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The.Pitt.S02E03.540p.X265.AAC [Full Movie] [High Quality]Full EP - Full
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00:14You
00:20Name says Jackson Davis, that's the start Jackson. What's going on?
00:30You're okay, I'm the one.
00:32Reasonableness, 2709.
00:33We're going to need you to calm down to get the taser barbs out of your neck.
00:36You need to jump on that?
00:37Mmm, covering falls for Dana.
00:40Stop talking to me!
00:41You can't!
00:42Settle 27-16.
00:43Hard to assess pupils.
00:45Hard to assess anything.
00:46Wait till after he's sedated.
00:48Ten of the lands of peace.
00:49No, that'll take 15 minutes to kick in.
00:51500 peridol puts him down at five.
00:53No, you can't give it without knowing he's 15.
00:55Two beats of a rhythm strip before we take off the beats.
00:57No, no, no, no.
00:59This can't be in here, get out!
01:01That looks good, go with the Jafaridol.
01:02Oh, fuck out!
01:03Get off me!
01:05Get off me, man!
01:05Take the bus out!
01:072701!
01:08No, get away till he comes!
01:09Get off me, man!
01:112901!
01:11Get out!
01:12Get out!
01:133710!
01:14Title 18, Section 1938!
01:17Mr. Randall, happy 20th anniversary and a very happy 4th of July.
01:22But no sex fireworks for you tonight.
01:24Give everything a chance to heal.
01:25Don't worry.
01:26I won't.
01:27Thanks, Doc.
01:28Ow.
01:29We're going right back through here, okay, man?
01:31Oh, thank you.
01:32Change the dressing twice a day.
01:34Doggy bag of the ointment and non-stick gloves.
01:37Cool.
01:37I know the drill.
01:38Come back if it starts to ache or stink.
01:40Exactly.
01:41Good luck.
01:42Stay safe.
01:42Shit, it's daddy.
01:43You're daddy.
01:44Lord, what'd they get out to now?
01:47Treating the street.
01:48Frozen Dover.
01:50I'm sorry, Miss Graham.
01:52I just saw the ASO note in your chart.
01:55This is Lindsay.
01:55We'll bring you back as soon as possible.
01:59Stay with her.
02:02All right.
02:03Who here needs help?
02:05Let's listen to see what you...
02:06You?
02:07You need help?
02:08Oh, no, no, no, ma'am.
02:09I'm thin on these since 1987.
02:11This one here, he got dizzy, fell down.
02:13I forgot my blood pressure medication.
02:15I left it back home in Georgia.
02:20And presto.
02:21We're back, Mr. Digby, with some IV antibiotics.
02:24First we scrub your outsides, then we clean your insides.
02:28What do you need to document in this chart?
02:30Uh, time started, time completed in any adverse reaction.
02:33What else?
02:36Um, lot number on the antibiotic file?
02:40Excellent.
02:40Mr. Digby.
02:41Just Digby.
02:43Digby.
02:43Why'd you wait so long to come see us?
02:47I don't like going to doctors.
02:50Well, that makes two of us.
02:51We all need help from time to time.
02:53Think maybe we could arrange for some ongoing care?
02:55I just kind of want to get patched up, you know?
02:59I do know.
03:00But that's today.
03:01What's tomorrow?
03:03Sunday.
03:06It's the system.
03:07It's what it's there for.
03:09But in mind, Dylan knows all the angles.
03:11He even works the occasional miracle.
03:13You think maybe I could have him stop by?
03:17I guess, yeah.
03:19Right.
03:20How about a sandwich?
03:21Yeah.
03:22Yes, please.
03:27We always offer two most important things that they know we're here and that we'll never stop offering.
03:34Thanks for covering, princess.
03:35Anytime.
03:37Yo, can I get some help over here?
03:38Yeah.
03:39What's going on, man?
03:40The crazy kid in there screaming.
03:42All right, have a seat.
03:42Yeah, that's him.
03:44Still going nuts.
03:45Probably meth.
03:47Fucking animal.
03:48What's your name, sir?
03:50Tony Cinchillo, campus security.
03:52Yeah.
03:52I was at work when this happened, so I'm going to do everything documented.
03:56Okay.
03:57All right, heart rate's 89, pulse ox 97.
04:02Scott Black's tiny, five millimeters, should hold together with Dermabond.
04:06Kid threw a fucking chair at me.
04:08Work-related injury gets a full exam.
04:10Jesse here will take you.
04:11No, I'm going to stay here until the cops come, so I can give my statement and so I can
04:15watch him.
04:17Yeah.
04:18Trust me.
04:19You do not want him getting out of there.
04:21How?
04:22Fuck.
04:23Did she say anything?
04:25No more than she said to you.
04:27Nothing going on at home, nothing at school.
04:29And you believe her?
04:31There's some flags, bruising in various stages of healing.
04:34She's a little withdrawn, doesn't engage much for girls her age.
04:37Would you just be a little shy or scared of being in here?
04:41Or she's being abused.
04:44That too.
04:44We'll find out when when dad shows up.
04:46Nope.
04:47If he shows up.
04:55There's the first barb out.
04:57All right, Javadi, you're up.
05:02Okay, so you're going to want to clamp where the shaft meets the barb.
05:06Mm-hmm.
05:07Yep.
05:07Stabilize the skin.
05:09Not so close to us to stick yourself.
05:12I've seen that once or twice.
05:13Uh, pull up at 90 degrees.
05:16Harder?
05:17Yep.
05:18Harder.
05:19Oh.
05:20Do we suture those?
05:22Nope.
05:22Just a band-aid.
05:24Mel, we need orders.
05:25Right.
05:26I got a rainbow.
05:27Uh, CBC, CMP, UA, blood alcohol and toxin.
05:33All the above.
05:34Cap, with this young man stable, can he go to Central 10 Pronto double trauma at the back door?
05:38Okay.
05:39You heard the boss.
05:40Let's get going.
05:40The day is starting to heat up.
05:47Mark Yee, 32-year-old restrained driver.
05:50Auto versus motorcycle.
05:51Altered with normal BP, setting 99 on two liters.
05:54We're at the hospital now, Mark.
05:56What's wrong with him?
05:56Why isn't he talking?
05:57His wife, Nancy.
05:58Front seat passenger declined transport.
06:00It's fine.
06:01We weren't going all that fast.
06:02The motorcycle ran the light.
06:04Hey, Dr. Robbie.
06:05This is Dr. Alashimi.
06:06Nice to meet you.
06:07And this is Nurse Dana.
06:08She's our charge nurse.
06:09We need to look over your husband.
06:10Hold on.
06:11Let's look over here for a minute, huh?
06:12And let him get to work, okay?
06:13Antoine!
06:14Larry!
06:14Transfer out here.
06:15Do you want to be open in a sec?
06:16All right, Captain.
06:18One, two, three.
06:21Keep coming.
06:22Okay, Joy, you stay with me.
06:24Samira, you stay with Dr. Alashimi.
06:28Pulp and skull fracture.
06:29Tubed in for agonal respirations.
06:31BP-60 palp initially started a liter of NS,
06:34but lost its pulse and root.
06:37Oh, boy.
06:38This doesn't look good.
06:39One, two, three.
06:41Joy, check your pupils.
06:42Somebody hand me a pair of scissors.
06:48Eight millimeters, not reactive.
06:50A.k.a.
06:51Blum-trups fixed and dilated.
06:53Oh, God.
06:54Crushed skull with tons of gray matter extravasation.
06:56Unless it was quick.
06:57No helmet?
06:58Nope.
06:59Because he took the PennDOT motorcycle safety course.
07:01Isn't that what you took, Robbie?
07:02Pulp compressions?
07:03Yes, but I still wear a helmet.
07:05Is he a donor?
07:07Also, nope.
07:08That is too bad.
07:08Hey, Sister Lee, I think we are done here.
07:11What's next door?
07:12The guy who hit him.
07:13Joy, you're with me.
07:15What about a moment of reflection?
07:17I thought-
07:17He'll still be dead when we get back.
07:19Pulse ox, 99.
07:20BP, 108 over 72.
07:22E-fast negative.
07:23That was a lot better than the guy next door.
07:24How's the airway?
07:25Good volume, good saps, gag reflex.
07:30Present.
07:30Intubate?
07:31Maybe, maybe not.
07:32Mr. Yee.
07:33Joy, he's throwing a rub on his chest like this.
07:35Really hard, please.
07:36Mr. Yee.
07:38Spontaneous eye movement, response to pain.
07:40GCS is 10, borderline for intubation.
07:42No muscle tone, flaccid paralysis in the left arm.
07:45Same on the right.
07:46And both legs.
07:47Add towels to both sides of the collar for more stability.
07:49Let's not make this worse.
07:51Hand scan with 3D reconstruction of the spine.
07:53He's quadriplegic?
07:55If so, it's a low cervical injury.
07:57Why is it, Joy?
08:00C3, 4, and 5 helps you breathe to stay alive.
08:03Mr. Montrose, you can't just be wandering around talking to patients.
08:08That's, that's what I do.
08:10I'm a greeter at Walmart.
08:11I get paid to wander and to talk to folks.
08:15Well, as a, as a personal favor to me, can you at least stay in your general vicinity?
08:20I can get you a wheelchair while we wait for your x-rays, but it might take a minute.
08:24My dear, I cannot sit my backside.
08:26It's killing me from where I fell on it, which is an embarrassing admission to make to such a lovely
08:31woman.
08:33Well, thank you for the compliment, but there's no need to be embarrassed.
08:36You took a very nasty fall.
08:38Well then, may I say, that one look in your beautiful eyes, and I think, I'm falling again!
08:46What a charmer.
08:47Just for that, I'm going to get you a foam donut.
08:50The eighth wonder of the world.
08:52Pretty great laugh you got there, Doc.
08:56Oh God, my witch's cackle.
08:59Got CT results for Mr. Williams.
09:05Oh, wow.
09:08Okay.
09:11Ah, right on time.
09:14Just, just getting full.
09:16Yeah, I'm ready for number five.
09:17That's impressive.
09:19Yeah, there's more where that came from.
09:22Although, uh, my intake is running low.
09:25Yeah, well, two more bottles ought to do it, then we'll drain your tooth and we'll get you out of
09:29here before the fireworks tonight.
09:31Okay, clamped. Ogilvy, make the change.
09:35Okay.
09:38Alright, let her rip.
09:42Flowing like a river.
09:44I love me some fireworks.
09:47Oh yeah?
09:49Shit, I, I met Mr. Zambelli.
09:52Lean forward?
09:54Many times on the field.
09:56Who's Mr. Zambelli?
09:59Son, you don't know fireworks if you don't know the name Zambelli.
10:02He helped Pittsburgh become the firework capital of America.
10:07You did know that, didn't you?
10:10No.
10:11Y'all don't know nothing about pyrotechnics.
10:14Stick to doctrine.
10:16Yes, will do.
10:25I'm sure you have some questions.
10:28I know it's a lot to take in.
10:31It's a tumor.
10:34It's a brain tumor.
10:35Well, it's a mass.
10:37About four centimeters in the frontal lobe.
10:41Is it cancer?
10:43We can't say for sure right now.
10:46It could be many things.
10:48Infection, inflammation, a benign cyst.
10:53Is it what made me fall?
10:57Yeah, possibly.
11:01We'd like to keep you here and treat with dexamethasone,
11:04which is a steroid to take down the swelling.
11:06And then we'll need a brain biopsy to know exactly what it is.
11:10But you, you're gonna cut open my head.
11:14It's just a small hole.
11:16We'll do a CT-guided stereotactical biopsy with a blunt, thin needle.
11:22Which sounds crazy, but it's actually pretty amazing.
11:26Most patients go home the next day.
11:32I don't know.
11:35What do you think I should do?
11:38I think this is a pretty good plan.
11:42Okay.
11:44BP 95 over 67.
11:47This thing's a little on the low side.
11:49It is.
11:50Have you ever had low blood pressure in the past?
11:53No, sir. My blood pressure is always high.
11:56Hold still, sir. No talking while we do the EKG.
11:59The Hansons all run high.
12:00Except for Monty. He ran low, but he's dead.
12:03It's not helpful. You want to help quit playing family pharmacist.
12:07Cooling meds is how we've always done it.
12:09You put everything in a big pile in the middle of the table.
12:12Well, look where that got us now.
12:13No, I'm gonna jump in here and echo that sharing meds which haven't been prescribed to you is actually a
12:17real big no-no.
12:18How we doing unremembering what your brother might have taken?
12:20We could call back to the house.
12:21Great idea.
12:22Okay.
12:24Whatever little round pill you took, sir, has caused your heart rate and blood pressure to drop so low, you're
12:29at risk of fainting, falling or having a serious injury.
12:33Huh.
12:34We need to take him back to the ER so we can get a liter of fluids, we can check
12:37his blood test and monitor his heart rate and blood pressure until he recovers.
12:41Pulse locks holding steady at 99, good tidal volume.
12:44How you doing there, Mr. Yee?
12:46Scanner can take him now. I'll check the results from upstairs.
12:49Why is he so altered?
12:50Could be concussion, maybe a small intracranial hemorrhage.
12:53All will be revealed by the Donut of Truth.
12:56Need a portable monitor?
12:57Joy, stay with him, please.
12:59See if the radiologist can give us a shot.
13:01How is he?
13:01Did I hear someone say he's paralyzed?
13:04There are signs of weakness in both arms and legs, but before we can make any prognosis, we'll need a
13:09full body scan.
13:10Head CT will show us any brain injury, neck CT will show us any spinal cord injury.
13:15Chest, abdomen, pelvis will rule out any internal bleeding.
13:17Oh, my God.
13:18The scan should only take about 15 minutes.
13:21In the meantime, perhaps you'd let us look you over as well?
13:24I'm fine.
13:25The medics checked me. I just want to stay with my husband.
13:29Well, you can't go into the CT with him, but you can wait just outside, if you like.
13:34Princess, this is Nancy. Mrs. Yee's going to go with her husband in the CT.
13:36Can we show where to go?
13:37Sure, come on in.
13:42So, what's the plan now?
13:44Keep observing me in my natural habitat?
13:46No telling what I might do next?
13:47I think I've got the gist.
13:48How about we each take a lap and meet here when Mr. Yee's back from CT?
13:53Splitting up so soon?
13:54You're free to see other people, Dr. Ravinovich.
13:58I'm looking for cooperation, not commitment.
14:05So, you bandaged the burn yourself?
14:07No, no, no, no, no, no, no.
14:09Ma'am, you're making it difficult for me to see under this dressing.
14:12Is that a tablecloth?
14:14Part of a window curtain.
14:16Cleaner than tablecloth.
14:17I'll look for the doctor, thank you.
14:19But may I ask how this happened?
14:22For weeks on end, the kids with their huchni firecrackers going all day and night.
14:26Oh, is this a firecracker burn?
14:29No, sweetie, this is from the full samovar.
14:32I drop on the floor when the shit...
14:34The firecrackers started going on again.
14:37I'm sorry, what's a samovar?
14:39It is a big metal urn for coffee or tea.
14:42It can get super-duper hot.
14:44And I was never allowed to touch ours.
14:47Hello, Mrs. Kovalenko.
14:48My name is Dr. Michael Rabinovich.
14:49Everybody calls me Dr. Rabi.
14:51Rabinovich, Jewish?
14:53You guessed it.
14:54And I see that you are here today for a burn.
14:57Why don't we take a look?
14:59Uh, not married?
15:01No, I'm not married.
15:03Do we attend synagogue?
15:05Uh, not for a while.
15:07No.
15:08I mean, high holidays, mostly.
15:12Where?
15:13Ooh, what did you put on this?
15:17Where?
15:18On your burn.
15:19Is this honey?
15:20Yes, honey.
15:21Where do you go on holidays?
15:23Uh, my grandparents, um...
15:26I grew up in the Rodef Shalom.
15:28You?
15:29Tree of Life.
15:32They're rebuilding.
15:34Yes, something new.
15:36Remember, rebuild, renew.
15:40That's a slogan.
15:44I'm sorry, did you say honey?
15:47You think honey's funny?
15:49I...
15:49Works like a charm.
15:51My father kept bees, I know.
15:54If the honey is medical grade and the burns are not too bad, honey actually does have some anti-bacterial
15:59and anti-inflammatory properties.
16:00However, these burns are very deep in some places.
16:03They're going to need debridement.
16:05I'm glad you came in.
16:08That's what I thought.
16:10That's what I thought.
16:10I was hoping no, but figured as much.
16:14Not to worry.
16:15We are going to have you patched up and home in time for dinner and fireworks.
16:20No.
16:21No more fireworks.
16:24No.
16:24Yeah.
16:26Right.
16:26Anyone here treating Kylie Connors?
16:30Hey, she's my daughter.
16:31She's nine.
16:32I'm Benny Connors.
16:33Mr. Connors, I'm Dr. Santos.
16:36I'm treating Kylie.
16:37Is she okay?
16:38Uh...
16:39Can I see her?
16:39My girlfriend Gina says she got a cut on her chin.
16:41Yeah, I can take you to her.
16:42She has a small laceration on her chin, but it was easily repaired with medical super glue, so no stitches
16:47necessary.
16:48Okay.
16:48She chipped her tooth, but it's a baby tooth, so it won't need dental work.
16:53All right.
16:53That's a relief.
16:55Has Kylie had any previous injuries?
16:58Uh...
16:58Yeah.
16:59She, um...
16:59She broke her wrist last year.
17:01She was skateboarding.
17:03Dana, if you could get Dylan to come to North One and Ahmad.
17:07You bet.
17:07Okay, I got it now.
17:09One, two, three...
17:10Daddy, you okay?
17:11Oh, baby, what's going on, huh?
17:13My tooth broke and my chin got cut.
17:15Oh, no.
17:18What happened?
17:20She was running up the stairs.
17:22Dana was chasing me.
17:23We were playing.
17:24As I was saying, Mr. Connors, the laceration's pretty minor.
17:27On the stairs?
17:28It was an accident.
17:30Perhaps we can step up.
17:31An accident that wouldn't have happened if you weren't running up the stairs.
17:33Do you understand what I'm saying?
17:34We weren't running up the stairs.
17:34This is the last thing that I need right now is her mother finding out that she got hurt when
17:39she's with you.
17:39It was an accident.
17:40And before you get all high and mighty, I've got questions of my own.
17:43Like what?
17:43Hey, Mr. Connors, I'm sorry.
17:45I meant to be here when you arrived.
17:47I'm Dylan Easton.
17:48I'm social services.
17:49We have insurance.
17:50Perhaps we can step outside and chat for a second.
17:52I can fill you in where we are.
17:54Hey, Jesse, do you want to keep Kylie entertained for a few minutes while I borrow her dad?
17:58We'll just head down to the family room.
17:59It's a little quieter there.
18:01Why do I got to talk to a social worker?
18:03Anytime a child's injured, we have some standard questions that we ask parents and caregivers.
18:07Good.
18:08That's fine.
18:08Great.
18:09Ask me here.
18:10Well, we noticed some bruising on Kylie's body, some old, some new on her back and legs.
18:17Any idea how she got those?
18:19Yeah, soccer.
18:20She plays for a club team.
18:21They're, you know, little girls, but they play like they're in the Hunger Games.
18:24Well, I understand that you and Kylie do a fair amount of roughhousing.
18:29What?
18:31I'm sorry.
18:32Are you fucking kidding me?
18:34Where are you going with this?
18:35Are you saying that I hurt my daughter?
18:36Mr. Connors, no.
18:37Oh, no, no, no, no, no, no, no, no.
18:38Gina!
18:39Mr. Connors?
18:40Just, just, Gina!
18:41Sir, take a breath.
18:42Gina, what did you say to them?
18:43Nothing.
18:44I said that you're a great dad.
18:45Okay, what else?
18:47That you guys like to wrestle.
18:48Jesus Christ.
18:49What?
18:49They wanted to know where all her bruises are from.
18:51Who the fuck are you to talk about me and my daughter?
18:53Who the fuck are you to talk about me?
18:54Yeah, that's what I'm asking.
18:55Hey, big man, take one more fucking step.
18:57Hey, that's enough.
18:58You need to talk about it.
19:00Hey, everybody!
19:00Hey, everybody!
19:01Back the fuck up!
19:01Stop, stop, stop, stop!
19:03Kylie's playlist is only 9,000.
19:06What does that mean?
19:08It's, it's not what we thought.
19:11It's probably ITP.
19:13What the hell is ITP?
19:15Something we can treat.
19:23You feel that?
19:25No.
19:25No.
19:27Excellent.
19:28This is looking very good.
19:30Tell Mr. Kovalenko.
19:35Mrs. Kovalenko?
19:37Yes.
19:38Yana, please.
19:39Yana.
19:39You mentioned that you dropped the samovar when you heard firecrackers.
19:47Yeah.
19:50I was on my way inside October 27th, 2018, to the synagogue when the shooting started.
20:05There's nothing I could do.
20:07I went in after the police arrived.
20:11Right?
20:12I felt I had to.
20:16I'm better now.
20:19But...
20:21New Year's Eve.
20:22Fourth of July.
20:24When...
20:26When kids have their fireworks and firecrackers, I...
20:33There is no clock on how long it takes.
20:37No clock.
20:38You must be joking.
20:44Robbie?
20:44Yep.
20:45Marky is back from CT.
20:46Oh, okay.
20:47Um, Carla, why don't we go ahead and see if we can put a non-stick dressing on this.
20:50And I will come back and we can discuss aftercare instructions.
20:54Yes.
20:55You got it, boss.
20:56Thank you, doctor.
20:56Thank you, doctor.
21:10Vito stable, plus ox holding at 99.
21:13Okay, heart and lungs look good.
21:17Dr. Mullen.
21:17Dr. Robbie.
21:19Yeah.
21:22please make him be okay i can assure you that we are going to do everything you can
21:28i know god this is all my fault this is he he's been so stressed so i planned this week
21:35in a way as seven springs but he didn't want to go because of work so we fought this whole
21:41morning
21:42and then i said awful things those can't be the last words we say to each other doctor please
21:51good news ct looks normal no bleeding inside the skull c-spine no fracture c
21:59can't break his neck then why is he paralyzed you can have spinal injuries without radiologic
22:04abnormalities sometimes it doesn't show up on ct only on mri dr mohan
22:13are you sure
22:18okay critical potassium level 1.2 wow okay uh extremely low potassium with generalized
22:26weakness and no cervical injury we may be looking at hypokalemic periodic paralysis what is that it's
22:32a rare condition where potassium gets shifted into the cells causing profound weakness just like
22:37paralysis will he get better yes back to normal in a few hours
22:40thank you so much did you hear that mark oh baby you're gonna get better
22:54all right didi hey come on now man oh how you doing dewante
22:59fine great if you're fine you go home really yeah hey tell him me and my sister are making bracelets
23:07and i put beads up my nose how many one on each side i gotta ask why do you stick
23:17them up there
23:17see how many will fit to shoot them out like rockets
23:22but i breathed in and they went deeper and now won't come out
23:27did you try anything at home yeah i tried blowing in his mouth but just got a little snot on
23:31my cheek
23:32hey forever dad okay we need to take a look with a little flashlight okay
23:36okay okay this what i have to look forward to this is so much more red bead below the inferior
23:43turbinate
23:46i got a blue one afrin benzocaine cas extractor yup dad looks like we gotta go up and get him
23:53no way he's sitting still oh he'll be numbed up you don't know this child hey dewante you like video
23:59games everybody does we have a 3d video game yeah cool
24:10that's kcl and saline at 10 meq per hour we avoid dextrose because the insulin response drops the cave
24:16even more if it's genetic why didn't happen when he was a kid it usually starts after the teen years
24:22and it can be intermittent sometimes it's triggered by intense exercise or stress
24:27we've been married eight years we've had fights he's never collapsed if a sire gets overactive that
24:32brings it on later in life i order tsh t3 t4 so now we just wait
24:40bag him starting compressions charge at 200 what is happening low potassium can harm
24:46electrical activity in the heart charge clear resuming compressions
24:53so your little girl was itp go figure nothing like a zebra to kickstart your morning
25:00it's better than the alternative true itp so that's uh the intra immune thrombocytopenia
25:11used to be called idiopathic thrombocytopenic purpura know what idiopathic means that we don't know the
25:17exact cause means the patient is pathetic and the doctor is an idiot
25:24just checked on baby jane dobb looking good taking formula well
25:29we're here to take a statement we're looking for a tony cincholo
25:33yo right over here boys
25:37for officers
25:39heard you had some trouble over at the campus library
25:41shit let me just say new appreciation for what you guys do every day freaking junkie jungle right
25:49at the campus library
25:52i'm in forefinger make a c bottom three fingers make a t for jaw lift one breath three five seconds
25:56come here all right about two minutes since defibrillation holding compressions
26:01normal sinus carotis strong carotis okay let's try for bp
26:04why don't we check after the shock 2024 acls guidelines patients can remain pulseless for a
26:10little bit even after successful defense he came back with one shock that's as good as it gets
26:14104 over 68 good squeeze good ef spontaneous respirations okay let's let's breathe on his arm
26:19excellent sign can i touch him of course
26:29oh shit we need a gurney nancy mrs yi
26:36mrs yi weak carotid shallow breaths did she vasovagal from stress can't assume that positive seatbelts
26:43oh shit hang two units of rodega the rapid infuser somebody call garcia
26:47shit we really should have insisted on an examiner okay i got the head
26:50platelets are these tiny things in the blood that help it clot
26:54and thrombocytopenia is fancy for low platelets which explains why your skin bruises so easily
27:00and what causes it it's actually her immune system that's causing the destruction of the platelets
27:06sometimes it's a triggered response to an environmental factor or a virus
27:11and what's the treatment what are you giving her
27:14we'll be treating her with high dose steroids to suppress the immune system and ivy immunoglobulin
27:20which reduces the destruction of the platelets in the spleen can i go home you're gonna have to
27:25stay in the hospital for about three days to make sure that the treatment is working okay okay so when
27:32can she get a room in the hospital that is an excellent question i'm going to see if i can
27:36make
27:37that happen sooner rather than later but it might take a while gps says i should be there by 11
27:42do you
27:42have any other questions for me ma'am no i'm sure i will but i'll let you go for now
27:47thank you benny
27:49all right i'll see you when you get here see you soon baby i love you bye mom love you
27:53too
27:56there you are and there you are don't try to charm me you promised to stay put i was going
28:03to come
28:03right back my backside is killing me i need to keep moving or i get all achy and stiff
28:09well i got you this foam donut to sit on while we wait for your x-rays dr hazel eyes
28:16it says here
28:17that it's only supposed to take an hour or two for an x-ray well the patient passport holiday
28:25edition would better reflect reality it could be double that there's no need for reality we romantics
28:32prefer live the dream we do joey we
28:53hey save a dance for me yeah okay i will dr mckay yes this is gretchen williams
29:01actually it's lambden ah i called about my ex-husband michael yes yes yes thank you for
29:07coming in you were um listed as his emergency contact yeah i don't know why we have been
29:12divorced for years is he all right he's he's going through a lot right now would you like to see
29:19him
29:22uh okay leo can you zoom in and please hold it a little steadier okay
29:32okay atorvastatin simvastatin ezetimibe those are all high cholesterol medications
29:39can you go to the right lisinopril losartan propranolol wait wait that's it windows pile
29:48yellowish bottle little round blue pills just like i said propranolol bingo little lady okay yeah well
29:55this makes a lot of sense now um propranolol is a high blood pressure medication those are uh 20
30:02milligrams each and the starting dose is 40 migs how many pills did you take
30:07no man i i went just before i came here dad um pill how many pills did you take
30:15oh uh i think four maybe five that is a lot okay well full stomach mind you
30:24well um the good news is it has a short half-life so um we need to keep you for
30:30about four hours to
30:31monitor but then you'll be able to rejoin for all the late afternoon festivities all right
30:38unit three and four running in bp 84 over 56 heart rate 112 free fluids much bigger than before
30:44she's not turning the corner or is holding a room i'll let the husband know why'd you guys wait
30:48so long to check her good vitals in the field no distress she refused to sign in you should have
30:52convinced her 20 20 hindsight she was stable until she wasn't next time i'll use my x-ray vision
30:57goggles let's get her upstairs gotta do an accu check on my dk patient thanks for the backup anytime
31:09now try and lift your arm mark
31:14i'm trying can't do it but you are getting stronger and your speech is improving
31:20how did i lose so much potassium you didn't lose it it got shifted into cells when it comes back
31:27you'll return to normal where's nancy she had an injury to her spleen right about here with some
31:32internal bleeding oh god she passed out from blood loss we were able to transfuse her and she's now on
31:38her way to surgery to repair that damage this is my fault she's trying to
31:46she fucked a trip for us for me
31:51i fought her the whole time i've been
31:57please don't oh my god please don't let her die
32:02please i can assure you that she is in excellent hands
32:07this is how it works how what works you think things are important that everything's so important
32:18and then you end up here and see
32:23yeah that is how it works
32:27no it's a small hole like the size of a dime right doc
32:33yeah even smaller it's a minor enough procedure that most patients go on the next day
32:38and then and then they'll know what it is
32:42and how to treat it
32:44isn't that right yeah exactly
32:49i'm sorry
32:49that they called you
32:52i never updated the form i guess
32:54no no it's okay i'm
32:57you know they called and i was just kind of surprised
33:03well you didn't have to come
33:06but i did
33:11i heard you get married
33:14congratulations
33:14thank you
33:19i hope he treats you well
33:23and you deserve to be happy
33:31i'm really sorry you're going through this michael
33:35yeah
33:37me too
33:40lean on me
33:42i'm a survivor
33:47why don't i
33:48i leave you guys to talk
33:50for a few minutes
33:52i have a patient to check on
33:56sure
33:56yeah
33:59mr diaz should be improving after two liters
34:02blood sugar
34:03down from 521 to 436
34:05that's good right
34:06moving in the right direction
34:08were you able to get a hold of your mom
34:10yes
34:11she's on her way
34:12she doesn't have a car
34:13she takes buses
34:14so it takes longer
34:15i'm sorry
34:16don't be
34:18current insulin is 0.1 units per kilo per hour
34:22next steps
34:23once the glucose is down to 250
34:24reduce the insulin to 0.05 units per kilo per hour
34:27because you can normalize the blood sugar before you clear the ketones
34:30and you don't get hypoglycemia
34:31but as treatment continues
34:32you'll have to give iv dextrose
34:34to keep the blood glucose in between 150 and 200
34:36while the insulin drip clears the ketones
34:38obviously
34:39i'm sorry
34:40what
34:43got it
34:44duante what are you doing in there son
34:46i'm a rabbit
34:47grabbing all the carrots before the farmer gets me
34:50keep going
34:51this is a cat's extractor
34:53with a tiny balloon at the end
34:55what we're going to do is we're going to slip it past the bead
34:57inflate the balloon
34:58try to pull out the bead
34:59is it painful
34:59no he's numbed up
35:01made to level 3
35:02i'm pretty distracted
35:04dad's going to hold your head still okay
35:05look up
35:07okay
35:09now go
35:11back
35:12perpendicular
35:12below the turbinates
35:16you guys ever hear of john o'donohue
35:19no
35:19been reading him a lot lately
35:21he's got this book of um
35:23blessings
35:25and there's this one about fatherhood
35:26really stuck with me
35:30voila
35:30one red bead
35:32yeah
35:33how's it go
35:34the ending goes
35:36may you be gentle and loving
35:38clear and sure
35:40may you trust in the unseen providence
35:43that has chosen you to be a family
35:45may you stand sure on your ground
35:48and know
35:49that every grace you need
35:51will unfold before you
35:53like all the mornings of your life
35:55hmm
35:56that's good
35:57i'd add support your woman
35:59and pack good snacks
36:02it's beautiful
36:03and it turns out
36:05there's no handbook for fatherhood
36:07so i will take all the wisdom
36:09i can
36:12blue bead
36:13out
36:18anything else
36:20you tell me
36:21i have my own report to do
36:23anything i left out
36:24i have to back on that kid
36:25we'll follow up with mr davis
36:27when mr davis
36:28comes off the ceiling
36:33jackson davis
36:35talk screen negative
36:36for cocaine amphetamines
36:38marijuana
36:39pcp
36:40benzos
36:40and opioids
36:41so no drugs in his system
36:43nope
36:44taser barbs on the back of the victim's neck
36:46yep
36:51changes things tony
36:53hey louie
36:54how we doing
36:55not so good
36:57i can really use a drink
37:00i'm feeling a little empty
37:02okay well empty is what we want
37:04and it looks like we are there
37:06hey well if i can't get a drink
37:08my tooth
37:09you gotta do something
37:11we're gonna get right to that
37:12let's hang some ivy antibiotics
37:14three grams of unison
37:16excellent
37:18he's gonna be right back
37:19we're gonna numb it up
37:20and drain it
37:21ten minutes tops
37:21okay
37:22hey uh
37:23you said you met
37:24mr zambeli
37:25the fireworks guy
37:26on the field
37:27what field was that
37:28no more talking
37:30you gotta fix my tooth
37:32yeah deal
37:39you're muslim
37:42i am
37:44thank you
37:45oh for what
37:49after the shooting
37:51it was the muslims
37:52that came together for us
37:54and support
37:54and
37:55walked with us
37:56you raised money
37:58you
38:00paid for all the funerals
38:02anyway
38:06thank you
38:08hello
38:08how's it going in here
38:10did i miss all the gross stuff
38:12timed it perfectly
38:14excellent
38:14my job's all about delegation and time management
38:17oh not for much longer
38:18that is very true
38:19why for not longer
38:21because tomorrow i am leaving to go on sabbatical
38:24he's leaving us for three months on a motorcycle
38:27motorcycle
38:28you're joking
38:29why would you do this
38:31why
38:31why
38:32why
38:33because uh
38:34you middle-aged man
38:35don't be stupid
38:36don't hold back
38:37tell me how you really feel
38:38forgive me for being blunt dr robinovich
38:41but how old are you
38:42huh
38:4250
38:44ish
38:45ish
38:4650 ish year old man
38:48on a motorcycle
38:49very sad
39:02i um
39:05i don't know what to say
39:08you ever heard of itp
39:09i never did
39:13i really appreciate you bringing her here okay
39:15of course
39:16what do you think i am
39:17oh
39:18that's right
39:19you think i'm some kind of child
39:20no i never said
39:21the fuck you didn't
39:23in front of all those people
39:24you made it sound like she might have been getting her while i was watching her
39:26like it was my fault
39:27you basically said the same thing about me
39:29no i said that you guys roughhouse that's all because you do
39:32you
39:32no i would never hurt my daughter
39:34actually i don't
39:37i'm no new six months
39:38you could be anybody
39:39okay well i am sorry for what i said okay
39:42i was upset and i was worried and i just i said something stupid and i just
39:46you just fucking let me finish
39:47you are finished
39:49we're finished
39:52we're finished
39:53well happy fucking fourth of july
39:55yeah happy independence day
40:01excuse me
40:04yes what can i do for you
40:06my wife and i were in an accident
40:09she's in surgery right now
40:11would you mind holding my phone up for me so i could record a message for her
40:15of course i will
40:17happy to
40:18oh
40:19good i have the same one
40:20i know how this works
40:27ready
40:28go
40:31hi my love
40:34so i was listening to this couple argue
40:40and they were yelling
40:43both so angry
40:47and i just wanted you to know
40:49that i was wrong
40:54i was so wrong and i'm sorry about all of it
40:58um
41:02hey
41:03how you doing
41:05i haven't seen him in like four years
41:08I can't imagine. That must have been so crazy. You know, things were not good at the end. He was
41:15a really different person. Huge temper. Not like when we first got married. I'm so sorry.
41:25Could that mass have been there for a while and only recently got worse? Yes. Could it be
41:32responsible for how much he changed? You know, his moods and tempers. He was getting into fights with
41:39strangers. It's possible.
41:52Oh. Thank you.
41:54Oh. Um, unless he's asked you to change it, would you please leave me as the emergency
42:06contact? Yeah, absolutely.
42:20Okay, I'm sending Mrs. Kovalenko home with burn dressing, but not before she turned my
42:25sabbatical into a midlife crisis. No comment.
42:28Wound check. Two days. Got it.
42:30What about Kylie, this little girl? Has she gone up yet?
42:33Hopefully soon. Hey, we're starting to clear some space around here.
42:36Yep. PTMC charge nurse. Go ahead, Medicare, ma'am.
42:43Is this a drill? Is this a joke? It's the 4th of fucking July.
42:52Got it. Thanks.
42:54What's up?
42:55Westbridge has a code black and is closing to internal disaster. Central's
42:58diverting all their ambulance traffic to us.
43:00What's the issue?
43:01Combsweck wouldn't say.
43:02Shit, it could be anything from a flooding toilet to a power arch. How long?
43:05I didn't know. A couple of doctors probably got the holiday flu and they're understaffed.
43:12How come? How long? How many?
43:18Sounds like a betting grid to me.
43:21We are back.
43:24Oh, I should have left last night.
43:29Oh, I should have left last night.
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