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The.Pitt.S02E10.540p.X265.AAC [Full Movie] [Watch Free Online]Full EP - Full
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00:15A
00:16Drug show collapse at the waterpark two victims coming in via helicopter ETA five minutes time to rally the troops
00:21I'll get environmental to clear and cut the trauma room
00:23I'm gonna restock the crash carts McKay to take the latest scripts to the drug cage would be a fun
00:27one fun one
00:28What's up slide broke at the waterpark two victims five minutes to touchdown no information on extended injuries
00:33I can jump in
00:34Grab some goggles gloves gown go up to the roof first patient that lands bring him down
00:40Hey we've got two choppers then you want to grab some bodies immediately
00:43What injuries are we expecting structural collapse could be anything
00:46I can increase the morphine drip to manage the pain but that could also slow down your breathing
00:53You will likely feel very drowsy you 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 look it's hard seeing your patients die
01:26But as professionals we have to create emotional boundaries for ourselves
01:31It's not about us it's about them
01:35She's so calm
01:40She had a long time to prepare for this moment
01:44What 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
01:55All 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
02:29Fuck me
02:30Jesus I got blood tubes growing moss over here
02:34Tick tock people
02:35Hey Olive
02:36Give me a solid
02:37I'm going next to the lab
02:38No problem
02:39I got more lab results
02:41Start putting them on the patient clipboard
02:43PTMC emergency
02:44Go ahead medic
02:45Do cyber attacks happen often?
02:47More than you realize
02:48I blame the riskies
02:49Dr. Mohan
02:50It's your mother?
02:52She sounds pretty upset
02:54She says she really needs to talk to you
02:57You're shitting me
02:58Tell her I'm not available
03:10How's your ship going?
03:12It's been a lot
03:13Already
03:15You know I worked in an ER before
03:17Up in Vermont
03:18And we had MBAs
03:19And ODs
03:20MIs
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
03:32Now for everyone
03:34I'm not sure it's healthy for anybody
03:36Here's your leg
03:38Jesus
03:47I need more runners
03:48You 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
03:59Nicotine gum
04:00Take the edge off
04:01You two
04:02Head to triage
04:03Jump out the front of the house
04:04They're running out of space
04:04And there's a line out the door
04:06Okay
04:07Let's go
04:07Hang on Mohan
04:11Sign this
04:14Nicotine patch
04:1521 milligrams
04:16Who's it for?
04:17Monica
04:17This nicotine gum shit
04:19She'll never survive the shift
04:20Then I need her
04:20So I don't lose my goddamn mind
04:25Thanks
04:26Is Dr. Abbott still around?
04:28He'll have to get some sleep
04:29Before his night shift starts
04:29In a couple hours
04:30Shit
04:31Okay
04:31I should have planned this better
04:33I was hoping
04:34He'd write me a letter of rec
04:36For an elective
04:36So I could have a shot
04:37At a 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
04:46At the mercy of the court
04:46Beg for them to take me anyway
04:48Just kill me now
04:50Be less painful
04:51You know
04:52I can't read this handwriting
04:53It says
04:54A thousand milligrams
04:56Of acetaminophen
04:57Orale
04:58Four milligrams
04:58On dengetron
04:59Under the tongue
05:00And
05:01Trial of clear fluids
05:02Seriously?
05:03It says all that?
05:04It's not in a text
05:05With emojis
05:06You kids can't read for shit
05:08What do we have?
05:11Fall from ten feet
05:12Onto a metal fence
05:13Right below the knee
05:15Good vitals
05:16Oh it hurts
05:17Oh my god
05:17What's she had so far?
05:1950 event
05:19Repeated 25
05:20No meds
05:20No allergies
05:21Where should I put this?
05:22Just hang on to it for now
05:23On my count
05:24One
05:25Two
05:26Three
05:27Oh my god
05:29Whitaker
05:29Eat fast
05:30Donnie
05:31Primary survey please
05:32Pupils equal
05:33And reactive
05:35What's your name?
05:36My leg hurts really bad
05:37Did I break it?
05:39Um
05:40I wouldn't say that it's broken
05:41Exactly
05:41We're gonna get an x-ray
05:42To determine that
05:43Put that on the gurney
05:44Light it up for x-ray
05:45Keep your fucking mouth shut
05:46Good lung sliding
05:48Right and left
05:48Airway patent
05:49Breath sounds bilaterally
05:51My head hurts
05:52VP
05:53100 over 60
05:54Pulse
05:54118
05:55Pulse lock
05:5698%
05:56Does your belly hurt?
05:58No
05:59Asshole
05:59Into my leg
06:00Okay she's really moving here
06:02I'm drinking ketamine
06:03Yeah we can't evaluate like this
06:06Hey Ogilvy
06:08Deep breaths yeah
06:09Yeah okay
06:10What a girl
06:11What's next?
06:12Uh once she's sedated
06:13Finish the e-fast
06:14Plain x-ray
06:15Check her back
06:15Straight to CT
06:16What if the ketamine wears off?
06:18Right
06:18Uh we should do a popliteal nerve
06:20Walk
06:20Before the CT
06:22Anesthetized from the knee down
06:23Two of you
06:24Tip fib
06:25Pushing ketamine now
06:26What's the bullet?
06:2742 year old male
06:28With 20 foot fall
06:29Want chest trauma
06:30With hand injury
06:31Where's my son?
06:33Where's my son?
06:33Stacky to 108
06:34Sats 98 on 2 liters
06:36BP 122 over 84
06:37Pants can do to mechanism
06:38You?
06:39Tip fib amputation
06:40Hoping ortho can
06:41Give us a little hope
06:42For 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
06:52But we need to take care of you first
06:53Pericardium's clear
06:54No fluid in Morrison's
06:56Move both arms
06:57Wiggle your feet
06:58Good
06:59Any pain in your neck?
07:00No
07:01Spleen looks good
07:02Start with this chest
07:03That's where he hurts
07:04No hemotamp in him
07:05Normal sliding
07:06Best to start with the side
07:08He's complaining about first
07:10Uh I don't see much sliding there
07:12His name is Zach
07:14He's seven
07:15Nemathox
07:15Set up for a chest tube
07:16Not yet
07:17Uh let's go
07:19Posterior lateral
07:19Look for fluid first
07:20Traumatic 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
07:30Okay
07:31He's tachycardic
07:32Hemoneumothorax
07:32He needs a chest tube
07:33BP and sats are fine
07:35We can wait for CT
07:36If it's small
07:37It'll resolve on its own
07:37We observe and re-image
07:38I agree
07:39He's stable for now
07:40Let's wait for the scan
07:40Dr. Santos
07:41Okay
07:41Let's order a CT chest
07:43Abdomen
07:44Pelvis
07:44And x-ray left hand
07:47Whoa
07:48Major de-gloving
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
08:07Another dozen times
08:08How 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
08:20Yes
08:21But I'm not your doctor
08:22But if you go back to your room
08:23A nurse will come find you
08:24I wasn't in a room
08:26I'm sorry
08:27Are either of you treating my mother?
08:29Nope
08:37Take a seat
08:38It's gonna be a while
08:43Helen Torres
08:44Come on down
08:47Helen Torres
08:48Yes, yes
08:49I'm going
08:51I'm going
08:52I'm going
08:53I'm going
08:53Pass the door
08:54From this side
08:55Thank you
09:04Thank you
09:10I'm Dr. Mohan
09:11The assistant Dr. Kwan
09:12Helen
09:13How long has your leg been swollen?
09:15It's been getting worse over the past week
09:19Dr. Mohan, your mom called again
09:20She 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?
09:31No
09:34Have you ever had a blood clot before?
09:37No
09:41Are you alright?
09:43Excuse me?
09:43Do you need to sit down?
09:45Oh no, I'm fine
09:47You don't look too good
09:48What?
09:50No, it's just
09:52It's really hot in here
09:53And
09:55And
09:55You need to sit down
09:57I'm good
10:00I just
10:00I need some hair
10:02Maybe excuse me
10:02One second
10:03Come on
10:21Come on
10:22Come on
10:24I've been waiting for this house
10:25I'm having a thought of that
10:27When you just look at my dress
10:28You could just leave the shirt
10:30Look out, McQua
10:32get in
10:35I'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
11:03you can cut the damn thing off for all I care
11:05I just need to find Zach
11:08do 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
11:16I didn't know if somebody missed me
11:18Mr. Foster suffered a decloving injury of the ring finger
11:20stable pneumothorax awaiting imaging
11:23hello 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
11:39let's go with the block
11:40you want to feel a pinprick and some burning?
11:43which 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, let 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, Angela
12:22Dr. Santos, will you escort Mr. Foster to CT?
12:30help!
12:31need a hand here?
12:33what the hell happened?
12:34I think I'm having NMI
12:36my chest is so tight I can barely breathe
12:38okay, I gotta get a swabweed
12:39Perla, can 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
12:51a couple of figure eights
12:52how to take care of those
12:54park
12:56park the shark
12:57orthopedic surgeon
12:58is this a favorable amputation?
13:00pretty clean cut
13:01then sliced through like a guillotine
13:02x-ray
13:06not too bad
13:10just, uh
13:11tying off a couple arterials
13:13I'm not blind
13:16where's the amputated leg?
13:17double bag, none ice
13:19sterile saline on the inner bag
13:21ice water in the outer bag
13:23no direct ice on skin contact
13:26we've spent a lot of time
13:27he still needs to look
13:33get Robbie
13:44antibiotics
13:45cefazolin and gent
13:46we've cleared her chest, abdomen, 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
13:57with three 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 may 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, I'm okay
14:24you don't look okay
14:26you 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
14:45she was tacky
14:46but it's resolved now
14:47have you eaten anything?
14:48yeah
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
15:08do 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 you'd be back in a few minutes
15:30but it's definitely been more than a few minutes
15:32you're right
15:32my apologies
15:34I brought some drink options
15:36okay
15:36we've got apple juice
15:39cranberry juice
15:40OJ
15:42and Pittsburgh's finest
15:43what's that?
15:45water
15:46OJ please
15:47okay
15:50let's see
15:54alright
15:56now I am going to give you two pills
15:59the first is an antibiotic
16:01that will get rid of the infection
16:03the second should take care of the burning
16:05you want to take both pills for 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 and put them in the OJ for me?
16:16coming right up
16:19okay
16:22Mel's going to be super worried when you tell her
16:25you are going to be just fine
16:26but um
16:27as far as telling your sister what's going on with you
16:30that is your decision not mine
16:34so
16:35so
16:35you're not going to tell Mel?
16:38I can't
16:39not unless you
16:40my
16:41patient
16:41tell me to
16:45do you know when
16:46Mel's going to be done with her important meeting?
16:50hopefully soon
16:52Dr. Langdon
16:54they need you back in trouble too
16:59Becca I gotta go
17:00I will be
17:01don't say in a few minutes
17:02unless you actually mean in a few minutes
17:05I would never
17:11and I need you to be kind to each other
17:14and kind change just a butthead sometimes
17:19he's your brother
17:21and he loves you
17:25don't go
17:27I don't want to go
17:29but it's
17:30it's not up to me
17:34okay?
17:34we'll always be connected
17:38no matter what
17:42invisible string
17:47invisible string
18:01hey
18:04you gonna go in and see your mom?
18:08cancer sucks
18:10yeah
18:11yeah it's us
18:16it's
18:16it's not fair
18:18no it's not
18:24I don't want to go in there
18:28nobody is gonna make you
18:36she didn't used to look like that
18:41yeah
18:42yeah I get that
18:46but if you don't go in there and say goodbye
18:50and tell your mom you love her
18:53I think you might wish you had for a very long time
19:01it's your call
19:02it's your call
19:05D5 half normal saline 28k run it at 125 an hour
19:11one of the most common reasons for traumatic replantation failure is infection so we do what Whitaker?
19:16I'll rinse and repeat until surgery calls first
19:21is everything okay with Dr. Mohan?
19:23she's fine, focus
19:29I don't know
19:32the ketamine's worn off
19:36I can't feel my leg
19:39I'm Dr. Michael Rabinovich
19:41you're at a hospital and we give you a nerve block so that you can't feel any pain
19:44why?
19:46you were on a water slide that collapsed and did serious injury to your leg
19:51okay
19:54fuck
19:55is that my leg?
19:56is that my, did you cut my fucking leg off?
19:58your leg was cut off from the accident
20:00our surgeons are gonna try for replantation
20:03I, no!
20:04she needs more ketamine
20:05grab up the leg, Emily I know that this is really hard, I need you to focus on me right
20:08now
20:08because we need to get your consent to proceed with the surgery
20:11why?
20:11there are risks with the surgery, there's anesthesia
20:14no
20:14and there's no guarantee
20:15Emily
20:17can you just, just put it back on?
20:19like, can you just put it back on?
20:21sounds like consent to me
20:22now can you have sedation?
20:23okay, load it up, ketamine and rock
20:24it's gonna be okay
20:25it's gonna be okay, we're gonna intubate before 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 back together, good as new
20:41stop
20:42irrigate the ring shavings off first
20:46what did I miss?
20:47finishing irrigation
20:50doesn't look like you lost any skin
20:52it's a little dusky, might not be viable
20:54there's intact skin on the dorsum
20:56more irrigation, then tack it down with one suture
20:58okay, thanks
21:00radiologist reports a 25% in the forex
21:03is that bad?
21:04that is a partially collapsed lung that needs treatment
21:07I can put in a chest tube
21:08he doesn't need a chest tube
21:10okay, what do you want, a pigtail catheter?
21:12I was thinking a Thoravent
21:14what, why?
21:15it's not a bad idea, no need for well suction
21:18if Hannah can operate today, he can go home tomorrow with a Thoravent
21:21you can learn a lot from your senior residents
21:23I'm happy to teach Dr. Santos
21:26thank you Dr. Lundin
21:32Janelle, I need you to take the samples to the lab
21:34and come back with any results that are ready
21:37Joffrey, head to CT to see if any new results are printed and bring those back
21:40Pam, check in with whoever's running the PDS
21:43to see if any orders need to go to the pharmacy and bring back any meds that are ready for
21:47pickup
21:48rinse and repeat every 15 minutes
21:50double tie those shoelaces and hydrate
21:52it's not a sprint, it's a marathon
21:55fine, my pretties
21:58okay, any word I'm finding on Waterslide Dad's kid?
22:01not yet, called the wife, went straight to voicemail
22:04at least dispatch said that there were a couple of fatalities on site, one adult, one kid
22:08sweet Jesus
22:09who the fuck did this?
22:11no sign up on orders for labs or x-rays?
22:14and it's in the wrong freaking rack?
22:15you guys trying to kill me and the patient?
22:17uh, I'll take care of it
22:18thanks, Dana, this gum is absolutely
22:21shit, I know
22:23pardon me, you said you needed this right away?
22:25just in time, slap one on and give it an hour to kick in, you're welcome
22:29what?
22:31the prescription is for you
22:32my insurance will cover it, hers won't
22:35is that insurance fraud?
22:37tell me in jail, I could use a vacation
22:43mom
22:49I'm, I'm really glad to see you, mom, I
22:51Garcia told me about the sigmoid volvulus you missed
22:54it was an oversight
22:55that could have killed her
22:56just, without electronic records, it's been kind of a challenge to figure out
22:59chaos is the status quo in the ED, even when the computers are working properly
23:02you have to be hyper vigilant and double check everything
23:04I can handle it
23:05why would you want to?
23:07down here, you're learning street level medicine all the seat of your pants
23:11oh well, I made a mistake, but the more talented practitioners upstairs will fix it
23:17you are better than this
23:20I
23:22love you
23:28well, that is one way to do a debrief
23:31you should talk to her
23:32which one?
23:33honestly, both of them
23:34can you call in some extra doctors?
23:37sure, everyone's dying to work on the 4th of July, why?
23:40Dr. Mohan went down
23:41yeah, I saw your pep talk
23:45she's taking a little break until her labs are back
23:47she's going to be fine, but I'm not sure her head is in the game
23:51come on it, Cap
23:53small stab incision with the 11 blade, midclavicular line, second 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, everything's going well
24:11place the trocar
24:13pull back the adhesive wings
24:17and advance until you see the red diaphragm move
24:20that means you're in the pleural space
24:23now, remove the trocar
24:28perfect
24:30okay, now we can either
24:32hook up to wall suction
24:33or we can use this one-way valve to repeatedly aspirate with a syringe
24:37now, with all your vast experience, Dr. Langdon, you should probably decide
24:43we can avoid wall suction if I pump manually
24:46how about it, Doc?
24:47enough
24:48apparently decency and decorum need to be reintroduced to our R2 curriculum
24:52nice work, Dr. Langdon
24:54we'll go check on an OR for Mr. Foster
25:02hey, I'm gonna need you to pick up the pace
25:05hey, get a sec, Dr. Mullen just almost died on me
25:08not even close, she's tougher than she looks
25:11propane hero and north four
25:13hey, any word from surgery on how our big patient, Howard's perforated diverticulitis is doing?
25:17still in the OR
25:18what about our drunk firework kid?
25:20waitin' this turn in the surgical conga line
25:23what about social services?
25:24have they found a temporary foster home for our baby Jane Doe?
25:28still working on it
25:29kid's gonna be old enough to drive by the time she gets out of here
25:31you joke
25:34oh, for fuck's sake
25:36go, quickly, before I change my mind
25:39hey, did the county pick up Louie's body yet?
25:42no, he's still in the field room
25:43Jesus, he's just laying in there?
25:45yeah, another couple minutes of them, wheel him down to the morgue myself
25:50what's the bullet?
25:51eight year old boy, part of the water park accident, thrown off the water slide
25:54how far did he fall?
25:55maybe six or seven feet, landed in a tree, had to wait for a ladder truck to get him down
25:59major neck trauma, must have taken all the impact there
26:01couldn't tube him, hard to bag, sats in the 80s, BP 85 over 60, pulse 50
26:08okay, one, two, and three
26:12possible laryngeal fracture
26:14hypoxic bradycardic
26:15kid needs an airway before your wrists
26:16uh, braslo tape, peds cart, set up, suction
26:19oh my god, is that Zack?
26:22hey, hey kid, can you look at me?
26:25no response, no purposeful movement to pain
26:29oh my god
26:30is this your kid?
26:32no
26:32sorry, go back to your room now
26:33braslo says 25 kilograms
26:35jesse?
26:35five and a half EG tube
26:36okay, uh, 30 of rock, 50 can be
26:39you're gonna paralyze?
26:40yep
26:41if we can't intubate, we crack?
26:43he's too young for a crack
26:44needle crack?
26:45you can't ventilate through that
26:46sats down to 78
26:4711 blade kelly and a peds bougie
26:49one quick look and then we cut
26:51I can't tell if there's lung sliding
26:52no movement, no air entry
26:54way too edematous
26:55I can't see the cords
26:56better with cricoid pressure?
26:59nothing
26:59fuck
27:00okay, tall world between the shoulder weights
27:02heart rate down to 49
27:03headed to cardiac arrest
27:04the trick's gonna take 20 minutes
27:05this kid's not gonna last 60 seconds
27:06that's why we're doing a slash trick
27:08don't know it
27:08me neither
27:09boss
27:10show me what you got
27:21pull up the trachea between your thumb and middle finger
27:25vertical incision right over the trachea
27:28vertical, not horizontal
27:29or you transect the trachea and cut the jugular veins
27:33that's a lot of blood
27:35now it's a tactile procedure
27:37two centimeter incision through 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 into the trachea
27:52suction
27:52lots of blood in the airway
28:01okay, back in
28:03check the CO2
28:06sats are coming up in 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 on a stack of 4x4s
28:18okay, sats are up to the 90s
28:20good, CO2's in the 50s
28:22good heart rate
28:22you forgot the last step
28:24change your underwear
28:25how many of these you done?
28:28first one
28:28are you serious?
28:29what 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, fractured larynx
28:39couldn't oxygenate
28:39couldn't ventilate
28:41use a meat cleaver on this kid?
28:42E&T can revise the trach in the OR
28:45they'll be thrilled to clean up your mess
28:48or maybe they'll thank us for not letting him die
28:55so we're still waiting on your prescription
28:57and the pharmacy's a little backed up
29:00but I'm glad to see you're doing good
29:02well
29:04I'm well
29:06glad to see you're well
29:08can't you expedite my medication?
29:11sure
29:11but it may still be a little while before Dr. Mohan can sign off on the discharge
29:15so
29:16sit tight
29:19and do what?
29:24you just keep this handy for occasions like this
29:28uh, I thought that I might not have that much to do today
29:31but
29:33man, I was wrong
29:41thank you
29:47what brings you in today?
29:48uh
29:49friend made me come in
29:51name's Robbie
29:51he said I should
29:52ah, you're Duke
29:54Donny
29:55yep
29:56Robbie's VIP is here
30:01hi, I'm Donny
30:03nurse practitioner
30:04Robbie's already put in orders for a numbing spray for your nostril
30:08nostril, it's my throat, it's not my nose
30:11okay
30:12let's get you, uh
30:13set up in a room
30:17hmm
30:18that was the most unprofessional deposition I've ever witnessed
30:22they were nowhere near that aggressive with Dr. Ellis
30:26oh, okay
30:29it didn't go as badly as you think
30:31it didn't go as badly as you think
30:31they suggested I was incompetent
30:33they're posturing to set the stage for a ridiculous settlement request
30:38this isn't about those parents or that kid
30:40it's only about trying to make a lot of money
30:42well, I don't have a lot of money
30:45not your money, Dr. King
30:46it's an insurance scheme
30:48you're protected by the hospital
30:49this won't affect your career
30:57hey, how was your deposition?
30:59have you seen Dr. Langdon?
31:01uh, no, why?
31:04okay, okay, how is Becca?
31:06oh, she's fine
31:07yeah?
31:08okay, I should go see her then
31:09how was your deposition? I'm sure I was stressful
31:12you, uh
31:15what's going on with Becca? What's her diagnosis?
31:17well, I can't tell you
31:19why?
31:20HIPAA
31:21seriously?
31:22if you want to know what's going on with Becca
31:23you're going to have to ask yourself
31:25okay, you survived your deposition
31:27welcome back to the seventh circle of hell
31:28what, uh, what's this?
31:30you're welcome for covering your patients
31:32they are yours again
31:33might want to check on the pancreatitis in R3 first
31:35oh, okay
31:37Langdon
31:38we got some intel on Louie
31:40they move him out of the viewing room?
31:41no, but Candy's promised they're on their way to come get him
31:44can I get the county coroner's number?
31:46what for?
31:47I just want to make sure if no family shows up
31:49Louie gets a proper burial
31:50it's expensive
31:51you may want to rent it by the missus first
31:53uh, maybe I started GoFundMe
31:55I bet people around here would pitch in
31:57hey, kid
31:58you can't do this for a ran house guy that dies around here
32:02yeah, but for the grace of God
32:03no, the success of your sobriety
32:05is a testament to your support system
32:08Louie didn't have that
32:10still, Louie was a good man
32:11he deserves to be put to rest with dignity
32:14okay
32:15I'll dig it up
32:19you heard all that?
32:22Robbie, your VIP's here
32:24got him in Central 11
32:26finally
32:30about fucking time
32:31if I knew you were going to make me wear a dress
32:33I wouldn't have come at all
32:35Dennis Whitaker, meet my buddy Duke
32:37nice to meet you
32:38any friend of Dr Robbie's, friend of mine?
32:40friend is a vast overstatement
32:42he's more just a pain in my ass
32:44don't let his surly exterior fool you
32:46deep down inside he's just as grumpy
32:48how did you two meet?
32:50Tinder
32:51Duke is a motorcycle engineer
32:54he should have seen his Bonnieville
32:56when he first brought it in six months ago
32:58someone left it for dead
32:59he helped me bring it back to life
33:01today we're going to return the favor
33:03Dr Whitaker is one of our most trusted physicians
33:05and today he's going to help me oversee your care
33:08what seems to be troubling you?
33:10ask him, he's the one who made me come in
33:12he's had some hoarseness on and off for a couple months
33:14any history of tobacco or alcohol use?
33:18two of my oldest and closest friends
33:20former two pack a day smoker and lover of the drink
33:23he on any medication?
33:25blood pressure meds
33:27which he forgets to take
33:29he's all numbed up and ready to go
33:31okay, thank you Donnie
33:33my man, I'm going to take this scope
33:36and I'm going to stick it in your nose
33:38and we're going to check out your upper airway
33:41that seems like a lot of fuss for a sore throat
33:43Dr. Whitaker, you want to explain to Duke
33:45why this procedure is absolutely necessary?
33:48the scope is going to give us a better view of your voice box
33:50and your vocal cords
33:53here we go
33:58I feel a little pressure between your eyes
34:01I am sorry about that
34:03okay, just breathe through your nose
34:05is this going to help us see if there are any abnormalities
34:08like inflammation, tumors, nodules?
34:11that all looks pretty normal
34:13I don't see too much drainage
34:14stick your tongue out for me all the way
34:16all the way out, good
34:18now say E
34:19E
34:20good, now again say E
34:23good, remove the scope
34:27Dr. Whitaker, what do you think?
34:29looks normal, no abnormalities
34:30told you it was nothing
34:32with your history of smoking
34:33I'd like to do a chest x-ray
34:35if there are growths
34:37they can push against the recurrent laryngeal nerve
34:40intermittently
34:40that can paralyze one of the vocal cords
34:42and cause the hoarseness
34:45that sounds like a lot of bullshit
34:47doctors speak to charge me more
34:49you've got medicare, besides I finally got you into my ED
34:52you're going to get the golden workup before I leave town tonight
34:55only an idiot would ride all night after working a 12 hour day
34:59that does sound pretty dangerous
35:01stay put or do I have to tie you down?
35:03fine, so long as you keep your hands where I can see them
35:06no promises
35:07let me know when his chest x-rays back
35:08yeah
35:13hey, hey
35:15are we okay?
35:18uh, yeah, why?
35:21I don't know, you kind of ripped me a new one in front of Langdon
35:25whose side are you on?
35:27this isn't middle school
35:28Langdon made a mistake and owned up to it
35:30let it go
35:31he should've...
35:34he should've been fired
35:36but instead he waltzes back in here
35:39no big deal, meanwhile I've been a goddamn pariah for the last 10 months for doing the right thing
35:43or maybe you're a pariah because you don't play well with others
35:48if you still got beef with Langdon, go tell him
35:50he's here to stay, so
35:52put on your big girl panties and work it out
35:54no
35:55you wanna have sex and eat ramen in bed
35:58I'm your girl
35:58but if you wanna talk about this Langdon shit
36:02again, call a therapist
36:13how's it hanging, Dr. J?
36:15never call me that again
36:17it was a joke
36:19relax, he's clueless about your TikToks
36:22but you're not
36:24props on the side hustle
36:25there is no hustle, there's some stupid videos
36:27wait, are you an influencer?
36:29no!
36:30yep!
36:32yo, pre-docs, it's not happy hour yet
36:34there's still shit ton of patients to be seen
36:40oh, Ben, our slash trade kid from the water park
36:43had some purposeful movement in pre-op
36:46that's a good sign, take the win
36:51we need to talk
36:54we need to talk
36:54we are talking
36:55in private
37:05what the hell was that with Samara earlier?
37:08that was tough love
37:09you are her superior
37:11she was obviously struggling and your advice was go home
37:15essentially, yeah
37:15this is the ED, it's not for the faint of heart
37:18it's not for the unempathetic either
37:21Samira's not having a panic attack because of her patient
37:24she's having one because of personal baggage
37:25what she needs to do is pull her head out of her ass
37:27and focus on the work
37:28what about you?
37:29what do you need to get some basic human empathy back?
37:34I don't know
37:36something that gives me a little hope this place won't fall to shit when I'm gone
37:40found him!
37:42found him!
37:43the water slide dad's kid?
37:45how'd you manage that?
37:46I went outside, stalked the dad's IG
37:47found a pic of his son, sent it to Pittsburgh, PD
37:49now they're on the way over
37:50well maybe Gen Z should be working for the FBI
37:58Mel!
38:01you doing alright?
38:03I'm a little bored
38:06how are you feeling?
38:08a lot better
38:08Dr. Langdon gave me some medicine in OJ
38:11he's super nice
38:12I see why you like him
38:15did he tell you what the medicine was for?
38:17yes
38:19did you tell her?
38:20I did not
38:22I explained to Becca that due to doctor patient confidentiality
38:26everything she told me was private
38:28and that it was her decision if she wanted to share anything with you or not
38:34do you want to share?
38:36yes
38:48I have a urinary tract infection
38:52oh
38:54okay
38:54yeah
38:55those um
38:56those can happen if you
38:58you know, hold your pee in for too long
39:00or you accidentally wipe from back to front
39:01Mel, I know Mel
39:03he told me
39:04oh
39:04good
39:06you know
39:06he also told me it can happen from having sex
39:10uh
39:10yeah
39:11it can
39:12it's not like you're having sex
39:14yes I am
39:19what?
39:21I'm having sex
39:24with who?
39:25my boyfriend
39:26you have a boyfriend
39:27you have a boyfriend?
39:29his name is Adam
39:30and
39:31we're having sex
39:33lots of sex
39:37okay
39:40um
39:42Mel
39:43are
39:44are you okay?
39:46mm-hmm
39:49got a sec?
39:51sure
39:51how you feeling?
39:53i'm fine
39:55are you sure?
39:56yeah
39:57troponin, D-dimer and TSH all normal
39:59listen i'm sorry about earlier i think i was being
40:02a dick
40:04i was gonna say i'm professional but probably that too
40:08i'm sorry
40:11thanks
40:12but now i kinda need you to stop feeling sorry for yourself and focus back on your patience
40:16i think you can do that?
40:18sure
40:19great
40:23with this extra dose
40:25and increased morphine from the pump
40:27your pain should subside
40:30your breathing will slow down
40:32you may get very sleepy
40:36i'll go be with the boys
40:39they need you more than i do now
40:43later
40:45right now i'm exactly where i'm supposed to be
40:56yeah
40:58okay
40:59here we go
41:00oh
41:01thank you
41:25i'm sorry
41:28i'm sorry
41:29i'm sorry
41:32Down from a storm
41:39Brought me your heart
41:47Jennifer
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