Emergency: NYC (2023) s01e05 Episode Script

1
[distant ambulance siren blaring]
left and right legs without any abrasion
[tense music playing]
[indistinct chatter]
You feel me touching here?
[tense music continues]
[backup warning system beeping]
We got a 16-year-old, motorcycle accident,
no loss of consciousness.
[assistant] Blood pressure level?
- [Donald] 110 over 88.
- [assistant] Thank you.
[ER man] And we got 20 in the right AC.
Dr. Maguire, do you want fluids?
Anything on your left side hurts?
[Maguire] No step offs, no deformities,
no abrasions on the back.
[ER man] Quick chest x-ray.
[dispatch] Medic 85 for a 9-year-old
in the borough of Brooklyn,
Bushwick Avenue and Grove St.
Peripheral wound.
Patient was impaled by a fence.
Mother is requesting Cohen Children's.
FDNY is on scene at this time.
- No LOC as far as we know?
- No LOC.
[ER man 1] You were climbing the fence?
Why were you climbing a metal fence?
- To show my mom.
- [laughter]
[ER man 2] Alright, okay.
[ER man 1] So, Doctor
[ER man 3] I'd say about
five-and-a-half inches.
[ER man 1] Buddy, you're going
to need some stitches.
[Donald] Transport, Donald.
[woman] Let them know that we're waiting
on an OR, and the lack of anesthesia.
Just bring us the child, right to the ER.
[child crying]
Based on the information that we got
and the imaging that we see,
it looks like there's a battery that's
stuck in the food pipe, the esophagus.
- [surgeon] Doing rigid esophagus scope.
- [assistant] Okay.
[surgeon] Very high-risk.
- [assistant] How bad it look?
- [surgeon 1] It looks horrible.
I'm just gonna go for it here.
[tense music playing]
- [surgeon 2] Okay.
- [surgeon 1] Got it?
- [surgeon 2] Yeah.
- [surgeon 1] Thank you.
[clapping]
[theme music playing]
[Vicky] Give me one second. Hold on.
Let me see if I can do
a three-way with somebody.
- Can I use your phone to call Tomasita?
- [Kristina] Yeah.
[Vicky] Let me call my aunt,
she's the one that's with him.
- She's the one that called them too.
- [dispatch] Okay. Does she speak English?
No, she speaks Spanish,
but let me put her on the phone.
[Tomasita, in Spanish] Hello?
- Hello, Tomasita?
- Yes.
- Tomasita, tell me exactly what happened?
- He fell down.
[Vicky, in English]
They think he fell from the bed.
[dispatch] Is he still on the floor?
Um, yeah, he's still on the floor because
he doesn't allow anybody to touch him.
[dispatch] Alright, Vicky.
- Oh my God.
- [Kristina] You okay?
No, I want to go.
- It's in Brooklyn?
- Yeah.
[ambulance siren chirping]
[indistinct radio chatter]
[Kristina]
Alright, I'll meet you up there.
He's complaining of left hip pain,
but I spoke to his son
[laughing]
[in Spanish] How are you?
- How are you?
- All good, honey.
- Little sad, but we're getting through it.
- [Vicky] No, take it easy.
[in English] He doesn't like hospitals
and he's like, "Mmm."
[Kristina laughs]
[in Spanish] Uncle.
Uncle, we're going to go
to the hospital, okay?
Uh-huh.
[Vicky] Uncle, don't grab on to anything.
Because if you grab onto something
and you move, we'll all likely fall.
[Kristina, in English] See how many steps.
All the way down? Okay.
[Vicky] Can we get the stretcher ready?
A little slower.
[Kristina] One more Three.
[Vicky, in Spanish]
You like it when they carry you.
- No
- [Vicky laughs]
[Vicky] Sure, right away.
We're going to take your blood pressure.
- [Jose moans]
- [Vicky laughs]
Do you feel any pain right now?
- My whole body.
- Your whole body?
Okay.
Giovanni, we're already
inside the ambulance.
[Giovanni] Uh-huh.
Hey, how's it going?
- [Giovanni] Vicky.
- [Vicky] Uh-huh.
- I'm going to talk to you in English.
- [Vicky] Okay.
[in English] We've been noticing
that he is getting depressed.
He's not eating.
He doesn't want to take showers.
All these are symptoms of depression.
[Kristina]
So kind of like failure to thrive.
Has he made any comments?
Like, "I don't want to live," or just
- [Giovanni] Yes.
- [Kristina] He has made those comments?
- Yes.
- Okay, all right.
I'll tell the nurses that
when we get there, okay?
[Giovanni] Yeah, that would be great.
Because that's my main concern.
I think that he's 94.
[Kristina] Right.
[Giovanni] It's his beginning
of dementia and depression.
[John] Okay, ready.
Even though CDC guidelines now say
no masks, outside the hospital we mask.
I usually bring a buck knife
with me wherever I go.
- That's the key.
- Don't hurt yourself.
I don't need a mask
when I have my buck knife. [chuckles]
- [John] Careful. Don't
- How do you close this freaking thing?
- How about Would you stop?
- Here.
- Stop!
- I'm stopping.
[exhales]
- [John] Careful.
- [David chuckles]
You know, sometimes as a surgeon,
it's just better to play safe.
But ultimately, in order to heal someone
with a dangerous problem,
you have to stretch yourself
and get out of your comfort zone.
You know, a little anxiety,
and a little pressure,
little that's what gets you
to make decisions
to change and to make yourself better.
Sometimes to save the patient's life,
against the odds, you have to take risks.
Good work, Langer.
[Nancy] Hi, baby.
You gotta text me this stuff.
You know that.
- Text you? I called you.
- I know, but I don't work on calling.
Okay, I'll text you next time.
This is my wife.
- Hi! I'm Brittany.
- Hi! I'm Nancy.
- One of the registered nurses.
- Nice to meet you. I'm so sorry.
[laughs]
I just apologize for everything.
Nancy, I always apologize.
- Just made a general apology
- Whatever going forward.
Whatever happens going forward,
he's already apologized.
I gotta go. Love you.
- [Nancy] I wanted to make sure he's there.
- [Brittany] Yes.
[David]
So there's the lesion, right there.
I started seeing
the posturing of the face.
[father] Grimacing in particular.
[mother] Just started all coming together
that he's having different seizures,
even the staring spells and
The tried and true way of ridding
seizures is get rid of the tumor,
and get as much as you can,
if not all of it.
Autism, it can't be helped
by having this there,
and if he's having gelastic seizures,
it really affects the brain globally.
- So if you want him at his maximum
- [mother] Yes.
[David]cognitive functioning,
you gotta get rid of this.
The goal is basically
to come in somewhere around here
and just start
decompressing this from inside.
We can go down these narrow corridors
and not go through the brain to get there.
These operations are ones
that are very rare,
and, in some ways, they are what makes us
go into neurosurgery, what drives us
and what makes us work so hard,
because it's both technically challenging,
you can hopefully not only save a life
but improve quality of life,
and hopefully give your baby back.
It's dangerous surgery,
and we'll do a good job.
COVID forced the family
to delay their care of their baby.
And, in addition,
there was an element of this
that was unique and complex
due to the size of the tumor.
Hey, buddy. Hey, buddy.
There are very few surgeons in the country
that do this kind of operation.
I'm one of the few people
who operate on these in this way now,
and we decided to bring the patient
to Cohen Children's,
a hospital I don't normally
operate in very frequently,
but with great partners and with Shawn,
I'm able to do the procedure
there at a very high level.
You know, doing it alone sucks. [laughs]
Going down any path alone, I think, sucks.
It's always good to have friends.
[John] That's good.
I'll have Langer see him tomorrow.
Take a look at this.
This is a medical student.
He goes to the same medical school
I went to, downstate in Brooklyn.
So this kid is 23. And he's got
what we call acute hydrocephalus.
He started bending over
and had severe headaches,
worst headaches of his life.
And that's classic
for, um, this buildup of spinal fluid.
This ventricle has to drain
into this ventricle,
which then goes down
a very narrow Suez Canal,
then into the fourth ventricle,
and then it goes into your spinal cord.
And this is a dynamic process
that's happening every day.
For reasons that remain unclear,
his Suez Canal,
his aqueduct right here is um, closed.
It's just he's building up pressure
in his brain.
That's transmitted to his eyes
and causing a massive headache.
- It's like basic plumbing.
- Right.
And so, one option is actually to go down
and make that hole bigger
and hope that the spinal fluid drains.
Right.
A safer approach he's a medical student,
so I gave him both options,
and he said, "You know what,
just stick the catheter in this,
the fluid is going to shoot out."
So I admitted him urgently
to decompress this and put a shunt in.
the safest part to do it is back here.
So I actually do research
on VP shunt placement,
so we're actually looking
at the success rate
- Wow! That's awesome!
- It's interesting to be a data point.
When we're all done with this
and you wanna write up that paper with us
[patient] That'd be an honor.
you'll look at both
personally and professionally.
- Right.
- [John] Alright. I'll see you inside.
If you leave this, long-standing
papilledema causes blindness.
And actually, long-standing elevated
intracranial pressures can cause death.
Where's Langer, by the way?
[intriguing music playing]
[David] Jose Prince reached out.
I've got to go say hello to him.
Did you meet Marshall?
I have not, no. How are you?
Shawn Rodgers. Nice to meet you.
- Pleasure.
- Excellent.
- With the exoscope.
- Thank you for bringing everything today.
[David] I told him set up right side
surgery, left side screen. Yeah.
Okay, let's go.
- How you doing?
- How you doing?
I told Shawn I haven't seen you
probably since North Shore.
Aww!
- [mother] There he is!
- [David] Hello!
- I'm still here, look.
- [woman] Oh, okay.
[assistant]
Dad, you can follow me over here.
So we're gonna do
our safety check, Dad, okay?
[toddler babbles]
Okay.
So Dad is gonna sit on the chair
to go to sleep.
[David] I struggle
taking care of kids, you know?
I'll be honest with you, I really enjoy it
because it's so impactful,
but I don't know how
pediatric neurosurgeons do that every day.
[assistant] And guess what?
The color is red like Elmo!
Elmo sticker! All done!
We're gonna blow some bubbles with Elmo.
- [babbles]
- Thank you!
[David] It's amazing how they do this.
What they have to do, it's incredible.
- Very different than the adult world.
- Yeah.
[assistant] Ready? One, two, three.
He's nice and asleep, Daddy, give him
a kiss and we're gonna show you out.
Okay, perfect. Thank you so much, Dad.
[father] Thank you, guys, thank you.
[assistant] He did great. Thank you.
[David] Shawn, I'm just gonna
go talk to family again.
- [Shawn] Yeah.
- [David] Want to come?
[Shawn] Sure.
- [David] You okay?
- [father] Yeah.
- [David] You sure?
- Yes.
- It's hard to take all this in.
- [David] Yeah.
[father] It's scary and big.
[atmospheric music playing]
[indistinct radio chatter]
[in Spanish] You're going to be okay,
but you have to eat at home.
You have to eat even if you don't want to.
So you get well, okay?
[in English] Family members want you to
know he has a failure to thrive situation.
He's not eating, not drinking,
not showering,
and he also expressed
that he doesn't want to live.
- [woman] He said that?
- Yes, he did. To his son.
[woman] Can you ask
for first and last name, birthdate?
[Vicky, in Spanish]
Uncle, what's your first name?
Jose.
- [woman, in English] Ah, perfect.
- [Vicky, in Spanish] And date of birth?
When was I born?
Uh
I don't think even God knows.
[laughs] Don't you remember which month?
- [Kristina chuckles]
- No?
I know its like May 6th.
[Vicky] In what year?
May 6th
[Vicky chuckles]
[Kristina, in English]
He's trying so hard. [laughs]
[Vicky] It's okay, it's okay.
[Vicky, in Spanish]
It's okay if you don't remember.
[laughter]
[in English] Good afternoon. My name
is Miss Cruz. I'm here to do an EKG.
[Vicky] It's different, you know,
it's different when it's a family member.
We just got to wait to see
if everything is going to be okay.
A little hard because you wish
you could stay here,
but now it's their time
to render the service.
[woman] Thank you so much.
- [in Spanish] You're leaving?
- I'm leaving.
She's my partner.
We're going back to work
to go pick up others.
- Alright.
- Alright?
Whatever you say, colonel.
I'll see you later, okay?
Behave.
Like always.
[in English] So they're going
to do some x-rays now
and make sure that everything is okay,
and hopefully he can be home by tonight.
Bye, Jamie. Thank you. See you, guys.
We did the right thing, calling them.
And now just got to get ready
to the next goal.
[Eric Adams] We have many rivers
that feed the sea of violence.
We must dam every river,
and we must end the gun violence
in our city and in our country.
The future built on equality
and opportunity
because the lack of the two
feeds the gun violence that we are seeing.
President Biden is here visiting New York
today to talk about gun violence,
and it's pretty ironic he's here to talk
to our mayor about gun violence prevention
and we have right now two kids
in our hospital with gunshot wounds.
So this is becoming
an increasingly common issue, right?
Every time I give a talk
on gun violence prevention or so on,
I always have an example that I can cite
as a kid that we just recently treated,
or someone in our community
that was just recently shot.
So it's pretty crazy and, um,
definitely, definitely a big issue,
not only here but nationwide.
[child wailing]
- [man] You okay, buddy?
- [woman] Woo!
Somebody is mad.
So we're just making rounds right now.
And we're going to start off
with the patient
that we actually saw last night
who had a gunshot wound
to his left hip
and is really, really very lucky.
- Alfred, how you doing?
- Good.
We're so happy that, you know, we weren't
having to rush to the operating room
and make a big cut.
- I know we talked about that yesterday.
- Yeah.
So I'm just going to have a quick look
at the wound, okay? Right there.
Okay, good. It's not really bleeding
that much anymore.
[Alfred] Yeah, no.
I could feel the blood come up.
[Chethan] I would say you're definitely
one of the luckiest kids that we've seen
with a bullet wound in this location.
- The bullet is lodged
- In several different places.
- Yes.
- I understand. I can feel it.
- You can feel it?
- Yeah, I feel it in my back.
I can feel it right here.
I can feel it like where my bone is at.
Yeah, it's literally stuck
between your spine,
your vertebrae, and your pelvic bone.
It's hard to believe, but there's
a lot of people who live with bullets
and never know it's there.
Now it hurts, but it's gonna go away.
I was having a good day yesterday.
I was walking, I was on my way to, like,
to go be with my friends and stuff.
- [Chethan] Yeah?
- Yeah.
I had my headphones in,
and I couldn't really hear anything,
and as soon as I turned toward the street,
all you hear is gunfire.
I don't know where it came from.
All I know is my first instinct
was to duck and get to cover,
or safety, or something.
That's what I know.
When I was on the floor,
crawling to get behind the wall,
that's when I knew I got hit
because I could feel
all the pain in my legs.
And then I looked at it.
I was like, "Oh, I can see the big hole."
And my pants was coming apart.
And
And it was just blood everywhere.
You have any friends that have
been affected by gun violence as well?
- I have one friend that died.
- Really?
- Yeah.
- What about the trauma that comes with it?
You know, is that something
that worries you?
- I'm just more hurt.
- More hurt?
- Yeah.
- Like emotionally or physically?
Like both.
What do you wanna be when you grow up?
I want to be an actor.
- An actor? Nice.
- Yeah.
I'm going to college for it.
You're already going for sure?
Oh, awesome. When do you start?
I was supposed to start February 7th,
but now I'm pretty sure I'll have to wait.
- [John] So, Rachel.
- [Rachel] Yes?
- [John] We went over position, correct?
- [Rachel] Right.
[John] One shot, you're going to hit
that ventricle down here.
What I don't want you to do is miss
because if you miss laterally,
you get into the internal capsule.
It's funny. When I was in my residency,
I had two kids,
and knowing what you know,
you get a little more anxious
about pregnancy, and deliveries,
and stuff like that.
For this kind of condition, there's
an advantage to being a medical student,
for being the healthcare field because
he's making a very informed decision.
Most of the time, I would say
there's just bliss to not knowing.
You don't want to know the information,
the downside, the risk of things.
They cutting down the water source here?
[Don] Take it easy.
Better pay that water bill, baby.
There you go, doc.
[John] Oh, there you go. Hell yeah.
- [Don] Rescued by the Don.
- [John chuckles]
This is Hamza Khilji.
We're doing a right VP shunt placement.
Everyone confirm right side
is the correct side.
Yeah, I agree too.
Let's do a mindful moment together.
Take three deep breaths in through
your nose and out through your mouth.
We can do it together.
[Leslie] Hi.
[John] We're going to take out
the breathing tube now, okay?
We're just waiting
for the respiratory therapist
so we can give him oxygen
after we take out the tube.
Is that okay? Alright.
[therapist] Josh, this is gonna make you
cough and gag. That's all normal.
I know it's like a scary feeling,
but it's all normal, okay?
And you might throw up.
Your job is basically when we tell you,
you take a deep breath in and cough, okay?
That's it. We'll do all the rest.
[Leslie] I'm feeling a lot better.
Now that I know he's more comfortable,
they took the tube out,
I'm feeling a lot better.
We set him up to be successful,
so I have a belief
that he will be successful.
- Okay.
- I don't see a problem.
He's communicating through his eyes
and through his hands.
And he nods, and he shakes his head.
So that's good enough for me.
We breathe teens, 10's. 10 to 20.
He was breathing 20's.
20 to 30, which is already high.
But he's nicely breathing 20.
- Okay.
- But not work. His chest isn't heaving.
[Leslie] He's going through
a lot of hard times at this moment.
But, you know, I assure him
that things will get better.
And he will be able to do
what he likes to do.
[therapist] A big first step, success.
[Leslie] Big progress, Josh. Big progress.
He's a fun person.
He likes to play and joke a lot.
You're gonna be okay. Day by day.
Go ahead and get you some rest.
[Leslie] That's my baby,
that's my special child.
That's my special child.
Buddy.
[atmospheric music playing]
[David] Alright, Shawnee. Go for it.
You're the man.
I'm not anxious.
Some of it's beyond my control.
So I just take more
of an attitude like I've
done everything I can to be
the best I can be at doing this, and
I think I'm as good as it gets
dealing with stuff like this.
So my personal feeling is
you have to feel that about yourself
or else you're going to be anxious.
Okay.
Thank you.
Bipolar forcep.
[assistant]
There's a little chip of bone in.
[Shawn]
Here the kid has a little more bone.
I need a lempert, please.
This thing that looks like a
That's a lempert.
- [Shawn] How are you, Jose?
- [Jose] I'm good.
- [David] Hey, Jose. How ya doing?
- Great.
- Good to see ya.
- It's nice to see you.
Looks like you're totally underway and
Yeah, I was going to call you
as soon as I was done.
- Or when we were closing.
- No problem.
Put some 3D glasses on.
You'll see some cool shit.
- I got 'em. It's very cool.
- [Shawn] This is exoscope, right?
[David] Look at the vessel
pulsing on the surface there.
- On.
- [Shawn] Beautiful.
[Jose] I'll bug you later about stuff
I wanted to ask about the operating rooms.
- [David] I'll call you.
- [Jose] Give me a buzz. See ya later.
[David] Take care, Jose.
On.
On.
Tenotomy scissor.
- [Shawn] He's over the frontal lobe.
- [David] Give me another scissor.
[Shawn] Don't touch the pink area.
He's not over the Sylvian fissure.
[David] I'm always really careful
crossing the fissure.
These scissors are pretty horrible.
Bipolar.
There's the tumor.
A lot is still bleeding.
We try not to cut the optic nerves.
Is the bipolar on?
The next size up bipolars, please.
Mike, give me my purple
[Shawn] We have the purple one on.
18 by point 6.
[David] Oh.
- [Shawn] 20?
- 20 by point 6.
- We have a more micro one if you want.
- I want the micro-est you have.
[Shawn] Yes.
[David] Not a lot of room there, you know.
Give me a biopsy forceps, please?
Four on neuron.
If you see me doing anything bad,
speak up.
[Shawn] No, I got ya. I won't let you
fly into the side of a mountain.
- [David] Looks pretty good in there.
- [Shawn] It does. I agree.
One of the most beautiful things
you could ever do.
I would do this operation for free
- [Shawn laughs]
- every day until
Seriously, it actually is for me
There's not an operation I'd rather do.
Oh, there's something. Pituitary.
That may be it, boys.
[Shawn] Yeah, I think you're good.
[David] You know,
it's like a slippery slope.
[Shawn] A slippery slope because suddenly
you get in the hypothalamus,
you just make an endocrine cripple.
Obesity. Or the hormones are gone,
so memory is hurt.
So there is a fine line.
- [David] I think we're done.
- [Shawn] Yeah, I'm good with that.
[sighs]
Check all the monitoring.
[atmospheric music playing]
[Donald's daughter coughing]
[Donald's daughter] I'm going to be six.
Yes, you will be six.
[continues coughing]
[Donald] London picked up the flu,
and obviously, we always think it's COVID
because that's going on now,
but everyone's negative.
[coughing]
You okay, sweetheart? Okay.
Today, her mom called me earlier,
and she's been with me since 11:00.
So now I'm taking her back early,
and my son has a game later.
So it's always a juggle with four kids.
My relationship,
through the divorce process,
with my children has been strained.
We're working through it.
It's tough for them.
Both my parents worked really hard.
My mother was a nurse.
My dad was a cab driver.
So they influenced me to work hard.
But I don't want to be like
my parents totally,
uh, because times are different.
My mom didn't let us,
didn't let me go anywhere or hang out.
And now it's like I'm wondering
where the hell my kids are.
I mean, I know where they are, relatively.
It's either basketball at some gym, but
I just don't know
as much as I'd like to know.
It's not really about them being good.
It's about being mature enough
to avoid nonsense, stay out of trouble.
And then with the size of my boys,
with the current climate of what's
going on, they look like adults.
But that's the role of being a parent.
You always worry.
[John] There's no such thing
as an easy shunt.
You know, when you're placing a shunt,
just about anything can go wrong.
So basically, you'll see here,
there's a hole in the shunt passer.
So this is going to go under the skin,
and we're gonna pop into the belly
where Dr. Greenberg is,
pull out this inner stylet,
and then the orange tube
is going to slide through here.
Alright, here's his clavicle.
Now, the hard part of occipital shunts
is actually being in the right plane here.
So he's got a very thick neck.
His scalp is really dense.
Fuck.
Jeez. It is just very tight. [grunts]
Forget this. Hold the head.
[grunts]
- There we go.
- [assistant] There we go. Right. Love it.
You got your workout for the day.
You don't need to go to the gym.
- [John] Watch yourself.
- Yeah.
[John] I'm exhausted,
emotionally, physically, spiritually.
- There's the tube.
- [assistant] Good.
[John] So this is how
he's doing this laparoscopically.
Now that's just
a tiny hole in the abdomen.
Gonna take out this inner wire.
[assistant] I'm gonna take the shunt out.
Suction.
[whirring]
[John] Do you have a reservoir
for the spinal fluid?
- Whoa!
- [assistant] High pressure.
[John] Take this spinal fluid.
Put the chair under me, please. Bayonet.
And now we just pump it.
I'm just pumping the valve.
What organ are we
looking at underneath there?
The small intestine.
This valve will
regulate the flow of spinal fluid
from the brain into his belly
for the rest of his life.
All right, we're going to start closing.
- [assistant] Good.
- That was perfect.
[assistant] It was.
Everything went great. [chuckles]
- All right, thanks, everyone. Thanks.
- [assistant] Bye.
Rachel, text me
when he wakes up, thank you.
I think shunts take years off your life.
They gray you quicker.
And I think people
underestimate the physicality of surgery.
Thirty, forty years
of doing the same procedure,
and we're sitting there with
our necks flexed, we're wearing loops.
Uh, so it can be taxing.
I spend a ton of time exercising,
uh, stretching, strengthening my back,
my neck, yoga,
in addition to the, obviously,
emotional mindfulness training
and other things to keep us relaxed.
But you can't operate hurt, right?
So I don't ski,
I don't do anything faster than I can run,
because I can't tear my ACL,
or break my finger playing hoops.
Because you can't operate.
[whirring]
This is what we do.
[assistant 1] One, two, three.
[assistant 2] The last sodium was 135.
[David] Better than we started.
It was fun coming over here,
and I just love these cases too.
So it's an honor and pleasure
to work with you.
- [Shawn] Anytime.
- [David] It was a lot of fun.
[Shawn] This is the big hole.
All mushed down.
That looks really good.
- All righty.
- [David] Alright, bro. Looks good.
[Shawn] See him when he wakes up.
Go talk to the family?
Yeah, let's go.
[Shawn] Everything went great, and we were
able to take out a good amount,
at least 70, 75 percent, even 80.
If there's more to do,
we can always do more.
We can't put tissue back, right?
And if you injure something you can't see,
- it's really dangerous.
- [mother] Yes.
[Shawn] Today was super safe,
and I think it really went perfectly.
- Yeah. The tumor took a big hit today.
- Okay. Can I hug you? Am I allowed?
[David] Yeah, yeah.
[David] I've spent my life
trained to be the best you can be,
but sometimes things go sideways
that are no fault of your own.
When you have good outcomes
like this in high-risk cases,
you have to enjoy them
but not congratulate yourself too much,
because Lady Luck comes
and you get it just the opposite.
- You're done!
- How was it?
It was good
- Smooth.
- What was the pressure like?
Through the roof.
Once I popped in it was like, "psst."
What we call like a little boy peeing.
Just streams out.
And I sent it for gram stain and culture,
to ensure nothing's in there that's funny.
Makes sense.
So you're going to be
awfully sore back here.
That's just your scalp,
and you have thick scalp.
Maybe you'll see it one day,
and then you come and work with me.
- Thank you so much.
- My pleasure.
You're a great kid, okay?
I'm proud of you.
You know, we all are motivated
by our personal experiences.
His personal experience
is going to alter his career.
If nothing else,
he may team up for working with us.
[Donald] Going for a walk?
How about I come and help? How about that?
I'm gonna hold on to you kind of tight,
make sure you don't go anywhere.
I got everything, okay?
You won't go anywhere with me holding you.
- I'll try. I need to get back.
- Well, you might try to go down.
- Yeah.
- Tell me if you feel tired.
- This is good, it's good.
- Okay.
- You all right? Kind of hard, isn't it?
- Yeah.
Okay, you want to stop for a sec,
take a deep breath? It's okay to stop.
You're used to walking normally before.
Can you stand straight, is it comfortable?
- It's comfortable like this.
- All right. Well
Does it hurt
when you try to stand up straight?
- No. It's just more comfortable like this.
- Good. Okay.
[Alfred] Honestly, my body's
just trying to heal itself.
I'm really mad in that the way I landed,
they can't take it out because it's going
to hurt me more than the actual bullet.
So, um
I have a sickness inside my body.
[mother] It hurts to know that your child
has to worry about
getting shot walking down the street.
They need to figure out
where these guns are coming from.
How are they getting into our communities?
And police gotta protect us.
How's someone shot in front of the police,
no one's arrested and police are there?
Our kids should feel safe
going to the store,
going to the next building,
or playing in the playground.
They should feel safe.
They have to protect our children.
Kids have to be kids.
[coach] Take it, take it, take it!
[atmospheric music playing]
[buzzer rings]
Your hair, like what's That's crazy.
What's up, Grandma?
- Get in there.
- You started this.
Oh yeah?
Look. Grandpa, is he not getting
a little bit short on me?
I'm almost the same height as him.
I'm getting there.
Hair doesn't count.
Well, it's been nice.
Thank you very much for everything.
[Kristina] No problem. Any time.
I'm here for the next baby too
- Next year.
- I know. [laughs]
[emotional music playing]
[Vicky, in Spanish] Hi.
Wow, look how pretty
that one is turning out.
Aw, Noelia.
It's so pretty, I want one now.
[Vicky laughs]
I want one now!
I only need 10 more rounds, and I'm done.
Right now, I'm going to go upstairs.
Honey, it's so pretty.
Aw, it looks so pretty!
[in English] This is really nice. [laughs]
- [father] Hi.
- [mother] Hey!
[David] Hey, Brett.
- [mother] Say, "Hi, Doctor Langer!"
- [David] What's up, buddy?
[toddler] Aah!
- [David] He looks really good.
- [mother] Yeah.
- Hey, buddy.
- There he is. He's a magician.
- He's actually staring at me this time.
- He took away your tumor.
[David chuckles]
He just feels different already.
Like, we can tell.
[David] If he hasn't had a seizure by now,
that's a really good sign.
[mother] I agree.
[David] Unbelievable.
[toddler moans]
[father] Hey, dude, where you going?
- [David] He wants to get out of here.
- [father] Yeah.
- Come here, dude.
- [David] I don't blame him.
- [father] Thank you.
- [David] All right, bye now.
[mother] Bye-bye!
- [father] I'm sorry.
- Apologies.
I need a vacation. I'm going next week.
It's just going to be good
to get out of here.
- [Jose] I'm so happy.
- [Leslie] Yes. Thank you.
I feel a lot better.
I know.
That looks great.
We're going to leave those clips there,
probably for a couple of weeks,
make sure things are sealed up tight,
and keep an eye on this
that we don't get an infection,
because it was open for a while.
That's one thing we're worried about.
Hi, how are you?
I'm Dr. Prince. It's nice to meet you.
I'm one of the trauma surgeons
who helped you,
with all of the nurses
and all the other doctors.
Got any questions for me?
No? Alright.
For you guys, this is
a whole other phase of it now.
He's just finding out, so you're
going to have to, as a family,
walk the walk with him now.
He came a long way. He was determined.
Yeah, he was. And you were too. All of us.
We're going to get him through this.
[Leslie] Gonna get him through it.
- Thank you.
- You got good company here.
Alright, bye, guys. See you later.
[Jose] It's so rewarding
to see him and meet him.
He's able to leave in a few days.
It's really such a rewarding part
of this whole journey,
to watch getting to this point.
And he's got now a mental injury
of what he's just been through,
and he's going to have to process
what happened and how to find a way
to not be afraid in his life,
and to move forward.
It's a hard journey
that he's about to go under,
and we could fix the holes and injuries,
but like so much of gun violence,
external wounds and scars will be there.
But the inner ones, those are the ones
that will take a lifetime to deal with.
It makes you so grateful
for your own family.
You think about moments like this
and how quickly everything can change.
[dispatch] Denver Med Evac.
We have a patient transport.
Male, late 50s,
involved in a skiing accident.
Heading to Eagle Regional Airport.
He has a C5 spinal injury and no feeling
in his arms or hands at the moment.
The patient is
in and out of consciousness.
His final destination will be
Newark Airport in New Jersey.
[Nancy] David.
Are you okay, honey?
Jesus.
[closing theme music playing]