1 00:00:17,150 --> 00:00:18,150 I'm in. 2 00:00:18,430 --> 00:00:19,430 Bag him. 3 00:00:22,930 --> 00:00:23,930 B -fib pads. 4 00:00:24,150 --> 00:00:25,150 We're in place. 5 00:00:25,910 --> 00:00:29,490 Okay. Holding compressions. Good square line on the inside with the O2. 6 00:00:29,750 --> 00:00:31,370 B -fib. Charge at 200. 7 00:00:33,910 --> 00:00:34,910 Charged. 8 00:00:35,170 --> 00:00:36,170 Clear. 9 00:00:38,390 --> 00:00:39,530 Stand by with that B. 10 00:00:44,290 --> 00:00:45,290 Touching that tube. 11 00:00:48,210 --> 00:00:51,250 I'm not in the esophagus, are you? Definitely not. I pass right through the 12 00:00:51,250 --> 00:00:52,950 cords. Good breath sounds. 13 00:00:53,270 --> 00:00:54,310 Entitled CO2 confirmed. 14 00:00:54,690 --> 00:00:56,310 Too long for filling up with water. I know. 15 00:01:03,030 --> 00:01:04,030 Okay, rhythm check. 16 00:01:05,990 --> 00:01:07,250 Hey, Cicely, push the epi. 17 00:01:12,850 --> 00:01:15,990 Patients with lunch trays have been admitted. They're boarded. They're 18 00:01:15,990 --> 00:01:17,110 for a bed to open upstairs. 19 00:01:17,820 --> 00:01:21,320 What about the other? Non -admitted patients. They can have sandwiches or 20 00:01:21,320 --> 00:01:23,440 boxes. Just make sure they're not NPO. 21 00:01:23,840 --> 00:01:28,180 It's nil per os. It's Latin for nothing by mouth. NPO's are waiting for surgery. 22 00:01:28,520 --> 00:01:31,560 They'll beg, spit, and curse for food, but you gotta stay strong. 23 00:01:31,780 --> 00:01:34,960 Hey, I've been waiting for an hour. When am I gonna see a fucking doctor? Excuse 24 00:01:34,960 --> 00:01:35,960 me! 25 00:01:36,980 --> 00:01:40,040 Perhaps you didn't see this, which is strange, because they're all over the 26 00:01:40,040 --> 00:01:42,640 place. Aggressive behavior toward healthcare workers is a felony. 27 00:01:43,160 --> 00:01:45,720 $2 ,000 fine, possible jail time. Got it? 28 00:01:46,580 --> 00:01:47,580 Okay. 29 00:01:47,950 --> 00:01:49,070 I was just asking. 30 00:01:49,270 --> 00:01:50,270 We're busy today. 31 00:01:50,790 --> 00:01:54,150 It's a holiday weekend. We see the sickest patient first. They'll be happy 32 00:01:54,150 --> 00:01:55,150 still waiting. 33 00:01:56,390 --> 00:01:57,390 Jack off. 34 00:02:00,030 --> 00:02:01,150 PTMC charge nurse. 35 00:02:01,450 --> 00:02:02,630 Go ahead, medic command. 36 00:02:04,470 --> 00:02:05,470 Okay. 37 00:02:05,850 --> 00:02:06,850 Got it. 38 00:02:07,250 --> 00:02:08,250 Incoming trauma. 39 00:02:08,710 --> 00:02:09,710 Come on. 40 00:02:10,610 --> 00:02:11,569 Three minutes. 41 00:02:11,570 --> 00:02:13,010 Hold compressions. 42 00:02:14,810 --> 00:02:15,810 Eight, seven, three. 43 00:02:16,240 --> 00:02:19,000 Uh, resumes TPR. Another amp of epi. He's no victim. 44 00:02:26,400 --> 00:02:28,060 Pulmonary hemorrhage from liver failure. 45 00:02:28,660 --> 00:02:29,780 Is he going to make it? 46 00:02:35,660 --> 00:02:36,680 Should we give you a PC? 47 00:02:37,720 --> 00:02:38,720 Too late for that. 48 00:02:40,020 --> 00:02:41,520 And he's not an ECMO candidate. 49 00:02:41,880 --> 00:02:42,880 Nothing else we can do. 50 00:02:49,390 --> 00:02:50,390 I think we're done. 51 00:02:56,130 --> 00:02:57,130 Lily. 52 00:03:02,850 --> 00:03:03,850 1207. 53 00:03:11,150 --> 00:03:12,410 Should we do a debrief? 54 00:03:13,590 --> 00:03:17,190 We've got another motorcycle injury coming in, ETA 10 minutes. We'll get it 55 00:03:17,190 --> 00:03:18,190 cleaned up. 56 00:03:18,290 --> 00:03:19,350 Into the VR app. 57 00:03:20,130 --> 00:03:23,290 Yeah, anybody that wants to pay their respects can join us in there. 58 00:03:25,810 --> 00:03:26,810 Thank you, everyone. 59 00:03:34,890 --> 00:03:35,890 I'll clean them up. 60 00:03:36,110 --> 00:03:37,390 Why don't you take five first? 61 00:03:38,530 --> 00:03:39,530 What's that? 62 00:03:52,170 --> 00:03:54,030 This is Dr. Jefferson from psychiatry. 63 00:03:54,630 --> 00:03:56,130 Why do I need to see a psychiatrist? 64 00:03:57,510 --> 00:03:59,090 Jada, why do I need to see a psychiatrist? 65 00:03:59,390 --> 00:04:00,930 Oh, it's going to be okay, Jackson. 66 00:04:01,170 --> 00:04:03,630 Dr. Jefferson says he can help. 67 00:04:03,870 --> 00:04:04,970 Do you know how you got here? 68 00:04:06,510 --> 00:04:07,790 The medics brought me. 69 00:04:08,930 --> 00:04:09,930 I don't really remember. 70 00:04:10,110 --> 00:04:11,470 I was in the library. 71 00:04:11,770 --> 00:04:12,770 What were you doing there? 72 00:04:14,810 --> 00:04:17,010 I was studying. 73 00:04:17,550 --> 00:04:19,410 I was trying to study. 74 00:04:20,339 --> 00:04:21,660 But then they wouldn't stop talking. 75 00:04:22,380 --> 00:04:23,860 Who wouldn't stop talking? 76 00:04:24,360 --> 00:04:25,680 They don't want me to pass the bar. 77 00:04:25,980 --> 00:04:28,220 Who doesn't want you to pass the bar? That's what they told me. 78 00:04:28,500 --> 00:04:31,880 Hey, hey, hey, look at me. Look at me. Who doesn't want you to pass the bar? 79 00:04:32,260 --> 00:04:35,760 Let's give them some privacy. Dr. Jefferson will let us know when he's 80 00:04:37,460 --> 00:04:38,460 I'm going to pass. 81 00:04:38,560 --> 00:04:39,700 I'll be right outside. 82 00:04:40,220 --> 00:04:41,500 Okay, I'll be right outside, Jackson. 83 00:04:44,020 --> 00:04:46,120 Why don't they want you to pass the bar, Jackson? 84 00:04:46,920 --> 00:04:48,440 You're afraid of me becoming a lawyer? 85 00:04:48,970 --> 00:04:50,370 Are they afraid of you becoming a lawyer? 86 00:04:51,810 --> 00:04:54,190 He must have been studying with his law school friends. 87 00:04:55,990 --> 00:04:58,910 They should know what's happened. I'm going to call them. 88 00:05:00,330 --> 00:05:01,850 If you need anything, let me know. 89 00:05:02,410 --> 00:05:04,030 Okay. Thank you. 90 00:05:12,230 --> 00:05:13,230 Louie. 91 00:05:15,390 --> 00:05:16,390 What? 92 00:05:16,910 --> 00:05:18,030 Pulmonary hemorrhage. 93 00:05:20,460 --> 00:05:21,460 That's quick. 94 00:05:22,480 --> 00:05:23,980 I'm going to go clean him up. 95 00:05:25,060 --> 00:05:26,060 I'll help. 96 00:05:29,520 --> 00:05:31,460 Go, go. Okay, now. 97 00:05:34,560 --> 00:05:35,760 Everything okay, Roxy? 98 00:05:37,820 --> 00:05:39,420 I can't get off the bedpan. 99 00:05:40,100 --> 00:05:41,260 That's what I'm here for. 100 00:05:44,860 --> 00:05:49,360 Your husband seems like a saint. 101 00:05:50,280 --> 00:05:51,280 How long have you been married? 102 00:05:53,400 --> 00:05:54,400 Too long. 103 00:05:57,400 --> 00:05:59,460 Almost 20 years. 104 00:06:00,260 --> 00:06:04,160 You put your arm around me. Now put the bedpan on three. 105 00:06:05,060 --> 00:06:07,560 One, two, three. 106 00:06:08,700 --> 00:06:09,700 One more. 107 00:06:10,280 --> 00:06:11,280 Great. 108 00:06:12,760 --> 00:06:13,920 20. Wow. 109 00:06:16,340 --> 00:06:17,340 Yeah. 110 00:06:20,110 --> 00:06:22,130 Been by my side through all of this. 111 00:06:24,530 --> 00:06:26,010 What does the light go out of them? 112 00:06:28,370 --> 00:06:29,390 So have the kids. 113 00:06:30,810 --> 00:06:33,490 That's what happened to my auntie when my uncle Gerald got sick. 114 00:06:35,690 --> 00:06:37,550 But your husband does it because he loves you. 115 00:06:39,750 --> 00:06:43,570 I don't know how you two care for people day after day. 116 00:06:44,730 --> 00:06:45,750 I'll tell you my secret. 117 00:06:46,810 --> 00:06:48,870 I go home at the end of every shift. 118 00:06:49,890 --> 00:06:53,970 Leave this all behind and escape to Love Island. 119 00:06:55,830 --> 00:06:56,890 How's it going in here? 120 00:06:57,410 --> 00:07:00,790 The high -demand dose of morphine helped a little, but she's still in pain. 121 00:07:01,050 --> 00:07:02,590 Okay. I got your order. 122 00:07:03,370 --> 00:07:04,890 0 .1 per kilo. Thanks. 123 00:07:05,950 --> 00:07:09,550 This is a very low sub -dissociative dose of ketamine. 124 00:07:10,070 --> 00:07:13,030 You might feel a little weird, but I think it's going to help with the pain. 125 00:07:16,570 --> 00:07:18,210 Is my husband still in the cafeteria? 126 00:07:18,610 --> 00:07:19,610 I think so. 127 00:07:19,770 --> 00:07:20,770 Want me to get him? 128 00:07:20,910 --> 00:07:21,910 No, no. 129 00:07:23,730 --> 00:07:25,490 It's good for us to have a little time apart. 130 00:07:29,090 --> 00:07:30,090 I'll get you another blanket. 131 00:07:35,430 --> 00:07:37,590 Here. I'm headed that way. Thank you. 132 00:07:39,270 --> 00:07:40,270 Back in for good? 133 00:07:41,050 --> 00:07:43,890 Officially out of triage. They need extra hands with all the Westbridge 134 00:07:43,890 --> 00:07:44,890 hullabaloo. 135 00:07:45,570 --> 00:07:50,000 How many cups have you had today? Don't judge me. Just ask. You're judging. 136 00:07:52,280 --> 00:07:53,440 Did you hear about Louie? 137 00:07:53,780 --> 00:07:54,780 No. 138 00:07:55,100 --> 00:07:56,920 Pulmonary hemorrhage. Didn't make it. 139 00:07:57,480 --> 00:07:58,480 Shit. 140 00:07:59,880 --> 00:08:01,700 He's been here a hundred times. I know. 141 00:08:03,300 --> 00:08:04,660 Debrief in the viewing room later. 142 00:08:06,300 --> 00:08:09,280 On a happier note, Pearlie and I are planning a birthday party for Javadi. 143 00:08:09,520 --> 00:08:10,520 She's turning 21. 144 00:08:11,240 --> 00:08:12,880 You two are as big as thieves. 145 00:08:13,560 --> 00:08:15,640 I don't have much of a social life these days. 146 00:08:16,910 --> 00:08:20,410 But I'll be sure to keep an eye out for part of it. Let's discuss our 147 00:08:20,410 --> 00:08:21,690 incarcerated patient gut. 148 00:08:22,190 --> 00:08:25,610 Prison infirmaries tend to be short -stabbed, so we need to be thorough. 149 00:08:26,450 --> 00:08:28,890 What's in a differential diagnosis for malnutrition? 150 00:08:29,610 --> 00:08:35,630 Inadequate intake, methamphetamine use, severe alcoholism, ADHD medication. 151 00:08:36,130 --> 00:08:40,530 What else? Cancer of the oropharynx, esophageal strictures, prior strokes, 152 00:08:41,049 --> 00:08:44,330 malabsorption, inflammatory bowel disease, none of which were in its 153 00:08:44,330 --> 00:08:45,330 record. 154 00:08:45,339 --> 00:08:46,700 What about psychosocial causes? 155 00:08:47,620 --> 00:08:49,280 Could be an intentional hunger strike. 156 00:08:49,540 --> 00:08:52,840 Or refusing food to get to the infirmary. Could also be abuse or 157 00:08:53,320 --> 00:08:56,060 Let's start with the nutrition history once he's back from CT. 158 00:08:56,380 --> 00:08:58,940 Do you have a second to talk about Westbridge? Mm -hmm. Hey, we need to 159 00:08:58,940 --> 00:09:01,560 moving some patients out of here. These walls are starting to fill up with 160 00:09:01,560 --> 00:09:04,900 gurneys. Santas, Ogilvy, and King all have patients on the launching pad. I'll 161 00:09:04,900 --> 00:09:07,640 check in with them. How many patients have we had re -reader from Westbridge? 162 00:09:07,680 --> 00:09:09,460 Ten. God knows how many more in the waiting room. 163 00:09:09,680 --> 00:09:12,020 Ambulance will be here in a few minutes with the accident victim unless they 164 00:09:12,020 --> 00:09:13,020 came in trauma, too. 165 00:09:13,240 --> 00:09:15,460 What is the story with your incarcerated patient? 166 00:09:15,700 --> 00:09:19,300 Gus Varney, three rib fractures with normal O2 subs currently, waiting on CT 167 00:09:19,300 --> 00:09:22,220 results. Okay, if he's stable at the two -hour mark, I'd say he's good to go. 168 00:09:22,240 --> 00:09:24,480 Let's get the ball rolling on discharge. Let's wait on the CT results. 169 00:09:24,780 --> 00:09:26,420 We can move him out of trauma one at least. 170 00:09:26,620 --> 00:09:27,820 Yes, we can. What's open? 171 00:09:28,100 --> 00:09:31,900 13 and 14 will be discharged soon. 15, once we can move Lou to the viewing room 172 00:09:31,900 --> 00:09:34,280 and get it cleaned up. Our paracentesis patient, Mr. 173 00:09:34,540 --> 00:09:37,760 Cloverfield? He's a barist. We'll do a debrief when we know how many patients 174 00:09:37,760 --> 00:09:38,760 we're getting from Westbridge. 175 00:09:38,860 --> 00:09:40,720 So Gus goes to 13, 14, or 15. 176 00:09:42,350 --> 00:09:45,170 I kind of want to keep him in plain sight. What about BH2? 177 00:09:45,390 --> 00:09:47,090 So, why not give him some privacy? 178 00:09:47,390 --> 00:09:50,390 Everyone can see him in BH2, like he's a monkey at the zoo. 179 00:09:50,750 --> 00:09:53,810 Because he came in with an orange jumpsuit, we need to think about patient 180 00:09:53,810 --> 00:09:54,810 staff safety. 181 00:09:54,830 --> 00:09:57,670 Safety first. BH2 beats a prison cell. Not by much. 182 00:09:58,010 --> 00:09:59,210 Did you guys hear about Louie? 183 00:09:59,550 --> 00:10:01,550 Yeah. A chronic alcoholic? 184 00:10:02,310 --> 00:10:03,310 Go figure. 185 00:10:03,410 --> 00:10:08,150 Hey, uh, Fentody and South 20 is ready for discharge, but could you get Lupe to 186 00:10:08,150 --> 00:10:09,550 call him a ride? I need to check on Louie. 187 00:10:10,030 --> 00:10:11,890 Uh, actually, Whitaker... He croaked. 188 00:10:12,850 --> 00:10:15,690 What? Five minutes ago, Robbie called it. 189 00:10:21,470 --> 00:10:22,470 I'm sorry, 190 00:10:26,910 --> 00:10:28,750 man. We didn't have time to find you. 191 00:10:30,250 --> 00:10:31,250 What happened? 192 00:10:32,450 --> 00:10:34,310 He was apneic, impulseless. 193 00:10:35,030 --> 00:10:37,110 We started CPR and intubated him. 194 00:10:38,160 --> 00:10:40,440 He had a massive pulmonary hemorrhage, Robbie called it. 195 00:10:43,600 --> 00:10:44,800 Found this with his stuff. 196 00:10:45,740 --> 00:10:47,260 Guess he was married at some point. 197 00:10:48,120 --> 00:10:49,120 Never knew that. 198 00:10:54,080 --> 00:10:55,460 Didn't miss this part of the job. 199 00:10:56,180 --> 00:10:57,180 Yeah. 200 00:10:57,860 --> 00:11:01,360 Perla, did Louie ever mention anything about a wife and kids? 201 00:11:03,420 --> 00:11:06,520 As far as I know, he only had eyes for Rita Moreno. 202 00:11:07,760 --> 00:11:09,060 This is not Rita Moreno. 203 00:11:10,820 --> 00:11:11,840 No, it's not. 204 00:11:12,440 --> 00:11:14,400 Can we check to see if there's an emergency contact? 205 00:11:17,140 --> 00:11:18,380 Yeah, there's a number listed. 206 00:11:25,820 --> 00:11:28,920 You were his primary. Do you want to... 207 00:11:41,230 --> 00:11:42,570 P .T .M .C. charge nurse. 208 00:11:44,070 --> 00:11:45,550 Langdon? Where are you? 209 00:11:46,870 --> 00:11:51,310 Makes sense that we'd be his emergency contact. Sorry to get your hopes up. 210 00:11:53,570 --> 00:11:57,170 My social worker's gonna do their thing. If Louie had any family left, they'll 211 00:11:57,170 --> 00:11:58,170 find them. 212 00:11:59,270 --> 00:12:00,270 You okay? 213 00:12:02,230 --> 00:12:05,370 Guess it's good it happened here, not out on the street. 214 00:12:06,030 --> 00:12:08,870 You're off the hook with Louie. I'm gonna teach Emma here how to clean a 215 00:12:08,870 --> 00:12:09,870 body. 216 00:12:12,170 --> 00:12:14,810 I'm sorry, but then you mean LMD. You might want to call for another 217 00:12:14,810 --> 00:12:16,270 interpreter. Busy day. 218 00:12:17,090 --> 00:12:20,670 Shit, that's our girl in 12? She's been waiting for five hours. Didn't hear her 219 00:12:20,670 --> 00:12:21,670 name called the first time. 220 00:12:22,070 --> 00:12:23,070 You check on her? 221 00:12:23,510 --> 00:12:24,770 You need to brush up on my ASL. 222 00:12:24,990 --> 00:12:26,070 You know sign language, too? 223 00:12:26,290 --> 00:12:27,670 Princess June has six languages. 224 00:12:28,030 --> 00:12:29,930 I know French. It's not a contest. 225 00:12:31,530 --> 00:12:32,530 No, 226 00:12:32,830 --> 00:12:35,750 she's talking in front of me. I get enough of that from her and Perla. 227 00:12:36,450 --> 00:12:37,710 Guess I'll call for backup. 228 00:12:39,410 --> 00:12:41,890 Yo, Donnie, did you discharge your butt abscess? Not yet. 229 00:12:43,570 --> 00:12:45,870 What the hell? Your good friends upstairs sent donuts. 230 00:12:46,110 --> 00:12:47,630 Special thank you for working the holiday. 231 00:12:47,930 --> 00:12:48,930 You've got to be kidding me. 232 00:12:49,510 --> 00:12:51,310 What were you expecting, tacos and tequila? 233 00:12:51,510 --> 00:12:54,690 Every single one of them can forget about extra shifts. Won't hire more 234 00:12:54,790 --> 00:12:57,630 Won't pay us a decent wage. Won't hire security that can actually protect us 235 00:12:57,630 --> 00:12:59,350 from patients. But absolutely, send donuts. 236 00:12:59,790 --> 00:13:02,550 Sure you want to go into this line of work? Want me to get you one? Of course 237 00:13:02,550 --> 00:13:04,550 do, but I'm not taking admins' blood pastries. 238 00:13:05,230 --> 00:13:06,230 Hey, too, Donnie? 239 00:13:07,920 --> 00:13:11,720 Okay, move it or lose it. Meet me in South 15 with gowns and gloves. 240 00:13:12,060 --> 00:13:13,520 Looks like it's a happy hour in here. 241 00:13:13,720 --> 00:13:15,380 Don't ask. What's up with Eva Knievel? 242 00:13:15,640 --> 00:13:19,400 Brandon Lee, 52, fell off a motorcycle pyramid at 25 miles per hour. 243 00:13:19,640 --> 00:13:20,960 Motorcycle pyramid? You recruiting? 244 00:13:21,300 --> 00:13:24,760 Got a fellow rider in your midst. No kidding. How high up were you? On top of 245 00:13:24,760 --> 00:13:25,519 3 -2 -1. 246 00:13:25,520 --> 00:13:27,660 But the bottom guys are sitting down, driving the choppers. 247 00:13:28,000 --> 00:13:30,800 I'm fine. I don't need all this. Were you wearing a helmet? Of course. 248 00:13:31,120 --> 00:13:32,580 Oh, what do you know? They're still in style. 249 00:13:33,640 --> 00:13:36,040 Good vitals, tender right wrist, and big left knee lack. 250 00:13:36,410 --> 00:13:37,850 Hey, Joy, Perla, trauma two. 251 00:13:38,870 --> 00:13:39,870 Who else can I have? 252 00:13:39,990 --> 00:13:42,710 Sansa and Whitaker in with Louie. Yeah, give me Whitaker. He could use a 253 00:13:42,710 --> 00:13:45,010 distraction. Sansa's been ducking traumas all day. 254 00:13:45,210 --> 00:13:47,130 She's behind you in her chart. Who isn't? 255 00:13:50,770 --> 00:13:56,650 Even when it's not your fault, sometimes it's worse knowing that there was 256 00:13:56,650 --> 00:13:57,650 nothing you could do. 257 00:13:58,750 --> 00:14:01,050 Are you? 258 00:14:02,170 --> 00:14:05,410 Well, we need you both in trauma, too, and I need you to discharge Sweet Patty 259 00:14:05,410 --> 00:14:06,730 and 13 as soon as you're done. 260 00:14:07,170 --> 00:14:08,170 Can't catch a break. 261 00:14:08,330 --> 00:14:09,750 I'll push you because I know you can take it. 262 00:14:18,070 --> 00:14:23,790 You ever clean up that body? 263 00:14:25,810 --> 00:14:27,270 I never seen one either. 264 00:14:29,590 --> 00:14:31,010 No one tells you what it looks. 265 00:14:31,400 --> 00:14:32,860 It feels, it smells like them. 266 00:14:33,140 --> 00:14:34,700 I get used to it over time. 267 00:14:36,620 --> 00:14:41,300 We pull off the gown, wipe him down with towels, and we'll roll him on his side, 268 00:14:41,440 --> 00:14:48,040 clean his back, stuff the sheet under him, wipe down the bed, roll him the 269 00:14:48,040 --> 00:14:50,540 way, pull out the sheet, and repeat. Just follow my lead. 270 00:14:52,680 --> 00:14:56,860 Usually, I leave the ET tube in for the coroner, but... 271 00:14:57,420 --> 00:15:01,580 He was a chronic alcoholic with end -stage liver disease, not a coroner's 272 00:15:03,960 --> 00:15:06,460 Did he have family? Everyone has family. 273 00:15:07,100 --> 00:15:09,720 The social worker always tries to find them. 274 00:15:10,660 --> 00:15:14,960 Sometimes the family loved them, tried to get them to come home. Other times 275 00:15:14,960 --> 00:15:16,580 family wants nothing to do with them. 276 00:15:17,220 --> 00:15:18,520 That's sad. That's life. 277 00:15:21,160 --> 00:15:24,000 What happens if no one claims his body? He'll be cremated. 278 00:15:24,300 --> 00:15:25,760 Where would his ashes go? 279 00:15:26,330 --> 00:15:29,370 Keep him for a few months, then he gets buried in the mass grave with all the 280 00:15:29,370 --> 00:15:30,370 other unclaimed bodies. 281 00:15:33,010 --> 00:15:34,910 Okay. Now we roll him. 282 00:15:38,850 --> 00:15:43,490 Oh, my God. Is he still alive? 283 00:15:43,750 --> 00:15:44,830 No, that happens. 284 00:15:45,990 --> 00:15:47,510 These frequent flyers. 285 00:15:48,130 --> 00:15:53,370 It can be a real pain in the ass, but you miss them when they're gone. 286 00:16:01,800 --> 00:16:04,760 We've been at every Melville 4th of July parade since 08. 287 00:16:05,180 --> 00:16:07,420 World record is 40 men on seven motorcycles. 288 00:16:08,000 --> 00:16:09,220 Plan to beat that someday. 289 00:16:09,740 --> 00:16:12,400 Good lung sliding bilaterally. Pupils equal and reactive. 290 00:16:12,960 --> 00:16:13,960 What do you ride? 291 00:16:14,120 --> 00:16:14,839 A bullet. 292 00:16:14,840 --> 00:16:20,560 Oh, Royal Enfield, ankle breaker, thumper. BP 138 over 80, pulse 94, pulse 293 00:16:20,560 --> 00:16:23,060 98. All your vitals sound really good, Brandon. 294 00:16:23,500 --> 00:16:26,680 They call it an ankle breaker because you've got to kick over a big fat single 295 00:16:26,680 --> 00:16:28,980 cylinder to get it started. Sometimes five or six kicks. 296 00:16:29,460 --> 00:16:30,900 Especially on a cold day. 297 00:16:31,500 --> 00:16:34,160 Um, does anyone have any trauma scissors? I'll check the knee. 298 00:16:34,360 --> 00:16:36,100 Uh, not yet. Why not? 299 00:16:36,360 --> 00:16:37,159 Dr. Santos? 300 00:16:37,160 --> 00:16:40,760 Primary survey means rule out the life threats. Don't get distracted by 301 00:16:40,760 --> 00:16:43,320 lacerations or fractures. No free fluid in the belly. 302 00:16:44,000 --> 00:16:45,880 Airway, breathing, circulation are fine. 303 00:16:46,160 --> 00:16:47,160 Okay, that's ABC. 304 00:16:47,260 --> 00:16:49,800 That just leaves two letters. Tell her about D, Dr. Santos. 305 00:16:50,540 --> 00:16:52,420 Disability. Wiggle your toes, sir. 306 00:16:52,760 --> 00:16:54,720 Any pain in your arms or leg? 307 00:16:55,080 --> 00:16:55,999 Not really. 308 00:16:56,000 --> 00:16:57,000 Hurt when I put here? 309 00:16:57,240 --> 00:16:59,660 No. Okay, no midline tenderness. 310 00:16:59,880 --> 00:17:00,839 Next is negative. 311 00:17:00,840 --> 00:17:02,940 No obvious brain injury or spinal cord injury. 312 00:17:03,300 --> 00:17:04,920 That just leaves E. Joy. 313 00:17:06,520 --> 00:17:07,660 Can I buy another vowel? 314 00:17:07,940 --> 00:17:08,940 Dr. Whitaker. 315 00:17:09,180 --> 00:17:10,180 Exposure. 316 00:17:10,460 --> 00:17:14,819 A .K .A. strip and flip. Cut off his clothes and we'll log roll him. What do 317 00:17:14,819 --> 00:17:15,819 have? 318 00:17:16,380 --> 00:17:17,859 Helmeted motorcycle acrobat. 319 00:17:18,060 --> 00:17:22,160 Eight foot falls. Standing on top of five riders. Primary survey normal. E 320 00:17:22,160 --> 00:17:23,940 negative. Another motorcycle accident. 321 00:17:24,319 --> 00:17:26,180 Hello, sir. I'm Dr. Garcia from surgery. 322 00:17:26,480 --> 00:17:27,480 Hello. 323 00:17:28,019 --> 00:17:32,660 Okay, we will roll him in three, two, one. 324 00:17:37,000 --> 00:17:41,420 Well, I grew up a block from Carrick. My mom was a teacher at Brashear, so I had 325 00:17:41,420 --> 00:17:42,419 to go there. 326 00:17:42,420 --> 00:17:43,420 The Bullets? 327 00:17:44,160 --> 00:17:44,979 That's right. 328 00:17:44,980 --> 00:17:48,120 They were the Bullets when I was there. They changed to the Bulls when I left. 329 00:17:48,320 --> 00:17:49,239 Oh. 330 00:17:49,240 --> 00:17:52,260 Hey, you think I could get something to eat? 331 00:17:54,400 --> 00:17:56,180 Gus here is wondering if he's clear to eat. 332 00:17:56,760 --> 00:17:58,280 As long as it's a liquid diet. 333 00:17:58,860 --> 00:18:00,740 We have the results of your CT scan. 334 00:18:01,540 --> 00:18:06,500 Your jaw should heal without surgery, which is good news, but it will be a few 335 00:18:06,500 --> 00:18:07,860 weeks. Before I can eat? 336 00:18:08,680 --> 00:18:09,680 Solid foods, yes. 337 00:18:10,500 --> 00:18:12,880 Or you can have food -prurated liquid in a blender. 338 00:18:13,980 --> 00:18:15,200 I don't have a blender. 339 00:18:17,080 --> 00:18:18,600 Right. Sorry. 340 00:18:20,220 --> 00:18:24,700 We have a calorie -rich supplement drink called Ensure. It comes in chocolate, 341 00:18:24,840 --> 00:18:25,840 vanilla, or strawberry. 342 00:18:27,510 --> 00:18:28,510 Chocolate, please. 343 00:18:28,770 --> 00:18:29,629 Good choice. 344 00:18:29,630 --> 00:18:30,630 How many can I have? 345 00:18:30,650 --> 00:18:31,650 Two a day is recommended. 346 00:18:31,970 --> 00:18:32,970 I'll get it for you. 347 00:18:33,970 --> 00:18:34,970 You have an appetite. 348 00:18:35,370 --> 00:18:36,370 Good. 349 00:18:37,710 --> 00:18:41,710 Mr. Varney, your blood tests indicate low levels of protein and vitamins. 350 00:18:42,270 --> 00:18:44,230 Can we ask you a few questions about your diet? 351 00:18:46,130 --> 00:18:49,030 How many meals or snacks do you have in a 24 -hour period? 352 00:18:49,590 --> 00:18:50,590 I don't know. 353 00:18:51,330 --> 00:18:52,330 Don't count. 354 00:18:52,830 --> 00:18:54,330 Pretty sure it's three trays a day. 355 00:18:55,970 --> 00:18:59,930 Okay. How often do you eat cereals, fruits, or vegetables? 356 00:19:00,290 --> 00:19:02,510 Not many fruits and vegetables in prison. 357 00:19:03,370 --> 00:19:04,390 Slow and steady. 358 00:19:07,070 --> 00:19:08,510 What year is your Bonneville? 359 00:19:09,630 --> 00:19:10,630 69. 360 00:19:10,850 --> 00:19:14,310 Rescued it from a motor graveyard and brought it back to life with a bunny of 361 00:19:14,310 --> 00:19:15,670 mine who's supposed to be coming in today. 362 00:19:16,430 --> 00:19:17,530 How often do you ride? 363 00:19:17,790 --> 00:19:19,350 I ride it into work every day. 364 00:19:19,610 --> 00:19:20,670 Good for you. 365 00:19:20,930 --> 00:19:22,050 Don't encourage him. 366 00:19:22,790 --> 00:19:23,870 CT's ready for Brandon. 367 00:19:24,210 --> 00:19:25,850 I say we take a look at this knee. 368 00:19:28,640 --> 00:19:31,140 Whoa. Through the deep fascia. How's it look? 369 00:19:31,380 --> 00:19:32,440 Definitely going to need stitches. 370 00:19:32,820 --> 00:19:33,559 How many? 371 00:19:33,560 --> 00:19:34,319 A lot. 372 00:19:34,320 --> 00:19:35,320 It could be an open joint. 373 00:19:35,400 --> 00:19:37,060 We'll do a saline load after CP. 374 00:19:39,240 --> 00:19:40,820 Leave her sign negative, ACL intact. 375 00:19:41,120 --> 00:19:42,120 Okay, ready to roll. 376 00:19:47,540 --> 00:19:49,280 Are you still coming over tonight? 377 00:19:49,540 --> 00:19:52,900 I think Whitaker is going to be playing farm boy again this weekend, so he's not 378 00:19:52,900 --> 00:19:56,000 going to be around. I may need a rain check. Hey, do you have an update on 379 00:19:56,000 --> 00:19:57,000 neck patch patient? 380 00:19:57,020 --> 00:20:00,180 Last I heard, Miller was doing an above -the -knee amputation with ortho. 381 00:20:02,720 --> 00:20:05,120 Langdon's waitress with the cellulitis? Yeah. 382 00:20:05,700 --> 00:20:07,100 Man, that took a turn. Sure did. 383 00:20:08,540 --> 00:20:10,600 Hey, did you hear about Louie? 384 00:20:12,580 --> 00:20:13,580 Yeah. You okay? 385 00:20:15,020 --> 00:20:18,760 Um, one of my uncles drank himself to death. 386 00:20:20,220 --> 00:20:21,640 Barely recognized him at the end. 387 00:20:23,060 --> 00:20:24,600 At least Louie always seemed happy. 388 00:20:26,510 --> 00:20:27,530 Let me know if you want to talk. 389 00:20:33,370 --> 00:20:34,750 There's a nun I'm finding in here. 390 00:20:36,310 --> 00:20:38,690 She only wants lunch. It's a $20 fine. 391 00:20:40,370 --> 00:20:41,890 Made a lot of changes while you were gone. 392 00:20:42,190 --> 00:20:43,190 I can see that. 393 00:20:43,290 --> 00:20:45,930 Look, I'll let you hide out a little bit longer, but then I need you to pick up 394 00:20:45,930 --> 00:20:48,730 more patients. You're not as fast as you used to be. Damn donuts. 395 00:20:50,270 --> 00:20:51,270 Ouch. 396 00:20:52,730 --> 00:20:55,050 First day back, I get kicked in the nuts. 397 00:20:55,760 --> 00:20:57,720 One dead, one septic bounce back. 398 00:20:58,000 --> 00:20:59,320 Look at those, not your fault. 399 00:21:02,500 --> 00:21:03,660 You expecting a party? 400 00:21:04,540 --> 00:21:05,540 No, not really. 401 00:21:06,260 --> 00:21:07,900 Didn't hear from anyone while I was gone. 402 00:21:11,120 --> 00:21:12,120 Sorry. 403 00:21:12,760 --> 00:21:16,180 They ever, uh, arrest that guy who punched you? 404 00:21:16,940 --> 00:21:17,940 Yeah. 405 00:21:18,600 --> 00:21:22,200 Wasn't enough. I want to press charges, but I don't want to go through all that. 406 00:21:23,480 --> 00:21:26,980 Thought I was done, but I'm bored now. 407 00:21:28,280 --> 00:21:30,160 Only lasted a few weeks. You? 408 00:21:31,120 --> 00:21:33,260 Ten months is a long time to be alone with your thoughts. 409 00:21:34,180 --> 00:21:35,360 I almost lost everything. 410 00:21:36,760 --> 00:21:41,040 I know a lot of women who would have taken the kids and left, but Abby 411 00:21:41,360 --> 00:21:43,780 Because she's a good woman. Because you deserve a second chance. 412 00:21:44,080 --> 00:21:45,580 I'm not sure everyone agrees with you. 413 00:21:45,900 --> 00:21:46,900 Give it time. 414 00:21:47,820 --> 00:21:48,820 Look, I... 415 00:21:54,070 --> 00:21:58,690 I, um... I've been working the 12 steps, trying to make amends. 416 00:22:00,090 --> 00:22:01,230 I was really selfish. 417 00:22:01,730 --> 00:22:05,570 I lied to myself, and I lied to you. I'm really sorry. You can check me off your 418 00:22:05,570 --> 00:22:06,329 list, kid. 419 00:22:06,330 --> 00:22:07,330 My bad. 420 00:22:08,510 --> 00:22:09,510 Okay? 421 00:22:09,610 --> 00:22:13,010 Yeah. Got a lovely patient for you, too. Let's get you back on the horse. 422 00:22:16,630 --> 00:22:18,210 I really need to talk with Robbie. 423 00:22:18,510 --> 00:22:21,170 I don't know if today's the best day for that. He lives on vacation tomorrow. 424 00:22:21,250 --> 00:22:22,430 Let him get to the day in peace. 425 00:22:23,020 --> 00:22:25,600 He's supposed to be gone for three months? That's what he says. I give him 426 00:22:26,140 --> 00:22:27,140 Go get him, kid. 427 00:22:30,500 --> 00:22:32,700 Dr. Langdon, this is Rocky. 428 00:22:33,460 --> 00:22:34,439 Great name. 429 00:22:34,440 --> 00:22:35,440 What brings you in, Rocky? 430 00:22:38,460 --> 00:22:39,460 Very thick. 431 00:22:40,000 --> 00:22:41,000 When did it start? 432 00:22:42,320 --> 00:22:43,320 An hour ago. 433 00:22:43,800 --> 00:22:45,580 After he won a hot dog eating contest. 434 00:22:46,420 --> 00:22:48,160 A hot dog eating contest? How many he eat? 435 00:22:52,480 --> 00:22:53,480 351 hot dogs? 436 00:22:58,000 --> 00:22:59,000 36. 437 00:22:59,560 --> 00:23:00,560 Still a lot. 438 00:23:01,940 --> 00:23:04,780 I pulled data, Zofran. Go for it. All right, this should help. 439 00:23:05,160 --> 00:23:06,540 Stick it under your tongue, let it dissolve. 440 00:23:07,020 --> 00:23:08,640 Okay. Are you taking any... 441 00:23:18,790 --> 00:23:20,630 Sanchez, what's up with your earliest patient? 442 00:23:20,910 --> 00:23:24,430 Admitted to medicine, and before you ask, 13 has been discharged. 443 00:23:24,730 --> 00:23:26,210 Great. 12 needs a doctor. 444 00:23:26,910 --> 00:23:31,390 No, don't make me go back there. That disinfectant left a smell and stunk up 445 00:23:31,390 --> 00:23:32,069 whole hallway. 446 00:23:32,070 --> 00:23:33,830 So grab some coffee grounds from the lounge. 447 00:23:34,050 --> 00:23:36,250 We need to admit our incarcerated patient, Gus. 448 00:23:36,650 --> 00:23:38,370 What did the CT show? 449 00:23:38,730 --> 00:23:42,350 Moderate pulmonary contusion, three rib fractures, no intra -abdominal bleeding, 450 00:23:42,470 --> 00:23:46,090 and oblique fracture in the body of the mandible anterior to the ankle. 451 00:23:46,410 --> 00:23:47,690 All favorable for healing? 452 00:23:48,289 --> 00:23:49,450 A pain medication, 453 00:23:52,610 --> 00:23:53,610 antibiotics, 454 00:23:53,770 --> 00:23:59,410 liquid diet, pulse ox a few times a day, and then also dressing changes for the 455 00:23:59,410 --> 00:24:00,249 last ratio. 456 00:24:00,250 --> 00:24:02,330 Which he can get at his correctional facility. 457 00:24:02,670 --> 00:24:06,670 Or he stays here for a few days and we get him on the right track to healing. 458 00:24:07,850 --> 00:24:09,730 Why don't you two go check on your patients? 459 00:24:09,990 --> 00:24:10,990 Sure thing. 460 00:24:13,170 --> 00:24:14,170 What am I missing? 461 00:24:14,670 --> 00:24:17,010 He's not getting enough to eat at his correctional facility. 462 00:24:17,690 --> 00:24:20,610 The portions are tiny, too many carbs, not enough fruits or vegetables. 463 00:24:20,810 --> 00:24:22,950 He's lucky he hasn't developed a chronic illness. 464 00:24:24,330 --> 00:24:27,870 We don't have any inpatient beds. He would board down here for three days. 465 00:24:27,870 --> 00:24:31,110 still getting runs from Westbridge, and we cannot tie up behavioral for that 466 00:24:31,110 --> 00:24:34,330 long. Dr. Al -Hashemi, Dr. Jefferson wants to talk to you about our tasered 467 00:24:38,250 --> 00:24:42,090 Why don't I call the prison doctor and find out what they're working with over 468 00:24:42,090 --> 00:24:43,290 there? Thank you. My pleasure. 469 00:24:46,250 --> 00:24:48,490 Dr. Jefferson seems to have a good rapport with Jackson. 470 00:24:49,110 --> 00:24:50,970 Excellent. How's the sister doing? 471 00:24:51,250 --> 00:24:52,250 Still pretty upset. 472 00:24:52,470 --> 00:24:53,690 She's never seen him like this. 473 00:24:54,270 --> 00:24:55,390 A lot to process. 474 00:24:55,850 --> 00:24:56,809 How's he doing? 475 00:24:56,810 --> 00:24:57,810 He's scared. 476 00:24:57,970 --> 00:25:01,650 Dr. Peredal had a positive effect, but he doesn't understand what's going on. 477 00:25:01,890 --> 00:25:05,970 He's been experiencing auditory hallucinations and paranoid delusions, 478 00:25:06,070 --> 00:25:08,410 or telling him he isn't safe. 479 00:25:08,750 --> 00:25:10,030 This has been going on for months. 480 00:25:10,470 --> 00:25:12,710 Months? Yeah, it turns out his sister hasn't seen him in a while. 481 00:25:13,490 --> 00:25:14,910 Family history of mental illness? 482 00:25:15,500 --> 00:25:16,660 Not that we know of. 483 00:25:17,360 --> 00:25:20,820 I'm going to give him a break and then continue the conversation. 484 00:25:21,220 --> 00:25:22,960 Parents are on their way. We'll let you know when they get here. 485 00:25:23,180 --> 00:25:24,180 Yes, dear. 486 00:25:25,240 --> 00:25:28,720 Okay, hospital bed, wheelchair, and shower chair have all been ordered. 487 00:25:30,100 --> 00:25:31,100 Please stay, kid. 488 00:25:31,840 --> 00:25:32,840 Ready to go home. 489 00:25:35,820 --> 00:25:37,140 How's your payment, Mrs. Hamler? 490 00:25:38,800 --> 00:25:39,800 It's the same. 491 00:25:40,460 --> 00:25:42,080 We're going to write you a script for Keppra. 492 00:25:42,420 --> 00:25:45,510 You'll take that to prevent... Seizure is once a day starting tomorrow. 493 00:25:45,810 --> 00:25:48,470 Between your broken leg and the bruises from your seizure, the pain will 494 00:25:48,470 --> 00:25:49,610 probably get a little worse. 495 00:25:49,950 --> 00:25:52,990 Yeah, the most important thing is to let others help you. You'll need assistance 496 00:25:52,990 --> 00:25:54,770 showering and getting to the bathroom. 497 00:25:55,130 --> 00:25:56,670 Yeah, no problem. I won't leave her side. 498 00:25:57,250 --> 00:25:58,330 Paul, you need a break. 499 00:25:59,590 --> 00:26:06,090 If you're taking care of me, the kids, the house, it's too much for one person. 500 00:26:07,270 --> 00:26:08,750 I'm not the one battling cancer. 501 00:26:09,970 --> 00:26:12,730 Paul? Hey, you're in pain. 502 00:26:12,970 --> 00:26:13,970 Every day. 503 00:26:14,370 --> 00:26:15,370 Find a free life. 504 00:26:16,270 --> 00:26:18,090 I'm happy to do this for you. 505 00:26:18,830 --> 00:26:19,850 You're my wife. 506 00:26:21,250 --> 00:26:23,710 Now let's go home and forget this day ever happened. 507 00:26:24,450 --> 00:26:25,770 I'll call the transfer ambulance. 508 00:26:26,130 --> 00:26:27,130 Thanks, Princess. 509 00:26:33,710 --> 00:26:34,710 Hey. 510 00:26:35,290 --> 00:26:36,290 Hmm? 511 00:26:36,790 --> 00:26:37,790 Why don't you go ahead? 512 00:26:39,070 --> 00:26:41,050 What? Yeah, you can get the house ready. 513 00:26:41,580 --> 00:26:42,680 I'll be right behind you. 514 00:26:44,000 --> 00:26:45,000 No. 515 00:26:45,180 --> 00:26:47,540 No, I'm riding in the back with you. 516 00:26:49,400 --> 00:26:50,820 Yeah, I'll stay with her. 517 00:26:53,660 --> 00:26:54,660 You sure? 518 00:26:56,540 --> 00:26:57,540 Yeah. 519 00:26:57,840 --> 00:26:58,840 Okay. 520 00:27:01,280 --> 00:27:03,860 Call me if you need me to come back. 521 00:27:13,900 --> 00:27:15,440 Mr. Francis, short of breath? 522 00:27:15,700 --> 00:27:18,500 Yeah, I was worried the clot in my leg could have gone up to my lungs. 523 00:27:19,380 --> 00:27:20,800 You're on Eliquis. That shouldn't happen. 524 00:27:21,020 --> 00:27:22,640 Yeah, I know. Don, I got this. 525 00:27:23,140 --> 00:27:24,140 Don't worry, Mr. Francis. 526 00:27:24,360 --> 00:27:26,140 I'll order the D -dimer. I'll be back to see you. 527 00:27:26,360 --> 00:27:27,360 Thank you, Dr. Mohan. 528 00:27:28,340 --> 00:27:32,720 You know, I'm an MP now. I can pick up a patient with dyspnea. I'm sorry. 529 00:27:33,160 --> 00:27:35,760 I've seen him before, and he's asked for me. 530 00:27:36,020 --> 00:27:37,780 Why even order the test? He's on Eliquis. 531 00:27:38,040 --> 00:27:40,720 Mr. Francis comes in every month and always asks for a D -dimer. 532 00:27:41,510 --> 00:27:43,690 Just, he's worried, and it puts his mind at ease. 533 00:27:43,930 --> 00:27:44,930 Why not? 534 00:27:44,970 --> 00:27:45,970 Yeah, okay. 535 00:27:46,810 --> 00:27:48,650 Donnie's the best. You learn a lot from him. 536 00:27:49,710 --> 00:27:50,710 That's right. 537 00:28:18,760 --> 00:28:19,760 All right, film in. 538 00:28:20,100 --> 00:28:21,160 This is Harlow Graham. 539 00:28:21,480 --> 00:28:22,940 She was seen in triage. 540 00:28:23,140 --> 00:28:24,880 CBC and CMP came back normal. 541 00:28:25,280 --> 00:28:27,620 IT was supposed to bring the VRI down, but they're slammed. 542 00:28:27,820 --> 00:28:28,960 I know a bit of sign language. 543 00:28:29,860 --> 00:28:30,920 Harlow, this is Dr. 544 00:28:32,780 --> 00:28:33,780 Santos. 545 00:28:34,640 --> 00:28:36,000 Hi, Harlow. How are you feeling? 546 00:28:39,560 --> 00:28:40,580 She has a headache. 547 00:28:40,820 --> 00:28:41,820 Okay, what else? 548 00:28:48,620 --> 00:28:49,620 What does she think? 549 00:28:49,940 --> 00:28:53,940 I think she had a stomach ache and she might have passed out. 550 00:28:57,900 --> 00:28:59,060 I'm not 100 % sure. 551 00:28:59,540 --> 00:29:00,540 Okay. 552 00:29:00,580 --> 00:29:03,520 We're just going to need to wait for an interpreter because I need to ask a 553 00:29:03,520 --> 00:29:06,340 million questions and I can't do it this way. So just call me when I do come 554 00:29:06,340 --> 00:29:07,340 down. 555 00:29:18,760 --> 00:29:21,820 CT head, neck, chest, abdomen, pelvis, all negative. 556 00:29:22,040 --> 00:29:23,800 It means you can get this cholera. 557 00:29:25,080 --> 00:29:26,080 Thank you. 558 00:29:26,800 --> 00:29:28,280 Roll to your side. 559 00:29:28,640 --> 00:29:29,660 We'll get you off this board. 560 00:29:30,740 --> 00:29:31,780 How long's your trip? 561 00:29:32,260 --> 00:29:34,900 2 ,000 miles, all the way from here to Alberta. 562 00:29:35,200 --> 00:29:36,520 A couple stops along the way. 563 00:29:36,900 --> 00:29:38,200 Got the whole thing mapped out. 564 00:29:38,400 --> 00:29:39,400 Sounds like heaven. 565 00:29:39,560 --> 00:29:40,560 Let's sit you up. 566 00:29:40,800 --> 00:29:42,080 Sorry I got stuck with a patient. 567 00:29:42,300 --> 00:29:45,520 You know the old saying, four wheels move the body, two wheels move the soul. 568 00:29:46,040 --> 00:29:47,040 You're gonna be living the dream. 569 00:29:47,530 --> 00:29:50,830 Thank you, Brandon. Not everybody down here feels that way. Okay, Whitaker, 570 00:29:50,930 --> 00:29:52,130 what's next? Ortho -assessment. 571 00:29:53,010 --> 00:29:55,610 Palpate all long bones, starting with the clavicle. 572 00:29:56,150 --> 00:29:58,190 Got it. We'll take the lower extremities. 573 00:30:04,130 --> 00:30:08,070 Distal radius tender. No deformities. Need an x -ray. No bony tenderness down 574 00:30:08,070 --> 00:30:10,810 here. No laxity of the knee. Any concern about that knee leg? 575 00:30:11,750 --> 00:30:15,390 If it's an open joint, he'll need a washout in the OR. We could try a 576 00:30:15,390 --> 00:30:16,390 fluorescein injection. 577 00:30:16,800 --> 00:30:20,220 Okay, we'll need a wood lamp. Wood lamp, 1 % lighter with epi, sterile ceiling, 578 00:30:20,380 --> 00:30:24,600 sterile basin, sterile floor strip, 18 and 27 gauge needles, 5 and 60cc 579 00:30:24,600 --> 00:30:25,600 syringes. 580 00:30:26,060 --> 00:30:27,380 How does she know all that? 581 00:30:28,400 --> 00:30:29,400 She just does. 582 00:30:31,160 --> 00:30:32,300 How we feeling, Rocky? 583 00:30:32,820 --> 00:30:33,940 Oh, much better. 584 00:30:34,200 --> 00:30:37,380 She said eight weeks of ondansetron. Any pain in the belly? 585 00:30:37,760 --> 00:30:39,740 No, but my mouth is really dry. 586 00:30:40,040 --> 00:30:42,880 No doubt from consuming mass quantities of salty hot dogs. 587 00:30:43,260 --> 00:30:44,860 Can I have another sip of water? 588 00:30:45,200 --> 00:30:46,240 Sure, a little sip. 589 00:30:46,730 --> 00:30:47,730 Take it slow. 590 00:30:48,510 --> 00:30:49,449 Here you go. 591 00:30:49,450 --> 00:30:50,209 Thank you. 592 00:30:50,210 --> 00:30:52,010 Just enough to wet your whistle. 593 00:30:53,870 --> 00:30:56,510 So, how'd you get your start as a competitive eater? 594 00:31:03,670 --> 00:31:07,550 Any pain here, Mr. Lee? 595 00:31:07,850 --> 00:31:09,090 Can't feel a thing. Great. 596 00:31:09,710 --> 00:31:10,710 Where's Santos? 597 00:31:10,790 --> 00:31:12,130 Probably catching up on our charting. 598 00:31:13,410 --> 00:31:15,670 Right. Lights out. What's the lamp on? 599 00:31:22,920 --> 00:31:23,920 some of that on Halloween? 600 00:31:24,020 --> 00:31:28,460 That is 250 cc's of sterile saline with one small touch of a sterile floor 601 00:31:28,460 --> 00:31:29,460 strip. 602 00:31:30,900 --> 00:31:35,320 We are going to inject this fluid into your knee, Brandon, and if there's 603 00:31:35,320 --> 00:31:39,240 anything glowing in your wound, we know we have a leak. 604 00:31:39,820 --> 00:31:40,980 Feeling some pressure? 605 00:31:41,320 --> 00:31:44,640 Yeah, it's normal. As soon as I finish the test, I'll pull off the fluid. 606 00:31:47,320 --> 00:31:48,320 That looks good. 607 00:31:48,660 --> 00:31:50,640 Laceration did not enter into the joint space. 608 00:31:51,590 --> 00:31:52,590 Surgery not needed. 609 00:31:52,850 --> 00:31:56,230 Excellent. I can get back to the parade. No, we'll still need to stitch you up 610 00:31:56,230 --> 00:31:57,189 and splint your wrist. 611 00:31:57,190 --> 00:31:59,970 Hey, Grandma Vance. Wait, he has a penicillin allergy. 612 00:32:00,330 --> 00:32:01,750 No, PenFast was negative. We're okay. 613 00:32:02,790 --> 00:32:05,430 My mom said I got a rash with amoxicillin when I was two. 614 00:32:05,730 --> 00:32:07,550 Yeah, probably not a true allergy. 615 00:32:07,810 --> 00:32:08,810 Go ahead and give it, Kim. 616 00:32:08,910 --> 00:32:12,250 But have Epi and Benadryl standing by, right? Yes, to be on the safe side. 617 00:32:13,370 --> 00:32:16,470 Most people who think they have a penicillin allergy actually don't. 618 00:32:17,270 --> 00:32:18,510 Always listen to the nurses. 619 00:32:19,040 --> 00:32:21,540 They run the ER. We just try and stay out of their way. 620 00:32:28,960 --> 00:32:30,520 Now we can really clean him up. 621 00:32:30,940 --> 00:32:32,000 Didn't we already do that? 622 00:32:32,600 --> 00:32:36,420 Dry blood on the face, neck, hands. If anyone comes, they shouldn't have to see 623 00:32:36,420 --> 00:32:37,420 that. 624 00:32:37,740 --> 00:32:41,120 Sometimes the local unhoused folks are paid a visit, but we always make them 625 00:32:41,120 --> 00:32:42,720 presentable in case anyone comes. 626 00:32:43,920 --> 00:32:45,600 It's the last thing we can do for them. 627 00:32:47,240 --> 00:32:48,700 They get to do that during COVID. 628 00:32:50,780 --> 00:32:54,100 Once he's spotless, we'll tuck him in nice and tight, but we always leave one 629 00:32:54,100 --> 00:32:55,260 arm outside the sheet. 630 00:32:55,840 --> 00:32:56,840 Because? 631 00:32:57,680 --> 00:32:59,260 So the ones can hold their hands. 632 00:33:05,980 --> 00:33:08,180 We're ready to discharge our cancer mom, Roxy. 633 00:33:08,700 --> 00:33:10,940 Ambulance is on the way. We just need to reconcile with her. 634 00:33:11,360 --> 00:33:13,660 Hey, I thought I saw another charge nurse around here. 635 00:33:14,040 --> 00:33:16,460 Yeah, we travel in packs. Aren't you sick of this place yet? 636 00:33:16,700 --> 00:33:20,080 Ah, someone is ready for his sabbatical. Guilty as charged. 637 00:33:20,380 --> 00:33:23,740 Hey, I just got word that the at -home morphine pump is going to be delayed. 638 00:33:23,840 --> 00:33:27,600 Hospital pharmacy has to mix it and then deliver it later today. Well, should we 639 00:33:27,600 --> 00:33:28,600 keep her here until it's ready? 640 00:33:28,860 --> 00:33:31,480 No, you can give her a 200 milligram tablet of MS -Contin. 641 00:33:31,880 --> 00:33:32,880 200 milligrams? 642 00:33:33,040 --> 00:33:36,160 Biggest pill they make. Releases over 12 hours for patients with opiate 643 00:33:36,160 --> 00:33:37,160 tolerance. 644 00:33:38,170 --> 00:33:40,690 And you want to stick around a little bit? Westbridge is close to internal 645 00:33:40,690 --> 00:33:43,930 disaster. We're getting all their runs. Yeah, I heard. I put 20 bucks on a 646 00:33:43,930 --> 00:33:46,450 plumbing issue. I just watched that Poop Cruise documentary. 647 00:33:46,710 --> 00:33:49,790 I cannot stop thinking about it. That sounds like something I'll absolutely 648 00:33:49,790 --> 00:33:54,210 never watch. Dr. Robbie, you gave us a clozapine ileus about an hour ago. 649 00:33:54,630 --> 00:33:57,670 Your resident reported no surgical history, but the chart says they've had 650 00:33:57,670 --> 00:34:00,510 appendectomy. We're not admitting the patient without a surgery consult. 651 00:34:00,790 --> 00:34:01,790 Who called it in? Dr. 652 00:34:01,830 --> 00:34:02,830 Trinity Santos. 653 00:34:02,970 --> 00:34:03,970 Dr. Santos. 654 00:34:04,380 --> 00:34:08,420 You had an Ilias patient. You neglected to mention a history of appendectomy. 655 00:34:08,560 --> 00:34:11,699 There was no history of appendectomy. It was in your note. 656 00:34:12,219 --> 00:34:16,980 I may have forgotten to proof check it. I was using the app that Dr. Al Hashimi 657 00:34:16,980 --> 00:34:19,080 suggested to catch up on my charting. Wonderful. 658 00:34:19,560 --> 00:34:24,580 Ah, Dr. Al Hashimi. Yes. Dr. Santos was just using your AI tool for her 659 00:34:24,580 --> 00:34:27,920 charting, and it hallucinated a history of appendicitis. 660 00:34:28,750 --> 00:34:32,770 As I mentioned to Dr. Santos, generative AI is not perfect. We still need to 661 00:34:32,770 --> 00:34:34,370 proofread every chart it creates. 662 00:34:34,730 --> 00:34:38,790 The patient also has a history of headache, followed by Dr. Park from 663 00:34:39,290 --> 00:34:41,610 That should probably be neurology. 664 00:34:41,989 --> 00:34:45,389 Unless urologists are now treating migraines. Another example that should 665 00:34:45,389 --> 00:34:46,389 been caught by proofreading. 666 00:34:47,110 --> 00:34:50,530 AI's 2 % error rate is still better than dictation. Yeah, I don't really give a 667 00:34:50,530 --> 00:34:52,449 shit whether or not you want to use robots down here. 668 00:34:52,889 --> 00:34:55,830 I need accurate information in the medical record. Dr. 669 00:34:57,290 --> 00:34:58,290 Santos. 670 00:34:59,460 --> 00:35:00,460 Dr. Santos. 671 00:35:01,640 --> 00:35:02,980 Yep, won't happen again. 672 00:35:07,680 --> 00:35:08,680 Thanks, 673 00:35:09,420 --> 00:35:11,940 Prilla. Six hours to go. You got this. 674 00:35:14,340 --> 00:35:19,640 When a wound is gaping like this, you want to use sub -Q to bring the edges 675 00:35:19,640 --> 00:35:21,000 together. A lot of meat to close. 676 00:35:21,320 --> 00:35:25,020 What would happen if we just did a simple wound closure? 677 00:35:25,300 --> 00:35:28,600 You take the stitches out in 10 days, the wound opens, dehisses. 678 00:35:29,200 --> 00:35:32,280 Exactly. So what suture do we use under the skin? 679 00:35:32,500 --> 00:35:35,400 A Vicryl provides support for a month. It takes two months to dissolve. 680 00:35:35,660 --> 00:35:42,560 So 5 -0 nylon on the skin for a Vicryl under the skin. I go with a 3 -0 Vicryl. 681 00:35:43,180 --> 00:35:44,078 You think? 682 00:35:44,080 --> 00:35:45,080 Most definitely. 683 00:35:45,580 --> 00:35:50,300 Donnie is the master of wound closure. I do at least 10 lakhs a day out at tree 684 00:35:50,300 --> 00:35:53,200 yards. Can we see your sub -Q? 685 00:35:55,580 --> 00:35:56,580 You my guest? 686 00:35:56,720 --> 00:35:57,720 If you insist. 687 00:36:06,000 --> 00:36:11,140 The secret is to be sure your entry point and exit point on both sides of 688 00:36:11,140 --> 00:36:14,320 wound matches the depth on the other side. 689 00:36:19,280 --> 00:36:20,440 Start deep. 690 00:36:21,120 --> 00:36:23,660 Come up at the dermis. 691 00:36:25,260 --> 00:36:27,340 Big bites help the tissue close. 692 00:36:30,740 --> 00:36:32,420 Samara image on the other side. 693 00:36:34,420 --> 00:36:35,900 Superficial. To deep. 694 00:36:38,240 --> 00:36:39,740 So you bury the knot. 695 00:36:40,140 --> 00:36:42,960 Bingo. Boyd's bumps on the scarlet. 696 00:36:43,700 --> 00:36:44,700 Three ties. 697 00:36:45,780 --> 00:36:46,780 Not four. 698 00:36:47,720 --> 00:36:48,740 Yeah, that's beautiful. 699 00:36:49,940 --> 00:36:54,540 And then you cut it short, not too short. 700 00:36:54,920 --> 00:37:00,460 I like to slide my scissors down on the knot. 701 00:37:02,090 --> 00:37:05,530 And rotate up 45 degrees before I cut. 702 00:37:06,870 --> 00:37:08,530 Can use two more sub cues. 703 00:37:09,030 --> 00:37:10,770 One above, one below. 704 00:37:12,450 --> 00:37:13,450 Have at it. 705 00:37:16,030 --> 00:37:17,030 Interesting ink. 706 00:37:17,390 --> 00:37:18,530 Do they mean anything? 707 00:37:20,870 --> 00:37:24,090 This, this is death and chaos. 708 00:37:24,490 --> 00:37:26,230 And this is miracles and blessings. 709 00:37:26,910 --> 00:37:29,950 Got this one after the pit fest shooting. 710 00:37:31,000 --> 00:37:34,780 I got this after my daughter was born. 711 00:37:37,580 --> 00:37:41,360 Put the head of the gurney up so people can see him, but not so high that his 712 00:37:41,360 --> 00:37:42,660 head flops to the side. 713 00:37:47,220 --> 00:37:48,300 What do you think? 714 00:37:48,600 --> 00:37:49,600 You look beautiful. 715 00:37:51,400 --> 00:37:52,800 What's the hardest part of this job? 716 00:37:53,860 --> 00:37:57,020 It's pretty dankless, and I can be tough. You've seen the burnout rates. 717 00:37:57,020 --> 00:37:58,020 sure I teach you that at school. 718 00:37:58,860 --> 00:38:01,100 All my closest friends left after COVID. 719 00:38:02,060 --> 00:38:03,060 Some during. 720 00:38:03,960 --> 00:38:05,160 I don't blame them. 721 00:38:05,520 --> 00:38:07,760 They had to do what was best for their mental health. 722 00:38:08,840 --> 00:38:10,000 A lot of people broke. 723 00:38:11,460 --> 00:38:12,820 Why do you keep coming back? 724 00:38:15,700 --> 00:38:19,280 Why don't you, um, just finish up here and then. 725 00:38:19,520 --> 00:38:20,740 Go help Carla for a bit. 726 00:38:25,420 --> 00:38:28,280 Great. Thank you. No, that is exactly what I needed to know. 727 00:38:28,520 --> 00:38:29,520 Okay. 728 00:38:29,740 --> 00:38:33,620 I just got off the phone with the physician assistant at the prison. 729 00:38:33,620 --> 00:38:37,300 a 16 -hour day infirmary with NP and PA coverage, giving everything that we 730 00:38:37,300 --> 00:38:38,720 need, and they've got an RN for overnight. 731 00:38:39,220 --> 00:38:42,240 Even so, he's here because they're ignoring his basic needs. 732 00:38:43,520 --> 00:38:46,460 He's here because somebody kicked the shit out of him. I think you're missing 733 00:38:46,460 --> 00:38:47,138 the point. 734 00:38:47,140 --> 00:38:48,360 We have more to offer. 735 00:38:48,640 --> 00:38:51,680 Robbie, there's a formal coming our way. Okay, got it. 736 00:38:51,880 --> 00:38:53,580 What you're trying to do is very noble. 737 00:38:54,040 --> 00:38:56,980 We don't have the resources to check. Okay, then why admit the unhoused man, 738 00:38:57,120 --> 00:39:00,720 Digby? Why not send him back to the street with antibiotics and a roll of 739 00:39:00,800 --> 00:39:04,340 Because Digby lives on the street, and your incarcerated patient has a mid 740 00:39:04,340 --> 00:39:07,900 -level provider and a nurse looking after him. We both know the quality of 741 00:39:07,900 --> 00:39:08,900 is not the same. 742 00:39:09,100 --> 00:39:10,720 Sorry, are you waiting for me? No, Dr. 743 00:39:10,920 --> 00:39:12,080 Al -Shimi, for the patient's assignment. 744 00:39:12,600 --> 00:39:15,300 A few days here could make a world of difference for Gus's health. 745 00:39:15,540 --> 00:39:19,200 We are a safety net. The nets have holes. We are not admitting him because 746 00:39:19,200 --> 00:39:20,380 is not about social justice. 747 00:39:23,720 --> 00:39:26,660 Everything I've done in my career is an effort to improve the system. 748 00:39:27,360 --> 00:39:30,260 Just because you know it's broken doesn't mean you stop trying. 749 00:39:31,500 --> 00:39:32,500 Excuse me. 750 00:39:37,240 --> 00:39:39,040 I talked to Jackson's girlfriend. 751 00:39:40,600 --> 00:39:42,080 She told me a lot of stuff. 752 00:39:43,580 --> 00:39:46,800 She wants to come see him, but I just don't think that's a good idea. 753 00:39:47,840 --> 00:39:51,760 And my parents are asking a lot of questions. Can I just take him home? 754 00:39:52,730 --> 00:39:55,750 I'm so sorry. Your brother's on an involuntary psych hold. 755 00:39:56,010 --> 00:39:57,010 He can't leave. 756 00:39:57,210 --> 00:40:00,530 It could take us weeks to figure out what's wrong with him. What's wrong with 757 00:40:00,530 --> 00:40:01,530 him? 758 00:40:01,750 --> 00:40:05,910 I'm so sorry. I did not mean it like that. Why don't we go somewhere quiet? 759 00:40:05,990 --> 00:40:06,990 What's wrong with him? 760 00:40:08,510 --> 00:40:09,510 Let's go over here. 761 00:40:27,660 --> 00:40:28,660 How's she doing? 762 00:40:28,860 --> 00:40:32,700 She took three ounces of formula without vomiting or distress. 763 00:40:33,200 --> 00:40:34,200 Excellent. 764 00:40:34,460 --> 00:40:36,540 Dr. Wolk from Pete's should be done shortly. 765 00:40:37,140 --> 00:40:38,620 I think I saw her smile. 766 00:40:39,960 --> 00:40:44,620 A true social smile where the baby is awake, alert, and responding to facial 767 00:40:44,620 --> 00:40:48,200 expressions usually doesn't happen until six weeks or older. It was likely a 768 00:40:48,200 --> 00:40:49,940 reflex smile that happens while they're sleeping. 769 00:40:52,440 --> 00:40:54,340 But some parents have reported... 770 00:40:55,180 --> 00:40:58,200 Their baby smiled socially for the last four weeks. 771 00:40:59,600 --> 00:41:00,600 Jesse, 772 00:41:03,080 --> 00:41:05,440 North Florida needs a blood draw when you have a shot. Got it. 773 00:41:05,760 --> 00:41:06,780 How are we doing in here? 774 00:41:07,160 --> 00:41:08,240 Almost ready to head out. 775 00:41:08,460 --> 00:41:09,439 Looking good. 776 00:41:09,440 --> 00:41:15,940 Heart rate 91, BP is 115 over 82, oxygen stats 95%. Great. I'm sending him home 777 00:41:15,940 --> 00:41:18,740 with some nonstick dressing in case they don't stock him. 778 00:41:18,980 --> 00:41:20,060 Grab some Burnette, too. 779 00:41:20,500 --> 00:41:21,500 He's a good guy. 780 00:41:21,680 --> 00:41:22,680 He's local. 781 00:41:23,120 --> 00:41:25,070 Yeah? You from Pittsburgh? 782 00:41:25,430 --> 00:41:27,030 Yes, ma 'am. Born and raised. 783 00:41:27,430 --> 00:41:28,850 Whereabouts? Bloomfield. 784 00:41:29,390 --> 00:41:30,390 Liberty Ave. 785 00:41:30,950 --> 00:41:31,950 Bloomfield. 786 00:41:33,190 --> 00:41:34,410 You know Sonny's Tavern? 787 00:41:34,930 --> 00:41:36,130 Worked there through high school. 788 00:41:36,470 --> 00:41:37,209 No kidding. 789 00:41:37,210 --> 00:41:38,210 You know Sonny's? 790 00:41:39,910 --> 00:41:41,130 Had my first kiss there. 791 00:41:43,190 --> 00:41:47,230 Hey, Sonny. My buddy Duke hasn't checked in yet? No, I told Lupe to keep an eye 792 00:41:47,230 --> 00:41:48,230 out. Thank you. Yep. 793 00:41:48,350 --> 00:41:49,910 Right, left, right, left. Yeah. 794 00:41:54,990 --> 00:41:58,290 You back to check our work? Nope. I need a silastic loop drain. 795 00:41:58,510 --> 00:41:59,510 That looks great. 796 00:42:00,570 --> 00:42:02,010 Thanks for your fine instruction. 797 00:42:02,530 --> 00:42:05,550 He's going to need Curlex and Xeroform. 798 00:42:06,270 --> 00:42:09,610 You should throw a neoprene sleeve on him. Limits the range of motion at the 799 00:42:09,610 --> 00:42:11,510 knee so the sutures don't pull out. Good idea. 800 00:42:11,870 --> 00:42:13,030 Must be fun to work here. 801 00:42:13,310 --> 00:42:15,630 Oh, sure is. First week for these two. 802 00:42:15,870 --> 00:42:17,150 How are you guys liking the pit? 803 00:42:17,370 --> 00:42:18,770 I feel like I was born to do this. 804 00:42:19,990 --> 00:42:20,990 Hard pass. 805 00:42:21,490 --> 00:42:22,710 I'm shooting for pathology. 806 00:42:23,390 --> 00:42:25,870 I like medical mysteries, but I don't really deal well with people. 807 00:42:26,750 --> 00:42:28,190 You have an interest in energy. 808 00:42:28,830 --> 00:42:29,830 What's that for? 809 00:42:30,610 --> 00:42:37,430 Splint starts at the knuckles, comes up and around the elbow, and back down 810 00:42:37,430 --> 00:42:38,430 to the palm. 811 00:42:38,650 --> 00:42:41,110 It needs to be smaller. I can't ride with a splint. 812 00:42:41,490 --> 00:42:44,410 Well, you shouldn't be riding at all. Right now, that's a non -displaced 813 00:42:44,410 --> 00:42:47,490 fracture. If you fall on it again, you're going to need to go to the OR. 814 00:42:47,930 --> 00:42:49,150 No worries, Doc. 815 00:42:49,430 --> 00:42:50,450 I won't fall again. 816 00:42:51,710 --> 00:42:52,710 Uh -huh. 817 00:42:55,049 --> 00:42:56,450 Robbie, pulse oxygen's dropped. 818 00:42:56,730 --> 00:42:57,730 What happened? 819 00:42:57,790 --> 00:43:01,690 I don't know. I stepped out for a minute. It's down to 85%. You having 820 00:43:01,690 --> 00:43:02,509 trouble breathing? 821 00:43:02,510 --> 00:43:03,510 A little. 822 00:43:03,990 --> 00:43:07,430 Start him on two liters of oxygen, nasal cannulas, titrate to five, get the 823 00:43:07,430 --> 00:43:10,670 pulse oxygen to 92 or higher, and have a rebreather standard by just in case. 824 00:43:12,770 --> 00:43:13,770 He's going to have to stay. 825 00:43:14,170 --> 00:43:15,170 For how long? 826 00:43:15,750 --> 00:43:16,750 I'm not sure. 827 00:43:18,830 --> 00:43:21,810 Sorry, boss. I only stepped out for a second. Let me know if anything changes. 828 00:43:22,320 --> 00:43:23,780 You were in the room when his pulse tox dropped? 829 00:43:24,000 --> 00:43:24,479 I was. 830 00:43:24,480 --> 00:43:27,300 What were you doing? He still can't get a hold of Ortho. Leave him to me. 831 00:43:30,120 --> 00:43:30,959 Feeling better? 832 00:43:30,960 --> 00:43:31,960 So much better. 833 00:43:32,380 --> 00:43:35,260 Well, I wrote you a script for Zofran just in case. 834 00:43:35,720 --> 00:43:37,480 Thanks. I think I cleared it all out. 835 00:43:38,160 --> 00:43:39,320 So no more hot dogs, right? 836 00:43:39,540 --> 00:43:40,540 Oh, not today. 837 00:43:40,720 --> 00:43:41,820 But I'll be back next year. 838 00:43:42,280 --> 00:43:45,460 Gotta defend my title. Okay, well, best of luck to you. They got a Wiener World 839 00:43:45,460 --> 00:43:46,359 truck outside. 840 00:43:46,360 --> 00:43:49,600 You want one? I think I'm getting hot dogs for the rest of my life. Wait. 841 00:43:50,120 --> 00:43:52,140 Did I just see you eating a donut? Don't judge. 842 00:43:53,180 --> 00:43:54,180 Stay here for a sec. 843 00:44:00,880 --> 00:44:06,400 Transport ambulance is here. This is a 200 milligram MS cotton. This will give 844 00:44:06,400 --> 00:44:07,480 you 12 hours of relief. 845 00:44:14,160 --> 00:44:15,380 Whenever you're ready, Rox. 846 00:44:15,800 --> 00:44:17,620 Hey, guys, this is Roxy Hamler. 847 00:44:18,100 --> 00:44:19,100 Hello, ma 'am. 848 00:44:19,670 --> 00:44:21,110 You'd be on the transfer. Yeah. 849 00:44:28,850 --> 00:44:29,850 On my count. 850 00:44:30,390 --> 00:44:31,390 No, no, no. 851 00:44:31,670 --> 00:44:33,370 This isn't going to work out. 852 00:44:34,970 --> 00:44:35,970 I'm sorry. 853 00:44:36,710 --> 00:44:39,190 I can't, I can't, I can't, I can't do this. 854 00:44:51,880 --> 00:44:54,920 Can I assume that you've already called upstairs to get Gus Varney in bed? 855 00:44:55,680 --> 00:44:56,940 Do you want to tell me what you did? 856 00:44:57,900 --> 00:44:59,100 I don't know what you're talking about. 857 00:45:00,600 --> 00:45:02,980 His pulse ox was steady. We were about to discharge him. 858 00:45:03,500 --> 00:45:05,100 Did Dr. Al Hashimi put you up to that? 859 00:45:05,340 --> 00:45:06,660 Al Hashimi? No. 860 00:45:07,720 --> 00:45:10,320 You know he's going to go back to prison after they discharge him upstairs. 861 00:45:11,640 --> 00:45:15,760 I thought you didn't go the extra distance for your patients anymore. 862 00:45:22,600 --> 00:45:23,558 It's Emma, right? 863 00:45:23,560 --> 00:45:24,560 Yeah. 864 00:45:25,340 --> 00:45:26,340 How's your first day going? 865 00:45:26,940 --> 00:45:28,120 Good, I think. 866 00:45:28,600 --> 00:45:29,900 Haven't killed anyone yet. 867 00:45:31,960 --> 00:45:34,080 I'm sorry, I... It's okay. 868 00:45:35,260 --> 00:45:38,120 I guess time will tell if I'm cut out for this. 869 00:45:38,800 --> 00:45:41,580 Well, when in doubt, stick with her, kid. 870 00:45:42,480 --> 00:45:43,480 She scares me. 871 00:45:44,460 --> 00:45:48,020 No, that's just a tough exterior. She's warm and gooey on the inside. 872 00:45:50,430 --> 00:45:52,430 Looks like they're doing the debrief for Louie. 873 00:45:53,330 --> 00:45:54,149 You coming? 874 00:45:54,150 --> 00:45:55,150 I pay my respects. 875 00:45:55,530 --> 00:45:56,990 I'm just going to hold down the floor. 876 00:46:09,610 --> 00:46:11,950 Remember the day he found him passed out in the park? 877 00:46:12,250 --> 00:46:16,930 Sure do. I had to drag his ass over here. He even soaked to the bone. He 878 00:46:16,930 --> 00:46:17,930 his life. 879 00:46:17,950 --> 00:46:20,130 How about last summer when we didn't see him for months? 880 00:46:20,380 --> 00:46:22,680 He said he finally quit drinking, so he didn't need to come in. 881 00:46:23,440 --> 00:46:25,520 How many times did he say he was going to quit drinking? 882 00:46:27,840 --> 00:46:29,540 He always asked about Harrison. 883 00:46:30,480 --> 00:46:31,620 Always said thank you. 884 00:46:32,940 --> 00:46:34,180 Found this with his stuff. 885 00:46:36,480 --> 00:46:37,620 Who knew he was married? 886 00:46:40,740 --> 00:46:42,040 That's Rhonda, Louie's wife. 887 00:46:43,200 --> 00:46:44,200 High school sweetheart. 888 00:46:45,120 --> 00:46:47,300 About five years ago, I was covering a night shift. 889 00:46:48,430 --> 00:46:50,030 He came in feeling talkative. 890 00:46:51,570 --> 00:46:54,650 Born and raised in Pittsburgh, lifelong Steelers fan, 891 00:46:55,450 --> 00:46:58,150 groundskeeper at Three Rivers Stadium until 1998. 892 00:47:01,350 --> 00:47:02,910 He never really wanted kids. 893 00:47:04,350 --> 00:47:09,210 But Rhonda wore him down, and when she finally got pregnant, he changed his 894 00:47:09,210 --> 00:47:10,430 tune, he got excited. 895 00:47:14,110 --> 00:47:18,190 And then about a month before the baby was due, Rhonda and the baby were killed 896 00:47:18,190 --> 00:47:19,190 in the car crash. 897 00:47:23,150 --> 00:47:24,910 Louis never really came back from that. 898 00:47:29,470 --> 00:47:31,010 May his memory be a blessing. 899 00:47:31,930 --> 00:47:33,490 May his memory be a blessing. 900 00:47:36,250 --> 00:47:37,250 Yep. 901 00:47:45,580 --> 00:47:50,280 See him tired and shivering, stumbling through the day. 902 00:47:50,700 --> 00:47:56,200 Can you see his lips are quivering like he's gotten how to pray? 903 00:47:56,840 --> 00:48:02,740 Can you see the way it's perilous? She's absorbing all the blows. 904 00:48:03,260 --> 00:48:09,280 And who will now take care of us in the hills and valleys, the highs and lows? 905 00:48:09,400 --> 00:48:13,320 All I know is you're new. 906 00:48:17,230 --> 00:48:20,730 Bye. Bye. Bye. Bye. Bye. 907 00:49:07,370 --> 00:49:08,370 I'm gonna cry.