All language subtitles for the.pitt.s01e08

16 is open.

How come nobody's been...

my bad, it's taken.

Sorry.

Mr. Louie was
found unresponsive

and on the sidewalk next
to Fine Wine and Good Spirits.

Decent vitals, no head trauma.

Didn't we just discharge him
a couple hours ago?

Yeah.
Stone-cold sober at 7:00 a.m.

Oh, God.

Don't light any matches.

Hey, Doc, how you doing?

Not as good as you, Louie.

Hey, you know it, Doc.

How much did you have
to drink, Louie?

Uh, just a couple
of shots of vodka.

So like a half-gallon?

Oh, hell no.

Just... just a quart.

If you overexaggerate
with your question,

you usually get
a truthful answer.

Learned from the best.

Uh, he's got Librium
from this morning.

That's what I prescribed him.

All right, Louie,
let's scoot it on over.

You want to guess
the blood alcohol level?

Why would I want to do that?

I don't know, because it's fun?

You prescribed 20 Librium.

There's only 10 left.

See you next time.

Uh, shouldn't we be
concerned about an overdose?

Oh, no.

Vodka is Louie's drug of choice.

Quickest way to kill the shakes.

Oh, true that.

Where did the other 10 pills go?

I don't know.

Maybe, uh, lost, stolen.

Maybe he sold them
to buy the vodka.

What'd you do with
the other pills, Louie?

In my pocket.

I didn't need them.

Come on, give it a rest.

Is everything OK with Collins?

She seems fine to me,
unlike our patient board.

How's the Kraken?

Sleeping like a baby.

What's the story
with beds upstairs?

A ladder fall took
the last ICU bed.

One tele bed's open,
no med-surge, no pedes.

So which one of our 21 boarders

is going to win the lottery?

CHF exacerbation's been
with us for two days.

Sounds like a winner.

The rest will receive our lovely

consolation prize package.

Tell them what they won, Dana.
- Stop.

It's another 24 hours
of bright lights,

screaming trauma patients,
hard gurneys,

and sleep deprivation,

all while you wait
for a bed upstairs.

Hey, uh, Nandi,

the influencer in Central Eight,

still waiting for psych?

Nope. She's a keeper.

Her mercury levels are sky high

from that face cream.

I ordered chelation TID,

10 per kilo of DMSO.

I'll make sure it comes up
from pharmacy.

Great pickup.

Hey. You OK?

Excuse me.

I'm sorry, Dr. Robinavitch?

- Yes, that is me.
- Father McGill.

Here to see
John and Lily Bradley.

Oh, yes.
Thank you for coming.

No problem.

I will take you
to the family room.

Dana, I need some help.

What's up?

I've been trying to check
the nursing notes on Louie

from 7:00 a.m. this morning.

Uh, Langdon ordered lorazepam,
but I don't think it was given.

Yeah, lorazepam ordered,
dispensed,

and then returned unused
to the PDS per Dr. Langdon,

as patient's tremor
had resolved.

Is that unusual?

No, it happens all the time.

You think that could be
the vial I couldn't open

on our seizure patient?

Possibly.

Can we check
the other vials in the PDS?

Make sure they're OK?

- If you really want to.
- I do.

All right, come on.

Dysuria in North Two's
been waiting a long time.

I'll take it.

Oh, Dr. King.

Rita!

We were so worried.

Oh, I'm so sorry.

My phone was on silent.

I missed 10 calls
from the hospital.

Is my mom OK?

Oh, yeah, she's fine.

Uh, I went to move my car,

and it was so peaceful
and quiet when I parked

in the garage, I dozed off.

I'm just really glad
you're back.

Oh, your mom is
going to be so happy.

She's... she's waiting
in the hall.

OK.

So if I order
lorazepam for Louie,

the log shows me
we have five vials left.

Take one out, and now
we have four left.

But if I click that I want
to return one unused,

you put it back,
and the computer count

goes back up to five.

Yeah.

Same lot numbers.

Everything looks good.

No way of knowing which vial

was returned by Dr. Langdon.

Yeah, I guess.

Thanks.
- Yeah.

Old man coming in
with a heart rate of 30.

Sounds like pacemaker failure.

Could be a good case.

Putting an amputation in 15.

Ooh, that one sounds
even better.

Yeah.

Rocco DeJulio.

Amputation
of the fourth fingertip

at the base of the nail,
bone exposed.

Uh, how'd this happen?

I, uh... I crushed it
under an air conditioning unit

we were installing.

We'll numb up your finger.

One shot will help
with the pain.

Amazing.

Digital block,

three ccs of marcaine.

Pulse 110,
BP 135 over 88 in triage.

Any drug allergies, sir?

Uh-uh.

Two grams of Cefazolin?

Uh-huh.

Oh, wow.

Go with the block.

Are you ready?

Mm-hmm.

Pinprick and some burning.

Uh, where's the missing
piece of skin?

It's, um, under
a thousand-pound unit.

It's flat as a pancake.

Well, then we have
nothing to reattach.

Plan, Dr. McKay?

Bone rongeur, V-Y flap.

- Exactly.
- Awesome.

I picked the right case.

Can somebody translate?

To close the wound,

we're going to trim down
the bone,

then use a plastic
surgery trick so the skin

will cover everything.

OK.

Your finger is going to be
a little shorter.

No nail.

Great.

10% off manicures.

Looks like they found
you guys a new rig.

Nah, we Ubered.

Willie Alexander,
81, near syncope

from the Memory Day Center.

They said he's more
altered than usual.

Pulse is 30, BP's 80 over 40.

No change with
a mig of atropine.

He's got a pacer in his chest,
but there's no capture.

How are you feeling,
Mr. Alexander?

Call me Willie.

I'm fine, I'm fine.

Any chest pain?

No, ma'am.

Do you take beta blockers?

I take walks every day.

Only med is Namenda.

On my count.

One, two, three.

Pacemaker patient with dementia.

Heart rate of 30.

A little altered
with a systolic of 80.

What's your plan,
Dr. Langdon?

Second mig of atropine now.

Push dose epi, 0.1 milligram.

Portable chest.

31 on the monitor.

Dr. Javadi, what do you think
of that heart rate?

Uh, it's not beta blockers,
so junctional escape rhythm?

Exactly... common with

a non-functioning pacemaker.

Etiology, Dr. Mohan?

Dead battery or lead failure?

Indeed.

Good squeeze,
even if it is slow.

Atropine and epi on board.

What's next, Dr. Langdon?

We can try percutaneous pacing,

but eventually,
he'll need transvenous.

Agreed.

Systolic's up to 95 with epi.

It's too low.

Let's start a drip.

Two mikes per minute.
Check the mental status.

Um, he knows his name.

Sir, do you know
what year it is?

Um, it's 20-something.

Uh...

Do you know where you are?

It looks like a hospital to me.

Pittsburgh Trauma
Medical Center.

Yep.

Yep, I know this place.

It's Dr. Adamson's place.

Where's he at?

He working today?

Are you feeling any pain?

No, that shot worked great.

OK.

Just like this.

Uh, how far down?

Just so the sub-Q will cover.

You'll need to take
a few days off work, sir.

Good.
More time to study.

Oh, yeah?

For what?

Uh, master's degree.

Psychology.
- Oh, no kidding.

Yeah.
HVAC's just my day job.

I went to trade school because
I couldn't afford college.

Now I can.

Good on the rongeur.

Marking the surgical borders.

Two incisions.

Advance the triangle
to cover the tip.

Until the V becomes a Y?

Exactly.

I guess you're the boss here?

Something like that.

You're very good at teaching.

Seriously.

You step back,
and with a few words,

you impart wisdom.

If you say so.

Do you mind if I ask what
you do when you don't work?

Sleep.

Now a blunt dissect
to undermine the tissue.

What do you think,
Dr. Javadi?

Third degree.

Complete heart block.
- Because?

AV dissociation.

No relationship
between the P waves

and the QRS complexes.

Clear.

Heart rate is 30.

His low BP is going to make
him a lot more confused.

Could cause a heart attack
or a stroke if we don't fix it.

Oh.

Well, mystery solved.

The wires aren't even touching.

They're totally disconnected.

Shit happens.

Heart rate still in low 30s.

No change with atropine.

Pacing pads are on.

We can try.

Willie, your pacemaker
isn't working.

Well, you better fix it.

We're going to try to pace
your heart from the outside.

You might feel it in your chest.

Let's start at 10 milliamps,
rate of 60.

Pacer on.

I'm twitching.

No capture.

Increase to 20 milliamps.

Now it's more like a shock.

Still no capture.

Up to 30.

Whoa!

Y'all trying to electrocute me?
- Pacer off.

Can't tolerate it.
- Get rid of this shit!

Dr. Langdon?

One of versed.

Can we set up for transvenous?

I was set up
before you got here.

Versed's on board.

Willie, we need to float
a temporary pacemaker

from your neck into your heart.

Why is that?

Because your heart rate
is only 30.

Then, uh, hit me with,
uh, a shot of atropine.

You've already had three.

Wait, are you a doctor?

He's out.

Ginger, what do you think
about having some help at home?

I think Rita could use
a little break

every now and then.

We can't afford it.

Oh, um, Kiara told me
about DHS senior phone line.

It's part of AAA,
the Area Agency on Aging.

They make referrals
for in-home services.

Uh, what's that going to cost?

Medicare will cover
short-term home care,

at least 10 hours a week.

Ginger, have you ever
been to a senior center?

I went once.

Nothing but old people.

AAA also has senior companions

for a few hours a day.

And if Rita needs to be away
at lunchtime,

the OPTIONS program
can deliver a meal.

Uh, is everything all right?

Yeah.

Did I say something
that upset you?

No, it's all good.

This is...

This is way more
than I expected, so...

Bam.

Internal jugular accessed.

Pulse ox 99 on five liters.

Systolic's 95 on epi.

That's good enough
to perfuse the brain.

Guidewire.

You doing OK
under there, Willie?

I guess.

So this is just
like a triple lumen?

Except you need a big seven
French introducer

to fit the pacing wire.

I could use some air.

Is that any better?

What y'all doing?

We're putting a temporary
wire into an external pacemaker

until you can have surgery to
repair the one in your chest.

Heart rate's still 31.

Bradycardia.

Are you a doctor, Willie?

Yeah, right.

No mention of any medical
career in his past records.

Just mild dementia.

"Are you a doctor?"

That's a good one.

OK, last one.

How's it look?

Perfect.

Uh, Xeroform and tube gauze?

Mm-hmm.

What's up, party people?

Uh, V-Y flap.

Nicely done.
Can I borrow Dr. Santos?

As long as Dr. McKay
can finish the dressing.

Sure.

I can't stop thinking
about your foot.

Uh, you know what I mean.

I'm... I'm sorry, but...
- I know. Move on.

I already did.
- OK.

There's a high-maintenance
surgery clinic patient

down here...
as in total pain in the ass.

I could use your help
distracting her.

So we're... we're good?

Every hero needs a sidekick.

I need to find
a tube gauze cage.

I'll be right back.

You'll need to elevate,
antibiotics three times a day

for a week,
a couple of painkiller tablets,

but try to get by
on Tylenol and ibuprofen.

Are you OK?

Is today a bad day?

Drowning victim.

ETA three minutes.

Sorry, I got to go.

20 centimeters
clears the cordis.

Pacing box rate of 80,
five milliamps.

Confirmed.

On ventricular setting.

Passing to 30,
just outside the heart.

Why do we inflate
the balloon now?

So it'll float
into the right ventricle.

Exactly.
And we're looking for?

An injury pattern,
since it's below the AV node.

Looking good.

Check the pulse.

Strong radial. Really strong.

Man, I feel like I just woke up.

Nice work, Dr. Langdon.

Systolic's up to 130.

How do you feel?

Feel like a million bucks.

Widened QRS on the scope.

Willie, did you used
to work at this hospital?

Hell, no.

I just brought the mail.

Can we steal Javadi?

Absolutely.

Time to shine, Crash.

Do you have time
to write the procedure note?

No problem.

I'll be at Central
if you need me.

Oh, jeez.

I still need to tell Nandi
about her mercury level.

The average emergency doctor
gets pulled from task A

to task B every
three to five minutes.

Remind me again why
we picked this specialty?

Because we all have ADHD,

and anything else would be
boring as hell.

Another ICU admission.

I'll call to confirm.

Dr. Collins, do you think
that we might be able to...

Drowning victim here.

Not right now.

Amber Phillips, six years old.

Found at the bottom of a home
pool with an unknown downtime.

Asystole on the monitor.

Intubated with a cuffed 4.5,
22-gauge left AC,

0.25 epi three minutes ago.

One, two, three.

OK.

Whitaker, take over
compressions.

Any family coming in?
- Grandma and little sister.

Fast and deep.

Ready?

Yeah.

Go.

She's really cold.

OK.

Get a core temp.

Good breath sounds bilaterally.

Should we use the Lucas?

No, she's way too small
for that.

- Rectal temp only 85.
- What do you think, Mel?

Uh, she's cold.
Moderate hypothermia.

We need to get her up to 90
if we have any chance

of restarting her heart.

250 ccs heated saline.

Set up the Arctic Sun.

Continuous core temp monitoring,

and prep another epi 0.25.

Yep.

Preemptive orders done.
Let's go.

I just... I don't understand
why you need me.

Crohn's disease status
post colectomy 10 years ago,

now with severe abdominal pain.

Could be perforation,
fistula, obstruction.

Great teaching case.

Someone give me
something for the pain!

Good afternoon, Ms. Walker.

I'm Dr. Garcia from surgery.

This is Dr. Santos and Javadi.

It looks like you're in
a lot of pain.

No shit!

We ordered you some morphine.

Did you read my chart?

I'm allergic to morphine!

I'll puke my guts out.

That's a side effect,
not an allergy.

Oh, give me some Dilaudid.

OK.

One milligram Dilaudid.

I'll grab it from the PDS.

One is never enough.

I need two, sometimes four.

Got it.

Pertinent history, Javadi?

Um, have you had
any fever or vomiting?

Shut up with your questions!

Ma'am, we can't help you
if we don't know your...

If you want to help me,
get me my doctor.

Dr. Shamsi.

10 years,
no one knows me better.

I don't want to talk
to anybody else.

I'm very sorry,
but she's in surgery right now.

- How long?
- Unknown.

But ma'am, right here we have

Dr. Shamsi's daughter,
Victoria.

She's the next best thing.

Time for another epi.

Dr. Robby?

I'll be right back.

Uh, my wife and I decided.

We're on board
with organ donation.

Oh, I'm really glad to hear it.

Uh, the church supports
their decision.

The OPO is sending an ambulance.

I'll be staying with the family.

How's it going in there?

Oh, not good. Not good.

- Robby.
- Yeah?

For the little girl
in Trauma One,

this is grandmother Frances
and sister Bella.

Hi, I'm Dr. Robinavitch.

How is she?

Um...

Bella, would you like to color?

Maybe get a snack?

Yes, please.

My name is Kiara.

Let's find you some crayons.

I like to draw.

Let's do it.

Come on.

They are still doing CPR.

Can I please see her?

Yes, of course.

Got Grandma coming in.

You can sit right
by the bedside.

Ready to switch?

Go.

Here you go, ma'am.

You can hold her hand.

She wasn't breathing,

so the medics put a tube
in her throat.

She's so cold.

We're warming her up.

That way,
she'll have a better chance

to respond to the medicines.

They moved a bench
next to the pool fence

so they could go over,

because their soccer ball
went in the water.

Amber couldn't make it
out of the deep end.

The gate was locked.

I was vacuuming.

I didn't hear them.

My mercury level is 94?

That's high enough to cause
all your symptoms...

insomnia, tremors,
imbalance, psychosis.

From a stupid face cream?

We're going to start
chelation therapy.

It's a medication that binds
with the mercury

and helps your body excrete it.

And then I'll be back to normal?

I don't know.

Are any of us normal?

Where's my phone?

They locked it away
with all your valuables.

I... I need my phone.

OK.

But when you post,
you have to tell everyone

not to use the cream.
- Definitely.

Can I borrow your phone?

Just the camera.

I was wearing a wig
when I left my apartment

and I had a wig
when I came in, right?

Not when you came in.

Oh my God.

I look like shit.

- How is he doing?
- Stable.

Scheduled for a new pacer
tomorrow with cardiology.

- Great.
- Robby.

Parents of T1.

This is Dr. Robby.

Where's Amber?
Is she OK?

What have you heard?

That she got pulled
from the pool.

She wasn't breathing,

so we're doing that for her now.

And we're trying to get
her heart started again.

Wait, her heart stopped?

I have to be with her.

Of course.

There are a lot
of people in here

right now trying to help her.

We understand.

Amber.

Oh my God, Amber!

I'm here.
I love you.

I love you so much.

Gina, I am so sorry.

Where's Bella?

She's with our social worker.

Oh, I should be with her.

I'll go with you, Mom.

I'll be right back.

OK. Come on.
She's just down the hall.

Hang on. We got it.
- Oh.

Rhythm check.

Hold compressions.

Asystole.

Resume compressions.

Three minutes
since the last epi.

Push another.

Did you shock the heart?

Uh, no.

Why didn't you shock the heart?

We've got to save her.
You've got to shock the heart.

Heart rhythm right
now is flatlining.

That's not treatable
with a shock.

We're trying to get the rhythm
to change to something

we can shock by warming her up.

OK.
So we've got to warm up.

You've got to get some more
blankets in here or something.

We are giving her
warm IV fluids,

and you can feel
these blue pads.

They have warm water
running through them

like a hot tub.

Are you sure
you're doing everything?

Yes, we are.

Amber, honey, I'm here.

It's going to be OK.

I promise you,
everything's going to be OK.

I can't take much longer!

I've got Dr. Shamsi
on speakerphone from the OR.

Eileen, how soon
can you get here?

I'm finishing a lap chole.

Shouldn't be long.

Your daughter is here.

Hi, honey.

Minimal relief
with two of Dilaudid.

She needs four.

That's what
I've been telling them!

We're titrating.

We didn't want her
to stop breathing.

- Is Dr. Garcia with you?
- Right here.

How's the exam?

Rigidity with guarding.

Sounds like peritonitis.

Two sets of blood cultures
and 3.375 of Zosyn.

Make sure she's next
in line for a CT scan.

Bump everyone else.

Do you understand? Victoria?

- Got it.
- See you soon.

Thank you, Eileen.

Ready for some more Dilaudid?

God, yes.

Victoria will make sure
all of Dr. Shamsi's

orders are followed.

Call if you need us.

Yeah.

Great move bringing in Javadi.

Is this patient payback
for dropping the scalpel?

Look at the bright side...
if she goes to the OR for perf,

you can scrub in.

I'll coach you.

You'll make a brilliant first
impression on Dr. Shamsi.

- Really? You'd do that?
- Mm-hmm.

Thanks.

I, um... I have something
unusual to ask.

OK.

I've been on two cases
with Langdon,

and there have been
irregularities

with benzos...
Lorazepam with a seizure,

Librium with an alcoholic.

And?

And I'm concerned.

Concerned about what?

That he could be stealing.

Whoa, whoa, whoa.

I insult the shit
out of Langdon,

but he's a great doctor.

I've never seen him impaired.

What do I do?

You've been here
for, what, seven hours?

Just do your job.

Kind of a weird vibe out here.

Yeah, pediatric drowning
will do that.

Glad I didn't end up in there.

Yeah, you and me both.

Uh, what's with the scarf?

Oh, it's from
the lost and found,

for my patient in Central Eight.

Cool.

I'm off to North Two.

Dysuria.

What happened to
two visitors a patient?

It's the fentanyl overdose.

There's going to be
an honor walk.

He's an organ donor.

Well, see you later.

See you.

Myrna?

Myrna!

Oh, no. No, not today.

Myrna!

What the fuck?

What do you think you're doing?

I... I was just
checking on you, ma'am.

You can't even take a nap
in this hellhole.

Fuck off!

Sorry.

Hi, I'm Dr. McKay.

Uh, Piper.

Laura.

And you guys are?

She's my boss.

Oh, what kind of work?

I'm an accountant,
and she's my assistant.

Oh, cool.

Um, Piper, are you OK with your
boss being here while we talk?

Yeah, I'm... I'm good.

Are you sure?

I'm going to be asking you
some pretty personal questions.

She doesn't mind.

We... we have no secrets.

OK.

So burning with urination.

Mm-hmm.

When did that start?

About two days ago.

Why don't we let Piper
answer the questions?

I'm sorry, it's just,
we've been waiting so long.

About two days ago.

Any blood in the urine?

I don't think so.

No, she would have
definitely noticed that.

OK.

I'm going to get you a gown
and I'll be right back, OK?

OK.

Any change with
the extra Dilaudid?

Not really.

The pain is still there.

Sorry. Sorry.

Just to review, no fever,
no vomiting,

no diarrhea, no constipation.

Correct.

When exactly did the pain start?

10:15 this morning,
all of a sudden.

That's very strange.

I agree.

Will you tell me everything
you did this morning?

Took a shower.

I had breakfast,
some coffee, toast with jam.

Yard work.

Moved some firewood.

Did the pain start before
or after the firewood?

A little bit after.

I might have got
a splinter in my foot.

I wasn't wearing socks.

Other one.

Two small puncture wounds,
one millimeter apart.

Two splinters?

Whoa.

What?

There's a dead black widow
spider in your shoe.

You're shitting me.

Red hourglass marking.

We need IV diazepam.
Start with five.

Might need 10.

What does a spider bite have
to do with my Crohn's disease?

Oh, nothing.

Um, black widow venom can cause
muscle spasms in the belly.

People have had surgery
thinking it was appendicitis.

Hi, Dolores.

Why didn't you get her
to CT yet?

I... I don't think
she needs it.

The abdomen is rigid.
She's perfed.

Maybe not.

What are you giving?

- Diazepam.
- I didn't order that.

I did.

She has a rigid abdomen

but no other GI signs
or symptoms.

It didn't make any sense.

There's a black widow spider
and a bite mark on the foot.

The venom is causing spasm of
the abdominal wall musculature.

Whatever you guys gave me,
it's working.

Possibly.

No, definitely.

I'm much better.

Take a deep breath.

Good, good.

Are you from Pittsburgh?

Uh, two hours north.

Like, Mill Village.

OK.

You have any family
you want to call?

I don't have a phone.

She can use mine
if she needs to.

OK.

Lay down.

I've, uh, never heard
of Mill Village.

Yeah, nobody has.

Population 400.

Wow, that's small.

Tell me about it.

After high school,
I had to get out of there.

Mm.

Well, you're lucky
you found a job.

Any pain around here?

Mm-hmm, a little.

OK.

Sit up for me.

All right.

You gave us a urine specimen?

Hours ago, in the waiting room.

OK.

Well, I'll find the results,

and then you might need
a pelvic exam.

Is that really necessary?

It could be.

If there's no bladder infection,

it's important to check.

OK.

And if we do a pelvic, Laura,

we'll have you step outside
for a minute.

I'd prefer to stay with her,
for support.

Piper, do you want some privacy?

No, it's cool.

She... she can stay.

OK.

All right.

I'll be back.

Core temp is 88.

Is... is that good?

It's up from 85 on her arrival,

so we're headed in
the right direction.

You hear that, Amber?

It's better.

You're getting better.

I need to step out for a second.

You're in good hands.

Come find me when it's over 90.

Parents are going to need
the family room.

It's available now.

Last rites for Nick.

Just one of those days.

Yeah.

Anyone else dying?

Not at the moment.

What the hell is that?

You asked for better
patient satisfaction scores.

What do you want, man?

Oh, jeez.

Excuse me, Dr. Robby.

This is Eli,
son of Willie Alexander.

- Hey, nice to meet you.
- Likewise.

How's he doing?
- He's doing better.

He's going to need
to stay with us,

though, for a new pacemaker.

He got a new one at Presby

about, uh, a year ago.

They said it'd be good
for 10 years.

Yes, but the wires
separated from the box.

It happens sometimes.

Can he have a visitor?

Of course. Right this way.

Hey, Eli, what did your dad
do for a living?

Uh, postal worker, 40 years.

Did he ever do any
volunteer work at the hospital?

No.

But when he was a kid,
he was a medic

for the Freedom House
Ambulance Service.

That's incredible.

Uh, I will be in
as soon as I can.

Thank you.

That guy's a legend.

I know.

Sorry, can I get your help
with something?

Yeah.

Um, 18-year-old woman
with dysuria,

moved here two months ago
from rural Pennsylvania.

She's with her female boss,

who's very controlling
and answers questions for her

and won't leave her side for
anything, even a pelvic exam.

And you're thinking?

- Red flags for trafficking.
- Sounds like it.

I need to take a sexual history

and do a pelvic in private.

She's not going to talk
unless we separate them.

That we can do. Come on.

That looks like ST elevation.

That could be bad.

Oh, no.

That's just because we're
pacing your right ventricle.

Willie, I'm impressed.

After all these years,
you still remember

your medical training.

He couldn't tell you
what he had for breakfast.

It's all right.

I remember what's important.

Like the Freedom House.

What's that?

A damn shame.

That's your history.

Dad, they're busy.

Back in the '60s, no 911,

no ambulances.

All we had was
police paddy wagons

that took you to the hospital,
if you were lucky.

Then this doc from Pitt,
Dr. Safar,

he got some money
and trained us up.

Well, you must have been
a good student.

Hell, no.

I was a knucklehead.

Smoked a lot of weed,
dropped out of high school.

But Freedom House trained me up.

Saved my life.

What are you doing there,
Willie?

Nothing.

You're moving
your old pacemaker.

Diagnosis made.

What?

Twiddler's syndrome.

Spinning that thing around
caused the wires to break off.

Oh, Dad.

- I didn't mean to.
- It's OK.

We'll put the new one in
a little deeper.

Won't happen again.

Some of your tests are
concerning for a kidney stone.

Wouldn't that give more pain?

Not always.

If it's a urine infection
with a stone,

you'll need to stay
in the hospital

for some IV antibiotics.

What do we have to do?

A CT scan of your kidneys.

How long is that going to take?

- They can do it right now.
- Great.

Let's go.
- I'm... I'm sorry.

There's radiation.

You won't be able
to stay with her.

But we'll be back as
soon as the scan is done.

You're good with this, right?

Yeah, I'll be fine.

We'll see you in a minute.

So Laura's an accountant?

- Uh-huh.
- Oh.

How'd you get the job?

- Online ad.
- Yeah.

Zoom interview.

You must be good at math.

Not really.

So what do you do for work?

I answer the phones,
I make appointments, I...

I bring deposits to the bank.

You work with spreadsheets?

She hasn't taught me that yet.

This is where you do the CT?

Uh, no.

We wanted to give you some
privacy for your pelvic exam.

Laura's going to be so pissed.

Why would she be mad?

Piper, do you have any concerns

you want to talk about?

No, just the pain when I pee.

Anything you need to tell us
about your job or your boss?

No.

No, it's all really great.

OK.

Temp is up to 91.

She's so much warmer.

Is it working?

Can you shock the heart now?

91 is warm enough
for her heart to respond.

Hold compressions.

Asystole.

Resuming compressions.

Got the potassium level back.

12.2.

No one has ever survived
a cardiac arrest

with a potassium over 11.

There is absolutely
no chance of recovery.

I am so sorry.

Amber has died.

No.

No, no, no, no, no, no, no.

It's not happening.

No, no, no!

No! No!

I'm sorry.

I am so...

Before we stop,
do you think her sister

would like a chance
to say goodbye?

No.

Uh, Bella shouldn't see her
like this.

OK.

You can stay in here
for as long as you like.

Shh.

It's OK. It's OK.

We are going to stop now.

Resuscitation efforts
discontinued at 14:51.

Oh, sweetheart, I'm sorry.

OK, that's it.

We're done.

Let me get the gurney up.

Is everything OK?

Yeah.

There's no infection

in your uterus or ovaries.

OK, that's... that's good.

But your urine test was
positive for chlamydia.

Shit.

It's a sexually
transmitted infection.

Any idea how that happened?

Yeah, my cheating

piece of shit ex-boyfriend
back home.

But we broke up before I moved.

You need antibiotics
twice a day for 10 days.

That'll clear it up.

And he'll need treatment too.

If I don't tell him,
is there a chance

his dick will fall off?

If you don't tell him,
a public health nurse will.

You should also test
for HIV, syphilis,

gonorrhea, and hepatitis.

OK.

Any other sexual partners

in the last few months?

Not really.

Use condoms?

Most of the time.

It's important to use them
all the time.

Yeah, but if I forget,

you can just give me a shot, right?

Not for some infections.

This is serious.

Birth control?

Norplant.

It's good for five years.

Piper, we have a question
that we ask everyone.

Sometimes people are pressured

to have sex
when they don't want to.

Does that ever happen to you?

No, never.

And when you signed in,
you put down Laura

as your emergency contact.

Yeah.

You have the same address
as Laura?

Yeah.

She's letting me use
her guest room

until I can save up
for a place of my own.

OK.

Why don't we have you
lie down again?

What for?

Uh, ultrasound.

We're going to check
your kidneys.

You got bumped from CT by
a couple of emergency cases.

Bella, Dr. King
and Dr. Collins are here.

Hi.

I'm coloring.

You're a very good artist.

Thanks.

Um, Bella?

Yeah?

What have you heard about Amber?

She's really sick,
but the doctor and the nurse

is trying to make her better.

That must make you sad.

You know, I have a sister too,

and I don't like it
when she's sick.

She saved me.

She did?

I fell in the pool.

She helped me get out,
but then she couldn't get out.

I'm making her a card.

Freedom House took us in
and trained us for 300 hours.

They turned out
the very first medics

in the United States.

We started IVs, defibrillated,

intubated in the field.

They were the heroes
of Hill District,

a bunch of young Black dudes
saving lives every day.

Why'd you quit?

I didn't.

The city saw
how successful it was

and took over the program.

Trained new medics.

All white.

Everything that
Willie and his friends did

set the EMS standard
for the entire country.

Their program created
the 911 system.

It wasn't just us.

We had the best teachers.

Dr. Safar invented CPR.

Dr. Adamson,
med student when I arrived.

But I'm telling you,
boy, that guy could teach

like there was no tomorrow.

You ever hear him
give a lecture?

Many times.

Every time I saved a patient,

it was like he was
standing right here,

whispering in my ear,

telling me what to do.

Me too.

Yeah.

Where is he working now?

Dr. Adamson died a few
years ago, during COVID.

Oh.

Hard to believe.

He was so young,
so full of life.

A force of nature.

Yes, he was.

We're back.

I should be out there
for the honor walk.

Right.

Hey, Mrs. Phillips.

Your son would like
to speak with you.

Oh.

Dr. King can stay here.

Bella, I'll be right back.

I finished my card.

Oh.

It's beautiful.

I love it.
- Thanks.

Can I see Amber now?

Um, not quite yet.

What is that?

Oh, uh, it's from the gift shop.

For Amber?

For you and for Amber.

Um, but you get to name it.

I think her name will be Bear.

Bear.

All right.

Um, since you can't see
Amber right now,

but I bet you got a lot
of things to tell her,

Bear is going to help.

How?

Well, um, if you tell Bear

everything you want
to tell Amber,

then I'll take Bear
and sit her on Amber's pillow,

and then she'll tell her
everything you said.

What do you think of that plan?

- I like it.
- Yeah?

OK.

Do you want to give it a try?

There you go.

Hi, Amber.

It's me, Bella.

Thank you for saving me.

When you come home, I promise

I won't touch your toys
without asking.

And I'll try not to fight,
because you're my best friend

in the whole entire world.

I love you.

Amber is going to be
so happy with that.

Hey.

Hey.

Uh, how long have you
been working here?

32 years.

All in the ER?

Yeah.

Oh, man.

How do you do it?

I like taking care of everyone,

especially the ones
who fall through the cracks.

They got nowhere else to go.

Well, you deserve a medal.

Yeah, I'd settle for a raise.

Thank you for everything.

Uh...

I wish they could do
the surgery here.

Surgical teams are flying in
from all over the country

to meet Nick at the Center
for Organ Recovery.

We have a car and driver waiting

so John and Lily can follow
right behind the ambulance.

Thank you.

So we won't be seeing you again?

If it's all right,
I think a lot of us here

would like to attend
Nick's funeral.

Yeah, of course.

Thank you.