Arrhythmia Page #4

As a result, resuscitators

treat alcohol poisoning...

pediatricians take care of some bums...

and paramedics have to

deal with gunshot wounds.

As a result, numerous fatalities.

That's unacceptable. From now on, each

team is appointed to their specific cases.

Is that clear, guys?

What if I'm passing by

someone else's patient?

You ignore it and keep

going to your patient.

In other words, we don't give a

sh*t about the patients, right?

Listen, you'll be there first, but

you won't be able to help a patient.

What's the point?

In these cases, we normally

call for a second team.

Which brings us to the

most unpleasant part.

The last rule of the downsizing

plan goes as follows:

one team cannot call for

a second backup team.

We'll have to make it work in order

to process as many calls as possible.

What if it's a critical

or more than one patient?

Drive them to the hospital, then.

What about the downsizing you mentioned?

It's coming, but that's not up to me.

Okay, the meeting is over.

Have a great shift!

- Finally, we've been waiting for you.

- Let's go.

Oleg!

- Come here.

- Dima, what is it?

Come here for a sec.

We have to go to another patient.

- What do you mean?

- No idea, that's what I was told.

Gimme that.

Excuse us, we are not pediatricians.

We were sent here by mistake.

Is it about your child?

- Yes, the child is feeling sick.

- Pediatricians are on their way.

We are outside the patient's apartment.

That's not your patient.

Go to Gavrilova Street.

What are you talking about?!

The pediatricians weren't

available, now they are.

That's bullshit!

- You bastards, we've been waiting for so long!

- How can you treat people like that?!

How can you leave a sick kid like that?!

Dima, let's go.

- Floor number?

- Four.

Oleg, we got another patient!

- I don't give a sh*t.

- That's more like it!

When are you moving out?

Are you even looking for an apartment?

- Katya, why are you yelling?

- I'm not yelling.

I'm moving out tomorrow.

Is that okay?

You can move out when you

have a new place, okay?

Get out of my room.

Did she have breathing

problems in the past?

We've been using the Ventolin spray.

Did a doctor prescribe it?

No, a woman in the

drugstore recommended it.

Open the window.

Nina, you should lie down.

Let's leave the recommendations to me.

Nina Petrovna, you should remain

seated, put your hand on your knee.

Dima, get the wet oxygen mask ready.

- Could you get the cat out of here?

- Sure.

- I'll take her to another room.

- You better lock her in the bathroom.

Try to breathe smoothly.

Oleg, she's getting worse.

Prednisolone.

Dima.

Could you answer it?

Yes?

You should wrap up.

We can't, we're not done yet.

Report on the situation.

- Marina, is that you?

- Yeah.

What are you talking about? What report?

We're giving her shots,

monitoring the condition.

Oleg, you should already be

going to another patient.

Marina, you are impeding.

- You should've been done already.

- Marina, extend the call.

Dexamethasone.

Is she going to be all right?

- You should get rid of the cat and all the carpets.

- Okay.

Wet cleaning twice a day.

I'll contact your district

doctor right now...

- He'll come as soon as possible. Ask for a hospital referral.

- Thank you.

Nina Petrovna, look at me.

That's better. There's the sparkle.

You can't use Ventolin without

doctor's prescription.

We've been using it every day.

That's the result of Ventolin addiction. It

does not heal, it suppresses the symptoms.

It doesn't make the illness go away.

- Is that clear?

- Yes.

Nina Petrovna.

That's it. That's better.

Let's leave it on for a bit, shall we?

That's the spirit.

Marina, can you hear me?

- Yes.

- What's up?

- Thanks a lot, the other team didn't make it.

- What?

- You are the closest ones, go there.

- What's up?

The patient died.

Sh*t!

- Hello.

- Hello. Please come in.

- Volodya, stop it!

- You bastards!

- My God!

- Where is she?

In the room back there.

I need one of you to come with me.

One of you. One person.

Vera, you go. I can't take it.

What took you so long?

She might have been alive.

- I'll need her documents.

- It's all on the table.

How old was she?

She was 74.

- Why did you call an ambulance?

- She's been having a heartache all day.

Did she have any chronic diseases?

She had a cardiac defect from birth.

Done with the examination?

Can we take her away?

- Sure. I'm getting the papers ready.

- Should we dress her in something?

A sweater or something?

We'll cover the body. Got a sheet?

Vera, go get dressed. You

should come with her.

You don't have to go anywhere.

They'll contact you.

You'll take the body when you're

done with funeral arrangements.

Hey, Mr. Doctor.

Tell me, is your mother alive?

She is.

You should pray to f***ing God...

that she doesn't get

this kind of treatment.

- You killed my mother!

- Volodya, calm down!

Who gave you this right?!

Bring her back!

Let's go, man.

Oleg!

You scared me.

What are you doing?

I'm just... Grabbing my passport.

Relax.

- Where are you off to? You are working tomorrow.

- I'm leaving already.

I'm really sorry.

Let's pretend I wasn't even here.

Hey.

Hi.

Why aren't you coming up?

Katya, I want you to listen to me.

I'm just...

I want you to just listen to what I have

to say. Don't get mad, just think it over.

I'm not mad at you.

Katya.

Let's stop that.

At least, for a couple of days.

Let's stop torturing each other.

Please.

I can't...

I can't take it.

Can we do that?

Can we...

not make any serious

decisions at the moment?

Can we just take it easy and...

I don't know.

- Sleep it off.

- That's it, sleep it off.

Take a break from all this.

Can we do that, Katya?

We can.

Thank you.

Can I give you a hug?

Just a hug.

May we come in?

Go ahead.

Take your seats.

Anton, could you grab a chair

from the reception desk?

I'm listening, colleagues.

How can I help?

- I'll start, maybe the guys will add something.

- Okay, good.

It's about the new rules that make

us work our asses off, pardon me.

We know you didn't make them...

They are part of the

long-running medical reform.

- We know that.

- What is it, then?

We have to be reasonable about those

rules, and it's not even about the fines...

Excuse me. It's about the fines, too.

I haven't had a single fine since 2010.

Got two in the last week.

As I recall, those fines were

imposed by the insurance company.

That's why those calls

will not be paid for.

- Why on earth not?

- Vanya, let's not change the topic.

The thing is...

Let's take our patients.

Each case is unique, we

have to remember that.

That's why your 20-minute rules are faulty.

They disregard the individual

approach to patients.

- The human factor.

- That's right.

These rules were set a while ago.

But nonetheless, our former boss

understood everything and made it work.

We can't always go by the book.

You can't follow the rules at all

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