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Watch The Pitt () free Season 2 Episode 14 online in HD on Dailymotion (2025).
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00:16What's up, Ghost Rider?
00:17You good?
00:17Never better.
00:19Okay, kids, bye-bye time.
00:21Thanks for the trip down memory lane.
00:23Um, where's Evans?
00:24Uh, I think she's by the family room.
00:27She is.
00:28Hey, hey, hey, where are you going?
00:30I'm not going to scan all this by myself.
00:31Cruz has a question on my cellulitis.
00:33I'll be right back.
00:34You better.
00:34Two minutes, tops.
00:35Where's Mel?
00:36Where's Donnie?
00:37They should be helping you.
00:38I don't know.
00:39Okay, day shift.
00:40Listen up.
00:40We're doing really well, but we still got a ways to go,
00:42and nobody's going home until all these paper charts are digitized,
00:45including me.
00:46And then we're free to celebrate our freedom?
00:48Exactly.
00:49Well, can you kick some ass and get the staff to hurry up on the EHR homepages?
00:53Where are Larry and Antoine?
00:55Antoine's fighting on the phone with his girlfriend outside,
00:57and Larry's on a cafeteria run.
01:00Yeah, that tracks.
01:02We've got five patients in beds waiting to be seen.
01:05How do you want to play this?
01:06Man to man or zone?
01:07Zone.
01:08Have Cruz and Ellis split up the new five.
01:10You take north and central, I'll take south and prom.
01:12Cool.
01:13Want to switch to 1 a.m.?
01:14Why?
01:15Variety's the spice of life.
01:16I thought that was garlic.
01:18Oh, sorry.
01:21I told you I'd be fast.
01:23Okay, let's do this and get out of here.
01:25What's the hurry?
01:26Got some hay to pitch?
01:27Huh.
01:30Oh, shoot.
01:31What?
01:32Uh, my ID badge is missing.
01:35Oh, the one you just got?
01:36How'd you lose it?
01:37I don't know.
01:37It must have come off.
01:38Classic.
01:39Hope you remember your login and password.
01:41Okay, retrace your steps.
01:42What'd you have at last?
01:43Uh, I was with Ogilvy in the ambulance bay.
01:46Not with Colonel Mustard in the library?
01:49Who's...
01:49Yeah, I'm just...
01:50What?
01:50No.
01:52The boy has no clue.
02:00Please don't do that.
02:02Oh, ma'am, I gotta go.
02:03I don't sit here any longer, I'm gonna get bed sores.
02:08I'm supposed to get some, uh, CT results.
02:11Any idea how much longer that's gonna be?
02:14Shouldn't be much longer.
02:16Where's that nurse, Vivi?
02:18You don't want any of that.
02:20No?
02:21No, she's out of your league.
02:22What league do you think I play in?
02:25Uh, old-timers night.
02:27Yeah, you're probably right.
02:29But some teams still appreciate a veteran presence.
02:32Well, don't say I didn't warn you.
02:34You are here for your heart, after all.
02:36My heart's been broken before.
02:38What's one more time?
02:39Uh, she's engaged to a jiu-jitsu instructor.
02:41With a bang, not a whimper, baby.
02:44And it's a cool bath a couple times a day for two days,
02:47followed by aloe vera to your skin.
02:48Okay, that's it.
02:50And, uh, sunscreen in your future.
02:52No, I'm never going outside ever again.
02:55I wouldn't swear off the sun entirely.
02:58You know, but like most things, moderation.
03:01Hey, we're getting kind of short-handed
03:03to get any charts out of here.
03:04When you finish, can you come lend a hand?
03:06Yeah, happy to.
03:09I'm happy to.
03:10I mean, there's nothing I would rather do less.
03:13They keep you pretty busy.
03:15Yeah, and today has brought some new challenges.
03:19This is really putting a crimp
03:21in my 4th of July evening plans.
03:23You're going to see the fireworks?
03:26Uh, no, I was going to maybe meet up with this guy.
03:29Though that's sounding less appealing
03:30than the three Bs at this point.
03:33The three Bs?
03:36Look, bath and bed.
03:38College kid with mono and hemorrhagic tonsils.
03:41Submit med surge or observation?
03:43Uh, observation.
03:44Bleeding stop with TXA.
03:45She's had steroids, so.
03:46Should be ready for discharge in the morning.
03:48Cool.
03:49How was your first shift back?
03:51Uh, slow start.
03:53Finding my rhythm.
03:55You're a little rusty, rusty James.
03:57Now you won't have motorcycle boy to big brother you.
03:59Is that a Rumblefish reference?
04:01Sure is.
04:02And Robbie is my big brother in this analogy?
04:05Bingo.
04:06Yeah, I wouldn't say he's been looking out for me exactly.
04:10I think he'd probably prefer not to see me at all today, actually.
04:13And you think that's because he's mad at you?
04:17I think he feels like I let him down, because I did.
04:21Jesus, with all the martyrs around here,
04:23you'd think this was a passion play.
04:24That's your take.
04:28I worked with that man for 10 months while you were gone.
04:30He's not mad at you.
04:32He's mad at himself for failing you, Rusty James.
04:36Really?
04:38Just more white night, white noise.
04:40That's how it is.
04:44I can share with you with your friends if you can.
04:46Thank you so much.
04:47Be kind, be safe, be brave.
04:49What you doing?
04:50Dr. Robbie.
04:51Sorry, I was just, um...
04:53One of your TikToks?
04:54Yeah, about those.
04:55Listen, I'm not so sure...
04:56I was just, um, sharing...
04:57No, I get it.
04:58I just, you know, we do have HIPAA laws here.
05:00We don't let anybody film a law school.
05:00I would never violate any HIPAA laws, Dr. Robbie.
05:02I understand.
05:03Even still, we're getting behind on scanning patient charts,
05:05so how about no TikTok on the company clock, Dr. J?
05:09Dr. Robbie, I think you're...
05:11Out of touch, probably.
05:13You wouldn't be the first to accuse me of it.
05:14However, when I was in medical school...
05:16You didn't have cell phones or TikTok or Internet
05:19or ICE agents coming in here
05:20and taking away patients and staff.
05:24I get it.
05:30We did have cell phones.
05:31Maybe not in the beginning.
05:38Where do you think you're going?
05:40Home.
05:41I kind of need you to hang out a little longer
05:43to help digitize some of these analog patient records.
05:45Normally, I would, truly, but I got to get home.
05:48Life, baby, bed.
05:51Okay.
05:51Go get some rest.
05:53You sure you're okay to drive home?
05:54Absolutely.
05:55Just enough in the tank.
05:57Don't tell anybody I'll let you go.
05:59Deal.
06:00Safe travels.
06:02Be sure to send some pictures from the road.
06:08I am.
06:21Fight over at Zazu's Sports Bar.
06:22The two combatants are pulling up soon.
06:24One's a stabbing.
06:25Ellis, double trauma.
06:26Coming in, grab the easy one.
06:27Bring the stabbing to trauma, too.
06:28We will get the room set up.
06:30All right.
06:30Roger.
06:32okay darling time for this dinosaur to head to extinction that's a real jam today can't take
06:38you enough monica a nice place to visit wouldn't want to live here anymore oh we need this some
06:44days but hey virginia slim you've come a long way glad i was wrong about you keep training them up
06:51right that's right okay that's enough mush back to my life of mahjong and margaritas bye evans
06:57good help save i will see you bye
07:05she's right you are the mama bear glue that holds this place together
07:14hey is it okay no sad or scared or some fucking thing
07:24i'm worried what's going on
07:28robbie i've got a bad feeling he's it's like i'm never gonna see him again after tonight
07:34he say something yeah he said a lot of things you should talk to him he listens to you he's
07:38a grown
07:38up and he just needs to go on a vacation can't you at least try to get him to promise
07:43to come back in
07:44peace
07:46he doesn't like to listen so make him
08:17it's okay
08:20Back to the old shop.
08:21No, no, no, no, man!
08:23What the fuck?
08:24I'll call you back, babe.
08:28Shit.
08:29I thought I cleared it.
08:30Was it sticking out?
08:31Sticking out my ass.
08:33Man, this is on you.
08:34You went wide and you clipped the shit.
08:36Bike shouldn't be parked there.
08:37It was sticking out.
08:39Had to be.
08:39No fucking way.
08:41Oh, no, you paying for this.
08:43You or the city, but you paying for this.
08:45Seriously, we don't need this hassle.
08:47I know, I know.
08:47Fuck.
08:48How bad is it?
08:49It's not really good.
08:51Kobe Snyder, 32.
08:53Took a beer bottle to the face.
08:54I'm going to take this thing out of my chest
08:56and shove it up your fucking ass.
08:57Hit me with a fucking rolling rock, man.
09:00So you got Iwo Jima.
09:01You fucking cheated, man.
09:02Every detail must be gone.
09:05Gentlemen, you're on different health journeys now.
09:07I'm going to go see your mod.
09:09It's all going to be on a security video.
09:12This is a shit.
09:16Okay.
09:18Hey, a little help?
09:19All right, he's going straight to trauma, too.
09:21What is his story?
09:22Bottle to the face.
09:23Strong vitals, 12 centimeters facial lack.
09:25Hey, where do you want us?
09:26North 4 just got clean.
09:28Abbott, single MVA on roof, five away.
09:31Olive, can you find Ravi and Alashimi?
09:33We may need a couple more hands until we get caught up with these two.
09:35Sir, we are going to get you more pain meds, but you need to shut your fucking mouth.
09:39The acronym is SMART, Single Maintenance and Reliever Therapy.
09:43It's one inhaler that combines an inhaled corticosteroid with a fast-acting, long-lasting beta agonist.
09:49That's fancy talk for an anti-inflammatory and a lung muscle relaxer all rolled into one.
09:54But it's $400, and without Medicaid...
09:57We can help you look into coverage options.
10:00Of course.
10:01Grady should feel worlds better in a few hours.
10:05So, what are my chances of getting off of the table alive?
10:09Once you're cleared by the heart and lung specialists next week, chances of death are low, like one or two
10:14percent.
10:16And how long would I be in surgery for?
10:18Between three and five hours.
10:21Jesus.
10:22It's long, because they have to stop your heart.
10:27You will be on a heart-lung bypass machine, which will be circulating your blood while they repair the aneurysm
10:34with a graft.
10:35Well, what's the graft made on?
10:38Synthetic fabric called Dacra.
10:40Super strong.
10:42Okay.
10:43New hoses, new gaskets.
10:45Then what happens after surgery?
10:47You will be in the hospital for about a week.
10:49No work for eight weeks after that.
10:51No strenuous activity.
10:53No lifting anything over five pounds.
10:56How am I supposed to take a piss?
10:59Nice.
11:04And how long till I'm back up to full speed?
11:07Three months.
11:08Maybe more like six, given your age.
11:13And if I don't get surgery?
11:17Fifty percent chance of death within twelve months if the aneurysm ruptures.
11:22What would I feel if it ruptured?
11:27Some chest pain?
11:28Maybe some shortness of breath for about a minute before you pass down from blood loss?
11:32And then the big fade out.
11:36Roll the credits.
11:44Quite the coin flip.
11:46No coin flip.
11:47No coin flip.
11:48This has to happen.
11:49But I do worry that you are not going to make your appointments or follow your aftercare instructions if I'm
11:53not here.
11:54Sorry, Robbie.
11:55I've had asked for me to grab you for an MBA on route.
12:00Do what you got to do, man.
12:01I got to sit with this for a minute.
12:05You go ahead and get dressed.
12:07We'll come back.
12:15Yo te necesito.
12:18En casa, te necesitamos.
12:22Tú eres fuerte.
12:37Mom, you've got a nice U bed upstairs.
12:39We can take Orlando up now.
12:41The department for transfer.
12:43Thanks, hon.
12:44We need this room again in a minute.
12:56All good?
12:58Uh, totally.
13:00Ah, totally.
13:03Look, once more, I feel compelled to offer some unasked for and probably unwanted advice.
13:10Javadi wasn't making a TikTok video.
13:13She's been posting about Jessie trying to find someone who knows where he is.
13:17Ah.
13:19And even if she were making one of her videos, have you ever watched one?
13:23No.
13:25No, my account was suspended for erotically seditious content.
13:29Well, they're not what you think.
13:31They're actually kind of cool.
13:32It's like this badass self-care.
13:35Huh.
13:36Okay, that is it.
13:38I'm going to bury myself in charting and try to dig my way out.
13:41Edith Lynch, 46, right-sided chest pain for an hour.
13:43No cardiac history.
13:45Minimal relief from sublingual nitro.
13:46No STEMI on the 12-lead.
13:47Dana?
13:48So that's his team.
13:50Hi, Edith.
13:51Then Dr. Al-Hashimi will be taking care of me today.
13:54Absent lung sliding on the right.
13:56I could have told you that from here.
13:58God bless America.
13:59Hemodynamically stable.
14:00I'll put it in at 20 French and then right up to the OR.
14:03Whoa, whoa, whoa, hold on.
14:04I need surgery?
14:05Sir, you have a collapsed lung.
14:06We need to put a tube in your chest to see how much internal bleeding there is.
14:09Oh, come on, man.
14:10Just pull it out.
14:11No.
14:12Okay, everyone knows what to do here, right?
14:14We're going to take this at a nice, slow pace.
14:16Moving together.
14:17If anyone has an issue, speak up.
14:19There are a lot of moving parts here.
14:21Are you going up to ICU finally?
14:23Yes.
14:23Great.
14:24How you doing?
14:25Is that a trick question or...
14:27Not intended to be no.
14:29Then not great.
14:30This one got past me.
14:32Well, listen.
14:33You tried to find a viable payment plan.
14:35You tried to keep him here.
14:36You even tried to give him a goodie bag when he left.
14:38I'm not sure what else you could have done.
14:40Been more persuasive.
14:41This was the patient's call.
14:43His life.
14:44His mistake.
14:45What mistake?
14:45Getting diabetes?
14:47Not picking a higher spot to jump from.
14:59History of hyperlipidemia.
15:01An hour of substernal chest pain.
15:04Minimal relief with nitro and 4 of MS.
15:07EKG is negative for STEMI.
15:08Heart score is 4.
15:10Gave 324 milligrams of tubal aspirin.
15:13Admit for new onset angina.
15:14Don't mind me.
15:15I'm just passing through.
15:16Seems like you wanted an update.
15:18Well, as long as you feel like you got it covered.
15:20I do.
15:21Go ahead and repeat the 12 lead.
15:22Since I'm here, I did want to ask you about something I observed earlier.
15:26Oh, you've got to be fucking kidding me.
15:27What?
15:28Look at where these anterior leads are placed.
15:30They're way too low.
15:32Holy shit, what's happening?
15:33Mrs. Lynch?
15:34V-TECH?
15:35No pulse.
15:36Charge to 200.
15:39Charged.
15:40And clear.
15:44Okay, normal size.
15:45Strong pulse.
15:45Cycle at BP.
15:48Let's repeat that EKG, please.
15:50Put the leads in the right fucking place.
15:52Who are the medics on this?
15:54Bosco Notaro.
15:55Bosco Notaro.
15:56Okay, Bosco Notaro.
15:59See you all Monday.
16:01May your night go smoother than my day.
16:04Happy 4th?
16:04Heard it's been crazy.
16:06They shut down when ICE came.
16:07Separate events.
16:08Get someone else to explain.
16:09I'm going home.
16:11Damn, what is that?
16:12That smells good.
16:13Food from home.
16:14I can't do the cafeteria.
16:15You gotta give me that recipe.
16:17I'm going home.
16:18Get home safe.
16:19Mm-hmm.
16:23Hey.
16:24Hey.
16:25I'm starving.
16:26Of course.
16:27I will give you 20 dollars for whatever that smell is.
16:29I'll give you some.
16:30I made too much anyway.
16:32Just give me a sec.
16:32Yeah.
16:33How can I help you?
16:34My granddad just about cut his hand off with the tug of Warwell.
16:37Hi.
16:38I remember you from earlier.
16:40You're having the family reunion, right?
16:41Yeah.
16:42Is your hand actively bleeding?
16:43Oh, not so bad here.
16:45Take a look.
16:47Mateo, want to come straight back?
16:48Oh my God.
16:48Cover that up, please.
16:50I'll need to get his demographics from you.
16:52You got him already.
16:53Handsome.
16:54He's been in and out of here all day long.
16:55How did this happen?
16:57He had the rope wrapped around his hand.
16:58Cut through it like he was steady.
17:00How did I seek, sir?
17:00I'll take you right back.
17:01And how would you rate your pain on a scale from one to ten?
17:04Oh, it's not too bad.
17:06Count on my sugars.
17:08With his diabetes, his sensation's a little off.
17:11Yeah.
17:12After you.
17:13Thanks.
17:14Ow.
17:14What the fuck?
17:16Is my general nervous good?
17:17Shit, you're gonna fix me or torture me?
17:20Whew.
17:21Ouch.
17:22Yeah, I need to call plastics.
17:24I called the kiss off the tube off the rail.
17:27Fucker said I didn't call it.
17:29Yes, it was a bit noisy, the forked the sticks night.
17:32But I called it.
17:33I have witnesses.
17:34Sticks?
17:34The band?
17:35Yeah.
17:36Love sticks.
17:37I've never heard of them.
17:39You've never heard of sticks?
17:40Mr. Roboto?
17:42My Spotify ages since 62.
17:44Come sail away.
17:46Lady, babe.
17:47I don't know.
17:48Yeah, maybe best if you don't talk.
17:51Looks like there's some sort of foreign body in there.
17:53Mm-hmm.
17:55Are you okay?
17:56Yeah, it's just an awkward position.
17:58Go home.
17:59Rest.
18:00Heat.
18:00Ice.
18:01Yeah, no, no, no.
18:01I know.
18:02I'm just waiting for things to slow down.
18:04Express trains don't stop at your station.
18:07You just gotta jump.
18:09What is that?
18:11Heineken?
18:12You wanna say?
18:13What?
18:14From the glass-lined tanks of old Latrobe.
18:17Ah.
18:18Rolling Rock.
18:19Nice.
18:25She's had four morphine.
18:27How's the pain?
18:28Yeah, it's into an eight.
18:29There it is.
18:30Lateral STEMI.
18:31Okay, call it in.
18:32The leads were too well to catch it?
18:34Yes.
18:34Not the first time it's happened.
18:35You get a male medic who's more concerned about getting sued
18:37or a complaint for undoing a bra.
18:39See these anterior leads here?
18:41Go STEMI, stop 15.
18:41You're having a heart attack from a blockage in the artery
18:44that brings oxygen to your heart.
18:47Lateral STEMI, VTAC arrest, got her back after one shock.
18:49She needs a cat lap.
18:50...serious heart damage.
18:51Oh my God.
18:52You're going to be okay.
18:53Hello, I'm Dr. Cruz.
18:54And I'm Dr. Shen.
18:55How are you feeling?
18:56I'm really scared.
18:57Hey, we've got you.
18:58Anything else?
18:59Uh, like I got kicked in the chest.
19:01Normal after a shock to the heart.
19:03Family?
19:04Yeah, husband's in root.
19:05Now leave the defib pads on and take her up in a minute
19:06and I'm gonna shack her on a nerve block real quick.
19:08Go.
19:11Where's Dr. Elashima?
19:13She was just here.
19:24Hello everyone, I'm Dr. Shen.
19:26Heard a rumor someone needed a nerve block.
19:28I'm guessing that's you.
19:29Probably so.
19:31Although, you know, I don't have much pain.
19:33I guess it's my diabetes.
19:35Oh, we still need to numb you up to do proper deep clean.
19:38You guys do whatever you gotta do.
19:40Yeah.
19:41Three shots.
19:42Menion, ulnar, and radial.
19:43Two grams of ANSIF.
19:44100 milligrams of gent for gram-negative coverage.
19:46How'd you do this?
19:47Oh, family reunion tug of war.
19:50I wrapped the rope around my hand for better grip
19:52and when we fell down those bastards just kept pulling.
19:56Dirty.
19:57Ah, it's just, just the way we play.
20:03Michael, you got a sec?
20:04Uh, not really, no.
20:05Well, how about showing me a little respect and finding one?
20:10Sorry, Caleb, are you feeling disrespected?
20:12Uh, given that you've been actively blowing me off all day,
20:15yeah, maybe a little bit.
20:16But I have a thick skin.
20:18What can I do for you?
20:20Should have found a higher place to jump from.
20:23It's an interesting diagnosis, doctor.
20:29No pithy retort.
20:31Yeah, I didn't think so.
20:33Uh, I just came to say goodbye.
20:35I'm leaving soon.
20:37I know you are too.
20:40Yes.
20:43Keep my number handy?
20:44Just in case, huh?
20:45Yes, I promise.
20:46I will.
20:47Thank you, kid.
20:51We're gonna give you one diflucan pill to take home.
20:53Take it in three days if your symptoms persist.
20:56How do I get there?
20:58Where's that?
21:00Home.
21:01Do you know where you live?
21:03Of course I do.
21:04It's not far,
21:04but I don't have a way to get there.
21:08How'd you get here?
21:10Uh, my...
21:10My neighbor Gwen dropped me off,
21:12but she can't drive at night.
21:14We could call you an Uber or a taxi.
21:17I don't have any money.
21:20Uh, excuse me.
21:21Can I help?
21:23Mrs. Clymer has been discharged,
21:25but has no way home.
21:26I'm so sorry.
21:26I don't mean to be a burden.
21:28No burden at all.
21:29Why don't we call you a lift?
21:32What is that?
21:33Uh, it's like a taxi service.
21:35If you put your address in here,
21:36a car will arrive in a few minutes to bring you home.
21:39Oh.
21:39My treat.
21:42Very kind of you.
21:44Truly.
21:46Okay, perfect.
21:47Okay, Olive, could you take Mrs. Clymer out to the ambulance bay,
21:50where Florian will be arriving in six minutes in a wide Toyota Camry.
21:54You bet.
21:55Yeah.
21:57Could use some good karma.
21:59Okay.
22:03Oh, uh...
22:04Hey.
22:07Relax, buddy.
22:08It's Advil.
22:10No, I didn't think you...
22:14Headache?
22:16Uh, I, uh, tweaked my back a little,
22:18lifting that overheated, kid.
22:21I guess I should get used to playing through the pain again, huh?
22:26You look like you got into shape since I saw you last.
22:28Didn't peg you as a gym guy.
22:30Oh, no, I'm, uh, maybe more of a barn guy.
22:34I'm helping out a friend on the farm, so...
22:39Nice.
22:41I'm picturing Babe, except instead of Farmer Hoggett,
22:43it's you, and instead of a pig...
22:45Can you cut the shit?
22:48Excuse me?
22:50The sarcasm thing?
22:51The, the, the, the...
22:52The little buddy routine?
22:53Like, like, like, you're what?
22:54You're the skipper, I'm Gilligan?
22:56Dude, you're not the skipper.
22:57I know, I'm not the skipper.
22:59Robbie is the skipper.
23:00No, Robbie is the professor.
23:01Dane is the skipper.
23:02Okay, somebody's watched a lot of Nick at night, so...
23:04Who am I?
23:06Play whatever part you like.
23:08Just don't pick mine for me.
23:12Okay.
23:13Okay, that's fair.
23:15You got it.
23:19You headed home?
23:22Uh, no, I'm, I'm waiting on Robbie.
23:24He asked me to house sit while he's gone,
23:26so I'm, I'm waiting for the keys, the alarm code.
23:30Nice.
23:31Nice, yeah, I've, uh, I've seen this place.
23:33You're in for a sweet setup.
23:36Cool.
23:38I'm sorry if I came across, uh, a little strong.
23:42Don't apologize for standing up for yourself.
23:44It's a healthy habit.
23:48You know, I really don't need to see this again.
23:50Nah, nah, this is my favorite part.
23:53My hand's starting to cramp, we gotta be done soon.
23:55Oh, you can be done now.
23:57But if you want the hospital to cover you,
23:59last one.
24:05Hey, Robbie.
24:07It was an accident, man.
24:09What are you talking about?
24:10Your bike.
24:20Son of a bitch.
24:23Oh, motherfucker!
24:27Robbie, GSW to the head.
24:29Somebody hit my bike.
24:30Dude, that sucks.
24:32Is this still rideable?
24:34It better be.
24:37Elbridge Gerry, 25 stable with good vitals.
24:40He was shooting a .22 caliber pistol in the air
24:42with an aluminum pot on his head for protection.
24:44Didn't work.
24:45About a quarter of Seagram 7 would probably light up
24:47a tox screen like a Roman candle.
24:52Real wordsmith.
24:53Entry one on the frontal scalp,
24:55seems to have tracked down the forehead.
24:56As alert and oriented as you can be
24:58after multiple bong hits.
24:59Got vital setting, 98 on room air.
25:00Sorry, Robbie, I can't explain.
25:01Don't you fucking leave.
25:02I will be right back.
25:03What's this?
25:04Low-velocity GSW,
25:06the head seems to have remained extracranial.
25:08Lucky guy.
25:09Gloria, Gloria, here's a dollar!
25:13After a fireworks explosion,
25:15resulting in the loss of two fingers.
25:19Ooh, that sounds nasty.
25:21Yeah, that was a sad one.
25:23Parents were deported,
25:25big sister, works a full-time job
25:27and is the sole caregiver.
25:29Written there, done that.
25:30Your parents were deported?
25:32Oh, no, I thought she said departed.
25:35Did either of you guys work on the, uh,
25:38Revolutionary War reenactors earlier?
25:40Why, do you think you could pull off a tricorn hat?
25:44Maybe.
25:46I've always loved history,
25:47and, uh, Colonial Williamsburg
25:49is my favorite school trip.
25:51And, you know, there's always the Ren Fair,
25:53but that's, that's just once a year.
25:56How often do you think the reenactors get together?
26:00No.
26:01You should definitely look into that.
26:03Yeah?
26:04Yeah, okay.
26:16Deep-throated husky with a touch of bitch.
26:18That's her tune.
26:19That's what I thought,
26:20but you're the expert.
26:20I just need to make sure.
26:23I was going through Billings once.
26:26Cops saw my colors.
26:27Jacked me up.
26:29Kept me overnight.
26:30They threw my sweetheart in the impound yard.
26:34They claimed someone backed into it,
26:36but you could see where.
26:37They took a hammer to it, man.
26:39You gotta be careful out there.
26:41This is all pretty minor, though, right?
26:42Yeah, shit, this is just cosmetic.
26:44Bring it in tomorrow, and we'll get Bonnie right.
26:47Well, this'll bend back.
26:48This'll tighten up.
26:49I can do all that.
26:49Oh, Jesus, let me do it. There's no charge.
26:51What? You don't owe me anything,
26:52except take care of yourself while I'm gone.
26:55Boy, this record never stops, huh?
26:57No, it stands till you drop.
27:00Then what?
27:01Teach the kids the steps before you do.
27:03And then what?
27:05Hope they make it farther than you.
27:06How are you, Robbie?
27:07You coming or going?
27:08I'm going pretty soon.
27:09What do you got here?
27:10Lyman Payne 53, single MVC.
27:13Trove into a telephone pole.
27:14Passage of space intrusion?
27:15No, head on.
27:17Intoxicated.
27:17No ETOH on his breath.
27:19Either syncope, seizure,
27:21or he just fell asleep at the wheel.
27:24Airbag deployed.
27:25Unconscious at the scene, but he's waking up.
27:27BP 140 over 80.
27:28Pulse 120.
27:30Pulse ox 98.
27:31No obvious injuries.
27:31Why don't you guys head on in?
27:32I'll meet you in a minute.
27:38Well, hey, buddy.
27:39I guess this is it.
27:41Make those appointments next week, you know?
27:43I'll call you from the road to make sure you do.
27:45Don't do that, man.
27:46What?
27:47Don't shine me on.
27:48I'm not.
27:50Jesus.
27:52I get it.
27:54Hard place to leave, harder place to stay.
27:58Yeah.
28:02Look, I'm not ready to say goodbye yet,
28:05so go do what you gotta do,
28:07and I'll get some tools from the truck
28:09and see if I can't make Bonnie smile again for you.
28:17Okay.
28:18Okay, then.
28:26Robbie, man, I'm so sorry.
28:28We've been off for 14 straight.
28:29I thought I cleared it.
28:30It's all right.
28:31Honestly, I feel terrible.
28:32No real harm done.
28:33I was bound to make it up on the road anyway.
28:35First blood drawn.
28:37It's a good omen, really.
28:39Thought I'd be more pissed.
28:40I thought I might get punched.
28:42Chest and belly look good.
28:44Let me drag neurosurgery down here
28:45to deal with the C-spine before I go.
28:46You off?
28:47Yep.
28:48An hour ago.
28:49Can you tell?
28:50How you doing, sir?
28:51Actually, not too good.
28:53Ugh.
28:53The signaling's getting worse.
28:55It's in both my arms now.
28:56I feel like something's wrong.
28:58Hey, man.
28:59What are we looking at?
29:00Ran into a telephone pole.
29:02Airbag deployed.
29:03Seizure?
29:04Stroke?
29:05Not sure.
29:06Possible C-spine.
29:07CT showed units for set dislocation.
29:09I'm trying not to freak out.
29:11I'm having trouble breathing.
29:13Squeeze my hand.
29:15Real hard.
29:16Three out of five strengths.
29:18Okay.
29:1910 milligrams dexamethasone.
29:21Dexamethasone?
29:21For spinal injury?
29:22It's compression from a jump facet
29:24and maybe some ischemia from a kink vessel.
29:26What's happening?
29:27Sir, you have a partial dislocation
29:29of two vertebrae in your neck.
29:31It's putting pressure on your spinal cord.
29:33How do you fix it?
29:34We need neurosurgery to screw a clamp
29:37into both sides of your skull
29:39and then use traction under x-ray guidance
29:42to get everything realigned.
29:44Like a chiropractic adjustment?
29:46It's a bit more complicated than that.
29:49I think I'm having a panic attack
29:51because I can't even get a shallow breath.
29:54Or he's losing C-3-4-5.
29:56Uh, Paige Neurosurgery.
29:58Garcia went to go get them.
30:00No, Paige Overhead.
30:01Find Robbie.
30:02He's still here.
30:03Any available neurosurgeon
30:05to ED Trauma 1 stat?
30:06Any available neurosurgeon
30:08to ED Trauma 1?
30:11Dr. Robbie?
30:15Uh...
30:15Yeah?
30:16You're needed in Trauma 1.
30:19Okay.
30:21What patient?
30:22Dr. Landon.
30:22He's neck injury.
30:27I got the fellow.
30:28They could be down in 15 minutes.
30:29He's progressing too fast tonight.
30:30What's going on?
30:33You need for set dislocation C-4-C-5.
30:36Paresthesia and decreased tidal volume.
30:37That's 85.
30:38We need to prepare for intubation.
30:40Any delay in reduction
30:41almost guarantees complete spinal cord injury.
30:44What are the options, Steve?
30:47Uh...
30:47I saw neurosurgery do a close reduction
30:49once in the ICU.
30:50Blind?
30:51That's crazy risky.
30:52You gotta do something.
30:52What's that procedure, Dr. Landon?
30:54It's just...
30:55It's traction on the neck.
30:56You flex the dislocated side
30:58and into slight extension.
30:59Quadriplegia if done wrong.
31:00I'm sorry, what?
31:01Did you say quadriplegia?
31:02It is a possibility, sir.
31:03It's also the same possibility
31:04if we do nothing.
31:06You wanna try?
31:07I've never seen it done.
31:08You have.
31:09I can't feel my feet.
31:10Sat 79, 100% on our breathing.
31:12He is progressing, Dr. Landon.
31:13What is your plan?
31:15Uh... Neuro...
31:16Fuck, Daro.
31:16This is right here, right now.
31:17This guy's gonna be a living head
31:18if we do nothing.
31:19I could paralyze him.
31:20Doctor the fuck up.
31:26Sir, the partial dislocation
31:28of the two vertebrae in your neck
31:30is putting pressure on your spinal cord.
31:31I can try to move the neck bones back into place.
31:34That could help.
31:35There's no guarantees.
31:36If we do nothing,
31:37the weakness is definitely gonna get worse.
31:39But either way,
31:39there's still a chance of paralysis.
31:42Do it.
31:42Please.
31:44Please.
31:4450th Fentanyl IV,
31:46you need to let us know
31:46if the weakness gets worse
31:47or if there's any sudden pain,
31:48it will stop immediately.
31:50Uh, Dr. Cruz, Robbie,
31:52hold down his shoulders
31:52for counter traction.
31:54Okay.
31:55I'm gonna pull on your head.
31:56Your job is to try to relax,
31:58breathe,
31:58so we can overcome the muscle spasm.
32:05Flexing to the right.
32:10Any change?
32:11My legs are starting to tickle.
32:14Last step.
32:19I felt something click.
32:20Oh, fuck.
32:21Oh, fuck.
32:21I felt it too.
32:21Sir, talk to us.
32:22What's going on?
32:25I think...
32:26I think...
32:27Yeah.
32:28I'm starting to breathe easier.
32:30Any change in your hand or feet?
32:32Oh.
32:33Oh, this may be a little less numb.
32:35Philadelphia collar is ready.
32:36Talk to me.
32:37Langdon just reduced
32:38the unifacet cervical dislocation.
32:40What?
32:41Without neurosurgery?
32:42Don't try this at home, kids.
32:43He was deteriorating quickly.
32:45Your exam is improving.
32:46Oh, my God.
32:47It's definitely better.
32:48Oh, my God.
32:51Nice job.
32:52Yeah.
32:53All right.
32:54Repeat CT, then neurosurgery
32:55can take him over a halo.
32:56Brass walls, buddy.
32:57See?
32:58You haven't lost it.
32:59Excuse me.
32:59I'm just gonna step outside for a second.
33:17Langdon.
33:18Honey, I just got a call from upstairs.
33:20Were you supposed to get a urine screen
33:21and turn it in by eight tonight?
33:22Fuck!
33:24Um...
33:25Oh, no.
33:26Uh...
33:27Uh, yeah, yes.
33:27Can you just...
33:28Can you tell them that I was under trauma?
33:29I'm going right now.
33:35Where's he off to?
33:36I have no idea.
33:38Did you find your ID badge yet?
33:40No, I've looked everywhere.
33:42Must have been thrown out on accident.
33:44They'll issue you a new one.
33:46You just have to fill out a bunch of forms.
33:47Oh, great.
33:52What?
33:54Cow in labor.
33:55No, I...
33:56I ordered a patient a lift.
33:58Now I have a $250 surcharge
34:01and a complaint on my account.
34:02What?
34:04What'd they do?
34:05It was a sweet old lady.
34:06Who apparently had some racist
34:08and abusive things to say
34:10right before puking in the back.
34:12You never know with some people.
34:15Here goes my first paycheck.
34:16Saint Huckleberry.
34:18No good deed.
34:22I can see why you liked restoring this bike.
34:25You're a fixer.
34:26I fix bikes, but you fix people.
34:29That's pretty damn impressive, man.
34:31Some people can't be fixed.
34:35Look, I'm...
34:37I've done plenty of things I'm not proud of.
34:40Yeah, me too.
34:41No.
34:42Bad things.
34:44Hurt people.
34:45On purpose.
34:46Hurt myself.
34:48And I did my time,
34:49but that doesn't wash away the regret.
34:52I...
34:53Wish I had done things differently.
34:55I think about it every day.
34:58You know, they say that it's never too late to change.
35:01Some things...
35:03can't be changed.
35:04Like death.
35:05Death can't be changed.
35:07Hey, I know the surgery is scary, but...
35:09I'm not talking about me.
35:25Yeah, I don't know if I want to be here anymore.
35:30I don't know how you stand 12 minutes in there, let alone 12 hours, 20 years.
35:37No.
35:38That's the only place I can be.
35:41I have purpose in there.
35:42I can be distracted in there.
35:46I don't know that I want to be...
35:50anywhere anymore.
35:58So, what's the plan?
36:02Ride.
36:04Toward what?
36:05I don't know.
36:06Away from what?
36:07Everything.
36:09Well, that's not riding, that's running.
36:12That's your final lesson for these kids?
36:20What's up, Robbie?
36:22Well, if it isn't Minix, Bosco Notaro.
36:28You still on?
36:29Not for much longer.
36:30I was looking for you two.
36:32Rita Wolcott, 22.
36:34She was using a dumpster to climb the fire escape to get to a roof party.
36:37Slipped about six feet onto concrete.
36:39Possible tib-fib fracture.
36:41Can I please tell it?
36:42You're making me sound like an idiot.
36:44My friends and I were just trying to watch the fireworks from the roof of our building,
36:47but the roof access door and the stairwells stuck,
36:49so we decided to climb the fire escape.
36:52They were supposed to hold the dumpster still, but I...
36:54But they didn't.
36:55Then I fell.
36:57Like I said, six feet onto concrete.
36:59Yeah, because they didn't hold it still.
37:01Well, it's a good thing she didn't need a 12 lead.
37:03Why's that?
37:04Because you guys put one on about a half hour ago wrong in Mr. Stemmey?
37:07Bullshit.
37:0846-year-old woman, minute after you left, VTAC.
37:11VPDKG showed a massive lateral Stemmey.
37:13No way.
37:14Leads were so inferior, you might as well not put them on at all.
37:17What were you afraid of?
37:18Her bra?
37:19What have we got?
37:20Got a 22-year-old probable tib-fib fracture from a six-foot fall.
37:24Why don't you take her to Central 13?
37:26Got it. Right this way.
37:27As I was saying, bad data is shit data.
37:29Maybe she was diaphoretic and they slid down en route.
37:31Yeah, she was moving a lot.
37:33Diaphoretic, my ass.
37:34She had big breasts.
37:34You didn't want to move them out of the way to get under her bra line.
37:36Come on, Robbie.
37:37Women are misdiagnosed for heart attacks all the time.
37:39This is a big reason why.
37:40Shall we put it to a vote?
37:41Hey, ladies in the room, show of hands.
37:44Death with modesty or life with brief nudity?
37:46Death or life?
37:49Look at that.
37:49Turns out women want to live.
37:51Got it.
37:52EKG's an amazing tool if you use it, right?
37:53You could have told us in private.
37:54I think this was more instructive.
37:56Agreed.
37:59Hey, hell of a save your boy made.
38:02On-the-fly reduction of a unifacet cervical dislocation?
38:05That's some cowboy shit.
38:06Yeah, it was.
38:07Where is he?
38:08We're in off for a drug test.
38:10Got your wish.
38:10You don't have to say goodbye.
38:17Hey, thank you for saying all that.
38:20I may have taken a slightly different approach.
38:22I seem to have lost my filter.
38:24I'm glad.
38:25I could use an honest second opinion on a case.
38:28Do you have five minutes to spare?
38:32Sure.
38:33Why not?
38:34What's the case?
38:35I have the chart pulled up in eight.
38:51I have some experience with this,
38:54but I'd appreciate a fresh perspective.
38:56After 14 hours, I don't know how fresh my perspective is,
38:59but I will give you what I got.
39:01Well, after working with you, Dr. Rubinovich,
39:03I've come to respect your opinion.
39:09Thank you, Dr. Elashimi.
39:13Likewise.
39:15Okay.
39:16Patient.
39:16As a 40-year-old female with a history of seizure disorder
39:19for the past 35 years, she had no perineal complications
39:21and was in excellent health until age five
39:23when she had the onset seizure activity following
39:25prolonged illness with viral meningitis.
39:27Her ulcer mental status from the infection...
39:33Hello, Dr. Elashimi.
39:40Is this you?
39:41And is it?
39:42No.
39:59I'm sorry.
40:01I'm sorry.
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