00:28Transcription by CastingWords
00:40Transcription by CastingWords
01:29Transcription by CastingWords
01:41Transcription by CastingWords
01:47Transcription by CastingWords
02:03Transcription by CastingWords
02:10Transcription by CastingWords
02:40Transcription by CastingWords
03:00Transcription by CastingWords
03:31Transcription by CastingWords
04:00Transcription by CastingWords
04:04Transcription by CastingWords
04:36Transcription by CastingWords
04:52Transcription by CastingWords
05:51Transcription by CastingWords
06:00Transcription by CastingWords
06:10Transcription by CastingWords
06:16Transcription by CastingWords
06:28Transcription by CastingWords
06:42Transcription by CastingWords
07:04Transcription by CastingWords
07:31Transcription by CastingWords
08:33TranscriptionWords
09:00Transcription by CastingWords
09:18TranscriptionWords
09:48TranscriptionWords
10:18TranscriptionWords
10:27TranscriptionWords
10:57TranscriptionWords
11:57TranscriptionWords
12:08TranscriptionWords
12:28TranscriptionWords
13:40TranscriptionWords
14:27TranscriptionWords
14:46TranscriptionWords
17:44TranscriptionWords
19:02TranscriptionWords
20:06TranscriptionWords
20:29TranscriptionWords
23:09TranscriptionWords
23:51TranscriptionWords
24:11TranscriptionWords
24:40TranscriptionWords
25:40TranscriptionWords
25:51TranscriptionWords
26:41TranscriptionWords
26:55TranscriptionWords
27:25TranscriptionWords
27:36TranscriptionWords
29:03TranscriptionWords
29:10TranscriptionWords
29:47TranscriptionWords
29:48TranscriptionWords
30:04TranscriptionWords
30:22TranscriptionWords
30:52TranscriptionWords
31:22TranscriptionWords
31:37TranscriptionWords
31:39TranscriptionWords
31:44TranscriptionWords
31:50TranscriptionWords
32:19TranscriptionWords
32:49TranscriptionWords
33:02TranscriptionWords
33:04TranscriptionWords
33:36TranscriptionWords
33:36TranscriptionWords
33:36TranscriptionWords
33:45TranscriptionWords
33:46TranscriptionWords
34:14TranscriptionWords
34:26TranscriptionWords
34:26TranscriptionWords
34:26TranscriptionWords
34:33TranscriptionWords
34:35TranscriptionWords
34:52TranscriptionWords
34:53TranscriptionWords
34:57TranscriptionWords
34:58TranscriptionWords
34:58TranscriptionWords
35:16TranscriptionWords
35:16TranscriptionWords
35:16TranscriptionWords
35:24TranscriptionWords
35:26TranscriptionWords
35:37TranscriptionWords
35:38TranscriptionWords
35:55TranscriptionWords
35:56TranscriptionWords
36:25TranscriptionWords
36:35TranscriptionWords
36:49TranscriptionWords
37:19TranscriptionWords
37:49TranscriptionWords
38:02TranscriptionWords
38:04TranscriptionWords
38:04of us? Not really. Maybe you could try. How's she doing? She's worried sick about her son.
38:20What are you going to do? I thought he would come back after mom called him. Hey, what are the
38:25ethics
38:25about me reaching out to him under the guise of a medical emergency with mom? If he's a danger to
38:30himself or others, I'd argue you have a professional responsibility to do whatever's necessary.
38:37Right. Okay. Hey, can you come talk to the parents of the OD kit that we brought in earlier?
38:4218-year-old, brain dead from a fentanyl overdose. Oh, jeez. Yeah, only child, and I just think that
38:47the parents could use a little help processing what they're going through. Uh, what about donation?
38:51Is he a candidate? The transplant counselor could get him there, but I think we're a ways away from
38:55calling them in. I'll see what I can do. Thank you. They're in Central 7. I wouldn't introduce you,
38:59but I really have to pee. No worries. Thank you.
39:08What the hell? I just saw one of those rats. And you, what, thought you started an IV?
39:13It's not funny you're not the one who's going to have nightmares.
39:16I forgot about your phobia with rats. It is not a phobia. Nobody likes rats.
39:22Some people keep them as pets. If you are purposely keeping a rat in your house,
39:28that is not a pet. That is a sign of an underlying mental health problem.
39:31Okay, if it makes you feel any better, just think of them as cute little Disney mice with
39:34a pituitary condition. Mm-hmm. Mm-hmm. Joke all you want.
39:37But if one of those disgusting things bites a patient and we get a case of Hantavirus,
39:43guess who's going to have to answer for that one, Chief?
39:46Aren't they? What was the name of that cop you were talking to earlier?
39:50What cop? The good-looking one that you were talking to earlier.
39:52How would I know? Seem like you guys have...
39:54Stay in your own lane. What?
39:58I'm not even asking like that. I really did want to talk to him about something.
40:02Uh-huh.
40:04Hey, did the exterminator come yet?
40:07Yeah, right. Sometimes he can be so cute. Anything I got us to go through facilities,
40:11said they'd handle it.
40:12What does that mean?
40:14It means nothing's going to happen until next week at the earliest,
40:17unless we get a patient in here with a service cap.
40:20Oh, uh, don't forget, you still have the sister of Abbott's deceased veteran waiting for you.
40:24Shit, yes, yes, yes. I'll be there. I'll be there.
40:26Yeah, go.
40:30Hey, I've been looking all over for you. We need a cardio-burnt unstable AFib in North 1.
40:33Okay, just give me a sec.
40:35It's systolic's 90.
40:36Fuck me.
40:3935-year-old architects working on a deadline, vaping nicotine all night.
40:44Palpitations this morning, AFib at 147.
40:47Mr. Quinn, this is Dr. Robbie.
40:49Hello, sir. How are you feeling?
40:50Like crap? When did your palpitations start?
40:52A little while ago.
40:53We interrogated his smartwatch.
40:55His heart rate's only been up for 92 minutes.
40:57You understand we need to shock your heart back to normal?
40:59Is it going to hurt?
41:00You'll be sedated.
41:01It's really going to hurt.
41:03Mel, 75, a propovol, slow IV push.
41:05How much did you vape last night?
41:06A couple of pods.
41:08You vape every day?
41:09I do, but not that much.
41:11Want to cut back?
41:12I try, but it's just really fucking hard.
41:14How much nicotine is in a pod? Anybody know?
41:17No idea.
41:1840 milligrams, same as a pack of cigarettes.
41:19Wow, two packs in one night.
41:21Mel, what's the safe window for cardioversion?
41:2312 hours.
41:24What happens after that?
41:26Increased risk of the embolic stroke from left atrial blood clot.
41:29Which he does not have.
41:32Mr. Quinn. Mr. Quinn.
41:34Okay, he's out.
41:35Same cardioversion, 200 joules.
41:37Charged.
41:38Clear.
41:43There you go.
41:44Sign us with him.
41:45So I can leave you.
41:46We'll monitor for a few hours.
41:48Yeah, let's get addiction services on the case, too.
41:50He's going to need a daily patch of nicotine gum for breakthrough cravings.
41:53This one's a bitch to kick.
41:55Hey, the sister of David.
41:57Shit, yes, shit, yes, yes.
41:59Go get him, Tiger.
42:08Are you Mr. Worcester's sister?
42:11Fiona.
42:11Hi, Fiona.
42:13I'm Dr. Rabinovich.
42:14Everybody calls me Dr. Robbie.
42:16Have a seat, please.
42:18I'm concerned with everything that's happened.
42:23You looking for something in particular?
42:25Anything with a very low potential for mortality?
42:28Mm-mm.
42:29You're not playing that game.
42:30Only thing I'm playing is let's keep the patients alive.
42:33Uh-huh.
42:33Well, now we're playing Face Your Fears.
42:36That sounds like a terrible game.
42:38What up there scares you the most?
42:40All of it.
42:41Pick the worst.
42:43Uh, South 20, 82-year-old woman, low back pain.
42:47I mean, that's potential leaking triple A, cauda equina syndrome, spinal epidural abscess.
42:53That could go wrong in so many ways.
42:54Not today, amigo.
42:55We're going to work this lady up like a race car.
42:57What does that mean?
42:58It means you're on the pit crew now.
43:00Come on.
43:03You ready to go inside?
43:07No, not really.
43:09I'll be with you.
43:10You can decide when you want to leave.
43:32You're so cold.
43:35I'm sorry.
43:38I'm sorry I wasn't here with you.
43:42I'm here now.
43:45Wherever you are.
43:50I don't know what the world is without you.
44:06I really can't look at this letter when I get too much for asking you to read it to me.
44:11Oh, I'm sorry.
44:12That's inappropriate.
44:13No, not at all.
44:14Not at all.
44:15I'd be honored by the request.
44:28To the family of Raymond Orser.
44:31My name is Dr. Jack Abbott.
44:35I am the emergency department physician who treated Raymond.
44:40I, like Ray, am also a veteran.
44:45And though I never met Raymond before today, I served with men like him.
44:51So I can only imagine what an outstanding person he must have been.
45:00I'm sorry I could not save Ray's life.
45:04We worked on him for several hours, but his injuries were too severe.
45:09Even for someone as tough and battle-tested as Ray.
45:14Please take some comfort in knowing he did not suffer.
45:19You have my heartfelt condolences, Jack Abbott.
45:29Very welcome.
45:40Again, I'm very, very sorry for your loss.
45:56Where do you think you're going, Myrna?
45:58Oh!
46:00None of your business, Fruitcake.
46:03Actually, everything that happens in this department is my business.
46:06And you know what?
46:07I put up with a lot around here.
46:09I take very good care of you.
46:10So you can call me Dr. Rabinovich.
46:12Call me Dr. Robbie.
46:14Or you can use my first name of Michael.
46:16But I do not appreciate you calling me Fruitcake.
46:19Oh, did I hurt your feelings, cocksucker?
46:24That said, it has a certain whimsical quality to it.
46:26But I could probably learn to live with.
46:28Whatever you say, Fruitcake.
46:30Excuse me, Doctor.
46:31My father's starting to struggle again.
46:33Okay.
46:39Did you know those things will kill you?
46:41Not that lucky.
46:43Oh, what the fuck?
46:46Hey, they're stealing our rig!
46:50Did you leave the keys in it?
46:52Always, in case somebody needs to move it.
46:54Yeah, you probably shouldn't have done that.
46:55Why don't you come on inside, Ziggler?
46:56We'll look you over.
46:57I'm fine.
46:58Fuck that.
47:00You leave that shit?
47:02What happens?
47:07What can you do to make him more comfortable?
47:09We can take the tube out.
47:10But he needs that to breathe.
47:13If we extubate, we would keep him on oxygen for comfort.
47:17It would decrease his sedation.
47:19He might regain consciousness.
47:21He could recognize you.
47:22Maybe even speak.
47:24Well, I don't want to do anything to jeopardize him getting better.
47:26That's just the point, Helen.
47:29He's never getting better.
47:31You don't know that.
47:32I do know that, okay?
47:33He knows that.
47:35And Dad probably even knows it.
47:38It's time to let him go.
47:40I'm sorry if you've had your fill of Dad, but I haven't.
47:43And I'm not giving up on him.
47:47Even if it's hurting him?
47:52I'm sorry, but if there was anything I could do to heal your father, I would do it.
47:56But the most humane thing that I could do for him
47:58is to allow him a painless, peaceful passing.
48:02And that requires removing the breathing tube.
48:05Fuck.
48:07How long will it take once the tube's out?
48:11From minutes to hours.
48:12But we would ensure that he'd be in no physical discomfort.
48:20Okay.
48:21Okay.
48:24Okay.
48:42We'll see you next time.
Comments