1 00:00:38,309 --> 00:00:39,519 What now? 2 00:00:39,602 --> 00:00:41,729 Now we wait. 3 00:00:41,813 --> 00:00:43,773 How long before... 4 00:00:43,856 --> 00:00:45,233 I have no idea. 5 00:00:45,316 --> 00:00:47,026 Could be hours. 6 00:00:47,110 --> 00:00:48,987 This doesn't feel right. 7 00:00:49,070 --> 00:00:51,030 Remember, Robby talked about-- 8 00:00:51,114 --> 00:00:53,658 It still feels wrong. 9 00:00:53,741 --> 00:00:56,578 OK. This is Roxie's decision. 10 00:00:56,661 --> 00:01:00,456 Everything else in her life is out of her control except this. 11 00:01:00,540 --> 00:01:03,334 She wants to go out on her own terms. 12 00:01:03,418 --> 00:01:05,043 Very few of us get to do that. 13 00:01:05,128 --> 00:01:06,921 I should pick up more patients. 14 00:01:11,718 --> 00:01:13,720 So Adam lives at Middle Hill? 15 00:01:13,803 --> 00:01:15,096 He lives at Middle Hill. 16 00:01:15,179 --> 00:01:16,639 And he's three years older than you? 17 00:01:16,723 --> 00:01:19,017 He's three years older than me. 18 00:01:19,100 --> 00:01:22,060 And he asked you to be his girlfriend 19 00:01:22,145 --> 00:01:24,272 6 months ago? 20 00:01:24,355 --> 00:01:28,191 He asked me to be his girlfriend at game night, 21 00:01:28,276 --> 00:01:29,819 and I said yes. 22 00:01:29,902 --> 00:01:31,237 Got a patient waiting for a doctor. 23 00:01:31,321 --> 00:01:32,530 Vertigo in 13. 24 00:01:32,614 --> 00:01:34,324 OK. I'll be right there. 25 00:01:37,243 --> 00:01:39,954 Did Adam ask you if you wanted to have sex? 26 00:01:40,038 --> 00:01:43,291 I--Mel, I don't know if I can tell you. 27 00:01:43,374 --> 00:01:45,167 Of course you can tell me. I'm your sister. 28 00:01:45,250 --> 00:01:47,086 Well, it's private. 29 00:01:47,170 --> 00:01:49,964 Look, it's just--it's really important that I know. 30 00:01:50,048 --> 00:01:51,758 - Why? - Because. 31 00:01:51,841 --> 00:01:54,552 Well...I can tell Dr. Langdon 32 00:01:54,636 --> 00:01:56,346 because Dr. Langdon is my doctor, 33 00:01:56,429 --> 00:01:58,598 but I don't think I can tell you. 34 00:01:58,681 --> 00:02:00,058 Becca, just tell me! 35 00:02:00,141 --> 00:02:02,060 - Why are you yelling? - I'm not yelling. 36 00:02:02,143 --> 00:02:04,437 It's just--look, it's really important that I know. 37 00:02:04,520 --> 00:02:05,855 - You're definitely yelling. - Becca-- 38 00:02:05,938 --> 00:02:07,899 Uh, maybe--maybe we should step outside for a minute. 39 00:02:07,982 --> 00:02:09,149 Why won't you tell me? 40 00:02:09,232 --> 00:02:11,486 Dr. King. 41 00:02:11,569 --> 00:02:13,529 Why don't you get some air? 42 00:02:16,616 --> 00:02:17,909 Sorry. 43 00:02:19,202 --> 00:02:20,953 Sorry. 44 00:02:25,416 --> 00:02:27,335 Hey, have you seen any of the X-ray techs around? 45 00:02:27,418 --> 00:02:28,503 Nope. 46 00:02:30,380 --> 00:02:31,464 Got an update for me? 47 00:02:31,547 --> 00:02:33,007 I'm just checking in. 48 00:02:33,091 --> 00:02:35,218 What are the chances of me getting out of here on time, 49 00:02:35,301 --> 00:02:36,636 - do you think? - That's up to you, Cap. 50 00:02:36,719 --> 00:02:37,720 We can handle this. 51 00:02:37,804 --> 00:02:39,639 Question is, will you let us? 52 00:02:45,687 --> 00:02:47,647 How are you two getting along? 53 00:02:47,730 --> 00:02:49,732 I can play nice for another two hours. 54 00:02:51,234 --> 00:02:52,610 OK. 55 00:02:52,694 --> 00:02:54,112 Kept calling me "Doc." 56 00:02:54,195 --> 00:02:57,365 Didn't know he was the real doc until a few months in. 57 00:02:57,448 --> 00:02:59,033 He was keeping his secret life from me. 58 00:02:59,117 --> 00:03:00,243 Hmm. 59 00:03:00,326 --> 00:03:01,786 Where are we with his chest X-ray? 60 00:03:01,869 --> 00:03:04,747 Uh, X-rays are still six or seven behind. 61 00:03:04,831 --> 00:03:06,374 When's the last time you checked? 62 00:03:07,583 --> 00:03:09,168 Maybe 10 minutes ago, but I-- 63 00:03:09,252 --> 00:03:10,378 - Stay on them. - Yeah. 64 00:03:10,461 --> 00:03:11,796 Come on, give the kid a break. 65 00:03:11,879 --> 00:03:14,215 It says here it takes an hour to get an X-ray. 66 00:03:14,298 --> 00:03:15,383 You're the first person 67 00:03:15,466 --> 00:03:16,718 who read this fucking thing all day. 68 00:03:19,804 --> 00:03:21,681 Don't get me started on those. 69 00:03:23,433 --> 00:03:25,268 How are you feeling? 70 00:03:25,350 --> 00:03:26,811 I'm good. 71 00:03:28,020 --> 00:03:29,939 You know, I take Lexapro. 72 00:03:30,022 --> 00:03:32,275 It helps with panic attacks, not just depression. 73 00:03:32,358 --> 00:03:33,901 Promise, I'm fine. 74 00:03:35,069 --> 00:03:36,862 Sorry about that, Mrs. Torres. 75 00:03:36,946 --> 00:03:38,114 Are you OK? 76 00:03:38,197 --> 00:03:39,282 I thought you were going to pass out. 77 00:03:39,365 --> 00:03:40,616 Yep, all good. 78 00:03:40,700 --> 00:03:42,826 Let's just pick up where we left off. 79 00:03:44,454 --> 00:03:47,123 Mrs. Torres presents with one week 80 00:03:47,206 --> 00:03:48,833 of painful, swollen right calf. 81 00:03:48,916 --> 00:03:50,543 No trauma, no fever, 82 00:03:50,626 --> 00:03:52,754 no history of hypercoagulable state. 83 00:03:52,837 --> 00:03:54,797 However, she did take a 15-hour bus ride 84 00:03:54,881 --> 00:03:57,508 from Orlando to Pittsburgh last week. 85 00:03:57,592 --> 00:04:00,011 Mrs. Torres, we're concerned about 86 00:04:00,094 --> 00:04:02,305 a possible blood clot in your leg 87 00:04:02,388 --> 00:04:04,474 that can lead to serious complications. 88 00:04:04,557 --> 00:04:07,018 We need to do an ultrasound, but no need to worry. 89 00:04:07,101 --> 00:04:08,186 If it's positive, 90 00:04:08,269 --> 00:04:09,604 we can treat with a blood thinner. 91 00:04:09,687 --> 00:04:10,813 Bueno. 92 00:04:10,897 --> 00:04:11,981 If there's something I've learned, 93 00:04:12,064 --> 00:04:13,483 it's to stop worrying. 94 00:04:13,566 --> 00:04:16,360 Can all your worries add a single moment to your life? 95 00:04:19,864 --> 00:04:20,865 Fresh from the lab. 96 00:04:20,948 --> 00:04:22,658 - They said one's critical. - They're supposed to 97 00:04:22,742 --> 00:04:24,076 - call those up. - I know. 98 00:04:24,160 --> 00:04:25,912 Every time they try, the red phone's been busy. 99 00:04:25,995 --> 00:04:27,038 Jesus Christ. 100 00:04:27,121 --> 00:04:28,956 This was resulted 25 minutes ago. 101 00:04:29,040 --> 00:04:30,833 Sodium 112. 102 00:04:30,917 --> 00:04:32,877 Mohan! 103 00:04:32,960 --> 00:04:36,172 Sprinkle some salt on your patient before he seizes. 104 00:04:36,255 --> 00:04:37,465 Where are we? 105 00:04:37,548 --> 00:04:39,383 Kidney stone patient's not obstructed. 106 00:04:39,467 --> 00:04:40,676 Just waiting on meds. 107 00:04:40,760 --> 00:04:42,261 Ortho is performing the replantation 108 00:04:42,345 --> 00:04:43,763 on our water slide trauma. 109 00:04:43,846 --> 00:04:46,516 Our perforated diverticulitis patient, Howard, 110 00:04:46,599 --> 00:04:47,850 made it through surgery. 111 00:04:47,934 --> 00:04:50,186 And I'm calling the CYF resource navigator 112 00:04:50,269 --> 00:04:51,646 to see if we're getting anywhere 113 00:04:51,728 --> 00:04:54,565 with emergency foster care for Baby Jane Doe. 114 00:04:54,649 --> 00:04:57,527 Other than that, labs and X-rays are way behind, 115 00:04:57,610 --> 00:04:59,862 but our Golden Girls are getting their steps in. 116 00:05:01,489 --> 00:05:03,866 Does Robby usually leave as soon as his shift ends, 117 00:05:03,950 --> 00:05:05,326 or does he like to stick around 118 00:05:05,409 --> 00:05:07,495 for all the handoffs to night shift? 119 00:05:07,578 --> 00:05:09,413 Depends, but he's usually pretty good 120 00:05:09,497 --> 00:05:11,332 about getting out of here. 121 00:05:14,085 --> 00:05:15,962 Shortness of breath in South 16. 122 00:05:16,045 --> 00:05:17,880 He could totally decompensate. 123 00:05:19,465 --> 00:05:21,968 I'm hoping to catch another intubation before 7:00. 124 00:05:22,051 --> 00:05:24,637 One more gets me to three in my first week. 125 00:05:24,720 --> 00:05:26,264 Probably a record. 126 00:05:27,890 --> 00:05:30,184 I'm looking for an easy one. 127 00:05:30,268 --> 00:05:32,853 Shift ends in 2 hours. 128 00:05:32,937 --> 00:05:35,773 You're supposed to pick up the stable patients in order. 129 00:05:35,857 --> 00:05:38,526 Do you need a--a second opinion on that? 130 00:05:38,609 --> 00:05:39,652 No. 131 00:05:40,570 --> 00:05:42,029 - Dr. McKay. - Yeah. 132 00:05:42,113 --> 00:05:44,073 A girl named Kiki came into reception looking for you. 133 00:05:44,156 --> 00:05:45,241 Kiki? 134 00:05:45,324 --> 00:05:46,284 She said she'll be in the park. 135 00:05:46,367 --> 00:05:47,660 Yeah, great, thanks. 136 00:05:52,123 --> 00:05:56,168 Hey, I think the labs are back on your PID patient. 137 00:05:56,252 --> 00:05:58,170 Thanks. 138 00:05:58,254 --> 00:06:00,298 Is everything OK? 139 00:06:00,381 --> 00:06:02,633 Uh, fantastic. 140 00:06:06,137 --> 00:06:07,221 Langdon? 141 00:06:07,305 --> 00:06:10,308 Kind of hoping I would never see him again. 142 00:06:10,391 --> 00:06:13,227 Well, you know, maybe he's changed. 143 00:06:15,980 --> 00:06:17,690 When you got a sec, there's something-- 144 00:06:17,773 --> 00:06:19,108 Santos! 145 00:06:19,191 --> 00:06:21,152 I need you to pick up food poisoning in 12. 146 00:06:21,235 --> 00:06:22,778 Yeah, sure. Why not? 147 00:06:22,862 --> 00:06:24,196 What? 148 00:06:24,280 --> 00:06:25,781 No snark? No pushback? 149 00:06:25,865 --> 00:06:27,158 What have you done with Santos? 150 00:06:27,241 --> 00:06:29,243 Only 2 hours to go. 151 00:06:29,327 --> 00:06:30,411 I surrender. 152 00:06:31,537 --> 00:06:33,414 That's the spirit. 153 00:06:39,378 --> 00:06:40,504 How's Becca? 154 00:06:40,588 --> 00:06:41,839 She's good. 155 00:06:41,923 --> 00:06:43,841 I'm trying to call her living community, 156 00:06:43,925 --> 00:06:45,760 but they are not picking up. 157 00:06:45,843 --> 00:06:47,261 Why you calling 'em? 158 00:06:48,304 --> 00:06:51,265 Because I don't know anything about this Adam person. 159 00:06:51,349 --> 00:06:53,893 I mean, they've been dating for 6 months, and--and-- 160 00:06:53,976 --> 00:06:55,770 and I don't know anything. 161 00:06:55,853 --> 00:06:57,813 She never said anything about wanting a boyfriend 162 00:06:57,897 --> 00:06:59,649 or even liking anyone. 163 00:06:59,732 --> 00:07:02,276 Yeah, but that doesn't mean she hasn't thought about it. 164 00:07:02,360 --> 00:07:03,861 No, I don't--I don't want to think about my sister 165 00:07:03,945 --> 00:07:05,655 thinking about having sex. 166 00:07:05,738 --> 00:07:08,407 I mean, who's to say he didn't take advantage of her? 167 00:07:08,491 --> 00:07:10,284 Middle Hill just let it happen. 168 00:07:10,368 --> 00:07:11,619 Why didn't they tell me? 169 00:07:11,702 --> 00:07:12,995 Well, maybe they didn't know about it. 170 00:07:13,079 --> 00:07:15,331 Six months, they had to have known. 171 00:07:15,414 --> 00:07:18,626 I just--maybe it was a mistake choosing Middle Hill. 172 00:07:18,709 --> 00:07:21,379 I--I mean, we saw a lot of good places, 173 00:07:21,462 --> 00:07:23,422 but that--that is where Becca wanted to go. 174 00:07:23,506 --> 00:07:24,590 I-- 175 00:07:24,674 --> 00:07:27,176 Are you Becca's legal guardian? 176 00:07:27,259 --> 00:07:29,011 No, I have durable power of attorney. 177 00:07:29,095 --> 00:07:31,347 But we did this thing called supportive decision-making, 178 00:07:31,430 --> 00:07:32,890 where she can... 179 00:07:32,974 --> 00:07:34,934 make her own decisions. 180 00:07:35,017 --> 00:07:36,602 There you go. 181 00:07:36,686 --> 00:07:38,562 - Well, this is different. - Why? 182 00:07:38,646 --> 00:07:40,022 Because it is. 183 00:07:40,106 --> 00:07:41,357 I-- 184 00:07:46,487 --> 00:07:48,572 My son, he's--he's not moving. 185 00:07:51,534 --> 00:07:53,202 OK. 186 00:07:53,285 --> 00:07:54,745 Come on, buddy. 187 00:07:54,829 --> 00:07:55,954 Come on. 188 00:08:00,167 --> 00:08:02,003 I got a hot and unresponsive child. 189 00:08:02,086 --> 00:08:03,129 I need a room, Dana. 190 00:08:03,212 --> 00:08:04,463 Trauma Two. 191 00:08:05,256 --> 00:08:07,758 We need a core temp ASAP. 192 00:08:07,842 --> 00:08:09,885 Hi, I'm Dr. Al-Hashimi. Are you Mom? 193 00:08:09,969 --> 00:08:11,762 - Brenda Azurmendi. - And this is? 194 00:08:11,846 --> 00:08:13,681 Micah. 195 00:08:13,764 --> 00:08:15,266 Has Micah been sick with a fever? 196 00:08:15,349 --> 00:08:16,809 No. He was fine all day. 197 00:08:16,892 --> 00:08:18,686 I found him in the car. 198 00:08:19,937 --> 00:08:22,481 Pupils are sluggish, but reactive. 199 00:08:22,565 --> 00:08:24,233 No reaction to pain. 200 00:08:25,901 --> 00:08:28,654 Uh, airway is patent with low tidal volume. 201 00:08:28,738 --> 00:08:30,781 Uh, let's set up for intubation. 202 00:08:31,907 --> 00:08:33,159 Heart rate is 22 in 10 seconds. 203 00:08:33,242 --> 00:08:35,618 - That's 132. - Do you know his weight? 204 00:08:35,703 --> 00:08:37,329 - No. - Joy, the Broselow. 205 00:08:37,413 --> 00:08:39,373 - The what? - The Broselow tape gives us 206 00:08:39,457 --> 00:08:41,416 all the drug doses based on length. 207 00:08:41,500 --> 00:08:42,543 Assisting with ventilation. 208 00:08:42,626 --> 00:08:44,128 Somebody call respiratory. 209 00:08:44,211 --> 00:08:45,796 You said you just found him in the car? 210 00:08:45,880 --> 00:08:47,506 I was working in the garden 211 00:08:47,590 --> 00:08:49,258 while he rode his trike in the driveway. 212 00:08:49,341 --> 00:08:51,385 One minute he was there, and then he wasn't. 213 00:08:51,469 --> 00:08:53,137 I--I thought he had gone into the house, 214 00:08:53,220 --> 00:08:54,764 but I couldn't find him anywhere. 215 00:08:54,847 --> 00:08:56,557 He must have gotten tired 216 00:08:56,640 --> 00:08:59,018 and--and climbed in and fallen asleep. 217 00:08:59,101 --> 00:09:01,729 By the time I found him, I--I couldn't wake him up. 218 00:09:01,812 --> 00:09:03,064 How long was he in there? 219 00:09:03,147 --> 00:09:04,106 Uh, m-m-maybe-- 220 00:09:04,190 --> 00:09:06,233 maybe 15 minutes or--or 20. 221 00:09:06,317 --> 00:09:08,611 And the car was just unlocked? 222 00:09:08,694 --> 00:09:10,071 It's a safe neighborhood. 223 00:09:10,154 --> 00:09:11,697 Uh, Joy. 224 00:09:11,781 --> 00:09:16,786 OK, so you're gonna want to start at the head, 225 00:09:16,869 --> 00:09:20,039 measure the length, and then read it off. 226 00:09:20,122 --> 00:09:22,458 Uh, approximate weight is 25 kilograms. 227 00:09:22,541 --> 00:09:24,293 250 bolus of LR. 228 00:09:24,376 --> 00:09:26,128 I have doses for rock and ketamine. 229 00:09:26,212 --> 00:09:28,506 Almost no tone. I can do this without meds. 230 00:09:28,589 --> 00:09:29,590 Uh, it's easy enough to bag. 231 00:09:29,673 --> 00:09:30,800 Let's wait for RT. 232 00:09:30,883 --> 00:09:32,426 When the temperature is this high, 233 00:09:32,510 --> 00:09:34,345 the muscles can lose their strength, 234 00:09:34,428 --> 00:09:36,388 so we're going to help him breathe with a tube. 235 00:09:36,472 --> 00:09:38,933 Uh, rectal temp is 105.5. 236 00:09:39,016 --> 00:09:40,101 Heatstroke. 237 00:09:40,184 --> 00:09:41,602 Ice packs to the groin and axilla. 238 00:09:41,685 --> 00:09:43,104 See if we have an Arctic Sun that's not in use. 239 00:09:43,186 --> 00:09:44,647 We need all the ice we can get. 240 00:09:45,773 --> 00:09:47,942 And a pediatric body bag. 241 00:09:50,778 --> 00:09:52,613 Still waiting on your ketorolac pills. 242 00:09:52,696 --> 00:09:54,198 I will keep following up with the pharmacy. 243 00:09:54,281 --> 00:09:55,825 I told my son I would meet him at the park. 244 00:09:55,908 --> 00:09:57,493 We always watch the fireworks together. 245 00:09:57,576 --> 00:09:58,494 Sorry, Mr. Green. 246 00:09:58,577 --> 00:09:59,703 We won't forget about you. 247 00:09:59,787 --> 00:10:00,996 Mm. 248 00:10:05,167 --> 00:10:06,335 Heard you had a heart attack. 249 00:10:06,418 --> 00:10:08,504 I did not have a heart attack. 250 00:10:09,421 --> 00:10:11,549 Hey, Samira, how are you feeling? 251 00:10:11,632 --> 00:10:13,801 I am totally fine. 252 00:10:13,884 --> 00:10:14,969 Uh, glad to hear it. 253 00:10:15,052 --> 00:10:16,137 Hey, do you mind watching my patients 254 00:10:16,220 --> 00:10:17,304 for 5 minutes? 255 00:10:17,388 --> 00:10:18,347 I have to step out for a sec. 256 00:10:18,430 --> 00:10:19,682 No problem. 257 00:10:19,765 --> 00:10:22,309 Ogilvie, you, uh, want to get some air? 258 00:10:22,393 --> 00:10:23,602 Got a good case for you. 259 00:10:23,686 --> 00:10:26,063 Might an intubation be required? 260 00:10:26,147 --> 00:10:27,148 No. 261 00:10:27,231 --> 00:10:28,315 It's an unhoused patient 262 00:10:28,399 --> 00:10:30,234 I've treated on the street team. 263 00:10:32,361 --> 00:10:34,113 Thank you so much. 264 00:10:42,121 --> 00:10:43,998 - Hi, Becca. - Hey. 265 00:10:54,258 --> 00:10:56,719 I'm sorry I yelled at you. 266 00:10:56,802 --> 00:10:59,138 I was just... 267 00:10:59,221 --> 00:11:00,389 surprised. 268 00:11:00,472 --> 00:11:02,433 The nurse said I can leave. 269 00:11:02,516 --> 00:11:03,726 Yeah, um, 270 00:11:03,809 --> 00:11:05,603 can we just finish our conversation first? 271 00:11:05,686 --> 00:11:07,521 About what? 272 00:11:07,605 --> 00:11:09,773 Look, I--I know you don't have to tell me anything. 273 00:11:09,857 --> 00:11:11,525 I just... 274 00:11:11,609 --> 00:11:15,529 kind of hope you'd want to. 275 00:11:17,573 --> 00:11:19,074 When Adam asked you to have sex-- 276 00:11:19,158 --> 00:11:20,743 He didn't ask me. 277 00:11:20,826 --> 00:11:22,328 I asked him. 278 00:11:23,787 --> 00:11:24,955 So he didn't pressure-- 279 00:11:25,039 --> 00:11:26,707 No. 280 00:11:26,790 --> 00:11:29,668 So you wanted to have sex. 281 00:11:29,752 --> 00:11:31,420 I wanted to have sex. 282 00:11:31,503 --> 00:11:32,796 Sex is great! 283 00:11:32,880 --> 00:11:35,549 We talked about sex in my mind and body class. 284 00:11:35,633 --> 00:11:37,384 I told my therapist too. 285 00:11:39,762 --> 00:11:41,513 Hey, the, uh, pancreatitis in North 3's 286 00:11:41,597 --> 00:11:43,140 - still waiting for you. - OK. 287 00:11:43,224 --> 00:11:45,267 - Can I go now? - Uh, just one second. 288 00:11:45,351 --> 00:11:46,560 Uh, I'll be right there. 289 00:11:46,644 --> 00:11:48,436 I'm just gonna walk my sister out. 290 00:11:53,943 --> 00:11:56,111 Yeah, sorry, I'm right behind you. 291 00:11:58,155 --> 00:12:00,241 Curtis Larson, 42. 292 00:12:00,324 --> 00:12:01,867 Called to the golf course for combative behavior 293 00:12:01,951 --> 00:12:03,285 with his buddies. 294 00:12:03,369 --> 00:12:05,579 No signs of trauma, just alcohol on the breath. 295 00:12:05,663 --> 00:12:07,373 Seems to have calmed down a bit. 296 00:12:07,456 --> 00:12:08,624 He was fighting us so hard, 297 00:12:08,707 --> 00:12:10,209 had to give 4 milligrams of Versed 298 00:12:10,292 --> 00:12:11,585 to get vitals and a line. 299 00:12:11,669 --> 00:12:13,712 Good BP, pulse ox 99 on two liters. 300 00:12:13,796 --> 00:12:15,089 Between the booze and the Versed, 301 00:12:15,172 --> 00:12:16,548 he'll be sleeping it off for a while. 302 00:12:16,632 --> 00:12:18,259 Central 14, guys. 303 00:12:25,432 --> 00:12:26,558 Roxie's gone. 304 00:12:27,935 --> 00:12:29,353 Is the husband still in there with her? 305 00:12:29,436 --> 00:12:31,146 Yeah, Javadi's with him. 306 00:12:31,230 --> 00:12:33,857 She needs a death note. I can't find McKay. 307 00:12:33,941 --> 00:12:35,192 OK, I'll be right there. 308 00:12:35,276 --> 00:12:36,402 OK. 309 00:12:36,485 --> 00:12:38,529 Have you seen McKay anywhere? 310 00:12:38,612 --> 00:12:39,947 No. 311 00:12:42,574 --> 00:12:44,243 Have you ever seen a xylazine wound? 312 00:12:44,326 --> 00:12:46,287 - No. - But you know what it is? 313 00:12:46,370 --> 00:12:47,579 Yes. 314 00:12:47,663 --> 00:12:49,164 Then you know its street name is Tranq, 315 00:12:49,248 --> 00:12:50,207 and this shit is nasty 316 00:12:50,291 --> 00:12:52,376 and can lead to skin necrosis. 317 00:12:52,459 --> 00:12:54,712 I've never understood drug addiction. 318 00:12:54,795 --> 00:12:56,880 Well, you need to try. 319 00:12:56,964 --> 00:12:59,133 A little empathy goes a long way in this job. 320 00:12:59,216 --> 00:13:00,509 I am empathetic, I ju-- 321 00:13:00,592 --> 00:13:01,969 I don't understand how an intelligent person 322 00:13:02,052 --> 00:13:04,305 - allows themselves to-- - Can make mistakes? 323 00:13:04,388 --> 00:13:06,015 Heal themselves? Take away the pain? 324 00:13:06,098 --> 00:13:08,183 Hide from the abuse? 325 00:13:08,267 --> 00:13:11,186 We're healers, not judges. 326 00:13:11,270 --> 00:13:13,564 Shouldn't we go to the crosswalk? 327 00:13:13,647 --> 00:13:14,857 No? 328 00:13:14,940 --> 00:13:16,442 OK, this is what we're doing. 329 00:13:16,525 --> 00:13:18,736 I see organ donation in my future. 330 00:13:18,819 --> 00:13:20,029 Sorry! 331 00:14:15,918 --> 00:14:18,087 How's it going, Kiki? 332 00:14:18,170 --> 00:14:19,630 Who's this? 333 00:14:19,713 --> 00:14:21,048 Oh, it's, uh, Ogilvie. 334 00:14:21,131 --> 00:14:23,425 He's a student doctor here to help me. 335 00:14:23,509 --> 00:14:25,886 So what's happening with you? 336 00:14:25,969 --> 00:14:27,638 My leg's getting stinky again. 337 00:14:27,721 --> 00:14:29,973 Yeah? OK, let's take a look. 338 00:14:30,057 --> 00:14:31,266 OK. 339 00:14:35,186 --> 00:14:37,022 Is that an injection site? 340 00:14:37,106 --> 00:14:38,732 - No. - No. 341 00:14:38,816 --> 00:14:41,527 Xylazine wounds can show up anywhere. 342 00:14:41,610 --> 00:14:43,487 You, uh--you still using Tranq? 343 00:14:43,570 --> 00:14:44,905 Sometimes. 344 00:14:44,988 --> 00:14:46,740 Sometimes is not good, Kiki. 345 00:14:46,824 --> 00:14:48,117 You know it's nasty stuff. 346 00:14:48,200 --> 00:14:49,451 I'm trying to quit. 347 00:14:49,535 --> 00:14:51,328 How you going about that? 348 00:14:51,412 --> 00:14:53,497 I go to meetings sometimes. 349 00:14:53,580 --> 00:14:54,832 Meetings are good. 350 00:14:54,915 --> 00:14:57,709 Uh, not using's even better. 351 00:15:00,129 --> 00:15:03,006 Uh, OK. What's your plan, Ogilvie? 352 00:15:06,468 --> 00:15:08,011 Ogilvie, you OK? 353 00:15:08,095 --> 00:15:09,263 - Yes. - Yeah? 354 00:15:09,346 --> 00:15:10,431 Absolutely. 355 00:15:10,514 --> 00:15:15,227 Uh, my plan is clean with saline. 356 00:15:15,310 --> 00:15:16,395 Antibiotics? 357 00:15:16,478 --> 00:15:18,522 Medihoney to break down the eschar. 358 00:15:18,605 --> 00:15:19,857 And then? 359 00:15:19,940 --> 00:15:22,860 Um, redress with Xeroform 360 00:15:22,943 --> 00:15:24,111 and an ABD pad and a Kerlix wrap. 361 00:15:24,194 --> 00:15:25,654 Yeah, that'll do it. 362 00:15:25,737 --> 00:15:28,157 You need to change this dressing every day, Kiki, OK? 363 00:15:28,240 --> 00:15:29,867 I don't think I can do that. 364 00:15:29,950 --> 00:15:30,868 We'll give you all the supplies. 365 00:15:30,951 --> 00:15:32,119 You can do it yourself. 366 00:15:32,202 --> 00:15:33,871 You won't even have to come back here. 367 00:15:33,954 --> 00:15:36,707 Yeah. OK. 368 00:15:36,790 --> 00:15:38,667 OK. 369 00:15:38,750 --> 00:15:40,127 OK, pass the saline. 370 00:15:49,428 --> 00:15:51,346 Hey, I'm Dr. Whitaker. 371 00:15:51,430 --> 00:15:52,973 This is Dr. Santos. 372 00:15:53,056 --> 00:15:55,267 Roberto. Like Roberto Clemente. 373 00:15:56,518 --> 00:15:59,021 Oh, sorry. I--I don't know who that is. 374 00:16:00,063 --> 00:16:02,274 Pirates Hall of Famer Roberto Clemente. 375 00:16:02,357 --> 00:16:04,359 You--you don't watch baseball? 376 00:16:05,652 --> 00:16:07,738 Well, I am from Nebraska. 377 00:16:07,821 --> 00:16:10,324 We went to a few Storm Chasers games as a kid. 378 00:16:10,407 --> 00:16:11,408 That's about it. 379 00:16:11,492 --> 00:16:13,160 No Major League team, you know. 380 00:16:14,661 --> 00:16:16,914 All right. What happened to your elbow? 381 00:16:16,997 --> 00:16:19,958 Oneil Cruz hits a walk-off tater, right? 382 00:16:20,042 --> 00:16:23,086 And I--I--I catch it, you know, 383 00:16:23,170 --> 00:16:24,838 um, but then somebody fell on top of me, 384 00:16:24,922 --> 00:16:26,632 and I--I think I heard a pop, 385 00:16:26,715 --> 00:16:28,842 but hard to tell with all the screaming. 386 00:16:28,926 --> 00:16:30,636 - That sounds pretty dangerous. - Yeah. 387 00:16:30,719 --> 00:16:31,803 You're not one of those guys 388 00:16:31,887 --> 00:16:34,473 who steals balls from kids, are you? 389 00:16:34,556 --> 00:16:36,141 I didn't steal this. I wouldn't do that. 390 00:16:36,225 --> 00:16:38,143 I would never do that. I would never do that. 391 00:16:38,227 --> 00:16:39,228 OK. 392 00:16:39,311 --> 00:16:41,313 Can you move your fingers for me? 393 00:16:43,899 --> 00:16:45,901 And the thumb? 394 00:16:45,984 --> 00:16:47,528 Uh... 395 00:16:47,611 --> 00:16:48,862 - No. - OK, you know what? 396 00:16:48,946 --> 00:16:50,489 We can put that in a belongings bag-- 397 00:16:50,572 --> 00:16:51,573 No, thanks. 398 00:16:51,657 --> 00:16:53,408 I, um--I think I will hold on to this. 399 00:16:54,701 --> 00:16:55,953 OK. Uh, you know what? 400 00:16:56,036 --> 00:16:57,871 We can put you in a sling, 401 00:16:57,955 --> 00:16:59,414 and then you can hold on to the ball 402 00:16:59,498 --> 00:17:00,749 while we examine you. 403 00:17:02,334 --> 00:17:04,418 OK. Yeah, I guess. 404 00:17:05,712 --> 00:17:07,004 Uh, you're gonna throw in an IV 405 00:17:07,089 --> 00:17:08,590 and start with 4 of morphine. 406 00:17:08,674 --> 00:17:11,051 No, no, no, no. I don't want to be knocked out. 407 00:17:11,134 --> 00:17:13,136 No, it's a low dose. You won't be knocked out. 408 00:17:13,220 --> 00:17:14,555 It'll just help with the pain. 409 00:17:14,638 --> 00:17:15,763 Might make you a little drowsy. 410 00:17:15,847 --> 00:17:18,350 No. I need to stay alert. 411 00:17:18,433 --> 00:17:19,600 OK. 412 00:17:19,685 --> 00:17:21,770 Uh, we will order you an X-ray. 413 00:17:21,853 --> 00:17:24,606 Just please let us know if you change your mind. 414 00:17:25,607 --> 00:17:27,067 OK, yeah. 415 00:17:30,279 --> 00:17:32,906 Temp is down to 103.5. 416 00:17:32,990 --> 00:17:34,866 Long way to 98.6. 417 00:17:34,950 --> 00:17:36,451 102, we take him off the ice. 418 00:17:36,535 --> 00:17:39,538 Otherwise, we can overshoot and cause hypothermia. 419 00:17:39,621 --> 00:17:41,331 I put in orders for CK. 420 00:17:41,415 --> 00:17:43,500 What does the CK tell us, Joy? 421 00:17:43,584 --> 00:17:46,420 Rhabdo from muscle breakdown can take out the kidneys. 422 00:17:46,503 --> 00:17:49,047 I'm more concerned about his brain. 423 00:17:54,845 --> 00:17:56,597 It's two times a day for three days, 424 00:17:56,680 --> 00:17:58,432 and, uh, a nurse can crush it up. 425 00:17:58,515 --> 00:18:00,642 Dr. Langdon already told me. 426 00:18:00,726 --> 00:18:02,311 OK, bye, Mel. 427 00:18:02,394 --> 00:18:03,770 I'll see you, uh-- I'll see you at fireworks. 428 00:18:03,854 --> 00:18:06,523 Oh, I was going to watch fireworks 429 00:18:06,607 --> 00:18:09,109 with Adam and his parents. 430 00:18:09,192 --> 00:18:11,069 - Where? - At the park. 431 00:18:11,153 --> 00:18:13,655 They're picking us up. They go every year. 432 00:18:13,739 --> 00:18:15,324 But we always watch the fireworks together. 433 00:18:15,407 --> 00:18:16,450 I have your headphones. 434 00:18:16,533 --> 00:18:18,493 Adam said that he has extra. 435 00:18:18,577 --> 00:18:21,455 OK, well, um, do you have Adam's parents' phone number? 436 00:18:21,538 --> 00:18:22,623 Why? 437 00:18:22,706 --> 00:18:24,791 Just in case I need to reach them. 438 00:18:26,918 --> 00:18:28,337 I want to go now. 439 00:18:28,420 --> 00:18:30,714 - Well, I guess I could call-- - Bye, Mel! 440 00:18:33,425 --> 00:18:35,719 So how long have you been part of the street team? 441 00:18:35,802 --> 00:18:37,888 Oh, about a year. 442 00:18:37,971 --> 00:18:39,556 And why do you do it? 443 00:18:39,640 --> 00:18:42,392 Oh, most of these unhoused folks feel abandoned. 444 00:18:42,476 --> 00:18:43,435 Sorry. 445 00:18:43,518 --> 00:18:45,270 They, uh, don't trust easily. 446 00:18:45,354 --> 00:18:48,065 Meeting them where they're at makes a big difference. 447 00:18:48,148 --> 00:18:51,568 I've been trying to get Kiki to come by for months. 448 00:18:51,652 --> 00:18:54,029 You should, uh, volunteer. 449 00:18:54,112 --> 00:18:55,447 It's great training. 450 00:18:55,530 --> 00:18:57,866 Street team could always use the help. 451 00:18:57,949 --> 00:19:00,410 Yeah, uh, maybe. 452 00:19:00,494 --> 00:19:01,787 Thank you. 453 00:19:01,870 --> 00:19:03,872 Hey, how did the deposition go? 454 00:19:03,955 --> 00:19:06,541 Um, I'm glad it's over, 455 00:19:06,625 --> 00:19:09,336 but I didn't feel good about it at all. 456 00:19:09,419 --> 00:19:11,046 You know, I'm still not supposed to talk about it. 457 00:19:11,129 --> 00:19:13,090 No, but you can talk about how you feel. 458 00:19:13,173 --> 00:19:15,592 Who do you have to talk to when things aren't going so good? 459 00:19:15,676 --> 00:19:17,511 Friends? Family? 460 00:19:17,594 --> 00:19:18,845 Actually, I don't really have anyone-- 461 00:19:18,929 --> 00:19:20,347 Hey, McKay, where have you been? 462 00:19:20,430 --> 00:19:22,057 Oh, I, uh--I stepped out. 463 00:19:22,140 --> 00:19:23,850 Did you tell anybody? 464 00:19:23,934 --> 00:19:25,686 Oh, I was, uh, treating a young woman 465 00:19:25,769 --> 00:19:26,978 I met on the street team. 466 00:19:27,062 --> 00:19:28,855 Did she check in as a patient? 467 00:19:28,939 --> 00:19:31,358 No, we treated her in the park. 468 00:19:32,609 --> 00:19:34,903 "We"? 469 00:19:34,986 --> 00:19:36,905 I, uh--I took Ogilvie. 470 00:19:36,988 --> 00:19:39,157 Oh, OK, so you treated her 471 00:19:39,241 --> 00:19:41,284 outside the ED on PTMC's dime 472 00:19:41,368 --> 00:19:42,786 and you brought a medical student with you, 473 00:19:42,869 --> 00:19:44,329 right when we're in the middle of crisis mode, 474 00:19:44,413 --> 00:19:45,914 and we need all hands on deck. 475 00:19:45,997 --> 00:19:47,207 We were gone for 10 minutes, tops. 476 00:19:47,290 --> 00:19:48,667 When you're here, I need you to be here. 477 00:19:48,750 --> 00:19:52,003 And while you stepped out, Roxie died. 478 00:19:53,422 --> 00:19:54,548 What? 479 00:19:58,885 --> 00:20:01,388 Oh, man, I'm sorry. 480 00:20:01,471 --> 00:20:03,181 I didn't think she would be gone that quickly. 481 00:20:03,265 --> 00:20:05,016 Shit. 482 00:20:07,060 --> 00:20:08,228 Excuse me. 483 00:20:08,311 --> 00:20:11,231 Um, she took a nasty fall. Her shoulder. 484 00:20:11,314 --> 00:20:12,649 Screamed in pain when we put the ties on her. 485 00:20:12,733 --> 00:20:13,984 Hello, I'm Dr. Robinavitch. 486 00:20:14,067 --> 00:20:15,527 This is Dr. McKay. 487 00:20:15,610 --> 00:20:18,238 Agents Correa and Russo. 488 00:20:18,321 --> 00:20:20,532 She needs to be looked at before we process her. 489 00:20:20,615 --> 00:20:22,117 What's your name, ma'am? 490 00:20:23,827 --> 00:20:25,036 Pranita. 491 00:20:25,120 --> 00:20:27,706 We're gonna take care of you, OK? 492 00:20:27,789 --> 00:20:29,082 You said she fell? 493 00:20:29,166 --> 00:20:31,418 We were conducting a sweep at her restaurant. 494 00:20:31,501 --> 00:20:33,086 Everyone in the kitchen took off. 495 00:20:33,170 --> 00:20:35,338 She was shoved down some alley stairs. 496 00:20:35,422 --> 00:20:37,758 - Right. - Could be a rotator cuff tear 497 00:20:37,841 --> 00:20:40,427 or an AC separation. 498 00:20:40,510 --> 00:20:42,220 Let's put her in a chair, find her a room. 499 00:20:42,304 --> 00:20:43,972 South 19. 500 00:20:48,351 --> 00:20:49,853 Yeah. Just through here. 501 00:20:51,062 --> 00:20:52,981 Curtis, dude. 502 00:20:53,064 --> 00:20:54,065 What happened? 503 00:20:54,149 --> 00:20:55,901 Medics had to sedate him to transport. 504 00:20:57,319 --> 00:20:59,112 I didn't realize he was such an angry drunk. 505 00:20:59,196 --> 00:21:00,405 So you've seen him drunk before? 506 00:21:00,489 --> 00:21:02,699 Sure, yeah, but never like this. 507 00:21:02,783 --> 00:21:04,743 He tried to pick a fight with the guys in front of us. 508 00:21:04,826 --> 00:21:06,036 He said they were going too slow. 509 00:21:06,119 --> 00:21:07,954 That's when they called the cops. 510 00:21:08,038 --> 00:21:10,290 Could he have taken drugs? 511 00:21:10,373 --> 00:21:12,375 If he did, they were not the performance-enhancing kind. 512 00:21:13,585 --> 00:21:15,212 He shot a 112. 513 00:21:16,630 --> 00:21:19,633 We'll order labs, see what we can figure out. 514 00:21:19,716 --> 00:21:21,635 Uh, any family we can contact? 515 00:21:21,718 --> 00:21:23,595 I have no idea. We don't talk about that shit. 516 00:21:23,678 --> 00:21:24,971 How long is he gonna be here? 517 00:21:25,055 --> 00:21:27,307 At least 3 or 4 hours, till he sobers up. 518 00:21:27,390 --> 00:21:28,600 Cool. 519 00:21:28,683 --> 00:21:30,602 Is it OK if I just come back around 9:00? 520 00:21:30,685 --> 00:21:32,687 - Sure. - Great, thanks. 521 00:21:35,941 --> 00:21:38,652 I need those removed so I can check her vital signs. 522 00:21:42,697 --> 00:21:44,491 OK, tender over the AC. 523 00:21:51,039 --> 00:21:53,250 Can you, uh, lift your right arm up 524 00:21:53,333 --> 00:21:55,627 above your shoulder like this? 525 00:22:00,757 --> 00:22:02,759 - Ah! - Heart rate's 110. 526 00:22:02,843 --> 00:22:03,844 Pulse ox 98. 527 00:22:03,927 --> 00:22:05,929 Painful arc test is positive. 528 00:22:06,012 --> 00:22:07,389 Try the drop arm test. 529 00:22:07,472 --> 00:22:10,308 I'm gonna lift your arm up, OK? 530 00:22:10,392 --> 00:22:13,812 And you just lower it as slowly as you can, OK? 531 00:22:13,895 --> 00:22:15,605 OK. 532 00:22:15,689 --> 00:22:18,191 - Positive drop arm test. - What's that mean? 533 00:22:18,275 --> 00:22:20,068 That means that she's gonna require an X-ray. 534 00:22:20,151 --> 00:22:21,987 It's most likely a rotator cuff tear, 535 00:22:22,070 --> 00:22:23,738 which sometimes can come with a fracture. 536 00:22:23,822 --> 00:22:25,240 We need an X-ray to rule it out. 537 00:22:25,323 --> 00:22:27,200 How long is that gonna take? 538 00:22:27,284 --> 00:22:28,910 Our computers are down today. 539 00:22:28,994 --> 00:22:30,537 Everything's moving a little slower than usual, 540 00:22:30,620 --> 00:22:32,122 but we will fast-track her. 541 00:22:32,205 --> 00:22:34,374 Is there anyone you want us to call, Pranita? 542 00:22:34,457 --> 00:22:36,793 No phone calls. 543 00:22:36,877 --> 00:22:38,545 Got a bathroom? 544 00:22:46,928 --> 00:22:48,305 Right there. 545 00:22:50,181 --> 00:22:51,224 I do not want these guys here 546 00:22:51,308 --> 00:22:52,726 any longer than they need to be, 547 00:22:52,809 --> 00:22:54,477 so let's find X-ray and fast-track this one. 548 00:22:54,561 --> 00:22:56,563 Her family might be worried. Maybe I can call them-- 549 00:22:56,646 --> 00:22:58,148 No, no, no. Just stay with her. 550 00:22:58,231 --> 00:22:59,482 Make sure she has everything she needs. 551 00:22:59,566 --> 00:23:00,901 We treat her injury, and that's it. 552 00:23:00,984 --> 00:23:02,569 OK. 553 00:23:02,652 --> 00:23:05,530 Jamie Guerrero to window three, please. 554 00:23:05,614 --> 00:23:08,199 Jamie Guerrero to window three. 555 00:23:34,643 --> 00:23:36,811 Got a lateral. 556 00:23:36,895 --> 00:23:38,104 Best I could. 557 00:23:38,188 --> 00:23:40,523 Posterior dislocation, no fracture. 558 00:23:40,607 --> 00:23:42,359 - Thanks. - Mm-hmm. 559 00:23:42,442 --> 00:23:43,818 OK, good news, Roberto. 560 00:23:43,902 --> 00:23:47,322 No broken bones, but the elbow joint is dislocated 561 00:23:47,405 --> 00:23:49,240 and we need to get the ball back in the socket. 562 00:23:49,324 --> 00:23:51,743 The best way is with sedation and pain meds. 563 00:23:51,826 --> 00:23:53,745 - No, no, no. - I know you said no morphine, 564 00:23:53,828 --> 00:23:55,830 but we can put local anesthetic into the joint 565 00:23:55,914 --> 00:23:56,915 to block the pain. 566 00:23:56,998 --> 00:23:58,083 That way you won't be sedated. 567 00:23:58,166 --> 00:23:59,960 No, thanks, Doc. 568 00:24:00,043 --> 00:24:02,253 Just--just give me a bullet to bite on. 569 00:24:07,092 --> 00:24:08,969 They raided Joe's over in Green Tree. 570 00:24:09,052 --> 00:24:10,553 Oh, man, I love that place. 571 00:24:10,637 --> 00:24:11,888 Brought in one of the employees. 572 00:24:11,972 --> 00:24:13,056 So ICE is here? 573 00:24:13,139 --> 00:24:14,349 People are leaving the waiting room. 574 00:24:14,432 --> 00:24:15,976 Ten patients already. What should I do? 575 00:24:16,059 --> 00:24:17,727 Just tell them the truth and hope they stay 576 00:24:17,811 --> 00:24:18,979 for the treatment that they need. 577 00:24:19,062 --> 00:24:20,397 Martha took off. 578 00:24:20,480 --> 00:24:21,606 I'm gonna call her when I get a chance. 579 00:24:21,690 --> 00:24:23,108 Oh, shit. Yeah, make sure she's OK. 580 00:24:23,191 --> 00:24:24,651 Will you call the EVS department too 581 00:24:24,734 --> 00:24:25,860 - and let 'em know? - Will do. 582 00:24:25,944 --> 00:24:27,070 All right, hold down the fort. 583 00:24:27,153 --> 00:24:28,113 Let us know if you need backup. 584 00:24:28,196 --> 00:24:29,489 You got it. 585 00:24:29,572 --> 00:24:32,075 Can't we just tell the agents to fuck off? 586 00:24:32,158 --> 00:24:34,619 They are not gonna leave without their patient. 587 00:24:34,703 --> 00:24:35,996 We just need to treat her. 588 00:24:36,079 --> 00:24:37,622 Even if she's undocumented? 589 00:24:37,706 --> 00:24:39,749 All patients, regardless of immigration status, 590 00:24:39,833 --> 00:24:42,752 have the right to emergency care under EMTALA. 591 00:24:43,837 --> 00:24:45,630 Pranita is next in line for X-ray. 592 00:24:45,714 --> 00:24:47,132 OK, good. Thank you. 593 00:24:48,883 --> 00:24:51,344 Propofol is down to 100 mikes per minute. 594 00:24:51,428 --> 00:24:52,804 Temp is 101.8. 595 00:24:52,887 --> 00:24:54,723 Great, let's get him off the ice. 596 00:24:54,806 --> 00:24:56,683 OK, hands. 597 00:24:56,766 --> 00:24:59,060 On my count. One, two, three. 598 00:25:02,230 --> 00:25:03,356 What's the latest? 599 00:25:03,440 --> 00:25:06,401 Uh, we got some arm movement. 600 00:25:06,484 --> 00:25:08,194 That's a good sign. 601 00:25:10,030 --> 00:25:13,366 And pupils are minimally reactive. 602 00:25:14,617 --> 00:25:16,953 Plantars are downgoing. 603 00:25:17,037 --> 00:25:19,164 All encouraging signs. 604 00:25:21,166 --> 00:25:23,168 Any luck getting a lawyer for our detainee? 605 00:25:23,251 --> 00:25:24,753 Uh, no. 606 00:25:24,836 --> 00:25:26,713 Keep me posted. 607 00:25:26,796 --> 00:25:28,173 Yeah. 608 00:25:33,261 --> 00:25:34,763 That's a pretty bracelet. 609 00:25:36,181 --> 00:25:38,183 My daughter made it for me. 610 00:25:40,101 --> 00:25:41,311 She doesn't know where I am. 611 00:25:41,394 --> 00:25:44,105 I just want her to know that I'm OK. 612 00:25:45,940 --> 00:25:48,359 You seriously won't let her make a phone call? 613 00:25:48,443 --> 00:25:50,737 Not until she's processed. 614 00:25:50,820 --> 00:25:52,363 Unbelievable. 615 00:25:54,074 --> 00:25:56,659 Thanks, and just let me know when she gets back. 616 00:25:56,743 --> 00:25:57,994 Uh, one other thing. 617 00:25:58,078 --> 00:26:00,872 Uh, do you have a resident named Adam? 618 00:26:00,955 --> 00:26:03,124 I was wondering if I could get his parents' phone number. 619 00:26:03,208 --> 00:26:04,375 - Nope! - I-- 620 00:26:04,459 --> 00:26:05,960 Red phone is for emergencies only. 621 00:26:06,044 --> 00:26:08,129 This is kind of an emergency. 622 00:26:09,672 --> 00:26:11,091 Sorry. Bye. 623 00:26:12,342 --> 00:26:14,010 Hey, Mel, we need an R3 624 00:26:14,094 --> 00:26:15,512 to supervise a reduction in North 4. 625 00:26:15,595 --> 00:26:17,680 - Are you free? - Uh, I guess. 626 00:26:18,640 --> 00:26:20,391 Should we move the deceased woman 627 00:26:20,475 --> 00:26:22,352 in Central 9 to viewing? 628 00:26:22,435 --> 00:26:24,020 Uh, no, let's leave the husband in there 629 00:26:24,104 --> 00:26:26,189 - for a little while longer. - We need the room. 630 00:26:26,272 --> 00:26:28,149 We're not moving her yet! 631 00:26:28,233 --> 00:26:29,943 OK, sorry. 632 00:26:30,026 --> 00:26:31,319 I'm gonna do a room check. 633 00:26:32,695 --> 00:26:35,198 Pedes ICU says they'll have a bed soon. 634 00:26:35,281 --> 00:26:36,950 OK. 635 00:26:41,371 --> 00:26:43,206 So what do we think? 636 00:26:43,289 --> 00:26:44,707 About what? 637 00:26:44,791 --> 00:26:46,793 The mom of our heatstroke kid. 638 00:26:46,876 --> 00:26:48,378 Uh, that is not our job. 639 00:26:48,461 --> 00:26:50,547 That is what CYF is for. 640 00:26:50,630 --> 00:26:52,298 So you think it was on purpose? 641 00:26:52,382 --> 00:26:54,551 No, I did not say that. 642 00:26:54,634 --> 00:26:55,844 I just don't buy it. 643 00:26:55,927 --> 00:26:57,428 She lost her kid at home? 644 00:26:57,512 --> 00:26:58,721 Plus, she just looks guilty. 645 00:26:58,805 --> 00:27:00,473 Has anyone seen her cry? 646 00:27:01,933 --> 00:27:03,643 People don't always respond to trauma 647 00:27:03,726 --> 00:27:05,436 the way you expect them to. 648 00:27:05,520 --> 00:27:07,856 Stay focused on the kid. 649 00:27:10,483 --> 00:27:13,111 BP 78 over 42, sats 87. 650 00:27:13,194 --> 00:27:15,989 You having some pain again, Mr. Green? 651 00:27:16,072 --> 00:27:17,824 - Mr. Green? - This one's yours? 652 00:27:17,907 --> 00:27:20,535 Yeah, a kidney stone. Possible vasovagal. 653 00:27:20,618 --> 00:27:22,287 Can't assume that. We need some help here! 654 00:27:22,370 --> 00:27:23,454 Does he have an IV? 655 00:27:23,538 --> 00:27:25,748 N-no, he didn't need one. 656 00:27:25,832 --> 00:27:28,168 Hypotensive and hypoxic. 657 00:27:28,251 --> 00:27:29,627 Clear a trauma room. 658 00:27:29,711 --> 00:27:31,129 Yeah. 659 00:27:31,212 --> 00:27:33,673 Uh, he was just waiting on his discharge meds. 660 00:27:33,756 --> 00:27:35,341 Pain-free. 661 00:27:36,551 --> 00:27:38,178 A few more patients are gone from chairs. 662 00:27:38,261 --> 00:27:40,305 South 15 took off too. 663 00:27:40,388 --> 00:27:41,556 History of renal colic. 664 00:27:41,639 --> 00:27:43,474 Heme-positive urine. BP crashing. 665 00:27:43,558 --> 00:27:45,894 Heme-positive urine doesn't always mean kidney stone. 666 00:27:45,977 --> 00:27:48,271 Two antecubital lines, biggest ones we've got, 667 00:27:48,354 --> 00:27:52,984 E-FAST, and let's get two units of whole blood hung, please. 668 00:27:53,067 --> 00:27:54,152 Good. 669 00:27:55,945 --> 00:27:58,031 - Who worked up this patient? - I did. 670 00:27:58,114 --> 00:28:00,533 Ultrasound showed dilated ureter a-- 671 00:28:00,617 --> 00:28:01,993 and mild left hydronephrosis 672 00:28:02,076 --> 00:28:04,078 consistent with his history of renal colic. 673 00:28:04,162 --> 00:28:05,580 What about the aorta? 674 00:28:05,663 --> 00:28:07,540 I didn't look at the aorta. 675 00:28:07,624 --> 00:28:09,584 - Who did you present to? - Dr. Mohan. 676 00:28:09,667 --> 00:28:11,252 You said the rest of the ultrasound was normal. 677 00:28:11,336 --> 00:28:13,379 I meant that the other kidney was normal. 678 00:28:15,632 --> 00:28:17,258 8-centimeter triple-A with massive free fluid. 679 00:28:17,342 --> 00:28:19,135 Ruptured aortic aneurysm. He's bleeding out. 680 00:28:19,219 --> 00:28:20,470 OK, go with the MTP. 681 00:28:20,553 --> 00:28:21,888 16-gauge in the left AC. 682 00:28:21,971 --> 00:28:24,140 Two units whole blood on the infuser. 683 00:28:25,225 --> 00:28:27,143 Assisting ventilations. 684 00:28:27,227 --> 00:28:28,645 Resps are agonal. 685 00:28:28,728 --> 00:28:30,897 OK, who wants to intubate? 686 00:28:32,982 --> 00:28:34,567 - Javadi? - Sure. 687 00:28:34,651 --> 00:28:36,194 OK, call for six more units of whole blood. 688 00:28:36,277 --> 00:28:37,862 Eusebio, call surgery. 689 00:28:37,946 --> 00:28:40,657 If we stay ahead of him, we might get him up to the OR. 690 00:28:40,740 --> 00:28:42,033 Here you go. 691 00:28:56,047 --> 00:28:57,507 We're lightening up his sedation 692 00:28:57,590 --> 00:29:00,093 to see if he has any purposeful movement. 693 00:29:00,176 --> 00:29:03,388 If so, that will be an encouraging sign. 694 00:29:03,471 --> 00:29:05,265 He'll be back to normal? 695 00:29:06,891 --> 00:29:08,101 There's no certainty 696 00:29:08,184 --> 00:29:10,853 as to how much recovery Micah will have. 697 00:29:10,937 --> 00:29:15,066 His response over the next 24 hours will tell. 698 00:29:15,149 --> 00:29:19,529 There is a chance of cognitive impairment, 699 00:29:19,612 --> 00:29:22,699 but also a chance of meaningful recovery. 700 00:29:22,782 --> 00:29:25,868 Dr. Al-Hashimi, the patient in 22 needs you. 701 00:29:27,620 --> 00:29:29,622 I will be right back. 702 00:29:45,221 --> 00:29:46,806 I'm in. Bag him. 703 00:29:46,889 --> 00:29:48,057 Nicely done. Good job. 704 00:29:48,141 --> 00:29:49,350 Unit three is up and running. 705 00:29:49,434 --> 00:29:50,685 I've got a 16-gauge EJ. 706 00:29:50,768 --> 00:29:52,312 That one goes on the rapid infuser. 707 00:29:52,395 --> 00:29:53,771 Good end tidal waveform. 708 00:29:56,149 --> 00:29:58,109 Strong radial pulse. That's a very good sign. 709 00:29:58,192 --> 00:30:00,236 BP's up. 86 over 52. 710 00:30:00,320 --> 00:30:01,362 Some progress. 711 00:30:01,446 --> 00:30:03,197 - How about 2 grams TXA? - Yeah. 712 00:30:03,281 --> 00:30:05,616 What else do we give after four units of blood? 713 00:30:08,202 --> 00:30:09,287 - Um-- - Calcium gluconate 714 00:30:09,370 --> 00:30:10,538 to counteract hypocalcemia 715 00:30:10,621 --> 00:30:12,665 caused by the citrate anticoagulant. 716 00:30:12,749 --> 00:30:14,375 Why don't you see if you can't squeeze a unit 717 00:30:14,459 --> 00:30:16,294 into that peripheral line? 718 00:30:19,505 --> 00:30:20,757 Should somebody place a central line? 719 00:30:20,840 --> 00:30:22,133 Long central line is slower than 720 00:30:22,216 --> 00:30:23,718 short large-bore peripheral. 721 00:30:23,801 --> 00:30:24,927 Flow is proportional 722 00:30:25,011 --> 00:30:27,013 to the fourth power of the radius. 723 00:30:27,096 --> 00:30:28,556 Physics. 724 00:30:28,639 --> 00:30:30,433 Right. 725 00:30:30,516 --> 00:30:32,268 OK. 726 00:30:33,603 --> 00:30:35,188 Bite down on this. 727 00:30:36,481 --> 00:30:37,607 OK. 728 00:30:37,690 --> 00:30:39,650 - I'm stabilizing the humerus. - All right. 729 00:30:39,734 --> 00:30:41,110 After I supinate with traction, 730 00:30:41,194 --> 00:30:43,946 Dr. Whitaker will apply downward pressure 731 00:30:44,030 --> 00:30:45,740 on the proximal forearm. 732 00:30:45,823 --> 00:30:46,824 OK. 733 00:30:46,908 --> 00:30:48,034 This is gonna hurt like hell, Roberto. 734 00:30:48,117 --> 00:30:49,077 Mm, mm. 735 00:30:49,160 --> 00:30:51,204 One, two, three. 736 00:30:53,539 --> 00:30:55,917 OK. I'm flexing at the elbow. 737 00:31:02,548 --> 00:31:04,300 Systolic's down to 68. 738 00:31:04,384 --> 00:31:06,636 Units five and six are up and running. 739 00:31:08,179 --> 00:31:10,264 I'm here for Garcia. Vascular can't come down. 740 00:31:10,348 --> 00:31:11,641 Triple A with hemorrhagic shock. 741 00:31:11,724 --> 00:31:12,809 Most of these die in the field. 742 00:31:12,892 --> 00:31:14,143 He was stable. 743 00:31:14,227 --> 00:31:15,728 Presented with a history of renal colic. 744 00:31:15,812 --> 00:31:18,314 And nobody saw the triple A on ultrasound? 745 00:31:18,398 --> 00:31:19,774 Was this you? 746 00:31:19,857 --> 00:31:21,818 No. It was me. 747 00:31:23,569 --> 00:31:24,570 Looks like sinus tach. 748 00:31:24,654 --> 00:31:26,239 Nope, lost the pulse. It's PEA. 749 00:31:26,322 --> 00:31:27,698 Bag him. Ogilvie, start compressions. 750 00:31:27,782 --> 00:31:28,908 We're having a hard time 751 00:31:28,991 --> 00:31:30,243 staying ahead of the blood loss. 752 00:31:30,326 --> 00:31:31,911 Sterile gloves. Prep for a thoracotomy. 753 00:31:31,994 --> 00:31:34,205 Dr. Javadi, why don't you glove up and show Dr. Shamsi 754 00:31:34,288 --> 00:31:35,790 why you belong in the ED? 755 00:31:37,041 --> 00:31:39,127 If we can cross-clamp the aorta, 756 00:31:39,210 --> 00:31:40,920 we can stop the blood flow from below the diaphragm. 757 00:31:41,003 --> 00:31:42,547 We can perfuse the heart and the brain. 758 00:31:45,842 --> 00:31:47,969 - Ten blade. - Right in there. 759 00:31:55,685 --> 00:31:57,061 Mayo scissors. 760 00:32:04,444 --> 00:32:05,903 Rib spreader. 761 00:32:10,992 --> 00:32:12,493 Satinsky. 762 00:32:13,744 --> 00:32:15,705 Let me know when you have enough exposure. 763 00:32:20,084 --> 00:32:21,127 Right there. 764 00:32:23,880 --> 00:32:25,047 Do you need me on suction? 765 00:32:25,131 --> 00:32:26,174 No, there's no blood in the chest. 766 00:32:26,257 --> 00:32:27,216 It's all in the belly. 767 00:32:27,300 --> 00:32:28,676 Here, keep squeezing. 768 00:32:33,473 --> 00:32:34,932 Aorta's clamped. 769 00:32:36,184 --> 00:32:37,101 Heart is empty. 770 00:32:37,185 --> 00:32:38,102 OK, Javadi, get in there. 771 00:32:38,186 --> 00:32:39,395 Internal compressions, go. 772 00:32:43,858 --> 00:32:45,568 Put two more units on the rapid infuser, please. 773 00:32:45,651 --> 00:32:47,487 That'll be units seven and eight. 774 00:32:54,118 --> 00:32:55,328 All right. Neuro's intact. 775 00:32:55,411 --> 00:32:56,871 So we'll do a posterior splint, 776 00:32:56,954 --> 00:32:59,415 a sling, and an ortho referral. 777 00:32:59,499 --> 00:33:00,917 You know, I'm actually kind of impressed 778 00:33:01,000 --> 00:33:02,793 you did that without pain meds. 779 00:33:02,877 --> 00:33:03,961 Definitely worth it. 780 00:33:04,045 --> 00:33:07,048 You know, last year I caught McCutchen's 300th career homer, 781 00:33:07,131 --> 00:33:09,383 but another fan stole it from me. 782 00:33:09,467 --> 00:33:11,594 I promised myself I would never let that happen again. 783 00:33:13,095 --> 00:33:15,139 Whitaker, can you write the procedure note? 784 00:33:15,223 --> 00:33:16,557 Yeah, you already filled in the T-sheet, so-- 785 00:33:16,641 --> 00:33:17,850 Yeah, well, I'm already here. 786 00:33:17,934 --> 00:33:18,893 Yeah, I kind of had a handle-- 787 00:33:18,976 --> 00:33:20,311 I just did everything else, 788 00:33:20,394 --> 00:33:21,479 so can you just fill out the chart? 789 00:33:21,562 --> 00:33:22,563 You should probably finish it. 790 00:33:22,647 --> 00:33:23,856 - Well-- - OK, someone do this! 791 00:33:23,940 --> 00:33:25,691 I don't--I don't--I don't care who. 792 00:33:27,527 --> 00:33:28,653 Yeah. 793 00:33:37,411 --> 00:33:38,704 Where's Mrs. Azurmendi? 794 00:33:38,788 --> 00:33:40,248 She stepped out. 795 00:33:40,331 --> 00:33:41,666 Stepped out? 796 00:33:47,004 --> 00:33:48,506 Feels like the heart's filling back up. 797 00:33:48,589 --> 00:33:50,258 Let's have a peek. 798 00:33:52,635 --> 00:33:55,012 Looks good. Really good. 799 00:33:55,096 --> 00:33:56,764 Strong radial pulse. 800 00:33:58,391 --> 00:34:00,768 Moist lap pads. Prep for transfer. 801 00:34:01,769 --> 00:34:03,771 Systolic of 94. That's the best so far. 802 00:34:03,854 --> 00:34:05,231 Can I go with you? 803 00:34:06,607 --> 00:34:08,818 He's my patient. 804 00:34:08,901 --> 00:34:10,403 OK by me. 805 00:34:10,486 --> 00:34:12,238 Bring two extra units. 806 00:34:17,450 --> 00:34:19,035 ICE is in the building? 807 00:34:19,120 --> 00:34:20,329 Word travels fast. Yeah. 808 00:34:20,412 --> 00:34:22,707 We have a detainee with a rotator cuff tear. 809 00:34:22,789 --> 00:34:23,916 Two of our nurses went home. 810 00:34:23,999 --> 00:34:25,167 They have temporary protected status, 811 00:34:25,251 --> 00:34:27,295 but they just don't feel safe. 812 00:34:30,214 --> 00:34:32,466 Um, I'm really sorry, Dr. Robby. 813 00:34:32,550 --> 00:34:33,633 I should have checked the aorta. 814 00:34:33,718 --> 00:34:35,093 It's an easy one to miss. 815 00:34:35,177 --> 00:34:38,055 Got a heartbeat back, though, so still some hope. 816 00:34:41,726 --> 00:34:42,727 I'm sorry too. 817 00:34:42,810 --> 00:34:44,352 I--I should have asked Ogilvie 818 00:34:44,437 --> 00:34:45,854 if he'd checked the aorta. 819 00:34:45,938 --> 00:34:48,064 - It's--it's my fault. - It is. 820 00:34:48,149 --> 00:34:49,441 You're the senior resident. 821 00:34:49,525 --> 00:34:51,193 You don't look to others. Others look to you. 822 00:34:51,276 --> 00:34:53,487 - I know. I'm really sorry. - This is what happens 823 00:34:53,571 --> 00:34:55,488 when you bring your personal life into work. 824 00:34:55,573 --> 00:34:57,158 - Patient almost died. - I know. 825 00:34:58,618 --> 00:35:01,078 You have to think of these walls like a force field. 826 00:35:01,162 --> 00:35:02,747 You cannot let anything in. 827 00:35:02,830 --> 00:35:04,540 Your mother's not in here. She is out there. 828 00:35:04,624 --> 00:35:06,417 You keep everything out there. That is the key. 829 00:35:06,500 --> 00:35:08,753 That is the difference between the best doctors 830 00:35:08,836 --> 00:35:10,713 and the ones that don't make it. 831 00:35:10,796 --> 00:35:12,048 You're right. 832 00:35:13,424 --> 00:35:15,760 Maybe I just don't belong here. 833 00:35:19,764 --> 00:35:21,432 Pranita's X-ray results. 834 00:35:21,515 --> 00:35:23,142 - No fracture. - OK. 835 00:35:23,225 --> 00:35:25,394 We'll just have Jesse fit her for a sling, I guess, 836 00:35:25,478 --> 00:35:26,937 and then we have to discharge her. 837 00:35:27,021 --> 00:35:28,898 To the immigration guys? 838 00:35:28,981 --> 00:35:30,399 I'm afraid so. 839 00:35:32,652 --> 00:35:34,779 OK, time for you to go. 840 00:35:34,862 --> 00:35:37,323 I was just having a chat with Ms. Peters here. 841 00:35:37,406 --> 00:35:39,575 You can see how busy this department is, right? 842 00:35:39,659 --> 00:35:40,910 You've been nothing but a distraction 843 00:35:40,993 --> 00:35:42,536 and a disruption since you've been here. 844 00:35:42,620 --> 00:35:44,705 I'm already short-staffed, and I just lost five nurses 845 00:35:44,789 --> 00:35:46,582 and half my environmental services team 846 00:35:46,666 --> 00:35:48,834 because you walked in. 847 00:35:48,918 --> 00:35:50,878 You know patients come in here for help, right? 848 00:35:50,961 --> 00:35:52,672 Because they're either sick or they're injured, 849 00:35:52,755 --> 00:35:54,215 and documented or undocumented, 850 00:35:54,298 --> 00:35:56,258 they have a right to emergency care. 851 00:35:56,342 --> 00:35:58,886 TB, measles, fractures-- none of it's getting treated 852 00:35:58,969 --> 00:36:00,054 'cause everybody's too scared to come in. 853 00:36:00,137 --> 00:36:01,138 But then they end up here anyway, 854 00:36:01,222 --> 00:36:02,640 but then it's too fucking late! 855 00:36:02,723 --> 00:36:04,225 So please, for the love of God, can you just go 856 00:36:04,308 --> 00:36:06,060 wait over there in the room with your detainee, 857 00:36:06,143 --> 00:36:08,562 so I don't lose any more patients or staff? 858 00:36:10,231 --> 00:36:12,024 No problem, Doc. 859 00:36:22,493 --> 00:36:24,620 Mrs. Azurmendi. 860 00:36:26,080 --> 00:36:27,998 Brenda. 861 00:36:28,082 --> 00:36:30,084 Where are you going? 862 00:36:30,167 --> 00:36:31,168 Brenda! 863 00:36:36,215 --> 00:36:37,550 OK, OK. 864 00:36:37,633 --> 00:36:39,135 It's OK. 865 00:36:39,218 --> 00:36:40,886 Let's get you back inside to your son. 866 00:36:40,970 --> 00:36:43,139 It's OK. It's OK. It's OK. It's OK. 867 00:36:45,808 --> 00:36:48,477 Come on. She's cleared to go. 868 00:36:48,561 --> 00:36:50,229 Wait. Hold on. She needs a sling. 869 00:36:50,312 --> 00:36:52,106 - This will only take a minute. - We're leaving. 870 00:36:52,189 --> 00:36:53,399 Hey, man, you're hurting her! 871 00:36:56,026 --> 00:36:58,070 Jesus Christ. What's going on now? 872 00:36:58,154 --> 00:36:59,155 Robby! 873 00:36:59,238 --> 00:37:00,573 Help! 874 00:37:00,656 --> 00:37:03,242 You can't do this! What are you doing? 875 00:37:03,325 --> 00:37:04,577 - This is bullshit. - What the hell is going on? 876 00:37:04,660 --> 00:37:05,661 - Get your hands off me. - He hurt her, 877 00:37:05,745 --> 00:37:06,912 and Jesse stepped in! 878 00:37:06,996 --> 00:37:08,456 - Robby, I didn't do shit. - I know. 879 00:37:08,539 --> 00:37:09,582 I know. I'm just gonna-- 880 00:37:11,709 --> 00:37:13,085 - No! - We gotta go. 881 00:37:13,169 --> 00:37:15,421 - No, don't! - Come on. 882 00:37:15,504 --> 00:37:17,131 Don't say anything. You don't have to say anything. 883 00:37:17,214 --> 00:37:18,132 They can't make you say anything. 884 00:37:18,215 --> 00:37:19,133 We'll get you an attorney. 885 00:37:19,216 --> 00:37:20,968 I promise we'll get you out. 886 00:37:21,051 --> 00:37:22,470 Call the hospital attorney again. 887 00:37:22,553 --> 00:37:23,888 - No, no! - Can't believe this shit! 888 00:37:23,971 --> 00:37:25,389 Can you at least tell us where you're taking them? 889 00:37:25,473 --> 00:37:26,682 No! 890 00:37:26,766 --> 00:37:28,184 Is there a detention center near Pittsburgh? 891 00:37:28,267 --> 00:37:29,643 That's gotta be where they're going, right? 892 00:37:29,727 --> 00:37:31,479 It could be hours before he's processed. 893 00:37:31,562 --> 00:37:33,439 I'll stay on it. 894 00:37:33,522 --> 00:37:35,524 What can we do? 895 00:37:35,608 --> 00:37:37,109 Uh--hey, Javadi! 896 00:37:37,193 --> 00:37:38,944 Javadi, please come back. 897 00:37:39,028 --> 00:37:41,197 Everybody, just go check on your patients. 898 00:37:41,280 --> 00:37:42,615 Assure them. Tell them what happened. 899 00:37:42,698 --> 00:37:44,200 But please, everybody get back to work. 900 00:37:44,283 --> 00:37:45,743 Who's gonna take Jesse's patients? 901 00:37:45,826 --> 00:37:47,828 - I can do it, D. - Thanks, Perlah. 902 00:37:49,413 --> 00:37:50,956 - Hey, you OK? - Yeah, I'm OK. 903 00:37:51,040 --> 00:37:52,708 - Are you OK? - Yeah. 904 00:37:52,792 --> 00:37:54,502 The lawyers are tied up with the cyberattacks upstairs. 905 00:37:54,585 --> 00:37:56,378 They probably won't come down for a while. 906 00:37:58,130 --> 00:37:59,757 What's the latest with the heatstroke kid? 907 00:37:59,840 --> 00:38:01,967 I sent him up to Pedes ICU. 908 00:38:06,722 --> 00:38:08,349 What's going on? 909 00:38:08,432 --> 00:38:10,059 I found her outside, wandering into the street. 910 00:38:10,142 --> 00:38:11,811 She almost got hit by a truck. 911 00:38:11,894 --> 00:38:13,521 I think it was intentional. 912 00:38:13,604 --> 00:38:15,064 Christ almighty. 913 00:38:15,147 --> 00:38:16,524 I told Nurse Kim not to let her out of her sight. 914 00:38:16,607 --> 00:38:18,734 We need to call a 302 and observe her. 915 00:38:18,818 --> 00:38:19,985 Danger to self. 916 00:38:20,069 --> 00:38:21,570 Is she gonna be able to see her kid? 917 00:38:21,654 --> 00:38:23,614 Not if she's on an involuntary psych hold. 918 00:38:23,697 --> 00:38:25,533 Well, what happens if he's ready to be discharged 919 00:38:25,616 --> 00:38:26,951 before she is? 920 00:38:27,034 --> 00:38:28,786 Does she have a partner or a relative we can call? 921 00:38:28,869 --> 00:38:30,162 I can find out. 922 00:38:30,246 --> 00:38:31,622 Why don't you and I talk to her together? 923 00:38:31,705 --> 00:38:33,457 Sure, I just need to check on a patient, 924 00:38:33,541 --> 00:38:35,751 - and I will meet you there. - OK. 925 00:38:48,430 --> 00:38:51,183 Uh, OK. 926 00:38:52,268 --> 00:38:53,519 Hey, Emma, 927 00:38:53,602 --> 00:38:54,728 have you seen this patient? 928 00:38:54,812 --> 00:38:56,021 Oh, I--I haven't. 929 00:38:56,105 --> 00:38:57,606 Oh, she took off when those ICE guys 930 00:38:57,690 --> 00:38:58,899 arrested your nurse. 931 00:39:01,652 --> 00:39:03,028 Damn it. 932 00:39:04,196 --> 00:39:06,740 I tried to get him 933 00:39:06,824 --> 00:39:08,659 to help me in the garden, 934 00:39:08,742 --> 00:39:11,453 but he just wanted to ride his trike. 935 00:39:13,622 --> 00:39:15,624 So I let him. 936 00:39:15,708 --> 00:39:18,127 Every time I looked over, 937 00:39:18,210 --> 00:39:22,381 he was just riding around. 938 00:39:24,800 --> 00:39:27,928 And then he wasn't. 939 00:39:28,012 --> 00:39:31,140 Have you ever thought about hurting yourself? 940 00:39:34,476 --> 00:39:35,728 CBC and blood alcohol are 941 00:39:35,811 --> 00:39:37,187 back on your golfer, Curtis Larson. 942 00:39:37,271 --> 00:39:39,231 0.14. - Copy that. 943 00:39:39,315 --> 00:39:41,525 OK, we'll wait for the other labs. 944 00:39:41,609 --> 00:39:43,235 He'll need to sleep it off in the meantime. 945 00:39:44,987 --> 00:39:47,573 Hey, Gabriel, can you wait up a sec? 946 00:39:47,656 --> 00:39:49,283 Do you have Duke Ekins' chest X-ray? 947 00:39:49,366 --> 00:39:50,743 - Yeah. - How's it look? 948 00:39:50,826 --> 00:39:52,411 Radiologists still need to read it. 949 00:39:52,494 --> 00:39:54,163 Can you pull it up for me? 950 00:39:58,751 --> 00:40:01,170 Shit. 951 00:40:01,253 --> 00:40:02,504 I gotta call the funeral home, 952 00:40:02,588 --> 00:40:03,714 start making arrangements. 953 00:40:03,797 --> 00:40:04,840 Or you could slow down, 954 00:40:04,924 --> 00:40:06,675 take some time for yourself. 955 00:40:06,759 --> 00:40:08,052 How you doing? 956 00:40:08,135 --> 00:40:10,679 Oh, you know, been better. 957 00:40:10,763 --> 00:40:12,640 You spend so much time with these people, 958 00:40:12,723 --> 00:40:14,183 you become a part of their family. 959 00:40:14,266 --> 00:40:16,310 It's not like it is here, where patients come and go. 960 00:40:16,393 --> 00:40:17,811 Don't stay for the night shift. 961 00:40:17,895 --> 00:40:19,480 We got reinforcements coming in. 962 00:40:19,563 --> 00:40:20,856 I'd rather work. 963 00:40:20,940 --> 00:40:22,191 I don't know if I want to sit with this at home. 964 00:40:22,274 --> 00:40:23,359 Try. For once, just listen to me. 965 00:40:23,442 --> 00:40:24,360 Take the night off. 966 00:40:24,443 --> 00:40:25,611 I'll cover for you until 967 00:40:25,694 --> 00:40:27,154 I can find someone else to come in. 968 00:40:27,237 --> 00:40:28,948 - Go. - OK. 969 00:40:30,157 --> 00:40:31,408 OK. 970 00:40:36,413 --> 00:40:38,332 You think she's gonna be OK? 971 00:40:39,625 --> 00:40:40,876 I don't know. 972 00:40:40,960 --> 00:40:43,170 I just hope she can forgive herself. 973 00:40:50,886 --> 00:40:54,014 I've noticed some tension between you and Dr. Santos. 974 00:40:54,098 --> 00:40:55,474 You two have history? 975 00:40:55,557 --> 00:40:57,017 Uh, yeah. 976 00:40:57,101 --> 00:40:58,852 She doesn't like me very much. 977 00:41:01,689 --> 00:41:03,732 Uh... 978 00:41:03,816 --> 00:41:05,776 we worked together one time. 979 00:41:05,859 --> 00:41:08,904 I was a pretty big asshole. 980 00:41:08,988 --> 00:41:11,490 She called me out on some things that I... 981 00:41:11,573 --> 00:41:16,036 wasn't ready to face, and I overreacted. 982 00:41:16,120 --> 00:41:17,287 I'm gonna talk to her. 983 00:41:17,371 --> 00:41:20,499 I just haven't found the right time. 984 00:41:20,582 --> 00:41:21,917 Good. 985 00:41:22,001 --> 00:41:23,335 Do. 986 00:41:32,553 --> 00:41:34,638 Thought you might be in here. 987 00:41:34,722 --> 00:41:36,056 What's going on? 988 00:41:36,140 --> 00:41:38,809 It's just the deposition and my sister coming in. 989 00:41:38,892 --> 00:41:40,811 It's been a--a day. 990 00:41:40,894 --> 00:41:42,146 Oh. 991 00:41:42,229 --> 00:41:44,440 Screw the deposition. 992 00:41:44,523 --> 00:41:46,400 Is your sister OK? 993 00:41:47,609 --> 00:41:49,403 Yeah, it's just a UTI, 994 00:41:49,486 --> 00:41:51,113 so meds will clear it up. 995 00:41:51,196 --> 00:41:53,157 Well, that's good. 996 00:41:54,491 --> 00:41:59,121 She has a boyfriend she didn't tell me about, 997 00:41:59,204 --> 00:42:01,457 and other things she didn't tell me about. 998 00:42:01,540 --> 00:42:03,042 Well, maybe she didn't know how. 999 00:42:03,125 --> 00:42:04,877 She's having sex. 1000 00:42:06,545 --> 00:42:09,048 Great s-sex. 1001 00:42:09,131 --> 00:42:10,382 And she lied to me. 1002 00:42:10,466 --> 00:42:12,926 I mean, she--she lied to my face for 6 months. 1003 00:42:13,010 --> 00:42:14,845 My sister is a fucking liar. 1004 00:42:16,638 --> 00:42:18,057 Did you just curse? 1005 00:42:20,059 --> 00:42:22,436 It's how I feel. 1006 00:42:22,519 --> 00:42:24,480 Look, kid, 1007 00:42:24,563 --> 00:42:26,815 I say this with love. 1008 00:42:26,899 --> 00:42:29,693 People got their own reasons for keeping secrets. 1009 00:42:29,777 --> 00:42:32,154 Most of the time, it's got nothing to do with you. 1010 00:42:32,237 --> 00:42:35,657 I've seen "Elf" 164 times. 1011 00:42:35,741 --> 00:42:38,786 Becca loves "Elf," so we watch "Elf." 1012 00:42:38,869 --> 00:42:40,037 And she's got everything, 1013 00:42:40,120 --> 00:42:41,747 and n--and now she's got a boyfriend, 1014 00:42:41,830 --> 00:42:43,540 and they're gonna fall in love and they're gonna get married, 1015 00:42:43,624 --> 00:42:45,834 and I'm gonna be completely alone. 1016 00:42:49,838 --> 00:42:52,341 Did it feel good to say that out loud? 1017 00:42:53,759 --> 00:42:54,968 No. 1018 00:42:56,720 --> 00:43:00,641 Mel, you're a good egg, 1019 00:43:00,724 --> 00:43:03,894 but this is not about you. 1020 00:43:03,977 --> 00:43:05,062 I learned a long time ago 1021 00:43:05,145 --> 00:43:06,855 to quit feeling sorry for myself. 1022 00:43:06,939 --> 00:43:07,856 Now come on. 1023 00:43:07,940 --> 00:43:09,525 Pity party's over. 1024 00:43:17,282 --> 00:43:19,284 OK, so this is your heart, 1025 00:43:19,368 --> 00:43:21,954 and these are your lungs. 1026 00:43:22,037 --> 00:43:23,580 - They look OK? - Yeah. 1027 00:43:23,664 --> 00:43:24,790 It's this part right here, 1028 00:43:24,873 --> 00:43:26,291 this space right between your lungs. 1029 00:43:26,375 --> 00:43:29,086 It's called the mediastinum, and it is enlarged. 1030 00:43:29,169 --> 00:43:30,879 It is too wide. 1031 00:43:30,963 --> 00:43:32,297 From what? 1032 00:43:32,381 --> 00:43:34,133 Can't really tell from the plain film. 1033 00:43:34,216 --> 00:43:35,467 Could be any number of things. 1034 00:43:35,551 --> 00:43:37,678 Yeah, stop the bullshit. 1035 00:43:37,761 --> 00:43:39,596 It could be an enlarged thyroid. 1036 00:43:39,680 --> 00:43:41,849 It could be enlarged lymph nodes 1037 00:43:41,932 --> 00:43:42,891 from an infection. 1038 00:43:42,975 --> 00:43:45,602 It could possibly be a tumor. 1039 00:43:46,979 --> 00:43:48,772 You think I have lung cancer? 1040 00:43:48,856 --> 00:43:50,858 Nope, I don't see that. 1041 00:43:50,941 --> 00:43:53,443 But cancer of the lymph nodes is called lymphoma. 1042 00:43:53,527 --> 00:43:55,529 And there are a lot of diseases of the aorta, 1043 00:43:55,612 --> 00:43:57,447 which is this big artery that comes off the heart, 1044 00:43:57,531 --> 00:43:58,615 which can get enlarged 1045 00:43:58,699 --> 00:44:00,409 because of weak spot in the wall. 1046 00:44:00,492 --> 00:44:05,205 Kind of like a, uh, bubble in a tire that can have a blowout. 1047 00:44:05,289 --> 00:44:07,833 And the only way to make sure 1048 00:44:07,916 --> 00:44:10,961 is to do a CT scan of your chest. 1049 00:44:11,044 --> 00:44:12,296 Today. 1050 00:44:12,379 --> 00:44:14,006 How long does that take? 1051 00:44:15,966 --> 00:44:18,343 A few hours, couple hours. 1052 00:44:19,887 --> 00:44:21,889 You still gonna be here? 1053 00:44:25,601 --> 00:44:30,147 Yeah, I would not feel good about riding if I rushed this. 1054 00:44:33,066 --> 00:44:34,693 This is important? 1055 00:44:39,198 --> 00:44:40,574 Hey. 1056 00:44:41,366 --> 00:44:43,410 I think the, uh, labs are back 1057 00:44:43,493 --> 00:44:45,245 on your COPD patient. 1058 00:44:45,329 --> 00:44:46,705 Saw 'em in the rack. 1059 00:44:46,788 --> 00:44:48,373 Thanks. 1060 00:44:48,457 --> 00:44:49,917 Uh, look. 1061 00:44:50,000 --> 00:44:51,627 I don't know how to say this. 1062 00:44:51,710 --> 00:44:53,212 Um... 1063 00:44:55,380 --> 00:44:58,759 I know you don't like me, and--and that's fine. 1064 00:44:58,842 --> 00:45:00,594 You don't have to. I just-- 1065 00:45:00,677 --> 00:45:02,262 I want to say I'm sorry 1066 00:45:02,346 --> 00:45:04,264 for being an asshole on your first day. 1067 00:45:04,348 --> 00:45:06,225 That was completely inappropriate, 1068 00:45:06,308 --> 00:45:09,311 and if I could take back what happened, 1069 00:45:09,394 --> 00:45:11,438 I would, but I can't. 1070 00:45:13,565 --> 00:45:14,524 OK. 1071 00:45:17,986 --> 00:45:19,071 OK, I'm sorry, I just-- 1072 00:45:19,154 --> 00:45:20,489 I don't buy it. 1073 00:45:20,572 --> 00:45:21,865 Everyone thinks you're just an addict 1074 00:45:21,949 --> 00:45:23,075 who went to rehab, 1075 00:45:23,158 --> 00:45:24,493 and you've convinced everyone here 1076 00:45:24,576 --> 00:45:25,702 that you've changed 1077 00:45:25,786 --> 00:45:27,120 and you're owning up to your mistakes, 1078 00:45:27,204 --> 00:45:28,747 and they welcome you back with open arms 1079 00:45:28,830 --> 00:45:30,207 because you're still the golden boy, 1080 00:45:30,290 --> 00:45:31,708 and I think it's bullshit. 1081 00:45:33,043 --> 00:45:34,795 I'm genuinely sorry. 1082 00:45:34,878 --> 00:45:37,047 And I can promise you, I have faced my fair share 1083 00:45:37,130 --> 00:45:38,298 of punishment for what I did. 1084 00:45:38,382 --> 00:45:40,634 You fucking stole drugs from the hospital. 1085 00:45:40,717 --> 00:45:42,302 Only three people here actually know that. 1086 00:45:42,386 --> 00:45:44,263 Have you told anyone else what you did? 1087 00:45:44,346 --> 00:45:45,681 - Have you? - Look. 1088 00:45:45,764 --> 00:45:47,474 I'm just trying to get through my first day back. 1089 00:45:47,557 --> 00:45:48,976 You shouldn't even be here! 1090 00:45:49,059 --> 00:45:50,852 I should have reported you to the state medical board. 1091 00:45:50,936 --> 00:45:52,980 You should have lost your license and gone to prison. 1092 00:45:53,063 --> 00:45:54,439 You don't know what I've been through. 1093 00:45:54,523 --> 00:45:55,732 What you've been through? 1094 00:45:55,816 --> 00:45:57,025 My wife threatened to divorce me, OK? 1095 00:45:57,109 --> 00:45:58,360 I almost lost my kids. 1096 00:45:58,443 --> 00:46:00,404 Yeah, that's what happens when you fuck up. 1097 00:46:03,657 --> 00:46:05,075 You don't have to accept my apology. 1098 00:46:05,158 --> 00:46:07,995 I just--I wanted to say it, OK? 1099 00:46:08,912 --> 00:46:11,290 You really want to atone for your sins? 1100 00:46:11,373 --> 00:46:12,708 Tell everyone here you stole drugs 1101 00:46:12,791 --> 00:46:14,459 and got kicked out of the ED because of it. 1102 00:46:14,543 --> 00:46:16,920 Until then, stay out of my way. 1103 00:46:29,725 --> 00:46:30,726 Oh, hi. 1104 00:46:30,809 --> 00:46:32,019 What the fuck? 1105 00:46:32,102 --> 00:46:33,562 I'm just checking your vital signs. 1106 00:46:33,645 --> 00:46:34,646 Oh. 1107 00:46:34,730 --> 00:46:36,773 Where am I? 1108 00:46:36,857 --> 00:46:38,233 - Oh! - What did you do to me? 1109 00:46:38,317 --> 00:46:39,651 Huh?