1
00:00:18,101 --> 00:00:20,520
{\an8}All right, everybody, settle down!
2
00:00:22,105 --> 00:00:23,063
{\an8}Good.
3
00:00:23,064 --> 00:00:25,190
{\an8}Now, Robby has something
important to say.
4
00:00:25,191 --> 00:00:26,650
I know that this isn't easy.
5
00:00:26,651 --> 00:00:28,736
We're going to help you
address any challenges
6
00:00:28,737 --> 00:00:30,237
that you might be having.
7
00:00:30,238 --> 00:00:32,114
If you have any concerns,
just raise your hand.
8
00:00:32,115 --> 00:00:34,867
- Emma, write all this down.
- Dr. Mohan.
9
00:00:34,868 --> 00:00:37,119
Medication orders aren't coming up
from the pharmacy.
10
00:00:37,120 --> 00:00:40,456
Check with the clinical pharmacist
to see if it's in the PDS.
11
00:00:40,457 --> 00:00:44,168
If it's not, then give the third copy
of the order sheet to Dr. Nordt.
12
00:00:44,169 --> 00:00:45,919
We're gonna need more people
to run it down.
13
00:00:45,920 --> 00:00:48,631
- We'll work on it. Langdon.
- I can't find the patient clipboards.
14
00:00:48,632 --> 00:00:51,050
Clipboards need to stay here
for orders and labs.
15
00:00:51,051 --> 00:00:52,468
Wait, so how do we write our notes?
16
00:00:52,469 --> 00:00:55,471
Take the T sheet to the bedside,
not the whole chart.
17
00:00:55,472 --> 00:00:57,306
Same goes for nursing notes.
18
00:00:57,307 --> 00:00:59,099
- Princess.
- Fax machine is down.
19
00:00:59,100 --> 00:01:01,477
- Error message E6.
- What the hell does that mean?
20
00:01:01,478 --> 00:01:03,729
- You can check the manual.
- There isn't one.
21
00:01:03,730 --> 00:01:05,689
Okay, Perlah, why don't you take
your phone out to the base?
22
00:01:05,690 --> 00:01:07,692
See if you can get service,
find a manual online.
23
00:01:12,155 --> 00:01:13,697
What else? Ogilvie, put your hand down.
24
00:01:13,698 --> 00:01:16,033
- Santos.
- We've gotten a few CT results back
25
00:01:16,034 --> 00:01:17,451
but nothing on plain films.
26
00:01:17,452 --> 00:01:19,119
That's probably
because they're all sitting
27
00:01:19,120 --> 00:01:21,288
on the portable machine
not getting to radiology.
28
00:01:21,289 --> 00:01:22,998
- I'll take care of this.
- You be patient.
29
00:01:22,999 --> 00:01:25,001
Help each other. Thank you.
30
00:01:26,002 --> 00:01:27,586
We need to call in extra help.
31
00:01:27,587 --> 00:01:30,422
At 3:00 p.m. on a holiday?
I know people, buddy.
32
00:01:30,423 --> 00:01:33,425
I have a 32-year-old woman
with severe abdominal pain.
33
00:01:33,426 --> 00:01:35,135
- Do we have a bed?
- Not at the moment.
34
00:01:35,136 --> 00:01:36,303
- I'll take her.
- Incoming.
35
00:01:36,304 --> 00:01:37,471
Thank you.
36
00:01:37,472 --> 00:01:39,181
Santos, Javadi, you're up.
37
00:01:39,182 --> 00:01:40,725
Trauma one's open.
38
00:01:41,851 --> 00:01:43,268
12-year-old Jude Augustin--
39
00:01:43,269 --> 00:01:45,938
firecracker exploded,
nondominant left hand.
40
00:01:45,939 --> 00:01:47,898
Good vitals. 25 of fent so far.
41
00:01:47,899 --> 00:01:48,816
Any other injuries?
42
00:01:48,817 --> 00:01:50,651
No, but seems to have
lost two of his fingers.
43
00:01:50,652 --> 00:01:52,194
- Did you bring 'em?
- Blown to bits.
44
00:01:52,195 --> 00:01:54,029
- It really hurts.
- I'm sure it does.
45
00:01:54,030 --> 00:01:55,864
We'll do something for that.
46
00:01:55,865 --> 00:01:57,659
- Parents?
- Not on scene.
47
00:02:00,161 --> 00:02:01,078
Ready?
48
00:02:01,079 --> 00:02:03,038
One, two, three.
49
00:02:03,039 --> 00:02:06,667
Hey, Jude, do you know your mom
or your dad's telephone number?
50
00:02:06,668 --> 00:02:09,086
No. But I know my sister's.
51
00:02:09,087 --> 00:02:10,171
Okay.
52
00:02:10,880 --> 00:02:13,257
- Good breath sounds.
- Abdomen nontender.
53
00:02:13,258 --> 00:02:14,633
Heart rate 112.
54
00:02:14,634 --> 00:02:16,009
Put this around his left forearm.
55
00:02:16,010 --> 00:02:17,344
- Is that good?
- That is very good.
56
00:02:17,345 --> 00:02:20,681
I want to do another 25 of fent
before we open this bandage.
57
00:02:20,682 --> 00:02:22,433
Can you tell us what happened?
58
00:02:22,434 --> 00:02:25,310
- My friends had firecrackers.
- 25 fent on board.
59
00:02:25,311 --> 00:02:28,021
I lit one, and it went off fast.
60
00:02:28,022 --> 00:02:30,107
I-I dropped it, but...
61
00:02:30,108 --> 00:02:31,942
We're gonna take
your bandage off now, okay?
62
00:02:31,943 --> 00:02:33,819
- I don't want to see.
- You don't have to.
63
00:02:33,820 --> 00:02:35,612
Just look at me.
64
00:02:35,613 --> 00:02:36,989
Okay.
65
00:02:36,990 --> 00:02:38,074
Cutting.
66
00:02:40,869 --> 00:02:42,161
Sorry.
67
00:02:42,162 --> 00:02:43,663
You're doing great.
68
00:02:46,499 --> 00:02:49,126
That looks like a lot more
than a firecracker.
69
00:02:49,127 --> 00:02:52,880
- More like an M-80 or a cherry bomb.
- It's really good that you dropped it.
70
00:02:52,881 --> 00:02:54,465
You saved the rest
of your hand.
71
00:02:54,466 --> 00:02:56,175
Digits 4 and 5 avulsed.
72
00:02:56,176 --> 00:02:59,470
Distal metacarpals 4 and 5
also gone with exposed bone.
73
00:02:59,471 --> 00:03:02,181
Soft-tissue damage on the palmar aspect,
less so on dorsal--
74
00:03:02,182 --> 00:03:03,682
some burns on wound edges.
75
00:03:03,683 --> 00:03:06,227
Jude, can you bend your fingers
for me up and down?
76
00:03:08,021 --> 00:03:09,855
Really good job. Really good job.
77
00:03:09,856 --> 00:03:12,608
- How bad is it?
- You lost two fingers.
78
00:03:12,609 --> 00:03:14,902
But it seems like the rest
are gonna be okay.
79
00:03:14,903 --> 00:03:17,322
Oh, no. I fucked up!
80
00:03:18,114 --> 00:03:19,865
All right, can we do
a wrist block for the pain?
81
00:03:19,866 --> 00:03:22,659
I want to do a very detailed
motor and sensory exam first.
82
00:03:22,660 --> 00:03:25,288
We're gonna continue
our exam now, okay, Jude?
83
00:03:28,541 --> 00:03:29,917
Okay, thanks.
84
00:03:29,918 --> 00:03:32,252
ICU can take her
after the next neuro exam.
85
00:03:32,253 --> 00:03:33,670
The ICU?
86
00:03:33,671 --> 00:03:36,299
It's just so she can be monitored
for the rest of the day.
87
00:03:37,884 --> 00:03:39,260
4 millimeters and reactive.
88
00:03:40,929 --> 00:03:42,095
Mel.
89
00:03:42,096 --> 00:03:44,765
- 4 millimeters and reactive.
- Yep, got it.
90
00:03:44,766 --> 00:03:46,643
I could sort of make out your hand.
91
00:03:50,772 --> 00:03:52,773
Can you cover your good eye?
92
00:03:52,774 --> 00:03:54,943
How many fingers am I holding up?
93
00:03:56,236 --> 00:03:57,195
Three.
94
00:03:59,322 --> 00:04:00,697
That's good news.
95
00:04:00,698 --> 00:04:03,951
So the medicine worked?
She's out of the woods?
96
00:04:03,952 --> 00:04:05,244
Possibly.
97
00:04:05,245 --> 00:04:06,370
It's...
98
00:04:06,371 --> 00:04:08,331
Okay, cover your eye again.
99
00:04:09,624 --> 00:04:11,543
{\an8}All right, what do you see?
100
00:04:12,544 --> 00:04:16,172
{\an8}- Top line is E.
- All right, and the next one?
101
00:04:18,716 --> 00:04:19,843
{\an8}Nothing.
102
00:04:20,718 --> 00:04:22,470
Okay, well, that's 20/200.
103
00:04:23,972 --> 00:04:25,472
Meaning?
104
00:04:25,473 --> 00:04:28,642
What a healthy eye can see at 200 feet,
she can see at 20 feet.
105
00:04:28,643 --> 00:04:31,603
- Is that good?
- Yeah. It's much better.
106
00:04:31,604 --> 00:04:34,357
And it can continue to improve over time.
107
00:04:35,567 --> 00:04:36,776
Thank you, Dr. King.
108
00:04:38,778 --> 00:04:41,488
I'm gonna take a quick break
before my deposition.
109
00:04:41,489 --> 00:04:44,908
So I'll let Robby know
that I'm off the clock for the time being.
110
00:04:44,909 --> 00:04:46,786
- Good luck.
- Thanks.
111
00:04:49,998 --> 00:04:51,498
- Mel.
- Hey.
112
00:04:51,499 --> 00:04:52,875
You have a visitor in chairs.
113
00:04:52,876 --> 00:04:56,044
- What? Who?
- Said she's your sister.
114
00:04:56,045 --> 00:04:57,213
Becca?
115
00:05:01,509 --> 00:05:03,302
Yep. You have heat exhaustion.
116
00:05:03,303 --> 00:05:07,139
It usually gets better with Aleve,
but today was really bad.
117
00:05:07,140 --> 00:05:08,516
Same pain you had before?
118
00:05:09,475 --> 00:05:11,727
- From a cyst?
- I think so.
119
00:05:11,728 --> 00:05:13,770
I have PCOS.
120
00:05:13,771 --> 00:05:16,440
Is the pain always on your left?
121
00:05:16,441 --> 00:05:17,816
Today it is.
122
00:05:17,817 --> 00:05:20,736
We will check a UA
and urine pregnancy test,
123
00:05:20,737 --> 00:05:22,321
and I'll give you a shot of Toradol.
124
00:05:22,322 --> 00:05:24,865
It's something a little stronger
for the pain.
125
00:05:24,866 --> 00:05:26,658
I'm not pregnant, I promise.
126
00:05:26,659 --> 00:05:29,953
No, we have to. It's hospital policy.
127
00:05:29,954 --> 00:05:32,540
You guys still write stuff down on paper?
128
00:05:33,541 --> 00:05:35,627
Today we do, yeah.
129
00:05:43,134 --> 00:05:46,345
Are you a doctor?
I've been waiting hours to be seen.
130
00:05:46,346 --> 00:05:47,554
Quick question--
131
00:05:47,555 --> 00:05:50,433
- Hey, watch the walker.
- This thing is useless.
132
00:05:51,267 --> 00:05:52,976
Sorry, I just...
133
00:05:52,977 --> 00:05:55,855
We're really busy,
and someone will see you in a second.
134
00:05:58,191 --> 00:06:00,276
- Becca.
- Mel, hi.
135
00:06:01,277 --> 00:06:04,029
- Is everything okay?
- Yeah, I have a stomachache.
136
00:06:04,030 --> 00:06:05,906
Did you see the residential-care nurse?
137
00:06:05,907 --> 00:06:08,450
She was out for the Fourth,
but I talked to her on the phone.
138
00:06:08,451 --> 00:06:10,869
She told me to come here,
and Geri brought me.
139
00:06:10,870 --> 00:06:12,287
- Thank you.
- No problem.
140
00:06:12,288 --> 00:06:14,456
- I'll wait for you.
- Okay.
141
00:06:14,457 --> 00:06:15,875
Okay. Come on, this way.
142
00:06:16,876 --> 00:06:18,126
Just through here.
143
00:06:18,127 --> 00:06:22,005
- Is it always like this?
- Yeah, pretty much.
144
00:06:22,006 --> 00:06:25,258
Wow. There are a lot of smelly people.
145
00:06:25,259 --> 00:06:26,635
Yeah.
146
00:06:26,636 --> 00:06:28,011
Are you going to help them all?
147
00:06:28,012 --> 00:06:30,222
Yeah, but let's start with you first.
148
00:06:30,223 --> 00:06:31,307
Okay.
149
00:06:32,183 --> 00:06:35,811
- How's the pain?
- I can't feel my hand anymore.
150
00:06:35,812 --> 00:06:37,020
Ancef's on board.
151
00:06:37,021 --> 00:06:40,232
Okay, we're going to clean
out your hand with saline--salt water.
152
00:06:40,233 --> 00:06:41,693
Okay.
153
00:06:45,488 --> 00:06:46,406
What's up?
154
00:06:47,115 --> 00:06:50,742
- Hand versus M-80.
- Surprised we've only seen one of these.
155
00:06:50,743 --> 00:06:52,202
The day's still young yet.
156
00:06:52,203 --> 00:06:54,413
Lost fourth metacarpal,
mid-shaft on the fifth.
157
00:06:54,414 --> 00:06:55,498
Bummer.
158
00:06:56,874 --> 00:06:59,084
Hello, I'm Dr. Garcia from surgery.
159
00:06:59,085 --> 00:07:00,752
- I'm gonna have surgery?
- Yes.
160
00:07:00,753 --> 00:07:03,422
The first operation is to clean
everything up
161
00:07:03,423 --> 00:07:05,258
and cover where the skin is missing.
162
00:07:06,009 --> 00:07:08,928
But you still have your thumb
and your most important fingers.
163
00:07:13,266 --> 00:07:15,934
- What'd you give him for pain?
- We did regional blocks.
164
00:07:15,935 --> 00:07:18,687
Hand surgery always wants to document
their own neuro exam.
165
00:07:18,688 --> 00:07:20,981
Sensation is intact
to light touch and pinprick
166
00:07:20,982 --> 00:07:23,151
throughout the digits
in the remaining hand.
167
00:07:25,528 --> 00:07:29,698
Yeah, FDS and FTPs and extensor function
was all intact.
168
00:07:29,699 --> 00:07:32,409
- Need parental consent for surgery.
- Yeah, we're working on that.
169
00:07:32,410 --> 00:07:33,536
Dr. Robby?
170
00:07:37,874 --> 00:07:39,751
I smell alcohol on his breath.
171
00:07:41,210 --> 00:07:43,795
He's in line for the OR.
Might be a little bit of a wait.
172
00:07:43,796 --> 00:07:45,088
Ortho's still in with Allen Billings--
173
00:07:45,089 --> 00:07:47,049
that open shoulder dislocation
that came back from Westbridge.
174
00:07:47,050 --> 00:07:48,300
He's still in surgery?
175
00:07:48,301 --> 00:07:50,302
He waited an hour
to be cleared by anesthesia.
176
00:07:50,303 --> 00:07:52,387
Is the insurance company
gonna cover the cost of the surgery?
177
00:07:52,388 --> 00:07:53,889
Yeah, since Westbridge is still down.
178
00:07:53,890 --> 00:07:55,223
Well, good, because the delay in care
179
00:07:55,224 --> 00:07:57,392
definitely increased the chance
of a post-op infection.
180
00:07:57,393 --> 00:08:00,396
You got to love it when insurance
companies make medical decisions.
181
00:08:01,981 --> 00:08:03,523
- Hey.
- What's up?
182
00:08:03,524 --> 00:08:06,610
Do you still need a rain check
for watching fireworks tonight?
183
00:08:06,611 --> 00:08:08,195
I thought you were coming over.
184
00:08:08,196 --> 00:08:09,572
I made other plans.
185
00:08:10,990 --> 00:08:12,407
Okay, cool.
186
00:08:12,408 --> 00:08:14,493
I'll try hitting you up tomorrow.
187
00:08:14,494 --> 00:08:16,578
We're just keeping it casual, right?
188
00:08:16,579 --> 00:08:17,789
For sure.
189
00:08:22,001 --> 00:08:24,795
Yeah. Thank you.
Yeah, bye.
190
00:08:24,796 --> 00:08:25,921
Oh, hey.
191
00:08:25,922 --> 00:08:27,714
I just got a hold of the sister
of the heavy patient
192
00:08:27,715 --> 00:08:29,341
Abbot's taking to Presby.
193
00:08:29,342 --> 00:08:30,801
She still lives in Arizona,
194
00:08:30,802 --> 00:08:33,720
but she is willing to talk
to him when he's back.
195
00:08:33,721 --> 00:08:34,805
That's good news.
196
00:08:34,806 --> 00:08:36,723
When do you think that might be?
197
00:08:36,724 --> 00:08:39,017
Depends on how crazy it is over at Presby.
198
00:08:39,018 --> 00:08:40,852
If it's anything like here, who knows?
199
00:08:40,853 --> 00:08:41,938
Yeah.
200
00:08:42,814 --> 00:08:45,232
- Is help on the way?
- Ah, ye of little faith.
201
00:08:45,233 --> 00:08:46,818
You got a gumband?
202
00:08:48,027 --> 00:08:50,238
Thanks. Keep losing these.
203
00:08:51,197 --> 00:08:52,948
Oh, this fucking day.
204
00:08:52,949 --> 00:08:55,450
Thought I was gonna get
a clean getaway for my trip.
205
00:08:55,451 --> 00:08:58,745
God gives His toughest battles
to His strongest soldiers.
206
00:08:58,746 --> 00:09:00,997
Dana, is there a room open?
This is my sister.
207
00:09:00,998 --> 00:09:03,208
She's in a lot of pain,
and we need a bed ASAP.
208
00:09:03,209 --> 00:09:04,960
My name is Becca, not "my sister."
209
00:09:04,961 --> 00:09:06,169
Sorry, right.
210
00:09:06,170 --> 00:09:09,714
Dana, Dr. Robby, this is my--Becca.
211
00:09:09,715 --> 00:09:11,007
Nice to meet you.
212
00:09:11,008 --> 00:09:14,052
You're Dr. Robby? Cool.
213
00:09:14,053 --> 00:09:16,596
Central 7 was just cleaned.
Anything I can get you, hon?
214
00:09:16,597 --> 00:09:18,057
No, thank you.
215
00:09:21,269 --> 00:09:22,854
Oh, wait, Becca. Come here.
216
00:09:23,855 --> 00:09:26,858
Come this way.
We're going right in here.
217
00:09:28,067 --> 00:09:31,027
All right, so you're gonna
need to get undressed
218
00:09:31,028 --> 00:09:33,655
and get into the gown,
which should be on the bed.
219
00:09:33,656 --> 00:09:36,366
Then we're gonna do an evaluation
and take a history.
220
00:09:36,367 --> 00:09:37,868
That's a lot of questions,
221
00:09:37,869 --> 00:09:39,911
like, like, a lot, a lot of questions,
which we'll do.
222
00:09:39,912 --> 00:09:41,663
And then a physical exam, of course.
223
00:09:41,664 --> 00:09:44,000
Mel, I've been to the doctor's before.
224
00:09:45,293 --> 00:09:46,585
Right. Sorry.
225
00:09:46,586 --> 00:09:49,672
I just--I really want this
to be done the right way.
226
00:09:53,718 --> 00:09:55,468
Do you need to take that call?
227
00:09:55,469 --> 00:09:57,846
No, it's a reminder alarm
228
00:09:57,847 --> 00:10:00,807
for this important meeting
I have in 15 minutes.
229
00:10:00,808 --> 00:10:01,976
Do you have to go?
230
00:10:03,102 --> 00:10:05,020
Let's just get you
taken care of first, all right?
231
00:10:05,021 --> 00:10:07,522
So just change into the gown.
I'll be behind the curtain.
232
00:10:07,523 --> 00:10:08,608
Okay.
233
00:10:10,151 --> 00:10:11,152
Okay.
234
00:10:21,704 --> 00:10:23,956
Your grand prize.
235
00:10:24,916 --> 00:10:27,919
All I see is green, baby.
236
00:10:36,928 --> 00:10:38,637
{\an8}What's up with her?
237
00:10:38,638 --> 00:10:40,765
{\an8}Fax machine has paper jam, so annoying.
238
00:10:49,440 --> 00:10:51,650
- You want me to try?
- No.
239
00:10:51,651 --> 00:10:54,070
- Oh, huzzah.
- I got it.
240
00:10:58,407 --> 00:10:59,908
- What's it say?
- "Replace toner."
241
00:10:59,909 --> 00:11:01,076
We live in hell.
242
00:11:01,077 --> 00:11:03,119
- Oh, where can we get that?
- 1988.
243
00:11:03,120 --> 00:11:05,664
- You ever seen one of these?
- Honestly, no.
244
00:11:05,665 --> 00:11:07,666
How are we gonna get labs
and X-rays to the wards?
245
00:11:07,667 --> 00:11:09,668
The old-fashioned way, runners.
246
00:11:09,669 --> 00:11:12,588
I'll check if they can spare
a couple clerks from upstairs.
247
00:11:17,260 --> 00:11:20,095
When were you first diagnosed
with polycystic ovarian syndrome?
248
00:11:20,096 --> 00:11:21,304
Last summer.
249
00:11:21,305 --> 00:11:23,098
That's when the symptoms started?
250
00:11:23,099 --> 00:11:26,059
No. I've had years of pain,
hormonal changes,
251
00:11:26,060 --> 00:11:27,519
and an abnormal period.
252
00:11:27,520 --> 00:11:31,648
I was finally diagnosed after switching
to a gyno who actually listened to me.
253
00:11:31,649 --> 00:11:34,026
Yeah, it can take time
to make the diagnosis.
254
00:11:35,152 --> 00:11:37,697
That sounds like an excuse
for lazy doctoring.
255
00:11:38,614 --> 00:11:41,283
And it doesn't help that some
of you don't listen to women,
256
00:11:41,284 --> 00:11:43,118
let alone brown ones.
257
00:11:43,119 --> 00:11:44,661
It hasn't been easy.
258
00:11:44,662 --> 00:11:46,830
- How's your pain now?
- Better.
259
00:11:46,831 --> 00:11:49,207
- What was she given?
- IM Toradol.
260
00:11:49,208 --> 00:11:52,377
Have you had
a transvaginal ultrasound before?
261
00:11:52,378 --> 00:11:54,212
I've lost count
of how many times.
262
00:11:54,213 --> 00:11:56,548
Okay, if you want
to scoot your bottom down,
263
00:11:56,549 --> 00:11:59,551
I'll help you put your feet
in the leg rests here.
264
00:11:59,552 --> 00:12:01,804
Yep, you got it.
265
00:12:10,313 --> 00:12:12,230
Okay, ready to go here?
266
00:12:12,231 --> 00:12:15,026
Cold gel and some pressure.
267
00:12:17,987 --> 00:12:18,988
Okay.
268
00:12:20,364 --> 00:12:25,243
Okay, ectopic is unlikely
since the urine pregnancy was negative.
269
00:12:25,244 --> 00:12:26,953
I'm hoping it'll be positive one day.
270
00:12:26,954 --> 00:12:29,497
- Oh, are you trying?
- Not at the moment.
271
00:12:29,498 --> 00:12:31,666
I'm getting married in September.
272
00:12:31,667 --> 00:12:33,669
- Oh, congratulations.
- Okay.
273
00:12:35,004 --> 00:12:38,048
A bunch of small cysts--to be expected.
274
00:12:38,049 --> 00:12:41,384
But then there's one big one,
about 5 centimeters.
275
00:12:41,385 --> 00:12:43,846
My gyno's been monitoring her.
276
00:12:45,014 --> 00:12:46,389
With a little bit of free fluid.
277
00:12:46,390 --> 00:12:49,017
Checking blood flow to the ovary.
278
00:12:49,018 --> 00:12:51,353
Red is for artery. Blue is for vein.
279
00:12:51,354 --> 00:12:53,188
Okay, looks good.
280
00:12:53,189 --> 00:12:54,690
Coming out now.
281
00:12:56,067 --> 00:12:57,068
- Sorry.
- Okay.
282
00:12:59,070 --> 00:13:02,490
We will be back when we get
your blood-test results.
283
00:13:05,242 --> 00:13:06,534
All right, what do you think?
284
00:13:06,535 --> 00:13:09,621
She probably had a small fluid leak
from the cyst that caused the pain
285
00:13:09,622 --> 00:13:12,248
that improved with a nonsteroidal.
286
00:13:12,249 --> 00:13:15,502
- And what's your plan?
- Discharge with naproxen?
287
00:13:15,503 --> 00:13:19,631
Do you think that just might be
what her doctors in the past have done?
288
00:13:19,632 --> 00:13:22,634
Well, she said she's feeling better.
We can free up a bed.
289
00:13:22,635 --> 00:13:24,010
She didn't look good in triage,
290
00:13:24,011 --> 00:13:26,846
and her pain was way more severe
than previous episodes.
291
00:13:26,847 --> 00:13:28,848
I think we observe her for a bit.
292
00:13:28,849 --> 00:13:30,433
Okay.
293
00:13:30,434 --> 00:13:33,521
Mr. Green, this is Dr. Mohan
and student doctor Ogilvie.
294
00:13:34,730 --> 00:13:36,439
What can you tell me
about your flank pain?
295
00:13:36,440 --> 00:13:39,651
- Feels like another kidney stone.
- You've had them before?
296
00:13:39,652 --> 00:13:41,820
I said "another," which means
an additional thing
297
00:13:41,821 --> 00:13:43,239
of the same type.
298
00:13:44,532 --> 00:13:46,283
I teach English at Point Park.
299
00:13:46,909 --> 00:13:48,118
Triggering.
300
00:13:48,119 --> 00:13:49,829
My dad's a high-school English teacher.
301
00:13:51,747 --> 00:13:54,375
Well, you went into medicine.
He must be really proud.
302
00:13:55,543 --> 00:13:57,210
You'd have to ask him.
303
00:13:57,211 --> 00:13:58,878
Getting back to your pain,
304
00:13:58,879 --> 00:14:01,256
it feels like something
you've experienced before?
305
00:14:01,257 --> 00:14:03,258
Same as always, left kidney.
306
00:14:03,259 --> 00:14:05,301
Started about 10:00 p.m. last night.
307
00:14:05,302 --> 00:14:06,886
Any fever, blood in the urine?
308
00:14:06,887 --> 00:14:08,763
No.
No fever.
309
00:14:08,764 --> 00:14:10,849
Urine's a bit darker than normal.
310
00:14:10,850 --> 00:14:12,809
Dehydration can lead to stone formation.
311
00:14:12,810 --> 00:14:14,394
Lean forward a bit, please.
312
00:14:14,395 --> 00:14:16,479
- Check for CVA tenderness.
- Yeah.
313
00:14:16,480 --> 00:14:17,565
All right.
314
00:14:18,941 --> 00:14:21,152
Let me know if there's any discomfort.
315
00:14:24,113 --> 00:14:25,280
- Sorry.
- Yeah.
316
00:14:25,281 --> 00:14:27,575
- We'll order medication and a few tests.
- Okay.
317
00:14:32,371 --> 00:14:35,290
Dip urine, Chem Seven,
bedside ultrasound to check for hydro,
318
00:14:35,291 --> 00:14:36,708
and ketorolac for pain.
319
00:14:36,709 --> 00:14:38,377
- Sounds good.
- Okay.
320
00:14:43,966 --> 00:14:45,425
Really putting me to work.
321
00:14:45,426 --> 00:14:47,302
It's been a very busy day, Dr. Barker.
322
00:14:47,303 --> 00:14:48,387
Call me Nick.
323
00:14:50,973 --> 00:14:53,600
- What's all this?
- I brought radiology to us.
324
00:14:53,601 --> 00:14:56,227
Dr. Barker, Nick, will have
wet-read results for us
325
00:14:56,228 --> 00:14:57,604
- in no time.
- Good idea.
326
00:14:57,605 --> 00:14:59,898
- Thank you.
- "Wet read"?
327
00:14:59,899 --> 00:15:02,984
- You ever take a photography class?
- Yeah, in, like, middle school.
328
00:15:02,985 --> 00:15:05,320
So, before digital technology, X-ray films
329
00:15:05,321 --> 00:15:08,740
were physically developed
in a darkroom, in baths, thus wet read.
330
00:15:08,741 --> 00:15:10,492
Oh, cool.
331
00:15:10,493 --> 00:15:12,411
He's taking up a lot of space.
332
00:15:13,370 --> 00:15:15,747
Got an update from Dylan
on our abandoned baby.
333
00:15:15,748 --> 00:15:18,666
CYF has requested an emergency
custody authorization.
334
00:15:18,667 --> 00:15:21,377
Once we get a court order,
we can place her in foster care.
335
00:15:21,378 --> 00:15:23,214
I love photography.
336
00:15:23,923 --> 00:15:25,048
- Jesus Christ.
- Dr. Robby?
337
00:15:25,049 --> 00:15:26,549
Dr. Robby, can I borrow you for a second?
338
00:15:26,550 --> 00:15:27,759
Sure. What can I do for you?
339
00:15:27,760 --> 00:15:29,135
Well, she said she has a stomachache,
340
00:15:29,136 --> 00:15:30,762
but belly pain can mean a lot
of different things--
341
00:15:30,763 --> 00:15:34,474
- Okay, okay, okay, breathe.
- I'm looking for Dr. Mel King.
342
00:15:34,475 --> 00:15:35,476
Yes?
343
00:15:36,560 --> 00:15:38,937
I'm Morgan Stiles,
one of the hospital's attorneys.
344
00:15:38,938 --> 00:15:41,564
I'm here to escort you upstairs
for your deposition.
345
00:15:41,565 --> 00:15:43,191
Right now?
346
00:15:43,192 --> 00:15:46,861
Morgan, can I borrow Dr. King
for just a moment?
347
00:15:46,862 --> 00:15:48,239
Sure.
348
00:15:50,032 --> 00:15:51,324
It's gonna be fine.
349
00:15:51,325 --> 00:15:53,409
I can't go up now because of Becca.
350
00:15:53,410 --> 00:15:55,578
You probably shouldn't be caring
for Becca.
351
00:15:55,579 --> 00:15:57,455
It's not a good idea
to care for family members.
352
00:15:57,456 --> 00:15:58,873
It's hard to stay objective.
353
00:15:58,874 --> 00:16:00,375
Let's see who's available.
354
00:16:00,376 --> 00:16:01,709
Hey, are you free?
355
00:16:01,710 --> 00:16:03,504
Is anybody really free?
356
00:16:04,505 --> 00:16:05,589
Not an R2.
357
00:16:06,966 --> 00:16:08,466
Just the guy we were looking for.
358
00:16:08,467 --> 00:16:10,052
- Need something?
- Yes.
359
00:16:11,053 --> 00:16:11,970
Sure.
360
00:16:11,971 --> 00:16:15,056
Dr. King's sister has a bellyache.
The case is now yours.
361
00:16:15,057 --> 00:16:16,057
Sure.
362
00:16:16,058 --> 00:16:18,393
You can pick up the rest of her patients
while she's doing her deposition.
363
00:16:18,394 --> 00:16:20,395
How am I supposed to catch up
on my outstanding charts
364
00:16:20,396 --> 00:16:22,397
with extra patients
and the computer system down?
365
00:16:22,398 --> 00:16:23,982
The same way that the rest of us do.
366
00:16:23,983 --> 00:16:26,734
You can finish your charting
when you finish your shift.
367
00:16:26,735 --> 00:16:28,654
Fucking fantastic.
368
00:16:33,284 --> 00:16:35,201
- Hi, Becca.
- Hi.
369
00:16:35,202 --> 00:16:37,620
This is Dr. Langdon.
He'll be taking care of you.
370
00:16:37,621 --> 00:16:41,624
You have really nice hair, Dr. Langdon.
371
00:16:41,625 --> 00:16:43,209
Thank you.
372
00:16:43,210 --> 00:16:46,588
Mel, would you mind turning off
the lights on your way out?
373
00:16:46,589 --> 00:16:47,673
Of course.
374
00:16:48,507 --> 00:16:50,967
And I'll be back as soon as I'm done.
375
00:16:50,968 --> 00:16:53,052
And feel free to call me
if anything comes up,
376
00:16:53,053 --> 00:16:54,846
- because I can come right--
- Don't worry.
377
00:16:54,847 --> 00:16:57,308
- Becca's in good hands.
- I know.
378
00:16:58,309 --> 00:16:59,435
Okay.
379
00:17:07,109 --> 00:17:10,112
Mel says lots of nice things about you.
380
00:17:12,239 --> 00:17:13,240
Okay.
381
00:17:15,200 --> 00:17:17,368
Tell me the reason you're here today.
382
00:17:17,369 --> 00:17:18,786
I have a stomachache.
383
00:17:18,787 --> 00:17:20,663
Your belly hurts? Where about?
384
00:17:20,664 --> 00:17:23,750
- Right down here.
- Okay.
385
00:17:23,751 --> 00:17:27,587
Are you experiencing anything else,
or is it just the stomachache?
386
00:17:27,588 --> 00:17:29,631
It stings when I pee.
387
00:17:29,632 --> 00:17:31,674
Sometimes when that happens,
388
00:17:31,675 --> 00:17:34,385
women feel like they need
to urinate all the time.
389
00:17:34,386 --> 00:17:36,179
- Do you feel that way?
- Yes.
390
00:17:36,180 --> 00:17:37,972
And what happens when you go?
391
00:17:37,973 --> 00:17:40,100
Hardly anything comes out.
392
00:17:40,768 --> 00:17:42,185
That's what I thought.
393
00:17:42,186 --> 00:17:44,729
Really? How do you know?
394
00:17:44,730 --> 00:17:47,690
Well, I've seen a lot of patients
with the same symptoms.
395
00:17:47,691 --> 00:17:50,443
- So this is normal?
- Yes, it's totally normal.
396
00:17:50,444 --> 00:17:52,820
But we still need to fix it.
397
00:17:52,821 --> 00:17:53,989
Okay.
398
00:18:00,162 --> 00:18:01,287
Hey.
399
00:18:01,288 --> 00:18:02,998
How's it going, Roxy?
400
00:18:03,624 --> 00:18:05,792
- A little better.
- Yeah?
401
00:18:05,793 --> 00:18:07,628
You need more morphine?
402
00:18:13,592 --> 00:18:16,428
I've been in pain all this time, my love.
403
00:18:17,137 --> 00:18:19,014
Why didn't you tell me?
404
00:18:20,182 --> 00:18:22,184
I didn't want you guys to worry.
405
00:18:24,144 --> 00:18:25,938
I can't pretend anymore.
406
00:18:27,606 --> 00:18:30,859
Mom, it's so hot outside,
the ice cream's melting.
407
00:18:33,821 --> 00:18:36,031
We thought we'd indulge a bit.
408
00:18:36,990 --> 00:18:38,409
Oh, yeah.
409
00:18:39,410 --> 00:18:40,284
Looks amazing.
410
00:18:40,285 --> 00:18:42,829
So which flavor should we start with?
411
00:18:42,830 --> 00:18:45,040
Salty caramel, Mom's favorite.
412
00:18:46,041 --> 00:18:48,210
You'll need lots more napkins.
413
00:19:03,976 --> 00:19:04,893
Rude.
414
00:19:07,521 --> 00:19:10,773
- How's it going in there?
- All good. Langdon's great with her.
415
00:19:10,774 --> 00:19:12,567
I got seven more films ordered,
waiting to be shot,
416
00:19:12,568 --> 00:19:14,570
but Dr. Nick here's tying up the machine.
417
00:19:15,863 --> 00:19:18,197
Isn't there a USB port
on the front of that portable?
418
00:19:18,198 --> 00:19:20,950
And can't we just download
the films to a workstation
419
00:19:20,951 --> 00:19:22,660
and watch them without the Internet?
420
00:19:22,661 --> 00:19:24,996
- Yes.
- Oh, right. Forgot about that.
421
00:19:24,997 --> 00:19:27,373
Is he actually helping,
or is he just distracting?
422
00:19:27,374 --> 00:19:29,375
Let's download these
and start moving on to folks
423
00:19:29,376 --> 00:19:31,377
- waiting for X-rays.
- Great. I'm caught up anyway.
424
00:19:31,378 --> 00:19:33,004
I'll be back when the next batch is ready.
425
00:19:33,005 --> 00:19:35,214
Dr. Robby, the guardian
of your missing-fingers kid
426
00:19:35,215 --> 00:19:37,383
- in Central 12 has arrived.
- Thank you, Olive.
427
00:19:37,384 --> 00:19:39,343
Will you ask Dr. Santos
to come and meet me, too?
428
00:19:39,344 --> 00:19:41,012
- On it.
- Who's in South 22?
429
00:19:41,013 --> 00:19:44,390
- Nobody. Headache was discharged.
- Tell that to the lady on the bed.
430
00:19:44,391 --> 00:19:45,475
What lady?
431
00:19:45,476 --> 00:19:47,810
I just tried to put
a hematuria patient in there,
432
00:19:47,811 --> 00:19:49,187
but it's occupied.
433
00:19:49,188 --> 00:19:50,730
- South 22? You sure?
- I'm positive.
434
00:19:50,731 --> 00:19:51,898
That's my patient.
435
00:19:51,899 --> 00:19:54,109
Then why isn't she on the board?
436
00:19:54,902 --> 00:19:57,278
She should be.
Olive was bringing her back from triage.
437
00:19:57,279 --> 00:19:59,614
I picked her right up.
I just assumed she made it to the board.
438
00:19:59,615 --> 00:20:01,407
You should've checked.
You should've made sure.
439
00:20:01,408 --> 00:20:02,617
I haven't put anybody on the board.
440
00:20:02,618 --> 00:20:05,203
- I thought the nurses did that.
- We all need to pitch in.
441
00:20:05,204 --> 00:20:07,622
There's no rooms at the moment.
Put hematuria on the wall.
442
00:20:07,623 --> 00:20:10,249
- Who's your patient?
- Mrs. Burns, with nausea.
443
00:20:10,250 --> 00:20:12,084
- I've ordered labs and X-rays.
- Who are you seeing her with?
444
00:20:12,085 --> 00:20:14,045
- I still need to present the case.
- Get busy.
445
00:20:14,046 --> 00:20:16,507
Find somebody with MD after their name.
446
00:20:18,509 --> 00:20:20,302
Oh, God, kids.
447
00:20:22,304 --> 00:20:25,556
Hello, I'm Dr. Robby.
This is Dr. Santos.
448
00:20:25,557 --> 00:20:27,016
- Chantal.
- How do you do?
449
00:20:27,017 --> 00:20:29,936
- We've been caring for your brother.
- Are you Jude's legal guardian?
450
00:20:29,937 --> 00:20:31,062
Yeah.
451
00:20:31,063 --> 00:20:32,856
Our parents aren't around.
452
00:20:33,857 --> 00:20:36,234
- Is he going to be okay?
- He got very lucky.
453
00:20:36,235 --> 00:20:39,487
He lost the fourth and fifth fingers
on his nondominant hand.
454
00:20:39,488 --> 00:20:42,281
But if he hadn't dropped the firecracker,
it would have been a lot worse.
455
00:20:42,282 --> 00:20:44,951
He lost fingers from a firecracker?
456
00:20:44,952 --> 00:20:47,119
Will he be able to use his hand?
457
00:20:47,120 --> 00:20:49,622
Yes, he still has
his three most important fingers,
458
00:20:49,623 --> 00:20:51,207
and they are fully functional.
459
00:20:51,208 --> 00:20:54,127
He'll need surgery to clean everything up,
but it should heal well.
460
00:20:54,878 --> 00:20:57,880
- What the fuck were you thinking?
- I'm sorry.
461
00:20:57,881 --> 00:21:00,884
Alex asked me to come over.
His brother had a stack of fire--
462
00:21:05,347 --> 00:21:07,223
You think I wanted to blow my hand off?
463
00:21:07,224 --> 00:21:08,891
Then you need to listen to me
when I tell you something.
464
00:21:08,892 --> 00:21:11,269
- You're not my mom.
- You think I want to be your mom?
465
00:21:11,270 --> 00:21:13,522
Chantal, why don't we take a step outside?
466
00:21:17,985 --> 00:21:20,695
So I know that this can be very stressful.
467
00:21:20,696 --> 00:21:22,697
Yeah, he almost lost
his hand being stupid.
468
00:21:22,698 --> 00:21:24,699
- He's a really sweet kid.
- He used to be.
469
00:21:24,700 --> 00:21:26,743
We also found something in his blood work.
470
00:21:27,578 --> 00:21:30,581
- What?
- He has a blood alcohol of 0.08.
471
00:21:32,207 --> 00:21:33,583
What, he was drunk?
472
00:21:33,584 --> 00:21:35,251
Are you fucking kidding me?
473
00:21:35,252 --> 00:21:37,880
- Does he drink regularly?
- No.
474
00:21:39,381 --> 00:21:40,923
I don't know.
475
00:21:40,924 --> 00:21:44,719
The boys at our apartment complex
are a really bad influence.
476
00:21:44,720 --> 00:21:47,722
- I mean, he's only 12.
- That is what concerns us.
477
00:21:47,723 --> 00:21:51,183
A positive blood alcohol immediately
triggers a social service consult.
478
00:21:51,184 --> 00:21:52,894
They gonna take my brother away from me?
479
00:21:52,895 --> 00:21:55,313
It's an evaluation to determine
if the injury and the drinking
480
00:21:55,314 --> 00:21:57,940
- is cause for some kind of intervention.
- I won't let you separate us.
481
00:21:57,941 --> 00:21:59,526
- We are required to--
- No!
482
00:22:09,786 --> 00:22:11,162
58-year-old woman with nausea,
483
00:22:11,163 --> 00:22:13,664
vomited once after eating
warm potato salad at a barbecue.
484
00:22:13,665 --> 00:22:14,665
Well-hydrated.
485
00:22:14,666 --> 00:22:17,627
Abdomen's pretty benign, just a little
distended with mild tenderness.
486
00:22:17,628 --> 00:22:19,837
History of constipation.
I give her Zofran.
487
00:22:19,838 --> 00:22:21,631
Labs and abdominal series pending.
488
00:22:21,632 --> 00:22:23,841
- Okay, let's take a look.
- Okay.
489
00:22:23,842 --> 00:22:25,176
Hi, Mrs. Burns.
490
00:22:25,177 --> 00:22:27,054
This is Dr. Whitaker.
How are you feeling?
491
00:22:28,055 --> 00:22:29,056
Mrs. Burns?
492
00:22:30,098 --> 00:22:32,308
Mrs. Burns, can you open your eyes for me?
493
00:22:32,309 --> 00:22:33,768
She was awake and alert
last time I saw her.
494
00:22:33,769 --> 00:22:36,896
Okay, feels warm, thready pulse.
495
00:22:36,897 --> 00:22:38,731
Abdomen's more distended than before.
496
00:22:38,732 --> 00:22:40,858
Okay, agonal respirations.
497
00:22:40,859 --> 00:22:42,818
- She's hardly breathing.
- It's kind of rigid.
498
00:22:42,819 --> 00:22:46,030
Yeah, yeah, Perlah, we need a crash cart.
Can you call respiratory?
499
00:22:46,031 --> 00:22:48,574
- Pull the bed out for intubation, please.
- Yeah.
500
00:22:48,575 --> 00:22:50,077
I can give you guys some room.
501
00:22:51,078 --> 00:22:52,370
- Okay.
- What's up?
502
00:22:52,371 --> 00:22:54,997
Hypotensive, acute abdomen.
She needs an airway.
503
00:22:54,998 --> 00:22:57,083
- I'll find the GlideScope.
- No time for that.
504
00:22:57,084 --> 00:22:58,459
We've got direct on the crash cart.
505
00:22:58,460 --> 00:23:00,211
- Whitaker, you're up.
- I haven't done many directs.
506
00:23:00,212 --> 00:23:01,379
Well, then you need to do more.
507
00:23:01,380 --> 00:23:03,881
- Induction meds?
- 100 ketamine, 80 of raw.
508
00:23:03,882 --> 00:23:05,634
Javadi, what's the story?
509
00:23:06,551 --> 00:23:09,471
Presented with mild abdominal pain,
took a turn for the worse.
510
00:23:11,431 --> 00:23:14,058
A-fib 122, BP 98 and systolic.
511
00:23:14,059 --> 00:23:15,810
Okay, let's bolus another 500 cc's.
512
00:23:15,811 --> 00:23:18,062
- We shocking her?
- Maybe. After intubation.
513
00:23:18,063 --> 00:23:19,689
Check your light. Check your balloon.
514
00:23:19,690 --> 00:23:21,816
Javadi, AP pads in case
we need to cardiovert.
515
00:23:21,817 --> 00:23:24,151
Normal EKG at triage. She wasn't in A-fib.
516
00:23:24,152 --> 00:23:26,487
Stress from her condition
probably put her there.
517
00:23:26,488 --> 00:23:27,905
Good? Let's roll her.
518
00:23:27,906 --> 00:23:29,740
- Do we have any labs back?
- I don't think so.
519
00:23:29,741 --> 00:23:32,493
- What else do we need?
- Blood cultures.
520
00:23:32,494 --> 00:23:34,955
Lactate, 2 liters LR, 3.375 pip-tazo.
521
00:23:35,831 --> 00:23:37,916
Okay, she's loose.
Go ahead, Whitaker. Take a look.
522
00:23:38,542 --> 00:23:39,710
Okay.
523
00:23:46,550 --> 00:23:49,343
Hi. I'm Dr. Santos.
This is student doctor Kwon.
524
00:23:49,344 --> 00:23:52,763
- How are you doing after the mist?
- Better than I was an hour ago.
525
00:23:52,764 --> 00:23:55,517
Okay, we are going to check your vitals.
526
00:23:57,728 --> 00:24:02,064
Temp is 100.2, and heart rate is 96.
527
00:24:02,065 --> 00:24:05,444
Okay, down from 101.5 and 120.
Very good.
528
00:24:06,278 --> 00:24:08,446
You were out in the heat in that costume?
529
00:24:08,447 --> 00:24:11,365
Yeah, with about 18,000 of my friends.
530
00:24:11,366 --> 00:24:12,617
Were you at Anthrocon?
531
00:24:13,744 --> 00:24:16,662
- What's that?
- Pittsburgh's annual furry convention.
532
00:24:16,663 --> 00:24:17,956
I go every year.
533
00:24:18,749 --> 00:24:19,708
Ever been?
534
00:24:20,751 --> 00:24:22,377
It's not really my scene.
535
00:24:23,253 --> 00:24:27,673
Yeah, furries get a bad rap, but there are
great people in the community...
536
00:24:27,674 --> 00:24:31,302
creative, welcoming, funny.
537
00:24:31,303 --> 00:24:33,846
I actually met my girlfriend
at last year's convention.
538
00:24:33,847 --> 00:24:35,556
Oh, that's cute.
539
00:24:35,557 --> 00:24:38,476
She gave me hope after struggling
on the dating apps.
540
00:24:38,477 --> 00:24:41,479
Nice to hear that meeting people
in real life still works.
541
00:24:41,480 --> 00:24:43,774
Wouldn't recommend it, especially at work.
542
00:24:44,900 --> 00:24:46,902
You should come to Anthrocon this weekend.
543
00:24:47,944 --> 00:24:50,321
Doesn't she need a fur suit for that?
544
00:24:50,322 --> 00:24:51,990
I think you'd make a good dragon.
545
00:24:56,078 --> 00:24:57,411
I'm in.
546
00:24:57,412 --> 00:24:58,830
Balloon up.
547
00:24:59,998 --> 00:25:01,541
Yep, bag her.
548
00:25:02,209 --> 00:25:03,209
Okay.
549
00:25:03,210 --> 00:25:05,961
- That was harder without video.
- We won't always have video.
550
00:25:05,962 --> 00:25:08,547
A-fib now at 152.
Blood pressure's down to 76 over 44.
551
00:25:08,548 --> 00:25:12,594
Okay, Javadi, sync mode.
Javadi, sync mode, 200, please.
552
00:25:13,428 --> 00:25:15,221
Good end tidal waveform.
553
00:25:15,222 --> 00:25:17,808
Good breath sounds bilaterally.
554
00:25:19,017 --> 00:25:21,228
- Charged for cardioversion.
- Everyone, clear.
555
00:25:25,607 --> 00:25:27,442
Normal sinus. Normal radial pulse.
556
00:25:29,611 --> 00:25:32,447
Good. Keep the fluids going.
Let's see what labs are back on her.
557
00:25:35,033 --> 00:25:36,367
Nice.
558
00:25:36,368 --> 00:25:37,828
Very nice.
559
00:25:39,079 --> 00:25:42,039
- What did you order?
- CBC, ER chem panel.
560
00:25:42,040 --> 00:25:44,625
- Something should be back.
- Fax machine ran out of toner.
561
00:25:44,626 --> 00:25:47,253
- Check the chart.
- There is no chart in slot 22.
562
00:25:47,254 --> 00:25:48,839
Check the orders rack.
563
00:25:49,840 --> 00:25:51,298
Nothing here either.
564
00:25:51,299 --> 00:25:53,260
Where's the chart for Claire Burns?
565
00:25:55,720 --> 00:25:58,722
Claire Burns, order slip.
Never drawn, never sent off to the lab.
566
00:25:58,723 --> 00:26:00,474
That's cause the patient
wasn't on the board.
567
00:26:00,475 --> 00:26:01,767
Nurses are working zones.
568
00:26:01,768 --> 00:26:03,978
If the patient's not
on the board, they don't exist.
569
00:26:03,979 --> 00:26:06,564
- So they didn't shoot her X-ray?
- X-ray downtime box is empty.
570
00:26:06,565 --> 00:26:08,983
- That means it was done.
- Then it's on the portable machine.
571
00:26:08,984 --> 00:26:11,777
Last I saw, it was headed north.
572
00:26:11,778 --> 00:26:13,988
- Thanks, Dana.
- Yep.
573
00:26:13,989 --> 00:26:16,782
- Hey, Kenny, can you wait up a sec?
- If you need an X-ray, write the order.
574
00:26:16,783 --> 00:26:18,033
Fill out a downtime.
575
00:26:18,034 --> 00:26:20,786
- Did you shoot a KUB in South 22?
- No. Maybe another tech did?
576
00:26:20,787 --> 00:26:23,999
Okay, can you flick through the films,
look for a patient--Burns?
577
00:26:28,670 --> 00:26:31,005
- Oh, shit.
- Oh, that is a classic sigmoid volvulus.
578
00:26:31,006 --> 00:26:32,798
- Peritoneal signs.
- Okay, call the OR.
579
00:26:32,799 --> 00:26:34,551
She's going to need surgery ASAP.
580
00:26:43,518 --> 00:26:45,561
Urine shows three plus blood.
581
00:26:45,562 --> 00:26:46,688
No surprise.
582
00:26:47,564 --> 00:26:51,192
BUN and creatinine are normal.
No evidence of renal insufficiency.
583
00:26:51,193 --> 00:26:52,943
I got a good look at the left kidney--
584
00:26:52,944 --> 00:26:56,864
mild hydronephrosis consistent
with ureteral column.
585
00:26:56,865 --> 00:26:59,200
- How was the rest of the ultrasound?
- Normal.
586
00:26:59,201 --> 00:27:02,286
Pain improved after 15 ketorolac IM.
587
00:27:02,287 --> 00:27:04,539
Now you can give another 15 and observe.
588
00:27:07,167 --> 00:27:09,544
Just need you to cosign my order.
589
00:27:11,755 --> 00:27:13,464
Thank you.
590
00:27:13,465 --> 00:27:15,549
Something on your mind?
591
00:27:15,550 --> 00:27:18,177
Yeah, I saw this regular an hour ago.
592
00:27:18,178 --> 00:27:20,054
He's in his 60s, fakes an ailment
593
00:27:20,055 --> 00:27:22,473
so he can come in to chat
every now and then
594
00:27:22,474 --> 00:27:24,475
because he's really lonely.
595
00:27:24,476 --> 00:27:26,477
You sure he just doesn't have
a crush on you?
596
00:27:26,478 --> 00:27:29,063
Maybe, but it got me thinking
about my mom.
597
00:27:29,064 --> 00:27:31,149
She's probably just been lonely.
598
00:27:31,858 --> 00:27:32,859
Yeah.
599
00:27:34,027 --> 00:27:38,072
You know, I haven't really dated
since my divorce.
600
00:27:38,073 --> 00:27:40,866
Medical school, my kid, residency.
601
00:27:40,867 --> 00:27:43,077
And now I'm feeling finally kind of ready.
602
00:27:43,078 --> 00:27:46,497
I was waiting until I got back to Jersey
to work on finding a relationship,
603
00:27:46,498 --> 00:27:48,415
and now that's out the window.
604
00:27:48,416 --> 00:27:50,584
Maybe I waited too long.
605
00:27:50,585 --> 00:27:51,752
For what?
606
00:27:51,753 --> 00:27:52,963
Do you hear that?
607
00:27:53,630 --> 00:27:57,759
That painful, lonely silence
is the sound of my eggs dying.
608
00:28:01,972 --> 00:28:04,014
So the rash in North 3
has been discharged.
609
00:28:04,015 --> 00:28:06,892
The Tasered law student in Central 10
has gone up to psych.
610
00:28:06,893 --> 00:28:09,019
The eye stroke is now in the ICU.
611
00:28:09,020 --> 00:28:12,314
And the tongue laceration in South 15
is sobering up before we discharge,
612
00:28:12,315 --> 00:28:14,108
which better be soon
because we need the room.
613
00:28:14,109 --> 00:28:16,694
Okay, I'll grab a med student
and get more patients moving out.
614
00:28:16,695 --> 00:28:19,363
You're not fazed by any of this chaos?
615
00:28:19,364 --> 00:28:21,115
What a fucking mess.
616
00:28:21,116 --> 00:28:22,993
Jesus Christ, we need you.
617
00:28:24,202 --> 00:28:27,371
Monica Peters, this is our new
attending, Dr. Al-Hashimi.
618
00:28:27,372 --> 00:28:29,331
- Welcome.
- Thank you.
619
00:28:29,332 --> 00:28:31,542
Monica's a retired clerk,
best of the best.
620
00:28:31,543 --> 00:28:33,335
She was kind enough
to come in on a holiday
621
00:28:33,336 --> 00:28:34,712
and help get us back into shape.
622
00:28:34,713 --> 00:28:36,338
Laid off by the digital revolution,
623
00:28:36,339 --> 00:28:37,715
- not retired.
- Okay.
624
00:28:37,716 --> 00:28:40,551
And how's all this digital shit
working out for you now?
625
00:28:40,552 --> 00:28:43,137
- Not so good.
- Exactly.
626
00:28:43,138 --> 00:28:46,140
All right, then, who's handling
the charts and the orders?
627
00:28:46,141 --> 00:28:47,474
That's us, right here.
628
00:28:47,475 --> 00:28:49,351
How long have you been clerks?
629
00:28:49,352 --> 00:28:51,687
Just today. We're medical assistants.
630
00:28:51,688 --> 00:28:54,732
Then get out of my space and go do
something you know how to do.
631
00:28:54,733 --> 00:28:58,360
And no personal calls.
Red phones are for emergencies only.
632
00:28:58,361 --> 00:29:01,488
- This is a hospital, for God's sake.
- I'll call you back.
633
00:29:01,489 --> 00:29:03,157
- Got a gumband?
- Yeah.
634
00:29:03,158 --> 00:29:06,368
Hi. I'm Makedah from admin and records.
I have a new badge for a Dr. Whitaker.
635
00:29:06,369 --> 00:29:08,579
Yeah. I'll get that to him.
636
00:29:08,580 --> 00:29:09,997
Heard you all need extra runners?
637
00:29:09,998 --> 00:29:12,374
- Perfect timing.
- How fast can you move?
638
00:29:12,375 --> 00:29:14,126
- I run marathons.
- Great.
639
00:29:14,127 --> 00:29:17,004
Grab the blood samples and the bin
and get them up to the lab.
640
00:29:17,005 --> 00:29:19,340
I want a lab run every 15 minutes.
641
00:29:19,341 --> 00:29:20,425
Got it.
642
00:29:26,181 --> 00:29:28,390
I work at a shoe store in Oakland.
643
00:29:28,391 --> 00:29:31,769
- Full-time and you're in school?
- Yes, and, yes.
644
00:29:31,770 --> 00:29:33,479
Allegheny Community.
645
00:29:33,480 --> 00:29:35,981
Does Jude go to summer school or camp
646
00:29:35,982 --> 00:29:38,568
while you're at work or school?
647
00:29:40,070 --> 00:29:41,779
Can't afford it.
648
00:29:41,780 --> 00:29:43,405
Are there any other family members
649
00:29:43,406 --> 00:29:45,824
that could help with his care
when you're not available?
650
00:29:45,825 --> 00:29:46,910
No.
651
00:29:50,413 --> 00:29:53,833
Chantal, we want to help you,
but we can't help if you won't talk to us.
652
00:29:54,501 --> 00:29:57,337
What, you're gonna take Jude away
and put him in foster care?
653
00:29:58,296 --> 00:30:00,715
I promised my parents
that would never happen.
654
00:30:01,299 --> 00:30:03,425
Did your parents pass away?
655
00:30:03,426 --> 00:30:04,968
Nope.
656
00:30:04,969 --> 00:30:06,513
What happened to them?
657
00:30:13,311 --> 00:30:16,439
My parents were deported
to Haiti nine months ago.
658
00:30:19,067 --> 00:30:22,904
They went in for their immigration hearing
and were detained.
659
00:30:24,531 --> 00:30:26,240
I was a sophomore at Ithaca.
660
00:30:26,241 --> 00:30:28,284
I had to move back home
to take care of my brother.
661
00:30:30,036 --> 00:30:31,037
I'm sorry.
662
00:30:31,913 --> 00:30:35,125
It was either that, or he moved
back to Haiti with them.
663
00:30:36,334 --> 00:30:37,919
He's never been there.
664
00:30:38,878 --> 00:30:41,005
We were both born here.
665
00:30:43,925 --> 00:30:47,261
My mom was so excited
when I got into college.
666
00:30:47,262 --> 00:30:49,388
She worked so hard
667
00:30:49,389 --> 00:30:52,349
to save up and pay my tuition.
668
00:30:52,350 --> 00:30:56,020
And now all she wants
is for my brother to finish high school.
669
00:30:58,773 --> 00:31:02,569
Man, being a big sister's a lot easier
than being a surrogate mom.
670
00:31:05,447 --> 00:31:08,741
Just give us a moment, please,
and I'll come grab you when we're done.
671
00:31:13,288 --> 00:31:15,747
Do we really need to get
family services involved?
672
00:31:15,748 --> 00:31:17,749
You wanted to get
them involved this morning
673
00:31:17,750 --> 00:31:19,377
with your eight-year-old ITP patient.
674
00:31:20,044 --> 00:31:22,713
That's different. Abuse trumps neglect.
675
00:31:22,714 --> 00:31:25,383
We can't separate her from her brother.
It's not right.
676
00:31:25,925 --> 00:31:27,802
A lot of what happens
to people around here isn't right.
677
00:31:33,808 --> 00:31:36,894
McKay, patient's complaining of pain.
678
00:31:36,895 --> 00:31:37,979
Yeah.
679
00:31:39,522 --> 00:31:43,984
- Hey, Amaya. What's going on?
- Oh, it really fucking hurts again.
680
00:31:43,985 --> 00:31:46,111
Hey, Jesse, can you grab Whitaker?
681
00:31:46,112 --> 00:31:48,322
- When did it get bad?
- Two minutes ago.
682
00:31:48,323 --> 00:31:50,741
Giving you some morphine
to take the edge off.
683
00:31:50,742 --> 00:31:54,119
- How severe, 1 to 10?
- 12. It's way worse.
684
00:31:54,120 --> 00:31:55,120
Okay.
685
00:31:55,121 --> 00:31:58,123
Hey, Amaya, the meds will kick in,
and we'll get you back on the foot rest
686
00:31:58,124 --> 00:32:00,084
to see what's going on, okay?
687
00:32:06,007 --> 00:32:08,800
I had to call her husband
in New York to get consent.
688
00:32:08,801 --> 00:32:09,885
Okay.
689
00:32:09,886 --> 00:32:11,846
Dr. Shamsi will be operating.
690
00:32:12,388 --> 00:32:15,016
If she presented with peritoneal signs,
why wasn't I called?
691
00:32:15,975 --> 00:32:18,602
There was a delayed presentation.
692
00:32:18,603 --> 00:32:21,355
The X-ray was shot an hour ago.
Why didn't anybody read it?
693
00:32:21,356 --> 00:32:23,357
There was confusion
with the digital systems down.
694
00:32:23,358 --> 00:32:25,526
It wasn't read.
We didn't get a report.
695
00:32:25,527 --> 00:32:29,821
An hour ago, I could have fixed this
in 60 seconds with a rectal tube.
696
00:32:29,822 --> 00:32:31,574
Now she needs major surgery.
697
00:32:32,242 --> 00:32:34,284
- I'm sorry.
- Not good enough, nepo baby.
698
00:32:34,285 --> 00:32:35,494
You fucked up.
699
00:32:35,495 --> 00:32:37,956
Don't trust anything or anybody else
when the system's down.
700
00:32:39,874 --> 00:32:43,294
With all the chaos,
she just fell through the cracks.
701
00:32:45,088 --> 00:32:46,881
She almost died.
702
00:32:48,258 --> 00:32:49,967
I could have killed her.
703
00:32:49,968 --> 00:32:51,176
- Whitaker.
- No--
704
00:32:51,177 --> 00:32:53,054
McKay needs you in Central 11.
705
00:32:54,097 --> 00:32:57,475
We caught it in time.
We won't let it happen again, okay?
706
00:33:10,071 --> 00:33:12,490
Oh, Princess is looking for you.
707
00:33:13,533 --> 00:33:15,409
She said something
about Monica under her breath,
708
00:33:15,410 --> 00:33:18,704
- but I couldn't make it out.
- Okay, I'll be back in a sec.
709
00:33:18,705 --> 00:33:20,498
Hey. Hey.
710
00:33:21,916 --> 00:33:24,085
You did good
with that sexual-assault victim.
711
00:33:25,336 --> 00:33:27,337
You were amazing with her.
712
00:33:27,338 --> 00:33:29,214
We do what we can to provide the best care
713
00:33:29,215 --> 00:33:32,093
to traumatized people
in their darkest days.
714
00:33:33,428 --> 00:33:36,221
What'd you talk to her about
when you took her out on the walk?
715
00:33:36,222 --> 00:33:37,515
I...
716
00:33:38,933 --> 00:33:40,642
...told her there might be a time
in the future
717
00:33:40,643 --> 00:33:44,314
when she changes her mind,
wants to press charges.
718
00:33:45,732 --> 00:33:48,275
It's better to have
the option to do it than not.
719
00:33:48,276 --> 00:33:49,527
Smart.
720
00:33:52,697 --> 00:33:54,239
Is every day like this?
721
00:33:54,240 --> 00:33:57,327
Minus the cyberattacks, yeah.
722
00:33:58,453 --> 00:34:02,123
But you're only a few hours away
from being done with your first of many.
723
00:34:03,041 --> 00:34:04,459
Be proud of that.
724
00:34:11,549 --> 00:34:13,675
You're gonna want to be on a soft diet,
725
00:34:13,676 --> 00:34:16,637
so things like mashed potatoes,
726
00:34:16,638 --> 00:34:19,056
soup, mac and cheese are good.
727
00:34:19,057 --> 00:34:21,475
I was gonna make your favorite
three-bean dip tonight.
728
00:34:21,476 --> 00:34:24,771
- Bitch, that is so nice.
- See, I am nice.
729
00:34:25,563 --> 00:34:27,481
Could she have that?
730
00:34:27,482 --> 00:34:30,192
Yeah. Yeah, yeah,
if you eat it with a spoon
731
00:34:30,193 --> 00:34:31,902
rather than anything, like, crunchy
732
00:34:31,903 --> 00:34:33,571
that could work its way
into the laceration.
733
00:34:34,572 --> 00:34:36,783
So she'll need to be spoon-fed?
734
00:34:38,368 --> 00:34:39,910
Antibiotics three times a day.
735
00:34:39,911 --> 00:34:42,245
Come back here in two days
for a wound check.
736
00:34:42,246 --> 00:34:43,998
See you then, Doctor.
737
00:34:46,167 --> 00:34:48,795
Checking blood flow to the ovary.
738
00:34:53,508 --> 00:34:56,301
- Something wrong?
- Intermittent torsion.
739
00:34:56,302 --> 00:34:57,719
What's that?
740
00:34:57,720 --> 00:34:59,430
I'm coming out now.
741
00:35:00,515 --> 00:35:01,932
We will slide you back.
742
00:35:01,933 --> 00:35:03,517
Thanks.
743
00:35:03,518 --> 00:35:07,938
Your ovary is twisting
and cutting off the blood supply.
744
00:35:07,939 --> 00:35:10,315
That's what's been causing your pain.
745
00:35:10,316 --> 00:35:13,610
You said the blood supply was fine before.
746
00:35:13,611 --> 00:35:16,197
Sometimes the ovary can twist randomly.
747
00:35:17,198 --> 00:35:20,201
In those cases, the pain can come and go.
748
00:35:21,202 --> 00:35:23,745
- Can you fix it?
- With surgery.
749
00:35:23,746 --> 00:35:25,080
"Surgery"?
750
00:35:25,081 --> 00:35:26,957
The ovary needs to be untwisted
751
00:35:26,958 --> 00:35:29,960
and tacked down with a stitch
so this doesn't happen again.
752
00:35:29,961 --> 00:35:32,630
If we can get you upstairs quickly,
we can save it.
753
00:35:33,381 --> 00:35:35,216
I could lose my ovary?
754
00:35:36,426 --> 00:35:38,427
Will I still be able to have a baby?
755
00:35:38,428 --> 00:35:39,970
This shouldn't be an issue in the future.
756
00:35:39,971 --> 00:35:43,765
Dr. McKay made the right call
to keep you in the ER for observation
757
00:35:43,766 --> 00:35:45,893
so we could catch it if the pain returned.
758
00:35:47,562 --> 00:35:49,354
Thank you.
759
00:35:49,355 --> 00:35:50,982
- I'll call GYN.
- Yeah.
760
00:35:53,776 --> 00:35:55,694
Hey, welcome back.
How was the trip?
761
00:35:55,695 --> 00:35:57,738
Smooth sailing.
Presby's pretty nice.
762
00:35:57,739 --> 00:36:00,450
I might have to pick up
some day shifts over there.
763
00:36:01,075 --> 00:36:02,492
Dr. Abbot's funny.
764
00:36:02,493 --> 00:36:03,994
Trust me, his charm wears off.
765
00:36:03,995 --> 00:36:06,079
- No, it doesn't.
- He's not sedated?
766
00:36:06,080 --> 00:36:08,373
I gave him Versed for the CT scan
on the ride back,
767
00:36:08,374 --> 00:36:10,333
but I figured he'd need to be awake
and alert
768
00:36:10,334 --> 00:36:11,668
- to give consent.
- "Consent"?
769
00:36:11,669 --> 00:36:13,253
Yep. We're going to get you settled.
770
00:36:13,254 --> 00:36:14,796
Why don't you page Garcia to come down?
771
00:36:14,797 --> 00:36:16,506
- Dr. Robby.
- You got this?
772
00:36:16,507 --> 00:36:18,468
- You know I got it.
- Yep.
773
00:36:19,093 --> 00:36:20,678
All right, Howard.
774
00:36:21,387 --> 00:36:24,931
Hey, I want to debrief with you later
on your sigmoid volvulus patient.
775
00:36:24,932 --> 00:36:26,725
I finished
with your fireworks kid's sister.
776
00:36:26,726 --> 00:36:27,642
And?
777
00:36:27,643 --> 00:36:29,352
She's a responsible
young woman and a good guardian to Jude.
778
00:36:29,353 --> 00:36:31,980
There is no reason to get
family services involved today.
779
00:36:31,981 --> 00:36:33,064
That's good.
780
00:36:33,065 --> 00:36:34,816
Because he's in the hospital for surgery,
781
00:36:34,817 --> 00:36:36,610
but they will most likely make
a home visit next week
782
00:36:36,611 --> 00:36:39,821
to evaluate the safety of their apartment
and the care that Chantal can provide,
783
00:36:39,822 --> 00:36:41,198
along with her other responsibilities.
784
00:36:41,199 --> 00:36:42,741
And then what? They take Jude?
785
00:36:42,742 --> 00:36:45,035
In my experience,
they'll make the same assessment I did.
786
00:36:45,036 --> 00:36:46,537
They don't like
to separate siblings.
787
00:36:47,622 --> 00:36:48,955
Anything else we can do for 'em?
788
00:36:48,956 --> 00:36:51,333
I'll get some resources together
for Chantal--
789
00:36:51,334 --> 00:36:52,834
summer after-school programs.
790
00:36:52,835 --> 00:36:55,629
But there might come a point when he'd be
better off with his parents in Haiti.
791
00:36:55,630 --> 00:36:58,215
- His parents want him to stay here.
- It's what's best for the child.
792
00:36:58,216 --> 00:37:00,050
- Says who?
- Dr. Santos.
793
00:37:00,051 --> 00:37:01,302
Come on.
794
00:37:03,888 --> 00:37:06,139
Welcome back, Mr. Knox.
What did we discover?
795
00:37:06,140 --> 00:37:08,725
Diverticular abscess
that progressed to perforation,
796
00:37:08,726 --> 00:37:10,685
now with free air under the diaphragm.
797
00:37:10,686 --> 00:37:12,062
In English, please?
798
00:37:12,063 --> 00:37:15,899
There's a small hole in the colon
that's spilling bacteria into the abdomen.
799
00:37:15,900 --> 00:37:19,070
You're likely to develop
peritonitis and sepsis.
800
00:37:20,321 --> 00:37:22,447
- How bad?
- You need surgery now.
801
00:37:22,448 --> 00:37:24,492
You have a 100% chance
of death without it.
802
00:37:26,661 --> 00:37:27,954
With it?
803
00:37:30,456 --> 00:37:32,166
50% chance.
804
00:37:35,336 --> 00:37:38,463
- I could die?
- Yes, but we're very good at what we do.
805
00:37:38,464 --> 00:37:41,342
That is what the consent is for.
806
00:37:41,968 --> 00:37:43,593
What about my sister?
807
00:37:43,594 --> 00:37:46,638
We found her.
She'd like to speak with you.
808
00:37:46,639 --> 00:37:50,517
We don't have time for that.
Any delay increases your mortality risks.
809
00:37:50,518 --> 00:37:52,979
I want to talk to my sister first.
810
00:37:56,816 --> 00:37:59,151
We're gonna make that happen for you.
811
00:37:59,902 --> 00:38:02,904
I'll have them prep an OR,
but make it fast, very fast.
812
00:38:02,905 --> 00:38:05,032
Yeah. We're on the move again, Howard.
813
00:38:20,590 --> 00:38:21,591
Hey.
814
00:38:24,385 --> 00:38:26,387
The ice cream party over?
815
00:38:28,431 --> 00:38:29,599
Yes.
816
00:38:30,600 --> 00:38:32,393
Do you need anything?
817
00:38:35,605 --> 00:38:37,356
A time machine.
818
00:38:41,527 --> 00:38:43,404
That'd be nice, wouldn't it?
819
00:38:48,117 --> 00:38:51,162
I don't even know what hurts more...
820
00:38:51,829 --> 00:38:53,831
...the cancer or...
821
00:38:56,626 --> 00:38:59,712
...knowing I'm never gonna see
my sons grow up.
822
00:39:02,381 --> 00:39:04,508
It feels like a cruel joke.
823
00:39:06,302 --> 00:39:10,847
Why give me children and a husband I adore
824
00:39:10,848 --> 00:39:13,059
if you're just gonna
take them away from me?
825
00:39:15,061 --> 00:39:18,064
For what? Fucking lung cancer.
826
00:39:21,400 --> 00:39:23,069
I didn't even smoke.
827
00:39:31,452 --> 00:39:33,204
Do you believe in God?
828
00:39:35,748 --> 00:39:37,708
I like the concept.
829
00:39:41,879 --> 00:39:43,881
I'm sure you've seen a lot of death.
830
00:39:45,257 --> 00:39:47,093
I have seen my share.
831
00:39:50,096 --> 00:39:51,889
Any advice?
832
00:39:57,478 --> 00:39:59,897
I've never died before.
833
00:40:09,740 --> 00:40:11,616
Hey, sorry. We're outside.
834
00:40:11,617 --> 00:40:16,288
There's no cell service inside right now,
but here he is.
835
00:40:18,708 --> 00:40:21,711
Oh, my God. Are you all right?
836
00:40:23,838 --> 00:40:26,507
Been better. You look beautiful.
837
00:40:27,925 --> 00:40:29,551
Thank you.
838
00:40:29,552 --> 00:40:31,554
You're not looking so hot.
839
00:40:33,973 --> 00:40:35,933
Thank you for calling back.
840
00:40:38,728 --> 00:40:40,146
Of course.
841
00:40:40,730 --> 00:40:43,190
I'm sorry that it's been this long.
842
00:40:43,733 --> 00:40:46,152
All the stuff with Dad
and the drinking, I...
843
00:40:47,361 --> 00:40:49,238
I had to do what was best
for me and Tommy.
844
00:40:50,406 --> 00:40:51,949
How is Tommy?
845
00:40:52,908 --> 00:40:56,786
Starting his junior year
in high school next month,
846
00:40:56,787 --> 00:40:59,540
16 and already has a girlfriend.
847
00:41:02,251 --> 00:41:04,170
Takes after his uncle.
848
00:41:06,589 --> 00:41:10,718
Maybe we can make a plan for you
to see each other over the holidays.
849
00:41:15,181 --> 00:41:16,515
I'd love that.
850
00:41:18,559 --> 00:41:20,269
Is the doctor there?
851
00:41:22,354 --> 00:41:23,480
Hi, I'm Dr. Abbot.
852
00:41:23,481 --> 00:41:25,231
Can you call me
when he gets out of surgery?
853
00:41:25,232 --> 00:41:27,317
Of course, but right now we need to get
him up to the OR.
854
00:41:27,318 --> 00:41:28,652
I understand. Thanks.
855
00:41:29,195 --> 00:41:30,988
Talk to you soon, Howard.
856
00:41:33,574 --> 00:41:35,659
Oh, I forgot to tell him I love him.
857
00:41:36,827 --> 00:41:38,996
Oh, wow. Monica?
858
00:41:39,997 --> 00:41:42,416
- Welcome back.
- Robinavitch.
859
00:41:43,334 --> 00:41:46,002
- Two for the lab, three for CT.
- I'll take those.
860
00:41:46,003 --> 00:41:48,214
- They need me upstairs.
- On it for CT.
861
00:41:48,839 --> 00:41:51,508
- You run a tight ship.
- Well, it's a work in progress.
862
00:41:51,509 --> 00:41:53,927
- Is he going up?
- Yeah.
863
00:41:53,928 --> 00:41:55,805
He's a good guy.
864
00:41:57,598 --> 00:41:59,809
Our surgeons will get him through.
865
00:42:04,605 --> 00:42:05,815
I like her.
866
00:42:06,816 --> 00:42:08,483
More than me?
867
00:42:08,484 --> 00:42:10,236
Only time will tell.
868
00:42:11,028 --> 00:42:13,154
- Yeah?
- Yeah.
869
00:42:13,155 --> 00:42:15,448
She has good command
of staff and procedures.
870
00:42:15,449 --> 00:42:18,701
I think you're leaving your day shift
in very capable hands.
871
00:42:18,702 --> 00:42:20,203
I hope so.
872
00:42:20,204 --> 00:42:22,372
All right, I'm out of here, man.
873
00:42:22,373 --> 00:42:24,708
I got to be back
in a few hours for my shift.
874
00:42:25,376 --> 00:42:27,169
Well, hey, if I don't see you...
875
00:42:27,837 --> 00:42:29,463
You're really doing this still?
876
00:42:30,256 --> 00:42:32,966
I don't think I can remember the last time
you took three days off in a row.
877
00:42:32,967 --> 00:42:35,052
I've taken a vacation before.
878
00:42:36,303 --> 00:42:37,847
Name the last one.
879
00:42:40,891 --> 00:42:42,268
Point taken.
880
00:42:43,644 --> 00:42:46,480
It's gonna be a lot of time
to self-reflect.
881
00:42:48,858 --> 00:42:50,276
You sure you can handle that?
882
00:42:53,279 --> 00:42:54,488
Okay.
883
00:42:55,322 --> 00:42:57,407
You just make sure you come back.
884
00:42:57,408 --> 00:43:00,077
And if it gets dark, you call me.
885
00:43:01,662 --> 00:43:02,830
You listening?
886
00:43:08,085 --> 00:43:10,211
So the ankle's negative for fracture.
887
00:43:10,212 --> 00:43:11,630
Wait, go back to the ankle.
888
00:43:12,506 --> 00:43:14,132
You see the normal mortise?
889
00:43:14,133 --> 00:43:17,218
Yeah, but the tibiofibular clear space
looks enlarged,
890
00:43:17,219 --> 00:43:20,305
and the tibiofibular overlap
seems reduced.
891
00:43:20,306 --> 00:43:21,682
Maybe a little.
892
00:43:23,767 --> 00:43:26,769
8 millimeters, 3 millimeters.
893
00:43:26,770 --> 00:43:29,189
Seems like a tear
in the syndesmotic ligaments.
894
00:43:29,190 --> 00:43:31,024
Doesn't that need surgical fixation?
895
00:43:31,025 --> 00:43:34,111
They do. I can request an MRI.
896
00:43:35,529 --> 00:43:37,363
Have you done
a radiology clerkship before?
897
00:43:37,364 --> 00:43:40,117
No, I'm just that good.
898
00:43:43,120 --> 00:43:44,705
I'm good at things, too.
899
00:43:55,966 --> 00:43:59,553
Really great work earlier today, Doctor.
900
00:44:03,557 --> 00:44:04,891
Oh, wow.
901
00:44:04,892 --> 00:44:08,478
- You can just call me Whitaker.
- Not a chance. You earned that.
902
00:44:08,479 --> 00:44:10,981
I'm proud of you. We all are.
903
00:44:11,815 --> 00:44:12,857
Thank you.
904
00:44:12,858 --> 00:44:15,485
- Busy day.
- Oh, yeah.
905
00:44:15,486 --> 00:44:18,488
So you're a very empathetic soul.
906
00:44:18,489 --> 00:44:20,531
- Yeah, I'd like to think--
- I'm not finished yet.
907
00:44:20,532 --> 00:44:22,867
And you want to be there
for all your patients.
908
00:44:22,868 --> 00:44:23,994
Don't you?
909
00:44:24,745 --> 00:44:26,663
- Sorry.
- So this relationship that you're having
910
00:44:26,664 --> 00:44:29,874
with this woman,
the widow of the burn victim
911
00:44:29,875 --> 00:44:32,460
- who died last year.
- Amy.
912
00:44:32,461 --> 00:44:33,963
Santos tell you?
913
00:44:34,755 --> 00:44:37,882
- I understand you're helping her out.
- Yeah, on the farm.
914
00:44:37,883 --> 00:44:41,052
I grew up on one, and Amy's--
915
00:44:41,053 --> 00:44:44,974
Mrs. Miller is getting pressure to sell,
so I'm just helping out.
916
00:44:45,891 --> 00:44:48,978
- What about her friends and family?
- Yeah, they're around.
917
00:44:49,770 --> 00:44:52,522
- Supporting her?
- Yeah, I think they try to.
918
00:44:52,523 --> 00:44:54,984
But, mostly, she's just leaning on...
919
00:44:56,277 --> 00:44:57,444
...me.
920
00:45:00,781 --> 00:45:03,992
I'm sure she's really grateful
for everything that you do,
921
00:45:03,993 --> 00:45:05,995
but it's important to have boundaries.
922
00:45:06,912 --> 00:45:07,997
Yeah.
923
00:45:11,542 --> 00:45:13,210
Hey, you want to do me a favor?
924
00:45:15,004 --> 00:45:16,004
Yeah?
925
00:45:16,005 --> 00:45:17,506
You want to house-sit for me
while I'm gone?
926
00:45:19,008 --> 00:45:22,845
You'd actually be helping me out,
and you could save some money on rent.
927
00:45:24,138 --> 00:45:25,638
Are you being serious?
928
00:45:25,639 --> 00:45:28,641
No smoking, no parties,
no pets, no babies,
929
00:45:28,642 --> 00:45:30,268
yours or anybody else's.
930
00:45:30,269 --> 00:45:32,438
- I don't have a baby.
- No, but she does.
931
00:45:33,480 --> 00:45:36,357
I was going to ask Abbot,
but he does nude yoga at sunrise,
932
00:45:36,358 --> 00:45:38,151
and I don't think some
of my elderly neighbors
933
00:45:38,152 --> 00:45:39,903
would survive seeing that.
934
00:45:40,779 --> 00:45:43,948
Yeah. Yeah, that would be amazing--
935
00:45:43,949 --> 00:45:47,285
the house-sitting,
not seeing Abbot's naked yoga.
936
00:45:47,286 --> 00:45:49,954
If I don't come back,
you got a swinging bachelor pad.
937
00:45:49,955 --> 00:45:51,165
Okay.
938
00:45:52,791 --> 00:45:54,167
Come find me before you leave.
939
00:45:54,168 --> 00:45:56,670
I'll give you my keys
and the security code.
940
00:45:57,838 --> 00:45:59,590
Who's the joker that did this?
941
00:46:03,427 --> 00:46:04,510
We need some help out there.
942
00:46:04,511 --> 00:46:06,971
You two, make sure
to double-check your work.
943
00:46:06,972 --> 00:46:08,765
Triage could use an extra hand.
944
00:46:08,766 --> 00:46:10,975
Princess, finish up here,
then head that way.
945
00:46:10,976 --> 00:46:14,896
- Three for CT now. Should I run it over?
- No. Keep taking off orders.
946
00:46:14,897 --> 00:46:17,023
CT's gonna get backed up
if we wait on these.
947
00:46:17,024 --> 00:46:19,192
I know, but I can't waste
a runner on that right now.
948
00:46:19,193 --> 00:46:20,610
Where'd you find a carrier sheet?
949
00:46:20,611 --> 00:46:23,946
Exactly where I filed it away
ten years ago.
950
00:46:23,947 --> 00:46:27,701
- I thought that thing didn't work.
- Can't receive, but it can send.
951
00:46:35,709 --> 00:46:38,419
Stay hydrated,
preferably with electrolyte-rich drinks
952
00:46:38,420 --> 00:46:40,546
- like coconut water.
- I'm not a fan of coconuts.
953
00:46:40,547 --> 00:46:42,131
Okay, Gatorade's also an option.
954
00:46:42,132 --> 00:46:44,467
Just avoid alcohol and caffeine,
and I suggest wearing
955
00:46:44,468 --> 00:46:46,219
- light, breathable clothing.
- Boring.
956
00:46:46,220 --> 00:46:49,764
Come back if your symptoms worsen,
if you develop a headache or confusion.
957
00:46:49,765 --> 00:46:50,891
Okay.
958
00:46:52,309 --> 00:46:54,103
You sure about that?
959
00:46:56,230 --> 00:46:57,898
Hey, could you turn that up?
960
00:46:59,733 --> 00:47:02,568
...have responded
to a deadly waterslide collapse
961
00:47:02,569 --> 00:47:03,820
at a local water park.
962
00:47:03,821 --> 00:47:06,155
Now, we're told there's
at least one fatality,
963
00:47:06,156 --> 00:47:07,365
with multiple injuries.
964
00:47:07,366 --> 00:47:10,827
Oh, shit. And they're all coming to us.
965
00:47:10,828 --> 00:47:13,330
Currently being airlifted
to the hospital by heli--