Original subtitles

Is there a medic alert bracelet?

Do you have an ID on him?

Student ID. Name says Jackson Davis. That's the start. Jackson, what's going

I'm 18.

Title 6. Be with us.

You're in a safe place. You're okay. I'm a one.

Reasonableness 2709. We're going to need you to calm down. Get the taser bars

out of your neck. You need to jump on that?

Covering calls for Dana.

Stop talking to me. You can't. Title 2776. Hard to assess pupils.

A person must have anything.

Yeah, yeah. Wait till after he's sedated. Can't have a Lanzapine?

No, it won't take 15 minutes to kick in.

Uh, five of Gepardot. Put them down at five. No, you can't give it without

knowing your campaign. Two beats of a rhythm strip before we take off the

weights.

Can't be in here. Get out.

That looks good. Go with the Gepardot.

Fuck out.

Get off me. Get off me now. Get away till it comes. Get off me, man.

29 -01. Get out. Get out.

27 -10.

Title 18, section 1938.

Mr. Randall, happy 20th anniversary and a very happy 4th of July.

But no sex fireworks for you tonight. Give everything a chance to heal. Don't

worry. I won't.

Thank God.

Ow.

We're going right back through here, okay, man? Oh, thank you.

Change the dressing twice a day, doggy bag of the ointment, and nonstick dog.

Cool. I know the drill. Come back if it starts to ache or stink.

Exactly. Good luck. Stay steady.

Shit, it's daddy. You're daddy.

Lord, what'd they get up to now?

Treating street.

Rose from Dover.

I'm sorry, Ms. Graham. I just saw the ASO note in your chart.

This is Lindsay. We'll bring you back as soon as possible.

Stay with her.

All right.

Who here needs help?

You?

You need help?

Oh, no, no, no, ma 'am. I've been on these since 1987.

This one here, he got busy, fell down.

Forgot my blood pressure medication.

I left it back home in Georgia.

And presto, we're back, Mr. Digby, with some IV antibiotics. First we scrub your

outsides, then we clean your insides.

What do you need to document in this chart?

Uh, time started, time completed, and any adverse reactions. What else?

Um, lot number on the antibiotic file. Excellent. Mr. Digby.

Mr. Digby.

Digby, why'd you wait so long to come see us?

I don't like going to doctors. Well, that makes two of us. We all need help

time to time. Think maybe we could arrange for some ongoing care?

I just kind of want to get patched up, you know?

I do know.

But that's today.

What's tomorrow?

Sunday.

Use the system. That's what it's there for.

But am I Dylan?

Knows all the angles. Even works the occasional miracle.

You think maybe I could have him stop by?

I guess, yeah.

Right. How about a sandwich?

Yeah. Yes, please.

We always offer two most important things. That they know we're here.

And that we'll never stop offering.

Thanks for covering, princess.

Anytime.

Yo, can I get some help over here?

Yeah. What's going on, man?

A crazy kid and they're screaming.

All right, have a seat. Yeah, that's him.

Still going nuts.

Probably meth.

Fucking animal.

What's your name, sir?

Tony Cianciolo.

Campus security.

I was at work when this happened, so I'm going to do everything documented.

Okay. All right, heart rate's 89.

Pulse ox, 97.

Scout blacks.

Tiny, five millimeters, should hold together with Dermabond.

Get through a fucking chair at me.

Work -related injury gets a full exam. Jesse here will take you.

No, I'm going to stay here until the cops come, so I can give my statement,

so I can watch him.

Yeah. Trust me.

You do not want him getting out of there.

How? Fuck.

Did she say anything?

No more than she said to you.

Nothing going on at home, nothing at school.

And you believe her?

There's some flag.

Grieving in various stages of healing.

She's a little withdrawn, doesn't engage much for girls her age.

It's good just to be a little shy.

We're scared of being in here.

Or she's being abused.

That too. We'll find out more when Dad shows up.

Yep, if he shows up.

I need a hand here.

There's the first barb out.

All right, Javadi, you're up.

Okay, so you're going to want to clamp where the shaft meets the barb.

Mm -hmm. Yeah.

Stabilize the skin.

Not so close to it. Stick yourself between that once or twice.

Pull up at 90 degrees.

Harder? Yeah, harder.

Oh.

Do we suture those?

Nope, just a Band -Aid.

Mal, we need orders. Right.

I got a rainbow.

Uh, CBC, CMP.

You a what I'll come on talks all the above cap with this young man stable Can

he go to Central 10 pronto double trauma at the back door? Okay, you heard the

boss. Let's get going today. It's starting to heat up

Marquis 32 year old

restrained driver Auto versus motorcycle altered with normal BP setting 99 and 2

liters with the hospital now mark

What's wrong with him? Why isn't he talking? His wife, Nancy, front seat

passenger, declined transport. I'm fine. We weren't going all that fast.

The motorcycle ran the light.

I'm Dr. Robbie. This is Dr.

Alashini. Nice to meet you.

And this is Nurse Dana. She's our charge nurse. We need to look over your

husband. Hold on. Let's sit over here for a minute. I'll let him get to work,

okay? Antoine, Larry, transfer out here. Do you want to be open in a sec?

I can't.

One, two, three.

Keep going.

Okay, Joy, you stay with me.

Samira, you stay with Dr. Alashimi.

Open skull fracture. Two dimperagonal respirations.

BP -60 pap initially started a liter of NF, but lost pulse and root.

Oh, boy. This doesn't look good.

One, two, three.

Joy, check its pupils.

Somebody hand me a pair of scissors.

Eight millimeters.

It's not reactive.

A .K .A. Blum.

Dilated.

Oh. Crushed skull with tons of gray matter extravasation. At least it was

No helmet?

Nope. Because he took the PennDOT motorcycle safety course. Isn't that

took, Robbie?

All compressions, yes, but I still wear a helmet.

Is he a donor?

Also, nope. That is too bad. Hey, sisterly, I think we are done here.

next door? The guy who hit him. Joy, you're with me.

What about a moment of reflection? I thought... He'll still be dead when we

back. Pulse ox 99, BP 108 over 72.

EFAS negative.

That was a lot better than the guy next door. How's the airway? Good volume,

good saps, gag reflex.

Present. Intubate?

Maybe, maybe not.

Mr. Yee.

Joyce, don't rub on his chest like this really hard, please.

Mr. Yee.

Spontaneous eye movement, response to pain, GCS is 10, borderline for

intubation. No muscle tone, flaccid paralysis in the left arm.

Same on the right. And both legs. Add towels to both sides of the collar for

more stability.

Let's not make this worse.

Hand scan with 3D reconstruction of the spine.

He's quadriplegic?

If so, it's a low cervical injury.

Why is that, Joy?

Um... C -3, 4, and 5 helps you breathe to stay alive.

Mr. Montrose, you can't just be wandering around talking to patients.

That's what I do.

I'm a greeter at Walmart.

I get paid to wander and to talk to folks.

Well, as a personal favor to me, can you at least stay in your general vicinity?

I can get you a wheelchair where we'll wait for your x -rays, but it might take

a minute. My dear, I cannot sit. My backside is killing me from where I fell

it, which is an embarrassing admission to make to such a lovely woman.

Well, thanks for the compliment, but there's no need to be embarrassed. You

a very nasty fall.

Well, then may I say, that one look in your beautiful eyes, and I think, I'm

falling again!

What a charmer.

Just for that, I'm going to get you a foam donut. The eighth wonder of the

world.

Pretty great laugh you got there, Doc.

Oh, God.

My witch's cackle.

Got CT results for Mr. Williams.

Okay.

Right on time.

Just getting full.

Yeah, I'm ready for number five. That's impressive.

Yeah, that's more where that came from.

Although my intake is running low.

Yeah, well, two more bottles ought to do it. Then we'll drain your tooth and

we'll get you out of here before the fireworks tonight.

Okay,

clamped. Ogilvy, make the change.

Okay.

All right, let her rip.

Flowing like a river.

I love me some fireworks.

Oh, yeah?

Shit, I met Mr. Zambelli.

Lean forward?

Many times on the field.

Who's Mr. Zambelli?

Son, you don't know fireworks if you don't know the name Zambelli.

He helped Pittsburgh become the firework capital of America.

You did know that.

Didn't you? No.

Y 'all don't know nothing about pyrotechnics.

Stick to doctrine.

Yes, will do.

I'm sure you have some questions.

I know it's a lot to take in.

It's a tumor.

It's a brain tumor.

Well, it's a mass.

About. Four centimeters in the frontal lobe.

Is it cancer?

We can't say for sure right now.

It could be many things.

Infection, inflammation, a benign cyst.

Is it what made me fall?

Yeah, possibly.

We'd like to keep you here and treat with dexamethasone, which is a steroid

take down the swelling.

And then we'll need a brain biopsy to know exactly what it is.

You're going to cut open my head.

It's just a small hole.

We'll do a CT -guided stereotactical biopsy with a blunt, thin needle.

Which sounds crazy, but it's actually pretty amazing.

We'll have patients go home the next day.

I don't know.

What do you think I should do?

I think this is a pretty good plan.

Okay.

BP 95 over 67.

This thing's a little on the low side.

It is.

Have you ever had low blood pressure in the past?

No, sir.

My blood pressure is always high.

Hold still, sir. No talking while we do the EKG.

The Hansons all run high.

Except for Monty. He ran low, but he's dead. It's not helpful.

You want to help quit playing family pharmacist. Pooling meds is how we've

always done it.

You put everything in a big pile in the middle of the table. Well, look where

that got us now. No, I'm going to jump in here and echo that sharing meds which

haven't been prescribed to you is actually a real big no -no. Well, how

doing on remembering what your brother might have taken?

We could call back to the house. Great idea.

Okay.

Whatever little round pill you took, sir, has caused your heart rate and

pressure to drop so low you're at risk of fainting, falling, or having a

injury.

We can take him back to the ER so we can get a liter of fluids. We can check his

blood tests and monitor his heart rate and blood pressure until he recovers.

Pulse locks holding steady at 99. Good tidal volume.

How you doing there, Mr. Yee?

Scanner can take him now. I'll check the results from upstairs.

Why is he so altered?

Could be concussion. Maybe a small intracranial hemorrhage.

All will be revealed by the donut of truth.

Need a portable monitor?

Joy, stay with him, please. See if the radiologist can give us a chat. How is

he? Did I hear someone say he's...

paralyzed there are signs of weakness in both arms and legs but before we can

make any prognosis we'll need a full body scan head ct will show us any brain

injury and xct will show us any spinal cord injury chest abdomen pelvis will

rule out any internal bleeding oh my god the scan should only take about 15

minutes in the meantime perhaps you'd let us look you over as well i'm fine

medics checked me i just want to stay with my husband

Well, you can't go into the CT with him, but you can wait just outside if you

like. Princess, this is Nancy. Mrs. Yee's going to go with her husband to

Will you show her where to go? Sure, come on in. Thank you.

So, what's the plan now? Keep observing me in my natural habitat?

No telling what I might do next?

I think I've got the gist.

How about we each take a lap and meet here when Mr. Yee's back from CT?

Splitting up so soon?

It's free to see other people, Dr.

Rabinovich. I'm looking for cooperation, not commitment.

So you bandaged the burn yourself?

No, no, no.

Ma 'am, you're making it difficult for me to see under this dressing.

Is that a tablecloth?

Part of a window curtain.

Cleaner than tablecloth. I'll look for the doctor, thank you.

But may I ask how this happened?

For weeks on end, the kids with their hoochie firecrackers going all day and

night. Oh, it... Is this a firecracker burn?

No, sweetie, this is from the full samovar I dropped on the floor when

The firecracker started going on again.

I'm sorry, what's a samovar? It is a big metal urn for coffee or tea.

It can get super -duper hot.

And I was never allowed to touch ours.

Hello, Mrs. Kovalenko, my name is Dr. Michael Rabinovich. Everybody calls me

Robbie. Rabinovich? Jewish?

You guessed it.

And I see that you are here today for a burn.

Why don't we take a look?

Oh, not married?

No, I'm not married.

Do you attend synagogue?

Uh, not for a while.

I mean, I holidays mostly.

Where?

Oh, what did you put on this?

Where? On your burn. Is this honey?

Yes, honey, where do you go on holidays?

Uh, my grandparents, um, I grew up in the Rodef Shalom.

You? Tree of life.

They're rebuilding.

Yes, something new.

Remember, rebuild, renew.

That's a slogan.

I'm sorry, did you say honey?

You think honey's funny?

Works like a charm.

My father kept beef, I know.

If the honey is medical grade and the burns are not too bad, honey actually

have some antibacterial and anti -inflammatory properties. However, these

are very deep in some places. They're going to need debridement.

I'm glad you came in.

That's what I thought.

I was hoping no, but figured as much.

Not to worry. We are going to have you patched up and home in time for dinner

and fireworks.

No.

No more fireworks.

Anyone here treating Kylie Connors?

She's my daughter. She's nine. I'm Benny Connors.

Mr. Connors, I'm Dr.

Santos. I'm treating Kylie.

Is she okay?

Can I see her? My girlfriend Gina says she got a cut on her chin. Yeah, I can

take you to her. She has a small laceration on her chin, but it was

repaired with medical super glue, so no stitches necessary.

Okay. She chipped her tooth, but it's a baby tooth, so it won't need dental

work. All right. Well, that's a relief.

Has Kylie had any previous injuries?

Uh, yeah. She, um, she broke her wrist last year. She was skateboarding.

Dana, if you could get Dylan to come to North One and Ahmad. You bet.

Okay, I got it now. One, two, three.

Daddy, you came.

Baby, what's going on, huh?

My teeth broke and my chin got cut. Oh, no.

What happened?

She was running up the stairs.

She was chasing me. We were playing.

As I was saying, Mr. Connors, the laceration's pretty minor.

On the stairs?

It was an accident.

Perhaps we can step out. An accident that wouldn't have happened if you

running up the stairs. Do you understand what I'm saying? This is the last thing

that I need.

Right now, is her mother finding out that she got hurt when she's with you?

was an accident.

And before you get all high and mighty, I've got questions of my own. Like what?

Hey, Mr. Connors, I'm sorry. I meant to be here when you arrived.

I'm Dylan Easton. I'm a social service... We have insurance. Thank you.

we can step outside and chat for a second. I can fill you in where we are.

Hey, Jesse, do you want to keep Kylie entertained for a few minutes while I

borrow her dad?

We'll just head down to the family room. It's a little quieter there.

Why do I got to talk to a social worker?

Anytime a child's injured, we ask them standard questions that we ask parents

and caregivers.

Good. That's fine. Great. Ask me here.

Well, we noticed some bruising on Kylie's body, some old, some new on her

and legs.

Any idea how she got those? Yeah, shocker. She plays for a club team.

you know, little girls, but they play like they're in the Hunger Games.

Well, I understand that you and Kylie do a fair amount of roughhousing.

What?

I'm sorry, are you fucking kidding me?

Where are you going with this? Are you saying that I hurt my daughter?

Oh, no, no, no, no, no, no. Gina!

Gina!

Gina,

what did you say to them? Nothing. I said that you're a great dad. Okay, what

else?

That you guys like to wrestle. Jesus Christ. What? They wanted to know where

her bruises are from. Who the fuck are you to talk about me and my daughter?

the fuck am I? Yeah, that's what I'm asking. Hey, big man, take one more

step. Hey, that's enough. You need to calm down.

Hey, everybody back the fuck up!

It's early 9 ,000.

What does that mean?

It's not what we thought.

It's probably ITP.

What the hell is ITP?

Something we can treat.

You feel that?

No.

Hey, come on.

This is looking very good.

Tell me, Mr. Kavalenko.

This is Kovalenko.

Yes. Jana, please.

Jana. You mentioned that you dropped the samovar when you heard firecrackers.

Yeah.

I was on my way inside October 27, 2018,

to the synagogue when the shooting started.

Nothing I could do.

I went in after the police arrived.

I felt I had to.

I'm better now.

But New Year's Eve, 4th of July, when

kids have their fireworks and firecrackers, I...

There is no clock on how long it takes.

No clock.

You must be joking.

Robbie? Yeah? Marky is back from PT.

Oh, okay.

Um, brother, why don't we go ahead and see if we can put a nonstick dressing on

this. And I will come back, and we can discuss aftercare instructions.

Yeah, you got it, boss.

Thank you, doctor.

Bite is stable, plus ox holding at 99.

Okay, heart and lungs look good.

Dr. Mullen. Dr. Robbie.

Yeah.

Please make him be okay.

I can assure you that we are going to do absolutely... Everything you can, I

know.

God, this is all my fault.

This is he?

He's been so distressed.

So I planned this weekend away at Seven Springs, but he didn't want to go

because of work.

So we fought.

Those can't be the last words we say to each other, doctor, please.

Good news.

CT looks normal.

No bleeding inside the skull, C -spine, no fracture, C.

Can't break his neck? Then why is he paralyzed?

You can have spinal injuries without radiologic abnormalities. Sometimes it

doesn't show up on CT, only on MRI.

Dr. Mohan?

Are you sure?

Okay.

Critical potassium level 1 .2.

Wow. Okay.

Extremely low potassium with generalized weakness and no cervical injury. We may

be looking at... Hypokalemic periodic paralysis.

What is that? It's a rare condition where potassium gets shifted into the

causing profound weakness, just like paralysis.

Will he get better? Yes.

Back to normal in a few hours.

Did you hear that, Mark?

Oh, baby.

You're going to get better.

All right, Dee Dee. Hey, come on now, man. Oh, how you doing, DeJuante?

Fine. Great. If you're fine, you go home.

Really? Yeah.

Hey, tell them.

Me and my sister are making bracelets, and I put beads up my nose.

How many?

One on each side.

I got to ask.

Why do you stick them up there?

See how many will fit?

To shoot them out like rockets.

But I bring them in, and they went deeper.

And now won't come out.

Did you try anything at all?

Yeah, I tried blowing in his mouth, but just got a little snot on my cheek.

Hey, forever dead.

OK, we need to take a look with our little flashlight, OK?

OK. This what I have to look forward to?

This is so much more.

Red bead below the inferior turbinate.

Got a blue one.

Afrin, benzocaine, cath extractor? Yep.

Dad looks like we've got to go up and get him. No way, he's sitting still.

He'll be numbed up. You don't know this child.

Hey, Duante, you like video games?

Everybody does.

We have a 3D video game.

Yeah. Cool.

That's KCL and saline at 10 mEq per hour.

We avoid dextrose because the insulin response drops a K even lower. If it's

genetic, why didn't it happen when he was a kid?

It usually starts after the teen years. And it can be intermittent. Sometimes

it's triggered by intense exercise or stress.

We've been married eight years. We've had fights.

He's never collapsed.

If a thyroid gets overactive, that brings it on later in life. I order TSH,

T4.

So now we just wait.

Starting compressions. Charge to 200.

What is happening?

Low potassium can harm electrical activity in the heart.

Charge. Clear.

Resuming compressions.

So you're a little girl with ITP?

Go figure. Nothing like a zebra to kickstart your morning.

It's better than the alternative.

True.

ITP.

So that's intra... Immune thrombocytopenia.

Used to be called idiopathic thrombocytopenic purpura. Know what

means? That we don't know the exact cause.

Means the patient is pathetic and the doctor is an idiot.

Just checked on baby Jane Doe.

Looking good. Taking formula well.

We're here to take a statement.

We're looking for a Tony Chincholo.

Yo! Right over here, boys.

For officers.

I heard you had some trouble over at the campus library.

Shit. Let me just say, new appreciation for what you guys do every day.

Freaking junkie jungle, right?

At the campus library?

Yeah.

I'm in four finger make a C, bottom three fingers make a T for jaw lift, one

breath every five seconds. Come here. All right.

About two minutes since defibrillation. Holding compressions?

Normal sinus.

Carotid, strong carotid. Okay, let's try for a BP.

Why don't we check after the shock?

2024 ACLS guidelines.

Patients can remain pulseless for a little bit even after successful

He came back with one shock. That's as good as it gets.

104 over 68.

Good squeeze, good EF.

Spontaneous respirations. He's breathing on his arm.

Excellent sign.

Can I touch him? Of course.

Oh, shit.

We need a gurney.

Nancy.

Mrs. Yee.

Mrs. Yee, weak carotid, shallow breath. Did she vasovagal constrict?

Can't assume that. Positive seatbelts. Oh, shit.

Hang two units of Odegaard, the rapid diffuser. Somebody call Garcia.

Shit, we really should have been sitting on the examiner. Okay, I got the head.

Platelets are the tiny things in the blood that help it clot.

And thrombocytopenia is fancy for low platelets, which explains why your skin

bruises so easily.

And what causes it?

It's actually her immune system that's causing the destruction of the

Sometimes it's a triggered response to an environmental factor or a virus.

And what's the treatment? What are you giving her?

We'll be treating her with high dose steroids to suppress the immune system

IV immunoglobulin, which reduces the destruction of the platelets in the

Can I go home?

You're going to have to stay in the hospital for about three days to make

that the treatment is working.

Okay.

Okay, so when can she get a room in the hospital?

That is an excellent question. I'm going to see if I can make that happen sooner

rather than later, but it might take a while. Okay. GPS says I should be there

by 11. Do you have any other questions for me, ma 'am?

No, I'm sure I will, but I'll let you go for now.

Thank you, Benny.

All right, I'll see you when you get here. See you soon, baby.

I love you. Bye, Mom. Love you, too.

There you are.

And there you are.

Don't try to charm me. You promised to stay put.

I was going to come right back.

My backside is killing me. I need to keep moving or I get all achy and stiff.

Well, I got you this foam donut to sit on while we wait for your x -rays.

Dr.

Hazel Eyes, it says here that it's only supposed to take an hour or two for an x

-ray. Well, the patient passport holiday edition would better reflect reality.

It could be double that.

There's no need for reality.

We romantics prefer life, the dream.

We do, don't we?

Oui.

Hey,

save the dance for me.

Yeah, okay.

I will. Dr. McKay. Yes.

This is Gretchen Williams.

Actually, it's Lambden.

He called about my ex -husband, Michael.

Yes, yes, yes. Thank you for coming in. You were listed as his emergency

contact? Yeah, I don't know why.

We have been divorced for years.

Is he all right?

He's going through a lot right now.

Would you like to see him?

Okay, Leo, can you zoom in and please hold it a little steadier?

Okay, atorvastatin, simvastatin, ezetimibe. Those are all high

medications.

Can you go to the right?

Lisinopril,

losartan, propranolol. Wait, wait.

That's it.

Wendy's pile.

Yellowish bottle, little round blue pills.

Just like I said.

Propranolol? Bingo, little lady.

Okay, yeah, well, this makes a lot of sense now.

Propranolol is a high blood pressure medication.

Those are 20 milligrams each, and the starting dose is 40 mg. How many pills

you take?

No, ma 'am, I went just before I came here.

Dad.

How many pills did you take?

Oh, I think four, maybe five.

That is a lot. Okay.

No full stomach, mind you.

Well, the good news is it has a short half -life, so...

We're going to need to keep you for about four hours to monitor, but then

be able to rejoin for all the late afternoon festivities. All right.

Unit 3 and 4 running in. BP 84 over 56, heart rate 112.

It's much bigger than before.

She's not turning the corner. OR is holding a room.

I'll let the husband know.

Why'd you guys wait so long to check her? Good vitals in the field, no

She refused to sign in. You should have convinced her. 2020 hindsight, she was

stable. Until she wasn't. Next time, I'll use my x -ray vision goggles.

Let's get her upstairs.

Gotta do an acu -check on my DKA patient.

Thanks for the backup.

Anytime.

Now, try and lift your arm, Mark.

I'm trying.

Can't do it.

Like... You are getting stronger, and your speech is improving.

How did I lose so much potassium?

You didn't lose it. It got shifted into cells.

When it comes back, you'll return to normal.

Where's Nancy?

She had an injury to her spleen right about here with some internal bleeding.

Oh, God.

She passed out from blood loss. We were able to transfuse her, and she's now on

her way to surgery to repair that damage.

This is my fault.

She's trying to...

She booked a trip for us. For me.

I fought her the whole time. I've been... Please don't...

Oh, my God, please don't let her die.

Please.

I can assure you that she is in excellent hands.

Is this how it works?

How what works?

You think things are important?

That everything's so important?

And then you end up here in C.

Yeah, that is how it works.

No, it's a small hole, like the size of a dime.

Right, Doc?

Mm -hmm.

Yeah, even smaller.

It's a minor enough procedure that most patients go in the next day.

And then?

And then they'll know what it is and how to treat it.

Isn't that right? Yeah, exactly.

I'm sorry that they called you.

I never updated the form, I guess. No, no, it's okay.

You know, they called, and I was kind of surprised.

Well, you didn't have to come.

But I did.

I heard you got married.

Congratulations.

Thank you.

I hope he treats you well.

And you deserve to be happy.

I'm really sorry you're going through this, Michael.

Yeah.

Me too.

But you know me.

I'm a survivor.

I leave you guys to talk for a few minutes.

I have a patient to check on.

Sure. Yeah.

Mr. Diaz should be improving after two liters.

Blood sugar?

Down from 521 to 436.

That's good, right?

Moving in the right direction.

Were you able to get a hold of your mom?

Yes. She's on her way. She doesn't have a car. She takes buses, so it takes

longer. I'm sorry.

Don't be.

Current insulin is 0 .1 units per kilo per hour. Next step. Once the glucose is

down to 250, reduce the insulin to 0 .05 units per kilo per hour. Because you

can normalize the blood sugar before you clear the ketones and you don't get

hypoglycemia. But as treatment continues, you'll have to give IV

keep the blood glucose in between 150 and 200 while the insulin clears the

ketones. Obviously.

I'm sorry, what?

Got it.

Duante, what are you doing in there, son?

all cats before the farmer gets me. Keep going.

This is a cat's extractor with a tiny balloon at the end. What we're going to

is we're going to slip it past the bead, inflate the balloon, try to pull out

the bead. Is it painful?

No, he's numbed up.

Made to level three.

And pretty distracted.

Dad's going to hold your head still, OK?

Look up. OK.

Now go back perpendicular below the turbinates.

You guys ever hear of John O'Donohue?

No. Been reading him a lot lately. He's got this book of, um, blessings.

And there's this one about fatherhood.

Really stuck with me.

Voila. One red bead.

Yeah? How's it go?

The ending goes, may you be gentle and loving, clear and sure.

May you trust in the unseen providence that has chosen you to be a family.

May you stand sure on your ground and know that every grace you need will

before you like all the mornings of your life.

Hmm, that's good.

I'd add, support your woman and pack good snacks.

It's beautiful.

It turns out there's no handbook for fatherhood, so I will take all the

can.

Bluebeard, out.

Anything else?

You tell me. I have my own report to do.

Anything I left out? I have to back on that kid. We'll follow up with Mr.

When Mr.

Davis comes off the ceiling.

Jackson Davis.

Talk screen negative for cocaine, amphetamines, marijuana, PCP, benzos,

opioids. So no drugs in that system?

Nope. Taser barbs on the back of the victim's neck?

Yep.

Changes things, Tony.

Hey, Louie. How we doing? Not so good.

I can barely use a drink.

I'm feeling a little empty.

Okay, well, empty is what we want, and it looks like we are there.

Hey, well, if I can't get a drink, well, too, you got to do something.

We're going to get right to that. Let's hang some IV antibiotics, three grams of

Unison.

He's gonna be right back. We're gonna numb it up and drain it. Ten minutes

okay? Hey, uh, you said you met Mr. Zambelli, the fireworks guy on the

What field was that?

No more talking. You gotta fix my tooth.

Deal.

You're Muslim?

I am.

Thank you.

Oh, for what?

After the shooting, it was the Muslims that came together for us in support and

walked with us.

You raised money.

You paid for all the funerals.

Anyway.

Thank you.

Hello. How's it going in here?

Did I miss all the gross stuff?

Timed it perfectly.

Excellent. My job's all about delegation and time management. Oh, not for much

longer. That is very true.

Why for not longer? Because tomorrow I am leaving to go on sabbatical. He's

leaving us for three months on a motorcycle.

Motorcycle? You're joking.

Why would you do this?

Why? Why?

Why? Because... You middle -aged man, don't be stupid.

Don't hold back. Tell me how you really feel. Forgive me for being blunt, Dr.

Rabinovich, but how old are you, huh?

Fifty? Ish.

Ish.

50 -ish year old man on a motorcycle.

Very sad.

I, um... I don't know what to say.

You ever heard of IPP? I never did.

I really appreciate you bringing her here, okay? Of course.

What do you think I am?

Oh, that's right. You think I'm some kind of child.

No, I never said that. The fuck you didn't.

In front of all those people, you made it sound like she might have been

her while I was watching her. Like it was my fault. You basically said the

thing about me. No, I said that you guys roughhouse this all because you do. You

know I would never hurt my daughter.

Actually, I don't.

I've known you six months.

You could be anybody.

Okay, well, I am sorry for what I said, okay? I was upset, and I was worried,

and I just... I said something stupid, and I just... You think? You just

let me finish! You are finished!

We're finished.

Well, happy fucking Fourth of July. Yeah, happy Independence Day.

Excuse me.

Yes, what can I do for you?

My wife and I were in an accident.

She's in surgery right now.

Would you mind holding my phone up for me so I could record a message for her?

Of course I will.

Happy to. Oh, good. I have the same one.

I know how this works.

Ready?

Go.

Hi,

my love.

So, uh... Us...

listening to this couple argue.

And they were yelling.

Both so angry.

And I just wanted you to know that I was wrong.

I was so wrong and I'm sorry about all of it.

Hey.

How you doing?

I haven't seen him in like... Four years.

I can't imagine.

That must have been so crazy.

You know, things were not good at the end. He was a really different person.

Huge temper.

Not like when we first got married.

I'm so sorry.

Could that math have been there for a while and only recently got worse?

Yes. Could it be responsible for how much he changed?

You know, his moods and tempers. He was getting into fights with strangers.

It's possible.

Oh.

Thank you.

Unless he's asked you to change it, would you please leave me as...

The emergency contact.

Yeah, absolutely.

Okay, I'm sending Mrs. Kovalenko home with burn dressing, but not before she

turned my sabbatical into a midlife crisis.

No comment.

Wound check, two days.

Got it. What about Kylie, this little girl? She gone up yet?

Hopefully soon.

Hey, we're starting to clear some space around here.

Yep.

PTMC charge nurse, go ahead, medic command.

Is this a drill?

Is this a joke? It's the 4th of fucking July.

Got it.

Thanks. What's up?

Westbridge has a code black and it's closing to internal disaster.

Central's subverting all their ambulance traffic to us.

What's the issue? The prospect didn't say. Shit, it could be anything from a

flooding toilet to a power outage. How long?

Didn't know. A couple of doctors probably got the holiday flu and they're

understaffed.

How come?

How long? How many?

Sounds like a betting grid to me.

We are back.

Oh, I should have left last night.