1 00:00:15,015 --> 00:00:17,016 2701! Get the fuck out! 2 00:00:17,017 --> 00:00:18,559 Is there a MedicAlert bracelet? 3 00:00:18,560 --> 00:00:21,061 - Did you get an ID on him? - Student ID. 4 00:00:21,062 --> 00:00:22,980 - Name says Jackson Davis. - That's a start. 5 00:00:22,981 --> 00:00:25,441 - Jackson, what's going on? - Title 18! 6 00:00:25,442 --> 00:00:27,026 - Title section 508! - Javadi, you're with us. 7 00:00:27,027 --> 00:00:28,819 We're gonna take good care of you, Mr. Davis. 8 00:00:28,820 --> 00:00:30,279 - You're in a safe place. - You're okay. 9 00:00:30,280 --> 00:00:31,447 - Get off! - Trauma One. 10 00:00:31,448 --> 00:00:33,073 - Reasonableness! 2709! - Okay, okay, Jackson. 11 00:00:33,074 --> 00:00:34,074 We're gonna need you to calm down 12 00:00:34,075 --> 00:00:35,784 to get the Taser barbs out of your neck. 13 00:00:35,785 --> 00:00:37,536 - Do you need to jump on that? - Mm-mm. 14 00:00:37,537 --> 00:00:39,872 Covering calls for Dana. 15 00:00:39,873 --> 00:00:41,623 Stop talking to me. 16 00:00:41,624 --> 00:00:43,625 You can't! Title 2710-- 17 00:00:43,626 --> 00:00:45,294 Hard to assess pupils. 18 00:00:45,295 --> 00:00:47,004 - Hard to assess anything. - Yeah, yeah. 19 00:00:47,005 --> 00:00:48,255 Wait till after he's sedated. 20 00:00:48,256 --> 00:00:49,798 - 10 of olanzapine. - No, no. 21 00:00:49,799 --> 00:00:51,258 That'll take 15 minutes to kick in. 22 00:00:51,259 --> 00:00:53,510 Uh, 5 of droperidol puts him down in 5. 23 00:00:53,511 --> 00:00:55,345 No, you can't give it without knowing his QT. 24 00:00:55,346 --> 00:00:58,098 Two beats of a rhythm strip before he took off the leads. 25 00:00:58,099 --> 00:00:59,516 No. 26 00:00:59,517 --> 00:01:01,060 You can't be in here. Get out! 27 00:01:01,061 --> 00:01:02,770 That looks good. Go with the droperidol. 28 00:01:02,771 --> 00:01:04,897 Get the fuck out! Get off me! 29 00:01:04,898 --> 00:01:06,732 Do we take the Taser barbs out? 30 00:01:06,733 --> 00:01:08,233 - 2701. - No. 31 00:01:08,234 --> 00:01:09,818 We got to wait till he calms down first. 32 00:01:09,819 --> 00:01:12,529 Get off me, man. 2901, get out! 33 00:01:12,530 --> 00:01:14,448 Get out! 2710. 34 00:01:14,449 --> 00:01:16,992 Title 18, section-- 1938. 35 00:01:16,993 --> 00:01:20,454 Mr. Randall, happy 20th anniversary 36 00:01:20,455 --> 00:01:22,581 and a very happy Fourth of July. 37 00:01:22,582 --> 00:01:24,416 But no sex fireworks for you tonight. 38 00:01:24,417 --> 00:01:25,709 Give everything a chance to heal. 39 00:01:25,710 --> 00:01:27,377 Don't worry, I will. 40 00:01:27,378 --> 00:01:29,379 Thanks, Doc. Ow. 41 00:01:29,380 --> 00:01:31,340 We're going right back through here, okay, ma'am? 42 00:01:31,341 --> 00:01:32,633 Oh, thank you. 43 00:01:32,634 --> 00:01:34,218 Change the dressing twice a day. 44 00:01:34,219 --> 00:01:37,179 Doggy bag of the ointment and nonstick gauze. 45 00:01:37,180 --> 00:01:38,680 Cool. I know the drill. 46 00:01:38,681 --> 00:01:40,432 Come back if it starts to ache or stink. 47 00:01:40,433 --> 00:01:42,518 Exactly. Good luck. Stay safe. 48 00:01:42,519 --> 00:01:44,186 Oh, shit, it's Daddy, with your daddy. 49 00:01:44,187 --> 00:01:46,897 Lord, what'd they get up to now? 50 00:01:46,898 --> 00:01:48,482 Treatin' and streetin'. 51 00:01:48,483 --> 00:01:50,734 "Pros from Dover." 52 00:01:50,735 --> 00:01:52,194 I'm sorry, Ms. Graham. 53 00:01:52,195 --> 00:01:54,488 I just saw the ASL note in your chart. 54 00:01:54,489 --> 00:01:56,073 This is Lindsey. 55 00:01:56,074 --> 00:01:59,535 We'll bring you back as soon as possible. 56 00:01:59,536 --> 00:02:00,703 Stay with her. 57 00:02:02,163 --> 00:02:04,749 All right. Who here needs help? 58 00:02:06,876 --> 00:02:08,377 You? You need help? 59 00:02:08,378 --> 00:02:11,171 Oh, no, no, no, ma'am. I've been on these since 1987. 60 00:02:11,172 --> 00:02:13,549 This one here, he got dizzy, fell down. 61 00:02:13,550 --> 00:02:15,801 Forgot my blood-pressure medication. 62 00:02:15,802 --> 00:02:18,555 I left it back home in Georgia. 63 00:02:20,140 --> 00:02:21,682 And presto. 64 00:02:21,683 --> 00:02:24,434 We're back, Mr. Digby, with some IV antibiotics. 65 00:02:24,435 --> 00:02:28,105 First we scrub your outsides, then we clean your insides. 66 00:02:28,106 --> 00:02:30,023 What do you need to document in his chart? 67 00:02:30,024 --> 00:02:32,192 Uh, time started, time completed, 68 00:02:32,193 --> 00:02:33,652 and any adverse reactions. 69 00:02:33,653 --> 00:02:36,280 What else? 70 00:02:36,281 --> 00:02:39,825 Um, lot number on the antibiotic vial. 71 00:02:39,826 --> 00:02:41,577 Excellent. Mr. Digby. 72 00:02:41,578 --> 00:02:43,203 It's just Digby. 73 00:02:43,204 --> 00:02:45,874 Digby, why'd you wait so long to come see us? 74 00:02:47,458 --> 00:02:49,835 I don't like going to doctors. 75 00:02:49,836 --> 00:02:51,211 Well, that makes two of us. 76 00:02:51,212 --> 00:02:52,921 We all need help from time to time. 77 00:02:52,922 --> 00:02:55,757 Think maybe we could arrange for some ongoing care? 78 00:02:55,758 --> 00:02:58,677 I just kind of want to get patched up, you know? 79 00:02:58,678 --> 00:03:00,387 I do know. 80 00:03:00,388 --> 00:03:03,765 But that's today. What's tomorrow? 81 00:03:03,766 --> 00:03:05,851 Sunday. 82 00:03:05,852 --> 00:03:08,770 Use the system. That's what it's there for. 83 00:03:08,771 --> 00:03:11,315 Buddy of mine, Dylan, knows all the angles. 84 00:03:11,316 --> 00:03:13,650 He even works the occasional miracle. 85 00:03:13,651 --> 00:03:16,112 You think maybe I could have him stop by? 86 00:03:18,114 --> 00:03:19,698 I guess, yeah. 87 00:03:19,699 --> 00:03:20,782 Great. 88 00:03:20,783 --> 00:03:22,868 - How about a sandwich? - Yeah. 89 00:03:22,869 --> 00:03:24,704 Yes, please. 90 00:03:27,290 --> 00:03:28,749 We always offer. 91 00:03:28,750 --> 00:03:31,501 Two most important things-- that they know we're here 92 00:03:31,502 --> 00:03:33,921 and that we'll never stop offering. 93 00:03:33,922 --> 00:03:35,297 Thanks for covering, Princess. 94 00:03:35,298 --> 00:03:36,757 Anytime. 95 00:03:36,758 --> 00:03:38,592 Yo, can I get some help over here? 96 00:03:38,593 --> 00:03:40,302 Yeah. What's going on, man? 97 00:03:40,303 --> 00:03:42,095 The crazy kid in there, screaming. 98 00:03:42,096 --> 00:03:44,056 - All right, have a seat. - Yeah, that's him. 99 00:03:44,057 --> 00:03:45,682 Still going nuts. 100 00:03:45,683 --> 00:03:48,018 Probably meth-- fucking animal. 101 00:03:48,019 --> 00:03:50,020 - What's your name, sir? - You don't understand! 102 00:03:50,021 --> 00:03:52,231 Tony Chinchiolo, campus security. 103 00:03:52,232 --> 00:03:53,899 Yeah, I was at work when this happened, 104 00:03:53,900 --> 00:03:56,068 so I'm gonna need everything documented. 105 00:03:56,069 --> 00:03:57,402 Okay. 106 00:03:57,403 --> 00:04:00,072 All right. Heart rate's 89. 107 00:04:00,073 --> 00:04:01,823 Pulse ox 97. 108 00:04:01,824 --> 00:04:03,325 Scalp lac's tiny-- 109 00:04:03,326 --> 00:04:04,326 - 5 millimeters. - Ow. 110 00:04:04,327 --> 00:04:06,078 Should hold together with Dermabond. 111 00:04:06,079 --> 00:04:08,080 Kid threw a fucking chair at me. 112 00:04:08,081 --> 00:04:09,998 Work-related injury gets a full exam. 113 00:04:09,999 --> 00:04:12,125 - Jesse here will take you. - Oh, no. 114 00:04:12,126 --> 00:04:13,627 I-I'm gonna stay here till the cops come 115 00:04:13,628 --> 00:04:16,421 so I can give my statement and so I can watch him. 116 00:04:16,422 --> 00:04:17,923 Yeah. 117 00:04:17,924 --> 00:04:21,051 Trust me, you do not want him getting out of there. 118 00:04:21,052 --> 00:04:23,679 Ow, fuck. 119 00:04:23,680 --> 00:04:27,307 - Did she say anything? - No more than she said to you. 120 00:04:27,308 --> 00:04:29,685 Nothing going on at home. Nothing at school. 121 00:04:29,686 --> 00:04:32,354 - And you believe her? - There's some flags. 122 00:04:32,355 --> 00:04:34,564 Bruising in various stages of healing. 123 00:04:34,565 --> 00:04:35,899 She's a little withdrawn, 124 00:04:35,900 --> 00:04:37,901 doesn't engage much for girls her age. 125 00:04:37,902 --> 00:04:40,237 But she could just be a little shy... 126 00:04:40,238 --> 00:04:41,863 or scared of being in here. 127 00:04:41,864 --> 00:04:43,949 Or she's being abused. 128 00:04:43,950 --> 00:04:45,158 That too. 129 00:04:45,159 --> 00:04:46,827 We'll find out more when Dad shows up. 130 00:04:46,828 --> 00:04:48,830 Yep. If he shows up. 131 00:04:52,041 --> 00:04:54,127 I need a hand here! 132 00:04:55,003 --> 00:04:57,671 There's the first barb out. 133 00:04:57,672 --> 00:04:59,340 All right, Javadi, you're up. 134 00:05:02,093 --> 00:05:03,927 Okay, so you're gonna want to clamp 135 00:05:03,928 --> 00:05:06,471 where the shaft meets the barb. 136 00:05:06,472 --> 00:05:07,723 - Mm-hmm. - Yep. 137 00:05:07,724 --> 00:05:09,683 Stabilize the skin. 138 00:05:09,684 --> 00:05:12,144 Not so close so as to stick yourself. 139 00:05:12,145 --> 00:05:13,562 I've seen that once or twice. 140 00:05:13,563 --> 00:05:16,023 Uh, pull up at 90 degrees. 141 00:05:16,024 --> 00:05:17,774 Harder. Yep. 142 00:05:17,775 --> 00:05:19,109 Harder. 143 00:05:19,110 --> 00:05:20,110 Oh. 144 00:05:20,111 --> 00:05:22,112 Do we suture those? 145 00:05:22,113 --> 00:05:23,780 Nope, just a Band-Aid. 146 00:05:23,781 --> 00:05:26,283 - Mel, we need orders. - Right. 147 00:05:26,284 --> 00:05:27,367 I got a rainbow. 148 00:05:27,368 --> 00:05:29,995 Uh, CBC... 149 00:05:29,996 --> 00:05:33,290 CMP, UA, blood alcohol, and tox screen. 150 00:05:33,291 --> 00:05:34,708 All of the above. 151 00:05:34,709 --> 00:05:36,043 Cap, if this young man's stable, 152 00:05:36,044 --> 00:05:37,461 can he go to Central 10 pronto? 153 00:05:37,462 --> 00:05:38,670 Double trauma at the back door. 154 00:05:38,671 --> 00:05:40,756 Okay, you heard the boss. Let's get going. 155 00:05:40,757 --> 00:05:43,217 Today is starting to heat up. 156 00:05:46,929 --> 00:05:49,848 Mark Yee, 32-year-old restrained driver, 157 00:05:49,849 --> 00:05:51,266 auto versus motorcycle. 158 00:05:51,267 --> 00:05:53,810 Altered with normal BP, satting 99 on 2 liters. 159 00:05:53,811 --> 00:05:55,812 We're at the hospital now, Mark. 160 00:05:55,813 --> 00:05:57,606 What's wrong with him? Why isn't he talking? 161 00:05:57,607 --> 00:05:59,441 His wife, Nancy, front-seat passenger, 162 00:05:59,442 --> 00:06:01,026 - declined transport. - I'm fine. 163 00:06:01,027 --> 00:06:04,279 We weren't going all that fast. The motorcycle ran the light. 164 00:06:04,280 --> 00:06:06,406 I'm Dr. Robby. This is Dr. Al-Hashimi. 165 00:06:06,407 --> 00:06:07,866 - Nice to meet you. - And this is Nurse Dana. 166 00:06:07,867 --> 00:06:09,117 She's our charge nurse. 167 00:06:09,118 --> 00:06:10,619 We need to look over your husband. 168 00:06:10,620 --> 00:06:12,037 Hello. Let's step over here for a minute, hon. 169 00:06:12,038 --> 00:06:13,330 Let them get to work, okay? 170 00:06:13,331 --> 00:06:15,415 Antoine, Larry, transfer out here. 171 00:06:15,416 --> 00:06:16,833 T-1 will be open in a sec. 172 00:06:16,834 --> 00:06:18,210 Aye, aye, Cap. 173 00:06:18,211 --> 00:06:20,463 One, two, three. 174 00:06:21,255 --> 00:06:22,297 Incoming. 175 00:06:22,298 --> 00:06:24,007 Okay, Joy, you stay with me. 176 00:06:24,008 --> 00:06:26,344 Samira, you stay with Dr. Al-Hashimi. 177 00:06:28,221 --> 00:06:29,554 Open skull fracture. 178 00:06:29,555 --> 00:06:31,181 Tubed him for agonal respirations. 179 00:06:31,182 --> 00:06:32,933 BP 60 palp initially. 180 00:06:32,934 --> 00:06:35,269 Started a liter of NS, but lost his pulse en route. 181 00:06:37,146 --> 00:06:39,231 Oh, boy, this doesn't look good. 182 00:06:39,232 --> 00:06:40,816 One, two, three. 183 00:06:40,817 --> 00:06:42,651 Joy, check his pupils. 184 00:06:42,652 --> 00:06:44,028 Somebody hand me a pair of scissors. 185 00:06:48,699 --> 00:06:50,283 8 millimeters. Nonreactive. 186 00:06:50,284 --> 00:06:53,161 AKA blown pupils, fixed and dilated. 187 00:06:53,162 --> 00:06:54,538 Oh. 188 00:06:54,539 --> 00:06:56,331 Crushed skull with tons of gray matter extravasation. 189 00:06:56,332 --> 00:06:57,874 At least it was quick. 190 00:06:57,875 --> 00:06:59,751 - No helmet? - Nope, 'cause he took 191 00:06:59,752 --> 00:07:01,211 the PennDOT Motorcycle Safety Course. 192 00:07:01,212 --> 00:07:02,629 Isn't that what you took, Robby? 193 00:07:02,630 --> 00:07:05,507 Hold compressions. Yes, but I still wear a helmet. 194 00:07:05,508 --> 00:07:07,634 - Is he a donor? - Also nope. 195 00:07:07,635 --> 00:07:08,927 That is too bad. 196 00:07:08,928 --> 00:07:11,680 Asystole. I think we are done here. 197 00:07:11,681 --> 00:07:13,473 - What's next door? - The guy who hit him. 198 00:07:13,474 --> 00:07:14,891 Joy, you're with me. 199 00:07:14,892 --> 00:07:17,602 What about a moment of reflection? I thought-- 200 00:07:17,603 --> 00:07:19,354 He'll still be dead when we get back. 201 00:07:19,355 --> 00:07:22,399 Pulse ox 99. BP 108 over 72. 202 00:07:22,400 --> 00:07:23,483 EFAST negative. 203 00:07:23,484 --> 00:07:24,776 Hell of a lot better than the guy next door. 204 00:07:24,777 --> 00:07:26,153 - How's the airway? - Good volume. 205 00:07:26,154 --> 00:07:28,406 Good sats. Gag reflex... 206 00:07:29,532 --> 00:07:30,615 Present. 207 00:07:30,616 --> 00:07:31,950 - Intubate? - Maybe. 208 00:07:31,951 --> 00:07:33,160 - Maybe not. - Mr. Yee? 209 00:07:33,161 --> 00:07:34,953 Joy, sternal rub on his chest, like this. 210 00:07:34,954 --> 00:07:36,163 Really hard, please. 211 00:07:36,164 --> 00:07:38,165 Mr. Yee? 212 00:07:38,166 --> 00:07:40,333 Spontaneous eye movement. Responds to pain. 213 00:07:40,334 --> 00:07:42,335 GCS is 10. Borderline for intubation. 214 00:07:42,336 --> 00:07:45,213 No muscle tone--flaccid paralysis in the left arm. 215 00:07:45,214 --> 00:07:46,798 - Same on the right. - And both legs. 216 00:07:46,799 --> 00:07:48,800 Add towels to both sides of the collar for more stability. 217 00:07:48,801 --> 00:07:51,011 Let's not make this worse. 218 00:07:51,012 --> 00:07:53,930 Pan scan with 3D reconstruction of the spine. 219 00:07:53,931 --> 00:07:55,390 He's quadriplegic? 220 00:07:55,391 --> 00:07:57,809 If so, it's a low cervical injury. 221 00:07:57,810 --> 00:07:59,978 - Why is that, Joy? - Uh... 222 00:07:59,979 --> 00:08:03,899 C3, 4, and 5 helps you breathe to stay alive. 223 00:08:03,900 --> 00:08:05,484 Mr. Montrose... 224 00:08:05,485 --> 00:08:08,320 you can't just be wandering around, talking to patients. 225 00:08:08,321 --> 00:08:10,155 Well, that's-- that's what I do. 226 00:08:10,156 --> 00:08:11,740 I'm a greeter at Walmart. 227 00:08:11,741 --> 00:08:15,243 I get paid to wander and to talk to folks. 228 00:08:15,244 --> 00:08:17,537 Well, as a-- as a personal favor to me, 229 00:08:17,538 --> 00:08:20,665 can you at least stay in your general vicinity? 230 00:08:20,666 --> 00:08:22,876 I can get you a wheelchair while we wait for your X-rays, 231 00:08:22,877 --> 00:08:24,211 but it might take a minute. 232 00:08:24,212 --> 00:08:25,712 My dear, I cannot sit. 233 00:08:25,713 --> 00:08:27,756 My backside is killing me from where I fell on it, 234 00:08:27,757 --> 00:08:30,342 which is an embarrassing admission to make 235 00:08:30,343 --> 00:08:33,053 to such a lovely woman. 236 00:08:33,054 --> 00:08:34,638 Well, thank you for the compliment, 237 00:08:34,639 --> 00:08:36,431 but there's no need to be embarrassed. 238 00:08:36,432 --> 00:08:37,933 You took a very nasty fall. 239 00:08:37,934 --> 00:08:40,810 Well, then may I say that one look in your beautiful eyes 240 00:08:40,811 --> 00:08:42,939 and I think I'm falling again. 241 00:08:46,317 --> 00:08:47,776 What a charmer. 242 00:08:47,777 --> 00:08:50,028 Just for that, I'm gonna get you a foam donut. 243 00:08:50,029 --> 00:08:52,405 It's the eighth wonder of the world. 244 00:08:52,406 --> 00:08:54,825 Pretty great laugh you got there, Doc. 245 00:08:56,869 --> 00:08:59,246 Oh, God. My witch's cackle? 246 00:08:59,247 --> 00:09:01,039 Got CT results for Mr. Williams. 247 00:09:01,040 --> 00:09:02,542 Ah. 248 00:09:04,919 --> 00:09:06,963 Oh, wow. 249 00:09:08,923 --> 00:09:11,758 Okay. 250 00:09:11,759 --> 00:09:13,969 Ah. Right on time. 251 00:09:13,970 --> 00:09:16,054 Just--just getting full. 252 00:09:16,055 --> 00:09:17,889 Yeah, I'm ready for number five. 253 00:09:17,890 --> 00:09:19,766 - That's impressive. - Uh-huh. 254 00:09:19,767 --> 00:09:21,977 Yeah, there's more where that came from. 255 00:09:21,978 --> 00:09:25,772 Although, uh, my intake is running low. 256 00:09:25,773 --> 00:09:27,566 Yeah, well, two more bottles ought to do it. 257 00:09:27,567 --> 00:09:29,526 Then we'll drain your tooth, and we'll get you out of here 258 00:09:29,527 --> 00:09:31,987 - before the fireworks tonight. - Oh. 259 00:09:31,988 --> 00:09:33,196 Okay. Clamped. 260 00:09:33,197 --> 00:09:36,116 Ogilvie, make the change. 261 00:09:36,117 --> 00:09:38,994 - Okay. - Mm-hmm. 262 00:09:38,995 --> 00:09:42,038 All right. Let her rip. 263 00:09:42,039 --> 00:09:44,541 Flowing like a river. 264 00:09:44,542 --> 00:09:47,419 I love me some fireworks. 265 00:09:47,420 --> 00:09:49,462 Oh, yeah? 266 00:09:49,463 --> 00:09:52,465 Shit, I-I met Mr. Zambelli... 267 00:09:52,466 --> 00:09:54,217 Lean forward. 268 00:09:54,218 --> 00:09:56,344 Many times on the field. 269 00:09:56,345 --> 00:09:59,014 Who's Mr. Zambelli? 270 00:09:59,015 --> 00:10:00,515 Son, you don't know fireworks 271 00:10:00,516 --> 00:10:03,059 if you don't know the name Zambelli. 272 00:10:03,060 --> 00:10:05,020 He helped Pittsburgh become 273 00:10:05,021 --> 00:10:07,647 the firework capital of America. 274 00:10:07,648 --> 00:10:09,983 You did know that, didn't you? 275 00:10:09,984 --> 00:10:11,651 - No. - Ah. 276 00:10:11,652 --> 00:10:14,946 Y'all don't know nothing about pyrotechnics. 277 00:10:14,947 --> 00:10:16,406 Stick to doctoring. 278 00:10:16,407 --> 00:10:18,534 Yes, will do. 279 00:10:25,333 --> 00:10:28,418 I'm sure you have some questions. 280 00:10:28,419 --> 00:10:31,838 I know it's a lot to take in. 281 00:10:31,839 --> 00:10:34,257 It's a tumor. 282 00:10:34,258 --> 00:10:35,425 It's a brain tumor. 283 00:10:35,426 --> 00:10:38,553 Well, it's a mass, about 4 centimeters, 284 00:10:38,554 --> 00:10:40,556 in the frontal lobe. 285 00:10:41,849 --> 00:10:43,892 Is it cancer? 286 00:10:43,893 --> 00:10:46,394 We can't say for sure right now. 287 00:10:46,395 --> 00:10:47,854 It could be many things-- 288 00:10:47,855 --> 00:10:51,024 uh, infection, inflammation, 289 00:10:51,025 --> 00:10:53,985 a benign cyst. 290 00:10:53,986 --> 00:10:57,280 Is it what made me fall? 291 00:10:57,281 --> 00:10:59,116 Yeah, possibly. 292 00:11:01,077 --> 00:11:03,870 We'd like to keep you here and treat with dexamethasone, 293 00:11:03,871 --> 00:11:05,955 which is a steroid to take down the swelling. 294 00:11:05,956 --> 00:11:07,457 - Hmm. - And then we'll need 295 00:11:07,458 --> 00:11:10,418 a brain biopsy to know exactly what it is. 296 00:11:10,419 --> 00:11:14,339 What, you're--you're gonna cut open my head? 297 00:11:14,340 --> 00:11:16,675 It's just a small hole. 298 00:11:16,676 --> 00:11:20,553 We'll do a-a CT-guided stereotactical biopsy 299 00:11:20,554 --> 00:11:22,889 with a-a blunt, thin needle, 300 00:11:22,890 --> 00:11:25,725 which sounds crazy, but it's actually pretty amazing. 301 00:11:25,726 --> 00:11:28,604 I mean, most patients go home the next day. 302 00:11:32,441 --> 00:11:34,859 I don't know. 303 00:11:34,860 --> 00:11:38,405 What do you think I should do? 304 00:11:38,406 --> 00:11:41,866 I think this is a pretty good plan. 305 00:11:41,867 --> 00:11:43,284 - Okay. - Yeah? 306 00:11:43,285 --> 00:11:47,330 BP 95 over 67. 307 00:11:47,331 --> 00:11:49,332 Seems a little on the low side. 308 00:11:49,333 --> 00:11:50,834 It is. 309 00:11:50,835 --> 00:11:53,044 Have you ever had low blood pressure in the past? 310 00:11:53,045 --> 00:11:56,047 No, sir. My blood pressure's always high. 311 00:11:56,048 --> 00:11:59,092 Hold still, sir. No talking while we do the EKG. 312 00:11:59,093 --> 00:12:01,720 The Hansens all run high, except for Monty. 313 00:12:01,721 --> 00:12:04,139 - He ran low, but he's dead. - That's not helpful. 314 00:12:04,140 --> 00:12:07,016 You want to help, quit playing family pharmacist. 315 00:12:07,017 --> 00:12:09,477 Pooling meds is how we've always done it. 316 00:12:09,478 --> 00:12:10,812 You put everything in a big pile 317 00:12:10,813 --> 00:12:12,063 in the middle of the table-- 318 00:12:12,064 --> 00:12:13,398 Well, look where that got us now. 319 00:12:13,399 --> 00:12:15,525 No, I'm gonna jump in here and echo that sharing meds 320 00:12:15,526 --> 00:12:16,693 which haven't been prescribed to you 321 00:12:16,694 --> 00:12:17,986 is actually a real big no-no. 322 00:12:17,987 --> 00:12:19,028 How we doing on remembering 323 00:12:19,029 --> 00:12:20,447 what your brother might've taken? 324 00:12:20,448 --> 00:12:21,614 We could call back to the house. 325 00:12:21,615 --> 00:12:24,200 Great idea. Okay. 326 00:12:24,201 --> 00:12:26,578 Whatever little round pill you took, sir, 327 00:12:26,579 --> 00:12:28,663 has caused your heart rate and blood pressure 328 00:12:28,664 --> 00:12:30,915 to drop so low, you're at risk of fainting, 329 00:12:30,916 --> 00:12:33,084 falling, or having a serious injury. 330 00:12:33,085 --> 00:12:34,210 Oh. 331 00:12:34,211 --> 00:12:35,837 We need to take him back to the ER 332 00:12:35,838 --> 00:12:36,921 so he can get a liter of fluids, 333 00:12:36,922 --> 00:12:38,256 we can check his blood tests 334 00:12:38,257 --> 00:12:39,591 and monitor his heart rate and blood pressure 335 00:12:39,592 --> 00:12:41,760 till he recovers. 336 00:12:41,761 --> 00:12:43,428 Pulse ox holding steady at 99. 337 00:12:43,429 --> 00:12:44,596 Good tidal volume. 338 00:12:44,597 --> 00:12:46,264 How you doing there, Mr. Yee? 339 00:12:46,265 --> 00:12:47,640 Scanner can take him now. 340 00:12:47,641 --> 00:12:48,975 I'll check the results from upstairs. 341 00:12:48,976 --> 00:12:51,728 - Why is he so altered? - Could be concussion. 342 00:12:51,729 --> 00:12:53,646 Maybe a small intracranial hemorrhage. 343 00:12:53,647 --> 00:12:56,191 All will be revealed by the Donut of Truth. 344 00:12:56,192 --> 00:12:58,860 - Need a portable monitor. - Joy, stay with him, please. 345 00:12:58,861 --> 00:13:00,820 See if the radiologist can give us a STAT read. 346 00:13:00,821 --> 00:13:01,905 How is he? 347 00:13:01,906 --> 00:13:04,282 Did I hear someone say he's paralyzed? 348 00:13:04,283 --> 00:13:06,618 There are signs of weakness in both arms and legs. 349 00:13:06,619 --> 00:13:08,995 But before we can make any prognosis, 350 00:13:08,996 --> 00:13:10,330 we'll need a full-body scan. 351 00:13:10,331 --> 00:13:12,665 Head CT will show us any brain injury. 352 00:13:12,666 --> 00:13:14,834 Neck CT will show us any spinal-cord injury. 353 00:13:14,835 --> 00:13:17,545 Chest, abdomen, pelvis will rule out any internal bleeding. 354 00:13:17,546 --> 00:13:18,630 Oh, my God. 355 00:13:18,631 --> 00:13:21,508 The scans should only take about 15 minutes. 356 00:13:21,509 --> 00:13:24,302 In the meantime, perhaps you'd let us look you over as well? 357 00:13:24,303 --> 00:13:26,596 I'm fine. The medics checked me. 358 00:13:26,597 --> 00:13:29,140 I just want to stay with my husband. 359 00:13:29,141 --> 00:13:31,392 Well, you can't go into the CT with him, 360 00:13:31,393 --> 00:13:33,645 but you can wait just outside if you like. 361 00:13:33,646 --> 00:13:34,938 - Excuse me. - Princess, this is Nancy. 362 00:13:34,939 --> 00:13:36,564 Mrs. Yee is gonna go with her husband to CT. 363 00:13:36,565 --> 00:13:37,690 Will you show her where to go? 364 00:13:37,691 --> 00:13:40,319 - Sure. Come on in. - Thank you. 365 00:13:42,154 --> 00:13:44,030 So what's the plan now? 366 00:13:44,031 --> 00:13:46,199 Keep observing me in my natural habitat? 367 00:13:46,200 --> 00:13:47,617 No telling what I might do next. 368 00:13:47,618 --> 00:13:49,202 I think I've got the gist. 369 00:13:49,203 --> 00:13:51,329 How about we each take a lap and meet here 370 00:13:51,330 --> 00:13:52,831 when Mr. Yee is back from CT? 371 00:13:52,832 --> 00:13:54,749 Splitting up so soon? 372 00:13:54,750 --> 00:13:57,919 You're free to see other people, Dr. Robinavitch. 373 00:13:57,920 --> 00:14:00,631 I'm looking for cooperation, not commitment. 374 00:14:05,261 --> 00:14:07,303 So you bandaged the burn yourself? 375 00:14:07,304 --> 00:14:09,097 Oh, no, no, no, no, no, no, no, no-- 376 00:14:09,098 --> 00:14:11,182 Ma'am, you're--you're making it difficult for me 377 00:14:11,183 --> 00:14:12,892 to see under this dressing. 378 00:14:12,893 --> 00:14:16,229 - Is that a tablecloth? - Part of a window curtain. 379 00:14:16,230 --> 00:14:17,605 Cleaner than tablecloth. 380 00:14:17,606 --> 00:14:19,315 I'll wait for the doctor. Thank you. 381 00:14:19,316 --> 00:14:22,735 May I ask how this happened? 382 00:14:22,736 --> 00:14:24,487 For weeks on end, the kids with their 383 00:14:24,488 --> 00:14:26,781 guchnyy firecrackers, going all day and night. 384 00:14:26,782 --> 00:14:28,867 Oh, i-is this a firecracker burn? 385 00:14:28,868 --> 00:14:31,870 No, sweetie, this is from the full samovar 386 00:14:31,871 --> 00:14:34,789 I drop on the floor when the sh-- 387 00:14:34,790 --> 00:14:37,417 the firecrackers started going on again. 388 00:14:37,418 --> 00:14:39,377 I'm sorry. What's a samovar? 389 00:14:39,378 --> 00:14:42,630 It is a big metal urn for coffee or tea. 390 00:14:42,631 --> 00:14:44,757 They can get super-duper hot, 391 00:14:44,758 --> 00:14:47,010 and I was never allowed to touch ours. 392 00:14:47,011 --> 00:14:48,428 Uh, hello, Mrs. Kovalenko. 393 00:14:48,429 --> 00:14:49,721 My name is Dr. Michael Robinavitch. 394 00:14:49,722 --> 00:14:51,389 Everybody calls me Dr. Robby. 395 00:14:51,390 --> 00:14:54,392 - Robinavitch? Jewish? - You guessed it. 396 00:14:54,393 --> 00:14:57,896 And I see that you are here today for a burn. 397 00:14:57,897 --> 00:14:59,314 Why don't we take a look? 398 00:14:59,315 --> 00:15:00,899 Oh, not married? 399 00:15:00,900 --> 00:15:02,526 No, I'm not married. 400 00:15:03,777 --> 00:15:05,236 Do you attend synagogue? 401 00:15:05,237 --> 00:15:08,197 Uh, not for a while. 402 00:15:08,198 --> 00:15:12,160 I mean, High Holidays mostly. 403 00:15:12,161 --> 00:15:13,328 Where? 404 00:15:13,329 --> 00:15:14,996 Ooh. 405 00:15:14,997 --> 00:15:17,290 What did you put on this? 406 00:15:17,291 --> 00:15:18,875 - Where? - On your burn. 407 00:15:18,876 --> 00:15:21,127 - Is this honey? - Yes, honey. 408 00:15:21,128 --> 00:15:23,129 Where do you go on holy days? 409 00:15:23,130 --> 00:15:26,132 Uh, my grandparents, um-- 410 00:15:26,133 --> 00:15:27,842 I grew up going to Rodef Shalom. 411 00:15:27,843 --> 00:15:28,843 You? 412 00:15:28,844 --> 00:15:31,138 Tree of Life. 413 00:15:32,890 --> 00:15:34,349 They're rebuilding. 414 00:15:34,350 --> 00:15:36,768 Yes, something new. 415 00:15:36,769 --> 00:15:40,271 Remember, Rebuild, Renew. 416 00:15:40,272 --> 00:15:42,650 That's the slogan. 417 00:15:44,693 --> 00:15:47,487 I'm sorry, did you say "honey"? 418 00:15:47,488 --> 00:15:49,656 You think honey's funny? 419 00:15:49,657 --> 00:15:51,658 Works like a charm. 420 00:15:51,659 --> 00:15:53,785 My father kept bees. I know. 421 00:15:53,786 --> 00:15:57,080 If the honey is medical grade and the burns are not too bad, 422 00:15:57,081 --> 00:15:59,207 honey actually does have some antibacterial 423 00:15:59,208 --> 00:16:00,792 and anti-inflammatory properties. 424 00:16:00,793 --> 00:16:03,378 However, these burns are very deep in some places. 425 00:16:03,379 --> 00:16:05,755 They're going to need debridement. 426 00:16:05,756 --> 00:16:08,758 I'm glad you came in. 427 00:16:08,759 --> 00:16:10,593 That's what I thought. 428 00:16:10,594 --> 00:16:14,597 I was hoping no, but I figured as much. 429 00:16:14,598 --> 00:16:15,723 Not to worry. 430 00:16:15,724 --> 00:16:18,559 We are gonna have you patched up and home 431 00:16:18,560 --> 00:16:20,228 in time for dinner and fireworks. 432 00:16:20,229 --> 00:16:22,146 No. 433 00:16:22,147 --> 00:16:23,648 No more fireworks. 434 00:16:23,649 --> 00:16:24,899 No. 435 00:16:24,900 --> 00:16:26,025 Okay. 436 00:16:26,026 --> 00:16:30,321 Anyone here treating Kylie Connors? 437 00:16:30,322 --> 00:16:31,823 She's my daughter. 438 00:16:31,824 --> 00:16:33,908 She's nine. I'm Benny Connors. 439 00:16:33,909 --> 00:16:36,369 Mr. Connors, I'm Dr. Santos. 440 00:16:36,370 --> 00:16:37,745 I'm treating Kylie. 441 00:16:37,746 --> 00:16:39,330 Is she okay? Can I see her? 442 00:16:39,331 --> 00:16:41,290 My--my girlfriend, Gina, says she got a cut on her chin? 443 00:16:41,291 --> 00:16:42,375 Yeah, I can take you to her. 444 00:16:42,376 --> 00:16:44,127 She has a small laceration on her chin, 445 00:16:44,128 --> 00:16:46,379 but it was easily repaired with medical superglue, 446 00:16:46,380 --> 00:16:48,548 - so no stitches necessary. - Okay. 447 00:16:48,549 --> 00:16:51,092 She chipped a tooth, but it's a baby tooth, 448 00:16:51,093 --> 00:16:52,885 so it won't need dental work. 449 00:16:52,886 --> 00:16:54,804 All right, well, that's a relief. 450 00:16:54,805 --> 00:16:57,306 Has Kylie had any previous injuries? 451 00:16:57,307 --> 00:16:58,975 Uh, yeah. 452 00:16:58,976 --> 00:17:01,227 She, um--she broke her wrist last year. 453 00:17:01,228 --> 00:17:02,854 She was skateboarding. 454 00:17:02,855 --> 00:17:06,065 Dana, if you could get Dylan to come to North 1, 455 00:17:06,066 --> 00:17:08,151 - and Ahmad. - You bet. 456 00:17:08,152 --> 00:17:10,486 Okay, I got it now. One, two, three. 457 00:17:10,487 --> 00:17:11,738 Daddy, you came. 458 00:17:11,739 --> 00:17:13,573 Baby, what's going on, huh? 459 00:17:13,574 --> 00:17:15,283 My tooth broke, and my chin got cut. 460 00:17:15,284 --> 00:17:16,618 Oh, no. 461 00:17:18,537 --> 00:17:19,746 What happened? 462 00:17:19,747 --> 00:17:21,998 She was running up the stairs. 463 00:17:21,999 --> 00:17:24,667 - Gina was chasing me. - We were playing. 464 00:17:24,668 --> 00:17:27,211 As I was saying, Mr. Connors, the laceration is pretty minor. 465 00:17:27,212 --> 00:17:28,254 On the stairs? 466 00:17:28,255 --> 00:17:30,423 - It was an accident. - Perhaps we can-- 467 00:17:30,424 --> 00:17:32,008 An accident that wouldn't have happened 468 00:17:32,009 --> 00:17:33,342 if you weren't running up the stairs. 469 00:17:33,343 --> 00:17:34,510 Do you understand what I'm saying? 470 00:17:34,511 --> 00:17:36,971 This is the last thing that I need right now, 471 00:17:36,972 --> 00:17:38,681 is her mother finding out that she got hurt 472 00:17:38,682 --> 00:17:40,308 - when she's with you. - It was an accident. 473 00:17:40,309 --> 00:17:41,851 And before you get all high and mighty, 474 00:17:41,852 --> 00:17:43,811 - I've got questions of my own. - Like what? 475 00:17:43,812 --> 00:17:45,146 Hey, Mr. Connors. 476 00:17:45,147 --> 00:17:47,023 I'm sorry, I meant to be here when you arrived. 477 00:17:47,024 --> 00:17:48,983 I'm Dylan Easton. I'm with Social Services. 478 00:17:48,984 --> 00:17:50,151 We have insurance. Thank you. 479 00:17:50,152 --> 00:17:51,819 Perhaps we can step outside and chat for a second? 480 00:17:51,820 --> 00:17:53,738 I can fill you in on where we are. 481 00:17:53,739 --> 00:17:55,615 Hey, uh, Jesse, do you want to keep Kylie entertained 482 00:17:55,616 --> 00:17:57,283 - for a few minutes while I... - Absolutely. 483 00:17:57,284 --> 00:17:58,326 Borrow her dad? 484 00:17:58,327 --> 00:17:59,494 We'll just head down to the family room. 485 00:17:59,495 --> 00:18:01,704 It's a little quieter there. 486 00:18:01,705 --> 00:18:03,498 Why do I got to talk to a social worker? 487 00:18:03,499 --> 00:18:06,000 Anytime a child is injured, we have some standard questions 488 00:18:06,001 --> 00:18:07,502 that we ask parents and caregivers. 489 00:18:07,503 --> 00:18:10,671 Good. That's fine. Great. Ask me here. 490 00:18:10,672 --> 00:18:14,217 Well, we noticed some bruising on Kylie's body, 491 00:18:14,218 --> 00:18:17,637 some old, some new, on her back and legs. 492 00:18:17,638 --> 00:18:19,847 - Any idea how she got those? - Yeah, soccer. 493 00:18:19,848 --> 00:18:21,057 She plays for a club team. 494 00:18:21,058 --> 00:18:22,350 They're, you know, little girls, 495 00:18:22,351 --> 00:18:24,435 but they play like they're in "The Hunger Games." 496 00:18:24,436 --> 00:18:26,521 Well, I understand that you and Kylie do 497 00:18:26,522 --> 00:18:29,440 a fair amount of roughhousing. 498 00:18:29,441 --> 00:18:31,442 What? 499 00:18:31,443 --> 00:18:34,153 I'm sorry. Are you fucking kidding me? 500 00:18:34,154 --> 00:18:35,321 Where are you going with this? 501 00:18:35,322 --> 00:18:36,614 Are you saying that I hurt my daughter? 502 00:18:36,615 --> 00:18:37,907 Mr. Connors, nobody's saying that-- 503 00:18:37,908 --> 00:18:39,033 Oh, no, no, no, no, no, no, no, no. 504 00:18:39,034 --> 00:18:40,243 - Gina! - Mr. Connors-- 505 00:18:40,244 --> 00:18:41,619 Just--just--Gina! 506 00:18:41,620 --> 00:18:42,620 Sir, take a breath. 507 00:18:42,621 --> 00:18:43,788 Gina, what did you say to them? 508 00:18:43,789 --> 00:18:45,623 Nothing. I said that you're a great dad. 509 00:18:45,624 --> 00:18:47,125 Okay. What else? 510 00:18:47,126 --> 00:18:48,626 That you guys like to wrestle. 511 00:18:48,627 --> 00:18:49,836 - Jesus Christ. - What? 512 00:18:49,837 --> 00:18:51,337 They wanted to know where all her bruises are from. 513 00:18:51,338 --> 00:18:53,214 Who the fuck are you to talk about me and my daughter? 514 00:18:53,215 --> 00:18:54,757 - Who the fuck am I? - Yeah, that's what I'm asking. 515 00:18:54,758 --> 00:18:55,925 Who the fuck am I? 516 00:18:55,926 --> 00:18:57,301 Hey, big man, take one more fucking step-- 517 00:18:57,302 --> 00:18:59,720 Hey, that's enough. You need to calm down. 518 00:18:59,721 --> 00:19:01,722 Hey, everybody, back the fuck up! 519 00:19:01,723 --> 00:19:03,099 Stop! Stop! Stop! Stop! 520 00:19:03,100 --> 00:19:06,185 Kylie's platelets are only 9,000. 521 00:19:06,186 --> 00:19:08,187 What does that mean? 522 00:19:08,188 --> 00:19:11,065 It's--it's not what we thought. 523 00:19:11,066 --> 00:19:13,401 It's probably ITP. 524 00:19:13,402 --> 00:19:15,736 What the hell is ITP? 525 00:19:15,737 --> 00:19:17,948 Something we can treat. 526 00:19:24,163 --> 00:19:26,789 - You feel that? - Mm, no. 527 00:19:26,790 --> 00:19:28,457 Excellent. 528 00:19:28,458 --> 00:19:30,376 This is looking very good. 529 00:19:30,377 --> 00:19:32,337 Ah. Tell Mr. Kovalenko. 530 00:19:36,049 --> 00:19:37,341 Mrs. Kovalenko? 531 00:19:37,342 --> 00:19:39,260 Yes? Yana, please. 532 00:19:39,261 --> 00:19:43,222 Yana, you mentioned that you dropped the samovar 533 00:19:43,223 --> 00:19:46,684 when you heard firecrackers. 534 00:19:46,685 --> 00:19:47,686 Yeah. 535 00:19:50,731 --> 00:19:54,525 I was on my way inside-- 536 00:19:54,526 --> 00:19:57,653 October 27, 2018-- 537 00:19:57,654 --> 00:20:00,532 to the synagogue when the shooting started. 538 00:20:05,287 --> 00:20:08,247 There was nothing I could do. 539 00:20:08,248 --> 00:20:09,874 I went in... 540 00:20:09,875 --> 00:20:12,418 after the police arrived. 541 00:20:12,419 --> 00:20:14,463 I felt I had to. 542 00:20:16,340 --> 00:20:18,591 I'm better now. 543 00:20:18,592 --> 00:20:21,052 But... 544 00:20:21,053 --> 00:20:24,430 New Year's Eve, Fourth of July, 545 00:20:24,431 --> 00:20:27,934 when--when kids have their fireworks 546 00:20:27,935 --> 00:20:30,687 and firecrackers, I-- 547 00:20:32,898 --> 00:20:35,734 There is no clock on how long it takes. 548 00:20:37,361 --> 00:20:39,070 No clock. 549 00:20:39,071 --> 00:20:41,865 You must be joking. 550 00:20:44,034 --> 00:20:45,326 - Robby? - Yep. 551 00:20:45,327 --> 00:20:47,536 - Mark Yee is back from CT. - Oh, okay. 552 00:20:47,537 --> 00:20:49,038 Um, Perlah, why don't we go ahead and see if we can put 553 00:20:49,039 --> 00:20:50,831 a nonstick dressing on this? 554 00:20:50,832 --> 00:20:53,125 And I will come back, and we can discuss 555 00:20:53,126 --> 00:20:54,543 aftercare instructions. 556 00:20:54,544 --> 00:20:56,045 Yeah, you got it, boss. 557 00:20:56,046 --> 00:20:58,090 Thank you, Doctor. 558 00:21:10,352 --> 00:21:12,895 Vitals stable. Pulse ox holding at 99. 559 00:21:12,896 --> 00:21:14,898 Okay. Heart and lungs look good. 560 00:21:17,109 --> 00:21:19,443 - Dr. Mohan. - Dr. Robby? 561 00:21:19,444 --> 00:21:20,612 Yeah? 562 00:21:22,739 --> 00:21:25,324 Please make him be okay. 563 00:21:25,325 --> 00:21:27,243 I can assure you that we are gonna do absolutely-- 564 00:21:27,244 --> 00:21:29,912 Everything you can. I know. 565 00:21:29,913 --> 00:21:31,497 God, this is all my fault. 566 00:21:31,498 --> 00:21:34,417 - Mrs. Yee-- - Oh, he's been so stressed. 567 00:21:34,418 --> 00:21:36,794 So I planned this weekend away at Seven Springs, 568 00:21:36,795 --> 00:21:39,380 but he didn't want to go because of work. 569 00:21:39,381 --> 00:21:42,508 So we fought this whole morning. 570 00:21:42,509 --> 00:21:44,969 And then I... 571 00:21:44,970 --> 00:21:48,264 I said awful things. 572 00:21:48,265 --> 00:21:50,266 Those can't be the last words we say to each other. 573 00:21:50,267 --> 00:21:51,892 Doctor, please. 574 00:21:51,893 --> 00:21:54,854 Good news. CT looks normal. 575 00:21:54,855 --> 00:21:56,564 No bleeding inside the skull. 576 00:21:56,565 --> 00:21:59,400 C-spine, no fractures seen. 577 00:21:59,401 --> 00:22:01,819 - He didn't break his neck? - Then why is he paralyzed? 578 00:22:01,820 --> 00:22:03,446 You can have spinal injuries 579 00:22:03,447 --> 00:22:05,239 without radiologic abnormalities. 580 00:22:05,240 --> 00:22:08,659 Sometimes it doesn't show up on CT, only on MRI. 581 00:22:08,660 --> 00:22:10,454 Dr. Mohan. 582 00:22:13,332 --> 00:22:14,416 Are you sure? 583 00:22:17,461 --> 00:22:19,295 Okay. 584 00:22:19,296 --> 00:22:21,380 Critical potassium level, 1.2. 585 00:22:21,381 --> 00:22:22,965 Wow. 586 00:22:22,966 --> 00:22:24,592 - Okay. - That's crazy low. 587 00:22:24,593 --> 00:22:26,635 Uh, extremely low potassium with generalized weakness 588 00:22:26,636 --> 00:22:28,554 and no cervical injury. 589 00:22:28,555 --> 00:22:29,889 We may be looking at-- 590 00:22:29,890 --> 00:22:31,724 Hypokalemic periodic paralysis. 591 00:22:31,725 --> 00:22:32,850 What is that? 592 00:22:32,851 --> 00:22:34,435 It's a rare condition where potassium gets shifted 593 00:22:34,436 --> 00:22:36,604 into the cells, causing profound weakness, 594 00:22:36,605 --> 00:22:37,813 just like paralysis. 595 00:22:37,814 --> 00:22:39,523 - Will he get better? - Yes. 596 00:22:39,524 --> 00:22:41,233 Back to normal in a few hours. 597 00:22:41,234 --> 00:22:42,568 In a f-- 598 00:22:42,569 --> 00:22:45,321 Replete slowly. 10 MEQ of KCl-- 599 00:22:45,322 --> 00:22:47,323 Thank you so much. 600 00:22:47,324 --> 00:22:48,866 Did you hear that, Mark? 601 00:22:48,867 --> 00:22:52,620 Oh, baby, you're gonna get better. 602 00:22:52,621 --> 00:22:54,872 Oh, baby. 603 00:22:54,873 --> 00:22:56,707 All right, DD. Hey, come on now, man. 604 00:22:56,708 --> 00:22:58,626 Oh, how you doing, Duante? 605 00:22:58,627 --> 00:23:00,211 - Fine. - Great. 606 00:23:00,212 --> 00:23:01,629 If you're fine, you go home. 607 00:23:01,630 --> 00:23:02,713 - Really? - Yeah. 608 00:23:02,714 --> 00:23:05,841 Mm-mm. Hey, tell them. 609 00:23:05,842 --> 00:23:08,427 Me and my sister were making bracelets, 610 00:23:08,428 --> 00:23:12,431 and I put beads up my nose. 611 00:23:12,432 --> 00:23:13,933 How many? 612 00:23:13,934 --> 00:23:15,351 One on each side. 613 00:23:15,352 --> 00:23:18,020 I got to ask-- why'd you stick them up there? 614 00:23:18,021 --> 00:23:19,730 See how many will fit? 615 00:23:19,731 --> 00:23:21,649 To shoot them out like rockets. 616 00:23:21,650 --> 00:23:22,733 Mm. 617 00:23:22,734 --> 00:23:24,110 But I breathed in, 618 00:23:24,111 --> 00:23:27,113 and they went deeper and now won't come out. 619 00:23:27,114 --> 00:23:28,948 Did you try anything at home? 620 00:23:28,949 --> 00:23:30,616 Yeah, I tried blowing in his mouth, 621 00:23:30,617 --> 00:23:32,326 but just got a little snot on my cheek. 622 00:23:32,327 --> 00:23:33,494 "A" for effort, Dad. 623 00:23:33,495 --> 00:23:36,205 Okay, we need to take a look with a little flashlight. 624 00:23:36,206 --> 00:23:38,082 - Okay? - Okay. 625 00:23:38,083 --> 00:23:39,625 This is what I have to look forward to? 626 00:23:39,626 --> 00:23:41,919 This and so much more. 627 00:23:41,920 --> 00:23:44,547 Red bead below the inferior turbinate. 628 00:23:44,548 --> 00:23:47,007 I... 629 00:23:47,008 --> 00:23:48,426 got a blue one. 630 00:23:48,427 --> 00:23:51,053 Afrin, benzocaine, Katz extractor? 631 00:23:51,054 --> 00:23:53,180 Yep. Dad, looks like we got to go up and get them. 632 00:23:53,181 --> 00:23:55,891 - No way he's sitting still. - Oh, he'll be numbed up. 633 00:23:55,892 --> 00:23:57,101 You don't know this child. 634 00:23:57,102 --> 00:24:00,104 Hey, Duante, you like video games? 635 00:24:00,105 --> 00:24:01,981 Everybody does. 636 00:24:01,982 --> 00:24:04,233 We have a 3D video game. 637 00:24:04,234 --> 00:24:06,111 - Yeah. - Cool. 638 00:24:10,782 --> 00:24:13,659 That's KCl and saline at 10 MEQ per hour. 639 00:24:13,660 --> 00:24:15,786 We avoid dextrose because the insulin response 640 00:24:15,787 --> 00:24:17,163 drops the K even more. 641 00:24:17,164 --> 00:24:19,999 If it's genetic, why didn't it happen when he was a kid? 642 00:24:20,000 --> 00:24:22,376 It usually starts after the teen years. 643 00:24:22,377 --> 00:24:23,502 And it can be intermittent. 644 00:24:23,503 --> 00:24:26,589 Sometimes it's triggered by intense exercise or stress. 645 00:24:26,590 --> 00:24:28,591 We've been married eight years. 646 00:24:28,592 --> 00:24:30,759 We've had fights. He's never collapsed. 647 00:24:30,760 --> 00:24:32,261 If his thyroid gets overactive, 648 00:24:32,262 --> 00:24:34,096 that brings it on later in life. 649 00:24:34,097 --> 00:24:36,682 I ordered TSH, T3, T4. 650 00:24:36,683 --> 00:24:38,935 So now we just wait? 651 00:24:41,229 --> 00:24:42,605 Bag him. Starting compressions. 652 00:24:42,606 --> 00:24:45,232 - Charge to 200. - What is happening? 653 00:24:45,233 --> 00:24:47,234 Low potassium can harm electrical activity 654 00:24:47,235 --> 00:24:48,819 - in the heart. - Charged. 655 00:24:48,820 --> 00:24:50,821 - Clear. - Clear. 656 00:24:50,822 --> 00:24:52,616 Resuming compressions. 657 00:24:54,159 --> 00:24:58,078 - So your little girl was ITP? - Go figure. 658 00:24:58,079 --> 00:25:00,623 Nothing like a zebra to kick-start your morning. 659 00:25:00,624 --> 00:25:03,250 Well, it's better than the alternative. 660 00:25:03,251 --> 00:25:04,835 True. 661 00:25:04,836 --> 00:25:07,046 ITP. 662 00:25:07,047 --> 00:25:09,548 So that's, uh, intra-- 663 00:25:09,549 --> 00:25:11,217 Immune thrombocytopenia. 664 00:25:11,218 --> 00:25:14,720 Used to be called idiopathic thrombocytopenic purpura. 665 00:25:14,721 --> 00:25:16,555 Know what "idiopathic" means? 666 00:25:16,556 --> 00:25:18,641 That we don't know the exact cause. 667 00:25:18,642 --> 00:25:20,518 It means the patient is pathetic 668 00:25:20,519 --> 00:25:22,938 and the doctor is an idiot. 669 00:25:24,523 --> 00:25:26,398 Just checked on baby Jane Doe. 670 00:25:26,399 --> 00:25:29,109 Looking good. Taking formula well. 671 00:25:29,110 --> 00:25:30,945 We're here to take a statement. 672 00:25:30,946 --> 00:25:33,739 We're looking for a Tony Chinchiolo. 673 00:25:33,740 --> 00:25:37,326 Yo! Right over here, boys! 674 00:25:37,327 --> 00:25:39,286 Well, officers. 675 00:25:39,287 --> 00:25:41,664 Heard you had some trouble over at the campus library. 676 00:25:41,665 --> 00:25:43,999 Shit. Let me just say-- 677 00:25:44,000 --> 00:25:46,627 new appreciation for what you guys do every day. 678 00:25:46,628 --> 00:25:49,129 Frickin' junkie jungle, right? 679 00:25:49,130 --> 00:25:51,298 At the campus library? 680 00:25:51,299 --> 00:25:52,550 Yeah. 681 00:25:52,551 --> 00:25:53,842 Thumb and forefinger make a C. 682 00:25:53,843 --> 00:25:55,553 Bottom three fingers make an E for jaw lift. 683 00:25:55,554 --> 00:25:57,596 One breath every five seconds. Come here, try it. 684 00:25:57,597 --> 00:25:59,473 About two minutes since defibrillation. 685 00:25:59,474 --> 00:26:02,601 - Holding compressions. - Normal sinus. 686 00:26:02,602 --> 00:26:04,770 Carotid. Strong carotid. Okay, let's try for BP. 687 00:26:04,771 --> 00:26:06,397 Why don't we check after the shock? 688 00:26:06,398 --> 00:26:08,315 2024 ACLS guidelines. 689 00:26:08,316 --> 00:26:10,317 Patients can remain pulseless for a little bit, 690 00:26:10,318 --> 00:26:11,819 even after successful defib. 691 00:26:11,820 --> 00:26:14,321 He came back with one shock. That's as good as it gets. 692 00:26:14,322 --> 00:26:16,740 - 104 over 68. - Good squeeze. Good EF. 693 00:26:16,741 --> 00:26:18,784 Spontaneous respirations. Okay, let's lift him up. 694 00:26:18,785 --> 00:26:21,161 He's breathing on his own-- excellent sign. 695 00:26:21,162 --> 00:26:22,496 Oh, God. 696 00:26:22,497 --> 00:26:25,958 - Can I touch him? - Of course. 697 00:26:25,959 --> 00:26:27,334 Oh, Mark. 698 00:26:27,335 --> 00:26:30,379 Hey. 699 00:26:30,380 --> 00:26:32,172 Oh, shit. 700 00:26:32,173 --> 00:26:33,507 We need a gurney! 701 00:26:33,508 --> 00:26:35,342 Nancy? 702 00:26:35,343 --> 00:26:38,596 Mrs. Yee? 703 00:26:38,597 --> 00:26:40,097 Weak carotid. Shallow breaths. 704 00:26:40,098 --> 00:26:41,932 Did she vasovagal from stress? 705 00:26:41,933 --> 00:26:43,100 Can't assume that. 706 00:26:43,101 --> 00:26:44,935 Positive seat belt si-- oh, shit. 707 00:26:44,936 --> 00:26:46,645 Hang two units of O-neg on the rapid infuser. 708 00:26:46,646 --> 00:26:48,230 Somebody call Garcia. Shit. 709 00:26:48,231 --> 00:26:50,065 We really should have insisted on examining her. 710 00:26:50,066 --> 00:26:51,400 Okay, I got the head. 711 00:26:51,401 --> 00:26:53,694 Platelets are these tiny things in the blood 712 00:26:53,695 --> 00:26:55,279 that help it clot. 713 00:26:55,280 --> 00:26:58,699 And thrombocytopenia is fancy for "low platelets," 714 00:26:58,700 --> 00:27:01,160 which explains why your skin bruises so easily. 715 00:27:01,161 --> 00:27:02,411 And what causes it? 716 00:27:02,412 --> 00:27:04,496 It's actually her immune system 717 00:27:04,497 --> 00:27:06,540 that's causing the destruction of platelets. 718 00:27:06,541 --> 00:27:08,542 Sometimes it's a triggered response 719 00:27:08,543 --> 00:27:11,879 to, uh, an environmental factor or virus. 720 00:27:11,880 --> 00:27:14,840 And what's the treatment? What are you giving her? 721 00:27:14,841 --> 00:27:17,426 We'll be treating her with high-dose steroids 722 00:27:17,427 --> 00:27:20,346 to suppress the immune system and IV immunoglobulin, 723 00:27:20,347 --> 00:27:23,140 which reduces the destruction of the platelets in the spleen. 724 00:27:23,141 --> 00:27:24,433 Can I go home? 725 00:27:24,434 --> 00:27:26,435 You're gonna have to stay in the hospital 726 00:27:26,436 --> 00:27:28,103 for about three days 727 00:27:28,104 --> 00:27:30,439 to make sure that the treatment is working. 728 00:27:30,440 --> 00:27:32,149 Okay. Okay. 729 00:27:32,150 --> 00:27:34,151 So when can she get a room in the hospital? 730 00:27:34,152 --> 00:27:35,819 That is an excellent question. 731 00:27:35,820 --> 00:27:37,404 I'm going to see if I can make that happen 732 00:27:37,405 --> 00:27:38,530 sooner rather than later, 733 00:27:38,531 --> 00:27:40,449 - but it might take a while. - Okay. 734 00:27:40,450 --> 00:27:42,451 GPS says I should be there by 11:00. 735 00:27:42,452 --> 00:27:45,245 Do you have any other questions for me, ma'am? 736 00:27:45,246 --> 00:27:48,040 No. I'm sure I will, but I'll let you go for now. 737 00:27:48,041 --> 00:27:49,375 Thank you, Benny. 738 00:27:49,376 --> 00:27:50,584 All right. I'll see you when you get here. 739 00:27:50,585 --> 00:27:52,252 See you soon, baby. I love you. 740 00:27:52,253 --> 00:27:55,090 Bye, Mom. Love you too. 741 00:27:56,424 --> 00:27:58,258 There you are. 742 00:27:58,259 --> 00:27:59,593 And there you are. 743 00:27:59,594 --> 00:28:02,554 Don't try to charm me. You promised to stay put. 744 00:28:02,555 --> 00:28:04,264 I was going to come right back. 745 00:28:04,265 --> 00:28:06,100 My backside is killing me. 746 00:28:06,101 --> 00:28:09,353 I need to keep moving, or I get all achy and stiff. 747 00:28:09,354 --> 00:28:12,439 Well, I got you this foam donut to sit on 748 00:28:12,440 --> 00:28:15,317 - while we wait for your X-rays. - Hmm. 749 00:28:15,318 --> 00:28:17,820 Dr. Hazel Eyes, it says here 750 00:28:17,821 --> 00:28:22,741 that it's only supposed to take an hour or two for an X-ray. 751 00:28:22,742 --> 00:28:25,661 Well, the patient passport holiday edition 752 00:28:25,662 --> 00:28:27,371 would better reflect reality. 753 00:28:27,372 --> 00:28:29,665 It could be double that. 754 00:28:29,666 --> 00:28:31,458 There's no need for reality. 755 00:28:31,459 --> 00:28:33,752 We romantics... 756 00:28:33,753 --> 00:28:37,256 prefer la reve, the dream. 757 00:28:37,257 --> 00:28:38,882 We do, do we? 758 00:28:38,883 --> 00:28:40,885 Oui. 759 00:28:49,602 --> 00:28:50,603 Right. 760 00:28:54,232 --> 00:28:56,483 Hey, save a dance for me. 761 00:28:56,484 --> 00:28:59,111 Uh, yeah, okay, I will. 762 00:28:59,112 --> 00:29:00,487 - Dr. McKay? - Yes. 763 00:29:00,488 --> 00:29:01,739 This is Gretchen Williams. 764 00:29:01,740 --> 00:29:03,615 - Actually, it's Lambdin. - Ah. 765 00:29:03,616 --> 00:29:05,826 You called about my ex-husband, Michael Williams. 766 00:29:05,827 --> 00:29:07,953 Yeah. Yes, yes. Thank you for coming in. 767 00:29:07,954 --> 00:29:10,247 You were, um, listed as his emergency contact. 768 00:29:10,248 --> 00:29:11,623 Yeah, I don't know why. 769 00:29:11,624 --> 00:29:14,376 We have been divorced for years. 770 00:29:14,377 --> 00:29:15,711 Is he all right? 771 00:29:15,712 --> 00:29:18,881 He's--he's going through a lot right now. 772 00:29:18,882 --> 00:29:20,550 Would you like to see him? 773 00:29:22,552 --> 00:29:23,802 Uh, okay. 774 00:29:23,803 --> 00:29:27,556 Leo, can you zoom in and please hold it a little steadier? 775 00:29:27,557 --> 00:29:29,100 Okay. 776 00:29:31,352 --> 00:29:32,770 Okay. 777 00:29:32,771 --> 00:29:34,396 Atorvastatin. 778 00:29:34,397 --> 00:29:36,023 Simvastatin. 779 00:29:36,024 --> 00:29:37,316 Ezetimibe. 780 00:29:37,317 --> 00:29:39,860 Those are all high-cholesterol medications. 781 00:29:39,861 --> 00:29:41,570 Can you go to the right? 782 00:29:41,571 --> 00:29:43,864 Lisinopril. 783 00:29:43,865 --> 00:29:45,866 Losartan. Propranolol. 784 00:29:45,867 --> 00:29:47,868 Wait, wait, that's it. 785 00:29:47,869 --> 00:29:49,369 Wendy's pile. 786 00:29:49,370 --> 00:29:50,579 Yellowish bottle, 787 00:29:50,580 --> 00:29:52,706 little, round blue pills, just like I said. 788 00:29:52,707 --> 00:29:54,750 - Propranolol? - Bingo, little lady. 789 00:29:54,751 --> 00:29:57,211 Okay, yeah, well, this makes a lot of sense now. 790 00:29:57,212 --> 00:30:01,215 Um, propranolol is a high-blood-pressure medication. 791 00:30:01,216 --> 00:30:04,092 Those are 20 milligrams each, 792 00:30:04,093 --> 00:30:06,261 and the starting dose is 40 mgs. 793 00:30:06,262 --> 00:30:08,055 How many pills did you take? 794 00:30:08,056 --> 00:30:10,933 No, ma'am. I-I went just before I came here. 795 00:30:10,934 --> 00:30:12,643 Dad. 796 00:30:12,644 --> 00:30:15,395 Um--pill--how many pills did you take? 797 00:30:15,396 --> 00:30:20,192 Oh, uh, I think four, maybe five. 798 00:30:20,193 --> 00:30:22,027 That is a lot. Okay. 799 00:30:22,028 --> 00:30:24,279 Full stomach, mind you. 800 00:30:24,280 --> 00:30:27,491 Well, um, the good news is, it has a short half-life, 801 00:30:27,492 --> 00:30:30,118 so, um, we're gonna need to keep you 802 00:30:30,119 --> 00:30:31,787 for about four hours to monitor. 803 00:30:31,788 --> 00:30:34,039 But then you'll be able to rejoin 804 00:30:34,040 --> 00:30:36,041 for all the late-afternoon festivities. 805 00:30:36,042 --> 00:30:38,502 - All right. - Whoo! 806 00:30:38,503 --> 00:30:40,254 Unit 3 and 4 running in. 807 00:30:40,255 --> 00:30:42,130 BP 84 over 56. Heart rate 112. 808 00:30:42,131 --> 00:30:43,924 Free fluid's much bigger than before. 809 00:30:43,925 --> 00:30:45,968 She's not turning the corner. OR is holding a room. 810 00:30:45,969 --> 00:30:47,553 I'll let the husband know. 811 00:30:47,554 --> 00:30:48,887 Why did you guys wait so long to check her? 812 00:30:48,888 --> 00:30:50,681 Good vitals in the field. No distress. 813 00:30:50,682 --> 00:30:52,015 She refused to sign in. 814 00:30:52,016 --> 00:30:53,392 You should have convinced her. 815 00:30:53,393 --> 00:30:54,768 20/20 hindsight. She was stable. 816 00:30:54,769 --> 00:30:55,853 Until she wasn't. 817 00:30:55,854 --> 00:30:57,646 Next time, I'll use my X-ray vision goggles. 818 00:30:57,647 --> 00:30:59,648 Let's get her upstairs. 819 00:30:59,649 --> 00:31:02,401 Got to do an accu-check on my DKA patient. 820 00:31:02,402 --> 00:31:04,236 Thanks for the backup. 821 00:31:04,237 --> 00:31:05,989 Anytime. 822 00:31:09,534 --> 00:31:12,203 Now, try and lift your arm, Mark. 823 00:31:14,205 --> 00:31:16,164 I'm trying. Can't do it. 824 00:31:16,165 --> 00:31:20,669 But you are getting stronger, and your speech is improving. 825 00:31:20,670 --> 00:31:23,005 How did I lose so much potassium? 826 00:31:23,006 --> 00:31:26,300 You didn't lose it. It got shifted into cells. 827 00:31:26,301 --> 00:31:28,552 When it comes back, you'll return to normal. 828 00:31:28,553 --> 00:31:29,803 Where's Nancy? 829 00:31:29,804 --> 00:31:31,847 She had an injury to her spleen right about here 830 00:31:31,848 --> 00:31:33,724 with some internal bleeding. 831 00:31:33,725 --> 00:31:35,100 Oh, God. 832 00:31:35,101 --> 00:31:36,476 She passed out from blood loss. 833 00:31:36,477 --> 00:31:38,729 We were able to transfuse her, and she's now on her way 834 00:31:38,730 --> 00:31:40,939 to surgery to repair that damage. 835 00:31:40,940 --> 00:31:43,150 This is my fault. 836 00:31:43,151 --> 00:31:44,485 She was trying to-- 837 00:31:46,821 --> 00:31:51,283 She booked a trip for us, for me. 838 00:31:51,284 --> 00:31:54,120 I fought her the whole time. I've been-- 839 00:31:57,248 --> 00:31:59,082 Please don't-- 840 00:31:59,083 --> 00:32:02,002 oh, my God, please don't let her die. 841 00:32:02,003 --> 00:32:03,420 Please. 842 00:32:03,421 --> 00:32:06,132 I can assure you that she is in excellent hands. 843 00:32:08,217 --> 00:32:09,927 Is this how it works? 844 00:32:09,928 --> 00:32:12,387 How what works? 845 00:32:12,388 --> 00:32:14,932 You think things are important... 846 00:32:14,933 --> 00:32:18,435 that everything's so important. 847 00:32:18,436 --> 00:32:20,563 And then you end up here and see. 848 00:32:23,650 --> 00:32:26,985 Yeah, that is how it works. 849 00:32:26,986 --> 00:32:29,905 No, it's a small hole. 850 00:32:29,906 --> 00:32:32,407 Like the size of a dime, right, Doc? 851 00:32:32,408 --> 00:32:34,868 Mm-hmm. Yeah, even smaller. 852 00:32:34,869 --> 00:32:36,912 It's a minor enough procedure 853 00:32:36,913 --> 00:32:39,498 that most patients go home the next day. 854 00:32:39,499 --> 00:32:40,582 And then? 855 00:32:40,583 --> 00:32:42,751 And then they'll know what it is 856 00:32:42,752 --> 00:32:44,002 and how to treat it. 857 00:32:44,003 --> 00:32:47,090 - Isn't that right? - Yeah, exactly. 858 00:32:49,092 --> 00:32:52,052 I'm sorry that they called you. 859 00:32:52,053 --> 00:32:54,054 I never updated the form, I guess. 860 00:32:54,055 --> 00:32:56,140 No, no, it's okay. I'm-- 861 00:32:57,725 --> 00:33:01,479 You know, they called, and I was just kind of surprised. 862 00:33:03,648 --> 00:33:05,358 Well, you didn't have to come. 863 00:33:07,068 --> 00:33:08,277 But I did. 864 00:33:11,823 --> 00:33:14,116 I heard you got married. 865 00:33:14,117 --> 00:33:15,784 Congratulations. 866 00:33:15,785 --> 00:33:17,495 Thank you. 867 00:33:19,455 --> 00:33:22,125 I hope he treats you well. 868 00:33:23,960 --> 00:33:26,004 You deserve to be happy. 869 00:33:31,342 --> 00:33:35,554 I'm really sorry you're going through this, Michael. 870 00:33:35,555 --> 00:33:37,764 Yeah. 871 00:33:37,765 --> 00:33:40,684 Me too. 872 00:33:40,685 --> 00:33:43,688 But you know me-- I'm a survivor. 873 00:33:48,067 --> 00:33:52,612 Why don't I-I leave you guys to talk for a few minutes? 874 00:33:52,613 --> 00:33:55,158 I have a patient to check on. 875 00:33:56,576 --> 00:33:58,536 - Sure. - Yeah. 876 00:34:00,079 --> 00:34:02,539 Mr. Diaz should be improving after 2 liters. 877 00:34:02,540 --> 00:34:03,957 Blood sugar? 878 00:34:03,958 --> 00:34:05,959 Down from 521 to 436. 879 00:34:05,960 --> 00:34:07,294 That's good, right? 880 00:34:07,295 --> 00:34:08,712 Moving in the right direction. 881 00:34:08,713 --> 00:34:10,881 Were you able to get ahold of your mom? 882 00:34:10,882 --> 00:34:13,133 Yes. She's on her way. She doesn't have a car. 883 00:34:13,134 --> 00:34:15,594 She takes buses, so it takes longer. 884 00:34:15,595 --> 00:34:18,430 - I'm sorry. - Don't be. 885 00:34:18,431 --> 00:34:22,017 Current insulin is 0.1 units per kilo per hour. 886 00:34:22,018 --> 00:34:23,060 Next steps? 887 00:34:23,061 --> 00:34:24,728 Once the glucose is down to 250, 888 00:34:24,729 --> 00:34:27,397 reduce the insulin to 0.05 units per kilo per hour. 889 00:34:27,398 --> 00:34:29,024 Because you can normalize the blood sugar 890 00:34:29,025 --> 00:34:31,485 before you clear the ketones, and you don't get hypoglycemia. 891 00:34:31,486 --> 00:34:34,237 But as treatment continues, you'll have to give IV dextrose 892 00:34:34,238 --> 00:34:36,698 to keep the blood glucose in between 150 and 200 893 00:34:36,699 --> 00:34:37,991 while the insulin drip clears the ketones. 894 00:34:37,992 --> 00:34:39,785 Obviously. 895 00:34:39,786 --> 00:34:41,496 I'm sorry, what? 896 00:34:43,247 --> 00:34:44,539 Got it. 897 00:34:44,540 --> 00:34:46,458 Duante, what are you doing in there, son? 898 00:34:46,459 --> 00:34:47,918 I'm a rabbit, 899 00:34:47,919 --> 00:34:50,212 grabbing all the carrots before the farmer gets me. 900 00:34:50,213 --> 00:34:51,838 Keep going. 901 00:34:51,839 --> 00:34:55,467 This is a Katz extractor with a tiny balloon at the end. 902 00:34:55,468 --> 00:34:57,552 What we're gonna do is, we're gonna slip it past the bead, 903 00:34:57,553 --> 00:34:59,179 inflate the balloon, try to pull out the bead. 904 00:34:59,180 --> 00:35:01,389 - Is it painful? - No, he's--he's numbed up. 905 00:35:01,390 --> 00:35:02,933 Made it to level three. 906 00:35:02,934 --> 00:35:04,309 And pretty distracted. 907 00:35:04,310 --> 00:35:06,561 Dad's gonna hold your head still, okay? 908 00:35:06,562 --> 00:35:09,147 - Look up. - Okay. 909 00:35:09,148 --> 00:35:13,026 Now go back, perpendicular, 910 00:35:13,027 --> 00:35:15,113 below the turbinates. 911 00:35:16,489 --> 00:35:19,032 You guys ever hear of John O'Donohue? 912 00:35:19,033 --> 00:35:20,283 - Mm-mm. - No. 913 00:35:20,284 --> 00:35:21,701 I've been reading him a lot lately. 914 00:35:21,702 --> 00:35:25,122 He's got this book of, um, blessings. 915 00:35:25,123 --> 00:35:27,415 And there's this one about fatherhood. 916 00:35:27,416 --> 00:35:29,127 Really stuck with me. 917 00:35:30,128 --> 00:35:32,546 Voilà. One red bead. 918 00:35:32,547 --> 00:35:34,965 Yeah? How's it go? 919 00:35:34,966 --> 00:35:38,844 The ending goes, "May you be gentle and loving, 920 00:35:38,845 --> 00:35:40,762 "clear and sure. 921 00:35:40,763 --> 00:35:43,640 "May you trust in the unseen Providence 922 00:35:43,641 --> 00:35:45,976 "that has chosen you to be a family. 923 00:35:45,977 --> 00:35:50,063 "May you stand sure on your ground and know 924 00:35:50,064 --> 00:35:53,358 "that every grace you need will unfold before you 925 00:35:53,359 --> 00:35:55,861 like all the mornings of your life." 926 00:35:55,862 --> 00:35:57,946 Hmm. That's good. 927 00:35:57,947 --> 00:36:02,909 I'd add, support your woman and pack good snacks. 928 00:36:02,910 --> 00:36:04,494 That's beautiful. 929 00:36:04,495 --> 00:36:07,455 And it turns out, there's no handbook for fatherhood. 930 00:36:07,456 --> 00:36:11,377 So I will take all the wisdom I can. 931 00:36:12,879 --> 00:36:14,380 Blue bead out. 932 00:36:19,260 --> 00:36:20,844 Anything else? 933 00:36:20,845 --> 00:36:23,471 You tell me. I have my own report to do. 934 00:36:23,472 --> 00:36:24,556 Anything I left out? 935 00:36:24,557 --> 00:36:25,932 Labs are back on that kid. 936 00:36:25,933 --> 00:36:27,475 We'll follow up with Mr. Davis. 937 00:36:27,476 --> 00:36:30,313 Yeah, when Mr. Davis comes off the ceiling. 938 00:36:33,357 --> 00:36:35,483 Jackson Davis... 939 00:36:35,484 --> 00:36:37,819 tox screen negative for cocaine, 940 00:36:37,820 --> 00:36:42,282 amphetamines, marijuana, PCP, benzos, and opioids. 941 00:36:42,283 --> 00:36:44,576 - So no drugs in his system? - Nope. 942 00:36:44,577 --> 00:36:46,870 Taser barbs on the back of the victim's neck? 943 00:36:46,871 --> 00:36:48,289 Yep. 944 00:36:51,167 --> 00:36:53,293 Changes things, Tony. 945 00:36:53,294 --> 00:36:54,920 Hey, Louie. 946 00:36:54,921 --> 00:36:57,714 - How we doing? - Not so good. 947 00:36:57,715 --> 00:37:00,050 I could really use a drink. 948 00:37:00,051 --> 00:37:02,719 I f-feel a-a little empty. 949 00:37:02,720 --> 00:37:04,304 Okay, well, empty is what we want. 950 00:37:04,305 --> 00:37:06,389 And it looks like we are there. 951 00:37:06,390 --> 00:37:09,809 Hey, well, if I can't get a drink, my tooth. 952 00:37:09,810 --> 00:37:11,311 You--you got to do something. 953 00:37:11,312 --> 00:37:12,520 We're gonna get right to that. 954 00:37:12,521 --> 00:37:16,274 Let's hang some IV antibiotics, 3 grams of Unasyn. 955 00:37:16,275 --> 00:37:18,318 Excellent. 956 00:37:18,319 --> 00:37:19,569 He's gonna be right back. 957 00:37:19,570 --> 00:37:20,987 We're gonna numb it up and drain it. 958 00:37:20,988 --> 00:37:22,822 - Ten minutes, tops, okay? - Oh. 959 00:37:22,823 --> 00:37:25,408 Hey, uh, you said you met Mr. Zambelli, 960 00:37:25,409 --> 00:37:27,494 the fireworks guy, on the field. 961 00:37:27,495 --> 00:37:28,536 What field was that? 962 00:37:28,537 --> 00:37:32,207 Uh, n-no more talking. You got to fix my tooth. 963 00:37:32,208 --> 00:37:33,793 Yeah, deal. 964 00:37:39,966 --> 00:37:42,634 You're Muslim? 965 00:37:42,635 --> 00:37:45,220 I am. 966 00:37:45,221 --> 00:37:46,721 Thank you. 967 00:37:46,722 --> 00:37:48,599 Oh, for what? 968 00:37:49,934 --> 00:37:52,352 After the shooting, it was the Muslims 969 00:37:52,353 --> 00:37:55,855 that came together for us in support and... 970 00:37:55,856 --> 00:37:57,649 walked with us. 971 00:37:57,650 --> 00:37:59,276 You raised money. 972 00:37:59,277 --> 00:38:01,027 You... 973 00:38:01,028 --> 00:38:03,905 paid for all the funerals. 974 00:38:03,906 --> 00:38:06,491 Anyway... 975 00:38:06,492 --> 00:38:07,951 thank you. 976 00:38:07,952 --> 00:38:11,079 Hello. How's it going in here? 977 00:38:11,080 --> 00:38:12,956 Did I miss all the gross stuff? 978 00:38:12,957 --> 00:38:15,000 - Timed it perfectly. - Excellent. 979 00:38:15,001 --> 00:38:17,335 My job is all about delegation and time management. 980 00:38:17,336 --> 00:38:19,629 - Oh, not for much longer. - That is very true. 981 00:38:19,630 --> 00:38:21,214 W-why for not longer? 982 00:38:21,215 --> 00:38:24,217 Because tomorrow I am leaving to go on sabbatical. 983 00:38:24,218 --> 00:38:27,470 He's leaving us for three months on a motorcycle. 984 00:38:27,471 --> 00:38:30,056 Motorcycle? You're joking. 985 00:38:30,057 --> 00:38:32,809 - Why would you do this? - Why? Why? 986 00:38:32,810 --> 00:38:35,020 - Why? Because-- - You're middle-aged man. 987 00:38:35,021 --> 00:38:36,730 Don't be stupid. 988 00:38:36,731 --> 00:38:38,732 Don't hold back. Tell me how you really feel. 989 00:38:38,733 --> 00:38:41,318 Forgive me for being blunt, Dr. Robinavitch, 990 00:38:41,319 --> 00:38:43,945 but how old are you, huh--50? 991 00:38:43,946 --> 00:38:45,989 - Ish. - Ish. 992 00:38:45,990 --> 00:38:49,993 50-ish-year-old man on a motorcycle-- 993 00:38:49,994 --> 00:38:50,911 very sad. 994 00:39:02,131 --> 00:39:03,841 I, um... 995 00:39:05,676 --> 00:39:07,969 I-I-I don't know what to say. 996 00:39:07,970 --> 00:39:10,263 Have you ever heard of ITP? 997 00:39:10,264 --> 00:39:11,265 I never did. 998 00:39:13,434 --> 00:39:15,685 I really appreciate you bringing her here, okay? 999 00:39:15,686 --> 00:39:17,979 Of course. What do you think I am? 1000 00:39:17,980 --> 00:39:19,314 Oh, that's right. 1001 00:39:19,315 --> 00:39:20,940 You think I'm some kind of child abuser. 1002 00:39:20,941 --> 00:39:22,609 - No, I never said that-- - The fuck you didn't. 1003 00:39:22,610 --> 00:39:24,694 In front of all those people, you made it sound like 1004 00:39:24,695 --> 00:39:25,862 she might have been getting hurt 1005 00:39:25,863 --> 00:39:28,114 while I was watching her, like it was my fault. 1006 00:39:28,115 --> 00:39:29,407 You basically said the same thing about me. 1007 00:39:29,408 --> 00:39:31,076 No, I said that you guys roughhouse-- 1008 00:39:31,077 --> 00:39:32,702 that's all--because you do. 1009 00:39:32,703 --> 00:39:34,913 You know I would never hurt my daughter. 1010 00:39:34,914 --> 00:39:36,998 Actually, I don't. 1011 00:39:36,999 --> 00:39:39,918 I've known you six months. You could be anybody. 1012 00:39:39,919 --> 00:39:42,003 Okay, well, I am sorry for what I said, okay? 1013 00:39:42,004 --> 00:39:43,713 I was upset, and I-I was worried. 1014 00:39:43,714 --> 00:39:45,256 And I just-- I said something stupid. 1015 00:39:45,257 --> 00:39:46,591 - And I just-- - You think? 1016 00:39:46,592 --> 00:39:47,842 Will you just fucking let me finish? 1017 00:39:47,843 --> 00:39:49,969 You are finished! 1018 00:39:49,970 --> 00:39:51,055 We're finished. 1019 00:39:53,265 --> 00:39:54,974 Well, happy fucking Fourth of July. 1020 00:39:54,975 --> 00:39:56,227 Yeah, happy Independence Day. 1021 00:40:01,357 --> 00:40:02,650 Excuse me? 1022 00:40:04,110 --> 00:40:06,069 Yes? What can I do for you? 1023 00:40:06,070 --> 00:40:08,279 Uh, my wife and I were in an accident. 1024 00:40:08,280 --> 00:40:11,658 Um, she's in surgery right now. 1025 00:40:11,659 --> 00:40:13,618 Would you mind holding my phone up for me 1026 00:40:13,619 --> 00:40:16,079 so I could record a message for her? 1027 00:40:16,080 --> 00:40:17,747 Of course I will. 1028 00:40:17,748 --> 00:40:18,748 Happy to. 1029 00:40:18,749 --> 00:40:21,501 Oh, good, I have the same one. 1030 00:40:21,502 --> 00:40:23,254 I know how this works. 1031 00:40:25,256 --> 00:40:27,549 Okay. 1032 00:40:27,550 --> 00:40:28,716 Ready? 1033 00:40:28,717 --> 00:40:29,885 Go. 1034 00:40:32,221 --> 00:40:34,681 Hi, my love. 1035 00:40:34,682 --> 00:40:37,225 So, uh... 1036 00:40:37,226 --> 00:40:41,187 I was listening to this couple argue, uh... 1037 00:40:41,188 --> 00:40:43,064 and they were yelling. 1038 00:40:43,065 --> 00:40:45,568 Both so angry. 1039 00:40:47,528 --> 00:40:52,198 And I just wanted you to know, um... 1040 00:40:52,199 --> 00:40:54,200 that I was wrong. 1041 00:40:54,201 --> 00:40:59,080 I was so wrong, and-- and I'm sorry about all of it. 1042 00:40:59,081 --> 00:41:00,499 Uh... 1043 00:41:02,251 --> 00:41:03,793 Hey. 1044 00:41:03,794 --> 00:41:05,753 How you doing? 1045 00:41:05,754 --> 00:41:07,797 I haven't seen him in, like, four years. 1046 00:41:07,798 --> 00:41:10,633 Oh. I can't imagine. 1047 00:41:10,634 --> 00:41:12,802 - That must have been-- - So crazy. 1048 00:41:12,803 --> 00:41:15,054 You know, things were not good at the end. 1049 00:41:15,055 --> 00:41:17,640 He was a really different person. 1050 00:41:17,641 --> 00:41:22,061 Huge temper, not like when we first got married. 1051 00:41:22,062 --> 00:41:23,981 I'm so sorry. 1052 00:41:25,316 --> 00:41:27,358 Could that mass have been there for a while 1053 00:41:27,359 --> 00:41:30,487 and only recently got worse? 1054 00:41:30,488 --> 00:41:31,779 Yes. 1055 00:41:31,780 --> 00:41:34,574 Could it be responsible for how much he changed? 1056 00:41:34,575 --> 00:41:36,826 You know, his-- his moods and tempers? 1057 00:41:36,827 --> 00:41:41,039 He was--he was getting into fights with strangers. 1058 00:41:41,040 --> 00:41:43,501 It's possible. 1059 00:41:50,132 --> 00:41:51,550 Oh. 1060 00:41:53,928 --> 00:41:55,679 Thank you. 1061 00:41:57,890 --> 00:42:01,976 Um, unless he's asked you to change it, 1062 00:42:01,977 --> 00:42:05,313 would you please leave me as... 1063 00:42:05,314 --> 00:42:06,940 the emergency contact? 1064 00:42:06,941 --> 00:42:08,901 Yeah, absolutely. 1065 00:42:20,120 --> 00:42:22,664 Okay, I'm sending Mrs. Kovalenko home 1066 00:42:22,665 --> 00:42:23,873 with burn dressing 1067 00:42:23,874 --> 00:42:25,959 but not before she turned my sabbatical 1068 00:42:25,960 --> 00:42:28,670 - into a midlife crisis. - No comment. 1069 00:42:28,671 --> 00:42:30,672 - Wound check, two days. - Got it. 1070 00:42:30,673 --> 00:42:32,257 What about Kylie, this little girl? 1071 00:42:32,258 --> 00:42:34,175 - She gone up yet? - Hopefully soon. 1072 00:42:34,176 --> 00:42:36,386 Hey, we're starting to clear some space around here. 1073 00:42:36,387 --> 00:42:38,471 Yep. 1074 00:42:38,472 --> 00:42:42,017 PTMC Charge Nurse. Go ahead, Medic Command. 1075 00:42:43,602 --> 00:42:45,311 Is this a drill? 1076 00:42:45,312 --> 00:42:46,479 Is this a joke? 1077 00:42:46,480 --> 00:42:47,815 It's the Fourth of fucking July. 1078 00:42:52,861 --> 00:42:54,654 Got it. Thanks. 1079 00:42:54,655 --> 00:42:56,489 - What's up? - Westbridge has a Code Black 1080 00:42:56,490 --> 00:42:58,408 and is closing to internal disaster. 1081 00:42:58,409 --> 00:43:00,451 Central's diverting all their ambulance traffic to us. 1082 00:43:00,452 --> 00:43:02,579 - What's the issue? - Comspec didn't say. 1083 00:43:02,580 --> 00:43:03,663 Shit, it could be anything 1084 00:43:03,664 --> 00:43:05,248 from a flooding toilet to a power outage. 1085 00:43:05,249 --> 00:43:06,874 - How long? - Didn't know. 1086 00:43:06,875 --> 00:43:09,210 A couple of doctors probably got the holiday flu, 1087 00:43:09,211 --> 00:43:11,088 and they're understaffed. 1088 00:43:12,756 --> 00:43:16,050 How come? How long? How many? 1089 00:43:16,051 --> 00:43:18,136 Mm, mm, mm. 1090 00:43:18,137 --> 00:43:21,472 Sounds like a betting grid to me. 1091 00:43:21,473 --> 00:43:23,434 We are back. 1092 00:43:24,893 --> 00:43:28,105 Oh, I should have left last night.