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The.Pitt.S02E04.540p.X265.AAC [Full Movie] [High Quality]Full EP - Full
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짧은 영상트랜스크립트
00:18다음 영상에서 만나요
00:38다음 영상에서 만나요
01:00No, I do not. I don't think that's necessary. We're doing just fine without him
01:03You're the boss, boss
01:15Hi, the doctor guy told me to put this mineral oil in my eye for 20 minutes. That was two
01:21hours ago
01:22We're really busy, but we'll get to you
01:24Oh my God, okay, hold on
01:25I will check. Listen for your name to be called
01:28Thanks
01:57Next
01:58Is Harlow feeling lightheaded or faint now?
02:05It's not as bad as it was before, but my head still hurts
02:08And now my stomach does too
02:11What did she eat before she took her ibuprofen?
02:17It's not my
02:18Breakfast is my least favorite meal of the day
02:25It's okay to look at me
02:28I don't
02:30I'm sorry
02:33We're going to get started with some blood tests
02:37Is that baby from the bathroom going to be okay?
02:40She'll be fine
02:41Uh, good news
02:42No swab came back negative for COVID, influenza, and RSV
02:48But a lot of other viruses can cause a cough
02:50Lucky me
02:52You can take off your mask
02:54Postox, Zed 91
02:57Your oxygen level is down since we checked you an hour ago
03:01And your temp is up to 102.4
03:03Let's get you some Tylenol
03:04Have you been outside today? It's already stifling
03:07Could be heat-related, but we're going to take you back to the big ER for full evaluation
03:12Can't you just write me a prescription for some medicine?
03:16I'm sure it's just a summer cold
03:18You got somewhere to be?
03:19Work
03:19I know, it's Saturday
03:25I don't think I've had a day off since
03:27Well
03:29Your holiday weekend starts now
03:31Hey, Javadi
03:32What are you doing for your birthday?
03:34Who told you?
03:35Work gets around
03:37Nothing
03:38I hate celebrating my birthday
03:40You only turned 21 once
03:42It's your birthday?
03:43That makes you a cancer, right?
03:47I didn't peg you for an astrology, girly
03:50Yeah, I've been spending too much time around Santos
03:53Yes, you have
03:54I don't know how you guys do it
03:55Live together and work together?
03:58It's my cross to bear
04:00It can't be as bad as having to live with your parents
04:02I don't know, I haven't lived at home in years
04:04I kind of miss it
04:05I can tell, you've been spending a lot of time on that farm
04:08Farm?
04:10Remember the burned farmer who came in last year?
04:12Propane tank exploded, he died in the ICU
04:14Yeah, that was sad
04:15Well, this guy has been playing house with his widow and their baby
04:20Oh, that's messy
04:22No, it's not like that, okay?
04:25I've been helping Amy out on the farm after her husband died
04:28And she's a friend
04:29She's just a friend
04:30Sure, just a friend
04:31With farm benefits
04:33What are farm benefits?
04:35Oh, use your imagination
04:37You ever see a milking machine?
04:39Oh, can we not talk about this, please?
04:41We're getting two runs rerouted from Westbridge already
04:43Chest pain and belly pain
04:45Robbie wants you three out back
04:46Thank you
04:47Come on
04:49Dr. Santos
04:50Making progress on your charting, I hope
04:52Getting there
04:53Deficient charts leave a gap for the providers who give continuity of care
04:57And delays hospital billing
04:58Oh, I'd hate to delay billing
05:03Timely documentation is essential
05:06Let's fix this before end of shift
05:08I'm on it, boss
05:09Good
05:11You wouldn't want to repeat your R2 year again because of this
05:18Fuck
05:20God, it's humid as shit out here
05:24It is
05:26What's going on at Westbridge?
05:27They're closed, so we're covering their paramedic runs until they come back up
05:30As if a holiday weekend wasn't enough
05:33So, Dr. Al Hashimi
05:36Yes?
05:37Do we like her?
05:40She seems pretty cool so far
05:41You're trying to gossip about an attending with an attending?
05:45Dr. Robbie doesn't mind
05:46Do you?
05:50Oh, uh, it's a nice bite, by the way
05:52Thank you
05:53Yeah
05:57Pamela Perry, 48
05:58Abdominal pain with vomiting
05:59After eating chilaquiles with fried eggs
06:02BP, 108 over 64
06:04Pulse 98
06:05Good saps
06:05Okay
06:06Let's see how she feels with some Zofran and a liter wide open
06:09Got it
06:10No, way to go
06:10How are you feeling, Miss Carrie?
06:12No, so good
06:17Who do we have here?
06:19Jean Samba, 54
06:20Half an hour left side of chest pain
06:22History of hypertension on lisinoprol and crestor
06:25Stem relief of 2-nitro
06:27Decent vitals
06:28No STEMI on 12-lead
06:29Gave him 324-fuel-aspirin
06:31Okay, we're gonna give you a full evaluation, sir
06:33Oh, I am to die
06:35God, really
06:36I will see his pearly gate
06:39What's the plan?
06:40Repeat 12 lead
06:41Check the draconin
06:41Admit for new onset angina
06:43Value A for P, aortic dissection
06:44For those without singing
06:45Sounds good
06:46I'm a minute behind you
07:02And who do we have here?
07:03Vince Cole, 23
07:05Fell through the skylight of a florist shop
07:07Tempted down to a bunch of ferns
07:08Complained a headache
07:09Casting repetitive questions
07:10And only response to paint
07:11Multiple acts in the glass
07:13VP 118 over 72
07:15Pulse 98
07:16Sats 99 on 5 liters
07:18No meds, no allergies
07:19Hey, Vince, how'd you fall through a skylight?
07:21Vince
07:22Were you with him?
07:23Yeah
07:24We were parkouring
07:24And he overshot a congol
07:26But, like, jumping off of buildings
07:27People still do that?
07:28It's almost an Olympic sport
07:29Now we know why it isn't
07:35Kibels are equal and reactive
07:36What do you got?
07:37You got 10-foot fall altered
07:38That's a long way down
07:3910 feet is the threshold
07:40For trauma center activation
07:4110 feet, 10% mortality
07:420%
07:43Anything over 0% is a concern
07:45Somebody's annoying
07:46And it's not me
07:47Hey, you said two
07:48You missed one
07:50I sent you back up, you nice
07:52One, two, three
07:54Thanks, guys
07:55Good to see you
07:57Get to eat fast
07:59Ogilvy, Joy, GCS, please
08:00Open your eyes, sir
08:03Two for eyes, two for verbal
08:05Good lung sliding bilaterally
08:07Joy, finish GCS
08:09Squeeze my hand
08:12He gets a four for motor
08:14Pulse 99, heart rate 102
08:16Blood pressure 114 over 78
08:18And eat fast as negative
08:20Music to my ears
08:21Somebody shooting a documentary here?
08:23Whoa, whoa, whoa
08:24You can't film in here
08:25We've got patient privacy laws
08:26What happened to your hand?
08:27Cut it
08:28Uh, can somebody show Spielberg here
08:31Out to the waiting room
08:32And get her registered at triage, please?
08:33He's my creative partner
08:34I have his written consent
08:35To film everything
08:36For our TikTok page
08:37Put the camera down
08:39We have to drop this video
08:40For the fourth tonight
08:40That literally means nothing to me
08:42Seriously, Sean
08:43Can you escort her out, please?
08:44Somebody will come and find you
08:45Once he's stabilized
08:46Thank you
08:46I'm gonna let her stay
08:47If she'd ask nicely
08:49What is the, uh
08:50Story of a surgery?
08:51Are you guys getting any
08:51Westbrook transfers yet?
08:52Not yet, but I'm sure it's coming
08:54Pan scan, head through pelvis
08:55Let's get him to CT ASAP
08:57Absent, gag
08:58We need to intubate before CT
09:01Can I do it?
09:03I'm keeping a procedure log
09:04And I need more intubations
09:05On this rotation
09:06If Dr. McKay wants to teach
09:08Sure
09:10Okay
09:11Uh, I need suction
09:12802, atomidate and sucks
09:13And tidal CO2
09:15Ambitious
09:16He reminds me of someone
09:17I know very well
09:21Can you not?
09:23Yeah, sorry
09:24Hot off the press
09:28No STEMI
09:29Doesn't need to go right
09:30To the cath lab
09:34Orders are in
09:35Whitaker, try another nitro
09:36And let me know
09:37When the troponin's back
09:37Yeah, hey, hey, Jesse
09:39Do you think you could repeat this
09:42But with the chest leads on his back?
09:45Why?
09:46T waves are kind of high
09:48With ST depression anterior
09:49We see ST depression all the time
09:51Yeah, but
09:52Could be a posterior MI
09:53Alright, run it by the attending
09:55If they agree, we'll do it
09:57Thank you
09:58Uh, Victoria
09:59If his CT's normal
10:00He'll need an LP
10:01Got it
10:04Dr. El-Hajimi
10:05This is Jada Davis
10:07Jackson's sister
10:08Oh, thank you
10:08Hi
10:09Is he okay?
10:10And why is he asleep?
10:12He was uncooperative
10:13When he first arrived
10:14And needed to be sedated
10:16Uncooperative?
10:17That doesn't make any sense
10:18What happened?
10:20We're still trying to piece this story together
10:22He was brought in by a campus security guard
10:25Who tased him
10:25After he was allegedly
10:26Tased him?
10:27Combative and violent
10:27Wait, what do you mean tased him?
10:29We've treated his injury
10:30And now we're trying to understand
10:32Why he was so agitated
10:34Okay, this doesn't sound like my brother
10:36Well, his drug screen came back negative
10:38So now we're taking Jackson
10:39To get a CT scan of his brain
10:40To look for any abnormalities
10:41Can I go with him?
10:42You can't go into the CT
10:43But you can wait for him to come back
10:46And then we can discuss next steps
10:50Okay
10:52Just did my first ER intubation
10:54That's great, man
10:54Such a crack
10:56You got a second?
10:56What's up?
10:57A 12-lead on my chest pain patient
10:58Shows no STEMI
10:59But the anterior leads
11:00Might be suspicious for a posterior MI
11:05Uh, agreed
11:05Yeah, I was gonna repeat
11:07But with the chest leads on the back
11:08These 7-3-V-9, good idea
11:09Thank you
11:14Hey, Dr. Ravi gave the go-ahead
11:15To the back leads
11:16Sorry, man
11:17I gotta call a report
11:17On a septic patient
11:18Going to the ICU
11:19Yeah
11:20They see you today, huh?
11:22Uh, well, it's, uh
11:2310-15
11:24We're actually just getting started
11:26Oh
11:26There she is
11:28Dr. Mohan
11:29Uh, this is Lori Diaz
11:31Orlando's wife
11:32Thank you, Perla
11:33Thank you
11:34Hi, Mrs. Diaz
11:35Hi
11:35Let me take you to your husband
11:36Hi, mi amor
11:38I'm sorry
11:39You have to be here alone
11:40I miss my first bus transfer
11:42I miss my first bus transfer in
11:43Hi, anyway
11:45Hi, anyway
11:47Hunter, get here
11:48You fell at your construction site
11:50A co-worker brought you in
11:52He's a lot better
11:53But doesn't remember anything
11:55That's common after a concussion
11:57Or DKA
11:58DKA
11:59It's a serious complication
12:01Of your husband's diabetes
12:03How serious?
12:04Can he go home?
12:05We still have to clear the ketones
12:06From his bloodstream
12:07He'll need to be on an insulin drip
12:09For a while
12:10Until things get back to normal
12:12Best if he stays in the hospital
12:16It's okay, mom
12:17Things are headed in the right direction, Mrs. Diaz
12:20He's going to be better
12:24Sorry, I gotta check his blood sugar
12:27Oh, do you mind?
12:28Absolutely
12:31So, the thing is
12:34We don't have health insurance
12:37So, I don't think that we can avoid this
12:41I'll have our case manager
12:43Noel Hastings come by
12:45She's an expert in health insurance
12:47She might have some options for you for coverage
12:49Okay, thank you
12:58What's wrong?
12:59Some of the leads aren't sticking here
13:01I lay down now
13:02I'm tired
13:04Yeah, as soon as we're done here
13:05Whitaker, Louie's all numb
13:07His tooth is ready for you
13:08That's great
13:08Hey, I'm having some trouble here
13:10With, um, adherents
13:12Oh, of course you are
13:13Uh, try this
13:16Yeah, that makes sense
13:18Uh, you think you could
13:22Do you mind if I paint some sticky stuff on you?
13:26If you must prolong the inevitable
13:28I'll be it
13:30You'll get to lie down afterwards
13:32No success with the mineral oil
13:34That's what I said
13:36So now what?
13:38You can wait one to two weeks
13:40For the superglue to break down on us all
13:42I'm hosting a Fourth of July party tonight
13:44You want me to show up like this?
13:46The other option is
13:48I trim your eyelashes halfway down
13:50That'll lower the strength of the glue
13:52Holding them together
13:53Let's do that
13:55Lie back, please
14:01I need you to hold your head perfectly still
14:03Keep your eye closed
14:05My eye can't open
14:07That's why I'm here
14:08No, I mean
14:09Your other eye, too
14:15Okay
14:16Here we go
14:18Perfect, Mr. Samba
14:19All good here
14:21Hey, Lee
14:23Do you think?
14:24We'll put you down in a second
14:28Holy shit
14:29Uh, SD elevation V7
14:32V8
14:32V9
14:33It's a posterior stemmy
14:34What's that?
14:36It's the worst kind of heart attack
14:37Mr. Samba?
14:40Mr. Samba?
14:42Hey, I could use a second set of hands here
14:45Pulseless VTAC
14:46Start compressions
14:48Charging to 200
14:52Okay, clear
14:55Okay, resume compressions
14:57Code STEMI
14:58It was posterior
14:59Yeah, good call
15:01You put the gatehead pads on?
15:02Yeah, just in case
15:03Hold compressions
15:08Normal sinus
15:11Got a strong pulse
15:12Take a BP
15:12All right, I'll be prepping for cath lab
15:16Hey, Mr. Samba
15:18You're gonna be okay
15:19No pearly gates today
15:21Really good pickup, whatever
15:22Thank you
15:26Has a patient ever flirted with you?
15:29Sure, why?
15:30Oh, there's this guy this morning
15:32He turned out to be a criminal
15:33But, yeah
15:35It was a nice distraction from the deposition
15:37He's still worried about that
15:38Yep
15:39Yeah, counting down the hours
15:40There's five left if you're wondering
15:45Hi, Ms. Ronson
15:47Felicia, Felicia
15:49I'm Dr. King
15:50This is my colleague, Dr. Santos
15:51What brings you in today?
15:53I've had this pretty bad cough
15:55For a few days now
15:55Do you smoke?
15:56You're coughing up anything?
15:57Any chest pain?
15:58No, no, and no
15:59I honestly think I picked it up at work
16:02It was going around
16:03Oh, where do you work?
16:04I'm in corporate at PNC Bank
16:06Sit forward, please
16:07It could be an office bug
16:08Or I got it from the gym
16:10I'm there all the time
16:15Do you have anything to ask, Dr. Santos?
16:19What?
16:20Do you have any questions to ask our patient?
16:22Uh, no, I'm good
16:24Okay, what'd you hear?
16:25Maybe some crackles at the right base
16:28Okay, well
16:29We're gonna need a chest x-ray
16:31To check your lungs
16:32Will that take long?
16:34Maybe I can still make it to the office
16:35No, shouldn't
16:39You can go put the orders in?
16:44How are we doing in here?
16:46Oh, this is thrilling
16:47Definitely worth $200,000 worth of student debt
16:51Superficial ones get a steristrip
16:53Full thickness tridermabond
16:54How can you tell they need a suture?
16:58Joy
16:58If the edges are under significant tension
17:00I didn't realize your name was Joy
17:01I'm gonna have to tell my parents how trendy they were
17:05CT, head, neck, chest, abdomen, pelvis, all normal improvement
17:09Lucky guy
17:10A little bit of losing
17:12Uh, pressure for two minutes
17:13Lidocaine and epi if that doesn't work
17:16Are the admin orders in for surgical ICU?
17:18Fuck
17:19What?
17:21This
17:22Ah
17:24Irrigation saline?
17:25That's just a small cut
17:26It is a work-related blood exposure
17:29Which means you're a patient now
17:30Are you serious?
17:31Needle stick?
17:32Piece of glass
17:32Here you go
17:33Thanks
17:36No past records on this guy
17:38We don't know HIV or hepatitis status
17:40I'll put the orders in
17:41HIV, antibody, hep B, surface, and hep C
17:45She needs post-exposure medication
17:47Maybe not
17:48For occupational exposure
17:50The rapid HIV test takes an hour or two
17:53Subcutaneous puncture wound
17:54No risk of joint or tendon involvement
17:57Elevate pressure
17:57And then a band-aid
17:59You can give yourself a dose of pep if you want
18:01While you're waiting for results
18:02Uh, start a chart
18:03And I'll find another nurse
18:04For your blood draw
18:06Great
18:07Looks like we've got a couple more
18:09Diverted from Westbridge
18:10Any estimate on their downtime?
18:11Not yet
18:14Time to pull Dr. Langdon from triage?
18:16No
18:17No
18:17First day back
18:18I want to let him kind of ease into things
18:21Understood
18:21I'll keep an eye on it
18:23Thank you very much
18:25Thinking about changing your vet?
18:26I am just weighing my odds
18:29Don't worry
18:30I'll buy you a drink with my winnings
18:38Your brother should be back shortly
18:40There was a little holdup at CT
18:43Um, should I be worried?
18:46Let's wait and see what his test results say
18:48This is just, um
18:51This just doesn't make any sense
18:53It doesn't sound like my brother at all
18:55He's the friendliest guy I know
18:58He never even gets angry
19:00He barely yells
19:01He's never had an episode like this in the past?
19:03No
19:04Or
19:05Not that I know of
19:07He's in a great relationship
19:08And he's in law school
19:10Because he wants to help people
19:13He always tells me that I should, um
19:16Follow my dreams
19:19Even if it means my parents may disown me
19:24Should I call them?
19:25I think that's a good idea
19:28This, this could be pretty serious
19:35Thanks
19:43The new radiologist is a hottie
19:48Um, his head CT is normal
19:50As are his blood and urine tests
19:52Then, then what's wrong with him?
19:54We're not, um, sure yet
19:56There is another test
19:57A spinal tap
19:58So this could be, um
20:00An infection in the fluid
20:01That surrounds the brain
20:02Viral encephalitis
20:03Um, it can also cause
20:05Altered mental status
20:07And confusion
20:08Can you treat it?
20:10If it is?
20:11Yes
20:14Okay
20:15Okay
20:17I'll go find Dr. Al-Hashimi
20:18And we'll do it together
20:19Thank you
20:20Of course
20:25Just what we thought
20:26It's a, it's a fracture of your coccyx
20:28It's your tailbone
20:30And see
20:31These pieces here
20:32Should be lined up
20:33With that part here
20:35Do I need surgery?
20:37No, no, no
20:38These heal pretty well
20:39But it'll take about six weeks
20:43Six weeks?
20:44I have dinner dates
20:46Every weekend
20:48You can keep your
20:50Sucky for dinner plans
20:51Dinner starts at Pino's
20:54The best Italian in town
20:56A nightcap at my place
20:58Usually follows
20:59And then
21:00Breakfast in bed
21:03Okay
21:04Well in that case
21:05You might, you might need
21:06To take a little break
21:09My greatest joy in life
21:10Is my social calendar
21:18Is there something else
21:20You can do?
21:22Well
21:23There, there is a procedure
21:25To push the fragments
21:26Back in place
21:27It could help it heal faster
21:29Now we're talking
21:31It'll hurt pretty bad
21:32But only for a second
21:33I can take it
21:36Okay
21:38Back in the gown
21:50How's it going over here?
21:53Better now
21:56Uh
22:00Oh
22:00The x-ray
22:02Is back on your foot
22:04And
22:04No fracture
22:06So
22:08Ace wrap
22:08Ice
22:09Rest and elevate
22:10And you can take ibuprofen
22:11If you need it
22:14So that's it?
22:15Well if it's
22:16If it's too painful
22:17To bear weight
22:17We can give you crutches
22:18To use for a day or two
22:21So I won't be seeing you again
22:26As a patient, no
22:27But
22:28It was nice meeting you, Brian
22:31It was nice meeting you, too
22:32Dr. McKay
22:48You know, I was
22:50I was gonna go check out
22:51A few of the art galleries
22:53In Lawrenceville tonight
22:55Have you been to that one
22:56On 40th and Butler?
22:58No, I was
22:59Gonna go by
23:00Maybe around nine
23:03Okay
23:05Cool
23:06Cool
23:09Dude
23:10I resuscitated that part
23:11For a guy
23:12And intimated his STEMI
23:13I think I can handle this
23:14It's best if you watch
23:15The first one
23:17How's that tooth feeling?
23:18The whole side of my face
23:20Is numb
23:21That's how we like it
23:23Okay
23:24We've got a fluctuant gum line
23:28Tooth number 23
23:30Lateral incisor
23:31An extension to an
23:33Apical abscess
23:34Right again
23:36Yeah, you're smart
23:37Mm-hmm
23:38Hook up the yank hour
23:39Get ready to retract the gum
23:40Hey
23:41Louie, this is a temporary fix
23:43Okay
23:44You're gonna need to get that tooth
23:45Pulled by a dentist
23:46Hey, you gonna find me one?
23:48We can have you talk to Dylan
23:50Is Dr. Collins around?
23:53My sister always helps me out
23:55Well, Dr. Collins
23:57Finished her residency
23:58Took up a job in Portland
24:00As an attending physician
24:01Portland?
24:02Yeah
24:03I think that's where she's from
24:04She's adopting a baby
24:06Wanted to be closer to her family
24:08Wow, that's a beautiful thing
24:10Where's that?
24:11Okay, ready?
24:14Okay
24:15Three cc syringe
24:1820-gauge needle
24:20Entering at the juiciest part
24:22Aiming for the apex
24:26So not for culture?
24:28No, pen vk for a few days
24:30Bugs in the mouth are old school
24:32Yeah
24:33It's just like me
24:36Both parents work
24:37But neither of them
24:38Have health coverage?
24:39Orlando and his wife
24:41Have multiple part-time jobs
24:43That don't offer insurance
24:44Can they qualify for Medicaid?
24:47Unfortunately, no
24:47Because their combined
24:49Annual income
24:50Is over the Medicaid threshold
24:51For a family of five
24:52So they make too much money?
24:54And not enough
24:54At the same time
24:55They live over the poverty line
24:57And yet
24:58They are still living
24:59Paycheck to paycheck
25:01I think their best option
25:03Would be to buy
25:04Private insurance
25:05Through the Affordable Care Act
25:07Thank you
25:09My parents don't have insurance?
25:12I'm sorry, Anna
25:14How much will it cost
25:15To keep my dad in the hospital?
25:17I don't know
25:19But the ER visit alone
25:21Will likely be in the thousands
25:24We will figure something out
25:27Okay?
25:28Okay
25:33Purple top for the CBC
25:34Red top for chemistries
25:36And serologies
25:37Okay
25:40Ready?
25:41Uh, yeah
25:42I can be a hard stick, so
25:46No, never, hon
25:49Okay
25:51One
25:53Two
25:54Three
25:56Good blood return
25:57Thank God
25:58Pop one on
26:05You're supposed to
26:05Release the tourniquet now
26:06Right, sorry
26:11Alright, lab won't take it
26:13Without your initials
26:14Time and dates, Ron
26:15How are you feeling?
26:16Peachy
26:16Hopefully I get to do this
26:18Several times
26:18Every day
26:19All set
26:23Keep some pressure here
26:24For a minute
26:25Initial's time of date
26:29Oh
26:33Shit
26:37Environmental to north
26:38Sorry
26:40How is he?
26:42He's stable
26:43He's doing great
26:45Doesn't look great
26:48Is there brain damage?
26:49The head CT showed
26:51No bleeding or skull fracture
26:52It's most likely
26:53A bad concussion
26:54It's hard to know
26:55When he'll regain consciousness
26:57Did he break any bones?
26:59We don't think so
27:00He should thank those ferns
27:02Chest and abdomen
27:03CT scans
27:04Also showed
27:05No major internal injuries
27:08What's that?
27:11What's that?
27:13What's that?
27:14We need respiratory therapy
27:17In here?
27:19Okay
27:20One
27:22Two
27:22Three
27:23Over
27:24Yes
27:24You have a problem with the vent
27:25No
27:26He's bleeding from the back
27:27Gotta prone him
27:27Just take a look
27:28Back away Tanya
27:29One, two, three
27:29Up
27:30One, two, three
27:32Over
27:33Good
27:33Oh shit
27:34Left flank area
27:35Careful, careful everybody
27:36There might be glass
27:36Two centimeters
27:37Simple laceration
27:38Open a suture kit
27:39Fluoroproline
27:40It wasn't bleeding
27:41When we flipped it on arrival
27:42No, but when we moved him around
27:44For CT
27:44It might have rubbed off a clot
27:45Slow venus oozing
27:47Might need a figure of eight
27:55That little piece of glass in there
27:56It's just under the skin
27:57Is it a loose fragment?
27:59Yeah, I can wait to wait around
28:00Here, I'll pull it out
28:01No, don't
28:02Shit
28:03Okay
28:03It's bigger than I thought it
28:05That looks arterial
28:06Can I get some four by fars
28:08Over here, please?
28:08It's bigger than I thought it would be
28:09Put some pressure on this
28:10From all sides
28:10Hard and deep, please
28:11I can push it back in
28:12No, no
28:14You've done enough damage
28:15Well, should I keep pulling it out then?
28:17Absolutely not
28:17The glass was tamper-dodding a vessel
28:19Not anymore
28:20BP's down
28:21Page surgery
28:26I was looking for you
28:27Well, you found me
28:29The x-ray came back on the lady with the cough
28:31Weird infiltrate
28:33Have you seen it yet?
28:34I've been trying to catch up on my charting
28:35Here
28:37Yep
28:38Stringy right lower lope
28:39Yeah, it looks like aspiration pneumonia
28:42Think about it
28:43How do oral and gastric fluids end up in lungs?
28:47Um, dysphagia, swallowing disorders
28:50But she's not an old person choking on their food
28:53Right, and there's protective vomiting
28:54Okay, maybe recent gastroenteritis, food poisoning
28:58Yeah, or
29:00Or
29:02An eating disorder
29:03And she's bulimic?
29:06I mean, she's fixated on working out
29:09Check the, uh, enamel behind her front incisors
29:13Um, oh, it's, uh
29:14If it's not in the differential
29:17It won't be in the diagnosis
29:20You knew that
29:22Yeah, you knew
29:23You knew that
29:30Nice job on the top
29:31Thanks
29:32Hi
29:33You called for a consult on Jackson Davis?
29:36Yes, we did
29:37I'll let Victoria present the case
29:41This is Jada, Jackson's sister
29:43This is Dr. Jefferson from psychiatry
29:46Psychiatry?
29:47Do you think this is a mental health problem?
29:49We thought it best to cover all our bases
29:50We'll know more once I speak with your brother
29:54Okay
29:56Hi, Jackson
29:59Jackson, can you wake up?
30:02Jackson
30:03They said he's sedated
30:07I'll come back a little later
30:11Well, that was fast
30:12Yeah, next time, maybe wait until the patient wakes up
30:15Before calling me down
30:18Psychiatrists do best when we can actually talk to our patients
30:22I got a little ahead of myself
30:24Um, will do
30:27Thank you
30:29Sorry
30:31Pressure's up with one unit type specific
30:36What the fuck? He was stable
30:37Slight change in status
30:38Okay, get the clamp right?
30:40Who's the genius who pulled that out?
30:43I thought it was a loose fragment
30:45Next time, leave the decisions to the adults
30:47Okay, ready to go?
30:54Whoa
30:55Looks like an icicle
30:57Christmas in July
30:59Hey, Sophie, can you answer that?
31:01Okay, I am injecting the X-Stat
31:04Hello?
31:04What is that?
31:05It's a syringe full of tiny rapid expanding hemostatic sponges
31:08Okay, got it, thanks
31:10Radiology attending says a resident missed something
31:12There's a radio opaque foreign body in the left paralumbar musculature
31:16Not anymore
31:17Sounds like first week in July syndrome
31:20Mm-hmm
31:21Okay
31:24That looks pretty dry
31:26On the surface
31:27Okay, let's turn them back and down
31:29Okay
31:30One, two, three, over
31:33One, two, three, flip
31:36One, two, three, down
31:39All right
31:40CT is ready to re-scan
31:42Interventional radiology is holding a room
31:43Look at you, so on top of things
31:45Yeah
31:46Hasta la próxima
31:47What are you doing over here?
31:50Definitely doing great
31:52All right, well, let's get you a ginger ale
31:54So we never, ever remove a deep foreign body in the ER
31:57We always leave that to surgery
31:58It won't happen again
32:02I was just coming to find you
32:03Sure you were
32:04It's almost like you're avoiding me
32:07Me?
32:07Never
32:08No, just having one of those busy days
32:10You know, living the dream
32:11Saving America's tired, poor, huddled masses
32:13Yearning to breathe free
32:14You're a saint
32:15I tell myself that every day
32:17I heard you had a motorcycle crash come through
32:20About an hour ago
32:21Yeah
32:23Couldn't save him
32:25I know he was not wearing a helmet
32:27Interesting
32:28One motorcycle crash is not going to scare me off my trip
32:31I didn't say it should
32:33I hope he died doing what he loved
32:36That's optimistic
32:39Glass half full kind of guy
32:43I am not on your couch
32:45I'm aware
32:45Conflict of interest here
32:47Why?
32:47Because we're friends?
32:48Oh, look at you
32:49Using the F-words
32:51Growth
32:52I use F-words all the time
32:54I guess this therapy must be working
32:55Ah, I got somebody new for you
32:58She takes no shit
32:59You'll love her
33:00I hope so
33:01The last two have not exactly been
33:05My speed
33:06Meaning what?
33:07Empathetic?
33:09Look, sometimes it just takes a little while
33:11You know, find the right fit
33:13Well, it's gonna have to wait
33:14Because I'm going on my sabbatical tomorrow
33:15There's always Zoom therapy
33:18Motorcycle trip is Zoom therapy
33:22I'll bet somebody set off fireworks in the shitter
33:27How dumb is that?
33:28You think people are smart?
33:30Yeah
33:34What's up, man?
33:36You want to get on the books?
33:38Uh, yeah
33:39Yeah, yeah
33:40Maybe, maybe
33:41Yeah
33:41Hey, look here
33:42I only take real money
33:43None of that I owe you bullshit
33:47Okay, I have money
33:48Okay, my first direct deposit finally hit
33:51So
33:52Nice
33:54Put me down for $40 for power outage
34:02Nice
34:02We got a big ball on our hands
34:05Congrats, doctor
34:06Thank you
34:06I like this out of you, man
34:08Any improvement?
34:09No
34:11What kind of super glue did you use?
34:13Does it matter?
34:13My eye is still fucking shut
34:16Okay
34:16There's one other thing I can try
34:17No, I'm done
34:18I asked for Dr. J earlier
34:20And I would like to see her now
34:22I haven't been in the hospital for a while
34:23I don't know a Dr. J
34:26She's one of the best doctors in Pittsburgh
34:34Oh, Dr. J
34:38Do what you must be lady
34:39Mm-hmm
34:40Okay
34:41First, I need to get a good grip for the reduction
34:44Uh-huh
34:46Here we go
34:48Try to relax
34:49Deep breath with your mouth open
34:53Not how I imagined our first intimate encounter
34:56Okay
34:58Got it
35:00Now on three
35:01Okay
35:03One
35:06Motherfucker
35:08You shut up
35:10I know
35:11Sorry
35:12It keeps you from tensing up
35:14Okay, I think that worked
35:16How does it feel?
35:17Can I sit up?
35:18Mm-hmm
35:18Oh
35:20Oh
35:24Oh my God
35:27Oh
35:29It's definitely better
35:32Oh my God
35:34Great
35:35Can I give you a hug?
35:39Maybe, maybe later
35:41Okay
35:45Aspiration pneumonia
35:45How does that happen?
35:47Uh, it's when bacteria from the mouth or stomach get into the breathing tube
35:51Uh, when you're choking
35:53If you're eating or vomiting
35:57Oh
35:58Do you ever drink a lot of alcohol?
36:00Maybe so much that you pass out?
36:02No, I'm not a big drinker
36:04Have you had the stomach flu recently?
36:06Food poisoning?
36:08No, I know
36:10Do you mind if we take a look inside your mouth?
36:20You can lean your head back
36:23And open wide
36:30What?
36:31The enamel on the back of your teeth is worn away
36:35What does that mean?
36:37Um, it can happen if someone makes themselves vomit repeatedly
36:41While the stomach acid dissolves the enamel
36:44What does that have to do with having pneumonia?
36:47It may have caused it
36:51Can you just give me some medicine?
36:54Yeah, we can do that
36:59Dr. J
37:00Finally
37:01It is so nice to meet you, Dr. J
37:04This is Willow, your new patient
37:09I'm actually a student doctor
37:11I, uh, watched all of your videos
37:13The one about coping with difficult co-workers was super helpful
37:17I gotta watch that
37:19Um, so what is Willow's health issue?
37:22Uh, my eye
37:23It's super glued shut
37:26Halfway trim and mineral oil didn't work
37:28No
37:30Then I would suggest cutting the full lash down
37:33I concur, Dr. J
37:36As long as you're the one doing it
37:39Oh
37:41Okay
37:41Yeah, sure
37:43Um
37:45Yeah, uh, sit back for me
37:49I'll get you to close both your eyes
37:51And be as still as possible
37:53Okay
37:54All you done
37:55Thank you, Dr. Langdon
37:58Okay
37:59Here we go
38:03How many followers do you have, Dr. J?
38:06More than you'd guess, Dr. Langdon
38:12There
38:18He did it
38:24Oh, my God
38:26This looks terrible
38:28I can
38:29Still put a false lash on it, though
38:31Right?
38:36How are you feeling, Mr. Diaz?
38:38Much better
38:41We need to talk about how your diabetes progressed to this place
38:46This is doing Dr. Puan
38:49What you say here remains between us
38:54I'm taking a lower dose of insulin than I should be
38:58How much have you prescribed dose or using at a time?
39:01Half
39:03I used to have insurance through work, but
39:04I lost that job when the pandemic hit
39:06It was easy to keep up with my medication then
39:10I had a great primary doctor, too
39:13Now I'm
39:14Kind of on my own
39:16Do you have a glucose monitor?
39:18Uh, yes
39:20But I can't afford the test strips every week
39:22They're too expensive
39:24Can we not talk about this in front of my family?
39:26Hi
39:28They're my girls
39:30Did you call your brothers?
39:31They're still a soccer
39:32I have good news
39:33I started a GoFundMe for dad
39:35A what?
39:35To help raise money for dad's medical care since we don't have insurance
39:39No
39:41Take it down
39:41Now
39:42But, why?
39:44I work hard
39:45I don't need charity
39:46But dad, we've already run
39:47Ana!
39:48You heard me
39:49Take it down
39:50Jesus, Orlando
39:52I don't need that
39:56Louie
39:57Thought I'd sneak back in and check on you
39:58How are we doing in here?
40:00Good
40:01Two's feeling much better
40:02Glad to hear it
40:05Looks like you're stuck with us for the next three hours
40:07Need to monitor your blood pressure
40:09How about a drink while I wait?
40:12Water or orange juice?
40:14Uh, never mind
40:17So, uh, how's your kids doing?
40:22Oh, they're perfect little monsters
40:25Tanner's five now
40:27Penny's three
40:28Uh-huh
40:28Ain't that a blessing?
40:30It is, but they have zero interest in bedtime
40:33And there's a dog always digging up the yard
40:38How much sun does your lawn get?
40:41Plenty
40:42Seated
40:43With perennial ryegrass
40:45And you want to lightly water it
40:48And put up a temporary fence
40:50So the dog can't get back to it
40:52Color me impressed
40:53What can I say?
40:55I like grass
40:57No, seriously
40:59How do you know all that?
41:03I was a groundskeeper
41:05I worked with gardens and lawns back in the day
41:10Robbie
41:14Got set
41:18Dr. Langdon
41:20Dr. Alashimi
41:21How's triage looking?
41:23Donnie and I have it under control
41:24Good
41:25I want you to wrap up what you're doing out there
41:27And join us back here
41:28We're expecting more diverted traffic from Westbridge
41:30Will do
41:32And I just want to say
41:33I think it's great
41:34That you're in the Physicians Health Program
41:36I know it's a big commitment
41:39Uh, yeah
41:40It was hard at the beginning
41:43But, you know, I'm almost done with year one now
41:45Only four more years to go
41:48Penny for your thoughts
41:50Oh, they're way more expensive than that
41:52I'm on a budget
41:53Take it and leave it
41:54My day is not turning out the way that I expected
41:57We had a call out
41:58Langdon was available
42:01I was sort of hoping to be on my sabbatical when you came back
42:04You two were very close
42:06Maybe this is the universe's way of telling you
42:09It's time to clear the air
42:11Maybe it is
42:13Maybe it isn't
42:19Okay
42:20So, um
42:21We'll need to keep you for the day
42:22For your IV antibiotics
42:23And to monitor your oxygen level
42:25Okay
42:27Okay
42:31Okay
42:32Okay
42:34What if
42:36I have been making myself vomit
42:44Well
42:47Bulimia is treatable
42:52I was gonna stop
42:54I stopped before
42:58My family gathers her own food
43:02We eat when we're celebrating
43:04We eat when we're mourning
43:05We just eat
43:06But then I got to college
43:08And it was all about how you looked
43:10That's a lot of pressure
43:17I started vomiting
43:20Everyone said I looked great
43:22So I went to the gym more
43:24I didn't need to purge as much
43:31Last year I went through a breakup
43:32It all came back
43:39You're
43:41Doing long-term damage
43:43To your body
43:45And it doesn't just
43:46Go away on its own
43:48It's okay to ask for help
43:51We can set you up
43:52With our eating disorder program
43:53Upstairs
43:54It's here at the hospital
43:56It's an outpatient program
43:57You'd meet with a therapist
44:00For individual and group therapy
44:02Once or twice a week
44:05To be open to meeting
44:07With a therapist
44:10I guess
44:12Do you have any preference
44:13For type of therapist
44:14Male, female
44:17If there's a black woman
44:18I'd like that
44:21Yeah, we can arrange that
44:25Thank you
44:30That was a good catch
44:32Black women tend to go
44:33Underdiagnosed
44:34When it comes to
44:35Eating disorders
44:35Really?
44:36Yeah, unfortunately
44:38You know, I thought I had
44:39An eating disorder
44:40In high school
44:41And so I did a lot of
44:42Research on the subject
44:42I didn't
44:44No, I just
44:46My sister and I
44:47Were really picky eaters
44:48Growing up
44:49You know
44:51Color and texture
44:53Vegetables and fish
44:55Eggs
44:57Slimey okra
44:58Asparagus
44:59Disgusting
45:00Joe repair is crazy
45:01Oh, eggs
45:02Weird
45:04It's not that weird
45:05I gotta
45:06Catch up on my charting
45:10You know
45:10If you want to talk
45:12I'm around
45:13Talk about what?
45:15Being in R2
45:15Way harder than intern year
45:17Oh, yeah
45:19Yeah, overseeing
45:20The med students
45:21The interns
45:22Having no time
45:23To do my own charts
45:24Just waiting
45:25Until you get into
45:26Medical, surgical
45:27And cardiac ICU
45:28I stands for intense
45:30Somehow that seems
45:31Like an understatement
45:33It does help you
45:34Grow your clinical skills
45:36You know
45:36Caring for the sickest patients
45:38Tell that to these charts
45:41Dictate
45:41Helps you go faster
45:46Oh, uh
45:47What happened with
45:48Our patient from Westbridge
45:49He never grabbed me
45:50For his troponin
45:51Mr. Samba
45:52It was a posterior STEMI
45:53What?
45:55Didn't show on the 12 lead
45:56No, usually it doesn't
45:57I think most clinicians
45:59Would have missed it
46:01But you didn't
46:03Guess I got lucky
46:07Whatever, fuckleberry
46:10Okay, I'm sorry
46:11Did I do something
46:11To bother you?
46:12Nope
46:16Okay
46:18Yo
46:19What's up?
46:20I got a bounce back
46:21You remember Debbie Cohen?
46:23Not really
46:24I've seen 16 patients
46:25This morning
46:26The restaurant worker
46:27With cellulitis
46:27On the dorsum up the foot?
46:29Yes, yes
46:29She's on catflex
46:30I'm marked borders
46:30I got a hot pack on it
46:31But, uh
46:32You should take a look
46:38Hi
46:39Dr. Langdon
46:40I wasn't expecting
46:41I didn't see you back so soon
46:43Meds upside your stomach?
46:44Uh, no
46:46The pain got worse
46:47And you said to come back
46:49If the redness spread
46:49Outside the sharpie line
46:50Let's take a look
47:02It looks like the infection
47:04Isn't responding to the pills
47:05I prescribed you
47:06So we need to get you on some IV antibiotics
47:08And get you back to the ED now
47:10Uh, is it bad?
47:12Not if we can get a handle on it
47:15Worse
47:15Or maybe worse
47:24Old bounce
47:24Oh, my gosh
47:46I don't see it
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