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The.Pitt.S01E04.540p.x265.AAC [Full Movie] [New Drama]Full EP - Full
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00:13What the hell is going on out there?
00:15Somebody stole a rig.
00:17Again?
00:18Hey, where do you think you're going?
00:19We'll be back in two minutes, Max.
00:21Anton's going to show us his new motorcycle.
00:23Great.
00:23We always need organ donors.
00:25Ah, someone stole your rig.
00:26Yeah, you weren't watching the screens.
00:27How'd you miss it?
00:28Oh, I saw it pull out.
00:29But I figured you were in it.
00:31Why'd you leave the keys in it?
00:32It's a protocol.
00:33No, it's not.
00:33That's what I said.
00:35Yes, it is.
00:37And who steals a fucking ambulance at 10 a.m.?
00:40Easy.
00:40Junkies, meth heads thinking they just stole a candy store.
00:43Or a psych patient kicked loose last night.
00:44Y'all don't know.
00:45That thing is getting stripped, chopped, and shit.
00:46Hey, shut the fuck up.
00:50Maybe another job it took.
00:51Did you call your dispatch?
00:52Of course we called our dispatch.
00:53Did you call the cops?
00:54I can't.
00:55But they're two having breakfast in the cafeteria.
00:57They'll have a cell.
00:58Hey.
01:00I'm good.
01:00Thanks.
01:01Oracle.
01:02Come on.
01:04I put $20 on the psych patient.
01:05Oh, I'll take that action.
01:07Hey, do we have crutches?
01:09Yeah, ortho locker just restocked.
01:10Okay, great.
01:11Can you bring back Sherry Davis next?
01:13Oh, sternum mom with the handburn?
01:14Huh?
01:14Oh, she split.
01:16Shit, when?
01:17I gave the kids two breakfasts each off the borders card, and they left.
01:20In school, probably.
01:21Did she say anything about coming back for wound care?
01:24Not to me.
01:26Fuck.
01:27I need rooms cleared and clean, so I'm shuffling the deck.
01:29Yeah, but why are you moving him into peds?
01:31I'm just about to extubate him.
01:33There's no kids in there at the moment.
01:34The family can have some privacy.
01:36There's nice pictures on the wall.
01:38What's the problem?
01:39There's no problem.
01:39There's no problem.
01:41Mrs. Smith does not need a cardiac monitor.
01:43She can get her vanco in the hall.
01:44We've got one telebed available.
01:46Let's give it to Otis before someone else snags it.
01:48Yep.
01:48Leave the family in Central 7 alone until nuclear medicine's ready to take the kid.
01:52There's no sense in moving them twice.
01:54Aye, aye, Cap.
01:56Hey, Robbie.
01:59You're going to extubate?
02:00Yes.
02:01Good.
02:01You shouldn't have intubated.
02:02Yeah, I remember you saying it just like it was this morning.
02:05You want me to do it?
02:06No.
02:07Why?
02:09Adamson.
02:10Jesus!
02:11Okay.
02:11There's something moving in there!
02:13Ma'am, hold still!
02:14I can't help you if you keep moving your head!
02:16Get it fucking out!
02:18I can't feel it!
02:20Arthropod and the EAC.
02:21Oh, my God!
02:24I better get in there.
02:25Yeah.
02:31How long will you live without the oxygen?
02:34It's difficult to say.
02:36Once the tube comes out, it could be anywhere from 30 minutes to several hours.
02:42When I extubate, we're going to suction the back of his throat.
02:44We're going to give him some glycopyrrolate drops, which will cut down on his secretions.
02:48He'll get morphine for any pain.
02:51And we'll give him some oxygen in his nose as a comfort measure.
02:58Jesus.
02:59I don't think that I can go through with this.
03:02I mean, this is happening.
03:05Like now.
03:06Like today.
03:08We just decided that dad is going to die in this room.
03:12In a room with cartoon forest animals all over it.
03:18God, if you think about it, it's kind of perfect.
03:25Our dad worked on Mr. Rogers' Neighborhood the whole time that we were growing up.
03:29Oh, no kidding.
03:30That's very cool.
03:30Mr. Rogers, the television program?
03:32That's right.
03:33Here in Pittsburgh?
03:34At WQED on Fifth F for 33 years.
03:38Dad worked with Jack Guest, the art director.
03:41So he helped paint and build all those sets.
03:51I don't think that I can do this.
04:00Okay.
04:01Just to be clear.
04:03Your father's dying.
04:05And you're choosing to allow that to occur naturally.
04:08Rather than subject him to a torturous amount of procedures which would only delay the inevitable.
04:13I just thought that it would be different.
04:15And I thought that we'd have more time.
04:18Is your family religious?
04:19Oh, God, no.
04:22No, God.
04:27I had a teacher.
04:29A mentor.
04:32Who told me about a Hawaiian ritual called Ho'oponopono.
04:37One of the four things that matter most.
04:41It's basically just a few key things that we can say when we're saying goodbye to a loved one that
04:45can really help at the early stages of loss.
04:50What are they?
04:52They're going to sound really simple, but I swear I've seen them work.
04:55Okay.
04:56I love you.
05:01I forgive you.
05:03Please forgive me.
05:06That's it?
05:08Yep.
05:09I told you it was simple.
05:13Mr. Spencer, I'm going to take this tube out of your throat now.
05:21What I want you to do is to take a very deep breath.
05:25Breathe in.
05:26Now blow it out.
05:29There we go.
05:40You okay?
05:42Okay.
05:44You're going to give me some oxygen in your nose.
05:49A couple drops under your tongue.
05:55You okay?
05:56I'll hire.
05:56You can rest.
05:58Close your eyes if you want.
06:01You're chilling right here.
06:03Yeah, Dad.
06:04You just rest, okay?
06:07We're right here.
06:09I'm right here.
06:23Come find me.
06:24Will you take a deep breath for me?
06:27Jesus, everybody's going to this concert tonight.
06:30I wonder if there's any decent passes left.
06:32Another deep breath.
06:34Oh, my God, Jenna.
06:36You're never going to believe who DM'd me.
06:38I fucking told you this would happen.
06:39I'm sure Jenna's happy you're here to support her,
06:41but perhaps you could wait outside until we've finished.
06:43Excuse me?
06:44Excuse me, I'm in the middle of an examination.
06:46Yeah, and I'm going to stay with my friend for as long as she needs me.
06:49I'm the one who brought her here.
06:50Gold star for you.
06:52Hey, that's fine.
06:54I'm fine.
06:55You sure?
06:56Yeah.
07:05I wanted her to leave.
07:08How are you doing?
07:10Um, I called Nick's dad an asshole.
07:14Told him to go ask his son.
07:18Why would I say that?
07:22Why don't you tell me about school?
07:24What are you studying?
07:26What?
07:26Do you do any sports?
07:29Are you into any extracurricular activities?
07:31I don't know why you're asking me that.
07:35It's important that you focus on the good things in your life right now.
07:39How?
07:41A boy, a very sweet boy that I barely even knew is dead,
07:45and I just fucking made it worse.
07:47You just need to-
07:48I mean, his father thinks I killed him,
07:50and you're asking me if I play sports?
07:52Jenna, Jenna, I can tell how upset you are right now.
07:55I see how painful this is.
07:57We don't even do drugs.
08:00We were studying.
08:01You know, how does that happen?
08:02I can't imagine how hard this must be for you.
08:07I just really want to go home.
08:11Well, your vitals are excellent.
08:14When your parents arrive, they can take you.
08:20Here, if you need anything.
08:26Oh, well, that works out.
08:28A couple of observations?
08:30Please.
08:31Huffinize your skin.
08:32Rhino.
08:33Good.
08:34Distraction is a terrible strategy.
08:35When a patient says I'm hurting, we don't respond.
08:37What's your major?
08:38I wasn't trying to-
08:40Additionally, I statements work better than you statements.
08:43I can see how painful this is,
08:44acknowledges the reality of the situation,
08:46and invites further examination.
08:47You need to move on has the opposite effect.
08:50Understood, but in my personal experience-
08:52Your personal experience isn't germane here.
08:54Germane?
08:55Relevant, pertinent, appropriate.
08:58Well, I respectfully disagree.
09:00My life gives me a perspective that it's different.
09:02Are you aware you have an aggressive energy, Trinity?
09:05Even this conversation feels confrontational.
09:08You bring our education to the job, not our baggage.
09:11Got it.
09:13Will do.
09:16Good news or bad news first?
09:18What's the good news?
09:19Your canal is numb.
09:20Simple flush with saline will fix the problem.
09:23What's the bad news?
09:25You've got a dead bug in your ear.
09:29Cockroach.
09:33We were in here for maybe 35, 40 minutes tops.
09:36I go outside, it's gone.
09:37Seriously, there's nothing on the radio?
09:39Not yet.
09:40The keys were inside?
09:41Yes.
09:42I leave them in there in case somebody needs to move it.
09:44Not supposed to leave the keys.
09:45That's what I said.
09:46You take the keys, so nobody steals.
09:48So what the fuck is security for?
09:50I'm about to show you.
09:51Oh, yeah.
09:51Hey, guys, we can congregate somewhere else.
09:53Get a little room.
09:54We've got a new guest checking in.
09:55Guys, Ahmad, we've got to keep this area clear.
09:57Everybody, please.
09:58Hey, five bucks on Chop Chop.
10:00Wendell Stone, 52, chief rigger from Pit Fest.
10:02Isolated to the left chest when a speaker tower came down on him.
10:05Looks like multiple rib fractures.
10:07Pulse 110, BP 130 over 85, decent stats at 96, 50 of Fent in the field.
10:12Got it.
10:13How we doing, Mr. Stone?
10:14Mr. Stone's my dad.
10:15Just Stone.
10:18Damn, they woke the Kraken.
10:21What's he do for his next round?
10:25Forty minutes ago.
10:28Perfect.
10:30Mr. Driscoll, Mr. Doug Driscoll.
10:33About fucking time.
10:35Too late, you suckers.
10:38Excuse me.
10:39Sorry.
10:41G.E. Chin.
10:43I have some time to offer G.E. Chin.
10:44Yes, please.
10:45Over here.
10:49How much longer until we can see the doctor?
10:52Uh, we have to wait for a bed to open up.
10:53Might be a little while.
10:54Be popular today.
10:56The medicine should help.
10:59Thoromorphine.
11:00No abdominal tenderness.
11:02What do we got?
11:03Thanks.
11:03You owe me a Coke.
11:04Isolated chest trauma with...
11:06Stop.
11:07Isolated chest trauma with obvious flail chest.
11:10No human pneumo on POCUS.
11:11Good stats and vitals.
11:13Excellent presentation.
11:14Serum Dr. Garcia from surgery.
11:16I need surgery?
11:17Not necessarily.
11:19No blood in the belly on fast.
11:20Okay.
11:20You got this?
11:22Abdomen's benign.
11:23CT chest, abdomen, pelvis with contrast.
11:26Intertrust way more than the ultrasound skills.
11:28Exus!
11:29And more morphine, for God's sake.
11:32No, no, no.
11:32Don't knock me out.
11:33I gotta stand on top of the crew doing the pudding.
11:35The what?
11:36The festival.
11:37We'll block all the nerves going to the broken ribs.
11:41Roll to the right.
11:42You'll be awake and pain-free.
11:44Yeah, that's what I'm talking about.
11:46That's a ton of intercostal blocks.
11:48Nope, one shot.
11:49Serratis interior blocks down to T9.
11:51You kids in your crazy regional blocks.
11:53Dr. Santos, call me with the CT results.
11:55Extension 1121.
12:00Gabe's the same age that I was when we made our first layout.
12:03You remember that, Dad?
12:04The two-level track in the basement of the Clovis house?
12:08Oh.
12:08That's right.
12:09Yeah, it was an O gauge.
12:10It limited the cars we could use, but that layout was a beauty.
12:16Doctor, does that sound he's making mean it could be any minute?
12:22No, no.
12:23It just means that he's having trouble handling his secretions.
12:34Mr. Spencer, this should help.
12:46I'm also going to give you a scopolamine patch behind your ear.
12:51That will cut down on his secretions for the next 24 hours.
12:55You think he has 24 hours?
12:56There's really no way to know.
12:58Let's give another two or more femur PPRN.
13:01We're going to give him something to keep him comfortable.
13:03Doctor, what were those four things again?
13:08I love you.
13:09I forgive you.
13:11Please forgive me.
13:12It's easy.
13:14I love you, Dad.
13:16I've loved every minute we've gotten to spend together.
13:22You're the best dad a boy could have wanted.
13:25You never missed a game.
13:26You always made time for me, whether to play catch or to build models or...
13:32Help me with my homework.
13:36Or when we would wake up before everybody else and make sandwiches.
13:42I don't think so.
13:49I don't know.
14:03I'd like to know.
14:17Oh, fuck.
14:55They spotted it.
14:56Easton, 376.
14:57Whoa.
14:59Whoa.
14:59Let's go.
15:00It is all in there.
15:0215 on Crash with another five on Junkies.
15:03Give me $8 on catch with another, uh-uh, uh-uh, multiples of five only.
15:07I'm not touching no stripper bills.
15:09Yo, what's that shit?
15:10Hey, you want to keep it down?
15:12This is a hospital, not Rivers Casino.
15:16Keep talking.
15:16I'm going to find Robbie.
15:20Psych wanted to transition him to oral meds.
15:22There's an order for an olanzapine tablet at 9.30 AM.
15:26Yeah, that's on us.
15:27I've been with criticals all morning.
15:29He needs to go upstairs to behavioral health.
15:30We're too busy down here to dispense psych meds on the schedule.
15:34Understood.
15:35What options are we left with?
15:37Either we let him tire himself out, or we go in and stick him.
15:40I'm worried he's going to hurt himself.
15:42He's in partial soft restraints.
15:44What we really need is a pavulin blow dart.
15:50All good.
15:52You caught me, and I was almost over the wall.
15:54Go easy on me, warden.
15:56I need an order for an agitated psych patient.
15:58Been here for days, methamphetamine-induced psychosis.
16:00The Kraken?
16:01You really shouldn't call him that.
16:03I'm about a B-52.
16:04No, no, no.
16:05That would take way too long.
16:06Type the staff.
16:06QTC?
16:07Normal.
16:08Five of Bedazzolam, five of Haldol, and Mr...
16:11Krakosia.
16:12You're joking.
16:13No.
16:13Mr. Krakosia will be out like a light in under a minute.
16:16It hardly seems as offensive to call him Kraken if his name is actually...
16:19Irritable five-month-old.
16:21Barely.
16:21I'll be right there.
16:22Um, I need more coffee.
16:26You doing okay, Cap?
16:28Yeah.
16:29Why?
16:29I can't have you going over the wall.
16:34Tomas Cordera.
16:35Mr. Tomas Cordera, please help me with you.
16:38I have your sheriff card.
16:39Tomas Cordera.
16:47Yes?
16:49Cordera.
16:50It's actually Tasha Cordera.
16:52And Miss.
16:53Okay.
16:55You want to come on back?
16:56Go through those doors?
16:58You cut your arm?
16:59Yes.
17:00Okay.
17:01No problem.
17:07Hi.
17:07I'm Dr. McKay.
17:09This is Victoria Javadi's student doctor.
17:12Hello.
17:12Tasha.
17:13Hi.
17:13Um, sorry for the long wait, Tasha.
17:15Do you mind if I take a quick peek?
17:16Yeah.
17:17Okay.
17:20All right.
17:22Not too bad.
17:23Definitely gonna need a few stitches, though.
17:25Why don't you come on back and we'll get you patched up, okay?
17:29Okay.
17:31Okay.
17:32Okay.
17:32How big is the pneumothorax?
17:34Got it.
17:35Thanks.
17:36What's the pneumothorax?
17:38Uh, just a little air leaking from the big bruise in your lung.
17:42Ugh.
17:43Getting short of breath here.
17:44Pain?
17:45No.
17:46All that's gone.
17:46Good.
17:47The block worked.
17:48Sats are down to 85 on 5 liters.
17:51His lung contusions need some help.
17:55Start BiPAP.
17:5610 over 5.
17:57Uh, that'll, uh, open up the bruised parts of your lung.
18:00Thanks.
18:00Uh, good news is you don't need surgery, but I'll, uh, let Dr. Garcia know about the CT.
18:05Uh, she likes you.
18:08I've met her two hours ago.
18:11Must have made a strong first impression.
18:16Any fever, vomiting, or cough?
18:18None of that.
18:19Uh, good feedings?
18:20Was she full term at birth?
18:22Um, normal delivery.
18:24Trial vaccines.
18:24I-
18:25Yeah, two months and four months.
18:27To get an-
18:28What's your differential diagnosis?
18:30We need to check with a rectal thermometer.
18:33Is that really necessary?
18:34It's really important.
18:35Oh, I need it.
18:39Oh.
18:39I need it.
18:40I need it.
18:40We gotta rule out any serious bacterial infection.
18:43Sepsis.
18:44Pneumonia.
18:46Phylo.
18:47Pondicitis.
18:48Meningitis.
18:48You think she has meningitis?
18:50No.
18:51We're just discussing hypothetical possibilities.
18:53Pond 99.2.
18:55Making meningitis extremely unlikely.
18:59Heart rate 164.
19:01Stats 99.
19:02What's going on?
19:03This is Dr. Robbie.
19:06Our senior physician.
19:08Hi.
19:08Nice to meet you.
19:09Hi.
19:11Afebrile alert.
19:12Good vitals.
19:13Doctors Mohan and King were just about to start their physical.
19:15Why don't you go check on our students and I'll handle this.
19:26Why are you sticking me again?
19:28It came in an hour after the chest pain.
19:30It's a heart attack.
19:31It can take more time for the heart damage to show up in the blood.
19:34Put your finger on that.
19:35Even with the normal EKG.
19:37That's why I repeat the test.
19:40Lift on up.
19:44All right.
19:45Let's get you back to the weight room.
19:47What?
19:48No.
19:48No.
19:49No, all I've been doing is waiting.
19:50I'm supposed to see a doctor now.
19:51Soon.
19:52I'll let you know.
19:57This is a fucking joke.
19:59Yeah, it's good to laugh.
20:03Laughing our way to being a third world country.
20:08Remind you of home?
20:12You know, we're not supposed to pick favorites here.
20:14I'm going to keep my eye on you.
20:16Yeah.
20:21You do that.
20:23Oh, yeah.
20:29So, Tasha, it was a decanter?
20:31A beautiful baccarat carafe.
20:34I was showing a colleague how to polish it and the neck broke with my arm still inside.
20:40So, not my finest.
20:42Did it shatter?
20:43No, no, it cracked cleanly in two.
20:46But as a reflex, I jerked my arm back.
20:49That's what did it.
20:52Reflexes.
20:52I have regretted a few of my own.
20:54Good.
20:55Now, I inject to the other side.
20:58Single layer.
20:59Straight edges.
21:00About as straight forward as it gets.
21:02Good.
21:03It's a relief.
21:06What's going on?
21:07Hypoxic to 78.
21:08BP's crashing.
21:10Systolic's 82.
21:11Pulse is thready.
21:12I should intubate.
21:13Does he need a massive transfusion protocol?
21:15No.
21:16Absent breath sounds on the left.
21:18Tracheal deviation to the right.
21:1914 gauge angiacaft.
21:21Now, put him on a non-rebreather.
21:23What are you doing?
21:25Tension pneumothorax from the BiPAP's positive pressure.
21:32You hear that?
21:34Who the hell ordered BiPAP?
21:35Garcia?
21:36No.
21:37His stats were down.
21:38I didn't.
21:39You did.
21:40Without running it by me.
21:43Can I put in a chest tube?
21:44He doesn't need a chest tube.
21:45He needs a pigtail catheter.
21:46And I'll be doing it.
21:48Stats and pressure both coming up.
21:51Draw up 75 of ketamine.
22:00Why is he still crying?
22:02Fontanelle is soft and flat.
22:04People's equal and reactive tracking across midline.
22:07Dr. Mohan, keep it focused, please.
22:08Mucous membranes nice and moist.
22:12Hard to hear of the crying, but...
22:14Lens are clear.
22:17Heart rate's tacky, but normal.
22:19Soft abdomen.
22:20No obvious signs of tenderness.
22:22So, basically, a normal exam.
22:24What's wrong?
22:25Give us a little time to finish our exam.
22:27I know.
22:28What am I looking for, Dr. Kane?
22:32Cellulitis.
22:33Do you look from the sarcasm?
22:37Diagnosis made.
22:38What is it?
22:38Hair tourniquet.
22:39Mothers with hair can wrap around the toe multiple times.
22:42When it dries, it tightens and cuts off circulation.
22:44My hair?
22:45I...
22:45I showered before nursing her.
22:48Easy to miss, Mom.
22:49But we caught it early, so there won't be any permanent damage to the toe.
22:53Dr. Mohan?
22:54It's too tight for scissors.
22:55Do we have nair?
22:56We do indeed.
22:57Nair?
22:57What?
22:58Like, from the drugstore?
22:59Ten minutes should dissolve it right off.
23:01And stop the time.
23:05Hey, you're okay?
23:06What's up?
23:08We're gonna give the wild one a shot.
23:09Have the order.
23:10Med's on the way, but we need bodies.
23:11I call the head.
23:13I got kicked last time.
23:14Right arm.
23:15Left arm.
23:15Right leg.
23:16Need one more.
23:17Two more.
23:18I'm just here to observe and speak with the patient once he's under control.
23:20Oh.
23:21Hey, Robbie.
23:22Can...
23:23Can you help us with Mr. Cracosia?
23:25Nope.
23:25Coward.
23:27Whitaker.
23:28Just the man we need.
23:30Come over here, please.
23:31Whoa.
23:32What did I miss?
23:33A little drama from Attention Pneumo.
23:35You could've called me.
23:36We got under control.
23:37Good.
23:38And Dr. Santos learned what can happen when you put a patient with a small pneumothorax on BiPAP.
23:45Ha.
23:45Thumb scalpel.
23:46He was hypoxic.
23:48I thought it would help.
23:48But you didn't discuss it with me, and he almost died.
23:51Dilator.
23:53You need to run every order by a senior resident or attending.
23:57That's why it's a four-year program.
23:58Now, when you do this procedure, you want to make sure to never, ever lose this guidewire.
24:04If that gets sucked in the chest, you're screwed.
24:07Now, ready for the big deal.
24:10What the hell are you doing?
24:12Pneumo is tiny.
24:12It'll resolve spontaneously.
24:13Yeah, it was tiny until the patient went on BiPAP.
24:16Are you fucking kidding me?
24:18Guidewire out.
24:19His sats were down.
24:20I...
24:20I gave the order.
24:22Without clearing it with me.
24:24Honest mistake from the rookie.
24:26That's how we learn.
24:31If she knew everything, she'd be your attending, not an intern.
24:36That is very true.
24:38Besides, it could have happened on its own without the BiPAP.
24:41Wow.
24:42Beautiful moment.
24:43A lot of love in the room.
24:44If you'll excuse me.
24:46Nice save.
24:51It's Wheeler.
24:53Dr. Abbott said to come back at 6.30, and he'd still be here, but we overslept.
24:58I forgot to charge my phone.
25:00I'm really sorry.
25:01Okay, let's see.
25:03Wheeler, Kristen?
25:04It's Christy, and I'm her mom.
25:08Dr. Abbott went off duty at 7, but that's no problem.
25:11We'll get you back.
25:12Have a seat until we call your name.
25:13Okay, thank you so much.
25:16You're welcome.
25:16Next.
25:24How you guys doing?
25:26Good, thanks.
25:27We missed our appointment, but otherwise, we're fine.
25:30Oh, no.
25:32Have you been here long?
25:33I've been here about four hours.
25:35Oh.
25:36We were here two nights ago.
25:38We waited seven hours.
25:40It's all bullshit.
25:42I can't believe somebody hasn't died out here.
25:52How are we doing?
25:53No change.
25:56I've been doing all the talking.
25:58Do you want to say some things?
26:06What is there to say?
26:08I'm sad.
26:09I'm angry.
26:11I don't want him to go.
26:13There's so much that I wish were different.
26:16It's not fair.
26:22Tell him.
26:23I am telling him.
26:25I'm telling both of you.
26:27It's not fair.
26:31I wanted what you had.
26:38I love you, Dad.
26:41And I'm thankful for everything you did to provide for us.
26:46You weren't the dad I wanted.
26:48You weren't the dad I wanted.
26:49Because I didn't...
26:50I didn't play baseball or build models or fish.
26:56My friends' dads all had grown-up jobs.
27:00They didn't tell silly jokes or talk in character voices or make up stories.
27:08I was embarrassed and I didn't want my friends to meet you.
27:14Helen.
27:15It's true.
27:18I'm ashamed to admit it, but it's true.
27:23I left for college and I stayed away.
27:32I could have gone fishing.
27:35I should have gone fishing.
27:40And I'm curious now.
27:50I forgive you, Dad, for not being the man that I wanted you to be.
27:54But I am so grateful that you weren't.
27:58The world needed you to be exactly as you are.
28:03It got serious and it turned ugly.
28:08You and your friends built the neighborhood of make-believe.
28:16What an incredible gift.
28:24Daddy.
28:26I'm so sorry.
28:30Please, please forgive me.
28:35Daddy.
28:40Daddy.
28:40I'm so sorry.
28:44Please, please forgive me.
28:44Come find me, Mr.
28:51Mr.
28:52No news chopper coverage.
28:54No eye in the sky.
28:55Not even a damn drone.
28:56No mystery here.
28:57The cops at East on 376th are headed to Swissville.
29:00Now the cousin in Swissville says he's crazy.
29:02Fellas, they are not going to Swissville.
29:04They're crossing the line.
29:06Canada, baby.
29:07That's the other way, genius.
29:08See, I'm taking all your money.
29:09No, you're not.
29:10You're taking his money?
29:11I think so.
29:11I'm breaking up this stolen circle.
29:12Antoine, you're supposed to be in triage.
29:14Denison needs a knee immobilizer and crutches.
29:16Go on.
29:17Paolo, take Posture Ovatus on Thorpe and North 5 and a repeat potassium draw on Fontaine and South 18.
29:22Larry, you're coming with me.
29:24Okay, we have a quorum.
29:25Meds finally here?
29:26Yep.
29:27Guys got some energy.
29:28Let's do this.
29:29Donahue, right leg.
29:30Larry, left leg.
29:31Kim, right arm.
29:31I call left arm.
29:32Perla takes the head and our young man here will inject.
29:34Clear?
29:35Yeah.
29:35Pull socks?
29:36Right here.
29:37Good luck.
29:37I am injection to the mid-anterior left thigh.
29:41Everybody ready?
29:42Yo.
29:43Whitaker.
29:44You play any ball?
29:45Football?
29:47No.
29:48Dodgeball.
29:49Of course football.
29:50Yeah, some peewee.
29:51You know, I was actually a pretty good kicker.
29:53Not helpful.
29:54Look, Larry and I are going to block for you.
29:56Come in right behind us.
29:57When we split and go for his legs, you go right up the middle.
30:01In zone, baby.
30:02Yeah, got it.
30:03Okay.
30:04You ready?
30:05Mm-hmm.
30:06One.
30:07Two.
30:08Three.
30:10Okay, Mr. Carcosia, we're here to help you.
30:12We're here to help you.
30:13Ow!
30:13Ow!
30:14What do I do?
30:15Ow!
30:17Ow!
30:17Shit!
30:19Ow!
30:20Ow!
30:22Ah!
30:24Congrats, kid.
30:25You just earned your yellow wings.
30:27Okay.
30:28Midazolam will take him down in a minute.
30:29We'll monitor him for 20.
30:30After that, the Haldol will have kicked in.
30:31Yeah, he's settling down now.
30:33Do I really need to be here for 20 minutes?
30:34Why?
30:35Got a date?
30:35I mean, I'm covered in-
30:36I'm kidding.
30:37Thanks for your help.
30:38Go get cleaned up.
30:40Okay, thanks everyone.
30:41Good work.
30:41I know I don't need to say it, but let's try to stay on top of Mr. Carcosia's in that
30:44schedule.
30:45Sorry.
30:46Yeah, thanks.
30:47Can I help you get any scrubs?
30:48Oh, no, it's good.
30:49I'm gonna...
30:51Thank you for the offer, though.
30:58So, Tasha, you work in a restaurant.
31:00No, take it in two bites.
31:03Okay.
31:03Rotate your wrist.
31:04Follow the curve of the needle.
31:06Exit at 90 degrees, same distance from the wound.
31:09Good.
31:10Yes, I'm the sommelier at Altius.
31:13Oh, Altius is supposed to be amazing.
31:15Sorry, what is it you do?
31:16I'm the sommelier, the wine steward.
31:19Ah.
31:20We have the best seller in the city.
31:22I don't mind bragging.
31:23Oh, that sounds like a great gig.
31:25You have to go to school for that?
31:26Oh, my.
31:27Yeah.
31:28Yeah, I have a degree.
31:29Cool.
31:30Okay, how's that?
31:31Really good.
31:33First tie is a surgeon's knot.
31:35Wrap the suture twice.
31:36Grab the short end.
31:37Pull with just enough tension.
31:38Bring the wound edges together.
31:40Not too tight or shoulder railroad tracks.
31:43So, Tasha, what's your favorite wine you've ever tasted?
31:46Or most expensive?
31:49Same answer for both.
31:51Uh, 2011, Demain de la Romanée Conti.
31:55Three more instrumentized.
31:57Great.
31:57Square knot, single wrap around the needle driver.
32:00Is that French?
32:01As French as it gets.
32:03A burgundy.
32:04And how much does that cost?
32:06I sold that bottle for 18,000.
32:10Not here.
32:11That was in New York.
32:12Are you kidding?
32:1318 grand for a bottle of wine?
32:15Mm-hmm.
32:16I mean, was it really that good?
32:18Life changing.
32:19And I know something about life changing.
32:23Maybe one day.
32:24I'm still not old enough to drink.
32:27Legally.
32:29That's a little scary.
32:31And I'm about 18 grand short in front of Bill's,
32:34so I'll have to take your word for it, too.
32:37Uh, my only extravagance these days is moisturizer.
32:40I hear ya.
32:42Jenna, got some people here to see you.
32:45Hello.
32:46Oh, my God.
32:47Oh, my God.
32:48Oh, my God.
32:49Oh, my God.
32:49Oh, my God.
32:49Oh, my God.
32:49Oh, my God, you're okay.
32:50I'm so sorry.
32:51I have no idea how this happened.
32:52I swear.
32:53Is she young?
32:54Yes, she's clean medically.
32:55You may take her home.
32:56Here are some discharge instructions.
32:58But no more pills unless they're from a doctor or pharmacy.
33:01I won't.
33:02We're giving you some fentanyl test strips.
33:04These work on pills and liquids.
33:06And this is a Narcan spray.
33:08Please just keep it in your purse, just in case.
33:10If you're at a party, someone's out of it.
33:12Yeah, thank you.
33:13You realize how lucky you are?
33:15Yes?
33:16I do.
33:22Mr. and Mrs. Bradley, I just spoke to nuclear medicine,
33:25and they are ready to take Nick for the cerebral perfusion study test
33:28in a few minutes.
33:29Can we stay with him?
33:30Absolutely.
33:31The test itself involves radiation imaging,
33:33so you'll have to wait just outside the door,
33:35but Dave will take you down.
33:36I'll show you where you can be.
33:37He'll also bring you back here.
33:39The results take about an hour or so,
33:41and I will come find you when I get them.
33:44And we'll take you from there.
33:46Thank you, Doctor.
33:48Okay.
33:52So sorry to keep you waiting.
33:55I'm Dr. Heather Collins.
33:56You must be Christy and Lynette Wheeler?
34:00Yes.
34:00Yes, we were supposed to see Dr. Abbott.
34:02Yes, Dr. Abbott is an amazing physician,
34:05but even he needs sleep occasionally.
34:07I guess I just got tired,
34:08and I forgot to charge my phone, and we overslept.
34:12I used an old-fashioned alarm clock since med school.
34:14Never fails.
34:15That's what I have at home.
34:16I just forgot to bring it.
34:18Okay.
34:19I see we're doing a medication abortion today, correct?
34:23Yep.
34:24Well, since I didn't initially assess you,
34:27do you mind if I ask a few questions?
34:29Get up to speed?
34:30No.
34:31Thanks.
34:33Is this your first pregnancy?
34:35Yes.
34:36And you're 17?
34:38When did your last menstrual cycle start?
34:42Um, not exactly sure.
34:44End of June 23rd, maybe.
34:48Any allergies to medication?
34:50No.
34:51Any surgeries in the past?
34:52No.
34:54I need to do another quick ultrasound
34:56to make sure everything's okay for the medication.
34:58Do you want to put on a gown
35:00to make sure you don't get gel all over your clothes?
35:02Okay.
35:05I'll be right back.
35:08Joyce, our stickler's doing well in the exchange transfusion,
35:11awaiting a telemetry bed.
35:13Quinn, the midnight vapor,
35:14still in sinus after cardio aversion.
35:16Uh, four hours of cardiac monitoring starting now,
35:19and you can discharge.
35:20Good Samaritan's hanging in.
35:21Stable vitals and neurocheck.
35:23Yeah, I want to get a repeat head CT
35:24in an hour rule at any increased bleeding.
35:26And Mr. Gold was still positive for camphalobacter,
35:29has gone home on azithromycin.
35:30Well, I hope he loads up on water and electrolytes.
35:32The guy filled up half a dozen bedpans.
35:34Must be a record.
35:36Without sounding like a broken record,
35:37everything okay with you?
35:39It's your third cup before 11am.
35:40Yeah, I'm not sleeping great.
35:41It's fucking with me a little bit.
35:42When I've got four days off next week,
35:44I think I'm gonna get out of Dodge and head by the hills.
35:46I wish you would.
35:47What'd Shakespeare say?
35:48For this and heal myself?
35:50What, you been talking to Collins?
35:51Not Shakespeare.
35:52Luke, the disciple.
35:54You've probably heard it from Paul the Apostle.
35:56But what do I know? I'm Jewish.
35:57It's not my book.
35:58Shakespeare had nothing to do with it, though.
36:00Yeah.
36:00We have a little time when we'll be good.
36:03Oh, you have everything?
36:04Yeah, I think so.
36:17Is that...?
36:18Yeah.
36:19Let's go, sweetheart.
36:23Wait, um...
36:24Mr. Bradley?
36:26I just wanted to apologize for the way I spoke to you.
36:29Please, wait.
36:29Please.
36:30No excuse.
36:31I was gonna ask a nurse to give you this,
36:33but it's my number and email.
36:36If I can ever be of any help in any way.
36:39Please.
36:41I don't know who you are.
36:43Oh.
36:44Oh.
36:45I'm sorry.
36:45I'm Jenna.
36:46Uh...
36:48I met Nick at orientation, and he was really sweet.
36:53Um...
36:55We were in the same econ class, and we had this really big test coming up,
36:58so some of us made this kind of study group.
37:01And, um, we'd stay up way too late drinking coffee
37:04and then have a really hard time falling asleep.
37:07And...
37:08One girl said she knew how to get Xanax.
37:12Um...
37:13But was too afraid to go pick it up.
37:16Nick was just being nice when he said he'd do it.
37:22I'm so sorry.
37:24Um...
37:26I really hope he pulls through this.
37:27I'm praying he pulls through this.
37:30He will.
37:33Uh...
37:34Yeah, thank you.
37:37You should go.
37:39I'm sure your parents want to take you home.
37:48Hi.
37:53Sorry about earlier.
37:55I think I still have a lot to learn.
37:59You do.
38:03Looks good.
38:04Nice job, Doc.
38:05Good luck.
38:05Thank you for the trust.
38:07Now keep it clean and dry, and we'll see you for a wound check in two days.
38:11You did great.
38:12Didn't feel a thing.
38:13Sutra's out in a week, but come back sooner for any redness fever or drainage.
38:16Okay?
38:17Okay.
38:19Um, I couldn't help but notice there's a misgendering error on your chart.
38:24I'm really sorry about that.
38:25I've gone ahead and fixed it here and on your insurance data file, but it shouldn't happen again.
38:30Wow.
38:33I, um...
38:36Truly, thank you both.
38:39Yeah, of course.
38:42That was cool.
38:44Didn't think to check that, good catch.
38:47Uh, any other medications?
38:49Uh, the only medicine is Tylenol, and she has no allergies.
38:53Hi, I'm Dr. Mahan.
38:55Hello.
38:55Nice to meet you.
38:57Uh, let me catch her up.
38:58Jiayi is a 12-year-old with six weeks of constant pain in the suprapubic area.
39:03There's no fever, no dysuria, no nausea, vomiting, diarrhea, no vaginal discharge, and the urine pregnancy test is negative.
39:11A pregnancy test?
39:13Of course it's negative.
39:14She has a stomach ache.
39:16Tell me a little bit more about your pain.
39:18Can you give me a number from one to ten, ten being the worst?
39:20It was like a two the first few weeks, then it went up to a five.
39:24Now it's worse, like a seven.
39:27And when was your last menstrual period?
39:29Haven't had it.
39:29This month?
39:30No, never.
39:32A few of my friends got theirs.
39:33I'm still waiting.
39:34She's only 12.
39:36Okay.
39:37We'll be back for an exam.
39:39Why don't you change into a gown open in the back?
39:44It's weird.
39:45I mean, no period, but she has early secondary sexual characteristics, you know, breast development, widening hips.
39:54Yeah, it's primary amenorrhea.
39:57What are you thinking?
39:58It could be a pituitary dysfunction.
40:01Okay, how are we doing?
40:01Are we moving anybody out of here?
40:03We're trying.
40:04Asthma cleared after two nips when I'm with steroids and albuterol.
40:06I like that.
40:07Who else?
40:09Uh...
40:09Higher scabs don't know zip ties from airline cable?
40:12Fuck around and find out.
40:14Come Monday, that promoter's gonna have my lawyer's shoe so far up his ass, he's gonna be flossing with the
40:18laces.
40:18How are we doing in here?
40:20The vitals are perfect.
40:21Setting 98 on four liters.
40:24Nice.
40:25But I could go back to work now.
40:26With six rib fractures, a bruised lung, and a catheter in your chest?
40:29Not the best idea.
40:30But I do respect the work ethic.
40:33Richie, get Cecil on FaceTime again.
40:35I need to see the shit myself.
40:37Do me a favor.
40:37Call Dr. Gregorian in thoracic and see if he'll take stone as a personal favor to me.
40:41And make sure he knows he doesn't need any real babysitting.
40:43He's stable.
40:44We just need a bed.
40:45Copy that.
40:45Projectile vomiting is better with ondanzatron.
40:48Labs normal.
40:49Weight and CO challenge.
40:50What about manure the falling?
40:51Any blood acts on board, pain free on the OR schedule at 3pm.
40:54We've parked you in the hall for a few hours.
40:56Okay, good.
40:57A little jelly on the belly.
41:00Sorry, it's cold.
41:04And just to be sure you're not being treated for any blood clots, taking any anticoagulants.
41:10No, I don't take any medicines.
41:24Is everything okay?
41:27Yeah.
41:28There it is.
41:29There it is.
41:30Chopper 7.
41:31I knew you wouldn't let me down.
41:32Here we go.
41:33Wait, where is it?
41:34Well, it sure as shit ain't in Switzerland.
41:36They're out in my room, man.
41:37Mm-hmm.
41:38Trailing PPD.
41:39What are they doing out there?
41:40They're driving till the wheels fall off.
41:41And it's almost outside our catch.
41:43I got $10 that say they don't make it to the county line.
41:46They coming back.
41:47I don't know.
41:47Yeah, yeah, yeah, I'll take that.
41:48They're Westmoreland's problem now.
41:52It's on the news?
41:53Yes, ma'am.
41:54Where are they?
41:55They're headed east toward Monroeville.
41:58Let me see.
42:06Give me $20 on junkies caught outside our zone.
42:10Well, damn.
42:12All right.
42:19Soft, non-tender.
42:20Okay.
42:21Jayi, we're gonna check below the waist.
42:23You'll be all covered up.
42:24Would you like to add to stay?
42:25Yes, please.
42:26Don't go.
42:26Okay.
42:27I'm here.
42:27I'm here.
42:29All right.
42:30Knees up, but keep your feet on the bed.
42:33And let the knees flop apart.
42:35We're just gonna take a quick look.
42:41You'll feel me touch your upper leg so we can see where you pee.
42:44Any pain?
42:45No.
42:46It's okay.
42:51Okay.
42:52You can put your legs back down.
42:53You did great, and we know how we can help you.
42:57Dad, can we step out for a minute?
43:02Yay.
43:03Good job.
43:08What's wrong with her?
43:10Her mother died of colon cancer, is it?
43:12No.
43:13That has nothing to do with this.
43:14Do you know what a hymen is?
43:17What?
43:19Not really.
43:20When the baby's developing in the womb, there's a membrane called the hymen which blocks the vaginal passage.
43:26Before birth, most of it goes away, but sometimes it doesn't.
43:30Is that dangerous?
43:31No.
43:32Not at all.
43:33The good news is that your daughter has an imperforate hymen, totally blocking the vagina.
43:37We saw what looks to be about three months of violacious menstrual blood bulging from behind it.
43:43Oh, my God.
43:44It's totally curable and an easy fix.
43:47Your daughter needs minor surgery, best done under anesthesia in an operating room by a gynecologist.
43:53Then she'll be okay.
43:55Yes, totally back to normal.
44:02We lost Jiayi's mother when Jiayi was six, and I do my best to fill her place.
44:11But as she gets older, her mother would have known what to do.
44:17I'm sure you do great.
44:19She's going to be fine.
44:28We should let her know.
44:29I'll do the talking this time.
44:35Housekeeping is turning over South 20.
44:37Damn, we're good.
44:38What's it like when I'm not here?
44:39I hate to break it to you, but I run a tight ship with or without you.
44:42More fun with me, though, right?
44:43Jokes are better?
44:44Always.
44:45But your tell is, the hairier it gets, the funnier you get, and you are on fire today.
44:50Dr. Robbie, it's time.
45:01Hey.
45:12Is he still with us?
45:14Those are called agonal respirations.
45:18Close to me.
45:21He said our mother's name a few minutes ago.
45:25Marge.
45:27Did he like she was here in the room with us?
45:32And then he smiled and just closed his eyes.
45:40How are you both holding on?
45:42I'm exhausted.
45:43Yeah, I think I'm doing okay.
45:47Oh, Jeremy.
45:49I am so glad that you are here.
45:51Same.
45:52I couldn't go through this by myself.
45:55You don't have to.
45:57And Sarah and I are here.
45:59I know.
46:01I need you.
46:04It's good that your families live close.
46:08This becomes our primary relationship now.
46:12You're the last witnesses to each other's lives.
46:16You hold the memories.
46:19Scary thought the way my memory's going.
46:23I just had the craziest idea.
46:26You know what we should think about doing?
46:28Why don't we take the boat out?
46:30Like, this weekend.
46:57Why don't we take the boat out?
47:14No.
47:17No.
47:17No.
47:26No.
47:27No.
47:27No.
47:27No.
47:28No.
47:28No.
47:56Back from twice a day,
47:58Warm soaps and we'll see you here again in two days for a wound check.
48:02Got any questions?
48:02Oh, hey, hey, hey, hey, hey!
48:03I need a gurney here!
48:05Now!
48:08Gurney!
48:55I need a gurney here!
49:27I need a gurney here!
49:28I need a gurney here!
49:39I need a gurney here!
49:42I need a gurney here!
49:42I need a gurney here!
49:42I need a gurney here!
49:42I need a gurney here!
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