1. Hey, I need my cast off.
Copy !req
2. As soon as you
park that outside.
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3. Morning, Doc.
- Olsen.
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4. Happy Fourth.
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5. Excuse me, guys.
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6. Sorry.
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7. Hey, how's it going, Dad?
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8. I'm so sleep-deprived.
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9. My house is starting to feel
like a CIA black site.
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10. Have you considered hiring
a night nurse?
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11. - You're looking at him.
- You got a ripe one coming in
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12. you're gonna have to deal with
before everybody out there
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13. starts puking.
- Lovely.
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14. Your replacement came in early.
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15. She brought in a full
bagel spread.
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16. I'm just saying.
- She's not my replacement.
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17. She's just covering as chief
while I go
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18. on my little sabbatical.
- Three months?
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19. I'll be back
before your daughter
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20. sleeps through the night.
- Hey, dude, that's cold.
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21. - Morning.
- Good morning.
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22. Good morning, John.
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23. I could have sworn
it was still around 4:00 a.m...
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24. Did you guys have
an easy night last night?
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25. The waiting room
actually looks manageable.
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26. I wouldn't call it easy,
but not too bad.
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27. I figured we'd have hands
and burns down here a bunch,
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28. but so far nobody's
blown off any fingers.
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29. Oh, you know
you just jinxed it.
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30. You guys and your jinxes.
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31. - Please, Jesus, please.
- Hail Mary again.
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32. - In the sanctified flesh.
- Don't let me die alone.
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33. - Just try to relax, Margaret.
- I need a priest.
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34. - Hey, hey, Dr. Robby.
- What's the good word, Perlah?
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35. All your results came
back normal, Mrs. Walker.
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36. I'm dying.
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37. You're not dying,
Mrs. Walker, I promise.
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38. Jesus is coming for me.
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39. If He is, He hasn't checked
in at registration yet.
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40. Please don't let me die
a sinner.
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41. Don't worry, Margaret—
we're going to have
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42. the hospital chaplain come
and see you in a moment.
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43. I'm not going
to last that long.
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44. Yes, you will, because we're
going to give you a shot
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45. to keep you alive
until they get here.
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46. What are you thinking,
Dr. Robinavitch?
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47. 500 mikes of cyanocobalamin?
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48. In her condition,
I'd push a full 1,000.
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49. Whoo.
You heard the man, Perlah.
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50. God bless you.
God bless all of you.
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51. Amen to that.
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52. Hail Mary, full of grace,
the Lord is with thee...
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53. Ooh, nothing like
the miracle healing powers
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54. of a good old B12 shot.
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55. How does she hold down a job?
- She doesn't.
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56. She's wearing
a waitress uniform.
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57. Yeah, from a diner
that closed 20 years ago.
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58. Tier One Trauma,
ETA six minutes.
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59. And so it begins.
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60. My husband is still waiting
to see a doctor.
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61. I apologize for the wait,
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62. but here are two doctors
just for you.
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63. Mr. Burgess
has been complaining
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64. of leg cramps for a day.
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65. Slightly tachy at 110,
BP 128 over 75.
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66. Afebrile, good sats.
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67. I'm Dr. Shen,
but I'm going off shift.
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68. Dr. Robinavitch will be one of
the doctors looking after you.
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69. What other medications
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70. are you currently taking,
Mr. Burgess?
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71. I brought his meds.
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72. Thank you.
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73. These are his supplements,
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74. mostly all-natural and organic
where possible.
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75. And these are
his homeopathic prescriptions.
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76. I also have a list
of his refrigerated probiotics.
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77. Where the hell is everybody?
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78. Our new attending
is torturing
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79. our intern and med students
in Trauma One.
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80. She came in early
to meet the night shift
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81. and took things over.
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82. Okay, that takes giant balls
of disrespect.
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83. Giant Balls of Disrespect
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84. was the name
of my band in high school.
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85. And my nickname
for my ex-husband.
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86. Hey, uh,
is this your last shift?
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87. - For a while, yeah.
- Oh, I am so jealous.
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88. Hey, I'll pay you a grand
if you take my second husband.
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89. Tempting.
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90. So tell me about
this new attending.
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91. Uh, she's pretty,
divorced, one kid.
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92. Can already tell
she is a strict rule follower.
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93. I'm probably going
to grow to hate her.
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94. - What's her name, again?
- Dr. Baran Al-Hashimi.
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95. Al-Hashimi?
What is that?
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96. Irish?
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97. She's some sort
of clinical informatics expert.
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98. Once she started
talking about AI,
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99. I started thinking about robots
and kind of stopped listening.
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100. Clear.
Off the chest, Ogilvie.
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101. Get ready to step up here, Joy.
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102. Ogilvie, off the chest!
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103. Clear!
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104. Still V-tach,
but it looks weird.
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105. - Agreed.
- No pulse.
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106. No effusion,
good lung sliding.
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107. Start compressions, Joy.
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108. We haven't considered
all the Ts.
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109. I checked for tamponade
and tension pneumo.
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110. What if it's thrombosis?
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111. If it's a pulmonary or cardiac
clot, TNK could save him.
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112. We are sticking
with the algorithm for now.
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113. - Algorithm's not working.
- Faster and deeper, please.
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114. - Uh, you need a break, Joy?
- No, I need an attending.
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115. I'm right here.
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116. Stop compressions.
We're calling it.
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117. Sorry, the patient's dead.
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118. All right.
Who can tell me what went well?
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119. We followed
the V-tach algorithm.
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120. We checked
for reversible causes.
Copy !req
121. We limited our rhythm
and pulse checks to 10 seconds.
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122. Excellent.
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123. Should we have
given thrombolytics?
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124. No, you should have
recognized
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125. that the cardiac rhythm
on the monitor was polymorphic,
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126. not just V-tach.
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127. It was torsades de pointes.
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128. That's French—
"twisting of the points."
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129. From prolonged QT,
antiarrhythmics,
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130. electrolyte disorders.
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131. Your patient would have lived
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132. if you had pushed
magnesium sulfate.
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133. Good news is
he's an organ donor.
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134. Parts of him are going to get
used to make Frisbees
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135. and water bottles and end up
as microplastics
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136. in our brains
and reproductive organs.
Copy !req
137. Thank you for the words
of encouragement, boss.
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138. Dr. Al-Hashimi,
Dr. Michael Robinavitch.
Copy !req
139. Everybody calls me Robby.
- Baran, please.
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140. - Welcome to the Pitt.
- Yeah, about that—
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141. Trauma's a minute out.
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142. Ooh, who wants to treat
a real patient?
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143. Yes, please.
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144. This thing's going
to give me nightmares.
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145. I hope you don't mind me
jumping right into things.
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146. I find that a mock code
is a great way
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147. to assess
the students' capabilities.
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148. Well, it might have been nice
if we'd had a little time
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149. to go over how we do things.
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150. Did you not get a packet
from Dr. Underwood? Gloria?
Copy !req
151. It outlined
the quality-improvement changes
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152. I instituted at the VA.
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153. We're adopting the program
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154. at all
of the university hospitals.
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155. You didn't read it?
- No, I did. I mean, I will.
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156. I'm going to.
I want to.
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157. I thought I had
a little bit more time
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158. before you came in today.
- We've already distributed
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159. patient passports
to everyone at registration.
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160. What is a patient passport?
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161. So glad you asked.
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162. Samira?
- Dr. Al.
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163. We worked together
at the VA a few years ago.
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164. And now you're an R4.
- Yes.
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165. And I'm so excited
you're joining us.
Copy !req
166. Dr. Mel King is here, too.
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167. I think you worked
with her as well.
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168. - Incoming!
- I did indeed.
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169. John Doe—dishwasher,
penetrating trauma
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170. from a kitchen knife
to the right chest.
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171. - Assault or accident?
- Unclear.
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172. Initially had a pulse,
lost it two blocks away.
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173. What do we got, party people?
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174. Dr. Yolanda Garcia,
trauma surgery fellow,
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175. meet Dr. Baran Al-Hashimi,
new E.D. attending.
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176. She's gonna be covering for me
while I'm gone.
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177. So nice to meet you.
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178. About time they replaced you,
Rabbit-bitch.
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179. I'm gonna miss you,
too, Yolo.
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180. Dr. Garcia has a hard time
expressing her feelings.
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181. Not all of them.
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182. One, two, three.
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183. Prep for a left thoracotomy.
- I'm on it.
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184. What's up, White Chocolate?
Copy !req
185. Did you know our farm boy here
is a vintage-funk freak?
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186. Unfortunately,
he also likes to use
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187. other people's toothbrushes.
- It was one time.
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188. They were the same color.
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189. - What's your plan, Samira?
- Dr. Mohan, next steps?
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190. Chest tube to the right.
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191. Stand by with massive
transfusion protocol.
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192. I put two units
on the infuser.
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193. Sterile gloves, 61/2.
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194. Here, we let the fellows
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195. and the residents
kind of take charge.
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196. I'll hold on to them
just in case.
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197. Is the VA even
a trauma center?
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198. Not for medic runs,
but they walk in—
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199. falls, major MVCs, GSWs.
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200. Stab wound's on the right.
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201. Why are we opening
the left chest?
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202. Better access
if it's tamponade,
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203. and you can cross-clamp
the aorta.
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204. Javadi, Whitaker,
sterile gloves.
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205. Can I glove up?
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206. It's best if you
watch the first one.
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207. This guy's dead anyway.
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208. - 10 blade.
- 28 French on a long Kelly.
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209. Javadi, you're on suction,
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210. Whitaker, get ready
for internal compressions.
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211. Sorry, that's my phone.
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212. Finochietto retractor.
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213. Whitaker,
give me a little room.
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214. I need to get to his heart.
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215. I'm in.
Hook up the Thora-Seal.
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216. You want me
to get that for you?
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217. Not right now.
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218. No tamponade,
pretty dry in here.
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219. Heart's empty.
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220. Somebody start cardiac massage,
I'll cross-clamp.
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221. Yeah, I got it.
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222. You do these one-handed,
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223. pushing up against the
breastbone with four fingers.
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224. - Very good.
- Not much blood to suction.
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225. - Okay, team, I think we need—
- Samira, next steps?
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226. Keep transfusing.
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227. Open the right chest.
- That is correct.
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228. Booties on, kids.
There will be blood.
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229. Frank?
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230. Langdon.
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231. Frank?
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232. You should be good
to go now, hon.
Copy !req
233. - Thanks, Lupe.
- Of course.
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234. Hey, go get 'em.
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235. Hey, Doc.
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236. It's been a while.
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237. I got a-a bad toothache today.
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238. We'll take care
of that, Louie.
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239. All right.
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240. There's too much blood
to suction.
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241. Uh, retracting the lung.
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242. - Try to identify the source.
- Could be the right ventricle.
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243. Or more likely, the hilum.
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244. Fresh lap pads.
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245. Siri, turn on silent mode!
Copy !req
246. Good morning.
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247. If it was a good morning,
I'd still be in bed.
Copy !req
248. So what are you doing here?
Copy !req
249. Benji's mom is visiting
for the holiday.
Copy !req
250. - She's still alive?
- That woman's too mean to die.
Copy !req
251. Plus, who else is going
to get this place
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252. through
the Fourth of July weekend?
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253. Sure as hell
ain't going to be me.
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254. I rest my case.
What am I walking into?
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255. Nothing too bad, yet.
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256. Uh, these are the ones
I'd keep an eye on.
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257. The prodigal son returns.
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258. Too soon?
Copy !req
259. No, I guess not.
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260. You're back.
- I took some time.
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261. I'm like an old trail horse—
I always find my way back home.
Copy !req
262. You look good, kid.
How you feeling?
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263. Uh, yeah, great.
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264. You know, it's been a...
Copy !req
265. it's been a journey.
- I bet.
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266. Thanks.
Robby around?
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267. Uh, he's in with a trauma.
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268. But if you hurry back, you can
catch some of the pass-ons.
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269. They're in North.
- Uh, thanks.
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270. I'll keep an eye on him.
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271. I think we have
a lost little lamb.
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272. Uh, excuse me, hon.
Can we help you?
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273. I'm looking
for the charge nurse.
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274. Oh, well,
you found two of 'em.
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275. I'm Lena.
This is Dana.
Copy !req
276. I'm night shift, going home,
Copy !req
277. but Dana is queen
of the day shift.
Copy !req
278. Emma Nolan.
Nice to meet you both.
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279. Uh, I'm a new grad RN
here to shadow.
Copy !req
280. Welcome to the Pitt,
Emma Nolan.
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281. Here, let me put some
of your stuff behind the desk,
Copy !req
282. and I'll give you a quick tour.
- Okay.
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283. - Where you from, sweetheart?
- Sault Ste. Marie.
Copy !req
284. Oh.
Copy !req
285. It's in Upper Michigan,
practically Canada.
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286. My great-grandmother
was from up that way—
Copy !req
287. nice area, a lot of bugs.
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288. How about a cup of coffee?
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289. Can't locate the source.
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290. Proximal hilum
is under the sternum.
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291. Along with most
of the right ventricle.
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292. - You need better exposure.
- Convert to a clamshell.
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293. - Exactly.
- Trauma shears.
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294. Would've been nice to let
them come up with that plan.
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295. Heart's going to need double
compressions just like this.
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296. Squeeze from the apex
to the aorta.
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297. Right ventricle looks good.
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298. Massive hemorrhage
from the hilum.
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299. Second MTP pack is going,
additional four units.
Copy !req
300. Hilar injury
looks very proximal—
Copy !req
301. may be pulmonary artery
and vein.
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302. Clamp's on.
Nope, no good.
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303. Still bleeding
like a stuck pig.
Copy !req
304. I can give it a try.
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305. Dr. Garcia is
a very skilled surgeon.
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306. If she can't get it, we need
to think of something else.
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307. Like what?
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308. Hilar flip.
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309. We're going to rotate
the lung 180 degrees,
Copy !req
310. like putting a kink
in the garden hose.
Copy !req
311. It'll stop the bleeding.
- That could possibly work.
Copy !req
312. Or he'll die when you rip
the entire lung off the hilum.
Copy !req
313. Gently, very, very gently,
very, very slowly.
Copy !req
314. - Blood loss is slowing down.
- That's a good sign.
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315. Hilum looks dry.
Copy !req
316. Yeah, but the heart
feels empty.
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317. Okay, we fixed the leak.
Now let's fill the tank.
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318. You are very popular today.
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319. Sorry, I'll turn it off
when I can.
Copy !req
320. Nine-year-old Kylie Connors—
Copy !req
321. brought in by
her dad's girlfriend, Gina.
Copy !req
322. Kylie took a tumble
on the stairs this morning.
Copy !req
323. 3-centimeter chin lac
and a chipped front incisor.
Copy !req
324. She's got LET
on a pressure dressing.
Copy !req
325. Bleeding pretty good
on arrival.
Copy !req
326. Dermabond should do the trick.
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327. Any questions?
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328. Dr. King?
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329. Mel?
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330. Oh, um,
I didn't say anything.
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331. - Uh, how you feeling, Kylie?
- Tired.
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332. - We've been here since 5:30.
- Oh, that makes two of us.
Copy !req
333. But don't worry.
We'll patch you up good as new.
Copy !req
334. And we will get you out of here
as soon as we can.
Copy !req
335. Any questions?
- Can you raise your chin?
Copy !req
336. No, I'm just
her dad's girlfriend,
Copy !req
337. so I'm new to all this.
- No worries. We got you.
Copy !req
338. Next.
Copy !req
339. 26-year-old Liam Sanders—
took a fall from his bicycle.
Copy !req
340. No LOC, nonfocal neuro,
Copy !req
341. lower-leg lac
with no bony tenderness.
Copy !req
342. Were you wearing
a helmet, Liam?
Copy !req
343. No, I was just riding
in my neighborhood.
Copy !req
344. You should always
wear a helmet.
Copy !req
345. Hey, nice of you to join us.
Copy !req
346. - Hey.
- Dr. Langdon!
Copy !req
347. Sold to Dr. Langdon.
Copy !req
348. Candace O'Grady, 82...
Copy !req
349. Brought in by her son Richard
for intractable vomiting.
Copy !req
350. Hardly any hemorrhage
on the right.
Copy !req
351. - Looks like the flip worked.
- How's the heart, Whitaker?
Copy !req
352. Feels full of blood.
First time since we started.
Copy !req
353. Hold compressions.
Copy !req
354. - Quivering bag of worms.
- Resume compressions.
Copy !req
355. When the heart quivers
like that, it's obvious V-fib.
Copy !req
356. - Okay, internal paddles ready.
- Mm-hmm. Charge to...?
Copy !req
357. - 25 joules.
- 50 joules.
Copy !req
358. 50 gets it right
the first time.
Copy !req
359. Charged.
Copy !req
360. Okay, Whitaker,
when you're ready.
Copy !req
361. Clear.
Copy !req
362. That's what normal sinus
looks like.
Copy !req
363. Strong carotid.
Copy !req
364. Saline lap pads
and up to the OR.
Copy !req
365. That's a hell of a way
to start the day.
Copy !req
366. Unconventional,
but a decent outcome.
Copy !req
367. Why don't we split up
for efficiency?
Copy !req
368. Residents present to either
one of us but not both.
Copy !req
369. We can certainly
discuss that.
Copy !req
370. Were you feeling weak
or dizzy?
Copy !req
371. No.
Copy !req
372. I-I got up to pee,
and I tripped over
Copy !req
373. a laundry basket that
I couldn't see in the dark.
Copy !req
374. Did you hit your head?
Copy !req
375. Does my chart say
that I hit my head?
Copy !req
376. No, we just
want to be thorough
Copy !req
377. to make sure
you don't miss anything.
Copy !req
378. How about we focus
on patching me up?
Copy !req
379. Ah!
Copy !req
380. All right, Mr. Williams,
Copy !req
381. we're going to check an X-ray
of your wrist
Copy !req
382. and try to get you out of here
as quickly as possible.
Copy !req
383. Great. And let's keep
the bullshit extra charges
Copy !req
384. to a minimum, huh?
Copy !req
385. My deductible
is already a bitch.
Copy !req
386. Sure.
Copy !req
387. Bye.
Copy !req
388. My mother is trying
to destroy my life.
Copy !req
389. Yeah, they seem
to take pleasure in that.
Copy !req
390. I committed
to a partnership-track position
Copy !req
391. next year at a hospital
back in Jersey
Copy !req
392. so I could be close
and support her.
Copy !req
393. But now she's getting married
and selling our house
Copy !req
394. to go on a year-long cruise
around the world.
Copy !req
395. Wow.
I mean, that's a—
Copy !req
396. Pretty fucking stupid idea,
if you ask me.
Copy !req
397. She's known this guy
less than a year.
Copy !req
398. What if he's a player?
What if she disappears at sea?
Copy !req
399. I mean,
what if they're in love?
Copy !req
400. Lust is more like it.
Copy !req
401. That is even better.
Copy !req
402. Man, it has been a while,
Copy !req
403. and I'm solo this weekend.
Copy !req
404. I need to get laid.
Copy !req
405. It's a little much
before 8:00 a.m., right?
Copy !req
406. Yeah.
Copy !req
407. Or ever.
Copy !req
408. How's it going, Esme?
Copy !req
409. Oh, just another day
in paradise.
Copy !req
410. Heard you're going on a trip.
Copy !req
411. Taking a sabbatical.
Leave tonight.
Copy !req
412. Where you going?
Copy !req
413. Um, Head-Smashed-In
Buffalo Jump.
Copy !req
414. Captain Crunch
flying squirrel socks.
Copy !req
415. What, are we talking in code,
or are you having a stroke?
Copy !req
416. It's an Aboriginal UNESCO
Heritage Site in Alberta.
Copy !req
417. I've never seen the Badlands.
Copy !req
418. What is this, like, uh,
some sort of spirit quest?
Copy !req
419. Uh, yeah,
something like that.
Copy !req
420. Look, I, uh—
I guess we should talk.
Copy !req
421. Got a lot of things I need to—
- At some point, not right now.
Copy !req
422. Right now
I got to hit the head,
Copy !req
423. and I would like you to go
help Donnie out in Triage.
Copy !req
424. Triage?
Copy !req
425. N-no.
Copy !req
426. No, I already picked up
a patient in North 2,
Copy !req
427. a bicycle fall leg lac,
so maybe—
Copy !req
428. Pretty sure
we can cover for you.
Copy !req
429. We've been doing it for months.
Copy !req
430. Right.
Copy !req
431. No, and I—and I am—
I am very, uh—
Copy !req
432. both very sorry
and appreciative of that.
Copy !req
433. I just would hate to think
Copy !req
434. that this is some kind
of a punishment for...
Copy !req
435. but, uh, yeah.
Yeah. No, for sure.
Copy !req
436. We'll—we'll talk later,
before you go.
Copy !req
437. Like I said, not right now.
Copy !req
438. Donnie just passed
his NP certification.
Copy !req
439. He can help if you get in
over your head.
Copy !req
440. Hey, Mel...
Copy !req
441. can you take over
a bike fall leg lac in North 2
Copy !req
442. for Langdon
while he's out in Triage?
Copy !req
443. Um, you know, I-I can work
in Triage if you want—
Copy !req
444. No, I want to keep Langdon
out in Triage,
Copy !req
445. and I want to keep you
back here.
Copy !req
446. You okay with that?
- Sure.
Copy !req
447. - Great.
- Absolutely.
Copy !req
448. So...
Copy !req
449. who should I pick up?
Copy !req
450. We're about to get
the morning rush.
Copy !req
451. What do you mean?
Copy !req
452. Every morning
around this time,
Copy !req
453. the nursing homes
and assisted-living facilities
Copy !req
454. do their morning bed checks.
- Uh-huh.
Copy !req
455. It looks pretty quiet to me.
Copy !req
456. Huh.
Copy !req
457. Incoming.
Copy !req
458. Oh, like I said.
Copy !req
459. Come on.
Copy !req
460. Ethan Bostick, 79—
Copy !req
461. found altered this morning
at assisted living.
Copy !req
462. No history of dementia.
Copy !req
463. Has a POLST.
- What's a POLST?
Copy !req
464. Physician Orders
for Life-Sustaining Treatment—
Copy !req
465. no CPR, no intubation.
Copy !req
466. Then there's—
there's nothing for us to do.
Copy !req
467. South 15 is open.
Copy !req
468. Uh, well, "do not resuscitate"
does not mean "do not treat."
Copy !req
469. He may perk up with fluids,
IV antibiotics.
Copy !req
470. What's the good word, Crash?
Copy !req
471. You save
that ventriloquist dummy?
Copy !req
472. - Yeah.
- Really?
Copy !req
473. No.
Copy !req
474. Wait, tell me
you're not actually charting
Copy !req
475. about losing a mannequin.
- It's part of the exercise.
Copy !req
476. Dr. Al-Hashimi
asked us to do it.
Copy !req
477. Who's his next of kin—
Barbie?
Copy !req
478. What's your, uh, take
on the new attending?
Copy !req
479. Too soon to tell.
Copy !req
480. You?
Copy !req
481. She's already bugging me
Copy !req
482. about being behind
on my charting.
Copy !req
483. Now I know why everyone says
Copy !req
484. being a second-year resident
sucks—because it does.
Copy !req
485. I must've slept through
the part of med school
Copy !req
486. where they tell you 90% of
your time will be spent typing.
Copy !req
487. Which is just one more reason
Copy !req
488. surgery is
a better lifestyle choice.
Copy !req
489. Hey, Dr. Shamsi.
Dr. Trinity Santos.
Copy !req
490. Ah, yes, the ER intern
who's interested
Copy !req
491. in my surgery program.
- That's me.
Copy !req
492. But I'm an R2 now and thinking
of double boarding
Copy !req
493. in surgery
and emergency medicine,
Copy !req
494. which I know would sound
ridiculously ambitious
Copy !req
495. if I didn't have the talent
to back it up.
Copy !req
496. And the required attitude.
Copy !req
497. Are you here to see a patient?
Copy !req
498. I was. I did.
Copy !req
499. And now I'm here to learn
Copy !req
500. why you aren't returning
my calls or texts.
Copy !req
501. Okay, I'm out.
Copy !req
502. Nice seeing you again,
Dr. Shamsi.
Copy !req
503. As soon as I get
a little free time,
Copy !req
504. I will make plans for all of us
to do something together.
Copy !req
505. - What about Tuesday?
- I'm working.
Copy !req
506. On your birthday?
Copy !req
507. I will call you
and Dad tomorrow,
Copy !req
508. and we'll come up with something
to do together, I promise.
Copy !req
509. But right now I actually have
Copy !req
510. a bunch
of night-shift hand-offs.
Copy !req
511. We have schedules.
You have chaos.
Copy !req
512. You know she's wasting
her talents down here.
Copy !req
513. Victoria is a big girl.
She can make her own decisions.
Copy !req
514. She's also a young girl who's
still very impressionable.
Copy !req
515. And you can be very...
- "Pressionable"?
Copy !req
516. Yes?
Copy !req
517. Who?
Copy !req
518. Oh, for God's sake.
I'll be right there.
Copy !req
519. We need to talk.
Copy !req
520. How about same time tomorrow?
Copy !req
521. Next Tuesday's your birthday?
Copy !req
522. No.
Copy !req
523. Yes.
- Your 21st birthday?
Copy !req
524. Please don't
say anything, okay?
Copy !req
525. I-I get a little anxious
about—
Copy !req
526. Dr. Santos, little girl
with the chin lac
Copy !req
527. is getting into a gown.
Copy !req
528. Don't want anyone to know what?
Copy !req
529. Nothing.
Copy !req
530. - Have a good day.
- You too.
Copy !req
531. Oh.
Copy !req
532. Hey, Duke, I'm just calling
to remind you
Copy !req
533. that this is my last shift
for a while.
Copy !req
534. So I need you to come in
before 3:00
Copy !req
535. in case we need
to run some tests.
Copy !req
536. Okay?
We had a deal, brother.
Copy !req
537. Oh. Hello.
- Hi.
Copy !req
538. I know you're crazy busy.
- Always.
Copy !req
539. But I figured we should
really go over a few things
Copy !req
540. before you're gone.
- Sure.
Copy !req
541. Where would you like to start?
Copy !req
542. Well, one little thing
that I think
Copy !req
543. would have a big impact
with staff and patients alike
Copy !req
544. is if we launched a campaign
Copy !req
545. to eradicate referring
to this wonderful department
Copy !req
546. as the Pitt.
- Really?
Copy !req
547. I know you think
it's silly and petty.
Copy !req
548. No, I think it's
just kind of endearing,
Copy !req
549. pretty damn accurate.
- I would argue the opposite.
Copy !req
550. I think subconsciously
it affects those who work here.
Copy !req
551. It also lowers expectations,
Copy !req
552. which in turn lowers
patient-satisfaction scores.
Copy !req
553. You have been talking
to Gloria.
Copy !req
554. - Yes, and she agrees with me.
- Don't doubt that for a moment.
Copy !req
555. You have to see the man
over there right now!
Copy !req
556. We see people in order
of severity, ma'am.
Copy !req
557. I don't know
what you're saying.
Copy !req
558. I can taste the shit
in the back of my throat.
Copy !req
559. Actually, the lady's right.
Copy !req
560. He's going to make
all of us sick.
Copy !req
561. Yes, please.
Copy !req
562. All right.
Copy !req
563. We'll get him back.
Copy !req
564. Tell Dana
we're bringing the funk.
Copy !req
565. - Oh, my God.
- Whew!
Copy !req
566. So when did your eye start
bothering you, Ms. Mathews?
Copy !req
567. Sister Grace, please.
Copy !req
568. I'm only married to God.
Copy !req
569. Of course, I'm sorry.
Copy !req
570. A few days ago.
I thought it was pink eye
Copy !req
571. or maybe I scratched it
while gardening.
Copy !req
572. It's a very bad case
of conjunctivitis.
Copy !req
573. We should send a sample
to the lab
Copy !req
574. to direct our treatment.
Copy !req
575. Look up for me.
Thank you.
Copy !req
576. Okay, I'll put a numbing drop
in your eye
Copy !req
577. and check for a scratch
with a special lamp.
Copy !req
578. And I'll get you
to look up for me again.
Copy !req
579. Thank you.
Copy !req
580. Have you ever considered
serving God?
Copy !req
581. Which one?
Copy !req
582. Excuse me?
Copy !req
583. My family is Hindu,
Copy !req
584. so we have, like,
33 different kinds of deities.
Copy !req
585. Oh, we have the one.
Copy !req
586. Some people
only need one, right?
Copy !req
587. Okay.
Copy !req
588. Most important rule
around here—be smart, be safe.
Copy !req
589. I can't warn you enough
about protecting yourself
Copy !req
590. and your fellow nurses.
Copy !req
591. We use the STAMP acronym
to assess patients.
Copy !req
592. You know it?
Copy !req
593. Uh, S is for staring
or refusal to make eye contact.
Copy !req
594. If they're staring,
they're scaring.
Copy !req
595. T?
- Tone of voice.
Copy !req
596. Often the threat level
rises with their voice.
Copy !req
597. A is for anxiety.
Copy !req
598. You can also think
"aggression."
Copy !req
599. M is mumbling.
Copy !req
600. Which, if you
listen closely enough,
Copy !req
601. is often them saying
what they're thinking of doing
Copy !req
602. as they talk themselves
up to it.
Copy !req
603. And P?
- Pacing.
Copy !req
604. Good.
Copy !req
605. We also have a safe word—
"hula hoop."
Copy !req
606. I guess technically
it's two words, but whatever.
Copy !req
607. If there's a threat,
say "hula hoop,"
Copy !req
608. and we'll all respond.
Copy !req
609. Yeah?
Copy !req
610. Lovely.
Copy !req
611. Okay, I'll be right there
with reinforcements.
Copy !req
612. Duty calls.
We're headed for Triage.
Copy !req
613. We're going to get
your cast off—
Copy !req
614. The antibiotics
should clear everything up,
Copy !req
615. but you should try to stay
off it for a few days.
Copy !req
616. Uh, I have to work.
I'm late as it is.
Copy !req
617. Well, um, take breaks
and elevate when you can.
Copy !req
618. Tylenol and Advil for the pain.
Copy !req
619. If the pain persists or feel
like it's getting worse,
Copy !req
620. come on back.
Copy !req
621. We'll get you fixed up.
- Thanks.
Copy !req
622. They said give this
to the doctor.
Copy !req
623. - What the hell is it?
- Patient passport.
Copy !req
624. Lets patients know
what they're waiting for
Copy !req
625. and how long it'll take.
Copy !req
626. You check off if he needs labs,
X-rays, CT.
Copy !req
627. None of the above.
When did we start this?
Copy !req
628. Today, the new attending.
Copy !req
629. What's up
with your tooth, Louie?
Copy !req
630. It's been going on
for a while,
Copy !req
631. but it got bad last night.
Copy !req
632. Lower-left side.
Copy !req
633. Okay.
Copy !req
634. Oh, yeah.
Copy !req
635. It could be an infection
at the root.
Copy !req
636. We can drain it, but then...
Copy !req
637. you're, uh—you're breathing
kind of fast.
Copy !req
638. Yeah, I've been—
Copy !req
639. well, I've been,
uh, walking more,
Copy !req
640. trying to get in shape.
Copy !req
641. But sometimes I get
a little short of breath.
Copy !req
642. Yeah, you need to walk past
the liquor store, not into it.
Copy !req
643. Only shape you're getting in
is for a liver transplant.
Copy !req
644. I don't need a new liver.
Just get rid of this toothache.
Copy !req
645. Deep breath.
Copy !req
646. One more.
Copy !req
647. - Is my heart still ticking?
- Like a jackrabbit.
Copy !req
648. How long you been sitting down?
- Oh, just for a few minutes.
Copy !req
649. Not that long.
Copy !req
650. Um, Louie...
Copy !req
651. There's something
I need to tell you.
Copy !req
652. Last time I saw you,
about ten months ago,
Copy !req
653. I treated you, and I took
some of your medicine.
Copy !req
654. I'm not sure I follow.
Copy !req
655. I have an addiction
to benzos,
Copy !req
656. and I helped myself to some
of the Librium I prescribed you
Copy !req
657. for your withdrawal.
Copy !req
658. You stole my pills?
Copy !req
659. Yeah.
Copy !req
660. Yes, um...
Copy !req
661. I'm sorry.
It was, uh...
Copy !req
662. it was not only wrong
and utterly unprofessional,
Copy !req
663. but it was a betrayal
of my Hippocratic Oath,
Copy !req
664. and it was a fucking crime.
Copy !req
665. That's where I've been—
rehab and counseling.
Copy !req
666. - Huh.
- I'm sorry.
Copy !req
667. I-I understand if you'd prefer
a different doctor.
Copy !req
668. Hey, Doc,
we have a situation.
Copy !req
669. Excuse me.
Copy !req
670. What kind of situation?
Copy !req
671. Someone left a little baby
in the restroom.
Copy !req
672. Okay, let's think
Copy !req
673. about reversible causes
of confusion in the elderly.
Copy !req
674. Uh, hypo or hypernatremia,
infection, but he's afebrile,
Copy !req
675. good O2 sats,
and urine dip is negative.
Copy !req
676. Yeah, great.
Joy, anything to add?
Copy !req
677. Nah.
Copy !req
678. - V-tach. Can I—
- Yeah.
Copy !req
679. No pulse.
Should we call for a code blue?
Copy !req
680. No CPR, no shock, we honor
his POLST and his wishes.
Copy !req
681. So what does that leave us?
Copy !req
682. Making sure he's comfortable.
Copy !req
683. I'll suction.
Copy !req
684. Altered mental
in the elderly can also be
Copy !req
685. toxicity from anticholinergics,
sedative-hypnotics, opioids.
Copy !req
686. A-am I missing something?
Copy !req
687. Social skills?
Copy !req
688. What?
Copy !req
689. He looks so peaceful.
Copy !req
690. Shouldn't we go find
a new patient?
Copy !req
691. No, stay here.
Copy !req
692. Asystole.
Copy !req
693. Quick and painless.
Copy !req
694. We should all be so lucky.
Copy !req
695. I'll try to contact
some family.
Copy !req
696. Yeah, one of the things
we like to do here...
Copy !req
697. When we have the time...
Copy !req
698. is to take a moment of silence
when we lose a patient
Copy !req
699. to respect their humanity.
Copy !req
700. He was someone's son,
perhaps a father himself,
Copy !req
701. a brother or a friend.
Copy !req
702. Oh, uh, make sure
your phones are on silent.
Copy !req
703. Great, great, great.
Okay. Uh...
Copy !req
704. Is anyone missing a baby?
Copy !req
705. Did anyone leave their child
in the restroom?
Copy !req
706. Do you, uh, remember seeing
a woman enter with a baby
Copy !req
707. but leave without one?
Copy !req
708. No, sorry.
Copy !req
709. Might be on the security tapes.
Copy !req
710. I'll have Ahmad check it out.
- Please.
Copy !req
711. Yeah.
Copy !req
712. Harlow Graham to window one.
Copy !req
713. Harlow Graham to window one,
please.
Copy !req
714. Donnie Donahue,
nurse practitioner.
Copy !req
715. This is Emma, new grad nurse.
Copy !req
716. - Hey.
- Nice to meet you.
Copy !req
717. - What's going on?
- Somebody dumped their kid.
Copy !req
718. Maybe Mom just stepped out
for a smoke or something.
Copy !req
719. What?
I'm being helpful.
Copy !req
720. Sometimes they just need
a little break,
Copy !req
721. and then they come back.
Copy !req
722. At least they didn't leave her
in a suitcase
Copy !req
723. at the bus station.
- Does that happen?
Copy !req
724. If that's a true story,
I don't want to know about it.
Copy !req
725. - It ain't the worst I've seen.
- Please, don't tell me.
Copy !req
726. I'm a new dad, remember?
- Okay.
Copy !req
727. There you go.
I'll get Robby.
Copy !req
728. - Should I come with?
- No, stay here.
Copy !req
729. Donnie, Jesse,
teach her something.
Copy !req
730. You know how to check
a rectal temp on an infant?
Copy !req
731. Uh...
Copy !req
732. theoretically.
Copy !req
733. Mr. Williams, how's the pain?
Copy !req
734. Nothing I can't manage
Copy !req
735. with some Vicodin
and a little scotch.
Copy !req
736. Well, it's best
not to mix the two.
Copy !req
737. James here is going to take you
to get an X-ray of your wrist.
Copy !req
738. I'm going to be fine.
Copy !req
739. Well, it'll tell us
if you need a cast.
Copy !req
740. Oh, I doubt it.
Copy !req
741. I should probably go home,
keep some ice on it.
Copy !req
742. I know you guys
always need the beds.
Copy !req
743. Well, uh,
it'll only take a minute,
Copy !req
744. and then we'll know for sure.
Copy !req
745. Yeah, I-I really don't think
it's necessary.
Copy !req
746. And I have a busy day,
but I appreciate your concern.
Copy !req
747. I'd really like to observe you
for a little bit,
Copy !req
748. in case you did hit your head.
Copy !req
749. My head?
Copy !req
750. I hit my schnoz on my arm,
I think, nothing more.
Copy !req
751. You think?
You don't remember?
Copy !req
752. No.
Copy !req
753. Or, yes.
Copy !req
754. I'm going to be fine, really.
Copy !req
755. But thank you for your concern.
Copy !req
756. Okay.
Copy !req
757. How about we take that X-ray
just to be safe?
Copy !req
758. - Yeah. Yeah, okay.
- Yeah?
Copy !req
759. Okay.
- Okay, good idea.
Copy !req
760. Somebody found a baby?
- Yeah.
Copy !req
761. Not the first time
it's happened.
Copy !req
762. So, about those pills I took—
Copy !req
763. Oh, don't worry
about it, Doc.
Copy !req
764. If the pills helped you, great.
Copy !req
765. I never really liked
taking 'em.
Copy !req
766. I appreciate that, Louie.
Copy !req
767. That's not really
the point, but...
Copy !req
768. I need to lift up
your shirt for a second.
Copy !req
769. How long has your belly
been hard like that?
Copy !req
770. I don't know.
Copy !req
771. I figured I could wait
another week.
Copy !req
772. You need, uh, some lab tests
Copy !req
773. and a procedure to drain off
some of this fluid.
Copy !req
774. Yeah, I know the drill.
Copy !req
775. I've been tapped
a few times before.
Copy !req
776. Three times
in the last six months.
Copy !req
777. You need to give your liver
a break, Louie.
Copy !req
778. Yeah, I know.
Copy !req
779. I just heard somebody
dumped a baby
Copy !req
780. in the waiting-room bathroom.
Copy !req
781. How sad is that?
- Huh?
Copy !req
782. What's up with you today,
Mel... ancholia?
Copy !req
783. What makes you think
there's something up with me?
Copy !req
784. You're moping
around here all day
Copy !req
785. like somebody gunned down
your favorite K-Pop band.
Copy !req
786. I don't really have
a favorite K-Pop band.
Copy !req
787. It's not that I don't like
the genre.
Copy !req
788. It's just kinda—
- Okay, forget K-Pop.
Copy !req
789. What's going on with you?
Copy !req
790. You usually ride in here
Copy !req
791. on your unicorn
tossing wildflowers.
Copy !req
792. - "Unicorn"?
- Never mind.
Copy !req
793. Is everything okay
with your sister?
Copy !req
794. Oh, yeah, she's great.
Copy !req
795. It's just this...
Copy !req
796. Spill, girl.
Copy !req
797. Um...
Copy !req
798. well, a-a couple months ago,
I got named in a...
Copy !req
799. Malpractice lawsuit.
Copy !req
800. And so, um, today
is the—the deposition.
Copy !req
801. That's it?
Copy !req
802. Every emergency-medicine doc
gets sued sooner or later.
Copy !req
803. Seriously, don't sweat it.
You're still a resident.
Copy !req
804. We're protected
by the hospital.
Copy !req
805. You could cut somebody's head
off and get away with it.
Copy !req
806. But, you know, like, don't.
Copy !req
807. You don't want to become
known as the one
Copy !req
808. who put Mel in mel-practice.
Copy !req
809. Hey, Santos, our little girl,
Kylie, has been
Copy !req
810. in the West Penn Emergency
Department a couple times.
Copy !req
811. I'm not saying this
is necessarily the case here,
Copy !req
812. but recent studies
have linked bullying behavior
Copy !req
813. to different
personality disorders.
Copy !req
814. On the other hand, though,
I-I am known to be a bit
Copy !req
815. overly sensitive sometimes—
Copy !req
816. - Mel.
- Yes?
Copy !req
817. You're talking
to yourself again.
Copy !req
818. You need something?
- Uh, yeah, a good lawyer.
Copy !req
819. I don't know. I'm kidding.
Copy !req
820. I'm—
Copy !req
821. Yo, Robinavitch, somebody
ditched a bundle of joy
Copy !req
822. in chairs.
Copy !req
823. - How old?
- Couple months maybe.
Copy !req
824. Donahue's got her in Pedes.
Copy !req
825. - No one saw who left her?
- Apparently not.
Copy !req
826. - That's so sad.
- Tell me about it.
Copy !req
827. Who throws away
a perfectly good baby?
Copy !req
828. Make a lane!
Copy !req
829. Ah, sweet baby Jesus,
Antoine!
Copy !req
830. Right to the outdoor shower!
- I just drive 'em.
Copy !req
831. I'm not
a wash and detail service.
Copy !req
832. Yeah, yeah,
God forbid you prove useful.
Copy !req
833. Ah, good timing, Ms. Emma.
Copy !req
834. Time for you and me to do
the Lord's work. This way.
Copy !req
835. Ooh, God, what is that?
Copy !req
836. Okay, big breath.
Copy !req
837. All right, lungs sound great.
Can you lean forward for me?
Copy !req
838. Uh, did you hit your back
when you fell down the stairs?
Copy !req
839. No.
Copy !req
840. Okay, there's
a pretty good bruise here.
Copy !req
841. I got knocked down in soccer.
Copy !req
842. Oh, no, you broke your wrist
last year, too, huh?
Copy !req
843. Fell off my skateboard.
Got a purple cast.
Copy !req
844. Cool color.
Copy !req
845. And you were treated
at West Penn?
Copy !req
846. Is that your closest hospital?
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847. Uh, I guess
that would make sense.
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848. I've only been dating her dad
a few months.
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849. Uh, he lived in Garfield
before the divorce.
Copy !req
850. - And, uh, what about these?
- Soccer.
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851. Do you wear shin guards?
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852. My dad ordered them.
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853. Okay. What does your dad do
for work?
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854. He draws buildings,
but he's not an architect.
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855. He's a draftsman
for a firm in Newcastle.
Copy !req
856. Okay. Um, Kylie,
any chance you can pee?
Copy !req
857. - Mm, maybe.
- Okay.
Copy !req
858. Well, with the bruise
on your back,
Copy !req
859. we need to check your urine.
Copy !req
860. - Okay.
- Okay.
Copy !req
861. Did you eat anything
out of the ordinary recently?
Copy !req
862. No.
Copy !req
863. Sorry, but we went
through this a bunch.
Copy !req
864. Don't you people communicate?
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865. You're the third nurse
we've told her story to.
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866. I'm a doctor.
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867. Richard, would you go
to the cafeteria
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868. and get me
a large chamomile tea?
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869. What can we get you, my dear?
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870. I'm fine, thank you.
Copy !req
871. Yeah, I'll be right back.
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872. Please excuse my son.
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873. Ever since my husband died,
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874. he's been
a little overprotective.
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875. I think it's sweet.
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876. You're very lucky to have him.
- I am.
Copy !req
877. Are you still taking your
loperamide and cholestyramine?
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878. Um, mm, not so much.
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879. No?
Copy !req
880. That may be why you're
experiencing the abdominal pain
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881. and vomiting.
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882. When did you stop taking
your meds?
Copy !req
883. Last winter or so.
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884. My neighbor Helen and I bingo
in Wintersville.
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885. There's a dispensary next door.
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886. And we got some marijuana.
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887. And I swear
it cleared everything up.
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888. A few cookies
every few hours...
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889. and no more pain.
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890. "A few cookies"?
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891. How many are you eating
in a day?
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892. Oh, uh...
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893. I don't know.
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894. Probably a dozen or so,
but they're not very big.
Copy !req
895. There have been some studies
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896. that show
an added dementia risk
Copy !req
897. with marijuana use
in older adults.
Copy !req
898. Well, that sucks
for old people.
Copy !req
899. Kylie,
there are some questions
Copy !req
900. that we ask every kid
who comes in with an injury.
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901. Like what?
Copy !req
902. Like, sometimes the people
that you live with
Copy !req
903. can get so mad that
they hit you or hurt you,
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904. maybe without even meaning to.
Copy !req
905. Does that ever happen?
Copy !req
906. No, not to me.
Copy !req
907. Or sometimes kids
can get punished
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908. for doing something wrong
Copy !req
909. with maybe a spanking
or a belt.
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910. I get time-outs.
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911. How about at school, Kylie?
Copy !req
912. You know, is anybody being,
you know, mean or bullying you?
Copy !req
913. No, I have lots of friends.
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914. Yo, Whitaker.
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915. Dr. Langdon.
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916. - You, uh, meet Louie here?
- Uh, yeah, yeah, many times.
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917. Good morning, Mr. Cloverfield.
- What's up, Doc?
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918. Where's your new resident
badge buddy, buddy?
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919. Oh, uh, yeah, they—they
didn't give me a new one yet.
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920. Bummer.
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921. You and, uh,
your ducklings got time
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922. to tap a six-pack
off our friend here?
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923. Louie needs a paracentesis.
- Yeah, sure.
Copy !req
924. It's good to see you
again, Louie—
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925. not in this condition,
of course.
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926. How you feeling?
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927. Feeling like I need
a drink pretty soon.
Copy !req
928. Okay, well,
first things first—
Copy !req
929. we are going to make you
more comfortable
Copy !req
930. by draining some fluid.
Copy !req
931. You're gonna take off
a big volume,
Copy !req
932. so start with 60 grams
of 25% albumin IV.
Copy !req
933. You tapped him before?
- No.
Copy !req
934. That's okay, Doc.
I'll talk him through it.
Copy !req
935. Okay.
Copy !req
936. Sats 99 on room air,
normal BP, normal pulse.
Copy !req
937. Oh, well hydrated.
Copy !req
938. No obvious source
of infection.
Copy !req
939. Could be a benign virus,
but can't assume that.
Copy !req
940. - Is this the abandoned baby?
- Mm-hmm.
Copy !req
941. - How old?
- How old do you think she is?
Copy !req
942. - Month, month and a half?
- It's tricky.
Copy !req
943. Under 28 days is a Safe Haven
drop-off, no questions asked.
Copy !req
944. But over 28 days is a crime,
child abandonment.
Copy !req
945. How should we assess?
Copy !req
946. Under 28 days gets everything,
including an LP.
Copy !req
947. But over 28 days,
Copy !req
948. you can follow PECARN
or Step-by-step
Copy !req
949. to determine risk of invasive
bacterial infection.
Copy !req
950. This baby looks great.
Copy !req
951. But we know nothing
about the birth history.
Copy !req
952. Did Mom have group B strep,
active HSV lesions?
Copy !req
953. We should assume the worst.
Put in your orders, Dr. Mohan.
Copy !req
954. CBC...
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955. Blood culture, chem panel,
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956. chest X-ray, UA and culture,
Copy !req
957. respiratory virus panel.
Copy !req
958. Check inflammatory markers—
procalcitonin and CRP—
Copy !req
959. then take it from there.
Copy !req
960. That sounds like a plan.
Copy !req
961. Dr. Robby,
Santos needs you in North 1.
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962. Okay, I'll be right there.
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963. If you'll excuse me,
if you'll excuse me.
Copy !req
964. - Mind if I join with?
- Uh, no, I got this.
Copy !req
965. It will help me
get a better sense
Copy !req
966. of how you like to do things
by seeing you in action
Copy !req
967. with the residents.
Copy !req
968. Be my guest.
Copy !req
969. I will be right back.
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970. Um, nine-year-old
Kylie Connors—
Copy !req
971. took a tumble running up
the stairs this morning.
Copy !req
972. Chin lac and fractured tooth.
Copy !req
973. Brought in by her dad's
girlfriend, Gina.
Copy !req
974. Supposedly, the dad had
to leave early for work.
Copy !req
975. Kylie has a lot of bruising
on her body—
Copy !req
976. some old, some new.
Copy !req
977. Are you concerned
about non-accidental trauma?
Copy !req
978. Or worse.
Copy !req
979. Her urine sample shows
gross hematuria,
Copy !req
980. which could be renal injury,
or vaginal bleeding from trauma
Copy !req
981. could have contaminated
the specimen.
Copy !req
982. Lots to consider.
What's your plan?
Copy !req
983. Labs, ultrasound,
social-work consult,
Copy !req
984. then decide
if this is reportable.
Copy !req
985. Mm-hmm.
Copy !req
986. Let me know
if you can feel this.
Copy !req
987. No.
Am I supposed to?
Copy !req
988. No.
Copy !req
989. Your hair's
such a pretty color.
Copy !req
990. Thank you.
Copy !req
991. Reminds me of my mom.
Copy !req
992. She died when I was nine.
- Oh, I'm sorry about that.
Copy !req
993. She wore glasses
like you, too.
Copy !req
994. Weird.
Copy !req
995. What do you like to do
when you're not working?
Copy !req
996. Um, spend some time
with my sister,
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997. read.
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998. Do you drink coffee?
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999. Uh, no, I avoid caffeine.
Copy !req
1000. Me too.
Copy !req
1001. Um...
Copy !req
1002. what about boba?
Copy !req
1003. I love boba.
Copy !req
1004. I'd offer you some gum,
but it's laced with nicotine.
Copy !req
1005. Trying to quit smoking.
Copy !req
1006. That's good.
Copy !req
1007. Verdict's still out.
Copy !req
1008. Get in all those nooks
and crannies, Mr. Digby.
Copy !req
1009. Your skin will thank you.
Copy !req
1010. We all will.
Copy !req
1011. Oh, I could stay
in here all day.
Copy !req
1012. It's a miracle what little
soap, water, and human decency
Copy !req
1013. can do sometimes.
Copy !req
1014. Don't forget the ears, pal.
Copy !req
1015. Don't want anything
growing in there either.
Copy !req
1016. Okay. Okay.
Copy !req
1017. What's your story, Emma?
Copy !req
1018. What'd your parents do?
Got siblings? Boyfriend?
Copy !req
1019. Ever kill a man in a bar fight?
Copy !req
1020. Uh...
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1021. So, Mr. Williams,
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1022. sometimes a fracture
of the scaphoid bone
Copy !req
1023. doesn't show up on day one.
Copy !req
1024. So my advice to be safe is
wear a splint for two weeks
Copy !req
1025. and then come back
for a repeat X-ray,
Copy !req
1026. and we'll see
if it's really there.
Copy !req
1027. My knee hurts.
Copy !req
1028. Oh, did you hurt your knee?
Copy !req
1029. I must have.
Copy !req
1030. What is this?
Copy !req
1031. That's, um, for your wrist.
Copy !req
1032. And I need this?
Copy !req
1033. Well, um, if it's a, uh—
Copy !req
1034. John, can you?
Copy !req
1035. If it's a fracture
and we don't immobilize,
Copy !req
1036. the bone might not heal
properly.
Copy !req
1037. How long is this gonna take?
Copy !req
1038. Just a few minutes
to fit you.
Copy !req
1039. Is this place new?
Copy !req
1040. Mr. Williams,
do you know what day it is?
Copy !req
1041. It's Taco Tuesday.
Copy !req
1042. Do you know where you are?
Copy !req
1043. Yeah, I'm in the slowest
medical clinic in the West.
Copy !req
1044. Do you know what year it is?
Copy !req
1045. How about you just
fix my wrist
Copy !req
1046. and you stop
with all the questions?
Copy !req
1047. I am not here to be profiled.
Copy !req
1048. Yeah, of course.
Copy !req
1049. I'll be back, okay?
Copy !req
1050. All right, Mr. Digby,
looking better already.
Copy !req
1051. Certainly smell
a little better.
Copy !req
1052. Do you have any conditioner?
Copy !req
1053. Let's get you dried off
and back inside.
Copy !req
1054. Get him gowned up
and put him in South 21,
Copy !req
1055. across from the old nun.
Copy !req
1056. Maybe some of her divine grace
will wear off on him.
Copy !req
1057. Who do we have here?
Copy !req
1058. Evelyn Bostick, 81,
with Alzheimer's.
Copy !req
1059. We brought her husband in
about 30 minutes ago.
Copy !req
1060. She was supposed
to get a ride in,
Copy !req
1061. but they found her
wandering in traffic.
Copy !req
1062. - Where are we?
- You're at the hospital, dear.
Copy !req
1063. I'm not sick.
Copy !req
1064. We brought you
to see your husband.
Copy !req
1065. Oh, no.
Is Ethan okay?
Copy !req
1066. I'll be in to chat with you,
Mrs. Bostick.
Copy !req
1067. He died.
Copy !req
1068. What you got, Amboy?
Copy !req
1069. Allen Billings—had a pallet
fall onto his outstretched arm.
Copy !req
1070. Looks like an open dislocation.
- Yeah, that's got to hurt.
Copy !req
1071. Don't worry, sir.
We got you.
Copy !req
1072. - How's she doing?
- Seems happy enough.
Copy !req
1073. - Yeah. Hi.
- Hi.
Copy !req
1074. Just got a quick
point-of-care CBC.
Copy !req
1075. Is there a problem?
Copy !req
1076. Did I miss something?
Copy !req
1077. Dr. Al? Dr. Al?
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