 517 00:18:54,677 --> 00:18:55,844 Who the fuck am I? 518 00:18:55,845 --> 00:18:57,221 Hey, big man, take one more fucking step... 519 00:18:57,222 --> 00:18:59,640 Hey, that's enough. You need to calm down. 520 00:18:59,641 --> 00:19:01,642 Hey, everybody, back the fuck up! 521 00:19:01,643 --> 00:19:03,018 Stop! Stop! Stop! Stop! 522 00:19:03,019 --> 00:19:06,104 Kylie's platelets are only 9,000. 523 00:19:06,105 --> 00:19:08,106 What does that mean? 524 00:19:08,107 --> 00:19:10,984 It's... it's not what we thought. 525 00:19:10,985 --> 00:19:13,320 It's probably ITP. 526 00:19:13,321 --> 00:19:15,656 What the hell is ITP? 527 00:19:15,657 --> 00:19:17,909 Something we can treat. 528 00:19:24,082 --> 00:19:26,708 - You feel that? - Mm, no. 529 00:19:26,709 --> 00:19:28,377 Excellent. 530 00:19:28,378 --> 00:19:30,295 This is looking very good. 531 00:19:30,296 --> 00:19:32,381 Ah. Tell Mr. Kovalenko. 532 00:19:35,969 --> 00:19:37,261 Mrs. Kovalenko? 533 00:19:37,262 --> 00:19:39,221 Yes? Yana, please. 534 00:19:39,222 --> 00:19:43,141 Yana, you mentioned that you dropped the samovar 535 00:19:43,142 --> 00:19:46,603 when you heard firecrackers. 536 00:19:46,604 --> 00:19:47,647 Yeah. 537 00:19:50,650 --> 00:19:54,444 I was on my way inside... 538 00:19:54,445 --> 00:19:57,572 October 27, 2018... 539 00:19:57,573 --> 00:20:00,493 to the synagogue when the shooting started. 540 00:20:05,206 --> 00:20:08,166 There was nothing I could do. 541 00:20:08,167 --> 00:20:09,793 I went in... 542 00:20:09,794 --> 00:20:12,337 after the police arrived. 543 00:20:12,338 --> 00:20:14,424 I felt I had to. 544 00:20:16,259 --> 00:20:18,510 I'm better now. 545 00:20:18,511 --> 00:20:20,971 But... 546 00:20:20,972 --> 00:20:24,349 New Year's Eve, Fourth of July, 547 00:20:24,350 --> 00:20:27,853 when... when kids have their fireworks 548 00:20:27,854 --> 00:20:30,648 and firecrackers, I... 549 00:20:32,817 --> 00:20:35,777 There is no clock on how long it takes. 550 00:20:37,280 --> 00:20:38,989 No clock. 551 00:20:38,990 --> 00:20:41,867 You must be joking. 552 00:20:43,953 --> 00:20:45,287 - Robby? - Yep. 553 00:20:45,288 --> 00:20:47,456 - Mark Yee is back from CT. - Oh, okay. 554 00:20:47,457 --> 00:20:48,957 Um, Perlah, why don't we go ahead and see if we can put 555 00:20:48,958 --> 00:20:50,792 a nonstick dressing on this? 556 00:20:50,793 --> 00:20:53,045 And I will come back, and we can discuss 557 00:20:53,046 --> 00:20:54,463 aftercare instructions. 558 00:20:54,464 --> 00:20:55,964 Yeah, you got it, boss. 559 00:20:55,965 --> 00:20:58,051 Thank you, Doctor. 560 00:21:10,271 --> 00:21:12,814 Vitals stable. Pulse ox holding at 99. 561 00:21:12,815 --> 00:21:14,900 Okay. Heart and lungs look good. 562 00:21:17,028 --> 00:21:19,363 - Dr. Mohan. - Dr. Robby? 563 00:21:19,364 --> 00:21:22,657 Yeah? 564 00:21:22,658 --> 00:21:25,243 Please make him be okay. 565 00:21:25,244 --> 00:21:27,162 I can assure you that we are gonna do absolutely... 566 00:21:27,163 --> 00:21:29,831 Everything you can. I know. 567 00:21:29,832 --> 00:21:31,416 God, this is all my fault. 568 00:21:31,417 --> 00:21:34,336 - Mrs. Yee... - Oh, he's been so stressed. 569 00:21:34,337 --> 00:21:36,713 So I planned this weekend away at Seven Springs, 570 00:21:36,714 --> 00:21:39,341 but he didn't want to go because of work. 571 00:21:39,342 --> 00:21:42,427 So we fought this whole morning. 572 00:21:42,428 --> 00:21:44,888 And then I... 573 00:21:44,889 --> 00:21:48,183 I said awful things. 574 00:21:48,184 --> 00:21:50,185 Those can't be the last words we say to each other. 575 00:21:50,186 --> 00:21:51,853 Doctor, please. 576 00:21:51,854 --> 00:21:54,773 Good news. CT looks normal. 577 00:21:54,774 --> 00:21:56,525 No bleeding inside the skull. 578 00:21:56,526 --> 00:21:59,361 C-spine, no fractures seen. 579 00:21:59,362 --> 00:22:01,738 - He didn't break his neck? - Then why is he paralyzed? 580 00:22:01,739 --> 00:22:03,365 You can have spinal injuries 581 00:22:03,366 --> 00:22:05,158 without radiologic abnormalities. 582 00:22:05,159 --> 00:22:08,036 Sometimes it doesn't show up on CT, only on MRI. 583 00:22:08,037 --> 00:22:10,415 Dr. Mohan. 584 00:22:13,251 --> 00:22:14,377 Are you sure? 585 00:22:17,380 --> 00:22:19,214 Okay. 586 00:22:19,215 --> 00:22:21,299 Critical potassium level, 1.2. 587 00:22:21,300 --> 00:22:22,884 Wow. 588 00:22:22,885 --> 00:22:24,511 - Okay. - That's crazy low. 589 00:22:24,512 --> 00:22:26,555 Uh, extremely low potassium with generalized weakness 590 00:22:26,556 --> 00:22:28,473 and no cervical injury. 591 00:22:28,474 --> 00:22:29,808 We may be looking at... 592 00:22:29,809 --> 00:22:31,643 Hypokalemic periodic paralysis. 593 00:22:31,644 --> 00:22:32,769 What is that? 594 00:22:32,770 --> 00:22:34,396 It's a rare condition where potassium gets shifted 595 00:22:34,397 --> 00:22:36,565 into the cells, causing profound weakness, 596 00:22:36,566 --> 00:22:37,732 just like paralysis. 597 00:22:37,733 --> 00:22:39,443 - Will he get better? - Yes. 598 00:22:39,444 --> 00:22:41,153 Back to normal in a few hours. 599 00:22:41,154 --> 00:22:42,487 In a f... 600 00:22:42,488 --> 00:22:44,239 Replete slowly. 10 MEQ of KCl... 601 00:22:44,240 --> 00:22:47,242 Thank you so much. 602 00:22:47,243 --> 00:22:48,785 Did you hear that, Mark? 603 00:22:48,786 --> 00:22:52,581 Oh, baby, you're gonna get better. 604 00:22:52,582 --> 00:22:54,791 Oh, baby. 605 00:22:54,792 --> 00:22:56,626 All right, DD. Hey, come on now, man. 606 00:22:56,627 --> 00:22:58,587 Oh, how you doing, Duante? 607 00:22:58,588 --> 00:23:00,130 - Fine. - Great. 608 00:23:00,131 --> 00:23:01,590 If you're fine, you go home. 609 00:23:01,591 --> 00:23:02,632 - Really? - Yeah. 610 00:23:02,633 --> 00:23:05,760 Mm-mm. Hey, tell them. 611 00:23:05,761 --> 00:23:08,346 Me and my sister were making bracelets, 612 00:23:08,347 --> 00:23:12,350 and I put beads up my nose. 613 00:23:12,351 --> 00:23:13,852 How many? 614 00:23:13,853 --> 00:23:15,270 One on each side. 615 00:23:15,271 --> 00:23:17,939 I got to ask... why'd you stick them up there? 616 00:23:17,940 --> 00:23:19,649 See how many will fit? 617 00:23:19,650 --> 00:23:21,568 To shoot them out like rockets. 618 00:23:21,569 --> 00:23:22,652 Mm. 619 00:23:22,653 --> 00:23:24,029 But I breathed in, 620 00:23:24,030 --> 00:23:27,032 and they went deeper and now won't come out. 621 00:23:27,033 --> 00:23:28,867 Did you try anything at home? 622 00:23:28,868 --> 00:23:30,535 Yeah, I tried blowing in his mouth, 623 00:23:30,536 --> 00:23:32,245 but just got a little snot on my cheek. 624 00:23:32,246 --> 00:23:33,413 "A" for effort, Dad. 625 00:23:33,414 --> 00:23:36,124 Okay, we need to take a look with a little flashlight. 626 00:23:36,125 --> 00:23:38,001 - Okay? - Okay. 627 00:23:38,002 --> 00:23:39,544 This is what I have to look forward to? 628 00:23:39,545 --> 00:23:41,838 This and so much more. 629 00:23:41,839 --> 00:23:44,466 Red bead below the inferior turbinate. 630 00:23:44,467 --> 00:23:46,968 I... 631 00:23:46,969 --> 00:23:48,345 got a blue one. 632 00:23:48,346 --> 00:23:50,972 Afrin, benzocaine, Katz extractor? 633 00:23:50,973 --> 00:23:53,141 Yep. Dad, looks like we got to go up and get them. 634 00:23:53,142 --> 00:23:55,810 - No way he's sitting still. - Oh, he'll be numbed up. 635 00:23:55,811 --> 00:23:57,020 You don't know this child. 636 00:23:57,021 --> 00:24:00,023 Hey, Duante, you like video games? 637 00:24:00,024 --> 00:24:01,900 Everybody does. 638 00:24:01,901 --> 00:24:04,152 We have a 3D video game. 639 00:24:04,153 --> 00:24:06,112 - Yeah. - Cool. 640 00:24:10,701 --> 00:24:13,578 That's KCl and saline at 10 MEQ per hour. 641 00:24:13,579 --> 00:24:15,705 We avoid dextrose because the insulin response 642 00:24:15,706 --> 00:24:17,082 drops the K even more. 643 00:24:17,083 --> 00:24:19,918 If it's genetic, why didn't it happen when he was a kid? 644 00:24:19,919 --> 00:24:22,295 It usually starts after the teen years. 645 00:24:22,296 --> 00:24:23,421 And it can be intermittent. 646 00:24:23,422 --> 00:24:26,508 Sometimes it's triggered by intense exercise or stress. 647 00:24:26,509 --> 00:24:28,510 We've been married eight years. 648 00:24:28,511 --> 00:24:30,679 We've had fights. He's never collapsed. 649 00:24:30,680 --> 00:24:32,180 If his thyroid gets overactive, 650 00:24:32,181 --> 00:24:34,015 that brings it on later in life. 651 00:24:34,016 --> 00:24:36,601 I ordered TSH, T3, T4. 652 00:24:36,602 --> 00:24:38,937 So now we just wait? 653 00:24:41,190 --> 00:24:42,524 Bag him. Starting compressions. 654 00:24:42,525 --> 00:24:45,193 - Charge to 200. - What is happening? 655 00:24:45,194 --> 00:24:47,195 Low potassium can harm electrical activity 656 00:24:47,196 --> 00:24:48,738 - in the heart. - Charged. 657 00:24:48,739 --> 00:24:50,740 - Clear. - Clear. 658 00:24:50,741 --> 00:24:52,577 Resuming compressions. 659 00:24:54,078 --> 00:24:58,039 - So your little girl was ITP? - Go figure. 660 00:24:58,040 --> 00:25:00,542 Nothing like a zebra to kick-start your morning. 661 00:25:00,543 --> 00:25:03,211 Well, it's better than the alternative. 662 00:25:03,212 --> 00:25:04,754 True. 663 00:25:04,755 --> 00:25:06,965 ITP. 664 00:25:06,966 --> 00:25:09,467 So that's, uh, intra... 665 00:25:09,468 --> 00:25:11,136 Immune thrombocytopenia. 666 00:25:11,137 --> 00:25:14,639 Used to be called idiopathic thrombocytopenic purpura. 667 00:25:14,640 --> 00:25:16,474 Know what "idiopathic" means? 668 00:25:16,475 --> 00:25:18,560 That we don't know the exact cause. 669 00:25:18,561 --> 00:25:20,437 It means the patient is pathetic 670 00:25:20,438 --> 00:25:22,898 and the doctor is an idiot. 671 00:25:24,442 --> 00:25:26,318 Just checked on baby Jane Doe. 672 00:25:26,319 --> 00:25:29,029 Looking good. Taking formula well. 673 00:25:29,030 --> 00:25:30,864 We're here to take a statement. 674 00:25:30,865 --> 00:25:33,658 We're looking for a Tony Chinchiolo. 675 00:25:33,659 --> 00:25:37,245 Yo! Right over here, boys! 676 00:25:37,246 --> 00:25:39,247 Well, officers. 677 00:25:39,248 --> 00:25:41,583 Heard you had some trouble over at the campus library. 678 00:25:41,584 --> 00:25:43,918 Shit. Let me just say... 679 00:25:43,919 --> 00:25:46,588 new appreciation for what you guys do every day. 680 00:25:46,589 --> 00:25:49,090 Frickin' junkie jungle, right? 681 00:25:49,091 --> 00:25:51,259 At the campus library? 682 00:25:51,260 --> 00:25:52,469 Yeah. 683 00:25:52,470 --> 00:25:53,762 Thumb and forefinger make a C. 684 00:25:53,763 --> 00:25:55,472 Bottom three fingers make an E for jaw lift. 685 00:25:55,473 --> 00:25:57,515 One breath every five seconds. Come here, try it. 686 00:25:57,516 --> 00:25:59,434 About two minutes since defibrillation. 687 00:25:59,435 --> 00:26:02,520 - Holding compressions. - Normal sinus. 688 00:26:02,521 --> 00:26:04,689 Carotid. Strong carotid. Okay, let's try for BP. 689 00:26:04,690 --> 00:26:06,316 Why don't we check after the shock? 690 00:26:06,317 --> 00:26:08,276 2024 ACLS guidelines. 691 00:26:08,277 --> 00:26:10,278 Patients can remain pulseless for a little bit, 692 00:26:10,279 --> 00:26:11,738 even after successful defib. 693 00:26:11,739 --> 00:26:14,240 He came back with one shock. That's as good as it gets. 694 00:26:14,241 --> 00:26:16,660 - 104 over 68. - Good squeeze. Good EF. 695 00:26:16,661 --> 00:26:18,703 Spontaneous respirations. Okay, let's lift him up. 696 00:26:18,704 --> 00:26:21,081 He's breathing on his own... excellent sign. 697 00:26:21,082 --> 00:26:22,415 Oh, God. 698 00:26:22,416 --> 00:26:25,877 - Can I touch him? - Of course. 699 00:26:25,878 --> 00:26:27,253 Oh, Mark. 700 00:26:27,254 --> 00:26:30,298 Hey. 701 00:26:30,299 --> 00:26:32,092 Oh, shit. 702 00:26:32,093 --> 00:26:33,426 We need a gurney! 703 00:26:33,427 --> 00:26:35,261 Nancy? 704 00:26:35,262 --> 00:26:38,515 Mrs. Yee? 705 00:26:38,516 --> 00:26:40,016 Weak carotid. Shallow breaths. 706 00:26:40,017 --> 00:26:41,851 Did she vasovagal from stress? 707 00:26:41,852 --> 00:26:43,019 Can't assume that. 708 00:26:43,020 --> 00:26:44,854 Positive seat belt si... oh, shit. 709 00:26:44,855 --> 00:26:46,564 Hang two units of O-neg on the rapid infuser. 710 00:26:46,565 --> 00:26:48,149 Somebody call Garcia. Shit. 711 00:26:48,150 --> 00:26:49,984 We really should have insisted on examining her. 712 00:26:49,985 --> 00:26:51,319 Okay, I got the head. 713 00:26:51,320 --> 00:26:53,655 Platelets are these tiny things in the blood 714 00:26:53,656 --> 00:26:55,198 that help it clot. 715 00:26:55,199 --> 00:26:58,660 And thrombocytopenia is fancy for "low platelets," 716 00:26:58,661 --> 00:27:01,079 which explains why your skin bruises so easily. 717 00:27:01,080 --> 00:27:02,330 And what causes it? 718 00:27:02,331 --> 00:27:04,416 It's actually her immune system 719 00:27:04,417 --> 00:27:06,501 that's causing the destruction of platelets. 720 00:27:06,502 --> 00:27:08,503 Sometimes it's a triggered response 721 00:27:08,504 --> 00:27:11,840 to, uh, an environmental factor or virus. 722 00:27:11,841 --> 00:27:14,759 And what's the treatment? What are you giving her? 723 00:27:14,760 --> 00:27:17,345 We'll be treating her with high-dose steroids 724 00:27:17,346 --> 00:27:20,265 to suppress the immune system and IV immunoglobulin, 725 00:27:20,266 --> 00:27:23,059 which reduces the destruction of the platelets in the spleen. 726 00:27:23,060 --> 00:27:24,352 Can I go home? 727 00:27:24,353 --> 00:27:26,354 You're gonna have to stay in the hospital 728 00:27:26,355 --> 00:27:28,022 for about three days 729 00:27:28,023 --> 00:27:30,358 to make sure that the treatment is working. 730 00:27:30,359 --> 00:27:32,068 Okay. Okay. 731 00:27:32,069 --> 00:27:34,070 So when can she get a room in the hospital? 732 00:27:34,071 --> 00:27:35,739 That is an excellent question. 733 00:27:35,740 --> 00:27:37,323 I'm going to see if I can make that happen 734 00:27:37,324 --> 00:27:38,450 sooner rather than later, 735 00:27:38,451 --> 00:27:40,368 - but it might take a while. - Okay. 736 00:27:40,369 --> 00:27:42,370 GPS says I should be there by 11:00. 737 00:27:42,371 --> 00:27:45,206 Do you have any other questions for me, ma'am? 738 00:27:45,207 --> 00:27:47,959 No. I'm sure I will, but I'll let you go for now. 739 00:27:47,960 --> 00:27:49,294 Thank you, Benny. 740 00:27:49,295 --> 00:27:50,545 All right. I'll see you when you get here. 741 00:27:50,546 --> 00:27:52,213 See you soon, baby. I love you. 742 00:27:52,214 --> 00:27:55,050 Bye, Mom. Love you too. 743 00:27:56,385 --> 00:27:58,219 There you are. 744 00:27:58,220 --> 00:27:59,554 And there you are. 745 00:27:59,555 --> 00:28:02,474 Don't try to charm me. You promised to stay put. 746 00:28:02,475 --> 00:28:04,225 I was going to come right back. 747 00:28:04,226 --> 00:28:06,060 My backside is killing me. 748 00:28:06,061 --> 00:28:09,272 I need to keep moving, or I get all achy and stiff. 749 00:28:09,273 --> 00:28:12,400 Well, I got you this foam donut to sit on 750 00:28:12,401 --> 00:28:15,236 - while we wait for your X-rays. - Hmm. 751 00:28:15,237 --> 00:28:17,739 Dr. Hazel Eyes, it says here 752 00:28:17,740 --> 00:28:22,660 that it's only supposed to take an hour or two for an X-ray. 753 00:28:22,661 --> 00:28:25,580 Well, the patient passport holiday edition 754 00:28:25,581 --> 00:28:27,290 would better reflect reality. 755 00:28:27,291 --> 00:28:29,584 It could be double that. 756 00:28:29,585 --> 00:28:31,377 There's no need for reality. 757 00:28:31,378 --> 00:28:33,671 We romantics... 758 00:28:33,672 --> 00:28:37,175 prefer la reve, the dream. 759 00:28:37,176 --> 00:28:38,802 We do, do we? 760 00:28:38,803 --> 00:28:40,887 Oui. 761 00:28:49,188 --> 00:28:50,605 Right. 762 00:28:54,151 --> 00:28:56,444 Hey, save a dance for me. 763 00:28:56,445 --> 00:28:59,030 Uh, yeah, okay, I will. 764 00:28:59,031 --> 00:29:00,448 - Dr. McKay? - Yes. 765 00:29:00,449 --> 00:29:01,658 This is Gretchen Williams. 766 00:29:01,659 --> 00:29:03,535 - Actually, it's Lambdin. - Ah. 767 00:29:03,536 --> 00:29:05,787 You called about my ex-husband, Michael Williams. 768 00:29:05,788 --> 00:29:07,872 Yeah. Yes, yes. Thank you for coming in. 769 00:29:07,873 --> 00:29:10,166 You were, um, listed as his emergency contact. 770 00:29:10,167 --> 00:29:11,543 Yeah, I don't know why. 771 00:29:11,544 --> 00:29:14,295 We have been divorced for years. 772 00:29:14,296 --> 00:29:15,630 Is he all right? 773 00:29:15,631 --> 00:29:18,800 He's... he's going through a lot right now. 774 00:29:18,801 --> 00:29:20,511 Would you like to see him? 775 00:29:22,471 --> 00:29:23,721 Uh, okay. 776 00:29:23,722 --> 00:29:27,475 Leo, can you zoom in and please hold it a little steadier? 777 00:29:27,476 --> 00:29:29,061 Okay. 778 00:29:31,272 --> 00:29:32,689 Okay. 779 00:29:32,690 --> 00:29:34,315 Atorvastatin. 780 00:29:34,316 --> 00:29:35,942 Simvastatin. 781 00:29:35,943 --> 00:29:37,235 Ezetimibe. 782 00:29:37,236 --> 00:29:39,779 Those are all high-cholesterol medications. 783 00:29:39,780 --> 00:29:41,489 Can you go to the right? 784 00:29:41,490 --> 00:29:43,783 Lisinopril. 785 00:29:43,784 --> 00:29:45,785 Losartan. Propranolol. 786 00:29:45,786 --> 00:29:47,787 Wait, wait, that's it. 787 00:29:47,788 --> 00:29:49,330 Wendy's pile. 788 00:29:49,331 --> 00:29:50,498 Yellowish bottle, 789 00:29:50,499 --> 00:29:52,667 little, round blue pills, just like I said. 790 00:29:52,668 --> 00:29:54,669 - Propranolol? - Bingo, little lady. 791 00:29:54,670 --> 00:29:57,171 Okay, yeah, well, this makes a lot of sense now. 792 00:29:57,172 --> 00:30:01,175 Um, propranolol is a high-blood-pressure medication. 793 00:30:01,176 --> 00:30:04,012 Those are 20 milligrams each, 794 00:30:04,013 --> 00:30:06,180 and the starting dose is 40 mgs. 795 00:30:06,181 --> 00:30:08,016 How many pills did you take? 796 00:30:08,017 --> 00:30:10,852 No, ma'am. I-I went just before I came here. 797 00:30:10,853 --> 00:30:12,562 Dad. 798 00:30:12,563 --> 00:30:15,356 Um... pill... how many pills did you take? 799 00:30:15,357 --> 00:30:20,111 Oh, uh, I think four, maybe five. 800 00:30:20,112 --> 00:30:21,946 That is a lot. Okay. 801 00:30:21,947 --> 00:30:24,198 Full stomach, mind you. 802 00:30:24,199 --> 00:30:27,410 Well, um, the good news is, it has a short half-life, 803 00:30:27,411 --> 00:30:30,038 so, um, we're gonna need to keep you 804 00:30:30,039 --> 00:30:31,706 for about four hours to monitor. 805 00:30:31,707 --> 00:30:33,958 But then you'll be able to rejoin 806 00:30:33,959 --> 00:30:35,960 for all the late-afternoon festivities. 807 00:30:35,961 --> 00:30:38,421 - All right. - Whoo! 808 00:30:38,422 --> 00:30:40,173 Unit 3 and 4 running in. 809 00:30:40,174 --> 00:30:42,050 BP 84 over 56. Heart rate 112. 810 00:30:42,051 --> 00:30:43,843 Free fluid's much bigger than before. 811 00:30:43,844 --> 00:30:45,887 She's not turning the corner. OR is holding a room. 812 00:30:45,888 --> 00:30:47,472 I'll let the husband know. 813 00:30:47,473 --> 00:30:48,806 Why did you guys wait so long to check her? 814 00:30:48,807 --> 00:30:50,600 Good vitals in the field. No distress. 815 00:30:50,601 --> 00:30:51,935 She refused to sign in. 816 00:30:51,936 --> 00:30:53,311 You should have convinced her. 817 00:30:53,312 --> 00:30:54,729 20/20 hindsight. She was stable. 818 00:30:54,730 --> 00:30:55,772 Until she wasn't. 819 00:30:55,773 --> 00:30:57,565 Next time, I'll use my X-ray vision goggles. 820 00:30:57,566 --> 00:30:59,567 Let's get her upstairs. 821 00:30:59,568 --> 00:31:02,320 Got to do an accu-check on my DKA patient. 822 00:31:02,321 --> 00:31:04,155 Thanks for the backup. 823 00:31:04,156 --> 00:31:05,950 Anytime. 824 00:31:09,453 --> 00:31:12,164 Now, try and lift your arm, Mark. 825 00:31:14,124 --> 00:31:16,084 I'm trying. Can't do it. 826 00:31:16,085 --> 00:31:20,588 But you are getting stronger, and your speech is improving. 827 00:31:20,589 --> 00:31:22,924 How did I lose so much potassium? 828 00:31:22,925 --> 00:31:26,219 You didn't lose it. It got shifted into cells. 829 00:31:26,220 --> 00:31:28,471 When it comes back, you'll return to normal. 830 00:31:28,472 --> 00:31:29,722 Where's Nancy? 831 00:31:29,723 --> 00:31:31,766 She had an injury to her spleen right about here 832 00:31:31,767 --> 00:31:33,643 with some internal bleeding. 833 00:31:33,644 --> 00:31:35,019 Oh, God. 834 00:31:35,020 --> 00:31:36,396 She passed out from blood loss. 835 00:31:36,397 --> 00:31:38,648 We were able to transfuse her, and she's now on her way 836 00:31:38,649 --> 00:31:40,858 to surgery to repair that damage. 837 00:31:40,859 --> 00:31:43,069 This is my fault. 838 00:31:43,070 --> 00:31:46,739 She was trying to... 839 00:31:46,740 --> 00:31:51,202 She booked a trip for us, for me. 840 00:31:51,203 --> 00:31:54,122 I fought her the whole time. I've been... 841 00:31:57,167 --> 00:31:59,002 Please don't... 842 00:31:59,003 --> 00:32:01,963 oh, my God, please don't let her die. 843 00:32:01,964 --> 00:32:03,339 Please. 844 00:32:03,340 --> 00:32:06,093 I can assure you that she is in excellent hands. 845 00:32:08,137 --> 00:32:09,846 Is this how it works? 846 00:32:09,847 --> 00:32:12,306 How what works? 847 00:32:12,307 --> 00:32:14,851 You think things are important... 848 00:32:14,852 --> 00:32:18,354 that everything's so important. 849 00:32:18,355 --> 00:32:20,524 And then you end up here and see. 850 00:32:23,569 --> 00:32:26,904 Yeah, that is how it works. 851 00:32:26,905 --> 00:32:29,824 No, it's a small hole. 852 00:32:29,825 --> 00:32:32,326 Like the size of a dime, right, Doc? 853 00:32:32,327 --> 00:32:34,787 Mm-hmm. Yeah, even smaller. 854 00:32:34,788 --> 00:32:36,831 It's a minor enough procedure 855 00:32:36,832 --> 00:32:39,417 that most patients go home the next day. 856 00:32:39,418 --> 00:32:40,501 And then? 857 00:32:40,502 --> 00:32:42,670 And then they'll know what it is 858 00:32:42,671 --> 00:32:43,921 and how to treat it. 859 00:32:43,922 --> 00:32:47,051 - Isn't that right? - Yeah, exactly. 860 00:32:49,011 --> 00:32:51,971 I'm sorry that they called you. 861 00:32:51,972 --> 00:32:53,973 I never updated the form, I guess. 862 00:32:53,974 --> 00:32:56,101 No, no, it's okay. I'm... 863 00:32:57,686 --> 00:33:01,522 You know, they called, and I was just kind of surprised. 864 00:33:03,567 --> 00:33:05,319 Well, you didn't have to come. 865 00:33:07,029 --> 00:33:08,238 But I did. 866 00:33:11,742 --> 00:33:14,035 I heard you got married. 867 00:33:14,036 --> 00:33:15,703 Congratulations. 868 00:33:15,704 --> 00:33:17,456 Thank you. 869 00:33:19,374 --> 00:33:22,086 I hope he treats you well. 870 00:33:23,879 --> 00:33:25,964 You deserve to be happy. 871 00:33:31,261 --> 00:33:35,473 I'm really sorry you're going through this, Michael. 872 00:33:35,474 --> 00:33:37,683 Yeah. 873 00:33:37,684 --> 00:33:40,603 Me too. 874 00:33:40,604 --> 00:33:43,649 But you know me... I'm a survivor. 875 00:33:47,986 --> 00:33:52,532 Why don't I-I leave you guys to talk for a few minutes? 876 00:33:52,533 --> 00:33:55,119 I have a patient to check on. 877 00:33:56,495 --> 00:33:58,497 - Sure. - Yeah. 878 00:33:59,998 --> 00:34:02,458 Mr. Diaz should be improving after 2 liters. 879 00:34:02,459 --> 00:34:03,918 Blood sugar? 880 00:34:03,919 --> 00:34:05,920 Down from 521 to 436. 881 00:34:05,921 --> 00:34:07,255 That's good, right? 882 00:34:07,256 --> 00:34:08,631 Moving in the right direction. 883 00:34:08,632 --> 00:34:10,800 Were you able to get ahold of your mom? 884 00:34:10,801 --> 00:34:13,094 Yes. She's on her way. She doesn't have a car. 885 00:34:13,095 --> 00:34:15,513 She takes buses, so it takes longer. 886 00:34:15,514 --> 00:34:18,349 - I'm sorry. - Don't be. 887 00:34:18,350 --> 00:34:21,936 Current insulin is 0.1 units per kilo per hour. 888 00:34:21,937 --> 00:34:22,979 Next steps? 889 00:34:22,980 --> 00:34:24,647 Once the glucose is down to 250, 890 00:34:24,648 --> 00:34:27,316 reduce the insulin to 0.05 units per kilo per hour. 891 00:34:27,317 --> 00:34:28,943 Because you can normalize the blood sugar 892 00:34:28,944 --> 00:34:31,404 before you clear the ketones, and you don't get hypoglycemia. 893 00:34:31,405 --> 00:34:34,157 But as treatment continues, you'll have to give IV dextrose 894 00:34:34,158 --> 00:34:36,617 to keep the blood glucose in between 150 and 200 895 00:34:36,618 --> 00:34:37,910 while the insulin drip clears the ketones. 896 00:34:37,911 --> 00:34:39,704 Obviously. 897 00:34:39,705 --> 00:34:41,456 I'm sorry, what? 898 00:34:43,167 --> 00:34:44,458 Got it. 899 00:34:44,459 --> 00:34:46,377 Duante, what are you doing in there, son? 900 00:34:46,378 --> 00:34:47,837 I'm a rabbit, 901 00:34:47,838 --> 00:34:50,131 grabbing all the carrots before the farmer gets me. 902 00:34:50,132 --> 00:34:51,757 Keep going. 903 00:34:51,758 --> 00:34:55,386 This is a Katz extractor with a tiny balloon at the end. 904 00:34:55,387 --> 00:34:57,471 What we're gonna do is, we're gonna slip it past the bead, 905 00:34:57,472 --> 00:34:59,098 inflate the balloon, try to pull out the bead. 906 00:34:59,099 --> 00:35:01,309 - Is it painful? - No, he's... he's numbed up. 907 00:35:01,310 --> 00:35:02,852 Made it to level three. 908 00:35:02,853 --> 00:35:04,228 And pretty distracted. 909 00:35:04,229 --> 00:35:06,480 Dad's gonna hold your head still, okay? 910 00:35:06,481 --> 00:35:09,066 - Look up. - Okay. 911 00:35:09,067 --> 00:35:12,987 Now go back, perpendicular, 912 00:35:12,988 --> 00:35:15,073 below the turbinates. 913 00:35:16,408 --> 00:35:18,993 You guys ever hear of John O'Donohue? 914 00:35:18,994 --> 00:35:20,203 - Mm-mm. - No. 915 00:35:20,204 --> 00:35:21,662 I've been reading him a lot lately. 916 00:35:21,663 --> 00:35:25,041 He's got this book of, um, blessings. 917 00:35:25,042 --> 00:35:27,335 And there's this one about fatherhood. 918 00:35:27,336 --> 00:35:30,046 Really stuck with me. 919 00:35:30,047 --> 00:35:32,465 Voilà. One red bead. 920 00:35:32,466 --> 00:35:34,884 Yeah? How's it go? 921 00:35:34,885 --> 00:35:38,763 The ending goes, "May you be gentle and loving, 922 00:35:38,764 --> 00:35:40,681 "clear and sure. 923 00:35:40,682 --> 00:35:43,559 "May you trust in the unseen Providence 924 00:35:43,560 --> 00:35:45,895 "that has chosen you to be a family. 925 00:35:45,896 --> 00:35:49,982 "May you stand sure on your ground and know 926 00:35:49,983 --> 00:35:53,277 "that every grace you need will unfold before you 927 00:35:53,278 --> 00:35:55,780 like all the mornings of your life." 928 00:35:55,781 --> 00:35:57,865 Hmm. That's good. 929 00:35:57,866 --> 00:36:02,870 I'd add, support your woman and pack good snacks. 930 00:36:02,871 --> 00:36:04,413 That's beautiful. 931 00:36:04,414 --> 00:36:07,375 And it turns out, there's no handbook for fatherhood. 932 00:36:07,376 --> 00:36:11,379 So I will take all the wisdom I can. 933 00:36:11,380 --> 00:36:14,341 Blue bead out. 934 00:36:19,221 --> 00:36:20,763 Anything else? 935 00:36:20,764 --> 00:36:23,391 You tell me. I have my own report to do. 936 00:36:23,392 --> 00:36:24,475 Anything I left out? 937 00:36:24,476 --> 00:36:25,893 Labs are back on that kid. 938 00:36:25,894 --> 00:36:27,395 We'll follow up with Mr. Davis. 939 00:36:27,396 --> 00:36:30,274 Yeah, when Mr. Davis comes off the ceiling. 940 00:36:33,277 --> 00:36:35,403 Jackson Davis... 941 00:36:35,404 --> 00:36:37,738 tox screen negative for cocaine, 942 00:36:37,739 --> 00:36:42,201 amphetamines, marijuana, PCP, benzos, and opioids. 943 00:36:42,202 --> 00:36:44,495 - So no drugs in his system? - Nope. 944 00:36:44,496 --> 00:36:46,789 Taser barbs on the back of the victim's neck? 945 00:36:46,790 --> 00:36:48,250 Yep. 946 00:36:51,086 --> 00:36:53,212 Changes things, Tony. 947 00:36:53,213 --> 00:36:54,839 Hey, Louie. 948 00:36:54,840 --> 00:36:57,633 - How we doing? - Not so good. 949 00:36:57,634 --> 00:36:59,969 I could really use a drink. 950 00:36:59,970 --> 00:37:02,638 I f-feel a-a little empty. 951 00:37:02,639 --> 00:37:04,223 Okay, well, empty is what we want. 952 00:37:04,224 --> 00:37:06,309 And it looks like we are there. 953 00:37:06,310 --> 00:37:09,770 Hey, well, if I can't get a drink, my tooth. 954 00:37:09,771 --> 00:37:11,272 You... you got to do something. 955 00:37:11,273 --> 00:37:12,440 We're gonna get right to that. 956 00:37:12,441 --> 00:37:16,193 Let's hang some IV antibiotics, 3 grams of Unasyn. 957 00:37:16,194 --> 00:37:18,279 Excellent. 958 00:37:18,280 --> 00:37:19,488 He's gonna be right back. 959 00:37:19,489 --> 00:37:20,948 We're gonna numb it up and drain it. 960 00:37:20,949 --> 00:37:22,783 - Ten minutes, tops, okay? - Oh. 961 00:37:22,784 --> 00:37:25,328 Hey, uh, you said you met Mr. Zambelli, 962 00:37:25,329 --> 00:37:27,455 the fireworks guy, on the field. 963 00:37:27,456 --> 00:37:28,456 What field was that? 964 00:37:28,457 --> 00:37:32,126 Uh, n-no more talking. You got to fix my tooth. 965 00:37:32,127 --> 00:37:33,794 Yeah, deal. 966 00:37:39,885 --> 00:37:42,553 You're Muslim? 967 00:37:42,554 --> 00:37:45,139 I am. 968 00:37:45,140 --> 00:37:46,640 Thank you. 969 00:37:46,641 --> 00:37:48,560 Oh, for what? 970 00:37:49,853 --> 00:37:52,271 After the shooting, it was the Muslims 971 00:37:52,272 --> 00:37:55,775 that came together for us in support and... 972 00:37:55,776 --> 00:37:57,568 walked with us. 973 00:37:57,569 --> 00:37:59,195 You raised money. 974 00:37:59,196 --> 00:38:00,946 You... 975 00:38:00,947 --> 00:38:03,824 paid for all the funerals. 976 00:38:03,825 --> 00:38:06,410 Anyway... 977 00:38:06,411 --> 00:38:07,870 thank you. 978 00:38:07,871 --> 00:38:10,998 Hello. How's it going in here? 979 00:38:10,999 --> 00:38:12,875 Did I miss all the gross stuff? 980 00:38:12,876 --> 00:38:14,919 - Timed it perfectly. - Excellent. 981 00:38:14,920 --> 00:38:17,254 My job is all about delegation and time management. 982 00:38:17,255 --> 00:38:19,548 - Oh, not for much longer. - That is very true. 983 00:38:19,549 --> 00:38:21,175 W-why for not longer? 984 00:38:21,176 --> 00:38:24,178 Because tomorrow I am leaving to go on sabbatical. 985 00:38:24,179 --> 00:38:27,390 He's leaving us for three months on a motorcycle. 986 00:38:27,391 --> 00:38:30,017 Motorcycle? You're joking. 987 00:38:30,018 --> 00:38:32,728 - Why would you do this? - Why? Why? 988 00:38:32,729 --> 00:38:34,939 - Why? Because... - You're middle-aged man. 989 00:38:34,940 --> 00:38:36,690 Don't be stupid. 990 00:38:36,691 --> 00:38:38,651 Don't hold back. Tell me how you really feel. 991 00:38:38,652 --> 00:38:41,237 Forgive me for being blunt, Dr. Robinavitch, 992 00:38:41,238 --> 00:38:43,864 but how old are you, huh... 50? 993 00:38:43,865 --> 00:38:45,908 - Ish. - Ish. 994 00:38:45,909 --> 00:38:49,912 50-ish-year-old man on a motorcycle... 995 00:38:49,913 --> 00:38:50,913 very sad. 996 00:39:02,050 --> 00:39:03,802 I, um... 997 00:39:05,595 --> 00:39:07,888 I-I-I don't know what to say. 998 00:39:07,889 --> 00:39:10,224 Have you ever heard of ITP? 999 00:39:10,225 --> 00:39:11,226 I never did. 1000 00:39:13,395 --> 00:39:15,604 I really appreciate you bringing her here, okay? 1001 00:39:15,605 --> 00:39:17,898 Of course. What do you think I am? 1002 00:39:17,899 --> 00:39:19,233 Oh, that's right. 1003 00:39:19,234 --> 00:39:20,901 You think I'm some kind of child abuser. 1004 00:39:20,902 --> 00:39:22,570 - No, I never said that... - The fuck you didn't. 1005 00:39:22,571 --> 00:39:24,613 In front of all those people, you made it sound like 1006 00:39:24,614 --> 00:39:25,781 she might have been getting hurt 1007 00:39:25,782 --> 00:39:28,075 while I was watching her, like it was my fault. 1008 00:39:28,076 --> 00:39:29,326 You basically said the same thing about me. 1009 00:39:29,327 --> 00:39:30,995 No, I said that you guys roughhouse... 1010 00:39:30,996 --> 00:39:32,621 that's all... because you do. 1011 00:39:32,622 --> 00:39:34,832 You know I would never hurt my daughter. 1012 00:39:34,833 --> 00:39:36,917 Actually, I don't. 1013 00:39:36,918 --> 00:39:39,837 I've known you six months. You could be anybody. 1014 00:39:39,838 --> 00:39:41,922 Okay, well, I am sorry for what I said, okay? 1015 00:39:41,923 --> 00:39:43,632 I was upset, and I-I was worried. 1016 00:39:43,633 --> 00:39:45,176 And I just... I said something stupid. 1017 00:39:45,177 --> 00:39:46,510 - And I just... - You think? 1018 00:39:46,511 --> 00:39:47,761 Will you just fucking let me finish? 1019 00:39:47,762 --> 00:39:49,889 You are finished! 1020 00:39:49,890 --> 00:39:51,016 We're finished. 1021 00:39:53,185 --> 00:39:54,894 Well, happy fucking Fourth of July. 1022 00:39:54,895 --> 00:39:56,188 Yeah, happy Independence Day. 1023 00:40:01,276 --> 00:40:04,028 Excuse me? 1024 00:40:04,029 --> 00:40:05,988 Yes? What can I do for you? 1025 00:40:05,989 --> 00:40:08,199 Uh, my wife and I were in an accident. 1026 00:40:08,200 --> 00:40:11,577 Um, she's in surgery right now. 1027 00:40:11,578 --> 00:40:13,537 Would you mind holding my phone up for me 1028 00:40:13,538 --> 00:40:15,998 so I could record a message for her? 1029 00:40:15,999 --> 00:40:17,666 Of course I will. 1030 00:40:17,667 --> 00:40:18,667 Happy to. 1031 00:40:18,668 --> 00:40:21,462 Oh, good, I have the same one. 1032 00:40:21,463 --> 00:40:23,215 I know how this works. 1033 00:40:25,175 --> 00:40:27,468 Okay. 1034 00:40:27,469 --> 00:40:28,636 Ready? 1035 00:40:28,637 --> 00:40:30,971 Go. 1036 00:40:32,140 --> 00:40:34,308 Hi, my love. 1037 00:40:34,309 --> 00:40:37,144 So, uh... 1038 00:40:37,145 --> 00:40:41,148 I was listening to this couple argue, uh... 1039 00:40:41,149 --> 00:40:42,983 and they were yelling. 1040 00:40:42,984 --> 00:40:45,529 Both so angry. 1041 00:40:47,447 --> 00:40:52,117 And I just wanted you to know, um... 1042 00:40:52,118 --> 00:40:54,119 that I was wrong. 1043 00:40:54,120 --> 00:40:58,999 I was so wrong, and... and I'm sorry about all of it. 1044 00:40:59,000 --> 00:41:00,460 Uh... 1045 00:41:02,170 --> 00:41:03,712 Hey. 1046 00:41:03,713 --> 00:41:05,673 How you doing? 1047 00:41:05,674 --> 00:41:07,716 I haven't seen him in, like, four years. 1048 00:41:07,717 --> 00:41:10,553 Oh. I can't imagine. 1049 00:41:10,554 --> 00:41:12,721 - That must have been... - So crazy. 1050 00:41:12,722 --> 00:41:15,015 You know, things were not good at the end. 1051 00:41:15,016 --> 00:41:17,560 He was a really different person. 1052 00:41:17,561 --> 00:41:22,022 Huge temper, not like when we first got married. 1053 00:41:22,023 --> 00:41:23,942 I'm so sorry. 1054 00:41:25,235 --> 00:41:27,278 Could that mass have been there for a while 1055 00:41:27,279 --> 00:41:30,406 and only recently got worse? 1056 00:41:30,407 --> 00:41:31,699 Yes. 1057 00:41:31,700 --> 00:41:34,535 Could it be responsible for how much he changed? 1058 00:41:34,536 --> 00:41:36,745 You know, his... his moods and tempers? 1059 00:41:36,746 --> 00:41:40,958 He was... he was getting into fights with strangers. 1060 00:41:40,959 --> 00:41:43,461 It's possible. 1061 00:41:50,051 --> 00:41:51,511 Oh. 1062 00:41:53,847 --> 00:41:55,640 Thank you. 1063 00:41:57,809 --> 00:42:01,895 Um, unless he's asked you to change it, 1064 00:42:01,896 --> 00:42:05,232 would you please leave me as... 1065 00:42:05,233 --> 00:42:06,859 the emergency contact? 1066 00:42:06,860 --> 00:42:08,862 Yeah, absolutely. 1067 00:42:20,081 --> 00:42:22,583 Okay, I'm sending Mrs. Kovalenko home 1068 00:42:22,584 --> 00:42:23,792 with burn dressing 1069 00:42:23,793 --> 00:42:25,919 but not before she turned my sabbatical 1070 00:42:25,920 --> 00:42:28,589 - into a midlife crisis. - No comment. 1071 00:42:28,590 --> 00:42:30,591 - Wound check, two days. - Got it. 1072 00:42:30,592 --> 00:42:32,176 What about Kylie, this little girl? 1073 00:42:32,177 --> 00:42:34,094 - She gone up yet? - Hopefully soon. 1074 00:42:34,095 --> 00:42:36,305 Hey, we're starting to clear some space around here. 1075 00:42:36,306 --> 00:42:38,432 Yep. 1076 00:42:38,433 --> 00:42:41,978 Charge Nurse. Go ahead, Medic Command. 1077 00:42:43,521 --> 00:42:45,272 Is this a drill? 1078 00:42:45,273 --> 00:42:46,440 Is this a joke? 1079 00:42:46,441 --> 00:42:47,776 It's the Fourth of fucking July. 1080 00:42:52,781 --> 00:42:54,573 Got it. Thanks. 1081 00:42:54,574 --> 00:42:56,408 - What's up? - Westbridge has a Code Black 1082 00:42:56,409 --> 00:42:58,327 and is closing to internal disaster. 1083 00:42:58,328 --> 00:43:00,371 Central's diverting all their ambulance traffic to us. 1084 00:43:00,372 --> 00:43:02,498 - What's the issue? - Comspec didn't say. 1085 00:43:02,499 --> 00:43:03,582 Shit, it could be anything 1086 00:43:03,583 --> 00:43:05,167 from a flooding toilet to a power outage. 1087 00:43:05,168 --> 00:43:06,794 - How long? - Didn't know. 1088 00:43:06,795 --> 00:43:09,129 A couple of doctors probably got the holiday flu, 1089 00:43:09,130 --> 00:43:11,090 and they're understaffed. 1090 00:43:12,676 --> 00:43:15,969 How come? How long? How many? 1091 00:43:15,970 --> 00:43:18,055 Mm, mm, mm. 1092 00:43:18,056 --> 00:43:21,392 Sounds like a betting grid to me. 1093 00:43:21,393 --> 00:43:23,395 We are back. 1094 00:43:24,813 --> 00:43:27,299 Oh, I should have left last night. 1095 00:43:27,301 --> 00:43:31,333 Sync and corrections by btsix www.addic7ed.com