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The.Pitt.S02E03.540p.X265.AAC [Full Movie] [High Quality]Full EP - Full
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00:14You
00:15There are medical our bracelet
00:18Student ID name says Jackson Davis. That's the start Jackson. What's going on?
00:30You're okay, I'm the one reasonable miss 27. Oh, I need you to calm down
00:35You need to jump on that mmm covering calls for Dana
00:51Five and repair it. I'll put them down at five. No, you can't give it without knowing two beats of
00:56a rhythm strip before it took off the leads
01:00Yeah, yeah, that looks good. Oh, there's your fair at all
01:07Don't get away to the comms get off me, man. So we're not going to want to get out
01:161938 mr. Randall
01:19Happy 20th anniversary and a very happy 4th of July
01:22But no sex fireworks for you and I give everything a chance to heal. Don't worry. I won't thanks doc.
01:28Oh
01:29We're going right back through here. Okay, man. Oh, thank you
01:32Change the dressing twice a day doggy bag of the ointment and nonstick dogs
01:37Cool. I know the drill come back if it starts to ache or stink. Exactly. Good luck. Stay steady. Daddy.
01:43You're dead
01:43Lord when they get out to now
01:46Dream street
01:50I'm sorry, miss Graham. I just saw the ASO note in your chart. This is Lindsay. We'll bring you back
01:56as soon as possible
01:59Stay with him
02:02All right, who here needs help?
02:06You you need help. Oh, no, no, no, ma'am. I've been on these since 1987. This one here. He
02:12got busy. Fell now
02:13I got my blood pressure medication. I left it back home in Georgia
02:20And presto
02:21We're back mr. Digby with some IV antibiotics first we scrub your outsides then we clean your insides
02:28What do you need to document in this chart?
02:30Uh time started time completed in any adverse reaction what else?
02:36Um lot number on the antibiotic file excellent mr. Digby just digby
02:42digby why'd you wait so long to come see us? I
02:47Don't like going to doctors makes two of us. We all need help from time to time think maybe we
02:53could arrange for someone go and care
02:55I just kind of want to get patched up, you know, I didn't know
02:59But that's today. What's tomorrow?
03:03Sunday
03:05Yes, the system is what's there for
03:08But in mind Dylan knows all the angles even works the occasional miracle you think maybe I could have him
03:14stop by
03:17I guess yeah, right
03:20How about a sandwich? Yeah
03:22Yes, please
03:27We always offer two most important things that they know we're here and that will never stop offering
03:34Thanks for covering princess anytime
03:36Yo, can I get some help over here? Yeah, what's going on, man?
03:40Crazy kid in there screaming. All right. Have a seat. Yeah, it's him
03:44Still going nuts
03:45Probably meth
03:47Fucking animal. What's your name, sir?
03:50Tony cinchillo campus security
03:52Yeah, I was at work when this happened, so i'm gonna do everything documented. Okay
03:57All right heart rate's 89 pulse ox 97
04:02Scott black's tiny five millimeters should hold together with dermabond
04:06Get through a fucking chair at me work related injury gets a full exam. Jesse here. I'll take you
04:11Oh, no, I'm gonna stay here till the cops come so I give my statement and so I can watch
04:15him
04:16Yeah
04:17Trust me
04:19You do not want him getting out of there
04:20How? Fuck
04:23Did she say anything?
04:25No more than she said to you
04:27Nothing going on at home nothing at school
04:29And you believe her?
04:31There's some flags bruising in various stages of healing
04:34She's a little withdrawn doesn't engage much for girls her age
04:37Could we just be a little shy? We're scared of being in here or she's being abused
04:44That too. We'll find out when when dad shows up
04:46No, if he shows up
04:55There's the first barb out
04:57All right, buddy, you're up
05:02Okay, so you're gonna want to clamp where the shaft meets the barb
05:07Yeah, stabilize the skin
05:09Not so close to us to stick yourself. I've seen that once or twice
05:13Uh pull up at 90 degrees harder. Yep harder. Oh
05:20Do we suture those? Nope, just a band-aid
05:24Mel, we need orders right
05:26I got a rainbow
05:27Uh, cbc
05:30cmp
05:31ua blood alcohol and toxics all the above cap
05:34With this young man stable, can he go to center 10 pronto double trauma at the back door?
05:38Okay, you heard the boss. Let's get going. The day is starting to heat up
05:47Marky 32 year old restrained driver auto versus motorcycle altered with normal vp setting 99 on 2 liters
05:53We're at the hospital now mark
05:56What's wrong with him? Why isn't he talking?
05:57His wife, nancy, front seat passenger declined transport
06:00It's fine. We weren't going all that fast. The motorcycle ran the light
06:04Dr. Robbie, this is dr. Alashini
06:06Nice to meet you
06:07And this is nurse dana. She's our charge nurse. We need to look over your husband
06:10Hold on. Let's look over here for a minute and let him get to work, okay?
06:13Antoine, Larry, transfer out here. Do you want to be open in a sec?
06:16Uh, I can
06:18One, two, three
06:21Keep coming
06:22Okay, joy, you stay with me. Samira, you stay with dr. Alashini
06:28Pulp and skull fracture. Tubed in for agonal respirations.
06:31BP-60 palp initially started a liter of NS, but lost his pulse and root
06:37Oh boy, this doesn't look good. One, two, three
06:41Joy, check your pupils. Somebody help me a pair of scissors
06:48Eight millimeters, not reactive
06:50A.K.A. Blum, she's fixed and dilated
06:53Oh gosh, skull with tons of gray matter extravasation. At least it was quick
06:57No helmet? Nope, because he took the PennDOT motorcycle safety course
07:01Isn't that what you took, Robbie? Full compressions? Yes, but I still wear a helmet
07:05Is he a donor? Also, nope. That is too bad. Hey, sister Lee, I think we are done here
07:11What's next door? The guy who hit him. Joy, you're with me
07:15What about a moment of reflection? I thought he'll still be dead when we get back
07:19Pulse hocks, 99. BP-108 over 72. E-fast negative
07:23I look a lot better than the guy next door. How's the airway? Good volume, good saps, gag reflex
07:30Present. Intubate? Maybe, maybe not. Mr. Ye, Joy, he's throwing a rub on his chest like this really hard, please
07:35Mr. Ye! Spontaneous eye movement, response to pain, GCS is 10, borderline for intubation
07:42No muscle tone, flaccid paralysis in the left arm
07:45Same on the right. And both legs. Add towels to both sides of the collar for more stability. Let's not
07:49make this worse
07:51Hand scan with 3D reconstruction of the spine
07:53He's quadriplegic? If so, it's a low cervical injury
07:57Why is that, Joy?
07:59Um
07:59C-3, 4 and 5 helps you breathe to stay alive
08:03Mr. Montrose, you can't just be wandering around talking to patients
08:08That's what I do. I'm a greeter at Walmart. I get paid to wander and to talk to folks
08:15Well, as a personal favor to me, can you at least stay in your general vicinity?
08:20I can get you a wheelchair where we'll wait for your x-rays, but it might take a minute
08:24My dear, I cannot sit my backside. It's killing me from where I fell on it, which
08:28is an embarrassing admission to make to such a lovely woman
08:33Well, thank you for the compliment, but there's no need to be embarrassed. You took a very nasty fall
08:37Well, then may I say that one look in your beautiful eyes and I think I'm falling again
08:46What a charmer
08:47Just for that, I'm going to get you a foam donut. It's the eighth wonder of the world
08:52Pretty great laugh you got there, Doc
08:56Oh god, my witch's cackle
08:59Got ct results for mr. Williams
09:05Oh, wow
09:08Okay
09:12Right on time
09:13It's just getting full
09:16Yeah, I'm ready for number five. That's impressive
09:18Uh-huh
09:19Yeah, that'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 and we'll get you out of here before the fireworks tonight
09:30Uh-huh
09:32Okay, clamped. Ogilvy, make the change
09:36Okay
09:39All right, let her rip
09:42Flowing like a river
09:44I love me some fireworks
09:46Thanks
09:47Oh, yeah
09:49Shit, I
09:50I met Mr. Zambelli
09:52Lean forward
09:54Many times on the field
09:56Who's Mr. Zambelli?
09:59Son, you don't know fireworks if you don't know the name Zambelli
10:02He helped Pittsburgh become the firework capital of America
10:07You did know that, didn'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 in the frontal lobe
10:41Is it cancer?
10:43We can't say for sure right now
10:46It could be many things
10:49Infection, inflammation, a benign cyst
10:53Is it what made me fall?
10:57Yeah, possibly
11:01We'd like to keep you here and treat with dexamethasone
11:03Which is a steroid to take down the swelling
11:06And then we'll need a brain biopsy to know exactly what it is
11:11You're gonna cut open my head
11:14It's just a small hole
11:16We'll do a CT guided stereotactical biopsy with a blunt, thin needle
11:22Which sounds crazy, but it's actually pretty amazing
11:25Most patients go home the next day
11:32I don't know
11:35What do you think I should do?
11:38I think this is a pretty good plan
11:44BP 95 over 67
11:47This thing's a little on the low side
11:49It is
11:50Have you ever had low blood pressure in the past?
11:53No, sir
11:53My blood pressure is always high
11:56Hold still, sir
11:56No talking while we do the EKG
11:59The Hansons all run high
12:00Except for Monty
12:01He ran low, but he's dead
12:03It's not helpful
12:04You want to help quit playing family pharmacist
12:07Cooling meds is how we've always done it
12:10You put everything in a big pile in the middle of the table
12:12Well, look where that got us now
12:13No, I'm gonna jump in here and echo that sharing meds
12:15Which haven't been prescribed to you is actually a real big no-no
12:17Well, how are we doing on remembering what your brother might have taken?
12:20We could call back to the house
12:21Great idea
12:22Okay
12:24Whatever little round pill you took, sir
12:26Has caused your heart rate and blood pressure to drop so low
12:29You're at risk of fainting falling or having a serious injury
12:33We need to take him back to the ER
12:35So we can get a liter of fluids
12:37We can check his blood test and monitor his heart rate and blood pressure until he recovers
12:41Paul Socks holding steady at 99 good 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, maybe a small intracranial hemorrhage
12:53All will be revealed by the donut of truth
12:56Need a portable monitor?
12:57Joy, stay with him, please
12:58See if the radiologist can give us a shot
13:01How is he?
13:01Did I hear someone say he's paralyzed?
13:04There are signs of weakness in both arms and legs
13:07But before we can make any prognosis, we'll need a full body scan
13:10Head CT will show us any brain injury
13:12Nex CT will show us any spinal cord injury
13:14Chest, abdomen, pelvis will rule out any internal bleeding
13:17Oh my god
13:18This scan should only take about 15 minutes
13:21In the meantime, perhaps you'd let us look you over as well?
13:24I'm fine
13:25The medics checked me, I just want to stay with my husband
13:29Well, you can't go into the CT with him, but you can wait just outside if you like
13:34Princess, this is Nancy, Mrs. Yee's going to go with her husband to CT
13:36Can we show her where to go?
13:37Sure, come on
13:38Thank you
13:42So, what's the plan now?
13:44Keep observing me in 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 and meet here when Mr. Yee's back from CT?
13:53Splitting up so soon?
13:54You're free to see other people, Dr. Ravinovich
13:58I'm looking for cooperation, not commitment
14:05So you bandaged the burn yourself?
14:07Oh, no, no, no, no, no, no, no
14:09Ma'am, you're making it difficult for me to see under this dressing
14:12Is that a tablecloth?
14:14Part of a window curtain
14:16Cleaner than tablecloths
14:17I'll look for the doctor, thank 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 the
14:33The 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
14:47Uh, hello, Mrs. Kovalenko, my name is Dr. Michael Rabinovich
14:49Everybody calls me Dr. Robby
14:51Rabinovich, Jewish?
14:53You guessed it
14:55And I see that you are here today for a burn
14:57Why don't we take a look?
14:59Uh, not married?
15:01No, I'm not married
15:03Do we attend synagogue?
15:05Uh, not for a while
15:08I mean, high holidays mostly
15:12Where?
15:14What did you put on this?
15:17Where?
15:18On your burn
15:18Is this honey?
15:20Yes, honey, where do you go on holidays?
15:23Uh, my grandparents, um
15:26I grew up in the Rodef Shalom
15:27You?
15:29Three of life
15:32They're rebuilding
15:34Yes, something new
15:36Remember
15:38Rebuild, renew
15:40That's a slogan
15:44I'm sorry, did you say honey?
15:47You think honey is funny?
15:49Works like a charm
15:51My father kept bees, I know
15:54If the honey is medical grade
15:56And 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
16:11I was hoping no, but figured 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
16:26Anyone here treating Kylie Connors?
16:30Hey, she'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?
16:38Can 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 stitch is necessary
16:48Okay
16:48She chipped her tooth
16:49But it's a baby tooth
16:51So it won't need dental work
16:52All right, that's a relief
16:54Has Kylie had any previous injuries?
16:58Yeah, she broke her wrist
17:00Last year she was skateboarding
17:03Dana, if you could get Dylan to come to North One and Ahmad
17:06You bet
17:07Okay, I got it now
17:08One, two, three
17:10Daddy, you came
17:11Oh, baby, what's going on, huh?
17:13My teeth broke and my chin got cut
17:15Oh, no
17:18What happened?
17:19She was running up the stairs
17:22Gina 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
17:29Perhaps 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
17:36Right now is 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
17:41I've got questions of my own
17:43Like what?
17:44Hey, 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
17:51I can fill you in where we are
17:53Hey, Jesse, do you want to keep Kylie entertained for a few minutes?
17:56Absolutely
17:56Can I borrow 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?
18:03Any time a child's injured, we have some standard questions that we ask parents and caregivers
18:07Good, that's fine
18:08Great, ask me here
18:10Well, we noticed some bruising on Kylie's body
18:14Some old, some new on her back and legs
18:17Any idea how she got those?
18:19Yeah, soccer
18:19She plays for a club team
18:21They're, you know, little girls
18:22But 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, are you fucking kidding me?
18:34Where are you going with this?
18:35Are you saying that I hurt my daughter?
18:36Mr. Connors, no
18:37Oh, no, no, no, no, no, no, no, no
18:38Gina!
18:39Mr. Connors?
18:40Just, just, Gina!
18:41Sir, take a breath
18:42Gina, what did you say to them?
18:43Nothing, I said that you're a great dad
18:45Okay, what else?
18:47That you guys like to wrestle
18:48Jesus Christ
18:49What? They wanted to know where all her bruises are
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, hey, that's enough
18:58You need to talk to me
18:59Everybody, hey, everybody
19:00Back the fuck up!
19:01Stop, 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
19:23Do you feel that?
19:25No, no
19:26Excellent
19:27This is looking very good
19:30Ah, tell Mr. Kovalenko
19:33Mrs. Kovalenko
19:37Yes, Yana, please
19:39Yana
19:39You mentioned that you dropped the samovar when you heard firecrackers
19:46Yeah
19:50I was on my way inside
19:54October 27, 2018
19:57To the synagogue when the shooting started
20:04There's nothing I could do
20:07I went in
20:09After the police arrived
20:12I felt I had to
20:16I'm better now
20:18But
20:20You just see
20:23Fourth of July
20:24When
20:25When kids have their fireworks and firecrackers
20:29I
20:32There is no clock on how long it takes
20:37No clock
20:39You must be joking
20:44Robby?
20:44Yep
20:44Marquis is back from CT
20:46Oh, okay
20:47Um
20:47Carla, why don't we go ahead and see if we can put a non-stick dressing on this
20:50And I will come back and we can discuss aftercare instructions
20:54Yes, you got it, boss
20:56Thank you, Doctor
21:07You know what?
21:10Vito stable, plus ox holding at 99
21:12Okay, heart and lungs look good
21:16Dr. 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
21:36But he didn't want to go because of work
21:39So we fought this whole morning
21:42And then I
21:43I said awful things
21:48Those can't be the last words we say to each other, Doctor, please
21:51Yes
21:51Good news
21:53CT looks normal
21:55No 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
22:12Are you sure?
22:18Okay
22:19Critical potassium level 1.2
22:22Wow
22:22That's crazy
22:23Uh, extremely low potassium with generalized weakness and no cervical injury
22:28We may be looking at
22:29Hypokalemic periodic paralysis
22:31What is that?
22:32It's a rare condition where potassium gets shifted into the cells causing profound weakness
22:36Just like paralysis
22:37Will he get better?
22:38Yes
22:39Back to normal in a few hours
22:40Thank you so much
22:46Did you hear that Mark?
22:49Oh baby
22:50You're gonna get better
22:54All right, Dee Dee, hey, come on now, man
22:56Oh, how you doing, DeWante?
22:58Fine
22:59Great, if 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
23:16Why 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
23:25And now won't come out
23:27Did you try anything at home?
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
23:37This 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, DeWante
23:58You like video games?
24:00Everybody does
24:01We have a 3D video game
24:04Yeah
24:04Cool
24:10That's KCL and saline at 10 MEQ per hour
24:13We avoid dextrose because the insulin response drops the key even more
24:17If it's genetic, why didn't it happen when he was a kid?
24:20It usually starts after the teen years
24:22And it can be intermittent, sometimes it's triggered by intense exercise or stress
24:27We've been married eight years, we've had fights, he's never collapsed
24:30If a thyroid gets overactive, that brings it on later in life
24:34I order TSH T324
24:37So now we just wait
24:40Bag him, starting compressions, charge at 200
24:43What is happening?
24:45Low potassium can harm electrical activity in the heart
24:48Charge
24:48Clear
24:50Resuming compressions
24:53So your little girl was ITP?
24:57Go figure, nothing like a zebra to kickstart your morning
25:01It's better than the alternative
25:03True
25:05ITP
25:06So that's 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, taking formula well
25:29We're here to take a statement
25:31We're looking for a Tony Cianciolo
25:33Yo, right over here boys
25:37For officers
25:39Heard you have some trouble over at the campus library
25:41Shit
25:42Let me just say
25:44New appreciation for what you guys do every day
25:46Freaking junky jungle, right?
25:49At the campus library?
25:52I'm in forefinger, make a C bottom
25:54Three fingers, make an E for jar lift
25:55One breath, three, five seconds
25:56Come here, all right
25:57About two minutes since defibrillation
25:59Holding compressions
26:01Normal sinus
26:02Karate, strong karate
26:03Okay, let's try for BP
26:04Why don't we check after the shock?
26:0620-24 ACLS guidelines
26:08Patients can remain pulseless for a little bit
26:10Even after successful deep film
26:11He came back with one shock
26:13That's as good as it gets
26:14104 over 68
26:15Good squeeze, good EF
26:16Spontaneous respirations
26:18He's breathing on his own
26:19He's breathing on his own
26:20Excellent sign
26:22Can I touch him?
26:23Of course
26:30Oh shit
26:31We need a gurney
26:33Nancy
26:35Mrs. Ye
26:37Mrs. Ye
26:38Weak carotid, shallow breaths
26:40Did she vasovagal calm stress?
26:42Can't assume that
26:42Positive seatbelts
26:43Oh, shit
26:44Hang two units of Odeca
26:46The rapid infuser
26:46Somebody call Garcia
26:47Shit, we really should have insisted on an exam
26:49Okay, I got the head
26:51Platelets are these tiny things in the blood
26:53That help it clot
26:55And thrombocytopenia is fancy for low platelets
26:58Which explains why your skin bruises so easily
27:01And what causes it?
27:02It's actually her immune system
27:04That's causing the destruction of the platelets
27:06Sometimes it's a triggered response to an environmental factor or a virus
27:12And what's the treatment?
27:13What are you giving her?
27:14We'll be treating her with high dose steroids
27:17To suppress the immune system
27:18And IV immunoglobulin
27:20Which reduces the destruction of the platelets in the spleen
27:23Can I go home?
27:25You're gonna have to stay in the hospital for about three days
27:28To make sure that the treatment is working
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
27:38But it might take a while
27:39Okay
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
27:46But 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
28:00You 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
28:28There's no need for reality
28:30Hey, we romantics, we romantics prefer la rêve, the dream
28:37We do, do we?
28:39We do, do we?
28:39We do, do we?
28:53Uh, hey, save a dance for me
28:56Yeah, okay
28:58I will
28:59Dr. McKay
28:59Yes
29:00This is Gretchen Williams
29:01Actually, it's Lambden
29:02Ah
29:03I called about my ex-husband Michael
29:05Yes
29:05Yes, yes
29:06Thank you for coming in
29:08You were listed as his emergency contact
29:10Yeah, I 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
29:19Would 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
29:33Atorvastatin
29:34Simvastatin
29:36Ezetimibe
29:37Those are all high cholesterol medications
29:39Can you go to the right?
29:42Lysinopril
29:44Losartan
29:45Propranolol
29:46Wait, wait
29:46That's it
29:47Window's pile
29:48Yellowish bottle
29:50Little round blue pills
29:51Just like I said
29:52Propranolol?
29:53Bingo, little lady
29:54Okay, 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
30:21Well, 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
30:31But 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 fluids much bigger than before
30:44She's not turning the corner
30:44OR'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
30:522020 hindsight, she 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, can'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, it got shifted into cells
31:26When it comes back, you'll return to normal
31:28Where's Nancy?
31:30She had an injury to her spleen right about here with some internal bleeding
31:34Oh god
31:34She 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's trying to
31:46She fucked a trip for us
31:48For me
31:51I fought her the whole time
31:52I've been
31:57Please don't
31:59Oh my god, please don't let her die
32:01Please
32:03I can assure you that she is in excellent hands
32:07Is 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
32:30Like 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 home the next day
32:39And then?
32:40And then they'll know what it is
32:42And 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
32:55You know, they called and I was just kind of surprised
33:03Well, you didn't have to come
33:07But I did
33:11I heard you get married
33:14Congratulations
33:15Thank you
33:19I hope he treats you well
33:24And 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 leave you guys to talk for a few minutes
33:52I have a patient to check on
33:56Sure
33:57Yeah
33:59Mr. Diaz should be improving after two liters
34:02Blood sugar?
34:03Down from 521 to 436
34:05That's good, right?
34:07Moving in the right direction
34:09Were you able to get a hold of your mom?
34:11Yes, she's on her way
34:12She doesn't have a car, she 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 get hypoglycemia
34:31But as treatment continues, you'll have to give IV dextrose to keep the blood glucose in between 150 and 200
34:36while the insulin drip clears the ketones
34:38Obviously
34:39I'm sorry, what?
34:43Got it
34:44Duante, what are you doing in there, son?
34:46I'm a rabbit
34:47Grabbing all cats before the farmer gets me
34:50Keep going
34:51This is a cat's extractor
34:54With 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 to pull
34:58out the bead
34:59Is it painful?
35:00No, he's numbed up
35:01Made to level three
35:02I'm pretty distracted
35:04Dad's going to hold your head still, okay?
35:06Look up
35:07Okay
35:09Now go back perpendicular below the turbinates
35:16You guys ever hear of John O'Donohue?
35:19No
35:20Been reading him a lot lately
35:21He's got this book of, um, blessings
35:25And there's this one about fatherhood
35:26Really stuck with me
35:30Voila, one red bead
35:32Yeah?
35:33How's it go?
35:35The ending goes
35:36May you be gentle and loving
35:39Clear 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
35:48And know that every grace you need will unfold before you like all the mornings of your life
35:56Hmm, that's good
35:57I'd add support your woman and pack good snacks
36:02It's beautiful
36:04And it turns out there's no handbook for fatherhood
36:07So I will take all the wisdom
36:10I can
36:12Blue bead out
36:19Anything else?
36:20You tell me, I have my own report to do
36:23Anything I left out
36:24I 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
36:54How we doing?
36:55You're not so good
36:57I can really use a drink
37:00I'm feeling a little empty
37:02Okay, well, empty is what we want
37:04And it looks like we are there
37:06Hey, well, if I can't get a drink
37:09My tooth, you gotta do something
37:11We're gonna get right to that
37:12Let's hang some IV antibiotics
37:14Three grams of unison
37:16Excellent
37:18He's gonna be right back
37:19We're gonna numb it up and drain it
37:21Ten minutes tops, okay?
37:22Yeah
37:23Hey, uh, you said you met Mr. Zambelli, the fireworks guy on the field?
37:27What field was that?
37:28No, no more talking
37:30You gotta fix my tooth
37:32Yeah, deal
37:39You're Muslim?
37:42I am
37:45Thank you
37:46Oh, 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, you paid for all the funerals
38:03Anyway
38:06Thank you
38:08Hello, how's it going in here?
38:10Did I miss all the gross stuff?
38:13Timed it perfectly
38:14Excellent, my job's all about delegation and time management
38:17Oh, not for much longer
38:18That is very true
38:20Why 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? You're joking
38:30Why would you do this?
38:31Why? Why? Why? Because, uh...
38:34You middle-aged man, don't be stupid
38:36Don't hold back, tell me how you really feel
38:38Forgive me for being blunt, Dr. Rabinovich, but how old are you, huh?
38:42Fifty-ish
38:44Ish
38:45Ish
38:46Fifty-ish year old man on a motorcycle
38:50Very sad
39:02I, um...
39:05I-I 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, you 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, you made it sound like she might have been getting her while I was
39:26watching her
39:26Like it was my fault
39:27You basically said the same thing about me
39:29No, I said that you guys roughhouse, that's all, because you do
39:32You...
39:32No, I would never hurt my daughter
39:34Actually, I don't
39:37I'm no new six months
39:38You 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, they just do
40:00Excuse 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, I have the same one
40:21I know how this works
40:27Ready?
40:28Go
40:30Hi, my love
40:35So, uh
40:37I was listening to this couple argue
40:40And they were yelling
40:43Both so angry
40:47And I just wanted you to know
40:49That I was wrong
40:54I was so wrong, and I'm sorry about all of it
41:03Hey, how are 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
41:20Not like when we first got married
41:21I'm so sorry
41:25Could that mass have been there for a while and only recently got worse?
41:30Yes
41:30Yes
41:31Could it be responsible for how much he changed?
41:34You know, his moods and tempers
41:36He was
41:37He was getting into fights with strangers
41:40It's possible
41:50Oh
41:54Thank you
41:57Um, unless he's asked you to change it
42:02Would you please leave me as
42:05The emergency contact
42:07Yeah, absolutely
42:20Okay, I'm sending Mrs. Kovalenko home with burn dressing
42:23But not before she turned my sabbatical into a midlife crisis
42:27No comment
42:28Wound check, two days
42:29Got 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?
43:01Compspect 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
43:27What a deal
43:38Oh
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