1 00:00:14,014 --> 00:00:16,433 All right, everybody, settle down! 2 00:00:18,018 --> 00:00:18,977 Good. 3 00:00:19,061 --> 00:00:21,104 Now, Robby has something important to say. 4 00:00:21,188 --> 00:00:22,564 I know that this isn't easy. 5 00:00:22,648 --> 00:00:24,650 We're going to help you address any challenges 6 00:00:24,733 --> 00:00:26,151 that you might be having. 7 00:00:26,235 --> 00:00:28,028 If you have any concerns, just raise your hand. 8 00:00:28,111 --> 00:00:30,781 - Emma, write all this down. - Dr. Mohan. 9 00:00:30,864 --> 00:00:33,033 Medication orders aren't coming up from the pharmacy. 10 00:00:33,116 --> 00:00:36,370 Check with the clinical pharmacist to see if it's in the PDS. 11 00:00:36,453 --> 00:00:40,082 If it's not, then give the third copy of the order sheet to Dr. Nordt. 12 00:00:40,165 --> 00:00:41,833 We're gonna need more people to run it down. 13 00:00:41,917 --> 00:00:44,545 - We'll work on it. Langdon. - I can't find the patient clipboards. 14 00:00:44,628 --> 00:00:46,964 Clipboards need to stay here for orders and labs. 15 00:00:47,047 --> 00:00:48,382 Wait, so how do we write our notes? 16 00:00:48,465 --> 00:00:51,385 Take the T sheet to the bedside, not the whole chart. 17 00:00:51,468 --> 00:00:53,220 Same goes for nursing notes. 18 00:00:53,303 --> 00:00:55,013 - Princess. - Fax machine is down. 19 00:00:55,097 --> 00:00:57,391 - Error message E6. - What the hell does that mean? 20 00:00:57,474 --> 00:00:59,643 - You can check the manual. - There isn't one. 21 00:00:59,726 --> 00:01:01,603 Okay, Perlah, why don't you take your phone out to the base? 22 00:01:01,687 --> 00:01:03,605 See if you can get service, find a manual online. 23 00:01:08,068 --> 00:01:09,611 What else? Ogilvie, put your hand down. 24 00:01:09,695 --> 00:01:11,947 - Santos. - We've gotten a few CT results back 25 00:01:12,030 --> 00:01:13,365 but nothing on plain films. 26 00:01:13,448 --> 00:01:15,033 That's probably because they're all sitting 27 00:01:15,117 --> 00:01:17,202 on the portable machine not getting to radiology. 28 00:01:17,286 --> 00:01:18,912 - I'll take care of this. - You be patient. 29 00:01:18,996 --> 00:01:20,914 Help each other. Thank you. 30 00:01:21,915 --> 00:01:23,500 We need to call in extra help. 31 00:01:23,584 --> 00:01:26,336 At 3:00 p.m. on a holiday? I know people, buddy. 32 00:01:26,420 --> 00:01:29,339 I have a 32-year-old woman with severe abdominal pain. 33 00:01:29,423 --> 00:01:31,049 - Do we have a bed? - Not at the moment. 34 00:01:31,133 --> 00:01:32,217 - I'll take her. - Incoming. 35 00:01:32,301 --> 00:01:33,385 Thank you. 36 00:01:33,468 --> 00:01:35,095 Santos, Javadi, you're up. 37 00:01:35,178 --> 00:01:36,638 Trauma one's open. 38 00:01:37,764 --> 00:01:39,182 12-year-old Jude Augustin-- 39 00:01:39,266 --> 00:01:41,852 firecracker exploded, nondominant left hand. 40 00:01:41,935 --> 00:01:43,812 Good vitals. 25 of fent so far. 41 00:01:43,895 --> 00:01:44,730 Any other injuries? 42 00:01:44,813 --> 00:01:46,565 No, but seems to have lost two of his fingers. 43 00:01:46,648 --> 00:01:48,108 - Did you bring 'em? - Blown to bits. 44 00:01:48,191 --> 00:01:49,943 - It really hurts. - I'm sure it does. 45 00:01:50,027 --> 00:01:51,778 We'll do something for that. 46 00:01:51,862 --> 00:01:53,572 - Parents? - Not on scene. 47 00:01:56,074 --> 00:01:56,992 Ready? 48 00:01:57,075 --> 00:01:58,952 One, two, three. 49 00:01:59,036 --> 00:02:02,581 Hey, Jude, do you know your mom or your dad's telephone number? 50 00:02:02,664 --> 00:02:05,000 No. But I know my sister's. 51 00:02:05,083 --> 00:02:06,084 Okay. 52 00:02:06,793 --> 00:02:09,171 - Good breath sounds. - Abdomen nontender. 53 00:02:09,254 --> 00:02:10,547 Heart rate 112. 54 00:02:10,631 --> 00:02:11,923 Put this around his left forearm. 55 00:02:12,007 --> 00:02:13,258 - Is that good? - That is very good. 56 00:02:13,342 --> 00:02:16,595 I want to do another 25 of fent before we open this bandage. 57 00:02:16,678 --> 00:02:18,347 Can you tell us what happened? 58 00:02:18,430 --> 00:02:21,224 - My friends had firecrackers. - 25 fent on board. 59 00:02:21,308 --> 00:02:23,935 I lit one, and it went off fast. 60 00:02:24,019 --> 00:02:26,021 I-I dropped it, but... 61 00:02:26,104 --> 00:02:27,856 We're gonna take your bandage off now, okay? 62 00:02:27,939 --> 00:02:29,733 - I don't want to see. - You don't have to. 63 00:02:29,816 --> 00:02:31,526 Just look at me. 64 00:02:31,610 --> 00:02:32,903 Okay. 65 00:02:32,986 --> 00:02:33,987 Cutting. 66 00:02:36,782 --> 00:02:38,075 Sorry. 67 00:02:38,158 --> 00:02:39,576 You're doing great. 68 00:02:42,412 --> 00:02:45,040 That looks like a lot more than a firecracker. 69 00:02:45,123 --> 00:02:48,794 - More like an M-80 or a cherry bomb. - It's really good that you dropped it. 70 00:02:48,877 --> 00:02:50,379 You saved the rest of your hand. 71 00:02:50,462 --> 00:02:52,089 Digits 4 and 5 avulsed. 72 00:02:52,172 --> 00:02:55,384 Distal metacarpals 4 and 5 also gone with exposed bone. 73 00:02:55,467 --> 00:02:58,095 Soft-tissue damage on the palmar aspect, less so on dorsal-- 74 00:02:58,178 --> 00:02:59,596 some burns on wound edges. 75 00:02:59,680 --> 00:03:02,140 Jude, can you bend your fingers for me up and down? 76 00:03:03,934 --> 00:03:05,769 Really good job. Really good job. 77 00:03:05,852 --> 00:03:08,522 - How bad is it? - You lost two fingers. 78 00:03:08,605 --> 00:03:10,816 But it seems like the rest are gonna be okay. 79 00:03:10,899 --> 00:03:13,235 Oh, no. I fucked up! 80 00:03:14,027 --> 00:03:15,779 All right, can we do a wrist block for the pain? 81 00:03:15,862 --> 00:03:18,573 I want to do a very detailed motor and sensory exam first. 82 00:03:18,657 --> 00:03:21,201 We're gonna continue our exam now, okay, Jude? 83 00:03:24,454 --> 00:03:25,831 Okay, thanks. 84 00:03:25,914 --> 00:03:28,166 ICU can take her after the next neuro exam. 85 00:03:28,250 --> 00:03:29,584 The ICU? 86 00:03:29,668 --> 00:03:32,212 It's just so she can be monitored for the rest of the day. 87 00:03:33,797 --> 00:03:35,173 4 millimeters and reactive. 88 00:03:36,842 --> 00:03:38,009 Mel. 89 00:03:38,093 --> 00:03:40,679 - 4 millimeters and reactive. - Yep, got it. 90 00:03:40,762 --> 00:03:42,556 I could sort of make out your hand. 91 00:03:46,685 --> 00:03:48,687 Can you cover your good eye? 92 00:03:48,770 --> 00:03:50,856 How many fingers am I holding up? 93 00:03:52,149 --> 00:03:53,108 Three. 94 00:03:55,235 --> 00:03:56,611 That's good news. 95 00:03:56,695 --> 00:03:59,865 So the medicine worked? She's out of the woods? 96 00:03:59,948 --> 00:04:01,158 Possibly. 97 00:04:01,241 --> 00:04:02,284 It's... 98 00:04:02,367 --> 00:04:04,244 Okay, cover your eye again. 99 00:04:05,537 --> 00:04:07,456 All right, what do you see? 100 00:04:08,457 --> 00:04:12,085 - Top line is E. - All right, and the next one? 101 00:04:14,629 --> 00:04:15,756 Nothing. 102 00:04:16,631 --> 00:04:18,383 Okay, well, that's 20/200. 103 00:04:19,885 --> 00:04:21,386 Meaning? 104 00:04:21,470 --> 00:04:24,556 What a healthy eye can see at 200 feet, she can see at 20 feet. 105 00:04:24,639 --> 00:04:27,517 - Is that good? - Yeah. It's much better. 106 00:04:27,601 --> 00:04:30,270 And it can continue to improve over time. 107 00:04:31,480 --> 00:04:32,689 Thank you, Dr. King. 108 00:04:34,691 --> 00:04:37,402 I'm gonna take a quick break before my deposition. 109 00:04:37,486 --> 00:04:40,822 So I'll let Robby know that I'm off the clock for the time being. 110 00:04:40,906 --> 00:04:42,699 - Good luck. - Thanks. 111 00:04:45,911 --> 00:04:47,412 - Mel. - Hey. 112 00:04:47,496 --> 00:04:48,789 You have a visitor in chairs. 113 00:04:48,872 --> 00:04:51,958 - What? Who? - Said she's your sister. 114 00:04:52,042 --> 00:04:53,126 Becca? 115 00:04:57,422 --> 00:04:59,216 Yep. You have heat exhaustion. 116 00:04:59,299 --> 00:05:03,053 It usually gets better with Aleve, but today was really bad. 117 00:05:03,136 --> 00:05:04,429 Same pain you had before? 118 00:05:05,388 --> 00:05:07,641 - From a cyst? - I think so. 119 00:05:07,724 --> 00:05:09,684 I have PCOS. 120 00:05:09,768 --> 00:05:12,354 Is the pain always on your left? 121 00:05:12,437 --> 00:05:13,730 Today it is. 122 00:05:13,814 --> 00:05:16,650 We will check a UA and urine pregnancy test, 123 00:05:16,733 --> 00:05:18,235 and I'll give you a shot of Toradol. 124 00:05:18,318 --> 00:05:20,779 It's something a little stronger for the pain. 125 00:05:20,862 --> 00:05:22,572 I'm not pregnant, I promise. 126 00:05:22,656 --> 00:05:25,867 No, we have to. It's hospital policy. 127 00:05:25,951 --> 00:05:28,453 You guys still write stuff down on paper? 128 00:05:29,454 --> 00:05:31,540 Today we do, yeah. 129 00:05:39,047 --> 00:05:42,259 Are you a doctor? I've been waiting hours to be seen. 130 00:05:42,342 --> 00:05:43,468 Quick question-- 131 00:05:43,552 --> 00:05:46,346 - Hey, watch the walker. - This thing is useless. 132 00:05:47,180 --> 00:05:48,890 Sorry, I just... 133 00:05:48,974 --> 00:05:51,768 We're really busy, and someone will see you in a second. 134 00:05:54,104 --> 00:05:56,189 - Becca. - Mel, hi. 135 00:05:57,190 --> 00:05:59,943 - Is everything okay? - Yeah, I have a stomachache. 136 00:06:00,026 --> 00:06:01,820 Did you see the residential-care nurse? 137 00:06:01,903 --> 00:06:04,364 She was out for the Fourth, but I talked to her on the phone. 138 00:06:04,447 --> 00:06:06,783 She told me to come here, and Geri brought me. 139 00:06:06,867 --> 00:06:08,201 - Thank you. - No problem. 140 00:06:08,285 --> 00:06:10,370 - I'll wait for you. - Okay. 141 00:06:10,453 --> 00:06:11,788 Okay. Come on, this way. 142 00:06:12,789 --> 00:06:14,040 Just through here. 143 00:06:14,124 --> 00:06:17,919 - Is it always like this? - Yeah, pretty much. 144 00:06:18,003 --> 00:06:21,172 Wow. There are a lot of smelly people. 145 00:06:21,256 --> 00:06:22,549 Yeah. 146 00:06:22,632 --> 00:06:23,925 Are you going to help them all? 147 00:06:24,009 --> 00:06:26,136 Yeah, but let's start with you first. 148 00:06:26,219 --> 00:06:27,220 Okay. 149 00:06:28,096 --> 00:06:31,725 - How's the pain? - I can't feel my hand anymore. 150 00:06:31,808 --> 00:06:32,934 Ancef's on board. 151 00:06:33,018 --> 00:06:36,146 Okay, we're going to clean out your hand with saline--salt water. 152 00:06:36,229 --> 00:06:37,606 Okay. 153 00:06:41,401 --> 00:06:42,319 What's up? 154 00:06:43,028 --> 00:06:46,656 - Hand versus M-80. - Surprised we've only seen one of these. 155 00:06:46,740 --> 00:06:48,116 The day's still young yet. 156 00:06:48,199 --> 00:06:50,327 Lost fourth metacarpal, mid-shaft on the fifth. 157 00:06:50,410 --> 00:06:51,411 Bummer. 158 00:06:52,787 --> 00:06:54,998 Hello, I'm Dr. Garcia from surgery. 159 00:06:55,081 --> 00:06:56,666 - I'm gonna have surgery? - Yes. 160 00:06:56,750 --> 00:06:59,336 The first operation is to clean everything up 161 00:06:59,419 --> 00:07:01,171 and cover where the skin is missing. 162 00:07:01,922 --> 00:07:04,841 But you still have your thumb and your most important fingers. 163 00:07:09,179 --> 00:07:11,848 - What'd you give him for pain? - We did regional blocks. 164 00:07:11,932 --> 00:07:14,601 Hand surgery always wants to document their own neuro exam. 165 00:07:14,684 --> 00:07:16,895 Sensation is intact to light touch and pinprick 166 00:07:16,978 --> 00:07:19,064 throughout the digits in the remaining hand. 167 00:07:21,441 --> 00:07:25,612 Yeah, FDS and FTPs and extensor function was all intact. 168 00:07:25,695 --> 00:07:28,323 - Need parental consent for surgery. - Yeah, we're working on that. 169 00:07:28,406 --> 00:07:29,449 Dr. Robby? 170 00:07:33,787 --> 00:07:35,664 I smell alcohol on his breath. 171 00:07:37,123 --> 00:07:39,709 He's in line for the OR. Might be a little bit of a wait. 172 00:07:39,793 --> 00:07:41,002 Ortho's still in with Allen Billings-- 173 00:07:41,086 --> 00:07:42,963 that open shoulder dislocation that came back from Westbridge. 174 00:07:43,046 --> 00:07:44,214 He's still in surgery? 175 00:07:44,297 --> 00:07:46,216 He waited an hour to be cleared by anesthesia. 176 00:07:46,299 --> 00:07:48,301 Is the insurance company gonna cover the cost of the surgery? 177 00:07:48,385 --> 00:07:49,803 Yeah, since Westbridge is still down. 178 00:07:49,886 --> 00:07:51,137 Well, good, because the delay in care 179 00:07:51,221 --> 00:07:53,306 definitely increased the chance of a post-op infection. 180 00:07:53,390 --> 00:07:56,309 You got to love it when insurance companies make medical decisions. 181 00:07:57,894 --> 00:07:59,437 - Hey. - What's up? 182 00:07:59,521 --> 00:08:02,524 Do you still need a rain check for watching fireworks tonight? 183 00:08:02,607 --> 00:08:04,109 I thought you were coming over. 184 00:08:04,192 --> 00:08:05,485 I made other plans. 185 00:08:06,903 --> 00:08:08,321 Okay, cool. 186 00:08:08,405 --> 00:08:10,407 I'll try hitting you up tomorrow. 187 00:08:10,490 --> 00:08:12,492 We're just keeping it casual, right? 188 00:08:12,575 --> 00:08:13,702 For sure. 189 00:08:17,914 --> 00:08:20,709 Yeah. Thank you. Yeah, bye. 190 00:08:20,792 --> 00:08:21,835 Oh, hey. 191 00:08:21,918 --> 00:08:23,628 I just got a hold of the sister of the heavy patient 192 00:08:23,712 --> 00:08:25,255 Abbot's taking to Presby. 193 00:08:25,338 --> 00:08:26,715 She still lives in Arizona, 194 00:08:26,798 --> 00:08:29,634 but she is willing to talk to him when he's back. 195 00:08:29,718 --> 00:08:30,719 That's good news. 196 00:08:30,802 --> 00:08:32,637 When do you think that might be? 197 00:08:32,721 --> 00:08:34,931 Depends on how crazy it is over at Presby. 198 00:08:35,015 --> 00:08:36,766 If it's anything like here, who knows? 199 00:08:36,850 --> 00:08:37,851 Yeah. 200 00:08:38,727 --> 00:08:41,146 - Is help on the way? - Ah, ye of little faith. 201 00:08:41,229 --> 00:08:42,731 You got a gumband? 202 00:08:43,940 --> 00:08:46,151 Thanks. Keep losing these. 203 00:08:47,110 --> 00:08:48,862 Oh, this fucking day. 204 00:08:48,945 --> 00:08:51,364 Thought I was gonna get a clean getaway for my trip. 205 00:08:51,448 --> 00:08:54,659 God gives His toughest battles to His strongest soldiers. 206 00:08:54,743 --> 00:08:56,911 Dana, is there a room open? This is my sister. 207 00:08:56,995 --> 00:08:59,122 She's in a lot of pain, and we need a bed ASAP. 208 00:08:59,205 --> 00:09:00,874 My name is Becca, not "my sister." 209 00:09:00,957 --> 00:09:02,083 Sorry, right. 210 00:09:02,167 --> 00:09:05,628 Dana, Dr. Robby, this is my--Becca. 211 00:09:05,712 --> 00:09:06,921 Nice to meet you. 212 00:09:07,005 --> 00:09:09,966 You're Dr. Robby? Cool. 213 00:09:10,050 --> 00:09:12,510 Central 7 was just cleaned. Anything I can get you, hon? 214 00:09:12,594 --> 00:09:13,970 No, thank you. 215 00:09:17,182 --> 00:09:18,767 Oh, wait, Becca. Come here. 216 00:09:19,768 --> 00:09:22,771 Come this way. We're going right in here. 217 00:09:23,980 --> 00:09:26,941 All right, so you're gonna need to get undressed 218 00:09:27,025 --> 00:09:29,569 and get into the gown, which should be on the bed. 219 00:09:29,652 --> 00:09:32,280 Then we're gonna do an evaluation and take a history. 220 00:09:32,363 --> 00:09:33,782 That's a lot of questions, 221 00:09:33,865 --> 00:09:35,825 like, like, a lot, a lot of questions, which we'll do. 222 00:09:35,909 --> 00:09:37,577 And then a physical exam, of course. 223 00:09:37,660 --> 00:09:39,913 Mel, I've been to the doctor's before. 224 00:09:41,206 --> 00:09:42,499 Right. Sorry. 225 00:09:42,582 --> 00:09:45,585 I just--I really want this to be done the right way. 226 00:09:49,631 --> 00:09:51,382 Do you need to take that call? 227 00:09:51,466 --> 00:09:53,760 No, it's a reminder alarm 228 00:09:53,843 --> 00:09:56,721 for this important meeting I have in 15 minutes. 229 00:09:56,805 --> 00:09:57,889 Do you have to go? 230 00:09:59,015 --> 00:10:00,934 Let's just get you taken care of first, all right? 231 00:10:01,017 --> 00:10:03,436 So just change into the gown. I'll be behind the curtain. 232 00:10:03,520 --> 00:10:04,521 Okay. 233 00:10:06,064 --> 00:10:07,065 Okay. 234 00:10:17,617 --> 00:10:19,869 Your grand prize. 235 00:10:20,829 --> 00:10:23,832 All I see is green, baby. 236 00:10:32,841 --> 00:10:34,551 What's up with her? 237 00:10:34,634 --> 00:10:36,678 Fax machine has paper jam, so annoying. 238 00:10:45,353 --> 00:10:47,564 - You want me to try? - No. 239 00:10:47,647 --> 00:10:49,983 - Oh, huzzah. - I got it. 240 00:10:54,320 --> 00:10:55,822 - What's it say? - "Replace toner." 241 00:10:55,905 --> 00:10:56,990 We live in hell. 242 00:10:57,073 --> 00:10:59,033 - Oh, where can we get that? - 1988. 243 00:10:59,117 --> 00:11:01,578 - You ever seen one of these? - Honestly, no. 244 00:11:01,661 --> 00:11:03,580 How are we gonna get labs and X-rays to the wards? 245 00:11:03,663 --> 00:11:05,582 The old-fashioned way, runners. 246 00:11:05,665 --> 00:11:08,501 I'll check if they can spare a couple clerks from upstairs. 247 00:11:13,173 --> 00:11:16,009 When were you first diagnosed with polycystic ovarian syndrome? 248 00:11:16,092 --> 00:11:17,218 Last summer. 249 00:11:17,302 --> 00:11:19,012 That's when the symptoms started? 250 00:11:19,095 --> 00:11:21,973 No. I've had years of pain, hormonal changes, 251 00:11:22,056 --> 00:11:23,433 and an abnormal period. 252 00:11:23,516 --> 00:11:27,562 I was finally diagnosed after switching to a gyno who actually listened to me. 253 00:11:27,645 --> 00:11:29,939 Yeah, it can take time to make the diagnosis. 254 00:11:31,065 --> 00:11:33,610 That sounds like an excuse for lazy doctoring. 255 00:11:34,527 --> 00:11:37,197 And it doesn't help that some of you don't listen to women, 256 00:11:37,280 --> 00:11:39,032 let alone brown ones. 257 00:11:39,115 --> 00:11:40,575 It hasn't been easy. 258 00:11:40,658 --> 00:11:42,744 - How's your pain now? - Better. 259 00:11:42,827 --> 00:11:45,121 - What was she given? - IM Toradol. 260 00:11:45,205 --> 00:11:48,291 Have you had a transvaginal ultrasound before? 261 00:11:48,374 --> 00:11:50,126 I've lost count of how many times. 262 00:11:50,210 --> 00:11:52,462 Okay, if you want to scoot your bottom down, 263 00:11:52,545 --> 00:11:55,465 I'll help you put your feet in the leg rests here. 264 00:11:55,548 --> 00:11:57,717 Yep, you got it. 265 00:12:06,226 --> 00:12:08,144 Okay, ready to go here? 266 00:12:08,228 --> 00:12:10,939 Cold gel and some pressure. 267 00:12:13,900 --> 00:12:14,901 Okay. 268 00:12:16,277 --> 00:12:21,157 Okay, ectopic is unlikely since the urine pregnancy was negative. 269 00:12:21,241 --> 00:12:22,867 I'm hoping it'll be positive one day. 270 00:12:22,951 --> 00:12:25,411 - Oh, are you trying? - Not at the moment. 271 00:12:25,495 --> 00:12:27,580 I'm getting married in September. 272 00:12:27,664 --> 00:12:29,582 - Oh, congratulations. - Okay. 273 00:12:30,917 --> 00:12:33,962 A bunch of small cysts--to be expected. 274 00:12:34,045 --> 00:12:37,298 But then there's one big one, about 5 centimeters. 275 00:12:37,382 --> 00:12:39,759 My gyno's been monitoring her. 276 00:12:40,927 --> 00:12:42,303 With a little bit of free fluid. 277 00:12:42,387 --> 00:12:44,931 Checking blood flow to the ovary. 278 00:12:45,014 --> 00:12:47,267 Red is for artery. Blue is for vein. 279 00:12:47,350 --> 00:12:49,102 Okay, looks good. 280 00:12:49,185 --> 00:12:50,603 Coming out now. 281 00:12:51,980 --> 00:12:52,981 - Sorry. - Okay. 282 00:12:54,983 --> 00:12:58,403 We will be back when we get your blood-test results. 283 00:13:01,155 --> 00:13:02,448 All right, what do you think? 284 00:13:02,532 --> 00:13:05,535 She probably had a small fluid leak from the cyst that caused the pain 285 00:13:05,618 --> 00:13:08,162 that improved with a nonsteroidal. 286 00:13:08,246 --> 00:13:11,416 - And what's your plan? - Discharge with naproxen? 287 00:13:11,499 --> 00:13:15,545 Do you think that just might be what her doctors in the past have done? 288 00:13:15,628 --> 00:13:18,548 Well, she said she's feeling better. We can free up a bed. 289 00:13:18,631 --> 00:13:19,924 She didn't look good in triage, 290 00:13:20,008 --> 00:13:22,760 and her pain was way more severe than previous episodes. 291 00:13:22,844 --> 00:13:24,762 I think we observe her for a bit. 292 00:13:24,846 --> 00:13:26,347 Okay. 293 00:13:26,431 --> 00:13:29,434 Mr. Green, this is Dr. Mohan and student doctor Ogilvie. 294 00:13:30,643 --> 00:13:32,353 What can you tell me about your flank pain? 295 00:13:32,437 --> 00:13:35,565 - Feels like another kidney stone. - You've had them before? 296 00:13:35,648 --> 00:13:37,734 I said "another," which means an additional thing 297 00:13:37,817 --> 00:13:39,152 of the same type. 298 00:13:40,445 --> 00:13:42,196 I teach English at Point Park. 299 00:13:42,822 --> 00:13:44,032 Triggering. 300 00:13:44,115 --> 00:13:45,742 My dad's a high-school English teacher. 301 00:13:47,660 --> 00:13:50,288 Well, you went into medicine. He must be really proud. 302 00:13:51,456 --> 00:13:53,124 You'd have to ask him. 303 00:13:53,207 --> 00:13:54,792 Getting back to your pain, 304 00:13:54,876 --> 00:13:57,170 it feels like something you've experienced before? 305 00:13:57,253 --> 00:13:59,172 Same as always, left kidney. 306 00:13:59,255 --> 00:14:01,215 Started about 10:00 p.m. last night. 307 00:14:01,299 --> 00:14:02,800 Any fever, blood in the urine? 308 00:14:02,884 --> 00:14:04,677 No. No fever. 309 00:14:04,761 --> 00:14:06,763 Urine's a bit darker than normal. 310 00:14:06,846 --> 00:14:08,723 Dehydration can lead to stone formation. 311 00:14:08,806 --> 00:14:10,308 Lean forward a bit, please. 312 00:14:10,391 --> 00:14:12,393 - Check for CVA tenderness. - Yeah. 313 00:14:12,477 --> 00:14:13,478 All right. 314 00:14:14,854 --> 00:14:17,065 Let me know if there's any discomfort. 315 00:14:20,026 --> 00:14:21,194 - Sorry. - Yeah. 316 00:14:21,277 --> 00:14:23,488 - We'll order medication and a few tests. - Okay. 317 00:14:28,284 --> 00:14:31,204 Dip urine, Chem Seven, bedside ultrasound to check for hydro, 318 00:14:31,287 --> 00:14:32,622 and ketorolac for pain. 319 00:14:32,705 --> 00:14:34,290 - Sounds good. - Okay. 320 00:14:39,879 --> 00:14:41,339 Really putting me to work. 321 00:14:41,422 --> 00:14:43,216 It's been a very busy day, Dr. Barker. 322 00:14:43,299 --> 00:14:44,300 Call me Nick. 323 00:14:46,886 --> 00:14:49,514 - What's all this? - I brought radiology to us. 324 00:14:49,597 --> 00:14:52,141 Dr. Barker, Nick, will have wet-read results for us 325 00:14:52,225 --> 00:14:53,518 - in no time. - Good idea. 326 00:14:53,601 --> 00:14:55,812 - Thank you. - "Wet read"? 327 00:14:55,895 --> 00:14:58,898 - You ever take a photography class? - Yeah, in, like, middle school. 328 00:14:58,981 --> 00:15:01,234 So, before digital technology, X-ray films 329 00:15:01,317 --> 00:15:04,654 were physically developed in a darkroom, in baths, thus wet read. 330 00:15:04,737 --> 00:15:06,406 Oh, cool. 331 00:15:06,489 --> 00:15:08,324 He's taking up a lot of space. 332 00:15:09,283 --> 00:15:11,661 Got an update from Dylan on our abandoned baby. 333 00:15:11,744 --> 00:15:14,580 CYF has requested an emergency custody authorization. 334 00:15:14,664 --> 00:15:17,291 Once we get a court order, we can place her in foster care. 335 00:15:17,375 --> 00:15:19,127 I love photography. 336 00:15:19,836 --> 00:15:20,962 - Jesus Christ. - Dr. Robby? 337 00:15:21,045 --> 00:15:22,463 Dr. Robby, can I borrow you for a second? 338 00:15:22,547 --> 00:15:23,673 Sure. What can I do for you? 339 00:15:23,756 --> 00:15:25,049 Well, she said she has a stomachache, 340 00:15:25,133 --> 00:15:26,676 but belly pain can mean a lot of different things-- 341 00:15:26,759 --> 00:15:30,388 - Okay, okay, okay, breathe. - I'm looking for Dr. Mel King. 342 00:15:30,471 --> 00:15:31,389 Yes? 343 00:15:32,473 --> 00:15:34,851 I'm Morgan Stiles, one of the hospital's attorneys. 344 00:15:34,934 --> 00:15:37,478 I'm here to escort you upstairs for your deposition. 345 00:15:37,562 --> 00:15:39,105 Right now? 346 00:15:39,188 --> 00:15:42,775 Morgan, can I borrow Dr. King for just a moment? 347 00:15:42,859 --> 00:15:44,152 Sure. 348 00:15:45,945 --> 00:15:47,238 It's gonna be fine. 349 00:15:47,321 --> 00:15:49,323 I can't go up now because of Becca. 350 00:15:49,407 --> 00:15:51,492 You probably shouldn't be caring for Becca. 351 00:15:51,576 --> 00:15:53,369 It's not a good idea to care for family members. 352 00:15:53,453 --> 00:15:54,787 It's hard to stay objective. 353 00:15:54,871 --> 00:15:56,289 Let's see who's available. 354 00:15:56,372 --> 00:15:57,623 Hey, are you free? 355 00:15:57,707 --> 00:15:59,417 Is anybody really free? 356 00:16:00,418 --> 00:16:01,502 Not an R2. 357 00:16:02,879 --> 00:16:04,380 Just the guy we were looking for. 358 00:16:04,464 --> 00:16:05,965 - Need something? - Yes. 359 00:16:06,966 --> 00:16:07,884 Sure. 360 00:16:07,967 --> 00:16:10,970 Dr. King's sister has a bellyache. The case is now yours. 361 00:16:11,053 --> 00:16:11,971 Sure. 362 00:16:12,054 --> 00:16:14,307 You can pick up the rest of her patients while she's doing her deposition. 363 00:16:14,390 --> 00:16:16,309 How am I supposed to catch up on my outstanding charts 364 00:16:16,392 --> 00:16:18,311 with extra patients and the computer system down? 365 00:16:18,394 --> 00:16:19,896 The same way that the rest of us do. 366 00:16:19,979 --> 00:16:22,648 You can finish your charting when you finish your shift. 367 00:16:22,732 --> 00:16:24,567 Fucking fantastic. 368 00:16:29,197 --> 00:16:31,115 - Hi, Becca. - Hi. 369 00:16:31,199 --> 00:16:33,534 This is Dr. Langdon. He'll be taking care of you. 370 00:16:33,618 --> 00:16:37,538 You have really nice hair, Dr. Langdon. 371 00:16:37,622 --> 00:16:39,123 Thank you. 372 00:16:39,207 --> 00:16:42,502 Mel, would you mind turning off the lights on your way out? 373 00:16:42,585 --> 00:16:43,586 Of course. 374 00:16:44,420 --> 00:16:46,881 And I'll be back as soon as I'm done. 375 00:16:46,964 --> 00:16:48,966 And feel free to call me if anything comes up, 376 00:16:49,050 --> 00:16:50,760 - because I can come right-- - Don't worry. 377 00:16:50,843 --> 00:16:53,221 - Becca's in good hands. - I know. 378 00:16:54,222 --> 00:16:55,348 Okay. 379 00:17:03,022 --> 00:17:06,025 Mel says lots of nice things about you. 380 00:17:08,152 --> 00:17:09,153 Okay. 381 00:17:11,113 --> 00:17:13,282 Tell me the reason you're here today. 382 00:17:13,366 --> 00:17:14,700 I have a stomachache. 383 00:17:14,784 --> 00:17:16,577 Your belly hurts? Where about? 384 00:17:16,661 --> 00:17:19,664 - Right down here. - Okay. 385 00:17:19,747 --> 00:17:23,501 Are you experiencing anything else, or is it just the stomachache? 386 00:17:23,584 --> 00:17:25,545 It stings when I pee. 387 00:17:25,628 --> 00:17:27,588 Sometimes when that happens, 388 00:17:27,672 --> 00:17:30,299 women feel like they need to urinate all the time. 389 00:17:30,383 --> 00:17:32,093 - Do you feel that way? - Yes. 390 00:17:32,176 --> 00:17:33,886 And what happens when you go? 391 00:17:33,970 --> 00:17:36,013 Hardly anything comes out. 392 00:17:36,681 --> 00:17:38,099 That's what I thought. 393 00:17:38,182 --> 00:17:40,643 Really? How do you know? 394 00:17:40,726 --> 00:17:43,604 Well, I've seen a lot of patients with the same symptoms. 395 00:17:43,688 --> 00:17:46,357 - So this is normal? - Yes, it's totally normal. 396 00:17:46,440 --> 00:17:48,734 But we still need to fix it. 397 00:17:48,818 --> 00:17:49,902 Okay. 398 00:17:56,075 --> 00:17:57,201 Hey. 399 00:17:57,285 --> 00:17:58,911 How's it going, Roxy? 400 00:17:59,537 --> 00:18:01,706 - A little better. - Yeah? 401 00:18:01,789 --> 00:18:03,541 You need more morphine? 402 00:18:09,505 --> 00:18:12,341 I've been in pain all this time, my love. 403 00:18:13,050 --> 00:18:14,927 Why didn't you tell me? 404 00:18:16,095 --> 00:18:18,097 I didn't want you guys to worry. 405 00:18:20,057 --> 00:18:21,851 I can't pretend anymore. 406 00:18:23,519 --> 00:18:26,772 Mom, it's so hot outside, the ice cream's melting. 407 00:18:29,734 --> 00:18:31,944 We thought we'd indulge a bit. 408 00:18:32,903 --> 00:18:34,322 Oh, yeah. 409 00:18:35,323 --> 00:18:36,198 Looks amazing. 410 00:18:36,282 --> 00:18:38,743 So which flavor should we start with? 411 00:18:38,826 --> 00:18:40,953 Salty caramel, Mom's favorite. 412 00:18:41,954 --> 00:18:44,123 You'll need lots more napkins. 413 00:18:59,889 --> 00:19:00,806 Rude. 414 00:19:03,434 --> 00:19:06,687 - How's it going in there? - All good. Langdon's great with her. 415 00:19:06,771 --> 00:19:08,481 I got seven more films ordered, waiting to be shot, 416 00:19:08,564 --> 00:19:10,483 but Dr. Nick here's tying up the machine. 417 00:19:11,776 --> 00:19:14,111 Isn't there a USB port on the front of that portable? 418 00:19:14,195 --> 00:19:16,864 And can't we just download the films to a workstation 419 00:19:16,947 --> 00:19:18,574 and watch them without the Internet? 420 00:19:18,658 --> 00:19:20,910 - Yes. - Oh, right. Forgot about that. 421 00:19:20,993 --> 00:19:23,287 Is he actually helping, or is he just distracting? 422 00:19:23,371 --> 00:19:25,289 Let's download these and start moving on to folks 423 00:19:25,373 --> 00:19:27,291 - waiting for X-rays. - Great. I'm caught up anyway. 424 00:19:27,375 --> 00:19:28,918 I'll be back when the next batch is ready. 425 00:19:29,001 --> 00:19:31,128 Dr. Robby, the guardian of your missing-fingers kid 426 00:19:31,212 --> 00:19:33,297 - in Central 12 has arrived. - Thank you, Olive. 427 00:19:33,381 --> 00:19:35,257 Will you ask Dr. Santos to come and meet me, too? 428 00:19:35,341 --> 00:19:36,926 - On it. - Who's in South 22? 429 00:19:37,009 --> 00:19:40,304 - Nobody. Headache was discharged. - Tell that to the lady on the bed. 430 00:19:40,388 --> 00:19:41,389 What lady? 431 00:19:41,472 --> 00:19:43,724 I just tried to put a hematuria patient in there, 432 00:19:43,808 --> 00:19:45,101 but it's occupied. 433 00:19:45,184 --> 00:19:46,644 - South 22? You sure? - I'm positive. 434 00:19:46,727 --> 00:19:47,812 That's my patient. 435 00:19:47,895 --> 00:19:50,022 Then why isn't she on the board? 436 00:19:50,815 --> 00:19:53,192 She should be. Olive was bringing her back from triage. 437 00:19:53,275 --> 00:19:55,528 I picked her right up. I just assumed she made it to the board. 438 00:19:55,611 --> 00:19:57,321 You should've checked. You should've made sure. 439 00:19:57,405 --> 00:19:58,531 I haven't put anybody on the board. 440 00:19:58,614 --> 00:20:01,117 - I thought the nurses did that. - We all need to pitch in. 441 00:20:01,200 --> 00:20:03,536 There's no rooms at the moment. Put hematuria on the wall. 442 00:20:03,619 --> 00:20:06,163 - Who's your patient? - Mrs. Burns, with nausea. 443 00:20:06,247 --> 00:20:07,998 - I've ordered labs and X-rays. - Who are you seeing her with? 444 00:20:08,082 --> 00:20:09,959 - I still need to present the case. - Get busy. 445 00:20:10,042 --> 00:20:12,420 Find somebody with MD after their name. 446 00:20:14,422 --> 00:20:16,215 Oh, God, kids. 447 00:20:18,217 --> 00:20:21,470 Hello, I'm Dr. Robby. This is Dr. Santos. 448 00:20:21,554 --> 00:20:22,930 - Chantal. - How do you do? 449 00:20:23,013 --> 00:20:25,850 - We've been caring for your brother. - Are you Jude's legal guardian? 450 00:20:25,933 --> 00:20:26,976 Yeah. 451 00:20:27,059 --> 00:20:28,769 Our parents aren't around. 452 00:20:29,770 --> 00:20:32,148 - Is he going to be okay? - He got very lucky. 453 00:20:32,231 --> 00:20:35,401 He lost the fourth and fifth fingers on his nondominant hand. 454 00:20:35,484 --> 00:20:38,195 But if he hadn't dropped the firecracker, it would have been a lot worse. 455 00:20:38,279 --> 00:20:40,865 He lost fingers from a firecracker? 456 00:20:40,948 --> 00:20:43,033 Will he be able to use his hand? 457 00:20:43,117 --> 00:20:45,536 Yes, he still has his three most important fingers, 458 00:20:45,619 --> 00:20:47,121 and they are fully functional. 459 00:20:47,204 --> 00:20:50,040 He'll need surgery to clean everything up, but it should heal well. 460 00:20:50,791 --> 00:20:53,794 - What the fuck were you thinking? - I'm sorry. 461 00:20:53,878 --> 00:20:56,797 Alex asked me to come over. His brother had a stack of fire-- 462 00:21:01,260 --> 00:21:03,137 You think I wanted to blow my hand off? 463 00:21:03,220 --> 00:21:04,805 Then you need to listen to me when I tell you something. 464 00:21:04,889 --> 00:21:07,183 - You're not my mom. - You think I want to be your mom? 465 00:21:07,266 --> 00:21:09,435 Chantal, why don't we take a step outside? 466 00:21:13,898 --> 00:21:16,609 So I know that this can be very stressful. 467 00:21:16,692 --> 00:21:18,611 Yeah, he almost lost his hand being stupid. 468 00:21:18,694 --> 00:21:20,613 - He's a really sweet kid. - He used to be. 469 00:21:20,696 --> 00:21:22,656 We also found something in his blood work. 470 00:21:23,491 --> 00:21:26,494 - What? - He has a blood alcohol of 0.08. 471 00:21:28,120 --> 00:21:29,497 What, he was drunk? 472 00:21:29,580 --> 00:21:31,165 Are you fucking kidding me? 473 00:21:31,248 --> 00:21:33,793 - Does he drink regularly? - No. 474 00:21:35,294 --> 00:21:36,837 I don't know. 475 00:21:36,921 --> 00:21:40,633 The boys at our apartment complex are a really bad influence. 476 00:21:40,716 --> 00:21:43,636 - I mean, he's only 12. - That is what concerns us. 477 00:21:43,719 --> 00:21:47,097 A positive blood alcohol immediately triggers a social service consult. 478 00:21:47,181 --> 00:21:48,808 They gonna take my brother away from me? 479 00:21:48,891 --> 00:21:51,227 It's an evaluation to determine if the injury and the drinking 480 00:21:51,310 --> 00:21:53,854 - is cause for some kind of intervention. - I won't let you separate us. 481 00:21:53,938 --> 00:21:55,439 - We are required to-- - No! 482 00:22:05,699 --> 00:22:07,076 58-year-old woman with nausea, 483 00:22:07,159 --> 00:22:09,578 vomited once after eating warm potato salad at a barbecue. 484 00:22:09,662 --> 00:22:10,579 Well-hydrated. 485 00:22:10,663 --> 00:22:13,541 Abdomen's pretty benign, just a little distended with mild tenderness. 486 00:22:13,624 --> 00:22:15,751 History of constipation. I give her Zofran. 487 00:22:15,835 --> 00:22:17,545 Labs and abdominal series pending. 488 00:22:17,628 --> 00:22:19,755 - Okay, let's take a look. - Okay. 489 00:22:19,839 --> 00:22:21,090 Hi, Mrs. Burns. 490 00:22:21,173 --> 00:22:22,967 This is Dr. Whitaker. How are you feeling? 491 00:22:23,968 --> 00:22:24,969 Mrs. Burns? 492 00:22:26,011 --> 00:22:28,222 Mrs. Burns, can you open your eyes for me? 493 00:22:28,305 --> 00:22:29,682 She was awake and alert last time I saw her. 494 00:22:29,765 --> 00:22:32,810 Okay, feels warm, thready pulse. 495 00:22:32,893 --> 00:22:34,645 Abdomen's more distended than before. 496 00:22:34,728 --> 00:22:36,772 Okay, agonal respirations. 497 00:22:36,856 --> 00:22:38,732 - She's hardly breathing. - It's kind of rigid. 498 00:22:38,816 --> 00:22:41,944 Yeah, yeah, Perlah, we need a crash cart. Can you call respiratory? 499 00:22:42,027 --> 00:22:44,488 - Pull the bed out for intubation, please. - Yeah. 500 00:22:44,572 --> 00:22:45,990 I can give you guys some room. 501 00:22:46,991 --> 00:22:48,284 - Okay. - What's up? 502 00:22:48,367 --> 00:22:50,911 Hypotensive, acute abdomen. She needs an airway. 503 00:22:50,995 --> 00:22:52,997 - I'll find the GlideScope. - No time for that. 504 00:22:53,080 --> 00:22:54,373 We've got direct on the crash cart. 505 00:22:54,456 --> 00:22:56,125 - Whitaker, you're up. - I haven't done many directs. 506 00:22:56,208 --> 00:22:57,293 Well, then you need to do more. 507 00:22:57,376 --> 00:22:59,795 - Induction meds? - 100 ketamine, 80 of raw. 508 00:22:59,879 --> 00:23:01,547 Javadi, what's the story? 509 00:23:02,464 --> 00:23:05,384 Presented with mild abdominal pain, took a turn for the worse. 510 00:23:07,344 --> 00:23:09,972 A-fib 122, BP 98 and systolic. 511 00:23:10,055 --> 00:23:11,724 Okay, let's bolus another 500 cc's. 512 00:23:11,807 --> 00:23:13,976 - We shocking her? - Maybe. After intubation. 513 00:23:14,059 --> 00:23:15,603 Check your light. Check your balloon. 514 00:23:15,686 --> 00:23:17,730 Javadi, AP pads in case we need to cardiovert. 515 00:23:17,813 --> 00:23:20,065 Normal EKG at triage. She wasn't in A-fib. 516 00:23:20,149 --> 00:23:22,401 Stress from her condition probably put her there. 517 00:23:22,484 --> 00:23:23,819 Good? Let's roll her. 518 00:23:23,903 --> 00:23:25,654 - Do we have any labs back? - I don't think so. 519 00:23:25,738 --> 00:23:28,407 - What else do we need? - Blood cultures. 520 00:23:28,490 --> 00:23:30,868 Lactate, 2 liters LR, 3.375 pip-tazo. 521 00:23:31,744 --> 00:23:33,829 Okay, she's loose. Go ahead, Whitaker. Take a look. 522 00:23:34,455 --> 00:23:35,623 Okay. 523 00:23:42,463 --> 00:23:45,257 Hi. I'm Dr. Santos. This is student doctor Kwon. 524 00:23:45,341 --> 00:23:48,677 - How are you doing after the mist? - Better than I was an hour ago. 525 00:23:48,761 --> 00:23:51,430 Okay, we are going to check your vitals. 526 00:23:53,641 --> 00:23:57,978 Temp is 100.2, and heart rate is 96. 527 00:23:58,062 --> 00:24:01,357 Okay, down from 101.5 and 120. Very good. 528 00:24:02,191 --> 00:24:04,360 You were out in the heat in that costume? 529 00:24:04,443 --> 00:24:07,279 Yeah, with about 18,000 of my friends. 530 00:24:07,363 --> 00:24:08,530 Were you at Anthrocon? 531 00:24:09,657 --> 00:24:12,576 - What's that? - Pittsburgh's annual furry convention. 532 00:24:12,660 --> 00:24:13,869 I go every year. 533 00:24:14,662 --> 00:24:15,621 Ever been? 534 00:24:16,664 --> 00:24:18,290 It's not really my scene. 535 00:24:19,166 --> 00:24:23,587 Yeah, furries get a bad rap, but there are great people in the community... 536 00:24:23,671 --> 00:24:27,216 creative, welcoming, funny. 537 00:24:27,299 --> 00:24:29,760 I actually met my girlfriend at last year's convention. 538 00:24:29,843 --> 00:24:31,470 Oh, that's cute. 539 00:24:31,553 --> 00:24:34,390 She gave me hope after struggling on the dating apps. 540 00:24:34,473 --> 00:24:37,393 Nice to hear that meeting people in real life still works. 541 00:24:37,476 --> 00:24:39,687 Wouldn't recommend it, especially at work. 542 00:24:40,813 --> 00:24:42,815 You should come to Anthrocon this weekend. 543 00:24:43,857 --> 00:24:46,235 Doesn't she need a fur suit for that? 544 00:24:46,318 --> 00:24:47,903 I think you'd make a good dragon. 545 00:24:51,991 --> 00:24:53,325 I'm in. 546 00:24:53,409 --> 00:24:54,743 Balloon up. 547 00:24:55,911 --> 00:24:57,454 Yep, bag her. 548 00:24:58,122 --> 00:24:59,123 Okay. 549 00:24:59,206 --> 00:25:01,875 - That was harder without video. - We won't always have video. 550 00:25:01,959 --> 00:25:04,461 A-fib now at 152. Blood pressure's down to 76 over 44. 551 00:25:04,545 --> 00:25:08,507 Okay, Javadi, sync mode. Javadi, sync mode, 200, please. 552 00:25:09,341 --> 00:25:11,135 Good end tidal waveform. 553 00:25:11,218 --> 00:25:13,721 Good breath sounds bilaterally. 554 00:25:14,930 --> 00:25:17,141 - Charged for cardioversion. - Everyone, clear. 555 00:25:21,520 --> 00:25:23,355 Normal sinus. Normal radial pulse. 556 00:25:25,524 --> 00:25:28,360 Good. Keep the fluids going. Let's see what labs are back on her. 557 00:25:30,946 --> 00:25:32,281 Nice. 558 00:25:32,364 --> 00:25:33,741 Very nice. 559 00:25:34,992 --> 00:25:37,953 - What did you order? - CBC, ER chem panel. 560 00:25:38,037 --> 00:25:40,539 - Something should be back. - Fax machine ran out of toner. 561 00:25:40,622 --> 00:25:43,167 - Check the chart. - There is no chart in slot 22. 562 00:25:43,250 --> 00:25:44,752 Check the orders rack. 563 00:25:45,753 --> 00:25:47,212 Nothing here either. 564 00:25:47,296 --> 00:25:49,173 Where's the chart for Claire Burns? 565 00:25:51,633 --> 00:25:54,636 Claire Burns, order slip. Never drawn, never sent off to the lab. 566 00:25:54,720 --> 00:25:56,388 That's cause the patient wasn't on the board. 567 00:25:56,472 --> 00:25:57,681 Nurses are working zones. 568 00:25:57,765 --> 00:25:59,892 If the patient's not on the board, they don't exist. 569 00:25:59,975 --> 00:26:02,478 - So they didn't shoot her X-ray? - X-ray downtime box is empty. 570 00:26:02,561 --> 00:26:04,897 - That means it was done. - Then it's on the portable machine. 571 00:26:04,980 --> 00:26:07,691 Last I saw, it was headed north. 572 00:26:07,775 --> 00:26:09,902 - Thanks, Dana. - Yep. 573 00:26:09,985 --> 00:26:12,696 - Hey, Kenny, can you wait up a sec? - If you need an X-ray, write the order. 574 00:26:12,780 --> 00:26:13,947 Fill out a downtime. 575 00:26:14,031 --> 00:26:16,700 - Did you shoot a KUB in South 22? - No. Maybe another tech did? 576 00:26:16,784 --> 00:26:19,912 Okay, can you flick through the films, look for a patient--Burns? 577 00:26:24,583 --> 00:26:26,919 - Oh, shit. - Oh, that is a classic sigmoid volvulus. 578 00:26:27,002 --> 00:26:28,712 - Peritoneal signs. - Okay, call the OR. 579 00:26:28,796 --> 00:26:30,464 She's going to need surgery ASAP. 580 00:26:39,431 --> 00:26:41,475 Urine shows three plus blood. 581 00:26:41,558 --> 00:26:42,601 No surprise. 582 00:26:43,477 --> 00:26:47,106 BUN and creatinine are normal. No evidence of renal insufficiency. 583 00:26:47,189 --> 00:26:48,857 I got a good look at the left kidney-- 584 00:26:48,941 --> 00:26:52,778 mild hydronephrosis consistent with ureteral column. 585 00:26:52,861 --> 00:26:55,114 - How was the rest of the ultrasound? - Normal. 586 00:26:55,197 --> 00:26:58,200 Pain improved after 15 ketorolac IM. 587 00:26:58,283 --> 00:27:00,452 Now you can give another 15 and observe. 588 00:27:03,080 --> 00:27:05,457 Just need you to cosign my order. 589 00:27:07,668 --> 00:27:09,378 Thank you. 590 00:27:09,461 --> 00:27:11,463 Something on your mind? 591 00:27:11,547 --> 00:27:14,091 Yeah, I saw this regular an hour ago. 592 00:27:14,174 --> 00:27:15,968 He's in his 60s, fakes an ailment 593 00:27:16,051 --> 00:27:18,387 so he can come in to chat every now and then 594 00:27:18,470 --> 00:27:20,389 because he's really lonely. 595 00:27:20,472 --> 00:27:22,391 You sure he just doesn't have a crush on you? 596 00:27:22,474 --> 00:27:24,977 Maybe, but it got me thinking about my mom. 597 00:27:25,060 --> 00:27:27,062 She's probably just been lonely. 598 00:27:27,771 --> 00:27:28,772 Yeah. 599 00:27:29,940 --> 00:27:33,986 You know, I haven't really dated since my divorce. 600 00:27:34,069 --> 00:27:36,780 Medical school, my kid, residency. 601 00:27:36,864 --> 00:27:38,991 And now I'm feeling finally kind of ready. 602 00:27:39,074 --> 00:27:42,411 I was waiting until I got back to Jersey to work on finding a relationship, 603 00:27:42,494 --> 00:27:44,329 and now that's out the window. 604 00:27:44,413 --> 00:27:46,498 Maybe I waited too long. 605 00:27:46,582 --> 00:27:47,666 For what? 606 00:27:47,749 --> 00:27:48,876 Do you hear that? 607 00:27:49,543 --> 00:27:53,672 That painful, lonely silence is the sound of my eggs dying. 608 00:27:57,885 --> 00:27:59,928 So the rash in North 3 has been discharged. 609 00:28:00,012 --> 00:28:02,806 The Tasered law student in Central 10 has gone up to psych. 610 00:28:02,890 --> 00:28:04,933 The eye stroke is now in the ICU. 611 00:28:05,017 --> 00:28:08,228 And the tongue laceration in South 15 is sobering up before we discharge, 612 00:28:08,312 --> 00:28:10,022 which better be soon because we need the room. 613 00:28:10,105 --> 00:28:12,608 Okay, I'll grab a med student and get more patients moving out. 614 00:28:12,691 --> 00:28:15,277 You're not fazed by any of this chaos? 615 00:28:15,360 --> 00:28:17,029 What a fucking mess. 616 00:28:17,112 --> 00:28:18,906 Jesus Christ, we need you. 617 00:28:20,115 --> 00:28:23,285 Monica Peters, this is our new attending, Dr. Al-Hashimi. 618 00:28:23,368 --> 00:28:25,245 - Welcome. - Thank you. 619 00:28:25,329 --> 00:28:27,456 Monica's a retired clerk, best of the best. 620 00:28:27,539 --> 00:28:29,249 She was kind enough to come in on a holiday 621 00:28:29,333 --> 00:28:30,626 and help get us back into shape. 622 00:28:30,709 --> 00:28:32,252 Laid off by the digital revolution, 623 00:28:32,336 --> 00:28:33,629 - not retired. - Okay. 624 00:28:33,712 --> 00:28:36,465 And how's all this digital shit working out for you now? 625 00:28:36,548 --> 00:28:39,051 - Not so good. - Exactly. 626 00:28:39,134 --> 00:28:42,054 All right, then, who's handling the charts and the orders? 627 00:28:42,137 --> 00:28:43,388 That's us, right here. 628 00:28:43,472 --> 00:28:45,265 How long have you been clerks? 629 00:28:45,349 --> 00:28:47,601 Just today. We're medical assistants. 630 00:28:47,684 --> 00:28:50,646 Then get out of my space and go do something you know how to do. 631 00:28:50,729 --> 00:28:54,274 And no personal calls. Red phones are for emergencies only. 632 00:28:54,358 --> 00:28:57,402 - This is a hospital, for God's sake. - I'll call you back. 633 00:28:57,486 --> 00:28:59,071 - Got a gumband? - Yeah. 634 00:28:59,154 --> 00:29:02,282 Hi. I'm Makedah from admin and records. I have a new badge for a Dr. Whitaker. 635 00:29:02,366 --> 00:29:04,493 Yeah. I'll get that to him. 636 00:29:04,576 --> 00:29:05,911 Heard you all need extra runners? 637 00:29:05,994 --> 00:29:08,288 - Perfect timing. - How fast can you move? 638 00:29:08,372 --> 00:29:10,040 - I run marathons. - Great. 639 00:29:10,123 --> 00:29:12,918 Grab the blood samples and the bin and get them up to the lab. 640 00:29:13,001 --> 00:29:15,254 I want a lab run every 15 minutes. 641 00:29:15,337 --> 00:29:16,338 Got it. 642 00:29:22,094 --> 00:29:24,304 I work at a shoe store in Oakland. 643 00:29:24,388 --> 00:29:27,683 - Full-time and you're in school? - Yes, and, yes. 644 00:29:27,766 --> 00:29:29,393 Allegheny Community. 645 00:29:29,476 --> 00:29:31,895 Does Jude go to summer school or camp 646 00:29:31,979 --> 00:29:34,481 while you're at work or school? 647 00:29:35,983 --> 00:29:37,693 Can't afford it. 648 00:29:37,776 --> 00:29:39,319 Are there any other family members 649 00:29:39,403 --> 00:29:41,738 that could help with his care when you're not available? 650 00:29:41,822 --> 00:29:42,823 No. 651 00:29:46,326 --> 00:29:49,746 Chantal, we want to help you, but we can't help if you won't talk to us. 652 00:29:50,414 --> 00:29:53,250 What, you're gonna take Jude away and put him in foster care? 653 00:29:54,209 --> 00:29:56,628 I promised my parents that would never happen. 654 00:29:57,212 --> 00:29:59,339 Did your parents pass away? 655 00:29:59,423 --> 00:30:00,882 Nope. 656 00:30:00,966 --> 00:30:02,426 What happened to them? 657 00:30:09,224 --> 00:30:12,352 My parents were deported to Haiti nine months ago. 658 00:30:14,980 --> 00:30:18,817 They went in for their immigration hearing and were detained. 659 00:30:20,444 --> 00:30:22,154 I was a sophomore at Ithaca. 660 00:30:22,237 --> 00:30:24,197 I had to move back home to take care of my brother. 661 00:30:25,949 --> 00:30:26,950 I'm sorry. 662 00:30:27,826 --> 00:30:31,038 It was either that, or he moved back to Haiti with them. 663 00:30:32,247 --> 00:30:33,832 He's never been there. 664 00:30:34,791 --> 00:30:36,918 We were both born here. 665 00:30:39,838 --> 00:30:43,175 My mom was so excited when I got into college. 666 00:30:43,258 --> 00:30:45,302 She worked so hard 667 00:30:45,385 --> 00:30:48,263 to save up and pay my tuition. 668 00:30:48,347 --> 00:30:51,933 And now all she wants is for my brother to finish high school. 669 00:30:54,686 --> 00:30:58,482 Man, being a big sister's a lot easier than being a surrogate mom. 670 00:31:01,360 --> 00:31:04,654 Just give us a moment, please, and I'll come grab you when we're done. 671 00:31:09,201 --> 00:31:11,661 Do we really need to get family services involved? 672 00:31:11,745 --> 00:31:13,663 You wanted to get them involved this morning 673 00:31:13,747 --> 00:31:15,290 with your eight-year-old ITP patient. 674 00:31:15,957 --> 00:31:18,627 That's different. Abuse trumps neglect. 675 00:31:18,710 --> 00:31:21,296 We can't separate her from her brother. It's not right. 676 00:31:21,838 --> 00:31:23,715 A lot of what happens to people around here isn't right. 677 00:31:29,721 --> 00:31:32,808 McKay, patient's complaining of pain. 678 00:31:32,891 --> 00:31:33,892 Yeah. 679 00:31:35,435 --> 00:31:39,898 - Hey, Amaya. What's going on? - Oh, it really fucking hurts again. 680 00:31:39,981 --> 00:31:42,025 Hey, Jesse, can you grab Whitaker? 681 00:31:42,109 --> 00:31:44,236 - When did it get bad? - Two minutes ago. 682 00:31:44,319 --> 00:31:46,655 Giving you some morphine to take the edge off. 683 00:31:46,738 --> 00:31:50,033 - How severe, 1 to 10? - 12. It's way worse. 684 00:31:50,117 --> 00:31:51,034 Okay. 685 00:31:51,118 --> 00:31:54,037 Hey, Amaya, the meds will kick in, and we'll get you back on the foot rest 686 00:31:54,121 --> 00:31:55,997 to see what's going on, okay? 687 00:32:01,920 --> 00:32:04,714 I had to call her husband in New York to get consent. 688 00:32:04,798 --> 00:32:05,799 Okay. 689 00:32:05,882 --> 00:32:07,759 Dr. Shamsi will be operating. 690 00:32:08,301 --> 00:32:10,929 If she presented with peritoneal signs, why wasn't I called? 691 00:32:11,888 --> 00:32:14,516 There was a delayed presentation. 692 00:32:14,599 --> 00:32:17,269 The X-ray was shot an hour ago. Why didn't anybody read it? 693 00:32:17,352 --> 00:32:19,271 There was confusion with the digital systems down. 694 00:32:19,354 --> 00:32:21,440 It wasn't read. We didn't get a report. 695 00:32:21,523 --> 00:32:25,735 An hour ago, I could have fixed this in 60 seconds with a rectal tube. 696 00:32:25,819 --> 00:32:27,487 Now she needs major surgery. 697 00:32:28,155 --> 00:32:30,198 - I'm sorry. - Not good enough, nepo baby. 698 00:32:30,282 --> 00:32:31,408 You fucked up. 699 00:32:31,491 --> 00:32:33,869 Don't trust anything or anybody else when the system's down. 700 00:32:35,787 --> 00:32:39,207 With all the chaos, she just fell through the cracks. 701 00:32:41,001 --> 00:32:42,794 She almost died. 702 00:32:44,171 --> 00:32:45,881 I could have killed her. 703 00:32:45,964 --> 00:32:47,090 - Whitaker. - No-- 704 00:32:47,174 --> 00:32:48,967 McKay needs you in Central 11. 705 00:32:50,010 --> 00:32:53,388 We caught it in time. We won't let it happen again, okay? 706 00:33:05,984 --> 00:33:08,403 Oh, Princess is looking for you. 707 00:33:09,446 --> 00:33:11,323 She said something about Monica under her breath, 708 00:33:11,406 --> 00:33:14,618 - but I couldn't make it out. - Okay, I'll be back in a sec. 709 00:33:14,701 --> 00:33:16,411 Hey. Hey. 710 00:33:17,829 --> 00:33:19,998 You did good with that sexual-assault victim. 711 00:33:21,249 --> 00:33:23,251 You were amazing with her. 712 00:33:23,335 --> 00:33:25,128 We do what we can to provide the best care 713 00:33:25,212 --> 00:33:28,006 to traumatized people in their darkest days. 714 00:33:29,341 --> 00:33:32,135 What'd you talk to her about when you took her out on the walk? 715 00:33:32,219 --> 00:33:33,428 I... 716 00:33:34,846 --> 00:33:36,556 ...told her there might be a time in the future 717 00:33:36,640 --> 00:33:40,227 when she changes her mind, wants to press charges. 718 00:33:41,645 --> 00:33:44,189 It's better to have the option to do it than not. 719 00:33:44,272 --> 00:33:45,440 Smart. 720 00:33:48,610 --> 00:33:50,153 Is every day like this? 721 00:33:50,237 --> 00:33:53,240 Minus the cyberattacks, yeah. 722 00:33:54,366 --> 00:33:58,036 But you're only a few hours away from being done with your first of many. 723 00:33:58,954 --> 00:34:00,372 Be proud of that. 724 00:34:07,462 --> 00:34:09,589 You're gonna want to be on a soft diet, 725 00:34:09,673 --> 00:34:12,551 so things like mashed potatoes, 726 00:34:12,634 --> 00:34:14,970 soup, mac and cheese are good. 727 00:34:15,053 --> 00:34:17,389 I was gonna make your favorite three-bean dip tonight. 728 00:34:17,472 --> 00:34:20,684 - Bitch, that is so nice. - See, I am nice. 729 00:34:21,476 --> 00:34:23,395 Could she have that? 730 00:34:23,478 --> 00:34:26,106 Yeah. Yeah, yeah, if you eat it with a spoon 731 00:34:26,189 --> 00:34:27,816 rather than anything, like, crunchy 732 00:34:27,899 --> 00:34:29,484 that could work its way into the laceration. 733 00:34:30,485 --> 00:34:32,696 So she'll need to be spoon-fed? 734 00:34:34,281 --> 00:34:35,824 Antibiotics three times a day. 735 00:34:35,907 --> 00:34:38,159 Come back here in two days for a wound check. 736 00:34:38,243 --> 00:34:39,911 See you then, Doctor. 737 00:34:42,080 --> 00:34:44,708 Checking blood flow to the ovary. 738 00:34:49,421 --> 00:34:52,215 - Something wrong? - Intermittent torsion. 739 00:34:52,299 --> 00:34:53,633 What's that? 740 00:34:53,717 --> 00:34:55,343 I'm coming out now. 741 00:34:56,428 --> 00:34:57,846 We will slide you back. 742 00:34:57,929 --> 00:34:59,431 Thanks. 743 00:34:59,514 --> 00:35:03,852 Your ovary is twisting and cutting off the blood supply. 744 00:35:03,935 --> 00:35:06,229 That's what's been causing your pain. 745 00:35:06,313 --> 00:35:09,524 You said the blood supply was fine before. 746 00:35:09,608 --> 00:35:12,110 Sometimes the ovary can twist randomly. 747 00:35:13,111 --> 00:35:16,114 In those cases, the pain can come and go. 748 00:35:17,115 --> 00:35:19,659 - Can you fix it? - With surgery. 749 00:35:19,743 --> 00:35:20,994 "Surgery"? 750 00:35:21,077 --> 00:35:22,871 The ovary needs to be untwisted 751 00:35:22,954 --> 00:35:25,874 and tacked down with a stitch so this doesn't happen again. 752 00:35:25,957 --> 00:35:28,543 If we can get you upstairs quickly, we can save it. 753 00:35:29,294 --> 00:35:31,129 I could lose my ovary? 754 00:35:32,339 --> 00:35:34,341 Will I still be able to have a baby? 755 00:35:34,424 --> 00:35:35,884 This shouldn't be an issue in the future. 756 00:35:35,967 --> 00:35:39,679 Dr. McKay made the right call to keep you in the ER for observation 757 00:35:39,763 --> 00:35:41,806 so we could catch it if the pain returned. 758 00:35:43,475 --> 00:35:45,268 Thank you. 759 00:35:45,352 --> 00:35:46,895 - I'll call GYN. - Yeah. 760 00:35:49,689 --> 00:35:51,608 Hey, welcome back. How was the trip? 761 00:35:51,691 --> 00:35:53,652 Smooth sailing. Presby's pretty nice. 762 00:35:53,735 --> 00:35:56,363 I might have to pick up some day shifts over there. 763 00:35:56,988 --> 00:35:58,406 Dr. Abbot's funny. 764 00:35:58,490 --> 00:35:59,908 Trust me, his charm wears off. 765 00:35:59,991 --> 00:36:01,993 - No, it doesn't. - He's not sedated? 766 00:36:02,077 --> 00:36:04,287 I gave him Versed for the CT scan on the ride back, 767 00:36:04,371 --> 00:36:06,247 but I figured he'd need to be awake and alert 768 00:36:06,331 --> 00:36:07,582 - to give consent. - "Consent"? 769 00:36:07,666 --> 00:36:09,167 Yep. We're going to get you settled. 770 00:36:09,250 --> 00:36:10,710 Why don't you page Garcia to come down? 771 00:36:10,794 --> 00:36:12,420 - Dr. Robby. - You got this? 772 00:36:12,504 --> 00:36:14,381 - You know I got it. - Yep. 773 00:36:15,006 --> 00:36:16,591 All right, Howard. 774 00:36:17,300 --> 00:36:20,845 Hey, I want to debrief with you later on your sigmoid volvulus patient. 775 00:36:20,929 --> 00:36:22,639 I finished with your fireworks kid's sister. 776 00:36:22,722 --> 00:36:23,556 And? 777 00:36:23,640 --> 00:36:25,266 She's a responsible young woman and a good guardian to Jude. 778 00:36:25,350 --> 00:36:27,894 There is no reason to get family services involved today. 779 00:36:27,977 --> 00:36:28,978 That's good. 780 00:36:29,062 --> 00:36:30,730 Because he's in the hospital for surgery, 781 00:36:30,814 --> 00:36:32,524 but they will most likely make a home visit next week 782 00:36:32,607 --> 00:36:35,735 to evaluate the safety of their apartment and the care that Chantal can provide, 783 00:36:35,819 --> 00:36:37,112 along with her other responsibilities. 784 00:36:37,195 --> 00:36:38,655 And then what? They take Jude? 785 00:36:38,738 --> 00:36:40,949 In my experience, they'll make the same assessment I did. 786 00:36:41,032 --> 00:36:42,450 They don't like to separate siblings. 787 00:36:43,535 --> 00:36:44,869 Anything else we can do for 'em? 788 00:36:44,953 --> 00:36:47,247 I'll get some resources together for Chantal-- 789 00:36:47,330 --> 00:36:48,748 summer after-school programs. 790 00:36:48,832 --> 00:36:51,543 But there might come a point when he'd be better off with his parents in Haiti. 791 00:36:51,626 --> 00:36:54,129 - His parents want him to stay here. - It's what's best for the child. 792 00:36:54,212 --> 00:36:55,964 - Says who? - Dr. Santos. 793 00:36:56,047 --> 00:36:57,215 Come on. 794 00:36:59,801 --> 00:37:02,053 Welcome back, Mr. Knox. What did we discover? 795 00:37:02,137 --> 00:37:04,639 Diverticular abscess that progressed to perforation, 796 00:37:04,723 --> 00:37:06,599 now with free air under the diaphragm. 797 00:37:06,683 --> 00:37:07,976 In English, please? 798 00:37:08,059 --> 00:37:11,813 There's a small hole in the colon that's spilling bacteria into the abdomen. 799 00:37:11,896 --> 00:37:14,983 You're likely to develop peritonitis and sepsis. 800 00:37:16,234 --> 00:37:18,361 - How bad? - You need surgery now. 801 00:37:18,445 --> 00:37:20,405 You have a 100% chance of death without it. 802 00:37:22,574 --> 00:37:23,867 With it? 803 00:37:26,369 --> 00:37:28,079 50% chance. 804 00:37:31,249 --> 00:37:34,377 - I could die? - Yes, but we're very good at what we do. 805 00:37:34,461 --> 00:37:37,255 That is what the consent is for. 806 00:37:37,881 --> 00:37:39,507 What about my sister? 807 00:37:39,591 --> 00:37:42,552 We found her. She'd like to speak with you. 808 00:37:42,635 --> 00:37:46,431 We don't have time for that. Any delay increases your mortality risks. 809 00:37:46,514 --> 00:37:48,892 I want to talk to my sister first. 810 00:37:52,729 --> 00:37:55,064 We're gonna make that happen for you. 811 00:37:55,815 --> 00:37:58,818 I'll have them prep an OR, but make it fast, very fast. 812 00:37:58,902 --> 00:38:00,945 Yeah. We're on the move again, Howard. 813 00:38:16,503 --> 00:38:17,504 Hey. 814 00:38:20,298 --> 00:38:22,300 The ice cream party over? 815 00:38:24,344 --> 00:38:25,512 Yes. 816 00:38:26,513 --> 00:38:28,306 Do you need anything? 817 00:38:31,518 --> 00:38:33,269 A time machine. 818 00:38:37,440 --> 00:38:39,317 That'd be nice, wouldn't it? 819 00:38:44,030 --> 00:38:47,075 I don't even know what hurts more... 820 00:38:47,742 --> 00:38:49,744 ...the cancer or... 821 00:38:52,539 --> 00:38:55,625 ...knowing I'm never gonna see my sons grow up. 822 00:38:58,294 --> 00:39:00,421 It feels like a cruel joke. 823 00:39:02,215 --> 00:39:06,761 Why give me children and a husband I adore 824 00:39:06,845 --> 00:39:08,972 if you're just gonna take them away from me? 825 00:39:10,974 --> 00:39:13,977 For what? Fucking lung cancer. 826 00:39:17,313 --> 00:39:18,982 I didn't even smoke. 827 00:39:27,365 --> 00:39:29,117 Do you believe in God? 828 00:39:31,661 --> 00:39:33,621 I like the concept. 829 00:39:37,792 --> 00:39:39,794 I'm sure you've seen a lot of death. 830 00:39:41,170 --> 00:39:43,006 I have seen my share. 831 00:39:46,009 --> 00:39:47,802 Any advice? 832 00:39:53,391 --> 00:39:55,810 I've never died before. 833 00:40:05,653 --> 00:40:07,530 Hey, sorry. We're outside. 834 00:40:07,614 --> 00:40:12,201 There's no cell service inside right now, but here he is. 835 00:40:14,621 --> 00:40:17,624 Oh, my God. Are you all right? 836 00:40:19,751 --> 00:40:22,420 Been better. You look beautiful. 837 00:40:23,838 --> 00:40:25,465 Thank you. 838 00:40:25,548 --> 00:40:27,467 You're not looking so hot. 839 00:40:29,886 --> 00:40:31,846 Thank you for calling back. 840 00:40:34,641 --> 00:40:36,059 Of course. 841 00:40:36,643 --> 00:40:39,103 I'm sorry that it's been this long. 842 00:40:39,646 --> 00:40:42,065 All the stuff with Dad and the drinking, I... 843 00:40:43,274 --> 00:40:45,151 I had to do what was best for me and Tommy. 844 00:40:46,319 --> 00:40:47,862 How is Tommy? 845 00:40:48,821 --> 00:40:52,700 Starting his junior year in high school next month, 846 00:40:52,784 --> 00:40:55,453 16 and already has a girlfriend. 847 00:40:58,164 --> 00:41:00,083 Takes after his uncle. 848 00:41:02,502 --> 00:41:06,631 Maybe we can make a plan for you to see each other over the holidays. 849 00:41:11,094 --> 00:41:12,428 I'd love that. 850 00:41:14,472 --> 00:41:16,182 Is the doctor there? 851 00:41:18,267 --> 00:41:19,394 Hi, I'm Dr. Abbot. 852 00:41:19,477 --> 00:41:21,145 Can you call me when he gets out of surgery? 853 00:41:21,229 --> 00:41:23,231 Of course, but right now we need to get him up to the OR. 854 00:41:23,314 --> 00:41:24,565 I understand. Thanks. 855 00:41:25,108 --> 00:41:26,901 Talk to you soon, Howard. 856 00:41:29,487 --> 00:41:31,572 Oh, I forgot to tell him I love him. 857 00:41:32,740 --> 00:41:34,909 Oh, wow. Monica? 858 00:41:35,910 --> 00:41:38,329 - Welcome back. - Robinavitch. 859 00:41:39,247 --> 00:41:41,916 - Two for the lab, three for CT. - I'll take those. 860 00:41:42,000 --> 00:41:44,127 - They need me upstairs. - On it for CT. 861 00:41:44,752 --> 00:41:47,422 - You run a tight ship. - Well, it's a work in progress. 862 00:41:47,505 --> 00:41:49,841 - Is he going up? - Yeah. 863 00:41:49,924 --> 00:41:51,718 He's a good guy. 864 00:41:53,511 --> 00:41:55,722 Our surgeons will get him through. 865 00:42:00,518 --> 00:42:01,728 I like her. 866 00:42:02,729 --> 00:42:04,397 More than me? 867 00:42:04,480 --> 00:42:06,149 Only time will tell. 868 00:42:06,941 --> 00:42:09,068 - Yeah? - Yeah. 869 00:42:09,152 --> 00:42:11,362 She has good command of staff and procedures. 870 00:42:11,446 --> 00:42:14,615 I think you're leaving your day shift in very capable hands. 871 00:42:14,699 --> 00:42:16,117 I hope so. 872 00:42:16,200 --> 00:42:18,286 All right, I'm out of here, man. 873 00:42:18,369 --> 00:42:20,621 I got to be back in a few hours for my shift. 874 00:42:21,289 --> 00:42:23,082 Well, hey, if I don't see you... 875 00:42:23,750 --> 00:42:25,376 You're really doing this still? 876 00:42:26,169 --> 00:42:28,880 I don't think I can remember the last time you took three days off in a row. 877 00:42:28,963 --> 00:42:30,965 I've taken a vacation before. 878 00:42:32,216 --> 00:42:33,760 Name the last one. 879 00:42:36,804 --> 00:42:38,181 Point taken. 880 00:42:39,557 --> 00:42:42,393 It's gonna be a lot of time to self-reflect. 881 00:42:44,771 --> 00:42:46,189 You sure you can handle that? 882 00:42:49,192 --> 00:42:50,401 Okay. 883 00:42:51,235 --> 00:42:53,321 You just make sure you come back. 884 00:42:53,404 --> 00:42:55,990 And if it gets dark, you call me. 885 00:42:57,575 --> 00:42:58,743 You listening? 886 00:43:03,998 --> 00:43:06,125 So the ankle's negative for fracture. 887 00:43:06,209 --> 00:43:07,543 Wait, go back to the ankle. 888 00:43:08,419 --> 00:43:10,046 You see the normal mortise? 889 00:43:10,129 --> 00:43:13,132 Yeah, but the tibiofibular clear space looks enlarged, 890 00:43:13,216 --> 00:43:16,219 and the tibiofibular overlap seems reduced. 891 00:43:16,302 --> 00:43:17,595 Maybe a little. 892 00:43:19,680 --> 00:43:22,683 8 millimeters, 3 millimeters. 893 00:43:22,767 --> 00:43:25,103 Seems like a tear in the syndesmotic ligaments. 894 00:43:25,186 --> 00:43:26,938 Doesn't that need surgical fixation? 895 00:43:27,021 --> 00:43:30,024 They do. I can request an MRI. 896 00:43:31,442 --> 00:43:33,277 Have you done a radiology clerkship before? 897 00:43:33,361 --> 00:43:36,030 No, I'm just that good. 898 00:43:39,033 --> 00:43:40,618 I'm good at things, too. 899 00:43:51,879 --> 00:43:55,466 Really great work earlier today, Doctor. 900 00:43:59,470 --> 00:44:00,805 Oh, wow. 901 00:44:00,888 --> 00:44:04,392 - You can just call me Whitaker. - Not a chance. You earned that. 902 00:44:04,475 --> 00:44:06,894 I'm proud of you. We all are. 903 00:44:07,728 --> 00:44:08,771 Thank you. 904 00:44:08,855 --> 00:44:11,399 - Busy day. - Oh, yeah. 905 00:44:11,482 --> 00:44:14,402 So you're a very empathetic soul. 906 00:44:14,485 --> 00:44:16,445 - Yeah, I'd like to think-- - I'm not finished yet. 907 00:44:16,529 --> 00:44:18,781 And you want to be there for all your patients. 908 00:44:18,865 --> 00:44:19,907 Don't you? 909 00:44:20,658 --> 00:44:22,577 - Sorry. - So this relationship that you're having 910 00:44:22,660 --> 00:44:25,788 with this woman, the widow of the burn victim 911 00:44:25,872 --> 00:44:28,374 - who died last year. - Amy. 912 00:44:28,457 --> 00:44:29,876 Santos tell you? 913 00:44:30,668 --> 00:44:33,796 - I understand you're helping her out. - Yeah, on the farm. 914 00:44:33,880 --> 00:44:36,966 I grew up on one, and Amy's-- 915 00:44:37,049 --> 00:44:40,887 Mrs. Miller is getting pressure to sell, so I'm just helping out. 916 00:44:41,804 --> 00:44:44,891 - What about her friends and family? - Yeah, they're around. 917 00:44:45,683 --> 00:44:48,436 - Supporting her? - Yeah, I think they try to. 918 00:44:48,519 --> 00:44:50,897 But, mostly, she's just leaning on... 919 00:44:52,190 --> 00:44:53,357 ...me. 920 00:44:56,694 --> 00:44:59,906 I'm sure she's really grateful for everything that you do, 921 00:44:59,989 --> 00:45:01,908 but it's important to have boundaries. 922 00:45:02,825 --> 00:45:03,910 Yeah. 923 00:45:07,455 --> 00:45:09,123 Hey, you want to do me a favor? 924 00:45:10,917 --> 00:45:11,918 Yeah? 925 00:45:12,001 --> 00:45:13,419 You want to house-sit for me while I'm gone? 926 00:45:14,921 --> 00:45:18,758 You'd actually be helping me out, and you could save some money on rent. 927 00:45:20,051 --> 00:45:21,552 Are you being serious? 928 00:45:21,636 --> 00:45:24,555 No smoking, no parties, no pets, no babies, 929 00:45:24,639 --> 00:45:26,182 yours or anybody else's. 930 00:45:26,265 --> 00:45:28,351 - I don't have a baby. - No, but she does. 931 00:45:29,393 --> 00:45:32,271 I was going to ask Abbot, but he does nude yoga at sunrise, 932 00:45:32,355 --> 00:45:34,065 and I don't think some of my elderly neighbors 933 00:45:34,148 --> 00:45:35,816 would survive seeing that. 934 00:45:36,692 --> 00:45:39,862 Yeah. Yeah, that would be amazing-- 935 00:45:39,946 --> 00:45:43,199 the house-sitting, not seeing Abbot's naked yoga. 936 00:45:43,282 --> 00:45:45,868 If I don't come back, you got a swinging bachelor pad. 937 00:45:45,952 --> 00:45:47,078 Okay. 938 00:45:48,704 --> 00:45:50,081 Come find me before you leave. 939 00:45:50,164 --> 00:45:52,583 I'll give you my keys and the security code. 940 00:45:53,751 --> 00:45:55,503 Who's the joker that did this? 941 00:45:59,340 --> 00:46:00,424 We need some help out there. 942 00:46:00,508 --> 00:46:02,885 You two, make sure to double-check your work. 943 00:46:02,969 --> 00:46:04,679 Triage could use an extra hand. 944 00:46:04,762 --> 00:46:06,889 Princess, finish up here, then head that way. 945 00:46:06,973 --> 00:46:10,810 - Three for CT now. Should I run it over? - No. Keep taking off orders. 946 00:46:10,893 --> 00:46:12,937 CT's gonna get backed up if we wait on these. 947 00:46:13,020 --> 00:46:15,106 I know, but I can't waste a runner on that right now. 948 00:46:15,189 --> 00:46:16,524 Where'd you find a carrier sheet? 949 00:46:16,607 --> 00:46:19,860 Exactly where I filed it away ten years ago. 950 00:46:19,944 --> 00:46:23,614 - I thought that thing didn't work. - Can't receive, but it can send. 951 00:46:31,622 --> 00:46:34,333 Stay hydrated, preferably with electrolyte-rich drinks 952 00:46:34,417 --> 00:46:36,460 - like coconut water. - I'm not a fan of coconuts. 953 00:46:36,544 --> 00:46:38,045 Okay, Gatorade's also an option. 954 00:46:38,129 --> 00:46:40,381 Just avoid alcohol and caffeine, and I suggest wearing 955 00:46:40,464 --> 00:46:42,133 - light, breathable clothing. - Boring. 956 00:46:42,216 --> 00:46:45,678 Come back if your symptoms worsen, if you develop a headache or confusion. 957 00:46:45,761 --> 00:46:46,804 Okay. 958 00:46:48,222 --> 00:46:50,016 You sure about that? 959 00:46:52,143 --> 00:46:53,811 Hey, could you turn that up? 960 00:46:55,646 --> 00:46:58,482 ...have responded to a deadly waterslide collapse 961 00:46:58,566 --> 00:46:59,734 at a local water park. 962 00:46:59,817 --> 00:47:02,069 Now, we're told there's at least one fatality, 963 00:47:02,153 --> 00:47:03,279 with multiple injuries. 964 00:47:03,362 --> 00:47:06,741 Oh, shit. And they're all coming to us. 965 00:47:06,824 --> 00:47:09,243 Currently being airlifted to the hospital by heli--