Tip:
Highlight text to annotate it
X
Woman: SHOCK ADVISED.
THESE ARE THE REAL STORIES OF THE E.R.
THAT DOCTORS NEVER TALK ABOUT.
Dr. Strittmatter: A FEMALE PATIENT CAME IN.
SHE HAD FALLEN DOWN AND INJURED HER FACE.
HER FRIEND WERE ALL CLEARLY INTOXICATED.
HEY, DID SOMEONE ORDER ME A DRINK?
WE NEED TO ORDER A C.T. OF HER HEAD.
SHE'S NOT HURTING ANYWHERE RIGHT NOW,
BUT SHE'S TOO INTOXICATED TO CLEAR CLINICALLY.
W-WHAT'S WRONG?
Dr. Strittmatter: I NEED A CRASH CART IN ROOM 3!
[ GASPS ] OH, MY GOD!
DOG-BITE VICTIM, JUST CAME IN.
IN THE FACE?
WOW. LET'S HAVE A LOOK.
[ WHIMPERS ]
Dr. Aristeiguieta: THIS IS A REALLY SERIOUS INJURY,
AND I NEED A PLASTIC SURGEON.
Jack: THAT DOG'S A DAMN MENACE.
I'M CALLING ANIMAL CONTROL, AND THAT ANIMAL'S GONNA BE PUT DOWN!
WHAT?!
[ GRUNTS ]
YOU KNOW WHAT? STAY ON YOUR TOES TONIGHT.
THAT'S ALL I'M SAYING.
OH, AND SPEAKING OF TOES,
THERE'S A SORE ONE FOR YOU IN BAY 3.
Bristol: DOCTOR, WHAT IS IT?
I FELT LIKE MY FACE WAS ABOUT TO MELT,
'CAUSE THIS WAS THE GROSSEST THING YOU COULD EVER IMAGINE.
OHHHH, BOY!
NO. THIS IS LIKE SOMEBODY'S PLAYING A PRANK ON ME.
Narrator: THESE ARE THE...
-- Captions by VITAC -- www.vitac.com
CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS
SO, TELL ME ABOUT YOUR DATE LAST NIGHT.
Nurse: WELL, DID YOU SEE HOW CUTE THE NEW DOCTOR IS?
E.R. DOCTOR ROB BRANDT LOVES HIS JOB
AND THINKS OF HIS COWORKERS AS HIS FRIENDS.
MAN, I HAVE JUST BEEN SO STUFFED UP LATELY.
BRANDT, YOU WERE JUST FINE YESTERDAY.
AH-CHOO!
[ LAUGHS ]
Dr. Brandt: I FEEL REALLY LUCKY TO WORK WHERE I'M WORKING.
IT'S ALMOST FAMILY-LIKE, SO,
LIKE ANY GOOD, LOVING FAMILY,
WE'RE NOT AFRAID TO GIVE AND TAKE
AND LAUGH AT EACH OTHER AND POKE FUN OF EACH OTHER.
THAT BETTER HAVE BEEN WATER.
MOSTLY WATER AND THE PUKE I FOUND IN TRAUMA ROOM 4.
[ BOTH GROAN ]
OKAY, YOU GOT US.
BUT DON'T THINK YOU WON'T PAY FOR THAT.
MM-HMM.
THAT'S ALL I'M SAYING.
OH, AND SPEAKING OF TOES,
THERE'S A SORE ONE FOR YOU IN BAY 3.
YEAH.
WHAT A JERK!
WE'VE GOT TO GET HIM BACK.
HI, MRS. BRISTOL?
DR. BRANDT. GOOD TO MEET YOU.
THE FIRST PATIENT WAS A VERY NICE, VERY KIND LADY.
I UNDERSTAND YOU'RE HAVING SOMEWHAT OF A TOE PROBLEM.
YES, I DROPPED A DUMBBELL
ON MY TOE THREE WEEKS AGO.
AND SHE GOES, "YOU KNOW, I DIDN'T WANT TO COME IN RIGHT AWAY,
"AND ACTUALLY, IT WAS FINE.
MY TOE GOT BIG AND BLACK AND SWOLLEN."
IS IT GETTING WORSE THEN?
OH, NO.
OKAY.
BUT YOU COULD TELL THAT SHE REALLY COULDN'T
REACH DOWN TO GET DOWN TO HER TOE.
IT'S JUST...
I think I saw some pus.
OH. OKAY.
WELL, GOOD NEWS -- WE CAN TAKE CARE OF THIS, OKAY?
I'M JUST GONNA TAKE YOUR SOCK AND SHOE OFF HERE, OKAY?
I'M SURE THERE IS PUS.
OKAY.
IT'S NOT RED, IT'S NOT SWOLLEN,
IT DOESN'T SHOW ANY OF THE NORMAL SIGNS OF INFECTION
THAT I THOUGHT I'D BE LOOKING FOR.
NO.
NO.
OKAY, WELL, IT LOOKS --
OKAY, WAIT A MINUTE.
AND THE TOENAIL ITSELF HAS KIND OF
A CAR-HOOD-LIKE APPEARANCE
WHERE YOU CAN JUST LIFT THE EDGE,
AND RIGHT ON THE EDGE OF THE NAIL...
OHH...
DOCTOR, WHAT IS IT?
...THE PUS IS MOVING.
PUS DOESN'T MOVE.
[ GROANS ]
Narrator: AS AN E.R. PHYSICIAN,
DR. JUSTIN STRITTMATTER HAS A HIGH-PRESSURE JOB,
AND HE TAKES IT SERIOUSLY.
DID YOU HEAR ABOUT THE GUY WHO CALLED 911
AND SAYS, "I'M HAVING A HEART ATTACK"?
NO.
HE SAYS, "HOW LONG'S THE AMBULANCE GONNA BE?"
DISPATCHER SAYS,
"OH, ABOUT 18 FEET."
[ BOTH LAUGH ]
COME ON! THAT'S HER BEST MATERIAL.
Dr. Strittmatter: EMERGENCY MEDICINE CAN BE INCREDIBLY INTENSE.
MOST STAFF LIKE TO BLOW OFF STEAM ON SHIFT.
I PREFER TO KEEP MY FOCUS.
DID YOU HEAR ABOUT THE PODIATRISTS
WHO OPENED OFFICES NEXT TO EACH OTHER?
[ LAUGHTER ]
I DID A BIT OF A NUMBER ON MYSELF, DIDN'T I?
Dr. Strittmatter: A LITTLE BIT BEFORE MIDNIGHT THAT NIGHT,
A FEMALE PATIENT CAME IN.
HEY, DID SOMEONE ORDER ME A DRINK?
A BLOODY MARY!
HER FRIENDS WERE ALL CLEARLY INTOXICATED.
THEY WERE ALL IN A FAIRLY CHEERFUL MOOD.
OH, GOODY.
Dr. Strittmatter: LADIES, LADIES.
WELL, HELLO THERE.
WHAT HAPPENED TONIGHT?
OH, JUST A LITTLE TUMBLE, LOVE. IT'S NOTHING. IT'S NOTHING.
OKAY, WE NEED TO TAKE YOU BACK TO A ROOM
AND TAKE A CLOSER LOOK AT YOU.
OH, GOODY! OH, I THOUGHT YOU'D NEVER ASK!
ALL RIGHT, KATE, JUST HOLD STILL FOR ME HERE.
YOU KNOW, ONE MINUTE, WE WERE AT MY ENGAGEMENT PARTY,
AND THE NEXT THING, KATE'S FACEDOWN ON THE SIDEWALK.
I FELL OFF THE STUPID CURB.
YEAH, SHE WAS TRYING TO HAIL A CAB,
AND SHE BROKE HERE HEEL RIGHT OFF HER SHOE!
MY SHOE. WHERE'S MY SHOE?
KATE, DO YOU FEEL ANY TENDERNESS HERE
IN YOUR FACE WHERE I'M PALPATING?
Ooh, yeah.
SHE FELL PRETTY *** HER CHEST, DIDN'T YOU, SWEETIE?
MM-HMM. MM-HMM.
SHE MIGHT NEED THAT EXAMINED.
Dr. Strittmatter: THE BLOOD THAT WAS COMING OUT OF HER MOUTH
WAS ACTUALLY COMING FROM HER NASAL SINUSES,
SO ONCE WE WERE ABLE TO CONTROL THE BLEEDING IN HER NOSE,
THE BLEEDING FROM HER MOUTH STOPPED AS WELL.
ALL RIGHT, BLOOD PRESSURES'S NORMAL, HEART RATE'S OKAY.
WE NEED TO DRAW SOME LABS ON HER.
MAKE SURE YOU GET A BLOOD-ALCOHOL LEVEL.
YOU THINK SHE'S BEEN DRINKING?
I'D SAY SO.
WE NEED TO ORDER A C.T. OF HER HEAD AND HER FACIAL BONES.
SHE'S NOT HURTING ANYWHERE RIGHT NOW,
BUT SHE'S TOO INTOXICATED TO CLEAR CLINICALLY.
CAN WE GET A C.T. IN EMERG, PLEASE?
SO, SHE WASN'T REALLY FEELING ANY PAIN
OTHER THAN, YOU KNOW, HER FACIAL INJURIES.
WE'RE GONNA NEED TO RUN SOME TESTS ON YOU TONIGHT
TO MAKE SURE YOU DON'T HAVE ANY SERIOUS INJURIES.
OH, IT WAS JUST A LITTLE TUMBLE. I FEEL FINE.
LET'S JUST TAKE THE NECESSARY PRECAUTIONS, OKAY?
WE DO NEED YOU TO CHANGE INTO A HOSPITAL GOWN, AS WELL.
OH, OF COURSE, DOCTOR, BUT BUT SHE MIGHT
NEED SOME HELP TO GET OUT OF HER CLOTHES.
OH, YEAH! LOTS OF HELP.
NOT A PROBLEM.
Dr. Strittmatter: I TRY NOT TO LAUGH IN A SETTING LIKE THAT.
YOU KNOW, WE'RE A LITTLE MORE SERIOUS...
[ WOMEN GROAN ]
...ESPECIALLY WHEN A PATIENT FIRST COMES IN
AND WE'RE NOT AWARE OF EXACTLY THE EXTENT OF THEIR INJURIES.
[ CHUCKLES ]
SHE IS READY!
[ CHUCKLES ]
Narrator: DR. CESAR ARISTEIGUIETA
HAS BEEN A E.R. DOCTOR FOR OVER 10 YEARS.
GOOD MORNING.
AND HE'S BEEN WORKING FOR EVEN LONGER
AT HIS OTHER PASSION -- PHOTOGRAPHY.
[ SIGHS ]
YEAH, JUST A LITTLE SORE.
I SPENT THE WHOLE DAY YESTERDAY
SHOOTING THE HOSPITAL FUNDRAISER.
Dr. Aristeiguieta: MY CAMERA AND LENS WEIGHS ABOUT 10 POUNDS,
AND EVERY TIME I GO TO TAKE A PICTURE,
I HAVE TO DO THIS.
SO, I'M DOING ARM CURLS OVER AND OVER AND OVER
WITH A 10-POUND WEIGHT.
THANKS, JUDY.
WHAT DO WE GOT?
OH, HERE'S YOUR PRIORITY-ONE.
DOG-BITE VICTIM, JUST CAME IN.
WOW. 20-YEAR-OLD.
YEAH. BIT IN THE FACE.
Dr. Aristeiguieta: TO ME, THAT'S CONCERNING BECAUSE YOUR LOOK,
YOUR ENTIRE PERSONA, IS ABOUT YOUR FACE,
AND SO, THIS COULD BE SOMETHING VERY SERIOUS.
[ MONITOR BEEPS ]
Man over P.A.: BLUE TEAM TO ICU, PLEASE.
BLUE TEAM TO ICU.
HI, NORA. I'M DR. CESAR.
I'M JACK. I'M HER FATHER.
THIS DOG JUST ATTACKED HER FOR NO REASON.
OH, BOY.
NORA, ARE YOU IN A LOT OF PAIN?
[ Muffled ] IT FEELS NUMB AND PAINFUL.
OKAY, CAN WE GET HER FOUR MILLIGRAMS OF MORPHINE
AND A GRAM OF CEFAZOLIN, PLEASE?
ALL RIGHT. LET'S HAVE A LOOK.
[ WHIMPERS ]
Dr. Aristeiguieta: AND AT THAT MOMENT, MY WORST FEARS ARE REALIZED.
THIS IS A REALLY SERIOUS INJURY.
SHE HAS A BIG OPEN WOUND TO THE CHEEK RIGHT HERE,
AND IT'S SO LARGE THAT I CAN ACTUALLY SEE AN ARTERY
CALLED THE ZYGOMATIC BRANCH OF THE FACIAL ARTERY.
WOW, AND THIS DOG JUST BIT YOU IN THE FACE?
MM-HMM.
HER FRIEND'S DAD HAS BIG DOG,
AND SHE WAS OVER AT THE HOUSE AND SHE GOES TO PET THE DOG.
AND SHE REACHED OVER TO SAY HELLO TO THE LITTLE GIRL,
AND IT WAS AT THAT MOMENT THAT THE DOG
JUST BIT HER IN THE FACE --
ALMOST AN UNPROVOKED ATTACK.
[ WHIMPERING ]
THERE'S A FEW THINGS THAT WE NEED TO GET DONE
BEFORE I CAN EVEN START ADDRESSING THE INJURY.
WE NEED TO START AN I.V. TO GIVE HER SOME PAIN MEDICINE.
IS SHE GONNA BE SCARRED FOR THE REST OF HER LIFE?
THE SCARRING WILL BE A SECONDARY BARRIER
THAT WE'LL DEAL WITH A LITTLE BIT LATER.
JUDY, CAN YOU GET A TETANUS READY FOR NORA, PLEASE?
THE FIRST THING I NOTICE IS THAT
THE MUSCLE THAT HELPS YOU PURSE YOUR LIPS
WHEN YOU CLOSE YOUR MOUTH HAS BEEN DAMAGED.
IT'S CALLED THE ORBICULARIS ORIS MUSCLE.
SO THIS POOR WOMAN CAN NO LONGER PUCKER HER LIPS,
AND WHEN SHE SPEAKS, SHE'S SLURRING HER SPEECH
AND IT ALMOST SOUNDS LIKE SHE HAS A LISP.
[ Muffled ] HOW BAD IS IT?
WELL, NORA, I'LL BE HONEST. IT'S A PRETTY SERIOUS WOUND.
THE DOG KNOWS ME!
I THINK HE JUST FREAKED OUT OR SOMETHING!
THE DOG'S A DAMN MENACE. IT'S UNBELIEVABLE.
Dr. Aristeiguieta: AND THEN, I REALIZE THAT SHE HAS SOME PUNCTURE WOUNDS
THAT I'M NOT REALLY GONNA BE ABLE TO FIX.
AND THEN, I LOOK AT HER LIP, AND HER LIP IS CUT
ALL THE WAY THROUGH ON THE RIGHT SIDE.
CAN I HAVE HER CHART, PLEASE?
SO, I LOOK AT ALL THESE INJURIES,
AND I'M THINKING TO MYSELF, "I NEED A PLASTIC SURGEON."
DOCTOR, CAN I SPEAK TO YOU OUTSIDE FOR A SECOND, PLEASE?
SURE. NORA, IT'S OKAY.
WE'RE GONNA TAKE CARE OF THIS WOUND FOR YOU,
AND I'LL BE RIGHT BACK, OKAY?
ARE YOU GONNA BE ABLE TO PUT HER BACK TOGETHER?
[ SIGHS ] THIS ONE NEEDS A PLASTIC SURGEON.
DOCTOR, I'VE GOT NO HEALTH INSURANCE.
I CANNOT AFFORD A PLASTIC SURGEON.
WE HAVE PLASTIC SURGEONS ON CALL.
LET ME SEE WHAT I CAN DO.
OKAY. THANK YOU.
DO YOU KNOW IF THE DOG HAS HIS SHOTS UP TO DATE?
I HAVE NO CLUE.
I'LL MAKE A PHONE CALL.
...THAT WOULD BE VERY HELPFUL. THANK YOU.
THERE IS WHAT WE CALL A "CALL PANEL."
I'LL BE BACK IN A COUPLE MINUTES, NORA, OKAY?
AND A CALL PANEL IS A GROUP OF DOCTORS THAT HAVE AGREED
TO BE ON CALL FOR THE E.R. FOR A 24-HOUR PERIOD
TO SOLVE ANY SPECIALTY-TYPE EMERGENCIES THAT COME TO US.
THERE ARE NO PLASTIC SURGEONS ON CALL.
NOT A ONE?
NO, NOT A PLASTIC SURGEON.
WHAT DO YOU WANT TO DO?
I DON'T KNOW, BUT WHATEVER IT IS, IT'S GOT TO BE SOON.
DOCTOR, WHAT IS IT?
I'LL BE RIGHT BACK, OKAY?
DIAPER RASH -- YOU SHOULD BE SAFE THERE.
OH, BOY!
WHAT IS IT?
OKAY. I NEED TO TAKE A SECOND AND JUST DEAL WITH THIS.
[ GROANS ]
Narrator: DR. BRANDT'S PATIENT HAS AN UNEXPECTED TOE PROBLEM.
DOCTOR, WHAT IS IT?
OH! THERE'S 5,000 MAGGOTS IN YOUR TOE!
THAT MANY?
OKAY, NOT THAT MANY,
BUT THEY'RE HAVING A PARTY IN THERE
AND THEY'VE BROUGHT ALL THEIR FRIENDS.
THE TISSUE, WHERE THEY WERE LIVING ON, LOOKED PERFECT.
IT DID NOT LOOK INFECTED.
IT LOOKED PINK AND HEALTHY AND BEAUTIFUL.
THAT DOESN'T SOUND NORMAL.
NO, IT'S COMPLETELY NORMAL. IT'S GONNA BE FINE.
I WOULDN'T SAY THAT I HAVE A PHOBIA WITH BUGS COMPLETELY.
I'LL -- I'LL BE RIGHT BACK, OKAY? I JUST --
PLEASE BE RIGHT BACK.
I JUST GOT TO GET SOME SUPPLIES.
I'LL BE RIGHT BACK, OKAY?
IF I SEE A BUG -- SEE A PRAYING MANTIS --
COOL, GREAT, AWESOME.
SOMETHING THAT'S EATING ME FROM THE INSIDE OUT?
THAT'S THE PART THAT JUST GIVES ME THE HEEBIE-JEEBIES THAT,
OKAY, I NEED TO TAKE A SECOND AND JUST DEAL WITH THIS.
EVERYTHING OKAY, DOCTOR?
HMM? OH, YEAH.
TOTALLY FINE. TOTALLY FINE. WE'RE DOING GOOD.
GREAT. AMAZING.
THE TRUTH OF THE MATTER IS,
IT'S REALLY NOT THAT BIG OF A DEAL.
THEY REALLY DON'T CAUSE THAT MUCH OF A PROBLEM.
SO, MAGGOTS ARE ACTUALLY PRETTY GOOD FOR WOUNDS.
MAGGOTS ONLY EAT DEAD TISSUE,
AND, ACTUALLY,
PEOPLE USE MEDICINAL MAGGOTS
FOR A WIDE VARIETY OF WOUND-CARE APPLICATIONS.
YOU PUT A DRESSING ON IT
AND YOU HAVE HER FOLLOW UP WITH THE WOUND CLINIC,
BUT THERE'S NOT A WHOLE LOT THAT I REALLY HAD TO DO.
YOU ARE GOOD TO GO.
YOU'RE GONNA BE FINE.
SENT HER ON HER WAY --
AND HER MAGGOT FRIENDS, AND OFF SHE WENT.
LISTEN, YOU'RE GONNA DO JUST FINE, OKAY?
OH, OKAY. THANK YOU SO MUCH.
ABSOLUTELY. HAVE A GOOD DAY, OKAY.
OKAY. BYE-BYE.
THAT... WAS AN UTTER DELIGHT.
WHAT WAS?
THE MAGGOT FARM UNDER HER TOE.
UGH!
YOU KNOW I HATE THINGS LIKE THAT,
LIKE, PARASITES AND WORMS AND ALL THAT,
AND THEN YOU GIVE ME A PATIENT WITH...
WELL, HOW WERE WE SUPPOSED TO KNOW SHE HAD MAGGOTS?
WE DO NOT HAVE X-RAY VISION.
I KNOW, I KNOW, NURSES ARE CLEVER, BUT...
I WOULD NOT PUT ANYTHING PAST THE TWO OF YOU, OKAY.
JUST GIVE ME THE NEXT CHART, OKAY?
DIAPER RASH. YOU SHOULD BE SAFE THERE.
WE'LL SEE.
Woman: HI.
I'M DR. BRANDT.
SO, WHAT'S GOING ON WITH LITTLE HUNTER, TODAY?
WELL, WE THINK IT'S DIAPER RASH.
UH-HUH.
HE JUST -- HE'S JUST SO UNCOMFORTABLE.
OKAY. WHEN DID THIS ALL START?
A FEW DAYS AGO.
Dr. Brandt: OKAY. THE KID'S GOT DIAPER RASH.
I ALREADY SEE EXACTLY WHAT'S GONNA HAPPEN.
SO, I CHECK OUT THE KID --
HEART, LUNGS, PUSH ON THE BELLY, AND THE KID LOOKS FINE.
WE GOT TO TAKE A QUICK LOOK DOWN BELOW, BUDDY.
ALL RIGHT. JUST GONNA SCOOCH HIM OVER BY ME.
OH, HI, THERE. HI, THERE!
[ GASPS ]
OH, BOY!
I FELT LIKE MY FACE WAS ABOUT TO MELT,
'CAUSE THIS WAS THE GROSSEST THING YOU COULD EVER IMAGINE.
WHAT IS IT?
I'LL BE BACK IN A COUPLE MINUTES, NORA, OKAY?
Narrator: DR. CESAR NEEDS A PLASTIC SURGEON
TO FIX HIS PATIENT'S SEVERE DOG-BITE INJURY.
THERE ARE NO PLASTIC SURGEONS ON CALL.
NOT A ONE?
NO, NOT A PLASTIC SURGEON.
WAIT A MINUTE. I KNOW SOMEBODY.
I WENT TO MEDICAL SCHOOL WITH HIM.
Dr. Aristeiguieta: THIS IS THE BEST OF THE BEST
WHO NORMALLY DEALS WITH CELEBRITY CLIENTS.
DO YOU THINK HE'LL DO IT?
I DON'T KNOW IF HE'LL DO IT, BUT AT LEAST
HE'S CREDENTIALED IN THIS HOSPITAL.
HEY, ARNIE?
YEAH, IT'S CESAR ARISTEIGUIETA SPEAKING.
AND SO, I REACH OUT TO HIM,
AND SURE ENOUGH, HE SAYS HE'LL HELP ME OUT
BUT THAT HE'S TIED UP AT ANOTHER HOSPITAL
DOING A PROCEDURE IN MAYBE A COUPLE HOURS.
THANK A LOT, MAN. I OWE YOU ONE.
ALL RIGHT. ABOUT TWO HOURS.
WE'RE GONNA WAIT FOR HIM?
AS LONG AS IT'S NOT MUCH LONGER THAN THAT,
WE SHOULD DO IT.
HERE, TAKE THIS UP TO THE O.R.,
GRAB ME THESE SUPPLIES.
I'M GONNA GO TAKE SOME PICTURES OF HER WOUNDS AND E-MAIL THEM TO HIM.
SO, I SEND NURSES TO THE OPERATING ROOM
TO GET HIS SPECIAL SUTURE TRAYS AND HIS SPECIAL SUTURES
AND WHAT I NEED TO FIX THIS
IN CASE SOMETHING HAPPENS AND HE DOESN'T SHOW UP.
[ Muffled ] THIS ONE'S NOT GOING ON MY PROFILE ONLINE.
[ CHUCKLES ] NO, THESE ARE FOR DR. KEEVES.
THEY'LL HELP HIM TO PLAN FOR THE PROCEDURE
THAT HE'S GOT TO DO TO GET YOU ALL FIXED UP.
Nurse: DR. CESAR.
WE'VE GOT A CALL FOR YOU. IT'S DR. KEEVES.
I'LL BE RIGHT BACK, OKAY?
HEY, ARNIE.
YEAH, I JUST E-MAILED YOU THOSE PICTURES.
HE TELLS ME, "HEY, CESAR, I'M GONNA BE
IN THE OPERATING ROOM FOR AT LEAST ANOTHER TWO HOURS."
WHEN WILL YOU KNOW?
WE'VE ALREADY BEEN WAITING A COUPLE OF HOURS,
SO THIS IS NOW ADDING UP TO FIVE OR SIX HOURS
AFTER THE INJURY HAPPENED, AND I'M STARTING TO WORRY.
ALL RIGHT. KEEP US POSTED.
THANKS, ARNIE.
DOC, DOC.
I CAN'T GET AHOLD OF ANYBODY.
THESE JERKS DON'T EVEN HAVE VOICEMAIL.
I MEAN, WHO DOESN'T HAVE VOICEMAIL?
IT'S UNBELIEVABLE.
IT'S OKAY. WE'VE GOT TIME TO GET THE INFORMATION.
YEAH, THERE'S A GIRL. HER FACE WAS BITTEN BY A DOG, AND HER NAME'S NORA.
OH, MY GOD. THAT'S HIM.
WHAT THE HELL ARE YOU DOING HERE?
I-I JUST WANT TO SEE HOW SHE'S DOING.
HOW SHE'S DOING?! HOW SHE'S DOING IS...
CALL SECURITY.
HE'S TIED UP.
HE'S IN THE YARD TIED UP.
I'M CALLING ANIMAL CONTROL, AND THAT ANIMAL'S GONNA BE PUT DOWN!
I-I UNDERSTAND HOW YOU FEEL.
NO, YOU DON'T! YOUR DAUGHTER'S STILL IN ONE PIECE!
WHAT?!
[ GRUNTS ]
Dr. Aristeiguieta: BEFORE ANYONE CAN STOP HIM,
THE FATHER JUST PUNCHES THIS GUY IN THE NOSE...
ARE YOU OKAY?
...AND NOW I GOT ANOTHER PATIENT TO DEAL WITH.
Dr. Strittmatter: HER INITIAL ASSESSMENT DIDN'T SHOW INJURIES
ANYWHERE ELSE OTHER THAN WHAT WAS OBVIOUS.
SHE'LL BE DISCHARGED SHORTLY.
AND JUST AS I WAS LITERALLY ABOUT TO WALK OUT OF THE ROOM,
SHE TOOK A LAST GASP OF BREATH.
Woman: SOMETHING IS WRONG! [ GASPS ]
OH! OH! [ GASPS ]
ARE THE CAT SCAN RESULTS UP YET?
THEY SHOULD BE UP IN A MINUTE.
Narrator: DR. STRITTMATTER'S INTOXICATED PATIENT
DID A FACEPLANT ON THE SIDEWALK.
SHE'S FEELING NO PAIN, BUT IS SHE HURT?
SO, WHAT'S MY PROGNOSIS, DOCTOR?
I'LL BE REVIEWING YOUR CAT SCAN SHORTLY.
OH, I TOLD YOU I FEEL FINE.
ALL THE BETTER TO SEE YOU.
ALL RIGHT. WELL, I'LL BE BACK IN A FEW MINUTES TO CHECK ON YOU.
Dr. Strittmatter: SO, HER INITIAL ASSESSMENT DIDN'T SHOW INJURIES
ANYWHERE ELSE OTHER THAN WHAT WAS OBVIOUS.
I REVIEWED HER SCANS WITH A RADIOLOGIST.
I DON'T SEE ANY INTERCRANIAL HEMORRHAGE.
SHE DID NOT HAVE A HEAD INJURY,
SHE DID NOT HAVE ANY FRACTURE OR DISLOCATION
TO HER CERVICAL SPINE.
THERE'S AN ORBITAL-WALL FRACTURE HERE --
THE LEFT EYE.
LOOKS LIKE SHE'S GOT A NASAL FRACTURE
THAT DEVIATES TO THE RIGHT, AS WELL.
LABS FOR YOUR PATIENT.
INTERESTING READING.
HER BLOOD-ALCOHOL LEVEL WAS OVER FOUR TIMES THE DUI LIMIT.
WE'RE GONNA NEED TO PUT HER IN FOR OBSERVATION --
AS IN, LET HER SLEEP IT OFF.
AH. OKAY.
WHAT? WHO IS IT?
KATE, WE'VE GOT YOUR CAT SCAN RESULTS BACK.
YOU'VE GOT A FRACTURE OF YOUR ORBITAL WALL,
YOUR MAXILLARY SINUS, AND YOUR NASAL BONE.
YOU'RE GONNA NEED TO FOLLOW UP WITH ONE OF OUR PLASTIC SURGEONS,
BUT WE DON'T NEED TO DO ANYTHING FURTHER TONIGHT.
OH, SHE'S GOOD TO GO?
SHE'LL BE DISCHARGED SHORTLY.
DID YOU FIND MY SHOES? THEY'RE MY LUCKY SHOES.
SORRY, WE HAVEN'T SEEN THEM.
Dr. Strittmatter: JUST AS I WAS LITERALLY ABOUT TO WALK OUT OF THE ROOM...
I THINK I'M HAVING A HEART ATTACK!
...SHE SAT UP IN THE BED AND CLENCHED HER CHEST.
YOU'RE PROBABLY JUST FEELING THE BRUISING
IN YOUR STERNUM FROM THE FALL.
[ GASPS ] I'M HAVING A HEART ATTACK.
IT FEELS LIKE A HEART ATTACK. [ PANTING ]
OKAY, YOUR S.T. SEGMENTS FROM THE MONITOR ARE NORMAL.
I REALLY DON'T THINK YOU'RE HAVING A HEART ATTACK.
WELL, IT FEELS LIKE A HEART ATTACK.
JUST TAKE A DEEP BREATH.
SHE TOOK LAST GASP OF BREATH.
SOMETHING IS WRONG! [ GASPS ] OH!
OH! OH!
OH, MY GOSH!
ALL RIGHT. WE'LL JUST TAKE A QUICK LOOK.
WHAT IS IT?
Narrator: DR. BRANDT HAS JUST HAD
HIS SECOND SURPRISE DIAGNOSIS OF THE NIGHT.
THIS WAS THE GROSSEST THING YOU COULD EVER IMAGINE.
[ SIGHS ]
I KNOW WHAT THIS IS.
AT THAT TIME, THEN, I SEE
ABOUT TWO MILLION SMALL PINWORMS
CREEPING OUT ALL AROUND THIS KID'S ***.
TWO MILLION? IS THAT EVEN POSSIBLE?
I'M EXAGGERATING, OKAY? HE'S GONNA BE FINE.
PINWORMS -- A LOT OF TIMES,
YOU WON'T SEE THEM DURING THE DAY.
SO, THEY'RE DOING DIAPER CHANGES DURING THE DAY
AND THEY'LL SEE KIND OF A RED BUTT AREA,
BUT YOU WON'T SEE THEM.
IT'S ONLY AT NIGHT WHEN THEY COME OUT.
IT'S VERY SIMPLE. WE TREAT IT.
WE'LL GET A MEDICATION FOR HIM, A MEDICATION FOR YOU GUYS.
IT'S CONTAGIOUS?
WELL, ANY TIME WE TREAT PINWORMS,
WE TREAT HIM, BUT WE ALSO JUST TREAT THE WHOLE FAMILY.
OKAY.
AND HE IS GOING TO BE JUST FINE, OKAY?
I'M GONNA LEAVE THE PRESCRIPTION HERE FOR YOU GUYS, ALL RIGHT?
YOU BET.
OKAY. COME ON, BUDDY.
THEY'RE OUT OF THE E.R., THEY'RE GOING HOME,
I CAN STILL VIVIDLY SEE THIS
PROBABLY TILL THE DAY I DIE IN MY BRAIN,
BUT, YOU KNOW, WHAT ARE YOU GONNA DO ABOUT THAT?
[ SIGHS ] OKAY.
BAY NUMBER 5 --
BACK FROM THE TROPICS WITH DIARRHEA.
[ Chuckling ] TROPICS AND DIARRHEA?
OKAY.
NO, THANKS. I'LL PICK MY OWN, THANK YOU VERY MUCH.
UH, HOW ABOUT...
SUIT YOURSELF.
A LITTLE GIRL WITH SOMETHING STUCK IN HER NOSE.
THIS HAPPENS ALL THE TIME.
THIS IS A VERY COMMON COMPLAINT IN THE EMERGENCY DEPARTMENT.
HELLO. HI.
I'M DR. BRANDT.
UH-HUH.
BIG FIST BUMP, SUMMER. BOOM!
I UNDERSTAND SUMMER'S GOT SOMETHING GOING ON WITH HER NOSE.
YEAH, YEAH, IT'S DRIVING HER CRAZY.
OKAY.
SHE WAS CAMPING IN THE BACKYARD TONIGHT.
SO, SHE SLEPT IN HER TENT,
AND THEN SHE CAME BACK IN A LITTLE WHILE LATER
AND WAS COMPLAINING ABOUT HER NOSE.
OKAY. SO, YOUR NOSE IS DRIVING YOU CRAZY?
WHICH SIDE IS IT?
THAT ONE? JUST ITCHY IN THERE?
OKAY.
SO, BEFORE SHE WENT INTO THE TENT --
NO, FINE.
"ANY PAST MEDICAL PROBLEMS, ANY SURGERIES"?
"NO, NO, EVERYTHING'S FINE."
KID'S HEALTHY, HAPPY, EVERYTHING'S GOOD
EXCEPT THERE'S SOMETHING UP THEIR NOSE.
ALL RIGHT. I'M GONNA TAKE A QUICK PEEK.
THIS IS MY FLASHLIGHT, OKAY?
SO, I'M JUST GONNA TAKE A LOOK INSIDE YOUR NOSE.
CHIN UP, CHIN UP. THERE WE GO.
GONNA TAKE A QUICK PEEK INSIDE, OKAY?
OKAY.
GO IN, TAKING MY LITTLE OTOSCOPE,
AND I LOOK IN THE GOOD NOSTRIL --
LOOKS NICE, GOOD --
LOOK IN THE BAD NOSTRIL, OR THE SOMETHING,
AND I -- IT'S WAY IN THE BACK.
AND SOMETHING REALLY, REALLY DEEP.
OH, MY GOSH! [ SIGHS ]
IT'S NOT THAT COMMON THAT YOU'RE GONNA SEE AN INSECT COMPLAINT.
TO HAVE ONE IN A NIGHT IS OKAY --
FINE, GROSS, BUT I CAN DEAL WITH IT.
TWO -- KIND OF UNCOMMON.
THREE -- NO.
THIS IS LIKE SOMEBODY'S PLAYING A PRANK ON ME.
YOU HAVE GOT TO BE KIDDING ME.
DOCTOR.
SURE.
Dr. Aristeiguieta: NOW HE'S SAYING, "LISTEN, CESAR,
I DON'T THINK I CAN GET THERE IN TIME."
OKAY, ARNIE. THANKS.
[ SIGHS ]
WHAT?!
[ GRUNTS ]
Narrator: IN DOCTOR CESAR'S E.R. WAITING ROOM,
THE FATHER OF A DOG-BITE VICTIM
HAS JUST ENCOUNTERED THE DOG'S OWNER.
YEAH, I THINK MY NOSE IS BROKE.
DON'T WORRY. WE'LL TAKE CARE OF IT.
DO YOU WANT ME TO CALL THE POLICE?
OH, PLEASE DON'T. NO, I'M NOT GONNA PRESS CHARGES.
LET'S GET THIS THING X-RAYED.
GIVE HIM AN OXYCODONE, AND LET'S PACK HIS NOSE, OKAY?
Dr. Strittmatter: THANK GOODNESS I HAVE SOME HELP ON THIS PATIENT
BECAUSE THINGS ARE HAPPENING IN THE E.R. SO FAST,
EVERYTHING'S STARTING TO GET BACKED UP
AND I HAVEN'T EVEN STARTED WORKING ON
FIXING THIS FACE AT THIS POINT.
NORA, EVERYTHING'S UNDER CONTROL.
YOU DON'T NEED TO WORRY ABOUT ANYTHING.
[ Muffled ] ARE THEY GONNA ARREST HIM?
NORA, THE MAN THAT YOUR DAD PUNCHED --
HE SAID HE DOESN'T WANT HIM ARRESTED, SO HE SHOULD FINE.
THERE WAS SOMETHING ELSE.
THE SURGEON IS TIED UP IN THE OPERATING ROOM,
SO WE'RE GONNA HAVE TO GET STARTED WITHOUT HIM.
Y-YOU'RE GONNA DO IT?
YES, NORA, BUT DON'T WORRY.
IN MY TRAINING AS AN EMERGENCY PHYSICIAN,
I'VE TAKEN CARE OF A LOT OF WOUNDS.
I USE THE SAME PROCEDURES THAT THE PLASTIC SURGEON WOULD USE,
SO WE'RE GONNA BE FINE.
I DON'T DO SOMETHING THIS SERIOUS ON A DAILY BASIS
LIKE A PLASTIC SURGEON WOULD,
BUT, IN MANY CASES, WE END UP BEING THE ONES
HAVING TO PROVIDE THE BEST CARE AVAILABLE
BECAUSE THERE'S NOBODY ELSE.
YOU'RE GONNA FEEL A LITTLE PINCH
AND THEN A LITTLE BIT OF BURNING FROM THE MEDICINE, OKAY?
BUT THEN, EVERYTHING WILL BE NUMB, ALL RIGHT?
OH, YOU'RE DOING GREAT.
ALL RIGHT. WE'RE GONNA GET STARTED HERE.
WE'RE GONNA TAKE SOME SUTURES AND START
BRINGING EVERYTHING CLOSE TOGETHER FOR YOU, OKAY?
IMAGINE TRYING TO PUT A JIGSAW PUZZLE TOGETHER.
YOU START PULLING PIECES AND YOU KIND OF
LOOK AT THE PIECES AND THE COLORS
AND YOU TRY TO FIGURE OUT IF THIS MATCHES HERE
OR IF THIS MATCHES THERE.
BUT, REMEMBER, THIS IS A VERY DEEP CUT,
BOTH IN THE CHEEK AND IN THE LIP,
AND SO, I HAVE TO START FROM THE INSIDE OUT,
HOPING THAT AS I FIX THE INSIDE,
THE OUTSIDE STARTS COMING CLOSER TOGETHER.
ARE YOU OKAY, DR. CESAR?
YEAH, I'M OKAY. HOW ARE YOU DOING?
I'M OKAY.
I HAD BEEN PHOTOGRAPHING ALL DAY BEFORE,
AND I'M KIND OF SORE.
AND MY ARMS ARE VERY SORE,
MY BACK IS VERY SORE, MY NECK IS SORE.
NOW I NEED TO START
GOING INTO THAT MENTAL PLACE WHERE YOU BLOCK PAIN
IN ORDER TO KEEP DOING THE TASK AND MOVE FORWARD.
ALL RIGHT, NORA, LOOKS LIKE
EVERYTHING IS COMING TOGETHER NICELY.
AND NOW I SEE THE JIGSAW PUZZLE STARTING TO LINE UP.
ALL RIGHT. YOUR CHEEK IS LOOKING GOOD.
NOW WE CAN GET DR. KEEVES TO WORK ON YOUR LIP.
[ Muffled ] OKAY.
Nurse: DOCTOR.
SURE.
AND IT'S MY PLASTIC-SURGEON FRIEND AGAIN.
HELLO?
SOMETHING HAS HAPPENED, THEY GOT THE FREEWAY SHUT DOWN.
OKAY, ARNIE. THANKS.
HE'S NOT THAT FAR AWAY, BUT THE TRAFFIC HAS STOPPED.
NOW HE'S SAYING, "LISTEN, CESAR,
I THINK YOU'RE GONNA HAVE TO DO THE LIP, TOO."
MY BACK IS HURTING, MY ARMS ARE HURTING,
EVERYTHING IS SORE.
HOW LONG?
[ GRUNTS, SIGHS ]
TOO LONG.
I THINK I'M HAVING A HEART ATTACK!
Narrator: MINUTES BEFORE BEING DISCHARGED,
DR. STRITTMATTER'S PATIENT HAS LOST CONSCIOUSNESS.
I NEED A CRASH CART IN ROOM 3!
Dr. Strittmatter: I COULD SEE THE NURSES' STATION,
AND USUALLY, THERE WOULD BE TWO OR THREE NURSES AND A TECH SITTING THERE.
I LOOKED UP, AND I SAW NO ONE SITTING THERE.
SO, I KNEW I WAS -- AT LEAST INITIALLY,
I WAS, YOU NOW, OPERATING ALONE.
OH, MY GOD! OH, MY GOD!
WHAT IS WRONG WITH HER?
WHAT IS WRONG WITH HER? WHAT IS HAPPENING?
SHE WAS IN A RHYTHM CALLED "VENTRICULAR FIBRILLATION," OR "V-FIB."
ALL RIGHT, GUYS, LISTEN. YOU'RE GONNA NEED TO HELP ME.
WE'RE GONNA NEED TO MOVE HER. IF YOU COULD UNLOCK THE BED THERE.
UNLOCK THE BED. IT'S RIGHT BY YOUR FEET.
TYPICALLY WOULDN'T MOVE A PATIENT THAT GOES INTO V-FIB
FROM ONE ROOM TO ANOTHER, BUT I KNEW THAT ROOM WAS OPEN
AND I KNEW THAT'S WHERE ALL THE EQUIPMENT THAT WE NEEDED WAS.
TAKE OFF HER BLOOD-PRESSURE CUFF. RIGHT THERE.
TAKE OFF HER BLOOD-PRESSURE CUFF.
TAKE THAT PULSE OX OFF HER FINGER.
JUST RIP THAT OFF HER ARM. JUST RIP THAT OFF HER ARM.
I DISCONNECTED HER OFF THE MONITOR,
BASICALLY JUST GRABBED ALL HER LEADS
AND RIPPED THEM OUT OF THE WALL.
GOT IT? ALL RIGHT. LET'S GO. LET'S GO.
STRAIGHT BACK HERE.
I WENT FROM ONE-HANDED CPR TO TWO-HANDED CPR.
YOU NEED TO HIT THE CODE BUTTON.
IT'S THAT RED BUTTON THERE ON THE WALL.
I DON'T HAVE MY READING GLASSES ON!
RED BUTTON, BEHIND YOU.
YOU CAN'T MISS IT -- RIGHT THERE.
SHE WENT OVER AND HIT THAT BUTTON,
WHICH SOUNDS AN ALARM IN THE DEPARTMENT.
NOBODY'S COMING!
NOBODY'S COMING!
WHAT IF THEY DON'T?
OKAY, YOU TWO,
I NEED YOU TO GO OUT THERE AND FIND ME A NURSE.
[ SOBBING ]
NURSE.
WHAT IS IT?
THERE'S A BUG IN THERE.
A BUG?
OF COURSE IT'S A BUG. WHY WOULDN'T IT BE A BUG?
BUT THAT'S NO BIG DEAL THOUGH, RIGHT?
IT'S LODGED REAL, REAL DEEP IN THERE.
BRAD!
OKAY, ARNIE. THANKS.
TOO LONG.
Narrator: WITH THE PLASTIC SURGEON STUCK IN A TRAFFIC JAM,
DR. CESAR HAS NO CHOICE BUT TO REPAIR
THE MANGLED LIP OF HIS DOG-BITE VICTIM ON HIS OWN.
SO, I'M GONNA APPROACH THE LIP,
WHICH IS THE MORE SIGNIFICANT INJURY, NOW.
HEY, NORA, I JUST SPOKE WITH DR. KEEVES,
AND HE'S CAUGHT UP IN A FREEWAY CLOSURE RIGHT NOW.
WE DON'T KNOW HOW LONG IT'S GONNA TAKE FOR HIM TO GET HERE.
DON'T WORRY.
I'M GONNA TAKE GOOD CARE OF YOU -- WE'LL HAVE YOU
PUT BACK TOGETHER IN NO TIME, OKAY?
I CAN SEE THAT THE MUSCLE THAT HELPS YOU PUCKER YOUR LIPS --
IT'S BEEN CUT THROUGH.
SO, THE FIRST THING I HAVE TO REPAIR
IS THAT MUSCLE THAT'S BEEN TORN,
AND I HAVE TO PUT SOME STITCHES ACROSS THAT MUSCLE,
WHICH IS ALWAYS CHALLENGING
'CAUSE MUSCLES WERE NOT MADE TO TAKE STITCHES.
IF I DON'T GET THIS PART RIGHT, THERE COULD BE
AN OBVIOUS DIVOT ON THAT LIP AND IT COULD BE DISFIGURING
AND SHE COULD EVEN HAVE A LISP IN HER SPEECH,
WHICH WOULD BE FOR LIFE.
[ GRUNTS ]
ARE YOU SURE YOU'RE OKAY, DR. CESAR?
OH, I'M OKAY, NORA.
WE'RE ALL VERY GOOD AT BLOCKING PAIN
BLOCKING SLEEP, BLOCKING THIRST,
BLOCKING THE NEED TO GO TO THE BATHROOM,
THE NEED FOR ANYTHING
WHILE YOU'RE IN THE MIDDLE OF A PROCEDURE,
AND JUST FOCUS ON THE TASK IN FRONT OF YOU.
YOU'RE DOING GREAT, NORA,
I NOW HAVE TO START LINING UP THE LINE OF THE LIP.
YOU CAN SEE THAT THERE'S A TRANSITION
BETWEEN THE SKIN AND THE PINK OF THE LIP,
AND I HAVE TO GET THAT TO LINE UP PROPERLY.
THERE'S A LOT OF SWELLING IN THIS SITUATION,
WHICH DEFORMS THAT LOOK A LITTLE BIT.
YEAH, THAT'S NOT RIGHT. THAT ONE'S TOO TIGHT.
AND IT TOOK TWO OR THREE TIMES
AND A LITTLE BIT OF THAT PHOTOGRAPHER'S EYE
TO KIND OF STAND BACK AND LOOK AT IT FROM DIFFERENT ANGLES
AND SHINE THE LIGHT FROM DIFFERENT ANGLES
AND MAKE SURE THAT IT, INDEED, WAS LINED UP CORRECTLY.
YEAH, THAT'S THE ONE.
Judy: THAT LOOKS REALLY GOOD.
CAN I HAVE A MIRROR?
CAN I SEE?
Nora: ARE YOU OKAY?
[ CHUCKLES ] AM I OKAY?
ARE YOU KIDDING?
I'M SO SORRY, NORA.
UM...
[ GASPS ]
Narrator: DR. BRANDT IS ABOUT TO GET
THE HAT TRICK OF EMERGENCY CASES.
OH, MY GOSH!
YOU HAVE GOT TO BE KIDDING ME.
WHAT IS IT?
THERE'S A BUG IN THERE.
A BUG?
OF COURSE IT'S A BUG. OF COURSE IT'S A BUG. WHY WOULDN'T IT BE A BUG?
I DON'T MIND BUGS AT ALL, IT'S JUST,
AS SOON AS SOMETHING IS EATING YOU,
SOMETHING IS INSIDE OF YOU, THAT'S THE PART
THE MAKES THINGS TWIST A LITTLE BIT INSIDE OF ME.
I CAN PUT ON A BRAVE FACE WHILE I'M IN THE ROOM.
I CAN BUY MYSELF ENOUGH TIME TO, LIKE,
"OH, NO, THAT'S JUST A NORMAL THING
THAT HAPPENS WITH MEDICINE, MM-HMM,"
AND SMILE AND NOD UNTIL I LET MYSELF OUT OF THE ROOM, AT WHICH TIME I'M --
THAT'S NO BIG DEAL, THOUGH, RIGHT?
WE JUST HAVE TO GET IT OUT?
IT'S LODGED REAL, REAL DEEP IN THERE, OKAY?
SO, I MEAN, A LOT OF TIMES, YOU CAN TRY TO
GET IT WITH TWEEZERS OR SOME OTHER STUFF,
BUT IT REALLY IS PRETTY MISERABLE.
SO, THERE'S A TRICK THAT WE DO,
AND WE DO THIS ALL THE TIME IN THE E.R., OKAY?
Dr. Brandt: THE TRICK IS SOMETHING THAT I LEARNED IN RESIDENCY.
YOU HAVE THE MOM COVER THE GOOD NOSTRIL
AND BLOW FORCEFULLY INTO THE MOUTH,
AND, LITERALLY, YOU CAN HAVE THEM FORCE AIR OUT OF THEIR NOSE
AND, IF YOU'RE LUCKY, WHATEVER'S IN THERE WILL SHOOT OUT.
DID YOU HEAR ALL THAT? DOES THAT MAKE SENSE?
YOU READY TO GET THAT THING OUT OF THERE?
ALL RIGHT.
CHIN UP A LITTLE BIT. AND I'LL COVER UP.
ALL RIGHT. YOU READY?
3, 2, 1...
[ BLOWS FORCEFULLY ]
[ SCREAMS ]
Dr. Brandt: OUT FROM THE NOSE COMES A PROJECTILE
AT ABOUT 1,000 MILES AN HOUR --
A GIANT, BLACK EARWIG.
I DON'T KNOW.
I THINK IT JUST RAN AWAY.
DAD STANDS ON THE CHAIR.
GOOD.
UH-HUH.
DADDY'S GONNA BE FINE, TOO.
Dr. Brandt: IS THAT THING OUT OF THERE?
GOOD.
YOU DID GREAT, SWEETHEART.
SO, THAT WAS THE LAST INSECT
THAT I SAW THAT EVENING.
A TOE FULL OF MAGGOTS,
A BUTT FULL OF PINWORMS,
AND AN EARWIG THE SIZE OF A SMALL HORSE.
I'M NEVER GONNA FORGET THAT NIGHT.
OH, IT IS SO NOT FUNNY.
YEAH, IT IS, BUT WE HAD NOTHING TO DO WITH IT.
EVERY E.R. DOCTOR HAS THEIR THING.
BLOOD, GUTS, HORRIBLE ODORS -- NO PROBLEM.
OH, YEAH, RIGHT, I JUST HAPPENED TO
GET ALL OF THE BUG CASES ALL IN ONE DAY?
YEAH. TOTAL COINCIDENCE.
ALTHOUGH, I'M KIND OF WISHING WE HAD NOW.
[ BOTH LAUGH ]
UGH.
[ GASPS ] WHEN YOU SAID EARWIG,
DID YOU MEAN THAT EARWIG?
NO, I'M NOT FALLING FOR THAT.
NO, SERIOUSLY, IT'S RIGHT THERE AND IT'S COMING THIS WAY!
SERIOUSLY, GET IT.
OH, HI THERE, LITTLE GUY!
WHEN IT COMES TO BUGS, I'M REALLY ONLY FREAKED OUT
WHEN THEY'RE ON THE INSIDE.
GET THEM OUTSIDE THE BODY, I'M A SUPERHERO.
OKAY, COME HERE, LITTLE GUY.
THERE WE GO.
GOT HIM. WE'LL PUT HIM OUTSIDE.
[ SCREAMS ]
THAT'S NOT FUNNY!
KIND OF FUNNY. THAT'S WHAT I THOUGHT.
GET OUT OF HERE.
Narrator: DR. STRITTMATTER FINDS HIMSELF ALONE
JUST WHEN HE NEEDS HELP THE MOST.
I NEED YOU GO OUT THERE AND FIND ME A NURSE.
WHERE?
[ SOBBING ]
NURSE.
[ ALARM BLARING ]
WILL YOU TAKE OVER CPR FOR ME?
TAKE OVER.
OKAY, GUYS, I NEED YOU BOTH TO WAIT OUTSIDE, OKAY?
WAIT OUTSIDE. ALL RIGHT.
MELANIE, SHE WENT INTO V-FIB.
LET'S CHARGE UP TO 360.
[ MACHINE WHIRS ]
ALL RIGHT. I'M CLEAR.
SHOCKING.
[ MACHINE BEEPS ]
SHOCKED HER WITH 360 JOULES, BUT SHE DIDN'T RESPOND.
ALL RIGHT. SHE'S STILL IN V-FIB.
LET SHOCK HER AGAIN AT 360.
SHE WAS SHOCKED A SECOND TIME...
SHOCKING.
[ MACHINE BEEPS ]
...AND DID NOT RESPOND TO THAT.
WE'RE GONNA NEED TO SHOCK HER A THIRD TIME.
LET GO AHEAD AND CHARGE IT BACK UP.
SHOCKING.
...AND SHE DIDN'T RESPOND.
SHE'S IN SHOCK-REFRACTORY V-FIB AT THIS POINT.
WE'RE GOING TO GIVE HER ONE MILLIGRAM OF EPINEPHRINE I.V.
THE I.V.'S INFILTRATED.
AN INFILTRATED I.V. IS ONE WHERE
EITHER THE VESSEL WALL HAS EXPLODED
OR THE CATHETER HAS COME OUT OF PLACE
AND IS NO LONGER INSIDE THE VEIN.
AND THAT MEAN WE HAVE NO IMMEDIATE WAY
OF GETTING THE DRUGS INTO HER CIRCULATION.
SWITCH.
WANT TO TAKE OVER HERE?
IT'S OUR ONLY CHOICE. WE NEED ACCESS.
HAND ME A 14-GAUGE.
LET'S PREP THE RIGHT SIDE OF HER NECK.
AND I PLACE AN EXTERNAL JUGULAR LINE.
IT'S NOT A SITE THAT WE TYPICALLY PLACE I.V.s.
IT'S USUALLY, YOU KNOW, AN ACCESS OF LAST RESORT.
ALL RIGHT. LET'S CHARGE BACK UP AT 360.
[ MACHINE WHIRS ]
ALL RIGHT. CLEAR.
SHOCKING.
SHE'S IN A NARROW COMPLEX RHYTHM.
HER PULSE CAME BACK, BLOOD PRESSURE CAME BACK,
AND SHE WAS BREATHING FOR HERSELF --
NOT ADEQUATELY, BUT SHE WAS BREATHING FOR HERSELF.
KEEP BAGGING HER.
CAN WE GET AN EKG IN THE TRAUMA BAY, PLEASE, STAT?
SO, ONCE I SAW THAT, I CALLED THE CARDIOLOGIST.
HER EKG SHOWS AN S.T. ELEVATION, M.I. -- INFERIOR WALL.
SHE NEEDS TO BE ANTI-COAGULATED WITH HEPARIN,
BUT SHE'S POST-TRAUMA.
YEAH, I JUST DON'T KNOW IF WE CAN WAIT.
THE MEDICINE WE TYPICALLY GIVE A HEART-ATTACK PATIENT
IS A BLOOD THINNER.
MY CONCERNS WERE THAT SHE MIGHT HAVE UNCONTROLLED BLEEDING,
YOU KNOW, IN HER SINUSES OR MOUTH AND BEHIND HER EYE.
OKAY. ALL RIGHT, THANKS.
CARDIOLOGIST CAN'T GET HERE FOR ANOTHER 30 MINUTES.
SO, IT WAS ONE OF THOSE DECISIONS WHERE
THE RISK-BENEFIT WAS DIFFICULT TO DISCERN
IF ONE WAS GREATER THAN THE OTHER.
WELL, WE CAN'T WAIT ANY LONGER.
WE NEED TO START THE HEPARIN NOW.
WE'LL HAVE TO TAKE THE RISK OF A BLEEDING COMPLICATION.
Nurse: DR. CESAR,
DR. KEEVES HAD JUST ARRIVED.
Dr. Aristeiguieta: HE WANTS TO COME IN AND SEE WHAT I DID,
AND FRANKLY, I'M EXPECTING THAT
HE'S NOT GONNA BE VERY APPROVING OF WHAT I'VE DONE.
Narrator: DR. CESAR'S DOG-BITE VICTIM HAS AN UNEXPECTED VISITOR --
THE DOG'S OWNER, WHO WAS ASSAULTED BY THE GIRL'S FATHER.
OH, MAN, I BROKE YOUR NOSE. LOOK, I'M REALLY SORRY.
YOU GOT A PRETTY AWESOME RIGHT HOOK THERE, HUH?
I'M SORRY. I JUST LOST IT. I'M REALLY SORRY.
FORGET IT. FORGET IT.
NO HARD FEELINGS.
THANKS.
OKAY.
Jack: OH, YOU LOOK SO MUCH BETTER.
THEY SEWED ME ALL UP, DAD.
I KNOW. HONEY, YOU LOOK BEAUTIFUL.
MM-HMM.
DR. KEEVES HAS JUST ARRIVED.
OKAY.
ARNIE.
HEY. HOW ARE YOU DOING?
OH, NO.
NO PROBLEM. I HEARD.
THANKS FOR COMING. GOOD TO SEE YOU.
SHE'S DOING GOOD.
I FINISHED UP THE LIP ABOUT THREE MINUTES AGO.
MM, WOW.
SURE.
Dr. Aristeiguieta: HE WANTS TO COME IN AND SEE WHAT I DID,
AND FRANKLY, I'M EXPECTING THAT
HE'S NOT GONNA BE VERY APPROVING OF WHAT I'VE DONE.
THIS IS DR. KEEVES. MY NURSE JUDY.
THIS IS NORA AND HER DAD, JACK.
Jack: HELLO.
HEY.
OKAY.
HMM.
THAT SHOULD HEAL VERY WELL, NORA.
THANK YOU.
OH, THANKS.
TO MY SURPRISE, HE'S VERY PRAISING
OF THE WORK THAT I'VE DONE.
JUDY WILL GET YOU ALL BANDAGED UP,
AND WE'LL GET YOU HOME, ALL RIGHT?
THANK YOU, DOCTOR.
THANK YOU VERY MUCH.
EXCUSE ME.
CESAR.
YOU'RE NOT HEARING ME.
I SAW THIS PATIENT'S INJURIES BEFORE
FROM THE PICTURES YOU SENT ME.
I CAN'T BELIEVE HOW GOOD YOU MADE HER LOOK.
OH, WOW, ARNIE. THAT MEANS A LOT TO ME.
THANK YOU.
ALL RIGHT.
GOOD SEEING YOU AGAIN.
YEAH, LIKEWISE. I APPRECIATE YOU COMING BY.
YES, SIR.
CAN I GET YOU TO TAKE A PICTURE?
SURE.
HERE, LET ME BORROW YOUR CAMERA.
NO, NO, NO, NO, NO. WE WANT YOU IN IT.
IN WITH US.
OH, OKAY. THANK YOU.
Narrator: THE PREDICTION OF DR. CESAR'S PLASTIC-SURGEON COLLEAGUE
WOULD PROVE TO BE TRUE.
WITHIN MONTHS, THE PATIENT'S WOUNDS HEALED COMPLETELY,
LEAVING ONLY MINOR SCARS.
SHE CAN CERTAINLY SEE HERSELF IN A NEW LIGHT,
AND SHE SAID THAT I HAD CHANGED HER LIFE.
[ SHUTTER CLICKS ]
Narrator: DR. JUSTIN STRITTMATTER
HAS MADE A RISKY DECISION FOR HIS PATIENT.
WAS IT THE RIGHT ONE?
THE CARDIOLOGIST CAME, YOU KNOW, STRAIGHT INTO THE HOSPITAL.
HE WAS THERE IN APPROXIMATELY 30 MINUTES.
ALL RIGHT. HOW'S SHE LOOKING?
SO FAR, SO GOOD. SHE'S SPONTANEOUSLY VENTILATING.
NONE SO FAR.
WELL, YOU MADE THE RIGHT CHOICE WITH THE HEPARIN.
I HEARD SHE WENT INTO V-FIB RIGHT IN FRONT OF YOU.
SHE DID. IT WAS BIZARRE.
LET'S GET HER DOWN TO THE CATH LAB,
AND WE'LL SEE WHAT WE FIND.
SHE'LL NEED CLOSE MONITORING FOR ANY BLEEDING.
ALL RIGHT, MELANIE, LET'S PREP HER TO GO TO THE CATH LAB.
HE TOOK THE PATIENT TO THE CATHETERIZATION LAB,
FOUND THE BLOCKED VESSEL IN HER HEART
WHICH HAD CAUSED HER HEART ATTACK.
HE OPENED UP THAT VESSEL AND PLACED A CARDIAC STINT.
SHE WAS TAKEN OFF THE VENTILATOR THE VERY NEXT DAY,
AND SHE HAD AN UNCOMPLICATED POST-OPERATIVE COURSE.
OKAY, WE'RE GONNA TAKE AN X-RAY,
MAKE SURE IT'S NOT FRACTURED.
[ INTERCOM BEEPS ]
[ INDISTINCT CONVERSATION ]
Woman: HOW DO YOU LIKE YOUR NEW SET OF WHEELS?
COME ON LADIES! LET'S GO!
IT WAS AN AMAZING RECOVERY.
SHE LEFT THE HOSPITAL A WEEK LATER WITHOUT ANY DEFICITS,
EXCEPT FOR HER FACIAL INJURIES -- SHE NEEDED A PLASTIC SURGEON.
WHERE'S THAT DOCTOR OF MINE?
OH, THERE HE IS -- OUR HERO!
YOU LADIES HEADED HOME?
OH, HOME, COCKTAIL HOUR, SOMETHING LIKE THAT.
THANK YOU SO MUCH FOR EVERYTHING, DOCTOR, REALLY.
YOU'RE WELCOME.
WE FOUND SOMETHING OF YOURS I WANT TO GIVE YOU.
OH! A PRESENT.
[ GASPS ] MY SHOE!
THIS IS A SOUVENIR OF YOUR STAY HERE AT OUR HOSPITAL.
IT'S LIKE CINDERELLA! [ CHUCKLES ]
YOU FOUND IT. BLESS YOU.
[ LAUGHTER ]
YEAH, RIGHT, MATE.
CONGA LINE!
CHA-CHA-CHA-CHA...
Dr. Strittmatter: IT'S VERY RARE THAT A PATIENT WOULD TELL YOU
THAT SHE'S ACTUALLY HAVING A HEART ATTACK
AND THEN ACTUALLY GO INTO A DISRHYTHMIA
WHILE YOU'RE STANDING AT THE BEDSIDE.
IF WE WOULD HAVE RELEASED HER 30 MINUTES SOONER,
SHE WOULD HAVE GONE HOME, PROBABLY NOT SURVIVED
THE AMBULANCE RIDE BACK TO OUR E.R..
THEY WERE ARCH ENEMIES --
THE PODIATRISTS WHO OPENED UP OFFICES NEXT TO EACH OTHER?
THEY WERE ARCH ENEMIES.
DID HE... JUST CRACK A JOKE?
[ LAUGHS ]
[ LAUGHS ]
HE DID!