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Hey, Nance, I grabbed some sheets. You think we'll need anything else?
Nancy?
Nance? Glenn, I'll give you one of two scenarios.
One, I am completely deaf. Two, I'm ignoring you. You're ignoring me.
What are you reading there?
Still ignoring me.
Got it.
Come on,
Sheila. Little hit, Sheila. Come on. Pop it over.
Take the wall, princess.
You're not getting out of my face.
Get the shutout. I want you to hit one ball. Just one.
Nice and easy. Come on, Sheila.
Show them what you're made of. Come on, Sheila.
Right down the alley. Come on, Sheila.
Medic 114, respond code 3, Golden Gate Park, west of Steinhardt
Aquarium. Man versus baseball, individual, semi-conscious, and
unresponsive.
Hey, Nance. I know it's none of my business, but... Yeah, you're right.
It's not. If you wanted to tell me, I... I would.
And I don't.
Boyfriend?
Ex-boyfriend?
Friend?
Take Falls and take Howard.
I'm trying to get off. Well, then turn on Mission. No, I'm not going to take
Mission. Mission has too many lights. I'll take Van Ness. It's quicker.
Stop trying to change the conversation here. I'm trying to talk to you. You're
not having a conversation.
Hey, guys, listen up. There's construction on Folsom, so if you want
to go across town, take Howard.
Okay.
Whatever you want to tell me, I don't want to know.
It's about us. Oh, God, if we did something last night that I was too
drunk to remember, please let me live in ignorance.
It's our golden anniversary.
Sorry, what?
Yes, this is our 50th shift together.
Oh, thank God we didn't sleep together.
Why? Because it would have ruined our partnership?
Exactly.
not encourage him, Tyler.
I'll tell you what's up. Six tickets to the Warriors game tonight, courtesy of
an assistant coach who received premium flight Medicare en route to an emergency
bypass, courtside foul line.
Who's in?
Well, since I flew, Mr. Assistant Coach, thank you. You're welcome. Yes, I
finally get to hit up the Oracle without treating myself for a nosebleed. Thank
you, Robert. Mr. Boone. I cannot. I have not seen my kids awake in two days, bro.
So that means... Screw you.
I'll take one. No probies.
Pick you up at six?
A little presumptuous, don't you think?
Love to.
Courtside feats?
Courtside, man.
I'm going to be all like, yo, Jackson, why do you keep jumping from team to
team, man? Pacers, Warriors, Pacers, Warriors.
Make up your damn mind, right?
What is that black scent, too, huh?
What are you talking about?
Black scent? I don't even know what that is. Dude, that was a black scent. You
know, like how you said it. It smelled like a black scent. Hey, watch it.
Hey, sir.
Hey,
sir. I'm a paramedic. Do you mind conducting the orchestra across the
street? Come on, old dude. Let's go.
All right.
Looks like you're playing some good music out there.
Oh, you heard it, too?
Beautiful, isn't it? Beautiful.
Uh-huh. Actually, carry the weights.
It's nice, isn't it?
The music.
Sure.
Hey. Sorry, sorry.
Sorry. Hey, man, that's not cool. Just don't do that. Hey, that's it.
What are you looking at? I'm not...
i'm not looking at hey that's it pull the rig over
see
how you like it
i
first i drew my pistol and then i drew my rapier
why
do you have to make everyone crazy but me
we
should do something special
you know because it's a special shift special shift yes
Oh, Glenn, this cute, endearing thing, it really does have its limits. Well,
I'm just saying, for you, that's a long-term relationship.
Oh, you have just reached those limits, dude. This is not a relationship. Yes,
it is. Think about it.
Of all the men you spend time with, you spend the most with me.
Wow. See?
Yeah, wow.
You know, I am infinitely more screwed up than I thought I was.
You know, I have a special idea for our special shift.
Yeah? Yeah.
I'll get the coffee, you get the sheets.
It's not what it looks like.
It looks like you're eating your patient's food.
Yeah, yeah.
He was discharged and I haven't eaten for days, so...
Oh, and people expect me to tell them what to do.
I know.
Took me a couple months just to find people's veins.
Yeah, they... They call me doctor and the techs know more than I do.
At least you get called doctor.
I either get called probie or dude.
Dude's not bad.
No, dude's not bad.
It beats moron.
Being you sucks.
Yeah.
Being you does suck.
We've got something for you.
Finally.
I bring you people every day. What do I ever get in return?
What's that? My letter of recommendation.
For what?
For you.
Residency at Sutter just opened up.
If you want it, I'll make it happen. But I need to know sooner or they'll post it
on the air.
You've got the degree. You've got the talent.
Here's your chance to be a doctor.
Take it.
Not a girl.
Liz?
Liz?
Yeah, I'm okay. Are you okay? It was like a stellar laceration with a small
degree of devitalized tissue. You're losing a lot of blood, Glenn. You're
losing a lot of blood. Stop! Stop!
Come on, tell me you're okay. Can you answer me that? Are you okay?
Yeah, I'm here. I'm okay. I'm okay. I don't know what happened.
Something hit us or we hit something. I don't know. I didn't see anything.
This is Meta 114.
Oh, I'm reporting an MCI.
We're on the corner of Folsom and 12th. It's a munibus versus an SFFD ambulance.
Please identify ambulance call number involved in MCI.
It's mine.
I counted on his money and made a pretty penny. I stuffed it in my pocket and I
sent it home to Jenny.
Medic 78, respond code 3 at 12th Street and Folsom for MCI.
Hey, dispatch, can you please confirm that SFFD call number? What river's in
the wreck? Medic 114, respond to.
Go, go.
Rabbit. Rabbit, hold up.
Hey, this bird's not ready to fly. It's not fueled up.
We got enough fuel to get us the postman back? Yeah, but... Then we're flying.
Okay, you signing off on this?
Yeah. Okay,
let's go. Let's go.
Hey, I'm gonna get you guys out of here, okay?
Hey, what's your name?
Jorge. Hang in there, Jorge.
Help is here, all right?
You hurt me?
Okay.
This is pretty messed up, man. It's like 12 of those GCS.
Hey, Nance.
Nancy, talk to me. Tell me, give me symptoms. Give me symptoms, baby.
Nancy, talk to me. Give me symptoms, baby. Give me symptoms.
Hey, stop.
Huh? We can't extricate him. What? Listen, we're first on the scene. I'm
incident commander, and you are in charge of triage. Don't forget protocol,
boo. No, no. They are breathing.
They're talking.
Rescue will cut them down.
Forget it, man.
Hey, we've got severely injured people on that bus. Hey, hey, hey.
You tag him, you talk to him, you do not treat.
No treating.
He's right, Tyler.
It's probably just a cracked rib.
I'll go protocol.
I'm sorry.
I'm sorry.
I got you, I got you.
Hey, hey, that red lever, get that red lever.
All right, everybody, just keep it
calm. We got help right behind you, okay, everybody?
It's open.
Okay, hey, hey, hey, hey.
What's your name? France Luce.
That is a very, very pretty name.
Can you walk?
No? This is France Luce. I want you to do me a favor, okay? I want you to just
relax and calm down, okay? I've got help on its way.
No, no!
Why isn't this guy out of here yet? Waiting on rescue.
Guys, this guy over here in the taxi is more critical.
If we don't get him out, he's not going to make it. You know that you got one of
yours in there. I understand that, but right now they're all mine.
Let's go.
I want every critical move to the secure ICU now. Let's clear these trauma beds,
people. EMS is requesting 30 beds, but we can't take them all. We'll be
saturated. I need the emergency bypass policy. Tell Ortiz to update the heart
screens. Let the staff and field providers know we take what we can, and
we divert the rest.
But I want...
Those medics. I want Nancy and Glenn here. Understand?
They come to me.
Nancy and Glenn?
They're the ones... Get out of here.
Admission number two has arrived on the floor.
42B. Admission number two has arrived on the floor.
Where's my daughter?
Nancy's still on scene. They'll have her here as soon as they can.
Is she injured? Is she okay? I don't know what's going on except that she and
her partner are two of the injured. Come on. Take my office.
Damn it, Joe. You know she shouldn't be out there. Dr. Joe.
Dr. Joe.
The patient's here.
Seizure
Okay
I don't know, I probably just broke some ribs or something.
I'm going to release you now, okay?
Here we go.
You got him?
I got him.
Buddy, I'll see you on the outside, okay?
It's not your fault, Glenn.
What kind of pain?
Get away from me.
Get away.
Out of the way.
I'm here.
It's okay.
It's okay.
It's okay.
Tell me. Pulse attack at 120.
BP down from 110 systolic to 90, pal.
GCS is 12.
What the hell took you so long? Next time you want to go head to head with a
bus, try doing it somewhere I can land.
Look at me. Look at me.
That's it. How do you see?
Pupils, 4 millimeters.
Skin is cool, pale, and diaphoretic. I'm going to start populating, okay?
All right. No sign of crepitus.
Point tenderness is just above ribs 10 and 11.
Wild chest.
I don't think so.
What the hell hurts so bad?
Nancy.
Hot belly.
It's all right. It's all right. We're going to get you out.
All right.
I got a hot belly, probable ruptured screen. I got to get her out now. She's
not going to make it. Just give us five more minutes, rabbit. She doesn't have
five minutes.
Give me a jacket.
Stay right with me, okay?
All right.
Angle that in. Watch out.
Okay,
good. Check her out.
We're on our way.
Back in BDM. Okay, got it?
We're two minutes out, Rabbit. Dr. Joe has a surgeon prepped and waiting.
Let me do that.
Do it. Let me do it. Let me do it. Let go.
Okay,
deep breaths.
Ooh, that's better.
Reuben? I'm right here.
I can't see anything. I'm losing you.
I can't see anything.
What's going on, Rabbit?
Cerebral perfusion, visual deficit. She needs a blood transfusion. I'm right
here, Rabbit.
No, I'm right here, Nancy.
Listen to me, Nancy.
You are not losing me, and I am not losing you, okay?
I'm going to give you some midazolam. No, no, no, no, no, no. And some more
morphine. I have to. You're in too much pain. No, please do not put me up. I'm
sorry, Nancy. I'm really sorry. I'm really sorry. Okay. Listen to me.
Nancy, I'm right here.
I'm right here.
Come on. You'll be late for the basketball game, right? Tonight?
Yeah, that's right. That's right. Front row.
It's our line.
We need some beers.
How's Nancy?
She's in good hands How are you? I'm fine, all right. We have head laceration
with no TBI presenting, blood loss at 200 cc or less, and a fracture of the
left clavicle.
So, Dr. Van Dyne, what do we do?
Irrigate and prep lack of closure, sling for the clavicle.
And are we worried about the head wound?
Not after we do a CT scan. If it's normal, he's good to go.
Good.
Work him up.
Diana, is anyone talking about whose fault this is?
Did you hear anything?
No. No one.
Why?
Control, this is Angel Rescue 2. I've got 1,300 pounds of fuel and we're 10
minutes out from base. Over.
Negative, Angel Rescue 2. You've got a possible cardiac arrest at Ocean Beach.
No other units available.
Copy that. We're four minutes out.
You up for this?
That's what I do.
Why? It's not what I asked.
Robin, I know what it's like to see friends go down, okay?
I just need to know, can you take the call?
Yeah. Good.
You want to talk about it?
No. Good.
Here are things.
Thank you.
If there's anything I can do.
What year are you?
First. Do you like the trauma rotation?
Very much.
Well, your father must be very proud of you.
That was fast.
You're the cardiac?
False alarm.
Sometimes I get these chest pains and they feel like heart attacks, but then
they go away.
Heartburn? Yeah.
Heartburn. Like I said, they feel pretty bad.
Okay.
You called us all the way out here and now the taxpayer is paying. So, I'm
going to have to work you up. False alarm or not.
No, no, no. Don't do anything. Like I said, I'm fine.
Hey. You called 911.
You got 911.
Let's see.
Hey, I can't actually leave you here with your supersized soda and your
supersized fries.
Well, then, it's only a matter of time, and it won't be heartburn. There's gonna
be a massive cardiac arrest.
But by then, you'll be bed-bound in your fifth-floor walk-up, and I'm gonna have
to break my back trying to get you down all those stairs.
Hey, I'll eat whatever I want to eat.
Oh, yeah? You want to eat?
Is that what you want? Okay, then eat that. Eat it. Go on, eat it.
How about some fries?
Eat some water. Come on.
Come on. Want to eat some food?
That's the water.
What? You're not eating it. Oh, you're thirsty? You want to wash it down with
something? Try it. Robert, stop it.
How about that?
Robert, what are you doing?
What are you doing, man?
You know why you got chest pain, do you?
It's because you're clogging your arteries with fat. That's why.
And the fatter you get, the sooner you're going to have a heart attack,
buddy.
Do us both a favor and go on a diet.
We're at 22 centimeters.
O2 stats are improving.
96, 99... Two units, AB positive, hanging. No
signs of transfusion reaction.
Fully output?
600 cc.
Lynn, this is Dr. Aquino. He'll be performing the splenectomy.
Dr. Carnahan, I'm sorry about your daughter.
Thank you. Thanks. You're scrubbing in?
No assist.
Incision. Upper midline.
Breastbone to navel. Flatbed.
Flatbed. Ready for suction.
Whoa. We have massive penile peritoneum. Suctioning blood loss.
Where's it coming from?
Appears to be the hilum. All right. Still bleeding from the spleen.
Estimated blood loss at 1,000 cc. All right. Bookwalter. Bookwalter.
All right.
Retracting the stomach. Pest retractor. Pest retractor.
Now we have exposure.
Estimated blood loss at 1,500 cc.
Mobilizing the spleen.
More suction.
Estimated blood loss at two liters.
She can't hit half volume. I don't want her decompensating.
Call the blood bank. Get some more blood up here. Stat.
Got it.
Meteor rotation.
Level one infuser running.
Blood loss stabilizing.
Okay. Let's begin.
Get your stuff out of my copter cuz I'm not taking you back up. Oh, you're a
copter, is it? Damn straight.
Come on. The guy's gonna think twice before he orders another Big Mac. It's
not a bad thing.
I will honor the laws of God and man.
I will follow that regimen which benefits my patients and abstain from
whatever is deleterious and harmful. Hey, hey, I know the oath, okay?
Well, then follow it.
You know, in my eyes, you do as much harm as you do good.
Which, guess what?
Comes to nothing.
What's the good in that, Rabbit?
Okay.
So what am I supposed to do?
Just go to the hospital. Go see Nancy.
But whatever you do, you're still grounded.
Mets. Mets.
I'm seeing multiple adhesions in the spleen, parietal peritoneum, and lesser
momentum. Watch out for the tail of the pancreas.
If you want to do this yourself, why'd you drag me in?
Sorry.
This is Medic 78, the last patient diverted to St. Luke's Hospital, leaving
the scene.
Copy that, Medic 78.
Hey, where's Ben?
Where's Ben?
Oh, that... Right, the whiskey in the bottle. Well, the good news is if he
would have stayed back there, he'd be corked from heat stroke.
All right, look, this is Medic 78.
My 5151 AWOL on the scene.
We're getting back in the box. Let me know if PDA or fire finds him. Hey, hey,
hey. No, no. We're going to the hospital to check on the guy. No, we lost
transport. Yeah, because of you, we almost lost Nancy.
What, you want to ride with somebody else?
Now's your chance, Tyler.
If you're going to be my partner, you act like my partner. Now, let's get in
the rig, man.
Camera.
You want to bust my balls too? You did the right thing, Cameron.
Doesn't feel like it, though, does it?
No.
And if Nancy's not okay, I'm going to feel a hell of a lot worse.
I know.
Okay, finishing dissection towards the spun arena.
Okay, stapler.
Okay, stapler.
All right, closing fire.
Fire. Transaction completed.
Slice and dice.
You got it.
I don't want company.
Is that why you're not at the hospital?
You're making me take
a drug test.
On a house, my friend. On a house.
I gotta go to CISD and they're doing this investigation.
I'm off the box until it's over.
Maybe it is my fault rabbit.
It's not your fault Glenn.
She told me take Howard.
I didn't listen.
I was with her right in the rig. She told me take Howard.
She said take Howard. Okay, okay, okay. It's your fault. I didn't listen. You
happy now, you stupid brobie? It's all your fault.
You know what's bugging me though?
As I drove her for three years, I never once, you know...
Lost it. I never hit a bumper. I never hit a curb, you know?
And I've seen a lot of bad things, but I never had to worry about Nancy until
today. Until you didn't listen, man. Until you stayed on 12th.
Hey,
Glenn.
Glenn?
Call 911.
I thought you were 911.
Has 10 drinks to go. Come on, call 911 now.
Irrigation.
No signs of coagulopathy.
That's it.
Dr. Lasky and his team are going to sell her up. Thank you, everyone.
Anyone sober here? Yeah, I'm on duty. What happened? You been drinking?
No, I was just eating. But I'm not a medic, EMT.
That's fine. I've been a paramedic 20 years. I'm drunk as a donkey. I want to
walk you through the school.
Hell yeah, you're a rabbit. You rig here?
Yeah, it's outside.
Oh, that's great. Okay, keys.
All right.
Uh, T, T, where are you? Yo.
Grab us ALS bag.
I want to board and see Spina and blast the air. We want the rig as cool as
possible. You got it.
Okay, where's the pen light?
Okay, tell me, are his eyes pupils?
Pupils. Check the pupils.
Tell me if they're the same size.
Yeah. All right, that's good. There's no hernia issue. I want to drop a line in a
minute. Wait, what about mannitol? Dude, if he's TBI, he's going to have
hypotension. I don't want any more hypotension. The mannitol reduces the
blood viscosity. Yeah, well, that's great. You know what? It's my part of
your designated driver.
Now, you got that? Yeah. Get ready to drop the line. All right. Now, I want a
non-rebreather mask and 15 liters of oxygen per minute. On my count.
One, two, three.
T-spine, C-spine, C-spine! Go, go, go.
Okay, good. You're gonna be okay.
It's good. You're gonna be okay.
Altered LOC after blunt occipital trauma. Patient involved in earlier
collision. He was evaluated here and released.
Currently oriented times three, uh, set. Take over. BP 130 over 80. Pulse 100.
I thought you worked him up.
Bottles are normal. He's stabilized now. The radiologist agreed everything looked
normal. The radiology intern is just as inexperienced as you. Next time you
check with me before calling the CT negative.
So what should have Diana done?
Teleradiology? Exactly.
So next time you consult the radiology attending via Telerad before making me
look this sloppy.
It's okay.
No, it's not.
You know what else sucks about being new?
What? Some of the mistakes we're gonna make.
The first time I read it, I thought, all this pride, all this
emotion, I should have written it.
And then I read it again, and after I saw the way that you looked at her,
I thought, he's in love with my daughter.
I was trying to take care of her, that's all.
You might have done the same thing. Yeah.
Yes, I would have, because I'm her father.
But what are you, Joe?
I mean, you're not her father, you're not her supervisor, you're not her
boyfriend, so what are you?
What are you getting at?
I'm going to interpret this gushing letter.
as misplaced paternal pride.
Because anything else... Would be unacceptable.
Correct.
What
the
hell are we doing here?
I got a hunch. That Ben guy, he's a music freak.
No, it's not what I'm talking about, and you know it.
Nobody wants to lose a partner.
If it happened to you, man, I'd lose it.
Me too.
How are you?
Glenn? Yeah?
You have your gown on the wrong way around.
Oh.
Yeah, the nurse told me it was supposed to go like this.
Oh, they were lying to you.
Come sit.
Keep me company.
Hospital suck, huh? Yeah, they truly...
Truly suck.
No wonder you don't want to become a doctor. I don't blame you.
No wonder.
Hey, you standing me up.
I got a game to get to.
Yeah, I think I might be missing that. Maybe not.
Can you work that thing out?
Forgive me?
For what?
Now you, young lady.
But the only thing that stopped me from going completely insane so soon Don't
scare me like that
Go on then I need some joy. How you doing?
Yeah You
can take
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