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The.Pitt.S01E06.FIX.540p.x265.AAC [Full Movie] [Trending Drama]Full EP - Full
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00:00¡Suscríbete al canal!
00:30Oh, whoa, whoa. Everything okay in here?
00:31This is Mrs. Wheeler, Christy's mother.
00:34Lynette is Christy's aunt.
00:36She doesn't want to have this baby.
00:37This has nothing to do with you.
00:39No, I called Aunt Lynn.
00:41Okay, I don't want to be a teen mom.
00:43Well, then maybe you should have thought of that before you started having sex.
00:47Okay, emotions are running high.
00:48I think a private conversation between mother and daughter is in order.
00:51Lynette lets you and I step out.
00:52I'll buy you a cup of coffee.
01:04Crashed ambulance thieves are en route.
01:05ETA 10 minutes trauma 2 is all yours.
01:08Great.
01:08They better be meth head junkies, because Abby wants a Birkin for her birthday.
01:12Couldn't do it with a Birkin.
01:13Hopefully forgive me for getting the kids a golden doodle.
01:16You want to be a good husband?
01:18Send her on a vacation.
01:19Without you, or the kids, or a damn puppy.
01:22Are you mean to everyone, or just me?
01:24Just you.
01:27Hey, what's the status of the head CT on Joseph Moreno?
01:30Still waiting on results.
01:31He's postictal and sleeping in North 2.
01:33No more seizure activity.
01:34Good.
01:34Let me know as soon as those CT results get back.
01:37Yeah, of course.
01:40How's Travis, our tonsillectomy patient?
01:43Oh, I just dropped him off at surgery.
01:45He's doing well.
01:46Good work.
01:47You kept him from bleeding out.
01:48Oh, no.
01:49Come on.
01:49That was all you and Dr. Robbie.
01:50I mean, I could never have done what you guys did with that airway.
01:53Not yet.
01:53That's why you're here.
01:54But he stayed with him the whole time.
01:56He would have died at most of the hospitals.
01:58Yeah.
01:59Yeah, no, I guess you're right.
02:00Yeah, I usually am.
02:06And Brian, can we step up?
02:08And Brian.
02:14I'm sorry about all of this.
02:16I didn't think that Eloise would find out.
02:18Yeah, well, she did.
02:20Christy should make her own decisions.
02:22Unfortunately, she's still considered a minor.
02:24Why don't you take a seat?
02:25We'll come find you if there's an update.
02:31What do you need, Robbie?
02:32It's keeping.
02:34Dr. Rabinovich.
02:35Gloria.
02:36This is Dr. Tracy Morris, regional manager of ECQ America.
02:40The contract management group.
02:41It's a pleasure to meet you.
02:43Likewise.
02:43If you'll excuse me, I'm a little slammed, as per usual.
02:45We were upstairs with the executive team going over a proposal.
02:49A proposal?
02:50We're interested in having your emergency department join us.
02:52The 500 or so ERs you have aren't enough?
02:55What can I say?
02:56Business is good.
02:56Yeah?
02:57For who?
02:58Everyone benefits.
02:59Do they, though?
03:00Your contract management's corporate mandate is profits for shareholders above everything
03:04else, yes?
03:05Robbie.
03:06Your hospital's board was very impressed with ECQ's metrics on patient satisfaction, throughput
03:10time, and billing collections.
03:12Does your proposal include the part where you cut the pay for all my doctors?
03:16Maybe I can find an incentive for you.
03:18How does regional medical director sound?
03:20Lighter workload, better benefits, stock options.
03:24Did you go to business school or medical school?
03:26Both.
03:28We look forward to your decision.
03:30Of course.
03:31Hopefully we'll get a chance to work together soon, Dr. Rabinovich.
03:38I can't believe you're seriously considering this.
03:40Bottom line is our current numbers aren't good and theirs are.
03:43Just because their dashboard's pretty doesn't mean it's good for patients.
03:46If you want to keep the CD, improve metrics.
03:49There's a lot of OFI.
03:52Opportunities for improvement.
03:53Well, you could have just said that.
03:54I need you to care about patient satisfaction scores.
03:57I would love nothing more, but right now the average wait time is six hours, and that's
04:00before you see a doctor.
04:01You need to hire more staff so we can open more inpatient beds.
04:04Are you prepared to do that?
04:05I need you to improve scores with the resources we have, or we will explore what ECQ has to
04:10offer.
04:11This is bullshit.
04:11You know this is bullshit, and if you don't, then we are all in trouble.
04:15Maybe we need some time off.
04:16Hey.
04:17We've got a ladder fall.
04:18Couple minutes out.
04:19Yeah.
04:23Who would have guessed frat boys?
04:27Collins.
04:28Damn it.
04:29I knew they were going to crash.
04:31Then why didn't you bet Crash?
04:32I didn't want anybody to get hurt.
04:34It's bad karma, man.
04:35So who won?
04:36Oh, Doc Collins at the full parlay.
04:38In our zone, Crash and frat boys.
04:41That's uncanny.
04:43Bordering on spooky.
04:44And the rich just get richer.
04:47Need to practice more gratitude.
04:48Two, I'd be a lot more grateful if my paycheck was bigger.
04:52That part.
05:02Any luck finding Ginger's daughter?
05:04She was supposed to be right back to take her mom home.
05:05I just tried her cell again, still no answer.
05:08Let me try the cafeteria one more time.
05:10What did we tell her?
05:12No, don't tell her anything yet.
05:14Oh, boy.
05:14Um, you should consult with Kiara, just in case this goes south.
05:24What do we have?
05:2545-year-old Silas Dunn.
05:26Fell off an eight-foot ladder.
05:28Right chest hit the carpeted floor.
05:29No LOC, good vitals.
05:31No meds, no allergies.
05:32I'm Dr. Santos.
05:33How are you doing?
05:33Fine.
05:34My wife called 911.
05:36These guys said this was all necessary, but I can walk.
05:39We're going to keep it on until we get you all checked out, okay?
05:41What are you thinking?
05:42What made him fall?
05:43Could have been cardiac or neuro, any headaches?
05:46I was a little dizzy.
05:47He needs a head CT, EKG, introponent.
05:49Exactly.
05:49On my count, one, two, three.
05:52I was installing a lighting fixture in the back.
05:55Dr. Santos on heat fast, please.
05:57Dr. Garcia, can you spell world?
05:59W-O-R-L-D.
06:01Start with D, spell backwards.
06:03Oh, D-L-R-O-W.
06:06Excellent.
06:06Your brain is fine.
06:07Pulse 92, BP 132 over 78, sat 98.
06:10No pericardial effusion.
06:13Oh, tender?
06:14Yeah.
06:14You ribbed seven and eight MCL.
06:16You probably cracked a rib or two.
06:17Check for lung sliding.
06:18Could be a new move.
06:19I was going to paint the living room next.
06:21My wife has a whole list of things she wants us to get done.
06:23I'm afraid the only home renovations you're going to be doing in the next couple of weeks
06:26are the kind you watch on TV.
06:28Can you tell my wife that?
06:29Lungs are up.
06:30What's your sign?
06:32Scorpio.
06:33Spicy.
06:35And I'm focused on our patient.
06:37Uh, belly's clear.
06:39Dr. Garcia?
06:41Shit, be right there.
06:43Wish I could stay post-op hemorrhage.
06:45You're in good hands.
06:48Tier 1 trauma, BCL.
06:50Tier 1 trauma, BCL.
06:51Okay, call me if anything changes.
06:54Stolen ambulance versus tree.
06:56BPD maintaining custody of suspects.
06:58This one doesn't meet criteria.
07:00Zach Dawson, 21.
07:02Restrained front seat passenger was ambulatory on scene.
07:04Lacerations to the anterior thigh from broken glass.
07:07Otherwise, no injuries.
07:08Good vitals.
07:09You hurting anywhere, Zach?
07:10Where's Miles?
07:12Miles Hernandez, 18.
07:14Unrestrained driver of the stolen ambulance.
07:16Right chest, left leg injuries.
07:17Shorter breath, sat 91.
07:19Tacky 120s, BP 105 over 70.
07:22Can I go with him?
07:23Is he your friend?
07:23He's my pledge.
07:24We're going to find a room for you.
07:25Let us take care of Miles, okay?
07:27I'm Dr. Collins.
07:27Can you talk?
07:28Rest sounds bilateral, but lots of striders.
07:31Set up for intubation.
07:31We've got to fix this fast.
07:32Osteri-hip dislocation.
07:33Good pedal pulse.
07:34We need induction meds.
07:36Ketamine and rock.
07:37Oh, oh, oh.
07:37Look at this clavicle.
07:39Compressed centrally.
07:40Sternoclavicular dislocation.
07:41It's compressing his trache here.
07:42Let's reduce it.
07:42See if it helps his breathing.
07:45All right, stabilize the leg.
07:47One, two, three.
07:50Board morphine.
07:51Draw a rainbow.
07:52Type in screen.
07:52Heart rate's 125.
07:54Lighten to get on the airway.
07:55Collins, eat fast.
07:56No blood in the oropharynx.
07:57Clavicle is dislocated posteriorly.
08:00Chlorhexidine swabbed.
08:01Tenoblido with epi.
08:03Time is of the essence.
08:05BP's 108 over 74.
08:07All right, Miles, your collarbone is pushing against your windpipe.
08:11We're going to pull it back up.
08:12I'm going to inject an anesthetic.
08:14You're going to feel a pinprick and a big burn.
08:19All right, towel clip.
08:22All right, go deep.
08:23You want to get a really good grip on both sides of that bone.
08:29It hurts.
08:29Got it.
08:30All right, Miles.
08:31It's going to hurt for a second.
08:33You ready?
08:33Oh, motherfucker!
08:40Excuse me, good.
08:41What are you torturing now?
08:43Produced a sternocleptic in a dislocation.
08:45How's your breathing?
08:46Better.
08:47What happened to your post-op hemorrhage?
08:48Panicky intern.
08:49False alarm.
08:51Who is she?
08:52Right?
08:53This is Dr. Garcia.
08:54We're going to get your legs straightened out.
08:56After we do a CT?
08:57Okay, looks like you've got it from here.
08:58You know you guys were on the news?
09:01You stole an ambulance.
09:02What were you thinking?
09:03It wasn't my idea.
09:05Does he look like a meth head to you?
09:07Seriously, what is wrong with you?
09:11This was a terrible idea.
09:17Okay, Chanel, all set.
09:18How bad does it look?
09:20I'm going to be honest with you, it doesn't look great.
09:23Thankfully, there's no signs of infection.
09:25I'm such an idiot.
09:27And now I'm having a panic attack.
09:29Excuse me, Dr. Moehead.
09:32I'll be right back.
09:38I've only been in with her for a few minutes.
09:40I didn't say anything.
09:41What's the case?
09:42Chanel Sutton, 22, complications from silicone blood injections.
09:45So, call the clinic that did it.
09:47She found the guy on TikTok.
09:49He did the injections in his living room.
09:51She thinks it was maybe silicone cock from Home Depot.
09:55Jesus, really?
09:56Kids today?
09:58She's tachycardic and tachypnick.
10:00I think it's a panic attack, but if a piece of silicone hit a vein, she could have a pulmonary
10:04embolism.
10:04We should scan her.
10:05Good.
10:05How's Joyce, our sickle cell patient, doing?
10:07Holding up.
10:08She's intubated and waiting on an ICU bed.
10:10Good.
10:11Keep it up.
10:13We'll do.
10:14Team round, CWA.
10:15Team round, CWA.
10:17Come join us when you're finished.
10:18As soon as I put in a few orders.
10:23I'm so sorry.
10:24Hey.
10:24How's she doing?
10:25Better.
10:26Faster.
10:27Still need ten more of her.
10:28Never thought I'd see the day where you'd wish for more Samira.
10:30You could blame Gloria for that.
10:31If I don't get patient satisfaction scores up around here, they're bringing in an outside management company to run things.
10:37Mother of God.
10:38Really?
10:40Holy ho.
10:41Any word back on Nick Bradley's cerebral perfusion test?
10:43Still waiting on results.
10:44What about Ipecac, Mom?
10:46Teresa Saunders.
10:46Mom Fluid should be good to go soon.
10:48See?
10:49We do have patients that appreciate you.
10:54You're done with triage for the day.
10:57Sorry.
10:58Did I do something wrong?
10:59Because I know I said too much to the unhoused mom.
11:01No.
11:02Don't.
11:02Don't worry about it.
11:03It's cool.
11:05One of us just covers the wedding room and triage for the first few hours.
11:07Trying to send the herd out there.
11:09We're back here for the rest of the shift now.
11:11Okay.
11:12Great.
11:12Yeah.
11:14Hey.
11:14Do you think you're going to give us lunch?
11:16It's past 12 and I'm starving.
11:17Oh, you can pack a bunch of these for your next shift.
11:20Or grab a sandwich from the patient bin.
11:22There's no time for breaks around here.
11:24Thanks.
11:27Wardrobe change?
11:28Oh, I caught a gusher.
11:30Helped save his life.
11:32How's triage?
11:34It was good.
11:35I'm back with you guys now.
11:37Cool.
11:37So, you're feeling okay?
11:39Yeah, I'm feeling fine.
11:40God, I slipped hours ago.
11:42I'm great.
11:43Ready to go.
11:45Let me guess.
11:46You got these ones from the lost and found.
11:48The scrub dispenser was out of my size.
11:51Oh, it's a good look, Huckleberry.
11:53Show off those ankles.
11:56Aren't board rounds at two?
11:57These aren't board rounds.
11:59I just want to remind you all a few things, okay?
12:03So, we do a great job coming up with the right diagnosis and treatment plan for our patients,
12:07but there are still some opportunities for improvement.
12:11Not this bullshit again.
12:14First off.
12:14Always sit down at the bedside of a stable patient.
12:15It will make you a better doctor.
12:18Second, if there's a discharge to be done, do it before you pick up a new patient.
12:23Patients are very aware of the time that they spend with us, so please don't keep them here any longer
12:27than they need to be.
12:28Maybe they complain about the weight.
12:29I get it, but for the sake of efficiency and running smoothly on our end and opening up beds and
12:34opening up rooms,
12:35let's discharge before we start with somebody new, okay?
12:38Thank you.
12:38Lastly, in your medical records, make sure that your decision-making and your notes reflect not just the diagnosis,
12:44but all the thought that you put into ruling out all the critical illnesses and the differential.
12:48More worth?
12:49I do not charting as it is.
12:50The hospital won't admit this, but it's less about charting and more about profit.
12:55Okay.
12:56Good.
12:56That's it.
12:57Goodbye.
12:58Go.
13:02Are our pregnant teen and mom still talking?
13:04Yeah.
13:05More yelling from that room?
13:06Not that I've heard.
13:07Good.
13:08Maybe it's working.
13:09How's that or they killed each other?
13:10I'm good with the other one at this point.
13:11And you wonder why your patient satisfaction scores are in the toilet?
13:15Mm-hmm.
13:15Always appreciate your support.
13:17I need to check on my Nepali patient.
13:20She likes me.
13:22Everybody likes you when they're on morphine.
13:25All right.
13:26I think we'll follow up with Jillian Dupree.
13:28The four-year-old we saw in triage with the fever.
13:31Okay.
13:32Yeah.
13:32Dr. Javadi.
13:35Um, sorry, what are you doing here?
13:38Oh, I'm down to see a consult young man with a hot appy.
13:42Are you a med student?
13:44Oh, yes, ma'am.
13:45This is a great case for the students.
13:47Can they come with?
13:48I'd be happy to do a little bedside teaching.
13:49Oh, we have a four-year-old.
13:51Oh, yeah.
13:51I love that.
13:52Do you mind if I join?
13:53Maybe I can learn something new?
13:54Sure.
13:55Great.
13:56I just, I don't need anybody else associating me with my mom.
13:58I know, but I just can't say no to a hot appy.
14:01Hey, these are student doctors.
14:05Mind if I do a little teaching?
14:06Go for it.
14:07Now, everyone knows McBurney's point, but who can tell me the name of this sign?
14:12Tim, raise your right leg, please.
14:16Oh, psoas sign, causing friction of the psoas muscle over the inflamed appendix.
14:22Excellent.
14:23Now, back in the day, appendicitis meant you went straight to the OR.
14:27Who can tell me about the CODA study?
14:31Well, it's from a 2020 New England Journal trial comparing surgery to antibiotics.
14:36It showed that without appendicolith, there was a 75% success rate in the antibiotic-only group.
14:43Exactly.
14:44Honey, we discussed the study at home, right?
14:48Honey?
14:50Wait.
14:52She's your mom?
14:53It's Victoria.
14:55Or Javadi.
14:56Dr. Shamsi?
15:01Uh, hello?
15:02Oh, yeah.
15:03I'll be right there.
15:04Mrs. Grant now has chest pain, if you'll excuse us.
15:07Oh, yeah, go.
15:08Your patients come first.
15:11Who's Mrs. Grant?
15:13Nobody.
15:13I made her up.
15:15Sorry.
15:17You just had that look on your face my son gives me when I give his basketball team pointers from
15:21the sideline.
15:22I'm sorry.
15:27No, I think renovations should be treated like dental care.
15:31Leave it to the professionals.
15:32They're the only ones who should be climbing on ladders.
15:35Uh, is my family here yet?
15:37I'm not sure.
15:38We'll check.
15:38How was the CT?
15:39Head and neck normal, but Tech found a small hemothorax on the right.
15:43What's that?
15:43It's a little bleeding around the lung where you broke a rib.
15:46He's also been more short of breath since after the scan.
15:48Is that from the pain?
15:51Silas?
15:52Okay, Silas, wake up.
15:54Lost the radio pulse.
15:55Threaty carotid.
15:56His BP's crashing.
15:57I think he might need a test tube.
16:00Check another hemo-Q.
16:01Get type specific from the blood bank.
16:04BP 72 over 44.
16:06Full socks to 89.
16:08Just dropped his BP and sats.
16:09It's been about a 9% non-rebreather.
16:11Call for two units.
16:12Already done.
16:13Normal head CT.
16:14Small hemothorax on the right.
16:15Which has now turned into a huge collection of blood.
16:18Prepped for a chest tube.
16:1920 French.
16:19I would love to do the chest tube.
16:21You got it.
16:22I'll guide you.
16:23Saps are low.
16:24Should we intubate?
16:25Until after the chest tubes, we wouldn't want to cause a tension pneumo.
16:28She won't make that mistake again.
16:35Template to Dr. Santos.
16:39There's a lot of breast tissue.
16:41Focus on the chest tube.
16:44Fifth intercostal space.
16:45Anterior axillary line.
16:47Perfect.
16:51Long Kelly next.
16:55Fuck!
16:56Oh my God.
16:57Are you okay?
16:58Oh, that's gotta hurt.
16:59Leave it!
17:00But...
17:01Okay.
17:01I'm stepping in.
17:02Nope.
17:02You're not gloved.
17:03I got this.
17:04On my own.
17:12Love up.
17:13You're sewing this in.
17:19We're good.
17:20No need to hover.
17:21Okay.
17:22I'll be next door if you need me.
17:26Sats and BP look perfect.
17:29Are you ready to go in here?
17:30Getting there.
17:31You good?
17:32Absolutely.
17:33Start feeling lightheaded.
17:33Just speak up, okay?
17:35Yeah.
17:37Okay.
17:38You're gonna pretend you're a pirate with your foot on a keg of rum.
17:41Are you serious?
17:42Yep.
17:43This is the Captain Morgan technique for hip reduction.
17:45Who's Captain Morgan?
17:47The guy in the rum bottle?
17:51I'll stabilize the pelvis.
17:53Okay.
17:53You're gonna step up here.
17:55Actually, I'm right.
17:56Just...
17:57Sorry.
17:57Yeah, and you are gonna put your right leg behind his knee.
18:02Like this?
18:02Oh.
18:03Yeah, and you are gonna use your leg as a hinge to put anterior force on his femur.
18:09Physics.
18:09Push down on the lower leg with your left hand?
18:11You got this.
18:12Put your back into it.
18:13The hip is a big joint with lots of muscle stabilizing.
18:16Yeah, okay.
18:22Boom!
18:23I mean, shoot.
18:25That is what a hip reduction feels like.
18:27Push the head.
18:28Thank you.
18:31I hear you have an 85-year-old patient who may have been abandoned by her primary caregiver.
18:36Well, maybe.
18:37I hope not.
18:37You know, I don't really know what to do.
18:39Like, we can't find the daughter, and I'm really worried about the mom.
18:41Slow down.
18:41We'll figure this out.
18:43What do you think happened?
18:45Um, well, Ginger has schizophrenia, and she fell, and the daughter was already so overwhelmed.
18:51I mean, maybe she ran.
18:54I don't want to say this is elder neglect, but...
18:57Don't jump to the worst case yet.
18:58I'll see if I can get a hold of any other family members.
19:01You know, I told the daughter, I told her to take a break.
19:05You know, to prioritize herself, and I just, I didn't think that she was going to dump her mom, so...
19:10This isn't your fault.
19:12We're seeing more cases like this as baby boomers age.
19:15It's really tough on their families.
19:19Thanks.
19:20Dr. Robby, Nick Bailey's cerebral perfusion study's back.
19:27No blood flow past the brainstem.
19:30Okay.
19:32Let me know when the transplant people from Cora arrive.
19:35Will do.
19:44Any news?
19:46There is.
19:47Why don't we step outside?
19:48Okay.
19:49We'll back to your office.
19:51Come on.
19:55Let's go this way.
20:07So I have the results of Nick's cerebral perfusion scan.
20:13Unfortunately, it shows that there's no blood flow to Nick's brain.
20:20What am I looking at?
20:23It might help you if I showed you, this is a healthy brain.
20:27See the black?
20:28That's blood flowing to the cerebrum.
20:31Well, there's no blood flow.
20:33It's white.
20:35Yes.
20:37He's brain dead.
20:39I am so very sorry.
20:41I prayed.
20:43I prayed.
20:44I had hoped.
20:45We all did.
20:47So he's not?
20:49He's not coming back?
20:52No.
20:53Well, the apnea test and now the perfusion scan proved that.
20:59What happens now?
21:01He's hooked up to all those machines.
21:03Take some time.
21:05Try to process this news.
21:08A family support specialist will come in very soon and help you through the next steps.
21:13Thank you.
21:36Are you okay?
21:38Yeah.
21:39I just had to show the appearance of the ODT and the perfusion scan results.
21:44How'd it go?
21:45Oh, it never gets easier.
21:47Is that Dr. Robbie?
21:49You owe me a dance.
21:51Looks like an opportunity to boost your patient satisfaction.
21:55Well, I am a little rusty, but let's give it a go, shall we?
21:59Mm-hmm.
22:00Ready?
22:01Mm-hmm.
22:01Yeah.
22:02Ooh.
22:10Zero form first, then two cut four by fours.
22:15Kim will show you how to do it right.
22:17I absolutely will.
22:18Yeah, thanks.
22:20Only 500 out.
22:21Who only of you are?
22:23You.
22:24Follow me.
22:27Oh, my God.
22:30Oh, my God.
22:32Oh, my God.
22:32Oh, my God.
22:34I totally fucked up.
22:35Tell me something I don't know.
22:41Your confidence, that's good.
22:44But there's a fine line between confidence and cockiness.
22:48Should I dry your blood?
22:50You already did.
22:51Yeah, I mean, for the HIV and hepatitis panels.
22:55I can do siluses, too.
22:56No, I'll have Dana do it after the wound repair.
23:02Can I suture for you?
23:03Hell no.
23:04I'll do it myself.
23:05You can assist.
23:06Set me up a Chux, suture tray, betadine irrigation saline, syringe on splash guard, and 5-0 praline.
23:131% Lido with epi, 5-cc syringe, 27-gauge needle.
23:32Mom and Christy still talking in there?
23:34Mm-hmm.
23:36I'm giving them as much time as I can.
23:38Within reason.
23:39Think Mom will consent to Christy terminating the pregnancy?
23:42A woman should only have a child if she wants to.
23:46Well, if you had just gone with Abbott's measurements, they would have been discharged an hour ago.
23:51Are you serious?
23:53I need a doctor in triage ASAP.
23:55What's up?
23:55I have a teen with severe scrotal pain. I need a rollout torsion.
23:58Pull four of intranasal verset.
24:00I got this.
24:01Be my guest.
24:08Hi.
24:09Look at his beautiful black queen.
24:12Are you our doctor?
24:13Thank you.
24:14Yes, I'm Dr. Heather Collins.
24:16And I take it this is Dylan.
24:18And I'm his mother, Tina.
24:20It's nice to meet you both.
24:22Dylan, when did the pain start?
24:25It started like an hour ago.
24:26Did you get kicked or hit with a ball or anything?
24:28No, it just came out of nowhere.
24:31Ow.
24:31Oh, God.
24:33Okay.
24:33I need to do an ultrasound to make sure your testicle didn't twist on itself and cut off the blood
24:38supply.
24:38Is that all right with you?
24:40I get like a dude, doctor.
24:42So, Dylan, this is the doctor you want, I promise you.
24:47I find it really fucking hurts.
24:49Language, baby.
24:50I'm sorry, it really does.
24:51Okay.
24:51We're going to squirt some medicine up your nose.
24:53It'll help you relax and help take away some of the pain.
24:56Then do it.
24:57Okay, Dr. Collins says it all.
24:58I know, Mom.
24:59I hurt her.
24:59My ears are fine.
25:00My junk is killing me.
25:01Please.
25:02Okay.
25:02Sorry, baby.
25:03Come on, Mom.
25:04Anything else, babe?
25:07All good, Beto?
25:08All good, doctor.
25:11That'll be us one day.
25:12Oh, you sooner than me, of course.
25:15Thanks.
25:16I was one crack pipe away from winning the whole thing.
25:19So, Colin's won, huh?
25:21You guys ever found out Waddle's case stole the ring?
25:23Uh, undeveloped prefrontal cortex.
25:26AD is going to do prison time now.
25:28Dr. Langdon?
25:29I have Joseph Moreno's CT results.
25:32Our seizure patient.
25:34Let's go see it.
25:36Uh, she's fine.
25:37She's getting her lab strong.
25:39I'll go visit her in a minute.
25:40Start with short on her.
25:41What happened to your old butt?
25:42Oh, long story.
25:43Let's take a look.
25:45You see what I'm seeing?
25:47Neurocystic psychosis.
25:49Be gentle with this one.
25:50Patients don't usually handle this diagnosis very well.
25:52Got it.
25:53Okay.
25:59There's no blood flow here at all.
26:02Is that dangerous?
26:03If it goes untreated for more than six hours, he could lose a testicle.
26:07I could...
26:08I could lose my balls.
26:10One testicle.
26:11And we're going to try and prevent that.
26:13What the hell are you doing, Dylan?
26:15I'm taking that lock off your door.
26:17It's difficult to know what causes a torsion, unfortunately.
26:20Dylan, hey.
26:22It's really important that I try and fix this now.
26:26Okay.
26:29We're going to have a new prescription sent to the pharmacy.
26:36And it's just one pill everywhere.
26:38Okay.
26:39Up next.
26:40Nause and vomiting in North 4.
26:41Oh!
26:43Forearm x-rays are back on Mr. Afori in the south corridor.
26:46You can discharge with a volar splint.
26:48Notify ortho.
26:49ADF.
26:50Always discharge first.
26:51Got it.
26:56Before you roll the fever.
26:57Your medical decision-making says otitis media.
27:01Yeah.
27:01She had an ear infection.
27:02Did you also consider and rule out meningitis?
27:05Mastoiditis?
27:06Malignant otitis externa?
27:08I did.
27:08Then you should document your cognitive work in the MDM.
27:11You want me to pad my chart?
27:13No.
27:13I want you to show your work.
27:15Billing is a side effect of that.
27:18Did anyone listen to what I said earlier?
27:21Most of the time the torsion is to the inside.
27:25So we rotate outward by opening the book.
27:27Ah!
27:28Ah!
27:29Tessical might have twisted other way.
27:33Let's go back 180 and then try another 180 to the inside.
27:42It's good.
27:44It feels good.
27:46I'm okay now.
27:47It's fixed.
27:48For the time being, we need to admit to urology.
27:52He'll need minor surgery to tack it down and prevent it from happening again.
27:56Thank you.
27:57Dylan, say thank you.
27:59Thank you.
28:01I'll call urology and see about the wait.
28:04Thanks.
28:04Thank you, too.
28:07Any other questions I can answer for you?
28:09Yes.
28:10Can you please let me know how we can sign up for you to be our doctor?
28:13I specialize in emergency medicine, so I only work at this hospital and not in primary care.
28:18Damn.
28:20Please let me know when you get your own office, because you have been wonderful.
28:24And you have a great relationship with your son.
28:28He is my heart in human form.
28:32Do you have any?
28:33Uh, not yet, but, uh, hopefully soon.
28:39Hey, I've been in triage.
28:40What's the update on Insul Kids' mom?
28:42Please, don't refer to her that way.
28:44Teresa is rehydrated and her electrolytes have been replaced.
28:47I'm going to let her know that she can be discharged.
28:49Did she hear from her son right now?
28:51I have no idea.
28:54I'm ready to get law enforcement involved whenever you are.
28:58He's not here.
28:59He could be out there.
29:00I'm not ready to ruin a kid's life over a thought crime.
29:02We just need to make sure that she's not...
29:04Okay, okay, okay.
29:05I get it.
29:07I heard you loud and clear when you brought this up before.
29:09I will speak to Teresa.
29:10I will see if she's talked to her son.
29:12Fine.
29:13We should admit her.
29:15She's recovered.
29:17She's good physically, but she made herself sick to get her son here.
29:20She's clearly not coping and she needs professional help.
29:28Neurosysticcercosis.
29:29A parasite in your brain.
29:31I thought I just had a migraine, but I have bugs in my head.
29:36Well, not exactly.
29:37You had larva from a pork tapeworm that made multiple cysts, but they're all dead now.
29:43A worm?
29:45In my fucking head?
29:46Are you kidding me?
29:47No, no, you don't have a worm in your head.
29:48You just said that I have...
29:50I said you had a worm in your head, but it's dead and long gone.
29:54What we're seeing on the CT is scarring around those dead cysts.
29:59Like dead worm eggs.
30:00Larvae.
30:06Is my brain like Swiss cheese?
30:08Am I dying?
30:09No, no, you're not dying.
30:10Joseph, you're going to be okay.
30:12The cysts are tiny and they're calcified over.
30:15There'll be no further damage.
30:17Can you fix it?
30:19Unfortunately, no.
30:20The little calcified spots will stay there.
30:22So there's going to be a worm graveyard out of my brain forever?
30:25Yeah, but they're resting in peace.
30:31Hi, Teresa.
30:32And you weren't from Dave.
30:34Not yet.
30:35Still important that we talk to him, so keep trying.
30:38In the meantime, you are cleared to go home.
30:41But I had a thought.
30:44I'm concerned that you took so much ipecac.
30:46I don't want you to do that again.
30:48Oh, I won't.
30:52How have things been at home lately?
30:57Different.
31:01One of us is always sad since my husband died.
31:06Would you be willing to speak to a behavioral health specialist?
31:10I don't need that.
31:14Did you talk to anybody after your husband passed?
31:16Friends, family.
31:19Anybody professionally, therapist, clergy, social worker?
31:27Devastating personal loss can be very hard to manage on your own.
31:31It's okay to need help.
31:35It might even improve your communication with Davey.
31:42Okay.
31:43I phoned in a favor with behavioral health.
31:47They can get you in to see a psychologist at 1.30.
31:51Today?
31:53In an hour.
31:57Okay.
31:59Great.
32:02Oh, hey.
32:03I was just coming to check on you two.
32:05Are you leaving?
32:07Yes.
32:07We're going home.
32:09Were you able to come to a decision?
32:10Chrissy's going to stay in school until she's due.
32:13Is that what you want?
32:20Morning, sickness.
32:23I hate this.
32:25Okay.
32:26Let me get you some anti-nausea medicine.
32:29It'll help you feel better, and you've got a long drive ahead of you.
32:34Okay, fine.
32:35I never did man's picture.
32:39Dr. Santos?
32:41Susan and Alana done.
32:42Here for an update on Silas done.
32:44Your ladder fall.
32:45Thanks for the help.
32:46Is it serious?
32:48He broke a few ribs on his right side from the fall, which caused some bleeding around the
32:52lung, so he has a drainage catheter in his chest.
32:55And with the trauma, his oxygen levels were really low, so he needed a breathing tube in
32:59his windpipe.
33:01Lord.
33:02Could he die?
33:03His condition is serious, but it's stable now.
33:07Would you like to go see him?
33:08He won't be able to talk with the breathing tube in, but...
33:11Yeah, where is he?
33:11No, we'll wait in the waiting room.
33:13Mom...
33:14Alana, please.
33:15Just let the doctors do what they need to do for your dad.
33:19We will find you with any updates.
33:21Thanks.
33:31Doing okay, Kit?
33:32Oh, yep.
33:33I was just checking something.
33:35I should get back to work.
33:37Anything I can do to help, I'm available.
33:40Thank you.
33:41It's just that I have a dependent patient whose daughter might have ditched her.
33:48I don't always get to see the best side of people.
33:50I guess it just kind of makes me sad.
33:53It is sad, but you can't dwell on it.
33:55That'll tear you apart.
33:58Look, you've taken some time to step away.
33:59That's good.
34:00And don't forget, your patient needs you.
34:03Is she still here?
34:04Yes.
34:05I've kind of been avoiding her.
34:07I don't really know what to tell her about her daughter.
34:11Well, you don't have to have only answers.
34:13Sometimes I'm just asking how someone's doing is enough.
34:19You got this.
34:21Come on.
34:29Will Miles be able to walk again?
34:32Yes.
34:33He will recover.
34:36None of this was supposed to happen.
34:38You want to share how it was supposed to go?
34:40You stole an ambulance.
34:43He did.
34:44That was dumb.
34:46Haven't you ever done anything stupid?
34:50No, not really.
34:53We were going to drive it and bring it back to campus.
34:57I wanted the guys to see Miles.
34:59Think he was cool.
35:01Has a hard time.
35:02He doesn't really fit in.
35:04It's actually kind of sweet.
35:06Some cops started chasing us.
35:09Miles freaked out.
35:11Pretty sure you saw the rest.
35:12It was just supposed to be a joke.
35:16Now we're going to jail.
35:20Your mom's going to kill me.
35:22Emma, no offense, but I can't exactly say I'm happy to see you.
35:26Comes with territory.
35:27Is there anything more you can tell me about the parents?
35:30Lily and John Bradley.
35:32Middle class, college educated, Catholic.
35:35How's your demeanor?
35:36About what you'd expect.
35:37Nick was their own child.
35:40Got it.
35:42I'm ready.
35:43You?
35:46Never.
35:49John, I want to introduce you to Emma Isaacs.
35:53She's a family support specialist that works with me.
35:56Family's in the emergency room.
35:58She's here to answer any questions that you have and to keep you informed.
36:02Hi, Mr. and Mrs. Brownlee.
36:04Oh, John and Lily, please.
36:06Okay.
36:06I'll let you talk.
36:08Doctor, can you stay?
36:09Please.
36:12Sure.
36:14I'm happy to be here.
36:16Emma's really the expert, though.
36:20I understand your son is in here and not doing well.
36:23Can you tell me what Dr. Robbie has told you about Nick's unfortunate situation?
36:30There's no blood going to Nick's brain.
36:34He's...
36:35He's brain dead.
36:37So...
36:39He's dead.
36:41I'm so sorry for your loss.
36:44He was a wonderful son.
36:47He was the quietest baby.
36:50Ha, ha, ha.
36:50He swiped up through the night.
36:52It was perfect.
36:55Um...
36:55If any one of his friends had a problem, he was there.
36:59To listen.
37:01To...
37:01To lend a helping hand.
37:03He...
37:04He would have been a great man.
37:09I can't believe this is happening.
37:12I know how difficult this must be for you.
37:15Can you tell us what happens now?
37:18Yes.
37:18I can walk you through all the next steps.
37:27Howie...
37:27If you ask me how I'm doing, I swear I'll punch you.
37:31Did I miss something?
37:34I just didn't get to do my chest tube.
37:37He did.
37:40Does it have a little more to it than that?
37:41Not another word.
37:42Unless you want your tongue stapled.
37:47Fuck it.
37:48I dropped a scalpel and it stuck into Garcia's foot.
37:52Oh, that's bad.
37:53It might actually be worse than fainting, so...
37:55Well, at least I didn't kill anyone.
37:56The day's only half over.
37:58You killed a patient?
37:59Not really.
38:00You kind of did.
38:01I'm sorry, you did.
38:03It wasn't fully Huckleberry's fault.
38:06It was a fluke.
38:07He caught some gomer with a sneaky bad ticker.
38:09His name was Bennett.
38:10Oh, great.
38:11You can get his name tattooed on your chest.
38:13At least I'm not the only fuck up here.
38:16I got nosebleed.
38:18So long, fellow loser.
38:25I'll reach out to a funeral director and get the paperwork started on arrangements.
38:30What's the name of your church?
38:32Um, St. Mary's.
38:35Great.
38:36Thank you.
38:38Do you have any other questions?
38:46I think we should talk about something else that is very important.
38:49Your son's driver's license indicated that he wanted to be an organ and tissue donor upon death.
38:55That means he's given his permission for that.
38:57No, no, I don't want to talk about that.
39:01No, he was too young to make that kind of decision.
39:05I can understand why you would think that, but he was 18.
39:09No!
39:11No!
39:12You didn't know him!
39:15He is still my son!
39:22Sorry.
39:31I didn't need more time.
39:35850 bucks.
39:36I'll zail you to rest.
39:38PayPal is also fine.
39:41Winning.
39:41It never gets old.
39:43Hey.
39:43I'm serious about that vacation for your wife.
39:45What about me?
39:46What about you?
39:47Your wife has two kids under four.
39:49Abby works her ass off every day.
39:50I'm a doctor.
39:54They're all clueless.
39:55What?
39:55Is this a female thing?
39:57Should go.
39:58No.
39:58Go.
39:58Beat it.
39:59Go.
40:00Go.
40:00So what are you going to buy with all that hard-earned cash?
40:03I've had this bookmarked for months.
40:06Oh, James Vaughn makes strollers now.
40:09Convertible's the way to go.
40:11I'm going to buy it.
40:13You should.
40:13You and baby absolutely deserve it.
40:17Yeah.
40:18You do.
40:19Right?
40:19Yeah.
40:20It's good to be excited.
40:22Just ran into a totally lost Uber Eats driver.
40:24Where do I put these?
40:25I got this.
40:26Thank you.
40:31Poor guy.
40:32Not everyone's cut out for the home rental life.
40:48I'll be right back.
40:54Dr. Robby?
40:55What's up?
40:56Silas's chest tube output is slowed down after 650 cc's.
41:00Good.
41:00But on re-exam, I noticed some breast enlargement.
41:03Bilateral and symmetrical with no palpable masses.
41:06What's in the differential diagnosis for malganicomestia?
41:09Definitely alcoholism, but then there's pituitary and gonadal tumors or pathology.
41:15So what do you want to take?
41:17LFTs for alcohol abuse and for the rest, hormonal levels, estrogen, testosterone, prolactin,
41:22HDG, progesterone.
41:24Good.
41:24Good.
41:30Things I would do for the strami.
41:33Is there turkey and cheese?
41:34Uh, yeah.
41:36Oh, what is all this?
41:37Lunch from Annie's.
41:38It appears that we have at least one grateful patient.
41:41Hope is alive.
41:42Who do we have to thank?
41:43I don't know.
41:44I think there's a card.
41:44One, one, two, three.
41:48Oh, my goodness.
41:50Mm-hmm.
41:51Enjoy your lunch.
41:55What was that?
41:57It was nice.
42:00Mm.
42:01What?
42:02It's from Shelby Adams and Dr. Adams, some sister.
42:05She's done something every year.
42:06He doesn't like her?
42:08It's not about her.
42:09It's about him.
42:10Dr. Adams was Robby's mentor, and he...
42:13He died during COVID, so...
42:18Mr. Randolph in Central 10.
42:20Can you move to a chair?
42:22Done.
42:23Hey, if you're hungry, there's permanees in the staff lounge.
42:27Sorry, a daily reminder to call my sister.
42:29You were saying?
42:30There's free lunch in the lounge.
42:32Do you need to take care of that?
42:33I do.
42:34I just, um, I want to check on a patient first.
42:36But thank you.
42:39Jessie.
42:40Jessie.
42:40Jessie.
42:41Yeah.
42:46Hello, Mrs. Kitajima.
42:47How are you feeling?
42:48Ginger, please.
42:50I'm getting tired.
42:52I want to go home.
42:54Where's my daughter?
42:56Um, I'm sorry, but I don't know.
42:59But we're doing everything we can to find her.
43:01Can I do something for you while we wait?
43:03I wouldn't mind a snack.
43:05I can have someone bring you a sandwich.
43:08Wonderful.
43:09Feel free to bring Dr. Robbie back around, too.
43:13Okay, yeah.
43:14I just, I have to make a quick call.
43:15Yeah.
43:16Um, can you get Mrs. Kitajima a sandwich from the bin?
43:18Yeah, you got it.
43:32Hi, I'm Becca.
43:33Mel!
43:35Uh, how was lunch?
43:36It was good.
43:37We had paninis and watermelon salad.
43:40That sounds delicious.
43:42Are you coming to get me?
43:43Um, yeah, remember, I'm coming, uh, to pick you up after my shift.
43:48Have you found a boyfriend yet?
43:50Uh, no.
43:51Hurry up, you have to find somebody to kiss.
43:54You're right, I do.
43:55Yeah.
43:55I gotta get on that right away.
43:57Yeah.
44:07Hey.
44:08Is everything all right?
44:10Yeah.
44:10Yeah.
44:11Where's Christy?
44:12She's using the bathroom.
44:17Hey, Christy.
44:18It's Dr. Collins here.
44:19Is everything all right in there?
44:20No!
44:21I want the pill!
44:23Absolutely not!
44:24Eloise?
44:25Why don't you find a place to sit, and I will be-
44:27You're gonna what?
44:27Give my daughter the abortion?
44:29I've forbidden?
44:29Hey, what's going on?
44:30Christy's texting.
44:31Is she okay?
44:32You can't be back here!
44:33She's begging us for help.
44:35Lynette, I got this.
44:36Come on.
44:36You are treating Christy like Mom treated you.
44:38Fuck you!
44:39Hey!
44:39Let's take it down or not!
44:40This is none of your business!
44:41I am not abandoning Christy.
44:43Get the fuck out of here!
44:44Fuck you!
44:45Hey, ladies, that's enough!
44:46She is my daughter!
44:47She's got the weed!
44:48Give her a chance!
44:49That's enough!
45:19¡Gracias!
45:36¡Gracias!
46:03¡Gracias!
46:21¡Gracias!
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