1 00:00:25,943 --> 00:00:27,985 Oh, okay. 2 00:00:27,986 --> 00:00:29,570 Where are we now? 3 00:00:29,571 --> 00:00:31,572 Got the VRI for our deaf patient in Central 12. 4 00:00:31,573 --> 00:00:33,616 Still waiting on Pedes for Baby Jane Doe. 5 00:00:33,617 --> 00:00:35,576 Central 6 is sitting pretty with his insulin drip. 6 00:00:35,577 --> 00:00:37,203 And the Westbridge diversions are 7 00:00:37,204 --> 00:00:38,538 kindly waiting their turn to sit 8 00:00:38,539 --> 00:00:40,122 for hours in our lovely halls. 9 00:00:40,123 --> 00:00:42,083 You are some kind of savant. 10 00:00:42,084 --> 00:00:43,167 Worthy of a raise? 11 00:00:43,168 --> 00:00:45,044 Just more of my love. 12 00:00:45,045 --> 00:00:46,420 I got enough of that. 13 00:00:46,421 --> 00:00:48,673 I have a sexual assault victim in triage. 14 00:00:48,674 --> 00:00:51,050 I called PAAR, so an advocate is on the way. 15 00:00:51,051 --> 00:00:53,177 Okay. We'll take care of it. 16 00:00:53,178 --> 00:00:56,305 Uh, Dr. McKay, what's going on with your patient in Central 9? 17 00:00:56,306 --> 00:00:57,640 Isn't she good to go? 18 00:00:57,641 --> 00:00:59,350 Oh, she was, but she decided 19 00:00:59,351 --> 00:01:00,851 she wanted to stay in the hospital now 20 00:01:00,852 --> 00:01:02,186 because she's in too much pain. 21 00:01:02,187 --> 00:01:04,063 In our loud and overcrowded ED 22 00:01:04,064 --> 00:01:06,399 with more Westbridge cases arriving every moment? 23 00:01:06,400 --> 00:01:08,401 She would be more comfortable at home. 24 00:01:08,402 --> 00:01:11,821 The debrief was lovely. 25 00:01:11,822 --> 00:01:13,364 Thank you. 26 00:01:13,365 --> 00:01:15,408 Would you mind helping Dana with a sexual assault victim 27 00:01:15,409 --> 00:01:17,326 - who just came in? - Of course. Sure. 28 00:01:17,327 --> 00:01:19,161 Why don't you and I go see if we can't convince 29 00:01:19,162 --> 00:01:20,913 - your patient to leave? - All right. 30 00:01:20,914 --> 00:01:23,583 I need to take care of a sexual assault victim in triage. 31 00:01:23,584 --> 00:01:25,334 One of you needs to hold down the fort. 32 00:01:25,335 --> 00:01:28,004 We can call for a SANE. On a holiday? Could be hours. 33 00:01:28,005 --> 00:01:29,755 We're not gonna make this patient wait. 34 00:01:29,756 --> 00:01:30,965 And since I'm the only SANE on staff-- 35 00:01:30,966 --> 00:01:32,301 Princess will cover. 36 00:01:34,177 --> 00:01:35,845 Hey! Hey! 37 00:01:35,846 --> 00:01:37,388 You two better not be teaching her any bad habits. 38 00:01:37,389 --> 00:01:39,974 - Come on. You ready, Doc? - Sure. 39 00:01:39,975 --> 00:01:42,935 A SANE is a Sexual Assault Nurse Examiner. 40 00:01:42,936 --> 00:01:45,062 We do forensic exams, collect evidence, 41 00:01:45,063 --> 00:01:47,773 and hand it over to the police if a report is made. 42 00:01:47,774 --> 00:01:49,775 We also provide resources, support, 43 00:01:49,776 --> 00:01:52,069 - sometimes even testimony. - You go to court? 44 00:01:52,070 --> 00:01:55,031 SANEs are very valuable in a hospital, especially an ED. 45 00:01:55,032 --> 00:01:56,991 More nurses should train for it. 46 00:01:56,992 --> 00:01:59,161 That's a not so subtle hint. 47 00:02:07,252 --> 00:02:09,420 Looks like this is the new hot spot, huh? 48 00:02:09,421 --> 00:02:10,921 And only getting hotter. 49 00:02:10,922 --> 00:02:12,840 Any word on what's going on with Westbridge? 50 00:02:12,841 --> 00:02:14,175 I got 20 on lantern flies. 51 00:02:14,176 --> 00:02:16,218 Nope, nothing. 52 00:02:16,219 --> 00:02:19,639 These patient passports have an interesting alternative use. 53 00:02:19,640 --> 00:02:21,140 Where's the sexual assault victim? 54 00:02:21,141 --> 00:02:22,725 She's in Triage, Chair 2. 55 00:02:22,726 --> 00:02:24,727 Thanks, Lupe. 56 00:02:24,728 --> 00:02:25,770 Here's her intake. 57 00:02:25,771 --> 00:02:27,689 Got it. 58 00:02:34,071 --> 00:02:36,113 Hi, Ms. Miller. 59 00:02:36,114 --> 00:02:37,406 I'm Dana. 60 00:02:37,407 --> 00:02:38,949 How are you doing? 61 00:02:38,950 --> 00:02:41,577 - I've been better. - Yeah. 62 00:02:41,578 --> 00:02:42,995 You're in a safe place now. 63 00:02:42,996 --> 00:02:44,747 I'm the charge nurse in the ED 64 00:02:44,748 --> 00:02:46,999 and a sexual assault nurse examiner. 65 00:02:47,000 --> 00:02:48,709 This is Emma, who will be assisting. 66 00:02:48,710 --> 00:02:50,211 And I'm Dr. Al-Hashimi. 67 00:02:50,212 --> 00:02:51,587 I'll be checking you for any injuries 68 00:02:51,588 --> 00:02:54,298 that need immediate attention. 69 00:02:54,299 --> 00:02:56,175 You can just call me Ilana. 70 00:02:56,176 --> 00:02:57,510 I don't have any injuries. 71 00:02:57,511 --> 00:02:59,178 Okay, that's good. 72 00:02:59,179 --> 00:03:00,971 We're gonna get a room ready for you. 73 00:03:00,972 --> 00:03:03,057 Meanwhile, Dr. Al-Hashimi is gonna ask you a few questions. 74 00:03:03,058 --> 00:03:05,142 How long is this gonna take? 75 00:03:05,143 --> 00:03:06,727 I can't promise an exact time, 76 00:03:06,728 --> 00:03:09,730 but we'll try to be as fast as you need. 77 00:03:09,731 --> 00:03:11,233 - Thank you. - Yeah. 78 00:03:15,195 --> 00:03:18,531 Okay, Ilana, do you take any prescription medications? 79 00:03:18,532 --> 00:03:20,533 Just Synthroid, one tab a day. 80 00:03:20,534 --> 00:03:22,493 Okay, and any allergies to medications? 81 00:03:22,494 --> 00:03:24,537 - No. No. - Okay. 82 00:03:24,538 --> 00:03:26,580 Dana will come get you when the room is ready, 83 00:03:26,581 --> 00:03:28,917 and I'll be back to finish your exam. 84 00:03:35,799 --> 00:03:37,341 Come find me when she's in a gown. 85 00:03:37,342 --> 00:03:38,926 Will do. 86 00:03:38,927 --> 00:03:40,761 We're gonna use Triage Exam Rooms 1 and 2 for this. 87 00:03:40,762 --> 00:03:43,764 It's the most private space we have away from the ED. 88 00:03:43,765 --> 00:03:45,558 All right, this can be a lot. 89 00:03:45,559 --> 00:03:47,518 You up for it? 90 00:03:47,519 --> 00:03:48,686 Yeah. 91 00:03:48,687 --> 00:03:50,396 Yes. I'm good. 92 00:03:50,397 --> 00:03:52,816 Let me know if you need to step out. 93 00:03:59,114 --> 00:04:01,658 Yes. 94 00:04:03,827 --> 00:04:05,494 Dr. Ellis. 95 00:04:05,495 --> 00:04:07,663 - Oh, no. - Oh, yes. 96 00:04:07,664 --> 00:04:08,914 Need the room. 97 00:04:08,915 --> 00:04:10,916 Find another place to lay your head. 98 00:04:10,917 --> 00:04:13,502 Not even a 20-minute power nap? 99 00:04:13,503 --> 00:04:15,129 You know, my double is at 1:30. I'm-- 100 00:04:15,130 --> 00:04:17,131 Nope, we're getting Westbridge diversions. 101 00:04:17,132 --> 00:04:18,340 And chairs is insane. 102 00:04:18,341 --> 00:04:19,842 - Did you see out there? - No. 103 00:04:19,843 --> 00:04:21,552 I do not come in through that mess. 104 00:04:21,553 --> 00:04:23,304 Okay. 105 00:04:23,305 --> 00:04:24,513 Yeah. 106 00:04:24,514 --> 00:04:25,973 People sleep in here? 107 00:04:25,974 --> 00:04:28,184 Yeah, the night shift docs just need rest, 108 00:04:28,185 --> 00:04:30,102 especially if they have to come in during the day. 109 00:04:30,103 --> 00:04:32,188 But today, we can't waste the space. 110 00:04:32,189 --> 00:04:37,527 I need you to get me a stool on wheels and Esme for a turnover. 111 00:04:40,405 --> 00:04:43,909 So you're having a headache and abdominal pain? 112 00:04:47,496 --> 00:04:49,288 Yeah, that's right. 113 00:04:49,289 --> 00:04:52,042 Okay, and which would you say is worse? 114 00:04:55,378 --> 00:04:57,213 My headache was terrible last week... 115 00:04:57,214 --> 00:05:00,257 But now-- 116 00:05:00,258 --> 00:05:01,509 Hey, you're-- you're breaking up. 117 00:05:01,510 --> 00:05:03,135 Can you run that back again? 118 00:05:03,136 --> 00:05:04,638 Sure. 119 00:05:07,557 --> 00:05:09,809 My headache was terrible last week... 120 00:05:09,810 --> 00:05:13,395 But now my abdominal pain-- 121 00:05:13,396 --> 00:05:14,480 Oh, my God. 122 00:05:14,481 --> 00:05:16,524 Come on, you piece of-- 123 00:05:16,525 --> 00:05:18,108 fuck. 124 00:05:18,109 --> 00:05:19,528 Um-- 125 00:05:45,303 --> 00:05:47,805 I'll--I'll be right back. 126 00:05:47,806 --> 00:05:49,599 Sorry. 127 00:05:55,730 --> 00:05:57,189 Um, Dr. Al-Hashimi? 128 00:05:57,190 --> 00:05:58,941 Jackson's parents are here. 129 00:05:58,942 --> 00:06:01,485 Okay. I'll take that. 130 00:06:01,486 --> 00:06:04,405 Um, Mr. and Mrs. Davis, this is one of my attendings, 131 00:06:04,406 --> 00:06:06,657 - Dr. Al-Hashimi. - Hi. Nice to meet you. 132 00:06:06,658 --> 00:06:08,784 - Demi. - Charles. 133 00:06:08,785 --> 00:06:10,619 What the hell's going on? 134 00:06:10,620 --> 00:06:12,538 He's barely conscious. 135 00:06:12,539 --> 00:06:14,248 Jackson's just a little tired due to the sedative 136 00:06:14,249 --> 00:06:16,333 - he was given. - You sedated him? 137 00:06:16,334 --> 00:06:18,711 Oh, your son was brought in extremely agitated. 138 00:06:18,712 --> 00:06:20,045 You'd be, too, if you were tased. 139 00:06:20,046 --> 00:06:22,298 And why the fuck did they do that? 140 00:06:22,299 --> 00:06:25,050 This is bullshit. We're taking him home. 141 00:06:25,051 --> 00:06:27,095 Why don't we step out for a second? 142 00:06:35,520 --> 00:06:38,939 Right now, Jackson is on an involuntary psych hold. 143 00:06:38,940 --> 00:06:40,858 What? That's not necessary. 144 00:06:40,859 --> 00:06:42,234 He just needs some rest. 145 00:06:42,235 --> 00:06:44,194 He's been studying for the bar exam. 146 00:06:44,195 --> 00:06:45,613 We can watch him at home. 147 00:06:45,614 --> 00:06:47,197 So far, all of his tests look good, 148 00:06:47,198 --> 00:06:50,284 but Jackson has reported hearing voices. 149 00:06:50,285 --> 00:06:51,869 This could be serious. 150 00:06:51,870 --> 00:06:53,954 Dr. Jefferson will come back and speak with you. 151 00:06:53,955 --> 00:06:57,124 He can explain more of what may be going on with Jackson. 152 00:06:57,125 --> 00:06:58,626 And who is Dr. Jefferson? 153 00:06:58,627 --> 00:07:00,586 He's from Psychiatry, and he's excellent. 154 00:07:00,587 --> 00:07:02,713 He can explain next steps and answer all of your questions. 155 00:07:02,714 --> 00:07:05,299 Javadi, why don't you take the Davises to the family room? 156 00:07:05,300 --> 00:07:06,675 - Sure. - Excuse me. 157 00:07:06,676 --> 00:07:08,053 It's just this way. 158 00:07:29,616 --> 00:07:32,326 You have reached the Pittsburgh Neuroscience Group. 159 00:07:32,327 --> 00:07:34,370 If this is a medical emergency, 160 00:07:34,371 --> 00:07:37,373 please hang up and dial 911. 161 00:07:37,374 --> 00:07:40,417 For our address and office hours, press 1. 162 00:07:40,418 --> 00:07:43,170 To refill a prescription, press 2. 163 00:07:43,171 --> 00:07:47,758 To leave a message for the doctor on call-- 164 00:07:47,759 --> 00:07:49,927 Hi, this is Dr. Baran al-Hashimi. 165 00:07:49,928 --> 00:07:51,845 I'm a patient of Dr. Fairgraves. 166 00:07:51,846 --> 00:07:55,724 I need to speak to him if he's on call. 167 00:07:55,725 --> 00:07:59,061 If he's not, I'll take his next available appointment. 168 00:07:59,062 --> 00:08:02,398 And please call me if he has a cancellation. 169 00:08:02,399 --> 00:08:04,274 Thank you. 170 00:08:04,275 --> 00:08:06,819 Like I said, you're more than welcome to stay down here 171 00:08:06,820 --> 00:08:08,654 until an inpatient bed opens up upstairs. 172 00:08:08,655 --> 00:08:12,032 But that can take a while, sometimes days, 173 00:08:12,033 --> 00:08:14,368 even longer. 174 00:08:14,369 --> 00:08:15,953 It's gonna be really noisy here, 175 00:08:15,954 --> 00:08:17,454 and you won't get any rest. 176 00:08:17,455 --> 00:08:19,248 At home, you'll be surrounded by your family 177 00:08:19,249 --> 00:08:22,751 and be more comfortable. 178 00:08:22,752 --> 00:08:24,963 It's your choice, Roxie. 179 00:08:27,007 --> 00:08:29,967 It's not that I don't wanna go home, but-- 180 00:08:29,968 --> 00:08:32,052 - Hi, Mom. - Mom. 181 00:08:32,053 --> 00:08:35,848 Lena texted me to come back. I figured I'd bring the boys. 182 00:08:35,849 --> 00:08:38,350 What's going on? Is everything okay? 183 00:08:38,351 --> 00:08:42,146 Robby, police officer, incoming trauma. 184 00:08:42,147 --> 00:08:43,272 Coming. 185 00:08:43,273 --> 00:08:44,606 I'll be right back. 186 00:08:44,607 --> 00:08:46,276 We'll give you a chance to talk. 187 00:08:48,653 --> 00:08:51,364 Okay, why don't you have a seat? 188 00:08:59,039 --> 00:09:01,541 Do you need anything before we begin? 189 00:09:06,296 --> 00:09:09,006 You're in control now, Ilana. 190 00:09:09,007 --> 00:09:11,717 We're here to help and support you. 191 00:09:11,718 --> 00:09:15,179 Once I open this kit, I cannot leave the room. 192 00:09:15,180 --> 00:09:18,265 But if you need a break or some air, just let us know. 193 00:09:18,266 --> 00:09:21,518 Okay? Emma can go with you if you like. 194 00:09:21,519 --> 00:09:24,063 An advocate from Pittsburgh Action Against Rape 195 00:09:24,064 --> 00:09:25,731 has been called, and they should arrive soon. 196 00:09:25,732 --> 00:09:28,442 - Can we start? - Sure. 197 00:09:28,443 --> 00:09:29,818 I'm gonna put my face shield on 198 00:09:29,819 --> 00:09:32,029 so I don't contaminate anything. 199 00:09:32,030 --> 00:09:34,990 Emma has already done the same. 200 00:09:34,991 --> 00:09:39,078 Now, in order for the doctor to do her exam, 201 00:09:39,079 --> 00:09:40,454 I need you in a gown, 202 00:09:40,455 --> 00:09:41,872 but I need to collect your clothing first. 203 00:09:41,873 --> 00:09:43,875 Is that okay? 204 00:09:47,670 --> 00:09:50,756 I'm gonna need you to undress on top of these pads. 205 00:09:50,757 --> 00:09:53,675 Put each item of clothing on the pads, okay? 206 00:09:53,676 --> 00:09:57,346 Then we'll package each piece in a separate bag. 207 00:09:57,347 --> 00:09:58,472 We'll get you new clothes. 208 00:09:58,473 --> 00:09:59,848 - Don't worry. - All right. 209 00:09:59,849 --> 00:10:01,600 Emma's gonna be behind this curtain, 210 00:10:01,601 --> 00:10:04,645 and I'll be in here with you. 211 00:10:04,646 --> 00:10:07,648 And take off your shoes first. 212 00:10:07,649 --> 00:10:12,194 When you're done, I want you to put on your gown 213 00:10:12,195 --> 00:10:15,198 open in the back. 214 00:10:39,472 --> 00:10:41,723 What if the mom doesn't wanna leave? 215 00:10:41,724 --> 00:10:44,102 Well, then she's gonna have to put up with us. 216 00:10:45,979 --> 00:10:48,856 I can't imagine--her boys. 217 00:10:48,857 --> 00:10:50,566 Oh, don't go there. 218 00:10:50,567 --> 00:10:52,317 I'm gonna see if I can grease the wheels, 219 00:10:52,318 --> 00:10:53,527 get her a room upstairs soon. 220 00:10:53,528 --> 00:10:55,445 Good luck. What was that? 221 00:10:55,446 --> 00:10:56,947 Battle plan for our hall space. 222 00:10:56,948 --> 00:10:58,448 It's filling up fast. 223 00:10:58,449 --> 00:11:00,117 Police officer should be here any minute. 224 00:11:00,118 --> 00:11:02,035 Yeah, well, as soon as you can, please, 225 00:11:02,036 --> 00:11:03,370 I need you to fix the VRI. 226 00:11:03,371 --> 00:11:04,705 All right. Thanks. 227 00:11:04,706 --> 00:11:06,248 Santos, I need you to pick up some more 228 00:11:06,249 --> 00:11:07,791 - of these Westbridge diversions. - Sure. 229 00:11:07,792 --> 00:11:09,209 You want my firstborn too? 230 00:11:09,210 --> 00:11:11,378 Maybe. Will they know how to suture? 231 00:11:11,379 --> 00:11:13,005 Intubated neck wound, sats not great. 232 00:11:13,006 --> 00:11:15,090 We were diverted here. Is there a trauma room open? 233 00:11:15,091 --> 00:11:16,800 - Trauma 1! - What's the story? 234 00:11:16,801 --> 00:11:19,469 My buddy, Officer Hiro, high-velocity GSW. 235 00:11:19,470 --> 00:11:20,846 He's getting harder to bag. 236 00:11:20,847 --> 00:11:23,682 Warehouse robbery gone sideways. 237 00:11:23,683 --> 00:11:24,850 One, two, three. 238 00:11:24,851 --> 00:11:26,226 You guys wait here. 239 00:11:26,227 --> 00:11:27,978 We'll take care of him, I promise. 240 00:11:27,979 --> 00:11:29,730 I thought you left us already for the open road? 241 00:11:29,731 --> 00:11:31,315 And miss seeing you in uniform? 242 00:11:31,316 --> 00:11:33,066 You should see me as a flight attendant. 243 00:11:33,067 --> 00:11:35,277 - Did you do this intubation? - Under active fire, yeah. 244 00:11:35,278 --> 00:11:36,862 Are you serious? 245 00:11:36,863 --> 00:11:38,530 I go in with the team in case there's an injury. 246 00:11:38,531 --> 00:11:39,990 That's badass. 247 00:11:39,991 --> 00:11:41,617 Dr. Santos, let's make sure these lungs are up. 248 00:11:41,618 --> 00:11:43,410 - Could you see the cords? - Yeah, there was a great view, 249 00:11:43,411 --> 00:11:45,204 but it was hard to pass after I cleared them. 250 00:11:45,205 --> 00:11:47,039 Yeah, sats down to 85. 251 00:11:47,040 --> 00:11:49,082 Dr. Santos, what could cause respiratory failure 252 00:11:49,083 --> 00:11:50,667 in an intubated patient? 253 00:11:50,668 --> 00:11:52,002 There are a lot of possibilities. 254 00:11:52,003 --> 00:11:53,420 Think DOPE. 255 00:11:53,421 --> 00:11:55,797 Displacement, Obstruction, Pneumothorax, 256 00:11:55,798 --> 00:11:57,132 Equipment failure. 257 00:11:57,133 --> 00:11:59,676 Good lung sliding, no pneumo. 258 00:11:59,677 --> 00:12:01,178 It is displacement. 259 00:12:01,179 --> 00:12:03,640 Okay, that is a transected trachea. 260 00:12:05,642 --> 00:12:07,726 Pulling out. 261 00:12:07,727 --> 00:12:09,228 Bag. 262 00:12:09,229 --> 00:12:10,771 But if you intubate again, won't it just come straight 263 00:12:10,772 --> 00:12:12,231 - out the wound? - Yep, exactly. 264 00:12:12,232 --> 00:12:13,649 So we're gonna need another plan. 265 00:12:13,650 --> 00:12:15,359 Okay. Sats down to 83. 266 00:12:15,360 --> 00:12:16,860 Yeah, he's not moving any air. 267 00:12:16,861 --> 00:12:18,779 Okay, I need a neonatal mask. 268 00:12:18,780 --> 00:12:21,281 - Neonatal? - Yep. 269 00:12:21,282 --> 00:12:23,784 I'm just going to finish my initial exam. 270 00:12:23,785 --> 00:12:25,954 Let me know if you feel any pain, okay? 271 00:12:29,749 --> 00:12:32,459 My legs are fine. 272 00:12:32,460 --> 00:12:34,086 All looks good. 273 00:12:34,087 --> 00:12:36,630 No need for X-rays or advanced imaging. 274 00:12:36,631 --> 00:12:38,048 Got it. 275 00:12:38,049 --> 00:12:40,592 - Two areas of ecchymosis... - That means bruising. 276 00:12:40,593 --> 00:12:42,261 Over the shoulders bilaterally. 277 00:12:42,262 --> 00:12:43,971 - I'll document with photos. - Okay. 278 00:12:43,972 --> 00:12:46,098 Dana will finish up her work, and I will be in the ER 279 00:12:46,099 --> 00:12:47,808 if you have any questions. 280 00:12:47,809 --> 00:12:49,393 You're in great hands. 281 00:12:49,394 --> 00:12:51,979 Thank you. 282 00:12:51,980 --> 00:12:54,314 All right, Ilana. 283 00:12:54,315 --> 00:12:56,275 I read your intake. 284 00:12:56,276 --> 00:12:57,651 Why don't you give me your description 285 00:12:57,652 --> 00:12:59,195 of exactly what happened? 286 00:13:02,073 --> 00:13:06,201 I was at a 4th of July barbecue 287 00:13:06,202 --> 00:13:09,037 with a bunch of friends. 288 00:13:09,038 --> 00:13:11,749 I helped set up. 289 00:13:19,132 --> 00:13:20,674 Where does it hurt? 290 00:13:20,675 --> 00:13:24,136 Like here, under my belly button. 291 00:13:24,137 --> 00:13:27,514 Okay, do you have any fever, vomiting, diarrhea? 292 00:13:27,515 --> 00:13:30,934 Oh, no. It's--it's just a stomachache. 293 00:13:30,935 --> 00:13:33,228 Okay, well, still, go see the nurse and have her call me. 294 00:13:33,229 --> 00:13:34,688 Okay. 295 00:13:34,689 --> 00:13:37,149 But I'm still having ice cream tonight. 296 00:13:37,150 --> 00:13:39,318 Why don't you see how you feel later? 297 00:13:39,319 --> 00:13:42,863 It--it's not bad. You don't have to get so sad. 298 00:13:42,864 --> 00:13:45,240 I'm not sad. I'm--I'm good. 299 00:13:45,241 --> 00:13:47,576 Your face doesn't look good. 300 00:13:47,577 --> 00:13:48,994 Oh. 301 00:13:48,995 --> 00:13:51,079 Well, you still wanna watch the fireworks tonight? 302 00:13:51,080 --> 00:13:52,373 I have our headphones-- 303 00:13:54,000 --> 00:13:56,461 - I'm not being rude. - Sorry, Becca. I gotta go. 304 00:14:02,467 --> 00:14:05,844 Elliot Green, 17, syncopal episode at football practice. 305 00:14:05,845 --> 00:14:07,721 Look, I just got dizzy, okay? 306 00:14:07,722 --> 00:14:09,306 It's hell week. I need to get back. 307 00:14:09,307 --> 00:14:11,058 Yeah, okay, tough guy. 308 00:14:11,059 --> 00:14:15,062 A and O, systolic of 95, tachy at 122, no meds, no allergies. 309 00:14:15,063 --> 00:14:16,563 How long were you at practice? 310 00:14:16,564 --> 00:14:19,066 I started at 9:00, so, like, four hours. 311 00:14:19,067 --> 00:14:21,526 Four hours in this heat with all that gear? 312 00:14:21,527 --> 00:14:23,654 No pain, no game. 313 00:14:25,615 --> 00:14:28,159 God, I'm hungry. 314 00:14:29,702 --> 00:14:33,080 Hey. When's our break? There's no breaks down here. 315 00:14:33,081 --> 00:14:36,124 Always make sure you pack a protein bar, something quick. 316 00:14:36,125 --> 00:14:40,045 Ogilvie, Joy, jump in on this. 317 00:14:40,046 --> 00:14:41,546 Syncope at football practice. 318 00:14:41,547 --> 00:14:44,716 No, I just-- I just needed to hydrate. 319 00:14:44,717 --> 00:14:46,093 Possible heatstroke? 320 00:14:46,094 --> 00:14:47,344 Well, with heatstroke, you would have 321 00:14:47,345 --> 00:14:48,720 an altered mental status. 322 00:14:48,721 --> 00:14:50,222 And they're usually dry, not sweaty. 323 00:14:50,223 --> 00:14:52,099 Mortality is 50%, especially in the elderly. 324 00:14:52,100 --> 00:14:54,352 In extreme heat like this... 325 00:14:55,395 --> 00:14:56,853 Langdon, can you cover this? 326 00:14:56,854 --> 00:14:59,356 - No problem. - Mr. Diaz. Orlando. 327 00:14:59,357 --> 00:15:01,233 Orlando, where are you going? 328 00:15:01,234 --> 00:15:03,068 - Home. Can you take these out? - Uh, no. 329 00:15:03,069 --> 00:15:05,195 It takes 48 hours for you to get out of DKA. 330 00:15:05,196 --> 00:15:06,988 Your blood is still full of acid. 331 00:15:06,989 --> 00:15:08,573 Look, I can't add thousands of dollars 332 00:15:08,574 --> 00:15:09,866 to the 100 grand I already owe. 333 00:15:09,867 --> 00:15:11,785 I'm--I'm sorry. 100 grand? 334 00:15:11,786 --> 00:15:14,037 In medical debt. My wife doesn't even know. 335 00:15:14,038 --> 00:15:16,039 I'll never be able to pay it off as it is. 336 00:15:16,040 --> 00:15:17,249 Where are your wife and daughter? 337 00:15:17,250 --> 00:15:18,708 Maybe we can all talk. 338 00:15:18,709 --> 00:15:20,293 I told them to go back to work a couple hours ago. 339 00:15:20,294 --> 00:15:21,962 But the hospital is giving you a big discount. 340 00:15:21,963 --> 00:15:23,755 And, Mr. Diaz, I know it's not ideal, 341 00:15:23,756 --> 00:15:25,507 but can you stay for at least 12 hours? 342 00:15:25,508 --> 00:15:27,217 It would get you out of the danger zone. 343 00:15:27,218 --> 00:15:29,803 No. I really can't. 344 00:15:29,804 --> 00:15:33,265 Every minute I stay is a meal, shoes, school supplies. 345 00:15:33,266 --> 00:15:35,767 Plus, I have a second job I have to get to by 4:00. 346 00:15:35,768 --> 00:15:38,687 - You need fluids! - I drink plenty of water. 347 00:15:38,688 --> 00:15:41,064 And potassium and insulin. Okay, how about this? 348 00:15:41,065 --> 00:15:43,817 You stay and I'll get together everything you'll need at home. 349 00:15:43,818 --> 00:15:48,155 Also, a referral to Northside Christian Health Center. 350 00:15:48,156 --> 00:15:50,532 Come on. You don't work until 4:00. 351 00:15:50,533 --> 00:15:53,243 It'll keep you from passing out on the job again-- 352 00:15:53,244 --> 00:15:54,495 or worse. 353 00:15:58,458 --> 00:16:00,000 Okay, I guess. 354 00:16:00,001 --> 00:16:01,168 Great. 355 00:16:01,169 --> 00:16:03,004 Thank you. Please. 356 00:16:06,382 --> 00:16:07,966 Sats up to 98. 357 00:16:07,967 --> 00:16:10,719 - Neonatal mask is working. - Santos, finish the FAST. 358 00:16:10,720 --> 00:16:12,012 What--what are you injecting? 359 00:16:12,013 --> 00:16:13,263 Lido with epi. 360 00:16:13,264 --> 00:16:14,764 It'll clamp off any little bleeders. 361 00:16:14,765 --> 00:16:16,266 We need some skin hooks. 4 Shiley? 362 00:16:16,267 --> 00:16:18,643 Mm, I don't like the curve of a Shiley. 363 00:16:18,644 --> 00:16:20,312 I didn't know you were so picky. 364 00:16:20,313 --> 00:16:21,396 Santos, take a break. 365 00:16:21,397 --> 00:16:23,523 Help me cut down a 6-0 ET tube. 366 00:16:23,524 --> 00:16:24,941 What is going on here? 367 00:16:24,942 --> 00:16:26,651 You have a field medic assisting you? 368 00:16:26,652 --> 00:16:28,028 Dr. Abbot is an attending, 369 00:16:28,029 --> 00:16:29,571 and he's also a SWAT physician. 370 00:16:29,572 --> 00:16:32,741 My buddy Hiro here is in bad need of an airway. 371 00:16:32,742 --> 00:16:34,117 - Cut it right here. - We can do this. 372 00:16:34,118 --> 00:16:35,368 No, no, I got it. 373 00:16:35,369 --> 00:16:36,495 You must be Gloria's new hire. 374 00:16:36,496 --> 00:16:37,996 Yes. Dr. Al-Hashimi. 375 00:16:37,997 --> 00:16:40,123 Well, I'd shake your hand, but my tube is ready. 376 00:16:40,124 --> 00:16:41,917 And if I could find and secure the distal trachea, 377 00:16:41,918 --> 00:16:43,251 we have a shot at this. 378 00:16:43,252 --> 00:16:45,712 Okay, keeping an eye on the sats. 379 00:16:45,713 --> 00:16:47,839 Slow is smooth. Smooth is fast. 380 00:16:47,840 --> 00:16:50,217 You know, you can call me just to say hi sometimes. 381 00:16:50,218 --> 00:16:51,510 What's up now? 382 00:16:51,511 --> 00:16:53,053 GSW with tracheal transection. 383 00:16:53,054 --> 00:16:56,431 Very retracted, but I think I can get it. 384 00:16:56,432 --> 00:16:58,183 Both lungs are up? 385 00:16:58,184 --> 00:17:00,560 - Sats down to 91. - Scanning the belly now. 386 00:17:00,561 --> 00:17:02,063 Okay. 387 00:17:03,606 --> 00:17:05,358 I got it. I got it. 388 00:17:08,277 --> 00:17:10,278 Gently, gently, or we're gonna lose it. 389 00:17:10,279 --> 00:17:12,113 Down to 89. 390 00:17:12,114 --> 00:17:13,281 Oh, no. 391 00:17:13,282 --> 00:17:15,243 I'm in. Balloon up. 392 00:17:17,161 --> 00:17:19,871 End tidal, excellent wave form. 393 00:17:19,872 --> 00:17:22,040 Good breath sounds. 394 00:17:22,041 --> 00:17:25,544 I'll sew the tracheal to the skin, 2-0 silk. 395 00:17:25,545 --> 00:17:27,254 - Sats are coming up. - Whoo. 396 00:17:27,255 --> 00:17:29,714 Not bad, Abbot. 397 00:17:29,715 --> 00:17:31,841 Mm, while you were playing with that airway, 398 00:17:31,842 --> 00:17:33,927 you missed a big bruise in the left upper quadrant. 399 00:17:33,928 --> 00:17:35,345 He was wearing body armor. 400 00:17:35,346 --> 00:17:36,596 High-velocity projectile doesn't have 401 00:17:36,597 --> 00:17:38,640 to penetrate to damage. 402 00:17:38,641 --> 00:17:41,101 There's no fluid in the suprasplenic space. 403 00:17:41,102 --> 00:17:43,311 Let me look. 404 00:17:43,312 --> 00:17:44,522 Okay, right there. 405 00:17:46,816 --> 00:17:49,192 Looks like a subcapsular hematoma of his spleen. 406 00:17:49,193 --> 00:17:50,735 Must have been a big impact. 407 00:17:50,736 --> 00:17:53,655 AR-15 muzzle velocity is 3,000 feet per second. 408 00:17:53,656 --> 00:17:55,156 CT angio of the neck ASAP, 409 00:17:55,157 --> 00:17:57,784 along with CT chest, abdomen, pelvis. 410 00:17:57,785 --> 00:18:00,955 Yep, just as soon as we secure this tube. 411 00:18:04,500 --> 00:18:07,085 - First liter's in. - Mucous membranes dry. 412 00:18:07,086 --> 00:18:09,296 Pupils 4 millimeters reactive. 413 00:18:09,297 --> 00:18:10,672 Did you get tackled today? 414 00:18:10,673 --> 00:18:12,090 No, just running drills. 415 00:18:12,091 --> 00:18:14,009 Any chest pain? Palpitations? 416 00:18:14,010 --> 00:18:15,343 No. 417 00:18:15,344 --> 00:18:16,720 Hands off, please, running the 12 lead. 418 00:18:16,721 --> 00:18:18,221 How are we looking? 419 00:18:18,222 --> 00:18:19,848 Good. Healthy kid. 420 00:18:19,849 --> 00:18:21,349 No history, no trauma. 421 00:18:21,350 --> 00:18:24,311 Differential for syncope in an adolescent? 422 00:18:24,312 --> 00:18:26,438 Cardiac arrhythmia from drugs... 423 00:18:26,439 --> 00:18:27,689 - Hypovolemia, seizure... - Long QT, WPW... 424 00:18:27,690 --> 00:18:29,316 - Sepsis. - Or Brugada. 425 00:18:29,317 --> 00:18:31,610 Uh, Brugada is more common in Asian males. 426 00:18:31,611 --> 00:18:33,111 But still should be considered. 427 00:18:33,112 --> 00:18:34,613 Long odds, though. 428 00:18:34,614 --> 00:18:36,531 Brugada prevalence is 1 in 20,000 in North America, 429 00:18:36,532 --> 00:18:39,367 as high as 1 in 300 in Asia and the Middle East. 430 00:18:39,368 --> 00:18:40,702 And? 431 00:18:40,703 --> 00:18:42,871 First described in 1992, has a high incidence 432 00:18:42,872 --> 00:18:44,748 of sudden death among young patients with otherwise 433 00:18:44,749 --> 00:18:47,250 - structurally normal hearts-- - Oof, oof, wait. 434 00:18:47,251 --> 00:18:48,877 Did you just say "sudden death"? 435 00:18:48,878 --> 00:18:50,337 Temp is 102.5. 436 00:18:50,338 --> 00:18:51,755 Sorry, our student doctors are discussing 437 00:18:51,756 --> 00:18:54,257 a rare condition you don't have. 438 00:18:54,258 --> 00:18:57,469 I--I just didn't drink enough water. 439 00:18:57,470 --> 00:19:00,472 I overheated. 440 00:19:00,473 --> 00:19:02,015 Not my type, bud. 441 00:19:02,016 --> 00:19:05,186 Other than standard labs, what else to order? 442 00:19:08,648 --> 00:19:10,523 CK to rule out rhabdo. 443 00:19:10,524 --> 00:19:11,775 To make sure you don't have 444 00:19:11,776 --> 00:19:13,318 any muscle breakdown from the heat. 445 00:19:13,319 --> 00:19:15,403 Let's set up a cooling room for Elliot here 446 00:19:15,404 --> 00:19:18,699 and the other heat exhaustions we'll inevitably get today. 447 00:19:22,411 --> 00:19:24,038 Last photo. 448 00:19:28,042 --> 00:19:29,209 Okay. 449 00:19:29,210 --> 00:19:31,461 We'll take the SD card and seal it 450 00:19:31,462 --> 00:19:34,756 in an evidence envelope with everything else. 451 00:19:34,757 --> 00:19:36,132 Okay. 452 00:19:36,133 --> 00:19:40,095 Next, Emma's gonna turn off the light, 453 00:19:40,096 --> 00:19:42,597 and I'll run a blue light over your skin. 454 00:19:42,598 --> 00:19:48,228 Anything glows, I'll swab it with a wet, then dry Q-tip. 455 00:19:48,229 --> 00:19:49,479 Is that okay? 456 00:19:49,480 --> 00:19:50,606 Yeah, sure. 457 00:19:53,067 --> 00:19:54,317 All right. 458 00:19:54,318 --> 00:19:56,444 Take off your gown on the left side 459 00:19:56,445 --> 00:19:59,115 and turn a little bit towards me, just to the left. 460 00:20:01,075 --> 00:20:02,493 There. 461 00:20:27,101 --> 00:20:28,768 Something on the left wrist. 462 00:20:28,769 --> 00:20:29,937 Swab. 463 00:20:37,319 --> 00:20:38,361 Sorry. 464 00:20:38,362 --> 00:20:39,696 Don't be. 465 00:20:39,697 --> 00:20:41,489 - It's just cold. - Yeah. 466 00:20:41,490 --> 00:20:43,242 Almost done. 467 00:20:49,498 --> 00:20:51,833 - Thanks, Antoine. - No problem. 468 00:20:51,834 --> 00:20:53,460 Keep your head down out there. 469 00:20:53,461 --> 00:20:55,003 What's the story? 470 00:20:55,004 --> 00:20:56,588 Neck angio is negative, missed the carotids. 471 00:20:56,589 --> 00:20:58,381 - He's lucky. - What about the belly? 472 00:20:58,382 --> 00:21:01,259 Small splenic injury, no free fluid in the abdomen. 473 00:21:01,260 --> 00:21:03,136 - That should heal on its own. - What's the plan? 474 00:21:03,137 --> 00:21:04,596 Head and Neck will have an OR ready 475 00:21:04,597 --> 00:21:05,930 with thoracic standing by. 476 00:21:05,931 --> 00:21:07,640 How soon can they take him? 477 00:21:07,641 --> 00:21:09,184 We're a little backed up with Westbridge patients, 478 00:21:09,185 --> 00:21:10,435 but let's bring him up. 479 00:21:10,436 --> 00:21:12,937 I'll get him taken care of for you. 480 00:21:12,938 --> 00:21:14,564 Hey. 481 00:21:14,565 --> 00:21:17,692 You're gonna be okay, Hiro. We're getting you to surgery. 482 00:21:17,693 --> 00:21:18,860 I'll write the procedure note. 483 00:21:18,861 --> 00:21:19,987 Thank you. 484 00:21:24,992 --> 00:21:26,117 SWAT? Really? 485 00:21:26,118 --> 00:21:28,119 I suck at golf. 486 00:21:28,120 --> 00:21:30,455 You spend time in the Middle East? 487 00:21:30,456 --> 00:21:32,040 More than I would have liked. 488 00:21:32,041 --> 00:21:34,876 I worked in Kabul with Médecins Sans Frontières 489 00:21:34,877 --> 00:21:37,629 and in 2020, at the maternity hospital. 490 00:21:37,630 --> 00:21:41,424 I met the most incredible, bravest doctors there. 491 00:21:41,425 --> 00:21:43,760 Dasht-e-Barchi. 492 00:21:43,761 --> 00:21:46,304 Tragedy. 493 00:21:46,305 --> 00:21:49,557 We should grab a beer sometime, share war stories. 494 00:21:49,558 --> 00:21:51,644 I'd like that. 495 00:21:54,647 --> 00:21:55,647 She seems cool. 496 00:21:55,648 --> 00:21:57,232 Yep, maybe. 497 00:21:57,233 --> 00:22:00,944 I'm not gonna be around long enough to find out. 498 00:22:00,945 --> 00:22:03,196 Oh, there she is! Vic! 499 00:22:03,197 --> 00:22:04,364 Dad! 500 00:22:04,365 --> 00:22:07,659 Victoria, this is Dr. Amy Joon. 501 00:22:07,660 --> 00:22:09,494 Dr. Joon is the smartest person I know. 502 00:22:09,495 --> 00:22:10,871 Don't tell your mother. Just kidding. 503 00:22:12,248 --> 00:22:13,289 But seriously, don't. 504 00:22:13,290 --> 00:22:14,624 - Hi. - Hello. 505 00:22:14,625 --> 00:22:16,793 Are--are you here to see a patient? 506 00:22:16,794 --> 00:22:18,419 No. We're here to see you. 507 00:22:18,420 --> 00:22:19,796 Dr. Joon is Chief of Dermatology. 508 00:22:19,797 --> 00:22:21,381 And Victoria's first shift in the ER 509 00:22:21,382 --> 00:22:24,259 was on the day of the PittFest shooting. 510 00:22:24,260 --> 00:22:26,344 I heard all the incredible stories, 511 00:22:26,345 --> 00:22:30,265 including your own acts of med student prowess. 512 00:22:30,266 --> 00:22:32,016 Wow, med student prowess. 513 00:22:32,017 --> 00:22:34,143 That's-- I'm--I'm pretty sure 514 00:22:34,144 --> 00:22:35,728 I was just trying to stay out of the way. 515 00:22:35,729 --> 00:22:37,063 Ah, she's modest, like her dad. 516 00:22:37,064 --> 00:22:38,898 And her mother? 517 00:22:38,899 --> 00:22:41,109 Oh. Sorry. 518 00:22:41,110 --> 00:22:42,902 Dr. Joon. 519 00:22:42,903 --> 00:22:44,779 Yep, coming. 520 00:22:44,780 --> 00:22:46,906 I'm doing a favor for someone at the mayor's office 521 00:22:46,907 --> 00:22:49,868 who needs Mohs surgery on a basal cell carcinoma. 522 00:22:49,869 --> 00:22:51,828 And then I am grilling for 30. 523 00:22:51,829 --> 00:22:53,830 - Oh, wow. - Happy 4th, all. 524 00:22:53,831 --> 00:22:55,123 - Happy 4th. - Yeah. 525 00:22:55,124 --> 00:22:57,333 - Thanks for coming down. - My pleasure. 526 00:22:57,334 --> 00:22:59,544 - Let's grab a coffee sometime. - Absolutely. Yes. 527 00:22:59,545 --> 00:23:01,880 Thank you. 528 00:23:01,881 --> 00:23:04,424 You know Mom really wants me to go into surgery. 529 00:23:04,425 --> 00:23:06,259 Ah, your mom wants me to stop drinking 530 00:23:06,260 --> 00:23:08,720 - and join a pickleball league. - Oh, that's the same. 531 00:23:08,721 --> 00:23:10,346 - Yeah, well-- - Exact same. 532 00:23:10,347 --> 00:23:12,724 I will risk an Achilles tear before I give up scotch. 533 00:23:12,725 --> 00:23:14,809 Hey, I hope I didn't embarrass you coming down here. 534 00:23:14,810 --> 00:23:16,227 No. 535 00:23:16,228 --> 00:23:18,021 I'm just trying to present you with some options 536 00:23:18,022 --> 00:23:19,480 for your residency. 537 00:23:19,481 --> 00:23:21,566 I--I really appreciate it, Dad. 538 00:23:21,567 --> 00:23:23,735 I do. I just-- 539 00:23:23,736 --> 00:23:25,862 I'm still not sure. 540 00:23:25,863 --> 00:23:27,614 Well, either way, you'll do what's right. 541 00:23:27,615 --> 00:23:28,948 You always do. 542 00:23:28,949 --> 00:23:30,867 - Proud of ya. - Okay. 543 00:23:30,868 --> 00:23:33,453 Dr. Javadi, you are a man of many talents. 544 00:23:33,454 --> 00:23:35,246 You don't know the half of it. 545 00:23:35,247 --> 00:23:36,414 Your daughter has some 546 00:23:36,415 --> 00:23:37,999 high standards to live up to. 547 00:23:38,000 --> 00:23:40,711 Oh, you don't know the half of it. 548 00:23:43,631 --> 00:23:47,050 Mr. and Mrs. Davis, this is Dr. Jefferson from Psychiatry. 549 00:23:47,051 --> 00:23:48,927 Please call me Caleb. 550 00:23:48,928 --> 00:23:51,346 Can you tell us what's going on with our son? 551 00:23:51,347 --> 00:23:55,183 All of his labs and X-rays came back normal. 552 00:23:55,184 --> 00:23:58,853 Given his age and his hearing voices, 553 00:23:58,854 --> 00:24:03,566 do either of you have a family history of mental illness? 554 00:24:03,567 --> 00:24:04,985 Not mine. 555 00:24:11,825 --> 00:24:13,493 My brother took his own life. 556 00:24:13,494 --> 00:24:15,870 Wait, what? 557 00:24:15,871 --> 00:24:18,081 Uncle Ken? 558 00:24:18,082 --> 00:24:19,958 You said he drank himself to death. 559 00:24:19,959 --> 00:24:21,793 - Ma. - He did that too. 560 00:24:21,794 --> 00:24:23,086 Was he ever formally diagnosed 561 00:24:23,087 --> 00:24:24,295 with a mental health issue? 562 00:24:24,296 --> 00:24:25,588 No. 563 00:24:25,589 --> 00:24:28,675 He was depressed, had mood swings. 564 00:24:28,676 --> 00:24:30,468 - But he didn't wanna see anyone. - Oh, my God. 565 00:24:30,469 --> 00:24:32,637 Okay, why am I just now hearing about this? 566 00:24:32,638 --> 00:24:35,014 - Jada, please. - Please what, Mom? 567 00:24:35,015 --> 00:24:37,976 Why would you not tell Jackson or me? 568 00:24:37,977 --> 00:24:39,435 I can't believe this. 569 00:24:39,436 --> 00:24:41,187 - Jada. - Excuse me. 570 00:24:41,188 --> 00:24:42,272 Jada. 571 00:24:49,822 --> 00:24:51,698 What happens next? 572 00:24:51,699 --> 00:24:54,117 We keep your son here for the next three days 573 00:24:54,118 --> 00:24:56,119 for observation and therapy. 574 00:24:56,120 --> 00:24:58,746 And that will help us to understand what is going on. 575 00:24:58,747 --> 00:25:00,248 Jada should really hear this. 576 00:25:00,249 --> 00:25:03,043 Let me see if I can find her, bring her back. 577 00:25:05,713 --> 00:25:08,214 Okay. I'm gonna swab your mouth now. 578 00:25:08,215 --> 00:25:09,924 My mouth? 579 00:25:09,925 --> 00:25:13,928 Two dry swabs along the inside of your cheek 580 00:25:13,929 --> 00:25:15,973 and then along the gum line. 581 00:25:19,685 --> 00:25:21,645 How you feeling? 582 00:25:23,313 --> 00:25:25,314 I wish this day never happened. 583 00:25:25,315 --> 00:25:27,358 Would you like some medicine to help you relax? 584 00:25:27,359 --> 00:25:29,528 You've experienced a horrific trauma. 585 00:25:32,031 --> 00:25:33,948 You've been doing this a while? 586 00:25:33,949 --> 00:25:35,450 Let's just say Florence Nightingale 587 00:25:35,451 --> 00:25:37,452 and I were roommates. 588 00:25:37,453 --> 00:25:39,996 Who? 589 00:25:39,997 --> 00:25:41,539 I rest my case. 590 00:25:41,540 --> 00:25:43,792 She was the founder of modern nursing. 591 00:25:45,711 --> 00:25:48,087 Okay, you can have something to eat or drink now. 592 00:25:48,088 --> 00:25:50,131 - I'm fine. - Are you sure? 593 00:25:50,132 --> 00:25:51,924 I'll just keep going. 594 00:25:51,925 --> 00:25:53,886 Okay. 595 00:26:00,601 --> 00:26:05,396 We now have a heat exhaustion treatment area in North 5. 596 00:26:05,397 --> 00:26:07,899 Evaporated cooling. Great plan. 597 00:26:07,900 --> 00:26:12,612 Yeah, it was Dr. Langdon's idea. 598 00:26:12,613 --> 00:26:16,532 He figured we'd be seeing a lot more patients in this heat. 599 00:26:16,533 --> 00:26:18,284 He's right. 600 00:26:18,285 --> 00:26:19,494 How are you feeling? 601 00:26:19,495 --> 00:26:21,996 That's a loaded question. 602 00:26:21,997 --> 00:26:24,040 It wasn't meant to be. 603 00:26:24,041 --> 00:26:26,292 You have a deposition in a couple of hours? 604 00:26:26,293 --> 00:26:28,544 - Yes. - How are you feeling about it? 605 00:26:28,545 --> 00:26:30,630 Um, trying to think positively 606 00:26:30,631 --> 00:26:33,716 but feeling, um, less so. 607 00:26:33,717 --> 00:26:36,010 This job's really important to me and my sister. 608 00:26:36,011 --> 00:26:37,595 You know, I support both of us. 609 00:26:37,596 --> 00:26:38,638 It's gonna go great. 610 00:26:38,639 --> 00:26:40,306 Just tell them what happened. 611 00:26:40,307 --> 00:26:41,891 You're not at fault. Your job's not in jeopardy. 612 00:26:41,892 --> 00:26:43,976 I mean, the lawyers said that I could-- 613 00:26:43,977 --> 00:26:46,145 The lawyers' job is to try and shake your confidence. 614 00:26:46,146 --> 00:26:48,564 So don't let them. You're a very good doctor. 615 00:26:48,565 --> 00:26:50,733 I have been training residents for years. 616 00:26:50,734 --> 00:26:53,444 You are one of the very best. 617 00:26:53,445 --> 00:26:54,737 I am? 618 00:26:54,738 --> 00:26:55,905 No, we need to stick to the plan. 619 00:26:55,906 --> 00:26:57,073 - I promise. - Look. 620 00:26:57,074 --> 00:26:58,282 Thanks. 621 00:26:58,283 --> 00:26:59,617 She's not thinking clearly, okay? 622 00:26:59,618 --> 00:27:00,743 It's gonna be great. 623 00:27:00,744 --> 00:27:02,078 This is not what she wants. 624 00:27:02,079 --> 00:27:03,871 Then I'm taking her home. That's it. 625 00:27:03,872 --> 00:27:05,915 We have to honor your wife's wishes. 626 00:27:05,916 --> 00:27:07,416 Even if she's loaded up on morphine 627 00:27:07,417 --> 00:27:09,252 - and can't think straight? - Especially then. 628 00:27:09,253 --> 00:27:10,795 Hello. 629 00:27:10,796 --> 00:27:12,880 Paul Hamler, this is my attending, Dr. Robinavitch. 630 00:27:12,881 --> 00:27:14,257 - Hi. - Hi. 631 00:27:14,258 --> 00:27:16,759 Uh, my wife is not thinking clearly. 632 00:27:16,760 --> 00:27:19,303 What is it that she's asking for? 633 00:27:19,304 --> 00:27:21,556 Said she wants to stay here. 634 00:27:21,557 --> 00:27:23,517 Why don't we all go in and talk? 635 00:27:24,810 --> 00:27:26,853 Brian Jenkins is allowed to hunt with a .22 636 00:27:26,854 --> 00:27:28,312 on his grandpa's farm. 637 00:27:28,313 --> 00:27:30,356 Sounds like an accident just waiting to happen. 638 00:27:30,357 --> 00:27:32,900 Mm-hmm. And you're not Brian Jenkins. 639 00:27:32,901 --> 00:27:35,653 How are we doing in here, Roxie? 640 00:27:35,654 --> 00:27:37,280 Been better. 641 00:27:37,281 --> 00:27:38,906 Rumor has it you're still interested 642 00:27:38,907 --> 00:27:41,325 in booking a room with us? 643 00:27:41,326 --> 00:27:43,536 I don't wanna go back home yet. 644 00:27:43,537 --> 00:27:44,912 It's all set up, Rox. 645 00:27:44,913 --> 00:27:47,123 You're gonna be more comfortable at home. 646 00:27:47,124 --> 00:27:49,375 Paul, I changed my mind. 647 00:27:49,376 --> 00:27:50,752 It is our home. 648 00:27:52,713 --> 00:27:54,547 I don't-- 649 00:27:54,548 --> 00:27:56,382 I don't want you living with my ghost. 650 00:27:56,383 --> 00:27:58,342 I will happily live with your ghost. 651 00:27:58,343 --> 00:28:01,929 Can we just all stop talking about ghosts, please? 652 00:28:01,930 --> 00:28:03,139 Yes. I'm sorry. 653 00:28:03,140 --> 00:28:05,892 I'm sorry, sweetie. You're right. 654 00:28:05,893 --> 00:28:07,894 Got trauma flying in. ETA, five minutes. 655 00:28:07,895 --> 00:28:10,104 Okay. Um, I'm very sorry. 656 00:28:10,105 --> 00:28:11,647 I will be right back. 657 00:28:11,648 --> 00:28:13,983 Excuse me. 658 00:28:13,984 --> 00:28:16,402 It's a boating accident, swimmer versus propeller. 659 00:28:16,403 --> 00:28:17,737 Ouch. 660 00:28:17,738 --> 00:28:19,405 - What body parts involved? - They didn't say. 661 00:28:19,406 --> 00:28:20,907 - How old? - Nope. 662 00:28:20,908 --> 00:28:22,158 Anything? 663 00:28:22,159 --> 00:28:23,659 All I got was boating accident, 664 00:28:23,660 --> 00:28:25,621 - swimmer versus propeller. - Propeller. Got it. 665 00:28:56,485 --> 00:28:59,862 Picked a hell of a day to come back, huh? 666 00:28:59,863 --> 00:29:02,823 How's Jake? 667 00:29:02,824 --> 00:29:04,533 He's good. 668 00:29:04,534 --> 00:29:06,702 He's better. He's coping. 669 00:29:06,703 --> 00:29:08,829 He's gonna be a senior this fall. 670 00:29:08,830 --> 00:29:11,249 That's great. 671 00:29:11,250 --> 00:29:14,418 That was a lot for him to go through. 672 00:29:14,419 --> 00:29:16,504 A lot for all of us to go through. 673 00:29:16,505 --> 00:29:17,923 Yeah. 674 00:29:19,549 --> 00:29:21,592 Okay, I'm just gonna say it! 675 00:29:21,593 --> 00:29:23,052 I'm sorry. 676 00:29:23,053 --> 00:29:24,679 I betrayed your trust. 677 00:29:24,680 --> 00:29:26,681 I betrayed our patients' trust. 678 00:29:26,682 --> 00:29:28,015 And I'm really fucking sorry. 679 00:29:28,016 --> 00:29:30,394 It'll never happen again, I swear. 680 00:29:34,523 --> 00:29:38,318 I'm really glad that you got the help that you need. 681 00:29:40,821 --> 00:29:44,741 But I don't know if I want you working in my ER. 682 00:29:52,708 --> 00:29:54,000 Why'd you intubate him? 683 00:29:54,001 --> 00:29:55,376 He was splinting from the pain, 684 00:29:55,377 --> 00:29:56,961 barely moving air with sats in the 80s. 685 00:29:56,962 --> 00:29:58,337 How'd he get sliced up in the propeller? 686 00:29:58,338 --> 00:29:59,714 He was in the Allegheny 687 00:29:59,715 --> 00:30:01,132 trying to untangle a water ski tow line 688 00:30:01,133 --> 00:30:02,216 when his buddy started the engine. 689 00:30:02,217 --> 00:30:03,426 Drunk buddy, I assume? 690 00:30:03,427 --> 00:30:04,885 Well, it's 4th of July. You tell me. 691 00:30:04,886 --> 00:30:06,262 Focus on the patient, please. 692 00:30:06,263 --> 00:30:08,307 Sofie, take over bagging. 693 00:30:10,309 --> 00:30:12,518 Okay. One, two, three. 694 00:30:12,519 --> 00:30:13,645 Watch that buckle. 695 00:30:14,938 --> 00:30:16,314 - Do you need me in here? - Nope. 696 00:30:16,315 --> 00:30:19,025 We have a senior resident and an attending. 697 00:30:19,026 --> 00:30:20,318 Mel, can we start with a-- 698 00:30:20,319 --> 00:30:22,903 - An EFAST? Sure. - Yes, please. 699 00:30:22,904 --> 00:30:24,405 Why? 700 00:30:24,406 --> 00:30:25,865 To check and make sure there's no pneumothorax. 701 00:30:25,866 --> 00:30:27,575 Otherwise, it could become a tension. 702 00:30:27,576 --> 00:30:30,202 Exactly. Oh, wow. 703 00:30:30,203 --> 00:30:32,455 - You want O-neg? - Not without a BP first. 704 00:30:32,456 --> 00:30:35,499 108/64, pulse is 102. 705 00:30:35,500 --> 00:30:37,752 - Sats are good. - Okay, let's have O-neg ready, 706 00:30:37,753 --> 00:30:40,839 - but don't give it just yet. - Anything else? 707 00:30:43,091 --> 00:30:44,633 How about a hemocue? 708 00:30:44,634 --> 00:30:46,845 Uh, yeah. Yeah, yeah, of course. 709 00:30:54,811 --> 00:30:56,605 Next step is fingernails. 710 00:30:58,398 --> 00:31:00,649 We'll go under each nail, 711 00:31:00,650 --> 00:31:05,112 first with the wet swab and then with the dry one. 712 00:31:05,113 --> 00:31:07,656 Do you wanna take a break, hon? 713 00:31:07,657 --> 00:31:09,451 No. 714 00:31:12,329 --> 00:31:15,498 How much longer? 715 00:31:15,499 --> 00:31:17,209 After these, we'll get to external... 716 00:31:18,502 --> 00:31:20,420 And internal vaginal collection. 717 00:31:23,882 --> 00:31:27,593 It's the advocate from PAAR. 718 00:31:27,594 --> 00:31:29,261 They've been doing this longer than I have. 719 00:31:29,262 --> 00:31:31,639 They provide resources, assistance, and support 720 00:31:31,640 --> 00:31:33,517 for sexual assault survivors. 721 00:31:35,685 --> 00:31:38,479 Hey. 722 00:31:38,480 --> 00:31:40,773 This will not define you, okay? 723 00:31:40,774 --> 00:31:44,610 You don't have to talk to them, but I recommend you do. 724 00:31:44,611 --> 00:31:46,613 They're available 24/7. 725 00:31:48,365 --> 00:31:50,700 - Okay. - Okay. 726 00:31:56,706 --> 00:31:58,374 Hi. 727 00:31:58,375 --> 00:32:00,709 I'm Paulette Sanderson from Pittsburgh Action Against Rape. 728 00:32:00,710 --> 00:32:02,878 Hi, Paulette. I'm the SANE, Dana. 729 00:32:02,879 --> 00:32:04,880 - And this is Ilana. - Hello. 730 00:32:04,881 --> 00:32:07,383 I'm sorry to meet you under these circumstances, 731 00:32:07,384 --> 00:32:09,552 but I and my organization are here to help you navigate 732 00:32:09,553 --> 00:32:11,512 everything that comes next. 733 00:32:11,513 --> 00:32:14,598 I brought you some clothes and basic necessities. 734 00:32:14,599 --> 00:32:16,225 I can even stay with you through the rest 735 00:32:16,226 --> 00:32:18,520 of your examination if you'd like. 736 00:32:20,605 --> 00:32:22,231 I don't think that's necessary. 737 00:32:22,232 --> 00:32:24,733 - Okay. - That's fine. 738 00:32:24,734 --> 00:32:27,529 Would it be okay if I asked you a few questions? 739 00:32:37,956 --> 00:32:39,207 Sure. 740 00:32:41,501 --> 00:32:45,004 Mm, our VRI isn't working. 741 00:32:45,005 --> 00:32:47,756 Video Relay Interpreter? 742 00:32:47,757 --> 00:32:49,300 Yeah, of course I rebooted it. 743 00:32:49,301 --> 00:32:50,968 Wait, how are you gonna fix it if you don't know 744 00:32:50,969 --> 00:32:53,095 what the hell it is? 745 00:32:53,096 --> 00:32:55,264 Yeah, okay. Whatever. 746 00:32:55,265 --> 00:32:57,308 I wanna do a head and belly scan on Harlow. 747 00:32:57,309 --> 00:32:58,601 Can you try telling her why? 748 00:32:58,602 --> 00:32:59,810 What about the VRI? 749 00:32:59,811 --> 00:33:01,687 It's DOA. 750 00:33:01,688 --> 00:33:04,690 I'm charting every free minute I get. 751 00:33:04,691 --> 00:33:06,525 I wasn't coming over for that. 752 00:33:06,526 --> 00:33:08,361 Good job in the Trauma earlier. 753 00:33:11,490 --> 00:33:12,615 What's this? 754 00:33:12,616 --> 00:33:13,824 Daniel Scott, 32, 755 00:33:13,825 --> 00:33:15,618 weak and dizzy while washing his car. 756 00:33:15,619 --> 00:33:18,120 Tachy at 106, BP 90/60. 757 00:33:18,121 --> 00:33:19,580 Temp's too high to register. 758 00:33:19,581 --> 00:33:21,207 We have a cooling room set up in North 5. 759 00:33:21,208 --> 00:33:22,458 Okay, how are you feeling, Mr. Scott? 760 00:33:22,459 --> 00:33:23,626 Thirsty. 761 00:33:23,627 --> 00:33:25,002 Let's see if we can't fix that. 762 00:33:25,003 --> 00:33:26,962 He's gonna need a core temp, a CMP--whoa. 763 00:33:26,963 --> 00:33:28,506 Oh, hey, we need a trauma room. 764 00:33:28,507 --> 00:33:29,757 - What's open? - 2. 765 00:33:29,758 --> 00:33:31,300 I'll grab the Ativan. 766 00:33:31,301 --> 00:33:32,927 - Any past medical history? - No. 767 00:33:32,928 --> 00:33:34,803 Wife says he's healthy. No meds, no allergies. 768 00:33:34,804 --> 00:33:37,557 He needs a core temp. 769 00:33:41,561 --> 00:33:43,145 Ready to transfer. 770 00:33:43,146 --> 00:33:44,438 Let's give 2 of Ativan. 771 00:33:44,439 --> 00:33:45,898 Don't want him seizing again. 772 00:33:45,899 --> 00:33:47,191 I gotta get back to my patients. 773 00:33:47,192 --> 00:33:48,192 Okay. 774 00:33:48,193 --> 00:33:50,945 One, two, three. 775 00:33:50,946 --> 00:33:51,987 Orders? 776 00:33:51,988 --> 00:33:54,114 Second IV with saline open. 777 00:33:54,115 --> 00:33:57,493 Sepsis panel, UA, urine drug screen, EKG, and CK. 778 00:33:57,494 --> 00:33:59,496 I don't see any apparent trauma. 779 00:34:01,039 --> 00:34:03,832 - Pupils reactive. - Mr. Scott? Daniel? 780 00:34:03,833 --> 00:34:05,376 Can you talk to me? 781 00:34:05,377 --> 00:34:07,127 Post-ictal, but moving all extremities. 782 00:34:07,128 --> 00:34:09,046 Pulse 137, BP 88/60. 783 00:34:09,047 --> 00:34:10,673 What are you thinking, Dr. Santos? 784 00:34:10,674 --> 00:34:13,760 Uh, heat stroke, but consider sepsis or drugs. 785 00:34:17,180 --> 00:34:20,599 Rectal temp is 104.6. 786 00:34:20,600 --> 00:34:22,685 All right, let's start with four ice packs 787 00:34:22,686 --> 00:34:24,478 on the groin and axilla. 788 00:34:24,479 --> 00:34:26,355 Should we do a full body ice bath? 789 00:34:26,356 --> 00:34:27,815 That'll take too long. Do you have an Arctic Sun? 790 00:34:27,816 --> 00:34:29,191 Yeah, we do. 791 00:34:29,192 --> 00:34:30,859 Get pads on the chest, abdomen, and both legs. 792 00:34:30,860 --> 00:34:32,487 I'll check back in. 793 00:34:34,030 --> 00:34:37,491 Ceftazidime is up, and first hemoglobin, 8.2. 794 00:34:37,492 --> 00:34:40,327 8 is pretty low. He must have bled down from 14. 795 00:34:40,328 --> 00:34:41,954 Anything you wanna do about that? 796 00:34:41,955 --> 00:34:44,957 Um, young, healthy guy. We transfuse at 7. 797 00:34:44,958 --> 00:34:46,458 Do we? 798 00:34:46,459 --> 00:34:48,168 We'd be in real trouble if he equilibrates 799 00:34:48,169 --> 00:34:50,254 - from acute blood loss. - Am I interrupting something? 800 00:34:50,255 --> 00:34:52,841 - Multiple deep lacerations-- - Motorboat versus-- 801 00:34:55,510 --> 00:34:56,969 Jesus. 802 00:34:56,970 --> 00:34:58,637 This looks like some "Jurassic Park" shit. 803 00:34:58,638 --> 00:35:00,806 Is that your official surgical diagnosis? 804 00:35:00,807 --> 00:35:02,308 He is hemodynamically stable. 805 00:35:02,309 --> 00:35:04,643 What else do we know? 806 00:35:04,644 --> 00:35:08,397 Uh, intubated in the field due to poor tidal volume. 807 00:35:08,398 --> 00:35:10,649 EFAST was negative for pneumothorax, 808 00:35:10,650 --> 00:35:13,152 so no need to do a chest tube. 809 00:35:13,153 --> 00:35:15,821 And no free fluid in the abdomen, 810 00:35:15,822 --> 00:35:17,656 good hemostasis inside the wounds. 811 00:35:17,657 --> 00:35:19,033 Nothing arterial. 812 00:35:19,034 --> 00:35:20,784 At first, he had a hemoglobin of 8.2. 813 00:35:20,785 --> 00:35:22,286 We'll follow that closely. 814 00:35:22,287 --> 00:35:25,040 With no active bleeding, I wouldn't transfuse just yet. 815 00:35:27,292 --> 00:35:29,209 Dr. Langdon agrees with you. 816 00:35:29,210 --> 00:35:31,378 Let's get him to CT. 817 00:35:31,379 --> 00:35:33,797 Jason Stills, 62, was gathering the makings 818 00:35:33,798 --> 00:35:36,550 of a salad when he started feeling dizzy and nauseated. 819 00:35:36,551 --> 00:35:37,760 Vomited once. 820 00:35:37,761 --> 00:35:39,011 How are you feeling, Mr. Stills? 821 00:35:39,012 --> 00:35:40,679 Like I'm gonna die. 822 00:35:40,680 --> 00:35:42,723 Well, you came to the right place to prevent that. 823 00:35:42,724 --> 00:35:44,808 Do you mind if I touch your abdomen? 824 00:35:44,809 --> 00:35:46,977 - Yeah, sure. - Okay. 825 00:35:46,978 --> 00:35:49,313 - Does this hurt at all? - No. 826 00:35:49,314 --> 00:35:52,566 He's tachycardic at 124 with a temp of 102.4. 827 00:35:52,567 --> 00:35:54,568 Hey, Joy, what's your suggestion? 828 00:35:54,569 --> 00:35:56,236 Keep hydrating, check electrolytes, 829 00:35:56,237 --> 00:35:57,446 and move him to the cooling room. 830 00:35:57,447 --> 00:35:58,656 Precisely. 831 00:35:58,657 --> 00:35:59,865 Good luck finding a parking spot. 832 00:35:59,866 --> 00:36:02,827 - North 5. - What? No valet? 833 00:36:06,956 --> 00:36:08,707 Jada. Hey. 834 00:36:08,708 --> 00:36:10,918 I--I've been looking all over for you. 835 00:36:10,919 --> 00:36:12,419 I just went for a walk. 836 00:36:12,420 --> 00:36:15,507 I wanted to talk to you, if that's okay. 837 00:36:17,342 --> 00:36:19,176 So does Dr. Jefferson. 838 00:36:19,177 --> 00:36:21,595 It's important that you get to hear what he has to say. 839 00:36:21,596 --> 00:36:22,888 Why? 840 00:36:22,889 --> 00:36:24,973 He doesn't want me to go crazy like my brother? 841 00:36:24,974 --> 00:36:27,851 Or kill myself like my uncle? 842 00:36:27,852 --> 00:36:29,895 Of course not. 843 00:36:29,896 --> 00:36:32,815 We--we still have no idea what caused Jackson's episode. 844 00:36:32,816 --> 00:36:35,526 Episode. 845 00:36:35,527 --> 00:36:37,653 Right. 846 00:36:37,654 --> 00:36:41,907 Look, I--I know this must be so scary for you. 847 00:36:41,908 --> 00:36:45,452 And you probably feel betrayed by your parents. 848 00:36:45,453 --> 00:36:48,330 But they had no way of knowing about Jackson. 849 00:36:48,331 --> 00:36:50,708 You know, and some families just have a difficult time 850 00:36:50,709 --> 00:36:54,128 talking about mental health. 851 00:36:54,129 --> 00:36:56,171 Now you can help us take the first steps 852 00:36:56,172 --> 00:36:59,551 to finding out what we can do to help your brother. 853 00:37:04,639 --> 00:37:10,060 Mr. Diaz, I have a surprise for you. 854 00:37:10,061 --> 00:37:11,895 Oh. 855 00:37:11,896 --> 00:37:13,147 Sorry. 856 00:37:13,148 --> 00:37:14,565 It's okay. 857 00:37:14,566 --> 00:37:16,400 Have you--have you seen my patient? 858 00:37:16,401 --> 00:37:19,153 Orlando? Mr. Diaz? 859 00:37:19,154 --> 00:37:21,488 Room was empty. 860 00:37:21,489 --> 00:37:24,409 - Seriously? - Yeah. 861 00:37:28,955 --> 00:37:30,664 What happened to you? 862 00:37:30,665 --> 00:37:32,541 Oh. 863 00:37:32,542 --> 00:37:33,959 Bullet grazed my vest. 864 00:37:33,960 --> 00:37:35,169 You were shot? 865 00:37:35,170 --> 00:37:36,837 Shot at. 866 00:37:36,838 --> 00:37:40,048 Geniuses thought today was the day to rob a goods warehouse. 867 00:37:40,049 --> 00:37:41,341 Didn't think about how long it would take 868 00:37:41,342 --> 00:37:42,718 to load the appliances. 869 00:37:42,719 --> 00:37:44,011 They panicked. 870 00:37:44,012 --> 00:37:45,304 All hell broke loose. 871 00:37:45,305 --> 00:37:47,015 Jesus. 872 00:37:49,350 --> 00:37:51,310 Why do you do this? 873 00:37:51,311 --> 00:37:53,479 My therapist said I needed a hobby. 874 00:37:53,480 --> 00:37:55,063 Funny. 875 00:37:55,064 --> 00:37:57,149 Shit. 876 00:37:57,150 --> 00:37:59,318 This--this sucks. 877 00:37:59,319 --> 00:38:00,986 - Oh, it's nothing. - No. 878 00:38:00,987 --> 00:38:03,405 No, don't worry about me. I'm fine. Seriously. 879 00:38:03,406 --> 00:38:04,656 No, my patient. 880 00:38:04,657 --> 00:38:06,325 He didn't have any insurance, 881 00:38:06,326 --> 00:38:10,662 and he was already in a mountain of medical debt. 882 00:38:10,663 --> 00:38:12,623 He couldn't afford any of his meds. 883 00:38:12,624 --> 00:38:14,958 Hmm. 884 00:38:14,959 --> 00:38:16,376 What's in the bag? 885 00:38:16,377 --> 00:38:21,340 Insulin, test strips, electrolyte powder. 886 00:38:21,341 --> 00:38:24,134 I--I got him everything he needed for home care. 887 00:38:24,135 --> 00:38:26,345 So Uber it to his house. 888 00:38:26,346 --> 00:38:28,764 Is the hospital gonna pay for that? 889 00:38:28,765 --> 00:38:30,892 I'll pay for it. 890 00:38:40,985 --> 00:38:43,028 What are you doing? 891 00:38:43,029 --> 00:38:45,656 What you clearly can't. 892 00:38:45,657 --> 00:38:47,449 Did you make a chart? 893 00:38:47,450 --> 00:38:48,742 No. 894 00:38:48,743 --> 00:38:50,327 This can stay off the books. 895 00:38:50,328 --> 00:38:52,329 Don't need the paperwork from the hospital 896 00:38:52,330 --> 00:38:54,164 or the police department. 897 00:38:54,165 --> 00:38:56,250 Okay. 898 00:38:56,251 --> 00:38:57,877 Our little secret. 899 00:39:01,256 --> 00:39:03,799 How's he doing? Any more seizures? 900 00:39:03,800 --> 00:39:04,925 Nope. 901 00:39:04,926 --> 00:39:06,218 Temp 102.9. 902 00:39:06,219 --> 00:39:07,511 Labs back? 903 00:39:07,512 --> 00:39:09,137 Mostly signs of dehydration. 904 00:39:09,138 --> 00:39:12,850 A tad hypernatremic, mild BUN and creatinine bump. 905 00:39:12,851 --> 00:39:15,435 CK 400 something-- nothing worrisome yet. 906 00:39:15,436 --> 00:39:16,979 Okay, good. Keep cooling. 907 00:39:16,980 --> 00:39:18,981 - I'll monitor him. - Great. 908 00:39:18,982 --> 00:39:22,068 That'll give Dr. Santos a chance to get caught up. 909 00:39:25,405 --> 00:39:28,115 Your R2 year can be challenging. 910 00:39:28,116 --> 00:39:30,951 You just have to keep grinding. 911 00:39:30,952 --> 00:39:33,120 What's your dispo plan for Mr. Scott? 912 00:39:33,121 --> 00:39:34,955 Uh, ICU admission. 913 00:39:34,956 --> 00:39:37,124 You should call Neurology to consult. 914 00:39:37,125 --> 00:39:38,667 Yeah, done. 915 00:39:38,668 --> 00:39:41,128 Since it was exertional heat illness in a young person, 916 00:39:41,129 --> 00:39:42,838 the mortality is low. 917 00:39:42,839 --> 00:39:45,799 But non-exertional heatstroke in an elderly person, 918 00:39:45,800 --> 00:39:47,843 - you need to worry. - Okay. 919 00:39:47,844 --> 00:39:50,929 I'll put in orders for repeat labs. 920 00:39:50,930 --> 00:39:52,891 Good work in there. 921 00:40:05,778 --> 00:40:09,782 This 49-year-old woman presents to the emergency department-- 922 00:40:12,994 --> 00:40:17,706 Uh, with the chief complaint of right ear pain. 923 00:40:17,707 --> 00:40:20,500 Hey, Donnie, can you do something about that? 924 00:40:20,501 --> 00:40:21,919 What? 925 00:40:21,920 --> 00:40:23,420 Seriously? 926 00:40:23,421 --> 00:40:25,255 That--that's not driving you nuts? 927 00:40:25,256 --> 00:40:27,299 The baby, it won't stop crying. 928 00:40:27,300 --> 00:40:29,384 Oh, that? It's music to my ears now. 929 00:40:29,385 --> 00:40:30,761 I think Jesse's the nurse. 930 00:40:30,762 --> 00:40:33,389 Well, can't you--ugh. 931 00:40:39,520 --> 00:40:40,772 Fuck. 932 00:40:45,818 --> 00:40:48,278 What the hell is going on? 933 00:40:48,279 --> 00:40:50,489 With what? 934 00:40:50,490 --> 00:40:53,492 With her. Can't you make her stop crying? 935 00:40:53,493 --> 00:40:56,579 She's been fed and changed. She's cranky from rhinovirus. 936 00:40:58,206 --> 00:41:00,582 Isn't there something that you can do? 937 00:41:00,583 --> 00:41:03,210 She's due for her next Tylenol. 938 00:41:03,211 --> 00:41:04,586 Give me a minute. I'll be right back. 939 00:41:04,587 --> 00:41:06,756 Wait, no, no, no, I'm not gonna stay here. 940 00:41:09,550 --> 00:41:11,552 What is your problem? 941 00:41:14,263 --> 00:41:18,684 This is precisely why I didn't go into Pedes. 942 00:41:18,685 --> 00:41:19,893 Okay. 943 00:41:19,894 --> 00:41:21,728 Hey, hey. 944 00:41:21,729 --> 00:41:24,774 Hey, little Miss Sunshine. 945 00:41:26,275 --> 00:41:28,694 Is it time for you to take a little nap? 946 00:41:28,695 --> 00:41:30,862 That would be so fucking nice. 947 00:41:30,863 --> 00:41:32,115 Yes, it would. 948 00:41:35,326 --> 00:41:38,578 I'm starting to understand why you got left here. 949 00:41:38,579 --> 00:41:40,748 Hey, shh. 950 00:42:27,003 --> 00:42:28,628 What's the word from CT? 951 00:42:28,629 --> 00:42:31,631 Nothing intrathoracic, nothing intra-abdominal. 952 00:42:31,632 --> 00:42:33,091 Propeller just missed gutting him. 953 00:42:33,092 --> 00:42:34,509 - Very fortunate. - Okay. 954 00:42:34,510 --> 00:42:36,428 Repeat hemoglobin is 8. 955 00:42:36,429 --> 00:42:39,139 We're holding off on transfusing. 956 00:42:39,140 --> 00:42:40,724 Plan? 957 00:42:40,725 --> 00:42:42,893 I'll have Mel and Langdon suture up the lacerations. 958 00:42:42,894 --> 00:42:45,145 Wait, what? That could take days. 959 00:42:45,146 --> 00:42:46,438 I--I can't-- 960 00:42:46,439 --> 00:42:48,398 Calm down, Sadness. I'm kidding. 961 00:42:48,399 --> 00:42:50,984 This is one for my skilled surgical residents upstairs, 962 00:42:50,985 --> 00:42:52,486 not you Boy Scout butchers. 963 00:42:52,487 --> 00:42:53,862 Boy, I missed you, Yoyo. 964 00:42:53,863 --> 00:42:56,114 Mm. Can't say the same. 965 00:42:56,115 --> 00:42:59,659 Okay, let's take up this art project. 966 00:42:59,660 --> 00:43:00,994 So about before-- 967 00:43:00,995 --> 00:43:03,038 Back to it. 968 00:43:03,039 --> 00:43:04,456 Good talk. 969 00:43:04,457 --> 00:43:05,957 How we doing, Princess? 970 00:43:05,958 --> 00:43:07,542 All right. A little bloated. 971 00:43:07,543 --> 00:43:11,004 I had one too many hot dogs from the truck. 972 00:43:11,005 --> 00:43:13,048 You meant the board, huh? 973 00:43:13,049 --> 00:43:16,176 Gus, our incarcerated patient, got a spot upstairs. 974 00:43:16,177 --> 00:43:19,805 Looking for our unhoused patient, Digby, and, of course, 975 00:43:19,806 --> 00:43:22,682 we have Whitaker, Donahue, and the med students 976 00:43:22,683 --> 00:43:25,352 on these diversion intakes, but they just keep coming. 977 00:43:25,353 --> 00:43:27,312 Yeah, we may need to start just sending people up 978 00:43:27,313 --> 00:43:29,648 and ask for forgiveness instead of permission. 979 00:43:29,649 --> 00:43:32,150 Hello? 980 00:43:32,151 --> 00:43:34,444 Oh, okay. 981 00:43:34,445 --> 00:43:36,696 Yes, I will be right there. 982 00:43:36,697 --> 00:43:38,281 C-suite wants to see me upstairs. 983 00:43:38,282 --> 00:43:39,658 Ooh, called to the principal's office 984 00:43:39,659 --> 00:43:42,911 on your first day-- not a good sign. 985 00:43:42,912 --> 00:43:45,497 - I think I'm a baby whisperer. - Hey, great. 986 00:43:45,498 --> 00:43:47,707 We'll add Baby Jane Doe to your patient load. 987 00:43:47,708 --> 00:43:49,167 Forget I said anything. 988 00:43:49,168 --> 00:43:51,044 Where are we with your deaf patient, Harlow? 989 00:43:51,045 --> 00:43:54,673 Uh, the VRI was a bust, but the interpreter's on the way. 990 00:43:54,674 --> 00:43:56,633 Figured I'd just give her a head and belly scan 991 00:43:56,634 --> 00:43:58,844 - and go from there. - No, wait for the interpreter. 992 00:43:58,845 --> 00:44:01,346 No need to give the patient unnecessary radiation. 993 00:44:01,347 --> 00:44:03,723 And your charting? 994 00:44:03,724 --> 00:44:05,183 Catching up and checking it twice. 995 00:44:05,184 --> 00:44:06,643 Good. 996 00:44:06,644 --> 00:44:09,062 Hey, have you had a chance to speak to Langdon today? 997 00:44:09,063 --> 00:44:10,856 Uh, no. 998 00:44:10,857 --> 00:44:12,149 Why? Did he say something? 999 00:44:12,150 --> 00:44:13,775 No, just curious. 1000 00:44:13,776 --> 00:44:17,154 How is everything at home with you and Whitaker? 1001 00:44:17,155 --> 00:44:19,531 He's weirder than you'd expect. 1002 00:44:19,532 --> 00:44:21,324 - Hmm. - Yeah. 1003 00:44:21,325 --> 00:44:23,410 But I don't see him all that much. 1004 00:44:23,411 --> 00:44:25,036 He spends a lot of time at Amy's. 1005 00:44:25,037 --> 00:44:27,414 He has a girlfriend? 1006 00:44:27,415 --> 00:44:31,209 I don't know what to call it. 1007 00:44:31,210 --> 00:44:33,753 The--the farmer who got burned last year 1008 00:44:33,754 --> 00:44:36,339 the day of the mass cas, his widow, Amy. 1009 00:44:36,340 --> 00:44:37,632 Oh, he died? 1010 00:44:37,633 --> 00:44:39,676 Yeah, he had burns on 90% of his body. 1011 00:44:39,677 --> 00:44:41,553 His chance of survival was very slim. 1012 00:44:41,554 --> 00:44:43,138 Okay, so I'm an optimist. 1013 00:44:43,139 --> 00:44:45,724 The sun doesn't always come out tomorrow, Annie. 1014 00:44:45,725 --> 00:44:47,601 Wait, wasn't she pregnant? 1015 00:44:47,602 --> 00:44:50,270 No, she was a young orphan. 1016 00:44:50,271 --> 00:44:52,606 No, not Annie. Amy. 1017 00:44:52,607 --> 00:44:56,318 Yes. Yes, very pregnant and young. 1018 00:44:56,319 --> 00:44:58,278 Whitaker is now seeing this Amy? 1019 00:44:58,279 --> 00:45:00,322 And her baby. 1020 00:45:00,323 --> 00:45:02,157 He got really close to the family 1021 00:45:02,158 --> 00:45:03,992 when the husband was dying. 1022 00:45:03,993 --> 00:45:06,161 He really believed that the guy would pull through. 1023 00:45:06,162 --> 00:45:08,663 He helped her through the loss of her husband, 1024 00:45:08,664 --> 00:45:10,290 and then again when she had the kid, 1025 00:45:10,291 --> 00:45:13,627 and now he spends almost every weekend at the farm. 1026 00:45:13,628 --> 00:45:14,878 Huh. 1027 00:45:14,879 --> 00:45:16,338 Plus, he's on the street team, 1028 00:45:16,339 --> 00:45:18,131 and he just wants to help everybody. 1029 00:45:18,132 --> 00:45:21,259 And I just don't wanna see him taken advantage of, you know? 1030 00:45:21,260 --> 00:45:23,428 He's just a fucking Huckleberry. 1031 00:45:23,429 --> 00:45:26,181 Yeah, but he's our fucking Huckleberry. 1032 00:45:26,182 --> 00:45:27,682 I'll talk to him. 1033 00:45:27,683 --> 00:45:28,892 Hey, your call. 1034 00:45:28,893 --> 00:45:30,810 Strong deflection. Well played. 1035 00:45:30,811 --> 00:45:32,145 You're the boss. 1036 00:45:32,146 --> 00:45:33,855 Or you are until end of shift today. 1037 00:45:33,856 --> 00:45:35,065 Still the boss. 1038 00:45:35,066 --> 00:45:37,400 When you see me in here, still the boss. 1039 00:45:37,401 --> 00:45:39,819 Copy that, Boss. 1040 00:45:39,820 --> 00:45:43,281 Dr. Robby, can-- can I grab you for a second? 1041 00:45:43,282 --> 00:45:46,159 Yeah. Sure. What's up? 1042 00:45:46,160 --> 00:45:51,206 Um, can't you order my wife to go home? 1043 00:45:51,207 --> 00:45:52,875 I'm sorry. 1044 00:45:55,086 --> 00:45:56,836 My wife's dying, 1045 00:45:56,837 --> 00:45:59,714 and you're telling me there's nothing I can do? 1046 00:45:59,715 --> 00:46:01,299 Mr. Hamler, that's not-- 1047 00:46:01,300 --> 00:46:02,801 No, no. 1048 00:46:02,802 --> 00:46:05,595 There's gotta be something. 1049 00:46:05,596 --> 00:46:07,389 Please. 1050 00:46:07,390 --> 00:46:09,516 It may not seem like much, but right now, 1051 00:46:09,517 --> 00:46:12,060 you being here for her and respecting her wishes 1052 00:46:12,061 --> 00:46:14,896 is the best thing that you can do for her. 1053 00:46:14,897 --> 00:46:18,858 Supporting her and her choices is the most remarkable gift 1054 00:46:18,859 --> 00:46:22,153 that you can give her at this time. 1055 00:46:22,154 --> 00:46:24,948 And the meds we have her on will help her pain. 1056 00:46:24,949 --> 00:46:26,908 And she may get to a point where 1057 00:46:26,909 --> 00:46:29,620 she feels well enough to go home. 1058 00:46:45,678 --> 00:46:46,971 Give me one second. 1059 00:46:53,185 --> 00:46:55,103 Okay, I'm gonna let you guys get acquainted. 1060 00:46:55,104 --> 00:46:56,479 I will be right back. 1061 00:46:56,480 --> 00:46:57,897 Oh, oh, oh, excuse me! 1062 00:46:57,898 --> 00:47:00,817 I--I'm waiting for Dr. Mohan. Is she available? 1063 00:47:00,818 --> 00:47:03,446 I will try and find her for you, sir. 1064 00:47:07,366 --> 00:47:10,452 Whether you choose to report or not, we're here for you. 1065 00:47:10,453 --> 00:47:11,828 Call me any time. 1066 00:47:11,829 --> 00:47:15,373 It could be a month or a year from now. 1067 00:47:15,374 --> 00:47:16,708 I'll follow up with you too. 1068 00:47:16,709 --> 00:47:18,501 Thank you. 1069 00:47:18,502 --> 00:47:20,254 Thanks. 1070 00:47:23,632 --> 00:47:25,258 You've had a pap smear before? 1071 00:47:25,259 --> 00:47:27,427 Yeah, every few years. 1072 00:47:27,428 --> 00:47:28,803 Good. 1073 00:47:28,804 --> 00:47:31,306 Same position, but I'll start with swabs 1074 00:47:31,307 --> 00:47:34,184 on the outside, external genitalia. 1075 00:47:34,185 --> 00:47:36,644 Then I'll use a speculum to get internal swabs. 1076 00:47:36,645 --> 00:47:38,563 You ready? Okay. 1077 00:47:38,564 --> 00:47:41,107 I'll help you get your feet in the stirrups. 1078 00:47:41,108 --> 00:47:44,152 Good. 1079 00:47:44,153 --> 00:47:46,529 Okay. All right. 1080 00:47:46,530 --> 00:47:49,491 Now, slide your bottom down. 1081 00:47:49,492 --> 00:47:52,160 Oh. Yeah, a little bit more. 1082 00:47:52,161 --> 00:47:53,787 A little more. 1083 00:47:53,788 --> 00:47:56,456 - Sorry. I--I can't. - Okay. It's okay. 1084 00:47:56,457 --> 00:47:58,041 We can take a break. No problem. 1085 00:47:58,042 --> 00:48:00,585 I don't want a break. I wanna stop. 1086 00:48:00,586 --> 00:48:03,421 Okay. Is this about reporting? 1087 00:48:03,422 --> 00:48:05,048 Because you can do this collection 1088 00:48:05,049 --> 00:48:06,674 without a police report for now. 1089 00:48:06,675 --> 00:48:09,302 And none of it goes in your permanent medical record. 1090 00:48:09,303 --> 00:48:11,221 I don't wanna do this anymore. 1091 00:48:11,222 --> 00:48:13,391 Tell me why you wanna stop. 1092 00:48:16,143 --> 00:48:18,853 He's my friend. 1093 00:48:18,854 --> 00:48:22,857 He knows all my friends. 1094 00:48:22,858 --> 00:48:26,277 It was just a dumb-- 1095 00:48:26,278 --> 00:48:28,613 he was drunk, he didn't mean it. 1096 00:48:28,614 --> 00:48:31,282 - It didn't mean anything. - Okay. 1097 00:48:31,283 --> 00:48:33,535 Okay. 1098 00:48:33,536 --> 00:48:36,621 It's okay. I understand. 1099 00:48:36,622 --> 00:48:39,124 I do. 1100 00:48:39,125 --> 00:48:43,920 Ilana, this is a difficult process, to say the least. 1101 00:48:43,921 --> 00:48:45,964 Why don't you take a breather and come back? 1102 00:48:45,965 --> 00:48:48,717 And whatever you wanna do, we'll do. 1103 00:48:56,475 --> 00:48:59,478 Let's go find the good snacks. 1104 00:49:22,376 --> 00:49:23,793 Jesus Christ. 1105 00:49:23,794 --> 00:49:25,336 Sorry. 1106 00:49:25,337 --> 00:49:27,881 Giving new meaning to the nickname Crash, huh? 1107 00:49:27,882 --> 00:49:29,424 I've been trying to get to the bathroom 1108 00:49:29,425 --> 00:49:30,967 for over an hour now. 1109 00:49:30,968 --> 00:49:33,804 Yeah, you and me both, sister. 1110 00:49:43,898 --> 00:49:46,566 Uh-oh, this can't be good. 1111 00:49:46,567 --> 00:49:47,901 Who's this? 1112 00:49:47,902 --> 00:49:49,194 That is hospital CEO Trent Norris. 1113 00:49:49,195 --> 00:49:51,696 He's the big boss. 1114 00:49:51,697 --> 00:49:53,114 Hmm. Nice outfit. 1115 00:49:53,115 --> 00:49:55,033 Hey, Rockstar. Gather your staff, please. 1116 00:49:55,034 --> 00:49:57,327 Sure, anything you wanna tell me first? 1117 00:49:57,328 --> 00:49:59,370 - No. - Okay. 1118 00:49:59,371 --> 00:50:01,706 Hey, everybody, can you, uh, gather 'round 1119 00:50:01,707 --> 00:50:04,209 and listen up for a moment, please? 1120 00:50:04,210 --> 00:50:07,754 Can I have your attention, everyone? 1121 00:50:07,755 --> 00:50:10,381 Internal disaster at Westbridge 1122 00:50:10,382 --> 00:50:12,510 has been identified as a cyberattack. 1123 00:50:15,137 --> 00:50:18,306 And now Good Dominion Hospital has been hit as well. 1124 00:50:18,307 --> 00:50:20,725 Their ambulances are being diverted over to St. Mary's, 1125 00:50:20,726 --> 00:50:24,229 but we can expect more walk-ins and Westbridge diversions. 1126 00:50:24,230 --> 00:50:26,022 Uh, for how long? 1127 00:50:26,023 --> 00:50:29,359 We don't know how long. If the ransom is paid-- 1128 00:50:29,360 --> 00:50:31,027 Ransom? 1129 00:50:31,028 --> 00:50:32,695 Are we next? 1130 00:50:32,696 --> 00:50:35,406 Our IT protection system has blocked thousands 1131 00:50:35,407 --> 00:50:36,991 of intrusion attempts in the hours 1132 00:50:36,992 --> 00:50:39,160 since Westbridge was hit this morning. 1133 00:50:39,161 --> 00:50:43,206 But IT believes we're still vulnerable. 1134 00:50:43,207 --> 00:50:45,917 So we're gonna preemptively shut down 1135 00:50:45,918 --> 00:50:47,502 all the computer systems. 1136 00:50:47,503 --> 00:50:50,171 - Oh, my God. - Jesus. 1137 00:50:50,172 --> 00:50:52,924 Patient registration, electronic health records, 1138 00:50:52,925 --> 00:50:56,094 lab and radiology interfaces, email, internet. 1139 00:50:56,095 --> 00:50:57,345 You didn't wanna talk to me first? 1140 00:50:57,346 --> 00:50:58,721 You didn't wanna consult my department? 1141 00:50:58,722 --> 00:51:01,475 I consulted your fellow attending. 1142 00:51:03,269 --> 00:51:06,104 When are we going down? 1143 00:51:06,105 --> 00:51:08,898 Soon. Very soon. 1144 00:51:08,899 --> 00:51:11,317 Okay, hey, somebody get a picture of the board. 1145 00:51:11,318 --> 00:51:14,488 Quickly, quickly! We're about to go analog. 1146 00:51:16,657 --> 00:51:18,242 - No! - Oh, my gosh. 1147 00:51:21,287 --> 00:51:23,621 - Phones work? - They don't work. 1148 00:51:23,622 --> 00:51:25,415 - Oh, my gosh. - Did you get the photo? 1149 00:51:25,416 --> 00:51:28,167 Yeah, yeah, I got it. 1150 00:51:28,168 --> 00:51:29,587 This is gonna be fun.