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The.Pitt.S02E03.540p.X265.AAC [Full Movie] [Full Episodes]Full EP - Full
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00:02I
00:16They're a medical art bracelet
00:18I D name says Jackson Davis. That's the start Jackson. What's going on?
00:30You're okay. I'm the one reasonable miss 2709
00:35You need to jump one night um covering falls for dana
00:51500 peridol puts it down at five. No, you can't give it without knowing this pp two beats of a
00:56rhythm strip before it took off the leads
01:00You can't be in here. Get out. That looks good. Go with the Jaffer at all. Oh, fuck out
01:03Don't get away to the comms get off me, man. 29.01 get out get out
01:14Mr. 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. Don't worry. I won't thanks doc.
01:28Ow
01:29We're going right back through here. Okay, man. Oh, thank you change the dressing twice a day
01:34Doggy bag of the ointment and nonstick dogs. Cool. I know the drill come back if it starts to ache
01:39or stink
01:40Exactly. Good luck. Stay steady. You're dead lord. What'd they get up to now?
01:46Dream street
01:48Dover
01:50I'm sorry miss graham. I just saw the aso note in your chart. This is lindsey. We'll bring you back
01:56as soon as possible
01:59Stay with her
02:01All right, who here needs help?
02:05Let's listen to see what you you you need help. Oh, no, no, no, ma'am. I'm thin on these
02:10since 1987
02:11This one here he got busy fell now. I got my blood pressure medication. I left it back home in
02:17georgia
02:20And presto
02:21We're back mr. Digby with some ivy antibiotics first. We scrub your outsides then we clean your insides
02:28What do you need to document in this chart? Uh time started time completed in any adverse reaction what else?
02:36Um lot number on the antibiotic file excellent mr
02:40Digby just digby digby. Why'd you wait so long to come see us?
02:47I don't like
02:49Going to doctors that makes two of us. We all need help from time to time think maybe we could
02:53arrange for some ongoing care
02:55I just kind of want to get patched up, you know, I didn't know
02:59But that's today. What's tomorrow?
03:03Sunday
03:05Yes, the system that's what's there for
03:08But in mind dylan knows all the angles even works the occasional miracle you think maybe I could have him
03:14stop by
03:17I guess yeah, right
03:20How about a sandwich? Yeah, yes, please
03:27We always offer two most important things that they know we're here and that will never stop offering
03:34Thanks for covering princess anytime
03:36Yo, can I get some help over here? Yeah, what's going on, man?
03:40The crazy kid in there screaming all right have a seat. Yeah, that's him
03:44Still going nuts
03:45Probably meth
03:47Fucking animal. What's your name, sir?
03:50Tony cinchillo campus security. Yeah, I was at work when this happened, so i'm gonna do everything documented
03:55Okay
03:57All right heart rates
03:5889 pulse ox 97
04:02Scott black's tiny five millimeters should hold together with dermabond
04:06Get through a fucking chair at me work related injury gets a full exam. Jesse here. I'll take you
04:11No, i'm gonna stay here till the cops come so I give my statement and so I can watch him
04:16Yeah
04:17Trust me
04:19You do not want him getting out of there. How?
04:22Fuck
04:23Did she say anything?
04:25No more than she said to you
04:27Nothing going on at home nothing at school and you believe her
04:30There's some flags bruising in various stages of healing
04:34She's a little withdrawn doesn't engage much for girls her age
04:37We just be a little shy
04:40We're scared of being in here or she's being abused
04:44Not too. We'll find out when my dad shows up
04:46No, if he shows up
04:55There's the first barb out all right body you're up
05:02Okay, so you're gonna want to clamp where the shaft meets the barb
05:06Yeah
05:07Stabilize the skin
05:09Not so close to us to stick yourself. I've seen that once or twice
05:14Pull up at 90 degrees
05:16harder
05:17Yeah, harder
05:18Oh
05:20Do we suture those?
05:22Nope, just a band-aid
05:23Mel we need orders right
05:26I got a rainbow
05:28CBC
05:30CMP
05:31UA
05:32Blood alcohol and toxin
05:33All the above
05:34Cap, with this young man stable, can he go to Centra 10 Pronto double trauma at the back door?
05:38Okay, you heard the boss. Let's get going
05:40The day is starting to heat up
05:47Marquee 32 year old restrained driver auto versus motorcycle altered with normal vp setting 99 on two liters
05:53We're at the hospital now mark
05:56What's wrong with him? Why isn't he talking?
05:57His wife, Nancy, front seat passenger declined transport
06:00It's fine. We weren't going all that fast. The motorcycle ran the light
06:04Dr. Robbie, this is Dr. Alashini
06:06Nice to meet you
06:07And this is nurse dana. She's our charge nurse. We need to look over your husband
06:10Hello, let's look over here for a minute and let him get to work, okay?
06:13Antoine, Larry, transfer out here. Do you want to be open in a sec?
06:17Uh, I can
06:18One, two, three
06:21Okay, joy, you stay with me
06:24Samira, you stay with Dr. Alashini
06:28Pulp and skull fracture. Tubed in for agonal respirations. BP 60 palp initially started a liter of NS but lost
06:34his pulse and root
06:37Oh boy, this doesn't look good
06:38One, two, three
06:41Joy, check his pupils. Somebody help me a pair of scissors
06:48Eight millimeters, not reactive
06:50A.K.A. Blum, she's fixed and dilated
06:53Oh gosh, skull with tons of gray matter extravasation, at least it was quick
06:57No helmet?
06:58Nope, because he took the PennDOT motorcycle safety course
07:01Isn't that what you took, Robbie?
07:02Polk compressions? Yes, but I still wear a helmet
07:05Is he a donor?
07:07Also, nope
07:07That is too bad. Hey, sisterly, I think we are done here
07:11What's next door?
07:12The guy who hit him. Joy, you're with me
07:15What about a moment of reflection? I thought
07:17He'll still be dead when we get back
07:19Paul Sox 99, BP 108 over 72
07:22E-Fast negative
07:23I look 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. Ye, Joy, he's throwing a rub on his chest like this really hard, please
07:35Mr. Ye
07:38Spontaneous eye movement, response to pain, GCS is 10 borderline for intubation
07:42No muscle tone, flaccid paralysis in the left arm
07:45Same on the right
07:46And both legs
07:46Add towels to both sides of the collar for more stability, let's not make this worse
07:50Hand 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
07:59C-3, 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, it's killing me from where I fell on it, which
08:28is an embarrassing admission to make to such a lovely woman
08:33Well, thank you for the compliment, but there's no need to be embarrassed, you 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
08:45What a charmer
08:47Just for that, I'm going to get you a foam doughnut
08:49It's the 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
09:12Right on time
09:14It's 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
09:27Then we'll drain your tooth and we'll get you out of here before the fireworks tonight
09:32Okay, clamped, Ogilvy, make the change
09:35Okay
09:38All right, let her rip
09:42Flowing like a river
09:44I love me some fireworks
09:46Oh 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
10:10Uh, 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
11:03Which 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
11:11You're gonna cut open my head
11:14It's just a small hole
11:16We'll do a
11:17A 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?
11:38I 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
11:53My blood pressure is always high
11:56Hold still, sir
11:56No talking while we do the EKG
11:59The Hansons all run high
12:00Except for Monty
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
12:10You 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
12:15Which haven't been prescribed to you is actually a real big no-no
12:17Well, how are we doing on remembering 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
12:26Has caused your heart rate and blood pressure to drop so low
12:29You're at risk of fainting, falling, or having a serious injury
12:33We need to take him back to the ER
12:35So we can get a liter of fluids
12:37We can check his blood tests 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
12:48Why 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
12:58See 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
13:07But before we can make any prognosis, we'll need a full body scan
13:10Head CT will show us any brain injury
13:12Neck CT will show us any spinal cord injury
13:14Chest, 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
13:35Mrs. Yee is going to go with her husband to CT
13:36Will you show her where to go?
13:37Sure, come on in
13:38Thank you
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 is back from CT?
13:53It's splitting up so soon
13:55You're free to see other people, Dr. Ivanovich
13:58I'm looking for cooperation, not commitment
14:05So you bandaged the burn yourself?
14:07No, no, no, no, no, 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, cleaner 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 hoochny firecrackers going all day and night
14:26Oh, is this a firecracker burn?
14:29No, sweetie, this is from the full samovar
14:31I drop on the floor when the
14:33The firecracker 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, my name is Dr. Michael Rabinovich
14:49Everybody calls me Dr. Rabi
14:51Rabinovich, Jewish?
14:52You guessed it
14:54And I see that you are here today for a burn
14:57Why don't we take a look?
14:59Oh, not married?
15:01No, I'm not married
15:03Do we attend synagogue?
15:05Uh, not for a while
15:07I mean, high holidays mostly
15:11Where?
15:14What did you put on this?
15:17Where?
15:18On your burn
15:18Is this honey?
15:20Yes, honey
15:21Where do you go on holy days?
15:23Uh, my grandparents, um
15:25I grew up in the Rodef Shalom
15:27You?
15:29Three of life
15:32They're rebuilding
15:34Yes, something new
15:37Remember, rebuild, 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
15:56And the burns are not too bad
15:57Honey actually does have some antibacterial
15:59And anti-inflammatory properties
16:00However, these burns are very deep
16:02In some places
16:03They'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 gonna have you patched up
16:17And home in time for dinner and fireworks
16:20No
16:20No more fireworks
16:26Anyone here treating Kylie Connors?
16:30Hey, she's my daughter
16:31She's nine, I'm Benny Connors
16:33Mr. Connors, I'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
16:44But it was easily repaired with medical superglue
16:46So no stitch is necessary
16:48Okay
16:48She chipped her tooth
16:49But it's a baby tooth
16:51So it won't need dental work
16:52All right, that's a relief
16:55Has Kylie had any previous injuries?
16:57Uh, yeah
16:58She, um, she broke her wrist
17:00Last year she was skateboarding
17:02Dana, if you could get Dylan to come to North One and Ahmad
17:06You bet
17:07Okay, I got it now
17:08One, two, three
17:10Daddy, you came
17:11Baby, what's going on, huh?
17:13My tooth 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
17:29Perhaps 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
17:36Right now is her mother finding out that she got hurt when she's with you
17:39It was an accident
17:40Yeah
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, I meant to be here when you arrived
17:47I'm Dylan Easton, I'm social services
17:49We have insurance, thank you
17:50Perhaps we can step outside and chat for a second, I can fill you in where we are
17:53Hey, 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, it'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, that's fine, great, ask 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, she plays for a club team, they're, you know, little girls, but they play like they're in the
18:23Hunger Games
18:24Well, I understand that you and Kylie do a fair amount of roughhousing
18:29What?
18:31I'm sorry, are you fucking kidding me?
18:34Where are you going with this? Are you saying that I hurt my daughter?
18:36Mr. Connors, nobody's saying that
18:37No, no, no, no
18:38Gina?
18:39Mr. Connors?
18:40Just, just, Gina!
18:41Is there a take a break?
18:42Gina, what did you say to them?
18:43Nothing, I said that you're a great dad
18:45Okay, what else?
18:47That you guys like to wrestle
18:48Jesus Christ
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, you need to talk to her
18:59Everybody, hey, everybody, back the fuck up
19:01Stop, stop, stop, stop
19:03Kylie's playlist is only 9,000
19:06what does that mean it's it's not what we thought it's probably itp what the hell is itp
19:15something we can treat
19:24you feel that no no excellent this is looking very good ah tell me start coming in cook
19:35this is kovalenko yes yana please yana you mentioned that you dropped the samovar when
19:43you heard firecrack yeah
19:50i was on my way inside october 27 2018 to the synagogue when the shooting started
20:05there's nothing i could do i went in after the police arrived i felt i had to
20:16i'm better now but you just see fourth of july when when kids have their fireworks and firecrackers i
20:32there is no clock on how long it takes
20:37no clock you must be joking
20:44bobby no marquee is back from ct oh okay um parla why don't we go ahead and see if we
20:49can put a
20:49non-stick dressing on this and i will come back and we can discuss aftercare instructions yes you
20:55got a bus thank you doctor
20:56you know what
21:10vital stable plus ox holding at 99
21:12okay heart and lungs look good
21:16welcome on dr robbie
21:19yeah
21:22please make him be okay
21:25i can assure you that we are going to do everything you can i know
21:29god this is all my fault
21:31this is he he's been so stressed so i planned this week in a way as seven springs but he
21:37didn't want to
21:37go because of work so we fought this whole morning and then i i said awful things
21:48those 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
22:08dr malhan
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
22:34into the cells causing profound weakness just like paralysis will he get better yes back to
22:39normal in a few hours
22:40thank you so much did you hear that mark oh baby you're gonna get better
22:54all right dd hey come on now man oh how you doing dewante
22:58fine great if you're fine you go home really yeah hey tell him
23:05me and my sister are making bracelets and i put beads up my nose how many
23:13one on each side i gotta ask why do you stick them up there see how many will fit
23:19to shoot them out like rockets but 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 okay
23:37this what i have to look forward to this is so much more red bead below the inferior turbinate
23:44i got a blue one afrin benzocaine cas extractor yep 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
23:57hey dewante you like video games everybody does
24:01we 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
24:16the cave in law if it's genetic why didn't happen when he was a kid it usually starts after the
24:21teen
24:22years and 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 electrical
24:47activity 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 why don't we check after the shock
26:0620 24 acls guidelines patients can remain pulseless for a little bit even after successful defense
26:11he 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
26:18he's breathing on his arm excellent sign
26:22can i touch him of course
26:30oh shit we need a gurney
26:33nancy mrs ye
26:37mrs ye
26:38weak carotid shallow breaths
26:40did she vasovagal from stress
26:42can't assume that
26:42positive seatbelts
26:43oh shit
26:44hang two units of rodega the rabbit infuser somebody call garcia
26:47shit we really should have insisted on examining her
26:50okay 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
27:02it'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
27:23can i go home
27:24you're gonna have to stay in the hospital for about three days to make sure that the treatment is working
27:30okay
27:31okay so when can she get a room in the hospital
27:34that is an excellent question i'm going to see if i can make that happen sooner rather than later but
27:39it might take a while
27:39okay
27:40gps says i should be there by 11. do you have any other questions for me ma'am
27:45no i'm sure i will but i'll let you go for now
27:48thank you benny
27:49all right i'll see you when you get here
27:50see you soon baby i love you
27:52bye mom love you too
27:56there you are
27:58and there you are
27:59don't try to charm me you promised to stay put
28:02i was going to come right back my backside is killing me i need to keep moving or i get
28:07all achy and stiff
28:09well i got you this foam donut to sit on while we wait for your x-rays
28:15dr hazel eyes it says here that it's only supposed to take an hour or two for an x-ray
28:22well the patient passport holiday edition would better reflect reality it could be double that
28:28there's no need for reality we romantics prefer
28:34la rêve the dream
28:37we do joey
28:38oui
28:39la mer
28:41qu'on va danser
28:44le langue des golfes claires
28:46et de reflets dansons la mer
28:49des reflets changeants
28:52sur la pluie
28:54hey save a dance for me
28:56uh yeah
28:57okay
28:58i will
28:59dr mckay
28:59yes
29:00this is gretchen williams
29:01actually it's lambden
29:02ah
29:03he called about my ex-husband michael
29:05yes
29:05yes
29:06yes
29:06thank you for coming in
29:08you were um listed as his emergency contact
29:10yeah i don't know why
29:11we have been divorced for years
29:14is he all right
29:16he's
29:16he's going through a lot right now
29:18would you like to see him
29:22uh okay
29:23leo can you zoom in
29:25and please hold it a little steadier
29:26okay
29:31okay
29:33atorvastatin
29:34simvastatin
29:36azetamide
29:37those are all high cholesterol medications
29:39can you go to the right
29:42lisinopril
29:44losartan
29:44repranolol
29:46wait wait
29:46that's it
29:47windows pile
29:48yellowish bottle
29:50little round blue pills
29:51just like i said
29:52prepranolol
29:53bingo little lady
29:54okay yeah well this makes a lot of sense now
29:56um prepranolol is a high blood pressure medication
30:00those are uh 20 milligrams each
30:03and the starting dose is 40 mgs
30:06how many pills did you take
30:07no man i
30:09i went just before i came here
30:11dad
30:12um pill
30:13how many pills did you take
30:15oh uh
30:16i think
30:17four maybe five
30:20that is a lot
30:21okay
30:22well full stomach mind you
30:24well um
30:25the good news is it has a short half-life
30:27so um
30:28we're gonna need to keep you for about four hours to monitor
30:31but then you'll be able to rejoin for all the late afternoon festivities
30:36all right
30:38unit three and four running in
30:40bp 84 over 56
30:41heart rate 112
30:42fee fluid's much bigger than before
30:44she's not turning the corner
30:44or is holding a room
30:45i'll let the husband know
30:47why'd you guys wait so long to check her
30:48good vitals in the field
30:50no distress
30:50she refused to sign in
30:51you should have convinced her
30:5220 20 hindsight
30:53she was stable
30:54until she wasn't
30:55next time i'll use my x-ray vision goggles
30:57let's get her upstairs
30:59gotta do an accu check on my dk patient
31:02thanks for the backup
31:04anytime
31:09now try and lift your arm mark
31:13i'm trying
31:14can't do it
31:16but you are getting stronger
31:17and your speech is improving
31:20why did i lose so much potassium
31:23you didn't lose it
31:24it got shifted into cells
31:25when it comes back
31:27you'll return to normal
31:28where's nancy
31:29she had an injury to her spleen
31:31right about here
31:31with some
31:32internal bleeding
31:33oh god
31:34she passed out from blood loss
31:36we were able to transfuse her
31:37and she's now on her way to surgery
31:39to repair that damage
31:40this is my fault
31:43she's trying to
31:46she looked like a trip for us
31:48for me
31:51i fought her the whole time
31:52i've been
31:57please don't
31:59oh my god
31:59please don't let her die
32:01please
32:03i can assure you
32:04that she is an excellent hands
32:08this is how it works
32:09how what works
32:12you think things are important
32:14that 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
32:28small hole
32:29like the size of a dime
32:31right doc
32:33yeah even smaller
32:35it's a minor enough procedure
32:36that most patients go on the next day
32:38and then
32:40and then they'll know what it is
32:42and how to treat it
32:43isn't that right
32:45yeah exactly
32:48i'm sorry
32:49that they called you
32:51i never updated the form i guess
32:54no
32:54no it's okay
32:55i'm
32:57you know they called
32:58and i was
32:59just
33:00kind of surprised
33:03well you didn't have to come
33:07but i did
33:11i heard you get married
33:14congratulations
33:15thank 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
33:40but you know 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
34:29before 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 clears the ketones
34:38obviously
34:39i'm sorry
34:42what
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
35:02and pretty distracted
35:04dad's going to hold your head still okay
35:06look up
35:07now go back perpendicular below the turbinates
35:16you guys ever hear of john o'donohue
35:19no
35:20been 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
35:31yeah
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 that has chosen you to be a family
35:45may you stand sure on your ground
35:48and know
35:49that every grace you need will unfold before you like all the mornings of your life
35:55hmm
35:56that's good
35:57either add support your woman
35:59and pack good snacks
36:02it's beautiful
36:04and it turns out there's no handbook for fatherhood
36:07so i will take all the wisdom
36:09i can
36:12blue bead
36:13out
36:19anything 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 comes off the ceiling
36:33jackson davis
36:34talk screen negative for cocaine amphetamines marijuana pcp benzos and 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
37:19he's gonna be right back
37:20we're gonna numb it up and drain it
37:21ten minutes tops okay
37:22hey uh you said you met mr zambeli
37:25the fireworks guy on the field
37:27what field was that
37:28no more talking you gotta fix my tooth
37:32deal
37:39you're muslim
37:42i am
37:43i am
37:44thank you
37:45oh for what
37:49after the shooting it was the muslims that came together for us in support and walked with us
37:57you raised money
37:58you raised money
38:00paid for all the funerals
38:03anyway
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
38:20for 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 because uh
38:34you middle-aged man don't be stupid
38:36don't hold back tell me how you really feel
38:38forgive me for being blunt dr robinovich but how old are you huh
38:4250
38:44ish
38:45ish
38:4650 ish year old man on a motorcycle
38:49very sad
38:50haha
38:52haha
39:02i am
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
39:18oh that's right you think i'm some kind of child no i never said the fuck you didn't
39:23in front of all those people you made it sound like she might have been getting her while i was
39:26watching her like it was my fault you you basically said the same thing about no i said
39:30that you guys roughhouse that's all because you do you no i would never hurt my daughter actually
39:35i don't i'm no new six months you could be anybody okay well i am sorry for what i said
39:41okay i was
39:42upset and i was worried and i just i said something stupid and i just you just fucking
39:47let me finish you are finished we're finished
39:53well happy fucking fourth of july yeah happy independence day
40:01excuse me yes what can i do for you my wife and i were in an accident she's in surgery
40:10right now
40:11would you mind holding my phone up for me so i could record a message for her
40:15of course i will happy to oh good i have the same one i know how this works
40:28ready go
40:31hi my love
40:34so
40:37i was listening to this couple argue and they were yelling both so angry
40:47and i just wanted you to know
40:51that i was wrong i was so wrong and i'm sorry about all of it
41:03hey how you doing
41:05i haven't seen him in like four years
41:07i can't imagine that must have been so crazy
41:12you know things were not good at the end he was a really different person
41:18huge temper not like when we first got married
41:21i'm so sorry
41:25could that mass have been there for a while and only recently got worse
41:30yes
41:30could it be responsible for how much he changed
41:34you know his his moods and tempers he was
41:37he was getting into fights with strangers
41:40it's possible
41:49oh
41:53thank you
41:58um unless he's asked you to change it
42:01would you please leave me as
42:04the emergency contact
42:06yeah absolutely
42:20okay i'm sending mrs kovalenko home with burn dressing but not before she turned my
42:25sabbatical into a midlife crisis
42:27no comment
42:28wound check two days
42:29got it
42:30what about kylie this little girl she gone up yet
42:33hopefully soon
42:34hey we're starting to clear some space around here
42:36yep
42:38ptmc charge nurse go ahead medicor ma'am
42:43is this a drill
42:45is this a joke it's the fourth of fucking july
42:52got it
42:53thanks
42:54what's up
42:55westbridge has a code black and is closing to internal disaster
42:58central's diverting all their ambulance traffic to us
43:00what's the issue
43:01combswake wouldn't say
43:02shit it could be anything from a flooding toilet to a power arch
43:05how long
43:05how long
43:06didn't know
43:06a couple of doctors probably got the holiday flu and they're understaffed
43:12how come
43:13how long
43:14how many
43:17sounds like a betting grid to me
43:20we are back
43:24oh i should have left last night
43:27oh i should have left last night
43:53qué
44:04what's up
44:20how long
44:21what's up
44:21what's up
44:21you
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