The Pitt

- Oh, shit. - What?

I think I just broke some ribs.

It means you're doing it right.

Third amp of epi is on board.

Oh, come on.

Call me if there's a resurrection.

- Hey, Perlah. - Doctor?

Your kids have any pets?

- Ugh, my house is like a zoo. - You have a dog?

Ugh, no dogs, no cats. I followed my mother's rule.

No pets that can't be buried at sea.

I'm not sure I follow.

You ever try to flush a guinea pig?

Try explaining that to your plumber.

Good to know.

Hey, what's up with your asthma guy?

Responding to albuterol.

One more neb, and we'll discharge on prednisone.

How's it going out in Chairs?

Oh, it's fine, I guess.

- Dr. McKay seems nice. - Cassie?

Oh, yeah, she's great.

- She been here long? - A little while. Why?

I'm just curious.

Do you know what she did before she came here?

What she did? What do you mean, like, school?

Oh, like school, work, personal life.

I'm just trying to get to know her better.

Um, yeah, I don't... I don't know.

I don't know that much about her.

She has a son. I know that.

She's a pretty private person.

- Anything else? - No, sorry, I'm good.

Thank you.

Hey, where are we at with opening up some beds?

Our Nepali lady with the crushed foot,

Minu, she still in line for the OR?

Yeah, she got bumped by your Le Fort

three fracture, Ben Kemper.

- He just went up. - Mm.

Still waiting for them to take

the electrocution fasciotomy.

What about our OD in Central 7?

Robby wants a few more tests. He's stable and on a vent.

Is he a candidate for organ donation?

Not sure.

Then why is Robby keeping him here?

I don't know.

Maybe he sees something we don't.

Or maybe he's hoping for something that isn't there.

What's there is an 18-year-old kid

- named Nick Bradley. - Yeah, is he though?

I don't mean to be a dick, but...

You just can't help it?

No, as sad as it is, that kid is gone.

And if we get him upstairs to the ICU,

we can use that bed to actually help somebody.

Robby is helping somebody.

He's helping two people, in fact.

They're in there right now praying over their dead son.

They just haven't let their hearts accept it yet.

Jesus, 9:00, you're already bumming me out.

OK, let's see.

Who's up next at the deli of death?

Weak and dizzy. No, thanks.

Flank pain. Need a UA first.

And buttock abscess.

Great teaching case for a student.

Don't make me tell Robby you're cherry picking.

I'll take projectile vomiting in North 5 for 200, Alex.

What do you think the chances are it's a demonic possession?

About the same as you going a whole hour

without saying something stupid.

For Christ's sakes, go already.

You're like having a kid I never wanted.

How are you feeling? Any pain, Minu?

No pain, but I'm thirsty.

Oh, nothing to drink before your surgery,

but we can get you some lemon swabs.

Thank you.

Excuse me?

When are you due?

You can always tell.

Congratulations.

Thanks.

How long before we might expect to see some improvement?

It could be hours. It could be days.

It could be never.

I don't expect anything for a little while.

Why don't you guys go get a cup of coffee

in the cafeteria, maybe something to eat?

I'll have a nurse call you if anything changes

- while you're out. - Thank you.

We appreciate that.

- I'm not leaving. - Suit yourself.

I'm gonna get a cup of coffee.

I got to call Sarah and the kids.

Cafeteria?

Straight down that hallway,

through the corridor, and to the right.

Thanks, and I'm... I'm sorry

if my sister comes across a little strident.

It's OK. This isn't easy.

The parents of teen overdose, Lily and John Bradley,

are asking about the tests you told them about.

- OK, I'll be right there. - What about the rats?

What about them?

- Have they been caught? - I have no idea.

- Well, find out. - Not sure that's my job.

You're in charge of the ER. The rats are in the ER.

That makes you in charge of the rats,

and I have a strict rule about vermin in the workplace.

Good to know.

Could I get your eyes on a sickle cell crisis in South 20?

Headed that way right now.

ICU is insisting they still don't have rooms available.

Bullshit. Esme recon'd for me.

Send our electrocution, Victor Hunt, up there

until the OR is ready please. Thank you.

- Third epi on board? - Three minutes ago.

How long has he been going at it?

10 minutes in here, possibly 30 minutes of prior downtime.

Don't suppose you'd let me try a pericardiocentesis?

- For what? - For practice.

- In case it's tamponade. - None seen on ultrasound.

- This is a teaching hospital. - It's not a cadaver lab.

What do you call this?

- Do you need a break? - I'm fine.

You don't look fine.

Hold compressions.

Still no rhythm.

OK, Whitaker, I think that's enough.

It's been four minutes since the last epi.

One more minute, please.

Help me, please help! Somebody help!

- Please, my friend needs help. - What happened?

- My friend. - Hey, where is she?

My friend, she's in my car.

- She won't wake up. - OK.

OK, Mateo, gurney!

- What's her name? - Jenna.

Come on, Jenna.

Wake up for me, baby.

Pupils pinpoint. I need...

- Narcan. - Yeah.

Hold her head back, Javadi. OK.

Not responding to Narcan. We might need to intubate.

Find a room and open a crash cart.

I can't find a carotid pulse.

Five minutes since the last epi.

OK, that's it.

Hold compressions.

Welcome back. She's OK.

He took his wife out for dinner last night,

for her birthday.

OK, why doesn't everybody take a minute?

Go check on your other patients.

We'll meet back here to debrief with Kiara.

- Bed four. - Where the hell am I?

Pittsburgh Trauma Medical Center.

Why?

Your friend couldn't wake you.

I'm right here, Jenna.

Came to with one spray of Narcan.

- What'd you take, Jenna? - Nothing.

You had to have taken something to cause this.

No, I was just up late studying,

and I just couldn't fall asleep.

So you took something to help you sleep?

We need to know in order to treat you properly, OK?

- Do you know what she took? - No.

This could be a sign of something really serious,

and we're gonna have to do a lot of tests that you...

OK, I took, like, half a Xanax.

That's not nothing.

It's OK. OK?

- Have you taken Xanax before? - First time.

OK.

Take a deep breath for me.

Come on, man. You heard Dr. Robby.

Let's take a break. Grab a coffee.

No, I'm fine, thank you.

Did you know him?

No, I didn't. Did you?

I just met him.

He was my first patient to die.

I'm sorry.

- Are you OK? - Mm-hmm, yeah.

- You sure? - Yeah. Just I...

I just remember the first time that...

on occasion, I have an emotional response to death.

It's...

Got to be kind of tough for a doctor.

At times, it can be.

At least I'm not a pathologist.

I was joking. I...

Oh.