- il y a 18 heures
Watch The Pitt Season 2 Episode 1 (2026) full episode online in HD. A new season begins with intense drama, gripping storytelling, and unexpected twists. Available in VF & VOSTFR with fast streaming and high-quality video.
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00:00Musique
00:55Musique
01:00Musique
01:02Musique
02:59You're not dying, Mrs. Walker, I promise.
03:01Jesus is coming for me.
03:03If he is, he hasn't checked on that registration yet.
03:05Please don't let me die a sinner.
03:07Don't worry, Margaret.
03:08We're going to have the hospital chaplain come and see you in a moment.
03:10I'm not going to last that long.
03:11Yes, you will.
03:12Because we're going to give you a shot to keep you alive until they get here.
03:15What are you thinking, Dr. Abinovich?
03:17500 mics of cyanocobalamin?
03:18In her condition, I push a full thousand.
03:20Woo!
03:21You heard the man, Perla.
03:23God bless you.
03:24God bless all of you.
03:26Amen to that.
03:29Nothing like the miracle healing powers of a good old B-12 shot.
03:33She holds down a job.
03:34She doesn't.
03:36She's wearing a waitress uniform.
03:37Yeah, from a diner that closed 20 years ago.
03:41And so it begins.
03:43My husband is still waiting to see a doctor.
03:46I apologize for the wait, but here are two doctors just for you.
03:49Mr. Burgess has been complaining of leg cramps for a day.
03:52Slightly tacky at 110, BP 128 over 75.
03:56Afebrile, good stats.
03:58I'm Dr. Shen, but I'm going off shift.
04:00Dr. Abinovich will be one of the doctors looking after you.
04:02What other medications are you currently taking, Mr. Burgess?
04:05I brought his meds.
04:08Thank you.
04:09These are his supplements, mostly all natural and organic where possible.
04:13And these are his homeopathic prescriptions.
04:16I also have a list of his refrigerated probiotics.
04:19Thank you.
04:23Where the hell is everybody?
04:25Our new attending is torturing our intern and med students in Trauma One.
04:29She came in early to meet the night shift and took things over.
04:33Okay, that takes giant balls of disrespect.
04:36Giant balls of disrespect was named in a band in high school.
04:39And my nickname for my ex-husband.
04:41Hey, uh, is this your last shift?
04:44For a while, yeah.
04:45Oh, I'm so jealous.
04:47Hey, I'll pay you a grand if you take my second husband.
04:50Tempting.
04:51Okay, so tell me about this new attending.
04:54Uh, she's pretty, divorced.
04:56One kid can already tell she is a strict rule follower.
04:59I'm probably going to grow to hate her.
05:01What's her name again?
05:02Uh, Dr. Baran Al-Hashimi.
05:04Al-Hashimi?
05:05Hmm.
05:06What is that?
05:07Irish.
05:10She's some sort of clinical informatics expert.
05:13When she started talking about AI, I started thinking about robots and kind of stopped listening.
05:18Clear.
05:19Off the chest, Ogilvy.
05:21Get ready to step up here, Joy.
05:22Ogilvy, off the chest.
05:24Clear.
05:26Still V-TAC, but it looks weird.
05:28Agreed.
05:29No pulse.
05:30No effusion.
05:31Good lung sliding.
05:31Hey, stop compressions, Joy.
05:33We haven't considered all the T's.
05:34I checked for tamponade and tension pneumo.
05:36Well, what if it's thrombosis?
05:37If it's a pulmonary or a cardiac clock, TNK could save it.
05:39We are sticking with the algorithm for now.
05:42Algorithm's not working.
05:42Faster and deeper, please.
05:44Uh, you need a break, Joy?
05:45No, I need an attending.
05:46I'm right here.
05:49Stop compressions.
05:50We're calling it.
05:52Sorry.
05:52The patient's dead.
05:57All right.
05:58Who can tell me what went well?
05:59We followed the V-TAC algorithm.
06:01We checked for reversible causes.
06:03We limited our rhythm and pulse checks to 10 seconds.
06:05Excellent.
06:05Should we have given thrombolytics?
06:07No.
06:07You should have recognized that the cardiac rhythm on the monitor was polymorphic, not just V-TAC.
06:13It was torsade de point.
06:14That's French.
06:15Twisting up the points.
06:17From Palin QT, anti-arrhythmic, selects, electrolytes disorders.
06:20Your patient would have lived if you pushed magnesium sulfate.
06:22Good news is, he's an organ donor.
06:25Parts of him are going to get used to make frisbees, water bottles, end up as microplastics in our brains
06:29and reproductive organs.
06:30Thank you for the words of encouragement, boss.
06:32Dr. Alice Shimi, Dr. Michael Rabinovich, everybody calls me Rami.
06:35Barron, please.
06:36Welcome to the pit.
06:37Yeah, almost a minute up.
06:38Ooh, who wants to treat a real patient?
06:40Yes, please.
06:41This thing's going to give me nightmares.
06:45I hope you don't mind me jumping right into things.
06:48I find that a mock code is a great way to assess the students' capabilities.
06:51Well, it might have been nice if we'd had a little time to go over how we do things.
06:55Did you not get a packet from Dr. Underwood, Gloria?
06:58It outlined the quality improvement changes I instituted at the VA.
07:02We're adopting the program at all of the university hospitals.
07:05You didn't read it?
07:06No, I did.
07:07I mean, I will.
07:08I'm going to.
07:08I want to.
07:09I thought I had a little bit more time before you came in today.
07:12We've already distributed patient passports to everyone at registration.
07:16What is a patient passport?
07:18So glad you asked.
07:21Samira!
07:22Dr. Al!
07:22We worked together at the VA a few years ago, and now you're in R4.
07:26Yes, and I'm so excited you're joining us.
07:29Dr. Mel King is here, too.
07:30I think you worked with her as well.
07:32I did, indeed.
07:33John Doe, dishwasher penetrating trauma from a kitchen knife to the right chest.
07:37Assault or accident?
07:38Unclear.
07:39Initially had a pulse, lost it two blocks away.
07:44What do we got, party people?
07:46Dr. Yolanda Garcia, trauma surgery fellow.
07:50Meet Dr. Baran Alashimi, new ED attending.
07:52She's going to be covering for me while I'm gone.
07:54So nice to meet you.
07:55About time they replaced you, rabbit bitch.
07:57I'm going to miss you, too, YOLO.
07:59Dr. Garcia has a hard time expressing your feelings.
08:01Not all of them.
08:02One, two, three.
08:06Prepper, left, the ricotomy.
08:07I'm on it.
08:09What's up, white chocolate?
08:11Did you know our farm boy here is a vintage funk freak?
08:16Unfortunately, he also likes to use other people's toothbrushes.
08:19It was one time.
08:20They were the same color.
08:22What's your plan, Samira?
08:24Chest tube to the right.
08:25Standby with master transfusion protocol.
08:27I put two units on the infuser.
08:28Sterile gloves, six and a half.
08:29Can't we let the fellows in the residence kind of take charge?
08:32I'll hold on to them just in case.
08:34Is the VA even a trauma sin?
08:37Not for medic runs, but they walk in.
08:41Falls, major MBCs, GSWs.
08:45Stab wounds on the right.
08:46Why are we opening the left chest?
08:48Better access if it's tamponade, and you can cross-clamp VA or not.
08:52Your body, Whitaker, sterile gloves.
08:54Can I glove that?
08:54That's best if you watch the first one.
08:57This guy's dead anyway.
09:01Sunblade.
09:0228 French and a long Kelly.
09:05Giovanni, you're on section.
09:06Whitaker, get ready for internal compressions.
09:11Sorry, that's my phone.
09:15Finished out of a tractor?
09:16Whitaker, give me a little room.
09:18I need to get to his heart.
09:19I'm in.
09:20Hook up the door seal.
09:22How many get that for you?
09:23Not right now.
09:34No tamponade.
09:35Pretty dry in here.
09:38Heart's empty.
09:39Somebody start cardiac massage.
09:40I'll cross-clamp.
09:41Yeah, I got it.
09:42You do these one-handed, pushing up against the breastbone, four fingers.
09:45Very good.
09:46Not much blood to suction.
09:47Okay, team.
09:48Samira, next steps.
09:50Keep transfusing.
09:51Open the right chest.
09:51That is correct.
09:52Booty's on, kids.
09:53There will be blood.
09:57Frank?
10:00Landon?
10:03Frank?
10:12You should be good to go now, hon.
10:14Thanks, Lupe.
10:16Horace, hey, go get him.
10:21Hey, Doc.
10:23It's been a while.
10:27I got a bad toothache today.
10:31Well, take care of that, Louis.
10:33All right.
11:00I got a couple things.
11:07There's too much blood suction.
11:10Uh, we're tracking the lung.
11:12Try to identify the source.
11:13Could be the right ventricle.
11:15Or more likely the hilum.
11:16Fresh lop pads.
11:19Siri, turn on silent mode.
11:22Oh, sorry.
11:26Oh.
11:27Oh, oh.
11:28I got a good one.
11:29Oh, I got a good one.
11:42Oh, yeah.
11:43I got a bad one.
11:46I got it.
11:49Oh, yeah.
12:50Oh, yeah. Great. You know, it's been, uh, it's been a journey.
12:56I bet.
12:57Thanks. Robbie, you're on?
12:58Uh, he's in with the trauma, but if you hurry back, you can catch some of the pass-ons there
13:03in North.
13:03Uh, thanks.
13:07I'll keep an eye on him.
13:11I think we have a lost little lamb. Uh, excuse me, hon. Can we help you?
13:15Uh, I'm looking for the charge nurse.
13:18Oh, well, you found two of them. I'm Lena. This is Dana. I'm night shift going home, but Dana is
13:23queen of the day shift.
13:25Emma Nolan. Nice to meet you both. I'm a new grad RN here to shadow.
13:29Welcome to the pit, Emma Nolan. Here, let me put some of your stuff behind the desk and I'll give
13:33you a quick tour.
13:34Okay. Where from, sweetheart?
13:37Sault Ste. Marie. It's in Upper Michigan. Tactically Canada.
13:42My great-grandmother was from up that way. Nice area. A lot of bugs.
13:48How about a cup of coffee?
13:51I can't locate the source. Proximal hilum is under Listerna, along with most of the right ventricle.
13:56You need better exposure. Convert to a clamshell.
14:00Exactly. Trauma shears.
14:02That would be nice to let them come up with that clam.
14:04Heart's going to need double compressions, just like this.
14:07Squeeze from the apex to the aorta.
14:12That ventricle looks good.
14:13Massive hemorrhage from the hilum.
14:15Second MTP pack's going. Additional four units.
14:19Hyalurandria looks very proximal. Maybe pulmonary artery and vein.
14:23Clamp's on. Nope, no good.
14:26Still bleeding like a stuck pig. I can give it a try.
14:28Dr. Garcia is a very skilled surgeon. If she can't get it, we need to think of something else.
14:31Like what?
14:36Hyalur flip.
14:37You're going to rotate the lung 180 degrees, like putting a king in the garden hose.
14:41It'll stop the bleeding.
14:42That could possibly work.
14:43Or he'll die when you rip the entire lung off the hilum.
14:47Gently. Very, very gently and very, very slowly.
15:06Blood loss is lying down.
15:07That's a good sign.
15:08The hilum looks dry.
15:09Maybe the heart feels empty.
15:10Okay, we fixed the leak. Now let's fill the tank.
15:15You are very popular today.
15:18Sorry, I'll turn it off when I can.
15:24Nine-year-old Kylie Connors.
15:26Riding by her dad's girlfriend, Gina.
15:28Kylie took a tumble on the stairs this morning.
15:31We submitted a chin lac and a chipped front incisor.
15:34Just got lead on a pressure dressing.
15:36Bleeding pretty good on a rival.
15:38Dermabond should do the trick.
15:39All right. Any questions?
15:42Dr. King?
15:44Mel?
15:45Oh, um, I didn't say anything.
15:51How you feeling, Kylie?
15:53Tired?
15:54I've been here since 5.30.
15:55Oh, that makes two of us.
15:57But don't worry, we'll patch you up good as new,
15:59and we will get you out of here as soon as we can.
16:02Any questions?
16:03No, I'm just her dad's girlfriend, so I'm new to all this.
16:06No worries. We got you.
16:07Next.
16:10Twenty-six-year-old Liam Sanders.
16:12Took a fall from his bicycle.
16:14No LLC, non-focal mural.
16:16Lower leg lock with no bony tightness.
16:18Were you wearing a helmet, Liam?
16:20No, I was just writing in my neighborhood.
16:22You should always wear a helmet.
16:24Hey, nice of you to join us.
16:25Hey.
16:26Dr. Langdon!
16:30Sold to Dr. Langdon.
16:33Candace O'Grady, 82.
16:35Brought a virus on Richard for intractable vomiting.
16:41Hardly any hemorrhage on the right.
16:42Looks like the flip worked.
16:43How's the heart work?
16:44Feels full of blood.
16:45First time since we started.
16:46Hold compressions.
16:50Quivering bag of worms.
16:52Resume compressions.
16:53When the heart quivers like that, it's obvious if you fit.
16:56Okay, internal paddles ready?
16:58Charge, too.
16:59Twenty-five joules.
17:00Fifty gets it right the first time.
17:04Charge.
17:04Okay, Whitaker, when you're ready.
17:05Clear.
17:10That's what normal sinus looks like.
17:14Strong carotid.
17:15Saline lap pads and up to the OR.
17:19So how do we start the day?
17:21Unconventional, but a decent outcome.
17:25Why don't we split up for efficiency?
17:27Residents present to either one of us, but not both.
17:31We can certainly discuss that.
17:38Were you feeling weak or dizzy?
17:40No.
17:41I got up to pee and I tripped over a laundry basket
17:43that I couldn't see in the dark.
17:44Did you hit your head?
17:46Does my chart say that I hit my head?
17:48No.
17:48We just want to be thorough to make sure you don't miss anything.
17:52How about we focus on patching me up?
17:55Ah.
17:56All right, Mr. Williams,
17:58we're going to check an x-ray of your wrist
18:00and try to get you out of here as quickly as possible.
18:02Great.
18:03And let's keep the bullshit extra charges to a minimum, huh?
18:06My deductible is already a bitch.
18:11Sure.
18:36My mother is trying to destroy my life.
18:38Well, yeah, they seem to take pleasure in that.
18:41I committed to a partnership track position next year
18:43at a hospital back in Jersey
18:44so I could be close and support her.
18:46But now she's getting married
18:48and selling our house
18:49to go on a year-long cruise around the world.
18:52Wow.
18:53I mean, that's a...
18:54Pretty fucking stupid idea, if you ask me.
18:57She's known this guy less than a year.
18:58What if he's a player?
19:00What if she disappears at sea?
19:02I mean, what if they're in love?
19:04Lust is more like it.
19:05That is even better.
19:08Man.
19:09It has been a while.
19:12And I'm solo this weekend.
19:15I need to get laid.
19:21It's a little much before 8 a.m., right?
19:24Yeah.
19:27Forever.
19:34How's it going, Esby?
19:35Oh, just another day in paradise.
19:38Yes.
19:55Heard you going on a trip.
19:57Take a sabbatical.
19:59Leave tonight.
20:00Where are you going?
20:02Um, head smashed in buffalo jump.
20:06Captain Crunch flying squirrel socks.
20:08Are we talking in code or you have a stroke?
20:12It's an aboriginal UNESCO heritage site in Alberta.
20:15I've never seen the Badlands.
20:17What is this, like, uh, some sort of spirit quest?
20:21Uh, yeah.
20:22Something like that.
20:24Look, I, uh, I guess we should talk.
20:26I've got a lot of things I need to...
20:28At some point, not right now.
20:29Right now, I've got to hit the head,
20:30and I would like you to go help Donnie out in triage.
20:32Triage?
20:34No.
20:35No, I already picked up a patient in North 2,
20:37a bicycle led by...
20:38Pretty sure we're going to cover for you.
20:39We've been doing it for months.
20:43Right.
20:44No, and I, and I am, I am very, uh,
20:47both very sorry and appreciative of that.
20:49I just would hate to think there's some kind of a punishment for...
20:53Uh, yeah, yeah, no, for sure.
20:55We'll, we'll talk later.
20:56Before you go.
20:59Like I said, not right now.
21:01Donnie just passed his DDP certification.
21:03He can help you if you get in over your head.
21:09Hey, Mel.
21:11Can you take over a bike fall leg-lack in North 2 from Langdon
21:14while he's out in triage?
21:15Um, you know, I, I can work in triage.
21:17No, I want to keep Langdon out in triage.
21:19I don't want to keep you back here.
21:21You okay with that?
21:22Sure.
21:23Great.
21:24Absolutely.
21:33So, who should I pick up?
21:35We're about to get the morning rush.
21:37What do you mean?
21:38Every morning around this time,
21:40the nursing homes and assisted living facilities
21:42do their morning bed checks.
21:44Uh-huh.
21:45Uh-huh.
21:56Incoming!
21:58Oh, like I said, come on.
22:01Ethan Bostick, 79.
22:02Found ulcer this morning at assisted living.
22:04No history of dementia.
22:06Has a pulse.
22:07What's a pulse?
22:08Position orders for life-sustaining treatment.
22:10No CPR, no intubation.
22:13Then there's, there's nothing for us to do.
22:15South 15 is open.
22:16Uh, well, do not resuscitate does not mean do not treat.
22:20He may perk up with fluids, IV antibiotics.
22:28What's the good word, Crash?
22:30You know, save that ventriloquist dummy?
22:32Yeah.
22:33Really?
22:34No.
22:36Wait, tell me you're not actually charting
22:38about losing a mannequin.
22:39It's part of the exercise.
22:40Dr. Olashimi asked us to do it.
22:42Who's his next of kin, Barbie?
22:44Okay.
22:46What's your, uh, take on the new attending?
22:50Not too soon to tell.
22:53You?
22:54She's already bugging me about being behind on my charting.
22:57Now I know why everyone says being a second-year resident sucks.
23:00Because it does.
23:01I must have sat through the part of med school
23:03where they tell you 90% of your time will be spent typing.
23:06Which is just one more reason surgery is a better lifestyle choice.
23:10Hey, Dr. Shamsi.
23:11Dr. Trinity Santos.
23:12Oh, yes.
23:14The ER intern who's interested in my surgery program.
23:16Well, it's me.
23:17But I'm an R2 now,
23:18and thinking of double boarding in surgery and emergency medicine.
23:22Which I know would sound ridiculously ambitious
23:24if I didn't have the talent to back it up.
23:26Yeah, the required attitude.
23:29Are you here to see a patient?
23:31I was.
23:32I did.
23:33And now I'm here to learn why you aren't returning my calls or texts.
23:37Okay, I'm out.
23:39Nice seeing you again, Dr. Shamsi.
23:41As soon as I get a little free time,
23:42I will make plans for all of us to do something together.
23:45What about Tuesday?
23:46I'm working.
23:47On your birthday?
23:48I will call you and Dad tomorrow,
23:50and we will come out this night to do it together.
23:51I promise, right now.
23:52I just, like, have a bunch of night shift handoffs.
24:03We have schedules.
24:04You have chaos.
24:07You know she's wasting her talents down here.
24:09Victoria is a big girl.
24:11She can make her own decisions.
24:12She's also a young girl
24:13who's still very impressionable.
24:15And you can be very...
24:17Impressionable?
24:21Yes.
24:22Who?
24:24Who?
24:25Oh, for God's sake, I'll be right there.
24:28We need to talk.
24:31How about same time tomorrow?
24:36Next Tuesday's your birthday?
24:37No.
24:40Yes.
24:41Your 21st birthday?
24:42Please don't say anything.
24:43Okay, I get a little anxious about...
24:45Dr. Santos, little girl with the chin legs getting to a gown.
24:47You don't want him, but you know what?
24:50Nothing.
24:53Have a good day.
24:54You too.
24:55Another guy I'm going out of one.
24:57All right.
24:59Hey, Duke.
25:00I'm just going to remind you
25:02that this is my last shift for a while,
25:04so I need you to come in before 3 o'clock
25:07in case we need to run some tests.
25:11Okay?
25:12We had a deal, brother.
25:16Oh.
25:16Hello.
25:17Hi.
25:18I know you're crazy busy.
25:19Always.
25:20But I figured we should really go over
25:22a few things before you're gone.
25:23Sure.
25:24Where would you like to start?
25:26Well, one little thing that I think
25:27would have a big impact with staff and patients alike
25:30is if we launched a campaign
25:31to eradicate referring to this wonderful department
25:35as the pit.
25:37Really?
25:38I know you think it's silly and petty.
25:39No, I think it's just kind of endearing.
25:41Pretty damn accurate.
25:43I would argue the opposite.
25:46I think subconsciously it affects those who work here.
25:48It also lowers expectations,
25:50which in turn lowers patient satisfaction.
25:52Well, you've been talking to Gloria.
25:53Yes.
25:54And she agrees with me.
25:55Don't doubt that for a moment.
25:57You have to see the man who will do it right now.
25:59We see people in order of severity, ma'am.
26:02I don't know what you're saying.
26:07I can taste the shit in the back of my throat.
26:09Actually, the ladies' raise are going to make all of us six.
26:11Yes, please.
26:19All right.
26:21We'll get them back.
26:23Tell Dana we're bringing the funk.
26:28So, when did your eyes start bothering you, Ms. Matthews?
26:31Sister Grace, please.
26:33I'm only married to God.
26:35Of course.
26:35I'm sorry.
26:36A few days ago, I thought it was pink eye.
26:40Or maybe I scratched it while gardening.
26:42It's a very bad case of conjunctivitis.
26:44We should send a sample to the lab to direct her treatment.
26:47Look up for me.
26:49Thank you.
26:54I'll put a numbing drop in your eye
26:56and check for a scratch with a special lamp.
27:01And I'll get you to look up for me again.
27:04Thank you.
27:05Have you ever considered serving God?
27:08Which one?
27:09Excuse me?
27:11My family's Hindu.
27:13So, we have, like, 33 different kinds of deities.
27:16Oh, we have the ones.
27:18Some people only need one, right?
27:21Okay.
27:25Most important rule around here, be smart, be safe.
27:28Can't warn you enough about protecting yourself
27:30and your fellow nurses.
27:31We use the STAMP acronym to assess patients.
27:34You know it?
27:35Uh, S is for staring or refusal to make eye contact.
27:38If they're staring, they're scaring.
27:39T?
27:40Tone of voice.
27:41Often the threat level rises with their voice.
27:43A is for anxiety.
27:45You can also think aggression.
27:47M is mumbling.
27:48If you're listening closely enough,
27:49it's often the same.
27:50What they're thinking of doing is to talk themselves up to it.
27:52And P?
27:53Pacing.
27:54Good.
27:54We also have a safe word.
27:55Hula hoop.
27:57I guess technically it's two words, but whatever.
27:59If there's a threat, say hula hoop,
28:01and we'll all respond.
28:05Yeah?
28:06Lovely.
28:07Okay.
28:08I'll be right there with reinforcements.
28:11Duty calls.
28:13We're ahead of a triage.
28:19We're going to get your cast off.
28:22We might need to be 50 years.
28:41The antibiotics should clear everything up,
28:44but you should try to stay off it for a few days.
28:48I have to work.
28:49I'm late as it is.
28:51Well, um, take breaks and elevate when you can.
28:54Tying on Advil for the pain.
28:56If the pain persists or feel like it's getting worse,
28:59come on back and we'll get you fixed up.
29:01Thanks.
29:02I said give this to the doctor.
29:06What the hell is it?
29:07Patient passport.
29:09Let's patients know what they're waiting for
29:10and how long it'll take.
29:11You check off if he needs labs, x-rays, CT.
29:14No, and the above.
29:15When do we start this?
29:16Today.
29:17The new attending.
29:20What's up with your tooth, Louie?
29:22It's been going on for a while.
29:25But it got bad last night.
29:28Lower left side.
29:30Okay.
29:32Ah.
29:33Oh.
29:34Ah.
29:34Ah.
29:35It could be an infection at the root.
29:37Oh.
29:37We can drain it, but then
29:41you're, uh, you're breathing kind of fast.
29:44Yeah, I mean, well,
29:45I've been, uh, walking more,
29:48trying to get in shape.
29:50Well, sometimes, like,
29:51I get a little short of breath.
29:52Yeah, you need to walk past the liquor store,
29:54not into it.
29:55The shape you're getting is for a liver transplant.
29:58I don't need a new liver.
29:59Just get rid of this toothache.
30:01Deep breath.
30:06One more?
30:08Is my heart still ticking?
30:09Like a jackrabbit.
30:11How long you been sitting down?
30:12Oh, just for a few minutes.
30:14Not that long.
30:15Um, Louie.
30:19There's something I need to tell you.
30:23Last time I saw you,
30:25about ten months ago,
30:27I treated you,
30:28and I took some of your medicine.
30:31I'm not sure I follow.
30:34I have an addiction to benzos,
30:36and I helped myself
30:39to some of the librium
30:40I prescribed you for your withdrawal.
30:42You stole my pills?
30:46Yeah.
30:47Yes.
30:48Um,
30:50I'm sorry.
30:51It was, uh,
30:53it was not only wrong
30:54and utterly unprofessional,
30:56but it was a betrayal
30:57of my Hippocratic oath,
30:58and it was a fucking crime.
31:02That's where I've been.
31:04Rehab and counseling.
31:08Huh.
31:09I'm sorry.
31:11I-I understand
31:12if you'd prefer
31:13a different doctor.
31:14Hey, Doc.
31:14We have a situation.
31:17Excuse me.
31:19What kind of situation?
31:21Someone left the little baby
31:22in the restroom.
31:24Hey, Doc.
31:32Okay.
31:33Let's think about
31:34reversible causes
31:35of confusion
31:36in the elderly.
31:37Uh,
31:37hypo or hypernatremia,
31:39infection,
31:39but he's afebrile,
31:40got out two sats,
31:41and urine dip was negative.
31:42Yeah, great.
31:43Joy, anything to add?
31:46Nah.
31:49VTAC.
31:50Can I...
31:50Yeah.
31:53No pulse.
31:54Should we call
31:54for a code blue?
31:55No CPR.
31:56No shock.
31:57We honor his pulse
31:58and his wishes.
31:59So what does that leave us?
32:02Making sure he's comfortable.
32:05I'll suction.
32:07Altered mental
32:07in the elderly
32:08can also be
32:09toxicity from
32:10anticholinergic,
32:10sedative hypnotics,
32:12opioids.
32:15Am I missing something?
32:17Social skills?
32:24He looks so peaceful.
32:25Should we maybe
32:26go find a new patient?
32:26No, stay here.
32:31Asystole.
32:42Quick and painless.
32:44We should all be so lucky.
32:46I'll try to contact
32:46some family.
32:50Yeah, one of the things
32:51we like to do here,
32:56when we have the time,
32:58is to take a moment
32:59of silence
33:00when we lose a patient,
33:01to respect their humanity.
33:03He was someone's son,
33:05perhaps a father himself,
33:07a brother, a friend.
33:13Oh, just make sure
33:15your phones are on silent.
33:20Great, great, great.
33:21Okay.
33:23Is anyone missing a baby?
33:26Did anyone leave their child
33:28in the restroom?
33:31You remember seeing a woman
33:33enter with a baby
33:34and leave without one?
33:36No, sorry.
33:38Mike, they're on the security tapes?
33:40I'll have him.
33:41I'll check it out.
33:42Please.
33:42Yeah.
33:43Harlow Graham to window one.
33:46Harlow Graham to window one.
33:50Harlow Graham to window one, please.
33:58Donnie Donahue,
33:59nurse practitioner,
34:00and this is Emma,
34:00new grad nurse.
34:01Hey.
34:02Nice to meet you.
34:02What's going on?
34:03Somebody dumped their kid.
34:05Maybe Mom just stepped out
34:06for a smoke or something.
34:07What?
34:08I'm being helpful.
34:09Sometimes I just need a little break
34:10and then they come back.
34:13At least I didn't leave her
34:14in a suitcase at the bus station.
34:16Did that happen?
34:17If that's a true story,
34:18I don't want to know about it.
34:19Get the worst of things.
34:20Please, please, don't tell me.
34:21I'm a new dad.
34:22Remember?
34:22Okay.
34:31I'll get Robbie.
34:33Should I come with?
34:33No, stay here.
34:34Donnie, Jesse,
34:35teach her something.
34:39You know how to check
34:40a rectal temp on an infant?
34:44Uh, theoretically.
34:52Mr. Williams,
34:53how's the pain?
34:55Nothing I can't manage
34:56with some Vicodin
34:57and a little scotch.
34:59Well, it's best not
35:00to mix the two.
35:01James here is going to take you
35:02to get an x-ray at your wrist.
35:04I'm going to be fine.
35:06Well, it'll tell us
35:07if you need a cast.
35:08I doubt it.
35:09I should probably go home,
35:10keep some ice on it.
35:11I know you guys
35:12always need the beds.
35:15Well, it'll only take a minute
35:17and then we'll know for sure.
35:19Yeah, I really don't think
35:20it's necessary
35:20and I have a busy day,
35:21but I appreciate your concern.
35:27I don't know.
35:28I don't know.
35:31My head?
35:33I have my schnoz
35:34on my arm, I think.
35:35Nothing more.
35:36You think you don't remember?
35:38No.
35:39Yes.
35:41I'm going to be fine.
35:43Really.
35:44Thank you for your concern.
35:50Okay.
35:52Ha!
35:54How about we take that x-ray
35:56just to be safe?
35:58Yeah.
35:59Yeah, okay?
36:00Okay, okay.
36:01Good idea.
36:04Somebody found a baby?
36:06Yeah.
36:07Not the first time it's happened.
36:09So, about those pills I took.
36:12Don't worry about it, Doc.
36:14If the pills helped you,
36:15great.
36:17I never really liked taking them.
36:21I appreciate that, Louie.
36:23That's not really the point,
36:24but you need to lift up
36:26your shirt for a second.
36:28Yeah.
36:33How long has your belly
36:34been hard like that?
36:36I don't know.
36:37I figured I could wait
36:38another week.
36:39You need, uh,
36:40some lab tests
36:42and a procedure
36:42to drain off
36:43some of this fluid.
36:44Yeah, I know the drill.
36:46I've been tapped
36:47a few times before.
36:49Three times
36:50in the last six months.
36:52You need to give
36:53your liver a break, Louie.
36:55Yeah, I know.
37:01Just heard somebody
37:02dumped a baby
37:02in the waiting room bathroom.
37:04How sad is that?
37:05Huh?
37:07What's up with you today, Mel?
37:09Lynn, Galia?
37:11What makes you think
37:12there's something up with me?
37:13You're moping around here
37:14all day like somebody
37:15gunned down
37:15your favorite K-pop band.
37:17I don't really have
37:18a favorite K-pop band.
37:19Not that I don't like
37:21the genre.
37:21I just kind of...
37:21Hey, forget K-pop.
37:22What's going on with you?
37:24You usually ride in here
37:25on your unicorn
37:26tossing wildflowers.
37:28Unicorn?
37:28Never mind.
37:30Is everything okay
37:31with your sister?
37:33Oh, yeah, she's great.
37:34It's just this...
37:38Spill, girl.
37:40Um, well,
37:42a couple of months ago
37:44I got named
37:44in a L practice lawsuit.
37:47And so, um,
37:49today is the deposition.
37:52That's it?
37:53Every emergency medicine doc
37:55gets sued sooner or later.
37:56Seriously,
37:57don't sweat it.
37:58You're still a resident.
37:59We're protected by the hospital.
38:00You could cut somebody's head off
38:02and you won't want to become known
38:03as the one who put Mel
38:05in malpractice.
38:07Hey, Santos.
38:08Our little girl Kylie
38:09has been in the West Penn
38:10emergency department
38:11a couple times.
38:13I'm not saying
38:14this isn't necessarily
38:15the case here,
38:15but recent studies
38:17have linked
38:17bullying behavior
38:18to different
38:19personality disorders.
38:21On the other hand, though,
38:22I am known to be
38:23a bit overly sensitive
38:25sometimes.
38:26Yes?
38:26Talk to yourself again.
38:28You need something?
38:29Uh, yeah, a good lawyer.
38:30I don't know.
38:31I'm kidding.
38:32I'm not...
38:35Yeah, Rabinovich.
38:36Somebody ditched
38:36a bundle of joy in chairs.
38:38How old?
38:39A couple months.
38:39Maybe Donahue's got her in peds.
38:41No one saw who left her?
38:42Apparently not.
38:43It's so sad.
38:45Tell me about it.
38:45Who throws away
38:46a perfectly good baby?
38:48Make a lane.
38:49Ah!
38:50Sweet baby Jesus, Antoine!
38:52Right to the outdoor shower!
38:53I just drive him.
38:54I'm not a washing detail service.
38:55Yeah, yeah.
38:56God forbid you prove useful.
38:58Ah, good time, Emma Semmel.
38:59Time for you and me
39:00to do the Lord's work this way.
39:02Oh, God.
39:03What is that?
39:04Okay, big breath.
39:08All right.
39:09Lungs sound great.
39:10Can you lean forward for me?
39:17Uh, did you hit your back
39:20when you fell down the stairs?
39:21No.
39:22Okay, there's a pretty good bruise here.
39:24I got knocked down in soccer.
39:28Oh, no, you broke your wrist
39:29last year, too, huh?
39:31Fell with my skateboard.
39:32Got a purple cast.
39:34Cool color.
39:35And you were treated at West Penn.
39:37Is that your closest hospital?
39:40Uh, I guess that would make sense.
39:41I've only been dating your dad
39:43a few months.
39:44Uh, he lived in Garfield
39:45before the divorce.
39:46And, uh, what about these?
39:48Soccer.
39:49Do you wear shin guards?
39:50My dad ordered them.
39:53What does your dad do for work?
39:55He draws buildings,
39:57but he's not an architect.
39:58He's a draftsman
39:59for a firm in Newcastle.
40:02Um, Kylie,
40:03any chance you can pee?
40:06Mm, maybe.
40:07Okay.
40:08Well, uh,
40:08with the bruise on your back,
40:10we need to check your urine.
40:11Okay.
40:12Okay.
40:16Did you eat anything
40:17out of the ordinary recently?
40:18No.
40:19Sorry, but
40:20we went through this
40:21a bunch.
40:22Don't you people communicate?
40:24You're the third nurse
40:24we've told her story to.
40:25I'm a doctor, Bridget.
40:28Would you go to the cafeteria
40:30and get me a large chamomile tea?
40:32What can we get you, my dear?
40:34I'm fine.
40:36Thank you.
40:39Yeah, I'll be right back.
40:44Please excuse my son.
40:47Ever since my husband died,
40:49he's been a little overprotective.
40:51I think it's sweet.
40:53You're very lucky to have him.
40:54I am.
40:57Are you still taking
40:59your loperamide
41:00and cholestyramine?
41:02Um,
41:03not so much.
41:05No?
41:06That may be why
41:07you're experiencing
41:08the abdominal pain
41:09and vomiting.
41:10When did you stop
41:11taking your meds?
41:12Last winter or so.
41:16My neighbor, Helen,
41:18and I
41:18bingo
41:19in Wintersville.
41:20There's a dispensary
41:22next door.
41:22and we got some marijuana.
41:25And I swear,
41:26it cleared everything up.
41:29A few cookies
41:30every few hours
41:32and no more pain.
41:35A few cookies?
41:38How many are you eating
41:39in a day?
41:40Oh, uh,
41:42I don't know.
41:45Probably a dozen or so.
41:47But they're not very big.
41:50There have been some studies
41:52that show an added
41:53dementia risk
41:54with marijuana use
41:55in older adults.
41:58Oh, that sucks
41:59for old people.
42:02Kylie,
42:03there are some questions
42:04that we ask
42:05every kid
42:06who comes in
42:07with an injury.
42:08Like what?
42:09Like,
42:11sometimes the people
42:12that you live with
42:13can get so mad
42:15that they
42:16hit you
42:17or hurt you
42:18maybe without
42:19even meaning to.
42:21Does that ever happen?
42:22No,
42:23not to me.
42:24Or sometimes
42:25kids can get punished
42:27for doing something wrong
42:28with
42:29maybe a spanking
42:30or a belt.
42:32I get timeouts.
42:35How about at school, Kylie?
42:37You know,
42:37is anybody being,
42:38you know,
42:38mean or bullying you?
42:40No.
42:41I have lots of friends.
42:46Yes.
43:04Yo,
43:04Whittaker.
43:06Dr. Langdon.
43:09You, uh,
43:10meet Louie here?
43:11Yeah, yeah,
43:12many times.
43:13Good morning,
43:13Mr. Cloverfield.
43:14What's up, Doc?
43:15Where's your new
43:15resident badge buddy, buddy?
43:17Oh, uh, yeah,
43:18they didn't give me
43:19a new one yet.
43:21Bummer.
43:22You and, uh,
43:23your ducklings
43:24got time to tap
43:25a six-pack
43:25off our friend here?
43:26Louie needs
43:26a paracentesis.
43:27Yeah, sure.
43:29It's good to see you again, Louie.
43:31Not in this condition,
43:32of course.
43:32How you feeling?
43:33Feeling like
43:34I need a drink
43:35pretty soon.
43:37Okay, well,
43:38first things first,
43:39we are gonna make you
43:41more comfortable
43:41by draining some fluid.
43:42You're gonna take off
43:43a big volume
43:44to start with 60 grams
43:45of 25% albumin IV.
43:47You tapped him before?
43:49No.
43:49That's okay, Doc.
43:51I'll talk him through it.
43:53Okay.
43:56Sats,
43:5699 on room air,
43:57normal BP,
43:58normal pulse.
44:02Oh,
44:02well hydrated.
44:04No obvious source
44:04of infection.
44:05Could be
44:06the mind virus,
44:07but can't assume that.
44:08Is this the abandoned baby?
44:10Mm-hmm.
44:11How old?
44:12How old do you think she is?
44:14Month?
44:14Month and a half?
44:15It's tricky.
44:17Under 28 days
44:18is a safe haven drop-off,
44:19no questions asked.
44:20But over 28 days
44:21is a crime,
44:22child abandonment.
44:24How should we assess?
44:26Under 28 days
44:27gets everything,
44:27including an LP,
44:29but over 28 days
44:31you can follow
44:32PCARN
44:33or step-by-step
44:33to determine
44:34risk of invasive
44:35bacterial infection.
44:36This baby looks great.
44:37We know nothing
44:38about the birth history.
44:40Did mom have
44:40group B strep,
44:41active HSV lesions?
44:43We should assume
44:44the worst.
44:45Put in your orders,
44:46Dr. Moyen.
44:48CBC,
44:50blood culture,
44:51chem panel,
44:52chest x-ray,
44:54UAN culture,
44:55respiratory virus panel,
44:57check inflammatory markers,
44:59procalcitonin,
45:00and CRP,
45:02then take it from there.
45:04That sounds like a plan.
45:06Dr. Robbie,
45:07Santos needs you,
45:07north one.
45:08Okay,
45:08I'll be right there.
45:10If you'll excuse me,
45:11if you'll excuse me.
45:14Mind if I join with?
45:15Uh, no.
45:17I got this.
45:18It will help me
45:19get a better sense
45:20of how you like
45:21to do things
45:21by seeing you
45:22in action
45:22with the residents.
45:24Be my guest.
45:28I will be right back.
45:36Um,
45:37nine-year-old Kylie Connors
45:38took a tumble
45:39running up the stairs
45:40this morning,
45:40chin-lack
45:41and fractured tooth
45:42brought in by
45:43her dad's girlfriend,
45:44Gina,
45:44supposedly the dad
45:45had to leave
45:46early for work.
45:48Kylie has a lot
45:49of bruising
45:50on her body,
45:51some old,
45:51some new.
45:52Are you concerned
45:53about non-accidental trauma
45:55or worse?
45:57Her urine sample
45:58shows gross hematuria,
46:00which could be
46:00renal injury
46:01or vaginal bleeding
46:02from trauma
46:03could have contaminated
46:04the specimen.
46:05Lots to consider.
46:07What's your plan?
46:08Labs,
46:09ultrasound,
46:10social work consult,
46:11then decide
46:11if this is reportable.
46:17Let me know
46:18if you can feel this.
46:19No.
46:20Am I supposed to?
46:21No.
46:26Your hair's
46:27such a pretty color.
46:28Thank you.
46:30Reminds me of my mom.
46:32She died
46:33when I was nine.
46:34Oh,
46:34I'm sorry about that.
46:35She wore glasses
46:37like you, too.
46:38Weird.
46:40And what do you like
46:41to do when you're
46:42not working?
46:44Spend some time
46:45with my sister,
46:46Reed.
46:48Do you drink coffee?
46:50No,
46:51I avoid caffeine.
46:53Me, too.
46:56What about boba?
46:59I love boba.
47:05I'll offer you some gum,
47:07but it's laced with nicotine,
47:08trying to quit smoking.
47:11That's good.
47:12Birdie's still out.
47:14Getting all those
47:15nooks and crannies,
47:16Mr. Digby.
47:16Your skin will thank you.
47:18We all will.
47:20I could stay in here
47:22all day.
47:24It's a miracle
47:25what a little soap,
47:25water,
47:26and human decency
47:27can do sometimes.
47:28Don't forget the ears, pal.
47:30don't want anything
47:30growing in there, either.
47:32Okay.
47:33Okay.
47:34So what's your story, Emma?
47:35What do your parents do?
47:36Got siblings,
47:37boyfriend,
47:38never kill a man
47:39in a bar fight?
47:44Uh...
47:52So,
47:53Mr. Williams,
47:54sometimes a fracture
47:56of the scaphoid bone
47:57doesn't show up
47:57on day one.
47:58and so my advice
48:00to be safe
48:01is we're split
48:02for two weeks
48:02and then come back
48:03for a repeat x-ray
48:04and we'll see
48:05if it's really there.
48:08My knee hurts.
48:11Oh, did you
48:12hurt your knee?
48:14I must have.
48:23What is this?
48:25That's, um,
48:26for your wrist.
48:28And I need this?
48:31Well, um,
48:32if it's a, uh,
48:34John, can you...
48:35Yeah.
48:36If it's a fracture
48:37and we don't immobilize,
48:38the bone might not heal properly.
48:43How long is this going to take?
48:46Just a few minutes
48:47to fit you.
48:51Is this place new?
48:57Mr. Williams,
48:58do you know
48:59what day it is?
49:04It's Taco Tuesday.
49:07Do you know
49:07where you are?
49:10Yeah, I'm in the
49:11slowest medical clinic
49:12in the West.
49:14Do you know
49:15what year it is?
49:16How about you
49:17just fix my wrist
49:18and you stop
49:19with all the questions?
49:22I am not here
49:24to be profiled.
49:29Yeah, of course.
49:33I'll be back, okay?
49:46All right, Mr. Digby.
49:47Looking better already.
49:48Certainly smell a little better.
49:50Do you have any conditioner?
49:51It's getting you
49:52dried off
49:52and back inside.
49:54Get him downed up
49:54and put him in South 21
49:55and cross from the old nun.
49:57Maybe some of her
49:57have to find Grace
49:58or wear off on him.
50:00Who do we have here?
50:02Evelyn Bostic,
50:0381, with Alzheimer's.
50:04We brought her husband in
50:05about 30 minutes ago.
50:07She was supposed
50:07to get a ride in,
50:08but they found her
50:08wandering in traffic.
50:09Where are we?
50:10You're at the hospital, dear.
50:12I'm not sick.
50:13We brought you
50:14to see your husband.
50:15Oh, no.
50:16Is he in okay?
50:17Be in to chat
50:18with you, Mrs. Bostic.
50:20He died.
50:22What you got,
50:23Aunt Boy?
50:24Alan Billings
50:25had a palate
50:25fall into his outstretched arm.
50:27Looks like an open dislocation.
50:29Yeah, that's gotta hurt.
50:30Don't worry, sir.
50:31We got you.
50:31up.
50:37How's she doing?
50:39Seems happy enough.
50:41Yeah.
50:42I just got a quick
50:44point-of-care CBC.
50:46See?
50:52Is there a problem?
50:57Did I miss something?
50:59Dr. Al?
51:01Dr. Al?
51:04Dr. Al?
51:09I'm in hurt
51:12Baby, but I refuse to cry.
51:17I'm in hurt, baby, but I refuse to cry.
51:24It's so true.
51:26You know, you know, you know, you know, you know I cannot.
51:29And I said, yeah, yeah, yeah.
51:33Dino.
51:35Yeah, yeah, yeah.
51:37Yeah, yeah, yeah, baby, baby.
51:42Yeah, yeah, yeah.
51:44Dino.
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