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الطبيب الجيد 1 - Episode 8
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01:54¡Suscríbete al canal!
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09:11¿Puedes irme antes de esta mujer leves a ti, Murphy?
09:14Sí.
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11:33¡Oh, my God!
11:35¡Oh, my God!
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14:11Eso es normal de reparte las cosas que te esperan.
14:14Te esperamos de hacer cosas diferente.
14:15Ya ha pasado.
14:17No puedo hacer cosas diferente.
14:21¿Es la palabra de esto upsettinga?
14:28¿Qué piensas ahora?
14:33Sergente de inflazamiento de respuesta.
14:38El circo fue muy bien.
14:40Después de un trauma como este,
14:42el cuerpo puede desarrollar una reacción de la reacción de la salud.
14:45La cadena, la sangre, la sangre, la sangre, la sangre.
14:48Cada o menos de ellas pueden comenzar a cerrar.
14:50Vamos a dar la atención de la inflamación y monitorearla closely.
14:54Pero la próxima 24 horas son muy importante.
14:55Ok, gracias.
14:57Justo que siga todo esto, lo que hay que hacer.
14:59Bueno, necesito la consencia de la consencia de la mujer.
15:03Si pudiera, por favor, la familia de la familia.
15:09No puedo.
15:15No puedo.
15:16No sé ni siquiera su nombre.
15:17Es nuestra primera reunión.
15:19Nos metimos en un dating app.
15:20Estabamos a ir a la cama,
15:21así que no estaba cargando una purse o ID.
15:24Bueno, entonces no necesitas estar aquí.
15:30Si alguien le preocupa sobre ella,
15:32si se muere,
15:32no necesitas saber que alguien era con ella.
15:37No sé.
15:54No sé.
15:56No sé.
15:58No sé.
16:01No sé.
16:03No sé.
16:05No sé.
16:05No sé.
16:06No sé.
16:09No sé.
16:11No sé.
16:11No sé.
16:21No sé.
16:24No sé.
16:25No sé.
16:27No.
16:29No, no, no, no, no.
17:11No, no, no, no, no, no, no.
17:27I've had a lot more time with him.
17:29That's the best I can offer.
17:38What did Lim expect me to do?
17:40Stand there and smile while she called my medical judgment into question?
17:43Your patient nearly died waiting on that OR, right?
17:46It was bad.
17:47What do you want me to do?
17:47Tell her to back off.
17:49No.
17:49He's a complete and utter...
17:51Not one of those nice races, huh?
17:52I shouldn't have to be...
17:53Claire, here's what you have to do.
17:56Shut up and do exactly what Dr. Lim tells you to do.
17:58But...
18:01Yes, sir.
18:12Maybe we could take turns.
18:15You keep an eye on my patient.
18:17I keep an eye on yours.
18:18No.
18:21Her creatinine is 1.6.
18:25Mild bump in renal numbers isn't surprising after all her trauma.
18:34This morning must have been crazy.
18:36Are you okay?
18:40This morning my neighbor Leah came over and ate my apple.
18:45That's too bad.
18:46Yes, it was my last one.
18:48She was upset with Arm and our landlord.
18:51She plays her music very loud.
18:53I gave her some advice that seemed to anger her
18:55because she left without saying goodbye.
18:58And you think you did something wrong?
19:02No.
19:02It was good advice.
19:06Sean, sometimes a woman wants advice
19:08and sometimes she just wants support.
19:12How can I tell which one Leah wants?
19:16You're on the side of support.
19:18That's not helpful.
19:19Yes, it is.
19:20Dr. Brown, we're being summoned.
19:25Right?
19:30About time.
19:34While you're struggling, you've pulled out your IV.
19:39Our nurses usually supposed to do this kind of crap.
19:45It lets you go to med school
19:46if they don't trust you with any real responsibility.
19:49Must be a competent doctor tucked around here somewhere
19:52who can tell someone I need more than an aspirin.
19:55Competent?
19:55Yeah.
19:56You know what I mean.
20:00Imhotep was the father of modern medicine.
20:03An Egyptian.
20:04Yeah.
20:04Good for ear people.
20:07I'm willing to bet there's even been a couple others
20:09over the last 3,000 years, but guess what?
20:12On average, if you look at most great technological advancements,
20:16you'll find a proud Northern European holding the patent.
20:20That's what you were trying to do this morning?
20:22Get the patent on stealing $30 from the corner store
20:24for a drug fix?
20:27You don't like drug addicts, do you?
20:31A lot of people I don't like.
20:34Thieves.
20:36Racists.
20:38Violent punks.
20:39But I'll treat them.
20:42Is your mama a drug addict?
20:46Wow.
20:48That's the beauty of cliches.
20:49Is there true so often, huh?
20:51You don't know anything about me.
20:54I didn't go to college.
20:56I didn't have no affirmative action to get me in,
20:59but you did.
21:00All because some bleeding-eyed liberal
21:02in the dean's office
21:02cheered up reading your essay
21:04about your crack whore mama.
21:05Ow!
21:06What the hell?
21:12I guess we're all violent punks.
21:31All you had to do was give him your wallet.
21:49Your urine output is low.
21:52Whoa, whoa, whoa, what are you doing?
21:53Get away from her!
21:54Hey, you can't be in here
21:55shutting my doctors around.
21:57Me?
21:57He's the...
22:00Oh, my God.
22:01She needs dialysis.
22:03Her kidneys are failing fast.
22:05This is the first stage of total organ failure.
22:16We removed two liters of excess fluid
22:18with dialysis,
22:20but she's getting worse.
22:21Fluid's building up in her chest.
22:23She's in pulmonary failure, too.
22:24Draining the fluid in her pleural space
22:26would reduce airway resistance.
22:28Yeah, let's prep her for a thoracentesis.
22:30We're gonna have to work fast.
22:32I'll prep the evac drain.
22:34I'm gonna need you to put that needle
22:35right between the...
22:36Sixth and seventh rib.
22:46Wait, you're gonna let him do it.
22:47Shut up.
22:48Right, careful.
22:49Don't put the needle in too deep.
22:50We don't want to give her...
22:51You lift our axe.
22:54All right, you're in.
22:58Let me see what I can pull out.
23:01Hopefully she settles down.
23:19CO2's down, and O2's climbing.
23:24We can manage her kidneys and her lungs.
23:26The last stop in multiple organ failure
23:27would be her heart.
23:29Watch her ventilation pressures like a hawk.
23:31Push cardioprotective meds and page me
23:33if anything changes.
23:37Think you're being her hero?
23:39Fact is, you hardly know her.
23:41And you don't know him at all.
23:44Go home.
23:52Yep.
24:00Okay, I'm done.
24:02He is a foul-mouthed, spiteful bully.
24:04No problem.
24:05I'll have the concierge find a patient
24:07more suited to your liking.
24:08He doesn't need a doctor doting over him.
24:11He doesn't want me.
24:12I don't care.
24:15I'm sorry I disagreed with you, okay?
24:18But I don't deserve to be scolded
24:20like a schoolgirl,
24:21because your ego can't handle
24:23being challenged a little.
24:24Wow.
24:25That is some apology.
24:27Look, I had a legitimate...
24:28You really don't see the problem here?
24:30What?
24:30With challenging you?
24:33Right now,
24:34you are confronting me
24:36in front of two nurses.
24:38Would you do that to Melendez?
24:40Or would you wait five minutes?
25:10I have dealt with men
25:12I am.
25:12No.
25:13Sean, forget the apple, please.
25:15I'm sorry.
25:16Can I have a minute?
25:18Sean.
25:20Okay.
25:26Sean, there's no need to get defensive, okay?
25:29Do you want to sit down?
25:29No, thank you.
25:32I want you to tell me again
25:35exactly what happened this morning.
25:36I told you exactly what happened this morning.
25:38Yes, but people have told you that it's your fault,
25:42haven't they?
25:42My actions
25:43and the shooting
25:44were associative incidents.
25:46It is not a causal relationship.
25:48I paced and she got shot,
25:49but pacing doesn't cause shootings,
25:50otherwise every time someone paced,
25:52a shooting would soon follow.
25:53Okay, that's a very good point.
25:58When someone
25:58has a gun
26:00and it's a dangerous situation,
26:03right?
26:04You don't want to upset the situation.
26:06You don't want to make it worse.
26:08You think
26:09this is my fault, too?
26:11No, no.
26:12It was the shooter's fault,
26:16but your actions may
26:17have contributed to it.
26:20Okay, Sean, wait a second.
26:21Wait a second.
26:22I know your behavior
26:23is not completely in your control,
26:26but I also know
26:26it's not completely out of your control,
26:28is it?
26:30So, yes,
26:31maybe it is a little bit your fault
26:34and definitely
26:36mine.
26:38You weren't even there.
26:41That's right.
26:43I wasn't there.
26:47Can we sit down, please,
26:49for a second?
26:57Sean,
26:58I convinced myself
26:59that everything was fine
27:01because
27:02and here it is.
27:03It's great.
27:05But you need help.
27:08Sean,
27:10you need guidance.
27:12Much more than I can give you.
27:20I'm supposed to be with my patient.
27:22I'm supposed to be watching her like a hawk.
27:46It's my fault.
27:52I didn't like her.
27:54When I first saw her this morning,
27:55she just,
27:56I mean,
27:57didn't look.
28:00I don't know.
28:03I...
28:08I wanted to blow her off,
28:10so I said I forgot water.
28:13and I figured we'd go to the store
28:15and I pretend that I forgot my wallet.
28:17I knew she didn't have her purse,
28:18so
28:19you can't go hiking without water,
28:21right?
28:22I mean,
28:23no harm,
28:24no foul.
28:29She was there because of me.
28:34She's here
28:35because of me.
28:38It's not a causal relationship.
28:42Wait,
28:43excuse me?
28:48It's not a causal relationship.
28:50Lying and shootings.
28:51Lying doesn't cause shootings,
28:52otherwise every time someone lied,
28:55her pulse pressure is narrow.
28:57Wait,
28:57what does that mean?
28:58She's dying.
29:00Paige Melendez,
29:01stat.
29:09Your respiratory rate is up.
29:11Are you having trouble breathing?
29:12Yeah,
29:13it's tight.
29:22Find Dr. Lim.
29:26Narrow pulse pressure indicates
29:27a reduced cardiac output.
29:28The inflammation is affecting her heart.
29:30She's an in-stage organ failure.
29:32Yes,
29:32we can insert an intra-aortic balloon pump.
29:34They may reduce some of the workload on her heart,
29:35but it's failing fast,
29:37really fast.
29:38It only needs to work overnight.
29:39The inflammatory reaction will improve after that.
29:41What if it's failing so fast
29:42because it's not her heart?
29:45Her hemoglobin's dropped from 14 to 12
29:47between the last two draws.
29:48What if the real problem is
29:49she's bleeding somewhere?
29:50Given what she's been through,
29:51a two-point drop could mean nothing.
29:52Or it could mean a bleed,
29:54which would account for the narrow pulse pressure
29:55her heart could be fine.
29:58If you're right,
29:59that means we'd have to open her back up.
30:00I don't know if her body
30:01could handle another operation.
30:02No,
30:02it can't.
30:03Treating heart failure
30:04with an aortic pump
30:05is also a simple procedure.
30:07So we're going to diagnose
30:08based on which procedure is simpler.
30:10If I'm right,
30:11there could be no more blood to pump.
30:13She'll be dead.
30:17She's crashing.
30:18We should prepare the cath lab for a pump.
30:20We should prepare the OR.
30:25Let's get her into an OR now.
30:51We should start off the abdomen.
30:56She was shot there.
30:57The bullet passed through the posterior thorax.
30:58BP's 40 over palp.
31:00She's dying, Neil.
31:01Whatever you're going to do,
31:01you need to do it now.
31:02We need to look everywhere.
31:03Give me a knife and sternal saw.
31:04I'm going to open her up
31:05from chest to pelvis.
31:07Prep the sternum and abdomen
31:08with betadine.
31:10We're going to need a sponge stick
31:12to control the bleeding
31:12and we'll find it.
31:23Stop!
31:27Open her between the second
31:29and third rib on the left side.
31:31The bullet nicked the left supreme
31:33intracostal artery.
31:34The wall has blown.
31:35How do you know?
31:36I followed the injuries.
31:39Helvus to bowel to spleen to diaphragm.
31:41Next target has to be
31:42left supreme intracostal artery.
31:46All right, prep the left
31:47intracostal space.
31:54I can't breathe.
31:56Why is your open pain?
31:57Dr. Lim will be along
31:58in just two minutes.
31:59Please, I can't talk.
32:00I'm due to your job.
32:03I can't breathe.
32:12I need to open up
32:13the left neck compartment.
32:14Relieve the pressure.
32:16Procedure tray?
32:21Have you done this before?
32:25Nope.
32:27Scalpel.
32:35Just too swollen.
32:36I can't see the Adam's apple.
32:38Okay.
32:39Cutting along the soft divot
32:41between the carotid sheath
32:43and the trachea.
32:44Soft divot.
32:45Got it.
33:01Update me.
33:04What did you do?
33:05He had a cervical hematoma.
33:07I had to relieve the pressure here.
33:14Oxygen stats are going up.
33:16It's rare, but post-op swelling
33:17can happen with tracheal tears.
33:19That's why we watched them
33:20so closely the first 24 hours.
33:22Mind if we finish this off
33:23in the operating room?
33:28I don't see anything, Sean.
33:30No blood and no arterial tear.
33:32You're too high.
33:33It's near the bifurcation.
33:34Get some light in.
33:40I got something.
33:42Blood's pulling right
33:42under the bifurcation.
33:43Clamp, now.
34:01She wasn't in heart failure.
34:03That means her heart
34:03is still strong enough
34:04to get her through the night.
34:06I was wrong.
34:09Yeah.
34:10And you just made up for it.
34:15You were right, Jared.
34:20Good work.
34:48You know what?
34:49You were right.
34:51My mother had problems.
34:53So I couldn't afford to sit around
34:55expecting everything to be handed to me
34:56or whatever else it is
34:58that's holding you back.
35:00And yeah, I got some breaks.
35:02But I worked my ass off.
35:03Two jobs, two roommates,
35:05every step of the way.
35:07And that is what got me to the place
35:09where I could save your life.
35:15I'm sorry.
35:19I'm sorry.
35:19I'm sorry.
35:20I'm sorry.
35:27Your daughter's not out of the woods yet,
35:28but I do expect her condition
35:29to improve day by day.
35:33Thank you, doctor.
35:33Thank you.
35:34You're welcome.
35:52I'm sorry we weren't here for you.
35:54How are you feeling?
35:56I probably won't be hiking anytime soon.
36:03Hey.
36:05You sneaking out before I can thank you?
36:10Please, but you don't need to thank me.
36:16I was wrong about you.
36:25I thought you were trying to ditch me.
36:30I was hoping you were trying to ditch me.
36:39I'm sorry.
36:45When you're feeling better,
36:46I'd like a second chance at a first date.
37:08I'm sorry.
37:13You were right.
37:14I publicly disrespected you.
37:17And so I thought it only right
37:19to publicly respect you.
37:25I'm grateful for the chance to learn from you.
37:30I know you needed this victory.
37:33Glad you saved a life today.
37:35Just wish it wasn't a Nazi.
37:37Are you okay?
37:39No.
38:02I know you're a party.
38:03I lost him.
38:05I live a city.
38:05I didn't want it.
38:05I know you were like you called an asshole.
38:05I love you.
38:06I love you, son.
38:06I know you're not.
38:06I love you.
38:07I've been in love.
38:08No, no, no, no.
38:09No, no, no, no, no.
38:11Maddie always took that lane.
38:13She'd tuck in behind me
38:15and drafts into the last
38:17200 meters.
38:19It was a dirty little trick.
38:22And it worked.
38:23Every time.
38:3113 years ago today.
38:34Yeah.
38:35I miss her too.
38:41Give her space.
38:43Right? Give her space.
38:46She just drifted farther and farther away.
38:49Everything I did,
38:51I did wrong.
38:53You did your best.
38:57I was
38:59practically
39:01living
39:01at your house back then.
39:04And I hadn't.
39:06You were both
39:10teenagers.
39:11You were idiots.
39:13You got lucky she didn't.
39:18If I
39:21was there more,
39:23if I
39:26stayed on her.
39:31You're there for him.
39:54I
39:54saw your light.
40:03I'm sorry.
40:06Claire told me to apologize
40:08because you didn't want me to tell the truth.
40:10You only wanted me to support your position,
40:12even though it's wrong.
40:17Well, I don't accept.
40:21I may have overreacted this morning.
40:24A little.
40:26And you were honest.
40:28Brutally honest.
40:29But you shouldn't have to wear earplugs in your own home.
40:34And don't start lying to me,
40:35to make me feel good.
40:38You're the only honest guy I know.
40:44So...
40:48Have a good night, Sean Murphy.
40:51And I will try not to keep you up.
41:03I'll be your mirror.
41:07Reflect what you are.
41:09In case you don't know.
41:13I'll be the wind.
41:15The rain and the sunset.
41:19The light on your door.
41:21To show that you're home.
41:24Cause when you think the night...
41:28I made a mistake today.
41:31And someone got hurt.
41:34Dead and unkind.
41:37Let me stand
41:39To show that you are blind.
41:43Please put down your hands.
41:48Cause I see you.
42:10Cause I see you.
42:23I see you.
42:25And you are strong.
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