Original subtitles

Previously on Er, you're going right to Africa.

It's not real, but it's not here.

We thought .

you decided to give them off or .

do anything stupid.

Like, what?

I get yourself killed?

Hi?

When did you get back?

Just now.

It's 5 30 in the morning.

And my flight from London was delayed.

I missed you.

You just let yourself in.

I'm sorry about how I left.

Can I have my key back, please?

Sorry we're late.

I couldn't get Hannah going flame with Katie this morning.

Well.

I don't want to sit in the middle in the car.

please.

I can't in the middle yesterday,

we sit in the middle this morning.

Please move over Matthew, we trade days next week,

Steve has to go to Seattle

and I don't have anybody just sit with us.

Sure, can you call remind me of the weekend?

Thank you Hannah Hi Matthew.

Sorry you got stuck with that Art Institute field trip.

Look at the draw.

Hey Beth, it's me.

What do I have at 3?

Can we cancel Howard

or move him to later?

Rap.

no, not you, traffic.

I have to call you back.

Beth.

excuse me, pardon me, excuse me, excuse me.

I'm sorry.

ladies.

I'm late for work.

Just ready to know.

The later again, my boss is gonna kill me.

You're a doctor?

Yes sam.

Where are we.

mommy?

Almost there, sweetie.

Nis Johnson?

No Beth.

I'm still stuck.

I'm taking sir.

Mom, mom.

look out.

Yes, it can be challenging and

at times it is dangerous, but it's for a reward.

You know, you get to make money and be an asset to your community.

Well, what attention .

passengers due to a delay ahead of us,

we are unable to proceed.

We apologize for the.

Says you'll have him out in a few minutes?

How many for a .

mother and three kids?

And there's another guy crept under a car across the street,

6 victim MBA we to try to shift.

Yeah.

I was cook today off too.

Aren't you graduating soon?

Yesterday?

Congratulations, you know what they called the guy that graduates last in the classroom?

Medical school.

That joke is so tired.

I graduate the fourth of my class.

What is this supposed to be finished?

We first said they be done last week.

so they should be done by what Thanksgiving .

you shot .

1000 in all this?

Come please, that will make way too much sense.

Is that absolutely necessary?

Does anyone know where Susan is,

we're going to need extra hands.

Think she's in the handicapped kit .

again?

We're out of copier paper.

not department here anymore.

Tell Doctor Lewis we're over our monthly allocation and the chief

of staff's office refuses to authorize any additional overages

that you right.

excuse me.

are you deaf?

I said, and stop, excuse me.

can you help me, sir?

You need to find a triage nurse.

No I'm sorry I work here,

Lucky I was supposed to start today nelo Rosco through .

Rag what .

press GOP drunk.

don't we hire Americans anymore?

Doctor Lewis.

now Susan.

See you later.

yeah.

Oh, you know what?

Maybe, I don't know.

Fires almost got the nbas out, three adult street kids.

I thought you were divorced.

We are .

car's back.

Yeah, tried to apologize, he screwing up.

You have both.

I said, maybe didn't say for sure .

Doctor Lewis, you got another TWA?

Oh hi I'm Susan Lewis, are you a resident?

Lila Rosco, your third year medical student.

That's a nice outfit.

You may want to wear something different next time.

Put yourself down, wear the door glass.

the tile.

Look, we wait.

no, I don't want you to wait,

I want you to take what you have and do an outfit.

Have you ever been in a trauma before.

32 year old restrained driver in a high speed rollover with Psi.

No Loc complains of hip and low back pain.

Pulse 120 BP 130 over 82.

Okay Nela.

hang close the kids please help the kids.

8 year old female bilateral femur fractures head Dr

with alter mental status pp 9 you have a 60 rest twenty-fourth

happened the next request between the truck and the seat took

Cfd a long time to cut her out.

How many more incoming

sorry any other attending?

No you doctor yet graduated yesterday .

enough where's Pratt?

Don't know prank, where's doctor Pratt,

how should I know?

Okay Jerry, I want you to start paging Pratt

and don't stop paging him until he calls back.

My computer.

Just who?

They're all down.

Son of .

a bitch.

Oh, for God's sake.

Hey, how was Africa hot the?

Page, you going off?

Yeah, can you answer it?

Nope .

I'll catch up with you laterna.

Ma, you?

That little passenger wearing a lap belt, scalp locked in the dome light?

Close leper fracture.

Doctor.

you're late.

I was outside helping the parame .

supposed to be here at 8,

not 5 AM after 10,

after our 20 a.

Where's the loan?

Down by X right here.

You bring coves back with you.

nope.

Where's my mom?

Can you call my mom?

He how you doing Matthew I'm Dr Gallant .

goodbye those no times for .

doctor When did that happen?

About 20 minutes ago .

What does it hurt?

My arm?

You .

push my hands with your feet?

Hey, who's the man with Doctor Lewis?

New mes dude.

Yeah, his belly is tender, but so probably just bruised.

Get abdominal CT with serious

I'll be next door if you leave me.

Hey, you need some help?

Sure, Charlotte includes CBC chem 7 Lfts,

amylase Pt, PTT, you're in toxicology screen and a Bal .

doctor GRE .

neila rescore.

I don't know what happened,

I was driving then we were upside down.

ne?

That's Indian.

right?

Yeah.

my daughter Mr, Okay, please.

we need to make sure you're fine first.

People's 4 mm equal and reactive by last .

sinus ta hemo Q is 8 1 .

8 1.

That's pretty low.

Yeah, we have to find the source of the blood loss could be hemophobia,

onedin in the chest.

Chest is clear.

or it could be in abdominal hemorrhage.

belly is soft and non-tender.

or it could be something else.

Like an unstable pelvic fracture.

Professor Pratt.

An attorney called every day while you were gone said he was the executor

of your grandmother's estate, needs to talk to you.

Call him back, would you?

I am not your personal assistant.

Hey, welcome back Carter.

Yeah, you too.

What do you have.

pelvic fracture with a low crit?

How's Africa?

Great, she had tensor.

no pressures holding, but there's a little girl next door,

may need some help.

Is that Hannah?

Is she okay?

Need a hand?

Welcome home, stranger.

Open your eyes Hannah.

Response to pain Hannah?

When'd you get back .

last night.

they pulled another kid out.

I'll take the new one, let you 2 catch up.

She's altered right parietal hematoma, called for head CT .

crash injury, bilateral femur fractures with good pulses.

She's hair dry.

she wrote both her legs.

so .

put on two, not room for two.

Oh, we hu?

You .

don't want to abduct her legs?

She needs a trash.

Well, we can rig a Sager in the middle with a double harness bar.

When she said on the first .

place .

Morrison's pouch was between the living and the Red Kidney,

any liquid blood appears, Anna Coa between the two organs.

big black stripe, right?

Can I steal a nurse?

Susan?

Yeah, sure, central line in hook up the infuser.

Doctor Chen, this is Nela, new medical student.

nice to meet you.

No blood visualized.

Moving to the left upper quadrant to view the subd pragmatics.

Man Malik, can you join me.

thank you?

Transverse Sup pubic scan looks for blood interior to the blood.

I'm stealing your aprons.

Okay, go ahead.

And your present hanging on my locker, subtle.

Oh C hemo Q 7.9 bring me the films when they're,

how's her pressure .

110 over 78?

If she's a mean that losing blood, why doesn't she drop her pressure?

She's young and healthy.

we can stabilize your pelvic correction.

Come, I need you to keep traction.

come on.

Okay, this is gonna hurt something Denise.

I'm gonna go check on your daughter.

All right, keep two of 1 egg on the rapid infuser just

in case you're there.

You need a pizza pant called for it.

At least five rib fractures

with a flair segment prep for 28 French chest tube.

right?

Don't get you somehow PE a lot.

How are you doing .

what .

you want to run?

Yeah, 8 year old boy middle rear seat passenger SC black

left foot structured seat bugs on .

rule out an inch of peritoneal injury.

Hey, you haven't allowed open book fracture.

She dropped her BP yet.

Oh she's a trooper.

Okay I'll call upstairs,

go next door, you may need some help.

Hey Frank, can you call land you

and tell them deserve a room for my pelvis .

where's the thoris seal .

only got two hands .

I can pitch you good?

Sure, you can tear yourself away from your med student for a moment.

She's doing fine.

Are they together?

Then?

Oh yeah?

My hands are starting to cramp.

Oh, I go .

get those towel clips.

I don't know what happened, I was driving

and then we were upside down and the truck kid is.

How are Matthew and Katie?

I don't know.

has someone called their parents Lizzie

and Steve arca's Matthews?

Ed is Andy?

Is that one of the girls next door?

Is that .

Hannah?

Oh god.

Hannah.

please, please be okay.

please.

And Pcs.

what's it close knocks running 4.

All right.

30 light can let's cran .

of the O2 you think her T waves?

No, no.

it's too late for they look just push the damn line king .

be taxless.

Well starting compression charger ly.

what are .

they doing?

What's happening?

I can't tell from here, please man, don't move.

Denise?

Mrs Johnson.

I need some help in here.

Hey.

hey.

What's going on over here?

Pelvic fracture with anemia just dropped her pressure.

How are you, medical student?

Who's her doctor?

I'm stabilizing her fracture .

now while she bleeding out you from me.

Don't .

no west London.

what happened?

Tony, I want a second line wide .

open .

how much her neck has she had.

No, she was stable.

Well.

now her pressure 60 over 14.

Did anyone bother?

Ultrasound in the belly?

I get it for blood.

what about chest X X-ray?

All clear pressure up to 80 systolic.

Okay, I want a second .

line in prep for Dpl cor CBC .

it's not back yet.

you go pick up her labs right now, no next Thursday .

the level specimen processing, take the elevator in the lobby.

go prep for AI J I'll do a mini lap for the DP L.

excuse me, the elevators up.

And clear .

two V .

are charging into 60.

Let's open an intubation tray.

The chemistries are almost ready and clear.

Okay, so is 10, another half full of Solio.

say that again.

more lidocaine .

8.3, thanks.

Well, potassium ISS 8.3 .

and 30 Ccs of bike car 5 unit of regular insulin ampath D 25.

she wears your peak.

Can we do this?

Okay by Ng dial SI to open its 12" double lumen Feal catheter.

Start the last omeg Johnson j o H and so .

specimen pending, says Dr Shiers.

viewing this live.

Hey.

you can't go back there, sorry.

what happened again?

Hey, this is authorized personnel only.

Give me a second, doctor and.

Are you working on Denise Johnson?

Who wants to know .

she's crashing in the Er?

This is a very unusual smear.

It clear hang to a type specific.

No, don't give the type specific.

She has an autoimmune hemolytic anemia.

Give her type C's going to renal failure.

Where's the lab slip?

I reviewed the slide with Doctor Shine,

she's got microsphere of sites, hyperbilirubinaemia, a Hy ti count.

hang more van egg.

get shine on the phone.

She said she was driving and when she woke

up she was upside down.

The anemia could have made it pass out, right?

Doctor Shine Lane 1 .

Doctor Shine .

pressure was one of five bosses down.

damn girl.

Er, er, please hold what?

No, this is not C extension 1, Er, 8, 7.

No, this is not the cafeteria.

Why would I transfer you to er, the hell is going on?

Hey Gaga, what are you screwing up our phone lines now

to what are we gonna do?

Don't answer, Thanks for waiting patients over here doing HMP and Coa.

If you ever do history,

good, grab an easy one and come find me when you're ready.

Hey, don't you cats hear the phones ringing?

Mesh, dude.

Yeah, I saw you a bit earlier.

First day.

yeah.

You Indian?

Yeah?

Punjabi.

perfect.

This must be quite an adjustment point.

No, not really.

My family moved to London when I was 11,

Yale for molecular biology and biophysics and Chicago

for medical school.

Okay, then let's get you started.

He now discharged.

Probably not your ideal first patient Av infected gra.

It sounds about Ray, come on.

The hell is going on down here?

And glad to see you .

doctor remoto down.

Who is that?

All those University of Calcutta carpetbaggers you insist on hiring?

I think she said she went to Yale.

Danny's probably a drug lord,

built a new wing on the Yale Library with his poppy profits.

How's the arm gone?

That's the prostate, about the size of your head.

I'm about four times a night to pee.

What's what the beater I hear the lady like,

and whose bright idea was all this?

Anyway, we .

doctor Romano.

you're yeah, try to hide your wild

enthusiasm at my return.

I find overt these place of emotion embarrassing.

Hey Pae Weaver .

for me doctor Carty, get a minute.

get a potassium down and she'll be fine.

Back to Bannon off site.

Call me if you need me.

I won't.

What did you got?

HIV positive patient came in a couple of weeks ago with oral can.

Dialysis is not a prescription for Ni statin, but he's back.

What?

What was that all about?

Moons must be lined .

up or something and's pissed off.

upset about .

misunderstanding.

I'll be still mad at you, so what did you do anyway?

Oh, I don't know.

I left, I guess this guy's another medic.

No, he's on short, so I referred him to Ada.

So what you want to do with him.

he that is out of money, they told him that it'd be at least two months before

they could get him started on this mes if he's only HIV positive.

Mr Williams Hello old doctor Carter.

Mind if I take a look?

How long has he been HIV positive?

Two years.

Does it hurt when you're SWIR?

I've been taking my medication.

You're not on the triple cocktail, a tbtc?

No, I have a prescription.

but the guy at the Pharm, he told me it's 1200 bucks, I can't afford that.

Well, I got some good news and some bad news.

The oral thrush from last week has spread down into your esophagus.

That's the bad news.

No, actually that's the good news.

It's an opportunistic infection

that means you now qualify for Medicaid and the antiretroviral therapy.

So what's the bad .

news?

Candid esophagitis, an Aids defining infection.

That's why you qualify now.

I have it?

We're going to write you a prescription

for dafu can to help fight the infection.

What's that gonna cost?

Nothing?

Medicaid's gonna cover it and we'll send you up

to the financial counselor's office to help get your

paperwork straightened out.

He came straight from the airport to your place.

Let's go tell you something.

What, he's horn or that he really missed you and felt badly

about leaving that way?

Tell him how made you feel and gave him a chance to make up for it.

Oh, for God's sake.

where are we supposed to get screw up?

He just shows back up like he never went away

and like he wasn't a jerk for leaving like that

and like that's a men's room.

Patty boys, don't mind me or the door phone.

would you?

Make up for how?

Flowers a nice dinner if

you're really mad, jewelry.

I could use a new transmission for my car.

You're real romantic.

You know that .

Av graft connects the brachial vein to the brachial artery

for easy dialysis access.

See the redness and the swelling?

Is there any pain here?

It hurts like hell.

Yeah, the fluctuations in the infection is pointing with this feel for the thrill over the graft.

This for brewery.

you have beautiful skin.

thank you.

Use anything special on it.

not really.

what a lovely color.

Lastly, you want to check the heart to make sure there's no murmur.

What do you think we'd be worried about?

Bacterial endocarditis?

Good, good, so what do we need?

Labs?

Yep, CBC chem 7 g sta in a culture from the abscess and get me 3 g

of Unison IV piggyback.

Do we train it?

No, let the year she goes to the Or for an ID,

so check her vitals every 15 minutes until she goes up to the Or

and, grab another truck.

Just talk to him.

Have you punished him enough already?

I'm about punishing him.

No, no, you know, if he starts to him me again,

I swear I'm gonna cut .

the other arm off, get us now surgery .

center so that we can pay customers

and this department is a money.

we have more people coming through the door every day

and we're legally obligated to treat.

which is why we should grab some wood,

nail the entrance shut and paint,

go away in big letters.

Frank, are the funds working again.

two lines, the rest we don't answer some guy looking

for Cubs tickets last time I checked,

Oh, doctor Carter, that guy from the foundation called again .

just to take a message.

No, I told him you were here,

he said he was coming by with some papers for you.

I don't want him coming by here while I'm working.

Well, tell him yourself when you see him.

Hey.

hey.

why get a cup of coffee cup?

Excuse me, doctor Carter, right?

Tom Williams, you sent me up to financial counseling to get

on Medicaid for my throat medication, right?

Well, I filled out the paperwork and I went to the pharmacy,

but they can't give me the prescription

until I get my Medicaid card,

so I keep taking my statin until then.

did the sale.

I was getting ready to get the card.

Few weeks.

You need to take the day fluke.

Now, can you cover the costs of a prescription to the car comes.

it's 300 bucks.

Okay, hang out.

I'll call the pharmacy myself.

Now what?

Phs you won't fill his prescription till he get his Medicaid card .

in a couple weeks to take about back in a shoot up?

It's easier.

My Frank died four years ago, liver cancer,

married 52 years, I was a teenage bride,

oh really I was 16, never dated nobody else, never kissed nobody else.

But that man was a perfect slob.

God love him.

I had six boys to boot and not one of them worth Dam.

No I've been in school, dear.

Don't put it off too long.

Dear.

He doesn't have to be handsome.

Just make sure he treats you right.

Okay, well done misses Ferguson.

I'll be back soon.

What, where do you think you're going?

Two 30.

So what .

we stop at 2 30, it's barely lunchtime.

I started at 7.

I started at 6, this is unbelievable.

Labs go .

right over there.

How's it going?

Thats glance's .

been very helpful .

I'm pretty sure he has been.

You need another patient?

Yeah, look, come on.

No?

I try this, take a history and come and find me.

Hello, emergency department.

I'm sorry, I can't hear you very well.

For who anybody's seen Carra.

excuse me with on a .

had the phone was ringing and no one was around,

so I thought I should answer it.

Big mistake.

It's long distance overseas

for a Doctor Carter course.

Who else take a message?

Yeah, can I take a message?

They say it's important someone has died,

someone named Kovach or Doctor Luca Kovach.

So how .

was it?

It was incredible.

And it was terrible, it .

was.

Kids with polio?

It was kids dying from allnutt, she and malaria and whooping cough.

And it was beautiful.

Country is beautiful.

Hospital doesn't have enough staff.

So the patients, family members, they stay with them,

they cook for them, they clean for them,

they clean, change the sheets.

It was a life changing experience.

I just don't know how you.

Where's Luca?

Is that what this is about.

no?

Luke is fine.

Luke is more than fine, What does that mean?

Nothing, nothing.

You know, we don't talk.

I'm not talking now.

Your mouth is moving.

I mean,

to give the impression we're having a real conversation.

But when you finish, I have no idea what you're thinking.

I was trying to tell you about Africa.

I don't know, you knew I didn't want you to go

and you went anyway.

What, we were trying to hurt me?

Why would I want to hurt you?

I don't know, I don't know.

Why would you want to hurt me?

It wasn't about you.

Oh, come on, you didn't even gonna tell me you were going if I'd have bumped

into you when you were leaving,

I wouldn't have even .

known I wasn't trying to hurt you.

I want to feel like I was really doing something.

Did you even think about me?

Okay, what did you think?

What did you think?

I don't know what you bother to come back.

You just gonna walk away?

Yeah, okay, walk away.

Abby, that what you do best, okay?

No, you do best,

you make this all about my problems,

but you know what, you have some problems too,

you've got some really big problems.

why did I come back?

I mean, Lucas over there changing the world.

And I can't even get a hospital pharmacy in the richest nation

on earth to give an aged patient enough damn dark fluke to keep him

from dying from a sore throat.

Kissing gunny West Africa.

Did they know?

How?

Does he have family here?

Hey, you okay?

I didn't know him.

Who was he?

And attending .

friend.

no I'm not really, so how's you shunned?

That's why I'm going .

keep an eye on her.

Surgery should be done soon.

Where did she go?

Do you know where our patient went

Mrs Ferguson infected darly an older woman.

I have no idea myself.

Ready to present that old guy in curtain 1.

yeah?

A 72 year old man, not constipation without fever,

nausea, vomiting, weight loss or hematochezia.

His only medication is Vicodin tiida,

domen is soft, flat, non tender,

normal bowel sounds negative Goa no evidence of impaction .

So what's your assessment?

Constipation due to vacating use .

What is the number one neoplasm in terms of national mortality?

Breast cancer?

No, that would be lung.

And number 2.

Colon cancer.

over 50000 deaths per year.

The common presenting symptoms are .

anemia, hematochezia, and constipation.

So wouldn't you agree that a constipated elderly

patient merits an evaluation for colon cancer?

The stool is negative.

He got all bound up when he started the Viking .

order about prep and schedule an outpatient bar minima.

You're serious?

You're a lady.

He's otherwise without complaint,

so we refilled his prescriptions

and referred him to a clinic.

You know, you're pretty rough now.

You really think that was necessary?

Who are we talking about?

Come on now, I was trying to teach her so what you thought you .

come on now, you were all over her, it's humiliating and embarrassing.

I wasn't all over.

Look.

don't make a fool of me, you make a fool.

Hey, there's an old lady in here bleeding out,

no grieving, no pulse.

get .

the crash car that around 15 l.

who's patient is this mine?

Great start compression.

You're kidding?

I'll do it.

excuse me?

I'll be right back.

You left an infected,

a grabbed unattended.

she needs a central line.

No, what she needs is a hearse in the Pi box.

The graph was in a major artery, she needed constant monitor.

I was supposed to check her every 15 minutes.

No, she was my responsibility.

Hey Sister Lee Amy.

I went to her room and she was gone.

I thought she'd been taken up to surgery already.

I moved in here to give

her more privacy for 12 EKG .

did you tell anybody?

Yeah, change it on the board .

did you check the patient board?

It's not her fault, it's mine .

four units of pack cells, 4 l of saline,

and another round of e and atro .

inside.

Koch, Kovac, Yeah,

Croatia, you can connect me great.

In Z English.

you .

speak English, Zagreb kovatch koov AC?

Hey.

do you know Lucas's father's first name,

it's like 100 covies in zagre.

Okay, sorry, no thank you.

thank you.

What are you doing .

the alliance?

They can have all this contact information.

I can just get it from there.

Do you know who this is.

It's a 12 o'clock flight to Paris.

I can connect to Kinshasa for the four hour later.

Wait, wait, wait, you're gonna go back there.

why?

Because I left him there.

Left him where.

at the clinic in matinda?

I should stay.

You're .

not making any sense John.

Doctor, what are you doing?

Paul inventory.

You can build me.

It wasn't your fault.

You've got blood on your sleeve.

What's a TWA.

what .

a twat.

Where'd you hear that from .

the old guy at the front desk with a flat head?

He called me a TWA this morning.

I don't know what it means.

Third world assassin?

TWA?

Hey, come on, I want to show you something.

Come on?

Was that today .

32 year old mother of two

with a rare blood disorder still alive tonight?

I'll see you tomorrow.

You don't have to go tonight.

I'll call you when I get to Just.

Can't you just please wait until it's a little bit safe.

can't leave him there?

Well, I just, I don't want you to go.

I'll be gone a couple days.

call please, please just stay.

I can't keep doing this.

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