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The P.i.t.t - Season 2 Episode 13 - Eng Sub [Full Movie] [Free Online HD]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
16:11Just in the reef
16:19How's it going?
16:20Just about to start
16:21Securing 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 tried and true since 1890 okay go ahead with the incision
16:42hey you worked with dr alishimi at the va i did for hello during my r2 rotation and then
16:50one again last year okay handrails all set maybe you should do this part
16:59i don't know there's a safety stop here you can't go too deep it's not brain surgery
17:10okay stay perpendicular yeah good all right now four turns to get through the outer table
17:18yep and half turns till you penetrate the skull
17:31three
17:35four 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 what do you say we trim up those gorgeous locks
17:50here 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 noticed by the ladies
18:04maybe just a trim great i'm thinking of pixie cut what okay a couple husband benji's here all the
18:12time 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 well i live in pittsburgh in fact they live in my
18:32old house
18:35your daughter lives in your house yeah where do you live wherever 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 intracranial 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
19:27at survival 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 fell to pop remove the stylet
19:42okay let it drain a bit
19:46and now pinch it shut perfect 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
20:05you asked me to see a patient with the night intern you said yeah 48 year old woman new onset
20:12jaundice elevated liver enzymes no history of alcohol use take your pick hepatitis a b c d or e
20:20no risk factors no fever tylenol never no prescription meds does she eat polar bear liver
20:28it can cause vitamin a toxicity no she uh doesn't eat meat kind of a health nut well maybe she's
20:36gulping
20:36down cod liver oil to prevent measles vegan no fish would you uh mind lay nice on her seriously you
20:45have a way of figuring out the weird stuff take the compliment okay fine five minutes at the bedside
20:52that's it we're already gonna 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 feeling
21:09better baby you scared the 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
21:22without buterols 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 to
21:38prevent the infection exactly now you hold the knuckle steady while i pull it through
21:47and you can staple the wound shut that looks like something from home depot yeah big fourth of
21:54july sale the brain pressure is measured by the height of the fluid column we need calibrated to zero at
22:00the level of the tragus stop coxon ready to attach first trip on ends normal but you need a second
22:05to rule
22:07um
22:07which is the quality of your body so much factor can make sure you guys got them to do the
22:08list of your body must be uh...
22:15it's good to do it but i'm not sure you have enough for the magic to be able to do
22:22it
22:22and then you'll find your results your body will be so much for the purpose of the way before you
22:29put your body to be canceled and that you're out of the way before it's like you're gonna keep your
22:31body
22:35but this morning when she was checking labs on baby jane doe it was like she zoned out for a
22:40few
22:40seconds maybe she was just tired
22:51no congestion nodules or cirrhosis good looking liver i should not be sick
22:58i worked so hard to stay healthy diet exercise eight hours of sleep i can't remember the last
23:05time i got eight hours maybe you should try sleep maxing oh you definitely should yeah cold room
23:13white noise eye shades kiwis before bedtime lettuce water mouth taping who do you follow for health
23:20a few naturopaths and some functional healers do you buy vitamins from them oh no no i don't take
23:26vitamins food is the best medicine kale blueberries kidney beans turmeric turmeric uh how long you
23:33been taking that for a few months it's an anti-inflammatory it detoxes the body and it
23:37can prevent alzheimer's how much do you take 500 milligram capsules but i take five a day
23:46what with doses that large of turmeric there have been cases of liver failure
23:50from eating a spice all right digby i think you're good to go would you like to see
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 stay well they know your voice they know where you hang out they even remember that you
24:28used to look like this they 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
24:56seemed 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
25:08anything else i don't know you tell me anything else i need to know
25:13i don't think so
25:15this is dr robin the ed i'm checking out a patient eakins
25:18we can take larson and stevens off the dryer race consider it done
25:22he's in the scanner now oh great no i was just calling to confirm thank you
25:27any new information from upstairs nothing we all already know
25:30same old story huh you think we should take up a collection for jesse
25:34for bail money they don't usually send bail until after you've appeared in front of a judge
25:39the holiday it's not likely to happen till monday
25:41so he's gonna be locked up all weekend
25:42that sucks
25:44it does suck
25:47dr langdon
25:47grady's worse
25:48much worse
25:49nina tending
25:50uh 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 it's time to intubate
26:00a couple
26:00ma'am we have to put a tube down your son's windpipe so a machine can breathe for him
26:05oh my god
26:06hold on hold on
26:07no lungs 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 that would have caused the pneumothorax
26:19what about dr king
26:21in asthma you can get air trapping
26:24when the lungs can't fully exhale eventually they overinflate causing some of the tiny air sacs to burst
26:29how do you fix it
26:36like that
26:43it's a good thing dr connelly was here
26:45yeah
26:46we should probably try to find him in a neurocritical icu bed we don't want to board a patient like
26:49this
26:49mhm
26:50hey robbie
26:51hey how did the scan go
26:53fine
26:54it is probably going to take a little while to get the results from the radiologist
26:57well that's not a problem nurse
26:59debbie and i need a little time to coordinate our schedules over the next few months
27:03really
27:03yeah i've always wanted to learn how to ride a motorcycle and duke offered to teach me
27:08nobody knows motorcycles like duke
27:10he's giving me the health care worker discount
27:12he's quite the gentleman
27:13let's get him back to his room
27:16how would next saturday be for you baby
27:18maybe we could have some dinner after
27:22dr mohan lori diaz is here she wants to see your husband she's heading back
27:25okay i'm on my way
27:29mrs diaz
27:30hi
27:30they don't let him go up to his room yet
27:34no
27:35i brought him some dinner from burgatory
27:37it's a chicken burger
27:38no bun just lettuce
27:40figured it would be better than hospital food
27:46he's being treated by our top brain injury specialist
27:50will he wake up
27:52we won't know for several weeks
27:53and then he could be back to normal
27:56best case scenario
27:58it would take about a year
27:59before he could be independent at home
28:02and the worst case
28:04round-the-clock nursing care for severe disability
28:11could you let him leave
28:13he insisted on leaving to work at a second job
28:17you didn't make a mistake
28:19he was competent
28:20he knew the risks
28:22we honored his decision to leave
28:24even if he was a stupid bun
28:26i tried to stop him
28:27offered to get him all the supplies he'd need
28:29to take care of himself at home
28:30but he left before i could give them to him
28:33he said he couldn't afford to lose a paycheck
28:43dr langton
28:47are you okay
28:49yeah i'm just kind of uh
28:53wondering if i'm really ready to be back here
28:55well of course you are
28:57ten months is a long time
28:59i almost killed that kid with an intubation
29:03didn't even occur to me
29:04you need to check for a pneumothorax
29:06there isn't any trauma to indicate
29:08i should have caught it
29:15you know i um
29:19i had a deposition today
29:22and
29:23all the lawyers questions
29:24made me feel like i was a really
29:26really bad doctor
29:30we don't always get everything right
29:32first time
29:34you would have caught the collapse lung
29:37and it may have taken a minute
29:38but you would have saved him
29:41not sure robbie would agree with you
29:43he's been
29:44riding me all day
29:45well robbie's leaving for three months
29:48and you know
29:49with robbie gone
29:51i really don't want you to leave either
29:56that which does not kill me makes me stronger
29:59wow
30:00frederick needs you
30:02yeah
30:03need you
30:04yeah
30:05not carly clarkson
30:10hey that's a thick one
30:12yeah austin green
30:13ogilvy's triple a
30:18uh g-r-e-e-n
30:20yeah why what are you doing
30:21checking to see when we'll get ogilvy back from the or
30:25oh shit
30:26what
30:27the guy didn't make it
30:28he died on the table about 40 minutes ago
30:31then where's ogilvy
30:34oh man
30:35his patient had a ct a year and a half ago
30:38that showed a four centimeter triple a
30:40it's too small for surgery
30:42you were supposed to come back every six months for a repeat ultrasound
30:45but looks like you didn't
30:46you would have seen that if the computers were working
30:49why wouldn't you tell ogilvy
30:51maybe forgot all about it
30:53or ogilvy didn't ask the right questions
30:56dennis
30:57hey
30:57got a minute
30:58uh sure
30:59what do you need
31:00teenager with jewelry magnets stuck to both sides of her nasal septum
31:04i tried to move them with the plastic cure
31:06too much pain and then there was bleeding
31:08those need to come off before they cause permanent damage
31:10yeah you think uh you could find like a senior
31:13or an attending
31:14we're really trying to get off the clock here
31:15they're all busy
31:19i already took one for the team
31:22fine
31:24yeah labs on your yellow lady
31:27ionr is elevated 2.2
31:29liver's in trouble but not dead yet
31:31tell her to skip the turmeric
31:32admit for monitoring and follow the lfts
31:35got it central 10
31:36yeah
31:42sleep maxine really
31:44i'm gonna track the online trends
31:45is that your secret for the tough ones
31:48i just think what's the stupidest thing this person could have done
31:52and assume they did it
32:20well i mean she was trying to be healthy
32:23security depends on all these big fucking idiots
32:27okay
32:32good night perla
32:33monica
32:34good night dr robbie
32:36good night
32:37bye emma
32:39you could stay to pitch in
32:41dana told me to go and get some rest before tomorrow's shift
32:43yeah you had quite a day
32:45it wasn't so bad
32:49why can't i find duke's results
32:50oh new patient no ehr yet
32:53i can run over to radiology get a print out
32:56thank you monica
33:00ready to pick up a few more
33:02lano's all tucked in for now
33:03how's he doing
33:04numbers are good
33:05cpp 22
33:07okay so he's got a shot at a decent outcome at least
33:10you think he has a chance
33:11oh i don't know that survival was the outcome he was hoping for
33:16what
33:17told samir he's got a hundred thousand dollars of medical debt
33:19that his life is probably
33:20mrs diaz
33:24how can we help you
33:25in the bathroom
33:26uh yeah perla can show you the way
33:31what a great idea to have a private conversation about a patient in a public area
33:35i know
33:36you were about to start
33:38but i didn't
33:42okay
33:45how long have they been in there
33:47at least two hours
33:48how did it happen
33:50with my earring
33:51it was supposed to be a red white and blue to look cool at the fireworks
33:56i told her for the nose one side only but she never listens
33:58this can be pretty serious if we don't get them out quickly
34:01we'll cut off the blood supply and cause the septum to collapse
34:05like
34:06my nose could be deformed
34:35oh my god get them off
34:39really that was amazing
34:41i think another half hour we can send this dry race we're back to storage
34:45with pleasure
34:46dr robinovich
34:47yep
34:47results on your friend
34:54fuck
34:55duke
35:00are you gonna tell him
35:01i want to talk to a surgeon
35:03dr robbie i have an update on the patient but that is not a great time
35:06oh
35:07i thought you were going home
35:08uh i was
35:09dr ogilvy is just sitting out in the ambulance bay covered in blood
35:12sorry what's he doing out there
35:14kind of uh staring off into space
35:16i tried to talk to him but it was like he couldn't hear me
35:18monica can you step page code with the rest of
35:20yeah i'll go check on ogilvy
35:22please
35:36oh
35:38hey ogilvy
35:41ogilvy
35:44you okay man
35:5199 on 2 liters
35:53scattered and expiratory wheezes
35:55he is so much better
35:57the steroids should kick in soon
36:00so he'll keep improving
36:02um
36:03when can i go home
36:05in a day or two
36:06and we will uh discharge you with a simbacort inhaler
36:09that should last about a month
36:12hopefully we'll be back on medicaid by then
36:14how'd you lose it
36:16they sent a redetermination letter to our old apartment
36:20it didn't get forwarded
36:22when i went to pick up his prescription
36:25pharmacist told me we were no longer covered
36:28and you haven't been able to get it back since
36:30i've been trying for months
36:33to get re-enrolled you need tax returns pay stubs
36:37i cut hair
36:37my income fluctuates
36:40a lot of my regulars are struggling
36:42so
36:43it's been
36:44tough
36:45well if you run out of simbacort before your medicaid kicks in
36:48you can come back and we'll uh set you up with another one
36:52ah is there a patient in here
36:54because everyone in this room looks extremely healthy to me
36:57dr shen and i will be with grady all night long
37:00day shift we got this
37:02we're leaving you in good hands
37:04um
37:06i was really scared
37:08thank you
37:11you're very welcome
37:17due to his injury things have changed
37:21i was looking for dr abbott
37:23i haven't seen him for a while
37:26excuse me
37:30so now with a long-term disability things may be easier
37:35easier
37:36his condition will qualify him for medicare and medicaid so moving forward costs should be covered including home health care
37:44perhaps this isn't the best time i just wanted to reassure you about future costs
37:58robbie
38:00noel
38:02you're still here
38:03it's not the best day to try to get out on time
38:05hmm
38:07so i guess this is it for a while
38:08unless you want to come with me
38:10no
38:11thank you
38:12even if it isn't a legitimate offer
38:14what do you mean
38:15oh please
38:16i know well enough not to get in between a man and his vision quest
38:21vision quest
38:22that is my nice way of putting it
38:27i probably don't want to hear you're not so nice way of putting it
38:30no probably not
38:33i 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 lost
38:41this has nothing to do with you
38:43oh right
38:44it's the old uh it's not you it's me
38:48in this case it's actually true
38:57excuse me
39:05i'll see you next week
39:06it's a three month sabbatical
39:07like i said i will see you next week
39:16my first day here as a med student
39:19there was a patient
39:22he was a really nice guy
39:24came in with belly pain
39:27i saw a gallstone on the ultrasound
39:31normal ekg
39:32troponin
39:33the pain resolved
39:34and
39:35he was in the hall when he had a cardiac arrest
39:41i couldn't save him
39:44people die
39:47and we do the best we can
39:50but 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 fucking mind
40:31seriously
40:32i like the challenge of undiagnosed illness
40:35of
40:36quick decisions
40:38of life-saving procedures
40:40and i like being here for people on the worst days of their lives
40:53you know what i think
40:56what
40:57i think you should go home
41:00i think you should sleep on it
41:01and i think you should at least wait till the morning
41:03to decide if you want to come back
41:08i don't really want to
41:11go back in there and see anybody
41:13yeah
41:16okay pull off your gown i'll take it in
41:19shift is over
41:21go home
41:36oh god
41:37no i'm sorry
41:38i'm good i'm good i'm good
41:39he's a tummy in a wheelchair
41:41uh yeah he moves around
41:46i see i've been replaced
41:48oh did i take your spot
41:50not really no
41:51are you sure
41:51where the hell have you been
41:52i found ogilvy
41:54and
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
42:07i'm sorry
42:16um the shredder jam
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
42:38there he is
42:40there's a new guy in the bed
42:42short hair clean shakes
42:44take care of it
42:46he's going to have his pathology
42:48so we're going to be sitting in the gym
42:49the textbook is sending 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 first
43:05to 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 a ticking time bomb
43:14he's probably been that way for years
43:16we can get him in early next week
43:17with 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 911
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 back up
43:41and 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
44:03velcro splint
44:03and mrs stegman
44:05had a small
44:06medial meniscus tear
44:07the immobilizer
44:07crutches
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
44:16and 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
44:26only i 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 some msk
44:33you can tag along
44:34i got three more to scan
44:35maybe some other time
44:37cool
44:42hey don't jam the shredder
44:44what is that two charts
44:45no it's my ultrasound
44:46fellowship application
44:50hey
44:52sorry
44:53about 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 he'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 acceptable 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
45:33please
45:33sign out all this shit
45:34that's bugging you
45:35and get out of here
45:35i can't
45:37yes 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
45:45what i need is someone
45:46who could actually run
45:46this place while i'm gone
45:47i'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 i'm trying to figure that out
46:17did you know that she wants to have two attendings on at all times
46:20no
46:20is that something she's worked out with gloria
46:21i don't know
46:23i also don't know if langdon is going to relapse
46:25i don't know if whitaker is going to be able to take care of my shit
46:27i don't know if javadi is going to give up on what she's good at
46:30or if samira is going to flame out because of some bullshit with her mother
46:32is there anything else
46:33yeah you
46:34i don't know about you running around with full syringe
46:37verset in your pocket
46:38i'm worried about the people that i care about
46:41we'll all manage until you come back
46:43we always do
46:44yeah what if i don't come back
46:46you
46:46but i don't know if i don't know that it's a huge event so that i can't really know if
47:16i don't have anything to do
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