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The.Pitt.S02E03.540p.X265.AAC [Full Movie] [Trending Drama]Full EP - Full
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00:18you
00:18Name says Jackson David. That's the start Jackson. What's going on?
00:30You're okay. I'm the one. Reasonable, miss. 2709. We're gonna need you to calm down to get the taser barbs
00:35out of your neck.
00:36You need to jump on that? Mmm. Covering falls for Dana.
00:40Stop talking to me. You can't settle. 27 cents. Hard to assess pupils. Hard to assess anything.
00:46Wait till after he's sedated. Ten of the lands at peace.
00:49That'll take 15 minutes to kick in. 500 peridol puts him down at five.
00:53No, you can't give it without knowing he's 15. Two beats of a rhythm strip before he took off the
00:57beats.
00:59I can't be in here. Get out.
01:01That looks good. Go with the Jaffer at all.
01:03Oh, fuck out. Get off me. Get off me, man.
01:05Take the bus out.
01:072701. No, get away till he comes.
01:09Get off me, man.
01:112901. Get out. Get out.
01:133710. Title 18, section 1938.
01:17Mr. Randall, happy 20th anniversary and a very happy 4th of July.
01:22But no sex fireworks for you tonight. Give everything a chance to heal.
01:25Don't worry. I won't. Thanks, Doc.
01:28Ow.
01:29We're going right back through here, okay, man?
01:31Oh, thank you.
01:32Change the dressing twice a day. Doggy bag of the ointment and non-stick gloves.
01:37Cool. I know the drill. Come back if it starts to ache or stink.
01:40Exactly. Good luck. Stay safe.
01:42Shit, it's daddy. You're daddy.
01:44Lord, what'd they get out to now?
01:47Treating the street.
01:48Frozen Dover.
01:50I'm sorry, Miss Graham. I just saw the ASO note in your chart.
01:55This is Lindsey. We'll bring you back as soon as possible.
01:59Stay with her.
02:02All right. Who here needs help?
02:05Let's listen to see what you...
02:06You? You need help?
02:08Oh, no, no, no, ma'am. I'm thin on these since 1987.
02:11This one here, he got busy, fell down.
02:13Forgot 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, and any adverse reactions.
02:33What else?
02:36Um, lot number on the antibiotic file.
02:40Excellent. Mr. 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 him two most important things.
03:30That 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, it's him.
03:44Still going nuts.
03:45Probably meth.
03:47Fucking animal.
03:48What's your name, sir?
03:49Tony Cinchillo.
03:51Tony Cinchillo.
03:51Campus security.
03:52Yeah.
03:52I was at work when this happened, so I'm going to do everything documented.
03:56Okay.
03:57All right.
03:57Heart 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.
04:16Yeah.
04:18Yeah.
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.
04:38Don't you could just be a little shy?
04:40Or scared of being in here.
04:41Or she's being abused?
04:44Not too.
04:44We'll find out when my dad shows up.
04:46Nope.
04:47If he shows up.
04:55There's the first barb out.
04:57All right, Javadi.
04:58You're up.
05:02Okay, so you're going to want to clamp where the shaft meets the barb.
05:06Mm-hmm.
05:07Yeah.
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.
05:52Satting 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 were 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.
06:10Hello, let's look over here for a minute, huh?
06:12Let him get to work, okay?
06:13Antoine, Larry, transfer out here.
06:15Do you want to be open in a sec?
06:16Aye, Cap.
06:18One, two, three.
06:21Incoming.
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, but 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.
06:49Not reactive.
06:50A.K.A.
06:51Blum.
06:51Fixed 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?
07:02Pole compressions?
07:03Yes, but I still wear a helmet.
07:05Is he a donor?
07:07Also, nope.
07:07That is too bad.
07:08Hey, sister Lee, I think we are done here.
07:12What'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.
07:22He fast negative.
07:23That was a lot better than the guy next door.
07:24Has 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 really hard, please.
07:36Mr. Yee!
07:38Spontaneous eye movement.
07:39Response to pain.
07:40GCS is 10.
07:41Borderline for intubation.
07:42No muscle tone.
07:43Flaccid 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?
07:59Um...
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 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 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.
08:37Well, 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 gonna 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 from Mr. Williams.
09:04Oh, wow.
09:08Okay.
09:11Ah, right on time.
09:13Just getting full.
09:16Yeah, I'm ready for number five.
09:17That's impressive.
09:18Uh-huh.
09:20Yeah, that's more where that came from.
09:22Although, uh, my intake is running low.
09:25Yeah, well, two more bottles ought to do it.
09:27Then we'll drain your tooth, and we'll get you out of here before the fireworks tonight.
09:30Uh-huh.
09:32Okay, clamped. Ogilvy, make the change.
09:36Okay.
09:36Uh-huh.
09:38All right, let her rip.
09:42Flowing like a river.
09:44I love me some fireworks.
09:47Oh, yeah?
09:49Shit, 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.
10:10Uh, y'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.
10:49Infection, 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, which is a steroid to take down the swelling.
11:06And then we'll need a brain biopsy to know exactly what it is.
11:11You'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.
11:25Most patients go home the next day.
11:32I don't know.
11:35What do you think I should do?
11:37I think this is a pretty good plan.
11:42Yeah.
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.
11:54My blood pressure is always high.
11:56Hold still, sir.
11:57No talking while we do the EKG.
11:58The Hansons all run high.
12:00Except for money.
12:01He ran low, but he's dead.
12:03It's not helpful.
12:04You want to help?
12:05Quit 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 going to jump in here and echo that sharing meds, which haven't been prescribed
12:16to you, is actually a real big no-no.
12:18Well, how are we doing unremembering what your brother might have taken?
12:20We could call back to the house.
12:21Great idea.
12:23Okay.
12:24Whatever little round pill you took, sir, has caused your heart rate and blood pressure
12:28to drop so low, you're at risk of fainting, falling, or having a serious injury.
12:33We need to take him back to the ER so we can get a liter of fluids.
12:37We can check his blood test and monitor his heart rate and blood pressure until he recovers.
12:41Pulse locks holding steady at 99.
12:43Good tidal volume.
12:44How you doing there, Mr. Yee?
12:46Scanner can take him now.
12:47I'll check the results from upstairs.
12:49Why is he so altered?
12:50Could be concussion.
12:51Maybe a small intracranial hemorrhage.
12:53All will be revealed by the donor 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,
13:09we'll need a full body scan.
13:10Head CT will show us any brain injury, neck CT will show us any spinal cord injury.
13:15Chest, abdomen, pelvis, we'll 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.
13:26I 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.
13:35See, Mrs. Yee's going to go with her husband to CT.
13:36Can we show her where to go?
13:37Sure.
13:38Come 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.
13:49How about we each take a lap and meet here when Mr. Yee's back from CT?
13:53Splitting up so soon?
13:55You'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.
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 hoochney firecrackers going all day and night.
14:26Oh, is this a firecracker burn?
14:29No, sweetie.
14:30This is from the full samovar.
14:32I drop on the floor when the...
14:35The firecracker started going on again.
14:37I'm sorry.
14:38What'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?
14:52You guessed it.
14:54And I see that you are here today for a burn.
14:57Why don't we take a look?
14:59Not married?
15:01No, I'm not married.
15:03Do we attend synagogue?
15:06Not for a while.
15:08I mean, high holidays mostly.
15:12Where?
15:14What did you put on this?
15:17Where?
15:17On your burn.
15:19Is this honey?
15:20Yes, honey.
15:21Where do you go on holy days?
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.
15:38Rebuild, renew.
15:40That's a slogan.
15:44I'm sorry, did you say honey?
15:47You think honey's funny?
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. They're going to need debridement.
16:05I'm glad you came in.
16:08That's what I thought.
16:10I was hoping no, but...
16:13Figured 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.
16:22No more fireworks.
16:24Yeah.
16:26Anyone here treating Kylie Connors?
16:30She's my daughter.
16:31She's nine, I'm Benny Connors.
16:33Mr. Connors.
16:35I'm Dr. Santos.
16:36I'm treating Kylie.
16:37Is she okay?
16:38Can 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 superglue, so no stitches necessary.
16:48Okay.
16:48She chipped her tooth, but it's a baby tooth, so it won't need dental work.
16:53All right, that's a relief.
16:55Has Kylie had any previous injuries?
16:57Uh, yeah.
16:59She, um, she broke her wrist last year she was skateboarding.
17:03Dana, if you could get Dylan to come to North One and Ahmad.
17:07You bet.
17:08Okay, I got it now.
17:09One, two, three.
17:10Daddy, you okay?
17:11Oh, baby, what's going on, huh?
17:13My teeth broke and my chin got cut.
17:15Oh, no.
17:18What happened?
17:19She 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 out.
17:31An accident that wouldn't have happened if you weren't running up the stairs.
17:33We weren't running up the stairs.
17:33Do you understand what I'm saying?
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?
17:44Hey, 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?
18:36She kind of is nobody.
18:37Oh, no, no, no, no, no, no.
18:38Gina!
18:39Mr. Connors?
18:40Just, just...
18:41Gina!
18:41Is there a take a break?
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 am I?
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...
18:58Everybody!
18:59Hey, everybody!
19:01Back the fuck up!
19:01Stop, stop, stop, stop!
19:03Kylie's platelets are only 9,000.
19:06What does that mean?
19:08It's...
19:09It's not what we thought.
19:11It's probably ITP.
19:13What the hell is ITP?
19:15Something we can treat.
19:23Do you 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.
19:40You mentioned that you dropped the samovar when you heard firecrackers.
19:46Yeah.
19:50I was on my way inside October 27th, 2018, to the synagogue when the shooting started.
20:04There's nothing I could do.
20:07I went in after the police arrived.
20:12I felt I had to.
20:15No.
20:16I'm better now.
20:19But...
20:20You just see 4th of July.
20:24When...
20:25When kids have their fireworks and firecrackers, I...
20:32There is no clock on how long it takes.
20:37No clock.
20:38You must be joking.
20:44Robby?
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 nonstick dressing on this.
20:50And I will come back and we can discuss aftercare instructions.
20:54Yes.
20:55You got a bus.
20:56Thank you, doctor.
21:11Vito stable.
21:11Plus ox holding at 99.
21:13Okay.
21:13Heart and lungs look good.
21:16welcome on dr robbie yeah
21:22please make him be okay i can assure you that we are going to do everything you can i know
21:29god this is all my fault this is he he's been so stressed so i planned this week in a
21:36way as
21:36seven springs but he didn't want to go because of work so we fought this whole morning and then i
21:44said 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
22:22wow okay uh extremely low potassium with generalized weakness and no cervical injury we may be looking
22:29at hypokalemic periodic paralysis what is that it's a rare condition where potassium gets shifted into
22:34the cells causing profound weakness just like paralysis will he get better yes back to normal
22:40him in a few hours
22:45thank 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
22:58today fine great if you're fine you go home really yeah hey tell him me and my sister are making
23:07bracelets and i put beads up my nose how many one on each side i gotta ask why do you
23:17stick them up
23:17there see how many you'll fit to shoot them out like rockets but i breathed in and they went deeper
23:25and now won't come out did you try anything at home yeah i tried blowing in his mouth but just
23:30got a
23:31little snot on my cheek hey 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 yep dad looks like we gotta go up and get him
23:53no
23:53way he's sitting still oh he'll be numbed up you don't know this child hey dwante you like video games
24:00everybody does we have a 3d video game yeah cool
24:10that's kcl and saline at 10 mq per hour we avoid dextrose because the insulin response drops the
24:16cable 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 thyroid gets overactive
24:32that brings 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 kick start your morning
25:01it's better than the alternative true itp
25:06so that's uh the intra immune thrombocytopenia used to be called idiopathic thrombocytopenic purpura
25:14know what idiopathic means that we don't know the exact cause means the patient is pathetic and the
25:21doctor is an idiot just checked on baby jane dobb looking good taking formula well we're here to take
25:30a statement we're looking for a tony cincciolo yo right over here boys for officers heard you have
25:40some trouble over at the campus library shit let me just say new appreciation for what you guys do every
25:46day freaking junkie jungle right at the campus library i'm in forefinger make a c bottom three
25:54fingers make a t for jar lift one breath three five seconds right about two minutes since defibrillation
25:59holding compressions normal sinus karate strong karate okay let's try for bp why don't we check after the
26:06shock 2024 acls guidelines patients can remain pulseless for a little bit even after successful
26:11defense he came back with one shock that's as good as it gets 104 over 68 good squeeze good ef
26:16spontaneous respirations okay he's breathing on his arm excellent sign can i touch him of course
26:30oh
26:30oh shit we need a gurney nancy mrs yi mrs yi weak carotid shallow breaths did she vasovagal from stress
26:42can't assume that positive seat belts oh shit hang two units of rodega the rapid infuser somebody call
26:47gracia shit we really should have insisted on an examiner okay i got the head platelets are these
26:52tiny things in the blood that help it clot and thrombocytopenia is fancy for low platelets which
26:58explains why your skin bruises so easily and what causes it it's actually her immune system that's
27:05causing the destruction of the platelets sometimes it's a triggered response to an environmental factor
27:10or a virus and what's the treatment what are you giving her we'll be treating her with high dose
27:16steroids to suppress the immune system and iv immunoglobulin which reduces the destruction of
27:22the platelets in the spleen can i go home you're gonna have to stay in the hospital for about three
27:27days
27:28to make sure that the treatment is working okay okay so when can she get a room in the hospital
27:34that
27:34is an excellent question i'm going to see if i can make that happen sooner rather than later but it
27:39might take a while okay gps says i should be there by 11. do you have any other questions for
27:44me ma'am
27:45no i'm sure i will but i'll let you go for now thank you benny all right i'll see you
27:50when you get here
27:50see you soon baby i love you bye mom love you too
27:56there you are and there you are don't try to charm me you promise to stay put i was going
28:03to come right
28:03back my back side is killing me i need to keep moving or i get all achy and stiff well
28:09i got you
28:10this foam donut to sit on while we wait for your x-rays dr hazel eyes it says here that
28:18it's only
28:18supposed to take an hour or two for an x-ray well the patient passport holiday edition would better
28:26reflect reality it could be double that there's no need for reality we romantics prefer
28:35live the dream we do joey we
28:41love her
28:42covo don't say the long day go for claire
28:54hey save a dance for me uh yeah okay i will dr mckay yes this is gretchen williams
29:01actually it's lambden ah you called about my ex-husband michael yes yes yes thank you for
29:07coming in you were um listed as this emergency contact yeah i don't know why we have been divorced
29:12for years is he all right he's he's going through a lot right now would you like to see him
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 lysinopril 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 no man i i went
30:09just
30:09before i came here dad um pill how many pills did you take oh uh i think four maybe five
30:20that is a lot okay no full stomach mind you well um the good news is it has a short
30:26half-life so um
30:28we're gonna need to keep you for about four hours to monitor but then you'll be able to rejoin for
30:34all the late afternoon festivities all right unit three and four running in bp 84 over 56 heart rate
30:42112. free fluids much bigger than before she's not turning the corner or is holding a room i'll let the
30:46husband know why'd you guys wait so long to check her good vitals in the field no distress she refused
30:51to sign in you should have convinced her 20 20 hindsight she was stable until she wasn't next time i'll
30:56use my x-ray vision goggles let's get her upstairs gotta do an accu check on my dk patient thanks
31:02for
31:03the backup anytime now 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
31:27return to normal where's nancy she had an injury to her spleen right about here with some internal
31:33bleeding oh god she passed out from blood loss we were able to transfuse her and she's now on her
31:38way
31:38to 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
31:58please don't oh my god please don't let her die please
32:03i can assure you that she is in excellent hands this is how it works how what works
32:12you 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 yeah even smaller it's a minor enough
32:36procedure that most patients go on the next day and then and then they'll know what it is
32:42and how to treat it isn't that right yeah exactly
32:49i'm sorry that they called you i never updated the form i guess no 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 got married
33:14congratulations thank 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
33:36yeah me too
33:40but you know me i'm a survivor
33:47why don't i i leave you guys to talk for a few minutes i have a patient to check on
33:56sure yeah
33:59mr diaz should be improving after two liters blood sugar down from 521 to 436. that's good
34:06right moving in the right direction were you able to get a hold of your mom yes she's on her
34:12way
34:12she doesn't have a car she takes buses so it takes longer i'm sorry don't be
34:18current insulin is 0.1 units per kilo per hour next steps once the glucose is down to 250 reduce
34:25the
34:25insulin to 0.05 units per kilo per hour because you can normalize the blood sugar before you
34:29clear the ketones and you don't get hypoglycemia but as treatment continues you'll have to give iv
34:33dextrose to keep the blood glucose in between 150 and 200 while the insulin drip clears the ketones
34:38obviously
34:39i'm sorry what
34:43got it
34:44duante what are you doing in there son i'm a rabbit grabbing all cats before the farmer gets me
34:50keep going this is a cat's extractor with a tiny balloon in the end what we're going to do is
34:56we're
34:56going to slip it past the bead inflate the balloon try to pull out the bead is it painful no
35:00he's he's
35:00numbed up made to level three i'm pretty distracted dad's gonna hold your head still okay look okay
35:09now go back perpendicular below the turbinates
35:16you guys ever hear of john o'donohue no been reading him a lot lately he's got this book of um
35:23blessings and there's this one about fatherhood really stuck with me
35:30voila one red bead yeah how's it go the ending goes may be gentle and loving clear and sure may
35:41you
35:41trust in the unseen providence that has chosen you to be a family may you stand sure on your ground
35:48and know that every grace you need will unfold before you like all the mornings of your life
35:56yeah that's good i'd add support your woman and pack good snacks it's beautiful
36:04and it turns out there's no handbook for fatherhood so i will take all the wisdom i can
36:12blue bead out
36:19anything else you tell me i have my own report to do anything i left out
36:24the back on that kid we'll follow up with mr davis when mr davis comes off the ceiling
36:33jackson davis talk screen negative for cocaine amphetamines marijuana pcp benzos
36:40and opioids so no drugs in his system nope taser barbs on the back of the victim's neck yep
36:51changes things tony hey louis how we doing not so good i can really use a drink i'm feeling a
37:02little
37:02empty okay well empty is what we want and it looks like we are there hey well if i can't
37:07get a drink
37:08my tooth you you gotta do something we're gonna get right to that let's hang some ivy antibiotics
37:14three brands of unison excellent he's gonna be right back we're gonna numb it up and drain it
37:21ten minutes tops okay hey uh you said you met mr zambeli the fireworks guy on the field what field
37:28was
37:28that no more talking you gotta fix my tooth yeah deal
37:39you're muslim i am thank you oh for what
37:49after the shooting it was the muslims that came together for us in support and
37:55walked with us you raised money you paid for all the funerals anyway
38:06thank you hello how's it going in here did i miss all the gross stuff
38:13timed it perfectly excellent my job's all about delegation and time management oh not for much
38:18longer that is very true why for not longer because tomorrow i am leaving to go on sabbatical
38:24he's leaving us for three months on a motorcycle motorcycle you're joking why would you do this
38:31why why why why because uh you middle-aged man don't be stupid don't hold back tell me how you
38:38really feel forgive me for being blunt dr robinovich but how old are you uh 50 ish
38:45ish 50 ish year old man on a motorcycle very sad
39:01i um
39:05i i don't know what to say you ever heard of itp i never did
39:13i really appreciate you bringing her here okay of course what do you think i am oh that's right
39:19you think i'm some kind of child no i never said the fuck you didn't in front of all those
39:24people
39:24you made it sound like she might have been getting her while i was watching her like it was my
39:27fault
39:27you you basically said the same thing about no i said that you guys roughhouse that's all because
39:31you do you know i would never hurt my daughter actually i don't i'm no new six months you could
39:39be
39:39anybody okay well i am sorry for what i said okay i was upset and i was worried and i
39:44just i said
39:44something stupid and i just you just fucking let me finish you are finished we're finished
39:53well happy fucking fourth of july yeah happy independence day
39:59yeah excuse me yes what can i do for you my wife and i were in an accident she's in
40:09surgery right now
40:11would you mind holding my phone up for me so i could record a message for her of course i
40:16will
40:17happy happy to oh good i have the same one i know how this works
40:27ready go
40:31hi my love
40:34so uh
40:37i was listening to this couple argue and they were yelling both so angry
40:47and i just wanted you to know
40:49that i was wrong i was so wrong and i'm sorry about all of it
41:03hey how you doing i 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
41:15really 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 his moods and tempers he was he was getting into fights
41:39with strangers it's possible
41:49oh
41:53thank you
41:58um unless he's asked you to change it would you please leave me as
42:05the emergency contact yeah absolutely
42:20okay i'm sending mrs kovalenko home with burn dressing but not before she turned my sabbatical
42:26into a midlife crisis no comment wound check two days got it what about kylie this little girl
42:32she gone up yet hopefully soon hey we're starting to clear some space around here yep
42:38ptmc charge nurse go ahead medicor ma'am
42:43is this a drill is this a joke it's the fourth of july
42:52got it thanks what's up westbridge has a code black and it's closing to internal disaster central
42:58subverting all their ambulance traffic to us what's the issue concept wouldn't say
43:02shit it could be anything from a flooding toilet to a power outage how long
43:05didn'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 we are back
43:24oh i should have left last night
43:40oh
43:41oh
43:42oh
43:42oh
43:43oh
43:43oh
43:45oh
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