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37:50Trans efamed
38:19Transnor
38:20Transovy
38:20Planes
38:20What are you going to do?
38:22I thought he would come back after Mom called him.
38:25Hey, what are the ethics about me reaching out to him
38:26under the guise of a medical emergency with Mom?
38:29If he's a danger to himself or others,
38:31I'd argue you have a professional responsibility
38:33to do whatever's necessary.
38:36Right.
38:37Okay.
38:38Hey, can you come talk to the parents of the OD kit
38:40that we brought in earlier?
38:4218-year-old, brain-dead from a fentanyl overdose.
38:44Oh, jeez.
38:45Yeah, only child, and I just think that the parents
38:47could use a little help processing what they're going through.
38:50Uh, what about donation? Is he a candidate?
38:52The transplant counselor could get him there,
38:54but I think we're a ways away from calling them in.
38:55I'll see what I can do.
38:57They're in Central 7.
38:58I wouldn't introduce you, but I really have to pee.
39:00No worries.
39:08What the hell?
39:10I just saw one of those rats.
39:11And you, what, thought you started an IV?
39:13It's not funny you're not the one who's going to have nightmares.
39:17I forgot about your phobia with rats.
39:19It is not a phobia.
39:20Nobody likes rats.
39:22Some people keep them as pets.
39:24If you are purposely keeping a rat in your house,
39:28that is not a pet.
39:29That is a sign of an underlying mental health problem.
39:31Okay, if it makes you feel any better,
39:32just think of them as cute little Disney mice
39:34with a pituitary condition.
39:36Mm-hmm, mm-hmm.
39:36Joke all you want.
39:37But if one of those disgusting things bites a patient
39:41and we get a case of Hantavirus,
39:43guess who's going to have to answer for that one, Chief?
39:46Aren't they?
39:47What was the name of that cop you were talking to earlier?
39:50What cop?
39:50The good-looking one that you were talking to earlier.
39:52How would I know?
39:53Seem like you guys have...
39:54Stay in your own lane.
39:56What?
39:58I'm not even asking like that.
39:59I really did want to talk to him about something.
40:02Uh-huh.
40:04Hey, did the exterminator come yet?
40:07Yeah, right.
40:07Sometimes he can be so cute.
40:09Anything I got us to go through facilities,
40:11said they'd handle it.
40:12What does that mean?
40:14It means nothing's going to happen
40:15until next week at the earliest
40:16unless we get a patient in here with a service cap.
40:20Oh, uh, don't forget,
40:22you still have the sister of Abbott's deceased veteran
40:24waiting for you.
40:24Shit, yes, yes, yes.
40:25I'll be there, I'll be there.
40:26Yeah, go.
40:29Hey, I've been looking all over for you.
40:31We need a CardioBert unstable AFib in North One.
40:33Okay, just give me a sec.
40:35It's systolic's 90.
40:36Fuck me.
40:3935-year-old architects working on a deadline,
40:42vaping nicotine all night.
40:44Palpitations this morning, AFib at 147.
40:47Mr. Quinn, this is Dr. Robbie.
40:49Hello, sir, how are you feeling?
40:50Like crap?
40:51When did your palpitations start?
40:52A little while ago.
40:54We interrogated his smartwatch.
40:55His heart rate's only been up for 92 minutes.
40:57You understand we need to shock your heart back to normal?
40:59Is he going to hurt?
41:00He'll be sedated.
41:01It's really going to hurt.
41:03Mel, 75 of Propoval, slow IV push.
41:05How much did you vape last night?
41:06A couple of pods.
41:08You vape every day?
41:09I do, but not that much.
41:11Want to cut back?
41:12I try, but it's just really fucking hard.
41:14How much nicotine is in a pod?
41:16Anybody know?
41:17No idea.
41:1840 milligrams, same as a pack of cigarettes.
41:19Wow, two packs in one night.
41:21Mel, what's the safe window for cardioversion?
41:2312 hours.
41:24What happens after that?
41:26Increased risk of the embolic stroke
41:28from left atrial blood clot.
41:29Which he does not have.
41:32Mr. Quinn.
41:33Mr. Quinn.
41:34Okay, he's out.
41:35Same cardioversion, 200 joules.
41:37Charged.
41:38Clear.
41:43There you go.
41:44Sinus rhythm?
41:45Can I go leave you?
41:46We'll monitor for a few hours.
41:48Yeah, let's get addiction services on the case, too.
41:50He's going to need a daily patch of nicotine gum
41:52for breakthrough cravings.
41:53This one's a bitch to kick.
41:55Hey, the sister of David.
41:57Shit, yes, shit, yes, yes.
41:59Go get him, Tiger.
42:08Are you Mr. Worcester's sister?
42:11Fiona.
42:11Hi, Fiona.
42:13I'm Dr. Rabinovich.
42:14Everybody calls me Dr. Robbie.
42:16Have a seat, please.
42:18I'm concerned with everything that's happened.
42:23You looking for something in particular?
42:25Anything with a very low potential for mortality?
42:28Mm-mm.
42:29You're not playing that game.
42:30Only thing I'm playing is let's keep the patients alive.
42:33Uh-huh.
42:33Well, now we're playing Face Your Fears.
42:36That sounds like a terrible game.
42:38What up there scares you the most?
42:40All of it.
42:41Pick the worst.
42:43Uh, South 20, 82-year-old woman, low back pain.
42:47I mean, that's potential leaking triple A,
42:50caudic quina syndrome, spinal epidural abscess.
42:53That could go wrong in so many ways.
42:54Not today, amigo.
42:55We're going to work this lady up like a race car.
42:57What does that mean?
42:58It means you're on the pit crew now.
43:00Come on!
43:03You ready to go inside?
43:07No, not really.
43:09I'll be with you.
43:11You can decide when you want to leave.
43:32You're so cold.
43:35I'm sorry.
43:38I'm sorry I wasn't here with you.
43:42I'm here now.
43:45Wherever you are.
43:51I don't know what the world is without you.
44:05I really can't look at this letter when I get too much for asking you to read it to me.
44:11Oh, I'm sorry.
44:12That's inappropriate.
44:13No, not at all.
44:14Not at all.
44:14I'd be honored by the request.
44:28To the family of Raymond Orser,
44:31my name is Dr. Jack Abbott.
44:35I am the emergency department physician who treated Raymond.
44:40I, like Ray, am also a veteran.
44:45And though I never met Raymond before today,
44:48I served with men like him.
44:51So I can only imagine what an outstanding person he must have been.
45:00I'm sorry I could not save Ray's life.
45:04We worked on him for several hours, but his injuries were too severe.
45:09Even for someone as tough and battle-tested as Ray.
45:14Please take some comfort in knowing he did not suffer.
45:19You have my heartfelt condolences, Jack Abbott.
45:29Very welcome.
45:40Again, I'm very, very sorry for your loss.
45:56Where do you think you're going, Myrna?
45:58Oh, none of your business, fruitcake.
46:03Actually, everything that happens in this department is my business.
46:05And you know what?
46:07I put up with a lot around here.
46:09I take very good care of you.
46:10So you can call me Dr. Rabinovich.
46:12Call me Dr. Robbie, or you can use my first name of Michael.
46:16But I do not appreciate you calling me fruitcake.
46:18Oh, did I hurt your feelings, cocksucker?
46:24That said, it has a certain whimsical quality to it,
46:26but I could probably learn to live with.
46:28Whatever you say, fruitcake.
46:30Excuse me, doctor.
46:31My father's starting to struggle again.
46:33Okay.
46:39Did you know those things will kill you?
46:41Not that lucky.
46:43Oh, what the fuck?
46:46Hey, they're stealing our rig!
46:50Did you leave the keys in it?
46:52Always, in case somebody needs to move it.
46:54Yeah, you probably shouldn't have done that.
46:55Why don't you come on inside, Ziggler?
46:56We'll look you over.
46:57I'm fine.
46:58Fuck that.
47:00You leave that shit?
47:02It happens.
47:07What can you do to make him more comfortable?
47:09We can take the tube out.
47:11But he needs that to breathe.
47:13If we extubate, we would keep him on oxygen for comfort.
47:17It would decrease his sedation.
47:19He might regain consciousness.
47:21He could recognize you.
47:22Maybe even speak.
47:24Well, I don't want to do anything to jeopardize him getting better.
47:26That's just the point, Helen.
47:29He's never getting better.
47:31You don't know that.
47:32I do know that, okay?
47:33He knows that.
47:35And Dad probably even knows it.
47:38It's time to let him go.
47:40I'm sorry if you've had your fill of Dad, but I haven't.
47:43And I'm not giving up on him.
47:47Even if it's hurting him?
47:52I'm sorry, but if there was anything I could do to heal your father, I would do it.
47:56But the most humane thing that I could do for him is to allow him a painless, peaceful passing.
48:02And that requires removing the breathing tube.
48:06Fuck.
48:07How long will it take once the tube's out?
48:11From minutes to hours.
48:12But we would ensure that he'd be in no physical discomfort.
48:20Okay.
48:21Okay.
48:26Let's go.
48:27No.
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