- 21 hours ago
The.Pitt.S01E04.540p.x265.AAC [Full Movie] [Vertical Drama]Full EP - Full
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00:13What the hell is going on out there?
00:15Somebody stole a rig.
00:17Again?
00:18Hey, where do you think you're going?
00:19We'll be back in two minutes, Max.
00:21Anton's going to show us his new motorcycle.
00:23Great.
00:23We always need organ donors.
00:25Ah, someone stole your rig.
00:26Yeah, you weren't watching the screens.
00:27How'd you miss it?
00:28Oh, I saw it pull out.
00:29But I figured you were in it.
00:31Why'd you leave the keys in it?
00:32It's a protocol.
00:33No, it's not.
00:33That's what I said.
00:35Yes, it is.
00:37And who steals a fucking ambulance at 10 a.m.?
00:40Easy.
00:40Junkies, meth heads thinking they just stole a candy store.
00:43Or a psych patient kicked loose last night.
00:44Y'all don't know.
00:45That thing is getting stripped, chopped, and shit.
00:46Hey, shut the fuck up.
00:50Maybe another job it took.
00:51Did you call your dispatch?
00:52Of course we called our dispatch.
00:53Did you call the cops?
00:54I can't.
00:55But they're two having breakfast in the cafeteria.
00:57They'll have a cell.
00:58Hey.
01:00I'm good.
01:00Thanks.
01:01Oracle.
01:02Come on.
01:04I put $20 on the psych patient.
01:05Oh, I'll take that action.
01:07Hey, do we have crutches?
01:09Yeah, ortho locker just restocked.
01:10Okay, great.
01:11Can you bring back Sherry Davis next?
01:13Oh, sternum mom with the handburn?
01:14Huh?
01:14Oh, she split.
01:16Shit, when?
01:17I gave the kids two breakfasts each off the borders card, and they left.
01:20In school, probably.
01:21Did she say anything about coming back for wound care?
01:24Not to me.
01:26Fuck.
01:27I need rooms cleared and clean, so I'm shuffling the deck.
01:29Yeah, but why are you moving him into peds?
01:31I'm just about to extubate him.
01:33There's no kids in there at the moment.
01:34The family can have some privacy.
01:36There's nice pictures on the wall.
01:38What's the problem?
01:39There's no problem.
01:39There's no problem.
01:41Mrs. Smith does not need a cardiac monitor.
01:43She can get her vanco in the hall.
01:44We've got one telebed available.
01:46Let's give it to Otis before someone else snags it.
01:48Yep.
01:48Leave the family in Central 7 alone until nuclear medicine's ready to take the kid.
01:52There's no sense in moving them twice.
01:54Aye, aye, Cap.
01:56Hey, Robbie.
01:59You're going to extubate?
02:00Yes.
02:01Good.
02:01You shouldn't have intubated.
02:02Yeah, I remember you saying it just like it was this morning.
02:05You want me to do it?
02:06No.
02:07Why?
02:09Adamson.
02:10Jesus!
02:11Okay.
02:11There's something moving in there!
02:13Ma'am, hold still!
02:14I can't help you if you keep moving your head!
02:16Get it fucking out!
02:18I can't feel it!
02:20Arthropod and the EAC.
02:21Oh, my God!
02:24I better get in there.
02:25Yeah.
02:31How long will you live without the oxygen?
02:34It's difficult to say.
02:36Once the tube comes out, it could be anywhere from 30 minutes to several hours.
02:42When I extubate, we're going to suction the back of his throat.
02:44We're going to give him some glycopyrrolate drops, which will cut down on his secretions.
02:48He'll get morphine for any pain.
02:51And we'll give him some oxygen in his nose as a comfort measure.
02:58Jesus.
02:59I don't think that I can go through with this.
03:02I mean, this is happening.
03:05Like now.
03:06Like today.
03:08We just decided that dad is going to die in this room.
03:12In a room with cartoon forest animals all over it.
03:18God, if you think about it, it's kind of perfect.
03:25Our dad worked on Mr. Rogers' Neighborhood the whole time that we were growing up.
03:29Oh, no kidding.
03:30That's very cool.
03:30Mr. Rogers, the television program?
03:32That's right.
03:33Here in Pittsburgh?
03:34At WQED on Fifth F for 33 years.
03:38Dad worked with Jack Guest, the art director.
03:41So he helped paint and build all those sets.
03:51I don't think that I can do this.
04:00Okay.
04:01Just to be clear.
04:03Your father's dying.
04:05And you're choosing to allow that to occur naturally.
04:08Rather than subject him to a torturous amount of procedures which would only delay the inevitable.
04:13I just thought that it would be different.
04:15And I thought that we'd have more time.
04:18Is your family religious?
04:19Oh, God, no.
04:22No, God.
04:27I had a teacher.
04:29A mentor.
04:32Who told me about a Hawaiian ritual called Ho'oponopono.
04:37One of the four things that matter most.
04:41It's basically just a few key things that we can say when we're saying goodbye to a loved one that
04:45can really help at the early stages of loss.
04:50What are they?
04:52They're going to sound really simple, but I swear I've seen them work.
04:55Okay.
04:56I love you.
05:01I forgive you.
05:03Please forgive me.
05:06That's it?
05:08Yep.
05:09I told you it was simple.
05:13Mr. Spencer, I'm going to take this tube out of your throat now.
05:21What I want you to do is to take a very deep breath.
05:25Breathe in.
05:26Now blow it out.
05:29There we go.
05:40You okay?
05:42Okay.
05:44You're going to give me some oxygen in your nose.
05:49A couple drops under your tongue.
05:55You okay?
05:56I'll hire.
05:56You can rest.
05:58Close your eyes if you want.
06:01You're chilling right here.
06:03Yeah, Dad.
06:04You just rest, okay?
06:07We're right here.
06:09I'm right here.
06:23Come find me.
06:24Will you take a deep breath for me?
06:27Jesus, everybody's going to this concert tonight.
06:30I wonder if there's any decent passes left.
06:32Another deep breath.
06:34Oh, my God, Jenna.
06:36You're never going to believe who DM'd me.
06:38I fucking told you this would happen.
06:39I'm sure Jenna's happy you're here to support her,
06:41but perhaps you could wait outside until we've finished.
06:43Excuse me?
06:44Excuse me, I'm in the middle of an examination.
06:46Yeah, and I'm going to stay with my friend for as long as she needs me.
06:49I'm the one who brought her here.
06:50Gold star for you.
06:52Hey, that's fine.
06:54I'm fine.
06:55You sure?
06:56Yeah.
07:05I wanted her to leave.
07:08How are you doing?
07:10Um, I called Nick's dad an asshole.
07:14Told him to go ask his son.
07:18Why would I say that?
07:22Why don't you tell me about school?
07:24What are you studying?
07:26What?
07:26Do you do any sports?
07:29Are you into any extracurricular activities?
07:31I don't know why you're asking me that.
07:35It's important that you focus on the good things in your life right now.
07:39How?
07:41A boy, a very sweet boy that I barely even knew is dead,
07:45and I just fucking made it worse.
07:47You just need to-
07:48I mean, his father thinks I killed him,
07:50and you're asking me if I play sports?
07:52Jenna, Jenna, I can tell how upset you are right now.
07:55I see how painful this is.
07:57We don't even do drugs.
08:00We were studying.
08:01You know, how does that happen?
08:02I can't imagine how hard this must be for you.
08:07I just really want to go home.
08:11Well, your vitals are excellent.
08:14When your parents arrive, they can take you.
08:20Here, if you need anything.
08:26Oh, well, that works out.
08:28A couple of observations?
08:30Please.
08:31Huffinize your skin.
08:32Rhino.
08:33Good.
08:34Distraction is a terrible strategy.
08:35When a patient says I'm hurting, we don't respond.
08:37What's your major?
08:38I wasn't trying to-
08:40Additionally, I statements work better than you statements.
08:43I can see how painful this is,
08:44acknowledges the reality of the situation,
08:46and invites further examination.
08:47You need to move on has the opposite effect.
08:50Understood, but in my personal experience-
08:52Your personal experience isn't germane here.
08:54Germane?
08:55Relevant, pertinent, appropriate.
08:58Well, I respectfully disagree.
09:00My life gives me a perspective that it's different.
09:02Are you aware you have an aggressive energy, Trinity?
09:05Even this conversation feels confrontational.
09:08You bring our education to the job, not our baggage.
09:11Got it.
09:13Will do.
09:16Good news or bad news first?
09:18What's the good news?
09:19Your canal is numb.
09:20Simple flush with saline will fix the problem.
09:23What's the bad news?
09:25You've got a dead bug in your ear.
09:29Cockroach.
09:33We were in here for maybe 35, 40 minutes tops.
09:36I go outside, it's gone.
09:37Seriously, there's nothing on the radio?
09:39Not yet.
09:40The keys were inside?
09:41Yes.
09:42I leave them in there in case somebody needs to move it.
09:44Not supposed to leave the keys.
09:45That's what I said.
09:46You take the keys, so nobody steals.
09:48So what the fuck is security for?
09:50I'm about to show you.
09:51Oh, yeah.
09:51Hey, guys, we can congregate somewhere else.
09:53Get a little room.
09:54We've got a new guest checking in.
09:55Guys, Ahmad, we've got to keep this area clear.
09:57Everybody, please.
09:58Hey, five bucks on Chop Chop.
10:00Wendell Stone, 52, chief rigger from Pit Fest.
10:02Isolated to the left chest when a speaker tower came down on him.
10:05Looks like multiple rib fractures.
10:07Pulse 110, BP 130 over 85, decent stats at 96, 50 of Fent in the field.
10:12Got it.
10:13How we doing, Mr. Stone?
10:14Mr. Stone's my dad.
10:15Just Stone.
10:18Damn, they woke the Kraken.
10:21What's he do for his next round?
10:25Forty minutes ago.
10:28Perfect.
10:30Mr. Driscoll, Mr. Doug Driscoll.
10:33About fucking time.
10:35Too late, you suckers.
10:38Excuse me.
10:39Sorry.
10:41G.E. Chin.
10:43I have some time to offer G.E. Chin.
10:44Yes, please.
10:45Over here.
10:49How much longer until we can see the doctor?
10:52Uh, we have to wait for a bed to open up.
10:53Might be a little while.
10:54Be popular today.
10:56The medicine should help.
10:59Thoromorphine.
11:00No abdominal tenderness.
11:02What do we got?
11:03Thanks.
11:03You owe me a Coke.
11:04Isolated chest trauma with...
11:06Stop.
11:07Isolated chest trauma with obvious flail chest.
11:10No human pneumo on POCUS.
11:11Good stats and vitals.
11:13Excellent presentation.
11:14Serum Dr. Garcia from surgery.
11:16I need surgery?
11:17Not necessarily.
11:19No blood in the belly on fast.
11:20Okay.
11:20You got this?
11:22Abdomen's benign.
11:23CT chest, abdomen, pelvis with contrast.
11:26Intertrust way more than the ultrasound skills.
11:28Exus!
11:29And more morphine, for God's sake.
11:32No, no, no.
11:32Don't knock me out.
11:33I gotta stand on top of the crew doing the pudding.
11:35The what?
11:36The festival.
11:37We'll block all the nerves going to the broken ribs.
11:41Roll to the right.
11:42You'll be awake and pain-free.
11:44Yeah, that's what I'm talking about.
11:46That's a ton of intercostal blocks.
11:48Nope, one shot.
11:49Serratis interior blocks down to T9.
11:51You kids in your crazy regional blocks.
11:53Dr. Santos, call me with the CT results.
11:55Extension 1121.
12:00Gabe's the same age that I was when we made our first layout.
12:03You remember that, Dad?
12:04The two-level track in the basement of the Clovis house?
12:08Oh.
12:08That's right.
12:09Yeah, it was an O gauge.
12:10It limited the cars we could use, but that layout was a beauty.
12:16Doctor, does that sound he's making mean it could be any minute?
12:22No, no.
12:23It just means that he's having trouble handling his secretions.
12:34Mr. Spencer, this should help.
12:46I'm also going to give you a scopolamine patch behind your ear.
12:51That will cut down on his secretions for the next 24 hours.
12:55You think he has 24 hours?
12:56There's really no way to know.
12:58Let's give another two or more femur PPRN.
13:01We're going to give him something to keep him comfortable.
13:03Doctor, what were those four things again?
13:08I love you.
13:09I forgive you.
13:11Please forgive me.
13:12It's easy.
13:14I love you, Dad.
13:16I've loved every minute we've gotten to spend together.
13:22You're the best dad a boy could have wanted.
13:25You never missed a game.
13:26You always made time for me, whether to play catch or to build models or...
13:32Help me with my homework.
13:36Or when we would wake up before everybody else and make sandwiches.
14:02You're clear of my face.
14:17Oh, fuck.
14:55They spotted it.
14:56Easton 376.
14:57Whoa. Whoa.
14:59Let's go.
15:00It is all in there.
15:0215 on Crash, another 5 on Junkies.
15:03Give me $8 on catch with another.
15:05Uh-uh.
15:06Multiples of 5 only.
15:07I'm not touching no stripper bills.
15:09Yo, what's that shit?
15:10Hey!
15:11Wanna keep it down?
15:12This is a hospital.
15:13Nine Rivers Casino.
15:16Keep talking.
15:16I'm gonna find Robbie.
15:20Psych wanted to transition him to oral meds.
15:22There's an order for an olanzapine tablet at 9.30 a.m.
15:26Yeah, that's on us.
15:27I've been with criticals all morning.
15:29He needs to go upstairs to behavioral health.
15:31We're too busy down here to dispense psych meds on the schedule.
15:34Understood.
15:35What options are we left with?
15:37Either we let him tire himself out or we go in and stick him.
15:40I'm worried he's gonna hurt himself.
15:42He's in partial soft restraints.
15:44What we really need is a pavulin blow dart.
15:50All good.
15:52You caught me, and I was almost over the wall.
15:54Go easy on me, warden.
15:56I need an order for an agitated psych patient.
15:58Been here for days.
15:58Methamphetamine-induced psychosis.
16:00The Kraken?
16:01You really should call him that.
16:03How about a B-52?
16:04No, no, no.
16:05That would take way too long.
16:06Type the staff.
16:06QTC?
16:07Normal.
16:08Five of Bedazolam, five of Haldol, and Mr...
16:11Krakosia.
16:12You're joking.
16:13No.
16:13Mr. Krakosia will be out like a light in under a minute.
16:16It hardly seems as offensive to call him Krakos if his name is actually...
16:19Irritable five-month-old.
16:21Barely.
16:21I'll be right there.
16:22Um, I need more coffee.
16:26You doing okay, Cap?
16:28Yeah.
16:28Why?
16:29Can't I be going over the wall?
16:34Tomas Cordera.
16:35Mr. Tomas Cordera, please come with me.
16:37I have your shirt card.
16:39Tomas Cordera.
16:47Yes?
16:49Cordera.
16:50It's actually Tasha Cordera.
16:52And Miss.
16:53Okay.
16:55You want to come on back?
16:56Go through those doors?
16:58You cut your arm?
16:59Yes.
17:00Okay, no problem.
17:06Hi.
17:07I'm Dr. McKay.
17:09This is Victoria Javadi's student doctor.
17:11Hello.
17:12Tasha.
17:12Hi.
17:13Um, sorry for the long wait, Tasha.
17:15Do you mind if I take a quick peek?
17:16Yeah.
17:17Okay.
17:20All right.
17:22Not too bad.
17:23Definitely gonna need a few stitches though.
17:25Why don't you come on back and we'll get you patched up.
17:27Okay?
17:29Okay.
17:31Okay.
17:32How big is the pneumothorax?
17:34Got it.
17:35Thanks.
17:36What's the pneumothorax?
17:38Uh, just a little air leaking from the big bruise in your lung.
17:42Uh, getting short of breath here.
17:44Pain?
17:45No, all that's gone.
17:47Good.
17:47The block worked.
17:48Sats are down to 85 on five liters.
17:51His lung contusions need some help.
17:55Start BiPAP.
17:5610 over 5.
17:57That'll, uh, open up the bruised parts of your lung.
18:00Thanks.
18:00Uh, good news is you don't need surgery, but I'll, uh, let Dr. Garcia know about the CT.
18:05Uh, she likes you.
18:08I've met her two hours ago.
18:11Must have made a strong first impression.
18:16Any fever, vomiting, or cough?
18:18None of that.
18:19Uh, good feedings?
18:20Was she full term at birth?
18:22Um, normal delivery.
18:24Trial vaccines?
18:25Uh, yeah, two months and four months.
18:28To get an...
18:28What's your differential diagnosis?
18:30Gotta rule out the worst first.
18:32We need to check with a rectal thermometer.
18:33Is that really necessary?
18:34It's really important.
18:36Oh, I need...
18:40We gotta rule out any serious bacterial infection.
18:44Sepsis.
18:45Pneumonia.
18:46Phylo.
18:47Pendicitis.
18:48Meningitis.
18:49You think she has meningitis?
18:50No.
18:51We're just discussing hypothetical possibilities.
18:53Pemps 99.
18:55Making meningitis extremely unlikely.
18:59Heart rate, 164.
19:01Stats, 99.
19:03This is Dr. Robbie,
19:06our senior physician.
19:07Hi, nice to meet you.
19:09Oh, yeah.
19:118 February alert, good vitals,
19:13Drs. Mohan and King were just about to start their physical.
19:15Why don't you go check on our students and I'll handle this?
19:26so why are you sticking me again came in an hour after the chest pain
19:30it's a heart attack it can take more time for the heart damage to show up in the blood
19:33put your finger on that even with the normal ekg that's why i repeat the test
19:41let's get you back to the weight room what no
19:48no all i've been doing is waiting i'm supposed to see a doctor now
19:51soon i'll let you know
19:57this is a fucking joke
19:59yeah it's good to laugh
20:03laughing our way to be in a third world country
20:08remind you of home
20:12okay you know we're not supposed to pick favorites here
20:14i'm gonna keep my eye on you
20:16yeah
20:21you do that
20:22oh yeah
20:29so tasha it was a decanter
20:31a beautiful baccarat carafe
20:33i was uh showing a colleague how to polish it and the neck broke with my arm still inside so
20:41not my finest
20:42did it shatter no no it cracked cleanly in two but as a reflex i jerked my arm back
20:49that's what did it
20:51and reflexes i have regretted a few of my own good now inject to the other side
20:57single layer straight edges about as straightforward as it gets
21:02good
21:03it's a relief
21:06what's going on hypoxic to 78 bps crashing systolic's 82 pulse is thready i should intubate does he need a
21:14massive transfusion protocol no absent breath sounds on the left tracheal deviation to the right 14 gauge angiocalf now put
21:21him on a non-rebreather what are you doing tension pneumothorax from the bypass positive pressure
21:32you hear that who the hell ordered bi-pac garcia
21:35do you know his stats were down that i didn't you did without running it by me
21:42can i put in a chest tube he doesn't need a chest tube he needs a pigtail catheter and i'll
21:47be doing it
21:48stats and pressure both coming up
21:51draw up 75 of ketamine
22:00why is she still crying fontanella soft and flat people's equal and reactive tracking across midline
22:06dr mohan keep it focused please mucous membranes nice and moist
22:12hard to hear of the crying but ones are clear
22:17heart rate's tacky but normal soft abdomen no obvious signs of tenderness
22:22so basically a normal exam
22:24what's wrong give us a little time to finish our exam
22:27i know
22:28what am i looking for dr king uh cellulitis
22:33do you look from the sarx syndrome
22:36diagnosis made what is it hair tourniquet uh mothers with hair can wrap around the toe multiple times
22:42when it dries it tightens and cuts off circulation
22:44my hair i i showered before nursing
22:48easy to miss mom but we caught it early so there won't be any
22:51permanent damage to the term
22:53thank you dr mohan
22:53uh it's too tight for scissors
22:55do we have an air
22:56we do indeed
22:57an air
22:57like from the drugstore
22:59ten minutes should dissolve it right off
23:01and stop the time
23:05hey you're okay
23:06what's up
23:07we're gonna give the wild one a shot
23:09have the order
23:10meds on the way
23:10but we need both
23:11i call the head
23:13i got kicked last time
23:14right arm
23:14left arm
23:15right lay
23:15need one more
23:17two more
23:18i'm just here to observe and speak with the patient once he's under control
23:20oh
23:21hey robbie
23:22can you help us with mr krakosia
23:24nope
23:25coward
23:27whittaker
23:28just the man we need
23:30come over here please
23:31whoa what did i miss
23:32a little drama from attention pneumo
23:35you could have called me
23:36you got under control
23:37good
23:37and dr santos learned what can happen when you put a patient with a small pneumothorax on bi-pap
23:44ah
23:45thumb scalpel
23:46he was hypoxic
23:47i thought it would help
23:48but you didn't discuss it with me and he almost died
23:51dilator
23:52you need to run every order by a senior resident or attending
23:56that's why it's a four-year program
23:58now
23:58when you do this procedure
24:00you want to make sure to never ever lose this guide wire
24:04that gets sucked in the chest
24:05you're screwed
24:06now
24:07ready for the big deal
24:10what the hell are you doing
24:12pneumo is tiny
24:12it'll resolve spontaneously
24:14yeah it was tiny until the patient went on bi-pap
24:16are you fucking kidding me
24:17guide wire out
24:19his sats were down
24:20i gave the order
24:21without clearing it with me
24:24honest mistake from the rookie
24:26that's how we learn
24:31if she knew everything
24:32she'd be your attending
24:33not an intern
24:36that is very true
24:37besides it could have happened on its own
24:39without the bi-pap
24:41wow
24:41beautiful moment
24:43a lot of love in the room
24:44if you'll excuse me
24:46nice save
25:16it's wheeler
25:24how you guys doing
25:25good thanks
25:27we missed our appointment
25:28but otherwise
25:29we're fine
25:30oh no
25:32have you been here long
25:33i've been here about four hours
25:35oh
25:36we were here two nights ago
25:38we waited seven hours
25:39hmm
25:40it's all bullshit
25:42i can't believe somebody
25:43hasn't died out here
25:48how are we doing
25:53no change
25:56i've been doing all the talking
25:58do you want to
26:00say some things
26:06what is there to say
26:08i'm sad
26:09i'm angry
26:11i don't want him to go
26:13there's so much
26:14that i wish were different
26:16it's not fair
26:22tell it
26:23i am telling him
26:24i'm telling both of you
26:27it's not fair
26:31i wanted what you had
26:37i love you dad
26:40and i'm thankful for
26:42everything you did
26:43to provide for us
26:46you weren't the dad i wanted
26:49because i didn't
26:50i didn't play baseball
26:52or build models
26:53or fish
26:57my friends and dads
26:58all had grown up jobs
26:59they didn't tell silly jokes
27:01or talk in character voices
27:03or make up stories
27:08i was embarrassed
27:09and i
27:11i didn't want my friends
27:13to meet you
27:14it's true
27:18i'm ashamed to admit it
27:20but it's true
27:23i left for college
27:25and i
27:25i stayed away
27:27i could have gone fishing
27:35i should have gone fishing
27:40and i'm curious now
27:50i forgive you dad
27:51for not being the man
27:52that i wanted you to be
27:54but i am
27:55i am so grateful
27:56that you weren't
27:58the world needed you to be
28:00exactly
28:01as you are
28:03it got
28:04it got serious
28:05and
28:05and it turned ugly
28:06and
28:08you and your friends built
28:09the neighborhood
28:12of make-believe
28:15what an incredible gift
28:24daddy
28:25i'm
28:27so sorry
28:28please
28:31please forgive me
28:44come find me
28:45whister
28:52no news chopper coverage
28:54no eye in the sky
28:55not even a damn drone
28:56no mystery here
28:57the cops said east on 376
28:59they're headed to swissville
29:00now the cousin in swissville
29:01says he's crazy
29:02fellas
29:03they are not going to swissville
29:04they're crossing the line
29:06canada baby
29:06that's the other way genius
29:08see i'm taking all your money
29:09no you're not
29:09you're taking his money
29:10i'm breaking up this
29:12sewing circle
29:12antoine you're supposed to be
29:13in triage
29:14dennison needs a knee immobilizer
29:15and crutches
29:16go on
29:16paulo
29:17take posture of others
29:18on thorpe and north 5
29:19and a repeat potassium draw
29:20to fontaine and south 18
29:21larry
29:22you're coming with me
29:23okay we have a quorum
29:25meds finally here
29:26yep
29:26guys got some energy
29:28let's do this
29:29donahue right leg
29:30larry left leg
29:31him right arm
29:31i call left arm
29:32perla takes ahead
29:33and our young man here
29:34will inject
29:34clear
29:35yeah
29:35pull socks
29:36right here
29:37good luck
29:37i am injection to the
29:39mid anterior left thigh
29:40everybody ready
29:42yo
29:42whitaker
29:44you play any ball
29:45on football
29:47no
29:48dodgeball
29:48of course football
29:50yeah some peewee
29:51you know i was actually
29:52a pretty good kicker
29:53not helpful
29:54look larry and i
29:55are going to block for you
29:56come in right behind us
29:57when we split
29:58and go for his legs
29:59you go right up the middle
30:00in zone baby
30:01okay yeah got it
30:02okay
30:04you ready
30:06one
30:07two
30:08three
30:10okay
30:10mr gracozia
30:11we're here to help you
30:12we're here to help you
30:13oh god
30:14what do i do
30:15what do i do
30:15no
30:16oh
30:17shit
30:19oh
30:20oh
30:21oh
30:22oh
30:22oh
30:22oh
30:23oh
30:23oh
30:24congrats kid
30:25you just earned your yellow wings
30:27okay midazolam
30:28we'll take him down in a minute
30:29we'll monitor him for 20
30:30after that the howled all will have kicked in
30:31yeah he's settling down now
30:33do i really need to be here for 20 minutes
30:34why
30:34got a date
30:35i mean i'm covered
30:36i'm kidding
30:37thanks for your help
30:38go get cleaned up
30:39okay thanks everyone
30:41good work
30:41i know i don't need to say it but let's try to stay on top of mr kakoda's in that
30:44schedule
30:45sorry
30:46yeah thanks
30:47can i help you get any scrubs
30:48oh no it's good i'm gonna
30:51uh thank you for the offer though
30:58so tasha you work in a restaurant
31:00no take it in two bites
31:02okay
31:03rotate your wrist follow the curve of the needle
31:05exit at 90 degrees same distance from the wound
31:09good
31:10yes
31:11i'm the sommelier at altius
31:13oh altius is supposed to be amazing
31:15sorry what is it you do
31:16i'm the sommelier
31:17the wine steward
31:20we have the best seller in the city
31:22i don't mind bragging
31:23oh that sounds like a great gig
31:25you have to go to school for that
31:26oh my
31:27yeah
31:27yeah i have a degree
31:28cool
31:29okay how's that
31:31uh really good
31:32first tie is a surgeon's knot
31:34wrap the suture twice
31:36grab the short end
31:37pull with just enough tension
31:38bring the wound edges together
31:39not too tight or shoulder railroad tracks
31:42so tasha what's your favorite wine you've ever tasted
31:46or most expensive
31:48same answer for both
32:17uh 2011
32:20about life changing
32:23maybe one day
32:24i'm still not old enough to drink
32:27legally
32:29that's a little scary
32:31and i'm about 18 grand short and a friend of bills so i'll have to take your word for it
32:35too
32:37uh my only extravagance these days is moisturizer
32:40i hear you
32:43jenna
32:43got some people here to see you
32:45hello
32:45oh my god
32:47oh my god
32:48oh my god
32:49oh my god
32:49oh my god
32:49oh my god you're okay
32:50i'm so sorry i have no idea how this happened
32:52i swear
32:52is she young
32:53yes she's cleared medically
32:55you may take her home
32:56here's some discharge instructions
32:58but no more pills unless they're from a doctor or pharmacy
33:01i won't
33:02we're giving you some fentanyl test strips
33:04these work on pills and liquids
33:06and this is a narcan spray
33:07please just keep it in your purse
33:09just in case if you're at a party
33:11someone's out of it
33:12yeah thank you
33:13you realize how lucky you are
33:15yes
33:15hi
33:16i do
33:22mr mrs bradley i just spoke to nuclear medicine and they are ready to take nick for the cerebral
33:27perfusion study test in a few minutes
33:29can we stay with him
33:30absolutely
33:31the test itself involves radiation imaging so you'll have to wait just outside the door
33:35but dave will take you down
33:36i'll show you where you can be
33:37he'll also bring you back here
33:39the results take about an hour or so
33:41and i will come find you when i get them
33:44and we'll take you from there
33:46thank you doctor
33:47okay
33:52so sorry to keep you waiting
33:55i'm dr heather collins
33:56you must be christy and lynette wheeler
33:59yes
34:00yes we were supposed to see dr abbott
34:02yes dr abbott is an amazing physician
34:04but even he needs sleep occasionally
34:06i guess i just got tired
34:08and i forgot to charge my phone
34:10and we overslept
34:11i use an old-fashioned alarm clock
34:13since med school
34:14never fails
34:15that's what i have at home
34:16i just forgot to bring it
34:18okay
34:19i see we're doing a medication abortion
34:21today correct
34:23yep
34:24well since i didn't initially assess you
34:27do you mind if i ask a few questions
34:28get up to speed
34:30no
34:30thanks
34:32is this your first pregnancy
34:35yes
34:36and you're 17
34:37when did your last menstrual cycle start
34:41um
34:42not exactly sure
34:44end of june
34:4623rd maybe
34:47any allergies to medication
34:50no
34:50any surgeries in the past
34:52no
34:54i need to do another quick ultrasound
34:56to make sure everything's okay
34:57for the medication
34:58do you
34:59want to put on a gown
35:00to make sure you don't get gel
35:01all over your clothes
35:02okay
35:05i'll be right back
35:06thank you
35:08joyce our stickler's doing well
35:10in the exchange transfusion
35:11awaiting a telemetry bed
35:13quinn the midnight vapor
35:14still in sinus after cardioversion
35:16uh four hours of cardiac monitoring
35:18starting now
35:19and you can discharge
35:19good samaritans hanging in
35:21stable vitals and neurocheck
35:23yeah i want to get a repeat head ct
35:24in an hour rule
35:25at any increased bleeding
35:26and mr gold was still positive
35:28for camphalobacter
35:29has gone home on azithromycin
35:30well i hope he loads up
35:31on water electrolytes
35:32the guy filled up half a dozen bedpans
35:34must be a record
35:35without sounding like a broken record
35:37everything okay with you
35:38it's your third cup before 11 a.m
35:40yeah i'm not sleeping great
35:41it's fucking with me a little bit
35:42when i've got four days off next week
35:44i think i'm gonna get out of dodge
35:45and head by the hill
35:46i wish you would
35:47what shakespeare say
35:48position heal myself
35:49what you've been talking to collins
35:51not shakespeare
35:52luke the disciple
35:54you've probably heard it
35:55from paul the apostle
35:56but what do i know i'm jewish
35:57it's not my book
35:58shakespeare had nothing to do with it though
35:59yeah
36:00we have a little time
36:01when we'll be good
36:03oh you have everything
36:04yeah i think so
36:16is that
36:18yeah
36:19let's go sweetheart
36:22wait um
36:24mr bradley
36:26i just wanted to apologize
36:27for the way i spoke to you
36:29please wait
36:29please
36:29no excuse
36:30um
36:31i was gonna ask a nurse
36:33to give you this
36:33but uh
36:34it's my number
36:34and email
36:36if i can ever be of any help
36:38in any way
36:39please
36:41i don't know who you are
36:43oh
36:44oh i'm sorry
36:45i'm jenna
36:46i met nick at orientation
36:50and he was really sweet
36:52um
36:55we were in the same econ class
36:56and we had this really big test coming up
36:58so
36:59some of us made this kind of study group
37:01and um
37:02we'd stay up way too late
37:03drinking coffee
37:04and then have a really hard time falling asleep
37:06and
37:08one girl said
37:09she knew how to get xanax
37:11um
37:13but was too afraid to go pick it up
37:16nick was just being nice
37:17when he said he'd do it
37:22i'm so sorry
37:23um
37:26i really hope you pulls through this
37:27i'm
37:27i'm praying he pulls through this
37:30he will
37:33uh
37:34yeah
37:34thank you
37:37you should go
37:39i'm sure your parents want to take you home
37:48hi
37:53sorry about earlier
37:56i think i still have a lot to learn
37:59you do
38:02looks good
38:03nice job doc
38:05thank you for the trust
38:07now keep it clean and dry
38:08and we'll see you for a wound check in two days
38:10you did great
38:11didn't feel a thing
38:13suture's out in a week
38:14but come back sooner for any redness fever or drainage
38:16okay
38:16okay
38:17thank you
38:19um
38:20i couldn't help but notice
38:21there's a misgendering error on your chart
38:23i'm really sorry about that
38:25i've gone ahead and fixed it here
38:26and on your insurance data file
38:27but it shouldn't happen again
38:30wow
38:32i um
38:34thank you
38:36truly
38:37thank you both
38:38yeah of course
38:42that was cool
38:43didn't think to check that
38:45good catch
38:47uh any other medications
38:48uh the only medicine is Tylenol
38:50and she has no allergies
38:53hi i'm dr mahan
38:54hello
38:55nice to meet you
38:56uh let me catch her up
38:58jia yi is a 12 year old
38:59with six weeks of constant pain in the suprapubic area
39:02there's no fever
39:04no dysuria
39:05no nausea
39:06vomiting
39:06diarrhea
39:07no vaginal discharge
39:08and the urine pregnancy test is negative
39:10a pregnancy test
39:13of course it's negative
39:14she has a stomach ache
39:16tell me a little bit more about your pain
39:18can you give me a number from one to ten
39:19ten being the worst
39:20it was like a two the first few weeks
39:22then it went up to a five
39:24now it's worse
39:25like a seven
39:26and when was your last menstrual period
39:28haven't had it
39:29this month
39:30no never
39:31a few of my friends got theirs
39:33i'm still waiting
39:34she's only 12
39:36okay
39:37we'll be back for an exam
39:38why don't you change into a gown
39:40open in the back
39:44it's weird
39:45i mean
39:47no period
39:48but
39:48she has early secondary sexual characteristics
39:51you know
39:52breast development
39:53widening hips
39:54yeah it's primary amenorrhea
39:57what are you thinking
39:58could be a pituitary dysfunction
40:00okay how are we doing
40:01are we moving anybody out of here
40:03we're trying
40:03asthma clear
40:04gonna have to tune up
40:05so we're having steroids and albuterol
40:06i like that
40:07who else
40:07uh
40:09higher scabs
40:10don't know zip ties
40:10from airline cable
40:12fuck around and find out
40:14come monday
40:15that promoter's gonna have
40:16my lawyer's shoe
40:16so far up his ass
40:17he's gonna be flossing
40:18with the laces
40:19how are we doing in here
40:20vitals are perfect
40:21setting 98 on 4 liters
40:24nice
40:25i could go back to work now
40:26with six rib fractures
40:28a bruised lung
40:28and a catheter in your chest
40:29not the best idea
40:30but i do respect the work ethic
40:33richie
40:33get cecil on facetime again
40:35i need to see the shit myself
40:37do me a favor
40:37call dr gregorian and thoracic
40:39and see if he'll take stone
40:40as a personal favor to me
40:41and make sure he knows
40:42he doesn't need any real babysitting
40:43he's stable
40:44we just need a bed
40:45copy that
40:45projectile vomiting
40:46is better with on danzatron
40:48labs normal
40:49weight and co challenge
40:50what about manure the falling
40:51any blood acts on board
40:52pain free on the OR schedule
40:54at 3pm
40:54we've parked you in the hall
40:55for a few hours
40:55okay good
40:57a little jelly on the belly
41:00sorry
41:00it's cold
41:04and just to be sure
41:06you're not being treated
41:07for any blood clots
41:08taking any anticoagulants
41:09no i don't take any medicines
41:24is everything okay
41:27yeah
41:28there it is
41:29there it is
41:30top of seven
41:30i knew you wouldn't let me down
41:32here we go
41:33wait where is it
41:34well it sure as shit
41:35ain't swizzville
41:36they're out in my room
41:38trailing ppd
41:38what are they doing out there
41:40they're driving till the wheels fall off
41:41and it's almost outside our catch
41:43i got ten dollars that say
41:44they don't make it to the county line
41:46they coming back
41:46i don't
41:47yeah yeah yeah i'll take that
41:49they're westmoreland's problem now
41:52it's on the news
41:53yes ma'am
41:54where are they
41:54they're headed east
41:56toward monroville
41:57let me see
42:06give me twenty dollars on junkies
42:08caught outside our zone
42:10well damn
42:11well damn
42:12all right
42:19soft non-tender
42:19okay
42:20jayy we're gonna check below the waist
42:22you'll be all covered up
42:24would you like that to stay
42:25yes please
42:25don't go
42:26okay
42:27i'm here
42:27i'm here
42:29all right
42:29knees up
42:30but keep your feet on the bed
42:32and let the knees flop apart
42:35we're just gonna take a quick look
42:41you'll feel me touch your upper leg
42:42so we can see where you pee
42:44any pain
42:46no it's okay
42:51okay you can put your legs back down
42:53you did great
42:54and we know how we can help you
42:56thank you
42:57dad can we step out for a minute
43:02yay good job
43:07what's what's wrong with her
43:10her mother died of colon cancer
43:12is it
43:12no that has nothing to do with this
43:14do you know what a hymen is
43:17but
43:19not really
43:20when the baby's developing in the womb
43:22there's a membrane called the hymen
43:24which blocks the vaginal passage
43:25before birth
43:27most of it goes away
43:28but
43:28sometimes it doesn't
43:30is that dangerous
43:31no
43:32not at all
43:32the good news is that your daughter has an imperforate hymen
43:35totally blocking the vagina
43:37we saw what looks to be about three months of
43:40violacious menstrual blood bulging from behind it
43:43oh my god
43:44it's totally curable and an easy fix
43:47your daughter needs minor surgery
43:49best done under anesthesia
43:50in an operating room by a gynecologist
43:52then she'll be okay
43:55yes totally back to normal
43:58thank you
44:00we uh
44:02we lost jai's mother
44:04when jai was six
44:06and
44:07i do my best
44:08to fill her place
44:11but
44:11as she gets older
44:15her mother would have known what to do
44:17i'm sure you do great
44:19she's going to be fine
44:22thank you
44:28you should let her know
44:30i'll do the talking this time
44:35housekeeping is turning over sat 20
44:37damn we're good
44:38what's it like when i'm not here
44:39i hate to break it to you
44:40but i run a tight ship with it with that
44:42more fun with me though right
44:43jokes are better
44:44always
44:45but your tell is
44:46the hairier it gets
44:48the funnier you get
44:49and you are on fire today
44:50dr robbie
44:52it's time
45:00hey
45:12is he still with us
45:14those are called diagonal respirations
45:18close to me
45:20you said our mother's name
45:22a few minutes ago
45:25marge
45:27did he
45:28like she was here
45:30in the room with us
45:32and then he
45:34he smiled and
45:35just closed his eyes
45:40how are you both holding on
45:41i'm exhausted
45:43yeah
45:44uh i i'm
45:45i think i'm doing okay
45:47oh jeremy
45:49i am so glad that you are here
45:51same
45:51i
45:52i couldn't go through this by myself
45:55you don't have to
45:57and sarah and i are here
45:58i know
46:00thank you
46:01i need you
46:04it's good that your families live close
46:08this becomes our primary relationship now
46:13you're the last witnesses to each other's lives
46:16you hold the memories
46:19scary thought the way my memory's going
46:23i just had the craziest idea
46:26you know what we should think about doing
46:28why don't we take the boat out
46:30like this weekend
46:56i don't know
47:14No, no, no, no.
47:31No, no, no, no.
47:56Back from twice a day, warm soaks, and we'll see you here again in two days for a wound
48:01check.
48:02Got any questions?
48:02Oh, hey, hey, hey, hey, hey, hey.
48:03I need a gurney here.
48:05Now.
48:08Gurney.
48:53I need a gurney here.
49:19I need a gurney here.
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