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The.Pitt.S01E03.540p.x265.AAC [Full Movie] [Full Episodes]Full EP - Full
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09:06No, did you?
09:08I just met him.
09:11He's my first patient to die.
09:14I'm sorry.
09:22Are you okay?
09:23Mm-hmm, yeah.
09:24You sure?
09:25Yeah, just, I, um, I just remembering the first time that on occasion
09:33I have an emotional response to death.
09:37Can it be kind of tough for a doctor?
09:39That time it can't be.
09:44At least I'm not a pathologist.
09:49That was a joke.
09:50Oh.
09:52I have nothing against pathologists.
09:55Yeah, no.
09:58The weird you did is right below.
10:01Is it pneumonia?
10:03Possibly.
10:03Or just changes from vaso-occlusion of the sickle cells.
10:06It's called acute chest syndrome.
10:07We're going to cover you with antibiotics just to be on the safe side.
10:10Yeah, we've been through this before.
10:12Third generation cephalosporin and a macroloid.
10:15Perfect.
10:16You're in good hands.
10:18Can I do a chest tube?
10:20Which patient?
10:21Any.
10:22I've just never done a chest tube before.
10:24Are you really asking me to reserve any incoming injury requiring a chest tube for you?
10:30Not all of them.
10:31I'd be more than happy just doing one.
10:33But hey, if you wanted to give me more, I'd be fine with that too.
10:36But that's up to you.
10:38I'm down for anything.
10:39Confidence and ambition are great attributes.
10:42Especially when paired with respect and humility.
10:46Okay, what else?
10:47What, uh, what else went well?
10:50We checked for reversible causes of cardiac arrest on ultrasound.
10:54Okay, good.
10:55Does anybody have anything that they wish had gone differently?
10:58In the hall.
10:59He should have been on a cardiac monitor.
11:00We would have caught the arrest right away.
11:01That's true.
11:03But there was no indication for monitoring.
11:05And we now know that his abdominal pain was not from his gallstones, but from unstable angina due to coronary
11:10artery disease.
11:11Then we should have admitted to cardiology.
11:14We did an EKG.
11:15We did a troponin.
11:16He had a heart score of three.
11:18Who can tell me what that means?
11:20One percent chance of an adverse cardiac event in the next 30 days.
11:23Standard of care is to discharge without patient follow-up.
11:28He was your patient, Dr. Whitaker.
11:30Would you like to say something before we all take a brief moment of silent reflection?
11:37Um, he liked Kentucky bourbon.
11:41Okay, good.
11:42Me too.
11:43Anything else?
11:45I don't know.
11:45I just met him.
11:48No, he seemed nice.
11:50He was married.
11:54Um, that's it.
11:55That's all I got.
12:00I spoke with his wife.
12:02She's on her way here.
12:03If anyone needs to talk about this some more, I'm available.
12:08For now, let's harness some good thoughts here for Mr. Milton.
12:22Okay.
12:24That's it.
12:25Let's go save some lives.
12:29Hey, Whitaker.
12:34How are you feeling on this?
12:37I mean, not good.
12:39I was just talking to him.
12:41Now he's dead.
12:41It's the hardest way to lose a patient.
12:43Always hurts.
12:44Especially when it's your fault.
12:45This was not your fault.
12:47This was nobody's fault.
12:48No doctor on the planet could have caught this.
12:51Listen, it sucks.
12:52But today, today was this guy's day to leave this mortal coil.
12:57150,000 people die every day in the world and you got one of them.
13:00But you learn to live with it and you learn to accept it as much as your own mortality and
13:04find balance if you can.
13:05You found balance.
13:08You found balance.
13:35I'll cover.
13:36Okay?
13:37Good luck.
13:38Wait.
13:39What happens now?
13:40We monitor her heart and breathing for the next few hours to make sure she doesn't need more Narcan.
13:45That's it?
13:46Yeah.
13:47You should text your friends.
13:49You should text your whole college.
13:51Tell anyone to listen to not take pills without a real prescription unless they want to end up here.
13:58Seriously.
13:58Fentanyl is everywhere.
14:00It's in everything on the street these days.
14:03How about when I monitor her pupils for?
14:05Actually, I should go to the bathroom.
14:06Do you care on your own until I get back?
14:08Absolutely.
14:09Take your time.
14:09Okay, great.
14:10Thanks.
14:13Sometimes I come on too strong.
14:15Excuse me?
14:16It's a defense mechanism against insecurity.
14:20You're kidding, right?
14:22Yeah.
14:23But I am sorry if I hurt your feelings.
14:25I really, I want us to get along.
14:27I want us to be friends.
14:29And if I'm really being honest, I want your mother to write me a kick-ass recommendation letter.
14:34You're going into general surgery.
14:35I might.
14:37I'm keeping my options open.
14:39You want me to pimp out my mother for something you might do?
14:43Okay, well, when you put it like that, it sounds dirty.
14:46And a little hot, but yes.
14:49And full disclosure, so we can be friends.
14:52Friends.
14:53You've heard of the concept?
14:56Buddies, compatriots, confidants, pals.
14:58They even made a show about it.
15:00Yeah?
15:01Well.
15:01All right.
15:03Come on.
15:04Don't leave me hanging, crash.
15:05Pound rush it.
15:06I can call you that now that we're friends.
15:09Right?
15:12Okay.
15:13We'll work on that.
15:16So, for the apnea test, we keep him on 100% oxygen, but the ventilator won't be giving him breaths.
15:22For how long?
15:23For 10 minutes.
15:24We'll monitor his carbon dioxide levels, and if they come back way too high, then we'll know that his brainstem
15:30is not telling him to breathe.
15:31And that means?
15:33That would mean that there's no brain function at the most fundamental level.
15:39Princess will monitor him, and I will come back as soon as we know the test results.
15:45Okay?
15:45Yeah.
15:46Okay.
15:55I'm in this fucking hospital.
15:56This is Hank?
15:58What happened?
15:59Oh, nothing.
16:00We were just framing, and then our buddy Joey comes in.
16:03He says a guy walks into a bar with a nail in his head, and then he points his fucking
16:07nail gun at my head.
16:09So what would you do?
16:10So I freaked out, and then in the ensuing melee, he fucking fucking shoots me.
16:16Melee?
16:17Yeah, you know, like a scuffle, like a Donnybrook.
16:20What, you think because I work construction, not a hospital, I don't have a fucking vocabulary?
16:24Tier 1 trauma now?
16:25No, sir.
16:26Whoa, definitely intracardiac.
16:28I gotta tell you, this fucking hurts.
16:30Let's just try and relax, and dial down the F-bombs.
16:32We have children in here.
16:33You want me to stop swearing?
16:35Take the fucking nail out of my heart, and play something for the pain?
16:38Stabilize the nail.
16:40Hank, we need to cut your shirt off.
16:41Fuck that, you cut this shirt, you're gonna buy me a new one.
16:44You can have your pick out of our lost and found.
16:47Ooh, how did this happen?
16:48Framing nail incident with deep penetration of the left chest.
16:51What the fuck does it look like?
16:52Hank, you take medicine every day?
16:54Any allergies to medication?
16:56No.
16:56Can you get me something for the fucking pain already?
16:58Is this a hospital or a vet clinic?
17:00Very soon, Hank, very soon.
17:02Why did you say that to the beagles, too?
17:03Pulse 120 BP, 100 over 65.
17:06Two milligrams of morphine.
17:08Liver GSW is in recovery.
17:09It's good as new.
17:10Whoa, that looks intracardiac.
17:12Oh, nailed it.
17:13Oh, you got jokes now.
17:14No jokes, just pushing your pain meds, buddy.
17:16Small pericardial effusion, but no evidence of tamponade.
17:20Not yet.
17:20Somebody talk to me.
17:21Do I need a priest here?
17:22He's tachycardic with borderline BP.
17:24He could decompensate.
17:25Stand by with two units whole blood.
17:27Garcia here.
17:28Sack cardiac case.
17:29I might die in here, and nobody's telling me.
17:31Hank, there is blood collecting in the sack around your heart.
17:34You need surgery before your heart stops from the pressure around it.
17:38Well, just pull the fucking nail out!
17:39That would definitely kill you.
17:41I want a second opinion.
17:43Where's my fucking phone?
17:44I can Uber to Pesity and find a real hospital.
17:47Or I can take him in ten minutes.
17:49Indiqui, intubate him first.
17:50The better for all of us.
17:52Great.
17:52120 of sucks, 100 of ketamines.
17:55Dervati, you're up for this one.
17:56Really?
17:57Now, let's go.
17:58Move.
17:59Dermi, EPA in five minutes.
18:01Dermi, EPA in five minutes.
18:04I can start the stimmy with Mel.
18:05Sounds good.
18:06This place sucks.
18:07I will destroy you on Yelp.
18:10Nobody's ever come into this shithole again, I swear to God.
18:13From your mouth to God's ear.
18:15Kiara?
18:16Hi, I'm Dr. Melissa King.
18:18Everyone calls me Mel.
18:19Yes, we met.
18:22Right.
18:23Um, I wanted to ask you about Tyler, the little boy who ate the marijuana gummy.
18:30He's been admitted to pediatrics for observation.
18:33And his parents?
18:33They're upstairs with him.
18:36CYF is going to follow up with a home visit just to be safe, but no police were involved.
18:40Don't worry, no one's taking their child away from them.
18:43That's a relief.
18:44Yeah, the parents, on the other hand, may need couples counseling after this.
18:47But I think little Tyler's going to be fine.
18:50Stay with me, Mel.
18:51Right behind you.
18:52Dana, what's open?
18:54Trauma 2.
18:56All right, keep it that way.
18:57Our target door to balloon time for STEMIs is 51 minutes.
19:01Ambitious.
19:02But doable.
19:03As you're about to find out.
19:06Let's go.
19:10Good view of the glottis.
19:12Eyes off the screen.
19:14Now look down the mouth.
19:17And insert the tube around the bend.
19:21You stole my med student from triage.
19:24How's she doing over here?
19:25She's doing pretty good.
19:26Now look back at the screen.
19:29And advance through the cords.
19:34Good.
19:35Good job.
19:36Thanks.
19:40Pressure's down.
19:4172-38.
19:45Infusion has grown.
19:46Now with RV collapse.
19:49Perry Cardiostentesis?
19:50Get another unit on that infuser.
19:52Perfect thoracotomy.
19:53Coming through.
19:54We should get back to triage.
19:55You don't want to stay for this?
19:57There are like 30 patients still waiting to be assessed out there.
20:00Okay.
20:02Did someone say thoracotomy?
20:04Crashy from Tampanon.
20:05Dr. Garcia, do you think that...
20:06Thoma surgery gets left-sided.
20:08Thoracotomy's ED gets B right if we need to extend.
20:13Glove up, girl.
20:14You're in suction.
20:15Let's advance that ET tube to the right main stem, please.
20:18Ten blade.
20:28Vets?
20:29Dr. Santos, how do we cut through the arcostals?
20:31Through the superior rib to avoid the neurovascular bundle.
20:35That's correct.
20:36Finish that on retractor.
20:41Full suction.
20:42And get rid of the snail before I get poked on it.
20:51Nails intact.
20:53One piece.
20:54Two forceps.
20:56Opening the pericardium.
20:58God, this is so fucking cool.
21:00Dr. Santos, you and his patient share a common vocabulary.
21:03Yeah, I swear a lot I know.
21:05I'm sorry.
21:05You say it's a sign of intelligence.
21:08I think it shows a lack of self-control.
21:10But what the fuck do I know?
21:12Single puncture wounds at the left ventricle.
21:14You've got a finger on it.
21:16First unit is in.
21:18Pressure's up.
21:19Heart is feeling well.
21:21Throwing their hearts off the mattress and we're out of here.
21:23Stop the bleed while I sew.
21:24Just tell me he's arrived.
21:25You got this?
21:26Just wrapping him up for OR delivery.
21:29To a perillian on a tapered heel.
21:30Mr. Ed Gellin is 52 years young with a history of hypertension and hyperlipidemia, 20 minutes
21:36of substernal chest pain, 10 out of 10 with dyspnea and diaparesis.
21:40BP is 152 over 95, currently chewing 324 mg of baby aspirin.
21:44Okay.
21:45Blood straw and second IV started.
21:47UT stable.
21:48Seven millimeters of testio ovation in the anterior lead.
21:51These are sometimes called tombstones.
21:53Open up, sir.
21:54Tombstones?
21:54Lift the tongue.
21:55Mr. Gellin, you're having a very big heart attack right now.
21:58The major artery that carries oxygen to your heart is almost totally blocked.
22:01That doesn't sound too good.
22:02No, it's not very good.
22:03We're going to send you up to the cath lab.
22:05A cardiologist is going to unblock that with a balloon and leave it open with a stent.
22:08But I'm still having a heart attack?
22:10If everything goes as planned, I'd be like you've never had a heart attack.
22:12I'm going to put a catheter in this artery right here.
22:14We're going to shave the hair with a clipper.
22:15As long as you stop short of a Brazilian.
22:17It's an option we offer.
22:19Costs a little bit more.
22:20A lot of people's insurance won't cover.
22:21Don't make me laugh.
22:22It hurts.
22:23Deal.
22:24Anybody we can call?
22:25My wife?
22:26I already have her number.
22:27Okay, we'll call her.
22:28You hang in there.
22:29I'll be right back.
22:35I think they finished the apnea test, don't they?
22:37Can you check the results?
22:38Not just here.
22:39The blood test needs to go to the lab.
22:40It takes a few minutes to run the test.
22:41I'll come find you in the room as soon as it's done.
22:47Close onto a mattress in place with excellent hemostasis.
22:50Cut here.
22:53My sterile towel and away we go.
22:56I spoke to Cardiothoracic.
22:58They can meet you in the OR.
22:59Good job.
23:02Coming through.
23:05Well done.
23:07Well done.
23:08Good luck, Mr. Gellin.
23:10Thank you so much.
23:11You're welcome.
23:15Two saves.
23:17Totally awesome.
23:19I just held a beating human heart in my hands.
23:22We should celebrate.
23:23We should clean these rooms and bring some more patients back.
23:26Sounds like a plan.
23:27Rest for the wicked.
23:28Coach Stemi was fast.
23:30Time is myocardium.
23:32And our statistics for door-to-balloon time get reviewed, critiqued, and published online.
23:36What's up, door-to-balloon time?
23:37That's the time from when they hit our door to when the angioplasty balloon gets inflated in the cath lab.
23:42If we keep it to under 51 minutes, we can reverse a heart attack and save a life.
23:46I kind of wish Mr. Milton had a Stemi.
23:49Thank you for letting me go the distance on him.
23:51I really thought we'd get him back, you know?
23:53Yeah, well, you know, even though you do everything right, you don't always get what you hope for.
24:01My parents both had sickle cell trait, and I was screened as a newborn with a hemoglobin FS pattern.
24:06Did you take penicillin?
24:07Mm-hmm.
24:08Until I was five, then the vaccines picked them.
24:11She has her entire medical history on her phone.
24:13It's extremely long.
24:15Dr. Mohan, do you have a minute?
24:16Yep.
24:17Excuse me.
24:23Is there a problem over there?
24:25No, her pain's well-controlled.
24:26You understand that's my polite way of asking why you're spending so much time with one patient?
24:31You're an R3.
24:32As an R3, you should be seeing at least two patients an hour.
24:34I have two.
24:35Joyce and Mr. Wallace are good to matter.
24:36Who's comatose and stable?
24:38You should have four by now.
24:40I have the highest patient satisfaction of anyone.
24:42I don't doubt it, but we just had this conversation a couple hours ago.
24:45I know people call me slow-mo.
24:47You don't have to confirm or deny.
24:49It used to hurt my feelings a lot, but I can't help it.
24:52I work at the speed I'm comfortable at.
24:56Because you're afraid of making a mistake?
24:58I'm always afraid of making a mistake, aren't you?
25:00Yeah, of course I am, but you know what I mean.
25:02You make a mistake once and somebody dies and you feel so badly about it, you'll never let it happen.
25:06How is that wrong?
25:07Because you waste time and money on unnecessary tests.
25:11You keep sick patients waiting too long.
25:14You miss out on cases you could be learning from.
25:16You shortchange your own education.
25:17I'm not saying this to be a hard-ass.
25:19I'm saying this because I know you can do this, but you need to do it at a level I
25:22also know you're capable of.
25:24And what if I'm not?
25:25Then you should look into a specialty that better suits you.
25:28Have you thought about psychiatry?
25:30I don't want to go into psychiatry.
25:31I want to be here.
25:32Being here means no matter how good you are or how hard you try, you're going to make another mistake.
25:37And someone else might even die.
25:39That's called being an emergency medicine doctor.
25:43And if you can't accept that, then maybe this isn't the place for you.
25:46I can accept that.
25:47You sure?
25:48Yes.
25:49Okay.
25:50Good.
25:51Go save some lives.
25:53Clear some beds while you're at it.
25:57I would fancy a spot of tea at some point.
26:01You want some tea, darling?
26:02I'll get you some tea.
26:03Oh, thank you, sweetheart.
26:05Is Dr. Robbie available?
26:07He's with the patient.
26:08Can I help?
26:08My father's starting to move.
26:10Okay, I'll let him know.
26:11Thanks.
26:12Yeah.
26:14Is it good or bad?
26:15If there's no spontaneous breathing,
26:17then carbon dioxide levels rise above 60, so 82.
26:22Definitely means that Nick's brainstem is not triggering him to breathe.
26:25Well, how can you fix that?
26:27We can't.
26:28I'm sorry.
26:29But with rest and time.
26:31This is not something that heals on its own.
26:33There's got to be something else that we can do.
26:36Nick is our only child.
26:37Is that test 100% accurate?
26:40It is.
26:41Isn't there anything else?
26:44We can do an imaging test called a cerebral perfusion study.
26:47Then let's do it.
26:48But you have to understand that would be the last test, what we would do.
26:51If it comes back that there's no blood flow to Nick's brain,
26:54it would confirm beyond a shadow of a doubt that there's been brain death.
27:01Which would mean that he's gone.
27:07Then we wait and see.
27:12Call nuclear medicine.
27:13See how soon they can take him.
27:14You got it.
27:15I'll be back in a few minutes.
27:17Ah, thank you.
27:25Hey, Mr. Spencer in Central 9 tried to pull out his ET tube and his non-soft restraints.
27:29No surprise there.
27:31We need to help the poker fall.
27:32And the sister of the dead MBC vet in the viewing room just arrived in chairs.
27:36Can you, um...
27:37Uh, Parker in the family room?
27:39Please.
27:39No problem.
27:40I'll have Perla and Princess prep the body as best they can for viewing.
27:44Any progress in there?
27:45No.
27:46Can you also, um, give me an extra eye on Whitaker today?
27:50Oh, I'm already on it.
27:51I know he lost his first patient.
27:53Yeah, I just don't want to throw him off as a game.
27:55You think this kid is game?
27:57I'm not sure yet.
27:58Well, I'll give him a chance to find out.
27:59Copy that.
28:02Hey, for a cake.
28:04Myrna.
28:05What brings you in here today, anyway?
28:07I murdered my husband.
28:09Oh.
28:10How'd you do it this time?
28:11I put him through a meat grinder.
28:14Best is to grab one and jump back in.
28:18Yeah, right.
28:19Mr. Fulton in Central 14 just needs a shot on my lantifers Gerd.
28:25To avoid eating foods with the words Flaming Hot in their title for at least a few days.
28:29Okay, thanks.
28:32Central 14.
28:33Yeah.
28:35Could I get some mylanta for Mr. Fulton in Central 14?
28:40It'll be a while.
28:41If you want it fast, go check out the employee first aid cabinet.
28:44Where is that?
28:45In the lounge.
28:46I'll show you.
28:47How's it going?
28:49Not so great.
28:51I lost a patient.
28:52So I heard.
28:53Also heard it wasn't your fault.
28:55Doesn't make it feel any better.
28:56Yeah, it doesn't.
28:57I'm sorry.
28:58Unfortunately, it comes with a job.
29:00It's any consolation.
29:01I just got scolded for going too slow.
29:03If you hear someone talking about a slow-mo, that's me.
29:06Guaranteed you're going faster than me.
29:07I like to say it gets easier.
29:09Some days it does.
29:10I'm sure the rest of your shift will be better.
29:12Shake it first.
29:13Oh, but make sure the lid is screwed down tight.
29:19Okay.
29:24Everyone seems to get along with family.
29:27You see a family, I see every man for himself.
29:31Actually, that's not entirely true.
29:33There is some family here.
29:34Jabadi's mom is a surgeon upstairs.
29:36Really?
29:36Yeah.
29:37Oh, that must be so nice.
29:39Are you kidding?
29:40I don't know about your mom, but I would not want mine working within 100 miles of me.
29:45No way.
29:46My mother passed.
29:47Um, she, uh, she had a very aggressive malignant pheochromocytoma.
29:54Sorry.
29:56Unfortunately, my mother's going to live forever.
30:01No, she was definitely dead.
30:02Like, I'm still shaking.
30:04No, she was, like, dead.
30:06Like, dead dead.
30:07I mean, I think her heart sucked.
30:08Yeah, she was like, you live.
30:10I think she was dead.
30:11Who?
30:13Who she was just talking about.
30:15Oh.
30:16In case you didn't realize, I use sarcasm and comedy as a shield.
30:19Or so I've been told.
30:21Thank you for opening up to me.
30:23Mel, right?
30:24Yes.
30:25Well, it was nice talking to you, Mel.
30:27It was nice talking to you, too.
30:28You know, I really hope we can be friends.
30:30Friends.
30:40Is there anything I can assist you with, Dr. Robbie?
30:43I think we're best on our own right now, thank you.
30:45He keeps trying to pull away.
30:46We're giving him some more sedation.
30:48Why is he so agitated?
30:50He could have some awareness of the tube in his throat.
30:52Or that he's in a strange place.
30:55Or it could be lack of oxygen to his brain.
30:57Does he need more oxygen?
30:58He's on 100%.
31:00That's as high as it goes.
31:02That is his blood pressure dropping.
31:04Oh.
31:05Is that even fixable?
31:07Normally, yes.
31:08With IV fluids.
31:09But we now know that that will just fill up his lungs.
31:12Drop his oxygen even more.
31:13Wasn't there something else we can do?
31:15We can place a long, large IV catheter in his jugular vein down into his heart.
31:21And administer levophed, which is a very powerful medicine.
31:25Constrict his arteries.
31:26Raise his blood pressure.
31:28But that could cause other organ damage, organ failure.
31:33I'm really sorry, but each new step is even more invasive, could cause more suffering, with minimal benefit.
31:51Uh, hi.
31:52Uh, hello.
31:53Dr. Robbie said he'd be back in a few minutes.
31:55Yeah, he's with the patient, but I'll let him know.
32:00He might sound as dead, isn't he?
32:02I'm not a doctor, Mr. Bradley, but I do believe in God, and I am praying for you, boy, with
32:08every beat of my heart.
32:10Bam.
32:12Thank you.
32:13Yeah.
32:14Oh, one second.
32:15Yeah.
32:16She was legitimately dead.
32:17Yeah, like a hundred percent.
32:18Mr. Bradley?
32:20Vince?
32:22No, my dad's gonna freak out.
32:25No, I, I know, I know.
32:27I just needed to sleep.
32:29I thought I was.
32:31Where did you get the fucking drugs?
32:33Who are you?
32:34Did you give them to my son?
32:35Did you give my son drugs?
32:37Mr. Bradley, you can't come in here.
32:39Mr. Bradley, please, let me help you out here.
32:41Tell me the fucking truth.
32:42Security.
32:43Thanks, Dad.
32:43Did you drug my son?
32:46Your son gave me the drugs, asshole.
32:48Ask him.
32:48He's dead, and you are a fucking liar.
32:52You killed my son.
32:53You killed my fucking son.
33:07Hey, there's no scrubs in here.
33:09Yeah, you have to put your old ones in before it'll give you a new pair.
33:13What?
33:17What?
33:35Forgive me, Mr. Milton.
33:42Hey, you missed the best action of the day.
33:44I heard.
33:45What happened?
33:46The father of the brain dead son goes after another patient he thinks gave his son the
33:50drugs that killed him.
33:51Jesus, how do you deal with that?
33:53No fucking idea.
33:55Oh, what happened here?
33:57Did we have an accident?
33:58Do you think I'm wearing this by choice?
34:00Is it number one or number two?
34:01I just got some stuff spilled on me.
34:03Was it a bodily fluid?
34:05Or was it yours?
34:06No, and no.
34:07Oh, was it from when you killed that guy?
34:08I did not.
34:10That guy had a massive MI in his sleep.
34:12Relax, Uncle Bear.
34:12I'm just fucking with you.
34:14Truth is, you're not a real doctor until you've lost at least one patient.
34:18You got off easy.
34:19It wasn't your fault.
34:21Not all of us can take comfort in saying that.
34:24But, uh, try not to kill anybody else.
34:27What am I looking at?
34:29Mr. Bill Philbin, 46.
34:30He tripped while walking his dog.
34:33He saw a squirrel.
34:34And it's my wife's dog.
34:36Damn thing doesn't even like me.
34:38Clearly.
34:39Where's the dog now?
34:39Hopefully in a kill shelter.
34:56Come on, baby.
35:11I'm sorry.
35:13Um, I just want to understand how this could happen to our son.
35:18I mean, I can't stop wondering why Nick and not her.
35:23I can't help it.
35:25I think it would be helpful for you to speak with our department social worker.
35:29Would you two be open to that?
35:30None of this is fair.
35:33No.
35:34No, it's not.
35:35But he's still breathing.
35:38The ventilator's breathing for him.
35:40Brain death is the same as death.
35:42What about that last test that we're waiting for?
35:44I can almost guarantee it'll say the same.
35:47I'm so sorry.
35:50I wish I could have done more to save your son.
35:55Our social worker, Kiara, is here to help you with anything you might need.
35:58She's amazing.
35:59I'm going to go find her and have her come see you.
36:12Get Dad sorted out?
36:14I think so.
36:16His wife is dealing with a lot right now.
36:17No shit.
36:18That's a tough one.
36:20Yeah.
36:21Do you know where Kiara is?
36:22Not offhand, but I can page her.
36:24No, it's okay.
36:25I'll find her.
36:26I've got to hit the restroom anyway.
36:27Well, tell her you're looking for if she comes this way.
36:29Thank you.
36:30Yep.
36:31Now I got to pee.
36:33Kevin, take Marnie to pee.
36:36Ask Dana what's open for morphine and order an x-ray, okay?
36:40Copy.
36:41Hey, closed injury, forklift versus foot, forklift one.
36:45Got it.
36:45Hey, any news on our incel kid, David?
36:48I don't think we've heard from him yet, and I don't know that you should refer to him that way.
36:51Well, he did have a list of girls' names he wanted to hurt.
36:54They could be at risk.
36:56Are the cops looking for him?
36:57Not sure we're there yet.
36:58Okay.
36:59I trust your judgment, and I'm the last person who wants to involve the police in anything.
37:04But you don't want to be wrong about this one.
37:06I know.
37:07I know.
37:07So what's the issue?
37:09Maybe I don't want to ruin this kid's life.
37:12Well, you don't want him ruining anyone else's life, either.
37:19Look, I've personally been on the wrong side of someone who hates women.
37:23It's not a safe place to be, okay?
37:34Any luck reaching David?
37:35Not yet.
37:36Did you try calling the school?
37:38He didn't show up for class.
37:42Any idea where he might have gone?
37:44Friends?
37:44Relatives?
37:45We don't have any family in state.
37:48And David, he doesn't associate with anyone.
37:56Teresa, do you think that David would try to hurt any of the girls that are on that list?
38:01No.
38:02Do you remember some of the names on that list?
38:06Not really.
38:07Maybe you could try.
38:17How's she doing?
38:18She's worried sick about her son.
38:20What are you going to do?
38:22I thought he would come back after Mom called him.
38:24Hey, what are the ethics about me reaching out to him under the guise of a medical emergency with Mom?
38:29If he's a danger to himself or others, I'd argue you have a professional responsibility to do whatever's necessary.
38:36Right.
38:37Okay.
38:38Hey, can you come talk to the parents of the OD kit that we brought in earlier?
38:42Eighteen-year-old, brain-dead from a fentanyl overdose.
38:44Oh, jeez.
38:45Yeah, only child.
38:46And I just think that the parents could use a little help processing what they're going through.
38:50What about donation?
38:51Is he a candidate?
38:52The transplant counselor could get him there, but I think we're a ways away from calling them in.
38:55I'll see what I can do.
38:57Thank you.
38:57They're in Central 7.
38:58I wouldn't introduce you, but I really have to pee.
39:00No worries.
39:01Thank you.
39:08What the hell?
39:10I just saw one of those rats.
39:11And you, what, let you start an IV?
39:13It's not funny you're not the one who's going to have nightmares.
39:16I forgot about your phobia with rats.
39:19It is not a phobia.
39:20Nobody likes rats.
39:22Some people keep them as pets.
39:24If you are purposely keeping a rat in your house that is not a pet, that is a sign of
39:29an underlying mental health problem.
39:31Okay, if it makes you feel any better, just think of them as cute little Disney mice with a pituitary
39:35condition.
39:36Joke all you want, but if one of those disgusting things bites a patient and we get a case of
39:42Hantavirus, guess who's going to have to answer for that one, Chief?
39:46Aren't they?
39:47What was the name of that cop you were talking to earlier?
39:50What cop?
39:50The good-looking one that you were talking to earlier.
39:52How would I know?
39:53Seemed like you guys have...
39:54Stay in your own lane.
39:56What?
39:58I'm not even asking like that.
39:59I really did want to talk to him about something.
40:02Uh-huh.
40:04Hey, did the exterminator come yet?
40:07Yeah, right.
40:07Sometimes he can be so cute.
40:09Anything like that is to go through facilities.
40:11Said they'd handle it.
40:12What does that mean?
40:14It means nothing's going to happen until next week at the earliest, unless we get a patient in here with
40:18a service cap.
40:20Oh, uh, don't forget, you still have the sister of Abbess' deceased veteran waiting for you.
40:24Shit, yes, yes, yes.
40:25I'll be there.
40:25I'll be there.
40:26Yeah, go.
40:30Hey, I've been looking all over for you.
40:31We need a cardiovert unstable AFib in North One.
40:33Okay, just give me a sec.
40:35It's systolic's 90.
40:36Fuck me.
40:3935-year-old architects working on a deadline, vaping nicotine all night.
40:44Palpitations this morning.
40:45AFib at 147.
40:47Mr. Quinn, this is Dr. Robbie.
40:49Hello, sir.
40:49How are you feeling?
40:50Like crap?
40:51When did your palpitations start?
40:52A little while ago.
40:53We interrogated his smartwatch.
40:55His heart rate's only been up for 92 minutes.
40:57You understand we need to shock your heart back to normal?
40:59Is it going to hurt?
41:00He'll be sedated.
41:02It's really going to hurt.
41:03Mel, 75 of Propoval, slow IV push.
41:05How much did you vape last night?
41:06A couple of pods.
41:08You vape every day?
41:08I do, but not that much.
41:11Want to cut back?
41:12I try, but it's just really fucking hard.
41:14How much nicotine is in a pot?
41:16Anybody know?
41:17No idea.
41:1840 milligrams, same as a pack of cigarettes.
41:19Wow, two packs in one night.
41:21Mel, what's the safe window for cardioversion?
41:2312 hours.
41:24What happens after that?
41:26Increased risk of the embolic stroke from left atrial blood clot.
41:29Which he does not have.
41:32Mr. Quinn.
41:33Mr. Quinn.
41:34Okay, he's out.
41:35Same cardioversion, 200 joules.
41:37Charged.
41:38Clear.
41:43There you go.
41:44Sorry, I'm just with him.
41:45So I can leave you.
41:47We'll monitor for a few hours.
41:48Yeah, let's get addiction services on the case, too.
41:50He's going to need a daily patch of nicotine gum for breakthrough cravings.
41:53This one's a bitch to kick.
41:55Hey, the sister of David.
41:57Shit, yes, shit, yes, yes.
41:59Go get him, Tiger.
42:04Okay.
42:08Are you Mr. Worcester's sister?
42:11Fiona.
42:11Hi, Fiona.
42:12I'm Dr. Rabinovich.
42:14Everybody calls me Dr. Robbie.
42:16Have a seat, please.
42:18I will tell you everything that's happened.
42:23You looking for something in particular?
42:25Anything with a very low potential for mortality?
42:28Mm-mm.
42:29You're not playing that game.
42:30Only thing I'm playing is let's keep the patients alive.
42:33Uh-huh.
42:33Well, now we're playing Face Your Fears.
42:36That sounds like a terrible game.
42:38What up there scares you the most?
42:40All of it.
42:41Pick the worst.
42:43Uh, South 20, 82-year-old woman, low back pain.
42:47I mean, that's potential leaking triple A,
42:50cauda equina syndrome, spinal epidural abscess.
42:53That could go wrong in so many ways.
42:54Not today, amigo.
42:55We're going to work this lady up like a race car.
42:57What does that mean?
42:58It means you're on the pit crew now.
43:00Come on.
43:03You ready to go inside?
43:07No, not really.
43:09I'll be with you.
43:11You can decide when you want to leave.
43:32You're so cold.
43:35I'm sorry.
43:38I'm sorry I wasn't here with you.
43:41I'm here now.
43:45Wherever you are.
43:51I don't know what the world is without you.
44:05I really can't look at this letter when I get too much for asking you to read it to me.
44:11Oh, I'm sorry.
44:12That's an appropriate request.
44:13No, not at all.
44:14Not at all.
44:14I'd be honored by the request.
44:28To the family of Raymond Orser,
44:32my name is Dr. Jack Abbott.
44:35I am the emergency department physician who treated Raymond.
44:40I, like Ray, am also a veteran.
44:45And though I never met Raymond before today,
44:48I served with men like him.
44:51So I can only imagine what an outstanding person he must have been.
45:00I'm sorry I could not save Ray's life.
45:04We worked on him for several hours, but his injuries were too severe.
45:09Even for someone as tough and battle-tested as Ray.
45:14Please take some comfort in knowing he did not suffer.
45:19You have my heartfelt condolences, Jack Abbott.
45:27Thank you.
45:29Very welcome.
45:40Again, I'm very, very sorry for your loss.
45:56Where do you think you're going, Myrna?
45:59Oh, none of your business, fruitcake.
46:03Actually, everything that happens in this department is my business.
46:05Yes, and you know what?
46:07I put up with a lot around here.
46:09I take very good care of you.
46:10So you can call me Dr. Rabinovich.
46:12Call me Dr. Robbie, or you can use my first name of Michael.
46:16But I do not appreciate you calling me fruitcake.
46:18Oh, did I hurt your feelings, cocksucker?
46:24That said, it has a certain whimsical quality to it, but I could probably learn to live with.
46:28Whatever you say, fruitcake.
46:30Excuse me, doctor.
46:31My father's starting to struggle again.
46:33Okay.
46:39Did you know those things would kill you?
46:41Not that lucky.
46:43What the fuck?
46:46Hey, they're stealing our rig!
46:50Did you leave the keys in it?
46:52Always, in case somebody needs to move it.
46:54Yeah, you probably shouldn't have done that.
46:55Why don't you come on inside, Ziggler?
46:56We'll look you over.
46:57I'm fine.
46:58Fuck that.
47:00You believe that shit?
47:02It happens.
47:07What can you do to make him more comfortable?
47:09We can take the tube out.
47:10But he needs that to breathe.
47:13If we extubate, we would keep him on oxygen for comfort.
47:17It would decrease his sedation.
47:19He might regain consciousness.
47:21He could recognize you.
47:22Maybe even speak.
47:24Well, I don't want to do anything to jeopardize him getting better.
47:26That's just the point, Helen.
47:29He's never getting better.
47:31You don't know that.
47:32I do know that.
47:33Okay, he knows that.
47:35And Dad probably even knows it.
47:38It's time to let him go.
47:40I'm sorry if you've had your fill of Dad, but I haven't.
47:43And I'm not giving up on him.
47:47Even if it's hurting him?
47:52I'm sorry.
47:53But if there was anything I could do to heal your father, I would do it.
47:56But the most humane thing that I could do for him is to allow him a painless, peaceful passing.
48:02And that requires removing the breathing tube.
48:06Fuck.
48:07How long will it take once the tube's out?
48:11From minutes to hours.
48:12But we would ensure that he'd be in no physical discomfort.
48:21I'll do it.
48:22I'll do it.
48:23I'll do it.
48:28I'll do it.
48:36İzlediğiniz için teşekkür ederim.
49:29İzlediğiniz için teşekkür ederim.
49:59İzlediğiniz için teşekkür ederim.
50:09İzlediğiniz için teşekkür ederim.
50:10İzlediğiniz için teşekkür ederim.
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