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The.Pitt.S01E10.540p.x265.AAC [Full Movie] [Full Story]Full EP - Full
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00:10you know your son is now no but he hasn't done anything officer why are you here we received
00:17the call that her son david has created a list of girls you would like to eliminate
00:22who called you do you know anything about this list somebody called you who somebody from my
00:27hospital uh dr mckay who is that i'll be right back
00:41teddy 28 years old burned in a gas tank explosion paramedics estimate 90 bsa trauma one's open we
00:48managed to get a 20 gauge in the right ac first leader of lr running wide open vitals are good
00:52pulse ox 97 teddy are you in a lot of pain right now not as much as i should be
00:58okay
01:01mainly third degree singed nasal hairs certain oropharynx do you have family on the way
01:08amy my wife what happened was transferring gas from a 200 gallon field tank to my tractor
01:16let's set up for intubation whitaker run the parkland formula okay titrate morphing page
01:20garcia and i will be back for the intubation on it boss
01:26don't touch me why jesus fucking christ
01:39grab an ice pass i got the cart what happened just got punched just took a pull
01:46who punched you just an unhappy patient a patient hit you yeah happens all the time got my cheek
01:52broken i lost it too oh we've all been assaulted go get our mod
01:58did you use your hands hi yep probably but no lc just just a bloody nose i'll give pressure
02:05okay okay okay okay any trouble saying any double vision no i'll grab a new scrubs
02:11what about headache hello you need to find her a room i do not need a room dave move north
02:16one
02:16it's on my finger right left up down hey the arm was intact who did this
02:26just a pistol patient but he splits it's just forget forget hell no look i want a name
02:33look driscoll doug driscoll the asshole in chairs yeah calling the cops i'll get a wheelchair
02:41pupils are equal reactive
02:45no septal hematoma should someone call your husband absolutely not okay tell me when it's sore
02:57tendered denazin ct head maxillofacial i'll give them a heads up is that really necessary you have
03:02at least one facial fracture with the headache and the fall i won't let anything intervene you
03:08okay who can step up for dana while she's getting checked out perla thank you
03:16okay guys we've got about three hours left in the shift and i need everybody to step up is that
03:20clear
03:21yeah yeah yeah i can't believe they allow you around med students langdon
03:27and pick up any of his bad habits you know the difference between surgeons and serial killers
03:30serial killers don't build their victims you guys staying ahead with his flutes per the parkland
03:35four per kilo times 90 percent burned wow 27 liters over 24 hours he's had two so far
03:42lactated ringers 1.785 liters per hour for the next seven hours i'll program the pump we got a second
03:47iv
03:48hello sir i'm dr garcia need to peek under these dressings are we ready to intubate wife should
03:53be here internet whitaker earlier you said third degree we refer to burns as either being full
04:00thickness or partial thickness looks like 60 to 70 percent full 20 to 30 percent partial intubation
04:05meds 120 rock uronium 100 ketamine gotta draw them up and hold them vitals are good but gonna need
04:10a pan scan after intubation oh my god oh my god no no no teddy i i mean me i'm
04:19teddy's wife how is he
04:20stable for now okay honey okay teddy you've got severe burns covering most of your body you've also
04:27burned the inside of your throat just to be safe i need to put in a breathing tube and you
04:31won't be
04:31able to speak we need to do this now before his throat swells and it becomes difficult for him to
04:36breathe so if there's anything you two want to say to each other this is the time to do it
04:41it's okay i'll be okay
04:46can i kiss him yes of course
04:56ready to intubate push ketamine then rock
05:04okay i will be right back
05:09jane doe looks like she's in her 20s i'll be with aphasia right side of hemiparesis and facial drip
05:14hi what's your name nod your head if you understand
05:18receptive and expressive aphasia no motor strength in the right arm open your mouth
05:25gag reflex present
05:27left motor intact
05:29bp is 150 over 88 where should we go accu check is 73 straight to radiology
05:34ct brain without contrast perfusion scan ct angio head and neck
05:38hey crow anybody yeah
05:40so you didn't get a name on her uh we looked couldn't find a wallet or an id but we
05:45had to
05:45jam out of there because it was a code stroke who called 9-1-1 well apparently jane doe is
05:49a
05:49professional gamer she was a no-show for some big tournament so her teammate in dubai
05:52calls another teammate in houston who called 9-1-1 here
05:55who gets a stroke in their 20s that's what you get to figure out okay come find me after the
06:00scan
06:00results are back
06:06you called the cops on david saunders
06:08i did
06:10mom
06:12harrison
06:13hey hey
06:15are you okay how'd you get here
06:17what's dad
06:20chad ashcroft
06:2139 skateboarding accident
06:23deformity of the right ankle
06:24no loc good vitals got four of morphine on route
06:28skateboarding really
06:29i'm fine by the way
06:31you know this guy
06:33unfortunately
06:36looks trimelular
06:37we need a hospital
06:39you think i want to be in this shithole i told him to take me to presby
06:42you were the closest hospital so here we are
06:45where should we put him on the curb
06:48are you two family
06:49x
06:50x
06:52this is chad harrison's dad
06:56nice to finally put a face to a name
06:59what's open
07:00mckay stay with your kid
07:02let's take this half pipe prince to south 19
07:11hey what's the golden rule
07:13no hospitals
07:14okay let's add
07:15no skating without a helmet ever again
07:18you hear me
07:18yes mom
07:24where's the last time you took a bath
07:28where's robbie
07:29intubating the burn patient
07:33ma'am can you close your eyes for me
07:37robbie it's amira
07:38the endo ct came back
07:40no bleed
07:41but there was a carotid artery dissection left neck
07:44with a thrombocytoro clot to the left middle cerebral artery
07:49okay
07:50got it we'll wait
07:52with no intracranial hammer she might be a tnk candidate
07:55but couldn't tnk cause a brain bleeding killer
07:57tnk is still the best clot busting possibility
08:00um
08:01shouldn't we do endovascular therapy i mean that it's the safest option
08:06what do you call a tyrannosaurus under stress
08:11what
08:11nervous rex
08:13dr king meet dr metha one of our esteemed stroke neurologists
08:18how's the patient
08:19an eye stroke scale of 27
08:21no last known well time
08:24dr metha should we take her to ebt
08:27not yet
08:28take first spin in the mri
08:29check for irreversible damage first
08:31there's a diffusion flare mismatch
08:33she's still in the window for thrombolittance
08:35and she still gets a bt
08:36two for one special
08:40what type of person is best suited to work with an mri machine
08:44a trained technician
08:45someone with a magnetic personality
08:49that one's new
08:53somebody punched her
08:55a patient broke her nose
08:56is she okay
08:57robbie checked her out
08:59sent her to ct
08:59sorry to interrupt the hot goss
09:01but what about me
09:02uh you got some pretty good cuts here sir
09:06we're working on closing them up to prevent infection
09:09yeah can you call in a plastic surgeon
09:11uh the lacerations aren't that deep
09:15medical glue should do the trick
09:16if you have any extra
09:17do you want to maybe apply some to his lips
09:19your son was worried about you
09:22wanted to make sure you were okay
09:24are you okay
09:25yeah totally
09:26just a few battle wounds
09:28uh did you hear
09:29dana got assaulted
09:30what
09:31a patient broke her nose
09:33when can i get out of here please
09:34we're waiting for radiology
09:36to come down with a portable x-ray machine
09:39so we can take a better look at your leg
09:42you'll need a splint
09:43and eventually a cast
09:44oh you hear that
09:45your dad's gonna have a cool cast
09:47big hairy in the house
09:49up top
09:49mateo
09:50i told my dad that we were skateboarding last weekend
09:55so he took me today
09:57and then he fell and broke his leg
10:00yeah i can see that
10:02hey man mateo
10:03hey
10:05ugh
10:07wanna go raid the break room with me
10:09i hear there's a bag of talkies with your name on it
10:12sure yeah yeah
10:14but not too much sugar
10:15this isn't my name it's captain crunch for breakfast
10:17no not anymore
10:18chloe makes me an acai bowl every morning
10:21oh chloe
10:23the gift
10:24that keeps on giving
10:25i already apologize for that
10:28how are those lots coming dr santos
10:30very good
10:31all done
10:32mhm
10:32would go check on radiology
10:34i'll come with you
10:35sooner we get you in
10:36sooner we get you out
10:37thank you
10:48dr mckay
10:50somebody hit dana
10:51i specifically told you to leave teresa saunders alone
10:54and then call the cops on her son
10:55we talked about it
10:56a decision
10:57a decision was not made
10:59so i made it
11:00it was not yours to make
11:01no it was yours
11:02and you didn't do it
11:03i didn't do it
11:04because it wasn't warranted
11:06wasn't it
11:07if teresa left
11:08how are we gonna get david assessed
11:09for his risk to others
11:11i couldn't live with myself
11:12if something terrible happened
11:13yeah well
11:14now the police are involved
11:15so you may ruin this kid's life forever
11:18and what about the girls on this list
11:20are you telling me their safety
11:22their lives are worth less than his
11:25i can live with this one
11:26and now you can too
11:40uh distal tibia and fibula
11:42with an unstable mortis
11:44hold on show us the lateral please
11:47here you go
11:51not two
11:52three breaks
11:53jesus
11:55what so now i gotta cast
11:56uh no a splint
11:58and then surgery to stabilize the bones
12:00with plates and screws
12:01so they can heal properly
12:02oh how long am i gonna be stuck here
12:04that is above my pay grade
12:06gabriel
12:08but you may want to cancel
12:10any dinner reservations you may have
12:12set up for a double splint
12:15posterior leg
12:16and sugar tong
12:17well is that gonna be painful
12:18there may be some discomfort
12:20i assure you
12:21we will prescribe proper pain medication
12:23to provide you with adequate relief
12:26drop a hundred of propofol
12:27fifty of fudge
12:28whatever just knock me out
12:31with pleasure
12:36perla
12:38which of our patients
12:39can we send on their merry way
12:41right um
12:42barry yoga split lip
12:43move from north one to the hall
12:44um walter road rash
12:46with the rat killing dog
12:47south twenty
12:48and vince
12:49uh basketball elbow fracture
12:51outside central two
12:52okay you can run another set of vitals
12:54on crosby's papa
12:54and discharge
12:55you can tell ortho
12:56to get their head out of their ass
12:57and take joelle ambide with them
12:58and you can release yoga berry
13:00but tell him to refrain
13:01from doing any handstands
13:02for at least 48 hours
13:03copy that
13:04go
13:05go
13:05you heard the man
13:08i do not know how dana
13:09does this every day
13:10uh-huh
13:10running the er
13:11is a sisyphean task
13:13so this is a punishment
13:15no
13:15sisyphus
13:16sisyphus pissed off the gods
13:18so they punished him
13:19by making him push this
13:21massive boulder up a hill
13:22for eternity
13:23one must imagine
13:25sisyphus
13:26happy
13:28you're doing great
13:29hey ahmad
13:32is teresa still out in cheers
13:33talking to those cops
13:34yeah
13:34would you do me a favor
13:35just kind of keep an eye on it
13:36don't let her leave
13:37without talking to me
13:38okay
13:38any word on driscoll
13:40i issued an alert
13:41throughout ptmc security
13:42and called the cops
13:44with his home address
13:44from his charge
13:45they want a statement
13:46from daniel
13:46she's in ct
13:47let's
13:49let's um
13:49clear her medically
13:51and then she can decide
13:51when she wants to talk to them
13:53what about other hospitals
13:55you let them know
13:55notify
13:57everyone's on the lookout
13:57for this guy driscoll
13:58thanks a lot
13:59glad you know
14:01the authorities are looking
14:02for this cycle
14:03but
14:04what are you gonna do
14:05to protect the rest of us
14:06violence against healthcare workers
14:07is a national problem
14:08and it's only getting worse
14:09no surprise
14:10there's a nursing shortage
14:11everywhere
14:11i hear you
14:12i hear you
14:12i hear you
14:13i hear you
14:13and it is unacceptable
14:14what the hell kind of circus
14:15are you running back on you
14:17you're like a bad penny
14:18where is daniel
14:19where is she
14:19she's alright
14:20we sent her to ct
14:21to make sure
14:21did you fill out an incident report
14:24i don't know
14:24i was more concerned
14:25with her having a skull fracture
14:27than with your liability
14:28did the guy from the waiting room
14:29get back here
14:30without anyone noticing
14:30wow gloria
14:31what a great question
14:32our hard working nurses
14:33were just asking me
14:34what steps the hospital plans to take
14:35to ensure their safety in the future
14:37maybe you'd like to explain to them
14:38why you've denied my request
14:40for additional security measures
14:41three times in the last four months
14:42if nurses don't feel safe
14:44they're not gonna come to work
14:49first off
14:50the safety of all our employees
14:52do you remember the last nursing strike
14:54yeah that was the real shit show
14:55maybe this is something
14:56our union reps should know about
14:57okay well just take a beat
14:59and remember
15:00that ptmc is a family
15:01come on
15:02dysfunctional family
15:03you should be worried
15:04about the nurse's satisfaction
15:05and the safety
15:06yeah
15:07about everyone
15:08you
15:09rob
15:10robbie
15:13dr robbie
15:13i've got a question for you
15:14shoot
15:15uh we're working on chad
15:16and my team
15:17mckay's ex
15:18he's a nightmare
15:43here's your driver's license
15:44and insurance card
15:45mr buclisi
15:46have a seat
15:47and the triage nurse
15:48will call you back soon
15:49thank you
15:50hello
15:50uh my son he needs help
15:52his eye
15:52let me ask you about your eye
15:54do you see the line you just cut
15:55what no please
15:56it's an emergency
15:57you think everybody's waiting
15:58for manicures
15:59he caught a line drive to the eye
16:00we're so sorry ma'am
16:01uh we thought this was the line
16:02for pediatrics
16:03i'm sixteen
16:06i'm doing this because you're a minor
16:07and you have manners
16:08thank you so much
16:09name and date of birth
16:11every young
16:11december 7th 2008
16:13i'll get your insurance information
16:14from your father
16:15take a seat
16:15what no we're not waiting
16:17show her
16:18show her
16:23okay then
16:23come around to the double door
16:28is your next to place on deck
16:29all set
16:30she's 62 kilos
16:31.25 per kilo
16:32is 15.5 million
16:33push over 10 seconds
16:35status
16:35diffusion flare mismatch
16:37means she's less than four hours into it
16:38getting tnk now
16:39sounds great
16:39would you mind hanging down here for a bit
16:41i could use your expertise on this
16:42can't believe you have the nerve to ask
16:44good one
16:45okay keep me posted
16:4950 on board
16:50anything i can do to help in here
16:51no i'm pretty good
16:54how are you doing
16:57not as good as you apparently
16:59push another 25
17:00wet the sponge now please
17:03you can help lift his leg
17:04for the splint
17:06and we're at 75
17:10when we lift his leg
17:11it's really gonna hurt him
17:12but he won't remember
17:14benefits of propofol
17:15hall socks 99
17:16good end title co2
17:20hey chad
17:21chad
17:25perfect
17:26let's do this
17:33you feel sad
17:36uh don't worry
17:38we'll have you fixed up
17:39good as new
17:40what does he have
17:42that i don't have
17:45i mean sure he's younger
17:47than that hair
17:51who
17:53mateo
17:57what's his story
17:59anyone
17:59is she having sex
18:02with him
18:03well if she isn't
18:05she probably should
18:11who do we have the pleasure of meeting this afternoon
18:13everett young 16
18:14took a line drive to the left eye
18:16tacky at 118
18:17four of morphine
18:19four of zofran
18:19excuse me
18:23it was easily 100 miles per hour
18:25did she pass out
18:26uh no ma'am
18:28baseball's a fun activity
18:29you any good
18:29any good
18:30he's got a 95 mile an hour fastball
18:33a 12.6 slider
18:34a .94 er8
18:36and he's a southpaw
18:37what's that
18:39that's a future Cy Young
18:42i didn't know what that is either
18:43miss Javadi is a student doctor
18:45she's a bit of a prodigy herself actually
18:47do you mind if she helps out
18:49no ma'am
18:50okay
18:52tell me how many fingers i'm holding up
18:53um
18:56i can't tell
18:57oh my god
18:57oh my god
18:59okay tell me when the light turns on
19:01um
19:04now
19:05light perception only
19:07do you want a portable slit lamp
19:09definitely yeah
19:10Javadi what do you think of the anterior chamber
19:12hyphema
19:12exactly
19:13grade four
19:14you have meaning
19:17Javadi
19:17meaning blood is filling up the front eye chamber
19:19he'll need an emergency evaluation by ophthalmology
19:21is that why he can't see
19:23that's part of it
19:24yeah
19:24you see how the eye is pushing out
19:26there seems to be a collection of blood behind the eyeball
19:29the eye pressure's too high we have to act quickly
19:31okay well check the pressure
19:32going to right now
19:33can you look at Robbie
19:41look like you were
19:42having a pretty
19:44intense conversation
19:45with Robbie earlier
19:46everything okay
19:48um
19:49there's nothing
19:51nothing
19:52okay well not
19:53nothing
19:53but nothing for you to be concerned about
19:56an intern has a problem around here
19:58they come to the senior resident
19:59not in the attending
20:03he is my attending
20:04and I wanted his input on a patient
20:06is that not okay with you
20:09just um
20:12come to me
20:12first
20:13next time
20:15got it
20:16yeah
20:17got it
20:25you a junior
20:27yeah
20:28you thinking about college
20:29I have some D1 interests
20:32where'd you go to college
20:33uh pit
20:34for undergrad
20:35now med school
20:36you want to leave town
20:37look up at the ceiling
20:38for some dumping drops
20:39it's not exactly an option
20:42to live anywhere but home
20:42when you go to college
20:43at 13
20:45wow
20:45add some drops
20:46to the fluorescein strip
20:48I was thinking about California
20:50maybe UCLA or USC
20:51still
20:52hey maybe you go straight
20:53to the majors huh
20:54college can wait
20:56I don't know
20:57I do
20:58Ev's got a God-given gift
20:59that's why we spent
21:00every weekend
21:01doing travel ball
21:02when he was young
21:02pro camp
21:03showcases
21:04he's not throwing away
21:05a shot at the majors
21:06uh
21:07we have to check
21:08for the puncture
21:08before we can measure
21:09the pressure
21:10look straight ahead
21:11and try not to move
21:12your eyes okay
21:13yes ma'am
21:13lights going out
21:15hello
21:15I'm Dr. Rabinovich
21:17everybody calls me
21:18Dr. Robbie
21:19hey Greg Young
21:20this is my boy Ever
21:21nice to meet you both
21:22okay
21:22I will take that slit lamp
21:23and you can
21:24calibrate for telemetry
21:26okay
21:26they're holding CT for him
21:27let's take a look
21:29negative side out
21:31no glow rub sure
21:33okay
21:33go with the tonkin
21:35hold still
21:36okay
21:42left eye pressure 58
21:44is that high?
21:46yes it is
21:46one percent lighter
21:47with epi
21:47push one over said
21:48and open a lateral
21:48canthotomy tray
21:49excuse me
21:49what without a CT
21:51isn't that
21:52exactly what the patient
21:53needs
21:53yes it is
21:54Dr. McKinney
21:56okay
21:57uh we're gonna
21:58lie you back
21:59little Everett
22:00okay
22:00we need to do
22:01a little minor surgery
22:03to relieve the pressure
22:04behind your eye
22:05so we're gonna cut
22:06a small opening
22:06on the side of your eye
22:07not in your eye
22:08got it
22:09yeah
22:09you wanna watch
22:11no I'll sit down
22:14your body
22:15step up so you can see
22:17Dr. McKay
22:18Chad is splinted
22:19and is awaiting ortho
22:20for surgery
22:20taken
22:21thanks for the appetite
22:23first I'm on board
22:25numbing medicine here
22:27okay
22:27okay
22:28pinprick
22:29and some burning
22:32ouch
22:33what is
22:34Dana gonna be okay
22:35it's gonna take
22:36more than a punch
22:37to the face
22:37to keep that mama
22:38down
22:38she's tough
22:39yeah
22:41um
22:43I'm sorry
22:44to bother you
22:45um
22:47I
22:47I just wanna make
22:49sure that Teddy's
22:50not in any pain
22:51oh he's heavily
22:53sedated
22:53he can't feel a thing
22:55right
22:55it's just that
22:56when I look at him
22:57I just
22:58I just feel so helpless
23:02look his uh
23:03CT scans
23:04came back negative
23:05for internal injuries
23:06he's on IV therapy
23:08to replace any lost fluids
23:09I assure you
23:11we are doing
23:11everything we can
23:12to give him
23:13the best treatment possible
23:14thank you
23:15yeah
23:16Teddy's ring
23:19um
23:21I had to
23:22cut it off
23:23because of the swelling
23:26hopefully you can find
23:27a good jeweler
23:27to fix it
23:29I don't know
23:29how it works
23:36um
23:40do you have a best friend
23:42doctor
23:43oh it's uh
23:45another year to go
23:46so you can call me doctor
23:48uh you can just call me
23:49Whitaker though
23:50do you have a best friend
23:52Whitaker
23:54um
23:56I have
23:57three older brothers
23:59guess they're
24:00kind of my best friends
24:02they kind of
24:03tortured me growing up
24:04so maybe not
24:04but
24:05yeah
24:08Teddy's been
24:08my best friend
24:09since we were 15
24:11high school sweethearts
24:13we were just
24:14a couple of
24:15nerdy Aggies
24:16who uh
24:17we met in 4-H
24:19and we fell in love
24:21I'm sorry
24:22no it's fine
24:23I'm a
24:24third generation
24:25Nebraska farm kid
24:26myself
24:27get out
24:28well if you're ever
24:30homesick
24:30you should uh
24:31you should come by
24:33our farm sometime
24:35that's very kind
24:37I need some help
24:39in here
24:42what's going on
24:43respiratory distress
24:44sats are dropping
24:4587%
24:46lung injury
24:47from the fire
24:47it's not just
24:48the low sats
24:49events showing
24:49high peak pressure
24:50low tidal volume
24:51uh
24:52restrictive pattern
24:53most likely
24:54I'll grab Ravi
24:55and LinkedIn
24:55wait wait wait
24:56what's that
24:57what's going on
24:58ventilator is having
24:58trouble pumping air
24:59into Teddy's lungs
25:00uh burnt skin
25:01loses elasticity
25:02now his chest wall
25:03is too tight
25:03well what can you do
25:04we're gonna have
25:05to cut the burnt skin
25:06um
25:06release pressure
25:08on the chest wall
25:09help Teddy breathe
25:10so after you cut his eye
25:12see you again
25:13this will give us
25:14our best shot
25:15at preserving his vision
25:16yes
25:16Dr. McKay
25:17are you ready
25:18to do the honors
25:18who me
25:21we are a teaching hospital
25:23are you still here
25:24to learn
25:25yes
25:25yeah
25:32okay
25:34you can
25:35release that
25:36hemostat now
25:40I was scissors
25:44the length
25:44of the crushed area
25:45is going to be
25:46your guide
25:46for the length
25:47of your cut
25:50good
25:51do you have
25:52forceps
25:59feeling for the inferior
26:05and superior
26:06cruise
26:07how can you see
26:08with all that blood
26:09you can't
26:10it's all tactile
26:11it was like
26:12two guitar strings
26:14missing bomb
26:23inferior
26:23yeah
26:26and
26:28superior
26:29nice
26:30good
26:33that's a lot of blood
26:34okay let's get a repeat pressure
26:35it's getting a lot brighter
26:40pressure of 18
26:43perfect
26:44CT can take him
26:44as soon as we dress the wound
26:46page ophthalmology
26:47and tell him to prep for surgery
26:48doc thank you
26:49thank you
26:50my pleasure
26:50my pleasure
26:51good luck to you Everett
26:53hey
26:55thanks for letting me do that
26:57you sound surprised
26:59yeah I figured
27:00after the whole Teresa thing
27:01you might bench me
27:03am I still pissed
27:04that you might be on my back
27:06absolutely
27:06and if you ever do it again
27:08you can bet your ass
27:08that I will bench you
27:09but this is a teaching hospital
27:11and teachers can still learn stuff
27:14I
27:15saw a sad
27:16confused boy
27:17and
27:18that's all I thought about
27:19I did not think enough
27:20about those girls
27:25any word on Dana?
27:26she should be coming back
27:27from CT soon
27:28burnt victims tank
27:29and we need you
27:30oh my god
27:30I can't wait for this shift
27:31to be over
27:37hey
27:39bud
27:39you doing okay?
27:40yeah
27:41I'd say you hooked me up
27:43yeah I can see that
27:46how's dad?
27:49he's gonna need surgery
27:50but he's gonna be okay
27:54you know I was thinking
27:56since your dad's gonna be laid up for a while
27:58maybe you'd want to stay with me
28:00until he gets better
28:02for real?
28:04real
28:05what do you think?
28:12I think that is yes
28:15this procedure is called
28:16mescarolamia
28:17we need to cut the skin
28:18so that the chest wall
28:19can expand
28:20that sounds painful
28:21Whitaker?
28:23he's still heavily sedated
28:25he won't feel a thing
28:27this is gonna help
28:27Teddy breathe
28:30so that's 83
28:31peak pressure's 40
28:33tidal volume's
28:33only 300
28:34I want you to watch
28:35Dr. Langdon
28:36as he makes this
28:36vertical incision
28:37then you're gonna do
28:38the exact same thing
28:39on your side
28:39and follow his instructions
28:40I'm sorry
28:41I just I don't think
28:42I can watch it
28:42Jordan with you
28:46start
28:47at lateral clavicle
28:53down
28:55interior axillary
28:58and lower rib margin
29:01the tissue's really popping out
29:03which illustrates what?
29:04the pressure underneath
29:06your turn
29:09here it goes
29:14a little more pressure
29:16yeah
29:16you make a decisive incision
29:17when you get through
29:18the S gun
29:18into sub-Q
29:20go back a little deeper
29:22on that first section
29:22okay
29:25yep
29:27yep
29:28good
29:28looking good
29:31okay
29:31now the horizontal incision
29:33Dr. Langdon
29:35and
29:38connecting the two
29:40incisions
29:45that ought to do it
29:46peak pressure
29:47peak pressure's already
29:47down to the 30s
29:48and tidal volume
29:49is coming up
29:50so that's 91
29:51that was wild
29:53we'll stress these wounds
29:55and send off a blood gas
29:56well done
29:56and very well taught
29:59Dr. Langdon
29:59thank you
30:12you think
30:12you think
30:13Coley's will still be open
30:13by the time we get off
30:15no
30:16no
30:17damn
30:17I was hoping to surprise
30:19Abby and the kids
30:20grow up some salmon for dinner
30:21mmm
30:21such an adrenaline junkie
30:24what'd you call me?
30:26your ice plunges
30:27marathon man
30:28surprise
30:29here's a dog
30:29surprise
30:30here's some salmon
30:33pissed in your cornflakes
30:35oh
30:35oh
30:36what did I touch a nerve?
30:38you're regretting buying that dog
30:39aren't you?
30:40bogey bogey
30:41you're so scared
30:42oh
30:42see
30:43you're like this
30:44it's just a long time
30:46they're very sexy
30:48ew
30:49I don't
30:50oh
30:50Robbie
30:51Dana's CT results
30:52you're back
30:52no cranial hemorrhage
30:54no skull fracture
30:55non-displaced nasal fracture
30:57but the rest of the facial bones
30:59look intact
30:59any hemorrhaging into the sinuses?
31:02nada
31:02great
31:03we could really use her back on the floor
31:05hmm
31:06what?
31:07I'm just saying
31:09mind if I give her the good news?
31:11no
31:11go for it
31:11and anything else she needs
31:13I got it
31:21about the whole thing with Santos and the seizure patient
31:26what about it?
31:28I'm sorry for laying into her so hard
31:34why do I feel there's a butt coming?
31:36but I don't think she's a team player
31:39how so?
31:40she's cherry picking cases
31:42she gave Whitaker a shitty nickname after his patient died this morning
31:46she's even harassing Jabadi to get a rent from her mom for surgery
31:50if she wants to be in surgery what's she doing in the ER?
31:53that's a great question
31:54why don't you ask her new BFF Garcia?
31:55Mia, I know that you've seen those two
31:58I'm the only one calling her out so she has an axe to grind
32:03you've always said
32:04that being in the pit
32:05is like playing a team sport
32:07a team has to be able to trust each other
32:09if we have one weak link
32:11this whole place goes to shit
32:15good meeting
32:23call Zosie and family med
32:24they open up their urgent care of five
32:25let them never send it up to two honky kids
32:27yep, Zosie and family med
32:29okay, copy that
32:31Anna, please check in on Earl
32:33poor thing got caught in the crosshairs
32:34so that mom fighting me would bring him another sandwich
32:36yeah, okay
32:38no egg salad
32:40Dana, I got you
32:41okay, rest up, bud
32:43can take the girl out of the ER
32:44but you can't take the ER out of the girl
32:47old dad was die hard
32:48let me take a look
32:52whoa
32:53she's a real beauty, all right
32:55but your CT came back clean
32:58nothing Mother Nature can't heal on her own
33:00too bad
33:01hoping for a free nose job
33:03probably get hazard better
33:05two for one
33:17you know
33:19you're clear to go back to work if you want
33:22or home
33:25not ready yet
33:28yeah
33:28no
33:30got a lot to think about
33:35a pretty fucked up day
33:39what do you call
33:40a group of brains
33:41who form a singing group
33:43what?
33:44a glia club
33:45oh
33:47good one
33:48keep me posted
33:49if there are any changes
33:52um
33:53what's with Dr. Mehta
33:54and the
33:55the jokes
33:58you know why they say laughter is the best medicine
34:01because it's true
34:02laughter releases endorphins
34:04endorphins help relieve pain
34:08um
34:08so
34:09what
34:09Dr. Mehta thinks that
34:11if a joke helps raise spirits
34:13and makes people feel better
34:15then he's all for it
34:16it's his special sauce
34:18um
34:19do you have a special sauce?
34:20I'm pretty data driven
34:22but
34:22I really like to talk to my patients about their lives
34:26makes them feel important
34:30she's waking up
34:33how are you feeling?
34:36oh
34:36are you
34:37trying to say okay?
34:40yes
34:40the thrombolytics are working
34:43um
34:43can you uh
34:44lift your right leg for me?
34:47that's okay
34:47um
34:48try moving it from side to side
34:51can you
34:52tell us your name?
34:55uh
34:57oh um
34:58maybe you can type it out on the screen
35:02hmm
35:07Vera?
35:09okay uh
35:10what's your last name?
35:15Malahi?
35:18well hello
35:19Vera Malahi
35:23hey
35:24oh
35:24chance of
35:25a little
35:25piece of work
35:27appreciate you dealing with him
35:28you know
35:30it was actually
35:31kind of fun
35:34I did not have that
35:35on my bingo card
35:36well
35:36you know
35:36patients under propofol
35:38are always a good time
35:42yeah
35:43what did he say?
35:45I mean
35:46nothing to worry about
35:47unless
35:48you're concerned
35:49he still has a thing for you
35:52well please
35:53euthanize me
35:54if I ever even consider it
35:58but you know
35:59if I could go back
35:59I wouldn't change a thing
36:01without Chad
36:02I wouldn't have Harrison
36:03you're very lucky
36:06you know right
36:09alright
36:09thanks again
36:12I was getting ready to take her up
36:14when she developed angioedema
36:15and her fats dropped
36:17little bit of stridor
36:20swollen lips
36:20swollen tongue
36:21Vera
36:21this is a side effect
36:22of the medication we gave you
36:24sets her up with high flow nasal
36:25it's anaphylaxis
36:27it's anaphylaxis
36:27get Robbie
36:27angioedema
36:28is not always anaphylaxis
36:29I know
36:30but it can progress to it
36:31and cause an obstruction
36:32if it's just angioedema
36:33I can reverse the swelling fast
36:35with IV epi
36:35BP is 165 over 85
36:37prep ketamine and rock
36:39for intubation
36:39wait wait
36:40Dr. Mohon
36:41you just said
36:41we're not intubating yet
36:43but she's gonna rest
36:44what happened
36:46angioedema with stridor
36:47respiratory's on their way
36:49we should intubate
36:49right
36:50good BP and O2 sats
36:51epinephrine
36:52can reverse the swelling
36:52right away
36:53I pushed 10 mics of IV epi
36:55starting her drip at 5 cc's
36:565 mics per minute
36:57sats are holding at 95
36:58on high flow BP is good
37:00Vera
37:00we're gonna sedate you
37:01so that we can
37:02help you breathe better
37:03or not
37:03let's just wait a minute
37:05how'd you get that epi drip
37:06hung so fast
37:06bedside drip
37:07I mix 1 milligram
37:08with a liter
37:09nice
37:10are we intubating
37:11are we not intubating
37:12not
37:13stridor is improving
37:15is it getting easier to breathe
37:18speech is coming back
37:2050-diphanhydramine
37:21125 solimedrol
37:24do you think dr. meta
37:25will want her intubated
37:26for the thrombectomy
37:27not necessarily
37:28if she can talk
37:29and move during the procedure
37:30then they can monitor
37:31any changes in the neural exam
37:34slow mo
37:34no mo
37:36sorry
37:36I think dr. meta
37:37is rubbing off on me
37:40we're taking him up
37:41to our burn unit
37:42he'll be in great hands
37:43they've had
37:43lots of experience
37:44with cases like Teddy's
37:45what now
37:47we
37:48will continue
37:49with IV fluids
37:51and pain meds
37:52will support his breathing
37:53with the ventilator
37:54and we'll keep his wounds clean
37:55look for any signs of infection
37:57then later the plastic surgeons
37:59can do skin grafts
38:01he's gonna be okay
38:03Teddy's condition is very critical
38:04so no promises
38:06but our team is gonna do
38:06everything they can
38:07to give him the best chance possible
38:10I'll make sure to stop by the ICU
38:12check in on both of you
38:14I can't begin to thank you enough
38:15dr. Whitaker
38:16oh uh
38:18student doctor
38:22oh uh
38:23don't forget about dinner at the farm
38:26and uh
38:26make sure to brush up on your diaper changing skills
38:29with seven nieces and nephews
38:31I'm a diaper genie
38:32so
38:36you know you just called yourself a trash can right
38:39before you grab your next patient
38:41um
38:42call Chiara
38:43have somebody go upstairs
38:44and talk to the wife
38:46Amy?
38:46why?
38:47we wanted to give her hope
38:48but the reality is
38:49her husband's not gonna make it
38:51he's stable
38:52his chance of dying in the next week
38:53is over 90%
38:56he's young
38:56he's strong
38:57maybe he's the 10%
38:59maybe
39:00but he's a lot more likely to die of sepsis
39:01before his kid is born
39:03call Chiara
39:12the CT shows a hairline orbital floor fracture
39:15but thanks to the kinthotomy
39:17the hematoma
39:18as I'm pushing on his eyeball
39:19will I be able to see?
39:22that's why you need surgery
39:24the ophthalmologist will drain the blood
39:26inside the front of your eye
39:27and replace it with the clear fluid
39:28you need to see
39:29okay
39:30we're ready for you now
39:32hey
39:32hey hey
39:32don't worry bud
39:34alright?
39:38so
39:39so he has the surgery
39:40stays overnight
39:41he goes home tomorrow?
39:43it depends on how the surgery goes
39:44and what his post-op results are like
39:47give or take
39:48he could be
39:49as soon as tomorrow
39:50yeah
39:51okay
39:53so he could be
39:54could be game ready by Thursday
39:56yeah
39:58sir your son is
39:59freaking out
40:00because he may never see out of his left eye again
40:02yeah
40:03no no forget baseball
40:04and just be his dad
40:07gotta keep it so fucking awkward
40:11uh there's a waiting room up by surgery
40:14sixth floor
40:15right off the elevator
40:16you can't miss it
40:17and your edema responded to epi
40:19diaphanhydramine and steroids
40:21excellent
40:31which neurotransmitter makes the best at ease of
40:34i don't know
40:35glue to me
40:36glue to me
40:38am i right?
40:39nicely done dr king
40:43you know this really quick thinking back there
40:45i'm really sorry if it seemed like i doubted you
40:48i didn't
40:49i just
40:49honestly
40:50i surprised myself a bit
40:52yeah
40:54we trusted your gut
40:55maybe that's your special sauce
40:58maybe
40:59um
41:00dr mohan
41:02what if i don't have special sauce?
41:05of course you do
41:07just be yourself
41:08we'll come
41:18so
41:19now might be a good time to go through some doctor patient or action guidelines
41:23sorry that that was just such an ass
41:27sorry
41:28look
41:29do i think you needed to chill out a little bit?
41:32but
41:33he's a parent
41:34and this might be his way of coping with the stress of
41:36a very frightening situation
41:38i'm sorry
41:39i don't know what came over me
41:41no i do
41:42you and that baseball kid are two pressure cooker prodigies in a pod
41:47just
41:48as physicians
41:49we gotta learn to keep our emotions in check
41:51and not let our personal experiences interfere with our professional responsibilities
41:56how long did it take you to learn that?
41:59i'm still learning
42:00and i also learned to never get on your bad side
42:04yo yo yo
42:06hey
42:06almost quitting time
42:08i so appreciate you helping me out with harrison
42:10and my douchebag ex
42:12yeah we all have him
42:13yeah
42:14oh
42:16totally
42:16me too
42:17me too
42:18yeah
42:20i'm always happy to help
42:22yeah
42:23so i get off in a couple hours
42:24do you mind just doing a loop every once in a while to make sure he's not bringing the place
42:27down?
42:27can do
42:28and you know a new foot massage place just opened in the strip district so you wanna go on sunday?
42:33for sure
42:33okay cool
42:34i have free sunday
42:36um
42:36to help or just to
42:39yeah whatever
42:39wherever
42:40oh my god
42:41i mean harrison would love a sitter closer to his own age
42:45i
42:45i'll get your number and text you the address
42:47that's awesome
43:15thank you
43:18look sure
43:18that's the rhythm of the place off
43:20understood
43:21my duty
43:23regardless of personal relationships is to make sure everybody on my team is doing okay
43:28so
43:30are you doing okay?
43:33uh
43:34it's not a big deal
43:36i can handle it
43:39handle
43:39what?
43:42nothing
43:43it
43:44it's fine
43:45i
43:45i don't wanna get anyone in trouble
43:53okay
43:54if there's anything
43:55anything
43:56that could affect my er
43:58i need to know about it
43:59and you have a responsibility to tell me
44:11hey
44:12hey
44:12did they catch the bastard who sucker punched you?
44:15i haven't heard
44:16well when they do
44:18just send them to me
44:20i could make it look like an accident
44:24let me just take you up on that
44:29you've been paroled
44:33are you sure?
44:34yep
44:34oh
44:35okay
44:36yeah
44:37okay
44:37yep
44:38go check on marner
44:40got a sec
44:41bless you
44:42for you boss i got two
44:43what's up
45:01i heard there's been some inconsistencies with meds intended for your patients
45:06what?
45:10frank
45:11have you been helping yourself to benzos from the ER?
45:14yeah i've been stealing blood too
45:20i asked you a question
45:22wait are you serious?
45:25what are you doing?
45:28really?
45:30santos
45:32whatever the hell she told you is bullshit
45:36i didn't mention santos
45:37you didn't have to
45:39i told you
45:41she is trouble
45:42have you ever taken
45:44a patient's medication?
45:46this is insane
45:46this is completely fucking insane
45:48i need you to open your locker
45:49yeah right
45:50open your locker
45:50you're gonna remove
45:52open your fucking locker
45:53or i will have security smash it open
46:16is the imprint code on these pills gonna match louise librium?
46:28go home frank
46:29no no
46:30it's not like you think
46:31you remember
46:32whenever i helped my parents move
46:33i was too cheap to pay for movers
46:35i hurt my back
46:36i told you that
46:37you teased me about it
46:38remember
46:38well our own
46:39dr hagan prescribed me some pain meds and muscle relaxes
46:43i was just weaning myself off
46:44it was just for maintenance
46:44i'm done
46:45robbie
46:45come on
46:46you know me
46:47robbie
46:48you know me man
46:48i'm sorry
46:49i fucked up
46:50i just
46:50i was trying to
46:51i don't know what
46:52steal pills
46:52no
46:53it's not like you don't understand
46:54i don't fucking understand
46:55it's not like you think
46:56i'm not high
46:57i'm not high
46:58you've seen what i do robbie
47:00could a drug addict do what i do?
47:05apparently
47:08and i just fucking let him
47:12you're done
47:14leave now or i will have a ma to escort you out
47:17robbie
47:18please
47:20you are done
47:25what?
47:28what?
47:30what?
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