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The.Pitt.S02E12.540p.X265.AAC [Full Movie] [Long Version]Full EP - Full
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05:10I'm 21
05:13I'm Tuesday
05:14Jeez, it's some kind of idiot savant
05:18We no longer use that term
05:21It's derogatory
05:23You bruze easy millennials
05:25Actually, I'm Gen Z
05:27Even worse
05:28I was stripping a purgatory to put myself through school when I was your age
05:34Snowflake
05:36Hey, Amy
05:37Yeah, I'm getting off later than I thought
05:41I'll give you a call when I get a better idea of when
05:44I need help
05:45I gotta go
05:45I can't breathe
05:46I got the airway, you take the pulse
05:49Yeah
05:53Okay, try and draw a thrust
05:55Radio's weak and thready
05:56What's his name?
05:56My dad
05:57Oliver
05:58Hey, Oliver, can you open your eyes for me?
06:01Okay, here we go
06:05Okay
06:06Okay
06:07One, two, three
06:10Drive-in with severe respiratory distress
06:12Last-sided dialysis shunt probable
06:14Renal failure and fluid overload
06:16I'm respiratory center, bye, Pap
06:18When was his last dialysis?
06:19It was supposed to be yesterday morning
06:20I'm gonna need a nitro drip ASAP
06:23You got this?
06:24Yeah
06:25Is that the guy who attacked Emma?
06:27Did he go to CT?
06:28Yeah, Mr. Emma here needs an H&P
06:29Uh, Cassie, can you give Emma here a workup?
06:32Started chart, victim of assault
06:34Really?
06:35I'm fine
06:35He was choking you
06:36He had me by the head most
06:37You're a patient now
06:38Full exam in South 18
06:39Okay, she also needs to make a statement to the police
06:41Is that really necessary?
06:44Yeah
06:44Absolutely
06:45Don't worry
06:47Be there with you
06:47Come on, let's get you a spot
06:49Well, your guy just bought my guy for CT
06:51No, he's my guy
06:52He's a new one because he's been sitting here forever
06:53I'm never gonna get out of here
06:54Tell it to someone who cares
06:56You know what, you should care
06:57Because if you gave that guy a serious injury
07:00With force inflicted from a sedative
07:01You are not licensed to prescribe
07:02Anyone else uses force to stop an assault?
07:04They're a hero, but a nurse does it
07:06And we're punished
07:06You just happen to have a vial of reset in your pocket?
07:09It was extra from the medics
07:10Good timing, I guess
07:11When we waste a controlled substance
07:13We need a witness to sign off
07:14I was on my way to
07:15When I spotted that asshole attacking our girl
07:17Anything else, Nancy Drew?
07:19Where are you going?
07:20Taking a pee
07:20Do I need your permission to do that too now?
07:31Fuck!
07:32Fuck!
07:33Fuck!
07:33Fuck!
07:41Should we intubate?
07:43Best to avoid that
07:44If possible
07:45Pressure support and afterload reduction
07:46Buys this time for dialysis
07:48BiPAP's starting at 10 over 5
07:49Good heart squeeze
07:50Good lung sliding
07:51But there's a ton of D-lines
07:52Pulmonary edema
07:53Which is best treated by what, Dr. Giovanni?
07:56Nitrates
07:57Dose?
08:00BP 198 over 132
08:02Pulse 120
08:03Pulse talk's only 85
08:04Good BP list
08:06Start at 400 mics per minute
08:07For 2 to 5 minutes
08:07I was asking Dr. Giovanni
08:09Don't you always start low with nitro
08:11Then titrate up?
08:12In flash pulmonary edema
08:13We do the opposite
08:14What he really needs is dialysis
08:15To get the fluid off
08:17What's his dialysis schedule?
08:19Monday, Wednesday, Friday
08:20He missed yesterday because of a wedding
08:22We tried to go to the center this morning
08:23It's usually open on Saturday
08:24But I think they close for the 4th
08:26Where do you live?
08:26Uh, Brookville
08:28It's like an hour and a half away
08:29Yes, ma'am
08:29I tried Pine Ridge Hospital in Ford City
08:31But I didn't know they shut down
08:32Yeah, they sure did
08:40All right, sister
08:42How can I help uncluster this clusterfuck?
08:47Ready to finish our conversation?
08:48We talked
08:49Okay, now I gotta need you
08:50Please
08:57Talk to me
08:57I'm tired of this shit
08:59Okay
08:59It's the second time that everyone was attacked by a patient today
09:02Okay
09:03I stuck one of my nurses
09:04And these cyber assholes have thrown us back into 1999
09:08Well, I'm worried about you
09:09You are not yourself today
09:11Which 2%?
09:13Do you have something you want to say?
09:16Go ahead
09:17I can take it
09:18All right, Danielle
09:20Sometimes it's like you're just tempted to death
09:22Because you don't give a shit anymore
09:23So this is about the motorcycle
09:24It's not just about the motorcycle
09:25It's about the whole damn thing
09:26Robbie
09:27You're actually telling people
09:29That you're going to a place called Smash My Head In
09:31Close
09:32Not quite
09:32Robbie
09:33Your buddy Duke is insisting on leaving
09:35And that MBA is here
09:37Okay, I'll be right there
09:39What's open?
09:40Uh, cell's 15
09:4078-year-old woman
09:42Very low-speed auto versus pedestrian
09:44With ground level fall
09:45Bruising on her left hip
09:46No head trauma
09:47Your husband Eddie came along
09:48Hi, how do you do, sir?
09:49I'm Dr. Robbie
09:50Come with us
09:50We're going to get you set up right over here
09:54Sorry, we'll get you something for the pain shortly
09:56Thank you
09:57Do you have any medical problems, Frida?
10:00Uh, high blood pressure
10:01Low thyroid
10:02Um, AFib
10:04Any chest pain?
10:05Shortness of breath?
10:07No
10:07Front row seat, sir
10:08So, um, what happened?
10:10Well, she walked into the car
10:14You hit me
10:15No, I didn't hit you
10:16You hit the car
10:18You backed up right into me
10:20I wasn't even moving
10:23Well, you're both in very good hands now
10:25Yes?
10:27Before we get you and a gal
10:29We'd like to check your head
10:31Of course
10:34I am sorry
10:35We had a whole bunch of craziness come in
10:37And you got bumped down a patient or two for CT
10:40But take comfort in knowing it was for some pretty nasty stuff
10:43How am I supposed to find comfort in that?
10:46Or anything you've told me since I got here, for that matter
10:48I don't know
10:49But everything is supposed to come with a lesson, right?
10:51Oh, this is more of your Zen motorcycle bullshit
10:55Maybe
10:56No, no, the truth is I'm just stalling
10:57Because it's going to be a while longer
10:59Okay, look, I appreciate the effort
11:01But you guys are obviously jammed up
11:03And I'll just come back when it's not our nation's birthday
11:05You're already here
11:06It's not going to be that much longer
11:07I promise
11:08Just stay and get your CT
11:09I will do it all when you get back
11:12And this place is less crazy
11:13This place is always crazy
11:14I don't know when I'm going to get back
11:15Can you just sit the fuck down and wait a little bit longer?
11:18It won't kill you
11:18But leaving might
11:25Okay
11:27No problem
11:28Thank you
11:32That's a nasty bruise
11:34Do you take aspirin or any blood thinners?
11:38Uh, eloquence from my AFib
11:40Any tenderness here?
11:43No, not really
11:44Here?
11:46Oh, yeah, that hurts
11:48Four of, uh, morphine and zofrin
11:50What about up here?
11:51Not really
11:54All right, so let's start with labs and plain film
11:56No, CT abdomen pelvis
11:58We'll get a better view of the hip
12:00And check for bleeding
12:00The eloquence is concerning
12:02Uh, you think she broke her hip?
12:05If it's broken, you broke it
12:08Usually for a broken hip
12:10The leg is shortened and rotates out
12:12But we'll just wait for CT results
12:22Mr. Cohen
12:23I know that you were checked on scene
12:26But I was wondering if I could do a quick examination of you
12:29Oh, no, I'm fine
12:30I was in the car
12:31Just unofficially
12:33Uh, okay
12:37Deep breath for me
12:40Good
12:41Again?
12:44Great
12:45Thanks, Eddie
12:46Next thing
12:47Would you mind taking your shoes off?
12:50Uh, what for?
12:52Just being safe
12:57My back's not what it used to be
12:59Let me help you
13:04I, uh, could use a pedicure
13:07You and me both
13:09Dr. King
13:10What do you think about doing a Romberg test?
13:13What is that?
13:15It's a general evaluation of balance
13:17Um, can you stand up, sir?
13:20Yep
13:20Okay
13:22How are you doing, Oliver?
13:24Stress, you're not coming up
13:25Pressure's holding on 400 and nitro
13:26Let's up the BiPAP to 20 on time
13:28We could try phlebotomy
13:30Decrease the fluid burden on the lungs
13:31Old school
13:32But it might buy time
13:33Hemoglobin's only 9.2
13:35He's anemic for renal failure
13:36And he can't afford more blood loss
13:38We need to intubate
13:38We're losing this war
13:40Intubation's not a trivial matter
13:41For immunosuppressed patients
13:43So we just drop a bunch of bread tops?
13:45No, we do the collection on the floors
13:47If he's giving blood
13:47We like medieval bloodletting
13:49Essentially
13:49And that is something you should step out for, Mason
13:52Casey, thank you
13:53Got a good vein for a 16
13:54One donor bag
13:55500 cc's
13:56No more
14:00Okay, let it out
14:03Same again
14:04Deep breath in
14:07Great
14:08All done
14:09How's she doing?
14:10Whole socks 100%
14:11Normal exam
14:12No evidence of injury
14:13Great
14:14I got way worse for my older brothers
14:15I bet
14:16All right, I'll go write a portrait
14:20How about we call it a day?
14:23My shift isn't over
14:24This was a shift and a half for anyone today
14:26Believe me
14:28If it's all right with you
14:29I'd rather stay
14:31I'm not a quitter
14:33Okay, but something good for you
14:34But stick close to Donnie
14:36For the rest of the day
14:37Would you?
14:38Sure
14:38And you also need to make a statement to the police
14:42If we don't stand up for ourselves
14:43No one else will
14:44We're here to help
14:45Not to be punching bags
14:48Thank you for saving me
14:50Got you, girl
15:00Something's wrong?
15:00That depends
15:02Are you a four-month-old
15:03With severe diaper rash?
15:05No, I'm Dorian Cole
15:06And I'm pretty sure
15:06That I broke my collarbone
15:08Okay, we can help with that
15:09I'll be back
15:10Wait, are you serious?
15:11Can I at least get something for my pain?
15:13Sure
15:14Sit tight
15:14This place sucks
15:15Tell me about it
15:16Try working here
15:17Boy, you're really working hard
15:19To boost those patient satisfaction scores
15:21The chart for Central 7
15:22Doesn't match the patient that's in there
15:23Just hang in there
15:24We're almost over this
15:25I was over this six hours ago
15:26Jairus is looking like
15:27Mulaney's on St. Patty's Day
15:29They're gonna break through the doors like zombies
15:31If you don't start moving more than me back there
15:33Dante Casella, 34
15:34Blunt trauma from a fireworks explosion
15:37In his storage unit
15:38A&O
15:39Good vitals
15:40Large scalp laceration
15:41And bruising to the chest
15:42No meds or allergies
15:43Partial or flow thickness burns
15:44No burns
15:45The blast launched him
15:46Into a rolled-down garage door frame
15:48Am I fucking dying here?
15:49Dr. Robbie
15:50This is Dr. Santos
15:51I can't hear you
15:53Try the other side
15:55I'm Dr. Santos
15:56Can you hear me?
15:58Yeah, yeah
15:58Dante
15:59A lot of ringing
16:01Hey, McKay
16:02Joy
16:02You're with us
16:06One, two, three
16:10I need like four doctors
16:12Shit, I know it was bad
16:14This is a teaching hospital
16:16You need all the extra help you need
16:18Airway and breathing intact
16:21Good lung sliding bilaterally
16:24Tender over the sternum
16:26Possible fracture
16:26I'm sure that's your breastbone
16:27No ectopy on monitor
16:30No pericardial effusion
16:31The heart looks good
16:32130 over 85
16:33Pulse 108
16:34Sats 98 on 2 liters
16:36Good enough for 50
16:38He's stuck through his headdressing
16:39Let's take a fee
16:40Normally we don't deal with scap lax
16:42On the primary survey
16:43Only if there's active bleeding
16:44With blast injuries
16:46The pressure wave
16:47Can transmit energy through the body
16:49And cause internal damage
16:50Even without any external visible signs
16:51Especially with organs that are air filled
16:54How are we looking, Dr. Santos?
16:55Be fast negative
16:56No free fluid in the belly
16:59Fuck me
17:00What is that?
17:02It's a pretty big flap
17:03Checking for bleeding source
17:05Is that through the gale yet?
17:06It is indeed
17:07Do you want to crack my head open or what?
17:09Don't worry, your skull is intact
17:11It's just a very deep cut
17:16Okay, we got a couple arterials
17:18That need control
17:20Figure of eight sutures
17:21Dr. Santos, for 800
17:22What are rainy clips, Alex?
17:24Quicker than sutures
17:25Ding, ding, ding, ding
17:26Okay, clamp those bleeders
17:27Call for CT
17:28I'll be next door
17:29And Duke's CT line keeps growing
17:35500 cc's out
17:37How you doing, Oliver?
17:39I think it's progress in here
17:40Can't tell if it was the phlebotomy
17:42Or if the nitro finally kicked in
17:43Oh, it could have been both
17:46Potassium's high, 6.5
17:48Be expected with a missed dialysis
17:49And the added heat stress
17:50He needs, uh
17:51Dr. Cavalini?
17:53Uh, he needs insulin and glucose
17:54To shift the potassium intracellular
17:55Exactly
17:56Uh, 10 units
17:57Ampathy 50
17:58Start with 5 milligrams of nebulized albuterol
18:00It'll shift some potassium
18:02And help his breathing
18:02He's at risk for arrhythmias
18:05Mmm, no peach tea waves
18:07No QRS widening
18:08Insulin puts him at risk for hypoglycemia
18:10And you tie up nurses
18:11With frequent accu-checks
18:12Dr. Alashima's right
18:14The nebs will hold him over
18:14Until dialysis skin's here
18:15You got this?
18:16Mm-hmm
18:20All good in here?
18:22Yep
18:25Uh, I'm gonna go
18:26Give this guy's kid an update
18:28He's probably freaking out
18:29Come find me if you need me
18:30Uh, yep
18:34Um, hey
18:36Where'd you learn that shoe trick?
18:38Oh, I did a clerkship at NJMS Senior Care
18:42One of the attendees always said
18:43You can learn a lot about your patients
18:44Just by looking at their feet
18:48Bravo ladies
18:49On to the next lucky customers
18:53Oh
18:53Probably gonna have to stay late
18:55To catch up on all these patients
18:56NJF reinforcements will be here soon
18:58It was supposed to be speeding up
18:59In the 11th hour
19:00Not slowing down
19:00They don't call it the final sprint for nothing
19:02Chop chop
19:09Is that the, uh, mom of the shoe trick?
19:12Yeah
19:12Do you believe it was just an accident?
19:16Does it matter?
19:18As a doctor, no
19:19As a mom
19:22Sometimes I can't tell if motherhood has made me
19:25More understanding or more judgmental
19:30Dana, got a couple of visitors
19:32Uh, my, my brother
19:33There was an explosion
19:34Hi, my mom was in a car accident
19:36Uh, okay
19:37Monica, can you help these fine folks
19:38Find their loved ones?
19:39Yeah
19:39And princess, what are you still doing here?
19:42Don't you got some crazy
19:43Luau Piguet's barbecue thing to get to?
19:45It's lechon
19:45Yes, I do
19:46I'm gonna sneak out on a few
19:47Yeah, yeah
19:48Go have some fun for both of us, alright?
19:51Don't stay too late
19:52Okay
19:54Hello, Miss Stevens
19:56I'm Dr. McKay
19:57How you feeling?
19:58Stupid
19:59And really, really sore
20:02Yeah, we'll, uh, get you something for your pain, okay?
20:06Your last patient left her blanket
20:10Oh, uh, yeah, I...
20:15Yeah, I'll take it
20:17It's, it's me
20:19Um, I'll be right back, Kim
20:25Fuck!
20:27You good?
20:28Yeah, yeah
20:28Yeah, yeah, I, uh, just, um
20:30I'm looking for something to put this in
20:32I, uh, patient left it
20:37She died
20:38The, uh, cancer mom with two kids
20:41Sounds like a tough one
20:42Yeah, that one sucked
20:44As soon as two young boys said goodbye to their mother was brutal
20:50Just makes you want to cry
20:53If you cry, you'll feel better
20:56Wish I could
20:58Wish I could
20:58You know
20:59I don't even
21:00Remember the last time I cried
21:03I'm not even sure I can anymore
21:04Is that what this place does to you?
21:07We get pretty good at shutting down our feelings
21:11Yeah, I'm, uh
21:13A little scared I've shut them
21:15Off for so long
21:16I don't know how to turn them back on again
21:19I just
21:21Wish I could cry again, you know
21:25You want a hug?
21:28God, no
21:30Your mom is stable
21:31But she's still waiting on the imaging of her head
21:35Well, no more soon
21:36You can wait with your dad in the meantime
21:37I just told him a million times
21:38He shouldn't be driving anymore
21:39May I ask what their home situation is like right now?
21:43I don't know
21:43They live over in Squirrel Hill
21:45Same house I grew up in
21:46Just the two of them
21:48We noticed your father exhibiting signs of an unsteady gait
21:51Along with other balance and mobility issues
21:54He sees an internist
21:55Neurologist
21:56Cardiologist
21:57Gastroenterologist
21:58He's got a whole team of ologists
22:01Both my parents used to be in pretty great shape
22:03But lately it's like they can barely get up the stairs
22:05Half their house isn't accessible to them
22:07Have you looked into assisted living options?
22:10Yes, but they refuse to even talk about it with me
22:13Mr. Cullen
22:14You have a visitor
22:16Care bear
22:17Dad
22:17Feeling okay?
22:19No, I'm feeling dumb
22:22Carrie, this is Dr. King
22:24Who will be assisting with your mother's care
22:26I was just explaining that the treatment depends on the injuries
22:30But there are complicating factors
22:32We are required to report impairments that might affect driving
22:35And you will likely have to take another driver's test to keep your license
22:40What has that got to do with Frida?
22:42Well, if the hip injury is serious and you're also limited
22:47Then it could mean an unsafe to return home recommendation for your wife
22:51You'd be looking at a temporary move to some form of assisted living and rehabilitation for Frida's care
22:56How temporary?
23:00Best case, three to six months
23:01But she may never return to the functionality she had prior to the injury and recovery
23:06Okay, well kill me now
23:08See what I'm dealing with, Dad?
23:10You need to find somewhere to live that is safer and healthier for both of you
23:14You know, the new communities are not anything like the old scary nursing homes
23:18They're really nice
23:19And you get your own apartment
23:21And, you know, my sister actually lives in Munchies
23:24When the dog dies, we can talk
23:27What if you fall?
23:28What if you have a heart attack or a stroke and there's no one there to help you?
23:32You worry too much
23:33How can I not?
23:34Look what happened today
23:36We're going to leave you two alone
23:38We'll come back with Mrs. Cohen
23:45Hey, Robbie
23:47Our scout victim is back from C2
23:49They're prepping him now
23:50Shit
23:51Okay, I'm coming
23:54Is your friend doing okay?
23:56He's on my flight risk radar
23:57Oh, and Dano put McKay on the guy who attacked the new nurse
24:00Is he okay?
24:02Physically, yes
24:04I heard you had a little chat with Langdon earlier
24:06Yeah, water under the bridge
24:07You have to figure out a way of working with him now that he's back
24:10Or until he relapses
24:12You can be a very good doctor
24:13Don't let old conflicts get in the way
24:14Speaking of which, I want you and everybody else to see the trauma counselor while I'm gone
24:18Yes?
24:20Yes
24:20And I asked Whitaker to house sit for me while I'm gone
24:23I figured that would distract from the whole farmer's widow thing
24:25Wait, what?
24:26Bring the mail, water the plants
24:27Cool
24:28Cool, yeah, fine
24:29That looks good
24:30You can start the repair after this one
24:33Feeling any pain, sir?
24:35No pain, just wet
24:38You already numbed him up?
24:39I did
24:401% with Epi
24:42CT back it?
24:43No, not yet
24:44I watched the slices come up
24:45Isolated sternal fracture
24:47Everything else looked normal
24:48Could send him home
24:49But given the mechanism
24:51Should probably watch him overnight
24:52I agree with Dr. Garcia
24:55I agree with Dr. Garcia too
24:58Three layer closure
24:59Galia, sub-Q, skin staples
25:02Enjoy the fireworks
25:04And hey
25:04If I don't see you before you leave
25:06Don't forget to buy me a souvenir
25:07Like a custom alkaline carved hunting blade
25:09Nothing less for my favorite butcher
25:11Oh
25:11You're gonna make a great ex-husband one day, Rubinovich
25:18Postero's got his defense attorney looking for Jess
25:19He probably took him to an ICE detention center
25:21Said we shouldn't hold our breath, though
25:23Whatever happened to We the People, huh?
25:28Anything back on that drunk son of a bitch
25:30Should have tacked Emma?
25:31Not yet
25:33Christ's sake
25:34I'm making a run now
25:35I'll ask
25:35Yeah
25:36That's the guy who tacked Emma?
25:38It's intense
25:40How you doing?
25:43BG
25:44Oh, that's me
25:46Hey
25:47You did what you had to do with that guy
25:48Everything's gonna be fine
25:49From your lips
25:54Box of class B launch tubes to the van
25:57Next second
25:59Kaboom
25:59I get launched 10, 15 feet across the garage
26:04Right up into the lift track
26:06Hit something hard
26:09I don't really remember the rest
26:12Oh, just my brother's screaming
26:14Oh, problem
26:15I'm lying there thinking
26:16Oh, he must be dying
26:19I guess it was me who was screaming about
26:21Your brother is in the family room
26:23He's waiting to see you
26:24And he is alive and well
26:28Oops
26:29Oops
26:31What's oops mean?
26:33Hello?
26:34Nothing to worry about
26:37We never say oops in front of a patient
26:45All right, try again
26:47You sure?
26:48Mm-hmm
26:51Better? Keep going?
26:53You might want to leave the fireworks to the professionals
26:55We are professionals
26:57Got our official PDA consumer license
27:00A few years back
27:03Gunpowder's in my blood, man
27:04Nothing like that
27:11Ain't no fighting it
27:13I'm more fatty
27:15I like my memento mori
27:18I like the only one who didn't study Latin for med school
27:25Yep
27:25Yes
27:27And finished
27:28Nicely done
27:30Can I see my brother now?
27:33Oh, motherfucker
27:35Chest pain?
27:36Only when I move
27:37That would be the fracture in your sternum
27:39Which we would give you another four more feet to that
27:41Thank you
27:41And try no laughing or sneezing for the next four weeks
27:48Mr. Haas, we're going to switch you over to a high-flow nasal oxygen
27:50Instead of the BiPAP
27:51See how you do
27:54This looks promising
27:55Repeat potassium is at 6.1 with the albuterol
28:04Feeling a little bit
28:10Don't you ever tell your mother about how fast you drove here?
28:13I thought you were going to die
28:15Any longer than he might have
28:17So, good job
28:19Boy just got his permit last week
28:23Feel like I was living in one of those Fast and the Furious movies
28:27I can't believe Pine Ridge closed
28:30When did that happen?
28:31I read about it a few months ago
28:34Medicare spend me cuts
28:35Are there any other emergency rooms in the area?
28:38Nope
28:39It's going to be a long way to drive for folks out where we live
28:43Mr. Haas, you'll need to stay here a few hours
28:44Get you tuned up
28:45Yeah
28:46I know the job
28:48Hey, you know, Mason
28:51If you're hungry, we've got a pretty good cafeteria
28:53Don't lie to him
28:55We have a cafeteria
28:57I'm just going to stay here with my dad
28:59Yeah, sure
29:02Thank you for saving him
29:10Are you still thinking oral emergency medicine when you're down here?
29:14I'm not thinking
29:15Doing
29:17Yeah, I hope there is still some hospitals left for you to work at
29:19Yeah
29:22Ah, it's in the March of the Walking Dead nightship again
29:26It's the first one in, Mateo
29:27You get a gold star
29:28What happened in here?
29:29Left you guys at the layup this morning
29:30Don't ask
29:32Well, speaking of layups
29:33What up, Dr. J?
29:34Oh, right
29:36That was, um, some sort of basketball player, wasn't it?
29:39Shame on you
29:40Only the greatest sixer to ever play the game
29:43Week one of year four of med school
29:45You'll be ordering me around before you know it
29:47You enjoy the dark side when you graduate?
29:49The emergency department?
29:51The night shift, baby
29:52It's wild
29:55Um, I haven't even decided what residency I'm applying for yet
29:58We'll figure it out
29:59I've got lots of time
30:01Tell that to my parents
30:03Dana, there's also back in your guy
30:05Oh, give me this
30:11I-I choked her?
30:14No, I would never do something like that
30:16But you did
30:20Can you, uh, sorry, can you excuse me for a minute?
30:24Jesus Christ, Dana
30:26Great
30:29What's he saying, anyway?
30:31He's in a bit of shock
30:33Claims he doesn't remember anything
30:36Says he was on the golf course getting boozy
30:38Maybe a little too boozy
30:40Things get hazy
30:41Next thing you know, he's on the floor
30:42And everyone's screaming at him
30:43How convenient
30:47Maybe it's better for both of you
30:48That he doesn't remember what happened
30:52Let me know when you're ready to take my statement
31:00All right, well, the good news is your CT was negative for skull fracture and cranial hemorrhage
31:07You mean that's good news for you and that blonde nurse lady?
31:11But your lab results were positive for alcohol and cocaine
31:17Okay, you got me
31:18I-I did a couple of birdie bumps on the turn
31:21But we were just having fun on the golf course
31:22Look, when alcohol is mixed with cocaine
31:25Your liver produces a metabolite called cocanethylene
31:28Well, what does that have to do with me?
31:29Uh, uh, allegedly doing what you said
31:33It's a psychoactive molecule
31:34More toxic and potent than cocaine
31:37And it can lead to confusion, paranoia, aggression
31:41And even psychosis
31:46What happens now?
31:49We're gonna monitor you for a few hours
31:51Especially given your likely concussion
31:53And you need to give a statement to the police outside in the meantime
32:02Oh, you lucky this was just a poke
32:04Spared the muscle
32:05See?
32:06It could have been worse
32:07No shit, Sherman
32:08The triangular bayonets they created back then
32:10Were designed to leave wounds that are nearly impossible to stitch
32:13Those bayonets have never met me
32:16Oh, wow
32:17What?
32:18It's all good, we got it covered
32:19No, are you guys from the Fort Pitt Museum?
32:23Hey, you familiar?
32:24Yeah, I love you guys
32:27My mom would take me to the Fort
32:28Every time we'd come down and visit family as a kid
32:30We've been volunteering there
32:31As living historians for over 20 years
32:33I probably saw you then
32:34Man, I can't wait to tell my parents about this
32:37Getting stabbed must have been scary
32:39Yeah, well, point Dexter here
32:40Stumbled over his boots and nearly impaled me
32:42Wouldn't it matter if you weren't out of formation?
32:44Well, you're in good hands
32:46This guy could have saved a lot of lives
32:47With his sutures back in 1776
32:51I won't even know that
32:52I won't
32:54Hi again
32:55Good news, Mrs. Cohen
32:57Your imaging results show no hip fracture
32:59And no internal bleeding
33:01But you do have a small hairline fracture
33:04Of the superior pubic ramus
33:05Well, that doesn't sound good
33:07Well, if you're going to have a fracture
33:09It's the best one to have
33:10Do I need to stay in the hospital?
33:12Not necessarily
33:13Your recovery should be pretty straightforward
33:16If we can control your pain
33:17But you need to take it easy
33:19And stay off your feet for six to eight weeks
33:22How can she go home if she can't walk?
33:24Oh, she can bear weight
33:24And walk with some help
33:26And we'll get you a walker
33:27And schedule physical therapy
33:29So, so we can go home
33:32Dad, you can't take care of Momo by yourself
33:36We'll manage
33:37You guys, you need to be realistic
33:39I don't want strangers hanging around in the house
33:43It's not strangers, it's helpers
33:45No, no, no, thanks
33:47Doctors, please
33:51I am worried about your ability
33:52To get the assistance you need, Mrs. Cullen
33:55It may be time to think about
33:57Some of those alternative living options we mentioned
34:01I can take care of her
34:03Are you going to be able to get her
34:05Into the bathroom, onto the toilet
34:06In the middle of the night?
34:07Are you going to help her change her clothes
34:09In the morning?
34:10We're fine
34:11Dad, please, just try it
34:15You don't have to sell the house right away
34:17Just see if you like it
34:20You could move in with us
34:21No, I can't
34:22I have work, I have the kids
34:24No, no, no
34:25No, okay
34:27Just, no
34:31Carrie, could I speak with you outside for a minute?
34:34Yeah
34:41It's like that every time
34:42It's tough to find the balance between
34:44Respecting your loved one's needs for agency
34:46And doing what's best for their safety
34:49I was wondering if you had
34:51Your parents' medication lists with you
34:53Or on your phone
34:55Yeah
34:56I'd like to take a quick look at it
34:57If that's okay
34:59Yeah
35:03Now, man, how you doing?
35:05Like you better roll in a bar cart
35:07And a happy hour buffet
35:08If I'm going to be stuck in this place much longer
35:10This place is a traffic jam
35:11We're trying to merge you in, I promise
35:13That's no traffic jam
35:14That's a 20-car pile-up
35:16The sooner you get out
35:17The sooner I get out
35:18So you know I'm not bullshitting you
35:21Why are you jonesing so hard to get out
35:23And start your ride for me?
35:25I've got a schedule
35:26I've got places to go
35:28I've got people to see
35:33I just have to get going
35:37You're worried if you don't leave tonight
35:38You won't leave at all?
35:42I get it
35:43I can feel it in the air
35:44Here's places like quicksand
35:48What do I think?
35:50Dr. Robbie
35:51Dante, the fireworks guy
35:52Something's wrong
35:55Okay, shit
35:57Do not go anywhere
35:58Where you are next up
35:59I'm going to deliver you myself
36:00I'm starting to feel like a hostage in this place
36:02How do you think I feel?
36:04She's a tricker
36:19What's going on?
36:20Fucking chest hurts
36:21Systolic's down to 78
36:24Blood loss and scalp plaque?
36:26That's highly elective
36:27Dr. Santos?
36:27Good breath sounds
36:28But neck veins are up
36:29Protecting the heart now
36:31Okay, 500cc bolus
36:32100% non-rebreather, please
36:34Pericardial effusion
36:35RV collapses
36:36Yeah, let's prep for pericardial synthesis
36:38What's going on?
36:39Is he going to be okay?
36:40He said he was fine
36:41CT scan was normal
36:43Things change
36:45Dante, there is a collection of blood around your heart
36:48We need to drain it
36:49Oh, fuck
36:50Okay, 0.5 per kilo
36:52Can it be, please?
36:53Will that drop his pressure even more?
36:54We don't have a choice
36:55We can undo this on the moving target
36:58Dante, Jesus fucking Christ
36:59It's my baby brother
37:00Hey, Perla?
37:01Sir, I'm so sorry
37:02But you can't be in there right now
37:03What's wrong with him?
37:04Hey, Dante
37:05Nothing
37:05Just hang me in there
37:07Okay
37:07I'm so sorry
37:08You can't be in there right now
37:09We have to stabilize it
37:11They said he was fine
37:11Okay, there's been a complication
37:13I just needed to take a couple of minutes
37:15And try to stay calm
37:16Please
37:16Okay, just breathe on me
37:17In
37:18Okay, out
37:19Look at me
37:20Breathe in
37:22Out
37:23Very good
37:24In
37:25Out
37:25Okay, stay calm
37:27Okay, we got this
37:31I feel like you've been there
37:32Was alone
37:33They've been out of the shock
37:34From what?
37:35Uh, I am missing a small tear
37:36In the right atrium
37:37From a sterile fracture
37:37If it was ventricular
37:38He would have crashed in the field
37:40Go cardiothoracic
37:41See if they have an OR
37:41So it's down to 64
37:43Okay, have you ever done
37:44An apical approach?
37:45Nope
37:46Good time like the present
37:47Colateral to my probe
37:48Why not subcostal?
37:50Uh, this is a shorter distance
37:51There are fewer structures
37:52If you can see fluid
37:53There's nothing between
37:54The probe and the pericardium
37:56Mm-hmm
37:56There
37:56There are the needles in the effusion
37:58Mm-hmm
37:58Draw back
38:00Good blood return
38:01Okay, sometimes it only takes
38:0320 cc's to let that heart fill again
38:04The carotid pulse much stronger
38:06Thanks
38:07Get right up
38:08You'll have a room ready in five
38:09All right, that is 40 cc's out
38:12Blood pressure's up
38:1390 systolic
38:13Okay, now we're gonna place the J-wire
38:15And we're gonna leave the catheter
38:17And the three-way stopcock
38:18Still bleeding from the heart
38:19He can live with a little blood loss
38:21But not with a pressure bag
38:22Squeezing his heart
38:23So it can't beat
38:24Good thing we didn't send him home
38:25Next day, Robbie
38:27You too, Trinity
38:28Is that an actual compliment?
38:29Sometimes you guys get lucky
38:32Got a couple of bad ones
38:34How old is he?
38:3584
38:37Meclizine for vertigo
38:38Anticholinergic effects can cause drowsiness
38:40It's PRN, so maybe he doesn't take it all the time
38:42He's also been prescribed methylcarbamol
38:44Another anticholinergic
38:46Could definitely impair driving
38:48And metoclopramide for his stomach
38:50Well, that could cause gate problems
38:53Exactly
38:55Dr. Robbie, may we present?
38:57Yeah, what do you got?
38:57Hey, you should probably get started crossing your teeth
38:59And dotting your eyes for night shift handoff
39:01Right, well
39:02Bye con Dios
39:03Or whatever the bikers are saying these days
39:07Our elderly couple, Frida and Ed
39:09We're anxious about their ability to recover at home
39:11Or to remain at home in general
39:13But a number of Mr. Cohen's medications
39:15Are on the beers list
39:17And they may be contributing to his deteriorating health
39:20Maybe
39:20We can't be certain
39:22But none of them are critical meds
39:24We could have him stop them right now
39:26Follow up with his PCP
39:27See how he's doing in a few weeks
39:29Right by the family
39:30Sometimes just affirming a patient's
39:33Independence, autonomy
39:34Can do a world of good
39:36Um
39:37Hey, Dr. Mohan
39:39I heard a rumor that you were
39:40Looking for an elective
39:41Have you considered geriatrics?
39:44It's as much of an art as a science
39:45There's usually an opening
39:46And you seem to have a
39:48Predisposition to the pace
39:57Have you seen Dan?
39:58I think she went out for a smoke
40:00Lucky girl
40:19You ever gonna tell me what really happened in there?
40:22Nowhere
40:25You could lose your nursing license
40:28Let me guess
40:29That violin verset in your pocket
40:30You drew that up for Doug Driscoll
40:32In case he ever came back
40:34And now you've just been carrying it around ever since
40:36I did exactly what I needed to
40:37Now there's a young nurse
40:38Who gets to go home in one piece because of me
40:40Or Kay can sign the verset order for me if you will
40:42I will sign the order
40:44I will sign an extra order
40:45So you can have one when I'm gone
40:47That's hardly the point
40:49It's not exactly like I'm against nurse safety
40:52I'm trying to advocate for your caution
40:54Because you're the person who's supposed to be here
40:56Keeping this running while I'm gone
40:57Not roaming the halls like a vigilante
40:59With a loaded syringe and a vendetta
41:00It's always do as I say
41:02Not as I do with you, isn't it?
41:03What is wrong with you today?
41:05Samira, Mr. Triple A
41:07Mel and Ellis had a deposition
41:08McKay's treating people in the park
41:09Fucking Langdon
41:10At some point you and Langdon
41:11Gotta work this thing
41:12I don't want him here
41:13He made a mistake and he paid for it
41:14Did he?
41:14Did he go to jail?
41:15Because I let him get away with the crime
41:17So what does that make me?
41:18Human
41:18Are you angry at him?
41:20Or are you angry at you?
41:21Somebody could have died
41:22Oh, it's the ED
41:23Somebody's always angry
41:24Go ahead, make jokes
41:25Make jokes instead of acknowledging
41:26He didn't kill anybody
41:27That we know of
41:28And he saved a lot of lives
41:29That we do know of
41:31Our kids disappoint us sometimes
41:33Langdon is not a kid
41:34No, but he's your guy
41:35And you're taking him personally
41:37Langdon fucked up
41:37And you think that makes you look bad
41:39But it's on him
41:42How am I supposed to leave this place
41:43When it's a shit show?
41:44First he can't stay
41:46Now you can't go
41:46What is it, Rabinovich?
41:49No, I'm going
41:50I just thought I could leave it a little better when I did
41:52Oh, don't be such a martyr
41:54This place is always teetering on the brink of disaster
41:56With or without you
41:57We do it every night
41:58Every day off
41:59This place is bringing to one person
42:01It'll survive without Adamson
42:02It'll survive without me
42:03And it'll survive without you
42:10My meds are making me worse?
42:13Not worse, but they may be impacting your balance and mobility
42:16Why would his doctors prescribe drugs that could harm him?
42:20Oh, it's not any one medication
42:22It's the combination that could be impairing his daily functioning
42:25We have a case manager that will put together a robust plan that I think will make everyone happy while
42:31allowing you to stay at home
42:33There's regular physical therapy
42:35An at-home nurse that visits a few times a week
42:38And even personal shoppers to help with groceries
42:42This sounds expensive
42:45Actually, Medicare covers most of it with some assistance from the Area Agency on Aging
42:49You know, every old person knows what it is to be young
42:53But no young person can know what it is to be old
42:58Thank you for listening
43:01You guys are still coming with me to visit a few assisted living places just in case it's ever time
43:05Well, maybe
43:23Hey, you, uh, you doing all right?
43:27Never better, thanks
43:29Bye
43:36God, you're really just going to keep standing there, aren't you?
43:38Yeah, what's going on?
43:45It was literally my first day of being a doctor
43:48And Langdon gaslit me and made me question my skills over and over
43:52And it's taken me a long time to feel like I belong here
43:56And now he's back
43:58And I don't even care that he was an addict
44:00I care that he was a fucking asshole
44:01And it's like no one here even remembers any of this
44:05And everyone here talks about community and family
44:08All while they throw you under the bus
44:10And I...
44:12Robbie is the only attending who actually sees through the bullshit
44:15But now he's leaving for some grand ego death spirit quest
44:18And RoboDoc over there shoots me in the proverbial dick
44:23Garcia's here
44:23She likes you, right?
44:25She doesn't like me
44:26She likes getting laid
44:28And her stress relief squeeze toy
44:30Or was
44:32You know, she and Langdon would make a great couple
44:35Yeah, that's dark
44:38I'm sorry
44:40Yeah, why do you care?
44:43Because we're friends, I thought, I think
44:45Okay, are we?
44:46Because on top of all of that
44:47You're the one who's being super shady about moving out on me
44:50Moving out?
44:51Yeah, I heard you were going to go squat at Robbie's sad bachelor pad
44:54Honestly, I thought that was your idea
44:57To get me to move out of the apartment
44:58No, no, I wanted him to give you some fatherly advice about going all farmers only
45:02And not giving you the keys to his fucking house
45:06Oh my god
45:08Well, I know
45:08It was none of my business
45:10No, it's not that
45:11It's
45:14You actually like living with me, don't you?
45:19What are you talking about?
45:21You leave your dirty clothes everywhere
45:23You eat all of my avocados as soon as they ripen
45:26You keep pausing the TV to ask the dumbest questions
45:28And no, I'm going back to the avocado thing
45:30Because I've never seen someone consume so many
45:32It's disgusting
45:32Just say it and I won't move out, okay?
45:35I'm not going to be doing much
45:36If Robbie's going to be taking in his mail
45:38And re-watering his plants
45:40Say what?
45:45Admit that you like having me as your roommate
45:49You are such a fuckleberry
45:50Have fun with Robbie's plants
45:56You have no idea how much joy that just brought me
46:02Hey
46:03How much longer until I get these things off and go home?
46:08Oh
46:10You assaulted a nurse
46:11Yeah
46:13You said it was the cocoa-ethylite thing that made me go crazy
46:17Well, if you're drunk and you kill someone, you still kill someone
46:21So after we clear you in a few hours
46:23You're going to take a ride with the uniformed officer outside
46:25Who's going to take you in for processing
46:27No, no, no, no
46:28This cannot be happening
46:29No, since you golf and can buy cocaine
46:31I assume you can post bail after your arraignment
46:33You're going to ruin my fucking life
46:34But it being our nation's big, beautiful birthday
46:36That hearing may take longer than usual
46:38So I'd cancel any grand plans you have for the fourth
46:45You know, I... I can leave you with these
46:50Rehab the fuck off
46:51I'm suing this whole hospital and you for personal injury
46:55Well, good luck convincing your jury of that one
46:58Oh, fuck this whole place
46:59And fuck all of you
47:02No, not you, officer
47:03Fuck!
47:05Make sure discharge charts are bundled and placed in the 2B scan bin
47:08With nursing notes, order sheets, lab and x-ray results
47:11Day shift needs completed T-sheets on every patient
47:14And to write on the board what tests are pending
47:16So nothing falls through the cracks while we wait to come back online
47:21Westbridge and Good Dominion have settled their cyber dispute
47:25They paid their ransom?
47:26Yeah
47:26Our IT department is confident in our defenses
47:29So they will be rebooting everything soon
47:32Slowly but surely
47:33Okay, so when everything comes back on
47:35All the residents have to do is scan all the completed paper charts
47:38And digitize them into the patient THRs before they go
47:41I'm never getting out of this place
47:45This means you're clear for takeoff
47:47Nothing here we can't handle with night shift coming in
47:50Yeah, all right
47:51I'm free to go
47:53Uh, hey
47:54I told you I would get you up there
47:56And I promise I'm not leaving until you're back and sent packing
47:59Robbie, buddy
48:00You got me to come in
48:01You got me to take my test
48:03You don't gotta babysit me
48:04That's why I have a nurse
48:05What's your name, sweetheart?
48:06Nurse Vivi, sir
48:07That's what I have, the lovely nurse Vivi here
48:09This will not take very long
48:12Where have I heard that before?
48:14Hey
48:15So, uh, this is it, huh?
48:18Uh, yeah
48:20Don't let the place burn down
48:24You know, in a previous life
48:27I had a lot of friends who liked to see how close the edge was
48:31As if it was a challenge they were called to meet
48:35Trouble is, they all inevitably found it
48:40Okay
48:44I'm just picking up on a weird vibe from you today, is all
48:47Yeah
48:47It's been a weird day
48:56You leaving?
48:57Uh, yeah
48:58My shift is over and I ain't getting paid to be here
49:01Quite literally the opposite, in fact
49:03Well, I don't know if you noticed
49:05But we're sort of, uh, in disaster mode here still
49:08We put in the extra time if we're needed
49:13You know 62% of VD docs report suffering from burnout
49:17Painfully where?
49:19So, maybe all you lunatics need to learn how to set some boundaries
49:23Like me
49:26Well, see you tomorrow, Doc
49:30Good luck on there, sorry about the mess
49:32Yes
49:38Yep
49:40Head trauma
49:41Unwitness fall from the warehouse catwalk where he works as a security guard
49:46Oh my God
49:48Orlando
49:49He left five hours ago
49:51Well, I'm done
50:10Bye
50:10Good luck on there
50:14You're welcome
50:17You're welcome
50:17Thank you
50:17You're welcome
50:46İzlediğiniz için teşekkür ederim.
51:16İzlediğiniz için teşekkür ederim.
51:22İzlediğiniz için teşekkür ederim.
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