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The Pitt - Season 1 - Episode 07: 1:00 P.M.

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00:13I'm fine. Let's clear the hallway and get Christy out of the bathroom.
00:19Elle, you're making a scene. I'm so sorry about all of this.
00:22Don't lock yourself in. Sister started fighting.
00:25And Collins got the little mom pushed her.
00:28You all right?
00:29I'm the chief medical officer at this hospital. How can I help her?
00:31I just want to take my daughter home.
00:33Okay, we will get Christy out and we will bring her to you.
00:35Let us know.
00:36Right this way.
00:38Okay.
00:39You're on it?
00:39Yes, they didn't see the rats.
00:41How long has she been in there?
00:42About five minutes.
00:43I'm gonna find the key. We are gonna handle this.
00:46This is your patient?
00:47Yes.
00:47No, actually, it's my patient. She's been here for hours.
00:51Patients come in already in distress, and waiting only makes it worse.
00:54Wait time has nothing to do with this.
00:55This is why we're seeing hospital workers like Dr. Collins get assaulted.
00:59Assaulted?
00:59It was a little push.
01:01Which we're gonna take seriously.
01:02We risk our lives coming to work here every day.
01:04What if that mother had brought a weapon?
01:06We have metal detectors.
01:07This is what happens when you keep all the hospital admissions stuck down here
01:10instead of properly staffing upstairs.
01:12I've got four patients waiting on ICU that have been here since before I got here,
01:15and it's already one o'clock.
01:16I can see that you're-
01:17Got four more waiting on psych.
01:18One of them's been here for a fucking week.
01:19So please, for the love of God, hire more nurses.
01:23I'll come back later.
01:25That's not gonna help anything.
01:27Same fucking thing, every day.
01:31You okay?
01:32Yeah.
01:33You sure?
01:35Yeah, Dr. Robbie.
01:37The x-rays came back for that elbow fracture in the hallway.
01:39Okay, thank you.
01:40Can you also find Esme and Toto to bring me that bathroom key?
01:42You got it.
01:44Terence, I'm Dr. Langdon.
01:47Do you go by Terence or Terry?
01:50Terence.
01:51So, what brings you in today?
01:53I averted my ankle playing table tennis.
01:55Averted?
01:56Yes.
01:57You mind if I take a look?
01:59Are you an orthopedic surgeon?
02:01No, I am an emergency medicine specialist.
02:04Could I talk to an orthopedic surgeon?
02:06I'd prefer an expert in that area.
02:08Well, I'm pretty good at ankle sprains.
02:10How do you know it's a sprain?
02:11Well, I'd have to examine you first, but...
02:13Could it be a jump fracture or a dancer's fracture?
02:16Could be.
02:17Again, I'd have to look.
02:19Why don't I examine you and that'll tell me...
02:21Shouldn't you take a complete history on the present illness first?
02:23Sounds like you're more interested in asking the questions, so...
02:26You didn't ask me if I felt the pop or a snap.
02:27You didn't ask about previous injuries.
02:29You didn't ask about weight bearing.
02:30Why don't I get you some fresh ice?
02:34Christy?
02:36It's Dr. Robbie.
02:37No, I'm not leaving with her.
02:39Your mom is not out here.
02:40Your mom is in the waiting room.
02:41Listen, I can put you in a quiet room.
02:43You can spend as much time as you want in there,
02:44but I cannot have you locked in this bathroom for safety reasons.
02:47Does that sound okay?
02:52Christy?
02:56Okay, I'm gonna open this door now.
03:05Quiet room without my mom?
03:06Of course.
03:09Lab is back on our 25-year-old.
03:12Sickle cell and cirrhosis both on deck for the ICU.
03:16Subway fall is next in line for the OR.
03:18And our good Samaritan with a head injury is waking up.
03:22Oh?
03:23He's alert with good parameters for extubation.
03:25Great.
03:26You working this weekend?
03:28No.
03:29I got a date with my bed and the Great British Bake Off.
03:32You?
03:34My new boo planned a romantic weekend getaway, but won't tell me where we're going.
03:38Oh.
03:39I hate surprises.
03:40Make sure you share your location with someone.
03:42Just in case.
03:45Hey, pussycat.
03:48My name is Whitaker.
03:50Pussycat.
03:51I need to use the bathroom.
03:52Can you get a key for this?
03:55I don't think I should.
03:56Don't be a pussy, pussycat.
04:00I only use this so no one steals my wheelchair.
04:02Uh, you need a bedpan, Myrna?
04:04Yeah.
04:05Masi.
04:11Good sandwich?
04:12Um, yeah, really good actually.
04:14Yeah, I can tell from all the crumbs you're getting at my workstation.
04:17We eat in the lounge.
04:18If we eat lunch at all.
04:20Uh, I'm so sorry.
04:22I was gonna grab a patient.
04:23Maybe wash your hands first?
04:24Yeah.
04:28Too harsh?
04:29A little.
04:31Maybe I haven't gotten too soft.
04:33Want me to find you something for lunch?
04:35Nope.
04:35You seem hangry.
04:36I'm not.
04:38I managed to get the Miffa-Pristo and Tina out of the bathroom, parked in Central 14.
04:41How are Mom and Aunt?
04:42Mom's in chair as Aunt was headed to the cafeteria.
04:44Do you want to talk to them?
04:46I don't know what's left to say to them.
04:47I think they need to talk to each other.
04:51Nick Bradley's friends.
04:54How do you get through the loss of a child?
04:57I want you to get through anything by leaning on your friends and family.
05:08How are they doing?
05:09Still working through it.
05:11I'll let you know when it's time to revisit the organ donation conversation.
05:14Okay.
05:21Any update on my abandoned senior, Ginger?
05:23I still haven't reached the daughter.
05:25I tried Ginger's son, too.
05:26He was no help, lives in Cleveland.
05:28It's disappointing.
05:29At least she's in good spirits.
05:31I'm sure she appreciates the company and her daughter, Rita, does need a break.
05:36I just hope she comes back.
05:38And you know, I wanted to apologize about earlier.
05:42I spiraled.
05:45I sometimes say occasionally jump to the worst case scenario.
05:49So I...
05:50Understandable, given what we see here.
05:52I'll let you know if I hear from Rita.
05:54Okay.
05:56Hey, Mel.
05:58Hey.
05:59What's Mel short for?
06:00Melanoma?
06:02Melatonin?
06:02Melissa.
06:03Yeah, I'm just...
06:04I'm just messing with you.
06:07Um...
06:09I noticed that you and Langdon have really been hitting it off.
06:13You think?
06:13Yeah.
06:15Have you noticed anything strange about his behavior?
06:19Like what?
06:20Anything at all.
06:21I haven't noticed anything strange about his behavior.
06:21Like what?
06:24I have noticed that he has a tendency to sweat a lot.
06:28I don't know if that's weird.
06:30It could be genetic.
06:31Yeah.
06:32But just, uh, keep an eye for me.
06:34Okay.
06:38Is everything okay, Dr. Langdon?
06:40Oh, yeah.
06:41We got, uh, Dr. Google in Central 9 bombarding me with questions like my four-year-old.
06:46I couldn't even get through a history.
06:48Is that his chart?
06:50Yep.
06:51Can I see it?
06:53Knock yourself out.
06:57Oh, he, um, he's autistic.
07:05Did you, did you see that in his past medical history?
07:07It's an ankle sprain.
07:08It has nothing to do with the injury.
07:11I could talk to him.
07:12Great.
07:13I can see three other patients while you do.
07:17Have you seen our sad boy anywhere?
07:20Robbie.
07:21My daughter's teaching me the Gen Z lingo and has a nice ring to her.
07:23What is a sad boy?
07:25Hey, will you keep calling the ICU?
07:26I think those cardiologists are hoarding beds.
07:28And if they hoard them, they can board them.
07:30Lunch service is gonna start down here.
07:31It's gonna get a lot busier.
07:32They can feed them upstairs.
07:33On it, Cap.
07:35Hey.
07:36Our good Samaritan is alert with adequate parameters for extubation.
07:40Great.
07:40Get to it.
07:41How's Christy?
07:42Uh, you can see for yourself.
07:44I parked here in 14.
07:48I overheard a nurse saying they found rats back there.
07:52What?
07:53Yeah.
07:55Pest control takes priority.
07:57Guess you got bumped again.
07:59Mrs. Dunn?
08:00How's my dad?
08:02Uh, he's still stable.
08:03His chest tube output is slowed down, which is an excellent sign.
08:07Thank you for taking care of Ben.
08:09Yeah, of course.
08:10Um, Mrs. Dunn, can we talk for a moment?
08:15Excuse me.
08:17We found something in your husband's exam.
08:19He, uh, he has some breast enlargement.
08:24Is that unusual?
08:26Uh, it depends.
08:27One common cause is alcoholism.
08:29Is he a drinker?
08:30He has a few drinks every night.
08:32We'll do liver function blood tests for alcoholism.
08:34There's also disorders of the endocrine system, so we can check his hormone levels.
08:38Let me go!
08:40Hormones?
08:41Go!
08:42Can somebody help me, please?
08:44We need a wheelchair here.
08:45What happened?
08:46I was on my way home and I saw her in the road.
08:48She was in and out of the intersection yelling at cars and people.
08:52What's her name?
08:53Let me go!
08:53Nandi, she's my roommate.
08:55Did she get hit or neither?
08:56I'll scrape them.
08:56No, she tripped while I was pulling her out of traffic.
08:59Does she have a psychiatric condition?
09:01Not that I know of.
09:02Let's get her in bed.
09:03You're okay.
09:03Let me go!
09:09Hi, Terrence.
09:10I'm Dr. King.
09:12Hello.
09:13Uh, Dr. Langdon is with another patient right now, so I'm gonna finish taking your history.
09:22Is that okay?
09:23Sure.
09:23Okay.
09:27It's a little bright in here.
09:32Oh, that's...
09:39Sorry, the, uh, ER can be very noisy.
09:43I agree.
09:45So I heard that you might have sprained your ankle playing table tennis?
09:48I averted it.
09:50Yeah?
09:51What is your biggest concern today, Terrence?
09:54What worries you the most about your, uh, the pain in your ankle?
09:58What worries me?
10:00Do you mean right now in this moment?
10:02Right now.
10:06I'm worried I won't be able to play table tennis if it's a bad injury.
10:10There's a tournament in six weeks and I already registered.
10:13It's my first tournament.
10:14Wow, that's a big deal.
10:17Yes.
10:18The championship is hosted by the South Park Table Tennis Club.
10:22Nine players have USATT ratings over 2,000.
10:251,400 is considered average.
10:272,000 is a master player.
10:29My goal is to get a rating over 2,000.
10:32Well, let's get you to that tournament then.
10:37So, I've...
10:41Um, Terrence, would you, um, walk around the room for me, please?
10:45I'll be able to tell a lot more about your injury.
10:55Hurts a little.
10:56How painful?
10:57On a scale from 1 to 10, 10's the worst.
10:59The worst?
11:01The worst I've ever felt or the worst out of a human being and experience?
11:04Uh, a little pain is a great answer, Terrence.
11:07Uh, well, based on your walking around, I don't think it's a serious injury.
11:11You know what?
11:12There's actually something I want to show you.
11:13I'll be right back.
11:20Ah!
11:21What was that?
11:23Tlantipine, 10 milligrams.
11:24Do you know any of her medical history?
11:27No, uh, we've only known each other for a few months.
11:30We're both influencers.
11:32We met online.
11:33I thought it would be a good idea to live together.
11:35When did she start behaving differently?
11:37Um, about a month ago.
11:40She's been up at all hours talking to herself non-stop.
11:44I think she's suicidal.
11:45Any drug use?
11:47No, I don't think so.
11:51What's your body?
11:52What if you could see if you could do the exam?
11:54Um, can you look at the light?
11:57No, what was that?
11:58Um, okay.
11:59Open your mouth.
12:00No.
12:01It's not real.
12:02Where am I?
12:03How do you even do an exam with a patient like this?
12:05The furniture's changed.
12:07Observe her.
12:08Wait for her to look at you or open her mouth and get a quick look.
12:12Make sure she moves her arms and legs equally.
12:14This is just to monitor your heart.
12:16This...
12:16All right, we might need to wait until after the meds kick in.
12:22Everybody?
12:23In the same place.
12:28Okay, differential diagnosis.
12:30Schizophrenia.
12:31First psychotic break, she's in the right age range.
12:33Yeah, what else?
12:34Drugs, also common in this age group.
12:36Common in all age groups, what else?
12:38Not just recreational drugs.
12:39Could also be toxicity to medications.
12:41Don't drop to conclusions.
12:42Think big categories and then specifics.
12:45Metabolic, hyper or hyponatremia, calcium, hepatic encephalopathy.
12:51Endocrine, hyperthyroid, infectious encephalitis.
12:54Those are all possibilities.
12:56Okay, let's work her up medically, see if we can clear.
12:58Chem panel, CBC, TSH and T4, drug screen and HCG.
13:02Yep, keep me posted.
13:03If it's all negative, then admitted to psych.
13:08Check to KDX doses.
13:10No, but just check the all the four now.
13:21Still feeling nauseous?
13:23Not really.
13:25Good.
13:29So, your mom is looking for you?
13:32I didn't think my mom would find out.
13:34If I go home with her, my life is over.
13:39Maybe she'll change her mind.
13:42Sometimes this tendon called Peroneus brevis can pull off a piece of this bone, the fifth metatarsal.
13:48That's the dancer's fracture, right?
13:50Exactly. You most likely have a second-degree ankle sprain.
13:53The x-ray will tell us everything.
13:55Tech will come get you, and then I'll come back and show you the images.
13:59Great.
14:00Okay.
14:03Okay. I'll put the orders in.
14:04How'd you do that?
14:06Do what?
14:07Talk to him.
14:09I listened?
14:11Funny. No, you unlocked something. I wasn't getting anywhere with him.
14:15Oh, my sister is on the spectrum, and the ER can be a very, very overwhelming place for autistic people.
14:23So I don't know. It just takes a different approach.
14:26You and your sister close?
14:27Yeah, we're best friends. There's this one time we were on the squirm.
14:30I gotta hit the head.
14:31And then, yep.
14:31Let me know when the x-ray's back.
14:32Uh-huh.
14:40Where is she?
14:41She's okay. She just needs a minute.
14:44I have given her enough time. She can process this on the car ride home.
14:47Can we talk for a moment?
14:53I know you're trying to help, but this is really between me and my daughter. So if you could just
14:59bring her out, we will be on our way.
15:05She's really upset.
15:06She'll get over it.
15:29She'll get over it.
15:43She'll get over it.
16:09She'll get over it.
16:22She'll get over it.
16:56Hey, Charity, we can stop this heart attack.
16:57Best way to face your fears.
16:58Yeah, I can think of better ways.
17:00Let's back him on 100%. Set up for integration. Charged. And clear. Still beef hip. Resume compressions. Let's get him
17:10on Lucas.
17:10Lucas. As soon as we know anything, I'll come and get you.
17:22This is all my fault.
17:25What is?
17:27Is there something you haven't told us?
17:30Mrs. Dunn, in order to effectively treat your husband, we need to know anything that...
17:34The hormone levels.
17:37It could be the progesterone.
17:40He's taking progesterone?
17:43I've been giving it to him.
17:44I put it in his coffee every morning.
17:48I thought if I could kill his libido, we'd stop.
17:52Stop what?
17:56I think he's molesting our daughter.
18:00Whitaker, on life pack, you need to learn this.
18:02Yeah.
18:03Set 200 joules, asynchronous, plus charge.
18:06Pause compressions.
18:08Still V-fib.
18:09No pulse. Clear?
18:10Clear.
18:12Got your key, Whitaker.
18:13Oh, shit.
18:16No change.
18:17Epi and amio, please?
18:18He's not coming back, is he?
18:20We still got a ways to go.
18:21One of Epi's in?
18:22Double sequential defibrillation next.
18:24Worth a shot.
18:25I'll put it in an art line.
18:26Right sternal border, apex.
18:29The theory is that the first shock lowers the defib thresholds, that the second shock has a better chance of
18:34converting any fibrillating myocytes.
18:38Mr. Wallace, how are you feeling?
18:44I'm okay.
18:45You've been here about seven hours.
18:47Hit your head and came in unconscious.
18:49Took a pretty nasty fall.
18:51The tea?
18:53Yeah, on the tea tracks.
18:55What about the Asian lady?
18:58How's she doing?
19:00Minu.
19:01She's doing a lot better.
19:03Did the cops catch the guy who pushed her?
19:08She was pushed.
19:10Yeah, I saw it.
19:12The cops were here earlier.
19:13They wanted to talk to you.
19:16I can give them a statement.
19:18Okay.
19:19We can reach out.
19:22Can I see her?
19:25I think we can make that happen.
19:31All right, Whitaker, these pulses, we clear, and then shock, shock.
19:34I go first, you hit it as fast as you can.
19:36I got it.
19:37Charging both to 200.
19:39Charged.
19:40Pause compressions.
19:42No pulse on the A-line.
19:43Clear for the one-two punch.
19:44Clear.
19:49Resuming compressions.
19:50That was our Hail Mary.
19:51We got one more.
19:52Activate ECMO.
19:55Okay, I drop an ABG, prep the FEMS, Cordis Introducer.
19:59Get the ECMO team down here.
20:01Feeling any better?
20:04Maybe.
20:05Um, less...
20:09Is there anybody we can call?
20:11Your friend had to leave, but we can give her an update.
20:14Charis.
20:15She's not really a friend.
20:17I don't have friends.
20:18Just followers.
20:20So you're on TikTok?
20:22Of course.
20:24I'm a beauty influencer.
20:26Like makeup tutorials?
20:29Makeup, skin care, hair.
20:32What's the most amount of views you've ever gotten in one of your videos?
20:35Two million.
20:37Two million?
20:38Okay, I need to follow you.
20:40Nandhi, why did you wander into traffic today?
20:45Um, I was afraid of people coming after me.
20:51Not feel safe at home.
20:53Who's coming after you?
20:55I don't know.
20:56Something changed.
20:58When?
20:59Maybe a month ago.
21:03What changed?
21:05I can't, can't remember.
21:08I was worried all the time.
21:11Trouble sleeping.
21:13What about physical symptoms?
21:15Pain, aches?
21:18My hands shake.
21:22Can't even put on makeup.
21:25My feet get numb.
21:29What else?
21:31I don't recognize myself in the mirror sometimes.
21:34I feel like I'm in a dream and nothing is real.
21:42What's happening to me?
21:44We don't know yet.
21:45But, we're going to do more tests.
22:01Any ideas?
22:02Call for a psych consult?
22:05Let's ask for a head CT with contrast first.
22:08Looking for what?
22:10Tremors, coordination problems?
22:12Frontal lobe lesions can cause behavioral changes.
22:14We can't assume this is all psych.
22:17Got it.
22:18I've got a seven French cordis in place.
22:24Here we go.
22:29Maybe tea?
22:31Looks good.
22:32Let's do this.
22:33I access the right femoral vein.
22:35Thanks for that.
22:36So, Whitaker, we treat this like a sterile surgical procedure.
22:39Can't introduce bacteria into the circuit.
22:45He'll get a garden hose coming out of the vein at the right leg that flows into the ECMO machine
22:50for oxygen and gets pumped back through a second hose into the left femoral artery.
22:54These guys are impressive.
22:56The ECMO does all the work of the heart and lungs.
23:00Place an IG at the neck.
23:01They'll want that.
23:02Got it.
23:04Okay, I think there's enough warm bodies in here.
23:06I'm going to go check on the rest of the department.
23:08You don't want to hang out until these guys know what they're doing?
23:12Dr. Robbie?
23:13Yep.
23:13Can we talk about the patient in trauma one, Silas, the fixer-upper who fell off the ladder?
23:17Are his laps back yet?
23:18No, but his wife, Susan, told me that she's been putting progesterone in his coffee.
23:22Progesterone?
23:23Why?
23:23She wanted to kill his sex drive.
23:26He's been sexually assaulting their daughter.
23:30Shit.
23:31Well, we don't know that.
23:32What exactly did the wife say?
23:34He goes into the kid's bathroom when she's showering, gives her unwanted massages.
23:39Her behavior's changed.
23:40She's struggling in school.
23:41The mom is really worried.
23:42But she hasn't talked to her daughter about any of this.
23:44Doesn't want to put ideas in her head.
23:46It's grooming.
23:47And we are mandated reporters of child abuse in Pennsylvania.
23:50There's nothing to report unless we have proof.
23:52Right now, it's all speculative.
23:53Are we obligated to report mom for poisoning the husband?
23:56Unfortunately, yes.
23:57She's not trying to kill him.
23:58She's just worried about her daughter.
23:59You call it for that or you broke a bunch of ribs.
24:01You're the one who's treating him.
24:02What if next time it's worse?
24:04So we're just going to send her home and wait until she comes back as a victim of incest?
24:07We can't do anything unless the daughter comes forward.
24:10We can try to talk to her, but if mom doesn't want us to...
24:13I will talk to the mom.
24:14Okay?
24:15Then we'll just take you from there.
24:23They keep dilating until it takes the largest catheter.
24:26Why didn't we try ECMO on Mr. Milton, my gallbladder guy?
24:30For ECMO, you need CPR within five minutes and an initial rhythm of VFID, VTEC, or PEA.
24:37Which he had none of.
24:39No.
24:43First lines and him clamped.
24:45Do you need anything, Mrs. Kitajima?
24:48I need to use the bathroom.
24:50I'm afraid I may need some help.
24:53Oh, no problem.
24:54There's one nearby.
24:57Should I grab the interpreter device?
24:59Let's see how they do first.
25:06Hey.
25:11I'm Sam.
25:12Me new.
25:19Does it hurt?
25:26A stranger walked up to you, pushed you.
25:33I saw it.
25:36I'm going to help cops find person who did this to you.
25:41They won't get away with this.
25:44Raksha.
25:46It's Vishnu.
25:47Protector and guardian of the universe.
26:01Okay, Meenu.
26:02Time to take you up to the OR.
26:10Good luck.
26:27The two catheters have to get attached to the ECMO lines with no air bubbles.
26:32You see what's happening?
26:33Good to go.
26:34Circuit on.
26:36I'm clamping.
26:40Okay, it's Venus blood out the right femoral into ECMO for oxygen, then pump back into the
26:46left femoral artery.
26:47Stop the Lucas.
26:50What's the math?
26:5274.
26:53Excellent.
26:55So the ECMO has taken over for the heart and lungs.
26:57Once they open up the block artery, they can restart the heart.
27:00It's basically good as new.
27:03Incredible.
27:05I'm sorry you have to do this.
27:08It's okay.
27:09My daughter would have helped me.
27:12I don't know where she is.
27:15Um, she's probably going to be back soon.
27:19The kids are such a handful.
27:22They're grandchildren?
27:25Sometimes it's just too much.
27:27But my husband's busy with work.
27:31Your husband?
27:33Did you take your medication today, Ginger?
27:37I'm finished.
27:39Okay.
27:45I should get home.
27:48I need to start making dinner.
27:51Hopefully it won't be too much longer.
28:17You can go in if you want.
28:21Will you be okay?
28:22Okay.
28:23Yeah.
28:25Yeah, he just needs to stay in the hospital for a few days.
28:29And then he comes home?
28:32Yes.
28:38So your mom said that, uh, high school's been kind of hard for you?
28:44Um, I guess so.
28:46Yeah, it was hard for me too.
28:48Especially when things sucked at home.
28:52Do your parents put a lot of pressure on you?
28:57Not really.
29:00Are you and your dad close?
29:02Yeah.
29:04Has your dad ever made you feel uncomfortable?
29:11Has he ever done anything to you that didn't feel right, even if you pushed it down or tried to
29:19forget about it because it didn't seem like a big deal?
29:23It may seem harmless for him to go into the bathroom when you're taking a shower, but it's not.
29:28Where is this coming from?
29:29And if it's more than that, if he is touching you anywhere that you don't want to be touched...
29:33Why are you asking me this?
29:34I'm just trying to make sure that you're safe.
29:40Whatever is happening...
29:43You can tell me.
29:51He's my dad.
29:57I need to find my mom.
30:00Alana, wait!
30:03Dr. Robby, collapse all good on our influenza patient.
30:06Tox-3 negative, head CT normal.
30:08Head CT?
30:09She had memory problems, tremors.
30:11I had a hunch.
30:12She's had a million dollar workup now, so I can't refuse her.
30:14But...
30:15Being a good doctor, Dr. Mohan, is knowing when to dig deep and knowing when to move on.
30:20Ready?
30:21Yeah.
30:23Yeah.
30:23Yeah.
30:27Yeah.
30:27Yeah.
30:27Yeah.
30:31How are you doing?
30:33Uh...
30:34Okay.
30:36I still can't believe this is happening.
30:38Of course.
30:41Seems like a lot of people showed up for Nick.
30:47Everyone came.
30:49We needed this.
30:50We needed people.
30:53It's the only way to get through anything in life.
30:56You have to lean on friends and family.
31:00Nick's friends kept talking about what a kind person he was.
31:03Yeah.
31:07When he registered to be an organ and tissue donor, he made the decision to save eight lives
31:12and improve hundreds more.
31:18Nobody should ever lose a child.
31:20But Nick's gifts could help other parents avoid the pain that you've experienced today.
31:30I just need a little more time.
31:34I'd like to talk to Father McGill.
31:37Okay.
31:39How's your influencer?
31:41She's been cleared for psych, but she keeps saying something's wrong.
31:46It doesn't feel right to me.
31:48Listen to your patient.
31:52That is your superpower.
31:54But Robbie told me to move on.
31:56I finally call on his good side.
32:02Robbie's off today.
32:04Trust your gut.
32:06I'll back you up.
32:11Well, there's no fracture.
32:12So it is just a sprain.
32:14Sprains usually take about six weeks to fully heal.
32:17Can you hold this like that for me?
32:18Of course.
32:19Weight bearing has actually been shown to speed up the healing process.
32:24This is what NBA players wear during games after an ankle sprain.
32:28Do you want to walk around, see how it feels?
32:31Okay.
32:38I believe this will suffice.
32:42Your labs and your brain scan are all normal.
32:45So then what's wrong with me?
32:47We're having a psychiatrist come talk with you.
32:50You think I'm crazy?
32:51A psychiatric illness could be causing your symptoms.
32:54You have to believe me.
32:56Please.
32:58Please.
33:01Please.
33:06Take me through your skincare routine.
33:08Don't leave anything out.
33:09Write this down.
33:11So, um, I start off with a double cleanse.
33:16Next is the essence.
33:19I learned it from a Korean beauty influencer.
33:22Then a serum.
33:24Do you use products from other countries?
33:27Some of the best stuff is from overseas.
33:30They have better products for skin brightening and removing wrinkles.
33:34You don't have wrinkles.
33:36Don't be here before you know it.
33:38Don't do that.
33:39You need to watch your 11s.
33:40Do you have photos of these products?
33:42Of course.
33:43They post everything that works for me.
33:45Can you show me?
33:49Okay.
33:52Okay.
33:54Okay.
33:55Okay.
33:56Okay.
33:56Okay.
33:56Okay.
33:57Okay.
33:58Okay.
34:03What do you want to do?
34:05We wait.
34:06We fucking wait.
34:07A 12-year-old needs this.
34:09He's been on the ECMO for 17 days.
34:29Dr. Mohan, may we speak for a moment?
34:31Sure.
34:36I thought psych was taking over.
34:38I haven't called him yet.
34:40Got five patients back here that haven't been seen yet.
34:4251 more in the waiting room.
34:44I'm thinking this is a toxicology case.
34:45Everything is pointing to new onset schizophrenia.
34:47So what zebra are you hunting?
34:49She's been using a face cream from Asia with a high mercury content.
34:52This could explain all her symptoms.
34:54Look, the FDA website has a list of imported products that contain mercury.
34:58She's been using this one.
35:00I've ordered a heavy metal panel looking for mercury, lead, or arsenic.
35:05Why didn't you consult me?
35:07I consulted Dr. Collins.
35:09Dr. Collins is not supervising this case.
35:11I know.
35:12I just didn't know if...
35:14If what?
35:17I thought you were having a bad day.
35:23Did Dr. Collins say that?
35:24No.
35:25She was just trying to help.
35:27Don't ever do that again.
35:30Elevate to stop the swelling.
35:32Ice for 20 minutes, twice a day, and wear the ankle stirrup until the pain is gone and
35:37for another six weeks whenever doing anything athletic.
35:40Any questions?
35:41No.
35:42I'm all set.
35:43And sorry we got off on the wrong foot.
35:47That was a joke.
35:48I understood your intention.
35:50Is Dr. King around?
35:52She might be with another patient.
35:54Will you tell her goodbye from me?
35:56She's a very good doctor.
35:57Right.
35:58Uh, sure.
35:59Sure.
35:59Yeah.
36:00And good luck with your table tennis tournament.
36:06If you ever find yourself in South Park, I'll teach you how to play.
36:10Okay.
36:14Did you sign off on a heavy metals panel on new-onset psychosis?
36:18What?
36:18Samira's patient.
36:19I cleared her for psych.
36:20You overrode me?
36:21If Samira put it in order, there was a reason.
36:23I trust her.
36:24Maybe you should, too.
36:25I'm trying to break her.
36:26These bad habits are you are enabling.
36:27No.
36:27You're riding her so hard.
36:29She's starting to lose confidence.
36:31It's affecting her.
36:32I told her not to take it personally.
36:34What is that supposed to mean?
36:37Really?
36:38What?
36:40You have been snapping at staff all day.
36:43And even though you won't admit it, I'm pretty sure it's because today is the day Adamson...
36:47Oh, for fuck's sake.
36:48See?
36:49Can't even be honest with yourself.
36:52All right.
36:52You're right.
36:53I don't want to be here today.
36:54Sam, don't be.
36:55Or leave your baggage at the door like everyone else.
36:57But don't take it out on the rest of us.
36:59Okay.
37:01Since you're giving out feedback, I have some, too.
37:05You are a rule follower in an environment that requires flexibility.
37:10You let fear drive your decision-making, and you have no fucking respect for your superiors.
37:15Superiors.
37:15Wow.
37:16I give you a lot of leeway, but I'm your attending, and you are the resident, and you need to
37:20remember that.
37:21Okay.
37:23Dr. Rabinavich, thank you for your feedback.
37:26Dr. Rabinavich.
37:27What?
37:29Kiara's ready for you to talk to the wife of the trauma-on patient.
37:33With the wife, should I...
37:34I'll handle it.
37:36What's next?
37:37Dr. Rabinavich will explain everything.
37:39Dr. Rabinavich?
37:40Susan Dunn?
37:41Hi.
37:42Hi.
37:42Okay, so your husband is going to be admitted to the ICU, and if everything goes well, then we'll extubate
37:48him, and the chest tube can come out.
37:50But he's going to need to stay in the hospital for three or four days.
37:55I'm going to take Alana home, but I'll be back later.
37:57There is one other thing.
37:58Dr. Santos filled us in on your conversation.
38:01Um, what you did to your husband is against the law.
38:04So, unfortunately, we're required to report it to the police.
38:08Police?
38:09I wasn't trying to hurt him.
38:11Even so, this is where he ended up.
38:14I would suggest that you speak to somebody about your feelings and talk to your daughter.
38:19If there is something happening at home, she'll need to know that you're willing to listen.
38:22We have resources I can provide, which include connecting you to the authorities.
38:28We'll be fine.
38:33So that's it?
38:36Hopefully, now that it's out in the open, she'll take the necessary steps to handle this the right way.
38:41But she...
38:41Don't fight me on this.
38:43Focus on what you can control.
38:44Your patience.
38:49You okay?
38:51The mother could be arrested, and the daughter would be left alone with her dad.
38:54I know it's hard.
38:55If you need to talk to someone...
38:56I'm not the one who needs to talk.
38:58Okay?
39:11Your ankle guy was looking for you.
39:14Oh, sorry I missed Terrence.
39:16You were great with him.
39:19Um, I know what to say.
39:21I guess.
39:22Maybe how to say it.
39:24Because of your sister?
39:25Yeah.
39:27I know she's in a good place.
39:28I just...
39:29I really miss her.
39:32Yeah, well...
39:33You're...
39:34You're obviously really good at helping people.
39:38You're crushing with your patience.
39:39You even taught me a couple things.
39:43Really?
39:44For sure.
39:45You're making a great first impression.
39:58Wait out here.
40:00Okay.
40:09There he is.
40:11Remember me?
40:13So I talked to your wife and daughter about your extracurricular activities.
40:18Yeah, it didn't say in your chart that you were a child molester.
40:24Yeah.
40:26Yeah, they told me about your bathroom visits and your massages, you piece of shit.
40:37You know, I know men like you.
40:40Men you trust.
40:43Men you look up to.
40:46First it's a kiss on the head.
40:49Then it's the lips.
40:51A friendly massage becomes a hand under your shirt.
40:55And then fingers inside you.
40:56And it's all our little secret.
40:58All because you love us so fucking much.
41:04So this is how this is gonna work.
41:07You are never going to touch your daughter again.
41:10You are never going to look at her.
41:13Or even think about her inappropriately.
41:16Or Officer Ahmad out there is going to arrest you.
41:19And the only rape in your future will be the one you get in prison, you sleazy fat fuck.
41:28I'll blink twice if you agree to this.
41:31Once if you want me to let you die.
41:34I've already lost two patients today.
41:35One more's not gonna make a difference.
41:41Good.
41:46Don't fuck with me.
41:49And don't fuck with your daughter.
41:58Oh, and I expect an excellent patient satisfaction score.
42:04Get well soon, Mr. Dunn.
42:10Hey.
42:12Hey, you need help with something?
42:13I'm good.
42:15Okay, then.
42:17You're welcome.
42:18Thanks.
42:23Mechopristone.
42:24Are you sure you want to do this?
42:26Yes.
42:35Second dose in 24 hours, then mesoprostol.
42:38Everything's in here if you forget.
42:40Good luck to both of you.
42:42Good luck to both of you.
42:49What'd you say to her?
42:52Something about not losing Christy forever.
42:57Well, you gave him a chance.
42:59That is going to be one long drive back to Tennessee.
43:03Look at that.
43:04Yeah, thank you.
43:05Here's the family.
43:06Sir.
43:07Come back.
43:07Yeah, we need help to work together.
43:09Hmm.
43:38Um
43:57Oh
44:10Oh
44:41Oh
44:47Oh
44:49Oh
44:49Oh
44:49Oh
44:53Oh
44:55Oh
44:58Oh
44:59Oh
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