- 1 day ago
- #realitytvdeep
#RealityTVDeep
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00:00You
00:05Robbie whoa whoa whoa what's going on here?
00:09I disabled my ankle monitor because it was going off and fucking with our ability to help patients during the mass
00:15Casualty tell that to your judge. This is my resident. I need her call Gloria
00:20Can you at least wait a second speak to our chief medical officer?
00:22No, but they can call the department if they have any questions
00:24We just came through the worst mass casualty incident in the city's history and you two are fucking around with this
00:28Are you serious you don't have anything better to do?
00:32Officer Harrelson, can you please
00:36Is there a problem here she disabled her ankle monitor it was malfunctioning
00:40She's in a custody battle with a restraining order and is considered a flight risk
00:44Bullshit you interfere with our ability to treat patients
00:48I'm not sure we could have saved officer Stefano if she hadn't disabled the damn thing
00:53That true
00:56This saves Stefano's life. He saved a lot of lives
01:01Take care of this first thing tomorrow morning. I swear take the cuffs off
01:07Thank you. Thank you. Thank you for everything you did here tonight
01:11Do I even want to know probably not good
01:21What's your status down here
01:25We have had 112 mass casualty patients come through here in the last three hours
01:29Only six people that we couldn't save they're still in our makeshift morgue in peds
01:3471 people went upstairs last I heard
01:37Surgery had stabilized the 39 most critical red zone 32 pink zone patients
01:42We also had 24 yellow zone patients many of whom were getting orthopedic surgery as we speak
01:47The police are still interviewing everybody else is still down here
01:49We discharged eight people and I don't know the status of the green zone patients because I wasn't there
01:53You'll have to check with family medicine
01:56Impressive
01:57I need you and ABBA to turn your patients over to the night shift now and then oh sorry hello
02:05What no we need to be back up and running now
02:09Tell security to open the ER doors for walk-ins
02:12If you've got a triage nurse and registration clerks, you should already be open
02:27You ready to give this measles kid to dr. Shen and go home. Oh, no, I'm I'm okay. Are you sure? Yeah
02:35It's just
02:37You know, we've repeatedly tried to explain the importance and low risk of the spinal tap and I mean the parents are
02:44They're risking their son's life. Hopefully they'll come around
02:48And if they don't
02:50We do the best that we can some things are out of our control
02:53Dr. Shen how are we progressing in here no improvement the patient doors family
03:00Where is your wife and daughter mr. Edwards my wife took georgia to the bathroom, okay
03:05Well, your son Flynn is critically ill and the longer that we wait the worse this could get without the spinal tap
03:11We don't know the best treatment to give him to give him the best chance of recovery. What's going on?
03:17We were discussing the options for treating your son
03:20He already looks better
03:23He is not and by refusing the spinal tap, we don't know how to help him
03:29The steroids could kill him if it's just pneumonia the steroids could save him if it's ate him and the longer that we wait the greater the risk of him dying
03:35Flynn might die. No, honey. He's just got a worse version of what you had
03:40I'll keep him intubated hydrated and pumping the antibiotics. I'll let you know if anything changes mr. Edwards may I speak with you outside, please
03:48Go i've heard enough
03:50Tell me about your son
03:58Tell me about your son
04:00He's a great kid. He's kind. He's very good to his little sister
04:06You too close. Yeah, not like my old man
04:10Samira finish up he was not around very much didn't really care what we were doing
04:15Does flim play any sports these ball um soccer basketball david
04:22My wife doesn't want him playing football or he'd be doing that too
04:26Do you get to many games i'm doing my best
04:31Big identification
04:33What the hell is this these are the people from the pit fest shooting that we couldn't save today
04:53We couldn't save them, but we can still save your son
05:00You're an asshole
05:07Yeah
05:09I'm an asshole
05:11Just trying to save your son's life
05:13Still need charts for two patients in north three and south. All right, we're on it. Just give us a hot minute hate leanne
05:19Can you check out the one she's talking about?
05:24It's a co-tan illness or injury in a public area of the hospital usually a fainting or a fall hate gloria wants day shift
05:31Get out of here sooner rather than later. So
05:34gotcha
05:36Repeat labs back on our blue man max running through agents that cause met hemoglobinemia mainly drugs and toxins
05:43Yeah, drugs like top-line aesthetics from the dentist
05:46Antibiotics to treat malaria leprosy
05:49Okay, I can see if he's taking any of those also asked about industrial toxins aniline dyes benzene
05:55There's also food additives nitrates nitrites
05:59Some of those are available online as suicide kits
06:04Think he may have tried to hurt himself
06:07Maybe
06:08Or he was poisoned I had a guy today whose wife was spiking his coffee with progesterone
06:14Jesus and I thought the crazies were for the night shift
06:17She wasn't crazy. I'm just desperate. Help police
06:22Officer i'm being held here against my will
06:28What else do we know about him
06:31Nothing really he uh was too groggy to talk but I can give it another shot go for it sherlock will do
06:37Last thing patient going upstairs you two hanging in oh yeah, okay start wrapping it up and then hand off what you have left to the night shift
06:47Can we talk go home? I don't want to tell you again. You needed me. Do you have any idea how much trouble you're in?
06:52Only if you report me i'm gonna pretend I didn't pelvic crush injury
06:58Don't even think about it. I thought we were close to trauma
07:02This is the cotan. He got pinned behind a truck backing up with replacement supplies
07:05100% non-rebreather let's drop 120 ketamine 100 of rocket page trauma surgery, please the hell this guy come from our loading dock
07:17Okay, I got the e fast grab a binder obvious pelvic fracture
07:21I'm in a lot of pain you taking any medications
07:25Any drug allergies
07:28Am I gonna be okay?
07:30Absolutely, we got you hector bp68 over 42 pulse 130. I got a 14 gauge in the left
07:35I see whole blood massive transfusion protocol. Uh, we got whole blood coming in from here in youngstown
07:41I'm, not sure it's here yet. Let's go one to one to one red cells platelets and plasma. We've got that
07:45Let's place an ij after the intubation, please on it. Okay, you fast negative
07:48It's all retroperitoneal no blood at the meatus pasifoli
07:52Hector you crushed all the bones in your pelvis and you've got some internal bleeding. We need to sedate you to treat you
07:58That's a lot when you wake up, you're not gonna be able to talk you're gonna have a breathing tube in your throat
08:03Can I speak to my voice first afraid we have to move now hector first unit pex cells in the infuser
08:09What have we here?
08:11Looks like two old white guys poached our patient. Oh, I know you're not talking about us. Well, I know he's not talking about me
08:18Crushed pelvis hemorrhagic shock
08:20ATP pelvic binder. I'm doing an intubation about to place an ij
08:25You need us we got this for now hold down the fort get caught up on the day shift remaining pit fest patients and we'll get this guy stabilized
08:32How you feeling max? Yeah, I'm all right
08:36So we are treating you for met hemoglobinemia
08:39Um, have you taken anything or eaten anything out of the ordinary lately?
08:44No, just some unhealthy food truck choices
08:48Okay, uh, do you work around toxic chemicals?
08:51No, I'm a graphic designer
08:53Uh, have you had dental work done lately but use topical pain relievers no
09:01Do you know anyone with leprosy leprosy?
09:04Yeah, I don't know anyone who leprosy
09:10Well
09:11Something that you ingested or came into contact with made you really sick and you could have died
09:18So we need to figure out what caused it so it doesn't happen again. It won't
09:21Um, is there anything else going on in your life that you want to talk about?
09:33Anything causing you undue stress or worry?
09:37No
09:40I think I just need a little rest
09:45All right, well, I will be back
09:51This has to be the slowest elevator in the world
10:01You want to hurry to get back down there?
10:03There's still a backlog of cases to check on
10:06Our shift was over hours ago
10:09You don't want to go home and sleep?
10:13I hope this isn't turning you off of practicing emergency medicine
10:15I'm pretty sure today turned me off practicing all forms of medicine
10:20Everything will be a cakewalk after today, I promise
10:23Come on, let's go find a good case
10:27Yeah
10:29I'll be right there
10:30Central line is in
10:45Let's hook up the rapid infuser over to the IJ and then we can shoot the film
10:50Clear for x-ray
11:00Shooting
11:02Clear
11:06Oh, that ain't good
11:09You got
11:10Widen symphysis pubis anteriorly
11:15Disrupted sacroiliac posteriorly
11:17Guy's bleeding like a stuck pig
11:18I got Dr. Walsh on speakerphone from the OR
11:21Hey guys, what's up?
11:23We've got an unstable pelvic ring fracture systolic of 68
11:26Eat fast negative
11:27I thought we were close to trauma
11:29Hospital worker versus reversing supply truck
11:31MTP and pelvic binder in place
11:33TXA?
11:34Gave it
11:35Staple for CT and Geogram?
11:37Uh, not at the moment, no
11:38Keep transfusing
11:40The blood bank is still waiting on a delivery unless you have some upstairs
11:43He doesn't need surgery
11:44He needs interventional radiology to embolize the bleeders
11:48They don't like unstable patients
11:50They will tonight
11:51I'll be down as soon as I finish this grade five liver lock
11:56Hodges, wrist shrapnel, check
12:02Malloy, leg shrapnel, yeah
12:08Montgomery, abdominal shrapnel
12:11Uh, no
12:12This is supposed to be Chu, female with a headlack
12:17Great, so where the hell she'd go
12:20Dr. King, Whitaker, there's supposed to be a female Asian patient with a headlack in this bed
12:28Uh, yeah, I don't think that's her
12:31Right, Whitaker, I need you to find the patient that's supposed to be here Chu, elderly female with a headlack
12:36Me? I saw you caught that rat
12:38You did the closest thing we got to a bloodhound, I mean that as a compliment
12:43Hey, is this a good time?
12:44No, I got a missing patient, you seen a woman with a scalp black last name Chu?
12:48Uh, no, but, um, I need to talk to you
12:50Don't talk, you treat a woman with a scalp black named Chu?
12:53It doesn't ring a bell
12:55You're a lot of help, start wrapping up and get out of here
12:58Gladly, in private
13:00Keep looking, I'll be with you in a minute
13:04Okay
13:10What the hell, feel like I'm asleep tonight anyway
13:15What have you been hearing?
13:17Well, screaming and crying, got a feeling that's gonna stick with me for a while
13:21I mean, about me
13:23Doctors
13:25Always with the me-me-me
13:26I heard you went home early, but you came back, so I couldn't use some slack this time
13:33Why, why did I go home?
13:36I just figured you were being a pussy
13:39What did Robbie tell you?
13:44Dana
13:46He said I didn't want to know, so I didn't ask
13:50You in trouble, kid?
13:52No, no, it's just a, just a stupid misunderstanding
13:55Then no worries, misunderstandings can be sorted out
13:58Look, everyone's nerves are frazzled from today, just go home, get some rest
14:03Robbie believes something that's not entirely true
14:07That's not like Robbie
14:08I need you to have my back on this
14:10Look, I love you, kid, but this sounds like it's between you and Robbie and above my pay grade
14:14Hell, I'm not even sure I'm ever coming back after I walk out of here tonight, fuck
14:17What are you talking about?
14:18I'm done
14:27Get through all of this shit
14:29What?
14:31No, Dana, you can't quit, it's like the fucking world is imploding
14:34Dana, you can't quit
14:36We need you, Robbie, me, everybody
14:40I'm just gonna
14:42I'm just gonna wrap things up and get out of here
14:44I need you to vouch for me
14:50Robbie thinks I'm a fucking drug addict
14:54Are you?
14:56No
15:00No, what I, what I am is scared, okay
15:03I'm really fucking, fucking scared of what happens next
15:08I fucked up, Dana
15:09I fucked up and I don't know what I'm supposed to do
15:15You're a smart kid
15:18You figure it out
15:19Trust Robbie, okay
15:21He'll do what's best for you
15:22What's best for me is being a doctor
15:25Hey, um
15:27No luck finding Mrs. Chu
15:29All right, I'm coming
15:32Shit
15:39Yes, yes
15:50How's he doing?
15:52Same
15:54So he's not getting any worse?
15:57Not at the moment
15:58Our family physician is making arrangements to move him to West Penn
16:03Uh-huh
16:04Will you excuse me for a second?
16:05He's looking for after three rounds, pack cells, FFP and platelets
16:13Not too shabby
16:13Our measles kid's parents are trying to move him to West Penn
16:17Let him
16:19They've been warned multiple times
16:20I even took the father into the pit fest morn to drive him to point home
16:23You what?
16:24I doubt any hospital will take him without a spinal tap
16:26I'll be there in a minute, they'll let them move that kid
16:28Okay, great, thank you
16:30They can see this guy in 45 minutes, he's an interventional radiologist
16:33That's a long time for this guy
16:34They're just starting a roboa
16:35You did a roboa during the mass casualty?
16:37One of his interns did
16:39Shut up
16:40That was busy
16:41That was ballsy
16:42Yeah, we can babysit this guy until I.R. is ready
16:44You guys are three hours post-shift
16:46This was supposed to be my day off
16:48We got this
16:50Hasta la vista, vatos
16:54Hey, hey
16:56Have you seen an elderly woman with a headlack, less named Chu?
16:59No, sorry
17:02Our shift is over
17:04Dana asked me to find her
17:06Said I'm the department bloodhound now
17:09Well, you did catch the rat
17:12Hey, have you seen an elderly woman with a headlack, last name Chu?
17:15Nope
17:18Okay
17:18Anything interesting up here?
17:21Oh, we are off the clock
17:26I know
17:27But it's gonna take a couple more hours to get caught up on every patient
17:32Are you feeling okay?
17:34I feel great
17:34Better than great
17:39Today was horrific
17:40But we got through it
17:41We did some amazing things
17:45Like I drilled a burr hole with an easy I.O.
17:50Yeah, that was something
17:53You should probably go home now
17:55I'm good
17:56No, you're running on an adrenaline high and you are going to crash soon, trust me
18:02I'd rather be here
18:05This job can't be your life, Samira
18:09It's not
18:12What, because I'm not in a relationship and I don't like socializing after work
18:17All that other stuff can wait until I finish my residency and get to where I want to be in my career
18:22Yeah, for sure
18:24Hey
18:29I love my life
18:34You won't be it
18:39Hey
18:41Can I, uh, can I talk to David alone for a sec?
18:45I guess so
18:48I'll be right outside
18:49Can I get you anything, David?
19:03Yeah, get me out of here
19:05I mean, I can't do that
19:07They caught the guy that did this, he's dead
19:09I'm still locked up
19:16Yeah
19:22Look
19:25Do you know what it's like to be afraid?
19:26I mean, really, truly
19:31Frightened for your own physical safety
19:35Pretty sure I got a taste of that tonight
19:37Right
19:40So imagine if you felt that way
19:43Every day
19:44From half the people that you meet
19:47Because that's every woman's life
19:49So when you make a hit list for girls at your school
19:55I didn't make a hit list
19:56Eliminate man, whatever you want to call it, it's unacceptable
20:00And it's a form of violence against women
20:04How would you feel if your mom was on somebody's eliminate list?
20:06I know life can be shitty
20:18When we all do stupid things
20:20But you're 18
20:23They're gonna treat you like an adult
20:24So I suggest you start acting like one
20:26Look, this is your chance to turn things around
20:40Take the help that's offered
20:42Try and figure out why you wrote what you did
20:45And please never ever think that way again
20:56Uh, okay, I'm gonna take this and this out there
21:10If anybody needs me, that is where I will be
21:13Yep
21:17What was that all about?
21:20You told me it was my mess to fix, right?
21:23So that's what I was trying to do
21:24Did he talk to you?
21:27Not really
21:31Do you think I made it worse
21:32By bringing the police in on this one?
21:34We may never know
21:36He's probably gonna be stacked down here
21:38For his entire 72-hour hold
21:41Well, maybe if he gets the help he needs, it's worth it
21:50Go home
21:51Don't show up tomorrow
21:52Before taking care of the ankle monitor
21:54I think our blue man, Max, needs a psych eval
22:02Based on what?
22:03No health reason for taking anything that could have caused this
22:06No exposure to anything in the workplace
22:08He didn't ask me to call anyone
22:10I'm just worried he was trying to hurt himself
22:12It's a stretch, new girl
22:14Well, he's also not asking to go home
22:17I mean, if this was a failed suicide attempt, it makes sense that he's too frightened or embarrassed to admit to what he did and too afraid to go home because of what he might still do
22:28Okay, I'll call psych, but find someone to take over for you
22:31Your shift ended a couple of hours ago
22:34I'd like to try and get a little more out of him, see if I can get him to confess to something
22:40I've seen your bedside manner
22:42Okay, that is reserved for assholes
22:45I don't want this kid slipping through the cracks
22:47Okay
22:51Thanks
23:00Thanks for letting me come back
23:04I didn't let you come back
23:05You came back on your own and I let you stay
23:08Figured it was one time throwing my career away was for a greater good
23:11I was never high. I was just treating my own withdrawal symptoms
23:17Well, you should have done that under the care and supervision of a physician
23:21With that on my record, I could I could I could have my hospital privileges denied whenever I apply for a job
23:26No, no, that's not true anymore
23:28That's not true anymore. You could have come to me
23:32Instead you could be arrested on felony charges for stealing controlled substances from the hospital
23:37Robbie, I could lose my medical license
23:41Come on, man
23:43You never heard of second chances
23:46Here's your second chance
23:4830-day inpatient treatment program followed by random urine tests 50 to 60 a year followed by mandatory
23:53NA meetings three to four times a week for the first three years
23:56Of a five-year program you need help
23:58What about you, man?
24:01What about you? I'm not the only one who's a little fucked up here, Robbie. Why don't you look in the mirror?
24:05What's that supposed to mean?
24:06I never had a complete meltdown
24:07No, you just caused him and other people
24:09You're blaming me for what happened to you
24:11What happened to me?
24:14What happened to me?
24:14Yeah
24:15Oh, you are so full of shit
24:18You let me down
24:20You let everybody down, especially yourself
24:23Someone saw you in Peds
24:28What Whitaker?
24:31No
24:33A night shift nurse
24:34Saw you on the floor, said it looked like
24:37Looked like what?
24:39Looked like what?
24:40This job will fuck you up if you let it
24:47You let it
24:49Yeah
24:50I wasn't the one talking to cartoony animals and Peds
24:52Fuck you!
24:53Doin' okay, man?
25:07Why do you keep asking me that?
25:09Oh, I don't know
25:10We did take the parent of a patient into our makeshift morgue
25:12Forget that it's technically a fucking crime scene
25:14That's just not cool, man
25:16Just the two heroes I wanted to see
25:19We're holding a press conference in the education auditorium
25:23Not a chance
25:24I know you hate this stuff
25:26But it's important for this department and the hospital
25:29Trust me, Gloria
25:30You don't want me speaking to the press right now
25:32Or ever
25:34Look, as much as you ER cowboys are a pain in my ass
25:37What you and your department did here tonight was nothing short of miraculous
25:41People need to know that
25:44Take the win
25:45Need a second round of MTP
25:47What the fuck?
25:51Systolic's down to 64, 138, he's tacked to 132
25:54Pelvic fracture?
25:55Yeah, rechecking for delayed intra-abdominal bleed
25:59I thought you said he was stable
26:00He was after three units
26:01And he continued to improve
26:03Pressure got up to 118 systolic after the full MTP
26:05Systolic at 118?
26:06It was 90 after three units
26:08You gave him too much blood and raised his pressure so high
26:10That it blew apart the developing clots that was stopping him from bleeding out
26:14First round of MTP is six units red cells, six FFP, six platelets
26:19That's what we gave him
26:20Treat the patient, not the protocol
26:22Systolic of 90's ideal
26:24Robbie, you could teach your residents about permissive hypotension?
26:26Dr. Shen was on this case
26:27Shen is a resident
26:29He isn't attending now
26:30We thought with the long delay in getting him to IR
26:32You may not make it to IR
26:34You over transfused, you popped the clots and now he's exsanguinated
26:37Okay, there's no bleeding in the belly
26:38It's too deep in the pelvis to see on ultrasound
26:40Second round of MTP is here
26:42Blood and plasma on the infuser
26:43We got him back once, we'll get him back again
26:46Three grams calcium glutinate
26:47Why calcium?
26:49Citrate to the transfusing chelates leading to hypocalcemia
26:55Hey, I found Mrs. Chu in the stairwell, smoking
26:58Oh, good job
27:00You know, Mrs. Chu, tobacco use is not a healthy habit
27:02I've outlived three husbands
27:04Yeah, probably died of secondhand smoke
27:07Dr. King, we want you to do the spinal tap before fling gets any worse
27:11Great, I will meet you in there
27:21Dr. Shen, nice of you to join us
27:23This is Systolic's only 68, after how many units?
27:25Three units in the second MTP
27:27Total of nine
27:28This is not looking good, kids
27:31I'm sorry if I gave him too much blood
27:33Dr. Ellis, now that Dr. Shen is here, we have plenty of hands on deck
27:36Why don't you go check on your other patients?
27:39Hey, what about Roboa? The balloon cuts off blood to the lower half of the body
27:42No, with bilateral crush injuries, we don't know if we have an intact artery to thread it in
27:46He could always crack the chest, cross-clamp the aorta and stabilize
27:49I got a better idea
27:50Yeah?
27:51Pre-peritoneal packing, simple midline incision below the umbilicus
27:54Pack like hell around and behind the bladder
27:56That pressure should stop the bleeding until we get him upstairs
28:02Robbie, pre-peritoneal packing, thoughts?
28:06Uh, I've only ever done one in cadaver lab
28:08Because it's an OR procedure
28:10We did them all the time at the combat support hospitals
28:12All right, what the hell? Super pubic prep and drapes, several gowns all around
28:21Hey, let's go, get on the horn of the OR
28:23We need at least six lap pads, the biggest goddamn retractors you got
28:26Deavers, right angles, whatever
28:31Saddle up, cowboy, we got this
28:32Dr. Ellis, where do you need me?
28:38Back here at 7am to relieve the night shift
28:40I can work a double
28:42Samara, you are a great doctor
28:45But you need to know when to turn it off
28:47Go home
28:49Oh, Dr. Ellis
28:51The parents of the measles patient have finally consented to an LP
28:56But Dr. Shin is tied up with the trauma
28:58I can do it
28:59We got this, go
29:09Still doing okay?
29:10I'm fine
29:15Did you, um, witness any of the shooting?
29:19No
29:21Okay, but um
29:23You were found in one of the parking lots
29:27Yeah
29:29What were you doing?
29:33Just hanging out
29:36Were you with friends?
29:36No
29:44You know
29:47You can tell me anything
29:50Right?
29:50I'm
29:52I'm here to help
29:54If I can
29:54I had a good friend
30:06Who, um
30:09Went through some really ugly stuff with me
30:11We were young
30:14And someone older was
30:17Taking advantage of our age
30:20And things got so bad that my friend took her own life
30:32There isn't a day that I don't regret not being able to stop my friend
30:35But there also isn't a day that I'm not grateful
30:41I didn't do the same
30:44Life can be so
30:45It's so
30:47Fucking hard
30:52But it gets better
30:56And there are people who can and
30:58Want to help you with whatever you're dealing with
31:09I just don't want to be here anymore
31:11Then let's have you talk to a professional
31:23Who can help you with those feelings
31:28So what do you say
31:30Will you talk to someone?
31:31Here come more lap heads
31:45Drop them on the mail
31:46Tim bladed me
31:48I've done a hundred of these
31:50Just somebody fucking do it
31:53All right fine
31:54But just down to the linea alba
31:56I don't want you going down too deep and slicing the bladder
31:58Thank you for the safety tip
32:00Maths
32:03Add some forceps
32:06Once I'm through the fascia
32:08You're going to sweep a finger around the bladder
32:10Open up the space of Retzius
32:11Named after Anders Retzius
32:1319th century Swedish professor of anatomy
32:15Seriously?
32:16History of medicine is the closest thing I have to a hobby
32:18You might want to leave that off your dating profile
32:21All right three lap pads on each side of the bladder deep as you can
32:24Deaver retractor
32:26Named for John Blair Deaver
32:27Philadelphia surgeon who revolutionized abdominal surgery in the early 1900s
32:31Surrounded by med nerds
32:33I went to med school at Penn
32:35Walked by his portrait every day
32:36Dude did like a hundred thousand surgeries
32:39Guys BP is not any better
32:40Systolic is 72
32:43One more check of the transverse view
32:48Perfectly in the midline
32:49And the longitudinal view
32:56Right between the vertebrae
32:58Good to go
32:59You're up
33:01Okay
33:02Is it painful?
33:04Will he feel it?
33:04Not at all
33:06He's fully sedated
33:07Enter bevel up
33:09Aim for the umbilicus
33:12Oh, that's a pop
33:13That's the supraspinous ligament
33:15Enter slowly
33:16Next pop is the ligament of flavum
33:18And you're in
33:21Felt it
33:22All right
33:24Removing stylet
33:25Okay, dad, we're in
33:28It's gonna take a minute to collect
33:30But the fluid looks clear
33:32That's good, right?
33:33It's a good sign
33:34The lab still needs to run some tests
33:36Look under the microscope to rule out some bad stuff
33:46What are you doing?
33:48You said she didn't want to be in the room
33:50I was getting Georgia something to eat
33:52Wait outside
33:56Stop what you're doing right now
33:58No, they're almost done
33:59I can't believe you went behind my back
34:01I did what was best for Flynn, not for you
34:03Take that needle out of his back
34:04No
34:05Yes
34:06Ma'am, I don't want to have to ask you to leave
34:08Take it out right now
34:10Yep, coming out
34:14All done
34:20My son is leaving this hospital
34:27I'm sorry
34:29She really is a good mom
34:35Fifth lap pad in place?
34:38Yep
34:41Number six and we're done
34:42Okay
34:45BP 92 over 48
34:47That's good enough for me
34:49How much blood so far?
34:50Uh, up to five on the second MTP
34:52No more unless he tanks again
34:53Sounds good
34:54Hey, I'll stay with him until IR is ready
34:57Okay, by yourself?
34:58Yeah
34:59Need to make sure he doesn't get another drop of blood
35:03You're not needed in the OR?
35:05Nah, it's orthosurgery all night long though
35:08Hey, you okay?
35:10Yeah
35:12He's just tired
35:12I think we all are
35:14Holler if you need us
35:15I will
35:18Bye
35:19Why are you still here?
35:21Almost done
35:23I was the cops arrested Doug Driscoll
35:26Good
35:27I want to know if I want to press charges
35:30Uh, yes
35:32I just want to forget this whole fucking day
35:34Me too
35:35But you still have to press charges
35:40Have you heard anything about me today?
35:42Just like any kind of rumors?
35:44Just one do you care about rumors about you or anybody else?
35:46I don't
35:47It's just something I heard that
35:49Langdon told me that he heard from a night shift nurse
35:51Yeah, well, there's a reason we stick them on the night shifts
35:54Hey
35:55I'm kidding
35:56You want to tell me what it was? I'll tell you if I heard something
35:58No
36:02Never mind
36:03Can you find the remaining day shift so I can do a debrief before we all go home?
36:08Yeah
36:08Is Jake still here?
36:09Yeah, he and Mom are in North 3 now
36:11Hey, Dr. Robby, I think you need to look at this kid
36:14Hi, Dr. Shen, I'm done
36:16You're going to want to see this, trust me
36:17I got this
36:20What am I looking at?
36:21A 14-year-old girl playing with her older brother takes a fall as her older brother chases her up the stairs
36:27after she stole a fork full of his takeout
36:33Told you I want to see it
36:34This is Dr. Shen written all over it
36:41Don't worry, we're bringing in our utensils specialist
36:51We're going to start you out with some nasal numbing spray for the pain
36:56Do you mind if I take a photo for the medical record?
37:04What do you mind if I take to get aop?
37:06I have to take a photo for the medical record
37:07What?
37:08I'm going to try to get a photo of my dog
37:16I think it was so small
37:18It's so little
37:21I think my dog is chastened
37:22I think it's tooной
37:24What?
37:25What?
37:26What is my dog if I don't want to take a photo?
37:27See?
37:28Let me know
37:29How do you have my dog?
37:30My dog is a physically
37:31I want to take a photo of my dog
37:33You okay?
38:01Yeah, I think today is finally catching up to me, physically and emotionally.
38:10It happens.
38:11How are you two still going?
38:15I'm not.
38:16I don't require much sleep, and I have a fast metabolism.
38:31All right, everybody, listen up.
38:49You got it, Cap.
38:55Today should never have happened.
38:58It's impossible to imagine what would possess somebody to commit such a horrific act.
39:02It's the worst of humanity, but it brought out the best in the rest of us.
39:11We saw our better angels come to the aid of our patients.
39:15Each of you rose to the occasion.
39:19And I can't tell you how proud I am of all of you.
39:27This place will break your heart.
39:31But it is also full of miracles, and that is a testament to all of you coming together
39:36and doing what we do best.
39:40Thank you for everything you did here today.
39:48We saw 112 mass casualty patients come through here in the last four hours.
39:53And 106 of them are going to live.
40:00None of us are going to forget today, even if we really, really want to.
40:10So go home, let yourselves cry.
40:16You'll feel better.
40:17It's just grief.
40:21Leave me the body.
40:30Want to grab a drink?
40:39Yeah.
40:40Yes.
40:41When?
40:42Now.
40:45Some of us just get a beer in the park across the street.
40:48Oh.
40:49Helps to download before you go home.
40:51Okay.
40:52Sure.
40:53Sure.
40:58Mom!
40:59Hey, buddy, you're still up.
41:05Yeah, me and grandpa just started watching Planet of the Apes.
41:13What did I tell you about scary movies?
41:18Yeah, so we started about the
41:21.
41:24OK.
41:25.
41:28.
41:33Sorry, excuse me.
41:38.
41:43.
41:46.
41:47.
41:54.
41:55.
41:59.
42:04.
42:05.
42:07.
42:08.
42:09.
42:10.
42:11.
42:13.
42:15Look, Addison would have made the same decision you'd had.
42:45I could have kept him for a few more days on ECMO.
42:50You gave him a fighting chance.
42:52And then you used the limited resources we had to give that little girl a chance.
42:57You lost them both.
42:59Yeah.
43:00But you did your best.
43:02We all did.
43:05Hey.
43:07He would have been proud of you for what you did.
43:10And for everything else since then.
43:13Come here.
43:15You wouldn't let anyone else fight themselves for this.
43:20Tommy gave himself some grace.
43:30See you Monday.
43:31I didn't see it.
43:56What the hell are you doing up here?
44:20What the hell are you doing up here?
44:22Just one second.
44:27Okay.
44:28Uh, I will, on occasion, after a long shift, crash here.
44:36This was your first day here.
44:40Well, it's my first day of emergency rotation.
44:45I did internal medicine last month.
44:48Do you actually have a place to live?
44:56Uh, I'm currently between places.
45:02Do you own a car?
45:06Uh, not at the moment, no.
45:08I, I'm actually...
45:10Between cars.
45:11Yeah, something like that.
45:19Okay, so, I have a spare room with its own bathroom.
45:25Sweet.
45:27Oh, for God's sakes, do you want the room or not?
45:29Okay, that is extremely generous, but, no, I, I, I can't afford to pay you rent right now.
45:37How are you at cleaning and fixing things?
45:41Grew up on a farm.
45:42I'm guessing pretty handy.
45:44Cleaning, I know how to muck out a stall.
45:47Just keep to yourself.
45:49Don't annoy me, and you can move in.
45:52Well, uh, wow, I, I, I don't know what to say.
46:02Well, uh, you can move in tonight, if you want.
46:05Really?
46:06Yeah, but quick, before I change my mind.
46:08Yeah, yeah, no, I mean, this is, this is all I really have, so.
46:11Oh, God, you're not some, like, nudist or religious freak, are you?
46:15No.
46:17No, I like to remain fully dressed at all times, except bathing.
46:21I was just.
46:22I know Croft McGaugh.
46:24Cool.
46:24I don't know who that is, but he sounds very protective of you.
46:28The chances of this working are diminishing by the second.
46:32Right?
46:32I'm just fucking with you, Whitaker.
46:35You're such a huckleberry.
46:40Yeah, okay, uh, hold on.
46:45How are we doing?
46:47Uh, we're doing okay.
46:49Wait.
46:51I know that this is difficult.
46:56This is gonna hurt for a long time.
47:00And it's okay if you wanna blame me.
47:04Just, please don't blame yourself.
47:07We've been friends a long time.
47:08I would hate it.
47:09No, we're not friends.
47:11And you're not my father, so fuck off!
47:13Jake.
47:15Robbie.
47:15Parents of Jake's girlfriend, we are here.
47:28I put them in the doing room.
47:30There you go.
47:41I put them in.
47:51I put them and keep them in.
47:51I don't know.
48:21I don't know.
48:52It's dark out.
48:53Oh, yeah.
48:54Sorry about that.
48:55I had to stay a little later than expected at work.
48:58Because of your boss?
49:00Oh, no, no.
49:01Um, a bunch of people got hurt at a music festival.
49:04And you had to help them?
49:05Yeah.
49:06We're supposed to go to a restaurant on Fridays.
49:09We could still go to a restaurant.
49:12It's not too late?
49:13Not for us King sisters.
49:16What do you want to eat?
49:17Pizza.
49:19Or spaghetti.
49:20I don't know.
49:21I can't decide.
49:22Well, why don't we do both?
49:24Both?
49:24Yeah.
49:25We can go out for spaghetti and then take a pizza home with us.
49:29Really?
49:30Yeah, why not?
49:31Can we still watch a movie?
49:33It is Friday, isn't it?
49:35Elf!
49:37Yeah.
49:38Um, we can do Elf.
49:39Um, or we could see a movie that we've never seen before.
49:44But Elf is so funny.
49:45Yep.
50:02You're in my spot.
50:07Just so you know, Grubhub will not deliver it to the roof.
50:11But there's a DoorDash guy, uh, Marco, who will trek up here for an extra ten bucks.
50:18Twenty if you want beer.
50:27Nice speech down there.
50:29Wish I had given it.
50:31No, you don't.
50:32No, fuck no.
50:38But, I'm glad somebody did.
50:47Yeah.
50:52I think I finally understand why I keep coming back now.
51:00It's in our DNA.
51:02It's what we do.
51:04We can't help it.
51:05We're the...
51:05We're the bees that protect the hive.
51:12Maybe you, not me.
51:15What are you talking about?
51:17Damn well what I talk...
51:18What I'm talking about, I...
51:20I broke.
51:24You didn't break.
51:26You didn't break.
51:27I shut down.
51:28The moment everybody needed me the most, I wasn't there.
51:33Couldn't do it.
51:34I choked.
51:35For what?
51:37For 40 seconds?
51:41Three minutes?
51:42Ten minutes?
51:43Ten minutes?
51:44So fucking what?
51:46We all have that.
51:47That is what happens when you're in a war and nothing makes sense.
51:50Well, we survived as a species because we learned how to cooperate and communicate.
51:58So when we're in the middle of killing each other, it divides the very logic of our existence.
52:04Your brain starts to short-circuit.
52:10All you can do is focus on the medicine.
52:13The medicine's the only thing that saves the patient.
52:16And your sanity.
52:17I'm gonna need a drink if you keep talking.
52:22You get what I'm saying, right?
52:23You rocked that shit down there tonight.
52:31Yeah.
52:32You rocked that shit down there tonight.
52:38We all did.
52:41Now that is a compliment.
52:43Except a damn compliment for once.
52:46What if we just didn't talk for a minute?
52:49I'm just trying to help.
52:50I know.
52:50I appreciate you...
52:52Still talking.
52:53I'm sorry.
52:55Sorry.
53:09Get that drink now?
53:11Yeah.
53:20Whoa.
53:23It doesn't take long to fill up in here.
53:25Never does.
53:26How long until we run out of boarding beds?
53:28Probably sunrise.
53:31Mm-mm.
53:33She had a seizure.
53:34Of course she did.
53:36Looking good, Dr. Abbott.
53:38You too, Merida.
53:39Thanks.
53:40It's a fruitcake.
53:42It's a fruitcake.
53:46Fruitcake.
53:47Don't ask.
53:48When are you coming back?
53:52I don't know.
53:53Grab a couple hours sleep, come back around two.
53:56I don't think they're gonna need relief until the morning.
53:58You know me.
53:59I-I prefer working nights.
54:03You not sick of working nights yet?
54:06My therapist thinks I find comfort in the darkness.
54:09What?
54:13I'll give you his number if you ever feel like talking to him.
54:17Does it help?
54:20I haven't jumped off the roof, have I?
54:22Not yet.
54:39Ah!
54:40Hey!
54:41Hey!
54:42Somebody help me!
54:43There are rats in here!
54:46There were rats in my bed.
54:48I don't think there were any rats in your bed.
54:50There were two of them.
54:51Okay, sir.
54:52We'll take care of that.
54:54Head trauma started to hallucinate.
54:56Put him in line for CT.
55:03Hey.
55:04I had the hard drugs, kids.
55:08Oh!
55:08Nice catch.
55:10Ugh.
55:14Ugh.
55:14Ugh.
55:19Ugh.
55:21Today was a motherfucker.
55:28Have you ever been in anything like that before?
55:35Let's hope none of us ever has to again.
55:38No shit.
55:38We probably will.
55:43If not us.
55:44Others.
55:46Yeah, but we survived that craziness.
55:48Right?
55:50To the pit crew.
55:52To all the people we saved.
55:54Here, here.
55:55And the ones we couldn't.
55:56Is this where all the cool kids hang out?
56:02Oh, you know it.
56:03Nice of you to join us.
56:05If there ever was a day.
56:10Actually, sorry.
56:10I don't drink.
56:11I don't know why I took that.
56:13She's not old enough.
56:14I'd say if she's old enough to put her to a chest tube and intubate, she's old enough to drink a beer.
56:18We won't tell your mom.
56:20Shut up.
56:22But seriously, don't.
56:33Guys do us half their every shit?
56:36Not always.
56:37Usually it's a little more lively.
56:39But the emergency department throws wicked parties.
56:43What's so funny?
56:49I just realized this is your first shift.
56:53Yeah.
56:58That was baptism by fire, baby.
57:02I can pretty much guarantee you the next one will be easier.
57:05I really fucking hope so.
57:08Hey, at least you didn't get pissed on.
57:11I will drink to that.
57:12Aw, poor Whitaker.
57:14Where is he?
57:16Yeah, probably quit.
57:18Aw, that kid's tough.
57:21He'll be back.
57:23Just like the rest of us.
57:37Okay.
57:38That's it for me.
57:40Beer for the road?
57:41Yeah, why not?
57:42Good night.
57:49Get some rest.
57:52Tomorrow's another day.
57:53It was champagne, kind of like wine.
57:54It was champagne, kind of like wine.
58:10Maybe you'll stay here tonight.
58:15It was champagne, kind of like wine.
58:17It was champagne, kind of like wine.
58:22The girl looked so good.
58:26She gave eyesight to the blind.
58:28She said, come here, boy.
58:32I'm going to take you higher.
58:34I'm going to take you higher.
58:35I'm going to take you higher for tonight.
58:38The stars shine much brighter.
58:41And she said, baby.
58:43Baby.
58:43Baby.
58:44Baby.
58:45It's all right.
58:47Baby.
58:49You can stay here tonight.
58:53Baby.
58:56Baby.
58:57It's all right.
58:59You know it's all right.
59:01Baby.
59:02She said, baby.
59:04Baby.
59:04She said, baby.
59:04You can stay here tonight.
59:07Can I kiss you?
59:09Can I hold you, put my arms around you
59:17Thank God I found you, I can't kiss you
59:22Can I hold you baby, put my arms around you
59:29Thank God I found you, you say baby, you say baby
59:36It's alright, you know it's alright, baby, she said baby
59:43It's alright, you say you're the man
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