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The Pitt - Season 2 Episode 14 Engsub
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00:16What's up, Ghost Rider?
00:17You good?
00:18Never 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,
00:43and 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?
00:55Uh, Antoine'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 from.
01:12Cool.
01:13Want to switch to 1 a.m.?
01:14Why?
01:15One variety is the spice of life.
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.
01:42What did you have to last?
01:43Uh, I was with Ogilvy in the ambulance bay.
01:46Not with Colonel Mustard in the library?
01:48Who's...
01:49Yeah, I'm just...
01:50What?
01:50No.
01:52The boy has no food.
02:00Please don't do that.
02:01Oh, 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.
02:23What 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.
02:49Okay, that's it?
02:50And, uh, sunscreen in your future.
02:52No, I'm never going outside ever again.
02:56I 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.
03:10I'm happy to.
03:10I mean, there's nothing I would rather do less.
03:13They keep you pretty busy.
03:16Yeah, and today has brought some new challenges.
03:19This is really putting a crimp in my 4th 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 than the three Bs at this point.
03:33What's the three Bs?
03:36Put bath in 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, so she'll 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 a little rusty, rusty James.
03:57Now you won't have Motorcycle Boy to Big Brother you.
04:00Is that a Rumblefish reference?
04:01Sure is.
04:03And 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, you'd 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?
04:38It's just more white night, white noise.
04:40That's how it is.
04:44Share this video with your friends if you can.
04:46Thank you so much.
04:47Be kind, be safe, be brave.
04:49What you doing?
04:51Dr. 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...
05:00I would never violate any HIPAA laws, Dr. Robbie.
05:02I understand.
05:03Even 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, probably.
05:13You would be the first to accuse me of it.
05:14However, when I was in medical school...
05:16You 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, I would, truly, but I got to get home.
05:48Life, 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.
06:22The 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, time for this dinosaur to head to extinction.
06:37You guys are a real jam today.
06:38Can't take you enough, Monica.
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 upright.
06:52That's right.
06:53Okay, that's enough, Mush.
06:54Back to my life of mahjong and margaritas.
06:57Bye, Evans.
06:57Good help safe.
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 you okay?
07:16No.
07:18Sad or scared or some fucking thing.
07:23I'm worried.
07:26It's all right.
07:28Robbie.
07:28Robbie's not 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.
07:41Could you at least try?
07:43They get him to promise to come back in one piece.
07:46He doesn't like to listen.
07:49So make him.
07:56Fuck it.
07:57Check my DM.
07:58She hit me up.
07:59Sheryl, 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?
08:10Baradanko, 34.
08:11Decent vitals given.
08:12He has old glory jammed in his chest.
08:14Fatting 91 on 15 liters.
08:16BP, 132 over 87.
08:18Taki at 112.
08:20I suspect you want to try it.
08:23What the fuck?
08:24I'll call you back, babe.
08:28Shit.
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.
08:36Bikes 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.
08:43Is it you or the city?
08:44But you're paying for this.
08:45Seriously, we don't need this hassle.
08:47I know.
08:47I know.
08:47Fuck.
08:48How bad is it?
08:49Not really good.
08:51Toby 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
08:56and shove it up your fucking ass.
08:57You hit me with a fucking rolling rock, man.
09:00So you got Iwo Jima.
09:01You fucking cheated, man.
09:02Every detail must be called.
09:03Oh, I'm hungry.
09:04You're on different health journeys now.
09:07I'm going to go see Imaud.
09:09It's all going to be on a security video.
09:12Robbie's going to shit.
09:16Okay.
09:18Hey, a little help?
09:19All right, he's going straight to trauma 2.
09:21What is this story?
09:22Vile to the face.
09:23Strong vitals.
09:2412 centimeter facial lach.
09:25Hey, where do you want us?
09:26North 4 just got clean.
09:28Abbott, single MVA on roof.
09:30Five away.
09:31Olive, can you find Robbie and Alashimi?
09:33We may need a couple more hands
09:34until we get caught up with these two.
09:36Sir, we are going to get you more pain meds,
09:37but 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
09:45an inhaled corticosteroid
09:46with a fast-acting, long-lasting beta agonist.
09:49That's fancy talk for an anti-inflammatory
09:51and a lung muscle relaxer
09:53all rolled into one.
09:54But it's $400,
09:55and 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
10:06of getting off the table alive?
10:09Once you're cleared
10:10by the heart and lung specialists next week,
10:13chances of death are low,
10:14like 102%.
10:16And how long would I be in surgery for?
10:18Between three and five hours.
10:21Jesus.
10:22It's long,
10:24because they have to stop your heart.
10:27You will be on a heart-lung bypass machine,
10:30which will be circulating your blood
10:32while they repair the aneurysm with a graft.
10:35Well, what's the graft made out of?
10:38Synthetic fabric called Dacra.
10:40Super strong.
10:42Okay.
10:43New 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.
11:08Maybe more like six, given your age.
11:13And if I don't get surgery?
11:17Fifty percent chance of death within 12 months
11:20if the aneurysm ruptures.
11:22What would I feel if it ruptured?
11:27Some chest pain.
11:28Maybe some shortness of breath for about a minute
11:31before you pass down from blood loss.
11:33And then...
11:34the 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
11:51or follow your aftercare instructions if I'm not 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-I gotta sit with this for a minute.
12:05You can go ahead and get dressed.
12:08I'll come back.
12:14I need you.
12:18I need you.
12:19We need you.
12:22You're strong.
12:37Mom, we've got an ICU bed upstairs.
12:39We can take Orlando up now.
12:41Department for transfer.
12:43Thanks, hon.
12:44We need this room again in a minute.
12:56All good?
12:59Uh, totally.
13:00Ah, totally.
13:03Look, once more, I feel compelled to offer some unasked for and probably unwanted advice.
13:11Javadi wasn't making a TikTok video.
13:13She's been posting about Jesse trying to find someone who knows where he is.
13:17Ah.
13:19And even if she were making one of her videos, have you ever watched one?
13:23No.
13:25No, my account was suspended for erotically seditious content.
13:29Well, they're not what you think.
13:31They're actually kind of cool.
13:32It's like this badass self-care.
13:35Huh.
13:36Okay, that is it.
13:38I'm going to bury myself in charting and try to dig my way out.
13:41Edith Lynch, 46, right-sided chest pain for an hour.
13:43No cardiac history, minimal relief from sublingual nitro.
13:46No STEMI on the 12-lead.
13:47Dana?
13:48So that's his team.
13:50Hi, Edith.
13:51I'm Dr. Al-Hashimi.
13:52We'll be taking care of you today.
13:54Absent lung sliding on the right.
13:56Couldn't have told you that from here.
13:58God bless America.
13:59Hemodynamically stable.
14:00I'll put it in at 20 French and then right up to the OR.
14:03Wait, whoa, whoa, hold on.
14:04I need surgery?
14:05Sir, you have a collapsed lung.
14:06We need to put a tube in your chest to see how much internal bleeding there is.
14:09Oh, come on, man.
14:10Just pull it out.
14:11No.
14:12Okay, everyone knows what to do here, right?
14:14We're going to take this at a nice, slow pace, moving together.
14:17If anyone has an issue, speak up.
14:19There are a lot of moving parts here.
14:21Well, Andy, going up to ICU finally?
14:23Yes.
14:23Great.
14:24How are you doing?
14:25Is that a trick question or...
14:27Not intended to be, no.
14:29Then not great.
14:30This one got past me.
14:33Well, listen, you tried to find a viable payment plan.
14:35You tried to keep him here.
14:36You even tried to give him a goodie bag.
14:38But he left.
14:38I'm not sure what else you could have done.
14:40Been more persuasive.
14:41This was the patient's call.
14:43His life, his mistake.
14:45What mistake?
14:46Getting diabetes?
14:47Not picking a higher spot to jump from.
14:59History of hyperlipidemia.
15:01An hour of substernal chest pain.
15:04Minimal relief with nitro and 4 of MS.
15:07EKG is negative for STEMI.
15:08Heart score is 4.
15:10Gave 324 milligrams of chewable aspirin.
15:13Admit for new onset angina.
15:15Don't mind me.
15:15I'm just passing through.
15:16Seems like you wanted an update.
15:18Well, as long as you feel like you got it covered.
15:20I do.
15:21Go ahead and repeat the 12 lead.
15:22Since I'm here, I did want to ask you about something I observed earlier.
15:26Oh, you gotta be fucking kidding me.
15:27What?
15:28Look where these anterior leads are placed.
15:30They're way too low.
15:32Holy shit, what's happening?
15:33Mrs. Lynch?
15:34V-TECH?
15:35No pulse.
15:36Charge to 200.
15:40Charged and clear.
15:44Okay, no size.
15:45Strong pulse.
15:45Cycle at BP.
15:49Let's repeat that EKG, please.
15:50Put the leads in the right fucking place.
15:52Who are the medics on this?
15:54Bosco and Otero.
15:55Bosco and Otero.
15:56Okay, Bosco and Otero.
15:59See you all Monday.
16:01May your night go smoother than my day.
16:04Happy 4th?
16:04Heard it's been crazy.
16:06They shut down when ICE came.
16:07Separate events.
16:08Get someone else to explain.
16:09I'm going home.
16:11Damn, what is that?
16:12That smells good.
16:13Food from home.
16:14I can't do the cafeteria.
16:15Oh, you gotta give me that recipe.
16:17I'm going home.
16:18Get home safe.
16:19Mm-hmm.
16:23Hey.
16:24Hey.
16:25I'm starving.
16:26Of course.
16:27I will give you $20 for whatever that smell is.
16:29I'll give you some.
16:30I made too much anyway.
16:32Just give me a sec.
16:33Yeah.
16:33How can I help you?
16:34My granddad just about cut his hand off with the tug-of-war room.
16:37Hi.
16:38I remember you from earlier.
16:40You're having the family reunion, right?
16:41Yeah.
16:42Is your hand actively bleeding?
16:43Oh, not so bad here.
16:45Take a look.
16:47Mateo, want to come straight back?
16:48Oh, my God.
16:49Cover that up, please.
16:50I'll need to get his demographics from you.
16:52You got him already, Hanson.
16:54He's been in and out of here all day long.
16:55How did this happen?
16:57He had the rope wrapped around his hand.
16:58Cut through it like I was studying.
17:00How'd I seek, sir?
17:00I'll take you right back.
17:01And how would you rate your pain on a scale from 1 to 10?
17:04Oh, it's not too bad.
17:06I counted my sugars.
17:08With his diabetes, his sensation's a little off.
17:11Yeah.
17:12After him.
17:13Thanks.
17:14Ow, what the fuck?
17:16Trigeminal nerve is good.
17:17Shit, you're going to fix me or torture me?
17:20Whew.
17:21Ouch.
17:22Yeah, I need to call Plastics.
17:24I called the kiss off the tube off the rail.
17:27Fucker said I didn't call it.
17:29But yes, it was a bit noisy, the fourth of Sticks night.
17:32But I called it.
17:33I have witnesses.
17:34Sticks?
17:34The band?
17:35Yeah.
17:36Love Sticks.
17:37I never heard of them.
17:39You never heard of Sticks?
17:40Mr. Rubato?
17:42My Spotify ages in 62.
17:44Come stay the way, lady, babe.
17:48Yeah, it may be 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, I know.
18:02I'm just waiting for things to slow down.
18:04Oh, express trains don't stop at your station.
18:07You just got to jump.
18:09What is that?
18:11Heineken?
18:12Moosehead?
18:13What?
18:15From the glass-lined tanks of old Latrobe.
18:18Ah, Rolling Rock.
18:19Nice.
18:25She's had four of morphine.
18:27How's the pain?
18:28Got a thing to an eight.
18:29There it is, lateral stemmy.
18:31Okay, call it in.
18:32The leads were too low to catch this?
18:34Yes.
18:34Not the first time it's happening.
18:35You get a male medic who's more concerned about getting sued or a complaint for undoing a bra.
18:39See these anterior legs here?
18:41Come, Stimmy, stop 15.
18:41You're having a heart attack from a blockage in the artery that brings oxygen to your heart.
18:46So, if we get you to the cat-line.
18:47The lateral stemmy V-tag arrest got her back after one shock.
18:49She has cat-line.
18:50You're having serious heart damage.
18:51Oh, my God.
18:52You're going to be okay.
18:53Hello, 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 and take her up in a minute.
19:07I'm going to check her on the 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, I don't have much pain.
19:33I guess it's my diabetes.
19:35Oh, we still need to numb you up to do proper deep clean.
19:38You guys do whatever you got to do.
19:40Yeah, three shots, menion, ulnar, and radial.
19:43Two grams of ANSIF, 100 milligrams of gent for gram-negative coverage.
19:46How'd you do this?
19:48Oh, family reunion tug-of-war.
19:50I wrapped the rope around my hand for better grip,
19:52and when we fell down, those bastards just kept pulling.
19:56Dirty.
19:57It's just the way we play.
20:03Michael, you got a sec?
20:04Uh, not really, no.
20:06Well, how about showing me a little respect and finding one?
20:10Sorry, Caleb.
20:11Are you feeling disrespected?
20:12Uh, given that you've been actively blowing 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 a higher place to jump from.
20:23Um, it'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, just in case, huh?
20:45Yes, I promise, I will.
20:47Thank you, kid.
20:51We're going to give you one Diflucan pill to take home.
20:54Take it in three days if your symptoms persist.
20:56How do I get there?
20:58Where's that?
21:00Home.
21:01Do you know where you live?
21:03Of course I do.
21:04It's not far, but I don't have a way to get there.
21:08How'd you get here?
21:10My, my neighbor Gwen dropped me off, but she can't drive at night.
21:14We could call you an Uber or a taxi.
21:17I don't have any money.
21:20Uh, excuse me.
21:21Can I help?
21:23Mrs. Clymer has been discharged, but has no way home.
21:26I'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.
21:35If you put your address in here, a car will arrive in a few minutes to bring you home.
21:39Oh.
21:39My treat.
21:41That's very kind of you.
21:44Truly.
21:46Perfect.
21:47Okay, Olive, could you take Mrs. Clymer out to the ambulance bay where Florian will be arriving in six minutes
21:53in a white Toyota Camry?
21:54You bet.
21:57Could you have some good karma?
21:59Okay.
22:03Oh, uh, hey.
22:07Relax, buddy.
22:09It's Advil.
22:10No, I didn't think you would...
22:14Headache?
22:15Uh, I, uh, tweaked my back a little, lifting that overheated kit.
22:21I guess I should get used to playing through the pain again, huh?
22:26You look like you've gotten into shape since I saw you last.
22:28Didn't peg you as a gym guy.
22:30Oh, no.
22:31I'm a...
22:32Maybe more of a barn guy.
22:34I, uh, I'm helping out a friend on the farm, so.
22:39Nice.
22:40I'm picturing Babe, except instead of Farmer Hoggett, it's you.
22:44And instead of a pig...
22:45Can you cut the shit?
22:48Excuse me?
22:50The sarcasm thing?
22:51The, the, the, the, the little buddy routine?
22:53Like, like, like you're what?
22:54You're the skipper?
22:55I'm Gilligan?
22:56Dude, you'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 just watch a lot of Nick at night, so.
23:04Who am I?
23:06Play whatever part you like.
23:08Just don't pick mine for me.
23:12Okay.
23:13Okay, that's fair.
23:15You got it.
23:19You headed home?
23:22Uh, no, I'm, I'm waiting on Robbie.
23:24He asked me to house sit while he's gone, so I'm, I'm waiting for the keys, the alarm code.
23:30Nice.
23:31Nice, yeah, I've, uh, I've seen this place.
23:33You're in for a sweet setup.
23:36Cool.
23:38I'm sorry if I came across, uh, Little Strong.
23:42Don't apologize for standing up for yourself.
23:44It's a healthy habit.
23:48You know, I really don't need to see this again.
23:50That is my favorite part.
23:53Uh, my hand's starting to cramp.
23:54We've got to be done soon.
23:55Oh, you can be done now.
23:57But if you want the hospital to cover you, last one.
24:06Hey, Robbie.
24:07It was an accident, man.
24:09What are you talking about?
24:11Your bike.
24:20Son of a bitch.
24:24Oh, motherfucker!
24:27Robbie, GSW to the head.
24:29Somebody hit my bike.
24:30Dude, that sucks.
24:32Is it still rideable?
24:34It better be.
24:37Elbridge Jerry, 25, stable with the vital.
24:40But shooting a .22 caliber pistol in the air with an aluminum pot on his head for protection.
24:44Didn't work.
24:45About a quarter of Seagram 7 would probably light up a tox screen like a Roman candle.
24:52Real wordsmith.
24:53Entry, one of the frontal scalp seems to have tracked down the forehead.
24:56As alert and oriented as you can be after multiple bong hits.
24:59Got vital setting, 98 on room air.
25:00Sorry, Robbie.
25:01I can explain.
25:02I will be right back.
25:03What's this?
25:03What's this?
25:04Low velocity GSW.
25:06The head seems to have remained extracranial.
25:08Lucky guy.
25:09Gloria, Gloria, here's a dollar.
25:13After a fireworks explosion resulting in the loss of two fingers.
25:18Ooh, that sounds nasty.
25:21Yeah, that was a sad one.
25:23Parents were deported.
25:25Big sister, works a full-time job and is the sole caregiver.
25:29Been there, done that.
25:30Your parents were deported?
25:32Oh, no, I thought she said departed.
25:36Did either of you guys work on the Revolutionary War reenactors earlier?
25:40Why, do you think you could pull off a trichorn hat?
25:44Maybe.
25:46I've always loved history and Colonial Williamsburg is my favorite school trip.
25:51And, you know, there's always the Ren Fair.
25:53But that's just once a year.
25:55How often do you think the reenactors get together?
26:01You should definitely look into that.
26:03Yeah.
26:16Deep-throated husky with a touch of bitch.
26:18That's her tune.
26:19That's what I thought, but you're the expert.
26:21I just need to make sure.
26:23I was going through Billings once.
26:26Cops saw my colors.
26:27Jacked me up.
26:29Kept me overnight.
26:30They threw my sweetheart in the impound yard.
26:34They claimed someone backed into it, but you could see where they took a hammer to it, man.
26:39You gotta be careful out there.
26:41This is all pretty minor, though, right?
26:42Yeah, shit.
26:43This is just cosmetic.
26:44Bring it in tomorrow, and we'll get Bonnie right.
26:47Well, this will bend back.
26:48This will tighten up.
26:49I 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 except take care of yourself while I'm gone.
26:55Boy, this record never stops, huh?
26:57No, it's dance till you drop.
27:00Then what?
27:01Teach the kids the steps before you do.
27:04And then what?
27:05Hope they make it farther than you.
27:07Hey, Robbie, you coming or going?
27:08I'm going pretty soon.
27:09What do you got here?
27:10Lyman Payne, 53, single MVC.
27:13Drove into a telephone pole.
27:14Passage of space intrusion?
27:15No, head on.
27:17Intoxicated?
27:17No ETOH on his breath.
27:19Either syncope, seizure, or he just fell asleep at the wheel.
27:24Airbag deployed.
27:25Unconscious at the scene, but he's waking up.
27:27BP 140 over 80, pulse 120, pulse hox 98, no obvious injuries.
27:31Why don't you guys head on in?
27:32I'll meet you in a minute.
27:38Well, hey, buddy, I guess this is it.
27:41Make those appointments next week, you know?
27:43I'll call you from the road and make sure you do.
27:45Don't do that, man.
27:46What?
27:47I'm not shiny on.
27:49I'm not.
27:51Jesus.
27:52I get it.
27:54Hard place to leave, harder place to stay.
27:59Yeah.
28:03Look, I'm not ready to say goodbye yet, so go do what you gotta do, and I'll get some tools
28:08from the truck and see if I can't make Bonnie smile again for you.
28:17Okay.
28:18Okay, man.
28:27Robbie, 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.
28:36First blood drawn.
28:37It's a good omen, really.
28:39I thought I'd be more pissed.
28:41I thought I might get punched.
28:42Chest and belly look good.
28:44Let me drag neurosurgery down here to deal with the C-spine before I go.
28:46You off?
28:47Yep.
28:48An hour ago.
28:49Can you tell?
28:50How you doing, sir?
28:51Actually, not too good.
28:53The singling's getting worse.
28:55It's in both my arms now.
28:57I 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?
29:05Not 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.
29:13Squeeze my hand.
29:15Real hard.
29:16Three out of five strengths.
29:18Okay.
29:18Uh, 10 milligrams dexamethasone.
29:21Dexamethasone?
29:21For spinal injury?
29:22It's compression from a jump facet and maybe some ischemia from a kink vessel.
29:26What's happening?
29:27Sir, you have a partial dislocation of two vertebra in your neck.
29:31It's putting pressure on your spinal cord.
29:32How do you fix it?
29:34We need, uh, neurosurgery to screw a clamp into both sides of your skull and then use traction
29:41under x-ray guidance to get everything realigned.
29:44Like a chiropractic adjustment?
29:46It's a bit more complicated than that.
29:49I think I'm having a panic attack because 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.
30:00No, Paige overhead.
30:01Find Robbie.
30:01He's still here.
30:03Any available neurosurgeon to ED trauma one stat?
30:06Any available neurosurgeon to ED trauma one?
30:11Dr. Robbie?
30:15Uh, yeah?
30:16You're needed in trauma one.
30:19Okay.
30:21What patient?
30:22Dr. Landon.
30:22He's neck injury.
30:27I've got the fellow.
30:28They could be down in 15 minutes.
30:29He's progressing too fast tonight.
30:31What's going on?
30:32You need to set 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 almost guarantees complete spinal cord injury.
30:44What are the options, Steve?
30:46Uh, I saw neurosurgery do a closed reduction once in the ICU.
30:50Blind?
30:51That's crazy risky.
30:52You gotta do something.
30:52What's that procedure, Dr. Landon?
30:54It's just, it's traction on the neck.
30:56You flex the dislocated side and into slight extension.
30:59Quadriplegia, if done wrong.
31:01I'm sorry, what?
31:01Did you say quadriplegia?
31:02It is a possibility, sir.
31:03It's also the same possibility if we do nothing.
31:06You want to try?
31:07I've never seen it done.
31:08You have.
31:09I can't feel my feet.
31:10Sat 79, 100% on our breathing.
31:12He is progressing, Dr. Landon.
31:13What is your plan?
31:15Uh, neurosurgeon?
31:16Fuck, Darrell.
31:16This is right here, right now.
31:17This guy's going to be a living head if we do nothing.
31:19I could paralyze him.
31:20Doctor, the fuck up.
31:26Sir, the partial dislocation of the two vertebrae in your neck
31:30is putting pressure on your spinal cord.
31:31I can try to move the neck bones back into place.
31:34That could help.
31:35There's no guarantees.
31:36If we do nothing, the weakness is definitely going to get worse.
31:39But either way, there's still a chance of paralysis.
31:42Do it.
31:43Please.
31:44Please.
31:4450th Fentanyl IV, you need to let us know if the weakness gets worse
31:47or if there's any sudden pain, it will stop immediately.
31:50Uh, Dr. Cruz, Robbie, hold down his shoulders for counter traction.
31:54Okay.
31:55I'm going to pull on your head.
31:56Your job is to try to relax, breathe, so we can overcome the muscle spasm.
32:05Flexing to the right.
32:10Any change?
32:11My legs are starting to tickle.
32:14Last step.
32:19I felt something click.
32:20Oh, fuck, oh, fuck.
32:21I felt it too.
32:22Sir, talk to us.
32:22What's going on?
32:25I think...
32:26I think...
32:27Yeah.
32:28I'm starting to breathe easier.
32:30Any change in your hand or feet?
32:32Oh.
32:33Oh, this may be a little less numb.
32:35Philadelphia collar is ready.
32:36Talk to me.
32:37Langdon just reduced the unifacet cervical dislocation.
32:40What?
32:41Without neurosurgery?
32:42Don't try this at home, kids.
32:44He 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.
32:54Repeat CT, then neurosurgery can take him over a halo.
32:56Brass walls, buddy.
32:57See?
32:58You haven't lost it.
32:59I'm not...
32:59Excuse me.
32:59I'm just going to step outside for a second.
33:17Langdon.
33:18Honey, I just got a call from upstairs.
33:20Were you supposed to get a urine screen and turn it in by eight tonight?
33:22Fuck.
33:23Um.
33:25Oh, no.
33:26Uh, yeah, yes.
33:27Can you just...
33:28Can you tell them that I was under trauma?
33:29I'm going right now.
33:35Where's he off to?
33:36No idea.
33:38Did you find your ID badge yet?
33:40No, I've looked everywhere.
33:42I must have been thrown out on accident.
33:44They'll issue you a new one.
33:46You 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 Lyft.
33:58Now I have a $250 surcharge and a complaint on my account.
34:03What?
34:04What'd they do?
34:05It was a sweet old lady.
34:06Who apparently had some racist and abusive things to say right before puking in the back.
34:12You never know with some people.
34:15Where was my first paycheck?
34:16St. Huckleberry.
34:18No good deed.
34:22I can see why you liked restoring this bike.
34:25You're a fixer.
34:26I fix bikes, but 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 I'm not proud of.
34:40Yeah, me too.
34:41Now, bad things hurt people on purpose.
34:46Hurt myself.
34:48And I did my time, but that doesn't wash away the regret.
34:51I wish I'd done things differently.
34:56I think about it every day.
34:58You know, they say that it's never too late to change.
35:01Some things can't be changed, like death.
35:05Death can't be changed.
35:06Hey, I know the surgery is scary.
35:09I'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 12 minutes in there, let alone 12 hours.
35:3420 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.
35:59So, what's the plan?
36:02Ride.
36:04Toward what?
36:05I don't know.
36:05Away from what?
36:07Everything.
36:09Well, 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, Bosco Notaro.
36:28You still on?
36:29Not for much longer.
36:30I was looking for you two.
36:32Rita Wolcott, 22.
36:34She was using a dumpster to climb the fire escape to get to a roof party.
36:37Slipped about six feet onto concrete.
36:39Possible tib-fib fracture.
36:41Oh, can I please tell it?
36:42You're making me sound like an idiot.
37:12My friends and I were just trying to watch the fireworks from the roof of our building.
37:14No way.
37:14These were so inferior, you 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 from a six-foot fall.
37:24Why don't you take her to Central 13?
37:26Got it.
37:26Right this way.
37:27I'm saying bad data is shit data.
37:29Maybe she was diaphoretic and they slid down on root.
37:31Yeah, she was moving a lot.
37:33Diaphoretic, my ass.
37:34She had big breasts.
37:34You didn't want to move them out of the way to 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?
37:42Hey, ladies in the room, show of hands.
37:44Death with modesty or life with brief nudity?
37:46Death or life?
37:49Look at that.
37:49Turns out women want to live.
37:51Got it.
37:52EKG's an amazing tool if 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 unifacent cervical dislocation?
38:05That's some cowboy shit.
38:06Yeah, it was.
38:07Where is he?
38:08We're in offer a drug test.
38:10Got your wish.
38:10You don't have to say goodbye.
38:17Hey, 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 that case.
38:28Do you have five minutes to spare?
38:32Sure.
38:33Why not?
38:34What's the case?
38:35I have the chart pulled up in eight.
38:36I know I'm just feeling a little less dizzy, though.
38:40February?
38:40Yeah.
38:51I have some experience with this, but I'd appreciate a fresh perspective.
38:57After 14 hours, I don't know how fresh my perspective is, but I will give you what I got.
39:01Well, after working with you, Dr. Rubinovich, I've come to respect your opinion.
39:08Thank you, Dr. Elashimi.
39:13Likewise.
39:15Patient is a 40-year-old female with a history of seizure disorder for the past 35 years.
39:20She had no perineal complications and was in excellent health until age five when she had the onset seizure activity
39:25following prolonged illness with viral meningitis.
39:27Her ulcer mental status from the infection.
39:30Shh, shh, shh, shh.
39:38Baran, is this you?
40:11Baran, is this you?
40:31Baran, is this you?
40:42Baran, is this you?
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