The Pitt

- You know this guy? - Orlando Diaz.

We were treating him for DKA when he eloped.

- How far did he fall? - 20 feet or so.

- Anyone see him pass out? - No.

They went looking for him after he didn't answer his radio.

Pupils equal but sluggish.

He left against medical advice.

On my count, three, two, one.

Dr. Ellis on the case. Day shift, we got this.

- I'm staying. - Continuity of care.

Dr. Al-Hashimi, why don't you go cover

sign-out rounds with Dr. Abbot?

Shen, you too. - Got it.

OK, let me know if you need anything.

- Lungs are up bilaterally. - Pelvis is stable.

Right tib-fib hematoma, deformed right forearm.

Ruptured TM on the left with sero-sanguinous fluid.

That means basilar skull fracture.

We've got a diabetic patient, 20-foot fall.

BP 204 over 98, pulse 56.

Dr. Mohan, what do those numbers indicate?

I'm trying to treat the patient.

It's the Cushing's reflex.

From increased intracranial pressure.

Yeah, we need to get him to CT right away.

No free fluid in the belly.

- Any family to notify? - Wife and three kids.

Is there a card to sign for Robby?

No, he said no card, no presents.

Oh. Was there a cake?

Oh, he didn't want that either.

That sucks. I need some cake.

Patient was injured when they raided a restaurant.

And they actually arrested the nurse?

- With a take down and zip ties. - Damn.

Crus, you, uh, know the computer downtime drill?

Yeah, no biggie.

I prefer to treat 'em without labs and X-rays.

Welcome back.

If you do have orders for labs and X-rays,

clipboards go here.

If it's just nursing orders, here.

Please write neatly, for God's sake.

Oh, Monica, this is Nazely, new intern.

- I don't need to know that. - So nice to meet you.

Looks like you and me, Jack.

Yeah, who's our senior?

- Dr. Henderson. - Excellent.

Night shift's on Crus control.

You hear ICE brought us a patient?

Oh, yeah? How'd that go?

There was some collateral damage.

They arrested Jesse.

- For what? - Assaulting a federal officer.

Are you fucking kidding me?

Oh, Dr. Al-Hashimi,

this is Nazely Toomarian... New intern.

OK, everybody, let's huddle up.

Before we start,

let me address the elephant in the room.

For those of you who don't know,

Jesse tried to intervene

when a federal agent was handling his patient,

and both he and the patient were taken away by ICE.

- Did he punch the guy? - No.

He put out a hand to stop him, made physical contact.

It was a little bit more than that.

The hospital lawyers are on the case,

and we will brief the staff every 12 hours

at sign-out rounds with an official update.

In the meantime, don't feed the rumor mill.

You may have also heard that new grad nurse Emma here

was assaulted by a patient. - I... I'm fine.

Please don't forget "code hula hoop,"

and with risky patients,

always keep a path to the door clear.

Sounds like one hell of a day.

And we're still dealing with downtime,

so day shift should brief night residents

about the protocol...

Hey!

Oh, all right!

Oh, thank God.

Yeah, not so fast.

Every chart from the last five hours

needs to be scanned into the Electronic Health Record

and checked for accuracy...

- Um, whose job is that? - Day shift.

With a completed and signed T-sheet.

- Are you kidding me? - That's gonna take forever.

We will set up stations for scanning.

OK, everybody, let's get moving.

Triage is 20 behind. Gotta help 'em clean up.

I'm skipping rounds.

Consider yourself lucky.

- Should we join them? -

Might as well witness the magic.

It's like changing of the guard at Buckingham Palace.

Except we're allowed to smile.

"Smile though your heart is aching."

Plain films, right tib-fib

and right forearm after CT.

Got the chem-8. Blood sugar's 284.

That's not too bad. Potassium looks good.

Mm-hmm. Anion gap's up at 14.

It was 24 this morning.

He's definitely improving.

The DKA is resolving.

So what made him pass out?

It's hot as hell out there.

He could have been dehydrated from sweating.

Or he could have had an N-STEMI or a posterior CVA.

Ready to roll.

- I can babysit him at CT. - Thank you.

I'll stay in case he needs the OR.

Hey, we're back up.

It's about time.

- Ooh, Robby. - Yeah.

I got intel on where ICE has taken Jesse.

Intel from who?

Uh, my brother-in-law's a cop.

So he'll be processed at DHS Southside

and then transferred to ICE detention in Clearfield.

Clearfield? That's two hours away.

Mm-hmm.

OK, I'll let the hospital attorneys know.

- How are you doing, Oliver? - Alive and kicking.

Uh, Mr. Haas.

Pulmonary edema after missed dialysis,

now stable with his son Mason at the bedside.

- Hello. - I'm Dr. Shen.

I'll be back.

Dialysis tech says

I'm off the machine at 10:42.

Hit the call light, and I'll come running.

South 21 next...

Mr. Digby.

J-just Digby.

Dr. Mohan's patient.

Forearm cellulitis, admit med-surge.

Awaiting a bed. - I can take him.

Sold to Dr. Toomarian.

Moving right along.

Get enough to eat?

We'll be back.

Lillian Stegman. Tweaked her knee water-skiing.

Doing a 360 off a 5-foot ramp.

Ooh, respect.

X-rays ordered in triage.

That was hours ago.

Ma'am, I'm Dr. Crus Henderson.

Let's get you home real fast.

- That would be wonderful. - OK, heading to North.

Thank you.

Looks like our first scanning station is almost ready.

Whitaker, Santos, after rounds, this will be your post.

- Seriously? - For... how long?

Till we mop up this mess.

And away we go.

All right, now you know everything

there is to know about rounds.

Fascinating, right?

Uh... yeah.

Here, I got something better for you.

So, Digby, we're gonna find you some new clothes,

but my friend Emma and I wondered if you'd like

to get cleaned up a bit first.

I already had a shower.

I know, and you look good.

But the offer also comes with a shave and a haircut,

if you're interested.

No pressure... like I said,

you already look great.

- Sure, I guess. - Fantastic.

All right, kid, fill that basin with some warm water

and lather him up.

- Hey, stay safe out there. - Back at you in here.

Hey, Cary.

You were on scene with Orlando, right?

Did you notice anything about his fall?

Like what?

Like, um, if there was a break in the railing

or if there were security cameras?

Too busy working on the guy...

IV, intubation, backboard, splint.

Thanks.

Oh, two names is a start.

Pretty soon, we'll retire the clipboards.

Baby Jane Doe in Pedes?

Uh, yeah, abandoned

in the waiting room bathroom at 7:30 a.m.

- Safe haven drop-off? - No, she's too old for that.

At least two months. - I'll take her.

Awaiting foster placement by CYF.

- What if the mom comes back? - Call the cops.

Day shift, get to work scanning.

Night shift, the room numbers

on top of the dry-erase board need a doctor.

- Who's in BH-1? - Psych hold, danger to self.

What's the story?