1 00:00:06,140 --> 00:00:08,309 [ indistinct chatter ] 2 00:00:16,484 --> 00:00:17,485 I'm confused. 3 00:00:17,518 --> 00:00:18,752 Why am I cleaning up The mess from last shift? 4 00:00:18,786 --> 00:00:22,356 Because, dr. Savetti, You're a resident, And your mama said so. 5 00:00:22,390 --> 00:00:25,159 Dr. Pineda, Tell him what else I say. 6 00:00:25,193 --> 00:00:27,161 If you want to be part Of a team... 7 00:00:27,195 --> 00:00:29,597 No job is too big, No job is too small. 8 00:00:29,630 --> 00:00:33,834 Being an emergency-room Physician requires humility. 9 00:00:33,867 --> 00:00:36,737 And like a firefighter Cleans his rig, you clean yours. 10 00:00:36,770 --> 00:00:38,106 This is center stage. 11 00:00:38,139 --> 00:00:40,708 It demands your respect. 12 00:00:42,243 --> 00:00:45,279 Sorry, dr. Lorenson, But did you want to lay down? 13 00:00:45,313 --> 00:00:47,415 No. Uh, no. I didn't -- I don't want to lay down. 14 00:00:47,448 --> 00:00:48,582 Because if you're tired, 15 00:00:48,616 --> 00:00:50,618 Your mama could read you A bedtime story. 16 00:00:50,651 --> 00:00:53,121 No. Just there's a lot Of blood on these sheets. 17 00:00:53,154 --> 00:00:54,688 You know, the buddhists, 18 00:00:54,722 --> 00:00:57,525 They use manual labor As a way to meditate, 19 00:00:57,558 --> 00:00:59,760 To bring them closer To the world they inhabit. 20 00:00:59,793 --> 00:01:04,265 Or, as mr. Miyagi said, "Wax on, wax off." 21 00:01:04,298 --> 00:01:05,533 Who's mr. Miyagi? 22 00:01:05,566 --> 00:01:06,700 "The karate kid"? 23 00:01:06,734 --> 00:01:08,702 It's from the '80s. Right, christa? 24 00:01:08,736 --> 00:01:09,770 Funny. 25 00:01:09,803 --> 00:01:12,673 Okay, little serious talk Before our shift starts. 26 00:01:12,706 --> 00:01:13,941 It's saturday night, 27 00:01:13,974 --> 00:01:16,844 Which means we're gonna see some Things before the sun comes up. 28 00:01:16,877 --> 00:01:19,280 For you first-year residents Especially, 29 00:01:19,313 --> 00:01:22,516 Remember, the first pulse You check is always your own. 30 00:01:22,550 --> 00:01:26,820 When it gets rough, Make sure to breathe. 31 00:01:26,854 --> 00:01:31,259 Remember, oxygen is the first Drug we give our patients. 32 00:01:31,292 --> 00:01:32,560 Same for you. 33 00:01:32,593 --> 00:01:36,330 Lean on each other. That's what siblings are for. 34 00:01:36,364 --> 00:01:38,666 Lean on me. That's what your mama's for. 35 00:01:38,699 --> 00:01:39,867 Leanne: [ chuckles ] 36 00:01:39,900 --> 00:01:41,835 Evening, dr. Rorish. Evening, mama. 37 00:01:41,869 --> 00:01:44,505 We've got two incoming, Five minutes out. 38 00:01:44,538 --> 00:01:46,507 Let's clean it up, Glove it up, and go. 39 00:01:46,540 --> 00:01:47,741 Meet me at the bay doors. 40 00:01:47,775 --> 00:01:48,876 You heard your daddy. 41 00:01:48,909 --> 00:01:50,778 Let's go save The people of los angeles. 42 00:01:50,811 --> 00:01:53,481 I am making A formal complaint about this. 43 00:01:53,514 --> 00:01:55,349 Are you sure you want To do that, mario? 44 00:01:55,383 --> 00:01:56,284 Angus is right. 45 00:01:56,317 --> 00:01:57,117 Last couple years, 46 00:01:57,151 --> 00:01:58,419 Half the residents Didn't make it. 47 00:01:58,452 --> 00:02:00,154 How do you know so much? 48 00:02:00,188 --> 00:02:01,789 How do you not know this? 49 00:02:01,822 --> 00:02:04,758 Malaya was here For medical school And her internship. 50 00:02:04,792 --> 00:02:06,560 Be nice. 51 00:02:06,594 --> 00:02:08,229 Dr. Rorish likes her. 52 00:02:08,262 --> 00:02:10,764 Oh. Then you were here For dr. Rorish's accident. 53 00:02:10,798 --> 00:02:12,866 Her family. That's none Of our business. 54 00:02:12,900 --> 00:02:14,568 Wait, wait, wait, wait. What -- What are you talking about? 55 00:02:14,602 --> 00:02:15,736 Car accident. Bad one. 56 00:02:15,769 --> 00:02:17,338 Minivan rolled Down an embankment. 57 00:02:17,371 --> 00:02:18,506 Oh, my god. 58 00:02:18,539 --> 00:02:19,740 Whole family. [ clicks tongue ] 59 00:02:19,773 --> 00:02:21,509 Man: Plenty of o-neg. 60 00:02:21,542 --> 00:02:23,277 [ indistinct conversations ] 61 00:02:26,347 --> 00:02:27,915 You get any sleep today? 62 00:02:27,948 --> 00:02:29,950 Yeah. 63 00:02:29,983 --> 00:02:32,720 I know when you're lying. No, you don't. 64 00:02:32,753 --> 00:02:33,654 You have a tell. 65 00:02:33,687 --> 00:02:35,723 Yeah? What's my tell? 66 00:02:35,756 --> 00:02:37,325 I'm not giving that up. 67 00:02:37,358 --> 00:02:39,693 Then you'll stop doing it, I won't know when you're lying. 68 00:02:39,727 --> 00:02:41,862 You think you're so smart. You're so dumb. 69 00:02:41,895 --> 00:02:45,199 You're the dumbest person I ever known. 70 00:02:45,233 --> 00:02:46,834 [ sirens wailing ] 71 00:02:46,867 --> 00:02:48,836 Stop talking. This isn't gossip. 72 00:02:48,869 --> 00:02:49,770 I'm sorry. 73 00:02:49,803 --> 00:02:51,505 I didn't know you two Were besties now. 74 00:02:51,539 --> 00:02:52,706 Malaya: I'm with christa. 75 00:02:52,740 --> 00:02:54,208 I don't think We should talk about it. 76 00:02:54,242 --> 00:02:56,844 You four, You're gonna continue 77 00:02:56,877 --> 00:02:59,913 To shadow and assist Me and dr. Hudson 78 00:02:59,947 --> 00:03:01,882 Until that board Gets to code black, 79 00:03:01,915 --> 00:03:03,751 And then We're freeballing it. 80 00:03:03,784 --> 00:03:05,586 I'll take the first one. 81 00:03:05,619 --> 00:03:07,955 Dr. Lorenson, dr. Savetti, Go with dr. Hudson. 82 00:03:07,988 --> 00:03:09,423 And you two, you're with me. 83 00:03:09,457 --> 00:03:10,958 [ indistinct radio chatter ] 84 00:03:10,991 --> 00:03:13,827 Medic: all right. Let's go. We got it. 85 00:03:13,861 --> 00:03:15,663 All right. Set her down easy. 86 00:03:15,696 --> 00:03:16,730 What have you got? 87 00:03:16,764 --> 00:03:17,965 Car versus car, head-on. 88 00:03:17,998 --> 00:03:20,268 27-year-old female, Multiple neck lacerations. 89 00:03:20,301 --> 00:03:23,304 One 6-centimeter in zone three, Probable arterial source there. 90 00:03:23,337 --> 00:03:24,305 Ebl 400 cc. 91 00:03:24,338 --> 00:03:25,939 What's her name? Laura halloran. 92 00:03:25,973 --> 00:03:26,874 She's in and out. 93 00:03:26,907 --> 00:03:28,709 Laura, can you hear me? I'm dr. Hudson. 94 00:03:28,742 --> 00:03:30,811 I'm gonna help you. 95 00:03:30,844 --> 00:03:31,812 Woman: coming in now. 96 00:03:31,845 --> 00:03:33,947 Risa, monitor, o2, Lac tray with a yankauer. 97 00:03:33,981 --> 00:03:35,716 Start two liters Of n.S. Wide open. Risa: copy that. 98 00:03:35,749 --> 00:03:38,719 Leanne: high-speed mvc with A positive psi, unrestrained. 99 00:03:38,752 --> 00:03:40,954 Significant crepitus throughout The chest and neck. 100 00:03:40,988 --> 00:03:43,457 On my count. One, and two, three. 101 00:03:43,491 --> 00:03:45,759 Two, three. [ grunts ] 102 00:03:45,793 --> 00:03:48,562 Mid-80s on 25 meters, Gcs 13. 103 00:03:48,596 --> 00:03:50,631 Please. I can't die. 104 00:03:50,664 --> 00:03:51,865 What's your name, sir? 105 00:03:51,899 --> 00:03:52,866 J-j-jake. Jake willis. 106 00:03:52,900 --> 00:03:55,503 Jake, jake, I need you To calm down for me, okay? 107 00:03:55,536 --> 00:03:56,670 Please! 108 00:03:56,704 --> 00:03:58,939 My family, They cannot get by without me. 109 00:03:58,972 --> 00:04:02,410 My wife, becca, She takes care of my daughter. 110 00:04:02,443 --> 00:04:04,712 She doesn't -- She doesn't w-- 111 00:04:04,745 --> 00:04:06,914 He's out. 112 00:04:06,947 --> 00:04:08,015 All right. Dr. Pineda, intubate, please. 113 00:04:08,048 --> 00:04:08,949 On it. 114 00:04:08,982 --> 00:04:10,484 Ah. 115 00:04:10,518 --> 00:04:11,685 God, I'm surprised He was conscious at all. 116 00:04:11,719 --> 00:04:12,553 Look at this. 117 00:04:12,586 --> 00:04:15,022 Okay, I'll need Bilateral chest tube, 118 00:04:15,055 --> 00:04:16,757 Large bore In case there's blood. 119 00:04:16,790 --> 00:04:18,359 32 french. Let's get ready To roll him. 120 00:04:18,392 --> 00:04:19,693 Christa: Brisk facial bleeding. And on my count. 121 00:04:19,727 --> 00:04:21,695 One, two, three, roll. Glass embedded Pretty much everywhere. 122 00:04:21,729 --> 00:04:23,030 Okay. We're gonna need To roll her off the board. 123 00:04:23,063 --> 00:04:24,965 Carefully, she might have A c-spine injury. 124 00:04:24,998 --> 00:04:26,567 Dr. Lorenson, I need you to hold that neck 125 00:04:26,600 --> 00:04:27,668 Like it's disconnected. 126 00:04:27,701 --> 00:04:29,570 It might be. On my count, everybody. 127 00:04:29,603 --> 00:04:31,905 Neal and christa: One, two, three. 128 00:04:31,939 --> 00:04:32,873 Easy. Easy. 129 00:04:32,906 --> 00:04:34,642 You got it? Yeah. Got -- 130 00:04:34,675 --> 00:04:36,544 Whoa, whoa. Whoa, whoa. Let's go. Slowly. Slowly. 131 00:04:36,577 --> 00:04:38,612 Thank you. 132 00:04:38,646 --> 00:04:39,580 Spine's good. 133 00:04:39,613 --> 00:04:40,981 Okay. Down we go. 134 00:04:41,014 --> 00:04:42,215 Dr. Savetti, What's your next move? 135 00:04:42,249 --> 00:04:44,518 Ultrasound the abdomen, See if there's any fluid. Very good. 136 00:04:44,552 --> 00:04:45,586 Dr. Lorenson, we're gonna Find the artery up here 137 00:04:45,619 --> 00:04:46,587 And tie it off. 138 00:04:46,620 --> 00:04:50,023 Grab a kelly, forceps, And some 3-0 prolene. 139 00:04:50,057 --> 00:04:52,025 You know what I asked for? Yes or no? 140 00:04:52,059 --> 00:04:53,994 Yes. Yes, I just -- 141 00:04:54,027 --> 00:04:55,796 The kelly. It's on the tray Second from the right. Yes. Yes. I -- yes. 142 00:04:55,829 --> 00:04:56,664 Can't hesitate. Not ever. 143 00:04:56,697 --> 00:04:58,866 Abdomen's clear. No fluid. Very good. 144 00:04:58,899 --> 00:05:00,601 Dr. Rorish will need that At the next table. 145 00:05:00,634 --> 00:05:02,936 Suction, please. Let's clear the field. 146 00:05:02,970 --> 00:05:04,872 Malaya: And...I'm in. 147 00:05:04,905 --> 00:05:06,073 All right. Okay, bag it up. 148 00:05:06,106 --> 00:05:08,676 Dr. Pineda, Hand off to dr. Leighton. 149 00:05:08,709 --> 00:05:09,777 I need you down here, please. 150 00:05:11,144 --> 00:05:12,480 [ gasps ] He's awake. 151 00:05:12,513 --> 00:05:14,548 He's not awake. Look at his vitals. 152 00:05:14,582 --> 00:05:15,683 It's just a reflex. 153 00:05:15,716 --> 00:05:17,851 We got you, jake. 154 00:05:17,885 --> 00:05:19,887 You hear me now? Stay with us. 155 00:05:19,920 --> 00:05:21,622 Hey, uh, jesse, Let's make sure he's down. 156 00:05:21,655 --> 00:05:22,823 Push another 10 Of etomidate, please. 157 00:05:22,856 --> 00:05:26,360 He's not coming up over 80%. His chest is hardly rising. 158 00:05:26,394 --> 00:05:27,428 All right. 159 00:05:27,461 --> 00:05:29,029 Positive For pericardial fluid. 160 00:05:29,062 --> 00:05:30,030 Plenty of it. 161 00:05:30,063 --> 00:05:32,132 Dr. Leighton, stop. 162 00:05:32,165 --> 00:05:33,667 Put the bag down. Okay? 163 00:05:33,701 --> 00:05:35,436 You're decreasing his icp By hyperventilating him. 164 00:05:35,469 --> 00:05:36,937 Six breaths a minute, That's all he needs. 165 00:05:36,970 --> 00:05:38,105 Jesse: it's okay. Just hold it there. 166 00:05:38,138 --> 00:05:38,906 It's okay. Just slow down. 167 00:05:38,939 --> 00:05:41,108 Uh, we need To get him upstairs. 168 00:05:41,141 --> 00:05:43,043 Jesse, notify the o.R. Jesse: okay. 169 00:05:43,076 --> 00:05:44,044 See that? 170 00:05:44,077 --> 00:05:45,546 Christa: the artery. 171 00:05:45,579 --> 00:05:47,748 The maxillary artery, To be precise. 172 00:05:47,781 --> 00:05:50,050 It branches out From the external carotid. 173 00:05:50,083 --> 00:05:52,753 It's a real bitch. But in a couple of seconds... 174 00:05:52,786 --> 00:05:54,755 It's our bitch. Precisely. 175 00:05:54,788 --> 00:05:56,056 More dependant fluid In the lungs, 176 00:05:56,089 --> 00:05:57,024 Left worse than right. 177 00:05:57,057 --> 00:05:58,559 He's gonna die On the elevator. 178 00:05:58,592 --> 00:05:59,560 Likely, yes. 179 00:05:59,593 --> 00:06:01,028 I need a thoracotomy tray. 180 00:06:01,061 --> 00:06:02,062 You're gonna open up His chest? 181 00:06:02,095 --> 00:06:04,965 You got a better idea? I could use the assist. 182 00:06:04,998 --> 00:06:07,100 Dr. Savetti, get back here. You and dr. Lorenson close. 183 00:06:07,134 --> 00:06:09,136 Who can tell me What we're doing? 184 00:06:09,169 --> 00:06:10,738 Dr. Pineda? 185 00:06:10,771 --> 00:06:13,006 A thoracotomy -- a clamshell, Right and left chest open. 186 00:06:13,040 --> 00:06:14,007 That's right. 187 00:06:14,041 --> 00:06:14,975 Why? Dr. Leighton? 188 00:06:15,008 --> 00:06:16,810 Uh, only way to stop The internal bleeding 189 00:06:16,844 --> 00:06:19,012 Is to go in now. That's right. 190 00:06:19,046 --> 00:06:22,115 Guys, the thoracotomy is the Mother of all e.R. Procedures. 191 00:06:22,149 --> 00:06:24,418 Only 5% success rate In e.R.S nationwide. 192 00:06:24,452 --> 00:06:25,953 Don't need all the facts, Malaya. 193 00:06:25,986 --> 00:06:27,421 We are The statistical anomaly. 194 00:06:27,455 --> 00:06:30,858 Jesse, I need, uh, Six units of o-neg, please, 195 00:06:30,891 --> 00:06:32,159 Through the level-one. Already here. 196 00:06:32,192 --> 00:06:34,862 All right. Push it through Both 18s, please. 197 00:06:34,895 --> 00:06:36,163 All right. Scalpel. 198 00:06:36,196 --> 00:06:38,098 Okay. 199 00:06:39,800 --> 00:06:41,101 All right. 200 00:06:41,134 --> 00:06:42,035 Jesse. 201 00:06:42,069 --> 00:06:42,803 Okay. 202 00:06:42,836 --> 00:06:45,506 We're gonna spread The ribs now. 203 00:06:45,539 --> 00:06:46,807 Whoa. 204 00:06:46,840 --> 00:06:49,677 Then...Then push the lungs Aside. 205 00:06:49,710 --> 00:06:51,011 Dr. Leighton, Take the other side, please. 206 00:06:51,044 --> 00:06:53,814 10 blade, please. 207 00:06:53,847 --> 00:06:55,148 Okay. Now, watch dr. Hudson. 208 00:06:55,182 --> 00:06:56,784 He's about to reveal The pericardium, 209 00:06:56,817 --> 00:06:58,552 The sac around the heart. 210 00:06:58,586 --> 00:07:00,120 You've done a lot of these? 211 00:07:00,153 --> 00:07:01,154 No. First one. 212 00:07:01,188 --> 00:07:03,691 That's comforting. 213 00:07:03,724 --> 00:07:05,459 Dr. Hudson Has done more than most. 214 00:07:05,493 --> 00:07:07,961 He did a surgical residency Before he moved to e.R. 215 00:07:07,995 --> 00:07:10,163 Opening the pericardium now. 216 00:07:10,197 --> 00:07:11,532 Now, the -- wait, there it is. There it is. 217 00:07:11,565 --> 00:07:12,633 For those of you who can see, 218 00:07:12,666 --> 00:07:14,201 Look, see that laceration Right there 219 00:07:14,234 --> 00:07:15,302 Above the proximal aorta? 220 00:07:15,335 --> 00:07:16,470 Cross clamp, please. Okay, We're cross-clamping it. 221 00:07:16,504 --> 00:07:19,239 It'll divert the blood Above the opening to the brain, 222 00:07:19,272 --> 00:07:20,874 Which needs perfusion The most right now. 223 00:07:22,142 --> 00:07:24,077 No cardiac activity. 224 00:07:24,111 --> 00:07:25,713 Dr. Leighton, can you inject 225 00:07:25,746 --> 00:07:28,582 With intracardiac epinephrine, Please? 226 00:07:28,616 --> 00:07:29,416 Go ahead. 227 00:07:32,119 --> 00:07:34,087 Dr. Pineda, Get your hands in here. 228 00:07:34,121 --> 00:07:35,723 Really? Yeah, get your hands in. 229 00:07:35,756 --> 00:07:37,558 Put them around the heart Really gently, 230 00:07:37,591 --> 00:07:39,493 And you're gonna massage it. 231 00:07:39,527 --> 00:07:41,128 Oh, my god. I feel it. 232 00:07:41,161 --> 00:07:43,130 It's beating now. 233 00:07:43,163 --> 00:07:44,131 It's beating without me. 234 00:07:44,164 --> 00:07:46,166 Okay, You got a rhythm there. 235 00:07:57,611 --> 00:07:59,146 Lab results For your mva head injury. 236 00:07:59,179 --> 00:08:00,648 Thanks. Mm-hmm. 237 00:08:00,681 --> 00:08:01,849 That's odd. 238 00:08:01,882 --> 00:08:05,018 Wait, did she say those Are laura halloran's labs? Yeah. 239 00:08:05,052 --> 00:08:06,053 What's wrong? 240 00:08:06,086 --> 00:08:07,755 She has a lactate of 4. 241 00:08:07,788 --> 00:08:09,089 Maybe she had too much wine Last night. 242 00:08:09,122 --> 00:08:11,058 Or it's an early sign Of organ death. 243 00:08:11,091 --> 00:08:12,826 But, uh, Question is which organ? 244 00:08:12,860 --> 00:08:15,896 Excuse me, why is this patient Still in trauma one? 245 00:08:15,929 --> 00:08:17,197 Evening, dr. Taylor. 246 00:08:17,230 --> 00:08:18,932 Oh, sorry, I forgot my salutation. 247 00:08:18,966 --> 00:08:19,833 How you doing? 248 00:08:19,867 --> 00:08:22,002 Now, why hasn't She been admitted yet? 249 00:08:22,035 --> 00:08:23,837 'cause, uh, Something's bothering me. 250 00:08:23,871 --> 00:08:25,138 Well, something's bothering me, Too. 251 00:08:25,172 --> 00:08:27,040 Hemorrhoids. My ass is on fire. 252 00:08:27,074 --> 00:08:28,609 Do I get a bed in trauma one For that? 253 00:08:28,642 --> 00:08:30,143 I can't send the patient Upstairs 254 00:08:30,177 --> 00:08:31,579 Till I know what's wrong. 255 00:08:31,612 --> 00:08:33,814 Well, what is it That dr. Rorish always says? 256 00:08:33,847 --> 00:08:35,949 We're the first 10 minutes. 257 00:08:35,983 --> 00:08:38,118 Well, this one is in minute 11. 258 00:08:38,151 --> 00:08:39,152 So let's ship her out. 259 00:08:40,187 --> 00:08:42,055 Hang on. 260 00:08:42,089 --> 00:08:44,091 Something in her Isn't getting enough blood. 261 00:08:44,124 --> 00:08:45,759 You heard taylor. He's the director of the e.R. 262 00:08:45,793 --> 00:08:47,260 Yeah. And this is our patient. 263 00:08:48,796 --> 00:08:49,830 Let's, uh, get her to ct. 264 00:08:49,863 --> 00:08:52,232 I want a pan scan -- Head, neck, chest, ab/pelvis. 265 00:08:52,265 --> 00:08:54,001 You got it. 266 00:08:54,034 --> 00:08:55,068 [ indistinct chatter ] 267 00:08:55,102 --> 00:08:57,037 Mario, you're with me. 268 00:08:57,070 --> 00:08:58,606 Whoa. That's brian wellborn. 269 00:08:58,639 --> 00:08:59,640 Friend of yours? 270 00:08:59,673 --> 00:09:00,841 Hockey player. L.A. Rays. 271 00:09:00,874 --> 00:09:03,911 Well, in here, He's just a patient. 272 00:09:03,944 --> 00:09:06,814 26-year-old male was found Unconscious at the gym. 273 00:09:06,847 --> 00:09:08,081 He was awake when we arrived, 274 00:09:08,115 --> 00:09:10,050 But initially lethargic And confused. 275 00:09:10,083 --> 00:09:12,653 Gcs 13, fgs 110. 276 00:09:12,686 --> 00:09:13,987 I wasn't unconscious. 277 00:09:14,021 --> 00:09:15,055 I laid down For a few minutes, 278 00:09:15,088 --> 00:09:16,657 I woke up In a freaking ambulance. 279 00:09:16,690 --> 00:09:17,925 Has this happened To you before? 280 00:09:17,958 --> 00:09:19,092 Nothing happened to me. Were you listening? 281 00:09:19,126 --> 00:09:20,794 I was. 282 00:09:20,828 --> 00:09:21,929 But given how upset you are, 283 00:09:21,962 --> 00:09:23,931 I'm surprised that you even Got into the ambulance, 284 00:09:23,964 --> 00:09:26,066 Unless you weren't completely Lucid at the time. 285 00:09:26,099 --> 00:09:27,635 I've been working out Like crazy, dieting, 286 00:09:27,668 --> 00:09:29,102 Getting ready For the new season. 287 00:09:29,136 --> 00:09:30,170 I overdid it. End of story. 288 00:09:30,203 --> 00:09:31,371 What do you want to do, Doctor? 289 00:09:31,404 --> 00:09:32,806 Take a history, Examine him. 290 00:09:32,840 --> 00:09:34,241 Good. You're not serious. 291 00:09:34,274 --> 00:09:35,342 If your car broke down, 292 00:09:35,375 --> 00:09:36,977 You want to look Under the hood, right? 293 00:09:37,010 --> 00:09:38,245 Mr. Wellborn, You're here now. 294 00:09:38,278 --> 00:09:39,179 We can't let you leave 295 00:09:39,212 --> 00:09:40,848 Until we've at least done A basic exam. 296 00:09:40,881 --> 00:09:42,215 What do you mean You can't let me leave? 297 00:09:42,249 --> 00:09:43,150 It's the law. 298 00:09:43,183 --> 00:09:44,351 We need to make sure You're not a danger 299 00:09:44,384 --> 00:09:45,619 To yourself Or to others. 300 00:09:45,653 --> 00:09:46,386 It's routine. 301 00:09:46,419 --> 00:09:47,487 I need to call My team doctor. 302 00:09:47,520 --> 00:09:49,156 I left my phone back In the locker room at the gym. 303 00:09:49,189 --> 00:09:50,891 We'll hook you up With a phone, buddy. 304 00:09:50,924 --> 00:09:52,926 Evaluate and get back to me. And remember what I said. 305 00:09:52,960 --> 00:09:56,329 Totally. Go. 306 00:09:56,363 --> 00:09:58,131 You take care of her At the nursing home? 307 00:09:58,165 --> 00:10:01,869 She's a nice lady, But she is confused And very willful. 308 00:10:01,902 --> 00:10:03,637 You have a nice face. 309 00:10:03,671 --> 00:10:05,238 So do you. 310 00:10:06,674 --> 00:10:08,041 Alzheimer's? Dementia. 311 00:10:08,075 --> 00:10:08,876 She have a good heart, 312 00:10:08,909 --> 00:10:10,844 But she wanted to go out For the day, 313 00:10:10,878 --> 00:10:11,879 Like a field trip, 314 00:10:11,912 --> 00:10:13,013 And we don't do that. 315 00:10:13,046 --> 00:10:15,048 But she don't take no For an answer, 316 00:10:15,082 --> 00:10:16,149 So she swallowed The money. 317 00:10:16,183 --> 00:10:18,686 What do you mean She swallowed the money? 318 00:10:18,719 --> 00:10:20,888 She took a bunch of coins And swallowed them. 319 00:10:20,921 --> 00:10:22,255 They're inside her Right now. 320 00:10:22,289 --> 00:10:24,424 She ate them So she'd get out for the day? 321 00:10:24,457 --> 00:10:26,393 $3.80. 322 00:10:28,328 --> 00:10:29,362 We do what we got to do, Right? 323 00:10:29,396 --> 00:10:31,164 Right as rain. 324 00:10:31,198 --> 00:10:33,200 Why didn't you just give her A laxative and wait it out? 325 00:10:33,233 --> 00:10:36,203 Now that she's here, she's here Until she passes them. 326 00:10:36,236 --> 00:10:38,238 The rules say We can't discharge any patient 327 00:10:38,271 --> 00:10:41,074 With a foreign object Inside of them. 328 00:10:41,108 --> 00:10:42,309 But you already knew that, Didn't you? 329 00:10:42,342 --> 00:10:45,178 We have so many patients And not enough staff. 330 00:10:45,212 --> 00:10:47,180 I can't be taking her to The toilet every five minutes. 331 00:10:47,214 --> 00:10:48,816 You think we can? 332 00:10:48,849 --> 00:10:51,051 Call us when she's ready To get picked up, hmm? 333 00:10:52,119 --> 00:10:53,687 [ indistinct radio chatter ] 334 00:10:57,725 --> 00:10:58,926 [ telephone rings ] 335 00:10:58,959 --> 00:11:01,762 Woman: mrs. Perez. Mrs. Perez, please. 336 00:11:01,795 --> 00:11:04,097 Excuse me. Can I help you? 337 00:11:04,131 --> 00:11:06,266 I got a call my husband Was in, uh, an accident? 338 00:11:06,299 --> 00:11:08,702 Jake willis. Is he okay? 339 00:11:09,803 --> 00:11:10,971 Let me get his doctor For you. 340 00:11:11,004 --> 00:11:12,039 Oh, god, is he -- 341 00:11:12,072 --> 00:11:14,274 Mrs. Willis, please don't Read into anything I say. 342 00:11:14,307 --> 00:11:16,076 I'm not directly familiar With the case. 343 00:11:16,109 --> 00:11:16,944 I simply don't know. 344 00:11:16,977 --> 00:11:19,046 If you'll wait, I'll get dr. Rorish. 345 00:11:21,214 --> 00:11:22,282 Mario: I was at the edmonton game. 346 00:11:22,315 --> 00:11:24,284 Brian: which one? 347 00:11:24,317 --> 00:11:25,418 Which one? The no-look backhander. 348 00:11:25,452 --> 00:11:26,419 It was unbelievable. 349 00:11:26,453 --> 00:11:27,755 Are we almost done here? 350 00:11:27,788 --> 00:11:28,688 Open your mouth for me. 351 00:11:28,722 --> 00:11:30,290 What's my mouth Got to do with anything? 352 00:11:30,323 --> 00:11:31,725 I'm a resident, okay? I don't check everything out -- 353 00:11:31,759 --> 00:11:33,693 Yeah, fine, You want to look at my mouth? 354 00:11:34,494 --> 00:11:36,063 Here. 355 00:11:37,831 --> 00:11:40,233 Occupational hazard. 356 00:11:41,168 --> 00:11:43,804 Tongue out. 357 00:11:45,538 --> 00:11:46,306 Ah. 358 00:11:46,339 --> 00:11:47,975 You're right. You didn't pass out. 359 00:11:48,008 --> 00:11:49,209 Told ya. 360 00:11:49,242 --> 00:11:50,310 [ grunts ] Done here? 361 00:11:50,343 --> 00:11:51,378 You had a seizure. 362 00:11:51,411 --> 00:11:52,479 Whoa, whoa, whoa, whoa. 363 00:11:52,512 --> 00:11:54,114 How'd you come up with seizure, Huh? 364 00:11:54,147 --> 00:11:55,248 Looking in my mouth? You believe this guy? 365 00:11:55,282 --> 00:11:57,851 You bit your tongue. 366 00:11:57,885 --> 00:11:59,319 And it looks like It's happened before. 367 00:11:59,352 --> 00:12:00,387 Am I right? 368 00:12:02,322 --> 00:12:04,091 Becca: so, he's alive? 369 00:12:04,124 --> 00:12:05,225 Leanne: he's alive. 370 00:12:05,258 --> 00:12:08,095 Oh, thank god. 371 00:12:08,128 --> 00:12:10,097 I don't know what we would do If anything happened to him. 372 00:12:12,265 --> 00:12:14,201 Would you rather Speak privately? 373 00:12:14,234 --> 00:12:15,368 I can have a nurse come Watch your daughter. We'll -- 374 00:12:15,402 --> 00:12:18,271 No, no, no, no. Tara needs me around. 375 00:12:18,305 --> 00:12:19,940 She's calm now, but... 376 00:12:19,973 --> 00:12:22,442 Is jake gonna be okay? 377 00:12:22,475 --> 00:12:24,411 The truth is We don't know yet. 378 00:12:24,444 --> 00:12:26,246 But you said you fixed him. 379 00:12:26,279 --> 00:12:29,049 I said we stabilized him. 380 00:12:29,082 --> 00:12:35,422 Unfortunately, now we... Just...Have to wait. 381 00:12:40,293 --> 00:12:43,296 Tara's father left Just after she was diagnosed. 382 00:12:43,330 --> 00:12:44,998 He said it wasn't What he signed up for. 383 00:12:45,032 --> 00:12:46,934 Can you believe that? 384 00:12:46,967 --> 00:12:49,269 I didn't know what to do. 385 00:12:49,302 --> 00:12:52,139 I tried to work, But she needed me. 386 00:12:52,172 --> 00:12:54,441 Honestly, I -- 387 00:12:54,474 --> 00:12:56,276 [ voice breaking ] I didn't know If we would make it. 388 00:12:56,309 --> 00:12:59,412 And that's when I met jake. 389 00:12:59,446 --> 00:13:03,216 Do you know Where he was going tonight? 390 00:13:03,250 --> 00:13:06,319 He was gonna sign them up To take dance classes together. 391 00:13:06,353 --> 00:13:08,421 I told him he didn't Have to do that. 392 00:13:08,455 --> 00:13:10,123 I think I insulted him. [ sobs ] 393 00:13:10,157 --> 00:13:15,829 And he said, "No, she's my daughter. 394 00:13:15,863 --> 00:13:19,266 It's what I signed up for." [ sobs ] 395 00:13:19,299 --> 00:13:21,068 "It's what I signed up for." 396 00:13:24,237 --> 00:13:26,273 [ crying ] 397 00:13:26,306 --> 00:13:29,042 ** 398 00:13:32,445 --> 00:13:34,581 I'll let you know When he's out of surgery. 399 00:13:41,554 --> 00:13:43,556 [ door opens ] 400 00:13:47,127 --> 00:13:48,628 She swallowed them? 401 00:13:48,661 --> 00:13:51,331 How else Would they get there? 402 00:13:51,364 --> 00:13:53,500 [ indistinct chatter ] 403 00:13:54,634 --> 00:13:58,238 All right, gang. She leaves when she's empty. 404 00:13:58,271 --> 00:14:01,408 Dr. Leighton, you'll go first. 405 00:14:01,441 --> 00:14:03,476 First for what? 406 00:14:03,510 --> 00:14:06,213 I gave her a mild laxative About 30 minutes ago. 407 00:14:06,246 --> 00:14:07,414 Mark: eugh. 408 00:14:07,447 --> 00:14:11,418 Looks like the slot machine's Ready to start paying off. 409 00:14:13,553 --> 00:14:16,423 Nothing. Maybe you were right. 410 00:14:16,456 --> 00:14:18,158 I trust your hunches More than mine. 411 00:14:18,191 --> 00:14:19,492 Well, We can all be wrong. 412 00:14:19,526 --> 00:14:22,095 Leanne, Do you have a moment? 413 00:14:22,129 --> 00:14:23,496 Oh, don't look. 414 00:14:23,530 --> 00:14:24,965 Gangrenous toe. 415 00:14:26,199 --> 00:14:27,400 Gangrene is my jam. 416 00:14:27,434 --> 00:14:28,568 Is that so? 417 00:14:30,470 --> 00:14:32,005 You needed something? 418 00:14:32,039 --> 00:14:33,506 Sorry. 419 00:14:33,540 --> 00:14:36,176 Yeah, that, uh, Female mvc has a lactate of 4. 420 00:14:36,209 --> 00:14:38,211 What are you thinking? Organ ischemia? 421 00:14:38,245 --> 00:14:40,047 Yeah, but the pan scan Is negative. 422 00:14:40,080 --> 00:14:41,481 Wouldn't ischemia show up? 423 00:14:41,514 --> 00:14:42,549 Not necessarily. 424 00:14:42,582 --> 00:14:45,052 Any evidence of abdominal trauma From the accident? 425 00:14:45,085 --> 00:14:46,453 No. Huh. 426 00:14:46,486 --> 00:14:49,422 Then what could've caused it? 427 00:14:49,456 --> 00:14:50,623 Unless... 428 00:14:50,657 --> 00:14:53,226 It wasn't caused By the accident. 429 00:14:54,661 --> 00:14:55,595 Ohh. 430 00:14:55,628 --> 00:14:57,564 I was on my way here. 431 00:14:57,597 --> 00:14:59,366 You were on your way To the hospital? 432 00:14:59,399 --> 00:15:02,102 The pain was sudden, and -- And so intense, I threw up. 433 00:15:02,135 --> 00:15:03,436 Appendix? 434 00:15:03,470 --> 00:15:04,404 No, I don't think so. 435 00:15:04,437 --> 00:15:06,073 Risa, I need the ultrasound. Flying in. 436 00:15:06,106 --> 00:15:07,207 You think It's internal bleeding? 437 00:15:07,240 --> 00:15:08,308 Gp won't show up On ultrasound. 438 00:15:08,341 --> 00:15:09,542 Very good. 439 00:15:09,576 --> 00:15:11,278 But no. We're not looking for blood. 440 00:15:11,311 --> 00:15:13,280 I have a hunch. 441 00:15:16,083 --> 00:15:17,284 Oh, that's interesting. 442 00:15:17,317 --> 00:15:19,252 You -- you don't have A right ovary. 443 00:15:19,286 --> 00:15:21,454 No, just -- just a left. 444 00:15:21,488 --> 00:15:22,990 Why? Is something wrong with it? 445 00:15:23,023 --> 00:15:24,457 Look. 446 00:15:24,491 --> 00:15:25,325 There should be a rainbow 447 00:15:25,358 --> 00:15:26,994 Of flashing colors Here on the left, 448 00:15:27,027 --> 00:15:28,361 Coursing through Her left ovary. 449 00:15:28,395 --> 00:15:29,963 But there's nothing. It's just darkness. 450 00:15:29,997 --> 00:15:31,131 Torsion? 451 00:15:31,164 --> 00:15:35,135 Laura, your ovary is twisted, Cutting off the blood flow. 452 00:15:35,168 --> 00:15:36,503 It's called a torsion. 453 00:15:36,536 --> 00:15:38,338 Is it dangerous? 454 00:15:38,371 --> 00:15:39,739 I need to know when the pain Started -- exactly when. 455 00:15:39,772 --> 00:15:42,642 Um...I was -- I was moving 456 00:15:42,675 --> 00:15:44,477 Some -- some boxes From my basement. 457 00:15:44,511 --> 00:15:45,478 It was around 9:00. 458 00:15:45,512 --> 00:15:46,946 I came straight from there. 459 00:15:48,648 --> 00:15:51,384 An ovary has about six hours It can survive without oxygen. 460 00:15:51,418 --> 00:15:52,385 That means, if we're lucky, 461 00:15:52,419 --> 00:15:54,121 We have about three hours To detorse it, or... 462 00:15:54,154 --> 00:15:55,255 I'll lose it? 463 00:15:56,723 --> 00:15:58,491 I'm afraid so, yeah. 464 00:15:58,525 --> 00:16:00,060 Can I ask you what happened To your other ovary? 465 00:16:00,093 --> 00:16:02,629 [ sighs ] They said it was a-a teratoma. 466 00:16:02,662 --> 00:16:03,663 Happened a few years ago. 467 00:16:03,696 --> 00:16:05,098 My late husband and I 468 00:16:05,132 --> 00:16:08,168 Had been having some Fertility problems, and -- 469 00:16:08,201 --> 00:16:10,070 Nobody available Right now from o.B. 470 00:16:10,103 --> 00:16:12,305 Laura, we're gonna need to Contact your obstetrician, okay? 471 00:16:12,339 --> 00:16:14,707 Um, I've been going To a clinic in san francisco. 472 00:16:14,741 --> 00:16:16,143 I fly out once a month. 473 00:16:16,176 --> 00:16:16,976 For fertility? 474 00:16:17,010 --> 00:16:18,545 You said it was Your late husband? 475 00:16:18,578 --> 00:16:19,646 It is. 476 00:16:19,679 --> 00:16:24,717 It's where we froze noah's sperm Before he got sick. 477 00:16:24,751 --> 00:16:28,588 I can't lose this ovary. Please. 478 00:16:32,792 --> 00:16:34,627 I would like To see his chart, 479 00:16:34,661 --> 00:16:36,129 And please let The e.R. Director know 480 00:16:36,163 --> 00:16:37,564 I'm here and would like To see him. 481 00:16:37,597 --> 00:16:38,565 Who the hell are you? 482 00:16:38,598 --> 00:16:41,101 Who are you? A resident. 483 00:16:41,134 --> 00:16:42,535 So, are you the genius 484 00:16:42,569 --> 00:16:44,471 Who diagnosed this man With seizures? 485 00:16:44,504 --> 00:16:45,605 Again, who are you? 486 00:16:45,638 --> 00:16:46,606 I'm his team doctor. 487 00:16:46,639 --> 00:16:48,708 Oh, I get it. 488 00:16:48,741 --> 00:16:50,610 You get what? Seizures mean He can't play. 489 00:16:50,643 --> 00:16:52,179 I didn't have A damn seizure. 490 00:16:52,212 --> 00:16:53,580 Correct. 491 00:16:53,613 --> 00:16:55,315 In fact, I want it stricken From his chart right now. 492 00:16:55,348 --> 00:16:57,550 That's against the law, and A real doctor would know that. 493 00:16:57,584 --> 00:16:58,651 Who do you think You're talking to? 494 00:16:58,685 --> 00:17:00,320 Edward: Brian, settle down. 495 00:17:00,353 --> 00:17:02,755 I'm jesse sallander, Senior e.R. Nurse. 496 00:17:02,789 --> 00:17:04,424 Can I help you? Yes. 497 00:17:04,457 --> 00:17:05,325 I'm checking my patient out, 498 00:17:05,358 --> 00:17:07,327 But I would like A chart revision first. 499 00:17:07,360 --> 00:17:08,595 Chart revision? Yeah, A chart revision. 500 00:17:08,628 --> 00:17:09,529 Hey, man, We're trying to help you. 501 00:17:09,562 --> 00:17:12,299 Help me? Oh, you think I need your help? 502 00:17:13,700 --> 00:17:15,668 Dr. Savetti, You don't want to do this. 503 00:17:15,702 --> 00:17:16,469 Believe me. 504 00:17:16,503 --> 00:17:18,205 Enough. Savetti, step out, please. 505 00:17:18,238 --> 00:17:20,173 Come on, me? Now, son. 506 00:17:22,275 --> 00:17:24,677 Are you the attending? I'm dr. Edward darius. I'm -- 507 00:17:24,711 --> 00:17:26,646 Whoever you think you are, You have zero authority in here. 508 00:17:26,679 --> 00:17:29,182 I play racquetball 509 00:17:29,216 --> 00:17:32,519 With ed harbert, C.E.O. Of this hospital. 510 00:17:32,552 --> 00:17:36,389 Did you know only 1% of all Males can perform auto-fellatio? 511 00:17:36,423 --> 00:17:38,658 You, sir, Have a serious medical issue, 512 00:17:38,691 --> 00:17:40,127 And it does need To be addressed, 513 00:17:40,160 --> 00:17:41,194 But this isn't a jail, 514 00:17:41,228 --> 00:17:42,562 And we can't keep you here -- Ah, he's seizing. 515 00:17:42,595 --> 00:17:45,198 He's seizing. I got him. 516 00:17:45,232 --> 00:17:46,566 Ohh. 517 00:17:46,599 --> 00:17:48,535 Easy. Easy. I need a face mask At 25 liters. 518 00:17:48,568 --> 00:17:50,670 2 mgs of ativan, please. 519 00:17:50,703 --> 00:17:51,771 There it is. 520 00:17:51,804 --> 00:17:53,806 Put it on. Put it on, please. 521 00:18:01,348 --> 00:18:03,350 ** 522 00:18:08,321 --> 00:18:10,290 [ indistinct conversations ] 523 00:18:10,323 --> 00:18:12,292 [ door opens ] 524 00:18:12,325 --> 00:18:13,760 [ gurney rattling ] 525 00:18:13,793 --> 00:18:17,430 [ indistinct radio chatter ] 526 00:18:17,464 --> 00:18:19,532 Interested in knowing How your patient is doing, 527 00:18:19,566 --> 00:18:20,467 The hockey player? 528 00:18:20,500 --> 00:18:22,369 Sure. 529 00:18:22,402 --> 00:18:24,337 Had a pretty rough seizure, 530 00:18:24,371 --> 00:18:28,241 But it's over now, And he's resting. 531 00:18:28,275 --> 00:18:30,510 And dr. Darius? 532 00:18:30,543 --> 00:18:33,346 Taylor and rorish Kicked him out. 533 00:18:33,380 --> 00:18:35,448 Glad I'm not the only one That got booted. 534 00:18:36,416 --> 00:18:38,451 You ever see "An officer and a gentleman"? 535 00:18:38,485 --> 00:18:39,386 What? 536 00:18:39,419 --> 00:18:42,422 The movie "An officer and a gentleman"? 537 00:18:42,455 --> 00:18:43,423 No. 538 00:18:43,456 --> 00:18:45,758 Richard gere plays This guy named mayonnaise. 539 00:18:45,792 --> 00:18:46,859 Mayonnaise? 540 00:18:46,893 --> 00:18:49,829 Yeah, 'cause his last name Is mayo, and he's white. 541 00:18:49,862 --> 00:18:53,733 Now, mayonnaise joins the navy To fly jets. 542 00:18:53,766 --> 00:18:55,802 See, he's good At almost everything. 543 00:18:55,835 --> 00:18:59,572 Fastest runner, best fighter, Smart, and fearless. 544 00:18:59,606 --> 00:19:03,510 Now, if the movie Were just called "An officer," 545 00:19:03,543 --> 00:19:04,577 He'd be just fine. 546 00:19:04,611 --> 00:19:05,512 But it's not. 547 00:19:05,545 --> 00:19:08,948 It's called "An officer and a gentleman," 548 00:19:08,981 --> 00:19:13,820 Which means you have Some things to learn. 549 00:19:13,853 --> 00:19:15,255 Like what? 550 00:19:15,288 --> 00:19:19,626 Humility, patience, Kindness, charity. 551 00:19:19,659 --> 00:19:20,793 You know, the big ones. 552 00:19:20,827 --> 00:19:23,430 You saying I'm mayonnaise? 553 00:19:23,463 --> 00:19:24,697 Well, you ain't lou gossett. 554 00:19:24,731 --> 00:19:27,667 I know the neighborhood You come from, bro. 555 00:19:27,700 --> 00:19:30,270 Only thing that gets through Those walls is a bullet, 556 00:19:30,303 --> 00:19:32,405 Which means the only way out Is to become a bullet. 557 00:19:32,439 --> 00:19:33,973 You got out. 558 00:19:34,006 --> 00:19:36,509 And you're here now. 559 00:19:36,543 --> 00:19:38,945 You can't be a bullet anymore, You understand? 560 00:19:41,781 --> 00:19:43,750 I'm out. 561 00:19:44,551 --> 00:19:48,588 [ indistinct chatter ] 562 00:19:48,621 --> 00:19:50,257 Hey. Person. 563 00:19:51,658 --> 00:19:52,625 Christa. 564 00:19:52,659 --> 00:19:53,926 Really? I'd have thought susan. 565 00:19:53,960 --> 00:19:56,496 Uh, o.B. Called. There's an open o.R. 566 00:19:56,529 --> 00:19:57,630 That's great. That's great news. 567 00:19:57,664 --> 00:19:59,499 Hold your water. 568 00:19:59,532 --> 00:20:00,733 There's no available surgeons. 569 00:20:00,767 --> 00:20:02,302 But that doesn't help me. 570 00:20:02,335 --> 00:20:04,537 I'm not here to help you. 571 00:20:08,875 --> 00:20:11,678 Woman: yeah, was in A diabetic coma when he came in. 572 00:20:11,711 --> 00:20:13,846 25 cents. You got off easy. 573 00:20:13,880 --> 00:20:15,582 It was all nickels. 574 00:20:15,615 --> 00:20:17,584 [ coins clink ] 575 00:20:17,617 --> 00:20:19,586 Cough for me? ¿puede toser, por favor? 576 00:20:19,619 --> 00:20:20,887 [ coughs ] An o.R. Opened up. 577 00:20:20,920 --> 00:20:22,822 But there are No available surgeons. 578 00:20:22,855 --> 00:20:24,524 For laura halloran. 579 00:20:24,557 --> 00:20:25,892 The torsion? 580 00:20:25,925 --> 00:20:28,295 How much time do we have? 581 00:20:28,328 --> 00:20:29,696 Uh, perdón. No -- no english. 582 00:20:29,729 --> 00:20:32,031 We have about 90 minutes Till she loses the ovary. 583 00:20:32,064 --> 00:20:33,933 Do you know how long She and her husband 584 00:20:33,966 --> 00:20:35,268 Wanted to have children Together? 585 00:20:35,302 --> 00:20:36,135 20 years. 586 00:20:36,168 --> 00:20:37,737 How is that possible? She's only 27. 587 00:20:37,770 --> 00:20:39,506 They met in the third grade. 588 00:20:39,539 --> 00:20:40,640 Third grade. Yeah. 589 00:20:40,673 --> 00:20:42,609 Grab a tissue. I'm not done. 590 00:20:42,642 --> 00:20:44,677 Dr. Hudson, Laceration right leg. 591 00:20:44,711 --> 00:20:45,778 Sides east 2. 592 00:20:45,812 --> 00:20:47,747 You think you can handle That one? 593 00:20:47,780 --> 00:20:48,981 It's a fairy tale, right? 594 00:20:49,015 --> 00:20:51,984 Until he gets diagnosed with Stage iv lymphoma two years ago. 595 00:20:52,018 --> 00:20:55,455 Dislocated shoulder, Sides south 1. Seriously? 596 00:20:55,488 --> 00:20:56,989 We're in code red. Buckle up. 597 00:20:57,023 --> 00:21:01,961 [ speaking spanish ] 598 00:21:01,994 --> 00:21:05,365 He froze his sperm Before chemo and radiation. 599 00:21:05,398 --> 00:21:07,066 He died last year, and it's all She has left of him. 600 00:21:07,099 --> 00:21:09,336 Christa, I sympathize, but with No one to perform surgery -- 601 00:21:09,369 --> 00:21:10,370 That's the thing. You can do it. 602 00:21:10,403 --> 00:21:11,638 Me? Yes. 603 00:21:11,671 --> 00:21:12,505 You did a surgical residency. 604 00:21:12,539 --> 00:21:14,741 You must have done An o.B. Rotation. 605 00:21:14,774 --> 00:21:15,542 I'm not a surgeon. 606 00:21:15,575 --> 00:21:17,577 I don't have Surgical privileges. 607 00:21:17,610 --> 00:21:18,678 Look, I'm sorry. 608 00:21:18,711 --> 00:21:20,980 But there's really nothing We can do for her right now. 609 00:21:21,013 --> 00:21:22,315 You have patients. 610 00:21:25,718 --> 00:21:26,919 Mario. 611 00:21:26,953 --> 00:21:28,655 Dr. Rorish, listen, Sorry about before -- 612 00:21:28,688 --> 00:21:29,656 Here. What's this? 613 00:21:29,689 --> 00:21:31,924 It's wellborn's ct results. 614 00:21:31,958 --> 00:21:34,394 Parenchymal hemorrhages? 615 00:21:34,427 --> 00:21:36,629 Go tell him. Me? 616 00:21:36,663 --> 00:21:38,831 Can you be professional? 617 00:21:38,865 --> 00:21:40,600 Yes, of course. Thank you. 618 00:21:40,633 --> 00:21:41,668 Don't thank me. This isn't a gesture. 619 00:21:41,701 --> 00:21:42,802 We're about To be in code black. 620 00:21:42,835 --> 00:21:44,371 He's your patient, Your responsibility. 621 00:21:44,404 --> 00:21:45,405 Go do your job. 622 00:21:46,406 --> 00:21:48,074 Mr. Rocksickler. 623 00:21:48,107 --> 00:21:48,841 Stan. 624 00:21:48,875 --> 00:21:50,443 I'm sorry for the wait Out there. 625 00:21:50,477 --> 00:21:52,379 It must've been a long night. 626 00:21:52,412 --> 00:21:54,381 Night? I've been here for 10 hours. 627 00:21:54,414 --> 00:21:56,449 My back's killing me. 628 00:21:56,483 --> 00:21:57,850 Is there anything You can give me? 629 00:21:57,884 --> 00:21:59,752 How long have you had The pain? 630 00:21:59,786 --> 00:22:01,421 On and off The past few months. 631 00:22:01,454 --> 00:22:03,022 Finally got so bad In the last week, 632 00:22:03,055 --> 00:22:04,090 I couldn't take it anymore. 633 00:22:04,123 --> 00:22:06,092 [ chuckling ] I feel like It's broken or something. 634 00:22:06,125 --> 00:22:08,395 Eh, it sounds like it worsened Pretty dramatically. 635 00:22:08,428 --> 00:22:09,396 I'll say. 636 00:22:09,429 --> 00:22:10,663 You work In construction? Yeah. 637 00:22:10,697 --> 00:22:11,698 Lot of heavy lifting? 638 00:22:11,731 --> 00:22:12,565 Oh, yeah. 639 00:22:12,599 --> 00:22:14,634 Sounds like A persistent muscle spasm. 640 00:22:14,667 --> 00:22:16,703 Maybe. 641 00:22:21,741 --> 00:22:23,376 Heart rate 110. 642 00:22:23,410 --> 00:22:24,611 What -- what if it's not His back? 643 00:22:24,644 --> 00:22:25,545 What if it's his heart? 644 00:22:25,578 --> 00:22:27,414 Dude, that heart rate Is barely elevated. 645 00:22:27,447 --> 00:22:30,049 This is not a zebra. It's a plain old horse. 646 00:22:30,082 --> 00:22:33,420 At best, he gets a few percocet And maybe a ct of his back. 647 00:22:33,453 --> 00:22:34,153 I don't know. 648 00:22:34,186 --> 00:22:35,588 It seems to be that an event 649 00:22:35,622 --> 00:22:37,424 That changes rapidly Like he's describing 650 00:22:37,457 --> 00:22:38,791 Is not A musculoskeletal problem. 651 00:22:38,825 --> 00:22:40,627 If it's not cardiac, Maybe it's vascular. 652 00:22:40,660 --> 00:22:41,828 What do you have? 653 00:22:41,861 --> 00:22:44,831 Patient came in with persistent Yet worsening back pain. 654 00:22:44,864 --> 00:22:47,734 He had a long wait -- 10 hours -- which didn't help. 655 00:22:47,767 --> 00:22:49,636 To me, it sounds like A muscle spasm, 656 00:22:49,669 --> 00:22:52,705 Or, at worst, a compression Fracture of the spine. 657 00:22:52,739 --> 00:22:56,008 Which is probably common In his line of work. 658 00:22:56,042 --> 00:22:58,411 I think a ct of his back would Be the right precaution. 659 00:22:58,445 --> 00:22:59,746 Sounds right. Get him scanned. 660 00:22:59,779 --> 00:23:01,914 Let me know what comes back. 661 00:23:01,948 --> 00:23:03,783 Dude, you could've told her Your theory. 662 00:23:03,816 --> 00:23:05,084 I don't have a theory. Yes, you do. 663 00:23:05,117 --> 00:23:06,152 But you don't believe me. 664 00:23:06,185 --> 00:23:08,120 Let's get the ct. 665 00:23:08,154 --> 00:23:11,758 Excuse me. [ sighs ] 666 00:23:20,066 --> 00:23:21,634 Get the hell out of here. 667 00:23:21,668 --> 00:23:22,802 I want the real doctor. 668 00:23:25,104 --> 00:23:26,906 You've had a series Of parenchymal hemorrhages. 669 00:23:26,939 --> 00:23:29,008 You just learn that word? 670 00:23:29,041 --> 00:23:31,844 They're small bleeds In your brain 671 00:23:31,878 --> 00:23:33,179 Caused By multiple concussions. 672 00:23:33,212 --> 00:23:34,380 I hit hard. 673 00:23:34,413 --> 00:23:37,116 Well, the blows to your head Have created a serious problem. 674 00:23:37,149 --> 00:23:38,751 Darius said He's got medicine. 675 00:23:38,785 --> 00:23:40,687 The medication Will mitigate it, yeah. 676 00:23:40,720 --> 00:23:42,955 All right. So, can I get out of here now? 677 00:23:42,989 --> 00:23:43,956 You need to know 678 00:23:43,990 --> 00:23:47,059 That the medication Should stop the seizures, 679 00:23:47,093 --> 00:23:49,762 But it won't reverse the damage That's already been done. 680 00:23:49,796 --> 00:23:53,533 The next concussion Could kill you. 681 00:23:53,566 --> 00:23:56,603 What? 682 00:23:56,636 --> 00:23:57,804 What are you saying? 683 00:23:58,738 --> 00:24:01,474 I'm saying you can never Play hockey again. 684 00:24:01,508 --> 00:24:03,543 Not if you want to live. 685 00:24:07,747 --> 00:24:10,449 I'm sorry. I really am. 686 00:24:16,623 --> 00:24:18,758 They have an open o.R., But they have no surgeons. 687 00:24:18,791 --> 00:24:20,059 We still have an hour To save the ovary. 688 00:24:20,092 --> 00:24:20,893 There's an option. 689 00:24:20,927 --> 00:24:22,729 Dr. Hudson did A surgical residency -- 690 00:24:22,762 --> 00:24:23,563 But he's not a surgeon. 691 00:24:23,596 --> 00:24:25,197 Why is everybody Saying no to this? 692 00:24:25,231 --> 00:24:26,065 We can help her. 693 00:24:26,098 --> 00:24:27,800 One of the hardest parts About this job 694 00:24:27,834 --> 00:24:28,901 Is prioritizing Patient need. 695 00:24:28,935 --> 00:24:30,870 She's esi-2, Non-life threatening. 696 00:24:30,903 --> 00:24:33,773 As long as there's an esi-1 Patient in front of her, 697 00:24:33,806 --> 00:24:34,741 She has to wait. 698 00:24:34,774 --> 00:24:35,608 What do you got? 699 00:24:35,642 --> 00:24:36,943 14-year-old male. Climbing accident. 700 00:24:36,976 --> 00:24:38,177 At 2:00 a.M.? 701 00:24:38,210 --> 00:24:40,913 We were doing the annual full Moon climb at scarbo canyon. 702 00:24:40,947 --> 00:24:42,982 He fell 15 feet. Face hit the ground hard. 703 00:24:43,015 --> 00:24:44,517 His nose Hasn't stopped bleeding. 704 00:24:44,551 --> 00:24:45,484 And who are you? His father. 705 00:24:45,518 --> 00:24:48,721 Persistent epistaxis. Ebl is north of 200 cc. 706 00:24:48,755 --> 00:24:49,822 Tried anterior packing, But no luck. 707 00:24:49,856 --> 00:24:50,790 Uh-huh. He's on coumadin. 708 00:24:50,823 --> 00:24:52,224 Coumadin. 709 00:24:52,258 --> 00:24:53,826 Sir, why is your son On blood thinners? 710 00:24:53,860 --> 00:24:55,795 He had blood clots On his retinas when he was 4. 711 00:24:55,828 --> 00:24:57,664 Just roll him. Okay, hang on. 712 00:24:57,697 --> 00:24:58,831 Ready. Ready? 713 00:24:58,865 --> 00:24:59,832 And, one, two, three. 714 00:24:59,866 --> 00:25:01,934 Woman: easy. Mind the board. 715 00:25:01,968 --> 00:25:04,871 I got it. Clear. Jesse, suction, please. 716 00:25:04,904 --> 00:25:06,839 Careful. We need To tamponade this bleeding. 717 00:25:06,873 --> 00:25:08,675 Two a/p nasal packs, please. 718 00:25:08,708 --> 00:25:09,576 Flying in. Come on. 719 00:25:09,609 --> 00:25:11,911 Blood clots on his retinas? Is he blind? 720 00:25:11,944 --> 00:25:13,680 Not totally. He sees shapes. 721 00:25:13,713 --> 00:25:15,014 He's blind, And you took him climbing? 722 00:25:15,047 --> 00:25:16,949 Not our business, Dr. Lorenson. I'm sorry. 723 00:25:16,983 --> 00:25:18,317 Okay. 724 00:25:18,350 --> 00:25:20,252 Jesse, prep some pcc At 50 units per kilogram 725 00:25:20,286 --> 00:25:22,889 And send off coags, Type and cross stat. 726 00:25:22,922 --> 00:25:24,557 He's gonna be okay, right? 727 00:25:24,591 --> 00:25:28,094 Uh, his blood isn't clotting Because of the thinners. 728 00:25:28,127 --> 00:25:29,829 Uh, I need more nasal packs, Please. 729 00:25:29,862 --> 00:25:31,163 Page e.N.T., please. Woman: paging now. 730 00:25:31,197 --> 00:25:33,065 Let's get six units In the can. 731 00:25:33,099 --> 00:25:35,167 Hey, jesse, I don't Know if I can get this Bleeding under control. 732 00:25:35,201 --> 00:25:37,103 Blood bank out of o-neg. We're Waiting on more from county. 733 00:25:37,136 --> 00:25:38,871 Okay. Blood pressure's tanking. 734 00:25:38,905 --> 00:25:40,072 [ monitor beeping rapidly ] We're gonna need That blood. 735 00:25:40,106 --> 00:25:43,743 This kid's tank is gonna run dry Unless we find a way to... 736 00:25:52,952 --> 00:25:54,654 Whoa, whoa! Whoa, whoa, whoa, whoa. 737 00:25:54,687 --> 00:25:56,222 Get him down. Get him down. Get him down. 738 00:25:56,255 --> 00:25:58,024 Okay, get him down. Get him down. Get him down. 739 00:25:58,057 --> 00:26:00,059 Watch his head. 740 00:26:07,667 --> 00:26:10,970 Okay, so, even in a significant Bleed, "A-b-c" applies. 741 00:26:11,003 --> 00:26:12,839 Airway's always first. 742 00:26:12,872 --> 00:26:16,175 Dr. Lorenson, I want you To clamp open the nares 743 00:26:16,208 --> 00:26:18,277 While jesse suctions inside. 744 00:26:18,310 --> 00:26:22,381 We need to find The source of the bleed, okay? 745 00:26:22,414 --> 00:26:23,683 If we're lucky, It'll be in his anterior 746 00:26:23,716 --> 00:26:24,784 And we'll be able to see it. 747 00:26:24,817 --> 00:26:27,186 But if it's posterior, Which I fear it is, then -- 748 00:26:27,219 --> 00:26:28,755 Blood pressure's tanking. 749 00:26:28,788 --> 00:26:29,922 Damn it. We need that blood. 750 00:26:29,956 --> 00:26:31,290 Unless we find a way to... 751 00:26:31,323 --> 00:26:33,025 [ rapid beeping continues ] 752 00:26:33,059 --> 00:26:35,127 Get me two urinary catheters. 753 00:26:35,161 --> 00:26:36,829 Urinary catheters? Two folies. Now, please. 754 00:26:38,164 --> 00:26:39,932 Okay, we're gonna make A tamponade. 755 00:26:39,966 --> 00:26:41,300 [ chatter continues ] 756 00:26:41,333 --> 00:26:42,334 Dr. Lorenson? Yeah. 757 00:26:42,368 --> 00:26:43,870 Give me that coffee Over there. 758 00:26:43,903 --> 00:26:45,404 Jesse: Right there. Right there. 759 00:26:45,437 --> 00:26:48,040 I need any liquid, And I need it now, all right? 760 00:26:48,074 --> 00:26:51,277 We just need it to inflate The balloon inside the nose. 761 00:26:51,310 --> 00:26:52,679 Sorry. 762 00:26:52,712 --> 00:26:54,781 See how the balloon conforms To the cavity in the nose... Mm-hmm. 763 00:26:54,814 --> 00:26:56,015 ...And packs the bleed. 764 00:26:56,048 --> 00:26:57,083 Blood supply coming up The ramp now. 765 00:26:57,116 --> 00:26:58,384 About time. Sorry. 766 00:26:58,417 --> 00:26:59,819 Pressure's stabilizing. Got it. Got it. 767 00:26:59,852 --> 00:27:01,854 Okay? A perfect tamponade. 768 00:27:01,888 --> 00:27:03,790 All right? It's gonna work. 769 00:27:03,823 --> 00:27:05,391 Now we give him more pcc 770 00:27:05,424 --> 00:27:08,327 And, uh, Reverse the anti-coag, 771 00:27:08,360 --> 00:27:09,962 And -- and we get him Upstairs. 772 00:27:09,996 --> 00:27:10,963 Phew! 773 00:27:10,997 --> 00:27:13,032 [ monitor beeping ] 774 00:27:17,837 --> 00:27:19,138 [ monitor beeping rapidly ] 775 00:27:19,171 --> 00:27:21,774 [ beeping stops, Indistinct chatter ] 776 00:27:21,808 --> 00:27:22,775 What's this for? 777 00:27:22,809 --> 00:27:23,810 Well, you're up next, kid. And you better hurry. 778 00:27:23,843 --> 00:27:25,878 She says she's got a turtle Sticking its head out. 779 00:27:25,912 --> 00:27:27,680 Excuse me? 780 00:27:27,714 --> 00:27:30,149 She's got thumbelina In a headlock. 781 00:27:30,182 --> 00:27:31,784 Look, just get moving, Blondie, 782 00:27:31,818 --> 00:27:33,786 Or we're gonna have A mudslide in here. 783 00:27:38,090 --> 00:27:41,427 Man: just let me know when the Anesthesiologist gets here... 784 00:27:48,434 --> 00:27:49,836 Still touch and go... 785 00:27:49,869 --> 00:27:52,038 Oh. Ohh. 786 00:27:56,275 --> 00:27:58,077 Leanne: yeah? All right. 787 00:27:59,278 --> 00:28:01,981 Oh. Coming through. 788 00:28:02,014 --> 00:28:03,983 Sign there. 789 00:28:04,016 --> 00:28:06,118 Do you think That I'm a terrible father 790 00:28:06,152 --> 00:28:07,854 For taking my blind son Climbing? 791 00:28:07,887 --> 00:28:11,423 I think harley's lucky 792 00:28:11,457 --> 00:28:13,993 To have a father Who doesn't have a blind son. 793 00:28:15,227 --> 00:28:17,229 He has a son. 794 00:28:17,263 --> 00:28:18,731 Enjoy every minute. Trust me. 795 00:28:18,765 --> 00:28:22,034 Okay, just hear me out. Just hear me out. 796 00:28:22,068 --> 00:28:23,770 I may be personalizing The torsion -- fine. 797 00:28:23,803 --> 00:28:25,404 But dr. Rorish, Even if you had just one chance 798 00:28:25,437 --> 00:28:26,739 To get back what you lost, Anything -- 799 00:28:26,773 --> 00:28:27,573 We are not here to fix 800 00:28:27,606 --> 00:28:29,341 The events of our own lives, Christa. 801 00:28:29,375 --> 00:28:31,343 The last thing you want to do in This job is make it about you. 802 00:28:31,377 --> 00:28:33,212 I don't believe A word of that. 803 00:28:33,245 --> 00:28:34,246 Excuse me? 804 00:28:34,280 --> 00:28:36,282 I lost my son, My husband left me, 805 00:28:36,315 --> 00:28:37,750 And you lost -- you said -- 806 00:28:37,784 --> 00:28:38,751 No, I didn't say anything. 807 00:28:38,785 --> 00:28:41,988 You don't know a thing about me, Dr. Lorenson. 808 00:28:42,021 --> 00:28:43,455 We're not friends. 809 00:28:43,489 --> 00:28:45,391 I-I'm the director Of the residency program, 810 00:28:45,424 --> 00:28:46,492 You're a resident. 811 00:28:46,525 --> 00:28:48,060 Fine, but I heard what you said To that kid's father, 812 00:28:48,094 --> 00:28:49,361 And you were right. 813 00:28:49,395 --> 00:28:50,429 Hold onto the people We love, 814 00:28:50,462 --> 00:28:52,899 Because you never know When they're gonna slip away. 815 00:28:52,932 --> 00:28:54,901 Neal: what's going on? 816 00:28:56,468 --> 00:28:58,504 She wants you to do The detorse. 817 00:28:58,537 --> 00:29:00,206 Yeah, she told me. 818 00:29:00,239 --> 00:29:01,273 I'm sorry. 819 00:29:01,307 --> 00:29:04,010 He was the love of her life. I just want to help her. 820 00:29:06,813 --> 00:29:08,214 Taylor would have to sign off On it. 821 00:29:08,247 --> 00:29:09,348 Wait. What? 822 00:29:11,550 --> 00:29:13,119 It would have to be fast. 823 00:29:14,153 --> 00:29:15,154 Can you do it Laparoscopically? 824 00:29:15,187 --> 00:29:16,789 Laparoscope was my jam. 825 00:29:16,823 --> 00:29:18,457 Don't ask taylor. 826 00:29:18,490 --> 00:29:19,458 It's easier To ask for forgiveness 827 00:29:19,491 --> 00:29:20,459 Than it is permission. 828 00:29:20,492 --> 00:29:22,361 Thank you. Thank you. Go. 829 00:29:22,394 --> 00:29:24,230 Clock is ticking. 830 00:29:24,263 --> 00:29:26,032 [ door closes ] 831 00:29:26,065 --> 00:29:28,267 [ police radio chatter ] 832 00:29:42,915 --> 00:29:45,885 You know in high school When they have career day? 833 00:29:46,585 --> 00:29:48,320 I wasn't there. 834 00:29:48,354 --> 00:29:51,924 I was too busy Winning state. 835 00:29:51,958 --> 00:29:55,094 Hell am I supposed to do If I'm not playing hockey? 836 00:29:55,127 --> 00:29:57,563 You know, there's a woman here Who just became a doctor at 40. 837 00:29:57,596 --> 00:30:00,566 [ scoffs ] oh, I'm gonna be a doctor now? 838 00:30:00,599 --> 00:30:02,168 You can do anything you want, You put your mind to it. 839 00:30:02,201 --> 00:30:04,003 Who told you that? 840 00:30:04,036 --> 00:30:07,139 You did. 841 00:30:07,173 --> 00:30:10,242 After edmonton, a reporter asked If that goal was dumb luck. 842 00:30:10,276 --> 00:30:11,610 You said It was smart luck. 843 00:30:11,643 --> 00:30:13,412 He asked you What you meant. 844 00:30:13,445 --> 00:30:15,547 You said, "Smart luck is when You work your ass off 845 00:30:15,581 --> 00:30:17,349 So when the opportunity Presents itself, 846 00:30:17,383 --> 00:30:20,219 You don't have to pray For dumb luck." 847 00:30:20,252 --> 00:30:22,488 [ siren wails ] 848 00:30:22,521 --> 00:30:25,557 You can be anything You want to be, man. 849 00:30:25,591 --> 00:30:28,394 Trust me. I'm living proof. 850 00:30:28,427 --> 00:30:31,163 [ siren wails ] 851 00:30:34,266 --> 00:30:37,003 Guys, your patient in ct's Going sideways. 852 00:30:37,036 --> 00:30:38,604 Rocksickler? The one With the back problem. 853 00:30:38,637 --> 00:30:40,239 Wait, What do you mean sideways? 854 00:30:40,272 --> 00:30:41,473 They just said Get up there stat. 855 00:30:41,507 --> 00:30:42,574 Find dr. Rorish. 856 00:30:44,010 --> 00:30:45,945 [ screaming ] 857 00:30:45,978 --> 00:30:47,546 Oh, no. 858 00:30:47,579 --> 00:30:48,547 Angus, this was your hunch. You were right. 859 00:30:48,580 --> 00:30:50,249 We don't know that. 860 00:30:50,282 --> 00:30:51,918 Take his pulse In the right hand. I'll grab the left. 861 00:30:51,951 --> 00:30:52,919 Ow! 862 00:30:52,952 --> 00:30:54,620 I have a pulse. 863 00:30:54,653 --> 00:30:56,055 I don't. You know what that means. 864 00:30:56,088 --> 00:30:57,623 It's bounding. God, you knew it! 865 00:30:57,656 --> 00:30:59,491 Knew what? What's happening? We need an attending In here now! 866 00:30:59,525 --> 00:31:01,460 We have to be sure We're right. We ar right. 867 00:31:01,493 --> 00:31:03,095 Guys, he's already On the scanner. 868 00:31:03,129 --> 00:31:04,596 Run his chest, Cta down to t10. 869 00:31:04,630 --> 00:31:05,431 We have to make sure That we're right. 870 00:31:05,464 --> 00:31:07,033 Malaya, We don't have time for that! 871 00:31:07,066 --> 00:31:08,935 Somebody tell me What's happening! 872 00:31:08,968 --> 00:31:10,669 We think you're having An aortic dissection. 873 00:31:10,702 --> 00:31:12,671 The pain in your back Is actually being caused 874 00:31:12,704 --> 00:31:14,340 By the vertical splitting Of your aorta, 875 00:31:14,373 --> 00:31:15,641 The main artery In your heart. 876 00:31:15,674 --> 00:31:16,976 Am I gonna die? 877 00:31:17,009 --> 00:31:18,644 Definitely not. 878 00:31:18,677 --> 00:31:20,179 [ monitor beeping rapidly ] Oh, god. 879 00:31:20,212 --> 00:31:21,347 [ groaning ] 880 00:31:21,380 --> 00:31:23,082 Get him out of here. Get him out of here! 881 00:31:23,115 --> 00:31:25,117 Malaya, get in here now! 882 00:31:30,689 --> 00:31:31,790 Get me a paracentesis kit! 883 00:31:31,823 --> 00:31:33,259 It's the harpoon with The syringe at the end of it. 884 00:31:33,292 --> 00:31:35,294 I know What a paracentesis kit is! 885 00:31:35,327 --> 00:31:37,129 I just can't believe This is happening. 886 00:31:37,163 --> 00:31:38,230 Believe it. This is happening. 887 00:31:38,264 --> 00:31:40,099 He's crumping! I know! 888 00:31:40,132 --> 00:31:42,301 [ monitor beeping rapidly ] Stan: [ groaning ] 889 00:31:42,334 --> 00:31:46,238 What the hell Are you doing? 890 00:31:46,272 --> 00:31:50,042 Neal: elevated white count Over 18,000 with a left shift. 891 00:31:50,076 --> 00:31:52,011 Let's, uh, get her into Trendelenburg position, please. 892 00:31:52,044 --> 00:31:53,212 Woman: right away, doctor. 893 00:31:53,245 --> 00:31:55,714 This allows gravity To move the bowel 894 00:31:55,747 --> 00:31:57,449 Up out of the pelvis And lower abdomen. 895 00:31:57,483 --> 00:31:59,151 Uh, christa, can you hand me The veress needle? 896 00:31:59,185 --> 00:32:02,154 [ monitor beeping ] 897 00:32:05,224 --> 00:32:06,492 Okay, stan. 898 00:32:06,525 --> 00:32:08,660 I'm gonna have to put This needle into your chest 899 00:32:08,694 --> 00:32:10,429 To drain the blood That is crushing your heart. 900 00:32:10,462 --> 00:32:12,564 We're gonna monitor it On the ultrasound 901 00:32:12,598 --> 00:32:14,433 To make sure we don't penetrate The heart wall. 902 00:32:14,466 --> 00:32:15,501 What can I do? Grab a collection tube. 903 00:32:15,534 --> 00:32:17,203 There could be a liter or more Of blood in there. 904 00:32:17,236 --> 00:32:19,371 He's unconscious. Better for him. 905 00:32:19,405 --> 00:32:21,440 Okay, guys, we've got one Shot at this or he's dead. 906 00:32:21,473 --> 00:32:22,441 Understood? 907 00:32:22,474 --> 00:32:24,443 Together: understood. 908 00:32:24,476 --> 00:32:26,045 All right. [ inhales sharply ] 909 00:32:26,078 --> 00:32:28,480 I'm putting The needle in now. 910 00:32:28,514 --> 00:32:29,648 You see what I mean? 911 00:32:29,681 --> 00:32:32,584 That dark, black ribbon Around the heart? 912 00:32:32,618 --> 00:32:34,987 That's blood, And lots of it. 913 00:32:35,021 --> 00:32:37,523 There's our needle. 914 00:32:37,556 --> 00:32:40,326 See it? 915 00:32:40,359 --> 00:32:42,428 We're in the tube now. 916 00:32:42,461 --> 00:32:44,696 See that blue color? 917 00:32:44,730 --> 00:32:46,765 That's the tube Not getting enough blood. 918 00:32:46,798 --> 00:32:48,767 Just like a kinked garden hose. 919 00:32:48,800 --> 00:32:51,137 So let's find The spot where it's kinked. 920 00:32:51,170 --> 00:32:53,005 There. 921 00:32:53,039 --> 00:32:54,640 That's it. 922 00:32:54,673 --> 00:32:56,742 Now, with this hand, I'm gonna move the probe 923 00:32:56,775 --> 00:33:01,780 Up to the tip of the ovary And just flip it over. 924 00:33:01,813 --> 00:33:04,716 Now watch. 925 00:33:04,750 --> 00:33:06,752 The blood should flow Into the ovary, 926 00:33:06,785 --> 00:33:08,054 And the color will change. 927 00:33:08,087 --> 00:33:10,689 Any second. 928 00:33:10,722 --> 00:33:13,692 [ sighs ] There you go. 929 00:33:13,725 --> 00:33:14,793 You want to drive? 930 00:33:14,826 --> 00:33:16,028 Come here. 931 00:33:17,629 --> 00:33:19,665 Take the wand. 932 00:33:21,767 --> 00:33:24,070 And the camera. 933 00:33:24,103 --> 00:33:27,239 Gently. 934 00:33:27,273 --> 00:33:30,176 Now you're slowly Gonna back the camera out. 935 00:33:30,209 --> 00:33:33,312 Okay. And watch the image. 936 00:33:33,345 --> 00:33:34,813 Why did you ever leave Surgery? 937 00:33:34,846 --> 00:33:37,049 Ah, long story. 938 00:33:37,083 --> 00:33:39,085 Okay, Now you're gonna pull it 939 00:33:39,118 --> 00:33:40,619 All the way out Through the port. 940 00:33:40,652 --> 00:33:43,122 Gentle. 941 00:33:47,493 --> 00:33:48,460 [ sighs ] 942 00:33:48,494 --> 00:33:51,663 Now just ease The sleeve out. 943 00:33:51,697 --> 00:33:53,099 [ monitor beeping rapidly ] What's happening? 944 00:33:53,132 --> 00:33:54,566 Step out? Did I do that? 945 00:33:54,600 --> 00:33:56,835 No. I must've nicked a vessel When I put the sleeve in. 946 00:33:56,868 --> 00:33:58,637 The sleeve kept the pressure on. 947 00:33:58,670 --> 00:33:59,805 Uh, we're gonna Have to open her up. 948 00:33:59,838 --> 00:34:02,274 Can we have a surgical tray, Please? 949 00:34:03,809 --> 00:34:06,078 I'm gonna puncture The sac now. 950 00:34:07,179 --> 00:34:08,714 Fingers crossed. 951 00:34:10,349 --> 00:34:11,717 There it is. 952 00:34:11,750 --> 00:34:14,620 [ monitor beeping ] 953 00:34:14,653 --> 00:34:16,822 I'm in. 954 00:34:19,625 --> 00:34:22,428 Pull back on the syringe. 955 00:34:22,461 --> 00:34:24,530 [ liquid gurgling ] Hear that sound? 956 00:34:24,563 --> 00:34:26,732 [ chuckles ] 957 00:34:26,765 --> 00:34:29,468 It's working. 958 00:34:33,139 --> 00:34:34,039 Blood pressure's tanking. 959 00:34:34,072 --> 00:34:35,841 Let's, uh, Squeeze some fluids into her. 960 00:34:35,874 --> 00:34:37,376 Starting the incision now. 961 00:34:37,409 --> 00:34:38,710 Wait. What? 962 00:34:38,744 --> 00:34:40,512 Urinary catheter. What are You talking about? 963 00:34:40,546 --> 00:34:42,614 It's what dr. Rorish used with That kid with the nose bleed. 964 00:34:42,648 --> 00:34:44,316 She fed the catheter, And she filled it with liquid 965 00:34:44,350 --> 00:34:45,417 To put pressure On the artery. 966 00:34:45,451 --> 00:34:47,819 Can we -- Can do the same thing here? 967 00:34:47,853 --> 00:34:49,888 I believe we can. Is there a foley on that cart? 968 00:34:49,921 --> 00:34:51,723 [ monitor beeping rapidly ] 969 00:34:51,757 --> 00:34:52,658 Okay. 970 00:34:52,691 --> 00:34:55,161 Okay, let's get it in Through the port. 971 00:34:55,194 --> 00:34:57,896 Dr. Lorenson... 972 00:34:57,929 --> 00:35:00,366 You're gonna squeeze The fluids on my mark. 973 00:35:00,399 --> 00:35:02,701 ** 974 00:35:02,734 --> 00:35:05,437 Now, please. Push the fluids in. 975 00:35:07,639 --> 00:35:09,308 Look at her bp. It's working. 976 00:35:09,341 --> 00:35:11,777 Yeah. It worked. 977 00:35:11,810 --> 00:35:12,878 [ beeping slows ] [ chuckles ] 978 00:35:12,911 --> 00:35:14,780 Very well done, doctor. 979 00:35:14,813 --> 00:35:16,648 Very well done. 980 00:35:16,682 --> 00:35:19,951 ** 981 00:35:23,822 --> 00:35:25,357 [ indistinct chatter ] 982 00:35:25,391 --> 00:35:26,392 If you're ready to go home, 983 00:35:26,425 --> 00:35:27,826 I'll call them To come pick you up. 984 00:35:27,859 --> 00:35:29,861 Growing old Is a swirling toilet bowl. 985 00:35:29,895 --> 00:35:32,664 Best you can do Is cling to the rim. 986 00:35:32,698 --> 00:35:33,665 Am I right? 987 00:35:33,699 --> 00:35:35,801 Right as rain, kid. 988 00:35:35,834 --> 00:35:36,868 Right as rain. 989 00:35:37,936 --> 00:35:40,206 You got ice cream In this joint? 990 00:35:40,239 --> 00:35:43,509 I think we can Make that happen. 991 00:35:45,511 --> 00:35:47,513 [ sighs ] 992 00:35:50,382 --> 00:35:52,451 Dr. Rorish? 993 00:35:53,752 --> 00:35:54,820 It's my fault. 994 00:35:54,853 --> 00:35:56,822 Angus had a feeling 995 00:35:56,855 --> 00:35:59,325 That it was An aortic dissection. 996 00:36:02,694 --> 00:36:04,363 Why didn't you act on it? 997 00:36:04,396 --> 00:36:07,366 I-I wasn't sure. 998 00:36:07,399 --> 00:36:08,834 I-I guess. 999 00:36:08,867 --> 00:36:13,405 Both of you listen to me Very closely. 1000 00:36:13,439 --> 00:36:16,442 There are certain things You never, ever want to see 1001 00:36:16,475 --> 00:36:17,276 On a ct scan. 1002 00:36:17,309 --> 00:36:20,546 An aortic dissection Is one of them. 1003 00:36:20,579 --> 00:36:21,580 Why? 1004 00:36:22,581 --> 00:36:24,450 Because if you took the time To take a picture, 1005 00:36:24,483 --> 00:36:26,452 It means you didn't Act fast enough. 1006 00:36:26,485 --> 00:36:29,655 Your instinct has to be sharper Than your scalpel 1007 00:36:29,688 --> 00:36:32,558 And faster Than any machine. 1008 00:36:35,361 --> 00:36:39,598 You ignore those instincts At your peril and theirs. 1009 00:36:43,535 --> 00:36:45,504 ** 1010 00:36:45,537 --> 00:36:47,539 [ monitor beeping ] 1011 00:36:48,640 --> 00:36:50,642 [ telephone rings in distance ] 1012 00:36:57,683 --> 00:36:58,950 Did it work? 1013 00:36:58,984 --> 00:37:01,553 Yes. 1014 00:37:01,587 --> 00:37:03,522 Things got complicated, But... 1015 00:37:03,555 --> 00:37:05,524 [ voice breaking ] But it worked. 1016 00:37:05,557 --> 00:37:07,793 It appears so. 1017 00:37:15,066 --> 00:37:18,504 I hope everything Works out for you. 1018 00:37:22,308 --> 00:37:23,842 Thank you, doctor. 1019 00:37:23,875 --> 00:37:26,812 [ door opens ] 1020 00:37:32,384 --> 00:37:34,052 She's gonna be okay. 1021 00:37:34,085 --> 00:37:35,621 [ voice breaking ] I know. 1022 00:37:35,654 --> 00:37:37,589 Then why are you crying? 1023 00:37:37,623 --> 00:37:39,825 I'm not. 1024 00:37:42,328 --> 00:37:44,296 [ sighs ] 1025 00:37:44,330 --> 00:37:46,598 You may be my boss And my teacher, 1026 00:37:46,632 --> 00:37:50,569 And I may be overstepping, 1027 00:37:50,602 --> 00:37:53,539 But you and I, We are in the same club. 1028 00:37:53,572 --> 00:37:55,741 [ sighs ] 1029 00:37:55,774 --> 00:38:00,312 And this stuff matters To us. 1030 00:38:00,346 --> 00:38:01,713 It matters. 1031 00:38:06,685 --> 00:38:09,087 [ siren wails in distance ] 1032 00:38:09,120 --> 00:38:11,923 ** 1033 00:38:15,060 --> 00:38:16,562 Leanne: you have a patient In real trouble. 1034 00:38:16,595 --> 00:38:17,863 Death's door. 1035 00:38:17,896 --> 00:38:20,566 You're so panicked that you can No longer tell the difference 1036 00:38:20,599 --> 00:38:23,535 Between instinct and raw fear. 1037 00:38:23,569 --> 00:38:28,840 But a voice somewhere Deep inside you whispers, 1038 00:38:28,874 --> 00:38:31,443 "I can still bring him back. 1039 00:38:31,477 --> 00:38:34,580 I've got one more move left." 1040 00:38:36,047 --> 00:38:39,551 Here's a secret. 1041 00:38:39,585 --> 00:38:41,853 If you hear that voice, 1042 00:38:41,887 --> 00:38:44,490 It means You're in the right place, 1043 00:38:44,523 --> 00:38:46,692 You're in the right job. 1044 00:38:48,560 --> 00:38:49,995 You're home. 1045 00:38:53,399 --> 00:38:56,735 24 hours ago, We had a patient just like that. 1046 00:38:56,768 --> 00:39:02,140 We opened up his heart Right here in this room. 1047 00:39:02,173 --> 00:39:03,709 He'd like to meet you. 1048 00:39:11,583 --> 00:39:14,653 [ applause ] 1049 00:39:17,556 --> 00:39:19,057 Jake: Thank you so much. 1050 00:39:30,201 --> 00:39:32,404 ** 1051 00:39:38,677 --> 00:39:40,779 Becca: thank you. 1052 00:39:42,648 --> 00:39:44,650 Thank you.