1 00:00:09,902 --> 00:00:13,550 Sync and corrections by btsix www.addic7ed.com' 2 00:00:21,434 --> 00:00:24,227 - The man is in his element. - What's he doing? 3 00:00:24,228 --> 00:00:26,021 Age-old ritual, meant to capitalize 4 00:00:26,022 --> 00:00:27,397 off the unknown origins 5 00:00:27,398 --> 00:00:31,109 of Westbridge's current state of affairs. 6 00:00:31,110 --> 00:00:33,528 Whoever guesses the reason they went code black wins the pot. 7 00:00:33,529 --> 00:00:36,948 Ah, interesting. We didn't do this at the VA. 8 00:00:36,949 --> 00:00:38,199 - You game? - Of course. 9 00:00:38,200 --> 00:00:40,035 Now, how's this look to you? 10 00:00:40,036 --> 00:00:41,619 My wager is on flooding. 11 00:00:41,620 --> 00:00:43,038 They're going to be down for 3 hours, 12 00:00:43,039 --> 00:00:44,831 and we're going to get 20 of their patients. 13 00:00:44,832 --> 00:00:48,918 Put me down for flooding, 4 hours and 30 patients. 14 00:00:48,919 --> 00:00:50,503 Okay, okay, okay. 15 00:00:50,504 --> 00:00:52,130 Hey, Dr. Robby, looks like you got some competition. 16 00:00:52,131 --> 00:00:53,548 Yes, it would appear that I do. 17 00:00:53,549 --> 00:00:55,300 All right, guys and gals, enough fun. 18 00:00:55,301 --> 00:00:57,177 We have people to take care of. 19 00:00:57,178 --> 00:00:58,887 You want to bring Langdon back from triage 20 00:00:58,888 --> 00:01:00,305 for the extra hands? 21 00:01:00,306 --> 00:01:02,140 No, I do not. I don't think that's necessary. 22 00:01:02,141 --> 00:01:03,892 We're doing just fine without him. 23 00:01:03,893 --> 00:01:05,060 You're the boss, boss. 24 00:01:07,146 --> 00:01:11,567 Daniel Ortiz, tu licencia en el mostrador. 25 00:01:12,902 --> 00:01:15,028 Next. 26 00:01:15,029 --> 00:01:17,322 Hi. Uh, the doctor guy told me 27 00:01:17,323 --> 00:01:19,908 to put this mineral oil on my eye for 20 minutes. 28 00:01:19,909 --> 00:01:21,868 That was 2 hours ago. 29 00:01:21,869 --> 00:01:24,120 We're really busy, but we'll get to you. 30 00:01:24,121 --> 00:01:26,372 - Oh, my God. Okay, when? - I will check. 31 00:01:26,373 --> 00:01:28,500 Listen for your name to be called. 32 00:01:28,501 --> 00:01:31,002 - Thanks. - Next. 33 00:01:31,003 --> 00:01:32,253 Excuse me. 34 00:01:32,254 --> 00:01:34,255 Uh, hi. I heard my brother was brought here. 35 00:01:34,256 --> 00:01:36,758 - His name is Jackson Davis. - Do you have ID? 36 00:01:36,759 --> 00:01:38,468 Yes, yes, um, 37 00:01:38,469 --> 00:01:41,680 I am his sister Jada Davis. 38 00:01:43,682 --> 00:01:45,308 I'm sorry. I just, uh... 39 00:01:45,309 --> 00:01:47,852 my friend told me that he was brought in by campus police. 40 00:01:47,853 --> 00:01:49,687 There was some sort of fight that broke out at his school. 41 00:01:49,688 --> 00:01:51,981 - Is he okay? Is he here? - Don't know, hon. 42 00:01:51,982 --> 00:01:53,650 Can you just tell me if he's a patient here? 43 00:01:53,651 --> 00:01:57,195 I'll check. Take a seat. And I'll let you know. 44 00:01:57,196 --> 00:01:59,781 - Okay. - Next. 45 00:01:59,782 --> 00:02:02,701 Is Harlow feeling lightheaded or faint now? 46 00:02:04,954 --> 00:02:07,122 It's not as bad as it was before, 47 00:02:07,123 --> 00:02:09,332 but my head still hurts. 48 00:02:09,333 --> 00:02:11,626 And now my stomach does, too. 49 00:02:11,627 --> 00:02:14,880 Well, did she eat before she took her ibuprofen? 50 00:02:16,048 --> 00:02:18,216 Ugh, it's not my... 51 00:02:18,217 --> 00:02:20,928 Breakfast is my least favorite meal of the day. 52 00:02:25,641 --> 00:02:28,351 It's okay to look at me. 53 00:02:28,352 --> 00:02:29,686 I don't bite. 54 00:02:29,687 --> 00:02:31,771 I'm sorry. 55 00:02:31,772 --> 00:02:35,484 Um, we're going to get started with some blood tests. 56 00:02:37,903 --> 00:02:40,363 Is that baby from the bathroom going to be okay? 57 00:02:40,364 --> 00:02:41,406 She'll be fine. 58 00:02:41,407 --> 00:02:43,074 Uh, good news... 59 00:02:43,075 --> 00:02:46,661 nose swab came back negative for COVID, 60 00:02:46,662 --> 00:02:48,496 influenza, and RSV, 61 00:02:48,497 --> 00:02:50,915 but a lot of other viruses can cause a cough. 62 00:02:50,916 --> 00:02:52,292 Lucky me. 63 00:02:52,293 --> 00:02:54,377 You can take off your mask. 64 00:02:54,378 --> 00:02:57,297 Pulse ox is at 91. 65 00:02:57,298 --> 00:02:59,132 Your oxygen level is down 66 00:02:59,133 --> 00:03:00,967 since we checked you an hour ago, 67 00:03:00,968 --> 00:03:03,344 and your temp is up to 102.4. 68 00:03:03,345 --> 00:03:04,929 Let's get you some Tylenol. 69 00:03:04,930 --> 00:03:07,348 Have you been outside today? It's already stifling. 70 00:03:07,349 --> 00:03:09,684 Could be heat-related, but we're going to take you 71 00:03:09,685 --> 00:03:12,854 back to the big ER for a full evaluation. 72 00:03:12,855 --> 00:03:14,439 Can't you just 73 00:03:14,440 --> 00:03:16,274 write me a prescription for some medicine? 74 00:03:16,275 --> 00:03:18,234 I'm sure it's just a summer cold. 75 00:03:18,235 --> 00:03:21,322 - Got somewhere to be? - Work. 76 00:03:23,407 --> 00:03:25,033 I know. It's Saturday. 77 00:03:25,034 --> 00:03:27,869 But I don't think I've had a day off since... 78 00:03:27,870 --> 00:03:31,122 Well, your holiday weekend starts now. 79 00:03:31,123 --> 00:03:32,582 Hey, Javadi. 80 00:03:32,583 --> 00:03:34,709 What are you doing for your birthday? 81 00:03:34,710 --> 00:03:37,378 - Who told you? - Word gets around. 82 00:03:37,379 --> 00:03:40,548 Nothing. I hate celebrating my birthday. 83 00:03:40,549 --> 00:03:42,050 You only turn 21 once. 84 00:03:42,051 --> 00:03:43,635 It's your birthday? 85 00:03:43,636 --> 00:03:47,138 Oh, that makes you a Cancer, right? 86 00:03:47,139 --> 00:03:49,599 I didn't peg you for an astrology girlie. 87 00:03:49,600 --> 00:03:51,226 Yeah. 88 00:03:51,227 --> 00:03:53,228 Been spending too much time around Santos. 89 00:03:53,229 --> 00:03:54,562 Yes, you have. 90 00:03:54,563 --> 00:03:55,605 I don't know how you guys do it. 91 00:03:55,606 --> 00:03:58,191 Live together and work together? 92 00:03:58,192 --> 00:04:00,026 It's my cross to bear. 93 00:04:00,027 --> 00:04:02,695 It can't be as bad as having to live with your parents. 94 00:04:02,696 --> 00:04:04,614 I don't know. I haven't lived at home in years. 95 00:04:04,615 --> 00:04:06,616 - I kind of miss it. - I can tell. 96 00:04:06,617 --> 00:04:08,743 You've been spending a lot of time on that farm. 97 00:04:08,744 --> 00:04:10,328 "Farm"? 98 00:04:10,329 --> 00:04:12,288 Remember the burned farmer who came in last year? 99 00:04:12,289 --> 00:04:14,457 Propane tank exploded, he died in the ICU? 100 00:04:14,458 --> 00:04:16,292 Yeah, that was sad. 101 00:04:16,293 --> 00:04:18,086 Well, this guy has been playing house 102 00:04:18,087 --> 00:04:20,421 with his widow and their baby. 103 00:04:20,422 --> 00:04:22,006 Oh, that's messy. 104 00:04:22,007 --> 00:04:23,049 No. 105 00:04:23,050 --> 00:04:25,260 It's not like that, okay? 106 00:04:25,261 --> 00:04:26,928 I've been helping Amy out on the farm 107 00:04:26,929 --> 00:04:29,472 after her husband died, and she is a friend. 108 00:04:29,473 --> 00:04:30,848 She's just a friend. 109 00:04:30,849 --> 00:04:33,643 Sure, just a friend, with farm benefits. 110 00:04:33,644 --> 00:04:35,728 What are farm benefits? 111 00:04:35,729 --> 00:04:37,605 Oh, use your imagination. 112 00:04:37,606 --> 00:04:39,440 You ever see a milking machine? 113 00:04:39,441 --> 00:04:41,526 Oh, can we not talk about this, please? 114 00:04:41,527 --> 00:04:43,027 We're getting two runs rerouted 115 00:04:43,028 --> 00:04:45,363 from Westbridge already... chest pain and belly pain. 116 00:04:45,364 --> 00:04:47,782 - Robby wants you three out back. - Thank you. 117 00:04:47,783 --> 00:04:49,200 Come on. 118 00:04:49,201 --> 00:04:52,287 Dr. Santos, making progress on your charting, I hope? 119 00:04:52,288 --> 00:04:53,788 Getting there. 120 00:04:53,789 --> 00:04:55,623 Deficient charts leave a gap for the providers 121 00:04:55,624 --> 00:04:58,918 who give continuity of care and delays hospital billing. 122 00:04:58,919 --> 00:05:01,297 Oh, I'd hate to delay billing. 123 00:05:03,215 --> 00:05:05,800 Timely documentation is essential. 124 00:05:05,801 --> 00:05:08,469 Let's fix this before end of shift. 125 00:05:08,470 --> 00:05:11,556 - I'm on it, boss. - Good. 126 00:05:11,557 --> 00:05:13,975 You wouldn't want to repeat your R2 year again 127 00:05:13,976 --> 00:05:15,853 because of this. 128 00:05:18,731 --> 00:05:20,815 Fuck. 129 00:05:20,816 --> 00:05:24,402 God, it's humid as shit out here. 130 00:05:24,403 --> 00:05:25,862 It is. 131 00:05:25,863 --> 00:05:27,530 What's going on at Westbridge? 132 00:05:27,531 --> 00:05:29,574 They're closed, so we're covering their paramedic runs 133 00:05:29,575 --> 00:05:30,992 until they come back up. 134 00:05:30,993 --> 00:05:33,411 As if a holiday weekend wasn't enough. 135 00:05:33,412 --> 00:05:36,414 So, Dr. Al-Hashimi... 136 00:05:36,415 --> 00:05:37,415 Yes? 137 00:05:37,416 --> 00:05:39,751 Do we like her? 138 00:05:39,752 --> 00:05:41,919 She seems pretty cool so far. 139 00:05:41,920 --> 00:05:44,922 You're trying to gossip about an attending with an attending? 140 00:05:44,923 --> 00:05:47,926 Dr. Robby doesn't mind. Do you? 141 00:05:50,095 --> 00:05:52,513 Oh, uh, that's a nice bike, by the way. 142 00:05:52,514 --> 00:05:54,558 - Thank you. - Yeah. 143 00:05:56,769 --> 00:05:58,978 Pamela Perry, 48, abdominal pain 144 00:05:58,979 --> 00:06:02,023 with vomiting after eating chilaquiles with fried eggs. 145 00:06:02,024 --> 00:06:05,276 BP 108 over 64, pulse 98, good sats. 146 00:06:05,277 --> 00:06:08,321 Okay, let's see how she feels with some Zofran 147 00:06:08,322 --> 00:06:09,947 - and a liter wide open. - Got it. 148 00:06:09,948 --> 00:06:12,200 - Yo, Whitaker. - How are you feeling? OK? 149 00:06:12,201 --> 00:06:13,744 Not so good. 150 00:06:17,915 --> 00:06:19,707 - Who do we have here? - Jean Samba... 151 00:06:19,708 --> 00:06:21,918 54, half an hour of left-sided chest pain. 152 00:06:21,919 --> 00:06:25,213 History of hypertension, on lisinopril and Crestor. 153 00:06:25,214 --> 00:06:26,923 Some relief with two nitro. 154 00:06:26,924 --> 00:06:29,342 Decent vitals, no STEMI on 12-lead. 155 00:06:29,343 --> 00:06:31,177 Gave him 324 of chewable aspirin. 156 00:06:31,178 --> 00:06:33,304 Okay, we're going to give you a full evaluation, sir. 157 00:06:33,305 --> 00:06:36,474 Oh, if I am to die, God willing, 158 00:06:36,475 --> 00:06:38,810 I will see His pearly gates. 159 00:06:38,811 --> 00:06:40,186 What's the plan? 160 00:06:40,187 --> 00:06:41,646 Repeat 12-lead, check a troponin, 161 00:06:41,647 --> 00:06:42,980 admit for new onset angina. 162 00:06:42,981 --> 00:06:44,649 Evaluate for PE, aortic dissection. 163 00:06:44,650 --> 00:06:46,567 - That goes without saying. - Sounds good. 164 00:06:46,568 --> 00:06:48,236 I'm a minute behind you. 165 00:07:02,418 --> 00:07:04,085 And who do we have here? 166 00:07:04,086 --> 00:07:06,921 Vince Cole, 23, fell through the skylight of a florist shop, 167 00:07:06,922 --> 00:07:08,589 10 feet down to a bunch of ferns. 168 00:07:08,590 --> 00:07:10,550 Complained of headache, asking repetitive questions, 169 00:07:10,551 --> 00:07:12,218 and only responds to pain. 170 00:07:12,219 --> 00:07:13,761 Multiple lacs from the glass. 171 00:07:13,762 --> 00:07:17,932 BP, 118 over 72, pulse 98, sats, 99 on 5 liters. 172 00:07:17,933 --> 00:07:19,350 No meds, no allergies. 173 00:07:19,351 --> 00:07:21,269 Hey, Vince, how'd you fall through a skylight? 174 00:07:21,270 --> 00:07:22,603 Vince? 175 00:07:22,604 --> 00:07:24,147 Were you with him? 176 00:07:24,148 --> 00:07:26,190 Yeah, we were parkouring, and he overshot a kong vault. 177 00:07:26,191 --> 00:07:27,442 What, like, jumping off of buildings? 178 00:07:27,443 --> 00:07:28,734 People still do that? 179 00:07:28,735 --> 00:07:29,777 It was almost an Olympic sport. 180 00:07:29,778 --> 00:07:32,281 Now we know why it isn't. 181 00:07:34,825 --> 00:07:36,242 Pupils are equal and reactive. 182 00:07:36,243 --> 00:07:38,077 - What do you got? - A 10-foot fall, altered. 183 00:07:38,078 --> 00:07:40,121 - That's a long way down. - 10 feet is the threshold 184 00:07:40,122 --> 00:07:42,331 for trauma center activation... 10 feet, 10% mortality. 185 00:07:42,332 --> 00:07:45,001 0%, anything over 0% is a concern. 186 00:07:45,002 --> 00:07:47,837 Somebody's annoying, and it's not me. 187 00:07:47,838 --> 00:07:50,673 Hey, you said two. You missed one. 188 00:07:50,674 --> 00:07:52,133 Sent you backup, didn't I? 189 00:07:52,134 --> 00:07:54,469 One, two, three. 190 00:07:54,470 --> 00:07:57,513 Okay. Thanks, guys. Good to see you. 191 00:07:57,514 --> 00:07:58,639 Get the EFAST. 192 00:07:58,640 --> 00:08:01,017 Ogilvie, Joy, GCS, please. 193 00:08:01,018 --> 00:08:03,186 Uh, open your eyes, sir. 194 00:08:03,187 --> 00:08:05,271 Two for eyes, two for verbal. 195 00:08:05,272 --> 00:08:07,148 Uh, good lung sliding bilaterally. 196 00:08:07,149 --> 00:08:09,901 Joy, finish GCS. 197 00:08:09,902 --> 00:08:12,653 Squeeze my hand. 198 00:08:12,654 --> 00:08:14,489 He gets a 4 for motor. 199 00:08:14,490 --> 00:08:18,910 Pulse ox 99, heart rate 102, blood pressure 114 over 78. 200 00:08:18,911 --> 00:08:21,579 - And EFAST is negative. - Music to my ears. 201 00:08:21,580 --> 00:08:23,372 Somebody shooting a documentary here? 202 00:08:23,373 --> 00:08:25,166 Whoa, whoa, whoa, you can't film in here. 203 00:08:25,167 --> 00:08:27,001 We've got patient-privacy laws. 204 00:08:27,002 --> 00:08:28,711 - What happened to your hand? - Cut it. 205 00:08:28,712 --> 00:08:31,923 Can somebody show Spielberg here out to the waiting room 206 00:08:31,924 --> 00:08:33,549 and get her registered at triage, please? 207 00:08:33,550 --> 00:08:35,593 He's my creative partner... I have his written consent 208 00:08:35,594 --> 00:08:37,386 to film everything for our TikTok page. 209 00:08:37,387 --> 00:08:38,971 Put the camera down. 210 00:08:38,972 --> 00:08:40,681 We have to drop this video for the Fourth tonight. 211 00:08:40,682 --> 00:08:42,266 That literally means nothing to me. 212 00:08:42,267 --> 00:08:43,976 Seriously, Sean, can you escort her out, please? 213 00:08:43,977 --> 00:08:45,853 Somebody will come and find you once he's stabilized. 214 00:08:45,854 --> 00:08:47,271 Thank you. 215 00:08:47,272 --> 00:08:49,148 I would have let her stay if she'd asked nicely. 216 00:08:49,149 --> 00:08:50,858 What is the, uh, story with surgery? 217 00:08:50,859 --> 00:08:52,610 You guys getting any Westbridge transfers yet? 218 00:08:52,611 --> 00:08:54,237 Not yet, but I'm sure it's coming. 219 00:08:54,238 --> 00:08:56,781 Pan scan, head through pelvis. Let's get him to CT ASAP. 220 00:08:56,782 --> 00:08:58,407 Absent gag. 221 00:08:58,408 --> 00:09:01,744 We need to intubate before CT. 222 00:09:01,745 --> 00:09:03,204 C-can I do it? 223 00:09:03,205 --> 00:09:04,622 Uh, I'm keeping a procedure log, 224 00:09:04,623 --> 00:09:06,457 and I need more intubations on this rotation. 225 00:09:06,458 --> 00:09:08,793 If Dr. McKay wants to teach? 226 00:09:08,794 --> 00:09:10,545 Sure. 227 00:09:10,546 --> 00:09:12,213 Okay, uh, I need suction. 228 00:09:12,214 --> 00:09:15,132 8-oh tube, etomidate and sux, end tidal CO2. 229 00:09:15,133 --> 00:09:16,551 Ambitious. 230 00:09:16,552 --> 00:09:19,053 He reminds me of someone I know very well. 231 00:09:21,557 --> 00:09:23,474 Can you not? 232 00:09:23,475 --> 00:09:24,809 Yeah, sorry. 233 00:09:24,810 --> 00:09:26,811 Hot off the press. 234 00:09:26,812 --> 00:09:28,229 Okay. 235 00:09:28,230 --> 00:09:31,900 No STEMI, doesn't need to go right to the cath lab. 236 00:09:33,860 --> 00:09:35,152 And orders are in. 237 00:09:35,153 --> 00:09:36,445 Whitaker, try another nitro 238 00:09:36,446 --> 00:09:38,072 and let me know when the troponin's back. 239 00:09:38,073 --> 00:09:40,533 Yeah. Hey, hey, Jesse? 240 00:09:40,534 --> 00:09:42,285 Do you think you could repeat this 241 00:09:42,286 --> 00:09:45,288 but with the chest leads on his back? 242 00:09:45,289 --> 00:09:46,747 Why? 243 00:09:46,748 --> 00:09:49,584 T Waves are kind of high with ST depression anterior. 244 00:09:49,585 --> 00:09:51,294 We see ST depression all the time. 245 00:09:51,295 --> 00:09:53,879 Yeah, but it could be a posterior MI. 246 00:09:53,880 --> 00:09:55,423 All right, run it by the attending. 247 00:09:55,424 --> 00:09:57,049 If they agree, we'll do it. 248 00:09:57,050 --> 00:09:58,676 Thank you. 249 00:09:58,677 --> 00:10:02,263 Uh, Victoria, if his CT's normal, he'll need an LP. 250 00:10:02,264 --> 00:10:04,348 Got it. 251 00:10:04,349 --> 00:10:05,516 Dr. Al-Hashimi. 252 00:10:05,517 --> 00:10:08,102 This is Jada Davis, Jackson's sister. 253 00:10:08,103 --> 00:10:10,438 - Oh, thank you. Hi. - Is he okay? 254 00:10:10,439 --> 00:10:11,939 And why is he asleep? 255 00:10:11,940 --> 00:10:14,275 Well, he was uncooperative when he first arrived 256 00:10:14,276 --> 00:10:17,278 - and needed to be sedated. - "Uncooperative"? 257 00:10:17,279 --> 00:10:20,448 That doesn't make any sense. What happened? 258 00:10:20,449 --> 00:10:22,617 We're still trying to piece the story together. 259 00:10:22,618 --> 00:10:24,702 He was brought in by a campus security guard 260 00:10:24,703 --> 00:10:26,537 who Tased him after he was allegedly... 261 00:10:26,538 --> 00:10:28,122 - "Tased him"? - Combative and violent. 262 00:10:28,123 --> 00:10:29,665 Wait, what do you mean, Tased him? 263 00:10:29,666 --> 00:10:31,459 We've treated his injury, and now we're trying 264 00:10:31,460 --> 00:10:34,295 to understand why he was so agitated. 265 00:10:34,296 --> 00:10:36,172 Okay, this doesn't sound like my brother. 266 00:10:36,173 --> 00:10:37,882 Well, his drug screen came back negative, 267 00:10:37,883 --> 00:10:40,051 so now we're taking Jackson to get a CT scan of his brain 268 00:10:40,052 --> 00:10:42,470 - to look for any abnormalities. - Can I go with him? 269 00:10:42,471 --> 00:10:44,055 You can't go into the CT, 270 00:10:44,056 --> 00:10:46,599 but you can wait for him to come back. 271 00:10:46,600 --> 00:10:49,894 And then we can discuss next steps. 272 00:10:49,895 --> 00:10:52,063 Okay. 273 00:10:52,064 --> 00:10:53,814 Just did my first ER intubation. 274 00:10:53,815 --> 00:10:55,566 - That's great, man. - Such a prick. 275 00:10:55,567 --> 00:10:57,151 - You got a second? - What's up? 276 00:10:57,152 --> 00:10:59,654 12-lead on my chest-pain patient shows no STEMI, 277 00:10:59,655 --> 00:11:03,699 but the anterior leads might be suspicious for a posterior MI? 278 00:11:03,700 --> 00:11:05,701 Uh... agreed. 279 00:11:05,702 --> 00:11:07,662 Yeah, I was going to repeat, but with the chest leads 280 00:11:07,663 --> 00:11:09,246 - on the back. - V7 through V9. 281 00:11:09,247 --> 00:11:11,041 - Good idea. - Thank you. 282 00:11:13,835 --> 00:11:16,170 Hey, Dr. Robby gave the go-ahead for the back leads. 283 00:11:16,171 --> 00:11:18,005 Sorry, man, I got a call report 284 00:11:18,006 --> 00:11:20,549 on a septic patient going to the ICU. 285 00:11:20,550 --> 00:11:22,176 Busy today, huh? 286 00:11:22,177 --> 00:11:24,428 Uh, well, it's 10:15. 287 00:11:24,429 --> 00:11:26,514 We're actually just getting started. 288 00:11:26,515 --> 00:11:28,015 - Oh. - There she is. 289 00:11:28,016 --> 00:11:32,353 Dr. Mohan, uh, this is Lorrie Diaz, Orlando's wife. 290 00:11:32,354 --> 00:11:33,854 - Thank you, Perlah. - Thank you. 291 00:11:33,855 --> 00:11:35,022 - Hi, Mrs. Diaz. - Hi. 292 00:11:35,023 --> 00:11:36,774 Let me take you to your husband. 293 00:11:36,775 --> 00:11:38,401 Ay, mi amor. 294 00:11:38,402 --> 00:11:40,736 I'm sorry you have to be here alone. 295 00:11:40,737 --> 00:11:43,948 I missed my first bus transfer and... 296 00:11:43,949 --> 00:11:46,033 Anyway... 297 00:11:46,034 --> 00:11:47,034 Hey. 298 00:11:47,035 --> 00:11:49,245 How'd I get here? 299 00:11:49,246 --> 00:11:50,913 You fell at your construction site. 300 00:11:50,914 --> 00:11:52,623 A coworker brought you in. 301 00:11:52,624 --> 00:11:54,834 He's a lot better but doesn't remember anything. 302 00:11:54,835 --> 00:11:58,212 That's common after a concussion or DKA. 303 00:11:58,213 --> 00:11:59,839 DKA? 304 00:11:59,840 --> 00:12:03,134 It's a serious complication of your husband's diabetes. 305 00:12:03,135 --> 00:12:05,094 How serious? Can he go home? 306 00:12:05,095 --> 00:12:07,555 We still have to clear the ketones from his bloodstream. 307 00:12:07,556 --> 00:12:10,474 He'll need to be on an insulin drip for a while 308 00:12:10,475 --> 00:12:12,893 until things get back to normal. 309 00:12:12,894 --> 00:12:16,230 Best if he stays in the hospital. 310 00:12:16,231 --> 00:12:17,732 It's okay, Mom. 311 00:12:17,733 --> 00:12:19,984 Things are headed in the right direction, Mrs. Diaz. 312 00:12:19,985 --> 00:12:22,403 - He's going to be better. - Mm. 313 00:12:24,740 --> 00:12:27,241 Sorry. I got to check his blood sugar. 314 00:12:27,242 --> 00:12:29,911 - Oh, do you mind? - Absolutely. 315 00:12:30,996 --> 00:12:34,123 So the thing is... 316 00:12:34,124 --> 00:12:36,751 we don't have health insurance. 317 00:12:36,752 --> 00:12:38,127 So... 318 00:12:38,128 --> 00:12:41,505 I don't think that we can afford this. 319 00:12:41,506 --> 00:12:45,176 I'll have our case manager, Noelle Hastings, come by. 320 00:12:45,177 --> 00:12:47,428 She's an expert in health insurance. 321 00:12:47,429 --> 00:12:50,139 She might have some options for you for coverage. 322 00:12:50,140 --> 00:12:51,807 - Okay. - Thank you. 323 00:12:56,646 --> 00:12:58,856 - Crap. - What's wrong? 324 00:12:58,857 --> 00:13:01,734 Uh, some of the leads aren't sticking here. 325 00:13:01,735 --> 00:13:03,861 Can I lay down now? I'm tired. 326 00:13:03,862 --> 00:13:05,571 Yeah, as soon as we're done here. 327 00:13:05,572 --> 00:13:08,324 Whitaker, Louie's all numb. His tooth is ready for you. 328 00:13:08,325 --> 00:13:09,742 That's great. 329 00:13:09,743 --> 00:13:12,828 Hey, I'm having some trouble here with adherence. 330 00:13:12,829 --> 00:13:14,789 Oh. Of course you are. 331 00:13:14,790 --> 00:13:16,624 Uh, try this. 332 00:13:16,625 --> 00:13:18,334 Oh, yeah. That makes sense. 333 00:13:18,335 --> 00:13:21,545 Uh, you think you could... 334 00:13:22,839 --> 00:13:25,007 Do you mind if I paint some sticky stuff on you? 335 00:13:25,008 --> 00:13:26,300 Oh. 336 00:13:26,301 --> 00:13:29,970 If you must prolong the inevitable, so be it. 337 00:13:29,971 --> 00:13:32,640 You'll get to lie down afterwards. 338 00:13:32,641 --> 00:13:34,475 No success with the mineral oil. 339 00:13:34,476 --> 00:13:36,644 That's what I said. 340 00:13:36,645 --> 00:13:38,395 So now what? 341 00:13:38,396 --> 00:13:39,814 You can wait one to two weeks 342 00:13:39,815 --> 00:13:42,066 for the superglue to break down on its own. 343 00:13:42,067 --> 00:13:44,151 I'm hosting a Fourth of July party tonight. 344 00:13:44,152 --> 00:13:46,362 You want me to show up like this? 345 00:13:46,363 --> 00:13:50,407 The other option is I trim your eyelashes halfway down. 346 00:13:50,408 --> 00:13:53,244 That'll lower the strength of the glue holding them together. 347 00:13:53,245 --> 00:13:55,621 Let's do that. 348 00:13:55,622 --> 00:13:57,833 Lie back, please. 349 00:14:01,503 --> 00:14:04,004 I need you to hold your head perfectly still, 350 00:14:04,005 --> 00:14:05,548 keep your eye closed. 351 00:14:05,549 --> 00:14:08,217 My eye can't open. That's why I'm here. 352 00:14:08,218 --> 00:14:10,846 No, I mean, your other eye, too. 353 00:14:15,600 --> 00:14:17,351 Okay, here we go. 354 00:14:17,352 --> 00:14:19,436 Perfect, Mr. Samba. 355 00:14:19,437 --> 00:14:21,730 All good here. 356 00:14:21,731 --> 00:14:24,400 Feeling... dizzy. 357 00:14:24,401 --> 00:14:28,237 We'll put you down in a second. 358 00:14:28,238 --> 00:14:29,780 Holy shit. 359 00:14:29,781 --> 00:14:33,534 ST elevation, V7, V8, V9. 360 00:14:33,535 --> 00:14:36,203 - It's a posterior STEMI. - What's that? 361 00:14:36,204 --> 00:14:38,205 It's the worst kind of heart attack. 362 00:14:38,206 --> 00:14:40,875 Mr. Samba. 363 00:14:40,876 --> 00:14:42,293 Mr. Samba! 364 00:14:42,294 --> 00:14:44,795 Hey, I could use a second set of hands here! 365 00:14:44,796 --> 00:14:46,380 Pulseless V tach. 366 00:14:46,381 --> 00:14:48,632 Start compressions. 367 00:14:48,633 --> 00:14:50,426 Charging to 200. 368 00:14:53,013 --> 00:14:55,514 Clear. 369 00:14:55,515 --> 00:14:57,892 Okay, resume compressions. 370 00:14:57,893 --> 00:14:59,518 Code STEMI. It was posterior. 371 00:14:59,519 --> 00:15:01,020 Yeah, good call. 372 00:15:01,021 --> 00:15:03,689 - You put the defib pads on? - Yeah, just in case. 373 00:15:03,690 --> 00:15:05,566 Hold compressions. 374 00:15:08,445 --> 00:15:10,946 - Normal sinus. - All right. 375 00:15:10,947 --> 00:15:12,698 Got a strong pulse. Check the BP. 376 00:15:12,699 --> 00:15:15,034 All right, we'll prep him for cath lab. 377 00:15:16,328 --> 00:15:19,496 Hey, Mr. Samba, you're going to be okay. 378 00:15:19,497 --> 00:15:20,915 No pearly gates today. 379 00:15:20,916 --> 00:15:24,585 - Really good pickup, Whitaker. - Thank you. 380 00:15:24,586 --> 00:15:26,629 Ah... 381 00:15:26,630 --> 00:15:28,797 Has a patient ever flirted with you? 382 00:15:28,798 --> 00:15:30,466 Sure. Why? 383 00:15:30,467 --> 00:15:32,760 There was this guy this morning... 384 00:15:32,761 --> 00:15:34,428 he turned out to be a criminal, 385 00:15:34,429 --> 00:15:36,263 but, yeah, it was a nice distraction 386 00:15:36,264 --> 00:15:37,431 from the deposition. 387 00:15:37,432 --> 00:15:38,766 You still worried about that? 388 00:15:38,767 --> 00:15:40,267 Yep. Yeah, counting down the hours. 389 00:15:40,268 --> 00:15:42,519 There are five left, if you're wondering. 390 00:15:45,607 --> 00:15:47,066 Hi, Miss Ronson. 391 00:15:47,067 --> 00:15:48,317 Phylicia, please. 392 00:15:48,318 --> 00:15:49,902 Phylicia, I'm Dr. King. 393 00:15:49,903 --> 00:15:51,487 This is my colleague Dr. Santos. 394 00:15:51,488 --> 00:15:52,988 What brings you in today? 395 00:15:52,989 --> 00:15:55,407 I've had this pretty bad cough for a few days now. 396 00:15:55,408 --> 00:15:56,659 Do you smoke? 397 00:15:56,660 --> 00:15:58,327 Are coughing up anything, any chest pain? 398 00:15:58,328 --> 00:16:00,120 No, no, and no. 399 00:16:00,121 --> 00:16:02,331 I honestly think I picked it up at work. 400 00:16:02,332 --> 00:16:04,124 - It was going around. - Oh, where do you work? 401 00:16:04,125 --> 00:16:06,877 - I'm in corporate at PNC Bank. - Sit forward, please. 402 00:16:06,878 --> 00:16:08,587 It could be an office bug. 403 00:16:08,588 --> 00:16:11,967 Or I got it from the gym. I'm there all the time. 404 00:16:16,179 --> 00:16:18,806 Do you have anything to ask, Dr. Santos? 405 00:16:18,807 --> 00:16:20,307 What? 406 00:16:20,308 --> 00:16:22,226 Do you have any questions to ask our patient? 407 00:16:22,227 --> 00:16:24,144 Uh, no, I'm good. 408 00:16:24,145 --> 00:16:25,729 Okay. What'd you hear? 409 00:16:25,730 --> 00:16:28,023 Maybe some crackles at the right base. 410 00:16:28,024 --> 00:16:31,652 Okay, well, we're going to need a chest X-ray 411 00:16:31,653 --> 00:16:32,903 to check your lungs. 412 00:16:32,904 --> 00:16:34,321 Will that take long? 413 00:16:34,322 --> 00:16:36,031 Maybe I can still make it to the office. 414 00:16:36,032 --> 00:16:38,742 It shouldn't. 415 00:16:38,743 --> 00:16:42,205 - You can go put the orders in. - Yeah. 416 00:16:44,666 --> 00:16:47,501 - How are we doing in here? - Oh, this is thrilling. 417 00:16:47,502 --> 00:16:50,254 Definitely worth $200,000 worth of student debt. 418 00:16:50,255 --> 00:16:51,630 Ha. 419 00:16:51,631 --> 00:16:53,298 Superficial ones get a steri-strip. 420 00:16:53,299 --> 00:16:55,300 Full thickness, try Dermabond. 421 00:16:55,301 --> 00:16:57,469 How can you tell they need a suture, Joy? 422 00:16:57,470 --> 00:16:59,638 If the edges are under significant tension. 423 00:16:59,639 --> 00:17:01,515 I didn't realize your name was Joy. 424 00:17:01,516 --> 00:17:04,101 I'm going to have to tell my parents how trendy they were. 425 00:17:05,770 --> 00:17:08,272 CT head, neck, chest, abdomen, and pelvis, 426 00:17:08,273 --> 00:17:10,357 - all normal on preliminary read. - Lucky guy. 427 00:17:10,358 --> 00:17:11,817 Little bit of oozing. 428 00:17:11,818 --> 00:17:13,485 Uh, pressure for two minutes. 429 00:17:13,486 --> 00:17:16,113 Lidocaine and epi if that doesn't work. 430 00:17:16,114 --> 00:17:18,240 Are the admit orders in for Surgical ICU? 431 00:17:18,241 --> 00:17:19,908 Fuck! 432 00:17:19,909 --> 00:17:21,201 What? 433 00:17:21,202 --> 00:17:23,704 - This. - Ah. 434 00:17:23,705 --> 00:17:26,707 - Irrigation saline. - It's just a small cut. 435 00:17:26,708 --> 00:17:28,751 It is a work-related blood exposure, 436 00:17:28,752 --> 00:17:30,586 which means you're a patient now. 437 00:17:30,587 --> 00:17:31,795 - Are you serious? - Needle stick? 438 00:17:31,796 --> 00:17:33,380 Piece of glass. 439 00:17:33,381 --> 00:17:35,549 - Here you go. - Thanks. 440 00:17:36,718 --> 00:17:38,385 No past records on this guy. 441 00:17:38,386 --> 00:17:40,387 We don't know HIV or hepatitis status. 442 00:17:40,388 --> 00:17:44,099 I'll put the orders in, HIV antibody, Hep B surface, 443 00:17:44,100 --> 00:17:45,476 and Hep C. 444 00:17:45,477 --> 00:17:47,478 She needs post-exposure medication. 445 00:17:47,479 --> 00:17:48,812 Maybe not. 446 00:17:48,813 --> 00:17:51,231 For occupational exposure, the rapid HIV test 447 00:17:51,232 --> 00:17:54,193 - takes an hour or two. - Subcutaneous puncture wound. 448 00:17:54,194 --> 00:17:56,820 No risk of joint or tendon involvement. 449 00:17:56,821 --> 00:17:59,364 Elevate, pressure, and then a Band-Aid. 450 00:17:59,365 --> 00:18:01,408 Give yourself a dose of PEP if you want 451 00:18:01,409 --> 00:18:02,868 while you're waiting for results. 452 00:18:02,869 --> 00:18:04,536 Start a chart, and I'll find another nurse 453 00:18:04,537 --> 00:18:05,788 for your blood draw. 454 00:18:05,789 --> 00:18:07,581 Great. 455 00:18:07,582 --> 00:18:09,958 Looks like we've got a couple more diverted from Westbridge. 456 00:18:09,959 --> 00:18:11,960 Any estimate on their downtime? 457 00:18:11,961 --> 00:18:14,588 Not yet. 458 00:18:14,589 --> 00:18:16,465 Time to pull Dr. Langdon from triage? 459 00:18:16,466 --> 00:18:18,175 No, no. First day back. 460 00:18:18,176 --> 00:18:20,761 I want to let him kind of ease into things. 461 00:18:20,762 --> 00:18:23,013 Understood. I'll keep an eye on it. 462 00:18:23,014 --> 00:18:25,099 Thank you very much. 463 00:18:25,100 --> 00:18:26,683 Thinking about changing your bet? 464 00:18:26,684 --> 00:18:29,144 I am just weighing my odds. 465 00:18:29,145 --> 00:18:33,107 Don't worry. I'll buy you a drink with my winnings. 466 00:18:38,530 --> 00:18:40,280 Your brother should be back shortly. 467 00:18:40,281 --> 00:18:43,117 There was a little holdup at CT. 468 00:18:43,118 --> 00:18:45,452 Um, should I be worried? 469 00:18:45,453 --> 00:18:48,622 Let's wait and see what his test results say. 470 00:18:48,623 --> 00:18:51,291 This is just, um... 471 00:18:51,292 --> 00:18:53,710 this just doesn't make any sense. 472 00:18:53,711 --> 00:18:55,838 It doesn't sound like my brother at all. 473 00:18:55,839 --> 00:18:58,632 He's the... the friendliest guy I know. 474 00:18:58,633 --> 00:19:00,926 He never even gets angry, barely yells. 475 00:19:00,927 --> 00:19:03,554 He's never had an episode like this in the past? 476 00:19:03,555 --> 00:19:06,974 No, or not that I know of. 477 00:19:06,975 --> 00:19:09,143 He's in a great relationship. 478 00:19:09,144 --> 00:19:10,894 And he's in law school 479 00:19:10,895 --> 00:19:13,605 'cause he wants to help people. 480 00:19:13,606 --> 00:19:16,567 He always tells me that I should, um... 481 00:19:16,568 --> 00:19:18,861 follow my dreams, 482 00:19:18,862 --> 00:19:22,157 even if it means my parents may disown me. 483 00:19:23,950 --> 00:19:25,492 Should I call them? 484 00:19:25,493 --> 00:19:28,495 I think that's a good idea. 485 00:19:28,496 --> 00:19:30,999 This... this could be pretty serious. 486 00:19:35,587 --> 00:19:37,755 - Thanks. - Mm-hmm. 487 00:19:43,678 --> 00:19:46,263 The new radiologist is a hottie. 488 00:19:46,264 --> 00:19:47,848 Okay. 489 00:19:47,849 --> 00:19:49,266 Um... 490 00:19:49,267 --> 00:19:52,436 his head CT is normal, as are his blood and urine tests. 491 00:19:52,437 --> 00:19:54,354 Then... then what's wrong with him? 492 00:19:54,355 --> 00:19:56,398 We're not, um, sure yet. 493 00:19:56,399 --> 00:19:59,109 There is another test... a-a spinal tap. 494 00:19:59,110 --> 00:20:00,819 This could be, um, an infection 495 00:20:00,820 --> 00:20:03,363 in the fluid that surrounds the brain... viral encephalitis. 496 00:20:03,364 --> 00:20:05,699 Um, it can also cause... 497 00:20:05,700 --> 00:20:08,827 altered mental status and confusion. 498 00:20:08,828 --> 00:20:11,288 Can you treat it, if it is? 499 00:20:11,289 --> 00:20:12,665 Yes. 500 00:20:14,250 --> 00:20:15,334 Okay. 501 00:20:15,335 --> 00:20:17,085 Okay. 502 00:20:17,086 --> 00:20:19,421 I'll go find Dr. Al-Hashimi, and... and we'll do it together. 503 00:20:19,422 --> 00:20:21,591 - Thank you. - Of course. 504 00:20:25,470 --> 00:20:28,889 Just what we thought... it's a fracture of your coccyx. 505 00:20:28,890 --> 00:20:30,390 It's your tailbone. 506 00:20:30,391 --> 00:20:32,726 Yeah, see, these pieces here 507 00:20:32,727 --> 00:20:35,896 should be lined up with that part here. 508 00:20:35,897 --> 00:20:37,898 - Do I need surgery? - No. 509 00:20:37,899 --> 00:20:41,611 No, no, these heal pretty well, but it'll take about six weeks. 510 00:20:43,071 --> 00:20:45,280 "Six weeks"? 511 00:20:45,281 --> 00:20:47,741 I have dinner dates every weekend. 512 00:20:47,742 --> 00:20:50,077 You can keep your... 513 00:20:50,078 --> 00:20:52,120 still keep your dinner plans. 514 00:20:52,121 --> 00:20:56,250 Dinner starts at Pino's, the best Italian in town. 515 00:20:56,251 --> 00:20:57,584 Mm-hmm. 516 00:20:57,585 --> 00:20:59,836 A nightcap at my place usually follows, 517 00:20:59,837 --> 00:21:02,256 and then breakfast in bed. 518 00:21:02,257 --> 00:21:04,508 Ah, okay. 519 00:21:04,509 --> 00:21:05,968 Well, in that case, you might... 520 00:21:05,969 --> 00:21:08,679 you might need to take a little break. 521 00:21:08,680 --> 00:21:12,307 My greatest joy in life is my social calendar. 522 00:21:12,308 --> 00:21:14,477 - Mm. - Hmm? 523 00:21:19,190 --> 00:21:21,984 Is there something else you can do? 524 00:21:21,985 --> 00:21:25,362 W-well, there... there is a procedure 525 00:21:25,363 --> 00:21:27,614 to push the fragments back in place. 526 00:21:27,615 --> 00:21:30,617 - It could help it heal faster. - Now we're talking. 527 00:21:30,618 --> 00:21:33,120 Yeah, but it'll hurt pretty bad but only for a second. 528 00:21:33,121 --> 00:21:34,914 I can take it. 529 00:21:36,541 --> 00:21:38,041 Okay. 530 00:21:38,042 --> 00:21:40,503 Come here. Back in the gown. 531 00:21:50,471 --> 00:21:52,472 How's it going over here? 532 00:21:52,473 --> 00:21:54,767 Better now. 533 00:21:56,811 --> 00:21:58,896 Uh... 534 00:22:00,023 --> 00:22:04,151 Oh, the X-ray is back on your foot, 535 00:22:04,152 --> 00:22:06,695 and no fracture. 536 00:22:06,696 --> 00:22:10,240 So, um, ACE wrap, ice, rest, and elevate, 537 00:22:10,241 --> 00:22:12,910 and you can take ibuprofen if you need it. 538 00:22:14,245 --> 00:22:15,662 So that's it? 539 00:22:15,663 --> 00:22:17,664 Well, if it's... if it's too painful to bear weight, 540 00:22:17,665 --> 00:22:20,959 we can give you crutches to use for a day or two. 541 00:22:20,960 --> 00:22:23,253 So I won't be seeing you again. 542 00:22:23,254 --> 00:22:26,214 Uh... 543 00:22:26,215 --> 00:22:28,675 as a patient, no, but... 544 00:22:28,676 --> 00:22:31,261 it was nice meeting you, Brian. 545 00:22:31,262 --> 00:22:33,931 It was nice meeting you, too, Dr. McKay. 546 00:22:49,072 --> 00:22:51,865 You know, I was... I was going to go check out 547 00:22:51,866 --> 00:22:55,410 a few of the art galleries in Lawrenceville tonight. 548 00:22:55,411 --> 00:22:58,288 Have you been to that one on 40th and Butler? 549 00:22:58,289 --> 00:23:00,791 No, I was, um, gonna go by. 550 00:23:00,792 --> 00:23:03,210 Maybe around 9:00? 551 00:23:03,211 --> 00:23:05,504 Okay. 552 00:23:05,505 --> 00:23:07,632 - Cool. - Cool. 553 00:23:09,884 --> 00:23:11,968 Dude, I resuscitated that parkour guy 554 00:23:11,969 --> 00:23:13,178 and... and intubated a STEMI. 555 00:23:13,179 --> 00:23:14,513 I think I can handle this. 556 00:23:14,514 --> 00:23:16,765 It's best if you watch the first one. 557 00:23:16,766 --> 00:23:18,350 How's that tooth feeling? 558 00:23:18,351 --> 00:23:20,936 The whole side of my face is numb. 559 00:23:20,937 --> 00:23:23,355 That's how we like it. 560 00:23:23,356 --> 00:23:26,775 Okay, we've got a... 561 00:23:26,776 --> 00:23:28,860 a fluctuant gumline at... 562 00:23:28,861 --> 00:23:31,530 Tooth number 23, lateral incisor. 563 00:23:31,531 --> 00:23:35,075 - With an extension to an... - Apical abscess. 564 00:23:35,076 --> 00:23:37,994 - Right again. - Ah, the kid's smart. 565 00:23:37,995 --> 00:23:41,164 Hook up the Yankauer. Get ready to retract the gum. 566 00:23:41,165 --> 00:23:43,750 Hey, Louie, this is a temporary fix, okay? 567 00:23:43,751 --> 00:23:46,253 You're going to need to get that tooth pulled by a dentist. 568 00:23:46,254 --> 00:23:48,130 Hey, you going to find me one? 569 00:23:48,131 --> 00:23:50,757 We can have you talk to Dylan. 570 00:23:50,758 --> 00:23:53,009 Is Dr. Collins around? 571 00:23:53,010 --> 00:23:55,512 Sister always helps me out. 572 00:23:55,513 --> 00:23:58,932 Uh, Dr. Collins finished her residency, 573 00:23:58,933 --> 00:24:01,810 took up a job in Portland as an attending physician. 574 00:24:01,811 --> 00:24:03,019 "Portland"? 575 00:24:03,020 --> 00:24:05,021 Yeah, I think that's where she's from. 576 00:24:05,022 --> 00:24:06,314 She's adopting a baby. 577 00:24:06,315 --> 00:24:08,525 Wanted to be closer to her family. 578 00:24:08,526 --> 00:24:10,444 Well, that's a beautiful thing. 579 00:24:10,445 --> 00:24:13,489 - We're set. - Okay. Ready? 580 00:24:14,991 --> 00:24:18,493 Okay, 3-cc syringe, 581 00:24:18,494 --> 00:24:22,497 20-gauge needle entering at the juiciest part, 582 00:24:22,498 --> 00:24:25,042 aiming for the apex. 583 00:24:27,086 --> 00:24:29,045 - Send that for culture? - No. 584 00:24:29,046 --> 00:24:30,589 Pen V.K. for a few days. 585 00:24:30,590 --> 00:24:32,841 Bugs in the mouth are old school. 586 00:24:32,842 --> 00:24:35,093 Ah, just like me. 587 00:24:36,721 --> 00:24:38,054 Both parents work, 588 00:24:38,055 --> 00:24:39,973 but neither of them have health coverage? 589 00:24:39,974 --> 00:24:43,143 Orlando and his wife have multiple part-time jobs 590 00:24:43,144 --> 00:24:45,228 that don't offer insurance. 591 00:24:45,229 --> 00:24:46,855 Can they qualify for Medicaid? 592 00:24:46,856 --> 00:24:49,733 Unfortunately, no, because their combined annual income 593 00:24:49,734 --> 00:24:52,068 is over the Medicaid threshold for a family of five. 594 00:24:52,069 --> 00:24:53,653 So they make too much money? 595 00:24:53,654 --> 00:24:55,822 And not enough at the same time. 596 00:24:55,823 --> 00:24:57,699 They live over the poverty line, 597 00:24:57,700 --> 00:25:01,661 and yet they are still living paycheck to paycheck. 598 00:25:01,662 --> 00:25:03,497 I think their best option 599 00:25:03,498 --> 00:25:05,832 would be to buy private insurance 600 00:25:05,833 --> 00:25:07,709 through the Affordable Care Act. 601 00:25:07,710 --> 00:25:09,669 Thank you. 602 00:25:09,670 --> 00:25:12,547 My parents don't have insurance? 603 00:25:12,548 --> 00:25:14,508 I'm sorry, Ana. 604 00:25:14,509 --> 00:25:17,260 How much will it cost to keep my dad in the hospital? 605 00:25:17,261 --> 00:25:19,888 I don't know. 606 00:25:19,889 --> 00:25:25,060 But the ER visit alone will likely be in the thousands. 607 00:25:25,061 --> 00:25:28,731 We will figure something out, okay? 608 00:25:33,027 --> 00:25:34,736 Purple top for the CBC. 609 00:25:34,737 --> 00:25:37,697 Red top for chemistries and serologies. 610 00:25:37,698 --> 00:25:39,116 Okay. 611 00:25:40,743 --> 00:25:42,702 - Ready? - Uh, yeah. 612 00:25:42,703 --> 00:25:46,540 I can be a hard stick, though. 613 00:25:46,541 --> 00:25:48,334 Now or never, hon. 614 00:25:49,710 --> 00:25:51,753 Okay. 615 00:25:51,754 --> 00:25:54,756 One, two... 616 00:25:54,757 --> 00:25:56,550 three. 617 00:25:56,551 --> 00:25:58,760 - Good blood return. - Oh, thank God. 618 00:25:58,761 --> 00:26:00,137 Pop one on. 619 00:26:04,559 --> 00:26:06,726 You're supposed to release the tourniquet now. 620 00:26:06,727 --> 00:26:08,813 Right. Sorry. 621 00:26:12,024 --> 00:26:13,942 Lab won't take it without your initials, 622 00:26:13,943 --> 00:26:15,360 time, and date drawn. 623 00:26:15,361 --> 00:26:16,820 - How you feeling? - Peachy. 624 00:26:16,821 --> 00:26:20,365 Hopefully I get to do this several times every day. 625 00:26:20,366 --> 00:26:21,951 All set. 626 00:26:23,160 --> 00:26:25,579 Keep some pressure here for a minute. 627 00:26:25,580 --> 00:26:27,790 Initials, time, and date. 628 00:26:29,667 --> 00:26:30,960 Oh. 629 00:26:33,588 --> 00:26:35,381 Shit. 630 00:26:36,966 --> 00:26:38,758 Environmental to North. 631 00:26:38,759 --> 00:26:41,052 Sorry. 632 00:26:41,053 --> 00:26:42,846 How is he? 633 00:26:42,847 --> 00:26:45,432 He's stable. He's doing great. 634 00:26:45,433 --> 00:26:48,184 Doesn't look great. 635 00:26:48,185 --> 00:26:49,769 Is there brain damage? 636 00:26:49,770 --> 00:26:52,939 The head CT showed no bleeding or skull fracture. 637 00:26:52,940 --> 00:26:54,649 It's most likely a bad concussion. 638 00:26:54,650 --> 00:26:57,819 It's hard to know when he'll regain consciousness. 639 00:26:57,820 --> 00:26:59,863 - Did he break any bones? - We don't think so. 640 00:26:59,864 --> 00:27:02,449 He should thank those ferns. 641 00:27:02,450 --> 00:27:04,284 Uh, chest and abdomen CT scans 642 00:27:04,285 --> 00:27:06,828 also showed no major internal injuries. 643 00:27:06,829 --> 00:27:08,663 Mm-hmm. 644 00:27:08,664 --> 00:27:10,416 What's that? 645 00:27:13,753 --> 00:27:15,795 Whoa, whoa, whoa, whoa, whoa. 646 00:27:15,796 --> 00:27:18,633 We need respiratory therapy in here! 647 00:27:20,051 --> 00:27:21,593 Okay. 648 00:27:21,594 --> 00:27:24,137 One, two, three, over. 649 00:27:24,138 --> 00:27:25,597 You got a problem with the vent? 650 00:27:25,598 --> 00:27:26,973 No, he's bleeding from the back. 651 00:27:26,974 --> 00:27:28,391 Got to prone him to take a look. 652 00:27:28,392 --> 00:27:30,769 Back away, Tanya. One, two, three, up. 653 00:27:30,770 --> 00:27:32,604 One, two, three, over. 654 00:27:32,605 --> 00:27:34,522 - Good. - Oh, shit. 655 00:27:34,523 --> 00:27:36,399 - Left-flank area. - Careful. Careful, everybody. 656 00:27:36,400 --> 00:27:38,026 - There might be glass. - That's a lot of blood. 657 00:27:38,027 --> 00:27:39,402 2-centimeter simple laceration. 658 00:27:39,403 --> 00:27:40,945 Open a suture kit, 4-0 Prolene. 659 00:27:40,946 --> 00:27:42,697 He wasn't bleeding when we flipped him on arrival. 660 00:27:42,698 --> 00:27:44,532 No, but when we moved him around for CT, 661 00:27:44,533 --> 00:27:46,326 it might have rubbed off a clot. 662 00:27:46,327 --> 00:27:47,535 Slow venous oozing. 663 00:27:47,536 --> 00:27:49,996 I might need a figure of eight. 664 00:27:54,669 --> 00:27:56,753 Yeah, little piece of glass in there. 665 00:27:56,754 --> 00:27:58,421 It's just under the skin. 666 00:27:58,422 --> 00:28:00,215 - Is it a loose fragment? - Yeah, I can wiggle it around. 667 00:28:00,216 --> 00:28:01,591 - Here, I'll pull it out. - No, don't... 668 00:28:01,592 --> 00:28:03,009 Shit. 669 00:28:03,010 --> 00:28:05,011 Uh, that's... it's bigger than I thought it would be. 670 00:28:05,012 --> 00:28:06,429 - Shit. - That looks arterial. 671 00:28:06,430 --> 00:28:08,515 Can I get some 4-by-4s over here, please? 672 00:28:08,516 --> 00:28:10,016 Oh, I'm going to be sick. 673 00:28:10,017 --> 00:28:11,518 Put some pressure on this from all sides. 674 00:28:11,519 --> 00:28:12,686 Hard and deep, please. 675 00:28:12,687 --> 00:28:14,062 I can push it back in.No! 676 00:28:14,063 --> 00:28:15,397 No, you've done enough damage. 677 00:28:15,398 --> 00:28:16,981 Should I keep pulling it out, then? 678 00:28:16,982 --> 00:28:19,401 Absolutely not. The glass was tamponading a vessel. 679 00:28:19,402 --> 00:28:22,529 Not anymore. BP's down. Page surgery! 680 00:28:26,117 --> 00:28:29,119 - Ah, I was looking for you. - Well, you found me. 681 00:28:29,120 --> 00:28:31,913 Um, the X-ray came back on the lady with the cough. 682 00:28:31,914 --> 00:28:33,915 Weird infiltrate. Have you seen it yet? 683 00:28:33,916 --> 00:28:36,042 No, I've been trying to catch up on my charting. 684 00:28:36,043 --> 00:28:37,585 Right here. 685 00:28:37,586 --> 00:28:39,838 Yep, stringy right lower lobe. 686 00:28:39,839 --> 00:28:42,757 It looks like aspiration pneumonia. 687 00:28:42,758 --> 00:28:44,175 Think about it. 688 00:28:44,176 --> 00:28:47,303 How do oral and gastric fluids end up in lungs? 689 00:28:47,304 --> 00:28:50,223 Um, dysphagia, swallowing disorders. 690 00:28:50,224 --> 00:28:52,892 But she's not an old person choking on their food. 691 00:28:52,893 --> 00:28:55,061 Right, and there's protracted vomiting. 692 00:28:55,062 --> 00:28:56,771 Okay, maybe recent gastroenteritis, 693 00:28:56,772 --> 00:28:58,565 food poisoning. 694 00:28:58,566 --> 00:29:00,734 Yeah, or... 695 00:29:00,735 --> 00:29:02,277 or... 696 00:29:02,278 --> 00:29:04,279 An eating disorder. 697 00:29:04,280 --> 00:29:06,072 You think she's bulimic? 698 00:29:06,073 --> 00:29:09,284 I mean, she's fixated on working out. 699 00:29:09,285 --> 00:29:12,954 Check the, uh, enamel behind her front incisors. 700 00:29:12,955 --> 00:29:14,914 Um, oh, it's, uh... 701 00:29:14,915 --> 00:29:17,625 if it's not in the differential, 702 00:29:17,626 --> 00:29:20,712 it won't be in the diagnosis. 703 00:29:20,713 --> 00:29:22,088 You know that... 704 00:29:22,089 --> 00:29:24,967 Yeah, you know... you know that. 705 00:29:29,847 --> 00:29:31,264 Nice job on the tap. 706 00:29:31,265 --> 00:29:32,766 Thanks. 707 00:29:32,767 --> 00:29:36,144 Hi. You called for a consult on Jackson Davis? 708 00:29:36,145 --> 00:29:37,771 Yes, we did. 709 00:29:37,772 --> 00:29:41,775 I'll let Victoria present the case. 710 00:29:41,776 --> 00:29:43,443 This is Jada, Jackson's sister. 711 00:29:43,444 --> 00:29:45,737 This is Dr. Jefferson from psychiatry. 712 00:29:45,738 --> 00:29:47,071 "Psychiatry"? 713 00:29:47,072 --> 00:29:48,782 Do you think this is a mental-health problem? 714 00:29:48,783 --> 00:29:50,825 We thought it best to cover all our bases. 715 00:29:50,826 --> 00:29:53,203 We'll know more once I speak with your brother. 716 00:29:53,204 --> 00:29:55,164 Okay. 717 00:29:56,957 --> 00:29:59,459 Hi, Jackson. 718 00:29:59,460 --> 00:30:02,629 Jackson, can you wake up? 719 00:30:02,630 --> 00:30:05,090 - Jackson. - They said he's sedated. 720 00:30:07,635 --> 00:30:09,929 I'll come back a little later. 721 00:30:11,806 --> 00:30:13,306 - Oh, that was fast. - Yeah. 722 00:30:13,307 --> 00:30:15,975 Next time, maybe wait until the patient wakes up 723 00:30:15,976 --> 00:30:17,519 before calling me down. 724 00:30:17,520 --> 00:30:18,895 Psychiatrists do best 725 00:30:18,896 --> 00:30:22,565 when we can actually talk to our patients. 726 00:30:22,566 --> 00:30:24,651 I got a little ahead of myself. 727 00:30:24,652 --> 00:30:26,778 Um, will do. 728 00:30:26,779 --> 00:30:28,905 Thank you. 729 00:30:28,906 --> 00:30:30,907 Sorry. 730 00:30:30,908 --> 00:30:33,868 Pressure's up with one unit type specific. 731 00:30:35,955 --> 00:30:37,747 What the fuck? He was stable. 732 00:30:37,748 --> 00:30:40,667 - Slight change in status. - Okay, get the clamp ready. 733 00:30:40,668 --> 00:30:43,044 Who's the genius who pulled that out? 734 00:30:43,045 --> 00:30:45,046 I thought it was a loose fragment. 735 00:30:45,047 --> 00:30:47,090 Next time, leave the decisions to the adults. 736 00:30:47,091 --> 00:30:49,426 Okay, Dr. McKay, ready to go? 737 00:30:53,889 --> 00:30:55,557 - Whoa. - Hoo. 738 00:30:55,558 --> 00:30:56,891 Looks like an icicle. 739 00:30:56,892 --> 00:30:58,935 Christmas in July. 740 00:30:58,936 --> 00:31:01,855 Hey, Sophie, can you answer that? 741 00:31:01,856 --> 00:31:03,857 Okay, I am injecting the X-stat. 742 00:31:03,858 --> 00:31:04,858 - Hello? - What is that? 743 00:31:04,859 --> 00:31:06,401 It's a syringe filled 744 00:31:06,402 --> 00:31:09,195 with tiny, rapid-expanding hemostatic sponges. 745 00:31:09,196 --> 00:31:10,697 Okay, got it. Thanks. 746 00:31:10,698 --> 00:31:13,074 Radiology attending says a resident missed something. 747 00:31:13,075 --> 00:31:14,701 There's a radiopaque foreign body 748 00:31:14,702 --> 00:31:17,036 in the left paralumbar musculature. 749 00:31:17,037 --> 00:31:18,371 Not anymore. 750 00:31:18,372 --> 00:31:20,248 Sounds like "first week in July" syndrome. 751 00:31:20,249 --> 00:31:21,749 Mm-hmm. 752 00:31:21,750 --> 00:31:24,168 Okay. 753 00:31:24,169 --> 00:31:27,630 - That looks pretty dry. - On the surface. 754 00:31:27,631 --> 00:31:30,258 Okay, let's turn him back down. 755 00:31:30,259 --> 00:31:34,095 Okay, one, two, three, over. 756 00:31:34,096 --> 00:31:36,764 One, two, three, flip. 757 00:31:36,765 --> 00:31:39,684 One, two, three, down. 758 00:31:39,685 --> 00:31:41,603 All right, CT is ready to rescan. 759 00:31:41,604 --> 00:31:43,521 Interventional radiology is holding a room. 760 00:31:43,522 --> 00:31:45,982 Look at you... so on top of things. 761 00:31:45,983 --> 00:31:47,859 Hasta la próxima. 762 00:31:47,860 --> 00:31:50,194 How you doing over here? 763 00:31:50,195 --> 00:31:51,821 Definitely not great. 764 00:31:51,822 --> 00:31:54,115 Right, well, let's get you a ginger ale. 765 00:31:54,116 --> 00:31:57,118 So we never, ever remove a deep foreign body in the ER. 766 00:31:57,119 --> 00:31:59,078 We always leave that to surgery. 767 00:31:59,079 --> 00:32:01,456 It won't happen again. 768 00:32:01,457 --> 00:32:04,083 I was just coming to find you. 769 00:32:04,084 --> 00:32:05,251 Sure you were. 770 00:32:05,252 --> 00:32:07,128 It's almost like you're avoiding me. 771 00:32:07,129 --> 00:32:08,504 Me? Never. 772 00:32:08,505 --> 00:32:10,131 No, I'm just having one of those busy days, 773 00:32:10,132 --> 00:32:12,425 you know, living the dream, saving America's tired, 774 00:32:12,426 --> 00:32:14,636 poor, huddled masses yearning to breathe free. 775 00:32:14,637 --> 00:32:17,430 - You're a saint. - I tell myself that every day. 776 00:32:17,431 --> 00:32:19,974 I heard you had a, uh, motorcycle crash 777 00:32:19,975 --> 00:32:22,977 - come through about an hour ago. - Yeah. 778 00:32:22,978 --> 00:32:24,854 Couldn't save him. 779 00:32:24,855 --> 00:32:27,190 And, no, he was not wearing a helmet. 780 00:32:27,191 --> 00:32:28,816 Interesting. 781 00:32:28,817 --> 00:32:31,361 One motorcycle crash is not going to scare me off my trip. 782 00:32:31,362 --> 00:32:33,321 I didn't say it should. 783 00:32:33,322 --> 00:32:36,574 I hope he died doing what he loved. 784 00:32:36,575 --> 00:32:39,369 That's... optimistic. 785 00:32:39,370 --> 00:32:41,664 "Glass half full" kind of guy. 786 00:32:43,165 --> 00:32:45,833 - I am not on your couch. - I'm aware. 787 00:32:45,834 --> 00:32:48,461 - Conflict of interest here. - Why? Because we're friends? 788 00:32:48,462 --> 00:32:51,547 Ooh, look at you, using the F word. 789 00:32:51,548 --> 00:32:53,007 That's growth. 790 00:32:53,008 --> 00:32:54,300 I use F words all the time. 791 00:32:54,301 --> 00:32:55,802 I guess this therapy must be working. 792 00:32:55,803 --> 00:32:58,304 Ah, I got somebody new for you. 793 00:32:58,305 --> 00:33:00,890 She takes no shit. You'll love her. 794 00:33:00,891 --> 00:33:02,183 I hope so. 795 00:33:02,184 --> 00:33:05,853 The last two have not exactly been... my speed. 796 00:33:05,854 --> 00:33:09,148 Meaning what, empathetic? 797 00:33:09,149 --> 00:33:11,651 Look, sometimes it just takes a little while 798 00:33:11,652 --> 00:33:13,486 to, you know, find the right fit. 799 00:33:13,487 --> 00:33:14,862 Well, it's going to have to wait, 800 00:33:14,863 --> 00:33:16,155 because I'm going on my sabbatical tomorrow. 801 00:33:16,156 --> 00:33:17,699 There's always Zoom therapy. 802 00:33:17,700 --> 00:33:20,786 Motorcycle trip is zoom therapy. 803 00:33:22,746 --> 00:33:25,707 I'll bet somebody set off fireworks in the shitter. 804 00:33:25,708 --> 00:33:28,084 How dumb is that? 805 00:33:28,085 --> 00:33:30,211 You think people are smart? 806 00:33:30,212 --> 00:33:32,506 Yeah. 807 00:33:34,383 --> 00:33:35,967 What's up, man? 808 00:33:35,968 --> 00:33:38,219 You want to get on the books? 809 00:33:38,220 --> 00:33:39,595 Uh, yeah. 810 00:33:39,596 --> 00:33:41,347 Yeah, yeah. May... maybe. Yeah. 811 00:33:41,348 --> 00:33:42,348 Hey, look here. 812 00:33:42,349 --> 00:33:44,100 I only take real money, 813 00:33:44,101 --> 00:33:46,102 none of that "I owe you" bullshit. 814 00:33:47,688 --> 00:33:49,272 Okay, I have money, okay? 815 00:33:49,273 --> 00:33:52,567 My first direct deposit finally hit, so... 816 00:33:52,568 --> 00:33:54,736 Nice. Hmm. 817 00:33:54,737 --> 00:33:58,239 Put me down for $40... 818 00:33:58,240 --> 00:34:00,700 for power outage. 819 00:34:00,701 --> 00:34:02,744 Nice. 820 00:34:02,745 --> 00:34:05,371 We got a big baller on our hands. 821 00:34:05,372 --> 00:34:07,040 - Congrats, Doctor. - Thank you. 822 00:34:07,041 --> 00:34:08,916 I like this side of you, man. 823 00:34:08,917 --> 00:34:11,627 - Any improvement? - No. 824 00:34:11,628 --> 00:34:13,254 What kind of super glue did you use? 825 00:34:13,255 --> 00:34:16,215 Does it matter? My eye is still fucking shut. 826 00:34:16,216 --> 00:34:18,051 Okay, there's one other thing I can try. 827 00:34:18,052 --> 00:34:20,053 No. I'm done. I asked for Dr. J earlier, 828 00:34:20,054 --> 00:34:22,138 and I would like to see her now. 829 00:34:22,139 --> 00:34:24,057 I haven't been in the hospital for a while. 830 00:34:24,058 --> 00:34:25,892 I don't know a Dr. J. 831 00:34:25,893 --> 00:34:29,354 She's one of the best doctors in Pittsburgh. 832 00:34:34,151 --> 00:34:37,445 Oh, Dr. J. 833 00:34:37,446 --> 00:34:38,571 Hmm. 834 00:34:38,572 --> 00:34:40,656 - Do what you must, milady. - Mm-hmm. 835 00:34:40,657 --> 00:34:44,577 Okay, first, I need to get a good grip for the reduction. 836 00:34:44,578 --> 00:34:46,871 Uh-huh. 837 00:34:46,872 --> 00:34:48,372 Here we go. 838 00:34:48,373 --> 00:34:49,999 Try to relax. 839 00:34:50,000 --> 00:34:53,044 Deep breath, with your mouth open. 840 00:34:53,045 --> 00:34:54,462 Not how I imagined 841 00:34:54,463 --> 00:34:56,964 our first intimate encounter. 842 00:34:56,965 --> 00:35:00,051 Okay, got it. 843 00:35:00,052 --> 00:35:02,762 Now, on three, okay? 844 00:35:02,763 --> 00:35:04,806 One... 845 00:35:04,807 --> 00:35:08,101 Ah! Motherfucker. 846 00:35:08,102 --> 00:35:10,645 Ho-ho! You said "on three." 847 00:35:10,646 --> 00:35:11,854 I... I know. 848 00:35:11,855 --> 00:35:14,273 Sorry. It keeps you from tensing up. 849 00:35:14,274 --> 00:35:16,109 Okay, I think that worked. 850 00:35:16,110 --> 00:35:18,194 - How does it feel? - Can I sit up? 851 00:35:18,195 --> 00:35:21,280 - Uh-huh. - Oh. 852 00:35:21,281 --> 00:35:22,533 Oh. 853 00:35:24,993 --> 00:35:28,037 Oh, my God. 854 00:35:28,038 --> 00:35:30,289 Oh. 855 00:35:30,290 --> 00:35:33,376 That is definitely better. 856 00:35:33,377 --> 00:35:35,378 Oh, my God. 857 00:35:35,379 --> 00:35:37,421 Great. 858 00:35:37,422 --> 00:35:39,006 Can I give you a hug? 859 00:35:39,007 --> 00:35:41,592 Mm, maybe... maybe later, okay? 860 00:35:44,263 --> 00:35:47,223 Aspiration pneumonia? How does that happen? 861 00:35:47,224 --> 00:35:49,892 It's when bacteria from the mouth or stomach 862 00:35:49,893 --> 00:35:51,936 get into the breathing tube, 863 00:35:51,937 --> 00:35:53,688 uh, when you're choking, 864 00:35:53,689 --> 00:35:56,941 if you're eating or vomiting. 865 00:35:56,942 --> 00:35:58,067 Oh. 866 00:35:58,068 --> 00:35:59,944 Do you ever drink a lot of alcohol, 867 00:35:59,945 --> 00:36:02,155 maybe so much that you pass out? 868 00:36:02,156 --> 00:36:04,198 No, I'm not a big drinker. 869 00:36:04,199 --> 00:36:07,910 Have you had the stomach flu recently, food poisoning? 870 00:36:07,911 --> 00:36:09,538 No and no. 871 00:36:10,831 --> 00:36:13,750 Do you mind if we take a look inside your mouth? 872 00:36:20,340 --> 00:36:23,843 You can lean your head back... 873 00:36:23,844 --> 00:36:25,678 and open up wide. 874 00:36:29,558 --> 00:36:31,225 What? 875 00:36:31,226 --> 00:36:35,313 The enamel on the back of your teeth is worn away. 876 00:36:35,314 --> 00:36:37,398 What does that mean? 877 00:36:37,399 --> 00:36:38,858 Um, it can happen 878 00:36:38,859 --> 00:36:41,360 if someone makes themselves vomit repeatedly. 879 00:36:41,361 --> 00:36:44,572 All the stomach acid dissolves the enamel. 880 00:36:44,573 --> 00:36:47,658 What does that have to do with having pneumonia? 881 00:36:47,659 --> 00:36:49,286 It may have caused it. 882 00:36:51,330 --> 00:36:54,207 Can you just give me some medicine? 883 00:36:54,208 --> 00:36:55,792 Yeah, we can do that. 884 00:36:59,254 --> 00:37:01,923 Dr. J, finally. 885 00:37:01,924 --> 00:37:04,717 It is so nice to meet you, Dr. J. 886 00:37:04,718 --> 00:37:08,222 This is Willow, your new patient. 887 00:37:09,389 --> 00:37:11,557 I'm actually a student doctor. 888 00:37:11,558 --> 00:37:14,143 I, uh, watch all of your videos. 889 00:37:14,144 --> 00:37:16,145 The one about coping with difficult coworkers 890 00:37:16,146 --> 00:37:17,813 was super helpful. 891 00:37:17,814 --> 00:37:19,398 I got to watch that. 892 00:37:19,399 --> 00:37:22,109 Um, um, so... so what is Willow's health issue? 893 00:37:22,110 --> 00:37:25,988 Uh, my eye... it's superglued shut. 894 00:37:25,989 --> 00:37:28,783 Halfway trim and mineral oil didn't work? 895 00:37:28,784 --> 00:37:30,284 Nope. 896 00:37:30,285 --> 00:37:33,329 Then... then I would suggest cutting the full lash down. 897 00:37:33,330 --> 00:37:36,290 I concur, Dr. J. 898 00:37:36,291 --> 00:37:39,752 As long as you're the one doing it. 899 00:37:39,753 --> 00:37:41,337 Oh. 900 00:37:41,338 --> 00:37:43,381 Okay, yeah, sure. 901 00:37:43,382 --> 00:37:45,591 Um, yeah. 902 00:37:45,592 --> 00:37:48,928 Uh, sit back for me. 903 00:37:48,929 --> 00:37:50,972 I'll get you to close both your eyes 904 00:37:50,973 --> 00:37:53,057 and be as still as possible. 905 00:37:53,058 --> 00:37:54,058 Okay. 906 00:37:54,059 --> 00:37:55,434 All you, Doc. 907 00:37:55,435 --> 00:37:58,854 Thank you, Dr. Langdon. 908 00:37:58,855 --> 00:38:01,483 Okay, here we go. 909 00:38:03,443 --> 00:38:06,487 How many followers do you have, Dr. J? 910 00:38:06,488 --> 00:38:09,491 More than you'd guess, Dr. Langdon. 911 00:38:12,369 --> 00:38:13,536 There. 912 00:38:17,708 --> 00:38:19,458 You did it. 913 00:38:25,132 --> 00:38:27,883 Oh, my God. This looks terrible. 914 00:38:27,884 --> 00:38:32,681 I can still put a false lash on it, though, right? 915 00:38:36,143 --> 00:38:38,686 How are you feeling, Mr. Diaz? 916 00:38:38,687 --> 00:38:41,022 Much better. 917 00:38:41,023 --> 00:38:43,190 We need to talk about how your diabetes 918 00:38:43,191 --> 00:38:46,777 progressed to this place. 919 00:38:46,778 --> 00:38:49,196 This is Student Dr. Kwon. 920 00:38:49,197 --> 00:38:51,908 What you say here remains between us. 921 00:38:54,036 --> 00:38:57,955 I'm taking a lower dose of insulin than I should be. 922 00:38:57,956 --> 00:39:01,417 How much of your prescribed dose are you using at a time? 923 00:39:01,418 --> 00:39:03,044 Half. 924 00:39:03,045 --> 00:39:05,004 I used to have insurance through work, 925 00:39:05,005 --> 00:39:07,882 but I lost that job when the pandemic hit. 926 00:39:07,883 --> 00:39:10,551 It was easy to keep up with my medication then. 927 00:39:10,552 --> 00:39:13,012 I had a great primary doctor, too. 928 00:39:13,013 --> 00:39:15,890 Now I'm kind of on my own. 929 00:39:15,891 --> 00:39:18,267 Do you have a glucose monitor? 930 00:39:18,268 --> 00:39:20,019 Uh, yes. 931 00:39:20,020 --> 00:39:22,396 But I can't afford the test strips every week. 932 00:39:22,397 --> 00:39:24,023 They're too expensive. 933 00:39:24,024 --> 00:39:26,400 Can we not talk about this in front of my family? 934 00:39:26,401 --> 00:39:28,027 - Hi. - Hi. 935 00:39:28,028 --> 00:39:29,862 There are my girls. 936 00:39:29,863 --> 00:39:32,239 - Did you call your brothers? - They're still at soccer. 937 00:39:32,240 --> 00:39:35,368 I have good news. I started a GoFundMe for Dad. 938 00:39:35,369 --> 00:39:36,702 A what? 939 00:39:36,703 --> 00:39:38,412 To help raise money for Dad's medical care 940 00:39:38,413 --> 00:39:40,998 - since we don't have insurance. - No, no. 941 00:39:40,999 --> 00:39:44,043 - Take it down, now. - But why? 942 00:39:44,044 --> 00:39:46,003 I work hard. I don't need charity. 943 00:39:46,004 --> 00:39:47,588 But, Dad, we've already... 944 00:39:47,589 --> 00:39:49,799 Ana, you heard me! 945 00:39:49,800 --> 00:39:50,841 Take it down. 946 00:39:50,842 --> 00:39:52,426 Jesus, Orlando. 947 00:39:52,427 --> 00:39:55,846 No necesito eso. 948 00:39:55,847 --> 00:39:58,974 Louie, thought I'd sneak back here to check on you. 949 00:39:58,975 --> 00:40:01,102 - How we doing in here? - Good. 950 00:40:01,103 --> 00:40:05,022 - Tooth's feeling much better. - Glad to hear it. 951 00:40:05,023 --> 00:40:07,691 Looks like you're stuck with us for the next three hours. 952 00:40:07,692 --> 00:40:09,610 We need to monitor your blood pressure. 953 00:40:09,611 --> 00:40:11,612 How about a drink while I wait? 954 00:40:13,073 --> 00:40:14,615 Water or orange juice? 955 00:40:14,616 --> 00:40:17,660 Uh, never mind. 956 00:40:17,661 --> 00:40:19,495 So, uh... 957 00:40:19,496 --> 00:40:21,997 how are the kids doing? 958 00:40:21,998 --> 00:40:25,584 Oh, they're perfect little monsters. 959 00:40:25,585 --> 00:40:28,254 Tanner's five now. Penny's three. 960 00:40:28,255 --> 00:40:30,923 Oh, ain't that a blessing. 961 00:40:30,924 --> 00:40:33,968 It is, but they have zero interest in bedtime. 962 00:40:33,969 --> 00:40:36,512 And there's the dog always digging up the yard. 963 00:40:38,181 --> 00:40:40,182 How much sun does your lawn get? 964 00:40:40,183 --> 00:40:42,309 I don't know. Plenty. 965 00:40:42,310 --> 00:40:45,438 Seed it with perennial ryegrass. 966 00:40:45,439 --> 00:40:48,065 And you want to lightly water it 967 00:40:48,066 --> 00:40:51,986 and put up a temporary fence so the dog can't get back to it. 968 00:40:51,987 --> 00:40:54,155 Color me impressed. 969 00:40:54,156 --> 00:40:57,283 What can I say? I like grass. 970 00:40:59,244 --> 00:41:02,204 No, seriously, how do you... how do you know all that? 971 00:41:02,205 --> 00:41:04,874 I was a groundskeeper. 972 00:41:04,875 --> 00:41:09,254 I worked with gardens and lawns back in the day. 973 00:41:10,547 --> 00:41:12,048 Robby. 974 00:41:14,092 --> 00:41:15,844 Got a sec? 975 00:41:18,472 --> 00:41:21,140 - Dr. Langdon. - Dr. Al-Hashimi. 976 00:41:21,141 --> 00:41:23,184 How's triage looking? 977 00:41:23,185 --> 00:41:24,894 Donnie and I have it under control. 978 00:41:24,895 --> 00:41:27,146 Good. I want you to wrap up what you're doing out there 979 00:41:27,147 --> 00:41:28,564 and join us back here. 980 00:41:28,565 --> 00:41:31,150 We're expecting more diverted traffic from Westbridge. 981 00:41:31,151 --> 00:41:32,401 Will do. 982 00:41:32,402 --> 00:41:34,487 And I just want to say, I think it's great 983 00:41:34,488 --> 00:41:36,739 that you're in the Physicians' Health Program. 984 00:41:36,740 --> 00:41:38,991 I know it's a big commitment. 985 00:41:38,992 --> 00:41:43,078 Uh, yeah, it was hard at the beginning, 986 00:41:43,079 --> 00:41:45,581 but, you know, I'm almost done with year one now. 987 00:41:45,582 --> 00:41:48,792 Only four more years to go. 988 00:41:48,793 --> 00:41:50,586 Penny for your thoughts. 989 00:41:50,587 --> 00:41:53,005 Oh, they're way more expensive than that. 990 00:41:53,006 --> 00:41:55,174 I'm on a budget. Take it or leave it. 991 00:41:55,175 --> 00:41:57,635 My day is not turning out the way that I expected. 992 00:41:57,636 --> 00:42:00,804 We had a callout. Langdon was available. 993 00:42:00,805 --> 00:42:03,182 I was sort of hoping to be on my sabbatical 994 00:42:03,183 --> 00:42:04,850 when he came back. 995 00:42:04,851 --> 00:42:06,519 You two were very close. 996 00:42:06,520 --> 00:42:08,437 Maybe this is the universe's way 997 00:42:08,438 --> 00:42:11,106 of telling you it's time to clear the air. 998 00:42:11,107 --> 00:42:13,150 Maybe it is. 999 00:42:13,151 --> 00:42:15,111 Maybe it isn't. 1000 00:42:19,282 --> 00:42:22,201 Okay, so, um, we'll need to keep you for the day 1001 00:42:22,202 --> 00:42:26,872 for your IV antibiotics and to monitor your oxygen level. 1002 00:42:26,873 --> 00:42:30,544 Okay. 1003 00:42:35,549 --> 00:42:37,383 What if... 1004 00:42:40,262 --> 00:42:43,348 I have been making myself vomit? 1005 00:42:45,225 --> 00:42:47,726 Well... 1006 00:42:47,727 --> 00:42:50,313 bulimia is treatable. 1007 00:42:52,107 --> 00:42:54,275 I was going to stop. 1008 00:42:54,276 --> 00:42:56,361 I stopped before. 1009 00:42:58,822 --> 00:43:02,408 My family gathers around food. 1010 00:43:02,409 --> 00:43:05,369 We eat when we're celebrating. We eat when we're mourning. 1011 00:43:05,370 --> 00:43:06,787 We just eat. 1012 00:43:06,788 --> 00:43:08,205 But then I got to college, 1013 00:43:08,206 --> 00:43:10,624 and it was all about how you looked. 1014 00:43:10,625 --> 00:43:12,919 That's a lot of pressure. 1015 00:43:17,299 --> 00:43:20,175 I started vomiting. 1016 00:43:20,176 --> 00:43:22,761 Everyone said I looked great. 1017 00:43:22,762 --> 00:43:24,930 So I went to the gym more. 1018 00:43:24,931 --> 00:43:28,642 I didn't need to purge as much. 1019 00:43:31,146 --> 00:43:32,855 Last year, I went through a breakup. 1020 00:43:32,856 --> 00:43:36,483 It all came back. 1021 00:43:39,988 --> 00:43:41,363 You're... 1022 00:43:41,364 --> 00:43:45,117 doing long-term damage to your body. 1023 00:43:45,118 --> 00:43:48,954 And it doesn't just go away on its own. 1024 00:43:48,955 --> 00:43:51,415 It's okay to ask for help. 1025 00:43:51,416 --> 00:43:52,583 We can set you up 1026 00:43:52,584 --> 00:43:54,668 with our eating-disorder program upstairs. 1027 00:43:54,669 --> 00:43:58,422 - It's here in the hospital? - It's an outpatient program. 1028 00:43:58,423 --> 00:44:00,049 You'd meet with a therapist 1029 00:44:00,050 --> 00:44:04,179 for individual and group therapy once or twice a week. 1030 00:44:05,430 --> 00:44:08,683 Would you be open to meeting with a therapist? 1031 00:44:10,310 --> 00:44:12,561 I guess. 1032 00:44:12,562 --> 00:44:14,688 Do you have any preference for type of therapist... 1033 00:44:14,689 --> 00:44:16,774 male, female? 1034 00:44:16,775 --> 00:44:19,735 If there's a Black woman, I'd like that. 1035 00:44:21,029 --> 00:44:23,364 Yeah, we can arrange that. 1036 00:44:25,492 --> 00:44:27,327 Thank you. 1037 00:44:30,497 --> 00:44:32,581 That was a good catch. 1038 00:44:32,582 --> 00:44:34,375 Black women tend to go underdiagnosed 1039 00:44:34,376 --> 00:44:36,001 when it comes to eating disorders. 1040 00:44:36,002 --> 00:44:38,087 - Really? - Yeah, unfortunately. 1041 00:44:38,088 --> 00:44:41,006 You know, I thought I had an eating disorder in high school, 1042 00:44:41,007 --> 00:44:43,425 and so I did a lot of research on the subject. 1043 00:44:43,426 --> 00:44:46,345 I didn't... no, I just... 1044 00:44:46,346 --> 00:44:49,556 My sister and I were really picky eaters growing up, 1045 00:44:49,557 --> 00:44:51,100 you know? 1046 00:44:51,101 --> 00:44:53,310 Color and texture. 1047 00:44:53,311 --> 00:44:55,145 Vegetables and fish. 1048 00:44:55,146 --> 00:44:56,980 Oh, eggs. 1049 00:44:56,981 --> 00:45:00,192 Slimy okra, asparagus... ugh, disgusting. 1050 00:45:00,193 --> 00:45:01,652 Drove our parents crazy. 1051 00:45:01,653 --> 00:45:04,321 Oh, eggs, weird. 1052 00:45:04,322 --> 00:45:05,614 It's not that weird. 1053 00:45:05,615 --> 00:45:08,742 I got to catch up on my charting. 1054 00:45:08,743 --> 00:45:10,160 Ah. 1055 00:45:10,161 --> 00:45:13,372 You know, if... if you want to talk, I'm around. 1056 00:45:13,373 --> 00:45:14,540 Talk about what? 1057 00:45:14,541 --> 00:45:16,166 Being an R2? 1058 00:45:16,167 --> 00:45:17,710 Way harder than intern year. 1059 00:45:17,711 --> 00:45:19,086 Oh, yeah, um... 1060 00:45:19,087 --> 00:45:22,506 yeah, overseeing the med students, the interns, 1061 00:45:22,507 --> 00:45:24,466 having no time to do my own charts. 1062 00:45:24,467 --> 00:45:26,885 Yeah, just wait until you get into Medical, 1063 00:45:26,886 --> 00:45:28,429 Surgical, and Cardiac ICU. 1064 00:45:28,430 --> 00:45:30,389 I stands for "intense." 1065 00:45:30,390 --> 00:45:33,308 Somehow that seems like an understatement. 1066 00:45:33,309 --> 00:45:36,061 Well, it does help you grow your clinical skills, 1067 00:45:36,062 --> 00:45:38,105 you know, caring for the sickest patients. 1068 00:45:38,106 --> 00:45:40,441 Tell that to these charts. 1069 00:45:40,442 --> 00:45:43,403 Um, dictate. Helps you go faster. 1070 00:45:46,156 --> 00:45:49,450 Oh, uh, what happened with our patient from Westbridge? 1071 00:45:49,451 --> 00:45:51,285 You never grabbed me for his troponin. 1072 00:45:51,286 --> 00:45:53,829 Mr. Samba... it was a posterior STEMI. 1073 00:45:53,830 --> 00:45:56,165 What? Didn't show on the 12-lead. 1074 00:45:56,166 --> 00:45:57,750 Oh, usually doesn't. 1075 00:45:57,751 --> 00:46:01,003 And I think most clinicians would have missed it. 1076 00:46:01,004 --> 00:46:02,254 But you didn't. 1077 00:46:03,840 --> 00:46:05,633 Guess I got lucky. 1078 00:46:07,177 --> 00:46:09,970 Whatever, Fuckleberry. 1079 00:46:09,971 --> 00:46:12,431 Okay, I'm sorry. Did I do something to bother you? 1080 00:46:12,432 --> 00:46:13,767 Nope. 1081 00:46:15,769 --> 00:46:18,479 Okay. 1082 00:46:18,480 --> 00:46:20,230 - Yo. - What's up? 1083 00:46:20,231 --> 00:46:23,442 I got a bounce-back. You remember Debbie Cohen? 1084 00:46:23,443 --> 00:46:25,652 Not really. I've seen 16 patients this morning. 1085 00:46:25,653 --> 00:46:27,488 The restaurant worker with cellulitis 1086 00:46:27,489 --> 00:46:29,782 - on the dorsum of the foot? - Yes, yes, she's on Keflex. 1087 00:46:29,783 --> 00:46:31,366 I marked the border. 1088 00:46:31,367 --> 00:46:34,913 Yeah, I got a hot pack on it, but, uh, you should take a look. 1089 00:46:38,625 --> 00:46:40,459 Hi. Dr. Langdon. 1090 00:46:40,460 --> 00:46:43,170 I wasn't expecting to see you back so soon. 1091 00:46:43,171 --> 00:46:45,672 - Meds upset your stomach? - Uh, no. 1092 00:46:45,673 --> 00:46:48,675 The pain got worse, and you said to come back 1093 00:46:48,676 --> 00:46:51,220 if the redness spread outside the Sharpie line. 1094 00:46:51,221 --> 00:46:53,014 Let's take a look. 1095 00:46:54,974 --> 00:46:56,392 Ah. 1096 00:47:02,607 --> 00:47:04,024 It looks like the infection 1097 00:47:04,025 --> 00:47:06,068 isn't responding to the pills I prescribed you, 1098 00:47:06,069 --> 00:47:08,570 so we need to get you on some IV antibiotics 1099 00:47:08,571 --> 00:47:10,614 and get you back to the ED now. 1100 00:47:10,615 --> 00:47:12,491 Uh, I-is it bad? 1101 00:47:12,492 --> 00:47:15,160 Not if we can get a handle on it. 1102 00:47:15,161 --> 00:47:17,196 - MRSA? - Or maybe worse. 1103 00:47:17,198 --> 00:47:21,729 Sync and corrections by btsix www.addic7ed.com