1 00:00:21,420 --> 00:00:22,580 The man is in his element. 2 00:00:23,040 --> 00:00:26,980 What's he doing? An age -old ritual meant to capitalize off the unknown 3 00:00:26,980 --> 00:00:28,940 of Westbridge's current state of affairs. 4 00:00:31,080 --> 00:00:34,420 Whoever guesses the reason they went code black wins the pot. Ah, 5 00:00:34,780 --> 00:00:36,200 We didn't do this at the VA. 6 00:00:36,740 --> 00:00:41,900 Game? Of course. Now, how's this look to you? My wager is on flooding. They're 7 00:00:41,900 --> 00:00:44,120 going to be down for three hours, and we're going to get 20 of their patients. 8 00:00:44,680 --> 00:00:48,000 Put me down for flooding, four hours, and 30 patients. 9 00:00:48,990 --> 00:00:50,170 Okay, okay, okay. 10 00:00:50,510 --> 00:00:52,850 Hey, Dr. Robert, it looks like you've got some competition. Yes, it would 11 00:00:52,850 --> 00:00:56,290 that I do. All right, guys and gals, enough fun. We have people to take care 12 00:00:57,230 --> 00:00:59,730 Want to bring Langdon back from triage for the extra hands? 13 00:01:00,010 --> 00:01:03,110 No, I do not. I don't think that's necessary. We're doing just fine without 14 00:01:03,570 --> 00:01:04,569 You're the boss, boss. 15 00:01:15,370 --> 00:01:19,750 Hi, the doctor guy told me to put this mineral oil on my eye for 20 minutes. 16 00:01:19,810 --> 00:01:21,390 That was two hours ago. 17 00:01:21,850 --> 00:01:25,370 We're really busy, but we'll get to you. Oh, my God. Okay, when? 18 00:01:25,710 --> 00:01:27,930 I will check. Listen for your name to be called. 19 00:01:28,330 --> 00:01:29,450 Thanks. Next. 20 00:01:31,690 --> 00:01:35,150 Hi, I heard my brother was brought here. His name is Jackson Davis. 21 00:01:35,370 --> 00:01:36,370 Do you have ID? 22 00:01:36,470 --> 00:01:37,470 Yes, yes. 23 00:01:38,270 --> 00:01:40,950 I am his sister, Jada Davis. 24 00:01:43,840 --> 00:01:47,260 I'm sorry, I just, uh, my friend told me that he was brought in by Kansas 25 00:01:47,260 --> 00:01:50,220 police. There was some sort of fight that broke out at his school. Is he 26 00:01:50,380 --> 00:01:51,018 Is he here? 27 00:01:51,020 --> 00:01:51,939 Don't know, hon. 28 00:01:51,940 --> 00:01:53,580 Can you just tell me if he's a patient here? 29 00:01:53,820 --> 00:01:55,820 I'll check, take a seat, and I'll let you know. 30 00:01:57,240 --> 00:01:58,240 Okay. 31 00:01:58,660 --> 00:02:01,500 Next. Is Harlow feeling lightheaded or faint now? 32 00:02:05,040 --> 00:02:11,020 It's not as bad as it was before, but my head still hurts, and now my stomach 33 00:02:11,020 --> 00:02:11,869 does, too. 34 00:02:11,870 --> 00:02:14,070 What did she eat before she took her ibuprofen? 35 00:02:17,550 --> 00:02:20,050 My breakfast is my least favorite meal of the day. 36 00:02:25,590 --> 00:02:27,210 It's okay to look at me. 37 00:02:28,670 --> 00:02:31,450 I'm sorry. 38 00:02:32,910 --> 00:02:34,790 We're going to get started with some blood test. 39 00:02:37,870 --> 00:02:40,070 Is that baby from the bathroom going to be okay? 40 00:02:40,350 --> 00:02:41,350 She'll be fine. 41 00:02:41,420 --> 00:02:42,420 Uh, good news. 42 00:02:42,880 --> 00:02:47,860 No swab came back negative for COVID, influenza, and RSV. 43 00:02:48,300 --> 00:02:50,540 But a lot of other viruses can cause a cough. 44 00:02:50,840 --> 00:02:51,840 Lucky me. 45 00:02:52,140 --> 00:02:53,440 You can take off your mask. 46 00:02:54,180 --> 00:02:55,440 Bull socks, that 91? 47 00:02:57,100 --> 00:03:01,960 Your oxygen level is down since we checked you an hour ago, and your temp 48 00:03:01,960 --> 00:03:03,160 to 102 .4. 49 00:03:03,440 --> 00:03:04,680 Let's get you some Tylenol. 50 00:03:04,900 --> 00:03:07,220 Have you been outside today? It's already stifling. 51 00:03:07,770 --> 00:03:11,290 Could be heat -related, but we're going to take you back to the big ER for full 52 00:03:11,290 --> 00:03:12,290 evaluation. 53 00:03:12,770 --> 00:03:15,950 Can't you just write me a prescription for some medicine? 54 00:03:16,270 --> 00:03:17,730 I'm sure it's just a summer cold. 55 00:03:18,250 --> 00:03:19,590 Got somewhere to be? Work. 56 00:03:23,310 --> 00:03:29,790 I know it's Saturday, but I don't think I've had a day off since... Well, your 57 00:03:29,790 --> 00:03:30,810 holiday weekend starts now. 58 00:03:31,110 --> 00:03:32,110 Hey, Javadi. 59 00:03:32,370 --> 00:03:33,790 What are you doing for your birthday? 60 00:03:34,450 --> 00:03:35,450 Who told you? 61 00:03:35,690 --> 00:03:36,690 Work gets around. 62 00:03:37,460 --> 00:03:39,520 Nothing. I hate celebrating my birthday. 63 00:03:40,300 --> 00:03:41,800 You only turned 21 once. 64 00:03:42,160 --> 00:03:43,160 It's your birthday? 65 00:03:43,660 --> 00:03:46,420 That makes you a cancer, right? 66 00:03:47,080 --> 00:03:49,500 I didn't peg you for an astrology, girly. 67 00:03:50,100 --> 00:03:52,740 Yeah, I've been spending so much time around Santos. 68 00:03:53,200 --> 00:03:54,200 Yes, you have. 69 00:03:54,360 --> 00:03:57,540 I don't know how you guys do it. Live together and work together? 70 00:03:58,060 --> 00:03:59,320 It's my cross to bear. 71 00:04:00,040 --> 00:04:02,360 It can't be as bad as having to live with your parents. 72 00:04:02,840 --> 00:04:05,700 No, I haven't lived at home in years. I kind of miss it. 73 00:04:06,090 --> 00:04:08,670 I can tell. You've been spending a lot of time on that farm. 74 00:04:09,010 --> 00:04:12,050 Farm? Remember the burned farmer who came in last year? 75 00:04:12,290 --> 00:04:14,250 Propane tank exploded. He died in the ICU. 76 00:04:14,470 --> 00:04:19,250 Yeah, that was sad. Well, this guy has been playing house with his widow and 77 00:04:19,250 --> 00:04:20,250 their baby. 78 00:04:20,630 --> 00:04:24,210 Oh, that's messy. No, it's not like that, okay? 79 00:04:25,310 --> 00:04:28,910 I've been helping Amy out on the farm after her husband died, and she's a 80 00:04:28,910 --> 00:04:31,650 friend. She's just a friend. Sure, just a friend. 81 00:04:32,170 --> 00:04:33,390 With farm benefits. 82 00:04:33,790 --> 00:04:35,130 What are farm benefits? 83 00:04:35,720 --> 00:04:36,980 Oh, use your imagination. 84 00:04:37,780 --> 00:04:39,300 You ever see a milking machine? 85 00:04:39,600 --> 00:04:41,300 Oh, can we not talk about this, please? 86 00:04:41,600 --> 00:04:43,540 We're getting two runs. We've routed from Westbridge already. 87 00:04:43,760 --> 00:04:46,500 Chest pain and belly pain. Robbie wants you three out back. 88 00:04:46,780 --> 00:04:48,060 Thank you. Come on. 89 00:04:48,780 --> 00:04:52,260 Dr. Santo, making progress on your charting, I hope? 90 00:04:52,560 --> 00:04:53,560 Getting there. 91 00:04:53,900 --> 00:04:57,320 Deficient charts leave a gap for the providers who give continuity of care 92 00:04:57,320 --> 00:04:58,500 delays hospital billing. 93 00:04:58,960 --> 00:05:00,380 Oh, I'd hate to delay billing. 94 00:05:03,450 --> 00:05:05,110 Timely documentation is essential. 95 00:05:05,930 --> 00:05:07,570 Let's fix this before end of shift. 96 00:05:08,410 --> 00:05:09,410 I'm on it, boss. 97 00:05:09,870 --> 00:05:10,870 Good. 98 00:05:11,550 --> 00:05:14,310 You wouldn't want to repeat your R2 year again because of this. 99 00:05:18,490 --> 00:05:19,490 Fuck. 100 00:05:20,710 --> 00:05:22,470 God, it's humid as shit out here. 101 00:05:24,450 --> 00:05:25,450 It is. 102 00:05:25,950 --> 00:05:27,170 What's going on at Westbridge? 103 00:05:27,470 --> 00:05:28,329 They're closed. 104 00:05:28,330 --> 00:05:30,390 We're covering their paramedic runs until they come back up. 105 00:05:30,750 --> 00:05:32,490 As if a holiday weekend wasn't enough. 106 00:05:33,549 --> 00:05:35,370 So, Dr. Al Hashimi. 107 00:05:36,370 --> 00:05:39,310 Yes? Do we like her? 108 00:05:39,970 --> 00:05:41,610 She seems pretty cool so far. 109 00:05:41,890 --> 00:05:45,890 You're trying to gossip about an attending with an attending? Dr. Robbie 110 00:05:45,890 --> 00:05:46,910 mind, do you? 111 00:05:49,770 --> 00:05:52,790 Oh, uh, nice bike, by the way. Thank you. 112 00:05:53,150 --> 00:05:54,150 Yeah. 113 00:05:56,930 --> 00:06:01,130 Pamela Perry, 48, abdominal pain with vomiting after eating chile chiles with 114 00:06:01,130 --> 00:06:02,130 fried eggs. 115 00:06:02,190 --> 00:06:03,690 BP 108 over 64. 116 00:06:04,030 --> 00:06:05,030 Pulse 98. 117 00:06:05,090 --> 00:06:05,769 Good staff. 118 00:06:05,770 --> 00:06:09,990 Okay. Let's see how she feels with some Zofran and a liter wide open. Got it. 119 00:06:10,050 --> 00:06:11,470 How are you feeling, Miss Carrie? 120 00:06:11,830 --> 00:06:12,830 No, I'm so good. 121 00:06:17,750 --> 00:06:18,950 Who do we have here? 122 00:06:19,230 --> 00:06:20,230 John Samba, 54. 123 00:06:20,450 --> 00:06:23,950 Half an hour of left -sided chest pain. History of hypertension on lisinopril 124 00:06:23,950 --> 00:06:24,950 and Crestor. 125 00:06:25,340 --> 00:06:30,320 Stem relief with 2 -nitro, decent vitals, no STEMI on 12 -lead, gave him 126 00:06:30,320 --> 00:06:34,040 -futurable aspirin. Here, we're going to give you a full evaluation, sir. Oh, I 127 00:06:34,040 --> 00:06:35,040 am to die. 128 00:06:35,200 --> 00:06:37,880 God willing, I will feel fairly good. 129 00:06:38,860 --> 00:06:42,580 What's the plan? Repeat 12 -lead, check the troponin, admit for new onset 130 00:06:42,580 --> 00:06:44,620 angina. Value A for P, aortic dissection. 131 00:06:44,900 --> 00:06:45,679 It goes without saying. 132 00:06:45,680 --> 00:06:47,340 Sounds good. I'm a minute behind you. 133 00:07:02,830 --> 00:07:03,789 And who do we have here? 134 00:07:03,790 --> 00:07:07,890 Vince Cole, 23, fell through the skylight of a florist shop, sent me down 135 00:07:07,890 --> 00:07:10,870 bunch of ferns, complained of headache, asking repetitive questions, and only 136 00:07:10,870 --> 00:07:11,809 response to pain. 137 00:07:11,810 --> 00:07:18,090 Multiple acts in the glass, BP 118 over 72, pulse 98, stop 99 on 5 liters, no 138 00:07:18,090 --> 00:07:20,290 meds, no allergy. Hey Vince, how'd you fall through a skylight? 139 00:07:21,050 --> 00:07:22,050 Vince! 140 00:07:22,410 --> 00:07:23,410 Were you with him? 141 00:07:23,530 --> 00:07:25,890 Yeah, we were parkouring and he overshot a congola. 142 00:07:26,250 --> 00:07:28,870 What, like jumping off of buildings? People still do that? It's almost an 143 00:07:28,870 --> 00:07:29,709 Olympic sport. 144 00:07:29,710 --> 00:07:31,190 Now we know why it isn't. 145 00:07:35,000 --> 00:07:37,860 People are equal and reactive. What do you got? A 10 -foot fall altered. 146 00:07:38,140 --> 00:07:39,140 That's a long way down. 147 00:07:39,340 --> 00:07:42,080 10 feet is the threshold for trauma center activation. 10 feet, 10 % 148 00:07:42,740 --> 00:07:44,960 0%. Anything over 0 % is a concern. 149 00:07:45,500 --> 00:07:47,000 Somebody's annoying and it's not me. 150 00:07:47,740 --> 00:07:49,220 Hey, you said two. You missed one. 151 00:07:50,360 --> 00:07:51,700 Sent you back up, didn't I? 152 00:07:52,100 --> 00:07:53,420 One, two, three. 153 00:07:54,560 --> 00:07:55,820 Thanks, guys. Good to see you. 154 00:07:57,500 --> 00:07:58,500 Hit the E -fast. 155 00:07:59,020 --> 00:08:00,620 Ogilvy, Joy, GCS, please. 156 00:08:01,020 --> 00:08:02,020 Open your eyes, sir. 157 00:08:03,930 --> 00:08:05,150 Two for eyes, two for verbal. 158 00:08:05,370 --> 00:08:07,910 Good lung sliding bilaterally. Do I finish GCS? 159 00:08:09,730 --> 00:08:10,730 Squeeze my hand. 160 00:08:12,530 --> 00:08:13,750 He gets a four from odor. 161 00:08:14,570 --> 00:08:18,450 Pulse box 99, heart rate 102, blood pressure 114 over 78. 162 00:08:18,710 --> 00:08:20,250 And E fast is negative. 163 00:08:20,730 --> 00:08:21,730 Music to my ears. 164 00:08:21,770 --> 00:08:23,270 Somebody shooting a documentary here? 165 00:08:23,470 --> 00:08:26,510 Whoa, whoa, whoa, you can't film in here. We've got patient privacy laws. 166 00:08:26,790 --> 00:08:28,190 Put them to your head. How'd it? 167 00:08:28,720 --> 00:08:32,419 Uh, can somebody show Spielberg here out to the waiting room and get her 168 00:08:32,419 --> 00:08:33,480 registered at triage, please? 169 00:08:33,700 --> 00:08:36,860 He's my creative partner. I have his written consent to film everything for 170 00:08:36,860 --> 00:08:37,739 TikTok page. 171 00:08:37,740 --> 00:08:40,539 Put the camera down. We have to drop this video for the fourth tonight. 172 00:08:40,740 --> 00:08:43,960 That literally means nothing to me. Sean, can you escort her out, please? 173 00:08:44,020 --> 00:08:46,880 Somebody will come and find you once he's stabilized. Thank you. I would have 174 00:08:46,880 --> 00:08:48,040 let her stay if she'd asked nicely. 175 00:08:49,120 --> 00:08:52,540 What is the story with surgery? You guys getting any Westbridge transfers yet? 176 00:08:52,620 --> 00:08:53,740 Not yet, but I'm sure it's coming. 177 00:08:54,840 --> 00:08:56,940 Pantheon heads for Pelvis. Let's get him to CP 8th up. 178 00:08:57,480 --> 00:08:59,620 Absent gag. We need to intubate before CT. 179 00:09:01,480 --> 00:09:02,480 Can I do it? 180 00:09:03,300 --> 00:09:05,960 I'm keeping a procedure log and I need more intubations on this rotation. 181 00:09:06,340 --> 00:09:07,680 If Dr. McCain wants to teach? 182 00:09:08,540 --> 00:09:09,540 Sure. 183 00:09:10,540 --> 00:09:14,540 Okay. I need suction, 802, batomidate, and sucks. End title, CO2. 184 00:09:15,180 --> 00:09:16,180 Ambitious. 185 00:09:16,720 --> 00:09:18,260 Reminds me of someone I know very well. 186 00:09:21,100 --> 00:09:22,100 Can you not? 187 00:09:23,380 --> 00:09:24,380 Yeah, sorry. 188 00:09:24,660 --> 00:09:25,660 Hot off the press. 189 00:09:28,660 --> 00:09:31,280 No STEMI. Doesn't need to go right to the cath lab. 190 00:09:34,240 --> 00:09:35,240 Orders are in. 191 00:09:35,260 --> 00:09:37,700 Whitaker, try another nitro and let me know when the troponin's back. 192 00:09:37,980 --> 00:09:39,040 Yeah. Hey, hey, Jesse? 193 00:09:39,380 --> 00:09:40,380 Yeah? 194 00:09:40,640 --> 00:09:44,120 Do you think you could repeat this, but with the chest leads on his back? 195 00:09:45,220 --> 00:09:46,220 Why? 196 00:09:46,440 --> 00:09:49,260 T waves were kind of high with ST depression anterior. 197 00:09:49,780 --> 00:09:53,360 We see ST depression all the time. Yeah, but... Could be a posterior MI. 198 00:09:53,680 --> 00:09:56,340 All right, run it by the attending. If they agree, we'll do it. 199 00:09:57,100 --> 00:09:58,100 Thank you. 200 00:09:58,620 --> 00:10:01,360 Victoria, if his CT is normal, he'll need an LP. 201 00:10:02,080 --> 00:10:03,080 Got it. 202 00:10:04,340 --> 00:10:05,340 Dr. Al -Hashimi? 203 00:10:05,760 --> 00:10:08,800 This is Jada Davis, Jackson's sister. Oh, thank you. Hi. 204 00:10:09,080 --> 00:10:10,080 Is he okay? 205 00:10:10,160 --> 00:10:11,440 And why is he asleep? 206 00:10:11,820 --> 00:10:15,620 He was uncooperative when he first arrived and needed to be sedated. 207 00:10:16,140 --> 00:10:18,640 Uncooperative? That doesn't make any sense. 208 00:10:19,160 --> 00:10:20,160 What happened? 209 00:10:20,330 --> 00:10:22,170 We're still trying to piece the story together. 210 00:10:22,530 --> 00:10:26,250 He was brought in by a campus security guard who tased him after he was 211 00:10:26,250 --> 00:10:27,710 allegedly combative and violent. 212 00:10:27,950 --> 00:10:31,230 Wait, what do you mean, tased him? We've treated his injury, and now we're 213 00:10:31,230 --> 00:10:33,550 trying to understand why he was so agitated. 214 00:10:34,190 --> 00:10:35,910 Okay, this doesn't sound like my brother. 215 00:10:36,290 --> 00:10:39,230 Well, his drug screen came back negative, so now we're taking Jackson to 216 00:10:39,230 --> 00:10:42,970 CT scan of his brain to look for any abnormalities. Can I go with him? You 217 00:10:42,970 --> 00:10:47,710 go into the CT, but you can wait for him to come back, and then we can discuss 218 00:10:47,710 --> 00:10:48,710 next step. 219 00:10:51,720 --> 00:10:54,660 Okay. Just did my first ER intubation. That's great, man. 220 00:10:54,860 --> 00:10:55,860 Such a prac. 221 00:10:55,880 --> 00:10:56,719 You got a second? 222 00:10:56,720 --> 00:11:00,420 What's up? A 12 lead on my chest pain patient shows no STEMI, but the anterior 223 00:11:00,420 --> 00:11:02,620 leads might be suspicious for a posterior MI. 224 00:11:03,820 --> 00:11:05,540 Uh, agreed. 225 00:11:05,760 --> 00:11:08,060 Yeah, I was going to repeat, but with the chest leads on the back. 226 00:11:08,260 --> 00:11:09,360 B7 through B9, good idea. 227 00:11:09,620 --> 00:11:10,620 Thank you. 228 00:11:13,260 --> 00:11:17,340 Hey, Dr. Robbie gave the go -ahead for the back leads. Sorry, man, I got to 229 00:11:17,340 --> 00:11:19,080 a reporter on a septic patient going to the ICU. 230 00:11:19,710 --> 00:11:21,530 Yeah. Is she today, huh? 231 00:11:21,830 --> 00:11:25,910 Uh, well, it's, uh, 10 .15. We're actually just getting started. 232 00:11:26,310 --> 00:11:27,790 Oh. There she is. 233 00:11:28,270 --> 00:11:32,050 Dr. Mohan. Uh, this is Lori Diaz, Orlando's wife. 234 00:11:32,250 --> 00:11:35,990 Thank you, Perla. Thank you. Hi, Mrs. Diaz. Hi. Let me take you to your 235 00:11:36,390 --> 00:11:37,390 Hi, mi amor. 236 00:11:38,210 --> 00:11:40,230 I'm sorry you have to be here alone. 237 00:11:40,670 --> 00:11:42,750 I miss my child's best friend. 238 00:11:43,670 --> 00:11:44,670 Anyway. 239 00:11:47,230 --> 00:11:48,530 Honor, get here. 240 00:11:49,000 --> 00:11:53,080 You fell at your construction site. A co -worker brought you in. He's a lot 241 00:11:53,080 --> 00:11:54,680 better, but doesn't remember anything. 242 00:11:54,960 --> 00:11:58,180 That's common after a concussion or DKA. 243 00:11:58,660 --> 00:12:02,900 DKA? It's a serious complication of your husband's diabetes. 244 00:12:03,140 --> 00:12:06,900 How serious? Can he go home? We still have to clear the ketones from his 245 00:12:06,900 --> 00:12:11,380 bloodstream. He'll need to be on an insulin drip for a while until things 246 00:12:11,380 --> 00:12:12,380 back to normal. 247 00:12:12,460 --> 00:12:13,980 Best if he stays in the hospital. 248 00:12:15,880 --> 00:12:16,880 It's okay, Mom. 249 00:12:17,420 --> 00:12:21,160 Things are headed in the right direction, Mrs. Diaz. He's going to be 250 00:12:24,460 --> 00:12:26,080 Sorry, I got to check his blood sugar. 251 00:12:27,020 --> 00:12:28,200 Oh, do you mind? 252 00:12:28,460 --> 00:12:29,460 Absolutely. 253 00:12:30,760 --> 00:12:35,460 So, the thing is, we don't have health insurance. 254 00:12:36,700 --> 00:12:39,820 So, I don't think that we can afford this. 255 00:12:41,540 --> 00:12:44,700 I'll have our case manager, Noel Hastings, come by. 256 00:12:45,230 --> 00:12:48,910 She's an expert in health insurance. She might have some options for you for 257 00:12:48,910 --> 00:12:49,910 coverage. 258 00:12:49,930 --> 00:12:50,930 Okay, thank you. 259 00:12:57,150 --> 00:12:58,690 Crap. What's wrong? 260 00:12:59,090 --> 00:13:01,130 Some of the leads aren't sticking here. 261 00:13:01,490 --> 00:13:02,590 I lay down now. 262 00:13:03,190 --> 00:13:04,190 I'm tired. 263 00:13:04,390 --> 00:13:05,410 Yeah, as soon as we're done here. 264 00:13:05,650 --> 00:13:09,310 Whitaker, Louie's all numb. His tooth is ready for you. That's great. Hey, I'm 265 00:13:09,310 --> 00:13:11,350 having some trouble here with adherence. 266 00:13:12,330 --> 00:13:13,530 Oh, of course you are. 267 00:13:15,340 --> 00:13:16,340 Try this. 268 00:13:16,500 --> 00:13:18,280 Yeah, that makes sense. 269 00:13:18,780 --> 00:13:24,460 You think you could... Do you mind if I paint some sticky stuff on you? 270 00:13:25,520 --> 00:13:28,860 If you must prolong the inevitable, so be it. 271 00:13:29,740 --> 00:13:31,220 You'll get to lie down afterwards. 272 00:13:32,200 --> 00:13:33,840 No success with the mineral oil. 273 00:13:34,320 --> 00:13:35,820 That's what I said. 274 00:13:36,620 --> 00:13:37,620 So now what? 275 00:13:38,140 --> 00:13:41,600 You can wait one to two weeks for the superglue to break down on its own. 276 00:13:42,160 --> 00:13:45,200 I'm hosting a Fourth of July party tonight. You want me to show up like 277 00:13:46,220 --> 00:13:51,200 The other option is I trim your eyelashes halfway down. That'll lower 278 00:13:51,200 --> 00:13:52,520 strength of the glue holding them together. 279 00:13:53,040 --> 00:13:54,040 Let's do that. 280 00:13:55,400 --> 00:13:56,400 Lie back, please. 281 00:14:01,440 --> 00:14:04,760 I need you to hold your head perfectly still. Keep your eye closed. 282 00:14:05,540 --> 00:14:06,600 My eye can't open. 283 00:14:07,100 --> 00:14:08,100 That's why I'm here. 284 00:14:08,300 --> 00:14:10,240 No, I mean your other eye, too. 285 00:14:15,599 --> 00:14:16,880 Okay, here we go. 286 00:14:17,940 --> 00:14:20,520 Perfect, Mr. Samba. All good here. 287 00:14:21,640 --> 00:14:22,640 Anything? 288 00:14:23,040 --> 00:14:24,040 Do you see? 289 00:14:24,440 --> 00:14:25,980 We'll put you down in a second. 290 00:14:27,960 --> 00:14:28,960 Holy shit. 291 00:14:29,700 --> 00:14:34,720 ST elevation V7, V8, V9. It's a posterior STEMI. 292 00:14:35,060 --> 00:14:36,060 What's that? 293 00:14:36,160 --> 00:14:37,620 It's the worst kind of heart attack. 294 00:14:37,900 --> 00:14:38,900 Mr. Samba? 295 00:14:40,580 --> 00:14:41,580 Mr. Samba? 296 00:14:41,900 --> 00:14:44,120 Hey, I could use a second set of hands here. 297 00:14:44,700 --> 00:14:46,020 Hold split V -tach. 298 00:14:46,260 --> 00:14:47,260 Start compression. 299 00:14:48,640 --> 00:14:49,640 Charging to 200. 300 00:14:52,240 --> 00:14:53,240 Okay, clear. 301 00:14:55,280 --> 00:14:56,280 Okay, resume compression. 302 00:14:57,760 --> 00:14:59,300 Code demi. It was posterior. 303 00:14:59,800 --> 00:15:00,800 Yeah, good call. 304 00:15:01,060 --> 00:15:03,080 You put the detox pads on? Yeah, just in case. 305 00:15:03,400 --> 00:15:04,400 Hold compressions. 306 00:15:08,640 --> 00:15:09,640 Normal sinus. 307 00:15:09,920 --> 00:15:10,919 All right. 308 00:15:10,920 --> 00:15:12,440 You got a strong posterior BP? 309 00:15:12,880 --> 00:15:14,200 All right, we'll prep him for cath lab. 310 00:15:15,660 --> 00:15:17,480 Hey, Mr. Samba. 311 00:15:18,080 --> 00:15:19,080 You're going to be okay. 312 00:15:19,600 --> 00:15:20,740 No pearly gates today. 313 00:15:21,200 --> 00:15:22,360 Really good pickup, whatever. 314 00:15:22,660 --> 00:15:23,660 Thank you. 315 00:15:24,600 --> 00:15:25,600 Ah. 316 00:15:26,600 --> 00:15:28,640 Has a patient ever flirted with you? 317 00:15:29,360 --> 00:15:30,360 Sure, why? 318 00:15:30,440 --> 00:15:31,860 There was this guy this morning. 319 00:15:32,560 --> 00:15:33,780 He turned out to be a criminal. 320 00:15:34,080 --> 00:15:37,100 But, yeah, it was a nice distraction from the deposition. 321 00:15:37,380 --> 00:15:38,700 He's still worried about that. 322 00:15:38,920 --> 00:15:41,820 Yep. Yeah, counting down the hours. There are five left, if you're 323 00:15:45,680 --> 00:15:46,680 Hi, Ms. Ronson. 324 00:15:47,100 --> 00:15:48,100 Felicia, please. 325 00:15:48,360 --> 00:15:49,460 Felicia. I'm Dr. 326 00:15:49,700 --> 00:15:51,200 King. This is my colleague, Dr. Santos. 327 00:15:51,640 --> 00:15:52,780 What brings you in today? 328 00:15:53,380 --> 00:15:56,900 I've had this pretty bad cough for a few days now. Do you smoke? Are you 329 00:15:56,900 --> 00:15:58,300 coughing up anything? Any chest pain? 330 00:15:58,580 --> 00:15:59,620 No, no, and no. 331 00:16:00,100 --> 00:16:02,880 I honestly think I picked it up at work. It was going around. 332 00:16:03,140 --> 00:16:04,140 Oh, where do you work? 333 00:16:04,160 --> 00:16:05,740 I'm in corporate at PNC Bank. 334 00:16:05,960 --> 00:16:06,960 Is that for a place? 335 00:16:07,380 --> 00:16:08,660 It could be an office bug. 336 00:16:08,860 --> 00:16:11,000 Or I got it from the gym. I'm there all the time. 337 00:16:16,200 --> 00:16:17,800 Do you have anything to ask, Dr. Santos? 338 00:16:19,480 --> 00:16:21,900 What? Do you have any questions to ask our patient? 339 00:16:22,200 --> 00:16:23,200 No, I'm good. 340 00:16:23,960 --> 00:16:24,960 Okay, what did you hear? 341 00:16:25,800 --> 00:16:27,780 Maybe some crackles at the right base. 342 00:16:28,600 --> 00:16:32,140 Okay, well, we're going to need a chest x -ray to check your lungs. 343 00:16:32,820 --> 00:16:33,820 Will that take long? 344 00:16:34,020 --> 00:16:36,200 Maybe I can still make it to the office. No, you shouldn't. 345 00:16:39,060 --> 00:16:40,560 You can go put the orders in. 346 00:16:44,910 --> 00:16:45,910 How are we doing in here? 347 00:16:46,370 --> 00:16:47,370 Oh, this is thrilling. 348 00:16:47,630 --> 00:16:50,390 Definitely worth $200 ,000 worth of student debt. 349 00:16:51,410 --> 00:16:55,310 Superficial ones get a scary strip. Full thickness, try Dermabond. How can you 350 00:16:55,310 --> 00:16:57,130 tell they need a suture? 351 00:16:57,510 --> 00:16:59,550 Joy. If the edges are under significant tension. 352 00:17:00,030 --> 00:17:01,490 I didn't realize your name was Joy. 353 00:17:01,870 --> 00:17:04,030 I'm going to have to tell my parents how trendy they were. 354 00:17:05,790 --> 00:17:09,710 CC, head, neck, chest, abdomen, pelvis, all normal. Lucky guy. 355 00:17:10,130 --> 00:17:11,130 Little boozy. 356 00:17:12,079 --> 00:17:15,420 Uh, pressure for two minutes, lidocaine and epi if that doesn't work. 357 00:17:16,099 --> 00:17:17,940 Are the admin orders in for surgical ICU? 358 00:17:18,440 --> 00:17:19,440 Fuck. 359 00:17:19,660 --> 00:17:20,660 What? 360 00:17:20,920 --> 00:17:21,920 This. 361 00:17:22,240 --> 00:17:23,240 Ah. 362 00:17:23,819 --> 00:17:24,940 Irrigation saline? 363 00:17:25,160 --> 00:17:26,460 It's just a small cut. 364 00:17:26,760 --> 00:17:30,000 It is a work -related blood exposure, which means you're a patient now. 365 00:17:30,220 --> 00:17:31,220 Are you serious? 366 00:17:31,320 --> 00:17:32,019 Needle stick? 367 00:17:32,020 --> 00:17:32,999 Piece of glass. 368 00:17:33,000 --> 00:17:34,000 Here you go. 369 00:17:36,590 --> 00:17:41,130 No past records on this guy. We don't know HIV or hepatitis status. I'll put 370 00:17:41,130 --> 00:17:44,830 orders in. HIV, antibody, hep B, surface, and hep C. 371 00:17:45,150 --> 00:17:46,710 She needs post -exposure medication. 372 00:17:47,190 --> 00:17:48,190 Maybe not. 373 00:17:48,210 --> 00:17:52,370 For occupational exposure, the rapid HIV test takes an hour or two. 374 00:17:52,910 --> 00:17:56,950 Subcutaneous puncture wound, no risk of joint or tendon involvement, elevate 375 00:17:56,950 --> 00:17:58,970 pressure, and then a band -aid. 376 00:17:59,170 --> 00:18:01,650 You can give yourself a dose of pep if you want while you're waiting for 377 00:18:01,650 --> 00:18:05,430 results. Start a chart, and I'll find another nurse for your blood draw. 378 00:18:06,010 --> 00:18:07,010 Great. 379 00:18:07,390 --> 00:18:09,890 Looks like we've got a couple more diverted from Westbridge. 380 00:18:10,170 --> 00:18:11,170 Any estimate on their downtime? 381 00:18:11,570 --> 00:18:12,570 Not yet. 382 00:18:14,450 --> 00:18:16,310 Time to pull Dr. Langdon from triage? 383 00:18:16,510 --> 00:18:19,770 No, no. First day back. I want to let him kind of ease into things. 384 00:18:21,190 --> 00:18:23,670 Understood. I'll keep an eye on it. Thank you very much. 385 00:18:25,030 --> 00:18:26,110 Thinking about changing your bet? 386 00:18:26,490 --> 00:18:28,270 I am just weighing my odds. 387 00:18:29,270 --> 00:18:30,249 Don't worry. 388 00:18:30,250 --> 00:18:32,230 I'll buy you a drink with my winnings. 389 00:18:38,570 --> 00:18:41,730 Your brother should be back shortly. There was little holdup at CT. 390 00:18:43,110 --> 00:18:45,210 Um, should I be worried? 391 00:18:46,050 --> 00:18:48,190 Let's wait and see what his test results say. 392 00:18:49,050 --> 00:18:52,830 It's just, um, it just doesn't make any sense. 393 00:18:53,670 --> 00:18:55,510 It doesn't sound like my brother at all. 394 00:18:55,770 --> 00:18:58,070 He's the friendliest guy I know. 395 00:18:58,370 --> 00:19:00,730 He never even gets angry. He barely yells. 396 00:19:01,130 --> 00:19:06,170 He's never had an episode like this in the past? No, or not that I know of. 397 00:19:06,840 --> 00:19:11,580 He's in a great relationship, and he's in law school because he wants to help 398 00:19:11,580 --> 00:19:12,580 people. 399 00:19:13,600 --> 00:19:20,340 He always tells me that I should follow my dreams, even if it means my parents 400 00:19:20,340 --> 00:19:21,340 may disown me. 401 00:19:24,100 --> 00:19:25,200 Should I call them? 402 00:19:25,700 --> 00:19:27,060 I think that's a good idea. 403 00:19:28,560 --> 00:19:30,120 This could be pretty serious. 404 00:19:35,780 --> 00:19:36,780 Thanks. 405 00:19:38,380 --> 00:19:45,080 The new radiologist is a 406 00:19:45,080 --> 00:19:46,080 hottie. 407 00:19:48,100 --> 00:19:51,940 His head CT is normal, as are his blood and urine tests. 408 00:19:52,220 --> 00:19:53,780 Then what's wrong with him? 409 00:19:54,300 --> 00:19:56,100 We're not sure yet. 410 00:19:56,300 --> 00:19:58,420 There is another test, a spinal tap. 411 00:19:58,920 --> 00:20:02,440 This could be an infection in the fluid that surrounds the brain, viral 412 00:20:02,440 --> 00:20:05,040 encephalitis. It can also cause... 413 00:20:05,639 --> 00:20:07,340 altered mental status and confusion. 414 00:20:08,620 --> 00:20:10,500 Can you treat it? If it is? 415 00:20:11,160 --> 00:20:12,160 Yes. 416 00:20:14,180 --> 00:20:15,180 Okay. 417 00:20:15,680 --> 00:20:19,180 Okay. I'll go find Dr. Al Hashimi and we'll do it together. 418 00:20:19,420 --> 00:20:20,440 Thank you. Of course. 419 00:20:25,400 --> 00:20:29,760 Just what we thought. It's a fracture of your coccyx. It's your tailbone. 420 00:20:30,360 --> 00:20:34,060 Now see, these pieces here should be lined up with that. 421 00:20:34,330 --> 00:20:35,330 heart here. 422 00:20:35,450 --> 00:20:36,590 Do I need surgery? 423 00:20:37,070 --> 00:20:38,810 No, no, no, these heal pretty well. 424 00:20:39,050 --> 00:20:40,670 But it'll take about six weeks. 425 00:20:42,750 --> 00:20:44,170 Six weeks? 426 00:20:44,990 --> 00:20:47,530 I have dinner dates every weekend. 427 00:20:48,830 --> 00:20:51,130 You can keep looking for dinner plans. 428 00:20:51,970 --> 00:20:55,970 Dinner starts at Pino's, the best Italian in town. 429 00:20:56,310 --> 00:21:02,070 A nightcap at my place usually follows, and then breakfast in bed. 430 00:21:04,430 --> 00:21:07,070 Well, in that case, you might need to take a little break. 431 00:21:09,150 --> 00:21:11,750 My greatest joy in life is my social calendar. 432 00:21:13,330 --> 00:21:20,250 Is there something else you 433 00:21:20,250 --> 00:21:21,250 can do? 434 00:21:22,250 --> 00:21:27,070 Well, there is a procedure to push the fragments back in place. 435 00:21:27,550 --> 00:21:28,990 It could help it heal faster. 436 00:21:29,490 --> 00:21:30,490 Now we're talking. 437 00:21:30,810 --> 00:21:33,210 It'll hurt pretty bad, but only for a second. 438 00:21:33,550 --> 00:21:34,550 I can take it. 439 00:21:36,450 --> 00:21:37,450 Okay. 440 00:21:38,550 --> 00:21:39,550 Back in the gown. 441 00:21:50,910 --> 00:21:51,930 How's it going over here? 442 00:21:53,170 --> 00:21:54,170 Better now. 443 00:21:57,010 --> 00:22:01,750 Oh, the x -ray. 444 00:22:02,360 --> 00:22:09,120 is back on your foot and no fracture so um ace wrap ice 445 00:22:09,120 --> 00:22:16,060 rest and elevate and you can take ibuprofen if you need it so that's it 446 00:22:16,060 --> 00:22:19,320 it's if it's too painful to bear weight we can give you crutches to use for a 447 00:22:19,320 --> 00:22:24,860 day or two so i won't be seeing you again as 448 00:22:24,860 --> 00:22:29,800 a patient no but it was nice meeting your brand 449 00:22:31,240 --> 00:22:33,020 It was nice meeting you too, Dr. McKay. 450 00:22:42,400 --> 00:22:42,840 I 451 00:22:42,840 --> 00:22:49,960 was 452 00:22:49,960 --> 00:22:54,820 going to go check out a few of the art galleries in Lawrenceville tonight. 453 00:22:55,580 --> 00:22:57,440 Have you been to that one on 40th and Butler? 454 00:22:58,260 --> 00:22:59,380 No, I was... 455 00:23:00,110 --> 00:23:01,950 Can I go by? Maybe around nine? 456 00:23:03,170 --> 00:23:04,170 Okay. 457 00:23:05,370 --> 00:23:06,730 Cool. Cool. 458 00:23:09,590 --> 00:23:13,530 Dude, I resuscitated that parkour guy and intimidated his dummy. I think I can 459 00:23:13,530 --> 00:23:15,890 handle this. It's best if you watch the first one. 460 00:23:16,890 --> 00:23:18,030 How's that tooth feeling? 461 00:23:18,430 --> 00:23:20,730 The whole side of my face is numb. 462 00:23:21,230 --> 00:23:22,430 That's how we like it. 463 00:23:23,350 --> 00:23:24,350 Okay. 464 00:23:24,810 --> 00:23:26,250 We've got a... 465 00:23:27,139 --> 00:23:33,460 Fluctuant gum line at... It's number 23, lateral incisor. An extension to an... 466 00:23:33,460 --> 00:23:34,460 Apical abscess. 467 00:23:35,040 --> 00:23:36,040 Right again. 468 00:23:36,180 --> 00:23:37,180 She's smart. 469 00:23:37,620 --> 00:23:40,340 Mm -hmm. Hook up the yank hour, get ready to retract the gum. 470 00:23:41,020 --> 00:23:45,220 Hey, Louie, this is a temporary fix, okay? You're gonna need to get that 471 00:23:45,220 --> 00:23:46,220 pulled by a dentist. 472 00:23:46,400 --> 00:23:47,780 Hey, you gonna find me one? 473 00:23:47,980 --> 00:23:49,400 We can have you talk to Dylan. 474 00:23:50,320 --> 00:23:51,440 Is Dr. 475 00:23:51,680 --> 00:23:52,680 Collins around? 476 00:23:52,840 --> 00:23:54,660 A sister always helps me out. 477 00:23:55,910 --> 00:23:58,290 Dr. Collins finished her residency. 478 00:23:58,750 --> 00:24:01,430 Took up a job in Portland as an attending physician. 479 00:24:01,930 --> 00:24:04,470 Portland? Yeah, I think that's where she's from. 480 00:24:04,870 --> 00:24:07,870 She's adopting a baby. Wanted to be closer to her family. 481 00:24:08,410 --> 00:24:10,270 Well, that's a beautiful thing. 482 00:24:10,530 --> 00:24:11,149 Where's that? 483 00:24:11,150 --> 00:24:12,150 Okay, ready? 484 00:24:14,790 --> 00:24:15,790 Okay. 485 00:24:16,050 --> 00:24:22,930 Three cc syringe, 20 gauge needle, entering at the juiciest part, aiming 486 00:24:22,930 --> 00:24:23,930 for the apex. 487 00:24:27,080 --> 00:24:31,500 So I'm out for culture? No, pen and pique for a few days. Books in the mouth 488 00:24:31,500 --> 00:24:32,500 old school. 489 00:24:32,960 --> 00:24:34,460 Just like me. 490 00:24:36,280 --> 00:24:39,120 Both parents work, but neither of them have health coverage? 491 00:24:39,700 --> 00:24:44,340 Orlando and his wife have multiple part -time jobs that don't offer insurance. 492 00:24:45,320 --> 00:24:46,460 Can they qualify for Medicaid? 493 00:24:46,800 --> 00:24:50,700 Unfortunately, no, because their combined annual income is over the 494 00:24:50,700 --> 00:24:52,240 threshold for a family of five. 495 00:24:52,460 --> 00:24:56,880 So they make too much money? And not enough at the same time. They live over 496 00:24:56,880 --> 00:25:00,600 poverty line, and yet they are still living paycheck to paycheck. 497 00:25:01,440 --> 00:25:06,140 I think their best option would be to buy private insurance through the 498 00:25:06,140 --> 00:25:08,060 Affordable Care Act. Thank you. 499 00:25:09,480 --> 00:25:10,980 My parents don't have insurance? 500 00:25:12,340 --> 00:25:13,840 I'm sorry, Anna. 501 00:25:14,410 --> 00:25:16,170 How much will it cost to keep my dad in the hospital? 502 00:25:17,130 --> 00:25:18,130 I don't know. 503 00:25:19,730 --> 00:25:22,550 But the ER visit alone will likely be in the thousands. 504 00:25:24,830 --> 00:25:26,190 We will figure something out. 505 00:25:27,010 --> 00:25:28,010 Okay? 506 00:25:32,830 --> 00:25:36,630 Purple top for the CBC, red top for chemistries and serologies. 507 00:25:37,610 --> 00:25:38,610 Okay. 508 00:25:40,310 --> 00:25:41,990 Ready? Uh, yeah. 509 00:25:42,640 --> 00:25:47,720 I can be a hard stick, so... I never have. 510 00:25:49,480 --> 00:25:50,480 Okay. 511 00:25:51,420 --> 00:25:55,100 One, two, three. 512 00:25:56,680 --> 00:25:57,700 Good blood return. 513 00:25:57,980 --> 00:25:58,599 Oh, my God. 514 00:25:58,600 --> 00:25:59,600 Half point one. 515 00:26:04,780 --> 00:26:06,720 You're supposed to release a tourniquet now. 516 00:26:07,000 --> 00:26:08,000 Right. Sorry. 517 00:26:12,010 --> 00:26:15,190 All right, lab won't take you without your initials, time, and dates, Ron. How 518 00:26:15,190 --> 00:26:15,949 are you feeling? 519 00:26:15,950 --> 00:26:19,230 PG. Hopefully I get to do this several times every day. 520 00:26:19,730 --> 00:26:20,730 All set. 521 00:26:23,030 --> 00:26:24,590 Keep some pressure here for a minute. 522 00:26:25,810 --> 00:26:26,970 Initials, time, and date. 523 00:26:29,550 --> 00:26:30,550 Cool. 524 00:26:33,730 --> 00:26:34,730 Shit. 525 00:26:36,950 --> 00:26:38,290 Environmental to north. 526 00:26:41,040 --> 00:26:42,040 How is he? 527 00:26:42,320 --> 00:26:43,320 He's stable. 528 00:26:43,380 --> 00:26:44,380 He's doing great. 529 00:26:45,160 --> 00:26:46,160 Doesn't look great. 530 00:26:47,980 --> 00:26:49,060 Is there brain damage? 531 00:26:49,580 --> 00:26:52,320 The head CT showed no bleeding or skull fracture. 532 00:26:52,820 --> 00:26:54,460 It's most likely a bad concussion. 533 00:26:54,780 --> 00:26:56,820 It's hard to know when he'll regain consciousness. 534 00:26:57,740 --> 00:26:58,840 Did he break any bones? 535 00:26:59,120 --> 00:27:00,099 We don't think so. 536 00:27:00,100 --> 00:27:01,860 He should thank those ferns. 537 00:27:02,700 --> 00:27:06,260 Chest and abdomen CT scans also showed no major internal injuries. 538 00:27:08,520 --> 00:27:09,520 What's that? 539 00:27:14,820 --> 00:27:17,500 We need respiratory therapy in here? 540 00:27:19,520 --> 00:27:20,520 Okay. 541 00:27:21,120 --> 00:27:22,120 One. 542 00:27:22,690 --> 00:27:23,910 Two, three, over. 543 00:27:24,290 --> 00:27:27,090 Is there a problem with the vent? No, he's bleeding from the back. I got a 544 00:27:27,090 --> 00:27:30,030 pronum to take a look. Back away, Tanya. One, two, three, up. 545 00:27:30,770 --> 00:27:32,750 One, two, three, over. 546 00:27:33,030 --> 00:27:34,050 Good. Oh, shit. 547 00:27:34,250 --> 00:27:37,090 Left flank area. Careful, careful, everybody. There might be glass. Three 548 00:27:37,090 --> 00:27:41,370 centimeters, simple laceration. Open a suture kit for a proline. It wasn't 549 00:27:41,370 --> 00:27:44,310 bleeding when we flipped it on arrival. No, but when we moved him around for CT, 550 00:27:44,390 --> 00:27:45,450 it might have rubbed off a clot. 551 00:27:45,750 --> 00:27:46,830 Slow venous oozing. 552 00:27:47,610 --> 00:27:48,930 Might need a figure of eight. 553 00:27:54,820 --> 00:27:57,600 Yeah, a little piece of glass in there. It's just under the skin. 554 00:27:57,840 --> 00:27:59,800 Does it look fragment? Yeah, I can move it around. 555 00:28:00,100 --> 00:28:01,440 Here, I'll pull it out. No, don't. 556 00:28:02,120 --> 00:28:03,200 Shit. Okay. 557 00:28:03,520 --> 00:28:05,020 It's bigger than I thought it. 558 00:28:05,240 --> 00:28:08,660 That looks arterial. Can I get support by far as I'm here, please? It's bigger 559 00:28:08,660 --> 00:28:09,539 than I thought it would be. 560 00:28:09,540 --> 00:28:13,100 I can push it back in. No! 561 00:28:13,340 --> 00:28:16,900 No, you've done enough damage. Should I keep pulling it out, then? Absolutely 562 00:28:16,900 --> 00:28:19,880 not. The glass was tamponading a vessel. Not anymore. 563 00:28:20,260 --> 00:28:21,400 BP's down. Pain surgery? 564 00:28:26,480 --> 00:28:27,480 How are you looking for you? 565 00:28:27,600 --> 00:28:28,600 Well, you found me. 566 00:28:29,420 --> 00:28:31,580 The X -ray came back on the lady with the cough. 567 00:28:31,920 --> 00:28:33,900 Weird and sultry. Have you seen it yet? 568 00:28:34,140 --> 00:28:35,760 I've been trying to catch up on my charting. 569 00:28:36,260 --> 00:28:37,260 Yep. 570 00:28:38,600 --> 00:28:41,100 Stringy right lower lobe. It looks like aspiration pneumonia. 571 00:28:42,940 --> 00:28:46,820 Think about it. How do oral and gastric fluids end up in lungs? 572 00:28:48,940 --> 00:28:52,600 Dysphagia, swallowing disorders. But she's not an old person choking on their 573 00:28:52,600 --> 00:28:54,320 food. Right. And there's protected vomiting. 574 00:28:54,970 --> 00:28:57,450 Maybe recent gastroenteritis, food poisoning. 575 00:28:58,290 --> 00:29:03,450 Yeah, or an eating disorder. 576 00:29:04,070 --> 00:29:05,290 And she's bulimic? 577 00:29:05,870 --> 00:29:08,510 And she's fixated on working out. 578 00:29:09,130 --> 00:29:11,910 Check the enamel behind her front incisors. 579 00:29:13,410 --> 00:29:18,650 If it's not in the differential, it won't be in the diagnosis. 580 00:29:20,390 --> 00:29:21,390 You know that? 581 00:29:21,910 --> 00:29:23,050 Yeah, you know that. 582 00:29:30,000 --> 00:29:31,000 Nice job on the tap. 583 00:29:31,180 --> 00:29:32,180 Thanks. 584 00:29:32,620 --> 00:29:36,680 Hi. You called for a consult on Jackson Davis? Yeah, we did. 585 00:29:37,700 --> 00:29:39,500 I'll let Victoria present the case. 586 00:29:41,600 --> 00:29:45,300 This is Jada, Jackson's sister. This is Dr. Jefferson from psychiatry. 587 00:29:46,320 --> 00:29:48,700 Psychiatry? Do you think this is a mental health problem? 588 00:29:48,960 --> 00:29:50,540 We thought it best to cover all our bases. 589 00:29:50,820 --> 00:29:52,980 We'll know more once I speak with your brother. 590 00:29:53,920 --> 00:29:54,920 Okay. 591 00:29:56,700 --> 00:29:57,700 Hi, Jackson. 592 00:29:59,570 --> 00:30:00,850 Jackson, can you wake up? 593 00:30:02,450 --> 00:30:04,610 Jackson. Faith said he's sedated. 594 00:30:07,510 --> 00:30:08,670 I'll come back a little later. 595 00:30:11,750 --> 00:30:12,750 Well, that was fast. 596 00:30:12,910 --> 00:30:16,930 Yeah, next time, maybe wait until the patient wakes up before calling me down. 597 00:30:17,890 --> 00:30:20,750 Psychiatrists do best when we can actually talk to our patients. 598 00:30:22,530 --> 00:30:23,850 I got a little ahead of myself. 599 00:30:24,650 --> 00:30:25,650 Will do. 600 00:30:26,810 --> 00:30:27,810 Thank you. 601 00:30:30,870 --> 00:30:32,950 Sorry. Pressure's up with one unit type specific. 602 00:30:36,070 --> 00:30:38,250 What the fuck? He was stable. Light change in status. 603 00:30:38,670 --> 00:30:39,710 Okay, get the clamp ready. 604 00:30:40,510 --> 00:30:42,030 Who's the genius who pulled that out? 605 00:30:42,930 --> 00:30:44,330 I thought it was a loose fragment. 606 00:30:45,110 --> 00:30:46,970 Next time, leave the decisions to the adult. 607 00:30:47,290 --> 00:30:48,630 Okay, Dick. Okay, ready to go? 608 00:30:53,850 --> 00:30:54,850 Whoa. 609 00:30:55,730 --> 00:30:56,870 It's like an icicle. 610 00:30:57,190 --> 00:30:58,190 Christmas in July. 611 00:30:58,890 --> 00:31:00,370 Hey, Sophie, can you answer that? 612 00:31:01,590 --> 00:31:06,350 Okay, I am injecting the XSAT. What is that? It's a syringe filled with tiny, 613 00:31:06,430 --> 00:31:09,930 rapid -expanding hemostatic sponges. Okay, got it. Thanks. 614 00:31:10,530 --> 00:31:12,650 Radiology attending says the resident missed something. 615 00:31:12,910 --> 00:31:16,210 There's a radiopaque foreign body in the left paralumbar musculature. 616 00:31:16,630 --> 00:31:17,630 Not anymore. 617 00:31:17,830 --> 00:31:20,070 Sounds like first week in July syndrome. 618 00:31:20,310 --> 00:31:21,310 Mm -hmm. 619 00:31:21,730 --> 00:31:22,730 Okay. 620 00:31:23,890 --> 00:31:27,170 That looks pretty dry. On the surface. 621 00:31:27,740 --> 00:31:29,100 Okay, let's turn him back and down. 622 00:31:30,020 --> 00:31:33,420 Okay. One, two, three, over. 623 00:31:34,020 --> 00:31:35,820 One, two, three, flip. 624 00:31:36,620 --> 00:31:38,680 One, two, three, down. 625 00:31:39,380 --> 00:31:40,299 All right. 626 00:31:40,300 --> 00:31:44,100 CT is ready to rescan. Interventional radiology is holding him room. Look at 627 00:31:44,100 --> 00:31:45,140 you, so on top of things. 628 00:31:45,900 --> 00:31:47,060 Hasta la proxima. 629 00:31:47,640 --> 00:31:48,800 How are you doing over here? 630 00:31:50,200 --> 00:31:51,200 Definitely not great. 631 00:31:52,000 --> 00:31:53,940 All right, well, let's get you a ginger ale. 632 00:31:54,410 --> 00:31:58,190 So we never, ever remove a deep foreign body in the ER. We always leave that to 633 00:31:58,190 --> 00:31:59,850 surgery. It won't happen again. 634 00:32:01,810 --> 00:32:03,530 I was just coming to find you. 635 00:32:03,890 --> 00:32:04,890 Sure you were. 636 00:32:04,970 --> 00:32:09,270 It's almost like you're avoiding me. Me? Never. No, just having one of those 637 00:32:09,270 --> 00:32:13,030 busy days, you know, living the dream, saving America's tired, poor, huddled 638 00:32:13,030 --> 00:32:14,470 masses yearning to breathe free. 639 00:32:14,670 --> 00:32:15,489 You're a saint. 640 00:32:15,490 --> 00:32:17,310 I tell myself that every day. 641 00:32:17,570 --> 00:32:21,330 I heard you had a motorcycle crash come through about an hour ago. 642 00:32:21,530 --> 00:32:22,530 Yeah. 643 00:32:23,129 --> 00:32:24,129 Couldn't save him. 644 00:32:24,950 --> 00:32:26,370 I know he was not wearing a helmet. 645 00:32:27,290 --> 00:32:31,490 Interesting. One motorcycle crash is not going to scare me off on a trip. I 646 00:32:31,490 --> 00:32:32,490 didn't say it should. 647 00:32:33,330 --> 00:32:35,690 I hope he died doing what he loved. 648 00:32:36,310 --> 00:32:38,230 That's optimistic. 649 00:32:39,370 --> 00:32:40,550 Glass half full, kind of good. 650 00:32:43,130 --> 00:32:45,210 I am not on your couch. I'm aware. 651 00:32:46,010 --> 00:32:48,090 Conflict of interest, dear. Why, because we're friends? 652 00:32:48,510 --> 00:32:49,510 Oh, look at you. 653 00:32:50,130 --> 00:32:51,430 Using the F -words. 654 00:32:52,580 --> 00:32:55,580 I use F words all the time. I guess this therapy must be working. 655 00:32:55,800 --> 00:32:57,480 I got somebody new for you. 656 00:32:58,000 --> 00:32:59,260 She takes no shit. 657 00:32:59,460 --> 00:33:00,460 You love her. 658 00:33:00,720 --> 00:33:01,720 I hope so. 659 00:33:01,940 --> 00:33:05,740 The last two have not exactly been my speed. 660 00:33:06,120 --> 00:33:07,120 Meaning what? 661 00:33:07,260 --> 00:33:08,260 Empathetic? 662 00:33:09,060 --> 00:33:11,480 Look, sometimes it just takes a little while. 663 00:33:11,900 --> 00:33:14,560 You know, find the right fit. Well, it's going to have to wait because I'm going 664 00:33:14,560 --> 00:33:15,560 on my sabbatical tomorrow. 665 00:33:15,760 --> 00:33:16,940 There's always Zoom therapy. 666 00:33:18,000 --> 00:33:19,420 Motorcycle trip is Zoom therapy. 667 00:33:22,510 --> 00:33:25,830 I'll bet somebody set off fireworks in the shitter. 668 00:33:26,950 --> 00:33:28,050 How dumb is that? 669 00:33:28,310 --> 00:33:29,950 You think people are smart. 670 00:33:30,510 --> 00:33:31,510 Yeah. 671 00:33:34,270 --> 00:33:35,270 What's up, man? 672 00:33:35,850 --> 00:33:36,990 You want to get on the books? 673 00:33:38,370 --> 00:33:43,650 Yeah. Yeah, yeah. Maybe, maybe. Hey, look here. I only take real money. 674 00:33:43,930 --> 00:33:45,430 None of that IOU bullshit. 675 00:33:47,370 --> 00:33:48,630 Okay, I have money. 676 00:33:48,950 --> 00:33:51,650 Okay, my first direct deposit finally hit. 677 00:33:53,830 --> 00:34:00,710 Nice. Put me down for $40 for power outage. 678 00:34:02,250 --> 00:34:04,450 Nice. We got a big ball on our hands. 679 00:34:05,330 --> 00:34:06,330 Congrats, Doctor. 680 00:34:06,490 --> 00:34:08,010 I like this side of you, man. 681 00:34:08,550 --> 00:34:09,550 Any improvement? 682 00:34:09,690 --> 00:34:10,690 No. 683 00:34:11,510 --> 00:34:14,790 What kind of super glue did you use? Does it matter? My eye is still fucking 684 00:34:14,790 --> 00:34:19,630 shut. Okay, there's one other thing I can try. No, I'm done. I asked for Dr. J 685 00:34:19,630 --> 00:34:21,370 earlier, and I would like to see her now. 686 00:34:22,219 --> 00:34:24,679 I haven't been in the hospital for a while. I don't know a Dr. J. 687 00:34:25,900 --> 00:34:27,820 She's one of the best doctors in Pittsburgh. 688 00:34:34,420 --> 00:34:35,639 Oh, Dr. J. 689 00:34:37,520 --> 00:34:39,280 Do what you must, my lady. 690 00:34:40,699 --> 00:34:44,040 Okay. First, I need to get a good grip for the reduction. 691 00:34:44,540 --> 00:34:45,540 Uh -huh. 692 00:34:46,679 --> 00:34:47,679 Here we go. 693 00:34:48,320 --> 00:34:49,360 Try to relax. 694 00:34:49,949 --> 00:34:55,929 Deep breath with your mouth open. Not how I imagined our first intimate 695 00:34:55,929 --> 00:34:57,290 encounter. Okay. 696 00:34:58,070 --> 00:34:59,070 Got it. 697 00:34:59,770 --> 00:35:00,970 Now on three. 698 00:35:01,330 --> 00:35:02,330 Okay? 699 00:35:02,870 --> 00:35:03,870 One. 700 00:35:06,530 --> 00:35:07,530 Motherfucker! 701 00:35:08,570 --> 00:35:09,890 You shut up! 702 00:35:10,110 --> 00:35:11,110 I know. 703 00:35:11,610 --> 00:35:13,590 Sorry. It keeps you from tensing up. 704 00:35:14,270 --> 00:35:16,750 Okay, I think that worked. How does it feel? 705 00:35:17,010 --> 00:35:17,988 Can I sit up? 706 00:35:17,990 --> 00:35:18,990 Mm -hmm. 707 00:35:27,740 --> 00:35:28,740 Oh, 708 00:35:30,180 --> 00:35:31,520 that's definitely better. 709 00:35:32,900 --> 00:35:34,100 Oh, my God. 710 00:35:35,860 --> 00:35:38,440 Can I give you a hug? 711 00:35:39,460 --> 00:35:41,180 Maybe later, okay? 712 00:35:44,700 --> 00:35:47,040 Aspiration pneumonia, how does that happen? 713 00:35:47,260 --> 00:35:52,220 It's when bacteria from the mouth or stomach get into the breathing tube when 714 00:35:52,220 --> 00:35:55,360 you're choking, if you're eating or vomiting. 715 00:35:56,620 --> 00:35:57,620 Oh. 716 00:35:58,090 --> 00:35:59,790 Do you ever drink a lot of alcohol? 717 00:36:00,010 --> 00:36:01,750 Maybe so much that you pass out? 718 00:36:01,990 --> 00:36:03,470 No, I'm not a big drinker. 719 00:36:04,210 --> 00:36:06,310 Have you had stomach flu recently? 720 00:36:06,510 --> 00:36:07,510 Food poisoning? 721 00:36:07,670 --> 00:36:08,670 No and no. 722 00:36:10,790 --> 00:36:12,930 Do you mind if we take a look inside your mouth? 723 00:36:19,210 --> 00:36:21,990 You can lean your head back. 724 00:36:23,470 --> 00:36:24,470 Open wide. 725 00:36:31,500 --> 00:36:34,540 The enamel on the back of your teeth is worn away. 726 00:36:35,660 --> 00:36:36,660 What does that mean? 727 00:36:37,620 --> 00:36:40,760 It can happen if someone makes themselves vomit repeatedly. 728 00:36:41,340 --> 00:36:44,200 All the stomach acid dissolves the enamel. 729 00:36:44,580 --> 00:36:46,320 What does that have to do with having pneumonia? 730 00:36:47,440 --> 00:36:48,600 It may have caused it. 731 00:36:51,260 --> 00:36:53,380 Can you just give me some medicine? 732 00:36:54,280 --> 00:36:55,300 Yeah, we can do that. 733 00:36:59,300 --> 00:37:00,300 Dr. J. 734 00:37:01,400 --> 00:37:03,840 Finally. It is so nice to meet you, Dr. J. 735 00:37:04,700 --> 00:37:06,700 This is Willow, your new patient. 736 00:37:09,560 --> 00:37:10,780 I'm actually a student doctor. 737 00:37:11,020 --> 00:37:13,520 I, uh, watch all of your videos. 738 00:37:14,220 --> 00:37:17,280 The one about coping with difficult co -workers is super helpful. 739 00:37:17,700 --> 00:37:18,700 I gotta watch that. 740 00:37:19,440 --> 00:37:21,840 Um, so what is Willow's health issue? 741 00:37:22,500 --> 00:37:25,860 Uh, my eye, it's super glued shut. 742 00:37:26,460 --> 00:37:28,160 Halfway trim and mineral oil didn't work. 743 00:37:28,720 --> 00:37:29,720 Nope. 744 00:37:29,970 --> 00:37:32,150 Then I would suggest cutting the full lash down. 745 00:37:32,970 --> 00:37:34,490 I concur, Dr. J. 746 00:37:36,210 --> 00:37:38,690 As long as you're the one doing it. 747 00:37:39,630 --> 00:37:40,630 Oh. 748 00:37:41,290 --> 00:37:42,730 Okay. Yeah, sure. 749 00:37:44,910 --> 00:37:46,470 Yeah, sit back for me. 750 00:37:48,830 --> 00:37:52,870 I'll get you to close both of your eyes and be as still as possible. 751 00:37:53,130 --> 00:37:54,129 Okay. 752 00:37:54,130 --> 00:37:55,130 All you don't. 753 00:37:55,630 --> 00:37:56,890 Thank you, Dr. Langdon. 754 00:37:58,490 --> 00:37:59,490 Okay. 755 00:37:59,690 --> 00:38:00,690 Here we go. 756 00:38:03,290 --> 00:38:05,270 How many followers do you have, Dr. J? 757 00:38:06,470 --> 00:38:08,710 More than you'd guess, Dr. Langdon. 758 00:38:12,170 --> 00:38:13,170 There. 759 00:38:18,290 --> 00:38:19,290 He did it. 760 00:38:20,990 --> 00:38:25,770 Oh, my God. 761 00:38:26,370 --> 00:38:27,370 This looks terrible. 762 00:38:27,930 --> 00:38:28,930 I can... 763 00:38:29,250 --> 00:38:30,810 Still put a false lash on it, though. 764 00:38:31,630 --> 00:38:32,630 Right? 765 00:38:36,010 --> 00:38:37,430 How are you feeling, Mr. Diaz? 766 00:38:38,570 --> 00:38:39,570 Much better. 767 00:38:41,030 --> 00:38:44,310 We need to talk about how your diabetes progressed at this place. 768 00:38:46,650 --> 00:38:47,950 Is this doing Dr. Kwan? 769 00:38:49,070 --> 00:38:50,970 What you say here remains between us. 770 00:38:54,070 --> 00:38:56,310 I'm taking a lower dose of insulin than I should be. 771 00:38:58,120 --> 00:39:00,300 How much of your prescribed dose were you using at a time? 772 00:39:01,420 --> 00:39:02,420 Half. 773 00:39:03,060 --> 00:39:06,120 I used to have insurance through work, but I lost that job when the pandemic 774 00:39:06,120 --> 00:39:07,120 hit. 775 00:39:07,860 --> 00:39:09,880 It was easier to keep up with my medication then. 776 00:39:10,580 --> 00:39:12,080 I had a great primary doctor, too. 777 00:39:12,880 --> 00:39:15,080 Now I'm kind of on my own. 778 00:39:16,080 --> 00:39:17,460 Do you have a glucose monitor? 779 00:39:18,160 --> 00:39:19,160 Oh, yes. 780 00:39:20,240 --> 00:39:22,040 But I can't afford the test strips every week. 781 00:39:22,280 --> 00:39:23,280 They're too expensive. 782 00:39:24,060 --> 00:39:25,960 Can we not talk about this in front of my family? 783 00:39:27,920 --> 00:39:28,920 They're my girls. 784 00:39:29,840 --> 00:39:30,860 Did you call your brothers? 785 00:39:31,240 --> 00:39:32,900 I have good news. 786 00:39:33,220 --> 00:39:34,780 I started a GoFundMe for Dad. 787 00:39:35,080 --> 00:39:36,080 A what? 788 00:39:36,240 --> 00:39:39,080 To help raise money for Dad's medical care since we don't have insurance. 789 00:39:39,820 --> 00:39:42,220 No. Take it down. Now. 790 00:39:42,540 --> 00:39:43,680 But why? 791 00:39:44,120 --> 00:39:45,920 I work hard. I don't need charity. 792 00:39:46,160 --> 00:39:47,640 But Dad, we've already... Ana! 793 00:39:48,760 --> 00:39:50,300 You heard me. Take it down. 794 00:39:50,840 --> 00:39:51,840 Jesus, Orlando. 795 00:39:52,320 --> 00:39:53,520 No necesito eso. 796 00:39:56,340 --> 00:39:59,750 Louie. Thought I'd sneak back in and check on you. How we doing in here? 797 00:39:59,990 --> 00:40:02,390 Good. Tooth's feeling much better. 798 00:40:02,610 --> 00:40:03,630 Glad to hear it. 799 00:40:05,310 --> 00:40:07,550 Looks like you're stuck with us for the next three hours. 800 00:40:07,810 --> 00:40:10,710 Need to monitor your blood pressure. How about a drink while I wait? 801 00:40:12,730 --> 00:40:13,790 Water or orange juice? 802 00:40:14,430 --> 00:40:16,010 Uh, never mind. 803 00:40:18,050 --> 00:40:20,710 So, um, how's your kids doing? 804 00:40:22,010 --> 00:40:24,750 Oh, they're perfect little monsters. 805 00:40:25,810 --> 00:40:26,810 Tanner's five now. 806 00:40:27,260 --> 00:40:28,198 Any three? 807 00:40:28,200 --> 00:40:28,979 Uh -huh. 808 00:40:28,980 --> 00:40:30,060 Ain't that a blessing? 809 00:40:30,320 --> 00:40:33,280 It is, but they have zero interest in bedtime. 810 00:40:33,880 --> 00:40:36,480 And there's a dog always digging up the yard. 811 00:40:37,920 --> 00:40:39,880 How much sun does your lawn get? 812 00:40:40,880 --> 00:40:41,880 Plenty. 813 00:40:42,300 --> 00:40:45,300 Seeded with perennial ryegrass. 814 00:40:45,580 --> 00:40:51,260 And you want to lightly water it and put up a temporary fence so the dog can't 815 00:40:51,260 --> 00:40:52,260 get back to it. 816 00:40:52,460 --> 00:40:53,460 Color me impressed. 817 00:40:54,080 --> 00:40:55,100 What can I say? 818 00:40:55,770 --> 00:40:56,770 I like grass. 819 00:40:59,110 --> 00:41:01,230 Seriously, how do you know all that? 820 00:41:02,990 --> 00:41:04,350 I was a groundskeeper. 821 00:41:05,090 --> 00:41:08,330 I worked with gardens and lawns back in the day. 822 00:41:10,610 --> 00:41:11,610 Robin. 823 00:41:14,050 --> 00:41:15,050 Got a set? 824 00:41:18,290 --> 00:41:19,370 Dr. Langdon. 825 00:41:19,890 --> 00:41:20,890 Dr. Alashimi. 826 00:41:21,310 --> 00:41:22,430 How's triage looking? 827 00:41:23,190 --> 00:41:24,670 Donnie and I have it under control. 828 00:41:24,910 --> 00:41:27,970 Good. I want you to wrap up what you're doing out there and join us back here. 829 00:41:28,070 --> 00:41:30,470 We're expecting more diverted traffic from Westbridge. 830 00:41:30,870 --> 00:41:31,870 Will do. 831 00:41:32,170 --> 00:41:36,030 And I just want to say, I think it's great that you're in the physician's 832 00:41:36,030 --> 00:41:38,010 program. I know it's a big commitment. 833 00:41:39,210 --> 00:41:44,570 Uh, yeah, it was hard at the beginning, but, you know, I'm almost done with year 834 00:41:44,570 --> 00:41:45,529 one now. 835 00:41:45,530 --> 00:41:47,130 Only four more years to go. 836 00:41:48,750 --> 00:41:49,750 Penny for your thoughts. 837 00:41:50,550 --> 00:41:54,530 Oh, they're way more expensive than that. I'm on a budget. Take it or leave 838 00:41:55,020 --> 00:41:57,180 My day is not turning out the way that I expected. 839 00:41:57,700 --> 00:41:58,700 We had a call out. 840 00:41:58,980 --> 00:41:59,980 Langdon was available. 841 00:42:01,060 --> 00:42:03,180 I was sort of hoping to be on my sabacc when he came back. 842 00:42:04,700 --> 00:42:05,940 You two were very close. 843 00:42:06,620 --> 00:42:09,920 Maybe this is the universe's way of telling you it's time to clear the air. 844 00:42:11,100 --> 00:42:12,100 Maybe it is. 845 00:42:13,220 --> 00:42:14,220 Maybe it isn't. 846 00:42:19,420 --> 00:42:23,870 Okay, so, uh... We'll need to keep you for the day for your IV antibiotics and 847 00:42:23,870 --> 00:42:25,530 to monitor your oxygen level. 848 00:42:26,550 --> 00:42:27,550 Okay. 849 00:42:29,090 --> 00:42:30,090 Okay. 850 00:42:35,310 --> 00:42:42,210 What if... I have been making myself vomit. 851 00:42:45,010 --> 00:42:48,970 Well, bulimia is treatable. 852 00:42:52,200 --> 00:42:53,200 I was going to stop. 853 00:42:54,260 --> 00:42:55,260 I thought before. 854 00:42:58,500 --> 00:43:00,260 My family gathers around food. 855 00:43:02,520 --> 00:43:06,000 We eat when we're celebrating. We eat when we're mourning. We just eat. 856 00:43:06,640 --> 00:43:09,800 But then I got to college, and it was all about how you looked. 857 00:43:10,640 --> 00:43:11,640 That's a lot of pressure. 858 00:43:16,560 --> 00:43:18,400 I started vomiting. 859 00:43:20,330 --> 00:43:24,210 Everyone said I looked great, so I went to the gym more. 860 00:43:24,770 --> 00:43:27,410 I didn't need to purge as much. 861 00:43:30,050 --> 00:43:33,470 Last year, I went through a breakup. It all came back. 862 00:43:39,790 --> 00:43:46,650 You're doing long -term damage to your body, and it doesn't just go 863 00:43:46,650 --> 00:43:47,650 away on its own. 864 00:43:48,840 --> 00:43:50,780 It's okay to ask for help. 865 00:43:51,240 --> 00:43:54,400 We can set you up with our eating disorder program upstairs. 866 00:43:54,860 --> 00:43:55,860 It's here in the hospital. 867 00:43:56,260 --> 00:43:57,520 It's an outpatient program. 868 00:43:58,140 --> 00:44:02,780 You'd meet with a therapist for individual and group therapy once or 869 00:44:02,780 --> 00:44:03,780 week. 870 00:44:05,140 --> 00:44:07,420 Would you be open to meeting with a therapist? 871 00:44:09,820 --> 00:44:10,820 I guess. 872 00:44:12,380 --> 00:44:15,380 Do you have any preference for type of therapist, male, female? 873 00:44:16,780 --> 00:44:18,560 If there's a black woman, I'd like... 874 00:44:18,830 --> 00:44:19,830 That? 875 00:44:20,910 --> 00:44:22,070 Yeah, we can arrange that. 876 00:44:25,510 --> 00:44:26,510 Thank you. 877 00:44:28,850 --> 00:44:31,210 That was a good catch. 878 00:44:32,710 --> 00:44:35,330 Black women tend to go underdiagnosed when it comes to eating disorders. 879 00:44:35,830 --> 00:44:37,290 Really? Yeah, unfortunately. 880 00:44:38,290 --> 00:44:41,890 You know, I thought I had an eating disorder in high school, and so I did a 881 00:44:41,890 --> 00:44:42,890 of research on the subject. 882 00:44:43,230 --> 00:44:48,070 I didn't. No, I just... My sister and I were really picky eaters. 883 00:44:48,720 --> 00:44:54,340 Growing up, you know, color and texture, vegetables and fish. 884 00:44:54,980 --> 00:44:55,980 Oh, eggs. 885 00:44:57,280 --> 00:44:58,900 Slimy okra, asparagus. 886 00:44:59,840 --> 00:45:01,320 Disgusting. Drummer print, crazy. 887 00:45:01,540 --> 00:45:02,540 Oh, eggs. 888 00:45:03,060 --> 00:45:04,060 Weird. 889 00:45:04,280 --> 00:45:05,280 Not that weird. 890 00:45:05,380 --> 00:45:07,880 I gotta catch up on my charting. 891 00:45:09,920 --> 00:45:12,260 You know, if you want to talk, I'm around. 892 00:45:13,440 --> 00:45:14,440 Talk about what? 893 00:45:14,960 --> 00:45:15,959 Being an R2? 894 00:45:15,960 --> 00:45:17,200 Way harder than intern year. 895 00:45:17,610 --> 00:45:23,830 Yeah, overseeing the med students, the interns, having no time to do my own 896 00:45:23,830 --> 00:45:28,030 charts. Just waiting until you get into medical, surgical, and cardiac ICU. 897 00:45:28,270 --> 00:45:29,430 I stands for intern. 898 00:45:30,330 --> 00:45:32,130 Somehow that seems like an understatement. 899 00:45:33,230 --> 00:45:37,630 It does help you grow your clinical skills, you know, caring for the sickest 900 00:45:37,630 --> 00:45:39,090 patients. Tell that to these charts. 901 00:45:40,830 --> 00:45:41,830 Dick Pate. 902 00:45:42,090 --> 00:45:43,090 Helps you go faster. 903 00:45:46,030 --> 00:45:47,230 Oh, uh... 904 00:45:47,480 --> 00:45:50,680 What happened with our patient from Westbridge? He never grabbed me for his 905 00:45:50,680 --> 00:45:54,080 troponin. Mr. Samba, it was a posterior STEMI. What? 906 00:45:55,040 --> 00:45:58,760 Didn't you draw on the 12 lead? No, usually it doesn't. I think most 907 00:45:58,760 --> 00:45:59,760 would have missed it. 908 00:46:00,900 --> 00:46:01,900 But you didn't. 909 00:46:03,680 --> 00:46:04,820 Guess I got lucky. 910 00:46:07,200 --> 00:46:08,200 Whatever, Fuckleberry. 911 00:46:10,060 --> 00:46:12,360 Okay, I'm sorry. Did I do something to bother you? Nope. 912 00:46:19,089 --> 00:46:20,089 Yo, what's up? 913 00:46:20,310 --> 00:46:22,610 I got a bounce back. You remember Debbie Cohen? 914 00:46:23,670 --> 00:46:27,130 Not really. I've seen 16 patients this morning. The restaurant worker with 915 00:46:27,130 --> 00:46:30,410 cellulitis from the dorsum up the foot? Yeah, yeah. He's on catflex. I marked 916 00:46:30,410 --> 00:46:33,410 the border. I got a hot pack on it, but you should take a look. 917 00:46:38,530 --> 00:46:42,750 Hi, Dr. Langdon. I wasn't expecting to see you back so soon. 918 00:46:43,270 --> 00:46:44,270 Meds upset your stomach? 919 00:46:44,630 --> 00:46:45,630 No. 920 00:46:45,830 --> 00:46:47,230 The pain got worse. 921 00:46:47,640 --> 00:46:50,540 And you said to come back if the redness spread outside the Sharpie line? 922 00:46:51,060 --> 00:46:52,060 Let's take a look. 923 00:46:54,920 --> 00:46:59,280 It looks 924 00:46:59,280 --> 00:47:06,240 like the infection isn't responding to the pills I prescribed you, 925 00:47:06,340 --> 00:47:10,060 so we need to get you on some IV antibiotics and get you back to the ED 926 00:47:10,580 --> 00:47:12,100 Is it bad? 927 00:47:12,480 --> 00:47:13,940 Not if we can get a handle on it. 928 00:47:15,280 --> 00:47:16,620 Worse? Or maybe worse.