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Watch The Pitt () free Season 2 Episode 9 online in HD on Dailymotion (2025).
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00:18All right, everybody, settle down.
00:22Good.
00:23Now, Robbie has something important to say.
00:25I know that this isn't easy.
00:27We're going to help you address any challenges
00:28that you might be having.
00:29If you have any concerns, just raise your hand.
00:32I'm going to write all this down.
00:34Dr. Mohan.
00:35Medication orders aren't coming up from the pharmacy.
00:37Check with the clinical pharmacist to see if it's in the PDS.
00:40If it's not, then give the third copy of the order sheet to Dr. Nord.
00:44We're going to need more people to run it down.
00:46We'll work on it. Langdon.
00:47I can't find a patient clipboard.
00:48Clipboards need to stay here for orders and labs.
00:51Wait, so how do we write our notes?
00:52Take the T-sheet to the bedside, not the whole chart.
00:55Same goes for nursing notes.
00:57Pitches.
00:58Fax machine is down.
00:59Error message E6.
01:00What the hell does that mean?
01:01You can check the manual.
01:02There isn't one.
01:03Okay.
01:04Perla, why don't you take your phone out to the base?
01:05If you can get service, find a manual online.
01:11What else?
01:13Ogilvy, put your hand down.
01:14Santos.
01:14We've gotten a few CT results back, but nothing on plain films.
01:17That's probably because they're all sitting on the portable machine, not getting to radiology.
01:21I'll take care of this.
01:22You be patient.
01:23Help each other.
01:26We need to call in extra help.
01:27It's 3 p.m. on the holiday.
01:29I know, people, buddy.
01:30I have a 32-year-old woman with severe abdominal pain.
01:33Do we have a bed?
01:34Not at the moment.
01:35I'll take her.
01:36It's okay.
01:38Santos, Giovanni, you're up.
01:39Drama 1's open.
01:4112-year-old Jude Augustine, firecracker exploded.
01:44Non-dominant left hand, good vitals, 25 defense so far.
01:48Any other injuries?
01:49No, but seems to have lost two of his fingers.
01:50Did you bring him?
01:51Blown a bit.
01:52It really hurts.
01:53I'm sure it does.
01:54We'll do something for that.
01:56Parents?
01:56Not on scene.
02:00Ready?
02:01One, two, three.
02:03Hey, Jude, do you know your mom or your dad's telephone number?
02:07No, but I know my sister's.
02:09Okay.
02:11Good breath sounds.
02:12Hey, abdomen non-tender.
02:13Heart rate 112.
02:15Is that good?
02:16That is very good.
02:17I want to do another 25 of Fem before we open this bench.
02:20Can you tell us what happened?
02:22My friends hit firecrackers.
02:24What if I had Fem on board?
02:25I lit one, and it went off fast.
02:28I dropped it, but we're going to take your band to drop now, okay?
02:31I don't want to see.
02:33You don't have to.
02:34Just look at me.
02:35Okay.
02:37Cutting.
02:41Sorry.
02:42You're doing great.
02:46That looks like a lot more than a firecracker.
02:49More like an M8 or a cherry bomb.
02:51It's really good that you dropped it.
02:53You saved the rest of your hand.
02:54Digits four and five of both.
02:56Distant metacarpals four and five also gone with exposed bone.
02:59Soft tissue damage on the palmar aspect.
03:01Less though on dorsal.
03:02Some burns on wound edges.
03:03Chewie, can you bend your fingers for me up and down?
03:08That's a really good job.
03:09Good job.
03:09How bad is it?
03:11You lost two fingers, but it seems like the rest are going to be okay.
03:15Oh, no.
03:16I fucked up!
03:18All right, can we do a wrist block for the pain?
03:19I want to do a very detailed motor and sensory exam first.
03:22We're going to continue your exam now, okay, Chew?
03:28Okay, thanks.
03:30I see you can take her after the next neuro exam.
03:32I see you.
03:33Just so she can be monitored for the rest of the day.
03:37Four millimeters in reactive.
03:41Mel, four millimeters in reactive.
03:44Yep, got it.
03:45I could sort of make out your hand.
03:50Can you cover a good eye?
03:53Any fingers of my holding up?
03:56Three.
03:59That's good news.
04:00So, the medicine worked?
04:02She's out of the woods?
04:03Um, possibly.
04:05It's...
04:06Okay, um, cover your eye again.
04:09Okay.
04:10All right, what do you see?
04:12Top line is E.
04:14All right, and the next one?
04:18Nothing.
04:20Okay, well, that's $2,200.
04:24Meaning?
04:25Uh, what a healthy eye can see at 200 feet, she can see at 20 feet.
04:28Is that good?
04:29Yeah.
04:30It's much better.
04:31Um, and it can continue to improve over time.
04:35Thank you, Dr. King.
04:37Um, I'm going to take a quick break before my deposition, so I'll let Robbie know that I'm off the
04:43clock for the time view.
04:44Good luck.
04:45Thanks.
04:50Mel.
04:51Hi.
04:51You have a visitor in chairs.
04:53What?
04:53Who?
04:54You said she's your sister.
04:56Rebecca?
05:01Yep, you have heat exhaustion.
05:03It usually gets better with a leave, but today was really bad.
05:07Same pain you had before?
05:09Mm-hmm.
05:09From a cyst?
05:10I think so.
05:11I have PCOS.
05:14Is the, uh, is the pain always on your left?
05:16Today it is.
05:17We will check a UA and you're in pregnancy test, and I'll give you a shot of Tordal.
05:22It's something a little stronger for the pain.
05:25I'm not pregnant.
05:26I promise.
05:26No, we have to.
05:28It's hospital policy.
05:30You guys still write stuff down on paper?
05:33Today we do.
05:34Yeah.
05:42Are you a doctor?
05:44I've been waiting hours to be seen.
05:46Quick question.
05:47Come on.
05:47Who wants to walk up?
05:49This thing is useless.
05:51Sorry, I just, um, um, we're really busy, and so I'm going to see you in a second.
05:58Becca.
05:59No, hi.
06:01Is everything okay?
06:02Uh, yeah, I have a stomachache.
06:04Did you see the residential care nurse?
06:05She was out for the fourth, but I talked to her on the phone.
06:08She told me to come here, and Jerry brought me.
06:11No problem.
06:12I'll wait for you.
06:13Okay.
06:14Okay.
06:14Come this way.
06:17Just through here.
06:18Is it always like this?
06:20Yeah, pretty much.
06:22Wow.
06:22There are a lot of smelly people.
06:25Yeah.
06:26You going to help them all?
06:28Yeah, but, um, let's start with you first.
06:30Okay.
06:32How's the pain?
06:33I can't feel my hand anymore.
06:36And Seth's on the board.
06:37Okay, we're going to clean out your hand with saline, salt water.
06:40Okay.
06:45What's up?
06:47Hand versus M80.
06:48Surprised we've only seen one of these.
06:50They're still young yet.
06:52Lost fourth metacarpal mid-shaft.
06:54Look at this.
06:54Bummer.
06:56Hello, I'm Dr. Garcia from surgery.
06:59I'm going to have surgery.
07:00Yes.
07:00The first operation is to clean everything up and cover where the skin is missing.
07:05But you still have your thumb and your most important fingers.
07:13What'd you give me for pain?
07:14We did regional blocks.
07:16Hand surgery always wants to document their own neural exam.
07:19Sensation is intact.
07:20So light touch and pin break got the digits in our remaining hand.
07:25Yeah, FDS and FTPs and extensor function was all intact.
07:29Need parental consent for surgery?
07:31Yeah, we're working on that.
07:32Dr. Robbie?
07:37I smell alcohol in his breath.
07:41He's in line for the OR.
07:42Might be a little bit of a weight ortho still in with Alan Billings,
07:45that open shoulder dislocation that came back from Westbridge.
07:47He's still in surgery?
07:48He waited an hour to be cleared by anesthesia.
07:50Is the insurance company going to cover the cost of the surgery?
07:52Yeah, since Westbridge is still down.
07:54Well, good, because the delay in care definitely increased the chance of a post-op infection.
07:57You've got to love it when insurance companies make medical decisions.
08:02Hey, what's up?
08:03Do you still need a rain check for washing fireworks tonight?
08:06I thought you were coming over.
08:08I made other plans.
08:10Okay, cool.
08:12I'll try hitting you up tomorrow.
08:14We're just keeping it casual, right?
08:16For sure.
08:21Yeah, thank you.
08:23Yeah, bye.
08:24Oh, hey, I just got a hold of the sister of the heavy patient Abbott's taken to Presby.
08:29She still lives in Arizona, but she is willing to talk to him when he's back.
08:33That's good news.
08:35When do you think that might be?
08:37Depends on how crazy it is over at Presby.
08:39If it's anything like here, who knows?
08:41Yeah.
08:41Um, is help on the way?
08:44Oh, you little faith.
08:45You got a gun ban?
08:48Thanks.
08:49I keep losing these.
08:51Oh, it's a fucking day.
08:53Thought I was going to get a clean getaway for my trip.
08:55Fuck gives his toughest battles to his strongest soldiers.
08:58Uh, Dana, is there a room open?
09:00This is my sister.
09:01She's in a lot of pain, and we need a bed at your house.
09:03My name is Becca, not my sister.
09:05Sorry, right, um, uh, Dana, uh, Dr. Robbie, this is my, my Becca.
09:10Nice to meet you.
09:11You're Dr. Robbie?
09:13Cool.
09:14That's what someone was just cleaned.
09:15Anything I can get you, hon?
09:16No, thank you.
09:21Oh, wait, Becca, come here.
09:24Come this way, we're going right in.
09:28Alright, so, um, you're going to need to get undressed and get into the gown, which should
09:32be on the bed, then we're going to do an evaluation and take a history.
09:36That's a lot of questions, like, like, a lot, a lot of questions, which we'll do, and
09:40then a physical exam, of course.
09:41Mel, I've been to the doctors before.
09:45Right.
09:45Sorry.
09:46I just, I really want this to be done the right way.
09:53Do you need to take the call?
09:55Uh, no.
09:56It's, um, it's a reminder alarm for this important meeting I have in 15 minutes.
10:00Um, do you have to go?
10:03Let's just get you taken care of first, alright?
10:05So just change the gown, I'll be behind the curtain.
10:07Okay.
10:10Okay.
10:20Ahem.
10:21Your grand fries.
10:24All I see is green, baby!
10:29It's madaya.
10:31Akala mo, di ko alam na binigyan ka ng tip ni Rose sa Westbridge.
10:35Oh.
10:36What's that wa?
10:38Fax machine is paper jam.
10:40So annoying.
10:41Hmm.
10:43Ma kano parama manihimik ka?
10:44Kalahat eh.
10:4510 prosyento.
10:4640.
10:47Ayens?
10:49Ah, you want me to try?
10:50No.
10:51No.
10:52Huzzah.
10:53I got it.
10:58What'd it say?
10:59Replace toner.
11:00We live in hell.
11:01No, where can we get that?
11:021988.
11:03You ever seen one of these?
11:04Honestly, no.
11:06How are we going to get labs and x-rays to the ward?
11:07Still fashion, right?
11:09Runners.
11:09I'll check if they can spare a couple clerks from upstairs.
11:17When were you first diagnosed with polycystic ovarian syndrome?
11:20Last summer.
11:21That's when the symptoms started?
11:23No.
11:23I've had years of pain, hormonal changes, and an abnormal period.
11:27I was finally diagnosed after switching to a gyno who actually listened to me.
11:31I can take time to make the diagnosis.
11:35That sounds like an excuse for lazy doctoring.
11:38It doesn't help that some of you don't listen to women, let alone brown ones.
11:43It hasn't been easy.
11:45How's your pain now?
11:46Better.
11:47What was she giving?
11:48I am Tordal.
11:49Have you had a transvaginal ultrasound before?
11:52I've lost count of how many times.
11:54Okay.
11:55If you want to scoot your bottom down, I'll help you put your feet and the leg rests here.
11:59Yep.
12:00You...
12:00You got it.
12:10Okay.
12:11Ready to go here?
12:12Cold gel and some pressure.
12:17Okay.
12:20Okay.
12:21Ectopic is unlikely since the year in pregnancy was negative.
12:24I'm hoping it'll be positive one day.
12:27Oh, are you trying?
12:28Not at the moment.
12:29I'm getting married in September.
12:31Congratulations.
12:33Okay.
12:35A bunch of small cysts to be expected, but then there's one big one about five centimeters.
12:41My gyno's been monitoring her.
12:43Mm-hmm.
12:45With a little bit of free fluid, checking blood flow to the ovary.
12:49Red is for artery, blue is for vein.
12:51Okay.
12:52Okay.
12:52Looks good.
12:53Coming out now.
12:56Sorry.
12:59We will be back when you get your blood test results.
13:04What do you think?
13:06What do you think?
13:16Do you think that just might be what her doctors in the past have done?
13:19When she said she's feeling better, we can free up a bed.
13:22Mm-hmm.
13:22She didn't look good in triage, and her pain was way more severe than previous episodes.
13:26I think we observe her for a bit.
13:29Okay.
13:30Mr. Green, this is Dr. Mohan and student Dr. Ogilvy.
13:33Mm-hmm.
13:34Uh, what can you tell me about your flank pain?
13:36Feels like another kidney stone.
13:38You've had him before?
13:39Well, I said another, which means an additional thing of the same type.
13:44I teach English at Point Park.
13:47Triggering.
13:48My dad's a high school English teacher.
13:50Oh.
13:51Well, you went into medicine.
13:52He must be really proud.
13:55You'd have to ask him.
13:57Getting back to your pain, it feels like something you've experienced before?
14:01Same as always.
14:02Left kidney started about 10 p.m. last night.
14:05Any fever?
14:06Bleeding the urine?
14:07No.
14:07Uh, dope fever.
14:09Urine's a bit darker than normal.
14:11Dehydration can lead to stone formation.
14:13Lean forward a bit, please.
14:14Check for CVA tenderness.
14:16Yeah.
14:16All right.
14:19Let me know if there's any discomfort.
14:20Mm-hmm.
14:23Ah, sorry.
14:25Yeah.
14:25We'll order medication in a few tests.
14:27Okay.
14:31Um, dip urine, chem 7, bedside ultrasound, and check for hydro, and catorolac for pain.
14:36Mm-hmm.
14:36Sounds good.
14:37Okay.
14:44Really putting me to work.
14:45It's been a very busy day, Dr. Barker.
14:47Call me Nick.
14:50Well, so, this.
14:52I brought radiology to us.
14:53Dr. Barker, Nick will have wet-read results for us in no time.
14:57Good idea.
14:59Wet-read?
15:00You ever take a photography class?
15:01Yeah, like middle school.
15:03So, before digital technology, x-ray films were physically developed in a dark room.
15:07Baths?
15:07Thus, wet-read.
15:09Oh, cool.
15:10He's picking up a lot of space.
15:13Got an update from Dylan and our abandoned baby.
15:16CYF has requested an emergency custody authorization.
15:18Once we get a court order, we can place her in foster care.
15:21I love photography.
15:24Jesus Christ.
15:24Dr. Robbie?
15:25Dr. Robbie, can I borrow you for a second?
15:26Sure.
15:26What can I do for you?
15:27Well, she said she has a stomachache, but belly pain can mean a lot of different things.
15:30Okay, okay, okay.
15:31Breathe.
15:32I'm looking for Dr. Mel King.
15:34Yes?
15:36I'm Morgan Stiles, one of the hospital's attorneys.
15:39I'm here to escort you upstairs for your deposition.
15:41Right now?
15:43Morgan, can I borrow Dr. King for just a moment?
15:47Sure.
15:50It's gonna be fine.
15:51I can't go up now because of Becca.
15:53You probably shouldn't be caring for Becca.
15:55That's not a good idea to care for family members.
15:57It's hard to stay objective.
15:59Let's see who's available.
16:00Hey, are you free?
16:01Is anybody really free?
16:04Not an R2.
16:06Ah, it's the guy we were looking for.
16:08Need something?
16:09Yes.
16:10Uh-huh.
16:10Mm-hmm.
16:11Sure.
16:12Dr. King's sister has a bellyache.
16:14The case is now yours.
16:15You can pick up the rest of her patients while she's doing your deposition.
16:18How am I supposed to catch up on my outstanding charts with extra patients and the computer system now?
16:22The same way that the rest of us do, you can finish your charting when you finish your shift.
16:27Fucking fantastic.
16:33Hi, Becca.
16:34Hi.
16:35Um, this is Dr. Langdon.
16:36He'll be taking care of you.
16:38You have really nice hair, Dr. Langdon.
16:41Oh, thank you.
16:43Mel, would you mind turning off the lights on your way out?
16:46Of course.
16:48And, um, I'll be back as soon as I'm done.
16:51And feel free to call me if anything comes up, because I can come, right?
16:54Don't worry.
16:55Becca's in good hands.
16:56I know.
16:58Okay.
17:07Mel says lots of nice things about you.
17:12Okay.
17:13Um, tell me the reason you're here today.
17:17I have a stomachache.
17:19Your belly hurts?
17:20Where about?
17:21Right, um, right down here.
17:23Okay.
17:24Are you experiencing anything else, or is it just the stomachache?
17:27It-it's things when I pee.
17:30Sometimes when that happens, women feel like they need to urinate all the time.
17:34Do you feel that way?
17:35Yes.
17:36And what happens when you go?
17:38Hardly anything comes out.
17:40That's what I thought.
17:42Really?
17:43How do you know?
17:45Well, I've seen a lot of patients with the same symptoms.
17:47So this is normal?
17:49Yes, it's totally normal.
17:50But we still need to fix it.
17:53Okay.
18:00Hey, what's it going, Roxy?
18:03A little better.
18:05Yeah?
18:06You need more morphine?
18:13I've been in pain all this time, my love.
18:16Why did you tell me?
18:19I didn't want you guys to worry.
18:23I can't pretend anymore.
18:27Mom, it's so hot outside, the ice cream's melting.
18:31We, uh, we thought we'd indulge a pick.
18:36Wow.
18:37Yeah.
18:38Oh, looks amazing.
18:40All right, so, uh, which flavor should we start with?
18:43Salty caramel, Mom's favorite.
18:46You'll need lots more napkins, son.
19:04Rude, ceremony will be big mom.
19:07How's it going in there?
19:09All good.
19:10Langdon's great with her.
19:11I got seven more films ordered, waiting to be shot,
19:12but Dr. Nick here's tying up the machine.
19:16Isn't there a USB port on the front of that portable?
19:18And can't we just download the films to a workstation
19:21to watch them without the internet?
19:22Yes.
19:23Oh, right.
19:24Forgot about that.
19:25Is she actually helping, or is she just distracting?
19:27Let's download these and start moving on
19:29to folks waiting for X-rays.
19:30Great.
19:30I'm caught up anyway.
19:31I'll be back with the next batch already.
19:33Dr. Robbie, the, uh, guardian of your missing fingers kit
19:35in Central 12 has arrived.
19:37Thank you, Olive.
19:37Will you ask Dr. Santos to come and meet me, too?
19:39On it.
19:39Who's in South 22?
19:41Nobody.
19:42Headache was discharged.
19:42Tell that to the lady on the bed.
19:44What lady?
19:45I just tried to put a hematuria patient in there,
19:48but, uh, it's occupied.
19:49South 22, you sure?
19:50I'm positive.
19:50South vacation.
19:52Then why isn't she on the board?
19:54I, she should be.
19:55Olive was bringing her back from triage.
19:57I picked her right up.
19:58I just assumed she made it to the board.
19:59You should have checked.
20:00You should have made sure.
20:01I, I haven't put anybody on the board.
20:02I thought the nurses did that.
20:03We all need to pitch in.
20:05There's no rooms at the moment.
20:06Put hematuria on the wall.
20:07Who's your patient?
20:09Mrs. Burns with nausea.
20:10I have boarded labs and x-rays.
20:11Who are you seeing her with?
20:12I still need to present the case.
20:13Get busy.
20:14Find somebody with empty after their name.
20:18Oh, God.
20:19Kids.
20:22Hello.
20:23I'm Dr. Robbie.
20:24This is Dr. Santos.
20:26Chantal.
20:26How do you do?
20:27We've been caring for your brother.
20:28Are you Jew's legal guardian?
20:30Yeah.
20:31Our, uh, our parents aren't around.
20:34Is he gonna be okay?
20:34He got very lucky.
20:36He lost the fourth and fifth fingers on his non-dominant hand.
20:39But if he hadn't dropped the firecracker, it would have been a lot worse.
20:42He lost fingers from a firecracker?
20:45Will he be able to use his hand?
20:47Yes.
20:47He still has his three most important fingers, and they're fully functional.
20:51He'll need surgery to clean everything up, but it should heal well.
20:54What the fuck were you thinking?
20:57I'm sorry.
20:58Alex asked me to come over.
20:59His brother's had a stack of fire...
21:01You think I wanted to blow my hand off?
21:07Then you need to listen to me when I tell you something.
21:08You're not my mom!
21:10Do you think I want to be your mom?
21:12Why don't we take a step outside?
21:18So, I know that this can be very stressful.
21:20Yeah, he almost lost his hand being stupid.
21:22He's a really sweet kid.
21:24He used to be.
21:24We also found something in his blood work.
21:27What?
21:28He has a blood alcohol of .08.
21:32Well, he was drunk?
21:33Are you fucking kidding me?
21:35Does he drink regularly?
21:36No.
21:39I don't know.
21:40The boys at our apartment complex are really bad influence.
21:44And he's only 12.
21:46That is what concerns us.
21:47A positive blood alcohol immediately triggers a social service consult.
21:51Are you going to take my brother away from me?
21:53It's an evaluation to determine if the injury and the drinking is caused for some kind of intervention.
21:57Whoa, I won't let you separate us.
21:58We are required to...
21:59No!
22:0950-year-old woman with nausea vomited once after eating a warm potato salad at a barbecue.
22:14Well hydrated, abdomen's pretty benign, just a little distended with mild tenderness.
22:17History of constipation, I give her Zofran.
22:19Lab's abdominal series pending.
22:21Okay, let's take a look.
22:23Okay.
22:24Hi, Mrs. Burns.
22:25This is Dr. Whitaker.
22:25How are you feeling?
22:28Mrs. Burns?
22:30Hey, Mrs. Burns, can you open your eyes for me?
22:32She was awake and alert last time I saw her.
22:34Okay, uh, feels warm.
22:36Thready pulse.
22:37Abdomen's more distended than before.
22:38Okay, uh, agonal respiration.
22:41She's, she's hardly breathing.
22:42I'm just rigid.
22:43Yeah, yeah, yeah.
22:43Perla, we need a crash cart.
22:45Can you call respiratory?
22:46Pull the bed out for intubation, please.
22:47Yeah, I can give you guys some room.
22:51What's up?
22:53Hypotensive, acute abdomen.
22:54She needs an airway.
22:55I'll find the glidescope.
22:56No time for that.
22:57We've got direct on the crash cart.
22:58Whitaker, you're up.
22:59I haven't done many directs.
23:00And you need to do more.
23:01Induction nets.
23:02100 ketamine, 80 of rock.
23:04Thready, what's the story?
23:06Pants with mild abdominal pain.
23:08Took a turn for the worse.
23:11AFib 122, BP-98, systolic.
23:14Okay, let's bolson in the 500 cc's.
23:16You shocking her?
23:16Uh, maybe.
23:17After intubation.
23:18Check your light.
23:19Check your balloon.
23:19Thready AP pads in case we need to cardiovert.
23:22She's normally cagey at triage.
23:23She wasn't in AFib.
23:24Stress from her condition probably put her there.
23:26Good.
23:27Let's roll her.
23:27Do we have any labs back?
23:29I don't think so.
23:29What else do we need?
23:30Um, blood cultures.
23:32Lactate, two liters, LR34375, Piptaseo.
23:35Okay, she's loose.
23:36Go ahead, Whitney.
23:37Take a look.
23:38Okay.
23:46Hi, I'm Dr. Santos.
23:48This is student Dr. Kwan.
23:49How are you doing after the mist?
23:51Better than I was an hour ago.
23:53Okay, we are going to check your vitals.
23:57Temp is 100.2 and heart rate is 96.
24:02Okay, down from 101.5 and 120.
24:04Very good.
24:06You were out in the heat in that costume?
24:08Yeah.
24:09With about 18,000 of my friends.
24:11Were you at Anthrocon?
24:13Uh-huh.
24:13What's that?
24:14Pittsburgh's annual furry convention.
24:16My career.
24:18Ever been?
24:20Uh, it's not really my scene.
24:22Hmm.
24:23Yeah, furries get a bad rap, but there are great people in the community.
24:27Creative, welcoming, funny.
24:31I actually met my girlfriend at last year's convention.
24:33Hmm.
24:34That's cute.
24:35She gave me hope after struggling on the dating apps.
24:38Nice to hear that meeting people in real life still works.
24:41Wouldn't recommend it, especially at work.
24:44You should come to Anthrocon this weekend.
24:48Doesn't she need a fursuit for that?
24:50I think you'd make a good dragon.
24:56Here, I'm in.
24:57Balloon up.
24:59Yeah, bagger.
25:03That was harder with that video.
25:04Won't always have video.
25:06AFib now, 152.
25:07Blood pressure's down to 76 over 44.
25:09Okay, Javadi.
25:09Sync mode.
25:10Javadi, sync mode, 200, please.
25:13Good in tidal waveform.
25:15Good.
25:16Breath sounds bilaterally.
25:19Charge for cardio aversion.
25:20Everyone clear.
25:25Normal sinus.
25:26Normal radio pulse.
25:29Good.
25:30Keep fluids going.
25:31Let's see what labs are back on her.
25:35Nice.
25:36Very nice.
25:39What did you order?
25:40Um, CBC in our camp panel.
25:42Something should be back.
25:43Fax machine ran out of toner.
25:44Check the chart.
25:45There is no chart in slot 22.
25:47Check the orders rack.
25:49Nothing here either.
25:51Where's the chart for Claire Burns?
25:55Claire Burns, order slipped.
25:57Never drawn, never sent off to the lab.
25:59That's because the patient wasn't on the board.
26:00Nurses are working zones.
26:01If the patient's not on the board, they don't exist.
26:04So they didn't shoot her X-ray?
26:05X-ray downtime box is empty.
26:06That means it was done.
26:07Then it's on the portable machine.
26:09Last I saw, I was headed north.
26:12Thanks, Dana.
26:13Yep.
26:14Hey, Kenny, can you wait up a sec?
26:15If you need an X-ray, write the order.
26:17Fill out a downtime.
26:18Did you shoot a KU being South 22?
26:19No, maybe another tech did.
26:20Okay, can you flick through the films, look for a patient Burns?
26:28Oh, shit.
26:29Oh, that is a classic.
26:30Sigmoid volvulus.
26:31Peritoneal cuts.
26:32Okay, call the OR.
26:32She's going to need surgery.
26:33ASAP.
26:43Irin shows three plus blood.
26:45No surprise.
26:48BUN and creatinine are normal.
26:49No evidence of renal insufficiency.
26:51Got a good look at the left kidney.
26:53Mild hydronephrosis, consistent with ureteral colic.
26:56How was the rest of the ultrasound?
26:58Normal.
26:59Pain improved after 15 Kitori Lack IM.
27:02Now you can give another 15 and observe.
27:07Just need you to co-sign my order.
27:13Something on your mind?
27:15Yeah, I saw this regular an hour ago.
27:18He's in his 60s, fakes an ailment,
27:20so he can come into chat every now and then
27:22because he's really lonely.
27:24You sure he just doesn't have a crush on you?
27:26Maybe, but it got me thinking about my mom.
27:29She's probably just been lonely.
27:31Yeah.
27:33You know, I, uh,
27:35I haven't really dated since my divorce.
27:38Medical school, my kid, residency.
27:40And now I'm feeling finally kind of ready.
27:43I was waiting until I got back to Jersey
27:45to work on finding a relationship,
27:46but now that's out the window.
27:48Maybe I waited too long.
27:50For what?
27:51Do you hear that?
27:53That painful, lonely silence
27:55is the sound of my eggs dying.
28:01Okay.
28:01Ah.
28:02So the rash in North Korea's been discharged.
28:04The tasered law student in Central Tennis
28:06gone up to psych.
28:07The eye stroke is now in the ICU
28:08and the tongue laceration in South 15
28:11has sobered up before we discharge.
28:12It's better to be soon
28:13because we need the room.
28:14Okay, I'll grab a med student
28:15and get more patients meeting up.
28:16Are you in that phase with any of this chaos?
28:18Hmm.
28:19What a fucking mess.
28:21Jesus Christ, we need you.
28:24Monica Peters, this is our new attending,
28:26Dr. Alashimi.
28:27Welcome.
28:29Monica's a retired clerk, best of the best.
28:31She was kind enough to come in on a holiday
28:33and help get us back into shape.
28:34Laid off by the digital revolution, not retired.
28:37And how's all this digital shit
28:39working out for you now?
28:40Oh, so good.
28:41Exactly.
28:43All right, then.
28:44Who's handling the charts and the orders?
28:46That's us right here.
28:47How long have you been clerks?
28:49Just a day.
28:50We're medical assistants.
28:51Then get out of my space
28:53and go do something you know how to do.
28:55And no personal calls.
28:56Red phones are for emergencies only.
28:58This is a hospital, for God's sake.
29:00I'll call you back.
29:01Got a gum band?
29:03Hi, I'm Makeda from Admin and Records.
29:05I have a new badge for a Dr. Whitaker.
29:06Yeah.
29:07I'll get that to him.
29:09Heard you all need extra runners?
29:10Perfect timing.
29:11How fast can you move?
29:12I run marathons.
29:13Great.
29:14Grab the blood samples in the bin
29:15and get them up to the lab.
29:17I want a lab run every 15 minutes.
29:19Got it.
29:25I work at a shoe store in Oakland.
29:28Full-time and you're in school?
29:30Yes.
29:31Yes.
29:32Allegheny community.
29:33Does Jude go to summer school or camp
29:36while you're at work or school?
29:40Can't afford it.
29:42Are there any family members
29:43that could help with this care
29:44when you're not available?
29:44Well, no.
29:50Chantal, we want to help you,
29:51but we can't help you
29:52if you won't talk to us.
29:54What?
29:55You're going to take Jude away
29:56and put him in foster care?
29:58I promised my parents
29:59that would never happen.
30:01Did your parents pass away?
30:03No.
30:05What happened to them?
30:13My parents were deported
30:14to Haiti nine months ago.
30:19They went in for their immigration hearing
30:20and were detained.
30:24I was a sophomore at Ithaca.
30:26I had to move back home
30:27to take care of my brother.
30:29I'm sorry.
30:31It was either that
30:32or he moved back to Haiti with them.
30:36We've never been there.
30:38We were both born here.
30:43My mom was so excited
30:45when I got into college.
30:47She worked so hard
30:49to save up
30:50and pay my tuition.
30:52And now all she wants
30:53is for my brother
30:55to finish high school.
30:59Being a big sister
31:00is a lot easier
31:00than being a certain mom.
31:05Just give us a moment, please.
31:07I'll come grab you
31:07when we're done.
31:13Do we really need
31:14to get family services involved?
31:16You wanted to get them
31:17involved this morning
31:18with your eight-year-old
31:18ITP patient.
31:20That's different.
31:21Abuse trumps neglect.
31:22We can't separate her
31:23from her brother.
31:24It's not right.
31:25A lot of what happens
31:26to people around here.
31:27Is it right?
31:33Okay.
31:34Patient's complaining of pain.
31:36Uh, yeah.
31:40Hey, Amaya.
31:41What's going on?
31:42Oh, it really fucking hurts again.
31:44Hey, Jessie,
31:44can you grab Whitaker?
31:46When did it get bad?
31:47Two minutes ago.
31:48Ah!
31:48Did it need some morphine
31:49to take the edge off?
31:51How severe?
31:51One to ten.
31:52Twelve.
31:53It's way worse.
31:54Hey, Amaya.
31:55The meds will kick in
31:57and we'll get you back
31:57on the footrest
31:58to see what's going on,
31:59okay?
32:01Okay?
32:06I had to call her husband
32:07in New York
32:07to get consent.
32:09Okay.
32:10Dr. Shemzey
32:10will be operating.
32:12If she presented
32:13with peritoneal signs,
32:14why wasn't I called?
32:16There was a delayed
32:17presentation.
32:18The x-ray was shot
32:19an hour ago.
32:20Why didn't anybody read it?
32:21There's confusion
32:22with the digital systems down.
32:23It wasn't read.
32:24We didn't get a report.
32:25An hour ago,
32:26I could have fixed this
32:27in 60 seconds
32:28with a rectal tube.
32:29Now she needs
32:30major surgery.
32:32I'm sorry.
32:33Not good enough,
32:34Nepo baby.
32:34You fucked up.
32:35Don't trust anything
32:36or anybody else
32:37when the system's down.
32:39With all the chaos,
32:41she just fell through
32:42the cracks.
32:44She almost died.
32:48I could have killed her.
32:50Whitaker.
32:51No.
32:51McKay needs you
32:52in Central 11.
32:54We caught it in time.
32:55We won't let it happen again.
32:56Okay?
33:10Oh, uh,
33:11Princess is looking for you.
33:12Um,
33:13she said something about
33:14Monica under her breath,
33:15but I can make it out.
33:16Okay.
33:17Be back in a sec.
33:18Hey.
33:19Hey.
33:21You did good
33:22with that sexual assault victim.
33:25You were amazing with her.
33:27We do what we can
33:28to provide the best care
33:29to traumatized people
33:30in their darkest days.
33:33What'd you talk to her about
33:34when you took her out
33:35on the wall?
33:36I, um,
33:39told her there might be
33:40a time in the future
33:40when she changes her mind
33:42and wants to press charges.
33:45It's better to have the option
33:46to do it than not.
33:48Smart.
33:52So every day like this?
33:54Minus the cyber attacks?
33:56Yeah.
33:58But you're only a few hours away
34:00from being done
34:00with your first of many.
34:03Be proud of that.
34:11You're going to want to be
34:12on a soft diet,
34:13so, uh,
34:14things like, uh,
34:15mashed potatoes,
34:17soup, mac and cheese
34:17are good.
34:19I was going to make
34:19your favorite
34:20three-bean dip tonight.
34:21It's so nice.
34:23See, I am nice.
34:25Could she have that?
34:27Uh, yeah.
34:28Yeah, yeah.
34:29If you eat it with a spoon
34:30rather than anything
34:31like crunchy
34:32that could work its way
34:32into the laceration.
34:33Hmm.
34:34So,
34:35she'll need to be spoon-fed.
34:37Uh-huh.
34:38Antibiotics,
34:39three times a day.
34:40Come back here
34:40in two days
34:41for a wound check.
34:42See you then, doctor.
34:46Checking blood flow
34:47to the ovary.
34:53Is something wrong?
34:54Intermittent torsion.
34:56What's that?
34:57I'm coming out now.
35:00We will slide you back.
35:02Thanks.
35:04Your ovary is twisting.
35:06I'm cutting off
35:07the blood supply.
35:08That's what's been
35:08causing you pain.
35:10You said
35:11the blood supply
35:12was fine before.
35:13Sometimes the ovary
35:14can twist randomly.
35:17In those cases,
35:18the pain can come and go.
35:21Can you fix it?
35:22With surgery.
35:24Surgery?
35:24The ovary needs
35:26to be untwisted.
35:27and tacked down
35:27with a stitch
35:28so this doesn't happen again.
35:30If we can get you
35:30upstairs quickly,
35:31we can save it.
35:33I could lose my ovary?
35:36Will I still be able
35:37to have a baby?
35:38This shouldn't be
35:39an issue in the future.
35:40Dr. McKay made
35:41the right call
35:42to keep you in the ER
35:43for observation
35:43so we could catch it
35:44if the pain returned.
35:49I'll call GYN.
35:53Hey, welcome back.
35:55How was the trip?
35:55Smooth sailing.
35:57Presby's pretty nice.
35:58I might have to pick up
35:58some day shifts over there.
36:01Dr. Abbott's funny.
36:02Trust me,
36:03his charm wears off.
36:04No, it doesn't.
36:05He's not sedated?
36:06I gave him Bersed
36:07for the CT scan
36:08and the ride back,
36:08but I figured
36:09he'd need to be awake
36:10and alert to give consent.
36:11Consent?
36:12Yep.
36:12We're going to get you settled.
36:13Why don't you pay
36:14to come down?
36:15Dr. Robbie?
36:16You got this?
36:16No, I got it.
36:17Yep.
36:19All right, Howard.
36:21Hey, I want to debrief
36:22with you later
36:23on your sigmoid volvulus patient.
36:25I'll finish with
36:25your fireworks kid sister.
36:26And?
36:27She's a responsible young woman
36:28and a good guardian to Jude.
36:29There is no reason
36:30to get family services
36:31involved today.
36:32That's good.
36:32Because he's in the hospital
36:34for surgery,
36:34but they will most likely
36:35make a home visit next week
36:36to evaluate the safety
36:37of their apartment
36:38and the care that Chantal
36:39can provide along
36:40with her other responsibilities.
36:41And then what?
36:41They take Jude?
36:42In my experience,
36:43they'll make the same
36:44assessment I did.
36:45They don't like
36:45to separate siblings.
36:47Anything else
36:48we can do for them?
36:49I'll get some resources
36:50together for Chantal.
36:51Some are after-school programs,
36:52but there would come a point
36:53when he'd be better off
36:54with his parents in Haiti.
36:55His parents want him
36:56to stay here.
36:57That's what's best
36:57for the child.
36:58Says who?
36:59Dr. Santos.
37:00Come on.
37:04Welcome back, Mr. Knox.
37:05What have we discovered?
37:06That particular abscess
37:07that progressed to perforation
37:08now with free air
37:09under the diaphragm.
37:10In English, please.
37:12There's a small hole
37:13in the colon
37:14that's spilling bacteria
37:15into the abdomen.
37:16You're likely to develop
37:16peritonitis and sepsis.
37:20How bad?
37:21You need surgery now.
37:22You have a 100% chance
37:23of death without it.
37:26With it?
37:3050% chance.
37:35I could die.
37:36Yes, but we're very good
37:37at what we do.
37:38That is what the consent is for.
37:42What about my sister?
37:43We found her.
37:45She'd like to speak with you.
37:46We don't have time for that.
37:47Any delay increases
37:48your mortality risks.
37:50I want to talk
37:51to my sister first.
37:57We're going to make
37:57that happen for you.
37:59I'll have them prep an OR
38:01but make it fast.
38:02Very fast.
38:02Yeah.
38:03We're on the move again, Howard.
38:20Ray.
38:24The ice cream party over?
38:28Yes.
38:30Do you need anything?
38:33No.
38:35A time machine?
38:41It'd be nice, wouldn't it?
38:47I don't even know
38:49what hurts more.
38:51The cancer or...
38:56knowing I'm never going to
38:57see my sons grow up.
39:02It feels like a cruel joke.
39:06Do I give me children
39:09and a husband I adore
39:11if you're just going to
39:11take them away from me?
39:15For what?
39:16Fucking lung cancer.
39:21I didn't even smoke.
39:31Do you believe in God?
39:35I like the concept.
39:41I'm sure you've seen a lot of death.
39:44I haven't seen my share.
39:50Any advice?
39:57I've never died before.
39:59I'm sure I'm not going to see you.
40:01I'm not going to be here.
40:09Hey, sorry.
40:11We're outside.
40:12There's, um...
40:12There's no cell service inside right now,
40:15but here he is.
40:18oh my god are you all right
40:23been better you look beautiful thank you you're not looking so hot
40:33thank you for calling back
40:38of course i'm sorry that it's been this long all the stuff with dad and the drinking i
40:47had to do what's best for me and tommy
40:50how was tommy starting his
40:53junior year in high school next month 16
40:58already has a girlfriend takes
41:02after his uncle maybe we can
41:07make a plan for you to see each other over the holidays
41:15i'd love that
41:18is the doctor there
41:22hi i'm dr abbott can you call me when he gets out of surgery of course but right now we
41:26need to get
41:26him up to the or oh i understand thanks talk to you soon howard
41:33i forgot to tell him i love him
41:37oh wow monica welcome back
41:41rabinovich
41:43two for the lab three for ct i'll take those
41:45they may be upstairs
41:47one for ct
41:48you're on a tight ship
41:50well it's a work in progress
41:51is he going up
41:52yeah
41:54he's a good guy
41:57our surgeons will get him through
42:04i like her
42:07more than me
42:08only time will tell
42:11yeah
42:12yeah she has good command of staff and procedures
42:15i think you're leaving your day shift in very capable hands
42:18i hope so
42:20all right
42:21i'm out of here man i gotta be back in a few hours for my shift
42:25why if i don't see you
42:27really doing this still
42:30i don't think i can remember the last time you took three days off in a row
42:32i've taken a vacation before
42:36name the last one
42:40point taken
42:43there's gonna be a lot of time to self-reflect
42:48sure you can handle that
42:53okay
42:55you just make sure you come back
42:57and if it gets dark you call me
43:01you listening
43:08so the ankle's negative for fracture
43:09wait go back to the ankle
43:12do you see the normal mortise
43:13yeah but the tibiofibular clear space looks enlarged
43:17and the tibiofibular overlap seems reduced
43:20maybe a little
43:23eight millimeters
43:24three millimeters
43:26seems like a tear in the synosmotic ligaments
43:28doesn't that need surgical fixation
43:30they do
43:31i can request an mri
43:34um
43:35have you done a radiology clerkship before
43:37no
43:38i'm just
43:39not good
43:43i'm good at things too
43:56really great work earlier today
43:57doctor
44:01huh
44:03oh um
44:04you can just call me whitaker
44:06not a chance
44:07you earned that
44:08i'm proud of you
44:09we all are
44:11thank you
44:12busy day
44:14oh yeah
44:15so
44:16you're a very empathetic soul
44:18yeah i'd like to think
44:19i'm finished yet
44:20and you want to be there for all your patients
44:22don't you
44:24shh
44:24sorry
44:25so this relationship that you're having with this woman
44:27um
44:28the widow of the burn victim who died last year
44:31amy
44:33santos tell you
44:34i understand you're helping her out
44:35yeah
44:36on the farm
44:37look i grew up on one
44:39and amy's
44:40mrs miller
44:42is getting pressure to sell
44:43so i'm just
44:44helping out
44:45what about her friends and family
44:47yeah they're around
44:49supporting her
44:50yeah
44:51i think they try to
44:52but mostly she's just
44:53leaning on
44:56me
45:01i'm sure she's really grateful for everything that you do
45:04but it's important to have boundaries
45:07yeah
45:11hey you want to do me a favor
45:15yeah
45:15you want to house sit for me while i'm gone
45:19you'd actually be helping me out
45:20and you'd save some money on rent
45:23are you being serious
45:25no smoking
45:26no parties
45:27no pets
45:27no babies
45:28yours or anybody else's
45:30well no i don't have a baby
45:31no but she does
45:33i was gonna ask abba
45:34but he does nude yoga at sunrise
45:36and i don't think some of my elderly neighbors would survive stealing that
45:40yeah
45:42yeah
45:42that would be amazing
45:43that the house sitting not
45:45seeing habits naked yoga
45:47if i don't come back you got a swinging bachelor pad
45:49okay
45:52come find me before you leave
45:54i'll give you my keys and a security code
45:58who's the joker that did this
46:01oh
46:04you too
46:04make sure to double check your work
46:07triage could use an extra hand
46:08princess
46:09finish up here then head that way
46:11three for ct now
46:12should we run it over
46:13no
46:13keep taking off orders
46:14ct's gonna get backed up if we wait on these
46:16i know
46:17but i can't waste a runner on that right now
46:19what'd you find to carry a sheet
46:21exactly
46:21where i filed it away
46:22ten years ago
46:23i thought that thing didn't work
46:25can't receive but it can't send
46:35stay hydrated preferably with electrolyte rich drinks like coconut water
46:39i'm not a fan of coconuts
46:40hey gatorade is also an option just avoid alcohol and caffeine and i suggest wearing light breathable clothing
46:46come back if your symptoms worsen if you develop a headache or confusion
46:49you sure about that
46:56hey can you turn that up
46:57and they're all coming to us
47:10currently being airlifted to the hospital by help
47:15then
47:28welcome to make a любました
47:29uh
47:33you
47:34look
47:38you
47:39and
47:39alright
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