- 13 hours ago
Category
🎥
Short filmTranscript
00:20What's up, Ghost Rider?
00:21You good?
00:22Never better.
00:23Okay, kids, bye-bye time.
00:25Thanks for the trip down memory lane.
00:27Um, where's Evans?
00:28Uh, I think she's by the family room.
00:31She is.
00:32Hey, hey, hey, where are you going?
00:34I'm not going to scan all this by myself.
00:35Cruz has a question on my cellulitis.
00:37I'll be right back.
00:38You better.
00:39Two minutes, tops.
00:39Where's Mel?
00:40Where's Donnie?
00:41They should be helping you.
00:42I don't know.
00:43Okay, day shift.
00:44Listen up.
00:44We're doing really well, but we still got a ways to go,
00:47and nobody's going home until all these paper charts are digitized,
00:49including me.
00:50And then we're free to celebrate our freedom?
00:52Exactly.
00:53Well, can you kick some ass and get the staff to hurry up on the EHR homepages?
00:57Where are Larry and Antoine?
00:59Uh, Antoine's fighting on the phone with his girlfriend outside,
01:01and Larry's on a cafeteria run.
01:04Yeah, that tracks.
01:07We've got five patients in beds waiting to be seen.
01:09How do you want to play this?
01:10Man-to-man or zone?
01:11Zone.
01:12Have Cruz and Ella split up the new five.
01:14You take north and central, I'll take south and prom.
01:16Cool.
01:17Want to switch to 1 a.m.?
01:18Why?
01:19Variety is the spice of life.
01:20I thought that was garland.
01:22Oh, sorry.
01:25I told you I'd be fast.
01:27Okay, let's do this and get out of here.
01:29What's the hurry?
01:30Got some hay to pitch?
01:31Uh.
01:33Oh.
01:34Oh, shoot.
01:35What?
01:36Uh, my ID badge is missing.
01:39Oh, the one you just got?
01:40How'd you lose it?
01:41I don't know.
01:41It must have come off.
01:42Classic.
01:43Hope you remember your login and password.
01:45Okay, retrace your steps.
01:46Where'd you have it last?
01:47Uh, I was with Ogilvy in the ambulance bay.
01:50Out with Colonel Mustard in the library?
01:52Who's?
01:53Yeah.
01:54What?
01:54No.
01:56The boy has no clue.
02:04Please don't do that.
02:06Oh, ma'am, I gotta go.
02:07I don't sit here any longer, I'm gonna get bed sores.
02:12I'm supposed to get some, uh, CT results.
02:15Any idea how much longer that's gonna be?
02:18Shouldn't be much longer.
02:20Where's that nurse, Vivi?
02:22You don't want any of that?
02:24No?
02:25No, she's out of your league.
02:27What league do you think I play in?
02:29Uh, old-timers night?
02:31Yeah, you're probably right.
02:33But some teams still appreciate a veteran presence.
02:36Well, don't say I didn't warn you.
02:38You are here for your heart, after all.
02:40My heart's been broken before.
02:42What's one more time?
02:43Uh, she's engaged to a jiu-jitsu instructor.
02:45With a bang, not a whimper, baby.
02:48And it's a cool bath a couple times a day for two days, followed by aloe vera to your skin.
02:53Okay, that's it?
02:54And, uh, sunscreen in your future.
02:56No, I'm never going outside ever again.
02:59I wouldn't swear off the sun entirely.
03:02You know, but like most things, moderation.
03:05Hey, we're getting kind of shorthanded to get any charts out of here.
03:08When you finish, can you come lend a hand?
03:10Yeah, happy to.
03:14I'm happy to.
03:14I mean, there's nothing I would rather do less.
03:17They keep you pretty busy.
03:19Yeah, and today has brought some new challenges.
03:24She's really putting a crimp in my 4th of July evening plans.
03:27You're going to see the fireworks?
03:30Uh, no, I was going to maybe meet up with this guy.
03:33Though that's sounding less appealing than the three B's at this point.
03:37The three B's?
03:40Look, bath and bed.
03:42College kid with mono and hemorrhagic tonsils.
03:45Submit med surge or observation?
03:47Uh, observation.
03:48Bleeding stop with TXA.
03:49She's had steroids, so should be ready for discharge in the morning.
03:52Cool.
03:53How was your first shift back?
03:55Uh, slow start.
03:57Finding my rhythm.
03:59You a little rusty, rusty James.
04:01Now you won't have motorcycle boy to big brother you.
04:04Is that a rumblefish reference?
04:05Sure is.
04:07And Robbie is my big brother in this analogy?
04:09Bingo.
04:10Yeah, I wouldn't say he's been looking out for me, exactly.
04:14I think he'd probably prefer not to see me at all today, actually.
04:17Now you think that's because he's mad at you?
04:21I think he feels like I let him down, because I did.
04:25Jesus, with all the martyrs around here, you think this was a passion play?
04:28What's your take?
04:32I worked with that man for ten months while you were gone.
04:35He's not mad at you.
04:36He's mad at himself for failing you, rusty James.
04:40Really?
04:42It's just more white night, white noise.
04:45That's how it is.
04:48Share with me with your friends if you can.
04:50Thank you so much.
04:51Be kind, be safe, be brave.
04:53What you doing?
04:55Dr. Robbie.
04:56Sorry, I was just, um...
04:57One of your TikToks?
04:58Yeah, about those.
04:59Listen, I'm not so sure that...
05:00No, I was just sharing...
05:01No, I get it.
05:02I just, you know, we do have HIPAA laws here.
05:04We don't let anybody...
05:04I would never violate any HIPAA laws.
05:06I understand.
05:07Even still, we're getting behind on scanning patient charts, so how about no TikTok on the
05:10company clock, Dr. J?
05:13Dr. Robbie, I think you're...
05:15Out of touch?
05:16Probably.
05:17You would be the first to accuse me of it.
05:18However, when I was in medical school...
05:20You didn't have cell phones or TikTok or Internet or ICE agents coming in here and taking away
05:25patients and staff.
05:29I get it.
05:34We did have cell phones.
05:35Maybe not in the beginning.
05:42Where do you think you're going?
05:43Ah, home.
05:45I kind of need you to hang out a little longer and help digitize some of these analog patient records.
05:49Normally, I would, truly, but I got to get home.
05:52Wife, baby, bed.
05:55Okay, go get some rest.
05:57You sure you're okay to drive home?
05:58Absolutely.
05:59Just enough in the tank.
06:01Don't tell anybody I'll let you go.
06:03Deal.
06:04Safe travels.
06:06Be sure to send some pictures from the road.
06:25Fight over at Zazu's sports bar.
06:27The two combatants are pulling up soon.
06:28One's a stabbing.
06:29Ellis, double trauma coming in.
06:30Grab the easy one.
06:31Bring the stabbing to trauma, too.
06:33We will get the room set up.
06:34All right.
06:34Roger.
06:37Okay, darling.
06:38Time for this dinosaur to head to extinction.
06:41You guys are real jammed today.
06:42Can't take you enough, Monica.
06:44A nice place to visit.
06:46Wouldn't want to live here anymore.
06:47Oh, we need this some days.
06:49But hey, Virginia Slim, you've come a long way.
06:52Glad I was wrong about you.
06:54Keep training them upright.
06:56Let's try.
06:57Okay, that's enough, Mush.
06:58Back to my life of mahjong and margaritas.
07:01Bye, Evans.
07:01Good help safe.
07:02I will.
07:03See ya.
07:03Bye.
07:04Bye.
07:09She's right.
07:10You are the mama bear glue that holds this place together.
07:17Hey.
07:19Is it okay?
07:20No.
07:22Sad or scared or some fucking thing.
07:28I'm worried.
07:30It's all right.
07:32Robbie.
07:32I've got a bad feeling.
07:35It's like I'm never going to see him again after tonight.
07:38He say something?
07:39Yeah, he said a lot of things.
07:40You should talk to him.
07:40He listens to you.
07:41He's a grown-up, and he just needs to go on a vacation.
07:45Can't you at least try to get him to promise to come back in one piece?
07:51He doesn't like to listen.
07:53So make him.
08:01Fuck it.
08:01Check my DM.
08:02She hit me up.
08:03Sure, baby.
08:04I didn't even respond.
08:06Scavenger hunt?
08:07Yeah, something like that.
08:08You need a hand?
08:09Nope.
08:09You do you.
08:13What do we got?
08:14Baradanko, 34.
08:15Decent vitals given he has old glory jammed in his chest.
08:18Batting 91 on 15 liters.
08:20BP, 132 over 87.
08:22Taki at 112.
08:24I'm expecting one strong.
08:27What the fuck?
08:28I'll call you back, baby.
08:32Shit.
08:33I thought I cleared it.
08:34Was it sticking out?
08:35Sticking out my ass.
08:37Man, this is on you.
08:38You went wide and you clipped the shit.
08:40Bike shouldn't be parked there.
08:41It was sticking out.
08:43Had to be.
08:43There's no fucking way.
08:45Oh, no.
08:46You're paying for this.
08:47Is it you or the city?
08:48But you're paying for this.
08:49Seriously, we don't need this hassle.
08:51I know.
08:51I know.
08:51Fuck.
08:52How bad is it?
08:53Not really good.
08:55Bobby Schneider, 32.
08:57Took a beer bottle to the face.
08:5812 centimeter lads.
08:59Get out of my chest
09:00and shove it up your fucking ass.
09:01You hit me with a fucking rolling rock, man.
09:04So you got Iwo Jima.
09:05You fucking cheated, man.
09:06Every detail must be covered.
09:08Oh, don't pretend to hurt me.
09:09Gentlemen, you're on different health journeys now.
09:11I'm going to go see Ahmad.
09:13It's all going to be on a security video.
09:16He's going to shit.
09:19Ooh.
09:20All right.
09:22Hey, a little help?
09:23All right, he's going straight to trauma 2.
09:25What is his story?
09:26Bottle to the face.
09:27Strong vitals.
09:28I'll send me to pay a short lap.
09:29All right.
09:29Hey, where do you want us?
09:30North floor just got clean.
09:32Abbott, single MVA on roof, five away.
09:35Olive, can you find Ravi and Alashimi?
09:37We may need a couple more hands
09:38until we get caught up with these two.
09:39Sir, we are going to get you more pain meds,
09:42but you need to shut your fucking mouth.
09:43The acronym is SMART,
09:45Single Maintenance and Reliever Therapy.
09:47It's one inhaler that combines
09:49an inhaled corticosteroid
09:50with a fast-acting, long-lasting beta agonist.
09:53That's fancy talk for an anti-inflammatory
09:55and a lung muscle relaxer
09:57all rolled into one.
09:58Oh, really?
09:59But it's $400, and without Medicaid.
10:01We can help you look into coverage options.
10:04Of course.
10:05Grady should feel worlds better in a few hours.
10:09So what are my chances of getting off the table alive?
10:13Once you're cleared by the heart and lung specialists
10:16next week, chances of death are low, like 102%.
10:20And how long would I be in surgery for?
10:22Between three and five hours.
10:25Jesus.
10:26It's long, because they have to stop your heart.
10:31You will be on a heart-lung bypass machine,
10:35which will be circulating your blood
10:36while they repair the aneurysm with a graft.
10:39Well, what's the graft made out of it?
10:42It's synthetic fabric called Dacra.
10:44Super strong.
10:46Okay.
10:47New hoses, new gaskets.
10:49Then what happens after surgery?
10:51You will be in the hospital for about a week.
10:53No work for eight weeks after that.
10:55No strenuous activity.
10:57No lifting anything over five pounds.
11:00How am I supposed to take a piss?
11:04Nice.
11:08And how long till I'm back up to full speed?
11:12Three months.
11:13Maybe more like six, given your age.
11:17And if I don't get surgery?
11:2150% chance of death within 12 months
11:24if the aneurysm ruptures.
11:26What would I feel if it ruptured?
11:31Some chest pain.
11:33Maybe some shortness of breath for about a minute
11:35before you pass down from blood loss.
11:37And then the bait fade out.
11:40Roll the credits.
11:48Quite the coin flip.
11:50No coin flip.
11:51This has to happen.
11:53But I do worry that you are not going to
11:55make your appointments
11:55or follow your aftercare instructions
11:57if I'm not here.
11:58Sorry, Robbie.
11:59I've had asked for me to grab you
12:00for an MBA on route.
12:04Do what you got to do, man.
12:05I got to sit with this for a minute.
12:09You can go ahead and get dressed.
12:12I'll come back.
12:18I love you.
12:22You're not going on.
12:26You're not going on.
12:29I'm going out.
12:31You're not going on.
12:33I'm going to go away.
12:38You're not going on.
12:41You're not going on.
12:42Upstairs we can take Orlando up now
12:45The problem for transfer. Thanks. We need this room again in a minute
13:00All good, I'm totally ah totally
13:07Once more I feel compelled to offer some unasked for and probably unwanted advice
13:15Javadi wasn't making a tik-tok video. She's been posting about jesse trying to find someone who knows where he
13:20is
13:23And even if she were making one of her videos you ever watched one no
13:29No, my account was suspended for erotically seditious content
13:33Well, they're not what you say. They're actually kind of cool. It's like this badass self-care
13:39Huh
13:40Okay, that is it. I'm going to bury myself in charting and try to dig my way out
13:45Edith lynch 46 right side of chest pain for an hour no cardiac history minimal relief from sublingual nitro
13:50No stemmy on the 12 we have dinner. So that's his team
13:54Hi, Edith and dr. Oh has to meet will be taking care of you today
13:58Absent lung sliding on the right could told you that from here god bless America
14:03He more dynamically stable. I'll put in a 20 French and then right up to the o.r. We will
14:07hold on I need surgery
14:09Sir, you have a collapsed lung. We need to put a tube in your chest to see how much internal
14:12bleeding. There is. Oh, come on, man
14:14Just pull it out
14:16Okay, everyone knows what to do here, right?
14:19We're gonna take this at a nice slow pace moving together anyone has an issue speak up
14:23There are a lot of moving parts here. Well, they're going up to ICU finally. Yes, great. How you doing?
14:29Is that a trick question or not intended to be no then knock right this one got past me
14:36Well, listen, you tried to find a viable payment plan. You tried to keep him here
14:40You even tried to give him a goodie bag when he left. I'm not sure what else you could have
14:43done been more persuasive
14:45This was the patient's call his life his mistake what mistake getting diabetes not picking a higher spot to jump
14:52from
15:04History of hyperlipidemia an hour of substernal chest pain minimal relief with nitro and four of MS
15:11EKG is negative for STEMI heart score is four
15:14Gave 324 milligrams of chewable aspirin admit for new onset angina
15:18Don't mind me. I'm just passing through
15:20Seems like you wanted it up. Well as long as you feel like you got it covered. I do
15:25Go ahead and repeat the 12 lead since I'm here. I did want to ask you about something. I observed
15:29early
15:30Well, you gotta be fucking kidding right look where these anterior leads are placed. They're way too low
15:36Holy shit. What's happening? Mrs. Lynch V tag no pulse charged to 200
15:44Charged and clear
15:48Okay, no size strong pulse cycle of BP
15:53Let's repeat that EKG, please put the leads in the right fucking place who are the medics on this Bosco
15:58notaro Bosco notaro
16:01Okay, Bosco notaro
16:03See you all Monday
16:05May your night go smoother than my day happy fourth heard it's been crazy. They shut down when ice came
16:11separate events get someone else to explain
16:13I'm going home damn. What is that? That smells good food from home. I can't do the cafeteria
16:19Oh, you got to give me that recipe. I'm going home. Get home safe. Mm-hmm
16:27Hey, hey
16:29I'm starving of course. I will give you $20 for whatever that smell is. I'll give you some I made
16:35too much anyway. Thank you
16:36Just give me a sec. Yeah, how can I help you? My granddad just about cut his hand off with
16:40the tug-of-war
16:41Hi, I I remember you from earlier. You're having the family reunion, right?
16:45Yeah, is your hand actively bleeding? Oh, not so bad here. Take a look
16:51Mateo want to come straight back? Oh my god cover that up, please
16:54I'll need to get his demographics from you
16:56Oh, you got him already
16:57He's been in out of here all day long
16:59How did this happen? He had the rope wrapped around his hand cut through it like a machete
17:03How'd I seek, sir? Take you right back
17:05And how would you rate your pain on a scale from one to ten? Oh, it's not too bad
17:09Counting my sugars
17:12With his diabetes, his sensation's a little off
17:14Yeah
17:15After you
17:17Thanks
17:18Ow, what the fuck?
17:20Trigeminal nerve is good
17:21Shit, you're gonna fix me or torture me?
17:24Whew, ouch
17:26Yeah, I need to call plastics
17:28I called the kiss off the tube off the rail. Fucker said I didn't call it
17:32But yes, it was a bit noisy to fork the sticks night, but I called it. I have witnesses
17:37Sticks? The band?
17:39Yeah, love sticks
17:41I never heard of them
17:42You never heard of sticks?
17:44Mr. Roboto?
17:46I spot it for ages and 62
17:48Come stay the way, lady, babe
17:52Yeah, maybe best if you don't talk
17:55Looks like there's some sort of foreign body in there
17:57Are you okay?
18:00Yeah, it's just an awkward position
18:02Go home, rest, heat, ice
18:05Yeah, no, no, no, I know I'm just waiting for things to slow down
18:07Oh, express trains don't stop at your station
18:11You just gotta jump
18:14What is that?
18:15Heineken?
18:16Moosehead?
18:17What?
18:19From the glass-lined tanks of old Latrobe
18:21Ah, Rolling Rock
18:23Nice
18:29She's had four of morphine
18:31How's the pain?
18:32Got it done to an eight
18:33There it is, lateral stemmy
18:35Okay, call it in
18:36The leads were too low to catch it?
18:38Yes, not the first time it's happened
18:39You get a male medic who's more concerned about getting sued
18:42or a complaint for undoing a bra
18:43You see these anterior
18:44Right here
18:45Come, stemmy, stop 15
18:45You're having a heart attack from a blockage in the artery
18:48that brings oxygen to your heart
18:51Lateral stemmy V-tech arrest got her back after one shock
18:53She has a cat lap
18:54...revent serious heart damage
18:55Oh my god
18:56You're going to be okay
18:57Hello, I'm Dr. Kluz
18:58And I'm Dr. Shen, how are you feeling?
19:00I'm really scared
19:01Hey, we've got you
19:02Anything else?
19:03Uh, like I got kicked in the chest
19:05Normal after a shock to the heart
19:07Family?
19:08Yeah, husband's in root
19:09Now leave the defib pads on and take her up in a minute
19:11and I'm going to shack her on a nerve block real quick
19:12Go
19:15Where's Dr. Alice Sheeman?
19:17She was just here
19:28Hello everyone, I'm Dr. Shen
19:30Heard a rumor someone needed a nerve block
19:32I'm guessing that's you
19:34Probably so
19:34Although, you know, I don't have much pain
19:37I guess it's my diabetes
19:39Oh, we still need to numb you up to do proper deep clean
19:42You guys do whatever you gotta do
19:44Yeah, three shots, menion, ulnar and radial
19:47Two grams of ANSIF, 100 milligrams of gent for gram-negative coverage
19:50How'd you do this?
19:52Oh, family reunion tug of war
19:54I wrapped the rope around my hand for better grip
19:57And when we fell down, those bastards just kept pulling
20:00Dirty
20:01Ah, it's just, just the way we play
20:07Michael, you got a sec?
20:08Uh, not really, no
20:09Well, how about showing me a little respect and finding one
20:14Sorry, Caleb, are you feeling disrespected?
20:16Uh, given that you've been actively blowing me off all day
20:19Yeah, maybe a little bit
20:20But I have a thick skin
20:22What can I do for you?
20:24Should have found a higher place to jump from
20:27It's an interesting diagnosis, doctor
20:34No pithy retort?
20:35Yeah, I didn't think so
20:37Uh, I just came to say goodbye
20:39I'm leaving soon
20:41I know you are too
20:44Yes
20:47Keep my number handy, just in case, huh?
20:50Yes, I promise, I will
20:52Thank you, kid
20:55We're gonna give you one diflucan pill to take home
20:57Take it in three days if your symptoms persist
21:00How do I get there?
21:02Where's that?
21:04Home
21:05Do you know where you live?
21:07Of course I do, it's not far, but I don't have a way to get there
21:12How'd you get here?
21:14My, my neighbor Gwen dropped me off, but she can't drive at night
21:19We could call you an Uber or a taxi
21:21I don't have any money
21:24Excuse me, can I help?
21:27Mrs. Clymer has been discharged, but has no way home
21:30I'm so sorry, I don't mean to be a burden
21:32No burden at all
21:33Why don't we call you a lift?
21:36What is that?
21:37It's like a taxi service
21:39If you put your address in here, a car will arrive in a few minutes to bring you home
21:44My treat
21:46Very kind of you, truly
21:49Okay, perfect
21:51Okay, Olive, could you take Mrs. Clymer out to the ambulance bay where Florian will be arriving in six minutes
21:57in a white Toyota Camry
21:58You bet
21:59Yeah
21:59Thank you
22:01Could use some good karma
22:03Okay
22:07Oh, uh, hey
22:11Relax buddy, it's Advil
22:14No, I didn't think you would
22:18Headache
22:20Uh, I tweaked my back a little lifting that overheated kit
22:25I guess I should get used to playing through the painting again, huh?
22:30You look like you got into shape since I saw you last
22:32Didn't peg you as a gym guy
22:34Oh, no, I'm more
22:36Maybe more of a barn guy
22:38I'm helping out a friend on the farm, so
22:43Nice
22:45I'm picturing babe except instead of Farmer Hoggett, it's you and instead of a pig
22:49Can you cut the shit?
22:52Excuse me?
22:54The sarcasm thing, the little buddy routine, like you're what, you're the skipper, I'm Gilligan?
23:00Dude, you're not the skipper
23:01I know, I'm not the skipper, Robbie is the skipper
23:04No, Robbie is the professor, Dane is the skipper
23:06Okay, so I might just watch a lot of Nick at night, so who am I?
23:10Play whatever part you like
23:12Just don't pick mine for me
23:16Okay, okay, that's fair
23:19You got it
23:21Thank you
23:23You headed home?
23:26Uh, no, I'm waiting on Robbie
23:28He asked me to house sit while he's gone, so I'm waiting for the keys, the alarm code
23:35Nice, nice, yeah, I've uh, I've seen this place, you're in for a sweet setup
23:40Cool
23:42I'm sorry if I came across a little strong
23:46Don't apologize for standing up for yourself, it's a healthy habit
23:52You know, I really don't need to see this again
23:54Nah, this is my favorite part
23:57My hand is starting to cramp, we gotta be done soon
23:59Oh, you can be done now, but if you want the hospital to cover you, last one
24:10Hey Robbie, it was an accident, man
24:13What are you talking about?
24:15Your bike
24:24Son of a bitch
24:27Oh, motherfucker
24:31Robbie, GSW to the head
24:33Somebody hit my bike
24:34Dude, that sucks
24:36Is it still rideable?
24:38It better be
24:41Elbridge Jerry, 25, stable with the vital
24:44He was shooting a .22 caliber pistol in the air with an aluminum pot on his head for protection
24:47Didn't work
24:49About a quarter Seagram 7 would probably light up a tox screen like a roman candle
24:56Real wordsmith
24:57Entry one of the frontal scalp seems to have tracked down the forehead
25:00As alert and oriented as you can be after multiple bong hits
25:03Got vital setting 98 on room air
25:04Sorry, Robbie, I can't explain
25:06I will be right back
25:06What's this?
25:08I'm a two
25:08Low velocity DSW to the head seems to have remained extracranial
25:12Lucky guy
25:13Gloria, Gloria, here's a dollar
25:17After a fireworks explosion resulting in the loss of two fingers
25:22Ooh, that sounds nasty
25:25Yeah, that was a sad one
25:27Parents were deported
25:28Big sister
25:30Works a full-time job and is the sole caregiver
25:32Been there, done that
25:34Your parents were deported?
25:36Oh, no, I thought she said departed
25:40Did either of you guys work on the uh
25:42Revolutionary War reenactors earlier?
25:45Why, do you think you could pull off a tricorn hat?
25:48Maybe
25:50I've always lived history
25:51And uh, Colonial Williamsburg is my favorite school trip
25:56And you know, there's always the Ren Fair
25:57But that's, that's just once a year
25:59How often do you think the reenactors get together?
26:03I mean, you should definitely look into that
26:07Yeah
26:20Deep-throated husky with a touch of bitch, that's her tune
26:23That's what I thought, but you're the expert, I just need to make sure
26:28I was going through Billings once
26:29Cops saw my colors
26:31Jacked me up
26:33Kept me overnight
26:34And they threw my sweetheart in the impound yard
26:38They claimed someone backed into it, but you could see where
26:41They took a hammer to it, man
26:43You gotta be careful out there
26:45This is all pretty minor though, right?
26:46Yeah, shit, this is just cosmetic
26:48Bring it in tomorrow and we'll get Bonnie right
26:51Well, this'll bend back, this'll tighten up, I can do all that
26:53Jesus, let me do it, there's no charge
26:55What, you don't owe me anything except take care of yourself while I'm gone
26:59Boy, this record never stops, huh?
27:01No, it stands till you drop
27:04Then what?
27:05Teach the kids the steps before you do
27:08And then what?
27:09Hope they make it farther than you
27:10Are you rubbing?
27:11You coming or going?
27:12I'm going pretty soon, what do you got here?
27:14Lyman Payne 53 single MVC
27:17Trove into a telephone pole
27:18Passage of space intrusion?
27:20No, head on
27:20Intoxicated?
27:21No ETOH on his breath
27:23Either syncope, seizure
27:25Or he just fell asleep at the wheel
27:28Airbag deployed
27:29Unconscious at the scene, but he's waking up
27:31BP 140 over 80, pulse 120, pulse ox 98, no obvious injuries
27:35Why don't you guys head on in, I'll meet you in a minute
27:42Well, hey buddy, I guess this is it
27:45Make those appointments next week, you know
27:47I'll call you from the road to make sure you do
27:49Don't do that man
27:50What?
27:51Don't shine me on
27:53I'm not
27:54Jesus
27:56I get it
27:58Hard place to leave, harder place to stay
28:03Yeah
28:06Look
28:07I'm not ready to say goodbye yet
28:09So go do what you gotta do and I'll get some tools from the truck
28:13And see if I can't make Bonnie smile again for you
28:21Okay
28:22Okay then
28:30Robbie, man, I'm so sorry, we've been off for 14 straight, I thought I cleared it
28:34It's all right
28:35Honestly, I feel terrible
28:36No real harm done, I was bound to make it up on the road anyway
28:39First blood drawn, it's a good omen really
28:43Thought I'd be more pissed
28:44How am I? I got punched
28:46Chest and belly look good
28:47Let me drag neurosurgery down here to deal with the c-spine before I go
28:50You off?
28:51Yep
28:52An hour ago, can you tell?
28:54How you doing sir?
28:55Actually not too good
28:57The singling's getting worse, it's in both my arms now
29:00I feel like something's wrong
29:02Hey man, what are we looking at?
29:04Ran into a telephone pole, airbag deployed
29:07Seizure, stroke?
29:09Not sure
29:10Possible c-spine, CT showed unit facet dislocation
29:13Oh, I'm trying not to freak out
29:15I'm having trouble breathing
29:17Squeeze my hand
29:19Real hard
29:20Three out of five strengths
29:22Okay, uh, 10 milligrams dexamethasone
29:24Dexamethasone for spinal injury?
29:26It's compression from a jump facet and maybe some ischemia from kink vessel
29:30What's happening?
29:31Sir, you have a partial dislocation of two vertebra in your neck
29:35It's putting pressure on your spinal cord
29:37How do you fix it?
29:39We need a neurosurgery to screw a clamp into both sides of your skull
29:43And then use traction under x-ray guidance to get everything realigned
29:48Like a chiropractic adjustment?
29:50It's a bit more complicated than that
29:53I think I'm having a panic attack because I can't even get a shallow breath
29:58Or is losing c-3-4-5?
30:00Uh, page neurosurgery?
30:02Garcia, I went to go get them
30:03No, page overhead, find Robbie
30:06He's still here
30:07Any available neurosurgeon to ED trauma 1 stat?
30:10Any available neurosurgeon to ED trauma 1?
30:15Dr. Robbie?
30:17Uh
30:19Yeah
30:20You're needed in trauma 1
30:23Okay
30:25What patient?
30:26Dr. Langdon, his neck injury
30:31I've got the fellow, they could be down in 15 minutes
30:33He's progressing too fast tonight
30:34What's going on?
30:37You need to set dislocation C4C5
30:40Paresthesia and decreased tidal volume
30:41That's 85
30:42We need to prepare for intubation
30:44Any delay in reduction almost guarantees complete spinal cord injury
30:48What are the options to get?
30:50Uh, I saw neurosurgery do a close reduction once in the ICU
30:54Blind?
30:55That's crazy risky
30:56You gotta do something
30:56What's that procedure, Dr. Langdon?
30:58It's just, it's traction on the neck
31:00You flex the dislocated side and into slight extension
31:03Quadriplegia if done wrong
31:04I'm sorry, what?
31:05Did you say quadriplegia?
31:06It is a possibility, sir
31:07It's also the same possibility if we do nothing
31:09You want to try?
31:11I've never seen it done, you have
31:12I can't feel my feet
31:14Sat 79, 100% on our breathing
31:16It is progressing, Dr. Langdon
31:17What is your plan?
31:18Uh, neuro
31:20Fuck, Darrell
31:20This is right here, right now
31:21This guy's gonna be a living head if we do nothing
31:23I could paralyze him
31:24Doctor the fuck up
31:30Sir, the partial dislocation of the two vertebra in your neck
31:34Is putting pressure on your spinal cord
31:35I can try to move the neck bones back into place
31:38That could help, there's no guarantees
31:40If we do nothing, the weakness is definitely going to get worse
31:42But either way, there's still a chance of paralysis
31:46Do it, please
31:48Please
31:4850th Fentanyl IV, you need to let us know if the weakness gets worse
31:51Or if there's any sudden pain and we'll stop immediately
31:54Uh, Dr. Cruz, Robbie
31:55Pull down his shoulders for counter traction
31:58Okay
31:59I'm gonna pull on your head
32:00Your job is to try to relax
32:01Breathe so we can overcome the muscle spasm
32:09Flexing to the right
32:14Any change?
32:15My legs are starting to tickle
32:18Last step
32:19I felt something click
32:24Oh, fuck, oh, fuck
32:25Sir, talk to us
32:26What's going on?
32:29I think
32:32I'm starting to breathe easier
32:33Are you changing your hand or feet?
32:36Oh
32:37Oh, this is maybe a little less numb
32:38Philadelphia collar is ready
32:40Talk to me
32:41Langdon just reduced the unifacet cervical dislocation
32:44What?
32:45Without neurosurgery?
32:46Don't try this at home, kids
32:47He was deteriorating quickly
32:49Your exam is improving
32:50Oh my god, it's definitely better
32:52Oh my god
32:55Nice job
32:57All right, repeat CT
32:58Then neurosurgery can take him over a halo
33:00Brass walls, buddy
33:01See?
33:02You haven't lost it
33:03I'm not
33:03Excuse me
33:03I'm just gonna step outside for a second
33:21Langdon
33:22Honey, I just got a call from upstairs
33:24Were you supposed to get a urine screen and turn it in by eight tonight?
33:26Fuck
33:27Um
33:29Oh, no
33:30Uh, uh, yeah, yes
33:31Can you just, can you tell them that I was under trauma?
33:33I'm going right now
33:39Where's he off to?
33:40No idea
33:42Did you find your ID badge yet?
33:44No, I've looked everywhere
33:46I must have been thrown out on accident
33:48They'll issue you a new one
33:50You just have to fill out a bunch of forms
33:51Oh, great
33:56What?
33:58Cow and labor
33:59No, I
34:00I ordered a patient a lift
34:02Now I have a $250 surcharge and a complaint on my account
34:07What?
34:08What'd they do?
34:09It was a sweet old lady
34:10Who apparently had some racist and abusive things to say right before puking in the back
34:16You never know with some people
34:19Where goes my first paycheck?
34:20Saint Huckleberry
34:22No good deed
34:26I can see why you liked restoring this bike
34:29You're a fixer
34:30I fix bikes but you fix people
34:33That's pretty damn impressive, man
34:35Some people can't be fixed
34:39Look, I'm
34:41I've done plenty of things I'm not proud of
34:44Yeah, me too
34:45No
34:46Bad things
34:48Hurt people on purpose
34:50Hurt myself
34:52And I did my time but that doesn't wash away the regret
34:55I
34:57Wish I'd done things differently
35:00I think about it every day
35:02You know, they say that it's never too late to change
35:05Some things can't be changed
35:08Like death, death can't be changed
35:11Hey, I know the surgery is scary
35:12I'm not talking about me
35:29Yeah, I don't know if I want to be here anymore
35:34I don't know how you stand 12 minutes in there let alone 12 hours 20 years
35:42No, that's the only place I can be
35:45I have purpose in there
35:46I can be distracted in there
35:50I don't know that I want to be
35:54Anywhere anymore
36:03So what's the plan?
36:06Ride
36:08Toward what?
36:09I don't know
36:10Away from what?
36:11Everything
36:13Well, that's not riding, that's running
36:16That's your final lesson for these kids
36:24What's up, Robbie?
36:26Well, if it isn't Minix, Bosco Notaro
36:32You still on?
36:33Not for much longer, I was looking for you two
36:36Rita Wolcott, 22
36:38She was using a dumpster to climb the fire escape to get to a roof party
36:41Slipped about six feet onto concrete
36:43Possible tib-fib fracture
36:45Oh, can I please tell it?
36:46You're making me sound like an idiot
36:48My friends and I were just trying to watch the fireworks from the roof of our building
36:51But the roof after its door and the stairwells stuck
36:53So we decided to climb the fire escape
36:55They were supposed to hold the dumpster still
36:57But they didn't
37:00Then I fell
37:01Like I said, six feet onto concrete
37:03Yeah, because they didn't hold it still
37:05Well, it's a good thing she didn't need a 12 lead
37:07Why's that?
37:08Because you guys put one on about a half hour to go wrong in Mr. Stemmy
37:11Bullshit
37:12Forty-six-year-old woman, minute after you left, VTAC
37:15VPDKG showed a massive lateral stemmy
37:17No way
37:18These were so inferior, you might as well not put them on at all
37:21What were you afraid of, her bra?
37:23What have we got?
37:24Got a 22-year-old probable tib-fib fracture from a six-foot fall
37:28Why don't you take her to central 13?
37:30Got it, right this way
37:31As I was saying, bad data is shit data
37:33Maybe she was diaphoretic and they slid down en route
37:35Yeah, she was moving a lot
37:37Diaphoretic, my ass
37:38She had big breasts, you didn't want to move them out of the way to get under her bra line
37:40Come on Robbie
37:41Women are misdiagnosed for heart attacks all the time
37:43This is a big reason why
37:44Shall we put it to a vote?
37:46Hey ladies in the room, show of hands
37:48Death with modesty or life with brief nudity?
37:50Death or life?
37:53Look at that, turns out women want to live
37:55Got it
37:56EKG is an amazing tool if you use it, right?
37:57You could have told us in private
37:58I think this was more instructive
38:00Agreed
38:03Hey, hell of a save your boy made
38:06On the fly reduction of a unifacent cervical dislocation?
38:09That's some cowboy shit
38:10Yeah, it was, where is he?
38:12We're in offer a drug test
38:14Got your wish, you don't have to say goodbye
38:22Hey, thank you for saying all that
38:24I may have taken a slightly different approach
38:26I seem to have lost my filter
38:28I'm glad
38:29I could use an honest second opinion on a case
38:32Do you have five minutes to spare?
38:36Sure, why not?
38:38What's the case?
38:39I have the chart pulled up in eight
38:55I have some experience with this, but I'd appreciate a fresh perspective
39:01After 14 hours, I don't know how fresh my perspective is, but I will give you what I got
39:04Well, after working with you, Dr. Rubinovich, I've come to respect your opinion
39:13Thank you, Dr. Elashimi
39:17Likewise
39:19Okay, patient is a 40-year-old female with a history of seizure disorder for the past 35 years
39:24She had no perineal complications and was in excellent health until age five when she had the onset seizure activity
39:29following prolonged illness with viral meningitis
39:31Her ulcer mental status from the infection
39:42Baran, is this you?
40:02Relax in yeah
40:17Eyes Wide
40:18You
40:19Be
40:19To
40:19To
40:19You
40:28To
40:29In
40:29To
40:30To
40:30To
40:30To
40:30To
40:30To
40:31For
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