- 4 hours ago
The.Pitt.S02E07.540p.X265.AAC [Full Movie] [Official Release]Full EP - Full
Category
🎥
Short filmTranscript
00:25Oh, okay.
00:27Where are we now?
00:29Got the VRI for a deaf patient in Central 12, still waiting on Pete's for baby Jane
00:33Doe.
00:34Central 6 is sitting pretty with his insulin drip and the Westbridge Diversions are kindly
00:37waiting their turn to sip for ours in our lovely halls.
00:40You are some kind of savant.
00:42Worthy of a race?
00:43Just more of my love.
00:45But enough of that, I have a sexual assault victim in triage I call par, so an advocate
00:50is on the way.
00:51Okay.
00:51We'll take care of it.
00:53Uh, Dr. McKay, what's going on with your patient in Central 9, isn't she good to go?
00:57Oh, she was, but she decided she wanted to stay in the hospital now because she's in
01:01too much pain.
01:02In our loud and overcrowded ED with more Westbridge cases arriving every moment, she would be
01:06more comfortable at home.
01:08But deep breath is lovely.
01:13Would you mind helping Dana with a sexual assault victim who just came in?
01:16Of course, sure.
01:17Why don't you and I go see if we can't convince your patient to leave?
01:20All right.
01:21I need to take care of a sexual assault victim in triage.
01:23One of you needs to hold down the fort.
01:25We can call for a saint.
01:26On a holiday?
01:27It'd be ours.
01:28We're not going to make this patient wait.
01:29And since I'm the only saint on staff...
01:31Princess, look over.
01:33Hey!
01:34Hey!
01:35You two better not be teaching any bad habits.
01:37Come on.
01:38You ready, dog?
01:39Sure.
01:39A saint is a sexual assault nurse examiner.
01:43We do forensic exams, collect the evidence, and hand it over to the police if a report
01:47is made.
01:48We also provide resources, support, sometimes even testimony.
01:51You go to court?
01:52Saints are very valuable in a hospital, especially in the ED.
01:55More nurses should train for it.
01:57It's a not-so-subtle hint.
02:07Looks like this is the new hotspot, huh?
02:09And only getting hotter.
02:10Any word on what's going on with Westbridge?
02:12I got 20 on lanternflies.
02:14Nope.
02:15Nothing.
02:16These patient passports have an interesting alternative use.
02:19Where's the sexual assault victim?
02:21She's in triage tier two.
02:22Thanks, Lupe.
02:24Here's her intake.
02:25Got it.
02:34Hi, Miss Miller.
02:35I'm Dana.
02:37How are you doing?
02:39Been better.
02:40Been better.
02:40Yeah.
02:41You're in a safe place now.
02:42I'm the charge nurse in the ED and a sexual assault nurse examiner.
02:46This is Emma.
02:47I'll be assisting.
02:49And I'm Dr. Al Hashimi.
02:50I'll be checking you for any injuries that need immediate attention.
02:54You can just call me Alana.
02:55Um, I don't have any injuries.
02:58Okay.
02:58That's good.
02:59We're gonna get a room ready for you.
03:00Meanwhile, Dr. Alashimi's gonna ask you a few questions.
03:03How long is this gonna take?
03:05I can't promise an exact time, but we'll try to be as fast as you need.
03:10Yeah.
03:15Okay, Alana.
03:16Do you take any prescription medications?
03:18Just Synthroid.
03:19One tab a day.
03:20Okay.
03:21And any allergies to medications?
03:23No.
03:24Okay.
03:24Dana will come get you when the room is ready, and I'll be back to finish your exam.
03:35Come find me when she's in a gown.
03:37Will do.
03:38We're gonna use triage exam rooms one and two for this.
03:41It's the most private space we have away from the ED.
03:44All right.
03:44This can be a lot.
03:45You up for it?
03:47Yeah.
03:49Yes.
03:49I'm good.
03:50All right.
03:50Let me know if you need to step out.
03:54Oh.
04:04Dr. Ellis.
04:05Oh, no.
04:06Oh, yes.
04:07Dr. Ellis.
04:08Need the room.
04:09Find another place to lay your head.
04:11Not even a 20-minute power nap?
04:13No, my double's at 1.30.
04:15I'm too high.
04:15No.
04:15We're getting Westbridge diversions.
04:17And chairs is insane.
04:18Didn't you see out there?
04:19No.
04:20I do not come in through that mess.
04:21Okay.
04:23Yeah.
04:25People sleep in here?
04:25Yeah.
04:26No, I chipped off.
04:27Just need rest.
04:28Especially if they have to come in during the day.
04:30But today we can't waste the space.
04:32I need you to get me a stool on wheels and Esme for a turnover.
04:40So you're having a headache and abdominal pain?
04:47Yeah, that's right.
04:48Okay.
04:49And which would you say is worse?
04:55My headache was terrible last week, but now...
05:00Hey, you're breaking up.
05:01Can you run that back again?
05:03Sure.
05:07My headache was terrible last week, but now my abdominal pain...
05:13Oh my god, come on, you piece of shit.
05:16Fuck.
05:21Um...
05:35Um...
05:45I'll...
05:46I'll be right back.
05:48Sorry.
05:56Um...
05:56Dr. Al-Hashimi?
05:57Jackson's parents are here.
05:59Okay.
06:00Take that.
06:01Um, Mr. and Mrs. Davis, this is one of my attendings, Dr. Al-Hashimi.
06:05Hi.
06:06Nice to meet you.
06:07Demi.
06:07Charles.
06:08What the hell's going on?
06:10He's barely conscious.
06:12Jackson's just a little tired due to the sedative he was given.
06:15You sedated him.
06:16Oh, your son was brought in extremely agitated.
06:18You'd be too if you were chased.
06:20And why the fuck did they do that?
06:22This is bullshit.
06:24We're taking him home.
06:25Why don't we step out for a second?
06:35Right now, Jackson is on an involuntary psych hold.
06:38What?
06:39That's not necessary.
06:41He just needs some rest.
06:42He's been studying for the bar exam.
06:44We can watch him at home.
06:45So far, all of his tests look good, but Jackson has reported hearing voices.
06:50This could be serious.
06:51Dr. Jefferson will come back and speak with you.
06:54He can explain more of what may be going on with Jackson.
06:57And who is Dr. Jefferson?
06:58He's from psychiatry, and he's excellent.
07:00He can explain next steps and answer all of your questions.
07:02Javati, why don't you take the Davises to the family room?
07:05Sure.
07:05Excuse me.
07:06It's just this way.
07:29You have reached the Pittsburgh Neuroscience Group.
07:33If this is a medical emergency, please hang up and dial 911.
07:37For our address and office hours, press 1.
07:40To refill a prescription, press 2.
07:43To leave a message for the doctor on call...
07:47Hi, this is Dr. Baran Al-Hashimi.
07:50I'm a patient of Dr. Fairgraves.
07:51I need to speak to him if he's on call.
07:56If he's not, I'll take his next available appointment.
07:59And please call me if he has a cancellation.
08:04Like I said, you're more than welcome to stay down here until an inpatient bed opens up upstairs.
08:09But that can take a while.
08:11Sometimes days, even longer.
08:14It's gonna be really noisy here and you won't get any rest.
08:17At home, you'll be surrounded by your family and be more comfortable.
08:22It's your choice, Roxy.
08:27It's not that I don't want to go home, but...
08:30Hi, Mom.
08:31Mom.
08:32Lena texted me to come back.
08:33I figured I'd bring the boys.
08:36What's going on?
08:37Is everything okay?
08:38Robbie.
08:39Police officer.
08:40Incoming trauma.
08:41Yeah.
08:42Coming.
08:43I'll be right back.
08:44We'll give you a chance to talk.
08:48Okay.
08:49You can have a seat.
08:58Do you need anything before we begin?
09:06You are in control now, Alana.
09:09We're here to help and support you.
09:11Once I open this kit, I cannot leave the room.
09:15But if you need a break or some air, just let us know.
09:18Okay?
09:19Emma can go with you if you like.
09:22An advocate from Pittsburgh Action Against Rapists been called and they should arrive soon.
09:26Can we start?
09:27Sure.
09:28I'm gonna put my face shield on so it don't contaminate anything.
09:32Emma's already done the same.
09:35Now, in order for the doctor to do her exam, I need you in a gown, but I need to
09:40collect your clothing first.
09:41Is that okay?
09:47I'm gonna need you to undress on top of these pads.
09:50Put each item of clothing on the pads, okay?
09:54Then we'll package each piece in a separate bag.
09:57We'll get you new clothes.
09:58Don't worry.
09:59All right.
10:00Emma's gonna be behind this curtain and I'll be in here with you.
10:04Take off your shoes first.
10:07When you're done, I want you to put on your gown, open in the back.
10:15Okay.
10:39What if the mom doesn't want to leave?
10:41Well, then she's gonna have to put up with us
10:45I can't imagine
10:48Her boys. Oh, don't go there. I'm gonna see if I can grease the wheels get her room upstairs soon.
10:53Good luck
10:54What is that? I've had a plan for a hall space filling up fast police officer should be here any
10:59minute
10:59Yeah, well as soon as you can please I need you to fix the VRI
11:03Thanks
11:04Santos I need you to pick up some more of these Westbridge diversions. Sure you want my firstborn to maybe
11:09well they know how to suture
11:11Intubated neck wounds. That's not great. We were diverted here. Is there a trauma room open trauma one?
11:16What's the story my buddy officer hero high-velocity GSW. He's getting harder to bag warehouse robbery gone sideways
11:23One two three you guys wait here. We'll take care of him. I promise
11:27I thought you left us already for the open road. I miss seeing you in uniform
11:31You should see me as a flight attendant. Do you do this intubation under active fire? Yeah, are you serious?
11:36I go in with the team in case there's an injury. That's badass. Dr. Santos
11:40Let's make sure these lungs are up. Can you see the course?
11:42Yeah, it was a great view, but it's hard to pass after I cleared him. Yes, that's only 85
11:46Dr. Santos what could cause respiratory failure in an intubated patient? There are a lot of possibilities
11:52I think dope
11:53Displacement, obstruction, pneumothorax, equipment failure, good lung sliding, no pneumo
11:59It is displacement. Okay, that is a transjected trachea
12:05Pulling out
12:07Bag
12:08But if you intubate again, won't it just come straight out the wound?
12:11Yep, exactly. So we need another plan
12:14Okay, fast down to 83
12:15Yeah, he's not moving in the air. Okay, I need a neonatal mask
12:18Neonatal? Yep
12:21I'm just going to finish my initial exam. Let me know if you feel any pain, okay?
12:29My legs are fine
12:32Well, it looks good
12:34No need for x-rays or advanced imaging
12:36Got it
12:37Two areas of ecchymosis
12:39That means breathing
12:40Over the shoulders bilaterally
12:41I'll document my photos
12:43Okay
12:44Dana will finish up her work and I will be in the ER if you have any questions
12:47You're in great hands
12:49Thank you
12:51Alright, a lot of
12:53I read your intake
12:56Why don't you give me your description of exactly what happened?
13:01I was at a 4th of July barbecue
13:06With a bunch of friends
13:09I helped set up
13:19Where does it hurt?
13:21Like here, under my belly button
13:24Okay, do you have any fever, vomiting, diarrhea?
13:29No, it's just a stomach ache
13:31Okay, let's still go see the nurse and have her call me
13:33Okay, but I'm still having ice cream tonight
13:37Let's just see how you feel later
13:39It's not bad, you don't have to get so sad
13:42I'm not sad, I'm good
13:44Your face doesn't look good
13:47Um, well, do you still want to watch the fireworks tonight? I have our headphones
13:54I'm not being rude
13:55Sorry, Becca, I gotta go
13:56I'm not being rude, I'm not being rude
14:00I'm not being rude
14:00Sorry
14:00Sorry
14:02Elliott Green, 17, syncopal episode of football practice
14:05Look, I just got dizzy, okay?
14:07It's hell week, I need to get back
14:09Yeah, okay, tough guy
14:10A&O, systolic of 95, tacky at 122, no meds, no allergies
14:14How long were you at practice?
14:16Started at 9, so like 4 hours
14:194 hours in this heat with all that gear?
14:21No pain, no gain
14:26God, I'm hungry
14:29Hey, when's our break?
14:32There's no breaks down here
14:33Always make sure you pack a protein bar, something quick
14:36Ogilvy, Joy
14:38Jump in on this
14:40Syncope at football practice
14:41I just, I just need it to hydrate
14:44Possible heatstroke?
14:46Well, with heatstroke
14:47You would have an altered mental status
14:48And they're usually dry, not sweaty
14:49Mortality is 50%, especially in the elderly
14:51In an extreme heat like this
14:55Landon, can you cover this?
14:57No problem
14:57Mr. Diaz?
14:58Orlando
14:59Orlando
15:00Where are you going?
15:01Home
15:01You take these out?
15:02Uh, no
15:03It takes 48 hours for you to get out of DKA
15:05Your blood is still full of acid
15:06Look, I can add thousands of dollars to the 100 grand I already owe
15:09I'm, I'm sorry, 100 grand?
15:11The medical debt
15:12My wife doesn't even know
15:14I'll never be able to pay it off as it is
15:16Where are your wife and daughter? Maybe we can all talk
15:18I told them to go back to work a couple hours ago
15:20The hospital is giving you a big discount
15:21And Mr. Diaz, I know it's not ideal
15:23But can you stay for at least 12 hours? It will get you out of the danger zone
15:27No
15:28I really can't
15:29Every minute I stay is a meal
15:31Shoes, school supplies
15:33Plus, I have a second job I have to get to by 4
15:35You need fluids
15:37I drink plenty of water
15:38And potassium, and insulin
15:40How about this?
15:41You stay and I'll get together everything you'll need at home
15:44Also, a referral to Northside Christian Health Center
15:48Come on
15:49You don't work until 4, it'll keep you from passing out on the job again
15:53Or worse
15:58Okay, I guess
16:00Great
16:00Thank you
16:01Please
16:06That's up to 98
16:08Neonatal mask is working
16:09Santos, finish the test
16:10What are you injecting?
16:12Bido with Epi
16:13It'll clamp off any little bleeders, some skin hooks
16:15For Shiley
16:17I don't like the curve of it, Shiley
16:18I didn't know you were so picky
16:20Santos, take a break
16:21Help me cut down a 6-O-E-T tube
16:23What is going on here?
16:24You have a field medic assisting you?
16:26Dr. Abbott is an attending and he's also a SWAT physician
16:29My buddy Hiro here is in bad need of an airway
16:32I cut it right here
16:33We can do this
16:34No, no, I got it
16:34You must be Gloria's new hire
16:36Yes, Dr. Al-Hashimi
16:37Well, I'd shake your hand, but my tube is ready
16:40And if I could find and secure the distant trachea, we have a shot at this
16:42Okay, keeping an eye on the stats
16:46Slow, smooth, smooth as fast
16:47You know, you can call me just to say hi sometimes
16:50What's up now?
16:51GSW with tracheal transection
16:53Very retracted, but I think I can get it
16:56Both lungs are up
16:58Stats down
16:59Standing the belly now
17:00Okay, just
17:03I got it, I got it
17:08Gently, gently, or we're gonna lose it
17:10Down to 89
17:13I'm in, balloon up
17:17End title, excellent waveform
17:19Good breath sounds
17:22Also the tracheal to the skin, 2-0 silk
17:25Zats are coming up
17:27Not bad, Abbott
17:30While you were playing him with that airway, you missed a big bruise in the left upper quadrant
17:33He was wearing body armor
17:35High-velocity projectile doesn't have to penetrate to do damage
17:38There's no fluid in the suprasplenic space
17:40Let me look
17:43Okay, right there
17:46Looks like a subcapsular hematoma of the spleen
17:49Must have been a big impact
17:50AR-15 muzzle velocity is 3,000 feet per second
17:53CT angio of the neck ASAP along with CT chest, abdomen, pelvis
17:57Yep
17:58Just as soon as we secure this tube
18:04Burst leaders in
18:05Mucous membranes dry
18:07Peeples, 4 millimeters reactive
18:09Did you get tackled today?
18:11No, just running drills
18:12Any chest pain, palpitations?
18:14No
18:14Hands off please, running the 12 lead
18:16How we looking?
18:18Good, healthy kid, no history, no trauma
18:21Differential for syncope in an adolescent
18:24Cardiac arrhythmia from drugs
18:26Long QT, WPW, or Brugada
18:30Brugada is more common in Asian males
18:31That still should be considered
18:33Long odds though, Brugada prevalence is 1 in 20,000 in North America as high as 1 in 300 in
18:38Asia and the Middle East
18:39And?
18:40First described in 1992, has a high incidence of sudden death among young patients with otherwise structurally normal hearts
18:46Wait, did you just say sudden death?
18:48Temp is 1 in 2.5
18:50Sorry, our student doctors are discussing a rare condition you don't have
18:54I just didn't drink enough water
18:57I overheated
19:00Not my type, bud
19:02Other than standard labs, what else to order?
19:08CK, to rule out rhabdo
19:10To make sure you don't have any muscle breakdown from the heat
19:13Let's set up a cooling room for Elliot here in the other heat exhaustions we will inevitably get today
19:22Last photo
19:27Okay, I take the SD card
19:30And I seal it in an evidence envelope with everything else
19:34Okay
19:35Next, I'm just gonna turn off the light
19:39And I'll run a blue light over your skin
19:43Anything glows
19:44I'll swab it with a wet
19:46Then dry Q-tip
19:48Is that okay?
19:49Yeah, sure
19:50Yep
19:53Alright
19:54Take off your gown on the left side
19:56And turn a little bit towards me, just to the left
19:59There you go
20:01Yep, there you go
20:02There you go
20:04There you go
20:04There you go
20:21There you go
20:25But no one's at the right
20:27There you go
20:28There you go
20:37sorry don't be it's just cold yeah i'm gonna stop
20:49thanks antoine no problem keep your head down out there what's the story neck angio is negative
20:55missed the carotids it's lucky what about the belly small splenic injury no free fluid in the
21:00abdomen that should heal on its own let's play head and neck we'll have an or ready with thoracic
21:05standing by how soon can they take him we're a little backed up with westbridge patients but
21:09let's bring them up i'll get them taking care of for you hey you're gonna be okay here we're
21:15getting you to surgery i'll write the procedure note thank you
21:25swat really i suck at golf you spend time in the middle east
21:30more than i would have liked i worked in kabul with médecins sans frontières and in 2020 at the
21:36maternity hospital i met the most incredible bravest doctors there ashti barchi tragedy
21:46we should grab a beer sometime share war stories i'd like that
21:54she seems cool yep maybe i'm gonna be around long enough to find out
22:00oh there she is vic dad victoria this is dr amy june dr june is the smartest person i know
22:09don't tell your mother she's kidding excuse me don't
22:13hello hi are you here to see a patient no we're here to see you dr june is chief of
22:19dermatology
22:19in victoria's first shift in the er was on the day of the pit fest shooting i heard all the
22:25incredible stories including your own acts of med student prowess wow med student prowess that's
22:33i'm i'm pretty sure i was just trying to stay out of the way she's modest like her dad and
22:37her
22:37mother sorry dr june yep coming i'm doing a favor for someone at the mayor's office who needs
22:47most surgery on a basal cell carcinoma and then i am grilling for 30. oh my god happy fourth all
22:53happy thanks for coming down my pleasure let's grab a coffee sometime absolutely yes thank you
23:01you know mom really wants me to go into surgery your mom wants me to stop drinking and join a
23:07pickleball league oh that's the same yeah well exact same i will risk an achilles tear before i give
23:11up scotch hey i hope i didn't embarrass you coming down here no i'm just trying to present you with
23:17some options for your residency i i really appreciate it dad i do i just i'm still not sure
23:25well either way you'll do what's right you always do radia talk to javadi you are a man of many
23:33talents you don't know the half of it your daughter has some high standards to live up to no you
23:38don't
23:38know the half of it mr mrs davis this is dr nepherson from psychiatry please call me caleb can you
23:49tell us
23:49what's going on with our son all of his labs and x-rays came back normal given his age and
23:56his hearing
23:57voices do either of you have a family history of mental illness not mine
24:11my brother took his own life wait what uncle ken
24:18he said he drank himself to death ma he did that too was he ever formally diagnosed with a mental
24:23health issue no he was depressed had mood swings but he didn't want to see anyone oh my god okay
24:30why
24:31am i just now hearing about this jada please please what mom why would you not tell jackson or me
24:38i can't believe this jada excuse me jada
24:49what happens next we keep your son here for the next three days for observation and therapy
24:55and that'll help us to understand what is going on jada should really hear this let me see if i
25:00find her bring her back okay we're gonna swab your mouth now my mouth two dry swabs along the inside
25:12of
25:12your cheek and then along the gum line how you feeling
25:23i wish this day never happened would you like some medicine to help you relax you've experienced
25:28a horrific trauma
25:32you've been doing this a while let's just say florence nightingale and i were roommates
25:39who i rest my case she was the founder of modern nursing
25:45okay we can have something to drink now i'm fine you sure let's just keep going okay
26:00we now have a heat exhaustion treatment area in north five evaporated cooling great plan yeah what is
26:09it's dr langdon's idea he figured we'd be seeing a lot more patients in this heat
26:16he's right how are you feeling it's a loaded question it wasn't meant to be you have a deposition
26:25in a couple hours yes how you feeling about it um trying to think positively but feeling um less so
26:33this job's really important to me and my sister you know i support both of us it's gonna go great
26:38just tell them what happened you're not at fault your job's not in jeopardy i mean the lawyer said
26:43that i know the lawyer's job is to try and shake your confidence so don't let them you're a very
26:47good
26:47doctor i have been training residents for years you are one of the very best
26:53him no we need to stick to the plan promise thanks she's not thinking okay it's gonna be great
27:01then i'm taking her home that's it we have to honor your wife's wishes even if she's loaded up
27:07and morphine and can't think straight especially then hello paul hamler this is my attending dr
27:12rubinovich hi uh my wife is not thinking clearly what is it that she's asking for it's that she wants
27:20to stay here why don't we all go in and talk brian jenkins is allowed to hunt with a 22
27:27on his
27:27grandpa's farm sounds like an accident just waiting to happen and you're not brian jenkins
27:32how are we doing in here roxy been better rumor has it you're still interested in booking a room with
27:39us i don't want to go back home yet it's all set up rox you're going to be more comfortable
27:46at home
27:47paul i changed my mind it is our home
27:52i don't i don't want you living with my ghost i will happily live with your ghost can we just
27:59all stop talking about ghosts please yes i'm sorry sorry sweetie you're right
28:05got trauma flying in each of five minutes okay um i'm very sorry i will be right back excuse me
28:13it's a boating accident swimmer versus propeller ouch what body parts involved they didn't say
28:19how old nope anything all i got was boating accidents swimmer versus propeller got it
28:55i picked a hell of a day to come back huh how's jake
29:02he's good better he's coping gonna be a senior this fall that's great
29:11there's a lot for him to go through a lot for all of us to go through yeah
29:19okay i'm just gonna say it i'm sorry i betrayed your trust i betrayed our patient's trust
29:26and i'm really fucking sorry it'll never happen again i swear
29:34i'm really glad that you got the help that you need
29:40but i don't know if i want you working in my er
29:52why'd you intimate he was splitting from the pain barely moving air with sats in the 80s how do you
29:57get sliced up in the propeller he was in the allegheny trying to untangle a water ski tow line
30:01when his buddy started the engine drunk buddy i assume it's fourth of july you tell me focus on the
30:05patient please sophie take over bagging okay one two three watch that buckle
30:14you need me in here nope we have a senior resident and an attending
30:18mel uh can we start with a efest sure uh yes please why to check and make sure there's no
30:25pneumothorax
30:26otherwise it could become attention exactly oh you want oneg no that would be p first
30:32108 over 64 pulse is 102 sats are good okay let's have oneg ready but don't get it just yet
30:39anything else
30:43how about a emo cube uh yeah yeah yeah of course
30:54next step is fingernails
30:58we'll go into each nail first with the wet swab and then with the driver
31:04you want to take a break home no
31:13how much longer after these we'll get to external and internal vaginal collection
31:24it's the advocate from par okay they've been doing this longer than i have they provide resources
31:30assistance and support for sexual assault survivors hey
31:38this will not define you okay you don't have to tell it to him but i recommend you do you're
31:45available
31:4524 7. okay okay
31:57hi i'm paulette sanderson from pittsburgh action against rape hi paulette i'm the same day and
32:02this is alana hello i'm sorry to meet you under these circumstances but i and my organization are
32:08here to help you navigate everything that comes next i brought you some clothes and basic necessities
32:14i can even stay with you through the rest of your examination if you'd like
32:20i don't think that's necessary okay that's fine would it be okay if i asked you a few questions
32:38sure
32:42our uh vri isn't working video relay interpreter yeah of course i rebooted it wait how are you
32:49gonna fix it if you don't know what the hell it is yeah okay whatever um i want to do
32:56a head and
32:56belly scan on harlow can you try telling her why what about the vri it's doa i'm charting every
33:03free minute i get i wasn't coming over for that good job in the trauma earlier
33:11what's this daniel scott 32 weekend dizzy while washing his car tacky at 106 bp 90 over 60 temps
33:18too high to register we have a coolie room set up in north five okay how you feeling mr scott
33:22thirsty
33:23let's see if we can't fix that he's gonna need a core temp a cmp whoa hey we need a
33:28trauma room
33:28what's open two i'll grab the ativan any past medical history no wife says he's healthy no meds
33:34no allergies he needs a core temp
33:41ready to transfer let's give two of ativan don't want him season again i gotta get back to my patients
33:47okay one two three orders second iv with saline open sepsis panel ua urine drug screen ekg and ck i
33:57don't
33:57see any apparent trauma people's reactive mr scott daniel can you talk to me post-dictal but moving all
34:06extremities pulse 137 bp 88 over 60. what are you thinking dr santos uh heat stroke but consider sepsis or
34:13drugs
34:17rectal temp is 104.6 okay let's start with four ice packs on the groin and axilla
34:24should we do a full body ice bath that'll take too long you have an arctic sun yeah we do
34:28get
34:28pads on the chest abdomen and both legs i'll check back in
34:34seth tazidine is up and first hemoglobin 8.2 it's pretty low he must have bled down from 14.
34:40anything i want to do about that um young healthy guy we transfuse at seven do we
34:46we'd be in real trouble if he equilibrates from acute blood loss am i interrupting something
34:50multiple lacerations um
34:56jesus this looks like some jurassic park
34:58is that your official surgical diagnosis he's hemodynamically stable what else do we know
35:05uh intubated in the field due to poor tidal volume uh e-fast was negative for pneumothorax
35:10so no need to do a chest tube and no free fluid in the abdomen good hemostasis inside the wounds
35:17nothing arterial i'd foresee it a hemoglobin of 8.2 we'll follow that closely with no active
35:22bleeding i wouldn't transfuse just yet dr langley agrees with you let's get him to ct jason still
35:3262 was gathering the makings of a salad when he started feeling dizzy and nauseated vomited once
35:37how you feeling mr stills i'm gonna die well you came to the right place to prevent that uh do
35:43you
35:43mind if i touch your abdomen yeah sure does this hurt at all no he's tachycardic at 124 with a
35:51temp of
35:51102.4 enjoy what's your suggestion keep hydrating check electrolytes and move them to the cooling room
35:57precisely good luck finding a parking spot north five what no valet
36:07jada hey i i've been looking all over for you
36:10i just went for a walk i wanted to talk to you that's okay
36:17um so does dr jefferson it's important that you get to hear what he has to say
36:21why because i'm gonna go crazy like my brother or kill myself like my uncle
36:27of course not um we still have no idea what caused jackson's episode episode right
36:37look i i know this must be so scary for you and you probably feel betrayed by her parents
36:45but they had no way of knowing about jackson you know and some families just have a difficult time
36:50talking about mental health
36:54now you can help us take the first steps to finding out what we can do to help your brother
37:04mr diaz i have a surprise for you oh sorry it's okay have you have you seen my patient orlando
37:16mr diaz
37:19room was empty seriously yeah
37:29what happened to you oh
37:32bullet grazed my vest you were shot shot at geniuses thought today was the day to rob a goods warehouse
37:40didn't think about how long it would take to load the appliances they panicked all hell broke loose
37:45jesus
37:49why do you do this my therapist said i needed a hobby funny
37:56shit this this sucks no it's nothing no don't worry about me i'm fine no my patient he didn't have
38:05any insurance and he was already in a mountain of medical debt he couldn't afford any of his meds
38:14what's in the bag insulin test strips electrolyte powder
38:21i i got him everything he needed for home care
38:23so uber to his house is the hospital gonna pay for that i'll pay for it
38:40what are you doing what you clearly can't
38:45do you make a chart no this can stay off the books don't need the paperwork from the hospital or
38:52the
38:52police department okay we're a little secret
39:01how's he doing any more seizures nope 10.02.9 labs back mostly signs of dehydration tad
39:09hypernatremic mild bun and creatinine bump ck 400 something nothing worse than yet okay good keep
39:16cooling i'll monitor him great that'll give dr santos a chance to get caught up
39:25your r2 year can be challenging you just have to keep grinding
39:30what's your dispo plan for mr scott uh icu admission
39:35you should call neurology to consult yeah done since it was exertional heat illness in a young
39:40person the mortality is low but non-exertional heat stroke in an elderly person you need to worry
39:47oh well i'll put in orders for repeat labs good work in there
40:05this 49 year old woman presents to the emergency department
40:13the chief complaint of right ear pain hey donnie can you do something about that what seriously
40:23that's not driving you nuts the baby it won't stop crying oh that music's my ears now i think jesse's
40:30the nurse what the hell is going on with her can you make her stop crying she's been fed and
40:54changed
40:54she's cranky from rhino virus i know something you can do she's due for her next time i'll
41:03give me a minute i'll be right back wait no no i'm not going to stay here
41:09what is your problem
41:14precisely why i didn't go into peds
41:18okay hey hey hey little miss sunshine oh it's time for you to take a little nap that would be
41:29so
41:29fucking nice yes it would
41:34starting to understand why you got left here
41:45okay
41:48oh
41:55got to tienda
42:03Oh
42:27What's the word from, C.T.?
42:28Nothing intrathoracic, nothing intra-abdominal.
42:31The color just missed gutting him.
42:33Very fortunate.
42:34Repeat, hemoglobin is eight.
42:36We're holding off on transfusion.
42:39Plan?
42:40I'll have melanin-langed and sutra up the lacerations.
42:43Wait, what?
42:43That could take days.
42:45I can't really...
42:46Calm down, sadness.
42:47I'm kidding.
42:48This is one for my skilled surgical residents upstairs,
42:51not you Boy Scout butchers.
42:52Boy, I missed you, Yo-Yo.
42:54Can't say the same.
42:56Okay, let's take up this art project.
42:59So, Belma, back to it.
43:02Good talk.
43:04How we doing, Princess?
43:06All right, a little bloated.
43:07I don't want too many hot dogs from the truck.
43:11You meant the board, huh?
43:13Gus, our incarcerated patient got a spot upstairs
43:16looking for our unhoused patient Digby.
43:19And, of course, we have Whitaker, Donahue,
43:22and the med students on these diversion intakes,
43:24but they just keep coming.
43:25Yeah, we may need to start just sending people up
43:27and ask for forgiveness instead of permission.
43:30Hello?
43:32Oh, okay.
43:34Yes, I will be right there.
43:36C-Suite wants to see me upstairs.
43:38Ooh, called to the principal's office on your first day.
43:40Not a good sign.
43:43I think I'm a baby whisperer.
43:44Hey, great.
43:45We'll add baby Jane Doe to your patient load.
43:47Forget I said anything.
43:49Where are we with your deaf patient, Harlow?
43:51The VRI was a bust, but the interpreter's on the way.
43:55Figured I'd just give her a head and belly scan and go from there.
43:57No, wait for the interpreter.
43:59No need to give the patient unnecessary radiation.
44:02And you're charting?
44:04Catching up and checking it twice.
44:05Good.
44:05Hey, have you had a chance to speak to Langdon today?
44:09Uh, no.
44:11Why, did he say something?
44:12No, just curious.
44:13How is everything at home with you and Whitaker?
44:17He's weirder than you'd expect.
44:19Hmm.
44:20Yeah, but I don't see him all that much.
44:23He spends a lot of time at Amy's.
44:25He has a girlfriend?
44:28I don't know what to call it.
44:31The farmer who got burned last year, the day of the mass cash, his widow, Amy.
44:36Oh, he died?
44:37Yeah, he had burns on 90% of his body.
44:39His chance of survival was very slim.
44:41Okay, so I'm an optimist.
44:43The sun doesn't always come out tomorrow, Annie.
44:45Wait, wasn't she pregnant?
44:47No, she was a young orphan.
44:50No, not Annie, Amy.
44:52Yes, yes, very pregnant and young.
44:56Whitaker's now seeing this Amy?
44:58And her baby.
44:59He got really close to the family when the husband was dying.
45:04He really believed that the guy would pull through.
45:06He helped her through the loss of her husband, and then again when she had the kid,
45:10and now he spends almost every weekend at the farm.
45:13Huh.
45:14Plus he's on the street team, and he just wants to help everybody,
45:17and I just don't want to see him taken advantage of.
45:21You know, he's just a fucking Huckleberry.
45:23Yeah, but he's our fucking Huckleberry.
45:26I'll talk to him.
45:28Hey, your call.
45:29Strong deflection, well played.
45:30You're the boss.
45:31Or you are until end of shift today.
45:33Still the boss.
45:34When you see me in here, still the boss.
45:37Copy that, boss.
45:40Dr. Robbie, can I grab you for a second?
45:43Yeah, sure, what's up?
45:46Um, can't you order my wife to go home?
45:51I'm sorry.
45:54My wife's dying, and you're telling me there's nothing I can do.
45:59Mr. Hamler, that's not...
46:01No, no.
46:02There's got to be something.
46:05Mr. Hamler, please.
46:07It may not seem like much, but right now, you being here for her
46:10and respecting her wishes is the best thing that you can do for her.
46:15Supporting her and her choices is the most remarkable gift
46:19that you can give her at this time.
46:22The meds we have her on will help her pain,
46:24and she may get to a point where she feels well enough to go home.
46:46Give me one sec.
46:53Okay, I'm going to let you guys get acquainted.
46:55I will be right back.
46:56Oh, excuse me.
46:58I'm waiting for Dr. Mohan.
47:00Is she available?
47:01I will try and find her for you, sir.
47:07Whether you choose to report or not, we're here for you.
47:10Call me any time.
47:12It could be a month or a year from now.
47:15I'll follow up with you, too.
47:18Thanks.
47:23You've had a pap smear before?
47:25Yeah, every few years.
47:27Good.
47:28Same position, but I'll start with swabs on the outside,
47:32external genitalia.
47:34Then I'll use the speculum to get internal swabs.
47:37You ready?
47:38All right.
47:38I'll help you get your feet in the stirrups.
47:41Good.
47:44All right.
47:46I'll slide your bottom down.
47:50Yeah.
47:50A little bit more.
47:52A little more.
47:54Sorry.
47:54I can't.
47:55Okay.
47:56It's okay.
47:56We can take a break.
47:57No problem.
47:58I don't want to break.
47:58I want to stop.
48:01Is this about reporting?
48:03Because you can do this collection without a police report for now,
48:06and none of it goes in your permanent medical record.
48:09I don't want to do this anymore.
48:11Tell me why you want to stop.
48:15He's my friend.
48:18He knows all my friends.
48:22It was just a dumb.
48:26He was drunk.
48:27He didn't mean, it didn't mean anything.
48:29Okay.
48:31Okay.
48:33It's okay.
48:34I understand.
48:36You too.
48:39A lot of...
48:40This is a difficult process, to say the least.
48:43Why don't you take a breather and come back,
48:46and whatever you want to do, we'll do.
48:56Let's go find the good snacks.
48:57Let's go find the good snacks.
49:27I've been trying to get to the bathroom for over an hour now.
49:31Yeah, you and me both, sister.
49:43Uh-oh, this can't be good.
49:46Who's this?
49:47That is hospital CEO Trent Norris.
49:49He's the big boss.
49:51Hmm.
49:52Nice outfit.
49:53Hey, Rockstar.
49:54Gather your staff, please.
49:55Sure.
49:55Anything you want to tell me first?
49:57No.
49:59Hey, everybody, can you gather around, listen up for a moment, please?
50:04Have your attention, everyone.
50:07The internal disaster at Westbridge has been identified as a cyber attack.
50:15Now, Good Dominion Hospital has been hit as well.
50:18Their ambulances are being diverted over to St. Mary's,
50:20but we can expect more walk-ins and Westbridge diversions.
50:24Uh, for how long?
50:25We don't know how long.
50:27If the ransom is paid.
50:29Ransom?
50:30What?
50:31Are we next?
50:32Our IT protection system has blocked thousands of intrusion attempts
50:36in the hours since Westbridge was hit this morning,
50:39but IT believes we're still vulnerable.
50:42So we're going to preemptively shut down all the computer systems.
50:50Patient registration, electronic health records,
50:53lab and radiology interfaces, email, internet.
50:56Talk to me first.
50:57You want to consult my department?
50:58I consulted your fellow attending.
51:03When are we going down?
51:06Soon.
51:07Very soon.
51:09Okay, hey, somebody get a picture of the board.
51:11Quickly, quickly.
51:13We're about to go analog.
51:20Wait, do the phones work?
51:22They don't work.
51:24Oh, my gosh.
51:24You got the photo?
51:25Yeah, yeah, I got it.
51:28It's going to be fun.
51:59It's going to be fun.
52:00It's going to be fun.
52:04It's going to be fun.
52:09It's going to be fun.
52:10It's going to be fun.
52:14It's going to be fun.
52:15It's going to be fun.
52:17It's going to be fun.
52:18It's going to be fun.
52:18It's going to be fun.
52:20It's going to be fun.
52:20It's going to be fun.
52:23It's going to be fun.
52:26It's going to be fun.
Comments