1 00:00:12,804 --> 00:00:14,932 Baran, is this yours? 2 00:00:20,604 --> 00:00:24,316 It started after I had viral meningitis at age five. 3 00:00:25,234 --> 00:00:27,569 They all tried anticonvulsant medications, 4 00:00:27,653 --> 00:00:30,864 but I still had episodes every several months. 5 00:00:31,406 --> 00:00:34,034 They never noticed, They think I'm just thinking. 6 00:00:36,245 --> 00:00:37,538 Do you drive? 7 00:00:37,621 --> 00:00:40,666 I couldn't until laser ablation 8 00:00:40,749 --> 00:00:43,502 in my left temporal lobe, 12 years ago. 9 00:00:44,169 --> 00:00:46,672 With that and levetiracetam, I don't have seizures. 10 00:00:46,755 --> 00:00:50,008 Neurology authorized me to drive and working as an assistant. 11 00:00:52,386 --> 00:00:55,681 How long has it been since you had a seizure? 12 00:00:56,515 --> 00:00:59,351 Well over a year ago. 13 00:01:02,104 --> 00:01:03,230 But today I had two. 14 00:01:08,277 --> 00:01:09,653 I don't know why. 15 00:01:09,736 --> 00:01:13,323 It could be sleep deprivation, tension for the new job... 16 00:01:13,907 --> 00:01:17,077 Did not handle pediatric cases from Afghanistan. 17 00:01:17,578 --> 00:01:19,246 What options do you have now? 18 00:01:21,582 --> 00:01:23,125 Increase levetiracetam 19 00:01:23,208 --> 00:01:26,503 or try one of the new anticonvulsant medications. 20 00:01:26,587 --> 00:01:29,172 If that doesn't work, I have two options. 21 00:01:30,257 --> 00:01:33,801 A temporal lobectomy, which will affect my speech, 22 00:01:33,884 --> 00:01:36,263 or a neuromodulation device, 23 00:01:36,346 --> 00:01:39,850 you feel and stop convulsions almost immediately. 24 00:01:39,933 --> 00:01:41,685 You have to communicate this. 25 00:01:41,768 --> 00:01:43,353 I know. I have a plan. 26 00:01:43,895 --> 00:01:46,064 Robby, Dana is looking for you. He's in Pediatrics. 27 00:01:46,148 --> 00:01:47,441 He is well. I'm already going. 28 00:01:48,817 --> 00:01:51,570 You are needed in Pediatrics and I have patients to see. 29 00:01:52,195 --> 00:01:54,031 Pregnant woman with severe headache 30 00:01:54,114 --> 00:01:55,782 on the way by ambulance. 31 00:01:55,866 --> 00:01:57,743 Look for Abbot or a night intern. 32 00:02:01,955 --> 00:02:03,665 FIFTEEN HOUR 33 00:02:03,749 --> 00:02:07,461 9pm - 10pm 34 00:02:13,508 --> 00:02:15,344 You have to show me your pockets. 35 00:02:21,642 --> 00:02:23,101 Show me your hands. 36 00:02:51,129 --> 00:02:52,130 Do you usually come here? 37 00:03:01,515 --> 00:03:02,432 What's going on? 38 00:03:03,475 --> 00:03:05,769 Sorry, false alarm. It felt like a fever, 39 00:03:05,852 --> 00:03:08,480 but it was the wrong record still from analog hell. 40 00:03:09,564 --> 00:03:11,942 Do you know candidates affinity adoption? 41 00:03:12,025 --> 00:03:15,070 - Doctors and nurses can. - Don't look at me. 42 00:03:15,153 --> 00:03:18,365 You can watch Dr. Al-Hashimi until she leaves? 43 00:03:18,448 --> 00:03:19,324 Why? 44 00:03:21,993 --> 00:03:24,829 I think you're tired and I don't want you to make mistakes. 45 00:03:24,913 --> 00:03:26,998 Good advice. You should follow him. 46 00:03:27,082 --> 00:03:28,834 Yeah... I'm going to get some air. 47 00:03:28,917 --> 00:03:30,502 Bring me some, by the way. 48 00:03:30,585 --> 00:03:32,254 Your lungs would be confused. 49 00:03:32,337 --> 00:03:34,715 - Screw you! - In front of the baby? Good! 50 00:03:37,801 --> 00:03:38,719 Yes. 51 00:03:39,302 --> 00:03:41,012 We are the night owls. 52 00:03:41,096 --> 00:03:44,057 We deal with the strangest and wild because... 53 00:03:44,141 --> 00:03:46,601 We are the strangest and savages of all! 54 00:03:46,685 --> 00:03:50,439 That's right! And today there will be many. Get to work! 55 00:03:55,944 --> 00:03:56,987 Sorry to wake you up. 56 00:03:57,654 --> 00:03:58,947 I was thinking. 57 00:04:02,909 --> 00:04:04,202 Double pneumothorax. 58 00:04:04,286 --> 00:04:05,787 You should be leaving. 59 00:04:06,621 --> 00:04:07,539 And I am. 60 00:04:10,000 --> 00:04:13,170 This spiritual demand of yours made a lot of people protest. 61 00:04:13,253 --> 00:04:14,671 They'll be fine without me, 62 00:04:14,755 --> 00:04:16,005 and it is not spiritual. 63 00:04:16,089 --> 00:04:18,382 Whatever it is, you made it seem 64 00:04:18,466 --> 00:04:19,634 that you may not return. 65 00:04:19,718 --> 00:04:22,095 Who knows what the future holds for us? 66 00:04:22,179 --> 00:04:24,556 Yeah... Saying that shit doesn't help. 67 00:04:24,639 --> 00:04:26,141 They're worried about you. 68 00:04:26,224 --> 00:04:29,394 Dr. Abbot, the patient from 21 South, Digby has disappeared again. 69 00:04:29,478 --> 00:04:32,981 - It seems like a day shift problem. - Not if it was already in the past. 70 00:04:37,235 --> 00:04:39,738 - I can't do better now. - Thanks. 71 00:04:39,821 --> 00:04:43,241 - Don't go before I leave. - It already feels like I live here. 72 00:04:46,995 --> 00:04:48,330 Did he fix the bike? 73 00:04:48,413 --> 00:04:50,791 An ambulance hit him here in the parking lot. 74 00:04:51,457 --> 00:04:52,584 Creed! 75 00:04:53,627 --> 00:04:55,045 It seems to me to be a sign. 76 00:04:56,171 --> 00:04:58,173 If people care about you, 77 00:04:58,256 --> 00:05:00,258 I think I should be worried too, 78 00:05:00,342 --> 00:05:01,885 and I don't like worries. 79 00:05:01,968 --> 00:05:04,179 - Are you already a psychiatrist? - I'm your friend. 80 00:05:04,262 --> 00:05:06,181 Dana has convinced herself that you're going to get hurt. 81 00:05:06,264 --> 00:05:08,350 - She already has problems. - It looks like projection. 82 00:05:08,433 --> 00:05:10,644 Are you really trying to have this conversation? 83 00:05:10,727 --> 00:05:12,521 with me now? I... 84 00:05:12,604 --> 00:05:15,565 It's not me I spend my free time getting shot. 85 00:05:17,234 --> 00:05:20,654 Dr. Robby, this is Judith Lastrade, 36 weeks pregnant, 86 00:05:20,737 --> 00:05:21,905 headache for two days. 87 00:05:21,988 --> 00:05:24,032 It's ten out of ten with blurred vision. 88 00:05:24,491 --> 00:05:28,286 TA 174 by 120, pulse rate 92. No relief with fentanyl. 89 00:05:28,370 --> 00:05:31,039 Judith, I'm Dr. Abbot. Weakness in the arms or legs? 90 00:05:31,122 --> 00:05:33,625 - No. Is it a stroke? - We have to see everything. 91 00:05:33,707 --> 00:05:35,794 Edema with depression with preeclampsia. 92 00:05:36,753 --> 00:05:38,713 Where is pregnancy monitored? 93 00:05:38,797 --> 00:05:42,342 I am not. It's an unassisted pregnancy. I want a free birth. 94 00:05:45,470 --> 00:05:48,765 This 81-year-old nun presents itchy red eyes 95 00:05:48,849 --> 00:05:51,268 and secretions for two days. 96 00:05:52,018 --> 00:05:56,231 She does not complain of IRS symptoms, had no contact with chemicals, 97 00:05:56,314 --> 00:05:58,942 no known exposure... - Do you want half? 98 00:05:59,734 --> 00:06:00,861 No, thank you. No... 99 00:06:01,403 --> 00:06:03,738 I don't want to stay awake more than I need. 100 00:06:04,406 --> 00:06:05,490 I understand you. 101 00:06:07,492 --> 00:06:08,994 Did you find the ID? 102 00:06:09,828 --> 00:06:13,206 No. Do you already know what you're going to do next? 103 00:06:13,290 --> 00:06:15,250 Yes, I am actually considering law. 104 00:06:15,333 --> 00:06:18,253 What? Like this? You will be a great doctor. 105 00:06:20,046 --> 00:06:22,799 No offense, but look what this place does to you. 106 00:06:23,425 --> 00:06:24,885 Langdon is addicted. 107 00:06:24,968 --> 00:06:27,637 He has a disorder due to substance use. 108 00:06:27,721 --> 00:06:29,556 McKay was under house arrest. 109 00:06:29,639 --> 00:06:31,099 Dana is a ticking time bomb. 110 00:06:31,182 --> 00:06:34,185 Santos is One of the angriest people you will ever meet. 111 00:06:34,269 --> 00:06:36,062 Sarcastic, yes. Cynical, indeed! 112 00:06:36,146 --> 00:06:38,231 - I don't know if she is... - Mel? 113 00:06:39,858 --> 00:06:42,235 Samira has no life. 114 00:06:42,944 --> 00:06:45,906 Abbot is an adrenaline junkie, takes shots for sport. 115 00:06:45,989 --> 00:06:49,034 Robby has PTSD or some even worse shit. 116 00:06:49,117 --> 00:06:52,078 Well, I don't even want to know what you think of me. 117 00:06:53,914 --> 00:06:56,917 I don't know. I just... The longer I'm here, 118 00:06:58,126 --> 00:07:01,296 the more I understand the importance of my mental health. 119 00:07:04,257 --> 00:07:06,426 For patients and for us, this is... 120 00:07:08,178 --> 00:07:12,515 Maybe you should focus on that. 121 00:07:14,476 --> 00:07:16,603 - In what? - In mental health. 122 00:07:16,686 --> 00:07:19,731 It's obvious you like it, right? I mean, it's... 123 00:07:19,814 --> 00:07:23,109 I wouldn't call it a passion. Would you call it something like... 124 00:07:26,821 --> 00:07:27,822 My God! 125 00:07:30,283 --> 00:07:31,409 You may be right. 126 00:07:34,245 --> 00:07:36,623 - You're a genius, Whitaker. - He is well. 127 00:07:38,332 --> 00:07:39,709 CTG placed. 128 00:07:40,418 --> 00:07:41,252 CTG? 129 00:07:41,336 --> 00:07:44,297 It's a cardiotocograph. Measures the baby's pulse 130 00:07:44,381 --> 00:07:45,966 and check contractions. 131 00:07:46,049 --> 00:07:49,094 Fetal pulse of 128. What's the normal range, Nazely? 132 00:07:49,719 --> 00:07:50,971 It's 110 to 160. 133 00:07:51,596 --> 00:07:52,847 Is the baby okay? 134 00:07:52,931 --> 00:07:55,475 Now yes. Terms 128 is reassuring. 135 00:07:55,558 --> 00:07:59,562 TA 170 by 119. To give 6 g of magnesium. 136 00:07:59,646 --> 00:08:01,022 Next up, Crus? 137 00:08:01,106 --> 00:08:03,817 Give 20 of labetalol, IV for two minutes. 138 00:08:03,900 --> 00:08:07,445 - What is happening? - You have a disorder called pre-eclampsia. 139 00:08:07,529 --> 00:08:10,740 - How did it happen? - We don't know very well. 140 00:08:10,824 --> 00:08:12,909 It affects around 10% of pregnancies. 141 00:08:12,993 --> 00:08:15,578 Hypertension, headache, protein in urine 142 00:08:15,662 --> 00:08:16,997 and swollen ankles. 143 00:08:17,080 --> 00:08:20,792 It's an unassisted pregnancy, without medical care. 144 00:08:21,751 --> 00:08:23,169 So why are you here? 145 00:08:25,255 --> 00:08:27,298 I have to get rid of this headache. 146 00:08:29,592 --> 00:08:32,511 If we don't lower your blood pressure 147 00:08:32,595 --> 00:08:34,972 and treat with magnesium, may have problems. 148 00:08:35,557 --> 00:08:36,599 Which? 149 00:08:36,683 --> 00:08:40,437 Convulsions, hemorrhage, even death. Yours and the baby's. 150 00:08:40,520 --> 00:08:42,313 My God! 151 00:08:42,397 --> 00:08:45,358 - Robby, the VIP is ready. - Okay, I'll be right there. 152 00:08:46,276 --> 00:08:48,153 - Are you okay? - Yes, I'll take care of it. 153 00:08:48,236 --> 00:08:49,487 With eyes closed. 154 00:08:50,488 --> 00:08:51,906 I won't do it. Maybe an eye. 155 00:08:53,074 --> 00:08:54,117 Listen... 156 00:08:57,579 --> 00:08:58,913 Hello, Becca. How do you feel? 157 00:08:58,997 --> 00:09:00,457 Better, thank you. 158 00:09:02,876 --> 00:09:05,295 - Where are you? - At Adam's house. 159 00:09:06,087 --> 00:09:08,256 Can I call you later? We are watching a movie. 160 00:09:08,339 --> 00:09:10,592 Of course. I thought you would see the fireworks. 161 00:09:10,675 --> 00:09:13,094 We ended up deciding to see Elf. 162 00:09:14,554 --> 00:09:15,472 Of course. 163 00:09:16,139 --> 00:09:17,515 Okay, I'll call you tomorrow. 164 00:09:17,599 --> 00:09:20,018 Tomorrow? Wait. Are you going to spend the night there? 165 00:09:21,394 --> 00:09:23,521 Yes. He... The parents invited me. 166 00:09:24,147 --> 00:09:25,607 They have to ask me. 167 00:09:25,690 --> 00:09:27,317 Are you staying here too? 168 00:09:28,234 --> 00:09:32,072 No, they have to ask me if it's okay for you to stay there. 169 00:09:32,155 --> 00:09:32,989 Why? 170 00:09:34,574 --> 00:09:35,950 Because... 171 00:09:36,034 --> 00:09:36,910 ... it's... 172 00:09:37,911 --> 00:09:40,622 ...polite. It's the... The right thing to do. 173 00:09:42,332 --> 00:09:43,500 I have to talk to them. 174 00:09:43,583 --> 00:09:45,668 They're not here. They're at a barbecue. 175 00:09:46,503 --> 00:09:49,672 You ask them to call me as soon as they get home? 176 00:09:49,756 --> 00:09:50,715 Yes. 177 00:09:50,799 --> 00:09:52,342 - Promise? - I promise. 178 00:09:52,425 --> 00:09:54,803 - Ready. Bye, Mel. - Goodbye. Fun... 179 00:09:56,304 --> 00:09:57,639 Thanks for the bike. 180 00:09:57,722 --> 00:10:00,058 If you keep me running, I'll do the same to you. 181 00:10:02,102 --> 00:10:05,605 The Cree don't have a word to say goodbye. 182 00:10:05,688 --> 00:10:06,940 Do you know many? 183 00:10:07,732 --> 00:10:10,777 - Some. I walked around. - I don't doubt it. 184 00:10:13,571 --> 00:10:16,241 Listen, I'll be back to take care of all the shit. 185 00:10:16,324 --> 00:10:17,283 Excellent. 186 00:10:17,367 --> 00:10:20,537 If you promise to come back and let me lead Bonnie. 187 00:10:20,620 --> 00:10:23,039 I don't know. I've seen you drive, old man. 188 00:10:23,123 --> 00:10:24,040 He is going to screw it up! 189 00:10:24,666 --> 00:10:25,667 I'm serious. 190 00:10:26,668 --> 00:10:27,710 Do we have an agreement? 191 00:10:30,964 --> 00:10:31,965 I'll think about it. 192 00:10:46,146 --> 00:10:47,897 This looks like an ambush... 193 00:10:47,981 --> 00:10:49,649 We have a problem with the Chairs. 194 00:10:49,732 --> 00:10:52,610 - Is ICE back? - No. We have a dead body. 195 00:10:52,694 --> 00:10:54,237 - Did someone die there? - Yes. 196 00:10:54,320 --> 00:10:56,030 Checked in at 5am. 197 00:10:56,114 --> 00:10:58,366 - There was a DNR. - What were you complaining about? 198 00:10:58,449 --> 00:11:00,243 - Hemorrhoids and constipation. - Shit... 199 00:11:00,326 --> 00:11:01,661 But constipated. 200 00:11:02,579 --> 00:11:04,122 If you pull me, I'll respond. 201 00:11:04,205 --> 00:11:06,249 He tells the night shift. That's when he died. 202 00:11:06,332 --> 00:11:10,003 - Do we agree? - Until death. Like poor Jasper. 203 00:11:10,670 --> 00:11:13,339 - You're on a high. - I have renewed energy. 204 00:11:14,716 --> 00:11:15,884 How is the pain? 205 00:11:15,967 --> 00:11:17,218 It's still a ten. 206 00:11:17,302 --> 00:11:19,721 - More fentanyl? - Yes. 207 00:11:19,804 --> 00:11:21,139 It's good. 50 more. 208 00:11:21,723 --> 00:11:24,517 Hello. Assistant and resident are in the OR. 209 00:11:24,934 --> 00:11:26,394 You're next on the list. 210 00:11:26,477 --> 00:11:27,854 Even better, some would say. 211 00:11:29,272 --> 00:11:30,773 - Then? - This is Judith. 212 00:11:30,857 --> 00:11:33,151 G1, P0 without prenatal care. 213 00:11:33,234 --> 00:11:35,153 Pre-eclampsia with severe hypertension. 214 00:11:35,236 --> 00:11:37,197 Hello. I'm obstetric nurse Garvin. 215 00:11:37,906 --> 00:11:40,533 Belly gel. I'm going to do a quick ultrasound. 216 00:11:40,617 --> 00:11:42,577 No. Ultrasound can be harmful. 217 00:11:42,660 --> 00:11:43,578 It's not true. 218 00:11:43,661 --> 00:11:46,664 Do not do an ultrasound is that it could harm you. 219 00:11:48,665 --> 00:11:51,669 Okay, but quickly. 220 00:11:51,753 --> 00:11:53,379 Why unassisted pregnancy? 221 00:11:55,340 --> 00:11:56,925 I wanted a free birth. 222 00:11:57,717 --> 00:11:59,761 No doctors, hospitals or medicines. 223 00:12:00,929 --> 00:12:02,055 Do you have a midwife? 224 00:12:02,680 --> 00:12:05,808 - A doula? - No, I don't need it. 225 00:12:06,267 --> 00:12:08,978 Women have children alone thousands of years ago. 226 00:12:09,062 --> 00:12:12,649 With mortality rates of 30% in many of those thousands. 227 00:12:13,066 --> 00:12:14,567 Femur length, 7 cm. 228 00:12:14,651 --> 00:12:16,903 He is 37 weeks old. It must be induced. 229 00:12:17,528 --> 00:12:20,782 What? No. Not at all! 230 00:12:20,865 --> 00:12:24,244 At 37 weeks, the cure for preeclampsia it is childbirth. 231 00:12:24,327 --> 00:12:27,080 Gotta go up for Obstetrics to induce labor 232 00:12:27,163 --> 00:12:29,207 and save you and the baby. - No. 233 00:12:29,290 --> 00:12:30,500 No. 234 00:12:33,962 --> 00:12:35,713 Yes, it really is Jasper. 235 00:12:35,797 --> 00:12:38,091 He was alive this morning, at the end of my shift. 236 00:12:38,174 --> 00:12:39,801 He's a day shift patient. 237 00:12:39,884 --> 00:12:42,470 He is no longer a patient. It's a corpse for us to deal with. 238 00:12:45,056 --> 00:12:46,099 Is he dead? 239 00:12:46,182 --> 00:12:47,350 - No. - No. 240 00:12:47,433 --> 00:12:50,645 Mr. Reed, let's take it to take some exams, yes? 241 00:12:50,728 --> 00:12:52,230 - He looks dead. - Are you a doctor? 242 00:12:52,313 --> 00:12:54,649 - No, but he... - Hypernarcolepsy. 243 00:12:54,732 --> 00:12:55,650 It's no joke. 244 00:12:56,818 --> 00:12:57,735 Excuse me. 245 00:12:59,320 --> 00:13:00,822 Sometimes I hate the nights. 246 00:13:12,959 --> 00:13:14,043 Well... 247 00:13:14,127 --> 00:13:16,921 It's amazing how wet it stays. 248 00:13:17,005 --> 00:13:18,214 Did you see... 249 00:13:19,299 --> 00:13:21,301 - Have you seen Robby? - There's not a lot. 250 00:13:22,427 --> 00:13:25,346 You are inserting the chips from the beginning of the shift? 251 00:13:25,430 --> 00:13:27,390 - Yes. - What are you still doing here? 252 00:13:27,473 --> 00:13:28,808 I was just going... 253 00:13:29,225 --> 00:13:32,520 - Are you staying for the fireworks? - Yes. 254 00:13:33,062 --> 00:13:35,023 Was supposed to see him with Becca, 255 00:13:35,982 --> 00:13:39,986 but she's home from the family of Adam, the boyfriend. 256 00:13:44,657 --> 00:13:47,243 Your sister seems... 257 00:13:48,786 --> 00:13:50,079 ... very organized. 258 00:13:51,039 --> 00:13:51,956 Yes. 259 00:13:53,165 --> 00:13:54,542 More than I thought. 260 00:13:56,836 --> 00:13:57,920 How was your day? 261 00:14:00,173 --> 00:14:01,174 I've had better. 262 00:14:02,675 --> 00:14:03,593 And you? 263 00:14:06,637 --> 00:14:07,555 Then. 264 00:14:09,140 --> 00:14:11,351 But when you look at it, I've had worse. 265 00:14:12,435 --> 00:14:14,771 I had a cervical reduction an hour ago. 266 00:14:14,854 --> 00:14:17,106 I already knew. It must have been intense. 267 00:14:18,900 --> 00:14:20,276 I'm still shaking. 268 00:14:20,985 --> 00:14:24,072 Do you think that one of these days, Can you teach me how to do this? 269 00:14:26,240 --> 00:14:27,075 - Yes. - Trying? 270 00:14:27,158 --> 00:14:29,369 Clear. But I hope that you never have to do it. 271 00:14:29,452 --> 00:14:33,039 - I could have paralyzed him. - Yes, but it didn't happen. 272 00:14:34,415 --> 00:14:36,292 Well, no. I didn't paralyze him. 273 00:14:37,585 --> 00:14:38,503 Thanks... 274 00:14:39,962 --> 00:14:41,005 ... by the way, for... 275 00:14:42,048 --> 00:14:43,466 ... talks from before. 276 00:14:44,842 --> 00:14:46,010 I'm sorry I missed it. 277 00:14:48,221 --> 00:14:49,138 All good. 278 00:14:57,563 --> 00:15:00,233 Dr. Mohan, have you heard of in affinity foster care? 279 00:15:00,316 --> 00:15:03,027 A nurse or doctor can accommodate in emergency... 280 00:15:03,111 --> 00:15:06,572 I don't need children. First, I need a job. 281 00:15:07,198 --> 00:15:09,492 Candice O'Grady is an 82-year-old woman 282 00:15:09,575 --> 00:15:11,994 brought by son by persistent vomiting. 283 00:15:12,620 --> 00:15:15,289 - No fever, chills, abdominal pain... - It's an assessment... 284 00:15:19,043 --> 00:15:21,421 I already have one that I can barely keep up with. 285 00:15:21,504 --> 00:15:23,381 And what about Sleeping Beauty? 286 00:15:23,464 --> 00:15:24,882 She already takes care of Whitaker. 287 00:15:25,633 --> 00:15:28,469 If you know of anyone take care of the unknown baby, 288 00:15:28,553 --> 00:15:30,346 come to the main counter. - Of course. 289 00:15:31,180 --> 00:15:34,142 I would even take her, but Benji would kill me. 290 00:15:36,394 --> 00:15:38,813 - TA 164 by 114. - Plus 40 of labetalol. 291 00:15:38,896 --> 00:15:41,482 Magnesium bolus given. Infusion of 2 g per hour. 292 00:15:41,566 --> 00:15:45,236 We have the analyses. Hemoglobin 7.5, platelets 40. 293 00:15:45,319 --> 00:15:46,571 TFH are high. 294 00:15:47,155 --> 00:15:48,114 HELLP syndrome. 295 00:15:48,197 --> 00:15:51,200 Hemolytic anemia, high liver enzymes and low platelets. 296 00:15:51,284 --> 00:15:53,995 They are cleaning a room. We can take you in ten minutes. 297 00:15:54,537 --> 00:15:55,705 How are you, Judith? 298 00:15:57,874 --> 00:15:59,876 I... 299 00:16:01,210 --> 00:16:03,129 - Convulsion. - Shit! 300 00:16:03,754 --> 00:16:06,007 I want 10 of diazepam. Prepare 10 more. 301 00:16:06,090 --> 00:16:08,176 With the movement, I don't have a fetal heartbeat. 302 00:16:08,259 --> 00:16:10,636 Giving 15 liters per mask. Do we intubate? 303 00:16:10,720 --> 00:16:12,513 Wait. Let's try it like this. 304 00:16:12,597 --> 00:16:15,433 We only mask seizures with paralysis if necessary. 305 00:16:16,142 --> 00:16:16,976 Right... 306 00:16:20,563 --> 00:16:22,857 Crude, CTG doesn't read it. Check with ultrasound. 307 00:16:22,940 --> 00:16:24,817 - Yes. - Nazely, diagnosis? 308 00:16:25,693 --> 00:16:27,820 With seizure, now it's eclampsia. 309 00:16:29,155 --> 00:16:31,115 - Fetal pulse rate of 90. - It's low. 310 00:16:31,199 --> 00:16:33,451 - Mother saturation dropping. - Intubation? 311 00:16:33,826 --> 00:16:35,244 Prepare, but wait. 312 00:16:35,745 --> 00:16:36,829 Plus 10 diazepam. 313 00:16:36,913 --> 00:16:38,456 Give 4 g of levetiracetam. 314 00:16:42,418 --> 00:16:44,962 ... history of hypertension came to the emergency room 315 00:16:45,046 --> 00:16:46,881 with complaints of dizziness 316 00:16:47,340 --> 00:16:49,342 after inadvertently ingesting 80 mg... 317 00:16:49,425 --> 00:16:50,760 So do they get away with it? 318 00:16:50,843 --> 00:16:53,638 - He's walking. - Have you seen Dr. Al-Hashimi? 319 00:16:53,721 --> 00:16:55,473 - No. - Can we talk? 320 00:17:00,937 --> 00:17:03,814 I wanted to tell you I've been seeing your posts... 321 00:17:03,898 --> 00:17:05,733 I just wanted to pass on some health advice... 322 00:17:05,816 --> 00:17:07,193 I think they're great. 323 00:17:08,027 --> 00:17:08,944 Even good ones. 324 00:17:09,904 --> 00:17:10,738 Seriously? 325 00:17:10,820 --> 00:17:12,740 Yes. 326 00:17:13,449 --> 00:17:15,076 - Continue. - He is well. 327 00:17:15,826 --> 00:17:17,286 Remember confidentiality. 328 00:17:18,496 --> 00:17:20,665 - Yes. - And finish the chips first. 329 00:17:21,457 --> 00:17:22,375 Of course. 330 00:17:24,877 --> 00:17:26,253 By any chance, Dr. Robby... 331 00:17:27,672 --> 00:17:29,799 - I have a question. - It says. 332 00:17:30,758 --> 00:17:34,512 I may be considering emergency psychiatry. 333 00:17:35,930 --> 00:17:37,139 Very cool. 334 00:17:38,349 --> 00:17:39,725 Do you think I can do it? 335 00:17:42,311 --> 00:17:46,023 I think you can do it whatever you want, Victoria. 336 00:17:50,194 --> 00:17:51,112 He is well. 337 00:17:51,654 --> 00:17:53,197 Oximetry 88. 338 00:17:54,699 --> 00:17:55,616 Dr Abbot? 339 00:17:56,576 --> 00:17:58,869 - Do we intubate? - Let's do this. 340 00:17:58,953 --> 00:18:02,039 Nazely, what do you suggest? for fast sequence induction? 341 00:18:02,123 --> 00:18:03,249 Etomidate and rocuronium. 342 00:18:03,833 --> 00:18:05,668 It's not good. 120 propofol 343 00:18:05,751 --> 00:18:07,795 and 60 of succinylcholine... Why, Crus? 344 00:18:07,878 --> 00:18:09,839 Propofol prevents seizures 345 00:18:09,922 --> 00:18:12,592 and succinylcholine paralysis, for neurological examination. 346 00:18:12,675 --> 00:18:14,760 - Exactly. - Giving propofol. 347 00:18:14,844 --> 00:18:16,137 When you're ready, 348 00:18:16,220 --> 00:18:17,888 we move the uterus to the left. 349 00:18:17,972 --> 00:18:20,891 Nazely, it's up to you. A hug. Take the baby out of the vena cava. 350 00:18:20,975 --> 00:18:21,809 Sux administered. 351 00:18:21,892 --> 00:18:24,562 After paralysis, the seizures stop, right? 352 00:18:24,645 --> 00:18:25,730 It may seem, 353 00:18:25,813 --> 00:18:28,232 but a seizure in progress still fries your brain. 354 00:18:28,316 --> 00:18:29,942 We monitor the EEG. 355 00:18:30,026 --> 00:18:31,777 - Is there time for that? - Wait. 356 00:18:33,195 --> 00:18:34,238 It's having an effect. 357 00:18:34,322 --> 00:18:35,906 Come on. Turn her over. 358 00:18:36,949 --> 00:18:40,202 Intubate and EEG to see if the brain produces seizures. 359 00:18:41,162 --> 00:18:42,580 I need it right the first time. 360 00:18:42,663 --> 00:18:43,789 You and I. 361 00:18:52,798 --> 00:18:54,884 - Have you seen Dr. Al-Hashimi? - No. 362 00:18:55,384 --> 00:18:56,886 Have you seen Dr. Al-Hashimi? 363 00:18:57,803 --> 00:18:58,721 To Al-Hashimi? 364 00:18:59,764 --> 00:19:02,224 With today, he must have resigned. 365 00:19:02,308 --> 00:19:05,311 I saw her in Pediatrics with the unknown baby. 366 00:19:05,394 --> 00:19:07,021 No, I came from there now. 367 00:19:07,897 --> 00:19:08,981 Do you want me to contact you? 368 00:19:09,899 --> 00:19:11,651 No, it's okay. I find her. 369 00:19:16,697 --> 00:19:17,615 Hello. 370 00:19:20,660 --> 00:19:22,870 How did our in the testimonies? 371 00:19:23,704 --> 00:19:25,623 Dr. Ellis is a pit bull. 372 00:19:25,706 --> 00:19:29,251 Dr. King is a flower. They were brutal with her. 373 00:19:29,335 --> 00:19:30,753 - She's sensitive. - Very. 374 00:19:30,836 --> 00:19:32,338 And it's not over yet. 375 00:19:32,421 --> 00:19:35,007 - They want to hear it again. - It is a shame. 376 00:19:35,675 --> 00:19:38,260 Maybe I should go with you give you the news. 377 00:19:38,344 --> 00:19:40,179 - Misery loves company. - By the way, 378 00:19:40,262 --> 00:19:42,223 I have a hypothetical question. 379 00:19:43,182 --> 00:19:46,560 If a doctor suspects that someone else has a disease 380 00:19:46,644 --> 00:19:49,188 which may negatively affect the treatment of a patient, 381 00:19:49,271 --> 00:19:52,942 reporting this is a serious violation of confidentiality laws? 382 00:19:54,193 --> 00:19:55,945 First, do no harm. 383 00:19:58,489 --> 00:20:00,408 Dr. King, do you have a moment? 384 00:20:08,332 --> 00:20:10,084 Good bilateral glide. 385 00:20:10,167 --> 00:20:12,128 Fetal pulse at the limit, 98. 386 00:20:13,754 --> 00:20:15,506 Turn it over again. It might help. 387 00:20:16,006 --> 00:20:17,925 One two three. 388 00:20:18,968 --> 00:20:19,885 Ready. 389 00:20:21,595 --> 00:20:22,430 Everything's fine here. 390 00:20:22,513 --> 00:20:24,932 - EEG monitor ready. - It was quick. 391 00:20:25,933 --> 00:20:28,477 Still convulsing in paralysis. Non-convulsive state. 392 00:20:29,937 --> 00:20:31,063 What did she take? 393 00:20:31,147 --> 00:20:33,983 30 diazepam, total magnesium, levetiracetam and propofol. 394 00:20:34,066 --> 00:20:36,569 - Balls! Next step? - Ideas? 395 00:20:37,445 --> 00:20:38,362 Nazely? 396 00:20:39,113 --> 00:20:40,781 Phenytoin? Valproate? 397 00:20:41,198 --> 00:20:43,242 Infusion and action take time. 398 00:20:43,826 --> 00:20:47,079 Give 100 ketamine. It has already had results in a refractory state. 399 00:20:47,163 --> 00:20:48,706 She also has HELLP syndrome. 400 00:20:48,789 --> 00:20:51,167 Hemoglobin only 7, platelets 30. 401 00:20:51,250 --> 00:20:52,626 Two units of whole blood? 402 00:20:52,710 --> 00:20:55,004 We are currently reporting O-negative. 403 00:20:55,421 --> 00:20:57,089 Put on the defibrillator patches. 404 00:20:57,173 --> 00:21:00,217 And 10 dexamethasone IV, for the inflammatory storm. 405 00:21:00,301 --> 00:21:02,052 Fetal pulse rate rose to 104. 406 00:21:02,136 --> 00:21:05,055 - Better. - Yes. She should be in Obstetrics. 407 00:21:05,848 --> 00:21:08,768 And you will be, after we put an end to this upheaval. 408 00:21:09,602 --> 00:21:12,605 There was a delay in the background 409 00:21:12,688 --> 00:21:15,816 due to malfunction in the remote interpreter. 410 00:21:15,900 --> 00:21:18,527 At this point I had normal CBC 411 00:21:18,611 --> 00:21:21,739 and complete metabolic panel delivered by the laboratory. 412 00:21:23,449 --> 00:21:25,117 What's going on, criminal? 413 00:21:25,618 --> 00:21:27,411 They want another statement from me. 414 00:21:28,746 --> 00:21:31,582 What nonsense! He must have been really stupid. 415 00:21:33,334 --> 00:21:34,710 Listen, I'm kidding! 416 00:21:34,794 --> 00:21:37,379 Take it easy. It's just bullshit. 417 00:21:40,382 --> 00:21:42,843 Look, fuck it! Shall we have a drink? 418 00:21:44,136 --> 00:21:45,012 I? 419 00:21:45,095 --> 00:21:46,680 Yes, you. 420 00:21:46,764 --> 00:21:49,016 You... You leave, don't you? 421 00:21:49,099 --> 00:21:50,768 I usually stay with Becca. 422 00:21:51,393 --> 00:21:53,854 Bring her too. Does she drive? 423 00:21:53,938 --> 00:21:56,106 No, and she's with her boyfriend. 424 00:21:57,274 --> 00:21:58,359 Good one, Becca. 425 00:22:00,402 --> 00:22:01,612 So, it's just us. 426 00:22:04,490 --> 00:22:05,866 Do you like karaoke? 427 00:22:06,992 --> 00:22:08,118 Do you sing karaoke? 428 00:22:08,828 --> 00:22:12,540 It's more primal scream therapy. 429 00:22:13,249 --> 00:22:16,293 There's nothing like drinking and cry profusely 430 00:22:16,377 --> 00:22:18,254 to drive away this sad day today. 431 00:22:19,338 --> 00:22:20,840 It would be nice to have fun. 432 00:22:22,508 --> 00:22:24,134 You and me, my sister. 433 00:22:24,218 --> 00:22:27,513 There are no improvements. Still convulsing on EEG. 434 00:22:27,596 --> 00:22:29,348 - Neurology called. - Right. 435 00:22:29,431 --> 00:22:31,350 The OB tells her to go upstairs. They have the BO ready. 436 00:22:31,433 --> 00:22:34,144 - Finally. - The baby is more bradycardic. 437 00:22:34,228 --> 00:22:36,146 This one seems to be getting worse. 438 00:22:36,230 --> 00:22:38,107 Eclampsia, seizures, HELLP syndrome 439 00:22:38,190 --> 00:22:39,984 with anemia and thrombocytopenia. 440 00:22:40,067 --> 00:22:41,986 Yes, it's impossible to get worse. 441 00:22:42,069 --> 00:22:43,070 Fibrillation. 442 00:22:44,113 --> 00:22:47,241 Chest compressions. Nazely, load the 200. 443 00:22:48,951 --> 00:22:51,495 Prepare your belly, bring a baby warmer. 444 00:22:51,579 --> 00:22:54,123 - Call the NICU. Stopwatch. - Loaded. 445 00:22:55,082 --> 00:22:56,000 To move away. 446 00:22:58,168 --> 00:23:00,296 Continue compressions. We'll see the pulse now. 447 00:23:02,006 --> 00:23:03,132 Put on a smock. 448 00:23:03,215 --> 00:23:04,466 Robby, you and me. 449 00:23:04,550 --> 00:23:06,385 Nazely, the four-minute rule? 450 00:23:06,802 --> 00:23:07,720 I don't really know. 451 00:23:09,054 --> 00:23:10,556 In a pregnant woman with a viable fetus, 452 00:23:10,639 --> 00:23:12,933 we have four minutes after stopping to save him. 453 00:23:13,017 --> 00:23:13,976 And to the mother. 454 00:23:14,768 --> 00:23:16,687 We no longer call this a post-mortem cesarean. 455 00:23:16,770 --> 00:23:19,356 It's a resuscitation hysterotomy to save both. 456 00:23:19,440 --> 00:23:21,066 She doesn't want medical intervention. 457 00:23:21,150 --> 00:23:23,986 It doesn't matter. If we do nothing, they both die. 458 00:23:24,069 --> 00:23:25,529 Right. Load at 200. 459 00:23:25,613 --> 00:23:27,907 See the rhythm again, and Abbot and I cut it. 460 00:23:28,949 --> 00:23:31,410 Ellis, you and Crus resurrect the mother. 461 00:23:31,493 --> 00:23:33,078 Shen and Nazely keep the baby. 462 00:23:33,162 --> 00:23:34,371 Stop compressions. 463 00:23:36,081 --> 00:23:37,249 Still in fibrillation. 464 00:23:37,750 --> 00:23:38,792 To move away. 465 00:23:40,002 --> 00:23:41,795 Equal. Compressions and epinephrine. 466 00:23:41,879 --> 00:23:42,713 It's time. 467 00:23:42,796 --> 00:23:45,466 - We have to take it off now. - Pause. 468 00:23:48,135 --> 00:23:49,428 Scalpel. 469 00:23:50,763 --> 00:23:53,891 Ready. First incision goes from the xiphoid 470 00:23:53,974 --> 00:23:55,684 to the pubic symphysis, 471 00:23:55,768 --> 00:23:58,562 running the skin up to the linea alba. 472 00:23:58,646 --> 00:24:00,481 Two more units in the perfusor. 473 00:24:00,564 --> 00:24:03,567 The second incision passes through the peritoneum 474 00:24:03,651 --> 00:24:05,277 and exposes the uterus. 475 00:24:05,361 --> 00:24:06,779 Where do you need me? 476 00:24:06,862 --> 00:24:09,406 With the baby. Nazely has the mask. 477 00:24:09,490 --> 00:24:11,450 You are in the suction. Wait for intubation. 478 00:24:11,533 --> 00:24:12,576 Bladder retractors. 479 00:24:12,660 --> 00:24:14,578 Neonatal monitor and oximeter ready. 480 00:24:14,662 --> 00:24:16,246 Ellis, smooth pull. 481 00:24:17,247 --> 00:24:20,626 Making a small vertical incision in the lower uterus, 482 00:24:20,709 --> 00:24:22,878 so as not to cut the baby. 483 00:24:24,713 --> 00:24:26,131 - Is it? - Yes, it is. 484 00:24:26,215 --> 00:24:27,216 - Ready. - Ready. 485 00:24:27,299 --> 00:24:30,427 Scissors to expand at the top. 486 00:24:32,179 --> 00:24:34,306 Ellis, portray the uterus by hand with me. 487 00:24:34,390 --> 00:24:36,016 The amniotic fluid looks good. 488 00:24:37,977 --> 00:24:40,688 - Fundic pressure. - Pelvic position. 489 00:24:43,399 --> 00:24:45,693 Ready. The baby came out. 490 00:24:46,694 --> 00:24:47,820 - It's a girl. - Good! 491 00:24:50,197 --> 00:24:51,407 Emptying the cord. 492 00:24:53,075 --> 00:24:54,326 Clamp. 493 00:24:55,661 --> 00:24:56,704 Cutting. 494 00:24:57,579 --> 00:24:59,707 Blue and flabby. It's up to you, Shen. Ready? 495 00:24:59,790 --> 00:25:01,542 - Do you have it? - Yes. Right. 496 00:25:07,798 --> 00:25:09,842 Weak tone, no movement. 497 00:25:09,925 --> 00:25:11,552 Keep mask close. 498 00:25:12,594 --> 00:25:13,679 It's really blue. 499 00:25:13,762 --> 00:25:16,682 Some blue is normal, but not that much. 500 00:25:16,765 --> 00:25:17,933 Do we have to intubate? 501 00:25:18,017 --> 00:25:20,894 Not yet. They usually turn pink with stimulation and flow. 502 00:25:21,395 --> 00:25:23,105 Removing the placenta. 503 00:25:23,188 --> 00:25:25,774 Swipe left, trying to get it out in one piece. 504 00:25:27,568 --> 00:25:28,527 - It's intact. - Yes. 505 00:25:28,610 --> 00:25:29,528 Very well. 506 00:25:30,863 --> 00:25:32,740 10 oxytocin to contract the uterus. 507 00:25:32,823 --> 00:25:34,241 And lots of massage. 508 00:25:35,034 --> 00:25:36,660 Pulse 76. 509 00:25:36,744 --> 00:25:39,204 Less than 100 means ventilate. Suction. 510 00:25:42,791 --> 00:25:45,794 Jord, load the 200. Wait for the next rhythm check. 511 00:25:46,879 --> 00:25:48,547 It has expression. It's a good sign. 512 00:25:48,630 --> 00:25:49,631 Ventilating. 513 00:25:49,715 --> 00:25:51,258 Oximetry 45%. 514 00:25:51,759 --> 00:25:53,177 I've never seen one so low. 515 00:25:53,260 --> 00:25:56,638 It's not that bad. The pulse worries me more. 516 00:25:57,097 --> 00:25:59,516 McKay, prepare an IO in case we need epinephrine. 517 00:25:59,600 --> 00:26:00,434 He is well. 518 00:26:02,603 --> 00:26:04,146 See rhythm. Stop compressions. 519 00:26:05,272 --> 00:26:06,815 Still in fibrillation. Shock. 520 00:26:06,899 --> 00:26:07,816 To move away. 521 00:26:08,609 --> 00:26:10,069 Continue compressions. 522 00:26:10,152 --> 00:26:13,072 - Shen, how is she there? - Pulse rose to 104. 523 00:26:13,155 --> 00:26:15,699 After a minute, zero color, 524 00:26:15,783 --> 00:26:19,078 two pulsation, one reflexes, tone, breathing. APGAR 5. 525 00:26:19,453 --> 00:26:20,996 Five out of ten is not good. 526 00:26:21,455 --> 00:26:24,041 - Oximetry 58%. - Do we intubate? 527 00:26:24,541 --> 00:26:27,086 Not yet. Saturation in the 60s, normal to one minute. 528 00:26:27,169 --> 00:26:29,213 Pulse and oximetry with a tendency to rise. 529 00:26:29,797 --> 00:26:32,800 Let's continue like this. Let's give it time. 530 00:26:32,883 --> 00:26:33,967 Stop compressions. 531 00:26:34,510 --> 00:26:35,385 It seems to have rhythm. 532 00:26:37,012 --> 00:26:38,263 I can't feel the carotid. 533 00:26:39,473 --> 00:26:41,475 The heart is barely pumping. It's AESP. 534 00:26:41,892 --> 00:26:42,976 Back to compressions. 535 00:26:43,060 --> 00:26:45,854 Two more units. Need more and erythrocytes and platelets. 536 00:26:45,938 --> 00:26:47,481 Maintains blood loss in the uterus. 537 00:26:47,564 --> 00:26:49,108 Give me all the compresses. 538 00:26:56,657 --> 00:26:57,866 Yes. 539 00:26:57,950 --> 00:27:00,369 Right. Yes, thank you. Thank you, Henry. 540 00:27:01,036 --> 00:27:01,954 I have to go. 541 00:27:03,997 --> 00:27:06,166 - Wait. - Are there any problems? 542 00:27:06,250 --> 00:27:08,418 Yes. You will not go empty-handed. 543 00:27:08,502 --> 00:27:09,419 What it was? 544 00:27:10,546 --> 00:27:11,964 One of you come with me. 545 00:27:13,882 --> 00:27:17,886 Tamper kits must be collected within 72 hours. 546 00:27:19,054 --> 00:27:20,764 This one has been here for two weeks. 547 00:27:21,515 --> 00:27:22,558 It's not with us. 548 00:27:23,100 --> 00:27:24,476 It's with someone. 549 00:27:24,560 --> 00:27:26,895 It's not enough that they were raped, 550 00:27:26,979 --> 00:27:29,439 go through the collection process, 551 00:27:29,523 --> 00:27:32,276 and no one in the police has the decency 552 00:27:32,359 --> 00:27:33,694 to come and get this? 553 00:27:33,777 --> 00:27:36,238 - Nobody cares? - We took them. 554 00:27:36,321 --> 00:27:38,323 Let's keep them safe in the tests. 555 00:27:38,407 --> 00:27:39,366 Thanks. 556 00:27:41,785 --> 00:27:42,870 Was it difficult? 557 00:27:46,790 --> 00:27:48,167 Units five and six given. 558 00:27:48,250 --> 00:27:50,752 - It's flowing slowly. - Maintain compressions. 559 00:27:54,590 --> 00:27:57,759 It looks like sinus rhythm. And I have a weak carotid artery. 560 00:27:57,843 --> 00:27:59,261 TA in cycles. 561 00:27:59,344 --> 00:28:01,346 Better filling and better tightness. 562 00:28:01,430 --> 00:28:04,641 - No seizures on EEG. - This is progress. 563 00:28:04,725 --> 00:28:06,018 We're in five minutes. 564 00:28:06,101 --> 00:28:08,103 Pulse 132. 565 00:28:08,187 --> 00:28:10,772 Oximetry 79%. Nazely, APGAR? 566 00:28:12,733 --> 00:28:15,903 One for color, one for tone, one for breathing 567 00:28:15,986 --> 00:28:17,279 with hypoxia, total of seven. 568 00:28:17,362 --> 00:28:19,656 Breathing is for the observed, not oximetry. 569 00:28:19,740 --> 00:28:21,617 Having 80 is normal at five minutes. 570 00:28:21,700 --> 00:28:23,744 Even without crying, you can get one. 571 00:28:28,123 --> 00:28:30,000 And scored the winning point! 572 00:28:30,083 --> 00:28:31,960 APGAR of 8 is very normal. 573 00:28:35,839 --> 00:28:37,633 Shit! What do we have here? 574 00:28:38,467 --> 00:28:40,636 Eclampsia with status, HELLP syndrome, 575 00:28:40,719 --> 00:28:43,847 cardiac arrest, resuscitation hysterotomy. 576 00:28:43,931 --> 00:28:46,308 I was in the OR with a septic cesarean section of twins. 577 00:28:46,391 --> 00:28:47,517 I only saw it 12 minutes ago. 578 00:28:47,601 --> 00:28:48,936 Shit happens fast. 579 00:28:49,019 --> 00:28:51,605 Resuscitation hysterotomy in 36 seconds. 580 00:28:51,688 --> 00:28:53,941 - Impressive. - TA 102 by 64. 581 00:28:54,024 --> 00:28:56,109 - Hemoglobin at 9. - It works. 582 00:28:57,236 --> 00:28:59,238 - Those from ICUN are already arriving. - We took the mother. 583 00:28:59,613 --> 00:29:00,906 You are the greatest. 584 00:29:00,989 --> 00:29:03,283 We like to be called night owls. 585 00:29:06,912 --> 00:29:09,289 If you're not careful, you stay here all night. 586 00:29:09,373 --> 00:29:11,667 Henny said he would come in 30 minutes. 587 00:29:12,125 --> 00:29:13,252 The mother and the baby? 588 00:29:14,628 --> 00:29:16,004 Both go upstairs. 589 00:29:16,672 --> 00:29:18,590 Excellent. Are you leaving now? 590 00:29:18,674 --> 00:29:20,259 Yes, very soon. 591 00:29:20,342 --> 00:29:22,469 I have to find Whitaker and Al-Hashimi. 592 00:29:23,971 --> 00:29:25,681 And Langdon. 593 00:29:25,764 --> 00:29:27,599 You won't see Langdon. It's already out. 594 00:29:31,561 --> 00:29:32,479 Shit! 595 00:29:37,192 --> 00:29:39,319 SURGERY UNIT 596 00:29:56,503 --> 00:29:57,462 Can I help you? 597 00:29:57,838 --> 00:30:00,507 Yes. I'm Dr. Langdon from the emergency room. 598 00:30:01,258 --> 00:30:05,929 Just wanted to know the status of a person we sent here. 599 00:30:06,805 --> 00:30:09,266 Her name is Cohen. 600 00:30:09,349 --> 00:30:11,768 I will see. Why did they bring her? 601 00:30:12,019 --> 00:30:13,562 Cleansing necrotizing fasciitis. 602 00:30:16,898 --> 00:30:20,694 Yes, she is fine. He is in 4202 recovering well. 603 00:30:21,194 --> 00:30:22,112 Excellent. 604 00:30:22,821 --> 00:30:23,905 Excellent. 605 00:30:23,989 --> 00:30:26,783 She was... Not in great shape. 606 00:30:26,867 --> 00:30:28,327 It was well regarded. 607 00:30:28,410 --> 00:30:30,954 Saved his life, even if it didn't save the leg. 608 00:30:34,583 --> 00:30:35,834 Was it below the knee? 609 00:30:35,917 --> 00:30:37,544 Unfortunately, it was over. 610 00:30:54,978 --> 00:30:57,606 It's my number and that of the building's caretaker. 611 00:30:57,689 --> 00:30:59,524 It helps in case of emergency. 612 00:30:59,608 --> 00:31:02,819 - Yes. What kind of emergencies? - Anyone. 613 00:31:02,903 --> 00:31:05,155 And try to hear from Duke in two days. 614 00:31:05,238 --> 00:31:06,656 Yes. There is... 615 00:31:06,740 --> 00:31:08,492 Are you sure about this? 616 00:31:08,575 --> 00:31:09,743 I trust you, Whitaker. 617 00:31:10,494 --> 00:31:11,453 Excellent. 618 00:31:12,245 --> 00:31:13,246 Questions? 619 00:31:14,247 --> 00:31:16,625 When will you be back, exactly? 620 00:31:16,708 --> 00:31:19,669 I'll send you a message. I keep the dates open. 621 00:31:21,588 --> 00:31:23,465 I think it's your ride. 622 00:31:23,965 --> 00:31:25,092 Yes. 623 00:31:25,175 --> 00:31:28,053 Yes. I promise I'll come to your house tomorrow. 624 00:31:28,136 --> 00:31:29,137 Looks good to me. 625 00:31:30,847 --> 00:31:31,765 - Hello. - Hello. 626 00:31:32,599 --> 00:31:35,185 Right. Hi Theo. 627 00:31:35,685 --> 00:31:37,312 He must have been asleep by now. 628 00:31:37,396 --> 00:31:38,480 What do you have there? 629 00:31:41,691 --> 00:31:42,901 Right. 630 00:31:44,152 --> 00:31:45,570 He was irritable all day. 631 00:31:45,654 --> 00:31:47,614 There must be another tooth coming through. 632 00:31:47,697 --> 00:31:49,533 That's right, champ. 633 00:31:49,616 --> 00:31:51,993 Are you ready for the sound? 634 00:31:53,036 --> 00:31:53,995 Yes? 635 00:32:13,807 --> 00:32:14,724 Hello. 636 00:32:15,350 --> 00:32:16,935 Are you having luck with the vacancies? 637 00:32:18,812 --> 00:32:19,729 I don't know. 638 00:32:21,523 --> 00:32:23,608 Maybe I'll follow Geriatrics. 639 00:32:25,360 --> 00:32:26,695 It's smart. 640 00:32:30,949 --> 00:32:32,492 Life can be challenging, 641 00:32:32,576 --> 00:32:35,203 especially when nothing goes how we want. 642 00:32:35,287 --> 00:32:36,371 He is well. 643 00:32:41,501 --> 00:32:44,629 I thought you would be married by now and with two children at university. 644 00:32:46,256 --> 00:32:48,800 Maybe with a house with a lake 645 00:32:48,884 --> 00:32:51,136 where we played hockey in the winter. 646 00:32:53,472 --> 00:32:54,431 But look at me. 647 00:32:54,514 --> 00:32:58,018 No women, kids or lake. 648 00:33:01,980 --> 00:33:02,981 It's never too late. 649 00:33:04,357 --> 00:33:05,692 Do you really believe that? 650 00:33:06,943 --> 00:33:08,069 Yes. 651 00:33:08,153 --> 00:33:10,447 - Just for me or also for you? - Ready. 652 00:33:11,615 --> 00:33:12,782 I noticed what you did. 653 00:33:14,326 --> 00:33:16,912 Was it true or was it just to be right? 654 00:33:23,126 --> 00:33:25,045 Have you resolved everything with your mother? 655 00:33:28,298 --> 00:33:29,382 We don't talk. 656 00:33:33,011 --> 00:33:34,846 I'm sorry that... 657 00:33:35,847 --> 00:33:37,057 I let it distract me. 658 00:33:38,850 --> 00:33:41,728 She treated me like a child and I left. 659 00:33:47,108 --> 00:33:48,109 Have a good trip. 660 00:33:49,736 --> 00:33:50,737 And be careful. 661 00:33:52,906 --> 00:33:53,990 We need you. 662 00:33:55,408 --> 00:33:57,244 Even if sometimes you are an idiot. 663 00:34:00,205 --> 00:34:01,206 Good luck. 664 00:34:03,083 --> 00:34:04,000 To you too. 665 00:34:13,134 --> 00:34:15,387 I didn't think you were still here. 666 00:34:15,469 --> 00:34:17,722 I went to speak to the neurologist on duty. 667 00:34:19,306 --> 00:34:20,225 And... 668 00:34:21,059 --> 00:34:23,353 It was a good conversation. 669 00:34:24,437 --> 00:34:26,898 Say I can stay there are two assistants. 670 00:34:26,982 --> 00:34:28,483 It's not her decision. 671 00:34:29,484 --> 00:34:30,694 Thou shalt not do anything critical 672 00:34:30,777 --> 00:34:33,822 in which a lapse of five seconds can kill a patient. 673 00:34:35,991 --> 00:34:36,908 I agree. 674 00:34:40,620 --> 00:34:43,123 But 90% of patients do not require anything critical. 675 00:34:43,206 --> 00:34:44,165 And those who need it? 676 00:34:45,542 --> 00:34:47,627 They will be treated by whoever is with me. 677 00:34:47,710 --> 00:34:49,838 Unless there is another critic. 678 00:34:49,920 --> 00:34:52,299 - And if it's double or triple... - I can do it. 679 00:34:52,382 --> 00:34:54,342 You can't. And I can't let go. 680 00:34:54,426 --> 00:34:57,429 - I am completely capable of treating... - You are not capable, 681 00:34:57,512 --> 00:34:58,763 and you know it. 682 00:35:02,809 --> 00:35:03,810 What do you want from me? 683 00:35:03,893 --> 00:35:06,146 The best for the department. Patients and staff. 684 00:35:06,646 --> 00:35:07,939 At best, 685 00:35:08,023 --> 00:35:10,442 you control this. You haven't had seizures for six months, 686 00:35:10,525 --> 00:35:12,777 you get the letter back and they let you work. 687 00:35:12,861 --> 00:35:14,738 I have a driver's license! 688 00:35:15,447 --> 00:35:17,407 You shouldn't drive like that. 689 00:35:17,490 --> 00:35:19,868 If you were a sick person, we would have to report to you. 690 00:35:19,951 --> 00:35:21,536 I'm not your patient. 691 00:35:21,620 --> 00:35:23,913 But you can't work in my emergency 692 00:35:23,997 --> 00:35:25,790 until you are fully capable. 693 00:35:25,874 --> 00:35:27,500 It's not up to you to decide! 694 00:35:27,584 --> 00:35:29,085 It's me who decides, yes! 695 00:35:29,169 --> 00:35:31,254 I'm protecting you and my patients. 696 00:35:31,338 --> 00:35:33,798 - You know it's like that. - "My department and patients." 697 00:35:33,882 --> 00:35:36,635 You only think about yourself. Have you heard? 698 00:35:36,718 --> 00:35:39,137 Don't whip Langdon for stealing medicine. 699 00:35:39,220 --> 00:35:40,847 No, but I took it from here 700 00:35:40,930 --> 00:35:43,058 until he got the help he needed. 701 00:35:43,141 --> 00:35:44,434 With you, it's the same thing. 702 00:35:45,018 --> 00:35:47,604 You tell management see you Monday or I do this. 703 00:35:54,778 --> 00:35:57,656 I finished. Last record. 704 00:35:59,532 --> 00:36:00,992 - You and me. - Serious? 705 00:36:01,076 --> 00:36:03,078 Do we have to do this? I finished a little while ago. 706 00:36:03,912 --> 00:36:05,830 I never want to hear that doorbell again. 707 00:36:10,502 --> 00:36:11,878 - Dana? - I don't know. 708 00:36:11,961 --> 00:36:14,631 Lots of day shift people went to the roof to see the fire. 709 00:36:14,714 --> 00:36:17,050 - Do you want me to sleep? - No, it's okay. 710 00:36:19,386 --> 00:36:22,097 Listen. Thanks for the help. 711 00:36:24,599 --> 00:36:26,393 - Will I know? - Yes. It's almost. 712 00:36:28,853 --> 00:36:30,855 It's now that you tempt me convince to give up? 713 00:36:30,939 --> 00:36:33,149 I? No way. 714 00:36:33,566 --> 00:36:35,235 - But do you have doubts? - No. 715 00:36:35,318 --> 00:36:36,361 - No? - No. 716 00:36:37,404 --> 00:36:38,863 You don't have to convince me. 717 00:36:38,947 --> 00:36:41,616 It's strange that you only talk about going to one place 718 00:36:41,700 --> 00:36:43,868 where did they take buffaloes to fall off the cliff. 719 00:36:43,952 --> 00:36:46,371 - Here it comes. - Regarding holiday destination, 720 00:36:46,454 --> 00:36:48,331 It's not the busiest place. 721 00:36:48,415 --> 00:36:51,334 What do they have in the gift shop? 722 00:36:51,418 --> 00:36:54,129 - It's just a place I go. - As long as it's not the last... 723 00:36:54,212 --> 00:36:56,423 Don't do Thelma and Louise. 724 00:36:56,506 --> 00:36:58,425 I'm going on a three-month vacation. 725 00:36:58,508 --> 00:37:00,218 When did you take a vacation, Jack? 726 00:37:00,301 --> 00:37:01,886 But I dealt with my demons. 727 00:37:03,304 --> 00:37:04,389 It's a process. 728 00:37:05,849 --> 00:37:07,976 Do you know why I never killed myself? 729 00:37:08,643 --> 00:37:10,895 After what I saw and lived? 730 00:37:12,230 --> 00:37:15,358 After losing his leg and his wife? 731 00:37:17,068 --> 00:37:18,987 Because we all end up there. 732 00:37:19,070 --> 00:37:21,948 And we know better than most. We see it at every turn, 733 00:37:22,031 --> 00:37:24,033 but we cannot succumb. 734 00:37:25,243 --> 00:37:26,703 Yes, life is bullshit. 735 00:37:28,496 --> 00:37:30,999 It can be unbearable and... 736 00:37:31,082 --> 00:37:34,544 It's brutal, ugly and heartbreaking. 737 00:37:35,086 --> 00:37:36,755 But it's also beautiful. 738 00:37:38,214 --> 00:37:40,967 And hilarious, and that woman today... 739 00:37:44,512 --> 00:37:47,056 Her baby... They'd be in the morgue if it weren't for you. 740 00:37:48,475 --> 00:37:51,770 It's us. You and I. We are here for that. 741 00:37:52,854 --> 00:37:56,816 The most important thing I did in my life It was in this hospital. 742 00:37:58,193 --> 00:38:01,613 Nothing will ever matter anymore than what I did in this hospital. 743 00:38:01,696 --> 00:38:02,947 But it's killing me. 744 00:38:05,283 --> 00:38:08,661 They say a part of us dies when we lose someone we love? 745 00:38:08,745 --> 00:38:11,164 I don't know if a part of us doesn't die 746 00:38:11,247 --> 00:38:13,291 whenever we see someone die, 747 00:38:13,374 --> 00:38:16,294 and I've seen so many people die, 748 00:38:18,004 --> 00:38:20,799 what I feel that is sucking something out of my soul. 749 00:38:22,717 --> 00:38:24,093 Take a cruise, man. 750 00:38:27,138 --> 00:38:29,891 Stop this biker shit without helmet. 751 00:38:29,974 --> 00:38:31,851 Yes, people talk. 752 00:38:31,935 --> 00:38:34,687 - That's looking for death. - I'm tired of being a model. 753 00:38:34,771 --> 00:38:36,689 I'm tired of feeling like I'm not moving forward. 754 00:38:36,773 --> 00:38:39,609 I'm tired of feeling like I'm drowning. I'm fed up with everything. 755 00:38:39,692 --> 00:38:42,195 You have to go out for a while, and you need help. 756 00:38:42,278 --> 00:38:45,698 You need this place so much how he needs you. 757 00:38:50,286 --> 00:38:51,579 Am I all fucked up? 758 00:38:52,372 --> 00:38:53,456 Completely. 759 00:38:57,502 --> 00:38:59,587 But no one works here that long 760 00:38:59,671 --> 00:39:01,631 without getting bogged down. You... 761 00:39:01,714 --> 00:39:06,511 You have to find someone May it help you dance in the darkness. 762 00:39:10,807 --> 00:39:12,308 Did you just make this up? 763 00:39:14,727 --> 00:39:18,606 Maybe it's a letter. Or it was my therapist. I don't know. 764 00:39:22,735 --> 00:39:25,864 A guy arrived. It looks like he blew off half his face. 765 00:39:28,950 --> 00:39:30,577 How can you not love this place? 766 00:39:33,079 --> 00:39:35,373 Don't make me look stupid. 767 00:39:36,457 --> 00:39:38,251 See if it comes back in one piece. 768 00:39:42,297 --> 00:39:45,717 I'm still your emergency contact and I don't want to be contacted. 769 00:39:48,511 --> 00:39:50,847 All right, night owls. What's going on? 770 00:39:56,102 --> 00:39:57,687 25 year old man... 771 00:39:58,521 --> 00:40:00,064 ... background, no allergies. 772 00:41:26,901 --> 00:41:28,653 More than two thousand years ago, 773 00:41:28,736 --> 00:41:32,156 the Chinese shot bamboo to the fire to explode. 774 00:41:33,032 --> 00:41:36,327 Then they invented gunpowder and the rest is history. 775 00:41:38,454 --> 00:41:41,374 They had chemicals to get different colors. 776 00:41:41,457 --> 00:41:44,043 Sodium gives yellow, strontium red 777 00:41:44,127 --> 00:41:45,628 and green barium. 778 00:41:47,338 --> 00:41:49,841 Who knew chemistry was so beautiful? 779 00:42:59,702 --> 00:43:01,454 - Hello. - Hello. 780 00:43:01,537 --> 00:43:03,915 - I thought you had already left. - And now. 781 00:43:03,998 --> 00:43:05,583 Listen, I'm sorry 782 00:43:06,667 --> 00:43:09,170 I didn't have time today to talk. 783 00:43:09,253 --> 00:43:11,756 All good. It also seemed like you didn't want to. 784 00:43:12,548 --> 00:43:13,508 And I didn't want to. 785 00:43:16,469 --> 00:43:17,386 Did you want it? 786 00:43:20,431 --> 00:43:21,849 By chance, I wanted to. 787 00:43:23,267 --> 00:43:25,603 Listen, I'm complying with the treatment. 788 00:43:26,395 --> 00:43:29,565 I've been sober for 186 days, I go to meetings 789 00:43:29,649 --> 00:43:30,858 and I do the screenings. 790 00:43:30,942 --> 00:43:33,027 - That is good. - And you keep pushing me. 791 00:43:36,364 --> 00:43:38,908 What would have happened if I paralyzed the guy? 792 00:43:40,118 --> 00:43:42,870 I don't know. What would happen if I weren't here today? 793 00:43:42,954 --> 00:43:44,413 You would still question yourself. 794 00:43:44,497 --> 00:43:46,249 Now you know you can. You're welcome. 795 00:43:46,332 --> 00:43:47,834 So... now you teach like this? 796 00:43:47,917 --> 00:43:48,835 Sometimes. 797 00:43:49,961 --> 00:43:51,420 Do you know who I saw in rehab? 798 00:43:52,338 --> 00:43:54,173 A lot of guys like you. 799 00:43:54,924 --> 00:43:57,593 But they have accepted that they need help. 800 00:43:59,387 --> 00:44:01,264 I think you're afraid to admit 801 00:44:01,347 --> 00:44:03,933 that the mighty Dr. Robinavitch It's not perfect. 802 00:44:04,016 --> 00:44:05,560 I never said it was. 803 00:44:06,144 --> 00:44:07,145 No. 804 00:44:07,728 --> 00:44:10,940 But expect it from you, and that is not realistic. 805 00:44:11,774 --> 00:44:15,736 How we live by your standards if you can't even do it? 806 00:44:17,405 --> 00:44:19,115 You need help, Robby. 807 00:44:20,324 --> 00:44:21,492 You need help. 808 00:44:24,745 --> 00:44:25,872 Are you finished? 809 00:44:27,165 --> 00:44:28,749 You don't have to be honest with me. 810 00:44:29,542 --> 00:44:31,043 But be it with you. 811 00:44:47,059 --> 00:44:49,061 It's time for another bottle. 812 00:44:49,145 --> 00:44:52,106 I was going to give him formula before leaving. 813 00:44:54,066 --> 00:44:55,026 I'll stay with her. 814 00:44:56,444 --> 00:44:57,320 Thanks. 815 00:44:59,739 --> 00:45:01,949 Because you are... Do you turn off the lights before leaving? 816 00:45:02,033 --> 00:45:04,035 - Yes. - Why are you crying? 817 00:45:05,119 --> 00:45:07,622 Why are you crying, little one? 818 00:45:07,705 --> 00:45:09,415 You're okay, you're safe. 819 00:45:10,249 --> 00:45:12,001 Yes, you are not alone. 820 00:45:19,508 --> 00:45:21,969 Yes, you are fine. 821 00:45:22,053 --> 00:45:23,721 Do you want me to tuck you? 822 00:45:25,348 --> 00:45:26,265 And that? 823 00:45:26,974 --> 00:45:27,975 I can do it. Look. 824 00:45:31,479 --> 00:45:34,023 I wish they would snuggle me. 825 00:45:35,274 --> 00:45:36,317 I liked it, yes. 826 00:45:42,365 --> 00:45:44,200 You had a rough start, 827 00:45:45,326 --> 00:45:46,535 wasn't it, little one? 828 00:45:48,454 --> 00:45:49,497 Well, you did. 829 00:45:52,959 --> 00:45:54,752 There are already two of us. 830 00:45:59,048 --> 00:46:00,508 I was abandoned too... 831 00:46:04,428 --> 00:46:05,554 ... aged eight. 832 00:46:10,434 --> 00:46:14,146 But I got over it, and you will too. 833 00:46:15,898 --> 00:46:18,484 I have a feeling that you're going to be okay. 834 00:46:19,860 --> 00:46:21,696 Everything will be fine. 835 00:46:23,197 --> 00:46:25,366 You have many wonderful things to see 836 00:46:26,242 --> 00:46:28,536 and lots of people to love. 837 00:46:31,664 --> 00:46:34,875 Many wonderful things to see 838 00:46:36,752 --> 00:46:38,170 and lots of people to love. 839 00:46:47,138 --> 00:46:49,557 Everything is fine. It'll go well. 840 00:46:52,143 --> 00:46:53,394 Everything is fine. 841 00:47:20,046 --> 00:47:23,591 I want you to know 842 00:47:24,342 --> 00:47:28,304 That I'm happy for you 843 00:47:29,138 --> 00:47:33,100 I don't want anything more 844 00:47:33,184 --> 00:47:36,395 The best for you both 845 00:47:37,355 --> 00:47:41,984 An old version of me Are you perverted like me? 846 00:47:42,068 --> 00:47:45,946 Would I give you a blowjob in a cinema? 847 00:47:46,530 --> 00:47:48,866 Is she eloquent? 848 00:47:48,949 --> 00:47:51,118 And would he have your child? 849 00:47:51,202 --> 00:47:55,456 I'm sure it would An excellent mother 850 00:47:56,457 --> 00:47:58,167 Because the love you gave we made 851 00:47:58,250 --> 00:48:02,213 Wasn't able to be enough To open up completely 852 00:48:03,214 --> 00:48:04,382 No 853 00:48:05,466 --> 00:48:07,551 And every time you say her name 854 00:48:07,635 --> 00:48:09,095 She knows what you told me 855 00:48:09,178 --> 00:48:11,013 That you would hug me until I died? 856 00:48:11,097 --> 00:48:13,933 Until you die But you're still alive 857 00:48:14,016 --> 00:48:18,479 And I'm here to remind you 858 00:48:18,562 --> 00:48:22,983 From the mess you left When you were gone 859 00:48:23,067 --> 00:48:27,655 It's not fair to deny me 860 00:48:27,738 --> 00:48:31,659 The cross that I carry, that you gave me 861 00:48:31,742 --> 00:48:34,995 You, you should know 862 00:49:04,442 --> 00:49:06,444 Subtitles: Luís Costa Passadouro 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net