1. You know
where your son is now?
Copy !req
2. No, but he hasn't done
anything.
Copy !req
3. Officer, why are you here?
Copy !req
4. We received a call
that her son, David,
Copy !req
5. has created a list of girls
he would like to eliminate.
Copy !req
6. Who called you?
Copy !req
7. Do you know anything
about this list?
Copy !req
8. Somebody called you. Who?
Copy !req
9. Somebody from my hospital?
Copy !req
10. Uh, Dr. McKay.
Copy !req
11. - Air retinue, ETA now.
- Who is that?
Copy !req
12. Air retinue, ETA now.
Copy !req
13. I will be right back.
Copy !req
14. Teddy, 28 years old,
burned in a gas tank explosion.
Copy !req
15. Paramedics estimate 90% BSA.
Copy !req
16. Trauma 1's open.
Copy !req
17. We managed to get
a 20 gauge on the right AC.
Copy !req
18. First liter of LR
running wide open.
Copy !req
19. Vitals are good, pulse ox 97.
Copy !req
20. Teddy, are you in
a lot of pain right now?
Copy !req
21. Not as much as I should be.
Copy !req
22. OK.
Copy !req
23. Mainly third degree.
Copy !req
24. Singed nasal hairs.
Soot in oropharynx.
Copy !req
25. Do you have family
on the way?
Copy !req
26. Amy. My wife.
Copy !req
27. What happened?
Copy !req
28. I was transferring gas
from a 200-gallon
Copy !req
29. fuel tank to my tractor.
Copy !req
30. Kaboom.
Copy !req
31. Let's set up for intubation.
Copy !req
32. Whitaker,
run the Parkland formula.
Copy !req
33. OK, titrate morphine.
Page Garcia.
Copy !req
34. And I will be back
for the intubation.
Copy !req
35. On it, boss.
Copy !req
36. Don't, don't, don't!
Don't touch me!
Copy !req
37. I'm fine.
Copy !req
38. Jesus fucking Christ!
Copy !req
39. It's—it's OK.
- OK.
Copy !req
40. - I'm fine.
- OK. OK, come here.
Copy !req
41. - Holy shit!
- Whoa, whoa, whoa, whoa!
Copy !req
42. - Grabbing ice packs.
- I got the cart.
Copy !req
43. What happened?
Copy !req
44. Just got punched.
Just took a fall.
Copy !req
45. OK. I'm fine.
Copy !req
46. Who punched you?
Copy !req
47. Just an unhappy patient.
Copy !req
48. - A patient hit you?
- Yeah.
Copy !req
49. Happens all the time.
I got my cheek broken.
Copy !req
50. - I lost a tooth.
- Oh.
Copy !req
51. - We've all been assaulted.
- Go get Ahmad.
Copy !req
52. - Did you hit your head?
- Uh, yep, probably,
Copy !req
53. but no LOC, just—
just a bloody nose.
Copy !req
54. OK, pressure.
Copy !req
55. OK, OK, OK.
Copy !req
56. Any trouble seeing?
Any double vision?
Copy !req
57. - No.
- I'll grab you new scrubs.
Copy !req
58. - What about a headache?
- A little, yeah.
Copy !req
59. - We need to find her a room.
- I do not need a room!
Copy !req
60. Dave, move North 1
to the hall.
Copy !req
61. Follow my finger.
Copy !req
62. Right, left, up, down.
Copy !req
63. EOM is intact.
Copy !req
64. Who did this?
Copy !req
65. It was a pissed off patient,
but he split,
Copy !req
66. so just forget it.
Copy !req
67. Forget—hell no.
Copy !req
68. Look, I want a name.
Copy !req
69. Doug Driscoll.
Doug Driscoll.
Copy !req
70. - That asshole in Chairs?
- Yeah.
Copy !req
71. I'm calling the cops.
Copy !req
72. I'll get a wheelchair.
Copy !req
73. Pupils are equal
and reactive.
Copy !req
74. No septal hematoma.
Copy !req
75. Should someone call
your husband?
Copy !req
76. - Absolutely not.
- OK.
Copy !req
77. Tell me when it's sore.
Copy !req
78. Ah!
Copy !req
79. Tender at the nasion.
CT head and maxillofacial.
Copy !req
80. I'll give them a heads up.
Copy !req
81. Is that really necessary?
Copy !req
82. You have at least one
facial fracture.
Copy !req
83. With the headache and the fall,
Copy !req
84. I want to rule out
anything intracranial.
Copy !req
85. OK, who can step up for Dana
Copy !req
86. while she's getting
checked out?
Copy !req
87. - Perlah.
- Thank you.
Copy !req
88. OK, guys, we got about three
hours left in this shift,
Copy !req
89. and I need everybody
to step up.
Copy !req
90. Is that clear?
- Yes.
Copy !req
91. - Yep.
- Yes, sir.
Copy !req
92. I can't believe
they allow you
Copy !req
93. around med students, Langdon.
Copy !req
94. Don't pick up
any of his bad habits.
Copy !req
95. You know the difference
Copy !req
96. between surgeons
and serial killers?
Copy !req
97. Serial killers don't bill
their victims.
Copy !req
98. Cute.
Copy !req
99. You guys staying ahead
with his fluids?
Copy !req
100. Per the Parkland,
4 per kilo times 90% burned.
Copy !req
101. - Wow.
- 27 liters over 24 hours.
Copy !req
102. He's had two so far.
Copy !req
103. Lactated ringers
at 1.785 liters per hour
Copy !req
104. for the next seven hours.
Copy !req
105. I'll program the pump.
Copy !req
106. We got a second IV.
Copy !req
107. Hello, sir.
I'm Dr. Garcia.
Copy !req
108. Need to peek
under these dressings.
Copy !req
109. Are we ready to intubate?
Copy !req
110. Wife should be here
any minute.
Copy !req
111. Whitaker, earlier,
you said third degree.
Copy !req
112. We refer to burns
as either being full thickness
Copy !req
113. or partial thickness.
Copy !req
114. Looks like 60% to 70% full,
20% to 30% partial.
Copy !req
115. Intubation meds?
Copy !req
116. - 120 Rocuronium, 100 Ketamine.
- Got it.
Copy !req
117. Can you draw them up
and hold them?
Copy !req
118. Vitals are good,
but gonna need
Copy !req
119. a pan scan after intubation.
Copy !req
120. Oh, my God!
No, no, no.
Copy !req
121. Oh, Teddy.
Copy !req
122. I—I'm Amy.
Copy !req
123. I'm Teddy's wife.
How is he?
Copy !req
124. He's stable for now.
Copy !req
125. - I'm OK, honey.
- OK.
Copy !req
126. Teddy, you've got
severe burns
Copy !req
127. covering most of your body.
Copy !req
128. You've also burned
the inside of your throat.
Copy !req
129. Just to be safe, I need
to put in a breathing tube,
Copy !req
130. and you won't be able to speak.
Copy !req
131. We need to do this now
before his throat swells,
Copy !req
132. and it becomes difficult
for him to breathe.
Copy !req
133. So if there's anything you two
want to say to each other,
Copy !req
134. this is the time to do it.
Copy !req
135. OK.
Copy !req
136. I'm gonna be OK.
Copy !req
137. Can—can I kiss him?
Copy !req
138. Yes, of course.
Copy !req
139. Ready to intubate.
Copy !req
140. Push Ketamine, then Roc.
Copy !req
141. I'm right here, OK?
Copy !req
142. Code stroke,
emergency department.
Copy !req
143. - Ketamine is going in.
- OK, I will be right back.
Copy !req
144. Jane Doe,
looks like she's in her 20s.
Copy !req
145. Obvious aphasia, right-sided
hemiparesis, and facial droop.
Copy !req
146. Hi. What's your name?
Copy !req
147. Nod your head
if you understand.
Copy !req
148. Receptive
and expressive aphasia.
Copy !req
149. No motor strength
in the right arm.
Copy !req
150. Open your mouth.
Copy !req
151. Gag reflex present.
Copy !req
152. Left motor intact.
Copy !req
153. BP's 150 over 88.
Copy !req
154. - Where should we go?
- AccuCheck is 73.
Copy !req
155. Straight to Radiology.
Copy !req
156. CT brain without contrast,
perfusion scan,
Copy !req
157. CT angio head and neck.
Copy !req
158. Hey, Crowe, wanna hang back?
- Yeah.
Copy !req
159. So you didn't get
a name on her?
Copy !req
160. Uh, we looked.
Copy !req
161. Couldn't find a wallet
or an ID.
Copy !req
162. But we had to jam out of there
'cause it was a Code Stroke.
Copy !req
163. - Who called 911?
- Well, apparently,
Copy !req
164. our Jane Doe is
a professional gamer.
Copy !req
165. She was a no-show
for some big tournament.
Copy !req
166. So her teammate in Dubai calls
another teammate in Houston,
Copy !req
167. who called 911 here.
Copy !req
168. Who gets a stroke
in their 20s?
Copy !req
169. That's what
you get to figure out.
Copy !req
170. OK, come find me after
the scan results are back.
Copy !req
171. Who called the cops
on David Saunders?
Copy !req
172. I did.
Copy !req
173. Mom!
Copy !req
174. Harrison?
Copy !req
175. Hey. Hey.
Copy !req
176. Are you OK?
How'd you get here?
Copy !req
177. With Dad.
Copy !req
178. Chad Ashcroft, 39,
skateboarding accident.
Copy !req
179. Deformity of the right ankle.
Copy !req
180. No LOC, good vitals.
Copy !req
181. Got four of morphine en route.
Copy !req
182. Skateboarding?
Really?
Copy !req
183. I'm fine, by the way.
Copy !req
184. You know this guy?
Copy !req
185. Unfortunately.
Copy !req
186. - Ah!
- Looks trimalleolar.
Copy !req
187. I was hoping
for a dislocation.
Copy !req
188. 40 hospitals in Pittsburgh,
Copy !req
189. and you just had
to choose mine?
Copy !req
190. You think I want to be
in this shithole?
Copy !req
191. I told him to take me
to Presby.
Copy !req
192. You were
the closest hospital,
Copy !req
193. so here we are.
Where should we put him?
Copy !req
194. - On the curb?
- Ah.
Copy !req
195. Are you two family?
Copy !req
196. - Ex.
- Ex.
Copy !req
197. This is Chad, Harrison's dad.
Copy !req
198. Oh, nice to finally put
a face to a name.
Copy !req
199. What's open?
Copy !req
200. McKay, stay with your kid.
Copy !req
201. Let's take
this half-pipe prince
Copy !req
202. to South 19.
Copy !req
203. - Hey, what's the golden rule?
- No hospitals.
Copy !req
204. OK, let's add "no skating
without a helmet ever again."
Copy !req
205. You hear me?
- Yes, Mom.
Copy !req
206. When was the last time
you took a bath?
Copy !req
207. Where's Robby?
Copy !req
208. Intubating the burn patient.
Copy !req
209. Ma'am, can you close
your eyes for me?
Copy !req
210. Robby, it's Samira.
Copy !req
211. Jane Doe's CT came back—
no bleed,
Copy !req
212. but there was a carotid
artery dissection left neck
Copy !req
213. with a thrombus
that threw a clot
Copy !req
214. to the left middle
cerebral artery.
Copy !req
215. OK, got it.
Copy !req
216. We'll wait.
Copy !req
217. With no intracranial
hemorrhage,
Copy !req
218. she might be a TNK candidate.
Copy !req
219. But couldn't TNK cause
a brain bleed and kill her?
Copy !req
220. TNK is still the best
clot-busting possibility.
Copy !req
221. Um, shouldn't we do
endovascular therapy?
Copy !req
222. I mean,
it's the safest option to—
Copy !req
223. What do you call
a Tyrannosaurus under stress?
Copy !req
224. What?
Copy !req
225. A nervous Rex.
Copy !req
226. Dr. King, meet Dr. Mehta,
Copy !req
227. one of our esteemed
stroke neurologists.
Copy !req
228. How's the patient?
Copy !req
229. NIH stroke scale of 27,
Copy !req
230. no last known well time.
Copy !req
231. Dr. Mehta,
should we take her to EVT?
Copy !req
232. Not yet.
Copy !req
233. We'll take her
for a spin in the MRI,
Copy !req
234. check for irreversible
damage first.
Copy !req
235. If there's
a diffusion-flare mismatch,
Copy !req
236. she's still in the window
for thrombolytics.
Copy !req
237. And she still gets EVT—
Copy !req
238. two-for-one special.
Copy !req
239. What type of person
is best suited
Copy !req
240. to work with an MRI machine?
Copy !req
241. A trained technician.
Copy !req
242. Someone with
a magnetic personality.
Copy !req
243. That one's new.
Copy !req
244. Somebody punched her?
Copy !req
245. A patient. Broke her nose.
Copy !req
246. Is she OK?
Copy !req
247. Robby checked her out,
sent her to CT.
Copy !req
248. Sorry to interrupt
the hot goss,
Copy !req
249. but what about me?
Copy !req
250. Uh, you got some
pretty good cuts here, sir.
Copy !req
251. We're working
on closing them up
Copy !req
252. to prevent infection.
Copy !req
253. Yeah, can you call in
a plastic surgeon?
Copy !req
254. Uh, the lacerations
aren't that deep.
Copy !req
255. Medical glue should
do the trick.
Copy !req
256. If you have any extra,
do you want
Copy !req
257. to maybe apply some
to his lips?
Copy !req
258. Your son was worried about you
Copy !req
259. and wanted to make sure
you were OK.
Copy !req
260. - Are you OK?
- Yeah, totally.
Copy !req
261. Just a few battle wounds.
Copy !req
262. Uh, did you hear?
Dana got assaulted.
Copy !req
263. - What?
- Yeah. Patient.
Copy !req
264. Broke her nose.
Copy !req
265. When can I get
out of here, please?
Copy !req
266. We're waiting
for Radiology to come down
Copy !req
267. with a portable X-ray machine
Copy !req
268. so we can take
a better look at your leg.
Copy !req
269. You'll need a splint
and eventually a cast.
Copy !req
270. Ah, hear that?
Copy !req
271. Your dad's gonna have
a cool cast.
Copy !req
272. Big Harry in the house.
Up top.
Copy !req
273. Mateo!
Copy !req
274. I told my dad that we went
skateboarding last weekend.
Copy !req
275. - Ah!
- So he took me today,
Copy !req
276. and...
- Ah.
Copy !req
277. Then he fell
and broke his leg.
Copy !req
278. Yeah, I can see that.
Copy !req
279. Hey, man. Mateo.
Copy !req
280. Hey.
Copy !req
281. Ugh.
Copy !req
282. You wanna go raid
the break room with me?
Copy !req
283. I hear there's a bag of Takis
with your name on it.
Copy !req
284. Sure.
Yeah, yeah.
Copy !req
285. But not too much sugar.
Copy !req
286. Says the man who eats
Cap'n Crunch for breakfast.
Copy !req
287. No, not anymore.
Copy !req
288. Chloe makes me an acai bowl
every morning.
Copy !req
289. Oh, Chloe,
the gift that keeps on giving.
Copy !req
290. I already apologized
for that.
Copy !req
291. How are those lacs coming,
Dr. Santos?
Copy !req
292. - Good. All done.
- Mm-hmm.
Copy !req
293. I'm gonna go check
on Radiology.
Copy !req
294. I'll come with you.
Copy !req
295. Sooner we get you in,
sooner we get you out.
Copy !req
296. Thank you.
Copy !req
297. Dr. McKay.
Copy !req
298. Somebody hit Dana?
Copy !req
299. I specifically told you
Copy !req
300. to leave
Theresa Saunders alone,
Copy !req
301. and you called the cops
on her son?
Copy !req
302. We talked about it.
Copy !req
303. A decision—
a decision was not made.
Copy !req
304. So I made it.
Copy !req
305. It was not yours to make!
Copy !req
306. No, it was yours,
and you didn't do it.
Copy !req
307. I didn't do it
because it wasn't warranted.
Copy !req
308. Wasn't it?
Copy !req
309. If Theresa left,
how are we gonna get David
Copy !req
310. assessed for his risk
to others?
Copy !req
311. I couldn't live with myself
if something terrible happened.
Copy !req
312. Yeah, well,
now the police are involved,
Copy !req
313. so you may have ruined
this kid's life forever.
Copy !req
314. And what about
the girls on this list?
Copy !req
315. Are you telling me
their safety,
Copy !req
316. their lives,
are worth less than his?
Copy !req
317. I can live with this one.
Copy !req
318. And now you can too.
Copy !req
319. Uh, distal tibia and fibula
with an unstable mortise.
Copy !req
320. Hold on.
Show us the lateral, please.
Copy !req
321. Here you go.
Copy !req
322. Mm.
Copy !req
323. Not two—three breaks.
Copy !req
324. Jesus.
Copy !req
325. What, so now I get a cast?
Copy !req
326. Uh, no, splint and surgery
to stabilize the bones
Copy !req
327. with plates and screws
so they can heal properly.
Copy !req
328. Ugh, how long am I
gonna be stuck here?
Copy !req
329. That is above my pay grade.
Copy !req
330. Gabriel.
Copy !req
331. But you may want to cancel
Copy !req
332. any dinner reservations
you may have.
Copy !req
333. Set up for a double splint,
posterior leg and sugar tong.
Copy !req
334. Oh, is that gonna be painful?
Copy !req
335. There may be some discomfort.
Copy !req
336. I assure you, we will prescribe
Copy !req
337. proper pain medication
Copy !req
338. to provide you
with adequate relief.
Copy !req
339. Draw up 100 of propofol,
50 of fent.
Copy !req
340. Whatever, just knock me out.
Copy !req
341. With pleasure.
Copy !req
342. Perlah, which of our patients
Copy !req
343. can we send on their merry way?
Copy !req
344. Right.
Copy !req
345. Barry, yoga split lip,
Copy !req
346. moved from North 1 to the Hall;
Copy !req
347. Walter, road rash
Copy !req
348. with the rat killing dog,
South 20;
Copy !req
349. and Vince,
basketball elbow fracture,
Copy !req
350. outside Central 2.
Copy !req
351. OK, you can run
another set of vitals
Copy !req
352. on Crosby's papa and discharge.
Copy !req
353. You can tell Ortho to get
their head out of their ass
Copy !req
354. and take Joel Embiid with them.
Copy !req
355. And you can release Yoga Barry,
but tell him
Copy !req
356. to refrain from doing
any handstands
Copy !req
357. for at least 48 hours.
Copy !req
358. Copy that.
Copy !req
359. Go, go.
You heard the man.
Copy !req
360. I do not know how Dana
does this every day.
Copy !req
361. Haha, running the ER
is a Sisyphean task.
Copy !req
362. So this is a punishment?
Copy !req
363. - No.
- Sisyphus.
Copy !req
364. Sisyphus pissed off the gods,
so they punished him
Copy !req
365. by making him push this massive
boulder up a hill for eternity.
Copy !req
366. One must imagine
Sisyphus happy.
Copy !req
367. You're doing great.
Copy !req
368. Hey, Ahmad.
Copy !req
369. Is Theresa still out in Chairs
talking to those cops?
Copy !req
370. - Yeah.
- Will you do me a favor
Copy !req
371. and just kind of keep
an eye on it?
Copy !req
372. Don't let her leave
without talking to me.
Copy !req
373. - OK.
- Any word on Driscoll?
Copy !req
374. I issued an alert
throughout PTMC security
Copy !req
375. and called the cops with his
home address from his chart.
Copy !req
376. They want a statement
from Dana.
Copy !req
377. She's in CT.
Copy !req
378. Let's—let's, um,
clear her medically,
Copy !req
379. and then she can decide
when she wants to talk to them.
Copy !req
380. What about other hospitals?
Copy !req
381. You let them know?
- Notified.
Copy !req
382. Everyone's on the lookout
for this guy, Driscoll.
Copy !req
383. - Thanks, Ahmad.
- You got it.
Copy !req
384. Glad to know the authorities
are looking for this psycho,
Copy !req
385. but what are you gonna do
to protect the rest of us?
Copy !req
386. Violence against health care
workers is a national problem.
Copy !req
387. And it's only getting worse.
Copy !req
388. No surprise there's a nursing
shortage everywhere.
Copy !req
389. I hear you, I hear you,
I hear you, I hear you,
Copy !req
390. and it is unacceptable.
Copy !req
391. What the hell kind of circus
are you running down here?
Copy !req
392. My God.
You're like a bad penny.
Copy !req
393. Where is Dana?
How is she?
Copy !req
394. She's all right.
We sent her to CT to make sure.
Copy !req
395. Did you fill out
an incident report?
Copy !req
396. I don't know, I was
more concerned with her
Copy !req
397. having a skull fracture
than with your liability.
Copy !req
398. How'd a guy
from the waiting room
Copy !req
399. get back here
without anyone noticing?
Copy !req
400. Wow, Gloria!
What a great question.
Copy !req
401. Our hard-working nurses were
just asking me
Copy !req
402. what steps
the hospital plans to take
Copy !req
403. to ensure their safety
in the future.
Copy !req
404. Maybe you would like
to explain to them
Copy !req
405. why you've denied my request
Copy !req
406. for additional
security measures
Copy !req
407. three times
in the last four months?
Copy !req
408. If nurses don't feel safe,
they're not gonna come to work.
Copy !req
409. First off, the safety of all
our employees is paramount—
Copy !req
410. Do you remember
the last nursing strike?
Copy !req
411. Yeah, that was
a real shit show.
Copy !req
412. Maybe this is something our
union rep should know about?
Copy !req
413. OK, well, just take a beat
Copy !req
414. and remember
that PTMC is a family.
Copy !req
415. Come on.
- A dysfunctional family.
Copy !req
416. You should be worried about
the nurses' satisfaction
Copy !req
417. and the safety of—
Copy !req
418. We are worried
about everyone.
Copy !req
419. We worry—Robby.
Copy !req
420. Robby.
Copy !req
421. Dr. Robby,
I got a question for you.
Copy !req
422. Shoot.
Copy !req
423. Uh, we're working on Chad
in 19, McKay's ex.
Copy !req
424. He's a nightmare.
Copy !req
425. Here's your driver's license
Copy !req
426. and insurance card,
Mr. Pugliesi.
Copy !req
427. Have a seat, and the triage
nurse will call you back soon.
Copy !req
428. - Thank you.
- Hello.
Copy !req
429. Uh, my—my son,
he needs help, his eye.
Copy !req
430. Let me ask you
about your eyes.
Copy !req
431. Do you see the line
you just cut?
Copy !req
432. What? No, please.
It's an emergency.
Copy !req
433. You think everybody's
waiting for manicures?
Copy !req
434. He caught a line drive
to the eye.
Copy !req
435. We're so sorry, ma'am.
Copy !req
436. We thought this was
the line for pediatrics.
Copy !req
437. I'm 16.
Copy !req
438. I'm doing this 'cause you're
a minor and you have manners.
Copy !req
439. Thank you so much.
Copy !req
440. Name and date of birth?
Copy !req
441. Everett Young.
December 7, 2008.
Copy !req
442. I'll get your insurance
information from your father.
Copy !req
443. Take a seat.
- What? No, we're not waiting.
Copy !req
444. Show her. Show her.
Copy !req
445. OK, then.
Copy !req
446. Come around
to the double doors.
Copy !req
447. - Tenecteplase on deck?
- All set.
Copy !req
448. She's 62 kilos, 0.25 per kilo
is 15.5 milligrams.
Copy !req
449. - Push over 10 seconds.
- What's the status?
Copy !req
450. Diffusion flare
mismatch means
Copy !req
451. she's less than
four hours into it.
Copy !req
452. - Getting TNK now.
- Sounds great.
Copy !req
453. Would you mind hanging
down here for a bit?
Copy !req
454. I could use
your expertise on this.
Copy !req
455. Can't believe
you have the nerve to ask.
Copy !req
456. Good one.
OK, keep me posted.
Copy !req
457. 50 on board.
Copy !req
458. Anything I can do
to help in here?
Copy !req
459. No, I'm pretty good.
Copy !req
460. How are you doing?
Copy !req
461. Not as good
as you, apparently.
Copy !req
462. Push another 25.
Copy !req
463. Wet the splints now, please.
Copy !req
464. You can help lift his leg
for the splint.
Copy !req
465. And we're at 75, mm-hmm.
Copy !req
466. When we lift his leg,
it's really gonna hurt him,
Copy !req
467. but he won't remember—
benefits of propofol.
Copy !req
468. Pulse ox 99,
good end tidal CO2.
Copy !req
469. Mm-hmm.
Copy !req
470. Hey, Chad?
Copy !req
471. Chad.
Copy !req
472. Ow.
Copy !req
473. Perfect.
Copy !req
474. Let's do this.
Copy !req
475. Ow.
Copy !req
476. I feel sad.
Copy !req
477. Uh, don't worry.
Copy !req
478. We'll have you fixed up
good as new.
Copy !req
479. What does he have
that I don't have?
Copy !req
480. I mean, sure, he's younger.
Copy !req
481. And that hair.
Copy !req
482. Who?
Copy !req
483. Mateo.
Copy !req
484. Oh.
Copy !req
485. What's his story anyway?
Copy !req
486. Is she having sex with him?
Copy !req
487. Well, if she isn't,
she probably should.
Copy !req
488. Stop.
Copy !req
489. Who do we have the pleasure
of meeting this afternoon?
Copy !req
490. Everett Young, 16, took
a line drive to the left eye.
Copy !req
491. Tachy at 118.
- Oof.
Copy !req
492. 4 of morphine, 4 of Zofran.
Copy !req
493. Excuse me.
Copy !req
494. It was easily
100 miles per hour.
Copy !req
495. Oof.
Did you pass out?
Copy !req
496. - Uh, no, ma'am.
- OK.
Copy !req
497. Baseball is a fun activity.
You any good?
Copy !req
498. Any good?
Copy !req
499. He's got a 95 mile an hour
fastball, a 12-6 slider,
Copy !req
500. a 0.94 ERA,
and he's a southpaw.
Copy !req
501. What's that?
Copy !req
502. That's a future Cy Young.
Copy !req
503. I don't know
what that is either.
Copy !req
504. Ms. Javadi is
a student doctor.
Copy !req
505. She's a bit of a prodigy
herself, actually.
Copy !req
506. Do you mind if she helps out?
Copy !req
507. - No, ma'am.
- OK.
Copy !req
508. Tell me how many fingers
I'm holding up.
Copy !req
509. Um—ah, I can't tell.
Copy !req
510. Oh, my God.
Oh, my God.
Copy !req
511. OK, tell me
when the light turns on.
Copy !req
512. Now?
Copy !req
513. - Light perception only.
- Mm-hmm.
Copy !req
514. Do you want
a portable slit lamp?
Copy !req
515. Definitely, yeah.
Copy !req
516. Javadi, what do you think
of the anterior chamber?
Copy !req
517. - Hyphema?
- Exactly.
Copy !req
518. Grade 4.
Copy !req
519. - Yeah, meaning?
- Javadi.
Copy !req
520. Meaning blood is filling up
the front eye chamber.
Copy !req
521. He'll need an emergency
evaluation by ophthalmology.
Copy !req
522. OK, is that why he can't see?
Copy !req
523. That's part of it. Yeah.
Copy !req
524. You see how the eye
is pushing out?
Copy !req
525. There seems to be a collection
of blood behind the eyeball.
Copy !req
526. The eye pressure is too high.
We have to act quickly.
Copy !req
527. - OK, well, check the pressure!
- We're going to right now.
Copy !req
528. Can you get Robby?
Copy !req
529. It looked like
you were having
Copy !req
530. a pretty intense conversation
with Robby earlier.
Copy !req
531. Everything OK?
Copy !req
532. Uh, it was nothing.
Copy !req
533. Nothing?
Copy !req
534. Yeah, well, not nothing,
Copy !req
535. but nothing for you
to be concerned about.
Copy !req
536. An intern has
a problem around here,
Copy !req
537. they come
to the senior resident,
Copy !req
538. not the attending.
Copy !req
539. He is my attending,
Copy !req
540. and I wanted his input
on a patient.
Copy !req
541. Is that not OK with you?
Copy !req
542. Just, um...
Copy !req
543. come to me first next time.
Copy !req
544. Got it?
Copy !req
545. Yep.
Copy !req
546. Got it.
Copy !req
547. Are you a junior?
Copy !req
548. Yeah.
Copy !req
549. You thinking about college?
Copy !req
550. I have some D1 interest,
but...
Copy !req
551. where'd you go to college?
Copy !req
552. Uh, Pitt for undergrad
and now med school.
Copy !req
553. Didn't wanna leave town?
Copy !req
554. Look up at the ceiling
for some numbing drops.
Copy !req
555. It's not exactly an option
to live anywhere but home
Copy !req
556. when you go to college at 13.
Copy !req
557. Wow.
Copy !req
558. Add some drops
to the fluorescein strip.
Copy !req
559. I was thinking
about California,
Copy !req
560. maybe UCLA or USC.
Copy !req
561. - Hold still.
- Hey, maybe you go
Copy !req
562. straight to the Majors, huh?
Copy !req
563. College can wait.
Copy !req
564. I don't know.
Copy !req
565. I do.
Copy !req
566. Ev's got a God-given gift.
Copy !req
567. It's why we spent every
weekend doing travel ball
Copy !req
568. when he was young—
pro camp, showcases.
Copy !req
569. He's not throwing away
his shot at the Majors.
Copy !req
570. Uh, we have to check
for a puncture
Copy !req
571. before we can
measure the pressure.
Copy !req
572. Look straight ahead and try
not to move your eyes, OK?
Copy !req
573. - Yes, ma'am.
- Lights going out.
Copy !req
574. Hello.
I'm Dr. Robinavitch.
Copy !req
575. Everybody calls me Dr. Robby.
Copy !req
576. Hey, Greg Young.
This is my boy, Everett.
Copy !req
577. Nice to meet you both.
Copy !req
578. OK, I will take that slit lamp,
Copy !req
579. and you can calibrate
for tonometry.
Copy !req
580. - OK.
- They're holding CT for him.
Copy !req
581. Let's take a look.
Copy !req
582. Negative Seidel.
Copy !req
583. No globe rupture.
OK, go with the Tono-Pen.
Copy !req
584. OK.
Hold still.
Copy !req
585. OK.
Copy !req
586. Left eye pressure 58.
Copy !req
587. - Is that high?
- Yes, it is. 1% lido with epi.
Copy !req
588. Push one of Versed, and open
a lateral canthotomy tray.
Copy !req
589. Excuse me.
- What?
Copy !req
590. - Whoa.
- Without a CT? Isn't that—
Copy !req
591. Exactly what
the patient needs?
Copy !req
592. Yes, it is, Dr. McKay.
Copy !req
593. OK.
Copy !req
594. Uh, we're gonna lie you back
a little, Everett, OK?
Copy !req
595. We need to do
a little minor surgery
Copy !req
596. to relieve the pressure
behind your eye.
Copy !req
597. So we are going to cut
a small opening
Copy !req
598. on the side of your eye,
not in your eye.
Copy !req
599. Got it?
- Yeah.
Copy !req
600. Do you wanna watch?
Copy !req
601. No, I'll—I'll sit down.
Copy !req
602. Javadi, step up
so you can see.
Copy !req
603. Dr. McKay, Chad is splinted
and is awaiting Ortho
Copy !req
604. for surgery to take him.
Copy !req
605. Thanks for the update.
Copy !req
606. Versed's on board.
Copy !req
607. Numbing medicine here, OK?
Copy !req
608. OK.
Copy !req
609. Pinprick and some burning.
Copy !req
610. Ouch.
Copy !req
611. What—is Dana gonna be OK?
Copy !req
612. It's gonna take more
than a punch to the face
Copy !req
613. to keep that mama down.
Copy !req
614. She's tough.
Copy !req
615. Yeah.
Copy !req
616. Um, hi.
Copy !req
617. I'm sorry to bother you.
Copy !req
618. Hi.
Copy !req
619. Uh, I—I just wanna make sure
that Teddy's not in any pain.
Copy !req
620. Oh, he's heavily sedated.
Copy !req
621. He can't feel a thing.
- Right.
Copy !req
622. It's just that when
I look at him, I just—
Copy !req
623. I just feel so helpless.
Copy !req
624. Look, his, uh, CT scans
came back negative
Copy !req
625. for internal injuries.
Copy !req
626. He's on IV therapy
to replace any lost fluids.
Copy !req
627. I assure you,
we are doing everything we can
Copy !req
628. to give him
the best treatment possible.
Copy !req
629. Thank you.
Copy !req
630. Yeah.
Copy !req
631. Teddy's ring.
Copy !req
632. Um...
Copy !req
633. I had to cut it off
because of the swelling.
Copy !req
634. Hopefully you can find
a good jeweler to fix it.
Copy !req
635. I don't know how it works.
Copy !req
636. Um...
Copy !req
637. do you have
a best friend, Doctor...
Copy !req
638. Oh, it's a another year to go
till you can call me "Doctor."
Copy !req
639. You can just call me
Whitaker, though.
Copy !req
640. Do you have a best friend,
Whitaker?
Copy !req
641. Uh, I have
three older brothers.
Copy !req
642. I guess they're kind of
my best friends.
Copy !req
643. They kind of tortured me
growing up, so maybe not.
Copy !req
644. But yeah.
Copy !req
645. Teddy's been my best friend
since we were 15.
Copy !req
646. High school sweethearts?
Copy !req
647. We were just a couple
of nerdy aggies who, uh—
Copy !req
648. we met in 4-H,
and we fell in love.
Copy !req
649. I'm sorry.
Copy !req
650. No, it's fine.
Copy !req
651. I'm a third generation
Nebraska farm kid myself.
Copy !req
652. Get out.
Copy !req
653. Well—well, if you're ever
homesick, you should, uh—
Copy !req
654. you should come by
our farm sometime.
Copy !req
655. That's very kind.
Copy !req
656. I need some help in here!
Copy !req
657. - What's going on?
- Respiratory distress.
Copy !req
658. Sats are dropping, 87%.
Copy !req
659. Uh, lung injury
from the fire?
Copy !req
660. It's not just the low sats.
The vent's showing
Copy !req
661. high peak pressure,
low tidal volume.
Copy !req
662. - Uh, restrictive pattern?
- Most likely.
Copy !req
663. I'll grab Robby and Langdon.
Copy !req
664. Wait, wait, wait,
wait, wait, wait.
Copy !req
665. What's that?
What's going on?
Copy !req
666. Ventilator is having trouble
pumping air into Teddy's lungs.
Copy !req
667. Burnt skin loses elasticity.
Copy !req
668. Now his chest wall
is too tight.
Copy !req
669. What can you do?
Copy !req
670. We're gonna have to cut
the burnt skin,
Copy !req
671. release pressure
on the chest wall,
Copy !req
672. help Teddy breathe.
Copy !req
673. So after you cut his eye,
he'll see again?
Copy !req
674. This will give us
our best shot
Copy !req
675. at preserving his vision, yes.
Copy !req
676. Dr. McKay, are you ready
to do the honors?
Copy !req
677. Who, me?
Copy !req
678. We are a teaching hospital.
Copy !req
679. Are you still here to learn?
Copy !req
680. Yes. Yeah.
Copy !req
681. OK.
Copy !req
682. You can release
that hemostat now.
Copy !req
683. Pair of scissors.
Copy !req
684. The length
of the crushed area
Copy !req
685. is going to be your guide
for the length of your cut.
Copy !req
686. OK.
Copy !req
687. Good.
Copy !req
688. Toothed forceps.
Copy !req
689. Feeling for the inferior...
Copy !req
690. And superior crus.
Copy !req
691. How can you see
with all that blood?
Copy !req
692. You can't.
It's all tactile.
Copy !req
693. It feels like
two guitar strings.
Copy !req
694. Metzenbaum.
Copy !req
695. Inferior...
Copy !req
696. Yeah.
Copy !req
697. And superior.
Copy !req
698. Nice.
Copy !req
699. Good.
Copy !req
700. Oh, that's a lot of blood.
Copy !req
701. OK, let's get
a repeat pressure.
Copy !req
702. It's getting
a lot brighter in here.
Copy !req
703. Pressure of 18.
Copy !req
704. Perfect.
Copy !req
705. CT can take him as soon
as we dress the wound.
Copy !req
706. Let's page Ophthalmology and
tell them to prep for surgery.
Copy !req
707. Doc, thank you.
Thank you.
Copy !req
708. My pleasure, my pleasure.
Copy !req
709. Good luck to you, Everett.
Copy !req
710. Hey.
Copy !req
711. Thanks for letting me do that.
Copy !req
712. You sound surprised.
Copy !req
713. Yeah, I figured after
the whole Theresa thing,
Copy !req
714. you might bench me.
Copy !req
715. Am I still pissed
that you went behind my back?
Copy !req
716. Absolutely.
Copy !req
717. And if you ever do it again,
you can bet your ass
Copy !req
718. that I will bench you.
Copy !req
719. But this is
a teaching hospital,
Copy !req
720. and teachers can
still learn stuff.
Copy !req
721. I saw a sad, confused boy,
and that's all I thought about.
Copy !req
722. I did not think enough
about those girls.
Copy !req
723. Any word on Dana?
Copy !req
724. She should be coming back
from CT soon.
Copy !req
725. Burn victim's tanking.
We need you.
Copy !req
726. Oh, my God, I can't wait
for this shift to be over.
Copy !req
727. Hey, bud, you doing OK?
Copy !req
728. Yeah.
Mateo hooked me up.
Copy !req
729. Right, I can see that.
Copy !req
730. How's Dad?
Copy !req
731. He's gonna need surgery,
but he's gonna be OK.
Copy !req
732. You know, I was thinking,
since your dad's gonna be
Copy !req
733. laid up for a while,
maybe you'd wanna stay with me
Copy !req
734. until he gets better?
Copy !req
735. For real?
Copy !req
736. For real.
Copy !req
737. What do you think?
Copy !req
738. I'll take that as a yes.
Copy !req
739. This procedure is called
an escharotomy.
Copy !req
740. We need to cut the skin so that
the chest wall can expand.
Copy !req
741. That sounds painful.
Copy !req
742. Whitaker?
Copy !req
743. He's still heavily sedated.
Copy !req
744. He won't feel a thing.
Copy !req
745. This is gonna help
Teddy breathe.
Copy !req
746. Sat's 83.
Copy !req
747. Peak pressure is over 40.
Copy !req
748. Tidal volume is only 300.
Copy !req
749. I want you to watch
Dr. Langdon
Copy !req
750. as he makes
this vertical incision.
Copy !req
751. Then you're gonna do the exact
same thing on your side
Copy !req
752. and follow his instructions.
Copy !req
753. I'm sorry, I just—
Copy !req
754. I don't think I can watch it.
Copy !req
755. Jordan, would you—
Copy !req
756. Start at lateral clavicle.
Copy !req
757. Down anterior axillary
Copy !req
758. to lower rib margin.
Copy !req
759. That tissue is
really popping out.
Copy !req
760. Which illustrates what?
Copy !req
761. The pressure underneath.
Copy !req
762. Your turn.
Copy !req
763. Here goes.
Copy !req
764. - A little more pressure.
- Yeah.
Copy !req
765. Need to make
a decisive incision
Copy !req
766. to get through the eschar
into sub-Q.
Copy !req
767. Go back a little deeper
on that first section.
Copy !req
768. OK.
Copy !req
769. Yep.
Copy !req
770. Yep, good.
- Uh-huh.
Copy !req
771. Looking good.
Copy !req
772. OK.
Copy !req
773. Now the horizontal incision,
Dr. Langdon.
Copy !req
774. And connecting
the two incisions.
Copy !req
775. That ought to do it.
Copy !req
776. Peak pressure's
already down to the 30s.
Copy !req
777. And tidal volume
is coming up.
Copy !req
778. Sat's 91.
Copy !req
779. That was wild.
Copy !req
780. Let's dress these wounds
and send off a blood gas.
Copy !req
781. Well done,
Copy !req
782. and very well taught,
Dr. Langdon.
Copy !req
783. Thank you.
Copy !req
784. You think Wholey's will still
be open by the time we get off?
Copy !req
785. - No.
- No. No.
Copy !req
786. Damn.
Copy !req
787. I was hoping to surprise
Abby and the kids,
Copy !req
788. grill up some salmon
for dinner.
Copy !req
789. Mm, such an
adrenaline junkie.
Copy !req
790. What'd you call me?
Copy !req
791. Your ice plunges.
Marathon man.
Copy !req
792. Surprise, here's a dog.
Copy !req
793. Surprise, here's some salmon.
Copy !req
794. Who pissed
in your cornflakes?
Copy !req
795. Oh, oh.
Copy !req
796. What, I touch a nerve?
Copy !req
797. You're regretting buying
that dog, aren't you?
Copy !req
798. Ew.
Copy !req
799. Ooh, Robby.
Copy !req
800. Dana's CT results are back.
Copy !req
801. No intracranial hemorrhage,
no skull fracture,
Copy !req
802. non-displaced nasal fracture,
Copy !req
803. but the rest of the facial
bones look intact.
Copy !req
804. Any hemorrhaging
into the sinuses?
Copy !req
805. - Nada.
- Great.
Copy !req
806. We could really use her
back on the floor.
Copy !req
807. What? I'm just saying.
Copy !req
808. Mind if I give her
the good news?
Copy !req
809. No, go for it—
and anything else she needs.
Copy !req
810. I got it.
Copy !req
811. About the whole thing
with Santos
Copy !req
812. and the seizure patient...
Copy !req
813. What about it?
Copy !req
814. I'm sorry
for laying into her so hard.
Copy !req
815. Why do I feel
there's a "but" coming?
Copy !req
816. But I don't think
she's a team player.
Copy !req
817. How so?
Copy !req
818. She's cherry-picking cases.
Copy !req
819. She gave Whitaker
a shitty nickname
Copy !req
820. after his patient died
this morning.
Copy !req
821. She's—she's even
harassing Javadi
Copy !req
822. to get a rec from her mom
for surgery.
Copy !req
823. If she wants to be in surgery,
Copy !req
824. what's she doing in the ER?
Copy !req
825. That's a great question.
Copy !req
826. Why don't you ask
her new BFF, Garcia?
Copy !req
827. I know that you've seen
those two.
Copy !req
828. I'm the only one
calling her out,
Copy !req
829. so she has an axe to grind.
Copy !req
830. You've always said
that being in the Pitt
Copy !req
831. is like playing a team sport.
Copy !req
832. A team has to be able
to trust each other.
Copy !req
833. If we have one weak link,
this whole place goes to shit.
Copy !req
834. Good meeting.
Copy !req
835. Call Zauzy in Family Med.
Copy !req
836. They open up
their urgent care at 5:00.
Copy !req
837. Let them know we're sending up
the two hockey kids.
Copy !req
838. Yep, Zauzy in Fam Med.
Copy !req
839. OK, copy that.
Copy !req
840. And, uh,
please check in on Earl.
Copy !req
841. Poor thing got caught
Copy !req
842. in the crosshairs
of that mom fight.
Copy !req
843. Maybe bring him
another sandwich.
Copy !req
844. - Yeah, OK.
- Good.
Copy !req
845. No egg salad.
Copy !req
846. Dana, I got you. OK?
Rest up, bud.
Copy !req
847. You can take
the girl out of the ER,
Copy !req
848. but you can't take
the ER out of the girl.
Copy !req
849. Old habits die hard.
Copy !req
850. Let me take a look?
Copy !req
851. Oh, she's a real beauty,
all right.
Copy !req
852. But your CT came back clean—
Copy !req
853. nothing Mother Nature
can't heal on her own.
Copy !req
854. Hmm. Too bad.
Copy !req
855. I was hoping
for a free nose job.
Copy !req
856. Probably get hazard pay.
Copy !req
857. Two for one.
Copy !req
858. Ooh.
Copy !req
859. Ugh.
Copy !req
860. You know, you're cleared to go
back to work if you want—
Copy !req
861. or home.
Copy !req
862. Oh, not ready yet.
Copy !req
863. You?
Copy !req
864. Nope.
Copy !req
865. Got a lot to think about.
Copy !req
866. Yeah.
Copy !req
867. Been a pretty fucked up day.
Copy !req
868. What do you call
a group of brains
Copy !req
869. who form a singing group?
Copy !req
870. What?
Copy !req
871. A glia club.
Copy !req
872. Oh.
Copy !req
873. Good one.
Copy !req
874. Keep me posted
if there are any changes.
Copy !req
875. Um, what's with
Dr. Mehta and the—
Copy !req
876. the jokes?
Copy !req
877. You know why they say
laughter is the best medicine?
Copy !req
878. Because it's true.
Copy !req
879. Laughter releases endorphins.
Copy !req
880. Endorphins help relieve pain.
Copy !req
881. Um, so—
Copy !req
882. Dr. Mehta thinks that
if a joke helps raise spirits
Copy !req
883. and makes people feel better,
then he's all for it.
Copy !req
884. It's his special sauce.
Copy !req
885. Um, do you have
a special sauce?
Copy !req
886. I'm pretty data-driven,
but I really like
Copy !req
887. to talk to my patients
about their lives.
Copy !req
888. Makes them feel important.
Copy !req
889. She's waking up.
Copy !req
890. How are you feeling?
Copy !req
891. OK.
Copy !req
892. Are you trying to say "OK"?
Copy !req
893. Yes!
Copy !req
894. The thrombolytics are working.
Copy !req
895. Um, can you, uh, lift
your right leg for me?
Copy !req
896. That's OK.
Copy !req
897. Um, try moving it
from side to side.
Copy !req
898. Can you tell us your name?
Copy !req
899. Oh, um, maybe you can type it
out on the screen here.
Copy !req
900. Vera.
Copy !req
901. OK, uh, and what's
your last name?
Copy !req
902. Mullahy?
Copy !req
903. Well, hello, Vera Mullahy.
Copy !req
904. - Hey.
- Oh.
Copy !req
905. Hey.
- Chad's a real piece of work.
Copy !req
906. I appreciate you
dealing with him.
Copy !req
907. You know,
it was actually kind of fun.
Copy !req
908. I did not have that
on my bingo card.
Copy !req
909. Well, you know,
patients under propofol
Copy !req
910. are always a good time.
Copy !req
911. Yeah?
Copy !req
912. What did he say?
Copy !req
913. Nothing.
Copy !req
914. Nothing to worry about,
unless you're concerned
Copy !req
915. he still has a thing for you.
Copy !req
916. Oh, please, euthanize me
if I ever even consider it.
Copy !req
917. But, you know,
if I could go back,
Copy !req
918. I wouldn't change a thing.
Copy !req
919. Without Chad,
I wouldn't have Harrison.
Copy !req
920. You're very lucky.
Copy !req
921. I know, right?
Copy !req
922. All right.
Copy !req
923. Thanks again.
Copy !req
924. I was getting ready
to take her up
Copy !req
925. when she developed angioedema,
and her sats dropped.
Copy !req
926. A little bit of stridor.
Copy !req
927. Swollen lips, swollen tongue.
Copy !req
928. Vera, this is a side effect
of the medication we gave you.
Copy !req
929. Sats are up
with high flow nasal.
Copy !req
930. It's anaphylaxis.
Get Robby.
Copy !req
931. Angioedema is not
always anaphylaxis.
Copy !req
932. I know, but it can progress
to it and cause an obstruction.
Copy !req
933. If it's just angioedema,
I can reverse
Copy !req
934. the swelling fast with IV epi.
Copy !req
935. BP's 165 over 85.
Copy !req
936. Prep Ketamine and Roc
for intubation.
Copy !req
937. Hold on. Wait, wait.
But Dr. Mohan, you just said—
Copy !req
938. We're not intubating yet.
Copy !req
939. But she's gonna arrest.
Copy !req
940. What happened?
Copy !req
941. Angioedema with stridor.
Copy !req
942. Respiratory is on their way.
Copy !req
943. We should intubate, right?
- Good BP and O2 sats.
Copy !req
944. Epinephrine can reverse
the swelling right away.
Copy !req
945. I pushed 10 mics of IV epi.
Copy !req
946. Starting her drip at 5 cc's,
5 mikes per minute.
Copy !req
947. Sats are holding
at 95 on high flow.
Copy !req
948. BP is good.
Copy !req
949. Vera, we're gonna sedate you
Copy !req
950. so that we can help you
breathe better.
Copy !req
951. Or not.
Let's just wait a minute.
Copy !req
952. How'd you get that epi drip
hung so fast?
Copy !req
953. Bedside drip.
Copy !req
954. I mixed 1 milligram
with a liter.
Copy !req
955. Nice.
Copy !req
956. Are we intubating?
Are we not intubating?
Copy !req
957. Not.
Copy !req
958. Stridor is improving.
Copy !req
959. Is it getting
easier to breathe?
Copy !req
960. Mm-hmm, hmm.
Copy !req
961. Speech is coming back.
Copy !req
962. 50 diphenhydramine,
125 Solumedrol.
Copy !req
963. Do you think Dr. Mehta
will want her intubated
Copy !req
964. for the thrombectomy?
- Not necessarily.
Copy !req
965. If she can talk and move
during the procedure,
Copy !req
966. then they can monitor
any changes in the neuro exam.
Copy !req
967. Slo-Mo, No-Mo!
Copy !req
968. Sorry, I think Dr. Mehta
is rubbing off on me.
Copy !req
969. We're taking him up
to our burn unit.
Copy !req
970. He'll be in great hands.
Copy !req
971. They've had lots of experience
with cases like Teddy's.
Copy !req
972. What now?
Copy !req
973. We will continue
with IV fluids and pain meds.
Copy !req
974. We'll support his breathing
with the ventilator,
Copy !req
975. and we'll keep
his wounds clean,
Copy !req
976. look for any signs
of infection.
Copy !req
977. And later, the plastic
surgeons can do skin grafts.
Copy !req
978. He's gonna be OK.
Copy !req
979. Teddy's condition is
very critical, so no promises.
Copy !req
980. But our team is gonna do
everything they can
Copy !req
981. to give him
the best chance possible.
Copy !req
982. I'll make sure
to stop by the ICU,
Copy !req
983. check in on both of you.
Copy !req
984. I can't begin to thank you
enough, Dr. Whitaker.
Copy !req
985. Oh, uh, student doctor.
Copy !req
986. Oh, uh, don't forget
about dinner at the farm.
Copy !req
987. And, uh, make sure to brush up
on your diaper-changing skills.
Copy !req
988. Oh, with seven
nieces and nephews,
Copy !req
989. I'm a Diaper Genie, so...
Copy !req
990. You know you just called
yourself a trash can, right?
Copy !req
991. Before you grab your next
patient, um, call Kiara.
Copy !req
992. Have somebody go upstairs
and talk to the wife.
Copy !req
993. Amy? Why?
Copy !req
994. We wanted to give her hope,
but the reality is,
Copy !req
995. her husband's
not gonna make it.
Copy !req
996. He's stable.
Copy !req
997. His chance of dying
in the next week
Copy !req
998. is over 90%.
Copy !req
999. He's young, he's strong.
Copy !req
1000. Maybe he's the 10%.
- Maybe.
Copy !req
1001. But he's a lot more likely
to die of sepsis
Copy !req
1002. before his kid is born.
Copy !req
1003. Call Kiara.
Copy !req
1004. The CT shows a hairline
orbital floor fracture.
Copy !req
1005. But thanks to the canthotomy,
Copy !req
1006. the hematoma isn't
pushing on his eyeball.
Copy !req
1007. Will I be able to see?
Copy !req
1008. That's why you need surgery.
Copy !req
1009. The ophthalmologists will drain
the blood inside the front
Copy !req
1010. of your eye and replace it
with the clear fluid
Copy !req
1011. you need to see, OK?
Copy !req
1012. They're ready for you now.
Copy !req
1013. Hey, hey, hey.
Copy !req
1014. Don't worry, bud.
Copy !req
1015. All right?
Copy !req
1016. So—so he has the surgery,
stays overnight,
Copy !req
1017. he goes home tomorrow?
Copy !req
1018. It depends on how
the surgery goes
Copy !req
1019. and what his post-op
results are like.
Copy !req
1020. Give or take.
Copy !req
1021. It could be as soon
as tomorrow, yeah.
Copy !req
1022. OK.
Copy !req
1023. So he could be—
Copy !req
1024. could be game-ready
by Thursday.
Copy !req
1025. Sir, your son is
freaking out
Copy !req
1026. because he may never see
out of his left eye again.
Copy !req
1027. - Yeah, that's—
- No, no, forget baseball
Copy !req
1028. and just be his dad.
Copy !req
1029. God, it can't be
that fucking hard.
Copy !req
1030. Uh, there's a waiting room
Copy !req
1031. up by surgery, sixth floor.
Copy !req
1032. Right off the elevator.
You can't miss it.
Copy !req
1033. Angioedema responded to epi,
Copy !req
1034. diphenhydramine, and steroids.
Copy !req
1035. Excellent.
Copy !req
1036. Thank you.
Copy !req
1037. You're very welcome.
Copy !req
1038. Which neurotransmitter
makes the best adhesive?
Copy !req
1039. - I don't know—
- Glutamate!
Copy !req
1040. "Glue"-tamate.
Copy !req
1041. Am I right?
Copy !req
1042. Nicely done, Dr. King.
Copy !req
1043. That was really quick
thinking back there.
Copy !req
1044. I'm really sorry if
it seemed like I doubted you.
Copy !req
1045. I didn't. I just—
Copy !req
1046. Honestly,
I surprised myself a bit.
Copy !req
1047. Yeah?
Copy !req
1048. Well, you trusted your gut.
Copy !req
1049. Maybe that's
your special sauce.
Copy !req
1050. Maybe.
Copy !req
1051. Um, Dr. Mohan,
Copy !req
1052. what if I don't have
special sauce?
Copy !req
1053. Of course you do.
Copy !req
1054. Just be yourself.
Copy !req
1055. It'll come.
Copy !req
1056. So now might be
a good time to go over
Copy !req
1057. some doctor-patient
interaction guidelines.
Copy !req
1058. I'm sorry.
That dad was just such...
Copy !req
1059. - So overbearing.
- An asshole.
Copy !req
1060. I'm sorry.
Copy !req
1061. Look, do I think he needed
to chill out a little bit?
Copy !req
1062. Yes.
Copy !req
1063. But he's a parent,
and this might be
Copy !req
1064. his way of coping
with the stress
Copy !req
1065. of a very frightening
situation.
Copy !req
1066. I'm sorry.
I don't know what came over me.
Copy !req
1067. No, I do.
Copy !req
1068. You and that baseball kid
Copy !req
1069. are two pressure cooker
prodigies in a pod.
Copy !req
1070. Just as physicians,
we gotta learn
Copy !req
1071. to keep our emotions in check
and not let
Copy !req
1072. our personal
experiences interfere
Copy !req
1073. with our professional
responsibilities.
Copy !req
1074. How long did it take you
to learn that?
Copy !req
1075. I'm still learning.
Copy !req
1076. And I also learned
to never get on your bad side.
Copy !req
1077. Yo, yo, yo.
Copy !req
1078. - Hey.
- Almost quitting time.
Copy !req
1079. I so appreciate you
helping me out with Harrison.
Copy !req
1080. - Oh.
- And my douchebag ex.
Copy !req
1081. - Hey, we all have them.
- Yeah.
Copy !req
1082. Oh. Totally.
Copy !req
1083. Me too. Me too.
Copy !req
1084. Yeah.
Copy !req
1085. I'm always happy to help.
Copy !req
1086. Yeah.
Copy !req
1087. So I get off in a couple hours.
Copy !req
1088. Do you mind just doing
a loop every once in a while
Copy !req
1089. to make sure he's not
burning the place down?
Copy !req
1090. - Can do.
- Great.
Copy !req
1091. And, you know,
a new foot massage place
Copy !req
1092. just opened
in the Strip District.
Copy !req
1093. Do you wanna go on Sunday?
Copy !req
1094. - For sure. Yeah, yeah.
- OK, cool.
Copy !req
1095. I'm free Sunday—
Copy !req
1096. um, to—to help or just do—
Copy !req
1097. yeah, whatever.
Wherever.
Copy !req
1098. Oh, my God.
Copy !req
1099. I mean, Harrison would love
a sitter closer to his own age.
Copy !req
1100. I—
I'll get your number
Copy !req
1101. and text you the address?
That's awesome.
Copy !req
1102. - Oh.
- Thank you.
Copy !req
1103. Oh, sure.
Copy !req
1104. Dr. Santos, a moment, please?
Copy !req
1105. So how's
your first day going?
Copy !req
1106. So far, so good.
Copy !req
1107. Getting along with everyone?
Copy !req
1108. Yeah, pretty much.
Copy !req
1109. Except Langdon?
Copy !req
1110. So in this ER,
we all need to work together
Copy !req
1111. as a single unified entity.
Copy !req
1112. And if two people on my team
can't work together,
Copy !req
1113. it kind of throws
the rhythm of the place off.
Copy !req
1114. Understood.
Copy !req
1115. My duty, regardless
of personal relationships,
Copy !req
1116. is to make sure everybody
on my team is doing OK.
Copy !req
1117. So are you doing OK?
Copy !req
1118. Uh, it's not a big deal.
Copy !req
1119. I can handle it.
Copy !req
1120. Handle what?
Copy !req
1121. Nothing.
It—it's fine.
Copy !req
1122. I—
Copy !req
1123. I don't wanna get
anyone in trouble.
Copy !req
1124. Hmm.
Copy !req
1125. OK, if there is anything—
Copy !req
1126. anything that could
affect my ER,
Copy !req
1127. I need to know about it,
Copy !req
1128. and you have
a responsibility to tell me.
Copy !req
1129. - Hey.
- Hey.
Copy !req
1130. Did they catch the bastard
who sucker punched you?
Copy !req
1131. I haven't heard.
Copy !req
1132. Well, when they do,
just send him to me.
Copy !req
1133. I can make it look
like an accident.
Copy !req
1134. I might just take you up
on that.
Copy !req
1135. Mm, you betcha.
Copy !req
1136. You've been paroled!
Copy !req
1137. - Are you sure?
- Yeah.
Copy !req
1138. - Oh.
- OK. Yeah.
Copy !req
1139. Ow. OK.
Copy !req
1140. Yep. Go check on Myrna.
Copy !req
1141. - You got a sec?
- Bless you.
Copy !req
1142. For you, boss, I got two.
Copy !req
1143. What's up?
Copy !req
1144. I heard there's been
Copy !req
1145. some inconsistencies with meds
intended for your patients.
Copy !req
1146. What?
Copy !req
1147. Frank, have you been helping
yourself to benzos from the ER?
Copy !req
1148. Yeah, I've been
stealing blood too.
Copy !req
1149. I asked you a question.
Copy !req
1150. Wait, are you serious?
Copy !req
1151. What are you doing?
Copy !req
1152. Really?
Copy !req
1153. Santos?
Copy !req
1154. Whatever the hell
she told you is bullshit.
Copy !req
1155. I didn't mention Santos.
Copy !req
1156. You didn't have to.
Copy !req
1157. I told you, she is trouble.
Copy !req
1158. Have you ever taken
a patient's medication?
Copy !req
1159. This is insane.
Copy !req
1160. This is completely
fucking insane.
Copy !req
1161. I need you
to open your locker.
Copy !req
1162. - Yeah, right.
- Open your locker.
Copy !req
1163. You're gonna regret—
Copy !req
1164. Open your fucking locker,
Copy !req
1165. or I will have security
smash it open.
Copy !req
1166. Is the imprint code
on these pills
Copy !req
1167. gonna match Louie's Librium?
Copy !req
1168. Go home, Frank.
Copy !req
1169. No, no,
it's not like you think.
Copy !req
1170. You remember, whenever
I helped my parents move,
Copy !req
1171. I was too cheap
to pay for movers.
Copy !req
1172. I hurt my back.
I told you that.
Copy !req
1173. You teased me
about it, remember?
Copy !req
1174. Well, our own Dr. Hagan
prescribed me
Copy !req
1175. some pain meds
and muscle relaxants.
Copy !req
1176. I was just weaning myself off.
Copy !req
1177. It was just for maintenance.
I'm done.
Copy !req
1178. Robby, come on.
Copy !req
1179. You know me, Robby.
Copy !req
1180. You know me, man.
Copy !req
1181. I'm sorry. I fucked up.
Copy !req
1182. I just—I—I was trying to—
- Trying to what?
Copy !req
1183. Steal pills
without getting caught?
Copy !req
1184. No, it's not like—
you don't under—
Copy !req
1185. - I don't fucking understand?
- It's not like you think!
Copy !req
1186. I'm not high. I'm not high.
Copy !req
1187. You've seen what I do, Robby.
Copy !req
1188. Could a drug addict
do what I do?
Copy !req
1189. Apparently.
Copy !req
1190. And I just fucking let him!
Copy !req
1191. You're done.
Copy !req
1192. Leave now, or I will have
Ahmad escort you out.
Copy !req
1193. Robby, please.
Copy !req
1194. You are done.
Copy !req
1195. What?
6,260 —> 00:47:27,469
What?
Copy !req