- 1 week ago
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00:00:01Ever since I became an intra-intern at St. Jude's, I unlocked the miracle doctor system.
00:00:09Now, I can see the exact root cause of any illness.
00:00:13Extensi overdose. It's floating right above his head. Is that the root cause?
00:00:17Bro, I'm dying. My heart.
00:00:22You've been popping Extensi, haven't you?
00:00:24What? Really?
00:00:27Shut the hell up. It's my heart.
00:00:29All right. You just popped way too much Extensi and your kidneys are tapping out.
00:00:34Chug this, take a leak in half an hour and you'll be fine.
00:00:36Popping all that Extensi and he's still a little boy down there.
00:00:41Coming up short isn't a disease. It's an easy fix.
00:00:46Miracle worker.
00:00:47Next time you want to size up, get a real prescription.
00:00:49Now get out. You're hogging a bed.
00:00:54He just collapsed. He only had a few drinks.
00:00:59Reeks of booze, blown pupils, acute alcohol poisoning.
00:01:02Bad booze. His brain is shutting down, causing the seizures.
00:01:05Push the antidote. Stat.
00:01:07Good catch. Cross, you take it from here.
00:01:09Just booze.
00:01:13Then why is his belly swollen and bruised? That means massive internal bleeding.
00:01:17Dr. Sterling, his symptoms are off. Should we run a belly tap first to check for internal bleeding?
00:01:22Are you saying I misdiagnosed him?
00:01:26Shouldn't we run tap first?
00:01:29Alex, stop wasting time. Dr. Sterling is never wrong.
00:01:33Every intern wants to show off. But my ER isn't your stage. Just follow the attending's orders.
00:01:45Volume increasing. But what?
00:01:47Gastric gas means projectile vomiting.
00:01:50An enlarged liver wouldn't bolt his belly like this.
00:01:56Did your husband play football?
00:01:59Yes, he went pro. But a bad injury forced him to retire and start drinking.
00:02:04Football. An old injury. A distended abdomen.
00:02:08That's it. He took a hit to resist playing ball and his body formed a clot to act as a
00:02:13patch.
00:02:13The alcohol triggered massive varodulation.
00:02:16Add the physical shock from his fall.
00:02:21Dr. Sterling, stop! Hold that med. Look at his belly. It's distended and bruised.
00:02:25This isn't alcohol poisoning. It's a delayed splenal rupture. He's going into hemorrhagic shock.
00:02:33Cruz, medicine isn't a guessing game. There's no new trauma.
00:02:36Even with the booze expanding his vessels, that clot's pressure equilibrium doesn't just snap.
00:02:41The seizures mean his nervous system is crashing. Textbook alcohol poisoning.
00:02:45Exactly, Alex. If it were internal bleeding, his BP would have tanked by now, but his pressure is completely normal.
00:02:52Did you sleep through Physiology 1-1?
00:02:54Blair is right. Stable vitals means he's not bleeding out.
00:02:58Nice catch on the bruising, Cruz, but it's likely just blunt trauma from his drunken fall.
00:03:02Stop trying to show off at the expense of a patient's life.
00:03:06Push the meds.
00:03:10No, if they're right, why is the volume still increasing? Why is his BP still faking normal?
00:03:16Damn it. I get it now. It's the compensatory mechanism.
00:03:20Stop!
00:03:22He's a pro athlete. His cardiac reserve is off the charts.
00:03:25His blood vessels are clamping down hard just to force a normal BP.
00:03:28You push that antidote and they will blow wide open.
00:03:32Pressure is tanking!
00:03:42His belly is full of blood.
00:03:44You're right, he was compensating. The clot just blew. It's a delayed splenal rupture.
00:03:47Scrap the antidote. Push two units of blood and plasma stat.
00:03:51Call the OR. Tell them to clear a room now!
00:03:53Kraus, scrub in. You're my first assist.
00:04:15Doctor, doctor. Thank you. You saved him. You saved our family.
00:04:23Okay.
00:04:30Cardiac resurrection. Is this?
00:04:35Director, as an intern overriding an attending's med order today was a direct violation of protocol.
00:04:41However, your clinical judgment today was flawless.
00:04:46I'm sparing you the official write-up this time.
00:04:49But get this through your head. Every protocol in this hospital exists for a reason.
00:04:53You're an intern.
00:04:55You defer to your attending.
00:04:57And pulling a stunt like snatching a syringe, never let it happen again.
00:05:01Understood, Dr. Sterling.
00:05:06She ate one nut in the car and now she can't even make a sound.
00:05:10Get your top doctor out here now! I write a multi-million dollar check to this place every year.
00:05:18You are going to fix my daughter!
00:05:20Mrs. Lawrence, I'm Dr. Sterling, chief of the ER. Rest assured she's in the absolute best hands.
00:05:25Get this child to the VIP trauma bay. Move, move, move!
00:05:30Her oxygen is dropping fast, her throat is swelling shut, and she can't breathe.
00:05:33Ma'am, does your daughter have asthma or bad allergies?
00:05:36She had mild asthma. I knew those nuts would trigger an attack.
00:05:39What are you staring at? Push the meds! Now!
00:05:43It's a severe allergic reaction. Her airway is spasming.
00:05:46Let's start high-dose alborin and push IV dex. It'll open her airway right up.
00:05:49Something's wrong. If it was an asthma attack, her oxygen would be dropping this fast after the meds.
00:05:53Plus, she doesn't have any hives or red rashes on her skin.
00:05:56This isn't an allergy.
00:05:58Sudden critical case detected.
00:06:00Critical case detected. Root cause locked. Narrowed.
00:06:04The system's volume increased meant internal bleeding.
00:06:07So what the hell is getting narrower?
00:06:09If her throat is swell just shut, why are the asthma meds doing absolutely nothing?
00:06:12The asthma meds aren't working.
00:06:14Alex, back off. We just pushed the meds. Give it a second.
00:06:21The pulses are uneven. There's a murmur right below her throat.
00:06:24This isn't asthma. Her aorta's deformed and it's crushing her windpipe.
00:06:27Sterling's a beast. He caught that barehanded in seconds.
00:06:31She's going to suffocate any second. We need to operate now. Cut her windpipe open and force oxygen straight into
00:06:38her lungs.
00:06:39No, absolutely not. No one is putting ac knife to her neck. Do not touch her.
00:06:46Mrs. Lawrence, if we don't perform this track, she is going to suffocate right now.
00:06:50Cut her open? Diana has the biggest child star audition in the country next month.
00:06:54The director personally picked her for the lead role. A scar on her neck will destroy her entire career. Could
00:06:59any of you afford to pay for that?
00:07:02Mrs. Lawrence, forget the audition. We are talking about her life here. She's getting zero air.
00:07:08Her brain is going to die in minutes. She is going to die.
00:07:12Shut your mouth, you broke piece of trash. High society is cutthroat. What do you know? I don't care. I
00:07:19said no scars.
00:07:20I give this hospital millions of dollars every year and this is the best you can do?
00:07:24We're losing her. Oxygen sat has just dropped to below 50%.
00:07:28Mrs. Lawrence, we are trying to save her life. What damn career is she going to have if she's dead?
00:07:33Shut up! You're the ones who delayed her treatment. If you incompetent fools had given her the miracle drug earlier,
00:07:39would my daughter even be like this?
00:07:40You worthless trash! Get your hospital director out here! Right now!
00:07:44Calling the director won't save her. Look at the monitor. She's running out of time.
00:07:47Stop trying to intimidate me! What are you idiots still standing around for? Use the best imported medicine?
00:07:52Give her those tens of thousands of dollars of pop injections!
00:07:54If you leave a single scar on her, I will sue you until you rot in prison!
00:07:59Prioritizing vanity over life. Arrogant to the absolute core. Completely beyond saving.
00:08:20Baby, breathe! Don't scare mommy like this! Open your eyes and look at me!
00:08:25What the hell are you waiting for? Save her!
00:08:29Push Epi! Now! Blair! Keep pumping the oxygen!
00:08:32Mrs. Lawrence, this is no time for tears! Get the hell out of the way and let my team work!
00:08:36Your daughter is seconds away from brain death!
00:08:38Her airway is completely crushed shut. The air won't go in. We don't even know where the blockage is.
00:08:43I can't get a tube down her throat. She's not gonna make it!
00:08:46Heart surgery. The getting narrow in hint isn't about her windpipe. It's the blood vessels.
00:08:51I understand. Blair linely pumping all that oxygen. It had nowhere to go.
00:08:55The trapped air built up massive pressure in her chest, literally crushing the main vein to her heart.
00:09:00The blood can't flow back. Sterling can pump her chest all day long, and it won't do a damn thing.
00:09:08Move the hell out of the way if you want her to live!
00:09:14Cross, what the hell are you doing? We don't even know the exact spot.
00:09:16Going in blind is gonna stab right through her aorta!
00:09:19Are you insane? You shoved me! Do you have any idea who I am?
00:09:22What are you doing to my daughter?
00:09:23That trapped air is crushing the blood supply to her heart.
00:09:26If I don't pop it, and let the pressure out right now, she dies.
00:09:38She's back!
00:09:39Oh my god, she's actually back!
00:09:48Cardio-thoracic anomaly successfully reversed.
00:09:51Main quest updated.
00:09:52Cardio-thoracical surgery, 2-5.
00:10:00Cardio-thoracic anomaly, 2-5.
00:10:02Alex, are you okay?
00:10:07Hey, Martha.
00:10:08I'm fine.
00:10:10Just got off a shift in the ER.
00:10:11You haven't had a chance to eat, have you?
00:10:13Here, have this.
00:10:15It's still warm.
00:10:16How have you been feeling?
00:10:17How's that consult going?
00:10:19Any progress?
00:10:19Same old.
00:10:20That internal medicine attending says it's just rheumatism from aging.
00:10:24Mrs. Hayes, your organ function is perfectly consistent with your age.
00:10:29See? That's basically calling me old, isn't it?
00:10:44Micro-leason? That's not aging?
00:10:46Puffy joints, gray nails, that waxy skin?
00:10:49That is not RA.
00:10:50But I don't have the clearance.
00:10:53Martha, why don't you head back to your room and rest? I'll come check on you later.
00:10:56All right. Just don't overdo it. Don't worry about me.
00:11:06Blood, scans, heart. Everything is perfectly clean. No cancer, no infection.
00:11:13Final diagnosis? Just getting old.
00:11:16Every test we've done comes back normal.
00:11:18But she looks like something is draining her from the inside.
00:11:20And the machines can't pick up a thing.
00:11:24Why won't you just work?
00:11:30That means three more cases?
00:11:33Just three more?
00:11:35And Blindsight will show me exactly what's inside Martha!
00:11:39Madam, you cannot go in!
00:11:42How dare you!
00:11:45How dare you drive that massive needle into my daughter?
00:11:47Look at her collarbone!
00:11:49You left a gaping, bloody hole right there!
00:11:51The child star auditions next month are completely ruined!
00:11:55You incompetent piece of trash.
00:11:57I will see you in a jail cell.
00:11:58I'll put all of you behind bars!
00:12:00Mrs. Lawrence, are you out of your mind?
00:12:02If Alex didn't stick that needle in, your daughter would be brain dead right now.
00:12:05He just saved her life.
00:12:06Saved her life?
00:12:07Look at this scar.
00:12:08You ruined her career!
00:12:09And you put your hands on me?
00:12:11My lawyers will destroy you.
00:12:13I'll make sure you never practice medicine again.
00:12:16That's enough, Mrs. Lawrence.
00:12:17Without Dr. Cross, she'd be dead.
00:12:19If you're unhappy, you are free to leave.
00:12:22But here at St. Jadie's, you touch my staff.
00:12:24Security gets involved.
00:12:26Great!
00:12:27You all just wait and see.
00:12:29I am calling your hospital president this very second.
00:12:32I will make sure this piece of trash, Alex, is packing his bags and rolling out of here for good!
00:12:42Don't worry.
00:12:43You did the right thing today.
00:12:45I'll report this to the department.
00:12:47Get some rest.
00:12:53Man, you really should have called an ambulance.
00:12:55We walked four fucking blocks.
00:12:57Are you crazy?
00:12:58One ambulance ride costs three months of rent.
00:13:01I'd rather walk.
00:13:03What happened to you?
00:13:04I hurt my foot.
00:13:08How'd it happen?
00:13:09Rolled right off it.
00:13:11Hurts like hell now.
00:13:12Can't put any weight on it at all.
00:13:14Is it bad, Doc?
00:13:16If it's just a sprain, just give me some painkillers.
00:13:19I don't have insurance.
00:13:22I can't make that call right now.
00:13:24Nurse, take him for a CT.
00:13:26Minor hairline fracture.
00:13:28No displacement.
00:13:29But something's off.
00:13:33Just slap a case on it and he'll be fine.
00:13:37Hear that?
00:13:37Told you it wasn't serious.
00:13:39Good thing I didn't call an ambulance.
00:13:41Or that would have been a few grand down the drain.
00:13:46No, you need a more detailed test.
00:13:49We need a lower extremity Dipler ultrasound.
00:13:52But I just looked it up on AI and it said it's just a simple hairline fracture.
00:13:58So why do I need more tests?
00:13:59And Doc, is this ultrasound going to be expensive?
00:14:03A CT is static.
00:14:05It won't show if a shifting bone fragment punctured your artery.
00:14:09We need to rule that out.
00:14:11And don't lie to me.
00:14:13You're feeling a sharp, stabbing pain right now?
00:14:15Like a knife?
00:14:17Now that you mention it...
00:14:19Yeah, I do.
00:14:23You fractured your leg and actually chose to walk here?
00:14:26Congratulations.
00:14:27The ambulance fee you saved is about to turn into surgery fees.
00:14:30Walking shifted the bone.
00:14:32A sharp fragment lacerated your tibian artery and you're bleeding internally.
00:14:36Without immediate surgery, you'll develop compartment syndrome and lose the leg.
00:14:38Nurse, prep him for surgery.
00:14:39Stat!
00:14:42The CT showed perfect alignment.
00:14:45How did you know?
00:14:47Scans are static.
00:14:48In the ER, we don't treat the imaging.
00:14:50We treat the patient.
00:14:51Walking four blocks force that hidden fracture to shift.
00:14:53Add his nerve pain.
00:14:55That's a clinical diagnosis.
00:14:59Welcome to the final stage of Bone Modeling Challenge!
00:15:05Doctors tell you your bones stop changing after puberty.
00:15:08What they don't tell you is this.
00:15:10Create enough microfractures and the bone rebuilds itself wider, sharper.
00:15:16Pain is just your body leveling up.
00:15:19Is he seriously about to hit himself in the face with a hammer?
00:15:24Looks like it.
00:15:25We save people in the ER, and this guy manufactures patients stabs tige.
00:15:30Why is the hospital sponsoring this circus?
00:15:32Glowcon is not a circus.
00:15:34It's the largest wellness convention in the country.
00:15:37Your board wants young people to see a friendly, professional side of St. Jude.
00:15:41If he actually swings that thing, we'll get plenty of chances to look professional.
00:15:45Five, four, three, two, one!
00:15:55See that?
00:15:57Totally fine.
00:16:00He lost his balance for a second.
00:16:02Anyone would wobble after taking a hammer to the head.
00:16:10You good?
00:16:14Of course.
00:16:15I just didn't sleep last night.
00:16:22Get him to the medical booth.
00:16:23No ambulance.
00:16:24And do not cut the stream.
00:16:29Look at this.
00:16:31Personal checkup from the doctors at St. Jude's.
00:16:33Five-star medical care, completely free.
00:16:35Put the phone down and look at me.
00:16:37I put the phone down, the views disappear.
00:16:38If your brain is injured, views aren't going to save you.
00:16:40That's my job!
00:16:42Name?
00:16:42You don't know who I am?
00:16:44I know who you are.
00:16:45I'm checking whether you know who you are.
00:16:46Tyler King, 19.
00:16:47It's Saturday.
00:16:48I'm at Glowcon.
00:16:49Happy now?
00:16:50Any nausea, headache, or ringing in your ears?
00:16:53A little headache.
00:16:54Getting a headache after being hit with a hammer sounds pretty normal.
00:16:56Follow my finger with your eyes.
00:16:59Why did you almost fall at St. Jude?
00:17:01I told you.
00:17:02I didn't sleep last night.
00:17:04Vitals are stable.
00:17:05No obvious cervical tenderness.
00:17:06And he's alert.
00:17:07It could be a mild concussion.
00:17:09Great.
00:17:09Give him an ice pack and something for the pain.
00:17:11He's backstage in ten minutes.
00:17:12I said could be.
00:17:14He needs to stop the challenge, remain under observation, and preferably get a head CT.
00:17:17A head CT?
00:17:19He tapped his face once.
00:17:20He hit his temple with a steel hammer.
00:17:21Two million people are watching.
00:17:23If you drag him out in an ambulance, the entire convention gets labeled unsafe.
00:17:26A live stream doesn't decide whether this event is safe.
00:17:29You heard her.
00:17:29Mild concussion.
00:17:31A medical professional just confirmed I'm totally fine.
00:17:33Round two starts in a minute.
00:17:35That is not what I said.
00:17:38Critical case detected.
00:17:40Root cause clue.
00:17:41No room left.
00:17:43No room left?
00:17:44Soft tissue swelling?
00:17:46A nerve trapped against the bone?
00:17:48What did you ask me again?
00:17:50I didn't ask you anything.
00:17:53Right.
00:17:54I know.
00:17:54I was joking.
00:17:56Tyler, what day is it?
00:17:59Friday.
00:18:02You just said it was Saturday!
00:18:04Friday, Saturday?
00:18:05What difference does it make?
00:18:10His right pupil is starting to react slower.
00:18:13Tyler, you need to go to the hospital.
00:18:14Now!
00:18:15Not happening!
00:18:16Round two is the main event!
00:18:18There is no round two.
00:18:21You don't even know what day it is!
00:18:23Dr. Kroos, you're here as medical support.
00:18:26You do not have the authority to detain him.
00:18:28He has altered mental status and an abnormal pupil response.
00:18:31This is no longer about personal choice.
00:18:33Unless he's unconscious, no one is dragging him off my stage.
00:18:36You hear that?
00:18:37Doctors want to control you with fear.
00:18:39Your body, your choice!
00:18:40Let him finish round two!
00:18:42The face can swell outward.
00:18:44Muscle can expand.
00:18:46But what part of the body has absolutely nowhere to expand?
00:18:50They're going crazy out there!
00:18:52Are you ready?
00:18:53I'm always ready.
00:19:01Who turned off the lights?
00:19:03Tyler, look at me!
00:19:10Get oxygen.
00:19:12Check his glucose.
00:19:13Call an ambulance.
00:19:14Wait!
00:19:14Shut down the stream first!
00:19:16They cannot broadcast this!
00:19:18Forget the phone!
00:19:19Save the patient!
00:19:21It's not his face swelling.
00:19:22It's inside his skull.
00:19:24His skull is a sealed box.
00:19:26The bleeding keeps expanding, and his brain has nowhere left to go.
00:19:29Alert St. Jude's Trauma Center!
00:19:31Get neurosurgery ready for an emergency craniotomy!
00:19:35He's bleeding inside his skull.
00:19:38The pauses are terrifying, but his corodial pulse is bounding like a drum.
00:19:42Something is wrong!
00:19:43His intracranial pressure is out of control.
00:19:45The brainstem is about to be crushed.
00:19:46Call an ambulance.
00:19:48Still worried an ambulance might ruin your event?
00:19:5619-year-old male.
00:19:57Blunt head trauma.
00:19:58Seizure now unresponsive.
00:20:00BP's 185.
00:20:01Heart rate 48.
00:20:02Respirations are irregular.
00:20:04I have protection.
00:20:05Break car B.I.
00:20:05Regular breathing.
00:20:06Costing relaxation.
00:20:07His intracranial pressure is already crushing the brainstem.
00:20:09Nearest hospital is seven minutes.
00:20:10We'll take him there for stabilization.
00:20:11No!
00:20:12Take him to St. Jude's Trauma Center.
00:20:14We have 24-hour neurosurgery.
00:20:15St. Jude's is at least 15 minutes away.
00:20:17He could stop breathing at any second.
00:20:19The closer hospital doesn't have neurosurgery.
00:20:20They can't stop a brain bleed.
00:20:22They'll only transfer him again, and he'll lose the only time he has left.
00:20:27St. Jude's, prayer for intubation en route.
00:20:29Wait!
00:20:31Wait!
00:20:32We don't even know if he collapsed because he took something beforehand.
00:20:34Three million people just watched him hit his temple with a steel hammer.
00:20:37That doesn't make the convention liable.
00:20:39He signed a waiver, and the challenge was his own idea.
00:20:41He's not a waiver right now.
00:20:42He's a 19-year-old patient whose brain is herniating.
00:20:47Call Dr. Sterling.
00:20:48Have CT and neurosurgery ready at the same time.
00:20:50Got it.
00:20:54His oxygen is dropping.
00:20:55I'm riding with him.
00:21:04Massive right epidural hematema.
00:21:07Midline shift is over a centimeter.
00:21:09His entire brain is being pushed sideways.
00:21:13Right teraparal fracture, ebidore hemoma, and uncle hermination.
00:21:16We operate now.
00:21:17Dr. Sterling, the OR is ready.
00:21:19Yeah.
00:21:21Heart rate 32!
00:21:24No family is present.
00:21:25We don't have surgical consent.
00:21:26Glowcon's attorneys just called.
00:21:28They say Tyler may have taken illegal substances and want a full toxicology screen before surgery
00:21:32to confirm the comb wasn't drug-induced.
00:21:33There is a hemodoma on his CT that is about to push his brain out of his skull.
00:21:37I'm relating legal's position.
00:21:39Operating without family consent creates significantly...
00:21:41You see this white mass?
00:21:44That's blood.
00:21:45It's forcing his brain down toward the base of his skull.
00:21:47By the time you find his family, finish a tox screen, and make the lawyers comfortable,
00:21:50he won't need consent anymore.
00:21:52What is that supposed to mean?
00:21:55Because he'll be dead.
00:21:58This is an immediate threat to life.
00:21:59Emergency implied.
00:22:00Consent applies.
00:22:01Put the legal risk under my name.
00:22:03Dr. Sterling...
00:22:03Get out of my trauma bay!
00:22:06To the OR!
00:22:10Kroos, you caught it early enough.
00:22:12Scrub in his second assist.
00:22:14Yes, doctor.
00:22:18The hematoma is evacuating!
00:22:19Find the bleeder.
00:22:20Find the bleeder.
00:22:23One surgical case remains before Blindstite is unlocked.
00:22:29Four out of five.
00:22:31Just one more.
00:22:32We had a minor incident earlier, but Tyler is receiving the best medical tear in the country.
00:22:38To prove Glowcom is still safe, we're not only having our hosts try it, we're inviting everyone here to experience
00:22:46this year's hottest natural mind-hancing product.
00:22:50Eat it.
00:22:51We need to take control of the narrative.
00:22:54It's completely legal, all all-natural, and every piece is precisely dosed.
00:23:03Taste great!
00:23:04It can improve focus, reduce anxiety, enhance sleep, and help you connect with your true, your true...
00:23:14Keep talking.
00:23:16I-I-I-I-I am talking!
00:23:20Why is the ceiling breathing?
00:23:25Mom, I can't breathe.
00:23:27Cut the street.
00:23:35Two more bites.
00:23:37You barely ate anything today.
00:23:38This stuff tastes like wet cardboard.
00:23:42Then eat two bites of wet cardboard.
00:23:45Looks like I arrived right in the middle of dinner negotiations.
00:23:48You're too late.
00:23:49He's already threatening the patient.
00:23:51I'm trying to make her eat.
00:23:53Exactly.
00:23:54Threatening behavior.
00:23:55How are you feeling today?
00:23:57Fine.
00:24:00Any chest tightness or palpitations?
00:24:02No.
00:24:03Once around six, she said it felt like a rock was sitting on her chest.
00:24:08When did you become a snitch?
00:24:09When you started lying to your doctors.
00:24:12Mom, hiding the symptoms doesn't make the disease disappear.
00:24:15Talking about them hasn't made it disappear either.
00:24:19Have you eaten dinner?
00:24:21Yeah.
00:24:22What did you have?
00:24:23A burger.
00:24:25This is the burger?
00:24:27I ate at work.
00:24:28I'm not hungry.
00:24:35Your boss is calling again.
00:24:37It's nothing.
00:24:38You left work early again?
00:24:40It was slow.
00:24:41David.
00:24:42You nearly collapsed.
00:24:44When the nurse called, I was replacing a transmission.
00:24:47I couldn't stay there pretending everything was fine.
00:24:49You've left early three times this month.
00:24:52So what?
00:24:54What about rent?
00:24:56Your truck payment?
00:24:58Insurance?
00:24:59We'll figure it out.
00:25:00That's what you always say.
00:25:01I already raised you.
00:25:04You don't have to give your whole life back to me.
00:25:07You never ask me to.
00:25:11I just don't want you here alone.
00:25:21Doctor, when can I go home?
00:25:24Mom.
00:25:25I'm only asking.
00:25:26When you can stand without getting dizzy and your heart stops pausing unexpectedly.
00:25:30So, never?
00:25:31You can't save everyone in this hospital.
00:25:37A mass medical emergency is unfolding at GloCon.
00:25:41Multiple attendees have suddenly developed seizures, unconsciousness, and respiratory distress
00:25:45after reportedly consuming or handling products at the event.
00:25:49This is the same conference that happened today.
00:25:51The situation is extremely chaotic.
00:25:53Within the last few minutes, at least a dozen people have collapsed near the main stage.
00:25:59Some patients are showing extremitation and hallucinations.
00:26:03Others are unconscious and may have stopped breathing.
00:26:06Please.
00:26:07She's only 17.
00:26:09Somebody help her.
00:26:11More people are rushing toward the exits.
00:26:14On-site medical teams appear to be completely overwhelmed.
00:26:18People are down.
00:26:20Back up.
00:26:21Everybody, back up.
00:26:25Level 1 mass casualty protocol activated.
00:26:28Anything changes, press the call button immediately.
00:26:31I will.
00:26:32And eat something.
00:26:33When you get back, you can check the bag.
00:26:36Red zone for respiratory failure, shock, and active seizures.
00:26:40Yellow zone for conscious patients with unstable vitals.
00:26:43Suspend all non-emergency surgeries.
00:26:45ICU clears six beds immediately.
00:26:47The scene is requesting a second medical team.
00:26:49Every downtown ambulance is already committed.
00:26:51Crows, put this on.
00:26:53How many patients?
00:26:54Officials say 26.
00:26:56Fire says at least 60.
00:26:58And the number keeps climbing.
00:26:59There's also been a crowd crush.
00:27:01They can't tell who is poisoned and who is injured.
00:27:03Sterling, GloCon is a hospital partner.
00:27:06No one is to speculate about product poisoning in front of the press.
00:27:10We're discussing rescue, not public relations.
00:27:12There is no evidence the symptoms came from DreamDose.
00:27:14This could be panic, allergies, or even intentional contamination.
00:27:18Panic doesn't explain seizures, respiratory deprimation, hallucinations, and people collapsing in clusters.
00:27:24You already put this hospital on national television because of that influencer.
00:27:30He put himself there with a hammer.
00:27:33Your job is to treat patients, not assign blame.
00:27:36On that point, he's right.
00:27:39At the scene, report symptoms and medical findings only.
00:27:43No public statements about cause.
00:27:46But physicians decide what goes in the medical record.
00:27:50Ambulance three is ready.
00:27:51You two are going to the scene.
00:27:53Do not try to treat everyone.
00:27:54Identify the patients who can still be saved first.
00:27:57Understood.
00:27:57People will cry, scream, and demand that you save their family first.
00:28:01Don't follow the loudest voice.
00:28:03Find the person dying the fastest.
00:28:05Understood.
00:28:08Fire officials have upgraded the incident to a mass casualty emergency.
00:28:15Those symptoms don't match.
00:28:19Could be different doses.
00:28:21Different doses explain severity.
00:28:23They don't explain completely opposite neurologic responses.
00:28:30The road's completely blocked.
00:28:31We'll have to stop at the west entrance.
00:28:34At the scene, we start with the people who can't walk.
00:28:37The loudest patients usually aren't the safest.
00:28:47Say, dude.
00:28:48Yes.
00:28:49Where's medical command?
00:28:50At least 20 down near the main stage.
00:28:52A crowd's crashed at the east exit.
00:28:54And someone drove into a barricade in the parking garage.
00:28:56Is hazmat on scene?
00:28:58En route.
00:29:00Nobody knows if this is food, airborne exposure, or deliberate poisoning.
00:29:05They're under my skin.
00:29:07Get them out.
00:29:13Severe agitation, hallucinations, hyperthermia.
00:29:16She's not breathing.
00:29:19She has a pulse.
00:29:20Start assisted ventilation.
00:29:29Tell everyone these are isolated allergic reactions.
00:29:32Keep the media out of the backstage area.
00:29:34An allergy doesn't cause pinpoint pools, hallucinations, and hyperthermia at the same time.
00:29:38Why are you back?
00:29:39Because you didn't stop the event.
00:29:41Doctor, over here.
00:29:4217-year-old female seizing for almost five minutes.
00:29:45She only ate one piece.
00:29:47Just one.
00:29:48Prepare anticonvuxent medication, oxygen, and check glucose.
00:29:53Mass critical incident detected.
00:29:55Root cause clue.
00:29:56Same wrapper.
00:29:57Same wrapper.
00:29:59Dream dose is the common link.
00:30:05Notice every medical team.
00:30:06Anyone who consumed Dream Dose gets logged under the same toxic exposure.
00:30:09But their symptoms are completely different.
00:30:11It could be dose of metabolism.
00:30:13Control seizures.
00:30:13Protect airways.
00:30:14And collect every wrapper and blood sample.
00:30:16Is she gonna be okay?
00:30:18She still has a pulse.
00:30:19We're gonna keep her breathing.
00:30:20There's a pregnant woman here.
00:30:21She's trapped.
00:30:23My baby.
00:30:24Please save my baby.
00:30:27Alex, she stopped breathing.
00:30:28Pregnation pressure's 60.
00:30:29Fetal heart rate is dropping.
00:30:31We only have enough equipment for one.
00:30:40Same poison.
00:30:41If I treat the common cause first, it's not different doses.
00:30:44Same wrapper, different poison.
00:30:47Alex, who do we save first?
00:30:49My daughter, obviously.
00:30:51She's not breathing.
00:30:54Amy has a caradiot pulse, and her chest rises with the bag.
00:30:57You can breathe for her temporarily.
00:30:58You're abandoning her?
00:31:00She's not being abandoned.
00:31:02Blair's hands are her lungs right now.
00:31:04That woman has no blood pressure.
00:31:06If she waits another two minutes, she and her baby both die.
00:31:11The barrier's jammed into the display frame.
00:31:14We need hydraulic cutters.
00:31:15Two large boral IVs.
00:31:16Oxygen, don't leave her flat.
00:31:18Displace the uterus to the left.
00:31:19What does that do?
00:31:20The uterus is crushing the major vessels in her abdomen.
00:31:22Move it off center, and blood can return to her heart.
00:31:26Her abdomen is rigid as a board.
00:31:28Possible plastilabruxion.
00:31:29There's no major external injury.
00:31:31How is she bleeding this badly?
00:31:32The placenta's attached to the uterine wall and supplies oxygen to the baby.
00:31:34The crush may have torn it all the way.
00:31:35What you see may only be part of it.
00:31:36The rest of the blood could be trapped inside the...
00:31:38Fetal heart rate is still falling!
00:31:42Please, save my baby first.
00:31:43To save your baby, I have to keep you alive.
00:31:49Now, pull her out!
00:31:52Pressure's 52, I lost the radio pulse.
00:31:54She goes first.
00:31:55Straight to St. Jude's trauma obstetri.
00:31:57Alert the OR for an emergency C-section and massive hemorrhage.
00:32:00No!
00:32:01My daughter is dying, and you're giving the ambulance to someone who can still talk?
00:32:05Being able to speak does not mean she's safe.
00:32:08Your daughter has a pulse, and Blair is breathing for her, but this woman is bleeding out.
00:32:12You're gambling with my daughter's life!
00:32:14No.
00:32:15I'm using what we have to give both of them a chance to live.
00:32:21It wasn't just the chocolate.
00:32:23What else?
00:32:24We gave the VIP guests something blue to drink.
00:32:31Her airway is open, but she has no respiratory drive.
00:32:34Heart rate 32!
00:32:37Bilateral pinnacle pulls.
00:32:38Respiratory depresation.
00:32:40Brady Carvia.
00:32:41This isn't a hallucinage, and it isn't ordinary mushroom poisoning.
00:32:46Divnoxicate!
00:32:47You think there's an opioid in it?
00:32:49Her respiratory drive has been switched off like someone pulled the plug on her brainstem.
00:32:53Try it!
00:33:02It isn't working!
00:33:03What did you put in her?
00:33:04Keep ventilating!
00:33:05What did you do?
00:33:07Keep ventilating!
00:33:10It may be a higher dose or a longer-acting analogs.
00:33:13Give another dose!
00:33:16You don't even know what she took!
00:33:18And you want to keep experimenting!
00:33:21Ma'am, let go!
00:33:22She doesn't use drugs!
00:33:25She's a varsity student!
00:33:26She doesn't even drink!
00:33:27I never said she knowingly took drugs.
00:33:30I'm saying someone may have put a respiratory suppressus inside that legal chocolate.
00:33:37You can hate me later.
00:33:39Right now, let me bring her back.
00:33:43She's about to arrest!
00:33:46Amy, can you hear me?
00:33:49Open your eyes!
00:33:50What did you do?
00:33:52What did you do to her?
00:33:59It's working!
00:34:00Mom, baby, I'm here!
00:34:04I'm right here!
00:34:06There is something opioid-like inside Dream Dose.
00:34:10Everyone's presenting differently.
00:34:12If we give naloxine to everyone, at best we waste medication.
00:34:15But if we sedate the wrong patient, we could stop their breathing completely.
00:34:21The drink.
00:34:24What drink?
00:34:25They said the chocolate had to be taken with reset water.
00:34:32Blue bottles.
00:34:34The pregnant woman mentioned a blue drink, too.
00:34:40Move all remaining product immediately.
00:34:43Do not let the press photograph the lot numbers.
00:34:45Stop!
00:34:47This is a staff-only area.
00:34:49This is now a mass casualty scene.
00:34:51Leave every drink and chocolate package where it is.
00:34:54Those are sealed, safe products.
00:34:56Dozens of people are down.
00:34:58You don't get to use the word safe.
00:34:59No complete ingredient list, no manufacturer address,
00:35:02and the lot number is printed on a removable sticker.
00:35:06This isn't labeling.
00:35:08It's designed to destroy traceability.
00:35:10You have no evidence the drink is connected to the patients.
00:35:12Two unrated patients mentioned the same blue drink before losing consciousness.
00:35:16That only proves they drank it.
00:35:17Which is why go toxicology lab into a garbage bag.
00:35:21You already had a celebrity influencer carried out in front of three million viewers.
00:35:24Now you want to publicly accuse this convention of poisoning people?
00:35:27I didn't make them collapse.
00:35:28But you can decide how this is described.
00:35:30Call it an individual reaction to an unknown substance.
00:35:33The hospital, GloCon, and you can all walk away from this disaster.
00:35:37The patients can't walk away.
00:35:41Dr. Kroos, a video online shows you refusing to put an unresponsive teenage girl in the first ambulance.
00:35:47You're gambling with my daughter's life!
00:35:50You're being accused of abandoning a minor to prioritize a pregnant woman and her fetus.
00:35:53Do you admit that?
00:35:54The girl is alive.
00:35:56But you did not know she would survive.
00:35:58At a mass casualty scene, no one can guarantee survival.
00:36:02We decide who can be temporarily supported and who will lose every chance if they wait one more minute.
00:36:08So you admit you chose who received treatment first?
00:36:10That's triage.
00:36:11It does not decide whose life matters more.
00:36:13It decides how to keep the greatest number of people alive.
00:36:17The missing information is inside the garbage bags behind you.
00:36:23Move the product!
00:36:27They're removing evidence!
00:36:29Blair, wait!
00:36:31Stop!
00:36:32Those products are evidence in a public health investigation!
00:36:35We're just following orders!
00:36:37Whose orders?
00:36:38Block the freight elevator!
00:36:46This is not an ordinary wellness drink.
00:36:48I only took one sip.
00:36:52Delated peoples, hot dry skin, altered mental status.
00:36:55My tongue!
00:36:56Go, go, go, go, go, go.
00:37:04Same wrapper.
00:37:05Different lots.
00:37:07Possibly different formulas.
00:37:08They're gonna lock me in a box!
00:37:10I have to get out!
00:37:16Get out of the vehicle!
00:37:24Blair, Blair!
00:37:36Are you hurt?
00:37:37No.
00:37:38I don't think so.
00:37:40Half a second later, I'd be under that truck.
00:37:46Help me.
00:37:48Don't let them take me.
00:37:49There are bugs inside my heart.
00:37:51They're chewing through my bones!
00:37:53Pulse is over 180.
00:37:55He's burning up.
00:37:55Dilated peels, flush dry skin, severe delirium.
00:37:58Classic anti-clearant toxidrama.
00:38:00Stay away from me!
00:38:01Your faces are melting!
00:38:03Fire rescue.
00:38:04Driver trapped.
00:38:05We need ice packs, cooled saline, and cardiac monitoring.
00:38:08The unconscious patients with pinpoint pills looked opioid toxic.
00:38:12This man is the complete opposite.
00:38:14Then it isn't just blue drinks versus purple chocolate.
00:38:16Lot D1407.
00:38:17Lot D1409.
00:38:18Purple.
00:38:19Dark red.
00:38:19Even the same product contains completely different substance across different lots.
00:38:22They didn't make one unapproved product?
00:38:24They packaged multiple experimental compounds under the same label?
00:38:32His temperature is still climbing!
00:38:34Start active cooling and control the agitation.
00:38:36Do not treat the package.
00:38:38Treat the toxidambra his body is showing us.
00:38:43That's enough to prove they were removing evidence.
00:38:48Patients first.
00:38:49The police can handle the evidence.
00:38:53You need to remain on scene.
00:38:55Public health has questions for both of you.
00:38:56I'm the event director.
00:38:57I need to coordinate with the press and the families.
00:39:00This was a manufacturing lot deviation.
00:39:02Nobody intended to harm consumers.
00:39:04Are you admitting different lots contain different ingredients?
00:39:07So, Olivia, I'm brilliant adeptus.
00:39:09A truck full of product and destruction records was found in the parking garage.
00:39:11The driver just crashed it.
00:39:13Ms. Olivia, was Glocone destroying evidence?
00:39:15Did the hospital know these products had not been fully tested?
00:39:19Field command, this is St. Jude's Toxicology.
00:39:22Preliminary screening of the first blood and product samples is complete.
00:39:28Go ahead.
00:39:29Purple lot D on 1407 contains an undeclared potent opioid-like compound.
00:39:33Blue beverage lot R22 contains a high concentration of anti-cochloride alkalides.
00:39:37Red chocolate lot D on 1409 contains an undeclared synthetic stimulant.
00:39:41These lots are not remotely the same product.
00:39:43Now we have lab results.
00:39:44Both of you, come with us.
00:39:46You can't do this!
00:39:48The hospital was a partner too!
00:39:51You think the hospital will protect you?
00:39:54They're more afraid of this coming out than I am.
00:40:11Doctor, earlier, I thought you were abandoning her.
00:40:14I understand.
00:40:15No, you don't!
00:40:16In that moment, I could only see my own daughter.
00:40:19But you had to see everyone at once.
00:40:21Thank you for not making the wrong choice just because I scrammed the loudest.
00:40:24Blair kept her breathing.
00:40:29Go with her.
00:40:30The noxone may wear off before the toxin does.
00:40:32She could stop breathing again.
00:40:33I won't leave her.
00:40:47You earned that applause.
00:40:49For the field sorting?
00:40:51Exactly.
00:40:51Without it, every trauma bay would be treating incompatible toxidomes as the same illness.
00:40:57No confirmed deaths?
00:40:59Not yet.
00:41:00Several remain critical.
00:41:01But because you separated the groups, no one at the sign died from the wrong treatment tonight.
00:41:07Now they're calling you a real-life superhero.
00:41:13Police have sealed the GloCon venue and seized large quantities of DreamDose products.
00:41:17Preliminary tests show multiple lots contain different undeclared potent compounds.
00:41:20He did not abandon my daughter.
00:41:22With one ambulance, he saved three lives.
00:41:24Dr. Crokes, internal medicine called twice.
00:41:27Mrs. Martha Hayes keeps asking whether you're back.
00:41:32Police have sealed the GloCon venue and seized large quantities of DreamDose products.
00:41:36Preliminary tests show multiple lots contain different undeclared potent compounds.
00:41:41He did not abandon my daughter.
00:41:41The television kept saying a doctor was nearly hit by a truck.
00:41:44I just wanted to make sure it wasn't you.
00:41:49Blair was nearly hit.
00:41:51Any more pauses in your heart rate?
00:41:53No.
00:41:54David stared at the monitor for three hours and nearly burnt a hole through it.
00:41:58He gave up his apartment.
00:42:00Every night he sleeps in his pickup in the parking garage downstairs.
00:42:04He told you?
00:42:05He thinks I don't know and I pretend I don't.
00:42:08As long as I don't say it out loud, he can keep smiling and telling me everything is fine.
00:42:12So you're just seeing who breaks first?
00:42:15It's protection.
00:42:16No.
00:42:17If this keeps up, whoever collapses first, the one left standing will blame themselves.
00:42:31Fatal microscopic deposits continue to progress.
00:42:34Four-five.
00:42:35One more surgical case.
00:42:38Until then, I have to find evidence in the real world.
00:42:44Three days ago, this dress was still two full inches away from closing.
00:42:51Today, we're closing it all the way.
00:42:54Okay, okay, I see you guys.
00:42:56Let's just say my clinic knows exactly what it's doing.
00:43:00This is my telehair clinic's final wedding week dose.
00:43:05Why did you drop that much?
00:43:06The prescription says 0.5.
00:43:080.5 what?
00:43:09How should I know? Milligrams, milliliters.
00:43:11Doctors write everything like a secret code.
00:43:12The clinic still hasn't replied.
00:43:14The stream is live and the sponsor is watching.
00:43:16Then don't take it.
00:43:17The wedding is in three days.
00:43:20That zapper closes today.
00:43:22If the dose is 0.5 milliliters, how many units is that on an insulin syringe?
00:43:26On a standard U-100 syringe, 0.5 milliliters.
00:43:30Reuters equals 50 units.
00:43:3250. See?
00:43:33It doesn't know the concentration in that vial.
00:43:35It knows math better than I do.
00:43:37This wedding sponsorship pays off every debt we have.
00:43:40I'm not destroying all of that because you suddenly got scared of a needle.
00:43:44The final step of the wedding cut.
00:43:49How much did you take last week?
00:43:51Five.
00:43:52Five units?
00:43:54No.
00:43:55She said 0.5.
00:43:57The prescription could mean 0.5 milligrams, not 0.5 milliliters.
00:44:01Don't say that on camera.
00:44:05Zip up.
00:44:08See?
00:44:09Worth it.
00:44:12What's wrong?
00:44:14It's a little nauseous.
00:44:15Hold it together.
00:44:16We need the full body shot first.
00:44:20Oh, my stomach.
00:44:24Call an ambulance!
00:44:26No ambulance.
00:44:28Delete the stream first.
00:44:29It hurts.
00:44:30Like something's tearing me open.
00:44:37How long has she been vomiting?
00:44:40About 40 minutes.
00:44:41She ate raw oysters at lunch.
00:44:43It's obviously food poisoning.
00:44:44Did anyone else eat them?
00:44:45Everyone at the table.
00:44:47Anyone else sick?
00:44:50Not yet.
00:44:53Don't touch me!
00:44:55Is the pain shooting into your back?
00:44:57She said her back felt like it was breaking.
00:44:59Severe epihascal pain radiating to the back with persistent vomiting.
00:45:02We need to rule out acute pancreas.
00:45:05She ate something bad.
00:45:06Give her anti-nausea medication and fluids.
00:45:08We have rehearsal tonight.
00:45:09Her blood pressure is dropping.
00:45:11There's a multi-million dollar wedding stream in three days.
00:45:14Then she needs to survive the next three days.
00:45:17Have you taken any new medication, supplements, or weight loss products?
00:45:21No.
00:45:23Madison.
00:45:24I said no.
00:45:25Critical case detected.
00:45:27Root cause clue.
00:45:29Ten times.
00:45:29Ten times?
00:45:31What increased tenfold?
00:45:33Not heart rate?
00:45:35Not temperature?
00:45:36Not blood loss?
00:45:38CBC electrolytes, liver and Sydney function, lipase and lactase.
00:45:41Start fluids and control the vomiting.
00:45:42Abdominal CT?
00:45:43If the lipate is elevated or the pain persists, get a contrast CT immediately.
00:45:51You barely drink and you have no known gallstone history.
00:45:55Have you been losing weight rapidly?
00:45:59Dieting before a wedding is normal.
00:46:01How much in one month?
00:46:03Seventeen pounds.
00:46:05From dieting alone?
00:46:06She took an injection today!
00:46:09Noah!
00:46:10He doesn't know what he's talking about!
00:46:12She injected 50 units into her abdomen.
00:46:14What medication?
00:46:16A prescribed weight loss injection.
00:46:18Name, concentration, and prescribed dose!
00:46:21This is not the time to protect a sponsor.
00:46:24The vial was in her bag.
00:46:26There's no vial.
00:46:28It may have been left at the hotel.
00:46:30She used a compounded medication.
00:46:33Different pharmacies can use completely different concentrations.
00:46:35Without the vial, we don't know how many milligrams she injected.
00:46:38The AI said 0.5 milliliters was 50 units.
00:46:40Units are only volume markings on the syringe.
00:46:42They are not the medication dose.
00:46:44The prescription said 0.5 milligrams and she interpreted it as 0.5 millimeters with a concentration of 10 milligrams
00:46:49per milliliter.
00:46:50She injected 5 milligrams!
00:46:53Exactly 10 times the prescribed dose.
00:46:55This isn't food poisoning.
00:46:56You injected 10 times your prescribed dose.
00:47:00Is it going to kill me?
00:47:05Give me the vial.
00:47:06I don't have it.
00:47:08The trauma bay cameras will show you removing it from her bag.
00:47:12You can hand it over now and help us save her.
00:47:15Or the police can find it in your pocket after she dies.
00:47:23Why did you take it?
00:47:25Her contract says she cannot publicly use any other weight loss product.
00:47:29She's lying in an emergency room!
00:47:32Confirmed.
00:47:33She was supposed to draw five units.
00:47:34She drew 50.
00:47:35I just wanted the dress to fit.
00:47:37First, we keep you alive long enough to wear it.
00:47:46Is the wedding ruined?
00:47:49The wedding can wait.
00:47:51The stream can't wait.
00:47:52The venue, hotel, sponsors, all the money is already gone.
00:47:56I don't care.
00:47:57You're not the only one who owes that money.
00:48:01Heart rate is coming down.
00:48:03Pressure is temporarily stable.
00:48:13Medical case recorded.
00:48:15Internal medicine experience fragment.
00:48:18One of five.
00:48:19The system has more than a surgical track.
00:48:22Every disease I solve can unlock a new medical ability.
00:48:25But the overdose and pancreatitis are medical conditions.
00:48:28This still isn't the final surgical case.
00:48:33She already got anti-nausea medication.
00:48:35Why is she still vomiting?
00:48:36The drug lasts a long time.
00:48:37We can control the symptoms, but we can't pull the injection back out.
00:48:41My chest!
00:48:42It hurts!
00:48:49Blair, feel the left side of her neck.
00:48:52Except for tenuocrelaceous.
00:48:55What does that mean?
00:48:57Air has leaked in the tissue under her skin.
00:49:01I can't breathe.
00:49:03Sat's dropping!
00:49:04She's at 88!
00:49:07Sudden tearing chest pain after forceful vomiting.
00:49:10Supropino air.
00:49:11Abnormal air around the mediocerium.
00:49:17Critical surgical case triggers.
00:49:21Her isophis?
00:49:22The tube connecting her mouth to her stomach has torn open from the pressure of repeated vomiting.
00:49:30Stomach acid and bacteria are leaking into her chest.
00:49:33That space is supposed to be sterile.
00:49:35If we don't seal the tear and wash out her chest immediately, she can develop fatal infection and shock within
00:49:40hours.
00:49:43Pressure is 80 over 40.
00:49:45She's going into shock.
00:49:46Nothing by mouth!
00:49:47Do not place a blind gastric tube until thoracic surgery evaluates her.
00:49:51Start broad-spectrum antibiotics and alert the OR.
00:49:54Don't let them cancel the wedding.
00:49:57Stop talking, Madison!
00:49:59You survived first!
00:50:07Fifth surgical case in progress.
00:50:09Diagnosis established.
00:50:11Fontaneous thophical rupture.
00:50:13Emergency countdown initiated.
00:50:19Pressure is 98 over 62.
00:50:22Heart rate 105.
00:50:23Surgery experience.
00:50:25Fragments collected.
00:50:26Foundation phase complete.
00:50:28Core diagnostic ability unlocking.
00:50:31Basic blind sight activated.
00:50:33Current ability allows visualization of a normal internal anatomy and blood flow.
00:50:37Warning.
00:50:38System cannot directly provide disease names.
00:50:41Initial use will generate severe neural overload.
00:50:43Brace yourself.
00:50:44System initiation can complete.
00:50:46Primary medical system activated.
00:50:52You good?
00:50:57I'm fine.
00:50:58Ready to cut.
00:51:03Is she alive?
00:51:04Yes.
00:51:05The thophical tear has been repaired and the contamination in her chest has been washed out.
00:51:10She'll go to intensive care.
00:51:14She cannot eat for now, and she won't wake immediately.
00:51:18What about three days from now?
00:51:20Three days from now, she should still be in the hospital.
00:51:23The streaming platform says that if the wedding is canceled, we have to repay the entire advance.
00:51:28That's a contract.
00:51:30She's a life.
00:51:32She believed that if the wedding succeeded, we could start over, pay off the debt, buy a home, and stop
00:51:37pretending online that our lives were perfect, you can still start over.
00:51:41It just won't follow the livestream script.
00:51:43She'll hate me when she wakes up when she wakes up and learns I canceled the wedding.
00:51:46That means she woke up.
00:51:55I waited for this ability to see what is happening inside her body.
00:52:09It's not a tumor.
00:52:11It's a misfold substance depositing throughout her entire body.
00:52:17Alex?
00:52:19What is wrong with you?
00:52:21What happened?
00:52:22Unknown internal pathology locked.
00:52:25Resolve this case to acquire an internal medicine experience fragment.
00:52:48Mr. Hawkins.
00:52:49Are you coming to work today?
00:52:50My mother's heart paused again last night.
00:52:51I need to stay until the doctor rounds.
00:52:52You left twice last week, and the transmission still wasn't finished the day before yesterday.
00:52:55I'll come in this afternoon.
00:52:56I can stay after closing.
00:52:57David, this isn't the first time.
00:52:59If you're not here by noon, don't come back.
00:53:13Sir, are you all right?
00:53:17Stood up too fast.
00:53:27You had carpal tunnel surgery in both wrists?
00:53:29Right hand first, left hand three years later.
00:53:32What did the doctor say caused it?
00:53:33Age.
00:53:34Too many years using my hands.
00:53:37There's also surgery for lumbar spinal concession.
00:53:39They said that was aging too.
00:53:41Six years ago, you tore a tendon in your right shoulder.
00:53:43I lifted a sack of flour in the kitchen.
00:53:46It weighed 10 pounds.
00:53:48Numbness in both feet began five years ago.
00:53:50The doctor told me to drink more water.
00:53:53A year ago, her echocardiogram showed thickened ventricle walls.
00:53:56But she never had chronic hypertension.
00:53:59Every one of these symptoms was treated as a separate problem.
00:54:02The hands went to orthopedias, the feet to necrology, the disness to internal medicine,
00:54:07and the heart to cardiology.
00:54:16Clinical history linked.
00:54:18Disease name remains unavailable.
00:54:20They aren't separate diseases.
00:54:22Ten years, four different departments.
00:54:25Everyone got it wrong.
00:54:26They all point to the exact same source.
00:54:28I don't have the exact name yet, but all six of these minimally unremated cross-organ symptoms,
00:54:31they are the exact same disease.
00:54:33What if one substance has been slowly depositing in different organs for ten years?
00:54:37Like cancer spreading?
00:54:38Not cancer.
00:54:39More like proteins folded into the wrong shape.
00:54:41The body is supposed to use them, but they become misshaped.
00:54:43They build up layer by layer, like wax coating the heart, nerves, and ligaments.
00:54:56What is it called?
00:54:58Amylitosis.
00:54:59Amylide?
00:55:01The name sounds like starch, but it has nothing to do with what you eat.
00:55:05It's a disease caused by abnormal protein deposits.
00:55:09You're diagnosing systemic aminitisis from a collection of unrelated geriatric symptoms?
00:55:14They look unrelated because no one put the timeline together.
00:55:17Carpal tunnel is common.
00:55:18So is spinal sinisus.
00:55:19Thickened ventretical balls without hypertension are not.
00:55:21Add orthostanthial hyperteria, peripheral neurology, and conduction after melaties, and it deserves a workup.
00:55:26Explain.
00:55:28AL comes from abnormal plasma cells in the bone bone marrow.
00:55:30They produce defective light clam proteins, and it can progress quickly.
00:55:33A atopy comes from a protein called transphotypchidon.
00:55:35It may be age-related, or it may come from an inherited variant.
00:55:38First, we look for abnormal nonagal proteins in the blood and urine.
00:55:40If they're present, we have to suspect AL and confirm the deposited protein with tissue testing.
00:55:44If they're all negative, we move to cardiac nuclear imaging to determine whether the pattern fits ADOF.
00:55:48When did you learn that entire diagnostics pathway?
00:55:51After everyone told her she was simply getting old.
00:55:53Order the tests.
00:55:54And until the results return, do not tell the patient she has a confirmed diagnosis.
00:55:58At this rate, you'll drain me before the results come back.
00:56:03Last one.
00:56:07Go to work.
00:56:08I'm waiting for the results.
00:56:10You'll be fired.
00:56:12I can find another job.
00:56:14You can't find another home.
00:56:17She knows.
00:56:18Knows what?
00:56:19That you're living in the parking garage.
00:56:22He's barely holding his own life together, and he's still here waiting for hers.
00:56:26I can't let her be the next thing he loses.
00:56:28You gave up your apartment.
00:56:30The rent went up another $300.
00:56:33You need care, and I still have the truck payment.
00:56:37Sleeping in the truck for a while won't kill me.
00:56:39And your job?
00:56:43Did they fire you?
00:56:44Not yet.
00:56:48What are you doing?
00:56:51I'm leaving.
00:56:52Your cardiac conduction could fail again at any time.
00:56:55Then let it fail at home.
00:56:58If she leaves now, the next conduction block could be the last.
00:57:00I can't let her leave before I know what's killing her.
00:57:03I didn't raise you so you could sleep in a parking garage at 40, waiting for my broken heart to
00:57:08stop.
00:57:09You didn't raise me to repair someone else's truck while you need me here.
00:57:12I don't need you to give me everything.
00:57:15You gave me everything.
00:57:16I was 16 when Dad died.
00:57:19You worked in the school cafeteria during the day and a convenience store register at night.
00:57:24You didn't buy yourself new clothes for three years.
00:57:26Now it's my turn.
00:57:28Family isn't a shift you take turns working.
00:57:31Then stop pushing me away.
00:57:34Whatever those results say, I have to save her.
00:57:45The minor call of protein scan is negative.
00:57:47It makes the most aggressive AL type much less likely.
00:57:50But this alone does not diagnose atri.
00:57:53Next step, cardiac nuclear imaging.
00:57:55Stay still and breathe normally.
00:58:00There is significant myerotically uptake.
00:58:03With a negative mononilous screen and this imaging pattern.
00:58:06This strongly supports transcyber-backed anemine cardiotyphus.
00:58:13The current results strongly support ATP simonylisis.
00:58:17So you found its name.
00:58:18Half of it.
00:58:19What's the other half?
00:58:20ATP has two major forms.
00:58:22In one form, the normal protein becomes unstable with age.
00:58:25Usually in older adults.
00:58:27The other comes from a variant in the TRB gene and can run in families.
00:58:30Inherited?
00:58:31No one in my family had this disease.
00:58:33Or they may never have been correctly diagnosed.
00:58:35Did either of your parents have heart failure, unexplained numbness, or sudden death?
00:58:42My father died at a bus stop when he was 52.
00:58:46You always said it was a heart attack.
00:58:48There was no autopsy.
00:58:50His hands had trembled for years and he struggled to walk near the end.
00:58:55She needs TTR genetic testing.
00:58:58And if it is inherited, could he have it too?
00:59:03There could be a risk.
00:59:05Then test both of us.
00:59:06We need to identify Martha's variant first.
00:59:08Once we know the exact familial variant, we can test you specifically.
00:59:12How long will it take?
00:59:13Even expedited testing takes time.
00:59:18I'm getting some water.
00:59:19You already did.
00:59:20Then I'll buy another.
00:59:24Don't test him.
00:59:26Martha.
00:59:26What if I gave it to him?
00:59:28A gene is not something anyone did wrong.
00:59:31You didn't answer my question.
00:59:33What if it came from me?
00:59:34He's already lost his home, his job, and any normal life because of me.
00:59:39I can't be the reason he loses his health too.
00:59:42Not testing him does not remove the risk.
00:59:44It only leaves him spending 10 years being told every symptom means nothing.
00:59:48Just like you were.
00:59:51You cannot change what may have been passed to him.
00:59:53You can let him see it 10 years earlier than you did.
01:00:04David!
01:00:07My heart skipped.
01:00:16My heart skipped.
01:00:21David!
01:00:22Look at me!
01:00:23He's unresponsive.
01:00:25High-grade AV block.
01:00:26The atrias are sending signals, but the ventricles aren't receiving them.
01:00:31Pacing pads are on.
01:00:32Martha's heart rate is 23!
01:00:34Blood pressure is unobtainable!
01:00:42The same disease, but not the same stage.
01:00:44Blair, take David.
01:00:46Start transfer vatic palping and increase the current until you get mechanical capture.
01:00:49You're going to Martha?
01:00:50David still has my O-gram that can respond to the electrical current.
01:00:53Martha's heart may no longer be listening.
01:00:58Save my mom first.
01:01:00Stop talking.
01:01:01You're both staying alive so you can keep arguing.
01:01:04Starting pacing.
01:01:05Pacing.
01:01:09No response to atroxane.
01:01:11Transcondentical pacing is an achieving effective capture.
01:01:17Prepare transvenal palpacin.
01:01:19Electrical spikes, but no pulse.
01:01:21No mechanical capture.
01:01:29The lead isn't misplaced.
01:01:31It's touching mycotorium that can no longer conduct the current.
01:01:34Move the lead toward the interventrical spectrum.
01:01:37The current site is too influgiated.
01:01:39How do you know?
01:01:40Because the signal is reaching the heart, but the muscle isn't responding.
01:01:43Find a place that can still hear it.
01:01:48Pace again.
01:01:52We have capture.
01:01:53Pulse is present, but weak.
01:01:56Blood pressure is returning.
01:01:58David.
01:01:59He's alive.
01:02:00Do your eyes move left when you lie?
01:02:03I'm not lying.
01:02:04He has the same disease, but we found it earlier.
01:02:13Can she hear me?
01:02:14Yes.
01:02:17Mom.
01:02:19Why are you in a hospital bed, too?
01:02:23Upgraded visiting privileges.
01:02:25Martha's expedited genetic result is back.
01:02:28She has hereditary trans-typharian seminolus elitrithis.
01:02:32So I did give it to him?
01:02:34No.
01:02:36You passed him a gene.
01:02:37What nearly killed both of you was that no one recognized it for ten years.
01:02:41What difference does that make?
01:02:42The difference is that David doesn't have to wait ten years.
01:02:45You let me know what I'm facing earlier than Grandpa did, and earlier than you did.
01:03:02Martha, I owe you an apology.
01:03:05Doctors don't say that often.
01:03:06I saw every abnormal finding.
01:03:08I explained the carpal tunnel as overuse, the Disney as dehydration, and the thickened
01:03:12heart as age.
01:03:13I chose the easiest explanation every time.
01:03:16Then don't do it to the next old woman.
01:03:18I won't.
01:03:24Primary mission stage.
01:03:25The system let me see the deposits, but what connected them was the history no one had
01:03:30truly listened to for ten years.
01:03:36The doctor recommended that you leave in the wheelchair.
01:03:38I've spent enough time in a bed.
01:03:41She's refused it three times since breakfast.
01:03:44How is David doing?
01:03:45His heart involvement is mild, and the nerve symptoms are still early.
01:03:48He'll receive long-term treatment and regular monitoring.
01:03:50In plain English, I have to come to every appointment and stop pretending the numbness is from fixing
01:03:53cars.
01:03:53I'll make sure he does.
01:03:55The pacemaker somehow made her even more controlling.
01:04:03A new path of growth has been unlocked.
01:04:07Is there still this much left?
01:04:09Medicine has no finish line.
01:04:13Now that actually sounds like something a doctor would say.
01:04:16When I first got the system, I thought that if I could see the root cause of every illness,
01:04:20I could become the best doctor there was.
01:04:22But eventually I realized something.
01:04:24Seeing the answer isn't the hard part.
01:04:26When everyone else has stopped looking for an answer.
01:04:29Are you still willing to take one more look?
01:04:30Do you wish to continue?
01:04:32Of course.
01:04:33After all, there are still so many answers waiting to be found.
01:04:37And I'm only just getting started.
01:04:39I'm just getting started.
01:04:39I'm just getting started.
01:04:39I'm just getting started.
01:04:40I'm just getting started.
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