1
00:00:15,516 --> 00:00:17,266
Next time, let me know
2
00:00:17,267 --> 00:00:18,351
before the chaos.
3
00:00:18,352 --> 00:00:19,644
I came to inform you.
4
00:00:19,645 --> 00:00:20,770
HOUR EIGHT
2pm - 3pm
5
00:00:20,771 --> 00:00:23,022
- See if you have everything.
- Let's do it.
6
00:00:23,023 --> 00:00:26,275
IT called me
because I have training in cyber attacks.
7
00:00:26,276 --> 00:00:27,860
Then he tells everyone what to do.
8
00:00:27,861 --> 00:00:30,321
No. You better listen
by the person responsible for...
9
00:00:30,322 --> 00:00:31,323
Do you think so?
10
00:00:34,368 --> 00:00:36,035
All right, come here.
11
00:00:36,036 --> 00:00:37,286
What the fuck...
12
00:00:37,287 --> 00:00:39,247
There may have been a cyber attack.
13
00:00:39,248 --> 00:00:41,416
No, we shut down to avoid cyber attack.
14
00:00:43,252 --> 00:00:45,336
Guys, calm down. Listen.
15
00:00:45,337 --> 00:00:47,672
As you can see, we are redecorating
16
00:00:47,673 --> 00:00:48,674
the central area.
17
00:00:49,383 --> 00:00:52,134
The computers
are at risk of cyber attack.
18
00:00:52,135 --> 00:00:54,262
So let's move to analog.
19
00:00:54,263 --> 00:00:55,513
- Until when?
- I don't know.
20
00:00:55,514 --> 00:00:57,557
IT turned everything off
21
00:00:57,558 --> 00:00:59,892
so they can reinforce cyber defenses.
22
00:00:59,893 --> 00:01:01,811
The question was: "How long?"
23
00:01:01,812 --> 00:01:04,314
I don't know, maybe 24 hours.
24
00:01:05,190 --> 00:01:07,650
- I believe!
- So, first,
25
00:01:07,651 --> 00:01:10,027
we have to replicate patient records
26
00:01:10,028 --> 00:01:11,445
on the whiteboard.
27
00:01:11,446 --> 00:01:13,573
Tell me they took a photo.
28
00:01:13,574 --> 00:01:14,657
Yes. I have it here.
29
00:01:14,658 --> 00:01:15,492
Right.
30
00:01:18,954 --> 00:01:21,080
It's blurry.
31
00:01:21,081 --> 00:01:23,083
No, more than blurry.
32
00:01:23,792 --> 00:01:25,836
- Sorry.
- My God...
33
00:01:26,753 --> 00:01:27,837
I remember.
34
00:01:27,838 --> 00:01:30,089
Excellent. If everyone remembers the names
35
00:01:30,090 --> 00:01:32,049
and patient rooms, it will be fantastic.
36
00:01:32,050 --> 00:01:33,801
No. I remember them all.
37
00:01:33,802 --> 00:01:36,346
- Like this?
- Names, doctors, rooms.
38
00:01:37,097 --> 00:01:39,348
I have a photographic memory.
39
00:01:39,349 --> 00:01:41,058
Seriously, everything?
40
00:01:41,059 --> 00:01:43,227
12 Central, Harlow Graham,
41
00:01:43,228 --> 00:01:46,272
headache, abdominal pain, sign language.
42
00:01:46,273 --> 00:01:48,608
Shit, I have the interpreter waiting.
43
00:01:48,609 --> 00:01:50,776
- Go there.
- For privacy,
44
00:01:50,777 --> 00:01:52,612
complaints will be shortened.
45
00:01:52,613 --> 00:01:56,032
"C" for "headache",
"DA" for abdominal pain and so on.
46
00:01:56,033 --> 00:01:58,909
10 Central, Jackson Davis,
initial psychosis.
47
00:01:58,910 --> 00:02:00,661
Javadi, psychiatric admission.
48
00:02:00,662 --> 00:02:02,455
"Psi" for "Psychiatry".
49
00:02:02,456 --> 00:02:05,709
"Ped" is the unknown baby.
Dr. Mohan is awaiting admission.
50
00:02:06,251 --> 00:02:08,044
Divide nursing into zones.
51
00:02:08,045 --> 00:02:10,087
- North, Central, South, Trauma.
- Dana?
52
00:02:10,088 --> 00:02:11,631
You have sexual assault.
53
00:02:11,632 --> 00:02:13,341
You can't leave until you're done.
54
00:02:13,342 --> 00:02:16,052
- It might take a while.
- Princess has experience.
55
00:02:16,053 --> 00:02:17,511
- In truth no.
- Good idea.
56
00:02:17,512 --> 00:02:19,639
There's Princess. You take care of the function.
57
00:02:19,640 --> 00:02:21,724
- Next.
- 9 Central, Roxy Hemler.
58
00:02:21,725 --> 00:02:23,059
Terminal lung cancer.
59
00:02:23,060 --> 00:02:25,394
Do we stay here while she dictates everything?
60
00:02:25,395 --> 00:02:28,648
No. They go to see the sick
and then return.
61
00:02:28,649 --> 00:02:29,940
Thanks.
62
00:02:29,941 --> 00:02:31,610
How many hours do you spend on your laptop?
63
00:02:34,905 --> 00:02:37,490
At least eight. I work from home.
64
00:02:37,491 --> 00:02:39,034
Spend the day at your desk?
65
00:02:41,578 --> 00:02:46,332
No. I'm on the couch or in bed.
66
00:02:46,333 --> 00:02:50,002
I keep the computer on my lap,
these things.
67
00:02:50,003 --> 00:02:51,922
Are you always looking down?
68
00:02:52,881 --> 00:02:53,798
Yes.
69
00:02:53,799 --> 00:02:56,677
I'll check your neck muscles.
70
00:03:04,476 --> 00:03:05,394
This hurts.
71
00:03:06,937 --> 00:03:08,814
Very good. We can help.
72
00:03:09,398 --> 00:03:10,774
Come here.
73
00:03:11,817 --> 00:03:13,109
All right, gather around.
74
00:03:13,110 --> 00:03:15,486
Listen everyone. These are the supports.
75
00:03:15,487 --> 00:03:18,572
Every groove and plank
has a room number.
76
00:03:18,573 --> 00:03:22,326
When receiving a new patient,
they will get a new form here.
77
00:03:22,327 --> 00:03:27,415
They choose her by complaint
and use the drawings to find it.
78
00:03:27,416 --> 00:03:29,041
Why are there two bodies?
79
00:03:29,042 --> 00:03:31,210
Trauma on the left and doctor on the right.
80
00:03:31,211 --> 00:03:34,088
Head injury is left
and headache is straight.
81
00:03:34,089 --> 00:03:36,716
- Are there fish in the grass?
- No.
82
00:03:36,717 --> 00:03:38,008
It's bees and grass.
83
00:03:38,009 --> 00:03:40,845
It's the bug bite section,
rashes, allergies...
84
00:03:40,846 --> 00:03:42,179
For example,
85
00:03:42,180 --> 00:03:44,432
Dr. Al-Hashimi has
a patient with colic.
86
00:03:44,433 --> 00:03:49,228
In the background they make a circle
in positive cases, such as vomiting and diarrhea,
87
00:03:49,229 --> 00:03:50,521
and cross out the negatives,
88
00:03:50,522 --> 00:03:53,357
such as recent travel, contacts or fever.
89
00:03:53,358 --> 00:03:57,278
On physical examination,
make a check mark on the left for normal
90
00:03:57,279 --> 00:04:00,239
and a circle to the right
for anomalies. Questions?
91
00:04:00,240 --> 00:04:02,743
Will the generative AI program work?
92
00:04:04,453 --> 00:04:05,494
Not for a while.
93
00:04:05,495 --> 00:04:08,790
And put down the Spectralink phones,
only work with internet.
94
00:04:11,877 --> 00:04:14,086
CMTP emergencies. Say, medical command.
95
00:04:14,087 --> 00:04:16,213
This is how we will receive admissions.
96
00:04:16,214 --> 00:04:18,841
Thanks. Two minutes,
abdominal pain and fever.
97
00:04:18,842 --> 00:04:20,342
So far, has everyone understood?
98
00:04:20,343 --> 00:04:21,969
How do we make prescriptions?
99
00:04:21,970 --> 00:04:26,515
Medical analysis request form,
x-rays, IV fluids and medication.
100
00:04:26,516 --> 00:04:28,601
Can the laboratory work?
101
00:04:28,602 --> 00:04:30,603
- Yes.
- Does the tomography work?
102
00:04:30,604 --> 00:04:34,231
Yes, but radiologists
will give the results on paper.
103
00:04:34,232 --> 00:04:35,441
It's the Dark Ages.
104
00:04:35,442 --> 00:04:39,904
If they have requests for tests or x-rays,
put them in this file.
105
00:04:39,905 --> 00:04:42,281
Go sign them,
add waiting time
106
00:04:42,282 --> 00:04:43,950
and take them to the right place.
107
00:04:44,075 --> 00:04:46,202
- Who will take care of it?
- On duty!
108
00:04:46,203 --> 00:04:48,621
It will be Larry and Antoine
until we have more people.
109
00:04:48,622 --> 00:04:51,332
- We'll take care of it.
- Then, the sheet passes
110
00:04:51,333 --> 00:04:54,794
for this support for IR,
medications and procedures.
111
00:04:54,795 --> 00:04:57,171
The medicines are in the SDM.
112
00:04:57,172 --> 00:05:00,800
SDM is opened by Dr. Megan Nordt,
the clinical pharmacist.
113
00:05:00,801 --> 00:05:02,384
- We've got you covered.
- It's a lot.
114
00:05:02,385 --> 00:05:03,720
Questions? Yes.
115
00:05:05,013 --> 00:05:05,930
No.
116
00:05:05,931 --> 00:05:07,223
What's the third one for?
117
00:05:07,224 --> 00:05:09,099
When the patient is discharged,
118
00:05:09,100 --> 00:05:10,226
the form goes here.
119
00:05:10,227 --> 00:05:12,478
So everyone will know
that there is a vacant bed.
120
00:05:12,479 --> 00:05:14,189
- Or that the sandwich is done.
- Jesse?
121
00:05:16,817 --> 00:05:19,026
- What is that?
- What is that?
122
00:05:19,027 --> 00:05:22,112
- It's a fax.
- Do they still make them?
123
00:05:22,113 --> 00:05:23,739
It's for the tests and x-rays.
124
00:05:23,740 --> 00:05:26,033
Results will come by fax
125
00:05:26,034 --> 00:05:28,244
and the employees put them in the files.
126
00:05:28,245 --> 00:05:30,162
- If you say so...
- Coming!
127
00:05:30,163 --> 00:05:33,999
Dr. McKay, Dr. Whitaker, Ogilvie,
stay with me.
128
00:05:34,000 --> 00:05:35,961
As for the others, make folders.
129
00:05:39,172 --> 00:05:40,381
Howard Knox, 52 years old,
130
00:05:40,382 --> 00:05:43,175
abdominal pain and fever, 152 over 90.
131
00:05:43,176 --> 00:05:46,387
- Tachycardic at 120, I couldn't get an IV.
- Why is that?
132
00:05:46,388 --> 00:05:49,014
- Hello, sir. I'm Dr. Robby.
-Howard.
133
00:05:49,015 --> 00:05:50,182
We have students.
134
00:05:50,183 --> 00:05:52,434
I will supervise
Dr. McKay, Dr. Whitaker
135
00:05:52,435 --> 00:05:53,644
and student Ogilvie.
136
00:05:53,645 --> 00:05:54,854
- Hello.
- How do you feel?
137
00:05:54,855 --> 00:05:56,146
- Badly.
- Yeah.
138
00:05:56,147 --> 00:05:58,358
- Princess, what's the matter?
- The Trauma 1. Perlah.
139
00:06:01,987 --> 00:06:05,114
Antacid and bupivacaine. 12 Central.
140
00:06:05,115 --> 00:06:08,243
We're fine, Dr. Santos.
You need a tag.
141
00:06:09,619 --> 00:06:11,537
- Perfect.
- Put in order support
142
00:06:11,538 --> 00:06:13,038
and will meet me at SDM.
143
00:06:13,039 --> 00:06:14,415
How bad is this?
144
00:06:14,416 --> 00:06:16,208
Did you think today couldn't get any worse?
145
00:06:16,209 --> 00:06:18,460
This was like that when I was an intern.
146
00:06:18,461 --> 00:06:19,879
In the century. XX?
147
00:06:19,880 --> 00:06:21,631
Yes, we wrote by candlelight.
148
00:06:22,382 --> 00:06:24,133
Today will be an adventure.
149
00:06:24,134 --> 00:06:25,969
Think Back to the Future.
150
00:06:29,055 --> 00:06:30,931
Or on the Titanic.
151
00:06:30,932 --> 00:06:33,393
Here's the antacid. Health.
152
00:06:34,102 --> 00:06:37,479
And I marked the point
which triggers the headache.
153
00:06:37,480 --> 00:06:41,109
A local injection of anesthetic
can help.
154
00:06:42,569 --> 00:06:44,112
- Let's do this.
- Excellent.
155
00:06:45,947 --> 00:06:50,160
You will feel stinging and burning.
156
00:06:58,668 --> 00:07:00,127
This hurts a lot.
157
00:07:00,128 --> 00:07:03,213
Temperature 38.3 ºC, tachycardic at 128,
158
00:07:03,214 --> 00:07:04,632
oximetry 92 with 2 liters.
159
00:07:04,633 --> 00:07:05,841
When did the pain start?
160
00:07:05,842 --> 00:07:08,427
- It's been intermittent for a week.
- Where do you feel it?
161
00:07:08,428 --> 00:07:09,345
Everywhere.
162
00:07:09,346 --> 00:07:11,680
Started on the left
and I have some on the right.
163
00:07:11,681 --> 00:07:14,266
- And the fever?
- Since last night.
164
00:07:14,267 --> 00:07:17,478
It was burning and I had chills.
165
00:07:17,479 --> 00:07:18,479
I can't find a vein.
166
00:07:18,480 --> 00:07:20,607
- Try the midline.
- Tell me if it hurts.
167
00:07:21,983 --> 00:07:23,984
- Sorry.
- And here?
168
00:07:23,985 --> 00:07:25,402
- Yes.
- Sorry.
169
00:07:25,403 --> 00:07:28,656
Tension without pain stiffness,
100 IM fentanyl.
170
00:07:28,657 --> 00:07:33,077
- Plan, Dr. Whitaker?
- Analysis, lactate, piperacillin.
171
00:07:33,078 --> 00:07:35,246
We need a CT scan to find out more.
172
00:07:36,873 --> 00:07:38,916
- It won't work.
- Then.
173
00:07:38,917 --> 00:07:41,335
- Handwriting matters.
- Howard, for CT scan,
174
00:07:41,336 --> 00:07:43,921
you have to lie on your back. It achieves?
175
00:07:43,922 --> 00:07:47,132
Ten years ago, yes,
but now it hurts to breathe.
176
00:07:47,133 --> 00:07:49,218
If that doesn't work, we have to put a tube in.
177
00:07:49,219 --> 00:07:51,470
into your windpipe to breathe. Could it be?
178
00:07:51,471 --> 00:07:54,264
- Intubation with rapid induction?
- We can't lay him down.
179
00:07:54,265 --> 00:07:56,600
The tube goes through your nose,
you will be awake.
180
00:07:56,601 --> 00:07:57,643
Then.
181
00:07:57,644 --> 00:07:59,853
- Does it hurt?
- He'll be asleep.
182
00:07:59,854 --> 00:08:01,563
You will not feel discomfort.
183
00:08:01,564 --> 00:08:03,858
Do you know your weight?
184
00:08:04,734 --> 00:08:06,110
Just over 400 pounds.
185
00:08:06,111 --> 00:08:08,654
- When did you weigh yourself?
- It's been a while.
186
00:08:08,655 --> 00:08:11,240
Could it be more than 200 kg?
187
00:08:11,241 --> 00:08:12,158
Perhaps.
188
00:08:13,493 --> 00:08:15,577
Perlah, ask for the Hoyer elevator.
189
00:08:15,578 --> 00:08:18,872
Let's put the tube
and prepare you for the CT scan.
190
00:08:18,873 --> 00:08:20,290
Is it serious?
191
00:08:20,291 --> 00:08:22,084
Without the tomography, we don't know.
192
00:08:22,085 --> 00:08:25,587
You may need
antibiotics or surgery.
193
00:08:25,588 --> 00:08:27,006
If surgery,
194
00:08:27,007 --> 00:08:29,174
your weight can complicate everything.
195
00:08:29,175 --> 00:08:30,217
I gave. Sorry.
196
00:08:30,218 --> 00:08:33,388
Calm down, we'll take good care of you. Team.
197
00:08:34,848 --> 00:08:36,432
Painkillers, yes?
198
00:08:36,433 --> 00:08:40,519
Let's try the basilic vein with ultrasound.
199
00:08:40,520 --> 00:08:41,895
To check for appendicitis?
200
00:08:41,896 --> 00:08:43,647
He's too big.
201
00:08:43,648 --> 00:08:46,108
And the tomography can only hold 200 kg.
202
00:08:46,109 --> 00:08:48,445
If he weighs more, do we send him to the zoo?
203
00:08:49,696 --> 00:08:50,822
He's there.
204
00:08:53,450 --> 00:08:56,285
I heard there is
a CT scan machine for large animals.
205
00:08:56,286 --> 00:09:00,415
- The Presbyterian has a 300 kg one.
- If it's working.
206
00:09:01,708 --> 00:09:03,208
It's not ominous, just...
207
00:09:03,209 --> 00:09:06,546
Have you ever done a nasotracheal awake?
208
00:09:07,005 --> 00:09:07,921
Very good.
209
00:09:07,922 --> 00:09:10,090
Perlah, will you ask Dr. Al-Hashimi to come?
210
00:09:10,091 --> 00:09:11,341
I need assistance.
211
00:09:11,342 --> 00:09:12,343
Yes. Right.
212
00:09:13,303 --> 00:09:14,512
Sorry. Signed.
213
00:09:15,597 --> 00:09:17,139
- Thanks.
- Bed F,
214
00:09:17,140 --> 00:09:18,307
George Francis,
215
00:09:18,308 --> 00:09:21,435
shortness of breath, Dr. Mohan. Wait for D-dimer.
216
00:09:21,436 --> 00:09:23,312
Does it continue?
217
00:09:23,313 --> 00:09:25,064
Yes. It's impressive.
218
00:09:25,065 --> 00:09:27,024
Dr. Al, Dr. Robby calls her.
219
00:09:27,025 --> 00:09:28,025
He is well.
220
00:09:28,026 --> 00:09:30,236
- I'm going to Trauma, Princess.
- Right.
221
00:09:32,614 --> 00:09:34,948
Who takes the forms
for x-ray and analysis?
222
00:09:34,949 --> 00:09:36,409
The head nurse.
223
00:09:37,827 --> 00:09:38,828
Don't look at me.
224
00:09:39,579 --> 00:09:40,455
I'm stuck.
225
00:09:43,500 --> 00:09:46,960
- Roxy Hemler's parents.
- 9 Central.
226
00:09:46,961 --> 00:09:48,128
I'll handle it, Donnie.
227
00:09:48,129 --> 00:09:51,006
Hello. My name is Victoria Javadi,
I'm a student doctor.
228
00:09:51,007 --> 00:09:52,966
I have Roxy in my care.
229
00:09:52,967 --> 00:09:56,136
- Thanks. My name is Lloyd.
- Cora.
230
00:09:56,137 --> 00:09:57,429
I like it very much.
231
00:09:57,430 --> 00:09:58,348
Did she break her leg?
232
00:09:58,932 --> 00:10:01,141
Yes, you have a broken ankle.
233
00:10:01,142 --> 00:10:04,144
She has a boot,
Therefore, there is little pain.
234
00:10:04,145 --> 00:10:05,897
I'll take you, she's in 9.
235
00:10:11,861 --> 00:10:13,237
wi-fi doesn't work.
236
00:10:13,238 --> 00:10:15,573
It's going to be down for a bit. Sorry.
237
00:10:16,533 --> 00:10:18,034
Mom broke her leg, grandpa.
238
00:10:18,952 --> 00:10:19,953
We already knew.
239
00:10:21,329 --> 00:10:22,288
How are you, dear?
240
00:10:25,166 --> 00:10:26,668
You can handle it, girl.
241
00:10:27,418 --> 00:10:28,294
Yes.
242
00:10:29,838 --> 00:10:31,673
How long will she stay here?
243
00:10:32,298 --> 00:10:34,592
Until we have a bed upstairs.
244
00:10:35,677 --> 00:10:36,845
It may take a while.
245
00:10:42,350 --> 00:10:43,851
This is getting crowded.
246
00:10:43,852 --> 00:10:45,894
Let's take Tucker and Shane.
247
00:10:45,895 --> 00:10:48,523
- Yes, please.
- I am not well.
248
00:10:49,607 --> 00:10:51,901
Maybe your mother wants to rest.
249
00:10:52,569 --> 00:10:54,404
Yes, they will.
250
00:10:56,656 --> 00:10:57,866
Can she have ice cream?
251
00:10:58,700 --> 00:11:00,326
She can eat whatever she wants.
252
00:11:02,162 --> 00:11:03,246
Let's go.
253
00:11:14,340 --> 00:11:15,465
Yes.
254
00:11:15,466 --> 00:11:16,342
Listen.
255
00:11:17,218 --> 00:11:20,013
This is oxymetazoline,
will open the passage.
256
00:11:20,972 --> 00:11:22,681
What medication do you take?
257
00:11:22,682 --> 00:11:24,601
Lisinopril and metformin.
258
00:11:25,351 --> 00:11:27,060
Ozempic? Wegovy?
259
00:11:27,061 --> 00:11:28,979
No, this is expensive.
260
00:11:28,980 --> 00:11:30,939
I'm going to put anesthetic gel on his nose.
261
00:11:30,940 --> 00:11:33,318
If it goes into the throat, it's no problem.
262
00:11:34,652 --> 00:11:36,070
Here you have it, if you need it.
263
00:11:36,738 --> 00:11:39,990
Do you smoke? Do you drink?
264
00:11:39,991 --> 00:11:41,742
- Never.
- Do you exercise?
265
00:11:41,743 --> 00:11:43,703
I go from the bedroom to the kitchen.
266
00:11:44,787 --> 00:11:45,913
I would walk more,
267
00:11:45,914 --> 00:11:48,540
but I have to sit on every corner.
268
00:11:48,541 --> 00:11:50,083
And pool aerobics?
269
00:11:50,084 --> 00:11:52,336
Let's focus on helping Mr. Knox.
270
00:11:52,337 --> 00:11:53,754
I agree.
271
00:11:53,755 --> 00:11:55,881
It took me 25 years to get like this.
272
00:11:55,882 --> 00:12:00,637
Car accident, burn unit,
four leg surgeries in ten years.
273
00:12:01,387 --> 00:12:03,555
I got to the point where I lost my job.
274
00:12:03,556 --> 00:12:05,224
I'm going to numb the back of the tongue.
275
00:12:05,225 --> 00:12:06,391
It will taste bad.
276
00:12:06,392 --> 00:12:08,228
Do you want us to call someone?
277
00:12:09,562 --> 00:12:10,897
Family?
278
00:12:12,065 --> 00:12:13,524
My parents died.
279
00:12:14,025 --> 00:12:17,027
- I am single. It is noted.
- Brothers?
280
00:12:17,028 --> 00:12:18,321
A sister in Arizona.
281
00:12:19,447 --> 00:12:20,865
We don't talk much.
282
00:12:21,491 --> 00:12:23,492
Now that we've numbed your tongue,
283
00:12:23,493 --> 00:12:25,370
we can go deeper.
284
00:12:26,913 --> 00:12:27,829
Sorry.
285
00:12:27,830 --> 00:12:30,540
I have a woman with sudden blindness.
286
00:12:30,541 --> 00:12:32,251
- I go.
- He is well.
287
00:12:32,252 --> 00:12:33,252
Are you looking for me, Abbot?
288
00:12:33,253 --> 00:12:34,169
- Yes.
- Thank you.
289
00:12:34,170 --> 00:12:37,631
- What's your sister's name?
-Lauren Milford.
290
00:12:37,632 --> 00:12:38,549
Where in Arizona?
291
00:12:39,050 --> 00:12:40,550
Flagstaff, I think.
292
00:12:40,551 --> 00:12:43,388
I'll go in
and numb your vocal cords.
293
00:12:46,432 --> 00:12:48,977
- How many fingers?
- I don't see fingers.
294
00:12:49,936 --> 00:12:50,812
And now?
295
00:12:51,938 --> 00:12:53,189
I see some light.
296
00:12:54,774 --> 00:12:56,275
Brooke, you met Dr. King.
297
00:12:56,276 --> 00:12:58,193
- Dr. Al-Hashimi.
- I really like it.
298
00:12:58,194 --> 00:12:59,111
Wendy, the wife.
299
00:12:59,112 --> 00:13:00,237
- Hello.
- Hello.
300
00:13:00,238 --> 00:13:02,072
Can we talk about the symptoms?
301
00:13:02,073 --> 00:13:04,324
As long as I can correct you...
302
00:13:04,325 --> 00:13:05,534
She will do it.
303
00:13:05,535 --> 00:13:09,079
One hour of vision loss
sudden and painless to the left.
304
00:13:09,080 --> 00:13:12,040
No history of hypocoagulation
nor vascular disease.
305
00:13:12,041 --> 00:13:13,625
Can you look ahead?
306
00:13:13,626 --> 00:13:15,712
Central retinal artery occlusion?
307
00:13:16,421 --> 00:13:17,713
Translation, please.
308
00:13:17,714 --> 00:13:21,341
A small clot can
block the artery at the back of the eye
309
00:13:21,342 --> 00:13:22,592
and decrease vision.
310
00:13:22,593 --> 00:13:24,094
It may be called an ocular stroke.
311
00:13:24,095 --> 00:13:26,221
Stroke? Can she be paralyzed?
312
00:13:26,222 --> 00:13:28,557
No, this is limited to the eye.
313
00:13:28,558 --> 00:13:31,269
- Is it permanent?
- First, we have to diagnose.
314
00:13:31,853 --> 00:13:32,769
Retinal exam?
315
00:13:32,770 --> 00:13:34,229
It's hard to see well.
316
00:13:34,230 --> 00:13:35,606
We need the FOP.
317
00:13:36,149 --> 00:13:37,358
Than?
318
00:13:39,902 --> 00:13:43,447
Princess, we need tags
in each of these requests,
319
00:13:43,448 --> 00:13:45,741
or the pharmacy won't know
give the medicines.
320
00:13:45,742 --> 00:13:46,783
Let's take care of it.
321
00:13:46,784 --> 00:13:48,619
Princess, the fundoscope.
322
00:13:49,245 --> 00:13:51,121
- Equipment, corridor.
- Thanks.
323
00:13:51,122 --> 00:13:53,249
You look confused.
324
00:13:53,750 --> 00:13:55,709
How will I know which patient to get?
325
00:13:55,710 --> 00:13:58,086
Look at the top. They are on a first-come, first-served basis.
326
00:13:58,087 --> 00:14:01,089
Delete the first one
and you put your initials in the box.
327
00:14:01,090 --> 00:14:03,008
- Right. Thanks.
- Caleb.
328
00:14:03,009 --> 00:14:05,093
Michael, are you dealing with this chaos?
329
00:14:05,094 --> 00:14:07,805
It's easy when you're about to go on vacation.
330
00:14:08,348 --> 00:14:10,641
Are there more comatose patients to talk to?
331
00:14:12,518 --> 00:14:13,435
I'm cumming.
332
00:14:13,436 --> 00:14:17,314
- Then.
- Victoria, this is Nicole Steadman.
333
00:14:17,315 --> 00:14:19,941
I run a parent support group
in Psychiatry.
334
00:14:19,942 --> 00:14:23,195
Nicole's daughter was diagnosed
in the second year of college.
335
00:14:23,196 --> 00:14:25,907
Can Jackson's parents talk to her?
336
00:14:26,657 --> 00:14:27,742
We can ask.
337
00:14:28,368 --> 00:14:31,662
Now we see the entire retina
without dilating the pupil.
338
00:14:32,705 --> 00:14:36,459
- It's the wrong eye.
- We started with this one so we can compare.
339
00:14:38,711 --> 00:14:40,879
- It looks great.
- And the evil eye?
340
00:14:40,880 --> 00:14:42,215
Eyes wide open.
341
00:14:44,509 --> 00:14:45,468
How about that?
342
00:14:46,260 --> 00:14:47,552
Very pale. No flow.
343
00:14:47,553 --> 00:14:49,846
Digital massage.
Ten seconds and pause for five.
344
00:14:49,847 --> 00:14:51,140
Ask for a head CT scan.
345
00:14:54,936 --> 00:14:55,853
Between.
346
00:14:57,188 --> 00:14:58,940
Hello. The patient disappeared?
347
00:14:59,649 --> 00:15:01,984
- You're on a break.
- Are you going to wait much longer?
348
00:15:03,569 --> 00:15:05,320
Do you already know about the cyber attack?
349
00:15:05,321 --> 00:15:07,030
Yes. I would like to help,
350
00:15:07,031 --> 00:15:09,616
but I stay here
until all the evidence is collected.
351
00:15:09,617 --> 00:15:11,243
This is a mess.
352
00:15:11,244 --> 00:15:12,578
Just like this day.
353
00:15:14,288 --> 00:15:15,623
Sorry, I'm going out.
354
00:15:16,290 --> 00:15:17,208
Are you well?
355
00:15:18,376 --> 00:15:19,210
I am.
356
00:15:20,044 --> 00:15:22,671
Fortunately. Did you eat anything?
357
00:15:22,672 --> 00:15:23,589
No.
358
00:15:25,675 --> 00:15:27,009
Let's continue.
359
00:15:27,844 --> 00:15:29,971
Very good.
360
00:15:37,395 --> 00:15:38,896
- Ready.
- Thanks.
361
00:15:40,731 --> 00:15:42,400
Why isn't there one in the ER?
362
00:15:43,192 --> 00:15:45,528
Because intubated patients
are usually sedated.
363
00:15:46,946 --> 00:15:48,071
Right.
364
00:15:48,072 --> 00:15:51,576
Could you slow down
the comments about his weight.
365
00:15:52,994 --> 00:15:56,204
I just wanted to know how you got fat
and how we can help you.
366
00:15:56,205 --> 00:15:59,332
We help by figuring out what's going on
and to respect it.
367
00:15:59,333 --> 00:16:01,835
- How's your belly?
- The second injection helped.
368
00:16:01,836 --> 00:16:03,545
Ready. If you need it, we have more.
369
00:16:03,546 --> 00:16:06,631
- Reduced intestinal signs.
- The best in the ICU.
370
00:16:06,632 --> 00:16:09,176
Excellent. Howard,
let's open the passage now,
371
00:16:09,177 --> 00:16:10,343
to pass the tube.
372
00:16:10,344 --> 00:16:12,179
I go with my pinky slowly
373
00:16:12,180 --> 00:16:14,639
and then I continue until the end of my finger.
374
00:16:14,640 --> 00:16:17,726
After the tube passes through the vocal cords,
you won't be able to speak.
375
00:16:17,727 --> 00:16:19,478
This will serve to communicate.
376
00:16:19,479 --> 00:16:22,481
There is everything you could possibly want to say on the screen.
377
00:16:22,482 --> 00:16:24,983
Press the icon and it talks to us.
378
00:16:24,984 --> 00:16:26,569
I want pain medication.
379
00:16:27,403 --> 00:16:29,029
My pain is a nine.
380
00:16:29,030 --> 00:16:30,531
Can I order a pizza?
381
00:16:32,366 --> 00:16:34,784
There is a network in the ambulance area.
382
00:16:34,785 --> 00:16:36,995
I found the sister's number.
I left a message.
383
00:16:36,996 --> 00:16:38,538
Okay, I'll start.
384
00:16:38,539 --> 00:16:39,915
Ready?
385
00:16:39,916 --> 00:16:40,833
Not really.
386
00:16:41,459 --> 00:16:42,375
But proceed.
387
00:16:42,376 --> 00:16:44,462
- Robby, come here.
- Head back.
388
00:16:47,048 --> 00:16:48,173
Will it be surgical?
389
00:16:48,174 --> 00:16:49,841
I hope appendicitis without perforation.
390
00:16:49,842 --> 00:16:50,967
Could it be with a probe?
391
00:16:50,968 --> 00:16:53,512
Maybe it can be treated
only with antibiotics.
392
00:16:53,513 --> 00:16:55,347
What if I need surgery?
393
00:16:55,348 --> 00:16:58,433
With his size,
an emergency laparotomy
394
00:16:58,434 --> 00:17:00,519
has a 50% mortality rate.
395
00:17:00,520 --> 00:17:01,937
One thing at a time.
396
00:17:01,938 --> 00:17:04,814
Try to contact your sister every 15 minutes.
397
00:17:04,815 --> 00:17:05,733
It should.
398
00:17:09,987 --> 00:17:11,531
Half of the spaces are empty.
399
00:17:12,573 --> 00:17:13,950
What are you talking about?
400
00:17:15,117 --> 00:17:16,452
Here and here.
401
00:17:17,411 --> 00:17:19,247
Larry, do you use a felt-tip pen?
402
00:17:19,830 --> 00:17:20,748
Perhaps.
403
00:17:21,749 --> 00:17:24,168
It does not pass to copies.
404
00:17:25,086 --> 00:17:26,629
Use only a ballpoint pen.
405
00:17:27,255 --> 00:17:28,172
He is well.
406
00:17:30,633 --> 00:17:31,883
Digby didn't show up?
407
00:17:31,884 --> 00:17:33,301
Is it homeless?
408
00:17:33,302 --> 00:17:34,804
If it's out, we need the bed.
409
00:17:36,514 --> 00:17:38,431
- What do you need?
- From an assistant.
410
00:17:38,432 --> 00:17:40,016
- And a senior intern?
- No.
411
00:17:40,017 --> 00:17:42,310
- Dr. Al-Hashimi, may I introduce you?
- Yes.
412
00:17:42,311 --> 00:17:44,938
32 year old deaf woman
with mild myofascial headache.
413
00:17:44,939 --> 00:17:46,356
Ibuprofen caused gastritis
414
00:17:46,357 --> 00:17:48,149
and gastric pain, and had a vagal reaction.
415
00:17:48,150 --> 00:17:51,528
No pain after antacid
and an injection into a trigger.
416
00:17:51,529 --> 00:17:54,239
Excellent. It takes away your pain for a few months.
417
00:17:54,240 --> 00:17:56,825
Must not reappear
if you have the screen at eye level.
418
00:17:56,826 --> 00:17:59,536
There was a delay with LG's interpreter
419
00:17:59,537 --> 00:18:03,415
and I almost gave up and asked
Unnecessary brain and abdominal CT scans.
420
00:18:03,416 --> 00:18:05,960
- You did well.
- Dr. Al-Hashimi, for you.
421
00:18:07,169 --> 00:18:08,588
Good job on the trigger.
422
00:18:09,422 --> 00:18:11,132
- I know.
- How about the T system?
423
00:18:11,716 --> 00:18:13,592
Quick and easy.
424
00:18:13,593 --> 00:18:16,052
Yes. And the chips...
It's not just making a circle.
425
00:18:16,053 --> 00:18:18,805
Cross out everything you deleted.
426
00:18:18,806 --> 00:18:20,850
- No problem.
- Thank you very much.
427
00:18:21,434 --> 00:18:24,019
Princess, becomes 13 Central
forward on the tomography.
428
00:18:24,020 --> 00:18:24,936
What do you have?
429
00:18:24,937 --> 00:18:27,689
Sudden blindness
with occlusion of the retinal artery.
430
00:18:27,690 --> 00:18:29,816
I spoke to a Veterans Affairs ophthalmologist.
431
00:18:29,817 --> 00:18:32,944
He was a thrombolytic researcher
of cases like this.
432
00:18:32,945 --> 00:18:34,863
It's not the standard, it's risky.
433
00:18:34,864 --> 00:18:36,406
We use informed consent.
434
00:18:36,407 --> 00:18:38,408
It's the best to save your eyesight.
435
00:18:38,409 --> 00:18:39,826
It's your patient, you decide.
436
00:18:39,827 --> 00:18:42,371
I won't be here
to deal with these shrapnel.
437
00:18:45,041 --> 00:18:47,084
I will do two swabs of the vagina
438
00:18:48,669 --> 00:18:50,463
and two in the cervix.
439
00:18:54,133 --> 00:18:56,093
Let me know if you experience discomfort.
440
00:18:57,053 --> 00:18:57,928
He is well.
441
00:18:59,180 --> 00:19:00,680
Each smear is labeled.
442
00:19:00,681 --> 00:19:03,224
First vaginal, second vaginal.
443
00:19:03,225 --> 00:19:05,393
Apply both to the blade and let air dry.
444
00:19:05,394 --> 00:19:06,645
Do I do the same on my lap?
445
00:19:06,646 --> 00:19:08,773
Yes, but without slipping.
446
00:19:10,524 --> 00:19:11,567
How are you, Ilana?
447
00:19:12,902 --> 00:19:14,111
Enduring me.
448
00:19:16,489 --> 00:19:17,406
It's almost.
449
00:19:20,493 --> 00:19:23,453
The samples will
for the vaginal contact envelope.
450
00:19:23,454 --> 00:19:25,706
- Can I do it?
- No, it has to be me.
451
00:19:26,540 --> 00:19:27,750
I'll pull this.
452
00:19:29,835 --> 00:19:30,753
Ready.
453
00:19:32,046 --> 00:19:33,923
It's done. You can lower your legs.
454
00:19:38,052 --> 00:19:39,136
Are we finished?
455
00:19:39,970 --> 00:19:42,515
One thing is missing.
Four mouth swabs.
456
00:19:43,724 --> 00:19:44,809
Haven't you done it already?
457
00:19:45,393 --> 00:19:48,561
It's different. It's on the cheek,
to collect DNA.
458
00:19:48,562 --> 00:19:49,814
Not his.
459
00:19:52,817 --> 00:19:58,071
So, it could be bipolar or schizophrenia.
460
00:19:58,072 --> 00:20:00,365
These are the highest odds.
461
00:20:00,366 --> 00:20:01,908
How will they know which one it is?
462
00:20:01,909 --> 00:20:03,993
It will be due to the response to the medication.
463
00:20:03,994 --> 00:20:06,663
And also with therapy
and observation in a ward.
464
00:20:06,664 --> 00:20:09,500
They will monitor mood
and interactions with others.
465
00:20:12,002 --> 00:20:16,589
Are there analyzes or TACs that can give us certainty?
466
00:20:16,590 --> 00:20:17,799
Unfortunately not.
467
00:20:17,800 --> 00:20:19,342
When properly medicated,
468
00:20:19,343 --> 00:20:22,638
bipolar people can
have successful careers.
469
00:20:23,639 --> 00:20:24,890
Let's hope it's bipolar.
470
00:20:25,474 --> 00:20:27,600
You can hope for your child's happiness.
471
00:20:27,601 --> 00:20:31,271
With early treatment,
20% of schizophrenics
472
00:20:31,272 --> 00:20:33,398
have complete recovery.
473
00:20:33,399 --> 00:20:34,733
And 80% don't.
474
00:20:34,734 --> 00:20:36,861
This is a new version of Jackson.
475
00:20:39,864 --> 00:20:41,490
- How old was...
- Twenty.
476
00:20:42,867 --> 00:20:45,619
I studied architecture at Georgetown.
477
00:20:46,454 --> 00:20:47,371
Schizophrenia.
478
00:20:48,122 --> 00:20:50,165
I'm sorry.
479
00:20:50,166 --> 00:20:51,708
She is fine.
480
00:20:51,709 --> 00:20:55,296
He lives at home and works as a cashier in a supermarket.
481
00:20:56,881 --> 00:20:58,174
Employee of the month.
482
00:20:59,300 --> 00:21:00,718
We still struggle.
483
00:21:01,510 --> 00:21:03,929
But there is also laughter and love.
484
00:21:11,854 --> 00:21:13,104
It's ready.
485
00:21:13,105 --> 00:21:15,648
- How does it feel?
- Very strange.
486
00:21:15,649 --> 00:21:17,609
No pain, just strangeness.
487
00:21:17,610 --> 00:21:20,111
Very good. Next, we take this tube
488
00:21:20,112 --> 00:21:24,532
and we pass it through the nose
to the back of the tongue.
489
00:21:24,533 --> 00:21:25,950
It's better not to talk.
490
00:21:25,951 --> 00:21:28,537
The tube is in hot water
to give you flexibility.
491
00:21:30,206 --> 00:21:31,624
Want to try it?
492
00:21:32,917 --> 00:21:34,626
What day and time are we here?
493
00:21:34,627 --> 00:21:36,212
Fourth of July, 2:31 pm.
494
00:21:37,087 --> 00:21:38,922
When will the tube come out?
495
00:21:38,923 --> 00:21:41,717
First, we have to place it.
496
00:21:42,301 --> 00:21:43,844
Yes. I'm just practicing.
497
00:21:44,804 --> 00:21:46,806
You already look like an expert.
498
00:21:47,973 --> 00:21:49,225
Before you can't speak,
499
00:21:51,185 --> 00:21:52,520
I just want to say...
500
00:21:53,646 --> 00:21:54,605
...thank you.
501
00:21:55,356 --> 00:21:56,273
For everything.
502
00:21:57,691 --> 00:21:58,692
You're welcome.
503
00:22:05,157 --> 00:22:05,991
Let's go.
504
00:22:11,080 --> 00:22:12,413
STD prevention.
505
00:22:12,414 --> 00:22:16,417
An injection for gonorrhea
and tablets for chlamydia and trichomonas.
506
00:22:16,418 --> 00:22:17,544
Thanks.
507
00:22:17,545 --> 00:22:19,754
And we have morning-after contraception.
508
00:22:19,755 --> 00:22:20,797
She has an IUD.
509
00:22:20,798 --> 00:22:23,466
More than 99% effective, not 100%.
510
00:22:23,467 --> 00:22:24,385
It is available.
511
00:22:25,094 --> 00:22:26,386
Step.
512
00:22:26,387 --> 00:22:27,971
For HIV, we have PEPs.
513
00:22:27,972 --> 00:22:29,765
Post-exposure prophylaxis.
514
00:22:30,307 --> 00:22:33,269
There are 28 days. The faster
start, the more effective it will be.
515
00:22:34,854 --> 00:22:38,274
Emma, they must need
of help out there.
516
00:22:39,817 --> 00:22:41,277
I like it very much, Ilana.
517
00:22:42,236 --> 00:22:44,488
- You are very brave.
- Yes.
518
00:22:51,871 --> 00:22:53,122
She's a good nurse.
519
00:22:53,581 --> 00:22:55,958
You're still learning, but it will be.
520
00:22:58,210 --> 00:23:00,045
- After that, are we done?
- Yes.
521
00:23:04,842 --> 00:23:06,302
I'm glad you were here.
522
00:23:11,307 --> 00:23:12,224
I also think.
523
00:23:13,851 --> 00:23:16,020
We have a decision to make.
524
00:23:16,979 --> 00:23:20,315
Studies have shown
what part of the vision can be recovered
525
00:23:20,316 --> 00:23:22,735
with anticoagulant.
- Then give it to him.
526
00:23:23,402 --> 00:23:25,320
But there are risks.
527
00:23:25,321 --> 00:23:29,908
In an ocular stroke,
only 17% improve without treatment.
528
00:23:29,909 --> 00:23:31,826
- Only 17%?
- Yes.
529
00:23:31,827 --> 00:23:35,080
But with the medicine,
can improve by another 20%.
530
00:23:36,457 --> 00:23:38,125
But there may be complications.
531
00:23:38,918 --> 00:23:42,378
2% of patients
who receive the medicine get worse
532
00:23:42,379 --> 00:23:45,883
and 1% suffer severe disability or death.
533
00:23:52,848 --> 00:23:55,809
Baby, the choice has to be yours.
534
00:23:57,728 --> 00:23:59,480
No, it will be ours.
535
00:24:00,731 --> 00:24:02,191
What would you do without me?
536
00:24:02,858 --> 00:24:04,318
I would have to continue.
537
00:24:06,987 --> 00:24:09,740
And I would cry for two years.
538
00:24:10,366 --> 00:24:11,492
Two years? Just that?
539
00:24:13,702 --> 00:24:14,953
I want the medicine.
540
00:24:14,954 --> 00:24:15,788
He is well.
541
00:24:20,542 --> 00:24:22,377
We need the name for the record.
542
00:24:22,378 --> 00:24:25,506
Jackie Liddell.
543
00:24:26,298 --> 00:24:28,383
- Who is it?
- Jaquie, a friend.
544
00:24:28,384 --> 00:24:29,884
Do they have the same name?
545
00:24:29,885 --> 00:24:31,594
No. She's Jackie with "CK"
546
00:24:31,595 --> 00:24:32,845
and I'm with "Q".
547
00:24:32,846 --> 00:24:35,598
You can call me "CK".
548
00:24:35,599 --> 00:24:37,601
Better not talk, CK. Calm.
549
00:24:40,813 --> 00:24:41,771
What?
550
00:24:41,772 --> 00:24:43,606
She said, "I bit half my tongue."
551
00:24:43,607 --> 00:24:45,066
Can you understand?
552
00:24:45,067 --> 00:24:47,694
You should listen to her
after two pitchers of margaritas.
553
00:24:47,695 --> 00:24:48,904
With a slurred voice.
554
00:24:51,198 --> 00:24:54,325
- Princess, what's the matter?
- 15 Sul is free.
555
00:24:54,326 --> 00:24:57,037
- Laceration in the tongue.
- I'll handle this.
556
00:24:58,747 --> 00:25:01,916
Robby and Al-Hashimi are
with critically ill patients.
557
00:25:01,917 --> 00:25:03,292
Hello.
558
00:25:03,293 --> 00:25:05,963
I'm Dr. Langdon.
I will supervise your care.
559
00:25:08,215 --> 00:25:10,718
Good, CK, your doctor is all good.
560
00:25:13,595 --> 00:25:16,222
The tube entered 14 cm,
is above the airway.
561
00:25:16,223 --> 00:25:18,391
Well done, Howard. I'll start.
562
00:25:18,392 --> 00:25:21,895
If you want it to stop, just raise your hand.
563
00:25:22,980 --> 00:25:25,065
The blue mark tells me I'm fine.
564
00:25:28,402 --> 00:25:29,987
Looks like you passed.
565
00:25:30,863 --> 00:25:32,614
If he inhales, we should see the strings.
566
00:25:33,490 --> 00:25:35,617
Take a deep breath for me, Howard.
567
00:25:38,412 --> 00:25:40,122
Very good. Beautiful.
568
00:25:40,789 --> 00:25:43,708
The strings are sensitive,
therefore, we use lidocaine.
569
00:25:43,709 --> 00:25:44,877
He is well.
570
00:25:45,335 --> 00:25:47,921
1 cc coming in now.
571
00:25:48,630 --> 00:25:50,632
Just a moment until it works.
572
00:25:51,300 --> 00:25:52,551
How are you, Howard?
573
00:25:54,094 --> 00:25:57,180
After the tube enters,
You must breathe through your nose.
574
00:25:57,181 --> 00:25:58,681
Howard, be still.
575
00:25:58,682 --> 00:26:01,393
I'll pass your strings
576
00:26:02,311 --> 00:26:04,521
until we see the carina.
577
00:26:06,398 --> 00:26:08,400
- Ogilvie?
- There.
578
00:26:09,109 --> 00:26:12,905
- Right and left main bronchi.
- And the tube goes in.
579
00:26:17,201 --> 00:26:20,037
And the probe comes out.
580
00:26:21,955 --> 00:26:22,790
Excellent.
581
00:26:23,499 --> 00:26:24,916
Inflate the balloon.
582
00:26:24,917 --> 00:26:26,960
Take a deep breath through your nose. Excellent.
583
00:26:27,544 --> 00:26:28,378
He is well?
584
00:26:29,630 --> 00:26:31,255
Excellent end of expiration.
585
00:26:31,256 --> 00:26:32,590
Do you need ventilation?
586
00:26:32,591 --> 00:26:35,134
He breathes on his own, but a CPAP helps.
587
00:26:35,135 --> 00:26:37,345
Starts at five, titrates up to ten.
588
00:26:37,346 --> 00:26:39,430
It went very well, Howard.
589
00:26:39,431 --> 00:26:41,141
Now let's weigh it.
590
00:26:42,976 --> 00:26:46,646
The examiner must close
the rape kit in this refrigerator
591
00:26:46,647 --> 00:26:49,816
and stay here
until he is handed over to law enforcement.
592
00:26:49,817 --> 00:26:52,069
It is preservation of the chain of evidence.
593
00:26:52,611 --> 00:26:54,071
Are you kidding me?
594
00:26:54,696 --> 00:26:56,490
Are there problems?
595
00:26:57,116 --> 00:26:58,242
Holy God!
596
00:26:58,992 --> 00:27:02,245
The police should
remove the kits within 72 hours.
597
00:27:02,246 --> 00:27:03,705
I made this two weeks ago.
598
00:27:05,082 --> 00:27:06,083
Damn it!
599
00:27:08,627 --> 00:27:10,295
So how did this happen?
600
00:27:11,380 --> 00:27:13,756
We were between bars, taking a selfie.
601
00:27:13,757 --> 00:27:17,219
- Good.
- Until she lifts her head.
602
00:27:18,762 --> 00:27:20,513
Right.
603
00:27:20,514 --> 00:27:22,849
Topical epinephrine resolved the bleeding.
604
00:27:22,850 --> 00:27:25,643
- Good. Can I go home?
- I don't think so.
605
00:27:25,644 --> 00:27:28,020
Your tongue has a big slit.
606
00:27:28,021 --> 00:27:30,941
- We'll have to sew her up.
- I don't want points.
607
00:27:31,942 --> 00:27:33,109
Listen to the doctor.
608
00:27:33,110 --> 00:27:35,027
Don't tell me what to do.
609
00:27:35,028 --> 00:27:37,155
- It's all your fault.
- It is not.
610
00:27:37,156 --> 00:27:39,574
- And yes.
- No.
611
00:27:39,575 --> 00:27:42,368
Princess? You show Q where she can wait
612
00:27:42,369 --> 00:27:44,579
while we sew our friend?
- Of course.
613
00:27:44,580 --> 00:27:47,248
Let's numb the tip of the tongue.
614
00:27:47,249 --> 00:27:48,166
The tip?
615
00:27:48,167 --> 00:27:50,084
That's not where I bit her.
616
00:27:50,085 --> 00:27:51,336
One thing at a time.
617
00:27:58,719 --> 00:28:00,554
It's 20 mg of TNK.
618
00:28:01,263 --> 00:28:03,056
At 2:39 p.m.
619
00:28:04,266 --> 00:28:05,184
Do you feel something?
620
00:28:06,268 --> 00:28:07,268
Not yet.
621
00:28:07,269 --> 00:28:08,854
It takes up to two hours.
622
00:28:10,689 --> 00:28:13,400
Let's transfer it
for better monitoring.
623
00:28:14,276 --> 00:28:15,277
Dr. King.
624
00:28:18,530 --> 00:28:20,073
Stay with her.
625
00:28:21,742 --> 00:28:22,783
Why?
626
00:28:22,784 --> 00:28:24,119
If there are complications.
627
00:28:24,703 --> 00:28:27,038
If there is a burst pupil,
628
00:28:27,039 --> 00:28:29,040
convulsions or mental changes.
629
00:28:29,041 --> 00:28:32,586
Or I can update records.
My testimony is soon.
630
00:28:33,378 --> 00:28:37,089
Think you get time in peace
and prepare yourself mentally.
631
00:28:37,090 --> 00:28:38,258
Jesse, you stay with Mel.
632
00:28:41,678 --> 00:28:45,139
Sorry, Dr. Mohan.
633
00:28:45,140 --> 00:28:47,475
- One moment, George.
- I'll go there.
634
00:28:47,476 --> 00:28:48,393
Thanks.
635
00:28:51,355 --> 00:28:53,774
The D-dimer came back. It's normal.
636
00:28:54,608 --> 00:28:55,816
I'm ready.
637
00:28:55,817 --> 00:28:57,069
Do you feel better?
638
00:28:57,778 --> 00:29:00,364
This time, I didn't have any shortness of breath.
639
00:29:02,532 --> 00:29:03,784
So why did you come?
640
00:29:05,494 --> 00:29:07,787
When we discovered the clot,
641
00:29:07,788 --> 00:29:10,790
I just thought
that it was going to get into my lungs and kill me.
642
00:29:10,791 --> 00:29:13,751
We talk about how
the anticoagulant prevents this.
643
00:29:13,752 --> 00:29:14,586
I know.
644
00:29:16,964 --> 00:29:18,423
I finally followed your advice.
645
00:29:19,049 --> 00:29:21,050
I left home
646
00:29:21,051 --> 00:29:23,553
and I joined the bolingual club.
647
00:29:24,346 --> 00:29:25,638
- Fantastic.
- Yes.
648
00:29:25,639 --> 00:29:27,473
You're right, you know?
649
00:29:27,474 --> 00:29:29,351
We all need community.
650
00:29:33,480 --> 00:29:34,939
What are you going to do?
651
00:29:34,940 --> 00:29:36,482
To repair the tongue,
652
00:29:36,483 --> 00:29:39,151
we have to advance it
to reach the laceration.
653
00:29:39,152 --> 00:29:41,237
You'll feel me pulling you, yes?
654
00:29:41,238 --> 00:29:42,072
Right. So...
655
00:29:44,533 --> 00:29:45,450
Go.
656
00:29:46,868 --> 00:29:48,286
What suture is this?
657
00:29:48,287 --> 00:29:50,205
Silk is the biggest we have.
658
00:29:52,207 --> 00:29:54,835
After I cut the thread,
you handle the traction, Joy.
659
00:30:05,262 --> 00:30:09,265
- It's deep.
- Now we can numb the cut.
660
00:30:09,266 --> 00:30:10,391
It starts with...
661
00:30:10,392 --> 00:30:13,478
The proximal side,
so as not to feel the distal injection.
662
00:30:15,105 --> 00:30:17,524
Give it ten minutes, I'll get back to the points.
663
00:30:21,737 --> 00:30:23,487
I've had a kit here for two weeks.
664
00:30:23,488 --> 00:30:25,907
It should be removed within 72 hours.
665
00:30:26,450 --> 00:30:28,534
I don't care. Send someone now!
666
00:30:28,535 --> 00:30:31,787
No. If you want
your treated agents barely arrive,
667
00:30:31,788 --> 00:30:34,206
send a detective now.
668
00:30:34,207 --> 00:30:35,666
- I'm going to hang up.
- Dana.
669
00:30:35,667 --> 00:30:38,169
19 Sul did a CT scan before the shutdown.
670
00:30:38,170 --> 00:30:39,128
There are no results.
671
00:30:39,129 --> 00:30:40,755
We send a reminder.
672
00:30:40,756 --> 00:30:41,714
- Dana.
- Dana.
673
00:30:41,715 --> 00:30:42,758
Wait.
674
00:30:43,800 --> 00:30:44,717
What's going on?
675
00:30:44,718 --> 00:30:47,720
There is a request
of more medicine for Roxy.
676
00:30:47,721 --> 00:30:49,764
Place it on the nursing support.
677
00:30:49,765 --> 00:30:51,141
I already did that a while ago.
678
00:30:53,143 --> 00:30:55,728
- Yes. I'll put you in front.
- Thanks.
679
00:30:55,729 --> 00:30:56,813
What is that noise?
680
00:30:57,606 --> 00:30:59,523
It's a UFO, we're being invaded.
681
00:30:59,524 --> 00:31:00,775
Dana.
682
00:31:00,776 --> 00:31:02,860
We don't have any reviews for Trauma 2 yet.
683
00:31:02,861 --> 00:31:04,112
Let me see the sheet.
684
00:31:05,530 --> 00:31:08,282
I bet they went to Radiology.
685
00:31:08,283 --> 00:31:09,825
Larry, Antoine.
686
00:31:09,826 --> 00:31:12,661
They started the analyzes and the x-ray
on the same sheet.
687
00:31:12,662 --> 00:31:15,790
They need an order
for analysis and another for radiology.
688
00:31:15,791 --> 00:31:17,666
- It won't happen again.
- I make.
689
00:31:17,667 --> 00:31:19,085
Use i-STAT at the bedside.
690
00:31:19,086 --> 00:31:21,003
They will not do the tomography without creatinine.
691
00:31:21,004 --> 00:31:22,046
Perfect.
692
00:31:22,047 --> 00:31:24,548
- It's good to have you here.
- I'm loving it.
693
00:31:24,549 --> 00:31:25,591
Is this a message?
694
00:31:25,592 --> 00:31:28,636
I'm writing it.
I'll send her from the ambulances.
695
00:31:28,637 --> 00:31:30,930
My mechanic friend didn't show up.
696
00:31:30,931 --> 00:31:32,515
I thought you were coming this morning.
697
00:31:32,516 --> 00:31:34,684
It was agreed. Must be busy.
698
00:31:36,061 --> 00:31:37,186
What if it doesn't come?
699
00:31:37,187 --> 00:31:39,730
Tell me what you need.
I move him to the night shift.
700
00:31:39,731 --> 00:31:40,941
It's not necessary.
701
00:31:43,985 --> 00:31:47,738
Princess. Ask and you will receive.
Normal head computed tomography.
702
00:31:47,739 --> 00:31:49,366
Thanks. I'll discharge you.
703
00:31:50,283 --> 00:31:51,368
How is the day?
704
00:31:52,119 --> 00:31:53,870
I'm going to get cramps in my hands.
705
00:31:54,454 --> 00:31:55,288
Do you have Howard?
706
00:31:55,914 --> 00:31:57,081
Yes.
707
00:31:57,082 --> 00:32:02,129
It's sad. Accident,
several surgeries, a lot of stress...
708
00:32:04,005 --> 00:32:05,798
Lidocaine in a sensitive area.
709
00:32:05,799 --> 00:32:07,968
I have a girl with a lacerated tongue.
710
00:32:08,760 --> 00:32:11,513
- You look like you need help.
- In various ways.
711
00:32:12,973 --> 00:32:15,684
How about the first shift back?
712
00:32:16,643 --> 00:32:17,894
One day at a time.
713
00:32:18,854 --> 00:32:21,605
- The first year is the hardest.
- That's what they say.
714
00:32:21,606 --> 00:32:24,109
I've been there for nine years.
715
00:32:28,363 --> 00:32:30,157
Special delivery for my guy.
716
00:32:31,783 --> 00:32:33,742
If you need, call me.
717
00:32:33,743 --> 00:32:34,703
Thanks.
718
00:32:41,751 --> 00:32:43,169
Where are you going?
719
00:32:43,170 --> 00:32:44,462
Bubbles on 3 North.
720
00:32:44,463 --> 00:32:46,005
That's where I go.
721
00:32:46,006 --> 00:32:48,966
- Did you sign up for the sick?
- I brought the file.
722
00:32:48,967 --> 00:32:50,676
You must register on the board.
723
00:32:50,677 --> 00:32:52,888
You must have the client's board.
724
00:32:53,430 --> 00:32:54,680
Not for nurses?
725
00:32:54,681 --> 00:32:55,849
It doesn't matter.
726
00:32:57,267 --> 00:33:00,019
Hello. I'm student Ogilvie and this is...
727
00:33:00,020 --> 00:33:00,936
Well...
728
00:33:00,937 --> 00:33:03,106
- It's a beautiful rash.
- Yes.
729
00:33:03,690 --> 00:33:04,648
To anyone who says...
730
00:33:04,649 --> 00:33:06,984
Javadi medical student.
When did it start?
731
00:33:06,985 --> 00:33:07,985
Last night.
732
00:33:07,986 --> 00:33:10,613
Have you gone hiking near poison ivy?
733
00:33:10,614 --> 00:33:12,073
No. I didn't even leave the house.
734
00:33:12,782 --> 00:33:14,283
And new medicines?
735
00:33:14,284 --> 00:33:16,452
Lotions, soaps, detergents?
736
00:33:16,453 --> 00:33:19,205
I don't take medicine.
Otherwise, nothing new.
737
00:33:19,206 --> 00:33:20,539
And where did this start?
738
00:33:20,540 --> 00:33:23,001
Everywhere, suddenly. And I have pain.
739
00:33:23,793 --> 00:33:24,711
And it itches.
740
00:33:25,253 --> 00:33:26,338
What is that?
741
00:33:27,047 --> 00:33:28,048
I don't really know.
742
00:33:29,883 --> 00:33:31,134
I'll be right back.
743
00:33:37,057 --> 00:33:38,183
What do you think?
744
00:33:39,226 --> 00:33:40,142
I have no idea.
745
00:33:40,143 --> 00:33:41,019
Neither do I.
746
00:33:43,480 --> 00:33:44,772
Bullous pemphigus?
747
00:33:44,773 --> 00:33:46,440
Severe autoimmune itching?
748
00:33:46,441 --> 00:33:48,359
It is not as lethal as pemphigus vulgaris.
749
00:33:48,360 --> 00:33:50,444
Mortality without treatment is 90%.
750
00:33:50,445 --> 00:33:52,780
We have to look for pustules,
mucous involvement...
751
00:33:52,781 --> 00:33:54,074
And Nikolsky's sign.
752
00:33:56,993 --> 00:33:57,911
Here it is.
753
00:33:59,913 --> 00:34:01,706
- What?
- The progress note.
754
00:34:03,542 --> 00:34:05,752
I hear there is progress?
755
00:34:07,629 --> 00:34:11,716
That's what we call writing
the development of the clinical picture.
756
00:34:13,426 --> 00:34:14,302
Are there changes?
757
00:34:15,387 --> 00:34:16,679
Not yet.
758
00:34:16,680 --> 00:34:18,431
It's time for the neurological check.
759
00:34:19,224 --> 00:34:20,809
Dr. King, do you have a minute?
760
00:34:22,644 --> 00:34:24,895
No, I'm observing a patient.
761
00:34:24,896 --> 00:34:26,022
It's fast.
762
00:34:28,650 --> 00:34:29,568
I'll look at the pupils.
763
00:34:30,026 --> 00:34:30,986
Everything is fine here.
764
00:34:37,200 --> 00:34:38,076
Then?
765
00:34:39,202 --> 00:34:40,704
I finished my statement.
766
00:34:42,872 --> 00:34:43,914
Am I going now?
767
00:34:43,915 --> 00:34:46,001
- Wait until they call you.
- Right.
768
00:34:46,918 --> 00:34:48,335
I would ask how it was,
769
00:34:48,336 --> 00:34:50,588
but we must not discuss the case.
770
00:34:50,589 --> 00:34:52,089
This is not arguing.
771
00:34:52,090 --> 00:34:54,134
It's a monologue. Shut up and listen.
772
00:34:55,385 --> 00:34:57,344
Negligence is nonsense.
773
00:34:57,345 --> 00:35:00,347
The boy's mother says
that he has intellectual decline
774
00:35:00,348 --> 00:35:01,725
because of the lumbar puncture.
775
00:35:02,517 --> 00:35:05,103
But it was perfect, without any complications.
776
00:35:05,687 --> 00:35:07,521
The son had an altered mental status
777
00:35:07,522 --> 00:35:10,233
due to reduced oxygen
by measles pneumonia.
778
00:35:10,900 --> 00:35:13,319
It was due to hypoxic brain injury.
779
00:35:13,320 --> 00:35:15,447
It wasn't due to the lumbar puncture.
780
00:35:17,032 --> 00:35:17,866
End of monologue.
781
00:35:18,825 --> 00:35:20,243
We never discussed the case.
782
00:35:21,578 --> 00:35:22,829
I am going to sleep.
783
00:35:23,872 --> 00:35:25,248
Thanks.
784
00:35:26,207 --> 00:35:27,208
I think.
785
00:35:28,668 --> 00:35:30,337
Are you ready to lie down?
786
00:35:31,212 --> 00:35:33,297
- I support your head.
- Slowly.
787
00:35:33,298 --> 00:35:34,966
One two three.
788
00:35:37,302 --> 00:35:38,720
Ready. How about that?
789
00:35:41,723 --> 00:35:42,932
Getting up now.
790
00:35:52,651 --> 00:35:53,860
Okay, continue.
791
00:35:57,113 --> 00:36:00,283
And... that's it, it should arrive.
792
00:36:02,369 --> 00:36:03,578
There are 215.
793
00:36:04,663 --> 00:36:05,789
It's in kilos.
794
00:36:08,500 --> 00:36:09,709
Ready, team.
795
00:36:15,548 --> 00:36:17,174
It doesn't exceed much.
796
00:36:17,175 --> 00:36:19,968
We don't risk breaking the tomography at this time.
797
00:36:19,969 --> 00:36:22,262
Can doctors take you intubated?
798
00:36:22,263 --> 00:36:26,101
If I go too, I'll still take a nap
before the night shift.
799
00:36:30,021 --> 00:36:31,648
It's 215 kilos.
800
00:36:33,233 --> 00:36:34,983
The machine cannot support your weight,
801
00:36:34,984 --> 00:36:37,696
but let's take him to Presbyterian.
802
00:36:38,363 --> 00:36:39,280
Tour.
803
00:36:40,156 --> 00:36:42,409
I will always be with you.
804
00:36:44,869 --> 00:36:46,329
Sorry about all this.
805
00:36:47,288 --> 00:36:48,455
No problem.
806
00:36:48,456 --> 00:36:49,624
It's our job.
807
00:36:55,213 --> 00:36:56,922
The subcutaneous tissue will be deep.
808
00:36:56,923 --> 00:36:59,466
- Bury the knot.
- I've done this before.
809
00:36:59,467 --> 00:37:01,052
Joy, how do we cut the ends?
810
00:37:02,011 --> 00:37:04,304
Near the node, it turns 45 degrees.
811
00:37:04,305 --> 00:37:05,306
Excellent.
812
00:37:07,100 --> 00:37:08,600
Dr. Langdon, we have a case.
813
00:37:08,601 --> 00:37:10,436
- Wait.
- It could be urgent.
814
00:37:10,437 --> 00:37:12,230
Talk to Robby or Al-Hashimi.
815
00:37:14,691 --> 00:37:18,610
- She's drunk.
- Completely spilled.
816
00:37:18,611 --> 00:37:20,404
Do we see the blood alcohol level?
817
00:37:20,405 --> 00:37:21,989
No. It won't change anything.
818
00:37:21,990 --> 00:37:23,699
She can leave when she's sober.
819
00:37:23,700 --> 00:37:24,617
One has already come out.
820
00:37:25,869 --> 00:37:28,412
Joy, do you want to guess
her blood alcohol level?
821
00:37:28,413 --> 00:37:29,913
Why would you do that?
822
00:37:29,914 --> 00:37:31,833
I don't know, it's fun.
823
00:37:37,964 --> 00:37:39,882
When will they have a bed?
824
00:37:39,883 --> 00:37:41,633
I don't know if she needs it.
825
00:37:41,634 --> 00:37:42,885
She's a baby with a fever.
826
00:37:42,886 --> 00:37:45,345
It's over a month old and looks great.
827
00:37:45,346 --> 00:37:47,347
Normal markers. You have a virus.
828
00:37:47,348 --> 00:37:50,642
Babies with rhinovirus may have
serious bacterial infections.
829
00:37:50,643 --> 00:37:52,978
Not this one. We send kids like that home.
830
00:37:52,979 --> 00:37:56,357
But this one has no home or parents.
831
00:37:57,942 --> 00:37:59,026
Very good.
832
00:37:59,027 --> 00:38:01,028
I can't put her in the nursery with a virus
833
00:38:01,029 --> 00:38:03,655
nor spend a quarter on a healthy baby.
834
00:38:03,656 --> 00:38:04,782
So what do you propose?
835
00:38:04,783 --> 00:38:07,826
The CPCJ can place her in a home tomorrow morning.
836
00:38:07,827 --> 00:38:09,954
Do you want her to spend the night here?
837
00:38:10,747 --> 00:38:12,915
It seems to be the standard of care now.
838
00:38:12,916 --> 00:38:15,250
- Let your assistant call me.
- Yes.
839
00:38:15,251 --> 00:38:16,668
I don't believe that.
840
00:38:16,669 --> 00:38:19,047
- Tell the CPCJ that it is very urgent.
- Right.
841
00:38:19,672 --> 00:38:21,508
It's been a beautiful day...
842
00:38:22,675 --> 00:38:25,886
I thought about applying for a scholarship here.
843
00:38:25,887 --> 00:38:27,930
I thought you had a job in New Jersey.
844
00:38:27,931 --> 00:38:30,182
Yes, to be close to my mother.
845
00:38:30,183 --> 00:38:34,729
But she sold the house
to travel with her new boyfriend.
846
00:38:35,688 --> 00:38:37,564
So why New Jersey?
847
00:38:37,565 --> 00:38:38,899
Yes. Good question.
848
00:38:38,900 --> 00:38:39,943
What bag do you want?
849
00:38:40,610 --> 00:38:45,865
I reduced the hypotheses to ultrasound,
toxicology and sports medicine.
850
00:38:47,408 --> 00:38:50,744
These are very different areas
for very different careers.
851
00:38:50,745 --> 00:38:53,497
I know. I haven't decided yet.
852
00:38:53,498 --> 00:38:55,123
Do you have experience in investigation?
853
00:38:55,124 --> 00:38:58,669
I was part of a study
of racial differences in health care
854
00:38:58,670 --> 00:39:01,047
to the White House
have cut funding.
855
00:39:01,631 --> 00:39:03,173
Yeah, it wasn't just you.
856
00:39:03,174 --> 00:39:06,468
Have you considered a fellowship in geriatrics?
857
00:39:06,469 --> 00:39:07,762
No.
858
00:39:08,471 --> 00:39:10,514
I saw you with the elderly.
859
00:39:10,515 --> 00:39:13,810
There are many vacancies,
It might be your best chance.
860
00:39:14,686 --> 00:39:15,603
Think about it.
861
00:39:17,730 --> 00:39:20,775
- Last point. Do you want me to cut it?
- I make.
862
00:39:22,986 --> 00:39:23,902
Looks good to me.
863
00:39:23,903 --> 00:39:25,863
Let's remove the traction suture.
864
00:39:25,864 --> 00:39:27,282
Soon.
865
00:39:29,576 --> 00:39:30,618
There you go, Jackie.
866
00:39:31,452 --> 00:39:34,037
-Jackie.
- Shut up.
867
00:39:34,038 --> 00:39:35,372
It's done.
868
00:39:35,373 --> 00:39:36,790
What is it already?
869
00:39:36,791 --> 00:39:38,001
We've already sewn up his tongue.
870
00:39:38,585 --> 00:39:40,294
What happened?
871
00:39:40,295 --> 00:39:41,254
It bit her.
872
00:39:42,171 --> 00:39:43,298
I didn't bite anything.
873
00:39:44,173 --> 00:39:46,133
That's a nice blackout.
874
00:39:46,134 --> 00:39:47,718
How much did you drink?
875
00:39:47,719 --> 00:39:49,928
A couple of Bloody Marys.
876
00:39:49,929 --> 00:39:51,179
Just two?
877
00:39:51,180 --> 00:39:52,640
I don't know. Maybe more.
878
00:39:53,266 --> 00:39:56,018
It's a holiday, we went to the bars.
879
00:39:56,019 --> 00:39:58,770
Do you usually drink a few drinks every day?
880
00:39:58,771 --> 00:40:00,022
Only on the weekend.
881
00:40:00,023 --> 00:40:01,440
And during the week?
882
00:40:01,441 --> 00:40:02,816
Nothing much,
883
00:40:02,817 --> 00:40:06,529
just wine with dinner, or a few beers.
884
00:40:07,906 --> 00:40:09,532
Do we recommend detox?
885
00:40:11,075 --> 00:40:12,827
Yes, we can try.
886
00:40:18,082 --> 00:40:19,125
You are ready to go.
887
00:40:20,668 --> 00:40:22,169
How do you feel?
888
00:40:22,170 --> 00:40:23,545
I have two in pain.
889
00:40:23,546 --> 00:40:24,838
We have medicine.
890
00:40:24,839 --> 00:40:26,632
Computed tomography is faster than travel.
891
00:40:26,633 --> 00:40:28,050
We're calling your sister.
892
00:40:28,051 --> 00:40:29,635
- They are the biggest.
- See you later.
893
00:40:29,636 --> 00:40:31,970
Can I place another patient on T1?
894
00:40:31,971 --> 00:40:34,014
No, I want a free trauma room.
895
00:40:34,015 --> 00:40:36,434
Why don't you reinforce the North,
if necessary?
896
00:40:37,518 --> 00:40:38,519
Mr Digby?
897
00:40:40,521 --> 00:40:42,439
- Just Digby.
- Yes.
898
00:40:42,440 --> 00:40:44,691
We looked for him everywhere. Where did you go?
899
00:40:44,692 --> 00:40:46,276
I was with Louie.
900
00:40:46,277 --> 00:40:48,988
- Did you stay there for an hour?
- He was my friend.
901
00:40:49,989 --> 00:40:51,740
I had a lot to tell you.
902
00:40:51,741 --> 00:40:54,035
Let's put him to bed.
903
00:40:56,329 --> 00:40:57,914
Louie already has wings.
904
00:40:58,706 --> 00:41:01,375
- Dr. Robby, we have a patient.
- Dr. Robby.
905
00:41:01,376 --> 00:41:03,919
- Teamwork!
- It's a worrying rash.
906
00:41:03,920 --> 00:41:06,088
We may need a biopsy
pemphigus vulgaris.
907
00:41:06,089 --> 00:41:07,506
It's phytophotodermatitis.
908
00:41:07,507 --> 00:41:09,633
- What?
- I asked.
909
00:41:09,634 --> 00:41:11,802
He was making ten liters of margaritas,
910
00:41:11,803 --> 00:41:13,887
squeezing limes in the sun.
911
00:41:13,888 --> 00:41:14,973
Let's see.
912
00:41:15,682 --> 00:41:16,808
I don't need it.
913
00:41:20,061 --> 00:41:22,145
- How are you there?
- There is standing room only.
914
00:41:22,146 --> 00:41:23,647
If you call the fire department,
915
00:41:23,648 --> 00:41:26,149
do you clear the waiting room?
- I wish. Then?
916
00:41:26,150 --> 00:41:28,360
Twelve patients want to renew prescriptions.
917
00:41:28,361 --> 00:41:29,778
Shouldn't they go to the doctor?
918
00:41:29,779 --> 00:41:31,571
With the Medicaid cuts, that's us.
919
00:41:31,572 --> 00:41:33,657
I cannot prescribe electronically.
920
00:41:33,658 --> 00:41:36,327
- Take the pen, do it the old fashioned way.
- Where do I write?
921
00:41:37,537 --> 00:41:41,164
- Nordt, do you have the security blocks?
- Yes.
922
00:41:41,165 --> 00:41:42,583
I just need a label.
923
00:41:43,167 --> 00:41:45,377
- Any more questions?
- Yes.
924
00:41:45,378 --> 00:41:47,672
What would it be like if you weren't here?
925
00:41:49,007 --> 00:41:52,176
They would all be in a corner
crying like babies.
926
00:41:53,136 --> 00:41:54,928
Were you wearing flip-flops?
927
00:41:54,929 --> 00:41:56,722
Yes. What is this?
928
00:41:56,723 --> 00:41:58,015
Phytophotodermatitis.
929
00:41:58,016 --> 00:42:00,225
Or burn for margaritas.
930
00:42:00,226 --> 00:42:03,103
For some, limes and sun
cause a horrible rash.
931
00:42:03,104 --> 00:42:05,230
Is that from the limes?
932
00:42:05,231 --> 00:42:07,650
Have you ever squeezed limes in the sun?
933
00:42:08,443 --> 00:42:09,651
I don't think so.
934
00:42:09,652 --> 00:42:12,195
You will be better after a day of steroids.
935
00:42:12,196 --> 00:42:14,114
After they heal, use sunscreen,
936
00:42:14,115 --> 00:42:17,410
otherwise, the bubbles may
turn into black scars.
937
00:42:19,078 --> 00:42:21,247
I already come with the care you should take.
938
00:42:22,665 --> 00:42:23,583
- Robby.
- Yes.
939
00:42:24,667 --> 00:42:27,962
Roxy, my patient,
continues to be in a lot of pain.
940
00:42:28,713 --> 00:42:31,090
- How's the morphine?
- At 10 mg per hour.
941
00:42:31,966 --> 00:42:34,301
Okay, give him two more and go up to 12.
942
00:42:34,302 --> 00:42:37,054
- I'll tell Princess.
- Twelve an hour is a lot.
943
00:42:37,055 --> 00:42:39,849
With the pills you already have,
you might stop breathing.
944
00:42:41,642 --> 00:42:44,395
Do you know the doctrine of double effect?
945
00:42:45,021 --> 00:42:45,938
- No.
- No.
946
00:42:47,065 --> 00:42:49,775
It is an ethical principle
in palliative care.
947
00:42:49,776 --> 00:42:50,692
We treat pain.
948
00:42:50,693 --> 00:42:52,986
And if, in doing so,
there are negative effects,
949
00:42:52,987 --> 00:42:53,987
we accept it.
950
00:42:53,988 --> 00:42:56,908
Even if the negative effect is death?
951
00:42:57,658 --> 00:43:00,078
In some cases, it is the best outcome.
952
00:43:10,213 --> 00:43:11,963
Did the fax run out of paper?
953
00:43:11,964 --> 00:43:14,675
No, he has paper. I don't understand.
954
00:43:18,262 --> 00:43:19,930
How do we overcome this confusion?
955
00:43:19,931 --> 00:43:21,099
I was going to ask you the same thing.
956
00:43:24,393 --> 00:43:25,936
She cannot leave the SDM.
957
00:43:25,937 --> 00:43:27,480
Nothing is done here.
958
00:44:50,730 --> 00:44:52,732
Luís Costa Passadouro