- 7 weeks ago
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00:00:00موسيقى
00:00:30تحبتك بالمشكل من في التنزي ويسر جزي ويجب توقفتك.
00:00:33إنه قليل قليل سيكون بشكل صدري.
00:00:36ممتعد لك أسرق.
00:00:37إذا لم أرد أن تنزي فقط.
00:00:41ممتعد لكي تنزيج محلول على خصوصا، لا تنزيج جزي.
00:00:46ممتعد لديه ممتعد.
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
00:01:06Good catch, Cross, you take it from here
00:01:09Just booze
00:01:13Then why is his belly swollen and bruised?
00:01:15That means massive internal bleeding
00:01:17Dr. Sterling, his symptoms are off
00:01:19Should we run a belly tap first to check for internal bleeding?
00:01:21Are you saying I misdiagnosed him?
00:01:26Shouldn't we run tap first?
00:01:29Alex, stop wasting time
00:01:32Dr. Sterling is never wrong
00:01:33Every intern wants to show off
00:01:34But my ER isn't your stage
00:01:37Just follow the attending's orders
00:01:45Volume increasing
00:01:46But 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
00:02:00But a bad injury forced him to retire
00:02:02And start drinking
00:02:04Football
00:02:05An old injury
00:02:06A distended abdomen
00:02:08That's it
00:02:09He took a hit to the stick playing ball
00:02:11And his body formed a clot to act as a patch
00:02:13The alcohol triggered massive varodulation
00:02:15Add the physical shock from his fall
00:02:20Dr. Sterling, stop!
00:02:22Hold that med
00:02:23Look at his belly
00:02:23It's distended and bruised
00:02:25This isn't alcohol poisoning
00:02:26It's a delayed splenal rupture
00:02:28He's going into hemorrhagic shock
00:02:33Cruise, medicine isn't a guessing game
00:02:35There's no new trauma
00:02:36Even with the booze expanding his vessels
00:02:38That clot's pressure equilibrium doesn't just snap
00:02:40The seizures mean his nervous system is crashing
00:02:43Textbook alcohol poisoning
00:02:45Exactly, Alex
00:02:46If it were internal bleeding
00:02:47His BP would have tanked by now
00:02:49But his pressure is completely normal
00:02:51Did you sleep through Physiology 1-1?
00:02:54Blair is right
00:02:55Stable vitals means he's not bleeding out
00:02:57Nice catch on the bruising, Cruz
00:02:59But 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
00:03:11Why is the volume still increasing?
00:03:12Why is his BP still faking normal?
00:03:16Damn it
00:03:17I get it now
00:03:18It's the compensatory mechanism
00:03:20Stop!
00:03:22He's a pro athlete
00:03:23His cardiac reserve is off the charts
00:03:25His blood vessels are clamping down hard
00:03:27Just to force a normal BP
00:03:28You push that antidote
00:03:29And they will blow wide open
00:03:32Pressure is tanking!
00:03:42His belly is full of blood
00:03:43You're right, he was compensating
00:03:45The clot just blew
00:03:46It's a delayed splenal rupture
00:03:47Scrap the antidote
00:03:49Push two units of blood and plasma stat
00:03:50Call the OR
00:03:51Tell them to clear a room now!
00:03:53Kraus
00:03:54Scrub in
00:03:55You're my first assist
00:04:14Doctor!
00:04:15Doctor!
00:04:17Thank you
00:04:17You saved him
00:04:18You saved our family
00:04:30Cardiac resurrection
00:04:31Is this?
00:04:35Director
00:04:36As an intern overriding an attending's med order today
00:04:39Was a direct violation of protocol
00:04:41However
00:04:42Your clinical judgment today was flawless
00:04:45I'm sparing you the official write-up this time
00:04:49But get this through your head
00:04:50Every protocol in this hospital exists for a reason
00:04:53You're an intern
00:04:54You defer to your attending
00:04:56And pulling a stunt like snatching a syringe
00:04:59Never let it happen again
00:05:00Understood, Dr. Sterling
00:05:06She ate one nut in the car
00:05:08And now she can't even make a sound
00:05:10Get your top doctor out here
00:05:12Now!
00:05:13I write a multi-million dollar check to this place every year
00:05:18You are going to fix my daughter
00:05:20Mrs. Lawrence
00:05:21I'm Dr. Sterling
00:05:22Chief of the ER
00:05:22Rest assured she's in the absolute best hands
00:05:24Get this child to the VIP trauma bay
00:05:26Move, move, move!
00:05:29Her oxygen is dropping fast
00:05:31Her throat is swelling shut
00:05:32And she can't breathe
00:05:33Ma'am, does your daughter have asthma or bad allergies?
00:05:36She had mild asthma
00:05:37I knew those nuts would trigger an attack
00:05:39What are you staring at?
00:05:41Push the meds!
00:05:42Now!
00:05:43It's a severe allergic reaction
00:05:45Her airway is spasming
00:05:46Let's start high-dose Albroin and push IV dex
00:05:48It'll open her airway right up
00:05:49Something's wrong
00:05:50If it was an asthma attack
00:05:51Her oxygen wouldn't 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
00:05:57Sudden critical case detected
00:06:00Critical case detected
00:06:02Root cause locked
00:06:03Narrowed
00:06:04The system's volume increased meant internal bleeding
00:06:06So what the hell is getting narrower?
00:06:09If her throat is swells is shut, why are the asthma meds doing absolutely nothing?
00:06:12The asthma meds aren't working
00:06:14Alex, back off
00:06:15We just pushed the meds
00:06:17Give it a second
00:06:21The pulses are uneven
00:06:22There's a murmur right below her throat
00:06:24This isn't asthma
00:06:25Her aorta's deformed and it's crushing her windpipe
00:06:27Sterling's a beast
00:06:28He caught that barehanded in seconds
00:06:30She's gonna suffocate any second
00:06:33We need to operate now
00:06:34Cut her windpipe open
00:06:36And force oxygen straight into her lungs
00:06:38No, absolutely not!
00:06:41No one is putting a knife to her neck
00:06:44Do not touch her!
00:06:46Mrs. Lawrence, if we don't perform this track
00:06:48She is gonna suffocate right now
00:06:50Cut her open?
00:06:51Diana has the biggest child star audition in the country next month
00:06:54The director personally picked her for the lead role
00:06:56A scar on her neck will destroy her entire career
00:06:59Could any of you afford to pay for that?
00:07:02Mrs. Lawrence, forget the audition
00:07:04We are talking about her life here
00:07:06She's getting zero air
00:07:07Her brain is going to die in minutes
00:07:10She is going to die!
00:07:12Shut your mouth, you broke piece of trash
00:07:15High society is cutthroat
00:07:16What do you know?
00:07:18I don't care, I said no scars
00:07:19I give this hospital millions of dollars every year
00:07:22And this is the best you can do?
00:07:24We're losing her
00:07:25Oxygen sat has just dropped to below 50%
00:07:28Mrs. Lawrence, we are trying to save her life
00:07:31What damn career is she going to have if she's dead?
00:07:33Shut up!
00:07:34You're the ones who delayed her treatment
00:07:35If you incompetent fools had given her the miracle drug earlier
00:07:39Would my daughter even be like this?
00:07:40You worthless trash!
00:07:42Get your hospital director out here!
00:07:43Right now!
00:07:44Calling the director won't save her
00:07:46Look at the monitor, she's running out of time
00:07:47Stop trying to intimidate me!
00:07:48What are you idiots still standing around for?
00:07:50Use 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
00:07:56I will sue you until you rot in prison!
00:07:59Prioritizing vanity over life
00:08:01Arrogant to the absolute core
00:08:03Completely beyond saving
00:08:20Baby, breathe!
00:08:21Don't scare mommy like this
00:08:22Open your eyes and look at me!
00:08:25What the hell are you waiting for?
00:08:26Save her!
00:08:28Push Epi!
00:08:29Now!
00:08:30Blair!
00:08:30Keep pumping the oxygen!
00:08:32Mrs. Lawrence
00:08:32This is no time for tears
00:08:34Get the hell out of the way
00:08:35And let my team work
00:08:36Your daughter is seconds away from brain death
00:08:38Her airway is completely crushed shut
00:08:40The air won't go in
00:08:41We don't even know where the blockage is
00:08:43I can't get a tube down her throat
00:08:44She's not going to make it
00:08:45Heart surgery
00:08:46The getting narrow in hint isn't about her windpipe
00:08:48It's the blood vessels
00:08:51I understand
00:08:51Blair linely pumping all that oxygen
00:08:54It had nowhere to go
00:08:55The trapped air built up
00:08:56Massive pressure in her chest
00:08:57Literally crushing the main vein to her heart
00:09:00The blood can't flow back
00:09:02Sterling can pump her chest all day long
00:09:04And it won't do a damn thing
00:09:08Move the hell out of the way
00:09:09If you want her to live
00:09:14Crush, what the hell are you doing?
00:09:15We don't even know the exact spot
00:09:16Going in blind
00:09:17Is going to stab right through her aorta
00:09:19Are you insane?
00:09:20You shoved me
00:09:20Do 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
00:09:26And let the pressure out right now
00:09:28She dies
00:09:38She's back
00:09:39Oh my god, she's actually back
00:09:48Cardiothoracic anomaly successfully reversed
00:09:51Main quest updated
00:09:52Cardiothoracical surgery
00:09:542-5
00:10:02Alex
00:10:02Are you okay?
00:10:07Hey, Martha
00:10:08I'm fine
00:10:09Just got off a shift in the ER
00:10:11You haven't had a chance to eat, have you?
00:10:13Here, have this
00:10:14It's still warm
00:10:15How 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
00:10:25Your organ function is perfectly consistent with your age
00:10:29See?
00:10:30That's basically calling me old, isn't it?
00:10:43Micro-leason?
00:10:45That's not aging?
00:10:46Puffy joints?
00:10:47Gray nails?
00:10:48That waxy skin?
00:10:48That is not RA
00:10:50But I don't have the clearance
00:10:52Martha, you
00:10:53Why don't you head back to your room and rest?
00:10:55I'll come check on you later
00:10:56All right
00:10:57Just don't overdo it
00:10:58Don't worry about me
00:11:06Blood, scans, heart
00:11:08Everything is perfectly clean
00:11:09No cancer, no infection
00:11:13Final diagnosis
00:11:14Just getting old
00:11:15Every 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
00:11:36And 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
00:11:56I 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
00:12:21But here at St. Jadies, 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
00:12:34Is 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
00:13:00I'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
00:13:10Hurts 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
00:13:23Nurse, take him for a CT
00:13:26Minor hairline fracture
00:13:27No displacement
00:13:29But
00:13:31Something's off
00:13:33Just slap a cased on it and he'll be fine
00:13:36Hear 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
00:13:48We need a lower extremity Dipler ultrasound
00:13:51But
00:13:53I just looked it up on AI
00:13:54And it said it's just a simple hairline fracture
00:13:57So why do I need more tests?
00:13:59And Doc
00:14:01Is this ultrasound gonna be expensive?
00:14:03A CT is static
00:14:04It 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?
00:14:16Now that you mention it
00:14:19Yeah, I do
00:14:23You fractured your leg and actually chose to walk here?
00:14:26Congratulations
00:14:26The ambulance fee you saved is about to turn into surgery fees
00:14:30Walking shifted the bone
00:14:31A sharp fragment lacerate your tibian artery and you're bleeding internally
00:14:35Without immediate surgery, you'll develop compartment syndrome and lose the leg
00:14:38Nurse, prep him for surgery, stat!
00:14:41This guy's cute
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
00:14:49We treat the patient
00:14:50Walking four blocks force that hidden fracture to shift
00:14:53Add his nerve pain
00:14:54That'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 micro fractures
00:15:12And the bone rebuilds itself wider
00:15:14Sharper!
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
00:15:26And this guy manufactures patients
00:15:28Staptize
00:15:29Why is the hospital sponsoring this circus?
00:15:32Glowcon is not a circus
00:15:34It's the largest wellness convention in the country
00:15:36Your board wants young people to see a friendly, professional side of St. Jude
00:15:41If he actually swings that thing
00:15:43We'll get plenty of chances to look professional
00:15:45Five
00:15:46Four
00:15:47Three
00:15:47Two
00:15:48One
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?
00:16:13Of course
00:16:14I just didn't sleep last night
00:16:21Get him to the medical booth
00:16:23No ambulance
00:16:24And do not cut the stream
00:16:29Look at this
00:16:30Personal 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 disappeared
00:16:38If your brain is injured, views aren't going to save you
00:16:40Hey, that'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, it's Saturday
00:16:48I'm at Glowcon, happy 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, I didn't sleep last night
00:17:03Vitals are stable, no obvious cervical tenderness
00:17:06And he's alert, it could be a mild concussion
00:17:08Great, give him an ice pack and something for the pain
00:17:11He's backstage in 10 minutes
00:17:12I said could be
00:17:13He needs to stop the challenge, remain under observation
00:17:16And preferably get a head CT
00:17:17A head CT?
00:17:18He tapped his face once
00:17:20He hit his temple with a steel hammer
00:17:212 million people are watching
00:17:22If you drag him out in an ambulance
00:17:24The entire convention gets labeled unsafe
00:17:26A live stream doesn't decide whether this event is safe
00:17:28You heard her, mild concussion
00:17:30A medical professional just confirmed I'm totally fine
00:17:33Round two starts in a minute
00:17:34Dude, that is not what I said
00:17:38Critical case detected
00:17:39Root cause clue
00:17:40No room left
00:17:42No 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, I know, I 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
00:18:12Tyler, 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
00:18:24You're here as medical support
00:18:26You do not have the authority to detain him
00:18:28He has altered mental status
00:18:29And an abnormal pupil response
00:18:31This is no longer about personal choice
00:18:32Unless he's unconscious
00:18:34No one is dragging him off my stage
00:18:36You hear that?
00:18:37Doctors want to control you with fear
00:18:38Your body
00:18:39Your choice
00:18:40Let him finish
00:18:41Round two
00:18:42The face can swell outward
00:18:43Muscle can expand
00:18:45But what part of the body
00:18:47Has absolutely nowhere to expand?
00:18:50They're going crazy out there
00:18:52Are you ready?
00:18:53I'm always ready
00:19:00Who turned off the lights?
00:19:03Tyler, look at me
00:19:10Get oxygen
00:19:11Check his glucose
00:19:12Call an ambulance
00:19:14Wait
00:19:14Shut down the stream first
00:19:16They cannot broadcast this
00:19:17Forget the phone
00:19:18Save the patient
00:19:20It'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
00:19:27And his brain has nowhere left to go
00:19:29Alert St. Jude's Trauma Center
00:19:31Get neurosurgery ready
00:19:33For an emergency craniotomy
00:19:34He's bleeding inside his skull
00:19:38The pauses are terrifying
00:19:40But his corodial pulse
00:19:41Is bounding like a drum
00:19:42Something is wrong
00:19:43His intracranial pressure
00:19:44Is out of control
00:19:44The brain stem is about to be crushed
00:19:46Call an ambulance
00:19:47Still worried an ambulance
00:19:49Might 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
00:20:03I have a protection
00:20:04Brick carby
00:20:05Irregular breathing
00:20:06Costing relaxation
00:20:06His intracranial pressure
00:20:07Is already crushing the brain stem
00:20:09Nearest hospital is 7 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 can stop breathing at any second
00:20:18The closer hospital doesn't have neurosurgery
00:20:20They can't stop a brain bleed
00:20:22They'll only transfer him again
00:20:23And he'll lose the only time he has left
00:20:27St. Jude's
00:20:27Prayer for intubation en route
00:20:29Wait
00:20:31Wait
00:20:31We don't even know if he collapsed
00:20:33Because he took something beforehand
00:20:343 million people just watched him
00:20:36Hit his temple with a steel hammer
00:20:37That doesn't make the convention liable
00:20:39He signed a waiver
00:20:39And the challenge was his own idea
00:20:41He's not a waiver right now
00:20:42He's a 19 year old patient
00:20:44Whose 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
00:21:06Midline shift is over a centimeter
00:21:08His entire brain is being pushed sideways
00:21:13Right teraporal fracture
00:21:14Ebidor hemoma
00:21:15And uncle hermination
00:21:16We operate now
00:21:17Dr. Sterling
00:21:18The OR is ready
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
00:21:29And won a full toxicology screen
00:21:31Before surgery
00:21:32To confirm the comb wasn't drug induced
00:21:33There is a hemodoma on his CT
00:21:35That is about to push his brain
00:21:36Out of his skull
00:21:37I'm relating legal's position
00:21:39Operating without family consent
00:21:40Creates significantly
00:21:41You see this white mass
00:21:43That's blood
00:21:44It's forcing his brain down
00:21:46Toward the base of his skull
00:21:47By the time you find his family
00:21:48Finish a talk screen
00:21:49And 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
00:21:57This 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
00:22:10You caught it early enough
00:22:11Scrub in his second assist
00:22:14Yes doctor
00:22:17The hematoma is evacuating
00:22:19Find the bleeder
00:22:19Find the bleeder
00:22:23One surgical case remains
00:22:25Before Blindstite is unlocked
00:22:29Four out of five
00:22:30Just one more
00:22:32We had a minor incident earlier
00:22:34But Tyler is receiving
00:22:35The best medical tear
00:22:37In the country
00:22:38To prove Glocom is still safe
00:22:40We're not only having our hosts try it
00:22:42We're inviting everyone here
00:22:44To experience this year's
00:22:46Hottest natural minehancing product
00:22:50Eat it
00:22:51We need to take control
00:22:53Of the narrative
00:22:54Completely legal
00:22:55All all natural
00:22:56And every piece is precisely dosed
00:23:03Taste great
00:23:04It can improve focus
00:23:06Reduce anxiety
00:23:07Enhance sleep
00:23:08And help you connect
00:23:09With your true
00:23:10Your true
00:23:14Keep talking
00:23:16I am talking
00:23:20Why is the ceiling breathing
00:23:25Mom
00:23:25I can't breathe
00:23:27Cut the street
00:23:35Two more bites
00:23:36You barely ate anything today
00:23:38This stuff tastes like
00:23:39Wet cardboard
00:23:41Then eat two bites
00:23:42Of wet cardboard
00:23:45Looks like I arrived
00:23:46Right in the middle
00:23:46Of dinner negotiations
00:23:47You're too late
00:23:49He's already threatening
00:23:50The 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
00:24:01Or palpitations?
00:24:02No
00:24:02Once around six
00:24:04She said it felt like
00:24:06A rock was sitting
00:24:06On her chest
00:24:07When did you become
00:24:08A snitch?
00:24:09When you started
00:24:10Lying to your doctors
00:24:11Mom
00:24:12Hiding the symptoms
00:24:14Doesn't make the disease
00:24:15Disappear
00:24:15Talking about them
00:24:16Hasn't made it
00:24:17Disappeared either
00:24:19Have you eaten dinner?
00:24:21Yeah
00:24:21What 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
00:24:36It's nothing
00:24:38You left work early again?
00:24:40It was slow
00:24:40David
00:24:42You nearly collapsed
00:24:44When the nurse called
00:24:45I was replacing a transmission
00:24:46I couldn't stay there
00:24:48Pretending everything was fine
00:24:49You've left early
00:24:50Three 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
00:25:05Your whole life back to me
00:25:07You never ask me to
00:25:10I just don't want you here alone
00:25:21Doctor
00:25:21When can I go home?
00:25:24Mom
00:25:24I'm only asking
00:25:26When you can stand
00:25:27Without getting dizzy
00:25:28And your heart stops
00:25:29Pausing unexpectedly
00:25:30So never?
00:25:31You can't save everyone
00:25:32In this hospital
00:25:37A mass medical emergency
00:25:39Is unfolding at GloCon
00:25:40Multiple attendees
00:25:41Have suddenly developed
00:25:42Seizures
00:25:43Unconsciousness
00:25:44And respiratory distress
00:25:45After reportedly consuming
00:25:47Or handling products
00:25:48At the event
00:25:48This is the same conference
00:25:50That happened today
00:25:51The situation is extremely chaotic
00:25:53Within the last few minutes
00:25:54At least a dozen people
00:25:56Have collapsed
00:25:56Near the main stage
00:25:59Some patients are showing
00:26:01Extremitation and hallucinations
00:26:02Others are unconscious
00:26:04And may have stopped breathing
00:26:06Please
00:26:06She's only 17
00:26:08Somebody help her
00:26:11More people are rushing
00:26:13Toward the exits
00:26:13On-site medical teams
00:26:15Appear to be completely overwhelmed
00:26:18People are down
00:26:19Back up
00:26:20Everybody
00:26:21Back up
00:26:25Level 1 mass casualty
00:26:27Protocol activated
00:26:28Anything changes
00:26:29Press the call button
00:26:31Immediately
00:26:31I will
00:26:31And eat something
00:26:32When you get back
00:26:33You can check the bag
00:26:36Red zone for respiratory failure
00:26:38Shock and active seizures
00:26:39Yellow zone for conscious patients
00:26:41With unstable vitals
00:26:43Suspend all non-emergency surgeries
00:26:44ICU clears six beds immediately
00:26:46The scene is requesting
00:26:48A second medical team
00:26:49Every downtown ambulance
00:26:50Is already committed
00:26:51Kroos
00:26:52Put this on
00:26:52How many patients?
00:26:54Officials say 26
00:26:55Fire says at least 60
00:26:57And the number keeps climbing
00:26:59There's also been a crowd crush
00:27:01They can't tell who is poisoned
00:27:02And who is injured
00:27:03Sterling
00:27:04Glocon is a hospital partner
00:27:06No one is to speculate
00:27:07About product poisoning
00:27:09In front of the press
00:27:09We're discussing rescue
00:27:10Not public relations
00:27:12There is no evidence
00:27:13The symptoms came from dream dose
00:27:14This could be panic
00:27:15Allergies
00:27:16Or even intentional contamination
00:27:18Panic doesn't explain seizures
00:27:19Respiratory deprimation
00:27:21Hallucinations
00:27:22And people collapsing in clusters
00:27:23You already put this hospital
00:27:26On national television
00:27:28Because of that influencer
00:27:30He put himself there with a hammer
00:27:32Your job is to treat patients
00:27:34Not assign blame
00:27:35On that point
00:27:37He's right
00:27:39At the scene
00:27:40Report symptoms
00:27:41And medical findings only
00:27:43No public statements
00:27:44About cause
00:27:45But physicians
00:27:47Decide what goes
00:27:48In 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
00:27:55Who can still be saved first
00:27:56Understood
00:27:57People will cry, scream
00:27:59And demand that you save
00:28:00Their family first
00:28:01Don't follow the loudest voice
00:28:03Find the person dying the fastest
00:28:04Understood
00:28:08Fire officials have upgraded
00:28:10The incident to a mass
00:28:11Casuality 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
00:28:24Completely opposite
00:28:25Neurologic responses
00:28:30Road's completely blocked
00:28:31We'll have to stop
00:28:32At the west entrance
00:28:34At the scene
00:28:35We start with the people
00:28:36Who can't walk
00:28:36The loudest patients
00:28:37Usually aren't the safest
00:28:47Say, dude
00:28:48Yes
00:28:49Where's medical command?
00:28:50At least 20 down
00:28:51Near the main stage
00:28:52A crowds crash
00:28:53At the east exit
00:28:54Has someone drove into a barricade
00:28:55In the parking garage
00:28:56Is hazmat on scene?
00:28:58En route
00:28:59Nobody knows if this is food
00:29:01Airbore exposure
00:29:03Or deliberate poisoning
00:29:05They're under my skin
00:29:07Get them out
00:29:13Severe agitation
00:29:14Hallucinations
00:29:15Hyperthermia
00:29:16She's not breathing
00:29:19She has a pulse
00:29:20Start assisted ventilation
00:29:29Tell everyone
00:29:30These are isolated
00:29:31Allergic reactions
00:29:32Keep the media
00:29:32Out of the backstage area
00:29:33An allergy doesn't cause
00:29:34Pinpoint pools
00:29:35Hallucinations
00:29:36And hyperthermia
00:29:37At the same time
00:29:38Why are you back?
00:29:39Because you didn't stop the event
00:29:40Doctor, over here
00:29:4217-year-old female
00:29:43Seizing for almost 5 minutes
00:29:44She only ate one piece
00:29:46Just one
00:29:47Prepare anticonvuxent medication
00:29:49Oxygen
00:29:50And 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
00:30:07Gets logged under the same toxic exposure
00:30:09But their symptoms
00:30:10Are completely different
00:30:11It could be dose of metabolism
00:30:12Control seizures
00:30:13Protect airways
00:30:14And collect every wrapper
00:30:15And 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
00:30:22My baby
00:30:24Please save my baby
00:30:26Alex, she stopped breathing
00:30:28Pregnation pressure's 60
00:30:29Fetal heart rate is dropping
00:30:30We only have enough equipment for one
00:30:40Same poison
00:30:40If I treat the common cause first
00:30:42It's not different doses
00:30:44Same wrapper
00:30:45Different 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 caradiate pulse
00:30:56And her chest rises with the bag
00:30:57You can breathe for her temporarily
00:30:58You're abandoning her?
00:30:59She's not being abandoned
00:31:01Blair's hands are her lungs right now
00:31:04That woman has no blood pressure
00:31:05If she waits another two minutes
00:31:07She and her baby both die
00:31:11The barrier's jammed into the display frame
00:31:13We need hydraulic cutters
00:31:15Two large boral IVs
00:31:16Oxygen, don't leave her flat
00:31:17Displace the uterus to the left
00:31:19What does that do?
00:31:20The uterus is crushing the major vessels in her abdomen
00:31:21Move it off center
00:31:22And blood can return to her heart
00:31:26Her abdomen is rigid as a board
00:31:28Possible plastinyl abduction
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
00:31:33And 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
00:31:39Please
00:31:42Save my baby first
00:31:43To save your baby
00:31:44I have to keep you alive
00:31:49Now, pull her out
00:31:52Pressure 52
00:31:53I 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
00:31:59And massive hemorrhage
00:32:00No!
00:32:01My daughter is dying
00:32:02And you're giving the ambulance
00:32:03To someone who can still talk?
00:32:05Being able to speak
00:32:06Does not mean she's safe
00:32:07Your daughter has a pulse
00:32:09And Blair is breathing for her
00:32:10But 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
00:32:16To 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
00:32:25Something blue to drink
00:32:31Her airway is open
00:32:32But she has no respiratory drive
00:32:33Heart rate 32
00:32:37Bilateral pinnacle pulls
00:32:38Respiratory depresation
00:32:39Bradycarvia
00:32:41This isn't a hallucinage
00:32:42And it isn't ordinary mushroom poisoning
00:32:46Give Noxicate!
00:32:47You think there's an opiate in it?
00:32:49Her respiratory drive has been switched off
00:32:51Like someone pulled the plug on her brain stem
00:32:53Try it
00:33:02It isn't working
00:33:03What did you put in her?
00:33:04Keep ventilating
00:33:04What did you do?
00:33:07Keep ventilating!
00:33:10It may be a higher dose
00:33:12Or a longer acting analog
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
00:33:24She'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
00:33:31Someone may have put
00:33:32A respiratory suppressant
00:33:34Inside that legal chocolate
00:33:37You can hate me later
00:33:38Right now
00:33:39Let me bring her back
00:33:43She's about to arrest
00:33:47Amy
00:33:47Can 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
00:34:02Baby, I'm here
00:34:04I'm right here
00:34:05There is something opioid-like
00:34:07Inside Dream Dose
00:34:10Everyone's presenting differently
00:34:11If we give naloxine to everyone
00:34:13At best we waste medication
00:34:14But if we sedate the wrong patient
00:34:17We could stop their breathing completely
00:34:21The drink
00:34:24What drink?
00:34:25They said
00:34:26The chocolate had to be taken with
00:34:29Reset water
00:34:32Blue bottles
00:34:34The pregnant woman mentioned a blue drink too
00:34:40Move all remaining product immediately
00:34:42Do not let the press photograph the lot numbers
00:34:44Stop!
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
00:34:57You don't get to use the word safe
00:34:59No complete ingredient list
00:35:01No manufacturer address
00:35:02And the lot number is printed on a removable sticker
00:35:06This isn't labeling
00:35:07It's designed to destroy traceability
00:35:10You have no evidence the drink is connected to the patients
00:35:12Two unrated patients mention 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
00:35:29Call it an individual reaction to an unknown substance
00:35:33The hospital, GloCon, and you can all walk away from this disaster
00:35:36The patients can't walk away
00:35:41Dr. Crost, 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
00:36:06If they wait one more minute
00:36:07So 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
00:36:16The 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
00:36:34We're just following orders!
00:36:37Whose orders?
00:36:38Block the freight elevator
00:36:45This is not an ordinary wellness drink
00:36:48I only took one sip
00:36:52Delayed of peoples, hot dry skin, altered mental status
00:36:55My tongue!
00:37:04Same wrapper
00:37:05Different lots
00:37:06Possibly different formulas
00:37:08They're gonna lock me in a box!
00:37:10I have to get out!
00:37:15Get out of the vehicle!
00:37:24Blair!
00:37:25Blair!
00:37:27Blair!
00:37:28Blair!
00:37:31Blair!
00:37:31Blair!
00:37:31Blair!
00:37:32Blair!
00:37:33Blair!
00:37:36Blair!
00:37:37Are you hurt?
00:37:37No!
00:37:38I don't think so
00:37:39Half a second later
00:37:41I'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
00:37:54He's burning up
00:37:55Dilated peels
00:37:56Flush dry skin
00:37:57Severe delirium
00:37:58Classic anti-clearant toxidrama
00:37:59Stay away from me!
00:38:01Your faces are melting!
00:38:03Fire rescue
00:38:04Driver trapped
00:38:05We need icepags
00:38:06Cooled saline
00:38:06And cardiac monitoring
00:38:08The unconscious patients with pinpoint pills
00:38:11Looked opioid toxic
00:38:12This man is the complete opposite
00:38:13Then it isn't just blue drinks
00:38:15Versus purple chocolate
00:38:16Lot D1407
00:38:17Lot D1409
00:38:18Purple
00:38:18Dark red
00:38:19Even the same product
00:38:20Contains completely different substance
00:38:21Across different lots
00:38:22They didn't make one unapproved product
00:38:24They packaged multiple experimental compounds
00:38:27Under the same label
00:38:32His temperature is still climbing!
00:38:34Start active cooling
00:38:35And control the agitation
00:38:36Do not treat the package
00:38:37Treat the toxidambra
00:38:39His body is showing us
00:38:43That's enough to prove
00:38:44They 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
00:38:56For both of you
00:38:56I'm the event director
00:38:57I need to coordinate
00:38:58With the press and the families
00:38:59This was a manufacturing lot deviation
00:39:01Nobody intended to harm consumers
00:39:04Are you admitting
00:39:04Different lots contain
00:39:05Different ingredients?
00:39:07So Livion
00:39:08Brilliant Adeptus
00:39:08A truck full of product
00:39:10And destruction records
00:39:10Was found in the parking garage
00:39:11The driver just crashed it
00:39:12Miss Olivia
00:39:13Was Glocom destroying evidence?
00:39:15Did the hospital know
00:39:15These products
00:39:16Had not been fully tested?
00:39:19Field command
00:39:20This is St. Jude's Toxicology
00:39:22Preliminary screening
00:39:23Of the first blood
00:39:24And product samples
00:39:25Is complete
00:39:28Go ahead
00:39:29Purple lot Dion-1407
00:39:30Contains an undeclared
00:39:31Potent opioid-like compound
00:39:32Blue beverage lot R22
00:39:34Contains a high concentration
00:39:35Of anti-quickly red alkalides
00:39:37Red chocolate lot Dion-1409
00:39:39Contains an undeclared
00:39:40Synthetic stimulant
00:39:41These lots are not
00:39:42Remotely the same product
00:39:42Now we have lab results
00:39:44Both of you
00:39:45Come with us
00:39:46You can't do this!
00:39:48The hospital was a partner too!
00:39:51You think the hospital
00:39:52Will protect you?
00:39:54They're more afraid
00:39:54Of this coming out
00:39:55Than I am
00:40:09Doctor
00:40:11Earlier
00:40:12I thought you were
00:40:13Abandoning her
00:40:14I understand
00:40:15No you don't
00:40:16In that moment
00:40:17I could only see
00:40:18My own daughter
00:40:18But you had to see
00:40:20Everyone at once
00:40:21Thank you for not
00:40:22Making the wrong choice
00:40:22Just because I
00:40:23Scrammed the loudest
00:40:24Blair kept her breathing
00:40:28Thank you
00:40:29Go with her
00:40:30The noxone may wear off
00:40:31Before 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
00:40:52Every trauma bay
00:40:52Would be treating
00:40:53Incompatible toxidomes
00:40:54As the same illness
00:40:57No confirmed deaths?
00:40:59Not yet
00:40:59Several remain critical
00:41:01But because you
00:41:02Separated the groups
00:41:03No one at the sign
00:41:03Died from the wrong
00:41:04Treatment tonight
00:41:07Now they're calling you
00:41:08A real life superhero
00:41:12Police have sealed
00:41:13The glocon venue
00:41:14And seized large quantities
00:41:16Of dream dose products
00:41:17Preliminary tests
00:41:17Show multiple lots
00:41:18Contain different
00:41:19Undeclared potent compounds
00:41:20He did not abandon
00:41:21My daughter
00:41:22With one ambulance
00:41:23He saved three lives
00:41:24Dr. Crokes
00:41:25Internal medicine
00:41:26Called twice
00:41:27Mrs. Martha Hayes
00:41:28Keeps asking
00:41:28Whether you're back
00:41:32Police have sealed
00:41:33The glocon venue
00:41:34And seized large quantities
00:41:35Of dream dose products
00:41:36Preliminary tests
00:41:37Show multiple odds
00:41:38Contain different
00:41:39Undeclared potent compounds
00:41:40He did not abandon
00:41:41The television kept saying
00:41:42A doctor was nearly hit
00:41:43By a truck
00:41:44I just wanted to make sure
00:41:46It wasn't you
00:41:49Blair was nearly hit
00:41:50Any more pauses
00:41:52In your heart rate?
00:41:53No
00:41:54David stared at the monitor
00:41:55For three hours
00:41:56And nearly burnt a hole
00:41:57Through it
00:41:58He gave up his apartment
00:42:00Every night he sleeps
00:42:01In his pickup
00:42:02In the parking garage
00:42:03Downstairs
00:42:04He told you?
00:42:05He thinks I don't know
00:42:06And I pretend I don't
00:42:07As long as I don't say it
00:42:09Out loud
00:42:09He can keep smiling
00:42:10And telling me
00:42:11Everything is fine
00:42:12So you're just seeing
00:42:13Who breaks first?
00:42:15It's protection
00:42:16No
00:42:17If this keeps up
00:42:19Whoever collapses first
00:42:20The one left standing
00:42:21Will blame themselves
00:42:31Fatal microscopic deposits
00:42:32Continue to progress
00:42:34Four five
00:42:35One more surgical case
00:42:38Until then
00:42:39I have to find evidence
00:42:40In the real world
00:42:44Three days ago
00:42:45This dress was still
00:42:46Two full inches away
00:42:47From closing
00:42:51Today
00:42:51We're closing it
00:42:52All the way
00:42:54Okay
00:42:54Okay
00:42:55I see you guys
00:42:56Let's just say
00:42:57My clinic knows
00:42:58Exactly what it's doing
00:43:00This is my
00:43:01Telehair clinic's
00:43:01Final wedding week dose
00:43:05Why did you drop that much?
00:43:06The prescription says
00:43:07Point five
00:43:08Point five what?
00:43:09How should I know?
00:43:10Milligrams, milliliters
00:43:11Doctors write everything
00:43:11Like a secret code
00:43:12The clinic still hasn't replied
00:43:14The stream is live
00:43:15And the sponsor is watching
00:43:16Then don't take it
00:43:17The wedding is in three days
00:43:19That zapper closes today
00:43:22If the dose is point five milliliters
00:43:24How many units is that
00:43:25On an insulin syringe?
00:43:26On a standard U100 syringe
00:43:28Point five milliliters
00:43:29Reuters equals 50 units
00:43:31Fifty, see?
00:43:33It doesn't know the concentration
00:43:34In that vial
00:43:35It knows math better than I do
00:43:37This wedding sponsorship
00:43:38Pays off every debt we have
00:43:40I'm not destroying all of that
00:43:42Because you suddenly
00:43:42Got 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
00:43:51Five units?
00:43:54No
00:43:55She said point five
00:43:57The prescription could mean
00:43:58Point five milligrams
00:43:59Not point five milliliters
00:44:01Don't say that on camera
00:44:04Zip 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
00:44:20My stomach
00:44:24Call an ambulance!
00:44:26No ambulance
00:44:27Delete the stream first
00:44:29It hurts
00:44:29It's like 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
00:44:46Anyone else sick?
00:44:50Not yet
00:44:53Don't touch me
00:44:54Is the pain shooting into your back?
00:44:57She said her back felt like it was breaking
00:44:59Severe epihastical 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
00:45:14And she needs to survive the next three days
00:45:16Have you taken any new medication, supplements, or weight loss products?
00:45:22No
00:45:22Madison
00:45:23I said no
00:45:25Critical case detected
00:45:27Root cause clue
00:45:28Ten 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 lactate
00:45:41Start fluids and control the vomiting
00:45:42Abdominal CT?
00:45:43If the lipate is elevated or the pain persists
00:45:45Get a contrast CT immediately
00:45:51You barely drink
00:45:52And you have no known gallstone history
00:45:54Have you been losing weight rapidly?
00:45:59Dieting before a wedding is normal
00:46:01How much in one month?
00:46:03Seventeen pounds
00:46:04From dieting alone?
00:46:06She took an injection today!
00:46:09Noah!
00:46:10He doesn't know what he's talking about!
00:46:11She injected 50 units into her abdomen
00:46:14What medication?
00:46:15A 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
00:46:32Different 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
00:46:46And she interpreted it as 0.5 millimeters
00:46:48With a concentration of 10 milligrams per milliliter
00:46:50She injected 5 milligrams!
00:46:53Exactly 10 times to the prescribed dose
00:46:54This isn't food poisoning
00:46:56You injected 10 times your prescribed dose
00:47:00Is it going to kill me?
00:47:04Give me the vial
00:47:05I 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
00:47:28She's lying in an emergency room
00:47:32Confirmed
00:47:32She was supposed to draw 5 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
00:47:50The stream can't wait
00:47:52The venue, hotel, sponsors
00:47:54All 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
00:48:02Pressure is temporarily stable
00:48:13Medical case recorded
00:48:14Internal medicine experience fragment
00:48:17One of five
00:48:18The 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
00:48:38But 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
00:48:52Subvertine ocrelatius
00:48:55What does that mean?
00:48:56Air 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
00:49:08After forceful vomiting
00:49:09Subcropino air
00:49:11Abnormal air around the medeocerium
00:49:16Critical surgical case triggers
00:49:21Her his office
00:49:22The tube connecting her mouth to her stomach
00:49:24Has 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
00:49:38She can develop fatal infection and shock within hours
00:49:43Pressure's 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
00:49:50Start broad-spectrum antibiotics and alert the OR
00:49:54Don't let them cancel the wedding
00:49:57Stop talking, Madison
00:49:59You survive first
00:50:07Fifth surgical case in progress
00:50:09Diagnosis established
00:50:11Fontaneous thothical rupture
00:50:13Emergency countdown initiated
00:50:19Pressure is 98 over 62
00:50:21Heart rate 105
00:50:22Surgery experience
00:50:24Fragments collected
00:50:25Foundation phase complete
00:50:28Core diagnostic ability unlocking
00:50:30Basic 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
00:50:40Initial 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?
00:50:56I'm fine
00:50:57Ready to cut
00:51:03Is she alive?
00:51:04Yes
00:51:05The thothical tear has been repaired
00:51:08And the contamination in her chest has been washed out
00:51:10She'll go to intensive care
00:51:13She cannot eat for now
00:51:15And she won't wake immediately
00:51:17What about three days from now?
00:51:20Three days from now
00:51:21She should still be in the hospital
00:51:23The streaming platform says that
00:51:24If the wedding is cancelled
00:51:26We 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
00:51:34We could start over
00:51:35Pay off the debt
00:51:36Buy a home
00:51:37And stop pretending online
00:51:38That our lives were perfect
00:51:39You can still start over
00:51:41It just won't follow the live stream script
00:51:43She'll hate me when she wakes up
00:51:45And learns I cancelled the wedding
00:51:46That means she woke up
00:51:55I waited for this ability
00:51:56To see what is happening inside her body
00:52:09It's not a tumor
00:52:11It's a misfold substance
00:52:13Depositing throughout her entire body
00:52:17Alex?
00:52:19What is wrong with you?
00:52:21What happened?
00:52:22Unknown internal pathology locked
00:52:24Resolve this case to acquire
00:52:26An 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
00:52:53And the transmission still wasn't finished
00:52:54The 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
00:52:58If you're not here by noon
00:52:59Don't come back
00:53:13Sir, are you alright?
00:53:17Stood up too fast
00:53:27You had carpal tunnel surgery in both wrists?
00:53:29Right hand first
00:53:30Left hand three years later
00:53:32What did the doctor say caused it?
00:53:33Age
00:53:34Too many years using my hands
00:53:36There'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
00:53:45It weighed ten 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
00:54:03The feet to necrology
00:54:05The dizzness to internal medicine
00:54:06And the heart to cardiology
00:54:16Clinical history linked
00:54:17Disease name remains unavailable
00:54:20They aren't separate diseases
00:54:22Ten years, four different departments
00:54:24Everyone got it wrong
00:54:25They all point to the exact same source
00:54:27I don't have the exact name yet
00:54:29But 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
00:54:42But they become misshaped
00:54:43They build up layer by layer
00:54:45Like 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
00:55:02But 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 aminitis from a collection of unrelated geriatric symptoms?
00:55:14They look unrelated because no one put the timeline together
00:55:16Carpal tunnel is common
00:55:18So is spinal sinisus
00:55:19Thickened ventretical balls without hypertension are not
00:55:21Add orthostanthal hyperteria, peripheral neurology, and conduction after malates, and it deserves a workup
00:55:26Explain
00:55:27AL comes from abnormal plasma cells in the bone bone marrow
00:55:30They produce defective light clam proteins, and it can progress quickly
00:55:32A atopy comes from a protein called transphotype shadon
00:55:35It may be age-related, or it may come from an inherited variant
00:55:38First, we look for abnormal nonagole 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
00:56:09You'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
00:56:24And 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
00:56:36Sleeping in the truck for a while won't kill me
00:56:38And your job?
00:56:43Did they fire you?
00:56:44Not yet
00:56:47What are you doing?
00:56:50I'm leaving
00:56:52Your cardiac conduction could fail again at any time
00:56:55Then let it fail at home
00:56:57If 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 rash at 40
00:57:06Waiting for my broken heart to stop
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
00:57:14You 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
00:57:23You 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
00:57:33Whatever those results say, I have to save her
00:57:44The 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 A tree
00:57:52Next step, cardiac nuclear imaging
00:57:55Stay still and breathe normally
00:58:00There is significant myerotically uptake
00:58:03With a negative mononilus screen and this imaging pattern
00:58:06This strongly supports transhyver-backed entamined cardiotyphus
00:58:13The current results strongly support ATP simonellysis
00:58:16So you found its name
00:58:18Half of it
00:58:19What's the other half?
00:58:20ATP has two major forms
00:58:21In 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
00:58:45You always said it was a heart attack
00:58:47There was no autopsy
00:58:50His hands had trembled for years
00:58:52And he struggled to walk near the end
00:58:55She needs TTR genetic testing
00:58:57And if it is inherited
00:59:00Could he have it too?
00:59:03There could be a risk
00:59:04Then test both of us
00:59:06We need to identify Martha's variant first
00:59:08Once we know the exact familial variant
00:59:10We 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
00:59:25Martha
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
00:59:36His job
00:59:37And any normal life
00:59:38Because of me
00:59:38I can't be the reason
00:59:40He loses his health too
00:59:42Not testing him
00:59:43Does not remove the risk
00:59:44It only leaves him
00:59:45Spending 10 years
00:59:46Being told every symptom
00:59:47Means nothing
00:59:48Just like you were
00:59:51You cannot change
00:59:52What may have been passed to him
00:59:53You can let him see it
00:59:5410 years earlier than you did
01:00:03David
01:00:06My heart skipped
01:00:09My heart skipped
01:00:20David
01:00:21Look at me
01:00:22He's unresponsive
01:00:25High grade AV block
01:00:26The atrias are sending signals
01:00:28But 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
01:00:43But not the same stage
01:00:44Blair
01:00:45Take David
01:00:46Start transfer vatic palping
01:00:47And increase the current
01:00:48Until you get mechanical capture
01:00:49You're going to Martha?
01:00:50David still has my O-gram
01:00:51That 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
01:01:02So you can keep arguing
01:01:03Starting pacing
01:01:09No response to etroxane
01:01:11Transcondentical pacing
01:01:12Is an achieving effective capture
01:01:17Prepare transvenal palsy
01:01:19Electrical spikes
01:01:20Electrical spikes but no pulse
01:01:21No mechanical capture
01:01:29The lead isn't misplaced
01:01:31It's touching mycotorium
01:01:32That 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
01:01:41But the muscle isn't responding
01:01:43Find a place that can still hear it
01:01:47Pace again
01:01:52We have capture
01:01:53Pulse is present but weak
01:01:56Blood pressure is returning
01:01:57David
01:01:58He'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
01:02:06But we found it earlier
01:02:12Can 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
01:02:27She has hereditary trans-typharian
01:02:30Seminalis 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
01:02:39Was that no one recognized it for ten years
01:02:40What difference does that make?
01:02:43The 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
01:02:48And 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
01:03:10The Disney as dehydration
01:03:12And the thickened heart as age
01:03:13I chose the easiest explanation every time
01:03:15Then don't do it to the next old woman
01:03:18I won't
01:03:23Primary mission stage complete
01:03:25The system let me see the deposits
01:03:27But what connected them was the history
01:03:30No one had truly listened to for ten years
01:03:35The doctor recommended that you leave in the wheelchair
01:03:38I've spent enough time in a bed
01:03:40She's refused it three times since breakfast
01:03:44How is David doing?
01:03:45His heart involvement is mild
01:03:46And the nerve symptoms are still early
01:03:48He'll receive long-term treatment and regular monitoring
01:03:50In plain English
01:03:50I have to come to every appointment
01:03:51And stop pretending the numbness is from fixing cars
01:03:53I'll make sure he does
01:03:54The 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
01:04:12Now that actually sounds like something a doctor would say
01:04:16When I first got the system
01:04:17I thought that if I could see the root cause of every illness
01:04:19I could become the best doctor there was
01:04:21But eventually I realized something
01:04:23Seeing the answer isn't the hard part
01:04:25When everyone else has stopped looking for an answer
01:04:28Are you still willing to take one more look?
01:04:30Do you wish to continue?
01:04:32Of course
01:04:33After all
01:04:34There are still so many answers waiting to be found
01:04:37And I'm only just getting started
01:04:39Looking for the estranged
01:04:39I'm only just getting started
01:04:39I'm only just getting started
01:04:39I'm only just getting started
01:04:39I'm just making sure I'llAME
01:04:40To avoid the such medication
01:04:40Canuts or only get overcome
01:04:40I can't брpm
01:04:40So during all