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He's just great.
You know, I'm a paramedic pre -med too. Oh.
Well, then, the fontanelles are flat, there's no papilledema, the petechia are
gone, and the repeat tap shows a few loops, no polys.
She's much better.
I'm transferring to the floor this afternoon.
Can I hold her?
Sure.
You want to see Daddy?
She got heavy.
Hey.
Hey, Kylie.
Remember me?
Carlos?
Charlie, let's go.
Mom!
Okay.
Now remember to say thank you. I will.
And be respectful. When people are supporting your school, it's important
you're respectful.
I know, I know. All right, have fun.
have to go?
Because your mother's going to work and you're not staying here alone.
Fred, thank you for taking her around, you know. Nice of you to be helping her
out with the chocolate.
Yeah, well, someone has to, right?
This thing is going to change my life.
No wonder I can't ever find anybody. I got listings under last names, first
names. I got you under P for paramedics. Why not D for delightful?
Third squad.
Guy isn't talking anymore.
You know, it's even got a calendar so I can track Joey's whole schedule. I can
barely keep track of my own. I can't imagine having to know where somebody
has to be. Yeah, well, if I had to count on Jimmy.
We need you to check him out before we lift him.
Where is he?
Trust me, we won't have any problem finding him. The guy's name's Miguel.
The jack broke.
Is there room to crawl under there?
Well, as far as it's going to, but we have supports underneath it. Maybe room
for one. I'll go.
Bill?
Bill?
He's cyanotic.
Not breathing.
Can you ventilate from under there?
Hardly. Is the car in his chest?
No. Big pulse. No head trauma.
No breath sounds on the left side.
His neck veins look extended.
Feral chest, heavy smoker.
You know, it could be he's got emphysema and blew out a bleb. You think it's a
tension pneumo?
Looks like it. Trachea shifted?
I don't think so. Jimmy, we need to get him out of there in a hurry. We're
ready.
Guys?
Okay, far enough. All right, let me try bending him.
I can feel the pressure. It's not going in.
There you go.
What's that do? It acted as a field flutter valve.
It'll get the air to go out, but it won't go back in.
You sure about this?
You've got no other choice.
All right, go for it.
There it is.
Daddy's venting easy. He's got his seat collar on and getting ready to
transport.
Nice call.
They identified that little girl that we found the other day.
Yeah, I heard.
Three days out. And that junkie mother never even reported her missing.
First time the needle goes into the arm, they should have their reproductive
organs ripped out.
Hey, the ACLU would love that.
The ACLU's definitely going to have to take care of these kids.
People can have as many ignored children as they want.
Check it.
I heard about this joint up on 98th Street. They're selling fake IDs out the
back door.
IDs?
So what?
That's as long as the squad.
Yeah, it's a rough one, I'll bet.
Boy, these are cloners.
Change up.
Maybe we'll go up there and make life difficult for them today.
I don't know, Faith. The last time I dragged a partner after those people, it
didn't turn out so good.
I got my eyes wide open.
Ninety -eight and what?
Fifty -two -year -old male trapped under a car. BP 110 over 60, pulse 100.
Decompress the tension pneumo on the scene. Car landed on both tib -fibs. Car
was on his chest?
No, on his leg.
Then why would he have a pneumo? He's a heavy smoker. I'm pretty sure he's got
emphysema and blew out a blood. You're pretty sure?
Well, that would explain the pneumo.
What is this?
It's a makeshift one -way valve.
Decreased breath sounds on the left? They were absent when we got there.
You know, maybe your darting gave him the pneumo.
What? Two, three.
All right, I want to check tube placement.
I saw it go through the vocal cords.
Confirm it with the capnometer, Mary.
I'm sorry?
Confirm the tube placement with the capnometer.
It's in the right place.
And tell the paramedics we can take it from here.
Thank you, Sarge.
Hey, Sarge.
What do you got, Sully?
These mopes are running a fake ID racket out of a deli on 98th.
And you're transporting for OCCB now?
No, this is our collar, boss.
It isn't really a sector car, Simon.
Well, we're branching out, Lou.
This thing even beeps reminders.
I have to look at my mom's birthday again.
What a fearsome thing he is, talking to us like that.
Yeah, he gets me crazy. He makes me moody.
He checks two placements and then he wants it confirmed?
I mean... Yeah, well, if it's in the right place, what difference does it
And I was right about that new mom.
Of course, he'll never admit it.
Well, I've got tons of women. What else is new?
Boyd 553, we have an unknown medical, 1069 2nd, 3rd floor.
1069 2nd on 3, Boyd 553.
So you think Peterson 2nd gets to stop and call us like that?
Yeah. He does?
What? No, I just found a function menu.
Now I'm going to get organized.
Hey, Doc.
Hey, how's it going, girls?
Girls? We didn't call for backup.
No, we got a job across the street, unknown medical. You?
Oh, it's a written miscarriage.
Hey, Doc, you hungry?
What? How about some meat on a stick? From the cart. I'll buy it. Yo, how
we get our patient to the hospital?
Like his beckoned meal today.
Ever think you'd miss Carlos?
Have a bite.
Neighborhood jumping today.
Hey, how about some meat on a stick?
Yum, yum.
Kylie, what's that?
It's a green kangaroo?
Huh?
I'm so happy she's doing better.
Hey, yeah, me too. Hi, little angel.
I've got some good news for you.
Yeah, what's that? I think we may have found a family for Kylie.
He's a contractor, and she's a stay -at -home with a five -year -old daughter,
also adopted.
They have a single family house in Brooklyn.
Uh, no thanks.
Excuse me?
No, thanks. I've changed my mind.
Oh.
Thanks for all your hard work.
Then you've decided to keep her?
Yeah.
Thanks.
Good.
Sure. Well, it was nice to meet you.
Yeah, you too.
Lift your, uh...
I hope this guy has brains.
Oh, here,
use this oximeter.
Oh, this guy is burning up.
I'm going to call it in.
Marcy, this is Boy 553. We have an elderly diabetic with probable
and septic shock.
BP is 70 over nothing.
Pulse 144, thready.
Glucose 425.
Glucose 425.
What? AMS protocol.
The last thing this guy needs is glucose.
Request an order for dopamine after two large bores established?
Yeah, yeah, fine.
ETA, 10 minutes.
Saline's running wide open.
So how much do you want this to stick to AMS protocol and scoop and run?
Why?
It's your protocol. We're not giving a guy with a glucose of 425 more glucose.
Hand me the tourniquet.
So none of you speak English?
Well, then we make them all John Doe. And we let them sit in lockup until we
find out who they are.
And that can take days.
I believe I can help.
Who are you?
Andre Rednick.
I'm an attorney here to represent these gentlemen.
Gentlemen?
Who calls you?
I don't believe that's germane to the situation, is it?
There is some paperwork needs completing?
Yeah, since we find out who the hell your gentlemen are.
Then allow me to translate.
Anything to facilitate the process.
With our complete cooperation.
This the telemetry run? 78 -year -old diabetic, fever and AMS. BP is 80 over
Sinus attack 132.
10 liters of O2, 2 liters of saline are in. How much glucose?
We held off on AMS protocol.
What?
Glucose was 425.
Stop running a diagnostic lab and follow base station's orders.
We're not robots.
You're certainly not doctors.
Ah, there it is. Get a glucose, draw for CBC, chem 20, blood cultures times 2.
On my count, ready? 1, 2.
Three.
And get me a fresh round of vitals.
You don't think we know how to take a pulse?
That was
mine when I was a kid.
You saved it.
No, I found it in storage.
I still have my first baseball mitt, too.
So she's doing better?
Yeah. They're just charging her tomorrow.
The Kennys, huh?
They want Kylie?
Kylie, Kenny.
Isn't that perfect?
Well, did you talk to them?
Why bother?
They're white.
And?
And what about Kylie's heritage?
Her Latina heritage?
I'm not about to let her lose that. Uh -uh.
And she's going to get that from you.
Well, she's not going to get it from the Kennys. Well, how do you know that?
Do they look particularly Latino to you?
Carlos, you barely speak Spanish yourself.
Maybe because I was in seven different foster homes before I was ten, none of
which were Latino.
Well, her mother was white.
I mean, as long as you're bringing up the heritage.
These people aren't right, okay?
Well, I take it you're all set for child care. I mean, once they discharge her.
Yeah, I got child care.
Me.
You have a job.
Look, how would you feel about switching me to Dave?
Well, don't you have school?
I might have to bag it for a while.
You're going to bag pre -med? It's either that or I take a leave of
Well, you won't get it.
The city is short on medics already.
Harris was with me today, but he was supposed to be back at his house two
ago. I need you at work tomorrow, Carlos.
Adam 553, see you, Doctor. Peterson, Mercy Hospital, ER.
Adam 553, 10 -4.
I don't mean to shoot you down, but you need to... Yeah.
Thanks for coming by.
How's it going?
It's going.
Now, if this lawyer shows up out of the blue... Expensive suit.
Yeah, too expensive.
Is it a good collar?
Yeah.
Then who cares how expensive the suit is? The question is, who's paying for
Fyodor Tchepchenko.
Hey.
I don't want any vendettas out there. Look, boss, as long as Chepchenko's
bastards walk the straight and narrow, everything's good with me.
Being this guy's personal pain in the ass, not your job.
Oh, this connection is so slow. Can't we get a DSL line up here? Oh, yeah,
that'll happen.
Since when did you get all techno?
Whoa, don't touch. It's downloading.
What's it do?
Everything. I got Joey's class schedule in there, notes from his doctor visit,
dental appointment.
Sounds complicated.
I think I'll stick to good old paper and pen. Less aggravation.
Yeah, compared to some things.
Hey, Alex.
I just had a little sit -down with your good friend, Dr. Peterson.
What does that mean?
Well, I had to talk him out of filing a complaint against you.
Against me? A complaint?
Did you ignore a telemetry order?
It was wrong.
Like it or not, he's the doctor.
Doesn't it ever piss you off to be treated like a cab driver?
No one ever treats me like that.
Not even Dr. Peterson?
Look, I know he's a little intense sometimes, but that doesn't make him a
guy. Mm -hmm.
You see that?
It is about women.
Oh, come on.
He was kind of being a jerk. Doc, he questions everything we do. He double
-checks our vitals.
He checks physicians on tubes and IVs. And are they right?
Oh, you know they are. Then so what if he checks?
That's what I said.
Which side are you on? Look, follow telemetry's orders, okay? The job's hard
enough. Don't give this guy a reason to make it any harder.
Oh, that's it.
Instant access to every city phone number you could possibly need.
Look at that.
Good. You can call someone who cares.
Okay.
May I help you?
Yeah, hi.
I'm Carlos Nieto.
I got your name from the adoption people.
Nieto. Yeah, my... The baby's Kylie Sundstrom.
Oh, yeah, gosh.
Come on in. Thanks.
Mike?
Why don't you make yourself at home and I'll just...
Making cookies.
That's nice.
Mr. Nieto?
Hey, Mike Kenny, I'm at war with a sink. I'm losing it. You've met Moira?
Yeah, we met.
Me and Mommy are making cookies.
Why don't you go on upstairs and check on those, and I'll be right up with you,
okay? Okay. You want some?
Uh, sure.
Hope you like Play -Doh.
She's adopted?
I saw it in the booklet.
Her birth mom lives in Denver.
You know her?
Yeah, we're in touch.
Exchange Christmas cards, phone calls occasionally.
Really?
Can I get you something, Mr. Nieto?
Carlos, no. I don't want to impose.
Raimi told us that you'd already reconsidered releasing Kylie for
Yeah, that's why I came. I didn't know if she'd tell you or not, so... Look, we
understand. It's a really difficult decision to make.
I didn't want you to hear about it over the phone and think that maybe it was
you or something.
It's very considerate of you.
Can I ask, did you have a room set up for her and everything?
Yes.
Upstairs. It used to be Maury's room.
Would you like to see it?
I'm just curious, you know.
Come on upstairs.
It's really, um... Wow.
Mom, I think they're done!
Excuse me.
Well, that seems common.
Yeah, thanks. I'll just be, uh...
You're up early.
Yeah, well, I wanted to see you guys before you took off.
How'd the candy bar delivery go?
There'd be a thousand bars with Charlie whining every step of the way.
Emily must have set some kind of record.
Yeah, well, she did really well last year, too, right?
She must have some kind of knack for it.
Although her mother sold a few candy bars in her day.
I'll be in the shower.
Are we okay?
Me and you, are we okay?
I don't know.
I'll be in the shower.
Hey there.
We were so glad you called.
Hey, yeah.
So she's already been discharged?
Yeah, all set.
May I?
Sure. She might make a stink. She really doesn't like being picked up much.
Oh, you are so beautiful.
So we're all clear, right?
It's only for the day?
Absolutely. I think it's a wonderful idea, Mr. Nieto. Like a test drive for
Kylie. Need any diapers or anything?
Oh, no, we're all set. Diapers, rash cream, wipes.
Any allergies we should know about?
Uh, no.
None that I know of, no. We have a pediatrician in case of emergency.
Unless you'd rather we use yours.
Um, yeah. You know, you should probably call Dr.
Reed here at Mercy. She's been her primary since she got sick.
Right, Dr. Reed it is. Okay, then. We're all set.
Okay, then.
All right, well, we should see you around 11, you said.
No, I get off work at 11. More like 11 .30.
Great, we'll be waiting up.
Are you sure you understand what you're doing?
Yeah, this clears me with you guys, right?
Hey, Frankie, if this works out, we'll owe you one. Thanks.
You're going to make some woman one hell of a catch someday, Frankie.
I'm really looking to settle down, you know what I'm saying?
Yeah, the good ones never are.
Don't forget, when you get inside, don't stop. Keep going all the way through to
the back.
Okay, got it. Got it.
All right.
Go.
High five, Charlie. We're in a foot pursuit northbound at 1 -1 in Green.
All right, stop right there.
All right, stop.
Stop right there.
Whoa, whoa, whoa.
Whoa,
whoa, whoa. Get your hands up. Get your hands up. Put your hands up against the
wall right now. You guys aren't bookies, are you?
It's a nice little operation, guys.
Flash paper.
Yeah, goodbye to these babies.
What about this junk?
Oh, yeah, take it.
No problem.
I love cleaning up other people's crap.
Hey, I got a surprise for you.
Does it involve trashing that thing? Last night I downloaded an emergency
medicine database off the net.
It's like med school in a bottle.
Seriously, you're going to love this thing. Come on, ask me anything.
Okay, why don't you clean up after yourself?
Come on, something medical. One question.
All right.
What's the differential diagnosis of Ebola?
Hey, you asked.
All right. Okay.
Got it. Ready?
Influenza, malaria, Marburg hemorrhagic fever, typhoid fever, dengue fever, and
any of the arboviral encephalopathy.
Arboviral encephalopathy?
Mm -hmm. Yeah.
It's going to do a lot of good out here.
Yeah, well, things were pretty busy while you were off.
Mostly routine, nothing too big.
But you should have seen Harris.
One day he had four full meals during just one shift.
So, who you got watching the baby?
What? The baby. Who's taking care of him?
How's it going, Kenny?
The couple from the boulder?
That's just a trial thing.
They've been looking for the day. We'll see how it works out. So you're
considering adoption?
Nope.
Culturing babysitting.
What?
Pay to be creative.
You're kidding me, right? I mean, you would do that to people looking for a
Hey, I had to do something.
Something, yeah, but, I mean, not that. I mean,
it's unethical, man, and it's cruel.
You're the one that said it had to be at work today, right? Yeah, but... Yeah,
so it buys you an extra day.
An extra day? Yeah, an extra day. Well, what about the next day and the day
after that?
I mean, come on, man. You can't go day to day. You've got to have some kind of
plan. I know. Long term.
I know.
I'm doing the best that I can.
That's right. Your room is right this way.
Watch your step.
Come back in here. We'll get you out of your jewelry.
Yolkis.
What's this?
Oh, it was a bookie joint out of a bar. They cut me for the paper and the
records before they could destroy them.
How?
Element of surprise.
Did you have a warrant?
We didn't need one because we were chasing a suspect and he ran right into
Really?
A suspect for what?
Drug possession.
76 -year -old brought in her diabetic husband and yesterday complains of
bilateral eye itching and discharge.
Vitals are normal.
Let's have a look.
It's got pink eye.
Yeah. Well, it'll be a while.
A long while.
So he's going to take it out on the patients now?
What's your problem with us?
Me?
My problem?
Aside from yesterday's complete disregard of a direct patient care order
telemetry? Or how about that invasive procedure you performed on a patient,
which may or may not have caused attention pneumo? I told you, the
pneumo was already present.
Look, you are not a doctor.
I never said I was.
Then don't act like one.
Excuse me. I have bigger problems to address.
Sorry I'm late. It's a busy night.
It's okay. She's upstairs.
So much for you crashing early. I told her she'd keep you up. No, she's been
down since about seven.
Oh, who's up?
Hey.
Hey, you ready to go home?
Need a big hand?
I got it.
Thanks.
Listen, I know it's short notice.
But we're going up to my folks in Riverdale for dinner tomorrow, and we
if we might take Kylie along.
No.
It's just... I mean, you know?
I know.
I'm sorry.
I don't mean to push.
Anyway, thanks again.
This here clean as a whistle.
Clean as a whistle.
Hey. Hey.
Oh. Who's that guy?
Who's that guy, Kylie?
Who's that guy?
What's up?
Bath time, huh? Yeah, that water's a little unpredictable.
It's hot one minute, cold the next. Yeah.
We got it. We got a good bath.
How'd the trial run with that family go?
They were nice.
They have a nice house.
Yeah. A nice kid's room.
Nice white rocking hair.
All right, so?
So nothing.
Very nice.
Okay. Are you working tonight? I don't know.
You don't know?
I'm scheduled to, but I don't know.
Carlos, you can't just go to work when you feel like going to work. I don't
know, Ty, and I don't really want to talk about it.
It's nap time.
How's he doing?
BP's coming up with a leader of saline. 110 over 60.
Don't you think this is weird?
Three really serious calls on the same block. Four counting docs the other day.
What was that? Threatened miscarriage? Think they're connected?
How? I don't know.
Ask your machine.
All right.
Diabetic with ketoacidosis.
Sepsis. And it's why I said that, I think.
Conjunctivitis, right. The docs threatened AB.
Oh, man.
What? The differential on diabetic sepsis as long as your arm.
Miscarriage, conjunctivitis.
Huh. What?
Listeria. Never heard of it. Yeah, me neither.
Here it is. Listeria monocytogenes.
Miscarriage, conjunctivitis, bacteremic sepsis, and meningitis.
This guy has a stiff neck.
Okay, okay.
Whoa. All right, sir. Does that answer your question?
How do you get listeria?
Food poisoning, uncooked meat, unwashed vegetables, and unpasteurized cheese.
Sir, sir, what have you eaten lately?
Nothing. Yo no como nada.
What, this guy doesn't eat? No comida, nothing.
Espera.
El hombre del carretรณn.
The guy on the cart.
And me on the stick, guy.
They were nice, huh?
Kenny?
Did you like them?
Huh?
Hey, they even come with grandparents.
Their job is to spoil you.
So I hear I never had grandparents.
That wouldn't happen for you either.
No, I wouldn't.
And you know what? You deserve that.
You deserve a real home and a mom and a sister.
And me too.
You'll always have me.
I'll never change, Kylie.
Never.
You called us in, boss?
Yeah. Got a visitor.
Oh, look who's here.
Officer Sullivan, Officer Yocas.
You're early today, huh?
Because we haven't even gotten started yet.
Yeah, but I'm sure you're going to be needed.
Could I possibly have a word with you, Officer Sullivan?
Alone?
Well, anything you've got to say to me, you can say in front of my partner.
Come on.
What do you want?
I would like to make you a proposition.
What, are you kidding me?
What, are you talking to me about money?
I didn't think you were that stupid.
You misunderstand.
You're looking for someone very important to you.
What?
Your wife.
You know where she is?
Of course not. Tell me.
You know what I'm looking for. Our community is not so large. You've been
everywhere. We can go places you can't. Ask questions you can't get answered.
You son of a bitch. You tell Tepchenko that if he goes near my wife, there will
be nowhere he can hide from me. You hear me? You tell him that.
You son of a bitch.
As I was saying, I'm only trying to be a facilitator.
Found in a pool of vomit and feces, high temp and shocky at 86 over 40.
It's now 110 over 60 with two liters of saline.
Terrific.
Stick him in the back.
Get a temp.
I'll see him in about a week when he dries out. We think it's listeria
meningitis.
When you hear hoofbeats, think horses, not zebras.
Do you understand what that means?
So he's doing it so you know. You don't go for the rare diagnosis?
We learned that in first year med school. We've had four runs, pretty
ones, on the same block in the last three days. So I cross -referenced it on
ER med program, and I came up with listeria. An ER med program?
Are you serious?
Paramedics with PDAs. Now that is scary.
Diabetic sepsis.
Miscarriage, pink eye, and now maybe meningitis. Four runs in three days on a
street where a vendor sold shish kebab, which might just contain bad meat?
Maybe. Yeah, maybe.
But what we learned in paramedic school is that when the maybe's add up, you
better watch it.
I got a full plate here.
Listen, I know I'm not a doctor, but I'm a really good paramedic, and I'm asking
you to please value my knowledge just a little bit and rule out meningitis
before it costs this guy his life.
It's a procedure that you can do that I can't.
I need your help here.
He needs your help.
Please.
Put that guy in ISO and set me up with the spinal tap.
I need you. He needs you. Hey, it worked.
Oh, it brought tears to my eyes.
It's all for the greater good, right? Mm -hmm, the greater good.
I'll do the run sheet. Oh, no, come on, Alex. I want to. I need to.
You just...
Hey. Hey.
Just checking out my gear.
I was clear for duty today.
Yeah?
Yeah, I'm back tomorrow.
Well, that's great.
So how's it been?
Oh, you know, just, uh...
Seven hours of complete boredom mixed with one hour of sheer terror.
Yeah, I miss it.
How could you not?
So I talked to the boss.
He wanted to know if you and I would be hooking back up.
Absolutely.
We'll work together tomorrow.
Good. Good.
Yeah, me too.
So what, I'll see you tomorrow?
With bells on.
What the hell does that mean?
With bells on.
That's it.
That's everything.
Thank God.
Well, the spinal fluid came out cloudy, packed with white cells.
So?
So, good call.
I sent the health department out to track down the shish kebab vendor to
the stuff for listeria.
Good idea.
This thing pointed you to Listeria?
Yeah. Could I see it?
Sure.
It's great. I don't know how I lived without it. It's got everything. All my
numbers, addresses, schedules.
Medical database.
What'd you do?
Nothing.
What is that?
I imagine it's in the manual.
It means it needs to be charged in its cradle.
You did hot sync it to your desktop, didn't you? Hot sync?
Mine went dead once.
I lost everything I put into it. Alec, let's go.
Let's go.
Excuse me.
That doesn't sound too good. How do you hot sink this thing?
Oh, no.
It's gone. Everything is gone. Four days of data entry. Just turn it off.
What?
Come on in.
It's Kylie.
Yes, it is, babe.
So, um, when you called, you didn't exactly say why you were coming.
Yeah. No.
Well, I wasn't sure myself.
But I know I wanted to catch you before you left your folks.
Well, we're not leaving for about an hour.
Oh, my God.
You said that, um, Moira's birth mom, you're in touch with her.
Yeah. Yeah, yeah. She's, uh, she's met her. She knows all about her. She got me
Malibu Barbie last Christmas.
I'd like that.
Be a part of her life.
You will be.
Definitely.
Okay.
I'll get the paperwork going tomorrow with Rami.
That'd be great.
I'll take good care of her. I know.
I know.
Hey, Kylie.
Kylie. Hey.
You be good.
Okay?
You're welcome to join us tonight.
No, I got work.
Just, um...
Drive safe.
Always.
Okay.
Bye -bye, Kylie.
Daddy loves you.
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