[Dana breaks up a fight in the waiting room]
Dana
Jesus almighty, I can't believe what I'm seein'! Where do you people think you are? This ain't Philly! This is a hospital, for Christ's sakes, what's the matter with you? You call yourselves adults? There are children in here! You should be ashamed of yourselves.
But I've got four days off next week. I think I'm gonna get out of Dodge and head for the hills.
Dana
I wish you would. What'd Shakespeare say "Physician, heal thyself"?
What? Have you been talking to Collins? Not Shakespeare. Luke, the disciple, who probably heard it from Paul the Apostle. But what do I know? I'm Jewish. It's not my book. Shakespeare had nothing to do with it, though.
Dana
Yeah. Maybe a little time off would be good.
[about Dr. Mohan] Hi, how's she doing?
Dana
Better. Faster.
Still need ten more of her.
Dana
Never thought I'd see the day where you'd wish for more Samiras.
You can blame Gloria for that. If I don't get patient satisfaction scores up around here, they're bringing in an outside management company to run things.
Dana
Mother of God. Really?
I know you hear me. You can pretend you don't, but I know you do. This glass might be bulletproof, but it ain't soundproof. Huh? Hello? Can you hear me now? Huh? Hello!
Dana
Whoa. Whoa. Whoa, sir. Sir, what is the issue?
Oh, same issue. I've been here all day, and you people have done nothing to fucking help me.
We're still waiting on your second troponin. We can't clear you medically until it comes back. For instance, if it comes back elevated, that could indicate a silent heart attack. And you'd need to be admitted for monitoring in a cardiology consult.
That's all I'm asking for. I'm afraid I've had a silent heart attack. I just want someone who knows something about hearts to tell me what's happening to me. You know, unlike most of these losers, I have insurance, good insurance. And I pay my taxes, which pays for them to not have any insurance.
Dana
Sir, you've got about five seconds to change your whole attitude before security and the police get involved.
Hey. Hey! You are absolutely free to go. But if you do, you will be leaving AMA, against medical advice. This form states that I have advised you to stay and complete your evaluation, but you are choosing to leave, understanding and accepting all risks of heart attack, stroke, disability, and death.
Sounds like a CYA form in case I drop dead on the curb.
That's exactly what it is.
I just want to be treated fairly.
I assure you that is our intention. We are not back here playing Go Fish.
Dana
We're doing our best to help some very sick people. You will be seen, OK?
Robby's gonna love that patient satisfaction score.
LPLupe Perez
Crazy people.
Dana
Excuse me, sir. You're not allowed back there.
Unless, what, I start a fight? Become homeless? Apparently, that's what it takes.
Dana
I understand your frustration. I promise you'll be seen as soon as a provider is available.
But how can they become available if new people keep cutting the fucking line?
Dana
There's no line. We see patients by severity of need. As soon as we have your tests and labs, you will be seen.
This place is fucking unbelievable. Runaround after runaround. Hey. What's up, Erik Estrada? Still keeping your eye on me?
MDMateo Diaz
Always, my friend. Always. [to Dana] Who's Erik Estrada?
Dana
Shame on you. CHiPs. Know your television history.
It's like…my parents took me skiing in Utah for Christmas, and from the moment I got off the plane, I could not catch my breath. No matter how hard I tried, the altitude made me feel, like, awkward and uncoordinated. I couldn't concentrate, I couldn't get my bearings. And I'm a very good skier, but I spent the entire vacation just, like, on my butt, dizzy and panting.
[Dana half-glares at her, nudging her to get to the point]
Mateo is like a human Utah.
Dana
[laughs understandingly] Oh honey! I've worked with a few human Utahs. I wish you many, many Utahs in your life.
Dana
I'm already in a bad mood.
SGSecurity Guard Ahmad
I'm just getting some air.
Dana
[scoffs] Yeah, right. You're a terrible liar. Hope you're better at security.
SGSecurity Guard Ahmad
Hey, now you're just being mean.
You realize that this is the second person to accuse you of that today. - You starting to see a pattern?
Dana
No. But I am starting to see why Gloria's unhappy with your patient-satisfaction scores.
[Robby laughs]
Dana
You need something? Or you just here to ruin one of the few things that still brings me a little joy in life?
Dana
You don't want to work with anybody today. You must be in a mood.
Dana
It's going around.
Dana
[chuckles] Yeah. You're good. You're not that good.
...
You do help. You do make a difference. One asshole doesn't get to change that.
Dana
I think I'm done. [sighs]
Yeah. I know that one. And I don't blame you. I, uh...I-I-I-I don't know. I don't know. Maybe what I want and what the patients need isn't what's best for you anymore.
Dana
Yeah.
I just honestly don't know what I'm going to do without you.
Dana
You'll figure it out. You always do. You're a good man, Robinavitch. Don't let this place take that from you.
["Code Triage, Emergency Department now." over Public Address system]
We're locking down the hospital and setting up a command center in Administration. We'll coordinate logistics, supplies, communication.
Dana
How many casualties?
Unclear, but initial reports are not good.
Dana
OK.
The night shift is gonna be here soon, but we are gonna need more help, especially from Surgery and Anesthesiology.
MCI group text and email went out to everyone, including Transport and Environmental Services.
OK, good. [to Dana] Hey, everyone's gonna want to come in to help. Keep enough in reserve. Tell them to come in eight hours later to give us a break. And can you try and reach Jake?
Dana
Of course.
Surgery's got to call in the cavalry. We're gonna need all 25 ORs.
Ahead of you. Four ORs are prepped and staffed, and we're working on getting the rest up and running.
What about disaster supplies?
Every patient in the ER needs to go up. Beds or no beds, they'll get better care in an upstairs hallway than ignored down here.
There's a whole wing that's empty on the eighth floor. I don't know if that's...
But no nurses to staff it.
No comment on that one. Waiting room and Triage can go to Family Medicine Urgent Care. And we should turn off the TVs. We don't need to cause any extra panic.
The cafeteria will handle the family members and survivors.
Keep the press out of here.
Gladly. Call me directly if you need anything else.
Oh, um, and four of Ancef. Sorry, I forgot the Ancef. Thank you... .
PAPerlah Alawi
Mel! Mel, I need you to reassess, please, now.
Sylvia? Oh, Sylvia. Her pulse is weak and thready. She's, uh, bleeding out from her liver lac. I need O-neg!
Dana
O-neg's gone, honey. Gloria's got more flying in. Incident Command, what's the ETA on our blood?
[Incident Command relays it would take eight to ten minutes]
Dana
The patient's gonna have to get by with a liter of saline.
No, no, she needs blood, not crystalloid. Um, can she go to surgery?
Dana
All right, she's next to go, as soon as we get an open OR.
She's not gonna last that long -- Dr. Robby. Dr. Robby! Dr. Robby, we're out of O-neg, but I'm O-neg. Can I donate?
Gloria's got more blood flying in.
What is our blood status?
Dana
Just used the last units of O-neg and O-pos. More flying in.
Dana
Less than 10.
Some patients are not gonna last that long. And I'm sure there are other O-neg donors that probably work here, so...
It would take hours to screen for HIV and hepatitis.
Well, I have neither, and I donate all the time.
[Robby sighs]
Fuck it. If the patient's gonna die before they get to the OR, then the benefits outweigh the risks.
Dana
My man. All right, kid, roll up your sleeve I'll meet you in 7. Listen up. Central 7, 8, 9 is now the blood donor center. Anyone who's O-neg or O-pos, we need you to donate now. Hands where I can see them. OK, let's do this.