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1
00:00:19,403 --> 00:00:20,893
I called them.
2
00:00:22,406 --> 00:00:24,772
- What happened? Is he okay?
- I think he slipped.
3
00:00:24,975 --> 00:00:26,408
No, looks like he fainted.
4
00:00:26,610 --> 00:00:29,272
Okay. Everybody, get back.
Get back, okay?
5
00:00:29,480 --> 00:00:31,072
Come on. We got a doctor here.
6
00:00:31,282 --> 00:00:33,580
The hospital's nearby.
Some guy ran for help.
7
00:00:33,784 --> 00:00:36,150
My head hurts. This pavement's hard.
8
00:00:36,453 --> 00:00:38,512
All right, I'll help you.
9
00:00:38,722 --> 00:00:39,689
I'll help you.
10
00:00:39,890 --> 00:00:41,858
- You shouldn't move his neck.
- God!
11
00:00:42,059 --> 00:00:44,687
- Are you okay?
- I just told you my head hurts!
12
00:00:44,895 --> 00:00:47,693
Don't worry. You'll be fine.
We'll all help you.
13
00:00:47,898 --> 00:00:49,798
- Want us to do something?
- We got to...
14
00:00:50,000 --> 00:00:52,230
- Coming through!
- Excuse us.
15
00:00:52,803 --> 00:00:55,237
- Sir, are you okay?
- Yeah. Can you help me up?
16
00:00:55,439 --> 00:00:57,964
- We'll check you first. Name?
- Barry Mahoney.
17
00:00:58,175 --> 00:00:59,733
- He fell down.
- Thank you.
18
00:00:59,944 --> 00:01:03,345
- And he's bleeding a little.
- Thanks. We'll take it from here.
19
00:01:03,747 --> 00:01:08,150
- Carol, we need to stabilize his neck.
- I'll get a C-collar and a gurney.
20
00:01:08,452 --> 00:01:09,646
Jen's gone for a month?
21
00:01:09,853 --> 00:01:12,014
She's taking depositions
in St. Louis...
22
00:01:12,222 --> 00:01:14,486
...and figured it would be
easier to stay.
23
00:01:14,692 --> 00:01:17,820
- My head still hurts.
- Just a small scalp laceration.
24
00:01:18,028 --> 00:01:19,393
Nothing to worry about.
25
00:01:19,596 --> 00:01:21,689
And she's letting Rachel
stay with you?
26
00:01:21,899 --> 00:01:25,926
Reluctantly. Rachel didn't want to
miss soccer camp, so she's staying.
27
00:01:26,136 --> 00:01:29,697
Okay, let's get a saline line going.
TKO, CBC and a Chem-20.
28
00:01:29,907 --> 00:01:31,704
- Portable C-spine?
- Yeah, thanks.
29
00:01:31,909 --> 00:01:33,706
And a 12-lead EKG.
30
00:01:33,911 --> 00:01:36,243
- Can we help you?
- Just making sure he's okay.
31
00:01:36,447 --> 00:01:40,349
- Family needs to wait in Chairs.
- I was passing by and tried to help.
32
00:01:40,551 --> 00:01:42,917
Didn't do much.
Put her coat under my head.
33
00:01:43,120 --> 00:01:47,454
I'm sure he's grateful, but passers-by
need to wait out in Chairs too.
34
00:01:47,658 --> 00:01:50,149
Accu-Check, 124. Hemo-Q, 13.8.
35
00:01:50,361 --> 00:01:53,421
I'm supposed to be here.
I'm a third-year med student.
36
00:01:53,630 --> 00:01:54,927
I start ER rotation today.
37
00:01:55,132 --> 00:01:56,326
Man, is that today?
38
00:01:56,533 --> 00:01:58,296
- So this lab coat is yours.
- Yes.
39
00:01:58,502 --> 00:01:59,491
What should I do?
40
00:01:59,703 --> 00:02:00,727
- Name?
- Lucy Knight.
41
00:02:00,938 --> 00:02:03,168
Ms. Knight,
welcome to County General.
42
00:02:03,374 --> 00:02:07,140
- You need to wait in Chairs.
- I shouldn't do anything?
43
00:02:07,411 --> 00:02:10,710
- Carol?
- Left, down the hall, then a right.
44
00:02:11,882 --> 00:02:13,349
Should I at least observe?
45
00:02:13,550 --> 00:02:15,882
Left, down the hall, then a right.
46
00:03:16,080 --> 00:03:17,547
Lucy, you just get here?
47
00:03:17,748 --> 00:03:19,545
Bernard, what are you doing?
48
00:03:19,750 --> 00:03:20,944
What happened?
49
00:03:21,152 --> 00:03:24,144
A fire-twirler burned his butt
and the troupe's waiting.
50
00:03:24,355 --> 00:03:27,586
What is all this? You look like
some geek, pacing around.
51
00:03:27,792 --> 00:03:29,384
I am a geek pacing around.
52
00:03:29,593 --> 00:03:32,323
- Taking Dr. Weaver's audio tour.
- Who's Dr. Weaver?
53
00:03:32,696 --> 00:03:35,563
Kind of short,
red hair, uses a crutch.
54
00:03:35,866 --> 00:03:37,333
They have you sitting here?
55
00:03:37,535 --> 00:03:39,730
I don't know what I'm supposed to do.
56
00:03:40,171 --> 00:03:41,763
I gotta get back to my tour.
57
00:03:41,972 --> 00:03:44,805
What are you doing later?
I gotta practice drawing blood.
58
00:03:45,342 --> 00:03:49,176
They won't make you do procedures
at first. All right, I'll find you.
59
00:03:50,881 --> 00:03:52,508
- Out of the way!
- Trauma One's clear.
60
00:03:52,716 --> 00:03:55,981
- What do we got?
- Multiple GSWs to the head and chest.
61
00:03:56,187 --> 00:04:00,180
GCS 7, BP 60 palp, two large-bore IVs,
normal saline, a liter in the field.
62
00:04:00,391 --> 00:04:02,825
Prep a Thora-Seal
and set up for a chest tube.
63
00:04:03,027 --> 00:04:04,187
- Lucy Knight?
- Yeah.
64
00:04:04,395 --> 00:04:06,090
Jerry Markovic, service coordinator.
65
00:04:06,297 --> 00:04:09,061
Dr. Greene will show you around
as soon as he can.
66
00:04:09,266 --> 00:04:12,758
Just throw your stuff in the lounge
and come back to the desk.
67
00:04:16,941 --> 00:04:20,206
- I'm sorry. Did I interrupt?
- We thought you were Jerry.
68
00:04:20,411 --> 00:04:22,345
The unit service coordinator.
I just met him.
69
00:04:22,546 --> 00:04:24,980
You must be a new med student,
right?
70
00:04:26,116 --> 00:04:29,210
Jerry's the desk clerk. He pulls
the "unit" thing on newcomers.
71
00:04:29,420 --> 00:04:30,512
It's his birthday.
72
00:04:30,721 --> 00:04:32,518
Don't tell him about the cake.
73
00:04:32,723 --> 00:04:34,350
- Chuny Marquez.
- Lily Jarvik.
74
00:04:34,558 --> 00:04:37,322
- Yosh Takata.
- Lucy Knight. Should I use a...?
75
00:04:39,196 --> 00:04:41,027
Excuse me, I'm looking for Jerry.
76
00:04:41,232 --> 00:04:44,565
He went down to the roach coach
to get his breakfast burrito.
77
00:04:44,768 --> 00:04:47,202
That's why my dad says he's...
78
00:04:47,771 --> 00:04:50,205
- What did you do?
- Not much, actually.
79
00:04:50,407 --> 00:04:53,171
I was hoping he knew
if there were extra lab coats.
80
00:04:53,377 --> 00:04:55,641
- They keep them under the desk.
- Great.
81
00:04:55,846 --> 00:04:58,906
- Your dad works here?
- He's one of the bosses.
82
00:04:59,116 --> 00:05:02,574
Well, he used to be the only boss
until Dr. Weaver butted in.
83
00:05:03,587 --> 00:05:05,646
Here they are.
What's your name?
84
00:05:05,856 --> 00:05:06,720
- Rachel.
- I'm Lucy.
85
00:05:06,924 --> 00:05:08,221
- Hello again.
- Oh, hi.
86
00:05:08,425 --> 00:05:09,551
- Mark Greene.
- Lucy...
87
00:05:09,760 --> 00:05:12,092
Knight. Rachel, why are
you still here?
88
00:05:12,296 --> 00:05:14,890
- I'm watching the desk.
- Only for a moment.
89
00:05:15,099 --> 00:05:17,226
Mrs. Williams doesn't pick me up
until 8:30.
90
00:05:17,434 --> 00:05:20,460
Yeah? It's 8:35.
Good luck on your game.
91
00:05:20,671 --> 00:05:23,333
I'll pick you up at the Williams'
before dinner.
92
00:05:23,641 --> 00:05:26,804
- Bye. Bye, Jerry, happy birthday.
- Thanks, Rach.
93
00:05:27,011 --> 00:05:28,478
- Settling in?
- I had a...
94
00:05:28,679 --> 00:05:32,706
Jerry, tell Radiology to hurry
up on those films for that clavicle.
95
00:05:32,917 --> 00:05:34,646
I was waiting out in Chairs.
96
00:05:34,852 --> 00:05:36,285
That leg in Four needs sutures.
97
00:05:36,487 --> 00:05:38,853
Doyle or Carter.
Yosh Takata, Lucy Knight.
98
00:05:39,056 --> 00:05:40,683
- Hi. We met.
- Hi.
99
00:05:40,891 --> 00:05:43,758
Sitting in Chairs?
We'd better get you going.
100
00:05:43,961 --> 00:05:46,896
We'll start off with charts,
then the board. Quick tour.
101
00:05:47,097 --> 00:05:48,325
Then some patients.
102
00:05:48,532 --> 00:05:51,057
- Am I to be assigned to a Resident?
- Later.
103
00:05:51,268 --> 00:05:53,065
Grab a chart, pick up your patient.
104
00:05:53,270 --> 00:05:55,738
No jumping over
for a more interesting case.
105
00:05:55,940 --> 00:05:58,704
Put your initials here,
patient's name, chief complaint...
106
00:05:58,909 --> 00:06:00,706
...and what labs you've ordered.
107
00:06:00,911 --> 00:06:03,345
- Why don't you try one?
- Name is Clements.
108
00:06:03,547 --> 00:06:07,916
- Chief complaint is "mult lac"?
- Multiple lacerations. Right.
109
00:06:08,118 --> 00:06:10,143
Waiting on a head CT and suturing.
110
00:06:10,387 --> 00:06:13,151
Doctor is M.D., which doesn't
stand for "doctor."
111
00:06:13,357 --> 00:06:16,724
That means Maggie Doyle.
Don't worry, you'll catch on.
112
00:06:16,927 --> 00:06:19,020
You're thinking about
emergency medicine?
113
00:06:19,229 --> 00:06:21,060
I'm not sure. It's my first rotation.
114
00:06:21,265 --> 00:06:24,200
Curtain Area One. Curtain Area Two.
Exam Room One.
115
00:06:24,401 --> 00:06:26,232
This is Exam Room Two.
116
00:06:27,071 --> 00:06:29,369
- And this is Dr. Carter.
- What?
117
00:06:29,573 --> 00:06:33,805
Carter's one of our finest Residents
even though he sleeps on the job.
118
00:06:34,011 --> 00:06:35,137
Lucy Knight.
119
00:06:35,346 --> 00:06:37,610
- Hi.
- Hi. Sorry, Dr. Greene.
120
00:06:37,815 --> 00:06:40,045
I haven't had much sleep
since that R.A. Job.
121
00:06:40,250 --> 00:06:43,981
Life in the dorm, huh?
Better you than me.
122
00:06:44,188 --> 00:06:46,053
Patients, Carter. Place is full.
123
00:06:46,256 --> 00:06:47,382
Right.
124
00:06:50,995 --> 00:06:53,327
This is Trauma One, which you've seen.
125
00:06:53,530 --> 00:06:55,964
- Who are we saving?
- Nobody. He's arrested twice.
126
00:06:56,166 --> 00:06:59,294
Another soldier to the drug war.
Tucked away in his pants.
127
00:06:59,503 --> 00:07:03,599
This is Lucy Knight, third-year.
Doctors Benton and Weaver.
128
00:07:03,807 --> 00:07:05,468
Nurses Lydia Wright and Malik McGrath.
129
00:07:05,676 --> 00:07:07,166
Two units O-neg on the infuser.
130
00:07:07,378 --> 00:07:09,903
- You know Mr. Gamely?
- Yeah, I just saw him.
131
00:07:10,114 --> 00:07:13,550
As soon as he's done with the tour,
I'll find you. It's useful.
132
00:07:13,751 --> 00:07:16,219
- BP's 40 palp.
- He's flatline.
133
00:07:16,420 --> 00:07:18,718
Thoracotomy tray. Come on, Malik.
Let's move.
134
00:07:21,725 --> 00:07:25,024
Trauma Two. Blissfully quiet,
which is the way we like it.
135
00:07:26,063 --> 00:07:28,554
This is the Suture Room,
where Dr. Doyle is suturing.
136
00:07:28,766 --> 00:07:30,427
- Lucy Knight, third-year.
- Hey.
137
00:07:30,634 --> 00:07:31,623
Nice to meet you.
138
00:07:31,835 --> 00:07:34,804
- Who's Sleeping Beauty?
- Mr. Clements passed out.
139
00:07:35,005 --> 00:07:38,941
He got drunk and walked through
a plate-glass window. You idiot.
140
00:07:39,143 --> 00:07:42,340
Dr. Doyle throws in attitude
when presenting a patient.
141
00:07:42,546 --> 00:07:43,911
- He'll be okay?
- Oh, yeah.
142
00:07:44,114 --> 00:07:46,480
As long as he doesn't mind
gnarly scars.
143
00:07:48,352 --> 00:07:49,785
- Mr. Gamely, I presume?
- Yeah.
144
00:07:49,987 --> 00:07:52,979
Drug lockup's in here.
Lab is down the hall.
145
00:07:53,190 --> 00:07:56,785
Radiology, around the corner.
Exam Room Four.
146
00:07:57,861 --> 00:08:00,091
Sorry to barge in. You got a minute?
147
00:08:00,297 --> 00:08:02,231
Sure. Be right back.
148
00:08:02,533 --> 00:08:04,228
Lucy Knight. Doug Ross, pediatrician.
149
00:08:04,435 --> 00:08:05,834
- Hi, how you doing?
- Fine.
150
00:08:06,036 --> 00:08:10,063
All right, Ms. Knight. Why is otitis
media found primarily in children?
151
00:08:10,274 --> 00:08:13,266
They have short eustachian tubes
and fluid doesn't drain...
152
00:08:13,477 --> 00:08:15,502
...making it perfect
for a bacterial infection.
153
00:08:15,712 --> 00:08:18,613
- Okay. Treatment?
- Amoxicillin or Pediazole.
154
00:08:18,816 --> 00:08:22,582
We may be over-treating because
many of the cases are viral.
155
00:08:22,786 --> 00:08:25,277
Antibiotics aren't necessary
and may contribute...
156
00:08:25,489 --> 00:08:27,081
Pretty good. Textbook answer.
157
00:08:27,291 --> 00:08:30,317
You want to see some real Pedes cases,
come see me.
158
00:08:30,527 --> 00:08:32,722
- Mark.
- Elizabeth, Lucy Knight, third-year.
159
00:08:32,930 --> 00:08:35,558
Dr. Corday, Surgical Resident
in cowboy boots.
160
00:08:35,766 --> 00:08:38,860
Aren't they fabulous?
Had an interview in Denver.
161
00:08:39,069 --> 00:08:40,969
- How do you do?
- How was your trip?
162
00:08:41,171 --> 00:08:45,904
The interview was fine, the mountains
are lovely, but the city's flat.
163
00:08:46,110 --> 00:08:47,600
Don't let the Residents abuse you.
164
00:08:47,811 --> 00:08:50,302
You're here to learn,
not to be their servant.
165
00:08:50,547 --> 00:08:51,775
See you later, Mark.
166
00:08:51,982 --> 00:08:55,611
- Labs are back on that rule-out MI.
- Thanks, Lily.
167
00:08:55,886 --> 00:08:59,014
That's the lay of the land.
I'm gonna check on a patient.
168
00:08:59,223 --> 00:09:01,214
- What am I supposed to do?
- Grab a chart...
169
00:09:01,425 --> 00:09:03,859
...help someone out,
just jump right in.
170
00:09:06,430 --> 00:09:07,556
- Output?
- No pulse.
171
00:09:07,764 --> 00:09:10,733
- How many units are in?
- Four O-neg. Four type-specific.
172
00:09:10,934 --> 00:09:11,798
Last epi?
173
00:09:12,002 --> 00:09:13,936
Five mgs, three minutes ago.
174
00:09:14,905 --> 00:09:16,065
How long has he been down?
175
00:09:16,273 --> 00:09:18,434
- 25 minutes.
- Let's call it.
176
00:09:18,642 --> 00:09:21,509
All right. Time of death 8:49.
177
00:09:21,712 --> 00:09:22,940
Nice try, everybody.
178
00:09:23,847 --> 00:09:26,441
- I gotta get back upstairs.
- I'll handle the chart.
179
00:09:26,783 --> 00:09:27,943
You want to wrap?
180
00:09:28,152 --> 00:09:29,278
- I'll do it.
- See you.
181
00:09:31,088 --> 00:09:33,215
- Is that it?
- I gotta get the death kit.
182
00:09:33,423 --> 00:09:34,822
I'll show you how we do it.
183
00:09:56,513 --> 00:09:59,914
Excuse me. Somebody?
184
00:10:00,918 --> 00:10:02,579
His phone's ringing.
185
00:10:02,786 --> 00:10:04,219
His phone's ringing.
186
00:10:09,927 --> 00:10:10,916
Hello?
187
00:10:15,299 --> 00:10:18,757
No, I'm sorry. He can't come
to the phone right now.
188
00:10:21,071 --> 00:10:24,268
Well, yeah. I suppose
I could take a message.
189
00:10:26,343 --> 00:10:28,004
Remember where Radiology is.
190
00:10:29,379 --> 00:10:31,847
Continue to your left now...
191
00:10:32,282 --> 00:10:34,307
... on down to the end of the hall.
192
00:10:34,618 --> 00:10:37,086
And proceed seven steps forward.
193
00:10:37,287 --> 00:10:39,653
You have now reached the Admit desk...
194
00:10:39,856 --> 00:10:43,758
... the veritable heartbeatof every emergency room.
195
00:10:46,763 --> 00:10:49,061
- This is not mine.
- What is with this thing?
196
00:10:49,265 --> 00:10:52,200
- I'm never where I'm supposed to be.
- Neither was I.
197
00:10:52,402 --> 00:10:55,599
When I saw you in Chairs, I was
supposed to be in the Suture Room.
198
00:10:55,805 --> 00:10:58,433
- Did we start at the wrong point?
- I know I have.
199
00:10:58,642 --> 00:11:00,337
I wanted Medicine rotation.
200
00:11:00,543 --> 00:11:03,068
Dr. Doyle's latched
on to me in a big way.
201
00:11:03,279 --> 00:11:05,110
We haven't been assigned
a Resident.
202
00:11:05,315 --> 00:11:08,079
Hasn't stopped her from using me
as a urine-delivery...
203
00:11:08,284 --> 00:11:09,751
Where is the lab?
204
00:11:09,953 --> 00:11:11,545
It wasn't where it should be.
205
00:11:11,755 --> 00:11:12,744
- Ms. Knight.
- See you.
206
00:11:12,956 --> 00:11:15,720
- Dr. Weaver.
- The tour's very helpful, isn't it?
207
00:11:15,925 --> 00:11:19,952
Yes, thank you. As Chief, will you be
the one assigning us to Residents?
208
00:11:20,163 --> 00:11:21,926
I'm Acting Chief.
209
00:11:22,399 --> 00:11:24,390
- Kerry?
- Doug, you were looking for me?
210
00:11:24,601 --> 00:11:27,161
I have to do an LP on
a 2-year-old boy in Exam 3.
211
00:11:27,370 --> 00:11:29,861
- Rule out meningitis?
- Yes.
212
00:11:30,106 --> 00:11:32,199
- What are the symptoms?
- Excuse us.
213
00:11:33,076 --> 00:11:34,373
Just a second.
214
00:11:35,912 --> 00:11:37,209
I'm not presenting a case.
215
00:11:37,414 --> 00:11:40,076
I'm telling you about a procedure
that needs to be done.
216
00:11:40,283 --> 00:11:42,649
The parents are waiting
if you would like to join us.
217
00:11:42,852 --> 00:11:47,846
Look, Don Anspaugh and Legal mandated
the terms of your situation, not me.
218
00:11:48,058 --> 00:11:50,856
Those terms do not include me
having to justify a procedure.
219
00:11:51,294 --> 00:11:52,818
Be right there!
220
00:11:54,097 --> 00:11:58,727
Why don't you grab Dr. Carter and see
if he can pull you in on patients?
221
00:12:03,807 --> 00:12:05,900
Can you hold this corner up?
222
00:12:06,109 --> 00:12:07,667
- Sure.
- Thanks.
223
00:12:07,877 --> 00:12:10,311
I'm getting ready
for my surprise birthday party.
224
00:12:10,513 --> 00:12:12,538
This year's surprise:
There is no party.
225
00:12:12,749 --> 00:12:14,774
Then why do you have
that cake in the lounge?
226
00:12:14,984 --> 00:12:17,384
- I didn't tell.
- He sniffs it out every year.
227
00:12:17,587 --> 00:12:19,452
Well, you hide it in the same place
every year.
228
00:12:19,656 --> 00:12:21,988
- Patient's 8.
- How long has he had the rash?
229
00:12:22,192 --> 00:12:25,389
Three weeks.
I'm having a hard time diagnosing it.
230
00:12:25,595 --> 00:12:27,586
- How's it going, Ms. Knight?
- Fine.
231
00:12:27,797 --> 00:12:30,857
Dr. Weaver suggested I work
with Dr. Carter.
232
00:12:31,067 --> 00:12:32,466
Carter, want to fill her in?
233
00:12:32,669 --> 00:12:37,299
Eight-year-old with erythematous
macules and small papules on the back.
234
00:12:37,507 --> 00:12:40,908
- What's the distribution?
- Kind of spread out like a fan.
235
00:12:41,111 --> 00:12:44,638
- Does it resemble a Christmas tree?
- Yeah, I guess you could say that.
236
00:12:44,848 --> 00:12:48,875
Sounds like pityriasis rosea. Classic
Christmas tree pattern on the back.
237
00:12:49,085 --> 00:12:51,451
- I think she's right.
- Using a computer.
238
00:12:53,022 --> 00:12:55,422
Why don't you let Dr. Ross
take a look?
239
00:12:55,625 --> 00:12:59,186
Then you and Ms. Knight can move
on to the gentleman with hematuria.
240
00:12:59,395 --> 00:13:00,692
Okay.
241
00:13:01,965 --> 00:13:04,195
- I'll meet you in Exam Four.
- Sure.
242
00:13:05,568 --> 00:13:07,001
Did I say the wrong thing?
243
00:13:07,504 --> 00:13:10,200
It's probably not a good idea
to show up the Residents.
244
00:13:10,406 --> 00:13:13,739
- So I should give the wrong answer?
- Tricky, isn't it?
245
00:13:13,943 --> 00:13:15,433
Welcome aboard.
246
00:13:15,845 --> 00:13:18,405
When did you first notice blood
in your urine?
247
00:13:18,615 --> 00:13:20,242
Just a couple days ago.
248
00:13:20,450 --> 00:13:22,281
Could it be related to exhaustion?
249
00:13:22,485 --> 00:13:25,352
I've been finishing this renovation
in Oak Park.
250
00:13:25,555 --> 00:13:28,752
- Working long hours?
- Need to bring it in.
251
00:13:28,958 --> 00:13:30,926
- I don't think that's it. Any fever?
- No.
252
00:13:31,127 --> 00:13:34,062
- Back pain?
- Well, just the usual from work.
253
00:13:35,965 --> 00:13:36,954
How about weight loss?
254
00:13:37,167 --> 00:13:39,135
I always drop at the end of a job.
255
00:13:39,335 --> 00:13:41,803
You know, you skip a meal
here and there.
256
00:13:42,438 --> 00:13:44,963
- Is it gonna be much longer?
- I'll order some tests.
257
00:13:45,175 --> 00:13:47,439
We'll know more then. Conni?
258
00:13:47,644 --> 00:13:51,011
Let's get a CBC, coag panel.
UA, Chem-7.
259
00:13:51,214 --> 00:13:53,205
- You got it.
- Peed in this cup for you.
260
00:13:53,416 --> 00:13:56,180
Thank you. We'll be back in a bit.
261
00:14:00,824 --> 00:14:03,224
Sorry about coming up with
that rash diagnosis before you.
262
00:14:03,426 --> 00:14:04,415
Fair is fair.
263
00:14:04,627 --> 00:14:06,822
I hope this doesn't mean
I won't get to do anything.
264
00:14:07,030 --> 00:14:09,362
I spent two years learning
how to do a physical.
265
00:14:09,566 --> 00:14:12,797
- I'm willing to help with patients.
- Carter? I'm jammed.
266
00:14:13,002 --> 00:14:16,335
Can you take Mrs. Lydell,
a foot ulcer, in Curtain Three?
267
00:14:16,539 --> 00:14:18,200
- Sure.
- Thanks.
268
00:14:21,244 --> 00:14:24,441
She's all yours. Do the H and P.
Make an assessment.
269
00:14:24,647 --> 00:14:26,308
And then come find me.
270
00:14:30,253 --> 00:14:32,312
- Mrs. Lydell?
- Yes, I surely am.
271
00:14:32,522 --> 00:14:33,614
I'm Lucy Knight.
272
00:14:33,823 --> 00:14:36,758
Is it okay if I check you over
and ask a few questions?
273
00:14:36,960 --> 00:14:39,827
Child, the good Lord has
put me into your hands.
274
00:14:40,029 --> 00:14:43,021
I receive you as He receives us both.
275
00:14:44,100 --> 00:14:46,830
- Order a C-spine and portable chest.
- Pelvis?
276
00:14:47,036 --> 00:14:48,333
- Dr. Carter?
- I'm busy.
277
00:14:48,538 --> 00:14:50,938
- The labs are back on Mr. Zwicki.
- Pulse ox is 92.
278
00:14:51,140 --> 00:14:53,904
- Put them in his chart.
- Get a large-bore IV going.
279
00:14:54,110 --> 00:14:55,907
- We need a central line.
- I'll do it.
280
00:14:56,112 --> 00:14:58,137
- His crit doesn't look good.
- I'll check it soon.
281
00:14:58,348 --> 00:15:01,215
- Go ahead, Carter. I've got it.
- No, really. It's okay.
282
00:15:01,718 --> 00:15:05,051
We're covered here.
Go on. Go, go, go!
283
00:15:12,028 --> 00:15:13,052
Hematocrit's 30?
284
00:15:13,263 --> 00:15:15,424
So he's pretty anemic, right?
285
00:15:15,632 --> 00:15:18,100
Urinalysis shows too many
red blood cells.
286
00:15:18,334 --> 00:15:21,929
- But only two to three WBCs.
- BUN and creatinine are normal.
287
00:15:22,138 --> 00:15:25,665
With the hematuria, we definitely need
to admit him for more tests.
288
00:15:25,875 --> 00:15:28,343
Can you give me the diagnosis
at this point?
289
00:15:28,544 --> 00:15:30,603
Without using the computer.
290
00:15:30,813 --> 00:15:34,613
With weight loss and painless
hematuria, cancer's high on the list.
291
00:15:34,817 --> 00:15:38,309
Kidney tumor, carcinoma of the
bladder, prostate cancer, renal...
292
00:15:38,521 --> 00:15:40,455
- Good job.
- Thanks.
293
00:15:41,824 --> 00:15:44,850
I was just coming to find you.
I gotta get going.
294
00:15:45,061 --> 00:15:48,053
My poor wife's been in that
waiting room for two hours.
295
00:15:48,264 --> 00:15:50,357
Mr. Zwicki, your lab results are back.
296
00:15:50,566 --> 00:15:53,933
And they indicate that
there may be a serious problem.
297
00:15:54,137 --> 00:15:57,129
We'd like to admit you
to do a full evaluation.
298
00:15:57,340 --> 00:16:00,275
No, I can't do that.
I start a renovation tomorrow.
299
00:16:00,476 --> 00:16:01,534
Townhouse.
300
00:16:01,744 --> 00:16:04,110
- I'm sure it could wait.
- No, it can't.
301
00:16:04,314 --> 00:16:09,183
Your condition could be very serious.
There's a possibility of cancer.
302
00:16:09,385 --> 00:16:11,751
I really think you should
get it checked out.
303
00:16:14,357 --> 00:16:15,449
Look, come on, now.
304
00:16:15,658 --> 00:16:20,186
A buddy found blood in his piss and
it turned out to be a urine infection.
305
00:16:20,396 --> 00:16:23,797
- Can't you give me some antibiotics?
- Can't really do that.
306
00:16:27,036 --> 00:16:29,869
We should bring your wife up to speed,
all right?
307
00:16:30,707 --> 00:16:33,175
- Yeah. Sure.
- Okay. We'll be back.
308
00:16:36,579 --> 00:16:38,740
- You'd have to let him go?
- Lf he insists.
309
00:16:38,948 --> 00:16:43,009
You gotta know what technique to use
for him to stay: His wife.
310
00:16:43,219 --> 00:16:45,244
- Meaning?
- We give her the full picture:
311
00:16:45,455 --> 00:16:48,424
The possibility of cancer,
the importance of early detection.
312
00:16:48,624 --> 00:16:51,024
Ten minutes alone with him,
she'll change his mind.
313
00:16:51,227 --> 00:16:54,321
- Did Dr. Weaver do that central line?
- Just about to.
314
00:16:54,931 --> 00:16:57,661
I'm gonna go check with her,
see if she needs help.
315
00:17:00,336 --> 00:17:03,032
- I'm looking for Mrs. Zwicki.
- Yes.
316
00:17:03,239 --> 00:17:04,570
Mrs. Zwicki?
317
00:17:05,575 --> 00:17:09,705
My name is Lucy Knight and I'd like
to talk to you about your husband.
318
00:17:09,912 --> 00:17:12,278
His condition could be very serious.
319
00:17:12,882 --> 00:17:13,940
What do you mean?
320
00:17:14,650 --> 00:17:19,019
Well, with the hematuria there's
a chance of renal vein thrombosis...
321
00:17:19,222 --> 00:17:22,555
...polycystic kidney disease,
and renal or ureteral...
322
00:17:22,759 --> 00:17:24,522
Wait, I don't understand this.
323
00:17:25,061 --> 00:17:26,688
Your husband wants to leave AMA.
324
00:17:26,896 --> 00:17:28,887
We'd like to check him in
and do more tests.
325
00:17:29,098 --> 00:17:30,565
- Tests?!
- Do an IVP.
326
00:17:30,767 --> 00:17:33,634
Get an abdominal CT.
Check his urine for AFBs.
327
00:17:33,836 --> 00:17:36,532
Maybe check a PSA
and possibly do a cystoscopy.
328
00:17:36,739 --> 00:17:38,798
It would just be a couple of days.
329
00:17:39,008 --> 00:17:40,635
I think we're out this way.
330
00:17:40,843 --> 00:17:42,902
- What's going on?
- The Zwickis decided to leave.
331
00:17:43,112 --> 00:17:46,513
Mrs. Zwicki, I need to tell you
about your husband's condition.
332
00:17:46,716 --> 00:17:49,378
She explained everything.
He's incredibly stubborn!
333
00:17:49,585 --> 00:17:51,553
No, look, I am not stubborn.
I feel fine.
334
00:17:51,754 --> 00:17:53,415
I got a new job to start.
335
00:17:53,623 --> 00:17:57,150
Summer, that's when I get my work.
I can't blow this job off.
336
00:17:57,360 --> 00:17:58,657
No, I'll tell you what.
337
00:17:58,861 --> 00:18:01,853
If this doesn't
clear up, then I'll arrange...
338
00:18:02,065 --> 00:18:04,158
...to get with my regular doc, okay?
339
00:18:04,400 --> 00:18:06,630
It'll be okay.
Come on, let's go.
340
00:18:09,839 --> 00:18:12,000
- You talked to her?
- I thought you said...
341
00:18:12,208 --> 00:18:14,904
- What did you say?
- I told her about hypernephroma...
342
00:18:15,111 --> 00:18:17,136
...prostatic carcinoma...
- In those words?!
343
00:18:17,346 --> 00:18:18,335
Is there a problem?
344
00:18:18,548 --> 00:18:19,947
- Mark?
- Just a second, Carol.
345
00:18:20,149 --> 00:18:21,275
A patient wanted to leave.
346
00:18:21,484 --> 00:18:24,920
Ms. Knight explained his condition
in medical rather than layman terms.
347
00:18:25,121 --> 00:18:27,954
Why is a student explaining?
Where were you?
348
00:18:28,157 --> 00:18:30,751
I was assisting Dr. Weaver.
I didn't tell her to do it.
349
00:18:30,960 --> 00:18:32,484
- Yes, you did.
- I hate to break in.
350
00:18:32,695 --> 00:18:34,458
We've got a blunt head trauma.
351
00:18:34,664 --> 00:18:37,599
- You told me to explain.
- I didn't mean you!
352
00:18:40,937 --> 00:18:43,462
Ms. Knight, why don't you
come with us?
353
00:18:51,647 --> 00:18:54,878
27-year-old firefighter,
fell 20 feet onto concrete...
354
00:18:55,084 --> 00:18:57,382
...with blunt head trauma.
355
00:18:57,587 --> 00:19:00,454
BP 150/90. Pulse 60.
356
00:19:00,656 --> 00:19:02,487
Apneic and intubated on scene.
357
00:19:02,692 --> 00:19:04,922
Pupils four millimeters and sluggish.
358
00:19:05,128 --> 00:19:07,062
- You intubated?
- We lost the tube.
359
00:19:07,263 --> 00:19:09,060
We didn't have a laryngoscope.
360
00:19:09,265 --> 00:19:12,325
- Why the private chopper?
- It was on the scene.
361
00:19:25,114 --> 00:19:29,710
Help! Oh, no! Please, help me!
Please!
362
00:19:31,821 --> 00:19:32,981
Please!
363
00:19:48,538 --> 00:19:50,369
8.0 ET tube. Suction.
364
00:19:50,573 --> 00:19:53,133
BP's 160/95. Pulse 62.
365
00:19:53,342 --> 00:19:54,274
Pulse ox 92.
366
00:19:54,477 --> 00:19:56,468
- Stabilize the neck.
- What have we got?
367
00:19:56,679 --> 00:19:59,739
Emile Fernandez, 27-year-old
firefighter...
368
00:19:59,949 --> 00:20:01,883
...fell 20 feet onto concrete.
369
00:20:02,084 --> 00:20:05,576
- Head trauma, loss of consciousness.
- I'll check his belly.
370
00:20:05,788 --> 00:20:06,812
- Get locked out?
- Yes.
371
00:20:07,023 --> 00:20:08,513
Happened to me once.
372
00:20:08,724 --> 00:20:11,352
- Eighteen-gauge, left forearm.
- Okay, I'm in.
373
00:20:11,561 --> 00:20:13,028
- Good bowel sounds.
- Peritoneal lavage?
374
00:20:13,229 --> 00:20:16,926
No, he's hemodynamically stable.
Let's get a head and abdominal CT.
375
00:20:17,133 --> 00:20:20,125
All right. Pulse ox 92...
376
00:20:20,369 --> 00:20:22,667
...95, 96.
377
00:20:22,872 --> 00:20:26,603
Good breath sounds. No tracheal
shift or jugular venous distension.
378
00:20:26,809 --> 00:20:28,902
- Thank you, doctors.
- Call us when the CT's back.
379
00:20:29,111 --> 00:20:31,375
He needs a Foley and an NG tube.
380
00:20:31,581 --> 00:20:33,378
We thought you left on that chopper.
381
00:20:33,583 --> 00:20:35,244
- Sorry.
- First hemoglobin is 14.2.
382
00:20:35,451 --> 00:20:38,579
- Why don't you come over here?
- I need more tube.
383
00:20:39,222 --> 00:20:41,656
- He was a firefighter?
- He is a firefighter.
384
00:20:41,891 --> 00:20:46,089
- Urine's clear. No blood.
- Glasgow Coma Scale, how do you do it?
385
00:20:46,295 --> 00:20:48,889
Check for eye-opening,
verbal activity, motor response.
386
00:20:49,098 --> 00:20:51,328
- CT's ready.
- No verbal with ET.
387
00:20:51,534 --> 00:20:52,899
- Anything in the field?
- No.
388
00:20:53,102 --> 00:20:55,468
That would be a one.
What about eye opening?
389
00:20:55,671 --> 00:20:57,764
Spontaneous eye-opening is a five.
390
00:20:57,974 --> 00:21:00,135
We definitely don't have that.
391
00:21:00,343 --> 00:21:04,006
Emile, open your eyes!
Emile, open your eyes!
392
00:21:04,213 --> 00:21:06,204
- Now what?
- Painful stimulus.
393
00:21:07,650 --> 00:21:10,710
No eye-opening with pain.
That's a one.
394
00:21:10,920 --> 00:21:13,184
- How much for decorticate posturing?
- Two.
395
00:21:13,956 --> 00:21:18,222
That would be four out of 15.
He gets a three for being alive.
396
00:21:18,427 --> 00:21:20,224
Pulse ox, 98. ABG.
397
00:21:21,597 --> 00:21:25,124
- Absent corneal reflex means?
- No brainstem activity.
398
00:21:25,334 --> 00:21:26,824
Ready for the C-spine.
399
00:21:29,038 --> 00:21:30,027
Back up.
400
00:21:31,274 --> 00:21:34,471
- What are you thinking?
- Subdural or an epidural hematoma.
401
00:21:34,677 --> 00:21:36,474
Something we could actually fix.
402
00:21:36,679 --> 00:21:39,239
- What if there's no bleeding?
- Brain swelling.
403
00:21:39,448 --> 00:21:44,215
We'd have a chronic vegetative state
or a potential organ donor.
404
00:21:44,420 --> 00:21:47,218
Dr. Greene, Captain Matson.
405
00:21:47,423 --> 00:21:49,186
The guys want to know, how he's doing?
406
00:21:49,392 --> 00:21:53,055
Well, it's too early to say.
We'll know more when the CT's back.
407
00:21:53,262 --> 00:21:55,753
We screwed up bringing him
in on that chopper.
408
00:21:55,965 --> 00:21:57,694
It was the fastest way.
409
00:21:57,900 --> 00:22:00,164
Yeah, but we lost his ET tube.
We didn't have equipment.
410
00:22:00,369 --> 00:22:03,236
If you'd waited, it could've
been another 15 minutes.
411
00:22:03,439 --> 00:22:05,168
We would've had more supplies.
412
00:22:05,374 --> 00:22:08,969
You didn't screw anything up.
You bagged him, kept the airway open.
413
00:22:09,178 --> 00:22:11,646
I probably would've done
the same thing.
414
00:22:13,182 --> 00:22:15,742
- Any family?
- Wife and two kids.
415
00:22:16,919 --> 00:22:17,908
Thanks, doc.
416
00:22:21,123 --> 00:22:24,524
- You didn't tell them his condition.
- I don't know what that is yet.
417
00:22:25,061 --> 00:22:26,926
You're right. I didn't tell them.
418
00:22:27,129 --> 00:22:30,860
Why don't you stick with me on this?
I'll call you when the CT comes back.
419
00:22:33,169 --> 00:22:36,627
- We should have the cake at the desk.
- No surprise in that.
420
00:22:36,839 --> 00:22:38,830
We could put it in an exam room.
421
00:22:39,041 --> 00:22:42,169
- Didn't we do that last year?
- The last two years.
422
00:22:42,912 --> 00:22:45,403
- Kind of noisy, huh?
- There's no place to work.
423
00:22:45,614 --> 00:22:47,639
No, but at least you get a locker.
424
00:22:47,850 --> 00:22:49,784
I didn't get one for two months.
425
00:22:49,985 --> 00:22:53,443
Yeah, I guess some Resident
left the program or something.
426
00:22:53,656 --> 00:22:55,556
Right. Dr. Del Amico.
427
00:22:55,758 --> 00:22:58,420
She went to Philadelphia
to work in the pediatric ER.
428
00:22:58,627 --> 00:23:00,117
We don't have one?
429
00:23:01,097 --> 00:23:03,497
We might get one
if Dr. Ross has his way.
430
00:23:04,100 --> 00:23:07,331
Anyway, Anna... Dr. Del Amico...
431
00:23:07,536 --> 00:23:09,401
...thought it was
a better opportunity.
432
00:23:10,005 --> 00:23:13,099
Her family's there.
It's where she's from.
433
00:23:14,076 --> 00:23:18,012
There was this boyfriend
that she was involved with.
434
00:23:21,550 --> 00:23:23,074
You got a locker out of it.
435
00:23:23,285 --> 00:23:25,583
I'm sorry about Mr. Zwicki.
436
00:23:26,722 --> 00:23:29,020
I thought you asked me
to talk to his wife.
437
00:23:32,695 --> 00:23:35,493
Sometimes the Suture Room
is pretty quiet.
438
00:23:38,601 --> 00:23:41,092
Baker, Shelly, chart number 13940...
439
00:23:41,303 --> 00:23:44,636
...admitted January 12, 1998,
with a fever of 102.
440
00:23:44,840 --> 00:23:46,569
Respiratory distress...
441
00:23:46,776 --> 00:23:49,142
It's been a crazy day.
I've been swamped.
442
00:23:49,345 --> 00:23:50,972
Reece couldn't get the hearing test?
443
00:23:51,180 --> 00:23:54,013
No, no, no. He had an ear infection.
444
00:23:54,216 --> 00:23:57,481
- That's probably been the cause.
- That's good anyway.
445
00:23:57,686 --> 00:23:59,847
He'll be on Augmentin
for another week.
446
00:24:00,055 --> 00:24:02,489
Then he'll take the test
and clear this up.
447
00:24:06,929 --> 00:24:07,918
What?
448
00:24:08,130 --> 00:24:10,826
I can't believe you're wearing
those boots.
449
00:24:11,500 --> 00:24:13,297
When in Rome...
450
00:24:16,405 --> 00:24:17,872
How was Rome?
451
00:24:18,541 --> 00:24:20,975
Denver is not Rome.
452
00:24:21,177 --> 00:24:23,873
I went to a fantastic rodeo, though.
453
00:24:24,079 --> 00:24:26,673
I didn't care for the hospital.
It's regimented.
454
00:24:26,949 --> 00:24:29,076
Well, it is a Surgical program.
455
00:24:29,285 --> 00:24:31,446
Look, I want to stay in Chicago.
456
00:24:32,021 --> 00:24:34,751
You know, Cromley may offer me
a sponsorship.
457
00:24:35,424 --> 00:24:36,448
Good.
458
00:24:37,059 --> 00:24:39,459
I'm glad you're staying.
459
00:24:39,662 --> 00:24:41,960
Well, trying to stay.
460
00:24:42,431 --> 00:24:45,025
- You are, are you?
- Yeah.
461
00:24:47,770 --> 00:24:48,759
I missed you.
462
00:24:49,872 --> 00:24:53,535
Well, that's very nice of you
to say, Peter.
463
00:24:53,742 --> 00:24:55,107
I missed you too.
464
00:24:56,712 --> 00:24:59,943
- It was a little...
- Cold between the sheets.
465
00:25:04,053 --> 00:25:05,418
Elizabeth, what are you doing?
466
00:25:06,856 --> 00:25:10,121
Stop being so shocked
and come over here.
467
00:25:28,444 --> 00:25:32,540
- Has it been six months?
- It seems like it, doesn't it?
468
00:25:41,690 --> 00:25:42,816
Lucy, right?
469
00:25:44,260 --> 00:25:45,249
Yeah.
470
00:25:46,428 --> 00:25:49,454
- And you are?
- Malik. Carter was looking for you.
471
00:25:49,665 --> 00:25:51,792
He's checking on that pregnant lady
in Exam Two.
472
00:25:52,001 --> 00:25:53,025
Thanks.
473
00:25:59,375 --> 00:26:01,502
Exam Two...
474
00:26:03,445 --> 00:26:05,345
- Exam Two?
- No, Curtain Three.
475
00:26:05,548 --> 00:26:08,381
- Exam Two is back towards Admit.
- Thanks.
476
00:26:11,320 --> 00:26:14,483
- Exam Two?
- Past Curtain Two, hang a left.
477
00:26:14,690 --> 00:26:17,523
Exam... Curtain Two. Exam Two.
478
00:26:21,096 --> 00:26:24,065
- Oh, excuse me. I'm sorry.
- Are you the doctor?
479
00:26:24,633 --> 00:26:28,330
No. I'm Lucy Knight.
I'll be assisting the doctor.
480
00:26:30,272 --> 00:26:31,534
Who'll be here soon.
481
00:26:42,818 --> 00:26:44,979
Hi, Mrs. Draper. I'm Dr. Carter.
482
00:26:45,187 --> 00:26:47,212
You're about nine weeks pregnant?
483
00:26:47,423 --> 00:26:49,857
This is my third pregnancy.
484
00:26:50,292 --> 00:26:52,783
Mrs. Draper's had two previous
miscarriages.
485
00:26:54,463 --> 00:26:58,559
I see that you've been experiencing
some cramping and some bleeding.
486
00:26:58,767 --> 00:27:02,794
Spotting. I had some spotting
yesterday and it's heavier today.
487
00:27:03,038 --> 00:27:05,598
And I passed some clots.
488
00:27:05,808 --> 00:27:08,333
BP's 110/75. Pulse 100.
489
00:27:09,244 --> 00:27:10,905
And how many pads have you used?
490
00:27:11,914 --> 00:27:14,474
One yesterday and four today.
491
00:27:14,683 --> 00:27:16,048
- Have any fever?
- No.
492
00:27:16,251 --> 00:27:17,946
- Any burning on urination?
- No.
493
00:27:18,220 --> 00:27:19,209
Good.
494
00:27:19,455 --> 00:27:22,219
Let's get a CBC, type and RH...
495
00:27:22,424 --> 00:27:25,018
...dip a urine, and check an ICON.
496
00:27:25,227 --> 00:27:27,457
Are there any family members
we can call?
497
00:27:29,465 --> 00:27:32,730
- I've already talked to my husband.
- Okay.
498
00:27:33,836 --> 00:27:35,394
We're gonna do a few tests...
499
00:27:35,604 --> 00:27:37,902
...then I'll come back
and do a pelvic exam.
500
00:27:38,107 --> 00:27:41,042
Then we'll know better
where we stand. Okay?
501
00:27:41,343 --> 00:27:43,334
- Okay.
- We'll be right back.
502
00:27:46,015 --> 00:27:47,915
Tell me when the ICON's back.
503
00:27:48,117 --> 00:27:50,278
I should stay out while you
do the pelvic, right?
504
00:27:50,486 --> 00:27:51,851
Won't learn much if you do.
505
00:27:52,054 --> 00:27:53,646
I thought she seemed distraught.
506
00:27:53,856 --> 00:27:56,916
It doesn't have anything to do
with you being in the room.
507
00:27:57,126 --> 00:27:59,993
The CT's back on that firefighter
if you want to see.
508
00:28:00,195 --> 00:28:01,719
- Let me put my stuff down.
- Sure.
509
00:28:01,930 --> 00:28:05,627
Okay, tell me what you see.
Any intracranial bleeding?
510
00:28:06,301 --> 00:28:09,634
I'll give you a hint.
Blood appears white on a CT scan.
511
00:28:09,838 --> 00:28:13,433
- I don't see any.
- No subdural or epidural hematoma.
512
00:28:13,642 --> 00:28:15,872
There's nothing
they can do surgically.
513
00:28:16,078 --> 00:28:18,376
- That's not good?
- That's not good at all.
514
00:28:18,580 --> 00:28:19,569
Look at the ventricles.
515
00:28:19,782 --> 00:28:22,774
The brain is so swollen
that they're squashed down...
516
00:28:22,985 --> 00:28:25,044
...along the border
of the gray matter.
517
00:28:25,254 --> 00:28:30,123
Tiny, punctate hemorrhages
and axonal shearing.
518
00:28:30,993 --> 00:28:32,483
Most of his brain's been destroyed.
519
00:28:32,695 --> 00:28:36,096
- So, what do you do now?
- Give steroids, hyperventilate him.
520
00:28:36,298 --> 00:28:39,096
Have Neurosurgery put in an ICP
monitor and wait for the wife.
521
00:28:39,301 --> 00:28:40,495
Dr. Greene?
522
00:28:42,271 --> 00:28:44,205
- Not too good, is it?
- No.
523
00:28:45,007 --> 00:28:48,306
Thanks for talking with us. The
captain and I get into it sometimes.
524
00:28:48,510 --> 00:28:50,375
- Turf war?
- I hate to call it that.
525
00:28:50,579 --> 00:28:53,946
You must have worked
with paramedics in the field before.
526
00:28:54,149 --> 00:28:56,743
- Mostly in here.
- Want to think about doing it?
527
00:28:56,952 --> 00:29:00,183
There's a position open.
District medical director for EMS.
528
00:29:00,389 --> 00:29:04,382
- What exactly is that?
- Oversee paramedic education.
529
00:29:04,593 --> 00:29:06,458
Help determine new procedures.
530
00:29:07,362 --> 00:29:08,989
- I have a job.
- This is a side deal.
531
00:29:09,198 --> 00:29:11,632
- Only a few hours a week.
- It can't be much pay.
532
00:29:12,134 --> 00:29:13,123
Pay's nothing.
533
00:29:13,335 --> 00:29:15,394
- And the perks?
- There aren't any.
534
00:29:15,604 --> 00:29:18,334
No salary, no perks.
Sounds great.
535
00:29:18,941 --> 00:29:19,930
See you.
536
00:29:24,079 --> 00:29:26,013
Hell of a way to get a job offer.
537
00:29:28,417 --> 00:29:30,908
And proceed seven steps forward.
538
00:29:31,120 --> 00:29:33,680
You have now reached the Admit desk...
539
00:29:33,889 --> 00:29:36,881
- You already took the audio tour.
- Yeah, I know.
540
00:29:37,092 --> 00:29:40,084
- Dr. Doyle doesn't know that.
- Bernard, you owe me.
541
00:29:40,295 --> 00:29:42,729
Okay... Okay.
542
00:29:43,265 --> 00:29:45,460
How many times is he gonna
take that thing?
543
00:29:46,602 --> 00:29:48,900
Hey, Carter's about to do that pelvic.
544
00:29:51,874 --> 00:29:54,434
I'm gonna take a look inside
with the speculum.
545
00:29:54,643 --> 00:29:56,577
I need you to relax.
546
00:30:07,022 --> 00:30:10,219
There's tissue in the os.
Ring forceps.
547
00:30:17,266 --> 00:30:18,927
Let's get that to Pathology.
548
00:30:24,239 --> 00:30:26,503
I need to check your ovaries now.
549
00:30:26,708 --> 00:30:28,198
You tell me...
550
00:30:29,378 --> 00:30:30,811
...is there any pain here?
551
00:30:32,447 --> 00:30:33,573
No.
552
00:30:35,717 --> 00:30:38,242
- How about here?
- No.
553
00:30:39,454 --> 00:30:41,445
No adnexal masses or tenderness.
554
00:30:41,657 --> 00:30:44,251
You can put your legs back down,
Mrs. Draper.
555
00:30:44,927 --> 00:30:47,521
What is it? What's going on?
556
00:30:49,731 --> 00:30:52,598
I am very sorry, but you have
had a miscarriage.
557
00:30:57,840 --> 00:30:58,829
You're sure?
558
00:31:00,309 --> 00:31:02,607
The fetus was pushed out of the womb.
559
00:31:05,581 --> 00:31:09,244
Your bleeding has slowed, but we need
to observe you for a little while.
560
00:31:09,585 --> 00:31:13,351
I'm gonna come back
and do another pelvic exam...
561
00:31:13,555 --> 00:31:15,955
...to make sure
the bleeding's stopped...
562
00:31:16,158 --> 00:31:19,559
...and that the cervix is closed.
563
00:31:20,395 --> 00:31:23,364
A doctor from OB/GYN
is gonna stop by.
564
00:31:23,932 --> 00:31:26,833
Ms. Knight, would you stay here
until they do?
565
00:31:27,903 --> 00:31:29,097
Of course.
566
00:31:29,671 --> 00:31:31,662
Get some rest, Mrs. Draper.
567
00:31:32,207 --> 00:31:33,196
Rest.
568
00:31:39,481 --> 00:31:42,541
I thought this time
it would be all right.
569
00:31:42,951 --> 00:31:45,476
I never made it to nine weeks before.
570
00:31:49,958 --> 00:31:52,256
I don't know why this is happening.
571
00:31:54,563 --> 00:31:56,292
Why is this happening?
572
00:31:59,735 --> 00:32:00,827
I don't know.
573
00:32:03,372 --> 00:32:04,566
I'm sorry.
574
00:32:06,708 --> 00:32:07,697
I don't know.
575
00:32:11,146 --> 00:32:13,478
- What are you doing?
- I have no idea.
576
00:32:13,682 --> 00:32:15,149
- Ms. Knight?
- Yes. Hi.
577
00:32:15,350 --> 00:32:18,319
I just thought we could...
Just excuse me a minute.
578
00:32:20,889 --> 00:32:23,881
Jerry, I thought you notified
the morgue for a pickup.
579
00:32:24,092 --> 00:32:26,583
I did. I'm sorry,
I'll call them again.
580
00:32:26,795 --> 00:32:29,491
I haven't had a chance
to work with you today.
581
00:32:29,698 --> 00:32:32,826
- Everything's going well?
- Yes, pretty well for a first day.
582
00:32:33,035 --> 00:32:34,798
So it's been completely hateful.
583
00:32:35,003 --> 00:32:38,803
Kerry, I need to do a needle
aspiration on a 15-year-old.
584
00:32:39,007 --> 00:32:40,167
I need the mother's consent.
585
00:32:40,375 --> 00:32:43,902
Yeah, and Ms. Knight was looking
for a good case to observe.
586
00:32:44,112 --> 00:32:45,670
The more the merrier. Come on.
587
00:32:47,182 --> 00:32:50,447
You see, now,
that's a peritonsillar abscess.
588
00:32:50,652 --> 00:32:54,679
A pocket of pus has collected around
the tonsils and we have to get it out.
589
00:32:54,890 --> 00:32:59,827
We'll numb it first and we'll use a
needle to draw out the infected fluid.
590
00:33:00,462 --> 00:33:04,558
An alternative is to open it with
a scalpel, but that's more invasive.
591
00:33:04,766 --> 00:33:07,997
- The needle aspiration is fine.
- Lf you're sure.
592
00:33:18,714 --> 00:33:20,909
You've been a "hit the books"
medical student.
593
00:33:21,116 --> 00:33:25,212
- Is there any other kind?
- Some are more diligent than I was.
594
00:33:25,721 --> 00:33:27,689
You're a Pediatric Emergency Fellow?
595
00:33:27,889 --> 00:33:30,255
- It's different from an Attending?
- Under the boss.
596
00:33:30,459 --> 00:33:33,019
That's why you need an Attending
to be your witness?
597
00:33:33,795 --> 00:33:38,027
When you have parents sign consents
an Attending needs to witness that.
598
00:33:38,734 --> 00:33:43,103
I performed a procedure on a
7-month-old baby addicted to heroin.
599
00:33:43,305 --> 00:33:45,239
I didn't get his mother's consent.
600
00:33:45,440 --> 00:33:48,034
- What happened?
- The powers that be were upset.
601
00:33:48,243 --> 00:33:52,270
So I am now a Pediatric Emergency
Fellow on probation.
602
00:33:52,481 --> 00:33:54,847
And the baby isn't addicted to drugs.
603
00:33:55,050 --> 00:33:56,984
Sometimes it's a tradeoff.
604
00:33:57,185 --> 00:33:58,482
Good luck.
605
00:33:59,121 --> 00:34:01,214
Every guy in that gym
thought I had a coronary.
606
00:34:01,456 --> 00:34:03,185
They were all over me.
607
00:34:03,392 --> 00:34:05,826
Asking me if they could help,
get me some water.
608
00:34:06,028 --> 00:34:08,553
One guy offered to take me
to his own doctor.
609
00:34:08,764 --> 00:34:09,924
That's very generous.
610
00:34:10,132 --> 00:34:11,292
What do we have?
611
00:34:11,500 --> 00:34:13,525
Roxanne Please, 25.
She was at the gym...
612
00:34:13,735 --> 00:34:17,364
You know, I dropped a darn
15-pound weight on my little toe.
613
00:34:17,572 --> 00:34:18,800
I hope it's not broken.
614
00:34:19,007 --> 00:34:22,534
- Jerry, what's open?
- Curtain Area One.
615
00:34:23,545 --> 00:34:26,446
Or maybe Exam One would be better.
616
00:34:26,648 --> 00:34:28,309
We'll check it out and get an x-ray.
617
00:34:28,517 --> 00:34:30,883
A woman's looking for you.
A Mrs. Fernandez.
618
00:34:31,086 --> 00:34:32,018
The firefighter's wife.
619
00:34:32,220 --> 00:34:35,246
- We'll get you in the exam...
- I can take care of that.
620
00:34:35,490 --> 00:34:38,220
Okay, Jerry.
It is your birthday, so...
621
00:34:38,427 --> 00:34:41,555
- Really? Happy birthday.
- Well, thank you.
622
00:34:45,500 --> 00:34:46,967
- Mrs. Fernandez?
- Yes?
623
00:34:47,169 --> 00:34:49,433
I'm Dr. Greene. This is Ms. Knight.
624
00:34:49,638 --> 00:34:54,098
Where's Emile? We came as soon
as we could. We piled in the car.
625
00:34:54,309 --> 00:34:58,211
It'd probably be a good idea
if the family stayed here.
626
00:35:06,555 --> 00:35:11,288
Mrs. Fernandez, your husband fell
20 feet onto a concrete surface.
627
00:35:11,493 --> 00:35:13,893
The paramedics were there
and brought him right in.
628
00:35:14,096 --> 00:35:16,462
There was no internal
abdominal bleeding.
629
00:35:16,665 --> 00:35:20,761
The CT scan of his head showed
diffuse brain injury and swelling.
630
00:35:20,969 --> 00:35:22,664
What does that mean?
How serious?
631
00:35:23,605 --> 00:35:26,972
He can't breathe on his own.
He's on a ventilator.
632
00:35:27,509 --> 00:35:31,707
He can't move any muscles.
He's not opening his eyes.
633
00:35:31,913 --> 00:35:33,471
He's in a coma.
634
00:35:34,449 --> 00:35:36,212
Does he need an operation?
635
00:35:37,285 --> 00:35:39,947
Unfortunately, there isn't any
that can help.
636
00:35:40,388 --> 00:35:42,481
The prognosis is not good.
637
00:35:43,091 --> 00:35:47,289
We're going to admit him to the ICU,
monitor the pressure in his brain...
638
00:35:47,496 --> 00:35:49,896
...and treat the swelling
the best we can.
639
00:35:55,437 --> 00:35:57,530
Is he brain-dead, Dr. Greene?
640
00:35:59,040 --> 00:36:01,235
We're gonna have to wait and see.
641
00:36:04,312 --> 00:36:08,840
If the tests show no brain activity
over the next few days...
642
00:36:09,885 --> 00:36:14,481
...you're gonna have to think
about continuing life support.
643
00:36:33,808 --> 00:36:37,642
Lucy, can you take Mrs. Fernandez
to see her husband?
644
00:36:42,717 --> 00:36:44,651
Can he hear anything?
645
00:36:45,353 --> 00:36:49,346
It's possible. There's no way
to really know.
646
00:37:43,078 --> 00:37:44,602
You can talk to him.
647
00:37:54,923 --> 00:37:56,550
Do you know what you cut your foot on?
648
00:37:56,758 --> 00:38:00,990
No. I was diving the Wellsburt,
a shipwreck out in Lake Michigan...
649
00:38:01,663 --> 00:38:03,597
...when I felt this slice.
650
00:38:03,798 --> 00:38:05,823
What's weird, though, at that depth...
651
00:38:06,034 --> 00:38:08,195
...your blood comes out looking green.
652
00:38:08,403 --> 00:38:10,428
- When was your last tetanus shot?
- I don't know.
653
00:38:10,639 --> 00:38:12,732
My mom kept track of that stuff.
654
00:38:13,008 --> 00:38:16,466
Your laceration is superficial,
but it'll require a few stitches.
655
00:38:16,711 --> 00:38:19,908
We'll give you a dose
of antibiotics beforehand.
656
00:38:20,515 --> 00:38:23,712
Ms. Knight, do you think
you can handle the IV?
657
00:38:24,586 --> 00:38:26,679
- Of course.
- I'll be back.
658
00:38:38,333 --> 00:38:39,698
You do know how to do this?
659
00:38:40,468 --> 00:38:41,799
Yes.
660
00:38:47,008 --> 00:38:49,602
Oh, could I ask you something
for a second?
661
00:38:49,811 --> 00:38:50,800
Sure.
662
00:38:51,846 --> 00:38:53,336
This is my first IV and l...
663
00:38:53,548 --> 00:38:55,175
You don't want to punish the patient.
664
00:38:55,383 --> 00:38:56,372
Something like that.
665
00:38:56,584 --> 00:38:58,279
- Okay.
- Thank you.
666
00:38:59,421 --> 00:39:01,821
- Do you want to try?
- No, I'll just watch.
667
00:39:02,023 --> 00:39:03,115
All right.
668
00:39:03,658 --> 00:39:08,391
First you're gonna take the tourniquet
and tie it into a slipknot, like that.
669
00:39:11,933 --> 00:39:15,767
Ms. Knight, the films came back
on that woman who dropped the weight.
670
00:39:15,970 --> 00:39:19,531
Small, non-displaced fracture
of the proximal phalanx.
671
00:39:20,175 --> 00:39:23,474
- Fifth toe. Just do a buddy tape.
- A buddy tape?
672
00:39:23,945 --> 00:39:26,846
Yeah, you tape the little toe
to the one next to it. Okay?
673
00:39:27,048 --> 00:39:29,812
Tell her to expect discomfort
for a couple of weeks...
674
00:39:30,018 --> 00:39:31,918
...and to wear hard-soled shoes.
675
00:39:32,120 --> 00:39:33,144
Okay.
676
00:39:34,022 --> 00:39:38,083
When you look at the actuarial tables,
term is definitely the way to go.
677
00:39:38,727 --> 00:39:41,389
- Ms. Please.
- Oh, please, call me Roxanne.
678
00:39:41,596 --> 00:39:42,995
I've said that my whole life.
679
00:39:43,198 --> 00:39:46,065
Good news. It's just
a small hairline fracture.
680
00:39:46,267 --> 00:39:48,531
- How long will that take to heal?
- A couple of weeks.
681
00:39:48,937 --> 00:39:53,135
I need to tape you up.
And you should wear hard-soled shoes.
682
00:39:53,341 --> 00:39:55,502
- Roxanne sells insurance.
- Really?
683
00:39:55,710 --> 00:39:59,737
Yep. Life, disability,
umbrella policies, you name it.
684
00:40:01,249 --> 00:40:05,117
- You have insurance?
- Just medical through school.
685
00:40:05,920 --> 00:40:07,114
Sorry.
686
00:40:07,956 --> 00:40:11,255
You should start your coverage now.
Your age, premiums are incredibly low.
687
00:40:11,459 --> 00:40:14,451
Roxanne says disability
is more important than life.
688
00:40:15,163 --> 00:40:20,123
Statistically, you're more likely
to be maimed or mutilated than killed.
689
00:40:20,335 --> 00:40:21,962
Really? Who knew?
690
00:40:22,670 --> 00:40:26,003
- Roxanne's also staying for the party.
- What party?
691
00:40:26,641 --> 00:40:29,610
Jerry's surprise party.
He says they always have one.
692
00:40:29,811 --> 00:40:32,336
Okay. There we go.
693
00:40:32,881 --> 00:40:34,542
That should do it.
694
00:40:35,750 --> 00:40:39,618
Scuba Man is on his way.
Only took half a dozen sutures.
695
00:40:41,022 --> 00:40:44,958
- By the way, nice job on that IV.
- Good.
696
00:40:45,160 --> 00:40:48,527
No, seriously. I kind of threw you
in the deep end there.
697
00:40:48,730 --> 00:40:51,824
I didn't think you'd be able to do it.
It's good to know...
698
00:40:52,033 --> 00:40:53,864
...you can swim.
- Thanks.
699
00:40:54,068 --> 00:40:55,933
- Can I see you for a minute?
- Sure.
700
00:40:56,137 --> 00:40:58,935
Mrs. Fernandez is looking
for either you or Dr. Greene.
701
00:40:59,140 --> 00:41:00,300
Okay.
702
00:41:01,943 --> 00:41:04,275
Mrs. Fernandez, can I help you?
703
00:41:04,479 --> 00:41:08,074
I couldn't stay in with Emile.
I...
704
00:41:08,583 --> 00:41:11,347
I can't see him that way.
I can't talk to him.
705
00:41:12,153 --> 00:41:14,212
- I'm sorry.
- You don't have to be sorry.
706
00:41:14,422 --> 00:41:16,549
Look, I need to take my children home.
707
00:41:17,258 --> 00:41:20,523
Tell Dr. Greene that
I will come back tomorrow.
708
00:41:20,728 --> 00:41:23,060
And I guess we'll talk
about what to do.
709
00:41:23,264 --> 00:41:24,856
Okay. Okay, I'll tell him.
710
00:41:29,571 --> 00:41:32,870
Jerry! Jerry, get over here, please.
711
00:41:33,074 --> 00:41:35,304
I mean what does it take, huh?
712
00:41:35,510 --> 00:41:38,274
How many times have I asked you
to get rid of this body?
713
00:41:38,480 --> 00:41:41,449
- I will call them again, Dr. Weaver.
- You will not!
714
00:41:41,649 --> 00:41:45,779
You will not call them again. You'll
take this poor soul there yourself.
715
00:41:45,987 --> 00:41:48,046
- Dr. Weaver...
- Jerry, it's just a corpse.
716
00:41:48,256 --> 00:41:50,952
It's not like you've never seen
a dead body before.
717
00:42:10,345 --> 00:42:14,213
- We finally got you at last!
- You got me. You got me.
718
00:42:14,415 --> 00:42:16,110
- Blow out the candles.
- All right.
719
00:42:16,317 --> 00:42:18,581
- Happy birthday, Jerry.
- Thanks.
720
00:42:19,687 --> 00:42:23,316
- I gotta pick up Rachel.
- Bring her to our barbecue.
721
00:42:23,525 --> 00:42:26,688
- Really? About an hour?
- Yeah.
722
00:42:27,495 --> 00:42:30,430
- Maimed or mutilated, huh?
- Yeah, it's not a pretty picture.
723
00:42:30,632 --> 00:42:31,621
No, tell me more.
724
00:42:31,833 --> 00:42:34,301
I can't believe this party.
It was a horrible day.
725
00:42:34,502 --> 00:42:38,836
Tomorrow's gonna be even worse. I
found out I got assigned to Dr. Doyle.
726
00:42:39,040 --> 00:42:41,372
- When did you hear that?
- Dr. Weaver told me.
727
00:42:41,576 --> 00:42:43,476
- You're with Dr. Carter.
- Oh, man.
728
00:42:43,678 --> 00:42:45,805
I'd consider yourself lucky.
729
00:42:46,614 --> 00:42:47,979
He thinks I can swim.
730
00:42:48,983 --> 00:42:50,541
At least we survived day one.
731
00:42:50,885 --> 00:42:54,116
Yeah, I basically did nothing
and helped no one.
732
00:42:54,322 --> 00:42:55,812
You got to see some patients.
733
00:42:56,024 --> 00:42:58,254
Dr. Doyle won't let me near
a single one.
734
00:42:59,160 --> 00:43:00,559
Yeah, I saw some patients.
735
00:43:00,762 --> 00:43:01,888
Want a piece of cake?
736
00:43:43,104 --> 00:43:44,799
Mr. Fernandez.
737
00:43:45,740 --> 00:43:46,729
Emile.
738
00:43:49,077 --> 00:43:51,375
My name is Lucy. I work here.
739
00:43:54,616 --> 00:43:56,140
I met your wife.
740
00:44:01,889 --> 00:44:04,289
I know how much she loves you.
741
00:44:05,326 --> 00:44:07,453
And how much your kids love you.
742
00:44:10,531 --> 00:44:13,193
And how they wish
this hadn't happened to you.
743
00:44:17,005 --> 00:44:19,667
How we all wish
this hadn't happened to you.
59831
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