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1
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E.R.
2
00:00:06,852 --> 00:00:08,328
Previously on E.R.
3
00:00:08,329 --> 00:00:10,802
- Is that alcohol on your breath?
- Champagne.
4
00:00:10,803 --> 00:00:12,540
It's grounds for expulsion.
5
00:00:13,154 --> 00:00:16,088
It's none of your business.
We made a decision. That's final.
6
00:00:16,089 --> 00:00:17,965
No way. No way!
7
00:00:17,966 --> 00:00:19,252
No! No!
8
00:00:19,768 --> 00:00:23,432
She's my baby, Susan,
and I want her back.
9
00:00:23,433 --> 00:00:24,799
I'm adopting her.
10
00:00:24,800 --> 00:00:27,093
- The family had a right to know.
- You're right.
11
00:00:27,128 --> 00:00:29,153
- You made a mistake.
- Why don't you just get out?
12
00:00:30,882 --> 00:00:33,099
Peter, Doug can handle this. Go on.
13
00:00:34,041 --> 00:00:35,679
Go on.
14
00:00:38,020 --> 00:00:40,703
"A Shift In the Night"
15
00:00:42,578 --> 00:00:44,783
...bringing you traffic
and weather on the 1.
16
00:00:44,954 --> 00:00:48,618
Rain all over Chicagoland today.
The rain continues to come down...
17
00:00:48,790 --> 00:00:51,790
...causing flooding on I-94
and other expressways.
18
00:00:51,959 --> 00:00:55,540
The WMAQ weather calls for
the rain to continue into tonight...
19
00:00:55,711 --> 00:00:58,248
...and it stays in our forecast
through tomorrow.
20
00:00:58,421 --> 00:01:00,626
Bring an umbrella, raincoat
and life preserver-
21
00:01:00,797 --> 00:01:02,456
Son of a bitch.
22
00:01:12,220 --> 00:01:14,212
Son of a bitch!
23
00:02:10,463 --> 00:02:12,621
Please leave a message at the tone.
24
00:02:12,799 --> 00:02:17,008
Mark? Mark, if you 're there,
it's Kerry Weaver. Could you pick up?
25
00:02:17,176 --> 00:02:19,582
We got a little problem.
Neal Hansen's on tonight...
26
00:02:19,761 --> 00:02:22,630
...but his mother-in-law died, so...
27
00:02:22,804 --> 00:02:26,254
The answer is no, Kerry.
I am not coming in.
28
00:02:27,556 --> 00:02:29,881
I don't care if his
mother-in-law died, okay?
29
00:02:30,059 --> 00:02:32,513
I've been on three nights in a row.
30
00:02:34,270 --> 00:02:39,510
Tell Morgenstern that I can't
and give the shift to Doug Ross.
31
00:02:39,688 --> 00:02:42,225
He could use the money.
32
00:02:42,398 --> 00:02:44,722
What do you mean, whiplash?
33
00:02:44,900 --> 00:02:48,517
No evidence of fracture or dislocation.
Vertebral bodies are in good alignment.
34
00:02:48,694 --> 00:02:51,398
There is, however,
reversal of cervical lordosis...
35
00:02:51,571 --> 00:02:56,528
...suggesting the possibility of
acute cervical ligamentous injury.
36
00:02:57,616 --> 00:02:59,692
My headache tripled
during that dissertation.
37
00:02:59,868 --> 00:03:02,109
Does the name Evelyn Wood
mean anything to you?
38
00:03:02,328 --> 00:03:06,323
You know, Doug, I like you in that collar.
It's a good look.
39
00:03:06,496 --> 00:03:09,247
Bold, yet spiritual.
40
00:03:09,581 --> 00:03:11,454
No, I'm stopped dead
at the stoplight...
41
00:03:11,624 --> 00:03:14,197
...and this Pakistani cabdriver
plows into me.
42
00:03:14,376 --> 00:03:16,451
I get out. He doesn't speak
a word of English.
43
00:03:16,627 --> 00:03:19,792
I look at his photo ID and it's some
sandy-haired guy named Kroopf.
44
00:03:19,963 --> 00:03:22,713
Kroopf?
Isn't that kind of a German name?
45
00:03:22,881 --> 00:03:25,039
- Can I have your shoes?
- What?
46
00:03:25,216 --> 00:03:27,374
Can I have your shoes?
Mine are sopping wet.
47
00:03:27,551 --> 00:03:32,294
Sure, Mark, absolutely. You know,
I'll just walk home barefoot in the rain.
48
00:03:33,304 --> 00:03:36,636
- Sorry. I would've taken that shift-
- No problem at all, Doug.
49
00:03:36,806 --> 00:03:39,556
I've only worked graveyard
the last three nights.
50
00:03:39,724 --> 00:03:41,217
Got off at 8:00 this morning...
51
00:03:41,392 --> 00:03:43,882
...drove to Milwaukee
to spend the day with Rachel...
52
00:03:44,060 --> 00:03:47,179
...only to have Jennifer tell me
that she got the dates mixed up.
53
00:03:47,354 --> 00:03:51,931
See, Rachel, it turns out, is on some
Brownie troop camping trip.
54
00:03:52,107 --> 00:03:54,811
So I drove back,
three and a half hours this time...
55
00:03:54,984 --> 00:03:58,397
...because of the heavy rain
and flooding on I-94.
56
00:03:58,568 --> 00:04:04,190
And here I am, refreshed
and full of enthusiasm for my work.
57
00:04:06,782 --> 00:04:08,988
Are you on tonight?
58
00:04:09,159 --> 00:04:11,151
Go with God.
59
00:05:04,275 --> 00:05:07,358
- Why are these patients in the hallway?
- No beds.
60
00:05:07,527 --> 00:05:10,811
- You're on tonight, right?
- No, dinner with my lawyer at 7:00.
61
00:05:10,987 --> 00:05:14,106
Dr. Lewis, a Peter Kreidman called.
Can't make dinner till 7:30.
62
00:05:14,281 --> 00:05:17,279
- Oh, 7:30.
- Can you change that to tomorrow night?
63
00:05:17,448 --> 00:05:20,567
Hansen's out,
Doug has got whiplash...
64
00:05:20,742 --> 00:05:24,442
...Benton's in some marathon surgery
and Kerry and I will be short-handed.
65
00:05:24,620 --> 00:05:26,113
Mark, I'm sorry, I can't.
66
00:05:26,288 --> 00:05:30,200
Chloe's gonna try and fight
this adoption. I can't miss this.
67
00:05:30,373 --> 00:05:33,327
- Mark, I was afraid I'd miss you.
- You're leaving too?
68
00:05:33,500 --> 00:05:36,286
- I've been on 14 hours.
- I've been on the last three nights.
69
00:05:36,461 --> 00:05:39,081
I'd stay, but Morgenstern wants me
to present our QA...
70
00:05:39,254 --> 00:05:40,831
...at the JCAH in the morning.
71
00:05:41,005 --> 00:05:45,000
Whoever handled it dropped the ball.
I'll be up all night pulling it together.
72
00:05:45,174 --> 00:05:48,292
- It's a real mess.
- Yeah, I was handling it.
73
00:05:48,467 --> 00:05:51,466
I'll walk you through it
once I get it straightened out.
74
00:05:51,636 --> 00:05:54,208
Shall we make rounds?
75
00:05:54,387 --> 00:05:58,300
Mr. PCP is sleeping it off.
Probably needs another six hours.
76
00:05:58,473 --> 00:06:02,683
Second-degree burns, both hands.
Checking pot roast, forgot hotpads.
77
00:06:02,851 --> 00:06:05,009
Gangbanger in a fistfight.
78
00:06:05,186 --> 00:06:08,185
- Fistfight? That's quaint.
- Waiting on x-rays.
79
00:06:08,354 --> 00:06:10,641
38 years old, AIDS,
hand and foot spasms.
80
00:06:10,814 --> 00:06:14,513
CMV retinitis, PCP pneumonia,
Gl lymphoma, waiting on ICU.
81
00:06:14,691 --> 00:06:16,813
Rule-out Ml.
Waiting on Cardiology consult.
82
00:06:16,984 --> 00:06:19,557
Calls himself Bobby Darin,
claims he got a shark bite...
83
00:06:19,735 --> 00:06:22,855
...while in the pool at the Four
Seasons Hotel. Waiting on Psych.
84
00:06:23,321 --> 00:06:27,816
Ten-centimeter laceration sustained while
sliding into second. Needs sutures.
85
00:06:27,991 --> 00:06:32,237
Abdominal pain, probably food poisoning,
but Surgery's ruling out an appy.
86
00:06:32,411 --> 00:06:34,318
Severe shoulder pain and nosebleed.
87
00:06:34,494 --> 00:06:38,028
Platelet count, 15,000.
Waiting on Hematology.
88
00:06:38,205 --> 00:06:40,777
TPA patient on dopamine.
Pulmonary edema.
89
00:06:40,957 --> 00:06:44,289
Intubated on a nitro drip.
Waiting on ICU.
90
00:06:44,459 --> 00:06:47,494
Bicycle versus postal truck.
Multiple rib fractures...
91
00:06:47,669 --> 00:06:51,748
...bilateral hemopneumothoraces.
Critical but stable.
92
00:06:51,922 --> 00:06:54,163
Let me guess. ICU?
93
00:06:54,340 --> 00:06:56,581
Anaphylactic shock...
94
00:06:56,758 --> 00:06:59,628
...and septic shock.
95
00:06:59,802 --> 00:07:02,504
I think that's about it.
96
00:07:02,677 --> 00:07:05,346
How are things in Glocca Morra?
97
00:07:12,183 --> 00:07:15,765
Unbelievable. It's been
like this since the rain started.
98
00:07:15,936 --> 00:07:20,014
- Who else is on besides me?
- A few Residents, a Psych intern...
99
00:07:20,189 --> 00:07:22,809
...and maybe Carter. Good night.
100
00:07:26,025 --> 00:07:28,562
LOL with burned hands
admitted to burn service...
101
00:07:28,735 --> 00:07:31,141
...films on that gang kid were negative,
sent him home...
102
00:07:31,320 --> 00:07:33,810
...and the rule-out appy
was ruled out and discharged.
103
00:07:33,988 --> 00:07:36,359
Excellent, Haleh,
you get three gold stars. Carter?
104
00:07:36,531 --> 00:07:41,238
I have sutured the leg lac in 4, knee lac
in 3, arm lac in 2 and head lac in 1.
105
00:07:41,409 --> 00:07:45,357
That's it? All right.
We have seven waiting for ICU.
106
00:07:45,537 --> 00:07:49,236
Make it eight. Bounce-back hip
replacement with DVT and PE.
107
00:07:49,415 --> 00:07:52,118
We have 33 in the ER
and 41 in the waiting room.
108
00:07:52,290 --> 00:07:56,535
Make that 42. Paramedics
pulling in with an altered LOC.
109
00:07:56,709 --> 00:07:58,867
Your mission,
should you choose to accept it...
110
00:07:59,044 --> 00:08:01,167
...which you will,
because you have no choice...
111
00:08:01,338 --> 00:08:05,036
...is to move these folks out
so we can move these folks in.
112
00:08:05,215 --> 00:08:08,049
I want quick turnover.
No big workups.
113
00:08:08,217 --> 00:08:12,960
No unnecessary labs, x-rays
or consults. And no comments.
114
00:08:13,137 --> 00:08:15,212
Carol, Carter,
let's go meet the incoming.
115
00:08:15,388 --> 00:08:18,221
Randi, I want a turkey sandwich
from the cafeteria...
116
00:08:18,389 --> 00:08:20,215
...because Jerry isn't here yet.
117
00:08:20,391 --> 00:08:24,552
Sorry, I'm late. And I can't be
responsible for him, Dr. Greene.
118
00:08:26,811 --> 00:08:29,051
Let me out of here!
119
00:08:29,896 --> 00:08:32,054
- Hi, Chuny. You're late.
- I'm on at 8:00.
120
00:08:32,231 --> 00:08:33,891
It's 8:04.
What have we got?
121
00:08:34,066 --> 00:08:37,315
Omar Gandera, 15. Strolling down
by The Loop, drunk out of his mind.
122
00:08:37,485 --> 00:08:39,690
Vitals are stable. BP, 120/80.
123
00:08:39,861 --> 00:08:41,818
Fell on his knees.
He needs stitches.
124
00:08:41,987 --> 00:08:44,558
- Are you guys having a party?
- Don't start, Doris.
125
00:08:44,738 --> 00:08:47,655
- How much did you drink, Omar?
- Don't touch me! Get out of here!
126
00:08:47,824 --> 00:08:50,692
- Can I give Mrs. Layton more Demerol?
- How long has it been?
127
00:08:50,867 --> 00:08:54,779
- Three hours.
- All right, if you help with this kid.
128
00:08:56,287 --> 00:09:00,615
All right. On my count.
One, two, three.
129
00:09:01,081 --> 00:09:05,160
- Put me down!
- Buckle him up tight. Party on.
130
00:09:05,334 --> 00:09:08,666
- Let me out of here!
- Sinus tach at 110.
131
00:09:08,836 --> 00:09:11,954
- Carter, what do you want to do?
- BP's still 120/80.
132
00:09:12,129 --> 00:09:14,287
CBC, Chem-7,
blood alcohol, tox screen...
133
00:09:14,463 --> 00:09:17,464
...ABG and saline. Wide open.
134
00:09:20,176 --> 00:09:22,085
- Carter, she said tie him tight.
- I did!
135
00:09:22,260 --> 00:09:24,668
- Labs are back on the kid with the fever.
- Any films?
136
00:09:24,845 --> 00:09:27,253
- Not yet.
- Go sit on Radiology...
137
00:09:27,430 --> 00:09:29,636
...and don't bug me
until you've got everything.
138
00:09:29,807 --> 00:09:35,095
- Carter, get the labs going. I'll be back.
- Oh, yeah. We're having some fun now.
139
00:09:35,269 --> 00:09:37,343
There are non-displaced
oblique fractures...
140
00:09:37,520 --> 00:09:39,807
...of the third and fourth
metatarsal shafts...
141
00:09:39,979 --> 00:09:42,434
...with no significant
angulation or comminution.
142
00:09:42,606 --> 00:09:46,602
The foot's busted, okay?
Splint him and ship him out.
143
00:09:47,651 --> 00:09:49,606
- What are you doing?
- Gonna fix his feet.
144
00:09:49,777 --> 00:09:53,774
What did he do, stick them in a blender?
No more mixed drinks.
145
00:09:53,946 --> 00:09:57,943
Put him on the back burner.
We've got people who are a lot worse.
146
00:09:58,115 --> 00:10:01,613
- Could you take a look at my mother?
- In a minute.
147
00:10:01,784 --> 00:10:02,862
What a mess, huh?
148
00:10:03,034 --> 00:10:04,943
It's not helped by the fact
you were late.
149
00:10:05,118 --> 00:10:07,325
- Are you the doctor in charge?
- The one and only.
150
00:10:07,496 --> 00:10:09,617
My son has a horrible cut on his hand.
151
00:10:09,789 --> 00:10:12,361
- We'll get to him as soon as we can.
- I'll bring him in.
152
00:10:12,665 --> 00:10:14,906
Jerry, can you take her
to the waiting room?
153
00:10:15,084 --> 00:10:17,122
It's bleeding.
We've been waiting out there.
154
00:10:17,293 --> 00:10:18,574
- Come on, ma'am.
- Jerry?
155
00:10:18,752 --> 00:10:21,669
Don't let people sneak in.
Whoever's out there has been triaged.
156
00:10:21,838 --> 00:10:24,292
We'll see them as soon as we can.
No one gets in...
157
00:10:24,465 --> 00:10:26,622
- ... unless they're dying.
- Right.
158
00:10:29,258 --> 00:10:31,215
Malik?
159
00:10:31,385 --> 00:10:34,468
Mrs. Votey, you're having
weakness in your right arm?
160
00:10:34,637 --> 00:10:37,471
Yesterday and again today.
161
00:10:37,638 --> 00:10:39,796
Everything's sort of out of focus.
162
00:10:39,973 --> 00:10:44,680
- At one point she couldn't even speak.
- Scared my students half to death.
163
00:10:44,851 --> 00:10:47,851
- My mother teaches self-defense.
- To seniors.
164
00:10:48,020 --> 00:10:50,178
Squeeze.
165
00:10:50,355 --> 00:10:53,141
Maybe I could just wait here
for my regular doctor.
166
00:10:53,315 --> 00:10:55,804
- Dr. Randall. Jack Randall.
- I know him.
167
00:10:56,024 --> 00:10:59,889
Mrs. Votey, you might be experiencing
what we call TIAs...
168
00:11:00,068 --> 00:11:02,274
...transient ischemic attacks.
169
00:11:02,444 --> 00:11:05,113
They can be a warning sign
of impending stroke.
170
00:11:05,280 --> 00:11:06,478
I'll call Dr. Randall...
171
00:11:06,655 --> 00:11:11,232
...but in the meantime I'll admit you
upstairs where they can work you up.
172
00:11:11,409 --> 00:11:13,649
Start her on heparin, 800 an hour...
173
00:11:13,827 --> 00:11:15,902
...call Randall and get her admitted
to Medicine.
174
00:11:16,078 --> 00:11:19,327
- You want a CT first?
- Let them do it. We need the room.
175
00:11:19,747 --> 00:11:21,405
I don't get it. He's still altered...
176
00:11:21,581 --> 00:11:23,739
- ... but his tox screen's negative.
- I have to pee.
177
00:11:23,915 --> 00:11:25,326
- Ethanol?
- None detected.
178
00:11:25,499 --> 00:11:27,456
- PH?
-7.30.
179
00:11:27,626 --> 00:11:30,116
- Omar, what did you drink?
- I've got to pee.
180
00:11:30,295 --> 00:11:31,918
Omar?
181
00:11:32,921 --> 00:11:34,415
- I gotta pee.
- Go ahead and pee.
182
00:11:34,589 --> 00:11:36,082
There's a tube in your bladder.
183
00:11:36,257 --> 00:11:38,378
Paramedics five minutes out.
Drive-by shooting.
184
00:11:38,549 --> 00:11:40,708
- Who's on call for Trauma?
- Shall I call Benton?
185
00:11:40,885 --> 00:11:43,007
- No. Call Thoracic.
- Thoracic?
186
00:11:43,178 --> 00:11:47,836
You heard me. Call Morgenstern,
tell him we are closing the Trauma now.
187
00:11:48,013 --> 00:11:49,554
- Lytes?
- Not back yet.
188
00:11:49,722 --> 00:11:52,177
- What's wrong with the lab tonight?
- Same thing as us.
189
00:11:52,349 --> 00:11:53,926
There's just too many patients.
190
00:11:55,517 --> 00:11:59,015
Okay. Say he has a gap.
191
00:11:59,895 --> 00:12:05,315
Methanol, uremia, DKA.
Ethylene glycol?
192
00:12:06,691 --> 00:12:11,352
- You think he drank antifreeze?
- Well, gotta rule it out.
193
00:12:11,528 --> 00:12:13,518
Get a Wood's lamp.
194
00:12:15,195 --> 00:12:16,938
- It's really jammed in there.
- What?
195
00:12:17,113 --> 00:12:18,773
I said, it's really jammed in there!
196
00:12:18,948 --> 00:12:21,521
- Carter, what are you doing?
- Foreign body in the canal.
197
00:12:21,700 --> 00:12:23,822
Have him lie down.
198
00:12:26,369 --> 00:12:27,994
- Do you know what it is, sir?
- What?
199
00:12:28,162 --> 00:12:29,573
A bead.
200
00:12:30,705 --> 00:12:34,453
Carter, you having fun paying
your penance in the ER?
201
00:12:35,292 --> 00:12:37,165
I'm off Surgical Service...
202
00:12:37,335 --> 00:12:41,164
...I'm working nights in the ER.
What's not to be happy about?
203
00:12:41,336 --> 00:12:44,538
It's better than not graduating.
I thought Dr. Hicks might suspend me.
204
00:12:44,713 --> 00:12:46,290
She would if she could have.
205
00:12:46,465 --> 00:12:49,299
I can't believe I was that stupid,
drinking on call.
206
00:12:49,466 --> 00:12:51,008
I can. You're a medical student.
207
00:12:52,885 --> 00:12:54,960
Superglue?
208
00:12:55,137 --> 00:12:59,713
Yes. Just touch the bead.
Hit the skin, you're in trouble.
209
00:13:01,057 --> 00:13:03,428
- Don't move!
- Don't move!
210
00:13:03,600 --> 00:13:06,220
Dr. Greene, the paramedics are here.
211
00:13:08,061 --> 00:13:09,388
Got it!
212
00:13:11,854 --> 00:13:13,397
- How old is she?
-18 months.
213
00:13:13,564 --> 00:13:17,347
Two gunshots to the right upper leg.
Hypotensive. Can't get a line.
214
00:13:17,525 --> 00:13:19,647
It's okay, baby. We're here.
215
00:13:20,152 --> 00:13:23,068
Cops got the boy who did it.
Black kid, 14 years old.
216
00:13:23,237 --> 00:13:25,727
Shot him dead. Can't say I'm sorry.
217
00:13:25,905 --> 00:13:29,771
- Cops never mind shooting a black kid.
- And he didn't mind shooting this one.
218
00:13:29,949 --> 00:13:34,193
CBC, type and cross for two.
Get a unit of O-neg.
219
00:13:34,368 --> 00:13:36,573
Right foot's cold. No pulse.
220
00:13:36,744 --> 00:13:38,701
- Femoral artery.
- I'll call for x-rays.
221
00:13:38,871 --> 00:13:41,028
Sixteen-gauge Jamshidi.
One percent with epi.
222
00:13:41,205 --> 00:13:43,576
Faint pulse. Dynamap's not reading.
223
00:13:43,748 --> 00:13:45,325
One-twenty of saline.
224
00:13:49,002 --> 00:13:51,788
Fill these tubes.
Haleh, page Netzley.
225
00:13:51,962 --> 00:13:54,997
- Malik, you're gonna take her up to O.R.
- You got it.
226
00:13:55,173 --> 00:13:58,373
Dr. Greene, about closing Trauma,
Morgenstern gave the big "N-O. "
227
00:13:58,549 --> 00:14:01,632
- Get him on the phone for me.
- He went back up to Surgery.
228
00:14:01,801 --> 00:14:05,500
- All right, I'll find him.
- Mark, bingo on Omar.
229
00:14:08,596 --> 00:14:09,877
You got it?
230
00:14:10,931 --> 00:14:13,256
I want Daddy!
231
00:14:14,934 --> 00:14:17,222
- Ethylene glycol it is.
- What's that?
232
00:14:17,394 --> 00:14:20,596
Antifreeze. Get Renal down here stat.
233
00:14:20,771 --> 00:14:23,260
- Let's give him IV ethanol.
- We don't have any.
234
00:14:23,438 --> 00:14:24,766
What?
235
00:14:24,939 --> 00:14:27,608
I checked. Pharmacy's out.
236
00:14:27,775 --> 00:14:31,225
St. Luke's is sending us some,
but it won't be here for another hour.
237
00:14:31,401 --> 00:14:34,770
There's a bottle of bourbon
out in that shopping cart in the hall.
238
00:14:34,945 --> 00:14:37,945
- Bourbon?
-120 cc oral loading dose.
239
00:14:38,115 --> 00:14:40,070
Thirty cc's POQ one hour.
240
00:14:40,240 --> 00:14:44,071
Otherwise, he's got brain damage
and renal failure.
241
00:14:44,243 --> 00:14:46,946
Bourbon shooters it is.
242
00:14:59,751 --> 00:15:02,159
Labs are finally back
on that coma in 2. It's DKA.
243
00:15:02,336 --> 00:15:04,826
Start an insulin drip,
0. 1 per kilo per hour.
244
00:15:05,005 --> 00:15:08,337
- Mrs. Votey had another TIA.
- She's supposed to be at Medicine.
245
00:15:08,507 --> 00:15:11,424
- Dr. Randall said to discharge her.
- Discharge her? Is he nuts?
246
00:15:11,593 --> 00:15:14,924
Page him 911 and tell him
to get in here now.
247
00:15:15,344 --> 00:15:17,087
Here you go-
248
00:15:17,678 --> 00:15:20,169
Who let this dog in here?
249
00:15:20,347 --> 00:15:22,090
Try taking it away and it bites you.
250
00:15:22,265 --> 00:15:25,633
- That puker in 4 is still at it.
-10 of Compazine and a liter of saline.
251
00:15:25,809 --> 00:15:28,513
- Mr. Nathan in 5, he's-
- Morgenstern is up at the front.
252
00:15:28,686 --> 00:15:30,096
What about the turkey sandwich?
253
00:15:30,270 --> 00:15:33,021
- I can get it almost immediately.
- Who are we talking about?
254
00:15:33,188 --> 00:15:34,896
Mr. Nathan in 5, high white count...
255
00:15:35,065 --> 00:15:37,021
...temp's 101,
has left lower-quadrant pain.
256
00:15:37,191 --> 00:15:42,016
Probably diverticulitis. Give him amp,
gent, Flagyl and get an abdominal series.
257
00:15:42,193 --> 00:15:43,853
That's right. Bring him in.
258
00:15:44,028 --> 00:15:45,936
- Answering the phones?
- I'm here to help.
259
00:15:46,112 --> 00:15:48,151
Then why don't you close up
the Trauma?
260
00:15:48,322 --> 00:15:49,436
Sorry, Mark.
261
00:15:49,614 --> 00:15:52,283
County's looking for excuses
to put us out of business.
262
00:15:52,450 --> 00:15:55,236
Well, it's 10:30. We've got
enough business to last a year.
263
00:15:55,409 --> 00:15:58,860
-32 in the ER, 49 in the waiting room.
- Look, Mark, I'm sorry.
264
00:15:59,037 --> 00:16:01,243
Got a little Benton fracas in Trauma 2.
265
00:16:01,413 --> 00:16:04,863
Board of Commissioners wants to close
an ER and save $80 million a year.
266
00:16:05,041 --> 00:16:08,621
Every time we close, we're saying
that we're not capable of providing.
267
00:16:08,793 --> 00:16:12,705
Well, we're not. I now have
nine ICU patients draining my staff...
268
00:16:12,878 --> 00:16:16,162
...we've no monitored beds.
Here are the films on Robinson.
269
00:16:16,339 --> 00:16:19,209
I can't even help half
the patients here. It's insane.
270
00:16:19,382 --> 00:16:21,374
I talked to the critical care
coordinators.
271
00:16:21,550 --> 00:16:25,250
We move six patients from ICU
to Telemetry, but we're staying open.
272
00:16:25,427 --> 00:16:27,384
So what? He's oxygenating well.
273
00:16:27,554 --> 00:16:29,878
The tube heads medially,
striking the mediastinum.
274
00:16:30,056 --> 00:16:31,254
Peter, Shelly.
275
00:16:31,431 --> 00:16:33,719
- Why didn't you page me?
- Shelly's handling it.
276
00:16:33,890 --> 00:16:35,597
- I'm on call for Trauma.
- We didn't need you.
277
00:16:35,766 --> 00:16:38,683
- If you don't want help during-
- Gentlemen, please. Ladies!
278
00:16:40,061 --> 00:16:42,432
I don't hear anybody helping here.
What's going on?
279
00:16:42,604 --> 00:16:46,268
Third-year Surgical Resident Leung
placed the chest tube anteriorly.
280
00:16:46,440 --> 00:16:50,104
- Which has relieved the pneumothorax.
- But will not drain the hemothorax.
281
00:16:50,275 --> 00:16:52,102
Which can be repositioned
when we prep.
282
00:16:52,319 --> 00:16:54,524
Excellent idea! Let's all scrub in.
283
00:16:54,695 --> 00:16:56,901
Come on, folks. Let's go.
284
00:16:57,447 --> 00:17:01,229
- If you need anything, give me a call.
- How about a turkey sandwich?
285
00:17:01,406 --> 00:17:05,866
Too late. Cafeteria closes
at 10 now. County cutbacks.
286
00:17:06,035 --> 00:17:09,402
It's a piece of cartilage that doesn't
turn to bone until you're grown-up.
287
00:17:09,579 --> 00:17:13,112
- Dr. Greene.
- Carter. Chloe.
288
00:17:13,289 --> 00:17:17,416
Hi, Mark. I came here to see Susie,
but John says she's not on tonight.
289
00:17:17,583 --> 00:17:18,828
No, she isn't.
290
00:17:19,001 --> 00:17:21,207
Chloe was curious
about how to read an x-ray.
291
00:17:21,378 --> 00:17:24,129
I guess the interest in medicine
must run in the family.
292
00:17:24,296 --> 00:17:25,540
Yeah, right.
293
00:17:25,713 --> 00:17:30,622
Junior gymnast in 5. Fractured patella.
Time to break the bad news.
294
00:17:32,092 --> 00:17:34,878
That hand is so little.
295
00:17:35,052 --> 00:17:38,301
- Look at that.
- It's probably 4 or 5 years old.
296
00:17:38,471 --> 00:17:42,302
Little Susie's hand
is about that big, right?
297
00:17:46,851 --> 00:17:50,383
So Susie probably told you
what's going on with us.
298
00:17:50,561 --> 00:17:52,682
Yeah, she mentioned some things.
299
00:17:52,854 --> 00:17:55,260
I understand why she's upset with me.
300
00:17:55,439 --> 00:17:58,474
I never thought I could change,
why should she?
301
00:17:58,650 --> 00:18:02,812
I just want her to see that things are
different now, that I'm different now.
302
00:18:02,985 --> 00:18:06,518
- Did she tell you that I'm engaged?
- No, she didn't.
303
00:18:08,989 --> 00:18:13,530
He's a great guy. Steady.
He's as smart as Susie is.
304
00:18:13,700 --> 00:18:17,612
He's the only person, besides Susie,
who's ever taken the time with me...
305
00:18:17,785 --> 00:18:20,738
...to get to know me, you know...
306
00:18:20,913 --> 00:18:26,367
...that thought that there was
something in me worth finding out.
307
00:18:27,458 --> 00:18:29,829
It's really busy out there.
I gotta get back to work.
308
00:18:30,001 --> 00:18:33,334
Hey, Mark.
The thing is, I really miss her.
309
00:18:33,504 --> 00:18:34,783
I'm sure you do.
310
00:18:34,963 --> 00:18:39,919
I know it's hard, but as far as babies go,
Little Susie's doing great.
311
00:18:40,091 --> 00:18:43,043
Yeah. I miss her too.
312
00:18:50,138 --> 00:18:53,304
Jerry, put out a page on Steve Flint.
313
00:18:53,474 --> 00:18:55,098
How's our score?
314
00:18:55,266 --> 00:18:57,673
Bleak, bleaker, bleakest.
315
00:18:57,851 --> 00:18:59,926
No, wait.
We can mark this one off.
316
00:19:00,103 --> 00:19:04,598
Omar Gandera. Renal finally got here.
They're gonna take him upstairs.
317
00:19:04,772 --> 00:19:07,856
- Did you call Psych for him?
- They said to call back in a week.
318
00:19:08,025 --> 00:19:11,604
Great. Kid OD'd on antifreeze
and Psych can't quite fit him in.
319
00:19:11,775 --> 00:19:13,566
Exam 2's open.
320
00:19:13,735 --> 00:19:15,692
Good work, Chuny.
321
00:19:15,861 --> 00:19:20,153
- Somebody help me, please!
- Park that guy. Jerry, clear Trauma 2.
322
00:19:20,322 --> 00:19:22,362
- What happened?
- It's his chest!
323
00:19:22,533 --> 00:19:24,110
- What's your name?
- Corky.
324
00:19:24,284 --> 00:19:27,319
- Are you all right?
- Yeah, but my dad is really sick.
325
00:19:27,494 --> 00:19:29,451
Was he vomiting blood?
It's on your shirt.
326
00:19:29,620 --> 00:19:30,651
No, I just cut myself.
327
00:19:30,829 --> 00:19:32,323
- What have we got?
- A possible Ml.
328
00:19:32,497 --> 00:19:34,535
- What's your father's name?
- Louis Etheridge.
329
00:19:34,705 --> 00:19:37,161
Louis? Louis? Mr. Etheridge?
330
00:19:38,750 --> 00:19:41,915
- Is he on any medications?
- I don't know. Maybe.
331
00:19:44,086 --> 00:19:45,331
- Air.
- Tachy at 120.
332
00:19:45,504 --> 00:19:47,994
- BP, 160 palp.
- EKG, portable chest.
333
00:19:48,173 --> 00:19:50,129
ABG, first-day CCU labs.
334
00:19:50,299 --> 00:19:54,377
Fifteen liters of O-2, four of MS,
titrate a nitroglycerine drip.
335
00:19:54,551 --> 00:19:56,757
- O-2 sat's 100.
- Are you nauseous?
336
00:19:56,928 --> 00:19:59,500
Yes. Please help me.
337
00:19:59,680 --> 00:20:02,927
- Inferior Ml?
- Has he had any heart trouble?
338
00:20:03,097 --> 00:20:05,339
No, that's not it.
339
00:20:05,515 --> 00:20:07,971
What is it, Corky?
It's okay to tell us.
340
00:20:08,142 --> 00:20:11,890
Dr. Greene? Why the hell did you pull me
down here in the middle of the night?
341
00:20:12,062 --> 00:20:14,848
Wait outside, Dr. Randall.
What's wrong with your father?
342
00:20:15,021 --> 00:20:17,511
- I need to talk to you.
- In a minute!
343
00:20:18,274 --> 00:20:20,681
- Corky?
- I don't know. He's just sick!
344
00:20:22,235 --> 00:20:25,021
Double lumen IVs.
Get a TPA tray.
345
00:20:25,194 --> 00:20:28,360
Let me know when the 12-lead's done.
346
00:20:29,197 --> 00:20:31,651
You got me out of bed
at midnight for no reason.
347
00:20:31,823 --> 00:20:36,283
- Your patient's just around the corner.
- I ordered her discharged hours ago.
348
00:20:36,451 --> 00:20:40,032
She's had three TIAs in two days.
She needs to be admitted.
349
00:20:40,203 --> 00:20:43,820
Stroke Council, AHA,
1995 recommendations:
350
00:20:43,998 --> 00:20:46,748
Hospitalize for four or more TIAs
in a two-week period.
351
00:20:46,916 --> 00:20:49,869
Or for findings suggesting
a worsening course. I know it.
352
00:20:50,042 --> 00:20:52,082
Her HMO will not authorize
her admission.
353
00:20:52,294 --> 00:20:54,250
She's one of your HMO patients.
354
00:20:54,419 --> 00:20:56,827
They're the only ones
who have patients anymore.
355
00:20:57,004 --> 00:21:00,288
So we wait till she strokes out
so they can keep their costs down?
356
00:21:00,465 --> 00:21:03,963
You don't have to wait for anything.
She is discharged.
357
00:21:09,720 --> 00:21:11,760
That migraine in 4 is still complaining.
358
00:21:11,931 --> 00:21:15,298
Try a milligram of DHE
and 10 of Reglan.
359
00:21:15,475 --> 00:21:18,143
- What's the story?
- His father's an alcoholic.
360
00:21:18,309 --> 00:21:21,059
His mother has been putting
Antabuse in his father's coffee.
361
00:21:21,227 --> 00:21:23,978
While he's still drinking?
And not telling him?
362
00:21:24,146 --> 00:21:27,311
So he's still drinking and now
he's having an Antabuse reaction.
363
00:21:27,481 --> 00:21:30,896
That could have been fatal.
The kid knew all along? Hey, Corky!
364
00:21:31,067 --> 00:21:32,774
Mark, the kid's scared enough, okay?
365
00:21:32,943 --> 00:21:34,899
He should be.
His father could have died.
366
00:21:37,404 --> 00:21:40,108
Call the mother and get her in here.
367
00:21:40,281 --> 00:21:43,364
Excuse me, doctor. My son's hand.
It really is a bad cut.
368
00:21:43,533 --> 00:21:45,856
Your son has been triaged
as a minor injury.
369
00:21:46,033 --> 00:21:47,942
There are more urgent cases
ahead of you.
370
00:21:48,118 --> 00:21:50,324
You have to wait in the waiting room.
371
00:21:50,495 --> 00:21:52,569
I asked you to keep
these people out of here.
372
00:21:52,746 --> 00:21:56,078
Now, I am running over to Doc's
to pick up my sandwich, okay?
373
00:21:56,248 --> 00:22:00,244
I'll be back in two minutes.
Get this dead guy out of here.
374
00:22:12,883 --> 00:22:16,795
Give me that!
Call for help, okay?
375
00:22:19,929 --> 00:22:22,300
Hang on! I'm gonna get you out!
376
00:22:23,181 --> 00:22:25,007
Hang on!
377
00:22:26,391 --> 00:22:28,383
Hang on!
378
00:22:43,150 --> 00:22:47,360
Leita! If you just crawl out the window,
we can get you out.
379
00:22:47,528 --> 00:22:48,691
Anything?
380
00:22:48,863 --> 00:22:51,779
We're waiting for the other unit
to show up with the equipment.
381
00:22:51,948 --> 00:22:54,782
- Get the mother and daughter out.
- Her mother's unconscious.
382
00:22:54,950 --> 00:22:58,365
Tell her to grab your hand.
You can pull her out.
383
00:23:02,330 --> 00:23:03,870
I got it!
384
00:23:07,624 --> 00:23:08,821
I'll try to get in!
385
00:23:11,835 --> 00:23:15,083
- Come over to this side!
- All right. Hold it.
386
00:23:23,175 --> 00:23:25,665
I can't reach her!
387
00:23:28,178 --> 00:23:32,505
Let me get in. Grab my hand!
Come on, grab my hand!
388
00:23:32,680 --> 00:23:34,174
- Grab my hand.
- Get out of there.
389
00:23:34,472 --> 00:23:36,595
- I can grab ahold of her.
- Let me get in there.
390
00:23:36,766 --> 00:23:40,015
- I almost got her hand.
- Doc, I can get her out of there, okay?
391
00:23:40,185 --> 00:23:42,177
Move!
392
00:23:43,186 --> 00:23:45,855
Let me get her out, okay?
393
00:23:49,524 --> 00:23:54,350
We'll bring her in. Why don't you go
dry off. Get the Trauma rooms ready.
394
00:24:01,865 --> 00:24:03,903
Jerry?
395
00:24:04,574 --> 00:24:07,194
- I wouldn't ask if I were you.
- Jerry.
396
00:24:07,367 --> 00:24:12,028
Folding chairs for the waiting room.
They were ordered four hours ago.
397
00:24:12,203 --> 00:24:14,824
Let me know when those
accident victims get in.
398
00:24:14,997 --> 00:24:18,246
I'm gonna go grab
some coffee and dry scrubs.
399
00:24:18,416 --> 00:24:21,249
And clear those Trauma rooms.
400
00:24:27,546 --> 00:24:29,538
You don't have any coffee filters,
do you?
401
00:24:29,714 --> 00:24:30,793
Are you kidding?
402
00:24:30,965 --> 00:24:34,712
No. And we can't even do
the folded paper towel trick.
403
00:24:38,052 --> 00:24:40,589
Mr. Carter, you are in luck.
404
00:24:40,762 --> 00:24:43,716
Now, if we had a hair dryer,
it'd really be our lucky day.
405
00:24:43,889 --> 00:24:45,134
How do you do this?
406
00:24:45,307 --> 00:24:49,136
You gotta get the coffee grounds out
without ripping the paper.
407
00:24:49,308 --> 00:24:52,926
No, I mean this. Patients stacked up
everywhere and no end in sight.
408
00:24:53,103 --> 00:24:55,059
It's like the O'Hare
of emergency rooms.
409
00:24:55,229 --> 00:25:00,981
It was a lot easier when I was younger.
I was newly married, I'd just had a baby.
410
00:25:01,149 --> 00:25:04,517
Jennifer used to come in the middle
of the night with chicken sandwiches.
411
00:25:04,693 --> 00:25:06,769
She'd have Rachel in the car seat.
We'd picnic...
412
00:25:06,945 --> 00:25:09,898
...between the waiting-to-be-sutured
and the bounced-back migraine.
413
00:25:10,072 --> 00:25:13,485
- I guess it helped, having a family.
- Yeah. Yeah, it did.
414
00:25:17,450 --> 00:25:20,023
What are you gonna do?
415
00:25:23,121 --> 00:25:24,698
That is really bad.
416
00:25:26,331 --> 00:25:28,655
I'm gonna go change.
417
00:25:28,833 --> 00:25:32,580
That's a lovely little pup
you got there, Mrs...
418
00:25:32,751 --> 00:25:36,997
Excuse me, Ms. Decksley.
Absolutely charming.
419
00:25:37,171 --> 00:25:39,742
Hey, Stinky,
want a few little stitches?
420
00:25:39,922 --> 00:25:43,753
- Shut that yappy little mouth of yours?
- You're not a dog-lover, huh?
421
00:25:43,924 --> 00:25:48,003
This is not a dog, it's a small,
furry object suitable for punting.
422
00:25:48,177 --> 00:25:50,418
I bet you can't get him
over that desk back there.
423
00:25:50,596 --> 00:25:54,970
- Don't tempt me.
- But tempting is what I do for a living.
424
00:25:55,139 --> 00:25:58,259
- I'm a lap dancer.
- Okay.
425
00:25:58,433 --> 00:26:01,599
So I hooked up with this
polyester guy tonight.
426
00:26:01,769 --> 00:26:06,927
And I slipped right off his knee and bam!
Sliced my butt on his spurs.
427
00:26:07,104 --> 00:26:09,725
Why would you wear boots
with polyester?
428
00:26:09,898 --> 00:26:11,689
I don't think I would.
429
00:26:11,858 --> 00:26:16,150
Are you gonna stitch me up next?
Because this cut really stings.
430
00:26:16,319 --> 00:26:19,272
- You want something for the pain?
- Drugs? Sure.
431
00:26:25,491 --> 00:26:26,819
Any word from outside?
432
00:26:26,992 --> 00:26:28,984
They radioed over.
Probably be 10 minutes.
433
00:26:29,161 --> 00:26:32,242
Jerry, call ICU. This ventilator guy
has been down here for days.
434
00:26:32,411 --> 00:26:35,577
Do you want me to page Benton
for that rule-out appy in 4?
435
00:26:35,747 --> 00:26:38,699
No, I'll check it out.
Lydia, get those labs on Cromley.
436
00:26:38,873 --> 00:26:41,957
I thought you were trying
to get that girl out.
437
00:26:42,125 --> 00:26:44,876
I can't even get the lab
to get a CBC in under three hours...
438
00:26:45,044 --> 00:26:48,459
...I can't get an x-ray in under two
or any ICU beds to open up.
439
00:26:48,630 --> 00:26:50,705
Mark, Jennifer's on the phone.
440
00:26:52,382 --> 00:26:54,338
- Jen, what's up?
- They brought Rachel home.
441
00:26:54,509 --> 00:26:56,665
- She's not feeling well.
- It's 1 in the morning.
442
00:26:56,842 --> 00:26:59,795
- They drove her back from the lake?
- Her stomach hurts.
443
00:26:59,970 --> 00:27:03,171
- Stomachache and what else?
- She threw up.
444
00:27:03,347 --> 00:27:06,631
Does she have a temperature?
Maybe it's altitude sickness.
445
00:27:06,807 --> 00:27:11,681
How do I know where the lake is?
You didn't even tell me she was going.
446
00:27:11,852 --> 00:27:16,062
Jen, I don't want to fight right now.
Listen, just put Rachel in bed.
447
00:27:16,230 --> 00:27:19,645
Keep her on clear fluids
and I'll call you in the morning.
448
00:27:19,815 --> 00:27:22,980
What do you want me
to do from down here?
449
00:27:23,150 --> 00:27:25,722
Well, I'm sorry you called too.
450
00:27:25,901 --> 00:27:28,818
Jerry, get Carter in here.
451
00:27:30,738 --> 00:27:32,979
- She'll be okay.
- Get this out of here.
452
00:27:33,156 --> 00:27:34,899
- Do you want me to page Benton?
- Yeah.
453
00:27:35,074 --> 00:27:37,315
The ankle's deformed.
No cap refill or pulses.
454
00:27:37,492 --> 00:27:39,567
BP's 80 palp. Pulse, 110.
455
00:27:39,743 --> 00:27:43,443
- Hey, doc, listen.
- Fracture dislocation. We need to reduce.
456
00:27:43,621 --> 00:27:44,818
Let's sedate her.
457
00:27:44,997 --> 00:27:49,323
Prep 35 migs Ketamine, 0.3 atropine.
458
00:27:49,499 --> 00:27:53,744
- I was just trying to get her out of it.
- Start another line. Half a gram of Ancef.
459
00:27:55,419 --> 00:27:59,001
CBC, Chem-7, UA, portable chest
and get an ankle.
460
00:27:59,171 --> 00:28:01,543
We got her out, damn it.
461
00:28:03,757 --> 00:28:05,999
Pulse, 140. BP, 90/60.
462
00:28:06,175 --> 00:28:09,673
Probable flail chest but good bilateral
breath sounds. Fractured left femur.
463
00:28:09,845 --> 00:28:11,837
Abdomen's rigid, x-rays on the way.
464
00:28:12,013 --> 00:28:13,969
- O-2 sat, 90.
- Blood ordered?
465
00:28:14,139 --> 00:28:16,509
Two units O-neg are up,
type and crossed for eight.
466
00:28:16,681 --> 00:28:19,254
Atropine, now.
Good work, Carter.
467
00:28:19,433 --> 00:28:23,015
- Prep for a lavage. You okay with that?
- I'm okay with that, yeah.
468
00:28:23,185 --> 00:28:25,177
Clear!
469
00:28:25,354 --> 00:28:28,519
Grab a C-spine and
a post-intubation chest next door.
470
00:28:28,689 --> 00:28:31,013
Ketamine's onboard. She's out.
Wanna wait for the films?
471
00:28:31,190 --> 00:28:34,191
No, let's do it. Countertraction.
472
00:28:36,444 --> 00:28:39,016
- That's it. Back in.
- She's coding!
473
00:28:39,196 --> 00:28:42,396
Where the hell's Benton? Page him, stat!
474
00:28:42,572 --> 00:28:45,441
All right, everybody off!
475
00:28:45,615 --> 00:28:47,572
- Okay, sinus brady.
- Mig of atropine.
476
00:28:47,742 --> 00:28:50,029
- Mix up dopamine.
- I paged him 911.
477
00:28:50,201 --> 00:28:52,407
Muffled heart sounds.
Neck vein distension.
478
00:28:52,578 --> 00:28:53,609
And another pulse.
479
00:28:53,787 --> 00:28:56,194
Thoracotomy tray.
Chuny, do compression.
480
00:28:56,372 --> 00:29:00,368
- Tamponade?
- Yeah. It could be a cardiac laceration.
481
00:29:01,417 --> 00:29:02,696
10 blade.
482
00:29:03,335 --> 00:29:05,540
- Did you page him?
- Twice.
483
00:29:05,711 --> 00:29:07,619
- Rib spreader.
- O-neg. Four more units.
484
00:29:07,794 --> 00:29:10,167
Throw them on the infuser.
485
00:29:15,133 --> 00:29:18,382
Sac's tense with blood. Metz!
486
00:29:22,054 --> 00:29:24,461
- She's bleeding out.
- Rib punctured the heart.
487
00:29:24,639 --> 00:29:27,722
Keep your finger over the hole
and do compressions.
488
00:29:27,891 --> 00:29:30,048
Should we wait for Benton?
489
00:29:31,560 --> 00:29:34,049
Let's try a 16 Foley, 30 cc balloon.
490
00:29:34,228 --> 00:29:35,638
- Foley?
- Clamp the end.
491
00:29:35,812 --> 00:29:39,558
And saline, not air.
Last thing she needs is an air embolism.
492
00:29:39,731 --> 00:29:42,849
- She's in fib.
- Internal paddles.
493
00:29:43,024 --> 00:29:46,024
One second.
Carter, pay attention.
494
00:29:46,193 --> 00:29:49,857
Catheter is going into
the hole in the heart.
495
00:29:50,029 --> 00:29:53,361
- Okay. Now fill the balloon.
- Two units O-neg in.
496
00:29:56,158 --> 00:29:58,233
Excellent.
497
00:29:58,742 --> 00:30:00,734
Now, traction.
498
00:30:03,370 --> 00:30:05,658
- What have we got?
- Charging.
499
00:30:05,830 --> 00:30:07,821
Charge 20.
500
00:30:08,664 --> 00:30:10,490
Zapping.
501
00:30:10,916 --> 00:30:13,489
- Sinus.
- Got a pulse.
502
00:30:13,667 --> 00:30:16,158
Let's get her up to the O.R.
503
00:30:20,381 --> 00:30:22,621
Where have you been?
We have a double trauma...
504
00:30:22,799 --> 00:30:24,209
...and you don't even respond?
505
00:30:24,383 --> 00:30:26,504
I was closing
on a mesenteric infarction.
506
00:30:26,675 --> 00:30:29,295
With how many Residents
who could've?
507
00:30:29,468 --> 00:30:32,422
- It was my surgery. I was busy.
- No, no, Peter.
508
00:30:32,595 --> 00:30:36,971
Down here is busy. In there is busy. In
there is where we ignore everything else.
509
00:30:37,140 --> 00:30:41,302
I ignore my patients for in there. I ignore
my child, my marriage for in there.
510
00:30:41,476 --> 00:30:44,393
Don't ever pull this again!
511
00:30:52,190 --> 00:30:54,312
Maybe the rain
will keep the people home.
512
00:30:54,483 --> 00:30:55,893
I thought it stopped raining.
513
00:30:57,777 --> 00:30:59,520
Nope.
514
00:30:59,695 --> 00:31:01,686
- Going...
- Going...
515
00:31:01,862 --> 00:31:03,689
Gone.
516
00:31:03,864 --> 00:31:05,903
- Is there a problem?
-2:00.
517
00:31:06,073 --> 00:31:08,315
- Bars are closing.
- They're getting in their cars.
518
00:31:08,491 --> 00:31:10,116
- Going too fast.
- Swerving.
519
00:31:10,284 --> 00:31:12,526
- Crashing.
- Paramedics are rolling out.
520
00:31:12,703 --> 00:31:16,284
- Scooping them up.
- And dropping them off on our doorstep.
521
00:31:16,455 --> 00:31:19,656
Dr. Greene, that was a 911 call
from our waiting room.
522
00:31:19,831 --> 00:31:21,907
- It's a jungle out there.
- I know.
523
00:31:22,083 --> 00:31:24,952
Drs. Lewis, Ross, Weaver
and Treloggen will be on...
524
00:31:25,126 --> 00:31:29,787
...in four hours and 58 minutes.
They will not be pleased.
525
00:31:29,962 --> 00:31:33,296
By the way, Jerry,
that light bulb's out.
526
00:31:33,882 --> 00:31:36,455
- Did you discharge that ankle sprain?
- About an hour ago.
527
00:31:36,634 --> 00:31:39,586
- The rule-out Ml in 4?
- Cardiology took him up.
528
00:31:39,761 --> 00:31:42,465
- What about that kid with the cut hand?
- With the mother?
529
00:31:42,638 --> 00:31:44,758
- Yeah.
- No, he's still in the Suture Room.
530
00:31:46,681 --> 00:31:50,546
There's a metallic foreign body
of 14 millimeters...
531
00:31:50,725 --> 00:31:54,139
...located one centimeter medial
to the distal femoral condyle.
532
00:31:54,310 --> 00:31:55,555
Morning, Harry.
533
00:31:55,728 --> 00:31:58,644
- Labs back on that OD in 6.
- Excellent! Stick them on the chart.
534
00:31:58,814 --> 00:32:00,722
Films are back
on that busted collarbone.
535
00:32:00,898 --> 00:32:02,937
Excellent. Stick them on the chart.
536
00:32:06,652 --> 00:32:09,436
- Mrs. Huggins.
- This is my son, Danny.
537
00:32:09,611 --> 00:32:11,603
- Hello, Danny.
- Hi.
538
00:32:13,613 --> 00:32:15,771
- I need to see you a minute.
- Can't it wait?
539
00:32:15,948 --> 00:32:17,986
No, I don't think so.
540
00:32:19,909 --> 00:32:21,984
Excuse me.
541
00:32:24,245 --> 00:32:26,237
- Why Trauma 1?
- She's not doing so well.
542
00:32:26,413 --> 00:32:27,657
There are no exam rooms.
543
00:32:27,831 --> 00:32:30,368
- Is her son with her?
- Yeah.
544
00:32:33,251 --> 00:32:36,452
Carol, why don't you
take Corky outside.
545
00:32:36,627 --> 00:32:39,626
- You drink coffee yet?
- He's not supposed to, but he does.
546
00:32:39,796 --> 00:32:42,333
Me too. Come on, let's go get a cup.
547
00:32:44,006 --> 00:32:45,334
I'm Dr. Greene.
548
00:32:45,507 --> 00:32:48,922
Corky didn't tell you about his father
because I told him not to.
549
00:32:49,093 --> 00:32:52,508
I told him not to tell anybody.
550
00:32:52,679 --> 00:32:55,844
His condition tonight was very serious.
551
00:32:56,014 --> 00:33:00,922
Antabuse is a deterrent to alcohol.
Mixing them can be fatal.
552
00:33:03,268 --> 00:33:06,765
It's not that I want him to die.
553
00:33:06,936 --> 00:33:10,518
It's just that when he drinks,
it can get pretty bad.
554
00:33:12,231 --> 00:33:17,188
There's blood on Corky's shirt.
Does your husband beat him as well?
555
00:33:17,360 --> 00:33:21,308
No. Corky got in the middle.
I think it's from my nose.
556
00:33:23,071 --> 00:33:27,114
There are places you can go,
Mrs. Etheridge.
557
00:33:27,281 --> 00:33:31,692
Shelters where you
and your son can be safe.
558
00:33:31,868 --> 00:33:33,860
I know.
559
00:33:36,329 --> 00:33:41,866
In cases of domestic violence
I'm legally obligated to inform the police.
560
00:33:44,417 --> 00:33:47,037
I know that too.
561
00:33:58,801 --> 00:34:01,505
Jerry, call the police.
Domestic violence case.
562
00:34:01,677 --> 00:34:03,052
Sure.
563
00:34:03,220 --> 00:34:06,054
Carol, order a facial series
and clean up the abrasions.
564
00:34:06,222 --> 00:34:08,048
Okay.
565
00:34:11,850 --> 00:34:14,850
Did he want to talk about it?
Say anything?
566
00:34:16,395 --> 00:34:19,347
No. Not a word.
567
00:34:28,401 --> 00:34:30,192
Bend your finger.
568
00:34:30,361 --> 00:34:33,526
- He was helping me hang a mirror.
- It weighed a ton.
569
00:34:33,697 --> 00:34:35,937
Needless to say, we dropped it.
570
00:34:36,115 --> 00:34:39,898
- Seven years of bad luck.
- I don't believe in that stuff.
571
00:34:40,075 --> 00:34:42,483
It's fairly deep,
but there's no tendon damage.
572
00:34:42,660 --> 00:34:44,320
See? That's good luck.
573
00:34:44,495 --> 00:34:46,652
- What time did it happen?
- After dinner.
574
00:34:46,829 --> 00:34:49,402
After Hard Copy, Mom.
575
00:34:50,915 --> 00:34:54,283
- Unfortunately, I can't stitch it up.
- What?
576
00:34:55,500 --> 00:34:58,786
After six hours,
the risk of infection is too high.
577
00:34:58,961 --> 00:35:02,246
We've been here half the night
and now you can't even do anything?
578
00:35:02,422 --> 00:35:06,121
I'll put him on antibiotics. Come back
in three days for a delayed closure.
579
00:35:06,300 --> 00:35:09,169
Do we have to wait again?
580
00:35:11,427 --> 00:35:16,004
- Did they admit that bowel obstruction?
- He's under the knife as we speak.
581
00:35:16,179 --> 00:35:18,088
Good work.
582
00:35:19,765 --> 00:35:24,426
Whoever's got gastrointestinal distress,
rise and shine.
583
00:35:24,602 --> 00:35:26,807
- Loretta.
- Hi, Dr. Greene.
584
00:35:26,978 --> 00:35:29,931
- These gurneys aren't bad.
- Are you all right?
585
00:35:30,105 --> 00:35:34,183
Yeah, I'm fine. I mean, no.
You know, of course, I'm not.
586
00:35:34,358 --> 00:35:36,848
It's Jimmy. He's got a fever.
He's been throwing up.
587
00:35:37,025 --> 00:35:41,068
- Come on, baby. Wake up.
- Swing your feet over there.
588
00:35:41,236 --> 00:35:44,022
- How are you doing there?
- I puked twice in the waiting room.
589
00:35:44,197 --> 00:35:45,607
He's kind of embarrassed.
590
00:35:45,781 --> 00:35:48,946
There were six other men
in line for the bathroom.
591
00:35:49,116 --> 00:35:51,606
Yeah, it's a little crowded out there.
Sorry.
592
00:35:51,785 --> 00:35:55,449
Your stomach feels okay?
Open your mouth.
593
00:35:55,954 --> 00:35:59,119
There you go. Tongue out.
594
00:35:59,289 --> 00:36:03,949
I don't think it's anything serious.
Your garden-variety 24-hour virus.
595
00:36:04,124 --> 00:36:07,788
Nothing by mouth for six hours.
Then, sips of clear liquids.
596
00:36:07,960 --> 00:36:11,660
If he keeps those down, you can try
a little toast and applesauce for dinner.
597
00:36:11,837 --> 00:36:14,838
- Thanks, Dr. Greene.
- I'm sorry you had to wait so long.
598
00:36:15,007 --> 00:36:19,418
It wasn't so bad. We got in
before a lot of the others did.
599
00:36:22,511 --> 00:36:25,629
- You wanna help me grab some stuff?
- Sure. What do you need?
600
00:36:25,805 --> 00:36:28,295
Gauze, syringes, Ace wraps...
601
00:36:28,473 --> 00:36:31,804
...saline, suture sets, eye patches.
602
00:36:33,726 --> 00:36:35,136
-4-0 nylon.
- Check.
603
00:36:35,310 --> 00:36:37,267
- Skin staplers.
- Check.
604
00:36:37,436 --> 00:36:39,309
- Tetanus boosters.
- Double check.
605
00:36:39,479 --> 00:36:44,720
Haleh, Lydia, what are you doing
for the next couple of hours?
606
00:36:49,652 --> 00:36:52,901
- He's kidding, right?
- Can we treat them without a chart?
607
00:36:53,071 --> 00:36:57,529
- How's the hospital going to bill them?
- Does that metal detector work?
608
00:36:57,698 --> 00:37:01,908
- You're not making an announcement?
- And start a stampede?
609
00:37:02,076 --> 00:37:04,827
These are some
of the more minor cases.
610
00:37:04,994 --> 00:37:10,283
Explain to them what we are doing.
No labs or x-rays without a chart.
611
00:37:11,706 --> 00:37:13,117
Richard Tomco?
612
00:37:15,001 --> 00:37:17,786
Anderson? Anderson?
613
00:37:20,629 --> 00:37:23,498
Mark, we know this guy.
What do you want this time, Ricky?
614
00:37:23,672 --> 00:37:24,834
Percocet? Demerol?
615
00:37:25,006 --> 00:37:26,832
No. I'm telling you,
this time it really hurts.
616
00:37:27,007 --> 00:37:30,506
Yeah, it's abscessed.
Pretty nasty in there.
617
00:37:30,676 --> 00:37:33,593
Five cc's Marcaine, 27-gauge needle.
618
00:37:33,762 --> 00:37:36,299
Have any allergies?
619
00:37:39,473 --> 00:37:41,844
Open up.
620
00:37:42,016 --> 00:37:45,384
You're gonna be numb
for about six hours.
621
00:37:45,560 --> 00:37:48,725
Dental clinic's on the second floor.
Opens at 9.
622
00:37:48,895 --> 00:37:51,978
- Do I need stitches?
- No. When was your last tetanus shot?
623
00:37:52,147 --> 00:37:54,553
- Probably high school.
- Okay. We'll give you one now.
624
00:37:54,732 --> 00:37:56,191
But I want you to come back...
625
00:37:56,358 --> 00:37:59,477
...if there's any redness
or swelling or red streaks, okay?
626
00:37:59,652 --> 00:38:02,735
Impetigo. Write him for Keflex.
627
00:38:02,904 --> 00:38:06,686
Uticaria, 0.2 Susphrine sub-Q.
628
00:38:07,698 --> 00:38:10,863
Subungual hematoma. Drain it.
629
00:38:11,034 --> 00:38:13,819
Do you think he's, you know,
lost his grip on reality?
630
00:38:13,993 --> 00:38:15,784
No. I think he's having fun.
631
00:38:15,952 --> 00:38:20,115
Vaginal bleeding. Haleh, do you think we
can do a pelvic in the waiting room?
632
00:38:20,288 --> 00:38:24,996
Just kidding. Take her back,
spin a crit, dip a urine and do an ICON.
633
00:38:25,583 --> 00:38:27,954
- Sudden-onset blindness.
- Woke up this morning...
634
00:38:28,127 --> 00:38:30,452
...couldn't see a thing.
635
00:38:30,795 --> 00:38:32,124
Carter?
636
00:38:32,296 --> 00:38:36,162
Differential includes retinal detachment,
central retinal artery occlusion, CVA.
637
00:38:36,341 --> 00:38:39,707
Diabetic retinopathy,
retinitis, macular degeneration.
638
00:38:39,884 --> 00:38:42,800
She's too calm.
I think it's psychogenic.
639
00:38:42,969 --> 00:38:46,881
Lydia, try and find that optokinetic drum.
640
00:38:47,054 --> 00:38:50,552
If the eyes move when
the drum spins, she's faking.
641
00:38:58,729 --> 00:39:01,479
Molly and Sarah were roughhousing.
Don't buy bunk beds.
642
00:39:01,647 --> 00:39:04,315
And Molly got pulled off the top.
643
00:39:04,482 --> 00:39:09,556
Your arm hurts, Molly?
Did you hit your head or anything else?
644
00:39:09,735 --> 00:39:12,059
- Want me to order an x-ray?
- No, we don't need it.
645
00:39:12,236 --> 00:39:15,818
Ms. Taylor, one of the ligaments
in Molly's elbow slipped out of place.
646
00:39:15,988 --> 00:39:20,815
I'm gonna fix it. She's gonna cry,
but it'll only hurt for a second.
647
00:39:23,243 --> 00:39:25,567
Jeffrey fed his brother
a couple button batteries.
648
00:39:25,745 --> 00:39:26,943
- You sure?
- Yeah.
649
00:39:27,120 --> 00:39:29,740
- I saw the second one go down myself.
- Why'd you do that?
650
00:39:29,914 --> 00:39:31,988
- Because he likes them.
- He likes them.
651
00:39:32,165 --> 00:39:33,742
He's gonna need some x-rays.
652
00:39:33,915 --> 00:39:37,165
If they're stuck in his esophagus,
there's potential for a perforation.
653
00:39:37,334 --> 00:39:39,290
Carter? Carter, hold on for a second.
654
00:39:39,502 --> 00:39:42,123
Can I borrow this?
655
00:39:42,296 --> 00:39:44,287
Try that.
656
00:39:50,384 --> 00:39:52,790
It's below the diaphragm.
No need to worry.
657
00:39:52,969 --> 00:39:55,091
Check his stool.
They'll pass in a day or two.
658
00:39:55,263 --> 00:39:57,253
That's great. Thank you.
659
00:40:02,641 --> 00:40:04,717
He's right. Psychogenic.
660
00:40:04,892 --> 00:40:07,892
Lois, I'll give you some eye drops.
661
00:40:08,061 --> 00:40:12,271
I think they'll help your vision.
Just lean your head back.
662
00:40:12,439 --> 00:40:14,929
Always give the patient a way out.
663
00:40:16,316 --> 00:40:19,600
One more. Okay. That ought to do it.
664
00:40:19,777 --> 00:40:23,854
Oh, yeah. I can see everything.
It's still a little blurry, though.
665
00:40:24,028 --> 00:40:27,313
By the time you get home,
everything should be fine.
666
00:40:27,489 --> 00:40:31,615
Mark, Mrs. Lipshultz,
83, flushed, headachy.
667
00:40:34,118 --> 00:40:36,324
And nauseous.
668
00:40:36,494 --> 00:40:38,320
Sorry.
669
00:40:38,496 --> 00:40:43,452
That's all right. They're Doug's shoes.
Give her 10 of Compazine, I.M.
670
00:40:46,084 --> 00:40:49,000
What's bothering you, Mr. Buchanan?
671
00:40:49,169 --> 00:40:51,623
Where does it hurt?
672
00:40:52,879 --> 00:40:54,455
Here.
673
00:40:57,465 --> 00:40:59,706
How you doing, Mr. Buchanan?
674
00:41:01,009 --> 00:41:03,297
My back is killing me.
675
00:41:03,469 --> 00:41:06,303
- Not your shoulder?
- No, no. My back.
676
00:41:06,470 --> 00:41:10,550
BP both arms. Don't worry.
We're gonna take care of everything.
677
00:41:12,683 --> 00:41:15,054
Where can I get one of these things?
678
00:41:16,976 --> 00:41:20,344
Her arm feels absolutely fine.
What do you say?
679
00:41:20,520 --> 00:41:24,102
- Thank you.
- You're very welcome.
680
00:41:26,607 --> 00:41:29,940
We still have an eye pain,
a neck pain, an abdominal pain...
681
00:41:30,110 --> 00:41:33,975
- ... and a boil that needs to be lanced.
- Be there in a minute.
682
00:41:34,946 --> 00:41:36,985
I know it's early,
but I knew you'd be up.
683
00:41:37,156 --> 00:41:38,484
How did you know?
684
00:41:38,657 --> 00:41:41,821
Because Bananas in Pajamas is on.
685
00:41:41,991 --> 00:41:45,489
Don't turn it up, Rachel.
You'll wake up Mommy.
686
00:41:46,952 --> 00:41:52,657
I'm glad you're feeling better, sweetie.
I'll see you next weekend.
687
00:41:52,831 --> 00:41:54,657
- Love you.
- Love you too.
688
00:41:59,752 --> 00:42:01,910
- Breakfast?
- Thanks.
689
00:42:02,088 --> 00:42:04,079
- Breakfast?
- Thank you.
690
00:42:12,134 --> 00:42:14,090
Be careful. It's ugly out there.
691
00:42:14,260 --> 00:42:16,336
Not as ugly as it's been in here.
Good night.
692
00:42:16,512 --> 00:42:18,171
Good night.
693
00:42:19,222 --> 00:42:24,215
What a night! You ever have to
sleep in one of these things?
694
00:42:24,391 --> 00:42:30,179
I'll put your shoes by your locker.
Mine are probably dry by now.
695
00:42:30,354 --> 00:42:34,978
- Thanks for the great work, Carol.
- That's why they pay me the big bucks.
696
00:42:35,148 --> 00:42:39,191
Hey, Peter. We're gonna have
to find some way to work together.
697
00:42:39,359 --> 00:42:41,931
Yeah, I guess we are.
698
00:42:43,695 --> 00:42:45,153
How was dinner?
699
00:42:45,321 --> 00:42:48,155
- I fired him.
- What?
700
00:42:48,323 --> 00:42:50,611
I need a new lawyer.
The guy was a lightweight.
701
00:42:50,783 --> 00:42:54,197
He said that Chloe
could possibly have a case...
702
00:42:54,368 --> 00:42:59,655
...if in fact she does have a job...
703
00:42:59,829 --> 00:43:01,370
What do you think?
704
00:43:01,538 --> 00:43:05,949
I've seen her go through hundreds
of jobs. What am I supposed to think?
705
00:43:11,669 --> 00:43:13,745
- Hey, Kerry.
- Hi, Mark.
706
00:43:13,921 --> 00:43:16,411
I think I finally made sense
of that QA review.
707
00:43:16,590 --> 00:43:20,040
But you're on your way out.
We can go over it later.
708
00:43:20,216 --> 00:43:22,789
Thank you. I appreciate that.
709
00:43:23,386 --> 00:43:25,376
Good night.
710
00:43:32,139 --> 00:43:35,554
- I thought it would've stopped by now.
- Yeah.
711
00:43:37,393 --> 00:43:40,310
Tonight was great. The waiting room.
712
00:43:42,354 --> 00:43:45,520
When I started med school,
that's what I thought it would be like.
713
00:43:46,232 --> 00:43:48,224
Really helping people.
714
00:43:48,400 --> 00:43:51,684
At least, that's what I thought
it was supposed to be.
715
00:43:51,859 --> 00:43:54,563
That is what it's supposed to be.
716
00:43:57,905 --> 00:44:03,063
- What are you gonna do today, Carter?
- I don't know. What are you gonna do?
717
00:44:04,159 --> 00:44:05,902
I don't know.
60027
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