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The.Pitt.S02E11.540p.X265.AAC [Full Movie] [Hot 2026]Full EP - Full
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01:00She wants to go out on her own terms.
01:03Very few of us get to do that.
01:05We should pick up more patients.
01:12So Adam lives at Middle Hill?
01:13He lives in Middle Hill.
01:15And he's three years older than you?
01:16He's three years older than me.
01:19And he asked you to be his girlfriend six months ago?
01:24He asked me to be his girlfriend at game night, and I said yes.
01:30Come patient waiting for a doctor.
01:31Ready to go in 13.
01:32Okay, I'll be right there.
01:37Did Adam ask you if you wanted to have sex?
01:40I, Mel, I don't know if I can tell you.
01:43Of course you can tell me I'm your sister.
01:45Well, it's private.
01:47Look, it's just, it's really important that I know.
01:50Why?
01:50Because.
01:52Well, I can tell Dr. Langdon because Dr. Langdon is my doctor, but I don't think I can tell you.
01:59Becca, just tell me.
02:00Why are you yelling?
02:01I'm not yelling.
02:02It's just, look, it's really important that I know.
02:04You're definitely yelling.
02:05Becca.
02:05Maybe we should step outside for a minute.
02:08Why won't you tell me?
02:09Dr. King.
02:11Why don't you get to Mary?
02:16Sorry.
02:19Sorry.
02:25Hey, have you seen any of the x-ray techs around?
02:27Nope.
02:30Got an update for me?
02:31I'm just checking in.
02:33What are the chances of me getting out of here on time, do you think?
02:36It's up to you, Cap.
02:37We can handle this.
02:37Question is where you let us.
02:45Are you two getting along?
02:47I can play nice for another two hours.
02:52Kept calling me Doc.
02:54Didn't know he was the real Doc until a few months in.
02:57He was keeping a secret life from me.
03:00Where are we with his chest this way?
03:02X-rays are still six or seven behind.
03:05When's the last time you checked?
03:07Maybe ten minutes ago.
03:09Stay on them?
03:10Yeah.
03:10Come on, give the kid a break.
03:11It says here it takes an hour to get an x-ray.
03:14I'm the first person who's read this fucking thing all day.
03:19Don't get me started on those.
03:23How are you feeling?
03:25How are you feeling?
03:25I'm good.
03:28You know, I take Luxapro.
03:30It helps with panic attacks, not just depression.
03:32Promise?
03:33I'm fine.
03:35Sorry about that, Mrs. Torres.
03:37Are you okay?
03:38I thought you were going to pass out.
03:39Yep.
03:39All good.
03:40Let's just pick up where we left off.
03:44Mrs. Torres presents with one week of painful, swollen right calf.
03:48No trauma, no fever, no history of hypercoagulable state.
03:53However, she did take a 15-hour bus ride from Orlando to Pittsburgh last week.
03:57Mrs. Torres, we're concerned about a possible blood clot in your leg that can lead to serious
04:03complications.
04:04We need to do an ultrasound, but no need to worry.
04:07If it's positive, we can treat with a blood thinner.
04:10Well, if there's something I learned is to stop worrying.
04:13Can all your worries add a single moment to your life?
04:20Fresh in the lab, they said one's critical.
04:22They're supposed to call those up.
04:24I know, every time they try, the red phone's been busy.
04:25Jesus Christ, this was resulted 25 minutes ago.
04:29Sodium 112.
04:32Mohan, sprinkle some salt on your patient before he sees it.
04:36Where are we?
04:37Kidney stone patient's not obstructed.
04:39Just waiting on meds.
04:41Ortho's performing the replantation on our water slide trauma.
04:44Perforated diverticulitis patient Howard made it through surgery.
04:47And I'm calling the CYF resource navigator to see if we're getting anywhere with emergency
04:52foster care for baby Jane Doe.
04:54Other than that, labs and x-rays are way behind, but our golden girls are getting their steps in.
05:01Does Robbie usually leave as soon as his shift ends, or does he like to stick around for all the
05:06handoffs for night shift?
05:07Depends.
05:08He's usually pretty good about getting out of here.
05:14Shortness of breath and soft 16.
05:16He could totally decompensate.
05:19I'm hoping to catch another intubation before 7.
05:22One more gets me to 3 in my first week.
05:24Probably a record.
05:27I'm looking for an easy one.
05:30Shift ends in two hours.
05:33You're supposed to pick up the stable patients in order.
05:35Do you need a second opinion on that?
05:38No.
05:40Dr. McKay.
05:41Yeah?
05:42A girl named Kiki came into reception looking for you.
05:44Kiki?
05:45She said she'd be in the park.
05:46Yeah, great, thanks.
05:52Hey, I think the labs are back on your PID patient.
05:56Thanks.
05:58Is everything okay?
06:00Ah, fantastic.
06:06Langdon.
06:07I was kind of hoping I would never see him again.
06:10You know, maybe he's changed.
06:15When you got a sec, there's something...
06:17Santos!
06:18I need you to pick up food poisoning in 12.
06:21Yeah, sure, why not?
06:23What?
06:24No snark, no pushback?
06:26What have you done with Santos?
06:27Only two hours to go.
06:29I surrender.
06:31That's the spirit.
06:39How's Becca?
06:40She's good.
06:42I'm trying to call her a living community,
06:44but they are not picking up.
06:46Wake on.
06:48Because I don't know anything about this Adam person.
06:51I mean, they've been dating for six months,
06:53and I don't know anything.
06:56She never said anything about wanting a boyfriend
06:57or even liking anyone.
07:00That doesn't mean she hasn't thought about it.
07:02I don't want to think about my sister thinking about having sex.
07:05I mean, he used to say he didn't take advantage of her.
07:08Middle Hill just let it happen.
07:10Why didn't they tell me?
07:11Well, maybe they didn't know about it.
07:13Six months, they had to have known.
07:16Maybe it was a mistake choosing Middle Hill.
07:19I mean, we saw a lot of good places,
07:21but that is where Becca wanted to go.
07:24Are you Becca's legal guardian?
07:27No, I have durable power of attorney,
07:29but we did this thing called supportive decision-making
07:31where she can make her own decisions.
07:35There you go.
07:36This is different.
07:38Why?
07:39Because it is.
07:40I...
07:46My son, he's not moving.
07:59I got a hot and unresponsive child.
08:02I need a room, Dana.
08:03Trauma two.
08:05We need a core temp asap.
08:08Hi, I'm Dr. Al-Hashimi.
08:09Are you mom?
08:10Brenda Azar, Mindy.
08:11And this is...
08:12Micah?
08:13Has Micah been sick with a fever?
08:15No, he was fine all day.
08:17I found him in the car.
08:19Peoples are sluggish but reactive.
08:22No reaction to pain.
08:26Airway is Peyton with low tidal volume.
08:29Let's set up for intubation.
08:32Heart rate is 22 in 10 seconds.
08:33That's 132.
08:34Do you know his weight?
08:35No.
08:36Joy, the proslo?
08:37The what?
08:38The proslo tape gives us all the drug doses
08:40based on length.
08:41Assisting with ventilation.
08:42Somebody call respiratory.
08:44You said you just found him in the car?
08:45I was working in the garden
08:47while he rode his trike in the driveway.
08:49One minute he was there
08:50and then he wasn't.
08:51I thought he had gone into the house
08:53but I couldn't find him anywhere.
08:54He must have gotten tired
08:56and climbed in and fallen asleep.
08:59By the time I found him,
09:00I couldn't wake him up.
09:02How long was he in there?
09:04Maybe 15 minutes or 20.
09:06And the car was just unlocked?
09:08It's a safe neighborhood.
09:10Joy?
09:10Joy?
09:11Okay.
09:12So, you're going to want to start at the head.
09:17Measure the length.
09:18And then read it off.
09:20Approximate weight is 25 kilograms.
09:22250 bullets of LR.
09:24I have doses for rock and ketamine.
09:26Almost no tone.
09:27I can do this without meds.
09:28It's easy enough to bag.
09:30Let's wait for RT.
09:30When the temperature is this high,
09:32the muscles can lose their strength.
09:34So we're going to help him breathe with a tooth.
09:37Rectal temp is 105.5.
09:39Heat stroke.
09:40Ice packs for the groin and axilla.
09:41See if we have an Arctic sun that's not in use.
09:43We need all the ice we can get.
09:45And a pediatric body bag.
09:51Still waiting on your ketorolac pills.
09:53I will keep following up with the pharmacy.
09:54I told my son I would meet him at the park.
09:56We always watch the fireworks together.
09:57Sorry, Mr. Green.
09:58We won't forget about you.
09:59All right.
10:05Heard you had a heart attack.
10:06I did not have a heart attack.
10:09Hey, Sarah, how are you feeling?
10:11I am totally fine.
10:14I'm glad to hear it.
10:15Hey, do you mind watching my patients for five minutes?
10:17I have to step out for a sec.
10:19No problem.
10:19Ogilvy, you want to get some air?
10:22I've got a good case for you.
10:23Might an intubation be required?
10:26No.
10:27It's an unhoused patient I've treated on the street team.
10:41Hi, Becca.
10:43Hey.
10:54I'm sorry I yelled at you.
10:56I was just...
10:59surprised.
11:00The nurse said I can leave.
11:02Yeah, um...
11:03Can we just finish our conversation first?
11:05About what?
11:07Look, I know you don't have to tell me anything.
11:10I just...
11:11kind of...
11:13you'd want to.
11:17When Adam asked you to have sex...
11:19He didn't ask me.
11:20I asked him.
11:23So you didn't pressure...
11:25No.
11:26So you wanted to have...
11:28sex?
11:30I wanted to have sex.
11:31Sex is great.
11:33We talked about sex in my mind and body class.
11:35I told my therapist, too.
11:39Okay, the pancreatitis in North 3 is still waiting for you.
11:42Okay.
11:43Can I go now?
11:44Uh, just one second.
11:45Uh, I'll be right there.
11:46I'm just going to walk my sister out.
11:54Yep, sorry.
11:54I'm right behind you.
11:58Curtis Larson, 42.
12:00Called to the golf course for combative behavior with his buddies.
12:03No signs of trauma, just alcohol on the breath.
12:05Seems to have calmed down a bit.
12:07He was fighting us so hard we had to give four milligrams of Versed to get vitals in a line.
12:11Good BP.
12:12Pulse Ox 99 on two liters.
12:14Between the booze and the Versed, he'll be sleeping it off for a while.
12:16Central 14, guys.
12:25Roxy's gone.
12:27Is the husband still in there with her?
12:29Yeah, she bodies with him.
12:31She needs a death note.
12:32I can't find McKay.
12:34Okay, I'll be right there.
12:35Okay.
12:36Have you seen McKay anywhere?
12:38No.
12:42Have you ever seen a xylazine wound?
12:44No.
12:45But you know what it is.
12:46Yes.
12:47Then you know its street name is Trank and this shit is nasty and can lead to skin necrosis.
12:52I've never understood drug addiction.
12:54Well, you need to try.
12:57A little empathy goes a long way in this job.
12:59I am empathetic.
13:00I don't understand how an intelligent person allows themselves.
13:03Can make mistakes, heal themselves, take away the pain, hide from the abuse.
13:08We're healers, not judges.
13:11Shouldn't we go to the crosswalk?
13:13No?
13:14Okay.
13:15Okay, this is what we're doing.
13:16I see organ donation in my future.
13:19Sorry.
13:31Don't we go to the crosswalk.
14:16How's it going, Kiki?
14:18Who's this?
14:19Oh, it's, uh, Uncle V. He's a student doctor.
14:22He's able to help me.
14:23So what's happening with you?
14:26My leg's getting stinky again.
14:28Yeah.
14:29Okay, let's take a look.
14:35Is that an injection site?
14:37No.
14:38No, xylozin wounds can show up anywhere.
14:41You, uh, you still using Trank?
14:43Sometimes.
14:45Sometimes it's not good, Kiki.
14:46You know, it's nasty stuff.
14:48I'm trying to quit.
14:49How are you going about that?
14:51I go to meetings sometimes.
14:53Meetings are good.
14:55And not you seems even better.
15:00Uh, okay, what's your plan, Uncle V?
15:06Uncle V, you okay?
15:08Yes.
15:08Yeah?
15:09Absolutely.
15:10Uh, my plan is clean with saline antibiotics.
15:16Meta, honey, to break down the eschar.
15:18And then?
15:19Um, redress with Xeroform and an ABD pattern acrylics wrap.
15:24Yeah, that will do it.
15:25You need to change this dressing every day, Kiki, okay?
15:28I don't think I can do that.
15:29We'll give you all the supplies you can do it yourself.
15:32You won't even have to come back here.
15:34Yeah.
15:35Okay.
15:36Okay.
15:38Okay, pass the saline.
15:49Hey, I'm Dr. Whittaker.
15:51This is Dr. Santos.
15:53Roberto.
15:54Like Roberto Clemente.
15:56Oh, sorry.
15:57I don't know who that is.
16:00Pirates Hall of Famer, Roberto Clemente.
16:02You don't watch baseball.
16:05Well, I am from Nebraska.
16:07We went to a few Storm Chasers games as a kid.
16:10That's about it.
16:11No Major League team, you know.
16:14All right, what happened to your elbow?
16:17O'Neal Cruz hits a walk-off tater, right?
16:20And I, I, I catch it, you know,
16:23but then somebody fell on top of me.
16:25And I, I think I heard a pop,
16:26but hard to tell with all the screaming.
16:29That sounds pretty dangerous.
16:30You're not one of those guys
16:31who steals balls from kids, are you?
16:34I didn't steal this.
16:35I wouldn't do that.
16:36I would never do that.
16:36I would never do that.
16:39Can you move your fingers for me?
16:43And the thumb?
16:47Uh, no.
16:48Okay, yeah, you know what?
16:49We can put that in the belongings.
16:50No, thanks.
16:51I, um, I think I will hold on to this.
16:54Okay, uh, you know what?
16:55We can put you in a sling,
16:57and then you can hold on to the ball
16:59while we examine you.
17:02Okay, yeah, I guess.
17:04Uh, you're gonna throw in an IV
17:07and start with 4-morphine.
17:08No, no, no, no.
17:09I don't want to be knocked out.
17:11No, it's a low dose.
17:12You won't be knocked out.
17:13It'll just help with the pain.
17:14Might make you a little drowsy.
17:15Oh, I need to stay alert.
17:18Okay.
17:19Uh, we will order you an x-ray.
17:22Just please let us know if you change your mind.
17:25Okay, yeah.
17:30Temp is down to 103.5.
17:32Long way to 98.6.
17:35102, we take him off the ice.
17:36Otherwise, we can overshoot and cause hypothermia.
17:39I put in orders for CK.
17:41What does the CK tell us, Julie?
17:44Wrapped open muscle breakdown
17:45can take out the kidneys.
17:46More concerned about his brain.
17:54It's two times a day for three days,
17:56and a nurse can push it up.
17:58Dr. Langdon already told me.
18:00Okay, bye, Mel.
18:02I'll see you, uh, I'll see you at fireworks.
18:04Oh, I was going to watch fireworks
18:06with Adam and his parents.
18:09Where?
18:10At the park.
18:11They're picking us up.
18:12They go every year.
18:14We always watch the fireworks together.
18:15I have your headphones.
18:16Adam said he has extra.
18:18Okay, well, um,
18:19do you have Adam's parents' phone number?
18:21Why?
18:23In case I need to reach them.
18:27I want to go now.
18:28I guess I could call...
18:29Bye now.
18:33So how long have you been part of the street team?
18:35Oh, about a year.
18:37And why do you do it?
18:39Oh, most of these unhoused folks feel abandoned.
18:42Sorry.
18:43They, uh, don't trust easily.
18:45Meeting them where they're at
18:46makes a big difference.
18:48I've been trying to get Kiki
18:49to come by for months.
18:51You should, uh, volunteer.
18:53Here.
18:54It's great training.
18:55Street team could always use the help.
18:58Yeah?
18:58Uh, maybe.
19:01Hey, how did the deposition go?
19:04Um, I'm glad it's over.
19:06But I didn't feel good about it at all.
19:09You know, I'm still not supposed to talk about it.
19:11No, but you can talk about how you feel.
19:13Who do you have to talk to
19:14when things aren't going so good?
19:15Friends?
19:16Family?
19:17Actually, I don't really have any...
19:19Hey, McKay, where have you been?
19:20Oh, I, uh, I stepped out.
19:22Did you tell anybody?
19:24I was, uh, treating a young woman
19:25I met on the street team.
19:27Did she check in as a patient?
19:29No, we treated her in the park.
19:32We?
19:35I, uh, I took Opal V.
19:37Oh, okay, so you treated her
19:39outside the ED on PTMC's diamond.
19:41You brought a medical student with you.
19:43Right when we're in the middle of crisis mode
19:44and we need all hands on deck.
19:46You're gone for ten minutes, tops.
19:47When you're here, I need you to be here.
19:49And while you stepped out, Roxy died.
19:53What?
19:58Oh, man, I'm sorry.
20:01I didn't think she would be gone that quickly.
20:07Excuse me.
20:08Um, she took a nasty fall.
20:10Her shoulder screamed in pain
20:12when we put the ties on.
20:13Hello, I'm Dr. Rabinovich.
20:14This is Dr. McKay.
20:15Agents Correa and Russo.
20:18She needs to be looked at before we process her.
20:20What's your name, ma'am?
20:23Anita.
20:25We're gonna take care of you, okay?
20:27You said she fell?
20:29We'll conduct in a sleep at a restaurant.
20:31Right when the kitchen took off,
20:33she was shoved down some alley stairs.
20:35Right.
20:36Could be a rotator, cuff tear, or an AC separation.
20:40Let's put her in a chair and find her room.
20:42South 19.
20:48Just a few.
20:51Curtis.
20:52Dude, what happened?
20:54Medics had to sedate him to transport.
20:57Didn't realize he was such an angry drunk.
20:59So you've seen him drunk before?
21:00Sure.
21:01Yeah, but never like this.
21:03He tried to pick a fight with the guys in front of us.
21:05He said they were going too slow.
21:06That's what they call the cops.
21:08Could he have taken drugs?
21:10If he did, they were not the performance enhancing kind.
21:13He shot a 112.
21:16We'll order labs.
21:18See what we can figure out.
21:19Uh, any family we can contact?
21:22I have no idea.
21:22We don't talk about that shit.
21:23How long is he gonna be here?
21:25At least three or four hours till he sobers up.
21:28Cool.
21:28Is it okay if I just come back around nine?
21:30Sure.
21:31Great.
21:32Thanks.
21:36Need those removed so I can check her vital signs.
21:42Okay.
21:42Tend her over the AC.
21:51Can you, uh, lift your right arm up above your shoulder like this?
22:01Heart rate's 110.
22:02Pulse ox 98.
22:04Painful heart test is positive.
22:06Should I drop arm test?
22:07I'm gonna lift your arm up.
22:08Okay.
22:10And you just lower it as slowly as you can, okay?
22:16Positive drop arm test.
22:17What's that mean?
22:18That means that she's gonna require an x-ray.
22:20It's most likely a rotator cuff tear, which sometimes can come with a fracture.
22:24We need an x-ray to rule it out.
22:25How long is that gonna take?
22:27Our computers are down today.
22:29Everything's moving a little slower than usual, but we will fast track her.
22:32Is there anyone you want us to call, Bernita?
22:34No phone calls.
22:36Got a bathroom.
22:47Right there.
22:50I do not want these guys here any longer than they need to be, so let's find x-ray and
22:53fast
22:54track this one.
22:54Your family might be worried.
22:56Maybe I can call them.
22:57No, no, no.
22:57Just stay with her.
22:58Make sure she has everything she needs.
22:59We treat her injury, and that's it.
23:01Okay.
23:02Jaime Guerrero to window three, please.
23:06Jaime Guerrero to window three.
23:07Jaime Guerrero to window three.
23:33You've got a lateral.
23:36best i could posterior dislocation no fracture thanks okay good news roberto no broken bones
23:45but the elbow joint is dislocated and we need to get the ball back in the socket
23:49the best way is with sedation and pain meds no no i know you said no morphine but we can
23:54put
23:54local anesthetic into the joint to block the pain that way you won't be sedated oh thanks doc
23:59just just give me a bullet to bite on
24:07the radio joe's over in green tree oh man i love that place brought on one of the employees
24:12so ice is here people are leaving the waiting room 10 patients already what should i do
24:16just tell them the truth and hope they stay for the treatment that they need
24:19martha took off i'm gonna call it when i get a chance oh shit yeah make sure she's okay will
24:23you call the evs department too and let them know will do all right hold down the fort let
24:27us know if you need backup you got it can't we just tell the agents to fuck off
24:31they are not going to leave without their patient we just need to treat her even if she's
24:37undocumented all patients regardless of immigration status have the right to emergency care under
24:41mtala pranita is next in line for x-ray okay good thank you
24:49purple falls down to 100 mics per minute tempest 101.8 great let's get him off the ice okay hands
24:55on my count one two three
25:01what's the latest uh we got some arm movement that's a good sign
25:09and pupils are minimally reactive
25:14planters are down going all encouraging signs
25:21any luck getting a lawyer for a detainee uh no keep me posted yeah
25:33it's a pretty bracelet
25:36my daughter made it for me
25:40she doesn't know what i am i just wanted to know that i'm okay
25:46you seriously won't let her make a phone call not until she's processed
25:51unbelievable
25:54thanks and just let me know when she gets back
25:57uh one other thing uh do you have a resident named adam
26:01i was wondering if i could get his parents phone number
26:03nope i red phone is for emergencies only this is kind of an emergency
26:09sorry bye
26:12hey mel we need an r3 to supervise a reduction in north 4 are you free
26:16uh i guess
26:18should we move the deceased woman in central 9 to viewing
26:22uh no let's leave the husband in there for a little while longer
26:25we need the room we're not moving it yet
26:28okay sorry
26:30we can do a room check
26:32kate's icu says they'll have the bed soon
26:34okay
26:41so what do we think
26:43about what
26:44the mom of our heat stroke kid
26:46uh that is not our job
26:48that is what cyf is for
26:50so you think it was on purpose
26:52no i did not say that
26:54i just don't buy it
26:55she lost her kid at home
26:57how she just looks guilty has anyone seen her cry
27:02people don't always respond to trauma the way you expect them to
27:05stay focused on the kid
27:11bp 78042 sats 87
27:13you're having some pain again mr green
27:16mr green
27:17this one's yours
27:18yeah uh kidney stone possible vasovagal
27:20yeah i assume that we need some help here
27:22does he have an iv
27:23no he didn't need one
27:26hypotensive and hypoxic
27:28clear trauma room
27:29yes
27:31he was just waiting on his discharge meds pain free
27:36a few more patients are going from chair south 15 to cough 2
27:40history of renal colic
27:41heen positive urine bp crashing
27:43heen positive urine doesn't always mean kidney stone
27:46two anti-cubital lines
27:47biggest ones we've got
27:48e-fast
27:49let's get two units of whole blood hung please
27:53good
27:55who worked up this patient
27:57i did
27:58ultrasound showed dilated ureter
28:00and mild left hydronephrosis consistent with this history of renal colic
28:04what about the aorta
28:05i didn't look at the aorta
28:07what did you present to dr mohan
28:09you said the rest of the ultrasound was normal
28:11i meant that the other kidney was wrong
28:15eight centimeter triple a massive free fluid
28:17ruptured aneurysm is bleeding out
28:19okay go with the mtp
28:2016 gauge in the left ac
28:22two units whole blood on the infuser
28:25assisting ventilations
28:26breast diagonal
28:29okay who wants to intubate
28:33everybody
28:34sure
28:34get a call for six more units of whole blood
28:36you said be a call surgery
28:37if we stay ahead of him
28:39we might get him up to the oar
28:40here we go
28:56we're lightening up his sedation
28:57to see if he has any purposeful movement
29:00if so
29:01that will be an encouraging sign
29:02he'll be back tomorrow
29:06there's no certainty as to how much recovery michael will have
29:10his response over the next 24 hours will tell
29:14there is a chance of cognitive impairments
29:19but also a chance of meaningful recovery
29:22dr alashimi the patient in 2022
29:24i will be right back
29:45i'm in bag him
29:46nice and done good job
29:47unit 3 is up and running
29:49i've got a 16 day dj
29:50that one goes on the rapid infuser
29:52good and tidal waveform
29:56strong radio pulse
29:57that's a very good sign
29:58bp's up 86 over 52
29:59some progress
30:01about two grams txa
30:02yeah
30:02what else do we give after four units of blood
30:08calcium gluconate to counteract hypocalcemia
30:10cause the strength of agulant
30:12why don't you see if you can't squeeze a unit into that peripheral line
30:19should somebody place a central line
30:20long central line is slower than short large bore peripheral
30:23flow is proportional to the fourth power of the radius
30:27physics
30:30okay
30:33bite down on this
30:36okay
30:36i'm stabilizing the humerus
30:39all right after i supinate with traction dr wittica will apply
30:42downward pressure
30:44on the proximal forearm
30:45okay this is gonna hurt like hell roberto
30:48one
30:49two
30:50three
30:53okay
30:54flexing at the elbow
31:02this dolly's down to 68
31:04minutes five and six are up and running
31:08i'm here for garcia
31:09vascular can't come down
31:10triple a with hemorrhage he shot
31:11most of these die in the field
31:13he was stable presented with a history of renal colic
31:15and nobody saw the triple a on ultrasound
31:18was this you
31:19no
31:20good as me
31:23looks like sinus attack
31:24nope lost in paul since p.e.a
31:26bagton ogilvy start compressions
31:28we're having a hard time staying out of the blood loss
31:30sterile gloves prep for a thoracotomy
31:31dr javadi why don't you glove up and show dr shamsie why you belong in the ed
31:37we can cross-temp the aorta
31:39stop the blood flow from below the diaphragm
31:41we can diffuse the heart and the brain
31:46pen blade
31:46gotta get in there
31:55may have scissors
32:04breath spreader
32:11let me know when you have enough exposure
32:20right there
32:24can you give me on suction
32:25no there's no blood in the chest
32:26it's all in the belly
32:27yeah keep squeezing
32:34aorta's clamped
32:36your heart is empty
32:37okay javadi get in there
32:38internal compressions go
32:43let's put two more units on the rapid diffuser please
32:45they'll be unit seven and eight
32:54all right neuro's intact
32:55so we'll do a posterior splint
32:57a sling and an orthoreferal
32:59you know i'm actually kind of impressed
33:01you did that without pay meds
33:03definitely worth it
33:03you know last year i caught mccutcheon's 300th career homer
33:06but uh another fan stole it from me
33:09i promised myself i would never let that happen again
33:13ludicor can you write the procedure now
33:15yeah i mean you already filled in the tea sheets
33:17yeah well i'm already here
33:18yeah i kind of had a hand
33:19so can you just fill out the trash
33:21you should probably finish it
33:22well okay someone did this
33:23i don't i don't i don't care who
33:27yeah
33:37where's mrs azar mendy
33:38she stepped out
33:40stepped out
33:47feels like the heart's filling back up
33:48let's have a peek
33:52looks good
33:54really good
33:55strong radial pulse
33:58moist lap pads
33:59prepped for transfer
34:02systolic and 94
34:02it's the best of her
34:03can i go with you
34:06he's my patient
34:09okay by me
34:10bring two extra units
34:17ice is in the building
34:19word travels fast
34:20yeah we have a detainee with a rotator cuff tear
34:22two of our nurses went home
34:24they have temporary protective status
34:25but they just don't feel safe
34:30um i'm really sorry dr robbie i should have checked the aorta
34:33too easy one to miss
34:34got a heartbeat back though so
34:37still smoke
34:41i'm sorry too
34:42i i should have asked ogilvy if he'd checked the aorta
34:45it's it's my fault
34:46it is
34:48you're the senior resident
34:49you don't look to others others look to you
34:51i know i'm really sorry
34:52this is what happens when you bring your personal life into work
34:55the patient almost died
34:56i know
34:58you have to think of these walls like a force field
35:01you cannot let anything in
35:02your mother's not in here
35:04she is out there
35:04you keep everything out there
35:06that is the key
35:06that is the difference between the best doctors
35:08and the ones that don't make it
35:10you're right
35:13maybe i just don't belong here
35:19pranita's x-ray results
35:21no fracture
35:22okay
35:23i'll just have jesse fitter for her sling i guess
35:25and we have to discharge her
35:26so the immigration guys
35:28i'm afraid so
35:32okay time for you to go
35:34i was just having to chat when speeder's here
35:37you can't see how busy this department is right
35:39you've been nothing but a distraction and a disruption since you've been here
35:42i'm already short staffed
35:44and i just lost five nurses and half my environmental services team
35:46because you walked in
35:48you know patients come in here for help right
35:51because they're either sick or they're injured
35:52and documented or undocumented
35:54they have a right to emergency care
35:56tb measles fractures
35:58none of it's getting treated
35:59because everybody's too scared to come in
36:00but then they end up here anyway
36:01but then it's too fucking late
36:02so please for the love of god
36:03can you just go wait over there in the room
36:05with your detainees
36:06so i don't lose any more patients or staff
36:09no problem doc
36:22this is astor mendy
36:26brenda
36:28where are you going
36:30brenda
36:36okay okay that's okay
36:39let's get you back inside to your son
36:40that's okay
36:41that's okay
36:45come on
36:46she's cleared to go
36:48hold on she needs to sleep
36:50let's only take a minute
36:51we're leaving
36:52hey man you're hurting her
36:56jesus christ what's going on now
36:58robbie
36:59no
37:00you can't do this
37:02what the hell
37:04get your phone on
37:05he hurt her and jessie stepped in
37:07i know i know
37:08i mean no
37:15don't say anything
37:16you don't have to say anything
37:17they can't make you say anything
37:18we'll get you an attorney
37:18i promise we'll get you out
37:21call the hospital attorney again
37:22i can't believe this shit
37:23can you at least tell us
37:24where you're taking them
37:25is there a detention center
37:27near pittsburgh
37:28that's got to be where they're going
37:29right
37:29could be hours before he's processed
37:31i'll stay on it
37:33what can we do
37:35uh
37:36hey javadi
37:37javadi
37:37please come back
37:38everybody
37:40just go check on your patients
37:41assure them
37:42tell them what happened
37:42but please everybody get back to work
37:44who's gonna take jesse's patients
37:46i can do it
37:46thanks perla
37:49hey
37:49you okay
37:50yeah i'm okay
37:51you okay
37:52yeah
37:52the lawyers are tied up
37:53with the cyber attacks upstairs
37:54they probably won't come down
37:55for a while
37:58it was the latest
37:59with the heat stroke kit
37:59i sent him up to pizza
38:00i see you
38:06what's going on
38:08i found her outside
38:09wandering into the street
38:10she almost got hit by a truck
38:12i think it was intentional
38:14christ almighty
38:14i told nurse came not to let her out of her sight
38:16we need to call a 302 and observe her
38:18danger herself
38:19is she gonna be able to see her kid
38:21no if she's on an involuntary cycle
38:24what happens if he's ready to be discharged before she is
38:26does she have a partner or a relative we can call
38:29i can find out
38:29why don't you and i talk to her together
38:31sure
38:32i just need to check on a patient and i will meet you there
38:52hey emma have you seen this patient
38:54oh i haven't
38:56oh she took off when those ice guys arrested your nurse
39:04i tried to get him to help me in the garden
39:08but he just wanted to ride his trike
39:13so i let him
39:15every time i looked over
39:18he was just
39:20riding around
39:27have you ever thought about hurting yourself
39:34cbc and blood alcohol are back in your goal for curtis larson
39:370.14
39:38copy that
39:39okay we'll wait for the other labs
39:41he'll need to sleep it off in the meantime
39:45hey gabriel can you wait up a sec
39:47do you have duke eekens chest x-ray
39:49yeah how's it look radiologist still needs to read it
39:52can you pull it up for me
39:59shit
40:01i gotta call the funeral home start making arrangements
40:03you could slow down
40:04take some time for yourself
40:06how you doing
40:08oh you know
40:09been better
40:10you spend so much time with these people
40:13you've become a part of their family
40:14it's not like it is here where patients come and go
40:16don't stay for the night shift
40:17i got reinforcements coming in
40:19i'd rather work
40:20i don't know if i want to sit with this at home
40:22try
40:22for once just listen to me
40:23take the night off
40:24i'll cover for you until i can find someone else to come in
40:27go
40:28hey
40:29come on
40:30love you
40:36you think she's gonna be okay
40:39i don't know
40:40i just hope she can forgive herself
40:50i've noticed some tension between you and dr santos
40:54you two have history
40:55uh yeah she doesn't light me very much
41:01uh
41:03we worked together one time
41:05i was a pretty big asshole
41:08she called me out on some things that i
41:11wasn't ready to face
41:12and i overreacted
41:16i'm gonna talk to her
41:17i just haven't
41:18found the right time
41:20good
41:21you
41:32oh you might be in here
41:34what's going on
41:36the deposition of my sister coming in
41:39it's been a day
41:41it's good
41:42deposition
41:44is your sister okay
41:47yeah
41:48it's just a uti
41:49so
41:49meds will clear
41:50well that's good
41:54she's a boyfriend
41:56she didn't tell me about
41:59and other things she didn't tell me about
42:01maybe she didn't know how
42:03she's having sex
42:06great sex
42:09and she lied to me
42:10i mean she
42:10she lied to my face
42:12for six months
42:13my sister is a fucking liar
42:16she's just cursed
42:20it's how i feel
42:22well kid
42:24i say this with love
42:26people got their own reasons
42:28for keeping secrets
42:29most times it's got nothing to do with you
42:32i've seen elf 164 times
42:35becca loves elf
42:36so we watch elf
42:38and she's got everything
42:39and now she's got
42:40a boyfriend
42:41and they're gonna fall in love
42:42and they're gonna get married
42:43and i'm gonna be completely alone
42:49i feel good to say that out loud
42:53no
42:56mel
42:58you're a good egg
43:00but this is not about you
43:04it was a long time ago
43:05i quit feeling sorry for myself
43:06now come on
43:07pity party's over
43:17okay so this is your heart
43:18and these are your lungs
43:21they look okay
43:22yeah it's this part right here
43:24this space right between your lungs
43:26it's called the mediastinum
43:27and it is enlarged
43:29it is too wide
43:30from what
43:32can't really tell from a plain film
43:34could be any number of things
43:35yeah
43:35stop the bullshit
43:37it could be an enlarged thyroid
43:39it could be enlarged lymph nodes
43:42from an infection
43:43it could possibly be
43:44a tumor
43:47you think i have lung cancer
43:48no
43:48i don't see that
43:51the cancer of the lymph nodes
43:52is called lymphoma
43:53and there are a lot of diseases
43:54of the aorta
43:55which is this big artery
43:56that comes off the heart
43:57which can get enlarged
43:58because of weak spot in the wall
44:00kind of like a
44:01bubble in a tire
44:03they can
44:03have a blowout
44:05and the only way to make
44:07sure
44:07is to do a ct scan
44:09of your chest
44:11today
44:12how long does that take
44:15a few hours
44:16a couple of hours
44:19you still gonna be here
44:25yeah
44:26i would not
44:27feel good about riding
44:28if i rushed this
44:33this is important
44:39hey
44:41i think the uh
44:42labs are back
44:43on your copd patient
44:45saw him in the rack
44:46thanks
44:48uh
44:49look
44:49i don't know
44:50how to say this
44:51um
44:55i know you don't like me
44:58and that's fine
44:58you don't have to
44:59i just
45:00i want to say
45:01i'm sorry
45:02for being an asshole
45:03on your first day
45:04that was
45:05completely inappropriate
45:06and if i could
45:08take back what happened
45:09i would
45:10but i can't
45:13okay
45:17hey i'm sorry
45:18i just
45:19i don't buy it
45:20everyone thinks
45:21you're just an addict
45:22who went to rehab
45:22and you've convinced
45:24everyone here
45:24that you've changed
45:25and you're owning up
45:26to your mistakes
45:27and they welcome you
45:28back with open arms
45:28because you're still
45:29the golden boy
45:30and i think it's bullshit
45:33i'm genuinely sorry
45:34and i can promise you
45:36i have faced my fair share
45:37of punishment
45:37for what i did
45:38you fucking stole drugs
45:39from the hospital
45:40only three people here
45:42actually know that
45:42have you told anyone else
45:43what you did
45:44have you
45:45look
45:45i'm just trying to get
45:46through my first day back
45:47you shouldn't even be here
45:48i should have reported you
45:50to the state medical board
45:51you should have lost your license
45:52and gone to prison
45:53you don't know
45:54what i've been through
45:54what you've been through
45:55my wife threatened
45:56to divorce me okay
45:57i almost lost my kid
45:58yeah that's what happens
45:59when you fuck up
46:03you don't have to accept
46:04my apology
46:05i just i wanted to say it
46:07okay
46:08you really want to
46:09atone for your sins
46:11tell everyone here
46:12you stole drugs
46:12and got kicked out
46:13of the ed because of it
46:14until then
46:15stay out of my way
46:29what the fuck
46:31i'm just checking
46:32your vital sign
46:33oh
46:34where am i
46:36what are you doing to me
46:40what are you doing to me
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