Excuse me. Excuse me. I've been here for over five hours, okay, way longer than that chick. Can you check the list? Driscoll? Doug Driscoll.
Javadi
E-everybody is seen as quickly as possible and in order of medical care needed.
Would you look at that, Mr. Driscoll? It's actually time to bring you back.
Would you take care of Mr. Driscoll?
Javadi
Yeah, absolutely.
Javadi
Has Kiara been here yet?
SDSherry Davis
No, who's Kiara?
Javadi
Oh, she's the hospital social worker. She can help you out with, like, housing and childcare - and food and security
SDSherry Davis
[to Dr. McKay] You told her?
Javadi
No, no, it's all free. The system works if you use it. You just have to...
SDSherry Davis
I don't need your help. Nice speech. Next time, mind your own business.
[McKay pulls Javadi to the hall]
You ever heard of impact over intent?
Javadi
I would never intentionally embarrass anybody.
But you did. You didn't have a conversation with Sherry or ask her what she needed. Instead, you walked in here and told her what to do. You gotta slow down, take a beat, and listen instead of judging people. Look, maybe I have a better perspective because I've been on both sides, but we gotta try to at least put ourselves in their shoes. Listening and building trust will make us better doctors and better people.
Javadi
Um, I'm sorry.
I'm not telling you this to reprimand you. I'm trying to teach you to help you.
OK, you're gonna pretend you're a pirate with your foot on a keg of rum.
Javadi
Are you serious?
Yep. This is the Captain Morgan technique for hip reduction.
Javadi
Who's Captain Morgan?
[Doctor Robby chuckles]
The guy on the rum bottle?
I'll stabilize the pelvis.
OK, you're gonna step up here.
Javadi
Actually, let me just...sorry.
Yeah, and you are gonna put your right leg behind his knee.
Javadi
Like this?
Yeah. And you are gonna use your leg as a hinge to put anterior force on his femur.
Push down on the lower leg with your left hand.
You got this. Put your back into it. The hip is a big joint with lots of muscle stabilizing it.
Javadi
Yeah! OK.
Javadi
Oh, shit... I mean, shoot.
And that is what a hip reduction feels like.
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!
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.
Javadi
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.
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.
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.
Javadi
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]
Javadi
Mateo is like a human Utah.
[laughs understandingly] Oh honey! I've worked with a few human Utahs. I wish you many, many Utahs in your life.
Look, do I think he needed to chill out a little bit? Yes. But he's a parent, and this might be his way of coping with the stress of a very frightening situation.
Javadi
I'm sorry. I don't know what came over me.
No, I do. You and that baseball kid are two pressure cooker prodigies in a pod. Just as physicians, we gotta learn to keep our emotions in check and not let our personal experiences interfere with our professional responsibilities.
Javadi
How long did it take you to learn that?
I'm still learning. And I also learned to never get on your bad side.