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The.Pitt.S02E10.540p.X265.AAC [Full Movie] [Vertical Drama]Full EP - Full
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00:01.
00:15Structural collapse at the waterpark.
00:17Two victims coming in via helicopter.
00:19ETA, five minutes.
00:20Time to rally the troops.
00:21I'll get environmental to clear and drop the trauma rooms.
00:23I'ma restock the crash carts.
00:25Makeda, take the latest scripts to the drug cage.
00:27It'll be a fun one.
00:28Fun one, what's up?
00:29Slide broke at the waterpark.
00:30Two victims, five minutes to touch down.
00:32No information on extended injuries.
00:33I can jump in with that.
00:34Ogilvy.
00:35Grab some goggles, gloves, gown, go up to the roof.
00:38First patient that lands, bring him down.
00:41Hey, we've got two choppers, but then you wanna grab some bodies immediately?
00:43What injuries are we expecting?
00:44Structural collapse could be anything.
00:46I can increase the morphine drip to manage the pain,
00:49but that could also slow down your breathing.
00:53You will likely feel very drowsy.
00:55You may lose consciousness.
00:57And it could cause you to stop breathing altogether.
01:10I'll be right back.
01:19Hey, you okay?
01:21Yeah.
01:22Sorry.
01:24Look, it's hard seeing your patients die.
01:27But as professionals, we have to create emotional boundaries for ourselves.
01:31It's not about us.
01:32It's about them.
01:35And she's so calm.
01:37I just...
01:40She had a long time to prepare for this moment.
01:43What she's doing for her sons.
01:46Managing this with so much grace.
01:49The real gift of love.
01:50I feel like an asshole.
01:53All they want is more time with their mother.
01:56All I want is less time with mine.
01:57Don't feel guilty.
01:59I mean, you can be grateful and gracious from a distance.
02:03Just talk to her.
02:04Tell her what you want.
02:05She'll understand.
02:08I doubt that.
02:11Give her a chance.
02:13She may surprise you.
02:17Hey.
02:18Two birds headed our way.
02:20Need a hand?
02:20That's the rumor.
02:22Santos.
02:23Trauma incoming.
02:24Grab a gown.
02:25You can assist Dr. Langdon.
02:30Fuck me.
02:31Jesus.
02:32I got blood tubes throwing moss over here.
02:34Tick tock, people.
02:36Hey, Olive.
02:37Give me a solid underneath to the lab.
02:38No problem.
02:39Uh...
02:39I got more lab results?
02:41Start putting them on the patient clipboard.
02:43PTMC emergency.
02:45Go ahead, medic medic.
02:46Do cyber attacks happen often?
02:47More than you realize.
02:48I blame the riskies.
02:49Dr. Mohan.
02:51It's your mother?
02:52She sounds pretty upset.
02:54She says she really needs to talk to you?
02:57You're shitting me.
02:58Um, tell her I'm not available.
03:10How's your ship going?
03:12It's been a lot already.
03:15You know, I worked in an ER before up in Vermont,
03:18and we had MBAs and ODs, MIs.
03:21But this place...
03:23This place is relentless.
03:26Holiday weekend.
03:27We're not normally offline.
03:30I think we have a very different idea of normal.
03:33Now, for everyone, I'm not sure it's healthy for anybody.
03:36Here's your leg.
03:38Jesus.
03:47I need more runners.
03:48Well, you could shut down the gift shop.
03:50They always have a couple of volunteers there.
03:52Unless those volunteers use walkers.
03:54Beggars can't be choosers.
03:56Go get them.
03:57Okay.
03:57I'm gonna grab a smoke first.
03:59No time.
04:00Nicotine gum.
04:00Take the edge off.
04:01You two, head to triage.
04:03Jump out the front of the house.
04:04They're running out of space, and there's a line out the door.
04:06Okay.
04:07Let's go.
04:08Hang on, Moham.
04:11Sign this.
04:14Nicotine patch, 21 milligrams.
04:16Who's it for?
04:17Monica.
04:18This nicotine gum shit.
04:19She'll never survive the shift, and I need her so I don't lose my goddamn mind.
04:22Yeah.
04:25Thanks.
04:26Is Dr. Abbott still around?
04:28We'll have to get some sleep before his night shift starts in a couple hours.
04:30Shit.
04:31Okay.
04:31I should have planned this better.
04:33I was hoping he'd write me a letter of rec for an elective so I could have a shot at
04:37a fellowship next year.
04:38Which one?
04:41Whichever will take me.
04:42Did the elective fill up a while ago?
04:44Don't remind me.
04:45I'm gonna throw myself at the mercy of the court, beg for them to take me anyway.
04:48Just kill me now.
04:50Be less painful.
04:51You know, I can't read this handwriting.
04:54It says...
04:551,000 milligrams of acetaminophen, orally, 4 milligrams of denotron under the tongue, and trial of clear fluids.
05:02Seriously? It says all that?
05:04It's not in the text with emojis. You kids can't read for shit.
05:11Rehab?
05:11Fall from 10 feet onto a metal fence.
05:14Right below the knee, good vitals.
05:16Oh, it hurts.
05:17Oh, my God.
05:18What's she had so far?
05:18If the event repeated 25, no meds, no allergies.
05:21Where should I put this?
05:22Hang on to it for now.
05:24On my count?
05:25One, two, three.
05:29Hey, Whitaker.
05:30Eat fast.
05:30Donny, primary survey, please.
05:32Pupils equal and reactive.
05:35What's your name?
05:36My leg hurts really bad.
05:38Did I break it?
05:39Um, I wouldn't say that it's broken exactly.
05:41We're gonna get an x-ray to determine that.
05:43Put that on the gurney, light it up for x-ray.
05:45Keep your fucking mouth shut.
05:47Good.
05:47Long sliding right and left.
05:49Airway patent.
05:49Breath sounds bilaterally.
05:51My head hurts.
05:52VP, 100 over 60.
05:54Pulse, 118.
05:55Pulse lock, 98%.
05:57Does your belly hurt?
05:58No, asshole.
05:59It's my leg.
06:01Okay, she's really moving here.
06:02I'll enjoy the ketamine?
06:03Yeah, we can't evaluate like this.
06:06Hey, Ogilvy.
06:08Deep breaths, yeah?
06:09Yeah, okay.
06:10Whitaker, what's next?
06:11Uh, once she's sedated, finish the e-fast.
06:14Playing x-ray, check her back straight to CT.
06:16What if the ketamine wears off?
06:18Right.
06:18Uh, we should do a papatial nerve block before the CT.
06:22Anesthetize from the knee down.
06:24Two of you, tip tip.
06:25Pushing ketamine now.
06:26What's the bullet?
06:2742-year-old male with 20 foot fall.
06:29I want chest trauma with hand injury.
06:31Where's my son?
06:33Where's my son?
06:33It's packet 108, SAS 98 on two liters.
06:36BP 122 over 84.
06:37What pants can't do to mechanism, you?
06:39It's a fib amputation.
06:41Hoping ortho can, uh, give us a little hope for replantation.
06:43Derek, where are you hurting?
06:45Chest.
06:45In my finger.
06:46Did they find my son?
06:47Did you hit your head?
06:48Don't think so.
06:49I need to find my son!
06:51We'll find him for you, but we need to take care of you first.
06:54Pericardium's clear, no fluid in Morrison's.
06:56Move both arms, wiggle your feet.
06:58Good.
06:59Any pain in your neck?
07:01Spleen looks good.
07:02Start with his chest.
07:03That's where he hurts.
07:04No hemotampenum?
07:05Normal sliding.
07:07Best to start with the side he's complaining about first.
07:10Uh, I don't see much sliding there.
07:12His name is Zach.
07:14He's seven.
07:15Pneumothorax?
07:15Set up for a chest tube.
07:16Not yet.
07:17Uh, let's go posterior lateral.
07:20Look for fluid first.
07:21Traumatic pneumothorax.
07:22We should prep the chest.
07:23Not necessarily.
07:24He's hemodynamically stable.
07:26Okay.
07:27Does that look like some fluid there?
07:29Hard to say for sure.
07:31Okay.
07:31He's tachycardic human with our axe.
07:33He needs a chest tube.
07:34BP and sats are fine.
07:35We can wait for CT.
07:36If it's small, resolve on its own.
07:37We observe and reimage.
07:38I agree.
07:39He's stable for now.
07:40Let's wait for the scan, Dr. Santos.
07:41Okay.
07:42Let's order CT chest, abdomen, pelvis, and x-ray left hand.
07:47Whoa.
07:48Major degloving.
07:49Focus on the primary.
07:50Dr. Langdon's correct.
07:51We need to log roll him.
07:54Okay.
07:54How about another four more feet?
07:56Put it in.
07:57Hang in there, Derek.
07:58We got you.
08:01Fuck off already.
08:03Boyfriend?
08:04Wish.
08:05My mom.
08:06Every time I get a second of service, another dozen types of men.
08:09How much longer do I have to wait?
08:11I got a broken leg here.
08:12Someone will be with you shortly, sir.
08:14Am I allowed to use the bathroom?
08:16I really have to go.
08:17I don't know, ma'am.
08:18I am not your doctor.
08:19It says right there, doctor.
08:21Yes, but I'm not your doctor.
08:22But if you go back to your room, a nurse will come find you.
08:25I wasn't in a room.
08:26I had to be parked in the hall like a piece of furniture.
08:27Are either of you treating my mother?
08:29Nope.
08:37Take a seat.
08:38It's going to be a while.
08:43Helen Torres, come on down.
08:48Helen Torres.
08:49Helen Torres.
08:49Yes, yes, I'm going.
08:53Pass the door to this side.
08:55Oh, thank you.
09:10I'm Dr. Mohan, the assistant Dr. Quan.
09:12Helen.
09:13How long has your leg been swollen, Han?
09:15It's been getting worse over the past week.
09:19Dr. Mohan, your mom called again.
09:21She said you don't need to go back.
09:22Not now.
09:23With a patient.
09:27Sorry about that.
09:29Did you fall or hit your leg?
09:32No.
09:34Have you ever had a blood clot before?
09:37No.
09:41Are you all right?
09:42Excuse me?
09:43Do you need to sit down?
09:45Oh, no.
09:45I'm fine.
09:47You don't want to, guide.
09:48What?
09:50No, it's just, um...
09:52It's really hot in here.
09:54And, uh...
09:55And, uh...
09:56You need to sit down.
09:57I'm good.
10:00I just...
10:01I need some hair.
10:02Excuse me a second.
10:03So, can you help?
10:17Oh, no.
10:22Come on.
10:22You got to look at this, right?
10:24I've been waiting for this now, and I'm just letting a bottle of you.
10:27I've been just looking like I need to do the next day.
10:30I've been just looking like I did.
10:30Look out, McWay!
10:32get in
10:34no I'm okay
10:36I'm okay
10:37get in the fucking chair
10:41meet me
10:44coming through
10:45out of my way
10:47we were going down the water slide
10:48and the bottom just fell off
10:50I grabbed Zach's arm and I tried to hold on to the sides
10:53but my hand slipped and my ring got stuck
10:55my finger was ripping off and I just
10:58and I lost him
11:00we can numb up your finger as soon as we gauge the extent of the injury
11:03and cut the damn thing off for all I care
11:05I just need to find Zach
11:07do you feel anything here
11:09yeah sharp
11:10how about here sharp again
11:12you're a little late for the show yo yo
11:13I am the show Dr. Langdon you're the warm up act
11:16you know somebody miss me
11:18Mr. Foster suffered a decloving injury of the ring finger
11:20stable pneumothorax awaiting imaging
11:22hello sir I'm Dr. Garcia from the trauma service
11:26need the ring cutter
11:27that's why they pay the surgeons a big bucks
11:29possible flexor tendon injury
11:31try to bend up your ring finger
11:38let's go with the block
11:40you want to feel a pinprick and some burning
11:42which tendon did we test Dr. Santos
11:46seriously that's a med student question
11:48we're teaching hospital
11:50it's always good to review
11:53flexor digitorum superficialis is intact
11:55as it inserts on the middle phalanx
11:58correct
11:59gee thanks
12:01no sign of tension
12:03there's no tension in your mouth
12:05let's wait for the CT
12:06I'll be next door
12:07Langdon
12:09Mel's sister's been asking for you
12:10she's getting antsy and we could really use the room
12:12CT's ready
12:13okay
12:14let Becca know I'll be there soon
12:15and Mr. Foster got separated from his son Zach
12:18at the water park
12:19I don't know if we can call for you
12:21my wife
12:21Angela
12:22Dr. Santos will you escort Mr. Foster to CT
12:30help
12:30need a hand here
12:33what the hell happened
12:34I think I'm having
12:35NMI
12:36my chest is so tight
12:37I can barely breathe
12:38okay I gotta get this while we
12:39Perla
12:40can I get an assist here
12:41yeah I'm on it
12:44CT's normal
12:45why do we take down the tourniquet Whitaker
12:47to give the residual limb blood slope
12:50two little pumpers
12:51couple of figure eights
12:52take care of those
12:54park
12:55park the shark
12:57orthopedic surgeon
12:58is this a favorable amputation
13:00pretty clean cut
13:01then slice through like a guillotine
13:02x-ray
13:06not too bad
13:07mm-hmm
13:10stop
13:11tying off a couple
13:13arterioles
13:13I'm not blind
13:16where's the amputated laying
13:17double bag
13:17none ice
13:19sterile saline on the inner bag
13:21ice water
13:22in the outer bag
13:23no direct ice on skin contact
13:25we spent a lot of time
13:27he still needs to
13:28look
13:33get Robbie
13:44antibiotics
13:44cefazolin and gent
13:46we've cleared our chest
13:47abdomen and pelvis
13:48clean wound
13:50no crush injury
13:51rapid transport time
13:54replantation is a go
13:55I'll book an OR
13:56irrigate the hell out of this
13:57three liters
13:58three liters
13:59of saline
14:00genius
14:02thanks shark
14:07I knew he meant saline
14:10Dr. Robbie
14:11we need you in central sex
14:13Dr. Mohan
14:13may be having a heart attack
14:14what
14:18EKG is normal
14:19you sure
14:20check it out
14:21you can be here on second opinion
14:22what's going on
14:23it's okay
14:23I'm okay
14:24you don't look okay
14:25you look like shit
14:27I feel like shit
14:28what happened
14:29I don't know
14:30I just got really hot
14:32and I started having trouble breathing
14:35we should send up some labs
14:36to be safe
14:38any chance you're pregnant
14:40not sure I feel comfortable answering that
14:44no
14:44she was tacky
14:46but it's resolved now
14:47have you eaten anything
14:47yeah
14:49you staying hydrated
14:50100%
14:51I'm doing everything right
14:53it's everything around me
14:53that's all fucked up
14:54it's just my mom moving
14:56and calling me over
14:57and over again
14:58and now me scrambling
14:59to find a job next year
15:00I had it all planned out
15:01and now everything's just
15:02out the window
15:03wait a minute
15:03is this a panic attack
15:04because of your mommy issues
15:06what no
15:07Jesus
15:07do you need to go home
15:09you should go home
15:10no I'm fine
15:10I don't need the fucking liability
15:12go home
15:12and the rest of you
15:14the last time I checked
15:14the ED is a shit show
15:16so let's all get back to work
15:17huh
15:25sorry for taking so long Becca
15:27nurse Dana said
15:28you'll be back in a few minutes
15:30but it's definitely been
15:31more than a few minutes
15:32you're right
15:32my apologies
15:33I brought some drink options
15:36okay
15:36we've got apple juice
15:38cranberry juice
15:40OJ
15:41and Pittsburgh's finest
15:43what's that?
15:45water
15:45OJ please
15:47okay
15:49let's see
15:54alright
15:56now I am going to give you
15:58two pills
15:59the first is
16:01an antibiotic
16:02that will get rid of the infection
16:03the second should take care of the burning
16:05you want to take both pills
16:07for three days
16:08and drink lots of water
16:09I'll write it all down
16:11I hate pills
16:13could you mash those up
16:14and put them in the OJ for me?
16:16coming right up
16:19okay
16:22Mel's going to be super worried
16:23when you tell her
16:25you are going to be just fine
16:26but
16:28as far as telling your sister
16:29what's going on with you
16:30that is your decision
16:31not mine
16:34so
16:35you're
16:36not going to tell Mel?
16:38I can't
16:39not unless you
16:40my patient
16:41tell me to
16:45do you know
16:46when Mel's going to be done
16:47with her
16:48important meeting?
16:50hopefully soon
16:52Dr. Langdon
16:54you need to buy
16:55control of me too
16:59Becca I gotta go
17:00I will be
17:01don't say in a few minutes
17:02unless you actually
17:03mean in a few minutes
17:05I would never
17:11and I need you
17:12to be kind
17:12to each other
17:14I'm kind
17:15she's just a butthead
17:16sometimes
17:19he's your brother
17:20and he loves you
17:25don't go
17:26I don't want to go
17:29but it's
17:30it's not up to me
17:33okay
17:34we'll always be connected
17:37no matter what
17:42invisible string
17:47invisible string
18:01hey
18:04you gonna go in
18:05and see your mom?
18:08cancer sucks
18:10yeah
18:11yeah it's us
18:16it's not fair
18:18no it's not
18:24I don't want to
18:25go in there
18:28nobody's gonna
18:28make you
18:36she didn't
18:37used to look
18:38look like that
18:41yeah I get that
18:47if you don't
18:47go in there
18:48and say goodbye
18:50and tell your mom
18:51you love her
18:53I think you might
18:54wish you had
18:55for a very long
19:01time
19:01it's your call
19:06B5
19:07half normal saline
19:0828k
19:08run it at
19:09125 an hour
19:11one of the most
19:12common reasons
19:12for traumatic
19:13replantation
19:14failures
19:14infections
19:15so we do
19:15what Whitaker?
19:16rinse and repeat
19:17until surgery
19:18calls first
19:21is everything
19:21okay with
19:22Dr. Mohan?
19:23she's fine
19:24focus
19:26I don't know
19:30I don't know
19:32ketamine's
19:33worn off
19:36I can't feel my leg
19:38I'm Dr. Michael
19:40Rabinovich
19:41you're at a hospital
19:41and we give you
19:42a nerve block
19:43so that you can't
19:43feel any pain
19:44why?
19:45you were on a
19:46water slide
19:47that collapsed
19:47and did serious
19:48injury to your leg
19:50okay
19:55is that my leg?
19:56is that my
19:57did you cut my
19:58fucking leg off?
19:58your leg was cut
19:59off in the accident
20:00our surgeons are
20:01going to try
20:01for replantation
20:02I
20:03no
20:03she needs
20:04more ketamine
20:05grab up the leg
20:05Emily I know
20:06that this is
20:06really hard
20:07I need you to
20:07focus on me
20:08right now
20:08because we need
20:09to get your
20:09consent to proceed
20:10with the surgery
20:11why?
20:11there are risks
20:12with the surgery
20:13there's anesthesia
20:14and there's no
20:14guarantee
20:15Emily
20:17can you just
20:17just put it
20:18back on?
20:19can you just
20:20put it back on?
20:21sounds like
20:22consent to me
20:22now can she have
20:23sedation?
20:23okay load it up
20:24ketamine and rock
20:24it's gonna be okay
20:25it's gonna be okay
20:26we're gonna intubate
20:27before the OR
20:28it's gonna be okay
20:30finishing second cut
20:32success?
20:33can that be saved?
20:34the finger or the ring?
20:36the wedding ring
20:37uh yes sir
20:38a jeweler can weld it
20:39back together
20:40good as new
20:41stop
20:42irrigate
20:43the ring shavings
20:44off first
20:46what did I miss?
20:47finishing irrigation
20:50doesn't look like
20:51you lost any skin
20:52it's a little dusky
20:53might not be viable
20:54there's intact skin
20:55on the dorsum
20:56more irrigation
20:57then tack it down
20:58with one suture
20:58okay thanks
21:00radiologist reports
21:01a 25%
21:02in the forex
21:03is that bad?
21:04that is a partially
21:05collapsed lung
21:06that needs treatment
21:07I can put in a chest tube
21:08he doesn't need a chest tube
21:10okay what do you want
21:11a pigtail catheter
21:12I was thinking
21:13a thoravent
21:14what why
21:15it's not a bad idea
21:16no need for wall suction
21:18if hand can operate today
21:19he can go home tomorrow
21:20with a thoravent
21:20you can learn a lot
21:22from your senior residents
21:23I'm happy to teach
21:24Dr. Santos
21:26thank you
21:26thank you
21:27Dr. Langdon
21:32Janelle
21:32I need you to take
21:33the samples
21:34to the lab
21:34and come back
21:35with any results
21:36that are ready
21:37Joffrey
21:37head to CT
21:38to see if any new results
21:39are printed
21:40and bring those back
21:40Pam
21:41check in with
21:42whoever's running
21:43the PDS
21:43to see if any orders
21:45need to go to the pharmacy
21:46and bring back
21:46any meds that are ready
21:47for pickup
21:48rinse and repeat
21:49every 15 minutes
21:50double tie those shoelaces
21:51and hydrate
21:52it's not a sprint
21:53it's a marathon
21:55fine my pretties
21:58okay
21:58any word I'm finding
21:59on water slide dad's kid
22:00not yet
22:01called the wife
22:02went straight to voicemail
22:04at least dispatch said
22:05that there were
22:05a couple of fatalities
22:06on site
22:07when adult one kid
22:08sweet Jesus
22:09who the fuck did this
22:11no sign up on orders
22:12for labs or x-rays
22:14and it's in the wrong
22:15freaking wreck
22:15you guys trying to kill me
22:16and the patient
22:17I'll take care of it
22:18thanks
22:19Dana
22:20this gum is
22:21shit I know
22:23pardon me
22:24you said you needed
22:24this right away
22:25just in time
22:25slap one on
22:26and give it an hour
22:27to kick in
22:27you're welcome
22:29what
22:30the prescription
22:31is for you
22:32my insurance will
22:33cover it
22:33hers won't
22:34is that insurance fraud
22:37tell me in jail
22:38I could use a vacation
22:43mom
22:49I'm
22:49I'm
22:50I'm
22:50I'm
22:50I'm
22:50really glad
22:50to see you
22:50mom
22:51I
22:51Garcia told me
22:52about the sigmoid
22:53volvulus you missed
22:53it was an oversight
22:55that could have killed her
22:57without electronic records
22:58it's been kind of a challenge
22:59to figure out
22:59chaos is the status quo
23:00in the ED
23:01even when the computers
23:01are working properly
23:02you have to be hyper vigilant
23:03and double check everything
23:04I can handle it
23:05why would you want to
23:07don't hear you're learning
23:08street level medicine
23:09all the seat of your pants
23:11oh well I made a mistake
23:12but the more talented practitioners upstairs
23:14will fix it
23:18you are better than this
23:22love you
23:28well
23:29that is one way to do a debrief
23:31you should talk to her
23:32which one
23:33honestly
23:33both of them
23:34can you call in some extra doctors
23:36sure
23:37everyone's dying to work on the 4th of July
23:39why
23:39Dr. Mohan went down
23:41yeah
23:42I saw your pep talk
23:45she's taking a little break
23:46until her labs are back
23:47she's going to be fine
23:48but I'm not sure
23:49her head is in the game
23:51come on it cap
23:53small stab incision
23:54with the 11 blade
23:55midclavicular line
23:56second intercostal space
23:58she's gonna stab me
23:59it's just a medical term
24:01stay superior to the rib
24:07is there a problem?
24:09nope
24:09everything's going well
24:11place the trocar
24:13hold back the adhesive wings
24:16and advance until you see the red diaphragm move
24:20that means you're in the pleural space
24:23now remove the trocar
24:28perfect
24:29okay
24:30now we can either
24:32hook up to wall suction
24:33or we can use this one-way valve
24:35to repeatedly aspirate with a syringe
24:37now with all your vast experience Dr. Langdon
24:39you should probably decide
24:43we can avoid wall suction
24:45if I pump manually
24:46how about it doc?
24:47enough
24:48apparently decency and decorum
24:50need to be reintroduced
24:50to our R2 curriculum
24:52nice work Dr. Langdon
24:54we'll go check in a no-hour
24:55for Mr. Foster
25:02hey
25:02I'm gonna need you to pick up the pace
25:05can I get a sec?
25:06Dr. Mullen just almost died on me
25:08it's not even close
25:09she's tougher than she looks
25:11propane hero
25:11and north four
25:13hey any word from surgery
25:14on how our big patient
25:15Howard's perforated diverticulitis
25:17is doing?
25:17still in the OR
25:18what about our drunk firework kid?
25:20wait this turn
25:20in the surgical conga line
25:22what about social services
25:24that they found a temporary foster home
25:26for our baby Jane Doe?
25:28still working on it
25:29kid's gonna be old enough to drive
25:30by the time she gets out of here
25:31you joke
25:34oh for fuck's sake
25:36go
25:36quickly
25:37before I change my mind
25:39hey
25:40did the county pick up
25:41Louie's body yet?
25:42no he's still in the V100
25:43Jesus
25:44he's just laying in there?
25:45yeah
25:45another couple minutes
25:46I'm wheeling him down
25:47to the morgue myself
25:50what's the bullet?
25:51eight year old boy
25:51part of the water park accident
25:52thrown off the water slide
25:54how far did he fall?
25:55maybe six or seven feet
25:56landed in a tree
25:57had to wait for a ladder truck
25:58to get him down
25:59major neck trauma
26:00must have taken all the impact there
26:01couldn't chew
26:02bone hard to bag
26:02stats in the 80s
26:03BP 85 over 60
26:05pulse 50
26:08okay
26:09one
26:09two
26:10and three
26:12possible laryngeal fracture
26:13hypoxic bradycardic
26:15kid needs an airway
26:16before he rests
26:16uh
26:17braslo tape
26:18peens cart
26:18set up suction
26:19oh my god
26:20is that Zach?
26:22hey
26:22hey kid
26:23can you look at me?
26:25no response
26:26no purposeful movement
26:27to pain
26:29oh my god
26:30is this your kid?
26:32no
26:32circle back to your room now
26:33braslo says
26:3425 kilograms
26:35Jesse?
26:355 and a half ET tube
26:36okay uh
26:3830 of rock
26:3950 can be
26:39you're gonna paralyze?
26:40yep
26:41if we can't intubate
26:42we crack?
26:43he's too young for a crack
26:44needle crack?
26:45you can't ventilate through that
26:46sass down to 78
26:4711 blade kelly
26:48and a peds bougie
26:49one quick look
26:50and then we cut
26:51i can't tell if there's lung sliding
26:52no movement
26:53no air entry
26:54way too edematous
26:55i can't see the cores
26:56better with crack work pressure?
26:59nothing
26:59fuck
27:00okay
27:00towel roll between the shoulder blades
27:02heart rate down to 49
27:03headed to cardiac arrest
27:04the trick's gonna take 20 minutes
27:34this kid's not gonna last 60 seconds
27:35now it's a tactile procedure
27:37two centimeter incision
27:38through the tracheal rings
27:40finger in the trachea
27:44bougie into the airway
27:47thoughts on what's next Dr. Whittaker?
27:49insert the ET tube in the trachea
27:51stupid suction
27:52lots of blood in the airway
28:01okay back in
28:03check the CO2
28:06sass are coming up
28:07in the 80s
28:07bilateral breath sounds
28:09and tidal CO2 is 70
28:11that's crazy high
28:11it'll come down
28:12tie down the tube
28:13control all the bleeders
28:14spray an amp of epi
28:15on a stack of 4x4s
28:17okay
28:18sass are up to the 90s
28:20good
28:20CO2's in the 50s
28:22good heart rate
28:22you forgot the last step
28:23change your underwear
28:25how many of these
28:26you done?
28:28first one
28:28you serious?
28:30what about you?
28:31none
28:31I practiced in the sim lab
28:33when I was at Stanford
28:34what'd I miss?
28:35all the fun
28:35slash trach
28:36seriously?
28:37uh
28:37fractured larynx
28:39couldn't oxygenate
28:39couldn't ventilate
28:40use a meat cleaver
28:41on this kid?
28:42ENT can revise
28:43the trach in the OR
28:45they'll be thrilled
28:46to clean up your mess
28:48or maybe they'll
28:48thank us for not
28:49letting him die
28:56so we're still
28:57waiting on your
28:57prescription
28:57and the pharmacy
28:59is a little backed up
29:00but
29:00I'm glad to see
29:01you're doing good
29:02well
29:04I'm well
29:06glad to see
29:07you're well
29:08can't you
29:08expedite my medication?
29:11sure
29:12but it may still
29:13be a little while
29:13before Dr. Mohan
29:14can sign off
29:14on the discharge
29:15so
29:16sit tight
29:19and do what?
29:24you just keep this
29:25handy for occasions
29:26like this
29:28uh
29:28I thought that
29:29I might not have
29:29that much to do
29:30today
29:31but
29:33man
29:33I was wrong
29:41thank you
29:47what brings you in
29:48today
29:48a friend made me
29:50come in
29:51name's Robbie
29:51he said I should
29:52ah
29:53you're Duke
29:54Donnie
29:56Robby's BIP
29:57is here
29:57Robby's BIP is here
30:01hi
30:02I'm Donnie
30:03nurse practitioner
30:04Robby's already put in
30:06orders for a
30:07numbing spray
30:07for your nostril
30:08nostril
30:09it's my throat
30:11it's not my nose
30:11okay
30:12let's get you
30:13uh
30:13set up in a room
30:18that was the most
30:19unprofessional deposition
30:20I've ever witnessed
30:22they were nowhere near
30:23that aggressive
30:23with Dr. Ellis
30:26oh
30:26okay
30:29it didn't go as badly
30:30as you think
30:31they suggested
30:32I was incompetent
30:33they're posturing
30:34to set the stage
30:35for a ridiculous
30:36settlement request
30:38this isn't about
30:38those parents
30:39or that kid
30:40it's only about
30:40trying to make
30:41a lot of money
30:42well
30:43I don't have
30:44a lot of money
30:45not your money
30:46Dr. King
30:46it's an insurance
30:47scheme
30:48you're protected
30:48by the hospital
30:49this won't affect
30:50your career
30:57hey
30:57how was your
30:58deposition
30:58have you seen
31:00Dr. Langdon
31:00uh
31:01no
31:02why
31:04okay
31:05okay
31:05how is Becca
31:06oh
31:06she's fine
31:07yeah
31:07okay
31:08I should go
31:08see her then
31:09how was your
31:09deposition
31:10I'm sure
31:10I was stressful
31:15what's going on
31:16with Becca
31:16what's her diagnosis
31:17I can't tell you
31:19why
31:20HIPAA
31:21seriously
31:22if you want to
31:23know what's going
31:23on with Becca
31:23you're gonna have
31:24to ask yourself
31:25okay
31:25you survived
31:26your deposition
31:27welcome back
31:27to the seventh
31:28circle of hell
31:28what uh
31:29what's this
31:29you're welcome
31:30for covering
31:31your patients
31:32they are yours
31:32again
31:33might want to
31:33check on the
31:33pancreatitis
31:34in our three
31:35first
31:36oh okay
31:37Langdon
31:38we got some
31:39intel on Louie
31:40they move him
31:41out of the
31:41viewing room
31:41no but
31:42county's promised
31:42they're on the
31:43way to come
31:43get him
31:44can I get the
31:45county coroner's
31:46number
31:46what for
31:47I just want to
31:47make sure
31:48if no family
31:48shows up
31:49Louie gets a
31:49proper burial
31:50it's expensive
31:51you may want
31:52to rent it
31:52by the
31:52missus first
31:53uh maybe
31:54I started
31:55go fund me
31:55I bet people
31:56around here
31:56would pitch in
31:57hey kid
31:58you can't do
31:59this for a
31:59ran house
32:00catatizer
32:00around here
32:02yeah but for
32:03the grace of
32:03god
32:03no the success
32:04of your sobriety
32:05is a testament
32:06to your support
32:07system
32:08Louie didn't
32:08have that
32:10still
32:10Louie was a
32:11good man
32:11he deserves
32:12to be put to
32:13rest with
32:13dignity
32:14okay
32:15I'll dig it
32:16up
32:19you heard
32:19all that
32:22Robbie
32:22your VIP's
32:24here
32:24got him
32:24in Central
32:2511
32:26finally
32:30about
32:30fucking
32:31time
32:31if I knew
32:32you were
32:32going to
32:32make me
32:32wear a dress
32:33I wouldn't
32:33have come
32:34at all
32:35Dennis Whitaker
32:36meet my
32:36buddy Duke
32:37nice to meet
32:38you
32:38any friend
32:38of Dr.
32:39Robbie's
32:39friend of
32:40mine
32:40friend is
32:41a vast
32:41overstatement
32:42he's more
32:43just a pain
32:43in my ass
32:44don't let
32:44his surely
32:45exterior fool
32:46you
32:46deep down
32:46inside
32:46he's just
32:47as grumpy
32:48how did
32:49you two
32:49meet
32:50Tinder
32:52Duke is
32:53a motorcycle
32:54engineer
32:54he should
32:55have seen
32:55his Bonneville
32:56when he first
32:57brought it in
32:57six months
32:58ago
32:58someone left
32:59it for
32:59dead
33:00he helped
33:00me bring
33:01it back
33:01to life
33:01today we're
33:02going to
33:02return the
33:03favor
33:03Dr.
33:03Whitaker
33:04is one
33:04of our
33:04most trusted
33:05physicians
33:05and today
33:05he's going
33:06to help
33:06me oversee
33:06your care
33:08what seems
33:09to be
33:09troubling
33:09you
33:09ask him
33:11he's the
33:11one who
33:11made me
33:11come in
33:12he's had
33:12some hoarseness
33:13on and off
33:14for a couple
33:14months
33:14okay any
33:15history of
33:16tobacco or
33:17alcohol use
33:18two of my
33:19oldest and
33:20closest friends
33:20former two
33:21pack a day
33:21smoker and
33:22lover of the
33:22drink
33:23he on any
33:24medication
33:25blood pressure
33:26meds
33:27which he
33:28forgets to
33:28take
33:29he's all
33:30numbed up
33:30and ready
33:30to go
33:30okay
33:31thank you
33:32Donnie
33:33my man
33:34I'm going
33:35to take
33:35this scope
33:36and
33:37I'm going
33:37to stick
33:38it in
33:38your nose
33:38and we're
33:39going to
33:39check out
33:40your upper
33:40airway
33:41that seems
33:42like a lot
33:42of fuss
33:42for a sore
33:43throat
33:43Dr.
33:44Brunicare
33:44you want
33:44to explain
33:45to Duke
33:45while this
33:45procedure is
33:46absolutely
33:47necessary
33:48the scope
33:49is going
33:49to give us
33:49a better
33:49view of your
33:50voice box
33:50and your
33:51vocal cords
33:52here we
33:53here we go
33:54here we go
33:58you're going to
33:59feel a little
34:00pressure between
34:00your eyes
34:01I am sorry
34:02about that
34:03okay
34:03just breathe
34:04through your
34:04nose
34:05this is going
34:06to help us
34:06see if there
34:06are any
34:07abnormalities
34:08like inflammation
34:09tumors
34:09nodules
34:11that all
34:12looks pretty
34:12normal
34:13I don't
34:13see too
34:14much
34:14drainage
34:14stick your
34:15tongue out
34:15for me
34:15all the way
34:16all the way
34:17out
34:17good
34:18now say
34:18E
34:19E
34:20good
34:21now again
34:21say
34:22E
34:23good
34:23remove the
34:24scope
34:26Dr. Whitaker
34:28what do you
34:28think
34:29looks normal
34:29no abnormalities
34:30told you
34:31it was nothing
34:32with your
34:32history of
34:33smoking
34:33I'd like to
34:34do a chest
34:34x-ray
34:35if there
34:36are growths
34:37they can
34:38push against
34:38the recurrent
34:39laryngeal nerve
34:40intermittently
34:41that can
34:41paralyze one
34:42of the vocal
34:42cords
34:42and cause
34:43the hoarseness
34:45that sounds
34:46like a lot
34:46of bullshit
34:47doctors speak
34:48to charge
34:48me more
34:49you've got
34:50medicare
34:50besides
34:50I finally
34:51got you
34:51into my
34:52AD
34:52you're gonna
34:52get the
34:52golden
34:53workup
34:53before I
34:54leave town
34:55tonight
34:55only an
34:56idiot
34:56would ride
34:57all night
34:57after working
34:58a 12 hour
34:58day
34:59that
34:59does sound
35:00pretty
35:01dangerous
35:01stay put
35:02or do I
35:02have to
35:02tie you
35:02down
35:03fine
35:03so long
35:04as you
35:04keep your
35:04hands
35:05where I
35:05can see
35:05them
35:06no
35:06promises
35:07let me
35:07know
35:07when his
35:08chest x-rays
35:08back
35:08yeah
35:13hey
35:15are we
35:16okay
35:18uh
35:18yeah
35:19why
35:21I don't
35:21know
35:21you
35:22kind of
35:23ripped me
35:23a new
35:23one
35:24in front
35:24of Langdon
35:25whose
35:26side
35:26are you
35:26on
35:26this
35:27isn't
35:27middle
35:27school
35:28Langdon
35:29made a
35:29mistake
35:29and
35:29owned
35:30up to
35:30it
35:30let it
35:30go
35:31he
35:31should
35:31have
35:35been
35:35fired
35:36but
35:37instead
35:37he
35:37waltzes
35:38back
35:38in
35:38here
35:39no
35:39big
35:39deal
35:39meanwhile
35:40I've
35:40been
35:40a
35:40pariah
35:41for the
35:41last
35:4110
35:42months
35:42for
35:42doing
35:42the
35:42right
35:42thing
35:43or
35:44maybe
35:44you're
35:45a pariah
35:45because
35:45you don't
35:45play well
35:46with others
35:48if you still
35:48got beef
35:49with Langdon
35:49go tell
35:50him
35:50he's here
35:51to stay
35:51so
35:52put on
35:52your
35:52big girl
35:53panties
35:53and work
35:54it out
35:54no
35:55you want to
35:56have sex
35:57and eat
35:57ramen in bed
35:58I'm your
35:58girl
35:58but if you
35:59want to
35:59talk about
36:00this Langdon
36:00shit
36:01again
36:02call a therapist
36:13how's it
36:14hanging
36:14Dr. J
36:14never call
36:16me that
36:16again
36:17it was a
36:18joke
36:18relax
36:19he's clueless
36:20about your
36:21tiktoks
36:22but you're
36:23not
36:23props on the
36:25side hustle
36:25there is no
36:26hustle
36:26there's some
36:27stupid videos
36:27wait are you
36:28an influencer
36:29no
36:29yep
36:32yo
36:32pre-docs
36:33it's not
36:33happy hour
36:34yet
36:34there's still
36:34shit ton
36:35of patients
36:35to be seen
36:40oh
36:41Ben
36:41our slash
36:42trade kid
36:43from the
36:43waterpark
36:43had some
36:44purposeful
36:45movement
36:45in pre-op
36:46that's a good
36:46sign
36:47take the
36:48win
36:51we need
36:51to talk
36:54we are
36:54talking
36:55in private
37:05what the hell
37:06what the hell
37:06was that
37:06with Samira
37:06earlier
37:08that was
37:09tough love
37:09you are
37:10her superior
37:11she was
37:11obviously
37:12struggling
37:12and your
37:13advice was
37:13go home
37:14essentially
37:15yeah
37:15this is the
37:16ED
37:17it's not
37:17for the
37:17faint of
37:18heart
37:18it's not
37:19for the
37:19unempathetic
37:20either
37:21Samira's
37:22not having
37:22a panic
37:23attack
37:23because of
37:23her patient
37:24she's having
37:24one because
37:25of personal
37:25baggage
37:25what she
37:26needs to
37:26do is
37:26pull her
37:26head out
37:27of her
37:27ass
37:27and focus
37:28on the
37:28work
37:28what about
37:28you
37:29what do
37:30you need
37:30to get
37:30some basic
37:31human
37:31empathy
37:31back
37:34I don't
37:35know
37:36something that
37:36gives me a little
37:37hope this place
37:37won't fall to
37:38shit when I'm
37:38gone
37:40found him
37:42found who
37:43the water slide
37:44dad's kid
37:44how'd you manage
37:45that
37:45I went outside
37:46stalked the
37:47dad's IG
37:47found a pic
37:48of his son
37:48sent it to
37:49Pittsburgh
37:49PD
37:49now they're
37:50on the way
37:50over
37:51maybe
37:52Gen Z
37:52should be
37:52working for
37:53the FBI
37:58hi
37:58Mel
38:01you doing
38:02all right
38:03I'm a little
38:04bored
38:06how are you
38:07feeling
38:07a lot better
38:08Dr. Langdon
38:09gave me some
38:10medicine
38:10and OJ
38:11he's super
38:12nice
38:13I see why
38:13you like
38:14him
38:15did he tell
38:16you what
38:16the medicine
38:17was for
38:17yes
38:19did you
38:19tell her
38:20I did
38:21I did not
38:22I explained
38:23to Becca
38:24that due
38:24to doctor
38:25patient
38:25confidentiality
38:26everything
38:27she told
38:27me was
38:27private
38:28and that
38:29it was her
38:29decision
38:30if she
38:30wanted to
38:31share
38:31anything
38:31with you
38:32or not
38:34do you
38:35want to
38:35share
38:35yes
38:48I have a
38:49urinary tract
38:50infection
38:52oh
38:54okay
38:54yeah
38:55those
38:56those can
38:57happen
38:57if you
38:58you know
38:58hold your
38:59pee in
38:59for too
38:59long
39:00or you
39:00accidentally
39:01wipe from
39:01back to
39:01front
39:01I know
39:02I know
39:02Mel
39:03he told
39:03me
39:04good
39:05you know
39:06he also
39:07told me
39:07it can
39:07happen
39:08from
39:08having
39:08sex
39:10uh
39:10yeah
39:11it can
39:12it's not
39:13like you're
39:13having
39:14sex
39:14yes
39:14I am
39:19what
39:21I'm
39:21having
39:22sex
39:24with
39:25who
39:25my
39:26boyfriend
39:26you have
39:27a boyfriend
39:27yes
39:28his name
39:29is Adam
39:30and
39:31we're
39:32having
39:32sex
39:33lots
39:34of
39:34sex
39:40um
39:42Mel
39:42are
39:43are you
39:44okay
39:45mm-hmm
39:49got a sec
39:51sure
39:52how you
39:52feeling
39:53I'm
39:53fine
39:55you
39:55sure
39:55yeah
39:56troponin
39:57d-dimer
39:57and TSH
39:58all
39:58normal
39:59listen
40:00I'm
40:00sorry
40:00about
40:01earlier
40:01I think
40:01I was
40:02being
40:02a
40:02dick
40:04I was
40:05gonna say
40:05I'm
40:05professional
40:06but probably
40:06that too
40:08I'm
40:09sorry
40:11thanks
40:12but now
40:13I kind of
40:13need you to
40:13stop feeling
40:14sorry for
40:14yourself
40:15and focus
40:15back on
40:15your
40:16patients
40:16I think
40:17think you
40:17think you can
40:17do that
40:18sure
40:19great
40:23with this
40:24extra dose
40:25and increased
40:26morphine from
40:27the pump
40:27your pain
40:29should
40:29subside
40:29your breathing
40:31will slow down
40:32you may get
40:33very sleepy
40:36I'll go
40:36go be with
40:37the boys
40:39they need
40:40you more
40:41than I
40:41do now
40:43later
40:45right now
40:45I'm exactly
40:46where I'm
40:46supposed to
40:47be
40:55yeah
40:56okay
40:58here we go
41:24to my people
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