1 00:00:09,980 --> 00:00:14,986 Sync and corrections by btsix www.addic7ed.com 2 00:00:15,486 --> 00:00:17,153 Structural collapse at the water park... 3 00:00:17,154 --> 00:00:19,057 two victims coming in via helicopter. 4 00:00:19,058 --> 00:00:21,491 - ETA, five minutes. - Time to rally the troops. 5 00:00:21,492 --> 00:00:22,534 I'll get environmental 6 00:00:22,535 --> 00:00:23,660 to clear and prep the trauma rooms. 7 00:00:23,661 --> 00:00:24,953 Emma, restock the crash carts. 8 00:00:24,954 --> 00:00:26,788 Makedah, take the latest scripts to the drug cage. 9 00:00:26,789 --> 00:00:28,999 - Should be a fun one. - "Fun one"? What's up? 10 00:00:29,000 --> 00:00:30,325 Slide broke at the water park... 11 00:00:30,326 --> 00:00:31,918 two victims, five minutes to touchdown. 12 00:00:31,919 --> 00:00:33,628 No information on extent of injuries. 13 00:00:33,629 --> 00:00:35,296 I can jump in with... 14 00:00:35,297 --> 00:00:38,031 Ogilvie, grab some goggles, gloves, gown. 15 00:00:38,032 --> 00:00:40,510 Go up to the roof. First patient that lands, bring 'em down. 16 00:00:40,511 --> 00:00:41,803 We got two choppers. 17 00:00:41,804 --> 00:00:43,221 You want to grab some bodies and meet me? 18 00:00:43,222 --> 00:00:44,723 What injuries are we expecting? 19 00:00:44,724 --> 00:00:46,284 Structural collapse. Could be anything. 20 00:00:46,960 --> 00:00:50,144 I can increase the morphine drip to manage the pain, 21 00:00:50,145 --> 00:00:52,814 but that could also slow down your breathing. 22 00:00:52,815 --> 00:00:55,150 You will likely feel very drowsy. 23 00:00:55,151 --> 00:00:57,694 You may lose consciousness. 24 00:00:57,695 --> 00:01:00,823 And it could cause you to stop breathing altogether. 25 00:01:09,832 --> 00:01:11,666 I'll be right back. 26 00:01:19,008 --> 00:01:21,374 - Hey, you okay? - Yeah. 27 00:01:21,375 --> 00:01:23,722 Yeah. Sorry. 28 00:01:23,723 --> 00:01:27,484 Look, it's hard seeing your patients die. 29 00:01:27,485 --> 00:01:30,238 But as professionals, we have to create emotional boundaries 30 00:01:30,239 --> 00:01:31,697 for ourselves. 31 00:01:31,698 --> 00:01:34,117 It's not about us. It's about them. 32 00:01:35,957 --> 00:01:38,000 She's so calm. I just... 33 00:01:38,001 --> 00:01:40,085 Yeah. 34 00:01:40,086 --> 00:01:43,964 She's had a long time to prepare for this moment. 35 00:01:43,965 --> 00:01:46,174 What she's doing for her sons... 36 00:01:46,175 --> 00:01:48,969 managing this with so much grace... 37 00:01:48,970 --> 00:01:50,679 it's a real gift of love. 38 00:01:50,680 --> 00:01:53,608 I feel like an asshole. 39 00:01:53,609 --> 00:01:55,735 All they want is more time with their mother. 40 00:01:55,736 --> 00:01:57,487 All I want is less time with mine. 41 00:01:57,488 --> 00:01:59,572 Don't feel guilty. 42 00:01:59,573 --> 00:02:03,576 I mean, you can be grateful and gracious from a distance. 43 00:02:03,577 --> 00:02:05,578 Just talk to her. Tell her what you want. 44 00:02:05,579 --> 00:02:07,111 She'll understand. 45 00:02:08,749 --> 00:02:11,751 I just... I doubt that. 46 00:02:11,752 --> 00:02:14,964 Give her a chance, you know? She may surprise you. 47 00:02:17,341 --> 00:02:18,842 Hey. 48 00:02:18,843 --> 00:02:20,802 Two birds headed our way. Need a hand? 49 00:02:20,803 --> 00:02:22,429 That's the rumor. 50 00:02:22,430 --> 00:02:25,432 Santos, trauma incoming. Grab a gown. 51 00:02:25,433 --> 00:02:27,767 You can assist Dr. Langdon. 52 00:02:29,770 --> 00:02:31,271 Fuck me. 53 00:02:31,272 --> 00:02:34,065 Jesus, I got blood tubes growing moss over here. 54 00:02:34,066 --> 00:02:36,109 Ticktock, people. 55 00:02:36,110 --> 00:02:38,445 Hey, Olive, do me a solid... run these to the lab. 56 00:02:38,446 --> 00:02:39,612 No problem. 57 00:02:39,613 --> 00:02:41,489 Uh, I got more lab results. 58 00:02:41,490 --> 00:02:43,616 Start putting them on the patient clipboards, 59 00:02:43,617 --> 00:02:45,827 Emergency. Go ahead, Medic Command. 60 00:02:45,828 --> 00:02:47,495 Do cyber attacks happen often? 61 00:02:47,496 --> 00:02:49,706 - More than you realize. - I blame the Russkies. 62 00:02:49,707 --> 00:02:52,792 Dr. Mohan, it's your mother? 63 00:02:52,793 --> 00:02:54,502 She sounds pretty upset. 64 00:02:54,503 --> 00:02:57,464 Says she really needs to talk to you. 65 00:02:57,465 --> 00:02:58,631 You're shitting me. 66 00:02:58,632 --> 00:03:00,676 Um, tell her I'm not available. 67 00:03:10,269 --> 00:03:12,479 How's your shift going? 68 00:03:12,480 --> 00:03:15,106 It's been a lot already. 69 00:03:15,107 --> 00:03:18,318 You know, I worked in an ER before, up in Vermont, 70 00:03:18,319 --> 00:03:22,071 and we had MVAs and ODs, MIs. 71 00:03:22,072 --> 00:03:23,865 But this place... 72 00:03:23,866 --> 00:03:26,242 this place is relentless. 73 00:03:26,243 --> 00:03:29,871 Holiday weekend. We're not normally offline. 74 00:03:29,872 --> 00:03:32,832 I think we have a very different idea of normal. 75 00:03:32,833 --> 00:03:34,334 It's not for everyone. 76 00:03:34,335 --> 00:03:36,795 I'm not sure it's healthy for anybody. 77 00:03:36,796 --> 00:03:38,505 Here's her leg. 78 00:03:38,506 --> 00:03:40,257 Jesus. 79 00:03:46,847 --> 00:03:48,306 I need more runners. 80 00:03:48,307 --> 00:03:50,141 Oh, you could shut down the gift shop. 81 00:03:50,142 --> 00:03:52,268 They always have a couple of volunteers there. 82 00:03:52,269 --> 00:03:54,270 Most of those volunteers use walkers. 83 00:03:54,271 --> 00:03:55,897 Beggars can't be choosers. 84 00:03:55,898 --> 00:03:57,357 Go get 'em. 85 00:03:57,358 --> 00:03:59,275 Okay, I'm gonna grab a smoke first. 86 00:03:59,276 --> 00:04:01,528 No time. Nicotine gum... take the edge off. 87 00:04:01,529 --> 00:04:03,905 You two, head to triage to help out the front of the house. 88 00:04:03,906 --> 00:04:05,281 They're running out of space, 89 00:04:05,282 --> 00:04:07,075 and there's a line out the door. 90 00:04:07,076 --> 00:04:10,036 - Okay, let's go. - Hang on, Mohan. 91 00:04:10,037 --> 00:04:12,248 Sign this. 92 00:04:14,542 --> 00:04:16,209 Nicotine patch, 21 milligrams. 93 00:04:16,210 --> 00:04:17,710 Who's it for? 94 00:04:17,711 --> 00:04:19,170 Monica. This nicotine gum's shit. 95 00:04:19,171 --> 00:04:20,672 She'll never survive the shift, 96 00:04:20,673 --> 00:04:22,967 and I need her so I don't lose my goddamn mind. 97 00:04:24,927 --> 00:04:26,219 Thanks. 98 00:04:26,220 --> 00:04:27,971 Is Dr. Abbot still around? 99 00:04:27,972 --> 00:04:29,472 He went to get some sleep 100 00:04:29,473 --> 00:04:31,307 before his night shift starts in a couple hours. 101 00:04:31,308 --> 00:04:33,518 Shit. Okay, I should have planned this better. 102 00:04:33,519 --> 00:04:36,312 I was hoping he'd write me a letter of rec for an elective 103 00:04:36,313 --> 00:04:38,731 so I could have a shot at a fellowship next year. 104 00:04:38,732 --> 00:04:40,441 Which one? 105 00:04:40,442 --> 00:04:42,360 Whichever will take me. 106 00:04:42,361 --> 00:04:44,571 Didn't the electives fill up a while ago? 107 00:04:44,572 --> 00:04:46,114 Don't remind me. 108 00:04:46,115 --> 00:04:47,949 I'm gonna throw myself at the mercy of the court, 109 00:04:47,950 --> 00:04:49,367 beg for them to take me anyway. 110 00:04:49,368 --> 00:04:51,578 Just kill me now. It'll be less painful. 111 00:04:51,579 --> 00:04:53,913 Dana, I can't read this handwriting. 112 00:04:53,914 --> 00:04:55,582 It says... 113 00:04:55,583 --> 00:04:58,251 1,000 milligrams acetaminophen orally, 114 00:04:58,252 --> 00:05:00,587 4 milligrams ondansetron under the tongue, 115 00:05:00,588 --> 00:05:02,755 and trial of clear fluids. 116 00:05:02,756 --> 00:05:04,340 Seriously? It says all that? 117 00:05:04,341 --> 00:05:06,342 If it's not in a text with emojis, 118 00:05:06,343 --> 00:05:08,012 you kids can't read for shit. 119 00:05:10,598 --> 00:05:12,140 What do we have? 120 00:05:12,141 --> 00:05:14,225 A fall from 10 feet onto a metal fence. 121 00:05:14,226 --> 00:05:16,102 Right below the knee. Good vitals. 122 00:05:16,103 --> 00:05:17,812 Oh, it hurts. Oh, my God. 123 00:05:17,813 --> 00:05:20,148 - What's she had so far? - 50 of fent, repeated 25. 124 00:05:20,149 --> 00:05:21,941 No meds, no allergies. 125 00:05:21,942 --> 00:05:23,943 - Where should I put this? - Just hang on to it for now. 126 00:05:23,944 --> 00:05:27,780 On my count. One, two, three. 127 00:05:29,491 --> 00:05:32,702 Okay, Whitaker, E-FAST. Donnie, primary survey, please. 128 00:05:32,703 --> 00:05:35,496 Pupils equal and reactive. 129 00:05:35,497 --> 00:05:37,999 - What's your name? - My leg hurts really bad. 130 00:05:38,000 --> 00:05:39,792 Did I break it? 131 00:05:39,793 --> 00:05:41,836 Um, I-I wouldn't say that it's broken exactly. 132 00:05:41,837 --> 00:05:43,588 We're gonna get an X-ray to determine that. 133 00:05:43,589 --> 00:05:45,632 Put that on the gurney, line it up for X-ray, 134 00:05:45,633 --> 00:05:47,175 keep your fucking mouth shut. 135 00:05:47,176 --> 00:05:48,927 Good lung sliding right and left. 136 00:05:48,928 --> 00:05:51,638 Airway patent, breath sounds bilaterally. 137 00:05:51,639 --> 00:05:54,098 - Please, it hurts. - BP 100 over 60. 138 00:05:54,099 --> 00:05:57,101 Pulse 118, pulse ox 98%. 139 00:05:57,102 --> 00:06:00,396 - Does your belly hurt? - No, asshole! It's my leg! 140 00:06:00,397 --> 00:06:02,148 Okay, she's really moving here. 141 00:06:02,149 --> 00:06:03,524 100 of ketamine? 142 00:06:03,525 --> 00:06:06,194 Yeah, we can't evaluate like this. 143 00:06:06,195 --> 00:06:08,112 Hey, Ogilvie? 144 00:06:08,113 --> 00:06:10,323 - Deep breaths, yeah? - Yeah, okay. 145 00:06:10,324 --> 00:06:11,824 Whitaker, what's next? 146 00:06:11,825 --> 00:06:14,369 Uh, once she's sedated, finish the E-FAST, 147 00:06:14,370 --> 00:06:16,329 plain X-ray, check her back, straight to CT. 148 00:06:16,330 --> 00:06:18,206 What if the ketamine wears off? 149 00:06:18,207 --> 00:06:19,666 Right. Uh, we should do 150 00:06:19,667 --> 00:06:22,293 a popliteal nerve block before the CT, 151 00:06:22,294 --> 00:06:24,170 anesthetize from the knee down. 152 00:06:24,171 --> 00:06:26,089 - Two view tib-fib. - Pushing ketamine now. 153 00:06:26,090 --> 00:06:27,423 What's the bullet? 154 00:06:27,424 --> 00:06:29,425 42-year-old male with 20-foot fall. 155 00:06:29,426 --> 00:06:31,594 Blunt chest trauma with hand injury. 156 00:06:31,595 --> 00:06:33,596 Where's my son? Where's my son? 157 00:06:33,597 --> 00:06:36,015 He's tachy to 108, sats 98 on 2 liters, 158 00:06:36,016 --> 00:06:37,684 BP 122 over 84. 159 00:06:37,685 --> 00:06:39,435 We'll pan scan due to mechanism. 160 00:06:39,436 --> 00:06:41,396 - You? - Tib-fib amputation. 161 00:06:41,397 --> 00:06:43,648 Hoping ortho can, uh, give us a little hope for replantation. 162 00:06:43,649 --> 00:06:46,317 - Derek, where are you hurting? - Chest and my finger. 163 00:06:46,318 --> 00:06:47,568 Did they find my son? 164 00:06:47,569 --> 00:06:49,696 - Did you hit your head? - Don't think so. 165 00:06:49,697 --> 00:06:50,989 I need to find my son! 166 00:06:50,990 --> 00:06:52,240 We'll find him for you, 167 00:06:52,241 --> 00:06:54,534 but we need to take care of you first. 168 00:06:54,535 --> 00:06:56,577 Pericardium's clear. No fluid in Morrison's. 169 00:06:56,578 --> 00:06:58,705 Move both arms, wiggle your feet. 170 00:06:58,706 --> 00:07:01,082 - Good. Any pain in your neck? - No. 171 00:07:01,083 --> 00:07:03,209 - Spleen looks good. - Start with his chest. 172 00:07:03,210 --> 00:07:04,460 That's where he hurts. 173 00:07:04,461 --> 00:07:07,088 - No hemotympanum. - Normal sliding. 174 00:07:07,089 --> 00:07:09,757 Best to start with the side he's complaining about first. 175 00:07:09,758 --> 00:07:12,635 Uh, I don't see much sliding there. 176 00:07:12,636 --> 00:07:14,721 His name is Zack. He's seven. 177 00:07:14,722 --> 00:07:16,889 - Pneumothorax? - Set up for a chest tube. 178 00:07:16,890 --> 00:07:19,559 Not yet. Uh, let's go posterolateral. 179 00:07:19,560 --> 00:07:21,227 Look for fluid first. 180 00:07:21,228 --> 00:07:23,563 Traumatic pneumothorax. We should prep the chest. 181 00:07:23,564 --> 00:07:26,065 Not necessarily. He's hemodynamically stable. 182 00:07:26,066 --> 00:07:27,859 Okay. 183 00:07:27,860 --> 00:07:29,444 Does that look like some fluid there? 184 00:07:29,445 --> 00:07:30,987 Hard to say for sure. 185 00:07:30,988 --> 00:07:33,072 Okay, he's tachycardic hemopneumothorax. 186 00:07:33,073 --> 00:07:34,365 He needs a chest tube. 187 00:07:34,366 --> 00:07:36,409 BP and sats are fine. We can wait for CT. 188 00:07:36,410 --> 00:07:38,119 If it's small, it'll resolve on its own. 189 00:07:38,120 --> 00:07:40,121 - We observe and reimage. - I agree. He's stable for now. 190 00:07:40,122 --> 00:07:42,081 Let's wait for the scan, Dr. Santos. 191 00:07:42,082 --> 00:07:44,125 - Okay, let's order... - Okay. 192 00:07:44,126 --> 00:07:47,462 A CT chest, abdomen, pelvis, and X-ray left hand. 193 00:07:47,463 --> 00:07:50,381 - Whoa, major degloving. - Focus on the primary. 194 00:07:50,382 --> 00:07:53,301 Dr. Langdon's correct. We need to logroll him. 195 00:07:53,302 --> 00:07:54,927 Oh, okay. 196 00:07:54,928 --> 00:07:56,971 How about another four of morphine? 197 00:07:56,972 --> 00:07:58,931 Put it in. Hang in there, Derek. 198 00:07:58,932 --> 00:08:01,267 We got you. 199 00:08:01,268 --> 00:08:03,770 Fuck off already. 200 00:08:03,771 --> 00:08:06,314 - Boyfriend? - Wish. My mom. 201 00:08:06,315 --> 00:08:08,316 Every time I get a second of service, 202 00:08:08,317 --> 00:08:09,776 - another dozen texts come in. - Hey! 203 00:08:09,777 --> 00:08:11,611 How much longer do I have to wait? 204 00:08:11,612 --> 00:08:12,945 I got a broken leg here. 205 00:08:12,946 --> 00:08:14,655 Someone will be with you shortly, sir. 206 00:08:14,656 --> 00:08:16,324 Am I allowed to use the bathroom? 207 00:08:16,325 --> 00:08:18,159 - I really have to go. - I don't know, ma'am. 208 00:08:18,160 --> 00:08:19,327 I am not your doctor. 209 00:08:19,328 --> 00:08:20,953 It says right there "doctor." 210 00:08:20,954 --> 00:08:22,497 Yes, but I'm not your doctor. 211 00:08:22,498 --> 00:08:24,165 But if you go back to your room, 212 00:08:24,166 --> 00:08:26,584 - a nurse will come find you. - I wasn't in a room. 213 00:08:26,585 --> 00:08:29,587 I'm sorry. Um, are either of you treating my mother? 214 00:08:29,588 --> 00:08:32,006 Nope! 215 00:08:37,554 --> 00:08:39,972 Take a seat. It's gonna be a while. 216 00:08:42,976 --> 00:08:45,312 Helen Torres, come on down. 217 00:08:46,897 --> 00:08:48,981 Helen Torres? 218 00:09:04,206 --> 00:09:05,373 Thank you. 219 00:09:05,374 --> 00:09:07,668 Ay. 220 00:09:10,379 --> 00:09:12,338 I'm Dr. Mohan. This is Student Doctor Kwon. 221 00:09:12,339 --> 00:09:13,881 Helen. 222 00:09:13,882 --> 00:09:16,175 How long has your leg been swollen, Helen? 223 00:09:16,176 --> 00:09:19,011 Uh, it's been getting worse over the past week. 224 00:09:19,012 --> 00:09:20,847 Dr. Mohan, your mom called again. 225 00:09:20,848 --> 00:09:22,390 She said you need to call her back. 226 00:09:22,391 --> 00:09:23,391 Not now! 227 00:09:23,392 --> 00:09:25,227 I'm with a patient. 228 00:09:27,354 --> 00:09:28,980 Sorry about that. 229 00:09:28,981 --> 00:09:31,858 Um, did you... did you fall or hit your leg? 230 00:09:31,859 --> 00:09:33,693 No. 231 00:09:33,694 --> 00:09:36,863 Have... have you ever had a blood clot before? 232 00:09:36,864 --> 00:09:38,865 No. 233 00:09:41,034 --> 00:09:43,786 - Are you all right? - Excuse me? 234 00:09:43,787 --> 00:09:47,206 - Do you need to sit down? - Oh, no. I'm... I'm fine. 235 00:09:47,207 --> 00:09:48,833 You don't look too good. 236 00:09:48,834 --> 00:09:50,376 What? 237 00:09:50,377 --> 00:09:52,086 No, it's just, um... 238 00:09:52,087 --> 00:09:53,754 it's really hot in here. 239 00:09:53,755 --> 00:09:56,215 And, uh... and, uh... 240 00:09:56,216 --> 00:09:59,552 - You need to sit down. - I'm good. 241 00:09:59,553 --> 00:10:02,054 I just need some air. 242 00:10:02,055 --> 00:10:04,224 Excuse me one second. 243 00:10:20,574 --> 00:10:22,283 You a doctor? 244 00:10:22,284 --> 00:10:24,243 Sorry, Doctor, does this look infected? 245 00:10:24,244 --> 00:10:25,620 I've been waiting six hours, 246 00:10:25,621 --> 00:10:27,288 and people keep cutting in front of me. 247 00:10:27,289 --> 00:10:29,248 Doctor, can you just look at my throat 248 00:10:29,249 --> 00:10:30,750 just to see if it's strep? 249 00:10:30,751 --> 00:10:32,710 Look out! Make way! 250 00:10:32,711 --> 00:10:34,462 Get in. 251 00:10:34,463 --> 00:10:36,130 No, I'm... I'm okay. 252 00:10:36,131 --> 00:10:39,091 - I'm okay. - Get in the fucking chair. 253 00:10:39,092 --> 00:10:42,637 Excuse me, ma'am. 254 00:10:42,638 --> 00:10:45,306 Excuse me, coming through! 255 00:10:45,307 --> 00:10:47,099 Out of my way! 256 00:10:47,100 --> 00:10:49,018 We were going down the water slide, 257 00:10:49,019 --> 00:10:50,478 and the bottom just fell off. 258 00:10:50,479 --> 00:10:51,812 I grabbed Zack's arm, 259 00:10:51,813 --> 00:10:53,606 and I tried to hold on to the sides, 260 00:10:53,607 --> 00:10:55,483 but my hand slipped, and my ring got stuck. 261 00:10:55,484 --> 00:10:59,528 My finger was ripping off, and I just... and I lost him. 262 00:10:59,529 --> 00:11:01,989 We can numb up your finger as soon as we gauge 263 00:11:01,990 --> 00:11:03,616 the extent of the injury. 264 00:11:03,617 --> 00:11:05,701 You can cut the damn thing off for all I care. 265 00:11:05,702 --> 00:11:07,787 I just need to find Zack. 266 00:11:07,788 --> 00:11:09,455 Okay, do you feel anything here? 267 00:11:09,456 --> 00:11:10,623 Yeah, sharp. 268 00:11:10,624 --> 00:11:12,500 - How about here? - Sharp again. 269 00:11:12,501 --> 00:11:14,252 A little late for the show, Yoyo. 270 00:11:14,253 --> 00:11:16,337 I am the show, Dr. Langdon. You're the warm-up act. 271 00:11:16,338 --> 00:11:18,172 I knew somebody missed me. 272 00:11:18,173 --> 00:11:20,091 Mr. Foster suffered a degloving injury 273 00:11:20,092 --> 00:11:21,342 of the ring finger. 274 00:11:21,343 --> 00:11:23,344 Stable pneumothorax awaiting imaging. 275 00:11:23,345 --> 00:11:25,972 Hello, sir. I'm Dr. Garcia from the trauma service. 276 00:11:25,973 --> 00:11:27,598 I need the ring cutter. 277 00:11:27,599 --> 00:11:29,976 That's why they pay the surgeons the big bucks. 278 00:11:29,977 --> 00:11:31,936 Possible flexor tendon injury. 279 00:11:31,937 --> 00:11:33,604 Ay. Ow. 280 00:11:33,605 --> 00:11:36,941 Try to bend up your ring finger. 281 00:11:39,361 --> 00:11:40,945 Let's go with the block. 282 00:11:40,946 --> 00:11:43,364 You're gonna feel a pinprick and some burning. 283 00:11:43,365 --> 00:11:45,992 Which tendon did we test, Dr. Santos? 284 00:11:45,993 --> 00:11:48,494 Seriously? That's a med-student question. 285 00:11:48,495 --> 00:11:52,164 We're a teaching hospital. It's always good to review. 286 00:11:52,165 --> 00:11:55,835 Flexor digitorum superficialis is intact 287 00:11:55,836 --> 00:11:58,170 as it inserts on the middle phalanx. 288 00:11:58,171 --> 00:11:59,505 Correct. 289 00:11:59,506 --> 00:12:01,173 Gee, thanks. 290 00:12:01,174 --> 00:12:03,217 No sign of tension. 291 00:12:03,218 --> 00:12:05,678 At least no tension pneumo. 292 00:12:05,679 --> 00:12:07,763 Let's wait for the CT. I'll be next door. 293 00:12:07,764 --> 00:12:10,558 Langdon, Mel's sister's been asking for you. 294 00:12:10,559 --> 00:12:12,810 She's getting antsy, and we could really use the room. 295 00:12:12,811 --> 00:12:14,061 - CT's ready. - Okay. 296 00:12:14,062 --> 00:12:16,022 Let Becca know I'll be there soon. 297 00:12:16,023 --> 00:12:18,190 And Mr. Foster got separated from his son Zack 298 00:12:18,191 --> 00:12:19,817 at the water park. 299 00:12:19,818 --> 00:12:22,403 - Anyone we can call for you? - My wife, Angela. 300 00:12:22,404 --> 00:12:25,615 Dr. Santos, will you escort Mr. Foster to CT? 301 00:12:29,911 --> 00:12:30,995 Help! 302 00:12:30,996 --> 00:12:33,331 Need a hand here. 303 00:12:33,332 --> 00:12:36,375 - What the hell happened? - I think I'm having an MI. 304 00:12:36,376 --> 00:12:38,544 My chest is so tight, I can barely breathe. 305 00:12:38,545 --> 00:12:40,087 Okay, I got to get a 12 lead. 306 00:12:40,088 --> 00:12:42,048 Perlah, can I get an assist here? 307 00:12:42,049 --> 00:12:44,258 Yeah, I'm on it. 308 00:12:44,259 --> 00:12:45,801 CT's normal. 309 00:12:45,802 --> 00:12:47,595 Why do we take down the tourniquet, Whitaker? 310 00:12:47,596 --> 00:12:49,430 To give the residual limb blood flow. 311 00:12:49,431 --> 00:12:51,599 - Uh-oh. Ah... - Just two little pumpers. 312 00:12:51,600 --> 00:12:53,809 A couple of figure eights ought to take care of those. 313 00:12:53,810 --> 00:12:55,978 - Uh-huh. - Park. 314 00:12:55,979 --> 00:12:58,939 Park the Shark, orthopedic surgeon. 315 00:12:58,940 --> 00:13:00,566 Is this a favorable amputation? 316 00:13:00,567 --> 00:13:01,901 Pretty clean cut. 317 00:13:01,902 --> 00:13:03,569 Fence sliced through like a guillotine. 318 00:13:03,570 --> 00:13:04,863 X-ray? 319 00:13:06,740 --> 00:13:08,116 - Not too bad. - Mm-hmm. 320 00:13:10,243 --> 00:13:13,746 Just, uh, tying off a couple arterioles. 321 00:13:13,747 --> 00:13:15,956 I'm not blind. 322 00:13:15,957 --> 00:13:19,251 - Where's the amputated leg? - Double bagged on ice. 323 00:13:19,252 --> 00:13:21,754 Sterile saline on the inner bag. 324 00:13:21,755 --> 00:13:25,800 Ice water in the outer bag. No direct ice-on-skin contact. 325 00:13:25,801 --> 00:13:27,885 We spent a lot of time prepping... 326 00:13:27,886 --> 00:13:29,930 He still needs to look. 327 00:13:33,475 --> 00:13:34,935 Get Robby. 328 00:13:43,944 --> 00:13:46,654 - Antibiotics? - Cefazolin and gent. 329 00:13:46,655 --> 00:13:49,115 We've cleared her chest, abdomen, and pelvis. 330 00:13:49,116 --> 00:13:51,659 Clean wound, no crush injury, 331 00:13:51,660 --> 00:13:53,828 rapid transport time. 332 00:13:53,829 --> 00:13:56,705 Replantation is a go. I'll book an OR. 333 00:13:56,706 --> 00:13:58,457 Irrigate the hell out of this with 3 liters. 334 00:13:58,458 --> 00:14:00,877 - 3 liters? - Of saline, genius. 335 00:14:02,671 --> 00:14:04,339 Thanks, Shark. 336 00:14:06,299 --> 00:14:09,468 I knew he meant saline. 337 00:14:09,469 --> 00:14:12,888 Dr. Robby, we need you in Central 6. 338 00:14:12,889 --> 00:14:14,682 Dr. Mohan may be having a heart attack. 339 00:14:14,683 --> 00:14:15,809 What? 340 00:14:17,686 --> 00:14:20,271 - EKG is normal. - You sure? 341 00:14:20,272 --> 00:14:22,440 Check it out. You can be your own second opinion. 342 00:14:22,441 --> 00:14:24,692 - What's going on? - It's okay. I'm... I'm okay. 343 00:14:24,693 --> 00:14:26,193 You don't look okay. 344 00:14:26,194 --> 00:14:28,320 - You look like shit. - I feel like shit. 345 00:14:28,321 --> 00:14:30,948 - What happened? - I-I don't know. 346 00:14:30,949 --> 00:14:33,159 I just got really hot, 347 00:14:33,160 --> 00:14:35,536 and I started having trouble breathing. 348 00:14:35,537 --> 00:14:38,706 We should send up some labs just to be safe. 349 00:14:38,707 --> 00:14:40,708 Any chance you're pregnant? 350 00:14:40,709 --> 00:14:42,836 I'm not sure I feel comfortable answering that. 351 00:14:44,504 --> 00:14:45,880 No. 352 00:14:45,881 --> 00:14:47,715 She was tachy, but it's resolved now. 353 00:14:47,716 --> 00:14:49,550 - Have you eaten anything? - Yeah. 354 00:14:49,551 --> 00:14:51,469 - You staying hydrated? - 100%. 355 00:14:51,470 --> 00:14:53,012 I'm doing everything right. 356 00:14:53,013 --> 00:14:55,264 It's everything around me that's all fucked up. 357 00:14:55,265 --> 00:14:58,225 It's just my mom moving and calling me over and over again 358 00:14:58,226 --> 00:15:00,186 and now me scrambling to find a job next year. 359 00:15:00,187 --> 00:15:01,562 I had it all planned out, 360 00:15:01,563 --> 00:15:03,355 and now everything's just out the window. 361 00:15:03,356 --> 00:15:05,191 Wait a minute... is this a panic attack 362 00:15:05,192 --> 00:15:07,067 - because of your mommy issues? - What? No. 363 00:15:07,068 --> 00:15:09,195 Jesus. Do you need to go home? 364 00:15:09,196 --> 00:15:11,071 - You should go home. - No, I'm fine. 365 00:15:11,072 --> 00:15:13,199 I don't need the fucking liability... go home. 366 00:15:13,200 --> 00:15:15,201 And the rest of you, the last time I checked, 367 00:15:15,202 --> 00:15:16,368 the ED is a shit show. 368 00:15:16,369 --> 00:15:18,622 So let's all get back to work, huh? 369 00:15:25,337 --> 00:15:27,880 Sorry for taking so long, Becca. 370 00:15:27,881 --> 00:15:29,924 Nurse Dana said you'd be back in a few minutes, 371 00:15:29,925 --> 00:15:32,218 but it's definitely been more than a few minutes. 372 00:15:32,219 --> 00:15:34,595 You're right. My apologies. 373 00:15:34,596 --> 00:15:36,847 - I brought some drink options. - Okay. 374 00:15:36,848 --> 00:15:40,684 We've got apple juice, cranberry juice, 375 00:15:40,685 --> 00:15:43,771 OJ, and Pittsburgh's finest. 376 00:15:43,772 --> 00:15:46,023 - What's that? - Oh, water. 377 00:15:46,024 --> 00:15:47,983 Oh. OJ, please. 378 00:15:47,984 --> 00:15:49,985 Okay. 379 00:15:49,986 --> 00:15:51,446 Let's see. 380 00:15:54,574 --> 00:15:56,617 All right. 381 00:15:56,618 --> 00:15:59,995 Now, I am going to give you two pills. 382 00:15:59,996 --> 00:16:02,122 The first is an antibiotic. 383 00:16:02,123 --> 00:16:04,416 That will get rid of the infection. 384 00:16:04,417 --> 00:16:06,252 The second should take care of the burning. 385 00:16:06,253 --> 00:16:08,629 You want to take both pills for three days 386 00:16:08,630 --> 00:16:09,922 and drink lots of water. 387 00:16:09,923 --> 00:16:11,257 I'll write it all down. 388 00:16:11,258 --> 00:16:13,300 I-I hate pills. 389 00:16:13,301 --> 00:16:16,262 Could you mash those up and put them in the OJ for me? 390 00:16:16,263 --> 00:16:18,056 Coming right up. 391 00:16:19,599 --> 00:16:21,308 Okay. 392 00:16:21,309 --> 00:16:24,603 Mel's gonna be super worried when you tell her. 393 00:16:24,604 --> 00:16:26,647 You are gonna be just fine. 394 00:16:26,648 --> 00:16:29,275 But, um, as far as telling your sister 395 00:16:29,276 --> 00:16:32,487 what's going on with you, that is your decision, not mine. 396 00:16:34,489 --> 00:16:38,117 So you're not going to tell Mel? 397 00:16:38,118 --> 00:16:42,497 I can't, not unless you, my patient, tell me to. 398 00:16:45,667 --> 00:16:47,835 Do you know when Mel's gonna be done 399 00:16:47,836 --> 00:16:49,962 with her important meeting? 400 00:16:49,963 --> 00:16:52,464 Hopefully soon. 401 00:16:52,465 --> 00:16:56,302 Dr. Langdon, they need you back in Trauma Two. 402 00:16:56,303 --> 00:16:57,304 Hi. 403 00:16:59,639 --> 00:17:01,223 Becca, I got to go. I'll be... 404 00:17:01,224 --> 00:17:03,475 Don't say "in a few minutes" unless you actually mean 405 00:17:03,476 --> 00:17:05,060 in a few minutes. 406 00:17:05,061 --> 00:17:07,939 I would never. 407 00:17:11,192 --> 00:17:14,320 And I need you to be kind to each other. 408 00:17:14,321 --> 00:17:15,696 I am kind. 409 00:17:15,697 --> 00:17:19,491 Shane's just a butthead sometimes. 410 00:17:19,492 --> 00:17:23,330 He's your brother, and he loves you. 411 00:17:25,373 --> 00:17:27,333 Don't go. 412 00:17:27,334 --> 00:17:30,044 I don't want to go. 413 00:17:30,045 --> 00:17:33,672 But it's... it's not up to me. 414 00:17:33,673 --> 00:17:35,132 Hey. 415 00:17:35,133 --> 00:17:37,718 We'll always be connected... 416 00:17:37,719 --> 00:17:39,387 no matter what. 417 00:17:42,057 --> 00:17:44,184 Invisible string. 418 00:17:47,520 --> 00:17:49,564 Invisible string. 419 00:18:01,117 --> 00:18:02,577 Hey. 420 00:18:04,746 --> 00:18:07,748 You gonna go in and see your mom? 421 00:18:07,749 --> 00:18:10,459 Cancer sucks. 422 00:18:10,460 --> 00:18:11,877 Yeah. 423 00:18:11,878 --> 00:18:13,588 Yeah, it does. 424 00:18:16,383 --> 00:18:19,803 - It's not fair. - No, it's not. 425 00:18:23,932 --> 00:18:25,809 I don't want to go in there. 426 00:18:27,769 --> 00:18:30,230 Nobody's gonna make you. 427 00:18:36,778 --> 00:18:38,822 She didn't used to look like that. 428 00:18:41,199 --> 00:18:43,451 Yeah, I get that. 429 00:18:47,038 --> 00:18:50,207 But if you don't go in there and say goodbye 430 00:18:50,208 --> 00:18:53,794 and tell your mom you love her... 431 00:18:53,795 --> 00:18:58,173 I think you might wish you had for a very long time. 432 00:19:01,177 --> 00:19:03,221 It's your call. 433 00:19:06,433 --> 00:19:11,186 D-5 half normal saline, 20 of K running at 125 an hour. 434 00:19:11,187 --> 00:19:12,813 One of the most common reasons 435 00:19:12,814 --> 00:19:15,274 for traumatic-replantation failure is infections. 436 00:19:15,275 --> 00:19:16,859 So we do what, Whitaker? 437 00:19:16,860 --> 00:19:20,446 Uh, rinse and repeat until surgery calls for us. 438 00:19:20,447 --> 00:19:23,031 I-is everything okay with Dr. Mohan? 439 00:19:23,032 --> 00:19:24,783 She's fine. 440 00:19:24,784 --> 00:19:26,660 Focus. 441 00:19:30,081 --> 00:19:31,623 Where am I? 442 00:19:31,624 --> 00:19:34,043 Uh, ketamine's wearing off. 443 00:19:37,088 --> 00:19:39,131 I can't feel my leg. 444 00:19:39,132 --> 00:19:41,341 I'm Dr. Michael Robinavitch. You're at a hospital. 445 00:19:41,342 --> 00:19:43,010 And we gave you a nerve block 446 00:19:43,011 --> 00:19:44,678 so that you can't feel any pain. 447 00:19:44,679 --> 00:19:46,138 Why? 448 00:19:46,139 --> 00:19:48,474 You were on a water slide that collapsed 449 00:19:48,475 --> 00:19:50,642 and did serious injury to your leg. 450 00:19:53,480 --> 00:19:56,565 What the fuck? Is that my leg? 451 00:19:56,566 --> 00:19:58,650 Is that my fu... did you cut my fucking leg off? 452 00:19:58,651 --> 00:20:00,486 Your leg was cut off in the accident. 453 00:20:00,487 --> 00:20:02,654 Our surgeons are going to try for replantation. 454 00:20:02,655 --> 00:20:04,323 I... No... 455 00:20:04,324 --> 00:20:06,158 - She needs more ketamine. - Just wrap up the leg. 456 00:20:06,159 --> 00:20:07,701 Emily, I know that this is really hard. 457 00:20:07,702 --> 00:20:09,036 I need you to focus on me right now, 458 00:20:09,037 --> 00:20:10,412 because we need to get your consent 459 00:20:10,413 --> 00:20:12,039 - to proceed with the surgery. - Why? 460 00:20:12,040 --> 00:20:13,665 There are risks with the surgery. 461 00:20:13,666 --> 00:20:15,584 There's anesthesia, and there's no guarantee... 462 00:20:15,585 --> 00:20:16,919 Emily? 463 00:20:16,920 --> 00:20:20,005 Can you just... just put it back on? 464 00:20:20,006 --> 00:20:22,382 - Can you just put it back on? - Sounds like consent to me. 465 00:20:22,383 --> 00:20:24,009 - Now can she have sedation? - Okay, load her up. 466 00:20:24,010 --> 00:20:25,677 Ketamine and rock. It's gonna be okay. 467 00:20:25,678 --> 00:20:27,012 It's gonna be okay. 468 00:20:27,013 --> 00:20:28,680 We're gonna intubate before the OR. 469 00:20:28,681 --> 00:20:30,349 It's gonna be okay. 470 00:20:30,350 --> 00:20:32,059 Finishing second cut. 471 00:20:32,060 --> 00:20:33,685 Success. 472 00:20:33,686 --> 00:20:36,730 - Can that be saved? - The finger or the ring? 473 00:20:36,731 --> 00:20:38,398 - The wedding ring. - Uh, yes, sir. 474 00:20:38,399 --> 00:20:40,818 A jeweler can weld it back together good as new. 475 00:20:40,819 --> 00:20:42,319 Uh, uh, stop. 476 00:20:42,320 --> 00:20:44,905 Irrigate the ring shavings off first. 477 00:20:44,906 --> 00:20:47,407 What did I miss? 478 00:20:47,408 --> 00:20:49,409 Finishing irrigation. 479 00:20:49,410 --> 00:20:50,702 Okay. 480 00:20:50,703 --> 00:20:52,329 Doesn't look like you lost any skin. 481 00:20:52,330 --> 00:20:54,706 It's a little dusky. Might not be viable. 482 00:20:54,707 --> 00:20:56,542 There's intact skin on the dorsum. 483 00:20:56,543 --> 00:20:58,877 More irrigation, then tack it down with one suture. 484 00:20:58,878 --> 00:21:00,379 Okay, thanks. 485 00:21:00,380 --> 00:21:03,048 Radiologist reports a 25% pneumothorax. 486 00:21:03,049 --> 00:21:04,800 Is that bad? 487 00:21:04,801 --> 00:21:07,219 That is a partially collapsed lung that needs treatment. 488 00:21:07,220 --> 00:21:09,805 - I can put in a chest tube. - He doesn't need a chest tube. 489 00:21:09,806 --> 00:21:11,932 Okay, what do you want... a pigtail catheter? 490 00:21:11,933 --> 00:21:14,309 I was thinking a ThoraVent. 491 00:21:14,310 --> 00:21:15,811 What? Why? 492 00:21:15,812 --> 00:21:18,105 It's not a bad idea. No need for wall suction. 493 00:21:18,106 --> 00:21:19,606 If Hand can operate today, 494 00:21:19,607 --> 00:21:21,567 he can go home tomorrow with the ThoraVent. 495 00:21:21,568 --> 00:21:23,735 You can learn a lot from your senior residents. 496 00:21:23,736 --> 00:21:25,821 I'm happy to teach Dr. Santos. 497 00:21:25,822 --> 00:21:27,991 Thank you, Dr. Langdon. 498 00:21:31,703 --> 00:21:34,913 Janelle, I need you to take the samples to the lab 499 00:21:34,914 --> 00:21:37,040 and come back with any results that are ready. 500 00:21:37,041 --> 00:21:39,710 Geoffrey, head to CT to see if any new results are printed 501 00:21:39,711 --> 00:21:41,253 and bring those back. 502 00:21:41,254 --> 00:21:43,922 Pam, check in with whoever's running the PDS 503 00:21:43,923 --> 00:21:45,966 to see if any orders need to go to the pharmacy 504 00:21:45,967 --> 00:21:48,260 and bring back any meds that are ready for pickup. 505 00:21:48,261 --> 00:21:50,762 Rinse and repeat every 15 minutes. 506 00:21:50,763 --> 00:21:52,764 Double-tie those shoelaces and hydrate. 507 00:21:52,765 --> 00:21:55,434 It's not a sprint. It's a marathon. 508 00:21:55,435 --> 00:21:57,769 Fly, my pretties. 509 00:21:57,770 --> 00:22:00,981 Okay, any word on finding our water slide dad's kid? 510 00:22:00,982 --> 00:22:04,443 Not yet. Called the wife, went straight to voicemail. 511 00:22:04,444 --> 00:22:06,778 Police dispatch said that there were a couple of fatalities 512 00:22:06,779 --> 00:22:09,948 - on site... one adult, one kid. - Sweet Jesus. 513 00:22:09,949 --> 00:22:11,700 Who the fuck did this? 514 00:22:11,701 --> 00:22:13,785 No sign-off on orders for labs or X-rays, 515 00:22:13,786 --> 00:22:15,579 and it's in the wrong freaking rack? 516 00:22:15,580 --> 00:22:17,873 You guys trying to kill me and the patient? 517 00:22:17,874 --> 00:22:19,791 - Uh, I'll take care of it. - Thanks. 518 00:22:19,792 --> 00:22:23,003 - Dana, this gum is abso... - Shit. I know. 519 00:22:23,004 --> 00:22:25,005 Pharmacy said you needed this right away. 520 00:22:25,006 --> 00:22:27,549 Just in time. Slap one on and give it an hour to kick in. 521 00:22:27,550 --> 00:22:29,801 You're welcome. 522 00:22:29,802 --> 00:22:32,638 - What? - The prescription is for you. 523 00:22:32,639 --> 00:22:35,182 My insurance will cover it. Hers won't. 524 00:22:35,183 --> 00:22:37,351 Isn't that insurance fraud? 525 00:22:37,352 --> 00:22:39,811 Throw me in jail. I could use a vacation. 526 00:22:43,191 --> 00:22:44,859 Mom. 527 00:22:48,821 --> 00:22:51,448 I'm... I'm really glad to see you, Mom. I... 528 00:22:51,449 --> 00:22:53,951 Garcia told me about the sigmoid volvulus you missed. 529 00:22:53,952 --> 00:22:56,453 - It was an oversight. - That could have killed her. 530 00:22:56,454 --> 00:22:57,996 Without electronic records, 531 00:22:57,997 --> 00:22:59,957 it's been kind of a challenge to figure out... 532 00:22:59,958 --> 00:23:01,500 Chaos is the status quo in the ED, 533 00:23:01,501 --> 00:23:03,418 even when the computers are working properly. 534 00:23:03,419 --> 00:23:05,420 You have to be hypervigilant and double-check everything. 535 00:23:05,421 --> 00:23:07,923 - I can handle it. Um, I... - Why would you want to? 536 00:23:07,924 --> 00:23:09,841 Down here your learning street-level medicine, 537 00:23:09,842 --> 00:23:11,551 all seat of your pants. 538 00:23:11,552 --> 00:23:13,053 Oh, well, I made a mistake, 539 00:23:13,054 --> 00:23:15,055 but the more talented practitioners upstairs 540 00:23:15,056 --> 00:23:16,848 will fix it. 541 00:23:16,849 --> 00:23:20,686 You are better than this. 542 00:23:20,687 --> 00:23:24,107 I love you, too. 543 00:23:28,236 --> 00:23:31,238 Well, that is one way to do a debrief. 544 00:23:31,239 --> 00:23:32,531 You should talk to her. 545 00:23:32,532 --> 00:23:35,033 - Which one? - Honestly, both of them. 546 00:23:35,034 --> 00:23:37,035 Can you call in some extra doctors? 547 00:23:37,036 --> 00:23:39,997 Sure. Everyone's dying to work on the Fourth of July. 548 00:23:39,998 --> 00:23:41,581 - Why? - Dr. Mohan went down. 549 00:23:41,582 --> 00:23:44,501 Yeah. I saw your pep talk. 550 00:23:44,502 --> 00:23:47,504 She's taking a little break until her labs are back. 551 00:23:47,505 --> 00:23:48,880 She's going to be fine, 552 00:23:48,881 --> 00:23:51,550 but I'm not sure her head is in the game. 553 00:23:51,551 --> 00:23:53,176 I'm on it, Cap. 554 00:23:53,177 --> 00:23:55,095 Small stab incision with the 11 blade, 555 00:23:55,096 --> 00:23:58,098 midclavicular line, second intercostal space. 556 00:23:58,099 --> 00:24:01,393 - Sh... she's gonna stab me? - It's just a medical term. 557 00:24:01,394 --> 00:24:03,520 Stay superior to the rib. 558 00:24:07,483 --> 00:24:09,401 Is there a problem? 559 00:24:09,402 --> 00:24:11,820 Nope, everything's going well. 560 00:24:11,821 --> 00:24:13,905 Place the trocar. 561 00:24:13,906 --> 00:24:16,616 Hold back the, uh, adhesive wings 562 00:24:16,617 --> 00:24:19,995 and advance until you see the red diaphragm move. 563 00:24:19,996 --> 00:24:22,831 That means you're in the pleural space. 564 00:24:22,832 --> 00:24:25,251 Now remove the trocar. 565 00:24:28,671 --> 00:24:31,173 - Perfect. - Okay. 566 00:24:31,174 --> 00:24:33,675 Now we can either, uh, hook up to wall suction, 567 00:24:33,676 --> 00:24:35,761 or we can use this one-way valve 568 00:24:35,762 --> 00:24:37,763 to repeatedly aspirate with a syringe. 569 00:24:37,764 --> 00:24:40,140 Well, with all your vast experience, Dr. Langdon, 570 00:24:40,141 --> 00:24:42,185 you should probably decide. 571 00:24:43,936 --> 00:24:46,772 We can avoid wall suction if I pump manually. 572 00:24:46,773 --> 00:24:48,398 - Have at it, Doc. - Enough. 573 00:24:48,399 --> 00:24:50,776 Apparently, decency and decorum need to be reintroduced 574 00:24:50,777 --> 00:24:52,778 to our R2 curriculum. 575 00:24:52,779 --> 00:24:54,613 Nice work, Dr. Langdon. 576 00:24:54,614 --> 00:24:58,158 I'll go check on an OR for Mr. Foster. 577 00:25:01,287 --> 00:25:02,788 Hey. 578 00:25:02,789 --> 00:25:05,332 I'm gonna need you to pick up the pace. 579 00:25:05,333 --> 00:25:06,792 Can I get a sec? 580 00:25:06,793 --> 00:25:08,960 Dr. Mohan just almost died on me. 581 00:25:08,961 --> 00:25:10,962 Not even close. She's tougher than she looks. 582 00:25:10,963 --> 00:25:12,839 Propane hero in North 4. 583 00:25:12,840 --> 00:25:14,424 Hey, any word from surgery 584 00:25:14,425 --> 00:25:16,968 on how are big patient Howard's perforated diverticulitis 585 00:25:16,969 --> 00:25:18,553 - is doing? - Still in the OR. 586 00:25:18,554 --> 00:25:20,180 What about our drunk firework kid? 587 00:25:20,181 --> 00:25:22,182 Waiting his turn in the surgical conga line. 588 00:25:22,183 --> 00:25:24,351 Shoo. What about Social Services? 589 00:25:24,352 --> 00:25:26,561 Have they found a temporary foster home 590 00:25:26,562 --> 00:25:28,980 - for our baby Jane Doe? - Still working on it. 591 00:25:28,981 --> 00:25:30,816 Kid's gonna be old enough to drive 592 00:25:30,817 --> 00:25:32,567 by the time she gets out of here. 593 00:25:32,568 --> 00:25:33,985 You joke... 594 00:25:33,986 --> 00:25:36,196 Oh, for fuck's sake! 595 00:25:36,197 --> 00:25:39,658 Go, quickly, before I change my mind. 596 00:25:39,659 --> 00:25:42,369 Hey, did the county pick up Louie's body yet? 597 00:25:42,370 --> 00:25:43,995 No. He's still in the viewing room. 598 00:25:43,996 --> 00:25:45,664 Jesus. He's just laying in there? 599 00:25:45,665 --> 00:25:47,707 Yeah. Another couple minutes, I'm gonna wheel him 600 00:25:47,708 --> 00:25:50,001 down to the morgue myself. 601 00:25:50,002 --> 00:25:51,711 What's the bullet? 602 00:25:51,712 --> 00:25:53,630 Eight-year-old boy, part of the water park accident. 603 00:25:53,631 --> 00:25:55,465 - Thrown off the water slide. - How far did he fall? 604 00:25:55,466 --> 00:25:57,384 Maybe 6 or 7 feet, landed in a tree. 605 00:25:57,385 --> 00:25:59,344 Had to wait for a ladder truck to get him down. 606 00:25:59,345 --> 00:26:01,388 Major neck trauma... must've taken all the impact there. 607 00:26:01,389 --> 00:26:03,223 Couldn't tube him, hard to bag. 608 00:26:03,224 --> 00:26:05,642 Sats in the 80s. BP 85 over 60. 609 00:26:05,643 --> 00:26:08,311 Pulse 50. 610 00:26:08,312 --> 00:26:12,274 Okay, one, two, and three. 611 00:26:12,275 --> 00:26:14,943 - Possible laryngeal fracture. - Hypoxic bradycardic. 612 00:26:14,944 --> 00:26:17,070 Kid needs an airway before he arrests. 613 00:26:17,071 --> 00:26:19,531 Broselow tape, pedes cart, set up suction. 614 00:26:19,532 --> 00:26:22,367 Oh, my God. Is that Zack? 615 00:26:22,368 --> 00:26:25,036 Hey. Hey, kid, can you look at me? 616 00:26:25,037 --> 00:26:28,456 No response, no purposeful movement to pain. 617 00:26:28,457 --> 00:26:30,292 Oh, my God. 618 00:26:30,293 --> 00:26:32,627 - Is this your kid? - No. 619 00:26:32,628 --> 00:26:34,045 Sir, go back to your room now. 620 00:26:34,046 --> 00:26:35,589 - Broselow says 25 kilograms. - Jesse? 621 00:26:35,590 --> 00:26:37,424 - 51/2 ET tube. - Okay. 622 00:26:37,425 --> 00:26:40,218 Uh, 30 of rock, 50 ketamine. 623 00:26:40,219 --> 00:26:41,761 - You're gonna paralyze? - Yep. 624 00:26:41,762 --> 00:26:43,054 If we can't intubate, we crike? 625 00:26:43,055 --> 00:26:44,681 He's too young for a crike. 626 00:26:44,682 --> 00:26:46,725 - Needle crike? - Can't ventilate through that. 627 00:26:46,726 --> 00:26:48,059 Sats down to 78. 628 00:26:48,060 --> 00:26:49,895 11 blade, Kelly, and a pedes bougie. 629 00:26:49,896 --> 00:26:51,730 One quick look, and then we cut. 630 00:26:51,731 --> 00:26:53,732 I can't tell if there's lung sliding. 631 00:26:53,733 --> 00:26:55,859 - No movement, no air entry. - Way too edematous. 632 00:26:55,860 --> 00:26:57,194 I can't see the cords. 633 00:26:57,195 --> 00:27:00,447 - Better with cricoid pressure? - Nothing. Fuck. 634 00:27:00,448 --> 00:27:02,282 Okay. Towel roll between the shoulder blades, please. 635 00:27:02,283 --> 00:27:04,284 Heart rate down to 49. Headed to cardiac arrest. 636 00:27:04,285 --> 00:27:05,744 Trake's going to take 20 minutes. 637 00:27:05,745 --> 00:27:07,579 This kid's not gonna last 60 seconds. 638 00:27:07,580 --> 00:27:09,206 That's why we're doing a slash trake. 639 00:27:09,207 --> 00:27:10,457 - Don't know it. - Me neither. 640 00:27:10,458 --> 00:27:12,292 - Boss? - Show me what you got. 641 00:27:20,885 --> 00:27:24,763 Pull up the trachea between your thumb and middle finger. 642 00:27:24,764 --> 00:27:27,849 Vertical incision right over the trachea. 643 00:27:27,850 --> 00:27:30,852 Vertical, not horizontal, or you transect the trachea 644 00:27:30,853 --> 00:27:33,605 and cut the jugular veins. 645 00:27:33,606 --> 00:27:34,981 That's a lot of blood. 646 00:27:34,982 --> 00:27:37,317 Now it's a tactile procedure. 647 00:27:37,318 --> 00:27:40,695 2-centimeter incision through the tracheal rings. 648 00:27:40,696 --> 00:27:43,698 Finger in the trachea. 649 00:27:43,699 --> 00:27:45,785 Bougie into the airway. 650 00:27:47,495 --> 00:27:49,496 Thoughts on what's next, Dr. Whitaker? 651 00:27:49,497 --> 00:27:52,415 Insert the ET tube into the trachea. 652 00:27:52,416 --> 00:27:54,960 Suction. Lots of blood in the airway. 653 00:28:01,175 --> 00:28:03,468 Okay, bag him. 654 00:28:03,469 --> 00:28:05,971 Check the CO2. 655 00:28:05,972 --> 00:28:07,931 Sats coming up, in the 80s. 656 00:28:07,932 --> 00:28:10,976 Bilateral breath sounds. End tidal CO2 is 70. 657 00:28:10,977 --> 00:28:12,769 - That's crazy high. - It'll come down. 658 00:28:12,770 --> 00:28:14,938 Tie down the tube, control all the bleeders. 659 00:28:14,939 --> 00:28:17,357 Spray an amp of epi on a stack of 4-by-4s. 660 00:28:17,358 --> 00:28:20,151 Okay. Sats are up to the 90s. 661 00:28:20,152 --> 00:28:22,529 Good. CO2's in the 50s. Good heart rate. 662 00:28:22,530 --> 00:28:24,072 You forgot the last step. 663 00:28:24,073 --> 00:28:25,991 Change your underwear. 664 00:28:25,992 --> 00:28:28,660 - How many of these you done? - Uh, first one. 665 00:28:28,661 --> 00:28:29,995 You serious? 666 00:28:29,996 --> 00:28:31,746 - How about you? - None. 667 00:28:31,747 --> 00:28:34,374 I practiced in the Sim Lab when I was at Stanford. 668 00:28:34,375 --> 00:28:36,001 - What'd I miss? - All the fun. 669 00:28:36,002 --> 00:28:37,711 - Slash trake. - Seriously? 670 00:28:37,712 --> 00:28:39,170 Uh, fractured larynx. 671 00:28:39,171 --> 00:28:40,922 Couldn't oxygenate, couldn't ventilate. 672 00:28:40,923 --> 00:28:43,008 You use a meat cleaver on this kid? 673 00:28:43,009 --> 00:28:45,343 ENT can revise the trake in the OR. 674 00:28:45,344 --> 00:28:48,013 They'll be thrilled to clean up your mess. 675 00:28:48,014 --> 00:28:50,850 Or maybe they'll thank us for not letting him die. 676 00:28:55,563 --> 00:28:57,981 So we're still waiting on your prescription, 677 00:28:57,982 --> 00:29:00,025 and the pharmacy is a little backed up. 678 00:29:00,026 --> 00:29:02,527 But I'm glad to see you're doing good. 679 00:29:02,528 --> 00:29:04,154 Well. 680 00:29:04,155 --> 00:29:06,573 I'm well. 681 00:29:06,574 --> 00:29:08,074 Glad to see you're well. 682 00:29:08,075 --> 00:29:11,036 Can you expedite my medication? 683 00:29:11,037 --> 00:29:13,913 Sure, but it may still be a little while 684 00:29:13,914 --> 00:29:18,793 before Dr. Mohan can sign off on the discharge, so sit tight. 685 00:29:18,794 --> 00:29:21,255 And do what? 686 00:29:24,633 --> 00:29:28,011 You just keep this handy for occasions like this? 687 00:29:28,012 --> 00:29:31,139 Uh, I thought that I might not have that much to do today. 688 00:29:31,140 --> 00:29:33,058 But... 689 00:29:33,059 --> 00:29:35,602 man, I was wrong. 690 00:29:41,400 --> 00:29:43,319 Thank you. 691 00:29:47,448 --> 00:29:50,867 - What brings you in today? - A friend made me come in. 692 00:29:50,868 --> 00:29:52,869 Name's Robby. He said I should... 693 00:29:52,870 --> 00:29:54,704 Ah, you're Duke. 694 00:29:54,705 --> 00:29:56,247 - Donnie? - Yep? 695 00:29:56,248 --> 00:29:59,542 Robby's VIP is here. 696 00:30:01,212 --> 00:30:04,714 Hi. I'm Donnie, nurse practitioner. 697 00:30:04,715 --> 00:30:07,884 Robby's already put in orders for a numbing spray 698 00:30:07,885 --> 00:30:09,135 for your nostril. 699 00:30:09,136 --> 00:30:10,929 "Nostril"? It's... it's my throat. 700 00:30:10,930 --> 00:30:12,889 - It's not my nose. - Okay. 701 00:30:12,890 --> 00:30:14,641 Let's get you, uh... 702 00:30:14,642 --> 00:30:17,102 Set up in a room. 703 00:30:18,604 --> 00:30:20,647 That was the most unprofessional deposition 704 00:30:20,648 --> 00:30:22,357 I've ever witnessed. 705 00:30:22,358 --> 00:30:25,860 They were nowhere near that aggressive with Dr. Ellis. 706 00:30:25,861 --> 00:30:27,862 Oh, okay. 707 00:30:29,490 --> 00:30:32,033 It didn't go as badly as you think. 708 00:30:32,034 --> 00:30:33,952 They suggested I was incompetent. 709 00:30:33,953 --> 00:30:35,870 They're posturing to set the stage 710 00:30:35,871 --> 00:30:38,039 for a ridiculous settlement request. 711 00:30:38,040 --> 00:30:40,083 This isn't about those parents or that kid. 712 00:30:40,084 --> 00:30:42,293 It's only about trying to make a lot of money. 713 00:30:42,294 --> 00:30:45,380 Well, I-I don't have a lot of money. 714 00:30:45,381 --> 00:30:48,133 Not your money, Dr. King. It's an insurance game. 715 00:30:48,134 --> 00:30:50,135 You're protected by the hospital. 716 00:30:50,136 --> 00:30:51,971 This won't affect your career. 717 00:30:56,934 --> 00:30:58,935 Hey. How was your deposition? 718 00:30:58,936 --> 00:31:00,937 Have you seen Dr. Langdon? 719 00:31:00,938 --> 00:31:02,939 Uh, no. Why? 720 00:31:04,316 --> 00:31:06,192 Okay, okay. How... how's Becca? 721 00:31:06,193 --> 00:31:07,777 - Oh, she's fine. - Yeah? 722 00:31:07,778 --> 00:31:09,779 Okay, I should go see her, then. 723 00:31:09,780 --> 00:31:12,323 How was your deposition? I'm sure it was stressful. 724 00:31:12,324 --> 00:31:14,159 It, uh... 725 00:31:14,160 --> 00:31:17,454 Um, what's going on with Becca? What's her diagnosis? 726 00:31:17,455 --> 00:31:19,289 I can't tell you. 727 00:31:19,290 --> 00:31:20,623 Why? 728 00:31:20,624 --> 00:31:22,167 - HIPAA. - Seriously? 729 00:31:22,168 --> 00:31:23,918 If you want to know what's going on with Becca, 730 00:31:23,919 --> 00:31:25,545 you're gonna have to ask her yourself. 731 00:31:25,546 --> 00:31:27,172 Hey, you survived your deposition. 732 00:31:27,173 --> 00:31:29,007 Welcome back to the seventh circle of hell. 733 00:31:29,008 --> 00:31:30,155 Wha... uh, what's this? 734 00:31:30,156 --> 00:31:32,111 You're welcome for covering your patients. 735 00:31:32,112 --> 00:31:33,154 They're yours again. 736 00:31:33,155 --> 00:31:35,832 Might want to check on the pancreatitis in North 3 first. 737 00:31:35,834 --> 00:31:37,251 O-okay. 738 00:31:37,252 --> 00:31:40,101 Langdon, I got some intel on Louie. 739 00:31:40,102 --> 00:31:41,728 They move him out of the viewing room? 740 00:31:41,729 --> 00:31:42,937 No, but county's promised 741 00:31:42,938 --> 00:31:44,564 they're on the way to come get him. 742 00:31:44,565 --> 00:31:46,357 Can I get the county coroner's number? 743 00:31:46,358 --> 00:31:47,431 What for? 744 00:31:47,432 --> 00:31:49,338 I just want to make sure if no family shows up, 745 00:31:49,339 --> 00:31:51,946 - Louie gets a proper burial. - That's expensive. 746 00:31:51,947 --> 00:31:53,990 You may want to run it by the missus first. 747 00:31:53,991 --> 00:31:55,825 Uh, maybe I'll start a GoFundMe. 748 00:31:55,826 --> 00:31:57,660 I bet people around here would pitch in. 749 00:31:57,661 --> 00:32:00,246 Hey, kid, you can't do this for every unhoused guy 750 00:32:00,247 --> 00:32:01,998 that dies around here. 751 00:32:01,999 --> 00:32:03,750 There but for the grace of God. 752 00:32:03,751 --> 00:32:05,585 No, the success of your sobriety 753 00:32:05,586 --> 00:32:08,004 is a testament to your support system. 754 00:32:08,005 --> 00:32:09,839 Louie didn't have that. 755 00:32:09,840 --> 00:32:11,925 Still, Louie was a good man. 756 00:32:11,926 --> 00:32:14,219 He deserves to be put to rest with dignity. 757 00:32:14,220 --> 00:32:16,597 Okay. I'll dig it up. 758 00:32:19,266 --> 00:32:20,910 You heard all that? 759 00:32:22,186 --> 00:32:25,480 Robby, your VIP's here. Got him in Central 11. 760 00:32:25,481 --> 00:32:27,483 Finally. 761 00:32:29,401 --> 00:32:31,402 About fucking time. 762 00:32:31,403 --> 00:32:33,613 If I knew you were gonna make me wear a dress, 763 00:32:33,614 --> 00:32:34,989 I wouldn't have come at all. 764 00:32:34,990 --> 00:32:36,991 Dennis Whitaker, meet my buddy Duke. 765 00:32:36,992 --> 00:32:38,493 Uh, nice to meet you. 766 00:32:38,494 --> 00:32:40,578 Any friend of Dr. Robby's is a friend of mine. 767 00:32:40,579 --> 00:32:42,580 "Friend" is a vast overstatement. 768 00:32:42,581 --> 00:32:44,332 He's more just a pain in my ass. 769 00:32:44,333 --> 00:32:46,417 Don't let his surly exterior fool you. 770 00:32:46,418 --> 00:32:48,419 Deep down inside, he's just as grumpy. 771 00:32:48,420 --> 00:32:50,338 How did you two meet? 772 00:32:50,339 --> 00:32:52,423 Tinder. 773 00:32:52,424 --> 00:32:55,009 Duke is a motorcycle engineer. 774 00:32:55,010 --> 00:32:56,803 You should've seen his Bonneville 775 00:32:56,804 --> 00:32:58,805 when he first brought it in six months ago. 776 00:32:58,806 --> 00:33:00,265 Someone left it for dead. 777 00:33:00,266 --> 00:33:02,058 He helped me bring it back to life. 778 00:33:02,059 --> 00:33:03,643 Today we're going to return the favor. 779 00:33:03,644 --> 00:33:05,645 Dr. Whitaker's one of our most trusted physicians, 780 00:33:05,646 --> 00:33:07,647 and today he's going to help me oversee your care. 781 00:33:07,648 --> 00:33:10,108 Uh, what seems to be troubling you? 782 00:33:10,109 --> 00:33:12,443 Ask him. He's the one who made me come in. 783 00:33:12,444 --> 00:33:14,988 He's had some hoarseness on and off for a couple months. 784 00:33:14,989 --> 00:33:17,740 Okay, any history of tobacco or alcohol use? 785 00:33:17,741 --> 00:33:20,618 Two of my oldest and closest friends. 786 00:33:20,619 --> 00:33:23,663 Former two-pack-a-day smoker and lover of the drink. 787 00:33:23,664 --> 00:33:25,290 Okay. He on any medication? 788 00:33:25,291 --> 00:33:27,458 - Uh, blood-pressure meds. - Mm-hmm. 789 00:33:27,459 --> 00:33:29,168 Which he forgets to take. 790 00:33:29,169 --> 00:33:31,045 He's all numbed up and ready to go. 791 00:33:31,046 --> 00:33:33,464 Okay. Thank you, Donnie. 792 00:33:33,465 --> 00:33:36,676 My man, I am gonna take this scope, 793 00:33:36,677 --> 00:33:38,845 and I'm gonna stick it in your nose, 794 00:33:38,846 --> 00:33:41,306 and we're going to check out your upper airway. 795 00:33:41,307 --> 00:33:44,017 Eh, that seems like a lot of fuss for a sore throat. 796 00:33:44,018 --> 00:33:46,060 Dr. Whitaker, you want to explain to Duke 797 00:33:46,061 --> 00:33:48,104 why this procedure is absolutely necessary? 798 00:33:48,105 --> 00:33:50,857 The scope is gonna give us a better view of your voice box 799 00:33:50,858 --> 00:33:52,817 and your vocal cords. 800 00:33:52,818 --> 00:33:54,402 Here we go. 801 00:33:59,116 --> 00:34:01,659 Gonna feel a little pressure between your eyes. 802 00:34:01,660 --> 00:34:03,161 I am sorry about that. 803 00:34:03,162 --> 00:34:05,455 Okay, just breathe through your nose. 804 00:34:05,456 --> 00:34:08,124 This is gonna help us see if there are any abnormalities 805 00:34:08,125 --> 00:34:11,711 like inflammation, tumors, nodules. 806 00:34:11,712 --> 00:34:14,714 That all looks pretty normal. I don't see too much drainage. 807 00:34:14,715 --> 00:34:16,883 Stick your tongue out for me, all the way. 808 00:34:16,884 --> 00:34:20,011 All the way out. Good. Now say "eeeh." 809 00:34:20,012 --> 00:34:22,347 - Eeeh. - Good. Now again, say "eeeh." 810 00:34:22,348 --> 00:34:24,140 - Eeeh. - Good. 811 00:34:24,141 --> 00:34:25,516 Removing the scope. 812 00:34:25,517 --> 00:34:26,851 Mm. 813 00:34:26,852 --> 00:34:29,020 Dr. Whitaker, what do you think? 814 00:34:29,021 --> 00:34:31,189 Looks normal, no abnormalities. 815 00:34:31,190 --> 00:34:33,024 Told you it was nothing. 816 00:34:33,025 --> 00:34:35,526 With your history of smoking, I'd like to do a chest X-ray. 817 00:34:35,527 --> 00:34:38,196 If there are growths, they can push 818 00:34:38,197 --> 00:34:41,032 against the recurrent laryngeal nerve intermittently. 819 00:34:41,033 --> 00:34:43,117 That can paralyze one of the vocal cords 820 00:34:43,118 --> 00:34:45,370 and cause the hoarseness. 821 00:34:45,371 --> 00:34:48,122 That sounds like a lot of bullshit doctor speak 822 00:34:48,123 --> 00:34:49,457 to charge me more. 823 00:34:49,458 --> 00:34:50,958 You've got Medicare. 824 00:34:50,959 --> 00:34:52,543 And, besides, I finally got you into my ED. 825 00:34:52,544 --> 00:34:54,379 You're gonna get the golden workup 826 00:34:54,380 --> 00:34:55,755 before I leave town tonight. 827 00:34:55,756 --> 00:34:57,757 Only an idiot would ride all night 828 00:34:57,758 --> 00:34:59,592 after working a 12-hour day. 829 00:34:59,593 --> 00:35:01,511 That does sound pretty dangerous. 830 00:35:01,512 --> 00:35:03,888 You gonna stay put, or do I have to tie you down? 831 00:35:03,889 --> 00:35:06,516 Fine, so long as you keep your hands where I can see 'em. 832 00:35:06,517 --> 00:35:07,934 No promises. 833 00:35:07,935 --> 00:35:09,560 Let me know when his chest X-ray is back. 834 00:35:09,561 --> 00:35:10,729 Yeah. 835 00:35:13,190 --> 00:35:15,775 - Hey. - Hey. 836 00:35:15,776 --> 00:35:18,403 Are we okay? 837 00:35:18,404 --> 00:35:21,781 - Uh, yeah. Why? - I don't know. 838 00:35:21,782 --> 00:35:25,785 You kind of ripped me a new one in front of Langdon. 839 00:35:25,786 --> 00:35:28,413 - Whose side are you on? - This isn't middle school. 840 00:35:28,414 --> 00:35:30,581 Langdon made a mistake and owned up to it. 841 00:35:30,582 --> 00:35:32,626 - Let it go. - He should... 842 00:35:34,795 --> 00:35:36,838 He should have been fired. 843 00:35:36,839 --> 00:35:39,632 But instead, he waltzes back in here, no big deal. 844 00:35:39,633 --> 00:35:41,926 Meanwhile, I've been a goddamn pariah for the last 10 months 845 00:35:41,927 --> 00:35:43,636 for doing the right thing. 846 00:35:43,637 --> 00:35:45,596 Or maybe you're a pariah 847 00:35:45,597 --> 00:35:48,182 because you don't play well with others. 848 00:35:48,183 --> 00:35:50,935 If you've still got beef with Langdon, go tell him. 849 00:35:50,936 --> 00:35:52,395 He's here to stay. 850 00:35:52,396 --> 00:35:54,355 So put on your big-girl panties and work it out. 851 00:35:54,356 --> 00:35:56,315 - He is no... - Nope. 852 00:35:56,316 --> 00:35:59,193 You want to have sex and eat ramen in bed, I'm your girl. 853 00:35:59,194 --> 00:36:02,447 But if you want to talk about this Langdon shit, again, 854 00:36:02,448 --> 00:36:04,116 call a therapist. 855 00:36:13,459 --> 00:36:15,251 How's it hanging, Dr. J? 856 00:36:15,252 --> 00:36:19,005 - Never call me that again. - It was a joke. 857 00:36:19,006 --> 00:36:22,633 Relax. He's clueless about your TikToks. 858 00:36:22,634 --> 00:36:24,260 But you're not. 859 00:36:24,261 --> 00:36:26,637 - Props on the side hustle. - There is no hustle. 860 00:36:26,638 --> 00:36:28,306 They're just some stupid videos. 861 00:36:28,307 --> 00:36:30,016 - Wait, are you an influencer? - No! 862 00:36:30,017 --> 00:36:32,310 Yep. 863 00:36:32,311 --> 00:36:34,395 Yo, pre-docs, it's not happy hour yet. 864 00:36:34,396 --> 00:36:37,231 There's still a shit ton of patients to be seen. 865 00:36:40,486 --> 00:36:44,030 Uh, Ben, our slash-trake kid from the water park 866 00:36:44,031 --> 00:36:46,073 had some purposeful movement in pre-op. 867 00:36:46,074 --> 00:36:47,658 - That's a good sign. - Mm-hmm. 868 00:36:47,659 --> 00:36:49,077 Take the win. 869 00:36:51,038 --> 00:36:52,498 We need to talk. 870 00:36:54,500 --> 00:36:56,710 - We are talking. - In private. 871 00:37:05,511 --> 00:37:08,012 What the hell was that with Samira earlier? 872 00:37:08,013 --> 00:37:11,057 - That was tough love. - You are her superior. 873 00:37:11,058 --> 00:37:14,727 She was obviously struggling, and your advice was "go home"? 874 00:37:14,728 --> 00:37:16,229 Essentially, yeah. 875 00:37:16,230 --> 00:37:18,689 This is the ED... it's not for the faint of heart. 876 00:37:18,690 --> 00:37:20,691 It's not for the unempathetic either. 877 00:37:20,692 --> 00:37:23,236 Samira's not having a panic attack 878 00:37:23,237 --> 00:37:24,695 because of her patient. 879 00:37:24,696 --> 00:37:26,489 She's having one because of personal baggage. 880 00:37:26,490 --> 00:37:28,533 What she needs to do is pull her head out of her ass 881 00:37:28,534 --> 00:37:30,159 - and focus on the work. - What about you? 882 00:37:30,160 --> 00:37:32,203 What do you need to get some basic human empathy back? 883 00:37:32,204 --> 00:37:35,706 Sh... I don't know. 884 00:37:35,707 --> 00:37:37,708 Something that gives me a little hope this place 885 00:37:37,709 --> 00:37:40,419 won't fall to shit when I'm gone. 886 00:37:40,420 --> 00:37:41,712 Found him! 887 00:37:41,713 --> 00:37:43,464 Found who? 888 00:37:43,465 --> 00:37:45,925 - The water slide dad's kid. - How'd you manage that? 889 00:37:45,926 --> 00:37:48,052 I went outside, stalked the dad's IG, 890 00:37:48,053 --> 00:37:50,096 found a pic of his son, sent it to Pittsburgh PD. 891 00:37:50,097 --> 00:37:52,098 - Now they're on their way over. - Oh. 892 00:37:52,099 --> 00:37:54,560 Well, maybe Gen Z should be working for the FBI. 893 00:37:57,563 --> 00:37:59,564 - Hi, Becca. - Mel! 894 00:37:59,565 --> 00:38:01,440 Hi. 895 00:38:01,441 --> 00:38:04,735 - You, uh... you doing all right? - I'm a little bored. 896 00:38:04,736 --> 00:38:06,320 Yeah? 897 00:38:06,321 --> 00:38:08,948 - Um, how are you feeling? - A lot better. 898 00:38:08,949 --> 00:38:11,367 Dr. Langdon gave me some medicine and OJ. 899 00:38:11,368 --> 00:38:15,371 Oh, he's super nice. I see why you like him. 900 00:38:15,372 --> 00:38:18,082 Did he tell you what the medicine was for? 901 00:38:18,083 --> 00:38:20,960 Yes. Um, did you tell her? 902 00:38:20,961 --> 00:38:22,378 I did not. 903 00:38:22,379 --> 00:38:23,963 Uh, I explained to Becca 904 00:38:23,964 --> 00:38:26,591 that due to doctor-patient confidentiality, 905 00:38:26,592 --> 00:38:28,926 everything she told me was private 906 00:38:28,927 --> 00:38:30,386 and that it was her decision 907 00:38:30,387 --> 00:38:34,223 if she wanted to share anything with you or not. 908 00:38:34,224 --> 00:38:37,477 - Um, do you want to share? - Yes. 909 00:38:48,614 --> 00:38:52,158 I have a urinary-tract infection. 910 00:38:52,159 --> 00:38:54,994 Oh. Okay. 911 00:38:54,995 --> 00:38:58,289 Yeah, those, um... those can happen if you, you know, 912 00:38:58,290 --> 00:39:01,042 hold your pee in for too long or you accidentally wipe 913 00:39:01,043 --> 00:39:03,210 - from back to front... - Mel, I know. I know, Mel. 914 00:39:03,211 --> 00:39:06,005 - He told me. - Oh, good. 915 00:39:06,006 --> 00:39:10,176 You know, he also told me it can happen from having sex. 916 00:39:10,177 --> 00:39:12,094 Uh, yeah, it can. 917 00:39:12,095 --> 00:39:14,430 Uh, it's not like you're having sex. 918 00:39:14,431 --> 00:39:15,641 Yes, I am. 919 00:39:19,311 --> 00:39:22,814 - I'm sorr... What? - I'm having sex. 920 00:39:24,650 --> 00:39:26,943 - With who? - My boyfriend. 921 00:39:26,944 --> 00:39:29,111 - You have a boyfriend? - Yes. 922 00:39:29,112 --> 00:39:33,950 His name is Adam, and we're having sex... 923 00:39:33,951 --> 00:39:35,327 lots of sex. 924 00:39:37,454 --> 00:39:39,081 Okay. 925 00:39:40,832 --> 00:39:45,086 Um, Mel, are... are you okay? 926 00:39:45,087 --> 00:39:47,505 Mm-hmm. 927 00:39:49,675 --> 00:39:51,884 - Got a sec? - Sure. 928 00:39:51,885 --> 00:39:55,054 - How you feeling? - I'm fine. 929 00:39:55,055 --> 00:39:56,764 - Are you sure? - Yeah. 930 00:39:56,765 --> 00:39:59,684 Troponin, D-dimer, and TSH all normal. 931 00:39:59,685 --> 00:40:01,686 Listen, I'm sorry about earlier. 932 00:40:01,687 --> 00:40:04,355 - I think I was being... - A dick? 933 00:40:04,356 --> 00:40:06,440 I was gonna say "unprofessional," 934 00:40:06,441 --> 00:40:08,943 but probably that, too. 935 00:40:08,944 --> 00:40:12,238 - I'm sorry. - Thanks. 936 00:40:12,239 --> 00:40:14,865 But now I kind of need you to stop feeling sorry for yourself 937 00:40:14,866 --> 00:40:16,742 and focus back on your patients. 938 00:40:16,743 --> 00:40:19,704 - Think you can do that? - Sure. 939 00:40:19,705 --> 00:40:20,914 Great. 940 00:40:24,042 --> 00:40:26,877 With this extra dose and increased morphine 941 00:40:26,878 --> 00:40:28,504 from the pump, 942 00:40:28,505 --> 00:40:30,214 your pain should subside. 943 00:40:30,215 --> 00:40:32,925 Your breathing will slow down. 944 00:40:32,926 --> 00:40:35,886 You may get very sleepy. 945 00:40:35,887 --> 00:40:39,724 Paul, go be with the boys. 946 00:40:39,725 --> 00:40:43,102 They need you more than I do now. 947 00:40:43,103 --> 00:40:45,187 Later. 948 00:40:45,188 --> 00:40:48,150 Right now I'm exactly where I'm supposed to be. 949 00:40:56,116 --> 00:40:58,075 Yeah. 950 00:40:58,076 --> 00:40:59,493 Okay. 951 00:40:59,494 --> 00:41:00,694 Here we go. 952 00:41:00,696 --> 00:41:03,720 Sync and corrections by btsix www.addic7ed.com