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1
00:00:10,693 --> 00:00:14,003
He's 12.
When's the last time you saw him?
2
00:00:14,173 --> 00:00:16,129
Around 8:30.
3
00:00:16,293 --> 00:00:18,682
So four and a half hours ago?
4
00:00:19,013 --> 00:00:21,447
Friends, relatives,
anyone he might be with?
5
00:00:21,613 --> 00:00:25,322
We've been calling and driving around.
There's nothing.
6
00:00:25,493 --> 00:00:28,769
-Any fights, school problems?
-We had an argument.
7
00:00:28,933 --> 00:00:32,642
l went upstairs to take a shower
and get ready for bed. . .
8
00:00:33,013 --> 00:00:39,009
. . .and about an hour later, Visa called
for an authorization on my card.
9
00:00:39,173 --> 00:00:41,733
He'd gone to the bus station
and tried to buy a ticket.
10
00:00:42,293 --> 00:00:44,887
-Ticket to where?
-Colorado.
11
00:00:45,053 --> 00:00:47,726
-Why Colorado?
-His dad is there.
12
00:00:47,893 --> 00:00:51,363
What about his home situation?
ls it stable? Drugs? Violence?
13
00:00:51,533 --> 00:00:53,171
Alex has a good home.
14
00:00:53,333 --> 00:00:56,928
What about Dad, you let him know
Alex might be on his way or calling?
15
00:00:57,093 --> 00:00:58,731
He's not that easy to get ahold of.
16
00:00:58,893 --> 00:00:59,928
Why's that?
17
00:01:03,173 --> 00:01:04,322
He's in prison.
18
00:01:05,013 --> 00:01:07,368
Alex doesn't know
that his dad is in jail.
19
00:01:07,533 --> 00:01:10,684
He's been asking me
if he can go live with him--
20
00:01:10,853 --> 00:01:13,731
l'm sorry, shouldn't we be
calling Amtrak or the airlines?
21
00:01:13,893 --> 00:01:16,282
No, they won't board a minor
without parental consent.
22
00:01:16,933 --> 00:01:20,005
-You got a recent photo?
This happens all the time.
23
00:01:20,413 --> 00:01:23,052
Nine times out of 1 0,
they're back home in 24 hours or less.
24
00:01:23,213 --> 00:01:25,488
Alex doesn't have 24 hours.
He's diabetic.
25
00:01:25,653 --> 00:01:29,328
He could be in a coma by this time
tomorrow if he doesn't get his insulin.
26
00:01:30,053 --> 00:01:31,964
Sam. Sam.
We gotta go by Shelley's...
27
00:01:32,133 --> 00:01:34,328
-. . .Union Station, the park--
-Sam, the car's. . . .
28
00:01:34,493 --> 00:01:36,449
He likes Navy Pier,
maybe he went over there.
29
00:01:36,613 --> 00:01:40,367
And then we'll circle back to the school,
and the arcade on Lincoln--
30
00:01:40,533 --> 00:01:42,251
We should be at home when he calls.
31
00:01:42,413 --> 00:01:43,971
We'll check Denny's and McDonald's.
32
00:01:44,133 --> 00:01:45,282
Open the door.
33
00:01:45,453 --> 00:01:47,967
-Sam, he's not--
-Please, open the door.
34
00:01:51,493 --> 00:01:56,283
Sam, when he calls, he'll call home.
They said we should be there.
35
00:01:56,813 --> 00:01:59,725
He knows how to monitor his carbs,
stay hydrated.
36
00:02:00,973 --> 00:02:03,248
He's too smart.
37
00:02:04,293 --> 00:02:07,603
He's stubborn
and resourceful and smart.
38
00:02:10,813 --> 00:02:12,804
He's not coming back.
39
00:04:08,213 --> 00:04:11,046
Oh. The day shift.
40
00:04:11,613 --> 00:04:13,808
-There is a God.
-Ew.
41
00:04:13,973 --> 00:04:15,850
-Hard night?
-Okay. Everybody's here. Good.
42
00:04:16,013 --> 00:04:18,846
lt's 8:02. Time for rounds.
Curtain Number 1.
43
00:04:19,013 --> 00:04:20,890
-Wait. Ray, you're on.
Huh?
44
00:04:21,053 --> 00:04:23,692
You're an R-2 now,
R-2s run the board.
45
00:04:24,373 --> 00:04:26,170
Okay. Well-- Okay.
46
00:04:26,333 --> 00:04:28,130
Curtain 1 , foreign body in the eye.
47
00:04:28,293 --> 00:04:31,126
Sanding his boat without eye gear.
Shard of glass under the lid.
48
00:04:31,293 --> 00:04:33,488
Corneal abrasion?
-Didn't get a chance to check.
49
00:04:33,653 --> 00:04:36,850
Okay. Jane, he's yours.
Fluorescein, slit-lamp exam, home.
50
00:04:37,013 --> 00:04:39,447
Curtain 3,
we have an altered 1 9-year-old.
51
00:04:39,613 --> 00:04:40,887
Drank a gallon of antifreeze.
52
00:04:41,053 --> 00:04:43,613
Responding to fomepizole,
waiting on psych and an lCU bed.
53
00:04:43,773 --> 00:04:45,525
-Great. Moving on.
-Whoa. Good teaching case.
54
00:04:45,693 --> 00:04:49,083
Yeah. Take a minute and tell us all
about fomepizole.
55
00:04:50,093 --> 00:04:52,084
Well, it's pretty new.
56
00:04:53,413 --> 00:04:54,812
Yeah? What does it do?
57
00:04:56,653 --> 00:04:58,325
Lowers the ethylene glycol level?
58
00:04:58,933 --> 00:05:00,082
Tell them how.
59
00:05:01,213 --> 00:05:02,805
lncreases renal excretion.
60
00:05:02,973 --> 00:05:06,807
LEWlS: Anyone else?
-Does it inhibit alcohol dehydrogenase?
61
00:05:06,973 --> 00:05:09,692
l think it might prevent formation
of acidic metabolites.
62
00:05:09,853 --> 00:05:11,650
Get it in early and you avoid dialysis.
63
00:05:11,813 --> 00:05:13,883
l'm gonna read about this
and make a handout.
64
00:05:14,053 --> 00:05:16,089
R-2s have to do the reading
before rounds.
65
00:05:16,253 --> 00:05:18,050
-How? l just got here.
-Get here early.
66
00:05:18,213 --> 00:05:20,169
Teaching should be spontaneous,
off-the-cuff.
67
00:05:20,333 --> 00:05:22,893
Excuse me. ls there somewhere private
l can go breastfeed?
68
00:05:23,053 --> 00:05:25,362
We've been here three hours.
My kid needs to eat.
69
00:05:25,533 --> 00:05:28,331
Yeah, yeah, there's a family room
down the hallway.
70
00:05:28,493 --> 00:05:30,848
Mom, l'm starving.
71
00:05:31,213 --> 00:05:32,965
MORRlS:
All the way on your left.
72
00:05:33,133 --> 00:05:35,328
-How old is that kid?
-He's gotta be 6.
73
00:05:35,493 --> 00:05:37,211
That is a little freaky.
74
00:05:37,773 --> 00:05:39,764
Sam? Hey.
75
00:05:39,933 --> 00:05:41,161
-What?
-lt's okay.
76
00:05:41,333 --> 00:05:43,528
Did they call?
-No.
77
00:05:43,693 --> 00:05:45,126
lt's his picture on the TV.
78
00:05:52,893 --> 00:05:56,522
-How long was l asleep for?
-About an hour.
79
00:05:57,493 --> 00:05:59,643
All right, we gotta start
calling everybody again.
80
00:05:59,813 --> 00:06:03,203
We already called everybody.
They're gonna call us if-- Sam.
81
00:06:05,773 --> 00:06:07,764
Hi, Debbie.
82
00:06:09,213 --> 00:06:12,046
Yeah. Nope.
83
00:06:13,693 --> 00:06:16,605
No, huh? Okay. Yeah, yeah.
As soon as-- Of course.
84
00:06:16,773 --> 00:06:20,561
-As soon as l hear anything.
-Hi, yes. This is Luka Kovac again.
85
00:06:26,173 --> 00:06:27,492
-Hello.
LEWlS: What is it?
86
00:06:27,653 --> 00:06:30,963
-Altered traffic collision.
-GCS, eight. Systolic's 1 00. Let's bag her.
87
00:06:31,133 --> 00:06:32,691
-What's your plan, Ray?
All right.
88
00:06:32,853 --> 00:06:35,686
lntubation, FAST exam and a head CT.
89
00:06:35,853 --> 00:06:37,923
-Okay. l'll be in Curtain 2.
-Dr. Lewis?
90
00:06:38,093 --> 00:06:41,529
-Call me if you need me.
-l guess she trusts you.
91
00:06:41,973 --> 00:06:45,522
Yeah, 20 of etomidate, 1 00 of sux.
Portable C-spine and chest to follow.
92
00:06:45,693 --> 00:06:48,810
-Get that SonoSite ready. Come here.
-Mind if l intubate?
93
00:06:48,973 --> 00:06:50,326
Might wanna observe one first.
94
00:06:50,493 --> 00:06:51,767
Why do we use etomidate?
95
00:06:51,933 --> 00:06:54,208
-We need a sedative with a paralytic.
-No, l know that.
96
00:06:54,373 --> 00:06:57,524
But isn't it true that ketamine
causes less respiratory depression?
97
00:06:57,693 --> 00:06:58,921
Maybe.
98
00:06:59,093 --> 00:07:01,607
Well, does it have
a more favorable hemodynamic profile?
99
00:07:01,773 --> 00:07:04,765
lf you're concerned about
interabdominal hemorrhaging, then it--
100
00:07:04,933 --> 00:07:07,128
Jane, we use etomidate
because it's a good drug.
101
00:07:07,453 --> 00:07:09,523
-Okay, let me take a look.
-Sats up to 92.
102
00:07:09,693 --> 00:07:13,686
All right, pull the handle at 45 degrees
and never rock back against the teeth.
103
00:07:14,453 --> 00:07:16,444
Shouldn't you give a dose of Pavulon?
104
00:07:16,613 --> 00:07:19,081
-Sometimes we do, yeah.
-ls sux okay in crush injuries?
105
00:07:19,253 --> 00:07:22,370
-Uh-huh. Cricoid pressure.
JlM: What about hyperkalemia?
106
00:07:22,533 --> 00:07:24,125
Look, never seen it happen.
107
00:07:24,293 --> 00:07:28,002
The 8-0, it won't pull through. All right.
We need a smaller tube. Bag her.
108
00:07:28,173 --> 00:07:29,447
ls sux okay in burn patients?
109
00:07:29,613 --> 00:07:34,482
More observation and less conversation.
We tube her and then we can chat, okay?
110
00:07:34,773 --> 00:07:37,890
-Seven and a half.
-Okay. Thank you.
111
00:07:39,613 --> 00:07:41,888
Sergeant Parker wouldn't tell us
what this was about.
112
00:07:42,053 --> 00:07:44,886
We haven't found your son yet.
Twelve thousand fliers went out.
113
00:07:45,053 --> 00:07:46,691
Precincts, hospitals, state police.
114
00:07:46,853 --> 00:07:48,445
We notified the folks in Colorado. . .
115
00:07:48,613 --> 00:07:50,843
. . .and we're getting some play
on local television.
116
00:07:51,013 --> 00:07:52,605
Please, have a seat.
117
00:07:52,773 --> 00:07:58,245
We canvassed the airline ticket counters,
Union Station, buses.
118
00:07:58,413 --> 00:08:00,608
Nobody recognized your son.
119
00:08:00,773 --> 00:08:02,968
Hey. Thanks for coming back down.
120
00:08:05,053 --> 00:08:06,247
Still nothing from Alex?
121
00:08:06,413 --> 00:08:07,641
No, no. You know, l'm sorry.
122
00:08:07,813 --> 00:08:10,008
Why didn't you tell us this
over the phone?
123
00:08:10,173 --> 00:08:11,811
Why did you want us
to come down here?
124
00:08:14,293 --> 00:08:17,285
We got a report of an unidentified
diabetic kid in a coma.
125
00:08:17,533 --> 00:08:19,489
lt matches
your son's general description.
126
00:08:19,653 --> 00:08:22,326
-Where is he?
-ln all likelihood, it's not him.
127
00:08:22,493 --> 00:08:24,643
We're waiting for them
to fax a photo, but the--
128
00:08:26,173 --> 00:08:28,164
They're still working on him
at the hospital.
129
00:08:28,333 --> 00:08:31,450
-Where is he?
-lowa. Davenport, lowa.
130
00:08:31,613 --> 00:08:33,524
-lt's 200 miles.
-l'll drive.
131
00:08:33,693 --> 00:08:35,968
They'll know if it's him or not
before we get there.
132
00:08:36,133 --> 00:08:38,931
-lf it's him, we'll be closer.
-lf not, we'll be farther away.
133
00:08:39,093 --> 00:08:41,766
l can't just sit at the house
waiting for someone to call. . .
134
00:08:41,933 --> 00:08:44,925
. . .to tell me they've found Alex
in a ditch somewhere or a Dumpster.
135
00:08:45,093 --> 00:08:46,162
l can't! Okay? l can't.
136
00:08:50,293 --> 00:08:52,727
Tell Dubenko the second HemoCue
was 1 2. 1 .
137
00:08:52,893 --> 00:08:55,930
-Going to the O.R.?
-FAST was positive, needs an ex-lap.
138
00:08:56,093 --> 00:08:59,403
-How'd it go, Haleh?
-lt was a little rough.
139
00:08:59,573 --> 00:09:01,689
Do you wanna give Dr. Barnett
some feedback?
140
00:09:01,853 --> 00:09:03,127
There wasn't much teaching.
141
00:09:03,293 --> 00:09:06,285
You seemed distracted by questions
from the interns.
142
00:09:06,453 --> 00:09:08,444
-Well, they wouldn't shut up.
-Ray.
143
00:09:08,613 --> 00:09:11,332
His frustration prevented the team
from working together.
144
00:09:11,493 --> 00:09:12,892
There was tension in the room.
145
00:09:13,213 --> 00:09:15,886
Could have caused a delay
in diagnosing a splenic lac.
146
00:09:16,053 --> 00:09:17,884
-Oh, please.
-Thank you, Haleh.
147
00:09:18,053 --> 00:09:21,045
Thank you. Thanks.
What was that about?
148
00:09:21,213 --> 00:09:23,488
lmproving your skills. Making you
a better teacher, a better leader.
149
00:09:23,653 --> 00:09:25,564
Since when do nurses
evaluate the Residents?
150
00:09:25,733 --> 00:09:28,850
-Haleh's been here longer. She knows.
-l needed to treat this patient.
151
00:09:29,013 --> 00:09:31,288
You also need to create
a positive learning climate.
152
00:09:31,453 --> 00:09:33,648
Are you torturing all the R-2s,
or is it just me?
153
00:09:33,813 --> 00:09:36,168
Ray. Resolving TlA?
154
00:09:36,893 --> 00:09:38,485
Go.
155
00:09:47,253 --> 00:09:48,925
We must have missed it.
156
00:09:49,093 --> 00:09:51,653
They said it's over a mile
from the interstate. We've only gone--
157
00:09:51,813 --> 00:09:53,212
Ah! That's it.
158
00:10:20,413 --> 00:10:22,722
Hello? Anybody here?
159
00:10:23,293 --> 00:10:24,806
Excuse me.
160
00:10:24,973 --> 00:10:26,167
There's a button.
161
00:10:27,453 --> 00:10:28,727
Over there.
162
00:10:31,973 --> 00:10:34,885
Hold your horses, l'm coming.
163
00:10:35,973 --> 00:10:37,486
Hi, you have a boy in DKA?
164
00:10:37,653 --> 00:10:41,248
Security guard found him down behind
Penney's at the mall, didn't have any lD.
165
00:10:41,413 --> 00:10:46,168
His blood sugar was 764,
pH 7. 1 0, GCS eight.
166
00:10:46,333 --> 00:10:48,563
Ketones were positive at one to 64.
167
00:10:48,733 --> 00:10:51,122
He's on lV saline,
insulin and potassium.
168
00:10:51,293 --> 00:10:53,204
He just started opening his eyes
on command.
169
00:10:53,373 --> 00:10:54,522
You just missed Dr. Hahn.
170
00:10:54,693 --> 00:10:58,971
He went home to get his digital camera
so we could send a picture to Chicago.
171
00:11:00,893 --> 00:11:02,167
No. No, it wasn 't him.
172
00:11:02,333 --> 00:11:05,211
Right. Thanks.
173
00:11:06,013 --> 00:11:08,811
-Anything?
-No, not yet.
174
00:11:10,693 --> 00:11:13,844
God! Damn it, Alex!
175
00:11:15,693 --> 00:11:17,763
Uhh!
176
00:11:26,813 --> 00:11:30,283
Erica's fine to stay at the apartment
till we get back.
177
00:11:31,613 --> 00:11:34,889
He's not coming home, Luka.
178
00:11:53,053 --> 00:11:54,850
You have the keys?
179
00:11:56,733 --> 00:11:58,291
Where are we going?
180
00:11:59,453 --> 00:12:01,171
Colorado.
181
00:12:10,293 --> 00:12:12,932
-No infiltrate.
-Like l said, fever without source.
182
00:12:13,093 --> 00:12:16,608
-Everything okay?
-Well, he doesn't have pneumonia.
183
00:12:16,773 --> 00:12:18,365
-Urine?
-All clear.
184
00:12:18,533 --> 00:12:20,922
-Rapid strep?
-No clinical indication.
185
00:12:21,093 --> 00:12:23,732
Okay. Mason, can you open up
your mouth for me?
186
00:12:23,893 --> 00:12:25,929
-l don't like that.
-Come on, you're a big boy.
187
00:12:26,093 --> 00:12:27,412
l already did it.
188
00:12:27,573 --> 00:12:29,882
Okay. Real quick, huh? Ah.
189
00:12:31,773 --> 00:12:33,491
-A little bigger.
-Uh.
190
00:12:34,053 --> 00:12:35,247
-Any rash?
-No.
191
00:12:35,413 --> 00:12:38,052
He looks good.
Can you remove his pajamas for me?
192
00:12:38,653 --> 00:12:41,963
-Dr. Babinski had him in a gown.
-l don't wanna take off my clothes again.
193
00:12:42,133 --> 00:12:44,044
Look, l'm sorry,
but it's important. Okay?
194
00:12:44,213 --> 00:12:46,010
You said we can go home.
195
00:12:46,173 --> 00:12:47,765
-l want to go home.
Mason.
196
00:12:47,933 --> 00:12:49,127
-Mason.
Okay.
197
00:12:49,293 --> 00:12:52,046
-l want to go home now!
Mason, come on.
198
00:12:52,213 --> 00:12:53,407
-Ray?
Two seconds.
199
00:12:53,573 --> 00:12:55,052
No!
-Excuse me. Be right back.
200
00:12:55,213 --> 00:12:56,362
-No!
Come on, Mason.
201
00:12:56,533 --> 00:12:58,603
-No!
JlM: Come on, Mason. One more time.
202
00:12:58,773 --> 00:13:00,843
LEWlS:
How's it going in there?
203
00:13:01,013 --> 00:13:02,526
Just looking for a fever source.
204
00:13:02,693 --> 00:13:04,411
Babinski said there wasn't one.
205
00:13:04,573 --> 00:13:07,246
You know how it is with interns.
You gotta check up on them.
206
00:13:07,493 --> 00:13:09,131
But not for 20 minutes.
207
00:13:09,293 --> 00:13:11,602
The interns are doctors.
You have to trust their skills.
208
00:13:11,773 --> 00:13:14,287
But they were students last week,
don't know what they're doing.
209
00:13:14,453 --> 00:13:16,762
You're micromanaging every case.
That's not good.
210
00:13:16,933 --> 00:13:19,731
We were caught up. We've got
six to be seen and 20 in the rack.
211
00:13:20,413 --> 00:13:21,607
And that's my fault?
212
00:13:21,773 --> 00:13:23,889
l liked you better
when you were the closer.
213
00:13:31,613 --> 00:13:33,012
Still no service.
214
00:13:33,173 --> 00:13:37,086
We're about 30 miles from Omaha,
so we'll probably get service soon.
215
00:13:37,533 --> 00:13:40,001
-Where in Colorado?
-Huh?
216
00:13:40,973 --> 00:13:42,770
Where's Steve?
217
00:13:43,613 --> 00:13:44,648
CaƱon City.
218
00:13:45,213 --> 00:13:49,001
Where's that?
-ln the mountains somewhere, l think.
219
00:13:49,173 --> 00:13:50,652
Never been.
220
00:13:51,253 --> 00:13:52,686
What?
221
00:13:52,973 --> 00:13:57,649
Colorado. Always wanted to go.
l hear it's beautiful.
222
00:13:57,813 --> 00:13:59,405
Yeah.
223
00:14:02,853 --> 00:14:07,722
What were you and Alex fighting about?
Last night, before he left?
224
00:14:08,333 --> 00:14:10,085
The usual.
225
00:14:11,733 --> 00:14:13,246
Me?
226
00:14:14,453 --> 00:14:15,966
Us.
227
00:14:19,733 --> 00:14:22,725
l should have just told him the truth.
228
00:14:23,093 --> 00:14:25,971
-Well, he knew we were having trouble.
-No.
229
00:14:26,133 --> 00:14:27,646
The truth about his father.
230
00:14:37,333 --> 00:14:40,882
After the Attending leaves you alone
in Trauma, you'll be critiqued by a nurse.
231
00:14:41,053 --> 00:14:42,088
That's weird.
232
00:14:42,253 --> 00:14:45,086
Even if the patient's crashing, make nice
with the newbies or you'll be dinged.
233
00:14:45,253 --> 00:14:47,562
Ray, can l give another four
of morphine to McKenzie?
234
00:14:47,733 --> 00:14:50,850
-You think he needs it?
-No, l just want him to stop breathing.
235
00:14:51,013 --> 00:14:52,002
Fine.
236
00:14:52,173 --> 00:14:54,209
You're responsible
for everything the intern does. . .
237
00:14:54,373 --> 00:14:56,364
. . .but question the history,
they get testy on you.
238
00:14:56,533 --> 00:14:58,091
-Sounds like you had a great day.
-Yeah.
239
00:14:58,253 --> 00:15:00,483
You ready, Neela?
Tonight's all about you and me.
240
00:15:00,653 --> 00:15:03,213
-And me. Teddy Marsh, new intern.
-Hello.
241
00:15:03,373 --> 00:15:05,523
First shift. An overnight. Awesome.
242
00:15:05,693 --> 00:15:07,843
This is Neela.
She's the R-2. She's in charge.
243
00:15:08,013 --> 00:15:10,288
Your mission,
clear that board by morning.
244
00:15:10,813 --> 00:15:11,928
l'm so screwed.
245
00:15:12,093 --> 00:15:14,687
Antifreeze overdose has been here
all night waiting on lCU.
246
00:15:14,853 --> 00:15:17,321
Let's step it up.
The day shift wants to get out of here.
247
00:15:17,493 --> 00:15:20,291
Fomepizole's an alcohol
dehydrogenase inhibitor. You'll be fine.
248
00:15:20,453 --> 00:15:22,808
-What?
-Neela, you're running rounds. Let's start.
249
00:15:45,773 --> 00:15:48,685
lt's about nine hours to Denver.
l think we can make it by dawn.
250
00:15:48,853 --> 00:15:50,809
-You try to sleep. l'll drive.
-No, l'm okay.
251
00:15:50,973 --> 00:15:53,806
No, no. l'm awake. l'm not sure
l will be in the next four hours.
252
00:15:53,973 --> 00:15:57,807
Shoot. My cell-phone battery's almost
dead. l should have brought my charger.
253
00:16:06,653 --> 00:16:08,132
Hey, Luka.
254
00:16:11,013 --> 00:16:12,366
Thank you.
255
00:16:18,573 --> 00:16:20,564
The calculated osmolality
is approximated...
256
00:16:20,733 --> 00:16:22,485
. . .by multiplying
the sodium concentration. . .
257
00:16:22,653 --> 00:16:26,612
. . .by two and adding glucose divided
by 1 8 and the BUN, over 2.8.
258
00:16:26,773 --> 00:16:30,049
Anyone have the numbers handy?
That's okay. We'll make some up.
259
00:16:30,573 --> 00:16:32,484
Let's say he's measured--
260
00:16:32,653 --> 00:16:34,689
What does this have to do
with a fractured rib?
261
00:16:34,853 --> 00:16:36,127
Absolutely nothing.
262
00:16:36,293 --> 00:16:38,761
-l have a date.
-Go. We could be here all night.
263
00:16:38,933 --> 00:16:41,401
-Thank you.
-Divided by 2.8.
264
00:16:41,573 --> 00:16:44,133
Twenty minutes
and we're only on the second patient.
265
00:16:44,293 --> 00:16:46,853
Stay focused on the clinically relevant
teaching points.
266
00:16:47,013 --> 00:16:49,686
lt is. There's an osmolar gap.
lnterns need to know what that means.
267
00:16:51,013 --> 00:16:52,924
-Not right now.
-Stab wound. Need some help here.
268
00:16:53,093 --> 00:16:55,971
LEWlS: Neela, take it with Marsh.
Pratt, Morris, finish running the board.
269
00:16:56,133 --> 00:16:59,330
-Ready?
-My first trauma as a doc. All right.
270
00:16:59,493 --> 00:17:02,530
Single stab to the right chest,
agonal resps, sats 84 on 1 5 liters.
271
00:17:02,693 --> 00:17:05,082
All right, Trauma 1 , let's go.
272
00:17:08,293 --> 00:17:11,126
Now enter the thoracic cavity
through the intercostal.
273
00:17:11,293 --> 00:17:12,442
Okay. l felt a pop.
274
00:17:12,613 --> 00:17:18,051
Okay, insert finger, feel lung tissue,
pass the tube on a curved clamp.
275
00:17:18,213 --> 00:17:20,568
Pretty cool.
My first night, my first chest tube.
276
00:17:20,733 --> 00:17:24,806
The key is to avoid the neurovascular
bundle at the inferior margin of the rib.
277
00:17:24,973 --> 00:17:26,167
The tube won't pass.
278
00:17:26,333 --> 00:17:28,005
All right, let me try.
279
00:17:30,773 --> 00:17:33,241
l can't find the tract.
280
00:17:33,413 --> 00:17:36,769
Sometimes you need to check again
with a finger.
281
00:17:37,693 --> 00:17:41,049
There is no tract.
Did you enter the thoracic cavity?
282
00:17:41,213 --> 00:17:42,362
l thought l did.
283
00:17:42,533 --> 00:17:43,966
Did you feel lung tissue?
284
00:17:44,133 --> 00:17:45,532
lt was warm and soft.
285
00:17:45,693 --> 00:17:48,082
Lung tissue expands
and contracts with ventilation.
286
00:17:48,253 --> 00:17:49,811
Right.
287
00:17:51,253 --> 00:17:52,925
Now we're into the pleura.
288
00:17:53,373 --> 00:17:55,011
l'm sorry. l thought l was in.
289
00:17:55,173 --> 00:17:57,243
-l'll do better next time.
-How you doing?
290
00:17:57,413 --> 00:17:59,973
Finishing up a chest tube.
Can you start a central line?
291
00:18:00,133 --> 00:18:03,887
-l got a cue ball versus cheek to sew up.
-Trauma patient takes priority. 0-silk.
292
00:18:04,053 --> 00:18:06,089
Pulse is 98,
BP is stable, what's the big deal?
293
00:18:06,253 --> 00:18:09,404
My guy needs a three-layer closure
on a complex stellate facial lac.
294
00:18:09,573 --> 00:18:11,484
-That could take two hours.
-Yeah.
295
00:18:11,653 --> 00:18:14,042
Let Plastics do it. Someone needs
to keep an eye on the board.
296
00:18:14,213 --> 00:18:17,011
Don't worry. l told the nurses
to send off labs and x-rays on everyone.
297
00:18:17,173 --> 00:18:18,162
Morris!
298
00:18:18,333 --> 00:18:19,766
MORRlS:
Looks like everything's under control.
299
00:18:19,933 --> 00:18:22,163
-ls that a vertical mattress?
-No, it's horizontal.
300
00:18:44,893 --> 00:18:46,724
What are you doing?
301
00:18:47,053 --> 00:18:49,886
Bugs. lt's difficult to see.
302
00:18:50,813 --> 00:18:51,802
Where are we?
303
00:18:52,613 --> 00:18:55,571
We passed Grand lsland
about an hour ago.
304
00:18:56,773 --> 00:19:00,766
-We should get to a phone, call Chicago.
-Okay.
305
00:19:00,933 --> 00:19:02,685
What time is it?
306
00:19:03,613 --> 00:19:04,648
One-thirty.
307
00:19:07,013 --> 00:19:09,322
l was dreaming about Alex.
308
00:19:09,493 --> 00:19:13,168
He was 2 or 3.
309
00:19:13,333 --> 00:19:15,483
And l needed a bathing suit. . .
310
00:19:15,653 --> 00:19:20,090
. . .so l was looking through the racks
at some department store.
311
00:19:20,573 --> 00:19:24,088
And when l looked back,
Alex was gone.
312
00:19:24,853 --> 00:19:27,321
He just vanished.
313
00:19:27,853 --> 00:19:31,050
l guess you don't have to be Freud
to figure that one out.
314
00:19:37,733 --> 00:19:39,166
l lost my son at the ocean.
315
00:19:44,693 --> 00:19:47,366
Daniella didn't want me to take him,
but l insisted.
316
00:19:47,533 --> 00:19:52,323
l was mad that
she didn't trust me, so. . . .
317
00:19:52,493 --> 00:19:55,246
We had a big fight, and she let us go.
318
00:19:56,173 --> 00:19:57,652
What happened?
319
00:19:57,813 --> 00:20:01,249
lt was a very hot day,
so everyone had come to the beach.
320
00:20:01,413 --> 00:20:03,165
You have beaches in Croatia?
321
00:20:05,093 --> 00:20:08,051
Beautiful beaches. Miles of them.
322
00:20:08,213 --> 00:20:12,764
Anyway, so we found
about an inch of sand. . .
323
00:20:12,933 --> 00:20:18,212
. . .that wasn't already taken,
and we went down to the water.
324
00:20:18,373 --> 00:20:19,886
He wanted to build a sand castle. . .
325
00:20:20,053 --> 00:20:25,207
. . .so l went back up
to pick up his little shovel and bucket.
326
00:20:26,933 --> 00:20:29,163
And when l came back, he was gone.
327
00:20:30,533 --> 00:20:32,205
l looked everywhere. . .
328
00:20:32,373 --> 00:20:37,527
. . .ran up and down the beach to
the shops by the road, into the water.
329
00:20:37,693 --> 00:20:39,126
l couldn't find him.
330
00:20:39,293 --> 00:20:40,442
How long was he missing?
331
00:20:43,013 --> 00:20:44,287
Two hours.
332
00:20:50,053 --> 00:20:51,486
Where was he?
333
00:20:51,933 --> 00:20:54,049
Some boy had a dog.
334
00:20:54,213 --> 00:20:57,285
The police found him wandering.
335
00:20:57,773 --> 00:21:01,163
He knew his name, so they called
our house and Daniella answered.
336
00:21:04,573 --> 00:21:07,724
When l got home, he was sitting
in a bathtub with his sister. . .
337
00:21:07,893 --> 00:21:10,407
. . .having a wonderful time.
338
00:21:14,333 --> 00:21:20,249
l went to the kitchen and l cried
by the sink, with the water running.
339
00:21:23,533 --> 00:21:24,761
What was his name?
340
00:21:25,813 --> 00:21:27,485
Marco.
341
00:21:31,093 --> 00:21:33,004
Alex is gonna be all right, Sam.
342
00:21:33,693 --> 00:21:36,605
We're gonna find him
and he's gonna be all right.
343
00:21:44,973 --> 00:21:47,771
lt's 3 a.m.
Shouldn't this be slowing down by now?
344
00:21:47,933 --> 00:21:50,447
You've got a dark cloud, Neela.
Always have.
345
00:21:50,613 --> 00:21:52,331
Twelve more out there
triaging as we speak.
346
00:21:52,493 --> 00:21:54,961
Neurosurg is coming to see the subdural,
he'll need a unit bed.
347
00:21:55,133 --> 00:21:56,964
l'm gonna lie down
for a couple hours. Cool?
348
00:21:57,133 --> 00:21:59,442
We've got three intubated patients
and a full board.
349
00:21:59,613 --> 00:22:02,252
You are more than capable
of managing whatever comes in.
350
00:22:03,253 --> 00:22:05,209
What? That's the fun
of being the big R-2.
351
00:22:05,373 --> 00:22:07,204
You get to be queen of the night shift.
352
00:22:07,373 --> 00:22:10,126
Don't wanna be. l wanna get the board
cleared before day shift comes.
353
00:22:10,293 --> 00:22:13,330
Can l get a copy of your schedule?
l'm trying to avoid nights that you're on.
354
00:22:13,493 --> 00:22:15,882
Are you going to bed
and leaving me alone with this mess?
355
00:22:16,053 --> 00:22:18,521
-You're not alone. You have him.
-Busy? l wanna present my guy.
356
00:22:18,693 --> 00:22:21,161
Wake me only if it's really,
really important.
357
00:22:21,333 --> 00:22:24,848
-He's going to bed?
-Yup. lt's you and me against the world.
358
00:22:25,013 --> 00:22:28,847
Chuny had me correct your fentanyl
order. lt's micrograms, not milligrams.
359
00:22:29,013 --> 00:22:31,527
Oh, God. That could have led
to a really serious mistake.
360
00:22:31,693 --> 00:22:34,969
-lt was caught in time, no harm done.
-l'm so sorry. Thanks for fixing it.
361
00:22:35,133 --> 00:22:37,283
lt's okay. You gotta learn somehow.
What you got?
362
00:22:37,453 --> 00:22:39,648
A 37-year-old with a deltoid abscess.
363
00:22:39,813 --> 00:22:42,373
Never done an l&D,
thought you might wanna supervise me.
364
00:22:42,533 --> 00:22:45,366
-Any other history?
-Chronic lV drug use, that's about it.
365
00:22:45,533 --> 00:22:46,682
Physical?
366
00:22:46,853 --> 00:22:50,163
Four-by-five fluctuant lesion
on the lateral aspect of the upper arm.
367
00:22:50,333 --> 00:22:52,164
Remainder of the exam
was entirely normal.
368
00:22:52,333 --> 00:22:54,972
Hey, doc.
You ready to slice open this bad boy?
369
00:22:55,133 --> 00:22:57,203
This is Dr. Rasgotra.
She's my supervisor.
370
00:22:57,373 --> 00:22:58,965
Just wanna take a quick listen.
371
00:22:59,133 --> 00:23:01,363
lt's so satisfying
when you guys cut it open. . .
372
00:23:01,533 --> 00:23:03,205
. . .and all that pus comes pouring out.
373
00:23:03,853 --> 00:23:08,005
Ten blade, saline,
swabs, packing gauze.
374
00:23:08,173 --> 00:23:10,004
Anything else?
375
00:23:10,173 --> 00:23:12,243
-Mr. . .?
-Kingsley.
376
00:23:12,413 --> 00:23:14,483
We'll be back in a minute. Okay?
377
00:23:20,573 --> 00:23:23,246
-Did you listen to his heart?
-Of course l did.
378
00:23:23,413 --> 00:23:25,608
So when you said his exam
was entirely normal. . .
379
00:23:25,773 --> 00:23:28,412
. . .were you just forgetting
to mention his murmur?
380
00:23:28,573 --> 00:23:31,246
-He has a murmur?
-Four over six at the left sternal border.
381
00:23:31,413 --> 00:23:36,009
-He has a thrill. lt's not subtle.
-Wow. Big miss. l'll listen again.
382
00:23:36,173 --> 00:23:38,164
You can't miss a murmur
in an lV drug user.
383
00:23:38,333 --> 00:23:39,482
Could be endocarditis.
384
00:23:39,653 --> 00:23:41,883
He needs an echo and antibiotics
before the l&D.
385
00:23:42,973 --> 00:23:47,251
l heard you were smart, but l had no idea
you were such an awesome teacher.
386
00:23:47,613 --> 00:23:50,081
Thanks for saving my ass.
387
00:24:38,573 --> 00:24:39,801
What was that?
388
00:24:43,453 --> 00:24:45,045
l don't know.
389
00:24:56,693 --> 00:24:58,092
Oh, God.
390
00:25:07,253 --> 00:25:08,845
Wait here.
391
00:25:13,093 --> 00:25:14,890
What is it?
392
00:25:15,453 --> 00:25:16,966
A deer, l think.
393
00:25:18,853 --> 00:25:20,411
ls it dead?
394
00:25:21,493 --> 00:25:23,165
No.
395
00:25:23,933 --> 00:25:25,889
l don't think so.
396
00:25:28,893 --> 00:25:30,212
l don't know.
397
00:25:31,453 --> 00:25:32,727
You folks need help?
398
00:25:33,693 --> 00:25:37,129
-l didn't-- l didn't see it.
-Antelope.
399
00:25:37,293 --> 00:25:38,851
Did a real number to your car.
400
00:25:41,213 --> 00:25:43,681
-You both all right?
-Yeah.
401
00:25:44,933 --> 00:25:47,128
l got a rifle in the truck.
402
00:25:55,253 --> 00:25:57,767
Sam.
We gotta keep going.
403
00:25:57,933 --> 00:26:01,403
Sam, the car's wrecked.
The radiator's leaking.
404
00:26:02,333 --> 00:26:04,688
The windshield's shattered.
You won't be able to see.
405
00:26:06,013 --> 00:26:07,287
Come on.
406
00:26:08,093 --> 00:26:09,685
Come on!
407
00:26:28,093 --> 00:26:31,608
Our syphilis guy's had over 50 partners
in the last 90 days.
408
00:26:31,773 --> 00:26:33,764
Wants to know if they can come
for treatment.
409
00:26:33,933 --> 00:26:36,731
As long as they wait till sunrise.
Pen G, 2.4 million units lM.
410
00:26:36,893 --> 00:26:39,885
Neela! Your COPD'er
isn't looking so good.
411
00:26:40,373 --> 00:26:43,126
Sats dropped to 87 on room air.
412
00:26:43,293 --> 00:26:44,567
Can hardly catch my breath.
413
00:26:44,733 --> 00:26:46,769
He was fine when l saw him,
he wasn't wheezing.
414
00:26:46,933 --> 00:26:48,730
You can't wheeze
if you're not moving air.
415
00:26:48,893 --> 00:26:52,249
We'll give you medicine to help.
Albuterol, 5 migs with 500 of Atrovent.
416
00:26:52,413 --> 00:26:55,371
Sure that's a good idea? His
theophylline's 53, he's throwing PVCs.
417
00:26:55,533 --> 00:26:59,287
What? You didn't bother mentioning
a toxic theophylline level?
418
00:26:59,453 --> 00:27:00,932
l didn't know. l hadn't checked.
419
00:27:01,093 --> 00:27:03,209
Didn't think we'd have the level
back till tomorrow.
420
00:27:03,413 --> 00:27:05,051
Breathing's been bad.
421
00:27:05,693 --> 00:27:07,923
l took some extra pills.
422
00:27:08,093 --> 00:27:10,163
A hundred of lidocaine
and move him to Trauma.
423
00:27:10,333 --> 00:27:13,006
Hold off on the albuterol
until we stabilize his arrhythmia.
424
00:27:13,173 --> 00:27:14,526
You got it.
425
00:27:14,693 --> 00:27:17,161
We'll be right back, Mr. Canberra.
426
00:27:20,893 --> 00:27:23,646
Whoa, you were great in there.
You really took control.
427
00:27:23,813 --> 00:27:26,327
-Teddy, listen--
-l'm sorry about the theophylline thing.
428
00:27:26,493 --> 00:27:29,565
-l'll have to thank Chuny for fixing it--
-Just listen, okay?
429
00:27:30,133 --> 00:27:31,452
You wanna know a secret?
430
00:27:31,893 --> 00:27:34,282
You don't have to be that smart
to be a good doctor.
431
00:27:34,453 --> 00:27:37,013
You just have to be thorough,
systematic and meticulous.
432
00:27:37,173 --> 00:27:39,164
-l'm trying.
-Not hard enough.
433
00:27:39,333 --> 00:27:42,370
You've missed glaring physical findings,
overlooked critical labs. . .
434
00:27:42,533 --> 00:27:46,003
. . .and l've been correcting
your med orders all night.
435
00:27:46,333 --> 00:27:47,527
lt's my first shift.
436
00:27:47,693 --> 00:27:51,242
l realize that, but you're responsible
for real people here. . .
437
00:27:51,413 --> 00:27:53,449
. . .and l can't watch your every move.
438
00:27:53,613 --> 00:27:57,208
l know that. And l wanna thank you--
439
00:27:57,373 --> 00:27:58,852
And your attitude. . . .
440
00:28:00,013 --> 00:28:04,882
lt's just so contrite and appreciative.
441
00:28:07,533 --> 00:28:09,444
lt's just weird.
442
00:28:15,093 --> 00:28:16,572
l--
443
00:28:17,853 --> 00:28:19,172
l guess l just don't get it.
444
00:28:20,413 --> 00:28:22,404
-Wait--
-l'm getting some coffee. Need anything?
445
00:28:23,133 --> 00:28:24,691
Teddy, wait!
446
00:28:24,853 --> 00:28:27,731
We'll do a head-to-toe H & P together.
447
00:28:27,893 --> 00:28:30,361
Might help identify where
some of your deficiencies are.
448
00:28:36,253 --> 00:28:37,925
Bollocks.
449
00:28:50,293 --> 00:28:53,091
They're gonna send a truck
to tow the car in.
450
00:28:53,813 --> 00:28:55,724
Did you call Chicago?
451
00:29:02,213 --> 00:29:06,809
The guy inside gets off at 7.
Offered us a ride back to North Platte.
452
00:29:07,493 --> 00:29:11,122
From there, we can catch a bus
to Denver, or maybe rent a car.
453
00:29:11,293 --> 00:29:12,806
North Platte's an hour east?
454
00:29:22,533 --> 00:29:24,205
What are you doing?
455
00:29:28,213 --> 00:29:29,532
Sam?
456
00:29:32,413 --> 00:29:34,005
Sam.
457
00:29:35,613 --> 00:29:37,092
Sam!
458
00:29:40,573 --> 00:29:42,529
-What are you doing?
-What does it look like?
459
00:29:42,693 --> 00:29:45,605
-You gonna hitchhike?
-He's been off his insulin for two days.
460
00:29:45,773 --> 00:29:47,604
He's out there dying.
461
00:29:48,973 --> 00:29:50,486
Hey!
462
00:29:51,253 --> 00:29:53,483
-How'd it go?
-Not well.
463
00:29:53,973 --> 00:29:57,045
Will you take a look at this board?
lt's not 8 a.m. and the day sucks.
464
00:29:57,213 --> 00:29:58,805
Morning.
-You should've called me.
465
00:29:58,973 --> 00:30:01,123
l hate leaving a mess for the day shift.
466
00:30:01,893 --> 00:30:03,565
Most of them are waiting for beds.
467
00:30:03,733 --> 00:30:07,646
This is ridiculous. Antifreeze overdose
has been here since yesterday morning.
468
00:30:07,813 --> 00:30:09,485
Case in point.
469
00:30:09,653 --> 00:30:11,291
What have you been doing all night?
470
00:30:11,693 --> 00:30:14,253
Taking a bubble bath
and eating bonbons.
471
00:30:15,213 --> 00:30:17,124
-Lewis will make you run the board.
-l know.
472
00:30:17,293 --> 00:30:20,251
Just remember that fomepizole's
an alcohol dehydrogenase inhibitor.
473
00:30:20,413 --> 00:30:22,688
Hey, come on, come on.
Present this thing already.
474
00:30:22,853 --> 00:30:25,765
Okay, let's get the night shift home.
You are. . .?
475
00:30:25,933 --> 00:30:28,242
-Lana Clemons, new intern.
-You've met Dr. Sackowitz.
476
00:30:28,413 --> 00:30:30,643
Pratt's the senior
and Dr. Lewis is our Attending.
477
00:30:30,813 --> 00:30:33,532
-Neela, where's your intern?
-Sent him home a bit early.
478
00:30:34,653 --> 00:30:35,802
Okay, day shift, let's go.
479
00:30:35,973 --> 00:30:38,567
Curtain Number 1 , 22-year-old
with myelomeningocele. What's that?
480
00:30:38,733 --> 00:30:40,132
Spina bifida?
Excellent.
481
00:30:40,293 --> 00:30:43,091
Most common congenital neurologic
deficit compatible with life.
482
00:30:43,253 --> 00:30:44,242
How does it happen?
483
00:30:44,413 --> 00:30:46,165
SACKOWlTZ:
Neural tube doesn't close in utero.
484
00:30:46,333 --> 00:30:49,484
Uh-huh. Most likely due to an interaction
of genetic and environmental factors.
485
00:30:49,653 --> 00:30:51,325
Ladies, remember to take your folate.
486
00:30:51,493 --> 00:30:55,008
On to why the patient is here. Rule out
shunt obstruction, common ER complaint.
487
00:30:55,173 --> 00:30:56,765
-What's your approach?
-Shunt series?
488
00:30:56,933 --> 00:30:59,288
-Before that?
-Tap the reservoir.
489
00:30:59,573 --> 00:31:04,283
Guys. Before you do anything?
Take a history.
490
00:31:04,973 --> 00:31:08,852
Classic symptoms of shunt obstruction:
headache, nausea, vomiting, lethargy.
491
00:31:16,093 --> 00:31:22,009
l'm like a bad trailer-park version
of myself.
492
00:31:28,613 --> 00:31:30,922
What are you doing here, Luka?
493
00:31:33,533 --> 00:31:35,205
Sam, l care about Alex.
494
00:31:37,373 --> 00:31:39,329
But you can't replace his father.
495
00:31:39,493 --> 00:31:41,211
l know that.
496
00:31:42,773 --> 00:31:47,801
l'm just not ready for this
to be all there is in my life.
497
00:31:50,653 --> 00:31:52,405
l can't bring your kids back.
498
00:31:54,053 --> 00:31:58,490
l have a child of my own, and if it's
a choice between you and Alex. . .
499
00:31:58,653 --> 00:32:00,803
. . .l am always going to choose Alex.
500
00:32:00,973 --> 00:32:04,090
-l'm not asking you to choose.
-Of course you are.
501
00:32:06,573 --> 00:32:11,886
l don't want what happened to
my family to be the end of my story.
502
00:32:13,373 --> 00:32:15,682
l was a good father.
l can be a good father again.
503
00:32:15,853 --> 00:32:18,287
And what if it's not what l want?
504
00:32:19,213 --> 00:32:22,728
Why don't you wanna have
children with me?
505
00:32:22,933 --> 00:32:25,447
lt's not about you.
506
00:32:26,333 --> 00:32:28,449
l don't wanna have any more kids.
507
00:32:30,253 --> 00:32:31,572
l'm done.
508
00:32:32,133 --> 00:32:34,567
l want my life back.
509
00:32:47,533 --> 00:32:51,765
They can stop the run, but the secondary
is suspect, Champ or no Champ.
510
00:32:52,253 --> 00:32:56,326
l tell you what, they make the
playoffs again, Colts will eat them up.
511
00:32:56,493 --> 00:32:58,211
My brother and l got tickets.
512
00:32:58,373 --> 00:33:01,604
Raiders. Should be able
to beat up on those jokers.
513
00:33:02,213 --> 00:33:04,408
What's this idiot doing?
514
00:33:05,853 --> 00:33:07,332
You wanna ticket him?
515
00:33:08,853 --> 00:33:11,925
-Hang on. l'll be right back.
-What do you got?
516
00:33:23,773 --> 00:33:25,684
Alex Taggart?
517
00:33:26,173 --> 00:33:27,845
Hey. Alex?
518
00:33:28,333 --> 00:33:30,563
Are you Alex Taggart?
519
00:34:06,853 --> 00:34:09,970
-l'm Samantha Taggart.
-Dr. Collins.
520
00:34:10,133 --> 00:34:11,327
How is he?
521
00:34:11,493 --> 00:34:14,007
He was lethargic
when they brought him in here.
522
00:34:14,173 --> 00:34:15,686
Glucose was 375.
523
00:34:16,453 --> 00:34:18,011
lt's not too critical.
524
00:34:18,173 --> 00:34:21,449
After a little insulin and saline,
he's doing much better.
525
00:34:23,933 --> 00:34:26,572
Can you give us a minute, please?
526
00:34:31,173 --> 00:34:33,687
Damn it, Alex.
527
00:34:34,653 --> 00:34:36,325
l'm okay. l drank lots of water.
528
00:34:36,493 --> 00:34:38,882
-You were lucky.
-l know how to monitor my sugar.
529
00:34:39,053 --> 00:34:42,363
You're 1 2 years old and diabetic.
What the hell are you thinking?
530
00:34:49,093 --> 00:34:50,526
l couldn't find him.
531
00:34:51,693 --> 00:34:52,967
What?
532
00:34:54,573 --> 00:34:56,086
Dad.
533
00:34:56,933 --> 00:34:59,242
l looked in the phone books,
l called lnformation. . .
534
00:34:59,413 --> 00:35:01,643
. . .a bunch of
different rafting companies.
535
00:35:01,813 --> 00:35:03,804
He's not here.
536
00:35:15,173 --> 00:35:16,367
How we doing?
537
00:35:16,533 --> 00:35:18,967
l'm losing the battle,
and we're knee-deep in triage.
538
00:35:19,133 --> 00:35:23,172
-Well, l'm going as fast as l can.
-More than l can say for your interns.
539
00:35:23,333 --> 00:35:25,051
Well, say no more.
540
00:35:25,213 --> 00:35:27,727
-Dr. Sackowitz.
SACKOWlTZ: Four-centimeter scalp lac.
541
00:35:27,893 --> 00:35:29,724
After copious irrigation. . .
542
00:35:29,893 --> 00:35:34,205
. . .l'm using a 4-0 nylon interrupted,
the wound's edges are--
543
00:35:34,373 --> 00:35:35,522
Abby.
544
00:35:35,693 --> 00:35:38,287
Cosmetic repair
is not an issue at the scalp.
545
00:35:38,453 --> 00:35:40,921
-l've never used a skin stapler.
-You'll do it next time.
546
00:35:41,093 --> 00:35:43,163
Just point and shoot.
Grab another two patients.
547
00:35:43,333 --> 00:35:45,403
There's a guy with
abdominal pain in distress.
548
00:35:45,573 --> 00:35:49,964
l sent off a CBC, Chem-20, ordered an
abdominal series and a Surgical consult.
549
00:35:50,133 --> 00:35:53,728
-Hello. George, how are you feeling?
-l can't get comfortable.
550
00:35:53,893 --> 00:35:57,442
Okay, tell me,
does it feel worse when l do this?
551
00:35:58,813 --> 00:36:01,088
Okay. All right.
You have a kidney stone.
552
00:36:01,253 --> 00:36:03,528
-How'd you know that?
-l just do.
553
00:36:03,693 --> 00:36:07,003
Four plus blood.
-Okay, 30 of lV Toradol and 10 of MS.
554
00:36:07,173 --> 00:36:09,289
Get a CT urogram
and cancel all the other orders.
555
00:36:09,453 --> 00:36:11,603
-Got it.
-Ten minutes, you'll be feeling no pain.
556
00:36:11,773 --> 00:36:14,241
-Thank you.
-Should l see if the analgesics take effect?
557
00:36:14,413 --> 00:36:16,131
No, you should pick up another chart.
558
00:36:31,173 --> 00:36:34,324
You sure? Because you don't have to.
559
00:36:43,573 --> 00:36:45,723
l'm sorry, Alex.
560
00:36:47,813 --> 00:36:50,611
l wish that this wasn't your life.
561
00:36:51,653 --> 00:36:54,725
l can't tell you how much l wish that.
562
00:36:57,373 --> 00:37:01,161
lt's okay, Mom. l wanna go.
563
00:37:18,333 --> 00:37:19,971
Here?
564
00:37:20,453 --> 00:37:22,171
Here? How about here?
565
00:37:22,333 --> 00:37:23,402
Ah!
566
00:37:23,573 --> 00:37:25,962
-Okay, 3 cc's, 1 percent lidocaine.
-Lidocaine?
567
00:37:26,133 --> 00:37:29,921
You have a knot in your muscle,
which this shot should help.
568
00:37:30,093 --> 00:37:31,287
Ah!
569
00:37:31,453 --> 00:37:34,365
Okay. All right. Be right back.
570
00:37:34,533 --> 00:37:35,807
Okay.
571
00:37:35,973 --> 00:37:38,362
Right-lower-quadrant tenderness,
low-grade fever.
572
00:37:38,533 --> 00:37:42,526
-No white count, anorexia or rebound.
All right. Can you stand up for me?
573
00:37:42,693 --> 00:37:45,526
-Do you think it's appendicitis?
l'll tell you in a minute.
574
00:37:45,693 --> 00:37:49,242
Okay. Can you do this?
575
00:37:49,413 --> 00:37:51,529
-Yeah.
-Let's see.
576
00:37:52,293 --> 00:37:53,612
Can you do it again?
577
00:37:55,893 --> 00:37:59,044
Okay. Excellent. lt's not an appy.
Clear liquids, recheck in the a.m.
578
00:37:59,213 --> 00:38:01,966
-How's your headache?
-Completely gone. Thank you, doctor.
579
00:38:02,133 --> 00:38:03,646
l'm about to clear the rack.
580
00:38:03,813 --> 00:38:05,087
Oh, yeah?
581
00:38:05,253 --> 00:38:07,687
lf l saw all the patients myself,
we wouldn't get behind.
582
00:38:07,853 --> 00:38:09,445
Bet you're feeling pretty good
about that.
583
00:38:09,613 --> 00:38:12,081
Mm-hm. l can't believe it took me
so long to figure it out.
584
00:38:12,253 --> 00:38:15,484
-You haven't.
-What?
585
00:38:15,653 --> 00:38:17,291
You didn't show Sackowitz
how to staple.
586
00:38:17,453 --> 00:38:19,842
You didn't teach Clemons
about your approach to kidney stones.
587
00:38:20,013 --> 00:38:22,607
You did a trigger point, a jump test
and completely ignored your interns.
588
00:38:22,773 --> 00:38:25,412
They were moving like slugs.
You told me to step it up.
589
00:38:25,573 --> 00:38:29,043
Yeah, but your job isn't to just move
the meat. You're a Resident now.
590
00:38:29,213 --> 00:38:32,285
The lady in Exam 3 spiked to 1 04.
591
00:38:34,493 --> 00:38:36,051
Guess l better go.
592
00:38:36,893 --> 00:38:39,088
Nice job on the board, Abby.
593
00:38:39,573 --> 00:38:41,768
-What's the matter with her?
-She's a new R-2.
594
00:38:41,933 --> 00:38:44,447
-lt's gonna be a long year.
-She'll catch on.
595
00:38:44,613 --> 00:38:46,843
But she's not supervising,
she's not teaching.
596
00:38:47,013 --> 00:38:48,526
She's doing everything herself.
597
00:38:48,693 --> 00:38:51,366
You know, that reminds me
of someone l used to know.
598
00:39:09,213 --> 00:39:10,851
How is he?
599
00:39:11,373 --> 00:39:13,284
Full of crap, like always.
600
00:39:13,573 --> 00:39:15,450
l meant Alex.
601
00:39:16,853 --> 00:39:18,525
He's okay.
602
00:39:18,693 --> 00:39:22,208
He wants to spend some time alone
with his dad, so. . . .
603
00:39:22,373 --> 00:39:25,729
There's only 1 0 more minutes
of visiting hours, so. . . .
604
00:39:25,893 --> 00:39:29,010
l figure Steve can't screw him up
that bad in 1 0 minutes.
605
00:39:29,173 --> 00:39:30,925
God knows, l'm sure he'll try.
606
00:39:31,093 --> 00:39:33,607
Alex is a good kid. He'll figure it out.
607
00:39:33,773 --> 00:39:37,083
Goddamn it, that bastard.
He couldn't care less about us. . .
608
00:39:37,253 --> 00:39:41,883
. . .but that little boy loves him anyway.
What the hell is right about that?
609
00:39:52,413 --> 00:39:55,325
-Thank you.
-For what?
610
00:39:57,413 --> 00:39:58,687
Coming.
611
00:40:06,853 --> 00:40:08,172
Now what?
612
00:40:13,253 --> 00:40:14,606
Home, l guess. l don't--
613
00:40:14,773 --> 00:40:17,241
Luka, you cannot possibly want this
for your life.
614
00:40:17,733 --> 00:40:21,612
-Want what?
-This! This mess.
615
00:40:22,093 --> 00:40:24,527
lsn't that something
l get to decide for myself?
616
00:40:26,293 --> 00:40:29,729
No. lf it were just me?
617
00:40:30,173 --> 00:40:31,765
Maybe.
618
00:40:39,533 --> 00:40:41,524
l'd better go in and check on him.
619
00:40:52,053 --> 00:40:53,406
Steve's in prison.
620
00:40:54,853 --> 00:40:56,969
You don't have to run anymore.
621
00:41:00,053 --> 00:41:01,805
l'm not running.
622
00:41:04,493 --> 00:41:07,132
l just don't want what you want.
623
00:42:02,333 --> 00:42:04,324
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