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1
00:00:04,638 --> 00:00:06,116
- Tonight on St. elsewhere.
- Okay. How long?
2
00:00:06,140 --> 00:00:08,407
- Thirty-five minutes.
- Give it up.
3
00:00:08,476 --> 00:00:11,210
Two, three... [Steady beep]
4
00:00:11,278 --> 00:00:13,056
[Laughing] Somethin' funny?
5
00:00:13,080 --> 00:00:15,847
- No, sir.
- Mr. Roecklein, a young lady just died in here!
6
00:00:15,916 --> 00:00:18,195
You have a rotten sense of timing. You know that?
7
00:00:18,219 --> 00:00:20,930
It's going, "lub-dub, lub-dub." No, no, ehrlich.
8
00:00:20,954 --> 00:00:23,422
If there's a murmur, it would be, "lub-schtub, lub-schtub."
9
00:00:23,491 --> 00:00:25,469
Oh, I see. "Lub-schtub."
10
00:00:25,493 --> 00:00:28,793
Don't you ever, ever question my authority again, lady,
11
00:00:28,862 --> 00:00:32,064
or I'll slam the door so hard on
you, you won't know what hit you.
12
00:00:32,133 --> 00:00:34,533
You're a good doctor, but you're an inadequate woman.
13
00:00:34,601 --> 00:00:38,504
I know it. Everybody knows it. You've got a cold heart.
14
00:00:38,572 --> 00:00:41,073
You can have $300 for a new beeper,
15
00:00:41,142 --> 00:00:43,875
but we can't get $20 for a diaper service.
16
00:00:43,944 --> 00:00:46,378
I'm tired of it, Peter! I'm just sick of it!
17
00:00:46,447 --> 00:00:49,548
Three people have died with symptoms of legionnaires'.
18
00:00:49,616 --> 00:00:51,683
Donald would like to close down the ward.
19
00:00:51,752 --> 00:00:55,287
I'm not a doctor, but don't you think
closing it down is a little extreme?
20
00:00:55,356 --> 00:00:57,256
No, I don't, not if it's legionnaires'.
21
00:02:31,435 --> 00:02:34,069
I ask him what the word "impale" means.
22
00:02:34,138 --> 00:02:37,839
He stuck this letter opener on his
hand and said, "stick that sucker through."
23
00:02:37,908 --> 00:02:40,553
I gave it a good listen, and
it's going, "lub-dub, lub-dub."
24
00:02:40,577 --> 00:02:44,379
No, no, ehrlich. If there's a murmur,
it would be, "lub-schtub, lub-schtub."
25
00:02:44,448 --> 00:02:47,682
Oh, I see. "Lub-schtub." Try to remember that, will you?
26
00:02:47,751 --> 00:02:50,397
It could be the difference between
your patient being alive or dead.
27
00:02:50,421 --> 00:02:54,589
If he's a c.O.P.D.-Er, you're gonna need
a baseline pulmonary function test.
28
00:02:54,658 --> 00:02:57,503
Is he still giving you that story
about coughing up blood? Mm-hmm.
29
00:02:57,527 --> 00:03:02,530
Have pulmonary scope him and check for
lesions, then get a biopsy with brushings.
30
00:03:02,599 --> 00:03:07,202
[Beeping] Never a dull moment.
31
00:03:07,271 --> 00:03:11,206
Where's my... [Samuels] hmm?
32
00:03:11,275 --> 00:03:14,943
I found this on the body of a 78-year-old patient.
33
00:03:15,012 --> 00:03:18,880
"Where are the dope fields? The helicopters are green."
34
00:03:18,949 --> 00:03:22,195
He came down from c.C.U. He was
there for four straight weeks.
35
00:03:22,219 --> 00:03:24,152
I.c.u. Psychosis.
36
00:03:25,555 --> 00:03:27,856
Where are the dope fields?
37
00:03:27,924 --> 00:03:30,971
There are some calcified granulomas on his chest X-ray.
38
00:03:30,995 --> 00:03:34,155
That means the first thing we have to worry about is c.A.
39
00:03:34,198 --> 00:03:37,032
Call feldman and have him bronched. Excuse me.
40
00:03:39,269 --> 00:03:43,071
Hey, hey. I'm going down to Chestnut hill
reservoir later, do some night fishing.
41
00:03:43,140 --> 00:03:45,285
You wanna come? What are you, high on vitamin "c"?
42
00:03:45,309 --> 00:03:47,309
Fishing's illegal at Chestnut hill.
43
00:03:47,378 --> 00:03:49,378
I know that, but everybody does it.
44
00:03:49,413 --> 00:03:52,447
Illegal, as in put you in the same cell
as son of Sam, the Boston strangler,
45
00:03:52,516 --> 00:03:54,449
John wilkes booth.
46
00:03:54,518 --> 00:03:56,451
Come on. Fishing's fun.
47
00:03:56,520 --> 00:03:57,927
Ehrlich, sitting on concrete, holding a
48
00:03:57,951 --> 00:03:59,565
stick with a string dangling in the water...
49
00:03:59,589 --> 00:04:03,258
And ducking into the woods every
time a cop car passes is not fun.
50
00:04:03,327 --> 00:04:06,395
A cardiac arrest in the middle of rem sleep... that's fun.
51
00:04:06,463 --> 00:04:09,797
A wino with an e.E.G. Of two spikes... that's fun.
52
00:04:09,866 --> 00:04:12,367
A little dalliance in the on call room...
53
00:04:12,436 --> 00:04:15,103
Oh, wait a second. I see. You have other plans.
54
00:04:15,172 --> 00:04:18,640
Uh-huh. Mm-hmm. Cathy Martin, I presume.
55
00:04:21,645 --> 00:04:24,946
Oh, lucky for her, I'm not pumpin' iron.
56
00:04:25,015 --> 00:04:27,849
Yeah, well, my sister had a midwife.
57
00:04:27,918 --> 00:04:31,086
Shirley, this doctor's wife is
not gonna give birth at home.
58
00:04:31,155 --> 00:04:33,121
There were no problems whatsoever.
59
00:04:33,190 --> 00:04:35,323
Yeah, but still,
60
00:04:35,392 --> 00:04:38,604
I want Nina to have the baby in a hospital.
61
00:04:38,628 --> 00:04:41,096
I want her to have the best care possible.
62
00:04:41,165 --> 00:04:44,132
Jack, if you're so worried, why
don't you deliver the baby yourself?
63
00:04:45,436 --> 00:04:48,370
Mrs. Weingrot could have waited until rounds. Who?
64
00:04:48,439 --> 00:04:50,439
338. The woman you woke me for.
65
00:04:50,507 --> 00:04:52,552
She complained of stomach pains.
66
00:04:52,576 --> 00:04:55,910
Missing a bowel movement is not an emergency.
67
00:04:58,415 --> 00:05:00,348
[Sighs]
68
00:05:02,152 --> 00:05:05,153
Did you look under it? Well, come on! Look under it!
69
00:05:07,391 --> 00:05:10,024
[Chattering]
70
00:05:10,094 --> 00:05:12,805
It isn't? Damn it! I wouldn't do that if I were you.
71
00:05:12,829 --> 00:05:15,830
Yes, I looked in the cafeteria. I
looked in every inch of this place.
72
00:05:15,899 --> 00:05:19,734
All right. It's $260. I'll get
the money. I'll get the money.
73
00:05:19,803 --> 00:05:21,970
Peter. Look, I gotta go now.
74
00:05:22,038 --> 00:05:25,085
Tell you what... if you find it, you call me, okay?
75
00:05:25,109 --> 00:05:27,109
Okay? Bye-bye.
76
00:05:27,177 --> 00:05:29,711
Hell of a tumor board this morning. Yeah, I heard.
77
00:05:29,779 --> 00:05:32,619
Where were you? Megan fell off a swing in the playground.
78
00:05:32,682 --> 00:05:35,683
Oh, no. Anything serious? Yeah, it's always serious.
79
00:05:35,752 --> 00:05:39,087
It was funny as hell this morning.
Jackson gets up and starts carrying on.
80
00:05:39,156 --> 00:05:41,968
He goes... [clears throat] "Death
certificates prove that thyroid cancer..."
81
00:05:41,992 --> 00:05:44,036
"Hasn't increased in the last 10 years.
82
00:05:44,060 --> 00:05:46,100
What are we doing about it?"
83
00:05:46,130 --> 00:05:48,174
Craig gets bent out of shape and screams,
84
00:05:48,198 --> 00:05:50,776
"because death certificates are
written before they do an autopsy!"
85
00:05:50,800 --> 00:05:53,034
I thought they were gonna mix it up right there.
86
00:05:53,103 --> 00:05:55,604
Samuels is gonna do a radical neck.
87
00:05:55,672 --> 00:05:58,673
Pure physical mutilation. You want to watch? No, thanks.
88
00:05:58,742 --> 00:06:02,810
Okay. I'll catch you later.
89
00:06:02,879 --> 00:06:06,114
[Woman on P.A.] Dr. Menlow, call 10-14.
90
00:06:13,390 --> 00:06:16,324
I was just, uh, trying to get a little sleep.
91
00:06:16,393 --> 00:06:20,395
You haven't seen my beeper around
here, have you? Oh, no. No beeper.
92
00:06:20,464 --> 00:06:22,397
Beeper.
93
00:06:27,204 --> 00:06:30,539
If, uh... if I do, I will let you know. Uh, thanks.
94
00:06:37,747 --> 00:06:40,915
Donald! Do you have a second to look in on a patient?
95
00:06:40,984 --> 00:06:44,152
Who's the attending? Gannon, but he's in surgery all day.
96
00:06:44,221 --> 00:06:46,266
I'm very worried about her. Why?
97
00:06:46,290 --> 00:06:48,456
Her name's Francine delgado.
98
00:06:48,525 --> 00:06:51,504
She, seven days ago, had a mitral valve replacement.
99
00:06:51,528 --> 00:06:53,461
What's her post-op course been like?
100
00:06:53,530 --> 00:06:55,575
It was excellent until about 24 hours ago.
101
00:06:55,599 --> 00:06:59,267
She started vomiting, having diarrhea.
Her temperature went through the roof.
102
00:06:59,336 --> 00:07:02,804
In the last few hours, she's been
coughing without sputum production.
103
00:07:02,872 --> 00:07:05,373
Hmm. Has she been complaining about any weakness?
104
00:07:05,442 --> 00:07:07,654
Yes, she has, and I just don't understand it.
105
00:07:07,678 --> 00:07:09,795
This is the first temp spike and 9.I. Distress
106
00:07:09,819 --> 00:07:11,680
she's had since she came out of surgery.
107
00:07:11,748 --> 00:07:13,915
Will you see her? Sure. Where is she?
108
00:07:13,983 --> 00:07:15,917
Follow me.
109
00:07:15,985 --> 00:07:19,199
I'm going down to x-rays right now
to take a look at it for you, okay?
110
00:07:19,223 --> 00:07:22,068
Good. Peter? I can't talk right now. I lost my beeper.
111
00:07:22,092 --> 00:07:23,758
Mm-hmm.
112
00:07:25,061 --> 00:07:27,562
Excuse me.
113
00:07:27,631 --> 00:07:31,032
Did you see the head of hair on him? It's disgusting.
114
00:07:31,101 --> 00:07:34,336
Now, Mark, he's only a kid. I know. I know.
115
00:07:34,404 --> 00:07:37,283
So, you're off to cabo San Lucas? Tomorrow morning.
116
00:07:37,307 --> 00:07:39,807
That's terrific. You deserve a rest.
117
00:07:39,876 --> 00:07:42,422
This place is not gonna run very
smoothly without you though.
118
00:07:42,446 --> 00:07:46,047
Nonsense. Between Don westphall
and b.J. Cummings, I have no worries.
119
00:07:46,116 --> 00:07:49,095
You know, that cummings kid may
be a good hospital administrator,
120
00:07:49,119 --> 00:07:52,787
but sometimes he can be a real hard nose.
121
00:07:52,856 --> 00:07:55,957
I don't like people like that.
122
00:07:56,025 --> 00:07:59,405
You've caught an infection, Francine, but
it has nothing to do with your operation.
123
00:07:59,429 --> 00:08:02,797
I feel like I'm on fire. I can't stop shaking.
124
00:08:02,866 --> 00:08:06,334
I already ordered a chest X-ray
and sent a urine for culture.
125
00:08:06,403 --> 00:08:10,405
Speed up her I.V. To a hundred per hour.
126
00:08:10,474 --> 00:08:12,407
Nothing by mouth.
127
00:08:12,476 --> 00:08:14,193
Get a sputum, send it down for routine
128
00:08:14,217 --> 00:08:16,278
culture and sensitivity and a dieterle stain.
129
00:08:16,346 --> 00:08:19,847
Blood culture times three, 15 minutes apart.
130
00:08:19,916 --> 00:08:22,795
Then get her started on cephalothin, one gram six hours,
131
00:08:22,819 --> 00:08:25,920
and erythromycin, one gram every six hours.
132
00:08:25,989 --> 00:08:27,955
I.v. Piggyback, stat. Okay.
133
00:08:28,024 --> 00:08:30,191
I feel so bad, Dr. Westphall.
134
00:08:30,260 --> 00:08:32,527
I know, sweetheart. I know.
135
00:08:38,201 --> 00:08:40,669
Should we isolate her?
136
00:08:40,737 --> 00:08:42,671
Yeah.
137
00:08:47,477 --> 00:08:50,278
[Exhaling, coughing]
138
00:08:50,347 --> 00:08:52,347
I'm spittin' up phlegm.
139
00:08:52,416 --> 00:08:56,150
Have you cut down on your cigarettes? Yeah, a little.
140
00:08:56,219 --> 00:08:58,720
I gotta tell you, Mr. Andover...
141
00:08:58,789 --> 00:09:01,889
Two packs of cigarettes a day, 40 years...
142
00:09:01,958 --> 00:09:05,527
Your lungs look like the hills of West Virginia.
143
00:09:05,595 --> 00:09:08,708
I don't mind spittin' up so much, but it's green.
144
00:09:08,732 --> 00:09:10,732
He could be coming down with pneumonia.
145
00:09:10,801 --> 00:09:13,813
Get respiratory therapy down here for a pulmonary toilet,
146
00:09:13,837 --> 00:09:16,103
including an I.P.P.B. With bronkosol.
147
00:09:16,172 --> 00:09:18,773
Save me some of the sputum for a gram's stain.
148
00:09:18,842 --> 00:09:21,220
Mr. Andover, I'm gonna put you on some medication.
149
00:09:21,244 --> 00:09:24,324
I don't want you coming down with
pneumonia on top of everything else.
150
00:09:24,348 --> 00:09:28,350
Put him on methicillin, one gram q6 hours, I.V.
151
00:09:28,418 --> 00:09:30,830
Mr. Andover, can I get you anything else?
152
00:09:30,854 --> 00:09:32,854
Boy, I'm dyin' for a smoke.
153
00:09:35,024 --> 00:09:37,024
Eh! [Sighs]
154
00:09:38,662 --> 00:09:43,130
Fifteen boxes of hemostats have
disappeared in the last two months.
155
00:09:43,199 --> 00:09:45,132
I mean, it's getting worse, not better.
156
00:09:45,201 --> 00:09:47,913
What makes you think they're not
being used for medical purposes?
157
00:09:47,937 --> 00:09:50,338
I seen them at the head shops in Harvard square.
158
00:09:50,407 --> 00:09:52,640
They use them as roach clips. You know what I mean.
159
00:09:52,709 --> 00:09:55,755
I'm a bourbon-straight-up man myself.
You mean they use them to smoke pot?
160
00:09:55,779 --> 00:09:57,779
Yeah, so they don't burn their fingers.
161
00:09:57,848 --> 00:09:59,892
Necessity is the mother of invention.
162
00:09:59,916 --> 00:10:01,904
If it doesn't stop, when they reach for one in
163
00:10:01,928 --> 00:10:03,852
an operation, they might have to use pliers.
164
00:10:03,920 --> 00:10:05,854
Got ya.
165
00:10:14,431 --> 00:10:18,767
I need the charts on two deceased
patients from last... last week.
166
00:10:18,835 --> 00:10:20,835
I don't have their numbers. Sorry.
167
00:10:20,904 --> 00:10:23,070
Their names are Brenda Perez...
168
00:10:23,139 --> 00:10:27,174
And Lila rothlein... R-o-t-h-l-e-i-n.
169
00:10:27,243 --> 00:10:30,512
They were Dr. Chandler's patients.
170
00:10:32,181 --> 00:10:34,115
Thank you.
171
00:10:43,527 --> 00:10:46,394
Solitary pulmonary lesion. Mmm.
172
00:10:46,463 --> 00:10:48,797
Probably cancer. Mmm.
173
00:10:48,865 --> 00:10:51,966
Yeah, it's a classic lesion of bronchogenic cancer...
174
00:10:52,035 --> 00:10:54,702
Uneven margins with calcifications like a crab.
175
00:10:54,771 --> 00:10:58,339
See here? Trabeculae invading the tissue.
176
00:11:00,310 --> 00:11:03,077
Do we have autopsies on those
two patients that died of pneumonia?
177
00:11:03,146 --> 00:11:05,691
Perez and rothlein? No, we didn't see any reason to.
178
00:11:05,715 --> 00:11:09,517
Cause of death was respiratory
arrest... emphysema with complications.
179
00:11:09,586 --> 00:11:11,597
Oh. What's up, Dr. Westphall?
180
00:11:11,621 --> 00:11:15,122
I have a similar case... Francine delgado.
181
00:11:15,191 --> 00:11:18,793
Well, there's lots of infections in these old wards.
182
00:11:18,862 --> 00:11:20,862
No, this isn't typical pneumonia.
183
00:11:20,931 --> 00:11:23,030
Compromised host, prodromal diarrhea,
184
00:11:23,099 --> 00:11:26,200
high temperature, slow pulse, productive cough.
185
00:11:26,269 --> 00:11:29,270
- Sounds like legionnaires'.
- Mmm.
186
00:11:29,339 --> 00:11:31,148
Did Perez or rothlein have any features
187
00:11:31,172 --> 00:11:33,240
that might be consistent with legionnaires'?
188
00:11:33,309 --> 00:11:36,410
I don't remember. They went pretty
fast. How are you treating miss delgado?
189
00:11:36,480 --> 00:11:38,680
I gave her erythromycin and cephalothin.
190
00:11:38,748 --> 00:11:42,183
I had a patient with diarrhea. Oh, wait.
191
00:11:42,251 --> 00:11:45,920
- What?
- She came in with it. Uh, food poisoning.
192
00:11:45,989 --> 00:11:49,924
Oh. Well, all this is premature, so let's keep it quiet.
193
00:11:49,993 --> 00:11:52,660
Sure, Dr. Westphall. People get crazy.
194
00:11:58,151 --> 00:12:00,134
[Drill whirring]
195
00:12:02,939 --> 00:12:04,873
Hi, Cathy. How's it going?
196
00:12:04,941 --> 00:12:08,042
Police just brought this one in. Found
him lying in the meat packing district.
197
00:12:08,111 --> 00:12:11,245
All his teeth were pulled out, and
whoever did it really smashed in his chest.
198
00:12:11,314 --> 00:12:13,247
What can I do for you?
199
00:12:13,316 --> 00:12:15,022
I have a sputum coming down for acid fast,
200
00:12:15,046 --> 00:12:16,818
fungal studies and a dieterle silver stain.
201
00:12:16,887 --> 00:12:18,931
Can you look at it right away? Dieterle?
202
00:12:18,955 --> 00:12:21,133
Have we got legionnaires'? Let's hope not.
203
00:12:21,157 --> 00:12:23,569
The stain will take a while. All right.
204
00:12:23,593 --> 00:12:26,260
I also have a serum titers for legionella cooking.
205
00:12:26,329 --> 00:12:29,049
Let me know what you think, huh? Yeah.
206
00:12:34,170 --> 00:12:38,406
Donald has come to me quite concerned
about the recent deaths on ward 5.
207
00:12:40,076 --> 00:12:43,310
- And you think it's legionnaires'.
- Possibly.
208
00:12:43,379 --> 00:12:45,947
Uh-huh. Uh-huh.
209
00:12:46,016 --> 00:12:49,061
Have you checked with the center
for disease control in Atlanta?
210
00:12:49,085 --> 00:12:52,820
No, not yet. We have a dieterle down in pathology now.
211
00:12:52,889 --> 00:12:54,909
So we'll just have to wait until the results
212
00:12:54,933 --> 00:12:56,791
come in. I don't think that's very wise.
213
00:12:56,860 --> 00:12:59,661
Donald would like to close down the ward.
214
00:12:59,729 --> 00:13:03,064
Ward 5 has 35 beds.
215
00:13:03,132 --> 00:13:05,132
Now, I'm not a doctor,
216
00:13:05,201 --> 00:13:08,836
but don't you think closing it
down is a little extreme, premature?
217
00:13:08,905 --> 00:13:10,905
No, I don't, not if it's legionnaires'.
218
00:13:10,974 --> 00:13:13,942
You see, there's a separate air conditioner in there.
219
00:13:14,010 --> 00:13:17,612
Are you aware that we're due for our quarterly census?
220
00:13:20,717 --> 00:13:23,317
If we close down ward 5, even for a couple of days,
221
00:13:23,386 --> 00:13:25,319
we'll lose several thousand dollars.
222
00:13:25,388 --> 00:13:28,823
Three people have died with symptoms of legionnaires'.
223
00:13:28,892 --> 00:13:30,858
That's quite a coincidence.
224
00:13:30,927 --> 00:13:32,939
Were the patients in good health? No.
225
00:13:32,963 --> 00:13:36,263
Two of them were elderly women with
histories of chronic respiratory disease.
226
00:13:36,332 --> 00:13:38,766
The third had just come out of open-heart surgery,
227
00:13:38,835 --> 00:13:41,769
but she was on ward 5 before the operation.
228
00:13:41,838 --> 00:13:44,872
There are a lot of infections
running loose around a hospital.
229
00:13:44,941 --> 00:13:48,610
There were three million cases of
pneumonia in the United States last year.
230
00:13:48,678 --> 00:13:51,879
One third of them were of unknown origin.
231
00:13:51,948 --> 00:13:54,949
This is our most recent report on nosocomial infections.
232
00:13:56,552 --> 00:13:59,353
Were any of these people on a respirator? Two.
233
00:13:59,422 --> 00:14:03,992
Well, we have hospital-acquired
pseudomonas infections from a respirator,
234
00:14:04,060 --> 00:14:06,393
two methicillin-resistant staph infections...
235
00:14:06,462 --> 00:14:10,665
And recently a run of gram-negative
enteric bacilli e. Coli klebsiella.
236
00:14:10,734 --> 00:14:14,046
They're not sensitive to any of
the standard antibacterial drugs.
237
00:14:14,070 --> 00:14:17,505
They're not even sensitive to the
third-generation cephalosporins.
238
00:14:17,573 --> 00:14:19,507
In each case... I know.
239
00:14:19,575 --> 00:14:23,745
We isolate the patient, put them on
triple antibiotics and hope that one hits,
240
00:14:23,813 --> 00:14:25,747
but we do not close down a ward.
241
00:14:25,815 --> 00:14:28,116
No, we don't.
242
00:14:28,184 --> 00:14:32,186
I think we should wait for the
dieterle and the legionella titers.
243
00:14:41,064 --> 00:14:45,366
We know he checked out, fiscus. Was he "0" or was he "q"?
244
00:14:48,104 --> 00:14:50,282
"Q." definite "q." [Laughing]
245
00:14:50,306 --> 00:14:52,740
Hey, Cathy. Sit over here.
246
00:14:52,809 --> 00:14:55,621
What, with everybody? What everybody? Ehrlich? Come on.
247
00:14:55,645 --> 00:14:58,012
All right. I'll get that. Here.
248
00:14:58,081 --> 00:15:00,693
Let's get you a chair. [Ehrlich] Sit down.
249
00:15:00,717 --> 00:15:03,317
Enjoy. Okay, where was I? Oh, yeah.
250
00:15:03,386 --> 00:15:05,953
So I go over to the wife and tell her she's a widow.
251
00:15:06,022 --> 00:15:09,157
She gets all upset and says, "I
knew he'd pull something like that."
252
00:15:09,225 --> 00:15:13,627
And then she proceeds to ask my advice
in how to spend the insurance money.
253
00:15:16,599 --> 00:15:18,410
Interesting you should say that.
254
00:15:18,434 --> 00:15:22,636
The history of the residency
program is quite fascinating actually.
255
00:15:22,706 --> 00:15:25,751
As William Stewart halstead,
the noted endocrinologist... [yawns]
256
00:15:25,775 --> 00:15:28,509
And a close personal friend of my father, once said...
257
00:15:28,578 --> 00:15:31,378
It's not a psychological problem, v.J.
258
00:15:31,447 --> 00:15:34,248
No? Mm-mmm. It's one of diction.
259
00:15:34,317 --> 00:15:37,952
You don't need a therapist, you need a tutor. Yes?
260
00:15:38,021 --> 00:15:40,688
Hmm. Sure. Look, v.J.
261
00:15:40,757 --> 00:15:43,691
It's impossible to be witty or charming or warm...
262
00:15:43,760 --> 00:15:45,760
If you don't speak the language.
263
00:15:45,829 --> 00:15:49,230
No matter how smart you are,
it's interpreted as being stupid.
264
00:15:49,298 --> 00:15:51,232
Uh-huh.
265
00:15:51,300 --> 00:15:53,293
He's going on and on about how a certain
266
00:15:53,317 --> 00:15:55,536
patient died of c.H.F. From mitral stenosis.
267
00:15:55,605 --> 00:15:57,605
Talks for about two hours.
268
00:15:57,673 --> 00:15:59,907
When it's time for pathology to give its findings,
269
00:15:59,976 --> 00:16:04,478
a third-year path resident stands
up, looks Frazier right in the face...
270
00:16:04,547 --> 00:16:07,514
And says, "the mitral valve was perfectly normal."
271
00:16:07,583 --> 00:16:09,516
Frazier gets totally bent out of shape.
272
00:16:09,585 --> 00:16:12,954
"I know it was mitral stenosis!
273
00:16:13,022 --> 00:16:15,757
I heard the murmur. I should know!"
274
00:16:15,825 --> 00:16:18,292
The resident holds up his hand.
275
00:16:18,361 --> 00:16:22,696
He's got the valve in a jar and says to Frazier,
276
00:16:22,766 --> 00:16:25,699
"I have the valve. Have you got the murmur?"
277
00:16:27,203 --> 00:16:29,871
- It was perfect.
- That's great.
278
00:16:29,939 --> 00:16:32,852
Dr. White? Your patient, Mr. Andover?
You prescribed methicillin.
279
00:16:32,876 --> 00:16:37,278
Yes. Are you aware that the man is allergic to penicillin?
280
00:16:37,346 --> 00:16:40,266
The last thing he needs is to
go into an anaphylactic reaction.
281
00:16:41,350 --> 00:16:45,719
I can't believe I did that. I've
been really preoccupied lately.
282
00:16:45,789 --> 00:16:48,422
Try to concentrate on your patients, doctor.
283
00:16:48,491 --> 00:16:51,392
This is going down on your evaluation.
284
00:16:57,433 --> 00:17:00,138
Calling every time a patient has constipation
285
00:17:00,162 --> 00:17:02,770
or an I.V. Pops out isn't normal procedure.
286
00:17:02,839 --> 00:17:06,073
I mean, loceff has never been overly friendly or open.
287
00:17:06,142 --> 00:17:08,161
I always chalked it up to a difference in
288
00:17:08,185 --> 00:17:10,477
personalities, but this is just getting worse.
289
00:17:10,546 --> 00:17:14,148
Why is loceff giving you such a hard time? I don't know.
290
00:17:14,217 --> 00:17:16,195
Obviously she resents you.
291
00:17:16,219 --> 00:17:20,321
I mean, look, face it... sisterhood,
togetherness... that's fine up to a point.
292
00:17:20,389 --> 00:17:22,601
The bottom line is you're a doctor,
293
00:17:22,625 --> 00:17:24,692
she's a nurse.
294
00:17:24,760 --> 00:17:27,328
My first day in the O.R., when I was a medical student,
295
00:17:27,396 --> 00:17:29,508
this old nurse says to me,
296
00:17:29,532 --> 00:17:32,766
"don't you wear a nylon slip
under your scrub gown, young lady.
297
00:17:32,836 --> 00:17:34,947
"It might set up electrical charges...
298
00:17:34,971 --> 00:17:38,383
And cause an explosion of the
anesthetic gases and damage the O.R."
299
00:17:38,407 --> 00:17:41,876
They don't even use explosive gases anymore.
300
00:17:41,945 --> 00:17:44,185
You want my advice? Fight fire with fire.
301
00:17:44,247 --> 00:17:46,714
Make her monitor vital signs every 15 minutes.
302
00:17:46,782 --> 00:17:49,717
Let her do a hundred urines at night, huh?
303
00:17:49,785 --> 00:17:51,825
She'll get the message. That's not my style.
304
00:17:51,855 --> 00:17:55,957
Waking up at 4:00 in the morning
to put in an I.V... that's your style?
305
00:17:56,025 --> 00:17:58,525
Behavior modification can be a wonderful thing.
306
00:18:08,571 --> 00:18:11,283
Why are they putting me into
this contraption, Dr. Morrison?
307
00:18:11,307 --> 00:18:13,640
We have to weigh you so we can monitor you...
308
00:18:13,709 --> 00:18:16,344
For malnutrition, dehydration, things like that.
309
00:18:16,412 --> 00:18:19,914
Geez! I survived the depression, eight years of boxing...
310
00:18:19,983 --> 00:18:22,984
Thanks, guys. Being pancaked on a carrier in the pacific.
311
00:18:23,052 --> 00:18:25,386
Hell, I made it through three marriages.
312
00:18:25,454 --> 00:18:28,655
But this damn hernia is putting
me away like nobody's business.
313
00:18:28,724 --> 00:18:30,858
It was an incarcerated hernia, Leo.
314
00:18:30,927 --> 00:18:32,927
Doesn't sound like much, but it is.
315
00:18:32,996 --> 00:18:35,496
We're gonna let you rest up here a while, Leo.
316
00:18:35,564 --> 00:18:37,932
It'll prevent bedsores.
317
00:18:38,001 --> 00:18:40,501
Would you believe a rotting dinosaur like me...
318
00:18:40,569 --> 00:18:44,171
Used to be a handsome young buck like Dr. Morrison here?
319
00:18:44,240 --> 00:18:46,407
180 pounds.
320
00:18:46,475 --> 00:18:49,476
- Heavyweight, Leo?
- No, I was a light-heavyweight.
321
00:18:49,545 --> 00:18:51,612
I made number six. Oh, yeah?
322
00:18:51,680 --> 00:18:54,415
Yeah. Then uncle Sam, he grabbed me.
323
00:18:54,483 --> 00:18:56,984
Damn war probably kept me from getting killed.
324
00:18:57,053 --> 00:19:00,687
I mean, I couldn't jab to save my life.
325
00:19:00,756 --> 00:19:04,158
- Mean uppercut, no doubt.
- Yeah, that's right.
326
00:19:04,227 --> 00:19:08,529
Hey, come here. When can I you-know-what again?
327
00:19:08,597 --> 00:19:11,098
We'll try and take the catheter out in a day or so.
328
00:19:11,167 --> 00:19:14,668
It's killing me, doc. I mean, it's humiliating.
329
00:19:14,737 --> 00:19:17,141
Oh, I was just asking the doc if a beautiful
330
00:19:17,165 --> 00:19:19,206
doll like you is married. That's all.
331
00:19:22,245 --> 00:19:25,246
[Woman on P.A.] Dr. Cavanero, room 254.
332
00:19:25,315 --> 00:19:28,249
Dr. Cavanero, room 254.
333
00:19:35,858 --> 00:19:37,825
[Groans] Annie.
334
00:19:37,893 --> 00:19:41,228
Hmm? They want you in room 254.
335
00:19:41,297 --> 00:19:45,532
[Groans] I was just about to give
Tom Selleck a complete physical.
336
00:19:45,601 --> 00:19:47,646
[Chuckles] Sorry.
337
00:19:47,670 --> 00:19:49,670
[Sighs]
338
00:19:49,738 --> 00:19:53,074
Too bad, Tom. You'll just have to wait.
339
00:19:56,645 --> 00:19:58,605
Hi, Cathy. Hi.
340
00:19:58,647 --> 00:20:00,581
Bye.
341
00:20:01,817 --> 00:20:04,718
Are you off for the rest of the day? Uh-huh.
342
00:20:06,755 --> 00:20:08,689
Nice dress.
343
00:20:13,529 --> 00:20:16,030
You know, I've never seen you wear white.
344
00:20:16,099 --> 00:20:18,259
I'm going to a funeral.
345
00:20:19,768 --> 00:20:23,070
Cathy, usually people wear black to funerals.
346
00:20:23,139 --> 00:20:25,306
I've noticed that.
347
00:20:25,375 --> 00:20:29,276
But you see, in Asia, white is worn for mourning.
348
00:20:29,345 --> 00:20:31,845
They consider white... The absence of color...
349
00:20:31,914 --> 00:20:33,847
The absence of life.
350
00:20:33,916 --> 00:20:37,718
Whereas black... the combination of all colors...
351
00:20:37,786 --> 00:20:39,786
Is a symbol of life.
352
00:20:39,855 --> 00:20:41,522
I see.
353
00:20:45,228 --> 00:20:47,728
Who died?
354
00:20:47,796 --> 00:20:50,031
I don't know his name.
355
00:20:51,567 --> 00:20:54,068
You don't know the person who's being buried?
356
00:20:56,639 --> 00:20:59,706
They brought him into the morgue yesterday.
357
00:20:59,775 --> 00:21:04,211
They're going to dump him in the
city cemetery... no marker or anything.
358
00:21:05,648 --> 00:21:08,382
Oh, that is really...
359
00:21:15,158 --> 00:21:19,260
Why don't you come over to our
house for dinner sometime this week?
360
00:21:19,328 --> 00:21:22,129
I'd love for my husband to meet you.
361
00:21:22,198 --> 00:21:26,200
That'd be nice, Jacqueline. Thanks.
362
00:21:26,269 --> 00:21:29,503
And bring fiscus. Robert loves fiscus.
363
00:21:31,074 --> 00:21:33,006
Everybody does.
364
00:21:33,076 --> 00:21:35,076
He's so funny.
365
00:21:35,144 --> 00:21:39,113
You know, I wish Robert had fiscus's sense of humor.
366
00:21:39,182 --> 00:21:41,682
Robert just doesn't know how to have a good time.
367
00:21:41,750 --> 00:21:44,251
Your husband's boring?
368
00:21:44,320 --> 00:21:48,322
No. Well, sometimes a little.
369
00:21:48,391 --> 00:21:50,391
He's a workaholic.
370
00:21:50,460 --> 00:21:54,462
He's very low-keyed, very analytical.
371
00:21:54,530 --> 00:21:57,598
And it drives me crazy when he trims his own beard...
372
00:21:57,666 --> 00:22:01,102
Because he leaves little hair clippings all over the sink.
373
00:22:01,170 --> 00:22:03,104
Ugh. How horrible.
374
00:22:05,141 --> 00:22:07,641
I guess I'm being a little hard on him,
375
00:22:07,710 --> 00:22:10,711
but my husband is not what you'd call a romantic.
376
00:22:10,779 --> 00:22:14,281
Why do you stay with him? Because I love him.
377
00:22:14,350 --> 00:22:16,283
Hmm.
378
00:22:18,521 --> 00:22:21,388
Well, what do you say? Thursday?
379
00:22:21,457 --> 00:22:24,358
My husband is a terrible chef.
380
00:22:24,427 --> 00:22:27,261
His lobster archduke will kill you. Oh?
381
00:22:27,330 --> 00:22:29,663
But we've got a great wine cellar.
382
00:22:29,732 --> 00:22:33,200
[Chuckles] Okay. Good.
383
00:22:33,269 --> 00:22:35,169
Will you ask fiscus or should I?
384
00:22:35,238 --> 00:22:38,239
Um, I'm seeing him tonight.
385
00:22:38,307 --> 00:22:40,774
I'll let you know.
386
00:22:40,843 --> 00:22:44,089
I'd better get going. I don't
want to be late for the funeral.
387
00:22:44,113 --> 00:22:46,046
Right.
388
00:22:47,116 --> 00:22:49,216
- Good-bye.
- Bye.
389
00:22:55,124 --> 00:22:57,124
I told her that... shh.
390
00:23:08,771 --> 00:23:11,672
I tried to tell that nurse this was no kind of big deal.
391
00:23:11,740 --> 00:23:15,108
It's just a little upset stomach. That's what I thought.
392
00:23:15,178 --> 00:23:17,678
It happens when you go back on solids.
393
00:23:17,746 --> 00:23:20,314
I want you to eat real light for a couple of days...
394
00:23:20,383 --> 00:23:22,516
Juices, soups, jell-o's... That kind of thing.
395
00:23:22,585 --> 00:23:24,851
How 'bout fruit? Mm-mmm.
396
00:23:29,825 --> 00:23:33,093
[Man] Yeah, but Mrs. shallo ordered a bucket.
397
00:23:33,162 --> 00:23:35,896
I don't care what Mrs. Shallo told you on the telephone.
398
00:23:35,964 --> 00:23:40,734
She cannot have a bucket of chicken
two hours before her operation!
399
00:23:40,803 --> 00:23:43,804
Loceff? Why did you call me for Mr. Prensky?
400
00:23:43,872 --> 00:23:47,118
He was having stomach cramps. It was simple indigestion.
401
00:23:47,142 --> 00:23:49,210
I'm gonna say this one more time.
402
00:23:49,278 --> 00:23:53,314
Indigestion, insomnia, constipation...
None of these are emergencies.
403
00:23:53,382 --> 00:23:55,316
They can wait until rounds.
404
00:23:55,384 --> 00:23:58,719
I'm not paid to make those judgments, Dr. Cavanero.
405
00:23:58,787 --> 00:24:02,789
I have been up for 36 hours. I
was trying to catch a little sleep.
406
00:24:02,858 --> 00:24:06,260
I'm sorry, but that's not my problem.
407
00:24:06,329 --> 00:24:09,363
Nurse loceff, I would like you to give a tap water enema...
408
00:24:09,432 --> 00:24:12,399
To patients weingrot, Malian
and O'Connell when they wake up.
409
00:24:12,468 --> 00:24:15,469
Also I would like daily weights
and I&o's on all my patients.
410
00:24:15,538 --> 00:24:18,105
Is that clear? Yes, Dr. Cavanero.
411
00:24:18,173 --> 00:24:20,107
Good.
412
00:24:34,189 --> 00:24:37,258
Four, five. One, two, three, four, five.
413
00:24:37,326 --> 00:24:40,794
- Okay. How long?
- Thirty-five minutes.
414
00:24:40,863 --> 00:24:43,997
One, two, three, four, five. [Daniels] Come on, Francine.
415
00:24:44,066 --> 00:24:46,433
Come on. Come on.
416
00:24:46,502 --> 00:24:48,969
Okay. Stop c.P.R. Let's get a reading here.
417
00:24:52,675 --> 00:24:54,675
[Steady beep]
418
00:24:55,944 --> 00:24:57,878
Asystole.
419
00:24:57,946 --> 00:25:00,547
Can somebody relieve me? I'm dead.
420
00:25:00,616 --> 00:25:03,116
Okay. We'll go until the next blood gas comes in.
421
00:25:03,185 --> 00:25:06,219
Nurse, give me one amp I.V. Epi, one to 1,000.
422
00:25:06,289 --> 00:25:10,123
[Daniels] One and two and three and four and five.
423
00:25:10,192 --> 00:25:13,160
Come on, sweetheart. Live.
424
00:25:13,228 --> 00:25:17,197
One and two and three and four and five.
425
00:25:17,266 --> 00:25:20,345
- One and two and three and four and five.
- Give me the numbers.
426
00:25:20,369 --> 00:25:25,706
Po2: 40, pco2: 65, bicarb: 15, p.H.: 7.05.
427
00:25:25,775 --> 00:25:27,708
Three and four and five.
428
00:25:27,777 --> 00:25:31,378
One and two and three and four and five.
429
00:25:31,447 --> 00:25:35,248
- Give it up.
- One and two and three and four... and five.
430
00:25:35,318 --> 00:25:37,685
I'll inform the family.
431
00:25:37,753 --> 00:25:40,053
My hands are numb.
432
00:25:50,649 --> 00:25:53,984
One, two, three.
433
00:25:54,052 --> 00:25:57,654
Cause of death was acute respiratory arrest.
434
00:25:57,723 --> 00:26:00,056
Either the meds didn't kick in fast enough...
435
00:26:00,125 --> 00:26:03,527
Or she was too weak after the open
heart surgery to fight the infection.
436
00:26:03,596 --> 00:26:07,898
I want an autopsy. It's after 4:30,
Dr. Westphall. Pathology's closed.
437
00:26:07,966 --> 00:26:10,679
Open it. Yeah, 'cause people are dying to get in.
438
00:26:10,703 --> 00:26:12,681
[Laughing] Something funny?
439
00:26:12,705 --> 00:26:15,572
- No, sir.
- What's your name?
440
00:26:15,641 --> 00:26:19,710
- Joe roecklein.
- Mr. Roecklein, a young lady just died in here.
441
00:26:19,779 --> 00:26:22,946
You have a rotten sense of timing. You know that?
442
00:26:28,854 --> 00:26:30,854
Hey, you!
443
00:26:32,324 --> 00:26:35,325
What do you think you're doing? Sorry?
444
00:26:35,394 --> 00:26:38,128
That's my flyer you just covered up.
445
00:26:40,165 --> 00:26:42,098
English lessons?
446
00:26:42,167 --> 00:26:44,668
Yes, I want to learn to speak better,
447
00:26:44,737 --> 00:26:47,404
to be able to communicate better.
448
00:26:47,473 --> 00:26:50,541
Yeah, well, you should have saw
to that before you came over here.
449
00:26:50,609 --> 00:26:54,244
I wouldn't go to India to live
if I couldn't talk to the natives.
450
00:26:54,313 --> 00:26:57,548
Shows a lack of respect, kochar.
451
00:26:57,616 --> 00:26:59,550
Sorry, doctor.
452
00:27:00,719 --> 00:27:03,286
I don't have time to dillydaddle with you.
453
00:27:03,355 --> 00:27:05,400
If you want to find a tutor,
454
00:27:05,424 --> 00:27:09,259
call the foreign languages department at Boston university.
455
00:27:09,328 --> 00:27:11,394
¿Comprende?
456
00:27:11,464 --> 00:27:13,997
I have a car to sell.
457
00:27:14,066 --> 00:27:18,234
And "lessons" is spelled with two s's, not a "c."
458
00:27:18,303 --> 00:27:20,303
Learn the language.
459
00:27:23,008 --> 00:27:26,009
[White] $300? What are you talking about, $300?
460
00:27:26,078 --> 00:27:29,045
Listen, a doctor without his
beeper is like a cop without his gun.
461
00:27:29,114 --> 00:27:31,159
But I thought it was $260.
462
00:27:31,183 --> 00:27:35,652
What do you expect? Everything costs more. Now, sign here.
463
00:27:41,861 --> 00:27:44,995
Check or cash? Bill me for it.
464
00:27:46,499 --> 00:27:48,665
Bill you? [Laughing]
465
00:27:48,734 --> 00:27:51,368
Hey, what do you think this is, filene's or something?
466
00:27:51,436 --> 00:27:54,048
I'll put a check in the mail tomorrow. Oh, no, no, no, no.
467
00:27:54,072 --> 00:27:56,673
Look, you'll get your money. I promise you. Mm-mmm.
468
00:27:58,878 --> 00:28:01,378
Just give me a break this one time.
469
00:28:02,447 --> 00:28:04,982
Please.
470
00:28:07,052 --> 00:28:08,986
Mmm. Here.
471
00:28:13,659 --> 00:28:15,592
Thank you.
472
00:28:21,934 --> 00:28:24,379
Ready for the main event? [Chuckles]
473
00:28:24,403 --> 00:28:26,937
I've had more tea than the Boston tea party.
474
00:28:27,006 --> 00:28:29,006
Leo, I'd still like to wait another day.
475
00:28:29,074 --> 00:28:31,008
No, listen, doc.
476
00:28:31,076 --> 00:28:33,710
I've been in training for the last 76 hours.
477
00:28:33,779 --> 00:28:36,847
When Leo rauschkolb goes on
the card, he's on the card to stay.
478
00:28:36,916 --> 00:28:41,852
If you're not able to go to the bathroom,
we'll have to put the catheter back in.
479
00:28:41,921 --> 00:28:45,522
I got ya. Forty-five minutes.
480
00:28:45,591 --> 00:28:47,831
You're looking at Leo rauschkolb.
481
00:28:47,893 --> 00:28:51,394
My bladder does exactly what
I tell it to. Knockout in three.
482
00:28:55,768 --> 00:28:58,334
[Chuckles]
483
00:28:58,403 --> 00:29:00,537
Okay, Leo.
484
00:29:04,543 --> 00:29:06,821
This isn't gonna hurt a bit. Yeah.
485
00:29:06,845 --> 00:29:09,713
And the check is in the mail.
486
00:29:11,016 --> 00:29:14,918
♪♪ [Child humming]
487
00:29:14,987 --> 00:29:17,954
♪♪ [Continues]
488
00:29:27,566 --> 00:29:29,733
♪♪ [Continues]
489
00:29:29,801 --> 00:29:33,237
Megan, honey, I cannot study if you make that noise.
490
00:29:33,305 --> 00:29:36,173
- Will you please stop it?
- Megan, honey. Megan.
491
00:29:36,242 --> 00:29:39,121
Come on now. Stop playing
with your spaghetti. [Baby crying]
492
00:29:39,145 --> 00:29:41,077
Mommy? oh, honey, honey.
493
00:29:41,147 --> 00:29:45,149
- Mommy, I want ketchup.
- We don't eat ketchup with spaghetti.
494
00:29:45,217 --> 00:29:47,618
Peter? No.
495
00:29:47,686 --> 00:29:50,687
[Bawling]
496
00:29:50,756 --> 00:29:54,758
Diaper service wants their check tomorrow.
497
00:29:54,826 --> 00:29:57,461
Peter! I heard you. I'm trying to read.
498
00:29:57,530 --> 00:30:00,364
Why are you always reading, daddy?
499
00:30:00,432 --> 00:30:04,000
He's trying to read a medical book, honey. Why?
500
00:30:04,069 --> 00:30:05,769
So he can be a good doctor.
501
00:30:05,837 --> 00:30:07,871
Look, why don't you two just talk?
502
00:30:07,939 --> 00:30:11,341
I'll just drop out of the residency program. I won't study.
503
00:30:11,410 --> 00:30:14,645
I don't see why we can't wash these diapers ourselves.
504
00:30:14,713 --> 00:30:18,682
"We" is me, and I don't have the
time or the energy to clean diapers.
505
00:30:18,750 --> 00:30:21,552
[Bawling resumes]
506
00:30:21,620 --> 00:30:23,398
Look at that. All right. Well, look.
507
00:30:23,422 --> 00:30:26,168
All right. We're gonna have to lose the diaper service.
508
00:30:26,192 --> 00:30:28,124
No way, Peter.
509
00:30:28,194 --> 00:30:31,373
You want somebody to clean once a week,
we got somebody to come clean once a week.
510
00:30:31,397 --> 00:30:33,324
You want somebody to watch the kids while you
511
00:30:33,348 --> 00:30:35,299
go to graduate school, fine, we got somebody.
512
00:30:35,367 --> 00:30:38,468
We are not talking about extravagances, Peter.
513
00:30:38,537 --> 00:30:40,537
Mommy, I want ketchup!
514
00:30:40,606 --> 00:30:43,418
All I'm saying is we can't do
everything. "We" can't, but you can.
515
00:30:43,442 --> 00:30:46,243
[Screaming] Mommy!
516
00:30:47,646 --> 00:30:49,879
Mommy! Will you please be quiet!
517
00:30:49,948 --> 00:30:52,516
I'll get the ketchup. Mommy!
518
00:30:57,989 --> 00:31:00,034
Look, don't jump up from the table like that...
519
00:31:00,058 --> 00:31:01,991
You can have $300 for a new beeper,
520
00:31:02,060 --> 00:31:04,628
but we can't get $20 for a diaper service.
521
00:31:04,697 --> 00:31:07,864
I'm tired of it, Peter. I'm just sick of it.
522
00:31:07,933 --> 00:31:10,267
You're not a husband anymore. You're not a father.
523
00:31:10,336 --> 00:31:12,302
You're just... nothing anymore!
524
00:31:12,371 --> 00:31:16,373
Just a damn resident. I can't handle it.
525
00:31:17,710 --> 00:31:21,044
All right. I'll get the money.
526
00:31:30,489 --> 00:31:32,623
Hi, Mrs. Sylvester.
527
00:31:32,691 --> 00:31:35,492
Hello. May I see the vitals?
528
00:31:35,561 --> 00:31:37,561
As soon as I'm finished.
529
00:31:46,605 --> 00:31:48,925
Still having pains in your abdomen?
530
00:31:51,310 --> 00:31:53,377
Could you roll over for me?
531
00:31:55,814 --> 00:31:57,748
[Grunts]
532
00:31:57,816 --> 00:31:59,894
Could you give me a hand? Huh?
533
00:31:59,918 --> 00:32:03,153
A little help. I'll be finished in a minute.
534
00:32:04,757 --> 00:32:07,190
Miss loceff, may I see you outside?
535
00:32:07,259 --> 00:32:09,593
Excuse us, Mrs. Sylvester.
536
00:32:15,467 --> 00:32:17,507
What are you trying to pull?
537
00:32:17,536 --> 00:32:20,114
I don't know what you're
talking about. Like hell you don't.
538
00:32:20,138 --> 00:32:22,517
What do you call putting me down in front of a patient?
539
00:32:22,541 --> 00:32:26,042
Don't you ever, ever question my authority again, lady,
540
00:32:26,111 --> 00:32:29,151
or I'll slam the door so hard on
you, you won't know what hit you!
541
00:32:29,214 --> 00:32:31,793
And when I tell you to do something, you do it!
542
00:32:31,817 --> 00:32:33,777
If you've got a problem with that,
543
00:32:33,819 --> 00:32:36,953
you take it up with your union or your psychiatrist!
544
00:32:37,022 --> 00:32:39,255
But when I say jump, you jump!
545
00:32:39,325 --> 00:32:41,858
Now, do you get that?
546
00:32:41,927 --> 00:32:44,628
May I speak?
547
00:32:44,697 --> 00:32:46,863
I don't like you.
548
00:32:46,932 --> 00:32:49,933
You're a good doctor, but you're an inadequate woman.
549
00:32:50,001 --> 00:32:52,936
I know it. Everybody knows it.
550
00:32:53,004 --> 00:32:55,004
You've got a cold heart.
551
00:33:10,188 --> 00:33:12,922
Can you try sitting down?
552
00:33:12,991 --> 00:33:14,991
I tried everything.
553
00:33:15,060 --> 00:33:17,339
Couple of days, it'll be a breeze.
554
00:33:17,363 --> 00:33:20,864
Don't put me back on that
catheter, please. A deal's a deal.
555
00:33:20,932 --> 00:33:24,901
Just give me a couple more minutes. Sorry, Leo.
556
00:33:26,739 --> 00:33:30,106
Get me a number 16 foley catheter, please.
557
00:33:30,175 --> 00:33:32,175
[Urinating]
558
00:33:38,417 --> 00:33:42,686
The winner! Still "champine"! Leo rauschkolb!
559
00:33:49,795 --> 00:33:53,363
- I saw ninotchka yesterday.
- Uh-huh.
560
00:33:53,432 --> 00:33:57,333
It was up at the Orson welles cinema,
on a double bill with idiot's delight.
561
00:33:57,403 --> 00:34:00,147
Yeah? I was kind of disappointed.
562
00:34:00,171 --> 00:34:04,674
I thought there'd be more action. Garbo was funny.
563
00:34:04,743 --> 00:34:07,411
All right. Choose. What's this?
564
00:34:09,948 --> 00:34:11,882
Open it.
565
00:34:15,320 --> 00:34:17,599
Congratulations, miss Martin.
566
00:34:17,623 --> 00:34:21,591
You've just won an all-expense-paid
trip to nantucket, Massachusetts,
567
00:34:21,660 --> 00:34:23,705
where you and the Lithuanian of your choice...
568
00:34:23,729 --> 00:34:26,641
Will spend two wonderful days and one tempestuous night...
569
00:34:26,665 --> 00:34:28,598
In shady acres cottage "b,"
570
00:34:28,667 --> 00:34:31,212
where you'll walk along the beach, dance under the moon...
571
00:34:31,236 --> 00:34:34,070
And romp with the loons till the cows come home.
572
00:34:34,139 --> 00:34:36,473
So what do you say? I can't, Wayne.
573
00:34:36,542 --> 00:34:39,821
No, no. It's all set. I talked to Bobby
Ackerman about covering for you.
574
00:34:39,845 --> 00:34:41,856
Every single detail's taken care of.
575
00:34:41,880 --> 00:34:45,715
I even bought you some new thermal underwear. You did?
576
00:34:45,784 --> 00:34:48,663
Yeah! But you can trade all that
for what's in envelope number three...
577
00:34:48,687 --> 00:34:50,799
An all-expense-paid trip to Martha's vineyard!
578
00:34:50,823 --> 00:34:53,824
I hear they've got great sunsets there.
579
00:34:53,892 --> 00:34:55,959
Oh, Wayne.
580
00:34:56,027 --> 00:34:58,394
Wh... where are you goin'?
581
00:34:58,464 --> 00:35:01,624
Oh, I get it. You want number one, don't you?
582
00:35:02,835 --> 00:35:05,168
I have to...
583
00:35:05,236 --> 00:35:07,637
Listen, uh, I've got to get out of here.
584
00:35:07,706 --> 00:35:09,639
What? I've gotta go.
585
00:35:09,708 --> 00:35:12,108
You've gotta go? Go where? Are you serious?
586
00:35:14,446 --> 00:35:17,313
You are serious. Wait a second. Talk to me.
587
00:35:17,382 --> 00:35:19,661
Don't you understand? I've got to get out of here now.
588
00:35:19,685 --> 00:35:22,686
Well, tell me why! If you really knew me, then you'd know.
589
00:35:22,754 --> 00:35:24,955
If... if I really knew you, I'd know what?
590
00:35:25,023 --> 00:35:28,383
What does that mean? I don't know what that means.
591
00:35:29,327 --> 00:35:31,260
Please.
592
00:35:31,329 --> 00:35:34,776
You can't just... wait a second.
You can't just walk out the door.
593
00:35:34,800 --> 00:35:38,835
I don't understand. Tell me what's going on.
594
00:35:38,904 --> 00:35:43,239
All you wanted out of this was a good time, remember?
595
00:35:43,308 --> 00:35:45,809
That's what you said you wanted, and that's what I want.
596
00:35:45,878 --> 00:35:51,515
But now, Wayne, it's... Say it!
597
00:35:53,318 --> 00:35:56,620
I don't want to have a relationship.
598
00:35:56,688 --> 00:35:59,623
What do you mean? We have a relationship.
599
00:35:59,691 --> 00:36:02,726
[Sighs]
600
00:36:02,794 --> 00:36:05,439
All right. You don't want a
relationship? We won't have a relationship.
601
00:36:05,463 --> 00:36:07,709
You want to call it something else? It's just a word.
602
00:36:07,733 --> 00:36:10,033
It'll be a brouhaha, a bagatelle, a bric-a-brac.
603
00:36:10,101 --> 00:36:12,802
Will you listen to me? You never listen to what I'm saying.
604
00:36:12,871 --> 00:36:16,540
I do too. I don't want a relationship.
605
00:36:16,608 --> 00:36:20,544
You mean you don't want a relationship,
or you don't want a relationship with me?
606
00:36:21,914 --> 00:36:23,914
With you.
607
00:36:26,251 --> 00:36:29,019
I like you, Wayne.
608
00:36:29,087 --> 00:36:31,454
I don't love you.
609
00:36:34,259 --> 00:36:37,694
You've been so nice to me. I
don't want to hurt you. Mm-hmm.
610
00:36:37,763 --> 00:36:41,731
But every time I try to get serious,
you always turn it into a joke.
611
00:36:43,936 --> 00:36:45,869
I'm sorry.
612
00:36:56,748 --> 00:37:00,016
What are you doing here? I thought you took the night off.
613
00:37:00,085 --> 00:37:03,486
What can I say? I can't, uh, stay away from the place.
614
00:37:03,554 --> 00:37:07,056
Yeah, I know. It's paradise. To me it is.
615
00:37:07,125 --> 00:37:10,793
See, the trouble with the real
world is it just isn't real enough.
616
00:37:10,862 --> 00:37:13,863
It lacks intensity, excitement,
617
00:37:13,932 --> 00:37:16,099
the element of the unpredictable.
618
00:37:16,167 --> 00:37:20,536
Give me a 9.I. Bleeder, a full arrest
or a coma of unknown etiology,
619
00:37:20,605 --> 00:37:22,605
and I'm in heaven.
620
00:37:22,673 --> 00:37:25,608
Not only that, I love the free food.
621
00:37:25,676 --> 00:37:27,654
Are you okay? You look terrible.
622
00:37:27,678 --> 00:37:31,514
Sure, I look terrible, but I feel terrific.
623
00:37:31,582 --> 00:37:35,318
My pulse is racing. My eyes are dilating.
624
00:37:35,387 --> 00:37:38,388
My white corpuscles are
fighting off infection at every turn.
625
00:37:39,925 --> 00:37:41,857
But what about you, cavanero?
626
00:37:41,927 --> 00:37:46,662
I mean, I hate to be the one to tell
you this, but you're beginning to sag.
627
00:37:46,731 --> 00:37:48,611
Time and the pressures of the medical
628
00:37:48,635 --> 00:37:50,900
profession are beginning to take their toll.
629
00:37:50,969 --> 00:37:55,104
You should get some outside interests,
like yodelling or bareback riding.
630
00:37:55,173 --> 00:37:57,673
Are you sure you're all right?
631
00:37:57,742 --> 00:38:01,644
If you want, I'd be happy to let you ride bare on my back.
632
00:38:09,887 --> 00:38:12,721
They put you on hold and they forget about you.
633
00:38:14,392 --> 00:38:17,293
All right. Look, Wendy. I'm stuck.
634
00:38:17,362 --> 00:38:21,497
What, Peter? I need to go pick
up my car. Can you cover for me?
635
00:38:21,566 --> 00:38:25,468
For how long? Hour, hour and a
half tops. Probably not even that.
636
00:38:25,536 --> 00:38:27,614
[Sighs] Yeah, sure.
637
00:38:27,638 --> 00:38:29,505
Hey, thanks.
638
00:38:30,608 --> 00:38:33,909
I owe you one. Really. I owe you one.
639
00:38:37,115 --> 00:38:39,115
Still painting, Hugh?
640
00:38:39,184 --> 00:38:41,517
Still lifes.
641
00:38:43,421 --> 00:38:45,621
Apples and pears and stuff like that, huh?
642
00:38:45,690 --> 00:38:48,524
I'm not very good with things that move.
643
00:38:48,593 --> 00:38:51,461
Do you try to make them look real,
644
00:38:51,529 --> 00:38:55,131
or are you a fan of that abstract malarkey?
645
00:38:55,200 --> 00:38:58,701
I got an artist to paint a picture
of my wife, my son and myself.
646
00:38:58,769 --> 00:39:02,972
You should have... boy, I had real problems with it.
647
00:39:03,041 --> 00:39:05,375
I mean, he caught my wife all right,
648
00:39:05,443 --> 00:39:08,411
but what he did to my son...
649
00:39:08,480 --> 00:39:11,080
You'd have thought he had a cleft palate.
650
00:39:11,149 --> 00:39:13,816
It's just a little dimple is all.
651
00:39:13,885 --> 00:39:15,885
Never hurt kirk Douglas.
652
00:39:17,155 --> 00:39:19,655
[Woman on P.A.] Dr. Ross to I.C.U.
653
00:39:19,724 --> 00:39:21,724
Dr. Ross to I.C.U.
654
00:39:25,463 --> 00:39:27,397
[Spits]
655
00:39:32,837 --> 00:39:35,505
Damn smoke gets into everything.
656
00:39:35,573 --> 00:39:38,541
A man wants to kill himself,
you'd think he'd have the decency...
657
00:39:38,609 --> 00:39:40,609
To not stink up everything.
658
00:39:40,678 --> 00:39:43,379
For crying out loud, we're in a hospital!
659
00:39:43,448 --> 00:39:46,782
I mean, we've got enough germs crawling around as it is.
660
00:39:46,851 --> 00:39:50,553
Sure, they wash the floors, but, you
know, they don't get into the corners.
661
00:39:50,621 --> 00:39:53,056
And did you ever check under the beds?
662
00:39:53,124 --> 00:39:55,124
Tumblin' tumbleweed under there.
663
00:39:59,130 --> 00:40:01,297
Hair on the sinks.
664
00:40:01,366 --> 00:40:04,167
Window smudges.
665
00:40:04,235 --> 00:40:06,235
Crud in the soap dishes.
666
00:40:07,605 --> 00:40:09,838
[Clears throat]
667
00:40:12,777 --> 00:40:14,710
Check and mate.
668
00:40:19,184 --> 00:40:22,017
Hi, ira. Hi. Listen, honey. I'm
not gonna be home for a while.
669
00:40:22,087 --> 00:40:24,631
Helen, do you have an aspirin? It's in the back.
670
00:40:24,655 --> 00:40:26,895
Thanks. What? Yeah. We got a problem here.
671
00:40:36,334 --> 00:40:38,334
[Weeping]
672
00:40:44,442 --> 00:40:47,143
Thank you.
673
00:40:47,212 --> 00:40:49,212
Can I get you something?
674
00:40:52,717 --> 00:40:57,052
I just feel... so lousy.
675
00:40:57,122 --> 00:41:00,089
I don't even know why.
676
00:41:01,326 --> 00:41:03,493
I'm 37 years old.
677
00:41:07,398 --> 00:41:11,634
I come to work, I go home to an empty apartment...
678
00:41:11,702 --> 00:41:13,702
And I go to sleep.
679
00:41:15,507 --> 00:41:19,675
Twelve years. And I hate it.
680
00:41:22,079 --> 00:41:28,484
I used to fantasize... I'd meet someone...
681
00:41:28,553 --> 00:41:30,819
And my life would be different.
682
00:41:32,357 --> 00:41:35,724
Now I can't even imagine living with someone again.
683
00:41:35,793 --> 00:41:38,794
You seem to have everything going for you.
684
00:41:41,132 --> 00:41:43,799
That makes me hurt even more.
685
00:41:52,443 --> 00:41:56,945
I haven't had a relationship... A real one... with a man...
686
00:41:57,014 --> 00:42:02,652
In... longer than I care to remember.
687
00:42:02,720 --> 00:42:06,422
When I go out with a guy, either
he can't handle my being a doctor...
688
00:42:06,491 --> 00:42:10,726
Or I'm afraid I'll be swallowed
up and then lose my independence.
689
00:42:10,795 --> 00:42:13,496
So, consequently,
690
00:42:13,565 --> 00:42:18,401
I can't seem to get this work-love
thing to work together at the same time.
691
00:42:18,469 --> 00:42:22,738
And one without the other just isn't enough.
692
00:42:22,807 --> 00:42:26,609
Sometimes I feel as though I've
been sold a bill of goods. Yeah.
693
00:42:26,678 --> 00:42:29,712
[Chuckles]
694
00:42:29,780 --> 00:42:33,082
Is it because everything has gotten so difficult,
695
00:42:33,150 --> 00:42:36,151
or is it because everything is just too easy?
696
00:42:41,326 --> 00:42:43,446
So, you see, you're not alone.
697
00:42:45,463 --> 00:42:48,983
[Chuckles] Where the hell is that aspirin?
698
00:42:50,901 --> 00:42:54,403
[Woman on P.A.] Security, report to E.R. immediately.
699
00:42:54,472 --> 00:42:56,739
Security, report to E.R.
700
00:42:56,807 --> 00:42:59,308
You've gotta be crazy to eat in this place voluntarily.
701
00:42:59,377 --> 00:43:01,737
Hey, Peter white. Sit down. Yeah.
702
00:43:04,415 --> 00:43:06,170
Believe me, the food here is better than
703
00:43:06,194 --> 00:43:08,150
anything we get at the courthouse cafeteria.
704
00:43:08,219 --> 00:43:11,220
They season everything with jurisprudence.
705
00:43:11,289 --> 00:43:14,657
What are you doing here? Oh, I'm visiting a client.
706
00:43:14,726 --> 00:43:17,760
Her gardener had the bad taste to hit her with a shovel.
707
00:43:17,828 --> 00:43:19,873
Haven't seen you for a while.
708
00:43:19,897 --> 00:43:22,831
Man, this place keeps me pretty busy.
709
00:43:22,900 --> 00:43:25,601
I've been meaning to give you a call. Oh, yeah? About what?
710
00:43:25,670 --> 00:43:28,937
Last time I saw you at Danny's barbecue,
711
00:43:29,006 --> 00:43:31,006
you'd just quit levine-lambert.
712
00:43:31,075 --> 00:43:34,154
Yeah, I wanted out of the corporate game something awful.
713
00:43:34,178 --> 00:43:38,080
You were saying how difficult it is
to find clients for a new law firm.
714
00:43:38,149 --> 00:43:41,617
If you want to go out on your own,
you gotta be willing to pay the Piper.
715
00:43:41,686 --> 00:43:44,754
I don't exactly get the crème de la crème yet.
716
00:43:46,557 --> 00:43:49,792
I run into a lot of potential
legal cases here at the hospital...
717
00:43:49,860 --> 00:43:52,528
Hit and run, insurance claims, negligence.
718
00:43:52,597 --> 00:43:55,765
That sort of thing, you know? Uh-huh. Yeah?
719
00:43:55,833 --> 00:43:58,501
I-I thought maybe we could work out an arrangement...
720
00:43:58,569 --> 00:44:02,772
Where you get first crack at some of these cases.
721
00:44:06,744 --> 00:44:09,244
Uh, yeah, sure. Great. I'd like that.
722
00:44:09,314 --> 00:44:12,326
As a matter of fact, I got a couple of
other buddies over at Boston general...
723
00:44:12,350 --> 00:44:14,283
Also residents...
724
00:44:14,352 --> 00:44:17,486
And we've worked out a similar arrangement.
725
00:44:17,555 --> 00:44:20,255
Everybody does it these days.
726
00:44:20,325 --> 00:44:23,859
They get a hundred bucks for every
referral that turns into a client.
727
00:44:26,597 --> 00:44:30,399
But, uh, just so we both know what's goin' on here, Peter,
728
00:44:30,468 --> 00:44:33,569
under your city contract, it's not exactly legal...
729
00:44:33,638 --> 00:44:36,905
For you to solicit business for someone like myself.
730
00:44:36,974 --> 00:44:40,576
Putting your card in somebody's
pocket's not gonna hurt anybody.
731
00:44:43,815 --> 00:44:48,283
Hey, look, Peter, we don't know
each other all that well, but listen.
732
00:44:48,353 --> 00:44:51,654
Why don't you think the whole thing over?
733
00:44:51,723 --> 00:44:54,557
Okay. Thank you.
734
00:44:54,625 --> 00:44:56,559
Sure.
735
00:45:04,736 --> 00:45:07,236
He was admitted with an anaphylactic reaction...
736
00:45:07,304 --> 00:45:09,805
Which required additional I.V. Antibiotics.
737
00:45:09,874 --> 00:45:11,874
Your basic infected bee sting.
738
00:45:11,942 --> 00:45:15,411
At 6:30 this morning, he complained
of slight dizziness and some diarrhea.
739
00:45:15,480 --> 00:45:17,780
He had a fever of 99.6,
740
00:45:17,849 --> 00:45:20,949
and Dr. Ehrlich prescribed ancef, one gram q6 hours.
741
00:45:21,018 --> 00:45:23,952
1:30, he had a temperature that had risen to 101.
742
00:45:24,021 --> 00:45:25,758
He complained of diarrhea, fever, chills and
743
00:45:25,782 --> 00:45:27,423
had some dyspnea with a productive cough.
744
00:45:27,492 --> 00:45:29,492
How old is he? Nineteen.
745
00:45:29,560 --> 00:45:33,829
Any previous respiratory problems? None.
746
00:45:33,898 --> 00:45:35,898
102.6.
747
00:45:35,966 --> 00:45:38,567
Hi, pal. I hear you had a pretty rough day.
748
00:45:38,636 --> 00:45:40,903
It really burns when I breathe deeply.
749
00:45:40,971 --> 00:45:45,007
Is he bringing up phlegm? He's
also got a stool that's 90% water.
750
00:45:45,075 --> 00:45:47,120
Can't you do something for me, doctor?
751
00:45:47,144 --> 00:45:50,780
Start him on erythromycin, one gram
every six hours. I already ordered it.
752
00:45:50,848 --> 00:45:55,250
Now, don't worry, son. You're gonna be all right. Helen?
753
00:45:55,319 --> 00:45:58,888
[Woman on P.A.] Dr. Buckingham to n.I.C.U.
754
00:45:58,956 --> 00:46:01,323
Dr. Buckingham to n.I.C.U.
755
00:46:03,795 --> 00:46:05,728
[Sighs]
756
00:46:05,797 --> 00:46:07,797
Close down the ward.
757
00:46:24,181 --> 00:46:26,281
Sorry to keep you waiting.
758
00:46:26,350 --> 00:46:29,819
You're in your second year of residency? First.
759
00:46:29,887 --> 00:46:31,821
Married? Yes.
760
00:46:31,889 --> 00:46:34,389
Any kids?
761
00:46:34,459 --> 00:46:38,861
Yes. Our daughter is four, and Timothy is almost 10 months.
762
00:46:38,930 --> 00:46:41,430
Planning any more? No. We're all done.
763
00:46:41,499 --> 00:46:45,634
Everything looks fine. Give this to Sally out front.
764
00:46:45,703 --> 00:46:49,605
She'll explain our entire procedure
to you and write you out a check.
765
00:46:49,674 --> 00:46:52,140
Thank you. Mention us to your colleagues.
766
00:46:52,209 --> 00:46:55,778
We're always glad when a
doctor decides to donate his sperm.
767
00:47:02,587 --> 00:47:06,188
The fomites and the culture
media will all have to be picked up...
768
00:47:06,256 --> 00:47:08,724
And checked for cross contamination.
769
00:47:08,793 --> 00:47:12,327
These are your fomites... Isolation gown, tubing,
770
00:47:12,396 --> 00:47:14,329
bottles of saliva.
771
00:47:14,398 --> 00:47:16,899
[Woman] How about papers or books... that sort of thing?
772
00:47:16,968 --> 00:47:20,870
[Westphall] Basically, anything that's
been in contact with the infection.
773
00:47:20,938 --> 00:47:23,038
Now, the culture medium...
774
00:47:23,107 --> 00:47:27,075
Food, water, custard...
775
00:47:27,144 --> 00:47:29,144
Anywhere the bacteria can grow.
776
00:47:29,213 --> 00:47:31,013
[Rosenthal] Now listen to me.
777
00:47:31,081 --> 00:47:35,350
Everything that you pick up will be
run through Dr. Borovay from c.D.C.,
778
00:47:35,419 --> 00:47:38,431
so it'll save me a lot of time if you'll
divide things up among yourselves, okay?
779
00:47:38,455 --> 00:47:41,056
[Man] Are you sure we're not gonna catch nothing?
780
00:47:41,125 --> 00:47:44,037
[Westphall] Wear your masks and keep
your hands washed. You'll be all right.
781
00:47:44,061 --> 00:47:46,395
[Luther] What about catching it from another patient?
782
00:47:46,463 --> 00:47:48,864
[Westphall] It's not transmitted from person to person.
783
00:47:48,933 --> 00:47:51,934
We'll be grading all our patients...
Putting them into two groups.
784
00:47:52,003 --> 00:47:53,936
Group one: Low probability...
785
00:47:54,005 --> 00:47:57,072
Young patients, first day patients, asthmatics, pre-ops.
786
00:47:57,141 --> 00:48:01,076
This group will be re-shuttled
into the general hospital population.
787
00:48:01,145 --> 00:48:03,145
Group two are the high probabilities...
788
00:48:03,213 --> 00:48:06,281
Anyone with compromised
respiratory status or immune deficient,
789
00:48:06,350 --> 00:48:08,851
and anyone over 65.
790
00:48:08,920 --> 00:48:10,886
We take them to ward 4 east.
791
00:48:10,955 --> 00:48:13,956
Take special care with the old people.
792
00:48:14,025 --> 00:48:16,725
Nothing goes in, nothing comes out.
793
00:48:16,794 --> 00:48:18,794
Ward 5 is to be completely sealed.
794
00:48:22,366 --> 00:48:24,867
[Shouting]
795
00:49:12,483 --> 00:49:13,732
[Mews]
65769
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