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The.Pitt.S02E15.540p.X265.AAC [Full Movie] [High Quality]Full EP - Full
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00:13Bharan, is this you?
00:20It began after a bad case of viral meningitis when I was five.
00:24They tried every anti-seizure medication, but I still had episodes every few months or so.
00:31No one's ever noticed before. They just think I'm thoughtful.
00:35Are you driving?
00:37I couldn't until laser ablation to my left temporal lobe 12 years ago.
00:44Between that and the Keppra, I've been seizure-free.
00:46Cleared by neurology to drive and to work as an attending.
00:52How long between the seizure you had today and the last one?
00:56It's been well over a year.
01:01But I had two today.
01:07I don't know why. It could be sleep deprivation, new job stress.
01:13I haven't had to deal with peds cases since Afghanistan.
01:17What are your options now?
01:21Up my Keppra or maybe try one of the newer anti-seizure meds.
01:26But if that doesn't work, I'm left with two choices.
01:30A temporal lobectomy, which could impair my speech or get a neuromodulation device,
01:36which can sense and stop the seizures almost immediately.
01:40You need to disclose this.
01:41I know. I have a plan.
01:44Hey Robbie, Dana's looking for you. She's in peds.
01:46Yeah, okay. I'll be right there.
01:48Sounds like you're needed in peds, and I have patients to see.
01:52Robbie, a pregnant woman with severe headache on her way in by ambulance.
01:55Find Abbott or a nicer president.
02:13I need you to turn out your pockets.
02:20Hey, show me your hands.
02:50Come here often.
03:01What's going on?
03:03Oh, sorry, false alarm.
03:04I thought she spiked a fever, but it was the wrong chart for my analog hell.
03:09You know anybody who might consider kinship adoption doctors and nurses qualified?
03:13Don't look at me.
03:15Don't look at me.
03:15Hey, can your staff keep an eye on Dr. Alishimi until she leaves?
03:18Why?
03:21Um, because I think she's tired and I don't want her to make any mistakes.
03:24Oh, great advice. Maybe you should take it.
03:27Yeah, I'm gonna go get some fresh air.
03:29Grab some for me while you're out there.
03:30Your lungs wouldn't know what to do with it.
03:31Screw you!
03:32In front of the baby. Nice.
03:39We are the night crawlers.
03:41We deal with the weirdest and the wildest because...
03:44We are the weirdest and the wildest of them all.
03:46That is right, and tonight they are really gonna be crawling. Now go get some!
03:50Hooah!
03:55I'm sorry to wake you.
03:57I was thinking.
04:02I doubt PTX.
04:04You're supposed to be leaving.
04:06I am.
04:09You know, the spirit quest of yours has a lot of people up in arms around you.
04:13Everyone's gonna be fine without me. It's hardly a spirit quest or whatever it is.
04:17It seems you've given people the impression you might not be coming back.
04:19Well, who knows what the future has to store for any of us.
04:22Yeah, saying shit like that right there isn't helping. People are worried about you.
04:26Dr. Abbott, the patient at South 21, Digby, he's missing again.
04:29Sounds like a day shift problem.
04:31Not if he's handed off already.
04:37Best I can do under the circumstances.
04:40Hey, don't leave before I get back, yeah?
04:41Well, I feel like I live here now.
04:46Your friend fixing your bike?
04:48Ambulance clipped it while I was just parked here today.
04:51Jesus Christ.
04:53It's a sign if I've ever seen one.
04:56Yeah, here's the thing.
04:57When people worry about you, it makes me think that I should be worried about you.
05:00And I don't like worrying about things.
05:02Oh, now you're a shrink.
05:03No, I'm trying to be your friend.
05:04You got Dana convinced that you're gonna hurt yourself.
05:06Dana's got her own issues.
05:07That sounds like projection.
05:08Are you seriously trying to have this fucking conversation with me right now, man?
05:12I'm not the one who spends his free time getting shot at.
05:15Ooh, ah!
05:17Hey, Dr. Robby, this is Judith Lestrade, 36 weeks pregnant with two days of headache.
05:22Now a 10 out of 10 with blurred vision.
05:24BP 174 over 120, heart rate 92, no relief with fentanyl.
05:28Judith, I'm Dr. Abbott. Any weakness in your arms or legs?
05:31No, no. Is this a stroke?
05:32We need to check for everything.
05:34Pitting edema, severe preeclampsia.
05:36Where are you doing your prenatal care?
05:38Nowhere.
05:39Nowhere. It's a wild pregnancy. I want a free birth.
05:45This 81-year-old nun presents with the red itchy eyes with secretions for the past two days.
05:52The patient complains of no URI symptoms, no contact with any chemical aids.
05:56Hey, what, half a monster?
05:59Oh, no, thanks. I don't really want to stay awake any longer than I have to.
06:04Yeah, I hear you.
06:07Did you find your ID badge?
06:09No. You're any closer to deciding what's next for you?
06:13Uh, yeah, I'm seriously considering law school.
06:15What? What are you talking about? You're gonna be a great doctor.
06:19I mean, no offense, but look what this place does to you.
06:23LinkedIn's an addict.
06:24He's a person with a substance use disorder.
06:27McKay was on house arrest. Dana's a time bomb.
06:31Santos is one of the angriest people you were ever going to meet.
06:34Sarcastic, yes. Cynical, definitely. I don't know if she's, you know.
06:37Mel?
06:40Samira has no life.
06:43Abbott's an adrenaline junkie who got shot at for fun.
06:46Robbie's got, like, PTSD or something way fucking worse.
06:49Okay, well, I mean, I'd hate to know what you think about me.
06:53I don't know. I just, the more time I spend here, the more I realize the importance of mental health.
07:04Just for patients and for us, and this is...
07:08Yeah.
07:09Well, you know, maybe that's what you should focus on.
07:14What?
07:15Mental health.
07:16Clearly, you have a passion for it, right?
07:19I mean, that's great.
07:20I wouldn't call it a passion. I would call it like a...
07:26Oh, my God.
07:30You might be right.
07:33Oh, you're a genius, Whitaker.
07:35Oh, okay.
07:38CTG is on.
07:40CTG?
07:41Cardiotachography. Measures the baby's heart rate and checks for contractions.
07:46Feel heart rate 128. Normal range, nasally?
07:49110 to 160.
07:51So the baby's okay?
07:52Right now, yes. 128 is reassuring.
07:55BP's 170 over 119. Six grams of magnesium running in.
07:59Your next move, Cruz? 20 of labetalol IV push over two minutes.
08:04What's happening?
08:05You have a condition called preeclampsia.
08:07And how did that happen?
08:09Nobody really knows, actually.
08:11It affects about 10% of the pregnancies.
08:13High blood pressure, headaches, protein in the urine, and swollen ankles.
08:17Well, it's a wild pregnancy, so that means no medical care.
08:21Then why are you here?
08:25I just need to get rid of this headache.
08:29Well, if we don't lower your blood pressure and treat with magnesium, there can be problems.
08:35Like what?
08:36Seizures, bleeding, even death for you and the baby.
08:40Oh, my God.
08:42Robbie, you'll be up here. He's ready to go.
08:44Okay, I'll be right there.
08:46You good?
08:46Yeah, I'm good. I got it.
08:48My eye's closed.
08:50But I won't. Maybe one eye.
08:53Hey.
08:57Hey, Becca, how are you feeling?
08:59I'm better, thanks.
09:02Where are you?
09:04I'm at Adam's house.
09:05Can I call you later? We're watching a movie.
09:08Oh, sure. I thought you were going to see the fireworks.
09:10Nope. We decided to watch Elf instead.
09:13Ah, of course you did.
09:16Okay, I'll call you tomorrow.
09:17Tomorrow, wait. Are you spending the night?
09:21Yes, his parents invited me.
09:24They need to ask me that.
09:25Are you staying here too?
09:28No, they needed to ask if it's okay if you stayed.
09:32Why?
09:35Because it's polite. It's the right thing to do.
09:42I need to talk to them.
09:43Um, they're not here. They're at a barbecue.
09:46Okay, um, can you have them call me as soon as they get home?
09:49Yes.
09:50Can you promise?
09:51I promise.
09:52Okay, bye now.
09:53Bye. Have fun.
09:56Thanks for fixing my bike.
09:57If I keep me running, I'll keep her going.
10:01You know, the Cree don't have a word for goodbye.
10:05You know a lot of Cree?
10:07A bit. I got around, man.
10:09I don't doubt it.
10:13Look, I'll come back for all this other shit.
10:16Great.
10:17If you promise to come back and let me take the bonnie for a ride.
10:20Uh, I don't know. I've seen you ride, old man.
10:23Fuck you.
10:24I mean it.
10:26We got a deal?
10:30I'll think about it.
10:46This looks like an ambush.
10:48We got a slight hiccup in chairs.
10:49Ice is back.
10:50No, we got a dead body.
10:53Somebody died out there?
10:54Yeah.
10:54Poor devil checked in at five this morning.
10:56He was a DNR.
10:57Uh, what was his chief complaint?
10:58And words and constipation.
10:59No shit.
11:00Hence the constipation.
11:02Throw me a slow one on my head.
11:04Tell the night shift.
11:05I'm saying that's when he died.
11:06We all in agreement on that?
11:07To the grave.
11:08Just like poor Jasper.
11:10You're on fire.
11:11Just give my second whim.
11:15How's the headache?
11:16Still a 10.
11:17More fentanyl?
11:18Yep.
11:19BP's good.
11:20Another 50.
11:21Hey Abbott, attending and resident are stuck in the OR.
11:24Oh, you're the next best thing.
11:26Better, some would say.
11:29What do you got?
11:30This is Judith.
11:31G1P0 with no prenatal care.
11:33Pre-eclampsia with severe hypertension.
11:35Hey Judith.
11:36Nurse Garvin from OB.
11:37Some jelly on the belly.
11:39Gonna take a quick look with ultrasound.
11:40No, no, no.
11:41Ultrasound can harm the baby.
11:42Not true.
11:43Not doing the ultrasound could end up harming you and the baby.
11:48Okay, just do it as fast as you can.
11:51Why no prenatal care, Judith?
11:55I wanted a free birth.
11:57No doctors, no hospital, no medicine.
12:00You have a midwife?
12:02A birth doula?
12:03No, I don't need one.
12:06Women have been having children on their own for thousands of years.
12:08Yeah, with an infant mortality rate of 30% for most of those thousands of years.
12:13Female length, seven centimeters.
12:1437 weeks.
12:15They'll probably induce.
12:17What?
12:18No, no, no, no, no.
12:20Absolutely not.
12:21At 37 weeks, the cure for preeclampsia is to deliver the baby.
12:24We need to get you upstairs so the OB doctors can induce labor to save you and your baby.
12:29No, no, no, no, no, no.
12:33Yeah, that's definitely Jasper.
12:35He was alive and kicking when we shift into this morning.
12:38This is definitely a day shift patient.
12:40I was not a patient.
12:40He's a DB that we gotta deal with.
12:44Is this dude dead?
12:46Nope.
12:47All right, Mr. Reed.
12:48Time to take you back and get you checked out, okay?
12:50He sure looks dead.
12:51Are you a doctor?
12:52No, but he has hyper narcolepsy.
12:54It's no joke.
12:55Mm-hmm.
12:56Excuse me.
12:58Oh, sometimes I hate guys.
13:12Wow.
13:14Crazy how muggy it still is out here.
13:17You, uh, you seen Robbie?
13:20Uh, not for a bit.
13:22You catch up on your charts from the beginning of the shift?
13:25Yeah.
13:26What are you still doing here?
13:27I was gonna...
13:29You staying for the fireworks?
13:32Yeah.
13:33I was supposed to see them with Becca, but she is at her boyfriend Adam's family's house instead.
13:44Your sister seems like she's, uh, pretty put together.
13:50Yeah.
13:52Uh, a lot more than I realized.
13:56How's your day?
13:59I've had better.
14:02You?
14:06Yeah.
14:08Then again, I've had a lot worse.
14:12Hell, I did a closed cervical reduction like an hour ago.
14:15Oh, I heard.
14:15That must have been so intense.
14:18My hands are still shaking.
14:21Hey, um, do you think you could teach me how to do that sometime?
14:25Uh, yeah.
14:26Yeah?
14:27Yeah, sure.
14:27I mean, I hope you never have to use it.
14:29I could have paralyzed that guy.
14:31Yeah, but you didn't?
14:35No, I didn't.
14:39By the way, for talking me down earlier.
14:44I'm sorry I snapped.
14:48It's okay.
14:57Dr. Mohan, you ever heard of kinship foster?
15:00And it's where a nurse or doctor can become an emergency foster?
15:03No, I don't need any kids.
15:05I need to find a job first.
15:07Candace O'Grady is an 82-year-old female brought in by her son for intractable vomiting.
15:18Oh, I've already got one I can barely keep up with.
15:21What about Sleeping Beauty over here?
15:23She's already babysitting Whitaker.
15:25Well, if you know anyone who'd like to help us out with baby Jane Doe, have them call the main
15:29desk.
15:29Sure thing.
15:31I've taken myself, but did you kill me?
15:34Hey, you can do this.
15:44These are sky high.
15:47Help syndrome.
15:48Hemolytic anemia, elevated liver enzymes, and low platelets.
15:51They're cleaning a room.
15:52We can bring her up in 10 minutes.
15:54How you doing, Judith?
15:58I...
15:59Hey.
16:00Oh, she's easing.
16:02Oh, shit.
16:0310 of IV diazepam have another 10 ready.
16:06With all the movement, we can't get a fetal heartbeat.
16:08Putting on 15 liters by mask.
16:10Should we intubate?
16:10Hold intubation.
16:11Let's try to break this.
16:12We don't want to mask seizures with paralysis unless we have to.
16:16Okay.
16:20Cruz CTG isn't reading.
16:22Check with ultrasound.
16:23On it.
16:23Nazely, what's the diagnosis?
16:24Um, with the seizure, now with the clampia.
16:29Fetal heart rate is about 90.
16:30Way too low.
16:31Mom's sats are going down.
16:32Found a tuber.
16:33Set up four foot weight.
16:35Another 10 of diazepam.
16:37Push four grams of Kefra.
16:47After inadvertently ingesting 80 milligrams.
16:49Hey, how are you guys making it up?
16:51We're getting there.
16:51Have you seen Dr. Alashimi?
16:53No.
16:54Can I talk to you for a sec?
17:01So, I just wanted to let you let up and check it out some of your online posts.
17:04Look, I was just trying to help get some health messages out there especially.
17:06I think they're great.
17:08Really good.
17:10You do?
17:10Yeah.
17:12Yeah.
17:13Keep it up.
17:14Okay.
17:15As long as you follow the HIPAA laws.
17:18I do.
17:19And wait until you're done charting.
17:21Sure.
17:24Actually, Dr. Robbie, sorry.
17:27Can I ask you a question?
17:29Sure.
17:30Um, I may be considering emergency psychiatry.
17:35Very cool.
17:38Think I could do it?
17:42I think that you could do anything that you put your mind to, Victoria.
17:50Okay.
17:52Pulse locks is 88.
17:54Dr. Rabbit?
17:56Intubate?
17:57Let's do it.
17:59Nazely, what do you suggest for rapid sequence induction?
18:02Etomidate and block.
18:03Not quite.
18:04120 of propofol 60 of succinylcholine.
18:07Why is that, Cruz?
18:08Propofol for the anti-seizure effect.
18:09Sucks to avoid prolonged paralysis so we can check a neuro exam.
18:13Exactly.
18:13Pushing the propofol.
18:15When she's flat for inflammation, we need to displace the uterus to the left.
18:18Nazely, that's you.
18:18Big hug.
18:19Both arms.
18:19Get the baby off the vena cava.
18:21Sucks is on board.
18:22But after she's paralyzed, the seizing stops, right?
18:24It might look like that, but an ongoing seizure will still fry the brain.
18:28We monitor the EEG.
18:30Is there time for that?
18:30Wait and see.
18:33Paralytics kicked in.
18:34Let's go.
18:34Roll it to her back.
18:37Intubate, then EEG to see if her brain is still seizing.
18:41I need first pass success.
18:42You and me both.
18:52Have you seen Dr. Alashimi?
18:54No.
18:55Have you seen Dr. Alashimi?
18:58Alashimi?
18:59I thought this day's going.
19:00She'll probably quit.
19:02Last day, sir, she's in peds with baby Jane Doe.
19:05Nope.
19:06I was just in there.
19:07You want me to page it?
19:09Uh, no, that's okay.
19:10I will find her.
19:16Hello.
19:20Hey, how did our people do the deposition?
19:23Dr. Ellis is a pickle.
19:25Dr. King is a petunia.
19:27They were pretty brutal with her.
19:29She's sensitive.
19:29Very.
19:30I'm afraid it isn't over.
19:32They want to call her back.
19:33Oh, that's unfortunate.
19:35Maybe I should go with you to break that news to her, actually.
19:38Missouri loves company.
19:39Hey, while I have you, can I pose a hypothetical to you?
19:43If a doctor suspects another position of having a medical condition that could negatively affect
19:47the way they would treat a patient, where would disclosing that fall on the HIPO violation scale?
19:54First, do no harm.
19:58Dr. King, do you have a second?
20:08Good lung sliding bilaterally.
20:10Fetal heart rate borderline at 98.
20:13Roll to the left again.
20:14That can help.
20:15One, two, three.
20:18Okay.
20:21All set here.
20:22EEG monitor's good to go.
20:24That was fast.
20:26Still seasoned while paralyzed.
20:27It's non-compulsive status.
20:29What's she had so far?
20:3130 of diazepam, full load of magkeperin, propofol.
20:34Damn, what's your next step?
20:35Any ideas?
20:37Hmm?
20:37Nazole?
20:39Dilantin, valproate.
20:41Mmm, infusion is too long, so is onset of action.
20:43Push 100 of ketamine, that's had results with refractory status.
20:47She also has help syndrome, hemoglobin only seven, platelets down to 30.
20:51Two units whole blood.
20:52Oneg is going up on the rapid infuser as we speak.
20:55Uh, put the AP pads on just in case.
20:57And 10 of decadron IV pushed for the inflammatory storm.
21:00Fatal heart rate up to .04.
21:01A little better?
21:03No.
21:03She should be upstairs where they'll be.
21:05She will be, after we break the seizure.
21:09There was a delay in history taking due to a malfunctioning VRI interpretation device.
21:15During this time there was a normal CBC and comprehensive metabolic panel that came back from the lab.
21:23What's wrong with you malfeasance?
21:25I have to do another deposition.
21:28Oh, that sucks.
21:30Mr. Hilly messed up.
21:33Dude, I'm joking.
21:35You got lighten up.
21:36It's all just bullshit.
21:40God, you know what the fuck all this?
21:41Do you want to go get a drink?
21:44Me?
21:45Yes, you.
21:46You do go out, don't you?
21:49Well, I'm usually with Becca.
21:51Bring her along.
21:52Can she drive?
21:54No, and she's with her boyfriend.
21:57Okay, Becca.
22:00That's just you and me.
22:04Do you like karaoke?
22:06You do karaoke?
22:08Well, what I do is more like primal scream therapy.
22:13It's nothing like getting wasted and just absolutely wailing to shake off a shitshow like today.
22:19I could use a fun night.
22:22You and me both, sister.
22:24There has been no improvement.
22:26Still season on the EMG.
22:27Neurology has been called.
22:28Okay, got it.
22:29OB says send us to have an O already.
22:31It's about time.
22:32Maybe he's been braiding down a bit more.
22:34This one looks like a second term for the worse.
22:36Clampsia, refractory seizures, help syndrome with anemia and thrombocytopenia.
22:40Yeah, about as bad as it gets.
22:42V-feb.
22:44Chest compressions, nasally charged at 200.
22:48Prep the belly, get a baby warmer, call the NICU, start a timer.
22:53Recharged.
22:55Clear.
22:58Continue compressions.
22:59We'll check a rhythm in a minute.
23:02Down up.
23:03Robbie, it's you and me.
23:04Nazly, what's the four-minute rule?
23:06I'm not sure.
23:09Pregnant patient with a viable fetus, you have four minutes after cardiac arrest to save the baby.
23:13And the mom.
23:14We don't call it a post-mortem c-section anymore.
23:16It's a resuscitative hysterotomy to try to save them both.
23:19But she doesn't want any medical intervention.
23:21That doesn't matter.
23:21Mom and baby are both dead if we do nothing.
23:24Okay, charge at 200.
23:25One more rhythm check and then Abbott and I are gonna cut.
23:29Ellis, you and Cruz on mom resuscitation.
23:31Shen, you and Nazly take the baby.
23:33Okay, hold compressions.
23:36Still V-fib.
23:37Clear.
23:40No change.
23:40Resume compression.
23:41Amp of epi.
23:42Okay, showtime.
23:43We need to get this baby out right now.
23:44Take a break.
23:48Okay, assembly.
23:50Good.
23:51First incision is from the xiphoid to the pubic symphysis, through the skin, to the lineal
23:58alba.
23:58Unit three and four on the infuser.
24:00Second incision goes through the peritoneum, exposing the uterus.
24:05Where do you need me?
24:06You're with the baby.
24:08Nazly's got the bag mask.
24:09You're on suction.
24:10Stand by for intubation.
24:11Bladder retractors.
24:12Neonatal monitor and pulse tox ready to go.
24:14Ellis, gentle traction.
24:17Okay, making a small vertical incision through the lower uterus so as not to cut the baby.
24:24Got it?
24:25Yep, I got it.
24:26Okay.
24:27Okay, using scissors to extend superiorly.
24:32Ellis, hand retract the uterus with me.
24:34Amniotic fluid looks good.
24:37Give me some frontal pressure.
24:39Reach position.
24:44Okay, baby's out.
24:46It's a girl.
24:47All right.
24:50Milking the cord.
24:53Clamping.
24:55Cutting.
24:57Okay, blue and flaccid.
24:59Coming to you, Shen.
24:59You ready?
24:59Yeah.
25:00You got it?
25:00Yeah.
25:02Okay.
25:07Poor tone.
25:08No movement.
25:09Keep the blow-by closer.
25:12She's really blue.
25:13Some blue is normal, but not this much.
25:16Do we need to intubate?
25:17Not yet, no.
25:18They usually pink up with stimulation and blow-by.
25:21Okay, removing the placenta.
25:23Sweeping to the left, trying to get it in one piece.
25:27Looks intact.
25:28Yeah.
25:28Nicely done.
25:3010 of IV Pitocin to contract the uterus.
25:32And lots of massage.
25:35Heart rate, 76.
25:36Less than 100 means we need a bag.
25:38Such in first.
25:42Hey, Jordan, charge at 200.
25:44Stand by for the next rhythm check.
25:47She grimaced.
25:48Good sign.
25:48Bagging.
25:49That sucks 45%.
25:51I've never seen it that low.
25:53It's not as bad as it sounds.
25:55I'm more worried about the heart rate.
25:57Okay, get ready with an IO in case we need happy.
25:59Okay.
26:02Rhythm check, hold compressions.
26:05Still V-Fib.
26:06Okay, shock it.
26:07Clear.
26:09Resume compressions.
26:10Shen, how's she doing over there?
26:11Heart rate's up to 104.
26:12Uh, at one minute she's zero for color, two for heart rate, one for reflex tone breathing,
26:18opgar five.
26:19Five out of ten, not great.
26:21Sussex 58% intubation?
26:24Uh, not yet.
26:25Uh, O2 sat in the 60s is normal at one minute.
26:27Heart rate and pulse ox are trending higher.
26:30Let's keep doing what we're doing.
26:31A little tincture of time.
26:32All compressions.
26:34Looks like sinus.
26:37Can't feel carotid.
26:38Yeah.
26:39Heart's barely pumping, it's P.E.A.
26:42Backlight compressions.
26:43Transfuse, two more units, she needs more red cells and platelets.
26:46It's only going blood loss in the uterus.
26:47Give me all the lap heads we got, please.
26:56Yeah.
26:58Okay, yeah, thanks.
26:59I appreciate it, honey.
27:00Gotta go.
27:02Whoa, whoa, whoa.
27:04Hold up.
27:05Is there a problem here?
27:06Yeah.
27:06You two aren't leaving empty handed.
27:08What?
27:10When are you following me?
27:13Rape kits are supposed to be picked up within 72 hours of collecting them.
27:18This one's been here for over two weeks.
27:21That's not on us.
27:23Well, it's on somebody.
27:25It's not bad enough these poor women go through an assault,
27:27plus the indignity of the whole collection process,
27:29but nobody from the police department even has the human decency to come get these things.
27:33Like, nobody there gives a flying fuck?
27:35Okay, we got it.
27:36We'll see that these get put into evidence properly.
27:41How hard was that?
27:46Units five and six are in.
27:48Down to a slow ooze here.
27:49Hold compressions.
27:54Looks like sinus.
27:56And I got a weak carotid.
27:58Okay, cycle the BP.
27:59Better filling.
28:00Better squeeze.
28:01No seizure activity on the EEG.
28:03That's progress.
28:03That's progress.
28:04We're at five minutes.
28:05Uh, heart rate is 132.
28:08Pulse ox 79%.
28:09Nazly the Apgar.
28:12One off for color.
28:14One off for tone.
28:15One off for respiration with hypoxia total of seven.
28:17Respiration scores for observed breathing, not pulse ox.
28:19That's out of 80 is normal at five minutes.
28:21With no crying, she still gets one off.
28:27Oh, she just scored the winning point.
28:30Apgar of eight is pretty normal.
28:35Holy shit.
28:36What did I miss?
28:38Ecclampsia with status, health syndrome, cardiac arrest, resuscitative hysterotomy.
28:43Better see the OR with a septic twin C-section.
28:46That's your text 12 minutes ago.
28:47Shit happens fast down here.
28:49Resuscitative hysterotomy in 36 seconds.
28:51Impressive.
28:52BP's 102 over 64.
28:54Hemoglobin's up to nine.
28:55That'll do.
28:57Nicky's sending a team down.
28:58We can take mom.
29:00If you're not careful, you're gonna get stuck here all night.
29:09Ah, then he said she'd be in 30 minutes.
29:12Us mom and baby.
29:14They're both gonna go upstairs.
29:16Good.
29:17You leaving now?
29:18Yeah.
29:19Pretty soon.
29:20I gotta find Whitaker.
29:21I gotta find Alashimi.
29:23I gotta find Langdon before I leave.
29:25You miss Langdon.
29:26He just checked out.
29:31Shit.
29:56Can I help you?
29:57Uh, yeah.
29:58I'm Dr. Langdon from the ED.
30:01I was just, uh, checking in on the status of someone we sent up here earlier.
30:06Patient's name is, uh, Cohen.
30:09Let me check.
30:10What was she up here for?
30:11Uh, clean out a nasty neck fashion.
30:16Oh, yeah.
30:17She's good.
30:18She's in 4202, recovering nicely.
30:21Great.
30:22Great.
30:23I mean, she was, she was in not great shape earlier.
30:26It was a good catch.
30:28Saved her life, even if we couldn't save her leg.
30:34Uh, was it below the knee?
30:35Unfortunately, it was above.
30:54My cell phone and the building managers.
30:57He can help if there's any emergencies.
30:59Yeah, what kind of emergencies?
31:02Whatever.
31:02And follow up with Duke in a couple days, yeah?
31:05Yeah.
31:06Are you, um, you sure about this?
31:08I trust you, Whitaker.
31:10Great.
31:12Any questions?
31:13Uh, when are you back, exactly?
31:16You know, I'll text you.
31:18I'm trying to keep my dates kind of fluid.
31:21I think this is your ride.
31:23Yeah, uh, yes.
31:25I promise I'll check in on your house tomorrow.
31:28Sounds good.
31:30Hey.
31:32Okay, hey, Theo.
31:35You're up late, huh?
31:37What you got there?
31:41Okay.
31:44Keeping fussy all day.
31:46I think he's got another tooth coming in.
31:47All right on, big guy.
31:49Are you ready to get funky?
31:51Yeah.
31:53Yeah?
32:13Hey.
32:14Any luck picking an elective?
32:18I don't know.
32:21Maybe I will go into geriatrics.
32:25It's a smart choice.
32:26It's a smart choice.
32:30I know that life can be challenging, especially when it doesn't work out the way you expected.
32:34Okay.
32:41I thought I would be married with two kids in college by now.
32:46Maybe have some property with a pond.
32:49We could play hockey on it in the wintertime.
32:53And yet, look at me now.
32:54No wife, no kids, no pond.
33:01It's never too late.
33:03Do you really believe that?
33:06Yeah.
33:08Only for me or for you two?
33:10Okay.
33:11See what you did there.
33:14Is that true or something you just said to make a point?
33:23Have you worked things out with your mom?
33:28We're not talking.
33:32I am sorry that, um, I let it distract me.
33:38She was treating me like a child and I was letting her.
33:46Have a good trip.
33:49Please be safe.
33:52We need you here.
33:55Even if you can be a dick sometimes.
34:00Good luck.
34:02You too.
34:13Hey, I didn't think you were still here.
34:15I was just talking to the neurologist on call.
34:19And?
34:21We had a nice chat.
34:24She agrees I can work with double coverage.
34:27That's not her call to make.
34:29You can't do anything critical where a five-second lapse of consciousness could potentially kill a patient.
34:35I agree.
34:40But 90% of our patients don't require critical procedures.
34:43And the ones that do?
34:45will be handled by whomever's working with me.
34:47Unless they're also tied up with a critical patient.
34:49What if it's a double or triple trial?
34:51Robbie, I can handle it.
34:52No, you can't.
34:53And I can't let you.
34:54I am fully capable of handling this.
34:56No, you are not fully capable.
34:57And you know it.
35:02What do you want from me?
35:04I want what's best for this department.
35:05Patients and staff.
35:06Best case scenario.
35:08You get a handle on this.
35:09You're seizure free for six months.
35:10You get your driver's license back.
35:11You are cleared to work.
35:12I am cleared for my driver's license.
35:15You shouldn't be driving at all like this.
35:17If you were a patient, we would have to report you.
35:20I am not your fucking patient.
35:21No, but I cannot let you work in my emergency department
35:23until you are fully capable of doing so.
35:25That is not your fucking call.
35:27You fucking ain't right that's my call.
35:29I'm trying to protect you and my patients.
35:36You didn't rat out Langdon for stealing fucking drugs.
35:39No, but I kicked him out of this department
35:40until he got the appropriate help that he needs.
35:43And the same goes for you.
35:45You've got until Monday to let the administration know.
35:46Oh, I will.
35:54I am finished.
35:56Last chart.
35:59Give me both.
36:00Is this a thing?
36:01I finished a while ago.
36:03I never want to hear that fucking bell again.
36:10Where's Dana?
36:11Not sure.
36:12Bunch of day shift just headed to the roof to watch the fireworks.
36:15You want me to call it?
36:16No, that's okay.
36:19Yo.
36:20Thanks for your help in there.
36:24Almost out?
36:25Yep, just about.
36:28Is this where you're trying to talk me out of going?
36:30Me?
36:31No, not a chance.
36:33Why?
36:34Are you having second thoughts?
36:34Nope.
36:35No?
36:35Nope.
36:37You don't have to convince me.
36:39I mean, it is a little strange.
36:40The only place you talked about going is somewhere they used to drive Buffalo off a cliff to die.
36:44And I looked it up.
36:45And as far as summer vacations go, it's not exactly a holiday hotspot.
36:48I mean, what's in the fucking gift shop, man?
36:51It's just one place I'm going.
36:52As long as it's not the last.
36:54Don't be pulling a thumb on Louise out there.
36:56I am minutes from taking a three-month vacation.
36:58When was the last time you took any thumb off, Jack?
37:00Yeah, but I've dealt with my demons.
37:03It's a process.
37:06You want to know why I never killed myself?
37:08After what I saw lived through, losing my leg, losing my wife.
37:16Because it comes for all of us, man.
37:19You and I know it more than most.
37:20We see it every shift, but we can't let ourselves succumb to it.
37:25Yes, life can suck.
37:28It can be unbearable and brutal and ugly and heartbreaking, but it's also beautiful.
37:38And hilarious.
37:39And that woman today.
37:44Her baby, they'd both be in the morgue if you hadn't been here.
37:48That's us.
37:49That's you and me.
37:49That's what we're here for.
37:52The most important things I've ever done in my life have been in this hospital.
37:58Nothing will ever matter more than what I've done in this hospital, but it is killing me.
38:05You know how they say that a part of you dies when you lose someone you love?
38:08I'm not convinced that a part of you doesn't die every time you see a fellow human pass.
38:13And I've seen so many people die that I feel like it's leeching something for my soul.
38:22Go on a cruise, man.
38:26Knock off this helmetless motorcycle shit.
38:30Yeah.
38:30People talk.
38:32That's death wish behavior.
38:33I'm tired of being a role model.
38:35I'm tired of feeling like you can't get ahead.
38:36I'm tired of feeling like I'm drowning every day.
38:38I'm tired of all of it.
38:39You need to get away for a while and you need to get some help.
38:42You need this place as much as it needs you.
38:50Am I fucked up?
38:52One hundred percent.
38:57But nobody works here as long as you and me and doesn't get screwed up.
39:01You gotta find somebody to help you dance through the darkness.
39:10Did you just make that up?
39:14Maybe it's a song there.
39:16Maybe my therapist said it.
39:17I don't know.
39:22Some dude just pulled up.
39:24Looks like he blew half his face off.
39:28How can you not love this place?
39:33Look, don't make me look stupid.
39:36You come back to us in one piece.
39:42I'm still your emergency contact and I do not want to be contacted.
39:48All right, Nightcrawlers, what the hell is going on out here?
39:50Okay.
40:20Okay.
40:51Okay.
41:26More than 2,000 years ago, the Chinese were throwing bamboo into fire to make explosions.
41:32They went on to emit gunpowder, and boom, the rest is history.
41:38They had chemicals to get the different colors, you know.
41:41Sodium gives you yellow, strontium gives you red, and barium is green.
41:45Hey, who knew chemistry could be so damn pretty?
42:27Do you know what to do?
42:36What a cold!
42:36I'm going to kill you!
42:43It's not so cold, but I'm going to kill you!
43:00hey hey thought you'd left already on my way out hey i'm sorry that i didn't find the time today
43:08to have that conversation yeah that's all right seems like you didn't really want to
43:12i didn't did you uh yeah actually look i'm doing the work i'm i've been sober 186 days i'm going
43:29to
43:29meetings i'm taking the drug tests it's good and you're still writing me
43:36what would have happened if i paralyzed that guy i don't know what would have happened if i hadn't
43:42been here today you'd still be questioning yourself now you know you can do it you're welcome oh so
43:46that that's how you teach now sometimes you know what i saw in rehab i saw a bunch of guys
43:53just like
43:53you the only difference is they've accepted that they need help i think you're afraid to admit
44:01that the mighty dr abinovich isn't perfect oh i never claimed to be perfect no but you expect it
44:08of yourself and it's not realistic man how can any of us live up to your standards if you can't
44:14even do
44:15it you need help robbie you need help finished you don't gotta be honest with me man at least be
44:30honest
44:46she is due for a new bottle i was hoping to get her some formula before i clocked out
44:53i'll stay with her thanks
44:59why are you will you hit those lights on your way out yep why are you crying why are you
45:05crying
45:06little one you're okay you're safe yeah you're not alone
45:19yeah you're okay do you need to be swaddled again is that it
45:30i wish somebody would swaddle me
45:35yes i know you got off to kind of a rough start didn't you little one
45:48yeah you did
45:52well that makes two of us
45:58i got abandoned too
46:04well i was eight
46:10but i got through all of that and so will you
46:15i got a good feeling that you're gonna be just fine
46:20everything's gonna be just fine
46:23you got so many wonderful things to see
46:26and so many people to love ahead of you
46:31so many wonderful things to see
46:36people to love ahead of you
46:46it's okay
46:47it's gonna be okay
46:51it's okay
47:03i want you to love ahead of you
47:07i want you to love ahead of you
47:18i want you to love ahead of you
47:22you know i'm happy for you i wish nothing but the best for you both
47:36an older version of me is she perverted like me but she goes down on you in a theater
47:46does she speak eloquently and would she have your baby i'm sure she'd make a really excellent mother
47:56cause the love that she gave isn't made in her neighbors is able to make it and i'm still
48:00in your open wide no and every time you speak her name does she know how you told me it's
48:09until you die until you die but you're still alive and i hate to remind you
48:17of the first job that's when you went away
48:22it's not fair to deny me of the cross i've made that you gave to me
48:31you you you i don't know
48:43you
48:47you
48:49you
48:59you
49:00you
49:01you
49:02you
49:03you
49:10you
49:11you
49:12you
49:13you
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