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00:04You
00:14Robbie, whoa, whoa, whoa, what's going on here?
00:18I disabled my ankle monitor because it was going off and fucking with our ability to help patients during the
00:23mass
00:24Casualty tell that to your judge. This is my resident. I need her call Gloria
00:28Can you at least wait a second speak to our chief medical officer? No, but they can call the department
00:32if they have any questions
00:33We just came through the worst mass casualty incident in the city's history and you two are fucking around with
00:37this. Are you serious?
00:38You don't have anything better to do
00:41Officer Harrelson, can you please
00:45Is there a problem here she disabled her ankle monitor it was malfunctioning
00:49She's in a custody battle with a restraining order and is considered a flight risk
00:52It's bullshit. Do they interfere with our ability to treat patients?
00:57I'm not sure we could have saved officer Stefano if she hadn't disabled with that thing
01:02That true
01:04They saved Stefano's life. He saved a lot of lives
01:10Take care of this first thing tomorrow morning, I swear take the cuffs off
01:16Thank you, thank you. Thank you for everything you did here tonight
01:24Do I even want to know probably not good
01:30What's your status down here?
01:33We have had 112 mass casualty patients come through here in the last three hours
01:37Only six people that we couldn't save you're still in our makeshift morgue and peds
01:4271 people went upstairs last I heard
01:46Surgery had stabilized the 39 most critical red zone 32 pink zone patients
01:51We also had 24 yellow zone patients many of whom were getting orthopedic surgery as we speak
01:56The police are still interviewing everybody else is still down here
01:58We discharged eight people and I don't know the status of the green zone patients because I wasn't there
02:02You'll have to check with family medicine
02:05Impressive
02:06I need you and ABBA to turn your patients over to the night shift now and then oh, sorry
02:11Hello
02:21If you've got a triage nurse and registration clerks, we should already be open
02:36You ready to give this measles kid to dr. Shen and go home. Oh, no, I'm I'm okay. Are you
02:41sure? Yeah
02:43It's just
02:45You know we repeatedly tried to explain the importance and low risk of the spinal tap and I mean the
02:51parents are
02:53They're risking their son's life. Hopefully they'll come around
02:57And if they don't we do the best that we can some things are out of our control
03:02Dr. Shen how are we progressing in here no improvement the patient doors family?
03:09Where is your wife and daughter mr. Edwards my wife took georgia to the bathroom, okay
03:14Well, your son flynn is critically ill and the longer that we wait the worse this could get without the
03:20spinal tap
03:20We don't know the best treatment to give him to give him the best chance of recovery. What's going on?
03:25We were discussing the options for treating your son
03:29He already looks better
03:32He is not and by refusing the spinal tap, we don't know how to help him
03:37The steroids could kill him if it's just pneumonia the steroids could save him if it's ate him and the
03:41longer that we wait
03:42The greater the risk of him dying
03:44Will it might die? No, honey. He's just got a worse version of what you had
03:49I'll keep him intubated hydrated and pumping the antibiotics. I'll let you know if anything changes. Mr. Edwards may I
03:55speak with you outside, please?
03:57Go I've heard enough
04:07Tell me about your son
04:08Tell me about your son
04:09He's a great kid. He's kind. He's very good to his little sister
04:14You're too close. Yeah, not like my old man
04:19Samira finish up. He was not around very much. She didn't really care what we were doing
04:25Does Flynn play any sports?
04:26He's ball
04:27Um, soccer, basketball
04:29David?
04:31My wife doesn't want him playing football or he'd be doing that too
04:35Do you get to many games? I'm doing my best
04:39Pick identification
04:57What the hell is this these are the people from the pit fest shooting that we couldn't save today
05:03We couldn't save them, but we can still save your son
05:09You're an asshole
05:15Yeah
05:17I'm an asshole
05:18I was trying to save your son's life
05:22Still need charge for two patients in north three and south
05:25All right, we're on it. Just give us a hot minute hate leanne. Can you check out the one she's
05:29talking about?
05:33It's a co-tam
05:34Illness or injury in a public area of the hospital usually a fainting or a fall. Hey, gloria wants day
05:40shift
05:40uh, get out of here sooner rather than later. So
05:42wrap it up
05:43Gotcha
05:44Repeat labs back on our blue man max running through agents that cause met hemoglobinemia mainly drugs and toxins
05:51Yeah, drugs like top-line aesthetics from the dentist antibiotics to treat malaria leprosy
05:57Yeah, I can see if he's taking any of those also asked about industrial toxins aniline dyes benzene
06:03There's also food additives nitrates nitrites
06:08Some of those are available online as suicide kits
06:13Think he may have tried to hurt himself
06:15Maybe
06:17Or he was poisoned. I had a guy today whose wife was spiking his coffee with progesterone
06:23Jesus and I thought the crazies were for the night shift
06:26She wasn't crazy. Just desperate
06:29Help! Police!
06:32Officer, I'm being held here against my will
06:36What else do we know about him?
06:40Nothing really he uh, was too groggy to talk but I can give it another shot
06:44Go for it sherlock. Will do
06:49Last thing patient going upstairs. You two hanging in?
06:51Oh yeah. Okay start wrapping it up and then hand off what you have left to the night shift
06:56Can we talk? Go home. I don't want to tell you again. You needed me. Do you have any idea
07:00how much trouble you're in?
07:02Only if you report me. I'm gonna pretend
07:05Pelvic crush injury. Don't even think about it. I thought we were close to trauma
07:10This is the Cotan. He got pinned behind a truck backing up with replacement supplies
07:18100% non-rebreather. Let's drop 120 ketamine 100 of rock and page trauma surgery, please.
07:23Where the hell did this guy come from?
07:24Our loading dock
07:26Okay, I got the e-fast grab a binder obvious pelvic fracture
07:30I'm in a lot of pain. You taking any medications?
07:34Any drug allergies?
07:36Am I gonna be okay?
07:38Absolutely. We got you Hector. BP 68 over 42 pulse 130. I got a 14 gauge in the left AC
07:45Whole blood massive transfusion protocol. Uh, we got whole blood coming in from Aaron Youngstown. I'm not sure it's here
07:51yet
07:51Let's go one to one to one red cells platelets and plasma. We've got that. Let's place an IJ after
07:55the intubation, please
07:56On it. Okay, e-fast negative. It's all retroperitoneal. No blood at the meatus. Pass it fully
08:01Hector
08:02You crushed all the bones in your pelvis and you've got some internal bleeding. We need to sedate you to
08:06treat you
08:07That's a lot
08:08When you wake up, you're not gonna be able to talk. You're gonna have a breathing tube in your throat
08:12Who can I speak to my wife first?
08:14Afraid we have to move now Hector. First unit pack cells in the infuser
08:18What have we here?
08:20Looks like two old white guys poached our patient. Oh, I know you're not talking about us. Well, I know
08:25he's not talking about me
08:27Crushed pelvis hemorrhagic shock ATP pelvic binder. I'm doing an intubation about the place of IJ
08:34You need us? We got this for now hold down the fort get caught up on the audacious remaining pit
08:38fest patients and we'll get this guy stabilized
08:41How you feeling max? Yeah, I'm all right
08:44So we are treating you for met hemoglobinemia
08:48Um, have you taken anything or eaten anything out of the ordinary lately?
08:54No, just some unhealthy food truck choices
08:57Okay, uh, do you work around toxic chemicals?
08:59No, I'm a graphic designer
09:02Have you had dental work done lately but use topical pain relievers?
09:07No
09:09Do you know anyone with leprosy?
09:13Leprosy?
09:15Yeah, I don't know anyone with leprosy
09:19Well, something that you ingested or came into contact with made you really sick
09:25And you could have died
09:27So we need to figure out what caused it so it doesn't happen again
09:29It won't
09:35Um
09:37Is there anything else going on in your life that you want to talk about?
09:42Anything causing you undue stress or worry?
09:45No
09:48I think I just need a little rest
09:53All right
09:55Well, I will be back
10:06This has to be the slowest elevator in the world
10:09You wanna hurry to get back down there?
10:12There's still a backlog of cases to check on
10:15Our shift was over hours ago
10:18You don't want to go home and sleep?
10:21I hope this isn't turning you off of practicing emergency medicine
10:25I'm pretty sure today turned me off practicing all forms of medicine
10:29Everything will be a cakewalk after today
10:31I promise
10:32Come on, let's go find a good case
10:38I'll be right there
10:39Yeah
10:39I'll be right there
10:41Can you back to my house?
10:44Yeah
10:53Central line is in
10:54Let's hook up the rapid infuser over to the IJ
10:57And then we can shoot the film
10:59Clear for x-ray
11:08Shooting?
11:10Clear
11:15Oh, that ain't good
11:17What do you got?
11:20What do you got?
11:21Wide unsynthesis pubis anteriorly
11:24Disrupted sacroiliac posteriorly
11:26Guys bleeding like a stuck pig
11:27I got Dr. Walsh on speakerphone from the OR
11:30Hey guys, what's up?
11:32We've got an unstable pelvic ring fracture systolic of 68
11:35Eat fast negative
11:36I thought we were close to trauma
11:37Hospital worker versus reversing supply truck
11:40MTP and pelvic binder in place
11:43PXA?
11:43Gave it
11:44Staple for CT and Geogram?
11:46Uh, not at the moment, no
11:47Keep transfusing
11:49The blood bank is still waiting on a delivery unless you have some upstairs
11:52He doesn't need surgery, he needs interventional radiology to embolize the bleeders
11:57They don't like unstable patients
11:58They will tonight
12:00I'll be down as soon as I finish this grade five liver lock
12:05Hodges, wrist shrapnel
12:07Check
12:11Molloy, leg shrapnel
12:14Yup
12:17Montgomery, abdominal shrapnel
12:20Uh, no
12:22This is supposed to be Chu, female with a headlack
12:26Great, so where the hell should go?
12:29Dr. King, Whitaker, there's supposed to be a female Asian patient with a headlack in this bed
12:37Yeah, I don't think that's her
12:40Right, Whitaker, I need you to find the patient that's supposed to be here, Chu, elderly female with a headlack
12:45Me?
12:46I saw you caught that rat
12:47You did the close thing we got to a bloodhound, I mean that as a compliment
12:52Hey, is this a good time?
12:53No, I got a missing patient, you seen a woman with a scalp black last name Chu?
12:57Uh, no, but um, I need to talk to you
12:59So talk, you treat a woman with a scalp black named Chu?
13:02It doesn't ring a bell
13:03You're a lot of help
13:05Start wrapping up and get out of here
13:07Gladly
13:08In private
13:10Keep looking, I'll be with you in a minute
13:19What the hell, feel like I'm gonna sleep tonight anyway
13:24What have you been hearing?
13:26A lot of screaming and crying, got a feeling that's gonna stick with me for a while
13:30I mean, about me
13:32Doctors
13:34Always with the me, me, me
13:38Heard you went home early, but you came back so
13:39Couldn't use some slack this time
13:42Why?
13:42Why did I go home?
13:45Just figured I'd be in a pussy
13:47What did Robbie tell you?
13:52Dana
13:55He said I didn't want to know, so I didn't ask
13:59You in trouble, kid
14:01No, no, it's just a, just a stupid misunderstanding
14:04Then no worries, misunderstandings can be sorted out
14:07Look, everyone's nerves are frazzled from today, just go home, get some rest
14:12Robbie believes something that's not entirely true
14:16That's not like Robbie
14:17I need you to have my back on this
14:19Look, I love you, kid
14:20But this sounds like it's between you and Robbie and above my pay grade
14:23Hell, I'm not even sure I'm ever coming back after I walk out of here tonight
14:25Fuck
14:25What are you talking about?
14:28Just
14:34I'm done
14:36Get through all of this shit
14:38What?
14:40No, Dana, you can't quit
14:41It's like the fucking world is imploding
14:43Dana, you can't quit
14:45We need you, Robbie, me, everybody
14:49I just gotta
14:51I just gotta wrap things up and get out of here
14:56I need you to vouch for me
14:58Robbie thinks I'm a fucking drug addict
15:03Are you?
15:05No
15:08No, what I
15:10What I am is scared, okay
15:12I'm really fucking
15:14Fucking scared of what happens next
15:17I fucked up, Dana
15:20I fucked up and I don't know what I'm supposed to do
15:24You're a smart kid
15:26You figure it out
15:28Trust Robbie, okay
15:29He'll do what's best for you
15:31What's best for me is being a doctor
15:34Hey, um
15:36No luck finding Mrs. Chu
15:38All right, I'm coming
15:41Sure
15:58Yes, yes
15:59How's he doing?
16:01Same
16:03So he's not getting any worse?
16:06Not at the moment
16:07Our family physician is making arrangements to move him to West Penn
16:12Can you excuse me for a second?
16:18After three rounds, pack cells, FFP and platelets
16:21Not too shabby
16:22Our measles kid's parents are trying to move him to West Penn
16:26Let him
16:27They've been warned multiple times
16:29I even took the father into the pit fest morgue to drive the point home
16:32You what?
16:32I doubt any hospital will take him without a spinal tap
16:35I'll be there in a minute, they'll let them move that kid
16:37Okay, great, thank you
16:38They can see this guy in 45 minutes, he's an interventional radiologist
16:41That's a long time for this guy
16:43They're just starting a ROBOA
16:44You did a ROBOA during the mass casualty?
16:46One of his interns did
16:47Shut up
16:48I was busy
16:50That was ballsy
16:51Yeah, we can babysit this guy until IR is ready
16:53You guys are three hours post-shift
16:55This was supposed to be my day off
16:57You got this
16:58Hasta la vista, vatos
17:03Hey, hey
17:05Have you seen an elderly woman with a headlack less named Chu?
17:09No, sorry
17:11Our shift is over
17:13Dana asked me to find her
17:15Said I'm the department bloodhound now
17:18Well, you did catch the rat
17:20Hey, have you seen an elderly woman with a headlack last name Chu?
17:24No
17:27Okay
17:28Anything interesting up here?
17:33Oh, we are off the clock
17:35I know
17:36It's gonna take a couple more hours to get caught up on every patient
17:41Are you feeling okay?
17:43I feel great
17:45Better than great
17:47Today was horrific
17:49But we got through it
17:50We did some amazing things
17:53Like I drilled a burr hole with an easy I.O
17:59Yeah, that was something
18:02You should probably go home now
18:04I'm good
18:05No
18:06You're running on an adrenaline high
18:08And you are going to crash soon, trust me
18:11Rather be here
18:14This job can't be your life, Samira
18:18It's not
18:21What, because I'm not in a relationship
18:23And I don't like socializing after work
18:26All that other stuff can wait until I finish my residency
18:28And get to where I want to be in my career
18:31Yeah, for sure
18:33Hey
18:36Hey
18:38I love my life
18:43Can you want me in?
18:48Hey
18:49Can I, uh, can I talk to David alone for a sec?
18:54I guess, um
18:57I'll be right outside
19:10Can I get you anything, David?
19:12Yeah, get me out of here
19:14I mean, I can't do that
19:16They caught the guy that did this, he's dead
19:19I'm still locked up
19:24Yeah
19:27Look
19:34Do you know what it's like to be afraid?
19:38I mean, really, truly
19:40Frightened for your own physical safety
19:44Pretty sure I got a taste of that tonight
19:46Right
19:49So imagine if you felt that way
19:52Every day
19:53From half the people that you meet
19:56Because that's every woman's life
20:02So when you make a hit list for girls at your school
20:04I didn't make a hit list
20:05Eliminate man, whatever you want to call it
20:07It's unacceptable
20:08And it's a form of violence against women
20:12How would you feel if your mom was on somebody's eliminate list?
20:23I know life can be shitty
20:26When we all do stupid things
20:29But you're 18
20:31They're gonna treat you like an adult
20:33So I suggest you start acting like one
20:43I don't know
20:44This is your chance to turn things around
20:48Take the help that's offered
20:51Try and figure out why you wrote what you did
20:54And please never ever think that way again
21:18I'm gonna take this and this out there
21:19If anybody needs me, that is where I will be
21:21Yep
21:26What was that all about?
21:29You told me it was my mess to fix, right?
21:32So that's what I was trying to do
21:33Did he talk to you?
21:36Not really
21:40Do you think I made it worse
21:41But bringing the police in on this one?
21:43We may never know
21:45He's probably gonna be stuck down here
21:47For his entire 72 hour hold
21:50Well, maybe if he gets the help he needs
21:52It's worth it
21:59Go home
22:00Don't show up tomorrow
22:01Before taking care of the ankle monitor
22:07I think our blue man Max needs a psych eval
22:10Based on what?
22:12No health reason for taking anything that could have caused this
22:15No exposure to anything in the workplace
22:17He didn't ask me to call anyone
22:19Just worried he was trying to hurt himself
22:21I'm so stretched, new girl
22:23Well, he's also not asking to go home
22:26I mean, if this was a failed suicide attempt
22:29It makes sense that he's too frightened or embarrassed to admit to what he did
22:33And too afraid to go home because of what he might still do
22:37Okay, I'll call psych
22:38But find someone to take over for you
22:40Your shift ended a couple of hours ago
22:43I'd like to try and get a little more out of him
22:46See if I can get him to confess to something
22:49I've seen your bedside manner
22:51Okay, that is reserved for assholes
22:54I don't want this kid slipping through the cracks
22:58Okay
23:00Thanks
23:09Thanks for letting me come back
23:12I didn't let you come back
23:14You came back on your own and I let you stay
23:17Figured it was one time throwing my career away was for a greater good
23:22I was never high I was just treating my own withdrawal symptoms
23:25Well, you should have done that under the care and supervision of a physician
23:29With that on my record, I could have my hospital privileges denied whenever I apply for a job
23:35No, no, that's not true anymore
23:37That's not true anymore
23:38You could have come to me
23:41Instead you could be arrested on felony charges for stealing controlled substances from the hospital
23:45Robbie
23:47I could lose my medical license
23:50Come on, man
23:51You never heard of second chances
23:54Here's your second chance
23:5630-day inpatient treatment program followed by random urine tests 50 to 60 a year
24:01Followed by mandatory N.A. meetings three to four times a week for the first three years
24:05Of a five-year program
24:06You need help
24:07What about you, man?
24:10What about you? I'm not the only one who's a little fucked up here, Robbie
24:12Why don't you look in the mirror?
24:14What's that supposed to mean?
24:15I never had a complete meltdown
24:16No, you just caused them and other people
24:18You're blaming me for what happened to you
24:20What happened to me?
24:22What happened to me?
24:23Yeah
24:24Ho, ho, ho
24:25You are so full of shit
24:27You let me down
24:29You let everybody down
24:30Especially yourself
24:32Someone saw you in peds
24:37What, Whitaker?
24:40No
24:42A night shift nurse
24:43Saw you on the floor
24:44Said it looked like
24:46Looked like what?
24:48Looked like what?
24:53This job will fuck you up if you let it
24:56You let it
24:57Yeah
24:58I wasn't the one talking to cartoony animals and peds
25:01Fuck you
25:13Doing okay, man?
25:15Why do you keep asking me that?
25:18Oh, I don't know
25:18You did take the parent of a patient into our makeshift morgue
25:21Forget that it's technically a fucking crime scene
25:23That's just not cool, man
25:25Just the two heroes I wanted to see
25:28We're holding a press conference in the education auditorium
25:32Not a chance
25:33I know you hate this stuff
25:34But it's important for this department and the hospital
25:38Trust me, Gloria
25:39You don't want me speaking to the press right now
25:41Wherever
25:42Look, as much as you ER cowboys are a pain in my ass
25:46What you and your department did here tonight was nothing short of miraculous
25:50People need to know that
25:52Take the win
25:54Need a second round of mtp
25:56What the fuck
26:00Systolic's down to 64
26:01138 he's tapping to 132
26:03Pelvic fracture?
26:04Yeah, rechecking for delayed intra-abdominal bleed
26:07I thought you said he was stable
26:09He was after three units
26:10And he continued to improve
26:11Pressure got up to 118 systolic after the full mtp
26:14Systolic of 118?
26:15It was 90 after three units
26:17He gave him too much blood and raised his pressure so high
26:19That it blew apart the developing clots that was stopping him from bleeding out
26:23First round of mtp is six units red cells, six ffp, six platelets
26:27That's what we gave him
26:29Treat the patient, not the protocol
26:31Systolic of 90 is ideal
26:32Robbie, you could teach your residents about permissive hypotension?
26:35Dr. Shen was on this case
26:36Shen is a resident
26:37He isn't attending now
26:39We thought with the long delay in getting him to IR that he
26:42You may not make it to IR
26:42You over transfused, you popped the clots and now he's exsanguinated
26:45Okay, there's no bleeding in the belly
26:47It's too deep in the pelvis to see on ultrasound
26:49Second round of mtp is here
26:50Blood and plasma on the infuser
26:52We got him back once
26:53We'll get him back again
26:54Three grams calcium glutinate
26:56Why calcium?
26:58Citrate to the transfusing
26:59chelates leading the hypocalcemia
27:04Hey, I found Mrs. Chu in the stairwell smoking
27:07Oh, good job
27:08You know, Mrs. Chu, tobacco use is not a healthy habit
27:11I've outlived three husbands
27:13Yeah, probably died of secondhand smoke
27:16Dr. King
27:17We want you to do the spinal tap before a fling gets any worse
27:20Great, I will meet you in there
27:30Dr. Shen, nice of you to join us
27:32This is still looks only 68
27:33After how many units?
27:34Three units in the second mtp
27:36Total of nine
27:36This is not looking good kids
27:39I'm sorry if I gave him too much blood
27:41Dr. Alice, now that Dr. Shen is here
27:44We have plenty of hands on deck
27:45Why don't you go check on your other patients?
27:48Hey, what about Roboa?
27:49The balloon cuts off blood to the lower half of the body
27:51No, with bilateral crush injuries
27:52We don't know if we have an intact artery to thread it in
27:54You could always crack the chest
27:56Cross-clamp the aorta and stabilize
27:58I got a better idea
27:59Yeah?
28:00Three peritoneal packing
28:01Simple midline incision below the umbilicus
28:03Pack like hell around and behind the bladder
28:05That pressure should stop the bleeding until we get him upstairs
28:12Robbie, three peritoneal packing
28:13Thoughts?
28:14Uh, I've only ever done one in cadaver lab
28:17Because it's an OR procedure
28:18We did them all the time at the combat support hospitals
28:25All right, what the hell?
28:28Super pubic prep and drapes, narrow gowns all around
28:30Hey, let's go get on the horn of the OR
28:31We need at least six lap pads
28:33The biggest goddamn retractors you got
28:35Devers, right angles, whatever
28:40Saddle up cowboy, we got this
28:45Dr. Ellis, where do you need me?
28:47Back here at 7 a.m. to relieve the night shift
28:50I can work a double
28:51Samara, you are a great doctor
28:53But you need to know when to turn it off
28:56Go home
28:58Oh, Dr. Ellis
28:59The parents of the measles patient have finally consented to an LP
29:04But Dr. Shin is tied up with the trauma
29:06I can do it
29:07I can do it
29:08We got this, go
29:18Still doing okay?
29:19I'm fine
29:23Did you, um, witness any of the shooting?
29:28No
29:30Okay, but, um
29:32You were found in one of the parking lots
29:36Yeah
29:38What were you doing?
29:42Just hanging out
29:44Were you with friends?
29:47No
29:53You know
29:55You can
29:57Tell me anything
29:59Right?
29:59I'm
30:00I'm here to help
30:02If I can
30:11I had a
30:13A good friend
30:15Who, um
30:17Went through some really ugly stuff
30:19With me
30:22We were young
30:24And
30:25Someone older was
30:27Taking advantage of our age
30:32And things got so bad that
30:35My friend
30:36Took her own life
30:40There isn't a day that I don't regret
30:43Not being able to stop my friend
30:46But there also isn't a day that
30:48I'm not grateful
30:50I didn't do the same
30:53Life can be so
30:55Fucking hard
31:01But it gets better
31:04And there are people who can
31:06And want to help you
31:09With whatever you're dealing with
31:17I just don't want to be here anymore
31:28Then let's have you talk to a professional
31:32Who can help you with those feelings
31:36So what do you say
31:39Will you talk to someone?
31:53Here come more lab pets
31:54Drop them on the mail
31:55Ten blade to me
31:56I've done a hundred of these
31:59Just somebody fucking do it
32:02All right fine
32:03But just down to the linea alba
32:04I don't want you going down too deep and slicing the bladder
32:06Thank you for the safety tip
32:09Matt
32:11Okay
32:12Add some forceps
32:15Once I'm through the fascia
32:17You're going to sweep a finger around the bladder
32:19Open up the space of Rhetzius
32:20Named after Anders Rhetzius
32:2219th century Swedish professor of anatomy
32:24Seriously?
32:25History of medicine is the closest thing I have to a hobby
32:27You might want to leave that off your dating profile
32:30All right three lap pads on each side of the bladder deep as you can
32:32Deaver retractor
32:34Name for John Blair Deaver
32:36Philadelphia surgeon who revolutionized abdominal surgery in the early 1900s
32:40Surrounded by med nerds
32:42I went to med school at Penn
32:44Walked by his portrait every day
32:45Dude did like a hundred thousand surgeries
32:48Guys BP is not any better systolic at 72
32:51One more check of the transverse view
32:57Perfectly in the midline
33:00And the longitudinal view
33:05Right between the vertebrae
33:07Good to go
33:10You're up
33:10Okay
33:12Is it painful? Will he feel it?
33:14Not at all
33:15He's fully sedated
33:16Enter bevel up
33:18Aim for the umbilicus
33:20Oh, I felt a pop
33:22That's the supraspinous ligament
33:23Enter slowly
33:25Next pop is the ligament of flavum
33:27And you're in
33:30Felt it
33:31All right
33:33Removing stylet
33:35Okay, dad, we're in
33:37It's gonna take a minute to collect
33:39But the fluid looks clear
33:41That's good, right?
33:42It's a good sign
33:43The lab still needs to run some tests
33:45Look under the microscope to rule out some bad stuff
33:54What are you doing?
33:57You said she didn't want to be in the room
33:58I was getting Georgia something to eat
34:01Wait outside
34:05Stop what you're doing right now
34:07No, they're almost done
34:08I can't believe you went behind my back
34:10I did what was best for Flynn, not for you
34:12Take that needle out of his back
34:13No
34:14Yes
34:14Ma'am, I don't want to have to ask you to leave
34:17Take it out right now
34:19Yep, coming out now
34:23All done
34:29My son is leaving this hospital
34:36Sorry
34:37She really is a good mom
34:44Fifth lap pad in place
34:47Yep
34:50Number six and we're done
34:51Okay
34:54VP 92 over 48
34:56That's good enough for me
34:57How much blood so far?
34:59Uh, up to five on the second MTP
35:01No more unless he tanks again
35:02Sounds good
35:03Hey, I'll stay with him until IR is ready
35:06Okay, by yourself?
35:07Yeah, need to make sure he doesn't get another drop of blood
35:12You're not needed in the OR?
35:14Nah, it's like those surgeries all night long though
35:16Hey, you okay?
35:19Yeah
35:20He's just tired
35:21I think we all are
35:23Holler if you need us
35:24I won't
35:27Bye
35:27Why are you still here?
35:30Almost done
35:32I was the cops arrested Doug Driscoll
35:34Good
35:36I want to know if I want to press charges
35:39Uh, yes
35:40I just want to forget this whole fucking day
35:42Me too
35:44But you still have to press charges
35:49Have you heard anything about me today?
35:51Just like any kind of rumors?
35:53I just don't do care about rumors
35:54About you or anybody else
35:55I don't
35:55It's just something I heard that
35:58Langdon told me that he heard from a night shift nurse
36:00Yeah, well, there's a reason we stick him on the night shift
36:03Hey
36:04I'm kidding
36:05You want to tell me what it was?
36:06I'll tell you if I heard something
36:10No
36:11Never mind
36:11Can you find the remaining day shift so I can do a debrief before we all go home?
36:17Yeah
36:17Is Jake still here?
36:18Yeah, he and Mom are in North 3 now
36:23Dr. Robbie, I think you need to look at this kid
36:24You're going to want to see this, trust me
36:26I got this
36:28What am I looking at?
36:30A 14-year-old girl playing with her older brother takes a fall as her older brother chases her up
36:35the stairs after she stole a fork full of his takeout
36:42Told you I asked you
36:47This is Dr. Shen written all over it
36:50Don't worry, we're bringing in our utensils specialist
37:00We're going to start you out with some nasal numbing spray for the pain
37:05Do you mind if I take a photo?
37:08For the medical record
37:43And we're gonna add her with a
37:45ToNot elle
37:48What the risk was even in her next year...
37:49If
37:50she's warden But
37:52tried to heal her and
37:52still took all of it But
37:52when I arrived at her Yeah,
37:55but now we have people And it
37:55that she's not even a bad adult She said
37:55we're preparing the child To usually
37:56for gaming mesmo They're
37:57not
37:57the best She was doing
37:57It looks like
37:59me
38:09you okay
38:13yeah i think today is finally catching up to me physically and emotionally it happens
38:21how are you two still going i'm not i don't require much sleep and i have a fast metabolism
38:44all right everybody listen up
38:57you got a cap
39:03today should never have happened
39:06and it's impossible to imagine what would possess somebody to commit such a horrific act
39:12it's the worst of humanity
39:16but it brought out the best in the rest of us
39:19we saw our better angels come to the aid of our patients each of you rose to the occasion
39:29and i i can't tell you how proud i am of all of you
39:36this place will break your heart
39:40but it is also full of miracles and that is a testament to all of you coming together and
39:45doing what we do best
39:48thank you for everything you did here today
39:56we saw 112 mass casualty patients come through here in the last four hours
40:02and 106 of them are going to live
40:09none of us are going to forget today
40:13even if we really really want to so go home let yourselves cry
40:24you'll feel better it's just grief
40:29leave me the body
40:45want to grab a drink
40:47um yeah yes when
40:50now
40:53oh some of us just get a beer in the park across the street
40:57oh
40:58helps to download before we go home
40:59okay sure sure
41:16mom
41:18hey buddy you're still up
41:19yeah me and grandpa just started watching planet of the apes
41:23what did i tell you about scary movies
41:44hey sorry excuse me
42:52Look at us.
42:53Someone would have made the same decision you did.
42:57I could have kept him for a few more days on ECMO.
42:59You gave him a fighting chance.
43:01And then you used the limited resources we had to give that little girl a chance.
43:06You lost them both.
43:07Yeah, but you did your best.
43:11We all did.
43:13Hey, he would have been proud of you for what you did and for everything else since then.
43:22Come here.
43:24You wouldn't let anyone else fight themselves for this.
43:28Then you gave yourself some grace.
43:38See you Monday.
44:02I can't see it.
44:25Nice moves.
44:27What the hell are you doing up here?
44:29What the hell are you doing up here?
44:31Just one second.
44:36Okay.
44:37Uh, I will, on occasion, after a long shift, crash here.
44:46This was your first day here?
44:49Well, it's my first day of emergency rotation.
44:54I did internal medicine last month.
45:00Do you actually have a place to live?
45:04Uh, I'm currently between places.
45:10Do you own a car?
45:14Uh, not at the moment, no.
45:17I, I'm actually...
45:19Between cars.
45:21Yeah, something like that.
45:28Okay, so...
45:30I have a spare room with its own bathroom.
45:34Sweet.
45:36For God's sakes, do you want the room or not?
45:39Okay, that is extremely generous, but...
45:42No, I, I, I can't afford to pay you rent right now.
45:46How are you at cleaning and fixing things?
45:50Grew up on a farm, I'm guessing pretty handy.
45:53Cleaning, I know how to muck out a stall.
45:56Just keep to yourself.
45:58Don't annoy me.
45:59And you can move in.
46:02Well, uh, wow.
46:04I, I, I don't know what to say.
46:11Well, uh, you can move in tonight, if you want.
46:14Really?
46:15Yeah, but quick, before I change my mind.
46:16Yeah, yeah, no, I mean, this is, this is all I really have, so.
46:20Oh, God, you're not some, like, nudist or religious freak, are you?
46:24No.
46:26No, I like to remain fully dressed at all times, except bathing.
46:30I'm just...
46:31I know Croc McGaugh.
46:32Cool.
46:33I don't know who that is, but he sounds very protective of you.
46:36The chances of this working are diminishing by the second.
46:41Right?
46:41I'm just fucking with you, Whitaker.
46:43You're such a huckleberry.
46:49Yeah, okay.
46:50Uh, hold on!
46:54How are we doing?
46:56Uh, we're doing okay.
46:58Right.
47:02I know that this is difficult.
47:05This is gonna hurt for a long time.
47:09And it's okay if you wanna blame me.
47:12Just please don't blame yourself.
47:15We've been friends a long time.
47:17I would hate it.
47:18No, we're not friends.
47:19And you're not my father, so fuck off!
47:22Jake.
47:24Robbie.
47:32Parents of Jake's girlfriend, Leah, are here.
47:37I put them in the doing room.
47:38Gentlemen.
47:39I put them in the doer.
47:39And you just wanted to tell them what's going on.
47:42Yeah.
47:43Now, they're black.
47:45Just directly.
47:45Righty.
47:49My father.
47:51I'm playing around.
47:53I love you, man.
47:56I don't know.
47:57I love you, man.
48:01I love you, man.
48:02I love you.
48:05I love you.
48:07I love you.
48:07I love you.
48:07I love you.
48:07I love you, man.
48:08And you?!
48:08I don't know.
48:50Hey, Becca.
48:51Hi, Mel.
48:52You ready to go?
48:53Yep.
48:54All right, let's go.
48:55Let's go.
48:58Oh, wow.
49:00It's, uh, it's dark out.
49:02Oh, yeah.
49:03Sorry about that.
49:04I had to stay a little later than expected at work.
49:07Because of your boss?
49:08Oh, no, no.
49:09Um, a bunch of people got hurt at a music festival.
49:12And you had to help them?
49:14Yeah.
49:15We're supposed to go to a restaurant on Fridays.
49:18We could still go to a restaurant.
49:21It's not too late?
49:22Not for us King sisters.
49:25What do you want to eat?
49:26Pizza.
49:28Or spaghetti.
49:29I don't know.
49:30I can't decide.
49:31Well, why don't we do both?
49:33Both?
49:33Yeah.
49:34We can go out for spaghetti and then take a pizza home with us.
49:38Really?
49:38Yeah, why not?
49:40Can we still watch a movie?
49:42It is Friday, isn't it?
49:44Elf!
49:46Yeah.
49:46Um, we could do Elf.
49:48Um, or we could see a movie that we've never seen before.
49:53But Elf is so funny.
49:54Yep.
50:11You're in my spot.
50:16Just so you know, Grubhub will not deliver it to the roof.
50:20But there's a DoorDash guy, uh, Marco, who will trek up here for an extra ten bucks.
50:27Twenty if you want beer.
50:36Nice speech down there.
50:38Wish I had given it.
50:40No, you don't.
50:45No.
50:46Fuck no.
50:46But, I'm glad somebody did.
50:56Yeah.
51:01I think I finally understand why I keep coming back now.
51:09It's in our DNA.
51:12It's what we do.
51:13We can't help it.
51:13We're the, we're the bees that protect the hive.
51:21Maybe you, not me.
51:23What are you talking about?
51:26No damn well what I talk, what I'm talking about.
51:28I, I broke.
51:33You didn't break.
51:35You didn't break.
51:36I shut down.
51:38The moment everybody needed me the most, I wasn't there.
51:42Couldn't do it.
51:43I choked.
51:44For what?
51:46For 40 seconds?
51:49Three minutes?
51:51Ten minutes?
51:53So fucking what?
51:55We all have that.
51:56That is what happens when you're in a war and nothing makes sense.
52:01Well, we survived as a species because we learned how to cooperate and, and communicate.
52:07So, when we're in the middle of killing each other, it divides the very logic of our existence.
52:14Your brain starts to short circuit.
52:18All you can do is focus on the medicine.
52:22The medicine is the only thing that saves the patient and your sanity.
52:26I'm going to need a drink if you keep talking.
52:30You get what I'm saying, right?
52:34You rocked that shit down there tonight.
52:39Yeah.
52:41You rocked that shit down there tonight.
52:47We all did.
52:50Now, that is a compliment.
52:52Accept the damn compliment for once.
52:55What if we just didn't talk for a minute?
52:57I'm just trying to help.
52:59I know.
52:59I appreciate you...
53:01Still talking.
53:04Sorry.
53:18You get that drink now?
53:20Yeah.
53:29Whoa.
53:31It doesn't take long to fill up in here.
53:33Never does.
53:35How long until we run out of boarding beds?
53:37All the sunrise.
53:40Mm-mm-mm.
53:42She had a seizure.
53:43Of course she did.
53:45Looking good, Dr. Abbott.
53:47You too, Miranda.
53:49Thanks.
53:52Yeah.
53:52I'm here for a cake.
53:54Oh.
53:55It's a cake.
53:56Don't ask.
53:57Can I let you go back?
53:59When are you coming back?
54:01I don't know.
54:01Grab a couple hours sleep.
54:03Come back around two.
54:05I don't think they're going to need relief until the morning.
54:07You know me.
54:08I...
54:08I prefer working nights.
54:11You not sick of working nights yet?
54:14My therapist thinks I find comfort in the darkness.
54:18What?
54:22I'll give you his number if you ever feel like talking to him.
54:26Does it help?
54:29I haven't jumped off the roof, have I?
54:33Not yet.
54:48Ah!
54:49Hey!
54:50Hey!
54:51Somebody help me!
54:52There are rats in here!
54:54There were rats in my bed.
54:56I don't think there were any rats in your bed.
54:58There were two of them.
54:59Okay, sir.
55:01We'll take care of that.
55:03Head trauma started to hallucinate.
55:05Put him in line for CT.
55:12Hey.
55:13I had the hard drugs, kids.
55:16Oh!
55:17Nice catch.
55:19Ugh.
55:23Ugh.
55:25Ugh.
55:28Ugh.
55:32Today was a motherfucker.
55:37Have you ever been in anything like that before?
55:44Let's hope none of us ever has to again.
55:46No shit.
55:48We probably will.
55:51We probably will.
55:52If not us.
55:53Others.
55:54Yeah, but we survived that craziness.
55:57Right?
55:59To the pit crew.
56:01To all the people we saved.
56:03Here, here.
56:04And the ones we couldn't.
56:08Is this where all the cool kids hang out?
56:11Oh, you know it.
56:12Nice of you to join us.
56:13If there ever was a day.
56:18Actually, sorry.
56:19I don't drink.
56:20I don't know why I took that.
56:21She's not old enough.
56:23I'd say if she's old enough to put her to a chest tube and intubate, she's old enough to drink
56:26a beer.
56:27We won't tell your mom.
56:29Shut up.
56:31But seriously, don't.
56:42Guys do us half their every shit?
56:44Not always.
56:46Usually it's a little more lively.
56:48But the emergency department throws wicked parties.
56:56What's so funny?
56:58I just realized this is your first shift.
57:01Yeah.
57:07That was baptism by fire, baby.
57:11I can pretty much guarantee you the next one will be easier.
57:14I really fucking hope so.
57:16Hey, at least you didn't get pissed on.
57:19I will drink to that.
57:21Aw, poor Whitaker.
57:23Where is he?
57:25Yeah, probably quit.
57:27Aw, that kid's tough.
57:29He'll be back.
57:32Just like the rest of us.
57:45Okay.
57:47That's it for me.
57:48Beer for the road?
57:50Yeah, why not?
57:55Good night.
57:57Get some rest.
58:00Tomorrow's another day.
58:32The girl looked so good, she gave eyesight to the blind.
58:39She said, come here, boy, I'm gonna take you higher.
58:45For tonight, the stars shine much brighter.
58:50And she said, baby, it's all right.
58:57And maybe, you can stay here tonight.
59:05Baby, it's all right.
59:08You know it's all right.
59:10Maybe, you can stay here tonight.
59:16I can't kiss you.
59:19Can I hold you?
59:22Put my arms around.
59:26Thank God I found you.
59:29I can't kiss you.
59:32Can I hold you, baby?
59:35Put my arms around.
59:41And she said, baby, it's all right.
59:47You know it's all right.
59:49Baby, she said, baby.
59:53It's all right.
59:54You can stay here tonight.
59:56You know it.
59:57You know it.
59:58You know it.
59:58You know it.
59:59Yeah.
59:59It's all right.
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