1 00:00:09,988 --> 00:00:14,964 Sync and corrections by btsix www.addic7ed.com 2 00:00:38,281 --> 00:00:39,531 What now? 3 00:00:39,532 --> 00:00:41,783 Now we wait. 4 00:00:41,784 --> 00:00:43,827 How long before... 5 00:00:43,828 --> 00:00:45,245 I have no idea. 6 00:00:45,246 --> 00:00:47,039 Could be hours. 7 00:00:47,040 --> 00:00:48,999 This doesn't feel right. 8 00:00:49,000 --> 00:00:51,043 Remember, Robby talked about... 9 00:00:51,044 --> 00:00:53,670 It still feels wrong. 10 00:00:53,671 --> 00:00:56,590 OK. This is Roxie's decision. 11 00:00:56,591 --> 00:01:00,510 Everything else in her life is out of her control except this. 12 00:01:00,511 --> 00:01:03,347 She wants to go out on her own terms. 13 00:01:03,348 --> 00:01:05,057 Very few of us get to do that. 14 00:01:05,058 --> 00:01:06,934 I should pick up more patients. 15 00:01:11,689 --> 00:01:13,732 So Adam lives at Middle Hill? 16 00:01:13,733 --> 00:01:15,108 He lives at Middle Hill. 17 00:01:15,109 --> 00:01:16,693 And he's three years older than you? 18 00:01:16,694 --> 00:01:19,029 He's three years older than me. 19 00:01:19,030 --> 00:01:22,074 And he asked you to be his girlfriend 20 00:01:22,075 --> 00:01:24,284 6 months ago? 21 00:01:24,285 --> 00:01:28,205 He asked me to be his girlfriend at game night, 22 00:01:28,206 --> 00:01:29,873 and I said yes. 23 00:01:29,874 --> 00:01:32,542 Got a patient waiting for a doctor. Vertigo in 13. 24 00:01:32,543 --> 00:01:34,295 OK. I'll be right there. 25 00:01:37,215 --> 00:01:40,008 Did Adam ask you if you wanted to have sex? 26 00:01:40,009 --> 00:01:43,345 I... Mel, I don't know if I can tell you. 27 00:01:43,346 --> 00:01:45,222 Of course you can tell me. I'm your sister. 28 00:01:45,223 --> 00:01:47,099 Well, it's private. 29 00:01:47,100 --> 00:01:49,976 Look, it's just... it's really important that I know. 30 00:01:49,977 --> 00:01:51,770 - Why? - Because. 31 00:01:51,771 --> 00:01:54,564 Well... I can tell Dr. Langdon 32 00:01:54,565 --> 00:01:56,400 because Dr. Langdon is my doctor, 33 00:01:56,401 --> 00:01:58,610 but I don't think I can tell you. 34 00:01:58,611 --> 00:02:00,070 Becca, just tell me! 35 00:02:00,071 --> 00:02:02,072 - Why are you yelling? - I'm not yelling. 36 00:02:02,073 --> 00:02:04,449 It's just... look, it's really important that I know. 37 00:02:04,450 --> 00:02:05,909 - You're definitely yelling. - Becca... 38 00:02:05,910 --> 00:02:07,911 Uh, maybe... maybe we should step outside for a minute. 39 00:02:07,912 --> 00:02:09,204 Why won't you tell me? 40 00:02:09,205 --> 00:02:11,540 Dr. King. 41 00:02:11,541 --> 00:02:13,583 Why don't you get some air? 42 00:02:16,587 --> 00:02:17,880 Sorry. 43 00:02:19,132 --> 00:02:20,966 Sorry. 44 00:02:25,346 --> 00:02:27,347 Hey, have you seen any of the X-ray techs around? 45 00:02:27,348 --> 00:02:28,474 Nope. 46 00:02:30,309 --> 00:02:31,476 Got an update for me? 47 00:02:31,477 --> 00:02:33,061 I'm just checking in. 48 00:02:33,062 --> 00:02:35,272 What are the chances of me getting out of here on time, 49 00:02:35,273 --> 00:02:36,648 - do you think? - That's up to you, Cap. 50 00:02:36,649 --> 00:02:37,774 We can handle this. 51 00:02:37,775 --> 00:02:39,610 Question is, will you let us? 52 00:02:45,616 --> 00:02:47,659 How are you two getting along? 53 00:02:47,660 --> 00:02:49,746 I can play nice for another two hours. 54 00:02:51,164 --> 00:02:52,622 OK. 55 00:02:52,623 --> 00:02:54,124 Kept calling me "Doc." 56 00:02:54,125 --> 00:02:57,377 Didn't know he was the real doc until a few months in. 57 00:02:57,378 --> 00:02:59,045 He was keeping his secret life from me. 58 00:02:59,046 --> 00:03:00,297 Hmm. 59 00:03:00,298 --> 00:03:01,798 Where are we with his chest X-ray? 60 00:03:01,799 --> 00:03:04,801 Uh, X-rays are still six or seven behind. 61 00:03:04,802 --> 00:03:06,387 When's the last time you checked? 62 00:03:07,512 --> 00:03:09,180 Maybe 10 minutes ago, but I... 63 00:03:09,182 --> 00:03:10,432 - Stay on them. - Yeah. 64 00:03:10,433 --> 00:03:11,484 Come on, give the kid a break. 65 00:03:11,485 --> 00:03:14,722 It says here it takes an hour to get an X-ray. 66 00:03:14,723 --> 00:03:17,083 You're the first person who read this fucking thing all day. 67 00:03:19,734 --> 00:03:21,694 Don't get me started on those. 68 00:03:23,362 --> 00:03:25,322 How are you feeling? 69 00:03:25,323 --> 00:03:26,783 I'm good. 70 00:03:27,992 --> 00:03:29,993 You know, I take Lexapro. 71 00:03:29,994 --> 00:03:32,329 It helps with panic attacks, not just depression. 72 00:03:32,330 --> 00:03:33,915 Promise, I'm fine. 73 00:03:34,999 --> 00:03:36,875 Sorry about that, Mrs. Torres. 74 00:03:36,876 --> 00:03:38,168 Are you OK? 75 00:03:38,169 --> 00:03:39,336 I thought you were going to pass out. 76 00:03:39,337 --> 00:03:40,670 Yep, all good. 77 00:03:40,671 --> 00:03:42,840 Let's just pick up where we left off. 78 00:03:44,383 --> 00:03:47,177 Mrs. Torres presents with one week 79 00:03:47,178 --> 00:03:48,845 of painful, swollen right calf. 80 00:03:48,846 --> 00:03:50,555 No trauma, no fever, 81 00:03:50,556 --> 00:03:52,766 no history of hypercoagulable state. 82 00:03:52,767 --> 00:03:54,851 However, she did take a 15-hour bus ride 83 00:03:54,852 --> 00:03:57,521 from Orlando to Pittsburgh last week. 84 00:03:57,522 --> 00:04:00,023 Mrs. Torres, we're concerned about 85 00:04:00,024 --> 00:04:02,359 a possible blood clot in your leg 86 00:04:02,360 --> 00:04:04,528 that can lead to serious complications. 87 00:04:04,529 --> 00:04:07,030 We need to do an ultrasound, but no need to worry. 88 00:04:07,031 --> 00:04:08,198 If it's positive, 89 00:04:08,199 --> 00:04:09,658 we can treat with a blood thinner. 90 00:04:09,659 --> 00:04:10,867 Bueno. 91 00:04:10,868 --> 00:04:12,035 If there's something I've learned, 92 00:04:12,036 --> 00:04:13,495 it's to stop worrying. 93 00:04:13,496 --> 00:04:16,374 Can all your worries add a single moment to your life? 94 00:04:18,668 --> 00:04:20,877 Fresh from the lab. 95 00:04:20,878 --> 00:04:22,712 - They said one's critical. - They're supposed to 96 00:04:22,713 --> 00:04:24,089 - call those up. - I know. 97 00:04:24,090 --> 00:04:25,924 Every time they try, the red phone's been busy. 98 00:04:25,925 --> 00:04:27,050 Jesus Christ. 99 00:04:27,051 --> 00:04:28,969 This was resulted 25 minutes ago. 100 00:04:28,970 --> 00:04:30,887 Sodium 112. 101 00:04:30,888 --> 00:04:32,889 Mohan! 102 00:04:32,890 --> 00:04:36,226 Sprinkle some salt on your patient before he seizes. 103 00:04:36,227 --> 00:04:37,519 Where are we? 104 00:04:37,520 --> 00:04:39,396 Kidney stone patient's not obstructed. 105 00:04:39,397 --> 00:04:40,730 Just waiting on meds. 106 00:04:40,731 --> 00:04:42,274 Ortho is performing the replantation 107 00:04:42,275 --> 00:04:43,775 on our water slide trauma. 108 00:04:43,776 --> 00:04:46,570 Our perforated diverticulitis patient, Howard, 109 00:04:46,571 --> 00:04:47,863 made it through surgery. 110 00:04:47,864 --> 00:04:50,240 And I'm calling the CYF resource navigator 111 00:04:50,241 --> 00:04:51,700 to see if we're getting anywhere 112 00:04:51,701 --> 00:04:54,578 with emergency foster care for Baby Jane Doe. 113 00:04:54,579 --> 00:04:57,539 Other than that, labs and X-rays are way behind, 114 00:04:57,540 --> 00:04:59,876 but our Golden Girls are getting their steps in. 115 00:05:01,419 --> 00:05:03,920 Does Robby usually leave as soon as his shift ends, 116 00:05:03,921 --> 00:05:05,338 or does he like to stick around 117 00:05:05,339 --> 00:05:07,507 for all the handoffs to night shift? 118 00:05:07,508 --> 00:05:09,426 Depends, but he's usually pretty good 119 00:05:09,427 --> 00:05:11,386 about getting out of here. 120 00:05:14,056 --> 00:05:15,974 Shortness of breath in South 16. 121 00:05:15,975 --> 00:05:17,935 He could totally decompensate. 122 00:05:19,437 --> 00:05:21,980 I'm hoping to catch another intubation before 7:00. 123 00:05:21,981 --> 00:05:24,649 One more gets me to three in my first week. 124 00:05:24,650 --> 00:05:26,277 Probably a record. 125 00:05:27,820 --> 00:05:29,696 I'm looking for an easy one. 126 00:05:29,697 --> 00:05:32,866 Shift ends in 2 hours. 127 00:05:32,867 --> 00:05:35,785 You're supposed to pick up the stable patients in order. 128 00:05:35,786 --> 00:05:38,538 Do you need a... a second opinion on that? 129 00:05:38,539 --> 00:05:39,665 No. 130 00:05:40,499 --> 00:05:42,083 - Dr. McKay. - Yeah. 131 00:05:42,084 --> 00:05:44,127 A girl named Kiki came into reception looking for you. 132 00:05:44,128 --> 00:05:45,295 Kiki? 133 00:05:45,296 --> 00:05:46,296 She said she'll be in the park. 134 00:05:46,297 --> 00:05:47,631 Yeah, great, thanks. 135 00:05:52,094 --> 00:05:56,181 Hey, I think the labs are back on your PID patient. 136 00:05:56,182 --> 00:05:58,183 Thanks. 137 00:05:58,184 --> 00:06:00,310 Is everything OK? 138 00:06:00,311 --> 00:06:02,647 Uh, fantastic. 139 00:06:06,067 --> 00:06:07,233 Langdon? 140 00:06:07,234 --> 00:06:10,320 Kind of hoping I would never see him again. 141 00:06:10,321 --> 00:06:13,240 Well, you know, maybe he's changed. 142 00:06:15,952 --> 00:06:17,702 When you got a sec, there's something... 143 00:06:17,703 --> 00:06:19,162 Santos! 144 00:06:19,163 --> 00:06:21,164 I need you to pick up food poisoning in 12. 145 00:06:21,165 --> 00:06:22,832 Yeah, sure. Why not? 146 00:06:22,833 --> 00:06:24,209 What? 147 00:06:24,210 --> 00:06:25,835 No snark? No pushback? 148 00:06:25,836 --> 00:06:27,170 What have you done with Santos? 149 00:06:27,171 --> 00:06:29,255 Only 2 hours to go. 150 00:06:29,256 --> 00:06:30,424 I surrender. 151 00:06:31,509 --> 00:06:33,426 That's the spirit. 152 00:06:39,350 --> 00:06:40,517 How's Becca? 153 00:06:40,518 --> 00:06:41,851 She's good. 154 00:06:41,852 --> 00:06:43,853 I'm trying to call her living community, 155 00:06:43,854 --> 00:06:45,814 but they are not picking up. 156 00:06:45,815 --> 00:06:47,274 Why you calling 'em? 157 00:06:48,234 --> 00:06:51,319 Because I don't know anything about this Adam person. 158 00:06:51,320 --> 00:06:53,905 I mean, they've been dating for 6 months, and... and... 159 00:06:53,906 --> 00:06:55,824 and I don't know anything. 160 00:06:55,825 --> 00:06:57,867 She never said anything about wanting a boyfriend 161 00:06:57,868 --> 00:06:59,661 or even liking anyone. 162 00:06:59,662 --> 00:07:02,288 Yeah, but that doesn't mean she hasn't thought about it. 163 00:07:02,289 --> 00:07:03,873 No, I don't... I don't want to think about my sister 164 00:07:03,874 --> 00:07:05,667 thinking about having sex. 165 00:07:05,668 --> 00:07:08,420 I mean, who's to say he didn't take advantage of her? 166 00:07:08,421 --> 00:07:10,296 Middle Hill just let it happen. 167 00:07:10,297 --> 00:07:11,631 Why didn't they tell me? 168 00:07:11,632 --> 00:07:13,049 Well, maybe they didn't know about it. 169 00:07:13,050 --> 00:07:15,385 Six months, they had to have known. 170 00:07:15,386 --> 00:07:18,680 I just... maybe it was a mistake choosing Middle Hill. 171 00:07:18,681 --> 00:07:21,391 I... I mean, we saw a lot of good places, 172 00:07:21,392 --> 00:07:23,435 but that... that is where Becca wanted to go. 173 00:07:23,436 --> 00:07:24,602 I... 174 00:07:24,603 --> 00:07:27,230 Are you Becca's legal guardian? 175 00:07:27,231 --> 00:07:29,065 No, I have durable power of attorney. 176 00:07:29,066 --> 00:07:31,401 But we did this thing called supportive decision-making, 177 00:07:31,402 --> 00:07:32,902 where she can... 178 00:07:32,903 --> 00:07:34,946 make her own decisions. 179 00:07:34,947 --> 00:07:36,614 There you go. 180 00:07:36,615 --> 00:07:38,575 - Well, this is different. - Why? 181 00:07:38,576 --> 00:07:40,076 Because it is. 182 00:07:40,077 --> 00:07:43,247 I... 183 00:07:46,417 --> 00:07:48,586 My son, he's... he's not moving. 184 00:07:51,464 --> 00:07:53,256 OK. 185 00:07:53,257 --> 00:07:54,758 Come on, buddy. 186 00:07:54,759 --> 00:07:55,926 Come on. 187 00:08:00,097 --> 00:08:02,015 I got a hot and unresponsive child. 188 00:08:02,016 --> 00:08:03,141 I need a room, Dana. 189 00:08:03,142 --> 00:08:04,435 Trauma Two. 190 00:08:05,186 --> 00:08:07,771 We need a core temp ASAP. 191 00:08:07,772 --> 00:08:09,939 Hi, I'm Dr. Al-Hashimi. Are you Mom? 192 00:08:09,940 --> 00:08:11,775 - Brenda Azurmendi. - And this is? 193 00:08:11,776 --> 00:08:13,735 Micah. 194 00:08:13,736 --> 00:08:15,278 Has Micah been sick with a fever? 195 00:08:15,279 --> 00:08:16,821 No. He was fine all day. 196 00:08:16,822 --> 00:08:18,740 I found him in the car. 197 00:08:19,909 --> 00:08:22,494 Pupils are sluggish, but reactive. 198 00:08:22,495 --> 00:08:24,245 No reaction to pain. 199 00:08:25,831 --> 00:08:28,666 Uh, airway is patent with low tidal volume. 200 00:08:28,667 --> 00:08:30,795 Uh, let's set up for intubation. 201 00:08:31,837 --> 00:08:33,171 Heart rate is 22 in 10 seconds. 202 00:08:33,172 --> 00:08:35,632 - That's 132. - Do you know his weight? 203 00:08:35,633 --> 00:08:37,342 - No. - Joy, the Broselow. 204 00:08:37,343 --> 00:08:39,385 - The what? - The Broselow tape gives us 205 00:08:39,386 --> 00:08:41,471 all the drug doses based on length. 206 00:08:41,472 --> 00:08:42,555 Assisting with ventilation. 207 00:08:42,556 --> 00:08:44,140 Somebody call respiratory. 208 00:08:44,141 --> 00:08:45,809 You said you just found him in the car? 209 00:08:45,810 --> 00:08:47,519 I was working in the garden 210 00:08:47,520 --> 00:08:49,312 while he rode his trike in the driveway. 211 00:08:49,313 --> 00:08:51,397 One minute he was there, and then he wasn't. 212 00:08:51,398 --> 00:08:53,149 I... I thought he had gone into the house, 213 00:08:53,150 --> 00:08:54,818 but I couldn't find him anywhere. 214 00:08:54,819 --> 00:08:56,569 He must have gotten tired 215 00:08:56,570 --> 00:08:59,030 and... and climbed in and fallen asleep. 216 00:08:59,031 --> 00:09:01,741 By the time I found him, I... I couldn't wake him up. 217 00:09:01,742 --> 00:09:03,118 How long was he in there? 218 00:09:03,119 --> 00:09:04,119 Uh, m-m-maybe... 219 00:09:04,120 --> 00:09:06,287 maybe 15 minutes or... or 20. 220 00:09:06,288 --> 00:09:08,665 And the car was just unlocked? 221 00:09:08,666 --> 00:09:10,125 It's a safe neighborhood. 222 00:09:10,126 --> 00:09:11,709 Uh, Joy. 223 00:09:11,710 --> 00:09:16,840 OK, so you're gonna want to start at the head, 224 00:09:16,841 --> 00:09:20,051 measure the length, and then read it off. 225 00:09:20,052 --> 00:09:22,512 Uh, approximate weight is 25 kilograms. 226 00:09:22,513 --> 00:09:24,347 250 bolus of LR. 227 00:09:24,348 --> 00:09:26,182 I have doses for rock and ketamine. 228 00:09:26,183 --> 00:09:28,518 Almost no tone. I can do this without meds. 229 00:09:28,519 --> 00:09:29,644 Uh, it's easy enough to bag. 230 00:09:29,645 --> 00:09:30,854 Let's wait for RT. 231 00:09:30,855 --> 00:09:32,480 When the temperature is this high, 232 00:09:32,481 --> 00:09:34,357 the muscles can lose their strength, 233 00:09:34,358 --> 00:09:36,401 so we're going to help him breathe with a tube. 234 00:09:36,402 --> 00:09:38,945 Uh, rectal temp is 105.5. 235 00:09:38,946 --> 00:09:40,113 Heatstroke. 236 00:09:40,114 --> 00:09:41,614 Ice packs to the groin and axilla. 237 00:09:41,615 --> 00:09:43,116 See if we have an Arctic Sun that's not in use. 238 00:09:43,117 --> 00:09:44,660 We need all the ice we can get. 239 00:09:45,703 --> 00:09:47,913 And a pediatric body bag. 240 00:09:50,708 --> 00:09:52,625 Still waiting on your ketorolac pills. 241 00:09:52,626 --> 00:09:54,210 I will keep following up with the pharmacy. 242 00:09:54,211 --> 00:09:55,837 I told my son I would meet him at the park. 243 00:09:55,838 --> 00:09:57,547 We always watch the fireworks together. 244 00:09:57,548 --> 00:09:58,548 Sorry, Mr. Green. 245 00:09:58,549 --> 00:09:59,716 We won't forget about you. 246 00:09:59,717 --> 00:10:00,968 Mm. 247 00:10:05,097 --> 00:10:06,389 Heard you had a heart attack. 248 00:10:06,390 --> 00:10:08,475 I did not have a heart attack. 249 00:10:09,351 --> 00:10:11,561 Hey, Samira, how are you feeling? 250 00:10:11,562 --> 00:10:13,855 I am totally fine. 251 00:10:13,856 --> 00:10:15,023 Uh, glad to hear it. 252 00:10:15,024 --> 00:10:16,191 Hey, do you mind watching my patients 253 00:10:16,192 --> 00:10:17,358 for 5 minutes? 254 00:10:17,359 --> 00:10:18,401 I have to step out for a sec. 255 00:10:18,402 --> 00:10:19,694 No problem. 256 00:10:19,695 --> 00:10:22,363 Ogilvie, you, uh, want to get some air? 257 00:10:22,364 --> 00:10:23,615 Got a good case for you. 258 00:10:23,616 --> 00:10:26,075 Might an intubation be required? 259 00:10:26,076 --> 00:10:27,202 No. 260 00:10:27,203 --> 00:10:28,369 It's an unhoused patient 261 00:10:28,370 --> 00:10:30,247 I've treated on the street team. 262 00:10:32,291 --> 00:10:34,084 Thank you so much. 263 00:10:42,092 --> 00:10:43,969 - Hi, Becca. - Hey. 264 00:10:54,188 --> 00:10:56,773 I'm sorry I yelled at you. 265 00:10:56,774 --> 00:10:59,150 I was just... 266 00:10:59,151 --> 00:11:00,443 surprised. 267 00:11:00,444 --> 00:11:02,445 The nurse said I can leave. 268 00:11:02,446 --> 00:11:03,738 Yeah, um, 269 00:11:03,739 --> 00:11:05,615 can we just finish our conversation first? 270 00:11:05,616 --> 00:11:07,575 About what? 271 00:11:07,576 --> 00:11:09,786 Look, I... I know you don't have to tell me anything. 272 00:11:09,787 --> 00:11:11,579 I just... 273 00:11:11,580 --> 00:11:15,542 kind of hope you'd want to. 274 00:11:17,503 --> 00:11:19,128 When Adam asked you to have sex... 275 00:11:19,129 --> 00:11:20,797 He didn't ask me. 276 00:11:20,798 --> 00:11:22,341 I asked him. 277 00:11:23,759 --> 00:11:24,968 So he didn't pressure... 278 00:11:24,969 --> 00:11:26,761 No. 279 00:11:26,762 --> 00:11:29,681 So you wanted to have sex. 280 00:11:29,682 --> 00:11:31,474 I wanted to have sex. 281 00:11:31,475 --> 00:11:32,809 Sex is great! 282 00:11:32,810 --> 00:11:35,603 We talked about sex in my mind and body class. 283 00:11:35,604 --> 00:11:37,398 I told my therapist too. 284 00:11:39,692 --> 00:11:41,526 Hey, the, uh, pancreatitis in North 3's 285 00:11:41,527 --> 00:11:43,152 - still waiting for you. - OK. 286 00:11:43,153 --> 00:11:45,321 - Can I go now? - Uh, just one second. 287 00:11:45,322 --> 00:11:46,572 Uh, I'll be right there. 288 00:11:46,573 --> 00:11:48,450 I'm just gonna walk my sister out. 289 00:11:53,872 --> 00:11:56,083 Yeah, sorry, I'm right behind you. 290 00:11:58,085 --> 00:12:00,253 Curtis Larson, 42. 291 00:12:00,254 --> 00:12:01,879 Called to the golf course for combative behavior 292 00:12:01,880 --> 00:12:03,298 with his buddies. 293 00:12:03,299 --> 00:12:05,591 No signs of trauma, just alcohol on the breath. 294 00:12:05,592 --> 00:12:07,385 Seems to have calmed down a bit. 295 00:12:07,386 --> 00:12:08,678 He was fighting us so hard, 296 00:12:08,679 --> 00:12:10,221 had to give 4 milligrams of Versed 297 00:12:10,222 --> 00:12:11,639 to get vitals and a line. 298 00:12:11,640 --> 00:12:13,725 Good BP, pulse ox 99 on two liters. 299 00:12:13,726 --> 00:12:15,143 Between the booze and the Versed, 300 00:12:15,144 --> 00:12:16,561 he'll be sleeping it off for a while. 301 00:12:16,562 --> 00:12:18,229 Central 14, guys. 302 00:12:25,362 --> 00:12:26,572 Roxie's gone. 303 00:12:27,865 --> 00:12:29,365 Is the husband still in there with her? 304 00:12:29,366 --> 00:12:31,159 Yeah, Javadi's with him. 305 00:12:31,160 --> 00:12:33,870 She needs a death note. I can't find McKay. 306 00:12:33,871 --> 00:12:35,204 OK, I'll be right there. 307 00:12:35,205 --> 00:12:36,414 OK. 308 00:12:36,415 --> 00:12:38,541 Have you seen McKay anywhere? 309 00:12:38,542 --> 00:12:39,918 No. 310 00:12:42,546 --> 00:12:44,255 Have you ever seen a xylazine wound? 311 00:12:44,256 --> 00:12:46,299 - No. - But you know what it is? 312 00:12:46,300 --> 00:12:47,592 Yes. 313 00:12:47,593 --> 00:12:49,218 Then you know its street name is Tranq, 314 00:12:49,219 --> 00:12:50,219 and this shit is nasty 315 00:12:50,220 --> 00:12:52,388 and can lead to skin necrosis. 316 00:12:52,389 --> 00:12:54,724 I've never understood drug addiction. 317 00:12:54,725 --> 00:12:56,893 Well, you need to try. 318 00:12:56,894 --> 00:12:59,145 A little empathy goes a long way in this job. 319 00:12:59,146 --> 00:13:00,563 I am empathetic, I ju... 320 00:13:00,564 --> 00:13:01,981 I don't understand how an intelligent person 321 00:13:01,982 --> 00:13:04,317 - allows themselves to... - Can make mistakes? 322 00:13:04,318 --> 00:13:06,069 Heal themselves? Take away the pain? 323 00:13:06,070 --> 00:13:08,237 Hide from the abuse? 324 00:13:08,238 --> 00:13:11,240 We're healers, not judges. 325 00:13:11,241 --> 00:13:13,576 Shouldn't we go to the crosswalk? 326 00:13:13,577 --> 00:13:14,911 No? 327 00:13:14,912 --> 00:13:16,454 OK, this is what we're doing. 328 00:13:16,455 --> 00:13:18,748 I see organ donation in my future. 329 00:13:18,749 --> 00:13:20,375 Sorry! 330 00:14:15,848 --> 00:14:18,141 How's it going, Kiki? 331 00:14:18,142 --> 00:14:19,642 Who's this? 332 00:14:19,643 --> 00:14:21,102 Oh, it's, uh, Ogilvie. 333 00:14:21,103 --> 00:14:23,479 He's a student doctor here to help me. 334 00:14:23,480 --> 00:14:25,940 So what's happening with you? 335 00:14:25,941 --> 00:14:27,650 My leg's getting stinky again. 336 00:14:27,651 --> 00:14:29,986 Yeah? OK, let's take a look. 337 00:14:29,987 --> 00:14:31,238 OK. 338 00:14:35,159 --> 00:14:37,034 Is that an injection site? 339 00:14:37,035 --> 00:14:38,786 - No. - No. 340 00:14:38,787 --> 00:14:41,539 Xylazine wounds can show up anywhere. 341 00:14:41,540 --> 00:14:43,499 You, uh... you still using Tranq? 342 00:14:43,500 --> 00:14:44,917 Sometimes. 343 00:14:44,918 --> 00:14:46,752 Sometimes is not good, Kiki. 344 00:14:46,753 --> 00:14:48,171 You know it's nasty stuff. 345 00:14:48,172 --> 00:14:49,464 I'm trying to quit. 346 00:14:49,465 --> 00:14:51,340 How you going about that? 347 00:14:51,341 --> 00:14:53,509 I go to meetings sometimes. 348 00:14:53,510 --> 00:14:54,844 Meetings are good. 349 00:14:54,845 --> 00:14:57,681 Uh, not using's even better. 350 00:15:00,058 --> 00:15:02,978 Uh, OK. What's your plan, Ogilvie? 351 00:15:06,398 --> 00:15:08,024 Ogilvie, you OK? 352 00:15:08,025 --> 00:15:09,275 - Yes. - Yeah? 353 00:15:09,276 --> 00:15:10,443 Absolutely. 354 00:15:10,444 --> 00:15:15,239 Uh, my plan is clean with saline. 355 00:15:15,240 --> 00:15:16,407 Antibiotics? 356 00:15:16,408 --> 00:15:18,534 Medihoney to break down the eschar. 357 00:15:18,535 --> 00:15:19,869 And then? 358 00:15:19,870 --> 00:15:22,872 Um, redress with Xeroform 359 00:15:22,873 --> 00:15:24,165 and an ABD pad and a Kerlix wrap. 360 00:15:24,166 --> 00:15:25,708 Yeah, that'll do it. 361 00:15:25,709 --> 00:15:28,211 You need to change this dressing every day, Kiki, OK? 362 00:15:28,212 --> 00:15:29,879 I don't think I can do that. 363 00:15:29,880 --> 00:15:30,880 We'll give you all the supplies. 364 00:15:30,881 --> 00:15:32,173 You can do it yourself. 365 00:15:32,174 --> 00:15:33,883 You won't even have to come back here. 366 00:15:33,884 --> 00:15:36,719 Yeah. OK. 367 00:15:36,720 --> 00:15:38,721 OK. 368 00:15:38,722 --> 00:15:40,140 OK, pass the saline. 369 00:15:49,399 --> 00:15:51,400 Hey, I'm Dr. Whitaker. 370 00:15:51,401 --> 00:15:52,985 This is Dr. Santos. 371 00:15:52,986 --> 00:15:55,280 Roberto. Like Roberto Clemente. 372 00:15:56,448 --> 00:15:59,034 Oh, sorry. I... I don't know who that is. 373 00:15:59,993 --> 00:16:02,286 Pirates Hall of Famer Roberto Clemente. 374 00:16:02,287 --> 00:16:04,373 You... you don't watch baseball? 375 00:16:05,582 --> 00:16:07,750 Well, I am from Nebraska. 376 00:16:07,751 --> 00:16:10,336 We went to a few Storm Chasers games as a kid. 377 00:16:10,337 --> 00:16:11,420 That's about it. 378 00:16:11,421 --> 00:16:13,173 No Major League team, you know. 379 00:16:14,591 --> 00:16:16,175 All right. What happened to your elbow? 380 00:16:16,176 --> 00:16:19,971 Oneil Cruz hits a walk-off tater, right? 381 00:16:19,972 --> 00:16:23,099 And I... I... I catch it, you know, 382 00:16:23,100 --> 00:16:24,892 um, but then somebody fell on top of me, 383 00:16:24,893 --> 00:16:26,644 and I... I think I heard a pop, 384 00:16:26,645 --> 00:16:28,896 but hard to tell with all the screaming. 385 00:16:28,897 --> 00:16:30,648 - That sounds pretty dangerous. - Yeah. 386 00:16:30,649 --> 00:16:31,816 You're not one of those guys 387 00:16:31,817 --> 00:16:34,485 who steals balls from kids, are you? 388 00:16:34,486 --> 00:16:36,153 I didn't steal this. I wouldn't do that. 389 00:16:36,154 --> 00:16:37,488 I would never do that. I would never do that. 390 00:16:37,489 --> 00:16:39,073 OK. 391 00:16:39,074 --> 00:16:41,285 Can you move your fingers for me? 392 00:16:43,829 --> 00:16:45,955 And the thumb? 393 00:16:45,956 --> 00:16:47,582 Uh... 394 00:16:47,583 --> 00:16:48,916 - No. - OK, you know what? 395 00:16:48,917 --> 00:16:50,293 We can put that in a belongings bag... 396 00:16:50,294 --> 00:16:51,502 No, thanks. 397 00:16:51,503 --> 00:16:53,422 I, um... I think I will hold on to this. 398 00:16:54,631 --> 00:16:55,965 OK. Uh, you know what? 399 00:16:55,966 --> 00:16:57,883 We can put you in a sling, 400 00:16:57,884 --> 00:16:59,468 and then you can hold on to the ball 401 00:16:59,469 --> 00:17:00,721 while we examine you. 402 00:17:02,306 --> 00:17:04,473 OK. Yeah, I guess. 403 00:17:05,642 --> 00:17:07,018 Uh, you're gonna throw in an IV 404 00:17:07,019 --> 00:17:08,603 and start with 4 of morphine. 405 00:17:08,604 --> 00:17:11,063 No, no, no, no. I don't want to be knocked out. 406 00:17:11,064 --> 00:17:13,149 No, it's a low dose. You won't be knocked out. 407 00:17:13,150 --> 00:17:14,567 It'll just help with the pain. 408 00:17:14,568 --> 00:17:15,818 Might make you a little drowsy. 409 00:17:15,819 --> 00:17:18,362 No. I need to stay alert. 410 00:17:18,363 --> 00:17:19,655 OK. 411 00:17:19,656 --> 00:17:21,782 Uh, we will order you an X-ray. 412 00:17:21,783 --> 00:17:24,661 Just please let us know if you change your mind. 413 00:17:25,537 --> 00:17:27,038 OK, yeah. 414 00:17:30,208 --> 00:17:32,960 Temp is down to 103.5. 415 00:17:32,961 --> 00:17:34,879 Long way to 98.6. 416 00:17:34,880 --> 00:17:36,464 102, we take him off the ice. 417 00:17:36,465 --> 00:17:39,550 Otherwise, we can overshoot and cause hypothermia. 418 00:17:39,551 --> 00:17:41,344 I put in orders for CK. 419 00:17:41,345 --> 00:17:43,512 What does the CK tell us, Joy? 420 00:17:43,513 --> 00:17:46,474 Rhabdo from muscle breakdown can take out the kidneys. 421 00:17:46,475 --> 00:17:49,019 I'm more concerned about his brain. 422 00:17:54,775 --> 00:17:56,609 It's two times a day for three days, 423 00:17:56,610 --> 00:17:58,444 and, uh, a nurse can crush it up. 424 00:17:58,445 --> 00:18:00,696 Dr. Langdon already told me. 425 00:18:00,697 --> 00:18:02,323 OK, bye, Mel. 426 00:18:02,324 --> 00:18:03,783 I'll see you, uh... I'll see you at fireworks. 427 00:18:03,784 --> 00:18:06,535 Oh, I was going to watch fireworks 428 00:18:06,536 --> 00:18:09,121 with Adam and his parents. 429 00:18:09,122 --> 00:18:11,082 - Where? - At the park. 430 00:18:11,083 --> 00:18:13,709 They're picking us up. They go every year. 431 00:18:13,710 --> 00:18:15,378 But we always watch the fireworks together. 432 00:18:15,379 --> 00:18:16,462 I have your headphones. 433 00:18:16,463 --> 00:18:18,547 Adam said that he has extra. 434 00:18:18,548 --> 00:18:21,467 OK, well, um, do you have Adam's parents' phone number? 435 00:18:21,468 --> 00:18:22,635 Why? 436 00:18:22,636 --> 00:18:24,805 Just in case I need to reach them. 437 00:18:26,890 --> 00:18:28,391 I want to go now. 438 00:18:28,392 --> 00:18:30,727 - Well, I guess I could call... - Bye, Mel! 439 00:18:33,397 --> 00:18:35,731 So how long have you been part of the street team? 440 00:18:35,732 --> 00:18:37,900 Oh, about a year. 441 00:18:37,901 --> 00:18:39,568 And why do you do it? 442 00:18:39,569 --> 00:18:42,405 Oh, most of these unhoused folks feel abandoned. 443 00:18:42,406 --> 00:18:43,447 Sorry. 444 00:18:43,448 --> 00:18:45,282 They, uh, don't trust easily. 445 00:18:45,283 --> 00:18:48,077 Meeting them where they're at makes a big difference. 446 00:18:48,078 --> 00:18:51,580 I've been trying to get Kiki to come by for months. 447 00:18:51,581 --> 00:18:54,083 You should, uh, volunteer. 448 00:18:54,084 --> 00:18:55,459 It's great training. 449 00:18:55,460 --> 00:18:57,920 Street team could always use the help. 450 00:18:57,921 --> 00:19:00,423 Yeah, uh, maybe. 451 00:19:00,424 --> 00:19:01,799 Thank you. 452 00:19:01,800 --> 00:19:03,926 Hey, how did the deposition go? 453 00:19:03,927 --> 00:19:06,595 Um, I'm glad it's over, 454 00:19:06,596 --> 00:19:09,348 but I didn't feel good about it at all. 455 00:19:09,349 --> 00:19:11,100 You know, I'm still not supposed to talk about it. 456 00:19:11,101 --> 00:19:13,102 No, but you can talk about how you feel. 457 00:19:13,103 --> 00:19:15,604 Who do you have to talk to when things aren't going so good? 458 00:19:15,605 --> 00:19:17,523 Friends? Family? 459 00:19:17,524 --> 00:19:18,858 Actually, I don't really have anyone... 460 00:19:18,859 --> 00:19:20,359 Hey, McKay, where have you been? 461 00:19:20,360 --> 00:19:22,111 Oh, I, uh... I stepped out. 462 00:19:22,112 --> 00:19:23,863 Did you tell anybody? 463 00:19:23,864 --> 00:19:25,740 Oh, I was, uh, treating a young woman 464 00:19:25,741 --> 00:19:26,991 I met on the street team. 465 00:19:26,992 --> 00:19:28,909 Did she check in as a patient? 466 00:19:28,910 --> 00:19:31,329 No, we treated her in the park. 467 00:19:32,581 --> 00:19:34,957 "We"? 468 00:19:34,958 --> 00:19:36,959 I, uh... I took Ogilvie. 469 00:19:36,960 --> 00:19:39,170 Oh, OK, so you treated her 470 00:19:39,171 --> 00:19:41,297 outside the ED on PTMC's dime 471 00:19:41,298 --> 00:19:42,798 and you brought a medical student with you, 472 00:19:42,799 --> 00:19:44,341 right when we're in the middle of crisis mode, 473 00:19:44,342 --> 00:19:45,968 and we need all hands on deck. 474 00:19:45,969 --> 00:19:47,261 We were gone for 10 minutes, tops. 475 00:19:47,262 --> 00:19:48,679 When you're here, I need you to be here. 476 00:19:48,680 --> 00:19:51,975 And while you stepped out, Roxie died. 477 00:19:53,351 --> 00:19:54,561 What? 478 00:19:58,815 --> 00:20:01,400 Oh, man, I'm sorry. 479 00:20:01,401 --> 00:20:03,194 I didn't think she would be gone that quickly. 480 00:20:03,195 --> 00:20:04,988 Shit. 481 00:20:06,990 --> 00:20:08,240 Excuse me. 482 00:20:08,241 --> 00:20:11,243 Um, she took a nasty fall. Her shoulder. 483 00:20:11,244 --> 00:20:12,661 Screamed in pain when we put the ties on her. 484 00:20:12,662 --> 00:20:13,996 Hello, I'm Dr. Robinavitch. 485 00:20:13,997 --> 00:20:15,539 This is Dr. McKay. 486 00:20:15,540 --> 00:20:18,250 Agents Correa and Russo. 487 00:20:18,251 --> 00:20:20,544 She needs to be looked at before we process her. 488 00:20:20,545 --> 00:20:22,130 What's your name, ma'am? 489 00:20:23,757 --> 00:20:25,049 Pranita. 490 00:20:25,050 --> 00:20:27,718 We're gonna take care of you, OK? 491 00:20:27,719 --> 00:20:29,136 You said she fell? 492 00:20:29,137 --> 00:20:31,472 We were conducting a sweep at her restaurant. 493 00:20:31,473 --> 00:20:33,140 Everyone in the kitchen took off. 494 00:20:33,141 --> 00:20:35,351 She was shoved down some alley stairs. 495 00:20:35,352 --> 00:20:37,812 - Right. - Could be a rotator cuff tear 496 00:20:37,813 --> 00:20:40,481 or an AC separation. 497 00:20:40,482 --> 00:20:42,233 Let's put her in a chair, find her a room. 498 00:20:42,234 --> 00:20:43,944 South 19. 499 00:20:48,323 --> 00:20:49,866 Yeah. Just through here. 500 00:20:51,034 --> 00:20:52,660 Curtis, dude. 501 00:20:52,661 --> 00:20:54,078 What happened? 502 00:20:54,079 --> 00:20:55,913 Medics had to sedate him to transport. 503 00:20:57,249 --> 00:20:59,124 I didn't realize he was such an angry drunk. 504 00:20:59,125 --> 00:21:00,417 So you've seen him drunk before? 505 00:21:00,418 --> 00:21:02,711 Sure, yeah, but never like this. 506 00:21:02,712 --> 00:21:04,755 He tried to pick a fight with the guys in front of us. 507 00:21:04,756 --> 00:21:06,048 He said they were going too slow. 508 00:21:06,049 --> 00:21:07,967 That's when they called the cops. 509 00:21:07,968 --> 00:21:10,302 Could he have taken drugs? 510 00:21:10,303 --> 00:21:12,503 If he did, they were not the performance-enhancing kind. 511 00:21:13,557 --> 00:21:15,225 He shot a 112. 512 00:21:16,560 --> 00:21:19,645 We'll order labs, see what we can figure out. 513 00:21:19,646 --> 00:21:21,647 Uh, any family we can contact? 514 00:21:21,648 --> 00:21:23,607 I have no idea. We don't talk about that shit. 515 00:21:23,608 --> 00:21:24,984 How long is he gonna be here? 516 00:21:24,985 --> 00:21:27,319 At least 3 or 4 hours, till he sobers up. 517 00:21:27,320 --> 00:21:28,612 Cool. 518 00:21:28,613 --> 00:21:30,614 Is it OK if I just come back around 9:00? 519 00:21:30,615 --> 00:21:32,659 - Sure. - Great, thanks. 520 00:21:35,871 --> 00:21:38,623 I need those removed so I can check her vital signs. 521 00:21:42,627 --> 00:21:44,462 OK, tender over the AC. 522 00:21:50,969 --> 00:21:53,262 Can you, uh, lift your right arm up 523 00:21:53,263 --> 00:21:55,599 above your shoulder like this? 524 00:22:00,729 --> 00:22:02,771 - Ah! - Heart rate's 110. 525 00:22:02,772 --> 00:22:03,856 Pulse ox 98. 526 00:22:03,857 --> 00:22:05,941 Painful arc test is positive. 527 00:22:05,942 --> 00:22:07,443 Try the drop arm test. 528 00:22:07,444 --> 00:22:10,321 I'm gonna lift your arm up, OK? 529 00:22:10,322 --> 00:22:13,824 And you just lower it as slowly as you can, OK? 530 00:22:13,825 --> 00:22:15,618 OK. 531 00:22:15,619 --> 00:22:18,203 - Positive drop arm test. - What's that mean? 532 00:22:18,204 --> 00:22:20,080 That means that she's gonna require an X-ray. 533 00:22:20,081 --> 00:22:21,999 It's most likely a rotator cuff tear, 534 00:22:22,000 --> 00:22:23,792 which sometimes can come with a fracture. 535 00:22:23,793 --> 00:22:25,294 We need an X-ray to rule it out. 536 00:22:25,295 --> 00:22:27,212 How long is that gonna take? 537 00:22:27,213 --> 00:22:28,923 Our computers are down today. 538 00:22:28,924 --> 00:22:30,549 Everything's moving a little slower than usual, 539 00:22:30,550 --> 00:22:32,134 but we will fast-track her. 540 00:22:32,135 --> 00:22:34,428 Is there anyone you want us to call, Pranita? 541 00:22:34,429 --> 00:22:36,805 No phone calls. 542 00:22:36,806 --> 00:22:38,558 Got a bathroom? 543 00:22:46,858 --> 00:22:48,318 Right there. 544 00:22:50,153 --> 00:22:51,278 I do not want these guys here 545 00:22:51,279 --> 00:22:52,780 any longer than they need to be, 546 00:22:52,781 --> 00:22:54,490 so let's find X-ray and fast-track this one. 547 00:22:54,491 --> 00:22:56,617 Her family might be worried. Maybe I can call them... 548 00:22:56,618 --> 00:22:58,160 No, no, no. Just stay with her. 549 00:22:58,161 --> 00:22:59,495 Make sure she has everything she needs. 550 00:22:59,496 --> 00:23:00,955 We treat her injury, and that's it. 551 00:23:00,956 --> 00:23:02,623 OK. 552 00:23:02,624 --> 00:23:05,542 Jamie Guerrero to window three, please. 553 00:23:05,543 --> 00:23:08,171 Jamie Guerrero to window three. 554 00:23:34,572 --> 00:23:36,865 Got a lateral. 555 00:23:36,866 --> 00:23:38,158 Best I could. 556 00:23:38,159 --> 00:23:40,536 Posterior dislocation, no fracture. 557 00:23:40,537 --> 00:23:42,371 - Thanks. - Mm-hmm. 558 00:23:42,372 --> 00:23:43,831 OK, good news, Roberto. 559 00:23:43,832 --> 00:23:47,376 No broken bones, but the elbow joint is dislocated 560 00:23:47,377 --> 00:23:49,253 and we need to get the ball back in the socket. 561 00:23:49,254 --> 00:23:51,755 The best way is with sedation and pain meds. 562 00:23:51,756 --> 00:23:53,757 - No, no, no. - I know you said no morphine, 563 00:23:53,758 --> 00:23:55,843 but we can put local anesthetic into the joint 564 00:23:55,844 --> 00:23:56,927 to block the pain. 565 00:23:56,928 --> 00:23:58,095 That way you won't be sedated. 566 00:23:58,096 --> 00:24:00,014 No, thanks, Doc. 567 00:24:00,015 --> 00:24:02,267 Just... just give me a bullet to bite on. 568 00:24:07,063 --> 00:24:08,981 They raided Joe's over in Green Tree. 569 00:24:08,982 --> 00:24:10,566 Oh, man, I love that place. 570 00:24:10,567 --> 00:24:11,900 Brought in one of the employees. 571 00:24:11,901 --> 00:24:13,068 So ICE is here? 572 00:24:13,069 --> 00:24:14,403 People are leaving the waiting room. 573 00:24:14,404 --> 00:24:15,988 Ten patients already. What should I do? 574 00:24:15,989 --> 00:24:17,740 Just tell them the truth and hope they stay 575 00:24:17,741 --> 00:24:18,991 for the treatment that they need. 576 00:24:18,992 --> 00:24:20,409 Martha took off. 577 00:24:20,410 --> 00:24:21,618 I'm gonna call her when I get a chance. 578 00:24:21,619 --> 00:24:23,120 Oh, shit. Yeah, make sure she's OK. 579 00:24:23,121 --> 00:24:24,663 Will you call the EVS department too 580 00:24:24,664 --> 00:24:25,914 - and let 'em know? - Will do. 581 00:24:25,915 --> 00:24:27,082 All right, hold down the fort. 582 00:24:27,083 --> 00:24:28,125 Let us know if you need backup. 583 00:24:28,126 --> 00:24:29,501 You got it. 584 00:24:29,502 --> 00:24:32,087 Can't we just tell the agents to fuck off? 585 00:24:32,088 --> 00:24:34,631 They are not gonna leave without their patient. 586 00:24:34,632 --> 00:24:36,008 We just need to treat her. 587 00:24:36,009 --> 00:24:37,634 Even if she's undocumented? 588 00:24:37,635 --> 00:24:39,762 All patients, regardless of immigration status, 589 00:24:39,763 --> 00:24:42,766 have the right to emergency care under EMTALA. 590 00:24:43,767 --> 00:24:45,642 Pranita is next in line for X-ray. 591 00:24:45,643 --> 00:24:47,103 OK, good. Thank you. 592 00:24:48,813 --> 00:24:51,398 Propofol is down to 100 mikes per minute. 593 00:24:51,399 --> 00:24:52,816 Temp is 101.8. 594 00:24:52,817 --> 00:24:54,777 Great, let's get him off the ice. 595 00:24:54,778 --> 00:24:56,737 OK, hands. 596 00:24:56,738 --> 00:24:59,115 On my count. One, two, three. 597 00:25:02,160 --> 00:25:03,410 What's the latest? 598 00:25:03,411 --> 00:25:06,455 Uh, we got some arm movement. 599 00:25:06,456 --> 00:25:08,166 That's a good sign. 600 00:25:09,959 --> 00:25:13,338 And pupils are minimally reactive. 601 00:25:14,547 --> 00:25:16,965 Plantars are downgoing. 602 00:25:16,966 --> 00:25:19,135 All encouraging signs. 603 00:25:21,137 --> 00:25:23,180 Any luck getting a lawyer for our detainee? 604 00:25:23,181 --> 00:25:24,807 Uh, no. 605 00:25:24,808 --> 00:25:26,725 Keep me posted. 606 00:25:26,726 --> 00:25:28,143 Yeah. 607 00:25:33,191 --> 00:25:34,733 That's a pretty bracelet. 608 00:25:36,111 --> 00:25:38,154 My daughter made it for me. 609 00:25:40,031 --> 00:25:41,323 She doesn't know where I am. 610 00:25:41,324 --> 00:25:44,160 I just want her to know that I'm OK. 611 00:25:45,870 --> 00:25:48,372 You seriously won't let her make a phone call? 612 00:25:48,373 --> 00:25:50,791 Not until she's processed. 613 00:25:50,792 --> 00:25:52,335 Unbelievable. 614 00:25:54,003 --> 00:25:56,672 Thanks, and just let me know when she gets back. 615 00:25:56,673 --> 00:25:58,006 Uh, one other thing. 616 00:25:58,007 --> 00:26:00,884 Uh, do you have a resident named Adam? 617 00:26:00,885 --> 00:26:03,178 I was wondering if I could get his parents' phone number. 618 00:26:03,179 --> 00:26:04,388 - Nope! - I... 619 00:26:04,389 --> 00:26:06,014 Red phone is for emergencies only. 620 00:26:06,015 --> 00:26:08,184 This is kind of an emergency. 621 00:26:09,644 --> 00:26:11,062 Sorry. Bye. 622 00:26:12,272 --> 00:26:14,022 Hey, Mel, we need an R3 623 00:26:14,023 --> 00:26:15,524 to supervise a reduction in North 4. 624 00:26:15,525 --> 00:26:17,694 - Are you free? - Uh, I guess. 625 00:26:18,570 --> 00:26:20,404 Should we move the deceased woman 626 00:26:20,405 --> 00:26:22,364 in Central 9 to viewing? 627 00:26:22,365 --> 00:26:24,032 Uh, no, let's leave the husband in there 628 00:26:24,033 --> 00:26:26,201 - for a little while longer. - We need the room. 629 00:26:26,202 --> 00:26:28,203 We're not moving her yet! 630 00:26:28,204 --> 00:26:29,621 OK, sorry. 631 00:26:29,622 --> 00:26:31,332 I'm gonna do a room check. 632 00:26:32,625 --> 00:26:35,210 Pedes ICU says they'll have a bed soon. 633 00:26:35,211 --> 00:26:36,962 OK. 634 00:26:41,301 --> 00:26:43,218 So what do we think? 635 00:26:43,219 --> 00:26:44,720 About what? 636 00:26:44,721 --> 00:26:46,847 The mom of our heatstroke kid. 637 00:26:46,848 --> 00:26:48,390 Uh, that is not our job. 638 00:26:48,391 --> 00:26:50,559 That is what CYF is for. 639 00:26:50,560 --> 00:26:52,352 So you think it was on purpose? 640 00:26:52,353 --> 00:26:54,563 No, I did not say that. 641 00:26:54,564 --> 00:26:55,898 I just don't buy it. 642 00:26:55,899 --> 00:26:57,441 She lost her kid at home? 643 00:26:57,442 --> 00:26:58,734 Plus, she just looks guilty. 644 00:26:58,735 --> 00:27:00,445 Has anyone seen her cry? 645 00:27:01,905 --> 00:27:03,697 People don't always respond to trauma 646 00:27:03,698 --> 00:27:05,449 the way you expect them to. 647 00:27:05,450 --> 00:27:07,910 Stay focused on the kid. 648 00:27:10,413 --> 00:27:13,123 BP 78 over 42, sats 87. 649 00:27:13,124 --> 00:27:16,001 You having some pain again, Mr. Green? 650 00:27:16,002 --> 00:27:17,836 - Mr. Green? - This one's yours? 651 00:27:17,837 --> 00:27:20,547 Yeah, a kidney stone. Possible vasovagal. 652 00:27:20,548 --> 00:27:22,299 Can't assume that. We need some help here! 653 00:27:22,300 --> 00:27:23,467 Does he have an IV? 654 00:27:23,468 --> 00:27:25,761 N-no, he didn't need one. 655 00:27:25,762 --> 00:27:28,180 Hypotensive and hypoxic. 656 00:27:28,181 --> 00:27:29,640 Clear a trauma room. 657 00:27:29,641 --> 00:27:31,141 Yeah. 658 00:27:31,142 --> 00:27:33,685 Uh, he was just waiting on his discharge meds. 659 00:27:33,686 --> 00:27:35,355 Pain-free. 660 00:27:36,481 --> 00:27:38,190 A few more patients are gone from chairs. 661 00:27:38,191 --> 00:27:40,317 South 15 took off too. 662 00:27:40,318 --> 00:27:41,610 History of renal colic. 663 00:27:41,611 --> 00:27:43,487 Heme-positive urine. BP crashing. 664 00:27:43,488 --> 00:27:45,906 Heme-positive urine doesn't always mean kidney stone. 665 00:27:45,907 --> 00:27:48,283 Two antecubital lines, biggest ones we've got, 666 00:27:48,284 --> 00:27:52,996 E-FAST, and let's get two units of whole blood hung, please. 667 00:27:52,997 --> 00:27:54,123 Good. 668 00:27:55,917 --> 00:27:58,085 - Who worked up this patient? - I did. 669 00:27:58,086 --> 00:28:00,587 Ultrasound showed dilated ureter a... 670 00:28:00,588 --> 00:28:02,005 and mild left hydronephrosis 671 00:28:02,006 --> 00:28:04,132 consistent with his history of renal colic. 672 00:28:04,133 --> 00:28:05,634 What about the aorta? 673 00:28:05,635 --> 00:28:07,594 I didn't look at the aorta. 674 00:28:07,595 --> 00:28:09,596 - Who did you present to? - Dr. Mohan. 675 00:28:09,597 --> 00:28:11,306 You said the rest of the ultrasound was normal. 676 00:28:11,307 --> 00:28:13,433 I meant that the other kidney was normal. 677 00:28:15,561 --> 00:28:17,312 8-centimeter triple-A with massive free fluid. 678 00:28:17,313 --> 00:28:19,147 Ruptured aortic aneurysm. He's bleeding out. 679 00:28:19,148 --> 00:28:20,482 OK, go with the MTP. 680 00:28:20,483 --> 00:28:21,900 16-gauge in the left AC. 681 00:28:21,901 --> 00:28:24,152 Two units whole blood on the infuser. 682 00:28:25,154 --> 00:28:27,155 Assisting ventilations. 683 00:28:27,156 --> 00:28:28,657 Resps are agonal. 684 00:28:28,658 --> 00:28:30,868 OK, who wants to intubate? 685 00:28:32,912 --> 00:28:34,579 - Javadi? - Sure. 686 00:28:34,580 --> 00:28:36,206 OK, call for six more units of whole blood. 687 00:28:36,207 --> 00:28:37,874 Eusebio, call surgery. 688 00:28:37,875 --> 00:28:40,669 If we stay ahead of him, we might get him up to the OR. 689 00:28:40,670 --> 00:28:42,045 Here you go. 690 00:28:56,019 --> 00:28:57,519 We're lightening up his sedation 691 00:28:57,520 --> 00:29:00,147 to see if he has any purposeful movement. 692 00:29:00,148 --> 00:29:03,400 If so, that will be an encouraging sign. 693 00:29:03,401 --> 00:29:05,236 He'll be back to normal? 694 00:29:06,863 --> 00:29:08,155 There's no certainty 695 00:29:08,156 --> 00:29:10,866 as to how much recovery Micah will have. 696 00:29:10,867 --> 00:29:15,078 His response over the next 24 hours will tell. 697 00:29:15,079 --> 00:29:19,541 There is a chance of cognitive impairment, 698 00:29:19,542 --> 00:29:22,711 but also a chance of meaningful recovery. 699 00:29:22,712 --> 00:29:25,840 Dr. Al-Hashimi, the patient in 22 needs you. 700 00:29:27,550 --> 00:29:29,594 I will be right back. 701 00:29:45,151 --> 00:29:46,818 I'm in. Bag him. 702 00:29:46,819 --> 00:29:48,070 Nicely done. Good job. 703 00:29:48,071 --> 00:29:49,404 Unit three is up and running. 704 00:29:49,405 --> 00:29:50,739 I've got a 16-gauge EJ. 705 00:29:50,740 --> 00:29:52,366 That one goes on the rapid infuser. 706 00:29:52,367 --> 00:29:53,742 Good end tidal waveform. 707 00:29:56,079 --> 00:29:58,121 Strong radial pulse. That's a very good sign. 708 00:29:58,122 --> 00:30:00,248 BP's up. 86 over 52. 709 00:30:00,249 --> 00:30:01,416 Some progress. 710 00:30:01,417 --> 00:30:03,251 - How about 2 grams TXA? - Yeah. 711 00:30:03,252 --> 00:30:05,588 What else do we give after four units of blood? 712 00:30:08,132 --> 00:30:09,299 - Um... - Calcium gluconate 713 00:30:09,300 --> 00:30:10,592 to counteract hypocalcemia 714 00:30:10,593 --> 00:30:12,719 caused by the citrate anticoagulant. 715 00:30:12,720 --> 00:30:14,429 Why don't you see if you can't squeeze a unit 716 00:30:14,430 --> 00:30:16,264 into that peripheral line? 717 00:30:19,435 --> 00:30:20,769 Should somebody place a central line? 718 00:30:20,770 --> 00:30:22,145 Long central line is slower than 719 00:30:22,146 --> 00:30:23,772 short large-bore peripheral. 720 00:30:23,773 --> 00:30:24,940 Flow is proportional 721 00:30:24,941 --> 00:30:27,025 to the fourth power of the radius. 722 00:30:27,026 --> 00:30:28,610 Physics. 723 00:30:28,611 --> 00:30:30,445 Right. 724 00:30:30,446 --> 00:30:32,240 OK. 725 00:30:33,533 --> 00:30:35,159 Bite down on this. 726 00:30:36,452 --> 00:30:37,619 OK. 727 00:30:37,620 --> 00:30:39,663 - I'm stabilizing the humerus. - All right. 728 00:30:39,664 --> 00:30:41,123 After I supinate with traction, 729 00:30:41,124 --> 00:30:43,959 Dr. Whitaker will apply downward pressure 730 00:30:43,960 --> 00:30:45,377 on the proximal forearm. 731 00:30:45,378 --> 00:30:46,628 OK. 732 00:30:46,629 --> 00:30:48,046 This is gonna hurt like hell, Roberto. 733 00:30:48,047 --> 00:30:49,131 Mm, mm. 734 00:30:49,132 --> 00:30:51,258 One, two, three. 735 00:30:52,468 --> 00:30:54,136 OK. 736 00:30:54,137 --> 00:30:55,971 I'm flexing at the elbow. 737 00:31:02,478 --> 00:31:04,312 Systolic's down to 68. 738 00:31:04,313 --> 00:31:06,648 Units five and six are up and running. 739 00:31:08,109 --> 00:31:10,318 I'm here for Garcia. Vascular can't come down. 740 00:31:10,319 --> 00:31:11,653 Triple A with hemorrhagic shock. 741 00:31:11,654 --> 00:31:12,821 Most of these die in the field. 742 00:31:12,822 --> 00:31:14,156 He was stable. 743 00:31:14,157 --> 00:31:15,782 Presented with a history of renal colic. 744 00:31:15,783 --> 00:31:18,326 And nobody saw the triple A on ultrasound? 745 00:31:18,327 --> 00:31:19,828 Was this you? 746 00:31:19,829 --> 00:31:22,330 No. It was me. 747 00:31:22,331 --> 00:31:24,583 Looks like sinus tach. 748 00:31:24,584 --> 00:31:26,251 Nope, lost the pulse. It's PEA. 749 00:31:26,252 --> 00:31:27,711 Bag him. Ogilvie, start compressions. 750 00:31:27,712 --> 00:31:28,920 We're having a hard time 751 00:31:28,921 --> 00:31:30,255 staying ahead of the blood loss. 752 00:31:30,256 --> 00:31:31,923 Sterile gloves. Prep for a thoracotomy. 753 00:31:31,924 --> 00:31:34,217 Dr. Javadi, why don't you glove up and show Dr. Shamsi 754 00:31:34,218 --> 00:31:35,803 why you belong in the ED? 755 00:31:37,013 --> 00:31:39,181 If we can cross-clamp the aorta, 756 00:31:39,182 --> 00:31:40,932 we can stop the blood flow from below the diaphragm. 757 00:31:40,933 --> 00:31:42,560 We can perfuse the heart and the brain. 758 00:31:45,771 --> 00:31:48,023 - Ten blade. - Right in there. 759 00:31:55,656 --> 00:31:57,033 Mayo scissors. 760 00:32:04,373 --> 00:32:05,875 Rib spreader. 761 00:32:10,922 --> 00:32:12,465 Satinsky. 762 00:32:13,716 --> 00:32:15,718 Let me know when you have enough exposure. 763 00:32:20,056 --> 00:32:21,140 Right there. 764 00:32:23,851 --> 00:32:25,060 Do you need me on suction? 765 00:32:25,061 --> 00:32:26,228 No, there's no blood in the chest. 766 00:32:26,229 --> 00:32:27,229 It's all in the belly. 767 00:32:27,230 --> 00:32:28,648 Here, keep squeezing. 768 00:32:33,402 --> 00:32:34,904 Aorta's clamped. 769 00:32:36,113 --> 00:32:37,113 Heart is empty. 770 00:32:37,114 --> 00:32:38,114 OK, Javadi, get in there. 771 00:32:38,115 --> 00:32:39,408 Internal compressions, go. 772 00:32:43,788 --> 00:32:45,580 Put two more units on the rapid infuser, please. 773 00:32:45,581 --> 00:32:47,458 That'll be units seven and eight. 774 00:32:54,090 --> 00:32:55,340 All right. Neuro's intact. 775 00:32:55,341 --> 00:32:56,925 So we'll do a posterior splint, 776 00:32:56,926 --> 00:32:59,427 a sling, and an ortho referral. 777 00:32:59,428 --> 00:33:00,929 You know, I'm actually kind of impressed 778 00:33:00,930 --> 00:33:02,138 you did that without pain meds. 779 00:33:02,139 --> 00:33:03,974 Definitely worth it. 780 00:33:03,975 --> 00:33:07,102 You know, last year I caught McCutchen's 300th career homer, 781 00:33:07,103 --> 00:33:09,437 but another fan stole it from me. 782 00:33:09,438 --> 00:33:11,607 I promised myself I would never let that happen again. 783 00:33:13,067 --> 00:33:15,151 Whitaker, can you write the procedure note? 784 00:33:15,152 --> 00:33:16,611 Yeah, you already filled in the T-sheet, so... 785 00:33:16,612 --> 00:33:17,904 Yeah, well, I'm already here. 786 00:33:17,905 --> 00:33:18,947 Yeah, I kind of had a handle... 787 00:33:18,948 --> 00:33:20,323 I just did everything else, 788 00:33:20,324 --> 00:33:21,491 so can you just fill out the chart? 789 00:33:21,492 --> 00:33:22,617 You should probably finish it. 790 00:33:22,618 --> 00:33:23,910 - Well... - OK, someone do this! 791 00:33:23,911 --> 00:33:25,663 I don't... I don't... I don't care who. 792 00:33:27,456 --> 00:33:28,624 Yeah. 793 00:33:37,341 --> 00:33:38,717 Where's Mrs. Azurmendi? 794 00:33:38,718 --> 00:33:40,302 She stepped out. 795 00:33:40,303 --> 00:33:41,679 Stepped out? 796 00:33:46,976 --> 00:33:48,518 Feels like the heart's filling back up. 797 00:33:48,519 --> 00:33:50,312 Let's have a peek. 798 00:33:52,565 --> 00:33:55,025 Looks good. Really good. 799 00:33:55,026 --> 00:33:56,777 Strong radial pulse. 800 00:33:58,321 --> 00:34:00,823 Moist lap pads. Prep for transfer. 801 00:34:01,699 --> 00:34:03,825 Systolic of 94. That's the best so far. 802 00:34:03,826 --> 00:34:05,244 Can I go with you? 803 00:34:06,537 --> 00:34:08,830 He's my patient. 804 00:34:08,831 --> 00:34:10,457 OK by me. 805 00:34:10,458 --> 00:34:12,209 Bring two extra units. 806 00:34:17,381 --> 00:34:19,049 ICE is in the building? 807 00:34:19,050 --> 00:34:20,342 Word travels fast. Yeah. 808 00:34:20,343 --> 00:34:22,719 We have a detainee with a rotator cuff tear. 809 00:34:22,720 --> 00:34:23,970 Two of our nurses went home. 810 00:34:23,971 --> 00:34:25,180 They have temporary protected status, 811 00:34:25,181 --> 00:34:27,350 but they just don't feel safe. 812 00:34:30,186 --> 00:34:32,520 Um, I'm really sorry, Dr. Robby. 813 00:34:32,521 --> 00:34:33,647 I should have checked the aorta. 814 00:34:33,648 --> 00:34:35,106 It's an easy one to miss. 815 00:34:35,107 --> 00:34:38,069 Got a heartbeat back, though, so still some hope. 816 00:34:41,697 --> 00:34:42,739 I'm sorry too. 817 00:34:42,740 --> 00:34:44,366 I... I should have asked Ogilvie 818 00:34:44,367 --> 00:34:45,867 if he'd checked the aorta. 819 00:34:45,868 --> 00:34:48,078 - It's... it's my fault. - It is. 820 00:34:48,079 --> 00:34:49,454 You're the senior resident. 821 00:34:49,455 --> 00:34:51,206 You don't look to others. Others look to you. 822 00:34:51,207 --> 00:34:53,541 - I know. I'm really sorry. - This is what happens 823 00:34:53,542 --> 00:34:55,543 when you bring your personal life into work. 824 00:34:55,544 --> 00:34:57,171 - Patient almost died. - I know. 825 00:34:58,547 --> 00:35:01,091 You have to think of these walls like a force field. 826 00:35:01,092 --> 00:35:02,759 You cannot let anything in. 827 00:35:02,760 --> 00:35:04,552 Your mother's not in here. She is out there. 828 00:35:04,553 --> 00:35:06,429 You keep everything out there. That is the key. 829 00:35:06,430 --> 00:35:08,765 That is the difference between the best doctors 830 00:35:08,766 --> 00:35:10,725 and the ones that don't make it. 831 00:35:10,726 --> 00:35:12,061 You're right. 832 00:35:13,396 --> 00:35:15,773 Maybe I just don't belong here. 833 00:35:19,735 --> 00:35:21,444 Pranita's X-ray results. 834 00:35:21,445 --> 00:35:23,196 - No fracture. - OK. 835 00:35:23,197 --> 00:35:25,407 We'll just have Jesse fit her for a sling, I guess, 836 00:35:25,408 --> 00:35:26,950 and then we have to discharge her. 837 00:35:26,951 --> 00:35:28,910 To the immigration guys? 838 00:35:28,911 --> 00:35:30,413 I'm afraid so. 839 00:35:32,581 --> 00:35:34,791 OK, time for you to go. 840 00:35:34,792 --> 00:35:37,335 I was just having a chat with Ms. Peters here. 841 00:35:37,336 --> 00:35:39,587 You can see how busy this department is, right? 842 00:35:39,588 --> 00:35:40,922 You've been nothing but a distraction 843 00:35:40,923 --> 00:35:42,590 and a disruption since you've been here. 844 00:35:42,591 --> 00:35:44,759 I'm already short-staffed, and I just lost five nurses 845 00:35:44,760 --> 00:35:46,594 and half my environmental services team 846 00:35:46,595 --> 00:35:48,847 because you walked in. 847 00:35:48,848 --> 00:35:50,932 You know patients come in here for help, right? 848 00:35:50,933 --> 00:35:52,684 Because they're either sick or they're injured, 849 00:35:52,685 --> 00:35:54,269 and documented or undocumented, 850 00:35:54,270 --> 00:35:56,271 they have a right to emergency care. 851 00:35:56,272 --> 00:35:58,898 TB, measles, fractures... none of it's getting treated 852 00:35:58,899 --> 00:36:00,108 'cause everybody's too scared to come in. 853 00:36:00,109 --> 00:36:01,151 But then they end up here anyway, 854 00:36:01,152 --> 00:36:02,652 but then it's too fucking late! 855 00:36:02,653 --> 00:36:04,237 So please, for the love of God, can you just go 856 00:36:04,238 --> 00:36:06,114 wait over there in the room with your detainee, 857 00:36:06,115 --> 00:36:08,534 so I don't lose any more patients or staff? 858 00:36:10,161 --> 00:36:11,996 No problem, Doc. 859 00:36:22,465 --> 00:36:24,633 Mrs. Azurmendi. 860 00:36:26,010 --> 00:36:28,011 Brenda. 861 00:36:28,012 --> 00:36:29,804 Where are you going? 862 00:36:29,805 --> 00:36:31,182 Brenda! 863 00:36:36,145 --> 00:36:37,562 OK, OK. 864 00:36:37,563 --> 00:36:39,147 It's OK. 865 00:36:39,148 --> 00:36:40,899 Let's get you back inside to your son. 866 00:36:40,900 --> 00:36:43,152 It's OK. It's OK. It's OK. It's OK. 867 00:36:45,738 --> 00:36:48,490 Come on. She's cleared to go. 868 00:36:48,491 --> 00:36:50,241 Wait. Hold on. She needs a sling. 869 00:36:50,242 --> 00:36:51,743 - This will only take a minute. - We're leaving. 870 00:36:51,744 --> 00:36:53,369 Hey, man, you're hurting her! 871 00:36:55,998 --> 00:36:57,749 Jesus Christ. What's going on now? 872 00:36:57,750 --> 00:36:59,083 Robby! 873 00:36:59,084 --> 00:37:00,585 Help! 874 00:37:00,586 --> 00:37:03,254 You can't do this! What are you doing? 875 00:37:03,255 --> 00:37:04,589 - This is bullshit. - What the hell is going on? 876 00:37:04,590 --> 00:37:05,673 - Get your hands off me. - He hurt her, 877 00:37:05,674 --> 00:37:06,966 and Jesse stepped in! 878 00:37:06,967 --> 00:37:08,468 - Robby, I didn't do shit. - I know. 879 00:37:08,469 --> 00:37:09,969 I know. I'm just gonna... 880 00:37:11,680 --> 00:37:13,139 - No! - We gotta go. 881 00:37:13,140 --> 00:37:15,475 - No, don't! - Come on. 882 00:37:15,476 --> 00:37:17,185 Don't say anything. You don't have to say anything. 883 00:37:17,186 --> 00:37:18,186 They can't make you say anything. 884 00:37:18,187 --> 00:37:19,187 We'll get you an attorney. 885 00:37:19,188 --> 00:37:21,022 I promise we'll get you out. 886 00:37:21,023 --> 00:37:22,524 Call the hospital attorney again. 887 00:37:22,525 --> 00:37:23,900 - No, no! - Can't believe this shit! 888 00:37:23,901 --> 00:37:25,401 Can you at least tell us where you're taking them? 889 00:37:25,402 --> 00:37:26,694 No! 890 00:37:26,695 --> 00:37:28,196 Is there a detention center near Pittsburgh? 891 00:37:28,197 --> 00:37:29,697 That's gotta be where they're going, right? 892 00:37:29,698 --> 00:37:31,533 It could be hours before he's processed. 893 00:37:31,534 --> 00:37:33,493 I'll stay on it. 894 00:37:33,494 --> 00:37:35,537 What can we do? 895 00:37:35,538 --> 00:37:37,121 Uh... hey, Javadi! 896 00:37:37,122 --> 00:37:38,957 Javadi, please come back. 897 00:37:38,958 --> 00:37:41,209 Everybody, just go check on your patients. 898 00:37:41,210 --> 00:37:42,627 Assure them. Tell them what happened. 899 00:37:42,628 --> 00:37:44,212 But please, everybody get back to work. 900 00:37:44,213 --> 00:37:45,755 Who's gonna take Jesse's patients? 901 00:37:45,756 --> 00:37:47,799 - I can do it, D. - Thanks, Perlah. 902 00:37:49,385 --> 00:37:50,969 - Hey, you OK? - Yeah, I'm OK. 903 00:37:50,970 --> 00:37:52,720 - Are you OK? - Yeah. 904 00:37:52,721 --> 00:37:54,556 The lawyers are tied up with the cyberattacks upstairs. 905 00:37:54,557 --> 00:37:56,391 They probably won't come down for a while. 906 00:37:58,060 --> 00:37:59,769 What's the latest with the heatstroke kid? 907 00:37:59,770 --> 00:38:01,939 I sent him up to Pedes ICU. 908 00:38:06,652 --> 00:38:08,361 What's going on? 909 00:38:08,362 --> 00:38:10,071 I found her outside, wandering into the street. 910 00:38:10,072 --> 00:38:11,865 She almost got hit by a truck. 911 00:38:11,866 --> 00:38:13,575 I think it was intentional. 912 00:38:13,576 --> 00:38:15,076 Christ almighty. 913 00:38:15,077 --> 00:38:16,578 I told Nurse Kim not to let her out of her sight. 914 00:38:16,579 --> 00:38:18,746 We need to call a 302 and observe her. 915 00:38:18,747 --> 00:38:20,039 Danger to self. 916 00:38:20,040 --> 00:38:21,583 Is she gonna be able to see her kid? 917 00:38:21,584 --> 00:38:23,626 Not if she's on an involuntary psych hold. 918 00:38:23,627 --> 00:38:25,587 Well, what happens if he's ready to be discharged 919 00:38:25,588 --> 00:38:26,963 before she is? 920 00:38:26,964 --> 00:38:28,798 Does she have a partner or a relative we can call? 921 00:38:28,799 --> 00:38:30,216 I can find out. 922 00:38:30,217 --> 00:38:31,634 Why don't you and I talk to her together? 923 00:38:31,635 --> 00:38:33,469 Sure, I just need to check on a patient, 924 00:38:33,470 --> 00:38:35,763 - and I will meet you there. - OK. 925 00:38:48,360 --> 00:38:51,155 Uh, OK. 926 00:38:52,197 --> 00:38:53,531 Hey, Emma, 927 00:38:53,532 --> 00:38:54,782 have you seen this patient? 928 00:38:54,783 --> 00:38:56,034 Oh, I... I haven't. 929 00:38:56,035 --> 00:38:57,619 Oh, she took off when those ICE guys 930 00:38:57,620 --> 00:38:58,913 arrested your nurse. 931 00:39:01,624 --> 00:39:03,042 Damn it. 932 00:39:04,126 --> 00:39:06,794 I tried to get him 933 00:39:06,795 --> 00:39:08,671 to help me in the garden, 934 00:39:08,672 --> 00:39:11,467 but he just wanted to ride his trike. 935 00:39:13,594 --> 00:39:15,637 So I let him. 936 00:39:15,638 --> 00:39:18,139 Every time I looked over, 937 00:39:18,140 --> 00:39:22,394 he was just riding around. 938 00:39:24,772 --> 00:39:27,941 And then he wasn't. 939 00:39:27,942 --> 00:39:31,153 Have you ever thought about hurting yourself? 940 00:39:34,448 --> 00:39:35,782 CBC and blood alcohol are 941 00:39:35,783 --> 00:39:37,200 back on your golfer, Curtis Larson. 942 00:39:37,201 --> 00:39:39,285 - 0.14. - Copy that. 943 00:39:39,286 --> 00:39:41,537 OK, we'll wait for the other labs. 944 00:39:41,538 --> 00:39:43,248 He'll need to sleep it off in the meantime. 945 00:39:44,917 --> 00:39:47,585 Hey, Gabriel, can you wait up a sec? 946 00:39:47,586 --> 00:39:49,337 Do you have Duke Ekins' chest X-ray? 947 00:39:49,338 --> 00:39:50,755 - Yeah. - How's it look? 948 00:39:50,756 --> 00:39:52,423 Radiologists still need to read it. 949 00:39:52,424 --> 00:39:54,134 Can you pull it up for me? 950 00:39:58,681 --> 00:40:00,348 Shit. 951 00:40:00,349 --> 00:40:02,392 I gotta call the funeral home, 952 00:40:02,393 --> 00:40:03,726 start making arrangements. 953 00:40:03,727 --> 00:40:04,852 Or you could slow down, 954 00:40:04,853 --> 00:40:06,688 take some time for yourself. 955 00:40:06,689 --> 00:40:08,064 How you doing? 956 00:40:08,065 --> 00:40:10,692 Oh, you know, been better. 957 00:40:10,693 --> 00:40:12,694 You spend so much time with these people, 958 00:40:12,695 --> 00:40:14,195 you become a part of their family. 959 00:40:14,196 --> 00:40:16,364 It's not like it is here, where patients come and go. 960 00:40:16,365 --> 00:40:17,865 Don't stay for the night shift. 961 00:40:17,866 --> 00:40:19,534 We got reinforcements coming in. 962 00:40:19,535 --> 00:40:20,868 I'd rather work. 963 00:40:20,869 --> 00:40:22,203 I don't know if I want to sit with this at home. 964 00:40:22,204 --> 00:40:23,371 Try. For once, just listen to me. 965 00:40:23,372 --> 00:40:24,372 Take the night off. 966 00:40:24,373 --> 00:40:25,665 I'll cover for you until 967 00:40:25,666 --> 00:40:27,208 I can find someone else to come in. 968 00:40:27,209 --> 00:40:28,919 - Go. - OK. 969 00:40:30,087 --> 00:40:31,380 OK. 970 00:40:36,385 --> 00:40:38,387 You think she's gonna be OK? 971 00:40:39,555 --> 00:40:40,888 I don't know. 972 00:40:40,889 --> 00:40:43,224 I just hope she can forgive herself. 973 00:40:50,816 --> 00:40:54,068 I've noticed some tension between you and Dr. Santos. 974 00:40:54,069 --> 00:40:55,486 You two have history? 975 00:40:55,487 --> 00:40:57,071 Uh, yeah. 976 00:40:57,072 --> 00:40:58,866 She doesn't like me very much. 977 00:41:01,618 --> 00:41:03,745 Uh... 978 00:41:03,746 --> 00:41:05,788 we worked together one time. 979 00:41:05,789 --> 00:41:08,916 I was a pretty big asshole. 980 00:41:08,917 --> 00:41:11,502 She called me out on some things that I... 981 00:41:11,503 --> 00:41:16,090 wasn't ready to face, and I overreacted. 982 00:41:16,091 --> 00:41:17,300 I'm gonna talk to her. 983 00:41:17,301 --> 00:41:20,553 I just haven't found the right time. 984 00:41:20,554 --> 00:41:21,929 Good. 985 00:41:21,930 --> 00:41:23,307 Do. 986 00:41:32,483 --> 00:41:34,650 Thought you might be in here. 987 00:41:34,651 --> 00:41:36,110 What's going on? 988 00:41:36,111 --> 00:41:38,821 It's just the deposition and my sister coming in. 989 00:41:38,822 --> 00:41:40,823 It's been a... a day. 990 00:41:40,824 --> 00:41:42,158 Oh. 991 00:41:42,159 --> 00:41:44,452 Screw the deposition. 992 00:41:44,453 --> 00:41:46,413 Is your sister OK? 993 00:41:47,539 --> 00:41:49,457 Yeah, it's just a UTI, 994 00:41:49,458 --> 00:41:51,125 so meds will clear it up. 995 00:41:51,126 --> 00:41:53,170 Well, that's good. 996 00:41:54,463 --> 00:41:59,133 She has a boyfriend she didn't tell me about, 997 00:41:59,134 --> 00:42:01,469 and other things she didn't tell me about. 998 00:42:01,470 --> 00:42:03,054 Well, maybe she didn't know how. 999 00:42:03,055 --> 00:42:04,848 She's having sex. 1000 00:42:06,475 --> 00:42:09,060 Great s-sex. 1001 00:42:09,061 --> 00:42:10,394 And she lied to me. 1002 00:42:10,395 --> 00:42:12,980 I mean, she... she lied to my face for 6 months. 1003 00:42:12,981 --> 00:42:14,858 My sister is a fucking liar. 1004 00:42:16,568 --> 00:42:18,070 Did you just curse? 1005 00:42:19,988 --> 00:42:22,490 It's how I feel. 1006 00:42:22,491 --> 00:42:24,492 Look, kid, 1007 00:42:24,493 --> 00:42:26,828 I say this with love. 1008 00:42:26,829 --> 00:42:29,705 People got their own reasons for keeping secrets. 1009 00:42:29,706 --> 00:42:32,166 Most of the time, it's got nothing to do with you. 1010 00:42:32,167 --> 00:42:35,670 I've seen "Elf" 164 times. 1011 00:42:35,671 --> 00:42:38,840 Becca loves "Elf," so we watch "Elf." 1012 00:42:38,841 --> 00:42:40,049 And she's got everything, 1013 00:42:40,050 --> 00:42:41,801 and n... and now she's got a boyfriend, 1014 00:42:41,802 --> 00:42:43,553 and they're gonna fall in love and they're gonna get married, 1015 00:42:43,554 --> 00:42:45,848 and I'm gonna be completely alone. 1016 00:42:49,768 --> 00:42:52,354 Did it feel good to say that out loud? 1017 00:42:53,689 --> 00:42:54,940 No. 1018 00:42:56,692 --> 00:43:00,695 Mel, you're a good egg, 1019 00:43:00,696 --> 00:43:03,906 but this is not about you. 1020 00:43:03,907 --> 00:43:05,074 I learned a long time ago 1021 00:43:05,075 --> 00:43:06,868 to quit feeling sorry for myself. 1022 00:43:06,869 --> 00:43:07,869 Now come on. 1023 00:43:07,870 --> 00:43:09,496 Pity party's over. 1024 00:43:17,212 --> 00:43:19,338 OK, so this is your heart, 1025 00:43:19,339 --> 00:43:22,008 and these are your lungs. 1026 00:43:22,009 --> 00:43:23,593 - They look OK? - Yeah. 1027 00:43:23,594 --> 00:43:24,844 It's this part right here, 1028 00:43:24,845 --> 00:43:26,345 this space right between your lungs. 1029 00:43:26,346 --> 00:43:29,098 It's called the mediastinum, and it is enlarged. 1030 00:43:29,099 --> 00:43:30,892 It is too wide. 1031 00:43:30,893 --> 00:43:32,351 From what? 1032 00:43:32,352 --> 00:43:34,187 Can't really tell from the plain film. 1033 00:43:34,188 --> 00:43:35,521 Could be any number of things. 1034 00:43:35,522 --> 00:43:37,732 Yeah, stop the bullshit. 1035 00:43:37,733 --> 00:43:39,609 It could be an enlarged thyroid. 1036 00:43:39,610 --> 00:43:41,903 It could be enlarged lymph nodes 1037 00:43:41,904 --> 00:43:42,904 from an infection. 1038 00:43:42,905 --> 00:43:45,574 It could possibly be a tumor. 1039 00:43:46,909 --> 00:43:48,784 You think I have lung cancer? 1040 00:43:48,785 --> 00:43:50,912 Nope, I don't see that. 1041 00:43:50,913 --> 00:43:53,456 But cancer of the lymph nodes is called lymphoma. 1042 00:43:53,457 --> 00:43:55,583 And there are a lot of diseases of the aorta, 1043 00:43:55,584 --> 00:43:57,460 which is this big artery that comes off the heart, 1044 00:43:57,461 --> 00:43:58,628 which can get enlarged 1045 00:43:58,629 --> 00:44:00,421 because of weak spot in the wall. 1046 00:44:00,422 --> 00:44:05,259 Kind of like a, uh, bubble in a tire that can have a blowout. 1047 00:44:05,260 --> 00:44:07,845 And the only way to make sure 1048 00:44:07,846 --> 00:44:10,973 is to do a CT scan of your chest. 1049 00:44:10,974 --> 00:44:12,308 Today. 1050 00:44:12,309 --> 00:44:13,977 How long does that take? 1051 00:44:15,938 --> 00:44:18,357 A few hours, couple hours. 1052 00:44:19,816 --> 00:44:21,944 You still gonna be here? 1053 00:44:25,572 --> 00:44:30,160 Yeah, I would not feel good about riding if I rushed this. 1054 00:44:32,996 --> 00:44:34,706 This is important? 1055 00:44:39,127 --> 00:44:40,545 Hey. 1056 00:44:41,296 --> 00:44:43,464 I think the, uh, labs are back 1057 00:44:43,465 --> 00:44:45,299 on your COPD patient. 1058 00:44:45,300 --> 00:44:46,759 Saw 'em in the rack. 1059 00:44:46,760 --> 00:44:48,427 Thanks. 1060 00:44:48,428 --> 00:44:49,971 Uh, look. 1061 00:44:49,972 --> 00:44:51,639 I don't know how to say this. 1062 00:44:51,640 --> 00:44:53,183 Um... 1063 00:44:55,310 --> 00:44:58,813 I know you don't like me, and... and that's fine. 1064 00:44:58,814 --> 00:45:00,648 You don't have to. I just... 1065 00:45:00,649 --> 00:45:02,316 I want to say I'm sorry 1066 00:45:02,317 --> 00:45:04,318 for being an asshole on your first day. 1067 00:45:04,319 --> 00:45:06,237 That was completely inappropriate, 1068 00:45:06,238 --> 00:45:09,323 and if I could take back what happened, 1069 00:45:09,324 --> 00:45:11,410 I would, but I can't. 1070 00:45:13,495 --> 00:45:14,538 OK. 1071 00:45:17,916 --> 00:45:19,083 OK, I'm sorry, I just... 1072 00:45:19,084 --> 00:45:20,501 I don't buy it. 1073 00:45:20,502 --> 00:45:21,877 Everyone thinks you're just an addict 1074 00:45:21,878 --> 00:45:23,087 who went to rehab, 1075 00:45:23,088 --> 00:45:24,505 and you've convinced everyone here 1076 00:45:24,506 --> 00:45:25,715 that you've changed 1077 00:45:25,716 --> 00:45:27,174 and you're owning up to your mistakes, 1078 00:45:27,175 --> 00:45:28,801 and they welcome you back with open arms 1079 00:45:28,802 --> 00:45:30,219 because you're still the golden boy, 1080 00:45:30,220 --> 00:45:31,722 and I think it's bullshit. 1081 00:45:33,015 --> 00:45:34,807 I'm genuinely sorry. 1082 00:45:34,808 --> 00:45:37,059 And I can promise you, I have faced my fair share 1083 00:45:37,060 --> 00:45:38,311 of punishment for what I did. 1084 00:45:38,312 --> 00:45:40,688 You fucking stole drugs from the hospital. 1085 00:45:40,689 --> 00:45:42,356 Only three people here actually know that. 1086 00:45:42,357 --> 00:45:44,317 Have you told anyone else what you did? 1087 00:45:44,318 --> 00:45:45,693 - Have you? - Look. 1088 00:45:45,694 --> 00:45:47,528 I'm just trying to get through my first day back. 1089 00:45:47,529 --> 00:45:49,030 You shouldn't even be here! 1090 00:45:49,031 --> 00:45:50,865 I should have reported you to the state medical board. 1091 00:45:50,866 --> 00:45:53,034 You should have lost your license and gone to prison. 1092 00:45:53,035 --> 00:45:54,493 You don't know what I've been through. 1093 00:45:54,494 --> 00:45:55,745 What you've been through? 1094 00:45:55,746 --> 00:45:57,038 My wife threatened to divorce me, OK? 1095 00:45:57,039 --> 00:45:58,372 I almost lost my kids. 1096 00:45:58,373 --> 00:46:00,375 Yeah, that's what happens when you fuck up. 1097 00:46:03,587 --> 00:46:05,087 You don't have to accept my apology. 1098 00:46:05,088 --> 00:46:08,008 I just... I wanted to say it, OK? 1099 00:46:08,884 --> 00:46:11,302 You really want to atone for your sins? 1100 00:46:11,303 --> 00:46:12,720 Tell everyone here you stole drugs 1101 00:46:12,721 --> 00:46:14,472 and got kicked out of the ED because of it. 1102 00:46:14,473 --> 00:46:16,892 Until then, stay out of my way. 1103 00:46:29,071 --> 00:46:30,571 Oh, hi. 1104 00:46:30,572 --> 00:46:32,073 What the fuck? 1105 00:46:32,074 --> 00:46:33,282 I'm just checking your vital signs. 1106 00:46:33,283 --> 00:46:34,700 Oh. 1107 00:46:34,701 --> 00:46:36,786 Where am I? 1108 00:46:36,787 --> 00:46:38,245 - Oh! - What did you do to me? 1109 00:46:38,246 --> 00:46:39,705 Huh? 1110 00:46:42,827 --> 00:46:46,421 Sync and corrections by btsix www.addic7ed.com