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The.Pitt.S02E11.540p.X265.AAC [Full Movie] [High Quality]Full EP - Full
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00:28Transcription by CastingWords
00:45Transcription by CastingWords
01:00She wants to go out on her own terms.
01:03Very few of us get to do that.
01:05We should pick up more patients.
01:12So Adam lives at Middle Hill?
01:13He lives in Middle Hill.
01:15And he's three years older than you?
01:16He's three years older than me.
01:19And he asked you to be his girlfriend six months ago?
01:24He asked me to be his girlfriend at game night, and I said yes.
01:30Come patient waiting for a doctor.
01:31Ready to go in 13.
01:32Okay, I'll be right there.
01:37Did Adam ask you if you wanted to have sex?
01:40I, Mel, I don't know if I can tell you.
01:43Of course you can tell me I'm your sister.
01:45Well, it's private.
01:47Look, it's just, it's really important that I know.
01:50Why?
01:50Because.
01:52Well, I can tell Dr. Langdon because Dr. Langdon is my doctor, but I don't think I can tell you.
01:59Becca, just tell me.
02:00Why are you yelling?
02:01I'm not yelling.
02:02It's just, look, it's really important that I know.
02:04You're definitely yelling.
02:05Becca.
02:05Maybe we should step outside for a minute.
02:08Why won't you tell me?
02:09Dr. King.
02:11Why don't you get to Mary?
02:16Sorry.
02:19Sorry.
02:25Hey, have you seen any of the x-ray techs around?
02:27Nope.
02:30Got an update for me?
02:31I'm just checking in.
02:33What are the chances of me getting out of here on time, do you think?
02:36It's up to you, Cap.
02:37We can handle this.
02:37Question is where you let us.
02:45Are you two getting along?
02:47I can play nice for another two hours.
02:52Kept calling me Doc.
02:54Didn't know he was the real Doc until a few months in.
02:57He was keeping a secret life from me.
03:00Where are we with his chest this way?
03:02X-rays are still six or seven behind.
03:05When's the last time you checked?
03:07Maybe ten minutes ago.
03:09Stay on them?
03:10Yeah.
03:10Come on, give the kid a break.
03:11It says here it takes an hour to get an x-ray.
03:14I'm the first person who's read this fucking thing all day.
03:19Don't get me started on those.
03:23How are you feeling?
03:25How are you feeling?
03:25I'm good.
03:28You know, I take Luxapro.
03:30It helps with panic attacks, not just depression.
03:32Promise?
03:33I'm fine.
03:35Sorry about that, Mrs. Torres.
03:37Are you okay?
03:38I thought you were going to pass out.
03:39Yep.
03:39All good.
03:40Let's just pick up where we left off.
03:44Mrs. Torres presents with one week of painful, swollen right calf.
03:48No trauma, no fever, no history of hypercoagulable state.
03:53However, she did take a 15-hour bus ride from Orlando to Pittsburgh last week.
03:57Mrs. Torres, we're concerned about a possible blood clot in your leg that can lead to serious
04:03complications.
04:04We need to do an ultrasound, but no need to worry.
04:07If it's positive, we can treat with a blood thinner.
04:10Well, if there's something I learned is to stop worrying.
04:13Can all your worries add a single moment to your life?
04:20Fresh in the lab, they said one's critical.
04:22They're supposed to call those up.
04:24I know, every time they try, the red phone's been busy.
04:25Jesus Christ, this was resulted 25 minutes ago.
04:29Sodium 112.
04:32Mohan, sprinkle some salt on your patient before he sees it.
04:36Where are we?
04:37Kidney stone patient's not obstructed.
04:39Just waiting on meds.
04:41Ortho's performing the replantation on our water slide trauma.
04:44Perforated diverticulitis patient Howard made it through surgery.
04:47And I'm calling the CYF resource navigator to see if we're getting anywhere with emergency
04:52foster care for baby Jane Doe.
04:54Other than that, labs and x-rays are way behind, but our golden girls are getting their steps in.
05:01Does Robbie usually leave as soon as his shift ends, or does he like to stick around for all the
05:06handoffs for night shift?
05:07Depends.
05:08He's usually pretty good about getting out of here.
05:14Shortness of breath and soft 16.
05:16He could totally decompensate.
05:19I'm hoping to catch another intubation before 7.
05:22One more gets me to 3 in my first week.
05:24Probably a record.
05:27I'm looking for an easy one.
05:30Shift ends in two hours.
05:33You're supposed to pick up the stable patients in order.
05:35Do you need a second opinion on that?
05:38No.
05:40Dr. McKay.
05:41Yeah?
05:42A girl named Kiki came into reception looking for you.
05:44Kiki?
05:45She said she'd be in the park.
05:46Yeah, great, thanks.
05:52Hey, I think the labs are back on your PID patient.
05:56Thanks.
05:58Is everything okay?
06:00Ah, fantastic.
06:06Langdon.
06:07I was kind of hoping I would never see him again.
06:10You know, maybe he's changed.
06:15When you got a sec, there's something...
06:17Santos!
06:18I need you to pick up food poisoning in 12.
06:21Yeah, sure, why not?
06:23What?
06:24No snark, no pushback?
06:26What have you done with Santos?
06:27Only two hours to go.
06:29I surrender.
06:31That's the spirit.
06:39How's Becca?
06:40She's good.
06:42I'm trying to call her a living community,
06:44but they are not picking up.
06:46Wake on.
06:48Because I don't know anything about this Adam person.
06:51I mean, they've been dating for six months,
06:53and I don't know anything.
06:56She never said anything about wanting a boyfriend
06:57or even liking anyone.
07:00That doesn't mean she hasn't thought about it.
07:02I don't want to think about my sister thinking about having sex.
07:05I mean, he used to say he didn't take advantage of her.
07:08Middle Hill just let it happen.
07:10Why didn't they tell me?
07:11Well, maybe they didn't know about it.
07:13Six months, they had to have known.
07:16Maybe it was a mistake choosing Middle Hill.
07:19I mean, we saw a lot of good places,
07:21but that is where Becca wanted to go.
07:24Are you Becca's legal guardian?
07:27No, I have durable power of attorney,
07:29but we did this thing called supportive decision-making
07:31where she can make her own decisions.
07:35There you go.
07:36This is different.
07:38Why?
07:39Because it is.
07:40I...
07:46My son, he's not moving.
07:59I got a hot and unresponsive child.
08:02I need a room, Dana.
08:03Trauma two.
08:05We need a core temp asap.
08:08Hi, I'm Dr. Al-Hashimi.
08:09Are you mom?
08:10Brenda Azar, Mindy.
08:11And this is...
08:12Micah?
08:13Has Micah been sick with a fever?
08:15No, he was fine all day.
08:17I found him in the car.
08:19Peoples are sluggish but reactive.
08:22No reaction to pain.
08:26Airway is Peyton with low tidal volume.
08:29Let's set up for intubation.
08:32Heart rate is 22 in 10 seconds.
08:33That's 132.
08:34Do you know his weight?
08:35No.
08:36Joy, the proslo?
08:37The what?
08:38The proslo tape gives us all the drug doses
08:40based on length.
08:41Assisting with ventilation.
08:42Somebody call respiratory.
08:44You said you just found him in the car?
08:45I was working in the garden
08:47while he rode his trike in the driveway.
08:49One minute he was there
08:50and then he wasn't.
08:51I thought he had gone into the house
08:53but I couldn't find him anywhere.
08:54He must have gotten tired
08:56and climbed in and fallen asleep.
08:59By the time I found him,
09:00I couldn't wake him up.
09:02How long was he in there?
09:04Maybe 15 minutes or 20.
09:06And the car was just unlocked?
09:08It's a safe neighborhood.
09:10Joy?
09:10Joy?
09:11Okay.
09:12So, you're going to want to start at the head.
09:17Measure the length.
09:18And then read it off.
09:20Approximate weight is 25 kilograms.
09:22250 bullets of LR.
09:24I have doses for rock and ketamine.
09:26Almost no tone.
09:27I can do this without meds.
09:28It's easy enough to bag.
09:30Let's wait for RT.
09:30When the temperature is this high,
09:32the muscles can lose their strength.
09:34So we're going to help him breathe with a tooth.
09:37Rectal temp is 105.5.
09:39Heat stroke.
09:40Ice packs for the groin and axilla.
09:41See if we have an Arctic sun that's not in use.
09:43We need all the ice we can get.
09:45And a pediatric body bag.
09:51Still waiting on your ketorolac pills.
09:53I will keep following up with the pharmacy.
09:54I told my son I would meet him at the park.
09:56We always watch the fireworks together.
09:57Sorry, Mr. Green.
09:58We won't forget about you.
09:59All right.
10:05Heard you had a heart attack.
10:06I did not have a heart attack.
10:09Hey, Sarah, how are you feeling?
10:11I am totally fine.
10:14I'm glad to hear it.
10:15Hey, do you mind watching my patients for five minutes?
10:17I have to step out for a sec.
10:19No problem.
10:19Ogilvy, you want to get some air?
10:22I've got a good case for you.
10:23Might an intubation be required?
10:26No.
10:27It's an unhoused patient I've treated on the street team.
10:41Hi, Becca.
10:43Hey.
10:54I'm sorry I yelled at you.
10:56I was just...
10:59surprised.
11:00The nurse said I can leave.
11:02Yeah, um...
11:03Can we just finish our conversation first?
11:05About what?
11:07Look, I know you don't have to tell me anything.
11:10I just...
11:11kind of...
11:13you'd want to.
11:17When Adam asked you to have sex...
11:19He didn't ask me.
11:20I asked him.
11:23So you didn't pressure...
11:25No.
11:26So you wanted to have...
11:28sex?
11:30I wanted to have sex.
11:31Sex is great.
11:33We talked about sex in my mind and body class.
11:35I told my therapist, too.
11:39Okay, the pancreatitis in North 3 is still waiting for you.
11:42Okay.
11:43Can I go now?
11:44Uh, just one second.
11:45Uh, I'll be right there.
11:46I'm just going to walk my sister out.
11:54Yep, sorry.
11:54I'm right behind you.
11:58Curtis Larson, 42.
12:00Called to the golf course for combative behavior with his buddies.
12:03No signs of trauma, just alcohol on the breath.
12:05Seems to have calmed down a bit.
12:07He was fighting us so hard we had to give four milligrams of Versed to get vitals in a line.
12:11Good BP.
12:12Pulse Ox 99 on two liters.
12:14Between the booze and the Versed, he'll be sleeping it off for a while.
12:16Central 14, guys.
12:25Roxy's gone.
12:27Is the husband still in there with her?
12:29Yeah, she bodies with him.
12:31She needs a death note.
12:32I can't find McKay.
12:34Okay, I'll be right there.
12:35Okay.
12:36Have you seen McKay anywhere?
12:38No.
12:42Have you ever seen a xylazine wound?
12:44No.
12:45But you know what it is.
12:46Yes.
12:47Then you know its street name is Trank and this shit is nasty and can lead to skin necrosis.
12:52I've never understood drug addiction.
12:54Well, you need to try.
12:57A little empathy goes a long way in this job.
12:59I am empathetic.
13:00I don't understand how an intelligent person allows themselves.
13:03Can make mistakes, heal themselves, take away the pain, hide from the abuse.
13:08We're healers, not judges.
13:11Shouldn't we go to the crosswalk?
13:13No?
13:14Okay.
13:15Okay, this is what we're doing.
13:16I see organ donation in my future.
13:19Sorry.
13:19Oh, it's...
13:19...
13:22...
13:32I see.
13:35...
14:35Is that an injection site?
14:37No.
14:38No, xyloxine wounds can show up anywhere.
14:41You still use your trink?
14:43Sometimes.
14:45Sometimes it's not good, Kiki.
14:46You know, it's nasty stuff.
14:48I'm trying to quit.
14:49How are you going about that?
14:51I go to meetings sometimes.
14:53Meetings are good.
14:55And not you seems even better.
15:00Okay, what's your plan, Uncle V?
15:06Uncle V, you okay?
15:08Yes.
15:08Yeah?
15:09Absolutely.
15:10Uh, my plan is clean with saline antibiotics.
15:16Meta honey to break down the eschar.
15:18And then?
15:19Um, redress with Xeroform and an ABD pattern acrylics wrap.
15:24Yeah, that will do it.
15:25You need to change this dressing every day, Kiki, okay?
15:28I don't think I can do that.
15:30We'll give you all the supplies you can do it yourself.
15:32You won't even have to come back here.
15:34Yeah.
15:35Okay.
15:36Okay.
15:38I can't pass the saline.
15:49Hey, I'm Dr. Whitaker.
15:51This is Dr. Santos.
15:53Roberto.
15:54Like Roberto Clemente.
15:56Oh, sorry.
15:57I don't know who that is.
16:00Pirates Hall of Famer, Roberto Clemente.
16:03You don't watch baseball.
16:05Well, I am from Nebraska.
16:07We went to a few Storm Chasers games as a kid.
16:10That's about it.
16:11No major league team, you know.
16:14All right, what happened to your elbow?
16:17O'Neal Cruz hits a walk-off tater, right?
16:20And I, I, I catch it, you know,
16:23but then somebody fell on top of me.
16:25And I, I think I heard a pop,
16:26but hard to tell with all the screaming.
16:29That sounds pretty dangerous.
16:30You're not one of those guys
16:31who steals balls from kids, are you?
16:34I didn't steal this.
16:35I wouldn't do that.
16:36I would never do that.
16:36I would never do that.
16:39Can you move your fingers for me?
16:43And the thumb?
16:47Uh, no.
16:48Okay, yeah, you know what?
16:49We can put that in the belongings.
16:50Ha, ha, ha, ha.
16:51No, thanks.
16:51I, um, I think I will hold on to this.
16:54Okay, uh, you know what?
16:55We can put you in a sling,
16:57and then you can hold on to the ball
16:59while we examine you.
17:02Okay, yeah, I guess.
17:04Uh, you're gonna throw in an IV
17:07and start with 4-morphine?
17:08No, no, no, no.
17:09I don't want to be knocked out.
17:11No, it's a low dose.
17:12You won't be knocked out.
17:13It'll just help with the pain.
17:14Might make you a little drowsy.
17:15Oh, I need to stay alert.
17:19Okay, uh, we will order you an X-ray.
17:22Just please let us know
17:23if you change your mind.
17:25Okay, yeah.
17:30Temp is down to 103.5.
17:33Long way to 98.6.
17:35102, we take him off the ice.
17:36Otherwise, we can overshoot
17:38and cause hypothermia.
17:39I put in orders for CK.
17:41What does the CK tell us, Julie?
17:43Wrapped open muscle breakdown
17:45can take out the kidneys.
17:46More concerned about his brain.
17:50Okay.
17:54It's two times a day for three days
17:56and a nurse can crush it up.
17:58Dr. Langdon already told me.
18:00Okay, bye, Mel.
18:02I'll see you at fireworks.
18:04Oh, I was going to watch fireworks
18:06with Adam and his parents.
18:09Where?
18:10At the park.
18:11They're picking us up.
18:12They go every year.
18:14We always watch the fireworks together.
18:15I have your headphones.
18:16Adam said he has extra.
18:18Okay, well, do you have
18:20Adam's parents' phone number?
18:21Why?
18:23In case I need to reach them.
18:27I want to go now.
18:28I guess I could...
18:29Bye now.
18:33So how long have you been
18:34part of the street team?
18:35Oh, about a year.
18:37And why do you do it?
18:39Oh, most of these unhoused folks
18:42feel abandoned.
18:42Sorry.
18:43They, uh, don't trust easily.
18:45Meeting them where they're at
18:46makes a big difference.
18:48I've been trying to get Kiki
18:49to come by for months.
18:51You should, uh, volunteer.
18:53Here.
18:54It's great training.
18:55Street team could always
18:56use the help.
18:58Yeah?
18:58Uh, maybe.
19:01Hey, how did the deposition go?
19:04Um, I'm glad it's over.
19:06But I didn't feel good about it
19:08at all.
19:09You know, I'm still not
19:10supposed to talk about it.
19:11No, but you could talk about
19:12how you feel.
19:13Who do you have to talk to
19:14when things aren't going so good?
19:15Friends?
19:16Family?
19:17Actually, I don't really have any...
19:19Hey, McKay, where have you been?
19:20Oh, I, uh, I stepped out.
19:22Did you tell anybody?
19:24I was, uh, treating a young woman
19:25I met on the street team.
19:27Did she check in as a patient?
19:29No.
19:29We treated her in the park.
19:32We?
19:35I, uh, I took Opal V.
19:37Oh, okay, so you treated her
19:39outside the ED on PTMC's diamond.
19:41You brought a medical student
19:42with you right when we're
19:43in the middle of crisis mode
19:44and we need all hands on deck.
19:46I'm gone for ten minutes, tops.
19:47When you're here,
19:47I need you to be here.
19:49And while you stepped out,
19:50Roxy died.
19:53What?
19:58Oh, man, I'm sorry.
20:01I didn't think she would be
20:02gone that quickly.
20:07Excuse me?
20:08Um, she took a nasty fall.
20:10Her shoulder screamed in pain
20:12when we put the ties on.
20:13Hello, I'm Dr. Rabinovich.
20:14This is Dr. McKay.
20:15Agents Correa and Russo.
20:18She needs to be looked at
20:19before we process her.
20:20What's your name, ma'am?
20:23Anita.
20:25We're gonna take care of you, okay?
20:27You said she fell?
20:29We'll conduct in a sleep
20:30at a restaurant.
20:31Everyone in the kitchen took off.
20:33She was shoved down
20:34some alley stairs.
20:35Right.
20:36Could be a rotator cuff tear
20:38and AC separation.
20:40Let's put her in a chair
20:41and find her room.
20:42South 19.
20:48Yeah, just a few.
20:51Curtis.
20:52Dude, what happened?
20:54Medics had to sedate him
20:55in the transport.
20:57Didn't realize he was
20:58such an angry drunk.
20:59So you've seen him
20:59drunk before?
21:00Sure.
21:01Yeah, but never like this.
21:03He tried to pick a fight
21:04with the guys in front of us.
21:05He said they were going too slow.
21:06That's what they call the cops.
21:08Would he have taken drugs?
21:10If he did,
21:10they were not the performance
21:11enhancing kind.
21:13He shot a 112.
21:16We'll order labs.
21:18See what we can figure out.
21:20Uh, any family
21:21we can contact?
21:22I have no idea.
21:22We don't talk about that shit.
21:23How long is he going to be here?
21:25At least three or four hours
21:26until he sobers up.
21:28Cool.
21:28Is it okay if I just come back
21:29around nine?
21:30Sure.
21:31Great, thanks.
21:36Need those removed
21:36so I can check her vital signs.
21:42Okay, tender over the AC.
21:51Can you, uh,
21:52lift your right arm up
21:53above your shoulder
21:54like this?
22:01Heart rate's 110,
22:02pulse ox 98.
22:04Painful heart test
22:05is positive.
22:06Should I drop arm test?
22:07I'm going to lift your arm up.
22:10And you just lower it
22:11as slowly as you can, okay?
22:16Positive drop arm test.
22:17What's that mean?
22:18That means that she's going
22:19to require an x-ray.
22:20It's most likely
22:21a rotator cuff tear
22:22which sometimes
22:22can come with a fracture.
22:24We need an x-ray
22:24to rule it out.
22:25How long is that going to take?
22:27Our computers are down today.
22:29Everything's moving
22:29a little slower than usual
22:30but we will fast track her.
22:32Is there anyone you want us
22:33to call, Pernita?
22:34No phone calls.
22:36Got a bathroom.
22:47Right there.
22:50I do not want these guys here
22:51any longer than they need to be
22:52so let's find x-ray
22:53and fast track this one.
22:54Your family might be worried.
22:56Maybe I can call them.
22:57No, no, no.
22:57Just stay with her.
22:58Make sure she has
22:59everything she needs.
22:59We treat her injury
23:00and that's it.
23:01Okay.
23:03Jaime Guerrero
23:03to window three, please.
23:06Jaime Guerrero
23:06to window three.
23:34Got a lateral.
23:36Best I could.
23:38Okay.
23:38Posterior dislocation.
23:39No fracture.
23:40Thanks.
23:41Mm-hmm.
23:42Okay.
23:42Good news, Roberto.
23:44No broken bones
23:45but the elbow joint
23:46is dislocated
23:47and we need to get
23:48the ball back in the socket.
23:49The best way
23:50is with sedation
23:51and pain meds.
23:52No, no, no.
23:52I know you said
23:53no morphine
23:53but we can put
23:54local anesthetic
23:55into the joint
23:56to block the pain
23:57that way you won't
23:57be sedated at all.
23:58No, thanks, Doc.
23:59Just give me
24:01a bullet to bite on.
24:07The Rated Joe's
24:08over in Green Tree.
24:09Oh, man,
24:10I love that place.
24:11Brought on one
24:11of the employees.
24:12So ICE is here.
24:13People are leaving
24:14the waiting room.
24:14Ten patients are ready.
24:15What should I do?
24:16Just tell them the truth
24:17and hope they stay
24:17for the treatment
24:18that they need.
24:19Martha took off.
24:20I'm gonna call them
24:20when I get a chance.
24:21Oh, shit.
24:22Yeah, make sure she's okay.
24:23Will you call
24:23the EVS department
24:24too and let them know?
24:25Will do.
24:26All right, hold down the fort.
24:27Let us know
24:27if you need backup.
24:28You got it.
24:29Can't we just tell
24:30the agents to fuck off?
24:32They are not gonna leave
24:33without their patient.
24:34We just need to treat her.
24:36Even if she's undocumented?
24:37All patients,
24:38regardless of immigration status,
24:40have the right
24:40to emergency care
24:41under M. Tala.
24:43Pranita is next
24:44in line for x-ray.
24:45Okay, good.
24:49Propofol is down
24:50to 100 mics per minute.
24:51Temp is 101.8.
24:53Great.
24:53Let's get him off the ice.
24:55Okay, hands.
24:56On my count.
24:58One, two, three.
25:02What's the latest?
25:03Uh, we got some arm movement.
25:06That's a good sign.
25:10And pupils are
25:12minimally reactive.
25:14Planters are down going.
25:16All encouraging signs.
25:21Any luck getting a lawyer
25:22for a detainee?
25:23Uh, no.
25:24Keep me posted.
25:26Yeah.
25:33It's a pretty bracelet.
25:36My daughter made it for me.
25:40She doesn't know what I am.
25:41I just wanted to know
25:42that I'm okay.
25:45You seriously won't let her
25:47make a phone call?
25:48Not until she's processed.
25:51Unbelievable.
25:54Thanks, and just let me know
25:55when she gets back.
25:57Uh, one other thing.
25:58Uh, do you have a resident
25:59named Adam?
26:01I was wondering if I could get
26:02his parents' phone number.
26:03Nope.
26:04Red phone is for emergencies only.
26:05This is kind of an emergency.
26:09Sorry.
26:10Bye.
26:12Hey, Mel, we need an R3
26:14to supervise a reduction
26:15in North 4.
26:16Are you free?
26:16Uh, I guess.
26:18Should we move the deceased woman
26:20in Central 9 to viewing?
26:22Uh, no.
26:23Let's leave the husband in there
26:24for a little while longer.
26:25We need the room.
26:25We're not moving her yet.
26:28Okay.
26:29Sorry.
26:30We can do a room check.
26:32Pete's ICU says
26:33they'll have the bed soon.
26:35Okay.
26:41So what do we think?
26:43About what?
26:44The mom of our heat stroke kid.
26:47Uh, that is not our job.
26:48That is what CYF is for.
26:50So you think it was on purpose?
26:52No, I did not say that.
26:54I just don't buy it.
26:55She lost her kid at home.
26:57Plus, she just looks guilty.
26:59Has anyone seen her cry?
27:02People don't always respond
27:03to trauma the way
27:04you expect them to.
27:05Stay focused on the kid.
27:11BV 78042, SATS 87.
27:13You having some pain again,
27:14Mr. Green?
27:16Mr. Green?
27:17This one's yours?
27:18Yeah.
27:19Uh, kidney stone.
27:19Possible vasovagal.
27:20Yeah, I assume that
27:21we need some help here.
27:22Does he have an IV?
27:23No, he didn't need one.
27:26Hypotensin hypoxic.
27:28Clear trauma room?
27:29Yes.
27:31He was just waiting
27:32on his discharge meds,
27:33pain-free.
27:36A few more patients
27:37are going from
27:38CHERASAT 15 to COF 2.
27:40History of renal
27:41call,
27:41a keen positive urine
27:42BP crashing.
27:43Keen positive urine
27:44doesn't always mean
27:45kidney stone.
27:46Two anticubital lines,
27:47biggest ones we've got.
27:48E-FAST.
27:49Let's get two units
27:50to hold blood hung,
27:51please.
27:53Good.
27:56Who worked up
27:56this patient?
27:57I did.
27:58Ultrasound showed
27:59dilated ureter
28:00and mild left
28:01hydronephrosis
28:02consistent with
28:02this history
28:03of renal colic.
28:04What about the aorta?
28:05I didn't look
28:06at the aorta.
28:07What did you present to?
28:09Dr. Mohan?
28:09You said the rest
28:10of the ultrasound
28:10was normal.
28:11I meant that
28:11the other kidney
28:12was normal.
28:15Eight centimeter
28:16triple A
28:16with massive free fluid.
28:17Perhaps you don't
28:18make any reason
28:18he's bleeding out.
28:19Okay, go with the MTP.
28:20Sixteen gauge
28:21in the left AC
28:22two units
28:22whole blood
28:23on the infuser.
28:26Assisting ventilations.
28:27Rest diagonal.
28:29Okay,
28:29who wants to
28:30sit in debate?
28:33Everybody?
28:34Sure.
28:35Okay, call for
28:35six more units
28:36to hold blood
28:36you said
28:36be a call surgery.
28:37If we stay ahead
28:38of him,
28:39we might get him
28:40up to the oar.
28:41Here we go.
28:56We're lightening
28:56up his sedation
28:57to see if he has
28:58any purposeful movement.
29:00If so,
29:01that will be
29:01an encouraging sign.
29:03He'll be back
29:04tomorrow?
29:06There's no certainty
29:08as to how much
29:09recovery Michael
29:10will have.
29:10His response
29:11over the next
29:1224 hours
29:13will tell.
29:15There is a chance
29:16of cognitive
29:17impairments
29:19but also
29:20a chance
29:20of meaningful
29:21recovery.
29:22Dr. Alashimi,
29:24the patient
29:24in 2022.
29:27I will be
29:28right back.
29:45I'm in.
29:46Bag him.
29:47Nicely done.
29:47Good job.
29:48Unit 3 is up
29:49and running.
29:49I've got a 16
29:50day DJ.
29:51That one goes
29:51on the rapid infuser.
29:52Good and tied a
29:53wave for him.
29:56Strong radio pulse.
29:57That's a very good sign.
29:58BP's up.
29:5886 over 52.
30:00Some progress.
30:01About 2 grams TXA?
30:02Yeah.
30:03What else do we give
30:04after 4 units of blood?
30:08Calcium gluconate
30:09to counteract
30:10hypocalcemia
30:10cause blood
30:11citrate
30:11anticoagulant.
30:12Why don't you see
30:13if you can't squeeze
30:14a unit into
30:14that peripheral line?
30:19Should somebody
30:20place a central line?
30:21Long central line
30:21is slower than
30:22short large-bore
30:23peripheral.
30:23The flow is
30:24proportional to
30:25the fourth power
30:25of the radius.
30:27Physics.
30:28Right.
30:31Okay.
30:33Bite down on this.
30:36Okay.
30:37I'm stabilizing
30:38the humerus.
30:39All right.
30:40After I supinate
30:40with traction,
30:41Dr. Whittaker
30:42will apply
30:42downward pressure
30:44on the proximal
30:45forearm.
30:46Okay.
30:46This is gonna hurt
30:47like hell, Roberta.
30:49One, two, three.
30:53Okay.
30:54And then,
30:54flexing at the elbow.
31:02This dolly's down to 68.
31:04Minutes five and six
31:05are up and running.
31:08I'm here for Garcia.
31:09Vascular can't come down.
31:11Triple A with him
31:11readily shot.
31:12Most of these
31:12die in the field.
31:13He was stable,
31:14presented with a history
31:15of renal colic.
31:16And nobody saw
31:16the triple A
31:17on ultrasound.
31:18Was this you?
31:19No.
31:21It goes to me.
31:23Looks like sinus attack.
31:25Nope.
31:25Lost the pulse
31:25since PEA.
31:26Bag him.
31:27Ogilvy,
31:27start compressions.
31:28We're having a hard
31:28time staying
31:29out of the blood loss.
31:30Sterile gloves.
31:31Prep for a thoracotomy.
31:32Dr. Javadi,
31:33why don't you glove up
31:33and show Dr. Shamsie
31:34why you belong in the ED?
31:37We can cross-temp
31:38the aorta
31:38and stop the blood flow
31:40from below the diaphragm.
31:41We can previous
31:41the heart and the brain.
31:46Pen blade.
31:47Throw it in there.
31:55May I scissors?
32:00Scissors.
32:04Spreader?
32:11Let me know
32:13when you have
32:14enough exposure.
32:20Right there.
32:24Can you give me
32:24on suction?
32:25No, there's no blood
32:26in the chest.
32:26It's all in the belly.
32:27Yeah, keep squeezing.
32:34Aorta's clamped.
32:36Your heart is empty.
32:37Okay, Javadi,
32:37get in there.
32:38Internal compressions.
32:38Go.
32:44Put two more units
32:44on the rabbit infuser,
32:45please.
32:46They'll be units
32:46seven and eight.
32:54All right,
32:54neuro's intact,
32:55so we'll do a posterior splint,
32:57a sling,
32:57and an orthoreferral.
32:59You know,
33:00I'm actually kind of impressed
33:01you did that without pay meds.
33:03Definitely worth it.
33:04You know,
33:04last year I caught McCutcheon's
33:05300th career homer,
33:07but another fan
33:08stole it from me.
33:09I promised myself
33:10I would never let
33:10that happen again.
33:13Whitaker,
33:13can you write
33:14the procedure now?
33:15Yeah,
33:16you already filled
33:16in the tea sheets
33:17with me.
33:17I'm already here.
33:18Yeah,
33:18I kind of had an handle.
33:20So can you just
33:20fill out the trash?
33:21You should probably finish it.
33:22Well,
33:22okay,
33:23someone do this.
33:23I don't,
33:23I don't,
33:24I don't care who.
33:27Yeah.
33:37Where's Mrs. Azremendi?
33:38She stepped out.
33:40Stepped out?
33:43Okay.
33:47Feels like the heart's
33:48filling back up.
33:48Let's have a peek.
33:52Looks good.
33:54Really good.
33:55Strong radial pulse.
33:58Moist lap pads,
33:59prep for transfer.
34:02Systolic and 94th,
34:03the best of her.
34:04Can I go with you?
34:06He's my patient.
34:09Okay by me.
34:10Bring two extra units.
34:17Ice is in the building.
34:19Word travels fast.
34:20Yeah,
34:20we have a detainee
34:21with a rotator cuff tap.
34:22Two of our nurses
34:23went home.
34:24They have temporary
34:24protected status,
34:25but they just
34:25don't feel safe.
34:30Um, I'm really sorry,
34:32Dr. Robbie,
34:33I should have checked the aorta.
34:33Too easy one to miss.
34:35Got a heartbeat back though,
34:36so still smoke.
34:41I'm sorry too.
34:42I, I should have asked
34:44Ogilvy if he'd checked the aorta.
34:46It's, it's my fault.
34:46It is.
34:48You're the senior resident.
34:49You don't look to others.
34:50Others look to you.
34:51I know.
34:52I'm really sorry.
34:53This is what happens
34:53when you bring your personal life
34:54into work.
34:55Patient almost died.
34:56I know.
34:58You have to think of these walls
35:00like a force field.
35:01You cannot let anything in.
35:02Your mother's not in here.
35:04She is out there.
35:04You keep everything out there.
35:06That is the key.
35:06That is the difference
35:07between the best doctors
35:08and the ones that don't make it.
35:10You're right.
35:13Maybe I just don't belong here.
35:20Pranita's x-ray results.
35:21No fracture.
35:22Okay.
35:23I'll just have Jesse
35:24fit her for her sling,
35:25I guess,
35:25and we have to discharge her.
35:27To the immigration guys?
35:28I'm afraid so.
35:32Okay.
35:33Time for you to go.
35:34I was just helping
35:35to chat when Speeder said.
35:37You can see how busy
35:38this department is, right?
35:39You've been nothing
35:40but a distraction
35:41and a disruption
35:41since you've been here.
35:42I'm already short-staffed
35:44and I just lost five nurses
35:45and half my environmental
35:46services team
35:46because you walked in.
35:49You know,
35:49patients come in here
35:50for help, right?
35:51Because they're either sick
35:52or they're injured
35:52and documented or undocumented,
35:54they have a right
35:55to emergency care.
35:57TB, measles, fractures,
35:58none of it's getting treated
35:59because everybody's
35:59too scared to come in
36:00but then they end up
36:01here anyway
36:01but then it's too fucking late
36:02so please,
36:03for the love of God,
36:03can you just go wait
36:04over there in the room
36:05with your detainees
36:06so I don't lose
36:06any more patients
36:07or staff?
36:09No problem, Doc.
36:22This is Astur Mendy.
36:26Brenda.
36:27Where are you going?
36:30Brenda!
36:36Okay, okay, that's okay.
36:39Let's get you back
36:40inside to your son.
36:41That's okay, that's okay,
36:42that's okay, that's okay.
36:44That's okay.
36:45Come on, she's cleared to go.
36:49Hold on, she needs to sleep.
36:50It'll only take a minute.
36:51We're leaving.
36:52Hey man, you're hurting her.
36:56Jesus Christ, what's going on now?
36:58Robbie?
36:59No, stop!
37:00You can't do this!
37:02Wait, do this!
37:03What the hell?
37:04Get your phone out!
37:05She hurt her
37:05and Jesse stepped in!
37:07I didn't do shit.
37:08I know, I know.
37:09I mean, no.
37:09Get me, no.
37:11No!
37:12We gotta go.
37:15Don't say anything.
37:16You don't have to say anything.
37:17They can't make you say anything.
37:18We'll get you an attorney.
37:18I promise we'll get you out.
37:21Call the hospital attorney again.
37:22I can't believe this shit.
37:24Can you at least tell us
37:24where you're taking them?
37:26Is there a detention center
37:27near Pittsburgh?
37:28That's gotta be where they're going, right?
37:29Could be hours before he's processed.
37:31I'll stay on it.
37:33What can we do?
37:36Hey, Javadi, Javadi,
37:38please come back.
37:39Everybody,
37:40just go check on your patients,
37:41assure them,
37:42tell them what happened,
37:43but please,
37:43everybody get back to work.
37:44Who's gonna take Jesse's patience?
37:46I can do it, Dee.
37:47Thanks, Perla.
37:49Hey, you okay?
37:50Yeah, I'm okay.
37:51You okay?
37:52Yeah.
37:52The lawyers are tied up
37:53with the cyberattacks upstairs.
37:54They probably won't come down
37:55for a while.
37:58It was the latest
37:59with the heat stroke kit.
38:00I sent him up to Pete's ICU.
38:06What's going on?
38:08I found her outside
38:09wandering into the street.
38:10She almost got hit by a truck.
38:12I think it was intentional.
38:14Christ almighty.
38:15I told nurse Kim
38:15not to let her out of her side.
38:16We need to call a 302
38:18and observe her.
38:19Danger yourself?
38:19Is she gonna be able
38:20to see her kid?
38:21No, if she's not
38:22on an involuntary cycle.
38:24What happens if he's ready
38:25to be discharged
38:26before she is?
38:27Does she have a partner
38:27or a relative we can call?
38:29I can find out.
38:30Why don't you and I
38:30talk to her together?
38:31Sure.
38:32I just need to check on a patient
38:33and I will meet you there.
38:34Okay.
38:52Hey, Emma.
38:53Have you seen this patient?
38:54Oh, I haven't.
38:56Oh, she took off
38:56when those ice guys
38:57arrested your nurse.
39:04I tried to get him
39:06to help me in the garden
39:08but he just wanted
39:09to ride his trike.
39:13So I let him.
39:15Every time I looked over
39:18he was just
39:20riding around.
39:27Have you ever thought
39:29about hurting yourself?
39:34CBC and blood alcohol
39:35are back in your goal
39:36for Curtis Larson.
39:370.14.
39:38Copy that.
39:39Okay, we'll wait
39:40for the other labs.
39:41He'll need to sleep it off
39:42in the meantime.
39:45Hey, Gabriel,
39:45can you wait up a sec?
39:47Do you have Duke Eakin's
39:48chest x-ray?
39:49Yeah.
39:50How's it look?
39:51Radiologist still needs
39:51to read it?
39:52Can you pull it up for me?
40:01I've got to call
40:01the funeral home
40:02and start making arrangements.
40:03You could slow down.
40:05Take some time for yourself.
40:06How you doing?
40:08Oh, you know.
40:09Been better.
40:11I spend so much time
40:12with these people.
40:13You've become
40:13a part of their family.
40:14It's not like it is here
40:15where patients come and go.
40:16Don't stay for the night shift.
40:18I've got reinforcements
40:19coming in.
40:19I'd rather work.
40:20I don't know if I want
40:21to sit with this at home.
40:22Try.
40:22For once, just listen to me.
40:24Take the night off.
40:24I'll cover for you
40:25until I can find
40:25someone else to come in.
40:27Go.
40:28Hey.
40:29Come on.
40:30Love you.
40:36You think she's
40:37going to be okay?
40:39I don't know.
40:40I just hope
40:41she can forgive herself.
40:51I've noticed
40:51some tension
40:52some tension
40:52between you and Dr. Santos.
40:54You two have history?
40:55Uh, yeah.
40:57She doesn't
40:57light me very much.
41:01Uh,
41:03we worked together
41:04one time.
41:05I was a
41:07pretty big asshole.
41:08She called me out
41:09on some things
41:10that I
41:11wasn't ready to face
41:12and
41:14I overreacted.
41:16I'm going to talk to her.
41:17I just
41:17haven't
41:18gone right, Tom.
41:20Good.
41:22You...
41:32Oh, you might be in here.
41:34What's going on?
41:36The deposition
41:38of my sister
41:38coming in
41:39has been
41:39about a day.
41:41It's a good
41:42deposition.
41:44Is your sister
41:45okay?
41:47Yeah.
41:48It's just a UTI,
41:49so
41:49meds will clear.
41:51Well, that's good.
41:54She's a boyfriend
41:56she didn't tell me about
41:59and other things
42:00she didn't
42:01tell me about.
42:01Maybe she didn't
42:02know how.
42:03She's having sex.
42:06Great sex.
42:09And she lied to me.
42:10I mean, she
42:10lied to my face
42:12for six months.
42:13My sister
42:13is a fucking liar.
42:16She's just cursed.
42:19It's how I feel.
42:22Well, kid,
42:24I say this with love.
42:26People got their
42:27own reasons
42:28for keeping secrets.
42:30Most times
42:30it's got nothing
42:31to do with you.
42:32I've seen Elf
42:33164 times.
42:35Becca loves Elf,
42:36so we watch Elf.
42:38And she's got
42:39everything,
42:40and now she's got
42:40a boyfriend,
42:42and they're gonna
42:42fall in love,
42:43and they're gonna
42:43get married,
42:43and I'm gonna
42:44be completely alone.
42:49Do I feel good
42:50to say that out loud?
42:53No.
42:56Mel,
42:58you're a good egg.
43:00But this is not
43:01about you.
43:04It was a long
43:04time ago.
43:05Quit feeling
43:05sorry for myself.
43:07Now, come on.
43:08Pity party's over.
43:17Okay, so this is
43:18your heart,
43:19and these are
43:20your lungs.
43:21They look okay?
43:22Yeah, it's this part
43:24right here,
43:24this space right
43:25between your lungs.
43:26It's called the
43:26mediastinum,
43:27and it is enlarged.
43:29It is too wide.
43:30From what?
43:32I can't really tell
43:33from a plain film.
43:34It could be
43:34any number of things.
43:35Yeah, stop the bullshit.
43:37It could be
43:38an enlarged thyroid.
43:39It could be
43:40enlarged lymph nodes
43:42from an infection.
43:42It could possibly
43:44be a tumor.
43:47You think I have
43:47lung cancer?
43:48No, I don't see that.
43:51The cancer of the
43:51lymph nodes
43:52is called lymphoma,
43:53and there are a lot
43:54of diseases
43:54of the aorta,
43:55which is this big
43:56artery that comes
43:57off the heart,
43:57which can get enlarged
43:58because of a weak
43:59spot in the wall,
44:00kind of like a
44:01bubble in a tire.
44:03They can have a blowout,
44:05and the only way
44:06to make sure
44:08is to do a CT scan
44:09of your chest
44:11today.
44:12How long does
44:13that take?
44:15A few hours,
44:16a couple of hours.
44:19You still going
44:20to be here?
44:25Yeah, I would not
44:27feel good about
44:28riding if I rushed
44:29this.
44:33This is important.
44:39Hey.
44:41I think the labs
44:43are back on your
44:43COPD patient.
44:45Saw him in the rack.
44:46Thanks.
44:48Uh, look,
44:49I don't know
44:50how to say this.
44:51Um,
44:55I know you don't
44:56like me,
44:57and that's fine.
44:59You don't have to.
44:59I just,
45:00I want to say
45:01I'm sorry
45:02for being an asshole
45:03on your first day.
45:04That was
45:05completely inappropriate,
45:06and if I could
45:08take back
45:09what happened,
45:09I would,
45:10but I can't.
45:13Okay.
45:18Hey, I'm sorry.
45:18I just,
45:19I don't buy it.
45:20Everyone thinks
45:21you're just an addict
45:22who went to rehab,
45:23and you've convinced
45:24everyone here
45:24that you've changed,
45:25and you're owning
45:26up to your mistakes,
45:27and they welcome you
45:28back with open arms
45:28because you're still
45:29the golden boy,
45:30and I think it's bullshit.
45:33I'm genuinely sorry,
45:35and I can promise you
45:36I have faced
45:36my fair share
45:37of punishment
45:37for what I did.
45:38You fucking stole
45:39drugs from the hospital.
45:40Only three people
45:41here actually know that.
45:42Have you told anyone
45:43else what you did?
45:44Have you?
45:45Look,
45:45I'm just trying to get
45:46through my first day back.
45:47You shouldn't even be here.
45:49I should have reported
45:49you to the state
45:50medical board.
45:51You should have lost
45:51your license
45:52and gone to prison.
45:53You don't know
45:54what I've been through.
45:54What you've been through?
45:55My wife threatened
45:56to divorce me, okay?
45:57I almost lost my kids.
45:58Yeah, that's what happens
45:59when you fuck up.
46:03You don't have to
46:04accept my apology.
46:05I just,
46:05I wanted to say it.
46:07Okay?
46:08You really want
46:09to atone for your sins?
46:11Tell everyone here
46:12you stole drugs
46:12and got kicked out
46:13of the ED because of it.
46:14Until then,
46:15stay out of my way.
46:29What the fuck?
46:32I'm just checking
46:32your vital sign.
46:34Oh, where am I?
46:36What are you doing to me?
47:03What are you doing to me?
47:14What are you doing to me?
47:42What are you doing to me?
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