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The.Pitt.S01E04.540p.x265.AAC [Full Movie] [Latest Version]Full EP - Full
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00:13What the hell is going on out there?
00:15Somebody stole a rig.
00:17Again?
00:18Hey, where do you think you're going?
00:19We'll be back in two minutes, Max.
00:21Anton's going to show us his new motorcycle.
00:23Great.
00:23We always need organ donors.
00:25Ah, someone stole your rig.
00:26Yeah, you weren't watching the screens.
00:27How'd you miss it?
00:28Oh, I saw it pull out.
00:29But I figured you were in it.
00:31Why'd you leave the keys in it?
00:32It's a protocol.
00:33No, it's not.
00:33That's what I said.
00:35Yes, it is.
00:37And who steals a fucking ambulance at 10 a.m.?
00:40Easy.
00:40Junkies, meth heads thinking they just stole a candy store.
00:43Or a psych patient kicked loose last night.
00:44Y'all don't know.
00:45That thing is getting stripped, chopped, and shit.
00:46Hey, shut the fuck up.
00:50Maybe another job it took.
00:51Did you call your dispatch?
00:52Of course we called our dispatch.
00:53Did you call the cops?
00:54I can't.
00:55But they're two having breakfast in the cafeteria.
00:57They'll have a cell.
00:58Hey.
01:00I'm good.
01:00Thanks.
01:01Oracle.
01:02Come on.
01:04I put $20 on the psych patient.
01:05Oh, I'll take that action.
01:07Hey, do we have crutches?
01:09Yeah, ortho locker just restocked.
01:10Okay, great.
01:11Can you bring back Sherry Davis next?
01:13Oh, sternum mom with the handburn?
01:14Huh?
01:14Oh, she split.
01:16Shit, when?
01:17I gave the kids two breakfasts each off the borders card, and they left.
01:20In school, probably.
01:21Did she say anything about coming back for wound care?
01:24Not to me.
01:26Fuck.
01:27I need rooms cleared and clean, so I'm shuffling the deck.
01:29Yeah, but why are you moving him into peds?
01:31I'm just about to extubate him.
01:33There's no kids in there at the moment.
01:34The family can have some privacy.
01:36There's nice pictures on the wall.
01:38What's the problem?
01:39There's no problem.
01:39There's no problem.
01:41Mrs. Smith does not need a cardiac monitor.
01:43She can get her vanco in the hall.
01:44We've got one telebed available.
01:46Let's give it to Otis before someone else snags it.
01:48Yep.
01:48Leave the family in Central 7 alone until nuclear medicine's ready to take the kid.
01:52There's no sense in moving them twice.
01:54Aye, aye, Cap.
01:56Hey, Robbie.
01:59You're going to extubate?
02:00Yes.
02:01Good.
02:01You shouldn't have intubated.
02:02Yeah, I remember you saying it just like it was this morning.
02:05You want me to do it?
02:06No.
02:07Why?
02:09Adamson.
02:10Jesus!
02:11Okay.
02:11There's something moving in there!
02:13Ma'am, hold still!
02:14I can't help you if you keep moving your head!
02:16Get it fucking out!
02:18I can't feel it!
02:20Arthropod and the EAC.
02:21Oh, my God!
02:24I better get in there.
02:25Yeah.
02:31How long will you live without the oxygen?
02:34It's difficult to say.
02:36Once the tube comes out, it could be anywhere from 30 minutes to several hours.
02:42When I extubate, we're going to suction the back of his throat.
02:44We're going to give him some glycopyrrolate drops, which will cut down on his secretions.
02:48He'll get morphine for any pain.
02:51And we'll give him some oxygen in his nose as a comfort measure.
02:58Jesus.
02:59I don't think that I can go through with this.
03:02I mean, this is happening.
03:05Like now.
03:06Like today.
03:08We just decided that dad is going to die in this room.
03:12In a room with cartoon forest animals all over it.
03:18God, if you think about it, it's kind of perfect.
03:25Our dad worked on Mr. Rogers' Neighborhood the whole time that we were growing up.
03:29Oh, no kidding.
03:30That's very cool.
03:30Mr. Rogers, the television program?
03:32That's right.
03:33Here in Pittsburgh?
03:34At WQED on Fifth F for 33 years.
03:38Dad worked with Jack Guest, the art director.
03:41So he helped paint and build all those sets.
03:51I don't think that I can do this.
04:00Okay.
04:01Just to be clear.
04:03Your father's dying.
04:05And you're choosing to allow that to occur naturally.
04:08Rather than subject him to a torturous amount of procedures which would only delay the inevitable.
04:13I just thought that it would be different.
04:15And I thought that we'd have more time.
04:18Is your family religious?
04:19Oh, God, no.
04:22No, God.
04:27I had a teacher.
04:29A mentor.
04:32Who told me about a Hawaiian ritual called Ho'oponopono.
04:37One of the four things that matter most.
04:41It's basically just a few key things that we can say when we're saying goodbye to a loved one that
04:45can really help at the early stages of loss.
04:50What are they?
04:52They're going to sound really simple, but I swear I've seen them work.
04:55Okay.
04:56I love you.
05:01I forgive you.
05:03Please forgive me.
05:06That's it?
05:08Yep.
05:09I told you it was simple.
05:13Mr. Spencer, I'm going to take this tube out of your throat now.
05:21What I want you to do is to take a very deep breath.
05:25Breathe in.
05:26Now blow it out.
05:29There we go.
05:40You okay?
05:42Okay.
05:44You're going to give me some oxygen in your nose.
05:49A couple drops under your tongue.
05:55You okay?
05:56I'll hire.
05:56You can rest.
05:58Close your eyes if you want.
06:01You're chilling right here.
06:03Yeah, Dad.
06:04You just rest, okay?
06:07We're right here.
06:09I'm right here.
06:23Come find me.
06:24Will you take a deep breath for me?
06:27Jesus, everybody's going to this concert tonight.
06:30I wonder if there's any decent passes left.
06:32Another deep breath.
06:34Oh, my God, Jenna.
06:36You're never going to believe who DM'd me.
06:38I fucking told you this would happen.
06:39I'm sure Jenna's happy you're here to support her,
06:41but perhaps you could wait outside until we've finished.
06:43Excuse me?
06:44Excuse me, I'm in the middle of an examination.
06:46Yeah, and I'm going to stay with my friend for as long as she needs me.
06:49I'm the one who brought her here.
06:50Gold star for you.
06:52Hey, that's fine.
06:54I'm fine.
06:55You sure?
06:56Yeah.
07:05I wanted her to leave.
07:08How are you doing?
07:10Um, I called Nick's dad an asshole.
07:14Told him to go ask his son.
07:18Why would I say that?
07:22Why don't you tell me about school?
07:24What are you studying?
07:26What?
07:26Do you do any sports?
07:29Are you into any extracurricular activities?
07:31I don't know why you're asking me that.
07:35It's important that you focus on the good things in your life right now.
07:39How?
07:41A boy, a very sweet boy that I barely even knew is dead,
07:45and I just fucking made it worse.
07:47You just need to-
07:48I mean, his father thinks I killed him,
07:50and you're asking me if I play sports?
07:52Jenna, Jenna, I can tell how upset you are right now.
07:55I see how painful this is.
07:57We don't even do drugs.
08:00We were studying.
08:01You know, how does that happen?
08:02I can't imagine how hard this must be for you.
08:07I just really want to go home.
08:11Well, your vitals are excellent.
08:14When your parents arrive, they can take you.
08:20Here, if you need anything.
08:26Oh, well, that works out.
08:28A couple of observations?
08:30Please.
08:31Huffinize your skin.
08:32Rhino.
08:33Good.
08:34Distraction is a terrible strategy.
08:35When a patient says I'm hurting, we don't respond.
08:37What's your major?
08:38I wasn't trying to-
08:40Additionally, I statements work better than you statements.
08:43I can see how painful this is,
08:44acknowledges the reality of the situation,
08:46and invites further examination.
08:47You need to move on has the opposite effect.
08:50Understood, but in my personal experience-
08:52Your personal experience isn't germane here.
08:54Germane?
08:55Relevant, pertinent, appropriate.
08:58Well, I respectfully disagree.
09:00My life gives me a perspective that it's different.
09:02Are you aware you have an aggressive energy, Trinity?
09:05Even this conversation feels confrontational.
09:08You bring our education to the job, not our baggage.
09:11Got it.
09:13Will do.
09:16Good news or bad news first?
09:18What's the good news?
09:19Your canal is numb.
09:20Simple flush with saline will fix the problem.
09:23What's the bad news?
09:25You've got a dead bug in your ear.
09:29Cockroach.
09:33We were in here for maybe 35, 40 minutes tops.
09:36I go outside, it's gone.
09:37Seriously, there's nothing on the radio?
09:39Not yet.
09:40The keys were inside?
09:41Yes.
09:42I leave them in there in case somebody needs to move it.
09:44Not supposed to leave the keys.
09:45That's what I said.
09:46You take the keys, so nobody steals.
09:48So what the fuck is security for?
09:50I'm about to show you.
09:51Oh, yeah.
09:51Hey, guys, we can congregate somewhere else.
09:53Get a little room.
09:54We've got a new guest checking in.
09:55Guys, Ahmad, we've got to keep this area clear.
09:57Everybody, please.
09:58Hey, five bucks on Chop Chop.
10:00Wendell Stone, 52, chief rigger from Pit Fest.
10:02Isolated to the left chest when a speaker tower came down on him.
10:05Looks like multiple rib fractures.
10:07Pulse 110, BP 130 over 85, decent stats at 96, 50 of Fent in the field.
10:12Got it.
10:13How we doing, Mr. Stone?
10:14Mr. Stone's my dad.
10:15Just Stone.
10:18Damn, they woke the Kraken.
10:21What's he do for his next round?
10:25Forty minutes ago.
10:28Perfect.
10:30Mr. Driscoll, Mr. Doug Driscoll.
10:33About fucking time.
10:35Too late, you suckers.
10:38Excuse me.
10:39Sorry.
10:41G.E. Chin.
10:43I have some time to offer G.E. Chin.
10:44Yes, please.
10:45Over here.
10:49How much longer until we can see the doctor?
10:52Uh, we have to wait for a bed to open up.
10:53Might be a little while.
10:54Be popular today.
10:56The medicine should help.
10:59Thoromorphine.
11:00No abdominal tenderness.
11:02What do we got?
11:03Thanks.
11:03You owe me a Coke.
11:04Isolated chest trauma with...
11:06Stop.
11:07Isolated chest trauma with obvious flail chest.
11:10No human pneumo on POCUS.
11:11Good stats and vitals.
11:13Excellent presentation.
11:14Serum Dr. Garcia from surgery.
11:16I need surgery?
11:17Not necessarily.
11:19No blood in the belly on fast.
11:20Okay.
11:20You got this?
11:22Abdomen's benign.
11:23CT chest, abdomen, pelvis with contrast.
11:26Intertrust way more than the ultrasound skills.
11:28Exus!
11:29And more morphine, for God's sake.
11:32No, no, no.
11:32Don't knock me out.
11:33I gotta stand on top of the crew doing the pudding.
11:35The what?
11:36The festival.
11:37We'll block all the nerves going to the broken ribs.
11:41Roll to the right.
11:42You'll be awake and pain-free.
11:44Yeah, that's what I'm talking about.
11:46That's a ton of intercostal blocks.
11:48Nope, one shot.
11:49Serratis interior blocks down to T9.
11:51You kids in your crazy regional blocks.
11:53Dr. Santos, call me with the CT results.
11:55Extension 1121.
12:00Gabe's the same age that I was when we made our first layout.
12:03You remember that, Dad?
12:04The two-level track in the basement of the Clovis house?
12:08Oh.
12:08That's right.
12:09Yeah, it was an O gauge.
12:10It limited the cars we could use, but that layout was a beauty.
12:16Doctor, does that sound he's making mean it could be any minute?
12:22No, no.
12:23It just means that he's having trouble handling his secretions.
12:34Mr. Spencer, this should help.
12:46I'm also going to give you a scopolamine patch behind your ear.
12:51That will cut down on his secretions for the next 24 hours.
12:55You think he has 24 hours?
12:56There's really no way to know.
12:58Let's give another two or more femur PPRN.
13:01We're going to give him something to keep him comfortable.
13:03Doctor, what were those four things again?
13:08I love you.
13:09I forgive you.
13:11Please forgive me.
13:12It's easy.
13:14I love you, Dad.
13:16I've loved every minute we've gotten to spend together.
13:22You're the best dad a boy could have wanted.
13:25You never missed a game.
13:26You always made time for me, whether to play catch or to build models or...
13:32Help me with my homework.
13:36Or when we would wake up before everybody else and make sandwiches.
14:01Help me with my eigentlich.
14:17Oh, my God.
14:45Oh, my God.
14:55They spotted it. Easton 376.
14:57Whoa. Whoa.
14:59Let's go.
15:00It is on there.
15:0115 on crash with another five on junkies.
15:03You give me $8 on catch with another...
15:05Uh-uh-uh.
15:06Multiples of five only. I'm not touching no stripper bills.
15:09Yo, what's that shit?
15:10Hey!
15:11You wanna keep it down?
15:12This is a hospital.
15:13Nine Rivers Casino.
15:15Keep talking. I'm gonna find Robbie.
15:20Psych wanted to transition him to oral meds.
15:22There's an order for an olanzapine tablet at 9.30 a.m.
15:26Yeah, that's on us.
15:27I've been with criticals all morning.
15:29He needs to go upstairs to behavioral health.
15:31We're too busy down here to dispense psych meds on the schedule.
15:34Understood.
15:35What options are we left with?
15:37Either we let him tire himself out or we go in and stick him.
15:40I'm worried he's gonna hurt himself.
15:42He's in partial soft restraints.
15:44What we really need is a pavulin blowdog.
15:51All good.
15:52You caught me and I was almost over the wall.
15:54Go easy on me, warden.
15:56I need an order for an agitated psych patient.
15:57Been here for days, methamphetamine-induced psychosis.
16:00The Kraken?
16:01We should call him that.
16:03How about a B-52?
16:04No, no, no. That would take way too long.
16:06Type the staff. QTC?
16:07Normal.
16:08Five of Bedazzolam, five of Haldol, and Mr...
16:11Cucosia.
16:12You're joking.
16:13No.
16:13Mr. Cucosia will be out like a light in under a minute.
16:16It hardly seems as offensive to call him Kraken if his name is actually...
16:19Irritable five-month-old.
16:21Barely. I'll be right there.
16:22Um, I need more coffee.
16:26You doing okay, Cap?
16:28Yeah. Why?
16:29Can't I be going over the wall?
16:34Tomas Cordera.
16:35Mr. Tomas Cordera, please come with me.
16:37I have your sheriff card.
16:39Tomas Cordera.
16:47Yes?
16:49Cordera.
16:50It's actually Tasha Cordera.
16:52And Miss.
16:53Okay.
16:55You want to come on back?
16:56Go through those doors?
16:58You cut your arm?
16:59Yes.
17:00Okay.
17:01No problem.
17:07Hi.
17:07I'm Dr. McKay.
17:09This is Victoria Javadi's student doctor.
17:11Hello.
17:12Tasha.
17:13Hi.
17:13Sorry for the long wait, Tasha.
17:15Do you mind if I take a quick peek?
17:16Yeah.
17:17Okay.
17:20All right.
17:22Not too bad.
17:23Definitely gonna need a few stitches, though.
17:25Why don't you come on back and we'll get you patched up, okay?
17:29Okay.
17:31Okay.
17:32How big is the pneumothorax?
17:34Got it.
17:35Thanks.
17:36What's the pneumothorax?
17:38Uh, just a little air leaking from the big bruise in your lung.
17:43Getting short of breath here.
17:44Pain?
17:45No.
17:46All that's gone.
17:47Good.
17:47The block worked.
17:48Sats are down to 85 on 5 liters.
17:51His lung contusions need some help.
17:55Start BiPAP.
17:5610 over 5.
17:57That'll open up the bruised parts of your lung.
18:00Thanks.
18:00Good news is you don't need surgery, but I'll let Dr. Garcia know about the CT.
18:05She likes you.
18:08I've met her two hours ago.
18:11Must have made a strong first impression.
18:16Any fever, vomiting, or cough?
18:18None of that.
18:19Good feedings?
18:20Was she full term at birth?
18:22Normal delivery.
18:24Trial vaccines?
18:25Yeah, two months and four months.
18:28What's your differential diagnosis?
18:30I need to check with a rectal thermometer.
18:33Is that really necessary?
18:34It's really important.
18:36I don't know.
18:39I don't know.
18:40I don't know.
18:40I don't know.
18:40We've got to rule out any serious bacterial infection, sepsis, pneumonia, phylo, appendicitis,
18:48meningitis.
18:49You think she has meningitis?
18:50No.
18:51We're just discussing hypothetical possibilities.
18:53Time's 99.2.
18:55Making meningitis extremely unlikely.
18:59Heart rate, 164.
19:01Stats, 99.
19:03This is Dr. Robbie, our senior physician.
19:07Hi, nice to meet you.
19:09Ah, yes.
19:118 febrile alert.
19:12Good vitals.
19:13Doctors Mohan and King were just about to start their physical.
19:15Why don't you go check on our students and I'll handle this.
19:26So why are you sticking me again?
19:28It came in an hour after the chest pain.
19:30If it's a heart attack, it can take more time for the heart damage to show up in the
19:33blood.
19:34Put your finger on that.
19:35Even with the normal EKG, that's why I repeat the test.
19:40Lift your arm up.
19:45All right.
19:45Let's get you back to the weight room.
19:47What?
19:48No.
19:49No, all I've been doing is waiting.
19:50I'm supposed to see a doctor now.
19:51Soon.
19:52I'll let you know.
19:57This is a fucking joke.
19:59Yeah, it's good to laugh.
20:03Laughing our way into being a third world country.
20:08Remind you of home?
20:12You know, we're not supposed to pick favorites here.
20:14I'm going to keep my eye on you.
20:16Yeah.
20:21You do that.
20:23Oh, yeah.
20:29So Tasha, it was a decanter?
20:31A beautiful baccarat carafe.
20:33I was showing a colleague how to polish it and the neck broke with my arm still inside.
20:40So, not my finest.
20:42Did it shatter?
20:43No, no.
20:44It cracked cleanly in two.
20:46But as a reflex, I jerked my arm back.
20:49That's what did it.
20:52Reflexes.
20:52I have regretted a few of my own.
20:54Good.
20:55Now, inject to the other side.
20:58Single layer.
20:59Straight edges.
21:00About as straight forward as it gets.
21:02Good.
21:03It's a relief.
21:06What's going on?
21:07Hypoxic to 78.
21:08BP's crashing.
21:10Systolic's 82.
21:11Pulse is thready.
21:12I should intubate.
21:13Does he need a massive transfusion protocol?
21:15No.
21:16Absent breath sounds on the left.
21:18Tracheal deviation to the right.
21:1914 gauge angiocalf.
21:21Now, put him on a non-rebreather.
21:23What are you doing?
21:25Tension pneumothorax from the BiPAP's positive pressure.
21:32You hear that?
21:34Who the hell ordered BiPAP?
21:35Garcia?
21:36No.
21:37His stats were down that.
21:38I didn't.
21:39You did.
21:40Without running it by me.
21:43Can I put in a chest tube?
21:44He doesn't need a chest tube.
21:45He needs a pigtail catheter.
21:46And I'll be doing it.
21:48Stats and pressure both coming up.
21:51Draw up 75 of ketamine.
22:00Why is she still crying?
22:02Fontanelle is soft and flat.
22:04Peoples equal and reactive tracking across midline.
22:07Dr. Mohan, keep it focused, please.
22:08Mucous membranes nice and moist.
22:12Hard to hear of the crying, but...
22:14Lens are clear.
22:17Heart rate's tacky but normal.
22:19Soft abdomen.
22:20No obvious signs of tenderness.
22:22So basically a normal exam.
22:24What's wrong?
22:25Give us a little time to finish our exam.
22:27I know.
22:28What am I looking for?
22:31Dr. King?
22:32Cellulitis.
22:33Do you look from the SARS-CoV-2?
22:37Diagnosis made.
22:38What is it?
22:38Hair tourniquet.
22:39Mothers with hair can wrap around the toe multiple times.
22:42When it dries, it tightens and cuts off circulation.
22:44My hair?
22:45I showered before nursing her.
22:48Easy to miss, Mom.
22:49But we caught it early, so there won't be any permanent damage to the trauma.
22:53Dr. Mohan?
22:54It's too tight for scissors.
22:55Do we have nair?
22:56We do indeed.
22:57Nair?
22:58Like from the drugstore?
22:59Ten minutes should dissolve it right off.
23:01And stop the time.
23:05Hey, you're okay?
23:06What's up?
23:08We're gonna give the wild one a shot.
23:09Have the order.
23:10Med's on the way, but we need both.
23:11I call the head.
23:13I got kicked last time.
23:14Right arm.
23:15Left arm.
23:15Right lay.
23:16Need one more.
23:17Two more.
23:18I'm just here to observe and speak with the patient once he's under control.
23:20Oh.
23:21Hey, Robbie.
23:22Can you help us with Mr. Cracosia?
23:25Nope.
23:25Coward.
23:27Whitaker.
23:28Just the man we need.
23:30Come over here, please.
23:31Whoa.
23:32What did I miss?
23:33A little drama from Attention Pneumo.
23:35You could have called me.
23:36We got it under control.
23:37Good.
23:38And Dr. Santos learned what can happen when you put a patient with a small pneumothorax on BiPAP.
23:45Ha.
23:45Thumb scalpel.
23:46He was hypoxic.
23:48I thought it would help.
23:48But you didn't discuss it with me, and he almost died.
23:51Die later.
23:53You need to run every order by a senior resident or attending.
23:57That's why it's a four-year program.
23:58Now, when you do this procedure, you want to make sure to never, ever lose this guidewire.
24:04If that gets sucked in the chest, you're screwed.
24:07Now, ready for the big deal.
24:10What the hell are you doing?
24:12Pneumo is tiny.
24:12It'll resolve spontaneously.
24:14Yeah, it was tiny until the patient went on BiPAP.
24:16Are you fucking kidding me?
24:17Guidewire out.
24:19His sats were down.
24:20I gave the order.
24:22Without clearing it with me.
24:24Honest mistake from the rookie.
24:26That's how we learn.
24:31If she knew everything, she'd be your attending, not an intern.
24:36That is very true.
24:38Besides, it could have happened on its own without the BiPAP.
24:41Wow.
24:42Beautiful moment.
24:43A lot of love in the room.
24:44If you'll excuse me.
24:46Nice save.
24:51It's Wheeler.
24:53Dr. Abbott said to come back at 6.30, and he'd still be here.
24:56But we overslept.
24:58I forgot to charge my phone.
25:00I'm really sorry.
25:01Okay, let's see.
25:03Wheeler, Kristen?
25:04It's Christy, and I'm her mom.
25:08Dr. Abbott went off duty at 7.
25:10Good.
25:10But that's no problem.
25:11We'll get you back.
25:12Have a seat until we call your name.
25:14Okay, thank you.
25:15Thank you so much.
25:16You're welcome.
25:16Next.
25:24How you guys doing?
25:26Good.
25:26Thanks.
25:27We missed our appointment, but otherwise, we're fine.
25:30Oh, no.
25:32Have you been here long?
25:33I've been here about four hours.
25:35Oh.
25:36We were here two nights ago.
25:38We waited seven hours.
25:40Hmm.
25:41It's all bullshit.
25:42Can't believe somebody hasn't died out here.
25:45I'm sorry.
25:46I'm sorry.
25:47I'm sorry.
25:48I'm sorry.
25:52How are we doing?
25:53No change.
25:56I've been doing all the talking.
25:58Do you want to say some things?
26:06What is there to say?
26:08I'm sad.
26:09I'm angry.
26:11I don't want him to go.
26:13There's so much that I wish were different.
26:16it's not fair
26:22tell it
26:23I am telling him
26:24I'm telling both of you
26:27it's not fair
26:31I wanted what you had
26:37I love you dad
26:40and I'm thankful for
26:42everything you did to provide for us
26:46you weren't the dad I wanted
26:49because I didn't
26:50I didn't play baseball
26:52or build models or fish
26:56my friends' dads all had
26:58grown up jobs
26:59they didn't tell silly jokes or talk in character
27:02voices or make up
27:04stories
27:08I was embarrassed
27:09and I didn't want my friends
27:13to meet you
27:14it's true
27:18I'm ashamed to admit it
27:20but it's true
27:23I left for college
27:25and I stayed away
27:32I could have gone fishing
27:35I should have gone fishing
27:40and I'm curious now
27:49I forgive you dad for
27:51not being the man that I wanted you to be
27:54but I am
27:55I am so grateful
27:56that you weren't
27:58the world needed you to be
28:00exactly as you are
28:03it got serious
28:05and it turned ugly
28:06and you and your friends built
28:11the neighborhood
28:12of make believe
28:15what an incredible gift
28:24daddy
28:25I'm so sorry
28:29please
28:31please forgive me
28:44come find me
28:45no news chopper coverage
28:54no eye in the sky
28:55not even a damn drone
28:56no mystery here
28:57the cops said east on 376
28:59they're headed to Swissville
29:00now the cousin in Swissville
29:01says he's crazy
29:02fellas
29:03they are not going to Swissville
29:04they're crossing the line
29:06Canada baby
29:06that's the other way genius
29:08see I'm taking all your money
29:09no you're not
29:09you're taking his money
29:10I'm breaking up this
29:12so-and-circle
29:12Antoine you're supposed to be in triage
29:14Denison needs a knee immobilizer
29:15and crutches
29:16go on
29:16Paolo
29:17take postural vitis
29:18on Thorpe and North 5
29:19and a repeat potassium draw
29:20on Fontaine and South 18
29:22Larry
29:22you're coming with me
29:23okay
29:24we have a quorum
29:25meds finally here
29:26yep
29:26guys got some energy
29:28let's do this
29:29Donahue right leg
29:30Larry left leg
29:31him right arm
29:31I call left arm
29:32Perla takes a head
29:33and our young man here
29:34will inject
29:34clear
29:35yeah
29:35pull socks
29:36right here
29:37good luck
29:37I am injection to the mid anterior
29:39left thigh
29:40everybody ready
29:42yo
29:42Whitaker
29:44you play any ball
29:45what football
29:47no
29:48dodgeball
29:48of course football
29:50yeah
29:50some peewee
29:51you know
29:52I was actually a pretty good kicker
29:53not helpful
29:54look
29:55Larry and I
29:55are going to block for you
29:56come in
29:56right behind us
29:57when we split
29:58and go for his legs
29:59you go right up the middle
30:00in zone baby
30:01yeah
30:02got it
30:02okay
30:04you ready
30:06one
30:07two
30:08three
30:10okay
30:10Mr. Grecosia
30:11we're here to help you
30:12we're here to help you
30:13oh god
30:14what do I do
30:24congrats kid
30:25you just earned your yellow wings
30:27okay
30:27midazolam
30:28we'll take him down in a minute
30:29we'll monitor him for 20
30:30after that the Haldol will have kicked in
30:31yeah he's settling down now
30:33do I really need to be here for 20 minutes
30:34why
30:35got a date
30:35I mean I'm covered
30:36I'm kidding
30:37thanks for your help
30:38go get cleaned up
30:39okay
30:40thanks everyone
30:41good work
30:41look I know I don't need to say it
30:42but let's try to stay on top of Mr. Grecosia
30:44in that schedule
30:45sorry
30:46yeah thanks
30:47can I help you get any scrubs
30:48oh no it's good
30:49I'm gonna
30:51thank you for the offer though
30:58so Tasha you work in a restaurant
31:00no take it in two bites
31:02okay
31:03rotate your wrist
31:04follow the curve of the needle
31:05exit at 90 degrees
31:07same distance from the wound
31:09good
31:10yes I'm the sommelier at Altius
31:13oh Altius is supposed to be amazing
31:15sorry what is it you do?
31:16I'm the sommelier
31:17the wine steward
31:20we have the best seller in the city
31:22I don't mind bragging
31:23oh that sounds like a great gig
31:25you have to go to school for that?
31:26oh my
31:27yeah
31:27yeah I have a degree
31:28cool
31:29okay how's that?
31:31really good
31:32first tie is a surgeon's knot
31:34wrap the suture twice
31:36grab the short end
31:37pull with just enough tension
31:38bring the luned edges together
31:39not too tight or shoulder
31:41railroad tracks
31:43so Tasha
31:44what's your favorite wine
31:45you've ever tasted?
31:46or most expensive?
31:49same answer for both
31:502011
31:52demand de la romanƩe conti
31:55three more instrumentized?
31:57great
31:57square knot
31:58single wrap around the needle driver
32:00is that French?
32:01as French as it gets
32:03a burgundy
32:03and how much does that cost?
32:06I sold that bottle for 18,000
32:09not here
32:10that was in New York
32:12are you kidding?
32:1318 grand for a bottle of wine?
32:16I mean was it really that good?
32:18life changing
32:19and I know something about life changing
32:22maybe one day
32:24I'm still not old enough to drink
32:27legally
32:29that's a little scary
32:31and I'm about 18 grand short
32:33and a friend of pills
32:34so I'll have to take your word for it too
32:37my only extravagance these days
32:39is moisturizer
32:40I hear you
32:42Jenna
32:43got some people here to see you
32:45hello
32:45oh my god
32:47oh my god
32:48oh my god
32:49oh my god
32:49oh my god
32:49oh my god you're okay
32:50I'm so sorry
32:50I have no idea how this happened
32:52I swear
32:52is she young?
32:54yes she's cleared medically
32:55you may take her home
32:56here are some discharge instructions
32:58but
32:58no more pills
32:59unless they're from a doctor or pharmacy
33:01I won't
33:02we're giving you some fentanyl test strips
33:04he's worked on pills and liquids
33:06and
33:06this is a narcan spray
33:07please just
33:08keep it in your purse
33:09just in case
33:10if you're at a party
33:11someone's out of it
33:12yeah
33:12thank you
33:13you realize how lucky you are
33:15yes?
33:16I do
33:22Mr. and Mrs. Bradley
33:23I just spoke to nuclear medicine
33:25and they are ready to take Nick
33:26for the cerebral perfusion study test
33:28in a few minutes
33:29can we stay with him?
33:30absolutely
33:31the test itself involves
33:32radiation imaging
33:33so you'll have to wait
33:34just outside the door
33:35but Dave will take you down
33:36I'll show you where you can be
33:37he'll also bring you back here
33:39the results take about an hour or so
33:41and
33:42I will come find you
33:43when I get them
33:44and we'll take you from there
33:46thank you doctor
33:47okay
33:52so sorry to keep you waiting
33:55I'm Dr. Heather Collins
33:56you must be Christy and Lynette Wheeler
33:59yes
34:00yes
34:00we were supposed to see Dr. Abbott
34:02yes Dr. Abbott is an amazing physician
34:04but even he needs sleep occasionally
34:06I guess I just got tired
34:08and I forgot to charge my phone
34:10and we overslept
34:11I used an old-fashioned alarm clock
34:13since med school
34:14never fails
34:15that's what I have at home
34:16I just forgot to bring it
34:18okay
34:19I see we're doing a medication abortion today
34:22correct?
34:23yep
34:24well since I didn't initially assess you
34:27do you mind if I ask a few questions?
34:29get up to speed?
34:30no
34:31thanks
34:33is this your first pregnancy?
34:36yes
34:36and you're 17?
34:38when did your last menstrual cycle start?
34:42I'm not exactly sure
34:44end of June
34:4623rd maybe
34:48any allergies to medication?
34:50no
34:50any surgeries in the past?
34:52no
34:54I need to do another quick ultrasound
34:56to make sure everything's okay for the medication
34:58do you want to put on a gown
35:00to make sure you don't get gel all over your clothes?
35:02okay
35:05I'll be right back
35:06thank you
35:08Joyce our sickler's doing well in the exchange transfusion
35:11awaiting a telemetry bed
35:13Quinn the midnight vapor still in sinus after cardioversion
35:16uh four hours of cardiac monitoring starting now and you can discharge
35:19good samaritans hanging in stable vitals and neurocheck
35:23yeah I want to get a repeat head CT in an hour rule at any increased bleeding
35:26and mr. gold was still positive for camphalobacter has gone home on azithromycin
35:30well I hope he loads up on water and electrolytes
35:32the guy filled up half a dozen bedpans
35:34must be a record
35:35without sounding like a broken record
35:37everything okay with you?
35:39it's your third cup before 11 a.m
35:40yeah I'm not sleeping great
35:41it's fucking with me a little bit
35:42but I've got four days off next week
35:44I think I'm gonna get out of Dodge and head by the hill
35:46I wish you would
35:47what Shakespeare say
35:48to this and heal myself
35:49what you been talking to Collins?
35:51not Shakespeare
35:52Luke
35:52the disciple
35:53you've probably heard it from Paul the Apostle
35:56what do I know I'm Jewish
35:57it's not my book
35:58Shakespeare had nothing to do with it though
35:59yeah
36:00we have a little time
36:01we'll have to be good
36:03oh you have everything?
36:04yeah I think so
36:17is that
36:18yeah
36:19let's go sweetheart
36:22wait um
36:24Mr. Bradley
36:26I just wanted to apologize
36:27for the way I spoke to you
36:29please wait
36:29please
36:29no excuse
36:30um
36:31I was gonna ask a nurse to give you this
36:33but uh
36:34it's my number
36:34and email
36:36if I can ever be of any help
36:38in any way
36:39please
36:41I don't know who you are
36:43oh
36:44I'm sorry
36:45I'm Jenna
36:48I met Nick at orientation
36:49and he was really sweet
36:52um
36:55we were in the same econ class
36:56and we had this really big test coming up
36:58so
36:59some of us made this kind of study group
37:01and um
37:02we'd stay up way too late
37:03drinking coffee
37:04and then have a really hard time falling asleep
37:06and
37:08one girl said
37:09she knew how to get Xanax
37:11um
37:13but was too afraid
37:14to go pick it up
37:16Nick was just being nice
37:17when he said he'd do it
37:22I'm so sorry
37:23um
37:26I really hope he pulls through this
37:27I'm
37:27I'm praying he pulls through this
37:30he will
37:33uh
37:33yeah
37:34thank you
37:37you should go
37:39I'm sure your parents want to take you home
37:48hi
37:53sorry about earlier
37:56I think I still have a lot to learn
37:59you do
38:03looks good
38:04nice job doc
38:05thank you for the trust
38:07now keep it clean and dry
38:08and we'll see you for a wound check in two days
38:10you did great
38:11didn't feel a thing
38:13suture's out in a week
38:14but come back sooner for any redness fever or drainage
38:16okay
38:16okay
38:17thank you
38:19um
38:20I couldn't help but notice
38:21there's a misgendering error on your chart
38:23I'm really sorry about that
38:25I've gone ahead and fixed it here
38:26and on your insurance data file
38:27but it shouldn't happen again
38:30wow
38:32I um
38:34thank you
38:36truly
38:37thank you both
38:38yeah of course
38:43that was cool
38:43didn't think to check that
38:45good catch
38:47uh
38:47any other medications
38:48uh
38:49the only medicine is Tylenol
38:50and she has no allergies
38:53hi
38:53I'm Dr. Mahan
38:54hello
38:55nice to meet you
38:56uh
38:57let me catch her up
38:58uh
38:58Jiayi is a 12 year old
38:59with six weeks of constant pain
39:01in the suprapubic area
39:02there's no fever
39:04no dysuria
39:05no nausea
39:06vomiting
39:06diarrhea
39:07no vaginal discharge
39:08and the urine pregnancy test is negative
39:10a pregnancy test?
39:12of course it's negative
39:14she has a stomach ache
39:16tell me a little bit more about your pain
39:18can you give me a number
39:18from one to ten
39:19ten being the worst
39:20it was like a two
39:21the first few weeks
39:22then it went up to a five
39:24now it's
39:25worse
39:25like a seven
39:27and when was your last menstrual period?
39:29haven't had it
39:29this month?
39:30no
39:31never
39:31a few of my friends got theirs
39:33I'm still waiting
39:34she's only 12
39:36okay
39:37we'll be back for an exam
39:38why don't you change into a gown
39:40open in the back?
39:44it's weird
39:45I mean
39:47no period
39:48but
39:48she has early secondary
39:50sexual characteristics
39:51you know
39:52breast development
39:53widening hips
39:54yeah
39:55it's primary amenorrhea
39:57what are you thinking?
39:58could be a pituitary dysfunction
40:00okay
40:01how are we doing?
40:02are we moving anybody out of here?
40:03we're trying
40:03asthma cleared
40:04after two nubs
40:05when I'm with steroids
40:05and albuterol
40:06I like that
40:07who else?
40:09higher scabs
40:10don't know zip ties
40:10from airline cable?
40:12fuck around and find out
40:14come Monday
40:15that promoter's gonna have
40:16my lawyer's shoe
40:16so far up his ass
40:17he's gonna be flossing
40:18with the laces
40:19how are we doing in here?
40:20vitals are perfect
40:21setting 98 on 4 liters
40:24nice
40:25I could go back to work now
40:26with six rib fractures
40:28a bruised lung
40:28and a catheter in your chest
40:29not the best idea
40:30but I do respect the work ethic
40:33Richie
40:33get Cecil on FaceTime again
40:35I need to see this shit myself
40:37do me a favor
40:37call Dr. Gregorian and Thoracic
40:39and see if he'll take stone
40:40as a personal favor to me
40:41and make sure he knows
40:42he doesn't need any real babysitting
40:43he's stable
40:44we just need a bed
40:45copy that
40:45projectile vomiting
40:46is better with ondanzatron
40:48labs normal
40:49weight and feo challenge
40:50what about maneuver the falling?
40:51any buttocks on board
40:52pain free on the OR schedule
40:54at 3pm
40:54we've parked you in the hall
40:55for a few hours
40:55okay good
40:56a little jelly on the belly
41:00sorry
41:00it's cold
41:04and just to be sure
41:06you're not being treated
41:07for any blood clots
41:08taking any anticoagulants
41:09no I don't take any medicines
41:24is everything okay?
41:27yeah
41:28there it is
41:29there it is
41:30top of seven
41:30I knew you wouldn't let me down
41:32here we go
41:33wait where is it?
41:34well it sure as shit
41:35ain't in swizzville
41:36they're out in my room
41:38trailing ppd
41:38what are they doing out there?
41:40they're driving
41:40until the wheels fall off
41:41and it's almost
41:42outside our catch
41:43I got $10 that say
41:44they don't make it
41:45to the county line
41:46they coming back
41:46I don't
41:47yeah yeah yeah
41:48I'll take that
41:49they're Westmoreland's
41:50problem now
41:52it's on the news?
41:53yes ma'am
41:54where are they?
41:55they're headed east
41:56toward Monroeville
41:57let me see
42:06give me $20 on junkies
42:08caught outside our zone
42:10well damn
42:11well damn
42:12alright
42:19soft non-tender
42:19okay
42:20J.E. we're gonna check
42:22below the waist
42:22you'll be all covered up
42:24would you like to add to stay?
42:25yes please
42:25don't go
42:26okay
42:27I'm here
42:27I'm here
42:29alright
42:29knees up
42:30but keep your feet on the bed
42:33and let the knees
42:33flop apart
42:35we're just gonna
42:36take a quick look
42:41you'll feel me
42:41touch your upper leg
42:42so we can see
42:43where you pee
42:44any pain?
42:46no
42:46it's okay
42:51okay
42:51you can put your legs
42:53back down
42:53you did great
42:54and we know
42:55how we can help you
42:56thank you
42:57dad can we step out
42:58for a minute?
43:02yay good job
43:07what's
43:08what's wrong with her?
43:10her mother died of
43:11colon cancer
43:12is it?
43:12no that has nothing
43:13to do with this
43:14do you know
43:15what a hymen is?
43:17but
43:19not really
43:20when the baby
43:21is developing
43:22in the womb
43:22there's a membrane
43:23called the hymen
43:24which blocks
43:25the vaginal passage
43:25before birth
43:27most of it goes away
43:28but
43:28sometimes it doesn't
43:30is that dangerous?
43:31no
43:32not at all
43:32the good news
43:33is that your daughter
43:34has an imperforate hymen
43:35totally blocking
43:36the vagina
43:37we saw what looks
43:38to be about
43:38three months
43:39of
43:40violacious
43:41menstrual blood
43:42bulging from behind it
43:43oh my god
43:44it's totally curable
43:46and an easy fix
43:47your daughter
43:48needs minor surgery
43:49best done
43:50under anesthesia
43:50in an operating room
43:51by a gynecologist
43:52then she'll be okay
43:55yes totally
43:56back to normal
43:58thank you
44:00the uh
44:02we lost
44:03Jiayi's mother
44:04when Jiayi was six
44:06and
44:07I do my best
44:08to fill her place
44:11but
44:11as she gets older
44:15her mother
44:16would have known
44:16what to do
44:17I'm sure
44:18I'm sure
44:18you do great
44:19she's going
44:19to be fine
44:22thank you
44:28we should let her know
44:30I'll do the talking
44:30this time
44:35housekeeping is
44:36turning over
44:36sat 20
44:37damn we're good
44:38what's it like
44:38when I'm not here
44:39I hate to break it to you
44:40but I run a tight ship
44:41with it with that
44:42more fun with me though
44:43right jokes are better
44:44always
44:44always
44:45but your tell is
44:46the hairier it gets
44:48the funnier you get
44:49and you are on fire today
44:51Dr. Robbie
44:53it's time
45:01hey
45:12is he still with us
45:14those are called
45:16diagonal respirations
45:18close to the end
45:21you said our mother's name
45:22a few minutes ago
45:25Marge
45:27Denny
45:28like she was here
45:30in the room with us
45:31and then he
45:33he smiled
45:35and just
45:35closed his eyes
45:40how are you
45:41both holding
45:42I'm exhausted
45:43yeah
45:45I'm
45:45I think I'm doing okay
45:47Jeremy
45:49I am so glad
45:50that you are here
45:51same
45:51I
45:52I couldn't go through
45:53this by myself
45:55you don't have to
45:57and Sarah and I
45:58are here
45:58I know
46:00thank you
46:01I need you
46:04it's good
46:05that your families
46:05live close
46:08this becomes
46:09our primary
46:10relationship
46:12you're the last
46:13witnesses to each
46:14other's lives
46:16you hold the
46:17memories
46:19scary thought
46:20the way my
46:21memory's going
46:23I just had the
46:24craziest idea
46:26you know
46:27what we should
46:27think about doing
46:28why don't we
46:29take the boat out
46:30like this weekend
46:55it's
47:02I don't know.
47:54I don't know.
47:56I do it twice a day, warm soaks, and we'll see you here again in two days for a wound
48:01check.
48:02Got any questions?
48:02Oh, hey, hey, hey, hey, hey!
48:03I need a gurney here!
48:05Now!
48:08Gurney!
48:08Gurney!
48:08Oh, my God.
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