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The P.i.t.t - Season 2 Episode 13 - Eng Sub [Full Movie] [Watch Free Online]Full EP - Full
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00:14You
00:15Know this guy Orlando Diaz we're treating him for DKA when he looked how far he saw 20 feet or
00:20so
00:20Anyone see him pass out no they went looking for him after he didn't answer his radio people's equal with
00:25fluggish
00:25He left against medical advice on my count three two one
00:31Dr. Ellis on the case patient we got this. I'm saying continuity of care
00:35Dr. Alice shoot me once you go cover Sunday rounds with dr. Abbott Chen you two got it. Okay. Let
00:39me know if you need anything
00:41Lungs are up bilaterally pelvis is stable right to fib hematoma deform right forearm
00:48Rrupt your GM on the left star sanguinous fluid means baseless bowel fracture. We've got a diabetic patient 20 foot
00:53fall
00:53BP 204 over 98 pulse 56 dr. Mohan. What are those numbers indicate? I'm trying to treat the patient
00:59The Cushing's reflex from increase intracranial pressure
01:02Yeah, we need to get him to see T right away
01:04No free fluid in the belly any family to notify wife and three kids
01:10Is there a card to sign for Robbie he said no card no presents was there a cake?
01:15Oh, you didn't want that either
01:17That sucks need some cake patient was injured when they raided a restaurant and they actually arrested a nurse
01:23The take down and zip ties
01:24Hey
01:26Cruz you, uh, know the computer downtime drill?
01:28Yeah, no biggie
01:29I prefer to treat him without labs and x-rays
01:31Welcome back
01:32If you do have orders for labs and x-rays, clipboards, go here
01:36If it's just nursing orders, here
01:39Please write neatly for God's sake
01:41Oh, Monica, this is Nasley, new intern
01:43I don't need to know that
01:44So nice to meet you
01:47Looks like you and me, Jack
01:49Yeah, who's our senior?
01:51Dr. Henderson
01:51Yeah, well, yeah
01:53Excellent
01:53Night shift's on cruise control
01:55You hear ICE brought us a patient?
01:58Oh, yeah? Where'd that go?
02:00There was some collateral damage, they arrested Jesse
02:01For what?
02:03Assaulting federal officer
02:04Are you fucking kidding me?
02:06Dr. Alshimi, this is Nasley Tumerian, new intern
02:16Okay, everybody, let's huddle up
02:18Before we start, let me address the elephant in the room
02:21For those of you who don't know
02:23Jesse tried to intervene when a federal agent was handling this patient
02:26And both he and the patient were taken away by ICE
02:28Did he punch the guy?
02:30No, he put out a hand to stop him, made physical contact
02:32And he was a little bit more than that
02:34The hospital lawyers are on the case
02:36And we will brief the staff every 12 hours at sign-out rounds with an official update
02:40In the meantime, don't feed the rumor mill
02:42You may have also heard that new grad nurse Emma here was assaulted by a patient
02:46I-I'm fine
02:47Please don't forget code hula hoop
02:49And with risky patients, always keep a path to the door clear
02:52Sounds like one hell of a day
02:54And we're still dealing with downtime
02:56So day shift should brief night residents about the protocol
02:59Hey!
03:00All right!
03:02Oh, thank God
03:04Yeah, not so fast
03:05Every chart from the last five hours needs to be scanned into the electronic health record
03:10And checked for accuracy
03:11I mean, whose job is that?
03:13Day shift
03:14With a completed and signed T-sheet
03:16Are you kidding me?
03:17That's gonna take forever
03:18We will set up stations for scanning
03:19Okay, everybody, let's get moving
03:21Triage is 20 behind
03:22I gotta help them clean up
03:23I'm skipping around
03:24Set yourself lucky
03:26Should we join them?
03:29Might as well witness the magic
03:31It's like changing the guard at Buckingham Palace
03:33Except we're allowed to smile
03:34Smile though your heart is aching
03:38Clean films, right tip-fib and right forearm after CT
03:41Got the chem-8?
03:42Blue sugar's 284?
03:43That's not too bad
03:45Potassium looks good
03:46Any end gaps up at 14?
03:48It was 24 this morning, he's definitely improving
03:51The decay is resolving
03:52So what made him pass out?
03:54It's hot as hell out there
03:56He could have been dehydrated from sweating
03:58Or he could have had an NSTEMI or a posterior CVA
04:02Ready to roll?
04:05I could babysit him at CT
04:07Thank you, and I'll stay in case he needs the OR
04:11Hey, we're back up
04:13Out of time
04:16Ooh, Robbie
04:17Yep
04:17I got intel and we're ice taking Jesse
04:19Intel from who?
04:20Uh, my brother-in-law's a cop
04:22So, he'll be processed at DHS Southside
04:25And then transferred to ice detention in Clearfield
04:27Clearfield? That's two hours away
04:28Mm-hmm
04:30Okay, I'll let the hospital attorney know
04:32How are you doing, Oliver?
04:33Alive and kicking
04:34Uh, Mr. Haas, pulmonary edema after misdialysis
04:37Now stable with the sun mason at the bedside
04:40Hello
04:41I'm Dr. Shen, I'll be back
04:43Dialysis tech says I'm off the machine at 1042
04:45Got the call light and I'll come running
04:48South 21 next
04:52Mr. Digby
04:54Just Digby
04:55Dr. Mohan's patient, forearm cellulitis
04:58Admit med-surg awaiting a bed
05:00I can take him
05:01Sold
05:01Dr. Tamarian
05:02Moving right along
05:05Good enough to eat
05:07We'll be back
05:10Lillian Stegman
05:11Tweets your new water skiing
05:12You can go 360 off a five-foot ramp
05:15Oof, respect
05:16X-rays ordered in triage
05:17That was hours ago
05:19Ma'am, I'm Dr. Cruz Henderson
05:21Let's get you home real fast
05:23That would be wonderful
05:24Okay, heading to north
05:25Thank you
05:26Looks like our first scanning station is almost ready
05:29Whitaker Santos
05:30After rounds, this will be your post
05:32Seriously?
05:33For how long?
05:35Till we mop up this mess
05:36And away we go
05:39Alright
05:40Now you know everything there is to know about rounds
05:42Fascinating, right?
05:43Ah
05:45Yeah
05:45Here
05:46About something better for you
05:49So Digby
05:50We're gonna find you some new clothes
05:52But my friend Emma and I
05:53Wondered if you'd like to get cleaned up a bit first
05:56I already had a shower
05:58I know
05:59And you look good
06:00But the offer also comes with the shave and the haircut
06:02If you're interested
06:03No pressure
06:04Like I said
06:04You already look great
06:07Sure
06:08I guess
06:09Fantastic
06:10Alright kid
06:11Fill that basin with some warm water
06:12And lather him up
06:17Hey, stay safe out there
06:18Back at you in here
06:19Hey Carrie
06:21You were on scene with Orlando, right?
06:23Did you notice anything about his fall?
06:26Like what?
06:27Like, um
06:28There was a break in the railing
06:30Or
06:31There were security cameras
06:33Too busy working on the guy
06:35IV, intubation, backboard, splint
06:37Thanks
06:39Oh, two names is a start
06:40Pretty soon we'll retire the clipboards
06:42Baby Jane Doe and Peds?
06:44Uh, yeah
06:44Abandoned in the waiting room bathroom at 7.30 a.m.
06:48Safe haven drop off?
06:49No, she's too old for that
06:50At least two months
06:51I'll take her
06:52Awaiting foster placement by CYF
06:54What if the mom comes back?
06:56Call the cops
06:56Day shift
06:57Get to work scanning
06:58Night shift
06:59The room numbers on top of the dry erase board
07:01Need a doctor
07:02Who's in BH1?
07:03Psych hold
07:04Danger to self
07:05What's the story?
07:06Doctors King and Langdon were on the case
07:08It's a sad story
07:09She says her five year old
07:11Snuck in the backseat of the car to take a nap
07:13Heat stroke
07:14Mom was extremely distraught
07:15Walked out into traffic
07:16Brady Barnhill wheezing and not responding to Albuterol
07:19Full Sox 87 is Mona Naomi
07:21Okay, trauma 2 is open
07:22On our way
07:23Mom, history of asthma?
07:25His whole life
07:26Never this fast
07:27Barely moving air
07:28Using all his accessory muscles
07:31Call our team
07:32Uh, continuous nebs
07:3420 milligrams an hour
07:35Yeah, the whole nephew
07:36I've been giving him Albuterol every hour
07:39Ready?
07:40On my count
07:41One, two, three
07:43Does he take any other medications?
07:45Just the Albuterol
07:46He used to be on Montalukaz
07:47And Simicor
07:48Why did you stop that?
07:50Cause he lost his Medicaid
07:51Two months ago
07:52It's so tight
07:52Nothing's getting through
07:53Mel, EpiPen
07:54On it
07:550.3 milligrams
07:56That may open his lungs
07:57So the nebs can work
08:00All right, Grady
08:00Shot in the thigh
08:07Hi
08:08Something to scan?
08:10Critical labs on North 3
08:11Oh, it's uh
08:12It's not my patients
08:13She's about to be
08:16I'm uh, I'm off the clock
08:18So
08:19These were ordered three hours ago
08:21From triage
08:21So technically she is a day shift patient
08:24Just get the interns started
08:25I got a meeting upstairs with admin
08:27To get things back on track
08:29Sorry, everyone else is tied up
08:30Oh, that's okay
08:32How'd you get stuck on night shifts
08:33For your first rotation?
08:34Just lucky, I guess
08:35Yeah, I feel like a good horror movie
08:38Where was med school?
08:39Uh, UC Irvine
08:40California, right?
08:42Yep, Pittsburgh's a little different
08:43Yeah, a lot more humidity
08:44Yeah, that'll go away
08:45With your first foot of snow
08:48Uh, hi, Mrs. Davis
08:50I am Dr. McKay
08:52This is Dr. Tumerian
08:53Hello
08:55Uh, your labs show a lot of inflammation in your liver
08:57So I am so nauseated
09:00Definitely, yeah
09:01Have you, um, noticed a change in your skin coloration?
09:04I've been using this bronzing cream
09:06So I don't look like a ghost in my bathing suit
09:08Do you remember the name of the bronzer?
09:11It could have a chemical that can cause it
09:13Oh, no, no, it's 100% natural
09:14It's DHA from sugar beets
09:18Why would my liver be inflamed?
09:20Uh, there's a lot of possibilities
09:21Are you taking any prescription medications?
09:24Not a single one
09:25Tylenol?
09:26God, no
09:26We have to ask everybody about injection drug use
09:29Never
09:29Rock clams or oysters?
09:31I'm a vegan
09:33One step at a time
09:35We'll be back
09:38Digby Haas, now on the big board
09:40Progress
09:41So, he's just been waiting in the hall the whole time?
09:43Okay, well, can you maybe get to him next?
09:48Thank you
09:50Dude goes to CT and they bump him
09:51Yeah, he may end up waiting for hours over there
09:54Oh, look at that, 7.15 already
09:57Just a few more loose ends to tie up
09:58We got more loose ends than a macramé wall hanging
10:02My mom had one, took up the whole goddamn wall
10:04Seriously, you should think about signing that and hitting the road
10:06Yeah, maybe you should too
10:07Oh, that's right, you sent Lena home
10:09Are you planning on calling in a replacement or are you just going to work till sunrise?
10:13I have to
10:14Oh, so you get to go the extra mile and the rest of us just get accused of being martyrs
10:19Robbie?
10:20Excuse me
10:22What's the word?
10:23No subdural, no epidural
10:24He's brain swelling with effacement and compression of the ventricles
10:28C-spine, chest, abdomen, pelvis
10:30Left pulmonary contusional intradominal hemorrhage
10:33Which means I'm off the hook, I'll send neurosurgery down
10:35If he doesn't need the OR, why neurosurgery?
10:38Wait and see
10:38Let's get busy, CVPed at Heartline
10:40Orlando
10:42Orlando, squeeze my hand
10:45Open your eyes
10:45We already know his GCS is going to be free
10:48Hey, Javadi, anti-seizure prophylaxis
10:50Cap brush and he makes her kilo
10:51Mixing it now
10:52Better get this brain swelling down, Samira
10:54How are we going to do that?
10:56Samira
10:57What?
10:58Do we have to lower the intracranial pressure?
11:01Manitol
11:02Not the best can cause diuresis and hypotension
11:04And hypertonic saline
11:0623%, 50 cc's through a central line
11:10Tight as a drum
11:11Good five minutes to see Epi
11:12We can have one more EpiPen
11:14That's our borderline, 87
11:16How about BiPap, 10 over five?
11:18Yes, with inline nebs
11:19Alright, Grady, shot number two
11:21Might as well throw him some magnesium, 50 per kilo
11:24I'm sorry, he's not ventilating, we should be ready to insubate
11:26With an asthma patient?
11:27There's a high risk of cardiac arrest
11:30Naomi, has he ever been put on a breathing machine before?
11:32Never
11:33Hospitalized?
11:33No, we could always break him with a simbacort
11:35We're going to give the current treatment a few more minutes to help him turn
11:42I could probably do this myself now that my cast is off
11:45That's okay
11:47I don't mind
11:53How long have you been a nurse?
11:56This is my first day
12:00You're doing really good
12:04Thank you
12:08Shit, you okay?
12:11Yeah, there's water in the floor
12:13Sorry, I might have spilled
12:15Yeah, no worries
12:16We're going to have to sort these all by patient before we scan them
12:20Is Joy still around?
12:23I heard she left at 6.59
12:25Smart girl
12:27You know what, find Ogilvy, he's just an ass kisser
12:30He might stay and stay on out and try some cell phone
12:31He, uh, scrubbed in in the OR
12:33Scrubbed in on the ruptured AAA
12:35Or the kidney stone that wasn't
12:37It'll be four hours at least
12:41So, are you still going to Amy's after work?
12:44Yeah, maybe just for tonight
12:46After Robbie briefs me on all the house stuff
12:49Sounds fun
12:52When he asked, it was hard to say no
12:54Sure
12:58It's going to be very weird without him here
13:00Yeah
13:01You think Dr. Al Hashimi can handle it?
13:04A word, no
13:05She's smart
13:07Yeah, it takes more than that
13:09Well, at least it's only three months
13:11Yeah, three long months
13:13Then you need to find a new home
13:16Not necessarily
13:17I mean, if I wanted, I could just check on Robbie's house once or twice a day
13:21Yeah
13:23Why would you do that?
13:25I don't know
13:26Why not?
13:32Hypertonics in
13:32Maintenance, OR in the AC
13:35It's like a halo sign
13:36Cerebral spinal fluid from a basilar skull fracture
13:39The halo sign is neither sensitive nor specific for CSF
13:43Saline, tap water, and runny noses all separate from blood
13:46Hello, Linda
13:47Robbie
13:48Vision chief working on a holiday weekend
13:50Somebody's got to
13:52Saw the scans, this guy needs an EBD
13:55External ventricular drain to take down the pressure
13:58CPP equals MAP minus ICP
14:01Cerebral perfusion pressure in the brain equals mean arterial blood pressure minus the pressure in the skull
14:07ICP less than 22 predicts survival and favorable outcome
14:11CPP from 60 to 70 reduces morbidity and mortality
14:15Can somebody assist?
14:17Dr. Mohan
14:18I'm good
14:20Mr. Mary should lend a hand
14:22I said I'm good
14:24Javadi
14:24I don't think so
14:27Javadi?
14:28As in daughter of Raymond and Eileen?
14:31I was at your mother's baby shower
14:34She was a resident, you were in utero
14:38And how she got through motherhood and training
14:40Feel free to join me
14:42Oh my shift, my shift was over a while ago
14:45Okay, masks all around, two sterile gowns
14:48We brought the surgical towels, just need some beta dye
14:50This is kind of an amazing opportunity
14:53I'm exhausted
14:54Chief of neurosurgery
14:56The chief of neurosurgery is here
14:56She's kind of a legend
14:58Maybe one of the night residents can do it?
14:59Is this about the Mobulus case from earlier?
15:02Because if it is, you made a mistake, you need to move on
15:05I do not want to come back here and find that you've applied for a residency in Durham
15:11Step up to the plate
15:12Do it
15:13Javadi will assist
15:15Excellent
15:16You know, I think Eileen did her first EVD with me back when I was a brand new assistant professor
15:22Time flies
15:26How you doing, Grady?
15:27Still retracting
15:28Any improvement?
15:30Not really
15:30You feeling tired?
15:33Do we have aerogen in the ED? Just in the unit
15:36How fast can you get back?
15:38Two minutes if I take the stairs
15:39Go
15:40Uh, aerogen?
15:41It has a 5mm mesh that vibrates over 120,000 times per second
15:51Dr. Ahashimi
15:57You okay?
16:01Are you telling us about aerogen?
16:04Dr. Shen can explain
16:07It produces droplets in the 2 to 5 micron range
16:11I'm just going to read
16:19How's it going?
16:20Just about to start
16:22Securing the art line here
16:23Measure twice
16:23Cut once
16:25We enter 11cm back from the nasium
16:293cm low
16:30Without any direct imaging?
16:32Nope
16:32Straight shot into the lateral ventricle
16:35Tried and true since 1890.
16:39Okay. Go ahead with the incision.
16:42Hey, you worked with Dr. Ellis. You met the VA.
16:45I did.
16:46For how?
16:47During my R2 rotation and then one again last year.
16:55Okay. Handrail's all set.
16:58Maybe you should do this part.
16:59No, no. There's a safety stop here. You can't go too deep.
17:02It's not brain surgery.
17:06Okay.
17:07Okay.
17:11Stay perpendicular.
17:12Okay.
17:13Good.
17:15All right. Now, four turns to get through the outer table.
17:18Yep.
17:18And half turns till you penetrate the skull.
17:31Three.
17:33Four.
17:35One.
17:39holy smoke i thought it was tom chris for a second over here
17:43nice job how's that feel digby pretty good my bad well you say we trim up those gorgeous
17:50locks years now i don't like having my hair cut i get it rapunzel but you need your ears lowered
17:58you'll feel better with the fresh summer look that won't go and notice by the ladies
18:04maybe just a trim great i'm thinking of pixie cut what i'm kidding a couple husband benji's here
18:12all the time trust me you're gonna look fabulous when's the last time you had a haircut
18:17maybe my daughter's wedding a few years ago where saint sebastian a lady of mount carmel parish
18:24does your daughter know where you are of course we're all over in pittsburgh
18:31in fact they live in my old house
18:35your daughter lives in your house yeah where do you live
18:42whatever i want
18:46you're gonna pass it five to six centimeters from the inner table of the skull okay
18:55centered perpendicular aiming for the medial canthus all yours and just keep going you'll feel a pop
19:04when you pass through the appendable lining all right line is calibrated good to go i tried the
19:09nicardine pain to a map of 85 please and if we can get the inner cranial pressure down to 20
19:17dr mohan i'm sorry map of 85 icp of 20 um cerebral profusion pressure 65 which gives him the best
19:27shot at
19:27survival a third of patients like this die half have long-term disability we'll know in two weeks if
19:33there's a possibility for a good prognosis
19:36felt a pop remove the stylet
19:42okay let it drain a bit
19:46and now pinch it shut
19:51perfect bp is down 190 over 88 heart rate 67
19:58how are you guys doing yeah making some progress you've seen abbott not since rounds you asked me to
20:06see a patient with the night intern hey you said yeah 48 year old woman new onset jaundice elevated
20:13liver enzymes no history of alcohol use take your pick hepatitis a b c d or e no risk factors
20:21no fever
20:22tylenol never no prescription meds does she eat polar bear liver it can cause vitamin a toxicity
20:31no she uh doesn't eat meat kind of a health nut well maybe she's gulping down cod liver oil to
20:38prevent measles vegan no fish would you uh mind lay nice on her seriously you have a way of figuring
20:45out the weird stuff take the compliment okay fine five minutes at the bedside that's it i'm already
20:54going to be here for hours as it is thank you what am i doing
21:02definitely improving title volumes up wheezes now expiratory only oh making some progress you
21:09feeling better baby you scared the shit out of me language does he have a primary care doctor
21:16not anymore how do you get his prescriptions we need neighborhood clinic we pay cash
21:22not buterol's cheap simple court without medicaid 400 bucks a month just for a little inhaler
21:31choke ours on the tube i tunnel underneath the scalp about five centimeters and poke through
21:38to prevent the infection exactly now you hold the knuckle steady while i pull it through
21:47and you can staple the wound shut
21:51that looks like something from home depot yeah big fourth of july sale the brain pressure is measured
21:56by the height of the fluid column we need calibrated to zero at the level of the tragus stop cox
22:01on ready
22:02to attach first trip on end's normal but you need a second to rule out am i can you step
22:08out for a sec
22:15i really did do everything i could to try to make orlando stay yeah i don't doubt it i wanted
22:19to ask
22:19you about dr alashimi the va did you ever notice anything unusual about her behavior um like what
22:27lapses in focus attention no she was always on top of her game
22:35but this morning when she was checking labs on baby jane doe it was like she zoned out for a
22:40few seconds
22:42maybe she was just tired
22:51no congestion nodules or cirrhosis good looking liver i should not be sick i worked so hard to stay
23:00healthy diet exercise eight hours of sleep i can't remember the last time i got eight hours
23:08maybe you should try sleep maxing oh you definitely should yeah cold room white noise eye shades kiwis
23:15before bedtime lettuce water mouth taping who do you follow for health a few naturopaths and some
23:22functional healers do you buy vitamins from them oh no no i don't take vitamins food is the best medicine
23:28kale blueberries kidney beans turmeric turmeric uh how long you been taking that for a few months
23:34it's an anti-inflammatory it detoxes the body and it can prevent alzheimer's how much do you take
23:40500 milligram capsules but i take five a day what with doses that large of turmeric there have been
23:49cases of liver failure from eating a spice all right digby thank you good to go would you like to
23:57see
24:10i haven't looked like this in a long time your family won't recognize you
24:17how will they find me they won't know what i look like they won't know this is me of course
24:23they will
24:23they know your voice they know where you hang out they even remember that you used to look like this
24:30they remember the wedding
24:35did you dance with your daughter at her wedding
24:40i did
24:42and she will always remember you
24:51hey i was just looking for you what's up you tell me the uh asthma patient what about him
24:56it seemed like you were hesitating talking about using aerogen i was wondering if you're having
25:00second thoughts no just thinking about the best treatment plan for the patient and i think he's on
25:07it anything else i don't know you tell me anything else i need to know i don't think so
25:15this is dr robin the ed i'm checking out a patient eakins we can take larson and stevens off the
25:20dryer
25:21race consider it done he's in the scanner now oh great no i was just calling to confirm thank you
25:27any new information from upstairs i thought we already know same old story huh you think we should
25:33take up a collection for jesse for for bail money they don't usually send bail until after you've
25:38appeared in front of a judge the holiday it's not likely to happen till monday so he's gonna be locked
25:42up all weekend that sucks it does suck all right dr langdon grady's worse much worse nina tending
25:50uh no we have shun shots down 83 what's happening give us a minute he's tiring out ketamine and rock
25:58it's time to intubate a couple ma'am we have to put a tube down your son's windpipe so machine
26:04can
26:04breathe for him oh my god hold on hold on no lung sliding on the right pneumothorax no need to
26:11intubate
26:13what's going on he has a collapsed lung there was no history of trauma that would have caused the
26:19pneumothorax what about dr king in asthma you can get air trapping when the lungs can't fully exhale
26:26eventually they over inflate causing some of the tiny air sacs to burst how do you fix it
26:36like that
26:43it's a good thing dr connelly was here yeah we should probably try to find him a neurocritical
26:48icu bed we don't want to board a patient like this hey robbie hey how did the scan go it's
26:53fine it is
26:54probably going to take a little while to get the results from the radiologist well that's not a
26:58problem nurse devy and i need a little time to coordinate our schedules over the next few months
27:03really yeah i've always wanted to learn how to ride a motorcycle and duke offered to teach
27:07me nobody knows motorcycles like duke he's giving me the healthcare worker discount
27:12it's quite the gentleman let's get him back to his room how would next saturday be for you baby
27:19maybe we could have some dinner after dr mohan lori diaz is here she wants to see your husband
27:24she's heading back okay i'm on my way
27:29mrs diaz hi they don't let him go up to his room yet
27:34no i brought him some dinner from purgatory it's a chicken burger no bun just lettuce figure it
27:41will be better than hospital food
27:46he's being treated by our top brain injury specialist
27:50will he wake up we won't know for several weeks and then he could be back to normal best case
27:57scenario
27:58it would take about a year before he could be independent at home and the worst case
28:04round-the-clock nursing care for severe disability
28:11you let him leave he insisted on leaving to work at a second job
28:17you didn't make a mistake he was competent he knew the risks we honored his decision to leave
28:24even if he was a stupid i tried to stop him offered to get him all the supplies he need
28:29to
28:29take care of himself at home but he left before i could give them to him he said he couldn't
28:34afford
28:34to lose a paycheck
28:43dr langton
28:47are you okay yeah i'm just kind of uh
28:53wondering if i'm really ready to be back here well of course you are
28:5710 months is a long time i almost killed that kid with an intubation
29:03didn't even occur to me to check for pneumothorax there isn't any trauma to indicate i should
29:08have caught it you know i am
29:19i had a deposition today and all the lawyers questions made me feel like i was a really
29:26really bad doctor
29:30we don't always get everything right first time
29:34you would have caught the collapsed lung
29:37and it may have taken a minute but you would have saved him
29:41not sure robbie would agree with you he's been riding me all day
29:45well robbie's leaving for three months and you know with robbie gone
29:51i really don't want you to leave either
29:56that which does not kill me makes me stronger
29:59wow
30:00redrick needs you yeah
30:03need you yeah not kelly clarkson
30:10hey that's a thick one austin green ogilvy's triple a
30:18uh g-r-e-e-n yeah why what are you doing checking to see when we'll get ogilvy back
30:23from the or
30:25oh shit what the guy didn't make it he died on the table about 40 minutes ago
30:31then where's ogilvy oh man his patient had a ct a year and a half ago that showed a four
30:39centimeter triple a it's too small for surgery you were supposed to come back every six months
30:44for a repeat ultrasound but looks like he didn't you would have seen that if the computers were working
30:49why wouldn't he tell ogilvy maybe forgot all about it or ogilvy didn't ask the right questions
30:56venice hey got a minute uh sure what do you need teenager with jewelry magnets stuck to both
31:03sides of her nasal septum i tried to move them with the plastic cure too much pain and then there
31:07was bleeding those need to come off before they cause permanent damage yeah you think uh you could
31:11find like a senior or an attending we're really trying to get off the clock here they're all busy
31:19i already took one for the team yeah fine yeah labs on your yellow lady iron is elevated 2.2
31:29liver's in trouble but not dead yet tell her to skip the turmeric admit for monitoring and follow the
31:34of teas got it central 10 yeah sleep maxine really you track the online trends is that your secret for
31:47the tough ones i just think what's the stupidest thing this person could have done and assume they
31:53did it well i mean if she was trying to be healthy yeah i'm taking advice from fools turmeric is
32:00recommended
32:00by a lot of doctors yeah then ask your doctor for the dose or check some place reputable like the
32:05cdc
32:06all right i forgot it's now a medical toxic waste site she's in pretty bad shape things get worse
32:13she could need a liver transplant because she's a big fucking idiot wow no i actually appreciate her
32:22our job security depends on all these big fucking idiots
32:31okay good night perla monica good night dr robbie good night bye emma you could stay to pitch in
32:41dana told me to go and get some rest before tomorrow's shift yeah you had quite a day it wasn't
32:46so bad
32:49why can't i find duke's results oh new patient no ehr yet i can run over to radiology get a
32:55print out
32:56thank you monica
33:00ready to pick up a few more glano's all tucked in for now how's he doing numbers are good cpp
33:0622. okay so
33:07he's got a shot at a decent outcome at least you think he has a chance oh i don't know
33:13that survival
33:13was the outcome he was hoping for what told samir he's got a hundred thousand dollars of medical
33:19debt that his life is probably mrs diaz how can we help you in the bathroom uh yeah pearly can
33:28show
33:28you the way
33:31what a great idea to have a private conversation about a patient in a public area
33:45okay how long have they been in there at least two hours how did it happen with my earring it
33:52was
33:52supposed to be a red white and blue to look cool with the fireworks i told her for the nose
33:57one side
33:57only but she never listens this can be pretty serious if we don't get them out quickly we'll cut
34:02off the blood supply and cause the septum to collapse like my nose could be deformed
34:10oh my god get them off yeah that's the plan yeah she tried already hurt like crazy because they're
34:15stuck together by a very strong magnetic force yeah no no oh i'm not gonna use the tips i'm gonna
34:22flip
34:23it around and use the handle it's still gonna hurt probably not just i'll hold still
34:32okay
34:38voila really that was amazing i think another half hour we can send this dry race we're back to storage
34:45with pleasure dr robinovich yep results on your friend
34:54fuck duke
35:00are you gonna tell him i want to talk to a surgeon
35:03uh dr robbie i have an update on the patient but that's not a great time
35:06oh i thought you were going home uh i was dr ogilvy is just sitting out in the ambulance bay
35:12covered in blood sorry what's he doing out there kind of uh staring off into space i tried to talk
35:17to him but it was like he couldn't hear me monica can you step page code with the rest yeah
35:21i'll go
35:21check on ogilvy please
35:37hey ogilvy
35:43ogilvy you okay man
35:5299 on two liters scattered and expiratory wheezes he is so much better the steroids should kick in
35:59soon so he'll keep improving um when can i go home in a day or two and we will uh
36:07discharge you
36:08with a simbacort inhaler that should last about a month hopefully we'll be back on medicaid by then
36:14how'd you lose it they sent a redetermination letter to our old apartment
36:20it didn't get forwarded when i went to pick up his prescription pharmacist told me we were no longer
36:26covered and you haven't been able to get it back since i've been trying for months to get re-enrolled
36:34you need tax returns pay stubs i cut hair my income fluctuates a lot of my regulars are struggling so
36:43it's been tough well if you run out of simba court before your medicaid kicks in you can come back
36:49and we'll uh set you up with another one uh is there a patient in here because everyone in this
36:55room looks extremely healthy to me dr shin and i will be with grady all night long day shift we
37:01got
37:01this we're leaving you in good hands um i was really scared thank you
37:11you're very welcome
37:17due to his injury things have changed
37:21i was looking for dr abbott i haven't seen him for a while excuse me
37:30so now with a long-term disability things may be easier
37:36easier his condition will qualify him for medicare and medicaid so moving forward
37:41costs should be covered including home health care okay perhaps this isn't the best time i just
37:47wanted to reassure you about future costs
37:59robbie noel
38:02you're still here it's not the best day to try to get out on time
38:05hmm so i guess this is it for a while unless you want to come with me no thank you
38:12even if it
38:13isn't a legitimate offer what do you mean oh please i know well enough not to get in between a
38:18man and
38:18his vision quest vision quest that is my nice way of putting it i probably don't want to hear you
38:28not
38:30i i hope that this is not um about you running away from me i'm a big girl you can
38:40tell me just to get
38:40lost this has nothing to do with you all right it's the old uh it's not you it's me in
38:49this case it's actually true
39:05i'll see you next week it's a three-month sabbatical like i said i will see you next week
39:16my first day here as a med student there was a patient
39:22he was a really nice guy came in with belly pain
39:27i saw a gallstone on the ultrasound normal ekg troponin the pain resolved and he was in the hall
39:36when he had a cardiac arrest i couldn't save him people die
39:47and we do the best we can but people die
39:54you ever get used to that
39:58no
40:00no you
40:03you try to accept it
40:07you try to find balance
40:14i don't know if i can take another day like today
40:19primary care specialty sounds way better
40:22peds maybe
40:24yeah maybe
40:27i know i'd be bored out of my mind
40:30seriously i like the challenge of undiagnosed illness of quick decisions of life-saving procedures
40:41and i like being here for people on the worst days of their lives
40:53you know what i think
40:57i think you should go home i think you should sleep on it and i think you should at least
41:02wait
41:03till the morning to decide if you want to come back
41:08i don't really want to go back in there and see anybody
41:13yeah
41:16okay pull off your gown i'll take it in shift is over
41:21go home
41:37i'm sorry i'm good i'm good i'm good
41:49not really
41:50not really no
41:51are you sure where the hell have you been
41:53i found ogilvy
41:55and
41:56and he's going home
41:58that's it
41:59it's a long story
42:00well i got nothing but time
42:02i need to respect his privacy
42:04where's the fun in that
42:07sorry
42:16um the shredder jams
42:18yeah i'll try putting it in reverse
42:23perfect
42:24just give it a little love tap
42:27kick it
42:29jesus christ
42:32i guess mr dick b got a room upstairs
42:35in your dreams
42:36he's not in south 21
42:38yeah he is
42:40there's a new guy in the bed
42:42short hair clean shapes
42:44take care of it
42:47scout from churabi's pathology so we're going to the ct injury
42:49again textbook is sending out again losing eight centimeters
42:53fifty percent one-year mortality
42:55so he definitely needs surgery if he wants to live
42:57okay well he's a friend so i will talk to him i'll get him admitted to your service not today
43:02why not he needs to do cardiology and pulmonary first to be cleared for the or they can do a
43:07stress
43:07echo pfgs he needs to be admitted and evaluated as an inpatient
43:10nothing ever gets done over a holiday weekend he can take it easy at home
43:13he's a ticking time bomb he's probably been that way for years we can get him in early next
43:17week with a specialist get his testing done all goes well he's on the or schedule in a week
43:21what happens if it ruptures before then call 911
43:24sorry robbie best we can do text me his number i'll have my office coordinate
43:30fuck hey take a walk come on
43:37two for discharge yeah please don't ring the bell the computers are like a button running
43:42not for these two they don't have electronic health records yet oh wait hold up this kid had a
43:47wrist x-ray ordered oh it never happened and water skiing ladies still waiting on a knee series
43:52i canceled the x-rays diagnosed them both with ultrasound really yeah the uh little boy had a
44:00simple buccal fracture distal radius he got a velcro splint and mrs stegman had a small medial
44:06meniscus tear the immobilizer crutches and a follow-up with ortho could have used you on the day
44:10shift today they don't teach us a lot of musculoskeletal ultrasound i know that's why i did electives at
44:16harvard and highland are you applying for an ultrasound fellowship here i am but it is so
44:22competitive that's what i hear kind of a long shot only i have one publication but it's a series
44:28of case reports diagnosing shoulder dislocations with ultrasound only if you want to learn some msk
44:33you can tag along i got three more to scan maybe some other time cool
44:42hey don't jam the shredder what is that two charts no it's my ultrasound fellowship application
44:51hey uh sorry got your patient yeah lendo's in pretty bad shape oh no uh i was talking about
44:59the triple a guy you worked on with ogilvy he didn't make it through surgery i tried to talk to
45:09robbie about it but i think he's busy excuse me
45:16oh
45:21you think i'm on edge we're just shaman samira then mckay they both need to be called out for
45:27learning some behavior yeah well you do that in private same place you share your thoughts about
45:30a patient's possible suicide and slamming stuff please sign out all the shit that's bugging you
45:35and get out of here i can't yes you can when either of my kids was acting like this i
45:39gave them a time
45:40out in their room oh you're not my mother yeah well too bad you need no i had one she
45:44left i don't
45:45need another one what i need is someone who could actually run this place while i'm gone okay i'm sorry
45:49i didn't know nobody knows who needs to know who gives a fuck i think you need a break that
45:54is what
45:56away i have too much to do let someone else talk to duke no that needs to come from me
46:01why
46:03because i owe him that it needs to come from a friend not a stranger otherwise he's gonna bail
46:07and drop dead while i'm gone okay wrap that up and then leave it's not just duke i'm not sure
46:13that
46:13alishimi is fit to run this place what's that supposed to mean i'm not sure i'm trying to figure
46:17that out did you know that she wants to have two attendings on at all times no is that something
46:20she's worked out with gloria i don't know i also don't know if lightning is going to relapse i don't
46:25know if whitaker is going to be able to take care of my shit i don't know if javadi is
46:28going to give
46:29up on what she's good at or if samir is going to flame out because it's a bullshit with her
46:32mother
46:32is there anything else yeah you i don't know about you running around full syringe or verset in your
46:38pocket i'm worried about the people that i care about we'll all manage until you come back
46:43we always do yeah what if i don't come back
46:47so
47:03so
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