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The P.i.t.t - Season 2 Episode 13 - Eng Sub [Full Movie] [Recommended]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
16:19How's it going?
16:20Just about to start
16:22Securing the art line here
16:23Measure twice
16:23Cut once
16:25We enter eleven centimeters back from the nasion
16:29Three centimeters left
16:30Without any direct imagery?
16:32Nope. Straight 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.
17:32Three, four, one.
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
19:35there's a possibility for a good prognosis
19:36fell to pop
19:37remove the stylet
19:42okay let it drain a bit
19:46and now pinch it shut
19:50perfect
19:51bp is down 190 over 88 heart rate 67
19:58how are you guys doing yeah making some progress you've seen abbott not since around
20:05you asked me to see a patient with the night intern
20:08hey you said yeah 48 year old woman new onset jaundice elevated liver enzymes no history of alcohol use
20:16take your pick hepatitis a b c d or e no risk factors no fever tylenol
20:23never 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 laying eyes on her seriously you have a way of
20:45figuring out the weird stuff take the compliment
20:50okay fine five minutes at the bedside that's it
20:53i'm already gonna be here for hours as it is
20:55thank you
20:57what am i doing
21:02definitely improving
21:03title volume's up
21:04wheeze is now expiratory only
21:07oh making some progress
21:08you feeling better baby
21:10you scared the shit out of me
21:12language
21:14does he have a primary care doctor
21:16not anymore
21:17how do you get his prescriptions renewed
21:20neighborhood clinic
21:21we pay cash
21:22without buterol's cheap
21:23simple court
21:24without medicaid
21:25four hundred bucks
21:26a month
21:27just for a little inhaler
21:31choke ours on the tube
21:33i tunnel underneath the scalp about five centimeters
21:37and poke through
21:38to prevent the infection
21:39mm-hmm
21:39exactly
21:41now 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
21:53yeah big fourth of july sale
21:55the brain pressure is measured by the height of the fluid column
21:58we need calibrated to zero at the level of the tragus
22:00stop coxon ready to attach
22:03first trip on end's normal but you need a second to rule out am i
22:07hey can you step out for a sec
22:15i really did do everything i could to try to make orlando stay
22:17yeah i don't doubt it
22:19i wanted to ask you about dr alashimi
22:21the va
22:21did you ever notice anything unusual about her behavior
22:24um like what
22:27lapses in focus
22:28attention
22:29no she was always on top of her game
22:35but this morning when she was checking labs on baby
22:38jane doe it was like she zoned out for a few seconds
22:42maybe she was just tired
22:51no congestion nodules or cirrhosis
22:55good looking liver
22:56i should not be sick
22:58i work so hard to stay healthy
23:01diet
23:02exercise
23:03eight hours of sleep
23:04i can't remember the last time i got eight hours
23:08maybe you should try sleep maxing
23:10oh you definitely should
23:11yeah cold room
23:13white noise
23:14eye shades
23:14kiwis before bedtime
23:16lettuce water
23:17mouth taping
23:18who do you follow for health?
23:20a few naturopaths
23:21and some functional healers
23:22do you buy vitamins from them?
23:25oh no no
23:25i don't take vitamins
23:26food is the best medicine
23:28kale
23:28blueberries
23:29kidney beans
23:30turmeric
23:30turmeric?
23:32how long have you been taking that?
23:33for a few months
23:34it's an anti-inflammatory
23:36it detoxes the body
23:37and it can prevent alzheimer's
23:38how much do you take?
23:40500 milligram capsules
23:41but i take five a day
23:45what?
23:46with doses that large of turmeric
23:48there have been cases of liver failure
23:51from eating a spice
23:52all right digby
23:54thank you
23:55good to go
23:56would you like to see?
24:10i haven't looked like this
24:11in a long time
24:12your family won't recognize you
24:17how will they find me?
24:19they won't know what i look like
24:21they won't know this is me
24:22of course they will
24:23they know your voice
24:24they know where you hang out
24:26they even remember
24:28that you used to look like this
24:30they remember the wedding
24:35did you dance with your daughter
24:37at her wedding?
24:40i did
24:42and she will always remember you
24:51hey i was just looking for you
24:53what's up?
24:54you tell me
24:54the asthma patient
24:55what about him?
24:57seemed like you were hesitating
24:58talking about using aerogen
24:59i was wondering if you were
25:00having second thoughts
25:01no
25:02just thinking
25:03about?
25:04the best treatment plan
25:05for the patient
25:06and i think he's on it
25:09anything else?
25:09i don't know
25:10you tell me
25:10anything else
25:11i need to know?
25:13i don't think so
25:15this is dr robbing the ed
25:17i'm checking out a patient
25:18eakins
25:18we can take larson and stevens
25:20off the dryer race
25:21consider it done
25:22he's in the scanner now?
25:24great
25:25no i was just calling to confirm
25:26thank you
25:27any new information from upstairs?
25:29nothing we all already know
25:30same old story
25:32you think we should take up
25:33a collection for jesse
25:34for bail money?
25:36they don't usually send bail
25:37until after you've appeared
25:38in front of a judge
25:39the holiday is not likely
25:40to happen till monday
25:41so he's gonna be locked up
25:42all weekend?
25:42that sucks
25:44it does suck
25:47dr langdon?
25:48grady's worse
25:48much worse
25:49needn't attending?
25:51uh no we have shun
25:53shat's down 83
25:54what's happening?
25:54give us a minute
25:56he's tiring out
25:57ketamine and rock
25:58it's time to intubate
26:00a couple
26:00ma'am
26:01we have to put a tube
26:02down your son's windpipe
26:04so a machine can breathe
26:05for him
26:05oh my god
26:06hold on
26:07hold on
26:07no lung sliding on the right
26:09pneumothorax
26:11no need to intubate
26:13what's going on?
26:14he has a collapsed lung
26:16there was no history of trauma
26:18that would have caused
26:19the pneumothorax
26:19club up dr king
26:21in asthma
26:22you can get air trapping
26:23but when the lungs
26:25can't fully exhale
26:26eventually they overinflate
26:27causing some of the
26:27tiny air sacs to burst
26:29how do you fix it?
26:36like that
26:43it's a good thing
26:43dr connelly was here
26:45yeah
26:46we should probably
26:46try to find him
26:47in a neurocritical ICU bed
26:48we don't want to board
26:49a patient like this
26:49mhm
26:50hey robbie
26:51hey
26:52how did the scan go?
26:53fine
26:54it is probably
26:55going to take a little while
26:55to get the results
26:56from the radiologist
26:57well that's not a problem
26:58nurse
26:59bb and i
26:59need a little time
27:00to coordinate our schedules
27:02over the next few months
27:03really?
27:04yeah i've always wanted
27:05to learn how to ride
27:05a motorcycle
27:06and duke offered
27:07to teach me
27:08nobody knows
27:08motorcycles like duke
27:10he's giving me
27:11the health care worker
27:11discount
27:12he's quite the gentleman
27:13let's get him back
27:14to his room
27:15how would next saturday
27:17be for you bb
27:18maybe we could have
27:20some dinner after
27:22dr mohan
27:22lori diaz is here
27:23she wants to see
27:24her husband
27:24she's heading back
27:25okay i'm on my way
27:29mrs rias
27:29hi
27:30did you allow him
27:31to go up
27:32to his room yet?
27:34no
27:34i brought him
27:35some dinner
27:36from burgatory
27:37it's a chicken burger
27:38no bun
27:39just lettuce
27:40figured it would be
27:41better than hospital food
27:46he's being treated
27:47by our top
27:49brain injury specialist
27:50will he wake up
27:52we won't know
27:53for several weeks
27:53and then he could
27:55be back to normal
27:56best case scenario
27:58it would take
27:59about a year
27:59before he could be
28:00independent at home
28:02and the worst case
28:04round the clock
28:04nursing care
28:05for severe disability
28:11you let him leave
28:13he insisted on
28:15leaving to work
28:15at a second job
28:17you didn't make
28:18him stink
28:19he was competent
28:20he knew the risks
28:22we honored his
28:23decision to leave
28:24even if he was
28:25a stupid
28:26buddy
28:26i tried to stop him
28:27offered to get him
28:28all the supplies
28:29he'd need to take
28:29care of himself
28:30at home
28:30but he left
28:31before i could
28:32give them to him
28:33he said he couldn't
28:34afford to lose a
28:35paycheck
28:43dr langton
28:47are you okay
28:49yeah i'm just
28:50kind of uh
28:53wondering if i'm
28:53really ready to be
28:54back here
28:55well of course
28:56you are
28:57ten months is a
28:58long time
28:59i almost killed
29:00that kid with an
29:01intubation
29:03didn't even occur
29:04to me to check
29:04for a pneumothorax
29:06there isn't any
29:07trauma to indicate
29:08i should have
29:08caught it
29:15you know i um
29:19i had a deposition
29:20today
29:22and
29:23all the lawyers
29:24questions made me
29:25feel like i was a
29:26really really bad
29:27doctor
29:30we don't always
29:31get everything right
29:32first time
29:34you would have
29:35caught the
29:35collapse
29:36lung
29:37it may have
29:38taken a minute
29:38but you would
29:39have saved
29:39him
29:41not sure robby
29:42would agree
29:42with you
29:43he's been
29:44riding me all
29:45day
29:45well robby's
29:47leaving for
29:47three months
29:48and you know
29:49with robby gone
29:51i really don't
29:51want you to
29:52leave either
29:56that which does
29:57not kill me
29:58makes me
29:58stronger
29:58well
29:59frederick
30:01nietzsche
30:01yeah
30:03nietzsche
30:04yeah
30:04not kelly
30:06clarkson
30:09hey that's a
30:11thick one
30:12austin green
30:13ogilvy's triple a
30:18uh
30:19g-r-e-e-en
30:20yeah why
30:21what are you
30:21doing
30:21checking to see
30:22when we'll get
30:23ogilvy back
30:23from the or
30:25oh shit
30:26what
30:27the guy didn't
30:28make it
30:28he died on the
30:30table about
30:3040 minutes ago
30:31then where's
30:32ogilvy
30:34oh man
30:35his patient
30:36had a ct
30:37a year and a
30:37half ago
30:38that showed
30:38a four centimeter
30:39triple a
30:40it's too small
30:41for surgery
30:42he was supposed
30:43to come back
30:43every six months
30:44for a repeat
30:45ultrasound
30:45but looks like
30:46he didn't
30:46you would've seen
30:47that if the
30:48computers were
30:48working
30:49why wouldn't
30:50he tell ogilvy
30:51maybe forgot
30:52all about it
30:53or ogilvy
30:53didn't ask
30:54the right
30:54questions
30:56dennis
30:57hey
30:57got a minute
30:58uh
30:58sure
30:59what do you
31:00need
31:01teenager
31:01with jewelry
31:02magnets
31:02stuck to
31:03both sides
31:03of her nasal
31:03septum
31:04i tried to
31:05move them
31:05with the
31:05plastic
31:06cure
31:06too much
31:07pain
31:07and then
31:07there was
31:08bleeding
31:08those need
31:09to come
31:09off
31:09before they
31:09cause
31:10permanent
31:10damage
31:10yeah
31:11you think
31:11you could
31:11find like
31:12a senior
31:13or an
31:13attending
31:14we're really
31:14trying to
31:15get off
31:15the clock
31:15here
31:15they're all
31:16busy
31:20i already
31:20took one
31:20for the
31:21team
31:22fine
31:23i don't
31:24on your
31:25yell
31:25lady
31:27inr
31:27is
31:27elevated
31:282.2
31:28liver's in
31:30trouble
31:30but not
31:30dead
31:31yet
31:31tell her
31:32to skip
31:32the turmeric
31:32admit for
31:33monitoring
31:34and follow
31:34the lfts
31:35got it
31:35central 10
31:36yeah
31:42sleep maxing
31:43really
31:44you track
31:45the online
31:45trends
31:45is that
31:46your secret
31:47for the
31:47tough ones
31:48i just
31:49think
31:50what's
31:50the stupidest
31:51thing
31:51this person
31:51could have
31:52done
31:52and assume
31:53they did
31:53it
31:55well
31:55i mean
31:56she was
31:56trying to
31:56be healthy
31:57yeah
31:58i'm taking
31:58advice
31:58from fools
31:59turmeric
32:00is recommended
32:00by a lot
32:01of doctors
32:01yeah
32:02then ask
32:02your doctor
32:03for the
32:03dose
32:03or check
32:04someplace
32:04reputable
32:05like the
32:05cdc
32:06oh right
32:06i forgot
32:07it's now
32:07a medical
32:08toxic waste
32:08site
32:10she's in
32:11pretty bad
32:11shape
32:12things get
32:13worse
32:13she could
32:13need a
32:14liver
32:14transplant
32:14because she's
32:15a big
32:16fucking
32:16idiot
32:18wow
32:20no
32:20i actually
32:21appreciate her
32:22our job
32:23security
32:23depends on
32:24all these
32:24big
32:24fucking
32:25idiots
32:27okay
32:32goodnight
32:32perla
32:33monica
32:35goodnight
32:35dr
32:36robbie
32:36goodnight
32:37bye
32:38emma
32:39you can
32:39stay to
32:40pitch in
32:40dana told
32:41me to
32:42go and
32:42get some
32:42rest
32:42before
32:43tomorrow
32:43shift
32:43yeah
32:44you had
32:44quite a
32:45day
32:45wasn't
32:46so bad
32:49why can't
32:49i find
32:50duke's
32:50results
32:50oh
32:51new
32:51patient
32:52no
32:52eh
32:52chariot
32:53i can
32:54run
32:54over
32:54to
32:54radiology
32:55get
32:55a
32:55print
32:55out
32:56thank
32:56you
32:56monica
33:00ready to
33:01pick up
33:01a few
33:01more
33:02glano's
33:03all tucked
33:03in for
33:03now
33:03how's
33:04he doing
33:04numbers
33:05are good
33:05cpp
33:0622
33:07okay
33:07so he's
33:08got a
33:08shot
33:08at a
33:08decent
33:08outcome
33:09at least
33:09you think
33:10he has
33:11a chance
33:11oh
33:12i don't
33:12know
33:13that survival
33:13was the outcome
33:14he was hoping
33:15for
33:15what
33:17told samir
33:18he's got
33:18a hundred thousand
33:18dollars of medical
33:19debt
33:19that his life
33:20is probably
33:20mrs diaz
33:24how can we help you
33:25in the bathroom
33:26uh yeah
33:28pearly can show you
33:28the way
33:31what a great idea
33:32to have a private
33:33conversation
33:33about a patient
33:34in a public
33:34area
33:36you were about
33:37to start
33:38but i didn't
33:42okay
33:45how long
33:46have they been
33:46in there
33:47at least
33:48two hours
33:48how did it
33:49happen
33:50with
33:50my earring
33:51it was supposed
33:52to be a
33:52red white
33:53and blue
33:54to look cool
33:55at the fireworks
33:56i told her
33:56for the nose
33:57one side only
33:57but she never
33:58listens
33:58this can be
33:59pretty serious
34:00if we don't
34:00get them out
34:01quickly
34:01we'll cut off
34:02the blood supply
34:02and cause
34:03the septum
34:03to collapse
34:05like
34:06my nose
34:07could be
34:07deformed
34:10oh my god
34:11get them off
34:12yep
34:12that's the plan
34:13yeah she tried
34:14already
34:14hurt like crazy
34:15because they're
34:15stuck together
34:16by a very
34:16strong
34:17magnetic force
34:18yeah
34:19no no
34:20oh i'm not
34:21going to use
34:21the tips
34:22i'm going to
34:22flip it around
34:23and use the
34:24handle
34:25it's still
34:25going to hurt
34:26probably not
34:27just hold still
34:32okay
34:37voila
34:38really
34:39that was amazing
34:41i think another
34:42half hour
34:43we can send
34:43this dry race
34:44we're back to
34:44storage
34:45with pleasure
34:45dr rovinovich
34:47yep
34:47results on your
34:48friend
34:54fuck
34:55duke
35:00are you
35:00going to
35:00tell him
35:02i want to
35:02talk to a
35:02surgeon
35:03dr rovi
35:04i have an
35:04update on
35:05the patient
35:05but that
35:05is not
35:06a great
35:06time
35:06oh
35:07thought you
35:07were going
35:07home
35:08uh i was
35:09dr ogilvy
35:10is just sitting
35:11out in the
35:11ambulance bay
35:12covered in
35:12blood
35:12sorry what's
35:13he doing
35:14out there
35:14kind of uh
35:15staring off
35:16into space
35:16i tried to
35:17talk to him
35:17but it was
35:17like he
35:18couldn't
35:18hear me
35:18monica
35:19can you
35:19step
35:19page
35:19coding
35:20with the
35:20rest
35:20yeah i'll
35:21go check
35:21on ogilvy
35:22please
35:25oh
35:37hey
35:38ogilvy
35:41ogilvy
35:45you okay
35:45you okay man
35:5299 on
35:52two liters
35:53scattered
35:54and expiratory
35:55wheezes
35:56he is so
35:57much better
35:57the steroids
35:59should kick
35:59in soon
36:00so he'll
36:00keep improving
36:02um
36:03when can i
36:04go home
36:04in a day
36:05or two
36:06and we will
36:07discharge you
36:08with a
36:08symbicort
36:09inhaler
36:09that should
36:10last about
36:10a month
36:12hopefully
36:12we'll be
36:13back on
36:13medicaid
36:14by then
36:14how'd you
36:15lose it
36:16they sent
36:17a redetermination
36:18letter to
36:19our old
36:19apartment
36:20it didn't
36:21get forwarded
36:22when i went
36:23to pick up
36:23his prescription
36:25pharmacist
36:25told me
36:26we were
36:26no longer
36:26covered
36:28and you
36:29haven't been
36:29able to get
36:29it back
36:30since
36:30i've been
36:31trying
36:31for months
36:33to get
36:33re-enrolled
36:34you need
36:34tax returns
36:35pay stubs
36:37i cut hair
36:37my income
36:38fluctuates
36:40a lot of
36:40my regulars
36:41are struggling
36:42so
36:43it's been
36:44tough
36:45well if you
36:46run out of
36:47symbicort
36:47before your
36:48medicaid
36:48kicks in
36:48you can come
36:49back and
36:50we'll set
36:50you up
36:51with another
36:51one
36:53is there
36:53a patient
36:54in here
36:54because
36:55everyone in
36:55this room
36:55looks extremely
36:56healthy to
36:57me
36:57dr shen
36:58and i
36:58will be
36:59with grady
36:59all night
36:59long
37:00day shift
37:01we got
37:01this
37:02we're
37:02leaving
37:03you in
37:03good
37:03hands
37:05i was
37:06really
37:06scared
37:08thank you
37:11you're
37:12very
37:12welcome
37:17due to
37:17his injury
37:18things have
37:19changed
37:21i was
37:21looking for
37:22dr abbott
37:23i haven't
37:24seen him
37:24for a
37:25while
37:26excuse
37:27me
37:30so now
37:31with a
37:31long-term
37:32disability
37:32things may
37:33be easier
37:35easier
37:36his condition
37:37will qualify
37:38him for
37:38medicare
37:39and medicaid
37:39so moving
37:40forward
37:40costs should
37:41be covered
37:42including
37:43home health
37:43care
37:44perhaps this
37:45isn't the
37:46best time
37:46i just wanted
37:47to reassure
37:48you about
37:48future costs
37:58robbie
37:59noel
38:02you're
38:02you're still
38:02here
38:03it's not
38:03the best
38:04day
38:04to try
38:04to get
38:04out
38:05on time
38:05hmm
38:07so i guess
38:08this is it
38:08for a while
38:08unless you
38:09want to
38:09come with
38:09me
38:10no
38:11thank you
38:12even if it
38:13isn't a
38:14legitimate
38:14offer
38:14what do you
38:15mean
38:15oh please
38:16i know
38:16well enough
38:17not to get
38:17in between
38:18a man
38:18and his
38:19vision
38:19quest
38:21vision quest
38:22that is my
38:24nice way
38:25of putting
38:25it
38:27i probably
38:28don't want
38:28to hear
38:28you're not
38:29so nice
38:29way of
38:29putting it
38:30no probably
38:31not
38:33i i hope
38:34that this
38:35is not
38:35um about
38:37you running
38:38away from
38:38me i'm a
38:39big girl
38:39you can tell
38:40me just
38:40to get
38:40lost
38:41this has
38:42nothing to
38:42do with
38:42you
38:43oh right
38:44it's the
38:45old uh
38:45it's not
38:46you it's
38:47me
38:48in this
38:49case it's
38:49actually
38:50true
38:57excuse me
39:05i'll see you
39:05next week
39:06it's a three
39:06month sabbatical
39:07like i said
39:08i will see you
39:08next week
39:16my first
39:17day here
39:17as a med
39:18student
39:19there was
39:20a patient
39:22he was a
39:23really nice
39:24guy
39:24came in
39:25with belly
39:25pain
39:27i saw
39:28a gallstone
39:29on the
39:30ultrasound
39:31normal ekg
39:32troponin
39:33the pain
39:33resolved
39:34and he
39:36was in
39:36the hall
39:36when he
39:37had a
39:37cardiac
39:37arrest
39:41i couldn't
39:42save him
39:44people die
39:47and we
39:48do the
39:48best we
39:48can
39:50but people
39:51die
39:54you ever
39:55get used
39:55to that
39:58no
40:00no
40:01you
40:03you
40:04you try
40:04to accept
40:04it
40:07you try
40:08to find
40:08balance
40:14i don't know
40:15if i can
40:16take another
40:16day like
40:16today
40:19primary care
40:20specialty
40:20sounds way
40:21better
40:22peds
40:23maybe
40:23yeah
40:25maybe
40:27i know
40:28i'd be
40:28bored
40:29out of
40:29my
40:29fucking
40:30mind
40:31seriously
40:32i like
40:33the challenge
40:34of undiagnosed
40:35illness
40:35of
40:36quick
40:37decisions
40:38of
40:39life-saving
40:39procedures
40:40and i
40:41like
40:42being here
40:43for people
40:43on the
40:43worst days
40:44of their
40:44lives
40:54you know
40:54what i
40:54think
40:56what
40:57i think
40:58you should
40:58go home
41:00i think
41:00you should
41:01sleep on
41:01it and
41:01i think
41:02you should
41:02at least
41:02wait till
41:03the morning
41:03to decide
41:04if you
41:04want to
41:04come back
41:08i don't
41:09really
41:09want to
41:11go back
41:11in there
41:11and see
41:12anybody
41:13yeah
41:16okay
41:16pull off
41:17your gown
41:17i'll take
41:17it in
41:19shift
41:19is over
41:21go home
41:36oh god
41:37no
41:37sorry
41:38i'm good
41:38i'm good
41:38i'm good
41:39he's a tummy
41:40in a wheelchair
41:41uh yeah
41:42he moves
41:42around
41:46i see
41:46i've been
41:47replaced
41:48oh
41:49did i take
41:49your spot
41:50not really
41:50no
41:51are you sure
41:51where the hell
41:52have you been
41:52i found ogilvy
41:54and
41:56and he's
41:57going home
41:58that's it
41:59it's a long
42:00story
42:00well i got
42:01nothing but
42:02time
42:02i need to
42:03respect his
42:04privacy
42:04where's the
42:05fun in that
42:07i'm sorry
42:16um the shredder
42:17jam
42:18yeah
42:18i'll try
42:19putting it
42:19in reverse
42:23perfect
42:24just give it
42:25a little
42:25love tap
42:27kick it
42:29jesus christ
42:30i guess mr
42:34dick b got a room
42:34upstairs
42:35in your dreams
42:36he's not in
42:37south 21
42:38there he is
42:40there's a new
42:40guy in the bed
42:42short hair
42:43clean shapes
42:44take care of it
42:47scald
42:47and i'm sure
42:47i have his pathology
42:48so we're going to
42:49the ct
42:49and dream
42:49the textbook is
42:50sending out again
42:51losing eight centimeters
42:53fifty percent one year mortality
42:55so he definitely needs surgery
42:56if he wants to live
42:57okay well he's a friend
42:59so i will talk to him
43:00i'll get him admitted to your service
43:01not today
43:02why not
43:03he needs to do cardiology
43:04and pulmonary
43:05for us to be cleared for the or
43:06they can do a stress echo
43:07pfgs
43:08he needs to be admitted
43:09and evaluated as an inpatient
43:10nothing ever gets done
43:11over a holiday weekend
43:12he can take it easy at home
43:13he's taking time bomb
43:14he's probably been that way
43:15for years
43:16we can get him in early
43:16next week with a specialist
43:18get his testing done
43:19all goes well
43:19he's on the or schedule
43:20in a week
43:21what happens if it ruptures
43:22before then
43:22call 9-1-1
43:24sorry robbie
43:25best we can do
43:25text me his number
43:26i'll have my office coordinate
43:30fuck
43:30hey
43:31take a walk
43:32come on
43:37two for discharge
43:39yeah please don't ring the bell
43:40the computers are like a button running
43:42not for these two
43:43they don't have electronic
43:44health records yet
43:44wait hold up
43:46this kid had a wrist x-ray
43:47ordered
43:48ugh
43:49it never happened
43:50and water skiing lady
43:51still waiting on a knee series
43:52i cancelled the x-rays
43:53diagnosed them both
43:54with ultrasound
43:56really
43:57yeah
43:59the little boy
44:00had a simple
44:01buccal fracture
44:01distal radius
44:02he got a velcro splint
44:03and mrs stegman
44:05had a small
44:06medial meniscus tear
44:07the immobilizer crutches
44:08and a follow up
44:08with ortho
44:09could have used you
44:10on the day shift today
44:11they don't teach us
44:12a lot of musculoskeletal
44:13ultrasound
44:14i know
44:15that's why i did
44:16electives at harvard
44:17and highland
44:18are you applying
44:19for an ultrasound
44:20fellowship here
44:20i am
44:21but it is so
44:22competitive
44:24that's what i hear
44:25kind of a long shot
44:26i only have one publication
44:27but it's a series of case reports
44:29diagnosing shoulder dislocations
44:30with ultrasound only
44:32if you want to learn
44:32some msk
44:33you can tag along
44:34i got three more to scan
44:35maybe some other time
44:37cool
44:42hey don't try him
44:43in the shredder
44:44what is that
44:45two charts
44:45no it's my
44:46ultrasound fellowship
44:47application
44:50hey
44:52sorry
44:53got your patient
44:55yeah
44:55lendo's in pretty bad shape
44:57oh no
44:58i was talking about
44:59the triple a guy
45:00you worked on
45:01with ogilvy
45:06he didn't make it
45:07through surgery
45:08i tried to talk
45:09to robbie about it
45:10but i think
45:10he's busy
45:12excuse me
45:16oh shit
45:22you think i'm on edge
45:23first you're shaming samira
45:25then mckay
45:25they both need to be called out
45:26for an exceptional behavior
45:27yeah well you do that in private
45:29same place
45:29you share your thoughts
45:30about a patient's possible suicide
45:31and slamming stuff
45:32please
45:33sign out all this shit
45:34that's bugging you
45:35and get out of here
45:35i can't
45:36yes you can
45:38when either of my kids
45:38was acting like this
45:39i gave them a time out
45:40in their room
45:40whoa whoa
45:40you're not my mother
45:41yeah
45:42well too bad
45:43you need that
45:43no i had one
45:44she left
45:44i don't need another one
45:45and what i need is someone
45:46who can actually run this place
45:47while i'm gone
45:47okay i'm sorry
45:48i didn't know
45:49nobody knows
45:50who needs to know
45:51who gives a fuck
45:52i think you need a break
45:54that is what the sabbatical is for
45:55that's starting now
45:56walk away
45:57i have too much to do
45:58let someone else talk to duke
45:59no that needs to come from me
46:01why
46:03because i owe him that
46:04it needs to come from a friend
46:06not a stranger
46:06otherwise he's gonna bail
46:07and drop dead while i'm gone
46:08okay
46:09wrap that up
46:10and then leave
46:12it's not just duke
46:13i'm not sure that alashimi
46:14is fit to run this place
46:15what's that supposed to mean
46:15i'm not sure
46:16i'm trying to figure that out
46:17did you know that she wants
46:18to have two attendings on
46:19at all times
46:20no
46:20is that something she's
46:21worked out with gloria
46:21i don't know
46:22i also don't know
46:23if langdon is going to relapse
46:25i don't know if whitaker
46:26is going to be able
46:26to take care of my shit
46:27i don't know if javadi
46:28is going to give up
46:29on what she's good at
46:30or if samira's going to
46:30flame out because
46:31it's a bullshit with her mother
46:32is there anything else
46:33yeah you
46:34i don't know about you
46:36running around
46:36with a full syringe
46:37of verset in your pocket
46:38i'm worried about the people
46:39that i care about
46:41we'll all manage
46:42until you come back
46:43we always do
46:44yeah what if i don't come back
47:13you
47:14you
47:18you
47:28you
47:29you
47:29you
47:30you
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