Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated:
1
00:00:04,590 --> 00:00:08,591
Sync and corrections by btsix
www.addic7ed.com
2
00:00:08,592 --> 00:00:10,928
Baran, is this you?
3
00:00:16,433 --> 00:00:19,227
It began after a bad case
of viral meningitis
4
00:00:19,228 --> 00:00:20,978
when I was five.
5
00:00:20,979 --> 00:00:23,314
They tried every
anti-seizure medication,
6
00:00:23,315 --> 00:00:27,276
but I still had episodes
every few months or so.
7
00:00:27,277 --> 00:00:28,528
No one's ever noticed before.
8
00:00:28,529 --> 00:00:29,988
They just think I'm thoughtful.
9
00:00:32,032 --> 00:00:33,449
Are you driving?
10
00:00:33,450 --> 00:00:36,577
I couldn't until laser ablation
11
00:00:36,578 --> 00:00:39,914
to my left temporal lobe 12 years ago.
12
00:00:39,915 --> 00:00:42,708
Between that and the Keppra,
I've been seizure-free,
13
00:00:42,709 --> 00:00:46,380
cleared by Neurology to drive
and to work as an attending.
14
00:00:48,173 --> 00:00:50,466
How long, uh, between the seizure
15
00:00:50,467 --> 00:00:52,343
you had today and the last one?
16
00:00:52,344 --> 00:00:55,597
It's been well over a year.
17
00:00:57,766 --> 00:00:59,268
But I had two today.
18
00:01:03,897 --> 00:01:05,439
I don't know why.
19
00:01:05,440 --> 00:01:08,651
It could be sleep deprivation,
new job stress.
20
00:01:08,652 --> 00:01:11,946
I... I haven't had to deal
with Peds cases
21
00:01:11,947 --> 00:01:13,447
since Afghanistan.
22
00:01:13,448 --> 00:01:15,199
What are your options now?
23
00:01:15,200 --> 00:01:17,326
Um...
24
00:01:17,327 --> 00:01:20,871
up my Keppra or maybe try
25
00:01:20,872 --> 00:01:22,498
one of the newer anti-seizure meds.
26
00:01:22,499 --> 00:01:25,334
But if that doesn't work,
I'm left with two choices...
27
00:01:25,335 --> 00:01:29,797
um, a temporal lobectomy,
which could impair my speech,
28
00:01:29,798 --> 00:01:32,258
or get a neuromodulation device,
29
00:01:32,259 --> 00:01:33,968
which can sense and stop the seizures
30
00:01:33,969 --> 00:01:35,803
almost immediately.
31
00:01:35,804 --> 00:01:37,638
You need to disclose this.
32
00:01:37,639 --> 00:01:39,682
I know. I have a plan.
33
00:01:39,683 --> 00:01:40,808
Hey, Robby, Dana's looking for you.
34
00:01:40,809 --> 00:01:42,018
She's in Peds.
35
00:01:42,019 --> 00:01:43,352
Yeah, OK, I'll be right there.
36
00:01:44,730 --> 00:01:45,980
Sounds like you're needed in Peds,
37
00:01:45,981 --> 00:01:48,065
and I have patients to see.
38
00:01:48,066 --> 00:01:49,984
Robby, pregnant woman
with severe headache
39
00:01:49,985 --> 00:01:51,694
on her way in by ambulance.
40
00:01:51,695 --> 00:01:54,197
Find Abbot or a night shift resident.
41
00:02:09,212 --> 00:02:11,089
Need you to turn out your pockets.
42
00:02:17,346 --> 00:02:19,222
OK. Show me your hands.
43
00:02:47,209 --> 00:02:48,543
Come here often?
44
00:02:57,302 --> 00:02:58,803
What's going on?
45
00:02:58,804 --> 00:03:00,554
Oh, sorry... false alarm.
46
00:03:00,555 --> 00:03:02,996
We thought she spiked a fever,
but it was the wrong chart
47
00:03:02,997 --> 00:03:05,226
from our analog hell.
48
00:03:05,227 --> 00:03:07,770
You know anybody who might
consider kinship adoption?
49
00:03:07,771 --> 00:03:09,563
Doctors and nurses qualify.
50
00:03:09,564 --> 00:03:11,190
Don't look at me.
51
00:03:11,191 --> 00:03:13,275
Hey, can your staff
keep an eye on Dr. Al-Hashimi
52
00:03:13,276 --> 00:03:14,360
until she leaves?
53
00:03:14,361 --> 00:03:16,779
Why?
54
00:03:16,780 --> 00:03:18,948
Uh, because I think she's tired,
55
00:03:18,949 --> 00:03:20,533
and I don't want her
to make any mistakes.
56
00:03:20,534 --> 00:03:22,996
Oh, great advice.
Maybe you should take it.
57
00:03:22,997 --> 00:03:24,916
Yeah. I'm gonna go get some fresh air.
58
00:03:24,917 --> 00:03:26,551
Grab some for me while you're out there.
59
00:03:26,552 --> 00:03:27,998
Your lungs wouldn't know
what to do with it.
60
00:03:27,999 --> 00:03:29,083
Screw you!
61
00:03:29,084 --> 00:03:30,710
In front of the baby? Nice.
62
00:03:33,588 --> 00:03:35,214
Yeah.
63
00:03:35,215 --> 00:03:37,049
We are the night crawlers.
64
00:03:37,050 --> 00:03:40,052
We deal with the weirdest
and the wildest because...
65
00:03:40,053 --> 00:03:42,596
We are the weirdest
and the wildest of them all.
66
00:03:42,597 --> 00:03:43,723
That is right, and tonight,
67
00:03:43,724 --> 00:03:45,057
they are really gonna be crawling.
68
00:03:45,058 --> 00:03:46,434
Now go get some!
69
00:03:46,435 --> 00:03:47,435
Hooah!
70
00:03:51,857 --> 00:03:53,441
Sorry to wake you.
71
00:03:53,442 --> 00:03:54,943
I... I was thinking.
72
00:03:58,321 --> 00:04:00,114
Doubt PTX.
73
00:04:00,115 --> 00:04:02,324
You're supposed to be leaving.
74
00:04:02,325 --> 00:04:03,452
I am.
75
00:04:05,746 --> 00:04:07,288
You know, this spirit quest of yours
76
00:04:07,289 --> 00:04:09,165
has a lot of people
up in arms around here.
77
00:04:09,166 --> 00:04:10,624
Everyone's gonna be fine without me,
78
00:04:10,625 --> 00:04:12,293
and it's hardly a spirit quest.
79
00:04:12,294 --> 00:04:14,123
Whatever it is,
it seems you've given people
80
00:04:14,124 --> 00:04:15,610
the impression
you might not be coming back.
81
00:04:15,611 --> 00:04:18,132
Well, who knows what the
future has in store for any of us?
82
00:04:18,133 --> 00:04:20,551
Yeah, saying shit like
that right there isn't helping.
83
00:04:20,552 --> 00:04:21,969
People are worried about you.
84
00:04:21,970 --> 00:04:23,888
Dr. Abbot, the patient in South 21,
85
00:04:23,889 --> 00:04:25,347
Digby, he's missing again.
86
00:04:25,348 --> 00:04:26,724
Sounds like a day shift problem.
87
00:04:26,725 --> 00:04:28,977
Not if he was handed off already.
88
00:04:33,148 --> 00:04:34,815
Best I can do under the circumstances.
89
00:04:34,816 --> 00:04:36,108
Thank you.
90
00:04:36,109 --> 00:04:37,610
Hey, don't leave
before I get back, yeah?
91
00:04:37,611 --> 00:04:39,362
Hell, I feel like I live here now.
92
00:04:42,783 --> 00:04:44,116
Your friend fixing your bike?
93
00:04:44,117 --> 00:04:45,326
Ambulance clipped it
94
00:04:45,327 --> 00:04:47,203
while it was just parked here today.
95
00:04:47,204 --> 00:04:49,413
Jesus Christ.
96
00:04:49,414 --> 00:04:50,998
That's a sign if I've ever seen one.
97
00:04:52,584 --> 00:04:54,418
Yeah, here's the thing...
when people worry about you,
98
00:04:54,419 --> 00:04:56,170
it makes me think that
I should be worried about you,
99
00:04:56,171 --> 00:04:57,838
and I don't like worrying about things.
100
00:04:57,839 --> 00:04:59,048
Ooh. Now you're a shrink?
101
00:04:59,049 --> 00:05:00,174
No, I'm trying to be your friend.
102
00:05:00,175 --> 00:05:01,342
You got... you got Dana convinced
103
00:05:01,343 --> 00:05:02,669
that you're gonna hurt yourself.
104
00:05:02,670 --> 00:05:04,276
- Dana's got her own issues.
- That sounds like projection.
105
00:05:04,277 --> 00:05:06,013
Are you seriously trying
to have this fucking
106
00:05:06,014 --> 00:05:07,556
conversation with me right now, man?
107
00:05:07,557 --> 00:05:09,183
I... I'm not the one
108
00:05:09,184 --> 00:05:11,519
who spends his free time
getting shot at.
109
00:05:11,520 --> 00:05:13,145
Hooah!
110
00:05:13,146 --> 00:05:15,481
Hey, Dr. Robby,
this is Judith Lastrade...
111
00:05:15,482 --> 00:05:17,691
36 weeks pregnant
with two days of headache,
112
00:05:17,692 --> 00:05:20,194
now a 10 out of 10 with blurred vision.
113
00:05:20,195 --> 00:05:23,405
BP 174/120, heart rate 92.
114
00:05:23,406 --> 00:05:25,533
- No relief with fentanyl.
- Judith, I'm Dr. Abbot.
115
00:05:25,534 --> 00:05:26,909
Any weakness in your arms or legs?
116
00:05:26,910 --> 00:05:28,452
No, no. Is this a stroke?
117
00:05:28,453 --> 00:05:29,870
We need to check for everything.
118
00:05:29,871 --> 00:05:32,581
Pitting edema with severe preeclampsia.
119
00:05:32,582 --> 00:05:34,542
Where are you doing your prenatal care?
120
00:05:34,543 --> 00:05:35,751
Nowhere.
121
00:05:35,752 --> 00:05:37,253
It's a wild pregnancy.
122
00:05:37,254 --> 00:05:39,214
I want a free birth.
123
00:05:41,341 --> 00:05:44,718
This 81-year-old nun
presents with red, itchy eyes
124
00:05:44,719 --> 00:05:47,888
with secretions for the past two days.
125
00:05:47,889 --> 00:05:50,391
Patient complains of no URI symptoms,
126
00:05:50,392 --> 00:05:51,976
- no contact with any chemical...
- Hey.
127
00:05:51,977 --> 00:05:53,394
Agents, no known exposures...
128
00:05:53,395 --> 00:05:54,895
Want half a Monster?
129
00:05:54,896 --> 00:05:56,564
Oh, no, thanks.
130
00:05:56,565 --> 00:05:58,065
I... I don't really want to stay awake
131
00:05:58,066 --> 00:06:00,234
any longer than I have to.
132
00:06:00,235 --> 00:06:01,695
Yeah, I hear you.
133
00:06:03,238 --> 00:06:05,281
Did you find your ID badge?
134
00:06:05,282 --> 00:06:06,866
Uh, no.
135
00:06:06,867 --> 00:06:09,118
You any closer to deciding
what's next for you?
136
00:06:09,119 --> 00:06:11,078
Uh, yeah, I'm seriously
considering law school.
137
00:06:11,079 --> 00:06:12,580
What? What are you talking about?
138
00:06:12,581 --> 00:06:14,457
You're gonna be a great doctor.
139
00:06:15,917 --> 00:06:19,211
I mean, no offense, but look
what this place does to you.
140
00:06:19,212 --> 00:06:20,880
Langdon's an addict.
141
00:06:20,881 --> 00:06:23,591
Is a person with
a substance use disorder.
142
00:06:23,592 --> 00:06:25,509
McKay was on house arrest.
143
00:06:25,510 --> 00:06:27,011
Dana's a time bomb.
144
00:06:27,012 --> 00:06:28,762
Santos is one of the angriest people
145
00:06:28,763 --> 00:06:30,264
you are ever going to meet.
146
00:06:30,265 --> 00:06:31,765
Sarcastic, yes. Cynical, definitely.
147
00:06:31,766 --> 00:06:33,267
I don't know if she's, you know...
148
00:06:33,268 --> 00:06:34,644
Mel?
149
00:06:35,687 --> 00:06:38,731
Samira has no life.
150
00:06:38,732 --> 00:06:41,942
Abbot's an adrenaline junkie
who gets shot at for fun.
151
00:06:41,943 --> 00:06:44,778
Robby's got, like, PTSD
or something way fucking worse.
152
00:06:44,779 --> 00:06:46,071
OK, well, I... I mean,
153
00:06:46,072 --> 00:06:48,116
I'd hate to know
what you think about me.
154
00:06:49,659 --> 00:06:51,327
I don't know, I just...
155
00:06:51,328 --> 00:06:53,954
the more time I spend here,
156
00:06:53,955 --> 00:06:55,205
the more I realize the importance
157
00:06:55,206 --> 00:06:57,876
of my mental health.
158
00:06:58,960 --> 00:07:00,044
Mm.
159
00:07:00,045 --> 00:07:01,337
For patients and for us.
160
00:07:01,338 --> 00:07:03,964
And this is...
161
00:07:03,965 --> 00:07:05,132
Yeah.
162
00:07:05,133 --> 00:07:06,383
Well, you know,
163
00:07:06,384 --> 00:07:09,220
maybe that's what you should focus on.
164
00:07:10,305 --> 00:07:12,598
- What?
- Mental health.
165
00:07:12,599 --> 00:07:14,850
Clearly, you have
a passion for it, right?
166
00:07:14,851 --> 00:07:16,435
I mean, that's... that's great.
167
00:07:16,436 --> 00:07:17,478
I don't know if I'd call it a passion.
168
00:07:17,479 --> 00:07:19,648
I would call it, like, a...
169
00:07:22,525 --> 00:07:24,152
Oh, my God.
170
00:07:26,029 --> 00:07:28,198
You might be right.
171
00:07:29,741 --> 00:07:31,367
Oh, you're a genius, Whitaker.
172
00:07:31,368 --> 00:07:32,576
Oh, OK.
173
00:07:34,204 --> 00:07:36,205
CTG is on.
174
00:07:36,206 --> 00:07:38,499
- CTG?
- Cardiotocography.
175
00:07:38,500 --> 00:07:41,961
Measures the baby's heart rate
and checks for contractions.
176
00:07:41,962 --> 00:07:43,504
Fetal heart rate 128.
177
00:07:43,505 --> 00:07:45,047
Normal range, Nazely?
178
00:07:45,048 --> 00:07:46,966
110 to 160.
179
00:07:46,967 --> 00:07:48,842
So the baby's OK?
180
00:07:48,843 --> 00:07:50,010
Right now, yes.
181
00:07:50,011 --> 00:07:51,470
128 is reassuring.
182
00:07:51,471 --> 00:07:53,681
BP's 170/119.
183
00:07:53,682 --> 00:07:55,432
6 grams of magnesium running in.
184
00:07:55,433 --> 00:07:57,017
Your next move, Crus?
185
00:07:57,018 --> 00:07:59,687
20 of labetalol,
IV push over two minutes.
186
00:07:59,688 --> 00:08:01,188
Uh, what's happening?
187
00:08:01,189 --> 00:08:03,232
Uh, you have a condition
called preeclampsia.
188
00:08:03,233 --> 00:08:04,525
And how did it happen?
189
00:08:04,526 --> 00:08:06,735
Uh, nobody really knows, actually.
190
00:08:06,736 --> 00:08:09,071
It affects about 10% of the pregnancies.
191
00:08:09,072 --> 00:08:10,531
High blood pressure, headaches,
192
00:08:10,532 --> 00:08:13,033
protein in the urine,
and swollen ankles.
193
00:08:13,034 --> 00:08:15,327
OK, well, it's a wild pregnancy,
194
00:08:15,328 --> 00:08:17,538
so that means no medical care.
195
00:08:17,539 --> 00:08:19,540
Then why are you here?
196
00:08:21,042 --> 00:08:23,294
I just need to get rid of this headache.
197
00:08:25,422 --> 00:08:28,465
Well, if we don't lower
your blood pressure
198
00:08:28,466 --> 00:08:31,385
and treat with magnesium,
there can be problems.
199
00:08:31,386 --> 00:08:32,636
Like what?
200
00:08:32,637 --> 00:08:34,263
Seizures, bleeding,
201
00:08:34,264 --> 00:08:36,390
even death, for you and the baby.
202
00:08:36,391 --> 00:08:38,225
Oh, my God.
203
00:08:38,226 --> 00:08:39,893
Robby, your VIP's ready to go.
204
00:08:39,894 --> 00:08:41,979
OK, I'll be right there.
205
00:08:41,980 --> 00:08:43,605
- You good?
- Yeah, I'm good.
206
00:08:43,606 --> 00:08:46,316
I got it. With my eyes closed.
207
00:08:46,317 --> 00:08:47,651
But I won't. Maybe one eye.
208
00:08:48,987 --> 00:08:50,070
Hey...
209
00:08:53,450 --> 00:08:54,908
Hey, Becca. How you feeling?
210
00:08:54,909 --> 00:08:57,120
I'm better. Thanks.
211
00:08:58,621 --> 00:09:00,039
Where are you?
212
00:09:00,040 --> 00:09:01,915
I'm at Adam's house.
213
00:09:01,916 --> 00:09:03,709
Can I call you later?
We're watching a movie.
214
00:09:03,710 --> 00:09:04,918
Oh, sure. I just... I thought
215
00:09:04,919 --> 00:09:06,462
you were gonna see the fireworks.
216
00:09:06,463 --> 00:09:09,089
Nope, we decided to watch "Elf" instead.
217
00:09:09,090 --> 00:09:10,424
Ah.
218
00:09:10,425 --> 00:09:12,426
- Of course you did.
- OK.
219
00:09:12,427 --> 00:09:14,094
- I'll call you tomorrow!
- Tomorrow? Wait.
220
00:09:14,095 --> 00:09:16,430
Uh, are... are you spending the night?
221
00:09:16,431 --> 00:09:18,265
Um, uh, yes.
222
00:09:18,266 --> 00:09:20,059
His parents invited me.
223
00:09:20,060 --> 00:09:21,560
They... they need to ask me that.
224
00:09:21,561 --> 00:09:23,979
Are... are you staying here too?
225
00:09:23,980 --> 00:09:28,067
No, they... they needed to ask
if it was OK if you stayed.
226
00:09:28,068 --> 00:09:29,443
Why?
227
00:09:29,444 --> 00:09:34,073
Be... because, uh, it's polite.
228
00:09:34,074 --> 00:09:36,366
It's the right...
it's the right thing to do.
229
00:09:36,367 --> 00:09:39,453
Um, I need to talk to them.
230
00:09:39,454 --> 00:09:42,164
Um, they're not here.
They're at a barbecue.
231
00:09:42,165 --> 00:09:44,291
OK, um, can you have them call me
232
00:09:44,292 --> 00:09:45,626
as soon as they get home?
233
00:09:45,627 --> 00:09:47,503
- Yes.
- Can you promise?
234
00:09:47,504 --> 00:09:49,379
I promise. OK, bye, Mel!
235
00:09:49,380 --> 00:09:50,799
Bye. Have fun...
236
00:09:52,175 --> 00:09:53,801
Thanks for fixing my bike.
237
00:09:53,802 --> 00:09:55,970
Well, you keep me running,
I'll keep her going.
238
00:09:57,847 --> 00:10:01,433
You know, the Cree don't have
a word for goodbye.
239
00:10:01,434 --> 00:10:02,601
You know a lot of Cree?
240
00:10:02,602 --> 00:10:04,353
A bit.
241
00:10:04,354 --> 00:10:05,479
I got around, man.
242
00:10:05,480 --> 00:10:06,815
I don't doubt it.
243
00:10:09,317 --> 00:10:11,819
Look, I'll come back
for all this other shit...
244
00:10:11,820 --> 00:10:13,153
Great.
245
00:10:13,154 --> 00:10:14,655
If you promise to come back
246
00:10:14,656 --> 00:10:16,490
and let me take the Bonnie for a ride.
247
00:10:16,491 --> 00:10:17,699
Uh, I don't know.
248
00:10:17,700 --> 00:10:19,118
I've seen you ride, old man.
249
00:10:19,119 --> 00:10:20,536
Fuck you.
250
00:10:20,537 --> 00:10:22,496
I mean it.
251
00:10:22,497 --> 00:10:23,706
We got a deal?
252
00:10:26,793 --> 00:10:28,670
I'll think about it.
253
00:10:41,766 --> 00:10:43,851
This looks like an ambush.
254
00:10:43,852 --> 00:10:45,519
We got a slight hiccup in chairs.
255
00:10:45,520 --> 00:10:46,562
ICE is back?
256
00:10:46,563 --> 00:10:48,564
No, we got a dead body.
257
00:10:48,565 --> 00:10:50,190
- Somebody died out there?
- Yeah.
258
00:10:50,191 --> 00:10:52,025
Poor devil checked in
at 5:00 this morning.
259
00:10:52,026 --> 00:10:53,485
He was a DNR.
260
00:10:53,486 --> 00:10:54,695
- What was his chief complaint?
- Hemorrhoids
261
00:10:54,696 --> 00:10:56,196
- and constipation.
- No shit.
262
00:10:56,197 --> 00:10:58,532
Hence the constipation.
263
00:10:58,533 --> 00:11:00,284
Throw me a slow one, I'm gonna hit it.
264
00:11:00,285 --> 00:11:01,952
Tell the night shift.
I'm saying that's when he died.
265
00:11:01,953 --> 00:11:03,203
We all in agreement on that?
266
00:11:03,204 --> 00:11:04,580
To the grave.
267
00:11:04,581 --> 00:11:06,373
Just like poor Jasper.
268
00:11:06,374 --> 00:11:07,875
You're on fire.
269
00:11:07,876 --> 00:11:09,294
Just getting my second wind.
270
00:11:10,587 --> 00:11:11,879
How's the headache?
271
00:11:11,880 --> 00:11:13,213
Still a 10.
272
00:11:13,214 --> 00:11:14,715
More fentanyl?
273
00:11:14,716 --> 00:11:17,092
- Yep.
- BP's good. Another 50.
274
00:11:17,093 --> 00:11:18,552
Hey, Abbot.
275
00:11:18,553 --> 00:11:20,554
Attending and resident
are stuck in the OR.
276
00:11:20,555 --> 00:11:22,389
Oh, you're the next best thing.
277
00:11:22,390 --> 00:11:23,724
Better, some would say.
278
00:11:23,725 --> 00:11:25,058
Mm.
279
00:11:25,059 --> 00:11:26,602
- What do you got?
- This is Judith.
280
00:11:26,603 --> 00:11:29,062
G1, P0 with no prenatal care.
281
00:11:29,063 --> 00:11:31,190
Preeclampsia with severe hypertension.
282
00:11:31,191 --> 00:11:33,609
Hi, Judith. Nurse Garvin from OB.
283
00:11:33,610 --> 00:11:35,068
Some jelly on the belly.
284
00:11:35,069 --> 00:11:36,612
Gonna take a quick look with ultrasound.
285
00:11:36,613 --> 00:11:38,572
No, no, no.
Ultrasound can harm the baby.
286
00:11:38,573 --> 00:11:40,574
- Not true.
- Not doing the ultrasound
287
00:11:40,575 --> 00:11:42,660
could end up harming you and the baby.
288
00:11:43,912 --> 00:11:45,078
OK.
289
00:11:45,079 --> 00:11:47,623
Just do it as fast as you can.
290
00:11:47,624 --> 00:11:50,084
Why no prenatal care, Judith?
291
00:11:51,127 --> 00:11:53,587
I wanted a free birth...
292
00:11:53,588 --> 00:11:55,756
no doctors, no hospital, no medicine.
293
00:11:55,757 --> 00:11:58,592
Mm. You have a midwife?
294
00:11:58,593 --> 00:11:59,635
A birth doula?
295
00:11:59,636 --> 00:12:02,054
No, I don't need one.
296
00:12:02,055 --> 00:12:03,347
Women have been having
children on their own
297
00:12:03,348 --> 00:12:04,598
for thousands of years.
298
00:12:04,599 --> 00:12:06,141
Yeah, with an infant mortality rate
299
00:12:06,142 --> 00:12:09,061
of 30% for most of those
thousands of years.
300
00:12:09,062 --> 00:12:11,313
- Femur length 7 centimeters.
- 37 weeks.
301
00:12:11,314 --> 00:12:13,273
They'll probably induce.
302
00:12:13,274 --> 00:12:15,234
What? No.
303
00:12:15,235 --> 00:12:16,610
No, no, no, no. Absolutely not.
304
00:12:16,611 --> 00:12:18,111
At 37 weeks,
305
00:12:18,112 --> 00:12:20,322
the cure for preeclampsia
is to deliver the baby.
306
00:12:20,323 --> 00:12:22,115
We need to get you upstairs
so the OB doctors
307
00:12:22,116 --> 00:12:24,910
can induce labor
to save you and your baby.
308
00:12:24,911 --> 00:12:27,330
No. No, no, no, no. Mm-mm.
309
00:12:29,666 --> 00:12:31,416
Yep, that's definitely Jasper.
310
00:12:31,417 --> 00:12:32,668
He was alive and kicking
311
00:12:32,669 --> 00:12:34,086
when my shift ended this morning.
312
00:12:34,087 --> 00:12:35,462
This is definitely a day shift patient.
313
00:12:35,463 --> 00:12:36,797
Now he's not a patient.
314
00:12:36,798 --> 00:12:38,298
He's a DB that we gotta deal with.
315
00:12:40,802 --> 00:12:42,052
Is this dude dead?
316
00:12:42,053 --> 00:12:43,553
Nope.
317
00:12:43,554 --> 00:12:45,389
All right, Mr. Reed,
time to take you back
318
00:12:45,390 --> 00:12:46,848
and get you checked out, OK?
319
00:12:46,849 --> 00:12:48,308
- He sure looks dead.
- Are you a doctor?
320
00:12:48,309 --> 00:12:50,644
- No, but he...
- Has hypernarcolepsy.
321
00:12:50,645 --> 00:12:52,354
- It's no joke.
- Mm-hmm.
322
00:12:52,355 --> 00:12:54,648
Excuse me.
323
00:12:54,649 --> 00:12:56,566
Oh, sometimes I hate nights.
324
00:12:56,567 --> 00:12:57,818
- Yep.
- Oof.
325
00:13:08,705 --> 00:13:10,122
Wow.
326
00:13:10,123 --> 00:13:13,333
Crazy how muggy it still is out here.
327
00:13:13,334 --> 00:13:16,003
You, uh... you seen Robby?
328
00:13:16,004 --> 00:13:18,171
Uh, not for a bit.
329
00:13:18,172 --> 00:13:19,506
You catch up on your charts
330
00:13:19,507 --> 00:13:21,008
from the beginning of the shift?
331
00:13:21,009 --> 00:13:22,301
Yeah.
332
00:13:22,302 --> 00:13:23,343
What are you still doing here?
333
00:13:23,344 --> 00:13:25,178
Uh, just gonna...
334
00:13:25,179 --> 00:13:27,556
You staying for the fireworks?
335
00:13:27,557 --> 00:13:28,974
Yeah.
336
00:13:28,975 --> 00:13:30,350
I was supposed to see them with Becca,
337
00:13:30,351 --> 00:13:34,354
but she is at her boyfriend Adam's
338
00:13:34,355 --> 00:13:36,232
family's house instead.
339
00:13:40,528 --> 00:13:46,742
Your sister seems like
she's, uh, pretty put-together.
340
00:13:46,743 --> 00:13:48,035
Yeah.
341
00:13:48,036 --> 00:13:50,788
Uh, a lot more than I realized.
342
00:13:52,707 --> 00:13:54,125
How was your day?
343
00:13:55,960 --> 00:13:58,462
I've had better.
344
00:13:58,463 --> 00:13:59,589
You?
345
00:14:02,467 --> 00:14:04,885
Yeah.
346
00:14:04,886 --> 00:14:08,221
But then again, I've had a lot worse.
347
00:14:08,222 --> 00:14:10,724
Hell, I did a closed cervical
reduction, like, an hour ago.
348
00:14:10,725 --> 00:14:12,977
Oh, I heard.
That must have been so intense.
349
00:14:14,687 --> 00:14:16,855
My hands are still shaking.
350
00:14:16,856 --> 00:14:18,899
Hey, um, do you think you could teach me
351
00:14:18,900 --> 00:14:21,068
how to do that sometime?
352
00:14:21,069 --> 00:14:22,527
Uh, yeah.
353
00:14:22,528 --> 00:14:23,737
- Yeah?
- Yeah, sure. I mean,
354
00:14:23,738 --> 00:14:25,280
I hope you never have to use it.
355
00:14:25,281 --> 00:14:27,240
I could have paralyzed that guy.
356
00:14:27,241 --> 00:14:29,951
Yeah, but you didn't.
357
00:14:29,952 --> 00:14:33,246
No, I didn't.
358
00:14:33,247 --> 00:14:35,707
Thank you...
359
00:14:35,708 --> 00:14:37,793
by the way, for...
360
00:14:37,794 --> 00:14:40,545
talking me down earlier.
361
00:14:40,546 --> 00:14:42,423
I'm sorry I snapped.
362
00:14:43,925 --> 00:14:45,259
It's OK.
363
00:14:53,434 --> 00:14:56,103
Dr. Mohan, you ever heard
of kinship fostering?
364
00:14:56,104 --> 00:14:57,813
It's where a nurse or doctor can
365
00:14:57,814 --> 00:14:59,314
- become an emergency foster...
- Oh, no.
366
00:14:59,315 --> 00:15:00,816
I don't need any kids.
367
00:15:00,817 --> 00:15:02,984
I need to find a job first.
368
00:15:02,985 --> 00:15:05,445
Candice O'Grady is an 82-year-old female
369
00:15:05,446 --> 00:15:07,948
brought in by her son
for intractable vomiting.
370
00:15:07,949 --> 00:15:10,910
No fever, no chills,
no abdominal pain, no rash.
371
00:15:11,994 --> 00:15:13,995
Beep.
372
00:15:13,996 --> 00:15:17,416
Oh, I've already got one
I can barely keep up with.
373
00:15:17,417 --> 00:15:19,292
What about Sleeping Beauty over here?
374
00:15:19,293 --> 00:15:21,336
She's already babysitting Whitaker.
375
00:15:21,337 --> 00:15:23,422
Well, if you know anyone
who'd like to help us out
376
00:15:23,423 --> 00:15:25,340
with Baby Jane Doe,
have them call the main desk.
377
00:15:25,341 --> 00:15:26,967
Sure thing.
378
00:15:26,968 --> 00:15:30,138
I'd take her myself,
but Benji'd kill me.
379
00:15:31,514 --> 00:15:33,306
BP's 164/114.
380
00:15:33,307 --> 00:15:34,683
Another 40 of labetalol.
381
00:15:34,684 --> 00:15:35,809
Mag bolus is in.
382
00:15:35,810 --> 00:15:37,477
Now infusing 2 grams an hour.
383
00:15:37,478 --> 00:15:38,770
Labs are coming back.
384
00:15:38,771 --> 00:15:41,022
Hemoglobin 7.5, platelets 40.
385
00:15:41,023 --> 00:15:43,024
LFTs are sky high.
386
00:15:43,025 --> 00:15:44,818
- HELLP syndrome.
- Hemolytic anemia,
387
00:15:44,819 --> 00:15:47,154
elevated liver enzymes,
and low platelets.
388
00:15:47,155 --> 00:15:48,530
They're cleaning a room.
389
00:15:48,531 --> 00:15:50,490
We can bring her up in ten minutes.
390
00:15:50,491 --> 00:15:51,701
How you doing, Judith?
391
00:15:53,703 --> 00:15:56,246
I... I...
392
00:15:56,247 --> 00:15:57,914
Oh, she's seizing.
393
00:15:57,915 --> 00:15:59,583
Oh, shit.
394
00:15:59,584 --> 00:16:02,169
10 of IV diazepam.
Have another 10 ready.
395
00:16:02,170 --> 00:16:04,129
With all the movement,
we can't get a fetal heartbeat.
396
00:16:04,130 --> 00:16:06,423
Putting on 15 liters by mask.
Should we intubate?
397
00:16:06,424 --> 00:16:08,425
Hold intubation.
Let's try to break this.
398
00:16:08,426 --> 00:16:10,343
We don't want to mask seizures
with paralysis
399
00:16:10,344 --> 00:16:11,928
unless we have to.
400
00:16:11,929 --> 00:16:13,513
OK, um...
401
00:16:15,975 --> 00:16:17,726
Crus, CTG isn't reading.
402
00:16:17,727 --> 00:16:19,186
- Check with ultrasound.
- On it.
403
00:16:19,187 --> 00:16:20,812
Nazely, what's the diagnosis?
404
00:16:20,813 --> 00:16:23,858
Um, with the seizure,
now it's eclampsia.
405
00:16:25,026 --> 00:16:27,068
- Fetal heart rate is about 90.
- Way too low.
406
00:16:27,069 --> 00:16:28,361
Mom's sats are going down.
407
00:16:28,362 --> 00:16:29,821
Time to tube her?
408
00:16:29,822 --> 00:16:31,490
Set up for it, but wait.
409
00:16:31,491 --> 00:16:32,824
Another 10 of diazepam.
410
00:16:32,825 --> 00:16:35,286
Push 4 grams of Keppra.
411
00:16:38,039 --> 00:16:39,539
History of hypertension
412
00:16:39,540 --> 00:16:40,874
presents to the emergency department
413
00:16:40,875 --> 00:16:43,210
with a chief complaint of dizziness
414
00:16:43,211 --> 00:16:45,420
after inadvertently
ingesting 80 milligrams...
415
00:16:45,421 --> 00:16:46,713
Hey, how are you guys making out?
416
00:16:46,714 --> 00:16:47,797
Yeah, we're getting there.
417
00:16:47,798 --> 00:16:49,549
Have you seen Dr. Al-Hashimi?
418
00:16:49,550 --> 00:16:51,385
- No.
- Can I talk to you for a sec?
419
00:16:56,933 --> 00:16:58,266
So I just wanted
to let you know that I've been
420
00:16:58,267 --> 00:16:59,559
checking out some
of your online posts...
421
00:16:59,560 --> 00:17:00,727
Look, I was just trying to help
422
00:17:00,728 --> 00:17:02,312
get some health messages out there,
423
00:17:02,313 --> 00:17:03,897
- especially for young people.
- I think they're great.
424
00:17:03,898 --> 00:17:05,899
Really good.
425
00:17:05,900 --> 00:17:07,901
- You do?
- Yeah.
426
00:17:07,902 --> 00:17:10,111
Yeah, um, keep it up.
427
00:17:10,112 --> 00:17:11,571
OK.
428
00:17:11,572 --> 00:17:13,907
As long as you follow the HIPAA laws.
429
00:17:13,908 --> 00:17:15,283
I do.
430
00:17:15,284 --> 00:17:16,868
And wait until you're done charting.
431
00:17:16,869 --> 00:17:18,496
Sure.
432
00:17:20,706 --> 00:17:25,043
Actually, Dr. Robby... sorry,
um, can I ask you a question?
433
00:17:25,044 --> 00:17:26,253
Shoot.
434
00:17:26,254 --> 00:17:27,712
Um, I... I may be
435
00:17:27,713 --> 00:17:30,508
considering emergency psychiatry.
436
00:17:31,759 --> 00:17:33,969
Very cool.
437
00:17:33,970 --> 00:17:35,763
Think I could do it?
438
00:17:37,932 --> 00:17:39,432
I think that you could do
439
00:17:39,433 --> 00:17:42,019
anything that you put
your mind to, Victoria.
440
00:17:46,107 --> 00:17:47,566
OK.
441
00:17:47,567 --> 00:17:49,276
Pulse ox is 88.
442
00:17:50,444 --> 00:17:52,487
Dr. Abbot?
443
00:17:52,488 --> 00:17:54,656
- Intubate?
- Let's do it.
444
00:17:54,657 --> 00:17:57,993
Nazely, what do you suggest
for rapid sequence induction?
445
00:17:57,994 --> 00:17:59,202
Etomidate and roc.
446
00:17:59,203 --> 00:18:00,370
Mm, not quite.
447
00:18:00,371 --> 00:18:01,496
120 of propofol,
448
00:18:01,497 --> 00:18:02,497
60 of succinylcholine.
449
00:18:02,498 --> 00:18:03,957
Why is that, Crus?
450
00:18:03,958 --> 00:18:05,667
Propofol for the anti-seizure effect,
451
00:18:05,668 --> 00:18:07,294
sux to avoid prolonged paralysis
452
00:18:07,295 --> 00:18:09,379
- so we can check her neuro exam.
- Exactly.
453
00:18:09,380 --> 00:18:10,714
Pushing the propofol.
454
00:18:10,715 --> 00:18:12,215
Once she's flat for intubation,
455
00:18:12,216 --> 00:18:13,800
we need to displace
the uterus to the left.
456
00:18:13,801 --> 00:18:15,427
Nazely, that's you. Big hug, both arms.
457
00:18:15,428 --> 00:18:17,762
- Get the baby off the vena cava.
- Sux is on board.
458
00:18:17,763 --> 00:18:20,515
But after she's paralyzed,
the seizing stops, right?
459
00:18:20,516 --> 00:18:22,017
It might look like that,
460
00:18:22,018 --> 00:18:24,102
but an ongoing seizure
will still fry the brain.
461
00:18:24,103 --> 00:18:25,937
We monitor with EEG.
462
00:18:25,938 --> 00:18:27,815
- Is there time for that?
- Wait and see.
463
00:18:28,941 --> 00:18:30,191
Paralytics kicked in.
464
00:18:30,192 --> 00:18:31,736
Let's go. Roll her to her back.
465
00:18:32,778 --> 00:18:34,487
Intubate, then EEG
466
00:18:34,488 --> 00:18:36,990
to see if her brain is still seizing.
467
00:18:36,991 --> 00:18:38,533
I need first pass success.
468
00:18:38,534 --> 00:18:39,784
You and me both.
469
00:18:47,501 --> 00:18:50,045
Have you seen Dr. Al-Hashimi?
470
00:18:50,046 --> 00:18:51,254
No.
471
00:18:51,255 --> 00:18:53,673
Have you seen Dr. Al-Hashimi?
472
00:18:53,674 --> 00:18:55,425
Al-Hashimi?
473
00:18:55,426 --> 00:18:58,011
With how this day's going,
she probably quit.
474
00:18:58,012 --> 00:19:01,264
Last I saw her, she was
in Peds with Baby Jane Doe.
475
00:19:01,265 --> 00:19:03,683
Nope, I was just in there.
476
00:19:03,684 --> 00:19:04,684
Want me to page her?
477
00:19:04,685 --> 00:19:06,519
Uh, no, that's OK.
478
00:19:06,520 --> 00:19:07,813
I will find her.
479
00:19:12,401 --> 00:19:13,653
Hello.
480
00:19:16,447 --> 00:19:18,865
Hey, how did our people do
at the deposition?
481
00:19:18,866 --> 00:19:21,409
Oh, well, Dr. Ellis is a pit bull.
482
00:19:21,410 --> 00:19:23,536
Dr. King is a petunia.
483
00:19:23,537 --> 00:19:24,871
They were pretty brutal with her.
484
00:19:24,872 --> 00:19:26,706
- She's sensitive.
- Very.
485
00:19:26,707 --> 00:19:28,333
And I'm afraid it isn't over.
486
00:19:28,334 --> 00:19:29,501
They want to call her back.
487
00:19:29,502 --> 00:19:31,336
Oh, that's unfortunate.
488
00:19:31,337 --> 00:19:32,545
Maybe I should go with you
489
00:19:32,546 --> 00:19:34,214
to break that news to her, actually.
490
00:19:34,215 --> 00:19:36,049
- Misery loves company.
- Um, hey, while I have you,
491
00:19:36,050 --> 00:19:38,843
can I pose a hypothetical to you?
492
00:19:38,844 --> 00:19:40,845
If a doctor suspects another physician
493
00:19:40,846 --> 00:19:43,098
of having a medical condition
that could negatively
494
00:19:43,099 --> 00:19:45,225
affect the way they
would treat a patient,
495
00:19:45,226 --> 00:19:46,935
where would disclosing that fall
496
00:19:46,936 --> 00:19:48,938
on the HIPAA violation scale?
497
00:19:49,939 --> 00:19:51,941
First, do no harm.
498
00:19:54,402 --> 00:19:56,821
Dr. King, do you have a second?
499
00:19:59,407 --> 00:20:02,201
Mm...
500
00:20:03,994 --> 00:20:06,079
Good lung sliding bilaterally.
501
00:20:06,080 --> 00:20:08,082
Fetal heart rate borderline at 98.
502
00:20:09,583 --> 00:20:11,751
Roll her to the left again.
That can help.
503
00:20:11,752 --> 00:20:14,921
One, two, three.
504
00:20:14,922 --> 00:20:18,425
OK, all set here.
505
00:20:18,426 --> 00:20:19,926
EEG monitor's good to go.
506
00:20:19,927 --> 00:20:21,678
That was fast.
507
00:20:21,679 --> 00:20:23,138
Still seizing while paralyzed.
508
00:20:23,139 --> 00:20:25,724
It's nonconvulsive status.
509
00:20:25,725 --> 00:20:27,100
What's she had so far?
510
00:20:27,101 --> 00:20:28,768
30 of diazepam, a full load of mag,
511
00:20:28,769 --> 00:20:29,936
Keppra, and propofol.
512
00:20:29,937 --> 00:20:31,312
Damn. What's your next step?
513
00:20:31,313 --> 00:20:32,564
Any ideas?
514
00:20:32,565 --> 00:20:34,774
Hmm? Nazely?
515
00:20:34,775 --> 00:20:36,735
Dilantin? Valproate?
516
00:20:36,736 --> 00:20:38,069
Mm, infusion is too long.
517
00:20:38,070 --> 00:20:39,612
So is onset of action.
518
00:20:39,613 --> 00:20:41,072
Push 100 of ketamine.
519
00:20:41,073 --> 00:20:43,283
That's had results
with refractory status.
520
00:20:43,284 --> 00:20:45,577
She also has HELLP syndrome...
hemoglobin only 7,
521
00:20:45,578 --> 00:20:48,496
- platelets down to 30.
- Two units whole blood?
522
00:20:48,497 --> 00:20:50,957
O-neg is going up on
the rapid infuser as we speak.
523
00:20:50,958 --> 00:20:53,001
Uh, put the AP pads on, just in case.
524
00:20:53,002 --> 00:20:55,795
And 10 of Decadron IV push
for the inflammatory storm.
525
00:20:55,796 --> 00:20:57,964
- Fetal heart rate up to 104.
- Hmm.
526
00:20:57,965 --> 00:20:59,299
- Little better.
- Yeah.
527
00:20:59,300 --> 00:21:01,634
She should be upstairs with OB.
528
00:21:01,635 --> 00:21:05,388
She will be after we break this seizure.
529
00:21:05,389 --> 00:21:08,600
There was a delay in history-taking
530
00:21:08,601 --> 00:21:11,728
due to a malfunctioning
VRI interpretation device.
531
00:21:11,729 --> 00:21:14,314
During this time, there was a normal CBC
532
00:21:14,315 --> 00:21:15,982
and comprehensive metabolic panel
533
00:21:15,983 --> 00:21:17,693
that came back from the lab.
534
00:21:19,153 --> 00:21:21,070
What's wrong with you, Malfeasance?
535
00:21:21,071 --> 00:21:24,073
I have to do another deposition.
536
00:21:24,074 --> 00:21:26,034
Oh, that sucks.
537
00:21:26,035 --> 00:21:27,995
You must have really messed up.
538
00:21:29,038 --> 00:21:30,789
Dude, I'm joking.
539
00:21:30,790 --> 00:21:31,831
You gotta lighten up.
540
00:21:31,832 --> 00:21:33,501
It's all just bullshit.
541
00:21:35,002 --> 00:21:37,462
God, you know what?
Fuck all this.
542
00:21:37,463 --> 00:21:38,839
Do you want to go get a drink?
543
00:21:39,965 --> 00:21:41,007
Me?
544
00:21:41,008 --> 00:21:42,675
Yes, you.
545
00:21:42,676 --> 00:21:45,011
You... you do go out, don't you?
546
00:21:45,012 --> 00:21:47,180
Well, I'm usually with Becca.
547
00:21:47,181 --> 00:21:48,515
Well, bring her along.
548
00:21:48,516 --> 00:21:49,849
Can she drive?
549
00:21:49,850 --> 00:21:52,102
No, and she's with her boyfriend.
550
00:21:53,062 --> 00:21:54,522
OK, Becca.
551
00:21:56,190 --> 00:21:58,150
So it's just you and me.
552
00:22:00,277 --> 00:22:02,695
Do you like karaoke?
553
00:22:02,696 --> 00:22:04,572
You do karaoke?
554
00:22:04,573 --> 00:22:08,952
Well, what I do is more like
primal scream therapy.
555
00:22:08,953 --> 00:22:10,703
There's nothing like getting wasted
556
00:22:10,704 --> 00:22:12,205
and just absolutely wailing
557
00:22:12,206 --> 00:22:14,958
to shake off a shit show like today.
558
00:22:14,959 --> 00:22:16,836
I could use a fun night.
559
00:22:18,212 --> 00:22:20,088
You and me both, sister.
560
00:22:20,089 --> 00:22:21,881
There's been no improvement.
561
00:22:21,882 --> 00:22:23,424
Still seizing on the EEG.
562
00:22:23,425 --> 00:22:25,134
- Neurology has been called.
- OK. Got it.
563
00:22:25,135 --> 00:22:27,095
OB says send her up.
They have an OR ready.
564
00:22:27,096 --> 00:22:28,555
About time.
565
00:22:28,556 --> 00:22:30,265
Baby's been bradying down a bit more.
566
00:22:30,266 --> 00:22:31,850
This one looks like
it took a turn for the worse.
567
00:22:31,851 --> 00:22:33,685
Eclampsia, refractory seizures,
568
00:22:33,686 --> 00:22:35,937
HELLP syndrome with anemia
and thrombocytopenia.
569
00:22:35,938 --> 00:22:37,397
Yeah, about as bad as it gets.
570
00:22:37,398 --> 00:22:39,899
V-fib!
571
00:22:39,900 --> 00:22:41,901
Chest compressions, Nazely.
572
00:22:41,902 --> 00:22:44,696
Charge to 200.
573
00:22:44,697 --> 00:22:46,114
Prep the belly.
574
00:22:46,115 --> 00:22:47,448
Get a baby warmer.
575
00:22:47,449 --> 00:22:49,117
Call the NICU. Start a timer.
576
00:22:49,118 --> 00:22:50,952
Charged.
577
00:22:50,953 --> 00:22:52,245
Clear.
578
00:22:54,081 --> 00:22:55,415
Continue compressions.
579
00:22:55,416 --> 00:22:57,792
We'll check a rhythm in a minute.
580
00:22:57,793 --> 00:22:59,085
Gown up.
581
00:22:59,086 --> 00:23:00,420
Robby, it's you and me.
582
00:23:00,421 --> 00:23:02,422
Nazely, what's the four-minute rule?
583
00:23:02,423 --> 00:23:04,674
Uh, not sure.
584
00:23:04,675 --> 00:23:06,467
Pregnant patient with a viable fetus,
585
00:23:06,468 --> 00:23:08,094
you have four minutes
after cardiac arrest
586
00:23:08,095 --> 00:23:10,388
- to save the baby.
- And the mom.
587
00:23:10,389 --> 00:23:12,682
We don't call it a postmortem
C-section anymore.
588
00:23:12,683 --> 00:23:13,933
It's a resuscitative hysterotomy
589
00:23:13,934 --> 00:23:15,435
to try to save them both.
590
00:23:15,436 --> 00:23:16,769
But she doesn't want
any medical intervention.
591
00:23:16,770 --> 00:23:18,146
That doesn't matter.
592
00:23:18,147 --> 00:23:19,647
Mom and baby are both dead
if we do nothing.
593
00:23:19,648 --> 00:23:21,441
OK, charge to 200.
594
00:23:21,442 --> 00:23:23,485
One more rhythm check and then
Abbot and I are gonna cut.
595
00:23:24,778 --> 00:23:27,363
Ellis, you and Crus
on Mom resuscitation.
596
00:23:27,364 --> 00:23:28,823
Shen, you and Nazely take the baby.
597
00:23:28,824 --> 00:23:30,325
OK, hold compressions.
598
00:23:31,994 --> 00:23:33,620
Still V-fib.
599
00:23:33,621 --> 00:23:34,787
Clear.
600
00:23:34,788 --> 00:23:36,623
No change.
601
00:23:36,624 --> 00:23:38,666
- Resume compression, amp of epi.
- OK, showtime.
602
00:23:38,667 --> 00:23:40,335
We need to get this baby out right now.
603
00:23:40,336 --> 00:23:41,462
OK, take a break.
604
00:23:44,006 --> 00:23:47,508
OK, 10 blade. Good.
605
00:23:47,509 --> 00:23:49,761
First incision is from the xiphoid
606
00:23:49,762 --> 00:23:51,471
to the pubic symphysis
607
00:23:51,472 --> 00:23:54,474
through the skin to the linea alba.
608
00:23:54,475 --> 00:23:56,601
Units three and four on the infuser.
609
00:23:56,602 --> 00:23:59,479
Second incision goes
through the peritoneum,
610
00:23:59,480 --> 00:24:01,272
exposing the uterus.
611
00:24:01,273 --> 00:24:02,982
Where do you need me?
612
00:24:02,983 --> 00:24:05,193
You're with the baby.
Nazely's got the bag mask.
613
00:24:05,194 --> 00:24:07,403
You're on suction.
Stand by for intubation.
614
00:24:07,404 --> 00:24:08,905
Bladder retractors.
615
00:24:08,906 --> 00:24:10,573
Neonatal monitor
and pulse ox ready to go.
616
00:24:10,574 --> 00:24:12,992
Ellis, gentle traction.
617
00:24:12,993 --> 00:24:15,078
OK, making a small vertical incision
618
00:24:15,079 --> 00:24:18,706
through the lower uterus
so as not to cut the baby.
619
00:24:18,707 --> 00:24:20,500
Mm-hmm.
620
00:24:20,501 --> 00:24:22,043
- Got it?
- Yep, I got it.
621
00:24:22,044 --> 00:24:23,503
- OK.
- OK.
622
00:24:23,504 --> 00:24:26,631
Using scissors to extend superiorly.
623
00:24:28,092 --> 00:24:30,176
Ellis, hand retract the uterus with me.
624
00:24:30,177 --> 00:24:32,095
Amniotic fluid looks good.
625
00:24:33,722 --> 00:24:35,473
Give me some fundal pressure.
626
00:24:35,474 --> 00:24:36,891
Breech position.
627
00:24:39,311 --> 00:24:42,480
OK, baby's out.
628
00:24:42,481 --> 00:24:44,315
- It's a girl.
- All right.
629
00:24:45,985 --> 00:24:48,987
Milking the cord.
630
00:24:48,988 --> 00:24:51,489
Clamping.
631
00:24:51,490 --> 00:24:53,491
Cutting.
632
00:24:53,492 --> 00:24:55,076
OK, blue and flaccid.
Coming to you, Shen.
633
00:24:55,077 --> 00:24:56,202
- You ready?
- Yeah, you got her.
634
00:24:56,203 --> 00:24:58,246
I got it, yep.
635
00:24:58,247 --> 00:24:59,664
OK.
636
00:25:03,252 --> 00:25:05,712
Poor tone, no movement.
637
00:25:05,713 --> 00:25:08,381
Keep the blow-by closer.
638
00:25:08,382 --> 00:25:09,757
She's really blue.
639
00:25:09,758 --> 00:25:12,593
Some blue is normal, but not this much.
640
00:25:12,594 --> 00:25:14,554
- Do we need to intubate?
- Not yet, no.
641
00:25:14,555 --> 00:25:17,265
They usually pink up
with stimulation and blow-by.
642
00:25:17,266 --> 00:25:19,058
OK, removing the placenta.
643
00:25:19,059 --> 00:25:21,436
Sweeping to the left,
trying to get it in one piece.
644
00:25:23,272 --> 00:25:24,564
- Looks intact.
- Yeah.
645
00:25:24,565 --> 00:25:26,733
Nicely done.
646
00:25:26,734 --> 00:25:28,735
10 of IV Pitocin to contract the uterus.
647
00:25:28,736 --> 00:25:30,903
And lots of massage.
648
00:25:30,904 --> 00:25:32,572
Heart rate 76.
649
00:25:32,573 --> 00:25:34,157
Less than 100 means we need to bag.
650
00:25:34,158 --> 00:25:35,366
Suction first.
651
00:25:35,367 --> 00:25:36,534
OK.
652
00:25:38,454 --> 00:25:39,912
Hey, Jord, charge to 200.
653
00:25:39,913 --> 00:25:42,749
Stand by for the next rhythm check.
654
00:25:42,750 --> 00:25:44,459
She grimaced. Good sign.
655
00:25:44,460 --> 00:25:45,543
Bagging.
656
00:25:45,544 --> 00:25:47,545
Pulse ox 45%.
657
00:25:47,546 --> 00:25:49,130
Oh, I've never seen it that low.
658
00:25:49,131 --> 00:25:50,923
It's not as bad as it sounds.
659
00:25:50,924 --> 00:25:52,967
I'm more worried about the heart rate.
660
00:25:52,968 --> 00:25:55,136
McKay, get ready with an IO
in case we need epi.
661
00:25:55,137 --> 00:25:56,596
OK.
662
00:25:58,432 --> 00:26:00,933
Rhythm check. Hold compressions.
663
00:26:00,934 --> 00:26:01,976
Still V-fib.
664
00:26:01,977 --> 00:26:03,478
- OK, shock it.
- Clear.
665
00:26:04,480 --> 00:26:05,980
Resume compressions.
666
00:26:05,981 --> 00:26:07,482
Shen, how's she doing over there?
667
00:26:07,483 --> 00:26:08,775
Heart rate's up to 104.
668
00:26:08,776 --> 00:26:10,026
Uh, at one minute,
669
00:26:10,027 --> 00:26:12,361
she's 0 for color, 2 for heart rate,
670
00:26:12,362 --> 00:26:13,696
1 for reflex, tone, breathing.
671
00:26:13,697 --> 00:26:15,323
APGAR of 5.
672
00:26:15,324 --> 00:26:17,283
5 out of 10. Not great.
673
00:26:17,284 --> 00:26:18,951
Pulse ox 58%.
674
00:26:18,952 --> 00:26:20,870
- Intubation?
- Uh, not yet.
675
00:26:20,871 --> 00:26:22,955
O2 sat in the 60s is normal
at one minute.
676
00:26:22,956 --> 00:26:25,833
Her heart rate and pulse ox
are trending higher.
677
00:26:25,834 --> 00:26:27,293
Let's keep doing what we're doing.
678
00:26:27,294 --> 00:26:28,795
A little tincture of time.
679
00:26:28,796 --> 00:26:30,463
Hold compressions.
680
00:26:30,464 --> 00:26:32,548
Looks like sinus.
681
00:26:32,549 --> 00:26:34,217
Can't feel a carotid.
682
00:26:34,218 --> 00:26:35,635
No.
683
00:26:35,636 --> 00:26:37,637
Heart's barely pumping. It's PEA.
684
00:26:37,638 --> 00:26:38,930
Back on compressions.
685
00:26:38,931 --> 00:26:40,431
Transfuse two more units.
686
00:26:40,432 --> 00:26:41,808
She needs more red cells and platelets.
687
00:26:41,809 --> 00:26:43,518
Ongoing blood loss from the uterus.
688
00:26:43,519 --> 00:26:45,103
Give me all the lap pads we got, please.
689
00:26:52,528 --> 00:26:53,861
Yeah.
690
00:26:53,862 --> 00:26:54,987
OK, yeah, thanks.
691
00:26:54,988 --> 00:26:56,447
I appreciate it, honey.
692
00:26:56,448 --> 00:26:58,324
Oh, gotta go.
693
00:26:58,325 --> 00:26:59,659
Whoa, whoa, whoa!
694
00:26:59,660 --> 00:27:00,660
Hold up.
695
00:27:00,661 --> 00:27:02,161
Is there a problem here?
696
00:27:02,162 --> 00:27:04,288
Yeah, you two aren't leaving
empty-handed.
697
00:27:04,289 --> 00:27:05,332
What?
698
00:27:06,500 --> 00:27:08,043
One of you follow me.
699
00:27:09,711 --> 00:27:11,546
Rape kits are supposed to be picked up
700
00:27:11,547 --> 00:27:14,507
within 72 hours of collecting 'em.
701
00:27:14,508 --> 00:27:17,218
This one's been here for over two weeks.
702
00:27:17,219 --> 00:27:18,928
That's not on us.
703
00:27:18,929 --> 00:27:20,513
Well, it's on somebody.
704
00:27:20,514 --> 00:27:22,014
It's not bad enough these poor women
705
00:27:22,015 --> 00:27:23,599
go through an assault,
plus the indignity
706
00:27:23,600 --> 00:27:25,268
of the whole collection process,
707
00:27:25,269 --> 00:27:27,019
but nobody from the police department
708
00:27:27,020 --> 00:27:29,605
even has the human decency
to come get these things?
709
00:27:29,606 --> 00:27:30,731
Like nobody there gives a flying fuck?
710
00:27:30,732 --> 00:27:32,358
OK, we got it.
711
00:27:32,359 --> 00:27:34,277
We'll see that these get
put into evidence properly.
712
00:27:34,278 --> 00:27:35,487
Thank you.
713
00:27:37,614 --> 00:27:38,866
How hard was that?
714
00:27:42,703 --> 00:27:43,870
Units five and six are in.
715
00:27:43,871 --> 00:27:45,329
Down to a slow ooze here.
716
00:27:45,330 --> 00:27:46,706
Hold compressions.
717
00:27:50,252 --> 00:27:52,336
Looks like sinus.
718
00:27:52,337 --> 00:27:53,713
- And I got a weak carotid.
- OK.
719
00:27:53,714 --> 00:27:55,214
Cycle the BP.
720
00:27:55,215 --> 00:27:57,341
Better filling, better squeeze.
721
00:27:57,342 --> 00:27:58,926
No seizure activity on the EEG.
722
00:27:58,927 --> 00:28:00,428
That's progress. That's progress.
723
00:28:00,429 --> 00:28:01,512
We're at five minutes.
724
00:28:01,513 --> 00:28:03,431
Uh, heart rate is 132.
725
00:28:03,432 --> 00:28:05,099
Uh, pulse ox 79%.
726
00:28:05,100 --> 00:28:07,018
Nazely, the APGAR?
727
00:28:07,019 --> 00:28:08,561
Um...
728
00:28:08,562 --> 00:28:10,730
1 off for color, 1 off for tone,
729
00:28:10,731 --> 00:28:13,274
1 off for respiration
with hypoxia, total of 7.
730
00:28:13,275 --> 00:28:14,650
Respiration score is
for observed breathing,
731
00:28:14,651 --> 00:28:16,068
not pulse ox.
732
00:28:16,069 --> 00:28:17,612
Sat of 80 is normal at five minutes.
733
00:28:17,613 --> 00:28:19,071
With no crying, she still gets 1 off.
734
00:28:19,072 --> 00:28:20,115
Yeah.
735
00:28:22,492 --> 00:28:23,993
Ah!
736
00:28:23,994 --> 00:28:25,953
She just scored the winning point!
737
00:28:25,954 --> 00:28:28,290
APGAR of 8 is pretty normal.
738
00:28:31,585 --> 00:28:33,920
Holy shit. What did I miss?
739
00:28:33,921 --> 00:28:36,631
Eclampsia with status, HELLP syndrome,
740
00:28:36,632 --> 00:28:39,800
cardiac arrest,
resuscitative hysterotomy.
741
00:28:39,801 --> 00:28:42,136
I was in the OR
with a septic twin C-section.
742
00:28:42,137 --> 00:28:43,429
Got your text 12 minutes ago.
743
00:28:43,430 --> 00:28:44,931
Shit happens fast down here.
744
00:28:44,932 --> 00:28:47,475
Resuscitative hysterotomy in 36 seconds.
745
00:28:47,476 --> 00:28:49,769
- Impressive.
- BP's 102/64.
746
00:28:49,770 --> 00:28:50,978
Hemoglobin is up to 9.
747
00:28:50,979 --> 00:28:53,064
That'll do.
748
00:28:53,065 --> 00:28:54,440
NICU's sending a team down.
749
00:28:54,441 --> 00:28:56,776
We can take Mom.
You guys are rock stars.
750
00:28:56,777 --> 00:28:59,279
We like to be referred to
as crawlers of the night.
751
00:29:02,449 --> 00:29:03,824
If you're not careful,
752
00:29:03,825 --> 00:29:05,409
you're gonna get stuck here all night.
753
00:29:05,410 --> 00:29:07,912
Nah, Henny said she'd
be here in 30 minutes.
754
00:29:07,913 --> 00:29:10,456
- How's Mom and baby?
- Whew.
755
00:29:10,457 --> 00:29:12,458
They're both gonna go upstairs.
756
00:29:12,459 --> 00:29:14,627
Good. You leaving now?
757
00:29:14,628 --> 00:29:16,295
Yeah, pretty soon.
758
00:29:16,296 --> 00:29:19,382
I gotta find Whitaker,
I gotta find Al-Hashimi,
759
00:29:19,383 --> 00:29:21,634
and I gotta find Langdon before I leave.
760
00:29:21,635 --> 00:29:24,137
You missed Langdon. He just checked out.
761
00:29:26,556 --> 00:29:28,600
Shit.
762
00:29:52,040 --> 00:29:53,457
Can I help you?
763
00:29:53,458 --> 00:29:57,003
Uh, yeah, I'm Dr. Langdon from the ED.
764
00:29:57,004 --> 00:29:59,964
I was just, uh,
checking in on the status
765
00:29:59,965 --> 00:30:02,633
of someone we sent up here earlier.
766
00:30:02,634 --> 00:30:05,219
Patient's name is, uh, Cohen.
767
00:30:05,220 --> 00:30:06,512
Let me check.
768
00:30:06,513 --> 00:30:07,805
What was she up here for?
769
00:30:07,806 --> 00:30:09,640
Uh, clean out a nasty neck fash.
770
00:30:12,311 --> 00:30:13,978
Oh, yeah, she's good.
771
00:30:13,979 --> 00:30:17,064
She's in 4202, recovering nicely.
772
00:30:17,065 --> 00:30:19,650
Great, great.
773
00:30:19,651 --> 00:30:22,570
I mean, she was... she was
in not-great shape earlier.
774
00:30:22,571 --> 00:30:24,697
It was a good catch.
775
00:30:24,698 --> 00:30:28,701
Saved her life, even if
we couldn't save her leg.
776
00:30:28,702 --> 00:30:31,704
Uh, was it below the knee?
777
00:30:31,705 --> 00:30:33,540
Unfortunately, it was above.
778
00:30:50,432 --> 00:30:53,559
My cell phone
and the building manager's.
779
00:30:53,560 --> 00:30:55,519
He can help if there's any emergencies.
780
00:30:55,520 --> 00:30:57,605
Yeah, what kind of emergencies?
781
00:30:57,606 --> 00:30:59,023
Whatever.
782
00:30:59,024 --> 00:31:00,024
And follow up with Duke
783
00:31:00,025 --> 00:31:01,025
in a couple days, yeah?
784
00:31:01,026 --> 00:31:02,068
Yeah.
785
00:31:02,069 --> 00:31:04,445
You, um... you sure about this?
786
00:31:04,446 --> 00:31:06,280
I trust you, Whitaker.
787
00:31:06,281 --> 00:31:08,074
Great.
788
00:31:08,075 --> 00:31:09,533
Any questions?
789
00:31:09,534 --> 00:31:12,578
Uh, when are you back, exactly?
790
00:31:12,579 --> 00:31:14,080
You know, I'll text you.
791
00:31:14,081 --> 00:31:15,916
I'm trying to keep my dates
kind of fluid.
792
00:31:17,292 --> 00:31:19,418
I think this is your ride.
793
00:31:19,419 --> 00:31:21,462
Yeah, uh, yes.
794
00:31:21,463 --> 00:31:24,006
I... I promise I'll check in
on your house tomorrow.
795
00:31:24,007 --> 00:31:25,509
Sounds good.
796
00:31:26,635 --> 00:31:28,344
- Hey.
- Hey.
797
00:31:28,345 --> 00:31:31,430
OK. Hey, Theo.
798
00:31:31,431 --> 00:31:33,265
You're up late, huh?
799
00:31:33,266 --> 00:31:35,936
What you got there?
800
00:31:37,479 --> 00:31:39,939
OK.
801
00:31:39,940 --> 00:31:41,607
He's been fussy all day.
802
00:31:41,608 --> 00:31:43,776
I think he's got
another tooth coming in.
803
00:31:43,777 --> 00:31:45,444
Aw, right on, big guy.
804
00:31:45,445 --> 00:31:48,864
Are you ready to get funky?
805
00:31:48,865 --> 00:31:50,658
Yeah?
806
00:32:09,761 --> 00:32:11,137
Hey.
807
00:32:11,138 --> 00:32:13,140
Any luck picking an elective?
808
00:32:14,599 --> 00:32:17,435
Don't know.
809
00:32:17,436 --> 00:32:19,646
Maybe I will go into geriatrics.
810
00:32:21,148 --> 00:32:23,108
It's a smart choice.
811
00:32:26,820 --> 00:32:28,487
I know that life can be challenging,
812
00:32:28,488 --> 00:32:29,822
especially when it doesn't work out
813
00:32:29,823 --> 00:32:31,157
the way you expected.
814
00:32:31,158 --> 00:32:32,367
OK.
815
00:32:37,205 --> 00:32:38,664
I thought I would be married
816
00:32:38,665 --> 00:32:40,750
with two kids in college by now.
817
00:32:42,043 --> 00:32:44,837
Maybe have some property with a pond,
818
00:32:44,838 --> 00:32:47,047
and we could play hockey on it
in the wintertime.
819
00:32:49,176 --> 00:32:50,384
And yet look at me now.
820
00:32:50,385 --> 00:32:54,514
No wife, no kids, no pond.
821
00:32:57,976 --> 00:33:00,186
It's never too late.
822
00:33:00,187 --> 00:33:02,688
Do you really believe that?
823
00:33:02,689 --> 00:33:04,023
Yeah.
824
00:33:04,024 --> 00:33:05,733
Only for me, or for you too?
825
00:33:05,734 --> 00:33:07,359
OK.
826
00:33:07,360 --> 00:33:08,945
I see what you did there.
827
00:33:10,155 --> 00:33:12,865
Was that true, or something
you just said to make a point?
828
00:33:18,997 --> 00:33:21,750
Have you worked things out
with your mom?
829
00:33:23,960 --> 00:33:25,545
We're not talking.
830
00:33:28,798 --> 00:33:33,136
I am sorry that, um,
I let it distract me.
831
00:33:34,638 --> 00:33:36,305
She was treating me like a child,
832
00:33:36,306 --> 00:33:37,724
and I was letting her.
833
00:33:42,896 --> 00:33:44,397
Have a good trip.
834
00:33:45,565 --> 00:33:46,733
Please be safe.
835
00:33:48,652 --> 00:33:51,070
We need you here.
836
00:33:51,071 --> 00:33:53,240
Even if you can be a dick sometimes.
837
00:33:56,076 --> 00:33:57,285
Good luck.
838
00:33:58,620 --> 00:33:59,996
You too.
839
00:34:09,089 --> 00:34:11,257
Hey, I didn't think you were still here.
840
00:34:11,258 --> 00:34:13,677
I was just talking
to the neurologist on call.
841
00:34:15,095 --> 00:34:16,887
And?
842
00:34:16,888 --> 00:34:20,224
We had a nice chat.
843
00:34:20,225 --> 00:34:22,893
She agrees I can work
with double coverage.
844
00:34:22,894 --> 00:34:25,271
That's not her call to make.
845
00:34:25,272 --> 00:34:26,647
You can't do anything critical
846
00:34:26,648 --> 00:34:28,148
where a five-second lapse
in consciousness
847
00:34:28,149 --> 00:34:29,943
could potentially kill a patient.
848
00:34:31,778 --> 00:34:32,988
I agree.
849
00:34:36,449 --> 00:34:37,741
But 90% of our patients
850
00:34:37,742 --> 00:34:39,034
don't require critical procedures.
851
00:34:39,035 --> 00:34:41,203
And the ones that do?
852
00:34:41,204 --> 00:34:43,622
Will be handled by
whomever is working with me.
853
00:34:43,623 --> 00:34:45,499
Unless they're also tied up
with a critical patient.
854
00:34:45,500 --> 00:34:46,875
What if it's a double or triple trauma?
855
00:34:46,876 --> 00:34:48,877
- Robby, I can handle it.
- No, you can't.
856
00:34:48,878 --> 00:34:50,296
And I can't let you.
857
00:34:50,297 --> 00:34:51,714
I am fully capable of handling...
858
00:34:51,715 --> 00:34:53,299
No, you are not fully capable,
859
00:34:53,300 --> 00:34:54,759
and you know it.
860
00:34:58,471 --> 00:34:59,972
What do you want from me?
861
00:34:59,973 --> 00:35:01,098
I want what's best
for this department...
862
00:35:01,099 --> 00:35:02,516
patients and staff.
863
00:35:02,517 --> 00:35:04,810
Best-case scenario,
you get a handle on this,
864
00:35:04,811 --> 00:35:06,353
you're seizure-free for six months,
865
00:35:06,354 --> 00:35:07,605
you get your driver's license back,
866
00:35:07,606 --> 00:35:08,856
you are cleared to work.
867
00:35:08,857 --> 00:35:11,191
I am cleared for my driver's license.
868
00:35:11,192 --> 00:35:13,360
You shouldn't be driving
at all like this.
869
00:35:13,361 --> 00:35:15,821
If you were a patient,
we would have to report you.
870
00:35:15,822 --> 00:35:17,448
I am not your fucking patient.
871
00:35:17,449 --> 00:35:18,532
No, but I cannot let you work
872
00:35:18,533 --> 00:35:19,950
in my emergency department
873
00:35:19,951 --> 00:35:21,785
until you're fully capable of doing so.
874
00:35:21,786 --> 00:35:23,495
That is not your fucking call!
875
00:35:23,496 --> 00:35:24,997
You're fucking-A right, that's my call!
876
00:35:24,998 --> 00:35:26,999
I'm trying to protect you
and my patients,
877
00:35:27,000 --> 00:35:28,334
and you know I'm right about this.
878
00:35:28,335 --> 00:35:30,044
Oh, "my department," "my patients."
879
00:35:30,045 --> 00:35:31,545
All you fucking think about is yourself!
880
00:35:31,546 --> 00:35:32,838
Do you hear yourself?
881
00:35:32,839 --> 00:35:33,881
You didn't rat out Langdon
882
00:35:33,882 --> 00:35:35,424
for stealing fucking drugs.
883
00:35:35,425 --> 00:35:37,009
No, but I kicked him
out of this department
884
00:35:37,010 --> 00:35:38,927
until he got the appropriate
help that he needs,
885
00:35:38,928 --> 00:35:40,846
and the same goes for you.
886
00:35:40,847 --> 00:35:42,431
You've got until Monday
to let the administration know,
887
00:35:42,432 --> 00:35:43,600
or I will.
888
00:35:50,690 --> 00:35:52,524
I am finished.
889
00:35:52,525 --> 00:35:54,360
Last chart.
890
00:35:55,445 --> 00:35:56,945
- You and me both.
- Really?
891
00:35:56,946 --> 00:35:58,530
Is this a thing? I finished a while ago.
892
00:35:59,991 --> 00:36:01,785
I never want to hear
that fucking bell again.
893
00:36:06,373 --> 00:36:07,873
- Where's Dana?
- Not sure.
894
00:36:07,874 --> 00:36:09,375
A bunch of day shift
just headed to the roof
895
00:36:09,376 --> 00:36:10,584
to watch the fireworks.
896
00:36:10,585 --> 00:36:11,877
You want me to call her?
897
00:36:11,878 --> 00:36:13,380
No, that's OK.
898
00:36:15,256 --> 00:36:16,757
Yo.
899
00:36:16,758 --> 00:36:18,468
Thanks for your help in there.
900
00:36:20,387 --> 00:36:22,597
- Almost out?
- Yep, just about.
901
00:36:24,891 --> 00:36:26,600
Is this where you try
to talk me out of going?
902
00:36:26,601 --> 00:36:27,601
Me?
903
00:36:27,602 --> 00:36:29,395
No, not a chance.
904
00:36:29,396 --> 00:36:30,604
Why, are you having second thoughts?
905
00:36:30,605 --> 00:36:31,605
- Nope.
- No?
906
00:36:31,606 --> 00:36:33,232
Nope.
907
00:36:33,233 --> 00:36:35,234
Don't have to convince me.
908
00:36:35,235 --> 00:36:36,568
I mean, it is a little strange
the only place
909
00:36:36,569 --> 00:36:38,112
you talked about going is somewhere
910
00:36:38,113 --> 00:36:39,405
they used to drive buffalo
off a cliff to die.
911
00:36:39,406 --> 00:36:40,739
- Here it comes.
- I looked it up,
912
00:36:40,740 --> 00:36:42,408
and as far as summer vacations go,
913
00:36:42,409 --> 00:36:44,159
it's not exactly a holiday hotspot.
914
00:36:44,160 --> 00:36:47,287
I mean, what's in
the fucking gift shop, man?
915
00:36:47,288 --> 00:36:48,497
It's just one place I'm going.
916
00:36:48,498 --> 00:36:50,082
As long as it's not the last.
917
00:36:50,083 --> 00:36:52,251
Don't be pulling a "Thelma
and Louise" out there.
918
00:36:52,252 --> 00:36:54,461
I am minutes from taking
a three-month vacation.
919
00:36:54,462 --> 00:36:56,004
When's the last time
you took any time off, Jack?
920
00:36:56,005 --> 00:36:57,882
Yeah, but I've dealt with my demons.
921
00:36:59,175 --> 00:37:01,802
It's a process.
922
00:37:01,803 --> 00:37:04,555
You want to know why
I never killed myself?
923
00:37:04,556 --> 00:37:07,933
After what I saw, lived through?
924
00:37:07,934 --> 00:37:11,521
Losing my leg, losing my wife?
925
00:37:12,772 --> 00:37:14,940
Because it comes for all of us, man.
926
00:37:14,941 --> 00:37:16,150
You and I know it more than most.
927
00:37:16,151 --> 00:37:17,901
We see it every shift,
928
00:37:17,902 --> 00:37:20,029
but we can't let ourselves
succumb to it.
929
00:37:21,114 --> 00:37:22,949
Yes, life can suck.
930
00:37:24,284 --> 00:37:26,285
It can be unbearable
931
00:37:26,286 --> 00:37:28,120
and... and brutal
932
00:37:28,121 --> 00:37:30,831
and ugly and heartbreaking.
933
00:37:30,832 --> 00:37:35,002
But it's also beautiful...
and hilarious.
934
00:37:35,003 --> 00:37:37,255
And that woman today...
935
00:37:40,300 --> 00:37:41,884
Her baby, they'd both be in the morgue
936
00:37:41,885 --> 00:37:43,802
if you hadn't been here.
937
00:37:43,803 --> 00:37:45,637
That's us. That's you and me.
938
00:37:45,638 --> 00:37:48,640
That's what we're here for.
939
00:37:48,641 --> 00:37:51,226
The most important things
I've ever done in my life
940
00:37:51,227 --> 00:37:53,896
have been in this hospital.
941
00:37:53,897 --> 00:37:56,356
Nothing will ever matter more
than what I've done
942
00:37:56,357 --> 00:37:59,319
in this hospital, but it is killing me.
943
00:38:00,945 --> 00:38:03,071
You know how they say
that a part of you dies
944
00:38:03,072 --> 00:38:04,698
when you lose someone you love?
945
00:38:04,699 --> 00:38:07,117
I'm not convinced that
a part of you doesn't die
946
00:38:07,118 --> 00:38:09,286
every time you see a fellow human pass.
947
00:38:09,287 --> 00:38:13,791
And I've seen so many people die
948
00:38:13,792 --> 00:38:16,836
that I feel like it's leaching
something from my soul.
949
00:38:18,505 --> 00:38:20,507
Go on a cruise, man.
950
00:38:22,884 --> 00:38:25,719
Knock off this
helmetless motorcycle shit.
951
00:38:25,720 --> 00:38:27,805
Yeah, people talk.
952
00:38:27,806 --> 00:38:29,181
That's death-wish behavior.
953
00:38:29,182 --> 00:38:30,641
I'm tired of being a role model.
954
00:38:30,642 --> 00:38:32,559
I'm tired of feeling
like you can't get ahead.
955
00:38:32,560 --> 00:38:34,353
I'm tired of feeling
like I'm drowning every day.
956
00:38:34,354 --> 00:38:35,604
I'm tired of all of it.
957
00:38:35,605 --> 00:38:36,855
You need to get away for a while,
958
00:38:36,856 --> 00:38:38,232
and you need to get some help.
959
00:38:38,233 --> 00:38:41,694
You need this place
as much as it needs you.
960
00:38:46,074 --> 00:38:48,200
Am I fucked up?
961
00:38:48,201 --> 00:38:49,786
100%.
962
00:38:53,289 --> 00:38:55,541
But nobody works here
as long as you and me
963
00:38:55,542 --> 00:38:56,708
and doesn't get screwed up.
964
00:38:56,709 --> 00:38:59,878
You... you gotta find somebody
965
00:38:59,879 --> 00:39:02,589
to help you dance through the darkness.
966
00:39:06,594 --> 00:39:08,304
Did you just make that up?
967
00:39:10,515 --> 00:39:11,890
Maybe it's a song lyric.
968
00:39:11,891 --> 00:39:13,684
I don't... maybe my therapist said it.
969
00:39:13,685 --> 00:39:15,686
I don't know.
970
00:39:18,398 --> 00:39:19,857
Some dude just pulled up.
971
00:39:19,858 --> 00:39:21,901
Looks like he blew half his face off.
972
00:39:24,737 --> 00:39:26,573
How can you not love this place?
973
00:39:28,950 --> 00:39:32,411
Look, don't make me look stupid.
974
00:39:32,412 --> 00:39:34,831
You come back to us in one piece.
975
00:39:38,167 --> 00:39:39,626
I'm still your emergency contact,
976
00:39:39,627 --> 00:39:42,005
and I do not want to be contacted.
977
00:39:44,340 --> 00:39:45,591
All right, night crawlers,
978
00:39:45,592 --> 00:39:46,800
what the hell's going on out here?
979
00:39:52,348 --> 00:39:53,682
25-year-old man...
980
00:39:53,683 --> 00:39:54,975
history,
981
00:39:54,976 --> 00:39:56,310
no meds, no allergies.
982
00:41:22,689 --> 00:41:24,648
More than 2,000 years ago,
983
00:41:24,649 --> 00:41:26,817
the Chinese were throwing
bamboo into fire
984
00:41:26,818 --> 00:41:28,819
to make explosions.
985
00:41:28,820 --> 00:41:30,362
They went on to invent gunpowder.
986
00:41:30,363 --> 00:41:32,532
And boom! The rest is history.
987
00:41:34,158 --> 00:41:37,244
They had chemicals to get
the different colors, you know?
988
00:41:37,245 --> 00:41:40,038
Sodium gives you yellow,
strontium gives you red,
989
00:41:40,039 --> 00:41:43,083
and barium is green.
990
00:41:43,084 --> 00:41:46,670
Who knew chemistry could be
so damn pretty?
991
00:42:55,615 --> 00:42:57,365
- Hey.
- Hey.
992
00:42:57,366 --> 00:42:59,785
- I thought you'd left already.
- On my way out.
993
00:42:59,786 --> 00:43:03,789
Hey, I'm sorry that
I didn't find the time today
994
00:43:03,790 --> 00:43:04,956
to have that conversation.
995
00:43:04,957 --> 00:43:06,291
Yeah, that's all right.
996
00:43:06,292 --> 00:43:08,168
Seems like you didn't really want to.
997
00:43:08,169 --> 00:43:10,296
I didn't.
998
00:43:12,465 --> 00:43:13,882
Did you?
999
00:43:13,883 --> 00:43:16,259
Uh...
1000
00:43:16,260 --> 00:43:19,012
yeah, actually.
1001
00:43:19,013 --> 00:43:22,140
Look, I'm doing the work.
1002
00:43:22,141 --> 00:43:24,601
I'm... I've been sober 186 days.
1003
00:43:24,602 --> 00:43:26,812
I'm going to meetings.
I'm taking the drug tests.
1004
00:43:26,813 --> 00:43:29,065
- That's good.
- And you're still riding me.
1005
00:43:32,110 --> 00:43:35,487
What would have happened
if I'd paralyzed that guy?
1006
00:43:35,488 --> 00:43:37,155
I don't know.
1007
00:43:37,156 --> 00:43:38,782
What would have happened
if I hadn't been here today?
1008
00:43:38,783 --> 00:43:40,450
You'd still be questioning yourself.
1009
00:43:40,451 --> 00:43:42,202
Now you know you can do it.
You're welcome.
1010
00:43:42,203 --> 00:43:43,829
Oh, so that's...
that's how you teach now?
1011
00:43:43,830 --> 00:43:45,789
Sometimes.
1012
00:43:45,790 --> 00:43:48,083
You know who I saw in rehab?
1013
00:43:48,084 --> 00:43:50,752
I saw a bunch of guys just like you.
1014
00:43:50,753 --> 00:43:52,045
The only difference is,
1015
00:43:52,046 --> 00:43:55,173
they've accepted that they need help.
1016
00:43:55,174 --> 00:43:57,217
I think you're afraid to admit that
1017
00:43:57,218 --> 00:43:59,886
the mighty Dr. Robinavitch
isn't perfect.
1018
00:43:59,887 --> 00:44:01,930
Oh, I never claimed to be perfect.
1019
00:44:01,931 --> 00:44:05,183
No, but you expect it of yourself,
1020
00:44:05,184 --> 00:44:07,686
and it's not realistic, man.
1021
00:44:07,687 --> 00:44:10,021
How can any of us live up
to your standards
1022
00:44:10,022 --> 00:44:11,732
if you can't even do it?
1023
00:44:13,109 --> 00:44:16,069
You need help, Robby.
1024
00:44:16,070 --> 00:44:17,863
You need help.
1025
00:44:20,700 --> 00:44:21,868
Finished?
1026
00:44:23,035 --> 00:44:25,412
You don't gotta be honest with me, man.
1027
00:44:25,413 --> 00:44:27,497
At least be honest with yourself.
1028
00:44:42,930 --> 00:44:45,348
She is due for a new bottle.
1029
00:44:45,349 --> 00:44:48,102
I was hoping to get her some
formula before I clocked out.
1030
00:44:49,770 --> 00:44:52,147
I'll stay with her.
1031
00:44:52,148 --> 00:44:53,399
Thanks.
1032
00:44:55,651 --> 00:44:57,903
Why are you... will you hit
those lights on your way out?
1033
00:44:57,904 --> 00:45:00,906
- Yep.
- Why are you crying?
1034
00:45:00,907 --> 00:45:03,491
Why are you crying, little one?
1035
00:45:03,492 --> 00:45:06,077
You're OK. You're safe.
1036
00:45:06,078 --> 00:45:08,413
Yeah, you're not alone.
1037
00:45:15,254 --> 00:45:17,797
Yeah, you're OK.
1038
00:45:17,798 --> 00:45:21,092
Do you need to be swaddled again?
1039
00:45:21,093 --> 00:45:22,886
Is that it?
1040
00:45:22,887 --> 00:45:24,804
I can do that. Look.
1041
00:45:24,805 --> 00:45:27,432
Aww.
1042
00:45:27,433 --> 00:45:31,144
I wish somebody would swaddle me.
1043
00:45:31,145 --> 00:45:33,605
Yes, I do.
1044
00:45:33,606 --> 00:45:35,649
Oh.
1045
00:45:38,069 --> 00:45:41,112
You got off to kind of a rough start,
1046
00:45:41,113 --> 00:45:44,241
didn't you, little one?
1047
00:45:44,242 --> 00:45:46,326
Yeah, you did.
1048
00:45:48,621 --> 00:45:51,289
Well, that makes two of us.
1049
00:45:54,877 --> 00:45:56,962
I got abandoned too.
1050
00:46:00,299 --> 00:46:02,634
When I was eight.
1051
00:46:06,180 --> 00:46:11,643
But I got through
all of that, and so will you.
1052
00:46:11,644 --> 00:46:15,647
I got a good feeling that
you're gonna be just fine.
1053
00:46:15,648 --> 00:46:19,150
Everything's gonna be just fine.
1054
00:46:19,151 --> 00:46:22,112
You got so many wonderful things to see
1055
00:46:22,113 --> 00:46:25,323
and so many people to love ahead of you.
1056
00:46:27,493 --> 00:46:32,497
So many wonderful things to see,
1057
00:46:32,498 --> 00:46:34,666
people to love ahead of you.
1058
00:46:40,172 --> 00:46:43,133
Shh.
1059
00:46:43,134 --> 00:46:47,887
It's OK. It's gonna be OK.
1060
00:46:47,888 --> 00:46:50,473
It's OK.
1061
00:47:15,875 --> 00:47:20,045
♪ I want you to know ♪
1062
00:47:20,046 --> 00:47:24,841
♪ That I'm happy for you ♪
1063
00:47:24,842 --> 00:47:28,887
♪ I wish nothing but ♪
1064
00:47:28,888 --> 00:47:33,350
♪ The best for you both ♪
1065
00:47:33,351 --> 00:47:35,560
♪ An older version of me ♪
1066
00:47:35,561 --> 00:47:37,771
♪ Is she perverted like me ♪
1067
00:47:37,772 --> 00:47:42,359
♪ Would she go down on you
in a theater ♪
1068
00:47:42,360 --> 00:47:44,694
♪ Does she speak eloquently ♪
1069
00:47:44,695 --> 00:47:46,905
♪ And would she have your baby ♪
1070
00:47:46,906 --> 00:47:52,077
♪ I'm sure she'd make
a really excellent mother ♪
1071
00:47:52,078 --> 00:47:53,953
♪ 'Cause the love that you gave
that we made ♪
1072
00:47:53,954 --> 00:47:55,747
♪ Wasn't able to make it enough ♪
1073
00:47:55,748 --> 00:47:58,958
♪ For you to be open wide ♪
1074
00:47:58,959 --> 00:48:01,252
♪ No ♪
1075
00:48:01,253 --> 00:48:03,630
♪ And every time you speak her name ♪
1076
00:48:03,631 --> 00:48:04,923
♪ Does she know how you told me ♪
1077
00:48:04,924 --> 00:48:06,800
♪ You'd hold me until you died ♪
1078
00:48:06,801 --> 00:48:09,928
♪ Till you died,
but you're still alive ♪
1079
00:48:09,929 --> 00:48:14,432
♪ And I'm here to remind you ♪
1080
00:48:14,433 --> 00:48:16,768
♪ Of the mess that you left ♪
1081
00:48:16,769 --> 00:48:18,937
♪ When you went away ♪
1082
00:48:18,938 --> 00:48:23,608
♪ It's not fair to deny me ♪
1083
00:48:23,609 --> 00:48:27,612
♪ Of the cross I bear
that you gave to me ♪
1084
00:48:27,613 --> 00:48:31,149
♪ You, you, you oughta know ♪
1085
00:48:31,150 --> 00:48:34,696
Sync and corrections by btsix
www.addic7ed.com
74953
Can't find what you're looking for?
Get subtitles in any language from opensubtitles.com, and translate them here.
Afrikaans
Akan
Albanian
Amharic
Arabic
Armenian
Azerbaijani
Basque
Belarusian
Bemba
Bengali
Bihari
Bosnian
Breton
Bulgarian
Cambodian
Catalan
Cebuano
Cherokee
Chichewa
Chinese (Simplified)
Chinese (Traditional)
Corsican
Croatian
Czech
Danish
Dutch
English
Esperanto
Estonian
Faroese
Finnish
Galician
Georgian
German
Greek
Guarani
Haitian Creole
Hausa
Hawaiian
Hebrew
Hmong
Hungarian
Icelandic
Indonesian
Irish
Italian
Japanese
Kazakh
Kinyarwanda
Kirundi
Kongo
Korean
Krio (Sierra Leone)
Kurdish
Kyrgyz
Laothian
Latin
Latvian
Lithuanian
Luganda
Luo
Luxembourgish
Macedonian
Malagasy
Malay
Maltese
Maori
Mauritian Creole
Moldavian
Mongolian
Myanmar (Burmese)
Montenegrin
Nepali
Norwegian
Pashto
Persian
Polish
Portuguese (Brazil)
Portuguese (Portugal)
Quechua
Romanian
Romansh
Russian
Samoan
Scots Gaelic
Serbian
Sesotho
Setswana
Seychellois Creole
Shona
Sindhi
Sinhalese
Slovak
Slovenian
Somali
Spanish
Swedish
Tajik
Thai
Tigrinya
Tonga
Turkmen
Ukrainian
Uzbek
Vietnamese
Welsh
Wolof