- 1 day ago
Watch House Three Stories Season 1 Episode 21 online in HD on Dailymotion.
Category
🎥
Short filmTranscript
00:00He is not sick.
00:02Dr. Riley is throwing up. He obviously can't lecture.
00:05You witness the spew, or you just have his word for it?
00:08I think I'm coming down with a little bit of the clap.
00:10I may have to go home for a few days.
00:11Dr. Riley doesn't have a history of lying to me.
00:14You said this is the fifth time he's missed a class this year.
00:17Either he's dying or he's lying.
00:18I'll give you two hours off clinic duty.
00:20Fine. I'll have Cameron do it. She loves inspiring the inspired.
00:23You'll do it.
00:25Why is it always me?
00:26Because the world hates you.
00:27Or because it's a class on diagnostics.
00:30Pick whichever reason feeds your narcissism better.
00:33I'm not doing it.
00:47You're supposed to stop me.
00:49Renegotiate.
00:50And you were supposed to keep on walking.
00:52Sorry, I guess we both screwed up.
00:53Go on, do it again.
00:56I'll do the lecture for four hours off clinic.
00:58Two.
00:59I know you'd rather spend a couple of hours listening to yourself than listening to patients.
01:05Class starts in 20 minutes.
01:10Dr. House is a patient.
01:11I'm out of here. Take it up with Cuddy.
01:13Greg.
01:21Hi, Stacy.
01:24How you doing?
01:26How am I doing?
01:29The last five years have been like...
01:32Did you ever see those Girls Gone Wild videos?
01:35Your life's been like that or your life's been spent watching them?
01:43I have missed you.
01:46Is that why you're here?
01:53I need your help.
02:05Who am I looking at?
02:07My husband.
02:12Who is suffering abdominal pain and fainting spells?
02:17No sign of tumors.
02:18No vasculitis.
02:20Could be indigestion.
02:23Or maybe a kidney stone.
02:26Little water wallop.
02:27Did you think I wasn't going to get married?
02:31Not to someone so poorly endowed.
02:34This guy's pancreas is pathetic.
02:40There is no kidney stone.
02:42No indigestion.
02:43Three hospitals.
02:44Five doctors.
02:44Not one of them found anything.
02:46Maybe there's nothing to be found.
02:48Right.
02:48You suddenly trust doctors love puppies and long walks in the rain.
02:51Walks her out.
02:54I was around you long enough to know when something's not right.
02:57Walks her personality changes, he's acting strange, disconnected.
03:01Interesting.
03:03He's either a neurological component or he's having an affair.
03:07No affair?
03:08No nothing.
03:08He's sick.
03:11Why, now you're not too busy.
03:12You avoid work like the plague.
03:14Unless it actually is the plague.
03:16I'm asking you a favor.
03:19I'm not too busy.
03:23But I'm not sure I want him to live.
03:28It's good seeing you again.
03:30I'm not too busy.
03:31I'm not too busy.
03:47I'm not too busy.
03:49I'm not too busy.
03:51I'm not too busy.
03:53I'm not too busy.
03:54I'm not too busy.
03:54I'm not too busy.
03:56I'm not too busy.
03:57I'm not too busy.
03:57I'm not too busy.
03:58I'm not too busy.
03:58I'm not too busy.
03:58I'm not too busy.
03:58I'm not too busy.
03:58I'm not too busy.
04:19Three guys walk into a clinic.
04:23Their legs hurt.
04:25What's wrong with them?
04:29I'm not going to like you, am I?
04:31The most likely cause of leg pain is muscle strain.
04:34Apply heat in breast-affected areas.
04:37Statistically, you're right. Very good.
04:39My experience, over half of leg pain is musculoskeletal, generally, from excessive exercise.
04:45Twelve percent is varicose veins brought on by pregnancy, and most of the rest is the result of vehicular accidents.
04:52I said three people. That's six legs.
04:54So you've got three hurt jogging, two in collisions, and one of the legs is pregnant.
05:01What were they doing when pain presented?
05:03I have no idea.
05:04You didn't ask? You didn't take the history?
05:06Of course. But all that told us was what they said happened.
05:10Person A, farmer, says he was fixing a fence.
05:17Tightness in the ankle. Loss of muscle control.
05:21Person B, volleyball practice.
05:29Coach figured it was a pulled muscle.
05:32And C, we've got Carmen Electra golfing.
05:39Whoa, you treated the Baywatch chick?
05:41The Baywatch thespian.
05:43And no.
05:45We've got to disguise the identity of each of the patients, and I got tired of using the middle-aged
05:49man.
05:50Carmen seemed like a pleasant alternative.
05:53Also, she's apparently quite the golfer.
05:55In less than two hours, one of these three will be tossed out of the hospital because they were faking
06:01it to score narcotics.
06:02And one will be very close to death.
06:07Any guesses on which is which?
06:11Okay. I say we start with the farmer.
06:15Did you hike to the fence, and how far?
06:19Yes. It's about a half a mile from my farmhouse.
06:23And where is the pain localized?
06:24It started just above my ankle, and it's radiating up.
06:28So, what should we do first?
06:30Family history.
06:32Indicative of leg pain? That's a very short list.
06:34Any history of bone cancer?
06:36Osteogenesis imperfecta or multiple myeloma?
06:39Could be a blood issue.
06:41We should run a CBC and a D-dimer.
06:43And get an MRI.
06:44MRI or a PET scan?
06:46If the problem's vascular, he's better off.
06:48Sorry. Thanks for playing.
06:50Patient's dead.
06:51You killed him.
06:54We had no time to run any tests. There was nothing we could do.
06:57You had time to look at the leg.
07:04I thought we were starting with the farmer's case first.
07:07We are.
07:08But if we're gonna look at the leg, I need you to take off your pants.
07:39I need you to take off your pants.
07:41Puncture.
07:42Snake bite.
07:43That would be my guess.
07:44Farmer didn't know you'd been bitten by a snake.
07:46That's what he said.
07:47Sudden shooting pain, tall grass, never saw a thing.
07:51What kind of snake?
07:52You want me to tell you what kind of snake it was from the shape of the hole in the
07:54leg?
07:55How are we supposed to know what kind of anti-venom to use if we don't know what kind of
07:58snake it is?
07:58Oh, there are people to find those things out.
08:01Shouldn't we wait for the Humane Society or something?
08:04That might only have a couple of hours.
08:13And while we wait for the Humane Society to show up, let's say we check in on the volleyball player.
08:20You have tendinitis.
08:23How old is this person?
08:25I mean, it's not really a 40-year-old man on the girls' volleyball team, right?
08:29It's a leg.
08:30Leg's a leg's a leg.
08:31Well, I was just worried that...
08:33Would you worry about her more if she was younger?
08:36Well, obviously we should care about all our patients, no matter what age, what...
08:40Yeah, right.
08:41I saw the way you were looking at Carmen.
08:43She's mine.
08:44Stay away.
08:46Would you operate on your mother?
08:48Of course not.
08:50I'd be too nervous.
08:51Couldn't be objective.
08:53Then why are you so anxious to treat every patient like their family?
08:56The actual patient is 16.
08:59Here's what happens when doctors care too much.
09:02I need to know everything about you.
09:07I went back three generations, no history of cancer, Parkinson's or any other degenerative condition.
09:12But there's this boy at school and he's on the boys' volleyball team and they made out at a party
09:16and now we won't call her back.
09:17And this friend of hers at school said this boy didn't like her and never did.
09:21You got all this from an examination of the knee?
09:23I think she's depressed.
09:24She doesn't have tendinitis.
09:25She has tendinitis.
09:26She's depressed about having tendinitis.
09:27She's depressed for the same reason that she has tendinitis.
09:29Not the boy.
09:29No, the boy's a jerk.
09:31She knows that and yet she's depressed.
09:33I found a nodule.
09:35Ah.
09:36Problems with the thyroid gland causes depressed mental state can cause inflammation of the tendons.
09:42I'll run the tests.
09:44So, because she took such an extreme interest, she found out that the person had a thyroid condition?
09:49No.
09:50Because she took such an interest, she discovered a tiny nodule.
09:54Which in reality signified nothing but gave us no choice but to put a person with tendinitis through an expensive
10:00and painful test.
10:08Here's how a well-adjusted doctor handles a case.
10:18Can I put my pants back on now?
10:20I'd rather you didn't.
10:21Which Carmen Electra is this?
10:23The first one.
10:24The golfer.
10:26Then why isn't she wearing pants?
10:30You have decreased reflexes in your patellar tendon.
10:34Anyone?
10:35Slip disc?
10:36Could be.
10:37How bad does it hurt?
10:39It hurts really, really bad.
10:41Yeah.
10:42It doesn't seem real.
10:43Is she the one faking?
10:45Oh, for God's sake.
10:46She's here to play into my fantasy, not because she's Meryl Streep.
10:53Fine.
10:54What the hell is wrong with me?
10:57Do something!
11:00Too much pain to be a slipped disc.
11:02Could be herniated and impinging the nerve root.
11:04Or it could be referred pain from his groin.
11:06Sir, are you getting pain?
11:09He's curling, it's not the back.
11:11Sir, where are you getting pain?
11:13Help me!
11:13He's not gonna tell us anything if we don't get him out of pain.
11:16Give him 50 milligrams of Demerol.
11:18We have no history.
11:19He could be allergic.
11:20What do I do?
11:21We can't diagnose him while he screams.
11:23Better than killing him with painkillers, that...
11:35Apparently, he's not allergic.
11:36Oh, thank you.
11:40I feel a lot better now.
11:45We screwed up.
11:47Nope.
11:48You did exactly what his attending did.
11:50And that was the proper way to handle the case?
11:52Yeah.
11:53The guy used him as a dealer.
11:54You're gonna see a lot of drug-seeking behavior in your practice.
11:57And there's a reason it works.
12:01Meanwhile, back on the farm...
12:08Yeah.
12:09It's a barretto snake.
12:11Four vials of the crowfab in a venom.
12:15Hey, how you doing?
12:16All right.
12:18This will start making you feel better really fast.
12:28He's having an allergic reaction.
12:30Back.
12:34Pedals and Epi.
12:35His heart's fine.
12:37He's not gonna stay that way.
12:40Pedals!
12:48What say we take five?
12:50Get some coffee.
12:51Go pee.
13:00You didn't think she was gonna get married?
13:03She asked me the same question.
13:09And...
13:09What?
13:10You're not going to treat him?
13:14There's probably nothing wrong with him.
13:16Oh, sure. That makes sense.
13:18She's just using the old sick husband routine as an excuse to get back in touch with you.
13:23You think this is easy for her?
13:25The only reason she'd be anywhere near you is if she was desperate.
13:28So I should help her because she hates me.
13:30She doesn't hate you.
13:32She loves you.
13:33She just...
13:36can't stand to...
13:38be around you.
13:42Uh, Dr. House?
13:44It's been almost six minutes.
13:55Found him.
13:58The volleyball player was responding to the anti-inflammatories as you'd expect in the case of tendinitis.
14:06Whoa, whoa, whoa, whoa, whoa, whoa.
14:08What about the snake bite guy? I don't really care about the volleyball player.
14:12What if I told you the volleyball player had a sudden massive stroke?
14:16Really?
14:16No.
14:17But that would make you interested, right?
14:20What if her T4 came back low?
14:22It's not quite as interesting, but it has the benefit of being true.
14:25You said the thyroid biopsy was a wasted test.
14:28No, I didn't.
14:29I said she put a person with tendinitis through an expensive and painful test.
14:33Apparently the patient had tendinitis and a thyroid condition.
14:36Okay.
14:37We're gonna start you on thyroxin.
14:38It'll make you feel better and level your wounds.
14:55So, that's it?
14:57You were right the first time.
14:59The snake bite guy is way more interesting.
15:01Gross, actually.
15:05The patient responded to epinephrine and the allergic reaction was arrested.
15:10Unfortunately, the patient continues to deteriorate.
15:12Maybe the snake wrangler was wrong about the type we caught.
15:15He faxed us a venom test and confirmed it's a timber rattlesnake.
15:20No, it's not.
15:21Notice the volume?
15:22I skimmed over that and the gender and the coloring jumped right to the name of the snake.
15:27200 milligrams.
15:29Our guy got bit less than four hours ago.
15:32There's no way a snake regenerates that much venom that quickly.
15:35We're supposed to know how fast snakes make their venom?
15:37Nope.
15:38Unless you get a patient bit by one, then it might be helpful.
15:42So, what do we do now?
15:43He must have been bitten by a different snake.
15:46We go back and find it.
15:47Or you go online and you find there's only three poisonous snakes common in New Jersey.
15:51The copperhead, timber rattler, and the coral.
15:54Copperhead and timber rattler both respond to the anti-venoms we gave the guy.
15:57So, we give him the anti-venom for the other one.
16:00Is that a question?
16:01We can't just blindly give him another anti-venom.
16:03Especially after the first one almost killed him.
16:05You said only three types of poisonous snakes commonly found in New Jersey.
16:09But what if this is an uncommon one?
16:11Very good.
16:12We gotta find the right snake.
16:13No need.
16:14Odds are, by the time you get back, the autopsy results will tell you what kind of snake it was.
16:18But you said...
16:19So, we do give him the anti-venom for the other one.
16:23Again, was that a question?
16:25I asked what you would do.
16:26Seems unfair for you to ask me what you would do.
16:29Who gives the guy the other anti-venom?
16:34And who goes looking for the snake?
16:37I assume that one choice kills him, the other one saves him.
16:40That's usually the way it works at the leg-turning black stage.
16:44So, half of us killed him, and half of us saved his life.
16:48Yeah.
16:50We can't be blamed for-
16:51I'm sure this goes against everything you've been taught, but right and wrong do exist.
16:57Just because you don't know what the right answer is, maybe there's even no way you could know what the
17:01right answer is,
17:01but this doesn't make your answer right or even okay.
17:04It's much simpler than that.
17:06It's just plain wrong.
17:11We gave the guy the anti-venom.
17:13What if I'm allergic again?
17:15That's why these people are here.
17:17If you have a reaction, you're ready to do whatever's necessary to ensure your airways stay open and your heart
17:22keeps beating.
17:23My wife's on her way, and can't this wait?
17:26I'm sorry. Can't.
17:31I'm sorry.
17:32I'm sorry.
17:47I'm sorry.
17:58it hurts again
18:00he came back
18:03on average
18:04drug addicts are stupid
18:07I'd call the cops
18:08good for you
18:09a lot of doctors wouldn't risk their careers on a hunch
18:12it's not a hunch, I mean I know he wants drugs
18:15I believe drug addicts get sick
18:17actually for some reason
18:19tend to get sick more often than non-drug addicts
18:24luckily
18:25you don't have to play your hunt
18:27there's a faster way
18:28actually there are several
18:30my preference is urine testing
18:31but you already know he has drugs in his system
18:34that's not what I'm testing for
18:36we're going to put this hard rubber tube
18:38up your urethra and into your bladder
18:40it may be a little uncomfortable
18:42you might be getting some sort of anesthetic
18:45we're concerned about
18:46not allergic reactions today
18:48ugh, ugh
18:51ugh
18:51ugh
18:55the guy can handle a rod in his penis for half an hour
18:58he's really sick
19:00or he's really jonesing
19:02there's easier ways to get a hold of drugs
19:04other hospitals for example
19:09the volleyball player is not responding to treatment
19:14at least we think it's not working
19:16on account of the fact that she's getting worse
19:19can you still hear me?
19:21no?
19:22a little
19:23not really
19:26well if you can't hear me
19:27how do you know what I asked?
19:29ugh
19:29I'm sorry, what did I do?
19:31I don't know, it really hurts
19:33I promise to be very careful
19:36Susan
19:36not her real name
19:37no
19:38Susan, I barely touched you
19:40ugh
19:41it hurts so much
19:43sorry, I have to get this blood
19:44just hold on
19:47hypersensitivity to touch
19:48the calcium up
19:49lab over 16
19:50question is why?
19:52likely suspects
19:53parathyroid adenoma
19:54kidney problem
19:55fight the intoxication
19:56hypothyroid
19:56caused by a treat
19:57whoa, whoa, whoa, whoa
19:58can you please slow down?
20:04the adenoma
20:06is most likely
20:07check her PTH
20:09phosphorus
20:10and ionized
20:12calcium
20:13and do a
20:14technetium
20:14systemeby
20:16okay
20:17it's enough about
20:18the volleyball player
20:19what's up with the farmer?
20:22what farmer?
20:23snake bite guy
20:25oh right
20:26you guys don't know about him
20:27he doesn't get bitten until three months after we treat the volleyball player
20:31luckily it's been well established that time is not a fixed construct
20:35his condition's not improving
20:37double the dosage
20:38already did
20:39there's another anti-venom
20:40it's not as effective
20:41already tried it
20:42the first stuff
20:43the stuff he was allergic to
20:44gave it to him with high dose steroids
20:45nothing's working
20:47what does it all mean?
20:49wrong snake
20:50you tried every other anti-venom we had
20:52we're too late?
20:54yup
20:54he's dying
20:55his wife's here
20:57finally found a babysitter
20:58who wants to let him know?
21:02actually I'm kidding
21:03he's not dying?
21:05oh yeah
21:05he's dying
21:06there's no wife and kid
21:07which is great
21:10makes the breaking the news thing way easier
21:14oh yeah
21:14one more piece of news
21:21the drug addict
21:22the drug addict
21:23is peeing blood
21:29how do they teach you how to tell someone that they're dying?
21:36it's kind of like teaching architects how to explain why their building fell down
21:41do you role play and stuff?
21:43yeah
21:44one of us gives the bad news
21:46and one of us gets the bad news
21:47what do you have to do to get an A in your dying 101?
21:51they grade you on
21:53gentleness and supportiveness
21:55or scale for measuring compassion
22:00this buddy of mine
22:02I gotta give him ten bucks
22:04every time someone says thank you
22:07imagine that
22:08this guy is so good
22:10people thank him
22:12for telling him
22:12that they're dying
22:18and he's proud
22:20I don't get thanked that often
22:24you're dying
22:27in a few hours
22:31there's nothing we can do
22:32except deal with the pain
22:35well I need to go home
22:36you're not going home
22:40my dog
22:43what will happen to my dog?
22:50her neck looks clean
22:52no adenoma
22:53wait wait wait
22:54the guy's dying and all he cares about is his dog?
22:59any of you guys go the dog route in your improv sessions?
23:04it's a basic truth of the human condition
23:07that everybody lies
23:11the only variable is about what
23:14everything about telling someone they're dying
23:16is that it tends to focus their priorities
23:20find out what matters to them
23:23what they're willing to die for
23:28they're willing to lie for
23:29you must have a neighbor
23:32neighbors don't like him
23:35so the humane society
23:36can take him in and find him home
23:37no they won't
23:43maybe maybe my aunt
23:45it wasn't a snake bite
23:46was it?
23:49I said I don't remember being bit
23:51sure you do
23:52just not by a snake
23:54I assume that
23:55I assume that Cusho
23:56bit one of your neighbors a while back
23:58you tell me that he bit you
24:00and I got a report
24:02Cusho's got a record
24:02he gets the chair
24:08the good news is
24:09you might just live
24:11the bad news is
24:12your dog's gonna die
24:14my wristies like to save this thing
24:19hold on
24:20you swab the mouth
24:22I think I've got a better grip here
24:23you go for the mouth
24:26alright
24:27I'm odds
24:28are you serious?
24:29um
24:29one, two, three
24:33I don't care if you're scratching your nads off
24:35you don't like dogs
24:35just do it
24:41I said we'd let the guy die
24:42I got his head
24:43just do it
24:50what'd you call that?
24:53it's tea colored, right?
24:56the guy
24:56we thought was just after the drugs
25:00what's the differential diagnosis
25:02for urine that's tea colored?
25:05kidney stone
25:07kidney stones would cause what?
25:09blood and urine
25:10what color is your pee?
25:12yellow
25:13what color is your blood?
25:15red
25:15what colors did I use?
25:17red, yellow, and brown
25:19and brown
25:20what causes brown?
25:22waste
25:22which means the kidneys are shutting down
25:23why?
25:25trauma
25:25that his history would indicate
25:26could be damage done by the self-injection of the Demerol
25:29treatment?
25:30heat and rest
25:31other possible causes
25:32infection
25:33start him on antibiotics
25:34what else?
25:36come on, come on
25:37I don't know
25:39you're useless
25:41but at least you'd know it
25:42blood tests show elevated creatine kinase
25:45what does that tell you?
25:46the trauma diagnosis is right
25:47if he takes it easy for a few days
25:48he'll be fine
25:49you sure?
25:50the elevated CK rules out infection
25:51you know what's worse than useless?
25:53useless and oblivious
25:56what are they missing?
25:59you know it's kind of hard to think
26:00when you're in our face like that
26:02yeah
26:02you think it's going to be easier
26:03when you've got a real patient really dying?
26:05what are you missing?
26:07muscle death
26:13not your case
26:15nothing wrong with the consult
26:19dying muscle leaks myoglobin
26:21it's toxic to the kidneys
26:24brilliant
26:27MRI he's lag
26:27see what's killing it
26:36why's the girl getting the MRI?
26:37because the next scan revealed
26:38nothing and her doctor's way more obsessive
26:40than she thinks she is
26:42but you said the guy needed the MRI
26:44because Dr. Cameron back there said muscle death
26:46not one of you said it
26:48not one of this guy's doctors said it
26:50they gave him bed rest and antibiotics
26:52just like you guys would have
26:54did it get better?
26:56no
26:57how long?
26:58three days
27:00it is in the nature of medicine
27:02that you are going to screw up
27:04you are going to kill someone
27:07if you can't handle that reality
27:08pick another profession
27:11or finish medical school and teach
27:14three days before they thought
27:15it might have been muscle death?
27:17no
27:17three days before the patient
27:19suggested it might have been muscle death
27:25the MRI revealed an osteosacoma
27:29a cancerous tumor in your femur
27:31it needs to be removed surgically
27:33with chemo she has an excellent chance of survival
27:38but I have to warn you
27:39depending on how large the tumor is
27:41and how ingrained it is
27:45the surgeon may need to amputate your life
27:49I'm sorry
27:59I'm sorry
28:00dogs mouths are pretty filthy
28:02but they have natural antibodies
28:03to fight off most of the stuff
28:05we don't
28:05that's why dog lights can be so nasty
28:07the lab tests of your dog's saliva
28:10reveal the type of strep bacteria
28:11it's commonly known as the flesh eating disease
28:15we need to operate immediately
28:17to remove the damaged tissue
28:19we may need to remove the leg
28:29the MRI revealed a problem
28:32no kidding
28:33I'm sorry none of your doctors found it earlier
28:35I am personally going to oversee your treatment from now on
28:37cut me open on you
28:42we may need to remove the leg
28:55his MRI showed that the leg pain wasn't caused by the self-injection
28:59it wasn't caused by an infection
29:05it was an aneurysm that clotted
29:09leading to an infarction
29:12God, you were right
29:13it was a house
29:16we have to do the surgery
29:18the necrotic tissue has to be removed
29:21if there's too much
29:22I don't care what you find
29:23it may become necessary in order to save your life
29:26I like my leg
29:29I've had it for as long as I can remember
29:31I mean, I love your leg as much as you do
29:33you're not cutting it off
29:38the patient made the right choice
29:41tell a surgeon that it's okay to cut a leg off
29:43and he's going to spend the night polishing his good hacksaw
29:47right, surgeons could care less about saving limbs
29:50of course they care about their patients
29:52they just care about themselves more
29:53which is not an unreasonable position
29:57trying to maximize the tissue you save
29:59also maximizes the chances of something going wrong
30:02which means you've got to be extra careful
30:04which is such a pain in the ass
30:08amazing advances have been made
30:10kids with prosthetic legs are running the 100 meter dash in 12 seconds
30:14yeah, they're just not as pretty
30:18do a bypass, restore the circulation
30:20amputation is safer
30:21for you or me
30:23the blockage of blood flow
30:25four-day blockage
30:26yes
30:27it caused muscle cell death
30:29when those cells die
30:30they release cytokines and potassium
30:32if you restore the blood flow
30:33instead of just lopping it all off
30:35then all that crap gets washed back into my system
30:37the cytokines could cause organ failure
30:39and the potassium could cause cardiac arrest
30:41on the other hand
30:42let me just get the use of my leg back
30:45the post-operative pain
30:47I'll get through it
30:48I understand the risks
30:49you're in the clear
30:50go schedule an OR
30:58god, you're an idiot
31:01yeah, I think I'm more of a jerk
31:03I'm not being glib
31:04and I'm not being cute
31:06I don't want you to kill yourself
31:09I'm not gonna die
31:12I feel completely reassured
31:44I don't want you to kill yourself
31:45I don't want you to kill yourself
32:03I don't want you to kill yourself
32:03I don't want you to kill yourself
32:03I don't want you to kill yourself
32:03I don't want you to kill yourself
32:03I don't want you to kill yourself
32:03I don't want you to kill yourself
32:04I don't want you to kill yourself
32:09I don't want you to kill yourself
32:56They gotta hop that morphine.
32:59Doctors say they can't.
33:00Doctors don't recommend it.
33:02Bed rest and antibiotics.
33:03They screwed up.
33:04It doesn't mean they're wrong this time.
33:06I'm sure it doesn't mean they're right.
33:07Morphine will kill you.
33:08I can handle it.
33:09If you're in pain, you're not thinking right.
33:11That's why I need that damn morphine.
33:14I'll talk to them.
33:19My God, how much longer is the pain gonna last?
33:22It depends on how much muscle cell death there was.
33:24He could be right.
33:25He could come out of this with almost full use of his leg.
33:28Or?
33:30He could be in pain for the rest of his life.
33:35There's a third option, surgically.
33:38A middle ground between what we did and amputation.
33:45He's not big on middle ground.
33:48He could be in pain for the rest of his leg.
33:49He could be in pain for the rest of his leg.
33:53He could be in pain for the rest of his leg.
34:02He could be in pain for the rest of his leg.
34:03He could be in pain for the rest of his leg.
34:05He could be in pain for the rest of his leg.
34:05He could be in pain for the rest of his leg.
34:05He could be in pain for the rest of his leg.
34:06He could be in pain for the rest of his leg.
34:07He could be in pain for the rest of his leg.
34:10He could be in pain for the rest of his leg.
34:14He could be in pain for the rest of his leg.
34:16Nurse, I didn't wear calcium gluconate.
34:20You just had 5 mLs.
34:21Your arrest is getting wider. My potassium is rising.
34:24I'll talk to your doctor.
34:25Well, you better make it fast, because I'm about to go to cardiac arrest.
34:28Give me the dose, or I go into wide complex tachycardia.
34:33I could get in trouble.
34:33Listen, it's not a narcotic. I'm not looking for a buzz.
34:37You got about 20 seconds.
34:45Who's wrong?
34:53What do you got?
34:54Wide complex tachycardia.
34:56You diagnosed it.
34:57Pettles.
34:59Charge.
35:00Clear.
35:06The patient was technically dead for over a minute.
35:12Oh, my God.
35:18appendix.
35:20Oh.
35:21Oh.
35:22Oh.
35:22Oh.
35:23Oh.
35:44He's back.
35:52Do you think he was dead?
35:54Do you think those experiences were real?
35:59Define real.
36:01They were real experiences.
36:04What they meant.
36:06Personally, I choose to believe that the white light people sometimes see,
36:10visions this patient saw,
36:13they're all just chemical reactions that take place while the brain shuts down.
36:18You choose to believe that?
36:20There's no conclusive science.
36:23My choice has no practical relevance to my life.
36:26I choose the outcome I find more comforting.
36:29You find it more comforting to believe that this is it?
36:32I find it more comforting to believe that this isn't simply a test.
36:44How bad is the pain right now?
36:48It's bad.
36:49It's not getting any better.
36:50If you were right, the pain would be subsiding.
36:53You'd be getting better.
36:54It's just taking longer.
36:56No, it's not.
36:58We've got to let him cut the leg off.
37:03It's my leg.
37:06It's my life.
37:08Did you give up your leg to save my life?
37:11Of course.
37:12Then why do you think your life is worth less than mine?
37:17If this were any other patient, what would you tell them to do?
37:25I would say, is there a choice?
37:27Well, not a chance.
37:29You'd browbeat them until they made the choice you knew was right.
37:33You'd shove in their face, and it's just a damn leg.
37:38You don't think you deserve to live.
37:41You don't think you deserve to be happy.
37:46Now, let them cut off your leg.
37:51I can't.
37:52I can't.
37:55I'm sorry.
38:04The pain alone is going to kill you.
38:07I know.
38:08I know.
38:14I need you to talk to the doctor.
38:26He changed his mind?
38:28No.
38:31He is asked to be put in a chemical-induced coma
38:34so that he can sleep through the worst part of the pain.
38:39We can do that.
38:43What happens after he's in the coma?
38:46We'll obviously monitor his condition closely,
38:48and if he can get through the next 48 hours
38:51without another cardiac incident...
38:52I meant I'm his health care proxy.
38:53I get to make medical decisions for him
38:56if he's not able to.
39:00Uh, you should talk to him
39:01about what he wants.
39:02I know what he wants.
39:04But if he's out, it's my call, right?
39:23He'll be out in less than a minute.
39:40I'll see you when I wake up.
39:44We'll go golfing.
39:49I love you.
39:54I love you, too.
39:55I love you.
39:58I'm sorry.
40:04I love you, too.
40:07I love you, too.
40:14I love you.
40:25the middle ground you were talking about we go in take out the dead muscle there's still some
40:32risk of reperfusion injury but give me the forms you need signed
40:39you're saving his life
40:43he won't see it that way
41:00because of the extent the muscle removed the utility of the patient's leg was severely compromised
41:09because of the time delay in making the diagnosis patient continues to experience chronic pain
41:22she had no right to do that she had the proxy she knew he didn't want the surgery she saved
41:27his life
41:28well we don't know that maybe it would have been fine it doesn't matter it's the patient's call
41:32the patient's an idiot they usually are you have a buzzer or something what time is this class and 20
41:48minutes ago
41:49and he's doing this again this guy is not the world's greatest dad not even ranked who the hell
41:57lets their kids play with lead-based paint that's why he's always sick finding some plastic cups in
42:02the class is all his again
42:05yeah
42:06yeah
42:08yeah
42:10yeah
42:11yeah
42:15yeah
42:16yeah
42:17yeah
42:19yeah
42:19yeah
42:32Stacy it's Greg
42:34I've got an opening in my calendar for 10 tomorrow morning
42:38make sure your husband isn't late
42:40as Heather
42:40them
42:45that photoly
42:47that's the reality we'll do
42:53into the world
42:54there are a couple of characters
Comments