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The.Pitt.S02E10.540p.X265.AAC [Full Movie] [English Subs]Full EP - Full
Transcripción
01:10I'll be right back.
01:19Hey you OK?
01:21Yeah.
01:22Yeah, sorry.
01:24Look, it's hard seeing your patients die.
01:27pero como profesionales
01:28tenemos que crear emocional boundaries
01:30para nosotros
01:31no es nada para nosotros
01:32es sobre ellos
01:35y ella es tan calmante
01:40ella ha tenido mucho tiempo
01:41para preparar para este momento
01:44lo que está haciendo
01:44para sus hijos
01:46con tanta gracia
01:49es un heredito de amor
01:50I feel like an asshole
01:53all they want
01:54is more time with their mother
01:55all I want is less time with mine
01:57don't feel guilty
01:59I mean you can be grateful
02:01and gracious from a distance
02:03just talk to her
02:04tell her what you want
02:05she'll understand
02:08I doubt that
02:11give her a chance
02:13she may surprise you
02:17hey
02:18two birds headed our way
02:20need a hand
02:20that's the rumor
02:22Santos
02:23trauma incoming
02:24grab a gown
02:25you can assist Dr. Langdon
02:29fuck me
02:31Jesus
02:32I got blood tubes
02:32throwing moss over here
02:34tick tock people
02:35hey Olive
02:36give me a solid
02:37run these to the lab
02:38no problem
02:39I got more lab results
02:41start putting them on the patient clipboard
02:43PTMC emergency
02:44go ahead medic
02:45do cyber attacks happen often
02:47more than you realize
02:48I blame the riskies
02:49Dr. Mohan
02:50it's your mother
02:52it's your mother
02:52she sounds pretty upset
02:54she says she really needs to talk to you
02:57you're shitting me
02:58tell her I'm not available
03:10how's your ship going
03:12it's been a lot
03:13already
03:15you know I worked in an ER before
03:17up in Vermont
03:17and we had MBAs
03:19and ODs
03:20MIs
03:21but this place
03:23this place is relentless
03:26holiday weekend
03:27we're not normally offline
03:29I think we have a very different idea of normal
03:32not for everyone
03:34I'm not sure it's healthy for anybody
03:36here's your leg
03:38Jesus
03:47I need more runners
03:48well you could shut down the gift shop
03:50they always have a couple of volunteers there
03:52everyone says volunteers use walkers
03:54beggars can't be choosers
03:56go get them
03:57okay
03:57I'm gonna grab a smoke first
03:59no time
03:59nicotine gum
04:00take the edge off
04:01you two
04:02head to triage
04:03jump out the front of the house
04:04they're running out of space
04:04and there's a line out the door
04:06okay
04:07let's go
04:07hang on Moham
04:11sign this
04:14nicotine patch
04:1521 milligrams
04:16who's it for?
04:17Monica
04:17this nicotine gum shit
04:19she'll never survive the shift
04:20and I need her
04:20so I don't lose my goddamn mind
04:25thanks
04:26is Dr Abbott still around?
04:28he'll have to get some sleep
04:29before his night shift starts
04:29in a couple hours
04:30shit
04:31okay
04:31I should have planned this better
04:33I was hoping
04:34he'd write me a letter of rec
04:36for an elective
04:36so I could have a shot
04:37at a fellowship next year
04:39which one?
04:41whichever will take me
04:42did the elective fill up a while ago?
04:44don't remind me
04:45I'm gonna throw myself
04:46at the mercy of the court
04:46beg for them to take me anyway
04:49just kill me now
04:50be less painful
04:51you know
04:52I can't read this handwriting
04:53it says
04:56thousand milligrams of
04:57acetaminophen
04:57orally
04:58four milligrams
04:58on dengetron
04:59under the tongue
05:00and
05:01trial of clear fluids
05:02seriously?
05:03it says all that?
05:04it's not in a text
05:05with emojis
05:06you kids can't read for shit
05:10what do we have?
05:11fall from ten feet
05:12onto a metal fence
05:13right below the knee
05:15good vitals
05:16oh my god
05:17what's she had so far?
05:1950 event
05:19repeated 25
05:20no meds
05:20no allergies
05:21where should I put this?
05:22let's hang on to it for now
05:23on my count
05:25one
05:25two
05:26three
05:27oh my god
05:29Whitaker
05:29eat fast
05:30Donnie
05:31primary survey please
05:32pupils equal
05:33and reactive
05:35what's your name?
05:36my leg hurts really bad
05:37did I break it?
05:39um
05:40I wouldn't say that it's broken
05:41exactly
05:41we're gonna get an x-ray
05:42to determine that
05:43put that on the gurney
05:44light it up for x-ray
05:45keep your fucking mouth shut
05:46good lung sliding
05:48right and left
05:48airway patent
05:49breath sounds bilaterally
05:51my head hurts
05:52VP 100 over 60
05:54pulse 118
05:55pulse locks 98%
05:57does your belly hurt?
05:58no
05:59asshole
05:59it's my leg
06:00okay she's really moving
06:02on your ketamine?
06:03yeah we can't evaluate
06:04like this
06:06hey Ogilvy
06:07deep breaths yeah?
06:10yeah okay
06:10Whitaker what's next?
06:11uh
06:12once she's sedated
06:13finish the e-fast
06:14plain x-ray
06:15check her back
06:15straight to CT
06:16what if the ketamine wears off?
06:18right
06:18uh we should do
06:19a popleteal nerve walk
06:20before the CT
06:22anesthetize from the knee down
06:23two of you
06:24tip-fib
06:25pushing ketamine now
06:26what's the bullet?
06:2742 year old male
06:28with 20 foot fall
06:29want chest trauma
06:30with hand injury
06:31where's my son?
06:33where's my son?
06:33it's faculty to 108
06:34SAS 98 on 2 liters
06:36BP 122 over 84
06:37what pants can do
06:38to mechanism you?
06:39tip-fib amputation
06:40hoping ortho can
06:41give us a little hope
06:42for replantation
06:43Derek where are you hurting?
06:45chest
06:45in my finger
06:46did they find my son?
06:47did you hit your head?
06:48don't think so
06:49I need to find my son
06:51we'll find him for you
06:52but we need to take care
06:53of you first
06:53pericardium's clear
06:54no fluid in Morrisons
06:56move both arms
06:57wiggle your feet
06:58good
06:59any pain in your neck?
07:00no
07:01spleen looks good
07:02start with this chest
07:03start with this chest
07:03that's where he hurts
07:04no hemotampinum
07:05normal sliding
07:06best to start with the side
07:08he's complaining about first
07:10I don't see much sliding there
07:12his name is Zach
07:14he's seven
07:15pneumothorax
07:15set up for a chest tube
07:16not yet
07:17let's go
07:19posterior lateral
07:19look for fluid first
07:20traumatic pneumothorax
07:22we should prep the chest
07:23not necessarily
07:24he's hemodynamically stable
07:27does that look like some fluid there?
07:29hard to say for sure
07:30he's tachycardic
07:32hemo pneumothorax
07:32he needs a chest tube
07:33BP and SATs are fine
07:35we can wait for CT
07:36if it's small
07:37resolve on its own
07:37we observe and reimage
07:38I agree
07:39he's stable for now
07:40let's wait for the scan
07:40Dr. Santos
07:41okay let's order
07:42CT chest
07:43abdomen
07:44pelvis
07:44and x-ray
07:45left hand
07:47whoa
07:48major degloving
07:49focus on the primary
07:50Dr. Langdon's correct
07:51we need to log roll him
07:54okay
07:54how about another
07:55four more feet
07:56put it in
07:57hang in there
07:58Derek
07:58we got you
08:01fuck off already
08:03boyfriend
08:04wish
08:05my mom
08:06every time I get a second
08:07of service
08:07another dozen
08:08times
08:08how much longer
08:10do I have to wait
08:10I got a broken leg here
08:12someone will be with you
08:13shortly sir
08:14am I allowed to use
08:15the bathroom
08:16I really have to go
08:17I don't know ma'am
08:18I am not your doctor
08:19it says right there
08:20doctor
08:20yes but I'm not
08:21your doctor
08:22but if you go back
08:23to your room
08:23a nurse will come
08:24find you
08:24I wasn't in a room
08:26I had to be parked
08:27in the hall
08:28are either of you
08:28treating my mother
08:29nope
08:37take a seat
08:38it's gonna be a while
08:42Helen Torres
08:44come on down
08:47Helen Torres
08:49yes
08:49yes
08:49I'm going
08:51I'm going
08:52I'm going
08:53I'm going
08:53pass the door
08:54from this side
08:55thank you
08:57thank you
09:10I'm Dr. Mohan
09:11the assistant
09:11Dr. Kwan
09:12Kevin
09:13how long has
09:14your leg been swollen
09:15home
09:15it's been getting
09:16worse over the
09:17past week
09:19Dr. Mohan
09:19your mom called again
09:20she said
09:21not now
09:21with a patient
09:27sorry about that
09:28um
09:29did you
09:30did you fall
09:30or hit your leg
09:31no
09:34have
09:34have you
09:35ever had a blood clot
09:36before
09:36no
09:41are you alright
09:42excuse me
09:43do you need to sit down
09:44oh no
09:45I'm fine
09:47you don't look too good
09:48what
09:50no it's just um
09:52it's really hot in here
09:53and uh
09:55and uh
09:56you need to sit down
09:57I'm good
10:00I just
10:00I need some hair
10:02maybe excuse me
10:02a second
10:24I've been waiting
10:25I've been waiting
10:25I've been having a phone
10:26I've been just looking
10:27I've been just looking
10:28I've been just looking
10:29look out
10:30Nick way
10:32get in
10:34no I'm
10:35I'm okay
10:36I'm okay
10:37get in the fucking chair
10:41excuse me
10:44coming through
10:45out of my way
10:47we were going down
10:48the water slide
10:48and the bottom
10:49just fell off
10:50I grabbed Zach's arm
10:51and I
10:52tried to hold on
10:52to the sides
10:53but my hand slipped
10:54and my ring got stuck
10:55my finger was ripping off
10:56and I just
10:58and I lost him
11:00we can numb
11:00up your finger
11:01as soon as we gauge
11:02the extent of the injury
11:03and cut the damn thing
11:04off for all I care
11:05I just need to find Zach
11:07okay do you feel
11:08anything here
11:09yeah sharp
11:10how about here
11:11sharp again
11:12you're a little late
11:13for the show
11:13yo-yo
11:13I am the show
11:14Dr. Langdon
11:15you're the warm up act
11:16you know somebody
11:17miss me
11:18Mr. Foster
11:18suffered a decloving
11:19injury of the ring finger
11:20stable pneumothorax
11:22awaiting imaging
11:23hello sir
11:23I'm Dr. Garcia
11:24from the trauma service
11:26need the ring cutter
11:27that's why they pay
11:28the surgeons a big bucks
11:29possible flexor
11:31tendon injury
11:31try to bend up
11:34your ring finger
11:38let's go with the block
11:40you want to feel
11:41a pinprick
11:42and some burning
11:42which tendon
11:44did we test
11:44Dr. Santos
11:46seriously
11:46that's a med student
11:47question
11:48we're teaching
11:49hospital
11:50it's always good
11:51to review
11:53flexor digitorum
11:54superficialis
11:55is intact
11:55as it inserts
11:56on the middle
11:57phalanx
11:58correct
11:59gee thanks
12:01no sign of tension
12:03there's no tension
12:04in your mouth
12:05let's wait for the CT
12:06I'll be next door
12:07Langdon
12:09Mel's sister's
12:10been asking for you
12:10she's getting antsy
12:11and we could really
12:12use the room
12:12CT's ready
12:13okay
12:14let Becca know
12:14I'll be there soon
12:15and Mr. Foster
12:16got separated
12:17from his son
12:18Zach
12:18at the water park
12:19I don't know
12:20we can call for you
12:21my wife
12:21Angela
12:22Dr. Santos
12:23will you escort
12:24Mr. Foster to CT
12:30help
12:30need a hand here
12:33what the hell happened
12:34I think I'm having
12:35NMI
12:36my chest is so tight
12:37I can barely breathe
12:38okay I gotta get
12:39this while we
12:39Perla
12:40can I get an assist here
12:41yeah I'm on it
12:44CT's normal
12:45why do we take down
12:46the tourniquet Whitaker
12:47to give the residual
12:48limb blood slope
12:49two little pumpers
12:51couple of figure eights
12:52how to take care of those
12:54park
12:56park the shark
12:57orthopedic surgeon
12:58is this a favorable
12:59amputation
13:00pretty clean cut
13:01then sliced through
13:02like a guillotine
13:02x-ray
13:06not too bad
13:07mm-hmm
13:10stop
13:11tying off a couple
13:13arterials
13:13I'm not blind
13:15where's the amputated leg
13:17double bag
13:17none ice
13:19sterile saline
13:20on the inner bag
13:21ice water
13:22in the outer bag
13:23no direct ice
13:24on skin contact
13:25we spent a lot of time
13:27he still needs to
13:28look
13:33get Robbie
13:43antibiotics
13:45cefazolin and gent
13:46we've cleared her chest
13:47abdomen and pelvis
13:48clean wound
13:50no crush injury
13:51rapid transport time
13:54replantation is a go
13:55I'll book an OR
13:56irrigate the hell out of this
13:57with three liters
13:58three liters
13:59of saline
14:00genius
14:02thanks shark
14:07I knew he meant
14:08saline
14:10Dr. Robbie
14:11we need you
14:12in central sex
14:13Dr. Mohan
14:13may be having
14:14a heart attack
14:14what
14:18EKG is normal
14:19you sure
14:20check it out
14:21you can be here
14:21on second opinion
14:22what's going on
14:23it's okay
14:23I'm okay
14:24you don't look okay
14:25you look like shit
14:27I feel like shit
14:28what happened
14:29I don't know
14:30I just got really hot
14:32and I started having
14:34trouble breathing
14:35we should send up
14:36some labs
14:36to be safe
14:38any chance you're pregnant
14:40not sure I feel
14:41comfortable answering that
14:44no
14:44she was tacky
14:46but it's resolved now
14:47have you eaten anything
14:47yeah
14:49you staying hydrated
14:50100%
14:51I'm doing everything right
14:53it's everything around me
14:53that's all fucked up
14:54it's just my mom moving
14:56and calling me over
14:57and over again
14:58and now me scrambling
14:59to find a job next year
15:00I had it all planned out
15:01and now everything's
15:02just out the window
15:03wait a minute
15:03is this a panic attack
15:04because of your mommy issues
15:06what no
15:07Jesus
15:08do you need to go home
15:09you should go home
15:10no I'm fine
15:10I don't need the fucking liability
15:12go home
15:12and the rest of you
15:14the last time I checked
15:14the ED is a shit show
15:16so let's all get back to work
15:25sorry for taking so long Becca
15:27nurse Dana said you'll be back
15:29in a few minutes
15:30but it's definitely been more
15:31than a few minutes
15:32you're right
15:32my apologies
15:34I brought some drink options
15:36okay
15:36we've got apple juice
15:39cranberry juice
15:40OJ
15:41and Pittsburgh's finest
15:43what's that
15:44water
15:46OJ please
15:47okay
15:49let's see
15:54all right
15:56now I am going to give you two pills
15:59the first is
16:01an antibiotic
16:01that will get rid of the infection
16:03the second should take care of the burning
16:06you want to take both pills
16:07for three days
16:08and drink lots of water
16:09I'll write it all down
16:11I hate pills
16:13could you mash those up
16:14and put them in the OJ for me
16:16coming right up
16:19okay
16:22Mel's going to be super worried
16:23when you tell her
16:25you are going to be just fine
16:26but um
16:28as far as telling your sister
16:29what's going on with you
16:30that is your decision
16:31not mine
16:34so
16:35you're
16:36not going to tell Mel
16:38I can't
16:39not unless you
16:40my
16:41patient
16:41tell me to
16:45do you know
16:46when Mel's going to be done
16:47with her
16:48important meeting
16:50hopefully soon
16:52Dr. Langdon
16:54they need you back
16:55and show me too
16:59Becca
17:00I gotta go
17:00I will be
17:01don't say in a few minutes
17:02unless you actually mean
17:03in a few minutes
17:05I would never
17:10and I need you
17:12to be kind
17:12to each other
17:14I'm kind
17:15she's just a butthead
17:16sometimes
17:19he's your brother
17:21and he loves you
17:25don't go
17:27I don't want to go
17:29but it's
17:30it's not up to me
17:33okay
17:34we'll always be connected
17:37no matter what
17:42invisible string
17:47invisible string
18:01hey
18:04you gonna go in
18:05and see your mom
18:08cancer sucks
18:10yeah
18:11yeah it's us
18:16it's not fair
18:18no it's not
18:23I don't want to go in there
18:28nobody is gonna make you
18:36she didn't used to look like that
18:41yeah I get that
18:47if you don't go in there
18:48and say goodbye
18:50and tell your mom
18:51you love her
18:53I think you might wish you had
18:55for a very long time
19:01it's your call
19:06D5
19:07half normal saline
19:0828k
19:08run it at 125 an hour
19:11one of the most common reasons
19:12for traumatic replantation
19:14failure is infection
19:15so we do what Whitaker
19:16rinse and repeat
19:17until surgery calls first
19:21is everything okay
19:22with Dr. Mohan
19:23she's fine
19:24focus
19:32kenamine's worn off
19:36I can't feel my leg
19:38I'm Dr. Michael Rabinovich
19:41you're at a hospital
19:41and we give you a nerve block
19:43so that you can't feel any pain
19:44why
19:45you were on a water slide
19:47that collapsed
19:47and did serious injury
19:48to your leg
19:54fuck
19:55is that my leg
19:56is that my
19:57did you cut my fucking leg off
19:59your leg was cut off
19:59in the accident
20:00our surgeons are going to
20:01try for replantation
20:02I
20:03no
20:04she needs more ketamine
20:05grab up the leg
20:05Emily I know that this is really hard
20:07I need you to focus on me right now
20:08because we need to get your consent
20:09to proceed with the surgery
20:11why
20:11there are risks with the surgery
20:13there's anesthesia
20:14no
20:14and there's no guarantee
20:15Emily
20:17can you just
20:17just put it back on
20:19like
20:20can you just put it back on
20:21sounds like consent to me
20:22now can you have sedation
20:23okay
20:23load it up
20:24ketamine and rock
20:24it's gonna be okay
20:25it's gonna be okay
20:26we're gonna intubate before the OR
20:27it's gonna be okay
20:30finishing second cut
20:31success
20:33can that be saved
20:34the finger or the ring
20:36the wedding ring
20:37uh yes sir
20:38a jeweler can weld it back together
20:40good as new
20:41stop
20:42irrigate
20:43the ring shavings off first
20:46what did I miss
20:47finishing irrigation
20:50doesn't look like you lost any skin
20:52it's a little dusky
20:53might not be viable
20:54there's intact skin on the dorsum
20:56more irrigation
20:57then tack it down with one suture
20:58okay thanks
21:00radiologist reports a 25% in the forex
21:03is that bad
21:04that is a partially collapsed lung
21:06that needs treatment
21:07I can put in a chest tube
21:08he doesn't need a chest tube
21:10okay
21:10what do you want
21:11a pigtail catheter
21:12I was thinking a Thor event
21:14what why
21:15it's not a bad idea
21:16no need for wall suction
21:18if Hannah can operate today
21:19he can go home tomorrow
21:20with a Thor event
21:20you can learn a lot
21:22from your senior residents
21:23I'm happy to teach
21:24Dr. Santos
21:26thank you Dr. Langdon
21:32Janelle
21:32I need you to take the samples
21:34to the lab
21:34and come back with
21:35any results that are ready
21:37Joffrey head to CT
21:38to see if any new results
21:39are printed
21:40and bring those back
21:41Pam
21:41check in with whoever's
21:42running the PDS
21:43to see if any orders
21:45need to go to the pharmacy
21:46and bring back any meds
21:47that are ready for pickup
21:48rinse and repeat
21:49every 15 minutes
21:50double tie those shoelaces
21:51and hydrate
21:52it's not a sprint
21:53it's a marathon
21:55fine my pretties
21:58okay any word I'm finding
21:59on water slide dad's kid
22:00not yet
22:01called the wife
22:02went straight to voicemail
22:04at least dispatch said
22:05that there were a couple
22:06of fatalities on site
22:07one adult one kid
22:08sweet Jesus
22:09who the fuck did this
22:11no sign up on orders
22:12for labs or x-rays
22:14and it's in the wrong
22:15freaking rack
22:15you guys trying to kill me
22:16and the patient
22:17I'll take care of it
22:18thanks
22:19Dana
22:20this gum is
22:21shit I know
22:23pardon me
22:24you said you needed
22:24this right away
22:25just in time
22:25slap one on
22:26and give it an hour
22:27to kick in
22:27you're welcome
22:29what
22:31the prescription
22:31is for you
22:32my insurance will cover it
22:33hers won't
22:34is that insurance fraud
22:37tell me in jail
22:38I could use a vacation
22:43mom
22:49I'm
22:49I'm really glad
22:50to see you mom
22:51I
22:51Garcia told me
22:52about the sigmoid
22:53volvulus you missed
22:54it was an oversight
22:55that could have killed her
22:57without electronic records
22:58it's been kind of a challenge
22:59to figure out
22:59chaos is the status quo
23:00in the ED
23:01even when the computers
23:01are working properly
23:02you have to be hypervigilant
23:03and double check everything
23:04I can handle it
23:05why would you want to
23:07don't hear you're learning
23:08street level medicine
23:09all the sea to your pants
23:11oh well I made a mistake
23:12but the more talented
23:13practitioners upstairs
23:14will fix it
23:17you are better than this
23:20I
23:22love you
23:28well
23:28that is one way
23:30to do a debrief
23:31you should talk to her
23:32which one
23:33honestly
23:33both of them
23:34can you call in
23:35some extra doctors
23:36sure
23:37everyone's dying to work
23:38on the 4th of July
23:39why
23:39Dr. Mohan went down
23:41yeah
23:42I saw your pep talk
23:45she's taking a little break
23:46until her labs are back
23:47she's going to be fine
23:48but I'm not sure
23:49her head is in the game
23:51come on it cap
23:53small stab incision
23:54with the 11 blade
23:55midclavicular line
23:56second intercostal space
23:58she's gonna stab me
23:59it's just a medical term
24:01stay superior to the rib
24:07is there a problem
24:08nope
24:09everything's going well
24:11place the trocar
24:13pull back the adhesive wings
24:16and advance until you see the red diaphragm move
24:20that means you're in the pleural space
24:23now remove the trocar
24:28perfect
24:29okay
24:30now we can either
24:32hook up to wall suction
24:33or we can use this one way valve
24:35to repeatedly aspirate
24:36with a syringe
24:37now with all your vast experience
24:38Dr. Langdon
24:39you should probably decide
24:43we can avoid wall suction
24:45if I pump manually
24:46how about it doc
24:47enough
24:48apparently decency and decorum
24:50need to be reintroduced
24:50to our R2 curriculum
24:52nice work Dr. Langdon
24:54we'll go check in a no R
24:55for Mr. Foster
25:02hey
25:02I'm gonna need you
25:03to pick up the pace
25:05can I get a sec
25:06Dr. Mullen
25:07just almost died on me
25:08it's not even close
25:09she's tougher than she looks
25:11propane hero
25:11and north four
25:12hey any word from surgery
25:14on how our big patient
25:15Howard's perforated diverticulitis
25:17is doing
25:17still in the OR
25:18what about our drunk firework kid
25:20wait this turn
25:20in the surgical conga line
25:22what about social services
25:24have they found
25:25a temporary foster home
25:26for our baby Jane Doe
25:28still working on it
25:29kid's gonna be old enough
25:30to drive by the time
25:31she gets out of here
25:31you joke
25:34oh for fuck's sake
25:36go
25:37quickly
25:37before I change my mind
25:39hey
25:40did the county pick up
25:41Louie's body yet
25:42no he's still in the V100
25:43Jesus
25:44he's just lying in there
25:45yeah
25:45another couple minutes
25:46I'm wheeling him down
25:47to the morgue myself
25:50what's the bullet
25:50eight year old boy
25:51part of the water park accident
25:52thrown off the water side
25:54how far did he fall
25:54maybe six or seven feet
25:56landed in a tree
25:57had to wait for a ladder
25:58truck to get him down
25:59major neck trauma
26:00must have taken
26:00all the impact there
26:01couldn't two of them
26:02hard to bag
26:02sats in the 80s
26:03BP 85 over 60
26:05pulse 50
26:08okay one
26:09two
26:10and three
26:12possible laryngeal fracture
26:13hypoxic bradycardic
26:15kid needs an airway
26:16before your wrist
26:16bronzo tape
26:18peens cart
26:18set up suction
26:19oh my god
26:20is that Zach
26:22hey
26:22hey kid
26:23can you look at me
26:25no response
26:26no purposeful movement
26:27to pain
26:29oh my god
26:30is this your kid
26:32no
26:32sir go back to your room
26:33now
26:33Roslo says 25 kilograms
26:35Jesse
26:35five and a half
26:36ET2
26:36okay
26:37uh
26:3830 of rock
26:3950 can be
26:39you're gonna paralyze
26:40yep
26:41if we can't intubate
26:42we crack
26:43he's too young
26:44for a crack
26:44needle crack
26:45you can't ventilate
26:46through that
26:46sass down to 78
26:4711 blade kelly
26:48and a peds bougie
26:49one quick look
26:50and then we cut
26:51can't tell if there's
26:52lung sliding
26:52no movement
26:53no air entry
26:54way too edematous
26:55I can't see the cores
26:56better with
26:57cricoric pressure
26:59nothing
26:59fuck
27:00okay
27:00tall world
27:01between the shoulder
27:02weights please
27:02heart rate down to 49
27:03headed to cardiac arrest
27:04the trick's gonna take
27:0520 minutes
27:05this kid's not gonna last
27:0660 seconds
27:06that's why we're doing
27:07a slash trick
27:08don't know it
27:08me neither
27:10boss
27:10show me what you got
27:20pull up the trachea
27:22between your thumb
27:23and middle finger
27:24vertical incision
27:25right over the trachea
27:27vertical
27:28not horizontal
27:29or you transect the trachea
27:31and cut the jugular veins
27:33that's a lot of blood
27:34now it's a tactile procedure
27:37two centimeter incision
27:38through the tracheal rings
27:40finger in the trachea
27:44bougie into the airway
27:47thoughts on what's next
27:48Dr. Whittaker
27:49insert the ET tube
27:50into the trachea
27:51stupid suction
27:52lots of blood in the airway
28:01okay back in
28:03check the CO2
28:06sounds coming up
28:07in the 80s
28:07bilateral breath sounds
28:09and title CO2 is 70
28:11that's crazy high
28:11it'll come down
28:12tie down the tube
28:13control all the bleeders
28:14spray an amp of epi
28:15on a stack of 4x4s
28:17okay
28:18stats are up to the 90s
28:20good CO2's in the 50s
28:22good heart rate
28:22you forgot the last step
28:23change your underwear
28:25how many of these
28:26you done
28:28first one
28:28you serious
28:29what about you
28:30none
28:31I practiced in the sim lab
28:33when I was at Stanford
28:34what'd I miss
28:34all the fun
28:35slash trach
28:36seriously
28:38fractured larynx
28:39couldn't oxygenate
28:39couldn't ventilate
28:40use a meat cleaver
28:41on this kid
28:42E&T can revise
28:43the trach in the OR
28:45they'll be thrilled
28:46to clean up your mess
28:48or maybe they'll
28:48thank us
28:49for not letting him die
28:56so we're still waiting
28:57on your prescription
28:57and the pharmacy's
28:59a little backed up
29:00but I'm glad to see
29:01you're doing good
29:02well
29:04I'm well
29:06glad to see you're well
29:08can't you expedite
29:09my medication
29:11sure
29:11but it may still be
29:13a little while
29:13before Dr. Mohan
29:14can sign off
29:14on the discharge
29:15so sit tight
29:19and do what
29:24you just keep this
29:25handy for occasions
29:26like this
29:28I thought that I
29:29might not have
29:29that much to do
29:30today
29:31but
29:33man I was wrong
29:41thank you
29:47what brings you in
29:48today
29:48a friend made me
29:50come in
29:51name's Robbie
29:51he said I should
29:52ah you're Duke
29:54Donnie
29:56Robby's VIP is here
30:01hi
30:02I'm Donnie
30:03nurse practitioner
30:04Robbie's already
30:05put in orders
30:06for a numbing spray
30:07for your nostril
30:08nostril
30:09it's my throat
30:11it's not my nose
30:11ok
30:12let's get you
30:13set up in a room
30:18that was the most
30:19unprofessional
30:20deposition I've ever
30:21witnessed
30:22they were nowhere
30:23near that aggressive
30:23with Dr. Ellis
30:26ok
30:29it didn't go as badly
30:30as you think
30:32they suggested I was
30:33incompetent
30:33they're posturing
30:34to set the stage
30:35for a ridiculous
30:36settlement request
30:38this isn't about
30:38those parents
30:39or that kid
30:40it's only about
30:40trying to make
30:41a lot of money
30:42well
30:43I don't have
30:44a lot of money
30:45not your money
30:46Dr. King
30:46it's an insurance
30:47scheme
30:48you're protected
30:48by the hospital
30:49this won't affect
30:50your career
30:57hey
30:57how was your
30:58deposition
30:58have you seen
31:00Dr. Langdon
31:00no way
31:04ok ok
31:05how is Becca
31:06oh she's fine
31:07yeah
31:07ok I should
31:08go see her then
31:09how was your
31:09deposition
31:10I'm sure
31:10I was stressful
31:15what's going on
31:16with Becca
31:16what's her diagnosis
31:17I can't tell you
31:19why
31:20HIPAA
31:21seriously
31:22if you want to know
31:23what's going on
31:23with Becca
31:23you're going to
31:24have to ask yourself
31:25hey
31:25you survived
31:26your deposition
31:27welcome back
31:27to the seventh
31:28circle of hell
31:29what's this
31:29you're welcome
31:30for covering
31:31your patients
31:32they are yours again
31:33might want to
31:33check on the
31:33pancreatitis
31:34in our three first
31:36ok
31:37Langdon
31:38we got some
31:39intel on Louie
31:40they move him
31:41out of the
31:41viewing room
31:41no but
31:42Candy's promised
31:42they're on the
31:43way to come
31:43get him
31:43can I get the
31:45county coroner's
31:46number
31:46what for
31:47I just want
31:47to make sure
31:48if no family
31:48shows up
31:49Louie gets a
31:49proper burial
31:50it's expensive
31:51you may want to
31:52rent it by the
31:52missus first
31:54maybe I started
31:55GoFundMe
31:55I bet people
31:56around here
31:56would pitch in
31:57hey kid
31:58you can't do this
31:59where we're in the
32:00house catatize
32:00around here
32:02yeah but for
32:03the grace of
32:03god
32:03no the success
32:04of your sobriety
32:05is a testament
32:06to your support
32:07system
32:08Louie didn't
32:08have that
32:09still
32:10Louie was a
32:11good man
32:11he deserves to
32:12be put to rest
32:13with dignity
32:14ok
32:15I'll dig it up
32:19you heard all
32:20that
32:22Robbie
32:22your VIP's here
32:24got him in
32:24Central 11
32:25finally
32:30about fucking
32:31time
32:31if I knew
32:32you were going
32:32to make me
32:32wear a dress
32:33I wouldn't have
32:33come at all
32:35Dennis Whitaker
32:36meet my buddy
32:36Duke
32:37nice to meet you
32:38any friend of
32:39Dr. Robbie's
32:39friend of mine
32:40friend is a
32:41vast overstatement
32:42he's more just
32:43a pain in my ass
32:44don't let his
32:44sturdy exterior
32:45fool you
32:46deep down inside
32:46he's just as
32:47grumpy
32:48how did you two
32:49meet
32:50Tinder
32:52Duke is a
32:53motorcycle engineer
32:54he should've seen
32:55his Bonnieville
32:56when he first
32:57brought it in
32:57six months ago
32:58someone left it
32:59for dead
33:00he helped me
33:01bring it back
33:01to life
33:01today we're
33:02going to return
33:02the favor
33:03Dr. Whitaker
33:04is one of our
33:04most trusted
33:05physicians
33:05and today
33:05he's going to
33:06help me oversee
33:06your care
33:08what seems
33:09to be troubling
33:09you
33:10ask him
33:11he's the one
33:11who made me
33:11come in
33:12he's had some
33:13hoarseness
33:13on and off
33:14for a couple
33:14months
33:14any history
33:16of tobacco
33:16or alcohol
33:17use
33:18two of my
33:19oldest and
33:20closest friends
33:20former two-pack
33:21a day smoker
33:22and lover of the
33:22drink
33:23you got any
33:24medication
33:25blood pressure
33:26meds
33:27which he
33:28forgets to
33:28take
33:29he's all
33:29numbed up
33:30and ready
33:30to go
33:30okay
33:31thank you
33:32Donnie
33:33my man
33:34I'm going
33:35to take
33:35this scope
33:36and I'm
33:37going to
33:37stick it
33:38in your
33:38nose
33:38and we're
33:39going to
33:39check out
33:40your upper
33:40airway
33:41seems like
33:42a lot
33:42of fuss
33:42for a sore
33:43throat
33:43Dr. Whitaker
33:44you want to
33:44explain to Duke
33:45why this
33:45procedure is
33:46absolutely
33:47necessary
33:48the scope
33:49is going
33:49to give
33:49us a better
33:49view
33:50of your
33:50voice box
33:50and your
33:51vocal cords
33:53here we go
33:54yeah
33:55I feel a little
34:00pressure between
34:00your eyes
34:01I am sorry
34:02about that
34:03okay
34:03just breathe
34:04through your
34:04nose
34:05this is going
34:06to help us
34:06see if there
34:06are any
34:07abnormalities
34:08like inflammation
34:09tumors
34:10nodules
34:11that all
34:12looks pretty
34:12normal
34:13I don't
34:13see too
34:14much
34:14draining
34:14stick your
34:15tongue out
34:15for me
34:15all the
34:15way
34:16all the
34:17way out
34:17good
34:18now say
34:18E
34:19E
34:20good
34:21now again
34:21say
34:22E
34:22E
34:23good
34:23remove the
34:24scope
34:27Dr. Whitaker
34:28what do you
34:28think
34:29looks normal
34:29no abnormalities
34:30told you
34:31it was nothing
34:32with your
34:32history of
34:33smoking
34:33I'd like to
34:34do a chest
34:34x-ray
34:35if there are
34:36growths
34:37they can push
34:38against the
34:39recurrent laryngeal
34:40nerve intermittently
34:41that can paralyze
34:42one of the
34:42vocal cords
34:42and cause
34:43the hoarseness
34:45that sounds
34:46like a lot
34:46of bullshit
34:47doctors speak
34:48to charge me
34:49more
34:49you've got
34:50medicare
34:50besides I
34:51finally got you
34:51into my
34:52ED you're
34:52going to get
34:52the golden
34:53workup
34:53before I
34:54leave town
34:55tonight
34:55only an idiot
34:56would ride
34:57all night
34:57after working
34:58a 12 hour
34:58day
34:59that does
35:00sound pretty
35:01dangerous
35:01stay put
35:02or do I
35:02have to
35:02tie you down
35:03fine
35:03so long as
35:04you keep
35:04your hands
35:05where I
35:05can see
35:05them
35:06no promises
35:07let me know
35:07when his chest
35:08x-rays
35:08back
35:08yeah
35:13hey
35:15are we
35:16okay
35:18uh
35:18yeah
35:19why
35:21I don't
35:21know
35:21you
35:22kind of
35:23ripped me
35:23a new
35:23one
35:24in front
35:24of Langdon
35:25whose side
35:26are you on
35:26this isn't
35:27middle school
35:28Langdon made
35:29a mistake
35:29and owned
35:30up to it
35:30let it go
35:31he should
35:34he should have
35:35been fired
35:36but instead
35:37he waltzes
35:38back in here
35:39no big deal
35:39meanwhile
35:40I've been a
35:40goddamn pariah
35:41for the last
35:41ten months
35:42for doing
35:42the right
35:42thing
35:43or maybe
35:44you're a pariah
35:45because you
35:45don't play well
35:46with others
35:48if you still
35:48got beef
35:49with Langdon
35:49go tell him
35:50he's here to stay
35:51so put on your
35:52big girl panties
35:53and work it out
35:54no
35:55you want to have
35:56sex and eat
35:57ramen in bed
35:58I'm your girl
35:58but if you want
35:59to talk about
36:00this Langdon
36:00shit
36:01again
36:02call a therapist
36:13how's it
36:14hanging Dr. J
36:15never call me
36:16that again
36:17it was a joke
36:19relax
36:19he's clueless
36:20about your
36:21TikToks
36:22but you're
36:23not
36:24props on the
36:25side hustle
36:25there is no
36:26hustle
36:26there's some
36:27stupid videos
36:27wait are you
36:28an influencer
36:29no
36:29yep
36:32yo pre-docs
36:33it's not happy
36:34hour yet
36:34there's still
36:34shit ton of
36:35patients to be
36:35seen
36:41Ben
36:41our slash
36:42trade kid
36:43from the
36:43waterpark
36:43had some
36:44purposeful
36:45movement
36:45in pre-op
36:46that's a good
36:46sign
36:47take the
36:48win
36:51we need
36:51to talk
36:54we are
36:55talking
36:55in private
37:05what the hell
37:06was that
37:06with Samira
37:06earlier
37:08that was
37:09tough love
37:09you are
37:10her superior
37:11she was
37:11obviously
37:12struggling
37:12and your
37:13advice was
37:13go home
37:14essentially
37:15yeah
37:15this is the
37:16ED
37:17it's not
37:17for the
37:17faint of
37:18heart
37:18it's not
37:19for the
37:19unempathetic
37:20either
37:21Samira's
37:22not having
37:22a panic
37:23attack
37:23because of
37:23her
37:23patience
37:24she's
37:24having
37:24one
37:24because
37:25of
37:25personal
37:25baggage
37:25what she
37:26needs
37:26to do
37:26is pull
37:26her head
37:27out of her
37:27ass and focus
37:28on the work
37:28what about
37:28you
37:29what do you need
37:30to get some
37:30basic human
37:31empathy back
37:34I don't know
37:36something that
37:36gives me a little
37:37hope this place
37:37won't fall to
37:38shit when I'm
37:38gone
37:40found him
37:42found too
37:43the
37:43water slide
37:44dad's kid
37:44how'd you
37:45manage that
37:45I went
37:46outside
37:46stalked the
37:47dad's
37:47IG
37:47found a
37:48pic of
37:48his son
37:48sent it
37:49to
37:49Pittsburgh
37:49PD
37:49now they're
37:50on the
37:50way over
37:51maybe
37:52Gen Z
37:52should be
37:52working
37:53for the
37:53FBI
37:58Mel
38:01you
38:01doing
38:02alright
38:03I'm
38:03a little
38:04bored
38:06how are you
38:07feeling
38:07a lot
38:08better
38:08Dr. Langdon
38:09gave me
38:10some
38:10medicine
38:10and OJ
38:11he's
38:11super
38:12nice
38:12I see
38:13why you
38:13like
38:14him
38:15did
38:15he
38:16tell
38:16you
38:16what
38:16the
38:16medicine
38:17was
38:17for
38:17yes
38:19did
38:19you
38:19tell
38:20her
38:20I
38:21did
38:21not
38:22I
38:23explained
38:23to
38:23Becca
38:24that
38:24due
38:24to
38:24doctor
38:25patient
38:25confidentiality
38:26everything
38:27she
38:27told
38:27me
38:27was
38:27private
38:28and
38:29that
38:29it
38:29was
38:29her
38:29decision
38:30if
38:30she
38:30wanted
38:31to
38:31share
38:31anything
38:31with
38:32you
38:32or
38:32not
38:34do
38:35you
38:35want
38:35to
38:35share
38:35yes
38:48I
38:49have
38:49a
38:49urinary
38:49tract
38:50infection
38:52oh
38:54okay
38:54yeah
38:55those
38:56um
38:56those
38:57can
38:57happen
38:57happen
38:58you
38:58hold
38:58your
38:59pee
38:59in
38:59for
38:59too
38:59long
39:00or
39:00you
39:00accidentally
39:01wipe
39:01from
39:01back
39:01to
39:01front
39:01I
39:02know
39:02I
39:02know
39:02Mel
39:03he
39:03told
39:03me
39:05good
39:06you
39:06know
39:06he
39:06also
39:07told
39:07me
39:07it
39:07can
39:07happen
39:08from
39:08having
39:08sex
39:10uh
39:10yeah
39:11it
39:11can
39:11it
39:12it's
39:13not
39:13like
39:13you're
39:13having
39:13sex
39:14yes
39:14I
39:14am
39:19what
39:20I'm
39:21having
39:22sex
39:24with
39:25who
39:25my
39:26boyfriend
39:26you
39:27have
39:27a
39:27boyfriend
39:27yes
39:28his
39:29name
39:29is
39:30Adam
39:30and
39:31we're
39:32having
39:32sex
39:33lots
39:34sex
39:40um
39:42Mel
39:42are
39:43are
39:44you
39:44okay
39:45mm-hmm
39:49got a
39:50sec
39:51sure
39:52how you
39:52feeling
39:53I'm
39:53fine
39:55you
39:55sure
39:55yeah
39:56troponin
39:57d-dimer
39:57and TSH
39:58all
39:58normal
39:59listen
40:00I'm
40:00sorry
40:00about
40:01earlier
40:01I
40:01think
40:01I
40:01was
40:02being
40:02a
40:02dick
40:04I
40:05was
40:05going
40:05to
40:05say
40:05I'm
40:05professional
40:06but
40:06probably
40:06that
40:07too
40:08I'm
40:09sorry
40:11thanks
40:12but
40:13now
40:13I
40:13kind
40:13of
40:13need
40:13you
40:13to
40:13stop
40:14feeling
40:14sorry
40:14for
40:14yourself
40:15and
40:15focus
40:15back
40:15on
40:15your
40:16patients
40:16think
40:17you
40:17can
40:17do
40:17that
40:19sure
40:19great
40:24with
40:24this
40:24extra
40:25dose
40:25and
40:26increased
40:26morphine
40:27from
40:27the
40:27pump
40:28your
40:28pain
40:29should
40:29subside
40:29your
40:30breathing
40:31will
40:31slow
40:31down
40:32you
40:33make
40:33it
40:33very
40:33sleepy
40:36I'll
40:36go
40:36be
40:37with
40:37the
40:37boys
40:39they
40:40need
40:40you
40:40more
40:41than
40:41I
40:41do
40:41now
40:43later
40:45right
40:45now
40:45I'm
40:46exactly
40:46where
40:46I'm
40:46supposed
40:46to
40:47be
40:56yeah
40:58okay
40:59here
40:59we
41:00go
41:25come on
41:27me
41:39Gracias por ver el video.
42:02Gracias por ver el video.
42:31Gracias por ver el video.
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