- 12 minutes ago
Category
🎥
Short filmTranscript
00:16What's up, Ghost Rider?
00:17You good?
00:17Never better.
00:19Okay, kids, bye-bye time.
00:21Thanks for the trip down memory lane.
00:23Um, where's Evans?
00:24Uh, I think she's by the family room.
00:27She is.
00:28Hey, hey, hey, where are you going?
00:30I'm not going to scan all this by myself.
00:31Cruz has a question on my cellulitis.
00:33I'll be right back.
00:34You better.
00:34Two minutes, tops.
00:35Where's Mel?
00:36Where's Donnie?
00:37They should be helping you.
00:38I don't know.
00:39Okay, day shift.
00:40Listen up.
00:40We're doing really well, but we still got a ways to go,
00:42and nobody's going home until all these paper charts are digitized, including me.
00:46And then we're free to celebrate our freedom?
00:48Exactly.
00:49Well, can you kick some ass and get the staff to hurry up on the EHR homepages?
00:53Where are Larry and Antoine?
00:55Antoine's fighting on the phone with his girlfriend outside,
00:57and Larry's on a cafeteria run.
01:00Yeah, that tracks.
01:02We've got five patients in beds waiting to be seen.
01:05How do you want to play this?
01:06Man to man or zone?
01:07Zone.
01:08Have Cruz and Ella split up the new five.
01:10You take north and central, I'll take south and prom.
01:12Cool.
01:13Want to switch to 1 a.m.?
01:14Why?
01:15Variety's the spice of luck.
01:16I thought that was garlic.
01:18Oh, sorry.
01:21I told you I'd be fast.
01:23Okay, let's do this and get out of here.
01:25What's the hurry?
01:26Got some hay to pitch?
01:30Oh, shoot.
01:31What?
01:32Uh, my ID badge is missing.
01:35Oh, the one you just got?
01:36How'd you lose it?
01:37I don't know.
01:37It must have come off.
01:38Classic.
01:39Hope you remember your login and password.
01:41Okay, retrace your steps.
01:42Where'd you have it last?
01:43Uh, I was with Ogilvy in the ambulance bay.
01:46Not with Colonel Mustard in the library?
01:48Who's...
01:49What?
01:50No.
01:52The boy has no clue.
02:00Please don't do that.
02:02Oh, ma'am, I gotta go.
02:03I don't sit here any longer, I'm gonna get bed sores.
02:08I'm supposed to get some, uh, CT results.
02:11Any idea how much longer that's gonna be?
02:14Shouldn't be much longer.
02:16Where's that nurse, Vivi?
02:18You don't want any of that?
02:20No?
02:21No, she's out of your league.
02:22What league do you think I play in?
02:25Uh, old-timers night?
02:27Yeah, you're probably right.
02:29But some teams still appreciate a veteran presence.
02:32Well, don't say I didn't warn you.
02:34You are here for your heart, after all.
02:36My heart's been broken before.
02:38What's one more time?
02:39Uh, she's engaged to a jiu-jitsu instructor.
02:41With a bang, not a whimper, baby.
02:44And it's a cool bath a couple times a day for two days,
02:47followed by aloe vera to your skin.
02:48Okay, that's it?
02:50And, uh, sunscreen in your future.
02:52No, I'm never going outside ever again.
02:55I wouldn't swear off the sun entirely.
02:58You know, but like most things, moderation.
03:01Hey, we're getting kind of short-handed
03:03to get any charts out of here.
03:04When you finish, can you come lend a hand?
03:06Yeah, happy to.
03:09I'm happy to.
03:10I mean, there's nothing I would rather do less.
03:13They keep you pretty busy.
03:15Yeah, and today has brought some new challenges.
03:19This is really putting a crimp
03:21in my Fourth of July evening plans.
03:23You're going to see the fireworks?
03:26Uh, no.
03:27I was going to maybe meet up with this guy.
03:29Though that's sounding less appealing
03:30than the three Bs at this point.
03:33The three Bs?
03:36Look, bath and bed.
03:38College kid with mono and hemorrhagic tonsils.
03:41Submit med surge or observation?
03:43Uh, observation.
03:44Bleeding stop with TXA.
03:45She's had steroids,
03:46so should be ready for discharge in the morning.
03:48Cool.
03:49How was your first shift back?
03:51Uh, slow start.
03:53Finding my rhythm.
03:55You're a little rusty, rusty James.
03:57Now you won't have motorcycle boy
03:59to big brother you.
03:59Is that a Rumblefish reference?
04:01Sure is.
04:02And Robbie is my big brother in this analogy?
04:05Bingo.
04:06Yeah, I wouldn't say he's been looking out for me exactly.
04:10I can probably prefer not to see me at all today, actually.
04:13And you think that's because he's mad at you?
04:17I think he feels like I let him down, because I did.
04:21Jesus, with all the martyrs around here,
04:23you think this was a passion play?
04:24What's your take?
04:28I worked with that man for ten months while you were gone.
04:30He's not mad at you.
04:32He's mad at himself for failing you, Rusty James.
04:36Really?
04:38Just more white night, white noise.
04:40That's how it is.
04:44Share with me with your friends if you can.
04:46Thank you so much.
04:47Be kind, be safe, be brave.
04:49What you doing?
04:50Dr. Robbie.
04:52Sorry, I was just, um...
04:53One of your TikToks?
04:54Yeah, about those.
04:55Listen, I'm not so sure...
04:56No, I was just sharing...
04:57No, I get it.
04:58I just, you know, we do have HIPAA laws here.
05:00We don't let anybody film a law school.
05:00I would never violate any HIPAA laws, Dr. Robbie.
05:02I swear I...
05:02I understand.
05:02Even still, we're getting behind on scanning patient charts,
05:05so how about no TikTok on the company clock, Dr. J?
05:09Dr. Robbie, I think you're...
05:11Out of touch?
05:12Probably.
05:12You wouldn't be the first to accuse me of it.
05:14However, when I was in medical school...
05:16I didn't have cell phones or TikTok or Internet
05:19or ICE agents coming in here
05:20and taking away patients and staff.
05:24I get it.
05:30We did have cell phones.
05:31Maybe not in the beginning.
05:38Where do you think you're going?
05:39Ah, home.
05:41I kind of need you to hang out a little longer
05:43and help digitize some of these analog patient records.
05:45Normally.
05:45I would, truly.
05:47But I got to get home.
05:48Wife, baby, bed.
05:51Okay.
05:51Go get some rest.
05:53You sure you're okay to drive home?
05:54Absolutely.
05:55Just enough in the tank.
05:57Don't tell anybody I'll let you go.
05:59Deal.
06:00Safe travels.
06:02Be sure to send some pictures from the road.
06:21Fight over at Zazu's sports bar.
06:23The two combatants are pulling up soon.
06:24One's a stabbing.
06:25Ellis, double trauma coming in.
06:26Grab the easy one.
06:27Bring the stabbing to trauma, too.
06:28We will get the room set up.
06:30All right.
06:30Roger.
06:32Okay, darling.
06:34Time for this dinosaur to head to extinction.
06:37You guys do a real jam today.
06:38Can't take you enough, Monica.
06:40All right.
06:40A nice place to visit.
06:41Wouldn't want to live here anymore.
06:43Oh, we need this some days.
06:45But hey, Virginia Slim, you've come a long way.
06:48Glad I was wrong about you.
06:50Keep training them up right.
06:52I'll try.
06:53Okay, that's enough mush.
06:54Back to my life of mahjong and margaritas.
06:57Bye, Evans.
06:57Good help.
06:58Safe.
06:58I will.
06:59See ya.
06:59Bye.
07:05She's right.
07:06You are the mama bear glue that holds this place together.
07:13Hey.
07:15Is it okay?
07:16No.
07:18Sad or scared.
07:20That's a fucking thing.
07:24I'm worried.
07:25What's going on?
07:28Robbie.
07:28I've got a bad feeling.
07:29He's...
07:31It's like I'm never going to see him again after tonight.
07:34He say something?
07:34Yeah, he said a lot of things.
07:36You should talk to him.
07:36He listens to you.
07:37He's a grown-up.
07:38And he just needs to go on a vacation.
07:41Can't you at least try to get him to promise to come back in one piece?
07:46He doesn't like to listen.
07:49So make him.
07:57Fuck it.
07:57Check my DM.
07:58She hit me up.
07:59Sure, baby.
08:00I didn't even respond.
08:02Scavenger hunt?
08:03Yeah.
08:03Something like that.
08:04You need a hand?
08:05No.
08:05You do you.
08:08What do we got?
08:10Barrett Dunkle, 34.
08:11Decent vitals given he has old glory jammed in his chest.
08:14Setting 91 on 15 liters.
08:16BP 132 over 87.
08:18Taki at 14.
08:20I got that.
08:20Respecting on Sean.
08:22What the fuck?
08:24I'll call you back, baby.
08:28Oh, shit.
08:29I thought I cleared it.
08:30Was it sticking out?
08:31Sticking out my ass.
08:33Man, this is on you.
08:34You went wide and you clipped the shit.
08:36Bike shouldn't be parked there.
08:37It was sticking out.
08:39Had to be.
08:39There's no fucking way.
08:41Oh, no.
08:42You're paying for this.
08:43It's you or the city, but you're paying for this.
08:45Seriously, we don't need this hassle.
08:46I know.
08:47I know.
08:47Fuck.
08:48How bad is it?
08:49Not really good.
08:51Bobby Schneider, 32.
08:53Took a beer bottle to the face.
08:5412 centimeter lach.
08:55I'm going to take this thing out of my chest and shove it up your fucking ass.
08:57You hit me with a fucking rolling rock, man.
09:00So you got to even cheat much.
09:01You fucking cheated, man.
09:02Every detail must be caught on every head.
09:04Hey, gentlemen, you're on different health journeys now.
09:07I'm going to go see your mom.
09:09It's all going to be on a security video.
09:12I'm just going to shit.
09:13Ooh.
09:16Okay.
09:18Hey, a little help?
09:19All right, he's going straight to trauma 2.
09:21What is this story?
09:22Bottle to the face.
09:23Strong bottle.
09:2412 centimeter facial lach.
09:25Okay, where do you want us?
09:26North 4 just got clean.
09:28Abbott, single MVA on roof, five away.
09:31Olive, can you find Robbie and Alashimi?
09:33We may need a couple more hands until we get caught up with these two.
09:35Sir, we are going to get you more pain meds, but you need to shut your fucking mouth.
09:39The acronym is SMART.
09:41Single maintenance and reliever therapy.
09:43It's one inhaler that combines an inhaled corticosteroid with a fast-acting, long-lasting beta agonist.
09:49That's fancy talk for an anti-inflammatory and a lung muscle relaxer all rolled into one.
09:54But it's $400, and without Medicaid...
09:57We can help you look into coverage options.
10:00Of course.
10:01Grady should feel worlds better in a few hours.
10:05So, what are my chances of getting off of the table alive?
10:09Once you're cleared by the heart and lung specialists next week, chances of death are low, like one or two
10:14percent.
10:15And how long would I be in surgery for?
10:18Between three and five hours.
10:21Jeez.
10:22It's long, because they have to stop your heart.
10:27You will be on a heart-lung bypass machine, which will be circulating your blood while they repair the aneurysm
10:34with a graft.
10:35Well, what's the graft made of?
10:38Synthetic fabric called Dacra.
10:40Super strong.
10:42Okay, uh, new hoses, new gaskets.
10:45Uh, then what happens after surgery?
10:47You will be in the hospital for about a week.
10:49No work for eight weeks after that.
10:51No strenuous activity.
10:53No lifting anything over five pounds.
10:56How am I supposed to take a piss?
11:00Nice.
11:01Ah.
11:04And how long till I'm back up to full speed?
11:07Three months, maybe more like six, given your age.
11:13And if I don't get surgery?
11:17Fifty percent chance of death within 12 months if the aneurysm ruptures.
11:22What would I feel if it ruptured?
11:27Some chest pain, maybe some shortness of breath for about a minute before you pass down from blood loss.
11:33And then the big fade out.
11:36Roll the credits.
11:44Quite the coin flip.
11:46No coin flip.
11:47This has to happen.
11:49But I do worry that you are not going to make your appointments or follow your aftercare instructions if I'm
11:53not here.
11:54Sorry, Robbie.
11:55I've had asked for me to grab you for an MBA on route.
12:00Do what you got to do, man.
12:01I got to sit with this for a minute.
12:05You can go ahead and get dressed.
12:08I'll come back.
12:37I'll come back.
12:38Upstairs so we can take Orlando up now
12:41We're prepping for transfer. Thanks, son. We need this room again in a minute
12:56All good I
12:59Totally ah totally
13:03Once more I feel compelled to offer some unasked for and probably unwanted advice
13:11Javadi wasn't making a tik-tok video. She's been posting about jesse trying to find someone knows where he is
13:19And even if she were making one of her videos you ever watched one no
13:24No, my account was suspended for erotically seditious content
13:29Well, they're not what you say. They're actually kind of cool. It's like this badass self-care
13:35Huh
13:36Okay, that is it
13:37I'm going to bury myself in charting and try to dig my way out
13:41Edith lynch 46 right side of chest pain for an hour no cardiac history minimal relief from sublingual nitro
13:46No stemmy on the 12 lead. Dana. So that's his team
13:50Hi, Edith, I'm dr. Elhashimi. We'll be taking care of you today
13:54Absent lung sliding on the right could told you that from here god bless America
13:59He more dynamically stable. I'll put in a 20 French and then right up to the OR
14:03Hold on. I need surgery, sir. You have a collapsed lung
14:06We need to put a tube in your chest to see how much internal bleeding there is. Oh, come on
14:10man. Just pull it out
14:12Okay, everyone knows what to do here, right? We're gonna take this at a nice slow pace moving together
14:17Anyone has an issue speak up. There are a lot of moving parts here. Well, I need one up to
14:22ICU finally. Yes, great. How you doing?
14:25Is that a trick question or not intended to be no then knock right this one got past me
14:32Well, listen, you tried to find a viable payment plan. You tried to keep him here
14:36You even tried to give him a goodie bag when he left. I'm not sure what else you could have
14:39done been more persuasive
14:41This was the patient's call his life his mistake what mistake getting diabetes not picking a higher spot to jump
14:48from
14:59History of hyperlipidemia an hour of substernal chest pain minimal relief with nitro and four of MS
15:07EKG is negative for STEMI heart score is four
15:09Gave 324 milligrams of chewable aspirin admit for new onset angina
15:14Don't mind me. I'm just passing through seems like you wanted it up
15:18Well as long as you feel like you got it covered I do
15:21Go ahead and repeat the 12 lead since I'm here. I did want to ask you about something I observed
15:25early
15:26Well, you gotta be fucking kidding. Right look where these anterior leads are placed. They're way too low
15:32Holy shit. What's happening? Mrs. Lynch V tag no pulse charge to 200
15:40Charged and clear
15:44Okay, no size strong pulse cycle at BP
15:48Let's repeat that EKG please with the leads in the right fucking place. Who are the medics on this Bosco
15:54notaro Bosco notaro
15:57Okay, Bosco notaro
15:59See you all Monday
16:01May your night go smoother than my day happy fourth heard it's been crazy. They shut down when ice came
16:07separate events get someone else to explain
16:09I'm going home damn. What is that? That smells good food from home. I can't do the cafeteria
16:15Oh, you got to give me that recipe. I'm going home. Yeah, I'm safe. Mm-hmm
16:23Hey, hey
16:25I'm starving of course I will give you $20 for whatever that smell is
16:29I'll give you someone made too much anyway. Thank you. Just give me a sec. Yeah. How can I help
16:34you?
16:34My granddad just about cut his hand off with the tug of war well. Hi, I I remember you from
16:39earlier
16:39You're having a family reunion, right? Yeah
16:42Is your hand actively bleeding? Oh, not so bad here. Take a look
16:47Mateo want to come straight back? Oh my god cover that up, please. I'll need to get his demographics from
16:51you
16:52You got him already handsome. You've been in out of here all day long
16:55How did this happen? He had the rope wrapped around his hand cut through it like I was studying
16:59I'm a sick sir. Take you right back. And how would you rate your pain on a scale from one
17:03to ten?
17:04Oh, it's not too bad counting my sugars
17:08With his diabetes his sensations a little off
17:10Yeah
17:11After you
17:13Thanks
17:14Ow, what the fuck?
17:16Trigeminal nervous good
17:17Shit, you're gonna fix me or torture me?
17:20Whew, ouch
17:22Yeah, I need to call plastics
17:24I called the kiss off the tube off the rail. Fucker said I didn't call it
17:28But yes, it was a bit noisy the forked the sticks night, but I called it. I have witnesses
17:33Sticks? The band?
17:35Yeah
17:36Love sticks
17:37I've never heard of them
17:38You never heard of sticks?
17:40Mr. Ivano?
17:42My spotify ages in 62
17:44Come sail away
17:45Lady, babe
17:47I don't know
17:48Yeah, maybe best if you don't talk
17:51Looks like there's some sort of foreign body in there
17:53Mm-hmm
17:55Are you okay?
17:56Yeah, it's just an awkward position
17:58Go home
17:59Rest, heat, ice
18:01Yeah, no, no, no, I know
18:02I'm just waiting for things to slow down
18:03Oh, express trains don't stop at your station
18:07You just gotta jump
18:09What is that?
18:11Heineken?
18:12Moosehead?
18:13What?
18:14From the glass-lined tanks of old Latrobe
18:17Ah, Rolling Rock
18:19Nice
18:25She's had four morphine
18:27How's the pain?
18:28Yeah, it's into an eight
18:29There it is, lateral stemmy
18:31Okay, call it in
18:32So Lance, we're too low to catch this?
18:34Yes
18:34Not the first time it's happening
18:35You get a male medic
18:36Who's more concerned about getting sued
18:37Or a complaint for undoing a bronch
18:39See these anterior-lakes here?
18:41Come city, stop 15
18:41You're having a heart attack
18:43From a blockage in the artery
18:44That brings oxygen to your heart
18:47Lateral stemmy V-tech arrest
18:48Got her back after one shock
18:49She needs a cat lab
18:50Serious heart damage
18:51Oh my god
18:52You're going to be okay
18:52Hello, I'm Dr. Kluz
18:54And I'm Dr. Shen
18:55How are you feeling?
18:56I'm really scared
18:57Hey, we've got you
18:58Anything else?
19:00Like I got kicked in the chest
19:01Normal after a shock to the heart
19:03Family?
19:04Yeah, husband's in root
19:05Now leave the defib pads on
19:06And take her up in a minute
19:06And I'm gonna chaper her on a nerve block real quick
19:08Go
19:11Where's Dr. LSU?
19:13She was just here
19:24Hello, everyone
19:25I'm Dr. Shen
19:26Heard a rumor someone needed a nerve block
19:28I'm guessing that's you
19:29Probably so
19:31Although, you know
19:32I don't have much pain
19:33I guess it's my diabetes
19:35Well, we still need to numb you up
19:36To do proper deep clean
19:38You guys do whatever you gotta do
19:40Yeah, three shots
19:41Menion, ulnar, and radial
19:43Two grams of ANSIF
19:44100 milligrams of Jent
19:45For gram-negative coverage
19:46How'd you do this?
19:48Oh, family reunion tug-of-war
19:50I wrapped the rope around my hand
19:52For better grip
19:52And when we fell down
19:54Those bastards just kept pulling
19:56Dirty
19:57Ah, it's just
19:58Just the way we play
20:03Michael, you got a sec?
20:04Uh, not really, no
20:05Well, how about showing me a little respect
20:07And finding one?
20:10Sorry, Caleb
20:11Are you feeling disrespected?
20:12Uh, given that you've been actively
20:13Blowing me off all day
20:15Yeah, maybe a little bit
20:16But I have a thick skin
20:18What can I do for you?
20:20Should have found
20:21A higher place to jump from
20:23It's an interesting diagnosis, doctor
20:29No pithy retort
20:31Yeah, I didn't think so
20:33Uh, I just came to say goodbye
20:35I'm leaving soon
20:37I know you are too
20:40Yes
20:43Keep my number handy
20:44Just in case, huh?
20:46Yes, I promise
20:46I will
20:47Thank you, kid
20:51We're gonna give you
20:52One diflucan pill to take home
20:53Take it in three days
20:54If your symptoms persist
20:56How do I get there?
20:58Where's that?
21:00Home
21:01Do you know where you live?
21:02Of course I do
21:03It's not far
21:04But I don't have a way to get there
21:08How'd you get here?
21:10My, my neighbor Gwen
21:11Dropped me off
21:12But she can't drive at night
21:14We could call you an Uber
21:16Or a taxi
21:17I don't have any money
21:19Uh, excuse me
21:21Can I help?
21:23Mrs. Clymer has been discharged
21:24But has no way home
21:25I'm so sorry
21:26I don't mean to be a burden
21:28No burden at all
21:29Why don't we call you a Lyft?
21:32What is that?
21:33It's like a taxi service
21:34If you put your address in here
21:36A car will arrive in a few minutes
21:38To bring you home
21:39Oh
21:39My treat
21:42Very kind of you
21:44Truly
21:45Okay, perfect
21:47Okay, Olive
21:48Could you take Mrs. Clymer out
21:49To the ambulance bay
21:50Where Florian
21:51Will be arriving in six minutes
21:53In a white Toyota Camry
21:54You bet
21:55Thank you
21:57Could use some good karma
21:59Okay
22:03Oh, uh, hey
22:07Relax, buddy
22:08It's Advil
22:10No, I didn't think you
22:14Headache
22:15Uh, I, uh, tweaked my back a little
22:18Lifting that overheated kit
22:21I guess I should get used to
22:23Playing through the pain again, huh
22:26You look like you got into shape
22:27Since I saw you last
22:28Didn't peg you as a gym guy
22:30Oh, no
22:31I'm, uh, maybe more of a barn guy
22:34I'm helping out a friend on the farm
22:36So
22:39Nice
22:39I'm
22:41Picturing babe
22:42Except instead of Farmer Hoggett
22:43It's you
22:43And instead of a pig
22:45Can you cut the shit?
22:48Excuse me?
22:50The sarcasm thing
22:51The, the, the
22:52The little buddy routine
22:53Like, like, like
22:54You're what?
22:54You're the skipper?
22:55I'm Gilligan?
22:56Dude
22:56You're not the skipper
22:57I know
22:58I'm not the skipper
22:59Robbie is the skipper
23:00No, Robbie is the professor
23:01Dane is the skipper
23:02Okay, so I might just watch
23:03A lot of Nick at night
23:03So
23:04Who am I?
23:06Play whatever part you like
23:08Just don't pick mine
23:09For me
23:12Okay
23:13Okay, that's fair
23:15You got it
23:17Thank you
23:19You headed home?
23:22Uh, no
23:23I'm, I'm waiting on Robbie
23:24He asked me to house sit
23:25While he's gone
23:26So I'm, I'm waiting
23:27For the keys
23:28The alarm code
23:30Nice
23:31Nice, yeah
23:32I've, uh
23:32I've seen this place
23:33You're in for a sweet setup
23:36Cool
23:38I'm sorry if I came across
23:39A little strong
23:42Don't apologize
23:42For standing up for yourself
23:44It's a healthy habit
23:48You know, I really don't need
23:49To see this again
23:50Nah, this is my favorite part
23:51Uh
23:53My hand's starting to cramp
23:54We gotta be done soon
23:55Oh, you can be done now
23:57But if you want the hospital
23:58To cover you
23:59Last one
24:05Hey Robbie
24:06It was an accident, man
24:08What are you talking about?
24:11Your bike
24:20Son of a bitch
24:22Oh, motherfucker
24:27Robbie
24:27GSW to the head
24:29Somebody hit my bike
24:30Dude, that sucks
24:31Is this still rideable?
24:34It better be
24:37Elbridge Jerry
24:3725
24:38Stable with good vitals
24:40Shooting a 22 caliber pistol
24:41In the air
24:42With an aluminum pot
24:42On his head
24:43For protection
24:43Didn't work
24:45About a quarter
24:45Seagram 7
24:46Will probably light up
24:47A tox screen
24:47Like a roman candle
24:52Real wordsmith
24:53Entry one on the frontal scalp
24:55Seems to have tracked down
24:55The forehead
24:56As alert and oriented
24:57As you can be
24:58After multiple bong hits
24:59Got vital setting
24:5998 on room air
25:00Don't you fucking leave
25:01I will be right back
25:02What's this?
25:03What's this?
25:04Low velocity DSW
25:06The head seems to have
25:07Remained extracranial
25:08Lucky guy
25:09Gloria, Gloria
25:10Here's a dollar
25:13After a fireworks explosion
25:15Resulting in the loss
25:17Of two fingers
25:18Ooh
25:19That sounds nasty
25:20Yeah, that was a sad one
25:23Parents were deported
25:24Big sister
25:26Works a full-time job
25:27And is the sole caregiver
25:28Been there, done that
25:30Your parents were deported?
25:32Oh, no
25:33I thought she said departed
25:35Did either of you guys
25:37Work on the
25:38Revolutionary War
25:39Reenactors earlier?
25:40Why, do you think
25:41You could pull off
25:42A tricorn hat?
25:44Maybe
25:46I've always loved history
25:47And Colonial Williamsburg
25:49Is my favorite school trip
25:51And you know
25:52There's always the Ren Faire
25:53But that's
25:54That's just once a year
25:55How often do you think
25:57The reenactors get together?
26:00No
26:01You should definitely
26:02Look into that
26:03Yeah?
26:04Yeah
26:04Okay
26:16Deep-throated husky
26:17With a touch of bitch
26:18That's her tune
26:19That's what I thought
26:20But you're the expert
26:20I just need to make sure
26:23I was going through billings once
26:25Cops saw my colors
26:27Jacked me up
26:29Kept me overnight
26:30They threw my sweetheart
26:32In the impound yard
26:34They claimed someone
26:35Backed into it
26:36But you could see where
26:36They took a hammer to it, man
26:39You gotta be careful out there
26:41This is all pretty minor
26:42Though, right?
26:42Yeah, shit
26:43This is just cosmetic
26:44Bring it in tomorrow
26:45And we'll get Bonnie right
26:47Well, this'll bend back
26:48This'll tighten up
26:49I hope I can do all that
26:49Oh, Jesus, let me do it
26:50There's no charge
26:51What?
26:51You don't owe me anything
26:52Except take care of yourself
26:53While I'm gone
26:55Boy, this record never stops, huh?
26:57No, it stands till you drop
27:00Then what?
27:01Teach the kids the steps
27:02Before you do
27:04And then what?
27:05Hope they make it farther than you
27:06How you rubbing?
27:07You coming or going?
27:08I'm going pretty soon
27:09What do you got here?
27:10Lyman Payne 53
27:11Single MVC
27:13Trove into a telephone pole
27:14Passage-based intrusion?
27:15No, head on
27:17Intoxicated?
27:17No ETOH
27:18On his breath
27:19Either syncope, seizure
27:21Or he just fell asleep
27:22At the wheel
27:24Airbag deployed
27:25Unconscious at the scene
27:26But he's waking up
27:27BP 140 over 80
27:28Pulse 120
27:29Pulse ox 98
27:30No obvious injuries
27:31Why don't you guys head on in
27:32I'll meet you in a minute
27:38Well, hey, buddy
27:39I guess this is it
27:41Make those appointments
27:42Next week, you know
27:43I'll call you from the road
27:44To make sure you do
27:45Don't do that, man
27:46What?
27:47Or shine the arm
27:48I'm not
27:50Jesus
27:52I get it
27:53Hard place to leave
27:55Harder place to stay
27:58Yeah
28:03Look, I'm not ready to say goodbye yet
28:05So go do what you gotta do
28:07And I'll get some tools from the truck
28:09And see if I can't make Bonnie smile again for you
28:17Okay
28:18Okay, man
28:26Robbie, man, I'm so sorry
28:28We've been off for 14 straight
28:29I thought I cleared it
28:30It's all right
28:31Honestly, I feel terrible
28:32No real harm done
28:33I was bound to make it up on the road anyway
28:35First blood drawn
28:36It's a good omen, really
28:39I thought I'd be more pissed
28:40I thought I might get punched
28:42Chest and belly look good
28:43Let me drag neurosurgery down here to deal with the C-spine before I go
28:46You off?
28:47Yep
28:48An hour ago, can you tell?
28:50How you doing, sir?
28:51Actually, not too good
28:53The signaling's getting worse
28:55It's in both my arms now
28:56I feel like something's wrong
28:58Hey, man
28:59What are we looking at?
29:00Ran into a telephone pole
29:02Airbag deployed
29:03Seizure?
29:04Stroke?
29:04Not sure
29:06Possible C-spine
29:07CT showed unit facet dislocation
29:09I'm trying not to freak out
29:11I'm having trouble breathing
29:12Squeeze my hand
29:15Real hard
29:16Three out of five strengths
29:17Okay
29:18Uh, ten milligrams dexamethasone
29:20Dexamethasone?
29:21For spinal injury?
29:22It's compression from a jump facet
29:24Maybe some ischemia from a kink vessel
29:26What's happening?
29:27Sir, you have a partial dislocation
29:29Of two vertebrae in your neck
29:31It's putting pressure on your spinal cord
29:32How do you fix it?
29:34We need, uh, neurosurgery
29:36To screw a clamp
29:37Into both sides of your skull
29:39And then use traction
29:41Under x-ray guidance
29:42To get everything realigned
29:43Like a chiropractic adjustment?
29:46It's a bit more complicated than that
29:49I think I'm having a panic attack
29:51Because I can't even get a shallow breath
29:54Or he's losing C-3-4-5
29:56Uh, Paige neurosurgery
29:58Garcia went to go get them
29:59No, Paige overhead
30:00Find Robbie
30:01He's still here
30:03Any available neurosurgeon
30:05To ED trauma 1 stat?
30:06Any available neurosurgeon
30:08To ED trauma 1?
30:11Dr. Robbie?
30:13Uh, yeah?
30:16You're needed in trauma 1
30:19Okay
30:21What patient?
30:21Dr. Landon
30:22His neck injury
30:27I got the fellow
30:28They could be down in 15 minutes
30:29He's progressing too fast tonight
30:30What's going on?
30:33Unit beset dislocation C-4-C-5
30:36Paresthesia and decreased tidal volume
30:37That's 85
30:38We need to prepare for intubation
30:40Any delay in reduction
30:41Almost guarantees complete spinal cord injury
30:44What are the options do you have?
30:46Uh, I saw neurosurgery do a close reduction
30:49Once in the ICU
30:50Blind?
30:51That's crazy risky
30:51You gotta do something
30:52What's that procedure, Dr. Landon?
30:54It's just
30:55It's traction on the neck
30:56You flex the dislocated side
30:58And into slight extension
30:59Quadriplegia if done wrong
31:00I'm sorry, what?
31:01Did you say quadriplegia?
31:02It is a possibility, sir
31:03It's also the same possibility
31:04If we do nothing
31:05You wanna try?
31:07I've never seen it done
31:08You have
31:08I can't feel my feet
31:10Sat 79, 100% on our breathing
31:12He is progressing, Dr. Landon
31:13What is your plan?
31:14Uh, Neuro
31:16Fuck, Darnell
31:16This is right here, right now
31:17This guy's gonna be a living head
31:18If we do nothing
31:19I could paralyze him
31:20Doctor, the fuck up
31:26Sir, the partial dislocation
31:28Of the two vertebrae in your neck
31:30Is putting pressure on your spinal cord
31:31I can try to move the neck bones
31:33Back into place
31:34That could help
31:35There's no guarantees
31:35If we do nothing
31:37The weakness is definitely
31:38Gonna get worse
31:38But either way
31:39There's still a chance of paralysis
31:41Do it
31:42Please
31:44Please
31:4450th Fentanyl IV
31:45You need to let us know
31:46If the weakness gets worse
31:47Or if there's any sudden pain
31:48And we'll stop immediately
31:50Uh, Dr. Cruz, Robbie
31:51Pull down his shoulders
31:52For counter traction
31:54Okay
31:55I'm gonna pull on your head
31:56Your job is to try to relax
31:57Breathe
31:58So we can overcome
31:59The muscle spasm
32:05Flexing to the right
32:10Any change
32:10My legs
32:12Starting to tickle
32:13Last step
32:19I felt something click
32:20Oh fuck, oh fuck
32:21I felt it too
32:21Sir, talk to us
32:22What's going on?
32:25I think
32:25I think
32:26Yeah
32:28I'm starting to breathe easier
32:29Any change in your hand or feet?
32:32Oh
32:32Oh, this may be a little less numb
32:34Philadelphia collar is ready
32:36Talk to me
32:37Langdon just reduced
32:38The unifacet cervical dislocation
32:40What?
32:41Without neurosurgery?
32:42Don't try this at home, kids
32:43He was deteriorating quickly
32:45Your exam is improving
32:46Oh my god
32:47It's definitely better
32:48Oh my god
32:51Nice job
32:53All right
32:53Repeat CT
32:54Then neurosurgery
32:55Can take him over a halo
32:56Brass walls, buddy
32:57See?
32:58You haven't lost it
32:59Um, excuse me
32:59I'm just gonna
33:00Step outside for a second
33:17Langdon
33:18Honey, I just got a call from upstairs
33:19Were you supposed to get a urine screen
33:21And turn it in by eight tonight?
33:22Fuck
33:23Um
33:25Oh no
33:26Uh, uh, yeah, yes
33:27Can you just
33:28Can you tell them that I was under trauma?
33:29I'm going right now
33:34Where's he off to?
33:36I have no idea
33:38Did you find your ID badge yet?
33:40No, I've looked everywhere
33:42I've also been thrown out on accident
33:44They'll issue you a new one
33:45You just have to fill out a bunch of forms
33:47Oh, great
33:52What?
33:54Cow and labor
33:55No, I
33:56I ordered a patient a lift
33:58Now I have a $250 surcharge
34:01And a complaint on my account
34:02What?
34:04What'd they do?
34:05It was a sweet old lady
34:06Who apparently had some racist
34:08And abusive things to say
34:10Right before puking in the back
34:12You never know with some people
34:14There goes my first paycheck
34:16St. Huckleberry
34:17No good deed
34:22I can see why you liked restoring this bike
34:24You're a fixer
34:26I fix bikes
34:28But you fix people
34:29That's pretty damn impressive, man
34:31Some people can't be fixed
34:35Look, I'm
34:37I've done plenty of things
34:38I'm not proud of
34:40Yeah, me too
34:41No
34:42Bad things
34:43Hurt people
34:44On purpose
34:46Hurt myself
34:47And I did my time
34:49But that doesn't wash away the regret
34:51I
34:53Wish I'd done things differently
34:55I think about it every day
34:58You know, they say that it's never too late to change
35:01Some things
35:03Can't be changed
35:04Like death
35:05Death can't be changed
35:07Hey, I know the surgery is scary
35:08I'm not talking about me
35:25Yeah, I don't know if I want to be here anymore
35:30I don't know how you stand
35:31Twelve minutes in there
35:33Let alone twelve hours
35:34Twenty years
35:37No
35:38That's the only place I can be
35:41I have purpose in there
35:42I can be distracted in there
35:46I don't know that I want to be
35:50Anywhere anymore
35:58So what's the plan?
36:02Ride
36:04Toward what?
36:05I don't know
36:05Away from what?
36:07Everything
36:08Well, that's not riding
36:10That's running
36:12That's your final lesson for these kids
36:20What's up, Robbie?
36:22Well, if it isn't Minix
36:24Bosco Notaro
36:27You still on?
36:29Not for much longer
36:30I was looking for you two
36:32Rita Wolcott, 22
36:34She was using a dumpster
36:35To climb the fire escape
36:36To get to a roof party
36:37Slipped about six feet onto concrete
36:39Possible tib-fib fracture
36:41Can I please, Palad?
36:42You're making me sound like an idiot
36:44My friends and I were just trying to watch the fireworks
36:46From the roof of our building
36:47But the roof access door
36:48And the stairwells stuck
36:49So we decided to climb the fire escape
36:51They were supposed to hold the dumpster still
36:53But they didn't
36:55Then I fell
36:57Like I said, six feet onto concrete
36:59Yeah, because they didn't hold it still
37:01Well, it's a good thing she didn't need a twelve lead
37:03Why's that?
37:04Because you guys put one on about a half hour ago wrong
37:06And Mr. Stemme
37:07Bullshit
37:08Forty-six-year-old woman
37:09Minute after you left
37:10V-TAC
37:11V-PDKG showed a massive lateral stemmy
37:13No way
37:14These were so inferior
37:16You might as well have not put them on at all
37:17What were you afraid of?
37:18Her bra?
37:19What have we got?
37:20Got a 22-year-old probable tib-fib fracture
37:23From a six-foot fall
37:24Why don't you take her to central 13?
37:26Got it
37:26Right this way
37:27As I was saying
37:27Bad data is shit data
37:29Maybe she was diaphoretic
37:30And they slid down en route
37:31Yeah, she was moving a lot
37:32Diaphoretic, my ass
37:34She had big breasts
37:34She didn't want to move them out of the way
37:35To get under her bra line
37:36Come on, Robbie
37:37Women are misdiagnosed for heart attacks all the time
37:39This is a big reason why
37:40Shall we put it to a vote?
37:41Hey, ladies in the room
37:43Show of hands
37:44Death with modesty
37:45Or life with brief nudity
37:46Death
37:47Or life
37:49Look at that
37:49Turns out women want to live
37:50Got it
37:51EKG's an amazing tool
37:53If you use it, right?
37:53You could have told us in private
37:54I think this was more instructive
37:56Agreed
37:59Hey, hell of a save your boy made
38:02On the fly reduction of a unifacet cervical dislocation
38:05That's some cowboy shit
38:06Yeah, where is he?
38:08We're in offer a drug test
38:09Got your wish
38:10You don't have to say goodbye
38:18Hey, thank you for saying all that
38:20I may have taken a slightly different approach
38:22I seem to have lost my filter
38:24I'm glad
38:25I could use an honest second opinion on a case
38:27Do you have five minutes to spare?
38:32Sure, why not?
38:34What's the case?
38:35I have the chart pulled up in eight
38:36I have some experience with this
38:54But I'd appreciate a fresh perspective
38:56After 14 hours
38:58I don't know how fresh my perspective is
38:59But I will give you what I got
39:00Well, after working with you, Dr. Rubinovich
39:03I've come to respect your opinion
39:09Thank you, Dr. Elashimi
39:13Likewise
39:15Okay, patient
39:16There's a 40-year-old female
39:17With a history of seizure disorder
39:19For the past 35 years
39:20She had no perineal complications
39:21And was in excellent health until age five
39:23When she had the onset seizure activity
39:25Following prolonged illness
39:26With viral meningitis
39:27Her ulcer mental status
39:29From the infection
39:38Baran
39:39Is this you?
39:40Thank you
39:42Thank you
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