1 00:00:08,508 --> 00:00:09,718 Dr. Al? 2 00:00:12,095 --> 00:00:13,138 Dr. Al. 3 00:00:15,557 --> 00:00:17,308 Trauma's at the back door. 4 00:00:22,939 --> 00:00:25,191 Let me know when the rest of her labs are back. 5 00:00:27,736 --> 00:00:29,863 The girlfriend hasn't been much help. 6 00:00:29,946 --> 00:00:33,033 - Is she being uncooperative? - No, not really. 7 00:00:33,116 --> 00:00:35,660 Apparently, she's only been going out with the little girl Kylie's father 8 00:00:35,744 --> 00:00:37,037 for a few months. 9 00:00:37,120 --> 00:00:40,040 - Where is he now? - He's in New Castle for work. 10 00:00:40,123 --> 00:00:41,916 I left him a message to come in. 11 00:00:42,000 --> 00:00:43,668 Okay, come find me when he gets here. 12 00:00:43,752 --> 00:00:45,670 You talk to the trauma counselor this week? 13 00:00:45,754 --> 00:00:47,380 I'm going to. 14 00:00:47,464 --> 00:00:48,840 - Promise. - Okay, good. 15 00:00:48,923 --> 00:00:50,592 - Medics are rolling in. - I'll be right there. 16 00:00:50,675 --> 00:00:52,886 How's our little girl who took a stair tumble? 17 00:00:52,969 --> 00:00:55,472 I'm going to check for internal hemorrhage with an ultrasound. 18 00:00:55,555 --> 00:00:58,349 - What is your gut telling you? - Her gut? 19 00:00:58,433 --> 00:01:00,852 Yeah, it's this thing that AI will never have. 20 00:01:01,478 --> 00:01:04,564 I don't want to think about what my gut is saying right now. 21 00:01:05,565 --> 00:01:06,900 Come find me when you know more. 22 00:01:06,983 --> 00:01:08,485 - Us, if you don't mind. - I don't mind. 23 00:01:08,568 --> 00:01:10,278 Us, come find us when you know more. 24 00:01:10,361 --> 00:01:13,073 - Do you want to jump on this trauma? - I've got my hands full. 25 00:01:13,156 --> 00:01:14,908 I don't want this one getting away from me. 26 00:01:14,991 --> 00:01:17,077 We don't know what this is yet. Don't go jumping to conclusions. 27 00:01:17,160 --> 00:01:19,788 I'm not jumping to anything. I'm just looking out for my patient. 28 00:01:24,000 --> 00:01:26,211 Something I should know about Santos? 29 00:01:26,294 --> 00:01:29,047 Very confident, not afraid to get her hands dirty, 30 00:01:29,130 --> 00:01:30,924 strong patient advocate, fearless. 31 00:01:31,007 --> 00:01:33,176 Seems like you were suggesting she jumps to conclusions. 32 00:01:33,259 --> 00:01:35,720 No, no, no, no. I was merely suggesting or reminding her not to. 33 00:01:35,804 --> 00:01:37,722 - Yeah. - 58-year-old guy. 34 00:01:37,806 --> 00:01:39,516 Tripped with a scaphoid fracture. 35 00:01:39,599 --> 00:01:43,394 Epistaxis, non-focal neuro, but denies head trauma. 36 00:01:43,478 --> 00:01:46,856 But every time I check on him, his affect has drastically changed. 37 00:01:46,940 --> 00:01:49,400 My gut is telling me something's not right. 38 00:01:53,154 --> 00:01:54,531 - What? - Nothing. 39 00:01:54,614 --> 00:01:55,740 Your play. 40 00:01:55,824 --> 00:01:57,117 Start with a head CT. 41 00:01:57,200 --> 00:01:59,035 If normal, LP, rule out encephalitis. 42 00:01:59,119 --> 00:02:00,328 Put in your orders. 43 00:02:00,411 --> 00:02:02,038 Has he been here before? 44 00:02:02,122 --> 00:02:04,541 Have you called the family to rule out any psychiatric history? 45 00:02:04,624 --> 00:02:05,667 No, but I will. 46 00:02:05,750 --> 00:02:07,335 Do you want to jump on this trauma in the meantime? 47 00:02:07,418 --> 00:02:09,129 - What is it? - It's a surprise. 48 00:02:09,212 --> 00:02:10,421 Wonderful. 49 00:02:13,049 --> 00:02:14,592 Mel, you want to jump on this? 50 00:02:14,676 --> 00:02:17,345 - What is it? - It's a surprise. 51 00:02:17,428 --> 00:02:19,347 - What do you got for us, Amboy? - Allen Billings. 52 00:02:19,430 --> 00:02:21,558 Pallet of roofing tiles fell eight feet, 53 00:02:21,641 --> 00:02:24,144 hit his upper arm with an open dislocation. 54 00:02:24,227 --> 00:02:25,353 Ouch. 55 00:02:25,436 --> 00:02:29,149 Two rounds of fent, 1 then 0.5 per kilo. A and O, with good vitals. 56 00:02:29,232 --> 00:02:31,568 - Mel, hold the arm steady. - Sure. 57 00:02:31,651 --> 00:02:33,653 Uno, dos, tres. 58 00:02:35,113 --> 00:02:38,700 - Mr. Billings, I'm Dr. McKay. - And I'm Dr. Garcia from surgery. 59 00:02:38,783 --> 00:02:40,660 - And this is Dr. King. - Hi. 60 00:02:40,743 --> 00:02:42,120 - Oh, it really hurts. - Give us a minute. 61 00:02:42,203 --> 00:02:43,955 And we're gonna take care of that, okay? 62 00:02:44,038 --> 00:02:45,331 Any headache, chest or belly pain? 63 00:02:45,415 --> 00:02:47,917 - No, just the arm. - Sats 99. Pulse 104. 64 00:02:48,001 --> 00:02:49,460 BP 116/78. 65 00:02:49,544 --> 00:02:52,797 - What do you think, Dr. King? - Oh, it is an open dislocation. 66 00:02:52,881 --> 00:02:54,465 Can you be more specific? 67 00:02:55,675 --> 00:02:57,760 I think it's inferior, yeah? 68 00:02:57,844 --> 00:03:00,638 Do you remember the name for that? 69 00:03:03,141 --> 00:03:05,685 Sounds like a Harry Potter spell. 70 00:03:05,768 --> 00:03:06,811 I... 71 00:03:06,895 --> 00:03:09,022 Luxatio erecta. 72 00:03:09,105 --> 00:03:10,940 Correct. Check the neuro-circ. 73 00:03:11,024 --> 00:03:12,692 Sir, can you feel me touching you? 74 00:03:13,484 --> 00:03:16,112 - Okay. Can you wiggle your fingers? - Yeah. 75 00:03:17,488 --> 00:03:20,909 - Good radial pulse. - E-FAST is negative. 76 00:03:20,992 --> 00:03:24,287 - Okay, what's next, Dr. McKay? - Ancef and gentamicin. 77 00:03:24,370 --> 00:03:26,581 Sedate for traction, countertraction. 78 00:03:26,664 --> 00:03:29,334 And he needs a CT angiogram to rule out vascular injury. 79 00:03:29,417 --> 00:03:30,418 That sounds like a plan. 80 00:03:30,501 --> 00:03:33,213 But with an open joint, he needs a washout in the OR with ortho. 81 00:03:33,296 --> 00:03:34,297 Agreed. 82 00:03:34,380 --> 00:03:35,465 Instead of wasting time down here, 83 00:03:35,548 --> 00:03:37,842 it should be easier to reduce under general anesthesia 84 00:03:37,926 --> 00:03:40,220 - with fewer risks. - Possibly. 85 00:03:40,303 --> 00:03:42,138 Let's get an opinion from ortho. 86 00:03:43,348 --> 00:03:44,849 You're definitely new, Doctor. Wishful thinking. 87 00:03:44,933 --> 00:03:46,851 Ortho like to take their sweet time. 88 00:03:46,935 --> 00:03:48,853 Okay, sedation orders, Dr. McKay. 89 00:03:48,937 --> 00:03:50,855 100 of propofol. Titrate to effect. 90 00:03:50,939 --> 00:03:52,190 Be back with that. 91 00:03:52,857 --> 00:03:53,942 Excuse me. 92 00:03:57,528 --> 00:04:00,448 - How's your day going, Doc? - Yeah, pretty good. 93 00:04:00,531 --> 00:04:02,951 Looks like your albumin's infusing. 94 00:04:05,828 --> 00:04:09,707 Oh, medical students Ogilvie and Kwon are gonna be working with me. 95 00:04:09,791 --> 00:04:11,292 - Hello. - Student doctors. 96 00:04:11,376 --> 00:04:12,710 You want them to try it? 97 00:04:12,794 --> 00:04:14,879 They got to learn sometime. 98 00:04:14,963 --> 00:04:17,131 It's best if they watch the first one. 99 00:04:17,215 --> 00:04:18,841 - I can prep and drape. - Yeah. 100 00:04:18,925 --> 00:04:22,679 - After your albumin's in. - That's correct. 101 00:04:22,762 --> 00:04:24,931 To prevent hypotension, we introduce albumin 102 00:04:25,014 --> 00:04:27,600 if we anticipate more than five liters. 103 00:04:27,684 --> 00:04:29,060 Last time it was six. 104 00:04:29,143 --> 00:04:31,604 That's, like, a gallon and a half. 105 00:04:31,688 --> 00:04:33,189 Of high-octane premium. 106 00:04:33,982 --> 00:04:35,900 Okay, you need anything else, Mr. Louie? 107 00:04:35,984 --> 00:04:37,277 - No, ma'am. - Okay. 108 00:04:37,360 --> 00:04:39,862 - Grab me when you're ready? - Yeah. 109 00:04:39,946 --> 00:04:42,949 Whitaker, wife of your DNR this morning is in Central 8. 110 00:04:43,032 --> 00:04:44,951 Does she know her husband died? 111 00:04:45,034 --> 00:04:46,369 Not till you tell her. 112 00:04:47,203 --> 00:04:48,621 I'll be right there. 113 00:04:49,789 --> 00:04:54,127 Yeah, always make sure your entry point is safe 114 00:04:54,210 --> 00:04:56,254 by identifying the pocket of fluid. 115 00:04:56,337 --> 00:04:57,922 That's not a pocket. That's a lake. 116 00:04:58,006 --> 00:05:00,508 Yeah, but you do not want to hit a vein or artery on the way in, 117 00:05:00,591 --> 00:05:02,593 so make sure you check with color Doppler. 118 00:05:05,013 --> 00:05:06,514 Joy? 119 00:05:06,597 --> 00:05:08,891 I can't see. I can't see anything. 120 00:05:08,975 --> 00:05:11,311 - That's 'cause your eye is shut. - I can't open it. It's glued shut. 121 00:05:11,394 --> 00:05:13,521 I was trying to put on lashes. 122 00:05:13,604 --> 00:05:16,733 Oh, my God. Oh, my God, am I gonna go blind? 123 00:05:16,816 --> 00:05:18,943 No, no, I'm pretty sure this is something we can fix. 124 00:05:19,027 --> 00:05:21,195 Just take a deep breath. 125 00:05:22,739 --> 00:05:26,868 Okay, so you glued your eye shut with what exactly? 126 00:05:26,951 --> 00:05:28,369 - Super glue. - Okay. 127 00:05:28,453 --> 00:05:30,997 Well, is it something you typically use to apply your lashes? 128 00:05:31,080 --> 00:05:33,750 No, it's typically something you use to glue shit you break, 129 00:05:33,833 --> 00:05:35,084 like coffee mugs and stuff. 130 00:05:35,168 --> 00:05:37,545 You know what I'm talking about. It's super glue. 131 00:05:37,628 --> 00:05:39,464 Okay, okay. Yeah, got it. 132 00:05:39,547 --> 00:05:42,425 Can I just talk to Dr. J? She'll know what to do. 133 00:05:43,343 --> 00:05:45,178 Is that an ophthalmologist? 134 00:05:45,261 --> 00:05:47,597 No, she works here in the ER. 135 00:05:47,680 --> 00:05:51,184 Yeah, I don't think so, but I know what I'm doing... 136 00:05:51,267 --> 00:05:52,685 most of the time. 137 00:05:55,521 --> 00:05:58,441 For a Z-track, we pull up the skin 138 00:05:58,524 --> 00:06:01,652 before advancing into the peritoneal space. 139 00:06:02,278 --> 00:06:04,697 - Looks good. - Fluid's clear. 140 00:06:04,781 --> 00:06:06,824 Does that hurt as much as it looks? 141 00:06:06,908 --> 00:06:08,159 Oh, it's not too bad. 142 00:06:09,535 --> 00:06:11,371 Ogilvie, spike the bottle for me. 143 00:06:11,454 --> 00:06:13,623 What tests do we want on these fluids? 144 00:06:13,706 --> 00:06:15,917 Cell count to rule out spontaneous bacterial peritonitis. 145 00:06:16,000 --> 00:06:17,001 Ding. 146 00:06:17,085 --> 00:06:19,045 What would make that diagnosis, Joy? 147 00:06:20,671 --> 00:06:22,340 Absolute neutrophil count over 250. 148 00:06:24,008 --> 00:06:27,804 - How are we doing in here? - They are doing great. 149 00:06:27,887 --> 00:06:29,180 I think they got this. 150 00:06:33,059 --> 00:06:34,894 Hey, Dana, can you get Kiara down here for me? 151 00:06:34,977 --> 00:06:36,396 She isn't answering her Spectralink. 152 00:06:36,479 --> 00:06:38,689 She's not working today. It's... 153 00:06:39,315 --> 00:06:41,067 I forget. I'll find out and get 'em down here. 154 00:06:41,150 --> 00:06:42,151 What else you need? 155 00:06:42,235 --> 00:06:44,779 How about a double espresso martini? 156 00:06:45,363 --> 00:06:46,906 I like the way you think. 157 00:06:47,907 --> 00:06:50,576 Hey, Trudy, it's Dana. What's going on up there? 158 00:06:50,660 --> 00:06:52,078 What's up, Crash? 159 00:06:52,161 --> 00:06:55,164 You mean besides my mother driving me insane? 160 00:06:55,248 --> 00:06:58,501 Just tell her that her efforts would be better suited 161 00:06:58,584 --> 00:07:00,920 endorsing someone like myself. 162 00:07:01,003 --> 00:07:04,382 If you're seriously thinking of a double residency, 163 00:07:04,465 --> 00:07:06,300 let me save you the trouble-- you can't do it. 164 00:07:07,510 --> 00:07:10,138 Why? Just because you couldn't do it? 165 00:07:10,930 --> 00:07:13,641 Honestly, yes. 166 00:07:13,724 --> 00:07:15,143 Because you're a genius. 167 00:07:15,935 --> 00:07:17,061 Yes. 168 00:07:17,145 --> 00:07:18,938 What's the square root of 841? 169 00:07:19,021 --> 00:07:20,940 I'm not a human calculator. 170 00:07:21,023 --> 00:07:23,651 Social worker Dylan Easton is covering for Kiara this weekend. 171 00:07:23,734 --> 00:07:25,653 - They're on their way down. - Thank you. 172 00:07:25,736 --> 00:07:26,863 Yep. 173 00:07:26,946 --> 00:07:28,448 Oh, shit. 174 00:07:28,531 --> 00:07:30,658 I have a nun with conjunctivitis. 175 00:07:30,741 --> 00:07:33,286 Her swab is showing gram-negative intracellular diplococci. 176 00:07:33,953 --> 00:07:35,204 Gonorrhea? 177 00:07:35,288 --> 00:07:36,914 Come to Jesus. 178 00:07:37,748 --> 00:07:39,709 Well, the lab must have made a mistake. 179 00:07:39,792 --> 00:07:42,044 Maybe it's an immaculate infection. 180 00:07:42,128 --> 00:07:45,047 I'll call the lab supe, clear this up. Tread carefully, missy. 181 00:07:45,131 --> 00:07:49,260 There's a nun with gonorrhea in her eye. 182 00:07:51,304 --> 00:07:53,681 Seriously, you guys are gonna take this away from me? 183 00:07:53,764 --> 00:07:55,183 I'm disappointed in you two. 184 00:07:55,892 --> 00:07:57,226 29. 185 00:07:57,310 --> 00:07:58,561 What? 186 00:07:58,644 --> 00:07:59,979 The square root of 841. 187 00:08:00,980 --> 00:08:02,732 How we doing with Mr. Digby? 188 00:08:02,815 --> 00:08:04,901 He's in a gown in South 21. 189 00:08:04,984 --> 00:08:06,569 Is there someplace we can get this laundered? 190 00:08:06,652 --> 00:08:08,321 Those are going right in the incinerator. 191 00:08:08,404 --> 00:08:10,323 We'll get him a whole new wardrobe. 192 00:08:10,406 --> 00:08:12,325 You ever use a cast saw before? 193 00:08:12,408 --> 00:08:14,494 Of course you haven't. Well, today's your lucky day. 194 00:08:14,577 --> 00:08:15,828 Follow me. 195 00:08:15,912 --> 00:08:18,331 - Dr. Mohan, you got a minute? - Yeah. 196 00:08:18,414 --> 00:08:21,626 Have you met Emma? First day. New grad RN. 197 00:08:21,709 --> 00:08:23,127 - Hi. - Nice to meet you. 198 00:08:23,211 --> 00:08:24,921 Emma needs to learn cast removal. 199 00:08:25,004 --> 00:08:28,341 - How long has the cast been on? - Months, maybe years. 200 00:08:28,424 --> 00:08:30,593 Probably gonna want to breathe through your mouth. 201 00:08:33,346 --> 00:08:35,389 All right, Mr. Digby. 202 00:08:35,473 --> 00:08:38,142 Dr. Mohan can cut your cast off now. 203 00:08:38,226 --> 00:08:39,727 How long's the cast been on? 204 00:08:39,810 --> 00:08:42,688 I don't know, but it's really getting itchy. 205 00:08:42,772 --> 00:08:47,068 Okay, this cuts the cast, not the skin. 206 00:08:47,151 --> 00:08:48,819 This should relieve the itching. 207 00:09:02,291 --> 00:09:03,376 Get the cast spreader. 208 00:09:10,258 --> 00:09:11,842 Thank you. 209 00:09:13,261 --> 00:09:14,470 Okay. 210 00:09:19,642 --> 00:09:20,851 Okay. 211 00:09:25,273 --> 00:09:27,567 Oh, I see you brought some friends. 212 00:09:27,650 --> 00:09:29,819 - Oh, my God, are those-- - Maggots. 213 00:09:35,449 --> 00:09:37,535 I'll need ethyl chloride spray to freeze them off. 214 00:09:38,494 --> 00:09:41,080 Never saw that in nursing school, am I right? 215 00:09:46,627 --> 00:09:49,171 Now irrigate like hell, Mel. 216 00:09:49,255 --> 00:09:50,298 Okay. 217 00:09:54,802 --> 00:09:56,596 Okay, on my count. 218 00:09:56,679 --> 00:09:59,307 One, two, three. 219 00:10:00,683 --> 00:10:02,310 Come on, motherfucker. 220 00:10:02,810 --> 00:10:04,604 Humeral head is not reducing. 221 00:10:04,687 --> 00:10:06,856 - Should be done in the OR. - I am the OR. 222 00:10:06,939 --> 00:10:10,318 Okay, we're gonna get this back in before ortho even answers the page. 223 00:10:10,401 --> 00:10:13,029 Mel, stick four fingers under that humeral head. 224 00:10:13,112 --> 00:10:15,281 - Really? - Yeah, get in there really, really deep. 225 00:10:15,906 --> 00:10:18,909 And when you feel the traction, lift it above the glenoid. 226 00:10:18,993 --> 00:10:21,245 That will convert this to an anterior dislocation, 227 00:10:21,329 --> 00:10:23,372 and it should pop right back in. 228 00:10:23,456 --> 00:10:24,457 Okay. 229 00:10:25,333 --> 00:10:26,459 Ready to go. 230 00:10:26,542 --> 00:10:29,879 One, two, three. 231 00:10:30,921 --> 00:10:33,883 - Okay. - Oh, very cool. 232 00:10:33,966 --> 00:10:35,551 Sterile saline dressing. 233 00:10:36,177 --> 00:10:38,554 - Shoulder immobilizer and CT. - Okay. 234 00:10:38,638 --> 00:10:40,931 Guess you guys don't need me anymore. 235 00:10:43,184 --> 00:10:45,853 - You all right, Dr. King? - Yeah. 236 00:10:46,479 --> 00:10:47,730 You don't seem all right. 237 00:10:48,397 --> 00:10:50,358 Well, my deposition is today. 238 00:10:51,400 --> 00:10:54,236 - Do you want to talk about it? - I'm not allowed to. 239 00:10:54,320 --> 00:10:56,072 No, we don't have to talk about the deposition, 240 00:10:56,155 --> 00:10:59,408 but we can talk about how it is affecting you. 241 00:10:59,492 --> 00:11:02,662 Average emergency physician catches a med-mal case every seven years. 242 00:11:02,745 --> 00:11:04,288 Nine times out of ten, the doctor wins. 243 00:11:04,372 --> 00:11:05,998 I've been sued four times myself. 244 00:11:06,082 --> 00:11:07,166 Dr. Al? 245 00:11:08,584 --> 00:11:10,961 I've never been named in a lawsuit. 246 00:11:16,926 --> 00:11:18,594 But sometime... 247 00:11:21,806 --> 00:11:23,432 Sister Grace. 248 00:11:23,516 --> 00:11:25,685 This is one of my residents, Dr. Mohan. 249 00:11:25,768 --> 00:11:27,478 - Nice to meet you. - You as well. 250 00:11:27,561 --> 00:11:31,899 I wish we could recruit as dedicated and talented young women as you two. 251 00:11:31,982 --> 00:11:34,527 I imagine it's a calling, much like medicine. 252 00:11:34,610 --> 00:11:36,570 Yes, very much so. 253 00:11:37,613 --> 00:11:40,116 Sister Grace, under the microscope, 254 00:11:40,199 --> 00:11:43,869 we're seeing something called a gram-negative bacteria. 255 00:11:43,953 --> 00:11:45,538 Is that serious? 256 00:11:45,621 --> 00:11:47,748 It can be if left untreated. 257 00:11:47,832 --> 00:11:50,209 But, fortunately, we can give you a shot of antibiotics, 258 00:11:50,292 --> 00:11:51,919 irrigate your eye with a liter of saline, 259 00:11:52,002 --> 00:11:54,463 and give you drops to use at home every few hours. 260 00:11:54,547 --> 00:11:56,215 How did I get it? 261 00:11:58,008 --> 00:12:01,345 So the appearance of the bacteria in your eye 262 00:12:01,429 --> 00:12:04,932 suggests that it's gonorrhea. 263 00:12:05,015 --> 00:12:08,894 - Traditionally, that's a sexually-- - I know what gonorrhea is, Dr. Javadi. 264 00:12:08,978 --> 00:12:11,313 I'm a nun, not a numbskull. 265 00:12:11,397 --> 00:12:14,650 I do a lot of work at an unhoused shelter. 266 00:12:14,734 --> 00:12:17,361 Are you handling dirty sheets, 267 00:12:17,445 --> 00:12:21,157 - pillowcases, soiled clothes? - Yes. 268 00:12:21,240 --> 00:12:23,951 Part of my day is spent doing laundry, 269 00:12:24,034 --> 00:12:27,163 making beds, disposing of old clothes. 270 00:12:27,246 --> 00:12:29,165 Do you wear gloves? 271 00:12:29,248 --> 00:12:31,333 - When they're available. - Okay. 272 00:12:31,417 --> 00:12:35,880 Well, let's get you your shot and set up for irrigating your eye. 273 00:12:35,963 --> 00:12:38,966 I bet we can scrounge up a couple boxes of gloves while you're here. 274 00:12:39,049 --> 00:12:42,011 It's important to protect yourself. 275 00:12:42,094 --> 00:12:43,471 We'll be back. 276 00:12:45,681 --> 00:12:47,016 Why am I here? 277 00:12:47,850 --> 00:12:49,185 I'm not sick. 278 00:12:49,268 --> 00:12:53,481 Oh, we took care of your husband, Ethan, earlier today. 279 00:12:53,564 --> 00:12:55,608 Is Ethan sick? 280 00:12:56,650 --> 00:12:59,153 Well, he was very ill. 281 00:12:59,236 --> 00:13:02,490 And we did everything we could to treat him, 282 00:13:02,573 --> 00:13:05,409 but his heart stopped beating. 283 00:13:05,493 --> 00:13:09,038 And I'm so sorry to say that he died. 284 00:13:11,081 --> 00:13:12,708 He died? 285 00:13:13,501 --> 00:13:14,627 Ethan? 286 00:13:15,294 --> 00:13:17,713 No, no. 287 00:13:18,631 --> 00:13:20,299 Are you sure? 288 00:13:22,510 --> 00:13:23,552 Yes. 289 00:13:24,470 --> 00:13:27,306 No, no, no, no, no. 290 00:13:27,389 --> 00:13:29,099 Ethan isn't sick. 291 00:13:29,600 --> 00:13:30,893 No! 292 00:13:30,976 --> 00:13:33,729 I know how difficult this must be for you. 293 00:13:40,903 --> 00:13:44,156 Kidneys look good on ultrasound. No intra-abdominal injury. 294 00:13:44,240 --> 00:13:46,033 - Hey, Dylan. - Robby. 295 00:13:46,116 --> 00:13:48,118 Is this the "tumble down the stairs" kid--Kylie? 296 00:13:48,202 --> 00:13:49,662 - Yeah. - And? 297 00:13:49,745 --> 00:13:52,248 I'd like to talk to the girlfriend first, away from the little girl. 298 00:13:52,331 --> 00:13:53,415 We can arrange that. 299 00:13:53,499 --> 00:13:54,834 - Okay. - Keep us informed. 300 00:13:54,917 --> 00:13:56,961 Yes, keep us informed. 301 00:13:57,920 --> 00:14:01,507 More labs are back on our abandoned baby Jane Doe. 302 00:14:01,590 --> 00:14:06,387 Everything looks normal so far, but you seemed really concerned earlier. 303 00:14:07,137 --> 00:14:08,722 She still needs a cathed urine. 304 00:14:08,806 --> 00:14:10,140 Or not. 305 00:14:11,642 --> 00:14:13,811 You can't trust a bagged urine. 306 00:14:13,894 --> 00:14:16,230 Agreed, but we can avoid the trauma of a catheter. 307 00:14:16,313 --> 00:14:17,690 With a suprapubic tap? 308 00:14:17,773 --> 00:14:20,568 Oh, I may have a trick or two up my sleeve, Dr. Al-Hashimi. 309 00:14:24,238 --> 00:14:26,156 Hey, Princess, hold up. 310 00:14:27,157 --> 00:14:30,160 - Hi. How you feeling, Mr. Williams? - Okay. 311 00:14:30,244 --> 00:14:32,371 A little nervous about going in the machine. 312 00:14:32,454 --> 00:14:34,540 I can get a tad claustrophobic. 313 00:14:34,623 --> 00:14:38,544 Yeah, well, we're sending you for a CT, not an MRI. 314 00:14:38,627 --> 00:14:40,963 So it's like a open doughnut. 315 00:14:41,046 --> 00:14:42,798 Oh, good. I like doughnuts. 316 00:14:44,466 --> 00:14:47,052 There you are. Thought you forgot about me. 317 00:14:47,136 --> 00:14:49,680 Oh, no, I was just with other patients. 318 00:14:50,723 --> 00:14:53,058 So what do you do for fun? 319 00:14:53,809 --> 00:14:55,519 I mainly do what my sister likes. 320 00:14:55,603 --> 00:14:57,688 She loves Kennywood and the zoo. 321 00:14:57,771 --> 00:14:59,857 No, what about you? 322 00:15:00,399 --> 00:15:02,192 What do you like to do? 323 00:15:07,197 --> 00:15:09,742 I used to like the Renaissance fair. 324 00:15:09,825 --> 00:15:11,702 - Really? - Yeah. 325 00:15:11,785 --> 00:15:12,912 Isn't that kind of dorky, though, 326 00:15:12,995 --> 00:15:15,122 where everybody dresses up like somebody they're not? 327 00:15:15,205 --> 00:15:18,417 Yeah, but that's the fun, you know? You can be anyone or anything you want. 328 00:15:18,500 --> 00:15:22,963 I actually had this alter ego that was a 17th-century French woman-- 329 00:15:23,047 --> 00:15:24,715 Stop! 330 00:15:27,885 --> 00:15:30,846 - You okay, kid? - That was a doozy. 331 00:15:32,681 --> 00:15:36,143 - Okay, we ready? - Cleaned and dried with sterile gauze. 332 00:15:36,226 --> 00:15:38,312 - Is that water cold? - Right out the fridge. 333 00:15:38,395 --> 00:15:41,565 Okay, Jesse, you can take the armpits. I'm gonna take the legs. 334 00:15:41,649 --> 00:15:43,525 One, two, three, up. 335 00:15:43,609 --> 00:15:45,861 Dr. Al-Hashimi, you're gonna be our catcher. 336 00:15:46,445 --> 00:15:49,573 And, Samira, you're gonna do suprapubic circles with that gauze. 337 00:15:49,657 --> 00:15:51,784 And the cold should stimulate voiding. 338 00:15:52,660 --> 00:15:54,870 Even if she pees, it's likely to be contaminated. 339 00:15:54,954 --> 00:15:56,789 Not according to the "British Medical Journal." 340 00:15:56,872 --> 00:15:58,374 They did the wee-search. 341 00:15:58,457 --> 00:16:00,876 Any leuks or nitrates, and we cath. 342 00:16:02,252 --> 00:16:03,712 Dr. Al-Hashimi, get it. 343 00:16:04,463 --> 00:16:07,716 I was gonna invite you to join the softball team, but now I'm not so sure. 344 00:16:08,926 --> 00:16:12,388 There we go. Looks like you got a good midstream sample. 345 00:16:12,471 --> 00:16:13,931 Here's a fresh blanket. 346 00:16:14,014 --> 00:16:15,307 Okay. Plan. 347 00:16:16,058 --> 00:16:19,520 Ceftriaxone, two-day admit till blood culture is negative. 348 00:16:19,603 --> 00:16:21,981 - Next steps? - Foster care. 349 00:16:22,064 --> 00:16:23,691 Oh, yeah. 350 00:16:25,693 --> 00:16:30,197 Someone must have been in a bad way to walk away from you, little one. 351 00:16:30,280 --> 00:16:31,740 We need to call the police? 352 00:16:33,325 --> 00:16:35,494 Let me know what the urine dip shows. 353 00:16:38,288 --> 00:16:41,083 We will let you know what the urine dip shows. 354 00:16:42,543 --> 00:16:44,712 You must be Dr. Al-Hashimi. 355 00:16:45,337 --> 00:16:47,047 And you must be Dr. Langdon. 356 00:16:47,131 --> 00:16:49,008 I've heard all about you. 357 00:16:49,091 --> 00:16:50,426 Welcome back. 358 00:16:50,509 --> 00:16:53,095 - And this is? - Linda Stevens. 359 00:16:53,178 --> 00:16:56,015 One episode of substernal chest pressure resolved with rest. 360 00:16:56,098 --> 00:16:57,433 12-lead negative for STEMI. 361 00:16:57,516 --> 00:17:00,352 Heading for North 4. 362 00:17:00,436 --> 00:17:03,188 Hello, I'm Dr. Al-Hashimi. 363 00:17:03,272 --> 00:17:05,858 - Nice to meet you. - Nice to meet you. 364 00:17:05,941 --> 00:17:07,985 Ma'am, this is a teaching hospital. 365 00:17:08,068 --> 00:17:10,446 Is it okay if some of our trainees join me? 366 00:17:10,529 --> 00:17:11,864 Not a problem. 367 00:17:12,406 --> 00:17:15,743 Dr. Whitaker, Javadi, Ogilvie, Joy... 368 00:17:16,744 --> 00:17:18,454 ...gather round. 369 00:17:18,537 --> 00:17:21,123 Dr. Langdon, you are more than welcome to stay, too. 370 00:17:21,749 --> 00:17:24,084 Maybe for a minute. We're pretty busy in triage. 371 00:17:24,168 --> 00:17:25,335 Okay. 372 00:17:25,961 --> 00:17:27,337 Ms. Stevens... 373 00:17:28,047 --> 00:17:31,467 ...I have an app on my phone that can listen to our conversation 374 00:17:31,550 --> 00:17:33,594 and the details of my physical exam 375 00:17:33,677 --> 00:17:35,846 and write it all up in your medical record. 376 00:17:35,929 --> 00:17:37,473 Wow. 377 00:17:37,556 --> 00:17:42,186 It's protected, confidential, doesn't even stay on my phone... 378 00:17:42,269 --> 00:17:43,437 What's going on? 379 00:17:43,520 --> 00:17:45,564 Some A-hole perp took off when he saw the cops, 380 00:17:45,647 --> 00:17:47,316 knocked her backwards off a stool. 381 00:17:47,399 --> 00:17:49,526 - Oh, Jesus. - Head trauma, no LOC. 382 00:17:49,610 --> 00:17:51,487 - Okay, you need to get checked out. - I'm fine. 383 00:17:51,570 --> 00:17:53,489 No choice. It's work-related. 384 00:17:53,572 --> 00:17:56,575 Let's find her a room and prep for a burr hole. 385 00:17:56,658 --> 00:17:58,077 What? 386 00:18:00,370 --> 00:18:04,083 I forgot how much you like to joke, Captain Scurvy. 387 00:18:04,166 --> 00:18:06,460 Who the hell's Captain Scurvy? 388 00:18:06,543 --> 00:18:07,961 It's an inside thing. 389 00:18:08,504 --> 00:18:11,924 - How's our shoulder guy? - Oh, he slept like a baby. 390 00:18:12,007 --> 00:18:14,468 CT angio shows no vascular injury. 391 00:18:14,551 --> 00:18:18,722 What about your slip-and-fall guy with a labile affect? 392 00:18:18,806 --> 00:18:21,934 Michael Williams. He's still in the scanner. 393 00:18:22,017 --> 00:18:24,311 He seems to have settled down, so he doesn't need babysitting. 394 00:18:24,394 --> 00:18:25,729 Good. Maybe he's coming around. 395 00:18:25,813 --> 00:18:27,523 Ortho can take Mr. Billings here up for surgery. 396 00:18:27,606 --> 00:18:29,108 Belay that order, sailor. 397 00:18:29,191 --> 00:18:31,985 - Dr. Robinavitch. - Nurse Hastings. 398 00:18:32,069 --> 00:18:33,654 You can call me Robby. 399 00:18:33,737 --> 00:18:35,405 You can call me Noelle. 400 00:18:38,617 --> 00:18:40,994 You could just tell me what the hell's going on here. 401 00:18:41,078 --> 00:18:43,122 This is Noelle. She's our... 402 00:18:43,205 --> 00:18:45,749 - Bed control manager. No, we met. - Case manager. 403 00:18:45,833 --> 00:18:47,584 And this guy won't be staying. 404 00:18:47,668 --> 00:18:49,128 Oh, he needs surgery. 405 00:18:49,211 --> 00:18:53,048 Which his insurance will pay for at Westbridge Memorial, not here. 406 00:18:54,007 --> 00:18:57,719 - Wait, so we have to transfer? - If he's stable. 407 00:18:58,428 --> 00:19:00,139 I believe that he is. 408 00:19:00,222 --> 00:19:03,100 Look on the bright side. We're gonna free up a bed, discharge a patient. 409 00:19:03,183 --> 00:19:05,644 I mean, that's great for us, not so good for him. 410 00:19:05,727 --> 00:19:10,482 He will get great care at Westbridge, don't you agree, Robby? 411 00:19:10,566 --> 00:19:12,651 - I'm sure that he will. - Yeah. 412 00:19:13,402 --> 00:19:14,778 What am I missing? 413 00:19:15,320 --> 00:19:18,073 Is there something else happening with Allen Billings that I don't know about? 414 00:19:19,241 --> 00:19:20,367 Not medically. 415 00:19:20,450 --> 00:19:22,494 This is just a simple insurance transfer. 416 00:19:24,663 --> 00:19:26,165 Yeah, okay. 417 00:19:30,460 --> 00:19:31,879 What's that about? 418 00:19:32,713 --> 00:19:35,591 - Nothing. - Didn't feel like nothing. 419 00:19:35,674 --> 00:19:37,718 Dr. McKay has a very heightened sense of empathy. 420 00:19:37,801 --> 00:19:38,802 Meaning? 421 00:19:38,886 --> 00:19:41,263 Meaning she's good at picking up on stuff. 422 00:19:42,097 --> 00:19:44,600 - You didn't say anything, did you? - Nope. 423 00:19:44,683 --> 00:19:47,019 I subscribe to the Falstaff advice. 424 00:19:47,102 --> 00:19:48,896 Discretion is the better part of valor. 425 00:19:50,105 --> 00:19:51,607 You still planning on leaving tonight? 426 00:19:51,690 --> 00:19:53,483 Yep. 427 00:19:54,193 --> 00:19:57,529 I don't understand why you can't leave in the morning. 428 00:19:58,697 --> 00:19:59,823 Will you excuse me for a second? 429 00:19:59,907 --> 00:20:01,575 I got to go talk to a patient while she's separated 430 00:20:01,658 --> 00:20:02,910 - from her caregiver. - Oh, yeah. 431 00:20:02,993 --> 00:20:04,620 - That doesn't sound ideal. - It's not ideal. 432 00:20:04,703 --> 00:20:05,829 I got to figure out what's going on. 433 00:20:05,913 --> 00:20:08,957 And I'll find you before I leave. 434 00:20:09,041 --> 00:20:10,125 Okay. 435 00:20:13,086 --> 00:20:15,505 Okay, you got to stop this. 436 00:20:16,632 --> 00:20:18,300 Hastings. 437 00:20:18,884 --> 00:20:20,010 Evans. 438 00:20:20,093 --> 00:20:21,428 Hope you know what you're doing. 439 00:20:21,511 --> 00:20:23,138 What is that supposed to mean? 440 00:20:25,057 --> 00:20:26,433 I'm a big girl. 441 00:20:27,601 --> 00:20:29,144 Okay, big girl. 442 00:20:30,646 --> 00:20:31,855 I'm fine. 443 00:20:31,939 --> 00:20:33,941 That's good. Follow my finger. 444 00:20:35,651 --> 00:20:38,320 - How's the head? - It's a little sore. 445 00:20:38,946 --> 00:20:40,739 Lean forward. Let me take a look. 446 00:20:41,907 --> 00:20:44,326 Yeah, you're gonna have a pretty good goose egg. 447 00:20:44,952 --> 00:20:46,954 - Headache? - A little. 448 00:20:47,537 --> 00:20:50,540 I can get you some Tylenol, unless you need something stronger. 449 00:20:50,624 --> 00:20:52,668 Oh, no, that's okay. I'm not very drug tolerant. 450 00:20:52,751 --> 00:20:54,336 Lucky you. 451 00:20:57,965 --> 00:20:59,758 You know, I'm glad you're back. 452 00:20:59,841 --> 00:21:02,552 Thanks. Yeah, I'm glad to be back. 453 00:21:04,554 --> 00:21:06,473 - You know why I was away? - I should see my patient-- 454 00:21:06,556 --> 00:21:08,934 No, not really. 455 00:21:09,017 --> 00:21:11,895 I mean, I heard rumors, but I learned a long time ago not to listen. 456 00:21:11,979 --> 00:21:15,565 I was in rehab for an addiction to benzos. 457 00:21:17,567 --> 00:21:21,905 Yeah, but I'm clean now, and it never affected my work. 458 00:21:21,989 --> 00:21:26,285 I just needed to get it all out of my system once and for all. 459 00:21:28,495 --> 00:21:31,790 Yeah, I didn't handle things the way I should have. 460 00:21:31,873 --> 00:21:36,211 I thought I could treat myself, and I let a lot of people down. 461 00:21:36,837 --> 00:21:38,171 I'm sorry, Mel. 462 00:21:39,506 --> 00:21:41,258 You never let me down. 463 00:21:42,592 --> 00:21:44,803 Yeah. Yeah, I did. 464 00:21:45,804 --> 00:21:49,224 I should be setting an example, not a cautionary tale. 465 00:21:50,017 --> 00:21:51,018 Hey. 466 00:21:52,019 --> 00:21:54,104 - How you doing? - I'm okay. 467 00:21:54,187 --> 00:21:56,898 Listen, I'm really sorry about all that. 468 00:21:56,982 --> 00:21:59,401 The guy robbed a liquor store last night. 469 00:21:59,484 --> 00:22:02,654 He tried to get away on a bicycle but wiped out and took off on foot. 470 00:22:02,738 --> 00:22:03,947 He must've hobbled in here, 471 00:22:04,031 --> 00:22:06,658 more so to hide out than to get stitched up, I think. 472 00:22:06,742 --> 00:22:08,327 - You catch him? - We will. 473 00:22:08,410 --> 00:22:10,203 Anything you could tell us about him will help. 474 00:22:10,287 --> 00:22:12,080 You think he gave legit information? 475 00:22:12,164 --> 00:22:15,542 Probably not, but it's all we have at the moment. 476 00:22:15,625 --> 00:22:19,421 If we do find him, you may have to testify in court, Dr. King. 477 00:22:20,464 --> 00:22:22,716 - "In court"? - As a material witness. 478 00:22:22,799 --> 00:22:25,761 Attest to his injuries, his treatments... 479 00:22:25,844 --> 00:22:27,095 simple stuff. 480 00:22:27,179 --> 00:22:29,848 Yeah, but we'll cross that bridge when we come to it, right? 481 00:22:30,766 --> 00:22:31,850 Mel? 482 00:22:32,809 --> 00:22:34,853 Rest here a minute. I'll be right back. 483 00:22:38,357 --> 00:22:40,359 You know, I'm fine, really. I should-- 484 00:22:40,442 --> 00:22:42,861 Ten minutes, please. Doctor's orders. 485 00:22:45,655 --> 00:22:48,075 ER can be a little bright and noisy. 486 00:22:53,038 --> 00:22:55,082 Dorsalis pedis 487 00:22:55,165 --> 00:22:58,627 and posterior tibial pulses 2 plus and equal. 488 00:22:58,710 --> 00:23:00,295 Your exam is perfect, ma'am. 489 00:23:00,379 --> 00:23:02,381 Oh, that is good to hear. 490 00:23:02,464 --> 00:23:04,800 I will be back when your blood tests are ready. 491 00:23:04,883 --> 00:23:07,010 Let us know if the chest pain returns. 492 00:23:07,094 --> 00:23:09,304 - Thank you. - You are so welcome. 493 00:23:11,306 --> 00:23:14,267 - What do you think? - Well, I don't think it's cardiac. 494 00:23:14,351 --> 00:23:16,228 I mean, what do you think of the app? 495 00:23:16,311 --> 00:23:18,522 I mean, it's hard to say without seeing the full thing. 496 00:23:18,605 --> 00:23:19,606 Take a look. 497 00:23:21,400 --> 00:23:22,692 Oh, my God. 498 00:23:22,776 --> 00:23:24,569 Do you know how much time this will save? 499 00:23:24,653 --> 00:23:27,697 Studies show you can spend 80% less time charting. 500 00:23:28,532 --> 00:23:31,827 You'll get out of here sooner, improving both patient and physician satisfaction. 501 00:23:31,910 --> 00:23:33,036 Oh, excuse me. 502 00:23:33,120 --> 00:23:35,747 It says here she takes Risperdal, an antipsychotic. 503 00:23:35,831 --> 00:23:39,626 She takes Restoril when needed for sleep. So is that... 504 00:23:39,709 --> 00:23:42,129 AI, "almost intelligent." 505 00:23:42,212 --> 00:23:45,841 Generative AI is 98% accurate at present. 506 00:23:45,924 --> 00:23:48,844 You must always carefully proofread and correct the minor errors. 507 00:23:48,927 --> 00:23:50,846 It's excellent but not perfect. 508 00:23:50,929 --> 00:23:53,390 This is amazing. 509 00:23:53,473 --> 00:23:55,016 Moteshakeram. 510 00:23:55,725 --> 00:23:57,686 Khahesh mikonam. 511 00:23:57,769 --> 00:24:00,772 - You speak Farsi? - Oh, I did my undergrad at UCLA. 512 00:24:00,856 --> 00:24:03,733 - A lot of my friends were Persian. - So you learned the language? 513 00:24:04,359 --> 00:24:06,194 Enough to break the ice. 514 00:24:06,278 --> 00:24:08,155 I am impressed. 515 00:24:09,739 --> 00:24:11,199 Me too... 516 00:24:11,283 --> 00:24:12,617 that you had friends. 517 00:24:12,701 --> 00:24:15,662 Dr. Whitaker, I said hello to your widow with Alzheimer's, 518 00:24:15,745 --> 00:24:17,080 but she only wants to talk to a doctor. 519 00:24:17,164 --> 00:24:19,082 She's also very overdue for a diaper change. 520 00:24:19,166 --> 00:24:21,460 Okay. Yeah, thank you. 521 00:24:21,543 --> 00:24:23,378 Ogilvie, you're with me. 522 00:24:24,963 --> 00:24:26,006 Come on. 523 00:24:27,174 --> 00:24:28,550 Mrs. Bostick? 524 00:24:30,969 --> 00:24:33,388 - Takotsubo? Broken heart syndrome? - No. 525 00:24:34,598 --> 00:24:35,849 Hello? 526 00:24:35,932 --> 00:24:36,975 Hey. 527 00:24:37,767 --> 00:24:39,186 You wanted to see me? 528 00:24:39,269 --> 00:24:40,395 No. 529 00:24:41,104 --> 00:24:42,105 Who are you? 530 00:24:43,231 --> 00:24:44,941 I'm Dr. Whitaker. 531 00:24:45,025 --> 00:24:47,068 We talked about your husband? 532 00:24:48,195 --> 00:24:49,821 Oh, Ethan. 533 00:24:49,905 --> 00:24:52,782 Oh, can he please come see me? 534 00:24:57,579 --> 00:24:58,580 No. 535 00:24:59,498 --> 00:25:03,084 Unfortunately, he was very sick, 536 00:25:03,168 --> 00:25:05,420 and he died. 537 00:25:07,589 --> 00:25:08,798 Ethan? 538 00:25:09,799 --> 00:25:11,134 Died? 539 00:25:12,010 --> 00:25:13,136 No. 540 00:25:13,220 --> 00:25:14,513 Oh, no. 541 00:25:14,596 --> 00:25:17,140 No, that's impossible. 542 00:25:17,224 --> 00:25:18,517 No. 543 00:25:18,600 --> 00:25:20,143 No. 544 00:25:20,227 --> 00:25:23,230 No, no, no, no, no. 545 00:25:23,313 --> 00:25:24,940 What do you like to do for fun? 546 00:25:25,023 --> 00:25:26,733 I love horseback riding. 547 00:25:26,816 --> 00:25:28,735 - Does your dad take you? - Yep. 548 00:25:28,818 --> 00:25:32,697 Sometimes he even rides, but most of the time, he just watches me. 549 00:25:32,781 --> 00:25:35,367 Have you ever fallen off? Have you ever been thrown? 550 00:25:35,450 --> 00:25:38,370 Nope. I'm a very good rider. 551 00:25:38,453 --> 00:25:40,747 - Do you have your own horse? - I wish. 552 00:25:40,830 --> 00:25:42,958 We live in an apartment. 553 00:25:43,041 --> 00:25:45,377 Okay, Kylie, we need to take some blood now. 554 00:25:45,460 --> 00:25:47,254 Do you have to do that? 555 00:25:47,337 --> 00:25:49,965 Yeah, but I promise it'll go super fast 556 00:25:50,048 --> 00:25:52,759 and only hurt for, like, a moment, okay? 557 00:25:52,842 --> 00:25:56,346 So I'm just gonna put this rubber band 558 00:25:56,429 --> 00:25:58,932 around your arm to help me find your vein better. 559 00:25:59,474 --> 00:26:03,186 And then this makes sure no germs 560 00:26:03,270 --> 00:26:04,980 get in your body when we do it. 561 00:26:05,063 --> 00:26:08,191 Okay, now you're just gonna feel this teeny little prick. 562 00:26:08,275 --> 00:26:09,859 But you can look away, okay? 563 00:26:12,696 --> 00:26:14,489 Worst part's over. 564 00:26:16,866 --> 00:26:18,076 Tough little girl. 565 00:26:18,827 --> 00:26:22,414 Yeah, well, little girls can be just as tough as little boys, even tougher. 566 00:26:22,497 --> 00:26:26,835 Yes. I just hope it's not because she's become accustomed to pain. 567 00:26:26,918 --> 00:26:29,004 At the very least, she's gonna need a visual exam 568 00:26:29,087 --> 00:26:31,381 of external genitalia to look for signs of trauma. 569 00:26:31,464 --> 00:26:34,217 - I can have Dr. Al-Hashimi-- - No, she's my patient. 570 00:26:34,301 --> 00:26:35,510 I can do it. 571 00:26:43,685 --> 00:26:45,228 Nice and clear. 572 00:26:45,895 --> 00:26:50,483 With an infection, it'd be kind of cloudy. 573 00:26:50,567 --> 00:26:53,820 Joy, get ready to spike the third bottle here after I clamp. 574 00:26:53,903 --> 00:26:56,031 - All good in here? - Yes. 575 00:26:56,114 --> 00:26:58,450 Dr. Whitaker was just explaining that with SBP, 576 00:26:58,533 --> 00:27:00,452 we would see a turbid appearance. 577 00:27:00,535 --> 00:27:02,245 However, he failed to mention 578 00:27:02,329 --> 00:27:04,831 that bloody fluid indicates either a traumatic tap 579 00:27:04,914 --> 00:27:07,042 or the likelihood of hepatocellular carcinoma, 580 00:27:07,125 --> 00:27:09,753 in which case, we would send for cytology. 581 00:27:09,836 --> 00:27:10,962 That is correct. 582 00:27:11,046 --> 00:27:12,797 Kid knows his shit. 583 00:27:12,881 --> 00:27:15,425 He's so smart. 584 00:27:18,637 --> 00:27:20,472 - Oh, hey. - Hey. 585 00:27:20,555 --> 00:27:22,849 How's it feel to officially be a doctor? 586 00:27:22,932 --> 00:27:24,976 It's pretty cool, actually. 587 00:27:25,060 --> 00:27:26,853 I get my first paycheck today. 588 00:27:26,936 --> 00:27:29,606 It's only for the first week, but I will take it. 589 00:27:29,689 --> 00:27:33,485 - How are the med students? - Joy is pretty peculiar. 590 00:27:33,568 --> 00:27:36,613 And the other guy, Ogilvie, is really smart 591 00:27:36,696 --> 00:27:38,782 and likes to show people. 592 00:27:38,865 --> 00:27:41,201 - He's obnoxious. - Well... 593 00:27:41,284 --> 00:27:43,703 What he is, is your competition. 594 00:27:43,787 --> 00:27:46,581 - He's a gunner. - Yeah, right. 595 00:27:49,626 --> 00:27:51,711 He's not my competition. 596 00:27:51,795 --> 00:27:54,839 He's from out of state for a four-week sub-internship. 597 00:27:54,923 --> 00:27:56,299 You don't think he's angling 598 00:27:56,383 --> 00:27:58,843 for an emergency residency spot here next year? 599 00:27:59,386 --> 00:28:02,305 - I mean, even if he was... - What? 600 00:28:02,389 --> 00:28:05,767 He couldn't possibly compete with your gigantic brain? 601 00:28:10,105 --> 00:28:12,774 I'd step it up if I were you, Crash. 602 00:28:15,402 --> 00:28:18,279 Oh, she's still calling you that, huh? 603 00:28:18,363 --> 00:28:20,115 I don't really even care anymore. 604 00:28:20,198 --> 00:28:21,950 I mean, she still calls you Huckleberry. 605 00:28:22,033 --> 00:28:24,911 Yeah, but, you know, friends now, so... 606 00:28:24,994 --> 00:28:27,622 Friends don't give each other shitty nicknames. 607 00:28:28,206 --> 00:28:31,084 You think Huckleberry is a shitty nickname? 608 00:28:32,627 --> 00:28:33,712 No. 609 00:28:33,795 --> 00:28:35,839 No, Huckleberry is cute. 610 00:28:37,173 --> 00:28:39,718 It's cool. It's not like Crash. 611 00:28:39,801 --> 00:28:42,011 Oh, come on, man, Crash is pretty cool. 612 00:28:42,095 --> 00:28:44,139 It's, like, you know, Crash. 613 00:28:44,222 --> 00:28:45,807 It's got momentum. 614 00:28:47,058 --> 00:28:49,519 Dr. Javadi, Dr. Whitaker. 615 00:28:49,602 --> 00:28:53,148 Oh, I'm still a student doctor. Whitaker's the real deal now. 616 00:28:53,231 --> 00:28:54,232 Right. 617 00:28:56,025 --> 00:28:59,070 - Welcome back. - Thanks. Yeah, thank you. 618 00:28:59,154 --> 00:29:00,447 It's good to be back. 619 00:29:02,824 --> 00:29:06,870 Okay, I will be in exile on Triage Island 620 00:29:06,953 --> 00:29:09,831 with the rest of the drug addicts, if anyone needs me. 621 00:29:11,291 --> 00:29:13,918 - That was weird. - Very. 622 00:29:16,671 --> 00:29:17,714 What? 623 00:29:40,487 --> 00:29:41,946 That's got to hurt. 624 00:29:42,030 --> 00:29:44,532 Dr. Langdon, Clint Hansen, his cousin Mona. 625 00:29:44,616 --> 00:29:45,700 How'd this happen? 626 00:29:47,160 --> 00:29:49,204 Bacon grease from a big griddle. 627 00:29:49,287 --> 00:29:50,830 Oh, looks like more than a splatter. 628 00:29:50,914 --> 00:29:53,166 Yeah, some fool poured it in the sink while I was washing dishes. 629 00:29:53,249 --> 00:29:54,417 I was so far away. 630 00:29:54,501 --> 00:29:55,919 You reached for the soap without even looking. 631 00:29:56,002 --> 00:29:58,213 - You couldn't hear me? - No, not with the water running. 632 00:29:58,296 --> 00:30:00,215 Who the hell pours bacon grease down the drain? 633 00:30:00,298 --> 00:30:02,967 - There's a jar under the sink. - Well, you could have told me that. 634 00:30:03,051 --> 00:30:05,428 You're a guest in my house, and now you've totally fucked up my plumbing. 635 00:30:05,512 --> 00:30:07,055 Okay, how about we focus on treating this burn? 636 00:30:07,138 --> 00:30:08,431 I'll grab the LET. 637 00:30:08,515 --> 00:30:10,809 We're gonna need to trim off some of the dead skin so it doesn't get infected. 638 00:30:10,892 --> 00:30:13,978 I'm in charge of the brunch buffet. Can you make it fast? 639 00:30:14,521 --> 00:30:16,356 - Sure. Yeah, we-- - This one came in by car. 640 00:30:16,439 --> 00:30:18,233 All I got is a name--Orlando Diaz. 641 00:30:18,316 --> 00:30:20,235 - What's the story? - He tripped over some rebar. 642 00:30:20,318 --> 00:30:21,861 - Tripped or fainted? - I don't know. 643 00:30:21,945 --> 00:30:24,197 Orlando, open your eyes. 644 00:30:24,280 --> 00:30:25,657 - Hit his head? - I guess. 645 00:30:25,740 --> 00:30:27,450 - Why didn't you call 911? - He wouldn't let me. 646 00:30:27,534 --> 00:30:29,369 He was talking--not so much now. 647 00:30:29,452 --> 00:30:31,746 Orlando. Mr. Diaz. 648 00:30:31,830 --> 00:30:32,831 Jesus. 649 00:30:32,914 --> 00:30:34,457 - He drunk? - No. Ketones on his breath. 650 00:30:34,541 --> 00:30:36,251 - He diabetic? - I don't know. 651 00:30:36,334 --> 00:30:39,003 Altered head trauma, possible DKA. Call it overhead. 652 00:30:41,548 --> 00:30:44,467 Code trauma tier one now. Code trauma tier one now. 653 00:30:44,551 --> 00:30:47,470 Dr. Whitaker, your assessment was spot-on. 654 00:30:47,554 --> 00:30:49,931 Your Alzheimer's widow definitely needs placement. 655 00:30:50,014 --> 00:30:52,058 Do you have a nursing home that can take her today? 656 00:30:52,141 --> 00:30:55,478 I wish. Medicare requires a three-day hospitalization 657 00:30:55,562 --> 00:30:56,855 before they'll approve that. 658 00:30:56,938 --> 00:30:58,690 I don't really have a reason to admit her. 659 00:30:58,773 --> 00:31:01,693 But I do. She's gravely disabled. 660 00:31:01,776 --> 00:31:04,070 I'll put her on a cycle. We'll make it work. 661 00:31:04,153 --> 00:31:05,530 Thank you, Caleb. 662 00:31:06,781 --> 00:31:10,493 - Yeah, you have a few moments, Michael? - Actually, I do not. 663 00:31:10,577 --> 00:31:13,580 But once I get things settled here, I will come and find you. 664 00:31:14,372 --> 00:31:15,373 Okay. 665 00:31:17,792 --> 00:31:20,211 Dr. Robby, Dylan just talked to the girlfriend-- 666 00:31:20,295 --> 00:31:22,088 - Robby! - You'll have to fill me in in a minute. 667 00:31:22,171 --> 00:31:23,298 - What do you got? - AMS. 668 00:31:23,381 --> 00:31:25,967 I can't tell if he fell 'cause he was altered or he's altered because he fell. 669 00:31:26,050 --> 00:31:27,969 - There's ketones on his breath. - Okay, I got this. Thank you. 670 00:31:31,389 --> 00:31:35,101 All right, I guess it's just us. What did the girlfriend have to say? 671 00:31:35,184 --> 00:31:37,312 Well, Gina seems a little confused and on edge by this, 672 00:31:37,395 --> 00:31:39,272 but I'm not suspicious about abuse on her part. 673 00:31:39,355 --> 00:31:40,732 What about Kylie's father? 674 00:31:40,815 --> 00:31:42,358 Well, I'm a social worker, not a mind reader. 675 00:31:42,442 --> 00:31:43,526 I need to speak with him. 676 00:31:43,610 --> 00:31:45,194 Yeah, he's supposed to come in. 677 00:31:45,278 --> 00:31:47,196 If he doesn't, looks pretty guilty. 678 00:31:47,280 --> 00:31:49,240 Let's not jump to any conclusions just yet. 679 00:31:49,324 --> 00:31:50,325 I'm not jumping. 680 00:31:50,408 --> 00:31:53,912 I'm just saying, if this dude doesn't show up, 681 00:31:53,995 --> 00:31:56,164 hell, I'll go find him myself. 682 00:31:57,624 --> 00:31:58,666 Kidding. 683 00:31:58,750 --> 00:32:00,585 I will speak to Kylie before her dad gets here. 684 00:32:01,210 --> 00:32:02,629 If he shows up. 685 00:32:03,630 --> 00:32:04,881 Yes. 686 00:32:04,964 --> 00:32:07,425 That's definitely ketones. We need to do an Accu-Check. 687 00:32:07,508 --> 00:32:12,013 I'm on it. He's tachy at 124. Pulse ox 97. BP's 106/72. 688 00:32:12,096 --> 00:32:14,766 - Lung sliding bilaterally. - Good bowel sounds. 689 00:32:14,849 --> 00:32:16,517 Abdomen is soft, non-tender. 690 00:32:16,601 --> 00:32:18,436 How do you know it's non-tender? 691 00:32:19,020 --> 00:32:21,022 Because I didn't see any grimacing. 692 00:32:21,105 --> 00:32:23,274 He's altered. He didn't even flinch for the IV start. 693 00:32:23,816 --> 00:32:25,485 I meant to say non-rigid. 694 00:32:26,694 --> 00:32:29,781 Toes down, going bilaterally, no evidence of upper motor neuron deficit. 695 00:32:29,864 --> 00:32:31,074 Good. 696 00:32:31,157 --> 00:32:32,951 - E-FAST negative. - How can I assist? 697 00:32:33,034 --> 00:32:35,787 You can check in with Dr. McKay or Dr. Santos. 698 00:32:35,870 --> 00:32:38,957 If you don't mind, I'd like to observe, learn how you handle things. 699 00:32:39,040 --> 00:32:41,042 Blood sugar's critical high-- it's over 500. 700 00:32:41,125 --> 00:32:43,753 - Ding, ding, ding, ding. - Sounds like diabetic ketoacidosis. 701 00:32:43,836 --> 00:32:44,963 We need to start treating that, 702 00:32:45,046 --> 00:32:47,382 then right to CT to rule out an intracranial bleed. 703 00:32:47,465 --> 00:32:49,801 Severe respiratory distress coming in. ETA three minutes. 704 00:32:49,884 --> 00:32:51,302 - I'll stick them in Trauma 1. - Yep. 705 00:32:51,386 --> 00:32:53,930 - Would you like me to take that? - Yes, please. Thank you. 706 00:32:54,013 --> 00:32:56,599 This guy needs an insulin drip, right? 0.1 units per kilo? 707 00:32:56,683 --> 00:32:59,477 No, not without knowing his potassium. 708 00:32:59,560 --> 00:33:01,187 Insulin causes an intracellular shift. 709 00:33:01,270 --> 00:33:03,564 And if the potassium is under 3.5, the drip would kill him. 710 00:33:03,648 --> 00:33:04,899 That is very true. 711 00:33:04,983 --> 00:33:06,609 We can start with lactated ringers. 712 00:33:06,693 --> 00:33:09,988 1 liter per hour until we get the results from the chem-7 and the VBG. 713 00:33:10,071 --> 00:33:11,155 Why is he in DKA? 714 00:33:11,239 --> 00:33:12,991 Maybe he's not taking enough insulin. 715 00:33:13,074 --> 00:33:15,284 More frequently, a precipitating event can be identified, 716 00:33:15,368 --> 00:33:17,412 such as pneumonia, urinary tract infection, stroke, 717 00:33:17,495 --> 00:33:19,080 myocardial infarction, pancreatitis. 718 00:33:19,163 --> 00:33:20,415 Yeah, we always check for those. 719 00:33:20,498 --> 00:33:24,377 They're part of the standard order set, right, Dr. Mohan? 720 00:33:32,218 --> 00:33:33,636 He's from crazy Grandpa Jimmy's side. 721 00:33:33,720 --> 00:33:35,638 She's from my grandfather's brother's side. 722 00:33:35,722 --> 00:33:39,434 Grandpa Ricky is still a psycho. Clearly runs in the family. 723 00:33:39,517 --> 00:33:42,979 Well, hold on. Your grandparents are Ricky and Jimmy Hansen? 724 00:33:43,521 --> 00:33:45,023 From the racing family? 725 00:33:45,106 --> 00:33:46,441 Unfortunately. 726 00:33:46,524 --> 00:33:48,401 I got something that needs attention. 727 00:33:48,985 --> 00:33:50,528 Not another baby. 728 00:33:52,697 --> 00:33:54,323 Sorry. Excuse me. 729 00:33:56,743 --> 00:34:01,247 This is Mr. Randall. He's been erect for the last eight hours. 730 00:34:01,330 --> 00:34:03,875 - Should have gone down by now, right? - It happens. 731 00:34:03,958 --> 00:34:06,002 It's a good thing you came in, Mr. Randall. 732 00:34:06,085 --> 00:34:07,170 I'll take him right back. 733 00:34:07,253 --> 00:34:08,880 Do you mind finishing up with the Bickersons? 734 00:34:08,963 --> 00:34:10,465 I'd rather not. 735 00:34:10,548 --> 00:34:13,051 - So, Mr. Randall-- - Ian. 736 00:34:13,134 --> 00:34:17,263 Ian, did you take anything that might have led to this condition? 737 00:34:17,346 --> 00:34:20,266 I used an ED injection--two, actually. 738 00:34:20,349 --> 00:34:24,312 I gave myself a second shot, one on each side. 739 00:34:24,395 --> 00:34:27,356 So double the recommended dosage? 740 00:34:29,358 --> 00:34:31,652 It's our wedding anniversary. 741 00:34:31,736 --> 00:34:33,362 Is this a big one? 742 00:34:34,572 --> 00:34:38,868 The anniversary, is it important? Like, significant? Like, a milestone or-- 743 00:34:38,951 --> 00:34:40,620 - It's our 20th. - Oh, nice. 744 00:34:40,703 --> 00:34:42,789 Well done. Congratulations. 745 00:34:43,998 --> 00:34:46,626 Glucose 521. Sodium 129. 746 00:34:46,709 --> 00:34:50,296 Potassium's 3.7. Chloride's 97. 747 00:34:50,379 --> 00:34:52,090 - Bicarb's 8. - Meaning? 748 00:34:52,173 --> 00:34:55,301 We can start the insulin drip and add 20 of K to each liter. 749 00:34:55,384 --> 00:34:58,971 Big anion gap of 24. It should be under 10. 750 00:34:59,055 --> 00:35:00,765 We follow it to assess progress. 751 00:35:00,848 --> 00:35:03,309 Actually, the 2024 international guidelines 752 00:35:03,392 --> 00:35:06,479 state that anion gaps should not be used, as they can be misleading 753 00:35:06,562 --> 00:35:09,398 in the presence of hyperchloremic metabolic acidosis. 754 00:35:11,234 --> 00:35:12,944 I recently had a case in the ICU. 755 00:35:13,027 --> 00:35:16,656 - VBG is back--pH of 6.97. - Normal's 7.4. 756 00:35:16,739 --> 00:35:18,324 What causes the acidemia? 757 00:35:18,407 --> 00:35:20,159 Without insulin, the body can't use glucose, 758 00:35:20,243 --> 00:35:23,121 so it breaks down fat-producing ketones, leading to severe acidosis, 759 00:35:23,204 --> 00:35:24,539 which can cause cardiac arrest. 760 00:35:24,622 --> 00:35:27,750 But the hyperglycemia causes the body to excrete more water and electrolytes, 761 00:35:27,834 --> 00:35:30,336 leading to severe dehydration, cardiac and renal dysfunction. 762 00:35:30,419 --> 00:35:32,547 Insulin drip, fluids with KCL, 763 00:35:32,630 --> 00:35:35,341 capillary glucose every hour, chem-7 every four hours. 764 00:35:35,424 --> 00:35:37,135 ICU is gonna want a double lumen midline, too. 765 00:35:37,218 --> 00:35:38,261 - I can do it. - I can do it. 766 00:35:38,344 --> 00:35:39,345 - 6 1/2 gloves. - 7 1/2 gloves. 767 00:35:39,428 --> 00:35:42,849 Can I just say, we evaluate our students not only on their fund of knowledge 768 00:35:42,932 --> 00:35:45,768 and on their procedural mastery but, also, maybe more importantly, 769 00:35:45,852 --> 00:35:47,645 on their skills as team players? 770 00:35:48,229 --> 00:35:49,856 - He can do it. - She can do it. 771 00:35:51,065 --> 00:35:52,608 Otero, will you update everyone? 772 00:35:52,692 --> 00:35:54,777 Barry Mitchell. Eating breakfast at Pamela's. 773 00:35:54,861 --> 00:35:56,696 Sudden onset respiratory distress. 774 00:35:56,779 --> 00:35:59,157 Some stridor. Decent pulse ox but trouble speaking. 775 00:35:59,240 --> 00:36:01,242 - And they tried the Heimlich? - Three times. 776 00:36:02,869 --> 00:36:04,662 Any history of asthma? 777 00:36:06,497 --> 00:36:08,416 - Set up for intubation. - Agreed. 778 00:36:08,499 --> 00:36:10,543 Okay, sir, scoot across. 779 00:36:11,085 --> 00:36:13,713 Always a good sign when they slide over on their own. 780 00:36:13,796 --> 00:36:16,299 Came from a diner with an upper-airway obstruction. 781 00:36:16,382 --> 00:36:19,343 Didn't clear with abdominal thrusts. We got to take a look. 782 00:36:19,427 --> 00:36:21,804 Heart rate's 118. Pulse ox 96. 783 00:36:21,888 --> 00:36:25,057 Mr. Mitchell, we're gonna sedate you to look down your throat, okay? 784 00:36:25,141 --> 00:36:26,976 Draw up ketamine and rocuronium. 785 00:36:27,059 --> 00:36:29,395 What about ketamine only? 786 00:36:29,478 --> 00:36:33,191 No, we need full paralysis for a successful first-pass intubation. 787 00:36:33,274 --> 00:36:35,818 Might not need an intubation if it's just a foreign body. 788 00:36:35,902 --> 00:36:37,028 We can't assume that. 789 00:36:37,111 --> 00:36:39,488 It could be subglottic stenosis, epiglottitis. 790 00:36:39,572 --> 00:36:41,282 I got ketamine and roc. 791 00:36:43,201 --> 00:36:45,286 Ketamine only, 80 milligrams. 792 00:36:46,120 --> 00:36:48,915 In that case, I'll leave this in your capable hands. 793 00:36:50,708 --> 00:36:53,711 Cetacaine spray and a Yankauer, please. 794 00:36:54,503 --> 00:36:56,631 30 minutes ago, I told you I'd never been sued. 795 00:36:56,714 --> 00:36:57,840 I'd like to keep it that way. 796 00:37:01,719 --> 00:37:03,054 Instead of showing up here, 797 00:37:03,137 --> 00:37:06,057 you'd think he'd put an eight-hour hard-on to good use. 798 00:37:06,140 --> 00:37:07,892 Well, it is a medical emergency. 799 00:37:07,975 --> 00:37:11,854 If left untreated, priapism can cause permanent damage to the penis 800 00:37:11,938 --> 00:37:13,689 and erectile dysfunction forever. 801 00:37:13,773 --> 00:37:15,274 Thanks for the PSA. 802 00:37:15,358 --> 00:37:19,654 Pharmacist mixed up phenylephrine. 10 cc's of 100 mikes per cc. 803 00:37:19,737 --> 00:37:22,073 - Great. That's the maximum dose. - Sterile bolus saline. 804 00:37:22,156 --> 00:37:24,784 You might need to refill since they'll be flushing over and over again. 805 00:37:24,867 --> 00:37:27,870 Hold out the empty basin to catch whatever they pull out. 806 00:37:27,954 --> 00:37:30,248 - Got it? - I think so. 807 00:37:30,331 --> 00:37:31,666 Holler if you need me. 808 00:37:31,749 --> 00:37:34,293 - How we doing? - Oh, he's out from Versed. 809 00:37:34,377 --> 00:37:37,880 Did a lidocaine block to the dorsal penile nerves at 10 and 2. 810 00:37:37,964 --> 00:37:39,882 - Yeah, he's ready. - Excellent. 811 00:37:40,716 --> 00:37:43,886 Enter the dorsal side to hit the corpus cavernosum. 812 00:37:43,970 --> 00:37:44,971 I'll hold the glans. 813 00:37:45,054 --> 00:37:47,181 - How deep? - 2 centimeters. 814 00:37:48,557 --> 00:37:49,850 Now aspirate. 815 00:37:52,561 --> 00:37:55,189 You guys do this, like, every day? 816 00:37:56,482 --> 00:37:57,984 If we're lucky. 817 00:37:58,567 --> 00:37:59,735 Come here. 818 00:38:02,738 --> 00:38:05,199 Okay, let's lay him down and take a look. 819 00:38:06,367 --> 00:38:07,576 Okay. 820 00:38:14,292 --> 00:38:16,919 Good view of the epiglottis. 821 00:38:17,003 --> 00:38:20,172 And mystery solved. 822 00:38:20,256 --> 00:38:23,301 This is what you get for eating broccoli for breakfast. 823 00:38:23,384 --> 00:38:25,011 Get a good grip on it. 824 00:38:25,594 --> 00:38:26,804 Okay. 825 00:38:28,597 --> 00:38:29,807 Okay. 826 00:38:35,771 --> 00:38:38,941 I can see why the Heimlich didn't work. 827 00:38:39,025 --> 00:38:40,484 Rotate a little bit. 828 00:38:43,946 --> 00:38:45,031 Voilà! 829 00:38:46,115 --> 00:38:48,784 That is why you give ketamine alone, 830 00:38:48,868 --> 00:38:50,411 because if we gave a paralytic, 831 00:38:50,494 --> 00:38:52,788 we would have to intubate and ventilate for an hour. 832 00:38:54,832 --> 00:38:58,002 All right, this guy is going to Westbridge for surgery. 833 00:38:58,085 --> 00:39:00,171 Trauma 1 will move out shortly. 834 00:39:00,254 --> 00:39:04,550 And our Alzheimer's widow, Evelyn Bostick, can see her husband in the viewing room. 835 00:39:04,633 --> 00:39:06,177 God bless her. 836 00:39:06,260 --> 00:39:08,304 My CT results back on Michael Williams? 837 00:39:08,387 --> 00:39:10,473 Not yet. Neither are the labs on our little girl, Kylie. 838 00:39:10,556 --> 00:39:11,557 That's not me. 839 00:39:11,640 --> 00:39:15,353 I did, however, get a few things back on our abandoned baby Jane Doe. 840 00:39:15,436 --> 00:39:16,479 Still not me. 841 00:39:16,562 --> 00:39:18,064 I'll take those. 842 00:39:18,147 --> 00:39:19,648 Just keeping you informed. 843 00:39:20,649 --> 00:39:21,650 Yep. 844 00:39:22,526 --> 00:39:23,652 Okay. 845 00:39:24,612 --> 00:39:26,364 We're just trying to get her upstairs. 846 00:39:28,074 --> 00:39:30,368 Okay. All right, got it. 847 00:39:30,451 --> 00:39:33,496 Superbaby's urine dipped negative 0 WBCs. 848 00:39:33,579 --> 00:39:36,916 Respiratory panel is positive for rhinovirus, giving us a benign source. 849 00:39:36,999 --> 00:39:38,584 Procalcitonin and CRP are pending. 850 00:39:38,667 --> 00:39:40,586 Now Pedes is saying they want a urine tox screen 851 00:39:40,669 --> 00:39:42,588 and an HIV antigen before they'll take her. 852 00:39:42,671 --> 00:39:43,881 That sounds excessive. 853 00:39:44,882 --> 00:39:46,801 I feel like they're just trying to keep her down here. 854 00:39:46,884 --> 00:39:48,302 Can you blame them? 855 00:39:48,386 --> 00:39:50,471 Never met a Pedes nurse yet that wasn't a little wacky. 856 00:39:50,554 --> 00:39:53,808 You know what 12 hours of crying babies does to a person's psyche? 857 00:39:53,891 --> 00:39:56,227 - I almost went into Pedes. - Good thing you didn't, trust me. 858 00:39:56,310 --> 00:39:58,396 Too long up there, you're cuckoo for Cocoa Puffs. 859 00:39:58,479 --> 00:40:01,607 - You are very punchy today. - Punchy's my new baseline. 860 00:40:01,690 --> 00:40:03,943 Anyone even looks at me funny, I'm taking them out, 861 00:40:04,026 --> 00:40:05,403 going right for the eyes. 862 00:40:05,486 --> 00:40:07,738 I'll eye-gouge you. Bet you never knew that about me. 863 00:40:07,822 --> 00:40:08,823 I did not. 864 00:40:08,906 --> 00:40:12,034 - Where is Dr. Al-Hashimi? - In North 5 with the priapism. 865 00:40:12,118 --> 00:40:13,285 Better her than me. 866 00:40:13,369 --> 00:40:18,040 I did not intend for that to come off as sexual in any way. 867 00:40:18,124 --> 00:40:19,959 And on that note, I'm gonna go check on Louie, 868 00:40:20,042 --> 00:40:21,752 and then I'm gonna get some air in the ambulance bay. 869 00:40:21,836 --> 00:40:23,421 So, if anybody needs me, that's where I'll be. 870 00:40:23,504 --> 00:40:24,713 Got it, Cap. 871 00:40:27,842 --> 00:40:30,594 It looks like some pus at the base of the lateral incisor. 872 00:40:30,678 --> 00:40:31,929 We can drain that for you. 873 00:40:32,930 --> 00:40:36,100 - Sounds like it's gonna hurt. - No, we'll numb you up. 874 00:40:36,183 --> 00:40:38,727 Make sure you use the good stuff. 875 00:40:38,811 --> 00:40:41,230 It'll be top shelf, Louie, I promise. 876 00:40:41,939 --> 00:40:43,858 - How we doing in here? - Good. 877 00:40:43,941 --> 00:40:45,985 Almost 4 liters out. 878 00:40:46,068 --> 00:40:48,779 I already feel like a million bucks. 879 00:40:48,863 --> 00:40:50,990 I just needed an oil change. 880 00:40:51,073 --> 00:40:53,367 And I'm just about to drain an apical abscess. 881 00:40:53,451 --> 00:40:55,327 That's what I'm talking about. 882 00:40:55,411 --> 00:40:57,746 I feel like I'm having a spa day. 883 00:40:59,540 --> 00:41:00,708 Keep it up, Whitaker. 884 00:41:04,378 --> 00:41:06,172 How long does this take? 885 00:41:06,255 --> 00:41:08,549 Up to an hour, sometimes two. 886 00:41:09,175 --> 00:41:10,634 Mel, any suggestions? 887 00:41:13,095 --> 00:41:15,473 Mel, you did these at the VA. 888 00:41:15,556 --> 00:41:17,892 How can we facilitate detumescence? 889 00:41:17,975 --> 00:41:21,937 Oh, sometimes massaging the shaft can help. 890 00:41:22,021 --> 00:41:23,731 Oh, that's what she said. 891 00:41:23,814 --> 00:41:27,693 You can break up the clots with massage or compression. 892 00:41:27,776 --> 00:41:28,777 Got it. 893 00:41:29,487 --> 00:41:30,696 You okay, Mel? 894 00:41:30,779 --> 00:41:33,407 She's thinking about her deposition. 895 00:41:34,200 --> 00:41:37,495 Just stick with the facts of the case, and it always goes well. 896 00:41:37,578 --> 00:41:39,205 I thought you said you hadn't been sued. 897 00:41:39,288 --> 00:41:42,249 I haven't, but I know many colleagues who have. 898 00:41:42,333 --> 00:41:44,960 I also know your work, Dr. King. 899 00:41:45,044 --> 00:41:48,506 Your medical decision-making in the chart is always extremely thorough. 900 00:41:48,589 --> 00:41:50,508 Now we're getting somewhere. 901 00:41:50,591 --> 00:41:52,968 First signs of flaccidity. 902 00:41:56,597 --> 00:41:58,349 I don't know how I could ever thank you. 903 00:41:58,432 --> 00:42:00,559 Well, I think you just did. 904 00:42:00,643 --> 00:42:02,019 You saved my life. 905 00:42:02,811 --> 00:42:04,230 I didn't do anything. 906 00:42:04,813 --> 00:42:08,234 This is what happens when your wife starts being a Nazi about your diet. 907 00:42:08,317 --> 00:42:10,528 She's got me keeping a food journal. 908 00:42:10,611 --> 00:42:12,530 It's a good way to count calories. 909 00:42:12,613 --> 00:42:14,198 What calories? 910 00:42:14,281 --> 00:42:17,201 She insists I eat five servings of vegetables a day. 911 00:42:17,284 --> 00:42:19,745 A rabbit don't even eat that many vegetables. 912 00:42:19,828 --> 00:42:22,248 I ain't never choked on a Sausage Egg McMuffin. 913 00:42:23,040 --> 00:42:25,376 I feel like I've been here all day. 914 00:42:25,459 --> 00:42:29,171 It's actually only been a couple of hours, Mrs. Bostick. 915 00:42:29,255 --> 00:42:31,257 Well, where are we going now? 916 00:42:33,259 --> 00:42:37,638 I thought you might like to see your husband. 917 00:42:38,472 --> 00:42:40,641 Is Ethan still here? 918 00:42:41,850 --> 00:42:42,977 Yeah. 919 00:42:43,060 --> 00:42:45,062 Yes, yes, please. 920 00:42:53,487 --> 00:42:56,490 This has been such a long day. 921 00:42:57,324 --> 00:43:00,119 I'm so glad to see you resting, 922 00:43:00,202 --> 00:43:02,997 but I think it's time. 923 00:43:03,080 --> 00:43:05,207 We should be going home. 924 00:43:05,291 --> 00:43:07,167 If we stop at the store on the way, 925 00:43:07,251 --> 00:43:10,170 I can pick up what I need to make your shepherd's pie. 926 00:43:10,254 --> 00:43:11,880 But not if it's hot out. 927 00:43:12,506 --> 00:43:15,092 You know how I hate using the oven in the heat. 928 00:43:17,261 --> 00:43:19,263 We're ready to leave now. 929 00:43:26,895 --> 00:43:29,106 Dr. Robby, is this a good time? 930 00:43:29,189 --> 00:43:32,651 That depends on what you have in mind, Dr. Al-Hashimi. 931 00:43:32,735 --> 00:43:36,113 I'd hoped you would have viewed my ideas for improving the department. 932 00:43:37,323 --> 00:43:39,241 I was looking forward to getting some feedback from you. 933 00:43:39,325 --> 00:43:41,035 Okay, well, I think the department 934 00:43:41,118 --> 00:43:42,828 functions pretty well, all things considered. 935 00:43:42,911 --> 00:43:45,247 I mean, we face the same challenges that most emergency departments face. 936 00:43:45,331 --> 00:43:47,291 Let's take generative AI, for instance. 937 00:43:47,374 --> 00:43:50,252 ER doctors spend 40% of their time charting, 938 00:43:50,336 --> 00:43:53,339 only 28% of their time at the bedside. 939 00:43:54,548 --> 00:43:56,300 That doesn't sound accurate. 940 00:43:56,383 --> 00:43:59,053 - I've included the study in my packet. - Right. 941 00:43:59,136 --> 00:44:02,056 And patient passports have been shown to increase satisfaction 942 00:44:02,139 --> 00:44:03,849 because they show the time required 943 00:44:03,932 --> 00:44:06,268 - for each phase of the visit. - Yeah, I got it right here. 944 00:44:06,352 --> 00:44:07,936 - What do you got? - Combative college kid. 945 00:44:08,020 --> 00:44:10,272 Flipped out in the library, Tased in the neck by campus security. 946 00:44:10,356 --> 00:44:13,317 - 5 midazolam didn't touch him. - Will you get the fuck off me? 947 00:44:13,400 --> 00:44:15,694 2901! 2901, motherfucker! 948 00:44:15,778 --> 00:44:17,905 Get off! Fuck you, man! 949 00:44:17,988 --> 00:44:19,907 Want to tell me some more about your ideas? 950 00:44:20,741 --> 00:44:22,076 - Maybe later. - Let me out. 951 00:44:22,159 --> 00:44:24,953 Let me the fuck out! Let me out! Let me out!