1. 2701!
Get the fuck out!
Copy !req
2. Is there
a MedicAlert bracelet?
Copy !req
3. - Did you get an ID on him?
- Student ID.
Copy !req
4. Name says Jackson Davis.
- That's a start.
Copy !req
5. Jackson, what's going on?
- Title 18!
Copy !req
6. Title section 508!
- Javadi, you're with us.
Copy !req
7. We're gonna take good care
of you, Mr. Davis.
Copy !req
8. You're in a safe place.
- You're okay.
Copy !req
9. - Get off!
- Trauma One.
Copy !req
10. - Reasonableness! 2709!
- Okay, okay, Jackson.
Copy !req
11. We're gonna need you
to calm down
Copy !req
12. to get the Taser barbs
out of your neck.
Copy !req
13. - Do you need to jump on that?
- Mm-mm.
Copy !req
14. Covering calls for Dana.
Copy !req
15. Stop talking to me.
Copy !req
16. You can't! Title 2710—
Copy !req
17. Hard to assess pupils.
Copy !req
18. Hard to assess anything.
- Yeah, yeah.
Copy !req
19. Wait till after he's sedated.
Copy !req
20. - 10 of olanzapine.
- No, no.
Copy !req
21. That'll take 15 minutes
to kick in.
Copy !req
22. Uh, 5 of droperidol
puts him down in 5.
Copy !req
23. No, you can't give it
without knowing his QT.
Copy !req
24. Two beats of a rhythm strip
before he took off the leads.
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25. No.
Copy !req
26. You can't be in here.
Get out!
Copy !req
27. That looks good.
Go with the droperidol.
Copy !req
28. Get the fuck out!
Get off me!
Copy !req
29. Do we take
the Taser barbs out?
Copy !req
30. - 2701.
- No.
Copy !req
31. We got to wait
till he calms down first.
Copy !req
32. Get off me, man.
2901, get out!
Copy !req
33. Get out!
2710.
Copy !req
34. Title 18, section—
1938.
Copy !req
35. Mr. Randall,
happy 20th anniversary
Copy !req
36. and a very happy
Fourth of July.
Copy !req
37. But no sex fireworks
for you tonight.
Copy !req
38. Give everything
a chance to heal.
Copy !req
39. Don't worry, I will.
Copy !req
40. Thanks, Doc.
Ow.
Copy !req
41. We're going right back
through here, okay, ma'am?
Copy !req
42. Oh, thank you.
Copy !req
43. Change the dressing
twice a day.
Copy !req
44. Doggy bag of the ointment
and nonstick gauze.
Copy !req
45. Cool.
I know the drill.
Copy !req
46. Come back if it starts
to ache or stink.
Copy !req
47. Exactly.
Good luck. Stay safe.
Copy !req
48. Oh, shit, it's Daddy,
with your daddy.
Copy !req
49. Lord, what'd
they get up to now?
Copy !req
50. Treatin' and streetin'.
Copy !req
51. "Pros from Dover."
Copy !req
52. I'm sorry, Ms. Graham.
Copy !req
53. I just saw the ASL note
in your chart.
Copy !req
54. This is Lindsey.
Copy !req
55. We'll bring you back
as soon as possible.
Copy !req
56. Stay with her.
Copy !req
57. All right.
Who here needs help?
Copy !req
58. You?
You need help?
Copy !req
59. Oh, no, no, no, ma'am.
I've been on these since 1987.
Copy !req
60. This one here,
he got dizzy, fell down.
Copy !req
61. Forgot
my blood-pressure medication.
Copy !req
62. I left it back home in Georgia.
Copy !req
63. And presto.
Copy !req
64. We're back, Mr. Digby,
with some IV antibiotics.
Copy !req
65. First we scrub your outsides,
then we clean your insides.
Copy !req
66. What do you need to document
in his chart?
Copy !req
67. Uh, time started,
time completed,
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68. and any adverse reactions.
Copy !req
69. What else?
Copy !req
70. Um, lot number
on the antibiotic vial.
Copy !req
71. Excellent.
Mr. Digby.
Copy !req
72. It's just Digby.
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73. Digby, why'd you wait
so long to come see us?
Copy !req
74. I don't like
going to doctors.
Copy !req
75. Well, that makes two of us.
Copy !req
76. We all need help
from time to time.
Copy !req
77. Think maybe we could arrange
for some ongoing care?
Copy !req
78. I just kind of want
to get patched up, you know?
Copy !req
79. I do know.
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80. But that's today.
What's tomorrow?
Copy !req
81. Sunday.
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82. Use the system.
That's what it's there for.
Copy !req
83. Buddy of mine, Dylan,
knows all the angles.
Copy !req
84. He even works
the occasional miracle.
Copy !req
85. You think maybe
I could have him stop by?
Copy !req
86. I guess, yeah.
Copy !req
87. Great.
Copy !req
88. How about a sandwich?
- Yeah.
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89. Yes, please.
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90. We always offer.
Copy !req
91. Two most important things—
that they know we're here
Copy !req
92. and that we'll never
stop offering.
Copy !req
93. Thanks for covering,
Princess.
Copy !req
94. Anytime.
Copy !req
95. Yo, can I get
some help over here?
Copy !req
96. Yeah.
What's going on, man?
Copy !req
97. The crazy kid in there, screaming.
Copy !req
98. - All right, have a seat.
- Yeah, that's him.
Copy !req
99. Still going nuts.
Copy !req
100. Probably meth—
fucking animal.
Copy !req
101. - What's your name, sir?
- You don't understand!
Copy !req
102. Tony Chinchiolo,
campus security.
Copy !req
103. Yeah, I was at work
when this happened,
Copy !req
104. so I'm gonna need
everything documented.
Copy !req
105. Okay.
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106. All right.
Heart rate's 89.
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107. Pulse ox 97.
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108. Scalp lac's tiny—
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109. 5 millimeters.
- Ow.
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110. Should hold together
with Dermabond.
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111. Kid threw
a fucking chair at me.
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112. Work-related injury
gets a full exam.
Copy !req
113. Jesse here will take you.
- Oh, no.
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114. I-I'm gonna stay here
till the cops come
Copy !req
115. so I can give my statement
and so I can watch him.
Copy !req
116. Yeah.
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117. Trust me, you do not want
him getting out of there.
Copy !req
118. Ow, fuck.
Copy !req
119. - Did she say anything?
- No more than she said to you.
Copy !req
120. Nothing going on at home.
Nothing at school.
Copy !req
121. - And you believe her?
- There's some flags.
Copy !req
122. Bruising in various stages
of healing.
Copy !req
123. She's a little withdrawn,
Copy !req
124. doesn't engage much
for girls her age.
Copy !req
125. But she could just be
a little shy...
Copy !req
126. or scared of being in here.
Copy !req
127. Or she's being abused.
Copy !req
128. That too.
Copy !req
129. We'll find out more
when Dad shows up.
Copy !req
130. Yep.
If he shows up.
Copy !req
131. I need a hand here!
Copy !req
132. There's the first barb out.
Copy !req
133. All right, Javadi, you're up.
Copy !req
134. Okay, so you're gonna
want to clamp
Copy !req
135. where the shaft meets the barb.
Copy !req
136. - Mm-hmm.
- Yep.
Copy !req
137. Stabilize the skin.
Copy !req
138. Not so close
so as to stick yourself.
Copy !req
139. I've seen that once or twice.
Copy !req
140. Uh, pull up at 90 degrees.
Copy !req
141. Harder.
Yep.
Copy !req
142. Harder.
Copy !req
143. Oh.
Copy !req
144. Do we suture those?
Copy !req
145. Nope, just a Band-Aid.
Copy !req
146. - Mel, we need orders.
- Right.
Copy !req
147. I got a rainbow.
Copy !req
148. Uh, CBC...
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149. CMP, UA, blood alcohol,
and tox screen.
Copy !req
150. All of the above.
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151. Cap, if this
young man's stable,
Copy !req
152. can he go to Central 10 pronto?
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153. Double trauma at the back door.
Copy !req
154. Okay, you heard the boss.
Let's get going.
Copy !req
155. Today is starting to heat up.
Copy !req
156. Mark Yee, 32-year-old
restrained driver,
Copy !req
157. auto versus motorcycle.
Copy !req
158. Altered with normal BP,
satting 99 on 2 liters.
Copy !req
159. We're at
the hospital now, Mark.
Copy !req
160. What's wrong with him?
Why isn't he talking?
Copy !req
161. His wife, Nancy,
front-seat passenger,
Copy !req
162. declined transport.
- I'm fine.
Copy !req
163. We weren't going all that fast.
The motorcycle ran the light.
Copy !req
164. I'm Dr. Robby.
This is Dr. Al-Hashimi.
Copy !req
165. - Nice to meet you.
- And this is Nurse Dana.
Copy !req
166. She's our charge nurse.
Copy !req
167. We need to look over
your husband.
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168. Hello. Let's step over here
for a minute, hon.
Copy !req
169. Let them get to work, okay?
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170. Antoine, Larry,
transfer out here.
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171. T-1 will be open in a sec.
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172. Aye, aye, Cap.
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173. One, two, three.
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174. Incoming.
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175. Okay, Joy, you stay with me.
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176. Samira, you stay
with Dr. Al-Hashimi.
Copy !req
177. Open skull fracture.
Copy !req
178. Tubed him
for agonal respirations.
Copy !req
179. BP 60 palp initially.
Copy !req
180. Started a liter of NS,
but lost his pulse en route.
Copy !req
181. Oh, boy,
this doesn't look good.
Copy !req
182. One, two, three.
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183. Joy, check his pupils.
Copy !req
184. Somebody hand me
a pair of scissors.
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185. 8 millimeters.
Nonreactive.
Copy !req
186. AKA blown pupils,
fixed and dilated.
Copy !req
187. Oh.
Copy !req
188. Crushed skull with tons
of gray matter extravasation.
Copy !req
189. At least it was quick.
Copy !req
190. - No helmet?
- Nope, 'cause he took
Copy !req
191. the PennDOT
Motorcycle Safety Course.
Copy !req
192. Isn't that
what you took, Robby?
Copy !req
193. Hold compressions.
Yes, but I still wear a helmet.
Copy !req
194. Is he a donor?
- Also nope.
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195. That is too bad.
Copy !req
196. Asystole.
I think we are done here.
Copy !req
197. - What's next door?
- The guy who hit him.
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198. Joy, you're with me.
Copy !req
199. What about a moment
of reflection? I thought—
Copy !req
200. He'll still be dead
when we get back.
Copy !req
201. Pulse ox 99.
BP 108 over 72.
Copy !req
202. EFAST negative.
Copy !req
203. Hell of a lot better
than the guy next door.
Copy !req
204. - How's the airway?
- Good volume.
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205. Good sats.
Gag reflex...
Copy !req
206. Present.
Copy !req
207. - Intubate?
- Maybe.
Copy !req
208. Maybe not.
- Mr. Yee?
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209. Joy, sternal rub
on his chest, like this.
Copy !req
210. Really hard, please.
Copy !req
211. Mr. Yee?
Copy !req
212. Spontaneous eye movement.
Responds to pain.
Copy !req
213. GCS is 10.
Borderline for intubation.
Copy !req
214. No muscle tone—flaccid
paralysis in the left arm.
Copy !req
215. - Same on the right.
- And both legs.
Copy !req
216. Add towels to both sides of
the collar for more stability.
Copy !req
217. Let's not make this worse.
Copy !req
218. Pan scan with 3D
reconstruction of the spine.
Copy !req
219. He's quadriplegic?
Copy !req
220. If so, it's
a low cervical injury.
Copy !req
221. - Why is that, Joy?
- Uh...
Copy !req
222. C3, 4, and 5 helps you
breathe to stay alive.
Copy !req
223. Mr. Montrose...
Copy !req
224. you can't just be wandering
around, talking to patients.
Copy !req
225. Well, that's—
that's what I do.
Copy !req
226. I'm a greeter at Walmart.
Copy !req
227. I get paid to wander
and to talk to folks.
Copy !req
228. Well, as a—
as a personal favor to me,
Copy !req
229. can you at least stay
in your general vicinity?
Copy !req
230. I can get you a wheelchair
while we wait for your X-rays,
Copy !req
231. but it might take a minute.
Copy !req
232. My dear, I cannot sit.
Copy !req
233. My backside is killing me
from where I fell on it,
Copy !req
234. which is an embarrassing
admission to make
Copy !req
235. to such a lovely woman.
Copy !req
236. Well, thank you
for the compliment,
Copy !req
237. but there's no need
to be embarrassed.
Copy !req
238. You took a very nasty fall.
Copy !req
239. Well, then may I say that
one look in your beautiful eyes
Copy !req
240. and I think I'm falling again.
Copy !req
241. What a charmer.
Copy !req
242. Just for that, I'm gonna
get you a foam donut.
Copy !req
243. It's the eighth wonder
of the world.
Copy !req
244. Pretty great laugh
you got there, Doc.
Copy !req
245. Oh, God.
My witch's cackle?
Copy !req
246. Got CT results
for Mr. Williams.
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247. Ah.
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248. Oh, wow.
Copy !req
249. Okay.
Copy !req
250. Ah.
Right on time.
Copy !req
251. Just—just getting full.
Copy !req
252. Yeah, I'm ready
for number five.
Copy !req
253. - That's impressive.
- Uh-huh.
Copy !req
254. Yeah, there's more
where that came from.
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255. Although, uh, my intake
is running low.
Copy !req
256. Yeah, well, two more bottles
ought to do it.
Copy !req
257. Then we'll drain your tooth,
and we'll get you out of here
Copy !req
258. before the fireworks tonight.
- Oh.
Copy !req
259. Okay. Clamped.
Copy !req
260. Ogilvie, make the change.
Copy !req
261. - Okay.
- Mm-hmm.
Copy !req
262. All right.
Let her rip.
Copy !req
263. Flowing like a river.
Copy !req
264. I love me some fireworks.
Copy !req
265. Oh, yeah?
Copy !req
266. Shit, I-I met Mr. Zambelli...
Copy !req
267. Lean forward.
Copy !req
268. Many times on the field.
Copy !req
269. Who's Mr. Zambelli?
Copy !req
270. Son, you don't know fireworks
Copy !req
271. if you don't know
the name Zambelli.
Copy !req
272. He helped Pittsburgh become
Copy !req
273. the firework capital
of America.
Copy !req
274. You did know that, didn't you?
Copy !req
275. - No.
- Ah.
Copy !req
276. Y'all don't know nothing
about pyrotechnics.
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277. Stick to doctoring.
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278. Yes, will do.
Copy !req
279. I'm sure you have
some questions.
Copy !req
280. I know it's a lot to take in.
Copy !req
281. It's a tumor.
Copy !req
282. It's a brain tumor.
Copy !req
283. Well, it's a mass,
about 4 centimeters,
Copy !req
284. in the frontal lobe.
Copy !req
285. Is it cancer?
Copy !req
286. We can't say
for sure right now.
Copy !req
287. It could be many things—
Copy !req
288. uh, infection, inflammation,
Copy !req
289. a benign cyst.
Copy !req
290. Is it what made me fall?
Copy !req
291. Yeah, possibly.
Copy !req
292. We'd like to keep you here
and treat with dexamethasone,
Copy !req
293. which is a steroid
to take down the swelling.
Copy !req
294. - Hmm.
- And then we'll need
Copy !req
295. a brain biopsy
to know exactly what it is.
Copy !req
296. What, you're—you're gonna
cut open my head?
Copy !req
297. It's just a small hole.
Copy !req
298. We'll do a-a CT-guided
stereotactical biopsy
Copy !req
299. with a-a blunt, thin needle...
Copy !req
300. Which sounds crazy, but it's
actually pretty amazing.
Copy !req
301. I mean, most patients
go home the next day.
Copy !req
302. I don't know.
Copy !req
303. What do you think I should do?
Copy !req
304. I think this is
a pretty good plan.
Copy !req
305. - Okay.
- Yeah?
Copy !req
306. BP 95 over 67.
Copy !req
307. Seems a little
on the low side.
Copy !req
308. It is.
Copy !req
309. Have you ever had
low blood pressure in the past?
Copy !req
310. No, sir. My blood pressure's
always high.
Copy !req
311. Hold still, sir.
No talking while we do the EKG.
Copy !req
312. The Hansens all run high,
except for Monty.
Copy !req
313. He ran low, but he's dead.
- That's not helpful.
Copy !req
314. You want to help,
quit playing family pharmacist.
Copy !req
315. Pooling meds is how
we've always done it.
Copy !req
316. You put everything
in a big pile
Copy !req
317. in the middle of the table—
Copy !req
318. Well, look where
that got us now.
Copy !req
319. No, I'm gonna jump in here
and echo that sharing meds
Copy !req
320. which haven't been
prescribed to you
Copy !req
321. is actually a real big no-no.
Copy !req
322. How we doing on remembering
Copy !req
323. what your brother
might've taken?
Copy !req
324. We could call
back to the house.
Copy !req
325. Great idea.
Okay.
Copy !req
326. Whatever little round pill
you took, sir,
Copy !req
327. has caused your heart rate
and blood pressure
Copy !req
328. to drop so low,
you're at risk of fainting,
Copy !req
329. falling, or having
a serious injury.
Copy !req
330. Oh.
Copy !req
331. We need to take
him back to the ER
Copy !req
332. so he can get
a liter of fluids,
Copy !req
333. we can check his blood tests
Copy !req
334. and monitor his heart rate
and blood pressure
Copy !req
335. till he recovers.
Copy !req
336. Pulse ox holding steady
at 99.
Copy !req
337. Good tidal volume.
Copy !req
338. How you doing there, Mr. Yee?
Copy !req
339. Scanner can take him now.
Copy !req
340. I'll check the results
from upstairs.
Copy !req
341. - Why is he so altered?
- Could be concussion.
Copy !req
342. Maybe a small
intracranial hemorrhage.
Copy !req
343. All will be revealed
by the Donut of Truth.
Copy !req
344. - Need a portable monitor.
- Joy, stay with him, please.
Copy !req
345. See if the radiologist
can give us a STAT read.
Copy !req
346. How is he?
Copy !req
347. Did I hear someone
say he's paralyzed?
Copy !req
348. There are signs of weakness
in both arms and legs.
Copy !req
349. But before we can make
any prognosis,
Copy !req
350. we'll need a full-body scan.
Copy !req
351. Head CT will show us
any brain injury.
Copy !req
352. Neck CT will show us
any spinal-cord injury.
Copy !req
353. Chest, abdomen, pelvis will
rule out any internal bleeding.
Copy !req
354. Oh, my God.
Copy !req
355. The scans should only take
about 15 minutes.
Copy !req
356. In the meantime, perhaps you'd
let us look you over as well?
Copy !req
357. I'm fine.
The medics checked me.
Copy !req
358. I just want to stay
with my husband.
Copy !req
359. Well, you can't go
into the CT with him,
Copy !req
360. but you can wait just outside
if you like.
Copy !req
361. - Excuse me.
- Princess, this is Nancy.
Copy !req
362. Mrs. Yee is gonna go
with her husband to CT.
Copy !req
363. Will you show her where to go?
Copy !req
364. - Sure. Come on in.
- Thank you.
Copy !req
365. So what's the plan now?
Copy !req
366. Keep observing me
in my natural habitat?
Copy !req
367. No telling
what I might do next.
Copy !req
368. I think I've got the gist.
Copy !req
369. How about we each take a lap
and meet here
Copy !req
370. when Mr. Yee is back from CT?
Copy !req
371. Splitting up so soon?
Copy !req
372. You're free to see
other people, Dr. Robinavitch.
Copy !req
373. I'm looking for cooperation,
not commitment.
Copy !req
374. So you bandaged
the burn yourself?
Copy !req
375. Oh, no, no, no, no,
no, no, no, no—
Copy !req
376. Ma'am, you're—you're making
it difficult for me
Copy !req
377. to see under this dressing.
Copy !req
378. Is that a tablecloth?
- Part of a window curtain.
Copy !req
379. Cleaner than tablecloth.
Copy !req
380. I'll wait for the doctor.
Thank you.
Copy !req
381. May I ask how this happened?
Copy !req
382. For weeks on end,
the kids with their
Copy !req
383. guchnyy firecrackers,
going all day and night.
Copy !req
384. Oh, i-is this
a firecracker burn?
Copy !req
385. No, sweetie,
this is from the full samovar
Copy !req
386. I drop on the floor
when the sh—
Copy !req
387. the firecrackers
started going on again.
Copy !req
388. I'm sorry.
What's a samovar?
Copy !req
389. It is a big metal urn
for coffee or tea.
Copy !req
390. They can get super-duper hot,
Copy !req
391. and I was never allowed
to touch ours.
Copy !req
392. Uh, hello, Mrs. Kovalenko.
Copy !req
393. My name is
Dr. Michael Robinavitch.
Copy !req
394. Everybody calls me Dr. Robby.
Copy !req
395. - Robinavitch? Jewish?
- You guessed it.
Copy !req
396. And I see that you are
here today for a burn.
Copy !req
397. Why don't we take a look?
Copy !req
398. Oh, not married?
Copy !req
399. No, I'm not married.
Copy !req
400. Do you attend synagogue?
Copy !req
401. Uh, not for a while.
Copy !req
402. I mean, High Holidays mostly.
Copy !req
403. Where?
Copy !req
404. Ooh.
Copy !req
405. What did you put on this?
Copy !req
406. - Where?
- On your burn.
Copy !req
407. Is this honey?
- Yes, honey.
Copy !req
408. Where do you go on holy days?
Copy !req
409. Uh, my grandparents, um—
Copy !req
410. I grew up
going to Rodef Shalom.
Copy !req
411. You?
Copy !req
412. Tree of Life.
Copy !req
413. They're rebuilding.
Copy !req
414. Yes, something new.
Copy !req
415. Remember, Rebuild, Renew.
Copy !req
416. That's the slogan.
Copy !req
417. I'm sorry,
did you say "honey"?
Copy !req
418. You think honey's funny?
Copy !req
419. Works like a charm.
Copy !req
420. My father kept bees.
I know.
Copy !req
421. If the honey is medical grade
and the burns are not too bad,
Copy !req
422. honey actually does have
some antibacterial
Copy !req
423. and anti-inflammatory
properties.
Copy !req
424. However, these burns
are very deep in some places.
Copy !req
425. They're going
to need debridement.
Copy !req
426. I'm glad you came in.
Copy !req
427. That's what I thought.
Copy !req
428. I was hoping no,
but I figured as much.
Copy !req
429. Not to worry.
Copy !req
430. We are gonna have you
patched up and home
Copy !req
431. in time for dinner
and fireworks.
Copy !req
432. No.
Copy !req
433. No more fireworks.
Copy !req
434. No.
Copy !req
435. Okay.
Copy !req
436. Anyone here treating
Kylie Connors?
Copy !req
437. She's my daughter.
Copy !req
438. She's nine.
I'm Benny Connors.
Copy !req
439. Mr. Connors, I'm Dr. Santos.
Copy !req
440. I'm treating Kylie.
Copy !req
441. Is she okay?
Can I see her?
Copy !req
442. My—my girlfriend, Gina,
says she got a cut on her chin?
Copy !req
443. Yeah, I can take you to her.
Copy !req
444. She has a small
laceration on her chin,
Copy !req
445. but it was easily repaired
with medical superglue,
Copy !req
446. so no stitches necessary.
- Okay.
Copy !req
447. She chipped a tooth,
but it's a baby tooth,
Copy !req
448. so it won't need dental work.
Copy !req
449. All right,
well, that's a relief.
Copy !req
450. Has Kylie had
any previous injuries?
Copy !req
451. Uh, yeah.
Copy !req
452. She, um—she broke
her wrist last year.
Copy !req
453. She was skateboarding.
Copy !req
454. Dana, if you could get Dylan
to come to North 1,
Copy !req
455. and Ahmad.
- You bet.
Copy !req
456. Okay, I got it now.
One, two, three.
Copy !req
457. Daddy, you came.
Copy !req
458. Baby, what's going on, huh?
Copy !req
459. My tooth broke,
and my chin got cut.
Copy !req
460. Oh, no.
Copy !req
461. What happened?
Copy !req
462. She was running
up the stairs.
Copy !req
463. - Gina was chasing me.
- We were playing.
Copy !req
464. As I was saying, Mr. Connors,
the laceration is pretty minor.
Copy !req
465. On the stairs?
Copy !req
466. - It was an accident.
- Perhaps we can—
Copy !req
467. An accident
that wouldn't have happened
Copy !req
468. if you weren't running
up the stairs.
Copy !req
469. Do you understand
what I'm saying?
Copy !req
470. This is the last thing
that I need right now,
Copy !req
471. is her mother finding out
that she got hurt
Copy !req
472. when she's with you.
- It was an accident.
Copy !req
473. And before you get
all high and mighty,
Copy !req
474. I've got questions of my own.
- Like what?
Copy !req
475. Hey, Mr. Connors.
Copy !req
476. I'm sorry, I meant to be here
when you arrived.
Copy !req
477. I'm Dylan Easton.
I'm with Social Services.
Copy !req
478. We have insurance.
Thank you.
Copy !req
479. Perhaps we can step outside
and chat for a second?
Copy !req
480. I can fill you in
on where we are.
Copy !req
481. Hey, uh, Jesse, do you want
to keep Kylie entertained
Copy !req
482. for a few minutes while I...
- Absolutely.
Copy !req
483. Borrow her dad?
Copy !req
484. We'll just head down
to the family room.
Copy !req
485. It's a little quieter there.
Copy !req
486. Why do I got to talk
to a social worker?
Copy !req
487. Anytime a child is injured,
we have some standard questions
Copy !req
488. that we ask parents
and caregivers.
Copy !req
489. Good. That's fine. Great.
Ask me here.
Copy !req
490. Well, we noticed
some bruising on Kylie's body,
Copy !req
491. some old, some new,
on her back and legs.
Copy !req
492. Any idea how she got those?
- Yeah, soccer.
Copy !req
493. She plays for a club team.
Copy !req
494. They're, you know,
little girls,
Copy !req
495. but they play like they're
in "The Hunger Games."
Copy !req
496. Well, I understand
that you and Kylie do
Copy !req
497. a fair amount of roughhousing.
Copy !req
498. What?
Copy !req
499. I'm sorry.
Are you fucking kidding me?
Copy !req
500. Where are you going with this?
Copy !req
501. Are you saying
that I hurt my daughter?
Copy !req
502. Mr. Connors,
nobody's saying that—
Copy !req
503. Oh, no, no, no,
no, no, no, no, no.
Copy !req
504. Gina!
- Mr. Connors—
Copy !req
505. Just—just—Gina!
Copy !req
506. Sir, take a breath.
Copy !req
507. Gina, what did you say
to them?
Copy !req
508. Nothing.
I said that you're a great dad.
Copy !req
509. Okay. What else?
Copy !req
510. That you guys
like to wrestle.
Copy !req
511. - Jesus Christ.
- What?
Copy !req
512. They wanted to know where
all her bruises are from.
Copy !req
513. Who the fuck are you to talk
about me and my daughter?
Copy !req
514. - Who the fuck am I?
- Yeah, that's what I'm asking.
Copy !req
515. Who the fuck am I?
Copy !req
516. Hey, big man, take
one more fucking step—
Copy !req
517. Hey, that's enough.
You need to calm down.
Copy !req
518. Hey, everybody,
back the fuck up!
Copy !req
519. Stop! Stop! Stop! Stop!
Copy !req
520. Kylie's platelets
are only 9,000.
Copy !req
521. What does that mean?
Copy !req
522. It's—it's not what we thought.
Copy !req
523. It's probably ITP.
Copy !req
524. What the hell is ITP?
Copy !req
525. Something we can treat.
Copy !req
526. - You feel that?
- Mm, no.
Copy !req
527. Excellent.
Copy !req
528. This is looking very good.
Copy !req
529. Ah. Tell Mr. Kovalenko.
Copy !req
530. Mrs. Kovalenko?
Copy !req
531. Yes?
Yana, please.
Copy !req
532. Yana, you mentioned
that you dropped the samovar
Copy !req
533. when you heard firecrackers.
Copy !req
534. Yeah.
Copy !req
535. I was on my way inside—
Copy !req
536. October 27, 2018—
Copy !req
537. to the synagogue
when the shooting started.
Copy !req
538. There was nothing I could do.
Copy !req
539. I went in...
Copy !req
540. after the police arrived.
Copy !req
541. I felt I had to.
Copy !req
542. I'm better now.
Copy !req
543. But...
Copy !req
544. New Year's Eve, Fourth of July,
Copy !req
545. when—when kids have
their fireworks
Copy !req
546. and firecrackers, I—
Copy !req
547. There is no clock
on how long it takes.
Copy !req
548. No clock.
Copy !req
549. You must be joking.
Copy !req
550. - Robby?
- Yep.
Copy !req
551. - Mark Yee is back from CT.
- Oh, okay.
Copy !req
552. Um, Perlah, why don't we go
ahead and see if we can put
Copy !req
553. a nonstick dressing on this?
Copy !req
554. And I will come back,
and we can discuss
Copy !req
555. aftercare instructions.
Copy !req
556. Yeah, you got it, boss.
Copy !req
557. Thank you, Doctor.
Copy !req
558. Vitals stable.
Pulse ox holding at 99.
Copy !req
559. Okay.
Heart and lungs look good.
Copy !req
560. - Dr. Mohan.
- Dr. Robby?
Copy !req
561. Yeah?
Copy !req
562. Please make him be okay.
Copy !req
563. I can assure you that we
are gonna do absolutely—
Copy !req
564. Everything you can.
I know.
Copy !req
565. God, this is all my fault.
Copy !req
566. - Mrs. Yee—
- Oh, he's been so stressed.
Copy !req
567. So I planned this weekend away
at Seven Springs,
Copy !req
568. but he didn't want to go
because of work.
Copy !req
569. So we fought
this whole morning.
Copy !req
570. And then I...
Copy !req
571. I said awful things.
Copy !req
572. Those can't be the last words
we say to each other.
Copy !req
573. Doctor, please.
Copy !req
574. Good news.
CT looks normal.
Copy !req
575. No bleeding inside the skull.
Copy !req
576. C-spine, no fractures seen.
Copy !req
577. - He didn't break his neck?
- Then why is he paralyzed?
Copy !req
578. You can have spinal injuries
Copy !req
579. without
radiologic abnormalities.
Copy !req
580. Sometimes it doesn't show up
on CT, only on MRI.
Copy !req
581. Dr. Mohan.
Copy !req
582. Are you sure?
Copy !req
583. Okay.
Copy !req
584. Critical potassium level, 1.2.
Copy !req
585. Wow.
Copy !req
586. - Okay.
- That's crazy low.
Copy !req
587. Uh, extremely low potassium
with generalized weakness
Copy !req
588. and no cervical injury.
Copy !req
589. We may be looking at—
Copy !req
590. Hypokalemic
periodic paralysis.
Copy !req
591. What is that?
Copy !req
592. It's a rare condition
where potassium gets shifted
Copy !req
593. into the cells,
causing profound weakness,
Copy !req
594. just like paralysis.
Copy !req
595. - Will he get better?
- Yes.
Copy !req
596. Back to normal in a few hours.
Copy !req
597. In a f—
Copy !req
598. Replete slowly.
10 MEQ of KCl—
Copy !req
599. Thank you so much.
Copy !req
600. Did you hear that, Mark?
Copy !req
601. Oh, baby,
you're gonna get better.
Copy !req
602. Oh, baby.
Copy !req
603. All right, DD.
Hey, come on now, man.
Copy !req
604. Oh, how you doing, Duante?
Copy !req
605. - Fine.
- Great.
Copy !req
606. If you're fine, you go home.
Copy !req
607. - Really?
- Yeah.
Copy !req
608. Mm-mm.
Hey, tell them.
Copy !req
609. Me and my sister
were making bracelets,
Copy !req
610. and I put beads up my nose.
Copy !req
611. How many?
Copy !req
612. One on each side.
Copy !req
613. I got to ask—
why'd you stick them up there?
Copy !req
614. See how many will fit?
Copy !req
615. To shoot them out
like rockets.
Copy !req
616. Mm.
Copy !req
617. But I breathed in,
Copy !req
618. and they went deeper
and now won't come out.
Copy !req
619. Did you try anything at home?
Copy !req
620. Yeah, I tried blowing
in his mouth,
Copy !req
621. but just got a little snot
on my cheek.
Copy !req
622. "A" for effort, Dad.
Copy !req
623. Okay, we need to take a look
with a little flashlight.
Copy !req
624. Okay?
- Okay.
Copy !req
625. This is what I have
to look forward to?
Copy !req
626. This and so much more.
Copy !req
627. Red bead below
the inferior turbinate.
Copy !req
628. I...
Copy !req
629. got a blue one.
Copy !req
630. Afrin, benzocaine,
Katz extractor?
Copy !req
631. Yep. Dad, looks like we got
to go up and get them.
Copy !req
632. - No way he's sitting still.
- Oh, he'll be numbed up.
Copy !req
633. You don't know this child.
Copy !req
634. Hey, Duante,
you like video games?
Copy !req
635. Everybody does.
Copy !req
636. We have a 3D video game.
Copy !req
637. - Yeah.
- Cool.
Copy !req
638. That's KCl and saline
at 10 MEQ per hour.
Copy !req
639. We avoid dextrose
because the insulin response
Copy !req
640. drops the K even more.
Copy !req
641. If it's genetic, why didn't
it happen when he was a kid?
Copy !req
642. It usually starts
after the teen years.
Copy !req
643. And it can be intermittent.
Copy !req
644. Sometimes it's triggered
by intense exercise or stress.
Copy !req
645. We've been married
eight years.
Copy !req
646. We've had fights.
He's never collapsed.
Copy !req
647. If his thyroid
gets overactive,
Copy !req
648. that brings it on
later in life.
Copy !req
649. I ordered TSH, T3, T4.
Copy !req
650. So now we just wait?
Copy !req
651. Bag him.
Starting compressions.
Copy !req
652. Charge to 200.
- What is happening?
Copy !req
653. Low potassium
can harm electrical activity
Copy !req
654. in the heart.
- Charged.
Copy !req
655. - Clear.
- Clear.
Copy !req
656. Resuming compressions.
Copy !req
657. - So your little girl was ITP?
- Go figure.
Copy !req
658. Nothing like a zebra
to kick-start your morning.
Copy !req
659. Well, it's better
than the alternative.
Copy !req
660. True.
Copy !req
661. ITP.
Copy !req
662. So that's, uh, intra—
Copy !req
663. Immune thrombocytopenia.
Copy !req
664. Used to be called idiopathic
thrombocytopenic purpura.
Copy !req
665. Know what "idiopathic" means?
Copy !req
666. That we don't know
the exact cause.
Copy !req
667. It means the patient
is pathetic
Copy !req
668. and the doctor is an idiot.
Copy !req
669. Just checked
on baby Jane Doe.
Copy !req
670. Looking good.
Taking formula well.
Copy !req
671. We're here
to take a statement.
Copy !req
672. We're looking
for a Tony Chinchiolo.
Copy !req
673. Yo!
Right over here, boys!
Copy !req
674. Well, officers.
Copy !req
675. Heard you had some trouble
over at the campus library.
Copy !req
676. Shit.
Let me just say—
Copy !req
677. new appreciation
for what you guys do every day.
Copy !req
678. Frickin' junkie jungle, right?
Copy !req
679. At the campus library?
Copy !req
680. Yeah.
Copy !req
681. Thumb and forefinger
make a C.
Copy !req
682. Bottom three fingers make an E
for jaw lift.
Copy !req
683. One breath every five seconds.
Come here, try it.
Copy !req
684. About two minutes
since defibrillation.
Copy !req
685. - Holding compressions.
- Normal sinus.
Copy !req
686. Carotid. Strong carotid.
Okay, let's try for BP.
Copy !req
687. Why don't we check
after the shock?
Copy !req
688. 2024 ACLS guidelines.
Copy !req
689. Patients can remain pulseless
for a little bit,
Copy !req
690. even after successful defib.
Copy !req
691. He came back with one shock.
That's as good as it gets.
Copy !req
692. - 104 over 68.
- Good squeeze. Good EF.
Copy !req
693. Spontaneous respirations.
Okay, let's lift him up.
Copy !req
694. He's breathing on his own—
excellent sign.
Copy !req
695. Oh, God.
Copy !req
696. Can I touch him?
- Of course.
Copy !req
697. Oh, Mark.
Copy !req
698. Hey.
Copy !req
699. Oh, shit.
Copy !req
700. We need a gurney!
Copy !req
701. Nancy?
Copy !req
702. Mrs. Yee?
Copy !req
703. Weak carotid.
Shallow breaths.
Copy !req
704. Did she vasovagal
from stress?
Copy !req
705. Can't assume that.
Copy !req
706. Positive seat belt si—
oh, shit.
Copy !req
707. Hang two units of O-neg
on the rapid infuser.
Copy !req
708. Somebody call Garcia.
Shit.
Copy !req
709. We really should have insisted
on examining her.
Copy !req
710. Okay, I got the head.
Copy !req
711. Platelets are these
tiny things in the blood
Copy !req
712. that help it clot.
Copy !req
713. And thrombocytopenia is fancy
for "low platelets,"
Copy !req
714. which explains why your skin
bruises so easily.
Copy !req
715. And what causes it?
Copy !req
716. It's actually
her immune system
Copy !req
717. that's causing
the destruction of platelets.
Copy !req
718. Sometimes
it's a triggered response
Copy !req
719. to, uh, an environmental factor
or virus.
Copy !req
720. And what's the treatment?
What are you giving her?
Copy !req
721. We'll be treating her
with high-dose steroids
Copy !req
722. to suppress the immune system
and IV immunoglobulin,
Copy !req
723. which reduces the destruction
of the platelets in the spleen.
Copy !req
724. Can I go home?
Copy !req
725. You're gonna have to stay
in the hospital
Copy !req
726. for about three days
Copy !req
727. to make sure
that the treatment is working.
Copy !req
728. Okay. Okay.
Copy !req
729. So when can she get
a room in the hospital?
Copy !req
730. That is
an excellent question.
Copy !req
731. I'm going to see
if I can make that happen
Copy !req
732. sooner rather than later,
Copy !req
733. but it might take a while.
- Okay.
Copy !req
734. GPS says I should be there
by 11:00.
Copy !req
735. Do you have any other
questions for me, ma'am?
Copy !req
736. No. I'm sure I will,
but I'll let you go for now.
Copy !req
737. Thank you, Benny.
Copy !req
738. All right.
I'll see you when you get here.
Copy !req
739. See you soon, baby.
I love you.
Copy !req
740. Bye, Mom.
Love you too.
Copy !req
741. There you are.
Copy !req
742. And there you are.
Copy !req
743. Don't try to charm me.
You promised to stay put.
Copy !req
744. I was going
to come right back.
Copy !req
745. My backside is killing me.
Copy !req
746. I need to keep moving,
or I get all achy and stiff.
Copy !req
747. Well, I got you
this foam donut to sit on
Copy !req
748. while we wait for your X-rays.
- Hmm.
Copy !req
749. Dr. Hazel Eyes, it says here
Copy !req
750. that it's only supposed to take
an hour or two for an X-ray.
Copy !req
751. Well, the patient passport
holiday edition
Copy !req
752. would better reflect reality.
Copy !req
753. It could be double that.
Copy !req
754. There's no need for reality.
Copy !req
755. We romantics...
Copy !req
756. prefer la reve, the dream.
Copy !req
757. We do, do we?
Copy !req
758. Oui.
Copy !req
759. Right.
Copy !req
760. Hey, save a dance for me.
Copy !req
761. Uh, yeah, okay, I will.
Copy !req
762. - Dr. McKay?
- Yes.
Copy !req
763. This is Gretchen Williams.
Copy !req
764. - Actually, it's Lambdin.
- Ah.
Copy !req
765. You called about my
ex-husband, Michael Williams.
Copy !req
766. Yeah. Yes, yes.
Thank you for coming in.
Copy !req
767. You were, um, listed
as his emergency contact.
Copy !req
768. Yeah, I don't know why.
Copy !req
769. We have been divorced
for years.
Copy !req
770. Is he all right?
Copy !req
771. He's—he's going
through a lot right now.
Copy !req
772. Would you like to see him?
Copy !req
773. Uh, okay.
Copy !req
774. Leo, can you zoom in and please
hold it a little steadier?
Copy !req
775. Okay.
Copy !req
776. Okay.
Copy !req
777. Atorvastatin.
Copy !req
778. Simvastatin.
Copy !req
779. Ezetimibe.
Copy !req
780. Those are all
high-cholesterol medications.
Copy !req
781. Can you go to the right?
Copy !req
782. Lisinopril.
Copy !req
783. Losartan. Propranolol.
Copy !req
784. Wait, wait, that's it.
Copy !req
785. Wendy's pile.
Copy !req
786. Yellowish bottle,
Copy !req
787. little, round blue pills,
just like I said.
Copy !req
788. - Propranolol?
- Bingo, little lady.
Copy !req
789. Okay, yeah, well, this makes
a lot of sense now.
Copy !req
790. Um, propranolol is a
high-blood-pressure medication.
Copy !req
791. Those are 20 milligrams each,
Copy !req
792. and the starting dose
is 40 mgs.
Copy !req
793. How many pills did you take?
Copy !req
794. No, ma'am. I-I went
just before I came here.
Copy !req
795. Dad.
Copy !req
796. Um—pill—how many pills
did you take?
Copy !req
797. Oh, uh,
I think four, maybe five.
Copy !req
798. That is a lot.
Okay.
Copy !req
799. Full stomach, mind you.
Copy !req
800. Well, um, the good news is,
it has a short half-life,
Copy !req
801. so, um, we're gonna need
to keep you
Copy !req
802. for about four hours
to monitor.
Copy !req
803. But then you'll be able
to rejoin
Copy !req
804. for all the late-afternoon
festivities.
Copy !req
805. - All right.
- Whoo!
Copy !req
806. Unit 3 and 4 running in.
Copy !req
807. BP 84 over 56.
Heart rate 112.
Copy !req
808. Free fluid's
much bigger than before.
Copy !req
809. She's not turning the corner.
OR is holding a room.
Copy !req
810. I'll let the husband know.
Copy !req
811. Why did you guys wait
so long to check her?
Copy !req
812. Good vitals in the field.
No distress.
Copy !req
813. She refused to sign in.
Copy !req
814. You should have
convinced her.
Copy !req
815. 20/20 hindsight.
She was stable.
Copy !req
816. Until she wasn't.
Copy !req
817. Next time, I'll use
my X-ray vision goggles.
Copy !req
818. Let's get her upstairs.
Copy !req
819. Got to do an accu-check
on my DKA patient.
Copy !req
820. Thanks for the backup.
Copy !req
821. Anytime.
Copy !req
822. Now, try and lift
your arm, Mark.
Copy !req
823. I'm trying.
Can't do it.
Copy !req
824. But you are getting stronger,
and your speech is improving.
Copy !req
825. How did I lose
so much potassium?
Copy !req
826. You didn't lose it.
It got shifted into cells.
Copy !req
827. When it comes back,
you'll return to normal.
Copy !req
828. Where's Nancy?
Copy !req
829. She had an injury to her
spleen right about here
Copy !req
830. with some internal bleeding.
Copy !req
831. Oh, God.
Copy !req
832. She passed out
from blood loss.
Copy !req
833. We were able to transfuse her,
and she's now on her way
Copy !req
834. to surgery
to repair that damage.
Copy !req
835. This is my fault.
Copy !req
836. She was trying to—
Copy !req
837. She booked a trip
for us, for me.
Copy !req
838. I fought her the whole time.
I've been—
Copy !req
839. Please don't—
Copy !req
840. oh, my God,
please don't let her die.
Copy !req
841. Please.
Copy !req
842. I can assure you
that she is in excellent hands.
Copy !req
843. Is this how it works?
Copy !req
844. How what works?
Copy !req
845. You think things
are important...
Copy !req
846. that everything's so important.
Copy !req
847. And then you end up here
and see.
Copy !req
848. Yeah, that is how it works.
Copy !req
849. No, it's a small hole.
Copy !req
850. Like the size of a dime,
right, Doc?
Copy !req
851. Mm-hmm.
Yeah, even smaller.
Copy !req
852. It's a minor enough procedure
Copy !req
853. that most patients go home
the next day.
Copy !req
854. And then?
Copy !req
855. And then they'll know
what it is
Copy !req
856. and how to treat it.
Copy !req
857. Isn't that right?
- Yeah, exactly.
Copy !req
858. I'm sorry
that they called you.
Copy !req
859. I never updated the form,
I guess.
Copy !req
860. No, no, it's okay.
I'm—
Copy !req
861. You know, they called, and I
was just kind of surprised.
Copy !req
862. Well, you didn't have
to come.
Copy !req
863. But I did.
Copy !req
864. I heard you got married.
Copy !req
865. Congratulations.
Copy !req
866. Thank you.
Copy !req
867. I hope he treats you well.
Copy !req
868. You deserve to be happy.
Copy !req
869. I'm really sorry you're going
through this, Michael.
Copy !req
870. Yeah.
Copy !req
871. Me too.
Copy !req
872. But you know me—
I'm a survivor.
Copy !req
873. Why don't I-I leave you guys
to talk for a few minutes?
Copy !req
874. I have a patient to check on.
Copy !req
875. - Sure.
- Yeah.
Copy !req
876. Mr. Diaz should be improving
after 2 liters.
Copy !req
877. Blood sugar?
Copy !req
878. Down from 521 to 436.
Copy !req
879. That's good, right?
Copy !req
880. Moving
in the right direction.
Copy !req
881. Were you able to get ahold
of your mom?
Copy !req
882. Yes. She's on her way.
She doesn't have a car.
Copy !req
883. She takes buses,
so it takes longer.
Copy !req
884. I'm sorry.
- Don't be.
Copy !req
885. Current insulin is 0.1 units
per kilo per hour.
Copy !req
886. Next steps?
Copy !req
887. Once the glucose
is down to 250,
Copy !req
888. reduce the insulin to
0.05 units per kilo per hour.
Copy !req
889. Because you can normalize
the blood sugar
Copy !req
890. before you clear the ketones,
and you don't get hypoglycemia.
Copy !req
891. But as treatment continues,
you'll have to give IV dextrose
Copy !req
892. to keep the blood glucose
in between 150 and 200
Copy !req
893. while the insulin drip
clears the ketones.
Copy !req
894. Obviously.
Copy !req
895. I'm sorry, what?
Copy !req
896. Got it.
Copy !req
897. Duante, what are you doing
in there, son?
Copy !req
898. I'm a rabbit,
Copy !req
899. grabbing all the carrots
before the farmer gets me.
Copy !req
900. Keep going.
Copy !req
901. This is a Katz extractor
with a tiny balloon at the end.
Copy !req
902. What we're gonna do is, we're
gonna slip it past the bead,
Copy !req
903. inflate the balloon,
try to pull out the bead.
Copy !req
904. - Is it painful?
- No, he's—he's numbed up.
Copy !req
905. Made it to level three.
Copy !req
906. And pretty distracted.
Copy !req
907. Dad's gonna hold
your head still, okay?
Copy !req
908. - Look up.
- Okay.
Copy !req
909. Now go back, perpendicular,
Copy !req
910. below the turbinates.
Copy !req
911. You guys ever hear
of John O'Donohue?
Copy !req
912. - Mm-mm.
- No.
Copy !req
913. I've been reading him
a lot lately.
Copy !req
914. He's got this book
of, um, blessings.
Copy !req
915. And there's this one
about fatherhood.
Copy !req
916. Really stuck with me.
Copy !req
917. Voilà.
One red bead.
Copy !req
918. Yeah?
How's it go?
Copy !req
919. The ending goes,
"May you be gentle and loving,
Copy !req
920. "clear and sure.
Copy !req
921. "May you trust
in the unseen Providence
Copy !req
922. "that has chosen you
to be a family.
Copy !req
923. "May you stand sure
on your ground and know
Copy !req
924. "that every grace you need
will unfold before you
Copy !req
925. like all the mornings
of your life."
Copy !req
926. Hmm. That's good.
Copy !req
927. I'd add, support your woman
and pack good snacks.
Copy !req
928. That's beautiful.
Copy !req
929. And it turns out, there's
no handbook for fatherhood.
Copy !req
930. So I will take
all the wisdom I can.
Copy !req
931. Blue bead out.
Copy !req
932. Anything else?
Copy !req
933. You tell me.
I have my own report to do.
Copy !req
934. Anything I left out?
Copy !req
935. Labs are back on that kid.
Copy !req
936. We'll follow up
with Mr. Davis.
Copy !req
937. Yeah, when Mr. Davis
comes off the ceiling.
Copy !req
938. Jackson Davis...
Copy !req
939. tox screen negative
for cocaine,
Copy !req
940. amphetamines, marijuana,
PCP, benzos, and opioids.
Copy !req
941. - So no drugs in his system?
- Nope.
Copy !req
942. Taser barbs on the back
of the victim's neck?
Copy !req
943. Yep.
Copy !req
944. Changes things, Tony.
Copy !req
945. Hey, Louie.
Copy !req
946. - How we doing?
- Not so good.
Copy !req
947. I could really use a drink.
Copy !req
948. I f-feel a-a little empty.
Copy !req
949. Okay, well, empty
is what we want.
Copy !req
950. And it looks like we are there.
Copy !req
951. Hey, well, if I can't get
a drink, my tooth.
Copy !req
952. You—you got to do something.
Copy !req
953. We're gonna get
right to that.
Copy !req
954. Let's hang some IV antibiotics,
3 grams of Unasyn.
Copy !req
955. Excellent.
Copy !req
956. He's gonna be right back.
Copy !req
957. We're gonna numb it up
and drain it.
Copy !req
958. Ten minutes, tops, okay?
- Oh.
Copy !req
959. Hey, uh, you said
you met Mr. Zambelli,
Copy !req
960. the fireworks guy,
on the field.
Copy !req
961. What field was that?
Copy !req
962. Uh, n-no more talking.
You got to fix my tooth.
Copy !req
963. Yeah, deal.
Copy !req
964. You're Muslim?
Copy !req
965. I am.
Copy !req
966. Thank you.
Copy !req
967. Oh, for what?
Copy !req
968. After the shooting,
it was the Muslims
Copy !req
969. that came together for us
in support and...
Copy !req
970. walked with us.
Copy !req
971. You raised money.
Copy !req
972. You...
Copy !req
973. paid for all the funerals.
Copy !req
974. Anyway...
Copy !req
975. thank you.
Copy !req
976. Hello.
How's it going in here?
Copy !req
977. Did I miss all the gross stuff?
Copy !req
978. - Timed it perfectly.
- Excellent.
Copy !req
979. My job is all about delegation
and time management.
Copy !req
980. - Oh, not for much longer.
- That is very true.
Copy !req
981. W-why for not longer?
Copy !req
982. Because tomorrow I am leaving
to go on sabbatical.
Copy !req
983. He's leaving us for
three months on a motorcycle.
Copy !req
984. Motorcycle?
You're joking.
Copy !req
985. Why would you do this?
- Why? Why?
Copy !req
986. Why? Because—
- You're middle-aged man.
Copy !req
987. Don't be stupid.
Copy !req
988. Don't hold back.
Tell me how you really feel.
Copy !req
989. Forgive me for being blunt,
Dr. Robinavitch,
Copy !req
990. but how old are you, huh—50?
Copy !req
991. - Ish.
- Ish.
Copy !req
992. 50-ish-year-old man
on a motorcycle—
Copy !req
993. very sad.
Copy !req
994. I, um...
Copy !req
995. I-I-I don't know what to say.
Copy !req
996. Have you ever heard of ITP?
Copy !req
997. I never did.
Copy !req
998. I really appreciate you
bringing her here, okay?
Copy !req
999. Of course.
What do you think I am?
Copy !req
1000. Oh, that's right.
Copy !req
1001. You think I'm some kind
of child abuser.
Copy !req
1002. - No, I never said that—
- The fuck you didn't.
Copy !req
1003. In front of all those people,
you made it sound like
Copy !req
1004. she might have
been getting hurt
Copy !req
1005. while I was watching her,
like it was my fault.
Copy !req
1006. You basically said
the same thing about me.
Copy !req
1007. No, I said that
you guys roughhouse—
Copy !req
1008. that's all—because you do.
Copy !req
1009. You know I would never hurt
my daughter.
Copy !req
1010. Actually, I don't.
Copy !req
1011. I've known you six months.
You could be anybody.
Copy !req
1012. Okay, well, I am sorry
for what I said, okay?
Copy !req
1013. I was upset,
and I-I was worried.
Copy !req
1014. And I just—
I said something stupid.
Copy !req
1015. And I just—
- You think?
Copy !req
1016. Will you just fucking
let me finish?
Copy !req
1017. You are finished!
Copy !req
1018. We're finished.
Copy !req
1019. Well, happy fucking
Fourth of July.
Copy !req
1020. Yeah, happy Independence Day.
Copy !req
1021. Excuse me?
Copy !req
1022. Yes?
What can I do for you?
Copy !req
1023. Uh, my wife and I
were in an accident.
Copy !req
1024. Um, she's in surgery right now.
Copy !req
1025. Would you mind holding
my phone up for me
Copy !req
1026. so I could record
a message for her?
Copy !req
1027. Of course I will.
Copy !req
1028. Happy to.
Copy !req
1029. Oh, good, I have the same one.
Copy !req
1030. I know how this works.
Copy !req
1031. Okay.
Copy !req
1032. Ready?
Copy !req
1033. Go.
Copy !req
1034. Hi, my love.
Copy !req
1035. So, uh...
Copy !req
1036. I was listening
to this couple argue, uh...
Copy !req
1037. and they were yelling.
Copy !req
1038. Both so angry.
Copy !req
1039. And I just wanted you
to know, um...
Copy !req
1040. that I was wrong.
Copy !req
1041. I was so wrong, and—
and I'm sorry about all of it.
Copy !req
1042. Uh...
Copy !req
1043. Hey.
Copy !req
1044. How you doing?
Copy !req
1045. I haven't seen him
in, like, four years.
Copy !req
1046. Oh.
I can't imagine.
Copy !req
1047. That must have been—
- So crazy.
Copy !req
1048. You know, things were not good
at the end.
Copy !req
1049. He was
a really different person.
Copy !req
1050. Huge temper, not like
when we first got married.
Copy !req
1051. I'm so sorry.
Copy !req
1052. Could that mass
have been there for a while
Copy !req
1053. and only recently got worse?
Copy !req
1054. Yes.
Copy !req
1055. Could it be responsible
for how much he changed?
Copy !req
1056. You know, his—
his moods and tempers?
Copy !req
1057. He was—he was getting
into fights with strangers.
Copy !req
1058. It's possible.
Copy !req
1059. Oh.
Copy !req
1060. Thank you.
Copy !req
1061. Um, unless he's asked you
to change it,
Copy !req
1062. would you please leave me as...
Copy !req
1063. the emergency contact?
Copy !req
1064. Yeah, absolutely.
Copy !req
1065. Okay, I'm sending
Mrs. Kovalenko home
Copy !req
1066. with burn dressing
Copy !req
1067. but not before
she turned my sabbatical
Copy !req
1068. into a midlife crisis.
- No comment.
Copy !req
1069. - Wound check, two days.
- Got it.
Copy !req
1070. What about Kylie,
this little girl?
Copy !req
1071. She gone up yet?
- Hopefully soon.
Copy !req
1072. Hey, we're starting to clear
some space around here.
Copy !req
1073. Yep.
Copy !req
1074. Charge Nurse.
Go ahead, Medic Command.
Copy !req
1075. Is this a drill?
Copy !req
1076. Is this a joke?
Copy !req
1077. It's the Fourth
of fucking July.
Copy !req
1078. Got it. Thanks.
Copy !req
1079. - What's up?
- Westbridge has a Code Black
Copy !req
1080. and is closing
to internal disaster.
Copy !req
1081. Central's diverting all
their ambulance traffic to us.
Copy !req
1082. - What's the issue?
- Comspec didn't say.
Copy !req
1083. Shit, it could be anything
Copy !req
1084. from a flooding toilet
to a power outage.
Copy !req
1085. How long?
- Didn't know.
Copy !req
1086. A couple of doctors
probably got the holiday flu,
Copy !req
1087. and they're understaffed.
Copy !req
1088. How come? How long?
How many?
Copy !req
1089. Mm, mm, mm.
Copy !req
1090. Sounds like
a betting grid to me.
Copy !req
1091. We are back.
Copy !req
1092. Oh, I should have left
last night.
Copy !req