Original subtitles

The man is in his element.

What's he doing? An age -old ritual meant to capitalize off the unknown

of Westbridge's current state of affairs.

Whoever guesses the reason they went code black wins the pot. Ah,

We didn't do this at the VA.

Game? Of course. Now, how's this look to you? My wager is on flooding. They're

going to be down for three hours, and we're going to get 20 of their patients.

Put me down for flooding, four hours, and 30 patients.

Okay, okay, okay.

Hey, Dr. Robert, it looks like you've got some competition. Yes, it would

that I do. All right, guys and gals, enough fun. We have people to take care

Want to bring Langdon back from triage for the extra hands?

No, I do not. I don't think that's necessary. We're doing just fine without

You're the boss, boss.

Hi, the doctor guy told me to put this mineral oil on my eye for 20 minutes.

That was two hours ago.

We're really busy, but we'll get to you. Oh, my God. Okay, when?

I will check. Listen for your name to be called.

Thanks. Next.

Hi, I heard my brother was brought here. His name is Jackson Davis.

Do you have ID?

Yes, yes.

I am his sister, Jada Davis.

I'm sorry, I just, uh, my friend told me that he was brought in by Kansas

police. There was some sort of fight that broke out at his school. Is he

Is he here?

Don't know, hon.

Can you just tell me if he's a patient here?

I'll check, take a seat, and I'll let you know.

Okay.

Next. Is Harlow feeling lightheaded or faint now?

It's not as bad as it was before, but my head still hurts, and now my stomach

does, too.

What did she eat before she took her ibuprofen?

My breakfast is my least favorite meal of the day.

It's okay to look at me.

I'm sorry.

We're going to get started with some blood test.

Is that baby from the bathroom going to be okay?

She'll be fine.

Uh, good news.

No swab came back negative for COVID, influenza, and RSV.

But a lot of other viruses can cause a cough.

Lucky me.

You can take off your mask.

Bull socks, that 91?

Your oxygen level is down since we checked you an hour ago, and your temp

to 102 .4.

Let's get you some Tylenol.

Have you been outside today? It's already stifling.

Could be heat -related, but we're going to take you back to the big ER for full

evaluation.

Can't you just write me a prescription for some medicine?

I'm sure it's just a summer cold.

Got somewhere to be? Work.

I know it's Saturday, but I don't think I've had a day off since... Well, your

holiday weekend starts now.

Hey, Javadi.

What are you doing for your birthday?

Who told you?

Work gets around.

Nothing. I hate celebrating my birthday.

You only turned 21 once.

It's your birthday?

That makes you a cancer, right?

I didn't peg you for an astrology, girly.

Yeah, I've been spending so much time around Santos.

Yes, you have.

I don't know how you guys do it. Live together and work together?

It's my cross to bear.

It can't be as bad as having to live with your parents.

No, I haven't lived at home in years. I kind of miss it.

I can tell. You've been spending a lot of time on that farm.

Farm? Remember the burned farmer who came in last year?

Propane tank exploded. He died in the ICU.

Yeah, that was sad. Well, this guy has been playing house with his widow and

their baby.

Oh, that's messy. No, it's not like that, okay?

I've been helping Amy out on the farm after her husband died, and she's a

friend. She's just a friend. Sure, just a friend.

With farm benefits.

What are farm benefits?

Oh, use your imagination.

You ever see a milking machine?

Oh, can we not talk about this, please?

We're getting two runs. We've routed from Westbridge already.

Chest pain and belly pain. Robbie wants you three out back.

Thank you. Come on.

Dr. Santo, making progress on your charting, I hope?

Getting there.

Deficient charts leave a gap for the providers who give continuity of care

delays hospital billing.

Oh, I'd hate to delay billing.

Timely documentation is essential.

Let's fix this before end of shift.

I'm on it, boss.

Good.

You wouldn't want to repeat your R2 year again because of this.

Fuck.

God, it's humid as shit out here.

It is.

What's going on at Westbridge?

They're closed.

We're covering their paramedic runs until they come back up.

As if a holiday weekend wasn't enough.

So, Dr. Al Hashimi.

Yes? Do we like her?

She seems pretty cool so far.

You're trying to gossip about an attending with an attending? Dr. Robbie

mind, do you?

Oh, uh, nice bike, by the way. Thank you.

Yeah.

Pamela Perry, 48, abdominal pain with vomiting after eating chile chiles with

fried eggs.

BP 108 over 64.

Pulse 98.

Good staff.

Okay. Let's see how she feels with some Zofran and a liter wide open. Got it.

How are you feeling, Miss Carrie?

No, I'm so good.

Who do we have here?

John Samba, 54.

Half an hour of left -sided chest pain. History of hypertension on lisinopril

and Crestor.

Stem relief with 2 -nitro, decent vitals, no STEMI on 12 -lead, gave him

-futurable aspirin. Here, we're going to give you a full evaluation, sir. Oh, I

am to die.

God willing, I will feel fairly good.

What's the plan? Repeat 12 -lead, check the troponin, admit for new onset

angina. Value A for P, aortic dissection.

It goes without saying.

Sounds good. I'm a minute behind you.

And who do we have here?

Vince Cole, 23, fell through the skylight of a florist shop, sent me down

bunch of ferns, complained of headache, asking repetitive questions, and only

response to pain.

Multiple acts in the glass, BP 118 over 72, pulse 98, stop 99 on 5 liters, no

meds, no allergy. Hey Vince, how'd you fall through a skylight?

Vince!

Were you with him?

Yeah, we were parkouring and he overshot a congola.

What, like jumping off of buildings? People still do that? It's almost an

Olympic sport.

Now we know why it isn't.

People are equal and reactive. What do you got? A 10 -foot fall altered.

That's a long way down.

10 feet is the threshold for trauma center activation. 10 feet, 10 %

0%. Anything over 0 % is a concern.

Somebody's annoying and it's not me.

Hey, you said two. You missed one.

Sent you back up, didn't I?

One, two, three.

Thanks, guys. Good to see you.

Hit the E -fast.

Ogilvy, Joy, GCS, please.

Open your eyes, sir.

Two for eyes, two for verbal.

Good lung sliding bilaterally. Do I finish GCS?

Squeeze my hand.

He gets a four from odor.

Pulse box 99, heart rate 102, blood pressure 114 over 78.

And E fast is negative.

Music to my ears.

Somebody shooting a documentary here?

Whoa, whoa, whoa, you can't film in here. We've got patient privacy laws.

Put them to your head. How'd it?

Uh, can somebody show Spielberg here out to the waiting room and get her

registered at triage, please?

He's my creative partner. I have his written consent to film everything for

TikTok page.

Put the camera down. We have to drop this video for the fourth tonight.

That literally means nothing to me. Sean, can you escort her out, please?

Somebody will come and find you once he's stabilized. Thank you. I would have

let her stay if she'd asked nicely.

What is the story with surgery? You guys getting any Westbridge transfers yet?

Not yet, but I'm sure it's coming.

Pantheon heads for Pelvis. Let's get him to CP 8th up.

Absent gag. We need to intubate before CT.

Can I do it?

I'm keeping a procedure log and I need more intubations on this rotation.

If Dr. McCain wants to teach?

Sure.

Okay. I need suction, 802, batomidate, and sucks. End title, CO2.

Ambitious.

Reminds me of someone I know very well.

Can you not?

Yeah, sorry.

Hot off the press.

No STEMI. Doesn't need to go right to the cath lab.

Orders are in.

Whitaker, try another nitro and let me know when the troponin's back.

Yeah. Hey, hey, Jesse?

Yeah?

Do you think you could repeat this, but with the chest leads on his back?

Why?

T waves were kind of high with ST depression anterior.

We see ST depression all the time. Yeah, but... Could be a posterior MI.

All right, run it by the attending. If they agree, we'll do it.

Thank you.

Victoria, if his CT is normal, he'll need an LP.

Got it.

Dr. Al -Hashimi?

This is Jada Davis, Jackson's sister. Oh, thank you. Hi.

Is he okay?

And why is he asleep?

He was uncooperative when he first arrived and needed to be sedated.

Uncooperative? That doesn't make any sense.

What happened?

We're still trying to piece the story together.

He was brought in by a campus security guard who tased him after he was

allegedly combative and violent.

Wait, what do you mean, tased him? We've treated his injury, and now we're

trying to understand why he was so agitated.

Okay, this doesn't sound like my brother.

Well, his drug screen came back negative, so now we're taking Jackson to

CT scan of his brain to look for any abnormalities. Can I go with him? You

go into the CT, but you can wait for him to come back, and then we can discuss

next step.

Okay. Just did my first ER intubation. That's great, man.

Such a prac.

You got a second?

What's up? A 12 lead on my chest pain patient shows no STEMI, but the anterior

leads might be suspicious for a posterior MI.

Uh, agreed.

Yeah, I was going to repeat, but with the chest leads on the back.

B7 through B9, good idea.

Thank you.

Hey, Dr. Robbie gave the go -ahead for the back leads. Sorry, man, I got to

a reporter on a septic patient going to the ICU.

Yeah. Is she today, huh?

Uh, well, it's, uh, 10 .15. We're actually just getting started.

Oh. There she is.

Dr. Mohan. Uh, this is Lori Diaz, Orlando's wife.

Thank you, Perla. Thank you. Hi, Mrs. Diaz. Hi. Let me take you to your

Hi, mi amor.

I'm sorry you have to be here alone.

I miss my child's best friend.

Anyway.

Honor, get here.

You fell at your construction site. A co -worker brought you in. He's a lot

better, but doesn't remember anything.

That's common after a concussion or DKA.

DKA? It's a serious complication of your husband's diabetes.

How serious? Can he go home? We still have to clear the ketones from his

bloodstream. He'll need to be on an insulin drip for a while until things

back to normal.

Best if he stays in the hospital.

It's okay, Mom.

Things are headed in the right direction, Mrs. Diaz. He's going to be

Sorry, I got to check his blood sugar.

Oh, do you mind?

Absolutely.

So, the thing is, we don't have health insurance.

So, I don't think that we can afford this.

I'll have our case manager, Noel Hastings, come by.

She's an expert in health insurance. She might have some options for you for

coverage.

Okay, thank you.

Crap. What's wrong?

Some of the leads aren't sticking here.

I lay down now.

I'm tired.

Yeah, as soon as we're done here.

Whitaker, Louie's all numb. His tooth is ready for you. That's great. Hey, I'm

having some trouble here with adherence.

Oh, of course you are.

Try this.

Yeah, that makes sense.

You think you could... Do you mind if I paint some sticky stuff on you?

If you must prolong the inevitable, so be it.

You'll get to lie down afterwards.

No success with the mineral oil.

That's what I said.

So now what?

You can wait one to two weeks for the superglue to break down on its own.

I'm hosting a Fourth of July party tonight. You want me to show up like

The other option is I trim your eyelashes halfway down. That'll lower

strength of the glue holding them together.

Let's do that.

Lie back, please.

I need you to hold your head perfectly still. Keep your eye closed.

My eye can't open.

That's why I'm here.

No, I mean your other eye, too.

Okay, here we go.

Perfect, Mr. Samba. All good here.

Anything?

Do you see?

We'll put you down in a second.

Holy shit.

ST elevation V7, V8, V9. It's a posterior STEMI.

What's that?

It's the worst kind of heart attack.

Mr. Samba?

Mr. Samba?

Hey, I could use a second set of hands here.

Hold split V -tach.

Start compression.

Charging to 200.

Okay, clear.

Okay, resume compression.

Code demi. It was posterior.

Yeah, good call.

You put the detox pads on? Yeah, just in case.

Hold compressions.

Normal sinus.

All right.

You got a strong posterior BP?

All right, we'll prep him for cath lab.

Hey, Mr. Samba.

You're going to be okay.

No pearly gates today.

Really good pickup, whatever.

Thank you.

Ah.

Has a patient ever flirted with you?

Sure, why?

There was this guy this morning.

He turned out to be a criminal.

But, yeah, it was a nice distraction from the deposition.

He's still worried about that.

Yep. Yeah, counting down the hours. There are five left, if you're

Hi, Ms. Ronson.

Felicia, please.

Felicia. I'm Dr.

King. This is my colleague, Dr. Santos.

What brings you in today?

I've had this pretty bad cough for a few days now. Do you smoke? Are you

coughing up anything? Any chest pain?

No, no, and no.

I honestly think I picked it up at work. It was going around.

Oh, where do you work?

I'm in corporate at PNC Bank.

Is that for a place?

It could be an office bug.

Or I got it from the gym. I'm there all the time.

Do you have anything to ask, Dr. Santos?

What? Do you have any questions to ask our patient?

No, I'm good.

Okay, what did you hear?

Maybe some crackles at the right base.

Okay, well, we're going to need a chest x -ray to check your lungs.

Will that take long?

Maybe I can still make it to the office. No, you shouldn't.

You can go put the orders in.

How are we doing in here?

Oh, this is thrilling.

Definitely worth $200 ,000 worth of student debt.

Superficial ones get a scary strip. Full thickness, try Dermabond. How can you

tell they need a suture?

Joy. If the edges are under significant tension.

I didn't realize your name was Joy.

I'm going to have to tell my parents how trendy they were.

CC, head, neck, chest, abdomen, pelvis, all normal. Lucky guy.

Little boozy.

Uh, pressure for two minutes, lidocaine and epi if that doesn't work.

Are the admin orders in for surgical ICU?

Fuck.

What?

This.

Ah.

Irrigation saline?

It's just a small cut.

It is a work -related blood exposure, which means you're a patient now.

Are you serious?

Needle stick?

Piece of glass.

Here you go.

No past records on this guy. We don't know HIV or hepatitis status. I'll put

orders in. HIV, antibody, hep B, surface, and hep C.

She needs post -exposure medication.

Maybe not.

For occupational exposure, the rapid HIV test takes an hour or two.

Subcutaneous puncture wound, no risk of joint or tendon involvement, elevate

pressure, and then a band -aid.

You can give yourself a dose of pep if you want while you're waiting for

results. Start a chart, and I'll find another nurse for your blood draw.

Great.

Looks like we've got a couple more diverted from Westbridge.

Any estimate on their downtime?

Not yet.

Time to pull Dr. Langdon from triage?

No, no. First day back. I want to let him kind of ease into things.

Understood. I'll keep an eye on it. Thank you very much.

Thinking about changing your bet?

I am just weighing my odds.

Don't worry.

I'll buy you a drink with my winnings.

Your brother should be back shortly. There was little holdup at CT.

Um, should I be worried?

Let's wait and see what his test results say.

It's just, um, it just doesn't make any sense.

It doesn't sound like my brother at all.

He's the friendliest guy I know.

He never even gets angry. He barely yells.

He's never had an episode like this in the past? No, or not that I know of.

He's in a great relationship, and he's in law school because he wants to help

people.

He always tells me that I should follow my dreams, even if it means my parents

may disown me.

Should I call them?

I think that's a good idea.

This could be pretty serious.

Thanks.

The new radiologist is a

hottie.

His head CT is normal, as are his blood and urine tests.

Then what's wrong with him?

We're not sure yet.

There is another test, a spinal tap.

This could be an infection in the fluid that surrounds the brain, viral

encephalitis. It can also cause...

altered mental status and confusion.

Can you treat it? If it is?

Yes.

Okay.

Okay. I'll go find Dr. Al Hashimi and we'll do it together.

Thank you. Of course.

Just what we thought. It's a fracture of your coccyx. It's your tailbone.

Now see, these pieces here should be lined up with that.

heart here.

Do I need surgery?

No, no, no, these heal pretty well.

But it'll take about six weeks.

Six weeks?

I have dinner dates every weekend.

You can keep looking for dinner plans.

Dinner starts at Pino's, the best Italian in town.

A nightcap at my place usually follows, and then breakfast in bed.

Well, in that case, you might need to take a little break.

My greatest joy in life is my social calendar.

Is there something else you

can do?

Well, there is a procedure to push the fragments back in place.

It could help it heal faster.

Now we're talking.

It'll hurt pretty bad, but only for a second.

I can take it.

Okay.

Back in the gown.

How's it going over here?

Better now.

Oh, the x -ray.

is back on your foot and no fracture so um ace wrap ice

rest and elevate and you can take ibuprofen if you need it so that's it

it's if it's too painful to bear weight we can give you crutches to use for a

day or two so i won't be seeing you again as

a patient no but it was nice meeting your brand

It was nice meeting you too, Dr. McKay.

I

was

going to go check out a few of the art galleries in Lawrenceville tonight.

Have you been to that one on 40th and Butler?

No, I was...

Can I go by? Maybe around nine?

Okay.

Cool. Cool.

Dude, I resuscitated that parkour guy and intimidated his dummy. I think I can

handle this. It's best if you watch the first one.

How's that tooth feeling?

The whole side of my face is numb.

That's how we like it.

Okay.

We've got a...

Fluctuant gum line at... It's number 23, lateral incisor. An extension to an...

Apical abscess.

Right again.

She's smart.

Mm -hmm. Hook up the yank hour, get ready to retract the gum.

Hey, Louie, this is a temporary fix, okay? You're gonna need to get that

pulled by a dentist.

Hey, you gonna find me one?

We can have you talk to Dylan.

Is Dr.

Collins around?

A sister always helps me out.

Dr. Collins finished her residency.

Took up a job in Portland as an attending physician.

Portland? Yeah, I think that's where she's from.

She's adopting a baby. Wanted to be closer to her family.

Well, that's a beautiful thing.

Where's that?

Okay, ready?

Okay.

Three cc syringe, 20 gauge needle, entering at the juiciest part, aiming

for the apex.

So I'm out for culture? No, pen and pique for a few days. Books in the mouth

old school.

Just like me.

Both parents work, but neither of them have health coverage?

Orlando and his wife have multiple part -time jobs that don't offer insurance.

Can they qualify for Medicaid?

Unfortunately, no, because their combined annual income is over the

threshold for a family of five.

So they make too much money? And not enough at the same time. They live over

poverty line, and yet they are still living paycheck to paycheck.

I think their best option would be to buy private insurance through the

Affordable Care Act. Thank you.

My parents don't have insurance?

I'm sorry, Anna.

How much will it cost to keep my dad in the hospital?

I don't know.

But the ER visit alone will likely be in the thousands.

We will figure something out.

Okay?

Purple top for the CBC, red top for chemistries and serologies.

Okay.

Ready? Uh, yeah.

I can be a hard stick, so... I never have.

Okay.

One, two, three.

Good blood return.

Oh, my God.

Half point one.

You're supposed to release a tourniquet now.

Right. Sorry.

All right, lab won't take you without your initials, time, and dates, Ron. How

are you feeling?

PG. Hopefully I get to do this several times every day.

All set.

Keep some pressure here for a minute.

Initials, time, and date.

Cool.

Shit.

Environmental to north.

How is he?

He's stable.

He's doing great.

Doesn't look great.

Is there brain damage?

The head CT showed no bleeding or skull fracture.

It's most likely a bad concussion.

It's hard to know when he'll regain consciousness.

Did he break any bones?

We don't think so.

He should thank those ferns.

Chest and abdomen CT scans also showed no major internal injuries.

What's that?

We need respiratory therapy in here?

Okay.

One.

Two, three, over.

Is there a problem with the vent? No, he's bleeding from the back. I got a

pronum to take a look. Back away, Tanya. One, two, three, up.

One, two, three, over.

Good. Oh, shit.

Left flank area. Careful, careful, everybody. There might be glass. Three

centimeters, simple laceration. Open a suture kit for a proline. It wasn't

bleeding when we flipped it on arrival. No, but when we moved him around for CT,

it might have rubbed off a clot.

Slow venous oozing.

Might need a figure of eight.

Yeah, a little piece of glass in there. It's just under the skin.

Does it look fragment? Yeah, I can move it around.

Here, I'll pull it out. No, don't.

Shit. Okay.

It's bigger than I thought it.

That looks arterial. Can I get support by far as I'm here, please? It's bigger

than I thought it would be.

I can push it back in. No!

No, you've done enough damage. Should I keep pulling it out, then? Absolutely

not. The glass was tamponading a vessel. Not anymore.

BP's down. Pain surgery?

How are you looking for you?

Well, you found me.

The X -ray came back on the lady with the cough.

Weird and sultry. Have you seen it yet?

I've been trying to catch up on my charting.

Yep.

Stringy right lower lobe. It looks like aspiration pneumonia.

Think about it. How do oral and gastric fluids end up in lungs?

Dysphagia, swallowing disorders. But she's not an old person choking on their

food. Right. And there's protected vomiting.

Maybe recent gastroenteritis, food poisoning.

Yeah, or an eating disorder.

And she's bulimic?

And she's fixated on working out.

Check the enamel behind her front incisors.

If it's not in the differential, it won't be in the diagnosis.

You know that?

Yeah, you know that.

Nice job on the tap.

Thanks.

Hi. You called for a consult on Jackson Davis? Yeah, we did.

I'll let Victoria present the case.

This is Jada, Jackson's sister. This is Dr. Jefferson from psychiatry.

Psychiatry? Do you think this is a mental health problem?

We thought it best to cover all our bases.

We'll know more once I speak with your brother.

Okay.

Hi, Jackson.

Jackson, can you wake up?

Jackson. Faith said he's sedated.

I'll come back a little later.

Well, that was fast.

Yeah, next time, maybe wait until the patient wakes up before calling me down.

Psychiatrists do best when we can actually talk to our patients.

I got a little ahead of myself.

Will do.

Thank you.

Sorry. Pressure's up with one unit type specific.

What the fuck? He was stable. Light change in status.

Okay, get the clamp ready.

Who's the genius who pulled that out?

I thought it was a loose fragment.

Next time, leave the decisions to the adult.

Okay, Dick. Okay, ready to go?

Whoa.

It's like an icicle.

Christmas in July.

Hey, Sophie, can you answer that?

Okay, I am injecting the XSAT. What is that? It's a syringe filled with tiny,

rapid -expanding hemostatic sponges. Okay, got it. Thanks.

Radiology attending says the resident missed something.

There's a radiopaque foreign body in the left paralumbar musculature.

Not anymore.

Sounds like first week in July syndrome.

Mm -hmm.

Okay.

That looks pretty dry. On the surface.

Okay, let's turn him back and down.

Okay. One, two, three, over.

One, two, three, flip.

One, two, three, down.

All right.

CT is ready to rescan. Interventional radiology is holding him room. Look at

you, so on top of things.

Hasta la proxima.

How are you doing over here?

Definitely not great.

All right, well, let's get you a ginger ale.

So we never, ever remove a deep foreign body in the ER. We always leave that to

surgery. It won't happen again.

I was just coming to find you.

Sure you were.

It's almost like you're avoiding me. Me? Never. No, just having one of those

busy days, you know, living the dream, saving America's tired, poor, huddled

masses yearning to breathe free.

You're a saint.

I tell myself that every day.

I heard you had a motorcycle crash come through about an hour ago.

Yeah.

Couldn't save him.

I know he was not wearing a helmet.

Interesting. One motorcycle crash is not going to scare me off on a trip. I

didn't say it should.

I hope he died doing what he loved.

That's optimistic.

Glass half full, kind of good.

I am not on your couch. I'm aware.

Conflict of interest, dear. Why, because we're friends?

Oh, look at you.

Using the F -words.

I use F words all the time. I guess this therapy must be working.

I got somebody new for you.

She takes no shit.

You love her.

I hope so.

The last two have not exactly been my speed.

Meaning what?

Empathetic?

Look, sometimes it just takes a little while.

You know, find the right fit. Well, it's going to have to wait because I'm going

on my sabbatical tomorrow.

There's always Zoom therapy.

Motorcycle trip is Zoom therapy.

I'll bet somebody set off fireworks in the shitter.

How dumb is that?

You think people are smart.

Yeah.

What's up, man?

You want to get on the books?

Yeah. Yeah, yeah. Maybe, maybe. Hey, look here. I only take real money.

None of that IOU bullshit.

Okay, I have money.

Okay, my first direct deposit finally hit.

Nice. Put me down for $40 for power outage.

Nice. We got a big ball on our hands.

Congrats, Doctor.

I like this side of you, man.

Any improvement?

No.

What kind of super glue did you use? Does it matter? My eye is still fucking

shut. Okay, there's one other thing I can try. No, I'm done. I asked for Dr. J

earlier, and I would like to see her now.

I haven't been in the hospital for a while. I don't know a Dr. J.

She's one of the best doctors in Pittsburgh.

Oh, Dr. J.

Do what you must, my lady.

Okay. First, I need to get a good grip for the reduction.

Uh -huh.

Here we go.

Try to relax.

Deep breath with your mouth open. Not how I imagined our first intimate

encounter. Okay.

Got it.

Now on three.

Okay?

One.

Motherfucker!

You shut up!

I know.

Sorry. It keeps you from tensing up.

Okay, I think that worked. How does it feel?

Can I sit up?

Mm -hmm.

Oh,

that's definitely better.

Oh, my God.

Can I give you a hug?

Maybe later, okay?

Aspiration pneumonia, how does that happen?

It's when bacteria from the mouth or stomach get into the breathing tube when

you're choking, if you're eating or vomiting.

Oh.

Do you ever drink a lot of alcohol?

Maybe so much that you pass out?

No, I'm not a big drinker.

Have you had stomach flu recently?

Food poisoning?

No and no.

Do you mind if we take a look inside your mouth?

You can lean your head back.

Open wide.

The enamel on the back of your teeth is worn away.

What does that mean?

It can happen if someone makes themselves vomit repeatedly.

All the stomach acid dissolves the enamel.

What does that have to do with having pneumonia?

It may have caused it.

Can you just give me some medicine?

Yeah, we can do that.

Dr. J.

Finally. It is so nice to meet you, Dr. J.

This is Willow, your new patient.

I'm actually a student doctor.

I, uh, watch all of your videos.

The one about coping with difficult co -workers is super helpful.

I gotta watch that.

Um, so what is Willow's health issue?

Uh, my eye, it's super glued shut.

Halfway trim and mineral oil didn't work.

Nope.

Then I would suggest cutting the full lash down.

I concur, Dr. J.

As long as you're the one doing it.

Oh.

Okay. Yeah, sure.

Yeah, sit back for me.

I'll get you to close both of your eyes and be as still as possible.

Okay.

All you don't.

Thank you, Dr. Langdon.

Okay.

Here we go.

How many followers do you have, Dr. J?

More than you'd guess, Dr. Langdon.

There.

He did it.

Oh, my God.

This looks terrible.

I can...

Still put a false lash on it, though.

Right?

How are you feeling, Mr. Diaz?

Much better.

We need to talk about how your diabetes progressed at this place.

Is this doing Dr. Kwan?

What you say here remains between us.

I'm taking a lower dose of insulin than I should be.

How much of your prescribed dose were you using at a time?

Half.

I used to have insurance through work, but I lost that job when the pandemic

hit.

It was easier to keep up with my medication then.

I had a great primary doctor, too.

Now I'm kind of on my own.

Do you have a glucose monitor?

Oh, yes.

But I can't afford the test strips every week.

They're too expensive.

Can we not talk about this in front of my family?

They're my girls.

Did you call your brothers?

I have good news.

I started a GoFundMe for Dad.

A what?

To help raise money for Dad's medical care since we don't have insurance.

No. Take it down. Now.

But why?

I work hard. I don't need charity.

But Dad, we've already... Ana!

You heard me. Take it down.

Jesus, Orlando.

No necesito eso.

Louie. Thought I'd sneak back in and check on you. How we doing in here?

Good. Tooth's feeling much better.

Glad to hear it.

Looks like you're stuck with us for the next three hours.

Need to monitor your blood pressure. How about a drink while I wait?

Water or orange juice?

Uh, never mind.

So, um, how's your kids doing?

Oh, they're perfect little monsters.

Tanner's five now.

Any three?

Uh -huh.

Ain't that a blessing?

It is, but they have zero interest in bedtime.

And there's a dog always digging up the yard.

How much sun does your lawn get?

Plenty.

Seeded with perennial ryegrass.

And you want to lightly water it and put up a temporary fence so the dog can't

get back to it.

Color me impressed.

What can I say?

I like grass.

Seriously, how do you know all that?

I was a groundskeeper.

I worked with gardens and lawns back in the day.

Robin.

Got a set?

Dr. Langdon.

Dr. Alashimi.

How's triage looking?

Donnie and I have it under control.

Good. I want you to wrap up what you're doing out there and join us back here.

We're expecting more diverted traffic from Westbridge.

Will do.

And I just want to say, I think it's great that you're in the physician's

program. I know it's a big commitment.

Uh, yeah, it was hard at the beginning, but, you know, I'm almost done with year

one now.

Only four more years to go.

Penny for your thoughts.

Oh, they're way more expensive than that. I'm on a budget. Take it or leave

My day is not turning out the way that I expected.

We had a call out.

Langdon was available.

I was sort of hoping to be on my sabacc when he came back.

You two were very close.

Maybe this is the universe's way of telling you it's time to clear the air.

Maybe it is.

Maybe it isn't.

Okay, so, uh... We'll need to keep you for the day for your IV antibiotics and

to monitor your oxygen level.

Okay.

Okay.

What if... I have been making myself vomit.

Well, bulimia is treatable.

I was going to stop.

I thought before.

My family gathers around food.

We eat when we're celebrating. We eat when we're mourning. We just eat.

But then I got to college, and it was all about how you looked.

That's a lot of pressure.

I started vomiting.

Everyone said I looked great, so I went to the gym more.

I didn't need to purge as much.

Last year, I went through a breakup. It all came back.

You're doing long -term damage to your body, and it doesn't just go

away on its own.

It's okay to ask for help.

We can set you up with our eating disorder program upstairs.

It's here in the hospital.

It's an outpatient program.

You'd meet with a therapist for individual and group therapy once or

week.

Would you be open to meeting with a therapist?

I guess.

Do you have any preference for type of therapist, male, female?

If there's a black woman, I'd like...

That?

Yeah, we can arrange that.

Thank you.

That was a good catch.

Black women tend to go underdiagnosed when it comes to eating disorders.

Really? Yeah, unfortunately.

You know, I thought I had an eating disorder in high school, and so I did a

of research on the subject.

I didn't. No, I just... My sister and I were really picky eaters.

Growing up, you know, color and texture, vegetables and fish.

Oh, eggs.

Slimy okra, asparagus.

Disgusting. Drummer print, crazy.

Oh, eggs.

Weird.

Not that weird.

I gotta catch up on my charting.

You know, if you want to talk, I'm around.

Talk about what?

Being an R2?

Way harder than intern year.

Yeah, overseeing the med students, the interns, having no time to do my own

charts. Just waiting until you get into medical, surgical, and cardiac ICU.

I stands for intern.

Somehow that seems like an understatement.

It does help you grow your clinical skills, you know, caring for the sickest

patients. Tell that to these charts.

Dick Pate.

Helps you go faster.

Oh, uh...

What happened with our patient from Westbridge? He never grabbed me for his

troponin. Mr. Samba, it was a posterior STEMI. What?

Didn't you draw on the 12 lead? No, usually it doesn't. I think most

would have missed it.

But you didn't.

Guess I got lucky.

Whatever, Fuckleberry.

Okay, I'm sorry. Did I do something to bother you? Nope.

Yo, what's up?

I got a bounce back. You remember Debbie Cohen?

Not really. I've seen 16 patients this morning. The restaurant worker with

cellulitis from the dorsum up the foot? Yeah, yeah. He's on catflex. I marked

the border. I got a hot pack on it, but you should take a look.

Hi, Dr. Langdon. I wasn't expecting to see you back so soon.

Meds upset your stomach?

No.

The pain got worse.

And you said to come back if the redness spread outside the Sharpie line?

Let's take a look.

It looks

like the infection isn't responding to the pills I prescribed you,

so we need to get you on some IV antibiotics and get you back to the ED

Is it bad?

Not if we can get a handle on it.

Worse? Or maybe worse.