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1
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E. R.
2
00:00:04,964 --> 00:00:06,016
Previously on E. R.
3
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- You won't tell me how you feel.
- Because it's fine.
4
00:00:08,240 --> 00:00:11,619
If you're having trouble, see a therapist.
If you can't, work separate shifts.
5
00:00:11,720 --> 00:00:13,730
This is our niece, Shelley.
6
00:00:14,331 --> 00:00:15,984
I just found out they were here.
7
00:00:16,085 --> 00:00:18,777
We're waiting on Social Services
to come down here.
8
00:00:18,878 --> 00:00:21,398
It was my father's.
I want you to have it.
9
00:00:23,229 --> 00:00:25,177
It suits you.
10
00:00:25,377 --> 00:00:28,004
E. R. 11x21 "CARTER EST AMOUREUX"
Subtitles subXpacio
11
00:00:41,220 --> 00:00:43,387
Surveying your kingdom?
12
00:00:44,721 --> 00:00:47,637
I was just wondering,
what do they do with all the dirt?
13
00:00:48,013 --> 00:00:50,221
When is it supposed to open?
14
00:00:50,637 --> 00:00:52,846
A year from September.
15
00:00:53,430 --> 00:00:56,222
Hey, congratulations, by the way.
16
00:00:57,472 --> 00:00:59,097
Tenure.
17
00:00:59,264 --> 00:01:00,556
Thank you.
18
00:01:00,723 --> 00:01:02,389
What? That's not a good thing?
19
00:01:02,556 --> 00:01:04,098
No, it's good.
20
00:01:04,265 --> 00:01:05,806
It's great.
21
00:01:07,639 --> 00:01:11,390
So you got about two weeks
left on your internship, huh?
22
00:01:11,557 --> 00:01:13,307
You ready to be an R2?
23
00:01:13,474 --> 00:01:15,307
Do I have a choice?
24
00:01:16,141 --> 00:01:18,725
Can't believe it went so fast.
25
00:01:19,059 --> 00:01:21,683
I don't hear many interns say that.
26
00:01:23,059 --> 00:01:24,350
Who's Joshua?
27
00:01:24,517 --> 00:01:29,351
- Family member.
- Yes, I got that from the "Carter" part.
28
00:01:31,101 --> 00:01:34,310
Joshua's what Kem and I
were gonna name the baby.
29
00:01:37,019 --> 00:01:39,727
It's a good thing
you're doing here, John.
30
00:01:42,602 --> 00:01:46,197
If Surgery's mad some guy went up
without a central line, they scream.
31
00:01:46,436 --> 00:01:50,270
Gl's pissed some ulcerative colitis
went home without follow-up...
32
00:01:50,436 --> 00:01:51,854
- ...who do they yell at?
- Me.
33
00:01:52,020 --> 00:01:53,145
You got it.
34
00:01:53,353 --> 00:01:56,396
You also have office hours
for the med students and Residents...
35
00:01:56,604 --> 00:01:59,395
...to stop by if they have
any problems or questions.
36
00:01:59,562 --> 00:02:02,605
- I get an office?
- Well, other chiefs haven't really used it.
37
00:02:02,771 --> 00:02:04,022
Where is it?
38
00:02:04,189 --> 00:02:06,564
Morris, "office hours"
is just a figure of speech.
39
00:02:06,731 --> 00:02:08,481
Just make yourself available at Admit.
40
00:02:08,647 --> 00:02:10,147
You're the new head cheerleader.
41
00:02:10,314 --> 00:02:14,231
Organize parties, treats for Residents
working holidays, host happy hours.
42
00:02:14,397 --> 00:02:17,230
- Do I get a budget for that?
- Yeah. It's called your ATM card.
43
00:02:17,689 --> 00:02:19,149
Next year's Resident contracts.
44
00:02:19,314 --> 00:02:23,065
Sign them and have them
in my box by the end of the week.
45
00:02:23,232 --> 00:02:25,732
Dr. Barnett, we need to find time
to talk about yours.
46
00:02:27,732 --> 00:02:30,900
- So you two work together?
- Yeah. In the ER at County.
47
00:02:31,066 --> 00:02:33,358
I'm a nurse.
48
00:02:33,567 --> 00:02:35,150
Luka's a doctor.
49
00:02:35,317 --> 00:02:36,900
Must be challenging.
50
00:02:37,609 --> 00:02:38,692
Can be.
51
00:02:38,859 --> 00:02:41,401
Place is an insane asylum.
52
00:02:42,734 --> 00:02:44,734
How long have you been together?
53
00:02:46,276 --> 00:02:49,318
About a year, on and off. Mostly on.
54
00:02:49,651 --> 00:02:51,860
Have you sought therapy before?
55
00:02:53,903 --> 00:02:55,444
No.
56
00:02:57,235 --> 00:02:59,152
So, what brings you to me today?
57
00:03:06,695 --> 00:03:09,737
I don't think Luka and I
should be together.
58
00:04:05,827 --> 00:04:08,119
Another four of MS
along with two of Versed?
59
00:04:08,286 --> 00:04:09,911
Was that a statement or a question?
60
00:04:10,077 --> 00:04:12,036
- Four of MS, two of Versed!
- Want Ativan?
61
00:04:12,203 --> 00:04:13,410
- Oh, God! It hurts!
- No.
62
00:04:13,577 --> 00:04:16,286
It has too long a half-life
for pre-op assessment.
63
00:04:16,453 --> 00:04:19,203
- Calm down.
- What's all the ruckus?
64
00:04:19,369 --> 00:04:22,954
Mr. Lillion was checking radiator leaks
while his engine was running.
65
00:04:23,120 --> 00:04:26,829
- I caught my hair in the damn belt!
- Avulsed his whole scalp.
66
00:04:28,038 --> 00:04:29,913
- Okay.
- Then he tried to pull his hair...
67
00:04:30,079 --> 00:04:32,455
...out of the moving fan
with his hands.
68
00:04:32,622 --> 00:04:34,705
Open fracture of third
and fourth metacarpals.
69
00:04:34,872 --> 00:04:37,122
- And extensor-tendon lacs.
- You want antibiotics?
70
00:04:37,289 --> 00:04:39,705
- A gram of Ancef IV piggyback.
- Anything else?
71
00:04:42,539 --> 00:04:45,206
A hundred of gentamicin. Why gent?
72
00:04:45,748 --> 00:04:49,040
Because open fractures are susceptible
to Gram-negative organisms.
73
00:04:49,206 --> 00:04:51,832
Pratt. Some guy out front
says he's a friend of yours.
74
00:04:51,998 --> 00:04:54,123
- What's his complaint?
- Nothing he'll tell me.
75
00:04:54,290 --> 00:04:56,790
- Says he knows you from high school.
- Go. I got this.
76
00:05:04,791 --> 00:05:06,583
- Darnell.
- Greg, how are you doing?
77
00:05:06,750 --> 00:05:07,834
- What's up, man?
- My boy.
78
00:05:08,042 --> 00:05:09,500
- Remember K.J., right?
- Yeah.
79
00:05:09,667 --> 00:05:12,418
- What's up, little man?
- Get up and say hello to Dr. Pratt.
80
00:05:12,584 --> 00:05:13,959
- Where's the love at?
- Right?
81
00:05:14,126 --> 00:05:15,584
- Getting big.
- Tell me about it.
82
00:05:15,792 --> 00:05:17,376
- What's up?
- Somewhere we can talk?
83
00:05:17,543 --> 00:05:19,668
- Yeah, yeah, yeah.
- All right. Be right back.
84
00:05:20,294 --> 00:05:22,669
- I'm happy.
- No, you're not.
85
00:05:24,169 --> 00:05:28,252
- I'm not.
- Nobody is happy all the time.
86
00:05:28,836 --> 00:05:31,461
He's like a sphinx.
I never know what he's thinking.
87
00:05:31,628 --> 00:05:33,252
We talk.
88
00:05:33,753 --> 00:05:35,419
We don't talk. I talk.
89
00:05:35,586 --> 00:05:37,129
You sit there and smile.
90
00:05:37,296 --> 00:05:39,629
Occasionally, you nod.
91
00:05:40,754 --> 00:05:43,171
And then I get mad.
I'm always the one getting angry.
92
00:05:43,338 --> 00:05:45,837
- I'm always the one yelling.
- You want me to get angry?
93
00:05:46,004 --> 00:05:47,172
Yeah. That would be nice.
94
00:05:47,339 --> 00:05:50,005
Could you break a dish
or scream at the top of your lungs?
95
00:05:50,172 --> 00:05:51,838
Something.
96
00:05:53,130 --> 00:05:54,505
That's what I'm talking about.
97
00:05:57,756 --> 00:05:59,006
What are you feeling, Luka?
98
00:06:05,673 --> 00:06:06,840
I'm happy.
99
00:06:07,007 --> 00:06:08,340
I'm happy and Sam's not.
100
00:06:09,090 --> 00:06:14,467
I don't know why. We're healthy.
We enjoy each other, our work.
101
00:06:15,674 --> 00:06:17,383
We have a good life.
102
00:06:19,383 --> 00:06:21,258
How does that make you feel, Sam?
103
00:06:21,425 --> 00:06:25,133
Like hitting him over the head
with a hammer.
104
00:06:27,550 --> 00:06:30,217
Was there a particular event
or series of events...
105
00:06:30,384 --> 00:06:33,384
...that led to your decision
to come here today?
106
00:06:34,177 --> 00:06:36,844
Yeah. I thought that I might be pregnant.
107
00:06:37,011 --> 00:06:39,802
- And are you?
- No. Thank God.
108
00:06:41,427 --> 00:06:44,178
- That's a pretty unequivocal answer.
- Yeah.
109
00:06:45,510 --> 00:06:47,345
It's how I feel about it.
110
00:06:49,595 --> 00:06:51,845
Is that how you feel about it, Luka?
111
00:06:56,679 --> 00:06:58,262
What is that?
112
00:06:58,846 --> 00:07:00,554
Hey! What the hell is that?
113
00:07:00,721 --> 00:07:02,013
What's what, Billy?
114
00:07:02,179 --> 00:07:06,555
That up there coming out of
the damn ceiling. It smells like crap.
115
00:07:07,014 --> 00:07:09,306
- It is crap.
- Okay.
116
00:07:09,473 --> 00:07:12,680
Bad enough I'm stuck in here,
you gotta let the building crap on me?
117
00:07:12,847 --> 00:07:15,139
I think it's just your DTs
kicking in, Mr. Seiger.
118
00:07:15,306 --> 00:07:18,514
Hey! Hey!
Unless they're passing out ponchos...
119
00:07:18,681 --> 00:07:21,724
...better get him back in the ambulance
and over to Mercy, pronto!
120
00:07:21,891 --> 00:07:23,682
- Jake's in Philadelphia?
- Tulane.
121
00:07:23,849 --> 00:07:25,974
- He was in San Francisco.
- Couple weeks ago.
122
00:07:26,141 --> 00:07:29,349
Something disgusting is leaking
out of the ceiling. Call Maintenance.
123
00:07:29,515 --> 00:07:31,016
That or a HAZMAT unit.
124
00:07:31,183 --> 00:07:34,767
So Carter gets tenure
and Dr. Lewis doesn't?
125
00:07:34,933 --> 00:07:36,350
- Yeah.
- How do you explain that?
126
00:07:36,517 --> 00:07:38,309
Lewis has more seniority. She runs ER.
127
00:07:38,476 --> 00:07:40,392
Bada-bing. Show me the green.
128
00:07:40,559 --> 00:07:41,850
Hey, anybody seen Carter?
129
00:07:42,017 --> 00:07:44,476
He's got African love
on the overseas line again.
130
00:07:44,642 --> 00:07:46,226
He took the avulsed scalp.
131
00:07:46,393 --> 00:07:48,810
Sorry, Kem. Can I take a message?
132
00:07:48,977 --> 00:07:51,934
So you get tenure based
on how much money you have?
133
00:07:52,101 --> 00:07:55,561
He's building a wing for the hospital.
She's pushing paper and banana bags.
134
00:07:55,727 --> 00:07:58,478
Highly-qualified woman, well-liked man.
Who do you think?
135
00:07:58,644 --> 00:08:00,519
Oh, put your bra back on,
Gloria Steinem.
136
00:08:00,686 --> 00:08:02,060
Carter's been here 10 years.
137
00:08:02,227 --> 00:08:03,895
Lewis split and then came back.
138
00:08:04,061 --> 00:08:06,437
It's a level playing field now.
Haven't you heard?
139
00:08:06,604 --> 00:08:08,896
Ix-nay on the Lewis-nay.
140
00:08:09,062 --> 00:08:11,062
Dr. Barnett, do you have
a minute for me?
141
00:08:11,229 --> 00:08:13,188
Sure.
142
00:08:17,480 --> 00:08:19,480
- So, what? He interested in medicine?
- No.
143
00:08:19,646 --> 00:08:22,730
But he's got to do his
community-service hours somewhere.
144
00:08:22,897 --> 00:08:24,813
- What did he get busted for?
- Tagging.
145
00:08:24,980 --> 00:08:27,189
Had some weed on him too.
146
00:08:27,689 --> 00:08:30,190
Hey, we did a lot worse,
just never got caught.
147
00:08:30,356 --> 00:08:31,564
Yeah, speak for yourself.
148
00:08:31,731 --> 00:08:34,565
It ain't my fault I ran faster.
149
00:08:34,815 --> 00:08:36,440
All right, look, on the real...
150
00:08:36,607 --> 00:08:40,149
...I'm just a hired hand around here.
It's not really my decision to make.
151
00:08:40,691 --> 00:08:42,524
But you'll ask?
152
00:08:44,399 --> 00:08:45,649
- Yeah, man.
- My man.
153
00:08:45,816 --> 00:08:48,692
- I'll ask.
- My man, 50 grand.
154
00:08:50,484 --> 00:08:53,067
Because I don't think
it would be fair to Alex.
155
00:08:53,234 --> 00:08:54,525
Alex is...?
156
00:08:54,692 --> 00:08:56,484
My son.
157
00:08:57,026 --> 00:09:00,860
He doesn't have enough problems without
feeling he's getting elbowed by a baby.
158
00:09:01,027 --> 00:09:03,569
I think Alex would like
a brother or a sister. A family.
159
00:09:03,735 --> 00:09:05,776
- He has a family.
- Okay, hang on.
160
00:09:05,943 --> 00:09:07,277
Hang on. Time-out.
161
00:09:07,444 --> 00:09:10,611
Luka, issues revolving
around having children...
162
00:09:10,777 --> 00:09:14,360
...can be complicated when one person
in the relationship already has a child.
163
00:09:14,527 --> 00:09:17,236
God, Luka. I didn't wanna
have a kid the first time.
164
00:09:17,612 --> 00:09:18,903
Alex was unplanned?
165
00:09:19,278 --> 00:09:21,153
Yeah, you could say that.
166
00:09:21,320 --> 00:09:23,987
- I was 15.
- Well, you're not 15 anymore.
167
00:09:26,279 --> 00:09:28,322
After what happened
to your wife and kids...
168
00:09:28,488 --> 00:09:31,070
...you really want to bring
another baby into this world?
169
00:09:32,155 --> 00:09:33,489
You had a family before?
170
00:09:37,238 --> 00:09:39,655
He says he's happy,
and he can't even talk about it.
171
00:09:40,072 --> 00:09:42,740
I had two children and a wife.
They were killed years ago.
172
00:09:42,907 --> 00:09:45,573
How does it help us
for me to talk about these things?
173
00:09:45,740 --> 00:09:48,698
It's a huge part of who you are,
and you won't let me in.
174
00:09:51,448 --> 00:09:57,441
How come every kid named Destiny,
Miracle or Faith ends up with leukemia?
175
00:09:59,532 --> 00:10:01,991
Alkalinize her fluids
and give Oncology a heads-up.
176
00:10:02,158 --> 00:10:03,699
That scalp guy went to the O.R.
177
00:10:03,866 --> 00:10:06,700
Oh, you got another call
from your Kenyan love nest.
178
00:10:06,867 --> 00:10:09,284
It's the Congo, Frank.
179
00:10:09,451 --> 00:10:11,784
And I know
that you know it's the Congo.
180
00:10:11,950 --> 00:10:15,285
Kenya, Congo. It's all mosquitoes
the size of flying toasters to me.
181
00:10:15,452 --> 00:10:17,327
She sounded kind of upset.
182
00:10:17,493 --> 00:10:19,160
You're all set.
183
00:10:19,493 --> 00:10:21,827
Gonna leave that bucket
in the middle of the floor?
184
00:10:21,994 --> 00:10:24,827
Shut off the toilet in O.R.
Soon as it drains, we'll snake it.
185
00:10:24,994 --> 00:10:27,202
So how long we gonna have
raw sewage seeping out?
186
00:10:27,369 --> 00:10:29,202
Another hour or two at the most.
187
00:10:29,369 --> 00:10:31,244
Okay, great.
So when the bucket's full...
188
00:10:31,411 --> 00:10:34,037
...just toss it into the street
like we do chamber pots.
189
00:10:34,203 --> 00:10:36,370
Kem Likasu, please. Is this Charles?
190
00:10:36,537 --> 00:10:39,329
Hey, Charles. It's John Carter.
Good, good. Is she around?
191
00:10:39,495 --> 00:10:43,746
I found the Chief Resident's office,
but there's boxes I need you to move.
192
00:10:43,913 --> 00:10:45,996
- She what?
- I look like Beakins to you?
193
00:10:46,163 --> 00:10:48,121
Get a couple of your interns,
lean on them.
194
00:10:48,288 --> 00:10:51,079
- See, but they're busy and you're not.
- What happened?
195
00:10:51,246 --> 00:10:53,872
Ray, honestly,
what are you doing here?
196
00:10:54,039 --> 00:10:55,372
This is a great program.
197
00:10:55,538 --> 00:10:57,205
You were lucky to get into it.
198
00:10:57,372 --> 00:11:00,581
- And you're just taking up space.
- You don't think I'm a good doctor?
199
00:11:01,206 --> 00:11:03,956
I think you could be a very good doctor,
but you know what?
200
00:11:04,123 --> 00:11:07,207
You watch the clock all day
just waiting to punch out.
201
00:11:08,332 --> 00:11:10,373
You have two weeks left
on your internship.
202
00:11:10,540 --> 00:11:14,166
Take your degree and go work
at a doc-in-a-box or do air transport.
203
00:11:14,625 --> 00:11:17,667
If you're doing this to make a living,
you don't need a specialty.
204
00:11:17,833 --> 00:11:21,208
You make more than enough money
right now to support your music.
205
00:11:23,000 --> 00:11:27,522
Don't sign this contract unless you are
sure this is what you want to do.
206
00:11:34,944 --> 00:11:36,234
Did something happen to Kem?
207
00:11:36,610 --> 00:11:38,651
No. It's her mother.
She's in the hospital.
208
00:11:38,817 --> 00:11:41,233
- In Africa?
- No. Her mother lives in Paris.
209
00:11:41,400 --> 00:11:43,650
- Did she say what happened?
- Didn't talk to her.
210
00:11:43,816 --> 00:11:45,523
She'd already left for the airport.
211
00:11:46,191 --> 00:11:48,357
Hey, Frank.
I don't know where Susan is.
212
00:11:48,523 --> 00:11:51,147
- Would you please tell her I had to go?
- Go where?
213
00:11:51,314 --> 00:11:53,897
Just tell her that I'll call her
from O'Hare, okay?
214
00:11:55,854 --> 00:11:59,270
Gotta go by the bank
on the way back if that's okay.
215
00:11:59,687 --> 00:12:01,354
Do you need anything
from Home Depot?
216
00:12:01,520 --> 00:12:03,770
- I thought I'd swing by before work.
- Home Depot?
217
00:12:03,937 --> 00:12:08,518
Yeah. I need to get some anchors
to fix that towel bar Alex pulled down.
218
00:12:11,309 --> 00:12:13,933
- Where are you going?
- Leave me alone, Luka.
219
00:12:14,351 --> 00:12:17,016
Are you gonna walk?
It's gotta be five miles.
220
00:12:17,433 --> 00:12:19,308
Towel bars?
221
00:12:20,640 --> 00:12:22,223
Sam!
222
00:12:50,841 --> 00:12:53,132
- What's he doing in Paris?
- Kem's mother is sick.
223
00:12:53,299 --> 00:12:55,149
Meningitis. She's immunosuppressed
from chemotherapy.
224
00:12:55,284 --> 00:12:59,340
With Carter AWOL,
you and me pick up the slack.
225
00:12:59,506 --> 00:13:02,006
Five night shifts in a row?
226
00:13:02,172 --> 00:13:03,629
- What?
- The new schedule. Morris?
227
00:13:03,796 --> 00:13:05,920
If that's what it says.
228
00:13:06,379 --> 00:13:08,420
A swing shift
and a day shift back-to-back?
229
00:13:08,587 --> 00:13:10,336
- And Ray gets every weekend off.
- What?
230
00:13:10,502 --> 00:13:12,502
- Cubbies-Braves, right?
- Got you covered.
231
00:13:12,669 --> 00:13:14,793
- All right.
- Oh, I see.
232
00:13:14,960 --> 00:13:18,959
- So he bribed you for a good schedule.
- Of course not. That would be unethical.
233
00:13:19,418 --> 00:13:23,167
Oh, I hear U2 tickets are hard to get.
It's a shame. I really wanted to go.
234
00:13:24,042 --> 00:13:25,749
Dr. Lewis...?
235
00:13:25,915 --> 00:13:27,415
He is the chief.
236
00:13:27,582 --> 00:13:29,415
Any way we can make
Abby Chief Resident?
237
00:13:29,581 --> 00:13:32,913
Morris isn't the sharpest shovel
in the shed. But he's a paperwork hound.
238
00:13:33,080 --> 00:13:36,747
Besides, keeps him from seeing patients.
Think of it as community service.
239
00:13:40,620 --> 00:13:44,120
- CT call on Werntz yet?
- I'll call them again.
240
00:13:46,578 --> 00:13:49,286
- Flowers usually work.
- Hey, Jerry, I want you to meet K.J.
241
00:13:49,451 --> 00:13:51,577
- He's our new volunteer.
- Volunteen, welcome.
242
00:13:51,744 --> 00:13:53,617
Jerry will be telling you what to do.
243
00:13:53,784 --> 00:13:56,575
Jerry, just have him run specimens
up to the lab or whatever.
244
00:13:56,742 --> 00:13:59,033
- Specimens?
- Yeah. Blood, urine...
245
00:13:59,199 --> 00:14:00,741
Piss?
246
00:14:01,699 --> 00:14:04,864
Nasal swabs, wound cultures,
stool samples, the whole enchilada.
247
00:14:05,031 --> 00:14:07,405
Hey, Pratt, 47's pulling in
with a septic newborn.
248
00:14:07,572 --> 00:14:10,821
Hey, you don't like it,
the door's that way.
249
00:14:12,612 --> 00:14:14,528
Stool sample is what I think it is?
250
00:14:18,903 --> 00:14:21,111
- Septic newborn?
- So they say.
251
00:14:21,278 --> 00:14:24,151
Hey, study your antibiotics last night?
252
00:14:24,317 --> 00:14:27,900
The gentamicin for the open fracture.
You should know this stuff cold by now.
253
00:14:28,067 --> 00:14:30,650
Gonna be an R2 in a couple weeks
supervising new interns.
254
00:14:30,817 --> 00:14:34,025
- Gotta start stepping it up.
- Eight-day-old female, febrile to 104.
255
00:14:34,190 --> 00:14:36,523
Grunting, severe retractions.
Can't get a pulse ox.
256
00:14:36,690 --> 00:14:38,857
- Tachy to 192. Resps, 80.
- Started this morning.
257
00:14:39,023 --> 00:14:40,564
- I thought it was a cold.
- Access?
258
00:14:40,731 --> 00:14:43,522
I had a 23 gauge in the hand but it blew.
259
00:15:37,050 --> 00:15:39,049
Fabienne Elmont?
260
00:16:25,539 --> 00:16:27,121
John?
261
00:16:28,662 --> 00:16:29,870
Hey.
262
00:16:32,495 --> 00:16:33,786
What are you doing here?
263
00:16:34,702 --> 00:16:36,452
I got your message about your mom.
264
00:16:37,785 --> 00:16:39,827
You should have told me
you were coming.
265
00:16:41,034 --> 00:16:42,326
Well, I called your cell.
266
00:16:42,492 --> 00:16:45,574
No. It doesn't work in Paris.
267
00:16:46,825 --> 00:16:48,032
How's she doing?
268
00:16:48,199 --> 00:16:51,031
I can't tell what antibiotics
they're giving her from the IV.
269
00:16:51,198 --> 00:16:52,949
Oh, she's not on antibiotics.
270
00:16:53,364 --> 00:16:55,947
They're not giving her
antibiotics for meningitis?
271
00:16:56,114 --> 00:16:57,364
Viral meningitis?
272
00:16:59,279 --> 00:17:01,987
- Who told you she had meningitis?
- I called the clinic.
273
00:17:02,154 --> 00:17:05,694
Charles said you flew to Paris. With
all the chemo, I just assumed that...
274
00:17:07,402 --> 00:17:10,859
- So she's okay?
- She had a fever, the doctor got worried.
275
00:17:11,026 --> 00:17:13,275
So he admitted her.
But she's much better now.
276
00:17:13,442 --> 00:17:14,859
Good.
277
00:17:20,857 --> 00:17:24,941
John, this is an old friend of mine,
Michel Timbaud.
278
00:17:31,355 --> 00:17:32,813
BP's 58/29.
279
00:17:32,979 --> 00:17:34,729
- She needs volume.
- You're hurting her!
280
00:17:34,896 --> 00:17:37,062
Can't help unless we
give her fluids, medicine.
281
00:17:37,229 --> 00:17:39,436
I'm in. Portable x-ray.
Call RT for a vent.
282
00:17:40,102 --> 00:17:41,685
- Good chest rise.
- All right.
283
00:17:41,852 --> 00:17:45,143
Airway and access.
Neela, what's your plan?
284
00:17:45,309 --> 00:17:47,683
Normal saline, CBC,
blood culture, amp and cefotax.
285
00:17:47,850 --> 00:17:49,351
- Good.
- Hodgkin guy's pressure...
286
00:17:49,518 --> 00:17:51,517
- ...dropped after antibiotics.
- Run a liter.
287
00:17:51,683 --> 00:17:54,849
- He's trying to pull out his broviac.
- Give the bolus. I'll be back.
288
00:17:55,015 --> 00:17:58,264
- Hundred cc's MS through the IO.
- Please tell me what's going on.
289
00:17:58,431 --> 00:18:01,640
We suspect your daughter has
an infection. Giving her antibiotics.
290
00:18:01,807 --> 00:18:04,722
Fluids elevate her blood pressure.
Tube is helping her breathe.
291
00:18:04,889 --> 00:18:07,429
- IO's infiltrated. Won't flush.
- How old is she again?
292
00:18:07,596 --> 00:18:09,763
- Eight days.
- Umbilical stump is still attached.
293
00:18:09,929 --> 00:18:12,137
- Is that bad?
- No. That's... That's good.
294
00:18:12,304 --> 00:18:15,761
Umbilical-line kit. Five French.
Sterile sixes and 10 blade.
295
00:18:17,510 --> 00:18:19,427
Hey, Jerry, Hodgkin's guy
needs a Med bed.
296
00:18:19,593 --> 00:18:21,259
Let NICU know
they got a customer.
297
00:18:21,426 --> 00:18:24,342
Your volunteen kid
doesn't seem very interested.
298
00:18:24,509 --> 00:18:27,050
- Yeah. Well, he's not.
- So why has he volunteered?
299
00:18:27,217 --> 00:18:30,007
- He has to work off his probation.
- What did he do?
300
00:18:30,840 --> 00:18:33,715
- Second-degree murder, I think.
- Really?
301
00:18:33,881 --> 00:18:35,506
He got caught tagging a police car.
302
00:18:35,672 --> 00:18:39,130
- Wait. He tried to spray-paint a cop car?
- Yeah. With the cop still in it.
303
00:18:39,297 --> 00:18:42,462
- The kid's got guts.
- Either that or he's an idiot.
304
00:18:42,670 --> 00:18:45,669
Small-bowel obstruction
secondary to a popcorn overdose.
305
00:18:45,836 --> 00:18:48,669
A 6-year-old ate
a huge tub of popcorn all by himself.
306
00:18:48,836 --> 00:18:52,668
- Yeah, and...?
- Call Surgery, get a CT.
307
00:18:59,083 --> 00:19:02,332
Think they'll be ready
to supervise interns in two weeks?
308
00:19:02,540 --> 00:19:03,957
Not a chance.
309
00:19:06,665 --> 00:19:08,456
John.
310
00:19:14,746 --> 00:19:16,121
That was awkward.
311
00:19:16,288 --> 00:19:18,287
Where are you going?
312
00:19:18,995 --> 00:19:20,494
Back to the airport, I guess.
313
00:19:20,661 --> 00:19:22,744
You just got here.
314
00:19:23,952 --> 00:19:25,368
Well, you were right.
315
00:19:25,535 --> 00:19:26,868
I should have called first.
316
00:19:27,618 --> 00:19:29,326
Michel and I went to school together.
317
00:19:29,491 --> 00:19:31,825
And he's fond of my mother.
318
00:19:33,283 --> 00:19:36,283
- You two a couple?
- We were.
319
00:19:37,073 --> 00:19:39,281
Does he know about
the past-tense part?
320
00:19:40,115 --> 00:19:41,489
Are you jealous?
321
00:19:43,406 --> 00:19:44,655
Yeah.
322
00:19:46,654 --> 00:19:48,571
Hey, don't do that. Don't laugh at me.
323
00:19:48,738 --> 00:19:50,987
Okay. Okay.
324
00:19:51,945 --> 00:19:53,486
Are you sleeping together?
325
00:19:53,653 --> 00:19:56,694
No. Do not answer that.
326
00:19:56,860 --> 00:19:59,192
Well, you haven't been dating?
327
00:20:00,610 --> 00:20:03,610
Is there someplace around here
I can catch a taxi to the airport?
328
00:20:03,776 --> 00:20:06,733
- Don't be so dramatic.
- Okay, look. I'm sorry.
329
00:20:06,900 --> 00:20:08,442
Okay? I'm tired.
330
00:20:08,608 --> 00:20:12,315
And I shouldn't have just barged in
on you. And I feel completely ridiculous.
331
00:20:12,481 --> 00:20:15,023
Actually, it was very sweet.
332
00:20:16,772 --> 00:20:18,355
Yeah.
333
00:20:19,354 --> 00:20:23,396
Okay. Look, I'm really glad
that your mom's okay.
334
00:20:23,771 --> 00:20:25,896
Why don't you call me
when you get home.
335
00:20:26,104 --> 00:20:27,978
John.
336
00:20:28,977 --> 00:20:31,852
Just stay. Just for the night.
337
00:20:35,059 --> 00:20:37,601
- Flushes easily.
- Hook up the transducer.
338
00:20:37,767 --> 00:20:41,308
- Sats, 93. Systolic's up to 78.
- Good. That's good.
339
00:20:42,974 --> 00:20:45,141
How we doing in here?
340
00:20:46,099 --> 00:20:48,098
- What are you doing?
- Umbilical lines.
341
00:20:48,265 --> 00:20:50,431
- You what?
- Umbilical lines.
342
00:20:50,598 --> 00:20:52,180
I heard you. Why?
343
00:20:54,388 --> 00:20:58,636
- IO infiltrated. We needed access.
- Why not just put in another IO?
344
00:20:58,803 --> 00:21:03,844
She still has an umbilical stump. UAC
and UVC allow for frequent blood draws.
345
00:21:04,011 --> 00:21:05,510
Gases...
346
00:21:05,844 --> 00:21:07,677
Did she do something wrong?
347
00:21:21,339 --> 00:21:23,463
Hotel La Pavillon.
348
00:21:23,630 --> 00:21:26,213
I'll come by in the morning.
We'll have some breakfast.
349
00:21:26,380 --> 00:21:27,630
Michel coming too?
350
00:21:27,797 --> 00:21:31,170
- He has to work.
- Those his real teeth?
351
00:21:32,296 --> 00:21:34,545
- They're a little too straight.
- Get some sleep.
352
00:21:34,712 --> 00:21:39,168
- I'm gonna come and pick you up early.
- Yeah. You get some sleep too.
353
00:21:51,541 --> 00:21:53,957
You can't be placing
umbilical lines by yourself.
354
00:21:54,123 --> 00:21:56,081
Do you know the things
could've gone wrong?
355
00:21:56,248 --> 00:21:58,539
Thromboembolism,
vascular injuries, arrhythmias...
356
00:21:58,706 --> 00:22:01,038
- I thought arterial monitoring-
- You're an intern.
357
00:22:01,204 --> 00:22:03,745
You can't play neonatologist
whenever you feel like it.
358
00:22:03,912 --> 00:22:05,454
I did a bunch of these...
359
00:22:05,620 --> 00:22:08,536
- ...when we rotated through the-
- Really? When, two years ago?
360
00:22:08,703 --> 00:22:10,702
Have you done one,
even seen one since then?
361
00:22:10,868 --> 00:22:13,118
- You told me to take more initiative.
- Initiative?
362
00:22:13,285 --> 00:22:14,952
What about common sense, Neela?
363
00:22:15,119 --> 00:22:16,951
What's next, neurosurgery in the lounge?
364
00:22:17,118 --> 00:22:19,575
You need to know when to ask for help.
365
00:22:20,367 --> 00:22:23,074
What the hell is this?
What, you're gonna cry now?
366
00:22:24,783 --> 00:22:27,906
All right, look, you got lucky this time.
She's stabilizing.
367
00:22:28,073 --> 00:22:30,780
But you have to start using your head.
368
00:22:31,280 --> 00:22:33,571
Now go on. Get out of here. Go.
369
00:22:33,738 --> 00:22:36,671
I'll deal with the NICU guy.
370
00:22:55,016 --> 00:22:56,559
Hello?
371
00:23:00,396 --> 00:23:02,106
I'm sleeping.
372
00:23:03,441 --> 00:23:05,610
It's dark outside.
373
00:23:06,027 --> 00:23:07,446
All right, I'm up.
374
00:23:07,613 --> 00:23:10,156
All right, I'm up, I'm up, I'm up.
375
00:23:19,793 --> 00:23:22,086
How's Michel gonna get to work
if we have his car?
376
00:23:22,253 --> 00:23:23,505
Who said it's his car?
377
00:23:23,671 --> 00:23:27,218
- Come on. I wanna show you something.
- Does it involve coffee?
378
00:23:27,384 --> 00:23:30,470
Everything in Paris involves coffee.
379
00:23:32,932 --> 00:23:35,100
Hurry. We're gonna miss it.
380
00:23:36,060 --> 00:23:39,272
- Where are we going?
- Nowhere. We're here.
381
00:23:41,483 --> 00:23:43,735
You got me up at 5 in the morning
to ride a train?
382
00:23:43,902 --> 00:23:45,987
Will you be patient
for once in your life?
383
00:23:53,913 --> 00:23:59,211
She spent the night
at her dying husband's bedside.
384
00:23:59,461 --> 00:24:01,129
He was a member of the Resistance...
385
00:24:01,296 --> 00:24:03,298
...fought bravely
against the Occupation...
386
00:24:03,465 --> 00:24:06,510
...while she smuggled messages
for the Free French...
387
00:24:06,677 --> 00:24:09,012
...through Nazi lines on her bicycle.
388
00:24:11,516 --> 00:24:13,434
He still loves her.
389
00:24:13,601 --> 00:24:16,771
She's not so sure after all these years.
390
00:24:16,938 --> 00:24:18,523
He is an accountant.
391
00:24:18,690 --> 00:24:21,694
She is a waitress,
longed to be a singer.
392
00:24:21,860 --> 00:24:25,446
She had a mad, secret,
tempestuous affair...
393
00:24:25,614 --> 00:24:28,075
...with her sister's fianc�.
394
00:24:28,993 --> 00:24:30,202
What about them?
395
00:24:31,913 --> 00:24:34,040
It's a sad story.
396
00:24:34,499 --> 00:24:39,212
She only has a few months to live.
Cancer.
397
00:24:40,797 --> 00:24:45,260
They love each other desperately,
spend every moment together.
398
00:24:50,224 --> 00:24:51,267
What about us?
399
00:24:55,271 --> 00:24:56,606
You have a story for us?
400
00:24:59,483 --> 00:25:01,236
Quick. Close your eyes.
401
00:25:01,403 --> 00:25:03,905
Quickly, quickly, quickly. Come on.
402
00:25:04,072 --> 00:25:05,574
Close your eyes.
403
00:25:05,741 --> 00:25:08,870
Wait, wait, wait.
404
00:25:11,331 --> 00:25:12,582
Now.
405
00:25:51,416 --> 00:25:53,168
What are you doing out here?
406
00:25:53,335 --> 00:25:56,879
Deciding if I'm sick. Pratt's on.
407
00:25:59,257 --> 00:26:00,550
- Hey, Neela.
- Hey.
408
00:26:00,717 --> 00:26:04,221
Got you a bear claw.
They don't have the apple fritters.
409
00:26:05,223 --> 00:26:07,391
- What are we doing?
- Neela's trying to decide...
410
00:26:07,558 --> 00:26:10,269
- ...if she should go to work.
- We get to decide?
411
00:26:10,478 --> 00:26:13,440
She put in umbilical lines
in a newborn yesterday.
412
00:26:13,607 --> 00:26:17,361
- Really? Cool.
- Unsupervised. Pratt became unglued.
413
00:26:18,487 --> 00:26:20,531
I miss all the good stuff.
414
00:26:20,739 --> 00:26:23,660
Well, gotta go. I'm gonna be late.
415
00:26:25,410 --> 00:26:27,580
Gotta get back on that horse.
416
00:26:39,133 --> 00:26:41,220
Nothing fancy.
Just primer and a couple coats.
417
00:26:41,386 --> 00:26:43,389
- The lichen-
- I'm not painting your office.
418
00:26:43,556 --> 00:26:47,393
- Hospital does it. Need a purchase order.
- Yeah, that comes out of my ER budget.
419
00:26:47,560 --> 00:26:51,188
Hey, Pratt. Stabbing victim in Trauma 1.
Back up the interns, please.
420
00:26:51,355 --> 00:26:54,693
Paramedics are two minutes out with
an MVA, a 9-year-old kid.
421
00:26:54,860 --> 00:26:57,529
Okay. Luka, can you get that?
I've got an extubation in C2.
422
00:26:57,696 --> 00:26:59,739
- We don't have to do the trim.
- No, Morris.
423
00:26:59,906 --> 00:27:01,867
MVA coming in.
424
00:27:04,787 --> 00:27:07,039
Trauma panel. Type and cross for four.
425
00:27:07,206 --> 00:27:09,292
- Pulse ox to 78.
- Taking down neck dressing.
426
00:27:09,458 --> 00:27:11,544
- Shouldn't we tube her first?
- Be my guest.
427
00:27:11,711 --> 00:27:15,382
- Maybe there's something we can tie off.
- Etomidate and sux.
428
00:27:15,549 --> 00:27:18,594
- Got the jugular, but spared the carotid.
- Can't breathe.
429
00:27:18,760 --> 00:27:20,012
You're just going to sleep.
430
00:27:20,178 --> 00:27:22,640
We breathe for you.
Prep for subclavian on the right.
431
00:27:23,016 --> 00:27:25,476
-8.0 ET tube.
- Is this the penetrating neck?
432
00:27:25,643 --> 00:27:27,770
Single stab wound.
Hypotensive, no sub-Q air.
433
00:27:27,937 --> 00:27:30,733
- Two of O-neg on peripheral IV.
- Pressure's up to 90 palp.
434
00:27:30,899 --> 00:27:33,402
- I'm in. Bag her.
- Got a flash.
435
00:27:33,568 --> 00:27:35,738
We'll have a central line for
the next 2 units.
436
00:27:36,237 --> 00:27:37,489
Good breath sounds.
437
00:27:37,656 --> 00:27:40,576
Excellent. Maybe there's hope
for you two after all.
438
00:27:42,912 --> 00:27:44,455
Professor Carter.
439
00:27:44,622 --> 00:27:46,582
It's associate professor, actually.
440
00:27:47,584 --> 00:27:48,793
Well, I'm proud of you.
441
00:27:48,960 --> 00:27:52,088
- Susan didn't get tenure.
- Susan Lewis? Really?
442
00:27:52,255 --> 00:27:55,551
She's pretty pissed about it too.
She's not talking to me.
443
00:27:55,718 --> 00:28:00,097
Now, this is what I really miss in Africa.
Baked goods.
444
00:28:04,226 --> 00:28:05,520
What?
445
00:28:06,646 --> 00:28:12,027
- You have a lot of jam on your face.
- Well, help me.
446
00:28:18,408 --> 00:28:19,869
Hello.
447
00:28:44,646 --> 00:28:48,149
- Hey, hey, got a minute?
- Not really. What's up?
448
00:28:48,316 --> 00:28:50,194
I gotta finish my rankings
for my match.
449
00:28:50,361 --> 00:28:52,321
- I could use a little advice.
- Excuse me?
450
00:28:52,488 --> 00:28:55,324
There's something leaking
from the ceiling.
451
00:28:56,242 --> 00:29:00,746
Okay. We're gonna move you...
452
00:29:00,913 --> 00:29:03,249
...right over here.
453
00:29:03,791 --> 00:29:07,837
And Christian's gonna take care of you.
Thank you.
454
00:29:09,464 --> 00:29:11,174
- Is that what I think it is?
- Yup.
455
00:29:11,341 --> 00:29:14,762
Susan, code brown dripping
from the ceiling again.
456
00:29:14,929 --> 00:29:17,682
Damn it, that is it.
Jerry, call the AOD.
457
00:29:17,848 --> 00:29:20,685
Tell them we are closed to trauma until
someone comes down...
458
00:29:20,852 --> 00:29:23,646
...and deals with the raw sewage
leaking from the ceiling.
459
00:29:23,813 --> 00:29:25,356
Is this the respiratory distress?
460
00:29:25,523 --> 00:29:27,984
- Jerry, what's open?
- There's a bed in Curtain 3.
461
00:29:28,151 --> 00:29:30,028
Arnold Brixton, 65, short of breath.
462
00:29:30,194 --> 00:29:32,574
Sats, 83 on room air,
91 on a non-rebreather.
463
00:29:32,739 --> 00:29:37,661
Tachy at 115, afebrile, good BP.
On theophylline for emphysema.
464
00:29:37,828 --> 00:29:40,039
- Don't say it.
- Say what?
465
00:29:40,205 --> 00:29:43,042
I stopped smoking five years ago.
466
00:29:43,376 --> 00:29:45,628
- Good for you.
- Come on.
467
00:29:46,004 --> 00:29:49,383
So I was thinking I might rank County
as my first choice.
468
00:29:50,926 --> 00:29:53,596
You want to stay in Chicago?
469
00:29:53,762 --> 00:29:56,765
Yeah. I mean, my friends are here,
all my family.
470
00:29:57,392 --> 00:30:00,436
He needs a monitor and continuous
albuterol with 500 of Atrovent.
471
00:30:00,603 --> 00:30:01,897
What about San Francisco?
472
00:30:02,563 --> 00:30:06,818
UCSF has a great program,
but County has a lot to offer too.
473
00:30:06,985 --> 00:30:09,363
Those sisters are back.
474
00:30:09,780 --> 00:30:12,241
Okay, 60 of pred
and a portable chest.
475
00:30:12,407 --> 00:30:15,912
- And do you wanna talk about this later?
- Sure.
476
00:30:16,579 --> 00:30:20,750
- Rebecca? Birdy? You okay?
- You know them?
477
00:30:20,917 --> 00:30:22,668
They've been in a couple times before.
478
00:30:22,835 --> 00:30:25,756
Circumferential ecchymosis.
Neela wants to get a telemetry bed.
479
00:30:26,173 --> 00:30:27,883
What happened?
480
00:30:28,592 --> 00:30:31,178
Rebecca almost got strangled to death.
481
00:30:31,596 --> 00:30:35,432
I tried to tell you guys it's too dangerous
for you to be out there on the streets.
482
00:30:35,600 --> 00:30:38,186
I'd be dead if Birdy hadn't stabbed her.
483
00:30:41,272 --> 00:30:43,651
You stabbed the attacker?
484
00:30:43,817 --> 00:30:46,111
Well, I had to.
485
00:30:46,695 --> 00:30:48,113
Is she gonna be all right?
486
00:30:48,280 --> 00:30:50,616
Yeah. I mean, she seems stable for now.
487
00:30:50,783 --> 00:30:52,534
- We might have to...
- No. Not Rebecca.
488
00:30:52,701 --> 00:30:54,787
Shelley. Our niece.
489
00:30:55,537 --> 00:30:57,831
They're working on her
in that room over there.
490
00:30:58,625 --> 00:31:03,296
I grew up playing here, when
we weren't in Kinshasa with my dad.
491
00:31:03,463 --> 00:31:08,302
My mom would save the old bread so I
could feed the ducks on the weekends.
492
00:31:08,469 --> 00:31:11,263
There was thousands of them
in the summer.
493
00:31:12,264 --> 00:31:14,142
Sounds idyllic.
494
00:31:14,309 --> 00:31:17,311
Yeah. Yeah, it was.
495
00:31:17,478 --> 00:31:19,647
So why did you leave?
496
00:31:20,440 --> 00:31:22,818
It was different when I was little.
497
00:31:22,984 --> 00:31:25,153
We were a novelty then.
498
00:31:25,320 --> 00:31:31,227
My very white mother, my black father,
with their little brown girl.
499
00:31:31,494 --> 00:31:33,663
It wasn't easy for them.
500
00:31:34,705 --> 00:31:37,875
You know that Joshua would be
a year old now?
501
00:31:47,177 --> 00:31:51,474
I'm gonna head back to the hospital,
see my mother, okay?
502
00:31:57,105 --> 00:31:58,731
What are we doing?
503
00:32:00,400 --> 00:32:02,277
What are we doing?
504
00:32:02,610 --> 00:32:04,863
I still love you,
and I know you still love me.
505
00:32:05,364 --> 00:32:08,325
We talk to each other every day.
We talk for hours on the phone.
506
00:32:08,492 --> 00:32:11,455
We tell each other absolutely
everything about our lives.
507
00:32:11,620 --> 00:32:15,459
I make you happy. I make you laugh.
508
00:32:15,625 --> 00:32:17,752
I tried living in Chicago
and it wasn't for me.
509
00:32:17,961 --> 00:32:20,881
- We don't have to live in Chicago.
- You have your life there...
510
00:32:21,047 --> 00:32:24,509
- ...your career, everything.
- I would give it up for you.
511
00:32:24,676 --> 00:32:26,553
I don't want you to.
512
00:32:27,805 --> 00:32:33,102
Kem, we had a baby and he died.
513
00:32:34,645 --> 00:32:38,108
It's a tragedy that happens to people
and it happened to us.
514
00:32:38,525 --> 00:32:41,570
But that doesn't have to define us.
515
00:32:42,446 --> 00:32:45,825
It doesn't. We're stronger than that.
Aren't we?
516
00:32:47,534 --> 00:32:49,578
- I can't-
- We can have another baby.
517
00:32:49,746 --> 00:32:52,749
Stop this. Stop doing this.
518
00:32:53,958 --> 00:32:55,878
I'm sorry.
519
00:32:57,253 --> 00:32:59,130
I'm sorry.
520
00:33:02,593 --> 00:33:04,929
Are you gonna come to the hospital?
521
00:33:05,554 --> 00:33:08,266
Because Fabienne's gonna want
to say goodbye.
522
00:33:24,240 --> 00:33:26,702
Tidal volume's 700.
AC 14 on 100 percent.
523
00:33:26,869 --> 00:33:30,247
- Units three and four on board.
- Did you follow up with Social Services...
524
00:33:30,415 --> 00:33:32,709
- ...on home visit for the Chadwicks?
- I'm... Who?
525
00:33:32,876 --> 00:33:35,253
The two old ladies that panhandle
on the south.
526
00:33:35,420 --> 00:33:37,089
You sent them home with their niece.
527
00:33:37,255 --> 00:33:38,924
- From a few weeks ago?
- Yeah.
528
00:33:39,091 --> 00:33:41,176
- Down 60 systolic.
- Check for tracheal shift.
529
00:33:41,343 --> 00:33:42,511
Get four
of type specific.
530
00:33:42,679 --> 00:33:45,473
This is the niece, Shelley.
Birdy stabbed Shelley.
531
00:33:45,640 --> 00:33:47,767
- She was trying to strangle Rebecca.
- She what?
532
00:33:47,934 --> 00:33:51,145
You sent them home with Shelley.
Did you forget about the follow-up...
533
00:33:51,312 --> 00:33:54,107
- ...or not want to deal with it?
- I called. But what do I do?
534
00:33:54,273 --> 00:33:56,234
- Make sure they do their job?
- People...
535
00:33:56,401 --> 00:33:59,279
- ...can we focus on the patient?
- V-fib. Starting compressions.
536
00:33:59,446 --> 00:34:01,281
- Ambu-bag.
- Charge at 200.
537
00:34:01,448 --> 00:34:03,118
- Cardiac history?
- I don't know, Ray.
538
00:34:03,284 --> 00:34:05,620
You're the only one that's met her.
Clear.
539
00:34:17,048 --> 00:34:18,383
Oh, we're being rude.
540
00:34:19,719 --> 00:34:21,136
No.
541
00:34:21,929 --> 00:34:25,808
I'm hungry.
Will you get me something, mon ange?
542
00:34:40,450 --> 00:34:42,827
Thank you for the beautiful flowers.
543
00:34:48,416 --> 00:34:50,835
He's a very handsome young man.
544
00:34:51,294 --> 00:34:54,089
- Who?
- Michel.
545
00:34:54,256 --> 00:34:57,176
Well, yeah, I guess.
546
00:34:57,759 --> 00:34:59,888
Also something of a fool.
547
00:35:02,599 --> 00:35:05,393
- When are you going home?
- There's a flight tonight at 9.
548
00:35:06,561 --> 00:35:08,605
You're giving up awfully easily,
aren't you?
549
00:35:11,107 --> 00:35:16,071
I was rather firmly discouraged
from continuing to try.
550
00:35:21,577 --> 00:35:23,496
You know what life is?
551
00:35:25,372 --> 00:35:27,667
Joy and grief, hand in hand.
552
00:35:31,046 --> 00:35:36,886
You can't know real happiness until
you've had sorrow to contrast it with.
553
00:35:38,930 --> 00:35:41,057
She hasn't learned that yet.
554
00:35:41,474 --> 00:35:43,601
Leave him alone, Mother.
555
00:35:46,437 --> 00:35:47,939
We were just catching up.
556
00:35:51,526 --> 00:35:53,237
- Rib spreader.
- Abby, get the suction.
557
00:35:53,403 --> 00:35:55,031
I don't get it.
Stab is in the neck.
558
00:35:55,197 --> 00:35:58,116
Yeah. The knife must have angled down,
bagged the subclavian.
559
00:35:58,283 --> 00:36:01,246
Stand back.
This is gonna be pretty bloody.
560
00:36:04,082 --> 00:36:06,292
- Dry as a bone.
- Starting internal compressions.
561
00:36:06,459 --> 00:36:09,421
- We put in six units. Where's it all going?
- Hold compressions.
562
00:36:09,588 --> 00:36:12,924
- Fine V-fib. Internal paddles.
- Oh, man. Son of a bitch.
563
00:36:13,092 --> 00:36:15,928
All right, stop bagging.
Eighteen-gauge needle.
564
00:36:21,476 --> 00:36:23,645
- Coronary artery's full of air.
- An air embolus?
565
00:36:26,439 --> 00:36:28,608
All right. That's it. We're done.
566
00:36:29,277 --> 00:36:32,779
Time of death, 11:47.
567
00:36:32,946 --> 00:36:35,282
How did she get that much
air in her heart?
568
00:36:35,449 --> 00:36:37,284
I don't know.
She had an open neck wound.
569
00:36:37,451 --> 00:36:39,746
The negative pressure
sucked air into her jugular.
570
00:36:39,912 --> 00:36:43,124
I don't see how that's possible.
She has an occlusive dressing.
571
00:36:43,667 --> 00:36:48,922
I... I took it down
to explore the neck.
572
00:36:49,464 --> 00:36:51,341
Was it before or after the intubation?
573
00:36:52,968 --> 00:36:54,845
This was before.
574
00:36:57,305 --> 00:37:01,477
You took down a patient's dressing
before she was intubated?
575
00:37:02,021 --> 00:37:03,438
Excuse me. Dr. Lockhart?
576
00:37:03,604 --> 00:37:05,064
Your emphysema guy is coding.
577
00:37:05,231 --> 00:37:08,193
But it was only for a few breaths.
I didn't...
578
00:37:12,614 --> 00:37:15,576
Damn right, we're gonna stay closed
as long as I've got crap-
579
00:37:15,743 --> 00:37:18,872
I don't mean figuratively.
- literal crap pouring out of my ceiling.
580
00:37:19,039 --> 00:37:23,001
- I came to check his neb. He was down.
- Mr. Brixton? Mr. Brixton?
581
00:37:23,168 --> 00:37:25,712
- PVCs.
- All right, a mac-two and an 8.0.
582
00:37:25,879 --> 00:37:27,881
You should have got me
if he was tiring out.
583
00:37:28,047 --> 00:37:30,426
- No, no. He was holding his own.
- Systolic's 77.
584
00:37:30,593 --> 00:37:34,013
- Okay. NS, wide open. Start second line.
- Run of six.
585
00:37:34,180 --> 00:37:36,349
- All right. What now?
- Acute emphysema flare.
586
00:37:36,516 --> 00:37:38,100
He went apneic on continuous nebs.
587
00:37:38,267 --> 00:37:39,685
- V-tach.
- No pulse.
588
00:37:39,852 --> 00:37:41,688
Start compressions and mark the time.
589
00:37:41,855 --> 00:37:43,774
Let's get an ABG and a capnograph now.
590
00:37:46,611 --> 00:37:49,238
- How's she doing?
- Good sats, no stridor.
591
00:37:49,405 --> 00:37:51,908
Got a repeat EKG and neck films.
592
00:37:52,784 --> 00:37:55,119
You're doing good, Rebecca.
593
00:37:57,205 --> 00:37:59,707
I didn't mean to hurt her.
594
00:38:00,041 --> 00:38:03,545
I just wanted her
to leave Rebecca alone.
595
00:38:06,048 --> 00:38:07,800
Did she suffer?
596
00:38:09,219 --> 00:38:15,183
No. We put her to sleep to work on her.
She didn't suffer any pain.
597
00:38:15,767 --> 00:38:17,852
I didn't mean to kill her.
598
00:38:19,395 --> 00:38:21,398
We loved her.
599
00:38:25,402 --> 00:38:27,238
Two hundred. Clear.
600
00:38:28,364 --> 00:38:31,660
- Back in sinus. Got a pulse.
- Okay. What do you got?
601
00:38:31,825 --> 00:38:34,286
Emphysema flare.
Abby had him on continuous albuterol.
602
00:38:34,453 --> 00:38:36,414
He was wheezing.
Given the acute setting-
603
00:38:36,581 --> 00:38:39,626
Chuny, correlate the capnograph
to the ABG. Set the rate at 40.
604
00:38:39,793 --> 00:38:42,462
- Abby, what's the end tidal CO2?
- Ninety-six.
605
00:38:42,629 --> 00:38:44,048
Can you tell me why?
606
00:38:44,214 --> 00:38:46,259
- He was apneic.
- Why?
607
00:38:46,425 --> 00:38:49,177
- He wasn't ventilating?
- That's not an answer.
608
00:38:49,887 --> 00:38:51,973
- He has emphysema?
- Wrong.
609
00:38:52,139 --> 00:38:53,391
- Tired out.
- No.
610
00:38:53,558 --> 00:38:55,811
- Basic respiratory physiology.
- He was hypoxic.
611
00:38:55,978 --> 00:38:58,689
- ABG's back, pH 7.1.
- Think about it.
612
00:38:58,897 --> 00:39:00,649
Emphysemics chronically retain CO2.
613
00:39:00,816 --> 00:39:04,152
- They rely on relative hypoxia-
- To trigger their respiratory drive.
614
00:39:06,989 --> 00:39:10,785
I put him on nebs, oxygen,
and took away his impulse to breathe.
615
00:39:10,952 --> 00:39:13,204
- Leading to hypercapnia, acidosis, V-tach.
- Yeah.
616
00:39:14,747 --> 00:39:16,749
- Sorry.
- Don't apologize to us.
617
00:39:16,916 --> 00:39:18,794
He'll be okay once you
blow off some CO2.
618
00:39:18,960 --> 00:39:21,963
It's a classic intern mistake.
You won't make it again.
619
00:39:27,636 --> 00:39:29,138
Get up.
620
00:39:30,180 --> 00:39:31,724
Get up.
621
00:39:42,570 --> 00:39:45,990
- What? What's going on?
- Tell them.
622
00:39:46,824 --> 00:39:49,744
That poor woman in there thinks
she murdered her own niece.
623
00:39:51,537 --> 00:39:53,331
Now, Ray.
624
00:40:38,857 --> 00:40:39,983
Hey.
625
00:40:42,568 --> 00:40:48,563
If it's any consolation,
that was a great teaching case for me.
626
00:40:49,030 --> 00:40:52,157
I'm glad my public humiliation
can further your educational goals.
627
00:40:52,324 --> 00:40:53,532
The guy is fine, Abby.
628
00:40:53,699 --> 00:40:57,410
It's not your fault he smoked
two packs a day for decades.
629
00:40:58,827 --> 00:41:02,205
So I was thinking...
630
00:41:02,371 --> 00:41:08,083
...that I might rank County
as my first choice for internship.
631
00:41:11,752 --> 00:41:13,045
What about UCSF?
632
00:41:13,711 --> 00:41:17,798
I don't want to go to UCSF.
I want to stay right here.
633
00:41:22,091 --> 00:41:24,885
Don't do that for me.
634
00:41:30,888 --> 00:41:34,474
Now, this was a seriously crappy day.
635
00:41:34,641 --> 00:41:38,559
Who wants to get drunk and pick a bar
fight with a bunch of law clerks, huh?
636
00:41:42,229 --> 00:41:45,272
I still have an hour of charting to do.
How are Birdy and Rebecca?
637
00:41:45,605 --> 00:41:48,190
- They're gonna be fine.
- Did you find out what happened?
638
00:41:48,357 --> 00:41:51,984
Turns out the niece had them
panhandling to support her crack habit...
639
00:41:52,151 --> 00:41:54,277
...hit them when they
didn't bring home enough.
640
00:41:54,444 --> 00:41:57,571
Well, well. If it isn't the three amigos.
641
00:41:57,738 --> 00:42:01,573
Let me see. Failure to recall
basic respiratory principles...
642
00:42:01,740 --> 00:42:04,242
...unsupervised umbilical lines
in an infant...
643
00:42:04,408 --> 00:42:05,951
...and a fatal air embolus.
644
00:42:06,743 --> 00:42:09,870
- Hey, when do the new interns start?
- A week from Monday.
645
00:42:10,037 --> 00:42:12,913
Man, oh, man. God help your patients.
646
00:42:13,080 --> 00:42:14,748
Wait up, dude.
647
00:42:15,206 --> 00:42:17,749
I don't know about you,
but I feel really inspired now.
648
00:42:17,916 --> 00:42:20,709
So I think I'll go
and throw myself under a train.
649
00:42:22,669 --> 00:42:23,962
Don't go away mad, Jake.
650
00:42:25,004 --> 00:42:26,922
But do go away.
651
00:43:52,055 --> 00:43:54,307
I'm moving back to Africa.
652
00:43:55,599 --> 00:43:56,934
And we can start over.
653
00:43:57,100 --> 00:43:59,560
We can do everything that
we didn't do before.
654
00:43:59,727 --> 00:44:02,562
You take as much time as you need.
Take a month. Take a year.
655
00:44:02,729 --> 00:44:04,855
You can take 10 years. I don't care.
656
00:44:05,022 --> 00:44:08,399
And I'm not leaving without you,
and I'm not living without you.
657
00:44:09,733 --> 00:44:11,484
I love you.
658
00:44:15,570 --> 00:44:17,237
I love you.
659
00:44:25,950 --> 00:44:29,038
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660
00:44:55,093 --> 00:44:57,178
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