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The.Pitt.S02E13.540p.X265.AAC [Full Movie] [Hot 2026]Full EP - Full
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00:14You
00:15Know this guy Orlando Diaz we're treating him for DKA when he looked how far he fall 20 feet or
00:20so anyone see him pass out
00:21No, they went looking for him after he didn't answer his radio. He was equal with fluggish. He left against
00:26medical advice on my count
00:27Three two one
00:31Dr. Ellis on the case day shift we got this I'm saying continuity of care
00:35Dr. Alice you me once you go cover sign that runs with dr. Abbott and you two got it. Okay.
00:39Let me know if you need anything
00:41Lungs are up bilaterally. That was a stable right to fib hematoma deform right forearm
00:47Rump to gm1 lift stairs sanguinous fluid. It means basically spell fracture
00:51We've got a diabetic patient 244 EP 204 over 98 pulse 56
00:55Dr. Mohan one of those numbers indicate I'm trying to treat the patient
00:59The Cushing's reflex from increase intracranial pressure
01:02Yeah, we need to get him to CT right away
01:05No free fluid in the belly any family to notify wife and three kids
01:10Is there a card to sign for Robbie? He said no card no presents. Oh, was there a cake? Oh,
01:16you didn't want that either
01:17That sucks. I need some cake patient was injured when they raided a restaurant
01:21And they actually arrested the nurse the takedown and zip ties. Hey
01:25Cruz you know the computer downtime drill. Yeah, no biggie. I prefer to treat him without labs and x-rays
01:31Welcome back if you do have orders for labs and x-rays clipboards go here
01:36If it's just nursing orders here, please write neatly for God's sake. Oh Monica. This is
01:42Nasli new intern. I don't need to know that they're nice to meet you
01:47Looks like you and me Jack. Yeah, who's our senior dr. Henderson?
01:53Excellent night shifts on cruise control you hear ice brought us a patient
01:58Oh, yeah, where'd that go? There was some collateral damage. They arrested Jesse for what assaulting federal officer
02:04Are you fucking kidding me? Oh, dr. Alshimi. This is nasli to marian new intern
02:12Okay, everybody let's huddle up
02:18Before we start let me just elephant in the room for those of you who don't know
02:23Jesse tried to intervene when a federal agent was handling this patient and both he and the patient were taken
02:28away by ice
02:28Did he punch the guy? No, he put out a hand to stop him made physical contact
02:32And he was a little bit more than that
02:34The hospital lawyers are on the case and we will brief the staff every 12 hours at sign-out rounds
02:39with an official update
02:40In the meantime, don't feed the rumor mill
02:42You may have also heard that new grad nurse emma here was assaulted by a patient. I am fine
02:47Please don't forget code hula hoop and with risky patients always keep a path to the door clear
02:52Sounds like one hell of a day and we're still dealing with downtime
02:56So day shift should brief night residents about the protocol
02:59Hey, all right
03:02Yeah, not so fast every chart from the last five hours needs to be scanned into the electronic health record
03:10and checked for accuracy
03:11I mean whose job is that day shift with a completed and signed t-sheet. Are you kidding me?
03:17It's gonna take forever. We will set up stations for scanning. Okay, everybody. Let's get moving
03:21The triage is 20 behind. Gotta help them clean up. I'm skipping around
03:24It's pretty self lucky. Should we join them?
03:29Might as well witness the magic. It's like changing the guard at Buckingham Palace
03:33Except we're allowed to smile
03:35Smile though your heart is aching
03:38Clean films right tib-fib and right forearm after ct
03:41Got the chem-8. Blue sugar's 284. That's not too bad
03:45Test looks good. Any end gaps up at 14? It was 24 this morning. He's definitely improving
03:51The decay is resolving. So what made him pass out?
03:54It's hot as hell out there
03:56He could have been dehydrated from sweating or he could have had an end stemmy or a posterior cva
04:02Ready to roll
04:04I could babysit him at ct. Thank you. I'll stay in case he needs the or
04:11Hey, we're back up
04:13Time
04:16Robbie yeah, I got intel and where ice is taking jesse
04:19Intel from who?
04:20Uh, my brother-in-law's a cop
04:22So he'll be processed at dhs south side and then transferred to ice detention in clearfield clearfield. That's two hours
04:28away
04:30Okay, I'll let the hospital attorney know. How are you doing oliver alive and kicking?
04:34Uh, mr. Haas pulmonary edema after misdialysis now stable with the sun mason at the bedside
04:40Hello, I'm dr. Shen. I'll be back
04:43Dialysis tech says i'm off the machine at 10 42. Get the call light and i'll come running
04:48South 21 next
04:52Mr. Digby
04:54Just digby
04:56Dr. Mohan's patient forearm cellulitis admit med surge awaiting a bed. I can take him sold dr. Tamarian moving right
05:03along
05:05Get enough to eat
05:07We'll be back
05:10Lillian stegman tweet your knee water skiing finger 360 off a five-foot ramp
05:15Respect x-rays ordered in triage that was hours ago ma'am i'm dr. Cruz henderson. Let's get you home
05:22real fast
05:23That would be wonderful. Okay heading to north
05:26It's like our first scanning station is almost ready whitaker santos after rounds this will be a post seriously
05:33For how long should we mop up this mess
05:37And away we go
05:38All right
05:40Now you know everything there is to know about rounds fascinating right
05:45Here about something better for you
05:49So digby we're gonna find you some new clothes but my friend them and i wondered if you'd like to
05:54get cleaned up a bit first
05:56I already had a shower i know and you look good
06:00But the offer also comes with the shave and the haircut if you're interested no pressure like I said you
06:05already look great
06:07Sure, I guess fantastic all right kid fill that basin with some warm water and lather him up
06:16Hey stay safe out there back at you in here hey carrie
06:21You were on scene with orlando right did you notice anything about his fall like what
06:27like um
06:29There was a break in the railing or
06:32There were security cameras too busy working on the guy iv intubation backboard splint thanks
06:38Oh two names is a start pretty soon a little tired of the clipboards baby jane doe and peds
06:44Uh, yeah abandoned in the waiting room bathroom at 7 30 a.m
06:48safe haven drop-off no she's too old for that at least two months i'll take her awaiting foster placement
06:53by cyf
06:54What if the mom comes back call the cops day shift get to work scanning night shift the room numbers
06:59on top of the dry erase board need a doctor
07:01Who's in bh1 psych holds danger to self what's the story?
07:06Doctors king and langdon were on the case it's a sad story
07:09She says her five-year-old snuck in the backseat of the car to take a nap
07:13Heat stroke mom was extremely distraught walked out into traffic
07:16Brady barnhill wheezing and not responding to albuterol whole socks 87 is mother naomi
07:21Okay trauma two's open on our way uh mom history of asthma his whole life never this bad
07:27Barely moving there using all of your accessory muscles
07:31Call our team uh continuous nebs 20 milligrams an hour
07:35Yeah, at home nephew i've been giving him albuterol every hour
07:40Ready on my count one two three
07:44Does he take any other medications just the albuterol he used to be on montalukaz and finlacorps
07:48Why did you stop that because he lost his medicaid two months ago so tight nothing's getting through now epipen
07:54on it
07:55Point three milligrams that may open his lungs so the nebs can work
07:59All right grady shot the thigh
08:08Hi something to scan critical labs on north three oh it's uh it's not my patience she's about to be
08:16I'm uh i'm off the clock
08:19These were ordered three hours ago from triage so technically she is a day shift patient
08:24Just get the intern started i got a meeting upstairs with admin to get things back on track
08:29Sorry everyone else is tied up
08:30That's okay
08:31I think it's stuck on night shifts for your first rotation just lucky i guess yeah i feel like a
08:36good horror movie
08:38Where was mid-school uh uc irvine
08:40In california right yep pittsburgh's a little different yeah a lot more humidity yeah that'll go away with your first
08:46foot of snow
08:47uh hi mrs davis
08:50i am dr mckay this is dr
08:52humerian hello
08:54Uh your labs show a lot of inflammation in your liver
08:58So i'm so nauseated definitely yeah
09:01Have you um noticed a change in your skin coloration?
09:04I've been using this bronzing cream
09:06So i don't look like a ghost in my bathing suit
09:09Do you remember the name of the bronzer it could have a chemical that can cause it no no it's
09:14100% natural it's dha from sugar beets
09:18Why would my liver be inflamed?
09:20Uh, there's a lot of possibilities are you taking any prescription medications?
09:24Not a single one tylenol god no we have to ask everybody about injection drug use never
09:30Rock clams or oysters i'm a vegan
09:33One step at a time
09:35We'll be back
09:38Digby house now on the big board progress so he's just been waiting in the hall the whole time
09:43Okay, well can you maybe get to him next
09:48Thank you
09:50Dude goes to ct and they bump him
09:51Yeah, he may end up waiting for hours over there
09:54Look at that 715 already
09:57A few more loose ends to tie up
09:58Got more loose ends than a macrame wall hanging
10:02My mom had one took up the whole goddamn wall
10:04Seriously, you should think about signing that and hitting the road
10:06Yeah, maybe you should too. Oh, that's right. You sent lena home
10:09Are you planning on calling in a replacement or are you just gonna work till sunrise?
10:13I have to oh, so you get to go the extra mile and the rest of us just get accused
10:18of being martyrs
10:19Robbie, excuse me
10:22What's the word?
10:23No subdural, no epidural
10:24He's brain swelling with effacement and compression of the ventricles
10:28C-spine, chest, abdomen, pelvis
10:30Uh, left pulmonary contusional intradominal hemorrhage
10:33Which means I'm off the hook, I'll send neurosurgery down
10:35If he doesn't need the OR, why neurosurgery?
10:38Wait and see
10:38Let's get busy cvp at our line
10:40Orlando
10:42Orlando, squeeze my hand
10:44Open your eyes
10:45We already know his GCS is going to be free
10:48Hey, Javadi, anti-seizure prophylaxis
10:50Kepra, turning for Kila
10:51Mixing it now
10:52Better get this brain swelling down, Samira
10:54How are we gonna do that?
10:56Samira
10:57What?
10:58We have to lower the intracranial pressure
11:01Manitol
11:02Not the best can cause diuresis and hypertension
11:04And hypertonic saline
11:0623%, 50 cc's through a central line
11:10Still tight as a drum
11:11Good five minutes to see up here
11:12You can have one more epipen
11:14That's our borderline, 87
11:15How about BiPAP, 10 over 5?
11:18Yes, with inline nebs
11:19All right, Grady, shot number two
11:21Might as well throw him some magnesium, 50 per kilo
11:24I'm sorry, he's not ventilating
11:25We should be ready to insubate
11:26With an asthma patient?
11:27There's a high risk of cardiac arrest
11:29Naomi, has he ever been put on a breathing machine before?
11:32Never
11:33Hospitalized
11:33No, we could always break him with a simbacort
11:35We're gonna give the current treatment a few more minutes to help him drink
11:42I could probably do this myself now that my cast is off
11:45That's okay
11:47I don't mind
11:53How long have you been a nurse?
11:56This is my first day
12:00You're doing really good
12:04Thank you
12:10Shit, you okay?
12:11Yeah, there's water in the floor
12:13Sorry, I might have spilled
12:15Yeah, no worries
12:16I'm gonna have to sort these all by patient before we scan them
12:20Is there a toy somewhere around?
12:23I heard she left at 6.59
12:26Smart girl
12:27Mm-hmm
12:27You know what?
12:28Find Ogilvy
12:28He's just an ass kisser
12:30He might stay in the scandal and try some cell phone
12:31He, uh, scrubbed in in the OR
12:33Scrubbed in on the ruptured triple A
12:35Or the kidney stone that wasn't
12:37It'll be four hours at least
12:41So, are you still going to Amy's after work?
12:44Yeah, maybe just for tonight
12:46After Robbie briefs me on all the house stuff
12:49Sounds fun
12:52When he asked, it was hard to say no
12:54Sure
12:58It's gonna be very weird without him here
13:00Yeah
13:00Yeah
13:01You think Dr. Al Hashimi can handle it?
13:04No word
13:05No
13:05She's smart
13:07Yeah, it takes more than that
13:09Well, at least it's only three months
13:11Yeah, three long months
13:13Then you need to find a new home
13:16Not necessarily
13:17I mean, if I wanted I could just check on Robbie's house once or twice a day
13:21Yeah
13:23Why would you do that?
13:25I don't know
13:27Why not?
13:32Hypertonics in
13:32Maintenance LR in the AC
13:35It's like a halo sign
13:36Cerebral spinal fluid from a basilar skull fracture
13:39Well, the halo sign is neither sensitive nor specific for CSF
13:43Saline, tap water, and runny noses all separate from blood
13:46Hello, Linda
13:47Robbie
13:48Vision chief working on a holiday weekend
13:50Now somebody's got to
13:52Saw the scans, this guy needs an EVD
13:55External ventricular drain to take down the pressure
13:57Because CPP equals MAP minus ICP
14:01Cerebral perfusion pressure in the brain equals mean arterial blood pressure minus the pressure in the skull
14:07ICP less than 22 predicts survival and favorable outcome
14:11CPP from 60 to 70 reduces morbidity and mortality
14:15Can somebody assist?
14:17Dr. Mohan
14:18I'm good
14:20So Mary, you should let a hand
14:21I said I'm good
14:24Javadi
14:24I don't think so
14:27Javadi?
14:28As in daughter of Raymond and Eileen?
14:31I was at your mother's baby shower
14:34She was a resident, you were in utero
14:38I don't know how she got through motherhood and training
14:41Feel free to join me
14:42Oh, my shift was over a while ago
14:45Okay, masks all around, two sterile gowns
14:48We brought the surgical towels, just need some beta dye
14:50This is kind of an amazing opportunity
14:53I'm exhausted
14:54The chief of neurosurgery is here, she's kind of a legend
14:58Maybe one of the night residents can do it
14:59Is this about the vulvulus case from earlier?
15:02Because if it is, you made a mistake, you need to move on
15:05I do not want to come back here and find that you've applied for a residency in Durham
15:11Step up to the plate, do it
15:13Javadi will assist
15:15Excellent
15:16You know, I think Eileen did her first DVD with me back when I was a brand new assistant professor
15:22Time flies
15:26How you doing, Grady?
15:27Still retracting
15:28Any improvement?
15:29Not really
15:30You feeling tired?
15:33Do we have aerogen in the ED?
15:35Just in the unit
15:36How fast can you get back?
15:38Two minutes if I take the stairs, go
15:40Uh, aerogen?
15:41It has a five millimeter mesh that vibrates over 120,000 times per second
16:07It produces droplets in the two to five micron range
16:19How's it going?
16:20Just about to start
16:21Securing the art line here, measure twice, cut once
16:25We enter 11 centimeters back from the nasion
16:29Three centimeters left
16:30Without any direct imagery?
16:32Nope, straight shot into the lateral ventricle
16:35Tried and true since 1890
16:39Okay, go ahead with the incision
16:42Hey, you worked with Dr. Ellishimi at the VA
16:44I did
16:46For how long?
16:47During my R2 rotation and then one again last year
16:56Okay, handrails all set
16:58Maybe you should do this part
16:59No, no, there's a safety stop here, you can't go too deep
17:02It's not brain surgery
17:06Okay
17:11Stay perpendicular
17:12Yeah
17:13Good
17:14All right, now four turns to get through the outer table
17:18Yep
17:18And half turns till you penetrate the skull
17:39Holy smoke, I thought it was Tom Cruise for a second over here
17:43Nice job, how's that feel, Digby?
17:46Pretty good
17:47My bad
17:48Well, you say we trim up those gorgeous locks here now
17:53I don't like having my hair cut
17:55I get it, Rapunzel
17:56But you need your ears lowered
17:58You'll feel better with the fresh summer look that won't go unnoticed by the ladies
18:04Maybe just a trim
18:05Great
18:07I'm thinking of pixie cut
18:09What?
18:10I'm kidding
18:11A couple of husband Benji's here all the time
18:12Trust me, you're gonna look fabulous
18:14When's the last time you had a haircut?
18:17Maybe my daughter's wedding a few years ago
18:21Where?
18:22St. Sebastian, a lady of Mount Carmel Parish
18:25Does your daughter know where you are?
18:27Of course
18:28We all live in Pittsburgh
18:31In fact, they live in my old house
18:35Your daughter lives in your house?
18:38Yeah
18:40Where do you live?
18:42Wherever I want
18:46You're gonna pass it five to six centimeters from the inner table of the skull
18:50Okay
18:53Centered
18:55Perpendicular
18:57Aiming for the medial campus
19:00All yours
19:01And just keep going?
19:03You'll feel a pop when you pass the appendable lining
19:07All right, line is calibrated, good to go?
19:09I'll try the nicardine pain to a map of 85, please
19:12And if we can get the inner cranial pressure down to 20
19:17Dr. Mohan
19:19I'm sorry
19:20Map of 85, ICP of 20
19:23Um, cerebral profusion pressure 65
19:25Which gives him the best shot at survival
19:28A third of patients like this die
19:30Half have long-term disability
19:32We'll know in two weeks if there's a possibility for a good prognosis
19:37Felt a pop
19:37Remove this dilette
19:42Okay
19:43Let it drain a bit
19:47And now pinch it shut
19:50Perfect
19:51BP is down 190 over 88
19:53Heart rate 67
19:58How are you guys doing?
20:01Yeah, making some progress
20:02You seen Abbott?
20:04Not since rounds
20:06You asked me to see a patient with the night intern
20:08Hey, you said yeah
20:1048 year old woman
20:11New onset jaundice
20:13Elevated liver enzymes
20:14No history of alcohol in this
20:16Take your pick
20:17Hepatitis A, B, C, D, or E
20:20No risk factors, no fever
20:22Tylenol?
20:23Never, no prescription meds
20:25Does she eat polar bear liver?
20:28It can cause vitamin A toxicity
20:31No, she doesn't eat meat, kind of a health nut
20:35Well, maybe she's gulping down cod liver oil to prevent measles
20:38He can no fish
20:40Would you mind laying eyes on her?
20:43Seriously
20:44You have a way of figuring out the weird stuff
20:47Take the compliment
20:49Okay, fine
20:50Five minutes at the bedside
20:52That's it
20:53We're already gonna be here for hours
20:54as it is
20:55Thank you
20:57What am I doing?
21:02Definitely improving
21:03Title volumes up
21:04Wheezes now expiratory only
21:07Making some progress
21:08You feeling better, baby?
21:11You scared the shit out of me
21:12Language
21:14Does he have a primary care doctor?
21:17Not anymore
21:18How do you get his prescriptions we need?
21:20Neighborhood clinic
21:21We pay cash
21:22Arbuterol's cheap
21:23Semble court
21:24Without medicaid
21:25400 bucks
21:26A month
21:27Just for a little inhaler
21:31Truck ours on the tube
21:33I tunnel underneath the scalp about five centimeters and poke through
21:38To prevent infection
21:39Mm-hmm
21:39Exactly
21:42Now you hold the knuckle steady while I pull it through
21:47And you can staple the wound shut
21:51That looks like something from home depot
21:53Yeah
21:54Big fourth of july sale
21:55The brain pressure is measured by the height of the fluid column
21:58We need to calibrate it to zero at the level of the tragus
22:00Stop coxon ready to attach
22:03First troponin's normal but you need a second to rule out MI
22:07Thank you, step out for a second
22:14I really did do everything I could to try to make Orlando stay
22:18Yeah, I don't doubt it
22:19I wanted to ask you about Dr. Alashimi
22:21The VA
22:21Did you ever notice anything unusual about her behavior?
22:25Um, like what?
22:27Lapses in focus, tension
22:29No, she was always on top of her game
22:35But this morning when she was checking labs on baby Jane Doe, it was like she zoned out for a
22:40few seconds
22:42Maybe she was just tired
22:51No congestion nodules or cirrhosis
22:54Good looking liver
22:56I should not be sick
22:58I worked so hard to stay healthy
23:01Diet
23:02Exercise
23:03Eight hours of sleep
23:04I can't remember the last time I got eight hours
23:08Maybe you should try sleep maxing
23:09Oh, you definitely should
23:11Yeah, cold room, white noise, eye shades
23:14Kiwis before bedtime, lettuce, water, mouth taping
23:18Who do you follow for health?
23:20A few naturopaths and some functional healers
23:22Do you buy vitamins from them?
23:24Oh no, no, I don't take vitamins
23:26Food is the best medicine
23:28Kale, blueberries, kidney beans, turmeric
23:31Turmeric?
23:32How long have you been taking that?
23:33For a few months
23:34It's an anti-inflammatory
23:35It detoxes the body and it can prevent Alzheimer's
23:38How much do you take?
23:40500 milligram capsules
23:41But I take five a day
23:45What?
23:46With doses that large of turmeric
23:48There have been cases of liver failure
23:51From eating a spice
23:52All right, Digby
23:54Thank you, good to go
23:55Mm-hmm
23:56Would you like to see it?
24:10I haven't looked like this in a long time
24:12Your family won't recognize you
24:17How will they find me?
24:19They won't know what I look like
24:21They won't know this is me
24:22Of course they will
24:23They know your voice
24:24They know where you hang out
24:26They even remember that you used to look like this
24:30They remember the wedding
24:35Did you dance with your daughter at her wedding?
24:40I did
24:42And she will always remember you
24:48Hey, I was just looking for you
24:53What's up?
24:54You tell me, the asthma patient
24:55What about him?
24:57Seemed like you were hesitating
24:58Talking about using aerogen
24:59I was wondering if you were having second thoughts
25:01No, just thinking
25:03About?
25:04The best treatment plan for the patient
25:06And I think he's on it
25:08Anything else?
25:10I don't know
25:10You tell me
25:10Anything else I need to know?
25:13I don't think so
25:15This is Dr. Robby in the ED
25:17I'm checking in on a patient Eakins
25:18We can take Larson and Stevens off the dryer race
25:21Consider it done
25:22He's in the scanner now?
25:24Oh, great
25:25No, I was just calling to confirm
25:26Thank you
25:27Any new information from upstairs?
25:29Nothing we already know
25:30Same old story, huh?
25:32You think we should take up a collection for Jesse?
25:34For bail money?
25:35It's not
25:36They don't usually set bail until after you've appeared in front of a judge
25:39With the holiday, it's not likely to happen until Monday
25:41So he's going to be locked up all weekend?
25:43That sucks
25:44It does suck
25:47Dr. Langdon?
25:48Grady's worse
25:48Much worse
25:49Neen attending?
25:51Uh, no, we have Shun
25:53Shots down 83
25:53What's happening?
25:54Give us a minute
25:56He's tiring out
25:57Ketamine and rock
25:58It's time to intubate
25:59I'll call book
26:00Ma'am, we have to put a tube down your son's windpipe
26:04So a machine can breathe for him
26:05Oh my god
26:06Hold on, hold on
26:08No lungs sliding on the right
26:10Pneumothorax
26:11No need to intubate
26:13What's going on?
26:14He has a collapsed lung
26:16There was no history of trauma that would have caused the pneumothorax
26:19What about Dr. King?
26:22In asthma, you can get air trapping
26:24But when the lungs can't fully exhale, eventually they over inflate, causing some of the tiny air sacs to burst
26:29How do you fix it?
26:36Like that
26:42It's a good thing Dr. Connolly was here
26:45Yeah
26:46We should probably try to find him in the neurocritical ICU bed
26:48We don't want to board a patient like this
26:50Hey, Robbie
26:51Hey, how did the scan go?
26:53It's fine
26:54It is probably going to take a little while to get the results from the radiologist
26:57Well, that's not a problem
26:58Nurse Bebe and I need a little time to coordinate our schedules over the next few months
27:03Really?
27:04Yeah, I've always wanted to learn how to ride a motorcycle and Duke offered to teach me
27:08Nobody knows motorcycles like Duke
27:10He's given me the healthcare worker discount
27:12He's quite the gentleman
27:13Let's get him back to his room
27:15How would next Saturday be for you, Bebe?
27:19Maybe we can have some dinner after
27:22Dr. Mohan, Lori Diaz is here. She wants to see your husband
27:24She's heading back
27:25Okay, I'm on my way
27:29Mrs. Diaz
27:29Mrs. Diaz
27:31They don't allow him to go up to his room yet?
27:34No
27:35I brought him some dinner from Burgatory
27:37It's a chicken burger
27:39No bun, just lettuce
27:40Figured it would be better than hospital food
27:46He's being treated by our top brain injury specialist
27:50Will he wake up?
27:52We won't know for several weeks
27:53We won't know for several weeks
27:54And then he could be back to normal
27:56Best case scenario
27:58It would take about a year before he could be independent at home
28:02And the worst case
28:04Round the clock nursing care for severe disability
28:07Could you let him leave?
28:13He insisted on leaving to work at a second job
28:17You're gonna make him stink
28:19He was competent
28:20He knew the risks
28:22We honored his decision to leave
28:24Even if he was a stupid
28:26But I tried to stop him
28:28Offered to get him all the supplies he'd need to take care of himself at home
28:30But he left before I could give them to him
28:33He said he couldn't afford to lose a paycheck
28:43Dr. Langdon?
28:47Are you okay?
28:49Yeah, I'm just kind of uh
28:53Wondering if I'm really ready to be back here
28:55Well, of course you are
28:57Ten months is a long time
28:59I almost killed that kid with an intubation
29:03Didn't even occur to me to check for a pneumothorax
29:06There isn't any trauma to indicate
29:08I should have caught it
29:15You know, I um
29:19I had a deposition today
29:23And all the lawyers questions made me feel like I was a really really bad doctor
29:30We don't always get everything right first time
29:34You would have caught the collapse loan
29:37That may have taken a minute, but you would have saved him
29:41I'm not sure Robbie would agree with you
29:43He's been rioting me all day
29:45Well, Robbie's leaving for three months
29:48And you know, with Robbie gone
29:50I really don't want you to leave either
29:56That which does not kill me makes me stronger
29:58Wow
29:59Well, Frederick Nietzsche
30:02Yeah
30:03Nietzsche, yeah
30:05Not really Clarkson
30:09Hey, that's a thick one
30:12Yeah, Austin Green
30:13Ogilvy's triple A
30:18Uh, G-R-E-E-E-N
30:20Yeah, why? What are you doing?
30:22I'm checking to see when we'll get Ogilvy back from the OR
30:25Oh, shit
30:26What?
30:27The guy didn't make it
30:29He died on the table about 40 minutes ago
30:31Then where's Ogilvy?
30:34Oh man
30:35His patient had a CT a year and a half ago that showed a four centimeter triple A
30:40It's too small for surgery
30:42You were supposed to come back every six months for a repeat ultrasound
30:45But looks like you didn't
30:46You would have seen that if the computers were working
30:49Why wouldn't you tell Ogilvy?
30:51Maybe he forgot all about it
30:53Or Ogilvy didn't ask the right questions
30:56Dennis, hey, is that a minute?
30:58Uh, sure, what do you need?
31:01Teenager with jewelry magnets stuck to both sides of her nasal septum
31:04I tried to move in with the plastic cure
31:06Too much pain and then there was bleeding
31:08Those need to come off before they cause permanent damage
31:10Yeah, you think uh, you could find like a senior or an attending?
31:14We're really trying to get off the clock here
31:15They're all busy
31:19I already took one for the team
31:22Fine
31:23Yeah, labs on your yell, lady
31:27INR is elevated 2.2
31:29Liver's in trouble but not dead yet
31:31Tell you to skip the turmeric admit for monitoring and follow the LFTs
31:35Got it
31:36Central 10?
31:36Yeah
31:42Sleep maxing, really?
31:44I track the online trends
31:46Is that your secret for the tough ones?
31:49I just think what's the stupidest thing this person could have done
31:52I assume they did it
31:55Well, I mean she was trying to be healthy
31:57Yeah, but I'm taking advice from fools
31:59Tumor is recommended by a lot of doctors
32:01Yeah, then ask your doctor for the dose
32:03Or check some place reputable like the CDC
32:05Oh right, I forgot, it's a medical toxic waste site
32:10She's in pretty bad shape
32:12Things get worse, she could need a liver transplant
32:14Oh, because she's a big fucking idiot
32:18Wow
32:20No
32:20No, I actually appreciate her
32:22Our job security depends on all these big fucking idiots
32:26Okay
32:52Good night
32:55I'm going to take a look at the technology, get a printout
32:56Thank you, Monica
33:00Ready to pick up a few more
33:02Lando's all tucked in for now
33:03How's he doing?
33:04Numbers are good
33:05CPP 22
33:07Okay, so he's got a shot at a decent outcome at least
33:10You think he has a chance?
33:11Oh, I don't know that survival was the outcome he was hoping for
33:15What?
33:17I told Samir he's got a hundred thousand dollars of medical debt
33:19But his life is probably
33:20Mrs. Diaz
33:24How can we help you?
33:25Love the bathroom?
33:27Uh, yeah, Pearl can show you the way
33:31What a great idea to have a private conversation about a patient in a public area
33:36You were about to start yapping
33:38But I didn't
33:42Okay
33:45How long have they been in there?
33:47At least two hours
33:48How did it happen?
33:50With my earring
33:51It was supposed to be a red, white and blue to look cool with the fireworks
33:56I told her for the nose one side only, but she never listens
33:58Uh, this can be pretty serious if we don't get them out quickly
34:01It can cut off the blood supply and cause the septum to collapse
34:05Like
34:06My nose could be deformed
34:10Oh my god
34:11Get them off
34:12Yeah, that's the plan
34:13Yeah, she tried already, it hurt like crazy
34:15Because they're stuck together by a very strong magnetic force
34:18Yeah
34:19Yeah
34:19No, no, no
34:20Oh, uh, I'm not gonna use the tips
34:22I'm gonna flip it around and use the handle
34:25It's still gonna hurt
34:26Probably not
34:27Just, uh, hold still
34:31Okay
34:32Okay
34:37Voila
34:38Really?
34:39That was amazing
34:41I think another half hour we can send this dry race for back to storage
34:45With pleasure
34:45Dr. Robinovich
34:47Yep
34:47Results on your friend
34:53Fuck
34:55Duke
34:59Are you gonna tell him?
35:01I want to talk to a surgeon
35:03Uh, Dr. Roby
35:04I have an update on the patient
35:05But that was not a great time
35:06Oh
35:07I thought you were going home
35:08Uh, I was
35:09Dr. Ogilvy is just sitting out in the ambulance bay covered in blood
35:12Sorry, what's he doing out there?
35:14Kind of, uh, staring off into space
35:16I tried to talk to him
35:17But it was like he couldn't hear me
35:18Monica, can you stab pitchcoding with the rest of it?
35:20Yeah, I'll go check on Ogilvy
35:22Please
35:37Hey, Ogilvy
35:42Ogilvy
35:44You okay, man?
35:5299 on two liters
35:53Scattered and expiratory wheezes
35:56He is so much better
35:58The steroids should kick in soon
36:00So he'll keep improving
36:02Um, when can I go home?
36:05In a day or two
36:06And we will discharge you with a Symbicort inhaler
36:09That should last about a month
36:12Hopefully we'll be back on Medicaid by then
36:14How'd you lose it?
36:16They sent a redetermination letter to our old apartment
36:20It didn't get forwarded
36:22When I went to pick up his prescription
36:25Pharmacists told me we were no longer covered
36:28And you haven't been able to get it back since?
36:30I've been trying for months
36:33To get re-enrolled you need tax returns, pay stubs
36:37I cut hair
36:37My income fluctuates
36:40A lot of my regulars are struggling
36:42So it's been tough
36:45Well, if you run out of Symbicort before your Medicaid kicks in
36:48You can come back and we'll set you up with another one
36:52Ah, is there a patient in here?
36:54Because everyone in this room looks extremely healthy to me
36:58Dr. Shen and I will be with Grady all night long
37:00Hey, day shift, we got this
37:01We're leaving you in good hands
37:04Um, I was really scared
37:08Thank you
37:11You're very welcome
37:17Due to his injury, things have changed
37:48I was looking for Dr. Abbott
37:57Robby
37:58Noelle
38:01You're still here
38:03It's not the best day to try to get out on time
38:05Hmm
38:07So I guess this is it for a while
38:08Unless you want to come with me
38:10No
38:11Thank you
38:12Even if it isn't a legitimate offer
38:14What do you mean?
38:15Oh, please
38:16I know well enough not to get in between a man and his vision quest
38:21Vision quest
38:22That is my nice way of putting it
38:27I probably don't want to hear you not so nice way of putting it
38:30No, probably not
38:33I hope that this is not, um
38:37About you running away from me
38:39I'm a big girl
38:39You can tell me just to get lost
38:41This has nothing to do with you
38:43Oh, right
38:44It's the old, uh
38:45It's not you, it's me
38:48In this case, it's actually true
38:57Excuse me
39:05I'll see you next week
39:06It's a three-month sabbatical
39:07Like I said, I will see you next week
39:16My first day here as a med student
39:19There was a patient
39:22He was a really nice guy
39:24Came in with belly pain
39:27I saw a gallstone on the ultrasound
39:31Normal EKG, troponin
39:33The pain resolved
39:34And he was in the hall when he had a cardiac arrest
39:41I couldn't save him
39:44People die
39:47And we do the best we can
39:50But people die
39:54You ever get used to that?
39:58No
40:00No, you
40:03You try to accept it
40:07You try to find balance
40:14I don't know if I can take another day like today
40:19Primary care specialty sounds way better
40:23Peds maybe
40:23Yeah, maybe
40:27I know I'd be bored out of my fucking mind
40:31Seriously
40:32I like the challenge of undiagnosed illness
40:35Of quick decisions
40:38Of life-saving procedures
40:41And I like being here for people
40:43On the worst days of their lives
40:53You know what I think?
40:56What?
40:57I think you should go home
41:00I think you should sleep on it
41:01And I think you should at least wait till the morning
41:03To decide if you want to come back
41:08I don't really want to
41:11Go back in there and see anybody
41:13Yeah
41:16Okay, pull off your gown
41:17I'll take it in
41:19Shift is over
41:21Go home
41:36Oh god
41:36No, I'm
41:37Sorry
41:38I'm good, I'm good, I'm good
41:39He's a tummy in a wheelchair
41:41Oh yeah, he moves around
41:46I see I've been replaced
41:48Oh, did I take your spot?
41:50Not really, no
41:51Are you sure?
41:51Where the hell have you been?
41:53I found Ogilvy
41:54And?
41:56And he's going home
41:58That's it?
41:59It's a long story
42:01Well, I got nothing but time
42:02I need to respect his privacy
42:04Where's the fun in that?
42:07I'm sorry
42:11Um, does shredder jams?
42:18Yeah, I'll try putting it in reverse
42:23Perfect
42:24Just give it a little love tap
42:27Kick it
42:29Jesus Christ
42:33I guess Mr. Dick B got a room upstairs
42:35In your dreams
42:36He's not in South 21
42:38Yeah, he is
42:40There's a new guy in the bed
42:42Short hair, clean shapes
42:44Take care of him
42:47Scalicum showed all these pathologies
42:48So we're running a CT injury
42:49Yeah, textbook is sending out again
42:51He's an eight centimeters
42:53Fifty percent one-year mortality
42:55So we definitely need surgery
42:56If he wants to live
42:57Okay
42:58Well, he's a friend
42:58So I will talk to him
43:00I'll get him admitted to your service
43:01Not today
43:02Why not?
43:03He needs to see cardiology
43:04And pulmonary first
43:05To be cleared for the OR
43:06They can do a stress echo
43:08PFTs
43:08He needs to be admitted
43:09And evaluated as an inpatient
43:10Nothing ever gets done
43:11Over a holiday weekend
43:12He can take it easy at home
43:13He's a ticking time bomb
43:14He's probably been that way for years
43:16We can get him in early next week
43:17With a specialist
43:18Get his testing done
43:19All goes well
43:19He's on the OR schedule in a week
43:21What happens if it ruptures before then?
43:22Call 911
43:24Sorry, Robbie
43:25Best we can do
43:25Text me his number
43:26I'll have my office coordinate
43:30Fuck!
43:31Hey!
43:31Take a walk
43:32Come on
43:37Two for discharge
43:38Yeah, please don't ring the bell
43:40The computers are like a button running
43:42Not for these two
43:43They don't have electronic health records yet
43:44Oh wait, hold up
43:46This kid had a wrist x-ray ordered
43:48Ugh, it never happened
43:49And water skiing lady's still waiting on a knee series
43:52I cancelled the x-rays
43:53Diagnosed them both with ultrasound
43:56Really?
43:57Yeah
43:59The little boy had a simple buccal fracture
44:01Distal radius
44:02He got a Velcro splint
44:03And Mrs. Stegman had a small medial meniscus tear
44:07The immobilizer crutches and a follow-up with ortho
44:09Could have used you on the day shift today
44:11They don't teach us a lot of musculoskeletal ultrasound
44:14I know
44:15That's why I did electives at Harvard and Highland
44:18Are you applying for an ultrasound fellowship here?
44:21I am, but it is so competitive
44:24That's what I hear
44:25Kind of a long shot
44:26I only have one publication
44:27But it's a series of case reports
44:29Diagnosing shoulder dislocations with ultrasound only
44:32If you want to learn some MSK, you can tag along
44:34I got three more to scan
44:35Maybe some other time
44:37Cool
44:42Hey, don't trim the shredder
44:44What is it, two charts?
44:45No, it's my ultrasound fellowship application
44:50Hey
44:53Sorry about your patient
44:55Yeah, Orlando's in pretty bad shape
44:57Oh no, I was talking about the AAA guy you worked on with Ogilvy
45:06He didn't make it through surgery
45:08I tried to talk to Robbie about it, but I think he's busy
45:12Excuse me
45:16Oh, shit
45:22You think I'm on edge?
45:23First you're shaming Samira, then McKay
45:25They both need to be called out for an acceptance of behavior
45:27Yeah, well you do that in private
45:29Same place, you share your thoughts about a patient's possible suicide and slamming stuff
45:32Please, sign out all this shit that's bugging you and get out of here
45:35I can't
45:36Yes, you can
45:37When either of my kids was acting like this, I gave them a time out in their room
45:40Whoa, whoa, whoa, you're not my mother
45:41Yeah? Well, too bad
45:42You need me
45:43No, I had one, she left
45:44I don't need another one
45:45What I need is someone who can actually run this place while I'm gone
45:47Okay, I'm sorry
45:48I didn't know
45:49Nobody knows
45:50Who needs to know? Who gives a fuck?
45:52I think you need a break
45:54That is what the sabbatical is for
45:55That's started now, walk away
45:57I have too much to do
45:58Let someone else talk to Duke
45:59No, that needs to come from me
46:01Why?
46:03Because I owe him that
46:04It needs to come from a friend, not a stranger
46:06Otherwise, he's gonna bail and drop dead while I'm gone
46:08Okay, wrap that up and then leave
46:12It's not just Duke
46:12I'm not sure that Alashimi is fit to run this place
46:15What's that supposed to mean?
46:16I'm not sure I'm trying to figure that out
46:17Did you know that she wants to have two attendings on at all times?
46:20No
46:20Is that something she's worked out with Gloria?
46:22I don't know
46:22I also don't know if Langdon is going to relapse
46:25I don't know if Whitaker is going to be able to take care of my shit
46:27I don't know if Javadi is going to give up on what she's good at
46:29Or if Samira is going to flame out because of some bullshit with her mother
46:32Is there anything else?
46:33Yeah, you
46:34I don't know about you running around with a whole syringe of Versed in your pocket
46:38I'm worried about the people that I care about
46:41We'll all manage until you come back
46:43We always do
46:44Yeah, what if I don't come back?
47:04Should I check out all hisalonians?
47:07I don't know why
47:08Oh my god
47:09I just need that
47:10Oh my god
47:11Oh CAROL
47:15Oh my god
47:18Oh my god
47:21Oh my god
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