1 00:00:12,512 --> 00:00:13,722 Dr. Al? 2 00:00:16,099 --> 00:00:17,142 Dr. Al. 3 00:00:19,561 --> 00:00:21,312 Trauma's at the back door. 4 00:00:26,943 --> 00:00:29,195 Let me know when the rest of her labs are back. 5 00:00:31,740 --> 00:00:33,866 The girlfriend hasn't been much help. 6 00:00:33,867 --> 00:00:37,036 - Is she being uncooperative? - No, not really. 7 00:00:37,037 --> 00:00:39,663 Apparently, she's only been going out with the little girl Kylie's father 8 00:00:39,664 --> 00:00:41,040 for a few months. 9 00:00:41,041 --> 00:00:44,043 - Where is he now? - He's in New Castle for work. 10 00:00:44,044 --> 00:00:45,919 I left him a message to come in. 11 00:00:45,920 --> 00:00:47,671 Okay, come find me when he gets here. 12 00:00:47,672 --> 00:00:49,673 You talk to the trauma counselor this week? 13 00:00:49,674 --> 00:00:51,383 I'm going to. 14 00:00:51,384 --> 00:00:52,843 - Promise. - Okay, good. 15 00:00:52,844 --> 00:00:54,595 - Medics are rolling in. - I'll be right there. 16 00:00:54,596 --> 00:00:56,889 How's our little girl who took a stair tumble? 17 00:00:56,890 --> 00:00:59,475 I'm going to check for internal hemorrhage with an ultrasound. 18 00:00:59,476 --> 00:01:02,352 - What is your gut telling you? - Her gut? 19 00:01:02,353 --> 00:01:04,856 Yeah, it's this thing that AI will never have. 20 00:01:05,482 --> 00:01:08,568 I don't want to think about what my gut is saying right now. 21 00:01:09,569 --> 00:01:10,903 Come find me when you know more. 22 00:01:10,904 --> 00:01:12,488 - Us, if you don't mind. - I don't mind. 23 00:01:12,489 --> 00:01:14,281 Us, come find us when you know more. 24 00:01:14,282 --> 00:01:17,076 - Do you want to jump on this trauma? - I've got my hands full. 25 00:01:17,077 --> 00:01:18,911 I don't want this one getting away from me. 26 00:01:18,912 --> 00:01:21,080 We don't know what this is yet. Don't go jumping to conclusions. 27 00:01:21,081 --> 00:01:23,792 I'm not jumping to anything. I'm just looking out for my patient. 28 00:01:28,004 --> 00:01:30,214 Something I should know about Santos? 29 00:01:30,215 --> 00:01:33,050 Very confident, not afraid to get her hands dirty, 30 00:01:33,051 --> 00:01:34,927 strong patient advocate, fearless. 31 00:01:34,928 --> 00:01:37,179 Seems like you were suggesting she jumps to conclusions. 32 00:01:37,180 --> 00:01:39,723 No, no, no, no. I was merely suggesting or reminding her not to. 33 00:01:39,724 --> 00:01:41,725 - Yeah. - 58-year-old guy. 34 00:01:41,726 --> 00:01:43,519 Tripped with a scaphoid fracture. 35 00:01:43,520 --> 00:01:47,397 Epistaxis, non-focal neuro, but denies head trauma. 36 00:01:47,398 --> 00:01:50,859 But every time I check on him, his affect has drastically changed. 37 00:01:50,860 --> 00:01:53,404 My gut is telling me something's not right. 38 00:01:57,158 --> 00:01:58,534 - What? - Nothing. 39 00:01:58,535 --> 00:01:59,743 Your play. 40 00:01:59,744 --> 00:02:01,120 Start with a head CT. 41 00:02:01,121 --> 00:02:03,038 If normal, LP, rule out encephalitis. 42 00:02:03,039 --> 00:02:04,331 Put in your orders. 43 00:02:04,332 --> 00:02:06,041 Has he been here before? 44 00:02:06,042 --> 00:02:08,544 Have you called the family to rule out any psychiatric history? 45 00:02:08,545 --> 00:02:09,670 No, but I will. 46 00:02:09,671 --> 00:02:11,338 Do you want to jump on this trauma in the meantime? 47 00:02:11,339 --> 00:02:13,132 - What is it? - It's a surprise. 48 00:02:13,133 --> 00:02:14,425 Wonderful. 49 00:02:17,053 --> 00:02:18,595 Mel, you want to jump on this? 50 00:02:18,596 --> 00:02:21,348 - What is it? - It's a surprise. 51 00:02:21,349 --> 00:02:23,350 - What do you got for us, Amboy? - Allen Billings. 52 00:02:23,351 --> 00:02:25,561 Pallet of roofing tiles fell eight feet, 53 00:02:25,562 --> 00:02:28,147 hit his upper arm with an open dislocation. 54 00:02:28,148 --> 00:02:29,356 Ouch. 55 00:02:29,357 --> 00:02:33,152 Two rounds of fent, 1 then 0.5 per kilo. A and O, with good vitals. 56 00:02:33,153 --> 00:02:35,571 - Mel, hold the arm steady. - Sure. 57 00:02:35,572 --> 00:02:37,657 Uno, dos, tres. 58 00:02:39,117 --> 00:02:42,703 - Mr. Billings, I'm Dr. McKay. - And I'm Dr. Garcia from surgery. 59 00:02:42,704 --> 00:02:44,663 - And this is Dr. King. - Hi. 60 00:02:44,664 --> 00:02:46,123 - Oh, it really hurts. - Give us a minute. 61 00:02:46,124 --> 00:02:47,958 And we're gonna take care of that, okay? 62 00:02:47,959 --> 00:02:49,334 Any headache, chest or belly pain? 63 00:02:49,335 --> 00:02:51,920 - No, just the arm. - Sats 99. Pulse 104. 64 00:02:51,921 --> 00:02:53,463 BP 116/78. 65 00:02:53,464 --> 00:02:56,800 - What do you think, Dr. King? - Oh, it is an open dislocation. 66 00:02:56,801 --> 00:02:58,469 Can you be more specific? 67 00:02:59,679 --> 00:03:01,763 I think it's inferior, yeah? 68 00:03:01,764 --> 00:03:04,642 Do you remember the name for that? 69 00:03:07,145 --> 00:03:09,688 Sounds like a Harry Potter spell. 70 00:03:09,689 --> 00:03:10,814 I... 71 00:03:10,815 --> 00:03:13,025 Luxatio erecta. 72 00:03:13,026 --> 00:03:14,943 Correct. Check the neuro-circ. 73 00:03:14,944 --> 00:03:16,696 Sir, can you feel me touching you? 74 00:03:17,488 --> 00:03:20,116 - Okay. Can you wiggle your fingers? - Yeah. 75 00:03:21,492 --> 00:03:24,912 - Good radial pulse. - E-FAST is negative. 76 00:03:24,913 --> 00:03:28,290 - Okay, what's next, Dr. McKay? - Ancef and gentamicin. 77 00:03:28,291 --> 00:03:30,584 Sedate for traction, countertraction. 78 00:03:30,585 --> 00:03:33,337 And he needs a CT angiogram to rule out vascular injury. 79 00:03:33,338 --> 00:03:34,421 That sounds like a plan. 80 00:03:34,422 --> 00:03:37,216 But with an open joint, he needs a washout in the OR with ortho. 81 00:03:37,217 --> 00:03:38,300 Agreed. 82 00:03:38,301 --> 00:03:39,468 Instead of wasting time down here, 83 00:03:39,469 --> 00:03:41,845 it should be easier to reduce under general anesthesia 84 00:03:41,846 --> 00:03:44,223 - with fewer risks. - Possibly. 85 00:03:44,224 --> 00:03:46,142 Let's get an opinion from ortho. 86 00:03:47,352 --> 00:03:48,852 You're definitely new, Doctor. Wishful thinking. 87 00:03:48,853 --> 00:03:50,854 Ortho like to take their sweet time. 88 00:03:50,855 --> 00:03:52,856 Okay, sedation orders, Dr. McKay. 89 00:03:52,857 --> 00:03:54,858 100 of propofol. Titrate to effect. 90 00:03:54,859 --> 00:03:56,194 Be back with that. 91 00:03:56,861 --> 00:03:57,946 Excuse me. 92 00:04:01,532 --> 00:04:04,451 - How's your day going, Doc? - Yeah, pretty good. 93 00:04:04,452 --> 00:04:06,955 Looks like your albumin's infusing. 94 00:04:09,832 --> 00:04:13,710 Oh, medical students Ogilvie and Kwon are gonna be working with me. 95 00:04:13,711 --> 00:04:15,295 - Hello. - Student doctors. 96 00:04:15,296 --> 00:04:16,713 You want them to try it? 97 00:04:16,714 --> 00:04:18,882 They got to learn sometime. 98 00:04:18,883 --> 00:04:21,134 It's best if they watch the first one. 99 00:04:21,135 --> 00:04:22,844 - I can prep and drape. - Yeah. 100 00:04:22,845 --> 00:04:26,682 - After your albumin's in. - That's correct. 101 00:04:26,683 --> 00:04:28,934 To prevent hypotension, we introduce albumin 102 00:04:28,935 --> 00:04:31,603 if we anticipate more than five liters. 103 00:04:31,604 --> 00:04:33,063 Last time it was six. 104 00:04:33,064 --> 00:04:35,607 That's, like, a gallon and a half. 105 00:04:35,608 --> 00:04:37,193 Of high-octane premium. 106 00:04:37,986 --> 00:04:39,903 Okay, you need anything else, Mr. Louie? 107 00:04:39,904 --> 00:04:41,280 - No, ma'am. - Okay. 108 00:04:41,281 --> 00:04:43,865 - Grab me when you're ready? - Yeah. 109 00:04:43,866 --> 00:04:46,952 Whitaker, wife of your DNR this morning is in Central 8. 110 00:04:46,953 --> 00:04:48,954 Does she know her husband died? 111 00:04:48,955 --> 00:04:50,373 Not till you tell her. 112 00:04:51,207 --> 00:04:52,625 I'll be right there. 113 00:04:53,793 --> 00:04:58,130 Yeah, always make sure your entry point is safe 114 00:04:58,131 --> 00:05:00,257 by identifying the pocket of fluid. 115 00:05:00,258 --> 00:05:01,925 That's not a pocket. That's a lake. 116 00:05:01,926 --> 00:05:04,511 Yeah, but you do not want to hit a vein or artery on the way in, 117 00:05:04,512 --> 00:05:06,597 so make sure you check with color Doppler. 118 00:05:09,017 --> 00:05:10,517 Joy? 119 00:05:10,518 --> 00:05:12,894 I can't see. I can't see anything. 120 00:05:12,895 --> 00:05:15,314 - That's 'cause your eye is shut. - I can't open it. It's glued shut. 121 00:05:15,315 --> 00:05:17,524 I was trying to put on lashes. 122 00:05:17,525 --> 00:05:20,736 Oh, my God. Oh, my God, am I gonna go blind? 123 00:05:20,737 --> 00:05:22,946 No, no, I'm pretty sure this is something we can fix. 124 00:05:22,947 --> 00:05:25,199 Just take a deep breath. 125 00:05:26,743 --> 00:05:30,871 Okay, so you glued your eye shut with what exactly? 126 00:05:30,872 --> 00:05:32,372 - Super glue. - Okay. 127 00:05:32,373 --> 00:05:35,000 Well, is it something you typically use to apply your lashes? 128 00:05:35,001 --> 00:05:37,753 No, it's typically something you use to glue shit you break, 129 00:05:37,754 --> 00:05:39,087 like coffee mugs and stuff. 130 00:05:39,088 --> 00:05:41,548 You know what I'm talking about. It's super glue. 131 00:05:41,549 --> 00:05:43,467 Okay, okay. Yeah, got it. 132 00:05:43,468 --> 00:05:46,429 Can I just talk to Dr. J? She'll know what to do. 133 00:05:47,347 --> 00:05:49,181 Is that an ophthalmologist? 134 00:05:49,182 --> 00:05:51,600 No, she works here in the ER. 135 00:05:51,601 --> 00:05:55,187 Yeah, I don't think so, but I know what I'm doing... 136 00:05:55,188 --> 00:05:56,689 most of the time. 137 00:05:59,525 --> 00:06:02,444 For a Z-track, we pull up the skin 138 00:06:02,445 --> 00:06:05,656 before advancing into the peritoneal space. 139 00:06:06,282 --> 00:06:08,700 - Looks good. - Fluid's clear. 140 00:06:08,701 --> 00:06:10,827 Does that hurt as much as it looks? 141 00:06:10,828 --> 00:06:12,163 Oh, it's not too bad. 142 00:06:13,539 --> 00:06:15,374 Ogilvie, spike the bottle for me. 143 00:06:15,375 --> 00:06:17,626 What tests do we want on these fluids? 144 00:06:17,627 --> 00:06:19,920 Cell count to rule out spontaneous bacterial peritonitis. 145 00:06:19,921 --> 00:06:21,004 Ding. 146 00:06:21,005 --> 00:06:23,049 What would make that diagnosis, Joy? 147 00:06:24,675 --> 00:06:26,344 Absolute neutrophil count over 250. 148 00:06:28,012 --> 00:06:31,807 - How are we doing in here? - They are doing great. 149 00:06:31,808 --> 00:06:33,184 I think they got this. 150 00:06:37,063 --> 00:06:38,897 Hey, Dana, can you get Kiara down here for me? 151 00:06:38,898 --> 00:06:40,399 She isn't answering her Spectralink. 152 00:06:40,400 --> 00:06:42,693 She's not working today. It's... 153 00:06:43,319 --> 00:06:45,070 I forget. I'll find out and get 'em down here. 154 00:06:45,071 --> 00:06:46,154 What else you need? 155 00:06:46,155 --> 00:06:48,783 How about a double espresso martini? 156 00:06:49,367 --> 00:06:50,910 I like the way you think. 157 00:06:51,911 --> 00:06:54,579 Hey, Trudy, it's Dana. What's going on up there? 158 00:06:54,580 --> 00:06:56,081 What's up, Crash? 159 00:06:56,082 --> 00:06:59,167 You mean besides my mother driving me insane? 160 00:06:59,168 --> 00:07:02,504 Just tell her that her efforts would be better suited 161 00:07:02,505 --> 00:07:04,923 endorsing someone like myself. 162 00:07:04,924 --> 00:07:08,385 If you're seriously thinking of a double residency, 163 00:07:08,386 --> 00:07:10,304 let me save you the trouble-- you can't do it. 164 00:07:11,514 --> 00:07:14,142 Why? Just because you couldn't do it? 165 00:07:14,934 --> 00:07:17,644 Honestly, yes. 166 00:07:17,645 --> 00:07:19,147 Because you're a genius. 167 00:07:19,939 --> 00:07:21,064 Yes. 168 00:07:21,065 --> 00:07:22,941 What's the square root of 841? 169 00:07:22,942 --> 00:07:24,943 I'm not a human calculator. 170 00:07:24,944 --> 00:07:27,654 Social worker Dylan Easton is covering for Kiara this weekend. 171 00:07:27,655 --> 00:07:29,656 - They're on their way down. - Thank you. 172 00:07:29,657 --> 00:07:30,866 Yep. 173 00:07:30,867 --> 00:07:32,451 Oh, shit. 174 00:07:32,452 --> 00:07:34,661 I have a nun with conjunctivitis. 175 00:07:34,662 --> 00:07:37,290 Her swab is showing gram-negative intracellular diplococci. 176 00:07:37,957 --> 00:07:39,207 Gonorrhea? 177 00:07:39,208 --> 00:07:40,918 Come to Jesus. 178 00:07:41,752 --> 00:07:43,712 Well, the lab must have made a mistake. 179 00:07:43,713 --> 00:07:46,047 Maybe it's an immaculate infection. 180 00:07:46,048 --> 00:07:49,050 I'll call the lab supe, clear this up. Tread carefully, missy. 181 00:07:49,051 --> 00:07:53,264 There's a nun with gonorrhea in her eye. 182 00:07:55,308 --> 00:07:57,684 Seriously, you guys are gonna take this away from me? 183 00:07:57,685 --> 00:07:59,187 I'm disappointed in you two. 184 00:07:59,896 --> 00:08:01,229 29. 185 00:08:01,230 --> 00:08:02,564 What? 186 00:08:02,565 --> 00:08:03,983 The square root of 841. 187 00:08:04,984 --> 00:08:06,735 How we doing with Mr. Digby? 188 00:08:06,736 --> 00:08:08,904 He's in a gown in South 21. 189 00:08:08,905 --> 00:08:10,572 Is there someplace we can get this laundered? 190 00:08:10,573 --> 00:08:12,324 Those are going right in the incinerator. 191 00:08:12,325 --> 00:08:14,326 We'll get him a whole new wardrobe. 192 00:08:14,327 --> 00:08:16,328 You ever use a cast saw before? 193 00:08:16,329 --> 00:08:18,497 Of course you haven't. Well, today's your lucky day. 194 00:08:18,498 --> 00:08:19,831 Follow me. 195 00:08:19,832 --> 00:08:22,334 - Dr. Mohan, you got a minute? - Yeah. 196 00:08:22,335 --> 00:08:25,629 Have you met Emma? First day. New grad RN. 197 00:08:25,630 --> 00:08:27,130 - Hi. - Nice to meet you. 198 00:08:27,131 --> 00:08:28,924 Emma needs to learn cast removal. 199 00:08:28,925 --> 00:08:32,344 - How long has the cast been on? - Months, maybe years. 200 00:08:32,345 --> 00:08:34,597 Probably gonna want to breathe through your mouth. 201 00:08:37,350 --> 00:08:39,392 All right, Mr. Digby. 202 00:08:39,393 --> 00:08:42,145 Dr. Mohan can cut your cast off now. 203 00:08:42,146 --> 00:08:43,730 How long's the cast been on? 204 00:08:43,731 --> 00:08:46,691 I don't know, but it's really getting itchy. 205 00:08:46,692 --> 00:08:51,071 Okay, this cuts the cast, not the skin. 206 00:08:51,072 --> 00:08:52,823 This should relieve the itching. 207 00:09:06,295 --> 00:09:07,380 Get the cast spreader. 208 00:09:14,262 --> 00:09:15,846 Thank you. 209 00:09:17,265 --> 00:09:18,474 Okay. 210 00:09:23,646 --> 00:09:24,855 Okay. 211 00:09:29,277 --> 00:09:31,570 Oh, I see you brought some friends. 212 00:09:31,571 --> 00:09:33,823 - Oh, my God, are those-- - Maggots. 213 00:09:39,453 --> 00:09:41,539 I'll need ethyl chloride spray to freeze them off. 214 00:09:42,498 --> 00:09:45,084 Never saw that in nursing school, am I right? 215 00:09:50,631 --> 00:09:53,174 Now irrigate like hell, Mel. 216 00:09:53,175 --> 00:09:54,302 Okay. 217 00:09:58,806 --> 00:10:00,599 Okay, on my count. 218 00:10:00,600 --> 00:10:03,311 One, two, three. 219 00:10:04,687 --> 00:10:06,314 Come on, motherfucker. 220 00:10:06,814 --> 00:10:08,607 Humeral head is not reducing. 221 00:10:08,608 --> 00:10:10,859 - Should be done in the OR. - I am the OR. 222 00:10:10,860 --> 00:10:14,321 Okay, we're gonna get this back in before ortho even answers the page. 223 00:10:14,322 --> 00:10:17,032 Mel, stick four fingers under that humeral head. 224 00:10:17,033 --> 00:10:19,285 - Really? - Yeah, get in there really, really deep. 225 00:10:19,910 --> 00:10:22,912 And when you feel the traction, lift it above the glenoid. 226 00:10:22,913 --> 00:10:25,248 That will convert this to an anterior dislocation, 227 00:10:25,249 --> 00:10:27,375 and it should pop right back in. 228 00:10:27,376 --> 00:10:28,461 Okay. 229 00:10:29,337 --> 00:10:30,462 Ready to go. 230 00:10:30,463 --> 00:10:33,883 One, two, three. 231 00:10:34,925 --> 00:10:37,886 - Okay. - Oh, very cool. 232 00:10:37,887 --> 00:10:39,555 Sterile saline dressing. 233 00:10:40,181 --> 00:10:42,557 - Shoulder immobilizer and CT. - Okay. 234 00:10:42,558 --> 00:10:44,935 Guess you guys don't need me anymore. 235 00:10:47,188 --> 00:10:49,857 - You all right, Dr. King? - Yeah. 236 00:10:50,483 --> 00:10:51,734 You don't seem all right. 237 00:10:52,401 --> 00:10:54,362 Well, my deposition is today. 238 00:10:55,404 --> 00:10:58,239 - Do you want to talk about it? - I'm not allowed to. 239 00:10:58,240 --> 00:11:00,075 No, we don't have to talk about the deposition, 240 00:11:00,076 --> 00:11:03,411 but we can talk about how it is affecting you. 241 00:11:03,412 --> 00:11:06,665 Average emergency physician catches a med-mal case every seven years. 242 00:11:06,666 --> 00:11:08,291 Nine times out of ten, the doctor wins. 243 00:11:08,292 --> 00:11:10,001 I've been sued four times myself. 244 00:11:10,002 --> 00:11:11,170 Dr. Al? 245 00:11:12,588 --> 00:11:14,965 I've never been named in a lawsuit. 246 00:11:20,930 --> 00:11:22,598 But sometime... 247 00:11:25,810 --> 00:11:27,435 Sister Grace. 248 00:11:27,436 --> 00:11:29,688 This is one of my residents, Dr. Mohan. 249 00:11:29,689 --> 00:11:31,481 - Nice to meet you. - You as well. 250 00:11:31,482 --> 00:11:35,902 I wish we could recruit as dedicated and talented young women as you two. 251 00:11:35,903 --> 00:11:38,530 I imagine it's a calling, much like medicine. 252 00:11:38,531 --> 00:11:40,574 Yes, very much so. 253 00:11:41,617 --> 00:11:44,119 Sister Grace, under the microscope, 254 00:11:44,120 --> 00:11:47,872 we're seeing something called a gram-negative bacteria. 255 00:11:47,873 --> 00:11:49,541 Is that serious? 256 00:11:49,542 --> 00:11:51,751 It can be if left untreated. 257 00:11:51,752 --> 00:11:54,212 But, fortunately, we can give you a shot of antibiotics, 258 00:11:54,213 --> 00:11:55,922 irrigate your eye with a liter of saline, 259 00:11:55,923 --> 00:11:58,466 and give you drops to use at home every few hours. 260 00:11:58,467 --> 00:12:00,219 How did I get it? 261 00:12:02,012 --> 00:12:05,348 So the appearance of the bacteria in your eye 262 00:12:05,349 --> 00:12:08,935 suggests that it's gonorrhea. 263 00:12:08,936 --> 00:12:12,897 - Traditionally, that's a sexually-- - I know what gonorrhea is, Dr. Javadi. 264 00:12:12,898 --> 00:12:15,316 I'm a nun, not a numbskull. 265 00:12:15,317 --> 00:12:18,653 I do a lot of work at an unhoused shelter. 266 00:12:18,654 --> 00:12:21,364 Are you handling dirty sheets, 267 00:12:21,365 --> 00:12:25,160 - pillowcases, soiled clothes? - Yes. 268 00:12:25,161 --> 00:12:27,954 Part of my day is spent doing laundry, 269 00:12:27,955 --> 00:12:31,166 making beds, disposing of old clothes. 270 00:12:31,167 --> 00:12:33,168 Do you wear gloves? 271 00:12:33,169 --> 00:12:35,336 - When they're available. - Okay. 272 00:12:35,337 --> 00:12:39,883 Well, let's get you your shot and set up for irrigating your eye. 273 00:12:39,884 --> 00:12:42,969 I bet we can scrounge up a couple boxes of gloves while you're here. 274 00:12:42,970 --> 00:12:46,014 It's important to protect yourself. 275 00:12:46,015 --> 00:12:47,475 We'll be back. 276 00:12:49,685 --> 00:12:51,020 Why am I here? 277 00:12:51,854 --> 00:12:53,188 I'm not sick. 278 00:12:53,189 --> 00:12:57,484 Oh, we took care of your husband, Ethan, earlier today. 279 00:12:57,485 --> 00:12:59,612 Is Ethan sick? 280 00:13:00,654 --> 00:13:03,156 Well, he was very ill. 281 00:13:03,157 --> 00:13:06,493 And we did everything we could to treat him, 282 00:13:06,494 --> 00:13:09,412 but his heart stopped beating. 283 00:13:09,413 --> 00:13:13,042 And I'm so sorry to say that he died. 284 00:13:15,085 --> 00:13:16,712 He died? 285 00:13:17,505 --> 00:13:18,631 Ethan? 286 00:13:19,298 --> 00:13:21,717 No, no. 287 00:13:22,635 --> 00:13:24,303 Are you sure? 288 00:13:26,514 --> 00:13:27,556 Yes. 289 00:13:28,474 --> 00:13:31,309 No, no, no, no, no. 290 00:13:31,310 --> 00:13:33,103 Ethan isn't sick. 291 00:13:33,604 --> 00:13:34,896 No! 292 00:13:34,897 --> 00:13:37,733 I know how difficult this must be for you. 293 00:13:44,907 --> 00:13:48,159 Kidneys look good on ultrasound. No intra-abdominal injury. 294 00:13:48,160 --> 00:13:50,036 - Hey, Dylan. - Robby. 295 00:13:50,037 --> 00:13:52,121 Is this the "tumble down the stairs" kid--Kylie? 296 00:13:52,122 --> 00:13:53,665 - Yeah. - And? 297 00:13:53,666 --> 00:13:56,251 I'd like to talk to the girlfriend first, away from the little girl. 298 00:13:56,252 --> 00:13:57,418 We can arrange that. 299 00:13:57,419 --> 00:13:58,837 - Okay. - Keep us informed. 300 00:13:58,838 --> 00:14:00,965 Yes, keep us informed. 301 00:14:01,924 --> 00:14:05,510 More labs are back on our abandoned baby Jane Doe. 302 00:14:05,511 --> 00:14:10,391 Everything looks normal so far, but you seemed really concerned earlier. 303 00:14:11,141 --> 00:14:12,725 She still needs a cathed urine. 304 00:14:12,726 --> 00:14:14,144 Or not. 305 00:14:15,646 --> 00:14:17,814 You can't trust a bagged urine. 306 00:14:17,815 --> 00:14:20,233 Agreed, but we can avoid the trauma of a catheter. 307 00:14:20,234 --> 00:14:21,693 With a suprapubic tap? 308 00:14:21,694 --> 00:14:24,572 Oh, I may have a trick or two up my sleeve, Dr. Al-Hashimi. 309 00:14:28,242 --> 00:14:30,160 Hey, Princess, hold up. 310 00:14:31,161 --> 00:14:34,163 - Hi. How you feeling, Mr. Williams? - Okay. 311 00:14:34,164 --> 00:14:36,374 A little nervous about going in the machine. 312 00:14:36,375 --> 00:14:38,543 I can get a tad claustrophobic. 313 00:14:38,544 --> 00:14:42,547 Yeah, well, we're sending you for a CT, not an MRI. 314 00:14:42,548 --> 00:14:44,966 So it's like a open doughnut. 315 00:14:44,967 --> 00:14:46,802 Oh, good. I like doughnuts. 316 00:14:48,470 --> 00:14:51,055 There you are. Thought you forgot about me. 317 00:14:51,056 --> 00:14:53,684 Oh, no, I was just with other patients. 318 00:14:54,727 --> 00:14:57,062 So what do you do for fun? 319 00:14:57,813 --> 00:14:59,522 I mainly do what my sister likes. 320 00:14:59,523 --> 00:15:01,691 She loves Kennywood and the zoo. 321 00:15:01,692 --> 00:15:03,861 No, what about you? 322 00:15:04,403 --> 00:15:06,196 What do you like to do? 323 00:15:11,201 --> 00:15:13,745 I used to like the Renaissance fair. 324 00:15:13,746 --> 00:15:15,705 - Really? - Yeah. 325 00:15:15,706 --> 00:15:16,915 Isn't that kind of dorky, though, 326 00:15:16,916 --> 00:15:19,125 where everybody dresses up like somebody they're not? 327 00:15:19,126 --> 00:15:22,420 Yeah, but that's the fun, you know? You can be anyone or anything you want. 328 00:15:22,421 --> 00:15:26,966 I actually had this alter ego that was a 17th-century French woman-- 329 00:15:26,967 --> 00:15:28,719 Stop! 330 00:15:31,889 --> 00:15:34,850 - You okay, kid? - That was a doozy. 331 00:15:36,685 --> 00:15:40,146 - Okay, we ready? - Cleaned and dried with sterile gauze. 332 00:15:40,147 --> 00:15:42,315 - Is that water cold? - Right out the fridge. 333 00:15:42,316 --> 00:15:45,568 Okay, Jesse, you can take the armpits. I'm gonna take the legs. 334 00:15:45,569 --> 00:15:47,528 One, two, three, up. 335 00:15:47,529 --> 00:15:49,865 Dr. Al-Hashimi, you're gonna be our catcher. 336 00:15:50,449 --> 00:15:53,576 And, Samira, you're gonna do suprapubic circles with that gauze. 337 00:15:53,577 --> 00:15:55,788 And the cold should stimulate voiding. 338 00:15:56,664 --> 00:15:58,873 Even if she pees, it's likely to be contaminated. 339 00:15:58,874 --> 00:16:00,792 Not according to the "British Medical Journal." 340 00:16:00,793 --> 00:16:02,377 They did the wee-search. 341 00:16:02,378 --> 00:16:04,880 Any leuks or nitrates, and we cath. 342 00:16:06,256 --> 00:16:07,716 Dr. Al-Hashimi, get it. 343 00:16:08,467 --> 00:16:11,720 I was gonna invite you to join the softball team, but now I'm not so sure. 344 00:16:12,930 --> 00:16:16,391 There we go. Looks like you got a good midstream sample. 345 00:16:16,392 --> 00:16:17,934 Here's a fresh blanket. 346 00:16:17,935 --> 00:16:19,311 Okay. Plan. 347 00:16:20,062 --> 00:16:23,523 Ceftriaxone, two-day admit till blood culture is negative. 348 00:16:23,524 --> 00:16:25,984 - Next steps? - Foster care. 349 00:16:25,985 --> 00:16:27,695 Oh, yeah. 350 00:16:29,697 --> 00:16:34,200 Someone must have been in a bad way to walk away from you, little one. 351 00:16:34,201 --> 00:16:35,744 We need to call the police? 352 00:16:37,329 --> 00:16:39,498 Let me know what the urine dip shows. 353 00:16:42,292 --> 00:16:45,087 We will let you know what the urine dip shows. 354 00:16:46,547 --> 00:16:48,716 You must be Dr. Al-Hashimi. 355 00:16:49,341 --> 00:16:51,050 And you must be Dr. Langdon. 356 00:16:51,051 --> 00:16:53,011 I've heard all about you. 357 00:16:53,012 --> 00:16:54,429 Welcome back. 358 00:16:54,430 --> 00:16:57,098 - And this is? - Linda Stevens. 359 00:16:57,099 --> 00:17:00,018 One episode of substernal chest pressure resolved with rest. 360 00:17:00,019 --> 00:17:01,436 12-lead negative for STEMI. 361 00:17:01,437 --> 00:17:04,355 Heading for North 4. 362 00:17:04,356 --> 00:17:07,191 Hello, I'm Dr. Al-Hashimi. 363 00:17:07,192 --> 00:17:09,861 - Nice to meet you. - Nice to meet you. 364 00:17:09,862 --> 00:17:11,988 Ma'am, this is a teaching hospital. 365 00:17:11,989 --> 00:17:14,449 Is it okay if some of our trainees join me? 366 00:17:14,450 --> 00:17:15,868 Not a problem. 367 00:17:16,410 --> 00:17:19,747 Dr. Whitaker, Javadi, Ogilvie, Joy... 368 00:17:20,748 --> 00:17:22,457 ...gather round. 369 00:17:22,458 --> 00:17:25,127 Dr. Langdon, you are more than welcome to stay, too. 370 00:17:25,753 --> 00:17:28,087 Maybe for a minute. We're pretty busy in triage. 371 00:17:28,088 --> 00:17:29,339 Okay. 372 00:17:29,965 --> 00:17:31,341 Ms. Stevens... 373 00:17:32,051 --> 00:17:35,470 ...I have an app on my phone that can listen to our conversation 374 00:17:35,471 --> 00:17:37,597 and the details of my physical exam 375 00:17:37,598 --> 00:17:39,849 and write it all up in your medical record. 376 00:17:39,850 --> 00:17:41,476 Wow. 377 00:17:41,477 --> 00:17:46,189 It's protected, confidential, doesn't even stay on my phone... 378 00:17:46,190 --> 00:17:47,440 What's going on? 379 00:17:47,441 --> 00:17:49,567 Some A-hole perp took off when he saw the cops, 380 00:17:49,568 --> 00:17:51,319 knocked her backwards off a stool. 381 00:17:51,320 --> 00:17:53,529 - Oh, Jesus. - Head trauma, no LOC. 382 00:17:53,530 --> 00:17:55,490 - Okay, you need to get checked out. - I'm fine. 383 00:17:55,491 --> 00:17:57,492 No choice. It's work-related. 384 00:17:57,493 --> 00:18:00,578 Let's find her a room and prep for a burr hole. 385 00:18:00,579 --> 00:18:02,081 What? 386 00:18:04,374 --> 00:18:08,086 I forgot how much you like to joke, Captain Scurvy. 387 00:18:08,087 --> 00:18:10,463 Who the hell's Captain Scurvy? 388 00:18:10,464 --> 00:18:11,965 It's an inside thing. 389 00:18:12,508 --> 00:18:15,927 - How's our shoulder guy? - Oh, he slept like a baby. 390 00:18:15,928 --> 00:18:18,471 CT angio shows no vascular injury. 391 00:18:18,472 --> 00:18:22,725 What about your slip-and-fall guy with a labile affect? 392 00:18:22,726 --> 00:18:25,937 Michael Williams. He's still in the scanner. 393 00:18:25,938 --> 00:18:28,314 He seems to have settled down, so he doesn't need babysitting. 394 00:18:28,315 --> 00:18:29,732 Good. Maybe he's coming around. 395 00:18:29,733 --> 00:18:31,526 Ortho can take Mr. Billings here up for surgery. 396 00:18:31,527 --> 00:18:33,111 Belay that order, sailor. 397 00:18:33,112 --> 00:18:35,988 - Dr. Robinavitch. - Nurse Hastings. 398 00:18:35,989 --> 00:18:37,657 You can call me Robby. 399 00:18:37,658 --> 00:18:39,409 You can call me Noelle. 400 00:18:42,621 --> 00:18:44,997 You could just tell me what the hell's going on here. 401 00:18:44,998 --> 00:18:47,125 This is Noelle. She's our... 402 00:18:47,126 --> 00:18:49,752 - Bed control manager. No, we met. - Case manager. 403 00:18:49,753 --> 00:18:51,587 And this guy won't be staying. 404 00:18:51,588 --> 00:18:53,131 Oh, he needs surgery. 405 00:18:53,132 --> 00:18:57,052 Which his insurance will pay for at Westbridge Memorial, not here. 406 00:18:58,011 --> 00:19:01,723 - Wait, so we have to transfer? - If he's stable. 407 00:19:02,432 --> 00:19:04,142 I believe that he is. 408 00:19:04,143 --> 00:19:07,103 Look on the bright side. We're gonna free up a bed, discharge a patient. 409 00:19:07,104 --> 00:19:09,647 I mean, that's great for us, not so good for him. 410 00:19:09,648 --> 00:19:14,485 He will get great care at Westbridge, don't you agree, Robby? 411 00:19:14,486 --> 00:19:16,655 - I'm sure that he will. - Yeah. 412 00:19:17,406 --> 00:19:18,782 What am I missing? 413 00:19:19,324 --> 00:19:22,077 Is there something else happening with Allen Billings that I don't know about? 414 00:19:23,245 --> 00:19:24,370 Not medically. 415 00:19:24,371 --> 00:19:26,498 This is just a simple insurance transfer. 416 00:19:28,667 --> 00:19:30,169 Yeah, okay. 417 00:19:34,464 --> 00:19:35,883 What's that about? 418 00:19:36,717 --> 00:19:39,594 - Nothing. - Didn't feel like nothing. 419 00:19:39,595 --> 00:19:41,721 Dr. McKay has a very heightened sense of empathy. 420 00:19:41,722 --> 00:19:42,805 Meaning? 421 00:19:42,806 --> 00:19:45,267 Meaning she's good at picking up on stuff. 422 00:19:46,101 --> 00:19:48,603 - You didn't say anything, did you? - Nope. 423 00:19:48,604 --> 00:19:51,022 I subscribe to the Falstaff advice. 424 00:19:51,023 --> 00:19:52,900 Discretion is the better part of valor. 425 00:19:54,109 --> 00:19:55,610 You still planning on leaving tonight? 426 00:19:55,611 --> 00:19:57,487 Yep. 427 00:19:58,197 --> 00:20:01,533 I don't understand why you can't leave in the morning. 428 00:20:02,701 --> 00:20:03,826 Will you excuse me for a second? 429 00:20:03,827 --> 00:20:05,578 I got to go talk to a patient while she's separated 430 00:20:05,579 --> 00:20:06,913 - from her caregiver. - Oh, yeah. 431 00:20:06,914 --> 00:20:08,623 - That doesn't sound ideal. - It's not ideal. 432 00:20:08,624 --> 00:20:09,832 I got to figure out what's going on. 433 00:20:09,833 --> 00:20:12,960 And I'll find you before I leave. 434 00:20:12,961 --> 00:20:14,129 Okay. 435 00:20:17,090 --> 00:20:19,509 Okay, you got to stop this. 436 00:20:20,636 --> 00:20:22,304 Hastings. 437 00:20:22,888 --> 00:20:24,013 Evans. 438 00:20:24,014 --> 00:20:25,431 Hope you know what you're doing. 439 00:20:25,432 --> 00:20:27,142 What is that supposed to mean? 440 00:20:29,061 --> 00:20:30,437 I'm a big girl. 441 00:20:31,605 --> 00:20:33,148 Okay, big girl. 442 00:20:34,650 --> 00:20:35,858 I'm fine. 443 00:20:35,859 --> 00:20:37,945 That's good. Follow my finger. 444 00:20:39,655 --> 00:20:42,324 - How's the head? - It's a little sore. 445 00:20:42,950 --> 00:20:44,743 Lean forward. Let me take a look. 446 00:20:45,911 --> 00:20:48,330 Yeah, you're gonna have a pretty good goose egg. 447 00:20:48,956 --> 00:20:50,958 - Headache? - A little. 448 00:20:51,541 --> 00:20:54,543 I can get you some Tylenol, unless you need something stronger. 449 00:20:54,544 --> 00:20:56,671 Oh, no, that's okay. I'm not very drug tolerant. 450 00:20:56,672 --> 00:20:58,340 Lucky you. 451 00:21:01,969 --> 00:21:03,761 You know, I'm glad you're back. 452 00:21:03,762 --> 00:21:06,556 Thanks. Yeah, I'm glad to be back. 453 00:21:08,558 --> 00:21:10,476 - You know why I was away? - I should see my patient-- 454 00:21:10,477 --> 00:21:12,937 No, not really. 455 00:21:12,938 --> 00:21:15,898 I mean, I heard rumors, but I learned a long time ago not to listen. 456 00:21:15,899 --> 00:21:19,569 I was in rehab for an addiction to benzos. 457 00:21:21,571 --> 00:21:25,908 Yeah, but I'm clean now, and it never affected my work. 458 00:21:25,909 --> 00:21:30,289 I just needed to get it all out of my system once and for all. 459 00:21:32,499 --> 00:21:35,793 Yeah, I didn't handle things the way I should have. 460 00:21:35,794 --> 00:21:40,215 I thought I could treat myself, and I let a lot of people down. 461 00:21:40,841 --> 00:21:42,175 I'm sorry, Mel. 462 00:21:43,510 --> 00:21:45,262 You never let me down. 463 00:21:46,596 --> 00:21:48,807 Yeah. Yeah, I did. 464 00:21:49,808 --> 00:21:53,228 I should be setting an example, not a cautionary tale. 465 00:21:54,021 --> 00:21:55,022 Hey. 466 00:21:56,023 --> 00:21:58,107 - How you doing? - I'm okay. 467 00:21:58,108 --> 00:22:00,901 Listen, I'm really sorry about all that. 468 00:22:00,902 --> 00:22:03,404 The guy robbed a liquor store last night. 469 00:22:03,405 --> 00:22:06,657 He tried to get away on a bicycle but wiped out and took off on foot. 470 00:22:06,658 --> 00:22:07,950 He must've hobbled in here, 471 00:22:07,951 --> 00:22:10,661 more so to hide out than to get stitched up, I think. 472 00:22:10,662 --> 00:22:12,330 - You catch him? - We will. 473 00:22:12,331 --> 00:22:14,206 Anything you could tell us about him will help. 474 00:22:14,207 --> 00:22:16,083 You think he gave legit information? 475 00:22:16,084 --> 00:22:19,545 Probably not, but it's all we have at the moment. 476 00:22:19,546 --> 00:22:23,425 If we do find him, you may have to testify in court, Dr. King. 477 00:22:24,468 --> 00:22:26,719 - "In court"? - As a material witness. 478 00:22:26,720 --> 00:22:29,764 Attest to his injuries, his treatments... 479 00:22:29,765 --> 00:22:31,098 simple stuff. 480 00:22:31,099 --> 00:22:33,852 Yeah, but we'll cross that bridge when we come to it, right? 481 00:22:34,770 --> 00:22:35,854 Mel? 482 00:22:36,813 --> 00:22:38,857 Rest here a minute. I'll be right back. 483 00:22:42,361 --> 00:22:44,362 You know, I'm fine, really. I should-- 484 00:22:44,363 --> 00:22:46,865 Ten minutes, please. Doctor's orders. 485 00:22:49,659 --> 00:22:52,079 ER can be a little bright and noisy. 486 00:22:57,042 --> 00:22:59,085 Dorsalis pedis 487 00:22:59,086 --> 00:23:02,630 and posterior tibial pulses 2 plus and equal. 488 00:23:02,631 --> 00:23:04,298 Your exam is perfect, ma'am. 489 00:23:04,299 --> 00:23:06,384 Oh, that is good to hear. 490 00:23:06,385 --> 00:23:08,803 I will be back when your blood tests are ready. 491 00:23:08,804 --> 00:23:11,013 Let us know if the chest pain returns. 492 00:23:11,014 --> 00:23:13,308 - Thank you. - You are so welcome. 493 00:23:15,310 --> 00:23:18,270 - What do you think? - Well, I don't think it's cardiac. 494 00:23:18,271 --> 00:23:20,231 I mean, what do you think of the app? 495 00:23:20,232 --> 00:23:22,525 I mean, it's hard to say without seeing the full thing. 496 00:23:22,526 --> 00:23:23,610 Take a look. 497 00:23:25,404 --> 00:23:26,695 Oh, my God. 498 00:23:26,696 --> 00:23:28,572 Do you know how much time this will save? 499 00:23:28,573 --> 00:23:31,701 Studies show you can spend 80% less time charting. 500 00:23:32,536 --> 00:23:35,830 You'll get out of here sooner, improving both patient and physician satisfaction. 501 00:23:35,831 --> 00:23:37,039 Oh, excuse me. 502 00:23:37,040 --> 00:23:39,750 It says here she takes Risperdal, an antipsychotic. 503 00:23:39,751 --> 00:23:43,629 She takes Restoril when needed for sleep. So is that... 504 00:23:43,630 --> 00:23:46,132 AI, "almost intelligent." 505 00:23:46,133 --> 00:23:49,844 Generative AI is 98% accurate at present. 506 00:23:49,845 --> 00:23:52,847 You must always carefully proofread and correct the minor errors. 507 00:23:52,848 --> 00:23:54,849 It's excellent but not perfect. 508 00:23:54,850 --> 00:23:57,393 This is amazing. 509 00:23:57,394 --> 00:23:59,020 Moteshakeram. 510 00:23:59,729 --> 00:24:01,689 Khahesh mikonam. 511 00:24:01,690 --> 00:24:04,775 - You speak Farsi? - Oh, I did my undergrad at UCLA. 512 00:24:04,776 --> 00:24:07,737 - A lot of my friends were Persian. - So you learned the language? 513 00:24:08,363 --> 00:24:10,197 Enough to break the ice. 514 00:24:10,198 --> 00:24:12,159 I am impressed. 515 00:24:13,743 --> 00:24:15,202 Me too... 516 00:24:15,203 --> 00:24:16,620 that you had friends. 517 00:24:16,621 --> 00:24:19,665 Dr. Whitaker, I said hello to your widow with Alzheimer's, 518 00:24:19,666 --> 00:24:21,083 but she only wants to talk to a doctor. 519 00:24:21,084 --> 00:24:23,085 She's also very overdue for a diaper change. 520 00:24:23,086 --> 00:24:25,463 Okay. Yeah, thank you. 521 00:24:25,464 --> 00:24:27,382 Ogilvie, you're with me. 522 00:24:28,967 --> 00:24:30,010 Come on. 523 00:24:31,178 --> 00:24:32,554 Mrs. Bostick? 524 00:24:34,973 --> 00:24:37,392 - Takotsubo? Broken heart syndrome? - No. 525 00:24:38,602 --> 00:24:39,852 Hello? 526 00:24:39,853 --> 00:24:40,979 Hey. 527 00:24:41,771 --> 00:24:43,189 You wanted to see me? 528 00:24:43,190 --> 00:24:44,399 No. 529 00:24:45,108 --> 00:24:46,109 Who are you? 530 00:24:47,235 --> 00:24:48,944 I'm Dr. Whitaker. 531 00:24:48,945 --> 00:24:51,072 We talked about your husband? 532 00:24:52,199 --> 00:24:53,824 Oh, Ethan. 533 00:24:53,825 --> 00:24:56,786 Oh, can he please come see me? 534 00:25:01,583 --> 00:25:02,584 No. 535 00:25:03,502 --> 00:25:07,087 Unfortunately, he was very sick, 536 00:25:07,088 --> 00:25:09,424 and he died. 537 00:25:11,593 --> 00:25:12,802 Ethan? 538 00:25:13,803 --> 00:25:15,138 Died? 539 00:25:16,014 --> 00:25:17,139 No. 540 00:25:17,140 --> 00:25:18,516 Oh, no. 541 00:25:18,517 --> 00:25:21,143 No, that's impossible. 542 00:25:21,144 --> 00:25:24,146 No. 543 00:25:24,147 --> 00:25:27,233 No, no, no, no, no. 544 00:25:27,234 --> 00:25:28,943 What do you like to do for fun? 545 00:25:28,944 --> 00:25:30,736 I love horseback riding. 546 00:25:30,737 --> 00:25:32,738 - Does your dad take you? - Yep. 547 00:25:32,739 --> 00:25:36,700 Sometimes he even rides, but most of the time, he just watches me. 548 00:25:36,701 --> 00:25:39,370 Have you ever fallen off? Have you ever been thrown? 549 00:25:39,371 --> 00:25:42,373 Nope. I'm a very good rider. 550 00:25:42,374 --> 00:25:44,750 - Do you have your own horse? - I wish. 551 00:25:44,751 --> 00:25:46,961 We live in an apartment. 552 00:25:46,962 --> 00:25:49,380 Okay, Kylie, we need to take some blood now. 553 00:25:49,381 --> 00:25:51,257 Do you have to do that? 554 00:25:51,258 --> 00:25:53,968 Yeah, but I promise it'll go super fast 555 00:25:53,969 --> 00:25:56,762 and only hurt for, like, a moment, okay? 556 00:25:56,763 --> 00:26:00,349 So I'm just gonna put this rubber band 557 00:26:00,350 --> 00:26:02,936 around your arm to help me find your vein better. 558 00:26:03,478 --> 00:26:07,189 And then this makes sure no germs 559 00:26:07,190 --> 00:26:08,983 get in your body when we do it. 560 00:26:08,984 --> 00:26:12,194 Okay, now you're just gonna feel this teeny little prick. 561 00:26:12,195 --> 00:26:13,863 But you can look away, okay? 562 00:26:16,700 --> 00:26:18,493 Worst part's over. 563 00:26:20,870 --> 00:26:22,080 Tough little girl. 564 00:26:22,831 --> 00:26:26,417 Yeah, well, little girls can be just as tough as little boys, even tougher. 565 00:26:26,418 --> 00:26:30,838 Yes. I just hope it's not because she's become accustomed to pain. 566 00:26:30,839 --> 00:26:33,007 At the very least, she's gonna need a visual exam 567 00:26:33,008 --> 00:26:35,384 of external genitalia to look for signs of trauma. 568 00:26:35,385 --> 00:26:38,220 - I can have Dr. Al-Hashimi-- - No, she's my patient. 569 00:26:38,221 --> 00:26:39,514 I can do it. 570 00:26:47,689 --> 00:26:49,232 Nice and clear. 571 00:26:49,899 --> 00:26:54,486 With an infection, it'd be kind of cloudy. 572 00:26:54,487 --> 00:26:57,823 Joy, get ready to spike the third bottle here after I clamp. 573 00:26:57,824 --> 00:27:00,034 - All good in here? - Yes. 574 00:27:00,035 --> 00:27:02,453 Dr. Whitaker was just explaining that with SBP, 575 00:27:02,454 --> 00:27:04,455 we would see a turbid appearance. 576 00:27:04,456 --> 00:27:06,248 However, he failed to mention 577 00:27:06,249 --> 00:27:08,834 that bloody fluid indicates either a traumatic tap 578 00:27:08,835 --> 00:27:11,045 or the likelihood of hepatocellular carcinoma, 579 00:27:11,046 --> 00:27:13,756 in which case, we would send for cytology. 580 00:27:13,757 --> 00:27:14,965 That is correct. 581 00:27:14,966 --> 00:27:16,800 Kid knows his shit. 582 00:27:16,801 --> 00:27:19,429 He's so smart. 583 00:27:22,641 --> 00:27:24,475 - Oh, hey. - Hey. 584 00:27:24,476 --> 00:27:26,852 How's it feel to officially be a doctor? 585 00:27:26,853 --> 00:27:28,979 It's pretty cool, actually. 586 00:27:28,980 --> 00:27:30,856 I get my first paycheck today. 587 00:27:30,857 --> 00:27:33,609 It's only for the first week, but I will take it. 588 00:27:33,610 --> 00:27:37,488 - How are the med students? - Joy is pretty peculiar. 589 00:27:37,489 --> 00:27:40,616 And the other guy, Ogilvie, is really smart 590 00:27:40,617 --> 00:27:42,785 and likes to show people. 591 00:27:42,786 --> 00:27:45,204 - He's obnoxious. - Well... 592 00:27:45,205 --> 00:27:47,706 What he is, is your competition. 593 00:27:47,707 --> 00:27:50,585 - He's a gunner. - Yeah, right. 594 00:27:53,630 --> 00:27:55,714 He's not my competition. 595 00:27:55,715 --> 00:27:58,842 He's from out of state for a four-week sub-internship. 596 00:27:58,843 --> 00:28:00,302 You don't think he's angling 597 00:28:00,303 --> 00:28:02,847 for an emergency residency spot here next year? 598 00:28:03,390 --> 00:28:06,308 - I mean, even if he was... - What? 599 00:28:06,309 --> 00:28:09,771 He couldn't possibly compete with your gigantic brain? 600 00:28:14,109 --> 00:28:16,778 I'd step it up if I were you, Crash. 601 00:28:19,406 --> 00:28:22,282 Oh, she's still calling you that, huh? 602 00:28:22,283 --> 00:28:24,118 I don't really even care anymore. 603 00:28:24,119 --> 00:28:25,953 I mean, she still calls you Huckleberry. 604 00:28:25,954 --> 00:28:28,914 Yeah, but, you know, friends now, so... 605 00:28:28,915 --> 00:28:31,626 Friends don't give each other shitty nicknames. 606 00:28:32,210 --> 00:28:35,088 You think Huckleberry is a shitty nickname? 607 00:28:36,631 --> 00:28:37,715 No. 608 00:28:37,716 --> 00:28:39,843 No, Huckleberry is cute. 609 00:28:41,177 --> 00:28:43,721 It's cool. It's not like Crash. 610 00:28:43,722 --> 00:28:46,014 Oh, come on, man, Crash is pretty cool. 611 00:28:46,015 --> 00:28:48,142 It's, like, you know, Crash. 612 00:28:48,143 --> 00:28:49,811 It's got momentum. 613 00:28:51,062 --> 00:28:53,522 Dr. Javadi, Dr. Whitaker. 614 00:28:53,523 --> 00:28:57,151 Oh, I'm still a student doctor. Whitaker's the real deal now. 615 00:28:57,152 --> 00:28:58,236 Right. 616 00:29:00,029 --> 00:29:03,073 - Welcome back. - Thanks. Yeah, thank you. 617 00:29:03,074 --> 00:29:04,451 It's good to be back. 618 00:29:06,828 --> 00:29:10,873 Okay, I will be in exile on Triage Island 619 00:29:10,874 --> 00:29:13,835 with the rest of the drug addicts, if anyone needs me. 620 00:29:15,295 --> 00:29:17,922 - That was weird. - Very. 621 00:29:20,675 --> 00:29:21,718 What? 622 00:29:44,491 --> 00:29:45,949 That's got to hurt. 623 00:29:45,950 --> 00:29:48,535 Dr. Langdon, Clint Hansen, his cousin Mona. 624 00:29:48,536 --> 00:29:49,704 How'd this happen? 625 00:29:51,164 --> 00:29:53,207 Bacon grease from a big griddle. 626 00:29:53,208 --> 00:29:54,833 Oh, looks like more than a splatter. 627 00:29:54,834 --> 00:29:57,169 Yeah, some fool poured it in the sink while I was washing dishes. 628 00:29:57,170 --> 00:29:58,420 I was so far away. 629 00:29:58,421 --> 00:29:59,922 You reached for the soap without even looking. 630 00:29:59,923 --> 00:30:02,216 - You couldn't hear me? - No, not with the water running. 631 00:30:02,217 --> 00:30:04,218 Who the hell pours bacon grease down the drain? 632 00:30:04,219 --> 00:30:06,970 - There's a jar under the sink. - Well, you could have told me that. 633 00:30:06,971 --> 00:30:09,431 You're a guest in my house, and now you've totally fucked up my plumbing. 634 00:30:09,432 --> 00:30:11,058 Okay, how about we focus on treating this burn? 635 00:30:11,059 --> 00:30:12,434 I'll grab the LET. 636 00:30:12,435 --> 00:30:14,812 We're gonna need to trim off some of the dead skin so it doesn't get infected. 637 00:30:14,813 --> 00:30:17,982 I'm in charge of the brunch buffet. Can you make it fast? 638 00:30:18,525 --> 00:30:20,359 - Sure. Yeah, we-- - This one came in by car. 639 00:30:20,360 --> 00:30:22,236 All I got is a name--Orlando Diaz. 640 00:30:22,237 --> 00:30:24,238 - What's the story? - He tripped over some rebar. 641 00:30:24,239 --> 00:30:25,864 - Tripped or fainted? - I don't know. 642 00:30:25,865 --> 00:30:28,200 Orlando, open your eyes. 643 00:30:28,201 --> 00:30:29,660 - Hit his head? - I guess. 644 00:30:29,661 --> 00:30:31,453 - Why didn't you call 911? - He wouldn't let me. 645 00:30:31,454 --> 00:30:33,372 He was talking--not so much now. 646 00:30:33,373 --> 00:30:35,749 Orlando. Mr. Diaz. 647 00:30:35,750 --> 00:30:36,834 Jesus. 648 00:30:36,835 --> 00:30:38,460 - He drunk? - No. Ketones on his breath. 649 00:30:38,461 --> 00:30:40,254 - He diabetic? - I don't know. 650 00:30:40,255 --> 00:30:43,007 Altered head trauma, possible DKA. Call it overhead. 651 00:30:45,552 --> 00:30:48,470 Code trauma tier one now. Code trauma tier one now. 652 00:30:48,471 --> 00:30:51,473 Dr. Whitaker, your assessment was spot-on. 653 00:30:51,474 --> 00:30:53,934 Your Alzheimer's widow definitely needs placement. 654 00:30:53,935 --> 00:30:56,061 Do you have a nursing home that can take her today? 655 00:30:56,062 --> 00:30:59,481 I wish. Medicare requires a three-day hospitalization 656 00:30:59,482 --> 00:31:00,858 before they'll approve that. 657 00:31:00,859 --> 00:31:02,693 I don't really have a reason to admit her. 658 00:31:02,694 --> 00:31:05,696 But I do. She's gravely disabled. 659 00:31:05,697 --> 00:31:08,073 I'll put her on a cycle. We'll make it work. 660 00:31:08,074 --> 00:31:09,534 Thank you, Caleb. 661 00:31:10,785 --> 00:31:14,496 - Yeah, you have a few moments, Michael? - Actually, I do not. 662 00:31:14,497 --> 00:31:17,584 But once I get things settled here, I will come and find you. 663 00:31:18,376 --> 00:31:19,377 Okay. 664 00:31:21,796 --> 00:31:24,214 Dr. Robby, Dylan just talked to the girlfriend-- 665 00:31:24,215 --> 00:31:26,091 - Robby! - You'll have to fill me in in a minute. 666 00:31:26,092 --> 00:31:27,301 - What do you got? - AMS. 667 00:31:27,302 --> 00:31:29,970 I can't tell if he fell 'cause he was altered or he's altered because he fell. 668 00:31:29,971 --> 00:31:31,973 - There's ketones on his breath. - Okay, I got this. Thank you. 669 00:31:35,393 --> 00:31:39,104 All right, I guess it's just us. What did the girlfriend have to say? 670 00:31:39,105 --> 00:31:41,315 Well, Gina seems a little confused and on edge by this, 671 00:31:41,316 --> 00:31:43,275 but I'm not suspicious about abuse on her part. 672 00:31:43,276 --> 00:31:44,735 What about Kylie's father? 673 00:31:44,736 --> 00:31:46,361 Well, I'm a social worker, not a mind reader. 674 00:31:46,362 --> 00:31:47,529 I need to speak with him. 675 00:31:47,530 --> 00:31:49,197 Yeah, he's supposed to come in. 676 00:31:49,198 --> 00:31:51,199 If he doesn't, looks pretty guilty. 677 00:31:51,200 --> 00:31:53,243 Let's not jump to any conclusions just yet. 678 00:31:53,244 --> 00:31:54,328 I'm not jumping. 679 00:31:54,329 --> 00:31:57,915 I'm just saying, if this dude doesn't show up, 680 00:31:57,916 --> 00:32:00,168 hell, I'll go find him myself. 681 00:32:01,628 --> 00:32:02,669 Kidding. 682 00:32:02,670 --> 00:32:04,589 I will speak to Kylie before her dad gets here. 683 00:32:05,214 --> 00:32:06,633 If he shows up. 684 00:32:07,634 --> 00:32:08,884 Yes. 685 00:32:08,885 --> 00:32:11,428 That's definitely ketones. We need to do an Accu-Check. 686 00:32:11,429 --> 00:32:16,016 I'm on it. He's tachy at 124. Pulse ox 97. BP's 106/72. 687 00:32:16,017 --> 00:32:18,769 - Lung sliding bilaterally. - Good bowel sounds. 688 00:32:18,770 --> 00:32:20,520 Abdomen is soft, non-tender. 689 00:32:20,521 --> 00:32:22,440 How do you know it's non-tender? 690 00:32:23,024 --> 00:32:25,025 Because I didn't see any grimacing. 691 00:32:25,026 --> 00:32:27,278 He's altered. He didn't even flinch for the IV start. 692 00:32:27,820 --> 00:32:29,489 I meant to say non-rigid. 693 00:32:30,698 --> 00:32:33,784 Toes down, going bilaterally, no evidence of upper motor neuron deficit. 694 00:32:33,785 --> 00:32:35,077 Good. 695 00:32:35,078 --> 00:32:36,954 - E-FAST negative. - How can I assist? 696 00:32:36,955 --> 00:32:39,790 You can check in with Dr. McKay or Dr. Santos. 697 00:32:39,791 --> 00:32:42,960 If you don't mind, I'd like to observe, learn how you handle things. 698 00:32:42,961 --> 00:32:45,045 Blood sugar's critical high-- it's over 500. 699 00:32:45,046 --> 00:32:47,756 - Ding, ding, ding, ding. - Sounds like diabetic ketoacidosis. 700 00:32:47,757 --> 00:32:48,966 We need to start treating that, 701 00:32:48,967 --> 00:32:51,385 then right to CT to rule out an intracranial bleed. 702 00:32:51,386 --> 00:32:53,804 Severe respiratory distress coming in. ETA three minutes. 703 00:32:53,805 --> 00:32:55,305 - I'll stick them in Trauma 1. - Yep. 704 00:32:55,306 --> 00:32:57,933 - Would you like me to take that? - Yes, please. Thank you. 705 00:32:57,934 --> 00:33:00,602 This guy needs an insulin drip, right? 0.1 units per kilo? 706 00:33:00,603 --> 00:33:03,480 No, not without knowing his potassium. 707 00:33:03,481 --> 00:33:05,190 Insulin causes an intracellular shift. 708 00:33:05,191 --> 00:33:07,567 And if the potassium is under 3.5, the drip would kill him. 709 00:33:07,568 --> 00:33:08,902 That is very true. 710 00:33:08,903 --> 00:33:10,612 We can start with lactated ringers. 711 00:33:10,613 --> 00:33:13,991 1 liter per hour until we get the results from the chem-7 and the VBG. 712 00:33:13,992 --> 00:33:15,158 Why is he in DKA? 713 00:33:15,159 --> 00:33:16,994 Maybe he's not taking enough insulin. 714 00:33:16,995 --> 00:33:19,287 More frequently, a precipitating event can be identified, 715 00:33:19,288 --> 00:33:21,415 such as pneumonia, urinary tract infection, stroke, 716 00:33:21,416 --> 00:33:23,083 myocardial infarction, pancreatitis. 717 00:33:23,084 --> 00:33:24,418 Yeah, we always check for those. 718 00:33:24,419 --> 00:33:28,381 They're part of the standard order set, right, Dr. Mohan? 719 00:33:36,222 --> 00:33:37,639 He's from crazy Grandpa Jimmy's side. 720 00:33:37,640 --> 00:33:39,641 She's from my grandfather's brother's side. 721 00:33:39,642 --> 00:33:43,437 Grandpa Ricky is still a psycho. Clearly runs in the family. 722 00:33:43,438 --> 00:33:46,983 Well, hold on. Your grandparents are Ricky and Jimmy Hansen? 723 00:33:47,525 --> 00:33:49,026 From the racing family? 724 00:33:49,027 --> 00:33:50,444 Unfortunately. 725 00:33:50,445 --> 00:33:52,405 I got something that needs attention. 726 00:33:52,989 --> 00:33:54,532 Not another baby. 727 00:33:56,701 --> 00:33:58,327 Sorry. Excuse me. 728 00:34:00,747 --> 00:34:05,250 This is Mr. Randall. He's been erect for the last eight hours. 729 00:34:05,251 --> 00:34:07,878 - Should have gone down by now, right? - It happens. 730 00:34:07,879 --> 00:34:10,005 It's a good thing you came in, Mr. Randall. 731 00:34:10,006 --> 00:34:11,173 I'll take him right back. 732 00:34:11,174 --> 00:34:12,883 Do you mind finishing up with the Bickersons? 733 00:34:12,884 --> 00:34:14,468 I'd rather not. 734 00:34:14,469 --> 00:34:17,054 - So, Mr. Randall-- - Ian. 735 00:34:17,055 --> 00:34:21,266 Ian, did you take anything that might have led to this condition? 736 00:34:21,267 --> 00:34:24,269 I used an ED injection--two, actually. 737 00:34:24,270 --> 00:34:28,315 I gave myself a second shot, one on each side. 738 00:34:28,316 --> 00:34:31,360 So double the recommended dosage? 739 00:34:33,362 --> 00:34:35,655 It's our wedding anniversary. 740 00:34:35,656 --> 00:34:37,366 Is this a big one? 741 00:34:38,576 --> 00:34:42,871 The anniversary, is it important? Like, significant? Like, a milestone or-- 742 00:34:42,872 --> 00:34:44,623 - It's our 20th. - Oh, nice. 743 00:34:44,624 --> 00:34:46,793 Well done. Congratulations. 744 00:34:48,002 --> 00:34:50,629 Glucose 521. Sodium 129. 745 00:34:50,630 --> 00:34:54,299 Potassium's 3.7. Chloride's 97. 746 00:34:54,300 --> 00:34:56,093 - Bicarb's 8. - Meaning? 747 00:34:56,094 --> 00:34:59,304 We can start the insulin drip and add 20 of K to each liter. 748 00:34:59,305 --> 00:35:02,974 Big anion gap of 24. It should be under 10. 749 00:35:02,975 --> 00:35:04,768 We follow it to assess progress. 750 00:35:04,769 --> 00:35:07,312 Actually, the 2024 international guidelines 751 00:35:07,313 --> 00:35:10,482 state that anion gaps should not be used, as they can be misleading 752 00:35:10,483 --> 00:35:13,402 in the presence of hyperchloremic metabolic acidosis. 753 00:35:15,238 --> 00:35:16,947 I recently had a case in the ICU. 754 00:35:16,948 --> 00:35:20,659 - VBG is back--pH of 6.97. - Normal's 7.4. 755 00:35:20,660 --> 00:35:22,327 What causes the acidemia? 756 00:35:22,328 --> 00:35:24,162 Without insulin, the body can't use glucose, 757 00:35:24,163 --> 00:35:27,124 so it breaks down fat-producing ketones, leading to severe acidosis, 758 00:35:27,125 --> 00:35:28,542 which can cause cardiac arrest. 759 00:35:28,543 --> 00:35:31,753 But the hyperglycemia causes the body to excrete more water and electrolytes, 760 00:35:31,754 --> 00:35:34,339 leading to severe dehydration, cardiac and renal dysfunction. 761 00:35:34,340 --> 00:35:36,550 Insulin drip, fluids with KCL, 762 00:35:36,551 --> 00:35:39,344 capillary glucose every hour, chem-7 every four hours. 763 00:35:39,345 --> 00:35:41,138 ICU is gonna want a double lumen midline, too. 764 00:35:41,139 --> 00:35:42,264 - I can do it. - I can do it. 765 00:35:42,265 --> 00:35:43,348 - 6 1/2 gloves. - 7 1/2 gloves. 766 00:35:43,349 --> 00:35:46,852 Can I just say, we evaluate our students not only on their fund of knowledge 767 00:35:46,853 --> 00:35:49,771 and on their procedural mastery but, also, maybe more importantly, 768 00:35:49,772 --> 00:35:51,649 on their skills as team players? 769 00:35:52,233 --> 00:35:53,860 - He can do it. - She can do it. 770 00:35:55,069 --> 00:35:56,611 Otero, will you update everyone? 771 00:35:56,612 --> 00:35:58,780 Barry Mitchell. Eating breakfast at Pamela's. 772 00:35:58,781 --> 00:36:00,699 Sudden onset respiratory distress. 773 00:36:00,700 --> 00:36:03,160 Some stridor. Decent pulse ox but trouble speaking. 774 00:36:03,161 --> 00:36:05,246 - And they tried the Heimlich? - Three times. 775 00:36:06,873 --> 00:36:08,666 Any history of asthma? 776 00:36:10,501 --> 00:36:12,419 - Set up for intubation. - Agreed. 777 00:36:12,420 --> 00:36:14,547 Okay, sir, scoot across. 778 00:36:15,089 --> 00:36:17,716 Always a good sign when they slide over on their own. 779 00:36:17,717 --> 00:36:20,302 Came from a diner with an upper-airway obstruction. 780 00:36:20,303 --> 00:36:23,346 Didn't clear with abdominal thrusts. We got to take a look. 781 00:36:23,347 --> 00:36:25,807 Heart rate's 118. Pulse ox 96. 782 00:36:25,808 --> 00:36:29,060 Mr. Mitchell, we're gonna sedate you to look down your throat, okay? 783 00:36:29,061 --> 00:36:30,979 Draw up ketamine and rocuronium. 784 00:36:30,980 --> 00:36:33,398 What about ketamine only? 785 00:36:33,399 --> 00:36:37,194 No, we need full paralysis for a successful first-pass intubation. 786 00:36:37,195 --> 00:36:39,821 Might not need an intubation if it's just a foreign body. 787 00:36:39,822 --> 00:36:41,031 We can't assume that. 788 00:36:41,032 --> 00:36:43,491 It could be subglottic stenosis, epiglottitis. 789 00:36:43,492 --> 00:36:45,286 I got ketamine and roc. 790 00:36:47,205 --> 00:36:49,290 Ketamine only, 80 milligrams. 791 00:36:50,124 --> 00:36:52,919 In that case, I'll leave this in your capable hands. 792 00:36:54,712 --> 00:36:57,715 Cetacaine spray and a Yankauer, please. 793 00:36:58,507 --> 00:37:00,634 30 minutes ago, I told you I'd never been sued. 794 00:37:00,635 --> 00:37:01,844 I'd like to keep it that way. 795 00:37:05,723 --> 00:37:07,057 Instead of showing up here, 796 00:37:07,058 --> 00:37:10,060 you'd think he'd put an eight-hour hard-on to good use. 797 00:37:10,061 --> 00:37:11,895 Well, it is a medical emergency. 798 00:37:11,896 --> 00:37:15,857 If left untreated, priapism can cause permanent damage to the penis 799 00:37:15,858 --> 00:37:17,692 and erectile dysfunction forever. 800 00:37:17,693 --> 00:37:19,277 Thanks for the PSA. 801 00:37:19,278 --> 00:37:23,657 Pharmacist mixed up phenylephrine. 10 cc's of 100 mikes per cc. 802 00:37:23,658 --> 00:37:26,076 - Great. That's the maximum dose. - Sterile bolus saline. 803 00:37:26,077 --> 00:37:28,787 You might need to refill since they'll be flushing over and over again. 804 00:37:28,788 --> 00:37:31,873 Hold out the empty basin to catch whatever they pull out. 805 00:37:31,874 --> 00:37:34,251 - Got it? - I think so. 806 00:37:34,252 --> 00:37:35,669 Holler if you need me. 807 00:37:35,670 --> 00:37:38,296 - How we doing? - Oh, he's out from Versed. 808 00:37:38,297 --> 00:37:41,883 Did a lidocaine block to the dorsal penile nerves at 10 and 2. 809 00:37:41,884 --> 00:37:43,886 - Yeah, he's ready. - Excellent. 810 00:37:44,720 --> 00:37:47,889 Enter the dorsal side to hit the corpus cavernosum. 811 00:37:47,890 --> 00:37:48,974 I'll hold the glans. 812 00:37:48,975 --> 00:37:51,185 - How deep? - 2 centimeters. 813 00:37:52,561 --> 00:37:53,854 Now aspirate. 814 00:37:56,565 --> 00:37:59,193 You guys do this, like, every day? 815 00:38:00,486 --> 00:38:01,988 If we're lucky. 816 00:38:02,571 --> 00:38:03,739 Come here. 817 00:38:06,742 --> 00:38:09,203 Okay, let's lay him down and take a look. 818 00:38:10,371 --> 00:38:11,580 Okay. 819 00:38:18,296 --> 00:38:20,922 Good view of the epiglottis. 820 00:38:20,923 --> 00:38:24,175 And mystery solved. 821 00:38:24,176 --> 00:38:27,304 This is what you get for eating broccoli for breakfast. 822 00:38:27,305 --> 00:38:29,015 Get a good grip on it. 823 00:38:29,598 --> 00:38:30,808 Okay. 824 00:38:32,601 --> 00:38:33,811 Okay. 825 00:38:39,775 --> 00:38:42,944 I can see why the Heimlich didn't work. 826 00:38:42,945 --> 00:38:44,488 Rotate a little bit. 827 00:38:47,950 --> 00:38:49,035 Voilà! 828 00:38:50,119 --> 00:38:52,787 That is why you give ketamine alone, 829 00:38:52,788 --> 00:38:54,414 because if we gave a paralytic, 830 00:38:54,415 --> 00:38:56,792 we would have to intubate and ventilate for an hour. 831 00:38:58,836 --> 00:39:02,005 All right, this guy is going to Westbridge for surgery. 832 00:39:02,006 --> 00:39:04,174 Trauma 1 will move out shortly. 833 00:39:04,175 --> 00:39:08,553 And our Alzheimer's widow, Evelyn Bostick, can see her husband in the viewing room. 834 00:39:08,554 --> 00:39:10,180 God bless her. 835 00:39:10,181 --> 00:39:12,307 My CT results back on Michael Williams? 836 00:39:12,308 --> 00:39:14,476 Not yet. Neither are the labs on our little girl, Kylie. 837 00:39:14,477 --> 00:39:15,560 That's not me. 838 00:39:15,561 --> 00:39:19,356 I did, however, get a few things back on our abandoned baby Jane Doe. 839 00:39:19,357 --> 00:39:20,482 Still not me. 840 00:39:20,483 --> 00:39:22,067 I'll take those. 841 00:39:22,068 --> 00:39:23,652 Just keeping you informed. 842 00:39:24,653 --> 00:39:25,654 Yep. 843 00:39:26,530 --> 00:39:27,656 Okay. 844 00:39:28,616 --> 00:39:30,368 We're just trying to get her upstairs. 845 00:39:32,078 --> 00:39:34,371 Okay. All right, got it. 846 00:39:34,372 --> 00:39:37,499 Superbaby's urine dipped negative 0 WBCs. 847 00:39:37,500 --> 00:39:40,919 Respiratory panel is positive for rhinovirus, giving us a benign source. 848 00:39:40,920 --> 00:39:42,587 Procalcitonin and CRP are pending. 849 00:39:42,588 --> 00:39:44,589 Now Pedes is saying they want a urine tox screen 850 00:39:44,590 --> 00:39:46,591 and an HIV antigen before they'll take her. 851 00:39:46,592 --> 00:39:47,885 That sounds excessive. 852 00:39:48,886 --> 00:39:50,804 I feel like they're just trying to keep her down here. 853 00:39:50,805 --> 00:39:52,305 Can you blame them? 854 00:39:52,306 --> 00:39:54,474 Never met a Pedes nurse yet that wasn't a little wacky. 855 00:39:54,475 --> 00:39:57,811 You know what 12 hours of crying babies does to a person's psyche? 856 00:39:57,812 --> 00:40:00,230 - I almost went into Pedes. - Good thing you didn't, trust me. 857 00:40:00,231 --> 00:40:02,399 Too long up there, you're cuckoo for Cocoa Puffs. 858 00:40:02,400 --> 00:40:05,610 - You are very punchy today. - Punchy's my new baseline. 859 00:40:05,611 --> 00:40:07,946 Anyone even looks at me funny, I'm taking them out, 860 00:40:07,947 --> 00:40:09,406 going right for the eyes. 861 00:40:09,407 --> 00:40:11,741 I'll eye-gouge you. Bet you never knew that about me. 862 00:40:11,742 --> 00:40:12,826 I did not. 863 00:40:12,827 --> 00:40:16,037 - Where is Dr. Al-Hashimi? - In North 5 with the priapism. 864 00:40:16,038 --> 00:40:17,288 Better her than me. 865 00:40:17,289 --> 00:40:22,043 I did not intend for that to come off as sexual in any way. 866 00:40:22,044 --> 00:40:23,962 And on that note, I'm gonna go check on Louie, 867 00:40:23,963 --> 00:40:25,755 and then I'm gonna get some air in the ambulance bay. 868 00:40:25,756 --> 00:40:27,424 So, if anybody needs me, that's where I'll be. 869 00:40:27,425 --> 00:40:28,717 Got it, Cap. 870 00:40:31,846 --> 00:40:34,597 It looks like some pus at the base of the lateral incisor. 871 00:40:34,598 --> 00:40:35,933 We can drain that for you. 872 00:40:36,934 --> 00:40:40,103 - Sounds like it's gonna hurt. - No, we'll numb you up. 873 00:40:40,104 --> 00:40:42,730 Make sure you use the good stuff. 874 00:40:42,731 --> 00:40:45,234 It'll be top shelf, Louie, I promise. 875 00:40:45,943 --> 00:40:47,861 - How we doing in here? - Good. 876 00:40:47,862 --> 00:40:49,988 Almost 4 liters out. 877 00:40:49,989 --> 00:40:52,782 I already feel like a million bucks. 878 00:40:52,783 --> 00:40:54,993 I just needed an oil change. 879 00:40:54,994 --> 00:40:57,370 And I'm just about to drain an apical abscess. 880 00:40:57,371 --> 00:40:59,330 That's what I'm talking about. 881 00:40:59,331 --> 00:41:01,750 I feel like I'm having a spa day. 882 00:41:03,544 --> 00:41:04,712 Keep it up, Whitaker. 883 00:41:08,382 --> 00:41:10,175 How long does this take? 884 00:41:10,176 --> 00:41:12,553 Up to an hour, sometimes two. 885 00:41:13,179 --> 00:41:14,638 Mel, any suggestions? 886 00:41:17,099 --> 00:41:19,476 Mel, you did these at the VA. 887 00:41:19,477 --> 00:41:21,895 How can we facilitate detumescence? 888 00:41:21,896 --> 00:41:25,940 Oh, sometimes massaging the shaft can help. 889 00:41:25,941 --> 00:41:27,734 Oh, that's what she said. 890 00:41:27,735 --> 00:41:31,696 You can break up the clots with massage or compression. 891 00:41:31,697 --> 00:41:32,781 Got it. 892 00:41:33,491 --> 00:41:34,699 You okay, Mel? 893 00:41:34,700 --> 00:41:37,411 She's thinking about her deposition. 894 00:41:38,204 --> 00:41:41,498 Just stick with the facts of the case, and it always goes well. 895 00:41:41,499 --> 00:41:43,208 I thought you said you hadn't been sued. 896 00:41:43,209 --> 00:41:46,252 I haven't, but I know many colleagues who have. 897 00:41:46,253 --> 00:41:48,963 I also know your work, Dr. King. 898 00:41:48,964 --> 00:41:52,509 Your medical decision-making in the chart is always extremely thorough. 899 00:41:52,510 --> 00:41:54,511 Now we're getting somewhere. 900 00:41:54,512 --> 00:41:56,972 First signs of flaccidity. 901 00:42:00,601 --> 00:42:02,352 I don't know how I could ever thank you. 902 00:42:02,353 --> 00:42:04,562 Well, I think you just did. 903 00:42:04,563 --> 00:42:06,023 You saved my life. 904 00:42:06,815 --> 00:42:08,234 I didn't do anything. 905 00:42:08,817 --> 00:42:12,237 This is what happens when your wife starts being a Nazi about your diet. 906 00:42:12,238 --> 00:42:14,531 She's got me keeping a food journal. 907 00:42:14,532 --> 00:42:16,533 It's a good way to count calories. 908 00:42:16,534 --> 00:42:18,201 What calories? 909 00:42:18,202 --> 00:42:21,204 She insists I eat five servings of vegetables a day. 910 00:42:21,205 --> 00:42:23,748 A rabbit don't even eat that many vegetables. 911 00:42:23,749 --> 00:42:26,252 I ain't never choked on a Sausage Egg McMuffin. 912 00:42:27,044 --> 00:42:29,379 I feel like I've been here all day. 913 00:42:29,380 --> 00:42:33,174 It's actually only been a couple of hours, Mrs. Bostick. 914 00:42:33,175 --> 00:42:35,261 Well, where are we going now? 915 00:42:37,263 --> 00:42:41,642 I thought you might like to see your husband. 916 00:42:42,476 --> 00:42:44,645 Is Ethan still here? 917 00:42:45,854 --> 00:42:46,980 Yeah. 918 00:42:46,981 --> 00:42:49,066 Yes, yes, please. 919 00:42:57,491 --> 00:43:00,494 This has been such a long day. 920 00:43:01,328 --> 00:43:04,122 I'm so glad to see you resting, 921 00:43:04,123 --> 00:43:07,000 but I think it's time. 922 00:43:07,001 --> 00:43:09,210 We should be going home. 923 00:43:09,211 --> 00:43:11,170 If we stop at the store on the way, 924 00:43:11,171 --> 00:43:14,173 I can pick up what I need to make your shepherd's pie. 925 00:43:14,174 --> 00:43:15,884 But not if it's hot out. 926 00:43:16,510 --> 00:43:19,096 You know how I hate using the oven in the heat. 927 00:43:21,265 --> 00:43:23,267 We're ready to leave now. 928 00:43:30,899 --> 00:43:33,109 Dr. Robby, is this a good time? 929 00:43:33,110 --> 00:43:36,654 That depends on what you have in mind, Dr. Al-Hashimi. 930 00:43:36,655 --> 00:43:40,117 I'd hoped you would have viewed my ideas for improving the department. 931 00:43:41,327 --> 00:43:43,244 I was looking forward to getting some feedback from you. 932 00:43:43,245 --> 00:43:45,038 Okay, well, I think the department 933 00:43:45,039 --> 00:43:46,831 functions pretty well, all things considered. 934 00:43:46,832 --> 00:43:49,250 I mean, we face the same challenges that most emergency departments face. 935 00:43:49,251 --> 00:43:51,294 Let's take generative AI, for instance. 936 00:43:51,295 --> 00:43:54,255 ER doctors spend 40% of their time charting, 937 00:43:54,256 --> 00:43:57,343 only 28% of their time at the bedside. 938 00:43:58,552 --> 00:44:00,303 That doesn't sound accurate. 939 00:44:00,304 --> 00:44:03,056 - I've included the study in my packet. - Right. 940 00:44:03,057 --> 00:44:06,059 And patient passports have been shown to increase satisfaction 941 00:44:06,060 --> 00:44:07,852 because they show the time required 942 00:44:07,853 --> 00:44:10,271 - for each phase of the visit. - Yeah, I got it right here. 943 00:44:10,272 --> 00:44:11,939 - What do you got? - Combative college kid. 944 00:44:11,940 --> 00:44:14,275 Flipped out in the library, Tased in the neck by campus security. 945 00:44:14,276 --> 00:44:17,320 - 5 midazolam didn't touch him. - Will you get the fuck off me? 946 00:44:17,321 --> 00:44:19,697 2901! 2901, motherfucker! 947 00:44:19,698 --> 00:44:21,908 Get off! Fuck you, man! 948 00:44:21,909 --> 00:44:23,911 Want to tell me some more about your ideas? 949 00:44:24,745 --> 00:44:26,079 - Maybe later. - Let me out. 950 00:44:26,080 --> 00:44:28,957 Let me the fuck out! Let me out! Let me out!