"Hey, Nance, I grabbed some sheets." "Do you think we'll need anything else?" "Nancy?" "Nance!" "Glenn, I'll give you one of two scenarios." "One, I am completely deaf." "Two, I'm ignoring you." "You're ignoring me." "What are you reading there?" "Still ignoring me." "Got it." "Strike three!" "Shut out inning, buddy!" "Come on, Sheila." "Little hit, Sheila, come on." "Take the walk, princess." "You're not getting on my bases without it." " Shut up and pitch!" " Have a seat, man!" "Come on, Sheila." "Come on, Sheila." "What the hell are you doing?" "Preventing you from stealing." "There's no stealing in softball, you idiot." " Yeah, since when?" " Just shut up and pitch!" "You know something?" "I feel bad for ya." "Forget the shut out." "I want you to hit one ball." "Just one." "Nice and easy." "Come on, Sheila." "Show him what you're made of." "Come on!" "Right down the alley." "Come on, Sheila!" "Oh, no, he's hurt!" "Medic 114, respond code 3, Golden Gate Park." "West of Steinhart aquarium." "Man versus baseball." "Individual's semiconscious and unresponsive." "Hey, Nance, I know it's none of my business, but..." "Yeah, you're right." "It's not." " If you wanted to tell me..." " I would." "And I don't." "Boyfriend?" "Ex-boyfriend." "Friend?" "What did I say earlier?" "Don't take Folsom, take Howard." " I'm trying to get off." " Well, then turn on Mission." "I'm not gonna take Mission." "Mission has too many lights." "I'll take Van Ness." "It's quicker." "Stop trying to change the conversation here." "I'm trying to talk to you." "We are not having a conversation." "Hey, guys, listen up." "There's construction on Folsom, so if you wanna go across town, take Howard." "Okay." "Whatever you want to tell me, I don't want to know." "It's about us." "Oh, God, if we did something last night that I was too drunk to rember, please." " Let me live in ignorance." " It's our golden anniversary." " Sorry, what?" " This is our 50th shift together." "Oh, thank God we didn't sleep together." "Why, 'cause it would have ruined our partnership?" "Exactly." "Oh, what up, air stud?" "Oh, do not encourage him, Tyler." "I'll tell you what's up." "Au masix tickets to the warriors game tonight, courtesy of an assistant coach who received premium flight medic care en route to an emergency bypass." "Courtside, foul line." "Who's in?" "Well, since I flew Mr. Assistant coach, thank you!" "You're welcome." "I finally get to hit up the oracle without treating myself for a nosebleed." " Thank you, Rabbit." " Mr. Boone." "I can't." "I have not seen my kids awake in two days, bro." " So that means." "Screw you and you." " I'll take one." "No probies." "Pick you up at 6:00." "A little presumptuous, don't you think?" "Love to." "Courtside seats!" "Courtside, man." "I'm gonna be all like, yo, jackson, why you keep jumping from team to team, man?" "Pacers, warriors, pacers, warriors?" " Make up your damn mind, right?" " You're gonna use that blackcent too, huh?" "What you talking about?" "Blackcent." "I don't even know what that is." "Dude, that was a blackcent, you know, how you said it." " Like I smell like a black" " Hey, watch it." "Medic 78, respond code 2, Golden Gate Park." "South side of crossover drive." "Adult male disrupting traffic." "Possible psych 5150." "Hey, sir?" "Hey, uh, sir." "I'm a paramedic." "You mind conducting the orchestra across the street?" "All right?" "Looked like you were playing some good music out there." "Oh, you heard it too?" "Beautiful, isn't it?" "Actually." "Beautiful." "The chariot awaits." "It's nice, isn't it?" "The music." "Sure." "Sorry, sorry." "Hey, man, that's not cool." "Just don't do that" " Knock, that's it!" " Sorry, sorry, sorry." " What are you lookin' at?" " I'm not..." "I'm not looking at..." "That's it." "Pull the rig over." "I first I drew my pistol and then I drew my both: rapier I said." "Stand and deliver stand and deliver I am the for I am the both:" "Lord, why do you have to make everyone crazy but me?" "Both: ring dumma do dumma da whack for my daddyo whack for my daddyo there's whiskey in the jar." "We should do something special, you know, 'cause it's a special shift." "Special shift?" "Oh, Glenn, this cute, endearing thing, it really does have its limits." "Well, I'm just saying for you, that's a longterm relationship." "Oh, you have just reached those limits, dude." " This is not a relationship." " Yes, it is." "Think about it." "Of all the men you spend time with, you spend the most with me." "See?" "Yeah, wow." "You know, I am infinitely more screwed up than I thought I was." "You know, I have a special idea for a special shift." "I'll get the coffee, so you get the sheets." "Itit's not what it looks like." "It looks like you're eating your patient's food." "He was discharged, and I haven't eaten for days, so." "Oh, and people expectme to tellthemwhat to do." "I know." "Took me a couple of months just to find people's veins." "Yeah, they call me doctor, and the techs know more than I do." "At least you get called doctor." "I either get called probie or dude." " Dude's not bad." " No, dude's not bad." "It beats moron." "Being new sucks." "Yeah." "Being new does suck." "I've got something for you." "Finally." "I bring you people every day." "What do I ever get in return?" " What's that?" " My letter of recommendation." " For what?" " For you." "Residency at sutter just opened up." "If you want it, I'll make it happen, but I need to know soon, or they'll post it on eras." "You've got the degree." "You've got the talent." "Here's your chance to be a doctor." "Take it." "That a girl." "Nance?" "Nance?" "Oh, my God." "Oh, my God, help." "Somebody help us." "You're bleeding." "Yeah, I'm oI'm okay." "Are you okay?" "It looks like a stellate laceration with a small degree of devitalized tissue..." " Hey, Nance." " You're losing a lot of blood." " Glenn, you're losing a lot..." " Stop... stop it!" "Are you tell me you're okay." "Can you answer me that?" "Are you okay?" "Yeah." "Yeah." "Yeah, I'm okay." "I don't know what hap something hit us or we hit something." "I don't know." "I didn't see anything." "This is medic 114." "Uh, I'm reporting an MCI." "We're on the corner of folsom and 12th." "It's a muni bus versus an SFFD ambulance." "Please identify ambulance call number involved in mci." "It's mine." "Medic 78, code 3." "Report to 12th and folsom for MCI, muni bus versus medic 114." "Hey, dispatch, can you please confirm that sffd call number?" " What rig was in the wreck?" " Medic 114." "Respond to." "Dude, go, go!" "Rabbit." "Rabbit, hold up!" "Hey, this bird's not ready to fly." "It's not fueled up." "We got enough fuel to get us to folsom and back?" " Yeahbut" " Then we're flyin'!" "You signing off on this?" "All right, let's go." "Let's go." "Nance!" "Glenn!" "Guys!" "Hey, I'm gonna get you guys out of here, okay?" "Hey, what's your name?" " Jorge." " Hang in there, Jorge." "Help is here, all right?" "You heard me?" "She's pretty messed up, man. 12 on the gcs." "Hey, Nance." "Nancy, talk to me." "Tell me..." "gimme symptoms." "Gimme symptoms, baby." "Oh, my God." "Sir, are you okay?" "Nancy, talk to me." "Gimme me symptoms, baby." "Gimme symptoms." "Stop!" " We can't extricate them." " What?" "Listen, we're first on the scene." "I'm incident commander, and you are in charge of triage." " Screw protocol, Boone!" " No!" "They are breathing!" "They're talking." "Rescue will cut them down." "Forget it, man." "We've got severely injured people on that bus." "No!" "Listen, protocol saves lives." "You tag 'em, you tarp 'em." "Do not treat." "No treating." "He's right, Tyler." "It's probably just a cracked rib." "Go." "Protocol." "I'm sorry." "I'm sorry." "All right, everybody, let's keep it calm." "We got help right behind you, okay, everybody?" "It's open!" "Okay, hey, hey, talk to me." "Battalion 4, this is medic 78." "First on the scene at 12th and folsom for a level three mass casualty incident." "Over 40 injured." "Requesting three MCI trucks, rescue and multiple rigs for transport." "Conservatively, I need about 30 beds." "Copy that, medic 78." " Hey, what's your name?" " Franceluce." "Franceluce, that is a very, very pretty name." "Can you walk?" "No?" "Listen, franceluce, I want you to do me a favor, okay?" "I want you to just relax and calm down, okay?" "I've got help on its way." "No, no!" "Please!" "Please don't go!" "Please!" "Hey, why isn't this guy out here yet?" "Waiting on rescue." "Guys, listen." "This guy over here in the taxi's more critical." "If we don't get him out, he's not gonna make it." "You notice you got one of yours in there." "I understand that, but right now, they're all mine." "Let's go!" "Cut the top!" "Go to it!" "Let's get him covered up." "I want every critical moved to the sicu or icu now." "Let's clear these trauma beds, people." "Ems is requesting 30 beds, but we can't take them all." "We'll be saturated." "Activate the emergency bypass policy." "Tell Ortiz to update the hart screens." "Let the staff and field providers know we take what we can and we divert the rest." "But I want those medics." "I want Nancy and Glenn here, understand?" "They come to me." "Nancy and Glenn?" "They're the ones who" "Get outta here." "Lyn." "Where's my daughter?" "Nancy's on scene." "They'll have her here as soon as they can." "Is she injured?" "Is she okay?" "I don't know what's going on except that she and her partner are two of the injured." "Come on, take my office." "Damn it, Joe, you know she shouldn't be out there." "Dr. Joe, Dr. Joe." "My patient here." "A seizure." " My neck's fine, man." "It's my armmy arm." " Okay, Glenn, it ain't gonna happen." " Stay still." " I'm okay, I've had enough." " Nance, let them treat you." " Still here, aren't i?" "Funny." " What, what, what?" " I don't know." "I probably just broke some ribs or something." "Habla o entiende ingles?" "No?" "Okay, Glenn, I'm gonna release you now, okay?" "Here we go." " You got him?" " I got him." " My arm, my arm." " Buddy, I'll see you on the outside, okay?" "I never even saw it comin'." "It's not your fault, Glenn." "Oh, I've got so much pain in my abdomen right now." "What kind of pain?" "Get away from her." "Get away." "Get outta the way." "I'm here." "I'm here." "It's okay." " Oh, God." " It's okay." "Tell me." "Pulse is tachy at 120." "Bp down from 110 systolic to 90 palp." "GGS is 12." "What the hell took you so long?" "Next time you want to go headtohead with a bus, try doing it somewhere I can land." "Look at me." "Look at me." "That's it." "What do you see?" "Pupils, 4 millimeters." "Skin is cool, pale, and diaphoretic." "I'm gonna start palping." "No sign of crepitus." "Point tenderness is just above ribs 10 and 11." " Flail chest?" " I don't think so." "What the hell hurts so bad?" "Nancy." "Hot belly." "It's all right." "We're gonna get you out of here." "All right, I got a hot belly, probable ruptured spleen." "I gotta get her out now or she's not gonna make it." "Five more minutes, Rabbit." "She doesn't have five minutes." "Gimme a jacket." "Stay right with me, okay?" "All right." "Stay with me." "I'm right here, it's okay." "Angle that in." "Watch out." "Head down, head down, head down." "Okay, good." "Take her out." "Marisa, got her." "We're on our way!" "We're on our way!" "I can bvm." "Okay, got it?" "We're two minutes out, Rabbit." "Dr. Joe has a surgeon prepped and waiting." "Let me do that." "Let me do it." "Let..." "let me do it." "Let me do it." "Let go." "Okay, deep breath." "That's better." "Reuben?" "I'm right here." "I can't see anything." "I'm losing you." "I can't see anyanything." "What's going on, Rabbit?" "Cerebral perfusion." "Visual deficit." " She needs a blood transfusion." " I'm losing you, reuben!" "No, I'm right here, Nancy." "Listen to me, Nancy." "You are not losing me, and I am not losing you, okay?" "I'm gonna give you some midazolam." "No, no." "No, no, no, no." "And some more morphine." "I have to." "You're in too much pain." "No, please don't put me out." "I'm sorry, Nancy." "I'm really sorry." " Please do not put me under." " Listen to me." "Nancy, I'm right here." "I'm right here." "You're gonna be late for the basketball game, right?" "Tonight?" "Yeah, that's right, that's right." "Front row, foul line." "We'll get some beers." "That's good." "Gimme the board!" "Vitals have deteriorated." "Bp dropped to 70/palp with weak, thready pulse at 130." " Got her, Rabbit." " Start of transport," " I had spontaneous resps at 16, systolic BP at 90 and dropping..." " We got her, Rabbit." " Yeah, but now" " Go!" "Hey, Dihey." "How's Nancy?" "She's in good hands." "How are you?" "I'mI'myeah, I'm fine." "I'm all right." "We have head laceration with no TBI presenting, blood loss at 200 ccs or less." "And a fracture of the left clavicle." "So Dr. Van Dine." "What do we do?" "Irrigate and prep lac for closure." "Sling for the clavicle." "And are we worried about the head wound?" "Not after we do a CT scan." "If it's normal, he's good to go." "Good." "Work him up." "Diane." "Is anyone talking about whose fault this is?" "Did you hear anything?" "No." "No." "Why?" "Control, this is angel rescue 2." "I've got 1, 300 pounds of fuel, and we're ten minutes out from base." "Over." "Negative, rescue 2." "You got a code three, possible cardiac arrest in bayfront park by pier 31." "Copy that." "We're four minutes out." "You up for this?" "It's what I do." "Why?" "That's not what I asked." "Rabbit, I know what it's like to see friends go down, okay?" "I just need to know, can you take the call?" " Yeah." " Good." "You wanna talk about it?" " No." " Good." "Her things." "Oh, thank you." "If there's anything I can do." " What year are you?" " First." "Do you like the trauma rotation?" "Very much." "Well, your father must be very proud of you." "That was fast." "You're the cardiac?" "False alarm." "Sometimes I get these chest pains, and they feel like heart attacks, but then they go away." " Heartburn?" " Heartburn." "Like I said, they feel pretty bad." "Okay." "You called us all the way out here, and now the taxpayer's paying," "So I'm gonna have to work you up, false alarm or not." "No, no, no." "Don't do anything." "Like I said, I'm fine." "Hey, you called 911." "You got 911." "See." "I can't actually leave you here with your supersize soda and your supersize fries." "It's only a matter of time, and it won't be heartburn." "It's gonna be a massive cardiac arrest." "But by then, you'll be bed bound in your fifthfloor walkup, and I'm gonna have to break my back trying to get you down all those stairs." "Hey, I'll eat whatever I want to eat." "Oh, yeah?" "You wanna eat?" "Is that what you want?" "Okay, then eat that." "Eat it." "Go on, eat it!" "How 'bout some fries?" "Eat some more." "Come on, come on." "You wanna eat some food?" "Have some more." "What?" "You're not eating it." "Oh, you thirsty?" "You wanna wash it down with something?" "Rabbit, stop it!" "Rabbit, what are you doing?" "What are you doing, man?" "You know why you got chest pain?" "Do you?" "It's 'cause you're clogging your arteries with fat." "That's why." "And the fatter you get, the sooner you're gonna have a heart attack, buddy." "Just do us both a favor." "Go on a diet." "We're at 22 centimeters." "O2 stats are improving 96uh, 99%." "Two units ab positive hanging." "No signs of transfusion reaction." "Foley output?" "600 ccs." "This is Dr. Aquino." "He'll be performing the splenectomy." "Dr. Carnahan, I'm sorry about your daughter." "Thank you." "Thanks." "You're scrubbing in?" "I want to assist." "Incision." "Upper midline." "Breastbone to naval." "Lap pad." "Ready for suction." "We have massive hemoperitoneum." "Suctioning blood loss." "Where's it coming from?" "Appears to be the hilum." "All right, still bleeding from the spleen." "Estimated blood loss at 1, 000 ccs." "All right, buchwalter." "All right." "Retracting the stomach." "Sretractor." "Now we have exposure." "Estimated blood loss at 1, 500 ccs." "Mobilizing the spleen." "More suction." "Estimated blood loss at 2 liters." "If we lose another 500 ccs, that's half her blood volume." "Call the blood bank." "Get some blood here quick." "Got it." "Medial rotation." "Level one infuser running." "Blood loss stabilizing." "Okay." "Let's begin." "Get yourself out of my copter, 'cause I'm not taking you back up." "Oh, your copter, is it?" "Damn straight." "Come on." "The guy's gonna think twice before he orders another big mac." "It's not a bad thing." ""I will honor the laws of God and man." "I will follow that regimen which benefits my patients" "And abstain from whatever is deleterious and harmful. "" " Hey, hey, I know the oath, okay?" " Well, then follow it." "You know, in my eyes, you do as much harm as you do good." "Which, guess what comes to nothing." "What's the good in that, Rabbit?" "Okay." "So what am I supposed to do?" "Just." "Go to the hospital." "Go see Nancy." "But whatever you do, you're still grounded." "Mets." "I'm seeing multiple adhesions of the spleen, parietal peritoneum and lesser omentum." "Watch out for the tail of the pancreas." "If you want to do this yourself, why'd you drag me in?" "Sorry." "All right, this is medic 78." "Last patient diverted to St. Luke's hospital." "Leaving the scene." "Roger that, medic 78." "Hey, where's Ben?" "Where's Ben?" "Oh, that." "Right, the whiskey in the bottle." "Well, the good news is, if he would have stayed back there, he'd be gorked from heatstroke." "Look, this is medic 78." "My 5150 went awol on the scene." "We're getting back in the box." "Let me know if pd or fire find him." "Hey, hey, hey, no, no." "We're going to the hospital to check on the guys." "No, we lost a transport." "And because of you, we almost lost Nancy." "What, you want to ride with somebody else?" "Now's your chance, Tyler." "If you wanna be my partner, you act like my partner." "Now, let's get in the rig, man." "Cameron." "What?" "You wanna bust my balls too?" "You did the right thing, Cameron." "Doesn't feel like it, though, does it?" "No." "And if Nancy's not okay, I'm gonna feel a hell of a lot worse." "I know." "Okay, finishing dissection towards the splenorenal." "T.A. stapler." "All right, close and fire." "Fire." "Transection completed." "Slice and dice." "Stuart." " Get onedraft?" " You got it." "I..." "I don't want company." "Is that why you're not at the hospital?" " They're making me take a drug test and." " Thanks." "On the house, my friend." "On the house." "I gotta go to CISD, and they're doing this investigation." "I'm off the box until it's over." "Maybe it is my fault, Rabbit." "I don't know." "It's not your fault, Glenn." "She told me to take howard." "I didn't listen." " It's not your fault." " She told me to take I was with her right in the rig." "She told me to take Howard." "Glenn, Glenn, just quit it." " She said take howard." " Okay, okay, okay." "It's your fault!" " I didn't listen." " All right, you happy now, you stupid probie?" "It's all your fault." "But you know what's bugging me, though, is I drove her for three years." "I never once, you know, lost it." "I never hit a bump." "I never hit a curb, you know?" "And I've seen a lot of bad things, but I never had to worry about Nancy till today." " Rararabb" " Till you didn't listen, man." " Until you stayed on 12th!" " Rabbit, I didn't, i" "Glenn." "Glenn?" "Hey, call 911!" "I thought you were 911." "Yes, ten drinks ago." "Come on, call 911 now!" "Irrigation." "No signs of coagulopathy." "That's it." "Dr. Lasky and his team are gonna sew her up." "Thank you, everyone." "Anyone sober here?" "Yeah, I'm on duty." "What happened?" "You been drinking?" "No, just eating." "But I'm not a medic." "EMT." "That's fine." "I been a paramedic 20 years." "I'm drunk as a donkey." "I'm gonna walk you through this." "Cool?" "Hell, yeah." "You're Rabbit." " Your rig here?" " Yeah, it's outside." "Oh, that's great." "Okay, keys." "Uh, t, t, where are you?" "Grab his als bag, I want a board and Cspine, and blast the air." " We want the rig as cool as possible." " You got it." "Okay, where's a penlight?" "Okay, tell me are his eyes pupils, pupils." "Check the pupils." "Tell me if they're the same size." "Yeah." "All right, that's good." "There's no herniation." "I wanna drop a line of ns." "What about mannitol?" "Dude, if he's TBI, he's gonna have hypertension." "I don't want any more hypertension." " But mannitol reduces the blood viscosity" " Yeah, well, that's great." "You know what?" "This is my party." "You're designated driver." " Now, you got that?" " Yeah." "Get ready to drop the line." "All right, now I want a nonrebreather mask and 15 liters of oxygen per minute." "On my count." "One, two, three." "Cspine, Cspine, Cspine1." "Okay, Glenn." "You're gonna be okay." "That's it." "You're gonna be okay, Glenn." "Altered loc after blunt occipital trauma." "Patient involved in earlier collision." "He was evaluated here and released." "Currently oriented times three." "Uh, statstake over." "Bp 130 over 80." "Pulse 100." "I thought you worked him up." "Vitals are normal." "He's stabilized now." "The radiologist agreed everything looked normal." "The radiology intern is just as inexperienced as you." "Next time you check with me before calling the ct negative." "So what should have Diana done?" "Teleradiology?" "Exactly." "So next time you consult the radiology attending via Telerad before making me look this sloppy." " Glenn" " Oh, it's okay." "No." "It's not." "You know what else sucks about being new?" "What?" "It's all the mistakes we're gonna make." "Yeah." "You know, the first time I read it, I thought, all this, this pride, all this emotion." "I should have written it." "And then I, I read it again, and." "After I saw the way that you looked at her, I thought." "He's in love with my daughter." "I was trying to take care of her, that's all." " You might have done the same thing." " Yeah." "Yes, I would have, because I'm her father." "But what are you, Joe?" "I mean, you're not her father, you're not her supervisor, you're not her boyfriend, so." "What are you?" "What are you gettin' at?" "I'm going to interpret." "This gushing letter as misplaced paternal pride." "Because anything else would be unacceptable." "Correct." "What the hell are we doing here?" "Look, I have a hunch that that Ben guy, he's a music freak." "No." "That's not what I'm talking about, and you know it." "Nobody wants to lose a partner." "If it happened to you, man, I'd lose it." "Me too." "How are you?" "Glenn?" "You have your gown on the wrong way around." "Yeah, the nurse told me it was supposed to go like this." "Well, they were lying to you." "Come sit." "Keep me company." "Hospitals suck, huh?" "Yeah." "They truly, truly suck." "No wonder you didn't want to become a doctor." "I don't blame you." " No wonder." " Hey, you standing me up?" "We got a game to get to." "Yeah, I think I might be missing that." "Maybe not." "You work that thing out?" "Forgive me?" "For what?" "Now, you." "Young lady, are about the only thing that stopped me from going completely insane, so." "Don't scare me like that." "All about you, isn't it?" "It hurts." "Do not make me laugh." "We need help, stat!" "Overinflated ego!" "I don't think his sense of humor's gonna make it." " That's it." "Have a seat." " Hey, guys." "How you doing?" "Come on, then." "II need some joy." "How are you doing?" "Yeah?" "What up, players?"