Original subtitles

real, real good at, Marjorie. Why, thank you, Brian.

Hi,

baby. Oh, pretty.

Hey.

Ever would never let me drive our carriage.

So one day when he was out of town, I took it to Mother's. When I pulled in,

turned pale and then spent the next hour scolding me.

Speaking of Mother, let's not.

Marjorie, please.

Why don't you run along to the clinic? I need to pick up some supplies from

Laura. All right. I'll see you later.

I'm going to go to Horace's to pick up my mail. Do you want me to get yours?

Yes, thank you.

Will this help my boy's fever?

Well, let's see.

What it says, McDougall's elixir cures sore throat, headaches, neuralgia,

Indigestion.

It don't say nothing about fever.

But he's burning up, and I don't know what to do.

Well, there's the doctor.

Why don't you ask her?

I can't pay no doctor. That's all right, Mrs.

Bartlett. I'm Dr.

Quinn. I'd be glad to examine your son. Good morning, Marjorie. How could you? I

beg your pardon?

You invited Mother for Thanksgiving.

Well, I tried to tell you. Tell me?

How about that?

I don't need your permission to have my children's grandmother join us for the

holiday. If you'll excuse me, there are far more important things in your petty

field. She thanked you for the suggestion that it might be a good

for her to speak with me.

Well, it might be.

I'll thank you not to open my mail. It's a federal offense.

You're the federal offense!

Marjorie! What?

Behave yourself.

But, Michaela... Marjorie Quinn, Dr. Mike loves you.

Though sometimes, for the life of me, I can't figure out why.

But she does.

And she would never do anything to hurt you.

And neither would I.

Colleen, would you take Katie upstairs, please?

You're going to have diphtheria.

And you could die from that.

It's not always fatal.

I'll do everything I can.

Want to walk me home?

Yes, sure.

Hello, Sarah.

Ryan. Hello, Dr. Quinn.

Something wrong, Ma?

That's what we'd like to know.

Everything's fine.

Why don't you two run along?

Mrs. Morales?

It ain't fair to my customers for me to close it up early.

Mr. Dickinson gets his shave this time every week.

I'm sure Michaela wouldn't have called us here unless it was something

important. Thank you, Daniel.

This better be good.

Actually, Hank, it's not good at all.

I don't want to alarm anyone unnecessarily.

However, as the town's leaders, we should be prepared for any possibility.

Possibility of what?

Well, the woman that was in your store, Lauren, asking for medicine for her

son's fever.

Yeah, so?

So he has diphtheria.

Well, I'm sure you're all aware that it's a highly contagious disease.

We've got to put up a quarantine.

Yes, it's important to isolate those who are infected, but children are the most

susceptible, which is why I wanted to include Mrs. Morales in this discussion.

You wish to close the school?

Well, it's customarily the first step taken.

I understand.

Thank you.

We'll need a council vote. Hold on.

Word gets out there's an outbreak, nobody's going to come here. The train

even stop running.

If that happens, I'll see to it supplies get through.

So, we're going to strangle the whole town just because some kids got sore

tonsils. Only some strains are mild and they affect people differently.

This could be more serious.

This boy, he's got his windpipe, don't he?

Yes, he does. And I'm afraid that if we don't try to prevent the spread of this

disease... It won't be the town that gets strangled, Hank, but its citizens.

I move we close the school.

All in favor?

All right, all right.

Fortunately, I have enough willow bark for the fever.

Put in the exact truth.

And don't spare any details. I want people to detect the diphtheria as early

possible. So they can isolate themselves.

Or so they can get treatment.

There's no specific cure, but we'll just have to try our best to keep the

patients alive until these passes.

I'll need some sulfate of quinia and chlorate of potassium.

Please, have a horizontal from Denver.

Hopefully we'll get here in time.

And first thing in the morning, ask Andrew for the new O'Dwyer instruments

Preston bought for him.

What are they?

They're a set of tubes that fit into the larynx and some tools to insert and

remove them.

It's a new method of keeping the larynx open called intubation.

Well, there are drawbacks, but from what I've read, I think the procedure is a

definite step forward.

going on, Ma?

Brian, there's a disease in town and we need to protect everyone, especially the

children. So tonight, Daniel, we'll take you and Katie to stay with Sully until

we know it's safe for you to return.

How long will that be?

I don't know.

You won't get it, will you, Ma?

Well, diphtheria is a constitutional disease.

It means that one's vitality is very much to do with whether or not one gets

Do you know anyone with more vitality than your ma?

Don't you worry about it.

I'm not going to let anything happen to her.

Or Colleen or Matthew?

Or Colleen or Matthew.

What about Thanksgiving?

Well, it should be over by then and we'll be back together.

You promise?

I'll take care of it right away.

Thank you, Horace.

Colleen!

Becky!

Hey.

I heard you were home.

I was going to come see you later this afternoon.

I was going to the store to buy some stuff. Do you want to come?

Sure.

And then I said, I think we're a bit old to be riding hayrides. You're never too

old for hayrides.

That's what Zachary said.

Are you and Zachary getting serious?

Remember when we used to go on hay rides together?

Just us kids.

What was the best hay ride ever?

The one right before Thanksgiving.

It was the year before you went away to college?

When Richard tried to kiss you.

Zachary pushed him off the back of the wagon.

And he had to walk all the way home.

What was the best dance?

Sweetheart's dance.

First trip back from college.

when I thought Andrew was going to ask me and you thought he was going to ask

you. But we went together instead.

Every time I see you, it's like you never left Colorado Springs.

That's the way best friends are supposed to be.

Did I teach you that in school?

Some things you just knew.

I better get my supplies and head home.

Would you like to come for supper with us one night?

I promise.

Bye.

A fast Christmas ever?

That one's easy.

This one coming up.

He's worse.

I need to perform an emergency treatment on him.

I need to open his windpipe.

He's got it.

Take him upstairs.

We'll then ride back and get Colleen. And then pick up Andrew and all the

I told Colleen about. She'll know.

When he awakens, he may be frightened because he won't be able to speak.

I want you to stay here and reassure him.

Then you can put him in bed.

Dr. Quinn, will he live?

When the diphtheria is serious enough to require tracheotomy, the chance of

survival...

daniel i would also suggest the tincture of the chloride of iron

a

pint of water

Add a dram of permanganate of potassium.

Give him a teaspoon every three hours.

It can also be used to swab the affected tissue.

Andrew's right. We should also swab Horace's throat every half hour.

False membrane's thickening.

We should prepare the O'Dwyer's instruments.

I didn't bring them.

But Horace may need them. There's still a great deal of controversy surrounding

their use, Michaela.

Intubation's been proven. It works.

Yes. It does, but so does a tracheotomy, and without the risk of a fatal

secondary infection.

In a small percentage of intubations, the patient appears to recover only to

contract pneumonia.

And die of it.

And die of it. But by the time a tracheotomy is required, the system's so

ravaged that death is almost inevitable.

I'm afraid I can't recommend a treatment that carries as much risk as the

disease itself.

Of course you can't, Mother.

And neither can you, Michaela.

Heavens, Michaela.

Will you please just stop pushing?

Mother, it's dangerous for you and Rebecca to be in there. We've already

exposed.

Tell her, Andrew. I know what the theory is.

I also know that I have no intention of dying just yet.

Sorry, Mother, but the disease doesn't know who you are.

You and I will talk later.

Not unless I choose to.

Well?

Would you just have us stand out here and freeze to death?

Sorry, we ain't hiring.

Dr. Mike, what can we do for you?

We'd like to.

Well, sure.

How about this one here?

Drinks? Coffee, please.

Coffee? Yeah.

I think we could all do with a cup.

Let's see what we can do.

We were about to wire you not to come early.

We decided not to spend time in Chicago after all. Then you better get right

back on the train, boss.

Oh, we didn't take the train.

At least not past Manitou.

The engineer told us there was trouble on the tracks and they were returning to

Denver in the morning, so your mother hired a buggy.

I thought they'd find out so soon.

Colleen's telegram.

We went directly to the homestead since it was so late, but as you know, of

course... No, when we come.

Well, Matthew will take you back to Manitou in the morning and you can board

train from there.

I told you.

I'm not going anywhere.

Rebecca. I'm sorry, Michaela. I agree with Mother. We want to stay and help.

But there's nothing you can do.

Well, I can take care of my grandchildren.

Where are Brian and Katie?

Daniel took them out of town today.

Daniel?

Sully's friend.

From the mining years, he's... Well, he's sheriff now.

Mother, please, don't ask me to explain anymore.

Oh, yes.

Heaven forbid I should understand what's going on around me. Well, just take my

word for it that Brian and Katie are safe.

Well, if I can't take care of my grandchildren, then I will take care of

children.

Because you and Marjorie and Rebecca are still my children.

I want you to stay at Preston's hotel.

You'll get no argument from me.

I'll take the night there, Dr. Mac.

Well, that won't be necessary. They can ride out with me.

You're leaving tonight?

Well, there's really nothing else I can do right now.

Sad as they are, matters seem to be under control.

Yes, I suppose so.

Then it's settled.

You must be tired from your trip.

Exhausted. I'll get your bag.

Morning, Brian.

Morning.

You were sleeping. I thought I was going to have to say good afternoon.

Is it that late?

No, it's around 10.

Easy to lose track of time up here.

Are you sore?

Yeah.

Something you're going to have to get used to.

It's not that bad.

Where were you?

Me and Katie. We went and got some fresh water.

How about we have some breakfast and we go fishing?

Fishing?

Yep, can't keep you and Katie cooped up here all day. Can I but the soldiers

soldiers can't travel deer trails, but we can Your

office

is here your patients are here your job is here is that an ultimatum your word

not mine

Lady, my apologies.

I'm afraid I won't be able to accompany you after all.

We understand.

You have a practice to attend to.

Correct.

Would you please give these to Michaela? Certainly.

And tell her if she needs anything else, there's always Dr.

Cassidy.

Good day, ladies.

Good day.

My husband read me the symptoms from the vet this morning, and I thought I'd

better make sure.

I'm afraid it is the diphtheria, Mrs. Boretsky. But you caught it early,

Becky!

Why did you pick her up instead? She's in the first room on the right.

She's had the grip for a few days. This morning, she started having trouble

breathing. She passed out in the wagon on the way here.

She still had sufficient passage for intubation.

My help was keeping Andrew.

Where's Andrew?

Busy at the spa.

Busy?

Why don't you step outside for a moment, Mr. Bonner?

What do you mean, busy?

Well, he does have his own practice, Michaela.

We have the beginning of a diphtheria epidemic.

He was supposed to bring me some instruments.

Oh, he did say to give you this.

Is that what you were hoping for?

Yes. He also sent this.

Please read it for me.

Give Becky an injection of atropine. It won't stimulate her system as much as

possible.

Here are the O'Dwyer's instruments, but I must again caution against their use.

The latest medical journal from London contains a treatise on intubation by no

less than Drs. Field and Marley. They believe the risk of death from secondary

pneumonia is too high to warrant the procedure.

You're not considering going against your colleague's opinion.

Well, that's just it. It's an opinion.

There are other people who believe it. And you're willing to take a chance with

this girl's life?

Well, there's a chance either way.

Precisely.

With all due respect, Mother, you don't know what you're talking about.

Maybe I don't.

But Andrew certainly does.

Ma, Becky's strong.

You said it had to do with the person's constitution.

Only partially.

Even strong people have been known to die of diphtheria.

We'll try only medications for a while and monitor her very closely.

Your mother will be right back.

She had to take care of your brothers and sisters.

But I'm here.

My name is Marjorie.

Best Valentine's Day.

Remember?

Come on, Becky, you remember.

You played Juliet in a tone play.

And then you got laryngitis.

And I was going to go on for you.

You gave me your lucky stone.

And you got all better.

And you were the best Juliet ever, Becky.

And you're going to get all better this time, Becky.

You have to.

You have to.

Put her on the bed.

Becky!

Becky!

Michaela, what can I do to help?

Becky! Becky!

You spray him.

He'll tilt her head back.

Becky, I'm right here!

Ma! Ma!

Ma, what's going on?

It's a piece of the fourth membrane.

to commit ourselves and those we love to your unfailing care.

In our perplexity, help us to trust what we cannot understand.

And in our loneliness, may we remember Becky in love, trusting her to your

keeping until the eternal morning breaks.

Amen.

I hate to have to ask at a time like this, but I need to use the schoolhouse.

For laying out the bodies.

The back of the barber shop ain't big enough for more than one cast.

Of course.

And you'll need my help.

No.

No, it's no sight for a lady.

But I want to do something to help.

I insist.

Father, will you please take all the depressants off you?

My poor girl.

She should never have been exposed to such a thing in the first place.

God, I used to say the same about you to your father.

Of course I will. I'll get the wagon.

You're dancing, talking about diphtheria. Well, the Indians never had

it was brought over from Europe.

I was hoping you might find what other treatments they use besides willow bark

and fever. Here's something.

They use prickly ash for swollen throats.

Yes, that might help.

But we don't have any. We'll need to find something better.

Mother, what are you doing here? I thought you were at the spa with

Andrew take care of her.

In fact, the moment he appeared, I felt distinctly unnecessary.

So, I've come back to help you.

All right.

Well, I need you to collect as much prickly ash as you can find.

I beg your pardon?

It's an Indian treatment.

I need you to go and gather some for me.

Well, I have no idea what prickly ash even looks like.

Oh, I can make a drawing for you.

I wouldn't know where to find it.

It's along the roadside.

I'm not wearing the proper clothes.

It's a matter of hat tie.

I don't even own the proper clothes.

Well, we can get some for you at Lauren's.

And then I'll help you gather.

Thank you, Dorothy.

Michaela needs more cancer.

How are you holding up?

Fine.

Well?

What do you think?

You look like one of the locals, Elizabeth.

Is that good or bad, Laurie? Mother, Michaela needs that prickly ash.

People are sick. People are dying.

I think your vanity can wait.

Vanity?

Vanity is thinking of oneself at every moment.

Precisely.

They

say

that a mother and daughter who clash are really an awful lot alike.

They do, do they?

Oh, wait.

Is that it?

Yeah.

Of course, it's only natural there'd be a little jealousy.

Jealousy?

I'm certainly not jealous of Marjorie.

Oh, of course not.

I meant Marjorie being jealous of you.

Of me.

Why, you know.

What with her and Lauren.

Doctor, I thought she was red because she's mad at Elizabeth. Lauren. But

feverish. I'm not.

Yes, you are.

Margie, why didn't you tell me? Because I'm fine. I'm just a little tired,

that's all.

You felt the chill?

Margie.

fine. Lauren, will you please take her?

Well, I hope you're proud of yourself.

Come back here, you two. Mother.

You knew.

Mother, stop!

out of my way, Michaela. It'll only get better, Mother.

She needs that strength.

That's why I brought lunch.

That's why I'm here.

To take care of her.

Elizabeth, it might be best to... Don't you speak to me.

Mother, Marjorie needs her rest.

Thank you very much.

Kate's a sweet treat, my sweet little girl.

She can feed herself now.

Yes, she can.

She's done lots of things since you've been gone.

Got a lot of catching up to do, don't I, Brian?

I know it's been real hard on you and your ma to have me hiding out.

You didn't know things would turn out like this.

Still, I'm sorry.

Being out here alone, I spent a lot of time thinking about all of you.

Wondering about what Katie and your ma are doing.

Wondering what you're doing.

Sometimes I picture you going to school.

Learning your lessons.

Doing your chores.

You did?

Get me from getting too lonely.

I thought about you too, Paul.

All the time.

Well, even when we're apart, we're still together.

Thank you.

Good morning, Mrs. Quinn. No, it isn't.

Grandma.

Mrs. Quinn.

Why aren't you in Colorado Springs? He's rather busy.

Busy? There's a diphtheria epidemic in town, haven't you heard? As a matter of

fact, we have. And since this is a health resort, I don't think it wise

Kayla desperately needs your help.

I'm ready to go back, Grandma.

So are you coming with us or not? Not.

Yes, I am.

If you leave now, you can take that with you.

Keep it.

very important.

The false membrane of her larynx is beginning to thicken.

Intubation is most successful when performed at this stage.

If it is successful.

Colleen told me about Becky.

I'm terribly sorry, Michaela, but I think it was unavoidable. You think or

know?

Unfortunately, much of medicine is still guesswork, Mrs. Quinn. It's not

guesswork, Andrew.

As much as being willing to adhere to a theory.

All facts are one series.

Michaela, I gave up my post with Preston to help you in any way that I can.

But this is something I'm not able to do.

I cannot go against my better judgment.

Well, neither can I.

Now we wait.

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