1 00:00:09,992 --> 00:00:13,329 Sync and corrections by btsix www.addic7ed.com 2 00:00:17,897 --> 00:00:20,350 All right, everybody, settle down! 3 00:00:21,626 --> 00:00:22,876 Good. 4 00:00:22,878 --> 00:00:25,004 Now, Robby has something important to say. 5 00:00:25,005 --> 00:00:26,697 I know that this isn't easy. 6 00:00:26,698 --> 00:00:28,720 We're going to help you address any challenges 7 00:00:28,721 --> 00:00:29,887 that you might be having. 8 00:00:29,888 --> 00:00:31,807 If you have any concerns, just raise your hand. 9 00:00:31,808 --> 00:00:34,830 - Emma, write all this down. - Dr. Mohan. 10 00:00:34,831 --> 00:00:37,082 Medication orders aren't coming up from the pharmacy. 11 00:00:37,083 --> 00:00:39,043 Check with the clinical pharmacist 12 00:00:39,044 --> 00:00:40,392 to see if it's in the PDS. 13 00:00:40,393 --> 00:00:42,160 If it's not, then give the third copy 14 00:00:42,161 --> 00:00:44,131 of the order sheet to Dr. Nordt. 15 00:00:44,132 --> 00:00:45,883 We're gonna need more people to run it down. 16 00:00:45,884 --> 00:00:47,363 We'll work on it. Langdon. 17 00:00:47,364 --> 00:00:48,631 I can't find the patient clipboards. 18 00:00:48,632 --> 00:00:51,055 Clipboards need to stay here for orders and labs. 19 00:00:51,056 --> 00:00:52,474 Wait, so how do we write our notes? 20 00:00:52,475 --> 00:00:55,434 Take the T sheet to the bedside, not the whole chart. 21 00:00:55,435 --> 00:00:57,269 Same goes for nursing notes. 22 00:00:57,270 --> 00:00:59,063 - Princess. - Fax machine is down. 23 00:00:59,064 --> 00:01:01,440 - Error message E6. - What the hell does that mean? 24 00:01:01,441 --> 00:01:03,554 - You can check the manual. - There isn't one. 25 00:01:03,555 --> 00:01:05,602 Okay, Perlah, why don't you take your phone out to the base? 26 00:01:05,603 --> 00:01:07,706 See if you can get service, find a manual online. 27 00:01:11,717 --> 00:01:12,743 What else? 28 00:01:12,744 --> 00:01:14,328 Ogilvie, put your hand down. Santos. 29 00:01:14,329 --> 00:01:15,996 We've gotten a few CT results back 30 00:01:15,997 --> 00:01:17,331 but nothing on plain films. 31 00:01:17,332 --> 00:01:19,083 That's probably because they're all sitting 32 00:01:19,084 --> 00:01:21,251 on the portable machine not getting to radiology. 33 00:01:21,252 --> 00:01:22,920 - I'll take care of this. - You be patient. 34 00:01:22,921 --> 00:01:25,184 Help each other. Thank you. 35 00:01:25,984 --> 00:01:27,925 We need to call in extra help. 36 00:01:27,926 --> 00:01:30,593 - At 3:00 p.m. on a holiday? - I know people, buddy. 37 00:01:30,594 --> 00:01:33,610 I have a 32-year-old woman with severe abdominal pain. 38 00:01:33,611 --> 00:01:35,099 - Do we have a bed? - Not at the moment. 39 00:01:35,100 --> 00:01:36,433 - I'll take her. - Incoming. 40 00:01:36,434 --> 00:01:37,434 Thank you. 41 00:01:37,435 --> 00:01:39,269 Santos, Javadi, you're up. 42 00:01:39,270 --> 00:01:41,772 Trauma one's open. 43 00:01:41,773 --> 00:01:43,232 12-year-old Jude Augustin... 44 00:01:43,233 --> 00:01:45,855 firecracker exploded, nondominant left hand. 45 00:01:45,856 --> 00:01:47,444 Good vitals. 25 of fent so far. 46 00:01:47,445 --> 00:01:48,779 Any other injuries? 47 00:01:48,780 --> 00:01:50,614 No, but seems to have lost two of his fingers. 48 00:01:50,615 --> 00:01:52,157 - Did you bring 'em? - Blown to bits. 49 00:01:52,158 --> 00:01:53,992 - It really hurts. - I'm sure it does. 50 00:01:53,993 --> 00:01:55,828 We'll do something for that. 51 00:01:55,829 --> 00:01:57,831 - Parents? - Not on scene. 52 00:02:00,041 --> 00:02:01,083 Ready? 53 00:02:01,084 --> 00:02:03,127 One, two, three. 54 00:02:03,128 --> 00:02:04,586 Hey, Jude, 55 00:02:04,587 --> 00:02:06,797 do you know your mom or your dad's telephone number? 56 00:02:06,798 --> 00:02:09,174 No. But I know my sister's. 57 00:02:09,175 --> 00:02:10,926 Okay. 58 00:02:10,927 --> 00:02:13,345 - Good breath sounds. - Abdomen nontender. 59 00:02:13,346 --> 00:02:14,763 Heart rate 112. 60 00:02:14,764 --> 00:02:16,473 Put this around his left forearm. 61 00:02:16,474 --> 00:02:18,183 - Is that good? - That is very good. 62 00:02:18,184 --> 00:02:20,644 I want to do another 25 of fent before we open this bandage. 63 00:02:20,645 --> 00:02:22,396 Can you tell us what happened? 64 00:02:22,397 --> 00:02:25,315 - My friends had firecrackers. - 25 fent on board. 65 00:02:25,316 --> 00:02:27,985 I lit one, and it went off fast. 66 00:02:27,986 --> 00:02:29,987 I-I dropped it, but... 67 00:02:29,988 --> 00:02:31,864 We're gonna take your bandage off now, okay? 68 00:02:31,865 --> 00:02:33,824 - I don't want to see. - You don't have to. 69 00:02:33,825 --> 00:02:35,617 Just look at me. 70 00:02:35,618 --> 00:02:36,994 Okay. 71 00:02:36,995 --> 00:02:39,830 Cutting. 72 00:02:39,831 --> 00:02:41,874 Sorry. 73 00:02:41,875 --> 00:02:43,625 You're doing great. 74 00:02:46,337 --> 00:02:49,047 That looks like a lot more than a firecracker. 75 00:02:49,048 --> 00:02:51,550 More like an M-80 or a cherry bomb. 76 00:02:51,551 --> 00:02:53,510 It's really good that you dropped it. 77 00:02:53,511 --> 00:02:55,345 You saved the rest of your hand. 78 00:02:55,346 --> 00:02:56,889 Digits 4 and 5 avulsed. 79 00:02:56,890 --> 00:02:59,391 Distal metacarpals 4 and 5 also gone with exposed bone. 80 00:02:59,392 --> 00:03:01,059 Soft-tissue damage on the palmar aspect, 81 00:03:01,060 --> 00:03:03,645 less so on dorsal... some burns on wound edges. 82 00:03:03,646 --> 00:03:07,858 Jude, can you bend your fingers for me up and down? 83 00:03:07,859 --> 00:03:09,818 Really good job. Really good job. 84 00:03:09,819 --> 00:03:12,196 - How bad is it? - You lost two fingers. 85 00:03:12,197 --> 00:03:14,907 But it seems like the rest are gonna be okay. 86 00:03:14,908 --> 00:03:17,201 Oh, no. I fucked up! 87 00:03:17,202 --> 00:03:19,703 All right, can we do a wrist block for the pain? 88 00:03:19,704 --> 00:03:22,581 I want to do a very detailed motor and sensory exam first. 89 00:03:22,582 --> 00:03:25,250 We're gonna continue our exam now, okay, Jude? 90 00:03:28,546 --> 00:03:29,880 Okay, thanks. 91 00:03:29,881 --> 00:03:32,216 ICU can take her after the next neuro exam. 92 00:03:32,217 --> 00:03:33,592 The ICU? 93 00:03:33,593 --> 00:03:35,844 It's just so she can be monitored for the rest 94 00:03:35,845 --> 00:03:37,721 of the day. 95 00:03:37,722 --> 00:03:40,766 4 millimeters and reactive. 96 00:03:40,767 --> 00:03:42,017 Mel. 97 00:03:42,018 --> 00:03:44,728 - 4 millimeters and reactive. - Yep, got it. 98 00:03:44,729 --> 00:03:47,398 I could sort of make out your hand. 99 00:03:50,610 --> 00:03:52,736 Can you cover your good eye? 100 00:03:52,737 --> 00:03:56,240 How many fingers am I holding up? 101 00:03:56,241 --> 00:03:57,367 Three. 102 00:03:59,244 --> 00:04:00,661 That's good news. 103 00:04:00,662 --> 00:04:03,830 So the medicine worked? She's out of the woods? 104 00:04:03,831 --> 00:04:05,207 Um, possibly. 105 00:04:05,208 --> 00:04:06,375 It's... 106 00:04:06,376 --> 00:04:09,545 Okay, um, cover your eye again. 107 00:04:09,546 --> 00:04:12,464 All right, what do you see? 108 00:04:12,465 --> 00:04:16,344 - Top line is E. - All right, and the next one? 109 00:04:18,638 --> 00:04:20,639 Nothing. 110 00:04:20,640 --> 00:04:23,934 Okay, well, that's 20/200. 111 00:04:23,935 --> 00:04:25,143 Meaning? 112 00:04:25,144 --> 00:04:27,271 Uh, what a healthy eye can see at 200 feet, 113 00:04:27,272 --> 00:04:28,605 she can see at 20 feet. 114 00:04:28,606 --> 00:04:31,483 - Is that good? - Yeah. It's much better. 115 00:04:31,484 --> 00:04:34,611 Um, and it can continue to improve over time. 116 00:04:34,612 --> 00:04:37,322 Thank you, Dr. King. 117 00:04:37,323 --> 00:04:39,950 Um, I'm gonna take a quick break 118 00:04:39,951 --> 00:04:41,743 - before my deposition. - Mm-hmm. 119 00:04:41,744 --> 00:04:43,954 So I'll let Robby know that I'm off the clock 120 00:04:43,955 --> 00:04:46,123 - for the time being. - Good luck. 121 00:04:46,124 --> 00:04:47,458 Thanks. 122 00:04:49,669 --> 00:04:51,420 - Mel. - Hey. 123 00:04:51,421 --> 00:04:52,796 You have a visitor in chairs. 124 00:04:52,797 --> 00:04:56,049 - What? Who? - Said she's your sister. 125 00:04:56,050 --> 00:04:57,427 Becca? 126 00:05:01,472 --> 00:05:03,307 Yep. You have heat exhaustion. 127 00:05:03,308 --> 00:05:05,350 It usually gets better with Aleve, 128 00:05:05,351 --> 00:05:07,144 but today was really bad. 129 00:05:07,145 --> 00:05:09,438 - Same pain you had before? - Mm-hmm. 130 00:05:09,439 --> 00:05:11,481 - From a cyst? - I think so. 131 00:05:11,482 --> 00:05:13,817 I have PCOS. 132 00:05:13,818 --> 00:05:16,486 Is the, uh... is the pain always on your left? 133 00:05:16,487 --> 00:05:17,779 Today it is. 134 00:05:17,780 --> 00:05:20,657 We will check a UA and urine pregnancy test, 135 00:05:20,658 --> 00:05:22,200 and I'll give you a shot of Toradol. 136 00:05:22,201 --> 00:05:24,870 It's something a little stronger for the pain. 137 00:05:24,871 --> 00:05:26,580 I'm not pregnant, I promise. 138 00:05:26,581 --> 00:05:29,833 No, we have to. It's hospital policy. 139 00:05:29,834 --> 00:05:33,503 You guys still write stuff down on paper? 140 00:05:33,504 --> 00:05:36,173 Today we do, yeah. 141 00:05:43,056 --> 00:05:44,348 Are you a doctor? 142 00:05:44,349 --> 00:05:46,642 I've been waiting hours to be seen. 143 00:05:46,643 --> 00:05:47,976 - Quick question... - Oh. 144 00:05:47,977 --> 00:05:51,188 - Hey, watch the walker. - This thing is useless. 145 00:05:51,189 --> 00:05:53,690 Sorry, I just, um, um... we're really busy. 146 00:05:53,691 --> 00:05:55,734 And someone will see you in a second. 147 00:05:58,112 --> 00:06:01,073 - Becca. - Mel, hi. 148 00:06:01,074 --> 00:06:03,950 - Is everything okay? - Yeah, I have a stomachache. 149 00:06:03,951 --> 00:06:05,911 Did you see the residential-care nurse? 150 00:06:05,912 --> 00:06:07,204 She was out for the Fourth, 151 00:06:07,205 --> 00:06:08,872 but I talked to her on the phone. 152 00:06:08,873 --> 00:06:10,874 She told me to come here, and Geri brought me. 153 00:06:10,875 --> 00:06:12,334 - Thank you. - No problem. 154 00:06:12,335 --> 00:06:14,503 - I'll wait for you. - Okay. 155 00:06:14,504 --> 00:06:16,338 Okay. Come on, this way. 156 00:06:16,339 --> 00:06:18,173 Uh, just through here. 157 00:06:18,174 --> 00:06:21,885 - Is it always like this? - Yeah, pretty much. 158 00:06:21,886 --> 00:06:25,263 Wow. There are a lot of smelly people. 159 00:06:25,264 --> 00:06:26,598 Yeah. 160 00:06:26,599 --> 00:06:28,225 Are you going to help them all? 161 00:06:28,226 --> 00:06:30,394 Yeah, but, um, let's start with you first. 162 00:06:30,395 --> 00:06:31,978 Okay. 163 00:06:31,979 --> 00:06:35,232 - How's the pain? - I can't feel my hand anymore. 164 00:06:35,233 --> 00:06:36,775 Ancef's on board. 165 00:06:36,776 --> 00:06:39,111 Okay, we're going to clean out your hand with saline... 166 00:06:39,112 --> 00:06:41,572 - salt water. - Okay. 167 00:06:45,368 --> 00:06:47,077 What's up? 168 00:06:47,078 --> 00:06:48,453 Hand versus M-80. 169 00:06:48,454 --> 00:06:50,622 Hmm. Surprised we've only seen one of these. 170 00:06:50,623 --> 00:06:52,082 The day's still young yet. 171 00:06:52,083 --> 00:06:54,459 Lost fourth metacarpal, mid-shaft on the fifth. 172 00:06:54,460 --> 00:06:56,712 Bummer. 173 00:06:56,713 --> 00:06:58,964 Hello, I'm Dr. Garcia from surgery. 174 00:06:58,965 --> 00:07:00,632 - I'm gonna have surgery? - Yes. 175 00:07:00,633 --> 00:07:03,301 The first operation is to clean everything up 176 00:07:03,302 --> 00:07:05,804 and cover where the skin is missing. 177 00:07:05,805 --> 00:07:07,764 But you still have your thumb 178 00:07:07,765 --> 00:07:10,351 and your most important fingers. 179 00:07:13,062 --> 00:07:15,814 - What'd you give him for pain? - We did regional blocks. 180 00:07:15,815 --> 00:07:18,567 Hand surgery always wants to document their own neuro exam. 181 00:07:18,568 --> 00:07:20,902 Sensation is intact to light touch and pinprick 182 00:07:20,903 --> 00:07:22,988 throughout the digits in the remaining hand. 183 00:07:25,241 --> 00:07:28,160 Um, yeah, FDS and FTPs and extensor function 184 00:07:28,161 --> 00:07:29,619 was all intact. 185 00:07:29,620 --> 00:07:31,621 Need parental consent for surgery. 186 00:07:31,622 --> 00:07:34,000 - Yeah, we're working on that. - Dr. Robby? 187 00:07:37,670 --> 00:07:41,006 I smell alcohol on his breath. 188 00:07:41,007 --> 00:07:42,215 He's in line for the OR. 189 00:07:42,216 --> 00:07:43,800 Might be a little bit of a wait. 190 00:07:43,801 --> 00:07:45,510 Ortho's still in with Allen Billings... 191 00:07:45,511 --> 00:07:47,637 that open shoulder dislocation that came back from Westbridge. 192 00:07:47,638 --> 00:07:49,014 He's still in surgery? 193 00:07:49,015 --> 00:07:50,807 He waited an hour to be cleared by anesthesia. 194 00:07:50,808 --> 00:07:52,142 Is the insurance company 195 00:07:52,143 --> 00:07:53,810 gonna cover the cost of the surgery? 196 00:07:53,811 --> 00:07:55,312 Yeah, since Westbridge is still down. 197 00:07:55,313 --> 00:07:57,022 Well, good, because the delay in care 198 00:07:57,023 --> 00:07:58,774 definitely increased the chance of a post-op infection. 199 00:07:58,775 --> 00:08:00,650 You got to love it when insurance companies 200 00:08:00,651 --> 00:08:02,027 make medical decisions. 201 00:08:02,028 --> 00:08:03,403 - Hey. - What's up? 202 00:08:03,404 --> 00:08:05,155 Do you still need a rain check 203 00:08:05,156 --> 00:08:06,573 for watching fireworks tonight? 204 00:08:06,574 --> 00:08:08,074 I thought you were coming over. 205 00:08:08,075 --> 00:08:10,827 I made other plans. 206 00:08:10,828 --> 00:08:12,329 Okay, cool. 207 00:08:12,330 --> 00:08:14,372 I'll try hitting you up tomorrow. 208 00:08:14,373 --> 00:08:16,500 We're just keeping it casual, right? 209 00:08:16,501 --> 00:08:17,835 For sure. 210 00:08:21,172 --> 00:08:22,839 Yeah. 211 00:08:22,840 --> 00:08:24,800 Thank you. Yeah, bye. 212 00:08:24,801 --> 00:08:26,218 Oh, uh, hey. 213 00:08:26,219 --> 00:08:28,303 I just got a hold of the sister of the heavy patient 214 00:08:28,304 --> 00:08:29,805 Abbot's taking to Presby. 215 00:08:29,806 --> 00:08:32,057 She still lives in Arizona, but she is willing to talk 216 00:08:32,058 --> 00:08:33,517 to him when he's back. 217 00:08:33,518 --> 00:08:34,726 That's good news. 218 00:08:34,727 --> 00:08:36,686 When do you think that might be? 219 00:08:36,687 --> 00:08:39,022 Depends on how crazy it is over at Presby. 220 00:08:39,023 --> 00:08:40,857 If it's anything like here, who knows? 221 00:08:40,858 --> 00:08:42,192 Yeah. 222 00:08:42,193 --> 00:08:43,860 Um, is help on the way? 223 00:08:43,861 --> 00:08:45,278 Ah, ye of little faith. 224 00:08:45,279 --> 00:08:47,864 You got a gumband? 225 00:08:47,865 --> 00:08:51,076 Thanks. Keep losing these. 226 00:08:51,077 --> 00:08:52,911 Oh, this fucking day. 227 00:08:52,912 --> 00:08:55,413 Thought I was gonna get a clean getaway for my trip. 228 00:08:55,414 --> 00:08:57,249 God gives His toughest battles 229 00:08:57,250 --> 00:08:58,708 to His strongest soldiers. 230 00:08:58,709 --> 00:09:00,961 Dana, is there a room open? This is my sister. 231 00:09:00,962 --> 00:09:03,213 She's in a lot of pain, and... and we need a bed ASAP. 232 00:09:03,214 --> 00:09:04,756 My name is Becca, not "my sister." 233 00:09:04,757 --> 00:09:06,091 Sorry, right. 234 00:09:06,092 --> 00:09:08,510 Um, Dana, Dr. Robby, this is my... 235 00:09:08,511 --> 00:09:09,761 my... Becca. 236 00:09:09,762 --> 00:09:11,012 Nice to meet you. 237 00:09:11,013 --> 00:09:14,015 You're Dr. Robby? Cool. 238 00:09:14,016 --> 00:09:16,726 Central 7 was just cleaned. Anything I can get you, hon? 239 00:09:16,727 --> 00:09:18,312 No, thank you. 240 00:09:20,898 --> 00:09:23,400 Oh, wait, Becca. Come here. 241 00:09:23,401 --> 00:09:27,946 Come this way. We're going right in here. 242 00:09:27,947 --> 00:09:31,032 All right, so, um, you're gonna need to get undressed 243 00:09:31,033 --> 00:09:33,618 and get into the gown, which should be on the bed. 244 00:09:33,619 --> 00:09:36,329 Then we're gonna do an evaluation and take a history. 245 00:09:36,330 --> 00:09:37,831 That's a lot of questions, 246 00:09:37,832 --> 00:09:39,916 like, like, a lot, a lot of questions, which we'll do. 247 00:09:39,917 --> 00:09:41,626 And then a physical exam, of course. 248 00:09:41,627 --> 00:09:43,962 Mel, I've been to the doctor's before. 249 00:09:43,963 --> 00:09:46,172 Right. Sorry. 250 00:09:46,173 --> 00:09:49,342 I just... I-I really want this to be done the right way. 251 00:09:53,598 --> 00:09:55,348 Do you need to take that call? 252 00:09:55,349 --> 00:09:57,809 Uh, no, it's, um... it's a reminder alarm 253 00:09:57,810 --> 00:10:00,353 for this important meeting I have in 15 minutes. 254 00:10:00,354 --> 00:10:02,564 Um, do you have to go? 255 00:10:02,565 --> 00:10:04,733 Let's just get you taken care of first, all right? 256 00:10:04,734 --> 00:10:07,569 So just change into the gown. I'll be behind the curtain. 257 00:10:07,570 --> 00:10:11,949 Okay. 258 00:10:21,626 --> 00:10:24,794 Your grand prize. 259 00:10:24,795 --> 00:10:28,089 All I see is green, baby. 260 00:10:36,015 --> 00:10:38,642 Oh. What's up with her? 261 00:10:38,643 --> 00:10:41,311 Fax machine has paper jam... so annoying. 262 00:10:41,312 --> 00:10:42,772 Hmm. 263 00:10:49,320 --> 00:10:51,655 - You want me to try? - No. 264 00:10:51,656 --> 00:10:54,032 - Oh, huzzah. - I got it. 265 00:10:58,329 --> 00:10:59,996 - What's it say? - "Replace toner." 266 00:10:59,997 --> 00:11:01,331 We live in hell. 267 00:11:01,332 --> 00:11:03,083 - Oh, where can we get that? - 1988. 268 00:11:03,084 --> 00:11:05,585 - You ever seen one of these? - Honestly, no. 269 00:11:05,586 --> 00:11:07,545 How are we gonna get labs and X-rays to the wards? 270 00:11:07,546 --> 00:11:09,339 The old-fashioned way, runners. 271 00:11:09,340 --> 00:11:11,675 I'll check if they can spare a couple clerks 272 00:11:11,676 --> 00:11:13,219 from upstairs. 273 00:11:17,181 --> 00:11:18,348 When were you first diagnosed 274 00:11:18,349 --> 00:11:20,183 with polycystic ovarian syndrome? 275 00:11:20,184 --> 00:11:21,518 Last summer. 276 00:11:21,519 --> 00:11:23,353 That's when the symptoms started? 277 00:11:23,354 --> 00:11:26,022 No. I've had years of pain, hormonal changes, 278 00:11:26,023 --> 00:11:27,482 and an abnormal period. 279 00:11:27,483 --> 00:11:29,859 I was finally diagnosed after switching to a gyno 280 00:11:29,860 --> 00:11:31,569 who actually listened to me. 281 00:11:31,570 --> 00:11:35,031 Yeah, it can take time to make the diagnosis. 282 00:11:35,032 --> 00:11:38,368 That sounds like an excuse for lazy doctoring. 283 00:11:38,369 --> 00:11:41,371 And it doesn't help that some of you don't listen to women, 284 00:11:41,372 --> 00:11:43,081 let alone brown ones. 285 00:11:43,082 --> 00:11:44,624 It hasn't been easy. 286 00:11:44,625 --> 00:11:46,793 - How's your pain now? - Better. 287 00:11:46,794 --> 00:11:49,170 - What was she given? - IM Toradol. 288 00:11:49,171 --> 00:11:52,382 Have you had a transvaginal ultrasound before? 289 00:11:52,383 --> 00:11:54,175 I've lost count of how many times. 290 00:11:54,176 --> 00:11:56,428 Okay, if you want to scoot your bottom down, 291 00:11:56,429 --> 00:11:59,389 I'll help you put your feet in the leg rests here. 292 00:11:59,390 --> 00:12:01,891 Yep, you got it. 293 00:12:10,234 --> 00:12:12,235 Okay, ready to go here? 294 00:12:12,236 --> 00:12:15,072 Cold gel and some pressure. 295 00:12:17,908 --> 00:12:20,243 Okay. 296 00:12:20,244 --> 00:12:22,245 Okay, ectopic is unlikely 297 00:12:22,246 --> 00:12:24,581 since the urine pregnancy was negative. 298 00:12:24,582 --> 00:12:26,624 I'm hoping it'll be positive one day. 299 00:12:26,625 --> 00:12:29,461 - Oh, are you trying? - Not at the moment. 300 00:12:29,462 --> 00:12:31,629 I'm getting married in September. 301 00:12:31,630 --> 00:12:34,924 - Oh, congratulations. - Okay. 302 00:12:34,925 --> 00:12:37,927 A bunch of small cysts... to be expected. 303 00:12:37,928 --> 00:12:41,347 But then there's one big one, about 5 centimeters. 304 00:12:41,348 --> 00:12:43,641 My gyno's been monitoring her. 305 00:12:43,642 --> 00:12:44,934 Mm-hmm. 306 00:12:44,935 --> 00:12:46,352 With a little bit of free fluid. 307 00:12:46,353 --> 00:12:48,980 Checking blood flow to the ovary. 308 00:12:48,981 --> 00:12:51,441 Red is for artery. Blue is for vein. 309 00:12:51,442 --> 00:12:53,151 Okay, looks good. 310 00:12:53,152 --> 00:12:55,779 Coming out now. 311 00:12:55,780 --> 00:12:57,698 - Sorry. - Okay. 312 00:12:58,949 --> 00:13:02,703 We will be back when we get your blood-test results. 313 00:13:05,122 --> 00:13:06,498 All right, what do you think? 314 00:13:06,499 --> 00:13:08,458 She probably had a small fluid leak 315 00:13:08,459 --> 00:13:10,293 from the cyst that caused the pain 316 00:13:10,294 --> 00:13:12,253 that improved with a nonsteroidal. 317 00:13:12,254 --> 00:13:15,465 - And what's your plan? - Discharge with naproxen? 318 00:13:15,466 --> 00:13:18,593 Do you think that just might be what her doctors in the past 319 00:13:18,594 --> 00:13:19,803 have done? 320 00:13:19,804 --> 00:13:21,513 Well, she said she's feeling better. 321 00:13:21,514 --> 00:13:22,806 We can free up a bed. 322 00:13:22,807 --> 00:13:24,432 Mm, she didn't look good in triage, 323 00:13:24,433 --> 00:13:26,810 and her pain was way more severe than previous episodes. 324 00:13:26,811 --> 00:13:28,812 I think we observe her for a bit. 325 00:13:28,813 --> 00:13:30,438 Okay. 326 00:13:30,439 --> 00:13:34,275 Mr. Green, this is Dr. Mohan and student doctor Ogilvie. 327 00:13:34,276 --> 00:13:36,444 Uh, what can you tell me about your flank pain? 328 00:13:36,445 --> 00:13:38,613 Feels like another kidney stone. 329 00:13:38,614 --> 00:13:40,115 You've had them before? 330 00:13:40,116 --> 00:13:42,200 I said "another," which means an additional thing 331 00:13:42,201 --> 00:13:44,410 of the same type. 332 00:13:44,411 --> 00:13:46,830 I teach English at Point Park. 333 00:13:46,831 --> 00:13:48,081 Triggering. 334 00:13:48,082 --> 00:13:50,500 My dad's a high-school English teacher. 335 00:13:50,501 --> 00:13:51,918 Oh. 336 00:13:51,919 --> 00:13:55,421 Well, you went into medicine. He must be really proud. 337 00:13:55,422 --> 00:13:57,173 You'd have to ask him. 338 00:13:57,174 --> 00:13:58,842 Getting back to your pain, 339 00:13:58,843 --> 00:14:01,261 it feels like something you've experienced before? 340 00:14:01,262 --> 00:14:03,221 Same as always, left kidney. 341 00:14:03,222 --> 00:14:05,223 Started about 10:00 p.m. last night. 342 00:14:05,224 --> 00:14:07,392 Any fever, blood in the urine? 343 00:14:07,393 --> 00:14:08,726 No. Uh, no fever. 344 00:14:08,727 --> 00:14:10,770 Urine's a bit darker than normal. 345 00:14:10,771 --> 00:14:12,772 Dehydration can lead to stone formation. 346 00:14:12,773 --> 00:14:14,357 Lean forward a bit, please. 347 00:14:14,358 --> 00:14:16,693 - Check for CVA tenderness. - Yeah. 348 00:14:16,694 --> 00:14:18,528 All right. 349 00:14:18,529 --> 00:14:20,697 Let me know if there's any discomfort. 350 00:14:20,698 --> 00:14:23,533 Mm-hmm. 351 00:14:23,534 --> 00:14:24,534 - Ah! - Sorry. 352 00:14:24,535 --> 00:14:25,660 Yeah. 353 00:14:25,661 --> 00:14:27,537 We'll order medication and a few tests. 354 00:14:27,538 --> 00:14:28,622 Okay. 355 00:14:31,417 --> 00:14:33,543 Um, dip urine, Chem Seven, 356 00:14:33,544 --> 00:14:35,545 bedside ultrasound to check for hydro, 357 00:14:35,546 --> 00:14:37,589 - and ketorolac for pain. - Sounds good. 358 00:14:37,590 --> 00:14:39,049 Okay. 359 00:14:43,762 --> 00:14:45,388 Really putting me to work. 360 00:14:45,389 --> 00:14:47,473 It's been a very busy day, Dr. Barker. 361 00:14:47,474 --> 00:14:49,226 Call me Nick. 362 00:14:50,728 --> 00:14:53,479 - What's all this? - I brought radiology to us. 363 00:14:53,480 --> 00:14:56,191 Dr. Barker, Nick, will have wet-read results for us 364 00:14:56,192 --> 00:14:57,567 - in no time. - Good idea. 365 00:14:57,568 --> 00:14:59,819 - Thank you. - "Wet read"? 366 00:14:59,820 --> 00:15:01,487 You ever take a photography class? 367 00:15:01,488 --> 00:15:02,947 Yeah, in, like, middle school. 368 00:15:02,948 --> 00:15:04,741 So, before digital technology, X-ray films 369 00:15:04,742 --> 00:15:07,493 were physically developed in a darkroom, in baths, 370 00:15:07,494 --> 00:15:09,329 thus wet read. 371 00:15:09,330 --> 00:15:10,455 Oh, cool. 372 00:15:10,456 --> 00:15:13,166 He's taking up a lot of space. 373 00:15:13,167 --> 00:15:15,752 Got an update from Dylan on our abandoned baby. 374 00:15:15,753 --> 00:15:18,588 CYF has requested an emergency custody authorization. 375 00:15:18,589 --> 00:15:21,299 Once we get a court order, we can place her in foster care. 376 00:15:21,300 --> 00:15:23,801 I love photography. 377 00:15:23,802 --> 00:15:25,136 - Jesus Christ. - Dr. Robby? 378 00:15:25,137 --> 00:15:26,763 Dr. Robby, can I borrow you for a second? 379 00:15:26,764 --> 00:15:28,097 Sure. What can I do for you? 380 00:15:28,098 --> 00:15:29,766 Well, she said she has a stomachache, 381 00:15:29,767 --> 00:15:31,726 but belly pain can mean a lot of different things... 382 00:15:31,727 --> 00:15:34,604 - Okay, okay, okay, breathe. - I'm looking for Dr. Mel King. 383 00:15:34,605 --> 00:15:36,439 Yes? 384 00:15:36,440 --> 00:15:38,775 I'm Morgan Stiles, one of the hospital's attorneys. 385 00:15:38,776 --> 00:15:41,569 I'm here to escort you upstairs for your deposition. 386 00:15:41,570 --> 00:15:43,071 Right now? 387 00:15:43,072 --> 00:15:46,950 Morgan, can I borrow Dr. King for just a moment? 388 00:15:46,951 --> 00:15:48,285 Sure. 389 00:15:49,954 --> 00:15:51,287 It's gonna be fine. 390 00:15:51,288 --> 00:15:53,331 I can't go up now because of Becca. 391 00:15:53,332 --> 00:15:55,375 You probably shouldn't be caring for Becca. 392 00:15:55,376 --> 00:15:57,460 It's not a good idea to care for family members. 393 00:15:57,461 --> 00:15:58,836 It's hard to stay objective. 394 00:15:58,837 --> 00:16:00,338 Let's see who's available. 395 00:16:00,339 --> 00:16:01,673 Hey, are you free? 396 00:16:01,674 --> 00:16:04,384 Is anybody really free? 397 00:16:04,385 --> 00:16:06,010 Not an R2. 398 00:16:06,011 --> 00:16:08,471 Ah, just the guy we were looking for. 399 00:16:08,472 --> 00:16:09,889 - Need something? - Yes. 400 00:16:09,890 --> 00:16:11,849 - Uh-huh, mm-hmm. - Sure. 401 00:16:11,850 --> 00:16:13,726 Dr. King's sister has a bellyache. 402 00:16:13,727 --> 00:16:14,978 - The case is now yours. - Sure. 403 00:16:14,979 --> 00:16:16,854 You can pick up the rest of her patients 404 00:16:16,855 --> 00:16:18,523 while she's doing her deposition. 405 00:16:18,524 --> 00:16:20,275 How am I supposed to catch up on my outstanding charts 406 00:16:20,276 --> 00:16:22,360 with extra patients and the computer system down? 407 00:16:22,361 --> 00:16:24,195 The same way that the rest of us do. 408 00:16:24,196 --> 00:16:26,698 You can finish your charting when you finish your shift. 409 00:16:26,699 --> 00:16:28,826 Fucking fantastic. 410 00:16:33,163 --> 00:16:34,831 - Hi, Becca. - Hi. 411 00:16:34,832 --> 00:16:36,708 Um, This is Dr. Langdon. 412 00:16:36,709 --> 00:16:38,626 He'll be taking care of you. 413 00:16:38,627 --> 00:16:41,170 You have really nice hair, Dr. Langdon. 414 00:16:41,171 --> 00:16:42,964 Thank you. 415 00:16:42,965 --> 00:16:46,551 Mel, would you mind turning off the lights on your way out? 416 00:16:46,552 --> 00:16:48,219 Of course. 417 00:16:48,220 --> 00:16:50,930 And, um, I'll be back as soon as I'm done. 418 00:16:50,931 --> 00:16:52,932 And feel free to call me if anything comes up, 419 00:16:52,933 --> 00:16:55,101 - because I can come right... - Don't... don't worry. 420 00:16:55,102 --> 00:16:58,021 - Becca's in good hands. - I know. 421 00:16:58,022 --> 00:16:59,356 Okay. 422 00:17:06,989 --> 00:17:10,159 Mel says lots of nice things about you. 423 00:17:12,119 --> 00:17:13,369 Okay. 424 00:17:13,370 --> 00:17:15,079 Um... 425 00:17:15,080 --> 00:17:17,373 tell me the reason you're here today. 426 00:17:17,374 --> 00:17:18,750 I have a stomachache. 427 00:17:18,751 --> 00:17:20,543 Your belly hurts? Where about? 428 00:17:20,544 --> 00:17:23,713 - Right, um... right down here. - Okay. 429 00:17:23,714 --> 00:17:25,757 Are you experiencing anything else, 430 00:17:25,758 --> 00:17:27,592 or is it just the stomachache? 431 00:17:27,593 --> 00:17:29,594 It... it stings when I pee. 432 00:17:29,595 --> 00:17:31,679 Sometimes when that happens, 433 00:17:31,680 --> 00:17:34,390 women feel like they need to urinate all the time. 434 00:17:34,391 --> 00:17:36,184 - Do you feel that way? - Yes. 435 00:17:36,185 --> 00:17:37,935 And what happens when you go? 436 00:17:37,936 --> 00:17:40,688 Hardly anything comes out. 437 00:17:40,689 --> 00:17:42,231 That's what I thought. 438 00:17:42,232 --> 00:17:44,734 Really? How do you know? 439 00:17:44,735 --> 00:17:46,402 Well, I've seen a lot of patients 440 00:17:46,403 --> 00:17:48,780 - with the same symptoms. - So this is normal? 441 00:17:48,781 --> 00:17:50,448 Yes, it's totally normal. 442 00:17:50,449 --> 00:17:52,909 But we still need to fix it. 443 00:17:52,910 --> 00:17:54,411 Okay. 444 00:18:00,084 --> 00:18:01,250 Hey. 445 00:18:01,251 --> 00:18:03,503 How's it going, Roxy? 446 00:18:03,504 --> 00:18:05,755 - A little better. - Yeah? 447 00:18:05,756 --> 00:18:07,800 You need more morphine? 448 00:18:13,305 --> 00:18:17,016 I've been in pain all this time, my love. 449 00:18:17,017 --> 00:18:19,143 Why didn't you tell me? 450 00:18:19,144 --> 00:18:22,439 I didn't want you guys to worry. 451 00:18:24,066 --> 00:18:27,110 I can't pretend anymore. 452 00:18:27,111 --> 00:18:30,780 Mom, it's so hot outside, the ice cream's melting. 453 00:18:30,781 --> 00:18:33,616 We, uh... 454 00:18:33,617 --> 00:18:36,911 we thought we'd indulge a bit. 455 00:18:36,912 --> 00:18:38,830 - Oh, yeah. - Ooh. 456 00:18:38,831 --> 00:18:40,248 Looks amazing. 457 00:18:40,249 --> 00:18:42,792 So, uh, which flavor should we start with? 458 00:18:42,793 --> 00:18:45,962 Salty caramel, Mom's favorite. 459 00:18:45,963 --> 00:18:48,465 You'll need lots more napkins. 460 00:18:50,801 --> 00:18:52,635 Mmm. 461 00:19:02,646 --> 00:19:05,315 Rude. 462 00:19:07,401 --> 00:19:09,527 - How's it going in there? - All good. 463 00:19:09,528 --> 00:19:10,987 Langdon's great with her. 464 00:19:10,988 --> 00:19:12,905 I got seven more films ordered, waiting to be shot, 465 00:19:12,906 --> 00:19:15,366 but Dr. Nick here's tying up the machine. 466 00:19:15,367 --> 00:19:18,077 Isn't there a USB port on the front of that portable? 467 00:19:18,078 --> 00:19:20,913 And can't we just download the films to a workstation 468 00:19:20,914 --> 00:19:22,665 and watch them without the Internet? 469 00:19:22,666 --> 00:19:24,584 - Yes. - Oh, right. Forgot about that. 470 00:19:24,585 --> 00:19:27,295 Is he actually helping, or is he just distracting? 471 00:19:27,296 --> 00:19:29,172 Let's download these and start moving on to folks 472 00:19:29,173 --> 00:19:31,215 - waiting for X-rays. - Great. I'm caught up anyway. 473 00:19:31,216 --> 00:19:32,967 I'll be back when the next batch is ready. 474 00:19:32,968 --> 00:19:35,136 Dr. Robby, the guardian of your missing-fingers kid 475 00:19:35,137 --> 00:19:37,180 - in Central 12 has arrived. - Thank you, Olive. 476 00:19:37,181 --> 00:19:39,348 Will you ask Dr. Santos to come and meet me, too? 477 00:19:39,349 --> 00:19:40,850 - On it. - Who's in South 22? 478 00:19:40,851 --> 00:19:42,477 Nobody. Headache was discharged. 479 00:19:42,478 --> 00:19:44,228 Tell that to the lady on the bed. 480 00:19:44,229 --> 00:19:45,688 What lady? 481 00:19:45,689 --> 00:19:47,815 I just tried to put a hematuria patient in there, 482 00:19:47,816 --> 00:19:50,026 - but, uh, it's occupied. - South 22? You sure? 483 00:19:50,027 --> 00:19:51,861 - I'm positive. - That's my patient. 484 00:19:51,862 --> 00:19:54,071 Then why isn't she on the board? 485 00:19:54,072 --> 00:19:55,490 I... She should be. 486 00:19:55,491 --> 00:19:57,241 Olive was bringing her back from triage. 487 00:19:57,242 --> 00:19:58,701 I picked her right up. 488 00:19:58,702 --> 00:20:00,203 I just assumed she made it to the board. 489 00:20:00,204 --> 00:20:01,787 You should've checked. You should've made sure. 490 00:20:01,788 --> 00:20:03,456 I-I haven't put anybody on the board. 491 00:20:03,457 --> 00:20:05,583 - I thought the nurses did that. - We all need to pitch in. 492 00:20:05,584 --> 00:20:07,543 There's no rooms at the moment. Put hematuria on the wall. 493 00:20:07,544 --> 00:20:10,087 - Who's your patient? - Mrs. Burns, with nausea. 494 00:20:10,088 --> 00:20:12,048 - I've ordered labs and X-rays. - Who are you seeing her with? 495 00:20:12,049 --> 00:20:13,508 I still need to present the case. 496 00:20:13,509 --> 00:20:16,762 Get busy. Find somebody with MD after their name. 497 00:20:18,388 --> 00:20:21,140 Oh, God, kids. 498 00:20:21,141 --> 00:20:23,935 Hello, I'm Dr. Robby. 499 00:20:23,936 --> 00:20:25,520 This is Dr. Santos. 500 00:20:25,521 --> 00:20:26,979 - Chantal. - How do you do? 501 00:20:26,980 --> 00:20:28,356 We've been caring for your brother. 502 00:20:28,357 --> 00:20:30,066 Are you Jude's legal guardian? 503 00:20:30,067 --> 00:20:31,234 Yeah. 504 00:20:31,235 --> 00:20:33,736 Our, uh... our parents aren't around. 505 00:20:33,737 --> 00:20:36,113 - Is he going to be okay? - He got very lucky. 506 00:20:36,114 --> 00:20:37,949 He lost the fourth and fifth fingers 507 00:20:37,950 --> 00:20:39,450 on his nondominant hand. 508 00:20:39,451 --> 00:20:40,910 But if he hadn't dropped the firecracker, 509 00:20:40,911 --> 00:20:42,245 it would have been a lot worse. 510 00:20:42,246 --> 00:20:44,914 He lost fingers from a firecracker? 511 00:20:44,915 --> 00:20:46,958 Will he be able to use his hand? 512 00:20:46,959 --> 00:20:49,585 Yes, he still has his three most important fingers, 513 00:20:49,586 --> 00:20:51,128 and they are fully functional. 514 00:20:51,129 --> 00:20:53,214 He'll need surgery to clean everything up, 515 00:20:53,215 --> 00:20:54,757 but it should heal well. 516 00:20:54,758 --> 00:20:56,926 What the fuck were you thinking? 517 00:20:56,927 --> 00:20:57,927 I'm sorry. 518 00:20:57,928 --> 00:20:59,595 Alex asked me to come over. 519 00:20:59,596 --> 00:21:01,806 His brother had a stack of fire... 520 00:21:05,143 --> 00:21:07,103 You think I wanted to blow my hand off? 521 00:21:07,104 --> 00:21:09,355 Then you need to listen to me when I tell you something. 522 00:21:09,356 --> 00:21:10,606 You're not my mom. 523 00:21:10,607 --> 00:21:12,108 You think I want to be your mom? 524 00:21:12,109 --> 00:21:14,944 Chantal, why don't we take a step outside? 525 00:21:17,698 --> 00:21:20,449 So I know that this can be very stressful. 526 00:21:20,450 --> 00:21:22,451 Yeah, he almost lost his hand being stupid. 527 00:21:22,452 --> 00:21:24,537 - He's a really sweet kid. - He used to be. 528 00:21:24,538 --> 00:21:26,789 We also found something in his blood work. 529 00:21:26,790 --> 00:21:28,040 What? 530 00:21:28,041 --> 00:21:30,501 He has a blood alcohol of 0.08. 531 00:21:30,502 --> 00:21:33,588 What, he was drunk? 532 00:21:33,589 --> 00:21:35,256 Are you fucking kidding me? 533 00:21:35,257 --> 00:21:37,842 - Does he drink regularly? - No. 534 00:21:37,843 --> 00:21:40,803 I... I don't know. I... 535 00:21:40,804 --> 00:21:42,847 The boys at our apartment complex 536 00:21:42,848 --> 00:21:44,682 are a really bad influence. 537 00:21:44,683 --> 00:21:45,933 I mean, he's only 12. 538 00:21:45,934 --> 00:21:47,810 That is what concerns us. 539 00:21:47,811 --> 00:21:49,145 A positive blood alcohol 540 00:21:49,146 --> 00:21:51,147 immediately triggers a social service consult. 541 00:21:51,148 --> 00:21:52,690 They gonna take my brother away from me? 542 00:21:52,691 --> 00:21:54,483 It's an evaluation to determine if the injury 543 00:21:54,484 --> 00:21:56,652 and the drinking is cause for some kind of intervention. 544 00:21:56,653 --> 00:21:59,488 Whoa, whoa, I won't let you separate us. 545 00:21:59,489 --> 00:22:01,575 - We are required to... - No! 546 00:22:08,540 --> 00:22:09,665 Hmm. 547 00:22:09,666 --> 00:22:11,334 58-year-old woman with nausea, 548 00:22:11,335 --> 00:22:13,586 vomited once after eating warm potato salad at a barbecue. 549 00:22:13,587 --> 00:22:15,338 Well-hydrated... abdomen's pretty benign, 550 00:22:15,339 --> 00:22:17,590 just a little distended with mild tenderness. 551 00:22:17,591 --> 00:22:19,800 History of constipation. I give her Zofran. 552 00:22:19,801 --> 00:22:21,594 Labs and abdominal series pending. 553 00:22:21,595 --> 00:22:23,846 - Okay, let's take a look. - Okay. 554 00:22:23,847 --> 00:22:25,139 Hi, Mrs. Burns. 555 00:22:25,140 --> 00:22:28,017 This is Dr. Whitaker. How are you feeling? 556 00:22:28,018 --> 00:22:30,019 Mrs. Burns? 557 00:22:30,020 --> 00:22:32,229 Mrs. Burns, can you open your eyes for me? 558 00:22:32,230 --> 00:22:34,190 She was awake and alert last time I saw her. 559 00:22:34,191 --> 00:22:36,859 Okay, uh, feels warm, thready pulse. 560 00:22:36,860 --> 00:22:38,694 Abdomen's more distended than before. 561 00:22:38,695 --> 00:22:40,821 Okay, uh, agonal respirations. 562 00:22:40,822 --> 00:22:42,823 - She's... she's hardly breathing. - It's kind of rigid. 563 00:22:42,824 --> 00:22:44,992 Yeah, yeah, Perlah, we need a crash cart. 564 00:22:44,993 --> 00:22:46,494 Can you call respiratory? 565 00:22:46,495 --> 00:22:48,704 Pull the bed out for intubation, please. 566 00:22:48,705 --> 00:22:50,915 I can give you guys some room. 567 00:22:50,916 --> 00:22:52,416 - Okay. - What's up? 568 00:22:52,417 --> 00:22:54,877 Hypotensive, acute abdomen. She needs an airway. 569 00:22:54,878 --> 00:22:57,046 - I'll find the GlideScope. - No time for that. 570 00:22:57,047 --> 00:22:58,547 We've got direct on the crash cart. 571 00:22:58,548 --> 00:23:00,508 - Whitaker, you're up. - I haven't done many directs. 572 00:23:00,509 --> 00:23:01,926 Well, then you need to do more. 573 00:23:01,927 --> 00:23:03,886 - Induction meds? - 100 ketamine, 80 of raw. 574 00:23:03,887 --> 00:23:06,430 Javadi, what's the story? 575 00:23:06,431 --> 00:23:08,391 Presented with mild abdominal pain, 576 00:23:08,392 --> 00:23:11,310 took a turn for the worse. 577 00:23:11,311 --> 00:23:14,063 A-fib 122, BP 98 and systolic. 578 00:23:14,064 --> 00:23:15,606 Okay, let's bolus another 500 cc's. 579 00:23:15,607 --> 00:23:18,067 - Are we shocking her? - Uh, maybe. After intubation. 580 00:23:18,068 --> 00:23:19,652 Check your light. Check your balloon. 581 00:23:19,653 --> 00:23:21,737 Javadi, AP pads in case we need to cardiovert. 582 00:23:21,738 --> 00:23:23,989 Normal EKG at triage. She wasn't in A-fib. 583 00:23:23,990 --> 00:23:26,409 Stress from her condition probably put her there. 584 00:23:26,410 --> 00:23:27,785 Good? Let's roll her. 585 00:23:27,786 --> 00:23:30,121 - Do we have any labs back? - I don't think so. 586 00:23:30,122 --> 00:23:32,456 - What else do we need? - Um, blood cultures. 587 00:23:32,457 --> 00:23:34,959 Lactate, 2 liters LR, 3.375 pip-tazo. 588 00:23:34,960 --> 00:23:36,210 Okay, she's loose. 589 00:23:36,211 --> 00:23:38,421 Go ahead, Whitaker. Take a look. 590 00:23:38,422 --> 00:23:41,675 Okay. 591 00:23:46,430 --> 00:23:49,306 Hi. I'm Dr. Santos. This is student doctor Kwon. 592 00:23:49,307 --> 00:23:50,933 How are you doing after the mist? 593 00:23:50,934 --> 00:23:52,643 Better than I was an hour ago. 594 00:23:52,644 --> 00:23:56,439 Okay, we are going to check your vitals. 595 00:23:57,607 --> 00:24:02,069 Temp is 100.2, and heart rate is 96. 596 00:24:02,070 --> 00:24:04,488 Okay, down from 101.5 and 120. 597 00:24:04,489 --> 00:24:06,031 Very good. 598 00:24:06,032 --> 00:24:08,367 You were out in the heat in that costume? 599 00:24:08,368 --> 00:24:11,328 Yeah, with about 18,000 of my friends. 600 00:24:11,329 --> 00:24:13,622 - Were you at Anthrocon? - Uh-huh. 601 00:24:13,623 --> 00:24:14,999 What's that? 602 00:24:15,000 --> 00:24:17,042 Pittsburgh's annual furry convention. 603 00:24:17,043 --> 00:24:18,627 I go every year. 604 00:24:18,628 --> 00:24:20,296 Ever been? 605 00:24:20,297 --> 00:24:23,132 - Uh, it's not really my scene. - Mm. 606 00:24:23,133 --> 00:24:24,550 Yeah, furries get a bad rap, 607 00:24:24,551 --> 00:24:27,511 but there are great people in the community... 608 00:24:27,512 --> 00:24:31,015 creative, welcoming, funny. 609 00:24:31,016 --> 00:24:33,809 I actually met my girlfriend at last year's convention. 610 00:24:33,810 --> 00:24:35,436 Oh, that's cute. 611 00:24:35,437 --> 00:24:38,272 She gave me hope after struggling on the dating apps. 612 00:24:38,273 --> 00:24:39,523 Nice to hear 613 00:24:39,524 --> 00:24:41,984 that meeting people in real life still works. 614 00:24:41,985 --> 00:24:44,779 Wouldn't recommend it, especially at work. 615 00:24:44,780 --> 00:24:47,823 You should come to Anthrocon this weekend. 616 00:24:47,824 --> 00:24:50,284 Doesn't she need a fur suit for that? 617 00:24:50,285 --> 00:24:52,829 I think you'd make a good dragon. 618 00:24:56,124 --> 00:24:57,500 I'm in. 619 00:24:57,501 --> 00:24:58,793 Balloon up. 620 00:24:58,794 --> 00:25:01,504 Yep, bag her. 621 00:25:01,505 --> 00:25:03,130 Okay. 622 00:25:03,131 --> 00:25:06,008 - That was harder without video. - We won't always have video. 623 00:25:06,009 --> 00:25:07,176 A-fib now at 152. 624 00:25:07,177 --> 00:25:09,053 Blood pressure's down to 76 over 44. 625 00:25:09,054 --> 00:25:13,224 Okay, Javadi, sync mode. Javadi, sync mode, 200, please. 626 00:25:13,225 --> 00:25:15,184 Good end tidal waveform. 627 00:25:15,185 --> 00:25:17,520 Good breath sounds bilaterally. 628 00:25:17,521 --> 00:25:20,064 Charged for cardioversion. 629 00:25:20,065 --> 00:25:22,608 Everyone, clear. 630 00:25:24,778 --> 00:25:27,696 - Normal sinus. - Normal radial pulse. 631 00:25:29,032 --> 00:25:30,783 Good. Keep the fluids going. 632 00:25:30,784 --> 00:25:33,286 Let's see what labs are back on her. 633 00:25:35,121 --> 00:25:36,247 Nice. 634 00:25:36,248 --> 00:25:38,916 Very nice. 635 00:25:38,917 --> 00:25:42,002 - What did you order? - Um, CBC, ER chem panel. 636 00:25:42,003 --> 00:25:44,588 - Something should be back. - Fax machine ran out of toner. 637 00:25:44,589 --> 00:25:47,216 - Check the chart. - There is no chart in slot 22. 638 00:25:47,217 --> 00:25:49,718 Check the orders rack. 639 00:25:49,719 --> 00:25:51,262 Nothing here either. 640 00:25:51,263 --> 00:25:53,723 Where's the chart for Claire Burns? 641 00:25:55,600 --> 00:25:57,059 Claire Burns, order slip. 642 00:25:57,060 --> 00:25:58,727 Never drawn, never sent off to the lab. 643 00:25:58,728 --> 00:26:00,437 That's cause the patient wasn't on the board. 644 00:26:00,438 --> 00:26:02,022 Nurses are working zones. 645 00:26:02,023 --> 00:26:03,774 If the patient's not on the board, they don't exist. 646 00:26:03,775 --> 00:26:05,401 So they didn't shoot her X-ray? 647 00:26:05,402 --> 00:26:07,736 X-ray downtime box is empty. That means it was done. 648 00:26:07,737 --> 00:26:09,446 Then it's on the portable machine. 649 00:26:09,447 --> 00:26:11,740 Last I saw, it was headed north. 650 00:26:11,741 --> 00:26:13,617 - Thanks, Dana. - Yep. 651 00:26:13,618 --> 00:26:15,494 Hey, Kenny, can you wait up a sec? 652 00:26:15,495 --> 00:26:16,954 If you need an X-ray, write the order. 653 00:26:16,955 --> 00:26:18,163 Fill out a downtime. 654 00:26:18,164 --> 00:26:19,915 Did you shoot a KUB in South 22? 655 00:26:19,916 --> 00:26:21,250 No. Maybe another tech did? 656 00:26:21,251 --> 00:26:22,918 Okay, can you flick through the films, 657 00:26:22,919 --> 00:26:24,921 look for a patient... Burns? 658 00:26:28,300 --> 00:26:29,550 Oh, shit. 659 00:26:29,551 --> 00:26:31,427 Oh, that is a classic sigmoid volvulus. 660 00:26:31,428 --> 00:26:33,429 - Peritoneal signs. - Okay, call the OR. 661 00:26:33,430 --> 00:26:36,266 She's going to need surgery ASAP. 662 00:26:43,440 --> 00:26:45,566 Urine shows three plus blood. 663 00:26:45,567 --> 00:26:47,443 No surprise. 664 00:26:47,444 --> 00:26:49,486 BUN and creatinine are normal. 665 00:26:49,487 --> 00:26:51,155 No evidence of renal insufficiency. 666 00:26:51,156 --> 00:26:52,948 I got a good look at the left kidney... 667 00:26:52,949 --> 00:26:56,118 mild hydronephrosis consistent with ureteral column. 668 00:26:56,119 --> 00:26:58,412 How was the rest of the ultrasound? 669 00:26:58,413 --> 00:27:01,749 Normal. Uh, Pain improved after 15 ketorolac IM. 670 00:27:01,750 --> 00:27:04,460 Now you can give another 15 and observe. 671 00:27:04,461 --> 00:27:07,087 Hmm. 672 00:27:07,088 --> 00:27:09,799 Just need you to cosign my order. 673 00:27:11,635 --> 00:27:12,801 Thank you. 674 00:27:12,802 --> 00:27:15,512 Something on your mind? 675 00:27:15,513 --> 00:27:18,140 Yeah, I-I saw this regular an hour ago. 676 00:27:18,141 --> 00:27:19,892 He's in his 60s, fakes an ailment 677 00:27:19,893 --> 00:27:22,353 so he can come in to chat every now and then 678 00:27:22,354 --> 00:27:24,063 because he's really lonely. 679 00:27:24,064 --> 00:27:26,231 You sure he just doesn't have a crush on you? 680 00:27:26,232 --> 00:27:29,026 Maybe, but it got me thinking about my mom. 681 00:27:29,027 --> 00:27:31,737 She's probably just been lonely. 682 00:27:31,738 --> 00:27:33,906 Yeah. 683 00:27:33,907 --> 00:27:35,366 You know, I, uh... 684 00:27:35,367 --> 00:27:38,035 I haven't really dated since my divorce. 685 00:27:38,036 --> 00:27:40,371 Medical school, my kid, residency. 686 00:27:40,372 --> 00:27:42,998 And now I'm feeling finally kind of ready. 687 00:27:42,999 --> 00:27:45,000 I was waiting until I got back to Jersey 688 00:27:45,001 --> 00:27:46,835 to work on finding a relationship, 689 00:27:46,836 --> 00:27:48,379 and now that's out the window. 690 00:27:48,380 --> 00:27:50,547 Maybe I waited too long. 691 00:27:50,548 --> 00:27:51,715 For what? 692 00:27:51,716 --> 00:27:53,509 Do you hear that? 693 00:27:53,510 --> 00:27:57,846 That painful, lonely silence is the sound of my eggs dying. 694 00:28:00,642 --> 00:28:01,976 Ah. 695 00:28:01,977 --> 00:28:04,019 So the rash in North 3 has been discharged. 696 00:28:04,020 --> 00:28:05,896 The Tasered law student in Central 10 697 00:28:05,897 --> 00:28:07,189 has gone up to psych. 698 00:28:07,190 --> 00:28:08,983 The eye stroke is now in the ICU. 699 00:28:08,984 --> 00:28:10,693 And the tongue laceration in South 15 700 00:28:10,694 --> 00:28:12,319 is sobering up before we discharge, 701 00:28:12,320 --> 00:28:14,196 which better be soon because we need the room. 702 00:28:14,197 --> 00:28:15,406 Okay, I'll grab a med student 703 00:28:15,407 --> 00:28:16,907 and get more patients moving out. 704 00:28:16,908 --> 00:28:18,867 You're not fazed by any of this chaos? 705 00:28:18,868 --> 00:28:20,869 - Hmm. - What a fucking mess. 706 00:28:20,870 --> 00:28:23,872 Jesus Christ, we need you. 707 00:28:23,873 --> 00:28:27,376 Monica Peters, this is our new attending, Dr. Al-Hashimi. 708 00:28:27,377 --> 00:28:29,128 - Welcome. - Thank you. 709 00:28:29,129 --> 00:28:31,213 Monica's a retired clerk, best of the best. 710 00:28:31,214 --> 00:28:33,215 She was kind enough to come in on a holiday 711 00:28:33,216 --> 00:28:34,800 and help get us back into shape. 712 00:28:34,801 --> 00:28:36,635 Laid off by the digital revolution, 713 00:28:36,636 --> 00:28:38,262 - not retired. - Okay. 714 00:28:38,263 --> 00:28:40,889 And how's all this digital shit working out for you now? 715 00:28:40,890 --> 00:28:43,100 - Not so good. - Exactly. 716 00:28:43,101 --> 00:28:44,977 All right, then, who's handling 717 00:28:44,978 --> 00:28:47,438 - the charts and the orders? - That's us, right here. 718 00:28:47,439 --> 00:28:49,231 How long have you been clerks? 719 00:28:49,232 --> 00:28:51,692 Uh, just today. We're medical assistants. 720 00:28:51,693 --> 00:28:53,027 Then get out of my space 721 00:28:53,028 --> 00:28:55,279 and go do something you know how to do. 722 00:28:55,280 --> 00:28:56,613 And no personal calls. 723 00:28:56,614 --> 00:28:58,574 Red phones are for emergencies only. 724 00:28:58,575 --> 00:29:00,409 This is a hospital, for God's sake. 725 00:29:00,410 --> 00:29:01,452 I'll call you back. 726 00:29:01,453 --> 00:29:02,786 - Got a gumband? - Yeah. 727 00:29:02,787 --> 00:29:04,580 Hi. I'm Makedah from admin and records. 728 00:29:04,581 --> 00:29:06,623 I have a new badge for a Dr. Whitaker. 729 00:29:06,624 --> 00:29:08,709 Yeah. I'll get that to him. 730 00:29:08,710 --> 00:29:10,461 Heard you all need extra runners? 731 00:29:10,462 --> 00:29:12,421 - Perfect timing. - How fast can you move? 732 00:29:12,422 --> 00:29:14,089 - I run marathons. - Great. 733 00:29:14,090 --> 00:29:16,967 Grab the blood samples and the bin and get them up to the lab. 734 00:29:16,968 --> 00:29:19,428 I want a lab run every 15 minutes. 735 00:29:19,429 --> 00:29:20,929 Got it. 736 00:29:26,102 --> 00:29:28,187 I work at a shoe store in Oakland. 737 00:29:28,188 --> 00:29:30,189 Full-time and you're in school? 738 00:29:30,190 --> 00:29:31,774 Yes, and, yes. 739 00:29:31,775 --> 00:29:33,442 Allegheny Community. 740 00:29:33,443 --> 00:29:35,778 Does Jude go to summer school or camp 741 00:29:35,779 --> 00:29:39,782 while you're at, uh, work or school? 742 00:29:39,783 --> 00:29:41,784 Can't afford it. 743 00:29:41,785 --> 00:29:43,368 Are there any other family members 744 00:29:43,369 --> 00:29:45,788 that could help with his care when you're not available? 745 00:29:45,789 --> 00:29:47,123 No. 746 00:29:50,293 --> 00:29:51,627 Chantal, we want to help you, 747 00:29:51,628 --> 00:29:54,254 but we can't help if you won't talk to us. 748 00:29:54,255 --> 00:29:56,340 What, you're gonna take Jude away 749 00:29:56,341 --> 00:29:58,133 and put him in foster care? 750 00:29:58,134 --> 00:30:01,178 I promised my parents that would never happen. 751 00:30:01,179 --> 00:30:03,514 Did your parents pass away? 752 00:30:03,515 --> 00:30:04,973 Nope. 753 00:30:04,974 --> 00:30:08,520 What happened to them? 754 00:30:13,024 --> 00:30:16,443 My parents were deported to Haiti nine months ago. 755 00:30:18,988 --> 00:30:22,032 They went in for their immigration hearing and were... 756 00:30:22,033 --> 00:30:24,326 detained. 757 00:30:24,327 --> 00:30:26,245 I was a sophomore at Ithaca. 758 00:30:26,246 --> 00:30:29,915 I had to move back home to take care of my brother. 759 00:30:29,916 --> 00:30:31,583 I'm sorry. 760 00:30:31,584 --> 00:30:36,213 It was either that, or he moved back to Haiti with them. 761 00:30:36,214 --> 00:30:38,757 He's never been there. 762 00:30:38,758 --> 00:30:41,177 We were both born here. 763 00:30:42,846 --> 00:30:47,224 My mom was so excited when I got into college. 764 00:30:47,225 --> 00:30:49,351 She worked so hard 765 00:30:49,352 --> 00:30:52,354 to save up and pay my tuition. 766 00:30:52,355 --> 00:30:54,356 And now all she wants 767 00:30:54,357 --> 00:30:56,776 is for my brother to finish high school. 768 00:30:58,695 --> 00:31:00,821 Man, being a big sister's a lot easier 769 00:31:00,822 --> 00:31:02,782 than being a surrogate mom. 770 00:31:05,368 --> 00:31:07,161 Just give us a moment, please, 771 00:31:07,162 --> 00:31:09,622 and I'll come grab you when we're done. 772 00:31:13,084 --> 00:31:15,669 Do we really need to get family services involved? 773 00:31:15,670 --> 00:31:17,713 You wanted to get them involved this morning 774 00:31:17,714 --> 00:31:19,923 with your eight-year-old ITP patient. 775 00:31:19,924 --> 00:31:22,551 That's different. Abuse trumps neglect. 776 00:31:22,552 --> 00:31:24,469 We can't separate her from her brother. 777 00:31:24,470 --> 00:31:26,054 It's not right. 778 00:31:26,055 --> 00:31:28,808 A lot of what happens to people around here isn't right. 779 00:31:33,479 --> 00:31:36,565 McKay, patient's complaining of pain. 780 00:31:36,566 --> 00:31:39,401 Uh, yeah. 781 00:31:39,402 --> 00:31:42,154 Hey, Amaya. What's going on? 782 00:31:42,155 --> 00:31:43,947 Oh, it really fucking hurts again. 783 00:31:43,948 --> 00:31:45,949 Hey, Jesse, can you grab Whitaker? 784 00:31:45,950 --> 00:31:48,493 - When did it get bad? - Two minutes ago. Aah! 785 00:31:48,494 --> 00:31:50,579 Giving you some morphine to take the edge off. 786 00:31:50,580 --> 00:31:54,082 - How severe, 1 to 10? - Ah. 12. It's way worse. 787 00:31:54,083 --> 00:31:55,417 Okay. 788 00:31:55,418 --> 00:31:57,419 Hey, Amaya, the meds will kick in, 789 00:31:57,420 --> 00:31:59,379 and we'll get you back on the foot rest 790 00:31:59,380 --> 00:32:02,549 to see what's going on, okay? 791 00:32:05,261 --> 00:32:08,764 I had to call her husband in New York to get consent. 792 00:32:08,765 --> 00:32:09,806 Okay. 793 00:32:09,807 --> 00:32:12,267 Dr. Shamsi will be operating. 794 00:32:12,268 --> 00:32:14,269 If she presented with peritoneal signs, 795 00:32:14,270 --> 00:32:15,896 why wasn't I called? 796 00:32:15,897 --> 00:32:18,607 There was a delayed presentation. 797 00:32:18,608 --> 00:32:20,275 The X-ray was shot an hour ago. 798 00:32:20,276 --> 00:32:21,818 Why didn't anybody read it? 799 00:32:21,819 --> 00:32:23,779 There was confusion with the digital systems down. 800 00:32:23,780 --> 00:32:25,447 It wasn't read. We didn't get a report. 801 00:32:25,448 --> 00:32:28,158 An hour ago, I could have fixed this in 60 seconds 802 00:32:28,159 --> 00:32:29,785 with a rectal tube. 803 00:32:29,786 --> 00:32:31,453 Now she needs major surgery. 804 00:32:31,454 --> 00:32:34,331 - I'm sorry. - Not good enough, nepo baby. 805 00:32:34,332 --> 00:32:35,916 You fucked up. 806 00:32:35,917 --> 00:32:38,460 Don't trust anything or anybody else when the system's down. 807 00:32:39,963 --> 00:32:43,466 With all the chaos, she just fell through the cracks. 808 00:32:45,051 --> 00:32:47,886 She almost died. 809 00:32:47,887 --> 00:32:49,638 I could have killed her. 810 00:32:49,639 --> 00:32:51,473 - Whitaker. - No... 811 00:32:51,474 --> 00:32:53,976 McKay needs you in Central 11. 812 00:32:53,977 --> 00:32:55,644 We caught it in time. 813 00:32:55,645 --> 00:32:58,147 We won't let it happen again, okay? 814 00:33:09,492 --> 00:33:12,035 Oh, uh, Princess is looking for you. 815 00:33:12,036 --> 00:33:15,205 Um, she said something about Monica under her breath, 816 00:33:15,206 --> 00:33:18,667 - but I couldn't make it out. - Okay, I'll be back in a sec. 817 00:33:18,668 --> 00:33:21,503 Hey. Hey. 818 00:33:21,504 --> 00:33:25,215 You did good with that sexual-assault victim. 819 00:33:25,216 --> 00:33:27,342 You were amazing with her. 820 00:33:27,343 --> 00:33:29,428 We do what we can to provide the best care 821 00:33:29,429 --> 00:33:32,848 to traumatized people in their darkest days. 822 00:33:32,849 --> 00:33:34,266 What'd you talk to her about 823 00:33:34,267 --> 00:33:36,268 when you took her out on the walk? 824 00:33:36,269 --> 00:33:38,437 I, um... 825 00:33:38,438 --> 00:33:40,439 told her there might be a time in the future 826 00:33:40,440 --> 00:33:45,360 when she changes her mind, wants to press charges. 827 00:33:45,361 --> 00:33:48,238 It's better to have the option to do it than not. 828 00:33:48,239 --> 00:33:50,533 Smart. 829 00:33:52,577 --> 00:33:54,202 Is every day like this? 830 00:33:54,203 --> 00:33:58,373 Minus the cyberattacks, yeah. 831 00:33:58,374 --> 00:34:00,375 But you're only a few hours away 832 00:34:00,376 --> 00:34:03,045 from being done with your first of many. 833 00:34:03,046 --> 00:34:04,421 Be proud of that. 834 00:34:11,387 --> 00:34:13,513 You're gonna want to be on a soft diet, 835 00:34:13,514 --> 00:34:16,600 so, uh, things like, uh, mashed potatoes, 836 00:34:16,601 --> 00:34:18,685 soup, mac and cheese are good. 837 00:34:18,686 --> 00:34:20,228 I was gonna make 838 00:34:20,229 --> 00:34:22,105 your favorite three-bean dip tonight. 839 00:34:22,106 --> 00:34:24,066 Bitch, that is so nice. 840 00:34:24,067 --> 00:34:25,442 See, I am nice. 841 00:34:25,443 --> 00:34:27,194 Could she have that? 842 00:34:27,195 --> 00:34:30,155 Uh, yeah. Yeah, yeah, if you eat it with a spoon 843 00:34:30,156 --> 00:34:31,907 rather than anything, like, crunchy 844 00:34:31,908 --> 00:34:34,076 that could work its way into the laceration. 845 00:34:34,077 --> 00:34:35,077 Mm. 846 00:34:35,078 --> 00:34:36,828 So she'll need to be spoon-fed? 847 00:34:38,122 --> 00:34:40,123 Antibiotics three times a day. 848 00:34:40,124 --> 00:34:42,250 Come back here in two days for a wound check. 849 00:34:42,251 --> 00:34:45,462 See you then, Doctor. 850 00:34:45,463 --> 00:34:49,217 Checking blood flow to the ovary. 851 00:34:53,388 --> 00:34:56,264 - Something wrong? - Intermittent torsion. 852 00:34:56,265 --> 00:34:57,933 What's that? 853 00:34:57,934 --> 00:35:00,435 I'm coming out now. 854 00:35:00,436 --> 00:35:02,604 We will slide you back. Thanks. 855 00:35:02,605 --> 00:35:06,233 Your ovary is twisting 856 00:35:06,234 --> 00:35:07,943 and cutting off the blood supply. 857 00:35:07,944 --> 00:35:09,945 That's what's been causing your pain. 858 00:35:09,946 --> 00:35:13,490 Ah. You said the blood supply was fine before. 859 00:35:13,491 --> 00:35:17,077 Sometimes the ovary can twist randomly. 860 00:35:17,078 --> 00:35:20,622 In those cases, the pain can come and go. 861 00:35:20,623 --> 00:35:23,750 - Can you fix it? - With surgery. 862 00:35:23,751 --> 00:35:25,001 "Surgery"? 863 00:35:25,002 --> 00:35:26,837 The ovary needs to be untwisted 864 00:35:26,838 --> 00:35:29,840 and tacked down with a stitch so this doesn't happen again. 865 00:35:29,841 --> 00:35:33,301 If we can get you upstairs quickly, we can save it. 866 00:35:33,302 --> 00:35:35,804 I could lose my ovary? 867 00:35:35,805 --> 00:35:37,722 Will I still be able to have a baby? 868 00:35:37,723 --> 00:35:39,975 This shouldn't be an issue in the future. 869 00:35:39,976 --> 00:35:41,643 Dr. McKay made the right call 870 00:35:41,644 --> 00:35:43,728 to keep you in the ER for observation 871 00:35:43,729 --> 00:35:47,524 so we could catch it if the pain returned. 872 00:35:47,525 --> 00:35:49,025 Thank you. 873 00:35:49,026 --> 00:35:51,903 - I'll call GYN. - Yeah. 874 00:35:53,656 --> 00:35:55,657 Hey, welcome back. How was the trip? 875 00:35:55,658 --> 00:35:57,701 Smooth sailing. Presby's pretty nice. 876 00:35:57,702 --> 00:36:00,412 I might have to pick up some day shifts over there. 877 00:36:00,413 --> 00:36:02,497 Dr. Abbot's funny. 878 00:36:02,498 --> 00:36:04,458 Trust me, his charm wears off. 879 00:36:04,459 --> 00:36:06,042 - No, it doesn't. - He's not sedated? 880 00:36:06,043 --> 00:36:08,336 I gave him Versed for the CT scan on the ride back, 881 00:36:08,337 --> 00:36:10,338 but I figured he'd need to be awake and alert 882 00:36:10,339 --> 00:36:11,631 - to give consent. - "Consent"? 883 00:36:11,632 --> 00:36:13,216 Yep. We're going to get you settled. 884 00:36:13,217 --> 00:36:15,302 Why don't you page Garcia to come down? 885 00:36:15,303 --> 00:36:17,053 - Dr. Robby. - You got this? 886 00:36:17,054 --> 00:36:19,222 - You know I got it. - Yep. 887 00:36:19,223 --> 00:36:21,308 All right, Howard. 888 00:36:21,309 --> 00:36:23,477 Hey, I want to debrief with you later 889 00:36:23,478 --> 00:36:24,895 on your sigmoid volvulus patient. 890 00:36:24,896 --> 00:36:26,688 I finished with your fireworks kid's sister. 891 00:36:26,689 --> 00:36:28,064 - And? - She's a responsible 892 00:36:28,065 --> 00:36:29,733 young woman and a good guardian to Jude. 893 00:36:29,734 --> 00:36:31,985 There is no reason to get family services involved today. 894 00:36:31,986 --> 00:36:33,361 That's good. 895 00:36:33,362 --> 00:36:35,030 Because he's in the hospital for surgery, 896 00:36:35,031 --> 00:36:37,032 but they will most likely make a home visit next week 897 00:36:37,033 --> 00:36:38,700 to evaluate the safety of their apartment 898 00:36:38,701 --> 00:36:40,243 and the care that Chantal can provide, 899 00:36:40,244 --> 00:36:41,870 along with her other responsibilities. 900 00:36:41,871 --> 00:36:43,580 And then what? They take Jude? 901 00:36:43,581 --> 00:36:45,874 In my experience, they'll make the same assessment I did. 902 00:36:45,875 --> 00:36:47,584 They don't like to separate siblings. 903 00:36:47,585 --> 00:36:49,377 Anything else we can do for 'em? 904 00:36:49,378 --> 00:36:51,296 I'll get some resources together for Chantal... 905 00:36:51,297 --> 00:36:52,881 summer after-school programs. 906 00:36:52,882 --> 00:36:54,883 But there might come a point when he'd be better off 907 00:36:54,884 --> 00:36:56,134 with his parents in Haiti. 908 00:36:56,135 --> 00:36:57,594 His parents want him to stay here. 909 00:36:57,595 --> 00:36:59,095 It's what's best for the child. 910 00:36:59,096 --> 00:37:00,722 - Says who? - Dr. Santos. 911 00:37:00,723 --> 00:37:01,974 Come on. 912 00:37:03,768 --> 00:37:06,019 Welcome back, Mr. Knox. What did we discover? 913 00:37:06,020 --> 00:37:08,730 Diverticular abscess that progressed to perforation, 914 00:37:08,731 --> 00:37:10,565 now with free air under the diaphragm. 915 00:37:10,566 --> 00:37:12,400 In English, please? 916 00:37:12,401 --> 00:37:14,069 There's a small hole in the colon 917 00:37:14,070 --> 00:37:15,779 that's spilling bacteria into the abdomen. 918 00:37:15,780 --> 00:37:19,741 You're likely to develop peritonitis and sepsis. 919 00:37:19,742 --> 00:37:21,409 How bad? 920 00:37:21,410 --> 00:37:22,869 You need surgery now. 921 00:37:22,870 --> 00:37:26,581 You have a 100% chance of death without it. 922 00:37:26,582 --> 00:37:28,167 With it? 923 00:37:30,378 --> 00:37:32,421 50% chance. 924 00:37:35,049 --> 00:37:36,591 I could die? 925 00:37:36,592 --> 00:37:38,718 Yes, but we're very good at what we do. 926 00:37:38,719 --> 00:37:41,680 That is what the consent is for. 927 00:37:41,681 --> 00:37:43,598 What about my sister? 928 00:37:43,599 --> 00:37:46,142 We found her. She'd like to speak with you. 929 00:37:46,143 --> 00:37:47,811 We don't have time for that. 930 00:37:47,812 --> 00:37:50,313 Any delay increases your mortality risks. 931 00:37:50,314 --> 00:37:53,401 I want to talk to my sister first. 932 00:37:56,696 --> 00:37:59,531 We're gonna make that happen for you. 933 00:37:59,532 --> 00:38:02,867 I'll have them prep an OR, but make it fast, very fast. 934 00:38:02,868 --> 00:38:06,037 Yeah. We're on the move again, Howard. 935 00:38:20,469 --> 00:38:22,221 Hey. 936 00:38:24,140 --> 00:38:26,517 The ice cream party over? 937 00:38:28,311 --> 00:38:30,478 Yes. 938 00:38:30,479 --> 00:38:33,690 Do you need anything? 939 00:38:35,484 --> 00:38:37,528 A time machine. 940 00:38:41,407 --> 00:38:43,659 That'd be nice, wouldn't it? 941 00:38:47,997 --> 00:38:51,166 I don't even know what hurts more... 942 00:38:51,167 --> 00:38:54,253 the cancer or... 943 00:38:56,380 --> 00:38:59,884 Knowing I'm never gonna see my sons grow up. 944 00:39:02,261 --> 00:39:04,680 It feels like a cruel joke. 945 00:39:06,182 --> 00:39:10,852 Why give me children and a husband I adore 946 00:39:10,853 --> 00:39:14,689 if you're just gonna take them away from me? 947 00:39:14,690 --> 00:39:18,151 For what? Fucking lung cancer. 948 00:39:21,322 --> 00:39:23,323 I didn't even smoke. 949 00:39:31,248 --> 00:39:33,376 Do you believe in God? 950 00:39:35,670 --> 00:39:37,880 I like the concept. 951 00:39:41,759 --> 00:39:45,136 I'm sure you've seen a lot of death. 952 00:39:45,137 --> 00:39:47,139 I have seen my share. 953 00:39:49,892 --> 00:39:51,936 Any advice? 954 00:39:57,566 --> 00:40:00,319 I've never died before. 955 00:40:09,620 --> 00:40:11,413 Hey, sorry. W-we're outside. 956 00:40:11,414 --> 00:40:14,958 There's, um... there's no cell service inside right now, 957 00:40:14,959 --> 00:40:16,460 but, um, here he is. 958 00:40:18,713 --> 00:40:20,213 Oh, my God. 959 00:40:20,214 --> 00:40:22,508 Are you all right? 960 00:40:23,759 --> 00:40:25,552 Been better. 961 00:40:25,553 --> 00:40:27,929 You look beautiful. 962 00:40:27,930 --> 00:40:29,556 Thank you. 963 00:40:29,557 --> 00:40:31,767 You're not looking so hot. 964 00:40:33,894 --> 00:40:36,689 Thank you for calling back. 965 00:40:38,899 --> 00:40:40,608 Of course. 966 00:40:40,609 --> 00:40:43,528 I'm sorry that it's been this long. 967 00:40:43,529 --> 00:40:47,115 All the stuff with Dad and the drinking, I... 968 00:40:47,116 --> 00:40:50,285 I had to do what was best for me and Tommy. 969 00:40:50,286 --> 00:40:52,787 How is Tommy? 970 00:40:52,788 --> 00:40:56,791 Starting his junior year in high school next month, 971 00:40:56,792 --> 00:41:00,171 16 and already has a girlfriend. 972 00:41:02,131 --> 00:41:04,466 Takes after his uncle. 973 00:41:06,510 --> 00:41:08,178 Maybe we can make a plan 974 00:41:08,179 --> 00:41:10,890 for you to see each other over the holidays. 975 00:41:15,102 --> 00:41:17,188 I'd love that. 976 00:41:18,647 --> 00:41:20,483 Is the doctor there? 977 00:41:22,276 --> 00:41:23,818 Hi, I'm Dr. Abbot. 978 00:41:23,819 --> 00:41:25,612 Can you call me when he gets out of surgery? 979 00:41:25,613 --> 00:41:27,781 Of course, but right now we need to get him up to the OR. 980 00:41:27,782 --> 00:41:29,365 I understand. Thanks. 981 00:41:29,366 --> 00:41:31,160 Talk to you soon, Howard. 982 00:41:33,162 --> 00:41:36,706 Oh, I forgot to tell him I love him. 983 00:41:36,707 --> 00:41:37,999 Oh, wow. 984 00:41:38,000 --> 00:41:39,876 Monica? 985 00:41:39,877 --> 00:41:41,169 Welcome back. 986 00:41:41,170 --> 00:41:43,213 Robinavitch. 987 00:41:43,214 --> 00:41:46,007 - Two for the lab, three for CT. - I'll take those. 988 00:41:46,008 --> 00:41:48,718 - They need me upstairs. - On it for CT. 989 00:41:48,719 --> 00:41:50,011 You run a tight ship. 990 00:41:50,012 --> 00:41:52,055 Well, it's a work in progress. 991 00:41:52,056 --> 00:41:54,516 - Is he going up? - Yeah. 992 00:41:54,517 --> 00:41:57,185 He's a good guy. 993 00:41:57,186 --> 00:42:00,021 Our surgeons will get him through. 994 00:42:03,943 --> 00:42:06,694 I like her. 995 00:42:06,695 --> 00:42:08,446 More than me? 996 00:42:08,447 --> 00:42:10,907 Only time will tell. 997 00:42:10,908 --> 00:42:12,784 - Yeah? - Yeah. 998 00:42:12,785 --> 00:42:15,411 She has good command of staff and procedures. 999 00:42:15,412 --> 00:42:18,706 I think you're leaving your day shift in very capable hands. 1000 00:42:18,707 --> 00:42:20,208 I hope so. 1001 00:42:20,209 --> 00:42:22,168 All right, I'm out of here, man. 1002 00:42:22,169 --> 00:42:25,255 I got to be back in a few hours for my shift. 1003 00:42:25,256 --> 00:42:27,090 Well, hey, if I don't see you... 1004 00:42:27,091 --> 00:42:29,843 You're really doing this still? 1005 00:42:29,844 --> 00:42:31,886 I don't think I can remember the last time 1006 00:42:31,887 --> 00:42:33,429 you took three days off in a row. 1007 00:42:33,430 --> 00:42:36,224 I've taken a vacation before. 1008 00:42:36,225 --> 00:42:38,184 Name the last one. 1009 00:42:40,771 --> 00:42:43,189 Point taken. 1010 00:42:43,190 --> 00:42:46,485 It's gonna be a lot of time to self-reflect. 1011 00:42:48,904 --> 00:42:51,115 You sure you can handle that? 1012 00:42:53,409 --> 00:42:55,243 Okay. 1013 00:42:55,244 --> 00:42:57,412 You just make sure you come back. 1014 00:42:57,413 --> 00:43:00,124 And if it gets dark, you call me. 1015 00:43:01,750 --> 00:43:03,502 You listening? 1016 00:43:07,965 --> 00:43:10,258 So the ankle's negative for fracture. 1017 00:43:10,259 --> 00:43:12,427 Wait, go back to the ankle. 1018 00:43:12,428 --> 00:43:13,970 You see the normal mortise? 1019 00:43:13,971 --> 00:43:17,098 Yeah, but the tibiofibular clear space looks enlarged, 1020 00:43:17,099 --> 00:43:20,268 and the tibiofibular overlap seems reduced. 1021 00:43:20,269 --> 00:43:23,646 Maybe a little. 1022 00:43:23,647 --> 00:43:26,733 8 millimeters, 3 millimeters. 1023 00:43:26,734 --> 00:43:29,152 Seems like a tear in the syndesmotic ligaments. 1024 00:43:29,153 --> 00:43:31,279 Doesn't that need surgical fixation? 1025 00:43:31,280 --> 00:43:34,240 They do. I can request an MRI. 1026 00:43:34,241 --> 00:43:37,452 Um, have you done a radiology clerkship before? 1027 00:43:37,453 --> 00:43:40,372 No, I'm just that good. 1028 00:43:42,124 --> 00:43:45,835 I'm good at things, too. 1029 00:43:55,846 --> 00:44:00,850 Really great work earlier today, Doctor. 1030 00:44:00,851 --> 00:44:03,519 Huh. 1031 00:44:03,520 --> 00:44:04,854 Ow, wow. 1032 00:44:04,855 --> 00:44:07,315 - You can just call me Whitaker. - Not a chance. 1033 00:44:07,316 --> 00:44:08,566 You earned that. 1034 00:44:08,567 --> 00:44:09,984 I'm proud of you. 1035 00:44:09,985 --> 00:44:11,694 We all are. 1036 00:44:11,695 --> 00:44:12,946 Thank you. 1037 00:44:12,947 --> 00:44:15,406 - Busy day. - Oh, yeah. 1038 00:44:15,407 --> 00:44:18,201 So you're a very empathetic soul. 1039 00:44:18,202 --> 00:44:20,495 - Yeah, I'd like to think... - I'm not finished yet. 1040 00:44:20,496 --> 00:44:22,872 And you want to be there for all your patients. 1041 00:44:22,873 --> 00:44:24,540 - Don't you? - Shh. 1042 00:44:24,541 --> 00:44:25,833 Sorry. 1043 00:44:25,834 --> 00:44:28,127 So this relationship that you're having 1044 00:44:28,128 --> 00:44:30,630 with this woman, um, the widow of the burn victim 1045 00:44:30,631 --> 00:44:32,465 - who died last year. - Amy. 1046 00:44:32,466 --> 00:44:33,841 Santos tell you? 1047 00:44:33,842 --> 00:44:36,302 I understand you're helping her out. 1048 00:44:36,303 --> 00:44:38,137 Yeah, on the farm. 1049 00:44:38,138 --> 00:44:41,015 I grew up on one, and Amy's... 1050 00:44:41,016 --> 00:44:43,643 Mrs. Miller is getting pressure to sell, 1051 00:44:43,644 --> 00:44:45,812 so I'm just helping out. 1052 00:44:45,813 --> 00:44:47,855 What about her friends and family? 1053 00:44:47,856 --> 00:44:49,691 Yeah, they're around. 1054 00:44:49,692 --> 00:44:51,192 Supporting her? 1055 00:44:51,193 --> 00:44:52,777 Yeah, I think they try to, 1056 00:44:52,778 --> 00:44:56,197 but, mostly, she's just leaning on... 1057 00:44:56,198 --> 00:44:57,616 me. 1058 00:45:00,536 --> 00:45:02,537 I'm sure she's really grateful 1059 00:45:02,538 --> 00:45:03,955 for everything that you do, 1060 00:45:03,956 --> 00:45:06,916 but it's important to have boundaries. 1061 00:45:06,917 --> 00:45:08,252 Yeah. 1062 00:45:11,422 --> 00:45:14,549 Hey, you want to do me a favor? 1063 00:45:14,550 --> 00:45:15,883 Yeah? 1064 00:45:15,884 --> 00:45:18,720 You want to house-sit for me while I'm gone? 1065 00:45:18,721 --> 00:45:20,722 You'd actually be helping me out, 1066 00:45:20,723 --> 00:45:24,058 and you could save some money on rent. 1067 00:45:24,059 --> 00:45:25,560 Are you being serious? 1068 00:45:25,561 --> 00:45:28,604 No smoking, no parties, no pets, no babies, 1069 00:45:28,605 --> 00:45:30,398 yours or anybody else's. 1070 00:45:30,399 --> 00:45:33,067 - I don't have a baby. - No, but she does. 1071 00:45:33,068 --> 00:45:36,195 I was going to ask Abbot, but he does nude yoga at sunrise, 1072 00:45:36,196 --> 00:45:38,406 and I don't think some of my elderly neighbors 1073 00:45:38,407 --> 00:45:40,700 would survive seeing that. 1074 00:45:40,701 --> 00:45:43,745 Yeah. Yeah, t-that would be amazing... 1075 00:45:43,746 --> 00:45:47,206 the house-sitting, not seeing Abbot's naked yoga. 1076 00:45:47,207 --> 00:45:49,917 If I don't come back, you got a swinging bachelor pad. 1077 00:45:49,918 --> 00:45:51,336 Okay. 1078 00:45:52,713 --> 00:45:54,380 Come find me before you leave. 1079 00:45:54,381 --> 00:45:56,716 I'll give you my keys and the security code. 1080 00:45:56,717 --> 00:45:57,967 Okay. 1081 00:45:57,968 --> 00:46:01,262 Who's the joker that did this? 1082 00:46:01,263 --> 00:46:03,347 Oh. 1083 00:46:03,348 --> 00:46:04,932 We need some help out there. 1084 00:46:04,933 --> 00:46:07,101 You two, make sure to double-check your work. 1085 00:46:07,102 --> 00:46:08,686 Triage could use an extra hand. 1086 00:46:08,687 --> 00:46:10,772 Princess, finish up here, then head that way. 1087 00:46:10,773 --> 00:46:13,107 Three for CT now. Should I run it over? 1088 00:46:13,108 --> 00:46:14,776 No. Keep taking off orders. 1089 00:46:14,777 --> 00:46:16,861 CT's gonna get backed up if we wait on these. 1090 00:46:16,862 --> 00:46:18,988 I know, but I can't waste a runner on that right now. 1091 00:46:18,989 --> 00:46:21,032 Where'd you find a carrier sheet? 1092 00:46:21,033 --> 00:46:23,868 Exactly where I filed it away ten years ago. 1093 00:46:23,869 --> 00:46:25,953 I thought that thing didn't work. 1094 00:46:25,954 --> 00:46:27,830 Can't receive, but it can send. 1095 00:46:34,922 --> 00:46:38,257 Stay hydrated, preferably with electrolyte-rich drinks 1096 00:46:38,258 --> 00:46:40,510 - like coconut water. - I'm not a fan of coconuts. 1097 00:46:40,511 --> 00:46:42,136 Okay, Gatorade's also an option. 1098 00:46:42,137 --> 00:46:44,472 Just avoid alcohol and caffeine, and I suggest wearing 1099 00:46:44,473 --> 00:46:46,140 - light, breathable clothing. - Boring. 1100 00:46:46,141 --> 00:46:48,101 Come back if your symptoms worsen, 1101 00:46:48,102 --> 00:46:49,852 if you develop a headache or confusion. 1102 00:46:49,853 --> 00:46:51,145 Okay. 1103 00:46:51,146 --> 00:46:54,148 Mm. You sure about that? 1104 00:46:56,151 --> 00:46:59,195 Hey, could you turn that up? 1105 00:46:59,196 --> 00:47:02,532 Have responded to a deadly waterslide collapse 1106 00:47:02,533 --> 00:47:04,033 at a local water park. 1107 00:47:04,034 --> 00:47:06,202 Now, we're told there's at least one fatality, 1108 00:47:06,203 --> 00:47:07,537 with multiple injuries. 1109 00:47:07,538 --> 00:47:10,665 Oh, shit. And they're all coming to us. 1110 00:47:10,666 --> 00:47:12,812 Currently being airlifted to the hospital by heli... 1111 00:47:12,814 --> 00:47:16,053 Sync and corrections by btsix www.addic7ed.com