Original subtitles

Well, come in.

You're early, Mr. Voss. I wasn't expecting you until...

You're not Mr. Voss.

Hey, Dr. Cook.

Are you all right?

Oh, I'm fine.

I'm just a little tired. It's been a long week.

Ma asked me to return this medical book to you.

She said thanks for letting her borrow it.

Sure, anytime.

She would have brought it back herself, except she had to pick up Colleen at the

train station.

Colleen's here?

Yeah, just for the weekend, though.

She has to go back to school on Monday.

Well, I'll be sure to stop by as soon as I'm finished here.

All right.

See ya.

An introduction to human physiology.

My first course in pre -medical studies.

It's fascinating.

Sounds wonderful, Colleen.

They give me a lot of work.

We have an examination every Thursday.

It's going to be a lot of memorizing.

But so far, I know most of the things from working at the clinic with you.

Guess it helps having a doctor in the family, huh?

Yeah.

See you back at home, thanks.

See you, Sally.

The professor just gave us a new assignment.

I'm really excited about it.

What is it?

We're supposed to interview a doctor and find out what his most memorable case

was. And then write a paper describing the diagnosis, treatment, and outcome of

the case.

And since you are a doctor, I'm going to make the subject of my paper about you.

I'd like that very much, Colleen.

Now all you've got to do is figure out which case was your most memorable.

case?

Colleen!

Thank you.

Are you all right?

I'm fine.

Well, you have a...

It's light.

It's so feverish.

I think I'd like to examine you just to make sure.

I'm a doctor, Michaela. I think I'd be able to tell. That you're pale and

sweating and you have a fever, which means that you're sick?

Please, you let me examine you?

Some chills, minor muscle pains, headache.

Headache?

The usual symptoms, Michaela. If you ask me, it's just a simple catarrh.

I agree, and the normal treatment for a catarrh is bed rest.

Well, unfortunately, my duties at the hotel clinic will not allow that.

I'm afraid it's your doctor I have to incent.

Well, if you don't rest, your body won't heal.

Now, you wouldn't want the catarrh developing into something worse, would

No, I wouldn't.

You can stay here in one of the recovery rooms. That way we can monitor you and

make sure you get the rest you need.

Most memorable case?

And then we write a paper describing the diagnosis, treatment, and outcome.

Did Michaela decide which case that might be?

Not yet.

She's going to have to give it some thought.

I'm sure she's had her share of memorable cases out here.

There's been a lot of them.

Some really strange ones, too.

Really? Such as?

Well, there was this one man who everyone thought was dead.

But he wasn't.

The first Jake found him in the barber shop.

If you want to take a nap, Hank's got beds over at the saloon.

I don't think he's taking a nap, Jake.

What do you say?

Jake?

I'd say he just had his last shave.

But when they went to get Dr.

Mike... All right, what'd you do with him? I didn't do anything with him.

Oh, I get it. Now you're playing a trick on me.

When you find him, let me know.

He was here a minute ago.

Relax, folks.

Nothing to concern yourselves.

Then Hank and even Matthew found the same man dead.

Mister.

Uh -oh.

And it's time he disappeared.

He was just here a minute ago.

I suppose he just got up and walked away.

Dr. Mike thought it was a Halloween joke.

But he was just there.

What's your name, sir?

Ben, on Halloween night.

I thought

I'd

lost you there for a moment.

What you had is a seizure from a condition called catalepsy.

The lens becomes rigid, the heart slows, and the temperature drops.

It's almost like a state of deep sleep.

It can last for minutes or even hours.

Why did everyone scream when they saw me?

You had the scariest costume.

Oh.

And there was John the Engineer.

John the Engineer?

It's all right.

I promised him you'd fix him.

Will you go get him?

Looks like he was in a fire. He was in a train wreck.

And his face got burned real bad.

Reading about medical history.

Dr. Mike wanted to help him. The human body is remarkable.

Our skin has the ability to grow back.

Well, when doctors discovered this, they started a new branch of surgery called

plastic. So she asked if she can try an experimental treatment on him.

If you give me a chance, I can give you a new face.

After I take the flap, I'm going to sew it back up. It'll leave a scar, but it

won't be back out of the bone.

That was just the first step.

It took a long time, but after everything healed, the difference was

Are you ready?

I'll be back in a few months.

The sensations will start on the outside edges and move inward.

I'm sure

it'll

take some getting used to with the change, but I think you look wonderful.

That's remarkable.

Reconstructive surgery is incredibly difficult, even for a city hospital.

How she manages with her limited medical resources is nothing short of

miraculous.

She had even less when she first came here.

But even then, she did incredible things.

Black hole's been shot.

Put him on the table. It's you, it's you.

Kimmington and his men ambushed the village, burnt it to the ground,

nearly everybody.

There's a bullet lodged in his neck. Can you get it out?

I think so, but the swelling's constricting his air passages.

He can't breathe. There's something else I've got to do first. What?

Better do what you're doing.

Call the tracheotomy.

They'll help him to breathe.

Dr.

Mike saved Chief Black Kettle's life.

And to thank her, he gave her her Indian name.

Chief Black Kettle just gave you your Cheyenne name.

Medicine woman.

Medicine woman?

Yes. After five years, I would think Michaela's treated just about everyone

town by now.

Pretty much.

Although some folks are more prone to getting sick than others.

You had more wax in there than an airflow.

Now don't look. It'll only take a second.

Colleen, get me the cutters. What?

You're going to cut off my arm? No. I'm going to clip the arrow. I'm going to

need to push it right through.

Horace?

Oh, too long.

Horace, you all right?

Horace, be careful.

Hey, you like the clues, Myra?

Horace, slow down.

How many fingers?

Chocolate.

I think he's finished for the day.

What about Preston?

Has Michaela ever treated him?

Just once.

What am I doing here?

You fainted from the pain.

But I didn't give you permission to... Mr. Lodge, I'm a doctor.

I needed to examine you to confirm what I suspected to be the cause of your

discomfort.

And? I believe you have a kidney stone.

A kidney stone?

I can give you some willow bark tea to ease the pain and a solution of

carbonated potassium mixed with soda that would help ease the urinary

Will that cure it?

Well, that and a lot of water should help move the stone along. And once it

to the bladder, you should be able to pass it out.

Unless, of course, the bladder becomes blocked.

Blocked? By the stone.

But if that happens, it may become necessary for surgical intervention.

What are you doing?

I'm leaving.

I haven't eaten the tea or the carbonated potato.

I'll be fine.

Well, what about the pain?

Thank you.

Andrew?

What's wrong?

Nothing. It's nothing.

Is your headache getting worse?

What? You're burning up.

It shouldn't be going up.

I drank something that will... Willowbark tea.

It's getting worse.

Fever's climbing.

Colleen, will you prepare some more tea?

How could it be going up so fast?

I don't know.

I'm afraid this is more than a simple guitar.

How's the headache?

Like knives.

I have pain in my abdomen as well.

Appendicitis?

My uncle removed my appendix two years ago.

It's enlarged. I know.

It should lower your fever and help with the pain.

Where's Colleen?

I had her ride out to Becky's to pick up Katie for me.

I don't understand it, Michaela.

I thought perhaps it's influenza.

But the symptoms presented themselves rapidly.

I guess you've had your share of mysterious illnesses recently.

The outbreak here at the clinic.

The malpractice case.

There have been many more.

When Dorothy Thompson died, at first everyone thought Dorothy had murdered

Mrs. Jennings, we find you guilty of murder in the first degree.

We think you ought to go to jail for the rest of your life, kidding your

husband. But I believe that she was innocent, and I set out to prove it. If

look at that picture, you'll see the drawing of a ruptured stomach.

The ulcerations are extensive.

Mr. Jennings drank heavily. Over time, the alcohol has damaged most of the

organs.

Stomachs grow thin and the intestines rupture.

Man can bleed to death in moments.

Here's your cause of death, gentlemen.

See how the blood is darker?

Yes, I do.

Look, right there, Hank.

That's right. It's a bleeding ulcer. Look here. See for yourself.

It's exactly how it is in the textbook.

I don't know about this.

I do.

I've been enough.

Dr. Mike!

There was another time when several Chinese workers who were helping Robert

suddenly took ill. They were just having their key and biscuits.

Did Matthew eat any of these?

Yes. I had some, too.

With tea?

With milk.

Matthew had tea.

But he had milk in it. No one knew how or why they were getting sick until...

Urgent you advise at once. Signed, Dr. Quinn.

And that's going to the Wallkill Bakery, Orange County, New York. Please let me

know the minute you receive a reply, Horace.

Probably won't be till tomorrow.

213 people were poisoned in New York and other cities.

With those biscuits?

The lead was in the flour used to make biscuits.

The millstone used to make this flour had holes in it.

The workers filled the holes with lead.

When the wheels wore down, the lead was ground into the flour.

And when it was baked into the biscuits... The heat and fermentation

it into lead carbonate, which is a deadly poison.

How come Peter and I didn't get sick?

The milk you drank coated your stomach and helped to neutralize the poison.

There was even a time when my mother became ill.

I went back to Boston to be with her and found myself disagreeing with her

doctor's diagnosis.

I've asked your daughter to give a second opinion on this case.

Mother, I'm afraid we're going to have to examine you.

The liver's enlarged, but I don't feel any tumor.

Dr. Hansen said he thought it was on the lateral side.

I'm sorry this is painful, Mother, but I need you to tell me which is worse,

when I press in or when I let go.

Would you take a deep breath?

What's going on here?

A medical examination, Dr. Hansen, and a diagnosis.

I differ with your diagnosis of my mother's condition.

You have no right to contradict Dr. Hansen. Yes, I do, Mother, especially

your life depends upon it.

I believe she's suffering from hepatitis.

Absurd. The disease of the poor and unclean.

My point is that I have a treatment for liver detoxification.

It's not commonly known. It's something that I discovered in my new practice.

Oh, you've discovered a liver cure -all, have you? It's a proven cure.

Hundreds of years old.

I learned it from the Cheyenne Indians.

Oh, good Lord.

Oh, Taylor.

Away. Out of here, both of you, please.

I've read your daughter's research on the detoxification treatment she

recommended, and I strongly advise that you start taking it immediately.

What's all this nonsense about oyster?

Mother, we don't think that it's nonsense.

But the diagnosis is not the issue here.

If I am wrong, and you don't have hepatitis, then the tea simply won't

But Dr. Burke agrees that the ingredient in no way interferes with Dr.

Hansen's treatment of his diagnosis.

Cancer.

Isn't that usually fatal?

Yes, Mother.

What are you waiting for?

It's a miracle.

It's a miracle. Oh, thank you, Dr. Hansen. Don't thank him.

At least not for curing me.

For trying to. Yes, I do thank you for that, Dr. Hansen. I don't understand.

And I know my husband would thank you as well if he were still with us.

I also know he would have been very disappointed at how you discounted his

partner's advice in my case.

His partner?

Dr. Michaela Quinn, M .D.

She saved my life.

And then there's Anthony.

I made this one myself.

Oh, that looks very festive.

Anthony!

How is he?

I've given him laudanum.

The pain subsided, and he's resting now.

What's wrong with him?

He's slightly jaundiced, but his pain attacks are puzzling. I've never seen

anything like them before.

But you can make him better.

I can't be sure.

Right now, I don't know exactly what caused the pain.

His spleen is dangerously enlarged.

Can you do anything?

I can remove it.

He can live without a spleen. No, you can't.

You said to yourself, you're not sure what's wrong.

You could kill him. What if you don't operate?

No, Robert. No.

I'm going to try.

There's the spleen.

Nearly twice the size it should be.

The operation was successful, but I've yet to discover what his sickness is.

Comes and goes.

But we keep searching for answers.

A doctor never gives up on a patient.

Colleen? I didn't expect you back. Where's Kate? I took her home. Brian and

Sally are watching her.

Is the tea helping any?

The pain is spreading.

It's more distal now, Michaela.

It's like a thrallgia. What's that?

There's a pain in the joints.

It's mostly in my...

My wrists and ankles.

It's the strangest thing.

Let me take a look.

A rash?

Measles? No, it's called spotted fever. Sometimes it's called black measles.

I've never heard of it.

Mostly occurs in the wilderness areas and forested areas far away from the

cities. Most occurrences happen in the spring.

How did he get it? We don't know the cause of it.

But some believe that it's transmitted by the bite of a tick.

A tick?

Will he be all right?

Well, the rash will probably spread and pain and fever may become worse.

But you're young and you're strong and hopefully it should pass within a week.

And you should recover.

There's a chance I may not.

Temperature's holding at 104.

Let's hope he doesn't go any higher.

How much longer is he going to be like this?

Well, if there are no complications, the fuse should break in a few days.

Complications?

There was a chance that he could develop meningitis.

I'll keep a close eye on him.

He should go home. It's getting late.

I want to stay here and help you look after him. Do you need to get some rest?

I'm fine.

It's like you said.

A doctor never gives up on a patient.

It's true you never stop caring.

But you must also never stop being a doctor.

It's important to care, Colleen.

But we must also try to maintain a professional detachment.

Not become too emotionally involved with the patient.

Unfortunately, that's easier said than done.

He's been stabbed and I can't stop the bleeding.

Easy with him.

There it is.

He's alive.

But his condition's still serious.

I'm afraid...

Come here, sit down.

You all right, Mom?

I'm afraid he's lost a lot of blood.

Well, we can give him some of mine.

Transfusion's unpredictable.

There's no guarantee it'll work.

It worked last time I gave blood to Lauren.

Until we have a choice.

Which what?

I believe you have a growth.

Where?

Here on your breast.

Oh, oh, that.

How long have you had it?

I'm sure it's nothing.

I am the doctor.

Well, doctor, all I've got is a little cough.

I'm worried about you, Dorothy.

I don't want to talk about it.

Especially knowing that your mother had a similar problem.

My mother?

How do you know about my mother?

Lauren told me.

I just asked a few questions.

Kayla, you had no right to do that. It's just because I care about you. That was

private.

That wasn't between you and me as friends. That was between you and me as

and patient. It might not be.

Just a little lump.

I promised Lauren I'd at least come talk to you.

Glad you did.

I think that since there are two kinds of tumors, that if we take it out and

it's the kind that's harmless, well, then that's good news.

And if we take it out and it's the kind that's dangerous, we've most likely

saved your life.

Most likely?

In some cases, a relapse occurs no matter how skillfully the amputation is

performed.

Amputation?

We remove the growth along with your breast.

My breast?

The percentage that there are say that in cases where the tumor was left alone,

women lived an average of two years. With surgery, they lived four years.

I'm not a percentage.

I'm a person.

Michaela,

does time figure into this operation?

Well, it's really to believe that every minute counts.

Then let's do it. Now.

Now? Yes.

I think when you care for a patient, the doctor and friend, it'll only help them

get better in the end.

It doesn't always work out that way, Colleen.

Why hasn't this healed?

You know why, Michaela.

You're a good doctor.

There'll be various forms of cancer.

Leukemia, to be precise.

You're certain?

I saw far too many doctors, Michaela.

Now you know my secret.

Picked a grand place, don't you think?

What are you doing?

The procedure.

A small incision, waste and blood.

Close the heart.

I'm not listening, Michaela. No. No, you can't quit. I'm not going to let you do

it.

Don't ask me to do this.

Leave.

Now.

You can stay only as my friend.

Not my doctor.

When did this start?

She has aching head.

I bring water.

She starts choking.

She's got it all right.

Hydrophobia. You heard what he said. Bill's afraid of water.

She's got the rabies.

Matthew,

please wait.

Come on, Matthew.

Is she gonna die?

Yes.

What

are

you all doing here?

You're bitten by a rattlesnake.

Still, I'm staying right here.

Andrew could be in that condition for days.

I know.

And if I have to miss school, I will.

I'm going to do everything I can to help him get through this.

If that's what you would do.

He's been in and out of consciousness for two days now.

He was dropped a bit, but it's still dangerously high.

Colleen been in there the whole time?

She hasn't left his side.

I wired her college yesterday.

Explained the situation.

Hopefully they'll let her make up her work that she's missing.

I just wish she'd get some rest.

There's not much she can do to help him.

Just be there for him.

Sometimes it's the best medicine you can ask for.

Lauren!

What's going on?

I believe that Lauren has suffered a cerebral hemorrhage.

It's when an artery which carries blood ruptures inside of the brain.

Oh, it's suspect.

His condition is serious, yes.

Michaela, I need to know the world.

If he doesn't come out of the coma by tomorrow...

So, what can I do now?

Pay a prayer.

Sit with him.

He's not awake, but I think he'll know you're there.

Hey, Taylor.

His hand moved. I felt it.

I'm right here alone.

I know I felt something.

Ma?

Lauren, I knew you'd wake up.

I knew you would.

You're going to be just fine.

Look.

Michaela's right here.

What are you, deaf boy?

Bray?

Bray?

Where are you, Mr. Bray?

I'm here, boy.

Mr. Bray?

What is it, Dr. Mike?

Something called a subcranial hemorrhage.

That's a bruise inside his head.

What's that got to do with his eyes?

I don't know exactly, but if the blood collects, it applies a pressure. It must

be affecting his vision.

So what can you do?

Look, Ma.

Schoolhouse.

It's Dolly. What's happening?

What's happening out there? A white hunter scurrying up Buffalo Park,

Let's visit his answer.

Sully's waking up.

I can't move my legs.

What's going on?

Some sort of paralysis. I don't know exactly.

I'm paralyzed.

The problem may just be temporary.

What do you mean?

Well, it could just be an accumulation of fluids pressing on the spinal column.

With time, the swelling will go down and the feeling will come back.

They moved your toes. They moved.

Concentrate.

You're going to be walking sooner than you know it.

Good.

Good.

Ma, come quick.

Andrew?

Fever's down. 100.

That's good.

How are you feeling?

Tired. Can you touch your chin to your chest?

Any pain or stiffness in your neck?

No meningitis.

Well done, Dr. Cook. It appears that you've made it through the worst of it.

It's going to take you a while to get your strength back, but you're going to

fine.

Thank you.

Now, I'm Colleen.

You've been here all this time.

I just wanted to help you get better.

You did.

Thank you.

I think it's time you took a nap.

I think you're right.

So proud of you, Cone.

A fine doctor.

Thanks.

Mom, Pilgrim just come for you.

It's from your college.

They're allowing you to make up the work you've missed.

And your physiology professor's giving you an extension on your assignment. My

assignment? Did you figure out what your most memorable case is yet?

No, no, I'm still thinking. There have been so many.

Oh, Katie's up from a nap. Brian, would you mind getting her? Sure.

Are you cold?

It's normal.

Final stages.

I don't think I can do this anymore.

You can do this. Come on.

Push.

Push hard.

You're bleeding.

Cataloid in the cervix. It's normal.

I can see the head.

Put one head against it gently.

Put the other underneath it.

I can see the head. It's coming.

Doc.

Something's wrong. It stopped.

The umbilical cord.

It's choking it.

Sonny, what color is the head?

It's red.

No, it's pink.

It's not choking. It's not choking. The cord's just holding it up. Now just put

your finger in alongside the neck. I got it.

Dr. Shabisa.

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