1 00:00:06,140 --> 00:00:08,309 [ INDISTINCT CHATTER ] 2 00:00:16,484 --> 00:00:17,485 I'M CONFUSED. 3 00:00:17,518 --> 00:00:18,752 WHY AM I CLEANING UP THE MESS FROM LAST SHIFT? 4 00:00:18,786 --> 00:00:22,356 BECAUSE, DR. SAVETTI, YOU'RE A RESIDENT, AND YOUR MAMA SAID SO. 5 00:00:22,390 --> 00:00:25,159 DR. PINEDA, TELL HIM WHAT ELSE I SAY. 6 00:00:25,193 --> 00:00:27,161 IF YOU WANT TO BE PART OF A TEAM... 7 00:00:27,195 --> 00:00:29,597 NO JOB IS TOO BIG, NO JOB IS TOO SMALL. 8 00:00:29,630 --> 00:00:33,834 BEING AN EMERGENCY-ROOM PHYSICIAN REQUIRES HUMILITY. 9 00:00:33,867 --> 00:00:36,737 AND LIKE A FIREFIGHTER CLEANS HIS RIG, YOU CLEAN YOURS. 10 00:00:36,770 --> 00:00:38,106 THIS IS CENTER STAGE. 11 00:00:38,139 --> 00:00:40,708 IT DEMANDS YOUR RESPECT. 12 00:00:42,243 --> 00:00:45,279 SORRY, DR. LORENSON, BUT DID YOU WANT TO LAY DOWN? 13 00:00:45,313 --> 00:00:47,415 NO. UH, NO. I DIDN'T -- I DON'T WANT TO LAY DOWN. 14 00:00:47,448 --> 00:00:48,582 BECAUSE IF YOU'RE TIRED, 15 00:00:48,616 --> 00:00:50,618 YOUR MAMA COULD READ YOU A BEDTIME STORY. 16 00:00:50,651 --> 00:00:53,121 NO. JUST THERE'S A LOT OF BLOOD ON THESE SHEETS. 17 00:00:53,154 --> 00:00:54,688 YOU KNOW, THE BUDDHISTS, 18 00:00:54,722 --> 00:00:57,525 THEY USE MANUAL LABOR AS A WAY TO MEDITATE, 19 00:00:57,558 --> 00:00:59,760 TO BRING THEM CLOSER TO THE WORLD THEY INHABIT. 20 00:00:59,793 --> 00:01:04,265 OR, AS MR. MIYAGI SAID, "WAX ON, WAX OFF." 21 00:01:04,298 --> 00:01:05,533 WHO'S MR. MIYAGI? 22 00:01:05,566 --> 00:01:06,700 "THE KARATE KID"? 23 00:01:06,734 --> 00:01:08,702 IT'S FROM THE '80s. RIGHT, CHRISTA? 24 00:01:08,736 --> 00:01:09,770 FUNNY. 25 00:01:09,803 --> 00:01:12,673 OKAY, LITTLE SERIOUS TALK BEFORE OUR SHIFT STARTS. 26 00:01:12,706 --> 00:01:13,941 IT'S SATURDAY NIGHT, 27 00:01:13,974 --> 00:01:16,844 WHICH MEANS WE'RE GONNA SEE SOME THINGS BEFORE THE SUN COMES UP. 28 00:01:16,877 --> 00:01:19,280 FOR YOU FIRST-YEAR RESIDENTS ESPECIALLY, 29 00:01:19,313 --> 00:01:22,516 REMEMBER, THE FIRST PULSE YOU CHECK IS ALWAYS YOUR OWN. 30 00:01:22,550 --> 00:01:26,820 WHEN IT GETS ROUGH, MAKE SURE TO BREATHE. 31 00:01:26,854 --> 00:01:31,259 REMEMBER, OXYGEN IS THE FIRST DRUG WE GIVE OUR PATIENTS. 32 00:01:31,292 --> 00:01:32,560 SAME FOR YOU. 33 00:01:32,593 --> 00:01:36,330 LEAN ON EACH OTHER. THAT'S WHAT SIBLINGS ARE FOR. 34 00:01:36,364 --> 00:01:38,666 LEAN ON ME. THAT'S WHAT YOUR MAMA'S FOR. 35 00:01:38,699 --> 00:01:39,867 Leanne: [ CHUCKLES ] 36 00:01:39,900 --> 00:01:41,835 EVENING, DR. RORISH. EVENING, MAMA. 37 00:01:41,869 --> 00:01:44,505 WE'VE GOT TWO INCOMING, FIVE MINUTES OUT. 38 00:01:44,538 --> 00:01:46,507 LET'S CLEAN IT UP, GLOVE IT UP, AND GO. 39 00:01:46,540 --> 00:01:47,741 MEET ME AT THE BAY DOORS. 40 00:01:47,775 --> 00:01:48,876 YOU HEARD YOUR DADDY. 41 00:01:48,909 --> 00:01:50,778 LET'S GO SAVE THE PEOPLE OF LOS ANGELES. 42 00:01:50,811 --> 00:01:53,481 I AM MAKING A FORMAL COMPLAINT ABOUT THIS. 43 00:01:53,514 --> 00:01:55,349 ARE YOU SURE YOU WANT TO DO THAT, MARIO? 44 00:01:55,383 --> 00:01:56,284 ANGUS IS RIGHT. 45 00:01:56,317 --> 00:01:57,117 LAST COUPLE YEARS, 46 00:01:57,151 --> 00:01:58,419 HALF THE RESIDENTS DIDN'T MAKE IT. 47 00:01:58,452 --> 00:02:00,154 HOW DO YOU KNOW SO MUCH? 48 00:02:00,188 --> 00:02:01,789 HOW DO YOU NOT KNOW THIS? 49 00:02:01,822 --> 00:02:04,758 MALAYA WAS HERE FOR MEDICAL SCHOOL AND HER INTERNSHIP. 50 00:02:04,792 --> 00:02:06,560 BE NICE. 51 00:02:06,594 --> 00:02:08,229 DR. RORISH LIKES HER. 52 00:02:08,262 --> 00:02:10,764 OH. THEN YOU WERE HERE FOR DR. RORISH'S ACCIDENT. 53 00:02:10,798 --> 00:02:12,866 HER FAMILY. THAT'S NONE OF OUR BUSINESS. 54 00:02:12,900 --> 00:02:14,568 WAIT, WAIT, WAIT, WAIT. WHAT -- WHAT ARE YOU TALKING ABOUT? 55 00:02:14,602 --> 00:02:15,736 CAR ACCIDENT. BAD ONE. 56 00:02:15,769 --> 00:02:17,338 MINIVAN ROLLED DOWN AN EMBANKMENT. 57 00:02:17,371 --> 00:02:18,506 OH, MY GOD. 58 00:02:18,539 --> 00:02:19,740 WHOLE FAMILY. [ CLICKS TONGUE ] 59 00:02:19,773 --> 00:02:21,509 Man: PLENTY OF O-NEG. 60 00:02:21,542 --> 00:02:23,277 [ INDISTINCT CONVERSATIONS ] 61 00:02:26,347 --> 00:02:27,915 YOU GET ANY SLEEP TODAY? 62 00:02:27,948 --> 00:02:29,950 YEAH. 63 00:02:29,983 --> 00:02:32,720 I KNOW WHEN YOU'RE LYING. NO, YOU DON'T. 64 00:02:32,753 --> 00:02:33,654 YOU HAVE A TELL. 65 00:02:33,687 --> 00:02:35,723 YEAH? WHAT'S MY TELL? 66 00:02:35,756 --> 00:02:37,325 I'M NOT GIVING THAT UP. 67 00:02:37,358 --> 00:02:39,693 THEN YOU'LL STOP DOING IT, I WON'T KNOW WHEN YOU'RE LYING. 68 00:02:39,727 --> 00:02:41,862 YOU THINK YOU'RE SO SMART. YOU'RE SO DUMB. 69 00:02:41,895 --> 00:02:45,199 YOU'RE THE DUMBEST PERSON I EVER KNOWN. 70 00:02:45,233 --> 00:02:46,834 [ SIRENS WAILING ] 71 00:02:46,867 --> 00:02:48,836 STOP TALKING. THIS ISN'T GOSSIP. 72 00:02:48,869 --> 00:02:49,770 I'M SORRY. 73 00:02:49,803 --> 00:02:51,505 I DIDN'T KNOW YOU TWO WERE BESTIES NOW. 74 00:02:51,539 --> 00:02:52,706 Malaya: I'M WITH CHRISTA. 75 00:02:52,740 --> 00:02:54,208 I DON'T THINK WE SHOULD TALK ABOUT IT. 76 00:02:54,242 --> 00:02:56,844 YOU FOUR, YOU'RE GONNA CONTINUE 77 00:02:56,877 --> 00:02:59,913 TO SHADOW AND ASSIST ME AND DR. HUDSON 78 00:02:59,947 --> 00:03:01,882 UNTIL THAT BOARD GETS TO CODE BLACK, 79 00:03:01,915 --> 00:03:03,751 AND THEN WE'RE FREEBALLING IT. 80 00:03:03,784 --> 00:03:05,586 I'LL TAKE THE FIRST ONE. 81 00:03:05,619 --> 00:03:07,955 DR. LORENSON, DR. SAVETTI, GO WITH DR. HUDSON. 82 00:03:07,988 --> 00:03:09,423 AND YOU TWO, YOU'RE WITH ME. 83 00:03:09,457 --> 00:03:10,958 [ INDISTINCT RADIO CHATTER ] 84 00:03:10,991 --> 00:03:13,827 Medic: ALL RIGHT. LET'S GO. WE GOT IT. 85 00:03:13,861 --> 00:03:15,663 ALL RIGHT. SET HER DOWN EASY. 86 00:03:15,696 --> 00:03:16,730 WHAT HAVE YOU GOT? 87 00:03:16,764 --> 00:03:17,965 CAR VERSUS CAR, HEAD-ON. 88 00:03:17,998 --> 00:03:20,268 27-YEAR-OLD FEMALE, MULTIPLE NECK LACERATIONS. 89 00:03:20,301 --> 00:03:23,304 ONE 6-CENTIMETER IN ZONE THREE, PROBABLE ARTERIAL SOURCE THERE. 90 00:03:23,337 --> 00:03:24,305 EBL 400 cc. 91 00:03:24,338 --> 00:03:25,939 WHAT'S HER NAME? LAURA HALLORAN. 92 00:03:25,973 --> 00:03:26,874 SHE'S IN AND OUT. 93 00:03:26,907 --> 00:03:28,709 LAURA, CAN YOU HEAR ME? I'M DR. HUDSON. 94 00:03:28,742 --> 00:03:30,811 I'M GONNA HELP YOU. 95 00:03:30,844 --> 00:03:31,812 Woman: COMING IN NOW. 96 00:03:31,845 --> 00:03:33,947 RISA, MONITOR, O2, LAC TRAY WITH A YANKAUER. 97 00:03:33,981 --> 00:03:35,716 START TWO LITERS OF N.S. WIDE OPEN. Risa: COPY THAT. 98 00:03:35,749 --> 00:03:38,719 Leanne: HIGH-SPEED MVC WITH A POSITIVE PSI, UNRESTRAINED. 99 00:03:38,752 --> 00:03:40,954 SIGNIFICANT CREPITUS THROUGHOUT THE CHEST AND NECK. 100 00:03:40,988 --> 00:03:43,457 ON MY COUNT. ONE, AND TWO, THREE. 101 00:03:43,491 --> 00:03:45,759 TWO, THREE. [ GRUNTS ] 102 00:03:45,793 --> 00:03:48,562 MID-80s ON 25 METERS, GCS 13. 103 00:03:48,596 --> 00:03:50,631 PLEASE. I CAN'T DIE. 104 00:03:50,664 --> 00:03:51,865 WHAT'S YOUR NAME, SIR? 105 00:03:51,899 --> 00:03:52,866 J-J-JAKE. JAKE WILLIS. 106 00:03:52,900 --> 00:03:55,503 JAKE, JAKE, I NEED YOU TO CALM DOWN FOR ME, OKAY? 107 00:03:55,536 --> 00:03:56,670 PLEASE! 108 00:03:56,704 --> 00:03:58,939 MY FAMILY, THEY CANNOT GET BY WITHOUT ME. 109 00:03:58,972 --> 00:04:02,410 MY WIFE, BECCA, SHE TAKES CARE OF MY DAUGHTER. 110 00:04:02,443 --> 00:04:04,712 SHE DOESN'T -- SHE DOESN'T W-- 111 00:04:04,745 --> 00:04:06,914 HE'S OUT. 112 00:04:06,947 --> 00:04:08,015 ALL RIGHT. DR. PINEDA, INTUBATE, PLEASE. 113 00:04:08,048 --> 00:04:08,949 ON IT. 114 00:04:08,982 --> 00:04:10,484 AH. 115 00:04:10,518 --> 00:04:11,685 GOD, I'M SURPRISED HE WAS CONSCIOUS AT ALL. 116 00:04:11,719 --> 00:04:12,553 LOOK AT THIS. 117 00:04:12,586 --> 00:04:15,022 OKAY, I'LL NEED BILATERAL CHEST TUBE, 118 00:04:15,055 --> 00:04:16,757 LARGE BORE IN CASE THERE'S BLOOD. 119 00:04:16,790 --> 00:04:18,359 32 FRENCH. LET'S GET READY TO ROLL HIM. 120 00:04:18,392 --> 00:04:19,693 Christa: BRISK FACIAL BLEEDING. AND ON MY COUNT. 121 00:04:19,727 --> 00:04:21,695 ONE, TWO, THREE, ROLL. GLASS EMBEDDED PRETTY MUCH EVERYWHERE. 122 00:04:21,729 --> 00:04:23,030 OKAY. WE'RE GONNA NEED TO ROLL HER OFF THE BOARD. 123 00:04:23,063 --> 00:04:24,965 CAREFULLY, SHE MIGHT HAVE A C-SPINE INJURY. 124 00:04:24,998 --> 00:04:26,567 DR. LORENSON, I NEED YOU TO HOLD THAT NECK 125 00:04:26,600 --> 00:04:27,668 LIKE IT'S DISCONNECTED. 126 00:04:27,701 --> 00:04:29,570 IT MIGHT BE. ON MY COUNT, EVERYBODY. 127 00:04:29,603 --> 00:04:31,905 Neal and Christa: ONE, TWO, THREE. 128 00:04:31,939 --> 00:04:32,873 EASY. EASY. 129 00:04:32,906 --> 00:04:34,642 YOU GOT IT? YEAH. GOT -- 130 00:04:34,675 --> 00:04:36,544 WHOA, WHOA. WHOA, WHOA. LET'S GO. SLOWLY. SLOWLY. 131 00:04:36,577 --> 00:04:38,612 THANK YOU. 132 00:04:38,646 --> 00:04:39,580 SPINE'S GOOD. 133 00:04:39,613 --> 00:04:40,981 OKAY. DOWN WE GO. 134 00:04:41,014 --> 00:04:42,215 DR. SAVETTI, WHAT'S YOUR NEXT MOVE? 135 00:04:42,249 --> 00:04:44,518 ULTRASOUND THE ABDOMEN, SEE IF THERE'S ANY FLUID. VERY GOOD. 136 00:04:44,552 --> 00:04:45,586 DR. LORENSON, WE'RE GONNA FIND THE ARTERY UP HERE 137 00:04:45,619 --> 00:04:46,587 AND TIE IT OFF. 138 00:04:46,620 --> 00:04:50,023 GRAB A KELLY, FORCEPS, AND SOME 3-0 PROLENE. 139 00:04:50,057 --> 00:04:52,025 YOU KNOW WHAT I ASKED FOR? YES OR NO? 140 00:04:52,059 --> 00:04:53,994 YES. YES, I JUST -- 141 00:04:54,027 --> 00:04:55,796 THE KELLY. IT'S ON THE TRAY SECOND FROM THE RIGHT. YES. YES. I -- YES. 142 00:04:55,829 --> 00:04:56,664 CAN'T HESITATE. NOT EVER. 143 00:04:56,697 --> 00:04:58,866 ABDOMEN'S CLEAR. NO FLUID. VERY GOOD. 144 00:04:58,899 --> 00:05:00,601 DR. RORISH WILL NEED THAT AT THE NEXT TABLE. 145 00:05:00,634 --> 00:05:02,936 SUCTION, PLEASE. LET'S CLEAR THE FIELD. 146 00:05:02,970 --> 00:05:04,872 Malaya: AND...I'M IN. 147 00:05:04,905 --> 00:05:06,073 ALL RIGHT. OKAY, BAG IT UP. 148 00:05:06,106 --> 00:05:08,676 DR. PINEDA, HAND OFF TO DR. LEIGHTON. 149 00:05:08,709 --> 00:05:09,777 I NEED YOU DOWN HERE, PLEASE. 150 00:05:11,144 --> 00:05:12,480 [ GASPS ] HE'S AWAKE. 151 00:05:12,513 --> 00:05:14,548 HE'S NOT AWAKE. LOOK AT HIS VITALS. 152 00:05:14,582 --> 00:05:15,683 IT'S JUST A REFLEX. 153 00:05:15,716 --> 00:05:17,851 WE GOT YOU, JAKE. 154 00:05:17,885 --> 00:05:19,887 YOU HEAR ME NOW? STAY WITH US. 155 00:05:19,920 --> 00:05:21,622 HEY, UH, JESSE, LET'S MAKE SURE HE'S DOWN. 156 00:05:21,655 --> 00:05:22,823 PUSH ANOTHER 10 OF ETOMIDATE, PLEASE. 157 00:05:22,856 --> 00:05:26,360 HE'S NOT COMING UP OVER 80%. HIS CHEST IS HARDLY RISING. 158 00:05:26,394 --> 00:05:27,428 ALL RIGHT. 159 00:05:27,461 --> 00:05:29,029 POSITIVE FOR PERICARDIAL FLUID. 160 00:05:29,062 --> 00:05:30,030 PLENTY OF IT. 161 00:05:30,063 --> 00:05:32,132 DR. LEIGHTON, STOP. 162 00:05:32,165 --> 00:05:33,667 PUT THE BAG DOWN. OKAY? 163 00:05:33,701 --> 00:05:35,436 YOU'RE DECREASING HIS ICP BY HYPERVENTILATING HIM. 164 00:05:35,469 --> 00:05:36,937 SIX BREATHS A MINUTE, THAT'S ALL HE NEEDS. 165 00:05:36,970 --> 00:05:38,105 Jesse: IT'S OKAY. JUST HOLD IT THERE. 166 00:05:38,138 --> 00:05:38,906 IT'S OKAY. JUST SLOW DOWN. 167 00:05:38,939 --> 00:05:41,108 UH, WE NEED TO GET HIM UPSTAIRS. 168 00:05:41,141 --> 00:05:43,043 JESSE, NOTIFY THE O.R. Jesse: OKAY. 169 00:05:43,076 --> 00:05:44,044 SEE THAT? 170 00:05:44,077 --> 00:05:45,546 Christa: THE ARTERY. 171 00:05:45,579 --> 00:05:47,748 THE MAXILLARY ARTERY, TO BE PRECISE. 172 00:05:47,781 --> 00:05:50,050 IT BRANCHES OUT FROM THE EXTERNAL CAROTID. 173 00:05:50,083 --> 00:05:52,753 IT'S A REAL BITCH. BUT IN A COUPLE OF SECONDS... 174 00:05:52,786 --> 00:05:54,755 IT'S OUR BITCH. PRECISELY. 175 00:05:54,788 --> 00:05:56,056 MORE DEPENDANT FLUID IN THE LUNGS, 176 00:05:56,089 --> 00:05:57,024 LEFT WORSE THAN RIGHT. 177 00:05:57,057 --> 00:05:58,559 HE'S GONNA DIE ON THE ELEVATOR. 178 00:05:58,592 --> 00:05:59,560 LIKELY, YES. 179 00:05:59,593 --> 00:06:01,028 I NEED A THORACOTOMY TRAY. 180 00:06:01,061 --> 00:06:02,062 YOU'RE GONNA OPEN UP HIS CHEST? 181 00:06:02,095 --> 00:06:04,965 YOU GOT A BETTER IDEA? I COULD USE THE ASSIST. 182 00:06:04,998 --> 00:06:07,100 DR. SAVETTI, GET BACK HERE. YOU AND DR. LORENSON CLOSE. 183 00:06:07,134 --> 00:06:09,136 WHO CAN TELL ME WHAT WE'RE DOING? 184 00:06:09,169 --> 00:06:10,738 DR. PINEDA? 185 00:06:10,771 --> 00:06:13,006 A THORACOTOMY -- A CLAMSHELL, RIGHT AND LEFT CHEST OPEN. 186 00:06:13,040 --> 00:06:14,007 THAT'S RIGHT. 187 00:06:14,041 --> 00:06:14,975 WHY? DR. LEIGHTON? 188 00:06:15,008 --> 00:06:16,810 UH, ONLY WAY TO STOP THE INTERNAL BLEEDING 189 00:06:16,844 --> 00:06:19,012 IS TO GO IN NOW. THAT'S RIGHT. 190 00:06:19,046 --> 00:06:22,115 GUYS, THE THORACOTOMY IS THE MOTHER OF ALL E.R. PROCEDURES. 191 00:06:22,149 --> 00:06:24,418 ONLY 5% SUCCESS RATE IN E.R.s NATIONWIDE. 192 00:06:24,452 --> 00:06:25,953 DON'T NEED ALL THE FACTS, MALAYA. 193 00:06:25,986 --> 00:06:27,421 WE ARE THE STATISTICAL ANOMALY. 194 00:06:27,455 --> 00:06:30,858 JESSE, I NEED, UH, SIX UNITS OF O-NEG, PLEASE, 195 00:06:30,891 --> 00:06:32,159 THROUGH THE LEVEL-ONE. ALREADY HERE. 196 00:06:32,192 --> 00:06:34,862 ALL RIGHT. PUSH IT THROUGH BOTH 18s, PLEASE. 197 00:06:34,895 --> 00:06:36,163 ALL RIGHT. SCALPEL. 198 00:06:36,196 --> 00:06:38,098 OKAY. 199 00:06:39,800 --> 00:06:41,101 ALL RIGHT. 200 00:06:41,134 --> 00:06:42,035 JESSE. 201 00:06:42,069 --> 00:06:42,803 OKAY. 202 00:06:42,836 --> 00:06:45,506 WE'RE GONNA SPREAD THE RIBS NOW. 203 00:06:45,539 --> 00:06:46,807 WHOA. 204 00:06:46,840 --> 00:06:49,677 THEN...THEN PUSH THE LUNGS ASIDE. 205 00:06:49,710 --> 00:06:51,011 DR. LEIGHTON, TAKE THE OTHER SIDE, PLEASE. 206 00:06:51,044 --> 00:06:53,814 10 BLADE, PLEASE. 207 00:06:53,847 --> 00:06:55,148 OKAY. NOW, WATCH DR. HUDSON. 208 00:06:55,182 --> 00:06:56,784 HE'S ABOUT TO REVEAL THE PERICARDIUM, 209 00:06:56,817 --> 00:06:58,552 THE SAC AROUND THE HEART. 210 00:06:58,586 --> 00:07:00,120 YOU'VE DONE A LOT OF THESE? 211 00:07:00,153 --> 00:07:01,154 NO. FIRST ONE. 212 00:07:01,188 --> 00:07:03,691 THAT'S COMFORTING. 213 00:07:03,724 --> 00:07:05,459 DR. HUDSON HAS DONE MORE THAN MOST. 214 00:07:05,493 --> 00:07:07,961 HE DID A SURGICAL RESIDENCY BEFORE HE MOVED TO E.R. 215 00:07:07,995 --> 00:07:10,163 OPENING THE PERICARDIUM NOW. 216 00:07:10,197 --> 00:07:11,532 NOW, THE -- WAIT, THERE IT IS. THERE IT IS. 217 00:07:11,565 --> 00:07:12,633 FOR THOSE OF YOU WHO CAN SEE, 218 00:07:12,666 --> 00:07:14,201 LOOK, SEE THAT LACERATION RIGHT THERE 219 00:07:14,234 --> 00:07:15,302 ABOVE THE PROXIMAL AORTA? 220 00:07:15,335 --> 00:07:16,470 CROSS CLAMP, PLEASE. OKAY, WE'RE CROSS-CLAMPING IT. 221 00:07:16,504 --> 00:07:19,239 IT'LL DIVERT THE BLOOD ABOVE THE OPENING TO THE BRAIN, 222 00:07:19,272 --> 00:07:20,874 WHICH NEEDS PERFUSION THE MOST RIGHT NOW. 223 00:07:22,142 --> 00:07:24,077 NO CARDIAC ACTIVITY. 224 00:07:24,111 --> 00:07:25,713 DR. LEIGHTON, CAN YOU INJECT 225 00:07:25,746 --> 00:07:28,582 WITH INTRACARDIAC EPINEPHRINE, PLEASE? 226 00:07:28,616 --> 00:07:29,416 GO AHEAD. 227 00:07:32,119 --> 00:07:34,087 DR. PINEDA, GET YOUR HANDS IN HERE. 228 00:07:34,121 --> 00:07:35,723 REALLY? YEAH, GET YOUR HANDS IN. 229 00:07:35,756 --> 00:07:37,558 PUT THEM AROUND THE HEART REALLY GENTLY, 230 00:07:37,591 --> 00:07:39,493 AND YOU'RE GONNA MASSAGE IT. 231 00:07:39,527 --> 00:07:41,128 OH, MY GOD. I FEEL IT. 232 00:07:41,161 --> 00:07:43,130 IT'S BEATING NOW. 233 00:07:43,163 --> 00:07:44,131 IT'S BEATING WITHOUT ME. 234 00:07:44,164 --> 00:07:46,166 OKAY, YOU GOT A RHYTHM THERE. 235 00:07:57,611 --> 00:07:59,146 LAB RESULTS FOR YOUR MVA HEAD INJURY. 236 00:07:59,179 --> 00:08:00,648 THANKS. MM-HMM. 237 00:08:00,681 --> 00:08:01,849 THAT'S ODD. 238 00:08:01,882 --> 00:08:05,018 WAIT, DID SHE SAY THOSE ARE LAURA HALLORAN'S LABS? YEAH. 239 00:08:05,052 --> 00:08:06,053 WHAT'S WRONG? 240 00:08:06,086 --> 00:08:07,755 SHE HAS A LACTATE OF 4. 241 00:08:07,788 --> 00:08:09,089 MAYBE SHE HAD TOO MUCH WINE LAST NIGHT. 242 00:08:09,122 --> 00:08:11,058 OR IT'S AN EARLY SIGN OF ORGAN DEATH. 243 00:08:11,091 --> 00:08:12,826 BUT, UH, QUESTION IS WHICH ORGAN? 244 00:08:12,860 --> 00:08:15,896 EXCUSE ME, WHY IS THIS PATIENT STILL IN TRAUMA ONE? 245 00:08:15,929 --> 00:08:17,197 EVENING, DR. TAYLOR. 246 00:08:17,230 --> 00:08:18,932 OH, SORRY, I FORGOT MY SALUTATION. 247 00:08:18,966 --> 00:08:19,833 HOW YOU DOING? 248 00:08:19,867 --> 00:08:22,002 NOW, WHY HASN'T SHE BEEN ADMITTED YET? 249 00:08:22,035 --> 00:08:23,837 'CAUSE, UH, SOMETHING'S BOTHERING ME. 250 00:08:23,871 --> 00:08:25,138 WELL, SOMETHING'S BOTHERING ME, TOO. 251 00:08:25,172 --> 00:08:27,040 HEMORRHOIDS. MY ASS IS ON FIRE. 252 00:08:27,074 --> 00:08:28,609 DO I GET A BED IN TRAUMA ONE FOR THAT? 253 00:08:28,642 --> 00:08:30,143 I CAN'T SEND THE PATIENT UPSTAIRS 254 00:08:30,177 --> 00:08:31,579 TILL I KNOW WHAT'S WRONG. 255 00:08:31,612 --> 00:08:33,814 WELL, WHAT IS IT THAT DR. RORISH ALWAYS SAYS? 256 00:08:33,847 --> 00:08:35,949 WE'RE THE FIRST 10 MINUTES. 257 00:08:35,983 --> 00:08:38,118 WELL, THIS ONE IS IN MINUTE 11. 258 00:08:38,151 --> 00:08:39,152 SO LET'S SHIP HER OUT. 259 00:08:40,187 --> 00:08:42,055 HANG ON. 260 00:08:42,089 --> 00:08:44,091 SOMETHING IN HER ISN'T GETTING ENOUGH BLOOD. 261 00:08:44,124 --> 00:08:45,759 YOU HEARD TAYLOR. HE'S THE DIRECTOR OF THE E.R. 262 00:08:45,793 --> 00:08:47,260 YEAH. AND THIS IS OUR PATIENT. 263 00:08:48,796 --> 00:08:49,830 LET'S, UH, GET HER TO CT. 264 00:08:49,863 --> 00:08:52,232 I WANT A PAN SCAN -- HEAD, NECK, CHEST, AB/PELVIS. 265 00:08:52,265 --> 00:08:54,001 YOU GOT IT. 266 00:08:54,034 --> 00:08:55,068 [ INDISTINCT CHATTER ] 267 00:08:55,102 --> 00:08:57,037 MARIO, YOU'RE WITH ME. 268 00:08:57,070 --> 00:08:58,606 WHOA. THAT'S BRIAN WELLBORN. 269 00:08:58,639 --> 00:08:59,640 FRIEND OF YOURS? 270 00:08:59,673 --> 00:09:00,841 HOCKEY PLAYER. L.A. RAYS. 271 00:09:00,874 --> 00:09:03,911 WELL, IN HERE, HE'S JUST A PATIENT. 272 00:09:03,944 --> 00:09:06,814 26-YEAR-OLD MALE WAS FOUND UNCONSCIOUS AT THE GYM. 273 00:09:06,847 --> 00:09:08,081 HE WAS AWAKE WHEN WE ARRIVED, 274 00:09:08,115 --> 00:09:10,050 BUT INITIALLY LETHARGIC AND CONFUSED. 275 00:09:10,083 --> 00:09:12,653 GCS 13, FGS 110. 276 00:09:12,686 --> 00:09:13,987 I WASN'T UNCONSCIOUS. 277 00:09:14,021 --> 00:09:15,055 I LAID DOWN FOR A FEW MINUTES, 278 00:09:15,088 --> 00:09:16,657 I WOKE UP IN A FREAKING AMBULANCE. 279 00:09:16,690 --> 00:09:17,925 HAS THIS HAPPENED TO YOU BEFORE? 280 00:09:17,958 --> 00:09:19,092 NOTHING HAPPENED TO ME. WERE YOU LISTENING? 281 00:09:19,126 --> 00:09:20,794 I WAS. 282 00:09:20,828 --> 00:09:21,929 BUT GIVEN HOW UPSET YOU ARE, 283 00:09:21,962 --> 00:09:23,931 I'M SURPRISED THAT YOU EVEN GOT INTO THE AMBULANCE, 284 00:09:23,964 --> 00:09:26,066 UNLESS YOU WEREN'T COMPLETELY LUCID AT THE TIME. 285 00:09:26,099 --> 00:09:27,635 I'VE BEEN WORKING OUT LIKE CRAZY, DIETING, 286 00:09:27,668 --> 00:09:29,102 GETTING READY FOR THE NEW SEASON. 287 00:09:29,136 --> 00:09:30,170 I OVERDID IT. END OF STORY. 288 00:09:30,203 --> 00:09:31,371 WHAT DO YOU WANT TO DO, DOCTOR? 289 00:09:31,404 --> 00:09:32,806 TAKE A HISTORY, EXAMINE HIM. 290 00:09:32,840 --> 00:09:34,241 GOOD. YOU'RE NOT SERIOUS. 291 00:09:34,274 --> 00:09:35,342 IF YOUR CAR BROKE DOWN, 292 00:09:35,375 --> 00:09:36,977 YOU WANT TO LOOK UNDER THE HOOD, RIGHT? 293 00:09:37,010 --> 00:09:38,245 MR. WELLBORN, YOU'RE HERE NOW. 294 00:09:38,278 --> 00:09:39,179 WE CAN'T LET YOU LEAVE 295 00:09:39,212 --> 00:09:40,848 UNTIL WE'VE AT LEAST DONE A BASIC EXAM. 296 00:09:40,881 --> 00:09:42,215 WHAT DO YOU MEAN YOU CAN'T LET ME LEAVE? 297 00:09:42,249 --> 00:09:43,150 IT'S THE LAW. 298 00:09:43,183 --> 00:09:44,351 WE NEED TO MAKE SURE YOU'RE NOT A DANGER 299 00:09:44,384 --> 00:09:45,619 TO YOURSELF OR TO OTHERS. 300 00:09:45,653 --> 00:09:46,386 IT'S ROUTINE. 301 00:09:46,419 --> 00:09:47,487 I NEED TO CALL MY TEAM DOCTOR. 302 00:09:47,520 --> 00:09:49,156 I LEFT MY PHONE BACK IN THE LOCKER ROOM AT THE GYM. 303 00:09:49,189 --> 00:09:50,891 WE'LL HOOK YOU UP WITH A PHONE, BUDDY. 304 00:09:50,924 --> 00:09:52,926 EVALUATE AND GET BACK TO ME. AND REMEMBER WHAT I SAID. 305 00:09:52,960 --> 00:09:56,329 TOTALLY. GO. 306 00:09:56,363 --> 00:09:58,131 YOU TAKE CARE OF HER AT THE NURSING HOME? 307 00:09:58,165 --> 00:10:01,869 SHE'S A NICE LADY, BUT SHE IS CONFUSED AND VERY WILLFUL. 308 00:10:01,902 --> 00:10:03,637 YOU HAVE A NICE FACE. 309 00:10:03,671 --> 00:10:05,238 SO DO YOU. 310 00:10:06,674 --> 00:10:08,041 ALZHEIMER'S? DEMENTIA. 311 00:10:08,075 --> 00:10:08,876 SHE HAVE A GOOD HEART, 312 00:10:08,909 --> 00:10:10,844 BUT SHE WANTED TO GO OUT FOR THE DAY, 313 00:10:10,878 --> 00:10:11,879 LIKE A FIELD TRIP, 314 00:10:11,912 --> 00:10:13,013 AND WE DON'T DO THAT. 315 00:10:13,046 --> 00:10:15,048 BUT SHE DON'T TAKE NO FOR AN ANSWER, 316 00:10:15,082 --> 00:10:16,149 SO SHE SWALLOWED THE MONEY. 317 00:10:16,183 --> 00:10:18,686 WHAT DO YOU MEAN SHE SWALLOWED THE MONEY? 318 00:10:18,719 --> 00:10:20,888 SHE TOOK A BUNCH OF COINS AND SWALLOWED THEM. 319 00:10:20,921 --> 00:10:22,255 THEY'RE INSIDE HER RIGHT NOW. 320 00:10:22,289 --> 00:10:24,424 SHE ATE THEM SO SHE'D GET OUT FOR THE DAY? 321 00:10:24,457 --> 00:10:26,393 $3.80. 322 00:10:28,328 --> 00:10:29,362 WE DO WHAT WE GOT TO DO, RIGHT? 323 00:10:29,396 --> 00:10:31,164 RIGHT AS RAIN. 324 00:10:31,198 --> 00:10:33,200 WHY DIDN'T YOU JUST GIVE HER A LAXATIVE AND WAIT IT OUT? 325 00:10:33,233 --> 00:10:36,203 NOW THAT SHE'S HERE, SHE'S HERE UNTIL SHE PASSES THEM. 326 00:10:36,236 --> 00:10:38,238 THE RULES SAY WE CAN'T DISCHARGE ANY PATIENT 327 00:10:38,271 --> 00:10:41,074 WITH A FOREIGN OBJECT INSIDE OF THEM. 328 00:10:41,108 --> 00:10:42,309 BUT YOU ALREADY KNEW THAT, DIDN'T YOU? 329 00:10:42,342 --> 00:10:45,178 WE HAVE SO MANY PATIENTS AND NOT ENOUGH STAFF. 330 00:10:45,212 --> 00:10:47,180 I CAN'T BE TAKING HER TO THE TOILET EVERY FIVE MINUTES. 331 00:10:47,214 --> 00:10:48,816 YOU THINK WE CAN? 332 00:10:48,849 --> 00:10:51,051 CALL US WHEN SHE'S READY TO GET PICKED UP, HMM? 333 00:10:52,119 --> 00:10:53,687 [ INDISTINCT RADIO CHATTER ] 334 00:10:57,725 --> 00:10:58,926 [ TELEPHONE RINGS ] 335 00:10:58,959 --> 00:11:01,762 Woman: MRS. PEREZ. MRS. PEREZ, PLEASE. 336 00:11:01,795 --> 00:11:04,097 EXCUSE ME. CAN I HELP YOU? 337 00:11:04,131 --> 00:11:06,266 I GOT A CALL MY HUSBAND WAS IN, UH, AN ACCIDENT? 338 00:11:06,299 --> 00:11:08,702 JAKE WILLIS. IS HE OKAY? 339 00:11:09,803 --> 00:11:10,971 LET ME GET HIS DOCTOR FOR YOU. 340 00:11:11,004 --> 00:11:12,039 OH, GOD, IS HE -- 341 00:11:12,072 --> 00:11:14,274 MRS. WILLIS, PLEASE DON'T READ INTO ANYTHING I SAY. 342 00:11:14,307 --> 00:11:16,076 I'M NOT DIRECTLY FAMILIAR WITH THE CASE. 343 00:11:16,109 --> 00:11:16,944 I SIMPLY DON'T KNOW. 344 00:11:16,977 --> 00:11:19,046 IF YOU'LL WAIT, I'LL GET DR. RORISH. 345 00:11:21,214 --> 00:11:22,282 Mario: I WAS AT THE EDMONTON GAME. 346 00:11:22,315 --> 00:11:24,284 Brian: WHICH ONE? 347 00:11:24,317 --> 00:11:25,418 WHICH ONE? THE NO-LOOK BACKHANDER. 348 00:11:25,452 --> 00:11:26,419 IT WAS UNBELIEVABLE. 349 00:11:26,453 --> 00:11:27,755 ARE WE ALMOST DONE HERE? 350 00:11:27,788 --> 00:11:28,688 OPEN YOUR MOUTH FOR ME. 351 00:11:28,722 --> 00:11:30,290 WHAT'S MY MOUTH GOT TO DO WITH ANYTHING? 352 00:11:30,323 --> 00:11:31,725 I'M A RESIDENT, OKAY? I DON'T CHECK EVERYTHING OUT -- 353 00:11:31,759 --> 00:11:33,693 YEAH, FINE, YOU WANT TO LOOK AT MY MOUTH? 354 00:11:34,494 --> 00:11:36,063 HERE. 355 00:11:37,831 --> 00:11:40,233 OCCUPATIONAL HAZARD. 356 00:11:41,168 --> 00:11:43,804 TONGUE OUT. 357 00:11:45,538 --> 00:11:46,306 AH. 358 00:11:46,339 --> 00:11:47,975 YOU'RE RIGHT. YOU DIDN'T PASS OUT. 359 00:11:48,008 --> 00:11:49,209 TOLD YA. 360 00:11:49,242 --> 00:11:50,310 [ GRUNTS ] DONE HERE? 361 00:11:50,343 --> 00:11:51,378 YOU HAD A SEIZURE. 362 00:11:51,411 --> 00:11:52,479 WHOA, WHOA, WHOA, WHOA. 363 00:11:52,512 --> 00:11:54,114 HOW'D YOU COME UP WITH SEIZURE, HUH? 364 00:11:54,147 --> 00:11:55,248 LOOKING IN MY MOUTH? YOU BELIEVE THIS GUY? 365 00:11:55,282 --> 00:11:57,851 YOU BIT YOUR TONGUE. 366 00:11:57,885 --> 00:11:59,319 AND IT LOOKS LIKE IT'S HAPPENED BEFORE. 367 00:11:59,352 --> 00:12:00,387 AM I RIGHT? 368 00:12:02,322 --> 00:12:04,091 Becca: SO, HE'S ALIVE? 369 00:12:04,124 --> 00:12:05,225 Leanne: HE'S ALIVE. 370 00:12:05,258 --> 00:12:08,095 OH, THANK GOD. 371 00:12:08,128 --> 00:12:10,097 I DON'T KNOW WHAT WE WOULD DO IF ANYTHING HAPPENED TO HIM. 372 00:12:12,265 --> 00:12:14,201 WOULD YOU RATHER SPEAK PRIVATELY? 373 00:12:14,234 --> 00:12:15,368 I CAN HAVE A NURSE COME WATCH YOUR DAUGHTER. WE'LL -- 374 00:12:15,402 --> 00:12:18,271 NO, NO, NO, NO. TARA NEEDS ME AROUND. 375 00:12:18,305 --> 00:12:19,940 SHE'S CALM NOW, BUT... 376 00:12:19,973 --> 00:12:22,442 IS JAKE GONNA BE OKAY? 377 00:12:22,475 --> 00:12:24,411 THE TRUTH IS WE DON'T KNOW YET. 378 00:12:24,444 --> 00:12:26,246 BUT YOU SAID YOU FIXED HIM. 379 00:12:26,279 --> 00:12:29,049 I SAID WE STABILIZED HIM. 380 00:12:29,082 --> 00:12:35,422 UNFORTUNATELY, NOW WE... JUST...HAVE TO WAIT. 381 00:12:40,293 --> 00:12:43,296 TARA'S FATHER LEFT JUST AFTER SHE WAS DIAGNOSED. 382 00:12:43,330 --> 00:12:44,998 HE SAID IT WASN'T WHAT HE SIGNED UP FOR. 383 00:12:45,032 --> 00:12:46,934 CAN YOU BELIEVE THAT? 384 00:12:46,967 --> 00:12:49,269 I DIDN'T KNOW WHAT TO DO. 385 00:12:49,302 --> 00:12:52,139 I TRIED TO WORK, BUT SHE NEEDED ME. 386 00:12:52,172 --> 00:12:54,441 HONESTLY, I -- 387 00:12:54,474 --> 00:12:56,276 [ Voice breaking ] I DIDN'T KNOW IF WE WOULD MAKE IT. 388 00:12:56,309 --> 00:12:59,412 AND THAT'S WHEN I MET JAKE. 389 00:12:59,446 --> 00:13:03,216 DO YOU KNOW WHERE HE WAS GOING TONIGHT? 390 00:13:03,250 --> 00:13:06,319 HE WAS GONNA SIGN THEM UP TO TAKE DANCE CLASSES TOGETHER. 391 00:13:06,353 --> 00:13:08,421 I TOLD HIM HE DIDN'T HAVE TO DO THAT. 392 00:13:08,455 --> 00:13:10,123 I THINK I INSULTED HIM. [ SOBS ] 393 00:13:10,157 --> 00:13:15,829 AND HE SAID, "NO, SHE'S MY DAUGHTER. 394 00:13:15,863 --> 00:13:19,266 IT'S WHAT I SIGNED UP FOR." [ SOBS ] 395 00:13:19,299 --> 00:13:21,068 "IT'S WHAT I SIGNED UP FOR." 396 00:13:24,237 --> 00:13:26,273 [ CRYING ] 397 00:13:26,306 --> 00:13:29,042 ** 398 00:13:32,445 --> 00:13:34,581 I'LL LET YOU KNOW WHEN HE'S OUT OF SURGERY. 399 00:13:41,554 --> 00:13:43,556 [ DOOR OPENS ] 400 00:13:47,127 --> 00:13:48,628 SHE SWALLOWED THEM? 401 00:13:48,661 --> 00:13:51,331 HOW ELSE WOULD THEY GET THERE? 402 00:13:51,364 --> 00:13:53,500 [ INDISTINCT CHATTER ] 403 00:13:54,634 --> 00:13:58,238 ALL RIGHT, GANG. SHE LEAVES WHEN SHE'S EMPTY. 404 00:13:58,271 --> 00:14:01,408 DR. LEIGHTON, YOU'LL GO FIRST. 405 00:14:01,441 --> 00:14:03,476 FIRST FOR WHAT? 406 00:14:03,510 --> 00:14:06,213 I GAVE HER A MILD LAXATIVE ABOUT 30 MINUTES AGO. 407 00:14:06,246 --> 00:14:07,414 Mark: EUGH. 408 00:14:07,447 --> 00:14:11,418 LOOKS LIKE THE SLOT MACHINE'S READY TO START PAYING OFF. 409 00:14:13,553 --> 00:14:16,423 NOTHING. MAYBE YOU WERE RIGHT. 410 00:14:16,456 --> 00:14:18,158 I TRUST YOUR HUNCHES MORE THAN MINE. 411 00:14:18,191 --> 00:14:19,492 WELL, WE CAN ALL BE WRONG. 412 00:14:19,526 --> 00:14:22,095 LEANNE, DO YOU HAVE A MOMENT? 413 00:14:22,129 --> 00:14:23,496 OH, DON'T LOOK. 414 00:14:23,530 --> 00:14:24,965 GANGRENOUS TOE. 415 00:14:26,199 --> 00:14:27,400 GANGRENE IS MY JAM. 416 00:14:27,434 --> 00:14:28,568 IS THAT SO? 417 00:14:30,470 --> 00:14:32,005 YOU NEEDED SOMETHING? 418 00:14:32,039 --> 00:14:33,506 SORRY. 419 00:14:33,540 --> 00:14:36,176 YEAH, THAT, UH, FEMALE MVC HAS A LACTATE OF 4. 420 00:14:36,209 --> 00:14:38,211 WHAT ARE YOU THINKING? ORGAN ISCHEMIA? 421 00:14:38,245 --> 00:14:40,047 YEAH, BUT THE PAN SCAN IS NEGATIVE. 422 00:14:40,080 --> 00:14:41,481 WOULDN'T ISCHEMIA SHOW UP? 423 00:14:41,514 --> 00:14:42,549 NOT NECESSARILY. 424 00:14:42,582 --> 00:14:45,052 ANY EVIDENCE OF ABDOMINAL TRAUMA FROM THE ACCIDENT? 425 00:14:45,085 --> 00:14:46,453 NO. HUH. 426 00:14:46,486 --> 00:14:49,422 THEN WHAT COULD'VE CAUSED IT? 427 00:14:49,456 --> 00:14:50,623 UNLESS... 428 00:14:50,657 --> 00:14:53,226 IT WASN'T CAUSED BY THE ACCIDENT. 429 00:14:54,661 --> 00:14:55,595 OHH. 430 00:14:55,628 --> 00:14:57,564 I WAS ON MY WAY HERE. 431 00:14:57,597 --> 00:14:59,366 YOU WERE ON YOUR WAY TO THE HOSPITAL? 432 00:14:59,399 --> 00:15:02,102 THE PAIN WAS SUDDEN, AND -- AND SO INTENSE, I THREW UP. 433 00:15:02,135 --> 00:15:03,436 APPENDIX? 434 00:15:03,470 --> 00:15:04,404 NO, I DON'T THINK SO. 435 00:15:04,437 --> 00:15:06,073 RISA, I NEED THE ULTRASOUND. FLYING IN. 436 00:15:06,106 --> 00:15:07,207 YOU THINK IT'S INTERNAL BLEEDING? 437 00:15:07,240 --> 00:15:08,308 GP WON'T SHOW UP ON ULTRASOUND. 438 00:15:08,341 --> 00:15:09,542 VERY GOOD. 439 00:15:09,576 --> 00:15:11,278 BUT NO. WE'RE NOT LOOKING FOR BLOOD. 440 00:15:11,311 --> 00:15:13,280 I HAVE A HUNCH. 441 00:15:16,083 --> 00:15:17,284 OH, THAT'S INTERESTING. 442 00:15:17,317 --> 00:15:19,252 YOU -- YOU DON'T HAVE A RIGHT OVARY. 443 00:15:19,286 --> 00:15:21,454 NO, JUST -- JUST A LEFT. 444 00:15:21,488 --> 00:15:22,990 WHY? IS SOMETHING WRONG WITH IT? 445 00:15:23,023 --> 00:15:24,457 LOOK. 446 00:15:24,491 --> 00:15:25,325 THERE SHOULD BE A RAINBOW 447 00:15:25,358 --> 00:15:26,994 OF FLASHING COLORS HERE ON THE LEFT, 448 00:15:27,027 --> 00:15:28,361 COURSING THROUGH HER LEFT OVARY. 449 00:15:28,395 --> 00:15:29,963 BUT THERE'S NOTHING. IT'S JUST DARKNESS. 450 00:15:29,997 --> 00:15:31,131 TORSION? 451 00:15:31,164 --> 00:15:35,135 LAURA, YOUR OVARY IS TWISTED, CUTTING OFF THE BLOOD FLOW. 452 00:15:35,168 --> 00:15:36,503 IT'S CALLED A TORSION. 453 00:15:36,536 --> 00:15:38,338 IS IT DANGEROUS? 454 00:15:38,371 --> 00:15:39,739 I NEED TO KNOW WHEN THE PAIN STARTED -- EXACTLY WHEN. 455 00:15:39,772 --> 00:15:42,642 UM...I WAS -- I WAS MOVING 456 00:15:42,675 --> 00:15:44,477 SOME -- SOME BOXES FROM MY BASEMENT. 457 00:15:44,511 --> 00:15:45,478 IT WAS AROUND 9:00. 458 00:15:45,512 --> 00:15:46,946 I CAME STRAIGHT FROM THERE. 459 00:15:48,648 --> 00:15:51,384 AN OVARY HAS ABOUT SIX HOURS IT CAN SURVIVE WITHOUT OXYGEN. 460 00:15:51,418 --> 00:15:52,385 THAT MEANS, IF WE'RE LUCKY, 461 00:15:52,419 --> 00:15:54,121 WE HAVE ABOUT THREE HOURS TO DETORSE IT, OR... 462 00:15:54,154 --> 00:15:55,255 I'LL LOSE IT? 463 00:15:56,723 --> 00:15:58,491 I'M AFRAID SO, YEAH. 464 00:15:58,525 --> 00:16:00,060 CAN I ASK YOU WHAT HAPPENED TO YOUR OTHER OVARY? 465 00:16:00,093 --> 00:16:02,629 [ SIGHS ] THEY SAID IT WAS A-A TERATOMA. 466 00:16:02,662 --> 00:16:03,663 HAPPENED A FEW YEARS AGO. 467 00:16:03,696 --> 00:16:05,098 MY LATE HUSBAND AND I 468 00:16:05,132 --> 00:16:08,168 HAD BEEN HAVING SOME FERTILITY PROBLEMS, AND -- 469 00:16:08,201 --> 00:16:10,070 NOBODY AVAILABLE RIGHT NOW FROM O.B. 470 00:16:10,103 --> 00:16:12,305 LAURA, WE'RE GONNA NEED TO CONTACT YOUR OBSTETRICIAN, OKAY? 471 00:16:12,339 --> 00:16:14,707 UM, I'VE BEEN GOING TO A CLINIC IN SAN FRANCISCO. 472 00:16:14,741 --> 00:16:16,143 I FLY OUT ONCE A MONTH. 473 00:16:16,176 --> 00:16:16,976 FOR FERTILITY? 474 00:16:17,010 --> 00:16:18,545 YOU SAID IT WAS YOUR LATE HUSBAND? 475 00:16:18,578 --> 00:16:19,646 IT IS. 476 00:16:19,679 --> 00:16:24,717 IT'S WHERE WE FROZE NOAH'S SPERM BEFORE HE GOT SICK. 477 00:16:24,751 --> 00:16:28,588 I CAN'T LOSE THIS OVARY. PLEASE. 478 00:16:32,792 --> 00:16:34,627 I WOULD LIKE TO SEE HIS CHART, 479 00:16:34,661 --> 00:16:36,129 AND PLEASE LET THE E.R. DIRECTOR KNOW 480 00:16:36,163 --> 00:16:37,564 I'M HERE AND WOULD LIKE TO SEE HIM. 481 00:16:37,597 --> 00:16:38,565 WHO THE HELL ARE YOU? 482 00:16:38,598 --> 00:16:41,101 WHO ARE YOU? A RESIDENT. 483 00:16:41,134 --> 00:16:42,535 SO, ARE YOU THE GENIUS 484 00:16:42,569 --> 00:16:44,471 WHO DIAGNOSED THIS MAN WITH SEIZURES? 485 00:16:44,504 --> 00:16:45,605 AGAIN, WHO ARE YOU? 486 00:16:45,638 --> 00:16:46,606 I'M HIS TEAM DOCTOR. 487 00:16:46,639 --> 00:16:48,708 OH, I GET IT. 488 00:16:48,741 --> 00:16:50,610 YOU GET WHAT? SEIZURES MEAN HE CAN'T PLAY. 489 00:16:50,643 --> 00:16:52,179 I DIDN'T HAVE A DAMN SEIZURE. 490 00:16:52,212 --> 00:16:53,580 CORRECT. 491 00:16:53,613 --> 00:16:55,315 IN FACT, I WANT IT STRICKEN FROM HIS CHART RIGHT NOW. 492 00:16:55,348 --> 00:16:57,550 THAT'S AGAINST THE LAW, AND A REAL DOCTOR WOULD KNOW THAT. 493 00:16:57,584 --> 00:16:58,651 WHO DO YOU THINK YOU'RE TALKING TO? 494 00:16:58,685 --> 00:17:00,320 Edward: BRIAN, SETTLE DOWN. 495 00:17:00,353 --> 00:17:02,755 I'M JESSE SALLANDER, SENIOR E.R. NURSE. 496 00:17:02,789 --> 00:17:04,424 CAN I HELP YOU? YES. 497 00:17:04,457 --> 00:17:05,325 I'M CHECKING MY PATIENT OUT, 498 00:17:05,358 --> 00:17:07,327 BUT I WOULD LIKE A CHART REVISION FIRST. 499 00:17:07,360 --> 00:17:08,595 CHART REVISION? YEAH, A CHART REVISION. 500 00:17:08,628 --> 00:17:09,529 HEY, MAN, WE'RE TRYING TO HELP YOU. 501 00:17:09,562 --> 00:17:12,299 HELP ME? OH, YOU THINK I NEED YOUR HELP? 502 00:17:13,700 --> 00:17:15,668 DR. SAVETTI, YOU DON'T WANT TO DO THIS. 503 00:17:15,702 --> 00:17:16,469 BELIEVE ME. 504 00:17:16,503 --> 00:17:18,205 ENOUGH. SAVETTI, STEP OUT, PLEASE. 505 00:17:18,238 --> 00:17:20,173 COME ON, ME? NOW, SON. 506 00:17:22,275 --> 00:17:24,677 ARE YOU THE ATTENDING? I'M DR. EDWARD DARIUS. I'M -- 507 00:17:24,711 --> 00:17:26,646 WHOEVER YOU THINK YOU ARE, YOU HAVE ZERO AUTHORITY IN HERE. 508 00:17:26,679 --> 00:17:29,182 I PLAY RACQUETBALL 509 00:17:29,216 --> 00:17:32,519 WITH ED HARBERT, C.E.O. OF THIS HOSPITAL. 510 00:17:32,552 --> 00:17:36,389 DID YOU KNOW ONLY 1% OF ALL MALES CAN PERFORM AUTO-FELLATIO? 511 00:17:36,423 --> 00:17:38,658 YOU, SIR, HAVE A SERIOUS MEDICAL ISSUE, 512 00:17:38,691 --> 00:17:40,127 AND IT DOES NEED TO BE ADDRESSED, 513 00:17:40,160 --> 00:17:41,194 BUT THIS ISN'T A JAIL, 514 00:17:41,228 --> 00:17:42,562 AND WE CAN'T KEEP YOU HERE -- AH, HE'S SEIZING. 515 00:17:42,595 --> 00:17:45,198 HE'S SEIZING. I GOT HIM. 516 00:17:45,232 --> 00:17:46,566 OHH. 517 00:17:46,599 --> 00:17:48,535 EASY. EASY. I NEED A FACE MASK AT 25 LITERS. 518 00:17:48,568 --> 00:17:50,670 2 MGS OF ATIVAN, PLEASE. 519 00:17:50,703 --> 00:17:51,771 THERE IT IS. 520 00:17:51,804 --> 00:17:53,806 PUT IT ON. PUT IT ON, PLEASE. 521 00:18:01,348 --> 00:18:03,350 ** 522 00:18:08,321 --> 00:18:10,290 [ INDISTINCT CONVERSATIONS ] 523 00:18:10,323 --> 00:18:12,292 [ DOOR OPENS ] 524 00:18:12,325 --> 00:18:13,760 [ GURNEY RATTLING ] 525 00:18:13,793 --> 00:18:17,430 [ INDISTINCT RADIO CHATTER ] 526 00:18:17,464 --> 00:18:19,532 INTERESTED IN KNOWING HOW YOUR PATIENT IS DOING, 527 00:18:19,566 --> 00:18:20,467 THE HOCKEY PLAYER? 528 00:18:20,500 --> 00:18:22,369 SURE. 529 00:18:22,402 --> 00:18:24,337 HAD A PRETTY ROUGH SEIZURE, 530 00:18:24,371 --> 00:18:28,241 BUT IT'S OVER NOW, AND HE'S RESTING. 531 00:18:28,275 --> 00:18:30,510 AND DR. DARIUS? 532 00:18:30,543 --> 00:18:33,346 TAYLOR AND RORISH KICKED HIM OUT. 533 00:18:33,380 --> 00:18:35,448 GLAD I'M NOT THE ONLY ONE THAT GOT BOOTED. 534 00:18:36,416 --> 00:18:38,451 YOU EVER SEE "AN OFFICER AND A GENTLEMAN"? 535 00:18:38,485 --> 00:18:39,386 WHAT? 536 00:18:39,419 --> 00:18:42,422 THE MOVIE "AN OFFICER AND A GENTLEMAN"? 537 00:18:42,455 --> 00:18:43,423 NO. 538 00:18:43,456 --> 00:18:45,758 RICHARD GERE PLAYS THIS GUY NAMED MAYONNAISE. 539 00:18:45,792 --> 00:18:46,859 MAYONNAISE? 540 00:18:46,893 --> 00:18:49,829 YEAH, 'CAUSE HIS LAST NAME IS MAYO, AND HE'S WHITE. 541 00:18:49,862 --> 00:18:53,733 NOW, MAYONNAISE JOINS THE NAVY TO FLY JETS. 542 00:18:53,766 --> 00:18:55,802 SEE, HE'S GOOD AT ALMOST EVERYTHING. 543 00:18:55,835 --> 00:18:59,572 FASTEST RUNNER, BEST FIGHTER, SMART, AND FEARLESS. 544 00:18:59,606 --> 00:19:03,510 NOW, IF THE MOVIE WERE JUST CALLED "AN OFFICER," 545 00:19:03,543 --> 00:19:04,577 HE'D BE JUST FINE. 546 00:19:04,611 --> 00:19:05,512 BUT IT'S NOT. 547 00:19:05,545 --> 00:19:08,948 IT'S CALLED "AN OFFICER AND A GENTLEMAN," 548 00:19:08,981 --> 00:19:13,820 WHICH MEANS YOU HAVE SOME THINGS TO LEARN. 549 00:19:13,853 --> 00:19:15,255 LIKE WHAT? 550 00:19:15,288 --> 00:19:19,626 HUMILITY, PATIENCE, KINDNESS, CHARITY. 551 00:19:19,659 --> 00:19:20,793 YOU KNOW, THE BIG ONES. 552 00:19:20,827 --> 00:19:23,430 YOU SAYING I'M MAYONNAISE? 553 00:19:23,463 --> 00:19:24,697 WELL, YOU AIN'T LOU GOSSETT. 554 00:19:24,731 --> 00:19:27,667 I KNOW THE NEIGHBORHOOD YOU COME FROM, BRO. 555 00:19:27,700 --> 00:19:30,270 ONLY THING THAT GETS THROUGH THOSE WALLS IS A BULLET, 556 00:19:30,303 --> 00:19:32,405 WHICH MEANS THE ONLY WAY OUT IS TO BECOME A BULLET. 557 00:19:32,439 --> 00:19:33,973 YOU GOT OUT. 558 00:19:34,006 --> 00:19:36,509 AND YOU'RE HERE NOW. 559 00:19:36,543 --> 00:19:38,945 YOU CAN'T BE A BULLET ANYMORE, YOU UNDERSTAND? 560 00:19:41,781 --> 00:19:43,750 I'M OUT. 561 00:19:44,551 --> 00:19:48,588 [ INDISTINCT CHATTER ] 562 00:19:48,621 --> 00:19:50,257 HEY. PERSON. 563 00:19:51,658 --> 00:19:52,625 CHRISTA. 564 00:19:52,659 --> 00:19:53,926 REALLY? I'D HAVE THOUGHT SUSAN. 565 00:19:53,960 --> 00:19:56,496 UH, O.B. CALLED. THERE'S AN OPEN O.R. 566 00:19:56,529 --> 00:19:57,630 THAT'S GREAT. THAT'S GREAT NEWS. 567 00:19:57,664 --> 00:19:59,499 HOLD YOUR WATER. 568 00:19:59,532 --> 00:20:00,733 THERE'S NO AVAILABLE SURGEONS. 569 00:20:00,767 --> 00:20:02,302 BUT THAT DOESN'T HELP ME. 570 00:20:02,335 --> 00:20:04,537 I'M NOT HERE TO HELP YOU. 571 00:20:08,875 --> 00:20:11,678 Woman: YEAH, WAS IN A DIABETIC COMA WHEN HE CAME IN. 572 00:20:11,711 --> 00:20:13,846 25 CENTS. YOU GOT OFF EASY. 573 00:20:13,880 --> 00:20:15,582 IT WAS ALL NICKELS. 574 00:20:15,615 --> 00:20:17,584 [ COINS CLINK ] 575 00:20:17,617 --> 00:20:19,586 COUGH FOR ME? ¿PUEDE TOSER, POR FAVOR? 576 00:20:19,619 --> 00:20:20,887 [ COUGHS ] AN O.R. OPENED UP. 577 00:20:20,920 --> 00:20:22,822 BUT THERE ARE NO AVAILABLE SURGEONS. 578 00:20:22,855 --> 00:20:24,524 FOR LAURA HALLORAN. 579 00:20:24,557 --> 00:20:25,892 THE TORSION? 580 00:20:25,925 --> 00:20:28,295 HOW MUCH TIME DO WE HAVE? 581 00:20:28,328 --> 00:20:29,696 UH, PERDóN. NO -- NO ENGLISH. 582 00:20:29,729 --> 00:20:32,031 WE HAVE ABOUT 90 MINUTES TILL SHE LOSES THE OVARY. 583 00:20:32,064 --> 00:20:33,933 DO YOU KNOW HOW LONG SHE AND HER HUSBAND 584 00:20:33,966 --> 00:20:35,268 WANTED TO HAVE CHILDREN TOGETHER? 585 00:20:35,302 --> 00:20:36,135 20 YEARS. 586 00:20:36,168 --> 00:20:37,737 HOW IS THAT POSSIBLE? SHE'S ONLY 27. 587 00:20:37,770 --> 00:20:39,506 THEY MET IN THE THIRD GRADE. 588 00:20:39,539 --> 00:20:40,640 THIRD GRADE. YEAH. 589 00:20:40,673 --> 00:20:42,609 GRAB A TISSUE. I'M NOT DONE. 590 00:20:42,642 --> 00:20:44,677 DR. HUDSON, LACERATION RIGHT LEG. 591 00:20:44,711 --> 00:20:45,778 SIDES EAST 2. 592 00:20:45,812 --> 00:20:47,747 YOU THINK YOU CAN HANDLE THAT ONE? 593 00:20:47,780 --> 00:20:48,981 IT'S A FAIRY TALE, RIGHT? 594 00:20:49,015 --> 00:20:51,984 UNTIL HE GETS DIAGNOSED WITH STAGE IV LYMPHOMA TWO YEARS AGO. 595 00:20:52,018 --> 00:20:55,455 DISLOCATED SHOULDER, SIDES SOUTH 1. SERIOUSLY? 596 00:20:55,488 --> 00:20:56,989 WE'RE IN CODE RED. BUCKLE UP. 597 00:20:57,023 --> 00:21:01,961 [ SPEAKING SPANISH ] 598 00:21:01,994 --> 00:21:05,365 HE FROZE HIS SPERM BEFORE CHEMO AND RADIATION. 599 00:21:05,398 --> 00:21:07,066 HE DIED LAST YEAR, AND IT'S ALL SHE HAS LEFT OF HIM. 600 00:21:07,099 --> 00:21:09,336 CHRISTA, I SYMPATHIZE, BUT WITH NO ONE TO PERFORM SURGERY -- 601 00:21:09,369 --> 00:21:10,370 THAT'S THE THING. YOU CAN DO IT. 602 00:21:10,403 --> 00:21:11,638 ME? YES. 603 00:21:11,671 --> 00:21:12,505 YOU DID A SURGICAL RESIDENCY. 604 00:21:12,539 --> 00:21:14,741 YOU MUST HAVE DONE AN O.B. ROTATION. 605 00:21:14,774 --> 00:21:15,542 I'M NOT A SURGEON. 606 00:21:15,575 --> 00:21:17,577 I DON'T HAVE SURGICAL PRIVILEGES. 607 00:21:17,610 --> 00:21:18,678 LOOK, I'M SORRY. 608 00:21:18,711 --> 00:21:20,980 BUT THERE'S REALLY NOTHING WE CAN DO FOR HER RIGHT NOW. 609 00:21:21,013 --> 00:21:22,315 YOU HAVE PATIENTS. 610 00:21:25,718 --> 00:21:26,919 MARIO. 611 00:21:26,953 --> 00:21:28,655 DR. RORISH, LISTEN, SORRY ABOUT BEFORE -- 612 00:21:28,688 --> 00:21:29,656 HERE. WHAT'S THIS? 613 00:21:29,689 --> 00:21:31,924 IT'S WELLBORN'S CT RESULTS. 614 00:21:31,958 --> 00:21:34,394 PARENCHYMAL HEMORRHAGES? 615 00:21:34,427 --> 00:21:36,629 GO TELL HIM. ME? 616 00:21:36,663 --> 00:21:38,831 CAN YOU BE PROFESSIONAL? 617 00:21:38,865 --> 00:21:40,600 YES, OF COURSE. THANK YOU. 618 00:21:40,633 --> 00:21:41,668 DON'T THANK ME. THIS ISN'T A GESTURE. 619 00:21:41,701 --> 00:21:42,802 WE'RE ABOUT TO BE IN CODE BLACK. 620 00:21:42,835 --> 00:21:44,371 HE'S YOUR PATIENT, YOUR RESPONSIBILITY. 621 00:21:44,404 --> 00:21:45,405 GO DO YOUR JOB. 622 00:21:46,406 --> 00:21:48,074 MR. ROCKSICKLER. 623 00:21:48,107 --> 00:21:48,841 STAN. 624 00:21:48,875 --> 00:21:50,443 I'M SORRY FOR THE WAIT OUT THERE. 625 00:21:50,477 --> 00:21:52,379 IT MUST'VE BEEN A LONG NIGHT. 626 00:21:52,412 --> 00:21:54,381 NIGHT? I'VE BEEN HERE FOR 10 HOURS. 627 00:21:54,414 --> 00:21:56,449 MY BACK'S KILLING ME. 628 00:21:56,483 --> 00:21:57,850 IS THERE ANYTHING YOU CAN GIVE ME? 629 00:21:57,884 --> 00:21:59,752 HOW LONG HAVE YOU HAD THE PAIN? 630 00:21:59,786 --> 00:22:01,421 ON AND OFF THE PAST FEW MONTHS. 631 00:22:01,454 --> 00:22:03,022 FINALLY GOT SO BAD IN THE LAST WEEK, 632 00:22:03,055 --> 00:22:04,090 I COULDN'T TAKE IT ANYMORE. 633 00:22:04,123 --> 00:22:06,092 [ Chuckling ] I FEEL LIKE IT'S BROKEN OR SOMETHING. 634 00:22:06,125 --> 00:22:08,395 EH, IT SOUNDS LIKE IT WORSENED PRETTY DRAMATICALLY. 635 00:22:08,428 --> 00:22:09,396 I'LL SAY. 636 00:22:09,429 --> 00:22:10,663 YOU WORK IN CONSTRUCTION? YEAH. 637 00:22:10,697 --> 00:22:11,698 LOT OF HEAVY LIFTING? 638 00:22:11,731 --> 00:22:12,565 OH, YEAH. 639 00:22:12,599 --> 00:22:14,634 SOUNDS LIKE A PERSISTENT MUSCLE SPASM. 640 00:22:14,667 --> 00:22:16,703 MAYBE. 641 00:22:21,741 --> 00:22:23,376 HEART RATE 110. 642 00:22:23,410 --> 00:22:24,611 WHAT -- WHAT IF IT'S NOT HIS BACK? 643 00:22:24,644 --> 00:22:25,545 WHAT IF IT'S HIS HEART? 644 00:22:25,578 --> 00:22:27,414 DUDE, THAT HEART RATE IS BARELY ELEVATED. 645 00:22:27,447 --> 00:22:30,049 THIS IS NOT A ZEBRA. IT'S A PLAIN OLD HORSE. 646 00:22:30,082 --> 00:22:33,420 AT BEST, HE GETS A FEW PERCOCET AND MAYBE A CT OF HIS BACK. 647 00:22:33,453 --> 00:22:34,153 I DON'T KNOW. 648 00:22:34,186 --> 00:22:35,588 IT SEEMS TO BE THAT AN EVENT 649 00:22:35,622 --> 00:22:37,424 THAT CHANGES RAPIDLY LIKE HE'S DESCRIBING 650 00:22:37,457 --> 00:22:38,791 IS NOT A MUSCULOSKELETAL PROBLEM. 651 00:22:38,825 --> 00:22:40,627 IF IT'S NOT CARDIAC, MAYBE IT'S VASCULAR. 652 00:22:40,660 --> 00:22:41,828 WHAT DO YOU HAVE? 653 00:22:41,861 --> 00:22:44,831 PATIENT CAME IN WITH PERSISTENT YET WORSENING BACK PAIN. 654 00:22:44,864 --> 00:22:47,734 HE HAD A LONG WAIT -- 10 HOURS -- WHICH DIDN'T HELP. 655 00:22:47,767 --> 00:22:49,636 TO ME, IT SOUNDS LIKE A MUSCLE SPASM, 656 00:22:49,669 --> 00:22:52,705 OR, AT WORST, A COMPRESSION FRACTURE OF THE SPINE. 657 00:22:52,739 --> 00:22:56,008 WHICH IS PROBABLY COMMON IN HIS LINE OF WORK. 658 00:22:56,042 --> 00:22:58,411 I THINK A CT OF HIS BACK WOULD BE THE RIGHT PRECAUTION. 659 00:22:58,445 --> 00:22:59,746 SOUNDS RIGHT. GET HIM SCANNED. 660 00:22:59,779 --> 00:23:01,914 LET ME KNOW WHAT COMES BACK. 661 00:23:01,948 --> 00:23:03,783 DUDE, YOU COULD'VE TOLD HER YOUR THEORY. 662 00:23:03,816 --> 00:23:05,084 I DON'T HAVE A THEORY. YES, YOU DO. 663 00:23:05,117 --> 00:23:06,152 BUT YOU DON'T BELIEVE ME. 664 00:23:06,185 --> 00:23:08,120 LET'S GET THE CT. 665 00:23:08,154 --> 00:23:11,758 EXCUSE ME. [ SIGHS ] 666 00:23:20,066 --> 00:23:21,634 GET THE HELL OUT OF HERE. 667 00:23:21,668 --> 00:23:22,802 I WANT THE REAL DOCTOR. 668 00:23:25,104 --> 00:23:26,906 YOU'VE HAD A SERIES OF PARENCHYMAL HEMORRHAGES. 669 00:23:26,939 --> 00:23:29,008 YOU JUST LEARN THAT WORD? 670 00:23:29,041 --> 00:23:31,844 THEY'RE SMALL BLEEDS IN YOUR BRAIN 671 00:23:31,878 --> 00:23:33,179 CAUSED BY MULTIPLE CONCUSSIONS. 672 00:23:33,212 --> 00:23:34,380 I HIT HARD. 673 00:23:34,413 --> 00:23:37,116 WELL, THE BLOWS TO YOUR HEAD HAVE CREATED A SERIOUS PROBLEM. 674 00:23:37,149 --> 00:23:38,751 DARIUS SAID HE'S GOT MEDICINE. 675 00:23:38,785 --> 00:23:40,687 THE MEDICATION WILL MITIGATE IT, YEAH. 676 00:23:40,720 --> 00:23:42,955 ALL RIGHT. SO, CAN I GET OUT OF HERE NOW? 677 00:23:42,989 --> 00:23:43,956 YOU NEED TO KNOW 678 00:23:43,990 --> 00:23:47,059 THAT THE MEDICATION SHOULD STOP THE SEIZURES, 679 00:23:47,093 --> 00:23:49,762 BUT IT WON'T REVERSE THE DAMAGE THAT'S ALREADY BEEN DONE. 680 00:23:49,796 --> 00:23:53,533 THE NEXT CONCUSSION COULD KILL YOU. 681 00:23:53,566 --> 00:23:56,603 WHAT? 682 00:23:56,636 --> 00:23:57,804 WHAT ARE YOU SAYING? 683 00:23:58,738 --> 00:24:01,474 I'M SAYING YOU CAN NEVER PLAY HOCKEY AGAIN. 684 00:24:01,508 --> 00:24:03,543 NOT IF YOU WANT TO LIVE. 685 00:24:07,747 --> 00:24:10,449 I'M SORRY. I REALLY AM. 686 00:24:16,623 --> 00:24:18,758 THEY HAVE AN OPEN O.R., BUT THEY HAVE NO SURGEONS. 687 00:24:18,791 --> 00:24:20,059 WE STILL HAVE AN HOUR TO SAVE THE OVARY. 688 00:24:20,092 --> 00:24:20,893 THERE'S AN OPTION. 689 00:24:20,927 --> 00:24:22,729 DR. HUDSON DID A SURGICAL RESIDENCY -- 690 00:24:22,762 --> 00:24:23,563 BUT HE'S NOT A SURGEON. 691 00:24:23,596 --> 00:24:25,197 WHY IS EVERYBODY SAYING NO TO THIS? 692 00:24:25,231 --> 00:24:26,065 WE CAN HELP HER. 693 00:24:26,098 --> 00:24:27,800 ONE OF THE HARDEST PARTS ABOUT THIS JOB 694 00:24:27,834 --> 00:24:28,901 IS PRIORITIZING PATIENT NEED. 695 00:24:28,935 --> 00:24:30,870 SHE'S ESI-2, NON-LIFE THREATENING. 696 00:24:30,903 --> 00:24:33,773 AS LONG AS THERE'S AN ESI-1 PATIENT IN FRONT OF HER, 697 00:24:33,806 --> 00:24:34,741 SHE HAS TO WAIT. 698 00:24:34,774 --> 00:24:35,608 WHAT DO YOU GOT? 699 00:24:35,642 --> 00:24:36,943 14-YEAR-OLD MALE. CLIMBING ACCIDENT. 700 00:24:36,976 --> 00:24:38,177 AT 2:00 A.M.? 701 00:24:38,210 --> 00:24:40,913 WE WERE DOING THE ANNUAL FULL MOON CLIMB AT SCARBO CANYON. 702 00:24:40,947 --> 00:24:42,982 HE FELL 15 FEET. FACE HIT THE GROUND HARD. 703 00:24:43,015 --> 00:24:44,517 HIS NOSE HASN'T STOPPED BLEEDING. 704 00:24:44,551 --> 00:24:45,484 AND WHO ARE YOU? HIS FATHER. 705 00:24:45,518 --> 00:24:48,721 PERSISTENT EPISTAXIS. EBL IS NORTH OF 200 cc. 706 00:24:48,755 --> 00:24:49,822 TRIED ANTERIOR PACKING, BUT NO LUCK. 707 00:24:49,856 --> 00:24:50,790 UH-HUH. HE'S ON COUMADIN. 708 00:24:50,823 --> 00:24:52,224 COUMADIN. 709 00:24:52,258 --> 00:24:53,826 SIR, WHY IS YOUR SON ON BLOOD THINNERS? 710 00:24:53,860 --> 00:24:55,795 HE HAD BLOOD CLOTS ON HIS RETINAS WHEN HE WAS 4. 711 00:24:55,828 --> 00:24:57,664 JUST ROLL HIM. OKAY, HANG ON. 712 00:24:57,697 --> 00:24:58,831 READY. READY? 713 00:24:58,865 --> 00:24:59,832 AND, ONE, TWO, THREE. 714 00:24:59,866 --> 00:25:01,934 Woman: EASY. MIND THE BOARD. 715 00:25:01,968 --> 00:25:04,871 I GOT IT. CLEAR. JESSE, SUCTION, PLEASE. 716 00:25:04,904 --> 00:25:06,839 CAREFUL. WE NEED TO TAMPONADE THIS BLEEDING. 717 00:25:06,873 --> 00:25:08,675 TWO A/P NASAL PACKS, PLEASE. 718 00:25:08,708 --> 00:25:09,576 FLYING IN. COME ON. 719 00:25:09,609 --> 00:25:11,911 BLOOD CLOTS ON HIS RETINAS? IS HE BLIND? 720 00:25:11,944 --> 00:25:13,680 NOT TOTALLY. HE SEES SHAPES. 721 00:25:13,713 --> 00:25:15,014 HE'S BLIND, AND YOU TOOK HIM CLIMBING? 722 00:25:15,047 --> 00:25:16,949 NOT OUR BUSINESS, DR. LORENSON. I'M SORRY. 723 00:25:16,983 --> 00:25:18,317 OKAY. 724 00:25:18,350 --> 00:25:20,252 JESSE, PREP SOME PCC AT 50 UNITS PER KILOGRAM 725 00:25:20,286 --> 00:25:22,889 AND SEND OFF COAGS, TYPE AND CROSS STAT. 726 00:25:22,922 --> 00:25:24,557 HE'S GONNA BE OKAY, RIGHT? 727 00:25:24,591 --> 00:25:28,094 UH, HIS BLOOD ISN'T CLOTTING BECAUSE OF THE THINNERS. 728 00:25:28,127 --> 00:25:29,829 UH, I NEED MORE NASAL PACKS, PLEASE. 729 00:25:29,862 --> 00:25:31,163 PAGE E.N.T., PLEASE. Woman: PAGING NOW. 730 00:25:31,197 --> 00:25:33,065 LET'S GET SIX UNITS IN THE CAN. 731 00:25:33,099 --> 00:25:35,167 HEY, JESSE, I DON'T KNOW IF I CAN GET THIS BLEEDING UNDER CONTROL. 732 00:25:35,201 --> 00:25:37,103 BLOOD BANK OUT OF O-NEG. WE'RE WAITING ON MORE FROM COUNTY. 733 00:25:37,136 --> 00:25:38,871 OKAY. BLOOD PRESSURE'S TANKING. 734 00:25:38,905 --> 00:25:40,072 [ MONITOR BEEPING RAPIDLY ] WE'RE GONNA NEED THAT BLOOD. 735 00:25:40,106 --> 00:25:43,743 THIS KID'S TANK IS GONNA RUN DRY UNLESS WE FIND A WAY TO... 736 00:25:52,952 --> 00:25:54,654 WHOA, WHOA! WHOA, WHOA, WHOA, WHOA. 737 00:25:54,687 --> 00:25:56,222 GET HIM DOWN. GET HIM DOWN. GET HIM DOWN. 738 00:25:56,255 --> 00:25:58,024 OKAY, GET HIM DOWN. GET HIM DOWN. GET HIM DOWN. 739 00:25:58,057 --> 00:26:00,059 WATCH HIS HEAD. 740 00:26:07,667 --> 00:26:10,970 OKAY, SO, EVEN IN A SIGNIFICANT BLEED, "A-B-C" APPLIES. 741 00:26:11,003 --> 00:26:12,839 AIRWAY'S ALWAYS FIRST. 742 00:26:12,872 --> 00:26:16,175 DR. LORENSON, I WANT YOU TO CLAMP OPEN THE NARES 743 00:26:16,208 --> 00:26:18,277 WHILE JESSE SUCTIONS INSIDE. 744 00:26:18,310 --> 00:26:22,381 WE NEED TO FIND THE SOURCE OF THE BLEED, OKAY? 745 00:26:22,414 --> 00:26:23,683 IF WE'RE LUCKY, IT'LL BE IN HIS ANTERIOR 746 00:26:23,716 --> 00:26:24,784 AND WE'LL BE ABLE TO SEE IT. 747 00:26:24,817 --> 00:26:27,186 BUT IF IT'S POSTERIOR, WHICH I FEAR IT IS, THEN -- 748 00:26:27,219 --> 00:26:28,755 BLOOD PRESSURE'S TANKING. 749 00:26:28,788 --> 00:26:29,922 DAMN IT. WE NEED THAT BLOOD. 750 00:26:29,956 --> 00:26:31,290 UNLESS WE FIND A WAY TO... 751 00:26:31,323 --> 00:26:33,025 [ RAPID BEEPING CONTINUES ] 752 00:26:33,059 --> 00:26:35,127 GET ME TWO URINARY CATHETERS. 753 00:26:35,161 --> 00:26:36,829 URINARY CATHETERS? TWO FOLIES. NOW, PLEASE. 754 00:26:38,164 --> 00:26:39,932 OKAY, WE'RE GONNA MAKE A TAMPONADE. 755 00:26:39,966 --> 00:26:41,300 [ CHATTER CONTINUES ] 756 00:26:41,333 --> 00:26:42,334 DR. LORENSON? YEAH. 757 00:26:42,368 --> 00:26:43,870 GIVE ME THAT COFFEE OVER THERE. 758 00:26:43,903 --> 00:26:45,404 Jesse: RIGHT THERE. RIGHT THERE. 759 00:26:45,437 --> 00:26:48,040 I NEED ANY LIQUID, AND I NEED IT NOW, ALL RIGHT? 760 00:26:48,074 --> 00:26:51,277 WE JUST NEED IT TO INFLATE THE BALLOON INSIDE THE NOSE. 761 00:26:51,310 --> 00:26:52,679 SORRY. 762 00:26:52,712 --> 00:26:54,781 SEE HOW THE BALLOON CONFORMS TO THE CAVITY IN THE NOSE... MM-HMM. 763 00:26:54,814 --> 00:26:56,015 ...AND PACKS THE BLEED. 764 00:26:56,048 --> 00:26:57,083 BLOOD SUPPLY COMING UP THE RAMP NOW. 765 00:26:57,116 --> 00:26:58,384 ABOUT TIME. SORRY. 766 00:26:58,417 --> 00:26:59,819 PRESSURE'S STABILIZING. GOT IT. GOT IT. 767 00:26:59,852 --> 00:27:01,854 OKAY? A PERFECT TAMPONADE. 768 00:27:01,888 --> 00:27:03,790 ALL RIGHT? IT'S GONNA WORK. 769 00:27:03,823 --> 00:27:05,391 NOW WE GIVE HIM MORE PCC 770 00:27:05,424 --> 00:27:08,327 AND, UH, REVERSE THE ANTI-COAG, 771 00:27:08,360 --> 00:27:09,962 AND -- AND WE GET HIM UPSTAIRS. 772 00:27:09,996 --> 00:27:10,963 PHEW! 773 00:27:10,997 --> 00:27:13,032 [ MONITOR BEEPING ] 774 00:27:17,837 --> 00:27:19,138 [ MONITOR BEEPING RAPIDLY ] 775 00:27:19,171 --> 00:27:21,774 [ BEEPING STOPS, INDISTINCT CHATTER ] 776 00:27:21,808 --> 00:27:22,775 WHAT'S THIS FOR? 777 00:27:22,809 --> 00:27:23,810 WELL, YOU'RE UP NEXT, KID. AND YOU BETTER HURRY. 778 00:27:23,843 --> 00:27:25,878 SHE SAYS SHE'S GOT A TURTLE STICKING ITS HEAD OUT. 779 00:27:25,912 --> 00:27:27,680 EXCUSE ME? 780 00:27:27,714 --> 00:27:30,149 SHE'S GOT THUMBELINA IN A HEADLOCK. 781 00:27:30,182 --> 00:27:31,784 LOOK, JUST GET MOVING, BLONDIE, 782 00:27:31,818 --> 00:27:33,786 OR WE'RE GONNA HAVE A MUDSLIDE IN HERE. 783 00:27:38,090 --> 00:27:41,427 Man: JUST LET ME KNOW WHEN THE ANESTHESIOLOGIST GETS HERE... 784 00:27:48,434 --> 00:27:49,836 STILL TOUCH AND GO... 785 00:27:49,869 --> 00:27:52,038 OH. OHH. 786 00:27:56,275 --> 00:27:58,077 Leanne: YEAH? ALL RIGHT. 787 00:27:59,278 --> 00:28:01,981 OH. COMING THROUGH. 788 00:28:02,014 --> 00:28:03,983 SIGN THERE. 789 00:28:04,016 --> 00:28:06,118 DO YOU THINK THAT I'M A TERRIBLE FATHER 790 00:28:06,152 --> 00:28:07,854 FOR TAKING MY BLIND SON CLIMBING? 791 00:28:07,887 --> 00:28:11,423 I THINK HARLEY'S LUCKY 792 00:28:11,457 --> 00:28:13,993 TO HAVE A FATHER WHO DOESN'T HAVE A BLIND SON. 793 00:28:15,227 --> 00:28:17,229 HE HAS A SON. 794 00:28:17,263 --> 00:28:18,731 ENJOY EVERY MINUTE. TRUST ME. 795 00:28:18,765 --> 00:28:22,034 OKAY, JUST HEAR ME OUT. JUST HEAR ME OUT. 796 00:28:22,068 --> 00:28:23,770 I MAY BE PERSONALIZING THE TORSION -- FINE. 797 00:28:23,803 --> 00:28:25,404 BUT DR. RORISH, EVEN IF YOU HAD JUST ONE CHANCE 798 00:28:25,437 --> 00:28:26,739 TO GET BACK WHAT YOU LOST, ANYTHING -- 799 00:28:26,773 --> 00:28:27,573 WE ARE NOT HERE TO FIX 800 00:28:27,606 --> 00:28:29,341 THE EVENTS OF OUR OWN LIVES, CHRISTA. 801 00:28:29,375 --> 00:28:31,343 THE LAST THING YOU WANT TO DO IN THIS JOB IS MAKE IT ABOUT YOU. 802 00:28:31,377 --> 00:28:33,212 I DON'T BELIEVE A WORD OF THAT. 803 00:28:33,245 --> 00:28:34,246 EXCUSE ME? 804 00:28:34,280 --> 00:28:36,282 I LOST MY SON, MY HUSBAND LEFT ME, 805 00:28:36,315 --> 00:28:37,750 AND YOU LOST -- YOU SAID -- 806 00:28:37,784 --> 00:28:38,751 NO, I DIDN'T SAY ANYTHING. 807 00:28:38,785 --> 00:28:41,988 YOU DON'T KNOW A THING ABOUT ME, DR. LORENSON. 808 00:28:42,021 --> 00:28:43,455 WE'RE NOT FRIENDS. 809 00:28:43,489 --> 00:28:45,391 I-I'M THE DIRECTOR OF THE RESIDENCY PROGRAM, 810 00:28:45,424 --> 00:28:46,492 YOU'RE A RESIDENT. 811 00:28:46,525 --> 00:28:48,060 FINE, BUT I HEARD WHAT YOU SAID TO THAT KID'S FATHER, 812 00:28:48,094 --> 00:28:49,361 AND YOU WERE RIGHT. 813 00:28:49,395 --> 00:28:50,429 HOLD ONTO THE PEOPLE WE LOVE, 814 00:28:50,462 --> 00:28:52,899 BECAUSE YOU NEVER KNOW WHEN THEY'RE GONNA SLIP AWAY. 815 00:28:52,932 --> 00:28:54,901 Neal: WHAT'S GOING ON? 816 00:28:56,468 --> 00:28:58,504 SHE WANTS YOU TO DO THE DETORSE. 817 00:28:58,537 --> 00:29:00,206 YEAH, SHE TOLD ME. 818 00:29:00,239 --> 00:29:01,273 I'M SORRY. 819 00:29:01,307 --> 00:29:04,010 HE WAS THE LOVE OF HER LIFE. I JUST WANT TO HELP HER. 820 00:29:06,813 --> 00:29:08,214 TAYLOR WOULD HAVE TO SIGN OFF ON IT. 821 00:29:08,247 --> 00:29:09,348 WAIT. WHAT? 822 00:29:11,550 --> 00:29:13,119 IT WOULD HAVE TO BE FAST. 823 00:29:14,153 --> 00:29:15,154 CAN YOU DO IT LAPAROSCOPICALLY? 824 00:29:15,187 --> 00:29:16,789 LAPAROSCOPE WAS MY JAM. 825 00:29:16,823 --> 00:29:18,457 DON'T ASK TAYLOR. 826 00:29:18,490 --> 00:29:19,458 IT'S EASIER TO ASK FOR FORGIVENESS 827 00:29:19,491 --> 00:29:20,459 THAN IT IS PERMISSION. 828 00:29:20,492 --> 00:29:22,361 THANK YOU. THANK YOU. GO. 829 00:29:22,394 --> 00:29:24,230 CLOCK IS TICKING. 830 00:29:24,263 --> 00:29:26,032 [ DOOR CLOSES ] 831 00:29:26,065 --> 00:29:28,267 [ POLICE RADIO CHATTER ] 832 00:29:42,915 --> 00:29:45,885 YOU KNOW IN HIGH SCHOOL WHEN THEY HAVE CAREER DAY? 833 00:29:46,585 --> 00:29:48,320 I WASN'T THERE. 834 00:29:48,354 --> 00:29:51,924 I WAS TOO BUSY WINNING STATE. 835 00:29:51,958 --> 00:29:55,094 HELL AM I SUPPOSED TO DO IF I'M NOT PLAYING HOCKEY? 836 00:29:55,127 --> 00:29:57,563 YOU KNOW, THERE'S A WOMAN HERE WHO JUST BECAME A DOCTOR AT 40. 837 00:29:57,596 --> 00:30:00,566 [ SCOFFS ] OH, I'M GONNA BE A DOCTOR NOW? 838 00:30:00,599 --> 00:30:02,168 YOU CAN DO ANYTHING YOU WANT, YOU PUT YOUR MIND TO IT. 839 00:30:02,201 --> 00:30:04,003 WHO TOLD YOU THAT? 840 00:30:04,036 --> 00:30:07,139 YOU DID. 841 00:30:07,173 --> 00:30:10,242 AFTER EDMONTON, A REPORTER ASKED IF THAT GOAL WAS DUMB LUCK. 842 00:30:10,276 --> 00:30:11,610 YOU SAID IT WAS SMART LUCK. 843 00:30:11,643 --> 00:30:13,412 HE ASKED YOU WHAT YOU MEANT. 844 00:30:13,445 --> 00:30:15,547 YOU SAID, "SMART LUCK IS WHEN YOU WORK YOUR ASS OFF 845 00:30:15,581 --> 00:30:17,349 SO WHEN THE OPPORTUNITY PRESENTS ITSELF, 846 00:30:17,383 --> 00:30:20,219 YOU DON'T HAVE TO PRAY FOR DUMB LUCK." 847 00:30:20,252 --> 00:30:22,488 [ SIREN WAILS ] 848 00:30:22,521 --> 00:30:25,557 YOU CAN BE ANYTHING YOU WANT TO BE, MAN. 849 00:30:25,591 --> 00:30:28,394 TRUST ME. I'M LIVING PROOF. 850 00:30:28,427 --> 00:30:31,163 [ SIREN WAILS ] 851 00:30:34,266 --> 00:30:37,003 GUYS, YOUR PATIENT IN CT's GOING SIDEWAYS. 852 00:30:37,036 --> 00:30:38,604 ROCKSICKLER? THE ONE WITH THE BACK PROBLEM. 853 00:30:38,637 --> 00:30:40,239 WAIT, WHAT DO YOU MEAN SIDEWAYS? 854 00:30:40,272 --> 00:30:41,473 THEY JUST SAID GET UP THERE STAT. 855 00:30:41,507 --> 00:30:42,574 FIND DR. RORISH. 856 00:30:44,010 --> 00:30:45,945 [ SCREAMING ] 857 00:30:45,978 --> 00:30:47,546 OH, NO. 858 00:30:47,579 --> 00:30:48,547 ANGUS, THIS WAS YOUR HUNCH. YOU WERE RIGHT. 859 00:30:48,580 --> 00:30:50,249 WE DON'T KNOW THAT. 860 00:30:50,282 --> 00:30:51,918 TAKE HIS PULSE IN THE RIGHT HAND. I'LL GRAB THE LEFT. 861 00:30:51,951 --> 00:30:52,919 OW! 862 00:30:52,952 --> 00:30:54,620 I HAVE A PULSE. 863 00:30:54,653 --> 00:30:56,055 I DON'T. YOU KNOW WHAT THAT MEANS. 864 00:30:56,088 --> 00:30:57,623 IT'S BOUNDING. GOD, YOU KNEW IT! 865 00:30:57,656 --> 00:30:59,491 KNEW WHAT? WHAT'S HAPPENING? WE NEED AN ATTENDING IN HERE NOW! 866 00:30:59,525 --> 00:31:01,460 WE HAVE TO BE SURE WE'RE RIGHT. WE AR RIGHT. 867 00:31:01,493 --> 00:31:03,095 GUYS, HE'S ALREADY ON THE SCANNER. 868 00:31:03,129 --> 00:31:04,596 RUN HIS CHEST, CTA DOWN TO T10. 869 00:31:04,630 --> 00:31:05,431 WE HAVE TO MAKE SURE THAT WE'RE RIGHT. 870 00:31:05,464 --> 00:31:07,033 MALAYA, WE DON'T HAVE TIME FOR THAT! 871 00:31:07,066 --> 00:31:08,935 SOMEBODY TELL ME WHAT'S HAPPENING! 872 00:31:08,968 --> 00:31:10,669 WE THINK YOU'RE HAVING AN AORTIC DISSECTION. 873 00:31:10,702 --> 00:31:12,671 THE PAIN IN YOUR BACK IS ACTUALLY BEING CAUSED 874 00:31:12,704 --> 00:31:14,340 BY THE VERTICAL SPLITTING OF YOUR AORTA, 875 00:31:14,373 --> 00:31:15,641 THE MAIN ARTERY IN YOUR HEART. 876 00:31:15,674 --> 00:31:16,976 AM I GONNA DIE? 877 00:31:17,009 --> 00:31:18,644 DEFINITELY NOT. 878 00:31:18,677 --> 00:31:20,179 [ MONITOR BEEPING RAPIDLY ] OH, GOD. 879 00:31:20,212 --> 00:31:21,347 [ GROANING ] 880 00:31:21,380 --> 00:31:23,082 GET HIM OUT OF HERE. GET HIM OUT OF HERE! 881 00:31:23,115 --> 00:31:25,117 MALAYA, GET IN HERE NOW! 882 00:31:30,689 --> 00:31:31,790 GET ME A PARACENTESIS KIT! 883 00:31:31,823 --> 00:31:33,259 IT'S THE HARPOON WITH THE SYRINGE AT THE END OF IT. 884 00:31:33,292 --> 00:31:35,294 I KNOW WHAT A PARACENTESIS KIT IS! 885 00:31:35,327 --> 00:31:37,129 I JUST CAN'T BELIEVE THIS IS HAPPENING. 886 00:31:37,163 --> 00:31:38,230 BELIEVE IT. THIS IS HAPPENING. 887 00:31:38,264 --> 00:31:40,099 HE'S CRUMPING! I KNOW! 888 00:31:40,132 --> 00:31:42,301 [ MONITOR BEEPING RAPIDLY ] Stan: [ GROANING ] 889 00:31:42,334 --> 00:31:46,238 WHAT THE HELL ARE YOU DOING? 890 00:31:46,272 --> 00:31:50,042 Neal: ELEVATED WHITE COUNT OVER 18,000 WITH A LEFT SHIFT. 891 00:31:50,076 --> 00:31:52,011 LET'S, UH, GET HER INTO TRENDELENBURG POSITION, PLEASE. 892 00:31:52,044 --> 00:31:53,212 Woman: RIGHT AWAY, DOCTOR. 893 00:31:53,245 --> 00:31:55,714 THIS ALLOWS GRAVITY TO MOVE THE BOWEL 894 00:31:55,747 --> 00:31:57,449 UP OUT OF THE PELVIS AND LOWER ABDOMEN. 895 00:31:57,483 --> 00:31:59,151 UH, CHRISTA, CAN YOU HAND ME THE VERESS NEEDLE? 896 00:31:59,185 --> 00:32:02,154 [ MONITOR BEEPING ] 897 00:32:05,224 --> 00:32:06,492 OKAY, STAN. 898 00:32:06,525 --> 00:32:08,660 I'M GONNA HAVE TO PUT THIS NEEDLE INTO YOUR CHEST 899 00:32:08,694 --> 00:32:10,429 TO DRAIN THE BLOOD THAT IS CRUSHING YOUR HEART. 900 00:32:10,462 --> 00:32:12,564 WE'RE GONNA MONITOR IT ON THE ULTRASOUND 901 00:32:12,598 --> 00:32:14,433 TO MAKE SURE WE DON'T PENETRATE THE HEART WALL. 902 00:32:14,466 --> 00:32:15,501 WHAT CAN I DO? GRAB A COLLECTION TUBE. 903 00:32:15,534 --> 00:32:17,203 THERE COULD BE A LITER OR MORE OF BLOOD IN THERE. 904 00:32:17,236 --> 00:32:19,371 HE'S UNCONSCIOUS. BETTER FOR HIM. 905 00:32:19,405 --> 00:32:21,440 OKAY, GUYS, WE'VE GOT ONE SHOT AT THIS OR HE'S DEAD. 906 00:32:21,473 --> 00:32:22,441 UNDERSTOOD? 907 00:32:22,474 --> 00:32:24,443 Together: UNDERSTOOD. 908 00:32:24,476 --> 00:32:26,045 ALL RIGHT. [ INHALES SHARPLY ] 909 00:32:26,078 --> 00:32:28,480 I'M PUTTING THE NEEDLE IN NOW. 910 00:32:28,514 --> 00:32:29,648 YOU SEE WHAT I MEAN? 911 00:32:29,681 --> 00:32:32,584 THAT DARK, BLACK RIBBON AROUND THE HEART? 912 00:32:32,618 --> 00:32:34,987 THAT'S BLOOD, AND LOTS OF IT. 913 00:32:35,021 --> 00:32:37,523 THERE'S OUR NEEDLE. 914 00:32:37,556 --> 00:32:40,326 SEE IT? 915 00:32:40,359 --> 00:32:42,428 WE'RE IN THE TUBE NOW. 916 00:32:42,461 --> 00:32:44,696 SEE THAT BLUE COLOR? 917 00:32:44,730 --> 00:32:46,765 THAT'S THE TUBE NOT GETTING ENOUGH BLOOD. 918 00:32:46,798 --> 00:32:48,767 JUST LIKE A KINKED GARDEN HOSE. 919 00:32:48,800 --> 00:32:51,137 SO LET'S FIND THE SPOT WHERE IT'S KINKED. 920 00:32:51,170 --> 00:32:53,005 THERE. 921 00:32:53,039 --> 00:32:54,640 THAT'S IT. 922 00:32:54,673 --> 00:32:56,742 NOW, WITH THIS HAND, I'M GONNA MOVE THE PROBE 923 00:32:56,775 --> 00:33:01,780 UP TO THE TIP OF THE OVARY AND JUST FLIP IT OVER. 924 00:33:01,813 --> 00:33:04,716 NOW WATCH. 925 00:33:04,750 --> 00:33:06,752 THE BLOOD SHOULD FLOW INTO THE OVARY, 926 00:33:06,785 --> 00:33:08,054 AND THE COLOR WILL CHANGE. 927 00:33:08,087 --> 00:33:10,689 ANY SECOND. 928 00:33:10,722 --> 00:33:13,692 [ SIGHS ] THERE YOU GO. 929 00:33:13,725 --> 00:33:14,793 YOU WANT TO DRIVE? 930 00:33:14,826 --> 00:33:16,028 COME HERE. 931 00:33:17,629 --> 00:33:19,665 TAKE THE WAND. 932 00:33:21,767 --> 00:33:24,070 AND THE CAMERA. 933 00:33:24,103 --> 00:33:27,239 GENTLY. 934 00:33:27,273 --> 00:33:30,176 NOW YOU'RE SLOWLY GONNA BACK THE CAMERA OUT. 935 00:33:30,209 --> 00:33:33,312 OKAY. AND WATCH THE IMAGE. 936 00:33:33,345 --> 00:33:34,813 WHY DID YOU EVER LEAVE SURGERY? 937 00:33:34,846 --> 00:33:37,049 AH, LONG STORY. 938 00:33:37,083 --> 00:33:39,085 OKAY, NOW YOU'RE GONNA PULL IT 939 00:33:39,118 --> 00:33:40,619 ALL THE WAY OUT THROUGH THE PORT. 940 00:33:40,652 --> 00:33:43,122 GENTLE. 941 00:33:47,493 --> 00:33:48,460 [ SIGHS ] 942 00:33:48,494 --> 00:33:51,663 NOW JUST EASE THE SLEEVE OUT. 943 00:33:51,697 --> 00:33:53,099 [ MONITOR BEEPING RAPIDLY ] WHAT'S HAPPENING? 944 00:33:53,132 --> 00:33:54,566 STEP OUT? DID I DO THAT? 945 00:33:54,600 --> 00:33:56,835 NO. I MUST'VE NICKED A VESSEL WHEN I PUT THE SLEEVE IN. 946 00:33:56,868 --> 00:33:58,637 THE SLEEVE KEPT THE PRESSURE ON. 947 00:33:58,670 --> 00:33:59,805 UH, WE'RE GONNA HAVE TO OPEN HER UP. 948 00:33:59,838 --> 00:34:02,274 CAN WE HAVE A SURGICAL TRAY, PLEASE? 949 00:34:03,809 --> 00:34:06,078 I'M GONNA PUNCTURE THE SAC NOW. 950 00:34:07,179 --> 00:34:08,714 FINGERS CROSSED. 951 00:34:10,349 --> 00:34:11,717 THERE IT IS. 952 00:34:11,750 --> 00:34:14,620 [ MONITOR BEEPING ] 953 00:34:14,653 --> 00:34:16,822 I'M IN. 954 00:34:19,625 --> 00:34:22,428 PULL BACK ON THE SYRINGE. 955 00:34:22,461 --> 00:34:24,530 [ LIQUID GURGLING ] HEAR THAT SOUND? 956 00:34:24,563 --> 00:34:26,732 [ CHUCKLES ] 957 00:34:26,765 --> 00:34:29,468 IT'S WORKING. 958 00:34:33,139 --> 00:34:34,039 BLOOD PRESSURE'S TANKING. 959 00:34:34,072 --> 00:34:35,841 LET'S, UH, SQUEEZE SOME FLUIDS INTO HER. 960 00:34:35,874 --> 00:34:37,376 STARTING THE INCISION NOW. 961 00:34:37,409 --> 00:34:38,710 WAIT. WHAT? 962 00:34:38,744 --> 00:34:40,512 URINARY CATHETER. WHAT ARE YOU TALKING ABOUT? 963 00:34:40,546 --> 00:34:42,614 IT'S WHAT DR. RORISH USED WITH THAT KID WITH THE NOSE BLEED. 964 00:34:42,648 --> 00:34:44,316 SHE FED THE CATHETER, AND SHE FILLED IT WITH LIQUID 965 00:34:44,350 --> 00:34:45,417 TO PUT PRESSURE ON THE ARTERY. 966 00:34:45,451 --> 00:34:47,819 CAN WE -- CAN DO THE SAME THING HERE? 967 00:34:47,853 --> 00:34:49,888 I BELIEVE WE CAN. IS THERE A FOLEY ON THAT CART? 968 00:34:49,921 --> 00:34:51,723 [ MONITOR BEEPING RAPIDLY ] 969 00:34:51,757 --> 00:34:52,658 OKAY. 970 00:34:52,691 --> 00:34:55,161 OKAY, LET'S GET IT IN THROUGH THE PORT. 971 00:34:55,194 --> 00:34:57,896 DR. LORENSON... 972 00:34:57,929 --> 00:35:00,366 YOU'RE GONNA SQUEEZE THE FLUIDS ON MY MARK. 973 00:35:00,399 --> 00:35:02,701 ** 974 00:35:02,734 --> 00:35:05,437 NOW, PLEASE. PUSH THE FLUIDS IN. 975 00:35:07,639 --> 00:35:09,308 LOOK AT HER BP. IT'S WORKING. 976 00:35:09,341 --> 00:35:11,777 YEAH. IT WORKED. 977 00:35:11,810 --> 00:35:12,878 [ BEEPING SLOWS ] [ CHUCKLES ] 978 00:35:12,911 --> 00:35:14,780 VERY WELL DONE, DOCTOR. 979 00:35:14,813 --> 00:35:16,648 VERY WELL DONE. 980 00:35:16,682 --> 00:35:19,951 ** 981 00:35:23,822 --> 00:35:25,357 [ INDISTINCT CHATTER ] 982 00:35:25,391 --> 00:35:26,392 IF YOU'RE READY TO GO HOME, 983 00:35:26,425 --> 00:35:27,826 I'LL CALL THEM TO COME PICK YOU UP. 984 00:35:27,859 --> 00:35:29,861 GROWING OLD IS A SWIRLING TOILET BOWL. 985 00:35:29,895 --> 00:35:32,664 BEST YOU CAN DO IS CLING TO THE RIM. 986 00:35:32,698 --> 00:35:33,665 AM I RIGHT? 987 00:35:33,699 --> 00:35:35,801 RIGHT AS RAIN, KID. 988 00:35:35,834 --> 00:35:36,868 RIGHT AS RAIN. 989 00:35:37,936 --> 00:35:40,206 YOU GOT ICE CREAM IN THIS JOINT? 990 00:35:40,239 --> 00:35:43,509 I THINK WE CAN MAKE THAT HAPPEN. 991 00:35:45,511 --> 00:35:47,513 [ SIGHS ] 992 00:35:50,382 --> 00:35:52,451 DR. RORISH? 993 00:35:53,752 --> 00:35:54,820 IT'S MY FAULT. 994 00:35:54,853 --> 00:35:56,822 ANGUS HAD A FEELING 995 00:35:56,855 --> 00:35:59,325 THAT IT WAS AN AORTIC DISSECTION. 996 00:36:02,694 --> 00:36:04,363 WHY DIDN'T YOU ACT ON IT? 997 00:36:04,396 --> 00:36:07,366 I-I WASN'T SURE. 998 00:36:07,399 --> 00:36:08,834 I-I GUESS. 999 00:36:08,867 --> 00:36:13,405 BOTH OF YOU LISTEN TO ME VERY CLOSELY. 1000 00:36:13,439 --> 00:36:16,442 THERE ARE CERTAIN THINGS YOU NEVER, EVER WANT TO SEE 1001 00:36:16,475 --> 00:36:17,276 ON A CT SCAN. 1002 00:36:17,309 --> 00:36:20,546 AN AORTIC DISSECTION IS ONE OF THEM. 1003 00:36:20,579 --> 00:36:21,580 WHY? 1004 00:36:22,581 --> 00:36:24,450 BECAUSE IF YOU TOOK THE TIME TO TAKE A PICTURE, 1005 00:36:24,483 --> 00:36:26,452 IT MEANS YOU DIDN'T ACT FAST ENOUGH. 1006 00:36:26,485 --> 00:36:29,655 YOUR INSTINCT HAS TO BE SHARPER THAN YOUR SCALPEL 1007 00:36:29,688 --> 00:36:32,558 AND FASTER THAN ANY MACHINE. 1008 00:36:35,361 --> 00:36:39,598 YOU IGNORE THOSE INSTINCTS AT YOUR PERIL AND THEIRS. 1009 00:36:43,535 --> 00:36:45,504 ** 1010 00:36:45,537 --> 00:36:47,539 [ MONITOR BEEPING ] 1011 00:36:48,640 --> 00:36:50,642 [ TELEPHONE RINGS IN DISTANCE ] 1012 00:36:57,683 --> 00:36:58,950 DID IT WORK? 1013 00:36:58,984 --> 00:37:01,553 YES. 1014 00:37:01,587 --> 00:37:03,522 THINGS GOT COMPLICATED, BUT... 1015 00:37:03,555 --> 00:37:05,524 [ Voice breaking ] BUT IT WORKED. 1016 00:37:05,557 --> 00:37:07,793 IT APPEARS SO. 1017 00:37:15,066 --> 00:37:18,504 I HOPE EVERYTHING WORKS OUT FOR YOU. 1018 00:37:22,308 --> 00:37:23,842 THANK YOU, DOCTOR. 1019 00:37:23,875 --> 00:37:26,812 [ DOOR OPENS ] 1020 00:37:32,384 --> 00:37:34,052 SHE'S GONNA BE OKAY. 1021 00:37:34,085 --> 00:37:35,621 [ Voice breaking ] I KNOW. 1022 00:37:35,654 --> 00:37:37,589 THEN WHY ARE YOU CRYING? 1023 00:37:37,623 --> 00:37:39,825 I'M NOT. 1024 00:37:42,328 --> 00:37:44,296 [ SIGHS ] 1025 00:37:44,330 --> 00:37:46,598 YOU MAY BE MY BOSS AND MY TEACHER, 1026 00:37:46,632 --> 00:37:50,569 AND I MAY BE OVERSTEPPING, 1027 00:37:50,602 --> 00:37:53,539 BUT YOU AND I, WE ARE IN THE SAME CLUB. 1028 00:37:53,572 --> 00:37:55,741 [ SIGHS ] 1029 00:37:55,774 --> 00:38:00,312 AND THIS STUFF MATTERS TO US. 1030 00:38:00,346 --> 00:38:01,713 IT MATTERS. 1031 00:38:06,685 --> 00:38:09,087 [ SIREN WAILS IN DISTANCE ] 1032 00:38:09,120 --> 00:38:11,923 ** 1033 00:38:15,060 --> 00:38:16,562 Leanne: YOU HAVE A PATIENT IN REAL TROUBLE. 1034 00:38:16,595 --> 00:38:17,863 DEATH'S DOOR. 1035 00:38:17,896 --> 00:38:20,566 YOU'RE SO PANICKED THAT YOU CAN NO LONGER TELL THE DIFFERENCE 1036 00:38:20,599 --> 00:38:23,535 BETWEEN INSTINCT AND RAW FEAR. 1037 00:38:23,569 --> 00:38:28,840 BUT A VOICE SOMEWHERE DEEP INSIDE YOU WHISPERS, 1038 00:38:28,874 --> 00:38:31,443 "I CAN STILL BRING HIM BACK. 1039 00:38:31,477 --> 00:38:34,580 I'VE GOT ONE MORE MOVE LEFT." 1040 00:38:36,047 --> 00:38:39,551 HERE'S A SECRET. 1041 00:38:39,585 --> 00:38:41,853 IF YOU HEAR THAT VOICE, 1042 00:38:41,887 --> 00:38:44,490 IT MEANS YOU'RE IN THE RIGHT PLACE, 1043 00:38:44,523 --> 00:38:46,692 YOU'RE IN THE RIGHT JOB. 1044 00:38:48,560 --> 00:38:49,995 YOU'RE HOME. 1045 00:38:53,399 --> 00:38:56,735 24 HOURS AGO, WE HAD A PATIENT JUST LIKE THAT. 1046 00:38:56,768 --> 00:39:02,140 WE OPENED UP HIS HEART RIGHT HERE IN THIS ROOM. 1047 00:39:02,173 --> 00:39:03,709 HE'D LIKE TO MEET YOU. 1048 00:39:11,583 --> 00:39:14,653 [ APPLAUSE ] 1049 00:39:17,556 --> 00:39:19,057 Jake: THANK YOU SO MUCH. 1050 00:39:30,201 --> 00:39:32,404 ** 1051 00:39:38,677 --> 00:39:40,779 Becca: THANK YOU. 1052 00:39:42,648 --> 00:39:44,650 THANK YOU.