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The.Pitt.S02E12.540p.X265.AAC [Full Movie] [English Subs]Full EP - Full
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00:18You
00:23Donnie, thank you. I'm sorry. We'll get another nurse to replace Jesse. Do we even know when he's ice assholes
00:28took him?
00:28No, but the hospital journeys are all over it. I know you got your own, babe. What's going on? It's
00:34a cold hula hoop central 14
00:43What the hell happened? He attacked Ellis or gave him a shot to sell him down. You all right?
00:52How did he get a bloody nose? He slipped
01:03Where's Ogilvy upstairs they let him scrub in on that kidney stone turn triple-a great and the one day
01:09med students might actually be useful in the ED
01:12Oh a present company excluded. You're doing great
01:16Sure. Hey, uh, can I get a selfie with you?
01:20Me? Yeah, you're kind of a legend among med students
01:23Really? I call your phantom of the pits on account of you secretly living in the hospital for months
01:29What it wasn't months still waiting on labs x-rays meds?
01:34PTMC go ahead medic command. Where are all the nurses? There was a code hula hoop in central 14. Oh,
01:41no. What's that? Hospital worker assault
01:44Who?
01:45Uh, the new nurse Emma? Is she okay?
01:48I don't know. I think so
01:50Smoke them if you got them. This place is going tips up
01:56Okay, are we all good in here? Oh, yeah, boss. We got this
02:00Are you sure you're all right?
02:02Uh, I think so
02:03Good, come on
02:06So
02:07What exactly happened?
02:08He grabbed Emma. He threw her up against the wall. I ran in and gave him a shot
02:12Right. And did he slip before or after the shot?
02:15Before
02:16Yeah, he had me in a headlock. I didn't see what happened
02:19What did you give him?
02:20Four milligrams of Vercet
02:21Who wrote the order?
02:22The head in my pocket was on my way to waste. It was shit with sideways
02:27What?
02:28Okay, so now he's altered from alcohol, Vercet, and head trauma
02:32Now he's gonna need a head CT to rule out intracranial bleeding in a fraction
02:34Would you rather be Emma with a head injury or worse?
02:37Don't worry about it. We got this
02:38No, there's no we here
02:40You need to pass this patient off and report him
02:42Fine, Emma, you're done with this bastard
02:44I'll handle it now
02:45No, no, this is my emergency department
02:46And I'm telling you to pass it off
02:48These are my nurses and I choose what cases they work
02:50And if you think for one minute
02:51Putting anyone else from my staff at risk with that asshole
02:53You better give your fucking head a shake
02:55Come on
02:57Come on
02:59MBA coming in?
02:59Okay, I'll be right there, thank you
03:05Did I kill my son?
03:08No
03:09He's not dead
03:10He's recovering in pediatric ICU
03:14We'll be back to check on you again shortly, Miss Sergeant Mandy
03:22Has her husband arrived yet?
03:24Yeah, but he went straight upstairs
03:26Really?
03:27He may have just wanted to see his child first, let's not jump to conclusions
03:31Dr. Robbie, can I have a word?
03:34Shoot
03:34In private
03:36You're gonna start to talk
03:38Thank you
03:44Thank you
03:47What is this about?
03:51I'm going to recommend this ED have two attendings on shift at all times moving forward
03:56This department is clearly too much for one person to handle
04:00It's not healthy for you or the patients
04:02And I'm very concerned by what I've witnessed today with some of the staff
04:08What is going on with Langdon and Santos?
04:10I saw them having it out like it was fight night
04:11Dr. Langdon hasn't even been here for 10 months
04:14And you told me this morning there was nothing to worry about with Dr. Santos
04:17There isn't
04:18Santos and Langdon have beef because she's the one who turned in for taking meds
04:22I'm sorry, what?
04:25Santos is responsible for revealing Langdon's benzo addiction
04:31Was he stealing drugs from this ED?
04:35This ED is the best of the best
04:37And I would put it up against any emergency department in the country
04:40And it is going to be yours to fuck up
04:43So don't fuck it up
05:00You're not supposed to smoke out here
05:02Really?
05:03Seems to be working for me so far
05:08How old are you, kid?
05:11I'm 21
05:13I'm Tuesday
05:14Geez, it's some kind of idiot savant
05:19We no longer use that term
05:22It's derogatory
05:23You bruise easy millennials
05:25Actually, I'm Gen Z
05:27Even worse
05:28I was stripping a purgatory to put myself through school when I was your age
05:34Snowflake
05:36Hey, Amy
05:37Yeah, I'm getting off later than I thought
05:41I'll give you a call when I get a better idea of waiting
05:44I need help
05:45I gotta go
05:45I can't breathe
05:46I got the airway, you take the pulse
05:49Yeah
05:52Oh my God
05:53Can you try and draw thrust?
05:55Radio's weak and thready
05:56What's his name?
05:56My dad
05:57Oliver
05:58Hey Oliver, can you open your eyes for me?
06:01Yeah
06:01Okay, here we go
06:06Okay
06:07One, two, three
06:10Drive in with severe respiratory distress
06:12Last-sided dialysis shunt probable, renal failure and fluid overload
06:16I'm respiratory center, BiPAP
06:18When was his last dialysis?
06:19It was supposed to be yesterday morning
06:21I'm gonna need a nitro drip ASAP
06:23You got this?
06:24Yeah
06:25Is that the guy who attacked Emma?
06:27Is he going to CT?
06:28Yeah, Miss Emma here needs an HMP
06:29Uh, Cassie, can you give Emma here a workup?
06:32Started chart, victim of assault
06:34Really?
06:35I'm fine
06:35He was choking you
06:36He had me by the head most
06:37You're a patient now
06:38Full exam in South 18
06:39Okay, she also needs to make a statement to the police
06:41Is that really necessary?
06:44Yeah
06:44Absolutely
06:46Don't worry
06:47Be there with you
06:47Come on, let's get you a spot
06:49Well, your guy just bought my guy for CT
06:51No, he's my guy
06:52He's got a new one because he's been sitting here forever
06:53I'm never gonna get out of here
06:54Tell it to someone who cares
06:56You know what, you should care
06:57Because if you gave that guy a serious injury with force inflicted from a sedative
07:01You are not licensed to prescribe
07:02Anyone else uses force to stop an assault?
07:04They're a hero, but a nurse does it and we're punished
07:06You just happen to have a vial of reset in your pocket?
07:09It was extra for the medics, good timing I guess
07:11When we waste a controlled substance, we need a witness to sign off
07:14I was on my way to when I spotted that asshole attacking our girl
07:17Anything else, Nancy Drew?
07:19Where are you going?
07:20Taking a pee
07:20Do I need your permission to do that too now?
07:31Fuck, fuck, fuck, fuck
07:41Should we intubate?
07:43Uh, best to avoid that if possible
07:45Pressure support and afterload reduction
07:46Buys us time for dialysis
07:48BiPAP starting at 10 over 5
07:49Good heart squeeze, good lung sliding
07:51But there's a ton of D-lines
07:52Pulmonary edema
07:53Which is best treated by Dr. Giovanni?
07:56Uh, nitrates
07:57Dose?
08:00B-P 198 over 132
08:02Pulse 120
08:03Pulse talk's only 85
08:04Good B-P list
08:06Start at 400 mics per minute for 2 to 5 minutes
08:07I was asking Dr. Giovanni
08:09Don't you know I start low with nitro then titrate up?
08:12In flash pulmonary edema we do the opposite
08:14What he really needs is dialysis to get the fluid off
08:17What's his dialysis schedule?
08:19Uh, Monday, Wednesday, Friday
08:20He missed yesterday because of a wedding
08:22We tried to go to the center this morning
08:23It's usually open on Saturday
08:24But I think they closed for the 4th
08:26Where do you live?
08:26Uh, Brookville
08:28It's like an hour and a half away
08:29Yes ma'am
08:29I-I tried Pine Ridge Hospital in Fort City
08:31But I didn't know they shut down
08:32Yeah, they sure didn't
08:41Alright sister
08:42How can I help un-cluster this clusterfuck?
08:47Ready to finish our conversation?
08:48We talked
08:49Okay, now I gotta need you
08:50Please
08:57Talk to me
09:11Talk to me
09:20Tired of this shit
09:20Okay
09:20It looks like you're just tempted to death
09:22Because you don't give a shit anymore
09:23So this is about the motorcycle
09:24So this is about the motorcycle?
09:24It's not just about the motorcycle
09:25It's about the whole damn thing
09:27Robbie, you're actually telling people
09:29That you're going to a place called smash my head in
09:31Close, not quite
09:32And it's not the answer
09:33Robbie, your buddy Duke is insisting on leaving
09:35And that MBA is here
09:38Okay, Cale, I'll be right there
09:39What's open?
09:40Cells 15
09:4078 year old woman
09:42Very low speed auto versus pedestrian
09:44With ground level full
09:45Bruising on her left hip
09:46No head trauma
09:47Your husband Eddie came along
09:48Hi, how do you do sir?
09:49I'm Dr Robbie
09:50Come with us
09:50We're going to get you set up right over here
09:54Sorry, we'll get you something for the pain shortly
09:56Thank you
09:57Do you have any medical problems, Frida?
10:00High blood pressure, low thyroid, AFib
10:04Any chest pain, shortness of breath?
10:07No
10:07Front row seats, sir
10:08So, um, what happened?
10:10Well, she walked into the car
10:14You hit me
10:15No, I didn't hit you, you hit the car
10:18You backed up right into me
10:20I wasn't even moving
10:23Well, you're both in very good hands now
10:25Yes
10:27Before we get you and a gal, we'd like to check your head
10:31Of course
10:34I am sorry, we had a whole bunch of craziness come in
10:37And you got bumped down a patient or two for CT
10:40But take comfort in knowing it was for some pretty nasty stuff
10:43How am I supposed to find comfort in that?
10:46Or anything you've told me since I got here for that matter?
10:49I don't know, but everything is supposed to come with a lesson, right?
10:51Oh, this is more of your Zen motorcycle bullshit
10:55Maybe
10:56No, no, the truth is I'm just stalling
10:57Because it's going to be a while longer
10:59Okay, look, I appreciate the effort
11:01But you guys are obviously jammed up
11:03And I'll just come back when it's not our nation's birthday
11:05You're already here
11:06It's not going to be that much longer, I promise
11:08Just stay and get your CT
11:09I will do it all when you get back
11:12And this place is less crazy
11:13This place is always crazy
11:14I don't know when I'm going to get back
11:15Can you just sit the fuck down and wait a little bit longer?
11:18It won't kill you
11:19But leaving might
11:25Okay
11:27No problem
11:29Thank you
11:32That's a nasty bruise
11:34Do you take aspirin or any blood thinners?
11:38Uh, eloquence from my AFib
11:41Any tenderness here?
11:43No, not really
11:44Here?
11:46Oh yeah, that hurts
11:48Four of morphine and Zofrin
11:50What about up here?
11:52Not really
11:54Alright, so let's start with labs and plain film
11:56No, CT abdomen pelvis
11:58Will get a better view of the hip
12:00And check for bleeding
12:01The eloquence is concerning
12:02Uh, you think she broke her hip?
12:05If it's broken, you broke it
12:08Usually for a broken hip
12:10The leg is shortened and rotates out
12:12But we'll just wait for CT results
12:22Mr. Cohen
12:23I know that you were checked on scene
12:26But I was wondering if I could do a quick examination of you
12:29Oh, no, I'm fine
12:30I was in the car
12:31Just unofficially
12:33Uh, okay
12:37Deep breath for me
12:40Good
12:42Again?
12:44Great
12:45Thanks, Eddie
12:46Next thing
12:47Would you mind taking your shoes off?
12:51What for?
12:52Just being safe
12:57My back's not what it used to be
12:59Let me help you
13:04I, uh, could use a pedicure
13:07You and me both
13:09Dr. King
13:10What do you think about doing a Romberg test?
13:13What is that?
13:15It's a general evaluation of balance
13:17Um, can you stand up, sir?
13:20Yep
13:20Okay
13:22How are you doing, Oliver?
13:24Stress, you're not coming up
13:25Pressure's holding on 400 and nitro
13:26What's up the BiPAP to 20 on time?
13:28We could try phlebotomy
13:30Decrease the fluid burden on the lungs
13:31Oh, it's cool
13:32But it might buy time
13:33Hemoglobin's only 9.2
13:35He's anemic from renal failure
13:36And he can't afford more blood loss
13:38We need to intubate
13:38We're losing this war
13:40Intubation's not a trivial matter for immunosuppressed patients
13:43So we just drop a bunch of bread tops?
13:45No, we do the collection on the floors if he's giving blood
13:47We like medieval bloodletting
13:49Essentially
13:49And that is something you should step out for, Mason
13:52Casey, thank you
13:53Got a good vein for a 16
13:54One donor bag, 500 cc's no more
14:00Okay, let it out
14:03Same again
14:04Deep breath in
14:07Great
14:08Well done
14:09How's she doing?
14:10Hull socks 100%
14:11Normal exam
14:12No evidence of injury
14:13Great
14:14I got way worse for my older brothers
14:15I bet
14:16Alright, I'll go write a picture
14:20How about we call it a day?
14:23My shift isn't over
14:24This was a shift and a half for anyone today, believe me
14:28If it's alright with you, I'd rather stay
14:31I'm not a quitter
14:33Okay, but someone good for you
14:34But stick close to Donnie for the rest of the day, would you?
14:38Sure
14:38And you also need to make a statement to the police
14:42If we don't stand up for ourselves, no one else will
14:44We're here to help, not to be punching bags
14:48Thank you for saving me
14:50Got you, girl
15:00Something's wrong?
15:01That depends, are you a four month old with severe diaper rash?
15:05No, I'm Dorian Cole and I'm pretty sure that I broke my collarbone
15:08Okay, we can help with that, I'll be back
15:10Wait, are you serious?
15:11Can I at least get something for my pain?
15:13Sure, sit tight
15:14This place sucks
15:15Tell me about it, try working here
15:17Boy, you're really working hard to boost those patient satisfaction scores
15:21The chart for Central 7 doesn't match the patient that's in there
15:23Just hang in there, we're almost over this
15:25I was over this six hours ago
15:26Jairus is looking like Mulaney's on St. Patty's Day
15:29They're gonna break through the doors like zombies
15:31If we don't start moving more than me back there
15:33Dante Castella, 34
15:34Blunt trauma from a fireworks explosion in his storage unit
15:38A&O, good vitals, large scalp laceration and bruising to the chest
15:42No meds or allergies
15:43Partial or flow thickness burns?
15:44No burns
15:45The blast launched him into a rolled down garage door frame
15:48Am I fucking dying here?
15:49I'm Dr. Robbie, this is Dr. Santos
15:51I can't hear you
15:53Try the other side
15:55I'm Dr. Santos, can you hear me?
15:58Yeah, yeah, Dante
15:59A lot of ringing
16:01Hey, McKay, Joy, you're with us
16:06One, two, three
16:08I need like four doctors
16:13Shit, I knew it was bad
16:14This is a teaching hospital
16:16You need all the extra help you need
16:19Airway and breathing intact
16:22Good lung sliding bilaterally
16:24Tender over the sternum, possible fracture
16:26That's your breastbone
16:27No ectopy on monitor
16:30No pericardial effusion
16:31The heart looks good
16:32130 over 85
16:33Pulse 108
16:34Sats 98 on two liters
16:36Good enough for 50 of Fent
16:37He's stuck through his headdressing
16:39Let's take a peek
16:40Normally we don't deal with scap lax on the primary survey
16:43Only if there's active bleeding
16:44Glass injuries
16:46The pressure wave can transmit energy through the body
16:49And cause internal damage
16:50Even without any external visible signs
16:51Especially with organs that are air filled
16:54How are we looking, Dr. Santos?
16:55PFAS negative, no free fluid in the belly
16:59Fuck me
17:00What is that?
17:02It's a pretty big flap
17:03Checking for bleeding source
17:05Is that through the gale yet?
17:06It is indeed
17:07Do you want to crack my head open or what?
17:09Don't worry, your skull is intact
17:11It's just a very deep cut
17:16Okay, we got a couple arterials that need control
17:20Figure of eight sutures
17:21Dr. Santos is 300
17:22What are rainy clips, Alex?
17:24Quicker than sutures
17:25Ding, ding, ding, ding
17:26Okay, clamp those bleeders
17:27Call for CT
17:28I'll be next door
17:29And Duke's CT line keeps growing
17:36500 cc's out
17:37How you doing, Oliver?
17:38I think it's progress in here
17:40Can't tell if it was the phlebotomy
17:42Or if the nitro finally kicked in
17:43Oh, could have been both
17:46Potassium is high, 6.5
17:48Be expected with a missed dialysis
17:49And the added heat stress
17:50He needs, uh...
17:53Uh, he needs insulin and glucose
17:54To shift the potassium intracellular
17:56Exactly, uh, 10 units
17:57Start with 5 milligrams of nebulized albuterol
18:00It'll shift some potassium
18:02And help his breathing
18:02He's at risk for arrhythmias
18:05Mmm...
18:06No peach T waves
18:07No QRS widening
18:08Insulin puts him at risk
18:09For hypoglycemia
18:10And you'd tie up nurses
18:11With frequent acu-checks
18:12Dr. Alshima's right
18:14The nebs will hold him over
18:14Until dialysis skin's here
18:15You got this?
18:16Mm-hmm
18:20All good in here?
18:22Yep
18:25Uh, I'm gonna go
18:26Give this guy's kid an update
18:28He's probably freaking out
18:29Come find me if you need me
18:30Uh, yep
18:34Um, hey
18:36Where'd you learn that shoe trick?
18:38Oh, I did a clerkship at NJMS Senior Care
18:42One of the attendees always said
18:43You can learn a lot about your patients
18:44Just by looking at their feet
18:48Bravo ladies, on to the next lucky customers
18:53Probably gonna have to stay late
18:55To catch up on all these patients
18:56Night shift reinforcements will be here soon
18:58We're supposed to be speeding up in the 11th hour
19:00Not slowing down
19:00They don't call it the final sprint for nothing
19:02Chop chop
19:09Is that the, uh, mom of the heat truck?
19:12Yeah
19:12Do you believe it was just an accident?
19:16Does it matter?
19:18As a doctor?
19:19No
19:19No
19:20It was a mom
19:22Sometimes I can't tell if motherhood has made me
19:25More understanding
19:26Or more judgmental
19:31Dana, got a couple of visitors
19:32Uh, my, my brother
19:33There was an explosion
19:34Hi, my mom was in a car accident
19:36Uh, okay
19:37Monica, can you help these fine folks find their loved ones?
19:40Princess
19:40Princess, what are you still doing here?
19:42Don't you got some crazy
19:43Luau Pigros barbecue thing to get to?
19:45It's lechon
19:45Yes, I do
19:46I'm gonna sneak out on a few
19:47Yeah, yeah
19:48Go have some fun for both of us, alright?
19:51Don't stay too late
19:52Okay
19:54Hello, Miss Stevens
19:56I'm Dr. McKay
19:57How you feeling?
19:58Stupid
19:59And really, really sore
20:02Yeah, we'll, uh, get you something for your pain, okay?
20:06Your last patient left her blanket
20:10Oh
20:10Uh
20:12Yeah
20:13I
20:15Yeah, I'll take it
20:16It's, it's me
20:19Um, I'll be right back, Kim
20:25Fuck
20:27You good?
20:28Yeah, yeah
20:28I, uh, just, um
20:30I'm looking for something to put this in
20:32I, uh
20:33The patient left it
20:37She died
20:38The, uh, cancer mom with two kids
20:41Sounds like a tough one
20:42Yeah, that one sucked
20:44As soon as two young boys said goodbye to their mother was brutal
20:49Just
20:51Makes you wanna cry
20:53You should cry, you'll feel better
20:56Wish I could
20:58You know
20:59I don't even
21:00Remember the last time I cried
21:03I'm not even sure I can anymore
21:04Is that what this place does to you?
21:07We get pretty good at shutting down our feelings
21:11Yeah, I'm, uh
21:13A little scared I've shut them
21:15Off for so long
21:16I don't know how to turn them back on again
21:19I just
21:21Wish I could cry again, you know?
21:23I'll take you
21:25You want a hug?
21:28God, no
21:30Your mom is stable
21:31But she's still waiting on the imaging for him
21:35Well, no more soon
21:36You can wait with your dad in the meantime
21:37I just told him a million times he shouldn't be driving anymore
21:39May I ask what their home situation's like right now?
21:43I don't know, they live over in Squirrel Hill
21:45Same house I grew up in, just the two of them
21:48We noticed your father exhibiting signs of an unsteady gate
21:51Along with other balance and mobility issues
21:54He sees an internist, neurologist, cardiologist, gastroenterologist
21:58He's got a whole team of ologists
22:01Both my parents used to be in pretty great shape
22:03But lately it's like they can barely get up the stairs
22:05Half their house isn't accessible to them
22:07Have you looked into assisted living options?
22:10Yes, but they refused to even talk about it with me
22:13Mr. Cullen, you have a visitor
22:16Care Bear
22:17Dad, you feeling okay?
22:19No, I'm feeling dumb
22:22Carrie, this is Dr. King
22:24Who will be assisting with your mother's care
22:26I was just explaining that the treatment depends on the injuries
22:30But there are complicating factors
22:32We are required to report impairments that might affect driving
22:35And you will likely have to take another driver's test to keep your license
22:40What has that got to do with Frida?
22:41Well, if the hip injury is serious and you're also limited
22:47Then it could mean an unsafe to return home recommendation for your wife
22:51You'd be looking at a temporary move to some form of assisted living and rehabilitation for Frida's care
22:57How temporary?
22:59Best case three to six months
23:01But she may never return to the functionality she had prior to the injury and recovery
23:06Okay, well kill me now
23:08See what I'm dealing with, Dad?
23:10You need to find somewhere to live that is safer and healthier for both of you
23:14You know, the new communities are not anything like the old scary nursing homes
23:18They're really nice and you get your own apartment
23:21And you know my sister actually lives in Munch, she just loves it
23:24When the dog dies, we can talk
23:27What if you fall?
23:28What if you have a heart attack or a stroke and there's no one there to help you?
23:32You worry too much
23:33How can I not? Look what happened today
23:36We're gonna leave you two alone and we'll come back with Mrs. Cohn
23:45Hey, Robbie, our scout victim is back from C2, they're prepping him now
23:50Shit, uh, okay, I'm coming
23:54Um...
23:55Is your friend doing okay?
23:56He's on my flight risk radar
23:57Oh, and Dana put McKay on the guy who attacked the new nurse?
24:00Is she okay?
24:02Physically, yes
24:04I heard you had a little chat with Langdon earlier
24:06Yeah, water under the bridge
24:07You have to figure out a way of working with him now that he's back
24:10Or until he relapses
24:12You can be a very good doctor, don't let old conflicts get in the way
24:14Speaking of which, I want you and everybody else to see the trauma counselor while I'm gone
24:18Yes?
24:19Yes
24:20And I asked Whitaker to house it for me while I'm gone
24:23I figured that would distract from the whole farmer's widow thing
24:25Wait, what?
24:25Bring the mail, water the plants, cool
24:28Cool, yeah, fine
24:29That looks good, you can start the repair after this one
24:33Feeling any pain, sir?
24:35No pain, just... wet
24:38You already numbed him up?
24:40I did
24:411% with Epi
24:42CT back yet?
24:43No, not yet
24:44Can I watch the slices come up?
24:46Isolated sternal fracture, everything else looked normal
24:48Could send him home, but given the mechanism, should probably watch him overnight
24:52I agree with Dr. Garcia
24:55I agree with Dr. Garcia, too
24:58Three layer closure, galia, sub-Q, skin staples
25:02Enjoy the fireworks
25:04And hey, if I don't see you before you leave
25:06Don't forget to buy me a souvenir
25:07Like a custom out bone carved hunting blade
25:09Nothing less from my favorite butcher
25:12You're gonna make a great ex-husband one day, Rubinovich
25:17Posterone's got his defense attorney looking for Jesse
25:19Probably took him to an ICE detention center, said we shouldn't hold our breath though
25:23Whatever happened to We the People, huh?
25:28Anything back on that drunk son of a bitch that attacked Emma?
25:32Not yet
25:33Christ's sake
25:34I'm making a run now, I'll ask
25:36That's the guy who attacked Emma?
25:38It's intense
25:41How you doing?
25:43BG
25:45Oh, that's me
25:46Hey, you did what you had to do with that guy, everything's gonna be fine
25:49From your lips
25:54Talks at class B, launch tubes to the van, next second, kaboom!
26:00I get launched 10, 15 feet across the garage, right up into the lift track
26:06Hit something hard
26:09I don't really remember the rest
26:11I don't really remember the rest
26:11Oh, just my brother screaming
26:14About him
26:15I'm lying there thinking, oh, he must be dying
26:19Guess it was me who was screaming about
26:21Your brother is in the family room, he's waiting to see you, and he is alive and well
26:27Oops
26:29Oops
26:30Oops, what, what, what's oops mean?
26:33Hello?
26:34Nothing to worry about
26:37We never say oops in front of a patient
26:45All right, try again
26:47You sure?
26:48Mm-hmm
26:51Better? Keep going?
26:53You might wanna leave the fireworks to the professionals
26:55Hey, we are professionals
26:57Got our official PDA consumer license
27:00A few years back
27:03Gunpowder's in my blood, man
27:05Nothing like that
27:11Ain't no fighting it
27:13I'm more fatty
27:15I'm more like my memento amore
27:18We have two balloons
27:21Am I like the only one who didn't study Latin for med school?
27:25Yep
27:25Yes
27:27And finished
27:29Nicely done
27:30Can I see my brother now?
27:32Yep
27:33Oh, motherfucker
27:35Chest pain?
27:36Only when I move
27:37That would be the fracture in your sternum
27:39Which we would give you another four more feet into that
27:41Thank you
27:41And try no laughing or sneezing for the next four weeks
27:47Mr. Haas, we're gonna switch you over to a high flow nasal oxygen instead of the BiPAP
27:51See how you do
27:53This looks promising
27:55Repeat, potassium is at 6.1 with the albuterol
27:57Yeah
28:03Oh, I'm feeling a...
28:05A little better
28:10Don't you ever tell your mother about how fast you drove here?
28:13I thought you were gonna die
28:15Any longer I might have, so good job
28:19Boy just got his permit last week
28:23Feel like I was living in one of those Fast and the Furious movies
28:27I can't believe Pine Ridge closed, when did that happen?
28:31I read about it a few months ago
28:34Medicare spend me cuts
28:35Are there any other emergency rooms in the area?
28:38Nope
28:39It's gonna be a long way to drive for folks out where we live
28:43Mr. Haas, you'll need to stay here a few hours, get you tuned up
28:45Yeah, I know the job
28:48Hey, you know Mason, if you're hungry, we've got a pretty good cafeteria
28:53Don't lie to him
28:55We have a cafeteria
28:57I'm just gonna stay here with my dad
28:59Yeah, sure
29:02Thank you for saving you
29:10Are you still thinking rural emergency medicine when you're down here?
29:14I'm not thinking, doing
29:17Yeah, I hope there is just the most what I've left for you to work at
29:19Yeah
29:23Ah, it's in the March of the Walking Dead nightship begins
29:26First one in, Matteo, you get a gold star
29:28What happened in here?
29:29Left you guys at the layup this morning
29:30Don't ask
29:32Well, speaking of layups, what up, Dr. J?
29:35Oh, right
29:36That was, um, some sort of basketball player, wasn't it?
29:39Shame on you
29:40Only the grade of Sixers ever played the game
29:43Big one of year four of med school
29:45You'll be ordering me around before you know it
29:47You gonna drill the dark side when you graduate?
29:49The emergency department?
29:51The night shift, baby
29:52It's wild
29:55Um, I haven't even decided what residency I'm applying for yet
29:58We'll figure it out
29:59Got lots of time
30:01Tell that to my parents
30:03Dana, there's also back in your guy
30:05Oh, give me this
30:11I, I, I choked her?
30:13Uh, no, I would never do something like that
30:16But you did
30:20Can you, uh, sorry, can you excuse me for a minute?
30:24Jesus Christ
30:25Great
30:29What's he saying, anyway?
30:31He's in a bit of shock
30:33Claims he doesn't remember anything
30:36Says he was on the golf course getting boozy
30:38Maybe a little too boozy
30:40Things get hazy
30:41Next thing you know he's on the floor and everyone's screaming at him
30:43How convenient
30:47Maybe it's better for both of you that he doesn't remember what happened
30:52Let me know when you're ready to take my statement
31:01All right, well, the good news is your CT was negative for skull fracture and cranial hemorrhage
31:07You mean that's good news for you and that blonde nurse lady?
31:11But your lab results were positive for alcohol and cocaine
31:17Okay, you got me
31:18I, I, I did a couple of birdie bumps on the turn but we were just having fun on the
31:22golf course
31:22Look, when alcohol is mixed with cocaine, your liver produces a metabolite called cocanethylene
31:28But what does that have to do with me?
31:29Uh, uh, allegedly doing what you said
31:33It's a psychoactive molecule more toxic and potent than cocaine
31:37And it can lead to confusion, paranoia, aggression, and even psychosis
31:46What happens now?
31:49We're gonna monitor you for a few hours, especially given your likely concussion
31:53And you need to give a statement to the police outside in the meantime
32:02Oh, you lucky this was just a poke
32:04Spared the muscle
32:05See? It could have been worse
32:07No shit, Sherman
32:08The triangular bayonets they created back then were designed to leave wounds that are nearly impossible to stitch
32:13Those bayonets have never met me
32:16Oh, wow
32:17What?
32:18It's all good, we got it covered
32:19No, are you guys from the Fort Pitt Museum?
32:23Yeah, are you familiar?
32:24Yeah, I love you guys
32:27My mom would take me to the Fort every time we would come down and visit family as a kid
32:30We've been volunteering there as living historians for over 20 years
32:33I probably saw you then
32:34Man, I can't wait to tell my parents about this
32:37Getting stabbed must have been scary
32:38Yeah, well, Point Dexter here stumbled over his boots and nearly impaled me
32:42It wouldn't have mattered if you weren't out of formation
32:44Well, you're in good hands, this guy could have saved a lot of lives with his sutures back in 1776
32:49Okay
32:54Hi again
32:55Good news Mrs. Cohen
32:56Your imaging results show no hip fracture and no internal bleeding
33:01But you do have a small hairline fracture of the superior pubic ramus
33:06Well, that doesn't sound good
33:07Well, if you're gonna have a fracture, it's the best one to have
33:10Do I need to stay in the hospital?
33:13Not necessarily
33:13Your recovery should be pretty straightforward if we can control your pain
33:18But you need to take it easy and stay off your feet for six to eight weeks
33:22How can she go home if she can't walk?
33:23Oh, she can bear weight and walk with some help
33:25And we'll get you a walker and schedule physical therapy
33:29So, so we can go home
33:32Dad, you can't take care of Momo by yourself?
33:36We'll manage
33:37You guys, you need to be realistic
33:39I don't want strangers hanging around in the house
33:43It's not strangers, it's helpers
33:45No, no thanks
33:47Doctors, please
33:51I am worried about your ability to get the assistance you need, Mrs. Cullen
33:55It may be time to think about some of those alternative living options we mentioned
34:01I can take care of her
34:03Are you gonna be able to get her into the bathroom onto the toilet in the middle of the night?
34:07Are you gonna help her change her clothes in the morning?
34:10We're fine
34:12Please, just try it
34:15You don't have to sell the house right away, just see if you like it
34:20No
34:20You can move in with us
34:21No, I can't
34:22I have work, I have the kids
34:24I can't
34:24No, no
34:25No, okay?
34:27Just, no
34:31Carrie, could I speak with you outside for a minute?
34:41It's like that every time
34:42It's tough to find the balance between respecting your loved one's needs for agency and doing what's best for their
34:47safety
34:49I was wondering if you had your parents' medication lists with you or on your phone
34:55Yeah?
34:56I'd like to take a quick look at it, if that's okay
34:59Yeah
35:03Now, man, how you doing?
35:05Like you better roll in a bar cart and a happy hour buffet if I'm gonna be stuck in this
35:09place much longer
35:10This place is a traffic jam, we're trying to merge you in, I promise
35:13That's no traffic jam, that's a 20 car pile up
35:16The sooner you get out, the sooner I get out, so you know I'm not bullshitting you
35:21Why are you jonesing so hard to get out and start your ride for you?
35:25I've got a schedule, I've got places to go, I've got people to see
35:33I just have to get going
35:37You're worried if you don't leave tonight, you won't leave at all?
35:42I get it, I can feel it in the air here, this place is like quicksand
35:48What do I think?
35:50Dr. Robbie, Dante the fireworks guy, something's wrong
35:57Shit, do not go anywhere, you are next up, I'm gonna deliver you myself
36:00I'm starting to feel like a hostage in this place
36:02How do you think I feel?
36:19What's going on?
36:20Fucking chest hurts, systolic's down to 78
36:25Blood loss and scalp plaque?
36:26Uh, that's highly unlikely, Dr. Santos?
36:28Good breath sounds, but neck veins are up, protecting the heart now
36:31Okay, 500cc bolus, 100% non-rebreather, please
36:34Pericardial effusion?
36:35RV collapses, tamp it up
36:36Yeah, let's prep for pericardial synthesis
36:38What's going on? Is he gonna be okay? He said he was fine
36:41CT scan was normal
36:43Things change
36:45Dante, there is a collection of blood around your heart, we need to drain it
36:49Oh, fuck
36:50Okay, 0.5 per kilo ketamine, please
36:52Will that drop this pressure even more?
36:54We don't have a choice, we can undo this on the moving target
36:58Dante, Jesus fucking Christ, it's my baby brother
37:00Hey, Perla?
37:01Sir, I'm so sorry, but you can't be in there right now
37:03What's wrong with him? Hey, Dante
37:05Dante, just hand me in there
37:06Okay, I'm so sorry, you can't be in there right now, okay?
37:10We have to stabilize it
37:11He said he was fine
37:11Okay, there's been a complication, I just needed to take a couple of minutes
37:15No, no, no
37:15And try to stay calm
37:16Please
37:16Okay, just breathe with me in
37:18Okay, out
37:19Look at me, just breathe in
37:22Out
37:23Very good, in
37:25Out, okay, stay calm, okay? We got this
37:31If you would be Penejos alone
37:33He's been out of the shock
37:34From what?
37:35Uh, I am missing a small tear in the right atrium from a sterile fracture
37:37If it was ventricular, he would have crashed in the field
37:40Take a little cardiothoracic, see if they have an OR
37:41So it's down to 64?
37:43Okay, have you ever done an apical approach?
37:45Nope
37:46Good time like the present
37:47Colateral to my probe
37:48Why not subcostal?
37:50Uh, this is a shorter distance
37:51There are fewer structures
37:52If you can see fluid, there's nothing between the probe and the pericardium
37:56Mm-hmm, mm-hmm
37:57There are the needles in the fusion
37:58Mm-hmm, draw back
38:00Good blood return
38:01Okay, sometimes it only takes 20 cc's to let that heart fill again
38:04The carotid pulse much stronger
38:06Thanks, gear it up
38:08We'll have our room ready in five
38:09All right, that is 40 cc's out
38:12Blood pressure's up, 90 systolic
38:13Okay, now we're gonna place the J-wire
38:15And we're gonna leave the catheter and the three-way stopcock
38:18Still bleeding from the heart
38:19He can live with a little blood loss
38:21But not with a pressure bag squeezing his heart so he can't beat
38:24Good thing we didn't send him home
38:25Next day, Robbie
38:27You too, Trinity
38:28Is that an actual compliment?
38:29Sometimes you guys get lucky
38:32Got a couple of bad ones
38:34How old is he?
38:3584
38:37Meclizine for vertigo
38:38Anticholinergic effects can cause drowsiness
38:40It's PRN so maybe he doesn't take it all the time
38:42He's also been prescribed methylcarbamol
38:44Another anticholinergic
38:46Could definitely impair driving
38:48And metoclopramide for his stomach
38:50Well, that could cause gate problems
38:53Exactly
38:55Dr. Robbie, may we present?
38:57Yeah, what do you got?
38:58Hey, you should probably get started crossing your teeth
38:59And dotting your eyes for night shift handoff
39:01Right, well, vaya con Dios
39:03Or whatever the bikers are saying these days
39:07Our elderly couple, Frida and Ed
39:09We're anxious about their ability to recover at home
39:11Or to remain at home in general
39:13But a number of Mr. Cohen's medications are on the beers list
39:17And they may be contributing to his deteriorating health
39:20Maybe
39:21We can't be certain
39:22But none of them are critical meds
39:24We could have him stop them right now
39:26Follow up with his PCP
39:27See how he's doing in a few weeks
39:29Right by the family
39:30Sometimes just affirming a patient's independence
39:33Autonomy can do a world of good
39:36Um
39:37Hey, Dr. Mohan
39:39I heard a rumor that you were looking for an elective
39:41If you consider geriatrics
39:44It's as much of an art as a science
39:45There's usually an opening
39:46And you seem to have a predisposition to the pace
39:57Have you seen there?
39:58Think she went out for a smoke, lucky girl
40:19You ever gonna tell me what really happened in there?
40:20Nowhere
40:23Nowhere
40:24You could lose your nursing license
40:28Let me guess
40:29That violin verset in your pocket
40:30You drew that up for Doug Driscoll
40:32In case he ever came back
40:34And now you've just been carrying it around ever since
40:36I did exactly what I needed to
40:37Now there's a young nurse
40:38Who gets to go home in one piece because of me
40:40Or Kay can sign the verset order for me if you will
40:42I will sign the order
40:44I will sign an extra order so you can have one when I'm gone
40:47That's hardly the point
40:49Not exactly like I'm against nurse safety
40:52I'm trying to advocate for your caution
40:54Because you're the person who's supposed to be here keeping this running while I'm gone
40:57Not roaming the halls like a vigilante with a loaded syringe and a vendetta
41:00It's always do as I say, not as I do with you, isn't it?
41:03What is wrong with you today?
41:05Samira, Mr. Triple A
41:07Mel and Alice had a deposition
41:08McKay street people in the park
41:09Fucking Langdon
41:10At some point you and Langdon got to work this week
41:12I don't want him here
41:13He made a mistake and he paid for it
41:14Did he? Did he go to jail?
41:15Because I let him get away with the crime
41:17So what does that make me?
41:18Human!
41:19Are you angry at him?
41:20Or are you angry at you?
41:21Somebody could have died
41:22Oh, it's the ED
41:23Somebody's always angry at him
41:24Go ahead and make jokes
41:25Make jokes instead of acknowledging
41:26Why didn't he kill anybody?
41:27Now we know him
41:28And he saved a lot of lives that we do know of
41:31Our kids disappoint us sometimes
41:33Langdon is not a kid
41:34No, but he's your guy
41:35And you're taking it personally
41:37Langdon fucked up
41:37And you think that makes you look bad
41:39But it's on him
41:42How am I supposed to leave this place when it's a shit show?
41:45First you can't stay
41:46Now you can't go
41:46What is it, Rabinovich?
41:49No, I'm going
41:50I just thought I could leave it a little better when I did
41:52Oh, don't be such a martyr
41:54This place is always teetering on the brink of disaster
41:56With or without you
41:57We do it every night, every day off
41:59This place is bringing to one person
42:01It's a vibe without Adamson
42:02It's a vibe without me
42:03And it'll survive without you
42:10My meds are making me worse?
42:13Not worse, but they may be impacting your balance and mobility
42:16Why would his doctors prescribe drugs that could harm him?
42:20Oh, it's not any one medication
42:22It's the combination that could be impairing his daily functioning
42:25We have a case manager that will put together a robust plan that I think will make everyone happy while
42:31allowing you to stay at home
42:33There's regular physical therapy, an at-home nurse that visits a few times a week, and even personal shoppers to
42:41help with groceries
42:42This sounds expensive
42:45Actually, Medicare covers most of it with some assistance from the Area Agency on Aging
42:49You know, every old person knows what it is to be young, but no young person can know what it
42:56is to be old
42:58Thank you for listening
43:01You guys are still coming with me to visit a few assisted living places, just in case it's ever time
43:05Well, maybe
43:24Hey, you, uh, you doing alright?
43:27Never better, thanks, bye
43:36God, you're really just gonna keep standing there, aren't you?
43:38Yeah, what's going on?
43:45It was literally my first day of being a doctor
43:48And Langdon gaslit me and made me question my skills over and over
43:52And it's taken me a long time to feel like I belong here
43:56And now he's back
43:58And I don't even care that he was an addict
43:59I care that he was a fucking asshole
44:01And it's like no one here even remembers any of this
44:05And everyone here talks about community and family
44:08All while they throw you under the bus
44:10And I...
44:12Robbie is the only attending who actually sees through the bullshit
44:14But now he's leaving for some grand ego-death spirit quest
44:18And the twisted robo-doc over there shoots me in the proverbial dick
44:23Garcia's here, she likes you, right?
44:25She doesn't like me, she likes getting laid
44:28I'm her stress-relief squeeze toy, or was
44:32You know, she and Langdon would make a great couple
44:35Yeah, that's dark, I'm sorry
44:40Yeah, why do you care?
44:43Because we're friends, I thought, I think
44:45Okay, are we? Because on top of all of that
44:47You're the one who's being super shady about moving out on me
44:50Moving out?
44:51Yeah, I heard you were gonna go squat at Robbie's sad bachelor pad
44:54Honestly?
44:55I thought that was your idea
44:57To get me to move out of the apartment
44:58No, no, I wanted him to give you some fatherly advice
45:01About going all farmers only
45:02And not giving you the keys to his fucking house
45:07Oh my god
45:08No, I know
45:09It was none of my business
45:10No, it's not that, it's...
45:14You actually like living with me, don't you?
45:19What are you talking about?
45:21You leave your dirty clothes everywhere
45:23You eat all of my avocados as soon as they ripen
45:26You keep pausing the TV to ask the dumbest questions
45:28And, no, I'm going back to the avocado thing
45:30Because I've never seen someone consume so many, it's disgusting
45:32Just say it, and I won't move out, okay?
45:35I'm not gonna be doing much of Robbie's
45:37You're gonna be taking in his mail and re-watering his plants
45:40Say what?
45:45Admit that you like having me as your roommate
45:49You are such a fuckleberry
45:50Have fun with Robbie's plants
45:56You have no idea how much joy that just brought me
46:02Hey
46:03How much longer until I get these things off and go home?
46:08Oh
46:10You assaulted a nurse
46:12Yeah
46:13You said it was the cocoa-ethylite thing that made me go crazy
46:17Well, if you're drunk and you kill someone, you still kill someone
46:21So after we clear you in a few hours
46:23You're gonna take a ride with the uniformed officer outside
46:25Who's gonna take you in for processing
46:27No, no, no, no
46:28This cannot be happening
46:29No, since you golf and can buy cocaine
46:31I assume you can post bail left to your arraignment
46:33You're gonna ruin my fucking life
46:34But it being our nation's big, beautiful birthday
46:36That hearing may take longer than usual
46:38So I'd cancel any grand plans you have for the 4th
46:45You know, I...
46:47I can leave you with these
46:50Rehab?
46:50Fuck off!
46:52I'm suing this whole hospital and you for personal injury
46:55Well, good luck convincing your jury of that one
46:58Oh, fuck this whole place
46:59And fuck all of you!
47:02No, not you, officer
47:03Fuck!
47:05Make sure discharge charts are bundled and placed in the 2B scan bin
47:08With nursing notes, order sheets, lab and x-ray results
47:11Day shift needs completed T-sheets on every patient
47:14And to write on the board what test depended
47:16So nothing falls through the cracks while we wait to come back online
47:21Westbridge and Good Dominion have settled their cyber dispute
47:25They paid the ransom?
47:26Yeah
47:26Our IT department is confident in our defenses
47:29So they will be rebooting everything soon
47:32Slowly but surely
47:33Okay, so when everything comes back on
47:35All the residents have to do is scan all the completed paper charts
47:38And digitize them into the patient THRs before they go
47:42I'm never getting out of this place
47:45This means you're clear for takeoff
47:47Nothing here we can't handle with night shift coming in
47:50Yeah, right
47:51Free to go
47:53Uh, hey!
47:54I told you I would get you up there
47:56And I promise I'm not leaving until you're back and sent packing
47:59Robbie, buddy, you got me to come in
48:01Got me to take my test
48:03You don't gotta babysit me
48:04That's why I have a nurse
48:05What's your name, sweetheart?
48:06Nurse Bibby, sir
48:07That's what I have the lovely nurse Bibby here
48:09This will not take very long
48:12Where have I heard that before?
48:15Hey, so, uh, this is it, huh?
48:18Uh, yeah
48:20Don't let the place burn down
48:24You know, in a previous life
48:27I had a lot of friends who liked to see how close the edge was
48:31As if it was a challenge they were called to meet
48:35The trouble is they all inevitably found it
48:40Okay
48:44I'm just picking up on a weird vibe from you today is all
48:47Yeah, it's been a weird day
48:56Are you leaving?
48:57Uh, yeah, my shift is over and I ain't getting paid to be here
49:01Quite literally the opposite, in fact
49:03Well, I-I don't know if you noticed, but we're sort of, uh, in disaster mode here still
49:08We put in the extra time if we need it
49:13You know 62% of VD docs report suffering from burnout?
49:17Painfully where?
49:19So, maybe all you lunatics need to learn how to set some boundaries
49:23Like me
49:26Well, see you tomorrow, doc
49:30Good luck on there, sorry about the mess
49:32Yes
49:37Yep
49:40Head trauma
49:41Unwitness fall from the warehouse catwalk where he works as a security guard
49:46Oh my god
49:48Orlando
49:49He left five hours ago
50:03He left two hours of the house
50:05I can't wait for it
50:07He's not in trouble
50:12He's not in the hospital
50:15Oh my god
50:21He's not in trouble
50:22He's not in trouble
50:23He's not in trouble
50:24You know one thing
50:26With the spirit of the house
50:26He's in trouble
50:26He's not in trouble
50:27He's gotcha
50:28He's not in trouble
50:31He's being punished
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