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E. R.
2
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Previously on E. R.
3
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Morris, you bailing?
4
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Let him walk.
5
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- How do you put it on?
- Donning and doffing are more complex...
6
00:00:13,626 --> 00:00:16,426
I want my damn arm, all right?
I've waited long enough!
7
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Stay away from my patients. From now on
I'll present to another Attending.
8
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- He's diabetic.
- I didn't know he had diabetes.
9
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He's a kid. You're an adult.
You're supposed to be a doctor.
10
00:00:25,130 --> 00:00:28,329
- That patient brought you flowers?
- And a book. He's a Civil War buff.
11
00:00:28,430 --> 00:00:30,467
I've been reading to him.
He's losing his sight.
12
00:00:30,568 --> 00:00:31,894
You're going to his house?
13
00:00:31,895 --> 00:00:36,332
He has no one. He's going blind.
No one should end up like that.
14
00:00:37,077 --> 00:00:40,326
E. R. 10x07 "DEATH AND TAXES"
15
00:00:48,128 --> 00:00:50,204
You ran out of milk.
16
00:00:52,548 --> 00:00:55,383
- What day is it?
- Twenty-sixth.
17
00:00:57,011 --> 00:00:59,881
What do you want, front page or sports?
18
00:01:00,180 --> 00:01:03,762
Do you ever realize that a month's
gone by without your noticing?
19
00:01:03,933 --> 00:01:05,760
Fed's raised rates again.
20
00:01:05,935 --> 00:01:08,604
And it wasn't bad...
21
00:01:09,188 --> 00:01:12,971
- ... but it wasn't great either?
- Half a point. I should have bought.
22
00:01:17,695 --> 00:01:20,400
Yes, hello. This is she.
23
00:01:20,740 --> 00:01:24,238
Oh, yeah. Okay.
Yeah. See you there.
24
00:01:24,409 --> 00:01:26,366
Okay, thanks. Bye.
25
00:01:28,747 --> 00:01:31,782
- Work?
- No, my accountant reminding me...
26
00:01:31,958 --> 00:01:34,164
...of our appointment
with the IRS today.
27
00:01:34,335 --> 00:01:36,244
I'm getting audited, which blows...
28
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- ... considering I file 1040EZ.
- You don't do long form?
29
00:01:40,924 --> 00:01:44,541
Well, I'm single. I don't own anything.
I don't have any dependents.
30
00:01:44,719 --> 00:01:46,261
You want some?
31
00:01:47,930 --> 00:01:51,381
- What?
- Kids, instant tax write off.
32
00:01:53,101 --> 00:01:56,849
- Yeah, but...
- Come on, baby, let's do it, huh?
33
00:01:58,314 --> 00:02:02,263
We like each other, right?
The sex is pretty good.
34
00:02:02,442 --> 00:02:05,562
What are the odds we're gonna
find someone better, huh?
35
00:02:07,655 --> 00:02:09,648
Whose stupid idea was this?
36
00:02:09,824 --> 00:02:11,366
Weaver says it's space efficient.
37
00:02:11,534 --> 00:02:13,941
Yeah, take a bucket of acetone
to erase.
38
00:02:14,119 --> 00:02:16,277
- Need a hand with that?
- You trying to be funny?
39
00:02:16,454 --> 00:02:19,123
- Nope, just trying to be helpful.
- Don't bother, boy scout.
40
00:02:19,290 --> 00:02:23,119
I finished your eval. May wanna practice
these words: "paper or plastic?"
41
00:02:23,294 --> 00:02:26,247
Oh, and speaking of
negative evaluations, sign this.
42
00:02:26,421 --> 00:02:29,292
- What's this?
- Documentation of chronic tardiness...
43
00:02:29,466 --> 00:02:31,458
...failure to attend
required conferences.
44
00:02:31,634 --> 00:02:34,546
- I'm pulling six shifts a week-
- And yelling at an X-ray tech.
45
00:02:34,720 --> 00:02:37,384
He gave me a lateral C-spine without T-1.
46
00:02:37,419 --> 00:02:38,919
The repeat took over three hours.
47
00:02:38,974 --> 00:02:41,346
That's unacceptable
and beside the point. Sign it.
48
00:02:41,518 --> 00:02:44,305
- This goes up to Human Resources?
- Nope. Stays with me...
49
00:02:44,479 --> 00:02:46,934
...until I have a fat enough file
to pull the trigger.
50
00:02:47,106 --> 00:02:49,976
- Oh, now you're gonna fire me.
- Keep giving me ammo.
51
00:02:50,192 --> 00:02:52,813
- Oh, hey!
- Electrical malfunction.
52
00:02:52,986 --> 00:02:54,480
- Only on women?
- It happens.
53
00:02:54,721 --> 00:02:56,778
I'm telling you, it's not chickenpox.
54
00:02:57,690 --> 00:03:01,774
Hey, teen mom. News flash.
This is not day care, okay?
55
00:03:01,952 --> 00:03:04,704
Eighty-six the love child
and stop tying up the phone lines.
56
00:03:04,871 --> 00:03:07,113
Yeah, listen, I'm a nurse,
and I'm telling-
57
00:03:07,290 --> 00:03:09,033
Fine. Whatever.
58
00:03:09,626 --> 00:03:11,701
Next time you put a marker on your face,
59
00:03:11,877 --> 00:03:13,867
do it before school so I can get a sitter.
60
00:03:13,902 --> 00:03:16,203
- That means I can stay here?
- Until I can find one.
61
00:03:16,381 --> 00:03:19,382
Now go to the lounge and do
something normal, like homework.
62
00:03:19,551 --> 00:03:21,673
- Hey.
- Hey.
63
00:03:22,011 --> 00:03:23,719
Don't even.
64
00:03:27,016 --> 00:03:29,222
- What's that about?
- Overprotective mother.
65
00:03:30,060 --> 00:03:33,511
- You still on surgical rotation?
- No. I start my ER rotation today.
66
00:03:33,688 --> 00:03:36,143
- Welcome home.
- Got the whole family here!
67
00:03:36,315 --> 00:03:40,063
Low-speed MVA, rear-ended, no PSI.
68
00:03:40,235 --> 00:03:42,691
Superficial face lac on Mom,
sore wrist on the girl...
69
00:03:42,863 --> 00:03:44,902
...and Dad's only complaint
is about his car.
70
00:03:45,073 --> 00:03:47,564
- Six grand in body work, easy.
- What about the baby?
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00:03:47,742 --> 00:03:49,818
Found on the floor,
no apparent injuries.
72
00:03:49,994 --> 00:03:52,070
- No car seat?
- Cries when he's in it.
73
00:03:52,246 --> 00:03:55,033
- So Katie here goes and unhooks him.
- We're all okay here.
74
00:03:55,207 --> 00:03:56,487
Is this totally necessary?
75
00:03:56,666 --> 00:03:58,908
The shock of the accident
can often mask injuries.
76
00:03:59,085 --> 00:04:01,042
Most important factors when...
77
00:04:01,212 --> 00:04:03,204
triaging children involved in an MVA?
78
00:04:03,380 --> 00:04:05,172
- Restraint use.
- Glasgow coma scale.
79
00:04:05,340 --> 00:04:07,896
Evaluate consciousness
and spontaneous movement.
80
00:04:07,931 --> 00:04:09,562
In this case, the baby's a 15.
81
00:04:09,597 --> 00:04:11,344
Good, Neela. What?
82
00:04:11,763 --> 00:04:14,680
- You know this stuff.
- Hey, Abby, guy over here needs a Foley.
83
00:04:14,849 --> 00:04:17,174
Oh, wait, I'm sorry,
you're playing doctor today?
84
00:04:17,351 --> 00:04:21,218
Never mind. I'll find a nurse who's not
kidding herself. Here's one. Mom, right?
85
00:04:21,396 --> 00:04:22,771
Good news and bad news.
86
00:04:22,939 --> 00:04:24,766
The bad news is,
my enlarged prostate guy...
87
00:04:24,941 --> 00:04:28,938
...needs a tube up his urethra. Good
news, he gets to have you in his pants.
88
00:04:29,111 --> 00:04:31,898
I have to take my lunch hour today.
I'm being audited.
89
00:04:32,072 --> 00:04:34,741
- Didn't know we paid you enough.
- You don't.
90
00:04:34,908 --> 00:04:38,407
- My meeting's at noon, downtown, so-
- All right! That is-
91
00:04:39,412 --> 00:04:41,404
- What are you doing?
- What are you doing?
92
00:04:41,580 --> 00:04:43,371
- Cut it out!
- What are you doing?
93
00:04:43,540 --> 00:04:46,873
He just grabbed my ass. Here, take this
to church and have it exorcised.
94
00:04:47,043 --> 00:04:49,712
Keep walking, right up
to the nursing director's office.
95
00:04:49,879 --> 00:04:52,251
When you get there,
there'll be a pink slip waiting.
96
00:04:52,423 --> 00:04:56,005
Good. Give me plenty of time
to file my sexual harassment lawsuit.
97
00:04:57,260 --> 00:04:59,418
You mind?
98
00:04:59,596 --> 00:05:02,596
Yes, I do. You can have it back
at the end of the day...
99
00:05:02,765 --> 00:05:05,552
- ... if you learn to behave!
- Give me my damn hand back!
100
00:05:57,354 --> 00:05:58,813
Dove?
101
00:05:59,648 --> 00:06:03,063
- That the soap you use?
- Oh, yeah.
102
00:06:03,609 --> 00:06:06,361
It works, works, works for you.
103
00:06:07,821 --> 00:06:13,028
You know, they say that smell is
a more powerful sense than sight.
104
00:06:14,077 --> 00:06:17,695
It has a stronger impact on memory.
105
00:06:18,164 --> 00:06:19,824
It's true.
106
00:06:21,166 --> 00:06:24,866
Given the choice, I'd-
I'd choose sight.
107
00:06:26,921 --> 00:06:30,337
Could do without smelling
dog poop again.
108
00:06:30,508 --> 00:06:32,334
Or- Or stepping in it.
109
00:06:32,510 --> 00:06:34,383
Can I get a Vacutainer with a red top?
110
00:06:34,553 --> 00:06:36,130
Housebreaking not going so well?
111
00:06:36,304 --> 00:06:38,676
- I can do that for you if you want.
- No, I got it.
112
00:06:38,848 --> 00:06:40,675
No, it's fine.
113
00:06:41,225 --> 00:06:44,012
- Oh, and thanks.
- For what?
114
00:06:44,186 --> 00:06:45,680
The dog.
115
00:06:45,854 --> 00:06:48,938
He laughs at all my jokes
and licks my feet.
116
00:06:49,107 --> 00:06:51,562
I think I'm in love.
117
00:06:52,860 --> 00:06:55,481
If your dig. levels
are in the therapeutic range...
118
00:06:55,655 --> 00:06:58,324
...you can stop dragging
yourself down here.
119
00:06:59,950 --> 00:07:02,904
Oh, great.
120
00:07:03,078 --> 00:07:05,995
Yeah, just see your primary
physician every three months.
121
00:07:07,039 --> 00:07:11,416
Okay, and we are done.
122
00:07:13,378 --> 00:07:17,707
Listen, I make a mean tri-tip.
123
00:07:18,716 --> 00:07:22,665
- Seriously, I'm quite- Quite the chef.
- Really?
124
00:07:23,804 --> 00:07:25,179
Yeah. Would-?
125
00:07:25,347 --> 00:07:28,347
You know, would you
like to have dinner tonight?
126
00:07:30,143 --> 00:07:34,638
I'll throw in a good bottle of wine
if it would close the deal.
127
00:07:36,899 --> 00:07:39,899
Sure. What time?
128
00:07:40,235 --> 00:07:42,986
- Eight.
- All right, I'll see you then.
129
00:07:43,738 --> 00:07:47,569
- Doctor who does her own blood draws?
- Only on friends.
130
00:07:47,741 --> 00:07:51,110
Listen, sorry about earlier,
but I got a rule against ass-grabbing.
131
00:07:51,286 --> 00:07:52,828
It's a good rule.
132
00:07:52,996 --> 00:07:54,454
What did you do with it anyway?
133
00:07:54,622 --> 00:07:57,195
I put it where it ought to be,
under lock and key.
134
00:07:57,375 --> 00:07:59,533
- Here. I don't need the receipt.
- No, I do.
135
00:07:59,710 --> 00:08:02,082
I'm going long form next year.
136
00:08:03,463 --> 00:08:06,132
- Hey. What the hell are you doing here?
- Working.
137
00:08:06,299 --> 00:08:08,920
- I thought you quit.
- Oh, my dad wouldn't let me.
138
00:08:09,093 --> 00:08:11,762
Said he pull my money
if I didn't see this thing through.
139
00:08:11,929 --> 00:08:14,502
- This "thing" meaning medicine?
- Yeah. Want some?
140
00:08:14,681 --> 00:08:16,259
It's 10:00 in the morning, man.
141
00:08:16,433 --> 00:08:19,932
- Hey, you been smoking weed?
- You know, my roommate tokes.
142
00:08:20,103 --> 00:08:22,428
Can't help it if the smell sticks.
143
00:08:29,027 --> 00:08:31,269
Katie, knock it off.
144
00:08:31,446 --> 00:08:32,856
Sorry about the mess, doc.
145
00:08:33,031 --> 00:08:35,817
We're med students actually,
and it's fine, really.
146
00:08:36,700 --> 00:08:39,784
He likes you.
Colin usually cries with strangers.
147
00:08:39,953 --> 00:08:43,286
- When's he not crying?
- Seems like a happy enough guy.
148
00:08:43,456 --> 00:08:45,781
Head sheet, ibuprofen,
and Dad's good to go.
149
00:08:45,958 --> 00:08:48,366
Oh, he's not either of their fathers.
150
00:08:48,544 --> 00:08:51,117
- He's my boyfriend.
- Who's next?
151
00:08:51,296 --> 00:08:54,795
Seven-year-old, no medical history,
ecchymosis of left hand.
152
00:08:54,966 --> 00:08:57,587
Full range of motion,
neurovascularly intact.
153
00:08:57,760 --> 00:09:01,674
X- rays are clear. NSAIDs for pain,
R.I.C.E. and home?
154
00:09:01,847 --> 00:09:03,258
Good. Neela?
155
00:09:03,432 --> 00:09:06,101
Twenty-one-year-old female,
1- centimeter forehead lac...
156
00:09:06,268 --> 00:09:08,593
...cleared the neck clinically,
exam normal.
157
00:09:08,770 --> 00:09:11,343
Irrigated the wound,
approximated edges with Dermabond.
158
00:09:11,522 --> 00:09:14,642
- Excellent. Abby?
- Full-term ten-month-old male...
159
00:09:14,817 --> 00:09:17,189
...alert and interactive.
He doesn't seem to be on-
160
00:09:17,361 --> 00:09:21,986
- Start with the vitals.
- Afebrile, pulse 118, resps 24.
161
00:09:22,156 --> 00:09:24,861
No hematoma or stepoff.
Lungs are clear, abdomen soft...
162
00:09:25,034 --> 00:09:29,826
...moves all extremities. Since he wasn't
restrained, think baby gram and head CT.
163
00:09:29,997 --> 00:09:33,412
- A full body X-ray?
- He might need a screening film...
164
00:09:33,583 --> 00:09:37,283
- ... since he can't tell us what hurts.
- He would with irritability and guarding.
165
00:09:37,461 --> 00:09:40,497
Trust your exam, Abby.
No unnecessary X-rays, no CT.
166
00:09:40,672 --> 00:09:43,293
He already got a portable.
167
00:09:46,886 --> 00:09:49,128
Finish the discharge paperwork
and send him home.
168
00:09:49,680 --> 00:09:52,088
Dr. Kovac, I have a UTI in 2.
169
00:09:52,266 --> 00:09:55,266
Maybe you're like me,
better with babies than with school.
170
00:09:57,562 --> 00:10:00,017
Got in a fight, stuck with a shank
made out of a fork.
171
00:10:00,189 --> 00:10:02,229
- Jimmy, I need to see your eyes.
- Can I help?
172
00:10:02,400 --> 00:10:05,353
Stab wound above the scapula.
Tell me what you do.
173
00:10:06,361 --> 00:10:10,690
- ABC's, IV, O2, monitor and pulse ox.
- That and introduce yourself.
174
00:10:10,865 --> 00:10:14,068
Hi. I'm Neela Rasgotra.
I'm going to listen to your lungs now.
175
00:10:14,243 --> 00:10:16,994
Okay, head's atraumatic, TM's fine.
176
00:10:17,162 --> 00:10:19,487
They handcuff in juvenile hall?
177
00:10:19,665 --> 00:10:21,871
He's 18, with the big boys
at Joliet for aggravated assault,
178
00:10:22,042 --> 00:10:23,998
B and E. Five to 10...
179
00:10:24,168 --> 00:10:25,331
...but probably get a few more now.
180
00:10:25,503 --> 00:10:28,041
Clear, no increased work of breathing.
181
00:10:28,631 --> 00:10:31,168
Which means the knife wound
hasn't affected your lungs.
182
00:10:31,341 --> 00:10:34,377
Okay, portable chest with a lateral neck
and a set of hematocrits.
183
00:10:34,552 --> 00:10:37,506
Dr. Chen, there's a call from China
holding on line one for you.
184
00:10:37,680 --> 00:10:40,052
Wonder what time it is over there.
Do me a favor.
185
00:10:40,224 --> 00:10:43,094
Can you tell my parents
the cat's fine and I'll call later.
186
00:10:43,268 --> 00:10:45,640
It's not your folks. It's the embassy.
187
00:10:46,396 --> 00:10:49,147
Get him set up for suturing.
188
00:10:49,732 --> 00:10:51,938
"B and E,"
that's "breaking and entering. "
189
00:10:52,109 --> 00:10:53,983
What did you break into?
190
00:10:54,653 --> 00:10:58,235
My stepfather's house.
He locked me out.
191
00:11:01,159 --> 00:11:03,235
You still here?
192
00:11:03,411 --> 00:11:07,194
- Who's asking?
- I'm a nurse. I saw you earlier.
193
00:11:07,372 --> 00:11:09,993
Oh, I wish I could say the same.
194
00:11:10,750 --> 00:11:14,534
Have you seen a cabbie anywhere around
here? I called for one about an hour ago.
195
00:11:14,712 --> 00:11:16,751
No. I can call another one for you.
196
00:11:18,799 --> 00:11:22,084
- You okay?
- Me? Oh, yeah, yeah.
197
00:11:22,260 --> 00:11:24,833
Blind, getting blinder every day.
198
00:11:25,430 --> 00:11:27,588
- Life is good.
- Sam.
199
00:11:28,015 --> 00:11:31,265
- I'll call you another cab.
- Got your backup babysitter on line one.
200
00:11:31,435 --> 00:11:35,053
She's glad you called, she's got pinkeye,
wonders can you get her antibiotics?
201
00:11:35,230 --> 00:11:37,934
Fifty pounds of pressure in addition
to being waterproof.
202
00:11:38,107 --> 00:11:40,230
Which makes it perfect
for shucking clams.
203
00:11:40,401 --> 00:11:43,485
- What happened to your other gizmo?
- It's being punished.
204
00:11:43,654 --> 00:11:46,607
- Enough fun and games. Where is it?
- You got a stay of execution.
205
00:11:46,782 --> 00:11:50,280
- Your audit's been pushed an hour.
- Nothing like postponing the inevitable.
206
00:11:50,451 --> 00:11:53,322
- Hey, my hand. Cough it up.
- At the end of the day...
207
00:11:53,496 --> 00:11:55,453
...if you don't try anything
with that one.
208
00:11:55,623 --> 00:11:57,579
Need I remind you that I'm in charge?
209
00:11:57,749 --> 00:11:59,409
You'll have to convince me first.
210
00:11:59,918 --> 00:12:03,618
- Hey, Alex.
- What's a prolapsed rectum?
211
00:12:03,796 --> 00:12:06,999
Shouldn't you be reading,
like, Harry Potter or something?
212
00:12:08,133 --> 00:12:11,632
- You menstruating?
- Hey, look a popped-out eyeball!
213
00:12:16,140 --> 00:12:17,171
Something wrong?
214
00:12:17,350 --> 00:12:19,472
My parents were in a car accident.
215
00:12:19,643 --> 00:12:21,683
- I'm sorry.
- Happened in some province...
216
00:12:21,854 --> 00:12:24,142
...north of Suzhou.
I'm not exactly sure where.
217
00:12:24,314 --> 00:12:27,228
- Can you get somebody to cover for me?
- Of course. Are you okay?
218
00:12:27,400 --> 00:12:30,733
Not really. I have to pack
and get my emergency visa.
219
00:12:30,903 --> 00:12:33,145
I don't even know
if my passport's still good.
220
00:12:33,322 --> 00:12:34,650
Do you know any details?
221
00:12:34,823 --> 00:12:37,492
Only that there are no trauma centers
in China.
222
00:12:43,122 --> 00:12:44,664
Something happen?
223
00:12:44,832 --> 00:12:47,583
Her parents got hurt in China. MVA.
224
00:12:51,463 --> 00:12:53,206
Hey, Jing-Mei.
225
00:12:53,381 --> 00:12:55,290
What's going on? Your folks okay?
226
00:12:55,466 --> 00:12:57,423
I won't know until I get there.
227
00:12:57,593 --> 00:13:00,463
- Is there anything I can do?
- No, I don't think so.
228
00:13:00,637 --> 00:13:03,175
Okay. Come here.
229
00:13:05,266 --> 00:13:08,018
Don't worry, it's gonna be okay.
230
00:13:09,854 --> 00:13:11,976
I gotta go.
231
00:13:14,316 --> 00:13:16,474
Jensen's at a conference,
Stewart's on nights...
232
00:13:16,651 --> 00:13:19,521
...Chen's on emergency leave.
It leaves us short one Attending.
233
00:13:19,695 --> 00:13:23,230
Ankle sprain, med refill, kid with cough.
I'll pick up her slack.
234
00:13:23,741 --> 00:13:25,283
She also had a dislocated shoulder.
235
00:13:25,450 --> 00:13:27,443
I'll give reductions to Residents...
236
00:13:27,786 --> 00:13:29,992
...with two paws and half a brain.
237
00:13:30,163 --> 00:13:33,163
Elbow contusion, fight-bite lac. Beat it.
238
00:13:33,332 --> 00:13:36,368
What pleasure could you possibly get
out of humiliating people?
239
00:13:36,543 --> 00:13:39,034
- Fun. You ought to try it sometime.
- What did I miss?
240
00:13:39,212 --> 00:13:42,877
Your calling, as a hoodlum.
Here, prison stabbing...
241
00:13:43,049 --> 00:13:44,876
...ought to be right up your alley.
242
00:13:45,051 --> 00:13:47,837
If it's any consolation,
we all suffer at his hand.
243
00:13:48,387 --> 00:13:50,047
What do you got?
244
00:13:50,222 --> 00:13:52,759
Franny Meyers, 34 years old,
brought in by paramedics...
245
00:13:52,932 --> 00:13:55,493
...with chest pain and palpitations
for an hour.
246
00:13:55,528 --> 00:13:57,609
No cardiac history, no risk factors.
247
00:13:57,687 --> 00:13:59,809
I'm Dr. Lewis.
Can you tell me what happened?
248
00:13:59,980 --> 00:14:03,147
Nothing, I felt a little dizzy at work
and somebody called 911.
249
00:14:03,316 --> 00:14:06,021
- I'm fine now.
- Orthostatics are good. I got an EKG...
250
00:14:06,194 --> 00:14:08,067
- ... which was normal.
- Any medications?
251
00:14:08,237 --> 00:14:10,146
- Nope.
- Are you having trouble sleeping?
252
00:14:10,323 --> 00:14:13,738
- No.
- Do you drink soda, coffee?
253
00:14:13,909 --> 00:14:15,782
- Never.
- Really? That's amazing.
254
00:14:15,952 --> 00:14:18,823
I skipped breakfast, that's all.
Listen, I have got to go...
255
00:14:18,997 --> 00:14:20,740
...pick up my little girl from preschool.
256
00:14:20,915 --> 00:14:22,706
No, you're not going anywhere soon.
257
00:14:22,875 --> 00:14:25,081
Someone with chest pain
and heart palpitations...
258
00:14:25,252 --> 00:14:27,291
...we keep them overnight
for observation.
259
00:14:27,462 --> 00:14:29,843
My husband can't do everything.
He works too.
260
00:14:29,878 --> 00:14:32,424
Find a bed on Telemetry
and send out for troponins?
261
00:14:32,592 --> 00:14:34,465
Yeah. Have Cards do a stress test.
262
00:14:34,635 --> 00:14:36,628
I have three kids, work a full-time job,
every day...
263
00:14:36,804 --> 00:14:39,388
is a stress test. This is nothing.
264
00:14:39,423 --> 00:14:43,032
Probably you're right, but we need to
follow your labs and monitor your heart.
265
00:14:43,218 --> 00:14:44,597
Yeah.
266
00:14:46,270 --> 00:14:47,764
You seem to be doing well.
267
00:14:47,938 --> 00:14:50,227
One-on-one. I'm not so hot in a group.
268
00:14:50,399 --> 00:14:52,438
You know, it gets better.
It always does.
269
00:14:52,609 --> 00:14:56,060
- Wanna get something to eat tonight?
- Oh, I have a date, sort of.
270
00:14:56,237 --> 00:14:58,277
- Chuck?
- No.
271
00:14:58,448 --> 00:15:01,448
We should spend either
all our time together or none at all...
272
00:15:01,617 --> 00:15:03,775
...and I'm kind of leaning
towards none at all.
273
00:15:03,952 --> 00:15:06,869
- So it's a date with someone new?
- Someone old, actually.
274
00:15:43,695 --> 00:15:46,150
Did that guy's head get cracked
by a bat or something?
275
00:15:46,322 --> 00:15:48,694
- Sledgehammer.
- Really?
276
00:15:48,866 --> 00:15:51,950
No, he slipped in the shower,
bumped his head. He's gonna be fine.
277
00:15:52,119 --> 00:15:53,910
Aren't you supposed to be
in the lounge?
278
00:15:54,079 --> 00:15:56,285
Yeah, but mostly away from you.
279
00:15:56,456 --> 00:15:58,365
I don't know what
my mom's problem is.
280
00:15:58,541 --> 00:16:01,577
I've been in DKA like
a thousand times this year.
281
00:16:01,752 --> 00:16:04,919
- Wasn't your fault.
- I better take you back.
282
00:16:05,089 --> 00:16:07,164
Belly pain prior to vomiting and diarrhea,
283
00:16:07,341 --> 00:16:09,167
...no fever, no history of stones...
284
00:16:09,342 --> 00:16:12,011
- ... urine dip negative.
- Might be the seafood lo mein.
285
00:16:12,178 --> 00:16:14,503
- I'm thinking appy.
- CBC results?
286
00:16:15,056 --> 00:16:18,305
I didn't order a CBC. Dr. Kovac?
287
00:16:18,475 --> 00:16:20,266
You didn't check the white-cell count...
288
00:16:20,435 --> 00:16:22,095
on a possible appendicitis?
289
00:16:22,270 --> 00:16:25,187
I told him not to bother.
No guarding, no rebound, no fever.
290
00:16:25,356 --> 00:16:27,681
CBC is the standard test used
in the diagnosis-
291
00:16:27,858 --> 00:16:31,357
For almost everything, but it's useless
for anything else except leukemia...
292
00:16:31,528 --> 00:16:32,773
- ... which he doesn't have.
293
00:16:32,946 --> 00:16:35,069
It's a primary indication of infection...
294
00:16:35,240 --> 00:16:38,157
...and I have absolutely no intention
of proceeding without it.
295
00:16:38,326 --> 00:16:40,995
Fine, then it was 16,000.
296
00:16:41,579 --> 00:16:45,623
- You told me you didn't order the test.
- I forgot to put the results on the chart.
297
00:16:49,335 --> 00:16:51,790
I still think it's an unconvincing case
for appy.
298
00:16:52,254 --> 00:16:53,535
Exactly my point.
299
00:16:53,964 --> 00:16:56,170
Order a CT with triple contrast
to be certain.
300
00:16:56,341 --> 00:16:58,001
Yes, ma'am.
301
00:16:58,176 --> 00:17:00,465
If you're on a mission to subvert
protocol,
302
00:17:00,637 --> 00:17:03,388
you should clear it
through Administration first.
303
00:17:03,556 --> 00:17:07,648
How do you stand it down here?
Everybody's more agreeable in Surgery.
304
00:17:07,683 --> 00:17:10,919
- Gee, why do you suppose that is?
- Okay, here's a time-waster.
305
00:17:11,096 --> 00:17:14,327
Transport from Geldin, stable
12-year-old heme-onker with fever.
306
00:17:14,362 --> 00:17:15,932
The community hospital
on the east side?
307
00:17:16,108 --> 00:17:17,650
Known as a glorified
Doc In The Box.
308
00:17:17,818 --> 00:17:20,735
Who's expendable? You are.
Since you're neither fish nor fowl...
309
00:17:20,904 --> 00:17:22,925
...you're useless on a mindless transport.
310
00:17:22,960 --> 00:17:23,975
Robert.
311
00:17:24,010 --> 00:17:25,820
Dr. Corday, you forgot to sign
for the factor eight.
312
00:17:25,992 --> 00:17:30,729
Eureka. Our affirmative-action hero
and our sultry hand thief.
313
00:17:30,764 --> 00:17:33,035
Go with God, but more importantly,
just go.
314
00:17:33,207 --> 00:17:36,077
- My kid's here. I don't have a sitter.
- That's my problem, how?
315
00:17:36,251 --> 00:17:40,628
The nurses can take care of him in the
lounge until you get back, right, Chuny?
316
00:17:40,796 --> 00:17:42,421
- Sure, no problem.
- That's settled.
317
00:17:42,590 --> 00:17:46,207
Ebony and Ivory can go into the sunset
and the rest of us can get work done...
318
00:17:46,385 --> 00:17:48,424
- ... without being stared at.
- Come on, honey.
319
00:17:48,595 --> 00:17:50,718
- I don't think his mom loved him.
- You on hold?
320
00:17:50,889 --> 00:17:51,803
Yeah, why?
321
00:17:51,881 --> 00:17:53,212
Mrs. Meyers wants to leave AMA.
322
00:17:53,391 --> 00:17:57,055
Yes, yes, I have an appointment
for today that I'd like to reschedule.
323
00:17:57,227 --> 00:18:00,892
Mrs. Meyers, you need to see
a doctor before you go.
324
00:18:01,064 --> 00:18:03,270
I can't find my shoes.
Somebody stole my shoes.
325
00:18:03,441 --> 00:18:06,062
- They're right there.
- I don't know what I was thinking.
326
00:18:06,235 --> 00:18:08,940
Who's gonna make dinner?
Who's gonna feed the dogs?
327
00:18:09,113 --> 00:18:11,271
- Slow down.
- Who's gonna wash the clothes?
328
00:18:11,448 --> 00:18:13,606
All right.
329
00:18:13,783 --> 00:18:18,279
- She barely has a pulse.
- Someone grab a crash cart!
330
00:18:19,038 --> 00:18:21,991
I'm okay. I'm okay.
331
00:18:26,878 --> 00:18:30,247
- Have you been in prison long?
- Few months.
332
00:18:30,840 --> 00:18:33,461
Busted me right after
my girlfriend got me this.
333
00:18:36,011 --> 00:18:38,003
Her name's Lila.
334
00:18:38,471 --> 00:18:40,677
She's pretty too.
335
00:18:41,182 --> 00:18:44,218
- Stitches can come out in 10 days.
- How's he doing?
336
00:18:44,393 --> 00:18:47,098
Has some bony tenderness,
just on his way to Radiology now.
337
00:18:47,271 --> 00:18:48,385
Otherwise, completely intact.
338
00:18:48,563 --> 00:18:50,188
Then we need to make a switch.
339
00:18:50,357 --> 00:18:52,978
Hang on, let me uncuff him.
340
00:18:53,151 --> 00:18:56,104
- Let's go.
- Easy, man.
341
00:18:56,278 --> 00:18:58,187
Dr. Pratt.
342
00:19:01,491 --> 00:19:03,531
- Get her out of here!
- Jimmy, it's all right.
343
00:19:03,702 --> 00:19:05,943
- Just get her out!
- Okay. Okay. Go. Go.
344
00:19:06,120 --> 00:19:09,240
Guys give me a couple of minutes,
all right? Please.
345
00:19:13,001 --> 00:19:15,836
- Want to tell me what happened?
- I'm not a fag, all right?
346
00:19:16,296 --> 00:19:20,163
Okay. But you're bleeding pretty bad.
Did they rape you?
347
00:19:21,008 --> 00:19:23,463
Don't come close, okay? I'm cool.
348
00:19:23,635 --> 00:19:25,794
This is serious.
349
00:19:26,721 --> 00:19:30,304
- I said, just leave me alone.
- Okay, so you're refusing treatment.
350
00:19:32,059 --> 00:19:35,843
Just know that you're AMA and going
back to the big house in about an hour.
351
00:19:37,564 --> 00:19:42,107
Now, you let me do the exam,
you buy yourself at least a day here.
352
00:19:44,028 --> 00:19:47,527
- One more time, hard as you can.
- Anybody seen Sam's weird little kid?
353
00:19:47,698 --> 00:19:50,189
- I can't find him anywhere.
- Nope.
354
00:19:50,367 --> 00:19:53,237
- Still SVT.
- Am I having a heart attack?
355
00:19:53,411 --> 00:19:56,116
I don't think so, but your heart
is beating fast.
356
00:19:56,289 --> 00:19:59,408
No T waves, narrow QRS.
Has anything like this happened before?
357
00:19:59,583 --> 00:20:02,868
- No, I don't think so.
- EKG tech's on his way.
358
00:20:03,045 --> 00:20:04,159
- Supraventricular tachycardia?
359
00:20:04,337 --> 00:20:05,997
Yes, vagal maneuvers didn't work.
360
00:20:06,172 --> 00:20:08,841
- Adenosine?
- Six milligrams.
361
00:20:09,008 --> 00:20:10,668
Mrs. Meyers, we're
giving you medicine to...
362
00:20:10,843 --> 00:20:12,551
try and to convert your heart
back to a normal rhythm.
363
00:20:12,720 --> 00:20:15,804
When we do, we'll be better able
to find out why this is happening.
364
00:20:15,972 --> 00:20:18,131
I'll administer it. Nice assessment.
365
00:20:18,308 --> 00:20:19,387
Thanks.
366
00:20:21,519 --> 00:20:24,092
- You never compliment me like that.
- Like what?
367
00:20:24,271 --> 00:20:25,682
"Nice assessment."
368
00:20:26,315 --> 00:20:27,857
- I do.
- No, you don't.
369
00:20:28,400 --> 00:20:30,392
- I don't?
- No.
370
00:20:30,902 --> 00:20:35,528
I give you my time, which is
the highest form of a compliment.
371
00:20:43,079 --> 00:20:45,748
Out of the way.
Out of the way. Shoo.
372
00:20:47,667 --> 00:20:50,453
What's the weirdest thing you've taken
out of someone's body?
373
00:20:50,627 --> 00:20:54,254
Prednisone for five days and Benadryl
for itching, okay, Mr. McPhee?
374
00:20:54,422 --> 00:20:56,711
- Like a real long tapeworm?
- Worse.
375
00:20:56,883 --> 00:20:59,290
Can you get a knee immobilizer
for the LOL in 3?
376
00:20:59,468 --> 00:21:01,924
- Yes, doctor.
- A gerbil?
377
00:21:02,596 --> 00:21:06,545
Look, Alex, I really need to work now.
Go back to the lounge, okay?
378
00:21:08,101 --> 00:21:10,592
Chuny, the rule-out appy guy's eating?
379
00:21:10,770 --> 00:21:12,976
Mr. Persky? He's on his second tray.
380
00:21:15,649 --> 00:21:17,772
Okay, Mr. Persky, time to go home.
381
00:21:17,943 --> 00:21:19,935
Let me sign these discharge papers-
382
00:21:20,111 --> 00:21:22,269
What about the CT Corday wanted?
383
00:21:22,447 --> 00:21:25,483
He's past the common age for appy,
he's not getting any sicker...
384
00:21:25,658 --> 00:21:28,445
- ... and he's got an appetite.
- You said it was appendicitis.
385
00:21:28,619 --> 00:21:30,410
Not if you can stomach that much food.
386
00:21:30,579 --> 00:21:33,200
But there was progression of pain,
there was tenderness.
387
00:21:33,373 --> 00:21:36,409
- Could be an unusual presentation.
- Sure, once in a million cases.
388
00:21:36,584 --> 00:21:38,375
Kovac, Radiology wants you upstairs.
389
00:21:38,544 --> 00:21:40,750
Your tibia-fracture lady is agitated.
390
00:21:40,921 --> 00:21:42,581
Mr. Persky, if you experience vomiting,
391
00:21:42,756 --> 00:21:44,748
fever or worsening belly pain, come back.
392
00:21:45,175 --> 00:21:47,463
Otherwise, have a nice day.
393
00:21:47,635 --> 00:21:49,544
Where are you going now?
394
00:21:50,304 --> 00:21:51,584
- X-ray.
- Can I come?
395
00:21:51,764 --> 00:21:54,171
No. The lounge, go.
396
00:21:55,600 --> 00:21:59,135
Hey, Chuny, need you to get me
an Attending for a rape exam.
397
00:21:59,312 --> 00:22:01,304
We use the same kit
for men and women, right?
398
00:22:01,480 --> 00:22:03,520
I'll do it when I get back from Radiology.
399
00:22:03,555 --> 00:22:04,781
No, thanks.
400
00:22:04,816 --> 00:22:07,443
A guy can get raped?
401
00:22:11,197 --> 00:22:13,735
- Doctor, got a minute?
- I got 10 patients of my own...
402
00:22:13,908 --> 00:22:16,861
...and six med students I'm avoiding,
does it look like it?
403
00:22:17,036 --> 00:22:19,194
- I need you to do a rape kit.
- Wasn't on the board.
404
00:22:19,371 --> 00:22:21,326
Had a knife wound, he didn't tell us.
405
00:22:21,361 --> 00:22:22,573
He?
406
00:22:22,608 --> 00:22:25,783
The prisoner you gave me earlier.
He has some rectal bleeding.
407
00:22:25,960 --> 00:22:29,625
Well, you go ahead, I'll sign off on it.
408
00:22:29,797 --> 00:22:32,334
Per Legal, an Attending should do
all rape exams.
409
00:22:32,507 --> 00:22:35,045
- It'll be our little secret.
- Hey, wait a minute. Wait.
410
00:22:35,218 --> 00:22:37,415
You're all over me for protocol,
411
00:22:37,763 --> 00:22:39,424
and now you want me to do a procedure-
412
00:22:39,476 --> 00:22:42,515
All of a sudden you're Mr. By-the-Book?
This is not a stretch for you.
413
00:22:42,683 --> 00:22:45,387
Just do it, break the rules.
You're good at it.
414
00:22:49,022 --> 00:22:51,180
- Coffee break, imagine that.
- You from County?
415
00:22:51,357 --> 00:22:53,017
- Yes, sir.
- Twelve-year-old...
416
00:22:53,192 --> 00:22:55,896
...with acute myeloid leukemia
spiked a fever to 102.
417
00:22:56,069 --> 00:22:58,690
It's probably just a cold,
but since she's neutropenic...
418
00:22:58,863 --> 00:23:01,401
...she needs admission somewhere
till her culture's negative.
419
00:23:01,574 --> 00:23:03,863
- You don't have a Pedes floor?
- Budget cuts.
420
00:23:04,035 --> 00:23:08,488
Chest X-ray's clear, UA's negative,
got two grams of Ceftaz.
421
00:23:08,664 --> 00:23:09,908
- Her parents here?
- Yep,
422
00:23:10,082 --> 00:23:12,205
brought her over from
Ann Arbor for a concert,
423
00:23:12,240 --> 00:23:14,910
...celebrate her successful
bone-marrow transplant.
424
00:23:15,086 --> 00:23:19,130
Girl started feeling sick so they drove her
to the nearest hospital, which was us.
425
00:23:19,298 --> 00:23:21,967
I thought you said she just had a cold.
I'm Dr. Gallant, from County.
426
00:23:22,134 --> 00:23:25,087
- She didn't look like this earlier.
- Michelle, can you hear me?
427
00:23:25,261 --> 00:23:26,636
Last vitals were two hours ago.
428
00:23:26,804 --> 00:23:28,179
They said she was sleeping.
429
00:23:28,347 --> 00:23:30,803
- Oxygen mask.
- She was satting at 100 percent.
430
00:23:30,975 --> 00:23:33,809
Can't get a good pulse ox
through this much nail polish.
431
00:23:34,311 --> 00:23:36,137
- No, a Pedes mask.
- We don't have them.
432
00:23:36,313 --> 00:23:39,683
She should be on a monitor. Mix some
ox and gent and hang another liter.
433
00:23:39,857 --> 00:23:40,888
She was stable.
434
00:23:41,108 --> 00:23:42,187
Now she's septic. We need Valium.
435
00:23:42,359 --> 00:23:45,230
- Here, catch.
- Will someone tell us what's going on?
436
00:23:45,404 --> 00:23:48,097
She might have a blood infection and
chemo weakened her ability to fight it.
437
00:23:48,132 --> 00:23:49,927
Sats only 81.
438
00:23:50,617 --> 00:23:53,570
- Okay, help me get her onto the gurney.
- Gallant.
439
00:23:53,744 --> 00:23:55,950
I need to explain the risks of transport.
440
00:23:56,121 --> 00:23:57,948
Gallant, I need to talk to you.
441
00:23:58,123 --> 00:24:00,792
There's chances of worsening
her condition in transport.
442
00:24:00,959 --> 00:24:04,908
Now, doctor. I need to speak with you.
443
00:24:05,755 --> 00:24:09,337
She's not stable. You need to stay here
or tube her before we go.
444
00:24:09,508 --> 00:24:12,425
She has a strong pulse, we have her
on O2. We scoop and run.
445
00:24:12,594 --> 00:24:16,053
- It's 20 minutes till she stops breathing.
- County is 15, tops.
446
00:24:16,222 --> 00:24:19,139
Look, if I can't get her tubed,
there's no backup here, none.
447
00:24:20,559 --> 00:24:22,682
Okay, let's go.
We're going code three.
448
00:24:22,853 --> 00:24:24,929
- What does that mean?
- Your daughter's sick...
449
00:24:25,105 --> 00:24:27,113
...we need to get her to a trauma center.
450
00:24:27,148 --> 00:24:28,159
Can we ride with her?
451
00:24:28,194 --> 00:24:31,603
- No room. We're headed to County.
- Gallant, consent.
452
00:24:31,777 --> 00:24:34,102
Sign here.
453
00:24:36,656 --> 00:24:39,776
Your heart rate's back to normal,
which means the adenosine worked.
454
00:24:39,951 --> 00:24:43,284
- Did you get in touch with your husband?
- Yeah. He's picking up the kids.
455
00:24:43,454 --> 00:24:45,883
- That's one less thing for you to do.
- Yeah.
456
00:24:45,918 --> 00:24:47,907
You should try to get some rest.
457
00:24:48,083 --> 00:24:49,910
I can't.
458
00:24:52,128 --> 00:24:56,955
- I lied. I don't sleep much at all.
- Really?
459
00:24:58,300 --> 00:25:01,467
Do you think that's weird?
I don't even know anymore.
460
00:25:02,471 --> 00:25:04,297
I think...
461
00:25:05,723 --> 00:25:09,590
I think with three kids it's pretty hard
to do without some help.
462
00:25:11,228 --> 00:25:13,019
You have any help?
463
00:25:13,355 --> 00:25:16,439
A nanny? No.
464
00:25:17,775 --> 00:25:20,610
No, I mean, for energy.
465
00:25:21,153 --> 00:25:25,898
Are you taking anything or drinking
anything to give you a little lift?
466
00:25:28,034 --> 00:25:30,607
Because, Franny,
if you are taking something...
467
00:25:31,120 --> 00:25:34,287
...it could be doing serious damage
to your heart.
468
00:25:45,675 --> 00:25:48,379
Another mom I know gives it to me.
469
00:25:48,552 --> 00:25:51,339
It's the only way
that we can get things done.
470
00:25:57,727 --> 00:25:59,470
Please...
471
00:26:00,354 --> 00:26:02,477
...don't tell my husband.
472
00:26:05,191 --> 00:26:06,983
Okay.
473
00:26:07,944 --> 00:26:09,983
I'll be right back.
474
00:26:12,573 --> 00:26:15,324
An hour and counting. Do you think
the IRS flagged me...
475
00:26:15,492 --> 00:26:18,528
- ... because I worked in two states?
- Soccer mom uses crystal meth.
476
00:26:18,703 --> 00:26:20,696
- What?
- You heard me.
477
00:26:20,872 --> 00:26:23,576
- Did she just tell you out of the blue?
- No, I asked.
478
00:26:23,749 --> 00:26:26,157
- Someone help us! We were just here.
- What happened?
479
00:26:26,335 --> 00:26:28,161
He fell asleep
and now he won't wake up.
480
00:26:28,337 --> 00:26:31,498
- They came with an MVA this morning.
- They were discharged.
481
00:26:31,673 --> 00:26:33,914
- Any vomiting?
- No, no, but he's not right.
482
00:26:34,092 --> 00:26:36,000
You must have missed something.
483
00:27:01,198 --> 00:27:04,483
- Pupils are equal and sluggish.
- He's hypertensive, 110/82.
484
00:27:04,660 --> 00:27:06,901
- Miller two and a 4-0 ET tube.
- What's going on?
485
00:27:07,078 --> 00:27:09,913
- Sir, we're trying to find out.
- Let's get a gram of mannitol.
486
00:27:10,081 --> 00:27:12,323
- Did he get a CT?
- No.
487
00:27:12,500 --> 00:27:14,622
- Cricoid.
- Heart rate's 69.
488
00:27:14,793 --> 00:27:16,620
Tube. No CT after an MVA?
489
00:27:16,795 --> 00:27:19,001
He just flew out of the car seat.
490
00:27:19,172 --> 00:27:21,579
Okay. I...
491
00:27:22,258 --> 00:27:25,175
I'm in. Did you check
for a cranial hematoma for a stepoff?
492
00:27:25,344 --> 00:27:28,380
- Yes. I checked all of that. He was fine.
- Mannitol's running.
493
00:27:28,555 --> 00:27:32,339
- What's wrong?
- He might've had some head trauma.
494
00:27:32,517 --> 00:27:35,802
It can cause bleeding in the brain.
I'm sorry it wasn't caught earlier.
495
00:27:35,978 --> 00:27:37,971
Let's get him a CT.
496
00:27:40,441 --> 00:27:43,560
Unrestrained and no CT?
Are you kidding, Abby?
497
00:27:51,033 --> 00:27:52,824
Hey.
498
00:27:55,620 --> 00:27:57,114
What did the CT show?
499
00:27:57,289 --> 00:27:59,530
Parietal skull fracture
with subdural hematoma.
500
00:27:59,707 --> 00:28:01,498
Neurosurg has got him up
in the OR now.
501
00:28:01,667 --> 00:28:04,033
- How could I miss an intracranial bleed?
- It happens.
502
00:28:04,211 --> 00:28:07,081
- He seemed like a healthy baby to me.
- You had an Attending.
503
00:28:07,255 --> 00:28:09,829
If I can't trust my clinical skills,
I should go home...
504
00:28:10,008 --> 00:28:12,677
...because the book stuff
is not going that great either.
505
00:28:12,844 --> 00:28:15,381
When I get back, we'll pull
the charts and the film...
506
00:28:15,554 --> 00:28:18,590
...and we'll just go over it step-by-step
and see what went wrong.
507
00:28:18,765 --> 00:28:21,885
- It's how you learn.
- Need some help in here!
508
00:28:22,060 --> 00:28:25,218
- Didn't they tell you she was septic?
- Claimed they didn't know.
509
00:28:25,396 --> 00:28:27,717
- Went apneic in the rig.
- Lost pulse when we pulled up.
510
00:28:27,790 --> 00:28:30,328
She's in PEA. Milligram of epi, atropine.
511
00:28:30,401 --> 00:28:32,395
What about your audit?
512
00:29:03,671 --> 00:29:05,513
Third atropine's in.
513
00:29:05,681 --> 00:29:08,884
Weak femoral pulse with compressions.
The trip over did not help.
514
00:29:09,059 --> 00:29:10,733
She wasn't coding.
She had a good pulse.
515
00:29:10,802 --> 00:29:12,929
Dopa's up to 20, don't have a pressure.
516
00:29:13,104 --> 00:29:15,097
They had no Pedes RTs, no equipment.
517
00:29:15,273 --> 00:29:18,775
- It was dangerous to leave her.
- Yeah, they're a bunch of idiots.
518
00:29:18,943 --> 00:29:21,398
Why didn't you tube her?
Stop compressions.
519
00:29:22,112 --> 00:29:23,571
Still PEA.
520
00:29:23,738 --> 00:29:27,273
- She was breathing on her own.
- Dr. Lewis, got your geriatric boyfriend...
521
00:29:27,450 --> 00:29:30,735
- ... on the phone. It's important.
- I'll call back. Resume compressions.
522
00:29:31,328 --> 00:29:33,736
- Come on, Michelle.
- More epi. Where are the parents?
523
00:29:33,914 --> 00:29:35,740
- Coming from Geldin.
- Can they get here?
524
00:29:35,916 --> 00:29:38,750
- I think they're from Michigan.
- She's fixed and dilated.
525
00:29:38,918 --> 00:29:41,409
They better figure it out fast.
526
00:29:41,587 --> 00:29:45,834
Dr. Morris, your pancreatitis
is a case of menstrual cramps.
527
00:29:46,800 --> 00:29:49,255
So perhaps in the future,
before you call Surgery...
528
00:29:49,427 --> 00:29:51,087
...read Chapter 1 of Harrison's.
529
00:29:51,262 --> 00:29:52,460
Right.
530
00:29:52,638 --> 00:29:55,129
Can you make sure Amanda Knight
gets 600 of ibuprofen?
531
00:29:55,307 --> 00:29:56,798
- Yes, doctor.
- I consulted on that man earlier.
532
00:29:56,833 --> 00:29:58,166
Why isn't he in bed?
533
00:29:58,227 --> 00:30:00,302
- He just signed in.
- Mr. Persky's back?
534
00:30:00,479 --> 00:30:03,265
- Who let him go in the first place?
- Dr. Kovac let him go.
535
00:30:03,439 --> 00:30:06,357
- Without the CT I ordered?
- Mr. Persky, what happened?
536
00:30:06,525 --> 00:30:09,894
- He's febrile.
- Oh, God.
537
00:30:17,160 --> 00:30:20,493
It hurt for a while there,
but it's much better now.
538
00:30:20,663 --> 00:30:23,414
- Think he perfed?
- Yes. Mr. Persky...
539
00:30:23,582 --> 00:30:27,413
...when the appendix bursts, it releases
pressure, which abates the pain.
540
00:30:27,585 --> 00:30:30,337
Unfortunately, it releases
fecal matter into the belly...
541
00:30:30,505 --> 00:30:32,663
...requiring us to operate on you.
542
00:30:32,840 --> 00:30:35,165
- Like under anesthesia?
- Yes.
543
00:30:35,842 --> 00:30:38,511
My mother died that way.
No anesthesia.
544
00:30:39,095 --> 00:30:42,380
- During your surgery?
- Yes. Going under is what killed her.
545
00:30:42,807 --> 00:30:46,175
Right. Okay, well, let's take
Mr. Persky upstairs and prep him...
546
00:30:46,352 --> 00:30:49,186
- ... for surgery. I'll be right there.
- Where are you going?
547
00:30:49,354 --> 00:30:51,560
I'm gonna find Dr. Kovac.
548
00:30:56,610 --> 00:30:58,686
Stop compressions.
549
00:30:59,530 --> 00:31:01,736
Asystole.
550
00:31:03,825 --> 00:31:06,197
Resuming compressions.
551
00:31:06,369 --> 00:31:09,823
- Should we try transcutaneous pacing?
- How long has she been down?
552
00:31:09,997 --> 00:31:13,116
- Forty-two minutes.
- Okay, Gallant.
553
00:31:13,542 --> 00:31:15,202
Gallant.
554
00:31:15,377 --> 00:31:17,749
Time of death, 15:37.
555
00:31:25,969 --> 00:31:30,180
There's only so much responsibility
you can take. You didn't give her cancer.
556
00:31:30,807 --> 00:31:33,511
So how come that doesn't
make me feel any better?
557
00:31:34,185 --> 00:31:36,058
Those the parents?
558
00:31:36,812 --> 00:31:38,520
Yeah.
559
00:31:39,189 --> 00:31:42,143
- Gallant?
- I'll tell them.
560
00:32:25,896 --> 00:32:28,221
Is it all right if I come in?
561
00:32:29,816 --> 00:32:33,765
Sorry it's taking so long.
Dr. Pratt's been tied up.
562
00:32:34,445 --> 00:32:37,114
But then I suppose
you don't mind the delay.
563
00:32:37,823 --> 00:32:40,610
- Will you report what happened?
- I never said anything did.
564
00:32:40,784 --> 00:32:43,619
Because maybe you could be
transferred to another facility...
565
00:32:43,787 --> 00:32:45,862
...someplace safer for you.
566
00:32:46,372 --> 00:32:48,530
There's no shame in this.
567
00:32:48,708 --> 00:32:52,041
No one's going to think less of you
for it, not me, not your girlfriend.
568
00:32:52,211 --> 00:32:54,119
I don't have one anymore.
569
00:32:55,505 --> 00:32:57,747
I'm the girl now.
570
00:33:00,009 --> 00:33:03,175
- Jimmy...
- Can you leave me alone?
571
00:33:08,308 --> 00:33:11,143
No! It's gonna hurt my baby!
572
00:33:11,310 --> 00:33:14,145
Eloise, you have a broken leg.
You need to settle down.
573
00:33:14,313 --> 00:33:16,638
- No! No!
- Give me five of Haldol.
574
00:33:16,815 --> 00:33:20,480
No! It's gonna hurt my baby!
Please! No! No! No!
575
00:33:21,736 --> 00:33:23,563
I don't- I don't want my baby-
576
00:33:23,738 --> 00:33:28,980
I don't want my baby to do drugs.
577
00:33:31,119 --> 00:33:33,491
- Did you kill her?
- No.
578
00:33:33,663 --> 00:33:37,162
Send her up to Ortho and make sure
they cast her before she wakes up.
579
00:33:41,003 --> 00:33:42,960
Sorry you had to see that.
580
00:33:43,130 --> 00:33:46,581
- Did you get scared?
- Are you kidding? It was cool.
581
00:33:48,134 --> 00:33:50,755
So, what does this thing do,
make you glow in the dark?
582
00:33:50,928 --> 00:33:53,170
Yeah, only after 1000 X-rays.
583
00:33:54,848 --> 00:33:56,508
Want one?
584
00:33:57,183 --> 00:33:59,176
Can I have one of my head?
585
00:33:59,936 --> 00:34:01,181
Is it okay?
586
00:34:01,354 --> 00:34:03,975
Long as your department
gets charged for it.
587
00:34:04,148 --> 00:34:06,685
Okay. Lay still, hold your breath.
588
00:34:16,659 --> 00:34:20,992
I understand you overrode my order for
an abdominal CT on the appy patient.
589
00:34:21,163 --> 00:34:23,618
- Yes.
- Well, he's since managed...
590
00:34:23,790 --> 00:34:27,040
...to perforate his appendix
and is upstairs waiting for surgery.
591
00:34:27,209 --> 00:34:29,001
Instead of a quick laproscopic procedure,
592
00:34:29,169 --> 00:34:31,115
...I'll perform an open laparotomy...
593
00:34:31,150 --> 00:34:34,378
- ... with antiseptic washout.
- That's too bad.
594
00:34:35,008 --> 00:34:37,380
Your actions have made
his life and mine much harder.
595
00:34:37,552 --> 00:34:41,169
- You know he wants epidural anesthesia?
- What do you want me to say?
596
00:34:41,347 --> 00:34:44,016
Neither a CBC or a CT
would have been definitive.
597
00:34:44,182 --> 00:34:47,218
- Sometimes the best test is time.
- You're serious?
598
00:34:47,394 --> 00:34:50,560
He was given discharge instructions
and came back as directed.
599
00:34:50,730 --> 00:34:53,221
- The system worked.
- Oh, for you, maybe...
600
00:34:53,399 --> 00:34:56,767
...but he'll have a riskier surgery
and I'll miss dinner with my daughter.
601
00:34:57,235 --> 00:34:59,311
Score one for your bloody mission.
602
00:34:59,487 --> 00:35:01,978
Can you see Morris' crouper
so we can discharge her?
603
00:35:02,156 --> 00:35:04,729
- Yeah, in a minute.
- I need consent for conscious sedation...
604
00:35:04,909 --> 00:35:06,985
- ... for Carolyn Kinaire.
- Okay, hang on.
605
00:35:07,161 --> 00:35:10,114
- Dr. Lewis.
- You have to present to Kovac or Romano.
606
00:35:10,288 --> 00:35:13,040
I have to call the IRS and
beg not to be imprisoned.
607
00:35:13,208 --> 00:35:15,877
Kovac is not here and Romano's
the reason why I need this.
608
00:35:16,043 --> 00:35:19,086
- What did he do now?
- Male rape victim who needs an exam...
609
00:35:19,255 --> 00:35:21,792
...and Napoleon's not too
comfortable with the prospect.
610
00:35:21,965 --> 00:35:24,254
- Homophobe. Fine, I'll do it.
- You're the best.
611
00:35:24,426 --> 00:35:28,050
- Ready to go over this?
- Yeah, I've denied my bladder this long.
612
00:35:28,721 --> 00:35:31,556
The Helen Keller of County.
You missed a skull fracture today.
613
00:35:31,724 --> 00:35:33,431
You'll be back to code browns
in no time.
614
00:35:33,600 --> 00:35:35,925
Hang on a second. Hey. You.
615
00:35:36,102 --> 00:35:39,436
- What is it, Dr. Lewis? I'm a busy man.
- You're one less patient busy.
616
00:35:39,605 --> 00:35:41,846
- I'm taking the rape case.
- Excuse me?
617
00:35:42,024 --> 00:35:45,393
- Don't know if it's a gay thing, or what-
- What are you talking about?
618
00:35:45,569 --> 00:35:46,431
Pratt feels-
619
00:35:46,503 --> 00:35:48,647
He's a rabid dog who should be shot...
620
00:35:48,822 --> 00:35:50,731
...before he infects the other staff.
621
00:35:50,907 --> 00:35:54,951
As for my abilities, I finish what I start.
Okay?
622
00:35:55,119 --> 00:35:56,233
Okay.
623
00:36:01,333 --> 00:36:03,124
Bang.
624
00:36:04,002 --> 00:36:06,575
- Hey, Frank.
- Back from your little joyride?
625
00:36:06,754 --> 00:36:10,372
- You seen my kid around?
- Yeah, I saw him stalking Kovac earlier.
626
00:36:10,549 --> 00:36:13,882
- Did the IRS call?
- Yes, said something about penalties...
627
00:36:14,052 --> 00:36:16,887
...back taxes, you owing them
for their lost time...
628
00:36:17,055 --> 00:36:20,091
- ... and that Hollander guy called again.
- Did he leave a number?
629
00:36:20,266 --> 00:36:22,507
Nope, just canceled dinner.
630
00:36:23,477 --> 00:36:26,596
- I spoke with Mrs. Meyers.
- Who?
631
00:36:26,771 --> 00:36:29,060
Meth mom.
She's agreed to seek counseling.
632
00:36:29,232 --> 00:36:32,185
- Social Services will follow up.
- They don't wanna see her?
633
00:36:32,359 --> 00:36:36,143
I told them she's obviously devoted
to her family, takes good care of them.
634
00:36:36,321 --> 00:36:39,026
Be harder when she dies
of a drug-induced heart attack.
635
00:36:39,199 --> 00:36:42,614
Well, I'm sure this scared her,
enough to get the message, I'd think.
636
00:36:42,785 --> 00:36:46,996
- Okay, go with your gut.
- Are you sure?
637
00:36:47,164 --> 00:36:50,864
Because it's a bit of a weakness
on my part, not reading people well.
638
00:36:51,668 --> 00:36:55,499
Never occurred to me that a working
wife and mother would be a meth user.
639
00:36:55,963 --> 00:36:59,498
People are capable of anything
when put under the right stressors.
640
00:37:38,041 --> 00:37:40,579
Need help visualizing the fissure.
641
00:37:43,087 --> 00:37:45,495
- Okay.
- You want to swab for sperm too?
642
00:37:45,673 --> 00:37:48,627
No, we have enough.
Help me take this off.
643
00:37:48,801 --> 00:37:51,801
The bleeding's stopped.
The tear will heal on its own.
644
00:37:54,139 --> 00:37:56,297
- Is he good to go?
- Back to the daddy tank...
645
00:37:56,474 --> 00:37:58,680
...as soon as his discharge
papers are signed.
646
00:37:58,851 --> 00:38:01,638
Excuse me, Dr. Romano,
may I speak with you privately?
647
00:38:01,812 --> 00:38:04,303
You're already my favorite.
You want people to talk?
648
00:38:04,481 --> 00:38:07,019
- His lab workup.
- Why you showing it to me?
649
00:38:07,192 --> 00:38:09,729
Dr. Pratt's on his way into a trauma.
650
00:38:23,080 --> 00:38:25,452
Some test results have come back.
651
00:38:26,959 --> 00:38:30,908
You're HIV-positive with a CD4 count
of less than 200.
652
00:38:33,881 --> 00:38:35,921
That means you have AIDS.
653
00:38:42,847 --> 00:38:44,674
Did you hear what I just said?
654
00:38:45,516 --> 00:38:47,308
Yeah, thanks.
655
00:38:53,148 --> 00:38:55,852
At least now I know
it's not gonna be forever.
656
00:39:02,156 --> 00:39:04,825
- That the guy who got punked out?
- Shut up.
657
00:39:06,451 --> 00:39:07,945
He's had a bad day.
658
00:39:08,119 --> 00:39:11,074
- Okay, this all looks well documented.
- Gee, thanks.
659
00:39:11,247 --> 00:39:13,785
Baby had a normal exam
and the mechanism was borderline.
660
00:39:13,958 --> 00:39:15,665
I would've scanned the head, but Kovac...
661
00:39:15,834 --> 00:39:17,376
...might not. It's a judgment call.
662
00:39:17,544 --> 00:39:20,331
- That's why I ordered a baby gram.
- When you read an X-ray...
663
00:39:20,505 --> 00:39:24,372
- ... are you using the ABCD mnemonic?
- Airway, Bones, Cardiac, Diaphragm.
664
00:39:24,800 --> 00:39:26,840
Wait, this is the wrong film.
665
00:39:27,011 --> 00:39:30,759
No, it's Colin Tranh, and I still
don't see it. Is it more superior?
666
00:39:30,931 --> 00:39:33,089
- Do you have the head CT?
- Yeah.
667
00:39:35,727 --> 00:39:38,976
Okay, here's the fracture.
668
00:39:39,146 --> 00:39:41,055
And I still don't see it.
669
00:39:43,191 --> 00:39:45,148
It's not there.
670
00:39:45,944 --> 00:39:48,316
Get a social worker
and find that boyfriend now.
671
00:39:48,488 --> 00:39:52,319
- Trauma 1 's empty. Come on.
- Dr. Lewis, GSW to the head.
672
00:39:52,491 --> 00:39:54,234
Went into V-fib two minutes out.
673
00:39:54,409 --> 00:39:55,690
Robbery, homicide, both?
674
00:39:55,869 --> 00:39:58,656
Self-inflicted. No time to transfer.
Charge to 200.
675
00:39:59,914 --> 00:40:02,156
- Why isn't he intubated?
- Because he's a DNR.
676
00:40:02,333 --> 00:40:04,824
- That's what I told him.
- Suicide is against the law.
677
00:40:05,002 --> 00:40:06,994
If he flinched, he only injured his cortex.
678
00:40:07,170 --> 00:40:08,629
Okay, let's do this. 8-0 tube.
679
00:40:08,797 --> 00:40:10,505
Come on, give me those.
680
00:40:10,674 --> 00:40:12,796
- Dr. Lewis?
- Stand by with epi.
681
00:40:13,926 --> 00:40:17,377
Still V-fib, 360. Clear.
682
00:40:21,558 --> 00:40:23,385
Amp of epi.
683
00:40:24,352 --> 00:40:27,103
- He used a gun.
- Charge to 360.
684
00:40:27,730 --> 00:40:29,141
- Stop it.
- Clear.
685
00:40:29,315 --> 00:40:30,477
Stop it!
686
00:40:30,649 --> 00:40:32,060
I'm saving him. Hundred of lidocaine.
687
00:40:32,234 --> 00:40:34,855
- She knows him.
- Just leave him.
688
00:40:35,695 --> 00:40:37,604
It's what he wanted.
689
00:40:45,078 --> 00:40:47,747
- Is the baby out of surgery?
- Yeah. I spoke to the doctor.
690
00:40:47,914 --> 00:40:50,452
- It went well. Where's his mother?
- At work. I called.
691
00:40:50,625 --> 00:40:52,866
- So he's going to be okay, right?
- Yes, he will.
692
00:40:53,044 --> 00:40:55,748
- This is Mr. Sung. He's a social worker.
- How you doing?
693
00:40:55,921 --> 00:40:58,328
Fine. What's this all about?
694
00:40:58,507 --> 00:41:01,756
- You mentioned that Colin cries a lot.
- Yeah. So?
695
00:41:01,926 --> 00:41:04,464
- Was he crying when you got home?
- Why?
696
00:41:04,637 --> 00:41:07,306
It appears his skull was fractured
after he left.
697
00:41:07,473 --> 00:41:09,299
- What?
- He didn't have a fracture...
698
00:41:09,474 --> 00:41:11,550
...when he was here earlier.
699
00:41:11,726 --> 00:41:14,217
- Are you saying I hit him?
- I don't know what you did.
700
00:41:14,395 --> 00:41:17,764
Did you slam his head against the wall?
Or the floor? The crib railing?
701
00:41:17,940 --> 00:41:20,609
- I don't have to listen to this.
- I'll take it from here.
702
00:41:20,776 --> 00:41:21,807
Come with me.
703
00:41:21,985 --> 00:41:23,894
I didn't hit that kid. I didn't do anything.
704
00:41:24,070 --> 00:41:27,854
Excuse me. You're nuts. Lady, you don't
know what you're talking about!
705
00:41:28,032 --> 00:41:30,902
I didn't hit that stupid kid. Hey!
706
00:41:31,785 --> 00:41:34,241
Alex, this room is for families
who need privacy.
707
00:41:34,413 --> 00:41:35,823
- Come on.
- Super power punch.
708
00:41:35,997 --> 00:41:38,453
- Quit knocking me off.
- Plus, it's time to go.
709
00:41:38,625 --> 00:41:42,492
- But I'm winning.
- Alex, it's late and I'm tired. Come on.
710
00:41:42,670 --> 00:41:44,746
Fine.
711
00:41:45,380 --> 00:41:47,088
- See you.
- See you.
712
00:41:47,257 --> 00:41:49,415
- Did you make a new friend today?
- Guess so.
713
00:41:49,592 --> 00:41:50,921
Cool.
714
00:41:51,094 --> 00:41:55,423
Hey, would it be okay if we invite him
over for Thanksgiving dinner?
715
00:41:55,598 --> 00:41:58,053
- He doesn't really have any family.
- Sure.
716
00:41:58,225 --> 00:41:59,802
Okay.
717
00:41:59,976 --> 00:42:02,681
Oh, wait, I forgot something.
718
00:42:04,814 --> 00:42:07,483
- You finish your homework?
- Yeah, but look.
719
00:42:08,109 --> 00:42:10,564
It's my head.
Dr. Kovac did it for me.
720
00:42:10,736 --> 00:42:12,562
- He X-rayed your skull?
- Yeah.
721
00:42:12,738 --> 00:42:14,196
Night.
722
00:42:14,781 --> 00:42:16,820
- Hi.
- You're going home then?
723
00:42:16,991 --> 00:42:19,067
Yeah, my family's here to pick me up.
724
00:42:19,243 --> 00:42:22,908
Listen, I just want to thank you
for everything, okay?
725
00:42:23,789 --> 00:42:27,288
Hey. Do you guys want me to make
spaghetti tonight for dinner?
726
00:42:29,794 --> 00:42:32,463
Neela, labs are back
on my lupus patient.
727
00:42:32,630 --> 00:42:34,918
How do you calculate
creatinine clearance?
728
00:42:35,090 --> 00:42:37,497
Weight in kilos times 140, minus age,
729
00:42:37,676 --> 00:42:40,879
divided by 72, times creatinine.
730
00:42:42,472 --> 00:42:45,674
Thanks. Have a good night.
731
00:42:47,309 --> 00:42:50,974
Abby, would you be interested
in studying together some time?
732
00:42:51,146 --> 00:42:54,977
- Sorry?
- I'm good at the academic stuff.
733
00:42:55,149 --> 00:42:58,767
But you're good with everything else.
Maybe we could help each other.
734
00:42:59,862 --> 00:43:01,439
Okay.
735
00:43:22,173 --> 00:43:23,916
- Hey, Dr. Lewis.
- What is it?
736
00:43:24,091 --> 00:43:25,964
The LOL in 2 is complaining of nausea.
737
00:43:26,134 --> 00:43:29,135
Give her 10 of Compazine
and make sure she gets a dinner tray.
738
00:43:29,304 --> 00:43:30,964
- Pretty rough day today, huh?
- Yeah.
739
00:43:31,139 --> 00:43:33,676
- Did you hear from Jing-Mei?
- She got on a plane.
740
00:43:34,600 --> 00:43:37,138
Did you send in a blood draw,
check a dig. level?
741
00:43:37,311 --> 00:43:39,350
- Yeah.
- The tube you sent was hemolyzed.
742
00:43:39,521 --> 00:43:41,679
They need another draw.
What do I tell them?
743
00:43:41,856 --> 00:43:43,185
Tell them he left AMA.
744
00:43:43,358 --> 00:43:45,516
- Time's up. Where's my hand?
- In the women's bathroom...
745
00:43:45,693 --> 00:43:48,444
...in the tampon machine.
Get it yourself.
746
00:44:01,773 --> 00:44:04,855
Ripped by subXpacio and TusSeries
747
00:44:32,442 --> 00:44:34,518
[ENGLISH]
62547
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