1 00:00:09,360 --> 00:00:12,040 Big idea. You can't block the driveway. Get that thing out of here. 2 00:00:12,900 --> 00:00:13,920 How do you like that? 3 00:00:14,240 --> 00:00:15,240 Hey, buddy. 4 00:00:19,420 --> 00:00:20,420 How do you feel? 5 00:00:20,840 --> 00:00:21,840 I'm going to be all right. 6 00:00:22,300 --> 00:00:25,140 Nothing. He just piled in and folded, so I brought him to the nearest hospital. 7 00:00:25,360 --> 00:00:28,460 You'll have to get this cab out of here. I don't have to do nothing to get this 8 00:00:28,460 --> 00:00:31,460 guy out of my cab. What are you running here, a parking lot or a hospital? What 9 00:00:31,460 --> 00:00:32,460 happened? 10 00:00:32,500 --> 00:00:33,500 I don't just know. 11 00:00:34,000 --> 00:00:37,340 I was next to a cab stand and I got dizzy. 12 00:00:38,350 --> 00:00:40,190 It didn't seem like I could see very well. 13 00:00:45,530 --> 00:00:47,550 I'm going to be all right, aren't I, doctor? 14 00:00:48,570 --> 00:00:50,230 Yeah, sure, you're going to be fine. 15 00:00:51,410 --> 00:00:52,410 Get him inside. 16 00:00:57,250 --> 00:01:00,830 Sign in and abandon hope, Dr. Kildare. 17 00:01:01,560 --> 00:01:04,420 Looks like it might be a busy night, Mrs. Quill. There is no such thing as a 18 00:01:04,420 --> 00:01:06,080 night that is not busy on this service, Doctor. 19 00:01:06,320 --> 00:01:09,560 I've been here five years and I've lost my good youth, my good looks, my good 20 00:01:09,560 --> 00:01:10,940 shape to prove it. I believe it. 21 00:01:11,200 --> 00:01:14,060 Thanks. Admitting 102, who is the resident? 22 00:01:14,700 --> 00:01:16,160 Doctor Cunningham is in surgery. 23 00:01:17,120 --> 00:01:18,660 Hold it. 24 00:01:20,160 --> 00:01:21,160 Get up, boy. 25 00:02:27,399 --> 00:02:30,140 Patience. I thought I'd go to the nurse's cafeteria. 26 00:02:30,640 --> 00:02:31,640 It'd be too horrible. 27 00:02:33,300 --> 00:02:35,360 Oh. Oh, hi, John. How are you? 28 00:02:35,580 --> 00:02:36,680 Fine. Now, what do you got there? 29 00:02:36,900 --> 00:02:38,540 Man versus car. Probable concussion. 30 00:02:38,740 --> 00:02:40,420 Number three's open, though. Oh, thank you. 31 00:02:41,800 --> 00:02:42,719 We're in. 32 00:02:42,720 --> 00:02:43,720 Got it all. 33 00:02:46,220 --> 00:02:47,900 My husband likes me that way. 34 00:02:48,120 --> 00:02:49,120 He doesn't like you anyway. 35 00:02:49,180 --> 00:02:51,320 Mush out, Jenny. We're short in a while. I'm going to help with the next 36 00:02:51,320 --> 00:02:52,198 patient. Mush. 37 00:02:52,200 --> 00:02:53,200 Yes, doctor. 38 00:02:53,800 --> 00:02:56,580 Better mush up to minus surgery, too. Hey, but I got a patient. No hay butts. 39 00:02:56,600 --> 00:02:57,600 You're scrubbing, doctor. 40 00:02:57,620 --> 00:03:00,600 Well, Kirsten's on surgical call. Kirsten and everybody else has got 41 00:03:00,600 --> 00:03:03,400 call today. Red Tack, 32 -year -old, gravity of nine, eight and a half months 42 00:03:03,400 --> 00:03:07,380 gone. Why isn't she in O .P.? She isn't in labor yet. She's got other problems. 43 00:03:07,500 --> 00:03:10,200 Her ever -loving husband worked her over with a whiskey bottle after he drank 44 00:03:10,200 --> 00:03:11,200 everything in it. 45 00:03:11,580 --> 00:03:13,500 Sew her up before she goes upstairs to have a baby. 46 00:03:15,380 --> 00:03:19,100 One day in her life would make a movie. Lovely. 47 00:03:19,440 --> 00:03:20,600 A little pie -eyed, too. 48 00:03:21,140 --> 00:03:24,760 Hey, but I've got a patient, Toby. We'll plug right up to here with red tags and 49 00:03:24,760 --> 00:03:26,480 I've got to stand around arguing with an intern? 50 00:03:26,880 --> 00:03:27,880 Where are you taking me? 51 00:03:30,460 --> 00:03:32,760 Doctor, I'm all right. I don't need to be in here. Yeah, we just want to make 52 00:03:32,760 --> 00:03:33,760 sure. 53 00:03:34,040 --> 00:03:35,040 What's the matter with him? 54 00:03:35,280 --> 00:03:37,760 I don't know. He almost passed out in the taxi. The driver brought him here. 55 00:03:37,860 --> 00:03:40,160 Have you worked him up yet? Well, I took a look at him out in the car. Okay, 56 00:03:40,160 --> 00:03:41,160 I'll take care of it. 57 00:03:42,860 --> 00:03:43,860 Now what? 58 00:03:44,380 --> 00:03:45,620 Emergency OR with him. 59 00:03:45,880 --> 00:03:47,360 Redress. Redress. Where is he? 60 00:03:47,900 --> 00:03:49,680 I'm off at four o 'clock. No, you aren't. 61 00:03:50,830 --> 00:03:53,670 What am I going to tell my girl? They're very rare. So are you, doctor. 62 00:03:54,250 --> 00:03:55,790 You should have left the building while you had a chance. 63 00:03:56,210 --> 00:03:57,550 You should have hid like this appeared. 64 00:03:57,770 --> 00:04:00,110 Like, shake a leg, doctors, kindly, shake a leg. 65 00:04:02,050 --> 00:04:03,570 I will never understand residents. 66 00:04:03,770 --> 00:04:06,850 I don't understand him, but I like him. And forgive him. For what? 67 00:04:07,210 --> 00:04:10,010 For being a resident. Man, I'm so tired, I'm not going to live anyway. 68 00:04:10,250 --> 00:04:12,450 So I might as well spend my last days on earth being charitable. 69 00:04:13,370 --> 00:04:15,310 You know, this whole admitting service, it's insane. 70 00:04:15,950 --> 00:04:19,610 Where do you put in six weeks like me? You are going to be so way out, Daddy, 71 00:04:19,649 --> 00:04:22,710 you're going to be looking for a picture to hang whatever brains you get left 72 00:04:22,710 --> 00:04:26,550 on. Man, it is the wildest. No, I mean maximum. 73 00:04:26,990 --> 00:04:29,810 Where'd you learn that kind of talk? In the journal. Surgical and medical. Where 74 00:04:29,810 --> 00:04:30,810 else? 75 00:04:33,470 --> 00:04:34,470 Nosey, huh? 76 00:04:34,590 --> 00:04:35,590 Yeah. 77 00:04:36,910 --> 00:04:37,910 I'm Dr. Cunningham. 78 00:04:38,310 --> 00:04:39,310 Feeling any better? 79 00:04:39,410 --> 00:04:40,410 Yes, sir. 80 00:04:40,490 --> 00:04:45,050 I don't know what happened to me. 81 00:04:45,340 --> 00:04:47,880 Well, let's try and find out about that. Let's start with your name and address. 82 00:04:48,640 --> 00:04:49,640 Parker. 83 00:04:50,140 --> 00:04:51,140 Lewis Parker. 84 00:04:54,220 --> 00:04:55,460 558 Andotte Street. 85 00:04:56,540 --> 00:04:57,540 558. Yeah. 86 00:04:59,060 --> 00:05:01,440 Take off your clothes, Mr. Parker, and tell me your initial. 87 00:05:02,100 --> 00:05:03,100 J. 88 00:05:03,780 --> 00:05:05,120 J for James. 89 00:05:05,760 --> 00:05:06,760 How old are you? 90 00:05:07,520 --> 00:05:08,520 Forty -six. 91 00:05:08,800 --> 00:05:09,800 And Mike? 92 00:05:10,640 --> 00:05:11,640 Are you what? 93 00:05:11,780 --> 00:05:12,980 Going to be all right, doctor? 94 00:05:13,540 --> 00:05:15,050 Sure. What's your occupation? 95 00:05:15,490 --> 00:05:16,730 I am a carpenter. 96 00:05:17,850 --> 00:05:18,850 Carpenter. 97 00:05:21,690 --> 00:05:22,690 Let's live into this. 98 00:05:25,570 --> 00:05:26,570 Thanks. 99 00:05:31,330 --> 00:05:32,330 Hi. 100 00:05:32,690 --> 00:05:35,290 Hi. Have you seen my husband around here lately? 101 00:05:36,510 --> 00:05:37,950 I didn't know you had a husband. 102 00:05:38,330 --> 00:05:39,229 Oh, yes. 103 00:05:39,230 --> 00:05:42,690 Yeah? Yeah, a great big gorgeous son of a surgeon is going to buy me a drink, 104 00:05:42,690 --> 00:05:45,110 dinner, and a movie. Well, he deserted you for the usual reason. 105 00:05:45,910 --> 00:05:46,910 Watch it! 106 00:05:48,050 --> 00:05:49,050 I can see that. 107 00:05:49,270 --> 00:05:50,270 You should never have married him. 108 00:05:50,670 --> 00:05:51,670 Bad? 109 00:05:51,870 --> 00:05:53,970 Bad, bad, honey. Who opened the dykes? 110 00:05:54,270 --> 00:05:57,090 Same jerk who opens them this time every month. I don't know his name, but he 111 00:05:57,090 --> 00:06:01,830 dishes out all those checks on the 15th, and this is the 16th. Got it. Want a 112 00:06:01,830 --> 00:06:03,230 divorce? How long you be? 113 00:06:03,790 --> 00:06:05,970 Plenty of time for you to grab a bite and see a movie. 114 00:06:06,910 --> 00:06:07,910 Then what? 115 00:06:08,809 --> 00:06:10,930 And you and me against the world, baby. 116 00:06:11,970 --> 00:06:13,490 All right, doctor, I'll be back. 117 00:06:13,810 --> 00:06:15,430 They made a great one when they made you. 118 00:06:22,790 --> 00:06:25,710 Don't go too far, doctor. There's another one on his way. 119 00:06:25,970 --> 00:06:27,870 Oh, it never ends. It never ends. 120 00:06:28,210 --> 00:06:29,169 What other one? 121 00:06:29,170 --> 00:06:30,870 Your gravity nine's husband. 122 00:06:31,090 --> 00:06:33,250 She stuck a barbecue fork in his leg. 123 00:06:33,510 --> 00:06:34,710 What are you trying to do, cook him? 124 00:06:35,770 --> 00:06:39,030 Has he had any premedication? It's happening even as we stand here, passing 125 00:06:39,030 --> 00:06:39,909 time of day. 126 00:06:39,910 --> 00:06:41,110 Give me a fix, Betsy, baby. 127 00:06:41,710 --> 00:06:42,710 Think back. 128 00:06:44,590 --> 00:06:47,350 I don't know how I stand it. I really don't know what keeps me going, you 129 00:06:47,790 --> 00:06:50,650 It's just, there's no way out here. There's no letter. You got a dime? 130 00:06:51,290 --> 00:06:52,290 Yeah. 131 00:06:53,170 --> 00:06:57,690 Last week I had a date. 132 00:06:58,130 --> 00:06:59,130 This girl. 133 00:06:59,530 --> 00:07:02,090 She's waiting out in front of the hospital, in her own car, okay? 134 00:07:02,530 --> 00:07:03,530 For two hours. 135 00:07:04,400 --> 00:07:07,680 She asked me to go to her apartment for dinner. I go to her apartment, I walk 136 00:07:07,680 --> 00:07:12,160 in, I kiss her, take a drink, and I fall asleep on the couch. 137 00:07:12,720 --> 00:07:13,720 Before dinner. 138 00:07:14,000 --> 00:07:15,340 Okay? Now, is that sad? 139 00:07:15,540 --> 00:07:16,540 Mary. 140 00:07:17,420 --> 00:07:20,700 I asked her what day it was, and she said December. 141 00:07:21,620 --> 00:07:22,620 It's progress. 142 00:07:22,980 --> 00:07:25,340 She said she stuck a fork in her husband's leg. True. 143 00:07:25,600 --> 00:07:28,780 A long barbecue fork, Miss Cavanaugh. The only kind to use. 144 00:07:29,100 --> 00:07:31,460 That's exactly my type of thinking. Who's resident on OB? 145 00:07:31,660 --> 00:07:32,660 Dr. Patterson. 146 00:07:32,780 --> 00:07:35,800 Well, make sure he knows about the scopolamine and morphine we used in 147 00:07:35,940 --> 00:07:37,720 Now, I'm making a note of it, but you tell him personally. 148 00:07:37,940 --> 00:07:39,340 Make clear now, Miss Cavanaugh. Yes, sir. 149 00:07:48,940 --> 00:07:51,520 Aren't you carrying this doctor thing like a two -par man? 150 00:07:51,780 --> 00:07:53,120 I didn't know you could do that, doctor. 151 00:07:53,640 --> 00:07:55,920 Courteous, cautious, thorough. Dr. Goss would be proud. 152 00:07:56,160 --> 00:07:57,160 Shut up. 153 00:07:57,800 --> 00:07:58,800 Hey, wait a minute. 154 00:07:58,840 --> 00:08:00,860 I was supposed to be at this girl's house over an hour ago. 155 00:08:01,200 --> 00:08:02,200 I gotta phone her. 156 00:08:02,700 --> 00:08:03,800 You know what I'm going to tell her? What? 157 00:08:04,500 --> 00:08:06,420 I'll tell her my mother died. 158 00:08:07,240 --> 00:08:09,320 Oh, that's low. My mother died. 159 00:08:14,100 --> 00:08:15,240 Yes? John? 160 00:08:17,260 --> 00:08:19,560 Yes. Now, when did he first complain of these symptoms? 161 00:08:23,440 --> 00:08:24,440 Hey, doctors. 162 00:08:25,280 --> 00:08:26,280 Hi. 163 00:08:26,780 --> 00:08:28,500 As soon as I hang this up, we'll have some coffee. 164 00:08:28,740 --> 00:08:29,780 I've got too much to do. 165 00:08:30,120 --> 00:08:32,020 Oh, I wanted to talk to you about all my troubles, Jim. 166 00:08:32,600 --> 00:08:34,799 I want to find out about a taxi cab patient I admitted. 167 00:08:35,380 --> 00:08:36,900 He's in here being examined by Toby. 168 00:08:37,120 --> 00:08:38,620 You mean you're going in there without being invited? 169 00:08:39,020 --> 00:08:40,440 Yeah. You know, Dr. 170 00:08:40,799 --> 00:08:43,039 Cunningham does not like being disturbed when he's with a patient. 171 00:08:43,320 --> 00:08:44,660 He gets real touchy about it, Jim. 172 00:08:45,900 --> 00:08:46,940 Well, I won't disturb him. 173 00:08:51,360 --> 00:08:52,380 Hi. Hi. 174 00:08:53,660 --> 00:08:55,480 Just look over my shoulder, Mr. Cunningham. 175 00:08:55,980 --> 00:08:56,980 Okay. 176 00:09:02,790 --> 00:09:03,549 Over my shoulder. 177 00:09:03,550 --> 00:09:04,550 That's the wall. 178 00:09:08,510 --> 00:09:10,030 What do you see back there, Doctor? 179 00:09:10,750 --> 00:09:12,630 Nothing but goodness and light, Mr. Parkin. 180 00:09:17,950 --> 00:09:18,950 How's our Grand Multi? 181 00:09:19,390 --> 00:09:20,390 Beachy. 182 00:09:21,410 --> 00:09:22,410 That's it. Relax. 183 00:09:22,530 --> 00:09:24,970 On behalf of the resident admitting staff, I thank you. 184 00:09:25,190 --> 00:09:26,190 You're welcome. 185 00:09:28,250 --> 00:09:29,610 I feel fine now, Doctor. 186 00:09:29,870 --> 00:09:30,870 Good for you. 187 00:09:31,430 --> 00:09:32,430 Now, uh... 188 00:09:32,650 --> 00:09:35,890 Bring your finger to your nose like this. Close your eyes. Bring them from 189 00:09:35,890 --> 00:09:36,910 field. Close your eyes. 190 00:09:38,130 --> 00:09:39,130 That's it. 191 00:09:39,270 --> 00:09:40,270 Now the other one. 192 00:09:41,890 --> 00:09:42,890 Good. 193 00:09:48,890 --> 00:09:49,910 Relax. Relax. 194 00:09:50,350 --> 00:09:51,350 Don't help me. 195 00:09:57,270 --> 00:09:58,730 You used to play third base, Mr. Parker. 196 00:10:14,540 --> 00:10:16,200 Okay, Mr. Parker, you can put your clothes on. 197 00:10:16,560 --> 00:10:19,180 You mean I don't have to stay here? I mean, I'm not keeping you here. 198 00:10:31,680 --> 00:10:34,080 I sometimes find interns more interesting than patients. 199 00:10:35,840 --> 00:10:39,440 I know you have a curiosity about all the recondite sciences, Doctor, but... 200 00:10:40,000 --> 00:10:43,260 What I don't know is why the inquiring young intern chooses to witness a simple 201 00:10:43,260 --> 00:10:44,260 neurological examination. 202 00:10:46,120 --> 00:10:47,220 I'm interested in this case. 203 00:10:47,620 --> 00:10:48,620 Why? 204 00:10:49,280 --> 00:10:52,540 I'm interested in knowing what interests you about this particular case. 205 00:10:52,840 --> 00:10:56,040 I don't know exactly, Toby. It's that you're letting him go, I guess. 206 00:10:56,760 --> 00:10:57,759 That's it? 207 00:10:57,760 --> 00:10:58,760 Part of it. 208 00:10:59,260 --> 00:11:02,180 Before we get around to whatever other part there is, may I remind you that I 209 00:11:02,180 --> 00:11:04,800 reserve the right to admit patients or not to admit them? 210 00:11:05,420 --> 00:11:06,880 Now, do you doubt that I have the... 211 00:11:07,370 --> 00:11:11,950 Simple ability and agility to examine a patient, praise the history and clinical 212 00:11:11,950 --> 00:11:15,690 information, and arrive at a fairly accurate conclusion? 213 00:11:16,050 --> 00:11:17,050 No, I didn't say that. 214 00:11:17,130 --> 00:11:18,130 You implied it. 215 00:11:18,370 --> 00:11:19,790 Toby, I... Doctor. 216 00:11:21,390 --> 00:11:24,450 Always doctor on the floor, kiddo. There may be people listening. 217 00:11:25,470 --> 00:11:27,090 Besides, it makes me feel real professional. 218 00:11:28,430 --> 00:11:29,490 Well, did you find anything? 219 00:11:30,550 --> 00:11:33,250 You saw CKG? Yeah. You read this? Yeah. 220 00:11:33,470 --> 00:11:35,030 You know exactly what I found. 221 00:11:36,840 --> 00:11:39,160 Same thing you'd find, same thing anybody would find. 222 00:11:39,520 --> 00:11:44,340 No syncope, no seizure, or anything else abnormal, considering his neurological 223 00:11:44,340 --> 00:11:46,100 background. Are you sure? 224 00:11:48,680 --> 00:11:53,760 I'm sure that without a doubt you are the most miserable, bothersome intern 225 00:11:53,760 --> 00:11:56,180 had to put up with in two and a half years on the admitting service. 226 00:11:56,560 --> 00:11:58,400 Well, what about doing the lumbar puncture on him? 227 00:12:00,460 --> 00:12:03,840 I excuse you, doctor, because you have professed an interest in internal 228 00:12:03,840 --> 00:12:04,940 medicine. Well, why not? 229 00:12:07,119 --> 00:12:08,620 No localizing signs, that's why. 230 00:12:09,020 --> 00:12:13,040 But the sudden onset, the intermittent headaches, the questionable sore neck. 231 00:12:14,140 --> 00:12:17,380 All right, maybe not an LP, but keep him for a skull series. It might show 232 00:12:17,380 --> 00:12:20,920 something. I hope you're just kidding. Doctor, please tell me you're just 233 00:12:20,920 --> 00:12:25,860 kidding. Look, our job is to admit patients who are in acute need of 234 00:12:25,860 --> 00:12:26,860 surgical care, period. 235 00:12:28,080 --> 00:12:29,080 All right, doctor. 236 00:12:29,380 --> 00:12:30,380 You're the doctor. 237 00:12:31,060 --> 00:12:36,020 You know I never make a mistake. Jim, player general, insures me up to 75 ,000 238 00:12:36,020 --> 00:12:37,020 to prove it. 239 00:12:38,100 --> 00:12:39,100 Have Mrs. 240 00:12:39,300 --> 00:12:42,940 Quayle call the cafeteria and tell them that you and Simon and Gerson will be 241 00:12:42,940 --> 00:12:43,940 having late supper. 242 00:12:45,040 --> 00:12:46,040 Oh, Mr. 243 00:12:46,200 --> 00:12:47,200 Parker. Yes. 244 00:12:48,020 --> 00:12:50,880 I want you to go straight home, get a good night's rest, stay in bed tomorrow. 245 00:12:51,360 --> 00:12:54,680 Before you leave, go up to the admitting desk and ask Mrs. Quayle to make an 246 00:12:54,680 --> 00:12:57,260 appointment for you to come back in three days for general medicine. 247 00:12:57,680 --> 00:13:01,200 You got that? All right, Doctor. Thank you. 248 00:13:02,400 --> 00:13:03,580 Thank you very much. Goodbye. 249 00:13:57,200 --> 00:13:58,200 Dr. Kildare. 250 00:13:59,020 --> 00:14:00,020 Dr. Gillespie. 251 00:14:01,720 --> 00:14:03,620 I intended to see you in my office. 252 00:14:04,020 --> 00:14:09,160 However, as I understand it, you unleashed your Irish temper last night 253 00:14:09,160 --> 00:14:11,340 patient named Robinson, George Robinson. 254 00:14:11,800 --> 00:14:15,200 I guess I didn't handle that too well, Dr. Gillespie. Mr. Robinson complains, 255 00:14:15,200 --> 00:14:19,160 correctly so, justifiably so, that not only were you angry and abusive, but 256 00:14:19,160 --> 00:14:19,839 as well. 257 00:14:19,840 --> 00:14:22,040 Dr. Gillespie, I... That you called him a jerk. 258 00:14:22,820 --> 00:14:23,880 I did? You did. 259 00:14:24,500 --> 00:14:25,500 Oh. 260 00:14:25,760 --> 00:14:28,040 Your powers of invective seem limited. 261 00:14:30,660 --> 00:14:32,600 I was in a hurry to admit a new patient. 262 00:14:33,340 --> 00:14:35,680 Mr. Robinson hadn't even let me examine him. 263 00:14:36,160 --> 00:14:37,540 Spare me the details, doctor. 264 00:14:38,560 --> 00:14:41,940 May I say, sir, that my only objective was to get him up to his ward and treat 265 00:14:41,940 --> 00:14:45,360 it as quickly as possible. I am not quarreling with your objective, doctor. 266 00:14:45,360 --> 00:14:46,360 criticizing your method. 267 00:14:46,680 --> 00:14:50,160 I feel I should remind you that the patient who has complaints about his 268 00:14:50,160 --> 00:14:53,780 treatment very often takes those complaints to a lawyer, who in turn 269 00:14:53,780 --> 00:14:54,780 to a court. 270 00:14:55,280 --> 00:14:59,340 He hasn't initiated any legal action, as he said. Fortunately, Mr. Robinson did 271 00:14:59,340 --> 00:15:02,580 not. Have you heard of the Code of Hammurabi? 272 00:15:02,820 --> 00:15:07,180 I believe it involves... It was written in ancient Babylon 4 ,000 years before 273 00:15:07,180 --> 00:15:11,360 Christ. Under that code, the surgeon who operated on a patient and cured him was 274 00:15:11,360 --> 00:15:13,180 awarded 10 pieces of silver. 275 00:15:13,500 --> 00:15:17,580 If the patient died, the surgeon would have both hands chopped off at the 276 00:15:17,960 --> 00:15:21,200 The Code of Hammurabi may or may not have prevented injury. 277 00:15:21,580 --> 00:15:24,440 but I think you'll agree with me that the doctor of those days would think 278 00:15:24,440 --> 00:15:25,660 before he attempted surgery. 279 00:15:28,960 --> 00:15:33,200 The courts today are inclined to fine for the patient who is apparently 280 00:15:33,360 --> 00:15:36,980 not because of any negligence on the part of the doctor, but because they 281 00:15:36,980 --> 00:15:38,480 often feel sorry for the patient. 282 00:15:39,400 --> 00:15:41,640 Possibly a throwback to the hemorrhagic code. 283 00:15:42,140 --> 00:15:46,340 Dr. Gillespie... So we must be more careful than ever in the future, Dr. 284 00:15:46,520 --> 00:15:50,200 Kildare. The patient who is complaining successfully... 285 00:15:50,640 --> 00:15:55,340 about an injury at the hand of a doctor today is just as likely to complain 286 00:15:55,340 --> 00:15:57,140 successfully about an insult tomorrow. 287 00:15:57,480 --> 00:15:58,540 Do I make a point? 288 00:15:58,880 --> 00:16:00,400 Yes, sir. Yes, Dr. Gillespie. 289 00:16:00,640 --> 00:16:03,840 How long have you been terrorizing patients on 102? 290 00:16:05,020 --> 00:16:08,580 I've been on admitting service six days now, sir. You find it a challenging 291 00:16:08,580 --> 00:16:09,640 service? Yes, sir. 292 00:16:10,020 --> 00:16:11,500 Dr. Cunningham is your resident? 293 00:16:11,820 --> 00:16:15,520 Yes, he is. I assume that he is exposing you to the surgical side of the 294 00:16:15,520 --> 00:16:16,660 admitting service. Yes, doctor. 295 00:16:20,310 --> 00:16:21,310 Very aneurysm. 296 00:16:21,950 --> 00:16:25,370 Lieberstein wrote a paper on it in last month's neurological journal. Seventy 297 00:16:25,370 --> 00:16:27,750 -five operated cases. Much more up -to -date than that. 298 00:16:28,070 --> 00:16:29,070 Good evening, Doctor. 299 00:16:29,890 --> 00:16:30,890 Good evening, sir. 300 00:16:38,010 --> 00:16:39,010 Nurses are married. 301 00:16:39,650 --> 00:16:41,190 They're married or they're going to get married. 302 00:16:41,930 --> 00:16:46,610 The student nurses, they still got boyfriends left over from high school. 303 00:16:48,880 --> 00:16:49,880 The secretaries. 304 00:16:50,200 --> 00:16:52,520 Quote, all interns are jerks. 305 00:16:54,180 --> 00:16:55,400 My nurse is eight. 306 00:16:58,360 --> 00:16:59,360 Kelly's pool hall. 307 00:17:00,720 --> 00:17:01,720 Yeah. 308 00:17:07,940 --> 00:17:10,040 Pardon me. Anybody here in admitting? 309 00:17:10,480 --> 00:17:11,480 How did you guess? 310 00:17:11,540 --> 00:17:12,540 Psychic. 311 00:17:13,359 --> 00:17:15,319 Someday I'm going to beat that thing. 312 00:17:16,560 --> 00:17:17,720 We had a redhead. 313 00:17:17,950 --> 00:17:20,010 A volunteer worker up on GYN. 314 00:17:21,270 --> 00:17:24,930 So right away, man, we had something going. I mean, like paradise fell big. 315 00:17:25,210 --> 00:17:29,070 You know what happened? Some wise guy throws a seizure while she's changing a 316 00:17:29,070 --> 00:17:30,790 bed. She faints and never comes back. 317 00:17:31,430 --> 00:17:34,910 See, what I'm getting at, Phil Dan. Yeah, well, what are you getting at, Dr. 318 00:17:35,050 --> 00:17:39,030 Gersky? The viscera of the whole problem. Oh, well, I mean, tell us all 319 00:17:39,030 --> 00:17:40,550 it. I'm not talking to you. 320 00:17:40,830 --> 00:17:42,070 Oh. Look, 321 00:17:43,330 --> 00:17:45,950 an intern makes what? Sixty -five little dinky dollars a month, right? 322 00:17:46,440 --> 00:17:50,000 And for this, she has to work every day, every other night, plus twice a week in 323 00:17:50,000 --> 00:17:53,780 admitting. Right? Now, the question is, what kind of girls are left for us? What 324 00:17:53,780 --> 00:17:55,460 kind are left for us, Dr. Agursky? 325 00:17:57,080 --> 00:17:58,380 Piglets. Piglets. 326 00:17:59,240 --> 00:18:00,580 Spooks. That's what's left for us. 327 00:18:00,960 --> 00:18:03,620 There must be, let's say, a million people out there in that city, right? 328 00:18:04,080 --> 00:18:07,900 All right, let's say out of that million people, there's 400 ,000 females. 329 00:18:08,240 --> 00:18:09,139 All right? 330 00:18:09,140 --> 00:18:13,080 I mean, right or wrong? 400 ,000. All right, more or less. Now, out of that 331 00:18:13,080 --> 00:18:15,980 ,000, let's say 14 ,000. 332 00:18:16,440 --> 00:18:18,220 Are agreeable young ladies. Yeah? 333 00:18:19,180 --> 00:18:24,540 What I mean is agreeable young ladies with all the standard 334 00:18:24,540 --> 00:18:26,920 equipment. 335 00:18:30,960 --> 00:18:33,300 Sixty -nine interns in Blair General Hospital, right? 336 00:18:34,400 --> 00:18:39,000 Can you guys just name me one miserable body mechanic that can claim stake to 337 00:18:39,000 --> 00:18:42,680 any one of those 14 ,000 agreeable ladies I was talking about, huh? 338 00:18:42,880 --> 00:18:45,060 Nope. Listen, Simon, you having trouble with women? 339 00:18:45,550 --> 00:18:46,550 Find another job. 340 00:18:47,030 --> 00:18:48,030 I like it here. 341 00:18:48,350 --> 00:18:51,390 Look, when I become a psychiatrist, you can be my first patient. Anything I 342 00:18:51,390 --> 00:18:54,790 hate. It's a bunch of interns loafing around doing nothing all day. You and 343 00:18:54,790 --> 00:18:57,730 are. You, police officer wants a doctor and an ambulance. 344 00:19:38,879 --> 00:19:42,140 He was dead when we got here, Doctor, but we have to have a verification. 345 00:19:50,540 --> 00:19:52,240 You're from Blair General, aren't you? 346 00:19:54,200 --> 00:19:55,200 Yes. 347 00:19:56,400 --> 00:19:59,280 Look at you. 348 00:19:59,900 --> 00:20:01,180 You're here now, all right. 349 00:20:01,660 --> 00:20:04,460 Came running right over when it's too late. 350 00:20:05,260 --> 00:20:06,760 Doctor, this is Mrs. Fife. 351 00:20:07,120 --> 00:20:08,640 She's the man's sister. 352 00:20:09,640 --> 00:20:11,180 That's my brother lying there. 353 00:20:12,500 --> 00:20:14,700 I'm going to see that he gets treated fair now. 354 00:20:16,700 --> 00:20:20,140 If you had done your job this afternoon when he was brought to your sick in 355 00:20:20,140 --> 00:20:21,580 hospital, it wouldn't have happened. 356 00:20:22,520 --> 00:20:23,520 All right, yes. 357 00:20:27,940 --> 00:20:29,240 Would you close the door, please? 358 00:20:29,580 --> 00:20:30,580 Yes, sir. 359 00:20:36,110 --> 00:20:38,090 . . 360 00:21:15,820 --> 00:21:20,860 Sir, Parker Lewis J. P -A -R -K -E -R. Never mind. We've got the information on 361 00:21:20,860 --> 00:21:21,860 him at the hospital. 362 00:21:25,660 --> 00:21:26,700 Thank you, Doctor. 363 00:21:33,600 --> 00:21:34,600 Who's the boy, Father? 364 00:21:35,680 --> 00:21:36,680 His nephew. 365 00:21:36,840 --> 00:21:37,840 What was the doctor? 366 00:21:38,780 --> 00:21:40,540 It's hard to say without an autopsy. 367 00:21:42,400 --> 00:21:44,340 Is there a phone? Yes, right out in the hall. 368 00:21:47,460 --> 00:21:48,800 All nice and tidy, huh? 369 00:21:49,580 --> 00:21:52,020 Well, let me tell you, it isn't nice and tidy at all, Buster. 370 00:21:52,520 --> 00:21:55,380 And you can tell whoever runs that joint over there that they're going to be 371 00:21:55,380 --> 00:21:56,660 sued and sued plenty. 372 00:21:57,280 --> 00:21:59,440 I don't lose my brother like this without doing nothing. 373 00:21:59,700 --> 00:22:00,700 I'm going to see a lawyer. 374 00:22:02,959 --> 00:22:05,980 I'd like your consent for a post -mortem examination, Mrs. Fyfe. 375 00:22:07,460 --> 00:22:09,660 Well, you go right ahead. I want to know what killed him, too. 376 00:22:11,060 --> 00:22:12,440 Anyway, it can't hurt him anymore. 377 00:22:14,780 --> 00:22:16,920 Would you tell the attendants they can move him? 378 00:22:17,260 --> 00:22:18,260 Sure, Doctor. 379 00:22:21,800 --> 00:22:27,420 May God, if he's by mercy, assist you with faith and resignation, my dear. 380 00:22:36,490 --> 00:22:37,490 102, please. 381 00:22:40,110 --> 00:22:41,490 This is Dr. Kildare. 382 00:22:42,450 --> 00:22:46,210 I just certified a death at 558 Andotte Street. 383 00:22:47,530 --> 00:22:50,170 A 46 -year -old male Caucasian. 384 00:22:51,450 --> 00:22:52,830 Louis J. Parker. 385 00:22:54,270 --> 00:22:56,470 That's P -A -R -K -E -R. 386 00:22:57,850 --> 00:23:00,370 Time, 11 .05 p .m. 387 00:23:07,670 --> 00:23:09,390 No. No, I'm not going to leave him with his family. 388 00:23:09,670 --> 00:23:12,070 I'm bringing him in for a post -mortem. 389 00:23:56,780 --> 00:23:57,499 Miss Goyer? 390 00:23:57,500 --> 00:23:58,500 Hello, Doctor. 391 00:23:58,840 --> 00:24:01,220 Look, hospitals are full of surprises. 392 00:24:01,520 --> 00:24:04,680 One minute we're so busy you think we were giving away money. Next minute, 393 00:24:04,700 --> 00:24:06,840 nothing. Oh, Dr. Cunningham wants to see you. 394 00:24:07,360 --> 00:24:08,360 Where is he? 395 00:24:08,540 --> 00:24:09,660 Still in O .R. 396 00:24:48,379 --> 00:24:50,760 Big incision, little surgeon, little incision. 397 00:24:51,140 --> 00:24:52,920 Good surgeon, enough incision. 398 00:24:53,540 --> 00:24:55,400 Bad surgeon, indecision. 399 00:24:58,460 --> 00:24:59,920 Are your shoes conductive, doctor? 400 00:25:00,160 --> 00:25:01,160 Yes. 401 00:25:01,360 --> 00:25:02,940 Got any blood lined up for this guy? 402 00:25:04,800 --> 00:25:05,800 Huh? 403 00:25:06,300 --> 00:25:07,640 You got two units, you want? 404 00:25:08,260 --> 00:25:09,260 No, not now. 405 00:25:10,500 --> 00:25:12,800 What's the call about, Jim? It was a fatality. 406 00:25:13,080 --> 00:25:16,160 It usually is when the police request a doctor with an ambulance. 407 00:25:16,830 --> 00:25:19,990 You got any of that blue relaxin' juice in your bag of tricks? 408 00:25:20,250 --> 00:25:21,550 Oh, I sure do, Doctor. 409 00:25:21,750 --> 00:25:25,350 Let's have a little relaxation up here, huh? 410 00:25:25,590 --> 00:25:26,590 You got it. 411 00:25:27,350 --> 00:25:30,570 Well, go on, Jim. What about it? Did you make out a 562 for him? Yeah. 412 00:25:31,930 --> 00:25:33,370 Lay them down square, please. 413 00:25:37,230 --> 00:25:38,230 How's that, Doctor? 414 00:25:38,530 --> 00:25:40,490 Oh, he's floating in orbit, Doctor. 415 00:25:42,830 --> 00:25:44,670 And the cause of death, Doctor Kildare? 416 00:25:46,220 --> 00:25:48,020 Acute cardiac decompensation probable. 417 00:25:48,860 --> 00:25:50,020 Probable? Yes. 418 00:25:50,360 --> 00:25:52,200 Is that your professional opinion, doctor? 419 00:25:53,140 --> 00:25:56,720 Yes, it is. It's an unclear professional opinion, doctor. I know. 420 00:25:57,600 --> 00:25:58,960 And there you have it, gentlemen. 421 00:25:59,180 --> 00:26:02,400 A simple peptic ulcer in all its perforated glory. 422 00:26:02,660 --> 00:26:03,660 It's pretty. 423 00:26:04,020 --> 00:26:05,460 Hey, that's a keen one. 424 00:26:05,680 --> 00:26:08,980 A real classic beaut. And you also have the opportunity of sewing them up. 425 00:26:10,320 --> 00:26:12,020 We'll use two old skin cell cutting. 426 00:26:12,360 --> 00:26:13,360 Male, 427 00:26:14,620 --> 00:26:15,620 female, one. 428 00:26:15,690 --> 00:26:16,690 Male. 429 00:26:17,650 --> 00:26:19,450 The patient was Louis J. Parker. 430 00:26:19,830 --> 00:26:21,670 We'll use a straight -skinned needle. 431 00:26:22,090 --> 00:26:24,070 Louis J. Parker. I examined that guy. 432 00:26:24,390 --> 00:26:25,390 Right, Doctor. 433 00:26:26,990 --> 00:26:31,050 That's it. And cut them off about a half an inch. Yes, sir. He was in here this 434 00:26:31,050 --> 00:26:32,050 afternoon. 435 00:26:32,090 --> 00:26:34,050 And his lawyer's going to be in here tomorrow morning. 436 00:26:38,190 --> 00:26:39,190 Says who? 437 00:26:39,370 --> 00:26:40,370 Mrs. Fyfe. 438 00:26:42,730 --> 00:26:43,549 Who's she? 439 00:26:43,550 --> 00:26:44,550 Parker's sister. 440 00:26:46,879 --> 00:26:50,220 Well, that puts the hair in the butter. 441 00:26:50,560 --> 00:26:51,499 Eh, Doctor? 442 00:26:51,500 --> 00:26:53,620 As they say, it does that. 443 00:26:59,160 --> 00:27:00,160 Come on, Philip. 444 00:27:01,640 --> 00:27:05,080 I don't suppose the mortuary clerk will have any difficulty obtaining a consent 445 00:27:05,080 --> 00:27:08,240 from Mrs. Fife for a post -mortem? I don't suppose. 446 00:27:11,540 --> 00:27:13,320 Just approximate the edges, will you please, Doctor? 447 00:27:14,940 --> 00:27:15,940 Before you leave tonight, 448 00:27:17,080 --> 00:27:20,260 Fill out an order for an autopsy. I'll sign it as soon as I'm through here. 449 00:27:23,540 --> 00:27:24,540 Wake him up. 450 00:27:25,180 --> 00:27:26,180 Tell him he's cured. 451 00:27:57,070 --> 00:27:58,370 All right, Jim. Just some sleep. 452 00:27:58,750 --> 00:28:00,530 Don't feel like it. Well, let's get a beer. 453 00:28:08,490 --> 00:28:15,290 16 hours a day and this nutty 454 00:28:15,290 --> 00:28:16,670 service is not enough for you, right, pal? 455 00:28:17,230 --> 00:28:18,250 Well, it's plenty for me. 456 00:28:18,510 --> 00:28:19,550 It's plenty for everybody. 457 00:28:19,950 --> 00:28:20,950 Why don't you? 458 00:28:20,970 --> 00:28:22,310 What? Get some sleep. 459 00:28:23,030 --> 00:28:24,030 But I can't sleep. 460 00:28:24,620 --> 00:28:26,520 It takes me four or five hours to unwind. 461 00:28:27,040 --> 00:28:28,460 Then it takes me two hours to relax. 462 00:28:29,180 --> 00:28:32,160 By the time I get my eyes closed, bingo, the phone goes and we're off again. 463 00:28:34,440 --> 00:28:35,440 Jim? 464 00:28:37,180 --> 00:28:38,180 Great. 465 00:28:47,560 --> 00:28:48,820 Oh, hi, Toby. 466 00:28:49,020 --> 00:28:50,020 Sit down. 467 00:28:51,940 --> 00:28:52,960 I've worked at... 468 00:28:53,200 --> 00:28:54,800 18 straight hours today, and I'm a tired man. 469 00:28:56,160 --> 00:28:57,800 I want to go home. I want to be with my wife. 470 00:28:59,340 --> 00:29:01,800 And I want to forget about that place over there for a while. 471 00:29:03,020 --> 00:29:07,640 But I won't sleep tonight till I find out what you meant by the tone of voice 472 00:29:07,640 --> 00:29:08,640 you were using in O .R. 473 00:29:10,380 --> 00:29:11,380 Explain. It's very important. 474 00:29:15,160 --> 00:29:17,000 I'd rather not commit myself, Toby. 475 00:29:20,320 --> 00:29:22,360 Listen, what are we... Oh, no, stay where you are, gentlemen. This is a 476 00:29:22,360 --> 00:29:23,680 conversation in a saloon. 477 00:29:26,040 --> 00:29:31,440 I want you to commit yourself in front of Dr. Gerson and Dr. Gersky. 478 00:29:32,480 --> 00:29:34,480 I want you to commit yourself, Dr. 479 00:29:34,680 --> 00:29:39,780 Kildare, prior to and uninfluenced by the findings of the autopsy surgeon, 480 00:29:39,860 --> 00:29:40,860 whatever they may be. 481 00:29:41,100 --> 00:29:42,100 Go on. 482 00:29:43,260 --> 00:29:45,340 Please, let's have no secrets here. These are our colleagues. 483 00:29:45,980 --> 00:29:47,260 Come right out with it. Bare your soul. 484 00:29:49,680 --> 00:29:51,400 I have a rough idea of how Mrs. 485 00:29:51,920 --> 00:29:56,120 Fythe and her lawyer will appraise my professional capabilities in a 486 00:29:56,360 --> 00:29:58,040 should it come to that. 487 00:29:59,520 --> 00:30:01,300 But right now, I'm interested in what you think. 488 00:30:04,620 --> 00:30:09,580 I think you don't allow an unfortunate situation to exist when you can rectify 489 00:30:09,580 --> 00:30:11,600 it. We're still talking about Parker? 490 00:30:12,300 --> 00:30:13,300 We are. 491 00:30:13,620 --> 00:30:14,620 Go on. 492 00:30:16,380 --> 00:30:18,920 I think he should have been admitted for further tests. 493 00:30:19,480 --> 00:30:21,080 I told you then, I'm telling you now. 494 00:30:28,000 --> 00:30:34,700 There's rarely a sole and universally recognized treatment for any case. 495 00:30:35,360 --> 00:30:39,920 There's always room for a difference of medical opinion. 496 00:30:42,480 --> 00:30:46,680 These are occasions requiring the exercise of judgment in deciding what 497 00:30:46,680 --> 00:30:47,680 to follow. 498 00:30:49,360 --> 00:30:52,720 The fact that you and I had a difference of opinion regarding what method to 499 00:30:52,720 --> 00:30:55,240 follow constitutes nothing more than that. 500 00:30:57,040 --> 00:30:59,220 We are talking about a difference of medical opinion. 501 00:30:59,860 --> 00:31:03,320 We're talking about a man who walked out of that hospital this afternoon on your 502 00:31:03,320 --> 00:31:04,320 say -so. 503 00:31:04,340 --> 00:31:05,340 Now he's dead. 504 00:31:05,920 --> 00:31:06,920 That's it? 505 00:31:08,420 --> 00:31:11,040 You take chances, boy, not only with my career, but your own. 506 00:31:11,560 --> 00:31:14,460 Look, Toby, I'm not interested in discussing it here. 507 00:31:14,800 --> 00:31:16,020 Well, you get interested, you... 508 00:31:24,430 --> 00:31:25,850 Up to a minute ago, you were talking to me. 509 00:31:27,610 --> 00:31:28,750 Now you're talking to the resident. 510 00:31:30,230 --> 00:31:32,510 I've been called everything, but I won't be called negligent. 511 00:31:33,070 --> 00:31:36,010 This is the second time today you've intimidated me, but it's the first and 512 00:31:36,010 --> 00:31:37,010 time I warn you about it. 513 00:31:38,070 --> 00:31:39,070 Hi. 514 00:31:40,990 --> 00:31:41,990 Hi. 515 00:31:42,450 --> 00:31:45,910 Uh, you know these jokers, Dr. Gersky, Dr. 516 00:31:46,250 --> 00:31:47,250 Kildare? Yes. 517 00:31:48,910 --> 00:31:51,590 As you can get. 518 00:31:53,200 --> 00:31:54,200 It's good to have you home. 519 00:31:54,460 --> 00:31:56,360 I'm not home. You will be in a half an hour. 520 00:31:57,480 --> 00:31:58,480 And I'll be with you. 521 00:31:59,800 --> 00:32:00,800 Something wrong? 522 00:32:01,080 --> 00:32:02,080 Oh, no. 523 00:32:03,020 --> 00:32:04,020 Nothing that can't be fixed. 524 00:32:06,280 --> 00:32:07,960 I made a mistake about this guy, honey. 525 00:32:09,900 --> 00:32:11,760 He's no friend of ours. Don't treat him like one ever. 526 00:32:12,520 --> 00:32:13,520 Come on, let's get out of here. 527 00:32:14,140 --> 00:32:15,140 Come on. 528 00:32:27,400 --> 00:32:28,400 What are you, out of your mind? 529 00:32:28,520 --> 00:32:30,440 You must be out of your mind. 530 00:32:31,340 --> 00:32:32,340 You're tired, Jim. 531 00:32:33,160 --> 00:32:34,160 He's tired. 532 00:32:34,680 --> 00:32:35,680 We're all tired. 533 00:32:37,320 --> 00:32:38,320 You didn't mean that. 534 00:32:40,720 --> 00:32:41,820 You know what we need, don't you? 535 00:32:43,560 --> 00:32:44,940 Supportive therapy. That's what we need. 536 00:32:46,560 --> 00:32:48,220 Come on. You ever try intravenous beer? 537 00:32:48,560 --> 00:32:49,560 Simon. 538 00:32:49,880 --> 00:32:51,100 Simon, will you shut up? 539 00:32:51,860 --> 00:32:53,540 Please, just this one time. 540 00:32:54,260 --> 00:32:55,260 Shut up. 541 00:32:57,900 --> 00:32:58,900 Drink your beer. 542 00:33:01,280 --> 00:33:02,280 Go ahead, Jim. 543 00:33:11,460 --> 00:33:12,460 Come on, Jim. 544 00:33:17,460 --> 00:33:18,460 Dr. Kildare? 545 00:33:23,620 --> 00:33:25,260 I'll... I'll be over in a minute. 546 00:33:25,780 --> 00:33:26,780 Sure, Jim. 547 00:33:38,920 --> 00:33:41,660 I don't think Toby meant what he said last night. 548 00:33:42,340 --> 00:33:45,540 I don't think he meant it either. 549 00:33:46,980 --> 00:33:48,980 He gets angry like anybody else. 550 00:33:49,460 --> 00:33:50,460 Like you. 551 00:33:50,660 --> 00:33:52,060 Did he tell you what it was all about? 552 00:33:52,840 --> 00:33:53,840 Yes. 553 00:33:54,100 --> 00:33:57,260 Then you know it wasn't a matter of being angry, Mrs. Cunningham. 554 00:33:57,880 --> 00:33:58,880 Doctor, please. 555 00:34:00,540 --> 00:34:03,180 Please listen to me. I want very much to talk to you. 556 00:34:07,630 --> 00:34:11,570 I wish yesterday hadn't happened, Mrs. Cunningham. They called him first thing 557 00:34:11,570 --> 00:34:15,170 this morning from the administration office. They advised him a suit was 558 00:34:15,170 --> 00:34:20,570 contemplated and that he was legally responsible, being resident and all, and 559 00:34:20,570 --> 00:34:22,429 that they were notifying the insurance company. 560 00:34:23,550 --> 00:34:24,550 Contemplated? 561 00:34:24,850 --> 00:34:26,469 What does that mean? What happens? 562 00:34:26,969 --> 00:34:28,429 Well, we wait, doctor. 563 00:34:28,949 --> 00:34:32,889 We wait for the pathologist's report. We wait for the lawyers. We wait for God 564 00:34:32,889 --> 00:34:33,889 knows what. 565 00:34:34,570 --> 00:34:35,830 Doesn't it seem to you that... 566 00:34:36,110 --> 00:34:37,469 Then all we do is wait. 567 00:34:38,370 --> 00:34:41,489 We wait to get into medical school and then we wait to graduate. 568 00:34:43,170 --> 00:34:45,310 And then internship and residency. 569 00:34:46,630 --> 00:34:47,969 And finally practice. 570 00:34:49,790 --> 00:34:54,330 Well, Toby and I have been married through all of that and we thought it 571 00:34:54,330 --> 00:34:55,330 going to end next year. 572 00:34:56,070 --> 00:34:57,070 Next year? 573 00:34:57,790 --> 00:34:59,450 Next year, Doctor. The year. 574 00:35:01,530 --> 00:35:05,350 His residency will be over in June and he can... 575 00:35:05,710 --> 00:35:09,050 Be in practice and we can live like normal human beings. 576 00:35:11,230 --> 00:35:18,150 Now, Doctor, they're going to want to know everything about the man who 577 00:35:18,150 --> 00:35:19,150 died. 578 00:35:19,610 --> 00:35:21,330 And you signed the death certificate. 579 00:35:23,330 --> 00:35:26,010 Well, they're going to want to know everything you know. 580 00:35:26,670 --> 00:35:28,810 Mrs. Cunningham, I can't. 581 00:35:29,290 --> 00:35:30,850 Please, Doctor, help him. 582 00:35:32,470 --> 00:35:33,970 Please don't ruin him. 583 00:36:03,660 --> 00:36:05,720 He was in an auto accident. He was brought in here this morning. 584 00:36:06,700 --> 00:36:08,660 Well, he's conscious, but he may require surgery. 585 00:36:09,080 --> 00:36:09,959 Oh, Dr. 586 00:36:09,960 --> 00:36:11,980 Cadet, you are wanted in Dr. Gillespie's office. 587 00:36:13,340 --> 00:36:14,340 No, we don't know yet. 588 00:36:15,140 --> 00:36:17,600 He asked if you could bring some money to pay his ambulance bill. 589 00:36:18,720 --> 00:36:19,860 No, he has nothing with him. 590 00:36:20,400 --> 00:36:21,400 No, no checks either. 591 00:36:22,800 --> 00:36:25,660 I don't know. I assume he'll pay you back as soon as he can. 592 00:36:25,960 --> 00:36:29,740 No, I cannot ask him, and I suggest you get down here right away. 593 00:36:34,020 --> 00:36:37,560 Hi, Susan. Hi, Dr. Kildare. Dr. Gillespie is expecting you. Yeah, I 594 00:36:46,140 --> 00:36:48,420 Dr. Kildare is on his way in, Dr. Gillespie. 595 00:37:16,620 --> 00:37:17,620 those people out there? 596 00:37:17,960 --> 00:37:22,220 I met Mrs. Fife last night, Dr. Gillespie. So I understand. The man with 597 00:37:22,220 --> 00:37:26,720 her attorney. His name is Darcy. I want to adjudicate this matter as quickly as 598 00:37:26,720 --> 00:37:29,460 possible, and I'm sure Mrs. Fife and Mr. Darcy want to also. 599 00:37:30,020 --> 00:37:33,420 In order to accomplish this, I must know all the circumstances. 600 00:37:34,080 --> 00:37:36,480 Disregard the fact that you are friendly with Dr. Cunningham. 601 00:37:37,240 --> 00:37:38,240 Sit down. 602 00:37:44,940 --> 00:37:48,640 I understand you advised Dr. Cunningham to admit Mr. Parker for hospitalization. 603 00:37:50,680 --> 00:37:53,740 Dr. Cunningham is as anxious as I am to have all the facts. 604 00:37:56,560 --> 00:37:57,560 Good. 605 00:37:58,120 --> 00:38:01,860 Some doctors do things one way and some another. It's impossible to say which is 606 00:38:01,860 --> 00:38:05,080 preferable. There's always a chance for a slight difference of opinion. 607 00:38:06,400 --> 00:38:07,400 Granted? 608 00:38:08,340 --> 00:38:12,640 Granted. Why did you advise Dr. Cunningham to admit Parker for 609 00:38:14,060 --> 00:38:17,120 I felt Mr. Parker was very ill, Dr. Gillespie. 610 00:38:17,440 --> 00:38:20,760 Much more than... More than Dr. 611 00:38:21,000 --> 00:38:22,580 Cunningham's examination disclosed? 612 00:38:24,040 --> 00:38:25,040 Yes, Doctor. 613 00:38:25,140 --> 00:38:27,120 In this hospital, we think, Doctor. 614 00:38:27,580 --> 00:38:29,020 We do little, if any, feeling. 615 00:38:29,240 --> 00:38:30,800 Well, I couldn't help the feeling. 616 00:38:31,480 --> 00:38:35,480 I mean, some patients you just know are sick just by looking at them. Is that 617 00:38:35,480 --> 00:38:37,080 so? It is with me. 618 00:38:38,160 --> 00:38:40,560 And in Parker's case, what else? 619 00:38:42,190 --> 00:38:43,590 What other reasons, Doctor? 620 00:38:44,170 --> 00:38:46,230 Everything about him. His pallor. 621 00:38:46,470 --> 00:38:48,970 The way he responded. The look in his eyes. 622 00:38:49,190 --> 00:38:51,230 The look in his eyes? You did say that? 623 00:38:51,610 --> 00:38:52,610 Yes. 624 00:38:53,130 --> 00:38:57,630 A most impressive diagnostic observation, Doctor. But am I supposed 625 00:38:57,630 --> 00:39:00,150 appreciate your commitment to this vision? 626 00:39:01,850 --> 00:39:02,850 No, sir. 627 00:39:04,530 --> 00:39:06,610 You wanted Parker admitted for tests. 628 00:39:07,430 --> 00:39:08,430 What tests? 629 00:39:08,810 --> 00:39:09,769 An LP. 630 00:39:09,770 --> 00:39:10,930 Possible skull series. 631 00:39:11,400 --> 00:39:13,660 You mentioned this to Dr. Cunningham. I did. 632 00:39:14,420 --> 00:39:17,900 And what did you hope to accomplish by poking a long needle into Mr. 633 00:39:18,160 --> 00:39:22,260 Parker? What do you suppose that would have done for his headaches, his nausea, 634 00:39:22,260 --> 00:39:24,300 the look in his eyes? 635 00:39:27,040 --> 00:39:27,919 Answer me. 636 00:39:27,920 --> 00:39:33,520 I had hoped that such an exploration would produce some information 637 00:39:33,520 --> 00:39:34,560 the patient's ailment. 638 00:39:35,040 --> 00:39:39,340 A lumbar puncture or skull series on a man with a nervous history like this 639 00:39:39,340 --> 00:39:41,780 might well have traumatized him, if not scared him to death. 640 00:39:42,700 --> 00:39:46,720 Diagnostic techniques can be extraordinary on paper or in the minds 641 00:39:46,720 --> 00:39:51,220 diagnosticians. They are occasionally useful in the practice of medicine, but 642 00:39:51,220 --> 00:39:55,860 their use is irrevocably dictated by localizing signs, and this was not the 643 00:39:55,860 --> 00:39:58,920 here. I'm certain Dr. Cunningham advised you accordingly. 644 00:39:59,500 --> 00:40:00,500 Did he? 645 00:40:00,760 --> 00:40:01,760 He did. 646 00:40:03,820 --> 00:40:08,420 And that is the substance of your unsolicited consultation with Dr. 647 00:40:08,660 --> 00:40:09,660 Yes, sir. 648 00:40:09,760 --> 00:40:13,760 Based on nothing but feeling, you came to the same hysterical conclusion as 649 00:40:13,760 --> 00:40:14,980 hysterical woman out there. 650 00:40:15,480 --> 00:40:19,120 That Dr. Cunningham was at fault and that if Mr. Parker had been admitted to 651 00:40:19,120 --> 00:40:20,420 hospital, he would still be alive. 652 00:40:24,140 --> 00:40:28,380 Well, I'm going to tell you, Dr. Kildare, that hysterical women aren't 653 00:40:28,380 --> 00:40:29,380 dangerous as doctors. 654 00:40:29,960 --> 00:40:33,600 The precipitating cause of most malpractice actions is found in the 655 00:40:33,600 --> 00:40:37,520 comments and criticisms by physicians about other physicians regarding their 656 00:40:37,520 --> 00:40:38,520 treatment of patients. 657 00:40:38,640 --> 00:40:42,440 Dr. Cunningham examined this patient, listened to his complaints, ordered lab 658 00:40:42,440 --> 00:40:46,880 tests, EKG, gave him a physical examination, tested him for neurological 659 00:40:46,880 --> 00:40:48,440 responses. It's all here. 660 00:40:48,920 --> 00:40:51,480 With this, he had a reasonable basis for diagnosis. 661 00:40:51,900 --> 00:40:56,380 And he wisely ignored your unsolicited consultation and acted according to the 662 00:40:56,380 --> 00:40:58,440 best dictates of his own professional conscience. 663 00:40:58,780 --> 00:41:03,390 Now. Is there any sound or valid reason to suspect malpractice, regardless of 664 00:41:03,390 --> 00:41:04,390 the pathology report? 665 00:41:06,050 --> 00:41:07,050 Is there, Doctor? 666 00:41:10,810 --> 00:41:11,810 No. 667 00:41:12,670 --> 00:41:15,970 We're still waiting for that report. In the meantime, I'm going to tell Faith 668 00:41:15,970 --> 00:41:17,250 and Darcy exactly that. 669 00:41:17,630 --> 00:41:21,410 And they can prefer charges against Dr. Cunningham if they wish. Fat chance. 670 00:41:22,670 --> 00:41:23,670 Yes, Doctor. 671 00:41:24,110 --> 00:41:25,650 After teaching rounds... 672 00:41:25,900 --> 00:41:29,320 All interns and residents on admitting service 102 to report in boardroom B. 673 00:41:29,620 --> 00:41:32,380 Get the residents on surgical service to stand in for them. 674 00:41:34,800 --> 00:41:39,260 I'm sure Dr. Cunningham would be relieved to know the attitude of this 675 00:41:40,800 --> 00:41:41,980 I leave it to you to tell him. 676 00:41:42,380 --> 00:41:43,380 That's all, Doctor. 677 00:41:49,720 --> 00:41:52,360 Send Mrs. Fife and Mr. Darcy in here, will you? 678 00:42:02,860 --> 00:42:06,700 Put her in female 15. They're all jammed up in the open ward. So no drugs for 679 00:42:06,700 --> 00:42:07,720 this baby. She's a VA. 680 00:42:07,920 --> 00:42:10,300 Fine. What about a sedative? 681 00:42:10,780 --> 00:42:13,640 Not now. She'll be needing them later on badly, but not now. 682 00:42:16,020 --> 00:42:17,020 Hey, Toby. 683 00:42:17,280 --> 00:42:18,400 You want something, Doctor? 684 00:42:18,940 --> 00:42:20,380 I've been with Gillespie. 685 00:42:21,580 --> 00:42:22,780 Sure you have. Did you tell him everything? 686 00:42:23,100 --> 00:42:24,100 Yeah. 687 00:42:24,180 --> 00:42:25,180 No link back? 688 00:42:26,280 --> 00:42:27,500 Okay, that's okay. 689 00:42:27,740 --> 00:42:28,740 I want to make sure about that. 690 00:42:29,520 --> 00:42:32,380 Since Mrs. Cunningham asked you not to commit yourself on the matter because of 691 00:42:32,380 --> 00:42:33,420 what it might do to my career. 692 00:42:33,720 --> 00:42:34,720 Right? 693 00:42:35,080 --> 00:42:36,080 Right. 694 00:42:36,740 --> 00:42:41,500 Well, I had a good fight with Mrs. Cunningham. A real tit when I found out 695 00:42:41,500 --> 00:42:42,500 went to see you. 696 00:42:44,980 --> 00:42:48,740 I love my job. I love my wife, Kildare. She's a swell kid. 697 00:42:50,100 --> 00:42:54,200 But she'll never play third base on my baseball club if I ever have one. Any 698 00:42:54,200 --> 00:42:56,500 more than I better scrub in my O .R., which I do have. 699 00:42:57,140 --> 00:42:58,140 You get me? 700 00:42:58,750 --> 00:42:59,750 Get you. 701 00:43:00,250 --> 00:43:01,250 Hey, Toby. 702 00:43:01,990 --> 00:43:06,390 What? Gillespie wanted me to tell you you're off the hook. 703 00:43:07,850 --> 00:43:09,410 I was never on the hook, Kildare. 704 00:43:10,190 --> 00:43:11,190 Yeah, I know. 705 00:43:11,270 --> 00:43:12,430 How wrong can a guy be? 706 00:43:13,370 --> 00:43:16,710 I just didn't think it through, Toby. You sure didn't, but I suppose the PM 707 00:43:16,710 --> 00:43:18,670 report opened your eyes. No, I haven't seen it. 708 00:43:19,930 --> 00:43:20,950 Well, it's not ready yet. 709 00:43:21,810 --> 00:43:22,810 You haven't? 710 00:43:24,770 --> 00:43:26,150 Well, well. 711 00:43:27,670 --> 00:43:28,670 Well. 712 00:43:29,730 --> 00:43:30,730 Dr. Kildare. 713 00:43:32,490 --> 00:43:36,810 I know you said whatever is ethical and professional up there. 714 00:43:37,790 --> 00:43:40,870 Notwithstanding my wife's tears and your own fears. If you hadn't, you wouldn't 715 00:43:40,870 --> 00:43:42,250 be the kind of doctor I think you are. 716 00:43:45,710 --> 00:43:46,950 I was scared, all right. 717 00:43:48,310 --> 00:43:49,930 Right down inside my gut. 718 00:43:51,830 --> 00:43:53,570 And every guy with an M .D. 719 00:43:54,990 --> 00:43:58,650 Wondering when they walk in the door or look up at you from the bed. 720 00:43:59,050 --> 00:44:00,970 Is this the one? Is this the one that's going to haul me into court? 721 00:44:02,510 --> 00:44:03,510 I know what you mean, Toby. 722 00:44:07,890 --> 00:44:08,649 Pardon me. 723 00:44:08,650 --> 00:44:09,650 Get that door. 724 00:44:14,810 --> 00:44:15,810 You may smoke. 725 00:44:16,530 --> 00:44:20,070 I am glad to announce that this hospital and one of its resident surgeons will 726 00:44:20,070 --> 00:44:23,210 not be sued for malpractice. I am not glad to announce that this was 727 00:44:23,210 --> 00:44:27,150 contemplated. Luckily, the attorney was aware of the fact that the courts admit 728 00:44:27,150 --> 00:44:29,510 that the physician is not a warranty of cures. 729 00:44:29,990 --> 00:44:33,670 God help us all if failure to cure were admitted as evidence in court. 730 00:44:34,190 --> 00:44:38,390 Evidence of neglect on the part of a physician or surgeon causing a bad 731 00:44:38,910 --> 00:44:41,950 If that were the case, few of us would be in the healing profession. 732 00:44:42,390 --> 00:44:46,910 But since this has come up, it's a good time to remind you that malpractice 733 00:44:46,910 --> 00:44:50,370 doesn't mean a doctor's failure to render the best. 734 00:44:50,840 --> 00:44:54,500 possible care to a patient. It doesn't mean an honest error in diagnosis. 735 00:44:54,760 --> 00:44:58,040 It doesn't mean failure to cure or to produce satisfactory relief. 736 00:44:59,120 --> 00:45:05,000 Malpractice simply means a doctor's failure to apply average skill and take 737 00:45:05,000 --> 00:45:07,720 average precautions in rendering his professional service. 738 00:45:08,420 --> 00:45:14,060 If he provides such middle ground variety of care, he cannot be legally 739 00:45:14,180 --> 00:45:17,480 no matter whether the patient gets well or gets sicker, lives or dies. 740 00:45:20,560 --> 00:45:24,380 We're stuck with that, ladies and gentlemen, until such time as the public 741 00:45:24,380 --> 00:45:29,760 realizes that the doctor is not infallible. As long as medicine is 742 00:45:29,760 --> 00:45:32,320 human beings on human beings, accidents will occur. 743 00:45:33,120 --> 00:45:38,260 We've eliminated the pink pill notion. We have sulfurs and antibiotics, steroid 744 00:45:38,260 --> 00:45:41,540 hormones. We can operate on the heart and brain for diseases that were once 745 00:45:41,540 --> 00:45:43,500 incurable. And the public knows it. 746 00:45:44,200 --> 00:45:49,380 They know for some obscure reason that the doctor can work 24 hours a day, 747 00:45:49,380 --> 00:45:54,420 days a week, that he can whip epidemics single -handed, perform major surgery on 748 00:45:54,420 --> 00:45:58,700 a kitchen table, and is always kind, generous, and considerate. 749 00:46:00,620 --> 00:46:05,340 They believe, and some of us believe, that the doctor is a miracle worker. No 750 00:46:05,340 --> 00:46:08,720 wonder they get mad when some doctor takes away their dream. 751 00:46:09,180 --> 00:46:12,480 They go off to a lawyer hoping to get it back. And if they fail to get the dream 752 00:46:12,480 --> 00:46:17,840 back, they want the doctor's hide. So, every one of you, watch out for your own 753 00:46:17,840 --> 00:46:19,360 hides as well as your patient's hide. 754 00:46:20,680 --> 00:46:26,140 Real negligence, real malpractice can be solved not by lawsuits, but by 755 00:46:26,140 --> 00:46:30,720 selecting and training better doctors and driving the bad men out of medicine. 756 00:46:31,580 --> 00:46:36,400 Every one of you is morally and professionally obligated by everything 757 00:46:36,400 --> 00:46:37,400 believe sacred. 758 00:46:38,000 --> 00:46:41,120 To correct, to report, to expose. 759 00:46:42,660 --> 00:46:45,240 Incompetence, negligence, malpractice. 760 00:46:46,080 --> 00:46:47,240 That's all, ladies and gentlemen. 761 00:46:52,500 --> 00:46:54,340 Uh, Dr. Cunningham. 762 00:46:55,540 --> 00:46:56,540 Dr. Kildare. 763 00:47:01,960 --> 00:47:05,000 What do you know about a leaking berry aneurysm, Dr. Kildare? 764 00:47:08,460 --> 00:47:14,120 It's a neurological disorder characterized by minute, nonspecific 765 00:47:14,120 --> 00:47:15,660 symptoms. Or no symptoms at all? 766 00:47:16,520 --> 00:47:17,520 Well, yes. 767 00:47:17,620 --> 00:47:22,500 A patient can go on his life without a symptom and have it as an incidental 768 00:47:22,500 --> 00:47:26,160 finding at autopsy. And the prognosis if it becomes acutely symptomatic? 769 00:47:27,300 --> 00:47:28,300 Very bad. 770 00:47:28,700 --> 00:47:30,720 Not hopeless, but bad. Is that what you mean? 771 00:47:31,620 --> 00:47:32,620 Yes, doctor. 772 00:47:33,540 --> 00:47:35,760 Ever treated a Barry aneurysm, Dr. Cunningham? 773 00:47:35,980 --> 00:47:36,980 No, sir, I haven't. 774 00:47:37,180 --> 00:47:38,180 Dr. Kildare? 775 00:47:39,160 --> 00:47:40,118 No, sir. 776 00:47:40,120 --> 00:47:41,280 Ever suspected one? 777 00:47:43,420 --> 00:47:44,780 Yes, sir. When? 778 00:47:47,260 --> 00:47:48,780 Yesterday. Parker? 779 00:47:49,900 --> 00:47:50,900 Yes, sir. 780 00:47:51,300 --> 00:47:52,300 On what basis? 781 00:47:53,360 --> 00:47:58,360 Well, the symptoms were... Parker's symptoms could have indicated a thousand 782 00:47:58,360 --> 00:47:59,360 ailments. 783 00:48:00,300 --> 00:48:01,300 Say it. 784 00:48:02,740 --> 00:48:05,280 Well, the patient just looked sick to me, doctor. 785 00:48:06,250 --> 00:48:09,390 You mean you felt he was sick, Dr. Kildare? 786 00:48:10,010 --> 00:48:11,610 Something like that, I guess, yes. 787 00:48:15,070 --> 00:48:17,150 This is the pathologist's report. 788 00:48:17,730 --> 00:48:22,030 Mr. Parker died of a leaking baryaneurysm, and it would have taken 789 00:48:22,030 --> 00:48:24,790 LP or a skull series to detect it, Dr. Kildare. 790 00:48:25,270 --> 00:48:30,570 It's a surety that in or out of hospital, Mr. Parker wouldn't have lived 791 00:48:30,570 --> 00:48:31,570 moment longer than he did. 792 00:48:34,130 --> 00:48:35,130 But... 793 00:48:35,790 --> 00:48:42,190 Wherever your career takes you, Dr. Kildare, don't ever stop searching for 794 00:48:42,190 --> 00:48:43,510 look in your patients. 795 00:48:44,670 --> 00:48:47,750 It may be the most precious service you can render them. 796 00:48:52,050 --> 00:48:53,050 Good day, gentlemen. 797 00:50:07,500 --> 00:50:08,500 Thank you.