1 00:00:05,380 --> 00:00:05,547 . 2 00:00:05,630 --> 00:00:07,048 Novak and Violet's arrival 3 00:00:07,507 --> 00:00:08,717 I'll handle it. 4 00:00:08,800 --> 00:00:10,218 Why are you so enthusiastic? 5 00:00:10,301 --> 00:00:12,595 with a certain paramedic 6 00:00:12,679 --> 00:00:14,806 Do you want to go to your house? 7 00:00:18,143 --> 00:00:21,104 Sharon, nursing program 8 00:00:21,187 --> 00:00:22,814 - Yes, that's right. 9 00:00:24,607 --> 00:00:26,109 Am I accepted? 10 00:00:26,234 --> 00:00:27,569 You chose another candidate. 11 00:00:27,652 --> 00:00:29,070 Yes but... 12 00:00:29,195 --> 00:00:31,239 No, he has the same opportunities as you 13 00:00:31,364 --> 00:00:34,075 I understand your support. 14 00:00:34,117 --> 00:00:36,369 You know, responding to this statement 15 00:00:36,494 --> 00:00:37,954 I will not honor it. 16 00:00:41,124 --> 00:00:43,460 Thanks. 17 00:00:43,501 --> 00:00:44,919 Good morning. 18 00:00:45,045 --> 00:00:46,963 To pander to our majority shareholder 19 00:00:47,047 --> 00:00:49,883 There is no need for all this fanfare. 20 00:00:49,966 --> 00:00:51,051 I hear some whispers, 21 00:00:51,092 --> 00:00:52,635 This meeting was not just a formality. 22 00:00:52,677 --> 00:00:54,763 Looks like last year 23 00:00:54,846 --> 00:00:56,222 - If they want to cut costs, 24 00:00:56,306 --> 00:00:58,141 By not taking a private jet to Jackson Hole 25 00:00:58,224 --> 00:00:59,559 They can start work. 26 00:00:59,726 --> 00:01:01,394 - Yes, but if you want to start with that. 27 00:01:01,478 --> 00:01:03,146 - Talk to Miranda and come up with a common plan 28 00:01:03,229 --> 00:01:05,982 I can see if we can go. 29 00:01:06,024 --> 00:01:09,652 - I don't have time to explain your mistake to your boss. 30 00:01:09,694 --> 00:01:12,155 I'm already late. 31 00:01:12,238 --> 00:01:14,324 - He seems to be in a good mood. 32 00:01:17,952 --> 00:01:20,288 - I'd better go to work. 33 00:01:23,333 --> 00:01:26,002 - Your feet don't say so. 34 00:01:27,587 --> 00:01:29,005 I think you're onto something. 35 00:01:29,089 --> 00:01:32,550 You shouldn't go to work. 36 00:01:32,592 --> 00:01:35,470 Hm. 37 00:01:35,595 --> 00:01:38,014 Sorry, can I help you? 38 00:01:38,098 --> 00:01:41,518 - You look like a doctor. 39 00:01:41,559 --> 00:01:44,437 - I am a medical student. Dr. I'm looking for Charles. 40 00:01:44,479 --> 00:01:46,147 I was supposed to meet him at the emergency room 41 00:01:46,231 --> 00:01:47,774 But I constantly lose my way. 42 00:01:47,857 --> 00:01:49,401 - Ok. 43 00:01:49,484 --> 00:01:53,279 I'm going there too, I can take you. 44 00:01:53,321 --> 00:01:55,824 Shall we continue this later? 45 00:01:55,865 --> 00:01:57,242 I'll text you the takeaway options. 46 00:01:57,283 --> 00:02:00,203 - Ok. 47 00:02:03,873 --> 00:02:06,418 - He seems like a nice guy. 48 00:02:06,459 --> 00:02:10,088 - Dude, medical students every year 49 00:02:10,213 --> 00:02:11,548 They look like high school students. 50 00:02:11,589 --> 00:02:14,509 - First graders. 51 00:02:14,634 --> 00:02:16,261 What are they doing here? 52 00:02:16,386 --> 00:02:18,680 - Well, do you remember my friend Howie? 53 00:02:18,722 --> 00:02:21,725 - Certainly. I'm sorry about his wife. 54 00:02:21,766 --> 00:02:23,476 - I know how close you are. 55 00:02:23,560 --> 00:02:27,147 Anyway, at Howie Porter University 56 00:02:27,230 --> 00:02:28,732 lecturer at the faculty of medicine. 57 00:02:28,857 --> 00:02:29,899 As you know, mental health in this country 58 00:02:30,025 --> 00:02:32,193 There is a shortage of employees. 59 00:02:32,277 --> 00:02:33,862 That's why Howie is interested in psychiatry. 60 00:02:33,987 --> 00:02:35,071 identified several students. 61 00:02:35,155 --> 00:02:36,239 He asked me to talk to them. 62 00:02:36,322 --> 00:02:37,615 - But that wasn't enough. 63 00:02:37,741 --> 00:02:39,034 - No, he didn't come. Because I'm a lazy person, 64 00:02:39,159 --> 00:02:40,577 That's why I had them brought to me. 65 00:02:40,660 --> 00:02:42,871 -Dr. Charles, this is Amira. 66 00:02:42,954 --> 00:02:44,247 He was looking for you. 67 00:02:44,330 --> 00:02:45,915 - Amira, what a pleasure to meet you. 68 00:02:45,957 --> 00:02:48,084 I'm right next to your friends 69 00:02:48,168 --> 00:02:49,919 - They are not my friends. 70 00:02:50,003 --> 00:02:51,171 I don't have many friends at school yet. 71 00:02:51,212 --> 00:02:53,631 - Really? Who knows? 72 00:02:53,715 --> 00:02:56,176 Maybe this will change before the day is out. 73 00:02:56,301 --> 00:02:57,761 - How's it going? 74 00:02:57,886 --> 00:02:59,304 - Not as good as you, 75 00:02:59,387 --> 00:03:01,097 Judging by that lipstick mark on her neck. 76 00:03:01,139 --> 00:03:04,100 Why is security high-fiving me? 77 00:03:04,184 --> 00:03:06,227 OK, I'm sorry. 78 00:03:09,522 --> 00:03:11,024 Sorry, unnecessary search. 79 00:03:11,107 --> 00:03:12,692 What were you saying? 80 00:03:12,817 --> 00:03:14,944 - Things between you and Novak 81 00:03:14,986 --> 00:03:16,654 It gets very hot and serious. 82 00:03:16,738 --> 00:03:19,783 - Yeah, he's hot for sure. 83 00:03:19,824 --> 00:03:22,285 About personal matters 84 00:03:24,079 --> 00:03:27,290 -What is your opinion? 85 00:03:27,332 --> 00:03:30,168 - Emotional intimacy of these men 86 00:03:30,251 --> 00:03:31,670 For having sex in the parking lot 87 00:03:31,795 --> 00:03:33,922 can't you be happy? 88 00:03:34,005 --> 00:03:35,882 - This... This is oddly detailed. 89 00:03:36,007 --> 00:03:38,635 - Third treatment. - Well... 90 00:03:38,802 --> 00:03:40,970 - If we have questions about the procedures... 91 00:03:41,054 --> 00:03:43,139 - You can ask any time, Sabrina. 92 00:03:43,223 --> 00:03:45,892 Hi TikTok, what's up? 93 00:03:46,017 --> 00:03:48,645 - Definitely. I'm so excited, boss. 94 00:03:48,687 --> 00:03:50,980 Here triage (according to the urgency of the patients) 95 00:03:51,064 --> 00:03:52,941 Or for crisis intervention? 96 00:03:53,024 --> 00:03:54,693 - Great question. 97 00:03:54,776 --> 00:03:57,028 - Well, should we all take notes? 98 00:03:57,112 --> 00:03:59,030 - Do you know? My only wish is 99 00:03:59,114 --> 00:04:01,741 At the end of the day, this area of expertise 100 00:04:01,783 --> 00:04:03,326 Have a clear idea of ​​what it is. 101 00:04:03,493 --> 00:04:05,120 - Someone please help! 102 00:04:05,203 --> 00:04:06,454 - Our son was shot! Please help! 103 00:04:06,538 --> 00:04:07,997 - Let's give them some space. 104 00:04:08,123 --> 00:04:09,290 - Trauma 3 is empty. Come from here. 105 00:04:09,416 --> 00:04:11,126 - What happened? 106 00:04:11,251 --> 00:04:12,419 - We were going to a speech therapy appointment. 107 00:04:12,544 --> 00:04:14,629 - A wound under the right collarbone, 108 00:04:14,671 --> 00:04:16,506 The second wound is just below the shoulder blade. 109 00:04:16,589 --> 00:04:18,049 In the subcollar vascular access line. 110 00:04:18,133 --> 00:04:20,051 - We were waiting at the lights. There were two men. 111 00:04:20,135 --> 00:04:22,429 Someone pulled out a gun and we heard an explosion. 112 00:04:22,554 --> 00:04:24,764 - Pulses are weak. Bring blood into the room. 113 00:04:24,806 --> 00:04:26,599 - Ok. - Will it be okay? 114 00:04:26,683 --> 00:04:28,059 Billy! -Dr. Call Morgan. 115 00:04:28,101 --> 00:04:29,894 You have to wait outside. 116 00:04:29,978 --> 00:04:31,855 - I promise, we'll take good care of him, okay? 117 00:04:31,938 --> 00:04:33,940 - I'm inserting the catheter. We have to intubate. 118 00:04:34,065 --> 00:04:35,942 Call blood bank and massive blood transfusion 119 00:04:36,067 --> 00:04:37,527 - Understood. 120 00:04:37,652 --> 00:04:39,029 - They saved him. 121 00:04:39,154 --> 00:04:40,864 - 2 grams of TXA (hemostatic), 122 00:04:40,989 --> 00:04:43,283 Let's get ready for the x-ray. 123 00:04:43,366 --> 00:04:44,743 With your permission. 124 00:04:58,840 --> 00:04:59,007 . 125 00:04:59,132 --> 00:05:00,300 - Hi Kiana. 126 00:05:01,384 --> 00:05:03,636 You fainted today 127 00:05:03,678 --> 00:05:05,347 - Yes, on the way to school 128 00:05:05,472 --> 00:05:07,474 since I woke up 129 00:05:07,557 --> 00:05:09,726 - Sorry. 130 00:05:09,893 --> 00:05:12,228 - Hawaiian dialect. 131 00:05:12,270 --> 00:05:14,647 I'm Jean, Kiana's mother. 132 00:05:14,773 --> 00:05:16,024 So you're from Hawaii, huh? 133 00:05:16,191 --> 00:05:19,110 - From Kauai. last summer 134 00:05:19,152 --> 00:05:22,238 - Yes, my mom is with Steve the Dentist 135 00:05:22,280 --> 00:05:24,741 - Steve the dentist? 136 00:05:24,908 --> 00:05:29,537 - Dude, the guy's picture is almost 137 00:05:29,621 --> 00:05:31,164 - "Smiles that last for miles," 138 00:05:31,247 --> 00:05:32,916 Okay. 139 00:05:32,999 --> 00:05:34,959 across for me 140 00:05:35,043 --> 00:05:36,711 - For a conference a few years ago 141 00:05:36,836 --> 00:05:38,338 we met. 142 00:05:38,421 --> 00:05:41,007 Until you propose marriage 143 00:05:41,091 --> 00:05:42,342 - Congratulations. 144 00:05:42,425 --> 00:05:45,053 - And now it's here 145 00:05:45,095 --> 00:05:46,971 - Can I take a look at your hands, Kiana? 146 00:05:47,055 --> 00:05:49,307 Are you cold right now? 147 00:05:49,391 --> 00:05:50,934 I've been hurting everywhere since yesterday. 148 00:05:51,059 --> 00:05:52,977 My period is very painful this month. 149 00:05:53,144 --> 00:05:54,604 I thought it was. 150 00:05:54,688 --> 00:05:56,106 - Then earlier today, 151 00:05:56,231 --> 00:05:58,775 I felt dizzy and 152 00:05:58,942 --> 00:06:01,903 I think it's in the Midwest. 153 00:06:01,945 --> 00:06:03,905 I will have some tests done. 154 00:06:03,947 --> 00:06:06,408 and consult your gynecologist 155 00:06:06,491 --> 00:06:08,118 Meanwhile, Nancy 156 00:06:08,201 --> 00:06:10,745 a bag of hot serum and 157 00:06:10,870 --> 00:06:12,080 - Okay. 158 00:06:15,041 --> 00:06:17,627 - How are you, Miranda? 159 00:06:17,669 --> 00:06:18,962 - I am good. 160 00:06:19,045 --> 00:06:20,380 What's up? 161 00:06:20,422 --> 00:06:22,757 - About this meeting 162 00:06:22,841 --> 00:06:25,010 Budget cuts again? 163 00:06:25,051 --> 00:06:27,262 - I didn't come to argue. 164 00:06:27,429 --> 00:06:29,264 that we should talk 165 00:06:29,305 --> 00:06:31,516 Because we protect what's important 166 00:06:31,599 --> 00:06:33,893 - Thanks for the offer, though. 167 00:06:33,977 --> 00:06:36,104 And let's see what's what first? 168 00:06:36,146 --> 00:06:38,231 - You know, Gaffney initially 169 00:06:38,273 --> 00:06:40,358 It will cost money, but it will save us money in the long run. 170 00:06:40,483 --> 00:06:42,777 It may be good to emphasize moves that will protect you. 171 00:06:42,819 --> 00:06:45,780 Getting better personnel and equipment, 172 00:06:45,947 --> 00:06:48,742 It means better results and fewer lawsuits. 173 00:06:48,825 --> 00:06:51,494 -Dr. Hayes' lawsuits cost us a fortune. 174 00:06:51,536 --> 00:06:55,123 - So should I have kept this under wraps? 175 00:06:55,206 --> 00:06:56,791 - No, but you're arrogant. 176 00:06:56,958 --> 00:06:58,585 I'm sick of your attitude, Sharon. 177 00:06:58,752 --> 00:07:01,296 It's like you're perfect somehow, 178 00:07:01,379 --> 00:07:03,381 Like you're the moral center of this hospital... 179 00:07:03,506 --> 00:07:05,050 So, you can be like this 180 00:07:05,133 --> 00:07:07,510 Because I make the tough decisions. 181 00:07:07,635 --> 00:07:09,137 I'm tired now. 182 00:07:11,056 --> 00:07:13,099 - Oh, I see. 183 00:07:13,224 --> 00:07:16,853 The budget cut is mine, right? 184 00:07:16,895 --> 00:07:19,773 You're trying to get rid of me. 185 00:07:19,814 --> 00:07:22,400 Damn! 186 00:07:22,484 --> 00:07:24,235 Let's talk at the meeting. 187 00:07:30,325 --> 00:07:32,577 - Okay, there is nothing abnormal. 188 00:07:32,702 --> 00:07:36,664 Menstrual problems are just normal cramps 189 00:07:36,831 --> 00:07:38,667 - Can I come in? 190 00:07:38,750 --> 00:07:40,210 - You can come in, Dentist Steve. 191 00:07:40,251 --> 00:07:41,711 - Hi! 192 00:07:41,795 --> 00:07:43,838 Hi. 193 00:07:43,922 --> 00:07:45,131 Where are the girls? 194 00:07:45,215 --> 00:07:46,424 - I just left them with their mother. 195 00:07:46,508 --> 00:07:48,176 Kiana is a little quiet when she comes home 196 00:07:48,343 --> 00:07:50,261 I said it would be good to have it. - You are very thoughtful. 197 00:07:50,428 --> 00:07:51,971 - Also, this way you 198 00:07:52,013 --> 00:07:55,600 I'm going to beat the hell out of "Super Smash Bros." 199 00:07:55,642 --> 00:07:58,520 - Did you think I would pity you just because you fainted? 200 00:07:58,561 --> 00:08:01,022 Think again. I prey on the weak. 201 00:08:01,106 --> 00:08:02,315 - Oh. 202 00:08:02,399 --> 00:08:03,274 - Hey, can you come for a second? 203 00:08:03,316 --> 00:08:04,776 - Of course. We'll be right back. 204 00:08:07,320 --> 00:08:08,863 According to the examination results, Kiana's 205 00:08:09,030 --> 00:08:11,408 The symptoms do not have a gynecological cause. 206 00:08:11,491 --> 00:08:13,368 - The analysis results have arrived. 207 00:08:15,995 --> 00:08:19,082 - Hemoglobin 8.6. There is anemia. 208 00:08:19,165 --> 00:08:20,709 - Yes, but what causes this? 209 00:08:20,875 --> 00:08:23,378 - Iron level, folate and B12 210 00:08:23,503 --> 00:08:25,255 It looks completely normal. 211 00:08:25,380 --> 00:08:27,424 - He didn't take the test because his blood was too dark. 212 00:08:27,507 --> 00:08:29,050 They had to do it twice. 213 00:08:30,885 --> 00:08:32,971 - His hands were bruised when he arrived, weren't they? 214 00:08:33,054 --> 00:08:34,597 - Yes. 215 00:08:34,681 --> 00:08:37,100 - And until we leave Hawaii 216 00:08:37,183 --> 00:08:39,102 He's never experienced anything like this. 217 00:08:39,185 --> 00:08:41,896 - You think it might be CAD. 218 00:08:42,063 --> 00:08:44,774 So actually to the Midwest (inland USA) 219 00:08:46,151 --> 00:08:48,069 - What is CAD? 220 00:08:48,194 --> 00:08:50,071 I heard some doctors talking. 221 00:08:50,196 --> 00:08:51,781 - Does anyone know what they're talking about? 222 00:08:51,865 --> 00:08:54,534 - No. 223 00:08:54,576 --> 00:08:56,077 a rare one 224 00:08:56,161 --> 00:08:57,454 - Very good. 225 00:08:57,579 --> 00:08:59,289 More specifically, cold weather 226 00:08:59,456 --> 00:09:01,791 immune system to red blood cells 227 00:09:01,916 --> 00:09:02,959 This is the result... 228 00:09:03,084 --> 00:09:04,836 - Causes anemia. 229 00:09:05,003 --> 00:09:07,630 -Dr. Charles, two patients are coming, 230 00:09:07,756 --> 00:09:09,507 - Why is it tied? 231 00:09:09,549 --> 00:09:11,009 - Give your brother a big swing 232 00:09:11,092 --> 00:09:12,552 - Okay. 233 00:09:12,677 --> 00:09:15,055 In this case, stand back a little. 234 00:09:15,138 --> 00:09:17,307 - His intestines are coming out! 235 00:09:17,474 --> 00:09:20,477 His intestines are coming out! 236 00:09:20,518 --> 00:09:22,645 - You can't let him do this! 237 00:09:22,812 --> 00:09:24,064 - Wait, where's the wound? 238 00:09:24,105 --> 00:09:25,482 It's not blood. 239 00:09:25,565 --> 00:09:26,733 “Pizza sauce?” 240 00:09:26,900 --> 00:09:28,151 They are opening a restaurant, 241 00:09:28,318 --> 00:09:29,944 when he attacks 242 00:09:30,111 --> 00:09:32,030 The man behind us 243 00:09:32,072 --> 00:09:34,491 Please don't let this happen! 244 00:09:34,574 --> 00:09:36,576 5 milligrams haloperidol (sedative), 245 00:09:36,618 --> 00:09:38,370 Dante Pagliano, 246 00:09:38,411 --> 00:09:40,789 Trauma 2. 247 00:09:40,830 --> 00:09:43,541 Blood pressure drops, 248 00:09:43,708 --> 00:09:45,085 Injury in the lower abdomen... 249 00:09:45,168 --> 00:09:47,379 Unknown amount of blood loss 250 00:09:47,462 --> 00:09:49,839 I'm counting. 251 00:09:49,964 --> 00:09:52,592 50 pack of fentanyl (painkiller) and 252 00:09:52,634 --> 00:09:54,719 Please listen to me. 253 00:09:54,803 --> 00:09:57,389 Small intestine protruded 254 00:09:57,430 --> 00:09:59,140 and the intestinal sling was torn. 255 00:09:59,224 --> 00:10:00,684 We have to get him to the operating room. 256 00:10:00,725 --> 00:10:01,768 I took him out. 257 00:10:01,810 --> 00:10:03,269 You didn't do anything, Dante. 258 00:10:03,353 --> 00:10:04,145 Your intestines are outside your body. 259 00:10:04,229 --> 00:10:05,689 We need to get them in. 260 00:10:05,730 --> 00:10:07,273 No, no, brother... 261 00:10:07,399 --> 00:10:09,734 You can't let him do this! 262 00:10:09,859 --> 00:10:12,737 No! 263 00:10:12,904 --> 00:10:15,115 I disemboweled you! 264 00:10:15,198 --> 00:10:17,867 Ah! 265 00:10:24,165 --> 00:10:24,457 . 266 00:10:24,499 --> 00:10:26,084 - Dante's intestines came out, 267 00:10:27,210 --> 00:10:29,337 Therefore, his abdomen should be opened and examined. 268 00:10:29,379 --> 00:10:31,423 and the abdominal wall needs repair. 269 00:10:31,506 --> 00:10:33,633 As soon as the operating room is ready 270 00:10:33,758 --> 00:10:35,885 - Patients generally 271 00:10:35,969 --> 00:10:37,512 - What did you say? 272 00:10:37,595 --> 00:10:39,556 - This is generally the patient's choice 273 00:10:39,681 --> 00:10:40,890 But considering they are brothers, 274 00:10:40,974 --> 00:10:42,517 It's probably better to use their names 275 00:10:42,559 --> 00:10:45,478 because it will be clearer. 276 00:10:45,520 --> 00:10:46,980 - Did Dante have any other ideas, 277 00:10:47,105 --> 00:10:49,441 Why is your brother having a psychotic break? 278 00:10:49,482 --> 00:10:51,026 - Only his own 279 00:10:51,151 --> 00:10:52,777 This triggers psychosis 280 00:10:52,861 --> 00:10:54,404 And he thought everything was his fault. 281 00:10:54,529 --> 00:10:58,825 But he lost a lot of blood. 282 00:10:58,908 --> 00:11:00,952 - Yes. 283 00:11:01,036 --> 00:11:03,830 - to talk to them and 284 00:11:03,955 --> 00:11:05,582 - How beautiful. 285 00:11:05,623 --> 00:11:07,042 How is Enzo now? 286 00:11:07,125 --> 00:11:09,169 - Haloperidol (sedative) 287 00:11:09,294 --> 00:11:11,588 so we hope to be able to talk to him. 288 00:11:11,671 --> 00:11:14,424 Let me know when he wakes up. 289 00:11:14,466 --> 00:11:17,385 - Well, excuse me, Dr. Lenox. 290 00:11:17,469 --> 00:11:18,887 - Sorry, I was just wondering... 291 00:11:18,970 --> 00:11:20,430 About the kid from before 292 00:11:20,513 --> 00:11:21,931 You know, with that gun? 293 00:11:21,973 --> 00:11:23,391 I think his name was Billy. 294 00:11:23,475 --> 00:11:25,393 - Under the collarbone 295 00:11:25,518 --> 00:11:27,062 He is currently in intensive care. 296 00:11:27,187 --> 00:11:29,564 - So, will it be okay? 297 00:11:29,647 --> 00:11:32,776 Same age as him 298 00:11:32,859 --> 00:11:34,444 - The next few hours 299 00:11:34,486 --> 00:11:36,571 He might have a chance. 300 00:11:38,615 --> 00:11:40,825 - So this is CAD (cold agglutinin disease) 301 00:11:40,909 --> 00:11:42,744 - Just enough to feel the effects 302 00:11:42,786 --> 00:11:44,496 He hasn't been in a cold place. 303 00:11:44,537 --> 00:11:46,623 Will be held over the next month 304 00:11:46,706 --> 00:11:48,750 four rituximab infusions 305 00:11:48,833 --> 00:11:51,753 - Forever? 306 00:11:54,464 --> 00:11:56,049 - Unwanted call again? 307 00:11:56,174 --> 00:11:58,426 - Yes, probably on a list 308 00:12:01,221 --> 00:12:03,556 - Is my brother okay? 309 00:12:03,640 --> 00:12:05,767 - The surgery will take a few more hours 310 00:12:05,850 --> 00:12:07,977 But as soon as I get any news 311 00:12:08,061 --> 00:12:09,979 we will let you know. 312 00:12:10,021 --> 00:12:11,940 I hurt him. 313 00:12:12,065 --> 00:12:13,983 - Enzo, what happened today? 314 00:12:14,067 --> 00:12:16,611 Can you tell me from your perspective? 315 00:12:16,695 --> 00:12:19,531 - That's the point. 316 00:12:19,698 --> 00:12:21,032 It doesn't make any sense. 317 00:12:21,074 --> 00:12:23,159 - Well, what do you mean? 318 00:12:23,243 --> 00:12:25,328 - We were working on the menu with Dante, 319 00:12:25,453 --> 00:12:27,414 I had a doubt. 320 00:12:27,497 --> 00:12:31,543 Then it's like he's trying to scam me 321 00:12:31,668 --> 00:12:33,420 -Has he done anything to make you think about this? 322 00:12:33,545 --> 00:12:34,754 - No. 323 00:12:34,838 --> 00:12:36,965 Dante? If you meet him, 324 00:12:37,132 --> 00:12:41,011 He is the most honest and kind person in the world 325 00:12:41,094 --> 00:12:42,595 He would never do such a thing. 326 00:12:42,762 --> 00:12:44,014 - TRUE. 327 00:12:44,139 --> 00:12:45,807 - But this morning, at that moment, 328 00:12:45,974 --> 00:12:47,809 I was sure of that. 329 00:12:47,892 --> 00:12:51,062 And this made me very angry. 330 00:12:51,229 --> 00:12:53,189 - Has this ever happened before? 331 00:12:53,273 --> 00:12:55,108 - Not exactly like that. 332 00:12:55,191 --> 00:12:57,777 But lately, yes. 333 00:12:57,819 --> 00:13:00,321 Sometimes such thoughts come to my mind. 334 00:13:00,405 --> 00:13:02,157 As if they didn't belong to me. 335 00:13:02,198 --> 00:13:03,283 - I understand. 336 00:13:03,366 --> 00:13:05,326 Your brother looks like... 337 00:13:05,368 --> 00:13:08,204 That he was responsible for this reaction. 338 00:13:08,246 --> 00:13:10,206 - Yeah, well... 339 00:13:10,331 --> 00:13:12,709 Because most of the time these thoughts... 340 00:13:12,834 --> 00:13:15,003 It comes to my mind when we are together. 341 00:13:15,128 --> 00:13:16,671 And I don't know why. 342 00:13:16,755 --> 00:13:18,506 - Didn't he do anything to provoke you? 343 00:13:18,590 --> 00:13:19,924 It just... Did it just happen? 344 00:13:20,008 --> 00:13:20,967 - No. 345 00:13:21,051 --> 00:13:22,385 I love my brother. 346 00:13:22,469 --> 00:13:23,845 He is my everything. 347 00:13:23,887 --> 00:13:27,182 You must save him, doctor. 348 00:13:29,809 --> 00:13:31,519 - So in this meeting 349 00:13:31,686 --> 00:13:33,938 - It seems so. 350 00:13:33,980 --> 00:13:36,775 - Let me go and talk to them, 351 00:13:36,858 --> 00:13:39,069 A board member's personal problems... 352 00:13:39,194 --> 00:13:41,237 Such a big decision 353 00:13:41,321 --> 00:13:44,240 - Actually, I'll go there myself. 354 00:13:44,366 --> 00:13:45,825 - Sharon, don't make things any harder. 355 00:13:45,909 --> 00:13:48,370 - I am good. 356 00:13:48,453 --> 00:13:51,122 - This topic right now... 357 00:13:51,247 --> 00:13:52,123 I have no intention of arguing again. 358 00:13:52,207 --> 00:13:53,416 - Neither do I. 359 00:13:53,541 --> 00:13:55,960 Just whether it's okay 360 00:13:56,086 --> 00:13:57,962 - I'm fine. Why shouldn't I be? 361 00:13:58,004 --> 00:14:00,173 - You look a little shaken. 362 00:14:00,215 --> 00:14:02,509 - I... 363 00:14:02,550 --> 00:14:05,845 -Miranda, 364 00:14:05,929 --> 00:14:09,015 Talk to me. 365 00:14:09,140 --> 00:14:11,434 - Just what happened this morning 366 00:14:11,518 --> 00:14:13,520 My driver is a little guy 367 00:14:13,603 --> 00:14:16,314 and I... my seat belt 368 00:14:16,398 --> 00:14:18,108 - Did you hit your head? 369 00:14:18,191 --> 00:14:19,901 But the driver's seat 370 00:14:19,984 --> 00:14:21,611 pretty hard 371 00:14:21,736 --> 00:14:23,655 My ribs hurt a little, 372 00:14:23,738 --> 00:14:26,866 I'm sure the altitude is too 373 00:14:26,950 --> 00:14:28,868 - So shortness of breath? 374 00:14:29,035 --> 00:14:30,245 Come on. 375 00:14:30,328 --> 00:14:32,205 I want you to lie down here. 376 00:14:32,288 --> 00:14:33,873 Will you leave us alone? 377 00:14:33,957 --> 00:14:36,334 - Peter, those pillows 378 00:14:36,459 --> 00:14:38,294 - Really, that's it. 379 00:14:38,420 --> 00:14:40,463 So that's it for the car. 380 00:14:40,547 --> 00:14:42,799 - Yes but low speed 381 00:14:42,882 --> 00:14:47,512 up to high speeds 382 00:14:47,554 --> 00:14:49,973 Your pulse is in the 120s. 383 00:14:50,098 --> 00:14:51,558 - This is too high. 384 00:14:51,599 --> 00:14:53,435 some blanket 385 00:14:53,518 --> 00:14:54,936 - Of course. 386 00:14:55,020 --> 00:14:56,980 - Sit back 387 00:14:57,063 --> 00:15:01,651 and take deep, slow breaths, okay? 388 00:15:04,320 --> 00:15:06,406 Hey, please stop calling me. 389 00:15:06,448 --> 00:15:08,533 - You've been ignoring me all day. 390 00:15:08,575 --> 00:15:10,618 - I'm at work right now, so... 391 00:15:10,702 --> 00:15:14,289 - I know, I know, 392 00:15:14,414 --> 00:15:17,417 - You've gained weight. 393 00:15:24,674 --> 00:15:28,720 - What are you doing here, mom? 394 00:15:28,845 --> 00:15:31,681 - We really have nothing to talk about. 395 00:15:31,723 --> 00:15:35,852 - It's been 14 years. There's a lot to talk about. 396 00:15:35,935 --> 00:15:40,023 - For example, how you bankrupted me 397 00:15:40,106 --> 00:15:42,275 - Just a better life for everyone 398 00:15:42,400 --> 00:15:44,027 We were trying to provide. 399 00:15:44,110 --> 00:15:46,196 What do you want us to do? 400 00:15:46,279 --> 00:15:48,698 - This could be a start. 401 00:15:48,740 --> 00:15:53,703 - Look, we came here with a caravan (RV), 402 00:15:53,787 --> 00:15:55,330 There is a small, modest restaurant nearby. 403 00:15:55,413 --> 00:15:56,873 Your father and I want to see you. 404 00:15:56,998 --> 00:15:59,542 - Really? So where is he then? 405 00:15:59,584 --> 00:16:01,086 - I... I'm sorry. 406 00:16:01,169 --> 00:16:03,755 Hey, we have a problem. It's about Kiana. 407 00:16:05,840 --> 00:16:08,343 - He was fine a minute ago. 408 00:16:08,385 --> 00:16:10,929 - 125 mg cortisone, 50 mg allergy medicine. 409 00:16:11,012 --> 00:16:12,389 - What's going on? 410 00:16:12,514 --> 00:16:14,891 - He showed an allergic reaction when the serum was given. 411 00:16:14,933 --> 00:16:16,976 He started breathing fast 412 00:16:17,102 --> 00:16:19,062 I already gave 0.3 doses of epi (adrenaline). 413 00:16:19,145 --> 00:16:20,814 Kiana? 414 00:16:20,855 --> 00:16:23,149 - Blood pressure is 80 to 55. 415 00:16:23,191 --> 00:16:24,359 - Okay, to intubate. 416 00:16:24,442 --> 00:16:25,985 Another dose of epi. 417 00:16:26,069 --> 00:16:28,196 - Oh my God, baby! 418 00:16:33,702 --> 00:16:33,993 . 419 00:16:34,035 --> 00:16:35,829 - He's resting now, but he'll be fine. 420 00:16:36,579 --> 00:16:38,790 - So first he gets a rare disease, 421 00:16:38,873 --> 00:16:41,543 then against the medicine that will cure him 422 00:16:41,626 --> 00:16:43,586 - There is a second-line treatment method. 423 00:16:43,670 --> 00:16:45,046 Eliminates symptoms 424 00:16:45,171 --> 00:16:48,383 but CAD (cold agglutinin disease) 425 00:16:48,466 --> 00:16:51,720 He also needs to get serum every two weeks. 426 00:16:51,761 --> 00:16:54,931 - But only in the colder months, right? 427 00:16:55,015 --> 00:16:58,018 - Well, if we go back to Hawaii, probably 428 00:16:58,184 --> 00:17:00,854 Will the situation be completely resolved? 429 00:17:02,647 --> 00:17:03,732 - Probably. 430 00:17:09,946 --> 00:17:12,699 - OK, CT is clear, MRI is clear. 431 00:17:12,741 --> 00:17:15,035 No trauma, no neuroplastic state. 432 00:17:15,076 --> 00:17:17,162 What's going on here? 433 00:17:17,328 --> 00:17:19,539 There are no bad ideas. Let's get started. Quentin 434 00:17:19,622 --> 00:17:22,834 Well... let me think about it. I... 435 00:17:22,917 --> 00:17:26,087 Maybe pre-existing 436 00:17:26,171 --> 00:17:27,756 Yes. Bipolar or schizophrenia. 437 00:17:27,839 --> 00:17:29,382 I like this 438 00:17:29,466 --> 00:17:31,968 but Enzo has been balanced and balanced for years 439 00:17:32,135 --> 00:17:34,304 He worked for many years and 440 00:17:34,429 --> 00:17:37,140 technically in family history 441 00:17:37,223 --> 00:17:39,309 Oh my God. 442 00:17:39,351 --> 00:17:40,810 Folie à deux (Double madness). 443 00:17:40,894 --> 00:17:42,771 Sir? 444 00:17:42,812 --> 00:17:44,731 Continue. 445 00:17:44,856 --> 00:17:48,943 This is psychotic disorder 446 00:17:49,027 --> 00:17:51,780 ...near your delusions 447 00:17:51,946 --> 00:17:54,741 Normally mentally healthy 448 00:17:54,824 --> 00:17:56,576 Nothing spiritual in itself 449 00:17:56,701 --> 00:17:58,036 I mean, someone who doesn't have a problem. 450 00:17:58,161 --> 00:18:01,748 So do you mean, 451 00:18:01,790 --> 00:18:04,125 Is Dante the real patient? 452 00:18:04,167 --> 00:18:07,003 And Enzo, just with his brother 453 00:18:07,045 --> 00:18:10,048 Because they stood side by side for so many hours... 454 00:18:10,131 --> 00:18:11,966 Enzo also falls into his delusions. 455 00:18:12,008 --> 00:18:14,260 Ha. 456 00:18:14,302 --> 00:18:16,596 Are you first class? 457 00:18:16,680 --> 00:18:20,350 To be honest, 458 00:18:20,433 --> 00:18:22,977 I think maybe Dante's past 459 00:18:23,061 --> 00:18:25,522 We must investigate. 460 00:18:25,563 --> 00:18:27,107 What do you say? 461 00:18:29,401 --> 00:18:33,154 - Hey, Kiana is waking up. 462 00:18:33,279 --> 00:18:36,574 I can't be. 463 00:18:36,700 --> 00:18:38,493 What's best for my daughter? 464 00:18:38,618 --> 00:18:41,746 It will destroy my marriage... 465 00:18:41,830 --> 00:18:45,709 Not my marriage, but my upcoming wedding. 466 00:18:45,750 --> 00:18:48,253 - This is a difficult situation, but 467 00:18:48,378 --> 00:18:50,338 Because Steve just told me. 468 00:18:50,505 --> 00:18:53,466 He's been very kind and adores Kiana 469 00:18:53,550 --> 00:18:56,386 but he doesn't want a long distance relationship anymore. 470 00:18:56,469 --> 00:18:58,680 - Doesn't he want to move to Hawaii? 471 00:18:58,722 --> 00:19:00,682 - He wouldn't even think for a second if he could, 472 00:19:00,765 --> 00:19:02,308 But they have joint custody of their daughters 473 00:19:02,392 --> 00:19:06,771 and his ex-wife lives here. 474 00:19:06,855 --> 00:19:09,065 - I don't even blame him. 475 00:19:09,149 --> 00:19:11,192 We had a long distance relationship for two years 476 00:19:11,276 --> 00:19:12,777 And it was very difficult. 477 00:19:12,861 --> 00:19:17,157 Kiana goes to college 478 00:19:17,240 --> 00:19:18,700 I just don't know. 479 00:19:18,825 --> 00:19:21,786 - What don't you know? 480 00:19:21,870 --> 00:19:24,706 - How many times have you fallen in love? 481 00:19:26,499 --> 00:19:29,044 Yes, that's hard to say. 482 00:19:29,127 --> 00:19:31,046 - It was zero for me. 483 00:19:31,129 --> 00:19:33,089 It's crazy to say this 484 00:19:33,173 --> 00:19:35,091 Even with Kiana's father... 485 00:19:35,216 --> 00:19:39,262 I've never felt that connection, that enthusiasm. 486 00:19:39,304 --> 00:19:43,475 Just the fact that I'm broken... 487 00:19:43,558 --> 00:19:46,019 I accepted it. 488 00:19:46,061 --> 00:19:48,897 But then I met Steve the Dentist. 489 00:19:48,980 --> 00:19:51,024 And every strange side of him, 490 00:19:51,066 --> 00:19:53,151 It matched every weird part of me. 491 00:19:53,193 --> 00:19:54,444 And for the first time 492 00:19:54,527 --> 00:19:57,405 I was completely and head over heels in love. 493 00:19:59,324 --> 00:20:01,618 But what are the chances of me finding this again? 494 00:20:04,788 --> 00:20:07,624 I don't know if I can give this up. 495 00:20:11,086 --> 00:20:12,837 - Difficult choice. 496 00:20:12,921 --> 00:20:15,256 - Do I want sweet or salty? 497 00:20:15,340 --> 00:20:16,883 - This is an ancient question, my friend. 498 00:20:20,136 --> 00:20:23,306 - Just how it is 499 00:20:23,431 --> 00:20:25,016 Are you okay? 500 00:20:25,100 --> 00:20:27,477 - Me? I am good. 501 00:20:27,560 --> 00:20:30,021 - Just, I don't know, it's like... 502 00:20:30,105 --> 00:20:31,815 with the work we do here today 503 00:20:31,898 --> 00:20:33,608 It sounds like you don't really care. 504 00:20:35,402 --> 00:20:38,154 - Well, I... 505 00:20:38,238 --> 00:20:40,532 So, like he's being ungrateful 506 00:20:40,657 --> 00:20:42,575 What you do here 507 00:20:42,701 --> 00:20:45,328 Just... 508 00:20:45,412 --> 00:20:48,123 - What? 509 00:20:48,206 --> 00:20:50,959 - With emergency psychiatry 510 00:20:51,001 --> 00:20:52,252 - Is that so? 511 00:20:52,335 --> 00:20:54,254 So you understand this already? 512 00:20:55,755 --> 00:20:58,341 I guess it's just good work-life 513 00:20:58,425 --> 00:21:00,760 Both my parents are immigrants. 514 00:21:00,885 --> 00:21:04,597 They had to work very hard, 515 00:21:04,681 --> 00:21:06,725 me like them 516 00:21:06,808 --> 00:21:10,186 so I don't have to beat myself up 517 00:21:10,228 --> 00:21:13,398 Opening a private practice 518 00:21:13,523 --> 00:21:16,109 - Quentin, a diagnosis is a diagnosis, right? 519 00:21:16,192 --> 00:21:18,153 So wherever you are 520 00:21:18,236 --> 00:21:20,572 You will encounter such things. 521 00:21:20,655 --> 00:21:23,366 Because you have a comfortable office environment 522 00:21:23,491 --> 00:21:25,493 patients come in 523 00:21:25,535 --> 00:21:27,203 will spread out on the couch, 524 00:21:27,287 --> 00:21:29,247 problems and solutions 525 00:21:29,330 --> 00:21:31,249 - I don't want to do my job well. 526 00:21:31,374 --> 00:21:32,751 I... 527 00:21:32,876 --> 00:21:34,586 - Look, work-life balance is important. 528 00:21:34,627 --> 00:21:36,296 I understand. I really understand. 529 00:21:36,421 --> 00:21:38,381 Just this area... 530 00:21:38,465 --> 00:21:40,717 Is it a half-baked job? 531 00:21:40,800 --> 00:21:42,469 You know, what you really need to do is... 532 00:21:42,510 --> 00:21:44,262 Getting to know your patients closely. 533 00:21:44,346 --> 00:21:46,931 To understand them 534 00:21:47,057 --> 00:21:49,142 The world through their eyes 535 00:21:49,184 --> 00:21:51,978 So you can understand your problems. 536 00:21:52,020 --> 00:21:54,397 So, if you don't want to do this, 537 00:21:54,439 --> 00:21:57,400 If you don't give your whole soul to this job, 538 00:21:57,484 --> 00:21:58,943 You may want to reconsider. 539 00:22:01,404 --> 00:22:02,697 - What should I reconsider? 540 00:22:02,864 --> 00:22:05,158 - To be a doctor. 541 00:22:08,703 --> 00:22:10,914 - Miss Goodwin, I'm Dr. Howard. 542 00:22:11,039 --> 00:22:12,791 Can I help you? - I hope. 543 00:22:12,874 --> 00:22:15,418 I'm on the plane right now, the board of directors next to me 544 00:22:15,460 --> 00:22:17,587 It looks bad. - What's wrong? 545 00:22:17,712 --> 00:22:20,256 - He had a minor traffic accident. 546 00:22:20,340 --> 00:22:23,134 A trauma to the chest (thoracic) 547 00:22:23,176 --> 00:22:24,594 He didn't care much at first, but... 548 00:22:24,719 --> 00:22:27,180 Then he started to experience fatigue. 549 00:22:27,222 --> 00:22:29,724 -What are the vital signs? - Yes. 550 00:22:29,766 --> 00:22:31,726 There's an emergency kit here. 551 00:22:31,810 --> 00:22:33,603 His breathing sounds good, 552 00:22:33,687 --> 00:22:37,107 but his blood pressure is only 84 over 42. 553 00:22:37,148 --> 00:22:40,110 - Okay, I understand... 554 00:22:40,193 --> 00:22:42,737 Then collapsed lung or 555 00:22:42,862 --> 00:22:44,989 Take a look at your neck. 556 00:22:45,115 --> 00:22:46,741 - Wait. 557 00:22:52,455 --> 00:22:54,624 Yes. 558 00:22:54,666 --> 00:22:57,502 - Okay, cardiac compression. 559 00:22:57,585 --> 00:22:59,796 in the sac around your heart 560 00:22:59,879 --> 00:23:01,631 How long until landing? 561 00:23:01,715 --> 00:23:05,218 - 30 minutes, maybe more. 562 00:23:05,301 --> 00:23:07,012 - Well... 563 00:23:07,053 --> 00:23:10,140 -Dr. Howard, what happened? 564 00:23:10,223 --> 00:23:11,975 - Miss Goodwin, it's in the medical kit 565 00:23:12,017 --> 00:23:13,601 Are there any surgical supplies? 566 00:23:19,941 --> 00:23:20,191 . 567 00:23:20,275 --> 00:23:22,777 - Lidocaine (local anesthesia), 568 00:23:23,361 --> 00:23:24,904 ...and there are some needles. 569 00:23:25,030 --> 00:23:27,949 -What number are the needles? 570 00:23:27,991 --> 00:23:29,826 - Okay, good. number 16 571 00:23:29,909 --> 00:23:31,745 accumulated around your heart 572 00:23:31,786 --> 00:23:34,372 Insert the needle at a 15 degree angle... 573 00:23:34,414 --> 00:23:35,999 ...right under the breastbone... 574 00:23:36,041 --> 00:23:37,625 ...you have to place it and push it. 575 00:23:37,709 --> 00:23:39,252 Until the tip pierces the heart membrane. 576 00:23:39,419 --> 00:23:41,379 - Wait, this happened. 577 00:23:41,504 --> 00:23:43,465 - Normally we look with ultrasound... 578 00:23:43,506 --> 00:23:45,550 ...but your slow move 579 00:23:45,633 --> 00:23:48,928 When you enter, there is a slight 580 00:23:49,054 --> 00:23:50,847 - A slight pitter-patter sound? 581 00:23:50,930 --> 00:23:55,018 Well, what if I miss? 582 00:23:55,143 --> 00:23:56,269 - From piercing the heart? 583 00:23:56,353 --> 00:23:58,229 -Dr. Howard, I don't know. 584 00:23:58,355 --> 00:24:01,816 Intervening blindly like this 585 00:24:01,900 --> 00:24:03,693 - There is another option. 586 00:24:03,818 --> 00:24:05,111 - But let me say this first, 587 00:24:05,153 --> 00:24:06,863 as it sounds 588 00:24:10,450 --> 00:24:13,370 - Do you want to cut me? 589 00:24:13,453 --> 00:24:14,954 - A small incision, 590 00:24:15,038 --> 00:24:17,499 just put the needle where 591 00:24:17,540 --> 00:24:19,918 - You want to sink into my heart 592 00:24:19,959 --> 00:24:22,045 - Not into your heart, Miranda, 593 00:24:22,170 --> 00:24:25,131 into the sac around your heart. 594 00:24:25,215 --> 00:24:27,217 - Have you done this before? 595 00:24:27,258 --> 00:24:28,885 - I saw it done. 596 00:24:28,968 --> 00:24:30,470 - Impossible. We can wait. 597 00:24:30,553 --> 00:24:31,846 We can wait until we land. 598 00:24:31,971 --> 00:24:34,307 - Miranda, if we wait... 599 00:24:34,391 --> 00:24:36,059 You can't stand it, you may die. 600 00:24:38,436 --> 00:24:40,647 - Is he awake at this time? 601 00:24:40,772 --> 00:24:44,192 - Yes, but nothing much. 602 00:24:44,234 --> 00:24:47,195 Our lidocaine to numb the area 603 00:24:47,278 --> 00:24:50,657 Also... 604 00:24:50,740 --> 00:24:53,118 - What is that? 605 00:24:53,201 --> 00:24:56,246 - Yes, our corporate lawyer provided it. 606 00:24:58,998 --> 00:25:00,959 - I... 607 00:25:01,001 --> 00:25:03,837 I... I don't want to die. 608 00:25:03,962 --> 00:25:05,880 -Miranda... 609 00:25:06,006 --> 00:25:09,009 I know we've been having some problems, 610 00:25:09,134 --> 00:25:13,763 But I'm a man of my word 611 00:25:13,805 --> 00:25:16,099 And I say to you, 612 00:25:16,266 --> 00:25:19,102 I will do everything I can 613 00:25:19,185 --> 00:25:22,647 To save you from this situation. 614 00:25:22,731 --> 00:25:24,607 - Ok. 615 00:25:24,649 --> 00:25:28,820 - Hey, that medical school of yours 616 00:25:28,903 --> 00:25:30,822 - They're at lunch. 617 00:25:30,947 --> 00:25:32,866 them to the medical life 618 00:25:33,033 --> 00:25:34,993 a full lunch break 619 00:25:35,118 --> 00:25:38,079 - I'm slowly getting used to it. 620 00:25:44,294 --> 00:25:46,004 - Quentin. 621 00:25:46,129 --> 00:25:47,881 When I'm not around 622 00:25:48,048 --> 00:25:49,716 - I'm sorry. 623 00:25:49,841 --> 00:25:52,969 Just about connecting with patients 624 00:25:53,094 --> 00:25:54,846 that is, connecting with patients and 625 00:25:54,971 --> 00:25:58,141 on seeing their situation from every angle. 626 00:25:58,224 --> 00:25:59,726 - Ok. 627 00:25:59,809 --> 00:26:02,145 Well, so... 628 00:26:02,187 --> 00:26:04,856 what did you learn? 629 00:26:04,981 --> 00:26:07,233 - Sabrina's shared psychosis 630 00:26:07,359 --> 00:26:09,819 What they did with Enzo and his brother 631 00:26:09,903 --> 00:26:11,279 The only thing they do together 632 00:26:11,363 --> 00:26:13,156 He said it was work. 633 00:26:13,239 --> 00:26:15,867 That's why Dante was there, 634 00:26:15,950 --> 00:26:18,411 When Enzo had a crisis, he had a problem rather than a reason. 635 00:26:18,536 --> 00:26:20,163 Whether it's just a coincidence 636 00:26:20,246 --> 00:26:22,540 Maybe it's the restaurant's 637 00:26:22,624 --> 00:26:25,126 - So it's an environmental factor 638 00:26:25,168 --> 00:26:26,378 - Maybe. 639 00:26:26,419 --> 00:26:28,088 I know it's unlikely but 640 00:26:28,129 --> 00:26:29,798 I remember reading somewhere, 641 00:26:29,839 --> 00:26:32,592 celiac disease, aka gluten 642 00:26:32,676 --> 00:26:35,720 - In rare cases this is absolutely true, 643 00:26:35,804 --> 00:26:38,932 inflammation spreads beyond the abdominal area 644 00:26:39,015 --> 00:26:40,809 It can reach the brain, yes. 645 00:26:40,850 --> 00:26:43,395 - And this also happens in later ages. 646 00:26:43,436 --> 00:26:45,980 For example, when you open a pizzeria with your brother 647 00:26:46,106 --> 00:26:48,566 and suddenly have too much gluten 648 00:26:48,650 --> 00:26:50,777 I'm just saying this; this situation 649 00:26:50,860 --> 00:26:53,488 weight loss and vitamin deficiency 650 00:26:53,530 --> 00:26:56,700 - And why only when we're together 651 00:26:56,783 --> 00:26:58,535 - Yes. 652 00:26:58,618 --> 00:27:00,370 Trini... 653 00:27:00,453 --> 00:27:03,790 A tissue transglutaminase test 654 00:27:03,873 --> 00:27:06,418 - Is that so? 655 00:27:06,501 --> 00:27:09,004 We'll have the results in an hour. 656 00:27:09,045 --> 00:27:10,380 You did a good job. 657 00:27:10,422 --> 00:27:12,674 - Ok! 658 00:27:12,757 --> 00:27:14,676 Now I'm going to go get something to eat. 659 00:27:16,261 --> 00:27:18,221 -Dr. Charles, I... I'm sorry but... 660 00:27:18,304 --> 00:27:21,099 celiac test already from us 661 00:27:21,224 --> 00:27:24,060 I sent you the results. 662 00:27:24,144 --> 00:27:27,022 - I know, but why? 663 00:27:27,105 --> 00:27:29,107 He did a good job. 664 00:27:29,149 --> 00:27:30,734 - Yes. 665 00:27:30,817 --> 00:27:33,737 - Have you heard the good news? 666 00:27:33,820 --> 00:27:37,115 - We're going back to Hawaii. 667 00:27:37,157 --> 00:27:38,783 - Wow, the decision has already been made... 668 00:27:38,908 --> 00:27:40,994 I didn't realize you gave it. 669 00:27:41,119 --> 00:27:43,621 - It wasn't much of a decision. 670 00:27:43,705 --> 00:27:45,707 - Well, he's about to... 671 00:27:45,790 --> 00:27:47,375 to the pediatric intensive care unit... 672 00:27:47,500 --> 00:27:49,377 will be transferred. Under observation at night 673 00:27:49,461 --> 00:27:51,338 - That sounds nice. Thanks. 674 00:27:51,421 --> 00:27:53,340 - Hey, closer to Salt Pond Beach 675 00:27:53,423 --> 00:27:54,758 Or somewhere with a playroom? 676 00:27:54,841 --> 00:27:56,718 Teaching dentist Steve 677 00:27:56,801 --> 00:27:58,845 By the way, where is he? 678 00:27:58,887 --> 00:28:02,057 - Well, for work 679 00:28:02,140 --> 00:28:03,600 - Poor guy. 680 00:28:03,641 --> 00:28:05,435 That foundation tan 681 00:28:05,477 --> 00:28:09,147 On the other hand, maybe eventually 682 00:28:09,189 --> 00:28:11,524 - Yes. 683 00:28:11,691 --> 00:28:13,276 Maybe. 684 00:28:16,821 --> 00:28:18,573 - That's pretty tight. 685 00:28:18,615 --> 00:28:21,242 - An involuntary movement 686 00:28:21,368 --> 00:28:23,453 Did the jelly bean work? 687 00:28:23,495 --> 00:28:26,247 - Ok. 688 00:28:26,331 --> 00:28:29,334 Do you feel this? 689 00:28:29,459 --> 00:28:31,670 - Lidocaine (local anesthesia) works. 690 00:28:31,836 --> 00:28:34,214 Dr. Howard, 691 00:28:34,339 --> 00:28:35,757 - Okay, good. 692 00:28:35,840 --> 00:28:37,759 Now the xiphoid process 693 00:28:37,842 --> 00:28:39,594 the very tip of the sternum. 694 00:28:39,678 --> 00:28:41,638 Its about a finger 695 00:28:41,721 --> 00:28:43,098 You will make the incision... 696 00:28:43,181 --> 00:28:46,059 vertically approximately 697 00:28:46,184 --> 00:28:49,270 - Okay. Ok. 698 00:28:49,354 --> 00:28:51,481 watching this 699 00:28:51,523 --> 00:28:52,899 - My god. 700 00:28:57,237 --> 00:28:58,947 - Ok. 701 00:28:59,072 --> 00:29:00,699 I made the cut. 702 00:29:00,782 --> 00:29:02,367 Gauze. 703 00:29:02,450 --> 00:29:05,120 Okay, now you're going to push the texture to the side, 704 00:29:05,245 --> 00:29:06,621 Keep going until you find the heart. 705 00:29:06,788 --> 00:29:10,667 Filled with liquid around it 706 00:29:10,709 --> 00:29:12,419 - Come closer. 707 00:29:12,502 --> 00:29:15,046 I think I see it. 708 00:29:15,213 --> 00:29:16,840 - His pulse is slowing down. 709 00:29:16,923 --> 00:29:18,258 - No problem. 710 00:29:18,341 --> 00:29:19,592 When we take that liquid out, 711 00:29:19,676 --> 00:29:20,885 The pressure on the heart will decrease 712 00:29:20,969 --> 00:29:22,429 and the pulse will immediately rise. 713 00:29:22,512 --> 00:29:24,431 - Okay, what do I do now? 714 00:29:24,597 --> 00:29:27,308 - Okay, you will get the syringe. 715 00:29:27,392 --> 00:29:29,436 and you will sink it into your heart membrane. 716 00:29:29,519 --> 00:29:31,062 When it starts... when the needle... goes in... 717 00:29:31,229 --> 00:29:34,566 -Dr. Howard, needle 15 degrees 718 00:29:34,649 --> 00:29:37,694 It's coming in at an angle, right? 719 00:29:37,777 --> 00:29:39,904 - When it reaches the pericardium, it is 15-20 degrees... 720 00:29:40,030 --> 00:29:42,115 -Dr. Howard? 721 00:29:42,240 --> 00:29:44,325 Dr. Howard? 722 00:29:44,409 --> 00:29:47,037 - No way, the connection is lost. 723 00:29:47,120 --> 00:29:49,414 - Do you know what to do? 724 00:29:49,456 --> 00:29:51,833 - Please, I can't breathe. 725 00:29:51,916 --> 00:29:53,752 My god. 726 00:29:53,793 --> 00:29:55,462 Okay, du-- 727 00:29:55,503 --> 00:29:57,172 another phone 728 00:29:57,297 --> 00:29:59,382 Everyone shut up! 729 00:30:03,720 --> 00:30:05,472 Okay, at a narrow angle 730 00:30:05,597 --> 00:30:07,766 come in, 731 00:30:07,849 --> 00:30:11,394 and then... 732 00:30:11,436 --> 00:30:13,521 when the needle goes in 733 00:30:13,646 --> 00:30:18,443 until you get that popping feeling. 734 00:30:18,485 --> 00:30:21,363 I guess... 735 00:30:21,404 --> 00:30:22,947 I feel it. 736 00:30:26,326 --> 00:30:27,702 Oh. 737 00:30:27,744 --> 00:30:29,537 This is it. 738 00:30:31,498 --> 00:30:33,958 His pulse is rising again. 739 00:30:51,142 --> 00:30:51,393 . 740 00:30:51,393 --> 00:30:52,227 Dr. Lenox has a pretty big 741 00:30:53,228 --> 00:30:55,397 removal of a piece of intestine (resection) 742 00:30:55,438 --> 00:30:57,732 and he had to repair the first cut, 743 00:30:57,816 --> 00:31:00,819 but it looks like Dante will make a full recovery. 744 00:31:00,902 --> 00:31:02,946 Dante and Enzo's relationship 745 00:31:03,113 --> 00:31:04,531 I don't think it will get better this quickly. 746 00:31:04,572 --> 00:31:06,491 You're probably right about this. 747 00:31:10,412 --> 00:31:12,580 So you're still here. 748 00:31:12,664 --> 00:31:15,125 Yep, we're almost done for the day. 749 00:31:15,250 --> 00:31:17,460 I heard one of you solved Enzo's case. 750 00:31:17,502 --> 00:31:19,963 It was gluten-related psychosis. 751 00:31:20,088 --> 00:31:22,090 Yes, undiagnosed celiac disease. 752 00:31:22,132 --> 00:31:23,299 As long as it stays away from gluten 753 00:31:23,425 --> 00:31:24,801 It will be fine, right? 754 00:31:24,884 --> 00:31:26,553 It's too bad they have a pizza place, though. 755 00:31:26,678 --> 00:31:28,972 I had gluten-free pizza, that's also an option 756 00:31:29,055 --> 00:31:32,892 But it's never the same, you know. 757 00:31:33,018 --> 00:31:36,062 No, no, no! 758 00:31:36,104 --> 00:31:38,023 This is the boy from this morning. 759 00:31:38,064 --> 00:31:41,276 Billy. - Wait. He... 760 00:31:41,317 --> 00:31:43,319 Yes. 761 00:31:43,403 --> 00:31:45,655 I thought you said you'd be fine. 762 00:31:45,780 --> 00:31:47,741 I told you he had a chance. 763 00:31:47,824 --> 00:31:49,659 But the bleeding was very heavy. 764 00:31:49,701 --> 00:31:51,411 It was DIC (disseminated intravascular coagulation). 765 00:31:51,494 --> 00:31:53,204 We couldn't clot the blood. 766 00:31:53,288 --> 00:31:54,789 Yes. 767 00:31:54,873 --> 00:31:57,459 Unfortunately, injuries below the collarbone 768 00:31:57,542 --> 00:32:00,545 These are injuries that are very difficult to survive. 769 00:32:20,648 --> 00:32:23,318 - Please don't get up. 770 00:32:25,403 --> 00:32:27,864 -Jonathan Michael. 771 00:32:27,947 --> 00:32:29,532 I didn't think it would come. 772 00:32:29,616 --> 00:32:31,159 - So am I. 773 00:32:33,828 --> 00:32:36,373 What is it you want? 774 00:32:36,414 --> 00:32:37,999 - Sir? 775 00:32:38,083 --> 00:32:40,502 - What do you want from me? 776 00:32:40,585 --> 00:32:43,338 If it's money, I... 777 00:32:43,421 --> 00:32:45,507 If it's a place to stay, 778 00:32:45,548 --> 00:32:49,302 I'm staying at a friend's house. 779 00:32:49,386 --> 00:32:51,888 - Here's something from you. 780 00:32:51,971 --> 00:32:56,101 - That we are monsters 781 00:32:56,142 --> 00:32:58,728 - Today a mother's... 782 00:32:58,895 --> 00:33:01,981 I watched you destroy your entire life... 783 00:33:02,065 --> 00:33:04,109 for his child. 784 00:33:04,234 --> 00:33:07,696 Because your health is your priority 785 00:33:07,779 --> 00:33:11,366 Then the same mother... 786 00:33:11,491 --> 00:33:14,077 you put a smile on your face 787 00:33:14,244 --> 00:33:16,413 Don't let the child feel bad. 788 00:33:16,496 --> 00:33:20,458 - I don't understand you. 789 00:33:20,500 --> 00:33:23,670 Have you seen? Because... 790 00:33:23,712 --> 00:33:27,465 I'm in my hospital every day 791 00:33:27,507 --> 00:33:29,551 I witness such things... 792 00:33:29,634 --> 00:33:34,556 You know, they protect their children at all costs. 793 00:33:34,597 --> 00:33:38,018 There are those who go to the ends of the world to protect it. 794 00:33:38,143 --> 00:33:39,728 So, I mean... 795 00:33:39,769 --> 00:33:42,981 you two... 796 00:33:45,900 --> 00:33:48,820 I will ask again. 797 00:33:48,903 --> 00:33:51,114 What do you want? 798 00:33:51,239 --> 00:33:53,742 - We just want to see-- 799 00:33:56,411 --> 00:33:58,788 Secondary progressive MS 800 00:34:02,292 --> 00:34:05,420 - How long have you known? 801 00:34:05,503 --> 00:34:09,174 - It's been a while, maybe six months. 802 00:34:13,219 --> 00:34:15,889 - That's why we're here. 803 00:34:15,930 --> 00:34:19,351 - We want to reconnect with our son. 804 00:34:22,020 --> 00:34:24,272 - No. 805 00:34:24,356 --> 00:34:26,274 - No, with you now 806 00:34:26,358 --> 00:34:27,817 I won't do this. 807 00:34:27,901 --> 00:34:29,444 OK, I-- 808 00:34:45,502 --> 00:34:47,170 - Mm. 809 00:34:47,253 --> 00:34:49,172 Listen, you did a great job today. 810 00:34:49,297 --> 00:34:52,050 - Yes, thank you. 811 00:34:52,133 --> 00:34:56,721 So, that's... "folie à deux" 812 00:34:56,763 --> 00:34:58,807 About Enzo... 813 00:34:58,932 --> 00:35:00,517 It was a tremendous guess. 814 00:35:00,600 --> 00:35:02,519 Look, it might not have been the right one 815 00:35:02,644 --> 00:35:05,146 But believe me, this kind of creativity, 816 00:35:05,188 --> 00:35:07,941 So being able to look at it from different angles 817 00:35:08,024 --> 00:35:09,984 It's very important in this business, so... 818 00:35:10,068 --> 00:35:11,820 - That's not the point, though. 819 00:35:11,861 --> 00:35:14,114 I guess some things 820 00:35:14,280 --> 00:35:15,407 - Ha. 821 00:35:15,573 --> 00:35:17,701 - Whether this is for me or not 822 00:35:17,742 --> 00:35:19,202 - How so? 823 00:35:20,787 --> 00:35:22,831 It will affect me this much 824 00:35:22,914 --> 00:35:24,791 I mean, even with the Dante and Enzo thing, 825 00:35:24,874 --> 00:35:29,004 Even if everything goes well 826 00:35:29,087 --> 00:35:31,339 It shook me so much. I don't know. 827 00:35:31,464 --> 00:35:33,383 - Having a meaningful job 828 00:35:33,508 --> 00:35:36,970 There's a price, right? 829 00:35:37,053 --> 00:35:39,431 So, there's a lot here... 830 00:35:39,514 --> 00:35:41,349 Ruthless... 831 00:35:41,433 --> 00:35:43,727 We live moments, just like... 832 00:35:43,768 --> 00:35:45,437 Like real despair. 833 00:35:45,562 --> 00:35:49,566 But believe me, sometimes it is 834 00:35:49,649 --> 00:35:52,444 It's almost extraordinary 835 00:35:52,527 --> 00:35:55,238 because here people 836 00:35:55,321 --> 00:35:59,284 If we're lucky, they 837 00:35:59,409 --> 00:36:02,537 So at least for me, 838 00:36:02,704 --> 00:36:06,708 The returns are definitely 839 00:36:06,750 --> 00:36:08,918 It doesn't feel like it right now 840 00:36:09,044 --> 00:36:11,379 But if something 841 00:36:11,463 --> 00:36:12,964 In my opinion, this is 842 00:36:13,048 --> 00:36:15,175 you did your job right 843 00:36:17,218 --> 00:36:19,596 - Yes... Maybe. 844 00:36:19,679 --> 00:36:22,182 I'm just thinking... 845 00:36:22,265 --> 00:36:23,892 I don't know. 846 00:36:24,059 --> 00:36:27,103 Maybe the pieces of the puzzle 847 00:36:27,187 --> 00:36:29,189 Maybe I'll become a researcher. 848 00:36:29,314 --> 00:36:30,482 I don't know. 849 00:36:30,565 --> 00:36:32,609 Anyway. 850 00:36:38,531 --> 00:36:40,658 Thanks again, Dr. Charles. 851 00:36:42,911 --> 00:36:44,954 - Thanks for coming. 852 00:36:53,505 --> 00:36:54,839 Are you dating? 853 00:36:54,923 --> 00:36:56,257 - Yes. 854 00:36:58,718 --> 00:37:01,388 Look, today was... was... 855 00:37:01,513 --> 00:37:03,390 It was intense, wasn't it? 856 00:37:03,515 --> 00:37:05,642 What are we actually doing here? 857 00:37:05,725 --> 00:37:06,935 But let me also point out this, 858 00:37:07,060 --> 00:37:09,854 He was just too active, 859 00:37:09,938 --> 00:37:13,066 I hope your enthusiasm wasn't broken. 860 00:37:15,235 --> 00:37:18,446 Dr. Charles, today 861 00:37:20,448 --> 00:37:22,325 - Really? 862 00:37:22,450 --> 00:37:24,244 - So, my life is pretty boring, 863 00:37:24,327 --> 00:37:26,162 but yes... 864 00:37:26,246 --> 00:37:27,622 It really was. 865 00:37:29,666 --> 00:37:32,502 - Yeah, it was great. 866 00:37:36,381 --> 00:37:37,757 - You're welcome. 867 00:37:37,799 --> 00:37:40,260 Thanks. 868 00:37:40,343 --> 00:37:42,345 - See you later. 869 00:37:44,681 --> 00:37:46,725 Ha. 870 00:37:52,355 --> 00:37:54,691 - Enter. 871 00:37:54,733 --> 00:37:56,609 Hi. 872 00:37:56,693 --> 00:37:59,320 - How is Miranda? 873 00:37:59,446 --> 00:38:01,740 tear in heart atrium 874 00:38:01,781 --> 00:38:03,408 It went smoothly. 875 00:38:03,491 --> 00:38:06,995 You know, all these years 876 00:38:07,078 --> 00:38:11,374 After working as an assistant, 877 00:38:11,541 --> 00:38:13,918 Holding a scalpel in your hand... 878 00:38:13,960 --> 00:38:17,255 And one... 879 00:38:17,339 --> 00:38:19,382 The effect of cutting someone. 880 00:38:19,466 --> 00:38:21,134 - Yes. 881 00:38:21,176 --> 00:38:24,054 My first surgery 882 00:38:24,137 --> 00:38:26,806 I was so nervous 883 00:38:26,931 --> 00:38:29,809 But my teacher guided me 884 00:38:29,893 --> 00:38:31,561 Then give me a little look on 885 00:38:31,644 --> 00:38:33,813 with foot figure 886 00:38:33,855 --> 00:38:36,024 It's a reminder 887 00:38:36,066 --> 00:38:38,193 These miraculous things we do 888 00:38:38,276 --> 00:38:40,612 somehow become commonplace 889 00:38:40,695 --> 00:38:42,739 how extraordinary they are 890 00:38:42,822 --> 00:38:44,199 - Yes. 891 00:38:51,414 --> 00:38:53,291 "I love Chicago." 892 00:38:53,375 --> 00:38:55,377 - Yes, with Miranda's heart 893 00:38:55,460 --> 00:38:56,753 - Yes, yes. 894 00:38:56,878 --> 00:38:58,713 in a short time 895 00:38:58,797 --> 00:39:02,634 Anyway, 896 00:39:02,676 --> 00:39:04,427 - Thank you. 897 00:39:10,684 --> 00:39:13,520 So, what did you say? 898 00:39:13,603 --> 00:39:15,313 I said no. 899 00:39:15,438 --> 00:39:19,067 And, well... 900 00:39:19,109 --> 00:39:23,238 So, since I want to confess 901 00:39:23,363 --> 00:39:26,074 But it doesn't just wash away, 902 00:39:26,116 --> 00:39:28,243 my father all my life 903 00:39:30,620 --> 00:39:33,915 I wish I could get over this 904 00:39:33,998 --> 00:39:36,126 But I can't. 905 00:39:36,209 --> 00:39:38,878 And... 906 00:39:38,920 --> 00:39:42,215 It makes me feel like I'm a bad person 907 00:39:46,052 --> 00:39:48,972 I'm sorry. I know... 908 00:39:49,014 --> 00:39:51,975 what we usually do 909 00:39:52,058 --> 00:39:53,768 And... 910 00:39:53,893 --> 00:39:56,021 I mean, almost in Chicago. 911 00:39:56,104 --> 00:39:58,565 You mentioned takeaway service from every restaurant. 912 00:39:59,941 --> 00:40:01,568 You didn't answer my messages, 913 00:40:01,609 --> 00:40:03,445 So I bought a little bit of everything. 914 00:40:03,528 --> 00:40:04,863 Now I'm ruining everything. 915 00:40:04,904 --> 00:40:06,781 No, you don't. Look. 916 00:40:09,075 --> 00:40:11,286 Trust me, in a situation like this 917 00:40:11,369 --> 00:40:13,830 I never judge someone, 918 00:40:13,955 --> 00:40:16,583 Not to mention telling him what to do. 919 00:40:19,878 --> 00:40:24,341 I'll just say this, right now 920 00:40:24,424 --> 00:40:26,885 One day your mother and father 921 00:40:27,010 --> 00:40:31,473 And when this happens, 922 00:40:33,350 --> 00:40:36,436 It will stay like that... 923 00:40:36,603 --> 00:40:39,397 forever. 924 00:40:39,481 --> 00:40:42,025 - From your own experiences 925 00:40:45,320 --> 00:40:48,656 - About you here 926 00:40:48,782 --> 00:40:50,784 - I know but... 927 00:40:50,825 --> 00:40:53,703 It's always about me 928 00:40:58,458 --> 00:41:01,961 - But I love being on you. 929 00:41:02,045 --> 00:41:04,547 - That's not what I meant. 930 00:41:04,631 --> 00:41:06,716 This is what I said 931 00:41:10,387 --> 00:41:12,472 It was good conversation.