1 00:00:09,959 --> 00:00:12,740 Sync and corrections by btsix www.addic7ed.com 2 00:00:20,118 --> 00:00:21,868 - What's up, Ghost Rider? - You good? 3 00:00:21,869 --> 00:00:23,120 Never better. 4 00:00:23,121 --> 00:00:24,955 OK, kids, bye-bye time. 5 00:00:24,956 --> 00:00:27,124 Thanks for the trip down memory lane. 6 00:00:27,125 --> 00:00:28,584 Um, where's Evans? 7 00:00:28,585 --> 00:00:30,836 Uh, I think she's by the family room. 8 00:00:30,837 --> 00:00:32,462 She is. 9 00:00:32,463 --> 00:00:33,964 Hey, hey, hey, where are you going? 10 00:00:33,965 --> 00:00:35,465 I'm not gonna scan all this by myself. 11 00:00:35,466 --> 00:00:37,092 Cruz has a question on my cellulitis. 12 00:00:37,093 --> 00:00:38,677 - I'll be right back. - You better. 13 00:00:38,678 --> 00:00:39,970 - Two minutes tops. - Where's Mel? 14 00:00:39,971 --> 00:00:41,430 Where's Donnie? 15 00:00:41,431 --> 00:00:42,931 - They should be helping you. - I don't know. 16 00:00:42,932 --> 00:00:44,641 OK, day shift, listen up. 17 00:00:44,642 --> 00:00:46,768 We're doing really well, but we still got a ways to go. 18 00:00:46,769 --> 00:00:48,895 And nobody's going home until all these paper charts 19 00:00:48,896 --> 00:00:50,647 are digitized, including me. 20 00:00:50,648 --> 00:00:52,566 And then we're free to celebrate our freedom? 21 00:00:52,567 --> 00:00:53,650 Exactly. 22 00:00:53,651 --> 00:00:54,901 Well, can you kick some ass 23 00:00:54,902 --> 00:00:56,069 and get the staff to hurry up 24 00:00:56,070 --> 00:00:57,237 on the EHR home pages? 25 00:00:57,238 --> 00:00:58,989 Where are Larry and Antoine? 26 00:00:58,990 --> 00:01:00,282 Antoine's fighting on the phone 27 00:01:00,283 --> 00:01:01,658 with his girlfriend outside. 28 00:01:01,659 --> 00:01:04,453 And Larry's on a cafeteria run. 29 00:01:04,454 --> 00:01:06,997 Yeah, that tracks. 30 00:01:06,998 --> 00:01:09,124 We've got five patients in beds waiting to be seen. 31 00:01:09,125 --> 00:01:11,126 How do you want to play this... man to man or zone? 32 00:01:11,127 --> 00:01:12,544 The zone. 33 00:01:12,545 --> 00:01:14,212 Have Cruz and Ellis split up the new five. 34 00:01:14,213 --> 00:01:15,589 You take North and Central. 35 00:01:15,590 --> 00:01:17,341 - I'll take South and Trauma. - Cool. 36 00:01:17,342 --> 00:01:18,383 Want to switch at 1:00 AM? 37 00:01:18,384 --> 00:01:19,509 Why? 38 00:01:19,510 --> 00:01:20,719 Variety is the spice of life. 39 00:01:20,720 --> 00:01:22,179 I thought that was garlic. 40 00:01:22,180 --> 00:01:25,182 Oh, sorry. 41 00:01:25,183 --> 00:01:27,059 I told you I'd be fast. 42 00:01:27,060 --> 00:01:29,186 OK, let's do this and get out of here. 43 00:01:29,187 --> 00:01:30,312 What's the hurry? 44 00:01:30,313 --> 00:01:31,521 Got some hay to pitch? 45 00:01:31,522 --> 00:01:32,981 Ha. 46 00:01:34,484 --> 00:01:36,193 - Oh, shoot. - What? 47 00:01:36,194 --> 00:01:38,862 Uh, my ID badge is missing. 48 00:01:38,863 --> 00:01:39,863 Oh, no. The one you just got? 49 00:01:39,864 --> 00:01:41,239 How'd you lose it? 50 00:01:41,240 --> 00:01:42,240 I don't know. It must have come off. 51 00:01:42,241 --> 00:01:43,575 Classic. 52 00:01:43,576 --> 00:01:44,993 Hope you remember your login and password. 53 00:01:44,994 --> 00:01:46,119 OK. Retrace your steps. 54 00:01:46,120 --> 00:01:47,579 Where'd you have it last? 55 00:01:47,580 --> 00:01:50,248 Uh, I was with Ogilvie in the Ambulance Bay. 56 00:01:50,249 --> 00:01:52,417 Not with Colonel Mustard in the library? 57 00:01:52,418 --> 00:01:54,461 Who's... what? 58 00:01:54,462 --> 00:01:55,672 No. 59 00:01:56,964 --> 00:01:59,342 The boy has no clue. 60 00:02:03,721 --> 00:02:05,847 Please don't do that. 61 00:02:05,848 --> 00:02:07,557 Oh, ma'am, I gotta go. 62 00:02:07,558 --> 00:02:10,228 I sit here any longer, I'm gonna get bedsores. 63 00:02:12,397 --> 00:02:15,399 I... I'm supposed to get some CT results. 64 00:02:15,400 --> 00:02:17,901 Any idea how much longer that's gonna be? 65 00:02:17,902 --> 00:02:20,320 Shouldn't be much longer. 66 00:02:20,321 --> 00:02:22,906 Where's that Nurse Vivi? 67 00:02:22,907 --> 00:02:24,616 You don't want any of that. 68 00:02:24,617 --> 00:02:26,910 - No? - No, she's out of your league. 69 00:02:26,911 --> 00:02:28,829 What league do you think I play in? 70 00:02:28,830 --> 00:02:31,623 Uh, old timer's night. 71 00:02:31,624 --> 00:02:33,291 Yeah, you're probably right. 72 00:02:33,292 --> 00:02:36,420 But some teams still appreciate a veteran presence. 73 00:02:36,421 --> 00:02:38,630 Well, don't say I didn't warn you. 74 00:02:38,631 --> 00:02:40,424 You are here for your heart, after all. 75 00:02:40,425 --> 00:02:41,925 My heart's been broken before. 76 00:02:41,926 --> 00:02:43,427 What's one more time? 77 00:02:43,428 --> 00:02:45,554 Uh, she's engaged to a jujitsu instructor. 78 00:02:45,555 --> 00:02:47,222 With a bang, not a whimper, baby. 79 00:02:48,641 --> 00:02:50,308 And it's a cool bath a couple times a day 80 00:02:50,309 --> 00:02:52,853 for two days, followed by aloe vera to your skin. 81 00:02:52,854 --> 00:02:54,187 OK, that's it? 82 00:02:54,188 --> 00:02:56,440 And sunscreen in your future. 83 00:02:56,441 --> 00:02:59,443 No, I'm never going outside ever again. 84 00:02:59,444 --> 00:03:02,904 I wouldn't swear off the sun entirely, you know? 85 00:03:02,905 --> 00:03:05,407 But like most things, moderation. 86 00:03:05,408 --> 00:03:06,742 Hey, we're getting kind of shorthanded 87 00:03:06,743 --> 00:03:08,118 scanning charts out here. 88 00:03:08,119 --> 00:03:09,453 When you finish, can you come lend a hand? 89 00:03:09,454 --> 00:03:10,579 Yeah, happy to. 90 00:03:10,580 --> 00:03:11,622 Thank you. 91 00:03:13,624 --> 00:03:15,584 And by happy to, I mean there is nothing 92 00:03:15,585 --> 00:03:17,294 I would rather do less. 93 00:03:17,295 --> 00:03:19,963 They keep you pretty busy. 94 00:03:19,964 --> 00:03:24,050 Yeah, and today has brought some new challenges. 95 00:03:24,051 --> 00:03:25,302 This is really putting a crimp 96 00:03:25,303 --> 00:03:27,637 in my 4th of July evening plans. 97 00:03:27,638 --> 00:03:30,098 You're going to see the fireworks? 98 00:03:30,099 --> 00:03:33,518 Uh, no, I was gonna maybe meet up with this guy, 99 00:03:33,519 --> 00:03:35,145 though that's sounding less appealing 100 00:03:35,146 --> 00:03:37,647 than the three Bs at this point. 101 00:03:37,648 --> 00:03:39,233 The three Bs? 102 00:03:40,193 --> 00:03:42,652 Book, bath, and bed. 103 00:03:42,653 --> 00:03:45,113 College kid with mono and hemorrhagic tonsils, 104 00:03:45,114 --> 00:03:46,823 admit med-surge or observation? 105 00:03:46,824 --> 00:03:47,866 Uh, observation. 106 00:03:47,867 --> 00:03:49,326 Bleeding stopped with TXA. 107 00:03:49,327 --> 00:03:50,702 She's had steroids, so should be 108 00:03:50,703 --> 00:03:52,037 ready for discharge in the morning. 109 00:03:52,038 --> 00:03:53,830 Cool. 110 00:03:53,831 --> 00:03:55,540 How was your first shift back? 111 00:03:55,541 --> 00:03:58,210 Uh, slow start, finding my rhythm. 112 00:03:59,504 --> 00:04:01,546 You a little rusty, Rusty James? 113 00:04:01,547 --> 00:04:03,965 Now you won't have Motorcycle Boy to big brother you. 114 00:04:03,966 --> 00:04:05,592 Is that a "Rumble Fish" reference? 115 00:04:05,593 --> 00:04:07,052 Sure is. 116 00:04:07,053 --> 00:04:09,679 And Robby is my big brother in this analogy? 117 00:04:09,680 --> 00:04:10,972 Bingo. 118 00:04:10,973 --> 00:04:12,057 Yeah, I wouldn't say he's been 119 00:04:12,058 --> 00:04:13,975 looking out for me exactly. 120 00:04:13,976 --> 00:04:15,393 I think he'd probably prefer 121 00:04:15,394 --> 00:04:17,145 not to see me at all today, actually. 122 00:04:17,146 --> 00:04:20,023 And you think that's because he's mad at you? 123 00:04:20,024 --> 00:04:24,945 I think he feels like I let him down, because I did. 124 00:04:24,946 --> 00:04:27,113 Jesus, with all the martyrs around here, 125 00:04:27,114 --> 00:04:28,615 you'd think this was a passion play. 126 00:04:28,616 --> 00:04:30,243 What's your take? 127 00:04:32,245 --> 00:04:33,703 I worked with that man for 10 months 128 00:04:33,704 --> 00:04:34,871 while you were gone. 129 00:04:34,872 --> 00:04:36,581 He's not mad at you. 130 00:04:36,582 --> 00:04:39,751 He's mad at himself for failing you, Rusty James. 131 00:04:39,752 --> 00:04:41,211 Really? 132 00:04:42,421 --> 00:04:44,881 Just more White Knight/White noise. 133 00:04:44,882 --> 00:04:46,384 That's how it is. 134 00:04:48,678 --> 00:04:50,345 Share this video with your friends if you can. 135 00:04:50,346 --> 00:04:51,680 Thank you so much. 136 00:04:51,681 --> 00:04:53,598 Be kind, be safe, be brave. 137 00:04:53,599 --> 00:04:54,724 What you doing? 138 00:04:54,725 --> 00:04:56,142 Dr. Robby, sorry. 139 00:04:56,143 --> 00:04:57,143 I was just... 140 00:04:57,144 --> 00:04:58,603 One of your TikToks? Yeah. 141 00:04:58,604 --> 00:05:00,230 About those, listen, I'm not so sure that... 142 00:05:00,231 --> 00:05:02,065 - No, no, I was just sharing... - No, I get it. 143 00:05:02,066 --> 00:05:03,567 I just... you know, we do have HIPAA laws here. 144 00:05:03,568 --> 00:05:05,193 We don't let anybody film... 145 00:05:05,194 --> 00:05:06,444 I would never violate any HIPAA laws, Dr. Robby. 146 00:05:06,445 --> 00:05:07,737 - I swear it. - I understand. 147 00:05:07,738 --> 00:05:08,738 Even still, we're getting behind 148 00:05:08,739 --> 00:05:09,781 on scanning patient charts. 149 00:05:09,782 --> 00:05:10,782 So how about no TikTok 150 00:05:10,783 --> 00:05:13,702 on the company clock, Dr. J? 151 00:05:13,703 --> 00:05:15,579 Dr. Robby, I think you're... 152 00:05:15,580 --> 00:05:17,080 Out of touch? Probably. 153 00:05:17,081 --> 00:05:18,456 You wouldn't be the first to accuse me of it. 154 00:05:18,457 --> 00:05:20,208 However, when I was in medical school... 155 00:05:20,209 --> 00:05:22,085 You didn't have cell phones or TikTok 156 00:05:22,086 --> 00:05:24,588 or internet or ICE agents coming in here 157 00:05:24,589 --> 00:05:27,008 and taking away patients and staff. 158 00:05:28,801 --> 00:05:30,344 I get it. 159 00:05:34,181 --> 00:05:37,727 We did have cell phones, maybe not in the beginning. 160 00:05:42,398 --> 00:05:43,565 Where do you think you're going? 161 00:05:43,566 --> 00:05:45,233 Uh, home. 162 00:05:45,234 --> 00:05:47,569 I kind of need you to hang out a little longer 163 00:05:47,570 --> 00:05:49,446 and help digitize some of these analog patient records. 164 00:05:49,447 --> 00:05:50,947 Normally, I would, truly. 165 00:05:50,948 --> 00:05:55,035 But I gotta get home... wife, baby, bed. 166 00:05:55,036 --> 00:05:57,162 OK. Go get some rest. 167 00:05:57,163 --> 00:05:58,330 You sure you're OK to drive home? 168 00:05:58,331 --> 00:05:59,331 Absolutely. 169 00:05:59,332 --> 00:06:01,291 Just enough in the tank. 170 00:06:01,292 --> 00:06:03,376 Don't tell anybody I let you go. 171 00:06:03,377 --> 00:06:04,669 Deal. 172 00:06:04,670 --> 00:06:06,171 Safe travels. 173 00:06:06,172 --> 00:06:08,215 Be sure to send some pictures from the road. 174 00:06:25,024 --> 00:06:26,816 Fight over at Zazu's Sports Bar. 175 00:06:26,817 --> 00:06:28,234 The two combatants are pulling up soon. 176 00:06:28,235 --> 00:06:29,486 One's a stabbing. 177 00:06:29,487 --> 00:06:30,487 Ellis, double trauma coming in. 178 00:06:30,488 --> 00:06:31,571 Grab the easy one. 179 00:06:31,572 --> 00:06:32,697 Bring the stabbing to Trauma 2. 180 00:06:32,698 --> 00:06:34,157 We will get the room set up. 181 00:06:34,158 --> 00:06:36,660 All right. Roger. 182 00:06:36,661 --> 00:06:40,997 OK, darling, time for this dinosaur to head to extinction. 183 00:06:40,998 --> 00:06:42,374 Got us through a real jam today. 184 00:06:42,375 --> 00:06:44,626 Can't thank you enough, Monica. 185 00:06:44,627 --> 00:06:45,835 Nice place to visit. 186 00:06:45,836 --> 00:06:47,295 Wouldn't want to live here anymore. 187 00:06:47,296 --> 00:06:49,130 Oh, me, neither some days. 188 00:06:49,131 --> 00:06:50,382 But hey, Virginia Slim, 189 00:06:50,383 --> 00:06:52,384 you've come a long way. 190 00:06:52,385 --> 00:06:54,636 Glad I was wrong about you. 191 00:06:54,637 --> 00:06:55,887 Keep training 'em up right. 192 00:06:55,888 --> 00:06:57,180 I'll try. 193 00:06:57,181 --> 00:06:58,765 OK, that's enough mush. 194 00:06:58,766 --> 00:07:00,684 Back to my life of mahjong and margaritas. 195 00:07:00,685 --> 00:07:02,102 - Bye, Evans. - Get home safe. 196 00:07:02,103 --> 00:07:03,687 I will. See ya. 197 00:07:03,688 --> 00:07:04,730 Bye. 198 00:07:08,526 --> 00:07:10,276 She's right. 199 00:07:10,277 --> 00:07:13,364 You are the mama bear glue that holds this place together. 200 00:07:17,827 --> 00:07:20,328 Hey, you OK? 201 00:07:20,329 --> 00:07:21,830 No. 202 00:07:21,831 --> 00:07:24,541 I'm sad or scared, 203 00:07:24,542 --> 00:07:28,044 or some fucking thing. 204 00:07:28,045 --> 00:07:29,838 I'm worried. 205 00:07:29,839 --> 00:07:31,965 What's going on? 206 00:07:31,966 --> 00:07:33,591 Robby. I got a bad feeling. 207 00:07:33,592 --> 00:07:35,385 He's... 208 00:07:35,386 --> 00:07:37,220 it's like I'm never going to see him again after tonight. 209 00:07:37,221 --> 00:07:38,555 Did he say something? 210 00:07:38,556 --> 00:07:40,015 Yeah, he said a lot of things. 211 00:07:40,016 --> 00:07:41,599 You should talk to him. He listens to you. 212 00:07:41,600 --> 00:07:42,892 He's a grown-up. 213 00:07:42,893 --> 00:07:45,228 He just needs to go on a vacation. 214 00:07:45,229 --> 00:07:47,063 Can't you at least try 215 00:07:47,064 --> 00:07:49,316 to get him to promise to come back in one piece? 216 00:07:50,943 --> 00:07:53,236 He doesn't like to listen. 217 00:07:53,237 --> 00:07:54,780 So make him. 218 00:08:01,162 --> 00:08:02,245 Fuck it. Check my DMs. 219 00:08:02,246 --> 00:08:03,580 She hit me up. 220 00:08:03,581 --> 00:08:05,415 Sure, baby. I didn't even respond. 221 00:08:05,416 --> 00:08:07,167 Scavenger hunt? 222 00:08:07,168 --> 00:08:08,168 Yeah, something like that. 223 00:08:08,169 --> 00:08:09,252 You need a hand? 224 00:08:09,253 --> 00:08:10,671 Nope. You do you. 225 00:08:12,965 --> 00:08:14,299 What do we got? 226 00:08:14,300 --> 00:08:16,301 Barrett Dunkle, 34, decent vitals 227 00:08:16,302 --> 00:08:18,636 given he has Old Glory jammed in his chest. 228 00:08:18,637 --> 00:08:22,265 Satting 91 on 15 liters, BP 132 over 87, 229 00:08:22,266 --> 00:08:23,933 tachy at 112. 230 00:08:23,934 --> 00:08:25,143 Dr. Abbot's expecting you. 231 00:08:25,144 --> 00:08:27,604 Whoa, whoa, whoa, whoa, whoa, man! 232 00:08:27,605 --> 00:08:29,857 - What the fuck? - I'll call you back, baby. 233 00:08:32,359 --> 00:08:33,359 Shit. 234 00:08:33,360 --> 00:08:34,444 I thought I cleared it. 235 00:08:34,445 --> 00:08:35,445 Was it sticking out? 236 00:08:35,446 --> 00:08:37,280 Sticking out, my ass! 237 00:08:37,281 --> 00:08:38,615 Man, this is on you. 238 00:08:38,616 --> 00:08:40,033 You went wide, and you clipped the shit. 239 00:08:40,034 --> 00:08:41,659 Bikes shouldn't be parked there. 240 00:08:41,660 --> 00:08:43,369 It was sticking out. Had to be. 241 00:08:43,370 --> 00:08:45,663 Ain't no fucking way. 242 00:08:45,664 --> 00:08:47,457 Oh, no, you paying for this. 243 00:08:47,458 --> 00:08:49,292 Either you or the city, but you paying for this! 244 00:08:49,293 --> 00:08:50,794 Seriously? We don't need this hassle. 245 00:08:50,795 --> 00:08:51,961 I know. I know. 246 00:08:51,962 --> 00:08:53,546 Fuck! How bad is it? 247 00:08:53,547 --> 00:08:54,547 Not really good. 248 00:08:54,548 --> 00:08:55,715 Fuck! 249 00:08:55,716 --> 00:08:56,800 Is that you, you motherfucker? 250 00:08:56,801 --> 00:08:58,468 Yeah, you better believe it! 251 00:08:58,469 --> 00:08:59,969 I'm gonna take this thing out of my chest 252 00:08:59,970 --> 00:09:01,846 and shove it up your fucking ass! 253 00:09:01,847 --> 00:09:03,807 You hit me with a fucking Rolling Rock, man. 254 00:09:03,808 --> 00:09:05,100 So you got Iwo Jima'd! 255 00:09:05,101 --> 00:09:06,476 You fucking cheated, man. 256 00:09:06,477 --> 00:09:07,769 Every detail must be... 257 00:09:07,770 --> 00:09:09,771 OK, say bye-bye, gentlemen! 258 00:09:09,772 --> 00:09:11,314 You're on different health journeys now. 259 00:09:11,315 --> 00:09:12,982 I'm going to go see Ahmad. 260 00:09:12,983 --> 00:09:15,361 It's all gonna be on the security video. 261 00:09:16,695 --> 00:09:17,946 Robby's gonna shit. 262 00:09:20,282 --> 00:09:22,200 OK. 263 00:09:22,201 --> 00:09:23,785 Hey, a little help? 264 00:09:23,786 --> 00:09:25,161 All right, he's going straight to Trauma 2. 265 00:09:25,162 --> 00:09:26,496 What is his story? 266 00:09:26,497 --> 00:09:27,872 Bottle to the face, strong vitals, 267 00:09:27,873 --> 00:09:28,998 12-centimeter facial lac. 268 00:09:28,999 --> 00:09:30,500 Yeah, where do you want us? 269 00:09:30,501 --> 00:09:32,836 - North 4 just got cleaned. - To the North. 270 00:09:32,837 --> 00:09:35,171 Abbot, single MVA en route. Five away. 271 00:09:35,172 --> 00:09:37,006 Olive, can you find Robby and Al-Hashimi? 272 00:09:37,007 --> 00:09:38,383 We may need a couple more hands 273 00:09:38,384 --> 00:09:39,843 until we get caught up with these two. 274 00:09:39,844 --> 00:09:41,010 Sir, we are gonna get you more pain meds... 275 00:09:41,011 --> 00:09:42,428 It hurts. 276 00:09:42,429 --> 00:09:43,721 But you need to shut your fucking mouth. 277 00:09:43,722 --> 00:09:45,223 The acronym is SMART, 278 00:09:45,224 --> 00:09:47,517 Single Maintenance and Reliever Therapy. 279 00:09:47,518 --> 00:09:50,603 It's one inhaler that combines an inhaled corticosteroid 280 00:09:50,604 --> 00:09:53,273 with a fast-acting, long-lasting beta agonist. 281 00:09:53,274 --> 00:09:55,942 That's fancy talk for an anti-inflammatory 282 00:09:55,943 --> 00:09:58,778 and a lung muscle relaxer all rolled into one. 283 00:09:58,779 --> 00:10:01,197 But it's $400. And without Medicaid... 284 00:10:01,198 --> 00:10:03,158 We can help you look into coverage options. 285 00:10:03,159 --> 00:10:04,993 - Thank you. - Of course. 286 00:10:04,994 --> 00:10:07,078 Grady should feel worlds better in a few hours. 287 00:10:07,079 --> 00:10:09,164 Thank you. 288 00:10:09,165 --> 00:10:13,418 So what are my chances of getting off the table alive? 289 00:10:13,419 --> 00:10:16,045 Once you're cleared by the heart and lung specialists 290 00:10:16,046 --> 00:10:20,258 next week, chances of death are low, like 1% or 2%. 291 00:10:20,259 --> 00:10:22,760 And how long would I be in surgery for? 292 00:10:22,761 --> 00:10:25,555 Between three and five hours. 293 00:10:25,556 --> 00:10:26,723 Jeez. 294 00:10:26,724 --> 00:10:28,224 It's long... 295 00:10:28,225 --> 00:10:31,603 Because they have to stop your heart. 296 00:10:31,604 --> 00:10:34,856 You will be on a heart-lung bypass machine, 297 00:10:34,857 --> 00:10:37,650 which will be circulating your blood while they repair 298 00:10:37,651 --> 00:10:39,819 the aneurysm with the graft. 299 00:10:39,820 --> 00:10:41,988 Well, what's the graft made out of? 300 00:10:41,989 --> 00:10:46,242 A synthetic fabric called Dacron, super strong. 301 00:10:46,243 --> 00:10:47,577 OK. 302 00:10:47,578 --> 00:10:49,579 New hoses, new gaskets. 303 00:10:49,580 --> 00:10:51,372 Then what happens after surgery? 304 00:10:51,373 --> 00:10:53,750 You will be in the hospital for about a week. 305 00:10:53,751 --> 00:10:55,627 No work for eight weeks after that, 306 00:10:55,628 --> 00:10:57,086 no strenuous activity, 307 00:10:57,087 --> 00:11:00,423 no lifting anything over 5 pounds. 308 00:11:00,424 --> 00:11:03,593 How am I supposed to take a piss? 309 00:11:03,594 --> 00:11:05,470 Nice. 310 00:11:08,599 --> 00:11:11,809 And how long till I'm back up to full speed? 311 00:11:11,810 --> 00:11:15,022 Three months, maybe more like six, given your age. 312 00:11:17,107 --> 00:11:18,943 And if I don't get the surgery? 313 00:11:21,320 --> 00:11:23,905 50% chance of death within 12 months 314 00:11:23,906 --> 00:11:25,449 if the aneurysm ruptures. 315 00:11:26,617 --> 00:11:29,620 What would I feel if it ruptured? 316 00:11:31,747 --> 00:11:34,249 Some chest pain, maybe some shortness of breath 317 00:11:34,250 --> 00:11:36,793 for about a minute before you passed out from blood loss. 318 00:11:36,794 --> 00:11:38,711 And then? 319 00:11:38,712 --> 00:11:40,046 The big fade out? 320 00:11:40,047 --> 00:11:42,840 Roll the credits. 321 00:11:48,555 --> 00:11:50,723 Quite the coin flip. 322 00:11:50,724 --> 00:11:53,059 No coin flip. This has to happen. 323 00:11:53,060 --> 00:11:55,812 But I do worry that you are not gonna make your appointments 324 00:11:55,813 --> 00:11:58,648 or follow your aftercare instructions if I'm not here. 325 00:11:58,649 --> 00:12:00,483 Sorry, Robby, Abbot asked for me to grab you 326 00:12:00,484 --> 00:12:01,777 for an MVA on route. 327 00:12:04,280 --> 00:12:05,655 Do what you gotta do, man. 328 00:12:05,656 --> 00:12:07,366 I gotta sit with this for a minute. 329 00:12:09,326 --> 00:12:11,995 You go ahead and get dressed. 330 00:12:11,996 --> 00:12:13,664 I'll come back. 331 00:12:41,358 --> 00:12:43,359 Monica got an ICU bed upstairs 332 00:12:43,360 --> 00:12:45,862 so we can take Orlando up now. 333 00:12:45,863 --> 00:12:47,905 - We'll prep him for transfer. - Thanks, hon. 334 00:12:47,906 --> 00:12:49,741 We need this room again in a minute. 335 00:13:01,086 --> 00:13:02,211 All good? 336 00:13:02,212 --> 00:13:04,756 Uh, totally. 337 00:13:04,757 --> 00:13:07,216 Uh, totally? 338 00:13:07,217 --> 00:13:09,594 Look, once more, I feel compelled 339 00:13:09,595 --> 00:13:13,932 to offer some unasked for and probably unwanted advice. 340 00:13:15,059 --> 00:13:17,435 Javadi wasn't making a TikTok video. 341 00:13:17,436 --> 00:13:19,020 She's been posting about Jesse, 342 00:13:19,021 --> 00:13:21,189 trying to find someone who knows where he is. 343 00:13:21,190 --> 00:13:22,441 Ah. 344 00:13:23,567 --> 00:13:26,402 And even if she were making one of her videos, 345 00:13:26,403 --> 00:13:27,570 you ever watched one? 346 00:13:27,571 --> 00:13:29,072 No. 347 00:13:29,073 --> 00:13:30,782 No, my account was suspended 348 00:13:30,783 --> 00:13:33,284 for erotically seditious content. 349 00:13:33,285 --> 00:13:35,244 Well, they're not what you think. 350 00:13:35,245 --> 00:13:36,621 They're actually kind of cool. 351 00:13:36,622 --> 00:13:38,748 It's like this badass self-care. 352 00:13:38,749 --> 00:13:40,750 Huh. 353 00:13:40,751 --> 00:13:42,210 OK, that is it. 354 00:13:42,211 --> 00:13:43,669 I'm going to bury myself in charting 355 00:13:43,670 --> 00:13:44,921 and try to dig my way out. 356 00:13:44,922 --> 00:13:46,255 Edith Lynch, 46, 357 00:13:46,256 --> 00:13:47,757 right-sided chest pain for an hour. 358 00:13:47,758 --> 00:13:49,092 No cardiac history, 359 00:13:49,093 --> 00:13:50,635 minimal relief from sublingual nitro, 360 00:13:50,636 --> 00:13:52,178 - no STEMI on the 12-lead. - Dana? 361 00:13:52,179 --> 00:13:54,430 South 15. 362 00:13:54,431 --> 00:13:56,099 Hi, Edith. I'm Dr. Al-Hashimi. 363 00:13:56,100 --> 00:13:58,017 We'll be taking care of you today. 364 00:13:58,018 --> 00:14:00,436 Absent lung sliding on the right. 365 00:14:00,437 --> 00:14:01,771 I could have told you that from here. 366 00:14:01,772 --> 00:14:03,189 God bless America. 367 00:14:03,190 --> 00:14:04,941 Hemodynamically stable. 368 00:14:04,942 --> 00:14:06,609 I'll put in a 20 French, and then right up to the OR. 369 00:14:06,610 --> 00:14:08,319 Whoa, whoa, whoa! Hold on! 370 00:14:08,320 --> 00:14:09,529 I need surgery? 371 00:14:09,530 --> 00:14:10,988 Sir, you have a collapsed lung. 372 00:14:10,989 --> 00:14:12,281 We need to put a tube in your chest to see 373 00:14:12,282 --> 00:14:13,741 how much internal bleeding there is. 374 00:14:13,742 --> 00:14:15,284 Oh, come on, man, just pull it out! 375 00:14:15,285 --> 00:14:16,786 - Nuh-uh. - No. 376 00:14:16,787 --> 00:14:18,913 OK, everyone knows what to do here, right? 377 00:14:18,914 --> 00:14:21,749 We're gonna take this at a nice slow pace, moving together. 378 00:14:21,750 --> 00:14:23,292 If anyone has an issue, speak up. 379 00:14:23,293 --> 00:14:25,336 There are a lot of moving parts here. 380 00:14:25,337 --> 00:14:27,004 Are they going up to ICU finally? 381 00:14:27,005 --> 00:14:28,005 - Yes. - Great. 382 00:14:28,006 --> 00:14:29,507 How you doing? 383 00:14:29,508 --> 00:14:30,967 Is that a trick question, or... 384 00:14:30,968 --> 00:14:33,136 Not intended to be, no. 385 00:14:33,137 --> 00:14:34,637 Then not great. 386 00:14:34,638 --> 00:14:36,514 This one got past me. 387 00:14:36,515 --> 00:14:39,267 Well, listen, you tried to find a viable payment plan. 388 00:14:39,268 --> 00:14:40,935 You tried to keep him here. 389 00:14:40,936 --> 00:14:42,854 You even tried to give him a goodie bag, but he left. 390 00:14:42,855 --> 00:14:44,021 I'm not sure what else you could have done. 391 00:14:44,022 --> 00:14:45,731 Been more persuasive. 392 00:14:45,732 --> 00:14:48,818 This was the patient's call... his life, his mistake. 393 00:14:48,819 --> 00:14:51,028 What mistake, getting diabetes? 394 00:14:51,029 --> 00:14:53,699 Not picking a higher spot to jump from. 395 00:15:04,001 --> 00:15:05,835 History of hyperlipidemia, 396 00:15:05,836 --> 00:15:08,045 an hour of substernal chest pain, 397 00:15:08,046 --> 00:15:10,673 minimal relief with nitro and 4 of MS. 398 00:15:10,674 --> 00:15:12,717 EKG is negative for STEMI. 399 00:15:12,718 --> 00:15:17,013 Heart score is 4, gave 324 milligrams of chewable aspirin, 400 00:15:17,014 --> 00:15:18,806 admit for new onset angina. 401 00:15:18,807 --> 00:15:20,808 Don't mind me. I'm just passing through. 402 00:15:20,809 --> 00:15:22,351 Seemed like you wanted an update. 403 00:15:22,352 --> 00:15:23,853 Well, as long as you feel like you got it covered. 404 00:15:23,854 --> 00:15:25,313 I do. 405 00:15:25,314 --> 00:15:26,981 Go ahead and repeat the 12-lead. 406 00:15:26,982 --> 00:15:28,566 Since I'm here, I did want to ask you about something 407 00:15:28,567 --> 00:15:29,859 I observed earlier. 408 00:15:29,860 --> 00:15:31,194 Oh, you gotta be fucking kidding me. 409 00:15:31,195 --> 00:15:32,695 What? 410 00:15:32,696 --> 00:15:34,405 Look where these anterior leads are placed. 411 00:15:34,406 --> 00:15:36,574 They're way too low. 412 00:15:36,575 --> 00:15:37,700 Holy shit! What's happening? 413 00:15:37,701 --> 00:15:39,660 Mrs. Lynch? V-tach! 414 00:15:39,661 --> 00:15:40,870 No pulse. 415 00:15:40,871 --> 00:15:43,331 Charge to 200. 416 00:15:43,332 --> 00:15:44,665 Charged. 417 00:15:44,666 --> 00:15:46,876 And clear. 418 00:15:46,877 --> 00:15:48,794 OK. Normal sinus. 419 00:15:48,795 --> 00:15:51,089 Strong pulse. Cycle a BP. 420 00:15:52,925 --> 00:15:54,592 Let's repeat that EKG, please. 421 00:15:54,593 --> 00:15:56,761 Put the leads in the right fucking place. 422 00:15:56,762 --> 00:15:59,388 - Who were the medics on this? - Bosco and Otero. 423 00:15:59,389 --> 00:16:01,098 Bosco and Otero. 424 00:16:01,099 --> 00:16:03,976 OK, Bosco and Otero. 425 00:16:03,977 --> 00:16:05,770 See you on Monday. 426 00:16:05,771 --> 00:16:07,647 May your night go smoother than my day. 427 00:16:07,648 --> 00:16:09,273 Happy 4th. 428 00:16:09,274 --> 00:16:11,150 Heard it's been crazy. They shut down when ICE came. 429 00:16:11,151 --> 00:16:13,402 Separate events. Get someone else to explain. 430 00:16:13,403 --> 00:16:14,737 I'm going home. 431 00:16:14,738 --> 00:16:16,906 Damn, what is that? That smells good. 432 00:16:16,907 --> 00:16:18,115 Food from home. 433 00:16:18,116 --> 00:16:19,742 I can't do the cafeteria. 434 00:16:19,743 --> 00:16:21,244 Oh, you gotta give me that recipe. 435 00:16:21,245 --> 00:16:22,954 - I'm going home. - Get home safe. 436 00:16:22,955 --> 00:16:23,955 Mm-hmm. 437 00:16:27,292 --> 00:16:29,585 - Hey. - Hey. 438 00:16:29,586 --> 00:16:31,379 - I'm starving. - Of course. 439 00:16:31,380 --> 00:16:33,589 I will give you $20 for whatever that smell is. 440 00:16:33,590 --> 00:16:34,924 I'll give you some. 441 00:16:34,925 --> 00:16:36,133 - I made too much anyway. - Thank you. 442 00:16:36,134 --> 00:16:37,301 - Just give me a sec. - Yeah. 443 00:16:37,302 --> 00:16:38,761 How can I help you? 444 00:16:38,762 --> 00:16:39,887 My granddad just about cut his hand off 445 00:16:39,888 --> 00:16:41,264 with a tug-of-war rope. 446 00:16:41,265 --> 00:16:43,933 Hi, I... I remember you from earlier. 447 00:16:43,934 --> 00:16:45,101 You're having a family reunion, right? 448 00:16:45,102 --> 00:16:46,394 Yeah. 449 00:16:46,395 --> 00:16:47,895 Is your hand actively bleeding? 450 00:16:47,896 --> 00:16:50,856 Oh, not so bad. Here, take a look. 451 00:16:50,857 --> 00:16:52,275 Mateo, one to come straight back! 452 00:16:52,276 --> 00:16:54,277 - Oh, my God. - Cover that up, please. 453 00:16:54,278 --> 00:16:56,279 I'll need to get a demographics from you. 454 00:16:56,280 --> 00:16:57,863 You got them already. 455 00:16:57,864 --> 00:16:59,699 Hansens been in and out of here all day long. 456 00:16:59,700 --> 00:17:00,992 How did this happen? 457 00:17:00,993 --> 00:17:02,201 He had the rope wrapped around his hand, 458 00:17:02,202 --> 00:17:03,661 cut through it like a machete. 459 00:17:03,662 --> 00:17:05,496 Have a seat, sir. I'll take you right back. 460 00:17:05,497 --> 00:17:08,374 And how would you rate your pain on a scale from 1 to 10? 461 00:17:08,375 --> 00:17:11,295 Oh, it's not too bad on account of my sugars. 462 00:17:12,379 --> 00:17:14,839 With his diabetes, his sensation's a little off. 463 00:17:14,840 --> 00:17:15,840 Yeah. 464 00:17:15,841 --> 00:17:16,966 After you. 465 00:17:16,967 --> 00:17:17,967 Thanks. 466 00:17:17,968 --> 00:17:20,219 Ow. What the fuck? 467 00:17:20,220 --> 00:17:21,929 Trigeminal nerve is good. 468 00:17:21,930 --> 00:17:24,181 Shit! You gonna fix me or torture me? 469 00:17:24,182 --> 00:17:26,475 Ooh, ouch! 470 00:17:26,476 --> 00:17:28,644 Yeah, I need to call plastics. 471 00:17:28,645 --> 00:17:31,272 I called a "kiss off the two, off the rail." 472 00:17:31,273 --> 00:17:33,274 Fucker said I didn't call it. 473 00:17:33,275 --> 00:17:36,193 Okay, yes, it was a bit noisy. The fourth is Styx night. 474 00:17:36,194 --> 00:17:37,987 But I called it. I have witnesses. 475 00:17:37,988 --> 00:17:39,363 Styx, the band? 476 00:17:39,364 --> 00:17:40,364 Yeah. 477 00:17:40,365 --> 00:17:41,532 Ah, love Styx. 478 00:17:41,533 --> 00:17:42,867 I never heard of them. 479 00:17:42,868 --> 00:17:44,827 You never heard of Styx? 480 00:17:44,828 --> 00:17:46,037 "Mr. Roboto"? 481 00:17:46,038 --> 00:17:48,664 My Spotify age isn't 62. 482 00:17:48,665 --> 00:17:51,292 "Come Sail Away"? "Lady"? "Babe"? 483 00:17:52,669 --> 00:17:55,046 Yeah, maybe best if you don't talk. 484 00:17:55,047 --> 00:17:57,715 Looks like there's some sort of foreign body in there. 485 00:17:57,716 --> 00:17:59,342 Mm-hmm. 486 00:17:59,343 --> 00:18:00,843 Are you OK? 487 00:18:00,844 --> 00:18:02,887 Yeah, it's just an awkward position. 488 00:18:02,888 --> 00:18:05,056 Go home. Rest, heat, ice. 489 00:18:05,057 --> 00:18:06,349 Yeah, no, no, I know. 490 00:18:06,350 --> 00:18:08,142 I'm just waiting for things to slow down. 491 00:18:08,143 --> 00:18:10,646 You know, express trains don't stop at your station. 492 00:18:11,855 --> 00:18:14,023 You just gotta jump. 493 00:18:14,024 --> 00:18:15,107 What is that? 494 00:18:15,108 --> 00:18:16,359 Heineken? 495 00:18:16,360 --> 00:18:17,360 Moosehead? 496 00:18:17,361 --> 00:18:18,861 Oh. 497 00:18:18,862 --> 00:18:21,530 From the glass-lined tanks of Old Latrobe. 498 00:18:21,531 --> 00:18:23,532 Ah, Rolling Rock. 499 00:18:23,533 --> 00:18:24,576 Nice. 500 00:18:29,164 --> 00:18:30,915 She's had four of morphine. 501 00:18:30,916 --> 00:18:32,375 How's the pain? 502 00:18:32,376 --> 00:18:33,709 Down to an 8. 503 00:18:33,710 --> 00:18:35,169 There it is, lateral STEMI. 504 00:18:35,170 --> 00:18:36,379 OK, call it in. 505 00:18:36,380 --> 00:18:38,047 The leads were too low to catch it? 506 00:18:38,048 --> 00:18:39,590 Yeah, it's not the first time it's happened. 507 00:18:39,591 --> 00:18:41,175 You get a male medic who's more concerned about 508 00:18:41,176 --> 00:18:42,718 getting sued or a complaint for undoing a bra. 509 00:18:42,719 --> 00:18:44,178 You see these anterior leads here? 510 00:18:44,179 --> 00:18:45,554 Code STEMI, South 15. 511 00:18:45,555 --> 00:18:46,889 Edith, you're having a heart attack 512 00:18:46,890 --> 00:18:48,391 from a blockage in the artery 513 00:18:48,392 --> 00:18:50,101 that brings oxygen to your heart muscle. 514 00:18:50,102 --> 00:18:52,353 - If we get you to the... - Lateral STEMI, V-tach arrest. 515 00:18:52,354 --> 00:18:54,271 Got her back after one shock. She needs the cath lab. 516 00:18:54,272 --> 00:18:55,981 - And serious heart damage. - Oh, my God. 517 00:18:55,982 --> 00:18:58,734 - You're going to be OK. - Hello, I'm Dr. Cruz. 518 00:18:58,735 --> 00:19:00,444 And I'm Dr. Shen. How are you feeling? 519 00:19:00,445 --> 00:19:01,904 I'm really scared. 520 00:19:01,905 --> 00:19:03,572 We've got you. Anything else? 521 00:19:03,573 --> 00:19:05,658 Uh, like I got kicked in the chest. 522 00:19:05,659 --> 00:19:07,410 Normal after a shock to the heart. 523 00:19:07,411 --> 00:19:09,120 - Family? - Yeah, husband's en route. 524 00:19:09,121 --> 00:19:10,913 Leave the defib pads on and take her up in a minute. 525 00:19:10,914 --> 00:19:12,248 I'm gonna chaperone a nerve block real quick. 526 00:19:12,249 --> 00:19:13,291 Go. 527 00:19:15,293 --> 00:19:17,002 Where's Dr. Al-Hashimi? 528 00:19:17,003 --> 00:19:18,880 She was just here. 529 00:19:28,265 --> 00:19:30,474 Hello, everyone. I'm Dr. Shen. 530 00:19:30,475 --> 00:19:32,309 Heard a rumor someone needed a nerve block. 531 00:19:32,310 --> 00:19:33,978 I'm guessing that's you. 532 00:19:33,979 --> 00:19:36,063 Probably so, although, 533 00:19:36,064 --> 00:19:37,606 you know, I don't have much pain. 534 00:19:37,607 --> 00:19:39,734 I guess it's my diabetes. 535 00:19:39,735 --> 00:19:43,279 We still need to numb you up to do a proper deep clean. 536 00:19:43,280 --> 00:19:45,156 You guys do whatever you gotta do. 537 00:19:45,157 --> 00:19:47,616 Three shots, median, ulnar, and radial. 538 00:19:47,617 --> 00:19:49,493 2 grams of Ancef, 100 milligrams of Gent 539 00:19:49,494 --> 00:19:50,745 for gram-negative coverage. 540 00:19:50,746 --> 00:19:52,121 How'd you do this? 541 00:19:52,122 --> 00:19:54,790 Oh, a family reunion tug-of-war. 542 00:19:54,791 --> 00:19:56,959 I wrapped the rope around my hand for better grip. 543 00:19:56,960 --> 00:19:59,962 And when we fell down, those bastards just kept pulling. 544 00:19:59,963 --> 00:20:01,505 Dirty. 545 00:20:01,506 --> 00:20:04,008 Nah, it's just... just the way we play. 546 00:20:06,845 --> 00:20:08,345 Michael, you got a second? 547 00:20:08,346 --> 00:20:09,972 Uh, not really, no. 548 00:20:09,973 --> 00:20:11,724 Well, how about showing me a little respect 549 00:20:11,725 --> 00:20:13,893 and finding one? 550 00:20:13,894 --> 00:20:15,019 Sorry, Caleb. 551 00:20:15,020 --> 00:20:16,520 Are you feeling disrespected? 552 00:20:16,521 --> 00:20:18,522 Given that you've been actively blowing me off 553 00:20:18,523 --> 00:20:20,149 all day, yeah, maybe a little bit. 554 00:20:20,150 --> 00:20:21,568 But I have a thick skin. 555 00:20:22,861 --> 00:20:24,487 What can I do for you? 556 00:20:24,488 --> 00:20:27,406 "Should have found a higher place to jump from." 557 00:20:27,407 --> 00:20:29,743 It's an interesting diagnosis, Doctor. 558 00:20:33,663 --> 00:20:35,372 No pithy retort? 559 00:20:35,373 --> 00:20:37,458 Yeah, I didn't think so. 560 00:20:37,459 --> 00:20:39,710 Uh, I just came to say goodbye. 561 00:20:39,711 --> 00:20:41,462 I'm leaving soon. 562 00:20:41,463 --> 00:20:43,173 I know you are too. 563 00:20:44,508 --> 00:20:46,176 Yes. 564 00:20:47,469 --> 00:20:49,804 Keep my number handy, just in case, huh? 565 00:20:49,805 --> 00:20:51,806 Yes, I promise I will. 566 00:20:51,807 --> 00:20:53,058 Thank you, Caleb. 567 00:20:55,519 --> 00:20:57,812 We're gonna give you one Diflucan pill to take home. 568 00:20:57,813 --> 00:21:00,689 Take it in three days if your symptoms persist. 569 00:21:00,690 --> 00:21:02,441 How do I get there? 570 00:21:02,442 --> 00:21:03,859 Where's that? 571 00:21:03,860 --> 00:21:05,528 Home. 572 00:21:05,529 --> 00:21:06,862 Do you know where you live? 573 00:21:06,863 --> 00:21:08,739 Of course I do. It's not far. 574 00:21:08,740 --> 00:21:11,117 But I don't have a way to get there. 575 00:21:12,285 --> 00:21:13,953 How'd you get here? 576 00:21:13,954 --> 00:21:16,288 My... my neighbor Gwen dropped me off, 577 00:21:16,289 --> 00:21:18,624 but she can't drive at night. 578 00:21:18,625 --> 00:21:21,377 We could call you an Uber or a taxi. 579 00:21:21,378 --> 00:21:24,046 I don't have any money. 580 00:21:24,047 --> 00:21:25,714 Excuse me. 581 00:21:25,715 --> 00:21:27,258 Can I help? 582 00:21:27,259 --> 00:21:28,968 Mrs. Clymer has been discharged, 583 00:21:28,969 --> 00:21:30,010 but has no way home. 584 00:21:30,011 --> 00:21:31,053 I'm so sorry. 585 00:21:31,054 --> 00:21:32,054 I don't mean to be a burden. 586 00:21:32,055 --> 00:21:33,389 No burden at all. 587 00:21:33,390 --> 00:21:36,350 Why don't we call you a Lyft? 588 00:21:36,351 --> 00:21:37,685 What is that? 589 00:21:37,686 --> 00:21:39,019 It's like a taxi service. 590 00:21:39,020 --> 00:21:40,855 If you put your address in here, 591 00:21:40,856 --> 00:21:43,232 a car will arrive in a few minutes to bring you home. 592 00:21:43,233 --> 00:21:44,567 - Oh. - My treat. 593 00:21:45,777 --> 00:21:49,905 That's very kind of you, truly. 594 00:21:49,906 --> 00:21:51,448 Perfect. 595 00:21:51,449 --> 00:21:53,534 OK, Olive, could you take Mrs. Clymer out 596 00:21:53,535 --> 00:21:56,245 to the ambulance bay, where Florian will be 597 00:21:56,246 --> 00:21:58,414 arriving in six minutes in a white Toyota Camry? 598 00:21:58,415 --> 00:21:59,582 You bet. 599 00:21:59,583 --> 00:22:00,958 Thank you. 600 00:22:00,959 --> 00:22:03,085 I could use some good karma. 601 00:22:03,086 --> 00:22:04,838 OK. 602 00:22:07,632 --> 00:22:09,885 Oh, uh, hey. 603 00:22:11,428 --> 00:22:12,803 Relax, buddy. 604 00:22:12,804 --> 00:22:14,638 It's Advil. 605 00:22:14,639 --> 00:22:16,932 No, I didn't think you were... 606 00:22:18,268 --> 00:22:20,019 Headache? 607 00:22:20,020 --> 00:22:23,105 Uh, I tweaked my back a little 608 00:22:23,106 --> 00:22:25,900 lifting that overheated kid. 609 00:22:25,901 --> 00:22:27,276 I guess I should get used to 610 00:22:27,277 --> 00:22:29,987 playing through the pain again, huh? 611 00:22:29,988 --> 00:22:32,448 You look like you got into shape since I saw you last. 612 00:22:32,449 --> 00:22:34,450 Didn't peg you as a gym guy. 613 00:22:34,451 --> 00:22:35,826 Oh, no. 614 00:22:35,827 --> 00:22:38,621 I'm maybe more of a barn guy. 615 00:22:38,622 --> 00:22:41,625 I'm helping out a friend on the farm, so... 616 00:22:43,293 --> 00:22:44,418 Nice. 617 00:22:44,419 --> 00:22:46,086 I'm picturing "Babe," 618 00:22:46,087 --> 00:22:47,922 except instead of Farmer Hoggett, it's you. 619 00:22:47,923 --> 00:22:49,298 And instead of a pig... 620 00:22:49,299 --> 00:22:51,134 Can you cut the shit? 621 00:22:52,677 --> 00:22:54,094 Excuse me? 622 00:22:54,095 --> 00:22:56,305 The sarcasm thing, the... the... the... 623 00:22:56,306 --> 00:22:58,098 the little buddy routine, like... like... like, 624 00:22:58,099 --> 00:22:59,975 you're what, you're the Skipper, I'm Gilligan? 625 00:22:59,976 --> 00:23:01,852 Dude, you're not the Skipper. 626 00:23:01,853 --> 00:23:04,146 I know I'm not the Skipper. Robby is the Skipper. 627 00:23:04,147 --> 00:23:06,231 No, Robby is the Professor. Dana's the Skipper. 628 00:23:06,232 --> 00:23:07,816 OK, somebody's watched a lot of Nick at Nite. 629 00:23:07,817 --> 00:23:10,194 So who am I? 630 00:23:10,195 --> 00:23:12,363 Play whatever part you like. 631 00:23:12,364 --> 00:23:14,658 Just don't pick mine for me. 632 00:23:16,159 --> 00:23:17,534 OK. 633 00:23:17,535 --> 00:23:19,578 OK, that's fair. 634 00:23:19,579 --> 00:23:21,246 You got it. 635 00:23:21,247 --> 00:23:23,499 Thank you. 636 00:23:23,500 --> 00:23:25,876 You headed home? 637 00:23:25,877 --> 00:23:28,671 Uh, no, I'm waiting on Robby. 638 00:23:28,672 --> 00:23:30,422 He asked me to house-sit while he's gone. 639 00:23:30,423 --> 00:23:33,218 So I'm waiting for the keys, the alarm code. 640 00:23:34,636 --> 00:23:36,011 Nice. Nice. 641 00:23:36,012 --> 00:23:37,888 Yeah, I've... I've seen his place. 642 00:23:37,889 --> 00:23:40,182 You're in for a sweet setup. 643 00:23:40,183 --> 00:23:42,309 Cool. 644 00:23:42,310 --> 00:23:46,146 I'm sorry if I came across a little strong. 645 00:23:46,147 --> 00:23:48,482 Don't apologize for standing up for yourself. 646 00:23:48,483 --> 00:23:50,484 It's a healthy habit. 647 00:23:52,404 --> 00:23:54,321 You know, I really don't need to see this again. 648 00:23:54,322 --> 00:23:55,823 No, this is my favorite part. 649 00:23:57,367 --> 00:23:58,367 My hand's starting to cramp. 650 00:23:58,368 --> 00:23:59,660 We gotta be done soon. 651 00:23:59,661 --> 00:24:01,370 Oh, you can be done now. 652 00:24:01,371 --> 00:24:04,416 But if you want to the hospital to cover you, last one. 653 00:24:10,046 --> 00:24:13,132 Hey, Robby. It was an accident, man. 654 00:24:13,133 --> 00:24:14,717 What are you talking about? 655 00:24:14,718 --> 00:24:16,803 Your bike. 656 00:24:24,644 --> 00:24:27,229 Son of a bitch. 657 00:24:27,230 --> 00:24:29,941 Oh, motherfucker! 658 00:24:31,401 --> 00:24:33,444 Robby, GSW to the head. 659 00:24:33,445 --> 00:24:34,737 Somebody hit my bike. 660 00:24:34,738 --> 00:24:36,321 Dude, that sucks. 661 00:24:36,322 --> 00:24:37,865 Is it still rideable? 662 00:24:39,075 --> 00:24:40,743 It better be. 663 00:24:40,744 --> 00:24:42,953 Elbridge Gerry, 25, stable with good vitals. 664 00:24:44,539 --> 00:24:46,123 Was shooting his .22 caliber pistol in the air 665 00:24:46,124 --> 00:24:47,624 with an aluminum pot on his head for protection. 666 00:24:47,625 --> 00:24:48,959 Didn't work. 667 00:24:48,960 --> 00:24:50,377 He's had about a quart of Seagrams 7 668 00:24:50,378 --> 00:24:51,628 and will probably light up a tox screen 669 00:24:51,629 --> 00:24:53,964 like a Roman candle. 670 00:24:56,593 --> 00:24:58,052 Real wordsmith. 671 00:24:58,053 --> 00:24:59,428 Entry wound in the frontal scalp, 672 00:24:59,429 --> 00:25:00,763 seems to have tracked down the forehead. 673 00:25:00,764 --> 00:25:01,930 As alert and oriented as you can be 674 00:25:01,931 --> 00:25:03,140 after multiple bong hits. 675 00:25:03,141 --> 00:25:04,600 Got vital satting 98 on room air. 676 00:25:04,601 --> 00:25:05,934 - Sorry, Robby. - Don't you fucking leave. 677 00:25:05,935 --> 00:25:06,935 - I can explain. - I will be right back. 678 00:25:06,936 --> 00:25:07,936 What's this? 679 00:25:07,937 --> 00:25:09,438 Trauma 2. 680 00:25:09,439 --> 00:25:10,814 Low velocity GSW to the head, 681 00:25:10,815 --> 00:25:12,274 seems to have remained extracranial. 682 00:25:12,275 --> 00:25:13,817 Lucky guy. 683 00:25:17,947 --> 00:25:20,491 After a fireworks explosion resulting 684 00:25:20,492 --> 00:25:22,868 in the loss of two fingers. 685 00:25:22,869 --> 00:25:25,037 Ooh, that sounds nasty. 686 00:25:25,038 --> 00:25:27,706 Yeah, that was a sad one. 687 00:25:27,707 --> 00:25:29,124 Parents were deported. 688 00:25:29,125 --> 00:25:31,502 Big sister works a full-time job 689 00:25:31,503 --> 00:25:33,045 and is the sole caregiver. 690 00:25:33,046 --> 00:25:34,713 Been there, done that. 691 00:25:34,714 --> 00:25:36,507 Your parents were deported? 692 00:25:36,508 --> 00:25:38,301 Oh, no. I thought she said departed. 693 00:25:39,928 --> 00:25:41,804 Did either of you guys work on 694 00:25:41,805 --> 00:25:44,640 the Revolutionary War reenactors earlier? 695 00:25:44,641 --> 00:25:47,309 Why, you didn't think you could pull off a tricorn hat? 696 00:25:47,310 --> 00:25:50,187 Maybe. 697 00:25:50,188 --> 00:25:51,814 I've always loved history, 698 00:25:51,815 --> 00:25:55,859 and Colonial Williamsburg was my favorite school trip. 699 00:25:55,860 --> 00:25:57,528 And, you know, there's always the Ren Faire, 700 00:25:57,529 --> 00:25:59,947 but that's just once a year. 701 00:25:59,948 --> 00:26:02,242 How often do you think the reenactors get together? 702 00:26:03,868 --> 00:26:05,661 I don't know. No. 703 00:26:05,662 --> 00:26:07,538 You should definitely look into that. 704 00:26:07,539 --> 00:26:08,831 - Yeah? - Yeah. 705 00:26:08,832 --> 00:26:10,041 OK. 706 00:26:20,009 --> 00:26:22,219 Deep-throated husky with a touch of bitch. 707 00:26:22,220 --> 00:26:23,679 That's her tune. 708 00:26:23,680 --> 00:26:25,013 That's what I thought, but you're the expert. 709 00:26:25,014 --> 00:26:26,599 I just needed to make sure. 710 00:26:28,017 --> 00:26:29,852 I was going through Billings once. 711 00:26:29,853 --> 00:26:33,397 Cop saw my colors, jacked me up, 712 00:26:33,398 --> 00:26:34,857 kept me overnight. 713 00:26:34,858 --> 00:26:38,527 They threw my sweetheart in the impound yard. 714 00:26:38,528 --> 00:26:40,362 They claimed someone backed into it, 715 00:26:40,363 --> 00:26:43,574 but you could see where they took their hammer to it, man. 716 00:26:43,575 --> 00:26:45,033 You gotta be careful out there. 717 00:26:45,034 --> 00:26:46,368 This is all pretty minor, though, right? 718 00:26:46,369 --> 00:26:48,704 Yeah, shit, this is just cosmetic. 719 00:26:48,705 --> 00:26:51,206 Bring it in tomorrow, and we'll get Bonnie right. 720 00:26:51,207 --> 00:26:52,875 Well, this will bend back. This will tighten up. 721 00:26:52,876 --> 00:26:54,585 - I can do all that myself. - Jesus, let me do it. 722 00:26:54,586 --> 00:26:55,878 - There's no charge. - What? 723 00:26:55,879 --> 00:26:57,212 You don't owe me anything, except 724 00:26:57,213 --> 00:26:59,715 take care of yourself while I'm gone. 725 00:26:59,716 --> 00:27:01,592 Boy, this record never stops, huh? 726 00:27:01,593 --> 00:27:04,511 Nah, it's dance till you drop! 727 00:27:04,512 --> 00:27:06,013 Then what? 728 00:27:06,014 --> 00:27:08,056 Teach the kids the steps before you do. 729 00:27:08,057 --> 00:27:09,433 And then what? 730 00:27:09,434 --> 00:27:10,934 Hope they make it farther than you. 731 00:27:10,935 --> 00:27:12,561 Hey, Robby, you're coming or going? 732 00:27:12,562 --> 00:27:14,396 I'm going, pretty soon. What have you got here? 733 00:27:14,397 --> 00:27:17,274 Lyman Paine, 53, single MVC. 734 00:27:17,275 --> 00:27:18,442 Drove into a telephone pole. 735 00:27:18,443 --> 00:27:19,735 Passenger space intrusion? 736 00:27:19,736 --> 00:27:20,903 No, head on. 737 00:27:20,904 --> 00:27:21,904 Intoxicated? 738 00:27:21,905 --> 00:27:23,822 No ETOH on his breath. 739 00:27:23,823 --> 00:27:25,616 Either syncope, seizure, 740 00:27:25,617 --> 00:27:28,118 or he just fell asleep at the wheel. 741 00:27:28,119 --> 00:27:30,162 Airbag deployed, unconscious at the scene, 742 00:27:30,163 --> 00:27:31,163 but he's waking up. 743 00:27:31,164 --> 00:27:32,664 BP 140 over 80, 744 00:27:32,665 --> 00:27:34,458 pulse 120, pulse ox 98, 745 00:27:34,459 --> 00:27:35,751 no obvious injuries. 746 00:27:35,752 --> 00:27:36,752 Why don't you guys head on in? 747 00:27:36,753 --> 00:27:37,879 I'll meet you in a minute. 748 00:27:42,634 --> 00:27:45,427 Well, hey, buddy, I guess this is it. 749 00:27:45,428 --> 00:27:47,304 Make those appointments next week, you know? 750 00:27:47,305 --> 00:27:49,431 I'll call you from the road to make sure you do. 751 00:27:49,432 --> 00:27:51,099 - Don't do that, man. - What? 752 00:27:51,100 --> 00:27:53,101 Don't shine me on. 753 00:27:53,102 --> 00:27:55,062 I'm not. 754 00:27:55,063 --> 00:27:56,480 Jesus. 755 00:27:56,481 --> 00:27:58,273 I get it. 756 00:27:58,274 --> 00:28:01,277 Hard place to leave, a harder place to stay. 757 00:28:02,904 --> 00:28:04,113 Yeah. 758 00:28:06,449 --> 00:28:09,284 Look, I'm not ready to say goodbye yet. 759 00:28:09,285 --> 00:28:12,788 So go do what you gotta do, and I'll get some tools 760 00:28:12,789 --> 00:28:15,123 from the truck and see if I can't make 761 00:28:15,124 --> 00:28:17,293 Bonnie smile again for you. 762 00:28:20,964 --> 00:28:22,297 OK. 763 00:28:22,298 --> 00:28:23,883 OK, then. 764 00:28:30,890 --> 00:28:33,308 Robby, man, I'm so sorry. We've been on for 14 straight. 765 00:28:33,309 --> 00:28:34,977 - I thought I cleared it. - It's all right. 766 00:28:34,978 --> 00:28:36,228 Honestly, I feel terrible. 767 00:28:36,229 --> 00:28:38,063 No real harm done. 768 00:28:38,064 --> 00:28:39,856 I was bound to nick it up on the road anyway. 769 00:28:39,857 --> 00:28:43,151 First blood drawn, it's a good omen really. 770 00:28:43,152 --> 00:28:44,653 Thought he'd be more pissed. 771 00:28:44,654 --> 00:28:46,655 I thought you might get punched. 772 00:28:46,656 --> 00:28:48,156 Chest and belly look good. 773 00:28:48,157 --> 00:28:49,491 Let me drag Neurosurgery down here to deal with 774 00:28:49,492 --> 00:28:50,701 the C-spine before I go. 775 00:28:50,702 --> 00:28:53,203 - You off? - Yep, an hour ago. 776 00:28:53,204 --> 00:28:55,163 - Can't you tell? - How you doing, sir? 777 00:28:55,164 --> 00:28:57,833 Actually, not too good. 778 00:28:57,834 --> 00:28:59,167 The tingling is getting worse. 779 00:28:59,168 --> 00:29:00,836 It's in both my arms now. 780 00:29:00,837 --> 00:29:02,504 I feel like something's wrong. 781 00:29:02,505 --> 00:29:04,673 Hey, man. What are we looking at? 782 00:29:04,674 --> 00:29:07,342 Ran into a telephone pole, airbag deployed. 783 00:29:07,343 --> 00:29:08,844 Seizure? Stroke? 784 00:29:08,845 --> 00:29:10,178 Not sure. 785 00:29:10,179 --> 00:29:11,346 Possible C-spine. 786 00:29:11,347 --> 00:29:13,724 CT showed uni-facet dislocation. 787 00:29:13,725 --> 00:29:15,517 I'm trying not to freak out. 788 00:29:15,518 --> 00:29:17,144 I'm having trouble breathing. 789 00:29:17,145 --> 00:29:19,229 Squeeze my hand. 790 00:29:19,230 --> 00:29:20,856 Real hard. 791 00:29:20,857 --> 00:29:21,940 Three out of five strength. 792 00:29:21,941 --> 00:29:23,066 OK. 793 00:29:23,067 --> 00:29:24,568 10 milligrams dexamethasone. 794 00:29:24,569 --> 00:29:26,695 Dexamethasone? For spinal injury? 795 00:29:26,696 --> 00:29:28,280 It's compression from a jumped facet 796 00:29:28,281 --> 00:29:29,948 and maybe some ischemia from a kinked vessel. 797 00:29:29,949 --> 00:29:31,366 What's... what's happening? 798 00:29:31,367 --> 00:29:33,910 Sir, you have a partial dislocation 799 00:29:33,911 --> 00:29:35,537 of two vertebrae in your neck. 800 00:29:35,538 --> 00:29:37,372 It's putting pressure on your spinal cord. 801 00:29:37,373 --> 00:29:38,957 How do you fix it? 802 00:29:38,958 --> 00:29:41,710 We need Neurosurgery to screw a clamp 803 00:29:41,711 --> 00:29:43,628 into both sides of your skull 804 00:29:43,629 --> 00:29:46,548 and then use traction under X-ray guidance 805 00:29:46,549 --> 00:29:48,050 to get everything realigned. 806 00:29:48,051 --> 00:29:50,677 Like a chiropractic adjustment? 807 00:29:50,678 --> 00:29:53,513 It's a bit more complicated than that. 808 00:29:53,514 --> 00:29:55,390 I think I'm having a panic attack, 809 00:29:55,391 --> 00:29:58,352 because I can't even get a shallow breath. 810 00:29:58,353 --> 00:30:00,896 Or he's losing C3, 4, and 5. 811 00:30:00,897 --> 00:30:02,898 Uh, page Neurosurgery. 812 00:30:02,899 --> 00:30:04,941 - Garcia went to go get them. - No. Page overhead. 813 00:30:04,942 --> 00:30:07,611 Find Robby if he's still here. 814 00:30:07,612 --> 00:30:10,405 Any available neurosurgeon to ED Trauma 1, stat! 815 00:30:10,406 --> 00:30:13,742 Any available neurosurgeon to ED Trauma 1, stat! 816 00:30:15,453 --> 00:30:17,412 Dr. Robby? 817 00:30:17,413 --> 00:30:20,791 Uh, yeah? 818 00:30:20,792 --> 00:30:23,668 You're needed in Trauma 1. 819 00:30:23,669 --> 00:30:25,462 OK. 820 00:30:25,463 --> 00:30:26,838 - What patient? - Dr. Langdon's. 821 00:30:26,839 --> 00:30:28,132 It's a neck injury. 822 00:30:31,260 --> 00:30:32,511 I got the fellow. 823 00:30:32,512 --> 00:30:33,845 They could be down in 15 minutes. 824 00:30:33,846 --> 00:30:35,097 He's progressing too fast for that. 825 00:30:35,098 --> 00:30:37,015 What's going on? 826 00:30:37,016 --> 00:30:39,559 Uni-facet dislocation, C4/C5, 827 00:30:39,560 --> 00:30:41,311 paresthesia and decreased tidal volume. 828 00:30:41,312 --> 00:30:42,646 Sat's 85. 829 00:30:42,647 --> 00:30:44,606 We need to prepare for intubation. 830 00:30:44,607 --> 00:30:46,316 Any delay in reduction almost guarantees 831 00:30:46,317 --> 00:30:48,652 complete spinal cord injury. 832 00:30:48,653 --> 00:30:50,654 What other options do we have? 833 00:30:50,655 --> 00:30:54,324 Uh, I saw Neurosurgery do a closed reduction once in ICU. 834 00:30:54,325 --> 00:30:55,784 Blind? That's crazy risky. 835 00:30:55,785 --> 00:30:57,119 We gotta do something. 836 00:30:57,120 --> 00:30:58,662 What's that procedure, Dr. Langdon? 837 00:30:58,663 --> 00:31:00,831 It's just... it's traction on the neck, 838 00:31:00,832 --> 00:31:03,500 we flex the dislocated side and into slight extension. 839 00:31:03,501 --> 00:31:04,960 Quadriplegia, if done wrong. 840 00:31:04,961 --> 00:31:06,628 I'm sorry, what... did you say quadriplegic? 841 00:31:06,629 --> 00:31:08,088 It is a possibility, sir. 842 00:31:08,089 --> 00:31:09,965 It's also the same possibility if we do nothing. 843 00:31:09,966 --> 00:31:11,174 You wanna try? 844 00:31:11,175 --> 00:31:12,968 I've never seen it done. You have. 845 00:31:12,969 --> 00:31:14,469 I can't feel my feet. 846 00:31:14,470 --> 00:31:15,971 Sats 79.100% non-rebreather? 847 00:31:15,972 --> 00:31:17,305 He's progressing, Dr. Langdon. 848 00:31:17,306 --> 00:31:18,807 What is your plan? 849 00:31:18,808 --> 00:31:20,267 Uh, Neuro... 850 00:31:20,268 --> 00:31:21,977 Fuck Neuro. This is right here, right now. 851 00:31:21,978 --> 00:31:23,562 This guy's gonna be a living head if we do nothing. 852 00:31:23,563 --> 00:31:26,231 - I could paralyze him. - Doctor the fuck up. 853 00:31:30,486 --> 00:31:33,363 Sir, the partial dislocation of the two vertebrae 854 00:31:33,364 --> 00:31:35,699 in your neck is putting pressure on your spinal cord. 855 00:31:35,700 --> 00:31:38,326 I can try to move the neck bones back into place. 856 00:31:38,327 --> 00:31:40,328 That could help. There's no guarantees. 857 00:31:40,329 --> 00:31:41,830 If we do nothing, 858 00:31:41,831 --> 00:31:43,498 the weakness is definitely going to get worse. 859 00:31:43,499 --> 00:31:46,001 But either way, there's still a chance of paralysis. 860 00:31:46,002 --> 00:31:48,587 Do it. Please. Please. 861 00:31:48,588 --> 00:31:50,213 50 of fentanyl IV. 862 00:31:50,214 --> 00:31:52,007 You need to let us know if the weakness gets worse 863 00:31:52,008 --> 00:31:54,342 or if there's any sudden pain, and we'll stop immediately. 864 00:31:54,343 --> 00:31:55,844 Dr. Cruz, Robby, 865 00:31:55,845 --> 00:31:58,180 hold down his shoulders for countertraction. 866 00:31:58,181 --> 00:32:00,182 OK, I'm gonna pull on your head. 867 00:32:00,183 --> 00:32:02,142 Your job is to try to relax, 868 00:32:02,143 --> 00:32:04,519 breathe so we can overcome the muscle spasm. 869 00:32:09,400 --> 00:32:10,943 Flexing to the right. 870 00:32:14,197 --> 00:32:15,489 Any change? 871 00:32:15,490 --> 00:32:17,866 My legs are starting to tingle. 872 00:32:17,867 --> 00:32:19,410 Last step. 873 00:32:22,413 --> 00:32:23,914 Ah! 874 00:32:23,915 --> 00:32:25,123 - I felt something click. - Oh, fuck! Oh, fuck! 875 00:32:25,124 --> 00:32:26,708 - I felt it too. - Sir, talk to us. 876 00:32:26,709 --> 00:32:28,376 - What's going on? - Oh. 877 00:32:28,377 --> 00:32:30,378 I think... 878 00:32:30,379 --> 00:32:31,796 I think... 879 00:32:31,797 --> 00:32:33,882 Yeah. I'm starting to breathe easier. 880 00:32:33,883 --> 00:32:36,051 Any change in your hand or feet? 881 00:32:36,052 --> 00:32:37,552 Oh. 882 00:32:37,553 --> 00:32:38,887 Oh, this is maybe a little less numb. 883 00:32:38,888 --> 00:32:40,472 Philadelphia collar is ready. 884 00:32:40,473 --> 00:32:41,640 Talk to me. 885 00:32:41,641 --> 00:32:42,933 Langdon just reduced 886 00:32:42,934 --> 00:32:44,768 a uni-facet cervical dislocation. 887 00:32:44,769 --> 00:32:47,562 What? Without neurosurgery? Don't try this at home, kids. 888 00:32:47,563 --> 00:32:49,147 He was deteriorating quickly. 889 00:32:49,148 --> 00:32:50,607 Neuro exam is improving. 890 00:32:50,608 --> 00:32:52,651 Oh, my God, it's definitely better. 891 00:32:52,652 --> 00:32:55,487 Oh, my God. 892 00:32:55,488 --> 00:32:57,364 Nice job. 893 00:32:57,365 --> 00:32:58,782 All right, repeat CT, 894 00:32:58,783 --> 00:33:00,283 then Neurosurgery can take him up for a halo. 895 00:33:00,284 --> 00:33:01,618 Brass balls, buddy. 896 00:33:01,619 --> 00:33:03,745 - See? You haven't lost it. - Um, excuse me. 897 00:33:03,746 --> 00:33:06,249 I'm just gonna step outside for a second. 898 00:33:21,222 --> 00:33:23,974 Langdon, honey, I just got a call from upstairs. 899 00:33:23,975 --> 00:33:25,433 Were you supposed to get a urine screen 900 00:33:25,434 --> 00:33:27,102 - and turn it in by 8:00 tonight? - Fuck! 901 00:33:27,103 --> 00:33:28,229 Um... 902 00:33:29,438 --> 00:33:31,773 Oh, no. Uh, ye... yes. 903 00:33:31,774 --> 00:33:33,775 Can you just... can you tell them that I was in a trauma? 904 00:33:33,776 --> 00:33:35,069 I'm going right now. 905 00:33:38,823 --> 00:33:40,365 Where's he off to? 906 00:33:40,366 --> 00:33:42,158 No idea. 907 00:33:42,159 --> 00:33:44,703 Did you find your ID badge yet? 908 00:33:44,704 --> 00:33:46,705 No, I've looked everywhere. 909 00:33:46,706 --> 00:33:48,373 Must have been thrown out on accident. 910 00:33:48,374 --> 00:33:49,874 They'll issue you a new one. 911 00:33:49,875 --> 00:33:51,167 You just have to fill out a bunch of forms. 912 00:33:51,168 --> 00:33:52,587 Oh, great. 913 00:33:56,507 --> 00:33:58,091 What? 914 00:33:58,092 --> 00:33:59,092 Cow in labor? 915 00:33:59,093 --> 00:34:00,510 No, I... 916 00:34:00,511 --> 00:34:02,470 I ordered a patient a Lyft. 917 00:34:02,471 --> 00:34:06,933 Now I have a $250 surcharge and a complaint on my account. 918 00:34:06,934 --> 00:34:09,019 - What? - What'd they do? 919 00:34:09,020 --> 00:34:10,478 It was a sweet old lady. 920 00:34:10,479 --> 00:34:12,522 Who apparently had some racist 921 00:34:12,523 --> 00:34:14,149 and abusive things to say 922 00:34:14,150 --> 00:34:16,484 right before puking in the back. 923 00:34:16,485 --> 00:34:19,154 You never know with some people. 924 00:34:19,155 --> 00:34:20,530 There goes my first paycheck. 925 00:34:20,531 --> 00:34:21,990 St. Huckleberry. 926 00:34:21,991 --> 00:34:23,242 No good deed. 927 00:34:26,203 --> 00:34:29,331 I can see why you liked restoring this bike. 928 00:34:29,332 --> 00:34:30,999 You're a fixer. 929 00:34:31,000 --> 00:34:33,168 I fix bikes, but you fix people. 930 00:34:33,169 --> 00:34:35,837 That's pretty damn impressive, man. 931 00:34:35,838 --> 00:34:37,798 Some people can't be fixed. 932 00:34:39,216 --> 00:34:41,509 Look, I'm... 933 00:34:41,510 --> 00:34:44,512 I've done plenty of things I'm not proud of. 934 00:34:44,513 --> 00:34:45,472 Yeah, me too. 935 00:34:45,473 --> 00:34:48,183 No, bad things... 936 00:34:48,184 --> 00:34:50,727 hurt people on purpose, 937 00:34:50,728 --> 00:34:52,520 hurt myself. 938 00:34:52,521 --> 00:34:55,357 And I did my time, but that doesn't wash away the regret. 939 00:34:55,358 --> 00:34:57,692 I... 940 00:34:57,693 --> 00:35:00,028 wish I'd done things differently. 941 00:35:00,029 --> 00:35:02,489 I think about it every day. 942 00:35:02,490 --> 00:35:05,659 You know, they say that it's never too late to change. 943 00:35:05,660 --> 00:35:09,371 Some things can't be changed, like death. 944 00:35:09,372 --> 00:35:11,206 Death can't be changed. 945 00:35:11,207 --> 00:35:13,083 Hey, I know the surgery is scary. 946 00:35:13,084 --> 00:35:15,753 I'm not talking about me. 947 00:35:29,558 --> 00:35:32,603 Yeah, I don't know if I wanna be here anymore. 948 00:35:34,605 --> 00:35:36,981 I don't know how you stand 12 minutes in there, 949 00:35:36,982 --> 00:35:41,611 let alone 12 hours, 20 years. 950 00:35:41,612 --> 00:35:42,904 No. 951 00:35:42,905 --> 00:35:45,281 That's the only place I can be. 952 00:35:45,282 --> 00:35:50,495 I have purpose in there. I can be distracted in there. 953 00:35:50,496 --> 00:35:54,249 I don't know that I wanna be... 954 00:35:54,250 --> 00:35:58,169 anywhere anymore. 955 00:36:03,092 --> 00:36:05,593 So what's the plan? 956 00:36:05,594 --> 00:36:08,221 Ride. 957 00:36:08,222 --> 00:36:10,098 - Toward what? - I don't know. 958 00:36:10,099 --> 00:36:11,224 Away from what? 959 00:36:11,225 --> 00:36:13,143 Everything. 960 00:36:13,144 --> 00:36:16,396 Well, that's not riding. That's running. 961 00:36:16,397 --> 00:36:19,442 Is that your final lesson for these kids? 962 00:36:24,613 --> 00:36:26,114 What's up, Robby? 963 00:36:26,115 --> 00:36:29,785 Well, if it isn't Medics Bosco and Otero. 964 00:36:31,954 --> 00:36:33,079 You still on? 965 00:36:33,080 --> 00:36:34,289 Not for much longer. 966 00:36:34,290 --> 00:36:36,624 I was looking for you two. 967 00:36:36,625 --> 00:36:38,293 Rita Wolcott, 22. 968 00:36:38,294 --> 00:36:40,462 She was using a dumpster to climb a fire escape 969 00:36:40,463 --> 00:36:41,963 to get to a roof party. 970 00:36:41,964 --> 00:36:43,798 Slipped about 6 feet onto concrete. 971 00:36:43,799 --> 00:36:45,467 Possible tib-fib fracture. 972 00:36:45,468 --> 00:36:46,801 Oh, can I please tell it? 973 00:36:46,802 --> 00:36:48,553 You're making me sound like an idiot. 974 00:36:48,554 --> 00:36:50,180 My friends and I were just trying to watch the fireworks 975 00:36:50,181 --> 00:36:51,639 from the roof of our building. 976 00:36:51,640 --> 00:36:53,808 But the roof access door and the stairwells stuck, 977 00:36:53,809 --> 00:36:56,060 so we decided to climb the fire escape. 978 00:36:56,061 --> 00:36:58,022 They were supposed to hold the dumpster still while I... 979 00:36:58,731 --> 00:36:59,856 But they didn't. 980 00:36:59,857 --> 00:37:01,232 Then I fell. 981 00:37:01,233 --> 00:37:03,401 Like I said, 6 feet onto concrete. 982 00:37:03,402 --> 00:37:05,445 Yeah, because they didn't hold it still. 983 00:37:05,446 --> 00:37:06,988 Well, it's a good thing she didn't need a 12-lead. 984 00:37:06,989 --> 00:37:08,782 Why's that? 985 00:37:08,783 --> 00:37:10,116 'Cause you guys put one on about a half hour ago wrong 986 00:37:10,117 --> 00:37:11,326 and you missed the STEMI. 987 00:37:11,327 --> 00:37:12,327 Bullshit. 988 00:37:12,328 --> 00:37:13,495 46-year-old woman. 989 00:37:13,496 --> 00:37:15,288 A minute after you left, V-tach. 990 00:37:15,289 --> 00:37:17,665 Repeat EKG showed a massive lateral STEMI. 991 00:37:17,666 --> 00:37:18,833 No way. 992 00:37:18,834 --> 00:37:20,335 Leads were so inferior, 993 00:37:20,336 --> 00:37:21,961 you might as well have not put them on at all. 994 00:37:21,962 --> 00:37:23,505 What were you afraid of, her bra? 995 00:37:23,506 --> 00:37:25,006 What have we got? 996 00:37:25,007 --> 00:37:27,050 We've got a 22-year-old probable tib-fib fracture 997 00:37:27,051 --> 00:37:28,384 from a 6-foot fall. 998 00:37:28,385 --> 00:37:30,011 Why don't you take her to Central 13? 999 00:37:30,012 --> 00:37:31,387 Got it. Right this way. 1000 00:37:31,388 --> 00:37:33,348 As I was saying, bad data is shit data. 1001 00:37:33,349 --> 00:37:35,683 Maybe she was diaphoretic and they slid down en route. 1002 00:37:35,684 --> 00:37:37,101 Yeah, she was moving a lot. 1003 00:37:37,102 --> 00:37:38,561 Diaphoretic, my ass. She had big breasts. 1004 00:37:38,562 --> 00:37:40,021 You didn't wanna move 'em out of the way 1005 00:37:40,022 --> 00:37:41,689 - to get under her bra line. - Come on, Robby. 1006 00:37:41,690 --> 00:37:43,066 Women are misdiagnosed for heart attacks all the time. 1007 00:37:43,067 --> 00:37:44,442 This is a big reason why. 1008 00:37:44,443 --> 00:37:45,860 Shall we put it to a vote? 1009 00:37:45,861 --> 00:37:48,196 Hey, ladies in the room, show of hands. 1010 00:37:48,197 --> 00:37:50,698 Death with modesty, or life with brief nudity? 1011 00:37:50,699 --> 00:37:53,243 Death or life? 1012 00:37:53,244 --> 00:37:55,036 Look at that... turns out women wanna live. 1013 00:37:55,037 --> 00:37:56,454 Got it. 1014 00:37:56,455 --> 00:37:57,705 EKG is an amazing tool if you use it right. 1015 00:37:57,706 --> 00:37:59,082 You could have told us in private. 1016 00:37:59,083 --> 00:38:00,458 I think this was more instructive. 1017 00:38:00,459 --> 00:38:02,211 Agreed. 1018 00:38:03,754 --> 00:38:06,214 Hey, hell of a save your boy made. 1019 00:38:06,215 --> 00:38:07,549 On-the-fly reduction 1020 00:38:07,550 --> 00:38:09,384 of a uni-facet cervical dislocation... 1021 00:38:09,385 --> 00:38:10,677 that's some cowboy shit. 1022 00:38:10,678 --> 00:38:12,053 Yeah, it was. Where is he? 1023 00:38:12,054 --> 00:38:13,847 Ran off for a drug test. 1024 00:38:13,848 --> 00:38:16,100 You got your wish. You don't have to say goodbye. 1025 00:38:21,897 --> 00:38:24,607 Hey, thank you for saying all that. 1026 00:38:24,608 --> 00:38:27,068 I may have taken a slightly different approach, but... 1027 00:38:27,069 --> 00:38:28,403 I seem to have lost my filter. 1028 00:38:28,404 --> 00:38:29,904 I'm glad. 1029 00:38:29,905 --> 00:38:32,448 I could use an honest second opinion on a case. 1030 00:38:32,449 --> 00:38:34,743 Do you have five minutes to spare? 1031 00:38:36,078 --> 00:38:37,912 Sure. Why not? 1032 00:38:37,913 --> 00:38:39,247 What's the case? 1033 00:38:39,248 --> 00:38:41,041 I have the chart pulled up in 8. 1034 00:38:55,931 --> 00:38:57,849 I have some experience with this, 1035 00:38:57,850 --> 00:38:59,976 but I'd appreciate a fresh perspective. 1036 00:38:59,977 --> 00:39:02,103 After 14 hours, 1037 00:39:02,104 --> 00:39:03,646 I don't know how fresh my perspective is, 1038 00:39:03,647 --> 00:39:05,315 but I will give you what I got. 1039 00:39:05,316 --> 00:39:07,775 Well, after working with you, Dr. Robinavitch, 1040 00:39:07,776 --> 00:39:11,030 I've come to respect your opinion. 1041 00:39:13,240 --> 00:39:15,367 Thank you, Dr. Al-Hashimi. 1042 00:39:17,286 --> 00:39:19,495 Likewise. 1043 00:39:19,496 --> 00:39:22,248 OK, patient is a 40-year-old female with a history 1044 00:39:22,249 --> 00:39:24,083 of seizure disorder for the past 35 years. 1045 00:39:24,084 --> 00:39:25,668 She had no perinatal complications 1046 00:39:25,669 --> 00:39:27,629 and was in excellent health until age five, 1047 00:39:27,630 --> 00:39:29,422 when she had the onset seizure activity 1048 00:39:29,423 --> 00:39:31,966 following prolonged illness with viral meningitis. 1049 00:39:31,967 --> 00:39:34,970 Her altered mental status from the infec... 1050 00:39:42,811 --> 00:39:44,904 Baran, is this you? 1051 00:39:46,904 --> 00:39:50,510 Sync and corrections by btsix www.addic7ed.com