All language subtitles for The Pitt - 1x10 - 4 00 P.M..WEB.AMZN.en

You know where your son is now?

No, but he hasn't done anything.

Officer, why are you here?

We received a call
that her son, David,

has created a list of girls
he would like to eliminate.

Who called you?

Do you know anything
about this list?

Somebody called you. Who?

Somebody from my hospital?

Uh, Dr. McKay.

- Air retinue, ETA now.
- Who is that?

Air retinue, ETA now.

I will be right back.

[elevator dings]

Teddy, 28 years old,
burned in a gas tank explosion.

Paramedics estimate 90% BSA.

Trauma 1's open.

We managed to get
a 20 gauge on the right AC.

First liter of LR
running wide open.

Vitals are good, pulse ox 97.

Teddy, are you in
a lot of pain right now?

[hoarsely]
Not as much as I should be.

OK.

Mainly third degree.

Singed nasal hairs.
Soot in oropharynx.

Do you have family on the way?

Amy. My wife.

What happened?

I was transferring gas
from a 200-gallon

fuel tank to my tractor.

Kaboom.

Let's set up for intubation.

Whitaker,
run the Parkland formula.

OK, titrate morphine.
Page Garcia.

And I will be back
for the intubation.

On it, boss.

Don't, don't, don't!
Don't touch me!

I'm fine.

Jesus fucking Christ!

[groans]

- It's... it's OK.
- OK.

- I'm fine.
- OK. OK, come here.

- Holy shit!
- Whoa, whoa, whoa, whoa!

- Grabbing ice packs.
- I got the cart.

What happened?

Just got punched.
Just took a fall.

OK. I'm fine.

Who punched you?

Just an unhappy patient.

- A patient hit you?
- Yeah.

Happens all the time.
I got my cheek broken.

- I lost a tooth.
- Oh.

- We've all been assaulted.
- Go get Ahmad.

- Did you hit your head?
- Uh, yep, probably,

but no LOC, just...
just a bloody nose.

OK, pressure.

OK, OK, OK.

Any trouble seeing?
Any double vision?

- No.
- I'll grab you new scrubs.

- What about a headache?
- A little, yeah.

- We need to find her a room.
- I do not need a room!

Dave, move North 1 to the hall.

- Follow my finger.
- [breathing heavily]

Right, left, up, down.

EOM is intact.

Who did this?

It was a pissed off patient,
but he split,

so just forget it.

Forget... hell no.

Look, I want a name.

Doug Driscoll.
Doug Driscoll.

- That asshole in Chairs?
- Yeah.

I'm calling the cops.

I'll get a wheelchair.

Pupils are equal and reactive.

No septal hematoma.

Should someone call
your husband?

- Absolutely not.
- OK.

- [sighs]
- Tell me when it's sore.

Ah!
[gasping]

Tender at the nasion.
CT head and maxillofacial.

I'll give them a heads up.

Is that really necessary?

You have at least one
facial fracture.

With the headache and the fall,

I want to rule out
anything intracranial.

OK, who can step up for Dana

while she's getting checked out?

- Perlah.
- Thank you.

[both speaking Tagalog]

OK, guys, we got about three
hours left in this shift,

and I need everybody to step up.

- Is that clear?
- Yes.

- Yep.
- Yes, sir.

I can't believe they allow you

around med students, Langdon.

Don't pick up
any of his bad habits.

You know the difference

between surgeons
and serial killers?

Serial killers don't bill
their victims.

Cute.

You guys staying ahead
with his fluids?

Per the Parkland,
4 per kilo times 90% burned.

- Wow.
- 27 liters over 24 hours.

He's had two so far.

Lactated ringers
at 1.785 liters per hour

for the next seven hours.

I'll program the pump.

We got a second IV.

Hello, sir.
I'm Dr. Garcia.

Need to peek
under these dressings.

Are we ready to intubate?

Wife should be here any minute.

Whitaker, earlier,
you said third degree.

We refer to burns
as either being full thickness

or partial thickness.

Looks like 60% to 70% full,
20% to 30% partial.

Intubation meds?

- 120 Rocuronium, 100 Ketamine.
- Got it.

Can you draw them up
and hold them?

Vitals are good, but gonna need

a pan scan after intubation.

Oh, my God!

Oh, my God!
No, no, no.

Oh, Teddy.

I... I'm Amy.

I'm Teddy's wife.
How is he?

He's stable for now.

- I'm OK, honey.
- OK.

Teddy, you've got severe burns

covering most of your body.

You've also burned
the inside of your throat.

Just to be safe, I need
to put in a breathing tube,

and you won't be able to speak.

We need to do this now
before his throat swells,

and it becomes difficult
for him to breathe.

So if there's anything you two
want to say to each other,

this is the time to do it.

OK.

I'm gonna be OK.

[crying]

Can... can I kiss him?

Yes, of course.

- [chuckles]
- [coughing]

Ready to intubate.

Push Ketamine, then Roc.

I'm right here, OK?

Code stroke,
emergency department.

Code stroke,
emergency department.

- Ketamine is going in.
- OK, I will be right back.

Jane Doe,
looks like she's in her 20s.

Obvious aphasia, right-sided
hemiparesis, and facial droop.

- Hi. What's your name?
- [moaning]

Nod your head if you understand.

Receptive
and expressive aphasia.

No motor strength
in the right arm.

Open your mouth.

[moaning, choking]

Gag reflex present.

Left motor intact.

BP's 150 over 88.

- Where should we go?
- AccuCheck is 73.

Straight to Radiology.

CT brain without contrast,
perfusion scan,

CT angio head and neck.

- Hey, Crowe, wanna hang back?
- Yeah.

So you didn't get a name on her?

Uh, we looked.

Couldn't find a wallet or an ID.

But we had to jam out of there
'cause it was a Code Stroke.

- Who called 911?
- Well, apparently,

our Jane Doe is
a professional gamer.

She was a no-show
for some big tournament.

So her teammate in Dubai calls
another teammate in Houston,

who called 911 here.

Who gets a stroke in their 20s?

That's what
you get to figure out.

OK, come find me after
the scan results are back.

Who called the cops
on David Saunders?

I did.

Mom!

Harrison?

Hey. Hey.

Are you OK?
How'd you get here?

With Dad.

Chad Ashcroft, 39,
skateboarding accident.

Deformity of the right ankle.

No LOC, good vitals.

Got four of morphine en route.

Skateboarding?
Really?

I'm fine, by the way.

You know this guy?

Unfortunately.

- Ah!
- Looks trimalleolar.

I was hoping for a dislocation.

40 hospitals in Pittsburgh,

and you just had to choose mine?

You think I want to be
in this shithole?

I told him to take me to Presby.

You were the closest hospital,

so here we are.
Where should we put him?

- On the curb?
- Ah.

Are you two family?

- Ex.
- Ex.

This is Chad, Harrison's dad.

Oh, nice to finally put
a face to a name.

What's open?

McKay, stay with your kid.

Let's take this half-pipe prince

to South 19.

- Hey, what's the golden rule?
- No hospitals.

OK, let's add "no skating
without a helmet ever again."

- You hear me?
- Yes, Mom.

When was the last time
you took a bath?

Where's Robby?

Intubating the burn patient.

Ma'am, can you close
your eyes for me?

Robby, it's Samira.

Jane Doe's CT came back...
no bleed,

but there was a carotid
artery dissection left neck

with a thrombus
that threw a clot

to the left middle
cerebral artery.

OK, got it.

We'll wait.

With no intracranial hemorrhage,

she might be a TNK candidate.

But couldn't TNK cause
a brain bleed and kill her?

TNK is still the best
clot-busting possibility.

Um, shouldn't we do
endovascular therapy?

I mean,
it's the safest option to...

What do you call
a Tyrannosaurus under stress?

What?

A nervous Rex.

Dr. King, meet Dr. Mehta,

one of our esteemed
stroke neurologists.

How's the patient?

NIH stroke scale of 27,

no last known well time.

Dr. Mehta,
should we take her to EVT?

Not yet.

We'll take her
for a spin in the MRI,

check for irreversible
damage first.

If there's
a diffusion-flare mismatch,

she's still in the window
for thrombolytics.

And she still gets EVT...

two-for-one special.

What type of person
is best suited

to work with an MRI machine?

A trained technician.

Someone with
a magnetic personality.

[chuckles]

That one's new.

[chuckles]

Somebody punched her?

A patient. Broke her nose.

Is she OK?

Robby checked her out,
sent her to CT.

Sorry to interrupt the hot goss,

but what about me?

Uh, you got some
pretty good cuts here, sir.

We're working on closing them up

to prevent infection.

Yeah, can you call in
a plastic surgeon?

Uh, the lacerations
aren't that deep.

Medical glue should
do the trick.

If you have any extra,
do you want

to maybe apply some to his lips?

Your son was worried about you

and wanted to make sure
you were OK.

- Are you OK?
- Yeah, totally.

Just a few battle wounds.
[chuckles]

Uh, did you hear?
Dana got assaulted.

- What?
- Yeah. Patient.

Broke her nose.

When can I get
out of here, please?

We're waiting
for Radiology to come down

with a portable X-ray machine

so we can take
a better look at your leg.

You'll need a splint
and eventually a cast.

Ah, hear that?

Your dad's gonna have
a cool cast.

Big Harry in the house.
Up top.

Mateo!

I told my dad that we went
skateboarding last weekend.

- Ah!
- So he took me today,

- and...
- Ah.

Then he fell and broke his leg.

[whispering]
Yeah, I can see that.

[normally]
Hey, man. Mateo.

Hey.

Ugh.

You wanna go raid
the break room with me?

I hear there's a bag of Takis
with your name on it.

Sure.
Yeah, yeah.

But not too much sugar.

Says the man who eats
Cap'n Crunch for breakfast.

No, not anymore.

Chloe makes me an acai bowl
every morning.

Oh, Chloe,
the gift that keeps on giving.

I already apologized for that.

How are those lacs coming,
Dr. Santos?

- Good. All done.
- Mm-hmm.

I'm gonna go check on Radiology.

I'll come with you.

Sooner we get you in,
sooner we get you out.

both: Thank you.

[indistinct chatter]

Dr. McKay.

Somebody hit Dana?

I specifically told you

to leave Theresa Saunders alone,

and you called the cops
on her son?

We talked about it.

A decision...
a decision was not made.

So I made it.

It was not yours to make!

No, it was yours,
and you didn't do it.

I didn't do it
because it wasn't warranted.

Wasn't it?

If Theresa left,
how are we gonna get David

assessed for his risk to others?

I couldn't live with myself
if something terrible happened.

Yeah, well,
now the police are involved,

so you may have ruined
this kid's life forever.

And what about
the girls on this list?

Are you telling me their safety,

their lives,
are worth less than his?

I can live with this one.

And now you can too.

[button beeps]

Uh, distal tibia and fibula
with an unstable mortise.

Hold on.
Show us the lateral, please.

- [beeps]
- Here you go.

- [clicks tongue]
- Mm.

Not two... three breaks.

Jesus.

What, so now I get a cast?

Uh, no, splint and surgery
to stabilize the bones

with plates and screws
so they can heal properly.

Ugh, how long am I
gonna be stuck here?

[chuckles]
That is above my pay grade.

- [groaning]
- Gabriel.

[crying]

But you may want to cancel

any dinner reservations
you may have.

Set up for a double splint,
posterior leg and sugar tong.

Oh, is that gonna be painful?

There may be some discomfort.

I assure you, we will prescribe

proper pain medication

to provide you
with adequate relief.

Draw up 100 of propofol,
50 of fent.

Whatever, just knock me out.

With pleasure.

[background chatter]

Perlah, which of our patients

can we send on their merry way?

Right.

Barry, yoga split lip,

moved from North 1 to the Hall;

Walter, road rash

with the rat killing dog,
South 20;

and Vince,
basketball elbow fracture,

outside Central 2.

OK, you can run
another set of vitals

on Crosby's papa and discharge.

You can tell Ortho to get
their head out of their ass

and take Joel Embiid with them.

And you can release Yoga Barry,
but tell him

to refrain from doing
any handstands

for at least 48 hours.

Copy that.

Go, go.
You heard the man.

I do not know how Dana
does this every day.

Haha, running the ER
is a Sisyphean task.

So this is a punishment?

- No.
- Sisyphus.

Sisyphus pissed off the gods,
so they punished him

by making him push this massive
boulder up a hill for eternity.

One must imagine Sisyphus happy.

You're doing great.

Hey, Ahmad.

Is Theresa still out in Chairs
talking to those cops?

- Yeah.
- Will you do me a favor

and just kind of keep
an eye on it?

Don't let her leave
without talking to me.

- OK.
- Any word on Driscoll?

I issued an alert
throughout PTMC security

and called the cops with his
home address from his chart.

They want a statement from Dana.

She's in CT.

Let's... let's, um,
clear her medically,

and then she can decide
when she wants to talk to them.

What about other hospitals?

- You let them know?
- Notified.

Everyone's on the lookout
for this guy, Driscoll.

- Thanks, Ahmad.
- You got it.

Glad to know the authorities
are looking for this psycho,

but what are you gonna do
to protect the rest of us?

Violence against health care
workers is a national problem.

And it's only getting worse.

No surprise there's a nursing
shortage everywhere.

I hear you, I hear you,
I hear you, I hear you,

and it is unacceptable.

What the hell kind of circus
are you running down here?

My God.
You're like a bad penny.

Where is Dana?
How is she?

She's all right.
We sent her to CT to make sure.

Did you fill out
an incident report?

I don't know, I was
more concerned with her

having a skull fracture
than with your liability.

How'd a guy
from the waiting room

get back here
without anyone noticing?

Wow, Gloria!
What a great question.

Our hard-working nurses were
just asking me

what steps
the hospital plans to take

to ensure their safety
in the future.

Maybe you would like
to explain to them

why you've denied my request

for additional security measures

three times
in the last four months?

If nurses don't feel safe,
they're not gonna come to work.

First off, the safety of all
our employees is paramount...

Do you remember
the last nursing strike?

Yeah, that was a real shit show.

Maybe this is something our
union rep should know about?

OK, well, just take a beat

and remember
that PTMC is a family.

- Come on.
- A dysfunctional family.

You should be worried about
the nurses' satisfaction

and the safety of...

We are worried about everyone.

We worry... Robby.

Robby.

Dr. Robby,
I got a question for you.

Shoot.

Uh, we're working on Chad
in 19, McKay's ex.

He's a nightmare.

[indistinct chatter]

[indistinct chatter]

Here's your driver's license

and insurance card,
Mr. Pugliesi.

Have a seat, and the triage
nurse will call you back soon.

- Thank you.
- Hello.

Uh, my... my son,
he needs help, his eye.

Let me ask you about your eyes.

Do you see the line
you just cut?

What? No, please.
It's an emergency.

You think everybody's
waiting for manicures?

He caught a line drive
to the eye.

We're so sorry, ma'am.

We thought this was
the line for pediatrics.

I'm 16.

I'm doing this 'cause you're
a minor and you have manners.

Thank you so much.

Name and date of birth?

Everett Young.
December 7, 2008.

I'll get your insurance
information from your father.

- Take a seat.
- What? No, we're not waiting.

Show her. Show her.

OK, then.

Come around to the double doors.

[door buzzes]

- Tenecteplase on deck?
- All set.

She's 62 kilos, 0.25 per kilo
is 15.5 milligrams.

- Push over 10 seconds.
- What's the status?

Diffusion flare mismatch means

she's less than
four hours into it.

- Getting TNK now.
- Sounds great.

Would you mind hanging
down here for a bit?

I could use
your expertise on this.

Can't believe
you have the nerve to ask.

Good one.
OK, keep me posted.

50 on board.

Anything I can do
to help in here?

- [slurring]
- No, I'm pretty good.

How are you doing?

[chuckles] Not as good
as you, apparently.

Push another 25.

Wet the splints now, please.

You can help lift his leg
for the splint.

And we're at 75, mm-hmm.

When we lift his leg,
it's really gonna hurt him,

but he won't remember...
benefits of propofol.

Pulse ox 99, good end tidal CO2.

Mm-hmm.

Hey, Chad?

Chad.

[slurring] Ow.

Perfect.

Let's do this.

[slurring] Ow.

I feel sad.

Uh, don't worry.

We'll have you fixed up
good as new.

[slurring] What does he have
that I don't have?

I mean, sure, he's younger.

And that hair.

Who?

[slurring] Mateo.

- Oh.
- [chuckling]

- [slurring]
- What's his story anyway?

Is she having sex with him?

Well, if she isn't,
she probably should.

Stop.

[snorting]

Who do we have the pleasure
of meeting this afternoon?

Everett Young, 16, took
a line drive to the left eye.

- Tachy at 118.
- Oof.

4 of morphine, 4 of Zofran.

Excuse me.

It was easily
100 miles per hour.

Oof.
Did you pass out?

- Uh, no, ma'am.
- OK.

Baseball is a fun activity.
You any good?

[scoffs] Any good?

He's got a 95 mile an hour
fastball, a 12-6 slider,

a 0.94 ERA,
and he's a southpaw.

What's that?

That's a future Cy Young.

I don't know
what that is either.

Ms. Javadi is
a student doctor.

She's a bit of a prodigy
herself, actually.

Do you mind if she helps out?

- No, ma'am.
- OK.

Tell me how many fingers
I'm holding up.

Um... ah, I can't tell.

Oh, my God.
Oh, my God.

OK, tell me
when the light turns on.

Now?

- Light perception only.
- Mm-hmm.

Do you want
a portable slit lamp?

Definitely, yeah.

Javadi, what do you think
of the anterior chamber?

- Hyphema?
- Exactly.

Grade 4.

- Yeah, meaning?
- Javadi.

Meaning blood is filling up
the front eye chamber.

He'll need an emergency
evaluation by ophthalmology.

OK, is that why he can't see?

That's part of it. Yeah.

You see how the eye
is pushing out?

There seems to be a collection
of blood behind the eyeball.

The eye pressure is too high.
We have to act quickly.

- OK, well, check the pressure!
- We're going to right now.

Can you get Robby?

[keyboard clacking]

It looked like you were having

a pretty intense conversation
with Robby earlier.

Everything OK?

Uh, it was nothing.

Nothing?

Yeah, well, not nothing,

but nothing for you
to be concerned about.

An intern has
a problem around here,

they come
to the senior resident,

not the attending.

He is my attending,

and I wanted his input
on a patient.

Is that not OK with you?

Just, um...

come to me first next time.

Got it?

Yep.

Got it.

Are you a junior?

Yeah.

You thinking about college?

I have some D1 interest, but...

where'd you go to college?

Uh, Pitt for undergrad
and now med school.

Didn't wanna leave town?

Look up at the ceiling
for some numbing drops.

It's not exactly an option
to live anywhere but home

when you go to college at 13.

Wow.

Add some drops
to the fluorescein strip.

I was thinking about California,

maybe UCLA or USC.

- Hold still.
- Hey, maybe you go

straight to the Majors, huh?

College can wait.

I don't know.

I do.

Ev's got a God-given gift.

It's why we spent every
weekend doing travel ball

when he was young...
pro camp, showcases.

He's not throwing away
his shot at the Majors.

Uh, we have to check
for a puncture

before we can
measure the pressure.

Look straight ahead and try
not to move your eyes, OK?

- Yes, ma'am.
- Lights going out.

Hello.
I'm Dr. Robinavitch.

Everybody calls me Dr. Robby.

Hey, Greg Young.
This is my boy, Everett.

Nice to meet you both.

OK, I will take that slit lamp,

and you can calibrate
for tonometry.

- OK.
- They're holding CT for him.

Let's take a look.

Negative Seidel.

No globe rupture.
OK, go with the Tono-Pen.

OK.
Hold still.

OK.

Left eye pressure 58.

- Is that high?
- Yes, it is. 1% lido with epi.

Push one of Versed, and open
a lateral canthotomy tray.

- Excuse me.
- What?

- Whoa.
- Without a CT? Isn't that...

Exactly what the patient needs?

Yes, it is, Dr. McKay.

OK.

Uh, we're gonna lie you back
a little, Everett, OK?

We need to do
a little minor surgery

to relieve the pressure
behind your eye.

So we are going to cut
a small opening

on the side of your eye,
not in your eye.

- Got it?
- Yeah.

Do you wanna watch?

No, I'll... I'll sit down.

Javadi, step up so you can see.

Dr. McKay, Chad is splinted
and is awaiting Ortho

for surgery to take him.

Thanks for the update.

[clears throat]

Versed's on board.

Numbing medicine here, OK?

OK.

Pinprick and some burning.

Ouch.

What... is Dana gonna be OK?

It's gonna take more
than a punch to the face

to keep that mama down.

She's tough.

Yeah.

Um, hi.

I'm sorry to bother you.

Hi.

Uh, I... I just wanna make sure
that Teddy's not in any pain.

Oh, he's heavily sedated.

- He can't feel a thing.
- Right.

It's just that when
I look at him, I just...

I just feel so helpless.

Look, his, uh, CT scans
came back negative

for internal injuries.

He's on IV therapy
to replace any lost fluids.

I assure you,
we are doing everything we can

to give him
the best treatment possible.

Thank you.

Yeah.

Teddy's ring.

Um...

I had to cut it off
because of the swelling.

Hopefully you can find
a good jeweler to fix it.

I don't know how it works.

[sniffling]

Um...

do you have
a best friend, Doctor...

Oh, it's a another year to go
till you can call me "Doctor."

You can just call me
Whitaker, though.

Do you have a best friend,
Whitaker?

Uh, I have three older brothers.

I guess they're kind of
my best friends.

They kind of tortured me
growing up, so maybe not.

[chuckles]
But yeah.

Teddy's been my best friend
since we were 15.

High school sweethearts?

We were just a couple
of nerdy aggies who, uh...

we met in 4-H,
and we fell in love.

I'm sorry.

No, it's fine.

I'm a third generation
Nebraska farm kid myself.

Get out.

Well... well, if you're ever
homesick, you should, uh...

you should come by
our farm sometime.

That's very kind.

[chuckles]

I need some help in here!

[rapid beeping]

- What's going on?
- Respiratory distress.

Sats are dropping, 87%.

Uh, lung injury from the fire?

It's not just the low sats.
The vent's showing

high peak pressure,
low tidal volume.

- Uh, restrictive pattern?
- Most likely.

I'll grab Robby and Langdon.

Wait, wait, wait,
wait, wait, wait.

What's that?
What's going on?

Ventilator is having trouble
pumping air into Teddy's lungs.

Burnt skin loses elasticity.

Now his chest wall is too tight.

What can you do?

We're gonna have to cut
the burnt skin,

release pressure
on the chest wall,

help Teddy breathe.

So after you cut his eye,
he'll see again?

This will give us our best shot

at preserving his vision, yes.

Dr. McKay, are you ready
to do the honors?

Who, me?

We are a teaching hospital.

Are you still here to learn?

Yes. Yeah.

[grunts]

OK.

You can release
that hemostat now.

Pair of scissors.

The length of the crushed area

is going to be your guide
for the length of your cut.

OK.

Good.

Toothed forceps.

Feeling for the inferior...

And superior crus.

How can you see
with all that blood?

You can't.
It's all tactile.

It feels like
two guitar strings.

Metzenbaum.

[squelching]

Inferior...

Yeah.

And superior.

Nice.

Good.

Oh, that's a lot of blood.

OK, let's get a repeat pressure.

It's getting
a lot brighter in here.

Pressure of 18.

Perfect.

CT can take him as soon
as we dress the wound.

Let's page Ophthalmology and
tell them to prep for surgery.

Doc, thank you.
Thank you.

My pleasure, my pleasure.

Good luck to you, Everett.

Hey.

Thanks for letting me do that.

You sound surprised.

Yeah, I figured after
the whole Theresa thing,

you might bench me.

[sighs] Am I still pissed
that you went behind my back?

Absolutely.

And if you ever do it again,
you can bet your ass

that I will bench you.

But this is a teaching hospital,

and teachers can
still learn stuff.

I saw a sad, confused boy,
and that's all I thought about.

I did not think enough
about those girls.

Any word on Dana?

She should be coming back
from CT soon.

Burn victim's tanking.
We need you.

Oh, my God, I can't wait
for this shift to be over.

[mystical music playing]

Hey, bud, you doing OK?

Yeah.
Mateo hooked me up.

Right, I can see that.

How's Dad?

He's gonna need surgery,
but he's gonna be OK.

You know, I was thinking,
since your dad's gonna be

laid up for a while,
maybe you'd wanna stay with me

until he gets better?

For real?

For real.

What do you think?

I'll take that as a yes.
[chuckles]

This procedure is called
an escharotomy.

We need to cut the skin so that
the chest wall can expand.

That sounds painful.

Whitaker?

He's still heavily sedated.

He won't feel a thing.

This is gonna help
Teddy breathe.

Sat's 83.

Peak pressure is over 40.

Tidal volume is only 300.

I want you to watch
Dr. Langdon

as he makes
this vertical incision.

Then you're gonna do the exact
same thing on your side

and follow his instructions.

I'm sorry, I just...

I don't think I can watch it.

Jordan, would you...

[crying]

Start at lateral clavicle.

[squelching]

Down anterior axillary

to lower rib margin.

That tissue is
really popping out.

Which illustrates what?

The pressure underneath.

Your turn.

[exhales sharply]

Here goes.

- A little more pressure.
- Yeah.

Need to make a decisive incision

to get through the eschar
into sub-Q.

Go back a little deeper
on that first section.

OK.

Yep.

- Yep, good.
- Uh-huh.

Looking good.

OK.

Now the horizontal incision,
Dr. Langdon.

And connecting
the two incisions.

That ought to do it.

Peak pressure's
already down to the 30s.

And tidal volume is coming up.

Sat's 91.

That was wild.

Let's dress these wounds
and send off a blood gas.

Well done,

and very well taught,
Dr. Langdon.

Thank you.

[background chatter]

[phone ringing]

You think Wholey's will still
be open by the time we get off?

- No.
- No. No.

Damn.

I was hoping to surprise
Abby and the kids,

grill up some salmon for dinner.

Mm, such an adrenaline junkie.

What'd you call me?

Your ice plunges.
Marathon man.

Surprise, here's a dog.

Surprise, here's some salmon.

[laughter]

Who pissed in your cornflakes?

Oh, oh.

What, I touch a nerve?

You're regretting buying
that dog, aren't you?

Ew.

Ooh, Robby.

Dana's CT results are back.

No intracranial hemorrhage,
no skull fracture,

non-displaced nasal fracture,

but the rest of the facial
bones look intact.

Any hemorrhaging
into the sinuses?

- Nada.
- Great.

We could really use her
back on the floor.

- [clears throat]
- What? I'm just saying.

Mind if I give her
the good news?

No, go for it...
and anything else she needs.

I got it.

About the whole thing
with Santos

and the seizure patient...

What about it?

I'm sorry
for laying into her so hard.

Why do I feel
there's a "but" coming?

But I don't think
she's a team player.

How so?

She's cherry-picking cases.

She gave Whitaker
a shitty nickname

after his patient died
this morning.

She's... she's even
harassing Javadi

to get a rec from her mom
for surgery.

[laughs]
If she wants to be in surgery,

what's she doing in the ER?

That's a great question.

Why don't you ask
her new BFF, Garcia?

I know that you've seen
those two.

I'm the only one
calling her out,

so she has an axe to grind.

You've always said
that being in the Pitt

is like playing a team sport.

A team has to be able
to trust each other.

If we have one weak link,
this whole place goes to shit.

Good meeting.

Call Zauzy in Family Med.

They open up
their urgent care at 5:00.

Let them know we're sending up
the two hockey kids.

Yep, Zauzy in Fam Med.

OK, copy that.

And, uh,
please check in on Earl.

Poor thing got caught

in the crosshairs
of that mom fight.

Maybe bring him
another sandwich.

- Yeah, OK.
- Good.

No egg salad.

Dana, I got you. OK?
Rest up, bud.

[sighs] You can take
the girl out of the ER,

but you can't take
the ER out of the girl.

Old habits die hard.

Let me take a look?

[breathing sharply]

Oh, she's a real beauty,
all right.

But your CT came back clean...

nothing Mother Nature
can't heal on her own.

Hmm. Too bad.

I was hoping
for a free nose job.

Probably get hazard pay.

Two for one.

[both laugh]

[sighing]

Ooh.

Ugh.

[chuckles]

You know, you're cleared to go
back to work if you want...

or home.

Oh, not ready yet.

[sighs] You?

Nope.

Got a lot to think about.

Yeah.

Been a pretty fucked up day.

[both laugh]

What do you call
a group of brains

who form a singing group?

What?

A glia club.

Oh.
[laughs]

Good one.

Keep me posted
if there are any changes.

[line beeps]

Um, what's with
Dr. Mehta and the...

the jokes?

You know why they say
laughter is the best medicine?

Because it's true.

Laughter releases endorphins.

Endorphins help relieve pain.

Um, so...

Dr. Mehta thinks that
if a joke helps raise spirits

and makes people feel better,
then he's all for it.

It's his special sauce.

[laughs]

Um, do you have a special sauce?

I'm pretty data-driven,
but I really like

to talk to my patients
about their lives.

Makes them feel important.

She's waking up.

How are you feeling?

[slurring] OK.

Are you trying to say "OK"?

Yes!

The thrombolytics are working.

Um, can you, uh, lift
your right leg for me?

That's OK.

Um, try moving it
from side to side.

Can you tell us your name?

[slurring indistinctly]

Oh, um, maybe you can type it
out on the screen here.

Vera.

OK, uh, and what's
your last name?

Mullahy?

Well, hello, Vera Mullahy.

- Hey.
- Oh.

- Hey.
- Chad's a real piece of work.

I appreciate you
dealing with him.

You know,
it was actually kind of fun.

I did not have that
on my bingo card.

Well, you know,
patients under propofol

are always a good time.

Yeah?

What did he say?

Nothing.

Nothing to worry about,
unless you're concerned

he still has a thing for you.

Oh, please, euthanize me
if I ever even consider it.

But, you know,
if I could go back,

I wouldn't change a thing.

Without Chad,
I wouldn't have Harrison.

You're very lucky.

I know, right?

[sighs] All right.

Thanks again.

I was getting ready
to take her up

when she developed angioedema,
and her sats dropped.

[rapid beeping]

A little bit of stridor.

Swollen lips, swollen tongue.

Vera, this is a side effect
of the medication we gave you.

[moaning]

Sats are up
with high flow nasal.

It's anaphylaxis.
Get Robby.

Angioedema is not
always anaphylaxis.

I know, but it can progress
to it and cause an obstruction.

If it's just angioedema,
I can reverse

the swelling fast with IV epi.

BP's 165 over 85.

Prep Ketamine and Roc
for intubation.

Hold on. Wait, wait.
But Dr. Mohan, you just said...

We're not intubating yet.

But she's gonna arrest.

What happened?

Angioedema with stridor.

Respiratory is on their way.

- We should intubate, right?
- Good BP and O2 sats.

Epinephrine can reverse
the swelling right away.

I pushed 10 mics of IV epi.

Starting her drip at 5 cc's,
5 mikes per minute.

Sats are holding
at 95 on high flow.

BP is good.

Vera, we're gonna sedate you

so that we can help you
breathe better.

Or not.
Let's just wait a minute.

How'd you get that epi drip
hung so fast?

Bedside drip.

I mixed 1 milligram
with a liter.

Nice.

Are we intubating?
Are we not intubating?

Not.

Stridor is improving.

Is it getting easier to breathe?

Mm-hmm, hmm.

Speech is coming back.

50 diphenhydramine,
125 Solumedrol.

Do you think Dr. Mehta
will want her intubated

- for the thrombectomy?
- Not necessarily.

If she can talk and move
during the procedure,

then they can monitor
any changes in the neuro exam.

Slo-Mo, No-Mo!

Sorry, I think Dr. Mehta
is rubbing off on me.

We're taking him up
to our burn unit.

He'll be in great hands.

They've had lots of experience
with cases like Teddy's.

What now?

We will continue
with IV fluids and pain meds.

We'll support his breathing
with the ventilator,

and we'll keep his wounds clean,

look for any signs of infection.

And later, the plastic
surgeons can do skin grafts.

He's gonna be OK.

Teddy's condition is
very critical, so no promises.

But our team is gonna do
everything they can

to give him
the best chance possible.

I'll make sure
to stop by the ICU,

check in on both of you.

I can't begin to thank you
enough, Dr. Whitaker.

Oh, uh, student doctor.

Oh, uh, don't forget
about dinner at the farm.

And, uh, make sure to brush up
on your diaper-changing skills.

Oh, with seven
nieces and nephews,

I'm a Diaper Genie, so...

[chuckles]

You know you just called
yourself a trash can, right?

Before you grab your next
patient, um, call Kiara.

Have somebody go upstairs
and talk to the wife.

Amy? Why?

We wanted to give her hope,
but the reality is,

her husband's not gonna make it.

He's stable.

His chance of dying
in the next week

is over 90%.

He's young, he's strong.

- Maybe he's the 10%.
- Maybe.

But he's a lot more likely
to die of sepsis

before his kid is born.

Call Kiara.

The CT shows a hairline
orbital floor fracture.

But thanks to the canthotomy,

the hematoma isn't
pushing on his eyeball.

Will I be able to see?

That's why you need surgery.

The ophthalmologists will drain
the blood inside the front

of your eye and replace it
with the clear fluid

you need to see, OK?

They're ready for you now.

Hey, hey, hey.

Don't worry, bud.

All right?

So... so he has the surgery,
stays overnight,

he goes home tomorrow?

It depends on how
the surgery goes

and what his post-op
results are like.

Give or take.

It could be as soon
as tomorrow, yeah.

OK.

So he could be...

could be game-ready by Thursday.

Sir, your son is freaking out

because he may never see
out of his left eye again.

- Yeah, that's...
- No, no, forget baseball

and just be his dad.

God, it can't be
that fucking hard.

- [scoffs]
- Uh, there's a waiting room

up by surgery, sixth floor.

Right off the elevator.
You can't miss it.

Angioedema responded to epi,

diphenhydramine, and steroids.

Excellent.

Thank you.

You're very welcome.

Which neurotransmitter
makes the best adhesive?

- I don't know...
- Glutamate!

"Glue" -tamate.

Am I right?

Nicely done, Dr. King.
[laughs]

That was really quick
thinking back there.

I'm really sorry if
it seemed like I doubted you.

I didn't. I just...

Honestly,
I surprised myself a bit.

Yeah?

Well, you trusted your gut.

Maybe that's your special sauce.

Maybe.

Um, Dr. Mohan,

what if I don't have
special sauce?

Of course you do.

Just be yourself.

It'll come.

So now might be
a good time to go over

some doctor-patient
interaction guidelines.

I'm sorry.
That dad was just such...

- So overbearing.
- An asshole.

I'm sorry.

Look, do I think he needed
to chill out a little bit?

Yes.

But he's a parent,
and this might be

his way of coping
with the stress

of a very frightening situation.

I'm sorry.
I don't know what came over me.

No, I do.

You and that baseball kid

are two pressure cooker
prodigies in a pod.

Just as physicians,
we gotta learn

to keep our emotions in check
and not let

our personal
experiences interfere

with our professional
responsibilities.

How long did it take you
to learn that?

I'm still learning.

And I also learned
to never get on your bad side.

- [chuckles]
- Yo, yo, yo.

- Hey.
- Almost quitting time.

I so appreciate you
helping me out with Harrison.

- Oh.
- And my douchebag ex.

- Hey, we all have them.
- Yeah.

Oh. Totally.

Me too. Me too.

Yeah.

I'm always happy to help.

Yeah.

So I get off in a couple hours.

Do you mind just doing
a loop every once in a while

to make sure he's not
burning the place down?

- Can do.
- Great.

And, you know,
a new foot massage place

just opened
in the Strip District.

Do you wanna go on Sunday?

- For sure. Yeah, yeah.
- OK, cool.

I'm free Sunday...

um, to... to help or just do...

yeah, whatever.
Wherever.

Oh, my God.

I mean, Harrison would love
a sitter closer to his own age.

I...[laughs]
I'll get your number

and text you the address?
That's awesome.

- Oh.
- Thank you.

Oh, sure.

Dr. Santos, a moment, please?

[clears throat]

So how's your first day going?

So far, so good.

Getting along with everyone?

Yeah, pretty much.

Except Langdon?

So in this ER,
we all need to work together

as a single unified entity.

And if two people on my team
can't work together,

it kind of throws
the rhythm of the place off.

Understood.

My duty, regardless
of personal relationships,

is to make sure everybody
on my team is doing OK.

So are you doing OK?

Uh, it's not a big deal.

I can handle it.

Handle what?

Nothing.
It... it's fine.

I...

I don't wanna get
anyone in trouble.

Hmm.

OK, if there is anything...

anything that could
affect my ER,

I need to know about it,

and you have
a responsibility to tell me.

- Hey.
- Hey.

Did they catch the bastard
who sucker punched you?

I haven't heard.

Well, when they do,
just send him to me.

I can make it look
like an accident.

[chuckles]

I might just take you up
on that.

Mm, you betcha.

You've been paroled!

- Are you sure?
- Yeah.

- Oh.
- OK. Yeah.

Ow. OK.

Yep. Go check on Myrna.

- You got a sec?
- Bless you.

For you, boss, I got two.

What's up?

[indistinct chatter]

[sighs]

I heard there's been

some inconsistencies with meds
intended for your patients.

What?

Frank, have you been helping
yourself to benzos from the ER?

Yeah, I've been
stealing blood too.

I asked you a question.

Wait, are you serious?

What are you doing?

Really?

Santos?

Whatever the hell
she told you is bullshit.

[sighs]

I didn't mention Santos.

You didn't have to.

I told you, she is trouble.

Have you ever taken
a patient's medication?

This is insane.

This is completely
fucking insane.

I need you to open your locker.

- Yeah, right.
- Open your locker.

- You're gonna regret...
- [banging]

Open your fucking locker,

or I will have security
smash it open.

[keypad beeping]

[sighs]

Is the imprint code
on these pills

gonna match Louie's Librium?

Go home, Frank.

No, no, it's not like you think.

You remember, whenever
I helped my parents move,

I was too cheap
to pay for movers.

I hurt my back.
I told you that.

You teased me
about it, remember?

Well, our own Dr. Hagan
prescribed me

some pain meds
and muscle relaxants.

I was just weaning myself off.

It was just for maintenance.
I'm done.

Robby, come on.

You know me, Robby.

You know me, man.

I'm sorry. I fucked up.

- I just... I... I was trying to...
- Trying to what?

Steal pills
without getting caught?

No, it's not like...
you don't under...

- I don't fucking understand?
- It's not like you think!

I'm not high. I'm not high.

You've seen what I do, Robby.

Could a drug addict
do what I do?

Apparently.

And I just fucking let him!

You're done.

Leave now, or I will have
Ahmad escort you out.

Robby, please.

You are done.

[shouting]
What?

[upbeat music]

♪ ♪