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The.Pitt.S02E06.540p.X265.AAC [Full Movie] [Full Storyline]Full EP - Full
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짧은 영상트랜스크립트
00:27다음 영상에서 만나요
00:30V5, Charging 200
00:34Charged
00:35Clear
00:38Standby with Epi
00:44Suction that tube
00:48Not in the esophagus, Sergeant
00:49Definitely not, I passed right through the cords
00:52Good breath sounds, in tidal CO2 confirmed
00:54His lungs are filling up with black
00:56I know
01:03Okay, rhythm check
01:06Assist me, push the epi
01:12Patients with lunch trays have been admitted
01:14They're boarders
01:15They're waiting for a bed to open up stairs
01:17What about the others?
01:19Non-admitted patients
01:20They can have sandwiches or juice boxes
01:21Just make sure they're not NPO
01:23It's nil per os, it's Latin for nothing by mouth
01:26NPO's are waiting for surgery
01:28They'll beg, spit, and curse for food
01:30But you gotta stay strong
01:31Hey, I've been waiting for an hour
01:33When am I gonna see a fucking doctor?
01:34Excuse me
01:37Perhaps you didn't see this
01:38Which is strange
01:39Because they're all over the place
01:40Aggressive behavior toward healthcare workers
01:42Is a felony
01:42Two thousand dollar fine
01:44Possible jail time
01:45Got it?
01:46Okay
01:47I was just asking
01:49We're busy today
01:50It's a holiday weekend
01:52And we see the sickest patients first
01:53So be happy you're still waiting
01:56Jack off
02:00PTMC charge nurse
02:01Go ahead, Medica, ma'am
02:04Okay
02:05Got it
02:06Income in trauma
02:08Come on
02:10Three minutes before us, Epi
02:12Cold compressions
02:15Asystole
02:16Resume CPR
02:17Another amp of Epi
02:18Here's no section
02:26Pulmonary hemorrhage from liver failure
02:28Is he going to make it?
02:35Should we get PCC?
02:37Too late for that
02:40And he's not an ECMO candidate
02:41Nothing else we can do
02:48No, I think we're done
02:56Wait
03:0212.07
03:10Should we do a debrief?
03:13We've got another motorcycle injury coming in
03:15ETA 10 minutes
03:16I'm getting a little cleaned up
03:18Into the VL rep
03:20Yeah
03:20Anybody that wants to pay their respects
03:22Can join us in there
03:25Thank you, everyone
03:35I'll clean them up
03:36Why don't you take five first
03:38Or ten
03:39Yeah
03:52This is Dr. Jefferson from psychiatry
03:54Why do I need to see a psychiatrist?
03:57Jada, why do I need to see a psychiatrist?
03:59Oh, it's going to be okay
04:00Jackson
04:01Dr. Jefferson
04:02Says he can help
04:03Do you know how you got here?
04:06The medics brought me
04:09I don't really remember
04:10I was in the library
04:11What were you doing there?
04:15I was
04:16Studying
04:17I was trying to study
04:20But then they wouldn't stop talking
04:22Who wouldn't stop talking?
04:24They don't want me to pass the bar
04:25Who doesn't want you to pass the bar?
04:27That's what they told me
04:28Hey, hey, hey
04:29Look at me
04:30Look at me
04:30Who doesn't want you to pass the bar?
04:32Let's give them some privacy
04:33Dr. Jefferson will let us know when he's done
04:37I'm going to pass
04:38I'll be right outside
04:40Okay, I'll be right outside, Jackson
04:44Why don't they want you to pass the bar, Jackson?
04:47They're afraid of me becoming a lawyer?
04:48They're afraid of you becoming a lawyer?
04:52He must have been studying with his law school friends
04:56They should know what happened
04:57I'm going to call them
05:00If you need anything, let me know
05:02Okay
05:03I think you're home
05:04What are you doing?
05:14Louie
05:15What?
05:16Pulmonary hemorrhage
05:19That was quick
05:22I'm going to go clean him up
05:24I'll help
05:29Go, go
05:34Everything okay, Roxy?
05:37I can't get off the bed, Pam
05:40That's what I'm here for
05:47Your husband seems like a saint
05:50How long have you been married?
05:53Too long
05:58Almost 20 years
06:00You put your arm around me
06:02Now pull the bed, Pam
06:03One, three
06:04Okay
06:05One, two, three
06:08One more
06:10Great
06:1220, wow
06:16Yeah
06:19He's been by my side through all of this
06:24Watched the light go out of them
06:28So have the kids
06:31That's what happened to my auntie
06:32When my uncle Gerald got sick
06:35But your husband does it because he loves you
06:39I don't know how you do it
06:41Care for people day after day
06:44I'll tell you my secret
06:46I go home
06:47At the end of every shift
06:50Leave us all behind
06:52And escape to Love Island
06:55How's it going in here?
06:57The higher demand dose of morphine helped a little
06:59But she's still in pain
07:01Okay
07:01I got your order
07:030.1 per kilo
07:04Thanks
07:06This is a very low
07:08Subdissociative dose of ketamine
07:10You might feel a little weird
07:11But I think it's going to help with the pain
07:16Is my husband still in the cafeteria?
07:18I think so
07:19Want me to get him?
07:21No
07:21No
07:23It's good for us to have a little time apart
07:29I'll get you another blanket
07:35Here
07:36I'm headed that way
07:37Thank you
07:39Back in for good?
07:41Officially out of triage
07:42They need extra hands with all the Westbridge hullabaloo
07:45How many cups have you had today?
07:47Don't judge me
07:48Just asking
07:49You're judging
07:52Did you hear about Louis?
07:54No
07:55Pulmonary hemorrhage
07:56Didn't make it
07:57Shit
08:00He's been here a hundred times
08:01I know
08:03Debrief in the viewing room later
08:06On a happier note
08:07Pearl and I are planning a birthday party for Javadi
08:09She's turning 21
08:11You two
08:12Pick as thieves
08:13I don't have much of a social life these days
08:17But I'll be sure to keep an eye out for the party
08:19Let's discuss our incarcerated patient Gus
08:22Prison infirmaries tend to be short stabbed
08:24So we need to be thorough
08:25What's in a differential diagnosis for malnutrition?
08:29Inadequate intake
08:32Methamphetamine use
08:33Severe alcoholism
08:34ADHD medication
08:36What else?
08:37Cancer of the oropharynx
08:38Esophageal strictures
08:40Prior strokes
08:40Malabsorption
08:42Inflammatory bowel disease
08:43None of which were in his medical record
08:44What about psychosocial causes?
08:47Could be an intentional hunger strike
08:49Or refusing food to get to the infirmary
08:51Could also be abuse or neglect
08:53Let's start with the nutrition history once he's debacked from CT
08:56Do you have a second to talk about Westbridge?
08:58Mm-hmm
08:58Hey, we need to start moving some patients out of here
09:00These walls are starting to fill up with gurney's
09:02Santos, Ogilvy, and King all have patients on the launching pad
09:04I'll check in with them
09:05How many patients have we had re-ratter from Westbridge?
09:08God knows how many more in the waiting room
09:09Ambulance will be here in a few minutes with the accident victim
09:11I'll stick him in trauma too
09:12What is the story with your incarcerated patient?
09:15Gus Varney
09:16Three rib fractures with normal O2 sets currently
09:18Waiting on CT results
09:19Okay, if he's stable at the two-hour mark, I'd say he's good to go
09:22Let's get the ball rolling on discharge
09:23Let's wait on the CT results
09:24We can move him out of trauma one at least
09:26Yes, we can, what's open?
09:28Thirteen and fourteen will be discharged soon
09:30Fifteen once we can move Lou to the viewing room and get it cleaned up
09:32Our paracentesis patient, Mr. Cloverfield?
09:35The fibroirist
09:36We'll do a debrief when we know how many patients we're getting from Westbridge
09:38So Gus goes to thirteen, fourteen, or fifteen?
09:42I kind of want to keep him in plain sight
09:44What about BH2?
09:45So, why not give him some privacy?
09:47Everyone can see him in BH2 like he's a monkey at the zoo
09:50Because he came in with an orange jumpsuit and we need to think about patient and staff safety
09:54Safety first, BH2, it's a prison cell
09:57Not by much
09:57Did you guys hear about Louie?
09:59Yeah
10:00A chronic alcoholic?
10:02Go figure
10:03Hey, uh, Fento D in South 20 is ready for discharge
10:06But could you get Lupe to call him a ride? I need to check on Louie
10:09Uh, actually, Whitaker, he-
10:12What?
10:13Five minutes ago, Robbie called it
10:26I'm sorry, man
10:27We didn't have time to find you
10:30What happened?
10:32He was apneic, impulseless
10:35We started CPR and intubated him
10:38He had a massive pulmonary hemorrhage, Robbie called it
10:43Found this with his stuff
10:45Guess he was married at some point
10:48Never knew that
10:54Didn't miss this part of the job
10:56Yeah
10:58Perla, did Louie ever mention anything about a wife and kids?
11:03As far as I know, he only had eyes for Rita Moreno
11:06Well, this is not Rita Moreno
11:11No, it's not
11:12Can we check to see if there's an emergency contact?
11:17Yeah, there's a number of the city
11:26You were his primary, do you want to?
11:30Yeah, well
11:41PTMC charge nurse
11:44Langdon
11:44Where are you?
11:48Makes sense that we'd be his emergency contact
11:50Sorry to get your hopes up
11:53My social worker's gonna do their thing
11:55If Louie had any family left, they'll find them
11:59You okay?
12:02Guess it's good it happened here
12:04Not out on the street
12:06You're off the hook with Louie
12:07I'm gonna teach you Emma here how to clean a dead body
12:12I'm sorry, but didn't you mean LMD?
12:14You might want to call for another interpreter
12:15Busy day
12:17Shit, that's a girl in 12?
12:18She's been waiting for five hours
12:20Didn't hear her name called the first time
12:22You check on her?
12:23Need to brush up on my ASL
12:25You know sign language too?
12:26Princess here knows six languages
12:27I know French
12:28Okay, it's not a contest
12:30Je parle en vous français
12:31Ah, très bien
12:32No shit talking in front of me
12:34I get enough of that from her and Perla
12:36Guess I'll call for backup
12:39Yo, Donnie, did you discharge your butt abscess?
12:41Not yet
12:43What the hell?
12:44Your good friends upstairs send donuts
12:46Special thank you for working the holiday
12:47You've gotta be kidding me
12:49What are we expecting?
12:50Tacos and tequila?
12:51Every single one of them can forget about extra shifts
12:53Won't hire more nurses
12:54Won't pay us a decent wage
12:55Won't hire security that can actually protect us from patients
12:58But absolutely, send donuts
12:59Sure you want to go into this line of work?
13:01Want me to get you one?
13:02Of course I do
13:02But I'm not taking admins blood pastries
13:05A2, Donnie?
13:08Okay, move it or lose it
13:09Meet me in South 15 with gowns and gloves
13:12Looks like happy hour in here
13:13Don't ask
13:14What's up with Eva Knievel?
13:15Brandon Lee, 52
13:16Fell off a motorcycle pyramid at 25 miles per hour
13:19Motorcycle pyramid?
13:20You recruiting?
13:21Got a fellow rider in your midst
13:22No kidding
13:23How high up were you?
13:24On top of a 3-2-1
13:25But the bottom guys are sitting down
13:26Driving the choppers
13:27I'm fine
13:28I don't need all this
13:29Are you wearing a helmet?
13:30Of course
13:31Oh, what do you know?
13:32They're still in style
13:33Good vitals, tender right wrist
13:35And big left knee lack
13:36Hey, Joy, Perla, trauma 2
13:39What else can I have?
13:40Santos and Whitaker in with Louie
13:41Yeah, give me Whitaker
13:42You could use a distraction
13:43And Santos has been ducking traumas all day
13:45She's behind you in her chart
13:46Who isn't?
13:50Look, even when it's not your fault
13:54Sometimes it's worse
13:55Knowing that there was nothing you could do
14:00Are you?
14:02Robin needs you both in trauma too
14:03And I need you to discharge Sweet Patty and 13
14:06As soon as you're done
14:06Can't catch a break
14:08I push it because I know you can take it
14:22You ever clean it there, Marty?
14:26Probably never seen one either
14:29No one tells you what it looks, feels, or smells like
14:32But you get used to it every time
14:36You pull off the gown
14:38Wipe him down with towels
14:40And we'll roll him on his side
14:42Clean his back
14:43Stuff the sheet under him
14:45Wipe down the bed
14:47Roll him the other way
14:48Pull out the sheet
14:49And repeat
14:49Just follow my lead
14:52Usually
14:54Leave the ET tube in for the coroner
14:56But Louie's a chronic alcoholic
14:59With end-stage liver disease
15:00Not a coroner's case
15:04Did he have family?
15:05Everyone has family
15:07The social worker always tries to find him
15:10Sometimes the family loved him
15:13Tried to get him to come home
15:14Other times the family wants nothing to do with him
15:17That's sad
15:18That's life
15:21What happens if no one claims his body?
15:23We'll be cremated
15:24Where would his ashes go?
15:26We'll keep him for a few months
15:27Then he gets buried in a mass grave
15:29With all the other unclaimed bodies
15:33Okay
15:33Now we roll him
15:41Oh my god
15:43Is he still alive?
15:43No
15:44That happens
15:46These frequent flyers
15:48They can be a real pain in the ass
15:50But
15:52You miss them when they're gone
16:01We've been at every Millvale
16:03Fourth of July parade
16:04Since 08
16:05World record is 40 men
16:06On seven motorcycles
16:07Plan to beat that someday
16:09Good lung sliding bilaterally?
16:11Cupils equal and reactive
16:12What do you ride?
16:14The bullet
16:14Oh, Royal Enfield
16:16Ankle breaker
16:16Thumper
16:17BP 138 over 80
16:19Pulse 94
16:20Pulse aux 98
16:21All your vitals sound really good, Brandon
16:23They call it an ankle breaker
16:25Because they've got to kick over
16:26To a big fat single cylinder
16:27To get it started
16:27Sometimes five or six kicks
16:29Especially on a cold day
16:31Um, does anyone have any trauma scissors?
16:33I'll check the knee
16:34Uh, not yet
16:35Why not?
16:36Dr. Santos
16:37Primary survey means rule out
16:39The life threats
16:40Don't get distracted by lacerations
16:41Or fractures
16:42No free fluid in the belly
16:44Airway, breathing, circulation
16:45Are fine
16:46Okay, that's ABC
16:47That just leaves two letters
16:48Tell her about D, Dr. Santos
16:50Disability
16:51Wiggle your toes, sir
16:52Any pain in your arms or legs?
16:55Not really
16:56Does it hurt when I push here?
16:57No
16:57Okay, uh, no midline tenderness
16:59Nexus negative
17:00No obvious brain injury
17:02Or spinal cord injury
17:03That just leaves E
17:04Joy
17:06Can I buy another vowel?
17:08Dr. Whitaker
17:09Exposure
17:10A.K.A. strip and flip
17:12Cut off his clothes
17:13And we'll log roll him
17:14What do we have?
17:16Helmeted motorcycle acrobat
17:18Eight foot falls standing on top of five riders
17:20Primary survey normal
17:22E-fast negative
17:22Another motorcycle accident
17:24Hello, sir
17:25I'm Dr. Garcia from surgery
17:26Hello
17:27Okay
17:28We will roll him in
17:30Three
17:31Two
17:32One
17:37Well, I grew up a block from Carex
17:39My mom was a teacher at Brashear's
17:41So I had to go there
17:42The bullets?
17:44That's right
17:45But they were the bullets when I was there
17:46They changed to the bulls when I left
17:48Oh
17:49Hey
17:49You think I could get something to eat?
17:54Uh, Gus here's wondering if he's clear to eat
17:56Uh, as long as it's a liquid diet
17:59We have the results of your CT scan
18:01Your jaw should heal without surgery
18:03Which is good news
18:04But it will be a few weeks
18:07Before I can eat?
18:08Solid foods, yes
18:10Or you can have a food parade with liquid in a blender
18:14I don't have a blender
18:17Right
18:18Sorry
18:20Um, we have a calorie-rich supplement drink called Ensure
18:23Comes in chocolate, vanilla, or strawberry
18:26Uh, chocolate, please
18:28Good choice
18:29How many can I have?
18:30Two a day is recommended
18:31I'll get it for you
18:34You have an appetite
18:35It's good
18:37Mr. Varney, your blood tests indicate low levels of protein and vitamins
18:42Can we ask you a few questions about your diet?
18:46How many meals or snacks do you have in a 24-hour period?
18:49I don't know
18:51Don't count
18:52Pretty sure it's three trays a day
18:56Okay
18:56How often do you eat cereals, fruits, or vegetables?
19:00Not many fruits and vegetables in prison
19:03Slow and steady
19:07What year is your Bonneville?
19:0969
19:10I rescued her from a motor graveyard
19:12Brought her back to life with a bunny of mine
19:14Who's supposed to be coming in today
19:16How often do you ride?
19:18I ride it into work every day
19:19Oh, good for you
19:21Don't encourage him
19:23CT's ready for Brandon
19:24As soon as we take a look at this knee
19:28Whoa
19:29Through the deep fascia
19:30How's it look?
19:31Definitely gonna need stitches
19:32How many?
19:33A lot
19:34It could be an open joint
19:35We'll do a saline load after CT
19:37Okay
19:39Lever sign negative, ACL intact
19:41Okay, ready to roll
19:47Are you still coming over tonight?
19:49I think Whitaker is gonna be playing farm boy again this weekend
19:52So he's not gonna be around
19:53I may need a rain check
19:54Hey, do you have an update on that neck bash patient?
19:57Last I heard, Miller was doing an above-the-knee amputation with ortho
20:03Langdon's waitress with the cellulitis?
20:05Man, that took a turn
20:06Sure did
20:08Hey, did you hear about Louis?
20:12Yeah
20:13You okay?
20:16Um, one of my uncles drank himself to death
20:20Barely recognized him at the end
20:23At least Louis always seemed happy
20:26Let me hear if you want to talk
20:33And they're not fighting in here
20:36Still anyone's lunch
20:37It's a $20 fine
20:40Made a lot of changes while you were gone
20:42I can see that
20:43Look, I'll let your head out a little bit longer
20:45But then I need you to pick up more patients
20:46You're not as fast as you used to be
20:48Damn donuts
20:50Ouch
20:52First day back, I get kicked in the nuts
20:55One dead, one septic bounce back
20:57Both of those are not your fault
21:02You expecting a party?
21:04No, not really
21:06Didn't hear from anyone while I was gone
21:11Sorry
21:12They ever, uh
21:15Arrest that guy who punched you?
21:17Yeah
21:18Wanted to know if I want to press charges
21:20But I didn't want to go through all that
21:23Thought I was done
21:24Really did
21:25But
21:26Got bored of him
21:27So
21:28Only lasted a few weeks
21:30You?
21:31Ten months is a long time to be alone with your thoughts
21:34I almost lost everything
21:36I know a lot of women who would have taken the kids and left
21:39But
21:40Abby stayed
21:41Because she's a good woman
21:42Because you deserve a second chance
21:44I'm not sure everyone agrees with you
21:45Give it time
21:47Look, I
21:53I, um
21:56Been working the 12 steps
21:57Trying to make amends
22:00I was really selfish
22:01I lied to myself
22:02And I lied to you
22:03I'm really sorry
22:04You can check me off your list, kid
22:06We're good
22:08Okay
22:09Yeah
22:10Gotta love the patient for you in, too
22:12Let's get you back on the horse
22:17Really need to talk with Robbie
22:18I know if today's the best day for that
22:20He leaves on vacation tomorrow
22:21Let him get to the day in peace
22:22He's supposed to be gone for three months
22:24So he says
22:25I give him one
22:26Go get him, kid
22:30Dr. Langdon
22:32This is Rocky
22:33Great name
22:34What brings you in, Rocky?
22:39Very sick
22:40When did it start?
22:42An hour ago
22:43After he won a hot dog eating contest
22:46A hot dog eating contest?
22:47How many you eat?
22:52351 hot dogs?
22:5836
22:59Still a lot
23:02I pulled a date of Zofran
23:03Go for it
23:04Alright, this should help
23:05Stick it under your tongue
23:06Let it dissolve
23:06Okay
23:07Are you taking any
23:16Thanks
23:18Santos
23:19What's up with your earliest patient?
23:21Admitted to medicine
23:22And before you ask
23:2313 has been discharged
23:24Great
23:2512 needs a doctor
23:27No, don't make me go back there
23:28That disinfection left a smell
23:31It stuck up the whole hallway
23:32So grab some coffee grounds
23:33From the lounge
23:34We need to admit
23:35Our incarcerated patient
23:36Gus
23:36What did the CT show?
23:38Moderate pulmonary contusion
23:40Three rib fractures
23:41No interabdominal bleeding
23:42And oblique fracture
23:43In the body of the mandible
23:45Anterior to the ankle
23:46All favorable for healing
23:47What's the treatment plan?
23:49A pain
23:49Pain medication
23:53Antibiotics
23:53Liquid diet
23:55Pulse ox a few times a day
23:57And then also
23:58Dressing changes
23:59For the laceration
23:59Which he can get
24:01At his correctional facility
24:02Or
24:03He stays here for a few days
24:05And we get him on the right track
24:06To healing
24:08Why don't you two
24:08Go check on your patients
24:09Sure thing
24:13What am I missing?
24:15He's not getting enough
24:15To eat at his correctional facility
24:17The portions are tiny
24:18Too many carbs
24:19Not enough fruits
24:20Or vegetables
24:20He's lucky he hasn't developed
24:22A chronic illness
24:24We don't have any
24:25Inpatient beds
24:26He would board down here
24:27For three days
24:27We're still getting runs
24:28From Westbridge
24:29And we cannot tie up
24:30Behavioral for that long
24:31Dr. Al-Hashimi
24:32Dr. Jefferson wants to talk to you
24:33About our tasered kid
24:39Why don't I call the prison doctor
24:40And find out what they're
24:41Working with over there
24:42Thank you
24:42My pleasure
24:46Dr. Jefferson seems to have
24:47A good rapport with Jackson
24:48It's excellent
24:49How's the sister doing?
24:51Still pretty upset
24:52She's never seen him like this
24:54It's a lot to process
24:56How's he doing?
24:57He's scared
24:58Droperidol had a positive effect
24:59But he doesn't understand
25:00What's going on
25:01He's been experiencing
25:03Auditory hallucinations
25:04And paranoid delusions
25:05Voices are telling him
25:07He isn't safe
25:08This has been going on
25:09For months
25:10Months?
25:11Yeah, turns out
25:11His sister hasn't seen him
25:12In a while
25:13Family history of mental illness
25:15Not that we know of
25:17I'm going to give him a break
25:19And then continue the conversation
25:21Parents are on their way
25:22We'll let you know
25:22When they get here
25:23Yes, do
25:25Okay, hospital bed
25:26Wheelchair and shower chair
25:27Have all been ordered
25:30What do you say, kid?
25:32Ready to go home?
25:35How's your pain, Mrs. Hamler?
25:38It's the same
25:40We're going to write you
25:41A script for Keppra
25:42You'll take that
25:43To prevent seizures
25:44Once a day is starting tomorrow
25:45Between your broken leg
25:47And the bruises from your seizure
25:48The pain will probably
25:49Get a little worse
25:49Yeah, the most important thing
25:51Is to let others help you
25:52You'll need assistance
25:53Showering and getting
25:54To the bathroom
25:55Yeah, no problem
25:55I won't leave her side
25:56Paul, you need a break
25:59You're taking care of me
26:01The kids
26:03The house
26:04It's too much
26:05For one person
26:07I'm not the one
26:08Battling cancer
26:10Paul?
26:11Hey
26:11You're in pain
26:13Every day
26:14Fighting for your life
26:16I'm happy to do this for you
26:18You're my wife
26:21Now let's go home
26:22And forget this day
26:23Ever happened
26:24I'll call the transfer ambulance
26:26Thanks, Princess
26:34Hey
26:35Hmm
26:37Why don't you go ahead
26:39What?
26:40Yeah, you can get the house ready
26:41I'll be right behind you
26:44No
26:44No
26:45No, I'm riding in the back
26:47With you
26:49Yeah
26:50I'll stay with her
26:53You sure?
26:56Yeah
26:57Okay
27:01Uh
27:02Call me if you need me
27:03To come back
27:10One more day
27:12Mr. Francis
27:14Short of breath?
27:15Yeah
27:16I was worried
27:16The clot of my leg
27:17Could have gone up to my lungs
27:19You're on Eliquis
27:20That shouldn't happen
27:21Yeah, I know
27:21Dying
27:22I got this
27:22Don't worry, Mr. Francis
27:24I'll order the D-dimer
27:25I'll be back to see you
27:26Thank you, Dr. Mohan
27:28Uh
27:28You know
27:29I'm an MP
27:30Now
27:30I can pick up a patient
27:31With dyspnea
27:32I'm sorry
27:33I've seen him before
27:34And he's asked for me
27:36Why even order the test?
27:37He's on Eliquis
27:37Mr. Francis comes in every month
27:39And always asks for a D-dimer
27:41Just
27:42He's worried
27:42And it puts his mind at ease
27:43Why not?
27:45Yeah
27:45Okay
27:46Donnie's the best
27:47We learn a lot from him
27:49That's right
28:18All right, film in
28:20This is Harlow Graham
28:21She was seen in triage
28:23CBC and CMP came back normal
28:25IT was supposed to bring the VRI down
28:27But they're slammed
28:27I know a bit of sign language
28:30Harlow, this is Dr. Santos
28:34Hi, Harlow
28:35How are you feeling?
28:39She has a headache
28:40Okay, what else?
28:48What is she saying?
28:50I think she had a stomach ache
28:52And she might have passed out
28:58I'm not 100% sure
28:59Okay
29:00Um, we're just gonna need to wait for an interpreter
29:02Because I need to ask a million questions
29:04And I can't do it this way
29:05So just call me when IT comes down
29:18CT head, neck, chest, abdomen, pelvis
29:21All negative
29:22It means we can get this collar off
29:25Thank you
29:27Roll to your side
29:28We'll get you off this board
29:30How long's your trip?
29:322,000 miles
29:33All the way from here to Alberta
29:35A couple stops along the way
29:36Got the whole thing mapped out
29:38Sounds like heaven
29:39Let's hit you up
29:40Sorry I got stuck with a patient
29:42You know the old saying?
29:43Four wheels move the body
29:44Two wheels move the soul
29:45You're gonna be living the dream
29:47Thank you, Brandon
29:48Not everybody down here feels that way
29:50Okay, what goes next?
29:51Orthoassessment
29:53Palpate all long bones
29:54Starting with the clavicle
29:55Got it
29:57We'll take the lower extremities
30:04Distal radius tender
30:05No deformities
30:06Needs an x-ray
30:06No bony tenderness down here
30:08No laxity of the knee
30:09Any concern about that knee leg?
30:12If it's an open joint
30:13He'll need to wash out in the OR
30:14We could try a fluorescein injection
30:16Okay, we'll need a wood slam
30:18Wood slam, 1% lighter with epi
30:19Serial saline
30:20Serial basin
30:21Serial fluorostrip
30:2218 and 27 gauge needles
30:235 and 60 cc syringes
30:26How does she know all that?
30:28She just does
30:31How we feeling, Rocky?
30:33Oh, much better
30:34He said eight migs of undansetron
30:36Any pain in the belly?
30:37No, but my mouth is really dry
30:40No doubt from consuming mass quantities of salty hot dogs
30:43Can I have another sip of water?
30:45Sure, a little sip
30:46Take it slow
30:48Here you go
30:49Thank you
30:50Just enough to wet your whistle
30:54So, how'd you get your start as a competitive eater?
31:05Any pain here, Mr. Lee?
31:08Can't feel a thing
31:08Great
31:09Where's Santos?
31:11Probably catching up on our charting
31:13Right
31:14Lights out
31:15Once the lamp on
31:18Okay
31:22I might want to use some of that on Halloween
31:23That is 250 cc's of sterile saline
31:26With one small touch of a sterile fluorostrip
31:31We are going to inject this fluid into your knee, Brandon
31:34And if there's anything glowing in your wound
31:37We know we have a leak
31:40Feeling some pressure?
31:41Yeah, that's normal
31:42As soon as I finish the test, I'll pull off the fluid
31:47That looks good
31:48Laceration did not enter into the joint space
31:51Surgery not needed
31:52Excellent
31:53I can get back to three
31:54No, we'll still need to stitch you up and splint your wrist
31:57Hanging your grandma van, Seth
31:58Wait, he has a penicillin allergy
32:00No, penicillin was negative
32:01We're okay
32:03My mom said I got a rash with amoxicillin when I was two
32:05Yeah, probably not a true allergy
32:07Go ahead and give it, Kim
32:08But have Epi and Benadryl standing by, right?
32:11Yes, to be on the safe side
32:13Most people who think they have a penicillin allergy
32:15Actually don't
32:17Always listen to the nurses
32:18They run the ER
32:20We just try and stay out of their way
32:28Now we can really clean them up
32:30Didn't we already do that?
32:32Dry blood on the face, neck, hands
32:35If anyone comes, they shouldn't have to see that
32:38Sometimes the local unhoused folks will pay a visit
32:40But we always make them presentable in case anyone comes
32:44That's the last thing we can do for them
32:47Didn't get to do that during COVID
32:51Once he's spotless, we'll tuck him in nice and tight
32:53But we always leave one arm outside the sheet
32:56Because?
32:57So loved ones can hold their hand
33:06We're ready to discharge our cancer mom, Roxy
33:08Ambulance is on the way
33:09We just need to reconcile with all those
33:11Hey, I thought I saw another charge nurse around here
33:13Oh yeah, we travel in packs
33:15Aren't you sick of this place yet?
33:17Ah, someone is ready for his sabbatical
33:19Guilty as charged
33:20Hey, I just got word that the at-home morphine pump
33:23Is going to be delayed
33:24Hospital pharmacy has to mix it
33:25And then deliver it later today
33:27Well, should we keep her here until it's ready?
33:28No, you can give her a 200 milligram tablet of MS Cotton
33:31200 milligrams?
33:33Biggest pill they make
33:34Releases over 12 hours for patients with opiate tolerance
33:37Got it
33:38And you want to stick around a little bit?
33:39Westbridge is close to internal disaster
33:41We're getting all their runs
33:42Yeah, I heard
33:42I put 20 bucks on a plumbing issue
33:44I just watched that Poop Cruise documentary
33:46Oh, I cannot stop thinking about it
33:48That sounds like something I'll absolutely never watch
33:50Dr. Robbie
33:52You gave us a clozapine alias about an hour ago
33:54Your resident reported no surgical history
33:56But the chart says they've had an appendectomy
33:58We're not admitting the patient without a surgery consult
34:00Who called it in?
34:01Dr. Trinity Santos
34:03Dr. Santos
34:04You had an ileus patient
34:06You neglected to mention a history of appendectomy?
34:08There was no history of appendectomy
34:10It was in your note
34:12I may have forgotten to proof check it
34:15I was using the app that Dr. Al-Hashimi suggested
34:17To catch up on my charting
34:18Wonderful
34:19Ah, Dr. Al-Hashimi
34:21Yes
34:21Dr. Santos was just using your AI tool for her charting
34:25And it hallucinated a history of appendicitis
34:28As I mentioned to Dr. Santos
34:30Generative AI is not perfect
34:31We still need to proofread every chart it creates
34:34Mm-hmm
34:35The patient also has a history of headache
34:37Followed by Dr. Park from urology
34:38That should probably be neurology
34:41Unless urologists are now treating migraines
34:44Another example that should have been caught by proofreading
34:47AI's 2% error rate is still better than dictation
34:49Yeah, I don't really give a shit
34:50Whether or not you want to use robots down here
34:53I need accurate information in the medical record
34:55Understood
34:56Okay
34:56Dr. Santos
34:59Dr. Santos
35:01Yep, won't happen again
35:06Oi
35:07In a minute
35:09Thanks, Carla
35:10Six hours to go
35:11You got this
35:14When a wound is gaping like this
35:17You want to use sub-Q to bring the edges together
35:20A lot of meat to close
35:21Well, what would happen if we just did a simple wound closure?
35:25You take the stitches out in 10 days
35:27The wound opens, dehisses
35:28Exactly
35:29So what suture do we use under the skin?
35:32Vicryl provides support for a month
35:34It takes two months to dissolve
35:35Mm-hmm
35:36So 5-0 nylon on the skin
35:38For a vicryl under the skin
35:40I go with a 3-0
35:41Vicryl
35:42You think?
35:44Most definitely
35:45Donnie is the master of wound closure
35:48I do at least 10 lakhs a day out at Treehouse
35:50So
35:51Can we see your sub-Q?
35:55You my guest?
35:57If you insist
36:03So
36:05The secret is to be sure your entry point and exit point on both sides of the wound
36:11Matches the depth on the other side
36:19So
36:20Start deep
36:20Come up
36:22At the dermis
36:25Big bites
36:26Help the tissue close
36:30It's a mirror image on the other side
36:34Superficial
36:35To deep
36:38So you bury the knot
36:40Bingo
36:41Boyd's bumps on the scar line
36:43Three ties
36:46Not four
36:47Yeah, that's beautiful
36:49Yeah, that's beautiful
36:49And then you cut it short
36:53Not too short
36:54I like to slide my scissors down on the knot
37:01And rotate up
37:0345 degrees
37:04Before I cut
37:06Can use two more sub-Qs
37:08One above
37:10One below
37:12Have at it
37:16Interesting ink
37:17Do they mean anything?
37:21This
37:22This is death and chaos
37:24And this is miracles and blessings
37:27Got this one after the Pit Fest
37:29Shooting
37:31And I got this
37:33After my daughter was born
37:37Put the head of the gurney up so people can see him
37:40But not so high that his head flops to the side
37:47What do you think?
37:48He looks peaceful
37:51What's the hardest part of this job?
37:53It's pretty thankless and that can be tough
37:55We've seen the burnout rates
37:57I'm sure he teaches that in school
37:59A lot of my closest friends left after COVID
38:02Some during
38:04But I don't blame them
38:05They need to do what was best for their mental health
38:09A lot of people broke
38:11Why do you keep coming back?
38:15Why don't you
38:18Just finish up here and then
38:19Go help Parler for a bit
38:25Great, thank you
38:26No, that is exactly what I needed to know
38:28Okay
38:30I just got off the phone with the
38:31Physician assistant at the prison
38:33They've got a 16 hour a day infirmary
38:35With NP and PA coverage
38:36Giving everything that we need
38:37And they've got an RN for overnights
38:39Even so
38:40He's here because they're ignoring his basic needs
38:43He's here because
38:44Somebody kicked the shit out of him
38:45I think you're missing the point
38:47We have more to offer
38:48Robbie
38:49We've got four more coming our way
38:50Okay, got it
38:51What you're trying to do is very noble
38:53We don't have the resources to spare
38:55Okay, then why admit the unhoused man, Digby
38:57Why not send him back to the street
38:59With antibiotics and a roll of gauze?
39:01Because Digby lives on the street
39:02And your incarcerated patient
39:04Has a mid-level provider
39:05And a nurse looking after him
39:06We both know the quality of care is not the same
39:09Sorry, are you waiting for me?
39:10No, uh, Dr. Al-Shimi for the patient's assignment
39:12A few days here could make a world of difference for Gus's health
39:15We are a safety net
39:16But nets have holes
39:18We are not admitting them
39:19Because this is not about social justice
39:23Everything I've done in my career
39:25Is an effort to improve the system
39:27Just because you know it's broken
39:29Doesn't mean you stop trying
39:31Excuse me
39:37I talked to Jackson's girlfriend
39:40She told me a lot of stuff
39:43Um, she wants to come see him
39:45But I just don't think that's a good idea
39:48And my parents are asking a lot of questions
39:50Can I just take him home?
39:52I'm so sorry
39:53Your breath's on an involuntary psych hold
39:55He can't leave
39:57It could take us weeks to figure out what's wrong with him
39:59What's wrong with him?
40:01I'm so sorry
40:02I did not mean it like that
40:04What's
40:04Why don't we go somewhere quiet?
40:06What's wrong with him?
40:08Let's go over here
40:09What's wrong with him?
40:27How's she doing?
40:28She took three ounces of formula
40:31Without vomiting or distress
40:33Excellent
40:34Dr. Wolk from Pete's should be done shortly
40:37I think I saw her smile
40:40A true social smile
40:42Where the baby is awake, alert
40:43And responding to facial expressions
40:45Usually doesn't happen until six weeks or older
40:47It was likely a reflex smile
40:49That happens while they're sleeping
40:52But some parents have reported
40:55Their baby smiled socially as well
40:57He has four weeks
40:58So
40:59Who knows
41:02Jesse
41:03Northport needs a blood draw
41:04When you have to start
41:05Got it
41:05How are we doing in here?
41:07Almost ready to head out
41:08Looking good
41:09Heart rate 91
41:10BP is 115 over 82
41:12Oxygen sats 95%
41:14Great
41:14I'm sending him home
41:16With some non-stick dressing
41:17In case they don't stalk him
41:19Grab some bird net too
41:20He's a good guy
41:21He's a local
41:22Yeah?
41:24You from Pittsburgh?
41:25Yes ma'am
41:26Born and raised
41:27Where abouts?
41:28Bloomfield
41:29Liberty Ave
41:30Bloomfield?
41:33You know Sonny's Tavern?
41:35Worked there through high school
41:36No kidding
41:37You know Sonny's?
41:39I had my first kiss there
41:43Hey Donny
41:44My buddy Duke hasn't checked in yet?
41:46No I told Lupe to keep an eye out
41:47Thank you
41:48Yep
41:48Right left right left
41:49Yeah
41:50That's it
41:55You're back to check our work?
41:56Nope
41:56I need a silastic loop drain
41:58That looks great
42:00It's thanks to your fine instruction
42:02Yeah he's gonna need
42:04Curlex
42:04And zero form
42:06You should throw a neoprene sleeve on him
42:08Limits the range of motion at the knee
42:09So the sutures don't pull out
42:11That's a good idea
42:11Must be fun to work here
42:13Well sure is
42:14First week for these two
42:15How you guys liking the pit?
42:17I feel like I was born to do this
42:20Hard pass
42:21I'm shooting for pathology
42:22I like medical mysteries
42:24But I don't really deal well with people
42:26You have an interest in energy
42:29What's that for?
42:30The splint starts at the knuckles
42:32Comes up
42:33And around the elbow
42:36And back down to the palm
42:38It needs to be smaller
42:39I can't ride with a splint
42:41Well no you shouldn't be riding at all
42:43Right now that's a non-displaced fracture
42:45If you fall on it again
42:46You're gonna need to go to the OR
42:47No worries doc
42:49I won't fall again
42:51Uh huh
42:54Robby
42:55Pulse ox just dropped
42:56What happened?
42:57I don't know
42:58I stepped out for a minute
42:59It's down to 85%
43:01You having some trouble breathing?
43:02A little
43:04Start him on two liters oxygen
43:05Nasal cannula
43:06Tight rate to five
43:07Get the pulse ox to 92 or higher
43:09And have a rebreather stand in by
43:10Just in case
43:12He's gonna have to stay
43:14For how long?
43:16Not sure
43:19Sorry boss
43:19I only stepped out for a second
43:20Let me know if anything changes
43:22You were in the room when his pulse ox dropped?
43:24I was
43:24What were you doing?
43:25He still can't get a hold of ortho
43:26Leave him to me
43:30Feeling better?
43:31So much better
43:32Well I wrote you a script for Zofran
43:34Just in case
43:35Thanks
43:36I think I cleared it all out
43:38Send him more hot dogs right?
43:39Oh not today
43:40But I'll be back next year
43:42Gotta defend my title
43:43Okay well best of luck to you
43:44They got a weaner world truck outside
43:46You want one?
43:47I think I'm good on hot dogs for the rest of my life
43:49Wait
43:49Can I just see you eating a donut?
43:51Don't judge
43:53Stay here for a sec
44:01Transport ambulance is here
44:02Thanks
44:02This is a 200 milligram MS cotton
44:06This will give you 12 hours of relief
44:14Whenever you're ready Rox
44:15Hey guys this is Roxy Hamler
44:17Hello ma'am
44:19Easy on the transfer guys
44:28On my count
44:30No no no
44:31This isn't gonna work out
44:35I'm sorry
44:36I can't
44:37I can't
44:38I can't
44:38I can't do this
44:41It's okay
44:42I want to stay
44:45Please
44:48It's okay
44:52Can I assume that you've already called upstairs to get Gus Varnia in bed?
44:55Do you want to tell me what you did?
44:58I don't know what you're talking about
45:00I guess Post-Lex was steady we were about to discharge him
45:03Did Dr. Alashimi put you up to that?
45:06Alashimi?
45:06No
45:07You know he's gonna go back to prison after they discharged him upstairs
45:13I thought you didn't go the extra distance for your patients anymore
45:22It's Emma right?
45:24Yeah
45:25How's your first day going?
45:27Good
45:27I think
45:28Haven't killed anyone yet
45:32I'm sorry
45:32I
45:33It's okay
45:35I guess
45:36Time will tell if I'm cut out for this
45:39Well
45:39When in doubt
45:40Stick with her, kid
45:42She scares me
45:44Nah, that's just a
45:45It's a tough exterior
45:46She's warm and gooey on the inside
45:50Looks like they're doing the debrief for Louis
45:53You coming?
45:54I pay my respects
45:55Besides, I'm just gonna hold down the floor
46:09Remember the day he found him passed out in the park?
46:12Sure do
46:13I had to drag his ass over here
46:14He came and soaked to the bone
46:16He saved his life
46:18How about last summer when we didn't see him for months?
46:20He said he finally quit drinking so he didn't need to come in
46:23How many times did he say he's gonna quit drinking?
46:28He always asked about Harrison
46:30Always said thank you
46:33Found this with his stuff
46:36Who knew he was married?
46:40That's Rhonda, Louis' wife
46:43High school sweetheart
46:45About five years ago, I was covering a night shift
46:48He came in feeling talkative
46:51Born and raised in Pittsburgh
46:53Lifelong Steelers fan
46:56Groundskeeper at Three Rivers Stadium until 1998
47:01He never really wanted kids
47:05But Rhonda wore him down
47:06And when she finally got pregnant
47:08He changed his tune
47:09He got excited
47:14And then about a month before the baby was due
47:16Rhonda and the baby were killed in a car crash
47:23Though he never really came back from that
47:29May his memory be a blessing
47:32May his memory be a blessing
47:36Yeah
47:36Yeah
47:44Can you see him tired and shivering
47:47He's stumbling to the day
47:50Can you see his lips are quivering
47:54Like he's forgotten how to pray
47:56Can you see the way
47:58Can you see the way is perilous
48:00She's absorbing all the blows
48:03And who will now take care of us
48:06In the hills and valleys
48:08The highs and lows
48:09All I know is you'll need someone
48:16And by and by
48:19Need someone who's gonna cry for you
48:23Yeah
48:24You'll need someone
48:28You'll need someone
48:29You'll need someone
48:30And by and by
48:31You'll need someone
48:32You'll need someone
48:33Who's gonna cry for you
48:35You'll need someone
49:07다음 영상에서 만나요.
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