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The.Pitt.S02E03.540p.X265.AAC [Full Movie] [Full Episodes]Full EP - Full
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00:14You
00:20Name says Jackson Davis that's the start Jackson what's going on
00:30You're okay, I'm the one reasonable miss 2709
00:33We're going to need you to calm down to get the taser barbs out of your neck
00:35You need to jump one net?
00:37Mmm, covering falls for Dana
00:39Stop talking to me
00:41You can't
00:42Hard to assess pupils
00:45Hard to assess anything
00:46Wait till after he's sedated
00:49No, that'll take 15 minutes to kick in
00:51500 peridol puts him down at five
00:53No, you can't give it without knowing he's two teeth
00:55Two beats of a rhythm strip before he took off the beats
00:59You can't be in here, get out
01:01At least you're going to go with the Jeperadol
01:02Oh, fuck out
01:03Get off me, get off me
01:05Take the bus out
01:072701
01:07Get away till the con
01:08Get off me, man
01:112901, get out
01:12Get out
01:133710
01:14Title 18, section 1938
01:16Mr. Randall
01:18Happy 20th anniversary
01:20And a very happy 4th of July
01:22But no sex fireworks for you
01:24Give everything a chance to heal
01:25Don't worry
01:26I will
01:26Thanks, Doc
01:28Ow
01:29We're going right back through here, okay, man?
01:31Oh, thank you
01:32Change the dressing twice a day
01:34Doggy bag of the ointment
01:35And non-stick dogs
01:37Cool
01:37I know the drill
01:38Come back if it starts to ache or stink
01:40Exactly
01:41Good luck
01:41Stay safe
01:42It's daddy
01:43You're daddy
01:44Lord, what'd they get up to now?
01:46Dream street
01:48Frozen Dover
01:50I'm sorry, Miss Graham
01:52I just saw the ASO note in your chart
01:54This is Lindsay
01:55We'll bring you back as soon as possible
01:59Stay with her
02:02All right
02:03Who here needs help?
02:05Let's listen to see what you...
02:06You?
02:07You need help?
02:08Oh, no, no, no, ma'am
02:09I'm thin on this, that's 1987
02:11This one here, he got busy, fell down
02:13I forgot my blood pressure medication
02:15I left it back home in Georgia
02:20And presto
02:21We're back, Mr. Digby, with some IV antibiotics
02:24First we scrub your outsides
02:25Then we clean your insides
02:28What do you need to document in this chart?
02:30Uh, time started, time completed in any adverse reaction
02:33What else?
02:36Um, lot number on the antibiotic vial
02:39Excellent, Mr. Digby
02:41Just Digby
02:42Digby
02:43Why'd you wait so long to come see us?
02:47I don't like going to doctors
02:50Well, that makes two of us
02:51We all need help from time to time
02:52Think maybe we could arrange for some ongoing care?
02:55I just kind of want to get patched up, you know?
02:59I do know
03:00But that's today
03:01What's tomorrow?
03:03Sunday
03:06It's the system
03:07It's what it's there for
03:08But in mind, Dylan
03:09Knows all the angles
03:11He even works the occasional miracle
03:13You think maybe I could have him stop by?
03:17I guess, yeah
03:19Right
03:20How about a sandwich?
03:22Yeah
03:22Yes, please
03:27We always offer him two most important things
03:30That they know we're here
03:31And that we'll never stop offering
03:33Thanks for covering, princess
03:35Anytime
03:36Yo, can I get some help over here?
03:38Yeah
03:38What's going on, man?
03:40Crazy kid in there screaming
03:41All right, have a seat
03:42Yeah, it's him
03:43Still going nuts
03:45Probably meth
03:47Fucking animal
03:47What's your name, sir?
03:50Tony Cinchillo
03:50Campus security
03:52Yeah
03:52I was at work when this happened
03:53So
03:54I'm going to do everything documented
03:55Okay
03:57All right
03:57Heart rate's 89
03:59Pulse ox 97
04:02Scott Black's tiny
04:03Five millimeters
04:04Should hold together with Dermabond
04:06Kid threw a fucking chair at me
04:08Work-related injury gets a full exam
04:10Jesse here will take you
04:11No
04:12I'm going to stay here until the cops come
04:13So I can give my statement
04:14And so I can watch him
04:16Yeah
04:17Trust me
04:19You do not want him getting out of there
04:20How?
04:22Fuck
04:23Did she say anything?
04:25No more than she said to you
04:26Nothing going on at home
04:28Nothing at school
04:29And you believe her?
04:31There's some flags
04:32Bruising in various stages of healing
04:34She's a little withdrawn
04:35Doesn't engage much for girls her age
04:37Don't you just be a little shy?
04:40Or scared of being in here
04:41Or she's being abused?
04:44That too
04:44We'll find out
04:45When would dad show us up?
04:46No
04:47If he shows up
04:55There's the first barb out
04:57All right
04:58Javadi
04:58You're up
05:01Okay, so you're going to want to clamp
05:03Where the shaft meets the barb
05:06Mm-hmm
05:07Yeah
05:07Stabilize the skin
05:09Not so close to us to stick yourself
05:12I've seen that once or twice
05:13Uh, pull up at 90 degrees
05:16Harder?
05:17Yep
05:17Harder
05:18Oh
05:20Do we suture those?
05:22Nope
05:22Just a band-aid
05:23Mal, we need orders
05:24Right
05:25I got a rainbow
05:27Uh, CBC
05:30CMP
05:31UA
05:32Blood alcohol and toxic
05:33Call the above
05:34Cap
05:34With this young man's stable
05:36Can he go to Central 10
05:37Pronto
05:37Double trauma at the back door
05:38Okay
05:39You heard the boss
05:39Let's get going
05:40The day is starting to heat up
05:47Mark Yee, 32-year-old
05:48Restrained driver
05:49Auto versus motorcycle
05:51Altered with normal BP
05:52Setting 99 on 2 liters
05:53We're at the hospital now, Mark
05:55What's wrong with him?
05:56Why isn't he talking?
05:57His wife, Nancy
05:58Front seat passenger
05:59Declined transport
06:00It's fine
06:00We were going all that fast
06:02The motorcycle ran the light
06:04Hey, Dr. Robbie
06:05This is Dr. Alashimi
06:06Nice to meet you
06:07And this is Nurse Dana
06:08She's our charge nurse
06:09We need to look over your husband
06:10Hello, let's look over here for a minute
06:11And let him get to work, okay?
06:13Antoine
06:14Larry
06:14Transfer out here
06:15Do you want to be open in a sec?
06:17Aye, aye, Cap
06:18One
06:18Two
06:19Three
06:21Incoming
06:22Okay, Joy
06:23You stay with me
06:24Samira
06:24You stay with Dr. Alashimi
06:28Pulp and skull fracture
06:29Tubed in for agonal respirations
06:31BP-60 palp initially started a liter of NS
06:34But lost its pulse and root
06:37Oh boy, this doesn't look good
06:38One, two, three
06:41Joy, check your pupils
06:42Somebody hand me a pair of scissors
06:48Eight millimeters, not reactive
06:50A.K.A. Blum
06:51She's fixed and dilated
06:53Oh, gosh
06:54Skull with tons of gray matter extravasation
06:56At least it was quick
06:57No helmet?
06:58Nope
06:59Because he took the PennDOT motorcycle safety course
07:01Isn't that what you took, Robbie?
07:02Pole compressions?
07:03Yes, but I still wear a helmet
07:05Is he a donor?
07:07Also, nope
07:07That is too bad
07:08Hey, sister Lee
07:09I think we are done here
07:11What's next door?
07:12The guy who hit him
07:13Joy, you're with me
07:15What about a moment of reflection?
07:17I thought
07:17He'll still be dead when we get back
07:19Pulse Hawks, 99
07:20BP-108 over 72
07:22He passed negative
07:23I look a lot better than the guy next door
07:24Has the airway?
07:25Good volume
07:26Good saps
07:26Gag reflex
07:30Present
07:30Intubate
07:31Maybe, maybe not
07:32Mr. Ye
07:33Joy, just don't rub on his chest like this
07:35Really hard, please
07:35Mr. Ye
07:38Spontaneous eye movement
07:39Response to pain
07:40GCS is 10
07:41Borderline for intubation
07:42No muscle tone
07:43Flaccid paralysis in the left arm
07:45Same on the right
07:46And both legs
07:46Add towels to both sides of the collar
07:48For more stability
07:48Let's not make this worse
07:51Hand scan with 3D reconstruction of the spine
07:53He's quadriplegic?
07:55If so, it's a low cervical injury
07:57Why is it, Joy?
07:59Um
07:59C-3, 4, and 5
08:01Helps you breathe to stay alive
08:04Mr. Montrose
08:05You can't just be wandering around
08:07Talking to patients
08:08That's what I do
08:09I'm a greeter at Walmart
08:11I get paid to wander
08:13And to talk to folks
08:15Well, as a personal favor to me
08:17Can you at least stay in your general vicinity?
08:20I can get you a wheelchair
08:22We'll wait for your x-rays
08:23But it might take a minute
08:24My dear
08:24I cannot sit
08:25My backside is killing me from where I fell on it
08:27Which is an embarrassing admission
08:30To make to such a lovely woman
08:33Well, thank you for the compliment
08:34But there's no need to be embarrassed
08:36You took a very nasty fall
08:37Well, then may I say
08:39That one look in your beautiful eyes
08:41And I think
08:41I'm falling again
08:45What a charmer
08:47Just for that
08:48I'm going to get you a foam donut
08:49The eighth wonder of the world
08:52Pretty great laugh you got there, Doc
08:56Oh, God
08:57My witch's cackle
08:59Got CT results for Mr. Williams
09:05Oh, wow
09:08Okay
09:12Right on time
09:14It's just getting full
09:16Yeah, I'm ready for number five
09:17That's impressive
09:19Yeah, there's more where that came from
09:22Although, uh, my intake is running low
09:25Yeah, well, two more bottles ought to do it
09:27Then we'll drain your tooth
09:28And we'll get you out of here
09:29Before the fireworks tonight
09:30Oh
09:32Okay, clamped
09:33Ogilvy, make the change
09:36Okay
09:36Mm-hmm
09:39All right, let her rip
09:42Flowing like a river
09:44I love me some fireworks
09:46Oh, yeah?
09:49Shit, I mean, Mr. Zambelli
09:52Lean forward
09:54Many times on the field
09:56Who's Mr. Zambelli?
09:59Son, you don't know fireworks
10:00If you don't know the name Zambelli
10:02He helped Pittsburgh become
10:04The firework capital of America
10:07You did know that
10:09Didn't you?
10:10No
10:10Uh, y'all don't know nothing about pyrotechnics
10:14Stick to doctrine
10:16Yes, will do
10:25I'm sure you have some questions
10:28I know it's a lot to take in
10:31It's a tumor
10:34It's a brain tumor
10:35Well, it's a mass
10:37About four centimeters
10:38In the frontal lobe
10:41Is it cancer?
10:43We can't say for sure right now
10:45It could be many things
10:47Uh, infection
10:50Inflammation
10:50A benign cyst
10:53Is it what made me fall?
10:57Yeah, possibly
11:01We'd like to keep you here
11:02And treat with dexamethasone
11:03Which is a steroid
11:04To take down the swelling
11:05And then we'll need
11:07A brain biopsy
11:08To know exactly what it is
11:10But you
11:11You're gonna cut open my head
11:14It's just a small hole
11:16We'll do a
11:17A CT-guided stereotactical biopsy
11:20With a blunt, thin needle
11:22Which sounds crazy
11:23But it's actually pretty amazing
11:25I mean, most patients
11:26Go home the next day
11:32I don't know
11:35Wouldn't you think
11:35I should do?
11:38I think this is
11:39A pretty good plan
11:42Okay
11:44BP 95 over 67
11:47This thing's a little
11:48On the low side
11:49It is
11:50Have you ever had
11:51Low blood pressure
11:52In the past?
11:53No, sir
11:53My blood pressure
11:55Is always high
11:56Hold still, sir
11:56No talking
11:57While we do the EKG
11:58The Hansons all run high
12:00Except for money
12:01He ran low
12:02But he's dead
12:03It's not helpful
12:04You want to help
12:05Quit playing family pharmacist
12:07Pulling meds
12:08Is how we've always done it
12:09You put everything
12:10In a big pile
12:11In the middle of the table
12:12Well, look where that got us now
12:13No, I'm gonna jump in here
12:14And echo that sharing meds
12:15Which haven't been prescribed to you
12:16Is actually a real big no-no
12:17Well, how are we doing
12:18Unremembering what your brother
12:19Might have taken?
12:19We could call back to the house
12:21Great idea
12:23Okay
12:24Whatever little round pill
12:25You took, sir
12:26Has caused your heart rate
12:28And blood pressure
12:28To drop so low
12:29You're at risk of fainting
12:30Falling
12:31Or having a serious injury
12:33Huh
12:34We need to take him back
12:34To the ER
12:35So we can get a liter of fluids
12:37We can check his blood test
12:38And monitor his heart rate
12:39And blood pressure
12:39Until he recovers
12:41Pulse locks
12:42Holding steady at 99
12:43Good tidal volume
12:44How you doing there, Mr. Yee?
12:46Scanner can take him now
12:47I'll check the results from upstairs
12:48Why is he so altered?
12:50Could be concussion
12:51Maybe a small intracranial hemorrhage
12:53All will be revealed
12:55By the donor of truth
12:56Need a portable monitor?
12:57Joy, stay with him, please
12:58See if the radiologist
13:00Can give us a shot
13:01How is he?
13:01Did I hear someone say
13:02He's paralyzed?
13:04There are signs of weakness
13:05In both arms and legs
13:07But before we can make
13:08Any prognosis
13:09We'll need a full body scan
13:10Head CT will show us
13:11Any brain injury
13:12Neck CT will show us
13:13Any spinal cord injury
13:14Chest, abdomen, pelvis
13:16We'll rule out
13:16Any internal bleeding
13:17Oh, my God
13:18The scan should only take
13:19About 15 minutes
13:21In the meantime
13:22Perhaps you'd let us
13:23Look you over as well
13:24I'm fine
13:25The medics checked me
13:26I just want to stay
13:27With my husband
13:29Well, you can't go
13:30Into the CT with him
13:31But you can wait
13:32Just outside
13:33If you like
13:34Princess, this is Nancy
13:35Mrs. Yee's going to go
13:35With her husband to CT
13:36Will you show her where to go?
13:37Sure, come on
13:38Thank you
13:42So, what's the plan now?
13:44Keep observing me
13:45In my natural habitat?
13:46No telling what I might do next?
13:47I think I've got the gist
13:48How about we each take a lap
13:50And meet here
13:51When Mr. Yee's back from CT?
13:53Splitting up so soon?
13:54You're free to see other people
13:56Dr. Rivinovich
13:58I'm looking for cooperation
13:59Not commitment
14:05So, you bandaged the burn yourself?
14:07No, no, no, no, no, no
14:09Ma'am, you're making it difficult
14:11For me to see under this dressing
14:12Is that a tablecloth?
14:14Part of a window curtain
14:16Cleaner than tablecloth
14:17I'll look for the doctor
14:18Thank you
14:19But may I ask how this happened?
14:22For weeks on end, the kids with their huchni firecrackers going all day and night.
14:26Oh, is this a firecracker burn?
14:29No, sweetie, this is from the full samovar I drop on the floor when they...
14:35The firecrackers started going on again.
14:37I'm sorry, what's a samovar?
14:39It is a big metal urn for coffee or tea.
14:42It can get super duper hot.
14:44And I was never allowed to touch ours.
14:47Hello, Mrs. Kovalenko. My name is Dr. Michael Rabinovich.
14:49Everybody calls me Dr. Rabi.
14:51Rabinovich, Jewish?
14:53You guessed it.
14:54And I see that you are here today for a burn.
14:57Why don't we take a look?
14:59Not married?
15:01No, I'm not married.
15:03Do we attend synagogue?
15:06Not for a while.
15:08I mean, high holidays, mostly.
15:12Where?
15:13Oh, what did you put on this?
15:17Where?
15:18On your burn. Is this honey?
15:20Yes, honey. Where do you go on holy days?
15:23Uh, my grandparents, um...
15:26I grew up in the Rodef Shalom.
15:28You?
15:29Three of life.
15:32They're rebuilding.
15:34Yes, something new.
15:36Remember, rebuild, renew.
15:40That's a slogan.
15:44I'm sorry, did you say honey?
15:47You think honey's funny?
15:49Works like a charm.
15:51My father kept bees, I know.
15:54If the honey is medical grade and the burns are not too bad,
15:57honey actually does have some antibacterial and anti-inflammatory properties.
16:00However, these burns are very deep in some places.
16:03They're going to need debridement.
16:05I'm glad you came in.
16:08That's what I thought.
16:10I was hoping no, but...
16:13Figured as much.
16:14Not to worry.
16:15We are going to have you patched up
16:17and home in time for dinner and fireworks.
16:20No.
16:22No more fireworks.
16:24No.
16:24Yeah.
16:26Anyone here treating Kylie Connors?
16:30She's my daughter.
16:31She's nine. I'm Benny Connors.
16:33Mr. Connors.
16:35I'm Dr. Santos.
16:36I'm treating Kylie.
16:37Is she okay?
16:39Can I see her?
16:39My girlfriend Gina says she got a cut on her chin.
16:41Yeah, I can take you to her.
16:42She has a small laceration on her chin,
16:44but it was easily repaired with medical super glue,
16:46so no stitches necessary.
16:48Okay.
16:48She chipped her tooth, but it's a baby tooth,
16:51so it won't need dental work.
16:53All right.
16:53That's a relief.
16:55Has Kylie had any previous injuries?
16:57Uh, yeah.
16:59She, um, she broke her wrist last year.
17:01She was skateboarding.
17:03Dana, if you could get Dylan to come to North One and Ahmad.
17:07You bet.
17:08Okay, I got it now.
17:09One, two, three.
17:10Daddy, you came.
17:11Oh, baby, what's going on, huh?
17:13My tooth broke and my chin got cut.
17:15Oh, no.
17:18What happened?
17:19She was running up the stairs.
17:22Dana was chasing me.
17:23And we were playing.
17:24As I was saying, Mr. Connors, the laceration's pretty minor.
17:27On the stairs?
17:28It was an accident.
17:30Perhaps we can step up.
17:31An accident that wouldn't have happened if you weren't running up the stairs.
17:33Do you understand what I'm saying?
17:34We weren't running up the stairs.
17:34This is the last thing that I need right now
17:37is her mother finding out that she got hurt when she's with you.
17:39It was an accident.
17:40And before you get all high and mighty, I've got questions of my own.
17:43Like what?
17:43Hey, Mr. Connors, I'm sorry.
17:45I meant to be here when you arrived.
17:47I'm Dylan Easton.
17:48I'm a social services.
17:49We have insurance, thank you.
17:50Perhaps we can step outside and chat for a second.
17:52I can fill you in where we are.
17:54Hey, Jesse, do you want to keep Kylie entertained for a few minutes?
17:56Absolutely.
17:57Or her dad?
17:58We'll just head down to the family room.
17:59It's a little quieter there.
18:01Why do I got to talk to a social worker?
18:03Anytime a child's injured, we have some standard questions
18:06that we ask parents and caregivers.
18:07Good.
18:08That's fine.
18:08Great.
18:09Ask me here.
18:10Well, we noticed some bruising on Kylie's body, some old, some new on her back and legs.
18:17Any idea how she got those?
18:19Yeah, soccer.
18:20She plays for a club team.
18:21They're, you know, little girls, but they play like they're in the Hunger Games.
18:24Well, I understand that you and Kylie do a fair amount of roughhousing.
18:29What?
18:31I'm sorry.
18:32Are you fucking kidding me?
18:34Where are you going with this?
18:35Are you saying that I hurt my daughter?
18:37Mr. Connors, no.
18:37Oh, no, no, no, no, no, no.
18:38Gina.
18:39Mr. Connors?
18:40Just, just, Gina.
18:41Sir, take a break.
18:42Gina, what did you say to them?
18:43Nothing.
18:44I said that you're a great dad.
18:45Okay, what else?
18:47That you guys like to wrestle.
18:48Jesus Christ.
18:49What?
18:49They wanted to know where all her bruises are from.
18:51Who the fuck are you to talk about me and my daughter?
18:53Who the fuck?
18:54Yeah, that's what I'm asking.
18:55Hey, big man, take one more fucking step.
18:57Hey, that's enough.
18:58You need to talk about it.
18:59Hey, hey, everybody, back the fuck up.
19:02Stop, stop, stop, stop, stop.
19:03Kylie's playlist is only 9,000.
19:06What does that mean?
19:08It's, it's not what we thought.
19:11It's probably ITP.
19:13What the hell is ITP?
19:15Something we can treat.
19:24You feel that?
19:25No.
19:27Excellent.
19:27This is looking very good.
19:30Tell me, Mr. Kovalenko.
19:35Mrs. Kovalenko.
19:37Yes, Yana, please.
19:39Yana.
19:40You mentioned that you dropped the samovar when you heard firecrackers.
19:50I was on my way inside October 27th, 2018, to the synagogue when the shooting started.
20:04There's nothing I could do.
20:07I went in after the police arrived.
20:12I felt I had to.
20:16I'm better now.
20:19But you just see, 4th of July, when kids have their fireworks and firecrackers.
20:32There is no clock on how long it takes.
20:37No clock.
20:38You must be joking.
20:43Robbie?
20:44Yep.
20:44Marky is back from CT.
20:46Oh, okay.
20:47Um, Carla, why don't we go ahead and see if we can put a nonstick dressing on this.
20:50And I will come back and we can discuss aftercare instructions.
20:54Yes.
20:55You got it, boss.
20:56Thank you, doctor.
21:10Vito's table, plus ox holding at 99.
21:13Okay, heart and lungs look good.
21:17Dr. Mullen.
21:17Dr. Robbie.
21:19Yeah.
21:22Please make him be okay.
21:25I can assure you that we are going to do absolutely-
21:27Everything you can, I know.
21:30God, this is all my fault.
21:31Mrs. E?
21:32He's been so stressed.
21:34So I planned this week in a way as Seven Springs, but he didn't want to go because of work.
21:39So we fought this whole morning.
21:42And then I-
21:44I said awful things.
21:48Those can't be the last words we say to each other, doctor.
21:51Please.
21:51Good news.
21:53CT looks normal.
21:54No bleeding inside the skull, C-spine, no fracture scene.
21:59Can't break his neck?
22:00Then why is he paralyzed?
22:02You can have spinal injuries without radiologic abnormalities.
22:05Sometimes it doesn't show up on CT, only on MRI.
22:08Dr. Mullen.
22:13Are you sure?
22:18Okay.
22:19Critical potassium level 1.2.
22:22Wow.
22:23That's crazy love.
22:23Okay.
22:23Extremely low potassium with generalized weakness and no cervical injury.
22:28We may be looking at-
22:30Hypokalemic periodic paralysis.
22:31What is that?
22:32It's a rare condition where potassium gets shifted into the cells, causing profound weakness, just like paralysis.
22:37Will he get better?
22:38Yes.
22:39Back to normal in a few hours.
22:41Replay slowly, 10 U.E.Q.
22:43Everything from KCL.
22:45Thank you so much.
22:47Did you hear that, Mark?
22:49Oh, baby.
22:50You're gonna get better.
22:54All right, Didi.
22:55Hey, come on now, man.
22:57Oh, how you doing, DeWante?
22:59Fine.
22:59Great.
23:00If you're fine, you go home.
23:01Really?
23:02Yeah.
23:03Hey, tell him.
23:05Me and my sister are making bracelets, and I put beads up my nose.
23:12How many?
23:13One on each side.
23:15I gotta ask, why do you stick them up there?
23:18See how many will fit?
23:19To shoot them out like rockets.
23:22But I breathed in, and they went deeper, and now it won't come out.
23:27Did you try anything at all?
23:29Yeah, I tried blowing in his mouth, but just got a little snot on my cheek.
23:32Hey, forever, Dad.
23:33Okay, we need to take a look with a little flashlight, okay?
23:37Okay.
23:38This is what I have to look forward to?
23:39This is so much more.
23:42Red bead below the inferior turbinate.
23:46I got a blue one.
23:49Afrin, benzocaine, cas extractor?
23:51Yup.
23:51Dad looks like we gotta go up and get him.
23:53No way, he's sitting still.
23:54He'll be numbed up.
23:55You don't know this child.
23:57Hey, Duante.
23:58You like video games?
24:00Everybody does.
24:02We have a 3D video game.
24:04Yeah.
24:05Cool.
24:10That's KCL and saline at 10 MEQ per hour.
24:14We avoid dextrose because the insulin response drops the key, Lenore.
24:17If it's genetic, why didn't it happen when he was a kid?
24:19It usually starts after the teen years.
24:22And it can be intermittent.
24:23Sometimes it's triggered by intense exercise or stress.
24:27We've been married eight years.
24:28We've had fights.
24:29He's never collapsed.
24:31If a sire gets overactive, that brings it on later in life.
24:34I order TSH T3T4.
24:37So, now we just wait.
24:40Bag him.
24:41Starting compressions.
24:42Charge at 200.
24:43What is happening?
24:45Low potassium can harm electrical activity in the heart.
24:48Charge.
24:49Clear.
24:50Resuming compressions.
24:53So, your little girl was ITP?
24:57Go figure.
24:58Nothing like a zebra to kickstart your morning.
25:00It's better than the alternative.
25:03True.
25:04ITP.
25:06So, that's, uh, the intra...
25:09Immune thrombocytopenia.
25:11Used to be called idiopathic thrombocytopenic purpura.
25:14Know what idiopathic means?
25:16That we don't know the exact cause.
25:18Means the patient is pathetic and the doctor is an idiot.
25:24Just checked on baby Jane Doe.
25:26Looking good.
25:27Taking formula well.
25:29We're here to take a statement.
25:30We're looking for a Tony Cianciolo.
25:33Yo!
25:34Right over here, boys.
25:37For officers.
25:39Heard you have some trouble over at the campus library.
25:41Shit.
25:42Let me just say.
25:43New appreciation for what you guys do every day.
25:46Freaking junkie jungle, right?
25:49At the campus library?
25:52I'm in forefinger, make a C bottom.
25:54Three fingers, make a E for jaw lift.
25:55One breath, three, five seconds.
25:57Come in.
25:57All right.
25:57About two minutes since defibrillation.
25:59Holding compressions.
26:01Normal sinus.
26:02Karate.
26:03Strong karate.
26:03Okay, let's try for BP.
26:04Why don't we check after the shock?
26:072024 ACLS guidelines.
26:08Patients can remain pulseless for a little bit, even after successful defib.
26:11He came back with one shock.
26:13That's as good as it gets.
26:14104 over 68.
26:15Good squeeze, good EF.
26:17Spontaneous respirations.
26:18Okay, let's lift up.
26:19He's breathing on his arm.
26:20Excellent sign.
26:22Can I touch him?
26:23Of course.
26:30Oh, shit.
26:31We need a gurney.
26:33Nancy.
26:35Mrs. Yee?
26:37Mrs. Yee.
26:38Weak, carotid, shallow breaths.
26:40Did she vasovagal from stress?
26:42Can't assume that.
26:43Positive seatbelts.
26:44Oh, shit.
26:44Hang two units of ODAG of the rapid infusion.
26:46Somebody call Garcia.
26:48Shit, we really should have insisted on an examiner.
26:50Okay, I got the head.
26:51Platelets are these tiny things in the blood that help it clot.
26:55And thrombocytopenia is fancy for low platelets, which explains why your skin bruises so easily.
27:01And what causes it?
27:02It's actually her immune system that's causing the destruction of the platelets.
27:06Sometimes it's a triggered response to an environmental factor or a virus.
27:11And what's the treatment?
27:13What are you giving her?
27:14We'll be treating her with high-dose steroids to suppress the immune system and IV immunoglobulin, which reduces the destruction
27:21of the platelets in the spleen.
27:23Can I go home?
27:24You're going to have to stay in the hospital for about three days to make sure that the treatment is
27:29working.
27:30Okay.
27:31Okay, so when can she get a room in the hospital?
27:34That is an excellent question.
27:35I'm going to see if I can make that happen sooner rather than later, but it might take a while.
27:40Okay.
27:40GPS says I should be there by 11.
27:42Do you have any other questions for me, ma'am?
27:45No, I'm sure I will, but I'll let you go for now.
27:48Thank you, Benny.
27:49All right, I'll see you when you get here.
27:50See you soon, baby.
27:51I love you.
27:52Bye, Mom.
27:52Love you, too.
27:56There you are.
27:58And there you are.
27:59Don't try to charm me.
28:01You promised to stay put.
28:02I was going to come right back.
28:04My backside is killing me.
28:06I need to keep moving or I get all achy and stiff.
28:09Well, I got you this foam donut to sit on while we wait for your x-rays.
28:15Dr. Hazel Eyes, it says here that it's only supposed to take an hour or two for an x-ray.
28:22Well, the patient passport holiday edition would better reflect reality.
28:27It could be double that.
28:29There's no need for reality.
28:31We romantics prefer live the dream.
28:37We do, do we?
28:39Oui.
28:41La mer.
28:42Qu'on va danser.
28:44Le long des golfes claires.
28:47Et de reflets dansons la mer.
28:50De reflets changeant sur la pluie.
28:54Hey, save a dance for me.
28:56Yeah.
28:57Okay.
28:58I will.
28:59Dr. McKay.
29:00Yes.
29:00This is Gretchen Williams.
29:01Actually, it's Lambden.
29:03Ah.
29:03He called about my ex-husband, Michael.
29:05Yes.
29:05Yes.
29:06Yes.
29:07Thank you for coming in.
29:08You were listed as his emergency contact.
29:10I don't know why.
29:11We have been divorced for years.
29:14Is he all right?
29:16He's, he's going through a lot right now.
29:18Would you like to see him?
29:22Uh, okay.
29:23Leo, can you zoom in and please hold it a little steadier?
29:27Okay.
29:31Okay.
29:34Atorvastatin, simvastatin, ezetimibe.
29:37Those are all high cholesterol medications.
29:39Can you go to the right?
29:43Lysinopril, losartan, propranolol.
29:46Wait, wait.
29:47That's it.
29:48Window's pile.
29:49Yellowish bottle, little round blue pills.
29:51Just like I said.
29:52Propranolol?
29:53Bingo, little lady.
29:55Okay, yeah.
29:55Well, this makes a lot of sense now.
29:56Um, propranolol is a high blood pressure medication.
30:01Those are, uh, 20 milligrams each.
30:03And the starting dose is 40 mgs.
30:06How many pills did you take?
30:08No, ma'am.
30:08I, I went just before I came here.
30:11Dad.
30:12Um, pill, how many pills did you take?
30:15Oh, uh, I think four, maybe five.
30:20That is a lot.
30:21Okay.
30:22Well, full stomach, mind you.
30:24Well, um, the good news is it has a short half-life.
30:27So, um, we're gonna need to keep you for about four hours to monitor.
30:32But then you'll be able to rejoin for all the late afternoon festivities.
30:36All right.
30:38Unit three and four running in.
30:40BP 84 over 56.
30:41Heart rate 112.
30:42Free fluid's much bigger than before.
30:44She's not turning in the corner.
30:45OR's holding a room.
30:45I'll let the husband know.
30:47Why'd you guys wait so long to check her?
30:49Good vitals in the field, no distress.
30:50She refused to sign in.
30:51You should have convinced her.
30:5320-20 hindsight.
30:54She was stable.
30:54Until she wasn't.
30:55Next time, I'll use my x-ray vision goggles.
30:57Let's get her upstairs.
30:59Gotta do an accu-check on my DKA patient.
31:02Thanks for the backup.
31:04Anytime.
31:09Now, try and lift your arm, Mark.
31:14I'm trying.
31:15Can't do it.
31:16But you are getting stronger, and your speech is improving.
31:20Why did I lose so much potassium?
31:23You didn't lose it.
31:24It got shifted into cells.
31:26When it comes back, you'll return to normal.
31:28Where's Nancy?
31:29She had an injury to her spleen right about here with some internal bleeding.
31:34Oh, God.
31:35She passed out from blood loss.
31:36We were able to transfuse her, and she's now on her way to surgery to repair that damage.
31:40This is my fault.
31:43She was trying to...
31:46She fucked a trip for us.
31:48For me.
31:51I fought her the whole time.
31:53I've been...
31:58Please don't...
31:59Oh, my God.
32:00Please don't let her die.
32:01Please.
32:03I can assure you that she is in excellent hands.
32:08Is this how it works?
32:09How what works?
32:12You think things are important.
32:14That everything's so important.
32:18And then you end up here and see.
32:23Yeah, that is how it works.
32:27No, it's a small hole.
32:29Like the size of a dime.
32:31Right, Doc?
32:32Mm-hmm.
32:33Yeah, even smaller.
32:35It's a minor enough procedure that most patients go on the next day.
32:39And then?
32:40And then they'll know what it is and how to treat it.
32:44Isn't that right?
32:45Yeah, exactly.
32:49I'm sorry that they called you.
32:52I never updated the form, I guess.
32:54No, no, it's okay.
32:56I'm...
32:57You know, they called and I was just kind of surprised.
33:03Well, you didn't have to come.
33:06But I did.
33:11I heard you get married.
33:14Congratulations.
33:19I hope he treats you well.
33:23And you deserve to be happy.
33:31I'm really sorry you're going through this, Michael.
33:35Yeah.
33:37Me too.
33:40But you know me.
33:42I'm a survivor.
33:47Why don't I...
33:49I leave you guys to talk for a few minutes.
33:52I have a patient to check on.
33:56Sure.
33:57Yeah.
34:00Mr. Diaz should be improving after two liters.
34:02Blood sugar?
34:03Down from 521 to 436.
34:06That's good, right?
34:07Moving in the right direction.
34:08Were you able to get a hold of your mom?
34:11Yes.
34:11She's on her way.
34:12She doesn't have a car.
34:13She takes buses, so it takes longer.
34:15I'm sorry.
34:16Don't be.
34:18Current insulin is 0.1 units per kilo per hour.
34:22Next steps.
34:23Once the glucose is down to 250, reduce the insulin to 0.05 units per kilo per hour.
34:27Because you can normalize the blood sugar before you clear the ketones and you don't
34:30get hypoglycemia.
34:31But as treatment continues, you'll have to give IV dextrose to keep the blood glucose in
34:35between 150 and 200 while the insulin drip clears the ketones.
34:38Obviously.
34:39I'm sorry.
34:40What?
34:43Got it.
34:44Duante, what are you doing in there, son?
34:46I'm a rabbit.
34:47Grabbing all the cats before the farmer gets me.
34:50Keep going.
34:51This is a cat's extractor with a tiny balloon at the end.
34:55What we're going to do is we're going to slip it past the bead, inflate the balloon, try
34:58to pull out the bead.
34:59Is it painful?
35:00No.
35:00He's numbed up.
35:01Made to level three.
35:03I'm pretty distracted.
35:04Dad's going to hold your head still, okay?
35:06Look up.
35:09Now go back perpendicular below the turbinates.
35:16You guys ever hear of John O'Donoghue?
35:19No.
35:20I've been reading him a lot lately.
35:21He's got this book of blessings, and there's this one about fatherhood really stuck with
35:28me.
35:30Voila.
35:31One red bead.
35:32Yeah?
35:33How's it go?
35:34Now, the ending goes, may you be gentle and loving, clear and sure.
35:40May you trust in the unseen providence that has chosen you to be a family.
35:46May you stand sure on your ground and know that every grace you need will unfold before
35:53you like all the mornings of your life.
35:55Hmm.
35:56That's good.
35:58I'd add support your woman and pack good snacks.
36:02It's beautiful.
36:04And it turns out there's no handbook for fatherhood, so I will take all the wisdom
36:10I can.
36:12Blue bead out.
36:19Anything else?
36:20You tell me.
36:21I have my own report to do.
36:23Anything I left out?
36:24I'll have to back on that kid.
36:25We'll follow up with Mr. Davis.
36:27When Mr. Davis comes off the ceiling.
36:33Jackson Davis.
36:35Talk screen negative for cocaine, amphetamines, marijuana, PCP, benzos, and opioids.
36:42So no drugs in his system?
36:43Nope.
36:44Taser barbs on the back of the victim's neck?
36:46Yep.
36:51Changes things, Tony.
36:53Hey, Louie.
36:54Uh.
36:55How we doing?
36:55Not so good.
36:57I can really use a drink.
37:00I'm feeling a little empty.
37:03Okay, well, empty is what we want.
37:04And it looks like we are there.
37:06Hey, well, if I can't get a drink, my tooth, you got to do something.
37:11We're going to get right to that.
37:12Let's hang some IV antibiotics.
37:15Three grams of unison.
37:16Excellent.
37:18He's going to be right back.
37:20We're going to numb it up and drain it.
37:21Ten minutes tops, okay?
37:22Oh.
37:23Hey, uh, you said you met Mr. Zambelli, the fireworks guy on the field?
37:27What field was that?
37:29No more talking.
37:30You got to fix my tooth.
37:32Yeah, deal.
37:39You're Muslim?
37:42I am.
37:45Oh, for what?
37:49After the shooting, it was the Muslims that came together for us in support and walked with us.
37:57You raised money.
37:59You paid for all the funerals.
38:03Anyway.
38:08Hello.
38:09How's it going in here?
38:11Did I miss all the gross stuff?
38:13Timed it perfectly.
38:14Excellent.
38:15My job's all about delegation and time management.
38:17Oh, not for much longer.
38:18That is very true.
38:19Why for not longer?
38:21Because tomorrow I am leaving to go on sabbatical.
38:24He's leaving us for three months on a motorcycle.
38:27Motorcycle?
38:28You're joking.
38:30Why would you do this?
38:31Why?
38:32Why?
38:33Why?
38:33Because, uh...
38:34You middle-aged man.
38:35Don't be stupid.
38:36Don't hold back.
38:37Tell me how you really feel.
38:38Forgive me for being blunt, Dr. Rabinovich.
38:41But how old are you, huh?
38:43Fifty...
38:43Ish?
38:45Ish.
38:46Fifty-ish year old man on a motorcycle.
38:49Very sad.
39:02I, um...
39:05I don't know what to say.
39:08You ever heard of ITP?
39:10I never did.
39:13I really appreciate you bringing her here, okay?
39:15Of course.
39:16What do you think I am?
39:18Oh, that's right.
39:19You think I'm some kind of child.
39:20No, I never said that.
39:21The fuck you didn't?
39:23In front of all those people.
39:24You made it sound like she might have been getting her while I was watching her.
39:26Like it was my fault.
39:27You basically said the same thing about me.
39:29No, I said that you guys roughhouse.
39:31That's all.
39:31Because you do.
39:32You?
39:33No, I would never hurt my daughter.
39:35Actually, I don't.
39:37I'm no new.
39:38Six months?
39:39You could be anybody.
39:39Okay, well, I am sorry for what I said, okay?
39:42I was upset and I was worried and I just...
39:44I said something stupid and I just...
39:46You think?
39:46You just fucking let me finish.
39:47You are finished!
39:50We're finished.
39:53Well, happy fucking 4th of July.
39:55Yeah, happy Independence Day.
39:59Yeah, they do.
40:00They just do.
40:01Excuse me.
40:04Yes, what can I do for you?
40:06My wife and I were in an accident.
40:09She's in surgery right now.
40:11Would you mind holding my phone up for me so I could record a message for her?
40:16Of course I will.
40:17Happy to.
40:18Oh, good.
40:19I have the same one.
40:21I know how this works.
40:27Ready?
40:28Go.
40:31Hi, my love.
40:35So, I was listening to this couple argue and they were yelling, both so angry.
40:47And I just wanted you to know, ah, that I was wrong.
40:54I was so wrong and I'm sorry about all of it.
41:02Hey.
41:03How you doing?
41:05I haven't seen him in like four years.
41:08I can't imagine.
41:10That must have been.
41:11So crazy.
41:12You know, things were not good at the end.
41:15He was a really different person.
41:18Huge temper.
41:19Not like when we first got married.
41:22I'm so sorry.
41:25Could that mass have been there for a while and only recently got worse?
41:30Yes.
41:30Could it be responsible for how much he changed?
41:34You know, his moods and tempers.
41:36He was getting into fights with strangers.
41:41It's possible.
41:49Oh.
41:57Um, unless he's asked you to change it, would you please leave me as the emergency contact?
42:07Yeah, absolutely.
42:20Okay, I'm sending Mrs. Kovalenko home with burn dressing, but not before she turned my sabbatical into a midlife crisis.
42:27No comment.
42:28Wound check, two days.
42:30Got it.
42:30What about Kylie, this little girl?
42:32Has she gone up yet?
42:33Hopefully soon.
42:34Hey, we're starting to clear some space around here.
42:36Yep.
42:38PTMC charge nurse, go ahead, medical ma'am.
42:43Is this a drill?
42:45Is this a joke?
42:46It's the 4th of fucking July.
42:52Got it.
42:54Thanks.
42:54What's up?
42:55Westbridge has a code black and is closing to internal disaster.
42:58Central is subverting all their ambulance traffic to us.
43:00What's the issue?
43:01Combswake wouldn't say.
43:02Shit, it could be anything from a flooding toilet to a power arch.
43:05How long?
43:06Didn't know.
43:06A couple of doctors probably got the holiday flu and they're understaffed.
43:12How come?
43:13How long?
43:15How many?
43:18Sounds like a betting grid to me.
43:21We are back.
43:24Oh, I should have left last night.
43:29Oh, I should have left last night.
43:52Oh, I should have left last night.
43:54Oh, I should have left last night.
44:11Oh, I should have left last night.
44:11Oh, I should have left last night.
44:11Oh, I should have left last night.
44:12Oh, I should have left last night.
44:12Oh, I should have left last night.
44:13Oh, I should have left last night.
44:15Oh, I should have left last night.
44:18Oh, I should have left last night.
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