The Pitt

16 is open.

How come nobody's been...

my bad, it's taken.

Sorry.

Mr. Louie was found unresponsive

and on the sidewalk next to Fine Wine and Good Spirits.

Decent vitals, no head trauma.

Didn't we just discharge him a couple hours ago?

Yeah. Stone-cold sober at 7:00 a.m.

Oh, God.

Don't light any matches.

Hey, Doc, how you doing?

Not as good as you, Louie.

Hey, you know it, Doc.

How much did you have to drink, Louie?

Uh, just a couple of shots of vodka.

So like a half-gallon?

Oh, hell no.

Just... just a quart.

If you overexaggerate with your question,

you usually get a truthful answer.

Learned from the best.

Uh, he's got Librium from this morning.

That's what I prescribed him.

All right, Louie, let's scoot it on over.

You want to guess the blood alcohol level?

Why would I want to do that?

I don't know, because it's fun?

You prescribed 20 Librium.

There's only 10 left.

See you next time.

Uh, shouldn't we be concerned about an overdose?

Oh, no.

Vodka is Louie's drug of choice.

Quickest way to kill the shakes.

Oh, true that.

Where did the other 10 pills go?

I don't know.

Maybe, uh, lost, stolen.

Maybe he sold them to buy the vodka.

What'd you do with the other pills, Louie?

In my pocket.

I didn't need them.

Come on, give it a rest.

Is everything OK with Collins?

She seems fine to me, unlike our patient board.

How's the Kraken?

Sleeping like a baby.

What's the story with beds upstairs?

A ladder fall took the last ICU bed.

One tele bed's open, no med-surge, no pedes.

So which one of our 21 boarders

is going to win the lottery?

CHF exacerbation's been with us for two days.

Sounds like a winner.

The rest will receive our lovely

consolation prize package.

- Tell them what they won, Dana. - Stop.

It's another 24 hours of bright lights,

screaming trauma patients, hard gurneys,

and sleep deprivation,

all while you wait for a bed upstairs.

Hey, uh, Nandi,

the influencer in Central Eight,

still waiting for psych?

Nope. She's a keeper.

Her mercury levels are sky high

from that face cream.

I ordered chelation TID,

10 per kilo of DMSO.

I'll make sure it comes up from pharmacy.

Great pickup.

Hey. You OK?

Excuse me.

I'm sorry, Dr. Robinavitch?

- Yes, that is me. - Father McGill.

Here to see John and Lily Bradley.

Oh, yes. Thank you for coming.

No problem.

I will take you to the family room.

Dana, I need some help.

What's up?

I've been trying to check the nursing notes on Louie

from 7:00 a.m. this morning.

Uh, Langdon ordered lorazepam, but I don't think it was given.

Yeah, lorazepam ordered, dispensed,

and then returned unused to the PDS per Dr. Langdon,

as patient's tremor had resolved.

Is that unusual?

No, it happens all the time.

You think that could be the vial I couldn't open

on our seizure patient?

Possibly.

Can we check the other vials in the PDS?

Make sure they're OK?

- If you really want to. - I do.

All right, come on.

Dysuria in North Two's been waiting a long time.

I'll take it.

Oh, Dr. King.

Rita!

We were so worried.

Oh, I'm so sorry.

My phone was on silent.

I missed 10 calls from the hospital.

Is my mom OK?

Oh, yeah, she's fine.

Uh, I went to move my car,

and it was so peaceful and quiet when I parked

in the garage, I dozed off.

I'm just really glad you're back.

Oh, your mom is going to be so happy.

She's... she's waiting in the hall.

OK.

So if I order lorazepam for Louie,

the log shows me we have five vials left.

Take one out, and now we have four left.

But if I click that I want to return one unused,

you put it back, and the computer count

goes back up to five.

Yeah.

Same lot numbers.

Everything looks good.

No way of knowing which vial

was returned by Dr. Langdon.

Yeah, I guess.

- Thanks. - Yeah.

Old man coming in with a heart rate of 30.

Sounds like pacemaker failure.

Could be a good case.

Putting an amputation in 15.

Ooh, that one sounds even better.

Yeah.

Rocco DeJulio.

Amputation of the fourth fingertip

at the base of the nail, bone exposed.

Uh, how'd this happen?

I, uh... I crushed it under an air conditioning unit

we were installing.

We'll numb up your finger.

One shot will help with the pain.

Amazing.

Digital block,

three ccs of marcaine.

Pulse 110, BP 135 over 88 in triage.

Any drug allergies, sir?

Uh-uh.

Two grams of Cefazolin?

Uh-huh.

Oh, wow.

Go with the block.

Are you ready?

Mm-hmm.

Pinprick and some burning.

Uh, where's the missing piece of skin?

It's, um, under a thousand-pound unit.

It's flat as a pancake.

Well, then we have nothing to reattach.

Plan, Dr. McKay?

Bone rongeur, V-Y flap.

- Exactly. - Awesome.

I picked the right case.

Can somebody translate?

To close the wound,

we're going to trim down the bone,

then use a plastic surgery trick so the skin

will cover everything.

OK.

Your finger is going to be a little shorter.

No nail.

Great.

10% off manicures.

Looks like they found you guys a new rig.

Nah, we Ubered.

Willie Alexander, 81, near syncope

from the Memory Day Center.

They said he's more altered than usual.

Pulse is 30, BP's 80 over 40.

No change with a mig of atropine.

He's got a pacer in his chest, but there's no capture.

How are you feeling, Mr. Alexander?

Call me Willie.

I'm fine, I'm fine.

Any chest pain?

No, ma'am.

Do you take beta blockers?

I take walks every day.

Only med is Namenda.

On my count.

One, two, three.

Pacemaker patient with dementia.

Heart rate of 30.

A little altered with a systolic of 80.

What's your plan, Dr. Langdon?

Second mig of atropine now.

Push dose epi, 0.1 milligram.

Portable chest.

31 on the monitor.

Dr. Javadi, what do you think of that heart rate?

Uh, it's not beta blockers, so junctional escape rhythm?