1 00:00:09,925 --> 00:00:12,679 Sync and corrections by btsix www.addic7ed.com 2 00:00:12,680 --> 00:00:15,015 Huh? 3 00:00:17,935 --> 00:00:19,020 Hey! 4 00:00:23,690 --> 00:00:25,107 Donnie, thank you. I'm sorry. 5 00:00:25,109 --> 00:00:27,027 We'll get another nurse to replace Jesse. 6 00:00:27,028 --> 00:00:28,862 Do we even know where these ICE assholes took him? 7 00:00:28,863 --> 00:00:30,703 No, but the hospital attorneys are all over it. 8 00:00:32,033 --> 00:00:34,534 I know you got child duty... what's going on? 9 00:00:34,535 --> 00:00:36,746 It's a code Hula Hoop, Central 14. 10 00:00:38,915 --> 00:00:42,250 Move, move, move, move, move, move, move, move. 11 00:00:42,251 --> 00:00:44,544 What the hell happened? 12 00:00:44,545 --> 00:00:47,714 He attacked Emma, so I gave him a shot to settle him down. 13 00:00:47,715 --> 00:00:50,300 Are you all right? 14 00:00:50,301 --> 00:00:52,969 Let's see. 15 00:00:52,970 --> 00:00:56,182 - How did he get a bloody nose? - He slipped. 16 00:00:57,558 --> 00:00:59,894 - Can I see? - He had her in a headlock. 17 00:01:01,729 --> 00:01:04,940 - Uh, where's Ogilvy? - Upstairs. 18 00:01:04,941 --> 00:01:07,776 They let him scrub in on that kidney stone turned triple-A. 19 00:01:07,777 --> 00:01:09,736 Oh, great, on the one day med students 20 00:01:09,737 --> 00:01:12,572 might actually be useful in the ED. 21 00:01:12,573 --> 00:01:14,282 Oh, uh, present company excluded. 22 00:01:14,283 --> 00:01:16,326 You're doing great. 23 00:01:16,327 --> 00:01:17,498 Sure. 24 00:01:17,499 --> 00:01:19,746 Hey, uh, can I get a selfie with you? 25 00:01:19,747 --> 00:01:20,936 With me? 26 00:01:20,937 --> 00:01:22,999 Yeah, you're kind of a legend among med students. 27 00:01:23,000 --> 00:01:24,148 Really? 28 00:01:24,149 --> 00:01:26,086 They call you Phantom of the Pitt, 29 00:01:26,087 --> 00:01:27,629 on account of you secretly living 30 00:01:27,630 --> 00:01:29,172 in the hospital for months. 31 00:01:29,173 --> 00:01:30,966 What? It wasn't months. 32 00:01:30,967 --> 00:01:32,592 Still waiting on labs... 33 00:01:32,593 --> 00:01:34,219 X-rays, meds. 34 00:01:34,220 --> 00:01:36,805 PTMC. Go ahead, Medic Command. 35 00:01:36,806 --> 00:01:38,181 Where are all the nurses? 36 00:01:38,182 --> 00:01:40,767 There was a code Hula Hoop in Central 14. 37 00:01:40,768 --> 00:01:42,310 - Oh, no. - What's that? 38 00:01:42,311 --> 00:01:44,104 Hospital worker assault. 39 00:01:44,105 --> 00:01:46,834 - Who? - The new nurse Emma. 40 00:01:46,835 --> 00:01:48,775 - Is she okay? - I don't know. 41 00:01:48,776 --> 00:01:50,360 I think so. 42 00:01:50,361 --> 00:01:53,281 Smoke 'em if you got 'em. This place is going tits up. 43 00:01:56,200 --> 00:01:57,993 Okay, are we all good in here? 44 00:01:57,994 --> 00:02:00,120 Oh, yeah, boss, we got this. 45 00:02:00,121 --> 00:02:01,913 Are you sure you're all right? 46 00:02:01,914 --> 00:02:06,001 - Uh, I think so. - Okay, good. Come. 47 00:02:06,002 --> 00:02:08,962 So what exactly happened? 48 00:02:08,963 --> 00:02:11,256 He grabbed Emma. He threw her up against a wall. 49 00:02:11,257 --> 00:02:12,758 - I ran in and gave him a shot. - Right. 50 00:02:12,759 --> 00:02:14,760 And did he slip before or after the shot? 51 00:02:14,761 --> 00:02:16,344 Before. 52 00:02:16,345 --> 00:02:17,804 Yeah, he had me in a headlock. 53 00:02:17,805 --> 00:02:19,306 I didn't see what happened. 54 00:02:19,307 --> 00:02:21,475 - What did you give him? - 4 milligrams of Versed. 55 00:02:21,476 --> 00:02:23,602 - Who wrote the order? - I had it in my pocket. 56 00:02:23,603 --> 00:02:26,980 I was on my way to waste it when shit went sideways. 57 00:02:26,981 --> 00:02:28,565 What? 58 00:02:28,566 --> 00:02:30,025 Okay, so now he's altered 59 00:02:30,026 --> 00:02:31,985 from alcohol, Versed, and a head trauma. 60 00:02:31,986 --> 00:02:33,445 Now he's gonna need a head CT to rule out 61 00:02:33,446 --> 00:02:34,782 intracranial bleeding and a fracture. 62 00:02:34,783 --> 00:02:37,365 Would you rather it be Emma with a head injury or worse? 63 00:02:37,366 --> 00:02:38,763 Don't worry about it. We got this. 64 00:02:38,764 --> 00:02:40,327 No, there's no we here. 65 00:02:40,328 --> 00:02:42,996 You need to pass this patient off and report him. 66 00:02:42,997 --> 00:02:44,873 Fine. Emma, you're done with this bastard. 67 00:02:44,874 --> 00:02:46,041 - I'll handle him now. - No, no, 68 00:02:46,042 --> 00:02:47,375 this is my emergency department, 69 00:02:47,376 --> 00:02:48,710 and I'm telling you to pass it off. 70 00:02:48,711 --> 00:02:50,420 These are my nurses, and I choose 71 00:02:50,421 --> 00:02:51,963 what cases they work, and if you think for one minute 72 00:02:51,964 --> 00:02:53,840 I'm putting anyone else from my staff at risk 73 00:02:53,841 --> 00:02:55,842 with that asshole, you better give your fucking head a shake. 74 00:02:55,843 --> 00:02:58,678 Come on. Come on. 75 00:02:58,679 --> 00:03:00,680 - MVA coming in. - Okay, I'll be right there. 76 00:03:00,681 --> 00:03:01,891 Thank you. 77 00:03:05,853 --> 00:03:07,687 Did I kill my son? 78 00:03:07,688 --> 00:03:10,857 No, he's not dead. 79 00:03:10,858 --> 00:03:13,527 He's recovering in pediatric ICU. 80 00:03:13,528 --> 00:03:17,114 We'll be back to check on you again shortly, Ms. Azurmendi. 81 00:03:22,203 --> 00:03:24,371 Um, has her husband arrived yet? 82 00:03:24,372 --> 00:03:26,081 Yeah, but he went straight upstairs. 83 00:03:26,082 --> 00:03:27,624 Really? 84 00:03:27,625 --> 00:03:29,876 He may have just wanted to see his child first. 85 00:03:29,877 --> 00:03:31,878 Let's not jump to conclusions. 86 00:03:31,879 --> 00:03:35,006 - Dr. Robby, can I have a word? - Shoot. 87 00:03:35,007 --> 00:03:36,883 In private. 88 00:03:36,884 --> 00:03:38,552 People are gonna start to talk. 89 00:03:43,558 --> 00:03:45,726 - Thank you. - Mm-hmm. 90 00:03:47,603 --> 00:03:48,938 What is this about? 91 00:03:51,315 --> 00:03:54,568 I'm going to recommend this ED have two attendings on shift 92 00:03:54,569 --> 00:03:56,945 at all times moving forward. 93 00:03:56,946 --> 00:03:58,989 This department is clearly too much 94 00:03:58,990 --> 00:04:00,407 for one person to handle. 95 00:04:00,408 --> 00:04:03,076 It's not healthy for you or the patients, 96 00:04:03,077 --> 00:04:04,911 and I'm very concerned 97 00:04:04,912 --> 00:04:07,581 by what I've witnessed today with some of the staff. 98 00:04:07,582 --> 00:04:10,041 What is going on with Langdon and Santos? 99 00:04:10,042 --> 00:04:11,960 I saw them having it out like it was fight night. 100 00:04:11,961 --> 00:04:14,254 Dr. Langdon hasn't even been here for ten months, 101 00:04:14,255 --> 00:04:15,797 and you told me this morning 102 00:04:15,798 --> 00:04:17,591 there was nothing to worry about with Dr. Santos. 103 00:04:17,592 --> 00:04:19,759 There isn't. There isn't. Santos and Langdon have beef 104 00:04:19,760 --> 00:04:22,596 because she's the one who turned him in for taking meds. 105 00:04:22,597 --> 00:04:24,681 I'm sorry, what? 106 00:04:24,682 --> 00:04:26,558 Santos is responsible 107 00:04:26,559 --> 00:04:29,520 for revealing Langdon's benzo addiction. 108 00:04:31,147 --> 00:04:34,774 Was he stealing drugs from this ED? 109 00:04:34,775 --> 00:04:37,485 This ED is the best of the best, 110 00:04:37,486 --> 00:04:39,946 and I would put it up against any emergency department 111 00:04:39,947 --> 00:04:41,406 in the country. 112 00:04:41,407 --> 00:04:42,949 And it is going to be yours to fuck up, 113 00:04:42,950 --> 00:04:44,660 so don't fuck it up. 114 00:04:59,675 --> 00:05:02,177 You're not supposed to smoke out here. 115 00:05:02,178 --> 00:05:03,803 Really? 116 00:05:03,804 --> 00:05:06,807 Seems to be working for me so far. 117 00:05:08,351 --> 00:05:10,977 How old are you, kid? 118 00:05:10,978 --> 00:05:13,146 I'm 21... 119 00:05:13,147 --> 00:05:14,648 On Tuesday. 120 00:05:14,649 --> 00:05:18,818 Jesus, some kind of idiot savant. 121 00:05:18,819 --> 00:05:21,947 We no longer use that term. 122 00:05:21,948 --> 00:05:23,615 It's derogatory. 123 00:05:23,616 --> 00:05:26,701 - You bruise-easy Millennials. - Actually, I'm Gen Z. 124 00:05:26,702 --> 00:05:28,995 Even worse. 125 00:05:28,996 --> 00:05:31,498 I was stripping at Purgatory to put myself through school 126 00:05:31,499 --> 00:05:33,833 when I was your age. 127 00:05:33,834 --> 00:05:35,044 Snowflake. 128 00:05:36,587 --> 00:05:38,088 Hey, Amy? 129 00:05:38,089 --> 00:05:40,966 Yeah, I'm getting off later than I thought. 130 00:05:40,967 --> 00:05:43,301 Um, I'll give you a call when I get a better idea of... 131 00:05:43,302 --> 00:05:45,470 I need help! 132 00:05:45,471 --> 00:05:47,973 - I got to go. - He can't breathe. 133 00:05:47,974 --> 00:05:49,975 I got the airway. You take the pulse. 134 00:05:49,976 --> 00:05:52,310 Yeah. 135 00:05:52,311 --> 00:05:53,520 - Oh, shit. - Oh, my God. 136 00:05:53,521 --> 00:05:55,063 Okay, trying jaw thrust. 137 00:05:55,064 --> 00:05:56,773 - Radial's weak and thready. - What's his name? 138 00:05:56,774 --> 00:05:58,400 My dad... uh, Oliver. 139 00:05:58,401 --> 00:06:01,695 Hey, Oliver, can you open your eyes for me? 140 00:06:01,696 --> 00:06:03,280 Okay, here we go. 141 00:06:06,867 --> 00:06:10,537 Okay, one, two, three. 142 00:06:10,538 --> 00:06:12,664 Drive-in with severe respiratory distress. 143 00:06:12,665 --> 00:06:14,708 Left-sided dialysis shunt, probable renal failure 144 00:06:14,709 --> 00:06:16,001 and fluid overload. 145 00:06:16,002 --> 00:06:17,877 Have respiratory set up BiPAP. 146 00:06:17,878 --> 00:06:19,337 When was his last dialysis? 147 00:06:19,338 --> 00:06:21,256 It was supposed to be yesterday morning. 148 00:06:21,257 --> 00:06:23,174 I'm gonna need a nitro drip ASAP. 149 00:06:23,175 --> 00:06:25,051 - You got this? - Yeah. 150 00:06:25,052 --> 00:06:26,720 Is that the guy who attacked Emma? 151 00:06:26,721 --> 00:06:28,054 Is he going to CT? 152 00:06:28,055 --> 00:06:29,931 Yeah, Ms. Emma here needs an H&P. 153 00:06:29,932 --> 00:06:32,267 Uh, Cassie, can you give Emma here a workup? 154 00:06:32,268 --> 00:06:33,560 Start a chart. 155 00:06:33,561 --> 00:06:34,894 - Victim of assault. - Really? 156 00:06:34,895 --> 00:06:36,604 - I'm fine. - He was choking you. 157 00:06:36,605 --> 00:06:38,273 - He had me by the head mostly. - You're a patient now. 158 00:06:38,274 --> 00:06:39,899 Full examine in South 18, McKay. 159 00:06:39,900 --> 00:06:41,568 She also needs to make a statement to the police. 160 00:06:41,569 --> 00:06:43,737 Is that really necessary? 161 00:06:43,738 --> 00:06:45,905 - Yeah. - Absolutely. 162 00:06:45,906 --> 00:06:48,241 Don't worry. I'll be there with you. 163 00:06:48,242 --> 00:06:49,576 Come on, let's get you a spot. 164 00:06:49,577 --> 00:06:51,036 Well, your guy just bumped my guy for CT. 165 00:06:51,037 --> 00:06:52,579 - Now he's my guy? - Duke's gonna chew me 166 00:06:52,580 --> 00:06:54,039 a new one 'cause he's been sitting here forever, 167 00:06:54,040 --> 00:06:55,540 and I'm never gonna get out of here. 168 00:06:55,541 --> 00:06:56,958 - Tell it to someone who cares. - You know what? 169 00:06:56,959 --> 00:06:59,419 You should care, because if you gave that guy 170 00:06:59,420 --> 00:07:01,755 a serious injury with force inflicted from a sedative 171 00:07:01,756 --> 00:07:03,131 you are not licensed to prescribe... 172 00:07:03,132 --> 00:07:04,883 Anyone else uses force to stop an assault, 173 00:07:04,884 --> 00:07:07,093 they're a hero, but a nurse does it, and we're punished. 174 00:07:07,094 --> 00:07:08,928 You just happened to have a vial of Versed in your pocket? 175 00:07:08,929 --> 00:07:11,598 It was extra from the medics. Good timing, I guess. 176 00:07:11,599 --> 00:07:12,974 When we waste a controlled substance, 177 00:07:12,975 --> 00:07:14,559 we need a witness to sign off. 178 00:07:14,560 --> 00:07:16,311 I was on my way to when I spotted that asshole 179 00:07:16,312 --> 00:07:17,562 attacking a girl. 180 00:07:17,563 --> 00:07:19,105 Anything else, Nancy Drew? 181 00:07:19,106 --> 00:07:21,107 - Where you going? - Taking a pee. 182 00:07:21,108 --> 00:07:23,777 Do I need your permission to do that, too, now? 183 00:07:31,118 --> 00:07:34,788 Fuck! Fuck! Fuck! Fuck! 184 00:07:41,378 --> 00:07:42,962 Should we intubate? 185 00:07:42,963 --> 00:07:45,173 Uh, best to avoid that if possible. 186 00:07:45,174 --> 00:07:46,800 Pressure support and afterload reduction 187 00:07:46,801 --> 00:07:48,134 buys us time for dialysis. 188 00:07:48,135 --> 00:07:49,636 BiPAP starting at 10 over 5. 189 00:07:49,637 --> 00:07:51,346 Good hard squeeze, good lung sliding, 190 00:07:51,347 --> 00:07:53,598 - but there's a ton of B lines. - Pulmonary edema. 191 00:07:53,599 --> 00:07:56,351 Which is best treated by what, Dr. Javadi? 192 00:07:56,352 --> 00:07:58,187 - Uh, nitrates. - Dose? 193 00:08:00,481 --> 00:08:02,315 BP 198 over 132. 194 00:08:02,316 --> 00:08:03,733 Pulse 120. 195 00:08:03,734 --> 00:08:05,985 - Pulse ox only 85. - Good BP. 196 00:08:05,986 --> 00:08:07,904 Let's start at 400 mikes per minute for 2 to 5 minutes. 197 00:08:07,905 --> 00:08:09,948 I was asking Dr. Javadi. 198 00:08:09,949 --> 00:08:11,991 Don't you always start low with nitro, then titrate up? 199 00:08:11,992 --> 00:08:14,327 In flash pulmonary edema, we do the opposite. 200 00:08:14,328 --> 00:08:17,455 What he really needs is dialysis to get the fluid off. 201 00:08:17,456 --> 00:08:20,166 - What's his dialysis schedule? - Monday, Wednesday, Friday. 202 00:08:20,167 --> 00:08:22,210 He missed yesterday 'cause of a wedding. 203 00:08:22,211 --> 00:08:23,670 We tried to go to the center this morning. 204 00:08:23,671 --> 00:08:25,130 It's usually open on Saturday, 205 00:08:25,131 --> 00:08:26,381 but I think they closed for the Fourth. 206 00:08:26,382 --> 00:08:27,882 - Where do you live? - Uh, Brookville. 207 00:08:27,883 --> 00:08:29,134 That's, like, an hour and a half away. 208 00:08:29,135 --> 00:08:30,552 Yes, ma'am. 209 00:08:30,553 --> 00:08:32,011 I tried Pine Ridge Hospital in Ford City, 210 00:08:32,012 --> 00:08:33,096 but I didn't know they shut down. 211 00:08:33,097 --> 00:08:34,682 Yeah, they sure did. 212 00:08:40,688 --> 00:08:42,772 All right, sister. 213 00:08:42,773 --> 00:08:44,899 How can I help uncluster this clusterfuck? 214 00:08:44,900 --> 00:08:46,860 PTMC emergency, what do you got? 215 00:08:46,861 --> 00:08:48,570 You ready to finish our conversation? 216 00:08:48,571 --> 00:08:50,613 We talked, okay? Now I got an ED to run. 217 00:08:50,614 --> 00:08:52,198 Please. 218 00:08:52,199 --> 00:08:53,659 Okay. 219 00:08:56,787 --> 00:08:58,037 Talk to me. 220 00:08:58,038 --> 00:08:59,622 - Tired of this shit. - Okay. 221 00:08:59,623 --> 00:09:01,624 That's the second time that Emma was attacked 222 00:09:01,625 --> 00:09:03,084 - by a patient today. - Okay. 223 00:09:03,085 --> 00:09:04,711 ICE took one of my nurses, 224 00:09:04,712 --> 00:09:08,548 and these cyber-assholes have thrown us back into 1999. 225 00:09:08,549 --> 00:09:11,217 Well, I'm worried about you. You are not yourself today. 226 00:09:11,218 --> 00:09:13,344 That makes two of us, then. 227 00:09:13,345 --> 00:09:16,055 Do you have something you want to say? 228 00:09:16,056 --> 00:09:18,391 Go ahead. I can take it. 229 00:09:18,392 --> 00:09:20,101 All right, then yeah. 230 00:09:20,102 --> 00:09:21,769 Sometimes it's like you're just tempting death 231 00:09:21,770 --> 00:09:23,062 'cause you don't give a shit anymore. 232 00:09:23,063 --> 00:09:24,439 So this is about the motorcycle? 233 00:09:24,440 --> 00:09:25,732 It's not just about the motorcycle. 234 00:09:25,733 --> 00:09:27,066 It's about the whole damn thing. 235 00:09:27,067 --> 00:09:29,527 Robby, you're actually telling people 236 00:09:29,528 --> 00:09:31,863 that you're going to a place called Smash My Head In. 237 00:09:31,864 --> 00:09:33,406 Close, not quite. That's not... 238 00:09:33,407 --> 00:09:35,450 Robby, your buddy Duke is insisting on leaving, 239 00:09:35,451 --> 00:09:37,327 and that MVA is here. 240 00:09:37,328 --> 00:09:39,078 Okay, I'll be right there. 241 00:09:39,079 --> 00:09:41,080 - What's open? - Uh, South 15. 242 00:09:41,081 --> 00:09:42,415 78-year-old woman, 243 00:09:42,416 --> 00:09:44,083 very low speed auto versus pedestrian 244 00:09:44,084 --> 00:09:45,627 with ground-level fall. 245 00:09:45,628 --> 00:09:47,170 Bruising on her left hip. No head trauma. 246 00:09:47,171 --> 00:09:48,796 Her husband, Eddie, came along. 247 00:09:48,797 --> 00:09:50,673 Hi. How do you do, sir? I'm Dr. Robby. Come with us. 248 00:09:50,674 --> 00:09:53,134 We're gonna get you set up right over here. 249 00:09:53,135 --> 00:09:54,886 Sorry. 250 00:09:54,887 --> 00:09:56,638 We'll get you something for the pain shortly. 251 00:09:56,639 --> 00:09:58,097 Thank you. 252 00:09:58,098 --> 00:10:00,099 Do you have any medical problems, Frida? 253 00:10:00,100 --> 00:10:04,270 Uh, high blood pressure, low thyroid, um, AFib. 254 00:10:04,271 --> 00:10:06,481 Any chest pain, shortness of breath? 255 00:10:06,482 --> 00:10:08,149 - No. - Front-row seat, sir. 256 00:10:08,150 --> 00:10:10,109 So, um, what happened? 257 00:10:10,110 --> 00:10:13,488 Well, she walked into the car. 258 00:10:13,489 --> 00:10:15,573 You hit me. 259 00:10:15,574 --> 00:10:18,576 No, I didn't hit you. You hit the car. 260 00:10:18,577 --> 00:10:20,620 You backed up right into me. 261 00:10:20,621 --> 00:10:23,289 I wasn't even moving. 262 00:10:23,290 --> 00:10:25,625 Well, you're both in very good hands now. 263 00:10:25,626 --> 00:10:27,418 Yes? 264 00:10:27,419 --> 00:10:30,964 Before we get you in a gown, we'd like to check your hip. 265 00:10:30,965 --> 00:10:32,675 Of course. 266 00:10:34,176 --> 00:10:35,635 I am sorry. 267 00:10:35,636 --> 00:10:37,387 We had a whole bunch of craziness come in, 268 00:10:37,388 --> 00:10:40,306 and you got bumped down a patient or two for CT. 269 00:10:40,307 --> 00:10:41,891 But take comfort in knowing 270 00:10:41,892 --> 00:10:43,643 it was for some pretty nasty stuff. 271 00:10:43,644 --> 00:10:46,145 How am I supposed to find comfort in that 272 00:10:46,146 --> 00:10:48,022 or anything you've told me since I got here, 273 00:10:48,023 --> 00:10:49,816 - for that matter? - I don't know. 274 00:10:49,817 --> 00:10:51,818 But everything is supposed to come with a lesson, right? 275 00:10:51,819 --> 00:10:55,154 Oh, this is more of your Zen motorcycle bullshit. 276 00:10:55,155 --> 00:10:56,489 Maybe. 277 00:10:56,490 --> 00:10:57,991 No, no, the truth is, I'm just stalling 278 00:10:57,992 --> 00:10:59,659 'cause it's gonna be a while longer. 279 00:10:59,660 --> 00:11:01,744 Oh, hey, look, I appreciate the effort, 280 00:11:01,745 --> 00:11:03,496 but you guys are obviously jammed up. 281 00:11:03,497 --> 00:11:05,581 I'll just come back when it's not our nation's birthday. 282 00:11:05,582 --> 00:11:07,041 You're already here. 283 00:11:07,042 --> 00:11:08,459 It's not gonna be that much longer, I promise. 284 00:11:08,460 --> 00:11:09,669 Just stay and get your CT. 285 00:11:09,670 --> 00:11:12,005 I will do it all when you get back 286 00:11:12,006 --> 00:11:14,132 - and this place is less crazy. - This place is always crazy. 287 00:11:14,133 --> 00:11:15,967 I don't know when I'm gonna get back. 288 00:11:15,968 --> 00:11:18,344 Can you just sit the fuck down and wait a little bit longer? 289 00:11:18,345 --> 00:11:21,515 It won't kill you, but leaving might. 290 00:11:25,561 --> 00:11:27,812 Okay. 291 00:11:27,813 --> 00:11:29,355 No problem. 292 00:11:29,356 --> 00:11:30,858 Thank you. 293 00:11:32,359 --> 00:11:34,485 That's a nasty bruise. 294 00:11:34,486 --> 00:11:38,197 Do you take aspirin or any blood thinners? 295 00:11:38,198 --> 00:11:41,367 Uh, Eliquis for my AFib. 296 00:11:41,368 --> 00:11:44,120 Any tenderness here? 297 00:11:44,121 --> 00:11:45,580 No, not really. 298 00:11:45,581 --> 00:11:48,166 - Here? - Oh, yeah, that hurts. 299 00:11:48,167 --> 00:11:50,418 All right, 4 of, uh, morphine and Zofran. 300 00:11:50,419 --> 00:11:54,047 - What about up here? - Not really. 301 00:11:54,048 --> 00:11:56,591 All right, so let's start with labs and plain film. 302 00:11:56,592 --> 00:11:58,593 No, CT abdomen pelvis. 303 00:11:58,594 --> 00:12:01,387 We'll get a better view of the hip and check for bleeding. 304 00:12:01,388 --> 00:12:02,972 The Eliquis is concerning. 305 00:12:02,973 --> 00:12:05,933 Uh, you think she broke her hip? 306 00:12:05,934 --> 00:12:08,436 If it's broken, you broke it. 307 00:12:08,437 --> 00:12:10,063 Usually for a broken hip, 308 00:12:10,064 --> 00:12:12,607 the leg is shortened and rotates out, 309 00:12:12,608 --> 00:12:14,902 but we'll just wait for CT results. 310 00:12:21,867 --> 00:12:23,868 Mr. Cohen... 311 00:12:23,869 --> 00:12:26,245 I know that you were checked on scene, 312 00:12:26,246 --> 00:12:28,039 but I was wondering if I could do 313 00:12:28,040 --> 00:12:29,624 a quick examination of you. 314 00:12:29,625 --> 00:12:31,751 Oh, no, I'm fine. I was in the car. 315 00:12:31,752 --> 00:12:33,504 Just unofficially. 316 00:12:35,255 --> 00:12:37,382 Okay. 317 00:12:37,383 --> 00:12:40,843 Deep breath for me. 318 00:12:40,844 --> 00:12:42,595 Good. Again. 319 00:12:44,431 --> 00:12:46,432 Great. Thanks, Eddie. 320 00:12:46,433 --> 00:12:49,852 Next thing... would you mind taking your shoes off? 321 00:12:49,853 --> 00:12:51,521 Uh... 322 00:12:51,522 --> 00:12:52,855 what for? 323 00:12:52,856 --> 00:12:55,441 Just being safe. 324 00:12:57,277 --> 00:12:59,237 My back's not what it used to be. 325 00:12:59,238 --> 00:13:00,489 Let me help you. 326 00:13:04,868 --> 00:13:07,787 I, uh, could use a pedicure. 327 00:13:07,788 --> 00:13:09,622 You and me both. 328 00:13:09,623 --> 00:13:13,501 Dr. King, what do you think about doing a Romberg test? 329 00:13:13,502 --> 00:13:15,086 What is that? 330 00:13:15,087 --> 00:13:17,463 It's a general evaluation of balance. 331 00:13:17,464 --> 00:13:20,133 Um, can you stand up, sir? 332 00:13:20,134 --> 00:13:22,009 Yep. 333 00:13:22,010 --> 00:13:23,970 How are you doing, Oliver? 334 00:13:23,971 --> 00:13:25,471 Sats are not coming up. 335 00:13:25,472 --> 00:13:27,306 Pressure's holding on 400 of nitro. 336 00:13:27,307 --> 00:13:29,809 - Let's up the BiPAP to 20 on 10. - We could try phlebotomy. 337 00:13:29,810 --> 00:13:31,644 Decrease the fluid burden on the lungs. 338 00:13:31,645 --> 00:13:33,813 Old school, but might buy time. 339 00:13:33,814 --> 00:13:35,148 Hemoglobin is only 9.2. 340 00:13:35,149 --> 00:13:36,649 He's anemic from renal failure. 341 00:13:36,650 --> 00:13:38,276 Then he can't afford more blood loss. 342 00:13:38,277 --> 00:13:40,027 We need to intubate. We're losing this war. 343 00:13:40,028 --> 00:13:41,988 Intubation's not a trivial matter 344 00:13:41,989 --> 00:13:43,531 for immunosuppressed patients. 345 00:13:43,532 --> 00:13:45,408 So we just drop a bunch of red tops? 346 00:13:45,409 --> 00:13:47,034 No, we do the collection on the floor 347 00:13:47,035 --> 00:13:49,036 - as if he's giving blood. - Like medieval bloodletting. 348 00:13:49,037 --> 00:13:50,872 Essentially, and that is something 349 00:13:50,873 --> 00:13:52,331 you should step out for, Mason. 350 00:13:52,332 --> 00:13:54,876 - Casey, thank you. - Got a good vein for a 16. 351 00:13:54,877 --> 00:13:56,711 One donor bag, 500 cc's. 352 00:13:56,712 --> 00:13:58,421 No more. 353 00:14:00,716 --> 00:14:03,259 Okay, let it out. 354 00:14:03,260 --> 00:14:05,261 Same again. Deep breath in. 355 00:14:07,556 --> 00:14:09,182 Great. All done. 356 00:14:09,183 --> 00:14:12,351 - How's she doing? - Pulse ox 100%, normal exam. 357 00:14:12,352 --> 00:14:14,145 - No evidence of injury. - Great. 358 00:14:14,146 --> 00:14:15,855 I got way worse from my older brothers. 359 00:14:15,856 --> 00:14:17,315 I bet. 360 00:14:17,316 --> 00:14:20,193 All right, I'll go, uh, write up her chart. 361 00:14:20,194 --> 00:14:22,528 How about we call it a day? 362 00:14:22,529 --> 00:14:24,363 My shift isn't over. 363 00:14:24,364 --> 00:14:27,909 This was a shift and a half for anyone today, believe me. 364 00:14:27,910 --> 00:14:31,204 If it's all right with you, I'd rather stay. 365 00:14:31,205 --> 00:14:32,705 I'm not a quitter. 366 00:14:32,706 --> 00:14:34,665 Okay, Ms. Emma, good for you. 367 00:14:34,666 --> 00:14:37,585 But stick close to Donnie for the rest of the day, would you? 368 00:14:37,586 --> 00:14:39,337 Sure. 369 00:14:39,338 --> 00:14:42,340 And you also need to make a statement to the police. 370 00:14:42,341 --> 00:14:44,759 If we don't stand up for ourselves, no one else will. 371 00:14:44,760 --> 00:14:48,387 We're here to help, not to be punching bags. 372 00:14:48,388 --> 00:14:50,139 Thank you for saving me. 373 00:14:50,140 --> 00:14:52,226 I got you, girl. 374 00:14:59,983 --> 00:15:02,235 - Something wrong? - That depends. 375 00:15:02,236 --> 00:15:04,570 Are you a four-month-old with severe diaper rash? 376 00:15:04,571 --> 00:15:06,155 No, I'm Dorion Cole, 377 00:15:06,156 --> 00:15:07,949 and I'm pretty sure that I broke my collarbone. 378 00:15:07,950 --> 00:15:10,243 Okay, we can help with that. I'll be back. 379 00:15:10,244 --> 00:15:11,827 Wait, wait. Are you serious? 380 00:15:11,828 --> 00:15:13,579 Can I at least get something for my pain? 381 00:15:13,580 --> 00:15:15,665 - Sure. Sit tight. - This place sucks. 382 00:15:15,666 --> 00:15:17,583 Tell me about it. Try working here. 383 00:15:17,584 --> 00:15:19,252 Boy, you're really working hard 384 00:15:19,253 --> 00:15:20,962 to boost those patient satisfaction scores. 385 00:15:20,963 --> 00:15:22,421 The chart for Central 7 386 00:15:22,422 --> 00:15:23,756 doesn't match the patient that's in there. 387 00:15:23,757 --> 00:15:25,383 Hang in there. We're almost over this. 388 00:15:25,384 --> 00:15:26,968 I was over this six hours ago. 389 00:15:26,969 --> 00:15:29,428 Chairs is looking like Mullaney's on St. Paddy's Day. 390 00:15:29,429 --> 00:15:31,222 They're gonna break through the doors like zombies... 391 00:15:31,223 --> 00:15:32,306 - Incoming. - If we don't start moving 392 00:15:32,307 --> 00:15:33,432 more of the meat back there. 393 00:15:33,433 --> 00:15:35,226 Dante Casella, 34. 394 00:15:35,227 --> 00:15:38,229 Blunt trauma from a fireworks explosion in a storage unit. 395 00:15:38,230 --> 00:15:39,814 A and O, good vitals, 396 00:15:39,815 --> 00:15:42,108 large scalp laceration and bruising to the chest. 397 00:15:42,109 --> 00:15:43,442 No meds or allergies. 398 00:15:43,443 --> 00:15:44,777 Partial or full thickness burns? 399 00:15:44,778 --> 00:15:46,445 No burns. The blast launched him 400 00:15:46,446 --> 00:15:48,155 into a rolled-down garage door frame. 401 00:15:48,156 --> 00:15:50,491 - Am I fucking dying here? - I'm Dr. Robby. 402 00:15:50,492 --> 00:15:53,703 - This is Dr. Santos. - What? I can't hear you. 403 00:15:53,704 --> 00:15:55,162 Try the other side. 404 00:15:55,163 --> 00:15:56,789 I'm Dr. Santos. 405 00:15:56,790 --> 00:15:58,833 - Can you hear me? - Yeah, yeah. 406 00:15:58,834 --> 00:16:01,335 Dante. Lot of ringing. 407 00:16:01,336 --> 00:16:04,089 Hey, McKay, Joy, you're with us. 408 00:16:06,049 --> 00:16:08,634 One, two, three. 409 00:16:08,635 --> 00:16:12,638 I need, like, four doctors? 410 00:16:12,639 --> 00:16:14,849 Oh, shit, I knew it was bad. 411 00:16:14,850 --> 00:16:16,642 This is a teaching hospital. 412 00:16:16,643 --> 00:16:18,853 You get all the extra help you need. 413 00:16:18,854 --> 00:16:22,106 Airway and breathing intact. 414 00:16:22,107 --> 00:16:23,858 Good lung sliding bilaterally. 415 00:16:25,444 --> 00:16:26,986 Tender over the sternum... possible fracture. 416 00:16:26,987 --> 00:16:28,654 That's your breastbone. 417 00:16:28,655 --> 00:16:31,449 - No ectopy on monitor. - No pericardial effusion. 418 00:16:31,450 --> 00:16:33,826 - The heart looks good. - 130 over 85. 419 00:16:33,827 --> 00:16:36,162 Pulse 108, sats 98 on 2 liters. 420 00:16:36,163 --> 00:16:37,872 Good enough for 50 of fent. 421 00:16:37,873 --> 00:16:39,832 He soaked through his head dressing. 422 00:16:39,833 --> 00:16:41,167 Let's take a peek. 423 00:16:41,168 --> 00:16:42,501 Normally, we don't deal with scalp lacs 424 00:16:42,502 --> 00:16:43,669 on the primary survey, 425 00:16:43,670 --> 00:16:45,338 only if there's active bleeding. 426 00:16:45,339 --> 00:16:46,672 With blast injuries, 427 00:16:46,673 --> 00:16:48,507 the pressure wave can transmit energy 428 00:16:48,508 --> 00:16:50,176 through the body and cause internal damage 429 00:16:50,177 --> 00:16:52,261 even without any external visible signs, 430 00:16:52,262 --> 00:16:54,180 especially with organs that are air filled. 431 00:16:54,181 --> 00:16:56,432 - How are we looking, Dr. Santos? - E-FAST negative. 432 00:16:56,433 --> 00:16:59,685 No free fluid in the belly. 433 00:16:59,686 --> 00:17:02,355 - Fuck me. - What... what is it? 434 00:17:02,356 --> 00:17:05,358 It's a pretty big flap. Checking for bleeding source. 435 00:17:05,359 --> 00:17:08,235 - Is that through the galea? - It is, indeed. 436 00:17:08,236 --> 00:17:10,237 - Crack my head open or what? - Don't worry. 437 00:17:10,238 --> 00:17:13,032 Your skull is intact. It's just a, uh, very deep cut. 438 00:17:13,033 --> 00:17:15,868 Ugh. 439 00:17:15,869 --> 00:17:20,164 Okay, we got a couple arterioles that need control. 440 00:17:20,165 --> 00:17:22,750 - Figure-of-eight sutures? - Dr. Santos for 800. 441 00:17:22,751 --> 00:17:24,543 What are Raney clips, Alex? 442 00:17:24,544 --> 00:17:26,587 - Quicker than sutures. - Ding, ding, ding, ding. 443 00:17:26,588 --> 00:17:28,506 Okay, clamp those bleeders, call for CT. 444 00:17:28,507 --> 00:17:31,760 I'll be next door, and Duke's CT line keeps growing. 445 00:17:35,222 --> 00:17:37,223 500 cc's out. 446 00:17:37,224 --> 00:17:39,392 How you doing, Oliver? 447 00:17:39,393 --> 00:17:40,893 Making some progress in here. 448 00:17:40,894 --> 00:17:42,561 Can't tell if it was the phlebotomy 449 00:17:42,562 --> 00:17:43,896 or if the nitro finally kicked in. 450 00:17:43,897 --> 00:17:46,273 Oh, could have been both. 451 00:17:46,274 --> 00:17:48,109 Potassium's high. 6.5. 452 00:17:48,110 --> 00:17:49,902 Be expected with the missed dialysis 453 00:17:49,903 --> 00:17:51,195 and the added heat stress. 454 00:17:51,196 --> 00:17:53,072 - He needs, uh... - Dr. Javadi. 455 00:17:53,073 --> 00:17:54,615 Uh, he needs insulin and glucose 456 00:17:54,616 --> 00:17:56,075 to shift the potassium intracellular. 457 00:17:56,076 --> 00:17:58,411 Exactly. Uh, 10 units, amp of D-50. 458 00:17:58,412 --> 00:18:00,746 Start with 5 milligrams of nebulized albuterol. 459 00:18:00,747 --> 00:18:02,832 It'll shift some potassium and help his breathing. 460 00:18:02,833 --> 00:18:05,084 He's at risk for arrhythmias. 461 00:18:05,085 --> 00:18:08,337 Mm, no peaked T waves, no QRS widening. 462 00:18:08,338 --> 00:18:10,506 Insulin puts him at risk for hypoglycemia. 463 00:18:10,507 --> 00:18:12,758 And you tie up nurses with frequent Accu-Cheks. 464 00:18:12,759 --> 00:18:14,343 Dr. Al-Hashimi's right. 465 00:18:14,344 --> 00:18:15,928 The nebs will hold him over until dialysis gets here. 466 00:18:15,929 --> 00:18:17,972 - You got this? - Mm-hmm. 467 00:18:20,517 --> 00:18:22,811 - All good in here? - Yep. 468 00:18:25,230 --> 00:18:27,982 Uh, I'm gonna go give this guy's kid an update. 469 00:18:27,983 --> 00:18:29,442 He's probably freaking out. 470 00:18:29,443 --> 00:18:32,362 - Come find me if you need me. - Uh, yep. 471 00:18:34,656 --> 00:18:36,240 Um, hey. 472 00:18:36,241 --> 00:18:38,451 Where'd you learn that shoe trick? 473 00:18:38,452 --> 00:18:41,996 Oh, I did a clerkship at NJMS senior care. 474 00:18:41,997 --> 00:18:44,081 One of the attendings always said you can learn a lot 475 00:18:44,082 --> 00:18:46,125 about your patients just by looking at their feet. 476 00:18:48,086 --> 00:18:49,295 Bravo, ladies. 477 00:18:49,296 --> 00:18:53,090 Now on to the next lucky customers. 478 00:18:53,091 --> 00:18:54,800 Probably gonna have to stay late 479 00:18:54,801 --> 00:18:56,469 to catch up on all these patients. 480 00:18:56,470 --> 00:18:58,304 Night-shift reinforcements will be here soon. 481 00:18:58,305 --> 00:18:59,847 We're supposed to be speeding up in the 11th hour, 482 00:18:59,848 --> 00:19:01,474 not slowing down. 483 00:19:01,475 --> 00:19:02,850 They don't call it the final sprint for nothing. 484 00:19:02,851 --> 00:19:04,269 Chop-chop. 485 00:19:08,815 --> 00:19:11,901 Is that the, uh, mom of the heatstroke? 486 00:19:11,902 --> 00:19:13,152 Yeah. 487 00:19:13,153 --> 00:19:16,864 Do you believe it was just an accident? 488 00:19:16,865 --> 00:19:18,324 Does it matter? 489 00:19:18,325 --> 00:19:20,034 As a doctor, no. 490 00:19:20,035 --> 00:19:22,661 But as a mom... 491 00:19:22,662 --> 00:19:25,539 Sometimes I can't tell if motherhood has made me 492 00:19:25,540 --> 00:19:28,502 more understanding or more judgmental. 493 00:19:30,670 --> 00:19:32,671 Dana, got a couple visitors. 494 00:19:32,672 --> 00:19:34,840 Uh, my... my brother. There was an explosion. 495 00:19:34,841 --> 00:19:36,675 Hi. My mom was in a car accident. 496 00:19:36,676 --> 00:19:38,511 Uh, okay, Monica, can you help these fine folks 497 00:19:38,512 --> 00:19:40,304 - find their loved ones? - Yeah. 498 00:19:40,305 --> 00:19:42,306 And, Princess, what are you still doing here? 499 00:19:42,307 --> 00:19:44,517 Don't you got some crazy luau pig roast barbecue thing 500 00:19:44,518 --> 00:19:46,477 - to get to? - It's lechón, but, yes, I do. 501 00:19:46,478 --> 00:19:48,854 - I'm gonna sneak out in a few. - Okay, yeah, yeah. 502 00:19:48,855 --> 00:19:51,023 Go have some fun for both of us, all right? 503 00:19:51,024 --> 00:19:53,984 - Don't stay too late. - Okay. 504 00:19:53,985 --> 00:19:56,320 Hello, Ms. Stevens. 505 00:19:56,321 --> 00:19:57,530 I'm Dr. McKay. 506 00:19:57,531 --> 00:19:59,615 - How you feeling? - Stupid... 507 00:19:59,616 --> 00:20:02,368 and really, really sore. 508 00:20:02,369 --> 00:20:05,287 Yeah, we'll, uh, get you something for your pain, okay? 509 00:20:07,082 --> 00:20:10,084 Your last patient left her blanket. 510 00:20:10,085 --> 00:20:11,293 Oh. 511 00:20:11,294 --> 00:20:13,587 Uh, yeah. 512 00:20:13,588 --> 00:20:15,631 I... 513 00:20:15,632 --> 00:20:17,216 yeah, I'll take it. 514 00:20:17,217 --> 00:20:19,552 Thanks, Esme. 515 00:20:19,553 --> 00:20:21,721 Um, I'll be right back, yeah? 516 00:20:24,933 --> 00:20:27,309 Fuck! 517 00:20:27,310 --> 00:20:29,520 - You good? - Yeah, yeah. 518 00:20:29,521 --> 00:20:32,898 I'm just... I'm looking for something to put this in. 519 00:20:32,899 --> 00:20:35,402 A, uh... a patient left it. 520 00:20:37,779 --> 00:20:40,906 She died, the, uh, cancer mom with the two kids. 521 00:20:40,907 --> 00:20:43,117 Sounds like a tough one. 522 00:20:43,118 --> 00:20:44,910 Yeah, that one sucked. 523 00:20:44,911 --> 00:20:47,413 Seeing those two young boys say goodbye to their mother 524 00:20:47,414 --> 00:20:49,582 was brutal. 525 00:20:49,583 --> 00:20:53,919 Just makes you want to cry. 526 00:20:53,920 --> 00:20:56,088 You should cry. You'll feel better. 527 00:20:56,089 --> 00:20:58,424 I wish I could. 528 00:20:58,425 --> 00:21:03,012 No, I don't even remember the last time I cried. 529 00:21:03,013 --> 00:21:05,097 I'm not even sure I can anymore. 530 00:21:05,098 --> 00:21:07,308 Is that what this place does to you? 531 00:21:07,309 --> 00:21:11,604 We get pretty good at shutting down our feelings. 532 00:21:11,605 --> 00:21:14,023 Yeah, I'm a little scared 533 00:21:14,024 --> 00:21:16,358 I've shut them off for so long, 534 00:21:16,359 --> 00:21:19,945 I don't know how to turn them back on again. 535 00:21:19,946 --> 00:21:23,533 I just wish I could cry again, you know? 536 00:21:25,368 --> 00:21:27,786 You want a hug? 537 00:21:27,787 --> 00:21:29,205 God, no. 538 00:21:30,790 --> 00:21:32,458 Your mom is stable, 539 00:21:32,459 --> 00:21:34,960 but she's still waiting on the imaging of her hip. 540 00:21:34,961 --> 00:21:36,295 We'll know more soon. 541 00:21:36,296 --> 00:21:37,796 You can wait with your dad in the meantime. 542 00:21:37,797 --> 00:21:38,964 I've told him a million times 543 00:21:38,965 --> 00:21:40,758 he shouldn't be driving anymore. 544 00:21:40,759 --> 00:21:43,177 May I ask what their home situation is like right now? 545 00:21:43,178 --> 00:21:45,512 I don't know, they live over in Squirrel Hill. 546 00:21:45,513 --> 00:21:47,473 Same house I grew up in, just the two of them. 547 00:21:47,474 --> 00:21:49,433 We noticed your father 548 00:21:49,434 --> 00:21:51,644 exhibiting signs of an unsteady gait, 549 00:21:51,645 --> 00:21:54,521 along with other balance and mobility issues. 550 00:21:54,522 --> 00:21:56,482 He sees an internist, neurologist, 551 00:21:56,483 --> 00:21:58,317 cardiologist, gastroenterologist. 552 00:21:58,318 --> 00:22:00,986 He's got a whole team of "ologists." 553 00:22:00,987 --> 00:22:03,155 Both my parents used to be in pretty great shape, 554 00:22:03,156 --> 00:22:05,824 but lately, it's like they can barely get up the stairs. 555 00:22:05,825 --> 00:22:07,701 Half their house isn't accessible to them. 556 00:22:07,702 --> 00:22:10,204 Have you looked into assisted living options? 557 00:22:10,205 --> 00:22:13,707 Yes, but they refuse to even talk about it with me. 558 00:22:13,708 --> 00:22:16,001 Mr. Cohen, you have a visitor. 559 00:22:16,002 --> 00:22:18,337 - Care Bear. - Dad. 560 00:22:18,338 --> 00:22:22,383 - You feeling okay? - No, I'm feeling dumb. 561 00:22:22,384 --> 00:22:24,593 Carrie, this is Dr. King, 562 00:22:24,594 --> 00:22:26,679 who will be assisting with your mother's care. 563 00:22:26,680 --> 00:22:28,847 I was just explaining that the treatment 564 00:22:28,848 --> 00:22:30,391 depends on the injuries, 565 00:22:30,392 --> 00:22:32,476 but there are complicating factors. 566 00:22:32,477 --> 00:22:34,853 We are required to report impairments 567 00:22:34,854 --> 00:22:36,480 that might affect driving, 568 00:22:36,481 --> 00:22:38,691 and you will likely have to take another driver's test 569 00:22:38,692 --> 00:22:40,025 to keep your license. 570 00:22:40,026 --> 00:22:41,986 What's that got to do with Frida? 571 00:22:41,987 --> 00:22:43,696 Well, if the hip injury is serious 572 00:22:43,697 --> 00:22:47,241 and you're also, uh, limited, 573 00:22:47,242 --> 00:22:49,034 then it could mean 574 00:22:49,035 --> 00:22:51,078 an "unsafe to return home" recommendation for your wife. 575 00:22:51,079 --> 00:22:53,247 You'd be looking at a temporary move 576 00:22:53,248 --> 00:22:56,166 to some form of assisted living and rehabilitation 577 00:22:56,167 --> 00:22:57,251 for Frida's care. 578 00:22:57,252 --> 00:22:59,712 How temporary? 579 00:22:59,713 --> 00:23:01,839 Best case, three to six months, 580 00:23:01,840 --> 00:23:04,717 but she may never return to the functionality she had 581 00:23:04,718 --> 00:23:06,635 prior to the injury and recovery. 582 00:23:06,636 --> 00:23:09,888 - Okay, well, kill me now. - See what I'm dealing with? 583 00:23:09,889 --> 00:23:12,891 Dad, you need to find somewhere to live that is safer 584 00:23:12,892 --> 00:23:14,601 and healthier for both of you. 585 00:23:14,602 --> 00:23:17,271 You... you know, the new communities are not anything 586 00:23:17,272 --> 00:23:18,939 like the old, scary nursing homes. 587 00:23:18,940 --> 00:23:21,108 They're really nice, and you get your own apartment. 588 00:23:21,109 --> 00:23:23,235 And, um, you know, my sister actually lives in one. 589 00:23:23,236 --> 00:23:24,611 She just loves it. 590 00:23:24,612 --> 00:23:26,780 When the dog dies, we can talk. 591 00:23:26,781 --> 00:23:28,407 What if you fall? 592 00:23:28,408 --> 00:23:30,075 What if you have a heart attack or a stroke, 593 00:23:30,076 --> 00:23:32,077 and there's no one there to help you? 594 00:23:32,078 --> 00:23:33,996 - You worry too much. - How can I not? 595 00:23:33,997 --> 00:23:36,040 Look what happened today. 596 00:23:36,041 --> 00:23:38,375 Okay, we're gonna leave you two alone. 597 00:23:38,376 --> 00:23:40,754 We'll come back with Mrs. Cohen. 598 00:23:45,759 --> 00:23:49,261 Hey, Robby, our scalp victim is back from CT. 599 00:23:49,262 --> 00:23:51,388 - They're prepping him now. - Shit. 600 00:23:51,389 --> 00:23:53,223 Uh, okay. I'm coming. 601 00:23:53,224 --> 00:23:55,142 Um... 602 00:23:55,143 --> 00:23:57,728 - Is your friend doing okay? - He's on my flight risk radar. 603 00:23:57,729 --> 00:24:00,397 Oh, and Dana put McKay on the guy who attacked the new nurse. 604 00:24:00,398 --> 00:24:03,817 - Is she okay? - Physically, yes. 605 00:24:03,818 --> 00:24:06,612 I heard you had a little chat with Langdon earlier. 606 00:24:06,613 --> 00:24:08,197 Yeah, water under the bridge. 607 00:24:08,198 --> 00:24:09,698 You have to figure out a way of working with him 608 00:24:09,699 --> 00:24:11,784 - now that he's back. - Or until he relapses. 609 00:24:11,785 --> 00:24:13,327 You're becoming a very good doctor. 610 00:24:13,328 --> 00:24:15,037 Don't let old conflicts get in the way. 611 00:24:15,038 --> 00:24:16,955 Speaking of which, I want you and everybody else 612 00:24:16,956 --> 00:24:19,792 to see the trauma counselor while I'm gone, yes? 613 00:24:19,793 --> 00:24:21,210 - Yes. - And I asked Whitaker 614 00:24:21,211 --> 00:24:22,836 to house-sit for me while I'm gone. 615 00:24:22,837 --> 00:24:24,171 I figured that would distract 616 00:24:24,172 --> 00:24:25,631 from the whole farmer's widow thing. 617 00:24:25,632 --> 00:24:26,715 - Wait, what? - Bring in the mail, 618 00:24:26,716 --> 00:24:28,467 water the plants... cool? 619 00:24:28,468 --> 00:24:31,136 - Cool. Yeah. Fine. - That looks good. 620 00:24:31,137 --> 00:24:33,138 You can start the repair after this one. 621 00:24:33,139 --> 00:24:35,182 Feeling any pain, sir? 622 00:24:35,183 --> 00:24:38,310 Uh, no pain, just wet. 623 00:24:38,311 --> 00:24:40,979 - You already numbed him up? - I did. 624 00:24:40,980 --> 00:24:42,356 1% with epi. 625 00:24:42,357 --> 00:24:44,358 - CT back yet? - No, not yet. 626 00:24:44,359 --> 00:24:46,151 I watched the slices come up. 627 00:24:46,152 --> 00:24:48,821 Isolated sternal fracture. Everything else looked normal. 628 00:24:48,822 --> 00:24:51,198 Could send him home, but given the mechanism, 629 00:24:51,199 --> 00:24:52,991 should probably watch him overnight. 630 00:24:52,992 --> 00:24:54,868 I agree with Dr. Garcia. 631 00:24:54,869 --> 00:24:58,622 I agree with Dr. Garcia, too. 632 00:24:58,623 --> 00:25:02,626 Three-layer closure... galea, sub-Q, skin staples. 633 00:25:02,627 --> 00:25:04,044 Enjoy the fireworks. 634 00:25:04,045 --> 00:25:06,004 And hey, if I don't see you before you leave, 635 00:25:06,005 --> 00:25:07,631 don't forget to buy me a souvenir, 636 00:25:07,632 --> 00:25:09,675 like a custom elk-bone-carved hunting blade. 637 00:25:09,676 --> 00:25:11,593 Nothing less for my favorite butcher. 638 00:25:11,594 --> 00:25:13,595 Aww, you're gonna make a great ex-husband 639 00:25:13,596 --> 00:25:15,807 one day, Robinavitch. 640 00:25:17,600 --> 00:25:19,852 Hospital's got a defense attorney looking for Jesse. 641 00:25:19,853 --> 00:25:21,603 Probably took him to an ICE detention center. 642 00:25:21,604 --> 00:25:23,856 Said we shouldn't hold our breath, though. 643 00:25:23,857 --> 00:25:26,024 Whatever happened to "we the people," huh? 644 00:25:28,611 --> 00:25:30,529 Anything back on that drunk son of a bitch 645 00:25:30,530 --> 00:25:33,365 - that attacked Emma? - Not yet. 646 00:25:33,366 --> 00:25:35,200 - Christ's sake. - I'm making a run now. 647 00:25:35,201 --> 00:25:36,577 - I'll ask. - Yeah. 648 00:25:36,578 --> 00:25:37,703 That's the guy who attacked Emma? 649 00:25:37,704 --> 00:25:40,664 - Mm-hmm. - That's intense. 650 00:25:40,665 --> 00:25:43,041 How you doing? 651 00:25:43,042 --> 00:25:45,169 Peachy. 652 00:25:45,170 --> 00:25:46,712 Oh, that's me. 653 00:25:46,713 --> 00:25:48,881 Hey, you did what you had to do with that guy. 654 00:25:48,882 --> 00:25:51,467 - Everything's gonna be fine. - From your lips. 655 00:25:54,888 --> 00:25:57,222 Box of class B launch tubes to the van. 656 00:25:57,223 --> 00:26:00,184 Next second, kaboom! 657 00:26:00,185 --> 00:26:04,229 I get launched 10, 15 feet across the garage, 658 00:26:04,230 --> 00:26:07,065 right up into the lift track. 659 00:26:07,066 --> 00:26:09,443 Hit something hard. 660 00:26:09,444 --> 00:26:12,237 Uh, I don't really remember the rest. 661 00:26:12,238 --> 00:26:15,741 Oh, just my brother screaming, help, help! 662 00:26:15,742 --> 00:26:19,661 I'm lying there thinking, oh, he must be dying. 663 00:26:19,662 --> 00:26:21,747 I guess it was me he was screaming about. 664 00:26:21,748 --> 00:26:23,665 Your brother is in the family room. 665 00:26:23,666 --> 00:26:26,668 He's waiting to see you, and he is alive and well. 666 00:26:26,669 --> 00:26:28,879 Oops. 667 00:26:28,880 --> 00:26:30,589 "Oops"? 668 00:26:30,590 --> 00:26:32,925 What... what's oops mean? 669 00:26:32,926 --> 00:26:36,804 - Hello? - It's nothing to worry about. 670 00:26:38,223 --> 00:26:40,934 We never say "oops" in front of a patient. 671 00:26:45,271 --> 00:26:47,272 All right, try again. 672 00:26:47,273 --> 00:26:49,316 - You sure? - Mm-hmm. 673 00:26:49,317 --> 00:26:51,068 Okay. 674 00:26:51,069 --> 00:26:53,487 Better. Keep going. 675 00:26:53,488 --> 00:26:54,988 You might want to leave the fireworks 676 00:26:54,989 --> 00:26:56,240 to the professionals. 677 00:26:56,241 --> 00:26:58,116 We are professionals. 678 00:26:58,117 --> 00:27:02,913 Got our official PDA consumer license a few years back. 679 00:27:02,914 --> 00:27:05,499 Gunpowder's in my blood, man. 680 00:27:05,500 --> 00:27:07,292 Nothing like that... 681 00:27:12,173 --> 00:27:14,299 Ain't no fighting it. 682 00:27:14,300 --> 00:27:16,134 Amor fati. 683 00:27:16,135 --> 00:27:18,971 More like memento mori. 684 00:27:18,972 --> 00:27:21,556 Tomato, tom-ah-to. 685 00:27:21,557 --> 00:27:23,308 Am I, like, the only one 686 00:27:23,309 --> 00:27:25,394 who didn't study Latin for med school? 687 00:27:25,395 --> 00:27:27,145 - Yep. - Yes. 688 00:27:27,146 --> 00:27:29,147 And finished. 689 00:27:29,148 --> 00:27:30,816 Nicely done. 690 00:27:30,817 --> 00:27:32,818 - Can I see my brother now? - Yep. 691 00:27:32,819 --> 00:27:34,987 Oh, motherfucker. 692 00:27:34,988 --> 00:27:37,823 - Chest pain? - Only when I move. 693 00:27:37,824 --> 00:27:39,533 That would be the fracture in your sternum, 694 00:27:39,534 --> 00:27:41,326 which we will give you another 4 of morphine for that. 695 00:27:41,327 --> 00:27:42,703 Thank you. 696 00:27:42,704 --> 00:27:44,621 And try no laughing or sneezing 697 00:27:44,622 --> 00:27:46,164 for the next four weeks. 698 00:27:47,875 --> 00:27:49,501 Mr. Haas, we're gonna switch you over 699 00:27:49,502 --> 00:27:52,004 to a high-flow nasal oxygen instead of the BiPAP 700 00:27:52,005 --> 00:27:53,797 and see how you do. 701 00:27:53,798 --> 00:27:55,340 This looks promising. 702 00:27:55,341 --> 00:27:58,176 Repeat potassium is at 6.1 with the albuterol. 703 00:28:03,850 --> 00:28:06,351 Feeling a... 704 00:28:06,352 --> 00:28:08,021 a little better. 705 00:28:10,231 --> 00:28:12,983 Don't you ever tell your mother about how fast you drove here. 706 00:28:12,984 --> 00:28:15,569 I thought you were gonna die. 707 00:28:15,570 --> 00:28:19,364 Any longer, and he might have, so good job. 708 00:28:19,365 --> 00:28:22,951 Boy just got his permit last week. 709 00:28:22,952 --> 00:28:24,494 Felt like I was living 710 00:28:24,495 --> 00:28:26,997 in one of those "Fast and the Furious" movies. 711 00:28:26,998 --> 00:28:30,208 I can't believe Pine Ridge closed. 712 00:28:30,209 --> 00:28:31,585 When did that happen? 713 00:28:31,586 --> 00:28:33,879 I read about it a few months ago. 714 00:28:33,880 --> 00:28:35,630 Medicare spending cuts. 715 00:28:35,631 --> 00:28:37,799 Are there any other emergency rooms in the area? 716 00:28:37,800 --> 00:28:39,134 Nope. 717 00:28:39,135 --> 00:28:40,719 It's gonna be a long way to drive 718 00:28:40,720 --> 00:28:42,429 for folks out where we live. 719 00:28:42,430 --> 00:28:44,890 Mr. Haas, you'll need to stay here a few hours. 720 00:28:44,891 --> 00:28:46,224 Get you tuned up. 721 00:28:46,225 --> 00:28:49,728 Yeah. I know the drill. 722 00:28:49,729 --> 00:28:51,855 Hey, you know, Mason, if you're hungry, 723 00:28:51,856 --> 00:28:53,565 we've got a pretty good cafeteria. 724 00:28:53,566 --> 00:28:55,609 Don't lie to him. 725 00:28:55,610 --> 00:28:57,569 We have a cafeteria. 726 00:28:57,570 --> 00:28:59,529 I'm just gonna stay here with my dad. 727 00:28:59,530 --> 00:29:02,074 Yeah, sure. 728 00:29:02,075 --> 00:29:04,118 Thank you for saving him. 729 00:29:10,208 --> 00:29:12,417 Are you still thinking rural emergency medicine 730 00:29:12,418 --> 00:29:14,086 when you're done here? 731 00:29:14,087 --> 00:29:17,089 Um, not thinking, doing. 732 00:29:17,090 --> 00:29:19,091 God, I hope there are still some hospitals left 733 00:29:19,092 --> 00:29:20,927 - for you to work at. - Yeah. 734 00:29:22,428 --> 00:29:24,012 Oh! 735 00:29:24,013 --> 00:29:26,056 So the march of the walking dead night shift begins. 736 00:29:26,057 --> 00:29:28,100 First one in, Mateo. You get a gold star. 737 00:29:28,101 --> 00:29:29,518 What happened in here? 738 00:29:29,519 --> 00:29:31,269 I left you guys with a layup this morning. 739 00:29:31,270 --> 00:29:32,646 Don't ask. 740 00:29:32,647 --> 00:29:34,773 Speaking of layups, what up, Dr. J? 741 00:29:34,774 --> 00:29:36,525 Oh, right. 742 00:29:36,526 --> 00:29:39,319 That was, um, some sort of basketball player, wasn't it? 743 00:29:39,320 --> 00:29:40,862 Shame on you. 744 00:29:40,863 --> 00:29:43,115 Only the greatest Sixer to ever play the game. 745 00:29:43,116 --> 00:29:45,409 Week one of year four of med school. 746 00:29:45,410 --> 00:29:47,452 You'll be ordering me around before you know it. 747 00:29:47,453 --> 00:29:49,287 Gonna join the dark side when you graduate? 748 00:29:49,288 --> 00:29:50,789 The emergency department? 749 00:29:50,790 --> 00:29:54,251 The night shift, baby. It's wild. 750 00:29:54,252 --> 00:29:56,086 Um... 751 00:29:56,087 --> 00:29:58,755 I haven't even decided what residency I'm applying for yet. 752 00:29:58,756 --> 00:30:01,174 You'll figure it out. Got lots of time. 753 00:30:01,175 --> 00:30:03,802 Tell that to my parents. 754 00:30:03,803 --> 00:30:06,138 Dana, results are back on your guy. 755 00:30:06,139 --> 00:30:07,515 Give me those. 756 00:30:12,103 --> 00:30:14,104 I-I choked her? 757 00:30:14,105 --> 00:30:16,481 No, I would never do something like that. 758 00:30:16,482 --> 00:30:17,649 But you did. 759 00:30:20,987 --> 00:30:24,698 Can you, uh... sorry, can you excuse me for a minute? 760 00:30:24,699 --> 00:30:27,160 - Jesus Christ, Dana. - Read. 761 00:30:29,495 --> 00:30:31,413 What's he saying, anyway? 762 00:30:31,414 --> 00:30:33,623 He's in a bit of shock. 763 00:30:33,624 --> 00:30:36,668 Claims he doesn't remember anything. 764 00:30:36,669 --> 00:30:39,004 Says he was on the golf course getting boozy, 765 00:30:39,005 --> 00:30:40,714 maybe a little too boozy. 766 00:30:40,715 --> 00:30:42,841 Things get hazy, next thing you know, he's on the floor 767 00:30:42,842 --> 00:30:44,092 and everyone's screaming at him. 768 00:30:44,093 --> 00:30:46,595 How convenient. 769 00:30:46,596 --> 00:30:48,513 Maybe it's better for both of you 770 00:30:48,514 --> 00:30:50,683 that he doesn't remember what happened. 771 00:30:52,727 --> 00:30:55,354 Let me know when you're ready to take my statement. 772 00:31:01,194 --> 00:31:03,069 All right, well, the good news is, 773 00:31:03,070 --> 00:31:05,989 your CT was negative for skull fracture 774 00:31:05,990 --> 00:31:07,866 or intracranial hemorrhage. 775 00:31:07,867 --> 00:31:11,161 You mean that's good news for you and that blonde nurse lady. 776 00:31:11,162 --> 00:31:13,538 But your lab results were positive for alcohol 777 00:31:13,539 --> 00:31:15,207 and cocaine. 778 00:31:17,001 --> 00:31:18,877 Okay, you got me. 779 00:31:18,878 --> 00:31:21,004 I did a couple of birdie bumps on the turn, 780 00:31:21,005 --> 00:31:22,923 but we were just having fun on the golf course. 781 00:31:22,924 --> 00:31:25,133 Look, when alcohol is mixed with cocaine, 782 00:31:25,134 --> 00:31:26,885 your liver produces a metabolite 783 00:31:26,886 --> 00:31:28,303 called cocaethylene. 784 00:31:28,304 --> 00:31:30,305 What does that have to do with me 785 00:31:30,306 --> 00:31:33,266 allegedly doing what you said? 786 00:31:33,267 --> 00:31:34,976 It's a psychoactive molecule 787 00:31:34,977 --> 00:31:37,312 more toxic and potent than cocaine. 788 00:31:37,313 --> 00:31:41,566 And it can lead to confusion, paranoia, aggression, 789 00:31:41,567 --> 00:31:44,194 and even psychosis. 790 00:31:45,988 --> 00:31:48,990 What happens now? 791 00:31:48,991 --> 00:31:51,243 We're gonna monitor you for a few hours, 792 00:31:51,244 --> 00:31:53,620 especially given your likely concussion. 793 00:31:53,621 --> 00:31:55,038 And you'll need to give a statement 794 00:31:55,039 --> 00:31:57,083 to the police outside in the meantime. 795 00:32:02,380 --> 00:32:04,548 Oh, you lucky this was just a poke. 796 00:32:04,549 --> 00:32:05,715 Spared the muscle. 797 00:32:05,716 --> 00:32:07,300 See? It could have been worse. 798 00:32:07,301 --> 00:32:08,927 No shit, Sherman. 799 00:32:08,928 --> 00:32:10,929 The triangular bayonets they created back then 800 00:32:10,930 --> 00:32:12,264 were designed to leave wounds 801 00:32:12,265 --> 00:32:14,266 that are nearly impossible to stitch. 802 00:32:14,267 --> 00:32:16,601 Those bayonets had never met me. 803 00:32:16,602 --> 00:32:18,270 - Oh, wow. - What? 804 00:32:18,271 --> 00:32:20,063 It's all good. We got it covered. 805 00:32:20,064 --> 00:32:23,316 No, are you guys from the Fort Pitt Museum? 806 00:32:23,317 --> 00:32:25,610 - Yeah. You familiar? - Yeah. 807 00:32:25,611 --> 00:32:27,028 I love you guys. 808 00:32:27,029 --> 00:32:28,530 My mom would take me to the fort 809 00:32:28,531 --> 00:32:30,198 every time we'd come down to visit family as a kid. 810 00:32:30,199 --> 00:32:32,284 We've been volunteering there as living historians 811 00:32:32,285 --> 00:32:34,661 - for over 20 years. - I probably saw you then. 812 00:32:34,662 --> 00:32:37,205 Man, I can't wait to tell my parents about this. 813 00:32:37,206 --> 00:32:38,957 Getting stabbed must have been scary. 814 00:32:38,958 --> 00:32:41,459 Yeah, well, Poindexter here stumbled over his boots 815 00:32:41,460 --> 00:32:43,128 and nearly impaled me. 816 00:32:43,129 --> 00:32:44,796 Wouldn't have mattered if you weren't out of formation. 817 00:32:44,797 --> 00:32:46,131 You're in good hands. 818 00:32:46,132 --> 00:32:48,049 This guy could have saved a lot of lives 819 00:32:48,050 --> 00:32:50,844 with his sutures back in 1776. 820 00:32:50,845 --> 00:32:54,139 - I was not out of formation. - You were out of formation. 821 00:32:54,140 --> 00:32:55,557 Hi, again. 822 00:32:55,558 --> 00:32:57,267 Good news, Mrs. Cohen. 823 00:32:57,268 --> 00:33:00,103 Your imaging results show no hip fracture 824 00:33:00,104 --> 00:33:02,147 and no internal bleeding. 825 00:33:02,148 --> 00:33:04,316 But you do have a small hairline fracture 826 00:33:04,317 --> 00:33:05,984 of the superior pubic ramus. 827 00:33:05,985 --> 00:33:07,986 Well, that doesn't sound good. 828 00:33:07,987 --> 00:33:09,154 Well, if you're gonna have a fracture, 829 00:33:09,155 --> 00:33:10,447 it's the best one to have. 830 00:33:10,448 --> 00:33:12,866 Do I need to stay in the hospital? 831 00:33:12,867 --> 00:33:13,992 Not necessarily. 832 00:33:13,993 --> 00:33:15,660 Your recovery should be 833 00:33:15,661 --> 00:33:17,662 pretty straightforward if we can control your pain. 834 00:33:17,663 --> 00:33:20,206 But you need to take it easy and stay off your feet 835 00:33:20,207 --> 00:33:22,000 for six to eight weeks. 836 00:33:22,001 --> 00:33:23,793 How can she go home if she can't walk? 837 00:33:23,794 --> 00:33:26,296 Oh, she can bear weight and walk with some help. 838 00:33:26,297 --> 00:33:29,174 And we'll get you a walker and schedule physical therapy. 839 00:33:29,175 --> 00:33:32,886 - So... so we can go home. - Yes. 840 00:33:32,887 --> 00:33:35,680 Dad, you can't take care of Mom all by yourself. 841 00:33:35,681 --> 00:33:37,849 Oh, we'll manage. 842 00:33:37,850 --> 00:33:40,185 You guys, you need to be realistic. 843 00:33:40,186 --> 00:33:43,188 I don't want strangers hanging around in the house. 844 00:33:43,189 --> 00:33:45,106 It's not strangers. It's helpers. 845 00:33:45,107 --> 00:33:46,858 Mm-mm, no. No, thanks. 846 00:33:46,859 --> 00:33:49,028 - Mm-mm. - Doctors, please. 847 00:33:50,696 --> 00:33:52,697 I am worried about your ability 848 00:33:52,698 --> 00:33:55,575 to get the assistance you need, Mrs. Cohen. 849 00:33:55,576 --> 00:33:57,952 It may be time to think about some of those 850 00:33:57,953 --> 00:34:01,831 alternative living options we mentioned. 851 00:34:01,832 --> 00:34:03,541 I can take care of her. 852 00:34:03,542 --> 00:34:05,835 Dad, are you gonna be able to get her into the bathroom 853 00:34:05,836 --> 00:34:07,712 onto the toilet in the middle of the night? 854 00:34:07,713 --> 00:34:09,714 Are you gonna help her change her clothes in the morning? 855 00:34:09,715 --> 00:34:11,508 - Are you gonna... - We're... we're fine. 856 00:34:11,509 --> 00:34:15,178 Dad, please just try it. 857 00:34:15,179 --> 00:34:17,055 You don't have to sell the house right away. 858 00:34:17,056 --> 00:34:20,266 Just see if you like it. 859 00:34:20,267 --> 00:34:22,727 - You could move in with us. - No, I can't. 860 00:34:22,728 --> 00:34:24,396 I have work. I have the kids. I can't. 861 00:34:24,397 --> 00:34:26,356 No. No. No. 862 00:34:26,357 --> 00:34:28,567 No. Okay? Just no. 863 00:34:30,569 --> 00:34:33,739 Carrie, could I speak with you outside for a minute? 864 00:34:41,414 --> 00:34:43,123 It's like that every time. 865 00:34:43,124 --> 00:34:44,791 It's tough to find the balance 866 00:34:44,792 --> 00:34:46,960 between respecting your loved ones' needs for agency 867 00:34:46,961 --> 00:34:49,629 and doing what's best for their safety. 868 00:34:49,630 --> 00:34:53,133 I was wondering if you had your parents' medication lists 869 00:34:53,134 --> 00:34:56,136 - with you or on your phone. - Yeah. 870 00:34:56,137 --> 00:34:59,472 I'd like to take a quick look at it, if that's okay. 871 00:34:59,473 --> 00:35:01,016 Yeah. 872 00:35:02,977 --> 00:35:05,061 My man, how you doing? 873 00:35:05,062 --> 00:35:06,312 Like you better roll in 874 00:35:06,313 --> 00:35:08,273 a bar cart and a happy hour buffet 875 00:35:08,274 --> 00:35:10,400 if I'm gonna be stuck in this place much longer. 876 00:35:10,401 --> 00:35:11,776 This place is a traffic jam. 877 00:35:11,777 --> 00:35:13,153 We're trying to merge you in, I promise. 878 00:35:13,154 --> 00:35:14,446 That's no traffic jam. 879 00:35:14,447 --> 00:35:15,947 That's a 20-car pileup. 880 00:35:15,948 --> 00:35:17,991 The sooner you get out, the sooner I get out, 881 00:35:17,992 --> 00:35:21,286 so you know I'm not bullshitting you. 882 00:35:21,287 --> 00:35:23,246 Why are you jonesing so hard to get out 883 00:35:23,247 --> 00:35:24,998 and start your ride tonight? 884 00:35:24,999 --> 00:35:26,791 I've got a schedule. 885 00:35:26,792 --> 00:35:29,670 I've got places to go. I've got people to see. 886 00:35:33,716 --> 00:35:36,885 I just have to get going. 887 00:35:36,886 --> 00:35:38,970 You're worried if you don't leave tonight, 888 00:35:38,971 --> 00:35:41,306 you won't leave at all. 889 00:35:41,307 --> 00:35:43,475 Look, I get it. 890 00:35:43,476 --> 00:35:46,644 I can feel it in the air here. This place is like quicksand. 891 00:35:46,645 --> 00:35:49,481 Right. 892 00:35:49,482 --> 00:35:51,232 Dr. Robby? 893 00:35:51,233 --> 00:35:55,320 Uh, Dante, the fireworks guy... something's wrong. 894 00:35:55,321 --> 00:35:57,030 Okay, shit. 895 00:35:57,031 --> 00:35:58,865 Um, do not go anywhere. You are next up. 896 00:35:58,866 --> 00:36:00,492 I'm gonna deliver you myself. 897 00:36:00,493 --> 00:36:02,410 I'm starting to feel like a hostage in this place. 898 00:36:02,411 --> 00:36:04,329 How do you think I feel? 899 00:36:19,220 --> 00:36:22,055 - What's going on? - Fucking chest hurts. 900 00:36:22,056 --> 00:36:25,225 Systolic's down to 78. 901 00:36:25,226 --> 00:36:27,227 - Blood loss from scalp lac? - Uh, that's highly unlikely. 902 00:36:27,228 --> 00:36:29,062 - Dr. Santos? - Good breath sounds. 903 00:36:29,063 --> 00:36:31,356 But neck veins are up. Checking the heart now. 904 00:36:31,357 --> 00:36:33,858 Okay, 500-cc bolus, 100% non-rebreather please. 905 00:36:33,859 --> 00:36:36,528 Okay, pericardial effusion, RV collapse... it's tamponade. 906 00:36:36,529 --> 00:36:38,404 Yeah, let's prep for a pericardiocentesis. 907 00:36:38,405 --> 00:36:40,573 What's going on? Is he gonna be okay? 908 00:36:40,574 --> 00:36:43,076 - You said he was fine. - CT scan was normal. 909 00:36:43,077 --> 00:36:44,994 Things change. 910 00:36:44,995 --> 00:36:48,414 Dante, there is a collection of blood around your heart. 911 00:36:48,415 --> 00:36:50,875 - We need to drain it. - Oh, fuck. 912 00:36:50,876 --> 00:36:53,044 Okay, 0.5 per kilo ketamine, please. 913 00:36:53,045 --> 00:36:54,712 Won't that drop his pressure even more? 914 00:36:54,713 --> 00:36:56,047 We don't have a choice. 915 00:36:56,048 --> 00:36:58,091 We cannot do this on a moving target. 916 00:36:58,092 --> 00:37:00,552 Dante, Jesus fucking Christ. It's my baby brother. 917 00:37:00,553 --> 00:37:02,720 - Hey, Perlah? - Sir, I'm so sorry, 918 00:37:02,721 --> 00:37:04,264 but you can't be in here right now. 919 00:37:04,265 --> 00:37:06,015 What's wrong with him? Hey, Dante. Dante. 920 00:37:06,016 --> 00:37:08,685 - Hey, just hear me... - Okay. I'm so sorry. 921 00:37:08,686 --> 00:37:10,270 You can't be in there right now, okay? 922 00:37:10,271 --> 00:37:11,938 - We have to stabilize. - They said he was fine. 923 00:37:11,939 --> 00:37:13,523 Yeah. Okay. There's been a complication. 924 00:37:13,524 --> 00:37:15,358 I just need you to take a couple deep breaths 925 00:37:15,359 --> 00:37:17,026 - and try to stay calm. - Please. Please. 926 00:37:17,027 --> 00:37:19,904 Okay, just breathe with me. In. Okay, out. 927 00:37:19,905 --> 00:37:21,739 Look at me. Breathe in. 928 00:37:21,740 --> 00:37:23,575 Out. 929 00:37:23,576 --> 00:37:25,952 Very good. In, out. 930 00:37:25,953 --> 00:37:28,414 Okay, stay calm, okay? We got this. 931 00:37:31,250 --> 00:37:32,917 I can't leave you pendejos alone. 932 00:37:32,918 --> 00:37:34,586 - Tamponade with shock. - From what? 933 00:37:34,587 --> 00:37:36,170 Uh, I'm guessing a small tear 934 00:37:36,171 --> 00:37:37,839 in the right atrium from the sternal fracture. 935 00:37:37,840 --> 00:37:39,173 If it was ventricular, 936 00:37:39,174 --> 00:37:40,758 he would have crashed in the field. 937 00:37:40,759 --> 00:37:42,510 I'll call cardiothoracic. See if they have an OR. 938 00:37:42,511 --> 00:37:44,053 Systolic's down to 64. 939 00:37:44,054 --> 00:37:45,430 Okay, have you ever done an apical approach? 940 00:37:45,431 --> 00:37:47,807 - Nope. - No time like the present. 941 00:37:47,808 --> 00:37:49,934 - Go lateral to my probe. - Why not subcostal? 942 00:37:49,935 --> 00:37:52,812 This is a shorter distance. There are fewer structures. 943 00:37:52,813 --> 00:37:54,188 If you can see fluid, there's nothing 944 00:37:54,189 --> 00:37:56,274 between the probe and the pericardial. 945 00:37:56,275 --> 00:37:58,443 There? There. The needle's in the effusion. 946 00:37:58,444 --> 00:38:01,821 - Mm-hmm. Draw back. - Good blood return. 947 00:38:01,822 --> 00:38:03,698 Okay, sometimes it only takes 20 cc's 948 00:38:03,699 --> 00:38:05,450 to let that heart fill again. 949 00:38:05,451 --> 00:38:08,286 - Carotid pulse much stronger. - Thanks. Be right up. 950 00:38:08,287 --> 00:38:09,954 They'll have a room ready in five. 951 00:38:09,955 --> 00:38:12,457 All right, that is 40 cc's out. 952 00:38:12,458 --> 00:38:14,083 Blood pressure's up. 90 systolic. 953 00:38:14,084 --> 00:38:15,835 Okay, now we're gonna place the J wire, 954 00:38:15,836 --> 00:38:17,170 and we're gonna leave the catheter in 955 00:38:17,171 --> 00:38:18,421 with a three-way stopcock. 956 00:38:18,422 --> 00:38:19,797 Still bleeding from the heart. 957 00:38:19,798 --> 00:38:21,424 He can live with a little blood loss 958 00:38:21,425 --> 00:38:23,301 but not with a pressure bag squeezing his heart 959 00:38:23,302 --> 00:38:24,510 so it can't beat. 960 00:38:24,511 --> 00:38:25,803 Good thing we didn't send him home. 961 00:38:25,804 --> 00:38:28,264 Nice save, Robby. You too, Trinity. 962 00:38:28,265 --> 00:38:32,644 - Is that an actual compliment? - Sometimes you guys get lucky. 963 00:38:32,645 --> 00:38:34,437 Got a couple of bad ones. 964 00:38:34,438 --> 00:38:37,106 - How old is he? - 84. 965 00:38:37,107 --> 00:38:38,608 Meclizine for vertigo. 966 00:38:38,609 --> 00:38:40,610 Anticholinergic effects can cause drowsiness. 967 00:38:40,611 --> 00:38:42,654 It's PRN, so maybe he doesn't take it all the time. 968 00:38:42,655 --> 00:38:44,656 He's also been prescribed methocarbamol, 969 00:38:44,657 --> 00:38:46,199 another anticholinergic. 970 00:38:46,200 --> 00:38:48,034 Could definitely impair driving. 971 00:38:48,035 --> 00:38:50,495 And metoclopramide for his stomach. 972 00:38:50,496 --> 00:38:52,997 That could cause gait problems. 973 00:38:52,998 --> 00:38:55,416 Exactly. 974 00:38:55,417 --> 00:38:57,669 - Dr. Robby, may we present? - Yeah, what do you got? 975 00:38:57,670 --> 00:38:59,087 Hey, you should probably get started 976 00:38:59,088 --> 00:39:00,421 crossing your T's and dotting your I's 977 00:39:00,422 --> 00:39:01,673 for night shift handoff Right. 978 00:39:01,674 --> 00:39:03,675 Well, vaya con Dios, 979 00:39:03,676 --> 00:39:06,886 or whatever the bikers are saying these days. 980 00:39:06,887 --> 00:39:09,222 Our elderly couple, Frida and Ed... 981 00:39:09,223 --> 00:39:11,557 We're anxious about their ability to recover at home 982 00:39:11,558 --> 00:39:13,559 or to remain at home in general. 983 00:39:13,560 --> 00:39:15,687 But a number of Mr. Cohen's medications 984 00:39:15,688 --> 00:39:17,480 are on the Beers List, 985 00:39:17,481 --> 00:39:20,483 and they may be contributing to his deteriorating health. 986 00:39:20,484 --> 00:39:22,235 - "May be"? - We can't be certain. 987 00:39:22,236 --> 00:39:24,487 But none of them are critical meds. 988 00:39:24,488 --> 00:39:26,531 We could have him stop them right now, 989 00:39:26,532 --> 00:39:28,032 follow up with his PCP, 990 00:39:28,033 --> 00:39:29,325 see how he's doing in a few weeks. 991 00:39:29,326 --> 00:39:30,576 Run it by the family. 992 00:39:30,577 --> 00:39:32,829 Sometimes just affirming a patient's... 993 00:39:32,830 --> 00:39:36,249 independence, autonomy can do a world of good. 994 00:39:36,250 --> 00:39:38,876 Um, hey, Dr. Mohan. 995 00:39:38,877 --> 00:39:41,713 I heard a rumor that you were looking for an elective. 996 00:39:41,714 --> 00:39:44,048 Consider geriatrics. 997 00:39:44,049 --> 00:39:45,883 It's as much of an art as a science. 998 00:39:45,884 --> 00:39:48,052 There's usually an opening, and you seem to have 999 00:39:48,053 --> 00:39:50,681 a predisposition to the pace. 1000 00:39:56,895 --> 00:39:58,396 Hey, have you seen Dana? 1001 00:39:58,397 --> 00:40:00,314 I think she went out for a smoke, 1002 00:40:00,315 --> 00:40:01,734 lucky girl. 1003 00:40:18,709 --> 00:40:21,586 You ever gonna tell me what really happened in there? 1004 00:40:21,587 --> 00:40:22,755 In where? 1005 00:40:24,923 --> 00:40:27,759 You could lose your nursing license. 1006 00:40:27,760 --> 00:40:30,762 Let me guess... that vial of Versed in your pocket, 1007 00:40:30,763 --> 00:40:32,597 you drew that up for Doug Driscoll 1008 00:40:32,598 --> 00:40:34,223 in case he ever came back, 1009 00:40:34,224 --> 00:40:36,225 and now you've just been carrying it around ever since. 1010 00:40:36,226 --> 00:40:37,810 I did exactly what I needed to, 1011 00:40:37,811 --> 00:40:39,437 and now there's a young nurse who gets to go home 1012 00:40:39,438 --> 00:40:41,105 in one piece because of me. 1013 00:40:41,106 --> 00:40:42,899 McKay can sign the Versed order for me if you won't. 1014 00:40:42,900 --> 00:40:44,275 I will sign the order! 1015 00:40:44,276 --> 00:40:45,943 I will sign an extra order 1016 00:40:45,944 --> 00:40:47,528 so you can have one when I'm gone. 1017 00:40:47,529 --> 00:40:49,238 That's hardly the point. 1018 00:40:49,239 --> 00:40:52,533 It's not exactly like I'm against nurse safety. 1019 00:40:52,534 --> 00:40:54,535 I'm trying to advocate for your caution, 1020 00:40:54,536 --> 00:40:56,204 because you're the person who's supposed to be here 1021 00:40:56,205 --> 00:40:57,663 keeping this running while I'm gone, 1022 00:40:57,664 --> 00:40:59,290 not roaming the halls like a vigilante 1023 00:40:59,291 --> 00:41:00,958 with a loaded syringe and a vendetta! 1024 00:41:00,959 --> 00:41:02,210 It's always "do as I say, 1025 00:41:02,211 --> 00:41:03,503 not as I do" with you, isn't it? 1026 00:41:03,504 --> 00:41:05,505 What is wrong with you today? 1027 00:41:05,506 --> 00:41:08,132 Samira missed a triple-A. Mel and Ellis had a deposition. 1028 00:41:08,133 --> 00:41:10,051 McKay's treating people in the park. Fucking Langdon... 1029 00:41:10,052 --> 00:41:11,511 At some point, you and Langdon 1030 00:41:11,512 --> 00:41:13,012 - got to work this out. - I don't want him here! 1031 00:41:13,013 --> 00:41:14,305 He made a mistake, and he paid for it. 1032 00:41:14,306 --> 00:41:15,681 Did he? Did he go to jail? 1033 00:41:15,682 --> 00:41:17,308 Because I let him get away with a crime. 1034 00:41:17,309 --> 00:41:19,018 - So what does that make me? - Human! 1035 00:41:19,019 --> 00:41:21,687 Are you angry at him, or are you angry at you? 1036 00:41:21,688 --> 00:41:23,481 - Somebody could have died. - Oh, it's the ED. 1037 00:41:23,482 --> 00:41:25,108 - Somebody's always dying. - Go ahead and make jokes. 1038 00:41:25,109 --> 00:41:27,026 Make jokes instead of acknowledging that... 1039 00:41:27,027 --> 00:41:28,653 - Langdon didn't kill anybody. - That we know of. 1040 00:41:28,654 --> 00:41:31,823 And he saved a lot of lives that we do know of. 1041 00:41:31,824 --> 00:41:33,366 Our kids disappoint us sometimes. 1042 00:41:33,367 --> 00:41:34,826 Langdon is not a kid. 1043 00:41:34,827 --> 00:41:36,035 No, but he's your guy, 1044 00:41:36,036 --> 00:41:37,328 and you're taking it personally. 1045 00:41:37,329 --> 00:41:38,538 Langdon fucked up, and you think 1046 00:41:38,539 --> 00:41:39,789 that makes you look bad, 1047 00:41:39,790 --> 00:41:41,958 but it's on him. 1048 00:41:41,959 --> 00:41:43,459 How am I supposed to leave this place 1049 00:41:43,460 --> 00:41:44,794 when it's a shit show? 1050 00:41:44,795 --> 00:41:47,338 First you can't stay. Now you can't go. 1051 00:41:47,339 --> 00:41:49,090 What is it, Robinavitch? 1052 00:41:49,091 --> 00:41:50,925 No, I'm going. 1053 00:41:50,926 --> 00:41:52,760 I just thought I could leave it a little better when I did. 1054 00:41:52,761 --> 00:41:54,512 Oh, don't be such a martyr. 1055 00:41:54,513 --> 00:41:56,597 This place is always teetering on the brink of disaster, 1056 00:41:56,598 --> 00:41:57,932 with or without you. 1057 00:41:57,933 --> 00:41:59,600 We do it every night, every day off. 1058 00:41:59,601 --> 00:42:01,269 This place is bigger than one person. 1059 00:42:01,270 --> 00:42:04,021 It survived without Adamson, it survived without me, 1060 00:42:04,022 --> 00:42:06,024 and it'll survive without you. 1061 00:42:10,863 --> 00:42:12,864 My meds are making me worse? 1062 00:42:12,865 --> 00:42:14,949 Not worse, but they may be impacting 1063 00:42:14,950 --> 00:42:16,742 your balance and mobility. 1064 00:42:16,743 --> 00:42:19,036 Why would his doctors prescribe drugs 1065 00:42:19,037 --> 00:42:20,663 that could harm him? 1066 00:42:20,664 --> 00:42:22,373 Oh, it's not any one medication. 1067 00:42:22,374 --> 00:42:24,375 It's the combination that could be impairing 1068 00:42:24,376 --> 00:42:25,710 his daily functioning. 1069 00:42:25,711 --> 00:42:27,253 We have a case manager 1070 00:42:27,254 --> 00:42:29,213 that will put together a robust plan 1071 00:42:29,214 --> 00:42:31,716 that I think will make everyone happy, 1072 00:42:31,717 --> 00:42:33,676 while allowing you to stay at home. 1073 00:42:33,677 --> 00:42:36,220 There's regular physical therapy, 1074 00:42:36,221 --> 00:42:39,515 an at-home nurse that visits a few times a week, and, um... 1075 00:42:39,516 --> 00:42:42,393 oh, even personal shoppers to help with groceries. 1076 00:42:42,394 --> 00:42:45,229 This sounds expensive. 1077 00:42:45,230 --> 00:42:47,023 Actually, Medicare covers most of it, 1078 00:42:47,024 --> 00:42:49,483 with some assistance from the Area Agency on Aging. 1079 00:42:49,484 --> 00:42:53,654 You know, every old person knows what it is to be young, 1080 00:42:53,655 --> 00:42:58,492 but no young person can know what it is to be old. 1081 00:42:58,493 --> 00:43:01,078 Thank you for listening. 1082 00:43:01,079 --> 00:43:02,663 You guys are still coming with me 1083 00:43:02,664 --> 00:43:04,665 to visit a few assisted living places 1084 00:43:04,666 --> 00:43:06,000 just in case it's ever time. 1085 00:43:06,001 --> 00:43:07,794 Well, maybe. 1086 00:43:23,977 --> 00:43:27,730 Hey. You, uh... you doing all right? 1087 00:43:27,731 --> 00:43:30,317 Never better. Thanks. Bye. 1088 00:43:36,114 --> 00:43:37,490 God, you're really just gonna 1089 00:43:37,491 --> 00:43:38,616 keep standing there, aren't you? 1090 00:43:38,617 --> 00:43:40,661 Yeah. What's going on? 1091 00:43:45,290 --> 00:43:48,125 It was literally my first day of being a doctor, 1092 00:43:48,126 --> 00:43:50,711 and Langdon gaslit me 1093 00:43:50,712 --> 00:43:53,130 and made me question my skills over and over. 1094 00:43:53,131 --> 00:43:56,300 And it's taken me a long time to feel like I belong here, 1095 00:43:56,301 --> 00:43:58,177 and now he's back. 1096 00:43:58,178 --> 00:44:00,137 And I don't even care that he was an addict. 1097 00:44:00,138 --> 00:44:01,889 I care that he was a fucking asshole. 1098 00:44:01,890 --> 00:44:05,559 And it's like no one here even remembers any of this. 1099 00:44:05,560 --> 00:44:08,813 And everyone here talks about community and family, 1100 00:44:08,814 --> 00:44:11,732 all while they throw you under the bus, and I... 1101 00:44:11,733 --> 00:44:13,484 Robby is the only attending 1102 00:44:13,485 --> 00:44:15,403 who actually sees through the bullshit, 1103 00:44:15,404 --> 00:44:17,905 but now he's leaving for some grand ego-death spirit quest, 1104 00:44:17,906 --> 00:44:21,951 and Robo-Doc over there shoots me in the proverbial dick. 1105 00:44:21,952 --> 00:44:24,287 Well, Garcia's here. 1106 00:44:24,288 --> 00:44:26,539 - She likes you, right? - She doesn't like me. 1107 00:44:26,540 --> 00:44:28,374 She likes getting laid. 1108 00:44:28,375 --> 00:44:32,336 I'm her stress relief squeeze toy... or was. 1109 00:44:32,337 --> 00:44:35,339 You know, she and Langdon would make a great couple. 1110 00:44:35,340 --> 00:44:38,134 Yeah. That's dark. 1111 00:44:38,135 --> 00:44:40,553 I'm sorry. 1112 00:44:40,554 --> 00:44:42,805 Yeah? Why do you care? 1113 00:44:42,806 --> 00:44:45,182 Well, 'cause we're friends, I thought... I think. 1114 00:44:45,183 --> 00:44:47,018 Are we? Because on top of all of that, 1115 00:44:47,019 --> 00:44:48,519 you're the one who's being super shady 1116 00:44:48,520 --> 00:44:49,687 about moving out on me. 1117 00:44:49,688 --> 00:44:51,022 Moving out? 1118 00:44:51,023 --> 00:44:52,523 Yeah, I heard you're gonna go squat 1119 00:44:52,524 --> 00:44:54,358 at Robby's sad bachelor pad. 1120 00:44:54,359 --> 00:44:57,361 Honestly, I thought that was your idea to get me 1121 00:44:57,362 --> 00:44:58,946 - to move out of the apartment. - No, no. 1122 00:44:58,947 --> 00:45:01,198 I wanted him to give you some fatherly advice 1123 00:45:01,199 --> 00:45:02,700 about going all Farmers Only, 1124 00:45:02,701 --> 00:45:06,454 not giving you the keys to his fucking house. 1125 00:45:06,455 --> 00:45:08,039 Oh, my God. 1126 00:45:08,040 --> 00:45:10,082 No, I know it was none of my business. 1127 00:45:10,083 --> 00:45:13,336 No, it's not that. It's... 1128 00:45:13,337 --> 00:45:17,215 you actually like living with me, don't you? 1129 00:45:19,092 --> 00:45:21,552 What are you talking about? 1130 00:45:21,553 --> 00:45:23,471 You leave your dirty clothes everywhere. 1131 00:45:23,472 --> 00:45:25,931 You eat all of my avocados as soon as they ripen. 1132 00:45:25,932 --> 00:45:28,225 You keep pausing the TV to ask the dumbest questions. 1133 00:45:28,226 --> 00:45:30,019 No, I'm going back to the avocado thing, 1134 00:45:30,020 --> 00:45:32,063 because I've never seen someone consume so many. 1135 00:45:32,064 --> 00:45:33,522 It's disgusting... 1136 00:45:33,523 --> 00:45:35,399 Just say it, and I won't move out, okay? 1137 00:45:35,400 --> 00:45:36,901 I'm not gonna be doing much at Robby's. 1138 00:45:36,902 --> 00:45:38,235 I'm gonna be taking in his mail. 1139 00:45:38,236 --> 00:45:40,613 I'm gonna be watering his plants. 1140 00:45:40,614 --> 00:45:42,282 Say what? 1141 00:45:44,618 --> 00:45:47,579 Admit that you like having me as your roommate. 1142 00:45:49,247 --> 00:45:52,918 You are such a fuckle-berry. Have fun with Robby's plants. 1143 00:45:55,837 --> 00:45:59,257 You have no idea how much joy that just brought me. 1144 00:46:02,636 --> 00:46:04,512 Hey. 1145 00:46:04,513 --> 00:46:08,099 How much longer until I get these things off and go home? 1146 00:46:08,100 --> 00:46:10,101 Oh... 1147 00:46:10,102 --> 00:46:12,186 You assaulted a nurse. 1148 00:46:12,187 --> 00:46:14,855 Yeah... you said it was the cocaethylene thing 1149 00:46:14,856 --> 00:46:17,066 that made me go crazy. 1150 00:46:17,067 --> 00:46:19,485 Well, if you're drunk and you kill someone, 1151 00:46:19,486 --> 00:46:21,362 you still kill someone. 1152 00:46:21,363 --> 00:46:23,406 So after we clear you in a few hours, 1153 00:46:23,407 --> 00:46:25,783 you're gonna take a ride with the uniformed officer outside, 1154 00:46:25,784 --> 00:46:27,243 who's gonna take you in for processing. 1155 00:46:27,244 --> 00:46:28,953 No. No, no, no, this cannot be happening. 1156 00:46:28,954 --> 00:46:31,455 No, since you golf and can buy cocaine, 1157 00:46:31,456 --> 00:46:33,332 I assume you can post bail after your arraignment. 1158 00:46:33,333 --> 00:46:34,959 You're gonna ruin my fucking life! 1159 00:46:34,960 --> 00:46:36,836 But it being our nation's big, beautiful birthday, 1160 00:46:36,837 --> 00:46:38,671 that hearing may take longer than usual. 1161 00:46:38,672 --> 00:46:41,049 So I'd cancel any grand plans you have for the Fourth. 1162 00:46:45,929 --> 00:46:47,930 You know, I... 1163 00:46:47,931 --> 00:46:50,099 I can leave you with these. 1164 00:46:50,100 --> 00:46:52,351 Rehab? Fuck off. 1165 00:46:52,352 --> 00:46:55,855 I'm suing this whole hospital and you for personal injury. 1166 00:46:55,856 --> 00:46:58,190 Well, good luck convincing a jury of that one. 1167 00:46:58,191 --> 00:46:59,984 - Oh, fuck this whole place... - Asshole. 1168 00:46:59,985 --> 00:47:02,153 And fuck all of you! 1169 00:47:02,154 --> 00:47:04,989 No, not you, Officer. Fuck! 1170 00:47:04,990 --> 00:47:07,241 Make sure discharge charts are bundled and placed 1171 00:47:07,242 --> 00:47:09,326 in the "to be scanned" bin with nursing notes, 1172 00:47:09,327 --> 00:47:11,579 order sheets, lab, and X-ray results. 1173 00:47:11,580 --> 00:47:13,330 Day shift needs completed T sheets 1174 00:47:13,331 --> 00:47:14,999 on every patient and to write on the board 1175 00:47:15,000 --> 00:47:16,709 what tests are pending so nothing falls 1176 00:47:16,710 --> 00:47:21,338 through the cracks while we wait to come back online. 1177 00:47:21,339 --> 00:47:22,548 Westbridge and Good Dominion 1178 00:47:22,549 --> 00:47:24,884 have settled their cyber dispute. 1179 00:47:24,885 --> 00:47:27,094 - They paid the ransom? - Yeah. 1180 00:47:27,095 --> 00:47:29,138 Our IT department is confident in our defenses, 1181 00:47:29,139 --> 00:47:31,974 so they will be rebooting everything soon... 1182 00:47:31,975 --> 00:47:33,976 - slowly but surely. - Okay. 1183 00:47:33,977 --> 00:47:35,978 So when everything comes back on, 1184 00:47:35,979 --> 00:47:37,354 all the residents have to do 1185 00:47:37,355 --> 00:47:39,190 is scan all the completed paper charts 1186 00:47:39,191 --> 00:47:42,151 and digitize them into the patient's EHRs before they go? 1187 00:47:42,152 --> 00:47:44,528 I'm never getting out of this place. 1188 00:47:44,529 --> 00:47:47,072 This means you're clear for takeoff. 1189 00:47:47,073 --> 00:47:50,826 Nothing here we can't handle with night shift coming in. 1190 00:47:50,827 --> 00:47:53,204 Yeah, right. Free to go. 1191 00:47:53,205 --> 00:47:55,915 Uh, hey, I told you I would get you up there, 1192 00:47:55,916 --> 00:47:58,375 and I promise I'm not leaving until you're back 1193 00:47:58,376 --> 00:48:00,044 and sent packing. 1194 00:48:00,045 --> 00:48:01,712 Robby, buddy, you got me to come in, 1195 00:48:01,713 --> 00:48:03,380 got me to take my tests. 1196 00:48:03,381 --> 00:48:05,591 You don't got to babysit me. That's why I have a nurse. 1197 00:48:05,592 --> 00:48:07,760 - What's your name, sweetheart? - Nurse Vivi, sir. 1198 00:48:07,761 --> 00:48:09,720 That's what I have the lovely Nurse Vivi here for. 1199 00:48:09,721 --> 00:48:11,722 This will not take very long. 1200 00:48:11,723 --> 00:48:14,058 Where have I heard that before? 1201 00:48:14,059 --> 00:48:15,559 Hey. 1202 00:48:15,560 --> 00:48:17,978 So, uh, this is it, huh? 1203 00:48:17,979 --> 00:48:20,147 Uh, yeah. 1204 00:48:20,148 --> 00:48:22,400 Don't let the place burn down. 1205 00:48:24,402 --> 00:48:26,195 You know... 1206 00:48:26,196 --> 00:48:29,114 in a previous life, I had a lot of friends who liked to see 1207 00:48:29,115 --> 00:48:31,408 how close the edge was... 1208 00:48:31,409 --> 00:48:34,787 as if it was a challenge they were called to meet. 1209 00:48:34,788 --> 00:48:37,832 Trouble is, they all inevitably found it. 1210 00:48:40,210 --> 00:48:41,670 Okay. 1211 00:48:44,047 --> 00:48:45,422 I'm just picking up 1212 00:48:45,423 --> 00:48:47,383 on a weird vibe from you today is all. 1213 00:48:47,384 --> 00:48:51,429 Yeah, well, it's been a weird day. 1214 00:48:56,434 --> 00:48:58,435 - You leaving? - Uh, yeah. 1215 00:48:58,436 --> 00:49:01,397 My shift is over, and I ain't getting paid to be here. 1216 00:49:01,398 --> 00:49:03,607 Quite literally the opposite, in fact. 1217 00:49:03,608 --> 00:49:05,401 Well, I don't know if you noticed, 1218 00:49:05,402 --> 00:49:08,279 but we're sort of, uh, in disaster mode here still. 1219 00:49:08,280 --> 00:49:10,865 We put in the extra time if we're needed. 1220 00:49:12,826 --> 00:49:17,371 You know 62% of ED docs report suffering from burnout? 1221 00:49:17,372 --> 00:49:19,290 - Painfully aware. - Mm. 1222 00:49:19,291 --> 00:49:21,834 So maybe all you lunatics need to learn 1223 00:49:21,835 --> 00:49:25,671 how to set some boundaries, like me. 1224 00:49:25,672 --> 00:49:28,300 Well, see you tomorrow, Doc. 1225 00:49:30,093 --> 00:49:32,177 Good luck in there. Sorry about the mess. 1226 00:49:32,178 --> 00:49:33,470 "Mess"? 1227 00:49:37,934 --> 00:49:39,476 Yup. 1228 00:49:39,477 --> 00:49:41,270 - Incoming. - Head trauma. 1229 00:49:41,271 --> 00:49:43,147 Unwitnessed fall from the warehouse catwalk 1230 00:49:43,148 --> 00:49:46,442 where he works as a security guard. 1231 00:49:46,443 --> 00:49:48,152 Oh, my God. 1232 00:49:48,153 --> 00:49:49,653 Orlando. 1233 00:49:49,654 --> 00:49:51,307 He left five hours ago. 1234 00:49:51,308 --> 00:49:55,787 Sync and corrections by btsix www.addic7ed.com