00:00C'est ton père.
00:02Je m'en suis désolé, Jake.
00:04Il est gone.
00:05Previously, sur Doc...
00:06Je ne pense pas qu'il m'a jamais rencontré.
00:08Un moment, nous allions tous à la maison.
00:10Il me dit qu'il y avait des choses que j'ai besoin de lui dire.
00:13Et vous ?
00:13J'ai eu l'impression que j'ai des memories seizures.
00:15Le fait que vous avez cassé, me dit que vous devriez être pour la maladie de cerebral.
00:18Vous devriez prendre une maladie d'orale.
00:20Mais je n'ai jamais changé ma propre proxy.
00:22Partie de moi toujours pense qu'elle me connaît mieux.
00:24C'est quoi ?
00:25Amy Larson, TMS recordings.
00:27Est-ce que nous pouvons débrouiller toutes nos relations avec nous ?
01:10C'est pas son temps.
01:11Mα, c'est un moment, Jules.
01:24C'est très bien.
01:24Bien, j'ai cela.
01:25Bien.
01:25Bien.
01:25Bien.
01:25Bien, c'est aujourd'hui.
01:26C'est l'heure, ¿verfait ?
01:27Today's the day, no more putting this off
01:28And run me through it
01:30Dr. Larson, you've been chief for three months
01:33And they have been just about the worst three months of my life
01:35You are harsh, you are condescending
01:37You treat interns like they're med students
01:38And although I can take it, being around that horrible energy all day is just soul-sucking
01:43Sounds like a great start
01:44You think it'll fly?
01:45Be serious, give me the real
01:46Alright
01:48I've had an amazing time working here
01:51I really respect and admire you
01:53Blah, blah, blah
01:53And although I know it's not customary for an intern to leave this early in their tenure
01:57I do have an opportunity at Johns Hopkins
02:00My beautiful wife has family in Baltimore, etc, etc
02:03So it would mean a lot if you would bless this
02:06And write me a letter of recommendation
02:08I'm assuming the blah, blah, blah and the etc will be something coherent
02:14Something coherent, I'll figure something out
02:16Well then, okay, Stead
02:18Go get her
02:20Yeah
02:23I need CPAPs, induction meds, PPE and ventilators
02:28I understand that it's barely penetrated the U.S.
02:31But we don't want to be caught with our pants down
02:34It's coming, Dr. Kamara
02:36Wishing it away is not a strategy
02:41Was that about the coronavirus?
02:43Yeah, I'm just trying to stay ahead of it
02:45But I don't want you panicking people
02:46No, yeah, yeah, yeah, of course not
02:48Have you read anything about it?
02:49CDC and NIH alerts
02:51I studied a few of the case reports out of Wuhan
02:53Yeah, what do you make of it?
02:54Well, I'm no epidemiologist
02:56But it does seem to act in strange ways
02:58Well, buckle up
02:59You may find out soon enough
03:01Now, you had a question for me?
03:03Oh, yeah
03:05I was just gonna ask you
03:09If maybe I could see a few patients on my own today
03:13I feel like I'm ready for that
03:14You understand why I have things organized the way that I do
03:18With all of the interns being supervised?
03:19You don't want any mistakes
03:21Right
03:23So, don't make any
03:27Thank you
03:31Okay, Shauna, you had a fever up to 101?
03:34101.2 yesterday morning
03:36Okay, and loose bowels?
03:38A little
03:39For a day or two
03:40But ER sent me here
03:41Because he said I have some problem with my kidney
03:43Yeah, you have a clot in the artery
03:45That's going to your left kidney
03:46But we can treat it with a medication called heparin
03:48What causes this?
03:50You know, it can be a variety of things
03:51Including dehydration
03:52But we'll run some blood work to investigate that
03:55Anything else going on in terms of symptoms?
03:57Not really, no
03:58All right, well
03:59We'll have a nurse come in
04:01And she'll take some blood
04:02And we'll get that IV set up
04:03And I see you got the meatloaf
04:05You gotta be careful and get a little gnarly
04:08It doesn't much matter right now
04:09Barely taste anything
04:13What was that?
04:14Oh, I can't really taste anything
04:15In the last few days
04:19That's not a big deal, is it?
04:22Um
04:23I'm not sure yet
04:29I want you to smell this
04:32Tell me what you think it is
04:36I don't smell anything
04:37What is it?
04:48Fifty-four-year-old man
04:49With complications from lupus
04:51He has been on methyltrexate for three days
04:53But he is still suffering from joint inflammation
04:55And pleuritis
04:57What do we do next?
04:58Dr. Larson?
04:59Can I have a word?
05:00Are you interrupting my rounds?
05:02I'm sorry, but I don't think this can wait
05:05You better have the answer when I get back
05:08Yes?
05:09I have a 32-year-old female patient
05:11That's presenting with GI issues
05:12And a low-grade fever
05:13The ER diagnosed with renal artery thrombosis
05:15But she has a complete loss of smell
05:19So you're thinking
05:20There were two cases of anosmia in Wuhan
05:23So I pulled up the case reports out of Italy
05:25There were three there as well
05:26Yeah, but in those cases
05:27It developed much later in the cycle
05:29I get that
05:30But we also know that it seems to keep morphing in this presentation
05:33The fact that I was discussing this this morning
05:35When you walked into my office
05:36No, not that impression
05:38Or looking to score points
05:39Chasing zebras
05:40Look, the last thing I want
05:42Is to have coronavirus in our hospital
05:46Breathe in for me
05:49And out
05:52Does that hurt?
05:54No
05:55Any coughing or shortness of breath?
05:57No
05:59What about fatigue?
06:01I'm a little tired
06:03And, uh, I'm a bit jet-lagged
06:06What about her blood work?
06:07I haven't sent anybody in here to do that yet
06:10Until you saw her
06:11Well, maybe you should do that now
06:13Yourself
06:17There are 350 million people in this country
06:20And 71 confirmed cases
06:22None in Minnesota
06:23Well, there's always a first
06:25So you want to shut down internal medicine
06:26Quarantine everyone on the floor
06:28And send panic through the whole hospital
06:30On the hunch of an intern
06:32I examine the patient
06:33And I support Dr. Heller's diagnosis
06:35Based on loss of smell
06:36And fine crackles in both lung bases
06:38Plus, the blood work shows low platelets
06:40Both of which suggest adenovirus
06:42Any evidence of widespread clotting?
06:44Not yet
06:45No
06:45Has she been in China or Italy?
06:47She did just fly from New York
06:49Where there's one confirmed case
06:50So far
06:51But there's no real testing
06:52And obviously people from all over the world come through there
06:55We have no confirmed contact
06:57No cough
06:57No respiratory distress
06:58Five out of the 18 cases in Washington had GI issues
07:02You're stretching
07:03If you don't report this to public health and contact trace
07:05In 24 hours it'll be too late
07:07Enough of this hysteria, Dr. Larson
07:10This is not hysteria
07:11Although the pushback seems like it might be
07:13I'm not taking a call from the governor about this
07:16We can revisit in 24 hours if you have more evidence
07:18Well, I certainly admire your courage
07:21Careful, Dr. Larson
07:22Apparently it's your job to be careful
07:25It's our job to do what we think is right
07:49Are you okay?
07:52Cemeteries are always hard
07:59You ever meet him?
08:01No, he lived in Arizona
08:04Don't think he got here much
08:14Why didn't they put the children yet?
08:16We're going to do that after the ceremony
08:18But the shovels?
08:19Yeah
08:20Yeah, you'll see
08:22At first everybody's going to line up and they'll take a shovel
08:25But what we do is we turn it upside down like this
08:28So it only holds a small amount of dirt
08:31And then we take just that small amount of dirt
08:34And we pour it back into the hole
08:37That's our way of saying
08:38Gasaba
08:39We're burying you
08:40But we want to go slowly
08:42Because we don't want to say goodbye to him
08:44Okay?
09:04I don't want to say goodbye to him
09:10Okay?
09:11I don't want to say goodbye to him
09:12I don't want to say goodbye to him
09:14I don't want to say goodbye to him
09:14I don't want to say goodbye to him
Commentaires