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The.Pitt.S02E01.540p.X265.AAC [Full Movie] [English Subs]Full EP - Full
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00:23You are close to me
00:30And I'm thinking of the time we spent together
00:34Now it's in my backyard
00:40Sometimes I sit and wonder
00:45If I'll ever tell your number
00:51Cause I'm having fun
00:53Looking out when I'm on
00:56Doing all the things I like to do
01:02I'm having fun
01:04Cause I knew it all along
01:07Would be better off without you
01:11I used my cast off
01:16As soon as you parked that outside
01:18Morning doc
01:18Olsen
01:19Happy 4th
01:20See you guys
01:21Sorry
01:50Hey how's it going dad
01:52I'm so sleep deprived
01:53My house is starting to feel like a CIA black site
01:55If you consider hiring a night nurse
01:57You're looking at him
01:58You got a ripe one coming in
01:59You're going to have to deal with
02:00Before everybody out there starts puking
02:01Lovely
02:02Your replacement came in early
02:04She brought in a full bagel spread
02:05I'm just saying
02:06She's not my replacement
02:07She's just covering his chief
02:08While I go on my little sabbatical
02:09Three months
02:10I'll be back before your daughter
02:11Sips in the night
02:12Hey dude
02:12That's cold
02:13Morning
02:14Morning
02:30Morning
02:30Morning John
02:30I could have sworn it was still around 4am
02:33Did you guys have an easy night last night?
02:35The waiting room actually looks manageable
02:36I wouldn't call it easy
02:38But not too bad
02:39I figured we'd have hands and burns down here a bunch
02:41But so far nobody's blown off any fingers
02:43Oh you know you just jinxed
02:45You guys and your jinxes
02:46Please Jesus please
02:47Hail Mary again
02:49In the sanctified flesh
02:50Don't let me die alone
02:51Just try to relax Margaret
02:52I need a priest
02:54Hey hey Dr. Robbie
02:55What's the good word Perla?
02:57All your results came back normal Mrs. Walker
02:59I'm dying
03:00You're not dying Mrs. Walker I promise
03:01Jesus is coming for me
03:03If he is he hasn't checked the net registration yet
03:05Please don't let me die a sinner
03:06Don't worry Margaret
03:07We're going to have the hospital chaplain
03:09Come and see you in a moment
03:10I'm not going to last that long
03:11Yes you will
03:12Because we're going to give you a shot
03:13To keep you alive until they get here
03:15What are you thinking Dr. Abinovich?
03:17500 mics of cyanocobalamin?
03:18In her condition I push a full thousand
03:20Woo
03:21You heard the man Perla
03:23God bless you
03:24God bless all of you
03:26Amen to that
03:29Nothing like the miracle healing powers
03:31Of a good old B12 shot
03:32She hold down a job
03:34She doesn't
03:35She's wearing a waitress uniform
03:37Yeah from a diner that closed 20 years ago
03:41And so it begins
03:43My husband is still waiting to see a doctor
03:46I apologize for the wait
03:47But here are two doctors just for you
03:49Mr. Burgess has been complaining of leg cramps for a day
03:52Slightly tacky at 110
03:54BP 128 over 75
03:56Afebrile
03:57Good stats
03:57I'm Dr. Shen
03:59But I'm going off shift
04:00Dr. Abinovich will be one of the doctors looking after you
04:02What other medications are you currently taking Mr. Burgess?
04:05I brought his meds
04:08Thank you
04:09These are his supplements
04:11Mostly all natural and organic where possible
04:13And these are his homeopathic prescriptions
04:15I also have a list of his refrigerated probiotics
04:19Thank you
04:23Where the hell is everybody?
04:25Our new attending is torturing our intern and med students in trauma one
04:29She came in early to meet the night shift and took things over
04:33Okay
04:33That takes giant balls of disrespect
04:35Giant balls of disrespect was the name of my band in high school
04:38And my nickname for my ex-husband
04:41Hey
04:42Hey, uh
04:42Is this your last shift?
04:43For a while, yeah
04:44Oh, I'm so jealous
04:47Hey, I'll pay you a grand if you take my second husband
04:50Tempting
04:51So
04:52Tell me about this new attending
04:53Uh, she's pretty
04:55Divorced
04:56One kid can already tell she is a strict rule follower
04:59I'm probably going to grow to hate her
05:01What's her name again?
05:02Dr. Buran Al-Hashimi
05:04Al-Hashimi?
05:06What is that?
05:08Irish
05:10She's some sort of clinical informatics expert
05:12When she started talking about AI
05:14I started thinking about robots
05:16And kind of stopped listening
05:18Clear
05:19Off the chest, Ogilvy
05:21Get ready to step up here, Joy
05:22Ogilvy, off the chest
05:24Clear
05:26Still VTAC, but it looks weird
05:28Agreed
05:28No pulse
05:29No effusion
05:30Good lung sliding
05:31Hey, start compressions, Joy
05:32We haven't considered all of the T's
05:34I checked for tamponade and tension pneumo
05:36What if it's thrombosis?
05:36If it's a pulmonary or a cardiac clock
05:38T and K could save it
05:39We are sticking with the algorithm for now
05:41Algorithm's not working
05:42Faster and deeper, please
05:43Uh, you need a break, Joy?
05:45No, I need an attending
05:46I'm right here
05:49Stop compressions
05:50We're calling it
05:52Sorry
05:52The patient's dead
05:57All right
05:58Who can tell me what went well?
05:59We followed the VTAC algorithm
06:01We checked for reversible causes
06:02We limited our rhythm in pulse checks
06:04To ten seconds
06:05Excellent
06:05Should we have given thrombolytics?
06:07No
06:07You should have recognized
06:08That the cardiac rhythm on the monitor
06:09Was polymorphic
06:11Not just VTAC
06:12It was torsade de point
06:14That's French
06:15Twisting up the points
06:16From prolonged QT
06:17Anti-arrhythmic electrolyte disorders
06:19Your patient would have lived
06:21If you pushed magnesium sulfate
06:22Good news is
06:23He's an organ donor
06:24Parts of him we're gonna get used
06:26To make frisbees
06:27Water bottles
06:27End up as microplastics
06:29In our brains
06:29And reproductive organs
06:30Thank you for the words of encouragement boss
06:32Dr. Alashimi
06:32Dr. Michael Rabinovich
06:33Everybody calls me Rami
06:34Pardon please
06:35Welcome to the pit
06:37Yeah
06:37Tom is a minute up
06:38Ooh
06:39Who wants to treat a real patient?
06:40Yes please
06:41Things gonna give me nightmares
06:45I hope you don't mind me
06:46Jumping right into things
06:47I find that a mock code
06:49Is a great way to assess
06:50The students capabilities
06:51Well
06:52It might have been nice
06:53If we'd had a little time
06:54To go over how we do things
06:55Did you not get a packet
06:56From Dr. Underwood
06:57Gloria
06:58It outlined the quality improvement changes
07:01I instituted at the VA
07:02We're adopting the program
07:03At all of the university hospitals
07:05You didn't read it?
07:06No I did
07:07I mean I will
07:08I'm going to
07:08I want to
07:09I thought I had a little bit more time
07:11Before you came in today
07:12We've already distributed
07:13Patient passports
07:14To everyone at registration
07:16What is a patient passport?
07:18So glad you asked
07:21Samira
07:21Dr. Al
07:22We worked together at the VA
07:24A few years ago
07:25And now you're in R4
07:26Yes
07:27And I'm so excited
07:28You're joining us
07:29Dr. Mel King is here too
07:30I think you worked with her as well
07:32I did indeed
07:33John Doe
07:34Dishwasher penetrating trauma
07:36From a kitchen knife
07:36To the right chest
07:37Salter accident?
07:38Unclear
07:39Initially had a pulse
07:40Lost it two blocks away
07:44What do we got party people?
07:46Dr. Yolanda Garcia
07:48Trauma surgery fellow
07:49Meet Dr. Baran Alashimi
07:51New ED attending
07:52She's going to be covering for me
07:53While I'm gone
07:54So nice to meet you
07:55That time they replaced you
07:56Rabbit bitch
07:57I'm going to miss you too
07:58YOLO
07:59Dr. Garcia has a hard time
08:00Expressing your feelings
08:01Not all of them
08:02One
08:03Two
08:04Three
08:06Prefer a laparocotomy
08:07I'm on it
08:09What's up boy chocolate?
08:11Did you know
08:12Our farm boy here
08:14Is a vintage funk freak?
08:16Unfortunately
08:16He also likes to use
08:18Other people's toothbrushes
08:19There's one time
08:19They were the same color
08:21What's your plan Samira
08:24Chest tube to the right
08:25Standby with master
08:26Transfusion protocol
08:27I put two units on the infuser
08:28Stare web six and a half
08:29Here we let the fellows
08:30And the residents
08:31Kind of take charge
08:32I'll hold on to them
08:33Just in case
08:34Is the VA even a trauma stand?
08:37Not for medic runs
08:39But they walk in
08:41Falls
08:41Major MBCs
08:43GSWs
08:45Stab wounds on the right
08:46Why are we opening
08:47The left chest?
08:48Better access if it's tamponade
08:49And you can cross clamp
08:51The aorta
08:52Giovanni, Whitaker
08:53Stare gloves
08:54Can I glove that?
08:54That's best if you
08:55Watch the first one
08:57This guy's dead anyway
09:01Sunblade
09:0228 French on a long pillie
09:05Giovanni, you're on section
09:06Whitaker, get ready
09:07For internal compressions
09:11Sorry, that's my phone
09:15Finished out of a tractor?
09:16Whitaker, give me a little room
09:18I need to get to his heart
09:19I'm in
09:19Hook up the thoracic seal
09:22Tommy, you get that for you?
09:23Not right now
09:34Good tamponade
09:35Pretty dry in here
09:38Heart's empty
09:39Somebody start cardiac massage
09:40I'll cross clamp
09:41Yeah, I got it
09:41You do these one-handed
09:43Pushing up against the breastbone
09:44Four fingers
09:45Very good
09:46Not much blood to suction
09:47Okay, team
09:48I can really
09:48Next steps
09:50Keep transfusing
09:51Open the right chest
09:51That is correct
09:52Booties on kids
09:53There will be blood
09:56Frank
10:00Landis
10:03Frank
10:12You should be good
10:13You should be good to go now, hon
10:14Thanks, Lupe
10:15Of course
10:16Hey, go get them
10:21Hey, dog
10:23It's been a while
10:27I got a bad toothache today
10:31We'll take care of that, Lord
10:33All right
11:00You got a couple fingers
11:07there's too much blood suction uh we're tracking the lung try to identify the source
11:13could be the right ventricle or more likely the highland fresh law pads
11:19siri turn on silent mode
11:36so
11:59sir
12:14good morning it was a good morning i'd still be in bed
12:17so what are you doing here ventry's mom is visiting for the holiday she's still alive
12:21what was to mean to die plus who else is going to get this place to the fourth of july
12:25weekend
12:25sure as hell ain't gonna be me i rest my case what am i walking into nothing too bad yet
12:31uh these are
12:32the ones i keep an eye on the prodigal son returns too soon no i guess not you're back took
12:43some time
12:44like an old trail horse always follow way back out you look good get how you feeling oh yeah great
12:51you know it's been uh it's been a journey i bet thanks rob you're on uh he's in with the
12:59trauma but
13:00if you hurry back you can catch some of the pass-ons there in north uh thanks
13:07i'll keep an eye on him
13:11i think we have a lost little lamb uh excuse me hon can we help you i'm looking for the
13:17charge nurse
13:18oh well you found two of them i'm lena this is dana i'm night shift going home but dana is
13:23queen of the
13:24day shift emma nolan nice to meet you both i'm a new grad rn here to shadow welcome to the
13:30pit emma
13:31nolan here let me put some of your stuff behind the desk and i'll give you a quick tour okay
13:35where
13:36from sweetheart to saint marie is in upper michigan tactically canada my great-grandmother was from
13:43up that way nice area a lot of bugs how about a cup of coffee can't locate the source proximal
13:53high
13:53almost under the sternum along with most of the right ventricle you need better exposure convert to a
13:58clamshell exactly trauma shears might have been nice to let them come up with that plan no heart's
14:05going to need double compressions just like this squeeze from the apex to the aorta
14:12right ventricle looks good massive hammers from the highland second mtp packs going additional four
14:18units hyaluranger looks very proximal maybe pulmonary artery and vein clamps on nope no good
14:26still bleeding like a stuffed pig i can give it a talk conversely is a very skilled surgeon
14:30if she can't get it we need to think of something else like what
14:36hiler flip you're going to rotate the lung 180 degrees like putting a king in the garden hose
14:41it'll stop the bleeding that could possibly work or he'll die when you rip the entire lung off the
14:46hilum gently very very gently very very slowly
15:06blood loss is lying down that's a good sign
15:08hilum looks dry the heart feels empty okay we fixed the leak now let's fill the tank
15:15you are very popular today sorry i'll turn it off when i can
15:24nine-year-old kylie connors riding by her dad's girlfriend gina
15:28kylie took a tumble on the stairs this morning we submitted chin lac and a chipped front incisor
15:34just got lead on a pressure dressing bleeding pretty good on arrival derma bonds you do the trick
15:40any questions dr king
15:45mel oh um i didn't say anything
15:51how you feeling kylie
15:53tired we've been here since 5 30. oh that makes two of us but don't worry we'll patch you up
15:58good
15:59as new and we will get you out of here as soon as we can any questions no i'm just
16:04her dad's
16:04girlfriend so i'm new to all this no worries we got you next 26 year old liam sanders took a
16:12fall
16:12from his bicycle no llc non-focal neural lower leg lack with no bony tightness were you wearing a
16:19helmet liam no i was just writing in my neighborhood you should always wear a helmet hey nice of you
16:24to
16:25join us hey dr langdon
16:30soul it's dr langdon
16:33candace o'grady 82 brought him by her son richard for intractable vomiting
16:41hardly any hemorrhage on the right looks like the flip works there's a heartbreaker
16:44feels full of blood first time since we started hold compressions
16:50quivering bag of worms
16:52resume compressions when the heart quivers like that it's obvious if you fit okay internal paddles
16:57ready charge still 25 joules 50 gets it right the first time
17:04charge okay when you're ready clear
17:10that's what normal sinus looks like strong carotid saline lap pads and up to the or
17:19how the way to start the day unconventional but a decent outcome why don't we split up for
17:26efficiency residents present to either one of us but not both we can certainly discuss that
17:37were you feeling weak or dizzy no i got up to pee and i tripped over a laundry basket that
17:43i
17:43couldn't see in the dark did you hit your head does my chart say that i hit my head no
17:48we just
17:49want to be thorough to make sure you don't miss anything yeah how about we focus on patching me up
17:56ah all right mr williams we're gonna check an x-ray your wrist and try to get you out of
18:01here as
18:01quickly as possible great and let's keep the bullshit extra charges to a minimum huh
18:06my deductible is already a bitch
18:11sure
18:36my mother is trying to destroy my life
18:38well yeah they seem to take pleasure in that i committed to a partnership track position next
18:43year at a hospital back in jersey so i could be close and support her but now she's getting married
18:48and selling our house to go on a year-long cruise around the world wow i mean that's a pretty
18:55stupid idea if you ask me she's known this guy less than a year what if he's a player what
19:00if
19:00she disappears at sea i mean what if they're in love lust is more like it that is even better
19:09man it has been a while and i'm solo this weekend i need to get late
19:21it's a little much before 8 00 a.m right yeah or ever
19:34how's it going esby oh just another day in paradise
19:52how's it going on a trip taking sabbatical leave tonight where are you going um
20:03head smashed in buffalo jump captain crunch flying squirrel socks
20:08are we talking in code or you have a stroke
20:12it's an aboriginal unesco heritage site in alberta
20:15i've never seen the badlands what is this like uh some sort of spirit quest
20:21uh yeah something like that look i uh i guess we should talk i got a lot of things i
20:27need at
20:28some point not right now right now i gotta hit the head and i would like you to go help
20:31donny out
20:31and triage triage no no i already picked up a patient north to a bicycle pretty sure we can
20:39cover for you we've been doing it for months
20:44right no and i and i am i am very uh both very sorry and appreciative of that i just
20:49would hate
20:49to think there's some kind of a punishment for uh yeah yeah no for sure we'll we'll talk later
20:56before you go
20:59like i said not right now donnie just passed the db certification he can help you if you get in
21:04over
21:04your head
21:09hey mal can you take over a bike fall leg lack in north two from langdon while he's out in
21:15triage
21:15um you know i i can work in triage no i want to keep langdon out in triage and i
21:19want to keep you
21:19back here you okay with that sure great absolutely
21:33so who should i pick up we're about to get the morning rush what do you mean every morning around
21:39this time the nursing homes and assisted living facilities do their morning bed checks uh-huh
21:48it looks pretty quiet to me
21:49uh-huh
21:57incoming oh like i said come on ethan bostick 79 found altered this morning at assisted living
22:04no history of dementia has a post what's a post position orders for life-sustaining treatment
22:10no cpr no intubation then there's there's nothing for us to do south 15 is open uh do not
22:17resuscitate does not mean do not treat he may perk up with fluids high of the antibiotics
22:28that's the good word crash you save that ventriloquist dummy yeah really no
22:36wait tell me you're not actually charging about losing a mannequin it's part of the exercise
22:40don't do unless you may ask us to do it who's his next of kin barbie okay
22:46what's your uh take on the new attending not too soon to tell
22:54you she's already bugging me about being behind on my charting
22:57now i know why everyone says being a second year resident sucks because it does i must have sat
23:02through the part of med school where they tell you 90 percent of your time will be spent typing
23:06which is just one more reason surgery is a better lifestyle choice
23:10hey dr shamsi dr trinity santos oh yes the er intern who's interested in my surgery program
23:16that's me but i'm an r2 now and thinking of double boarding in surgery and emergency medicine
23:21which i know would sound ridiculously ambitious if i didn't have the talent to back it up
23:27required attitude are you here to see a patient i was i did and now i'm here to learn why
23:35you aren't
23:35returning my calls or texts okay i'm out nice seeing you again dr shamsi as soon as i get a
23:42little free time i will make plans for all of us to do something together what about tuesday i'm
23:46working on your birthday i will call you and dad tomorrow and we will come up this night to do
23:51together i promise right now actually have a bunch of night shift handoffs
24:03we have schedules you have chaos you know she's wasting her talents daughter is a big girl she
24:11could make her own decisions she's also a young girl who's still very impressionable and you can be
24:16very impressionable yes oh oh for god's sake i'll be right there we need to talk about same time tomorrow
24:36next tuesday's your birthday no yes your 21st birthday please don't say anything okay i i get a
24:44little anxious about dr santo's little girl with the chin legs getting to a gown don't mind what you
24:48don't want nothing have a good day you too meli guyonka other one
24:59hey duke i'm just calling to remind you that this is my last shift for a while so i need
25:06you to come
25:06in before three o'clock in case we need to run some tests okay we had a deal brother
25:16oh hello hi i know you're crazy busy always but i figured we should really go over a few things
25:22before you're gone sure where would you like to start well one little thing that i think would have
25:28a big impact with staff and patients alike is if we launched a campaign to eradicate referring to this
25:34wonderful department as the paint really i know you think it's silly and petty no i think it's just kind
25:41of endearing pretty damn accurate i would argue the opposite i think subconsciously it affects those
25:47who work here it also lowers expectations which in turn lowers patient satisfaction well you've been
25:52talking to gloria yes and she agrees with me don't doubt that for a moment you have to see the
25:58man
25:58over there right now we see people in order of severity ma'am you have to ask for others better
26:03teacher
26:04why would you applaud you i don't know what you're saying i can't taste the shit in the back of
26:08my
26:08throat actually the ladies right is going to make all of us sick yes please
26:20all right we'll get him back tell dana we're bringing the funk
26:28so when did your eyes start bothering you miss matthews
26:30sister grace please i'm only married to god of course i'm sorry a few days ago i thought it was
26:39pink eye or maybe i scratched it while gardening it's a very bad case of conjunctivitis we should
26:45send a sample to the lab to direct your treatment look up for me thank you
26:54i'll put a numbing drop in your eye and check for a scratch with a special lamp
27:01and i'll get you to look up for me again thank you have you ever considered serving god
27:08which one excuse me my family's hindu so we have like 33 different kinds of deities
27:16oh we have the one some people only need one right okay
27:25most important rule around here be smart be safe can't warn you enough about protecting yourself and
27:30your fellow nurses we use the stamp acronym to assess patients you know it uh s is for staring or
27:36refusal to make eye contact if they're staring they're scaring t tone of voice often the threat
27:41level rises with their voice a is for anxiety you can also think aggression m is mumbling if you're
27:52going to do it and p a patient good we also have a safe word hula hoop i guess technically
27:58it's two
27:58words but whatever if there's a threat say hula hoop and we'll all respond
28:06yeah lovely okay i'll be right there with reinforcements duty calls we're headed for triage
28:41the antibiotics should clear everything up but you should try to stay off it for a few days
28:47uh i have to work i'm late as it is well um take breaks and elevate when you can tie
28:55it on advil for
28:55the pain if the pain persists or feel like it's getting worse come on back we'll get you fixed up
29:01thanks let's uh give this to the doctor what the hell is it patient passport let's patients know what
29:10they're waiting for and how long it'll take you check off if he needs labs x-rays ct and of
29:15the above
29:15when we start this today the new attending what's up with your tooth louis it's been going on for a
29:24while but it got bad last night lower left side okay
29:33ah ah yeah it could be an infection at the root oh we can drain it but then
29:41you're uh you're breathing kind of fast yeah i've been well i've been uh walking more
29:48trying to get in shape but sometimes like i get a little short of breath yeah you need to walk
29:53past
29:54the liquor store not into it which shape you're getting is for a liver transplant i don't need a
29:59new liver just get rid of this toothache deep breath
30:06one more is my heart still ticking like a jack rabbit how long you been sitting down
30:12oh just for a few minutes not that long um louis
30:19there's something i need to tell you
30:23last time i saw you about 10 months ago i treated you and i took some of your medicine
30:32i'm not sure i follow i have an addiction to benzos and i helped myself to some of the librium
30:40i
30:40prescribed you for your withdrawal you stole my pills yeah yes um i'm sorry it was uh it's not only
30:53wrong and utterly unprofessional but it was a betrayal of my hippocratic oath and it was a
31:00fucking crime that's where i've been rehab and counseling
31:09huh i'm sorry i i understand if you prefer a different doctor hey doc we have a situation
31:17excuse me what kind of situation someone left the little baby in the restroom
31:32okay let's think about reversible causes of confusion in the elderly uh hypo or hypernatremia
31:38infection but he's afebrile good or two sats and urine dip was negative yeah great joy anything to add
31:48nah v-tac can i yeah
31:53no pulse should we call for a code blue no cpr no shock we honor his pulse and his wishes
32:00so what does that leave us making sure he's comfortable how suction
32:06altered mental in the elderly can also be toxicity from anticholinergic sedative hypnotics opioids
32:15am i missing something social skills
32:23you look so peaceful should we go find a new patient no stay here
32:30a systole
32:41quick and painless we should all be so lucky i'll try to contact some family
32:50yeah one of the things we like to do here
32:56when we have the time is to take a moment of silence when we lose a patient to respect their
33:01humanity he was someone's son perhaps a father himself a brother a friend
33:13oh uh just make sure your phones are on silent
33:20great great great great okay
33:23is anyone missing a baby did anyone leave their child in the restroom
33:31you uh remember seeing a woman enter with a baby believe without one
33:36no sorry might be on the security tapes i'll check it out please yeah harlow graham to window one
33:45harlow graham to window one
33:49harlow graham to window one please
33:58donnie donahue nurse practitioner this is emma new grad nurse hey nice to meet you what's going on
34:03somebody dumped their kid maybe mom just stepped out for a smoke or something
34:08what i'm being hopeful sometimes i just need a little break and then they come back
34:13at least i didn't leave her in a suitcase at the bus station
34:16does that happen if that's the true story i don't want to know about it
34:19it's the worst of things please don't tell me i'm a new dad remember
34:31i'll get robbie should i come with no stay here donnie jesse teach her something
34:39you know how to check a rectal temp on an infant uh theoretically
34:52mr williams how's the pain nothing i can't manage with some vicodin and a little scotch
34:59well it's uh best not to mix the two james here is going to take you to get an x
35:03-ray of your wrist
35:03i'm going to be fine well it'll tell us if you need a cast i doubt it i should probably
35:09go home
35:10keep some ice on it i know you guys always need the beds well uh it'll only take a minute
35:17and then
35:17we'll know for sure yeah i really don't think it's necessary and i have a busy day but i appreciate
35:22your
35:22concern i'd really like to observe you for a little bit in case you did hit your head
35:31my head i have my schnoz on my arm i think nothing more you think you don't remember no
35:38yes i'm going to be fine really thank you for your concern
35:51okay ha
35:54how about we take that x-ray just to be safe yeah yeah okay okay good idea
36:04somebody found a baby yeah not the first time it's happened so about those pills i took
36:12don't worry about it doc if the pills helped you great i never really liked taking them
36:21i appreciate that louie that's not really the point but
36:25you need to lift up your shirt for a second
36:33how long has your belly been hard like that i don't know i figured i could wait another week
36:39you need uh some lab tests and a procedure to drain off some of this fluid yeah i know the
36:45drill
36:46i've been tapped a few times before three times in the last six months
36:52you need to give your liver a break louie yeah i know
37:01just heard somebody dumped a baby in the waiting room bathroom how sad is that
37:07what's up with you today mel lynn gallia what makes you think there's something up with me you're
37:13moping around here all day like somebody gunned down your favorite k-pop band i don't really have a
37:18favorite k-pop band not that i don't like the genre forget k-pop what's going on with you you
37:24usually
37:24ride in here on your unicorn tossing wildflowers unicorn never mind is everything okay with your
37:32sister oh yeah she's great it's just this spill girl um well a couple of months ago i got named
37:44in a
37:46practice lawsuit and so today is the deposition that's it every emergency medicine doc gets sued
37:55sooner or later seriously don't sweat it you're still a resident we're protected by the hospital
38:00you could cut somebody's head off and get away with it you know like don't you won't want to
38:08become known as the one who put mel in malpractice hey santos our little girl kylie has been in the
38:15west pen emergency department a couple times i'm not saying this is necessarily the case here but
38:21recent studies have linked bullying behavior to different personality disorders on the other hand
38:27though i i am known to be a bit overly sensitive sometimes yes you talk to yourself again you need
38:33something uh yes lawyer i don't know i'm kidding i'm
38:40yeah rabinovich somebody dished a bundle of joy in chairs how old a couple months maybe donahue's got
38:45her in peds no one saw who left her apparently not it's so sad tell me about it who throws
38:51away
38:51a perfectly good baby make a leg ah sweet baby jesus antoine right to the outdoor shower i just
38:58drive them i'm not a washing detail service yeah yeah god forbid you prove useful ah good time
39:04emma summer time for you and me to do the lord's work this way oh god what is that okay
39:09big breath
39:13all right lungs sound great can you lean forward for me
39:22uh did you hit your back when you fell down the stairs no okay there's a pretty good bruise here
39:29i got knocked down in soccer
39:33oh no you broke your wrist last year too huh felt my skateboard got a purple cast cool color and
39:40you were treated at west penn is that your closest hospital i guess that would make sense i've only
39:47been dating your dad a few months uh he lived in garfield before the divorce and uh what about these
39:52soccer do you wear shin guards my dad ordered them what does your dad do for work
40:00he draws buildings but he's not an architect he's a draftsman for a firm in newcastle
40:06um kylie any chance you can pee
40:11maybe okay well uh with the bruise on your back we need to check your urine okay
40:17did you eat anything out of the ordinary recently no sorry but we went through this a bunch
40:27don't you people communicate you're the third nurse we've told her story to i'm a doctor richard
40:33would you go to the cafeteria and get me a large chamomile tea
40:37what can we get you my dear i'm fine thank you
40:44i'll be right back
40:49please excuse my son
40:52ever since my husband died he's been a little overprotective
40:56i think it's sweet you're very lucky to have him i am
41:02are you still taking your loperamide and cholestyramine um not so much no that may be why you're
41:12experiencing the abdominal pain and vomiting when did you stop taking your meds last winter or so
41:21my neighbor helen and i bingo in wintersville there's a dispensary next door and we got some marijuana
41:30and i swear it cleared everything up a few cookies every few hours and no more pain
41:40a few cookies how many are you eating in a day oh uh i don't know
41:50probably a dozen or so but they're not very big
41:55there have been some studies that show an added dementia risk with marijuana use in older adults
42:03no that sucks for old people
42:07kylie there are some questions that we ask every kid who comes in with an injury
42:13like what like sometimes the people that you live with can get so mad that they hit you or hurt
42:23you
42:23maybe without even meaning to does that ever happen no not to me
42:30or sometimes kids can get punished for doing something wrong with maybe a spanking or a belt
42:37i get timeouts
42:40how about at school kylie you know is anybody being you know mean or bullying you no i have lots
42:47of friends
43:15i know
43:17what's up doc
43:17what's up doc where's your new resident badge buddy buddy
43:23Oh, yeah, they didn't give me a new one yet.
43:26Bummer.
43:27You and your ducklings got time to tap a six-pack off our friend here?
43:31Louie needs a pair of synthesis.
43:32Yeah, sure.
43:34It's good to see you again, Louie.
43:36Not in this condition, of course.
43:37How are you feeling?
43:38Feeling like I need a drink pretty soon.
43:42Okay, well, first things first,
43:43we are going to make you more comfortable by draining some fluid.
43:47You're going to take off a big volume.
43:49Start with 60 grams of 25% albumin IV.
43:52You tapped him before?
43:54No.
43:55That's okay, Doc.
43:56I'll talk him through it.
43:58Okay.
44:01Sats, 99 on room air, normal BP, normal pulse.
44:07Oh, well hydrated.
44:09No obvious source of infection.
44:10Could be a benign virus, but can't assume that.
44:13Is this the abandoned baby?
44:15Mm-hmm.
44:16How old?
44:17How old do you think she is?
44:18A month?
44:19A month and a half?
44:20It's tricky.
44:22Under 28 days is a safe haven drop-off.
44:24No questions asked.
44:25But over 28 days is a crime.
44:27Child abandonment.
44:29How should we assess?
44:31Under 28 days gets everything, including an LP.
44:34But over 28 days, you can follow PCORN or step-by-step
44:38to determine risk of invasive bacterial infection.
44:41This baby looks great.
44:42We know nothing about the birth history.
44:44Did mom have group B strep, active HSV lesions?
44:48We should assume the worst.
44:50Put in your orders, Dr. Mohan.
44:53CBC, blood culture, chem panel, chest x-ray, UAN culture, respiratory virus panel,
45:02check inflammatory markers, procalcitonin, and CRP.
45:07Then take it from there.
45:09That sounds like a plan.
45:11Dr. Robbie, Santos needs you.
45:12You know which one.
45:13Okay.
45:13I'll be right there.
45:15Feel excuse me?
45:16Feel excuse me?
45:19Mind if I join with?
45:21Uh, no.
45:22I got this.
45:23It will help me get a better sense of how you like to do things
45:26by seeing you in action with the residents.
45:29Be my guest.
45:33I will be right back.
45:41Um, nine-year-old Kylie Connors
45:43took a tumble running up the stairs this morning,
45:45chin-lack and fractured tooth
45:47brought in by her dad's girlfriend, Gina.
45:50Supposedly, the dad had to leave early for work.
45:53Kylie has a lot of bruising on her body.
45:56Some old, some new.
45:57Are you concerned about non-accidental trauma?
46:01Or worse, her urine sample shows gross hematuria,
46:05which could be renal injury,
46:06or vaginal bleeding from trauma
46:08could have contaminated the specimen.
46:10Lots to consider.
46:12What's your plan?
46:13Labs, ultrasound, social work consult,
46:16then decide if this is reportable.
46:18Mm-hmm.
46:22Let me know if you can feel this.
46:24No.
46:25Am I supposed to?
46:26No.
46:31Your hair's such a pretty color.
46:35Reminds me of my mom.
46:37She died when I was nine.
46:39Oh, I'm sorry about that.
46:41She wore glasses like you, too.
46:43Weird.
46:45And what do you like to do when you're not working?
46:49Um, spend some time with my sister, Reed.
46:53Do you drink coffee?
46:55Uh, no, I avoid caffeine.
46:58Me, too.
47:01What about boba?
47:04I love boba.
47:07Mm-hmm.
47:11It'll be some gum, but it's laced with nicotine,
47:13trying to quit smoking.
47:16That's good.
47:17Berg's still out.
47:19Getting all those nooks and crannies, Mr. Digby.
47:21Your skin will thank you.
47:23We all will.
47:25I could stay in here all day.
47:29A miracle what a little soap, water, and human decency
47:32can do sometimes.
47:33Don't forget the ears, pal.
47:35Don't want anything growing in there, either.
47:37Okay.
47:38Okay.
47:39So what's your story, Emma?
47:40What do your parents do?
47:41Got siblings?
47:42Boyfriend?
47:43Have a killer man in a bar fight?
47:46Uh.
47:57So, Mr. Williams, sometimes a fracture of the scaphoid bone
48:02doesn't show up on day one.
48:03So my advice to be safe is we're split for two weeks
48:07and then come back for a repeat x-ray
48:09and we'll see if it's really there.
48:13My knee hurts.
48:16Oh, did you hurt your knee?
48:19I must have.
48:27What is this?
48:30That's, um, for your wrist.
48:33I need this?
48:36Well, um, if it's a, uh, John, can you?
48:40Yeah.
48:40If it's a fracture and we don't immobilize,
48:43the bone might not heal properly.
48:48How long is this going to take?
48:51Just a few minutes to fit you.
48:56Is this place new?
49:02Mr. Williams, do you know what day it is?
49:09It's Taco Tuesday.
49:12Do you know where you are?
49:15Yeah, I'm in the slowest medical clinic in the West.
49:19Do you know what year it is?
49:21How about you just fix my wrist
49:23and you stop with all the questions?
49:28I am not here to be profiled.
49:34Yeah, of course.
49:37I'll be back, okay?
49:40Okay.
49:51All right, Mr. Digby, looking better already.
49:53Certainly smell a little better.
49:55Do you have any conditioner?
49:56Let's get you dried off and back inside.
49:59Get him downed up and put him in South 21
50:00and cross from the old nun.
50:02Maybe some of her to find Grace will wear off on him.
50:05Who do we have here?
50:07Evelyn Bostic, 81, with Alzheimer's.
50:09We brought her husband in about 30 minutes ago.
50:12She was supposed to get a ride in,
50:13but they found her wandering in traffic.
50:14Where are we?
50:15You're at the hospital, dear.
50:17I'm not sick.
50:18We brought you to see your husband.
50:20Oh, no.
50:21Is he isn't okay?
50:22Be in to chat with you, Mrs. Bostic.
50:25He died.
50:27What you got, Aunt Boy?
50:29Alan Billings had a palate
50:30fall into his outstretched arm.
50:32Looks like an open dislocation.
50:34Yeah, that's gotta hurt.
50:35Don't worry, sir.
50:36We got you.
50:43What's she doing?
50:44Seems happy enough.
50:46Yeah.
50:47I just got a quick point of care, CBC.
50:51See?
50:57Is there a problem?
51:03Did I miss something?
51:04Dr. Al?
51:06Dr. Al?
51:14I've been hurt
51:17But I refuse to cry
51:21I've been hurt, baby
51:24But I refuse to cry
51:29And it's so true
51:31You know, you know, you know, you know, you know
51:33I cannot
51:34And I said, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah,
51:47yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah,
51:52yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah,
51:52yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah,
51:52yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah,
51:52yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah
52:00You know I won't cry, you know, you know I won't cry, baby, I'm telling you, I won't cry, oh,
52:11I don't lie, oh, but I refuse to cry, and I say, sometimes, darling, your friends, they treat you so
52:23cold, but baby, you know they act better, yeah, yeah,
52:28when you have that goal, but I won't lie, you know, you know, you know.
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