Bull

Bull

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Season 5

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Bull 2016 S05E06 720p HDTV x264-SYNCOPY
A Commentary by srjanapala
HI. Duration : 41 min 53 s.

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Published on: 2021-01-19
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The first 200 lines.

And at least eight dead

at the We Are All from Somewhere Else...

- Can we go any faster? - I'm doing my best, ma'am.

After a gunman opened fire with an automatic weapon.

In addition to the dead, we're receiving reports

of as many as 200 people injured.

Okay, hang on a second! Hang on.

Rapid track! Trauma Bay Four!

Walking wounded needs to be escorted to Station One!

Dr. Kinsey!

I got here as fast as I could.

Dr. Park could really use you in Bay One.

Kinsey, you made it!

I'm taking this one up to the OR.

I need you to jump on

this fellow behind me.

- What do we have? - Ryan Watkins.

Male, lower abdominal gunshot wound.

Next OR should open in ten minutes.

Get started on him as soon as you can.

Will do.

Oh, man, not a lot left to put back together.

Like a river.

How is his pulse?

Last I checked, thready. Barely there.

- - Dr. Kinsey?

We're losing this patient.

Her oxygen is in the toilet.

She's not getting any air.

Looks like a pneumothorax.

Oh, no. Sounds like she's got blood in her lungs.

Potential hemopneumo. How long has she been like this?

How long has she not been breathing?

I called you the moment I noticed.

Just got a text. The OR is ready.

We got to get going on this guy

or might as well just send him directly to the morgue.

Doctor, we got to go.

You know what a REBOA is?

Heard of it. Never seen it done.

I want to give him one.

It'll stop his bleeding for 20, 30 minutes.

That'll give me a chance to work on her.

That way maybe we can save them both.

Isn't that kind of the definition of a Hail Mary?

I don't know, I'm not into football

and I don't go to church.

I need a REBOA and some chest tubes, stat.

You're really going to use a REBOA?

But Dr. Park told you to operate on him now.

I know. But I'm not even sure we can save him.

In fact, the only thing I'm certain of is,

we take the time to get him over to the OR,

we're absolutely losing her.

But what if it doesn't work?

What if we lose them both?

It's going to work.

I think I need to have a quick chat with Dr. Park.

Walk away from that patient, don't bother coming back.

Here's your REBOA and your chest tubes.

Great. Let's make some miracles.

Let's hail some Marys.

Hey.

Ah...

I can't lie.

Feel pretty strange about this.

No. Bull's right.

You need your own office.

I've been a lawyer for a minute and a half.

I can work in the conference room.

I'm happy to work in the conference room.

But you're Benjamin Colón.

Hell, rumor has it that you're running for D.A.

of the greatest city in the world.

You need a place of your own, man.

You need an office where you can hang that law degree

up on the wall.

Well, you've got a law degree.

I certainly do.

And now I'm working towards a wall to hang it on.

Sorry to break up this legal convention,

but the big guy is waiting for you

in the conference room.

I had just finished my rounds at the hospital

about two and a half hours earlier.

I was climbing out of the shower

when one of the ER nurses called

and said they were expecting...

I thought she said hundreds of patients.

But then I thought I must have misheard.

But then she said there was some kind of

mass casualty situation

and they were calling in every off-duty doctor in the area.

It was all hands on deck.

Hmm. How many patients

did Mercy actually receive that night?

Over 200.

All with penetrating gunshot wounds.

And the deceased... Uh, Ryan Watkins...

He was your first patient?

He was supposed to be.

Soon as I got there,

I conferred with Dr. Park, the chief trauma surgeon.

And he was taking another patient up to the OR,

so he told me to get started on Mr. Watkins.

Was there any special reason

why Dr. Park wanted you to operate on Watkins first?

I mean, it sounds like there were plenty of people

needing immediate care.

No. I think

Dr. Park just considered

his injuries the most critical.

But then I saw this woman.

And to my eye,

she was in as equally bad shape as Mr. Watkins.

She had a lot of blood and air in her chest.

Struggling to breathe.

I needed to drain that blood and air fast or we'd lose her.

But if I had operated on him first,

that woman absolutely would have died

while waiting for treatment.

Whereas if I could just keep Mr. Watkins alive

for a half hour, I could definitely save her

and maybe save him, too.

You know, one way, I'm staring at

a likely lose-lose situation.

The other, I was certain

at least one of them was going to live.

That's why you used this REBOA thing?

I'm sorry. What is a REBOA?

It stands for

Resuscitative Endovascular Balloon Occlusion of the Aorta.

It's a kind of internal tourniquet.

A balloon catheter that you position

in a person's aorta to prevent them from bleeding out.

It buys you time.

Which was what I needed.

But it didn't work.

Well, the other patient needed chest tubes.

That should have taken 20 minutes, tops.

But once I got in there,

it was more complicated than I had anticipated.

And by the time I got her stable

and got back to Mr. Watkins,

40, 45 minutes had gone by.

And he-he didn't make it.

I tried, but...

So, the plaintiff,

Mr. Watkins' mother, is saying

that the REBOA should never have been used.

Especially not for 40 minutes.

They are arguing that the REBOA is not even considered

an acceptable standard of care.

I'm not denying it's a controversial technique.

I mean, usually it's only a stop-gap measure

to buy you the ten, 15 minutes it takes

to get a patient into the OR and opened up.

For what it's worth, I've personally made the REBOA work

for up to an hour.

Before I went into trauma,

I was a military medic in Afghanistan,

and I used it there all the time.

Well, it'd be great if we could get someone in

to testify to that... Other than you.

You know, I didn't see your picture on the website.

Ex-Excuse me?

When I was researching the Trial Analysis Corporation.

I remember reading about a lawyer,

but I don't think he was you.

Mr. Palmer has been with the firm

for over five years in a variety of capacities.

He's handled several cases on his own,

but he did just officially pass the bar this last summer.

But do you have any experience in medical malpractice?

This firm has handled hundreds

of medical malpractice cases, and I personally

- have super... - But Mr. Palmer?

This will be my first.

There's another attorney here.

And he has lots of experience in medical...

No. I'm the trial scientist.

I'm the tactician.

And I am telling you he's the one to plead this case.

Now,

if you don't agree with that, there are plenty

of other companies I'm sure you can go to

that would be happy to take your money.

But, Dr. Kinsey, this is a jury trial.

It's six people.

And they're going to decide

whether you're innocent or guilty.

They are going to decide

whether you live the rest of your life

in relative comfort or all-consuming debt.

They're gonna decide whether you get to use

the salutation "Doctor" in front of your name ever again.

The other side is going to bring all kinds of sage, old men

who will offer intimidating and confusing medical testimony.

They'll try and bully their way to a verdict.

Now, here's what I know.

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