1
00:00:11,917 --> 00:00:12,728
Good morning.

2
00:00:12,752 --> 00:00:15,810
It's 6:00 a.m. on a beautiful
New England morning in Boston.

3
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These are the top stories.

4
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Mayor White's assistant Kevin Maloney

5
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has met with the Boston
Redevelopment Authority

6
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over the continuing controversy

7
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on the Charles Town Heights project.

8
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Saugus, police have arrested
contractor James McManus

9
00:00:28,626 --> 00:00:31,393
on $23 million graft and bribery charges

10
00:00:31,417 --> 00:00:34,185
in connection with the
Mystic River extension.

11
00:00:34,209 --> 00:00:35,518
Hyannis Port.

12
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- Mrs. Levine is day
five post-cholecystectomy

13
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and doing well.

14
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She remains a febrile and her
previous anorexia is gone,

15
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draining well.

16
00:00:54,876 --> 00:00:56,810
An AP chest film done yesterday is clear,

17
00:00:56,834 --> 00:00:58,602
her white count is nine-four,

18
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BUN has stabilized at 40.2,
good output of 1600 ccs.

19
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- Blood cultures?

20
00:01:02,876 --> 00:01:04,477
- No growth times two.

21
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- Well, Harris can't nail us on this one.

22
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Next case.

23
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- Yeah, it was a long time ago.

24
00:01:13,709 --> 00:01:14,686
- To return lab

25
00:01:14,710 --> 00:01:15,810
for the biopsies.
- And is he good?

26
00:01:15,834 --> 00:01:16,644
Yeah,

27
00:01:16,668 --> 00:01:18,393
he can really break it up.
- Really very interesting.

28
00:01:18,417 --> 00:01:20,102
- Billy's weird.
- Uh-uh, well, I'll trade you.

29
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- He gets so tired.
- Do you know

30
00:01:20,959 --> 00:01:21,894
that I sat up all night-

31
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Do you like this lipstick?

32
00:01:23,959 --> 00:01:27,102
- She was terrific.
- It's 32 now and going fast.

33
00:01:27,126 --> 00:01:28,852
He can't afford to get out.
- Very nice.

34
00:01:28,876 --> 00:01:32,227
I got
a thousand shares of that.

35
00:01:32,251 --> 00:01:33,977
Well, we have
to have the AP and lateral

36
00:01:34,001 --> 00:01:35,393
and at least 10 units done on the floor

37
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before they can begin.

38
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It says here, the type and
cross-match was done yesterday.

39
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Just standard workup procedure.

40
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Well, I don't know.

41
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So it was a
clear case of endocarditis.

42
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He had this-

43
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- We're ready
when you are, Dr. Wheeler.

44
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No response to antibiotics.

45
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Cut her, okay?

46
00:01:55,834 --> 00:01:56,644
Sponge.

47
00:01:56,668 --> 00:01:57,792
Begin to tie off.

48
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It's all politics.

49
00:02:05,667 --> 00:02:07,477
Today, for instance, Rudnick.

50
00:02:07,501 --> 00:02:08,311
He comes up to me and says,

51
00:02:08,335 --> 00:02:10,727
"Congratulations, I hear
you're the new chief resident

52
00:02:10,751 --> 00:02:11,560
in surgery."

53
00:02:11,584 --> 00:02:12,478
- That's great.

54
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- He was testing me.

55
00:02:14,251 --> 00:02:16,477
Then he says that Harris told him

56
00:02:16,501 --> 00:02:19,977
that Mark Bellows was going
to be the next chief resident.

57
00:02:20,001 --> 00:02:21,102
- Wonderful, Mark.

58
00:02:21,126 --> 00:02:22,352
- But here's the thing.

59
00:02:22,376 --> 00:02:24,727
He's waiting for me to say
that I know all about it.

60
00:02:24,751 --> 00:02:26,643
That wouldn't look right.

61
00:02:26,667 --> 00:02:28,310
That would look as if I expected it,

62
00:02:28,334 --> 00:02:30,102
so I said I hadn't heard anything.

63
00:02:30,960 --> 00:02:33,352
- You've wanted it for two years.

64
00:02:33,376 --> 00:02:36,477
- But there's no point
in saying that, is there?

65
00:02:36,501 --> 00:02:39,917
I said, uh, I thought it'd
be wonderful if it happened.

66
00:02:40,792 --> 00:02:43,352
And I said I thought Chandler
was doing an excellent job

67
00:02:43,376 --> 00:02:44,186
as chief resident,

68
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but I said it like there was a little

69
00:02:46,251 --> 00:02:47,602
room left for improvement.

70
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- Chandler's damn good.

71
00:02:50,626 --> 00:02:52,518
- Oh, I really laid it on
thick with old Rudnick.

72
00:02:52,542 --> 00:02:55,185
I told him I was following
his hepatic research,

73
00:02:55,209 --> 00:02:56,917
cited a couple of references.

74
00:02:57,792 --> 00:02:59,602
He was impressed.

75
00:02:59,626 --> 00:03:00,917
Procedure went well too.

76
00:03:02,126 --> 00:03:03,917
So all in all, it was a good day.

77
00:03:05,292 --> 00:03:06,352
Honey, I'm gonna take a shower.

78
00:03:06,376 --> 00:03:09,018
Can you grab me a beer
before you start dinner?

79
00:03:09,042 --> 00:03:12,060
- Hey, Mark. Get your own beer.

80
00:03:12,084 --> 00:03:13,685
Oh, honey, for
Christ sakes, come on.

81
00:03:13,709 --> 00:03:15,393
- I wanna take a shower.

82
00:03:15,417 --> 00:03:16,893
I was on call last night.

83
00:03:16,917 --> 00:03:17,853
- So was I.

84
00:03:17,877 --> 00:03:19,560
- No, I know, but I had two arrests,

85
00:03:19,584 --> 00:03:21,435
aortic aneurysm blew
at four in the morning,

86
00:03:21,459 --> 00:03:22,935
had to be done STAT.

87
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So I didn't get any sleep,

88
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and I'd really like to take a shower.

89
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If you don't mind.

90
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I had a hard day too.

91
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- You get in the shower
faster than any person alive.

92
00:03:36,792 --> 00:03:39,126
Have a beer. You'll feel better.

93
00:03:43,001 --> 00:03:45,602
- I know what'd make me feel better.

94
00:03:45,626 --> 00:03:46,667
Goddamn doctors.

95
00:03:48,251 --> 00:03:50,292
Couldn't have fallen in love with a nurse.

96
00:03:53,542 --> 00:03:56,685
Dorothy on the eighth floor, yeah.

97
00:03:56,709 --> 00:03:57,709
She liked me.

98
00:04:00,792 --> 00:04:03,292
My own apartment.

99
00:04:05,542 --> 00:04:06,626
Hear about Louis?

100
00:04:07,751 --> 00:04:09,185
What about Louis?

101
00:04:09,209 --> 00:04:12,018
- They passed him up
as assistant professor.

102
00:04:12,042 --> 00:04:13,560
Guy's really paid his dues too.

103
00:04:13,584 --> 00:04:15,518
Now they don't take him.

104
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Plus his son, he's waiting
for a kidney transplant.

105
00:04:19,001 --> 00:04:20,459
Did you start dinner?

106
00:04:22,167 --> 00:04:23,477
- What?

107
00:04:23,501 --> 00:04:24,935
I said, did you start dinner?

108
00:04:24,959 --> 00:04:26,435
- Did you hear anything I said?

109
00:04:26,459 --> 00:04:27,268
I was trying to tell-
- It's right

110
00:04:27,292 --> 00:04:28,103
in the refrigerator, Mark.

111
00:04:28,127 --> 00:04:29,768
Just heat it up. It's already cooked.

112
00:04:29,792 --> 00:04:32,060
- I was trying to tell you
something about my day.

113
00:04:32,084 --> 00:04:34,602
- I had a hard day too.

114
00:04:34,626 --> 00:04:35,792
Just go heat it up.

115
00:04:36,834 --> 00:04:39,143
- Now why is it whenever
we're about to have a fight,

116
00:04:39,167 --> 00:04:40,893
you always manage to be undressed?

117
00:04:40,917 --> 00:04:41,935
- Hey, what's the big deal?

118
00:04:41,959 --> 00:04:43,768
Just put the stew in a pan and heat it up.

119
00:04:43,792 --> 00:04:45,352
Now, why won't you help out?

120
00:04:45,376 --> 00:04:46,560
Oh, is that the way you see it?

121
00:04:46,584 --> 00:04:47,393
- Well.

122
00:04:47,417 --> 00:04:48,228
Well, I think
I make my concessions.

123
00:04:48,252 --> 00:04:49,727
You always take a shower first.

124
00:04:49,751 --> 00:04:50,728
- I don't.

125
00:04:50,752 --> 00:04:52,626
- You do too, I'm getting tired of it.

126
00:04:55,459 --> 00:04:56,269
Oh no, honey, come on.

127
00:04:56,293 --> 00:04:57,310
- Don't call me honey.

128
00:04:57,334 --> 00:04:58,311
- All I'm trying to do

129
00:04:58,335 --> 00:05:00,102
is tell you something about my day.

130
00:05:00,126 --> 00:05:01,061
Something that happened.

131
00:05:01,085 --> 00:05:02,876
- Your days are always the same.

132
00:05:05,501 --> 00:05:07,393
- What the hell is that supposed to mean?

133
00:05:07,417 --> 00:05:09,477
Just politics, that's all.

134
00:05:09,501 --> 00:05:11,018
Who said what to whom.

135
00:05:11,042 --> 00:05:12,727
Who's rising, who's falling.

136
00:05:12,751 --> 00:05:15,643
Who's made a good move,
a bad move. Politics!

137
00:05:15,667 --> 00:05:18,685
- Well, somebody has to be
interested in hospital politics.

138
00:05:18,709 --> 00:05:20,018
You certainly are not.

139
00:05:20,042 --> 00:05:21,268
I thought you were a fourth year

140
00:05:21,292 --> 00:05:23,643
surgical resident, not
a political resident.

141
00:05:23,667 --> 00:05:26,310
- I like politics. They interest me.

142
00:05:26,334 --> 00:05:28,334
Just because you're always looking for...

143
00:05:29,334 --> 00:05:30,311
Listen, Susan you want me
to heat up the dinner,

144
00:05:30,335 --> 00:05:31,626
is that what you want?

145
00:05:32,584 --> 00:05:33,876
- I want some respect.

146
00:05:34,834 --> 00:05:36,792
- Susan, come on. Don't leave again.

147
00:05:37,834 --> 00:05:40,102
- I don't see why you can't
share half the responsibility.

148
00:05:40,126 --> 00:05:42,477
- I share more than
half the responsibility!

149
00:05:42,501 --> 00:05:43,393
- No need to shout.

150
00:05:43,417 --> 00:05:44,394
- Then what are you running off for?

151
00:05:44,418 --> 00:05:45,435
You think I want this?

152
00:05:45,459 --> 00:05:48,018
Well, let me tell you
something, Dr. Wheeler.

153
00:05:48,042 --> 00:05:49,352
I make my share of concessions

154
00:05:49,376 --> 00:05:50,852
for this so-called relationship.

155
00:05:50,876 --> 00:05:51,686
- I know it's hard-

156
00:05:51,710 --> 00:05:54,143
- I also want you to-
- on you politically.

157
00:06:00,626 --> 00:06:01,626
- Susan, don't go.

158
00:06:03,959 --> 00:06:06,268
- You know what the trouble with you is?

159
00:06:06,292 --> 00:06:08,852
All you care about is
being chief resident.

160
00:06:08,876 --> 00:06:10,768
- You know what your trouble is?

161
00:06:10,792 --> 00:06:12,602
You don't really want a relationship.

162
00:06:12,626 --> 00:06:15,102
Look at you. You run away from it.

163
00:06:15,126 --> 00:06:16,126
- This is ridiculous.

164
00:06:17,501 --> 00:06:19,185
You don't want a lover.

165
00:06:19,209 --> 00:06:20,810
You want a goddamn wife!

166
00:07:03,042 --> 00:07:04,018
- Bastard.

167
00:07:15,667 --> 00:07:18,393
Hmm, I have a bleeder here.

168
00:07:18,417 --> 00:07:19,560
I need more suction.

169
00:07:19,584 --> 00:07:21,042
Clamp.

170
00:07:24,459 --> 00:07:26,060
- He's not di-toxic.

171
00:07:26,084 --> 00:07:27,935
He has advanced ASHD.

172
00:07:27,959 --> 00:07:29,060
The question is-

173
00:07:30,167 --> 00:07:31,893
- I just bought some at 43.

174
00:07:31,917 --> 00:07:34,977
- Yeah, I hear they have
management problems.

175
00:07:35,001 --> 00:07:36,602
I sold at 37.

176
00:07:36,626 --> 00:07:38,060
Radiologist, wonder about-

177
00:07:38,084 --> 00:07:38,894
- Hi.

178
00:07:38,918 --> 00:07:40,727
Hi.

179
00:07:40,751 --> 00:07:41,935
- How are you?

180
00:07:41,959 --> 00:07:43,185
- Mm-hm, I'm fine.

181
00:07:43,209 --> 00:07:45,018
The case went well. No problem.

182
00:07:45,042 --> 00:07:49,310
- Good. I'm really sorry about last night.

183
00:07:49,334 --> 00:07:50,602
Well,
you mean that little piece-

184
00:07:50,626 --> 00:07:52,352
- So am I.
- X-ray, you're kidding me.

185
00:07:52,376 --> 00:07:53,560
- You wanna have some lunch?

186
00:07:53,584 --> 00:07:54,893
- I have class.

187
00:07:54,917 --> 00:07:56,560
- You don't think this is more important

188
00:07:56,584 --> 00:07:58,268
than a damn class?

189
00:07:58,292 --> 00:08:01,185
- Mark, that class is
the only time I get out

190
00:08:01,209 --> 00:08:02,227
of this damn hospital.

191
00:08:02,251 --> 00:08:04,542
Can you understand that?
It's important to me.

192
00:08:05,917 --> 00:08:07,018
- Susan, you're impossible.

193
00:08:07,042 --> 00:08:09,060
- Seven, eight, step-

194
00:08:09,084 --> 00:08:10,084
Buck, buck.

195
00:08:12,042 --> 00:08:13,334
Back, step, out.

196
00:08:18,126 --> 00:08:21,542
One, two, down, three, up, four, and open.

197
00:08:22,459 --> 00:08:25,834
And one and two, three and four, stretch.

198
00:08:27,667 --> 00:08:29,685
Walk, two, three, four,

199
00:08:29,709 --> 00:08:33,185
and five and six, seven, eight, and back.

200
00:08:33,209 --> 00:08:34,352
You gonna leave Mark?

201
00:08:34,376 --> 00:08:37,584
- I don't know. I went home last night.

202
00:08:38,626 --> 00:08:39,810
- Again?

203
00:08:39,834 --> 00:08:41,834
- Yeah, he's impossible.

204
00:08:43,167 --> 00:08:46,042
Did you see Dr. Richards? And?

205
00:08:47,417 --> 00:08:48,353
- I don't know.

206
00:08:48,377 --> 00:08:49,768
Apparently you can tell by looking

207
00:08:49,792 --> 00:08:51,602
at the cervix or something.

208
00:08:51,626 --> 00:08:53,060
It's a different color.

209
00:08:53,084 --> 00:08:54,435
He did the lab tests,

210
00:08:54,459 --> 00:08:56,935
and he says I'm definitely
eight to 10 weeks pregnant.

211
00:08:56,959 --> 00:08:59,417
So Dr. Richards is doing a DandC tomorrow

212
00:09:01,167 --> 00:09:02,935
for menstrual irregularity.

213
00:09:02,959 --> 00:09:04,251
- Mm-hm.

214
00:09:05,501 --> 00:09:07,143
- It's pretty simple, isn't it?

215
00:09:07,167 --> 00:09:08,167
- Are you worried?

216
00:09:09,126 --> 00:09:11,977
- Well, I know you do this every
day, but sure, I'm worried.

217
00:09:12,001 --> 00:09:13,477
Who wouldn't be?

218
00:09:13,501 --> 00:09:16,334
- It'll be fine, Nancy.
It's routine procedure.

219
00:09:23,626 --> 00:09:24,436
We're taking the kid

220
00:09:24,460 --> 00:09:26,102
to the Ice Capades tonight.

221
00:09:26,126 --> 00:09:27,560
It's real crowded.

222
00:09:27,584 --> 00:09:28,561
Patient on call?

223
00:09:28,585 --> 00:09:30,602
Coming right down, Dr. Cowans.

224
00:09:30,626 --> 00:09:32,393
Those instruments
should be autoclaved by now.

225
00:09:32,417 --> 00:09:33,893
Okay, what do
you say we teach you fellas

226
00:09:33,917 --> 00:09:34,853
some anesthesiology, huh?

227
00:09:34,877 --> 00:09:37,560
This is your standard anesthesia cart.

228
00:09:37,584 --> 00:09:39,727
We've got two main wall lines over there.

229
00:09:39,751 --> 00:09:42,018
Nitrous oxide on the left and oxygen.

230
00:09:42,042 --> 00:09:44,060
We got a case today that's a DandC.

231
00:09:44,084 --> 00:09:46,435
It's just one of Dr. Richard's cases.

232
00:09:46,459 --> 00:09:47,852
Actually it's a TAB,

233
00:09:47,876 --> 00:09:49,518
that's a therapeutic abortion, fellas,

234
00:09:49,542 --> 00:09:50,852
so let's keep it clean.

235
00:09:50,876 --> 00:09:51,893
It's a married patient.

236
00:09:51,917 --> 00:09:53,018
How old is John now?

237
00:09:53,042 --> 00:09:55,477
Okay, on the cart
here, we got two manometers

238
00:09:55,501 --> 00:09:58,685
with flow valves here
and here to regulate gas.

239
00:09:58,709 --> 00:10:01,352
We got emergency oxygen down here,

240
00:10:01,376 --> 00:10:04,185
which we checked, and that's full.

241
00:10:04,209 --> 00:10:06,518
During surgery, we're gonna
be recording all of this,

242
00:10:06,542 --> 00:10:07,768
and the vital signs as well.

243
00:10:07,792 --> 00:10:09,352
Hey, how is Bess?

244
00:10:09,376 --> 00:10:11,977
I don't know. In and out.

245
00:10:12,001 --> 00:10:13,310
Yeah.

246
00:10:13,334 --> 00:10:14,144
Yeah.

247
00:10:14,168 --> 00:10:16,435
Boy, she has more
rails than anybody I know.

248
00:10:16,459 --> 00:10:18,893
I know, but
she's seeing a shrink now.

249
00:10:18,917 --> 00:10:20,685
One, two, three, up.

250
00:10:20,709 --> 00:10:22,310
Who? Anybody we know.

251
00:10:22,334 --> 00:10:23,144
Mm-mm.

252
00:10:23,168 --> 00:10:24,893
Morning, Nancy. Remember me?

253
00:10:24,917 --> 00:10:26,042
I'm Dr. Cowans.

254
00:10:27,709 --> 00:10:28,685
- Dr. Cowans?

255
00:10:28,709 --> 00:10:29,686
Yes, that's right dear,

256
00:10:29,710 --> 00:10:31,810
and you're gonna have a nice long sleep.

257
00:10:31,834 --> 00:10:34,393
Pre-op, she's received
a hundredth of demerol,

258
00:10:34,417 --> 00:10:37,727
0.4 of atropine, so believe me,
fellas, she's pretty relaxed.

259
00:10:37,751 --> 00:10:39,102
I'll say she's relaxed.

260
00:10:39,126 --> 00:10:42,602
Okay, come on Mrs. Greenly, on your back.

261
00:10:42,626 --> 00:10:43,436
That's it.

262
00:10:43,460 --> 00:10:45,268
Gonna meet me for lunch?

263
00:10:45,292 --> 00:10:46,393
I don't know.

264
00:10:46,417 --> 00:10:48,310
I'll have to let you know, okay?

265
00:10:48,334 --> 00:10:50,852
Okay. I'll be in the lounge.

266
00:10:50,876 --> 00:10:52,685
Yeah 'cause
Henry might be calling,

267
00:10:52,709 --> 00:10:53,959
and if he does, no.

268
00:10:55,167 --> 00:10:56,268
Okay, no problem.

269
00:10:56,292 --> 00:10:58,727
Yeah, okay.

270
00:10:58,751 --> 00:10:59,603
Afternoon, Tom.

271
00:10:59,627 --> 00:11:01,560
Afternoon,
Jim. How's our lady?

272
00:11:01,584 --> 00:11:03,310
Oh, she's just about ready.

273
00:11:03,334 --> 00:11:04,935
- I'm still awake.

274
00:11:04,959 --> 00:11:06,143
Not for long, dear.

275
00:11:06,167 --> 00:11:07,352
- You promise?

276
00:11:07,376 --> 00:11:08,977
I'll induce
with sodium Pentothal,

277
00:11:09,001 --> 00:11:10,477
give an IV by syringe.

278
00:11:10,501 --> 00:11:12,185
Okay, Nance, what I want you to do

279
00:11:12,209 --> 00:11:16,477
is start counting from a hundred
backwards real slow, okay?

280
00:11:16,501 --> 00:11:17,727
Here we go.

281
00:11:17,751 --> 00:11:19,185
A hundred.

282
00:11:19,209 --> 00:11:23,417
- 99, 98,

283
00:11:24,959 --> 00:11:25,959
97, 96.

284
00:11:31,376 --> 00:11:33,768
It's quick, stop the Pentothal.

285
00:11:33,792 --> 00:11:36,227
You see, Pentothal, fellas,
isn't really an anesthetic.

286
00:11:36,251 --> 00:11:39,102
Any deep pain right now
and she'd wake right up.

287
00:11:39,126 --> 00:11:41,852
What we need for anesthesia is gas.

288
00:11:41,876 --> 00:11:44,768
So, first I'm gonna inject
some Succinylcholine.

289
00:11:44,792 --> 00:11:46,435
And I want you to watch her chest gauge

290
00:11:46,459 --> 00:11:48,167
because she's gonna stop breathing.

291
00:11:52,209 --> 00:11:55,977
Okay, she's now experiencing
complete muscular paralysis,

292
00:11:56,001 --> 00:11:57,893
and I've got three minutes
to breathe to this girl,

293
00:11:57,917 --> 00:11:59,435
or she's gonna suffocate.

294
00:11:59,459 --> 00:12:00,834
So now we intubate.

295
00:12:01,834 --> 00:12:04,310
Taking a laryngoscope like so.

296
00:12:04,334 --> 00:12:06,393
Hold her head in a hyperextended position.

297
00:12:06,417 --> 00:12:09,935
Enter laterally and put up
the base of the tongue up

298
00:12:09,959 --> 00:12:12,185
and out, visualizing the trachea.

299
00:12:12,209 --> 00:12:13,352
There it is, fellas. Take a look.

300
00:12:13,376 --> 00:12:14,768
Tried the movies last night?

301
00:12:14,792 --> 00:12:15,602
Yeah.

302
00:12:15,626 --> 00:12:17,386
- You see it?
- It's right over there.

303
00:12:18,459 --> 00:12:20,268
Come on, guys!

304
00:12:20,292 --> 00:12:24,268
Okay, take our tube and enter here.

305
00:12:24,292 --> 00:12:26,227
So, in the middle of surgery,

306
00:12:26,251 --> 00:12:28,709
I'm gonna switch over to
the telothane anesthesia.

307
00:12:30,251 --> 00:12:31,435
Stirrups up?

308
00:12:31,459 --> 00:12:32,459
Yeah.

309
00:12:34,292 --> 00:12:35,518
How is John?

310
00:12:35,542 --> 00:12:36,977
Better, he
threw up last night,

311
00:12:37,001 --> 00:12:38,268
but his fever broke today.

312
00:12:38,292 --> 00:12:39,310
I think he'll go back to school tomorrow.

313
00:12:39,334 --> 00:12:40,144
Okay.

314
00:12:40,168 --> 00:12:41,852
Now we can check
the pupillary reflexes.

315
00:12:41,876 --> 00:12:43,477
Even though she's unconscious,

316
00:12:43,501 --> 00:12:45,393
those pupils should still react to light

317
00:12:45,417 --> 00:12:48,060
and let us know that everything's
okay with the old brain.

318
00:12:48,084 --> 00:12:49,268
And that's it.

319
00:12:49,292 --> 00:12:51,727
You know, they say anesthesia's
the easiest job in the world

320
00:12:51,751 --> 00:12:53,143
until something goes wrong.

321
00:12:53,167 --> 00:12:56,768
It's 99% boredom and 1%
scared-shit less panic,

322
00:12:56,792 --> 00:12:57,917
which we try to avoid.

323
00:12:59,001 --> 00:13:01,143
The patient's yours, Dr. Richards.

324
00:13:01,167 --> 00:13:03,018
Now, if you
students will move in behind me,

325
00:13:03,042 --> 00:13:04,560
you'll be able to see
what I am going to do

326
00:13:04,584 --> 00:13:06,268
for this young woman.

327
00:13:06,292 --> 00:13:07,792
A little music, please, Linda.

328
00:13:10,126 --> 00:13:11,560
Actually, what I'm going to do

329
00:13:11,584 --> 00:13:13,292
is get her out of a hell of a mess.

330
00:13:14,626 --> 00:13:17,709
She's pregnant. She doesn't
want her husband to know.

331
00:13:19,834 --> 00:13:21,042
It's none of my business.

332
00:13:22,251 --> 00:13:24,376
I'm just her surgeon.
I don't run her life.

333
00:13:27,417 --> 00:13:29,768
So in fact, our task is simplified

334
00:13:29,792 --> 00:13:33,310
when the uterus is
anteverted and anteflexed.

335
00:13:33,334 --> 00:13:36,060
This is a function of
the muscular attachments

336
00:13:36,084 --> 00:13:37,268
of which there are five.

337
00:13:37,292 --> 00:13:38,292
You should know them.

338
00:13:39,209 --> 00:13:40,893
They're the broad ligaments,

339
00:13:40,917 --> 00:13:43,685
round ligaments, cardinal ligaments,

340
00:13:43,709 --> 00:13:46,852
and the endopelvic fascia,
the uterosacral ligaments.

341
00:13:46,876 --> 00:13:49,209
Again, part of the endopelvic fascia.

342
00:13:52,334 --> 00:13:53,435
Something wrong?

343
00:13:53,459 --> 00:13:55,768
Yeah, she just threw a PVC,

344
00:13:55,792 --> 00:13:58,227
and her blood pressure's falling.

345
00:13:58,251 --> 00:14:00,352
I got 90 over 60.

346
00:14:00,376 --> 00:14:01,810
Well, she's fully oxygenated.

347
00:14:01,834 --> 00:14:03,768
Red as a cherry down here.

348
00:14:03,792 --> 00:14:06,310
Uh, how much longer you got?

349
00:14:06,334 --> 00:14:08,852
Uh, just a couple of minutes.

350
00:14:08,876 --> 00:14:09,686
- I don't like this.

351
00:14:09,710 --> 00:14:11,977
Her blood pressure is still falling.

352
00:14:13,959 --> 00:14:15,435
Damn, maybe we should stop.

353
00:14:15,459 --> 00:14:17,977
She may be getting too
much vagal stimulation.

354
00:14:18,001 --> 00:14:20,018
Jesus Christ.

355
00:14:20,042 --> 00:14:20,978
What's the hell is the matter?

356
00:14:21,002 --> 00:14:22,518
- I don't know what the matter is.

357
00:14:22,542 --> 00:14:23,436
Nothing's the matter!

358
00:14:23,460 --> 00:14:24,560
Well, something's the matter.

359
00:14:24,584 --> 00:14:25,685
This girl's gonna arrest.

360
00:14:25,709 --> 00:14:28,477
- Yeah, well, I can't find anything wrong.

361
00:14:44,042 --> 00:14:46,542
Okay, I get a 100 over 80.
Her pressure's climbing.

362
00:14:47,626 --> 00:14:48,603
All right, let's finish up.

363
00:14:48,627 --> 00:14:50,709
I'd like to get this mother off the table.

364
00:14:53,209 --> 00:14:54,251
Okay, sponge, please.

365
00:14:58,001 --> 00:15:00,626
120 over 80
and climbing. She's okay.

366
00:15:02,876 --> 00:15:05,393
These tissues
can go to pathology.

367
00:15:05,417 --> 00:15:06,228
Sponge, please.

368
00:15:06,252 --> 00:15:07,310
Can I start bringing her out?

369
00:15:07,334 --> 00:15:08,917
Yeah, bring her out, Jim.

370
00:15:13,626 --> 00:15:16,084
- Okay, Mrs. Greenly,
it's time to wake up.

371
00:15:17,084 --> 00:15:20,834
Okay, Nancy, Mrs. Greenly? Wake up.

372
00:15:21,709 --> 00:15:23,876
Nance, can you give me a cough, please?

373
00:15:25,959 --> 00:15:26,936
Nancy?

374
00:15:39,167 --> 00:15:43,518
Oh, Jesus Christ! Her pupils
are fixed and dilated.

375
00:15:43,542 --> 00:15:44,436
What?

376
00:15:44,460 --> 00:15:48,376
- The pupils, they're fixed, dilated.

377
00:15:53,042 --> 00:15:54,209
Oh, my god!

378
00:15:56,167 --> 00:15:59,685
- Pre-op diagnosis,
acute gastric ulceration.

379
00:15:59,709 --> 00:16:01,292
Post-op diagnosis, the same.

380
00:16:02,667 --> 00:16:05,685
Surgeon, Dr. Wilson.

381
00:16:05,709 --> 00:16:07,560
Anesthesia, general.

382
00:16:07,584 --> 00:16:09,268
- Where's Schwartz, cholecystectomy?

383
00:16:09,292 --> 00:16:10,102
- Bed three.

384
00:16:10,126 --> 00:16:11,126
- Thank you.

385
00:16:13,792 --> 00:16:15,393
- Mr. Schwartz, I'm Dr. Bellows.

386
00:16:15,417 --> 00:16:17,393
You don't
got to talk so loud.

387
00:16:17,417 --> 00:16:18,268
- How you feel?

388
00:16:18,292 --> 00:16:19,102
- Ehh.

389
00:16:19,126 --> 00:16:19,936
- Just eh?

390
00:16:19,960 --> 00:16:21,834
You wanna get on your side for me, please?

391
00:16:22,917 --> 00:16:23,811
Wanna get on your side.

392
00:16:23,835 --> 00:16:25,768
- You got to speak up, I can't hear you.

393
00:16:25,792 --> 00:16:28,477
- What'd they give you
in that operating room?

394
00:16:28,501 --> 00:16:29,852
Do you have any pain?

395
00:16:29,876 --> 00:16:30,977
- If I had any pain,

396
00:16:31,001 --> 00:16:32,310
I would go see a doctor-
- I know, you'd see a doctor.

397
00:16:32,334 --> 00:16:33,685
- Yeah, right.

398
00:16:33,709 --> 00:16:35,751
- Now you wanna breathe for me real easy?

399
00:16:38,001 --> 00:16:39,126
That's it, slowly.

400
00:16:40,376 --> 00:16:42,143
- She was given four milligrams narceine

401
00:16:42,167 --> 00:16:44,227
to rule out idiosyncratic
hyper susceptibility

402
00:16:44,251 --> 00:16:45,143
to pre-op narcotic.

403
00:16:45,167 --> 00:16:46,061
- Easy.

404
00:16:46,085 --> 00:16:49,060
- Two units without effect, a
few peripheral fasciculations.

405
00:16:49,084 --> 00:16:50,768
] So it's
not Succinylcholine?

406
00:16:50,792 --> 00:16:51,977
No.

407
00:16:52,001 --> 00:16:53,893
I think we have
to call this delayed return

408
00:16:53,917 --> 00:16:55,917
of consciousness of cryptogenic origin.

409
00:16:57,876 --> 00:16:59,060
- I see no reason not to transfer her

410
00:16:59,084 --> 00:17:01,852
to the surgical intensive care unit.

411
00:17:01,876 --> 00:17:03,935
- Mr. Schwartz, you're gonna be fine.

412
00:17:03,959 --> 00:17:05,084
- That's what you think.

413
00:17:08,792 --> 00:17:10,768
A grim
prognosis, to say the least.

414
00:17:10,792 --> 00:17:11,792
Rather tragic.

415
00:17:12,792 --> 00:17:14,852
Someone
should notify Dr. George.

416
00:17:14,876 --> 00:17:17,185
He'll wanna review the
anesthetic protocol.

417
00:17:17,209 --> 00:17:19,518
Right, he's been paged.

418
00:17:19,542 --> 00:17:21,792
Looks like
another anesthetic reaction.

419
00:17:23,667 --> 00:17:27,018
Page Dr. Bendix, 44432.

420
00:17:27,042 --> 00:17:28,977
Check, George is not here.

421
00:17:29,001 --> 00:17:30,102
I don't where he's gone.

422
00:17:30,126 --> 00:17:33,227
No, Dr. Bendix, Bendix.

423
00:17:33,251 --> 00:17:35,751
Maybe he left the
hospital. Try his office.

424
00:17:37,334 --> 00:17:39,852
- Yeah, could you page
Dr. Wheeler, please?

425
00:17:39,876 --> 00:17:43,435
- So you see, Jimmy,
your kidneys are sick.

426
00:17:43,459 --> 00:17:44,768
They don't work right.

427
00:17:44,792 --> 00:17:45,893
And you need an operation

428
00:17:45,917 --> 00:17:48,685
so we can take out the sick
kidneys and put in a new one.

429
00:17:48,709 --> 00:17:49,768
"Today?

430
00:17:49,792 --> 00:17:50,977
- No, not today.

431
00:17:51,001 --> 00:17:54,292
We have to wait until there's
a kidney that we can put in.

432
00:17:55,209 --> 00:17:56,352
- Tomorrow?

433
00:17:56,376 --> 00:17:59,560
- I don't know when,
but it could be a while.

434
00:18:01,126 --> 00:18:04,393
Dr. Wheeler,
call extension 356.

435
00:18:04,417 --> 00:18:07,626
- And you can have one of
these. Which color do you like?

436
00:18:09,834 --> 00:18:10,935
- Purple.

437
00:18:10,959 --> 00:18:12,768
- Why don't you take two?

438
00:18:12,792 --> 00:18:14,560
- I like purple.

439
00:18:14,584 --> 00:18:16,292
- Mm, I can see that.

440
00:18:21,792 --> 00:18:23,167
- I like red too.

441
00:18:24,334 --> 00:18:25,334
- Dr. Wheeler.

442
00:18:27,417 --> 00:18:28,417
Yes.

443
00:18:31,167 --> 00:18:32,167
Yes.

444
00:18:34,084 --> 00:18:35,084
Yes.

445
00:18:36,584 --> 00:18:41,310
Um, excuse me, I have to
go to intensive care now.

446
00:18:41,334 --> 00:18:42,792
A nurse should be right in.

447
00:18:44,709 --> 00:18:45,792
Surgical ICU.

448
00:18:54,542 --> 00:18:56,352
- What's her status?

449
00:18:56,376 --> 00:18:59,518
- Greenly? Complete squash rot.

450
00:18:59,542 --> 00:19:03,292
She's a total gomer. It's brain death.

451
00:19:16,584 --> 00:19:17,852
No that patient was transferred

452
00:19:17,876 --> 00:19:19,709
to the Jefferson Institute yesterday.

453
00:19:57,251 --> 00:19:59,876
- How can this happen? All this.

454
00:20:08,792 --> 00:20:10,126
Did you do an EEG?

455
00:20:11,834 --> 00:20:12,834
Flat.

456
00:20:13,542 --> 00:20:15,643
Completely flat?

457
00:20:15,667 --> 00:20:17,084
Completely flat.

458
00:20:18,334 --> 00:20:20,143
Did you repeat it?

459
00:20:20,167 --> 00:20:21,376
No, not yet.

460
00:20:23,042 --> 00:20:25,268
What happened during the DandC?

461
00:20:25,292 --> 00:20:27,393
- Nothing, it's an unremarkable case

462
00:20:27,417 --> 00:20:28,584
according to the notes.

463
00:20:29,626 --> 00:20:32,834
Transient PVCs late in the
operation. Nothing else.

464
00:20:33,917 --> 00:20:34,917
- She never woke up?

465
00:20:36,126 --> 00:20:37,126
- No.

466
00:20:39,126 --> 00:20:41,935
- I wanna look at her chart.

467
00:20:54,834 --> 00:20:55,852
- You know, if it had
been a friend of mine,

468
00:20:55,876 --> 00:20:57,584
I don't know if I'd been that cool.

469
00:21:02,292 --> 00:21:04,352
The potassium was what?

470
00:21:04,376 --> 00:21:05,709
<i>1/ 8, are you sure?</i>

471
00:21:06,626 --> 00:21:08,602
It must be a mistake.

472
00:21:10,334 --> 00:21:12,018
- Honey, I'm sorry.

473
00:21:12,042 --> 00:21:13,893
I know you two were really close.

474
00:21:13,917 --> 00:21:14,811
Surgical ICU.

475
00:21:14,835 --> 00:21:15,852
I tell you I'm looking at the EKG.

476
00:21:15,876 --> 00:21:17,227
This patient can't have
a potassium at all.

477
00:21:17,251 --> 00:21:18,251
Susan?

478
00:21:19,167 --> 00:21:20,977
Are you sure you're
talking about patient Johnson,

479
00:21:21,001 --> 00:21:21,811
Emily Johnson?

480
00:21:21,835 --> 00:21:26,393
- Well, there doesn't seem
to be anything unusual

481
00:21:26,417 --> 00:21:27,643
in the chart.

482
00:21:27,667 --> 00:21:31,102
Normal 28-year-old patient
in good health for DandC,

483
00:21:31,126 --> 00:21:32,602
underwent telothane anesthesia,

484
00:21:32,626 --> 00:21:34,393
comes out in irreversible coma.

485
00:21:34,417 --> 00:21:35,685
' HEY, hey, Susan.

486
00:21:35,709 --> 00:21:36,519
Dr. Roberts.

487
00:21:36,543 --> 00:21:39,310
- It's well-documented that
telothane causes liver damage

488
00:21:39,334 --> 00:21:41,685
and severe side effects
in a small percentage

489
00:21:41,709 --> 00:21:42,852
of surgical cases.

490
00:21:42,876 --> 00:21:45,126
That's just the risk of anesthesia.

491
00:21:46,084 --> 00:21:47,560
- I know you're upset.

492
00:21:47,584 --> 00:21:48,584
- I'm not upset.

493
00:21:50,292 --> 00:21:52,477
You think because I'm a
woman, I'm going to be upset.

494
00:21:52,501 --> 00:21:53,542
I'm fine, Mark.

495
00:21:55,042 --> 00:21:57,227
I simply I want to
understand the variables

496
00:21:57,251 --> 00:21:58,560
as they apply to this patient.

497
00:21:58,584 --> 00:22:00,852
I'm sure you agree that's indicated.

498
00:22:00,876 --> 00:22:01,686
- This patient?

499
00:22:01,710 --> 00:22:04,852
- Here we have an ordinary,
rather uninteresting case

500
00:22:04,876 --> 00:22:07,560
of surgical reaction
to telothane anesthesia

501
00:22:07,584 --> 00:22:08,810
in a healthy patient.

502
00:22:08,834 --> 00:22:09,644
- Susan.

503
00:22:09,668 --> 00:22:10,852
As far as I can determine,

504
00:22:10,876 --> 00:22:12,685
there are no unusual aspects

505
00:22:12,709 --> 00:22:15,143
except that the patient was tissue typed.

506
00:22:15,167 --> 00:22:16,103
Surgical ICU.

507
00:22:16,127 --> 00:22:17,417
- Tissue typed for DandC?

508
00:22:18,542 --> 00:22:20,560
There's got to be some mistake.

509
00:22:20,584 --> 00:22:24,185
- Here it is. No name on the
slip and no billing number.

510
00:22:24,209 --> 00:22:26,018
The patient is stable.

511
00:22:26,042 --> 00:22:27,852
- Well, that's not the first
time the lab has run a test

512
00:22:27,876 --> 00:22:28,876
on the wrong patient.

513
00:22:33,709 --> 00:22:36,251
Let's go home. I think you're tired.

514
00:22:37,209 --> 00:22:40,251
- I think I'd better check
the tissue typing lab.

515
00:22:42,709 --> 00:22:43,709
- Why?

516
00:22:47,001 --> 00:22:50,376
Nancy's problem was not
caused by wrong lab tests.

517
00:22:52,626 --> 00:22:53,768
- I know.

518
00:22:53,792 --> 00:22:55,501
- Honey, you're grabbing at straws.

519
00:22:57,042 --> 00:22:58,852
Let's go have some dinner.

520
00:22:58,876 --> 00:22:59,686
- I'm not hungry.

521
00:22:59,710 --> 00:23:01,018
- We'll check the lab in the morning.

522
00:23:01,042 --> 00:23:02,810
- Mark, I wish you'd stop acting

523
00:23:02,834 --> 00:23:04,185
as if there's something wrong with me

524
00:23:04,209 --> 00:23:05,268
or the way I'm thinking.

525
00:23:05,292 --> 00:23:07,310
I'm going to check the lab now.

526
00:23:07,334 --> 00:23:08,228
- They're closed.

527
00:23:08,252 --> 00:23:10,310
- I'm not just gonna stand here!

528
00:23:10,334 --> 00:23:12,602
- Susan, the lab is closed.

529
00:23:12,626 --> 00:23:14,126
It closed at six o'clock.

530
00:23:17,959 --> 00:23:18,959
- Is she all right?

531
00:23:20,501 --> 00:23:22,459
- Yeah, yeah, she just, uh,

532
00:23:24,042 --> 00:23:26,352
she likes to do things her own way.

533
00:23:36,417 --> 00:23:37,977
- Who's that?

534
00:23:38,001 --> 00:23:39,143
Dr. Wheeler.

535
00:23:39,167 --> 00:23:40,477
- Uh, we're closed.

536
00:23:40,501 --> 00:23:44,018
We don't, we don't do any
determinations after six, Doctor.

537
00:23:44,042 --> 00:23:46,518
I wanna look
at your requisition book.

538
00:23:46,542 --> 00:23:47,352
- Ugh.

539
00:23:47,376 --> 00:23:48,185
Tell me, what does it mean

540
00:23:48,209 --> 00:23:49,061
when there's no physician name

541
00:23:49,085 --> 00:23:50,768
and no number on the lab slip?

542
00:23:50,792 --> 00:23:54,852
There's,
there's always a name

543
00:23:54,876 --> 00:23:55,893
or a number, Doctor.

544
00:23:55,917 --> 00:23:56,894
Well, here, for example,

545
00:23:56,918 --> 00:23:59,477
patient Nancy Greenly, you
did tissue typing yesterday,

546
00:23:59,501 --> 00:24:01,727
but there's no physician
name and no billing number.

547
00:24:01,751 --> 00:24:02,751
- Let me see.

548
00:24:06,709 --> 00:24:09,727
Oh yes, yes, you see, it's
been printed out by computer.

549
00:24:09,751 --> 00:24:11,602
That's hospital policy.

550
00:24:11,626 --> 00:24:14,102
See, uh, a certain number of these tests

551
00:24:14,126 --> 00:24:17,268
are randomly ordered by
computer as a quality check.

552
00:24:17,292 --> 00:24:19,352
We do the tests here,
and they're sent out,

553
00:24:19,376 --> 00:24:21,518
and they're done again by an outside lab.

554
00:24:21,542 --> 00:24:24,768
- You're saying the computer
ordered this test on Greenly?

555
00:24:24,792 --> 00:24:26,977
- Yeah, central computer.

556
00:24:27,001 --> 00:24:29,268
- Well, why don't you just show me?

557
00:24:29,292 --> 00:24:30,102
I can't.

558
00:24:30,126 --> 00:24:31,061
<i>- Why not?</i>

559
00:24:31,085 --> 00:24:32,477
- I'm not supposed to do that.

560
00:24:32,501 --> 00:24:34,042
- Please, it's really important.

561
00:24:35,751 --> 00:24:38,268
- Well, anyway, that
information isn't coded.

562
00:24:38,292 --> 00:24:40,893
And if it isn't coded,
I can't pull it out.

563
00:24:40,917 --> 00:24:42,518
I mean, who would want that information?

564
00:24:42,542 --> 00:24:46,185
- Well, let's say, um, I wanted
a list of all the patients

565
00:24:46,209 --> 00:24:48,102
who had tissue typing in the last month.

566
00:24:48,126 --> 00:24:49,643
- Same thing, not coded.

567
00:24:49,667 --> 00:24:50,935
- Oh, what do you do here anyway?

568
00:24:50,959 --> 00:24:52,143
And what good is all this equipment?

569
00:24:52,167 --> 00:24:53,935
I thought you recorded
lots of information.

570
00:24:53,959 --> 00:24:57,143
- We do, but the truth is
we install these computers

571
00:24:57,167 --> 00:24:58,602
to bill patients.

572
00:24:58,626 --> 00:25:01,643
We code patient name and
number, medical or surgical,

573
00:25:01,667 --> 00:25:05,352
admission diagnosis, therapy
and discharge diagnosis.

574
00:25:05,376 --> 00:25:07,268
- Okay, okay, wait a minute.

575
00:25:07,292 --> 00:25:10,810
Can you give me a list
of all surgical patients

576
00:25:10,834 --> 00:25:13,042
with discharge diagnoses of coma?

577
00:25:28,084 --> 00:25:31,768
Okay, we
have one general category

578
00:25:31,792 --> 00:25:36,685
under coma, and nine subcategories
under brain syndromes.

579
00:25:36,709 --> 00:25:40,893
- Good, I want a list
of all surgical patients

580
00:25:40,917 --> 00:25:43,876
with general category of
coma in the past year.

581
00:25:45,001 --> 00:25:47,602
- Phew, you're sure you want it?

582
00:25:58,542 --> 00:25:59,935
- I had no idea.

583
00:25:59,959 --> 00:26:01,001
- It's a big hospital.

584
00:26:02,501 --> 00:26:03,709
Are you married or what?

585
00:26:06,751 --> 00:26:07,751
- Thank you.

586
00:26:29,792 --> 00:26:32,167
- Surgical ICU. That's right.

587
00:27:03,792 --> 00:27:06,435
- Where'd you get this?

588
00:27:06,459 --> 00:27:08,685
You know, it's against the law.

589
00:27:08,709 --> 00:27:10,643
It's totally illegal to tap a data bank.

590
00:27:10,667 --> 00:27:11,518
- I don't see why.

591
00:27:11,542 --> 00:27:12,353
I'm a doctor, I've got a research-

592
00:27:12,377 --> 00:27:14,852
- That's not the point, you know.

593
00:27:14,876 --> 00:27:16,685
Every house officer got
the lecture last year.

594
00:27:16,709 --> 00:27:18,477
No access without authorization.

595
00:27:18,501 --> 00:27:19,810
They could throw you right
off the staff with this.

596
00:27:19,834 --> 00:27:20,643
- Well, never mind that.

597
00:27:20,667 --> 00:27:21,603
- What do you mean never mind?

598
00:27:21,627 --> 00:27:24,167
- Mark, look at this.

599
00:27:25,084 --> 00:27:26,893
240 names,

600
00:27:26,917 --> 00:27:30,310
10 are young people admitted
for minor procedures.

601
00:27:30,334 --> 00:27:33,268
Breast biopsy, appendectomy,

602
00:27:33,292 --> 00:27:34,103
they all come out in a coma.
- So what?

603
00:27:34,127 --> 00:27:35,626
- Aren't you surprised?

604
00:27:37,001 --> 00:27:40,977
- The risk of surgical
anesthesia is six per 100,000.

605
00:27:41,001 --> 00:27:42,268
Now, in a hospital this size,

606
00:27:42,292 --> 00:27:44,501
10 patients in a year is not surprising.

607
00:27:45,376 --> 00:27:46,810
So what the hell you doing?

608
00:27:46,834 --> 00:27:48,310
You missed your rounds this morning.

609
00:27:48,334 --> 00:27:50,393
You didn't scrub in Chandler's
subtotal gastrectomy.

610
00:27:50,417 --> 00:27:51,768
- I had to do something, Mark.

611
00:27:51,792 --> 00:27:53,917
- Well, why the hell
don't you do your job?

612
00:27:55,584 --> 00:27:56,709
Surgical ICU.

613
00:27:57,667 --> 00:28:00,185
- Mr. Murphy is a 35-year-old
architect in good health,

614
00:28:00,209 --> 00:28:02,310
admitted for a lateral
meniscectomy on the right knee.

615
00:28:02,334 --> 00:28:03,768
He's scheduled for this morning.

616
00:28:03,792 --> 00:28:04,893
- Promises, promises.

617
00:28:04,917 --> 00:28:08,018
They keep telling me there's
a delay, another half hour.

618
00:28:08,042 --> 00:28:10,518
Well, the suspense is really killing me.

619
00:28:10,542 --> 00:28:12,643
I thought you doctors liked to operate.

620
00:28:12,667 --> 00:28:13,685
- We'll get to you.

621
00:28:13,709 --> 00:28:15,393
- Oh, I'd hate to be left out.

622
00:28:15,417 --> 00:28:17,227
- How did you get your injury, Mr. Murphy?

623
00:28:17,251 --> 00:28:18,602
- Playing touch football.

624
00:28:18,626 --> 00:28:21,810
You know, with some of
the guys, horsing around.

625
00:28:22,668 --> 00:28:24,477
Dr. Wheeler, see Dr. Harris.

626
00:28:24,501 --> 00:28:26,602
See Dr. Harris in his office.

627
00:28:26,626 --> 00:28:29,268
The chief of surgery himself.

628
00:28:29,292 --> 00:28:31,560
Playing touch football, huh?

629
00:28:31,584 --> 00:28:35,376
Yeah, so I come
in and all that happens.

630
00:28:39,001 --> 00:28:40,810
- Thanks very much, Herb.

631
00:28:40,834 --> 00:28:42,334
We'll get together on it later.

632
00:28:44,209 --> 00:28:45,459
Would you come in, please?

633
00:28:49,292 --> 00:28:50,292
Excuse me.

634
00:29:02,792 --> 00:29:03,792
- Sit down, Sue.

635
00:29:11,376 --> 00:29:12,560
Yes.

636
00:29:12,584 --> 00:29:14,685
Dr. Harris,
it's Senator Brooke's office.

637
00:29:14,709 --> 00:29:16,102
He wonders if you can change the meeting

638
00:29:16,126 --> 00:29:17,227
to four this afternoon.

639
00:29:17,251 --> 00:29:19,768
- Yes, four is fine.
Notify Henry, will you?

640
00:29:19,792 --> 00:29:20,792
Yes, sir.

641
00:29:25,709 --> 00:29:30,018
- Sue, I like to think

642
00:29:30,042 --> 00:29:33,376
that Boston Memorial is the
best hospital in the city,

643
00:29:34,292 --> 00:29:35,376
perhaps in the country.

644
00:29:36,751 --> 00:29:37,792
I'm committed to it,

645
00:29:38,917 --> 00:29:42,060
to the house staff we
have here and to you.

646
00:29:42,084 --> 00:29:43,209
I think you know that.

647
00:29:44,251 --> 00:29:47,602
But we have certain
constraints imposed on us.

648
00:29:47,626 --> 00:29:49,977
One is the state law concerning privacy

649
00:29:50,001 --> 00:29:51,751
in computer data access.

650
00:29:53,542 --> 00:29:55,727
An unauthorized entry was made last night.

651
00:29:55,751 --> 00:29:57,667
We put the young man on probation.

652
00:30:00,292 --> 00:30:04,893
But he told us he made the
illegal entry on your behalf.

653
00:30:04,917 --> 00:30:05,977
- That's true, sir.

654
00:30:06,001 --> 00:30:08,185
- All the discharge diagnoses of coma

655
00:30:08,209 --> 00:30:10,018
over a 12-month period?

656
00:30:10,042 --> 00:30:12,060
- I wanted it, you see,
because I had an idea.

657
00:30:12,084 --> 00:30:13,602
And if you-
- Well, forgive me.

658
00:30:13,626 --> 00:30:17,768
But it isn't a question
of why you wanted it,

659
00:30:17,792 --> 00:30:18,876
it's how you got it.

660
00:30:20,334 --> 00:30:22,852
I understand you have personal reasons

661
00:30:22,876 --> 00:30:24,018
for being under stress,

662
00:30:24,042 --> 00:30:26,042
for not acting as carefully as you might.

663
00:30:27,167 --> 00:30:29,518
And I'm sympathetic to
the way you must feel

664
00:30:29,542 --> 00:30:33,768
about the, uh, uh, Greely case.

665
00:30:33,792 --> 00:30:35,560
- Greenly, Nancy Greenly.

666
00:30:35,584 --> 00:30:38,042
- Greenly, yes, Nancy Greenly case.

667
00:30:42,042 --> 00:30:45,376
I certainly don't wanna lose
a good surgical resident.

668
00:30:49,376 --> 00:30:53,042
Well, I think we can handle this, Sue.

669
00:30:53,959 --> 00:30:57,602
I'll keep the, uh, evidence,

670
00:30:57,626 --> 00:31:00,084
and we'll just forget it
ever happened, all right?

671
00:31:03,417 --> 00:31:06,310
But I'd like you to see someone.

672
00:31:06,334 --> 00:31:07,144
- Who?

673
00:31:07,168 --> 00:31:08,727
I was thinking
of Dick Morelind.

674
00:31:08,751 --> 00:31:10,518
- Dr. Harris, I'm fine.

675
00:31:10,542 --> 00:31:11,643
I don't need a shrink.

676
00:31:11,667 --> 00:31:13,227
- No, no, I know you don't.

677
00:31:13,251 --> 00:31:14,268
But I think it's important

678
00:31:14,292 --> 00:31:16,852
to have on the record a
talk with Dick Morelind.

679
00:31:16,876 --> 00:31:17,686
- Well, I don't see why.

680
00:31:17,710 --> 00:31:19,727
- Actually, it's a precondition

681
00:31:19,751 --> 00:31:23,792
to your continuing on
here at Memorial, okay?

682
00:31:26,584 --> 00:31:27,643
- I understand.

683
00:31:27,667 --> 00:31:29,518
I think it's unfair, that's all.

684
00:31:29,542 --> 00:31:30,893
Everybody's on my back about this.

685
00:31:30,917 --> 00:31:32,018
I mean there's Mark's whining

686
00:31:32,042 --> 00:31:33,393
about how I can't make a commitment,

687
00:31:33,417 --> 00:31:36,477
and I'm cold, and I want a wife,
and I'm afraid of intimacy.

688
00:31:36,501 --> 00:31:38,560
And then this thing happens to Nancy,

689
00:31:38,584 --> 00:31:39,852
and she's my best friend just about,

690
00:31:39,876 --> 00:31:41,393
I've known her since boarding school.

691
00:31:41,417 --> 00:31:42,935
And then everybody jumps on my back

692
00:31:42,959 --> 00:31:44,393
and acts like I'm neurotic or something,

693
00:31:44,417 --> 00:31:45,709
and I'm not doing my job.

694
00:31:47,084 --> 00:31:48,977
- I think there's concern
about breaking the law.

695
00:31:49,001 --> 00:31:51,685
- I wanted to do something.
Do you understand?

696
00:31:51,709 --> 00:31:53,602
Do something right away.

697
00:31:53,626 --> 00:31:55,768
I just couldn't sit there
and watch Nancy and-

698
00:31:55,792 --> 00:31:59,667
- How do you feel about
what happened to Nancy?

699
00:32:02,917 --> 00:32:06,143
- Confused, that's all.

700
00:32:06,167 --> 00:32:07,334
Just confused.

701
00:32:08,251 --> 00:32:11,084
It's very confusing.

702
00:32:12,084 --> 00:32:14,917
I wanted to understand
what happened to her.

703
00:32:15,959 --> 00:32:18,852
Nobody else in the hospital seems to care.

704
00:32:18,876 --> 00:32:20,018
- Nobody else cares?

705
00:32:20,042 --> 00:32:21,042
- Listen.

706
00:32:22,459 --> 00:32:25,435
There have been 10 cases
of unexplained coma

707
00:32:25,459 --> 00:32:29,185
in young, healthy
patients in the last year.

708
00:32:29,209 --> 00:32:30,893
Now, don't you find that surprising?

709
00:32:30,917 --> 00:32:33,602
- No.

710
00:32:33,626 --> 00:32:34,626
- You don't.

711
00:32:35,792 --> 00:32:40,435
- Susan, this hospital does
30,000 operations a year.

712
00:32:40,459 --> 00:32:42,268
Now I'm not surprised a few turn out

713
00:32:42,292 --> 00:32:45,143
with serious, unexplained side effects.

714
00:32:45,167 --> 00:32:47,102
Medicine isn't perfect.

715
00:32:47,126 --> 00:32:49,917
We all accept that, don't we?

716
00:32:52,459 --> 00:32:54,643
Basically, there's a crisis
in her personal life.

717
00:32:54,667 --> 00:32:56,143
She's involved with one of your residents.

718
00:32:56,167 --> 00:32:56,978
- Yeah, I know.

719
00:32:57,002 --> 00:32:59,518
- And this led her to overreact
to this grief situation,

720
00:32:59,542 --> 00:33:00,935
which she has not consciously faced.

721
00:33:00,959 --> 00:33:02,018
Gastric suction, fluid-

722
00:33:02,042 --> 00:33:04,685
- She's under stress, a little paranoid.

723
00:33:04,709 --> 00:33:06,685
- Hmm, think we'll have
any more trouble with her

724
00:33:06,709 --> 00:33:08,185
in the future?

725
00:33:08,209 --> 00:33:09,852
- I don't think so.

726
00:33:09,876 --> 00:33:11,685
- I hope you're right.

727
00:33:11,709 --> 00:33:12,519
- I hate to admit it.

728
00:33:12,543 --> 00:33:14,935
I think I was really upset about Nancy.

729
00:33:14,959 --> 00:33:17,393
- Yeah. You on call tonight?

730
00:33:17,417 --> 00:33:18,228
- Mm-hm.

731
00:33:18,252 --> 00:33:19,643
- SO am I.

732
00:33:19,667 --> 00:33:21,060
Why don't we have a terrific dinner,

733
00:33:21,084 --> 00:33:24,060
just the two of us in
the hospital cafeteria?

734
00:33:24,084 --> 00:33:25,143
- Sounds great.

735
00:33:25,167 --> 00:33:26,144
- About 11?

736
00:33:26,168 --> 00:33:27,227
- You got a date.

737
00:33:27,251 --> 00:33:28,061
- All right, maybe afterwards,

738
00:33:28,085 --> 00:33:30,268
we can go to our favorite
room on the eighth floor.

739
00:33:30,292 --> 00:33:31,269
Mm.

740
00:33:31,293 --> 00:33:33,435
- Mm, nobody's gonna be
there after midnight.

741
00:33:33,459 --> 00:33:35,810
I think we're
looking at cortical anoxia.

742
00:33:35,834 --> 00:33:37,227
I'll check the Babinski.

743
00:33:37,251 --> 00:33:38,560
How old is he?

744
00:33:38,584 --> 00:33:39,810
35.

745
00:33:39,834 --> 00:33:42,310
- When did you administer
the additional dosage?

746
00:33:42,334 --> 00:33:44,852
- Right after the onset
of cardiac irritability.

747
00:33:44,876 --> 00:33:46,060
The surgeon said he was little light.

748
00:33:46,084 --> 00:33:48,477
- Surgeons never know
anything about anesthesia.

749
00:33:48,501 --> 00:33:49,311
What'd you give?

750
00:33:49,335 --> 00:33:50,727
- Two ccs push.

751
00:33:50,751 --> 00:33:53,435
There was no reason, there
might be any other problem.

752
00:33:53,459 --> 00:33:55,018
Just seemed a little light.

753
00:33:55,042 --> 00:33:57,477
Some PVCs in runs, transient hypotension,

754
00:33:57,501 --> 00:33:59,560
but there was no sign of hypoxia.

755
00:33:59,584 --> 00:34:00,977
Skin color and blood in the field

756
00:34:01,001 --> 00:34:03,102
were all red and fully oxygenated.

757
00:34:03,126 --> 00:34:05,102
- Well, the pupils are fixed and dilated,

758
00:34:05,126 --> 00:34:06,977
I must presume brain death.

759
00:34:07,001 --> 00:34:08,310
You see any relation to your other case?

760
00:34:08,334 --> 00:34:09,560
- Completely different.

761
00:34:09,584 --> 00:34:13,102
Different staffs, different
anesthetic agents.

762
00:34:13,126 --> 00:34:14,477
No, I think
he better be trached.

763
00:34:14,501 --> 00:34:16,518
Do we need a pulmonary consult first?

764
00:34:16,542 --> 00:34:19,810
- Request the consult, but go
ahead with the tracheotomy.

765
00:34:19,834 --> 00:34:22,268
This is definitely a
long-term management problem.

766
00:34:22,292 --> 00:34:23,310
- Susan, come on.
- Why don't you request-

767
00:34:23,334 --> 00:34:24,186
- Mark, it happened again.

768
00:34:24,210 --> 00:34:26,643
- That's Dr. George, chief of anesthesia.

769
00:34:26,667 --> 00:34:28,102
He's got it under control. Let's go.

770
00:34:28,126 --> 00:34:31,227
Is there a research
protocol this case would fit.

771
00:34:31,251 --> 00:34:32,810
- No, he's a good research case.

772
00:34:32,834 --> 00:34:34,393
Excellent teaching material.

773
00:34:34,417 --> 00:34:36,727
It's true, Mr. Murphy presents challenges.

774
00:34:36,751 --> 00:34:39,643
Electrolyte balance IV,
caloric maintenance,

775
00:34:39,667 --> 00:34:42,560
possible pseudomonas
infection from the respirator.

776
00:34:42,584 --> 00:34:44,810
There may be additional
risk of staph osteomyelitis

777
00:34:44,834 --> 00:34:46,227
in the joint capsule,

778
00:34:46,251 --> 00:34:50,102
but I think you'll be agreeably
surprised, Dr. George.

779
00:34:50,126 --> 00:34:54,685
We can keep him alive
in stable vital signs,

780
00:34:54,709 --> 00:34:58,685
a year, two years, indefinitely.

781
00:34:58,709 --> 00:35:00,810
- Listen, you can't
just look the other way.

782
00:35:00,834 --> 00:35:02,768
- Nobody's looking the other way.

783
00:35:02,792 --> 00:35:05,977
- Mark, twice in two
clays. It's not normal.

784
00:35:06,001 --> 00:35:07,852
- Susan, in certain cases,
patients are always-

785
00:35:07,876 --> 00:35:09,893
- I know, you told me all that.

786
00:35:09,917 --> 00:35:11,352
Two in two days.

787
00:35:11,376 --> 00:35:13,477
- You're just sensitized to it.

788
00:35:13,501 --> 00:35:15,477
It just happened to a
close friend of yours,

789
00:35:15,501 --> 00:35:17,143
and now you're looking for it.

790
00:35:17,167 --> 00:35:19,959
Twice in two days is just our lousy luck.

791
00:35:22,418 --> 00:35:23,810
Did Harris take the computer readout?

792
00:35:23,834 --> 00:35:24,644
- Yes, he did.

793
00:35:24,668 --> 00:35:26,143
- All right, then forget it.

794
00:35:26,167 --> 00:35:28,518
The hospital has review
boards and committees.

795
00:35:28,542 --> 00:35:30,227
They'll look into it.

796
00:35:30,251 --> 00:35:33,584
Now, you got a job to
do, so forget about this.

797
00:35:38,376 --> 00:35:40,042
- You're right, you're right.

798
00:35:43,667 --> 00:35:44,977
- I'll see you at dinner?

799
00:35:45,001 --> 00:35:46,292
Mm-hm.

800
00:35:54,126 --> 00:35:58,310
Dr. Williams,
Dr. Peter Williams, 1174.

801
00:35:58,334 --> 00:36:00,334
1174, Dr. Williams.

802
00:36:07,376 --> 00:36:09,167
- This is Dr. Wheeler.

803
00:36:11,084 --> 00:36:12,393
Yes, I know about the conference,

804
00:36:12,417 --> 00:36:14,084
but I'm tied up with a patient now.

805
00:36:15,834 --> 00:36:18,126
Well, I'm afraid I can't
make it there in time.

806
00:36:19,876 --> 00:36:20,876
Where am I?

807
00:36:21,876 --> 00:36:23,167
I'm in the emergency ward.

808
00:36:24,667 --> 00:36:26,268
Yes, it is important.

809
00:36:26,292 --> 00:36:27,292
Will you hold on?

810
00:36:28,126 --> 00:36:29,143
- Well, that's funny, Dr. Wheeler,

811
00:36:29,167 --> 00:36:31,477
but all these charts you wanted,

812
00:36:31,501 --> 00:36:33,060
they're all signed out to Dr. George,

813
00:36:33,084 --> 00:36:35,001
the chief of anesthesiology.

814
00:36:37,292 --> 00:36:38,602
Good afternoon, Dr. George.

815
00:36:38,626 --> 00:36:39,917
- Good afternoon, staff.

816
00:36:42,292 --> 00:36:44,185
We have a happy lab here.

817
00:36:44,209 --> 00:36:45,518
It's a precise lab.

818
00:36:45,542 --> 00:36:48,435
There's nothing left to
chance. There are no mistakes.

819
00:36:48,459 --> 00:36:51,143
So the charts are right here.

820
00:36:51,167 --> 00:36:53,143
There's no mystery. They're right here.

821
00:36:53,167 --> 00:36:54,602
What is it you wanted?

822
00:36:54,626 --> 00:36:56,602
- I'd like to look at them.

823
00:36:56,626 --> 00:36:58,393
- For what reason?

824
00:36:58,417 --> 00:37:00,518
- I'm interested in unexplained coma

825
00:37:00,542 --> 00:37:01,893
following routine surgery.

826
00:37:01,917 --> 00:37:02,853
- You're interested?

827
00:37:02,877 --> 00:37:04,477
- Yes.

828
00:37:04,501 --> 00:37:06,185
- Young lady, I'm more than interested.

829
00:37:06,209 --> 00:37:08,810
My anesthesiology staff
is more than interested.

830
00:37:08,834 --> 00:37:11,143
We're deeply, intensely concerned.

831
00:37:11,167 --> 00:37:12,310
- I understand your feelings.

832
00:37:12,334 --> 00:37:13,376
- I'm not sure you do.

833
00:37:15,542 --> 00:37:17,518
- Perhaps something was missed?

834
00:37:17,542 --> 00:37:18,542
- Missed?

835
00:37:19,459 --> 00:37:22,227
Every professor of anesthesia,
most of our house staff,

836
00:37:22,251 --> 00:37:25,102
more than 40 expert people
have gone over these charts.

837
00:37:25,126 --> 00:37:26,792
You think something was missed?

838
00:37:27,667 --> 00:37:30,018
- But if anything links them all together-

839
00:37:30,042 --> 00:37:31,852
- If anything linked them
together, we'd know it.

840
00:37:31,876 --> 00:37:33,060
Here they are.

841
00:37:33,084 --> 00:37:34,685
There are 10 cases there, now 12.

842
00:37:34,709 --> 00:37:37,810
They're different ages and
sexes, different surgeons,

843
00:37:37,834 --> 00:37:41,143
different anesthetists,
different methods of induction.

844
00:37:41,167 --> 00:37:44,477
These cases share nothing in
common except they all emerged

845
00:37:44,501 --> 00:37:46,477
with unexplained coma.

846
00:37:46,501 --> 00:37:49,227
Now, we're certainly not
neglecting that problem.

847
00:37:49,251 --> 00:37:51,268
- I didn't say you were.

848
00:37:51,292 --> 00:37:53,459
Do you mind if I just have a look at them?

849
00:37:56,042 --> 00:37:57,167
- I'm afraid I do mind.

850
00:38:05,584 --> 00:38:08,018
Thank you for your interest,
however misplaced, Dr. Wheeler.

851
00:38:08,042 --> 00:38:09,310
- Good afternoon.

852
00:38:23,667 --> 00:38:26,126
- Oh, my god, you did,
how could you do that?

853
00:38:27,459 --> 00:38:31,143
Susan, Dr. George is a past president

854
00:38:31,167 --> 00:38:33,977
of the American Society
of Anesthesiologists.

855
00:38:34,001 --> 00:38:35,560
He's also a member of the AAAS.

856
00:38:35,584 --> 00:38:37,560
He's on the advisory board of the NIH,

857
00:38:37,584 --> 00:38:39,477
and you tell the man he
might be doing his job wrong.

858
00:38:39,501 --> 00:38:40,768
- I just wanted to see the charts.

859
00:38:40,792 --> 00:38:42,334
- That's not your area.

860
00:38:43,292 --> 00:38:45,876
That's not your responsibility.
You're way off base.

861
00:38:48,251 --> 00:38:50,143
You know who his wife is?

862
00:38:50,167 --> 00:38:50,978
- I don't care.

863
00:38:51,002 --> 00:38:52,643
- Well, you should.

864
00:38:52,667 --> 00:38:54,435
His wife is Amy Cabot.

865
00:38:54,459 --> 00:38:55,893
She's related to Godfrey Lowell.

866
00:38:55,917 --> 00:38:57,810
- I don't care about this Boston Society.

867
00:38:57,834 --> 00:39:00,185
- Dr. George's wife is worth somewhere

868
00:39:00,209 --> 00:39:02,209
between 50 and $100 million.

869
00:39:03,667 --> 00:39:06,227
When she dies, that money
is gonna go somewhere.

870
00:39:06,251 --> 00:39:07,560
- So what?

871
00:39:07,584 --> 00:39:09,518
- So he's got a lot of
muscle in this hospital.

872
00:39:09,542 --> 00:39:11,227
He's the wrong man to cross.

873
00:39:11,251 --> 00:39:12,834
- You afraid to be seen with me?

874
00:39:15,626 --> 00:39:16,435
317.

875
00:39:16,459 --> 00:39:17,268
Come in.

876
00:39:17,292 --> 00:39:18,185
Dr. Robert Benson.

877
00:39:18,209 --> 00:39:19,018
Hi, Bill.

878
00:39:19,042 --> 00:39:19,936
- How are you, Mark?

879
00:39:19,960 --> 00:39:21,393
Good.

880
00:39:21,417 --> 00:39:22,417
- Sit down.

881
00:39:27,501 --> 00:39:29,727
You know, Mark, I always thought

882
00:39:29,751 --> 00:39:33,435
that you'd have this job
when I leave next year.

883
00:39:33,459 --> 00:39:34,269
I think everybody thinks so.

884
00:39:34,293 --> 00:39:35,977
You're the logical choice.

885
00:39:36,001 --> 00:39:38,393
You're a good surgeon,
you're well-organized,

886
00:39:38,417 --> 00:39:39,768
you run a good service.

887
00:39:39,792 --> 00:39:41,935
Well, thank you very much, Bill.

888
00:39:41,959 --> 00:39:44,126
- I hate to see anything
standing your way.

889
00:39:45,084 --> 00:39:46,084
You know what I mean?

890
00:39:47,792 --> 00:39:49,977
She's got the chiefs of
service in an uproar, Mark.

891
00:39:50,001 --> 00:39:51,602
She's under a lot
of pressure at the moment.

892
00:39:51,626 --> 00:39:52,667
- And so are we.

893
00:39:53,959 --> 00:39:55,560
We're talking about releasing her

894
00:39:55,584 --> 00:39:57,251
from her position here at the Mem,

895
00:39:58,167 --> 00:40:02,602
but nobody really wants that
kind of adverse publicity,

896
00:40:02,626 --> 00:40:03,436
that commotion.

897
00:40:03,460 --> 00:40:04,542
Of course, not.

898
00:40:06,209 --> 00:40:07,959
- Do you have any influence with her?

899
00:40:09,376 --> 00:40:11,518
- I don't know. She's paranoid.

900
00:40:11,542 --> 00:40:12,876
Thinks there's a conspiracy.

901
00:40:13,959 --> 00:40:17,060
George's keeping the charts
from her did not help.

902
00:40:17,084 --> 00:40:19,542
- Does she think you're involved?

903
00:40:22,126 --> 00:40:23,501
- No, no, I don't think so.

904
00:40:25,209 --> 00:40:27,018
- Let's hope not, Mark.

905
00:40:27,042 --> 00:40:29,518
What happens to Susan in the
future may depend on you.

906
00:40:29,542 --> 00:40:31,167
I understand that, Bill.

907
00:40:32,667 --> 00:40:33,935
- You know, Mark,

908
00:40:33,959 --> 00:40:37,376
a good chief resident handles
problems like this every day.

909
00:40:39,042 --> 00:40:43,352
I think if you're able to
exert some influence over her,

910
00:40:43,376 --> 00:40:45,084
people would be very appreciative.

911
00:40:46,876 --> 00:40:47,876
- Well, I'll try.

912
00:40:49,501 --> 00:40:50,501
- Good man.

913
00:41:04,167 --> 00:41:05,935
You'll come to the hospital.

914
00:41:05,959 --> 00:41:06,977
We are waiting
for the status results.

915
00:41:07,001 --> 00:41:07,978
Pleased to talk to you.

916
00:41:08,002 --> 00:41:09,768
- Just a minute. Where's Greenly?

917
00:41:09,792 --> 00:41:11,393
- That coma case?

918
00:41:11,417 --> 00:41:12,643
She was due to be transferred today

919
00:41:12,667 --> 00:41:13,727
to the Jefferson Institute.

920
00:41:13,751 --> 00:41:15,518
I guess she went there.

921
00:41:15,542 --> 00:41:17,852
Hey, Liz, did Greenly in
bed three go to Jefferson?

922
00:41:17,876 --> 00:41:18,811
- No, didn't make it.

923
00:41:18,835 --> 00:41:20,268
She arrested at six this morning.

924
00:41:20,292 --> 00:41:21,435
She's down in pathology.

925
00:41:21,459 --> 00:41:22,893
- In pathology?

926
00:41:22,917 --> 00:41:25,310
Yeah, they're probably
doing the autopsy now.

927
00:41:26,792 --> 00:41:28,102
Surgical ICU.

928
00:41:28,126 --> 00:41:30,560
There's a wrinkled appearance.

929
00:41:30,584 --> 00:41:33,143
The interior edge of the organ
can be bent without tearing,

930
00:41:33,167 --> 00:41:34,876
as evidence of its structure.

931
00:41:36,042 --> 00:41:37,643
The gross appearance is consistent

932
00:41:37,667 --> 00:41:39,352
with acute yellow necrosis of the liver.

933
00:41:39,376 --> 00:41:42,727
Presumably secondary to
fatal viral hepatitis.

934
00:41:42,751 --> 00:41:44,852
- Do you have a patient
down here named Greenly?

935
00:41:44,876 --> 00:41:46,185
- I don't know, check in there.

936
00:41:46,209 --> 00:41:47,584
I can't keep track of names.

937
00:41:50,501 --> 00:41:51,643
In microscopic section,

938
00:41:51,667 --> 00:41:54,560
we may expect evidence
of fatty degeneration

939
00:41:54,584 --> 00:41:57,268
in necrotic cells, with
infiltration of polymorphs

940
00:41:57,292 --> 00:42:00,167
and histiocytes around them.

941
00:42:02,167 --> 00:42:04,810
Okay, incise the kidney there.

942
00:42:04,834 --> 00:42:06,602
Looks normal.

943
00:42:06,626 --> 00:42:07,810
Okay, remove it.

944
00:42:07,834 --> 00:42:09,268
- Greenly?

945
00:42:09,292 --> 00:42:11,209
- This is Howard. Greenly's over there.

946
00:42:16,084 --> 00:42:16,936
- Hi, Jim.

947
00:42:16,960 --> 00:42:19,227
- Hi, Sue. What brings
you down here?

948
00:42:19,251 --> 00:42:20,352
Interested in this case?

949
00:42:20,376 --> 00:42:21,518
- That's right.

950
00:42:21,542 --> 00:42:22,727
Hell of a puzzler, isn't it?

951
00:42:22,751 --> 00:42:25,852
Young girl, good health,
in for a therapeutic AB,

952
00:42:25,876 --> 00:42:27,084
comes out comatose.

953
00:42:28,459 --> 00:42:29,602
- You found anything?

954
00:42:29,626 --> 00:42:31,768
- Naturally, we started with the brain.

955
00:42:31,792 --> 00:42:33,643
Grossly, it was normal.

956
00:42:33,667 --> 00:42:34,685
I was gonna do a section in a minute.

957
00:42:34,709 --> 00:42:35,977
Wanna see that?

958
00:42:36,001 --> 00:42:38,227
Ordinarily we don't get these coma cases,

959
00:42:38,251 --> 00:42:39,518
get shipped to Jefferson.

960
00:42:39,542 --> 00:42:40,353
What's Jefferson?

961
00:42:40,377 --> 00:42:41,435
- Jefferson Institute.

962
00:42:41,459 --> 00:42:43,310
It's a chronic care
facility in the suburbs.

963
00:42:43,334 --> 00:42:44,685
Government thing.

964
00:42:44,709 --> 00:42:46,727
They take care of the vegetables.

965
00:42:46,751 --> 00:42:50,352
Sometimes, they die before
they get there, like this one.

966
00:42:50,376 --> 00:42:51,376
More work for us.

967
00:42:55,584 --> 00:42:56,709
Now we'll get some idea.

968
00:42:57,709 --> 00:42:58,977
We're looking for anything.

969
00:42:59,001 --> 00:43:01,626
Micro-infarcts, staph loci,

970
00:43:02,751 --> 00:43:05,667
gross hemorrhagic areas,
congenital defects.

971
00:43:06,751 --> 00:43:09,768
Nothing, just like the other
cases, we come up cold.

972
00:43:09,792 --> 00:43:11,268
- Jim, I know it sounds silly,

973
00:43:11,292 --> 00:43:15,185
but, um, supposing you wanted
to put people into a coma,

974
00:43:15,209 --> 00:43:16,518
what would you do?

975
00:43:16,542 --> 00:43:17,478
- You mean on purpose?

976
00:43:17,502 --> 00:43:19,477
- Diethyl para-amino tannadol.

977
00:43:19,501 --> 00:43:21,310
- Oh, no, it leaves a serum trace.

978
00:43:21,334 --> 00:43:22,477
- Yeah, if you know to look for it.

979
00:43:22,501 --> 00:43:23,602
- But it also peaks alk phos.

980
00:43:23,626 --> 00:43:25,268
It's a real giveaway.

981
00:43:25,292 --> 00:43:26,602
Besides, who can get tannadol?

982
00:43:26,626 --> 00:43:27,852
- Then you can use paradine.

983
00:43:27,876 --> 00:43:29,268
- It has a taste.

984
00:43:29,292 --> 00:43:31,018
We'd all make great murderers.

985
00:43:31,042 --> 00:43:32,935
I mean, who knows better about
murder than a pathologist?

986
00:43:33,793 --> 00:43:35,268
- It sure she keeps my wife in line.

987
00:43:35,292 --> 00:43:36,727
- Hell of a lot of crimes
slip through our fingers,

988
00:43:36,751 --> 00:43:37,751
I tell you.

989
00:43:38,501 --> 00:43:40,584
- But in this case, a coma.

990
00:43:42,084 --> 00:43:45,542
- First rule of crime, keep it simple.

991
00:43:46,834 --> 00:43:49,935
What's simple? Carbon monoxide.

992
00:43:49,959 --> 00:43:50,959
Boring.

993
00:43:52,042 --> 00:43:53,352
- Carbon monoxide?

994
00:43:53,376 --> 00:43:55,352
- Sure, it's perfect.

995
00:43:55,376 --> 00:43:57,477
Anesthetist feeds the
patients some carbon monoxide

996
00:43:57,501 --> 00:43:58,727
instead of oxygen.

997
00:43:58,751 --> 00:44:00,935
It's colorless that
makes the blood very red

998
00:44:00,959 --> 00:44:02,977
so the surgeon doesn't
notice anything funny.

999
00:44:03,001 --> 00:44:05,060
But the brain dies from lack of oxygen.

1000
00:44:05,084 --> 00:44:08,018
End of operation, patient doesn't wake up.

1001
00:44:08,042 --> 00:44:09,185
- No other effects?

1002
00:44:09,209 --> 00:44:11,685
- Sure, other effects.
Cardiac irritability.

1003
00:44:11,709 --> 00:44:13,018
- Which this case had.

1004
00:44:13,042 --> 00:44:14,435
- You know, it'd be much better

1005
00:44:14,459 --> 00:44:17,018
to block the neuromuscular
junction with Succinylcholine.

1006
00:44:17,042 --> 00:44:18,518
Now that's a nice murder.

1007
00:44:18,542 --> 00:44:19,560
Yeah, who's gonna do it?

1008
00:44:19,584 --> 00:44:22,227
Well, who's gonna
feed your carbon monoxide?

1009
00:44:22,251 --> 00:44:23,602
- That's the problem.

1010
00:44:23,626 --> 00:44:25,143
Been about a dozen of
these coma cases here

1011
00:44:25,167 --> 00:44:26,310
in the last year.

1012
00:44:26,334 --> 00:44:27,852
They're always different.

1013
00:44:27,876 --> 00:44:31,685
Different case, different
anesthetists, different operation.

1014
00:44:31,709 --> 00:44:33,042
Hard to imagine it's murder.

1015
00:44:35,001 --> 00:44:36,310
- Are you sure?

1016
00:44:36,334 --> 00:44:38,602
- Susan, what do you think?

1017
00:44:38,626 --> 00:44:41,352
There's a conspiracy at the
Boston Memorial Hospital

1018
00:44:41,376 --> 00:44:42,917
involving all the anesthetists?

1019
00:44:44,459 --> 00:44:46,143
- I've had a rather hysterical call

1020
00:44:46,167 --> 00:44:48,893
from Dr. George in anesthesiology.

1021
00:44:48,917 --> 00:44:52,018
Dr. George is a very powerful person here,

1022
00:44:52,042 --> 00:44:53,643
not only because of his position.

1023
00:44:53,667 --> 00:44:54,977
There are other reasons.

1024
00:44:55,001 --> 00:44:56,001
I gather.

1025
00:44:58,251 --> 00:44:59,477
- Now, what does that mean?

1026
00:44:59,501 --> 00:45:01,143
- Just because somebody
has got a rich wife,

1027
00:45:01,167 --> 00:45:02,893
he shouldn't be able to
throw his weight around.

1028
00:45:02,917 --> 00:45:07,018
- Oh, you're looking for
truth and justice, huh?

1029
00:45:07,042 --> 00:45:08,518
- I'm looking for fairness.

1030
00:45:08,542 --> 00:45:10,102
- Well, in fairness, Susan,

1031
00:45:10,126 --> 00:45:12,477
you've challenged the
professional competence

1032
00:45:12,501 --> 00:45:14,685
of a chief of service at this hospital.

1033
00:45:14,709 --> 00:45:17,768
And he didn't take it well.
No reason why he should.

1034
00:45:17,792 --> 00:45:19,185
Now he's out for blood.

1035
00:45:19,209 --> 00:45:21,018
I've noticed.

1036
00:45:21,042 --> 00:45:24,102
- Sue, believe me, I'm on your side,

1037
00:45:24,126 --> 00:45:26,435
for all kinds of reasons.

1038
00:45:26,459 --> 00:45:27,477
Including the fact

1039
00:45:27,501 --> 00:45:30,227
that I don't wanna let another
chief of service get one

1040
00:45:30,251 --> 00:45:32,435
of my house officers fired.

1041
00:45:32,459 --> 00:45:36,018
- Dr. Harris, I just wanted
to look at his charts.

1042
00:45:36,042 --> 00:45:39,876
- Sue, right now, I can protect
you because you're good,

1043
00:45:40,959 --> 00:45:42,727
and frankly, because you're a woman.

1044
00:45:42,751 --> 00:45:43,686
- I don't want any concessions.

1045
00:45:43,710 --> 00:45:46,542
- Well, at the moment, you
better take any you can get.

1046
00:45:55,876 --> 00:45:57,542
You know what happened to Greenly?

1047
00:45:59,459 --> 00:46:00,459
- Yes.

1048
00:46:02,126 --> 00:46:03,292
What happened?

1049
00:46:05,792 --> 00:46:06,792
- She died.

1050
00:46:09,001 --> 00:46:10,376
- How do you feel about that?

1051
00:46:11,751 --> 00:46:12,751
- How do I feel?

1052
00:46:14,334 --> 00:46:15,334
I feel...

1053
00:46:17,584 --> 00:46:18,917
She was my best friend.

1054
00:46:22,167 --> 00:46:23,167
She understood me.

1055
00:46:26,417 --> 00:46:27,935
She understood me.

1056
00:46:40,417 --> 00:46:42,268
It's not fair.

1057
00:46:42,292 --> 00:46:44,001
None of this is fair.

1058
00:46:46,459 --> 00:46:47,459
- Here.

1059
00:46:50,209 --> 00:46:51,477
- Nobody understands.

1060
00:46:51,501 --> 00:46:53,626
- I know, I know.
- Nobody.

1061
00:46:59,584 --> 00:47:00,394
Yes.

1062
00:47:00,418 --> 00:47:02,935
Dr. Harris,
you have the secretary of HEW

1063
00:47:02,959 --> 00:47:04,477
on the phone from Washington.

1064
00:47:04,501 --> 00:47:05,501
- Call back.

1065
00:47:15,042 --> 00:47:18,435
Too many of us shut ourselves
off from our feelings.

1066
00:47:18,459 --> 00:47:22,084
We don't explore them,
we don't understand them.

1067
00:47:23,126 --> 00:47:24,834
We don't understand ourselves.

1068
00:47:26,459 --> 00:47:30,185
You're experiencing the toughest
thing about our profession.

1069
00:47:30,209 --> 00:47:31,019
- Dr. Harris.

1070
00:47:31,043 --> 00:47:32,977
- I'll take care of the politics.

1071
00:47:33,001 --> 00:47:34,584
You just look out for yourself.

1072
00:47:36,626 --> 00:47:38,001
Take the weekend off, Sue.

1073
00:47:39,292 --> 00:47:41,709
Go walk on the beach. Get
away from the hospital.

1074
00:47:45,542 --> 00:47:46,394
- I'm so embarrassed by this.

1075
00:47:46,418 --> 00:47:49,167
- No, don't be, don't be.

1076
00:47:50,167 --> 00:47:52,292
Our emotions are what make us human.

1077
00:47:54,292 --> 00:47:55,292
Come on.

1078
00:47:57,084 --> 00:47:59,060
Come and see me next week, all right?

1079
00:47:59,084 --> 00:47:59,893
Right.

1080
00:47:59,917 --> 00:48:00,917
- Good.

1081
00:48:02,751 --> 00:48:03,893
Have a good weekend.

1082
00:48:03,917 --> 00:48:05,126
Thank you, sir.

1083
00:48:17,042 --> 00:48:18,584
Women, Christ!

1084
00:49:53,792 --> 00:49:55,268
Why don't you just come out

1085
00:49:55,292 --> 00:49:57,102
and say you don't believe me?

1086
00:49:57,126 --> 00:49:59,334
- A man fixed your car
so it wouldn't start.

1087
00:50:00,251 --> 00:50:02,935
And then he followed you
into the MTA station.

1088
00:50:02,959 --> 00:50:04,560
- Well it's true.

1089
00:50:04,584 --> 00:50:05,945
Here's comes Mick.

1090
00:50:06,792 --> 00:50:09,417
They're gonna wave him in.

1091
00:50:10,334 --> 00:50:12,935
- Susan, your car is always breaking down.

1092
00:50:12,959 --> 00:50:14,542
Look, I just think you're tired.

1093
00:50:15,626 --> 00:50:16,685
- I'm not tired.

1094
00:50:16,709 --> 00:50:19,018
- Why don't we go away for the weekend?

1095
00:50:19,042 --> 00:50:21,393
We go up the coast, have some fun.

1096
00:50:21,417 --> 00:50:22,667
Just forget the hospital.

1097
00:50:24,376 --> 00:50:28,084
- Mark, there are 12 coma cases.

1098
00:50:29,042 --> 00:50:30,810
Now, nobody thinks anything links them,

1099
00:50:30,834 --> 00:50:33,393
but I've seen the charts for two of them.

1100
00:50:33,417 --> 00:50:36,268
Nancy and now this new guy, Murphy.

1101
00:50:36,292 --> 00:50:37,292
- And?

1102
00:50:38,292 --> 00:50:40,001
- And they both occurred in OR 8.

1103
00:50:41,584 --> 00:50:42,584
- OR 8?

1104
00:50:44,042 --> 00:50:48,560
- What if, what if carbon monoxide

1105
00:50:48,584 --> 00:50:50,893
were being pumped in OR 8?

1106
00:50:50,917 --> 00:50:52,001
What if that were true?

1107
00:50:59,418 --> 00:51:00,768
Get your coat on.

1108
00:51:00,792 --> 00:51:01,792
- What?

1109
00:51:02,459 --> 00:51:04,626
- We're gonna take a look right now. OR 8.

1110
00:51:12,751 --> 00:51:13,751
Well?

1111
00:51:15,042 --> 00:51:16,042
- Well.

1112
00:51:21,667 --> 00:51:22,667
Looks okay.

1113
00:51:26,834 --> 00:51:29,310
- How many operations you've done in here?

1114
00:51:29,334 --> 00:51:30,334
- A lot.

1115
00:51:31,167 --> 00:51:33,102
You ever had any problems?

1116
00:51:33,126 --> 00:51:34,477
- Nope.

1117
00:51:34,501 --> 00:51:35,792
- Well, I already checked.

1118
00:51:37,376 --> 00:51:40,060
The day Nancy had her problem,

1119
00:51:40,084 --> 00:51:41,959
there were five other operations.

1120
00:51:43,334 --> 00:51:46,477
Four before, one after.

1121
00:51:46,501 --> 00:51:49,209
The day Sean Murphy had
his, there were six others.

1122
00:51:50,584 --> 00:51:52,751
Two before and four after.

1123
00:51:55,292 --> 00:51:57,001
They were all normal.

1124
00:52:03,626 --> 00:52:05,352
- Let's get out of here.

1125
00:52:29,626 --> 00:52:33,310
- This is what you call
really working for it.

1126
00:52:39,042 --> 00:52:40,042
- No fair.

1127
00:52:42,459 --> 00:52:43,459
- Fair.

1128
00:54:15,542 --> 00:54:18,310
Thought we were gonna
take the weekend off.

1129
00:54:18,334 --> 00:54:20,584
- Come on. Just a quick look.

1130
00:54:22,209 --> 00:54:23,501
Please, for me.

1131
00:54:28,126 --> 00:54:29,334
- I don't know.

1132
00:55:19,417 --> 00:55:22,227
- I doesn't seem to be anybody around.

1133
00:55:22,251 --> 00:55:23,103
You wanna go in?

1134
00:55:23,127 --> 00:55:25,310
- Not really, no.

1135
00:55:25,334 --> 00:55:26,334
-I do.

1136
00:56:36,959 --> 00:56:38,227
- Can I help you?

1137
00:56:38,251 --> 00:56:39,251
- I'm Dr. Wheeler.

1138
00:56:40,626 --> 00:56:43,060
- You're early, aren't you, Doctor?

1139
00:56:43,084 --> 00:56:44,393
- Early?

1140
00:56:44,417 --> 00:56:48,102
- You're supposed to come on
Tuesday, day after tomorrow.

1141
00:56:48,126 --> 00:56:50,435
That's when the tour is scheduled.

1142
00:56:50,459 --> 00:56:51,602
- The tour?

1143
00:56:51,626 --> 00:56:53,376
- Yes, it's every Tuesday at 11.

1144
00:56:54,376 --> 00:56:56,251
The regular tour for physicians.

1145
00:56:57,792 --> 00:57:00,126
- Could I see it now?

1146
00:57:01,001 --> 00:57:03,852
- Well, I'm afraid that's
impossible, Doctor.

1147
00:57:03,876 --> 00:57:06,477
- I just thought as long as I'm here.

1148
00:57:06,501 --> 00:57:08,167
- We're simply not set up for it.

1149
00:57:10,084 --> 00:57:12,417
- May I speak with a
senior physician in charge?

1150
00:57:13,376 --> 00:57:15,560
- There is no physician in charge.

1151
00:57:15,584 --> 00:57:17,810
Well, then your supervisor.

1152
00:57:17,834 --> 00:57:19,126
- I have no supervisor.

1153
00:57:20,334 --> 00:57:21,751
Who runs the staff.

1154
00:57:22,626 --> 00:57:23,626
- There is no staff.

1155
00:57:24,751 --> 00:57:26,643
- You mean you are here alone?

1156
00:57:26,667 --> 00:57:29,876
- Of course, not. There are
technicians, security people.

1157
00:57:31,084 --> 00:57:33,393
I'm sure when you've
taken the tour on Tuesday,

1158
00:57:33,417 --> 00:57:34,917
it will all be clear to you.

1159
00:57:36,126 --> 00:57:38,393
What did you say your name was?

1160
00:57:38,417 --> 00:57:41,310
- Dr. Wheeler. Susan Wheeler.

1161
00:57:41,334 --> 00:57:43,310
- We look forward to seeing
you at 11, Dr. Wheeler,

1162
00:57:43,334 --> 00:57:45,042
on Tuesday, goodbye.

1163
00:58:17,334 --> 00:58:18,768
The other day, we had-

1164
00:58:23,209 --> 00:58:24,061
I mean
right there with the guy

1165
00:58:24,085 --> 00:58:25,435
on the table.

1166
00:58:32,917 --> 00:58:36,542
- I heard what you said
to Dr. George in the lab.

1167
00:58:39,001 --> 00:58:41,018
I heard what you said to him.

1168
00:58:41,042 --> 00:58:42,042
You're right.

1169
00:58:43,584 --> 00:58:44,584
- Right about what?

1170
00:58:46,459 --> 00:58:47,792
- I've seen how they do it.

1171
00:58:51,126 --> 00:58:52,709
I know how it works.

1172
00:58:54,042 --> 00:58:55,352
- How what works?

1173
00:58:55,376 --> 00:58:56,186
Susan.

1174
00:58:56,210 --> 00:58:59,102
Uh, Do you want to, uh, scrub in

1175
00:58:59,126 --> 00:59:01,560
on an aortic valve replacement?

1176
00:59:01,584 --> 00:59:04,102
Harvey's doing one in room
16 in about 10 minutes.

1177
00:59:04,126 --> 00:59:04,935
- Sure.

1178
00:59:04,959 --> 00:59:05,768
- Oh that's great

1179
00:59:05,792 --> 00:59:06,603
because Tom was gonna scrub in,

1180
00:59:06,627 --> 00:59:08,751
but, uh, his case is
running a little late.

1181
00:59:12,084 --> 00:59:13,893
- I checked them out.

1182
00:59:13,917 --> 00:59:15,185
- You come down to maintenance tonight.

1183
00:59:15,209 --> 00:59:17,060
I'll show it to you.

1184
00:59:17,084 --> 00:59:18,352
Hello, Sue.

1185
00:59:18,376 --> 00:59:19,751
Good morning, sir.

1186
00:59:20,667 --> 00:59:21,935
- Did you have a good weekend?

1187
00:59:21,959 --> 00:59:23,126
- Yes, I did. Thank you.

1188
00:59:57,917 --> 01:00:00,102
Evening.

1189
01:00:00,126 --> 01:00:01,334
- Good evening.

1190
01:00:09,084 --> 01:00:11,560
You just gonna stare at me?

1191
01:00:11,584 --> 01:00:12,584
- No.

1192
01:00:17,667 --> 01:00:19,560
- What'd you do that for?

1193
01:00:19,584 --> 01:00:21,667
- They said make it look like an accident.

1194
01:00:40,959 --> 01:00:41,769
- What's the hell's happening?

1195
01:00:41,793 --> 01:00:43,634
- Emergency generator
will kick in in a minute.

1196
01:00:46,917 --> 01:00:48,209
Kelly?

1197
01:00:51,001 --> 01:00:51,978
Kelly?

1198
01:01:18,834 --> 01:01:20,977
What do you got now?

1199
01:01:21,001 --> 01:01:23,352
Nothing.

1200
01:01:23,376 --> 01:01:24,810
Try the connector cable.

1201
01:01:24,834 --> 01:01:27,268
- Okay, Doctor, I think
that does it for me.

1202
01:01:27,292 --> 01:01:28,477
You got anything else, Tom?

1203
01:01:28,501 --> 01:01:30,643
- No, I don't think I need anything else.

1204
01:01:30,667 --> 01:01:31,852
- If we need to talk to you again-

1205
01:01:31,876 --> 01:01:33,584
- You can reach me at the hospital.

1206
01:01:35,292 --> 01:01:38,268
Must be a
short in the junction box,

1207
01:01:38,292 --> 01:01:40,167
or the step-down panel.

1208
01:01:41,417 --> 01:01:44,102
It should read 14 point something.

1209
01:01:44,126 --> 01:01:45,251
14.3.

1210
01:01:46,251 --> 01:01:49,310
Okay,
now we should have 11.9.

1211
01:01:49,334 --> 01:01:51,102
11, nine.

1212
01:01:51,126 --> 01:01:52,792
And now there's-

1213
01:01:53,834 --> 01:01:55,810
- 14, three.

1214
01:01:55,834 --> 01:01:59,643
- Good, nothing's shorted
so far. We got lucky.

1215
01:01:59,667 --> 01:02:02,102
Phew, poor Kelly.

1216
01:02:02,126 --> 01:02:04,685
Poor Kelly?

1217
01:02:04,709 --> 01:02:05,709
He got sloppy.

1218
01:02:06,626 --> 01:02:07,643
You know what it is?

1219
01:02:07,667 --> 01:02:09,268
All that drinking at lunch.

1220
01:02:09,292 --> 01:02:10,852
I told him, "Stop drinking at lunch.

1221
01:02:10,876 --> 01:02:12,126
You'll get into trouble."

1222
01:06:47,751 --> 01:06:48,810
Two and two's the count.

1223
01:06:48,834 --> 01:06:51,251
Can't get much more than that.

1224
01:06:54,167 --> 01:06:55,268
- What did you leave in here, Doctor?

1225
01:06:55,292 --> 01:06:56,334
- Just some charts.

1226
01:06:57,501 --> 01:06:58,810
- Yeah, but I better call Dr. George

1227
01:06:58,834 --> 01:06:59,935
and tell him I let you in.

1228
01:06:59,959 --> 01:07:02,852
- It's all right. I have
to call him later anyway.

1229
01:07:02,876 --> 01:07:04,310
- Well, okay.

1230
01:07:04,334 --> 01:07:06,602
Boston ahead by one.

1231
01:07:06,626 --> 01:07:07,478
- That's great.

1232
01:07:07,502 --> 01:07:09,126
- I've got 20 bucks on this game.

1233
01:07:11,334 --> 01:07:14,393
It's really something.

1234
01:07:54,626 --> 01:07:56,227
- What is it?

1235
01:07:56,251 --> 01:07:58,167
Hospital security, Doctor.

1236
01:08:08,209 --> 01:08:09,685
What's the score?

1237
01:08:09,709 --> 01:08:11,584
Just a routine check, Doctor.

1238
01:08:21,334 --> 01:08:22,393
- Easy, kids.

1239
01:08:46,459 --> 01:08:48,060
- Jerry?

1240
01:08:48,084 --> 01:08:49,643
- Hi, Sue, what's going on?

1241
01:08:49,667 --> 01:08:51,768
- Oh, Jerry, I'm so happy to see you.

1242
01:08:51,792 --> 01:08:54,292
- That's the nicest thing
anybody's said to me all day.

1243
01:08:55,959 --> 01:08:57,310
Is something wrong?

1244
01:08:57,334 --> 01:09:00,477
- You see, there's this guy.

1245
01:09:00,501 --> 01:09:02,185
He said he was hospital security.

1246
01:09:02,209 --> 01:09:03,310
- Yeah.

1247
01:09:03,334 --> 01:09:07,268
- Well, I happen to know that that he-

1248
01:09:07,292 --> 01:09:09,893
- It's a
high fly ball, inner field,

1249
01:09:09,917 --> 01:09:10,959
and he's out!

1250
01:09:13,084 --> 01:09:14,268
- You were saying?

1251
01:09:14,292 --> 01:09:16,518
- I guess I have an
over active imagination.

1252
01:09:17,377 --> 01:09:18,435
- You should be like me.

1253
01:09:18,459 --> 01:09:23,185
Everybody says I have no
imagination at all.

1254
01:09:23,209 --> 01:09:26,143
Well, see you, I'm going over
to the medical school library.

1255
01:09:26,167 --> 01:09:28,018
- I'll go with you.

1256
01:09:31,917 --> 01:09:33,977
- So the proximal tubular
filtration gradient

1257
01:09:34,001 --> 01:09:36,685
may be actually more than
500 milliequivalents.

1258
01:09:36,709 --> 01:09:38,727
That means there's an active
transport mechanism involved

1259
01:09:38,751 --> 01:09:40,810
with phosphorylated ATP.

1260
01:09:40,834 --> 01:09:44,060
But if you trace radioisotopes
and cut sections,

1261
01:09:44,084 --> 01:09:46,143
densities don't look right.

1262
01:09:46,167 --> 01:09:47,227
It could really be a breakthrough

1263
01:09:47,251 --> 01:09:49,060
in our understanding of the kidney.

1264
01:09:49,084 --> 01:09:51,268
Remember how you used to
get that yellow cadaver skin

1265
01:09:51,292 --> 01:09:52,810
under your fingernails?

1266
01:09:52,834 --> 01:09:54,643
Nobody could eat lunch.

1267
01:09:54,667 --> 01:09:56,518
It seems like a long time ago.

1268
01:09:56,542 --> 01:09:58,792
- Back in the days when
we couldn't eat lunch.

1269
01:10:02,334 --> 01:10:03,334
Wouldn't you know?

1270
01:10:07,584 --> 01:10:08,584
Dr. Marcus.

1271
01:10:09,917 --> 01:10:12,834
Yes, well, if he's complaining of pain,

1272
01:10:13,959 --> 01:10:15,501
try another five ccs IM.

1273
01:10:18,792 --> 01:10:21,167
I see, well, then, uh, MS 10 milligrams.

1274
01:10:23,376 --> 01:10:24,311
Yes, morphine sulfate.

1275
01:10:24,335 --> 01:10:26,042
He's not in respiratory difficulty.

1276
01:10:28,376 --> 01:10:29,477
Well, the point is you can put him

1277
01:10:29,501 --> 01:10:31,768
on respiratory arrest with morphine.

1278
01:10:31,792 --> 01:10:33,459
Particularly if he's on wall O2.

1279
01:10:37,376 --> 01:10:39,626
No, you'll have to check
and see what he's on.

1280
01:10:41,542 --> 01:10:43,334
Air is fine but oxygen, well.

1281
01:10:46,792 --> 01:10:48,060
Well, if he's on wall oxygen,

1282
01:10:48,084 --> 01:10:49,667
tell me how many liters of flow.

1283
01:10:51,376 --> 01:10:52,459
Six liters?

1284
01:10:53,376 --> 01:10:54,311
You can't put him on MS.

1285
01:10:54,335 --> 01:10:56,084
You'll have to stay with Talwin.

1286
01:11:00,084 --> 01:11:02,477
Give him five ccs of water
and tell him it's morphine.

1287
01:11:02,501 --> 01:11:03,518
Probably never know the difference.

1288
01:11:03,542 --> 01:11:05,768
He's a pain in the ass anyway.

1289
01:16:37,334 --> 01:16:39,143
- Mark, it's so awful.

1290
01:16:39,167 --> 01:16:40,768
It's so terrible.

1291
01:16:40,792 --> 01:16:42,310
- Take it easy. Honey,
slow down, slow down.

1292
01:16:42,334 --> 01:16:45,435
He was trying to kill
me, and I had to keep going.

1293
01:16:45,459 --> 01:16:48,060
And all the bodies. It's horrible!

1294
01:16:48,084 --> 01:16:49,560
- Easy, easy, honey. Just take it easy.

1295
01:16:49,584 --> 01:16:50,561
Slow down.

1296
01:16:50,585 --> 01:16:52,143
- Mark, it's all happening.

1297
01:16:52,167 --> 01:16:53,768
It's really happening.

1298
01:16:53,792 --> 01:16:56,310
Somebody's putting people into comas.

1299
01:16:56,334 --> 01:16:57,393
They're murdering them.

1300
01:16:57,417 --> 01:16:58,269
- I know, I know.

1301
01:16:58,293 --> 01:16:59,751
- No, no, no, really.

1302
01:17:00,709 --> 01:17:01,893
Kelly's dead.

1303
01:17:01,917 --> 01:17:03,518
I was down there.

1304
01:17:03,542 --> 01:17:05,602
I found the gas line.

1305
01:17:05,626 --> 01:17:09,852
It starts in the basement and
it goes up the main tunnel,

1306
01:17:09,876 --> 01:17:11,685
and then it plugs into the oxygen line-

1307
01:17:11,709 --> 01:17:12,519
- Easy, easy, easy.

1308
01:17:12,543 --> 01:17:13,852
- In the ceiling that goes to OR 8.

1309
01:17:13,876 --> 01:17:14,686
- Slow down, honey, slow down.

1310
01:17:14,710 --> 01:17:18,768
- They're killing people
with carbon monoxide in OR 8.

1311
01:17:18,792 --> 01:17:21,435
- They have a radio to turn the valve.

1312
01:17:21,459 --> 01:17:23,102
- I believe you. I do, I believe you.

1313
01:17:23,126 --> 01:17:25,185
- All the cases happened in OR 8,

1314
01:17:25,209 --> 01:17:28,042
and they all went to
the Jefferson Institute.

1315
01:17:30,001 --> 01:17:33,310
And this guy, he chased me all over.

1316
01:17:33,334 --> 01:17:35,102
And there were so many bodies.

1317
01:17:35,126 --> 01:17:37,893
- It's all right, it's
all right, it's okay.

1318
01:17:37,917 --> 01:17:39,893
- And this is real.

1319
01:17:39,917 --> 01:17:41,060
Call the police.

1320
01:17:41,084 --> 01:17:43,977
We have to do, we have to do something.

1321
01:17:44,001 --> 01:17:45,185
This is real, Mark.

1322
01:17:46,042 --> 01:17:46,852
- We'll do something.

1323
01:17:46,876 --> 01:17:47,686
- I can prove it.

1324
01:17:47,710 --> 01:17:48,852
- Sure, you can, you can.

1325
01:17:48,876 --> 01:17:49,727
You just lie down.

1326
01:17:49,751 --> 01:17:50,751
- This is real.

1327
01:17:51,459 --> 01:17:52,269
- I know you can.

1328
01:17:52,293 --> 01:17:54,310
Now one thing at a time, all right?

1329
01:17:54,334 --> 01:17:55,643
I wanna give you a Valium and-

1330
01:17:55,667 --> 01:17:56,478
- No.

1331
01:17:56,502 --> 01:17:59,376
- Okay, okay, how about a cup of tea

1332
01:18:00,501 --> 01:18:03,018
to settle you down, a cup of hot tea?

1333
01:18:03,042 --> 01:18:04,227
All right?
- Okay.

1334
01:18:04,251 --> 01:18:07,227
- Then we're gonna talk
after you settle down.

1335
01:18:07,251 --> 01:18:08,061
- Okay-

1336
01:18:08,085 --> 01:18:09,268
- All right.

1337
01:18:09,292 --> 01:18:12,227
So you just rest right here, okay?

1338
01:18:12,251 --> 01:18:14,126
You just stay right here on the bed.

1339
01:18:15,334 --> 01:18:18,126
Attagirl, that's it, you just relax.

1340
01:18:19,542 --> 01:18:21,768
That's it, just relax.

1341
01:18:21,792 --> 01:18:24,001
Close your eyes. That's it.

1342
01:18:25,459 --> 01:18:26,459
Okay, attagirl.

1343
01:18:27,709 --> 01:18:29,435
Now, I'll get you a cup of tea.

1344
01:18:29,459 --> 01:18:31,042
- You're so great, Mark.

1345
01:18:32,334 --> 01:18:34,167
- Stay here, honey. Just stay right here.

1346
01:18:43,917 --> 01:18:45,626
That's a hell of a story, Susan.

1347
01:18:48,292 --> 01:18:50,167
You really had a lot of people worried.

1348
01:18:53,126 --> 01:18:55,292
Don't worry, everything's
gonna be okay now.

1349
01:19:09,876 --> 01:19:10,876
She came back.

1350
01:19:11,542 --> 01:19:14,251
Yeah, no, she's here now.

1351
01:19:16,501 --> 01:19:17,501
Of course.

1352
01:19:18,334 --> 01:19:19,626
No, I can manage that.

1353
01:19:21,167 --> 01:19:22,167
I'll keep her here.

1354
01:19:23,167 --> 01:19:24,310
Look, I'd better go.

1355
01:19:28,251 --> 01:19:30,251
Susan, you want some honey with your tea?

1356
01:19:33,334 --> 01:19:34,334
Susan?

1357
01:19:54,501 --> 01:19:55,501
Susan!

1358
01:19:57,001 --> 01:20:00,352
Susan!

1359
01:20:38,709 --> 01:20:41,268
Memorial
Hospital residents' exchange.

1360
01:20:41,292 --> 01:20:42,643
This is Dr. Wheeler.

1361
01:20:42,667 --> 01:20:44,185
Are there any messages for me?

1362
01:20:44,209 --> 01:20:45,768
Oh,
yes, Doctor, Quite a few.

1363
01:20:45,792 --> 01:20:46,876
Just a minute, please.

1364
01:20:51,501 --> 01:20:54,143
I'm sorry, Dr. Wheeler,
I'll have to call you back.

1365
01:20:54,167 --> 01:20:55,834
What number can you be reached at?

1366
01:20:59,626 --> 01:21:01,393
Dr. Wheeler, are you there?

1367
01:21:01,417 --> 01:21:02,959
What number can we reach you at?

1368
01:21:06,667 --> 01:21:09,518
- We are dealing in an
area of uncertainty.

1369
01:21:09,542 --> 01:21:13,060
An area where there are no
rules, contradictory laws,

1370
01:21:13,084 --> 01:21:17,060
and no clear social consensus
as to what should be clone.

1371
01:21:17,084 --> 01:21:19,935
At the same time, the cost of
care for the chronic patient

1372
01:21:19,959 --> 01:21:21,435
has become prohibitive.

1373
01:21:21,459 --> 01:21:23,102
This is particularly the case

1374
01:21:23,126 --> 01:21:25,727
with the long-term comatose patient.

1375
01:21:25,751 --> 01:21:27,352
The Jefferson Institute

1376
01:21:27,376 --> 01:21:31,102
is a government-sponsored
experimental facility designed

1377
01:21:31,126 --> 01:21:35,310
to provide quality life support
to the comatose patient.

1378
01:21:35,334 --> 01:21:37,018
I wish to emphasize,

1379
01:21:37,042 --> 01:21:40,435
no moral or ethical position
is being taken here.

1380
01:21:40,459 --> 01:21:42,852
We do not participate in the debate

1381
01:21:42,876 --> 01:21:46,810
over whether these unfortunate
patients are alive or dead

1382
01:21:46,834 --> 01:21:50,310
or whether their care should
be continued or terminated.

1383
01:21:50,334 --> 01:21:52,393
Society will decide
whether there will be more

1384
01:21:52,417 --> 01:21:54,727
of these facilities in the future or not.

1385
01:21:54,751 --> 01:21:57,685
In the meantime, we merely provide care

1386
01:21:57,709 --> 01:21:59,810
as inexpensively as possible.

1387
01:21:59,834 --> 01:22:01,917
Now, you will all please come this way.

1388
01:22:03,542 --> 01:22:07,102
This is our visiting room where
relatives can see patients

1389
01:22:07,126 --> 01:22:08,768
who are stored here.

1390
01:22:08,792 --> 01:22:11,310
You see, it all looks quite normal.

1391
01:22:11,334 --> 01:22:14,435
We found it is inadvisable for relatives

1392
01:22:14,459 --> 01:22:17,435
to know the actual
circumstances of patient care.

1393
01:22:17,459 --> 01:22:19,018
It's just too much of a shock.

1394
01:22:19,042 --> 01:22:21,310
So we bring the patient here.

1395
01:22:21,334 --> 01:22:22,393
After the relatives visit,

1396
01:22:22,417 --> 01:22:25,060
we return them to the main care facility.

1397
01:22:25,084 --> 01:22:26,560
If you'll all please put on your glasses,

1398
01:22:26,584 --> 01:22:27,584
we'll go there now.

1399
01:22:29,042 --> 01:22:31,935
This is our main care facility.

1400
01:22:31,959 --> 01:22:36,917
Temperature here is 94.7 degrees
Fahrenheit, humidity 82%.

1401
01:22:37,501 --> 01:22:40,727
This stability reduces patient heat loss

1402
01:22:40,751 --> 01:22:42,935
and caloric requirements.

1403
01:22:42,959 --> 01:22:47,268
There's a low level ultraviolet,
bacteriostatic flux.

1404
01:22:47,292 --> 01:22:49,310
And to prevent bed sores,

1405
01:22:49,334 --> 01:22:52,602
patients are suspended by
wires through long bones.

1406
01:22:52,626 --> 01:22:54,518
How do you get
to the patients up there?

1407
01:22:54,542 --> 01:22:56,602
- There's no need for contact.

1408
01:22:56,626 --> 01:22:59,435
Every one of our patients
is individually monitored

1409
01:22:59,459 --> 01:23:00,852
by the computer.

1410
01:23:00,876 --> 01:23:04,935
Indwelling telemetry records
weight, fluid balance,

1411
01:23:04,959 --> 01:23:09,018
blood pressure, blood gases,
temperature, metabolic balance.

1412
01:23:09,042 --> 01:23:11,310
Our computer makes an immediate adjustment

1413
01:23:11,334 --> 01:23:13,518
for any change in condition.

1414
01:23:13,542 --> 01:23:18,227
For example, we are producing
simulated hypotension

1415
01:23:18,251 --> 01:23:20,893
by direct compression
of the telemetry unit.

1416
01:23:20,917 --> 01:23:22,060
The computer will sense this

1417
01:23:22,084 --> 01:23:23,751
and make an immediate adjustment.

1418
01:23:30,376 --> 01:23:31,501
Well, almost immediate.

1419
01:23:34,709 --> 01:23:36,292
Sometimes there's a...

1420
01:23:37,417 --> 01:23:38,459
There we are.

1421
01:23:39,459 --> 01:23:41,518
Sometimes there is a short cycle delay,

1422
01:23:41,542 --> 01:23:42,727
but as you can see,

1423
01:23:42,751 --> 01:23:44,143
the computer has placed the patient

1424
01:23:44,167 --> 01:23:45,518
at the Trendelenburg position

1425
01:23:45,542 --> 01:23:48,602
and administered a
short-acting vasoconstrictor.

1426
01:23:48,626 --> 01:23:50,810
Actually, we have very few crises here.

1427
01:23:50,834 --> 01:23:52,768
With the assistance of technology,

1428
01:23:52,792 --> 01:23:55,518
these patients are maintained beautifully.

1429
01:23:55,542 --> 01:23:56,810
Without it, they would be dead.

1430
01:23:56,834 --> 01:23:58,893
They would've died long ago.

1431
01:23:58,917 --> 01:24:01,102
But the law says they must be maintained,

1432
01:24:01,126 --> 01:24:03,685
and this is one technological solution.

1433
01:24:03,709 --> 01:24:04,959
- How large is your staff?

1434
01:24:05,959 --> 01:24:09,227
- One nurse, a physician on
call, two computer technicians,

1435
01:24:09,251 --> 01:24:11,643
and a small security staff, that's all.

1436
01:24:11,667 --> 01:24:13,352
- Can we see the rest of the building?

1437
01:24:13,376 --> 01:24:14,393
- It's of no interest.

1438
01:24:14,417 --> 01:24:16,935
Just mechanical technical facilities.

1439
01:24:16,959 --> 01:24:18,102
- What's the cost here?

1440
01:24:18,126 --> 01:24:20,768
- For each patient, about $60 a day,

1441
01:24:20,792 --> 01:24:24,060
but we have the capacity to
store a thousand patients,

1442
01:24:24,084 --> 01:24:26,477
and then, of course,
the cost will go down.

1443
01:24:26,501 --> 01:24:30,810
We expect to maintain
patients for about $5 a day,

1444
01:24:30,834 --> 01:24:34,352
less than it cost to hire a
babysitter for a few hours.

1445
01:24:34,376 --> 01:24:36,643
Now if there are no further questions,

1446
01:24:36,667 --> 01:24:40,143
this concludes our tour of
the Jefferson Institute.

1447
01:24:40,167 --> 01:24:42,560
Before you go, we have some
literature we'd like you

1448
01:24:42,584 --> 01:24:43,893
to take with you

1449
01:24:43,917 --> 01:24:46,518
and explain some of the
background and details

1450
01:24:46,542 --> 01:24:48,227
of our work here.

1451
01:24:48,251 --> 01:24:50,143
We hope the tour has been informative.

1452
01:24:50,167 --> 01:24:52,643
And please, if you have any questions

1453
01:24:52,667 --> 01:24:56,185
about the Jefferson Institute,
don't hesitate to call.

1454
01:24:56,209 --> 01:24:57,852
- Something shouldn't
be a matter of money.

1455
01:24:57,876 --> 01:25:01,227
- Maybe your patients don't
complain about their bills.

1456
01:25:01,251 --> 01:25:03,102
- Thank you for your interest.

1457
01:25:03,126 --> 01:25:04,501
Good bye, good bye.

1458
01:26:11,876 --> 01:26:13,393
- You know what I wanted?

1459
01:26:13,417 --> 01:26:15,977
I wanted corned beef on rye,

1460
01:26:16,001 --> 01:26:17,768
or else, I wanted roast beef with Russian.

1461
01:26:17,792 --> 01:26:21,393
And what do you bring me? Ham and cheese.

1462
01:26:21,417 --> 01:26:23,310
- Well, that's all they had.

1463
01:26:23,334 --> 01:26:25,435
- You mean to tell me they
didn't have any corned beef?

1464
01:26:25,459 --> 01:26:26,893
No corned beef?

1465
01:26:26,917 --> 01:26:27,811
That's what the man said.

1466
01:26:27,835 --> 01:26:29,018
What do you want me to do?

1467
01:26:29,042 --> 01:26:30,852
No corned beef.

1468
01:26:30,876 --> 01:26:32,751
The guy must have been putting you on.

1469
01:26:35,667 --> 01:26:37,727
- George says we're having
an electrical inspection

1470
01:26:37,751 --> 01:26:39,560
tomorrow morning by the
utilities commission.

1471
01:26:39,584 --> 01:26:42,643
Are we set for that? Norman!

1472
01:26:42,667 --> 01:26:44,643
- Yes, we should be.

1473
01:26:44,667 --> 01:26:47,018
Do you want the program
now, the bidding program?

1474
01:26:47,042 --> 01:26:48,042
- In a moment.

1475
01:26:50,126 --> 01:26:51,560
- Did you see the game last night?

1476
01:26:51,584 --> 01:26:53,310
Two out, Bumbry's up.

1477
01:26:53,334 --> 01:26:55,185
He hits a ball to left field.

1478
01:26:55,209 --> 01:26:57,709
Roy White chances it,
misses it and goes for a triple.

1479
01:26:59,167 --> 01:27:01,768
Lungs, 1100 grams.

1480
01:27:01,792 --> 01:27:04,560
Kidneys, 780, 620.

1481
01:27:04,584 --> 01:27:06,501
80, 620.

1482
01:27:08,792 --> 01:27:10,477
What about the heart?

1483
01:27:10,501 --> 01:27:12,102
I wrote it
down here someplace.

1484
01:27:12,126 --> 01:27:13,893
What's the temperature?

1485
01:27:13,917 --> 01:27:16,352
Right now,
12 degrees centigrade,

1486
01:27:16,376 --> 01:27:18,251
and all the rest at 14.

1487
01:27:38,459 --> 01:27:39,269
Hey, Tom.

1488
01:27:39,293 --> 01:27:40,810
What?

1489
01:27:40,834 --> 01:27:42,435
Where's that heart going?

1490
01:27:42,459 --> 01:27:45,935
Huh, what? San Francisco.

1491
01:27:45,959 --> 01:27:47,977
I think they're getting $75,000 for it.

1492
01:27:48,001 --> 01:27:49,143
Is that all?

1493
01:27:49,167 --> 01:27:51,893
Yeah, it was a bad
match on tissue typing.

1494
01:27:51,917 --> 01:27:53,435
Only two out of four.

1495
01:27:53,459 --> 01:27:54,560
But it's a rush order.

1496
01:27:54,584 --> 01:27:56,310
Well, the
kidney's a four-tissue match

1497
01:27:56,334 --> 01:27:57,768
and is in perfect condition.

1498
01:27:57,792 --> 01:28:00,185
They'll get 200 grand for that.

1499
01:28:00,209 --> 01:28:01,393
It's going to Texas.

1500
01:28:01,417 --> 01:28:02,893
A millionaire's son.

1501
01:28:02,917 --> 01:28:04,977
Good old George has the connections.

1502
01:28:05,001 --> 01:28:07,143
So far, George is doing fine.

1503
01:28:07,167 --> 01:28:08,393
What about the other kidney?

1504
01:28:08,417 --> 01:28:10,102
They're putting it up for bids.

1505
01:28:10,126 --> 01:28:11,602
They'll get 100 for it.

1506
01:28:11,626 --> 01:28:14,602
- We have a left kidney, two
hours old, ready to ship.

1507
01:28:14,626 --> 01:28:17,810
It's a 4367, a 31-year-old male.

1508
01:28:17,834 --> 01:28:20,435
The bidding now stands at 42,500.

1509
01:28:21,293 --> 01:28:24,268
Thank you. 45.

1510
01:28:24,292 --> 01:28:25,810
Hello? It's at 45.

1511
01:28:25,834 --> 01:28:28,060
Well, it could be in Zurich in-

1512
01:28:28,084 --> 01:28:30,185
- Zurich, the fastest
routing is New York, Rome.

1513
01:28:30,209 --> 01:28:32,852
It's gonna arrive local time 1300 hours,

1514
01:28:32,876 --> 01:28:35,685
which means the elapsed time
after surgery is 23 hours.

1515
01:28:35,709 --> 01:28:37,310
- 23 hours elapsed time,

1516
01:28:37,334 --> 01:28:39,501
which would make it 1:00 p.m. your time.

1517
01:28:40,917 --> 01:28:42,393
That's the best we can do.

1518
01:28:43,251 --> 01:28:44,251
Thank you.

1519
01:28:45,459 --> 01:28:46,459
Hello.

1520
01:28:52,167 --> 01:28:54,268
- Hey, what's that?

1521
01:28:54,292 --> 01:28:55,292
Look at monitor four.

1522
01:28:59,626 --> 01:29:01,810
- All units, all units.

1523
01:29:01,834 --> 01:29:03,477
There is an unauthorized
woman in the building.

1524
01:29:03,501 --> 01:29:05,268
Contain this person maintaining-

1525
01:29:05,292 --> 01:29:06,103
- Let's take her alive.

1526
01:29:06,127 --> 01:29:10,268
Hold it, don't shoot.

1527
01:29:10,292 --> 01:29:12,268
Visiting room, clear, over.

1528
01:29:12,292 --> 01:29:15,167
Roger, second
floor lobby, clear.

1529
01:29:16,709 --> 01:29:19,643
Has anyone checked
the main care facility? Over.

1530
01:29:19,667 --> 01:29:22,352
We have no reports from that sector.

1531
01:29:35,834 --> 01:29:38,542
Now on the second floor corridor.

1532
01:30:11,167 --> 01:30:13,376
System's all clear, repeat.

1533
01:30:15,251 --> 01:30:19,126
Don't you
have a key to this place?

1534
01:30:22,834 --> 01:30:24,977
No intruders
on sub-basement one.

1535
01:30:25,001 --> 01:30:27,685
Repeat, no intruders on sub-basement one.

1536
01:30:27,709 --> 01:30:28,518
Team two-

1537
01:30:28,542 --> 01:30:29,353
- Unit one, we found her.

1538
01:30:29,377 --> 01:30:30,643
She's gone outside on the ledge.

1539
01:30:30,667 --> 01:30:32,084
It's too far for her to jump.

1540
01:30:36,834 --> 01:30:38,227
- I don't see her. She's not out there.

1541
01:30:38,251 --> 01:30:40,560
- She's out there. She won't get far.

1542
01:30:40,584 --> 01:30:41,768
We got her now.

1543
01:30:41,792 --> 01:30:43,852
Have the dogs
start on the north side

1544
01:30:43,876 --> 01:30:45,935
but I want them to circle
the building perimeter.

1545
01:30:45,959 --> 01:30:47,852
I want security at all
entrances and exits.

1546
01:30:47,876 --> 01:30:49,602
Notify them by radio.

1547
01:30:49,626 --> 01:30:51,352
Search the basement labs and the roof.

1548
01:30:51,376 --> 01:30:53,560
Get moving. I've had enough
of this inefficiency.

1549
01:30:54,418 --> 01:30:55,727
Perimeter dog team, come in.

1550
01:30:55,751 --> 01:30:57,042
Repeat, come in.

1551
01:31:42,126 --> 01:31:43,768
Main control,
any readings from outside?

1552
01:31:43,792 --> 01:31:45,667
Where are the dogs now?

1553
01:32:08,292 --> 01:32:09,768
I don't know
where the hell she is.

1554
01:32:09,792 --> 01:32:14,417
Well, she's got
to be around here somewhere.

1555
01:32:25,917 --> 01:32:29,459
- There, there. It's
going to be all right.

1556
01:32:32,334 --> 01:32:34,542
It's going to be all right.

1557
01:33:00,626 --> 01:33:03,227
First floor lobby, check in.

1558
01:33:03,251 --> 01:33:06,060
First floor lobby, please respond.

1559
01:33:06,084 --> 01:33:08,018
- No, she's not here.

1560
01:33:08,042 --> 01:33:09,417
Of course I've been notified.

1561
01:33:11,084 --> 01:33:13,060
I'm keeping an eye out for her.

1562
01:33:13,084 --> 01:33:14,977
If she comes round here, we'll get her.

1563
01:33:15,001 --> 01:33:16,584
There's no way she can escape.

1564
01:33:38,834 --> 01:33:41,060
- Let's get this loaded quick.

1565
01:33:41,084 --> 01:33:44,268
I got to make it to Logan in
time for the Dallas flight.

1566
01:33:44,292 --> 01:33:46,560
And we got rush hour traffic.

1567
01:33:46,584 --> 01:33:50,143
Even with the siren, I gotta
get through the Sumner Tunnel.

1568
01:33:50,167 --> 01:33:52,126
Life gets tougher all the time.

1569
01:33:53,917 --> 01:33:55,435
I see you got the dogs out.

1570
01:33:55,459 --> 01:33:57,310
- Yeah, we got a little security problem.

1571
01:33:57,334 --> 01:34:01,518
- We all got problems.
World's full of problems.

1572
01:34:05,459 --> 01:34:06,667
- Take it away!

1573
01:34:43,084 --> 01:34:45,560
Dr. Rogers, 2204.

1574
01:34:45,584 --> 01:34:47,376
Dr. Earl Rogers, 2204.

1575
01:35:05,542 --> 01:35:07,518
- Do me a favor, will you?

1576
01:35:07,542 --> 01:35:09,352
Don't say anything to upset her.

1577
01:35:09,376 --> 01:35:11,560
I wouldn't say anything.

1578
01:35:11,584 --> 01:35:14,060
She's an
old woman. She's sick.

1579
01:35:14,084 --> 01:35:15,352
She's gonna die, Mary.

1580
01:35:15,376 --> 01:35:16,393
Did the doctor say that?

1581
01:35:16,417 --> 01:35:17,353
- I don't know.

1582
01:35:17,377 --> 01:35:18,393
- She's your own mother,

1583
01:35:18,417 --> 01:35:20,268
and you don't know what the doctor said?

1584
01:35:20,292 --> 01:35:22,018
I'll believe the doctor,
whatever the doctor say,

1585
01:35:22,042 --> 01:35:22,853
I'll believe.

1586
01:35:22,877 --> 01:35:25,459
- Just don't upset her. This could be it.

1587
01:35:26,459 --> 01:35:27,542
This could be the end.

1588
01:35:32,292 --> 01:35:33,292
- It's incredible.

1589
01:35:35,667 --> 01:35:37,685
Well, I could use a drink.

1590
01:35:37,709 --> 01:35:38,959
How about you, Scotch?

1591
01:35:40,501 --> 01:35:41,977
- Whatever you're having, sir.

1592
01:35:42,001 --> 01:35:43,792
- I like a woman who drinks Scotch.

1593
01:35:48,042 --> 01:35:50,685
You've done a remarkable thing, Sue.

1594
01:35:50,709 --> 01:35:53,751
Your dedication, your concern,

1595
01:35:55,209 --> 01:35:56,917
your pursuit of this problem.

1596
01:35:58,501 --> 01:36:00,334
It's all extremely impressive.

1597
01:36:02,126 --> 01:36:04,060
And I'm very grateful.

1598
01:36:04,084 --> 01:36:04,893
- Thank you.

1599
01:36:04,917 --> 01:36:05,917
- Cheers.

1600
01:36:10,917 --> 01:36:12,667
In fact, I'm more than grateful.

1601
01:36:14,126 --> 01:36:15,542
I'm deeply in your debt.

1602
01:36:18,001 --> 01:36:20,560
Now the question is how do we handle this?

1603
01:36:20,584 --> 01:36:22,393
- You arrest Dr. George.

1604
01:36:26,376 --> 01:36:27,185
<i>—</i> Yes.

1605
01:36:27,209 --> 01:36:28,061
Sorry, Dr. Harris.

1606
01:36:28,085 --> 01:36:29,602
It's Landis in Washington.

1607
01:36:29,626 --> 01:36:31,018
- Put him on.

1608
01:36:31,042 --> 01:36:32,042
Excuse me.

1609
01:36:35,584 --> 01:36:36,876
Hello, Tom. How are you?

1610
01:36:37,959 --> 01:36:39,709
Fine, fine, just fine.

1611
01:36:41,417 --> 01:36:43,602
Well, sure, I'd be delighted to testify.

1612
01:36:43,626 --> 01:36:46,435
You know how strongly I
feel about the matter.

1613
01:36:46,459 --> 01:36:49,102
But have you consulted the president?

1614
01:36:49,126 --> 01:36:51,334
Uh-huh, I see.

1615
01:36:52,709 --> 01:36:53,709
This won't take long.

1616
01:37:02,126 --> 01:37:03,126
Uh-huh.

1617
01:37:09,834 --> 01:37:10,834
Good, good.

1618
01:37:17,334 --> 01:37:20,001
Good, thanks for calling, Tom. Bye.

1619
01:37:26,376 --> 01:37:28,834
You've put me in a
difficult position, Sue.

1620
01:37:31,251 --> 01:37:32,792
It seems you know everything.

1621
01:37:37,959 --> 01:37:40,060
- You're George.

1622
01:37:40,084 --> 01:37:41,876
- I wonder if you can understand.

1623
01:37:43,667 --> 01:37:46,334
If you can take the long view.

1624
01:37:48,126 --> 01:37:51,001
The view of a person in my position.

1625
01:37:56,292 --> 01:37:57,560
- You did it?

1626
01:37:57,584 --> 01:37:59,501
- No decision is easy, Sue.

1627
01:38:00,876 --> 01:38:02,959
It only looks that way when you're young.

1628
01:38:04,709 --> 01:38:09,001
When you're older,
everything is complicated.

1629
01:38:10,292 --> 01:38:13,876
There is no black and white. Only gray.

1630
01:38:16,251 --> 01:38:20,310
But our society faces momentous decisions.

1631
01:38:20,334 --> 01:38:24,477
Decisions about the right
to die, about abortion,

1632
01:38:24,501 --> 01:38:26,268
about terminal illness,

1633
01:38:26,292 --> 01:38:29,352
prolonged coma, transplantation.

1634
01:38:29,376 --> 01:38:31,251
Decisions about life and death.

1635
01:38:32,459 --> 01:38:34,977
But society isn't deciding,

1636
01:38:35,001 --> 01:38:37,977
Congress isn't deciding,
the courts aren't deciding.

1637
01:38:38,001 --> 01:38:40,602
Religion isn't deciding, why?

1638
01:38:40,626 --> 01:38:44,602
Because society is leaving
it up to us, the experts.

1639
01:38:44,626 --> 01:38:45,626
The doctors.

1640
01:38:48,126 --> 01:38:49,185
- You're crazy.

1641
01:38:49,209 --> 01:38:53,977
- Americans spend $125
billion a year on health,

1642
01:38:54,001 --> 01:38:55,227
more than defense.

1643
01:38:55,251 --> 01:38:58,060
Because Americans believe in medical care.

1644
01:38:58,084 --> 01:39:00,477
These great hospital complexes

1645
01:39:00,501 --> 01:39:03,185
are the cathedrals of our age.

1646
01:39:03,209 --> 01:39:07,393
Billions of dollars, thousands of beds,

1647
01:39:07,417 --> 01:39:11,435
a whole nation of sick people
turning to us for help.

1648
01:39:16,251 --> 01:39:19,709
- You, you ought to see somebody.

1649
01:39:20,626 --> 01:39:22,435
They're children, Sue.

1650
01:39:23,293 --> 01:39:24,334
They trust us.

1651
01:39:26,167 --> 01:39:27,917
We can't tell them everything.

1652
01:39:29,209 --> 01:39:31,727
Our job is to make things easier for them.

1653
01:39:31,751 --> 01:39:32,834
I'm sure you agree.

1654
01:39:35,084 --> 01:39:37,060
- You're killing people.

1655
01:39:37,084 --> 01:39:39,834
- We must always take the long view,

1656
01:39:41,084 --> 01:39:44,001
not of the individual,
but of society as a whole

1657
01:39:45,459 --> 01:39:49,001
because medicine is now
a great social force.

1658
01:39:50,334 --> 01:39:52,584
The individual is too small.

1659
01:40:03,084 --> 01:40:04,084
That's the drug.

1660
01:40:05,084 --> 01:40:08,709
It produces abdominal spasm
and peritoneal symptoms.

1661
01:40:10,417 --> 01:40:11,834
It must be very painful.

1662
01:40:14,501 --> 01:40:15,501
It's too bad.

1663
01:40:17,501 --> 01:40:19,834
But look at it from the
practical standpoint.

1664
01:40:20,876 --> 01:40:22,893
Somebody has to make these decisions.

1665
01:40:22,917 --> 01:40:25,643
We can't wait around forever.

1666
01:40:25,667 --> 01:40:28,352
If society won't decide, we'll decide.

1667
01:40:28,376 --> 01:40:30,209
We'll make the hard decisions.

1668
01:40:37,459 --> 01:40:39,268
This is Dr. Harris.

1669
01:40:39,292 --> 01:40:42,126
Schedule an emergency
appendectomy in OR 8.

1670
01:40:43,834 --> 01:40:46,143
It's a member of the
house staff, Dr. Wheeler.

1671
01:40:46,167 --> 01:40:48,727
I've examined her. She
requires immediate surgery.

1672
01:40:49,627 --> 01:40:51,018
- Okay, honey, now just sit up.

1673
01:40:51,042 --> 01:40:53,667
Come on, that's it. That's good.

1674
01:40:54,751 --> 01:40:56,042
Yes, here we go.

1675
01:40:57,917 --> 01:40:59,209
- It's the drug.

1676
01:41:00,084 --> 01:41:02,310
- Yes, yes, it's gonna be just fine.

1677
01:41:02,334 --> 01:41:04,143
Doctors make the worst patients.

1678
01:41:04,167 --> 01:41:06,459
They know too much, I guess.

1679
01:41:11,667 --> 01:41:14,435
Dr. Edwards, 1011.

1680
01:41:14,459 --> 01:41:16,643
Dr. Edwards, 1011.

1681
01:41:16,667 --> 01:41:17,667
- Susan, Susan.

1682
01:41:20,667 --> 01:41:21,709
why'd You run away?

1683
01:41:23,001 --> 01:41:24,268
I was just talking to your mother.

1684
01:41:24,292 --> 01:41:25,477
She was worried about you.

1685
01:41:25,501 --> 01:41:26,394
- Mark.

1686
01:41:26,418 --> 01:41:28,477
Everybody's
been worried about you.

1687
01:41:28,501 --> 01:41:29,501
- Mark. Mark.

1688
01:41:33,126 --> 01:41:34,126
- Honey, I love you.

1689
01:41:35,542 --> 01:41:36,560
You're gonna be just fine.

1690
01:41:36,584 --> 01:41:41,310
- No, Mark, listen. You have to stop this.

1691
01:41:41,334 --> 01:41:42,542
I'm fine, I am.

1692
01:41:45,210 --> 01:41:46,643
- But your appendix is not fine.

1693
01:41:46,667 --> 01:41:47,478
- No, Mark.

1694
01:41:47,502 --> 01:41:49,477
- You've got plus-four peritonitis,

1695
01:41:49,501 --> 01:41:50,643
guarding and spasm, honey.

1696
01:41:50,667 --> 01:41:51,477
- No.

1697
01:41:51,501 --> 01:41:52,501
- Susan, you do.

1698
01:41:53,542 --> 01:41:55,310
- No, I don't.

1699
01:41:56,917 --> 01:41:58,417
- There's no question about it.

1700
01:42:01,584 --> 01:42:06,310
- Mark, check my white count
and sed rate, it's normal.

1701
01:42:06,334 --> 01:42:07,334
Please.

1702
01:42:14,876 --> 01:42:17,227
- Huh, the tests aren't here.

1703
01:42:19,751 --> 01:42:21,935
But darling, with these physical signs,

1704
01:42:21,959 --> 01:42:23,435
it has to be appendicitis.

1705
01:42:23,459 --> 01:42:24,353
- Please.

1706
01:42:24,377 --> 01:42:26,727
- It's better to be safe
and have the operation.

1707
01:42:27,584 --> 01:42:28,477
Besides, you're in the best of hands.

1708
01:42:28,501 --> 01:42:29,311
- Mark.

1709
01:42:29,335 --> 01:42:31,185
- Dr. Harris himself's
gonna do the procedure, huh?

1710
01:42:31,209 --> 01:42:32,935
How about that?

1711
01:42:32,959 --> 01:42:35,227
The chief of surgery is
gonna take your case.

1712
01:42:35,251 --> 01:42:36,560
I don't want him.

1713
01:42:36,584 --> 01:42:37,935
- Well, how's our patient doing?

1714
01:42:37,959 --> 01:42:40,352
- She's fine. Just slightly delirious.

1715
01:42:40,376 --> 01:42:43,018
- Oh that's normal with appendicitis.

1716
01:42:43,042 --> 01:42:46,560
Besides, we all know doctors
make the worst patients.

1717
01:42:46,584 --> 01:42:47,810
You gonna scrub in?

1718
01:42:47,834 --> 01:42:51,352
- Dr. Harris, we have OR
7 ready for your case.

1719
01:42:51,376 --> 01:42:53,268
- I wanted OR 8.

1720
01:42:53,292 --> 01:42:54,352
Well, they're
just finishing up in there.

1721
01:42:54,376 --> 01:42:55,228
It isn't ready yet.

1722
01:42:55,252 --> 01:42:58,518
I specifically requested OR 8.

1723
01:42:58,542 --> 01:42:59,810
It'll take a couple of minutes.

1724
01:42:59,834 --> 01:43:00,644
Well, hurry it up.

1725
01:43:00,668 --> 01:43:03,102
Our patient can't wait all night, can she?

1726
01:43:05,126 --> 01:43:06,126
You gonna scrub in?

1727
01:43:06,917 --> 01:43:09,417
- Uh, excuse me, let me
just answer this page, sir.

1728
01:43:15,792 --> 01:43:17,685
Yeah, this is Dr. Bellows.

1729
01:43:17,709 --> 01:43:18,810
Yes, Dr. Bellows.

1730
01:43:18,834 --> 01:43:20,560
It's that serious, huh?

1731
01:43:20,584 --> 01:43:22,560
Is what that serious?

1732
01:43:22,584 --> 01:43:24,185
- All right, I'll be right there.

1733
01:43:24,209 --> 01:43:25,459
Dr. Bellows?

1734
01:43:28,626 --> 01:43:30,477
We're ready in OR 8, Dr. Harris.

1735
01:43:30,501 --> 01:43:33,560
- We'll start at once. Bellows?

1736
01:43:33,584 --> 01:43:35,810
- Patient on surgical
two's got convulsions.

1737
01:43:35,834 --> 01:43:37,393
- Join me as soon as you can.

1738
01:43:37,417 --> 01:43:38,227
- Yes, sir.

1739
01:43:38,251 --> 01:43:39,251
- You can take her in.

1740
01:43:40,959 --> 01:43:42,018
You certainly
are lucky, Dr. Wheeler,

1741
01:43:42,042 --> 01:43:44,727
with Dr. Harris himself
doing the operation.

1742
01:43:44,751 --> 01:43:47,102
Couldn't ask
for a better man, huh?

1743
01:43:47,126 --> 01:43:47,936
- I want-

1744
01:43:47,960 --> 01:43:49,268
- Now, now, now, just lie back.

1745
01:43:49,292 --> 01:43:51,018
You're going to have a
nice, wonderful sleep.

1746
01:43:51,042 --> 01:43:52,352
Just relax.
- No, no.

1747
01:43:52,376 --> 01:43:54,810
Easy, Sue,
we'll take good care of you.

1748
01:43:55,668 --> 01:43:56,852
I found the oxygen line.

1749
01:43:56,876 --> 01:44:00,685
It starts in the basement, and
it goes up the main tunnel,

1750
01:44:00,709 --> 01:44:03,584
and then it plugs in the
ceiling that goes to OR 8.

1751
01:44:09,792 --> 01:44:10,686
Do we have enough sponges?

1752
01:44:10,710 --> 01:44:13,727
I think we better order
some more 4-0 Chromex.

1753
01:44:13,751 --> 01:44:15,126
We're almost out.

1754
01:44:16,501 --> 01:44:18,301
We could use a few more....

1755
01:44:36,084 --> 01:44:38,643
We have to do this one right.

1756
01:44:38,667 --> 01:44:41,477
House officers deserve
the very best of care

1757
01:44:41,501 --> 01:44:42,917
in their own hospital.

1758
01:44:48,792 --> 01:44:49,935
I'm giving you Pentothal, Sue.

1759
01:44:49,959 --> 01:44:54,393
I want you to take some
good, deep breaths, dear.

1760
01:44:54,417 --> 01:44:55,417
In and out.

1761
01:45:16,876 --> 01:45:19,227
The patient's film, Dr. Harris.

1762
01:45:19,251 --> 01:45:21,060
They look normal, don't they?

1763
01:45:21,084 --> 01:45:24,435
Pity acute appendicitis
doesn't show up more clearly

1764
01:45:24,459 --> 01:45:25,459
in the X-rays.

1765
01:45:33,001 --> 01:45:34,685
She has an inny.

1766
01:45:34,709 --> 01:45:36,185
A what?

1767
01:45:36,209 --> 01:45:38,810
An inny, the bellybutton.

1768
01:45:38,834 --> 01:45:40,477
Some are innies, some are outties.

1769
01:45:40,501 --> 01:45:41,792
Hers is an inny.

1770
01:45:59,792 --> 01:46:01,751
Let me know
when she's fully under.

1771
01:46:07,459 --> 01:46:10,060
She's ready
for you, Dr. Harris.

1772
01:46:10,084 --> 01:46:11,376
Scalpel, please.

1773
01:46:58,334 --> 01:46:59,228
What's that?

1774
01:46:59,252 --> 01:47:00,292
- It's a PVC.

1775
01:47:02,292 --> 01:47:03,852
There's another one.

1776
01:47:03,876 --> 01:47:05,352
Too light?

1777
01:47:05,376 --> 01:47:07,435
I don't think so, sir.

1778
01:47:07,459 --> 01:47:09,852
Maybe you'd
better deepen anesthesia.

1779
01:47:19,834 --> 01:47:23,268
Blood pressure's
dropping. I don't understand.

1780
01:47:23,292 --> 01:47:24,643
Want me to stop?

1781
01:47:24,667 --> 01:47:28,352
- No, it'll be all right, sir.

1782
01:47:28,376 --> 01:47:30,268
I'll be happy to stop a moment.

1783
01:47:30,292 --> 01:47:31,917
It's okay, Dr. Harris.

1784
01:47:32,876 --> 01:47:35,018
You're recommending I go on?

1785
01:47:46,001 --> 01:47:47,042
- Son of a...

1786
01:47:51,251 --> 01:47:55,310
Son of a bitch, son of
a bitch, son of a bitch!

1787
01:47:55,334 --> 01:47:57,852
Here it is.

1788
01:47:57,876 --> 01:48:00,518
Hmm, looks normal.

1789
01:48:00,542 --> 01:48:02,102
Never know it from her symptoms.

1790
01:48:02,126 --> 01:48:03,393
- It's rather nice to see the chief

1791
01:48:03,417 --> 01:48:05,935
of surgery get caught sometimes.

1792
01:48:05,959 --> 01:48:08,084
Happens to
the best of us. Okay.

1793
01:48:24,292 --> 01:48:28,102
All right, you can bring her out now.

1794
01:48:28,126 --> 01:48:29,209
Right, sir.

1795
01:48:36,167 --> 01:48:37,602
Uh-oh, Dr. Harris.

1796
01:48:37,626 --> 01:48:38,436
Yes?

1797
01:48:38,460 --> 01:48:40,768
She's doesn't seem
to be coming around, sir.

1798
01:48:40,792 --> 01:48:44,060
- Ah, just give her a minute.
I'm sure she'll be just fine.

1799
01:48:44,084 --> 01:48:45,501
I don't know, sir.

1800
01:48:56,667 --> 01:48:57,792
She's okay, sir.

1801
01:48:58,751 --> 01:49:01,227
She's just fine, Dr. Harris.

1802
01:49:01,251 --> 01:49:03,560
Nice case, Dr. Harris.

1803
01:49:43,501 --> 01:49:44,542
- Mark, Mark.

1804
01:49:47,834 --> 01:49:49,227
Don't let him do the operation.

1805
01:49:49,251 --> 01:49:50,459
- I know, baby.

1806
01:49:51,417 --> 01:49:52,626
I know, I know.

1807
01:50:08,251 --> 01:50:10,459
We're waiting
for you, Dr. Harris.