Original subtitles

Dr Paul Atkin, Dr Atkin.

Dr Paul Atkin.

Dr Antonelli, Dr Antonelli.

Dr Antonelli, Dr Antonelli...

Morrigan. Dr Morrigan, Dr Morrigan.

Get your oxygen, Paul.

Dr McGill, Dr Blake here...

She ever have diabetes?

- Not that I know of. - Right.

- She ever have a heart attack in the past? - No.

After the stroke that she had, that was what year, by the way?

That was in...

- '66. - Right.

- After the stroke, was she able to talk? - Oh, yeah.

- She had no problem with speech? - No.

Did she have any problem with using her arms or legs?

No. Well, her left side was somewhat.

- Her left side? - Yeah.

And...

What happened today at home?

Nothing. Last night, she was alright. And...

Well, the doctor said when she...

you know, sometimes she gets a little excited, like.

You know what I mean? He told me to give her one of the pills.

When she... Told me to give her the pills three times a day

and one, one time a day.

What colour were the pills?

I told you, one was tan and one was blue.

And so I gave her one of the pills last night to relax her, and...

Calm down. Try to calm down.

And she usually gets up

at 6 o'clock to eat before I go to work.

But she... This morning, she didn't wake up.

So I said, well, maybe...

Maybe she was a little bit more tired.

So after I fixed breakfast and everything, then I went.

She was still sleeping and I shook her, she wouldn't wake up.

- So it all happened in her sleep? - Yes.

- Was she feeling alright last night? - Yes, she was feeling alright.

You come inside in a little while. We'll give you a tranquilliser.

- Hey, Doc. - Yeah?

Were you vomiting the other day?

- Were you vomiting? - Yeah, I was vomiting, cos I was...

- After you drank all day? - Only reason why, I drank.

Have you had any red vomit?

- Bloody vomit? - No blood, no.

How about your stools? What colour have they been?

- Your bowel movements? - They, uh...

They look like they were turning black.

Black? Yeah?

Colour of my watch band?

- Huh? - Colour of this?

- This colour? - Yeah.

How many days have they been black?

Um...

Almost about...

four days now.

- They're black. - Have you had any diarrhoea?

- Have you have any diarrhoea? - No, I never had no diarrhoea.

What they do on that? What's this operation for?

- Huh? - What's that operation?

Alcohol.

Yeah, that's right. He was operated for alcohol.

Well, what do you mean you were operated for alcohol?

An alcoholic. Acute alcoholic.

You don't know?

OK, now listen to me.

It's very important that I know if it was a pill or did you shoot up?

What?

- I did some... - What did you take?

Was it a pill or did you shoot up?

- Heroin... - Heroin?

How much did you take?

Just a bag...

One bag?

- One bag? - Yeah.

I...

No cops or anything...

No cops. No cops.

Sickle cell.

- Sickle cell? - Sickle cell. Correct.

OK, let's give her...

And give her...

It hurts!

- Stop...! - Alright, hold your hand up.

Yes, this is Dr Schwartz calling from Metropolitan Hospital emergency room.

Um, we received a patient from New York Hospital

about two hours ago, by the name of Inez Wattley.

I wanted to inform you that patient was transferred over here

and the conditions of the transfer were really absurd.

First of all, there was no...

Absolutely no...

note came with the patient at the time.

There was no notice to who the doctor here was...

who was contacted, who accepted the transfer.

There was no note as to what the laboratory test

or the condition of the patient was

when seen by a doctor at New York Hospital.

There was absolutely nothing that came over.

I called up and I was able to get in touch with the resident

I don't recall his name now, who did see her in the emergency room.

And he related her condition to me rather superficially.

Turns out the patient is an active upper GI bleeder.

She may or may not have to go to the emergency room

to the operating room tonight on an emergency basis.

Now, I think that this patient's life was actually...

put into some sort of jeopardy

by transferring her in this condition.

And I would just like to say that, you know

this is the sort of thing that we see all the time.

And...

whenever it happens, I make it a habit of calling the administrator

and voicing my complaint.

This is just not in the best interest of the patient here

regardless of how many rooms there are or aren't.

No, this is Metropolitan.

Patient's name is Inez Wattley.

She's an active upper GI bleeder.

We don't know. It's up to the surgeons.

They're seeing it now.

No, I can't tell you.

I believe it was medical. I really don't know.

OK.

Bye-bye.

How long have you been hard of hearing?

Ever since I was eighteen, and I'm sixty-eight now.

Born in 1901, right?

So you've been hard of hearing since...

I still worked till I was sixty-two. Then the company went...

on the blink and I was laid off.

No, I mean, I'm trying to figure out how many years you were hard of hearing.

Well, that would be forty years, wouldn't it?

I think so. Since about nineteen, um...

twenty-nine?

No, since 1919.

- And it's been very hard... - I can imagine.

I'm telling you.

It's harder than when you have to wear glasses.

Now, tell me, do you have

any kind of private medical insurance such as Blue Shield?

- No. - No?

Except the Medicare.

The Blue Cross wouldn't take me up on account of the diabetes.

Oh, yeah, yeah, yeah.

I tried to get it.

And then they told me they would only give me

something if it was not the diabetes that caused it.

And usually diabetes causes all kinds of ailments.

- That's right. That's right. - Like the eyes.

I spent a lot of money for the eyes since March

but I have no disease, and of that I'm glad.

- Oh, yeah... - See, the doctor was afraid

I maybe have a disease.

Oh, yeah, yeah, yeah.

- Now... - It's just been hard for me, you see.

Now this one will come.

A new hearing aid, the teeth.

And now all these checkups that the medical man wants.

- Six, seven different... - Yeah.

...by the laboratory.

Well, a chest X-ray.

- Heart cardio. - That's right.

That all, I have to pay first

and what they give me back on it.

But the first fifty dollars I have to pay myself

and forty-eight dollars I have to pay for the Medicare.

So it's just been...

And I say, if I draw and use up my income

what am I going to do?

- That's right. - When I'm in this...

You see, you want to remain self-supporting.

You don't want the government to support you completely.

Everybody has that in them, don't you think? So...

we want to do what we can ourselves.

- Yeah. - If we can.

- Except when need comes. - Yeah.

- And I'm trying to avoid that. - Yeah, I know.

And I pay sixty-four dollars

and eighty-six cents rent a month.

Plus my utility.

You're not a veteran, no?

- No. But I did work for the UNRRA. - Yeah.

Overseas once, but...

And I had an UNRRA uniform.

I was tied up. I had settled in Germany...

- Oh, yeah. - When I was a young girl.

Married, et cetera, then through the World War II

I had to come back cos the Russians took everything.

Oh, yeah, yeah, yeah.

- OK. - Now, I sign...

Yeah, uh-huh. This is...

five...

twelve, sixty-nine.

You have to sign here and here.

Excuse me.

Right here and then there.

Well, I thank you very, very much.

OK. 152 and a half. Have a seat.

- 152... - You keep that.

That's for you. OK?

This way. Sit down there.

Just relax your legs. Just let them hang loose.

No, this is not loose. You're holding it hard.

Loosen, loosen. Loose, loose.

Like you're hanging it in water. Just like it's sitting in water. OK?

The drinking just eats into your stomach.

But if I don't get a couple of drinks, I cannot eat.

I'll give you some other medicine to relax you

so you won't get so nervous.

I like to eat.

Sometimes I chew, I cannot...

If I got a couple of beer or two beer, you know, I eat good.

- Yeah. But that's not good for you. - I'm telling you this.

Yeah. Let me see your teeth.

Would you like to have your teeth fixed?

I would like it, sure.

I try to pull them out. I put...

- No, you don't pull them out yourself? - No, no, the...

- I pull eight pieces out. - Yeah.

Alright, well, we'll have you seen in the dental clinic.

Come over here, let me take your blood pressure.

Are your eyes blurry?

- No. - What happens to your eyes?

- It gets dark for minutes. - It gets dark?

- Dark. Completely dark. - Yeah.

OK. I'm gonna take a look inside your eyes.

Do you have any trouble passing your urine?

No, but I got something there.

- You know, it's bothering me. - Yeah?

You know, in the...

- In the where? - In the end of the... you know.

Yeah. What happens when you pass your urine? Does it burn or itch?

No. My thing itch too much.

- It itches? - Itches, you know.

- You have an itching right on it? - Itch.

- I'm bleed sometime when I scratch. - You have bleeding?

When I scratch, because I wash him up and I clean him good.

- Yeah. - And I...

itch, and bleeds.

- It does? - Yeah.

Uh-huh. We'll have to...

- Not inside. - Outside?

Outside. It's in the bottom.

This is the thing, over here in the bottom.

Itch on my...

- Around the rim, it itches too? - Yeah.

I'm shame tell to you.

No, no, I want to know, because I have to fix this up.

But how about when you pass your urine, does it drip out?

- No. - Does it come out in a nice stream?

Come nice, but I stop it when I finished up.

Yeah, you feel like you have to go more?

No, when I finished up, when I clean it more time

I put in a shower, put in my pants and...

- Drips? - Drips, some.

Drips. OK. We'll have to have... Yeah.

I don't like to tell that to you because I'm ashamed.

No, no, no. You shouldn't be ashamed.

No, we want to fix this up.

We want to make you feel better.

I have to know all these things.

Alright, you come sit down over here.

I think I got cancer.

You think you got cancer? Well, why don't...

We have to check you up.

I don't know that you have anything like that to worry about.

I'm sad, you know...

I think I got cancer.

Where do you think you have it?

That thing on my...

Not inside.

- Outside. - You want me to look at it?

You want me to check it?

Or you prefer to have a man doctor look?

You want me to look?

You want to...

Alright, let me check it for you.

- Just lie down. Take this off. - It's more be ashamed.

No. There's nothing to be ashamed of.

Now what I'm gonna do for you

I'm gonna give you a pill for the diabetes

and have you see the dietitian to tell you what to eat and how to eat it.

I'm going to get you an appointment

to have yourself checked up in the GU clinic.

And I'm going to send you to the dental clinic.

And we will have your counselling nurse talk to you.

We want to find out whether we can possibly get you

some other kind of work where you don't have to be on your feet all the time.

Drink it all down, please.

Stop breathing.

Breathe.

Now stop breathing.

Breathe.

Swallow some more.

Stop breathing, please.

Breathe.

Stop breathing, please.

Breathe.

We took X-rays of it and it showed up

I don't know what it means.

His latex fixation is negative.

His... are negative.

- Calcium-phosphorus? - All normal.

In fact, his calcium when he came in was rather low.

He had a low calcium, a low phosphorus.

You say the murmur's better?

I can hardly hear it. At least, I could hardly hear it yesterday.

Has the hematocrit risen this week?

Yeah, right now his hematocrit is 33.

Yesterday, his hematocrit was 33.

His retic count was 3%.

He has adequate folic acid stores, but...

Uh...

Yeah, oh, yeah.

Alright, just about.

That hurt?

Again?

Can we... could you sit up, please?

Have you heard anything?

Never.

Maybe if you project, you can hear some tubular breath sounds.

Breathe through your mouth.

Say ninety-nine.

Ninety-nine.

Ninety-nine.

Ninety-nine.

Ninety-nine.

Now whisper, "One, two, three."

Whisper, "One, two, three."

- One, two, three. - Whisper.

One, two, three.

One, two, three.

One, two, three.

One, two, three.

One, two, three.

Pick up any difference? Can you pick anything up?

I think you have to apply Sutton's Law here.

Since I have to be at Flower tomorrow

would you tell him that Dr Gordon and I

feel that we should have a tissue diagnosis?

That's our feeling.

I mean, despite the fact the patient's getting better.

Alright?

Well, you're all tied up here, huh?

- OK... - OK?

You feel cold?

- No. - OK.

Dr A. U. Gerald, Dr A. U. Gerald.

Good evening, ladies. How are you?

- Good evening. - Seventy-five today...

I have a little medication for you, dear.

- Sit up. - How are you doing?

- Sit up. Here. - Yes.

Take it easy.

- My... my back. - I know you're in some pain.

Thank you.

Stay still.

Let me feed you with the milk so you wouldn't...

spill it.

Now, it's good to the last drop. Drink every bit of it.

- Alright? - Mm-hm.

- OK, Miss Bright. - Thank you very much.

Alright, rest back. Relax.

OK, dear.

Was that good?

- You want a little more juice? - Mm.

Ooh, boy...

OK, Miss Harris. Come, dear.

OK...

Your medicine.

That's your medication now.

Alright, now that we've done that, let's get to the brain proper.

And we do see the very, very marked flattening...

The brain looks like a rather small brain.

Let's weigh it now.

You see, after fixation, it's only nine hundred and seventy, about.

It's a small atrophic brain.

The convolutions are small.

And I think this also may be significant, Dr D'Souza?

I think one of the reasons her symptoms maybe were not so alarming

or progressed very slowly is there was probably a lot of room

in the cranial cavity, because of the atrophy of the brain.

Quite a bit of herniation of tissue from right to left

indicative of increased intracranial pressure.

At the base of the brain

also we find a deep uncal herniation...

with quite a marked groove here.

That's also one of the best we've seen in a few weeks. See it?

And also on the right side.

Now one other point of interest is that there is a little focus here

of yellowish brown discolouration of the leptomeninges.

And normally the...

As you know, the arachnoid acts as a good barrier

and none of the fluid gets...

none of the blood, I mean, gets into the subarachnoid space

The xanthochromia presumably is blood products that get diffused through.

This may indicate either that she had a tiny, little subarachnoid haemorrhage

at the same time, or that a little bit of blood did leak

maybe along one of the bridging veins, and get into the subarachnoid space.

I think I'd like to take a section of that now

so I don't lose it, because I'm interested to see

if we'll be able to pick up hemosiderin.

Microscopic.

Alright, I think that covers the...

Her focal seizures presumably...

are due to pressure.

- They were left-sided seizures? - That's right.

This is behind the central sulcus of Roland

so I presume that this did not have any significant focus... relationship.

It reminds me of the jaune, the plaque jaune

of chronic alcoholics who've had head trauma.

Epileptics with chronic alcoholism who've had multiple head trauma

get these yellow plaques, which are called plaque jaune.

The vastus medialis is man's last muscle.

It is the last muscle to have come into man's anatomy

in any proportions.

Only man has a screw-home position at the knee.

Only man...

has a wine-glass geometry.

Only man can rotate the legs inward and out.

This is only... This is man's problem.

A horse or any of the quadrupeds

must rotate by dipping one leg down

but there are no rotatory muscles.

Only man can develop cerebral palsy

because only man has a wine-glass geometry.

So therefore, when they try to imitate cerebral palsy

in the experimental animal, it's a waste of time.

It's just as much as we try to prove by...

thousands of experiments of producing hip dislocation in the dog.

And we say now we know by understanding the dog

that the dislocation happens in man.

It's a totally different type of dislocation.

Only man can develop that type of dislocation

because man has a different geometry.

Man is not born of disease.

He acquires these disorders when he tries to...

adapt to a certain level of civilisation.

Yeah, Dr Kohn, it's Miss Tiller, the OR supervisor.

Can you give me the report?

Yeah.

Yeah. Let me tell 'em.

The lymph nodes didn't show any malignancy.

Yeah, go ahead. Anything else?

Nothing.

In other words, he has a report, no malignancy whatsoever.

- OK. - All of them?

All of them, Doctor?

All of them.

OK, thank you very much.

OK...

Why don't you bring that chair over?

OK.

Can we have some jelly? Put some jelly.

OK. Just relax a little bit.

Just relax.

Take a deep breath. All the way.

OK, good. Everything's alright.

No, he should not return home.

The grandmother is incapable of taking care of these two children.

She's intoxicated.

Now, she...

Of course, the child cannot return to a home where the environment...

You know, if the father leaves the child with a grandmother that, you know...

She didn't even know the kid was gone.

That's right. She didn't even know that the child was gone.

Well, I think the child was left with a grandmother

was completely intoxicated

and incapable of taking care of the child.

And refusing to come down here.

The parents, I don't know. We can't locate them.

I think something should be done about it, I don't know.

Oh, we talked to the grandmother.

The grandmother knows the child is here.

- And she's not coming? - She's not coming.

She refused to come to the hospital.

Are they gonna admit him?

Is there a possibility that we...

Can we admit the boy for 24 hours just to get...

just so I can send a telegram to have the father pick him up

because I want Social Service to investigate the home environment

because the child is not fit to go home.

He fell.

It's a neglect. It's a neglect form.

Was he abandoned by the parents or...

No, the child...

It's improper supervision.

She wants to refer the child.

- I want her... - He's getting a bed.

- He's priming the bed. - Alright.

Would you fill out a neglect form? Alright.

She's gonna fill out a form.

Nina, this is Madge.

Now, I know the old goat is there, so answer yes or no.

Do you have a bed on the ward?

Just answer yes or no. I can hear her breathing down your back.

What I... Yeah. What I want is a bed.

Well, for really nothing.

I mean, there's no disease, but I need a bed.

And I was hoping you and Dr Waite could think of something

that I could get one by.

A bed for a little boy doesn't have any place to go.

I'll give him anything you want. What do you want him to have?

Where's the boss?

Blood bag? OK.

Are there any other siblings in the home?

We don't know, because we haven't had any kind of...

you know, family to talk to. Nothing.

All we know is this kid fell.

The child fell out of a window

that was fifteen feet?

Fifteen feet straight down.

Not fifteen... but fifteen feet?

- Fifteen feet straight down. - OK. The child fell out of the window.

People called the police and the police came, took him home.

Three policemen brought the kid to us.

Mrs K says that...

you know, by law, we can't keep this kid.

You know. But, by law...

By common sense, you can't discharge him either.

And this...

I could take him home for the night

but what would I do with him in the morning?

Oh, no. Don't you get involved in something like that, dear.

What am I gonna do with the kid?

Well, he'll be placed. Don't worry about it.

You get him cleaned up, Josephine.

There's nothing wrong with the youngster, right?

Nothing wrong with the youngster?

No.

He's just ready for disposition, I take it.

You think I could get something for him to eat from the kitchen?

Don't worry about anything, Louis.

Don't worry about anything. You have to go upstairs, though.

The doctors want to take a look at you.

I go home soon.

Tomorrow morning.

- You see? That don't make sense. - Nothing... everything OK for me.

We'll make sure that your children are safe

so you won't have to worry about it.

But it's too long.

That isn't a long time to wait, Louis.

It's very important to your children.

Dr Neil Goldman, Dr Ishwan.

I say now...

I feel alright now.

If it was alright for you to go home

the doctors would have told you to go home.

The main thing we don't wanna do, have to manhandle anything like that.

Well... I don't want to hurt him.

I just wanna... You don't want him to go.

I know this.

I... I would suggest some action. That's my point of view.

- Some action? - Yeah.

Yeah, see, this is what we're trying to alleviate. Action.

It's up to you, Doc. What's your decision?

It's not up to him. It's up to me right now.

Well, what do you say?

I say let's wait until the social worker comes over.

Alright.

Let's get his family squared away.

Right, because that's his main concern.

He has the right to feel concerned about his family.

After all, he has young children. Nine, eleven and seven, and no wife.

Alright, now you have children at home now?

- Yeah. - That's right?

Got three children.

Three children. And who are they with now?

Wait for me.

They're waiting for you?

There is no grown-up person there with them?

- No. - How old are the children?

Got a one...

One nine.

And one seven.

They're not in school today?

They're not in school? They're waiting at home for you?

Yes. Wait for me.

Uh-huh.

Who gave them lunch?

- Hm? - Who gives them lunch?

I give it to them this morning.

- You gave them lunch this morning? - Yes.

I see. What about the lady who lives next door?

Is she watching them?

He watches television.

Where is their mother?

Well, they left.

I don't, I don't wanna stay.

I gotta go now.

- I know you've got to go now. - I got my kids.

But you're gonna end up back here in the hospital even sicker.

Because I'll buy some medicine.

If medicine would settle it, we would give you the medicine here.

You need to be in the hospital for the doctors to treat you here in bed.

But with the medicine...

Do you get any money from the welfare department?

Because I feel alright.

Everything OK now. Feel OK.

Do you get money from the welfare?

I'm working.

- You work? - Yes.

Did you ever get any money from the welfare?

- No. - Never?

I'm working. So...

What kind of work do you do?

I work in the bar.

In the bar? What hours do you work?

I work... five day.

What time do you go to work?

Working at six o'clock.

I get out at three.

And who is with the children at night when you're at work?

I live upstairs

because every time I go...

because the bar's over here, I live over here.

Every time I go upstairs, I check out my kids.

Oh, so you check, you leave them home alone

and then you go back and check on them?

I check out, because the bar over here

I live right here.

I go upstairs

and everything OK.

You understand what he's saying?

Yeah, I understand what he's saying.

He's also a little difficult to reason with.

Because I'm working. I'm working.

- I know... - Alright, now, look.

I want you to listen to me.

The doctors say you must stay here for your health.

For your future health.

I don't want to stay here.

We don't want to keep you here

just because we want to keep you away from the children.

It's important for you.

If you got hurt more seriously than you think...

I don't wanna stay.

...and you are not treated, you can die.

Then who's going to take care of the children?

No, it's... I'm sorry.

Maybe what I try to happen, but I can't stay here.

Now look, I can arrange to have someone come in

and take care of the children for you.

If your father can't do it and no other relatives can do it

I can have someone come in.

No, I can't.

- Well, is there any other... - I feel alright.

That's why I need the medicine.

If you feel alright and you need medicine...

I buy some.

I buy some medicine someplace.

I know you're worried about taking care of your children.

But is there any other reason why you will not come into the hospital?

I don't want to stay here.

No one wants to stay here.

No one wants to be in a hospital.

Go up now, Louis.

Come on, Louis, we have to go up now.

We have to go up to the ward. Come on.

- My house? - No.

- We have to go upstairs. - I don't go upstairs.

Just come on.

- I don't go... - Come on, Louis.

Come on. We ain't gonna hurt you.

- Come on. - That's right.

Come on, Louis.

How many months ago...

We got here right now.

I'm gonna have to do the rest of the admission upstairs.

In homosexuality

you experience this a lot.

Where there is a man

who looks like an average...

Wall Street worker, and a...

let me say an executive.

And he has his suit on and his tie

and his hair combed to the side

looking like a million dollars.

And if you...

If another homosexual should pick him up

and take him home, he'll tie him up.

Beat him.

These are things that are not normal.

And this is what I mean.

Mr Vivas, I want to establish one thing with you.

- Yes? - Uh...

There are lots of people who have this problem

and I recognise it as a problem

who can get along very well.

And I wouldn't...

If somebody wanted to be that way, or even didn't want to be that way

but felt he couldn't do anything about it

I wouldn't try to change it.

But I might try to help them to get along with it.

Well, I'm...

Listen, like I told them

and I'll tell you, I'm willing to accept...

therapy, because I feel that

being what I am, I'm not a normal human being.

And I recognise myself.

You see? Not normal.

Due to the fact that when God created this earth

he made man and woman

not...

something else besides that, right?

So, like...

I'm not normal.

I would... I'm an...

I would be abnormal

or I'm a freak of nature.

So...

Any, any, any kind of help that...

that would be given to me here

I would assure you that it would do me...

a heck of a lot of good.

Because I am having...

somewhat of a difficulty

obtaining what... it is known as social service.

In other words, welfare.

This welfare centre has...

um...

petitioned me and...

whereas later they have come up

with the idea, or with the statement that

I cannot require welfare because...

I am a minor.

Now, being that I...

- Because what? - Because I am a minor.

But, you know...

when I do go over to the welfare centre, they tell me...

"And how have you been supporting yourself

"and eating and doing this and that?"

And you know what I've been doing? Prostituting.

Prostituting.

Male prostituting.

Well, let me tell you something.

And at times female, because I get confused.

Let me tell you something.

If you do that cos you need a buck or two

- just don't go around telling... - Not only cos I need a buck or two.

Because I have to have this one full...

Right. Just don't go around telling welfare centre about it.

I have told them about it.

Yeah, I know. Well, don't tell them anymore.

I'll tell them to forget it.

When a person tries as hard as he can to do the best he can

and it doesn't work

he gets very upset and confused

and he thinks to himself...

I must be all mixed up. There must be something wrong with me.

I must be bad, even though I don't feel it.

Now, the first couple of weeks are going to be the hardest

because we got to straighten out a few things.

After a couple of weeks, those things will be straightened out

and there won't be much of a problem.

We're going to try our best

if it's possible, to help you get the welfare.

I don't know anything about the rule, about your being a minor.

But we'll see what we can do about that.

We'll try to help you on that.

And meanwhile, you got to work along with me

- on a couple of things. - Sure.

Dr Baker, Dr Baker...

please dial 6985, 6985.

Dr Michael Bernstein, Dr Michael Bernstein, dial 6988.

Dr Andrew Coronado, Dr Andrew Coronado.

Dr Goldman, Dr Neal Goldman.

Dr Goldman, Dr Eisenberg.

Dr Colby Eisenberg.

He needs some welfare assistance, because clearly

he's not in a position to work for himself.

He's not organised enough.

I would say, roughly guessing

maybe about in a month he'll be ready.

If I send him off to the hospital, which I could easily do

he never will be ready

and there'll be a public charge all the way.

This way, we've got at least a good chance of straightening him out

so that he will be able to work, but...

There's a what?

He has no access to it.

He has no access to it.

Ms Hightower.

I can't help what his mother does.

Ms Hightower, I don't wish to direct any conversation towards his mother.

I'm asking for the assistance of welfare.

This is an emergency situation.

I can possibly keep this man out of a hospital

if I get assistance.

You're telling me about the law and the procedure

and my supposing to tr...

Ms Hightower, is this a welfare centre?

OK. Are you concerned with your clients

and the possibility of keeping them out of a hospital?

Why don't you answer?

Ms Hightower, I, as a psychiatrist...

I, as a psychiatrist, am...

Alright, Ms Hightower.

I, as a psychiatrist, am asking your assistance of welfare

which you have in your hands, to help this person

so that he has at least a chance of staying out of the hospital

and getting back to work.

Now, this is exactly what I'm asking for.

Now, can I get it?

I will put it in writing. I certainly will.

I will send him back to that welfare centre with that in writing.

I do not know at this time.

At this time, I do not know where he is staying.

He isn't sitting here in the room with me, and I don't know his address.

But I hope to get some assistance from welfare.

And I hope not just to be faced with the fact

that I'm supposed to go out and get his mother

who is not willing to help.

He does not have it.

He does not have it at his command.

His mother is not willing to help him.

This is a considerable part of the problem

that his family has thrown him out because of his difficulties.

And you're asking me to go out to get a person

who won't even come in and doesn't wish to help him.

And making that conditional on your helping him.

Ms Hightower.

I would be happy to speak to her.

This may well be her son

but she has not exhibited the interest up to now.

And she has not been willing to give him the money

or do any help in taking care of him.

Ms Vivas, this is an emergency situation.

The man is suffering from schizophrenia.

I am trying to help him.

Yes, he is suffering from schizophrenia.

I am trying to keep him out of the hospital.

If you put him through the procedure of sending him to his mother

with a worker, you're going to guarantee...

That's right. Now...

now, will he get the money regardless of what the worker finds at home?

This is what I want to know.

I don't want to be put off and given the runaround.

I wish an answer, and if you can't give it

I want to talk to somebody who can give it.

Ms Hightower, are you going to give him the assistance

that I'm asking for

regardless of what your worker finds out from the mother?

I'm asking that direct question.

I wish a commitment.

I don't wish you to tell me that you don't know what you're going to do.

She hung up on me.

Come on, chief.

- Come on, my man. - Can you walk now?

- OK, come on, wake up. - Ambulance...

- Get up, come on. - Come on, let's go.

- Let's go. - Wake up.

Come on, get up.

- Let's go. - Come on, wake up. Get up.

- Come on. - Let's go.

- Stand up. - Come on. That's it, hold on.

Come on, my man.

That's it. Come on.

Get one arm, Sam.

This is gonna be...

Come on.

Let's go. That's a boy.

Stand up. Come on, stand.

- Ah... - Come on.

Come on. Walk, will ya?

Come on, man. Come on.

- Turn around. - Turn around.

Don't you know how to sit down yet?

Hold on. Hold on there. Come on.

Turn around.

Turn around.

That's it. Come on, turn around.

Come on, turn around.

- That's it. - Wonderful.

That's it. Now you got it.

Wonderful, wonderful.

Let's tie him to the chair.

What was it, wine or whiskey?

- I don't know... - You don't remember?

Seven Crown.

OK, put your hands up.

Both hands up.

Alright.

A young man like you, every day, you comin' and raisin' hell in here.

Come back out this way now. Up this way now.

Relax back forward.

- Go back forward. - Oh!

That's good. Nothing wrong with that.

Do you drink?

- You inject a needle? - Yeah...

When did you inject?

- When did you inject? - Earlier today...

- What? Heroin? - Heroin...

Come over to the other side and I check.

What do you think they gave you?

- What did they give you? - He told me it was mescaline

but I was chewing on it.

It tasted sort of funny...

like soap or something like that.

So he told you it was mescaline, but it tasted funny?

Yeah, I knew it was... I knew it was poison.

Lie down.

OK. OK.

I'm gonna die... I'm gonna die...

You're not gonna die.

Can we have an NG2, please?

And 10cc of ipecac.

Make it 20.

You want a stomach pump or just the...

No, no, no, no, no.

Just an NG2.

How long ago did you take it?

It was in the park, let me see, it was during the day.

I had tried to puke it up or trying to shit it out

- but it doesn't come out. - Mm-hm.

OK. You're going to be alright.

You're going to be OK. Lie down, alright?

Just lie down and relax.

You're going to be OK.

What am I gonna do?

You're going to be OK. You're going to be OK.

Alright?

There's no serious poison that you could have taken at seven o'clock.

No, I was... Somebody in the park gave it to me!

Somebody in the park gave it to me!

But if it was really serious

then it would have done you in by now.

No, it was a pill!

- A pill! - I understand.

- Lie down and relax. - It was a pill.

I understand. We need more.

Make it 20.

OK. You're going to be OK.

Going to be OK.

Going to give you some medicine now that will counteract the pill

and you'll feel better.

OK? Just relax.

Man...

Doc, can I call...

my friend Patricia.

Oh, I don't know. She's probably in...

across the world by now.

Oh, shit. I don't want to die.

- You're not going to die. - I told her to...

You're not going to die.

Try to relax.

Alright. Now, I want you to swallow this, OK?

OK, I will.

I'm gonna loosen this, and I'd like you to swallow it.

I hope to be able to loosen this.

OK.

There you go.

Here you go. Just relax. Just relax.

Drink this...

All the way down. Go ahead.

OK.

A little bit of water.

Just drink. I want you to drink plenty of water now.

Can you drink out of the pitcher? Maybe it'll go faster.

- Oh, good man. Good man. - Terrific.

Easy does it. Easy does it.

Just drink it down. Good.

Just relax and drink it down.

Drink the water.

There it goes.

Drink the water.

Try some more water.

OK. OK.

It's too...

This is fine. This is fine.

How you doing?

- I don't wanna die. - You're not gonna die.

It just all came up.

It all came up.

- You're doing very well. - What am I gonna do?

- You're going to be OK. - I feel...

- Want me to get more water? - I'm so lost.

That's it?

OK, now I want you to lie down.

I want you to lie down.

You don't need any more water.

He's going to be OK.

That was excellent.

It all came up.

Oh, Doc...

- That was excellent. - I don't...

Do I need a psychiatrist?

Yes, you do. And you're going to have one very shortly.

All I want is this woman, a friend of mine.

I've been writing her letters in Europe and I'm...

But I haven't seen her in so many months.

OK. Now, you're going to be OK.

Let me just take your blood pressure here before I send you down the hall, OK?

There's a psychiatrist down there who's waiting

and will talk to you very shortly.

- But did you take the poison out? - We got the poison out.

- You saw it come out. - Oh!

- Poison is out. - What are we gonna do?

- Poison is out. - I don't want to die.

You will not die. Poison is out.

Doc, I don't...

What I meant was, I was feeling sick.

I feel like I've been, like, malnutrition or something.

Right, right.

Well, I would like you very much to discuss this with the psychiatrist. OK?

Can you give me some tranquillisers then?

- He will. - Maybe you gave me...

Maybe it was a real trip he gave me.

Oh, shit.

Have you ever taken mescaline before?

Oh, yes, but it was nothing like this.

- I'm just so afraid now. - Nothing like this?

- OK. - I'm just so afraid of life now.

OK.

Come on. Let's go down the hall.

Whoop.

Let's leave this with you.

Do we have a messenger?

Relax, relax.

I'm gonna send you down the hall with a messenger.

Talk to the psychiatrist.

He's quite familiar with people with problems such as this.

And he'll be able to help you out.

I'm so afraid.

- That's alright. We're here. - We're here.

Here. Lay back down.

What am I... Oh, I'm so afraid.

That's alright.

Am I? I'm not. Am I...

- Am I gonna die? - No, you're not gonna die.

- I'm not gonna die? - Just gonna talk to a psychiatrist.

Here, lay back.

Wait, I don't want to...

I don't want to lie down. I'm afraid if I do, I'll...

Wanna sit in the bed?

Alright, let me take off the strap here.

Wait, I'm waiting for my friend.

For a friend of mine.

Oh, shit...

There's a psychiatrist been called for.

OK. Right. You got your sheet.

OK, doctor's coming now.

OK. So just relax.

Just relax, you know.

I don't want to die. I don't want to die.

I don't want to die.

- Put this in your pocket or you'll lose it. - OK.

That's alright.

Lay on the bed, Steve.

Lay on the bed, Steve. Go ahead.

- Lay down on the bed. - No, no...

No!

I don't want to die!

Please!

Doctor...

Oh, shit.

- Am I alright? - Yeah, you're alright.

I'm so sorry.

No, it's alright.

- I'm so sorry. - Lie down on the bed.

Wait, I don't want to lie down.

I'm afraid to lie, you know. Can I just...

Can you play music or something?

No, we have nothing to play music in here.

Anybody who knows how to sing or something or play music?

I don't know.

Oh, shit...

I think I should go back with my family.

Where you come from?

- Minnesota. - Minnesota?

Yeah. It's pretty hard making it here on my own.

Trying to go to school, get an education.

I didn't know why I was getting an education in the beginning.

- You going to school now? - Yeah.

Studying art.

Though... You can't do anything with art.

Can't do anything with anything in life, you know that?

Just get a job someplace. That's about it.

Did you say a injury?

Well, this is the room for injuries down here.

Start an intravenous...

Get an IV.

- Throat. - Oh, boy.

Oh, it's a cut...

Scissor?

- Some gauze. - How about that?

Get us an intravenous.

Yeah. Let's get him up on a table.

- Come on. Let's get him up on the table. - Can you sit up?

Come on.

Gonna hurt a little bit now. OK?

120 over 70.

Where was it?

On 12th Street...

- Hm? - On 12th Street.

On the 12th Street and what?

- Whereabouts on 12th? - Between Lennox and 5th.

- Between Lennox and 5th? - Yeah.

- Get it in yet? - Yeah.

Large intracut. Let it go full speed.

Let it go, it's fast.

It's open all the way.

- George? - OK.

Do you know the guys that did it?

- Don't move. - Don't move, George.

Happened at 12th, between 5th and Lennox.

- Here. It's hanging right here. - OK.

Could you move... move the line over here?

Mm-hm. Sure.

- But he's gonna be alright. - Along this way?

It was cut right along the side.

And it wasn't as... Good thing it wasn't any deeper

because if it was any deeper, he would've been in serious trouble.

He would've cut a major blood vessel and bled a lot.

But...

the wound was superficial

and it just cut a lot of superficial blood vessels

right along the side of the neck, and it looked like a lot of bleeding

but it wasn't really all that bad.

And he's gonna be OK, we're gonna have him X-rayed now

and we're gonna give him a lot of fluid.

He's gonna stay for a couple of days and we're gonna check him very closely.

So you stay with him for a few minutes

and we're gonna get the X-ray cards and...

you can see him on the ward, then you'll...

He'll be going to sleep soon anyway, so just stay with him a little bit longer

then you better go home. You can come back and see him tomorrow.

OK.

Wanna wash up and check the guy with the IV in the other room.

Been losing weight?

I done lost it. I'm...

about thirty some pounds underweight.

But have you lost a lot in the last month?

- Yeah... - Huh? Yeah?

Must've been...

Alright, look up here.

No, no. I wanna look in your eyes.

Open your mouth now.

Wide.

Right there.

- Can you open any further than that? - Mm-mm.

Put your tongue out.

Stick it out and open.

I gotta see in there now.

Alright, alright. Relax your tongue. Just let your tongue relax.

Relax, now.

Say "ah".

Open. Open.

Open up. Open up for me.

Can you open your mouth?

Wait a minute. It's kind of tough on me.

I used to open it too far.

- Can you what? - Since my jaw's broken,

I can't open it far.

And you know, there's a hollow down there?

Yeah.

Take your shirt off.

You wanna be seen too?

You wanna be seen too?

Dr Juan Hernandez, dial 6986.

Dr Juan Hernandez, dial 6986.

Dr Steinberg, Dr Steinberg.

Dial 6985.

We gonna take her back to Rollerville, and I'm gonna remake the paper.

And then Doc Ben'll see her again. That's all I know.

Yeah, I mean, that don't make sense

running the patient all over the place. It really don't.

All over the city, all these hours.

Three and four hours at a time.

Right. He said... when Dr Benham had called

he told me that they didn't have no bed for the patient. Right?

Right.

It really don't make sense.

That lady be all... for three and four hours

she be riding from different hospitals.

One hospital to the other.

It don't make sense.

It don't make sense.

Now you take her down there, then you have to take her somewhere else.

She might have to wind up coming back up here.

That's what happens.

I guess that's what happens when you don't have no money.

You know, you have to take what comes.

That's right. If she hadn't...

like I said, if she had money, she...

she would've stayed in her private hospital.

And won't be running all over the place.

What about her relatives? Nobody?

No relatives?

That's another bad thing too. You don't have no relatives.

Well, take it easy.

You think...

Cardiac. She's a cardiac patient.

Why did she have to move...

We give her oxygen.

Cardiac massage.

OK. Where's the nurse? I need her help.

- Nurse! - Nurse?

Some morphine, please.

And fifty milligrams of Edecrin.

Here we are, this ought to do.

Leave that... leave that brown... The black bag here.

That's right. Put it right there on that tray.

Are you in?

I think so.

Go ahead.

No? Well...

Just gonna slip this in.

Sounds alright.

How many you need? Ten in this?

- Yeah, I think it's enough. - Five?

- It's enough? - Yeah.

Suction.

Syringe.

She's pulmonary edema.

They have it down only one way.

- Is there an anaesthetist here? - Oxygen.

- Need some oxygen. - Is there an anaesthetist here?

- You want to get another IV going? - You got the IPPB?

Get me the IPPB here.

You got to give her IPPB, John. She's in edema.

What happened to the anaesthetist?

She's pinpoint and constricted down.

That's from morphine, right?

Well, no. I don't know.

Could be from the...

- You don't think she's an overdose? - No.

- Cyanotic up here. - She's cyanotic.

Up here.

You have the cardiogram ready?

Run it for a while, Bill.

She got a good pulse?

- Yeah. - Yes, she has a pulse.

I don't know how long she went with...

She's got a bundle branch.

I think it's a...

Yes. She has been taking medication.

For her high blood pressure?

- Yes. - What has she been taking?

I have no idea. I don't live with her.

I'm just trying to find out some information from you.

- I'm not casting... - Oh.

I don't know, uh...

She has been taking for high blood pressure.

She lives alone.

Sorry, I have no idea.

- I see. - But today was my birthday.

We were over there. We were having quite a few drinks.

We had a very nice birthday party.

My aunt came over from Connecticut.

I don't know whether it was the overwork or what.

The only thing I'm interested in is what is her condition?

- Right now? - Right now.

Her condition is grave. It's critical.

- It is critical? - Yeah.

That's what I wanted to know.

Yeah, but I need to find out everything I can from you about her.

Then I can tell you.

Is she a diabetic?

- No, she's not a diabetic. - Right.

Has she had frequent pneumonias or...

No, nothing. No, no, no.

But she had this slight stroke. When was that?

Yes, she did. A couple of years ago.

And that was on the left or the right side?

- I don't know. - Which hand was she having trouble with?

The left or the right hand?

Good Lord. You're asking me questions that are...

Important.

Maybe right.

I couldn't possibly say.

She never had any trouble talking, though

- when she had the stroke? - Never.

Right. And has she been under anybody's care?

Yeah, she's been under the doctor's care.

- You know the doctor? - Yes.

- You have his name and address? - Yes, I certainly do.

- Are these X-rays? - Not of her.

I'm so upset, I don't even...

Is she alright?

She's not alright, no.

- She is critical? - Yeah.

I'm upset.

Oh, stamps. Don't worry about stamps.

Let me keep this, alright?

- Beg pardon? - I'll keep this.

Well, I don't know what I have on the back.

Squire's Coffee Shop.

No.

OK.

Ma?

Don't worry.

Ma...

Ma.

Excuse me. Was she ever here before as a patient?

No, I don't believe so.

Mum?

- In OK? - Yes.

Well, just whatever, you know, in the way of history, that's the...

If there's anything, you know, that's pertinent

that happened down here especially.

Let me talk to you. OK?

Come here. Come on.

Mr Fields...

I have to get back to work.

- I'm very sick. - I understand your problem.

I understand your problem

and there's no question about it that you're too old

to live alone and to take care of yourself alone.

The social worker on 7th Avenue is trying to find a place for you to stay.

The social worker here will try to find a place for you to stay.

- I was sent to 7th Avenue. - But the hospital is not the place now.

I was sent to 7th Avenue. You know what happened?

Some young fella sneaked up behind me

slapped me, beat me up good.

Tried to take everything off me.

But in that same house, you know what happened...

last week?

They shot an old man in the same hallway

the same place.

They probably couldn't catch me. I hollered so loud.

They thought they was getting me.

Now where will I go?

This is a tough country, boy.

- I know. - Huh?

- I know. - Especially for old people.

I know.

I know it's not simple, but you're not the only one in this position.

And there are many, many people every day who are placed

into appropriate nursing homes.

And if you just call the number tomorrow, the lady will take care of you.

- Yeah, but... - It may not happen the next day.

It may take her a few weeks to do

- but she will take care... - And I'll get glasses tomorrow?

And you can get glasses tomorrow for sure.

- For sure. - Yes.

That would be a great boost to me.

- OK. - Because I can't read letters.

I can't read anything.

You definitely should have glasses.

Dr Evangelis, Dr Evangelis, Dr Evangelis.

Dr Stewart Springer, dial 6986.

Today especially then, we confront the mystery of God.

We approach Him, forgetting ourselves.

We approach Him reverently

with awe, with wonder

realising inevitably at the same time

our own insufficiency

before Him, our littleness

indeed our nothingness before our God.

For who of us humans

could ever know the mind of God?

Who of us could ever give advice to Him?

Who of us could ever give Him anything that He has not already

or lend Him anything that He would need?

For everything that exists comes from Him.

Everything is by Him.

Everything is for Him.

To Him be glory forever.

Hallelujah.

Today, I think we want a more selfless attitude

more in the spirit of the Gloria of the Mass

which we recited earlier in the Mass

in which the whole sentiment is all praise to God.

Never mind me.

Glory to God in the highest.

We praise You, we worship You, we glorify You.

Or in other words, perhaps as Bishop Fulton Sheen

once expressed it

today, let us thank God for God.

In the name of the Father and of the Son and of the Holy Spirit, Amen.

♪ Salve, salve Maria ♪

♪ llena ♪

♪ De gracia ♪

♪ El Señor, El Señor es contigo ♪

♪ Y bendita ♪

♪ Tú eres ♪

♪ Entre todas ♪

♪ Las mujeres ♪

♪ Y bendito ♪

♪ Es el fruto ♪

♪ De tu vientre ♪

♪ Jesús ♪

♪ Santa, Santa Maria ♪

♪ Madre de Dios ♪

♪ Ruega por nosotros ♪

♪ Por nosotros pecadores ♪

♪ Ahora ♪

♪ Y en la hora ♪

♪ De nuestra muerte, Amén ♪

♪ Jesús ♪

♪ Santa, Santa Maria ♪