- 5 hours ago
The.Pitt.S02E10.540p.X265.AAC [Full Movie] [Full Series]Full EP - Full
Category
š„
Short filmTranscript
00:01The End
00:02The End
00:02The End
00:04The End
00:04The End
00:10The End
00:15The End
00:15Drug Show Collapse at the waterpark. Two victims coming in via helicopter. ETA, five minutes.
00:20Time to rally the troops.
00:21I'll get an environmental to clear and drop the trauma rooms.
00:23I'm gonna restock the crash carts. Makeda, take the latest scripts to the drug cage.
00:26It'll be a fun one.
00:28Fun one. What's up?
00:29Slide broke at the waterpark. Two victims. Five minutes to touch down. No information on extended injuries.
00:33I can jump in with that.
00:35Grab some goggles, gloves, gown, go up to the roof. First patient that lands, bring him down.
00:41Hey, we've got two choppers, but then you wanna grab some bodies immediately?
00:43What injuries are we expecting?
00:44Structural collapse could be anything.
00:46I can increase the morphine drip to manage the pain, 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.
01:19Hey, you okay?
01:21Yeah.
01:22Sorry.
01:24Look, 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.
01:35And she'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.
01:56All I want is less time with mine.
01:57Don't feel guilty.
01:59I mean, you can be grateful and gracious from a distance.
02:03Just talk to her. Tell her what you want. She'll understand.
02:08I doubt that.
02:11Give her a chance.
02:13She may surprise you.
02:17Hey, two birds headed our way. Need a hand?
02:20That's the rumor.
02:22Santos. Trauma incoming. Grab a gown.
02:25You can assist Dr. Langdon.
02:30Fuck me.
02:31Jesus, I got blood tubes growing moss over here.
02:34Tick tock, people.
02:36Hey, Olive. Give me a solid.
02:37Don't need to the lab. No problem.
02:38Uh, I got more lab results.
02:41Start putting them on the patient clipboard.
02:44PTMC emergency. Go ahead, medic man.
02:46Do cyber attacks happen often?
02:47More than you realize.
02:48I blame the riskies.
02:49Dr. Mohan.
02:51It's your mother?
02:52She sounds pretty upset.
02:54She says she really needs to talk to you?
02:57What should I mean? Um, tell her I'm not available.
03:10How's your ship going?
03:12It's been a lot already.
03:15You know, I worked in an ER before up in Vermont,
03:18and we had MBAs and ODs, MIs.
03:21But this place, this place is relentless.
03:26Holiday weekend. We're not normally offline.
03:30I think we have a very different idea of normal.
03:33Not for everyone.
03:34I'm not sure it's healthy for anybody.
03:36Here's your leg.
03:38Jesus.
03:47I need more runners.
03:48Well, you could shut down the gift shop.
03:50They always have a couple of volunteers there.
03:52Everyone says volunteers use walkers.
03:54Beggars can't be choosers.
03:56Go get them.
03:57Okay.
03:57I'm gonna grab a smoke first.
03:59No time.
04:00Nicotine gum. Take 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. Let's go.
04:07Hang on, Moham.
04:11Sign this.
04:14Nicotine patch, 21 milligrams. Who's it for?
04:17Monica.
04:18This nicotine gum shit.
04:19She'll never survive the shift, and 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 before his night shift starts in a couple of hours.
04:30Shit.
04:31Okay.
04:31I should have planned this better.
04:33I was hoping he'd write me a letter of rec for an elective so I could have a shot at
04:37a fellowship next year.
04:38Which one?
04:41Whichever will take me.
04:42Did the electives fill up a while ago?
04:44Don't remind me.
04:45I'm gonna throw myself at the mercy of the court, beg for them to take me anyway.
04:49Just kill me now.
04:50Be less painful.
04:52You know, I can't read this handwriting.
04:53I can't read it.
04:53It says 1,000 milligrams of acetaminophen orally,
04:584 milligrams of denotron under the tongue, and trial of clear fluids.
05:02Seriously?
05:03It says all that?
05:04It's not in a text with emojis.
05:06You kids can't read for shit.
05:11What do we have?
05:11Fall from 10 feet onto a metal fence.
05:14Right below the knee, good vitals.
05:16Oh, it hurts.
05:17Oh, my God.
05:18What's she had so far?
05:1950 event, repeated 25.
05:20No meds, no allergies.
05:21Where should I put this?
05:22Just hang on to it for now.
05:24On my count.
05:25One, two, three.
05:29Hey, Whitaker, eat fast.
05:30Donnie, primary survey, please.
05:32Pupils equal and reactive.
05:35What's your name?
05:36My leg hurts really bad.
05:38Did I break it?
05:39Um, I wouldn't say that it's broken exactly.
05:41We're gonna get an x-ray to determine that.
05:43Put that on the gurney, light it up for x-ray, keep your fucking mouth shut.
05:47Good, long sliding right and left.
05:49Airway Peyton, breath sounds bilaterally.
05:51My head hurts.
05:52BP, 100 over 60.
05:54Pulse, 118.
05:55Pulse lock, 98%.
05:57Does your belly hurt?
05:58No, asshole, it's my leg.
06:01Okay, she's really moving here.
06:02I'm drinking ketamine?
06:03Yeah, we can't evaluate like this.
06:06Hey, Ogilvy, deep breaths, yeah?
06:09Yeah, okay.
06:10Let it go, what's next?
06:11Uh, once she's sedated, finish the e-fast, plain x-ray, check her back straight to CT.
06:16What if the ketamine wears off?
06:18Right.
06:18Uh, we should do a popliteal nerve walk before the CT, anesthetize from the knee down.
06:24Two of you, tip-fib, pushing ketamine now.
06:26What's the bullet?
06:2742-year-old male with 20 foot fall.
06:29I want chest trauma with hand injury.
06:31Where's my son?
06:32Where's my son?
06:33It's packet 108, SAS 98 on two liters, BP 122 over 84.
06:37What pants can do to mechanism, you?
06:39It's a fib amputation, hoping ortho can give us a little hope for replantation.
06:43Derek, where are you hurting?
06:45Chest, in my finger.
06:46Did they find my son?
06:47Did you hit your head?
06:48Don't think so.
06:49I need to find my son!
06:51We'll find him for you, but we need to take care of you first.
06:53Pericardium's clear, no fluid in Morrison's.
06:56Move both arms, wiggle 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 hemotampinum?
07:05Normal sliding.
07:07Best to start with the side he's complaining about first.
07:10Uh, I don't see much sliding there.
07:12His name is Zach.
07:14He's seven.
07:15Pneumothorax?
07:15Set up for a chest tube.
07:16Not yet.
07:17Uh, let's go posterior lateral.
07:20Look for fluid first.
07:21Traumatic pneumothorax.
07:22We should prep the chest.
07:23Not necessarily.
07:24He's hemodynamically stable.
07:26Okay.
07:27Does that look like some fluid there?
07:29Hard to say for sure.
07:30Okay.
07:31He's tachycardic human with our axe.
07:33He needs a chest tube.
07:34BP and stats are fine.
07:35We can wait for CT.
07:36If it's small, resolve on its own.
07:37We observe and reimage.
07:38I agree.
07:39He's stable for now.
07:40Let's wait for the scan, Dr. Santos.
07:41Okay.
07:42Let's order, uh, CT chest, abdomen, pelvis, and x-ray left hand.
07:47Whoa.
07:48Major degloving.
07:49Focus on the primary.
07:50Dr. Langdon's correct.
07:51We need to log roll him.
07:54Okay.
07:55Okay.
07:55How about another four more feet?
07:56Put it in.
07:57Hang in there, Derek.
07:58We got you.
08:01Fuck off already.
08:04Boyfriend?
08:04Wish.
08:05My mom.
08:06Every time I get a second of service, another dozen times.
08:09Hey!
08:09How much longer do I have to wait?
08:11I got a broken leg here.
08:12Someone will be with you shortly, sir.
08:14Am I allowed to use the bathroom?
08:16I really have to go.
08:17I don't know, ma'am.
08:18I am not your doctor.
08:19It says right there, doctor.
08:21Yes, but I'm not your doctor.
08:22But if you go back to your room, a nurse will come find you.
08:25I wasn't in a room.
08:26I had to be parked in the hall.
08:27I'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, come on down.
08:48Helen Torres.
08:48Yes.
08:49Yes, yes.
08:52Let's go.
08:53Let's go.
08:53Let's go.
08:54Let's go.
08:55Oh, thank you.
09:10I'm Dr. Mohan.
09:11The assistant Dr. Kwan.
09:12Helen.
09:13How long has your leg been swollen, Helen?
09:15It's been getting worse over the past week.
09:18Dr. Mohan, your mom called again.
09:21She said you don't need to go back.
09:23With a patient.
09:27Sorry about that.
09:29Did you fall or hit your leg?
09:32No.
09:34Have you ever had a blood clot before?
09:36No.
09:41Are you alright?
09:42Excuse me?
09:43Do you need to sit down?
09:45Oh, no.
09:45I'm fine.
09:47You don't look too good.
09:48What?
09:50No, it's just, um...
09:51It's really hot in here.
09:54And, uh...
09:55And, uh...
09:56You need to sit down.
09:57I'm good.
10:00I just...
10:01I need some hair.
10:02Maybe.
10:02Excuse me one second.
10:03Let's go.
10:29Look out, McWay!
10:33Get in.
10:35I'm okay.
10:36I'm okay.
10:37Get in the fucking chair.
10:43Meet me.
10:44Coming through.
10:45Out of my way.
10:47We were going down the water slide and 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...
10:58I 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.
11:08Okay, do you feel anything here?
11:09Yeah, sharp.
11:10How about here?
11:11Sharp again.
11:12You're a little late for the show, Yoyo.
11:14I am the show, Dr. Langdon.
11:15You're the warm-up act.
11:16I knew somebody missed me.
11:18Mr. Foster suffered a degloving injury of the ring finger.
11:21Stable pneumothorax awaiting imaging.
11:23Hello, sir.
11:24I'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.
11:32I...
11:33Try 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?
11:46That's a med student question.
11:48We're a teaching hospital.
11:50It's always good to review.
11:53Flexor digitorum superficialis is intact as it inserts on the middle phalanx.
11:58Correct.
11:59Gee, thanks.
12:01No sign of tension.
12:03There's no tension in your mouth.
12:06Let's wait for the CT.
12:07I'll be next door.
12:08Langdon.
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, I'll let Becca know I'll be there soon.
12:15And Mr. Foster got separated from his son, Zach, at 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 this while bleeding.
12:39Perla?
12:40Can I get an assist here?
12:41Yeah, I'm on it.
12:44CT's normal.
12:45Why do we take down the tourniquet, Whitaker?
12:47To give the residual limb blood slope.
12:49Oh, fine.
12:50Two little pumpers.
12:51A couple of figure eights.
12:52How to take care of those.
12:53Mm-hmm.
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.
13:03X-ray?
13:06Not too bad.
13:07Mm-hmm.
13:10Just, uh, tying off a couple materials.
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.
13:25We 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.
13:49Clean wound.
13:50No crush injury.
13:51Rapid transport time.
13:54Replantation is a go.
13:56I'll book an OR.
13:57Irrigate the hell out of this with three liters.
13:58Three liters?
13:59A saline, genius.
14:02Thanks, Shark.
14:07I knew he meant saline.
14:10Dr. Robbie, we need you essential 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.
14:23I'm okay.
14:24You don't look okay.
14:26You look like shit.
14:27I feel like shit.
14:28What happened?
14:29I...
14:30I don't know.
14:31I just got really hot, and I started having trouble breathing.
14:35We should send her some labs to be safe.
14:39Any chance you're pregnant?
14:40Not sure I feel comfortable answering that.
14:44No.
14:45She was tacky, but 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 that's all fucked up.
14:54It's just my mom moving and calling me over and over again, and now me scrambling to find
14:59a job next year.
15:00I had it all planned out, and now everything's just out the window.
15:03Wait a minute.
15:03Is this a panic attack because of your mommy issues?
15:06What?
15:07No.
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, the ED is a shit show, so let's all get back to work, huh?
15:25Sorry for taking so long, Becca.
15:28Nurse Dana said you'd be back in a few minutes, but it's definitely been more than a few minutes.
15:32You're right.
15:32My apologies.
15:34I brought some drink options.
15:36Okay.
15:37We've got apple juice, cranberry juice, OJ, and Pittsburgh's Finest.
15:43What's that?
15:45Water.
15:46OJ, please.
15:48Okay.
15:50Let's see.
15:54All right.
15:57Now, I am going to give you two pills.
16:00The first is an antibiotic that will get rid of the infection.
16:04The second should take care of the burning.
16:06You want to take both pills for three days and 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, as far as telling your sister what's going on with you, that is your decision, not mine.
16:35So, you're not going to tell Mel?
16:38I can't.
16:39Not unless you, my patient, tell me to.
16:45Do you know when Mel's going to be done with her important meeting?
16:50Hopefully soon.
16:52Dr. Langdon.
16:54I need you by control, too.
16:59That guy, I gotta go.
17:01I will be...
17:01Don't say in a few minutes, unless you actually mean in a few minutes.
17:05I would never.
17:11and i need you to be kind to each other i'm kind she's just a butthead sometimes
17:19he's your brother and he loves you
17:25don't go i don't want to go
17:29but it's it's not up to me okay we'll always be connected no matter what
17:42invisible string
17:47invisible string
18:01hey
18:04you gonna go in and see your mom
18:08cancer sucks
18:11yeah yeah it says
18:16it's not fair
18:18no it's not
18:23i don't want to go in there
18:28nobody's gonna make you
18:36she didn't used to look like that
18:41yeah i get that
18:47if 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
19:06b5 half normal saline 28k run it at 125 an hour
19:11one of the most common reasons for traumatic replantation failures infection so we do what
19:16whitaker rinse and repeat until surgery calls for us
19:21is everything okay with dr mohan
19:23she's fine focus
19:32kenamine's worn off
19:36i can't feel my leg
19:39i'm dr michael rubinovich you're at a hospital and we give you a nerve block so that you can't feel
19:43any pain
19:44why
19:45you 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
19:57did you cut my fucking leg off
19:58your leg was cut off from the accident
20:00our surgeons are gonna try for replantation
20:02i
20:03no
20:03she needs more ketamine
20:05grab up the leg
20:05emily i know that this is really hard i need you to focus on me right now
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 and there's no guarantee
20:15emily
20:17can you just just put it back on
20:19you like it can you just put it back on
20:21that sounds 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 a jeweler can weld it back together good as new
20:40well stop irrigate 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 than 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
21:09okay what do you want a pigtail catheter
21:12i was thinking a thoravent
21:14what why
21:15it's not a bad idea
21:16no need for wall suction
21:18the pan can operate today
21:19you can go home tomorrow with a thoravent
21:21you can learn a lot from your senior residents
21:23i'm happy to teach dr sanzos
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
21:53it's a marathon
21:55fine my pretties
21:58okay
21:58any word i'm finding on water slide dad's kid
22:00not yet
22:01called the wife went straight to voicemail
22:04at least dispatch said that there were a couple of fatalities on site when 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
22:17i'll take care of it
22:18thanks
22:19dana this gum is absolute
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
22:27you're welcome
22:29what
22:31the prescription is for you
22:32my insurance will cover it
22:33hers won't
22:34is that insurance fraud
22:37tell me in jail
22:38i could use a vacation
22:43mom
22:49i'm
22:49i'm really glad to see you mom
22:51i
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
23:01even 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
23:22love you
23:28well
23:29that is one way to do a debrief
23:31you should talk to her
23:32which one
23:33honestly
23:33both of them
23:34can you call in some extra doctors
23:36sure
23:37everyone's dying to work on the fourth of july
23:39why
23:39dr mohan went down
23:41yeah
23:42i saw your pep talk
23:45she's taking a little break until her labs are back
23:47she's going to be fine
23:48but i'm not sure her head is in the game
23:51come on it cap
23:53small stab incision with the 11 blade
23:55mid-clavicular line
23:56second intercostal space
23:58she's gonna stab me
23:59it's just a medical term
24:01stay superior to the rib
24:07is there a problem
24:08nope
24:09everything's going well
24:11place the trocar
24:13pull back the adhesive wings
24:16and advance until you see the red diaphragm move
24:20that means you're in the pleural space
24:22now remove the trocar
24:28perfect
24:29okay now we can either
24:32hook up to wall suction
24:33or we can use this one way valve
24:35to repeatedly aspirate with a syringe
24:37now with all your vast experience
24:38dr langdon
24:39you should probably decide
24:43we can avoid wall suction
24:45if i pump manually
24:46how about it doc
24:47enough
24:48apparently decency and decorum
24:50need to be reintroduced
24:50to our r2 curriculum
24:52nice work dr langdon
24:54we'll go check on an or for mr foster
25:02hey
25:02i'm gonna need you to pick up the pace
25:05can i get a sec
25:06dr mohan just almost died on me
25:08it's not even close
25:09she's tougher than she looks
25:11propane hero and north four
25:13hey any word from surgery
25:14and how our big patient
25:15howard's perforated diverticulitis
25:17is doing
25:17still in the or
25:18what about our drunk firework kid
25:20wait this turn in the surgical conga line
25:23what about social services
25:24that they found a temporary foster home
25:26for our baby jane doe
25:27still working on it
25:29kid's gonna be old enough to drive
25:30by the time she gets out of here
25:31you joke
25:34oh for fuck's sake
25:36go
25:37quickly
25:37before i change my mind
25:39hey
25:40did the county pick up louie's body yet
25:42no he's still in the vial room
25:44jesus
25:44he's just laying in there
25:45yeah
25:45another couple minutes of them
25:46wheel him down to the morgue myself
25:50what's the bullet
25:50eight year old boy
25:51part of the water park accident
25:52thrown off the water side
25:54how far did he fall
25:54maybe six or seven feet
25:56landed in a tree
25:57had to wait for a ladder check
25:58to get him down
25:59major neck trauma
26:00must have taken all the impact there
26:01couldn't tube him
26:02hard to bag
26:02stats in the 80s
26:03bp 85 over 60
26:05pulse 50
26:08okay one
26:09two and three
26:12possible laryngeal fracture
26:13hypoxic bradycardic
26:15kid needs an airway
26:16before your wrist
26:16broslow tape
26:18peds cart
26:18set up suction
26:19oh my god
26:20is that zach
26:22hey
26:22hey kid can you look at me
26:25no response
26:26no purposeful movement to pain
26:29oh my god
26:30is this your kid
26:32no
26:32sorry go back to your room now
26:33broslow says 25 kilograms
26:35jesse
26:35five and a half et2
26:36okay uh
26:38a 30 of rock
26:3950 can be
26:39you're gonna paralyze
26:40yep
26:41if we can't intubate
26:42we crack
26:43he's too young for a crack
26:44needle crack
26:45you can't ventilate through that
26:46sass down to 78
26:4711 blade kelly
26:48and a peds bougie
26:49one quick look
26:50and then we cut
26:51i can't tell if there's long sliding
26:52no movement
26:53no air entry
26:54way too edematous
26:55i can't see the cords
26:56better with crack work pressure
26:59nothing
26:59fuck
27:00okay
27:00tall world between the shoulder
27:02weights
27:02heart rate down to 49
27:03headed to cardiac arrest
27:04the trach's gonna take 20 minutes
27:05this kid's not gonna last 60 seconds
27:06that's why we're doing a slash trach
27:08don't know it
27:08me neither
27:10boss
27:10show me what you got
27:20pull up the trachea between your thumb and middle finger
27:24vertical incision right over the trachea
27:27vertical not horizontal
27:29or you transect the trachea and cut the jugular veins
27:33that's a lot of blood
27:34now 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
27:51stupid suction
27:52lots of blood in the airway
28:01okay back in
28:03check the co2
28:06sounds 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
28:17okay
28:18stats are up to the 90s
28:20good co2's in the 50s
28:22good heart rate
28:22you forgot the last step
28:23change your underwear
28:25how many of these you done
28:28first one
28:28you serious
28:29what about you
28:30none
28:31i practiced in the sim lab
28:33when i was at stanford
28:34what'd i miss
28:34all the fun
28:35slash trach
28:36seriously
28:37uh fractured larynx
28:39couldn't oxygenate
28:39couldn't ventilate
28:40use a meat cleaver on this kid
28:42e and t can revise the trach in the or
28:45they'll be thrilled to clean up your mess
28:47or maybe they'll thank us
28:49for not letting him die
28:56so 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
29:12but it may still be a little while
29:13before 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
29:48a friend made me come in
29:51name's robbie
29:52he said i should
29:52ah you're duke
29:54donnie
29:55yep
29:55robbie's vip is here
30:01hi i'm donnie
30:03nurse practitioner
30:04robbie's already put in orders for
30:06a numbing spray for your nostril
30:09nostril it's my throat
30:11it's not my nose
30:11okay
30:12let's get you uh
30:13set up in a room
30:18that was the most unprofessional deposition i've ever witnessed
30:22they were nowhere near that aggressive with dr ellis
30:26okay
30:29it didn't go as badly as you think
30:32they suggested i was incompetent
30:33they're posturing to set the stage for a ridiculous settlement request
30:37this isn't about those parents or that kid it's only about trying to make a lot of money
30:42well
30:43i 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
30:58oh
30:59have you seen dr langdon
31:00uh no why
31:04okay okay how is becca
31:06oh she's fine
31:07yeah
31:07okay i should go see her then
31:09how was your deposition i'm sure i was stressful
31:12it 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 you're gonna have to ask yourself
31:25yay you survived your deposition
31:27welcome back to the seventh circle of hell
31:28what uh what's this
31:29you're welcome for covering your patients
31:32they are yours again
31:33might want to check on the pancreatitis in our three first
31:36oh 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 the way to come get him
31:43can i get the county coroner's number
31:46what for
31:47i just want to make sure if no family shows up louie gets a proper burial
31:50it's expensive
31:51you may want to rent it by the missus first
31:53uh
31:54maybe i started go fund me
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 is 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
32:13okay
32:15i'll dig it up
32:19you heard all that
32:22robbie
32:23your vip's here
32:24got him in central 11
32:26finally
32:30about fucking time
32:31if i knew you were gonna make me wear a dress
32:33i wouldn't have come at all
32:35dennis whitaker
32:36meet 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 sturdy exterior fool you
32:46deep down inside he's just as grumpy
32:48how did you two meet
32:50tinder
32:52duke is a motorcycle engineer
32:54he should have seen his bonnyville when he first brought it in six months ago
32:58someone left it for dead
33:00he helped me bring it back to life today we're going to return the favor
33:03dr whitaker is one of our most trusted physicians and today he's going to help me oversee your care
33:07uh what 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
33:14okay any 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
33:23okay he on any medication
33:24uh blood pressure meds
33:27which he forgets to take
33:28he's all numbed up and ready to go
33:30okay thank you donnie
33:33my man
33:34i'm gonna take this scope
33:36and i'm gonna stick it in your nose
33:38and we're gonna check out
33:40your 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
33:47the scope is gonna give us a better view of your voice box
33:50and your vocal cords
33:53here we go
33:58you're gonna feel a little pressure between your eyes
34:01i am sorry about that
34:03okay
34:03just breathe through your nose
34:05this is gonna help us see if there are any abnormalities
34:08like inflammation
34:09tumors
34:09nodules
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
34:17good
34:18now say eee
34:19eee
34:20good
34:21now again say eee
34:22eee
34:23good
34:23removing the scope
34:25mmm
34:27dr whitaker what do you think
34:29looks normal
34:29no 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 intermittently
34:41that 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
34:50besides i finally got you into my edu
34:52you're gonna get the golden workup before i leave town tonight
34:55only an idiot would ride all night after working a twelve hour day
34:59that
34:59does sound pretty dangerous
35:01stay put or do i have to tie you down
35:03fine
35:03so long as you keep your hands where i can see them
35:05no promises
35:07let me know when his chest x-rays back
35:08yeah
35:13hey
35:14hey
35:15are we okay
35:18uh yeah
35:19why
35:21i don't know
35:21you kind of ripped me a new one in front of langdon
35:25whose side are you on
35:26this isn't middle school
35:28langdon made a mistake and owned up to it
35:30let it go
35:31he should
35:34he should have been fired
35:36but instead he waltzes back in here
35:39no big deal
35:39meanwhile i've been a goddamn pariah for the last ten months for doing the right thing
35:44or maybe you're a pariah because you don't play well with others
35:48if you still got beef with langdon
35:49go tell him
35:51he's here to stay so
35:52put on your big girl panties and work it out
35:54no
35:55it's not
35:55you want to have sex and eat ramen in bed
35:58i'm your girl
35:59but if you want to talk about this langdon shit
36:01again
36:02call a therapist
36:13how's it hanging dr j
36:15never call me that again
36:17it was a joke
36:18relax
36:19he's clueless about your tiktoks
36:22but you're not
36:23props on the side hustle
36:25there is no hustle
36:26there's some stupid videos
36:27wait are you an influencer
36:29no
36:29yep
36:32yo pre-docs
36:33it's not happy hour yet
36:34there's still shit ton of patients to be seen
36:40oh ben
36:41our slash trade kid from the water park
36:43had some purposeful movement in pre-op
36:46that's a good sign
36:47take the win
36:51we need to talk
36:54we are talking
36:55in private
37:05what the hell was that with samira earlier
37:08that was tough love
37:09you are her superior
37:11she was obviously struggling
37:12and your advice was go home
37:14essentially yeah
37:15this is the ed
37:17it's not for the faint of heart
37:18it's not for the unempathetic either
37:21samira's not having a panic attack
37:23because 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
37:37this place won't fall to shit when i'm gone
37:40found him
37:42found who
37:43the water slide dad's kid
37:44how'd you manage that
37:45i went outside
37:46stalked the dad's ig
37:47found a pic of his son
37:48sent it to pittsburgh pv
37:49now they're on the way over
37:50well maybe gen z
37:52should be working for the fbi
37:58hi
37:58mel
38:01you uh
38:02you doing alright
38:03i'm a little bored
38:06um
38:06how are you feeling
38:07a lot better
38:08dr langdon gave me some medicine
38:10and oj
38:11he's super nice
38:12i see why you like him
38:15did he tell you
38:16what the medicine was for
38:17yes
38:18um
38:19did you tell her
38:20i did not
38:22uh i explained to becca
38:24that due to doctor patient confidentiality
38:26everything she told me was private
38:28and that it was her decision
38:30if she wanted to share anything with you
38:32or not
38:34um
38:35do 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
38:58hold your pee in for too long
39:00or you accidentally wipe from back to front
39:02mel i know
39:02i know mel
39:03he told me
39:04oh
39:04good
39:05you know
39:06he also told me
39:07it can happen from having sex
39:10uh
39:10yeah
39:11it can
39:11uh
39:12it's not like you're having sex
39:14yes i am
39:16yes
39:19what
39:20i'm having sex
39:24with who
39:25my boyfriend
39:26you have a boyfriend
39:27yes
39:28his name is adam
39:30and
39:31we're having sex
39:33lots of sex
39:37okay
39:40um
39:42mel
39:42are
39:43are you okay
39:45mm-hmm
39:49got a sec
39:51sure
39:52how you feeling
39:53i'm fine
39:55are you sure
39:55yeah
39:56troponin d-dimer and tsh
39:58all normal
39:59listen i'm sorry about earlier
40:01i think i was being
40:02a dick
40:04i was gonna say i'm professional
40:06but probably that too
40:08i'm sorry
40:11thanks
40:12but now i kind of need you to stop feeling sorry for yourself
40:15and 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
40:29your breathing will slow down
40:32you may get very sleepy
40:36paul 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
40:57okay
40:58okay
40:59here we go
41:23you may be
Comments