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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:05,800 --> 00:00:06,949 Hello, I'm Eriq La Salle. 2 00:00:07,120 --> 00:00:09,873 This week we lost the creator of our show, Michael Crichton. 3 00:00:10,040 --> 00:00:14,272 A gentleman, gracious and witty. Brilliant writer, intelligent, unfailingly kind. 4 00:00:14,440 --> 00:00:17,432 But most of all, Michael was a good friend and we will miss him. 5 00:00:31,280 --> 00:00:32,269 RUSSELL: Baby. 6 00:00:35,920 --> 00:00:37,558 Where are you?. 7 00:00:52,920 --> 00:00:54,956 [FOOTSTEPS APPROACHlNG] 8 00:00:55,120 --> 00:00:59,193 -What are you doing in here?. -I hate this wallpaper. 9 00:00:59,360 --> 00:01:01,237 We'll redo it. 10 00:01:01,920 --> 00:01:05,708 I don't know what you were thinking last night, talking about that. 11 00:01:05,880 --> 00:01:08,269 It was a dinner party, I didn't pick the topic. 12 00:01:08,440 --> 00:01:11,079 Well, you certainly didn't hesitate to dive right in. 13 00:01:11,240 --> 00:01:14,516 Maybe that's because you won't talk about it when we're alone. 14 00:01:20,320 --> 00:01:22,629 You think I blame you for what happened?. 15 00:01:23,920 --> 00:01:25,956 You think I'd still be here if I did?. 16 00:01:26,880 --> 00:01:30,793 I try not to worry about who you blame. 17 00:01:30,960 --> 00:01:34,111 No offense, living with a teenage boy is like living with an animal. 18 00:01:34,280 --> 00:01:37,670 Only, cows make better conversation. Butt abscess. Needs dressing. 19 00:01:37,840 --> 00:01:39,478 At least a cow's not a predator. 20 00:01:39,640 --> 00:01:42,598 Sarah's friends are like a pack of she-wolves with cell phones. 21 00:01:42,760 --> 00:01:44,637 Look, a new one just for you. 22 00:01:44,800 --> 00:01:46,119 Anal warts. 23 00:01:46,280 --> 00:01:47,554 This is so ass. 24 00:01:47,720 --> 00:01:50,109 Looks like the Gates-Taggart merger's in full swing. 25 00:01:50,280 --> 00:01:53,875 -You mean the Brady Bunch from hell?. -It's going great, she'll never admit it. 26 00:01:54,040 --> 00:01:56,759 -Really?. Okay. -Never been happier, loves to complain. 27 00:01:56,920 --> 00:01:57,909 This much we know. 28 00:01:58,080 --> 00:01:59,798 -What's that supposed to mean?. -Sorry?. 29 00:01:59,960 --> 00:02:01,518 The VA sent these records over... 30 00:02:01,680 --> 00:02:04,353 ...and some guy called from the Wounded Warriors' Project. 31 00:02:04,520 --> 00:02:06,750 -What's that all about?. -ls the ladies' this way?. 32 00:02:06,920 --> 00:02:08,319 Down the hall and to the left. 33 00:02:08,480 --> 00:02:10,232 BERTHA: Thank you, dear. -Hey, is Banfield on?. 34 00:02:10,400 --> 00:02:11,389 She should be in soon. 35 00:02:11,560 --> 00:02:13,152 -That about our homeless vet?. -Yeah. 36 00:02:13,320 --> 00:02:16,039 -What's the story?. -I'm gonna figure it out. 37 00:02:16,640 --> 00:02:19,279 Hey, uh, Bertha. Bertha, this is not a good time. Bertha! 38 00:02:19,440 --> 00:02:20,839 Whoa. Go get her, big boy. 39 00:02:21,000 --> 00:02:23,275 And Hoberman's still waiting on a cholecystectomy. 40 00:02:23,440 --> 00:02:25,351 When are you gonna clear out all these boarders?. 41 00:02:25,520 --> 00:02:26,794 DUBENKO: We're working on it, Sam. 42 00:02:26,960 --> 00:02:30,555 Oh, you might wanna get more than one intern down here doing your babysitting. 43 00:02:30,720 --> 00:02:33,154 -How's Dr. Wade managing?. -Customers seem satisfied. 44 00:02:33,320 --> 00:02:35,151 Yeah?. What about you?. Are you satisfied?. 45 00:02:35,320 --> 00:02:38,118 I need to loosen up a bit. I have a tendency to micromanage-- 46 00:02:38,280 --> 00:02:39,713 Yeah, Cate mentioned that. 47 00:02:39,880 --> 00:02:42,235 -Cate who?. -Dr. Banfield. 48 00:02:42,400 --> 00:02:44,197 You know, department head coffee klatch. 49 00:02:44,360 --> 00:02:45,395 Great. 50 00:02:45,560 --> 00:02:48,154 You know, autonomy's a fine teaching device, Neela... 51 00:02:48,320 --> 00:02:52,029 ...Iet's just make sure it doesn't lead to slowness or distraction. Okay?. 52 00:02:52,200 --> 00:02:55,237 You guys ready?. Good. Ready to round. 53 00:02:55,400 --> 00:02:56,594 Where's your intern?. 54 00:02:56,760 --> 00:02:58,990 BERTHA: When are you going to get me a bed in a real room?. 55 00:02:59,160 --> 00:03:00,832 Uh, soon. Uh, we're a little backed up. 56 00:03:01,000 --> 00:03:04,197 I was meant to go under yesterday. I haven't had anything to eat... 57 00:03:04,360 --> 00:03:07,477 ...but some Jim Jones juice and Jell-O that made my poop red. 58 00:03:08,240 --> 00:03:10,196 -Red?. Wait, you mean--?. -Now this?. 59 00:03:10,720 --> 00:03:12,278 The mattress is made of cement... 60 00:03:12,440 --> 00:03:15,876 ...and I've seen airport runways that were less noisy. 61 00:03:16,040 --> 00:03:17,917 Am I smudged?. 62 00:03:18,240 --> 00:03:19,309 Uh.... 63 00:03:19,720 --> 00:03:21,870 -Just-- NEELA: Hello?. 64 00:03:22,320 --> 00:03:24,231 -What are you doing?. -Um.... 65 00:03:27,240 --> 00:03:29,470 [CELL PHONE RlNGlNG] 66 00:03:29,640 --> 00:03:31,676 [GRUNTlNG] 67 00:03:31,840 --> 00:03:32,909 Oh, God. 68 00:03:33,080 --> 00:03:35,116 Hey. I'm in the middle of my run. 69 00:03:35,280 --> 00:03:36,269 [SlRENS WAlLlNG] 70 00:03:36,440 --> 00:03:37,953 We can talk about this later. 71 00:03:38,120 --> 00:03:40,634 No, I'm not. It's just that.... 72 00:03:41,240 --> 00:03:42,753 Listen, I gotta go now, Russell. 73 00:03:42,920 --> 00:03:45,832 [LUlS SHOUTlNG lN SPANlSH] 74 00:03:47,160 --> 00:03:50,152 [LUlS SHOUTlNG lN SPANlSH] 75 00:04:04,920 --> 00:04:06,956 NEELA: Six down, two to go. ANDREW: That's not so bad. 76 00:04:07,120 --> 00:04:09,190 That's just the ER. We have 40 more waiting upstairs. 77 00:04:09,360 --> 00:04:11,237 ANDREW: Right, 67-year-old woman presents with-- 78 00:04:11,400 --> 00:04:13,675 -God, with the age again. -...neck mass and dysphagia. 79 00:04:13,840 --> 00:04:16,070 -Dis-what?. -Uh, pain on swallowing. 80 00:04:16,240 --> 00:04:18,959 Saying it fancy doesn't make you seem smarter, Andrew. 81 00:04:19,120 --> 00:04:21,156 It makes you seem insecure. 82 00:04:21,320 --> 00:04:23,788 It's a shorthand doctors use, to save us time. 83 00:04:23,960 --> 00:04:25,279 Yes, in theory. 84 00:04:26,160 --> 00:04:28,549 Uh, her son noticed the mass about three months ago... 85 00:04:28,720 --> 00:04:30,392 ...when she visited him in Michigan. 86 00:04:30,560 --> 00:04:32,676 Ann Arbor. He's a professor at the university there. 87 00:04:32,840 --> 00:04:33,829 Oh. 88 00:04:34,000 --> 00:04:36,560 Fine needle aspiration showed a degenerative albeit benign cyst. 89 00:04:36,720 --> 00:04:39,154 Thyroidectomy is indicated for symptomatic relief. 90 00:04:39,320 --> 00:04:40,912 All right, that's thorough. Next?. 91 00:04:41,080 --> 00:04:44,197 ANDREW: Review of systems positive for headache, back pain, constipation. 92 00:04:44,360 --> 00:04:46,669 Let's stick to the thyroid. That's what we're here for. 93 00:04:46,840 --> 00:04:47,829 I'm with you, Bollywood. 94 00:04:48,000 --> 00:04:50,753 Uh, no palpitations, diaphoresis, heat intolerance. However-- 95 00:04:50,920 --> 00:04:54,435 Her TSH is normal so we know there's no hyperthyroidism. Right?. 96 00:04:54,600 --> 00:04:57,273 -Right. But there is-- -Okay then. Moving on. 97 00:04:58,720 --> 00:05:01,678 Three-year-old, near-drowning with hypothermia, core temp's 84. 98 00:05:01,840 --> 00:05:03,876 Bradycardic in the 6Os with a thready pulse. 99 00:05:04,040 --> 00:05:05,393 -Dr. Banfield?. -A ride-along?. 100 00:05:05,560 --> 00:05:07,118 I was out. I saw the rescue team. 101 00:05:07,280 --> 00:05:09,111 T ook almost 2O minutes to find the girl. 102 00:05:09,280 --> 00:05:11,669 ALVARADO: Twenty minutes?. She was underwater that whole time?. 103 00:05:11,840 --> 00:05:13,637 [SPEAKlNG lN SPANlSH] 104 00:05:13,800 --> 00:05:16,189 Grandpa took her on a walk because she was acting fussy. 105 00:05:16,360 --> 00:05:17,634 [LUlS SPEAKlNG lN SPANlSH] 106 00:05:17,800 --> 00:05:19,199 Everything was good, she was happy. 107 00:05:19,360 --> 00:05:21,112 [SPEAKlNG lN SPANlSH] 108 00:05:21,280 --> 00:05:23,077 ALVARADO: And then the baby was just gone. 109 00:05:23,240 --> 00:05:24,639 TECH: Go deep. Go. 110 00:05:25,880 --> 00:05:27,757 RUSSELL: Go, go, go! 111 00:05:27,920 --> 00:05:28,955 [GRUNTS] 112 00:05:29,120 --> 00:05:31,190 Chase me. 113 00:05:31,840 --> 00:05:34,070 Nice pass. 114 00:05:34,520 --> 00:05:37,114 That's why they call it a Hail Mary. 115 00:05:37,280 --> 00:05:38,349 BANFlELD: Ha, ha, ha. -Mwah. 116 00:05:38,520 --> 00:05:39,748 [BANFlELD AND RUSSELL LAUGHlNG] 117 00:05:39,920 --> 00:05:41,148 You didn't chase me. 118 00:05:41,320 --> 00:05:44,995 Because I'm the quarterback. Now, buttonhook. 119 00:05:45,160 --> 00:05:46,434 I'm tired. 120 00:05:46,600 --> 00:05:48,352 Aw. One more touchdown, then we get ice cream. 121 00:05:48,520 --> 00:05:52,399 RUSSELL: Booker and Banfield, that's all the Bears are gonna need this year. 122 00:05:52,600 --> 00:05:53,953 [WHOOPS THEN LAUGHS] 123 00:05:54,120 --> 00:05:55,155 BANFlELD: What's your plan? 124 00:05:55,320 --> 00:05:56,912 She has a pulse, so warm her up and wait. 125 00:05:57,080 --> 00:05:58,798 -So?. -Access, warm saline... 126 00:05:58,960 --> 00:06:00,632 ...get Respiratory down with a vent. 127 00:06:00,800 --> 00:06:03,439 Get Bair Hugger, prep for intubation. I'll be right in. 128 00:06:03,600 --> 00:06:05,079 -I have a favor to ask. -Not now. 129 00:06:05,240 --> 00:06:08,437 -I need your help getting an MRl. -An emergency, call the radiologist. 130 00:06:08,600 --> 00:06:11,990 It's not an emergency but it needs to happen today. I have a homeless vet. 131 00:06:12,160 --> 00:06:14,071 Cognitive deficits, behavioral changes. 132 00:06:14,240 --> 00:06:15,559 Let Neuro work it up. 133 00:06:15,720 --> 00:06:18,837 They said they want him as an outpatient, which is never gonna happen. 134 00:06:19,000 --> 00:06:21,639 He's not an ER patient anymore, it's out of our hands. 135 00:06:21,800 --> 00:06:23,392 He was in lraq. 136 00:06:24,240 --> 00:06:25,673 GATES: A war hero. 137 00:06:25,840 --> 00:06:28,434 Served in the same unit I did back in Desert Storm. 138 00:06:28,600 --> 00:06:32,195 I hear the harmonica playing, Dr. Gates, but work is work, the rest is irrelevant. 139 00:06:32,360 --> 00:06:35,670 Dr. Banfield, I get this whole tough-boss thing and it works for you... 140 00:06:35,840 --> 00:06:38,991 ...it really does, but cut me some slack. 141 00:06:39,160 --> 00:06:40,593 I need your help. 142 00:06:40,760 --> 00:06:42,398 [PAPERS RUSTLlNG] 143 00:06:42,560 --> 00:06:43,959 [BANFlELD SlGHS] 144 00:06:44,880 --> 00:06:47,314 Dr. Banfield, the old ball and chain on line two. 145 00:06:47,480 --> 00:06:48,799 Thank you. 146 00:06:48,960 --> 00:06:50,712 Tell him I'm in with a patient, Frank. 147 00:06:52,000 --> 00:06:54,275 I'll call him later. 148 00:06:58,080 --> 00:07:00,116 GATES: Max Gonzalez... 149 00:07:00,440 --> 00:07:01,759 ...sergeant first class. 150 00:07:02,920 --> 00:07:04,319 You figured out who I am, huh?. 151 00:07:04,520 --> 00:07:09,355 Mm-hm. Hundred and first airborne, first squadron, 75th cav. 152 00:07:10,760 --> 00:07:12,273 Yeah. 153 00:07:13,240 --> 00:07:15,959 Yeah, that's right. They called us the Widowmakers. 154 00:07:16,120 --> 00:07:17,269 So you remember it?. 155 00:07:18,760 --> 00:07:21,320 My memory's a work in progress. But it's getting better. 156 00:07:21,480 --> 00:07:23,755 -So thanks for that. -Don't you wanna hear more?. 157 00:07:23,920 --> 00:07:25,148 Not really. 158 00:07:25,320 --> 00:07:28,437 Awarded a silver star in 'O6, later wounded in a rocket attack... 159 00:07:28,600 --> 00:07:31,672 ...killed a bunch of buddies. Doctors documented altered behavior. 160 00:07:31,840 --> 00:07:33,193 Anger, depression, hostility. 161 00:07:33,360 --> 00:07:35,112 -They gave me some pills. -Yeah. SSRls. 162 00:07:35,280 --> 00:07:36,872 -Antidepressants. -Didn't help much. 163 00:07:37,040 --> 00:07:40,112 They discharged you on a 5-1 3. Do you remember what that is?. 164 00:07:40,280 --> 00:07:43,158 -Yeah, it meant that I could go home. GATES: No, it meant the Army... 165 00:07:43,320 --> 00:07:47,074 -...could stop giving you medical care-- -lt meant I could get out of there. 166 00:07:47,240 --> 00:07:49,390 Because they said you had a personality disorder. 167 00:07:49,560 --> 00:07:51,676 Something wrong with you before you enlisted. 168 00:07:51,840 --> 00:07:54,229 Maybe there was. That's what my old man always said. 169 00:07:55,280 --> 00:07:56,554 What if there wasn't?. 170 00:07:56,720 --> 00:07:58,153 What if it was a lie?. 171 00:07:58,320 --> 00:08:01,437 Your symptoms are consistent with a traumatic brain lnjury, TBl. 172 00:08:01,600 --> 00:08:03,909 You could have suffered when that rocket hit. 173 00:08:04,080 --> 00:08:06,036 So you're saying what?. 174 00:08:06,280 --> 00:08:07,269 They dumped me?. 175 00:08:07,560 --> 00:08:09,278 I'm saying I think they missed it... 176 00:08:09,440 --> 00:08:12,989 ...mistreated it and sent you packing for the cheapest possible price. 177 00:08:14,120 --> 00:08:16,111 I wanted out, doc. 178 00:08:16,280 --> 00:08:17,429 Trust me, I wanted out. 179 00:08:17,600 --> 00:08:20,353 Yeah, because you needed out, but not like this. 180 00:08:20,520 --> 00:08:22,829 I don't wanna be here, I don't like it here. 181 00:08:23,000 --> 00:08:25,958 I know how it is to come back from war and feel adrift. 182 00:08:27,960 --> 00:08:31,669 Max, just give me a couple hours to help you. 183 00:08:31,840 --> 00:08:33,512 [ELEVATOR BELL CHlMlNG] 184 00:08:35,160 --> 00:08:36,149 Tube's in. 185 00:08:36,320 --> 00:08:39,198 Get Pharmacy to send more warm saline, as much as they've got. 186 00:08:39,360 --> 00:08:43,672 -ABG's back, she's acidotic, 7.22. MARTlN: Should we use a high vent rate?. 187 00:08:43,840 --> 00:08:47,116 The mother's out here. Someone should probably talk to her first. 188 00:08:48,600 --> 00:08:50,192 Dr. Morris, update the family. 189 00:08:50,360 --> 00:08:52,078 I kind of have my hands full here. 190 00:08:52,240 --> 00:08:53,832 Dr. Martin. 191 00:08:54,000 --> 00:08:56,719 Okay, but, uh, shouldn't you?. I mean, she's your patient, right?. 192 00:08:56,880 --> 00:08:59,155 -What's the CO2?. -Forty. 193 00:09:00,080 --> 00:09:03,993 Standard rate, the pH might normalize as we get the temp up. 194 00:09:05,320 --> 00:09:07,151 Hello. You the mom?. 195 00:09:07,320 --> 00:09:09,356 Sandra Herrero, is my daughter okay?. 196 00:09:09,520 --> 00:09:12,671 It's hard to know yet, we're trying to warm her up now. 197 00:09:12,840 --> 00:09:14,353 She's very strong for her age. 198 00:09:15,320 --> 00:09:20,314 She's a good girl, very sweet, so she'll be okay?. 199 00:09:20,480 --> 00:09:24,155 The cold water may have protected her heart and brain. 200 00:09:24,320 --> 00:09:26,151 We're just waiting to see. 201 00:09:26,320 --> 00:09:30,950 Please, I know you know. So tell me, is my baby gonna be all right?. 202 00:09:31,120 --> 00:09:33,953 RUSSELL: Why can't you ever give a straight answer?. 203 00:09:34,120 --> 00:09:37,351 [LAUGHlNG] 204 00:09:37,520 --> 00:09:40,956 You wanna have baby?. Another baby?. Now?. 205 00:09:41,120 --> 00:09:43,031 -Well, not right now, but-- -Ha, ha. 206 00:09:43,200 --> 00:09:44,679 Excuse me?. Is--?. Is this your son?. 207 00:09:44,840 --> 00:09:46,637 There's something wrong with him. 208 00:09:46,800 --> 00:09:47,949 Daryl?. 209 00:09:48,120 --> 00:09:49,348 RUSSELL: What?. -Daryl! 210 00:09:49,520 --> 00:09:51,033 Daryl! 211 00:09:51,320 --> 00:09:52,958 -It's happening again. -You're okay. 212 00:09:53,120 --> 00:09:55,031 -Call an ambulance?. -No. I'm a doctor. 213 00:09:55,200 --> 00:09:56,997 WOMAN: He doesn't look good. -He's burning up. 214 00:09:57,160 --> 00:09:59,515 BANFlELD: Just febrile seizure. Get him home, cool him down. 215 00:09:59,680 --> 00:10:00,669 Maybe we should be safe. 216 00:10:01,120 --> 00:10:04,112 It's just like last time. Look, it's stopping already. 217 00:10:04,280 --> 00:10:06,157 Are you sure?. 218 00:10:08,200 --> 00:10:10,395 I've been doing this too long to make promises. 219 00:10:10,560 --> 00:10:13,233 But I'll tell you losing control is not going to help her. 220 00:10:13,400 --> 00:10:15,470 If that's what you gotta do, do it outside. 221 00:10:15,640 --> 00:10:17,596 In here, you be the mom, you be calm... 222 00:10:17,760 --> 00:10:20,354 ...you put energy into helping your girl fight back... 223 00:10:20,520 --> 00:10:22,750 ...because that's what she needs. 224 00:10:24,840 --> 00:10:26,273 Can l--?. 225 00:10:27,000 --> 00:10:28,433 Can I go be with her now?. 226 00:10:30,640 --> 00:10:32,392 Yes. 227 00:10:38,280 --> 00:10:40,396 [BELL CHlMES AND ELEVATOR DOORS OPEN] 228 00:10:40,560 --> 00:10:42,949 -Still seven boarders here. -Cate's gonna kill me... 229 00:10:43,120 --> 00:10:45,111 -...if we don't clear them. BANFlELD: Yes, she is. 230 00:10:45,280 --> 00:10:47,999 How long is this gonna go on?. You people are practically living here. 231 00:10:48,160 --> 00:10:49,388 And by ""you people"" you mean?. 232 00:10:49,560 --> 00:10:50,629 -Surgeons. -Of course. 233 00:10:50,800 --> 00:10:53,268 We're trying to clear overflow as quickly as possible. 234 00:10:53,440 --> 00:10:56,193 SAM: Miss Mendenhall is crashing. -Well, that's one way. 235 00:10:56,640 --> 00:10:59,791 SAM: BP down to 6O, palp. -We've got a massive Gl bleed. 236 00:10:59,960 --> 00:11:02,110 Saline wide open on pressure bags... 237 00:11:02,280 --> 00:11:05,158 ...prep for central line, two units on rapid infuser. Let's go. 238 00:11:05,320 --> 00:11:07,834 -How's her airway?. SAM: Not great, even on 1 OO. 239 00:11:08,000 --> 00:11:09,353 Okay. Tube her, Neela. Hey. 240 00:11:09,520 --> 00:11:11,192 -She complain of abdominal pain?. -No. 241 00:11:11,360 --> 00:11:12,839 Any history of blood per rectum?. 242 00:11:13,000 --> 00:11:14,399 Uh, no. Not so far as I know. 243 00:11:14,560 --> 00:11:16,915 NEELA: Suction's on high. DUBENKO: Okay. 244 00:11:17,080 --> 00:11:19,116 Call Gl. Endoscopy if we get her pressure up. 245 00:11:19,280 --> 00:11:20,713 SAM: Lost the pulse. -Ah, damn it. 246 00:11:21,480 --> 00:11:22,515 Starting compressions. 247 00:11:22,680 --> 00:11:25,114 Dr. Banfield, our frozen girl's having runs of v-tach. 248 00:11:25,280 --> 00:11:26,554 ALVARADO: I've got the amiodarone. 249 00:11:26,720 --> 00:11:28,631 Give 75 milligrams and set up an infusion. 250 00:11:28,800 --> 00:11:31,189 MARTlN: Got it. -BP's 67/32. 251 00:11:31,360 --> 00:11:34,477 Valecia's temperature's dropped a little. We're working on that. 252 00:11:34,640 --> 00:11:36,631 -It's supposed to go up. -I said stay calm. 253 00:11:36,800 --> 00:11:39,155 I'm stepping up rewarming with some pleural lavage. 254 00:11:39,320 --> 00:11:41,231 You see that?. Huh?. 255 00:11:41,400 --> 00:11:43,960 -How are coags?. Platelet count?. ALVARADO: Not back yet. 256 00:11:44,120 --> 00:11:46,076 Specimen clotted, we had to send it again. 257 00:11:46,240 --> 00:11:47,832 We should not have to wait an hour. 258 00:11:48,000 --> 00:11:49,956 We'll give platelets and FFP empirically. 259 00:11:50,120 --> 00:11:53,271 BANFlELD: Why do we have to fight the same battles every damn day?. 260 00:11:53,440 --> 00:11:54,589 Go on, do it. 261 00:11:54,760 --> 00:11:56,273 [SlGHS] 262 00:12:02,920 --> 00:12:05,912 [BANFlELD PANTlNG] 263 00:12:14,520 --> 00:12:15,953 DUBENKO: How long have we been going?. 264 00:12:16,120 --> 00:12:17,235 Thirty-nine minutes. 265 00:12:17,400 --> 00:12:18,594 It's time for another epi. 266 00:12:18,760 --> 00:12:21,035 -lt won't do any good. -What about the Gl consult?. 267 00:12:21,200 --> 00:12:23,156 They won't scope a patient without a pulse. 268 00:12:23,320 --> 00:12:26,517 -Dopamine?. -Eight units of packed cells, two FFP. 269 00:12:26,680 --> 00:12:28,875 We've replaced her entire blood volume twice. 270 00:12:29,040 --> 00:12:31,508 If the heart could come back, it would have by now. We're done. 271 00:12:31,680 --> 00:12:33,989 ANDREW: Uh-uh. -We're done. 272 00:12:34,600 --> 00:12:36,875 Two, three, four. 273 00:12:38,280 --> 00:12:41,272 [EKG FLATLlNlNG] 274 00:12:47,080 --> 00:12:49,150 Eleven-fifty-eight a.m. 275 00:12:49,320 --> 00:12:50,878 -Any relatives?. -A son. 276 00:12:51,040 --> 00:12:53,998 -Sorry?. -She said she had a son in Michigan. 277 00:12:55,120 --> 00:12:56,712 I'll call him. 278 00:12:56,880 --> 00:12:59,997 Okay. I'll get started on the paperwork for the coroner. 279 00:13:05,320 --> 00:13:06,958 Could you get me--?. 280 00:13:08,240 --> 00:13:10,754 Could you get me a death kit please?. 281 00:13:10,920 --> 00:13:12,956 -I can take care of that if-- -Please. 282 00:13:13,120 --> 00:13:14,599 Pull the curtain behind you. 283 00:13:14,760 --> 00:13:16,671 [ANDREW SNlFFlNG] 284 00:13:34,120 --> 00:13:35,155 I'm sorry. 285 00:13:38,920 --> 00:13:40,114 I'm sorry. 286 00:13:40,280 --> 00:13:42,350 T omorrow's not good enough, she needs it now. 287 00:13:42,520 --> 00:13:45,398 -What's the hold-up?. -There's no ECMO unit in the hospital. 288 00:13:45,560 --> 00:13:47,949 -What?. That can't be. -County only has two machines. 289 00:13:48,120 --> 00:13:50,031 One's in use, the other's out for repairs. 290 00:13:50,200 --> 00:13:52,236 Systolic's down to 44. 291 00:13:52,400 --> 00:13:53,799 Valecia needs a machine... 292 00:13:53,960 --> 00:13:57,032 ...that will warm her blood and do the work of her heart and lungs. 293 00:13:57,200 --> 00:14:00,556 We don't have that here, so we have to transfer her to another hospital. 294 00:14:00,720 --> 00:14:04,395 It's gonna take hours for a hospital to accept her, a transport team to pick up. 295 00:14:04,560 --> 00:14:06,755 Time is critical. So let's not waste it. 296 00:14:06,920 --> 00:14:09,388 -Call transport. Go. -This girl's not stable enough. 297 00:14:09,560 --> 00:14:12,870 Increase rewarming, get the heart in better shape before we ship her out. 298 00:14:13,040 --> 00:14:15,508 She still has a pulse and a BP. Now is our window. 299 00:14:15,680 --> 00:14:17,955 Dr. Banfield. She's here now. 300 00:14:18,120 --> 00:14:20,554 We gotta work with what we have. 301 00:14:20,720 --> 00:14:22,517 BANFlELD: We don't need to go to the hospital. 302 00:14:22,680 --> 00:14:23,795 RUSSELL: You don't know that. 303 00:14:23,960 --> 00:14:27,236 He's groggy, he's post-ictal. Just like what happened the other time. 304 00:14:27,400 --> 00:14:29,675 That wasn't the same. He was fine in 1 0 minutes. 305 00:14:29,840 --> 00:14:31,751 He had a full workup, he stayed overnight. 306 00:14:31,920 --> 00:14:33,990 -Spinal tap, CT. -You're not being objective. 307 00:14:34,160 --> 00:14:37,436 They terrified him and found nothing. It was nothing. 308 00:14:39,200 --> 00:14:42,237 Febrile seizures recur. The pediatrician warned us about it. 309 00:14:42,400 --> 00:14:44,709 What if this is different?. 310 00:14:44,880 --> 00:14:48,190 If he is not better in 20 minutes, we'll take him in. 311 00:14:50,720 --> 00:14:52,233 [EKG BEEPlNG] 312 00:14:52,400 --> 00:14:54,356 She's in v-tach again. 313 00:14:54,520 --> 00:14:55,953 MORRlS: We got a pulse?. 314 00:14:56,120 --> 00:14:58,111 ALVARADO: Thready femoral. 315 00:14:59,880 --> 00:15:02,269 Okay, Morris. Lead the way. 316 00:15:02,440 --> 00:15:03,919 Let's move her to a trauma room. 317 00:15:04,080 --> 00:15:05,433 Prep for peritoneal lavage. 318 00:15:05,600 --> 00:15:08,751 T en more liters of warm saline and grab a thoraseal. 319 00:15:08,920 --> 00:15:09,955 Wait. You're leaving?. 320 00:15:10,120 --> 00:15:13,192 Get it started. I'll be in soon. 321 00:15:14,920 --> 00:15:17,753 It was probably diverticulosis. 322 00:15:17,920 --> 00:15:20,593 So she blew an artery in her colon wall and bled to death. 323 00:15:20,760 --> 00:15:23,752 It wasn't foreseeable. She had none of the predictors. 324 00:15:23,920 --> 00:15:27,230 -Like bloody stool?. -Yep, that would be one. 325 00:15:27,720 --> 00:15:29,438 She had it. 326 00:15:30,080 --> 00:15:33,356 -Well, it's not here. You never said. ANDREW: She had it. 327 00:15:33,920 --> 00:15:35,751 Did you do a rectal exam?. 328 00:15:35,920 --> 00:15:37,956 Check for occult blood?. 329 00:15:38,520 --> 00:15:41,751 Did you ask her about any specific signs of Gl bleeding?. 330 00:15:41,920 --> 00:15:44,798 She, uh-- She said something about the food making her stool red. 331 00:15:44,960 --> 00:15:48,873 -Why didn't you bring this up at rounds?. -Because she had so many complaints. 332 00:15:49,040 --> 00:15:52,919 Her headache could have been a brain bleed, her backache a ruptured triple-A. 333 00:15:53,080 --> 00:15:56,470 It's your job to decide what needs to be considered and when to speak up. 334 00:15:56,640 --> 00:16:00,076 If you're submissive when someone's life's on the line, you're not ready-- 335 00:16:00,240 --> 00:16:03,118 I try to speak up and nobody listens! 336 00:16:04,920 --> 00:16:06,433 Let's discuss this later. 337 00:16:17,120 --> 00:16:20,112 There's no way to be ready for something like this. 338 00:16:20,280 --> 00:16:22,840 But in the end, it'll make you better. 339 00:16:23,320 --> 00:16:26,949 You can't be a great doctor until you've killed a patient. 340 00:16:27,320 --> 00:16:29,356 Yeah. I've heard that before. 341 00:16:29,520 --> 00:16:32,273 I think it's called a rationalization. 342 00:16:41,080 --> 00:16:43,469 It's only been 1 5 minutes. 343 00:16:45,360 --> 00:16:47,237 It's too long, I'm-- I'm calling 91 1. 344 00:16:47,440 --> 00:16:48,509 [BANFlELD SlGHS] 345 00:16:49,080 --> 00:16:51,469 Russ, he's waking up. 346 00:16:51,920 --> 00:16:54,195 Hey, sweetie. How you feeling?. 347 00:16:54,360 --> 00:16:56,476 Hey little man, you had us scared. 348 00:16:56,640 --> 00:17:00,110 Can't have our number one wide-out on the injured reserve list. 349 00:17:00,280 --> 00:17:02,430 Here, have some water. 350 00:17:02,600 --> 00:17:03,589 [RETCHES] 351 00:17:03,800 --> 00:17:05,711 BANFlELD: Call an ambulance! 352 00:17:05,880 --> 00:17:06,949 Call an ambulance! 353 00:17:07,120 --> 00:17:08,872 [PHONE RlNGlNG] 354 00:17:09,040 --> 00:17:12,749 Oh, don't bother, that's my private line. ER. 355 00:17:14,080 --> 00:17:16,514 GATES: Vindication. Look. 356 00:17:16,680 --> 00:17:20,389 ""Diffuse axonal injury in the parasagittal white matter, consistent with TBl. "" 357 00:17:20,560 --> 00:17:23,950 -Yeah, and this is vindication because?. -This is gonna save Max's life. 358 00:17:24,120 --> 00:17:26,634 Put him on a path of getting healthy, medical coverage. 359 00:17:26,800 --> 00:17:28,392 You convince Neuro to readmit him. 360 00:17:28,560 --> 00:17:30,152 GATES: I can, with your help. -Dr. Gates. 361 00:17:30,320 --> 00:17:33,278 -lndulge that inner softy one more time. -This is the last time. 362 00:17:33,440 --> 00:17:34,429 I wanna hug you. 363 00:17:34,600 --> 00:17:36,511 You'll be the one with traumatic injury. 364 00:17:36,680 --> 00:17:38,193 You're the best. 365 00:17:38,760 --> 00:17:40,671 -Dr. Banfield. -Yeah?. 366 00:17:40,840 --> 00:17:42,717 -Valecia lost her pulse. GATES: Hey, Suri. 367 00:17:42,880 --> 00:17:45,394 -What happened to my patient?. -That bed's been empty. 368 00:17:45,560 --> 00:17:47,312 -Anybody see him leave?. -I don't know. 369 00:17:47,480 --> 00:17:50,597 Frank. I had a guy in there from radiology, Max Gonzalez, a vet. 370 00:17:50,760 --> 00:17:53,672 -He had a duffel bag?. You seen him?. -That guy was real jumpy. 371 00:17:53,840 --> 00:17:57,071 He went outside for a smoke maybe 1 5 minutes ago. 372 00:17:57,280 --> 00:18:00,272 [SlRENS WAlLlNG] 373 00:18:06,320 --> 00:18:08,072 Max! 374 00:18:08,640 --> 00:18:09,755 Hey, Max! 375 00:18:11,880 --> 00:18:13,871 [CAR HORNS HONKlNG] 376 00:18:14,040 --> 00:18:15,917 Max! Wait up! 377 00:18:19,560 --> 00:18:20,788 What happened?. 378 00:18:20,960 --> 00:18:24,635 Went into v-fib. Didn't respond to the shock, she's still too cold. 379 00:18:24,920 --> 00:18:27,992 This is why I wanted to transfer. This is what I was worried about. 380 00:18:28,160 --> 00:18:30,071 Think she'd be better off coding in a rig?. 381 00:18:30,240 --> 00:18:32,708 Please. I stayed calm. I did what you said. 382 00:18:32,880 --> 00:18:35,235 Please help her. 383 00:18:37,520 --> 00:18:39,351 BANFlELD: Please. You don't need to do that. 384 00:18:39,520 --> 00:18:43,229 -Okay. Don't want him to pull the lV. -I'll hold his hand instead. 385 00:18:45,520 --> 00:18:48,512 [LUlS SPEAKlNG lN SPANlSH] 386 00:18:53,120 --> 00:18:55,429 [SPEAKlNG lN SPANlSH] 387 00:18:55,600 --> 00:18:57,079 It's getting harder to bag. 388 00:18:57,240 --> 00:18:58,832 Might be pulmonary edema. 389 00:19:01,720 --> 00:19:04,712 Get sterile. You can help with the thoracotomy. 390 00:19:04,880 --> 00:19:06,950 Thoracotomy?. Why?. 391 00:19:07,120 --> 00:19:08,712 Myocardial irrigation. 392 00:19:10,720 --> 00:19:13,393 I'm gonna open your daughter's chest, flush saline over her heart. 393 00:19:13,560 --> 00:19:15,949 No, please, don't. Something else! 394 00:19:16,120 --> 00:19:18,236 -I know it's scary. -Try something else! 395 00:19:18,400 --> 00:19:20,755 If we don't get her heart beating, she'll die. 396 00:19:23,520 --> 00:19:25,476 I'm gonna need a 1 0 blade. 397 00:19:25,640 --> 00:19:28,154 [SlREN WAlLlNG] 398 00:19:28,320 --> 00:19:31,392 Is there a fire, Mama?. 399 00:19:31,560 --> 00:19:36,714 No, baby, we're in an ambulance. We're gonna make sure you're okay. 400 00:19:36,880 --> 00:19:38,757 Where's daddy?. 401 00:19:38,920 --> 00:19:40,990 He in the car right behind us. 402 00:19:41,160 --> 00:19:42,434 MORRlS: Are you sure about this? 403 00:19:42,600 --> 00:19:46,388 We are not gonna let this baby slip away. Not here and not now. 404 00:19:51,520 --> 00:19:53,909 PlCKMAN: Okay, ma'am we're here. 405 00:19:54,080 --> 00:19:56,548 [DOORS OPEN] 406 00:19:56,760 --> 00:19:59,513 Welcome to County General, I'm Dr. Greene. 407 00:20:00,040 --> 00:20:01,029 Are you the mom?. 408 00:20:08,920 --> 00:20:11,559 BANFlELD: What's our core temp?. ALVARADO: Still 86. 409 00:20:11,720 --> 00:20:12,948 Take it again. 410 00:20:13,120 --> 00:20:14,951 -Just did it two minutes ago. -Take it again. 411 00:20:15,120 --> 00:20:18,237 [SPEAKlNG lN SPANlSH] 412 00:20:18,400 --> 00:20:20,709 -lnternal paddles. -She's still too cold. 413 00:20:20,880 --> 00:20:22,677 MORRlS: There's nothing to lose. Clear. 414 00:20:22,840 --> 00:20:24,876 [SANDRA SPEAKlNG lN SPANlSH] 415 00:20:25,560 --> 00:20:27,915 -No change. -Go again. 416 00:20:28,080 --> 00:20:29,559 Why are you doing that?. 417 00:20:29,720 --> 00:20:31,358 BANFlELD: We've gotta get her heart going. 418 00:20:31,520 --> 00:20:34,557 Nothing's working. Why isn't anything working?. 419 00:20:34,720 --> 00:20:36,711 We're just getting started here. 420 00:20:36,880 --> 00:20:38,074 HALEH: Ceftriaxone's in. 421 00:20:38,240 --> 00:20:40,470 Finish the bolus, then run fluids at 1 OO an hour. 422 00:20:40,640 --> 00:20:43,712 -He needs a D-stick, a serum CK. -Hour ago he didn't need anything. 423 00:20:43,880 --> 00:20:46,440 -Why don't we have labs back?. -You in the medical field?. 424 00:20:46,600 --> 00:20:49,239 ER attending at U of C, where trauma labs are back in 1 0 minutes. 425 00:20:49,400 --> 00:20:51,072 HALEH: Welcome to our world. 426 00:20:51,240 --> 00:20:55,119 -Sat's 91 on 1 OO percent. -Come on. Come on, Daryl, wake up. 427 00:20:55,280 --> 00:20:57,077 All right. Crank the O2. 428 00:20:57,240 --> 00:20:58,309 What about an ABG?. 429 00:20:58,480 --> 00:21:01,358 With your son's depressed consciousness, we need to consider-- 430 00:21:01,520 --> 00:21:02,999 Why don't we do a head CT first?. 431 00:21:03,160 --> 00:21:06,118 We have one scanner, your son's in line behind two criticals. 432 00:21:06,280 --> 00:21:09,158 -You have a critical patient here. -Cate, let them do this. 433 00:21:09,320 --> 00:21:11,470 GREENE: Is Elizabeth working today?. -I can check. 434 00:21:11,640 --> 00:21:12,834 GREENE: Mm. 435 00:21:13,000 --> 00:21:15,719 Forget it. Call the lab and get them to read the CBC over the phone. 436 00:21:15,880 --> 00:21:16,869 [MACHlNE BEEPlNG] 437 00:21:17,040 --> 00:21:18,473 HALEH: Pulse ox is 87. 438 00:21:18,640 --> 00:21:21,154 Daryl, honey, wake up and breathe for us. 439 00:21:21,720 --> 00:21:23,517 Six of etomidate and 3O of sux. 440 00:21:23,680 --> 00:21:25,318 No, no tube. He's just post-ictal. 441 00:21:25,920 --> 00:21:28,718 Your son's vomited blood, he's been altered for over an hour. 442 00:21:28,880 --> 00:21:31,997 -My son has a history of seizures. -Seizure can't account for that. 443 00:21:32,160 --> 00:21:34,196 A Mallory-Weiss tear, atypical presentation. 444 00:21:34,360 --> 00:21:36,920 He's hypoventilating and his brain needs oxygen. 445 00:21:37,080 --> 00:21:38,877 -Why don't you check an ABG--?. GREENE: Listen. 446 00:21:39,040 --> 00:21:41,554 I need you to be the mom now, I'm gonna be the doctor. 447 00:21:42,240 --> 00:21:43,514 It works best that way. 448 00:21:43,680 --> 00:21:45,591 -He's right. -Who's running the floor?. 449 00:21:45,760 --> 00:21:47,910 I am. And I've been doing this job for a while. 450 00:21:48,080 --> 00:21:49,229 So you need to trust me. 451 00:21:49,400 --> 00:21:50,719 BANFlELD: Clear. 452 00:21:51,560 --> 00:21:54,028 She should be warm enough now to respond to the shock. 453 00:21:54,200 --> 00:21:55,838 Clear! 454 00:21:57,720 --> 00:22:00,109 I don't understand this. 455 00:22:00,760 --> 00:22:02,034 Otoscope. 456 00:22:02,200 --> 00:22:04,714 Mr. Herrero, did you see her hit anything on the way down?. 457 00:22:04,880 --> 00:22:05,869 [SPEAKlNG lN SPANlSH] 458 00:22:06,040 --> 00:22:08,634 [SPEAKlNG lN SPANlSH] 459 00:22:08,800 --> 00:22:10,199 On some rocks?. Anything?. 460 00:22:11,240 --> 00:22:13,470 [SPEAKlNG lN SPANlSH] 461 00:22:13,640 --> 00:22:15,995 She was really cranky, so he took her out. 462 00:22:16,160 --> 00:22:18,799 [SPEAKlNG lN SPANlSH] 463 00:22:19,560 --> 00:22:21,312 He's asking if it's his fault. 464 00:22:21,920 --> 00:22:23,114 If he did something wrong. 465 00:22:23,280 --> 00:22:25,191 GREENE: CAT scan shows signs of hypoattenuation... 466 00:22:25,360 --> 00:22:27,316 ...in the distribution of the MCA. 467 00:22:27,480 --> 00:22:29,550 I'm not a doctor. Can you explain that?. 468 00:22:29,720 --> 00:22:31,278 -Your son had a stroke. -What?. 469 00:22:31,440 --> 00:22:34,637 -[ST AMMERS] Why would he have that?. GREENE: I can't explain that yet. 470 00:22:34,800 --> 00:22:36,153 HALEH: He's bradying down. 471 00:22:36,320 --> 00:22:39,118 -You need to give thrombolytics. GREENE: Not without a CBC. 472 00:22:39,280 --> 00:22:41,714 All right, O.2 of epi and prep some atropine. 473 00:22:41,880 --> 00:22:43,472 Let's keep neurosurge in the loop. 474 00:22:43,640 --> 00:22:46,598 -You said he didn't need anything. -Ninety-nine out of a 1 00-- 475 00:22:46,760 --> 00:22:49,149 Stop talking like a doctor. That's our son, damn it. 476 00:22:49,320 --> 00:22:51,356 Heart rate's down to 40. No pulse. 477 00:22:51,520 --> 00:22:53,272 GREENE: Starting compressions. 478 00:22:54,960 --> 00:22:57,315 Is there any sickle cell in your family?. 479 00:22:57,480 --> 00:22:59,198 -Thalessemia?. -No. 480 00:22:59,360 --> 00:23:02,033 Can think of any reason why your son had a stroke?. 481 00:23:02,200 --> 00:23:03,679 No. 482 00:23:04,320 --> 00:23:06,038 Start atropine. 483 00:23:06,200 --> 00:23:08,634 Mark, they're waiting for you upstairs. 484 00:23:08,800 --> 00:23:09,915 I'm a little busy here. 485 00:23:10,080 --> 00:23:12,719 Yeah, I can take over. It looks like you need a break. 486 00:23:12,880 --> 00:23:15,269 -Any meds?. -No, he doesn't take anything. 487 00:23:15,480 --> 00:23:18,233 I'll see if they can hold your chemo. 488 00:23:19,760 --> 00:23:21,990 Is it possible that he ingested something?. 489 00:23:22,160 --> 00:23:24,674 Something from your medicine cabinet?. 490 00:23:26,520 --> 00:23:27,794 Maybe it's an ingestion. 491 00:23:27,960 --> 00:23:29,154 She's up to 94 now. 492 00:23:30,040 --> 00:23:32,110 BANFlELD: What medicines in the house?. MORRlS: Clear. 493 00:23:32,280 --> 00:23:34,032 SANDRA: Just aspirin. BANFlELD: Anything else?. 494 00:23:34,200 --> 00:23:36,714 -Prescription meds, over the counter. -Still v-fib. 495 00:23:36,880 --> 00:23:37,915 [LUlS SPEAKlNG lN SPANlSH] 496 00:23:38,080 --> 00:23:40,230 -What?. What does he take?. -For blood pressure, carda--?. 497 00:23:40,400 --> 00:23:43,073 -Valecia could have gotten them?. -No. It has a child-proof cap. 498 00:23:43,240 --> 00:23:44,275 [LUlS SPEAKlNG lN SPANlSH] 499 00:23:45,160 --> 00:23:46,957 Diltiazem. Diltiazem! 500 00:23:47,120 --> 00:23:48,314 MORRlS: Very toxic in kids. 501 00:23:48,480 --> 00:23:51,278 Blanca, half a gram of calcium, lV push. 502 00:23:51,440 --> 00:23:53,476 I'll check Trauma 1. 503 00:23:55,680 --> 00:23:57,477 Lab says that specimen's hemolyzed. 504 00:23:57,640 --> 00:23:59,551 They just let it sit around for an hour. 505 00:23:59,720 --> 00:24:00,709 Not the first time. 506 00:24:00,880 --> 00:24:03,314 It's all right, I always draw an extra red top. 507 00:24:03,480 --> 00:24:05,755 -Let me look at that. -What?. What is it?. 508 00:24:05,920 --> 00:24:06,909 The buffy coat. 509 00:24:07,080 --> 00:24:08,798 BANFlELD: You can't diagnose anything from-- 510 00:24:08,960 --> 00:24:10,473 Look at the ratio of whites to reds. 511 00:24:10,640 --> 00:24:14,349 Haleh, call Oncology, have them get that leukapheresis machine down here now. 512 00:24:14,520 --> 00:24:15,669 Oncology?. 513 00:24:15,840 --> 00:24:18,115 You're gonna do that without a diagnosis?. 514 00:24:18,280 --> 00:24:22,273 The seizure, the stroke. It's sludging. It all fits. 515 00:24:22,440 --> 00:24:23,429 Oh, God. 516 00:24:23,600 --> 00:24:26,876 GREENE: Jerry, I want you to drag a hematologist to a microscope... 517 00:24:27,040 --> 00:24:28,837 ...and make him look at this boy's smear. 518 00:24:29,000 --> 00:24:30,115 JERRY: Right away, Dr. Greene. 519 00:24:30,280 --> 00:24:32,430 Is someone gonna tell me what is happening here?. 520 00:24:33,120 --> 00:24:34,235 Leukemia. 521 00:24:38,080 --> 00:24:40,389 Daryl's got leukemia. 522 00:24:40,840 --> 00:24:43,752 [LUlS SPEAKlNG lN SPANlSH] 523 00:24:43,920 --> 00:24:46,639 -What's he doing?. -""Little Frog Tail. "" It's a nursery rhyme. 524 00:24:46,800 --> 00:24:48,074 [LUlS SPEAKlNG lN SPANlSH] 525 00:24:48,240 --> 00:24:49,309 If you don 't heal today 526 00:24:49,480 --> 00:24:51,152 [SPEAKlNG lN SPANlSH] 527 00:24:51,320 --> 00:24:53,709 BANFlELD: You'll heal tomorrow 528 00:24:53,880 --> 00:24:56,440 -Another round of epi. -T oxicology's on their way. 529 00:24:56,600 --> 00:24:58,636 Dr. Martin, make those compressions count. 530 00:24:58,800 --> 00:24:59,915 ALVARADO: Calcium's on board. 531 00:25:00,080 --> 00:25:03,550 [SPEAKlNG lN SPANlSH] 532 00:25:03,720 --> 00:25:07,156 -Pushing epi. -Epi's in, infusion's on the way. 533 00:25:07,320 --> 00:25:09,880 -ls this the leukapheresis case?. GREENE: We almost have access. 534 00:25:10,040 --> 00:25:11,712 -Switch with me. -Platelets are up. 535 00:25:11,880 --> 00:25:14,553 Platelets?. We don't even know if he's thrombocytopenic. 536 00:25:14,720 --> 00:25:16,756 He's oozing around his lVs, there's no way he's not. 537 00:25:16,920 --> 00:25:18,592 Uh, platelets could worsen the viscosity. 538 00:25:18,760 --> 00:25:20,910 Needs a femoral line. I can't if he can't clot. 539 00:25:21,080 --> 00:25:22,672 -We have no choice. -He could stroke out. 540 00:25:22,840 --> 00:25:24,751 Listen to me, we have no choice. 541 00:25:25,080 --> 00:25:27,958 -Calcium's back, 4.2. -Going in the right direction. 542 00:25:28,120 --> 00:25:29,917 Not fast enough. Push another half gram. 543 00:25:30,080 --> 00:25:31,149 Got it. 544 00:25:31,320 --> 00:25:34,596 Repeat the level with calce, phos, sodium. 545 00:25:34,760 --> 00:25:37,991 -Potassium, BUN, creatinine, LDH. RUSSELL: It's been over 1 0 minutes. 546 00:25:38,160 --> 00:25:40,151 Is this gonna-- This gonna help?. 547 00:25:40,960 --> 00:25:42,552 This machine improves blood flow. 548 00:25:42,720 --> 00:25:44,517 Give his heart a chance to rebound. 549 00:25:44,680 --> 00:25:46,511 When will we know it's working?. 550 00:25:47,920 --> 00:25:50,150 -lt takes a little time. MORRlS: It's been 30 minutes. 551 00:25:53,240 --> 00:25:54,309 [DEFlBRlLLATOR POWERlNG UP] 552 00:25:54,480 --> 00:25:55,469 Clear! 553 00:25:55,640 --> 00:25:56,789 [ELECTRlClTY BUZZES] 554 00:25:59,040 --> 00:26:00,314 No change. 555 00:26:00,480 --> 00:26:01,799 Come on. 556 00:26:01,960 --> 00:26:04,918 Come on, now. Clear. 557 00:26:05,720 --> 00:26:08,553 GREENE: V-tach. -Could be hyperkalemic from tumor lysis. 558 00:26:08,720 --> 00:26:12,030 Five of insulin, amp of D-50. Clear. 559 00:26:12,720 --> 00:26:15,359 -Still v-tach. -Going again. 560 00:26:15,520 --> 00:26:16,999 Clear. 561 00:26:17,720 --> 00:26:19,870 -Dr. Greene. -Mix 20 of kayexalate. 562 00:26:21,280 --> 00:26:22,269 Labs are back. 563 00:26:24,680 --> 00:26:27,672 White count 1 67,000... 564 00:26:28,840 --> 00:26:31,354 -...Iarge myeloblasts. -No. No. 565 00:26:32,320 --> 00:26:35,073 No, no, no. No, no. 566 00:26:35,840 --> 00:26:37,159 Yes! Yes! Sinus rhythm! 567 00:26:37,320 --> 00:26:38,435 Clear. Clear. 568 00:26:40,520 --> 00:26:41,953 MARTlN: Oh, my God. 569 00:26:42,120 --> 00:26:45,908 -We got a pulse. -He's been down for almost an hour. 570 00:26:47,080 --> 00:26:49,230 SANDRA: Is she back?. You got her back?. 571 00:26:49,400 --> 00:26:52,312 His brain's been deprived of oxygen. 572 00:26:54,840 --> 00:26:58,913 Call Surgery, we need to get her upstairs so they can close the chest. 573 00:27:00,920 --> 00:27:03,070 I'm gonna stop now. 574 00:27:10,640 --> 00:27:12,198 [EKG FLATLlNlNG] 575 00:27:12,400 --> 00:27:15,392 [LUlS SPEAKlNG lN SPANlSH] 576 00:27:17,640 --> 00:27:18,914 SANDRA: You saved her. 577 00:27:19,360 --> 00:27:21,476 You saved her. 578 00:27:21,640 --> 00:27:24,632 [SPEAKlNG lN SPANlSH] 579 00:27:35,480 --> 00:27:38,472 [RUSSELL SOBBlNG] 580 00:27:49,640 --> 00:27:50,629 RUSSELL [SOBBlNG]: No. 581 00:27:50,800 --> 00:27:53,792 [LUlS SPEAKlNG lN SPANlSH] 582 00:28:03,240 --> 00:28:04,593 RUSSELL [SOBBlNG]: No. 583 00:28:06,360 --> 00:28:07,349 RUSSELL: No. 584 00:28:07,520 --> 00:28:10,512 [RUSSELL SOBBlNG AND LUlS SPEAKlNG lN SPANlSH] 585 00:28:19,480 --> 00:28:21,948 She'll be in surgery for an hour while we clean and close. 586 00:28:22,120 --> 00:28:23,155 SANDRA: We can go with her?. 587 00:28:23,320 --> 00:28:25,515 [SPEAKlNG lN SPANlSH] 588 00:28:25,680 --> 00:28:28,240 Have them re-check the calcium. 589 00:28:31,840 --> 00:28:32,829 I wanna thank you. 590 00:28:35,240 --> 00:28:36,468 It's what we do. 591 00:28:36,640 --> 00:28:40,076 -When it goes right. -There was a minute there.... 592 00:28:40,240 --> 00:28:42,549 It was like I was losing everything. 593 00:28:43,440 --> 00:28:46,034 -You can't imagine-- -I'm glad it all worked out for you. 594 00:28:47,240 --> 00:28:49,879 She's a beautiful child. 595 00:29:24,840 --> 00:29:26,956 GREENE: We're still waiting on the coroner. 596 00:29:28,880 --> 00:29:30,677 Something else you need?. 597 00:29:31,520 --> 00:29:32,635 I wanna clean him up. 598 00:29:33,720 --> 00:29:35,676 We probably have some gauze. 599 00:29:38,720 --> 00:29:40,278 I want the tube out. 600 00:29:41,320 --> 00:29:45,029 GREENE: Normal procedure is we have to wait for the coroner before-- 601 00:29:45,200 --> 00:29:46,952 I'm familiar with procedure. 602 00:29:50,880 --> 00:29:51,869 Where's your husband?. 603 00:29:53,320 --> 00:29:54,912 He's calling our families. 604 00:29:56,680 --> 00:29:57,999 [GREENE SlGHS] 605 00:29:58,880 --> 00:30:00,472 I know, uh... 606 00:30:00,640 --> 00:30:07,239 ...nothing I can say will probably mean much to you right now, ahem, but l.... 607 00:30:08,160 --> 00:30:11,197 I've seen enough grief in my life to... 608 00:30:12,200 --> 00:30:14,668 ...know how devastating it can be... 609 00:30:17,920 --> 00:30:21,913 ...and how hard it can be to find the resilience. 610 00:30:27,600 --> 00:30:29,397 I just hope... 611 00:30:29,720 --> 00:30:32,871 ...you and your husband find.... 612 00:30:33,040 --> 00:30:34,029 [DOOR OPENS] 613 00:30:34,200 --> 00:30:36,714 Greene. A minute in the hall?. 614 00:30:37,720 --> 00:30:39,472 Excuse me. 615 00:30:41,920 --> 00:30:44,593 So Oncology is mad at me. Why do you suppose that is?. 616 00:30:45,280 --> 00:30:46,713 I've had my hands full, Robert. 617 00:30:46,880 --> 00:30:50,031 Well, I just used all my pull and influence to persuade them... 618 00:30:50,200 --> 00:30:52,998 ...to keep the chemo suite open one hour, so get up there... 619 00:30:53,160 --> 00:30:56,072 ...or I'm gonna sell your vincristine on the black market. 620 00:30:56,240 --> 00:30:57,878 -I'm still-- -Stop complaining. 621 00:30:58,040 --> 00:31:00,474 Nobody told you to go and get cancer. 622 00:31:13,320 --> 00:31:15,117 I have to go. 623 00:31:15,600 --> 00:31:17,795 I'll be back as soon as I can. 624 00:31:17,960 --> 00:31:19,757 You never answered my question. 625 00:31:22,320 --> 00:31:24,754 I can't let you extubate him. 626 00:31:24,920 --> 00:31:26,478 You know that. 627 00:31:45,040 --> 00:31:47,554 You're free to cut the tube. 628 00:33:02,120 --> 00:33:05,556 Those are the ones you never forget. 629 00:33:06,520 --> 00:33:08,750 You shouldn't be doing that. 630 00:33:08,920 --> 00:33:11,559 I keep a secret stash in the back of the fridge... 631 00:33:11,720 --> 00:33:15,235 ...crack one open when something really amazing happens. 632 00:33:16,560 --> 00:33:20,155 In five years here, this is like the third one I've drunk. 633 00:33:22,560 --> 00:33:24,710 One beer every 2O months I can overlook. 634 00:33:26,240 --> 00:33:29,915 So forgive me for noticing... 635 00:33:30,520 --> 00:33:32,556 ...but what happened in there?. 636 00:33:32,720 --> 00:33:34,358 Something changed. 637 00:33:36,240 --> 00:33:37,753 The situation evolved. 638 00:33:41,720 --> 00:33:43,119 It was a kid, right?. 639 00:33:44,640 --> 00:33:46,437 We all have one. 640 00:33:48,240 --> 00:33:50,470 Some case you blew. 641 00:33:50,640 --> 00:33:52,790 A patient you should have saved. 642 00:33:53,440 --> 00:33:55,271 Yours was a kid?. 643 00:33:55,880 --> 00:33:56,869 [SlGHS] 644 00:33:57,040 --> 00:33:58,109 Yeah. 645 00:33:58,880 --> 00:34:00,518 How old?. 646 00:34:04,200 --> 00:34:05,633 He was 5 years old. 647 00:34:05,840 --> 00:34:06,829 [SlGHS] 648 00:34:07,000 --> 00:34:08,194 Those are the worst. 649 00:34:09,560 --> 00:34:11,039 He was my son. 650 00:34:11,200 --> 00:34:13,156 He died here. 651 00:34:15,400 --> 00:34:17,311 In Trauma 1. 652 00:34:20,040 --> 00:34:22,508 Your son died in this ER?. 653 00:34:25,400 --> 00:34:26,674 And you're working here?. 654 00:34:31,440 --> 00:34:34,238 I'm not sure why I've done anything I've done since that day. 655 00:34:35,960 --> 00:34:40,078 Why'd I not leave my apartment for almost two years?. 656 00:34:41,120 --> 00:34:44,078 Then I see the news about the tsunami... 657 00:34:45,080 --> 00:34:48,834 ...and I fly to a place 1 O thousand miles away. 658 00:34:51,400 --> 00:34:53,391 Why'd I do that?. 659 00:34:54,080 --> 00:34:56,036 Why did I come back?. 660 00:34:59,080 --> 00:35:02,516 Why did my son have leukemia?. 661 00:35:04,800 --> 00:35:07,360 I never understood any of it. 662 00:35:13,480 --> 00:35:15,710 I'm sorry for your-- For your loss. 663 00:35:20,840 --> 00:35:23,513 I-- I don't really know what to say. 664 00:35:25,080 --> 00:35:28,072 When your parents are gone, you're an orphan. 665 00:35:28,520 --> 00:35:31,717 Spouse dies, you're a widow, or a widower. 666 00:35:31,880 --> 00:35:34,235 But when you lose your baby... 667 00:35:37,320 --> 00:35:38,958 ...there's no word for that. 668 00:35:50,120 --> 00:35:52,190 See to it she gets this before you go. 669 00:36:16,600 --> 00:36:18,272 [FOGHORN HONKlNG] 670 00:36:21,960 --> 00:36:23,393 GREENE: Hey. 671 00:36:23,920 --> 00:36:27,549 Listen l-- I would really like to see you. 672 00:36:27,720 --> 00:36:30,917 I-- I miss you, Elizabeth. 673 00:36:31,320 --> 00:36:35,313 Please. Please, don't-- Don't-- Don't cry. 674 00:36:37,480 --> 00:36:40,392 Yeah. Tonight. Yeah. 675 00:36:40,560 --> 00:36:43,154 Yeah, I'll come over. 676 00:36:43,320 --> 00:36:45,390 I'll see you then. 677 00:36:52,120 --> 00:36:56,671 I'm sorry I wasn't there when they came for Daryl... 678 00:36:57,200 --> 00:37:00,829 ...but l, uh-- I had to be somewhere. 679 00:37:04,440 --> 00:37:07,876 It was an atypical presentation. Nobody could have picked it up. 680 00:37:10,040 --> 00:37:11,951 If I had just brought him in earlier. 681 00:37:12,920 --> 00:37:16,390 He had acute leukemia, that's why he died. 682 00:37:16,920 --> 00:37:19,832 It might have given me another day. 683 00:37:20,720 --> 00:37:21,755 A little more time. 684 00:37:27,920 --> 00:37:29,478 They said we can go now. 685 00:37:38,520 --> 00:37:42,035 I appreciate your effort, Dr. Greene. 686 00:37:43,960 --> 00:37:46,918 Take care, both of you. 687 00:37:47,440 --> 00:37:49,271 Good luck. 688 00:38:10,320 --> 00:38:11,992 BANFlELD: Baby. 689 00:38:12,920 --> 00:38:14,751 Where are you?. 690 00:38:35,320 --> 00:38:37,709 You never cried. 691 00:38:38,920 --> 00:38:40,831 At the hospital... 692 00:38:41,120 --> 00:38:42,872 ...at the funeral. 693 00:38:43,920 --> 00:38:45,592 I've been-- 694 00:38:46,520 --> 00:38:49,080 I've been really angry about that. 695 00:38:49,520 --> 00:38:53,115 You never cried about anything since that day. 696 00:38:56,240 --> 00:38:59,038 Maybe we've been fooling ourselves. Maybe... 697 00:38:59,200 --> 00:39:01,316 ...we've been done for a long time, but... 698 00:39:02,240 --> 00:39:04,356 ...never figured it out. 699 00:39:05,520 --> 00:39:06,873 I never blamed you. 700 00:39:08,520 --> 00:39:10,033 Never. 701 00:39:26,640 --> 00:39:29,359 I used to think every day that... 702 00:39:30,720 --> 00:39:32,199 ...if God told me I could die... 703 00:39:32,360 --> 00:39:35,511 ...and go to heaven and be with Daryl, I would do it. 704 00:39:37,880 --> 00:39:41,509 I wondered if that made me an awful person... 705 00:39:41,680 --> 00:39:44,752 ...that I'd give up my life with you... 706 00:39:45,200 --> 00:39:49,193 ...give up everything we could still have in the future. 707 00:40:01,280 --> 00:40:02,952 But I never... 708 00:40:03,880 --> 00:40:09,238 ...really got away from the feeling like I need to be with him. 709 00:40:09,880 --> 00:40:11,313 Dreaming of him. 710 00:40:14,920 --> 00:40:18,276 I never got away from the idea that... 711 00:40:20,200 --> 00:40:23,988 ...somehow I'd be able to hold him again. 712 00:40:24,600 --> 00:40:27,592 [BANFlELD LAUGHlNG] 713 00:40:39,920 --> 00:40:43,037 I've been afraid for so long. 714 00:40:44,920 --> 00:40:48,833 I don't want to be afraid anymore. 715 00:40:49,000 --> 00:40:51,992 [SOBBlNG] 54999

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