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The.Pitt.S02E03.540p.X265.AAC [Full Movie] [English Subs]Full EP - Full
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00:14You
00:16They're a medical art bracelet
00:18I be on him student ID name says Jackson Davis. That's the start Jackson. What's going on?
00:30You're okay, I'm the one reasonable miss 2709
00:33We're gonna need you to calm down to get the taser barbs out of your neck
00:35You need to jump on that?
00:37Mmm, covering falls for Dana
00:40Stop talking to me!
00:41You can't settle 27 cents!
00:43Hard to assess pupils, hard to assess anything!
00:46Yeah, yeah, wait till after he's sedated
00:48Can I have a lance at peace?
00:49No, that'll take 15 minutes to kick in
00:51500 peridol puts him down at five
00:53No, you can't give it without knowing he's 15
00:55Two beats of a rhythm strip before we take off the beats
01:00You can't be in here, get out!
01:01That looks good, go with the Jaffer doll
01:02Get off me! Get off me!
01:05Take the bus out!
01:06No, get away till it comes!
01:09Get off me, man!
01:10Get out! Get out!
01:132710, title 18, section 1938
01:17Mr. Randall, happy 20th anniversary
01:20and a very happy 4th of July
01:22But no sex fireworks for you tonight
01:24Give everything a chance to heal
01:25Don't worry
01:27Thanks, Doc
01:29We're going right back through here, okay, man?
01:31Thank you
01:32Change the dressing twice a day
01:34Doggy bag of the ointment
01:35and non-stick gloves
01:37Cool
01:37I know the drill
01:38Come back if it starts to ache or stink
01:40Exactly, good luck
01:41Stay safe
01:42Shit, it's daddy
01:43You're daddy
01:44Lord, what'd they get out to now?
01:47Treating the street
01:48Frozen Dover
01:50I'm sorry, Miss Graham
01:52I just saw the ASO note in your chart
01:54This is Lindsay
01:55We'll bring you back as soon as possible
01:59Stay with her
02:02All right
02:03Who here needs help?
02:05Let's listen to see what you...
02:06You?
02:07You need help?
02:08Oh, no, no, no, ma'am
02:09I'm thin on these since 1987
02:11This one here, he got busy, he fell down
02:13I forgot my blood pressure and medication
02:15I left it back home in Georgia
02:20And presto
02:21We're back, Mr. Digby, with some IV antibiotics
02:24First we scrub your outsides, 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
02:33What else?
02:36Um, lot number on the antibiotic file
02:39Excellent, Mr. Digby
02:41Just Digby
02:42Digby
02:43Why'd you wait so long to come see us?
02:47I don't like going to doctors
02:50Well, that makes two of us
02:51We all need help from time to time
02:52Think maybe we could arrange for some ongoing care?
02:55I just kinda wanna get patched up, you know?
02:59I do know
03:00But that's today
03:01What's tomorrow?
03:03Sunday
03:05It's the system
03:07It's what it's there for
03:08But in mind, Dylan
03:09Knows all the angles
03:11He even works the occasional miracle
03:13You think maybe I could have him stop by?
03:17I guess, yeah
03:19Right
03:20How about a sandwich?
03:22Yeah
03:22Yes, please
03:27We always offer it
03:28Two most important things
03:30That they know we're here
03:31And that we'll never stop offering
03:33Thanks for covering, Princess
03:35Anytime
03:36Yo, can I get some help over here?
03:38Yeah
03:38What's going on, man?
03:40The crazy kid in there screaming
03:41Alright, have a seat
03:42Yeah, that's him
03:43Still going nuts
03:45Probably meth
03:47Fucking animal
03:47What's your name, sir?
03:49Tony Cinchillo
03:50Campus security
03:52Yeah
03:52I was at work when this happened
03:53So, I'm gonna do everything documented
03:55Okay
03:57Alright, heart rate's 89
03:59Pulse ox 97
04:02Scott Black's tiny
04:03Five millimeters
04:04Should hold together with Dermabond
04:06Kid threw a fucking chair at me
04:08Work-related injury gets a full exam
04:10Jesse here will take you
04:11No, I'm gonna stay here until the cops come
04:13So I can give my statement
04:14And so I can watch him
04:16Yeah
04:17Trust me
04:19You do not want him getting out of there
04:20How?
04:22Fuck
04:23Did she say anything?
04:25No more than she said to you
04:26Nothing going on at home
04:28Nothing at school
04:29And you believe her?
04:31There's some flags
04:32Bruising in various stages of healing
04:34She's a little withdrawn
04:35Doesn't engage much for girls her age
04:37You could just be a little shy
04:40Or scared of being in here
04:41Or she's being abused
04:44That too
04:44We'll find out more when dad shows up
04:46Nope
04:47If he shows up
04:55There's the first barb out
04:57Alright, Javadi
04:58You're up
05:02Okay, so you're gonna want to clamp
05:03Where the shaft meets the barb
05:06Yep
05:07Stabilize the skin
05:09Not so close to us
05:11To stick yourself
05:12I've seen that once or twice
05:13Pull up at 90 degrees
05:16Harder?
05:17Yep, harder
05:18Oh
05:20Do we suture those?
05:22Nope
05:22Just a band-aid
05:23Mal, we need orders
05:24Mal, we need orders
05:25Right
05:26I got a rainbow
05:28CBC
05:30CMP
05:31UA
05:32Blood alcohol and toxic
05:33Call the above
05:34Cap
05:34With this young man stable
05:36Can he go to Central 10
05:37Pronto double trauma at the back door
05:38Okay, you heard the boss
05:39Let's get going
05:40The day is starting to heat up
05:47Mark Yee
05:48Mark Yee
05:4832-year-old restrained driver
05:49Auto versus motorcycle
05:51Altered with normal BP
05:52Satting 99 on 2 liters
05:53We're at the hospital now, Mark
05:55What's wrong with him?
05:56Why isn't he talking?
05:57His wife, Nancy
05:58Front seat passenger
05:59Declined transport
06:00It's fine
06:00We were going all that fast
06:02The motorcycle ran the light
06:04Hey, Dr. Robby
06:05This is Dr. Alashini
06:06Nice to meet you
06:07And this is Nurse Dana
06:08She's our charge nurse
06:09We need to look over your husband
06:10Hold on, let's look over here for a minute
06:11And let him get to work, okay?
06:13Antoine
06:14Larry
06:14Transfer out here
06:15Do you want to be open in a sec?
06:16Uh, I can't
06:18One
06:18Two
06:19Three
06:21Incoming
06:22Okay, Joy
06:23You stay with me
06:24Samira, you stay with Dr. Alashini
06:28Pulp and skull fracture
06:29Tubed in for agonal respirations
06:31BP-60 palp initially started a liter of NS
06:34But lost his pulse and root
06:37Oh boy, this doesn't look good
06:38One
06:39Two
06:39Three
06:41Joy, check his pupils
06:42Somebody help me a pair of scissors
06:48Eight millimeters
06:49Not reactive
06:50A.k.a. Blum
06:51She's fixed and dilated
06:53Oh God
06:54Crushed skull with tons of gray matter extravasation
06:56At least it was quick
06:57No helmet?
06:58Nope
06:59Cause he took the PennDOT motorcycle safety course
07:01Isn't that what you took, Robby?
07:02Polk compressions?
07:03Yes, but I still wear a helmet
07:05Is he a donor?
07:07Also, nope
07:07That is too bad
07:08Hey, sisterly
07:09I think we are done here
07:11What's next door?
07:12The guy who hit him
07:13Joy, you're with me
07:15What about a moment of reflection?
07:17I thought-
07:17He'll still be dead when we get back
07:19Pulse hocks, 99
07:20BP-108 over 72
07:22E-fast negative
07:23I look a lot better than the guy next door
07:24Has the airway?
07:25Good volume
07:26Good sats
07:26Gag reflex
07:30Present
07:30Intubate
07:31Maybe, maybe not
07:32Mr. Yee
07:33Joy, he's throwing a rub on his chest like this
07:35Really hard, please
07:36Mr. Yee
07:38Spontaneous eye movement
07:39Response to pain
07:40GCS is 10
07:41Borderline for intubation
07:42No muscle tone
07:43Flaccid paralysis in the left arm
07:45Same on the right
07:46And both legs
07:46Hot towels to both sides of the collar
07:48For more stability
07:48Let's not make this worse
07:51Hand scan with 3D reconstruction of the spine
07:53He's quadriplegic?
07:55If so, it's a low cervical injury
07:57Why is that, Joy?
07:59Um
07:59C3, 4 and 5
08:01Helps you breathe to stay alive
08:04Mr. Montrose
08:05You can't just be wandering around talking to patients
08:08That's what I do
08:09I'm a greeter at Walmart
08:11I get paid to wander and to talk to folks
08:15Well, as a personal favor to me
08:17Can you at least stay in your general vicinity?
08:20I can get you a wheelchair while we wait for your x-rays
08:23But it might take a minute
08:24My dear, I cannot sit my backside
08:26It's killing me from where I fell on it
08:27Which is an embarrassing admission to make to such a lovely woman
08:33Well, thank you for the compliment
08:34But there's no need to be embarrassed
08:36You took a very nasty fall
08:37Well, then may I say
08:39That one look in your beautiful eyes
08:41And I think I'm falling again!
08:46What a charmer!
08:47Just for that, I'm gonna get you a foam donut
08:49The 8th wonder of the world
08:52Pretty great laugh you got there, Doc
08:56Oh, God
08:57My witches cackle
08:59Got CT results for Mr. Williams
09:05Oh, wow
09:08Okay
09:11Ah, right on time
09:13It's just getting full
09:16Yeah, I'm ready for number 5
09:17That's impressive
09:19Yeah, there's more where that came from
09:21Although, uh, my intake is running low
09:25Yeah, well, two more bottles ought to do it
09:27Then we'll drain your tooth
09:28And we'll get you out of here before the fireworks tonight
09:30Oh
09:32Okay, clamped
09:33Ogilvy, make the change
09:36Okay
09:39All right, let her rip
09:42Flowing like a river
09:44I love me some fireworks
09:46Oh, yeah?
09:49Shit, I...
09:50I meant Mr. Zimbelli
09:52Lean forward?
09:54Many times on the field
09:56Who's Mr. Zimbelli?
09:59Son, you don't know fireworks if you don't know the name Zimbelli
10:02He helped Pittsburgh become the firework capital of America
10:07You did know that, didn't you?
10:10No
10:11Y'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 4 centimeters in the frontal lobe
10:41Is it cancer?
10:44We 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
11:05And 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
11:42Okay
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. My blood pressure is always high
11:56Hold still, sir. No talking while we do the EKG
11:58The Hansons all run high
12:00Except for money
12:01He ran low, but he's dead
12:03It's not helpful
12:04You wanna 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
12:12Look 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
12:17How we doing on remembering what your brother might have taken?
12:20We could call back to the house
12:21Great idea
12:23Okay
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
12:33Huh
12:34We 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
12:41Pulse locks 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 donor 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? Did 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
13:12Neck CT will show us any spinal cord injury
13:14Chest, abdomen, pelvis, we'll rule out any internal bleeding
13:17The 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, will you show where to go?
13:37Sure, come on in
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?
13:48I think I've got the gist
13:49How about we each take a lap and meet here when Mr. Yee's back from CT?
13:52It's splitting up so soon?
13:54You're free to see other people, Dr. Ivanovich
13:57I'm looking for cooperation, not commitment
14:05So you bandaged the burn yourself?
14:07No, 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 tablecloth
14:17I'll look for the doctor, thank you
14:19May I ask how this happened?
14:22For weeks on end
14:23The 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
14:31I drop on the floor when the shit
14:35The firecrackers started going on again
14:37I'm sorry, what's a samovar?
14:39It is a big metal urn for coffee or tea
14:42It can get super duper hot
14:44And I was never allowed to touch ours
14:47Hello, Mrs. Kovalenko, my name is Dr. Michael Rabinovich
14:49Everybody calls me Dr. Rabi
14:51Rabinovich, Jewish?
14:53You guessed it
14:54And I see that you are here today for a burn
14:57Why don't we take a look?
14:59Not married?
15:01No, I'm not married
15:03Do we attend synagogue?
15:06Not for a while
15:07I mean, high holidays mostly
15:12Where?
15:14What did you put on this?
15:17Where?
15:18On your burn, is this honey?
15:20Yes, honey, where do you go on holidays?
15:22Uh, my grandparents, um
15:26I grew up in the Rodef Shalom
15:27You?
15:28The Three of Life?
15:32They're rebuilding
15:34Yes, something new
15:37Remember, rebuild, 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
15:53If the honey is medical grade
15:56And the burns are not too bad
15:57Honey actually does have some anti-bacterial
15:59And 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
16:09I was hoping no, but
16:13Figured as much
16:14Not to worry, we're gonna have you patched up
16:17And home in time for dinner and fireworks
16:20No
16:22No more fireworks
16:24No
16:26Anyone here treating Kylie Connors?
16:30Hey, she's my daughter
16:31She's nine, I'm Benny Connors
16:33Mr. Connors, I'm Dr. Santos
16:36I'm treating Kylie
16:37Kylie
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 stitches necessary
16:48Okay
16:48She chipped her tooth, but 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?
16:57Uh, yeah, she broke her wrist last 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, one, two, three
17:10Daddy, you okay?
17:11Oh, baby, what's going on, huh?
17:13My tooth broke and my chin got cut
17:15Oh, no
17:18What happened?
17:19She was running up the stairs
17:22Dana was chasing me
17:23We were playing
17:24As I was saying, Mr. Connors, the lacerations 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, I've got questions of my own
17:43Like what?
17:44Hey, Mr. Connors, I'm sorry, I meant to be here when you arrived
17:47I'm Dylan Easton, I'm a social services
17:49We have insurance, thank you
17:50Perhaps we can step outside and chat for a second, I can fill you in where we are
17:53Hey, Jesse, do you want to keep Kylie entertained for a few minutes?
17:56Absolutely
17:58We'll just head down to the family room, it's a little quieter there
18:01Why do I gotta talk to a social worker?
18:03Anytime a child's injured, we ask some standard questions that we ask parents and caregivers
18:07Good, that's fine, great, ask me here
18:10Well, we noticed some bruising on Kylie's body, some old, some new on her back and legs
18:17Any idea how she got those?
18:19Yeah, soccer, she plays for a club team
18:21They're, you know, little girls, but they play like they're in the Hunger Games
18:24Well, I understand that you and Kylie do a fair amount of roughhousing
18:29What?
18:32I'm sorry, are you fucking kidding me?
18:34Where are you going with this? Are 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 from
18:51Who the fuck are you to talk about me and my daughter?
18:53Who the fuck?
18:54Yeah, that's what I'm asking
18:55Hey, big man, take one more fucking step
18:57Hey, that's enough, you need to copy
18:58Hey, everybody, hey, everybody, back the fuck up
19:01Stop, stop, stop, stop
19:03Kylie's playlist are 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?
19:14Something we can treat
19:23You feel that?
19:25No, no
19:26Excellent
19:27This is looking very good
19:30Tell Mr. Kovalenko
19:32Mrs. Kovalenko
19:37Yes, Yana, please
19:39Yana, you mentioned that you dropped the samovar
19:43When 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
20:11I felt I had to
20:16I'm better now
20:18But
20:20You see
20:22Fourth of July
20:24When
20:24When kids have their fireworks and firecrackers
20:28I
20:32There is no clock on how long it takes
20:37No clock
20:39You must be joking
20:44Robbie?
20:44Yep?
20:45Marky is back from CT
20:46Oh, okay
20:47Um, Perla, 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
20:55Thank you, doctor
21:10Vito stable plus ox holding at 99
21:12Okay, heart and lungs look good
21:17Dr. Mullen
21:17Dr. Robby
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
21:31This is E?
21:32He's been so stressed
21:34So I planned this weekend away 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 did
21:44I said awful things
21:48Those can't be the last words we say to each other, doctor, please
21:51Good news
21:53CT looks normal
21:54No bleeding inside the skull, C-spine, no fracture scene
21:58Huh
21:59He didn't break his neck?
22:00Then why is he paralyzed?
22:02You can have spinal injuries without radiologic abnormalities
22:05Sometimes it doesn't show up on CT, only on MRI
22:08Dr. Mullen
22:13Are you sure?
22:18Okay
22:18Critical potassium level 1.2
22:22Wow
22:23Okay, extremely low potassium with generalized weakness and no cervical injury
22:28We may be looking at-
22:30Hypokalemic periodic paralysis
22:31What is that?
22:32It's a rare condition where potassium gets shifted into the cells causing profound weakness
22:36Just like paralysis
22:37Will he get better?
22:38Yes
22:39Back to normal in a few hours
22:40And it's-
22:42Thank you so much
22:47Did 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?
22:59Fine
22:59Great, if you're fine you go home
23:01Really?
23:02Yeah
23:02Hey, tell him
23:05Me and my sister are making bracelets and I put beads up my nose
23:12How many?
23:13One on each side
23:15I gotta ask, why do you stick them up there? See how many will fit?
23:19To shoot them out like rockets
23:21Mmm
23:22But I breathed in and they went deeper
23:25And now it 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 what I have to look forward to?
23:39This is so much more
23:42Red bead below the inferior turbinate
23:46I...
23:46Got a blue one
23:48Afrin, benzocaine, cas extractor?
23:51Yup, dad 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?
24:02Have a 3D video game
24:05Cool
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 8 years, we've had fights, he's never collapsed
24:30If his thyroid gets overactive, that brings it on later in life
24:34I ordered TSH-T3-T4
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!
24:49Clear!
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
25:02True
25:04ITP
25:06So that's, uh, the intra...
25:09Immune thrombocytopenia
25:11Used to be called idiopathic thrombocytopenic purpura
25:14Know what idiopathic means?
25:16That we don't know the exact cause
25:18Means the patient is pathetic and the doctor is an idiot
25:24Just checked on baby Jane Doe
25:26Looking good, taking formula well
25:29We're here to take a statement?
25:30We're looking for a Tony Cianciolo
25:33Yo! Right over here boys!
25:37For officers!
25:39Heard you had some trouble over at the campus library
25:41Shit!
25:42Let me just say
25:43New appreciation for what you guys do everyday
25:46Freakin' junkie jungle, right?
25:49At the campus library?
25:51Yeah!
25:52Thumb and forefinger make a C
25:53Bottom three fingers make a T
25:55For jaw lift
25:55One breath to be 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?
26:062024 ACLS guidelines
26:08Patients can remain pulseless for a little bit
26:10Even after successful deepfim
26:11He came back with one shock
26:13That's as good as it gets
26:14104 over 68
26:15Good squeeze, good EF
26:17Spontaneous respirations, okay
26:18He's breathing on his arm
26:20Excellent sign
26:22Can I touch him?
26:23Of course
26:30Oh shit!
26:31We need a gurney!
26:33Nancy
26:35Mrs. Yee
26:37Mrs. Yee
26:38Weak carotid
26:39Shallow breaths
26:40Did she vasovagal from stress?
26:42Can't assume that
26:42Positive seatbelts
26:43What?
26:44Oh shit!
26:45Hang two units of Odeca
26:46The rapid infuser
26:46Somebody call Garcia
26:48Shit, we really should've insisted on examining her
26:50Okay, I got the head
26:51Platelets are these tiny things in the blood
26:53That help it clot
26:55And thrombocytopenia
26:56Is 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 that'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? What are you giving her?
27:14We'll be treating her with high dose steroids to suppress the immune system
27:18And IV immunoglobulin which reduces the destruction of the platelets in the spleen
27:23Can I go home?
27:24You're gonna have to stay in the hospital for about three days to 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
27:49Alright, I'll see you when you get here
27:50See you soon baby
27:51I love you
27:52Bye mom, love you too
27:56There you are
27:58And there you are
27:59Don't try to charm me, you promised to stay put
28:02I was going to come right back
28:04My backside is killing me
28:06I need to keep moving or I get all achy and stiff
28:09Well, I got you this foam donut to sit on while we wait for your x-rays
28:15Dr. Hazel Eyes, it says here that it's only supposed to take an hour or two for an x-ray
28:22Well, the patient passport holiday edition would better reflect reality
28:27It could be double that
28:29There's no need for reality
28:31We romantics prefer la rêve, the dream
28:37We do, do we?
28:39Oui
28:49Hey, 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 alright?
29:16He's going through a lot right now
29:18Would you like to see him?
29:22Uh, okay, Leo, can you zoom in and please hold it a little steadier?
29:27Okay
29:32Okay, atorvastatin, simvastatin, ezetimibe, those are all high cholesterol medications
29:39Can you go to the right?
29:43Lysinopril, losartan, propranolol
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, well this makes a lot of sense now
29:56Um, propranolol is a high blood pressure medication
30:00Those are, uh, 20 milligrams each
30:03And the starting dose is 40 mgs
30:06How many pills did you take?
30:08No, ma'am, 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, okay
30:21You've got a 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
30:35All right
30:38Unit 3 and 4 running in
30:40BP 84 over 56, heart rate 112
30:42Free fluids much bigger than before
30:44She's not turning the corner
30:45OR's holding a room
30:45I'll let the husband know
30:47Why'd you guys wait so long to check her?
30:49Good vitals in the field, no distress, she refused to sign in
30:51You should've 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
31:24It got shifted into cells
31:25When it comes back, you'll return to normal
31:28Where's Nancy?
31:29She had an injury to her spleen right about here
31:31With some internal bleeding
31:33Oh God
31:34She passed out from blood loss
31:36We were able to transfuse her
31:37And she's now on her way to surgery to repair that damage
31:40This is my fault
31:43She was trying to...
31:46She fucked a trip for us
31:48For me
31:51I fought her the whole time
31:52I've been...
31:57Please don't...
31:59Oh my God
31:59Please 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 is so important
32:18And then you end up here and see
32:23Yeah, that is how it works
32:27No, it's a small hole
32:29Like the size of a dime
32:31Right Doc?
32:33Yeah, even smaller
32:35It's a minor enough procedure that most patients go on the next day
32:39And then?
32:40And then they'll know what it is
32:42And how to treat it
32:43Isn't that right?
32:45Yeah, exactly
32:49I'm sorry
32:49That they called you
32:52I never updated the form, I guess
32:54No, no, it's okay
32:56I'm...
32:57You know, they called and I was just...
33:00Kinda 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
33:23And you deserve to be happy
33:31I'm sorry
33:32I'm really sorry you're going through this, Michael
33:35Yeah
33:37Me too
33:40But you know me
33:42I'm a survivor
33:47Why don't I...
33:49Why don't I...
33:49I leave you guys to talk
33:50For a few minutes
33:52I have a patient to check on
33:56Sure
33:56Yeah
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
34:08Were 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
34:14So it takes longer
34:15I'm sorry
34:16Don't be
34:18Current insulin is 0.1 units per kilo per hour
34:22Once the glucose is down to 250
34:24Reduce the insulin to 0.05 units per kilo per hour
34:27Because you can normalize the blood sugar before you clear the ketones
34:30And you don't get hypoglycemia
34:31But as treatment continues
34:32You'll have to give IV dextrose to keep the blood glucose in between 150 and 200
34:36While the insulin 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 carrots before the farmer gets me
34:50Keep going
34:51This is a cat's extractor
34:53With a tiny balloon at the end
34:55What we're gonna do is we're gonna slip it past the bead
34:57Inflate the balloon
34:58Try to pull out the bead
34:59Is it painful?
35:00No, he's numbed up
35:01Made to level 3
35:02And pretty distracted
35:04Dad's gonna hold your head still, okay?
35:06Look up
35:09Now go back
35:12Perpendicular below the turbinates
35:16You guys ever hear of John O'Donohue?
35:19No
35:20Been reading him a lot lately
35:21Been 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
35:30One red bead
35:32Yeah? How'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
35:55Hmm
35:56That's good
35:57I'd add support your woman
36:00And 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
36:21I have my own report to do
36:23Anything I left out?
36:24I'll have to back on that kid
36:25We'll follow up with Mr. Davis
36:27When Mr. Davis comes off the ceiling
36:33Jackson Davis
36:35Talk screen negative for cocaine, amphetamines, marijuana, PCP, benzos, and opioids
36:41So 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 truth, 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, you said you met Mr. Zambelli
37:25You see the fireworks guy on the field?
37:27What field was that?
37:28No more talking
37:30You gotta fix my tooth
37:32Deal
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
37:58You 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
38:19Why for not longer?
38:21Because tomorrow I am leaving to go on sabbatical
38:24He's leaving us for three months on a motorcycle
38:27Motorcycle? 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
38:41But how old are you, huh?
38:43Fifty...
38:43Ish
38:45Ish
38:46Fifty-ish year old man on a motorcycle
38:49Very sad
39:02I, um...
39:05I-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
39:19You think I'm some kind of child
39:20No, I never said that again
39:21The fuck you didn't!
39:23In front of all those people
39:24You made it sound like she might have been getting her while I was watching her
39:26Like it was my fault
39:27You-you basically said the same thing about me
39:29What are you talking about?
39:29No, I said that you guys roughhouse that's all
39:31Because you do
39:32You? No, I would never hurt my daughter
39:34Actually, I don't
39:37I'm no nude
39:37Six months
39:38You could be anybody
39:39Okay, well I am sorry for what I said, okay?
39:42Hey, I was upset
39:42And I was worried
39:44And I just-I said something stupid
39:45And I just-
39:46You think?
39:46You just fucking let me finish
39:47You are finished!
39:50We're finished
39:53Well, happy fucking 4th of July
39:55Yeah, happy Independence Day
39:59Yeah, they do
40:00They just do
40:01Excuse me
40:04Yes, what can I do for you?
40:06My wife and I were in an accident
40:09She's in surgery right now
40:11Would you mind holding my phone up for me
40:13So 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
40:34So
40:35I 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
40:55And I'm sorry about all of it
41:02Hey
41:03How you doing?
41:05I haven't seen him in like 4 years
41:07I can't imagine
41:10That must have been-
41:12So 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?
41:28And only recently got worse?
41:30Yes
41:31Could it be responsible for how much he changed?
41:34You know, his moods and tempers
41:36He was getting into fights with strangers
41:41It's possible
41:49No
41:54Thank you
41:58Unless 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? She gone up yet?
42:33Hopefully soon
42:34Hey, we're starting to clear some space around here
42:36Yep
42:38PTMC charge nurse
42:39Go ahead, Medicare ma'am
42:43Is this a drill?
42:45Is this a joke? It's the 4th of fucking July
42:52Got it
42:53Thanks
42:54What's up?
42:55Westbridge has a code black and is closing to internal disaster
42:58Central's diverting 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
43:25Oh, I should have left last night
43:35What?
43:52We are in Facebook
43:54What?
43:56future
43:57Is there any possibilities here?
44:04Sw advances
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