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1
00:00:09,240 --> 00:00:12,596
NEELA: The toughest thing about
being a doctor isn 't the terrible hours.
2
00:00:12,760 --> 00:00:16,389
It isn 't the loneliness, the isolation,
or the knowledge that one day...
3
00:00:16,560 --> 00:00:19,950
... we all lose out to the relentless
decay of the human body.
4
00:00:20,120 --> 00:00:22,554
No, it's something else.
5
00:00:22,720 --> 00:00:24,472
[CELL PHONE RlNGlNG
"" MAD WORLD"" ]
6
00:00:39,680 --> 00:00:42,353
Ray. It's 5 a. m.
7
00:00:42,520 --> 00:00:44,272
[PAGER BEEPlNG]
8
00:00:44,440 --> 00:00:48,592
Y es, I know, but sometimes we do
actually get to sleep on call.
9
00:00:50,760 --> 00:00:55,231
Good. You should be. You know I have
those stupid interviews later today.
10
00:00:56,120 --> 00:01:00,033
No. I didn't forget. Happy birthday.
11
00:01:00,520 --> 00:01:03,080
Of course I was gonna call.
It's 5 a.m., man, give me a chance.
12
00:01:03,240 --> 00:01:04,912
[PAGER BEEPlNG]
13
00:01:06,080 --> 00:01:08,799
It's my intern, I better answer.
I'll call you later, okay?.
14
00:01:08,960 --> 00:01:10,393
Bye.
15
00:01:15,160 --> 00:01:17,799
Hey, Ana. You having a party in here?.
16
00:01:17,960 --> 00:01:19,154
Something like that.
17
00:01:19,320 --> 00:01:21,550
T achy all night
and then the BP took a dive.
18
00:01:21,720 --> 00:01:23,995
Crackles bilaterally.
19
00:01:24,160 --> 00:01:26,037
I left mine in the ER.
20
00:01:26,200 --> 00:01:28,270
Sensitivities come back
on the blood culture?.
21
00:01:28,440 --> 00:01:29,793
Vanco-resistant enterococcus.
22
00:01:29,960 --> 00:01:31,871
That's what you were worried about,
right?.
23
00:01:32,040 --> 00:01:34,759
Yeah.
Let the PlCU know we're coming.
24
00:01:36,360 --> 00:01:38,669
Pick a color and a number
between one and 1 0.
25
00:01:38,840 --> 00:01:41,752
Blue and three.
26
00:01:41,920 --> 00:01:45,549
-B-L-U-E. One, two, three.
DUBENKO: Hey, at this point...
27
00:01:45,720 --> 00:01:48,632
...removing the source of infection
is our best option.
28
00:01:48,800 --> 00:01:50,870
-You mean taking out my gall bladder.
DUBENKO: Yeah.
29
00:01:51,040 --> 00:01:52,871
Let's finally get you better okay?.
30
00:01:53,040 --> 00:01:55,190
Hurry up,
I'm getting sick of you people.
31
00:01:56,080 --> 00:01:58,548
I'm gonna go call your mom.
32
00:02:00,040 --> 00:02:02,395
Hang in there,
I'll check on you in a little while.
33
00:02:02,560 --> 00:02:04,915
Don't you want to hear your fortune?.
34
00:02:05,080 --> 00:02:07,230
I'll be back soon, I promise.
35
00:02:08,760 --> 00:02:10,239
Lucien, are you sure about this?.
36
00:02:10,400 --> 00:02:13,198
No, but the conservative approach
doesn't seem to be working out.
37
00:02:13,360 --> 00:02:15,476
She's bacteremic
and if we go in now....
38
00:02:15,640 --> 00:02:18,438
NEELA: The toughest thing
is making the right call when it counts.
39
00:02:18,600 --> 00:02:20,431
-Forget it. No, it's fine.
-What?.
40
00:02:20,600 --> 00:02:23,433
You' re gonna be an attending soon,
better assert yourself.
41
00:02:23,600 --> 00:02:24,919
No, you' re probably right--
42
00:02:25,080 --> 00:02:27,878
You know, these decisions
are the hardest part of our job.
43
00:02:28,040 --> 00:02:31,350
Consider the alternatives, follow
through in your mind, make a choice.
44
00:02:31,520 --> 00:02:33,875
Can't control what happens after that.
45
00:02:34,040 --> 00:02:37,077
O.R. in 1 O minutes.
I'll meet you there.
46
00:02:43,320 --> 00:02:46,437
Yeah, that's totally gonna make
the elevator come faster.
47
00:02:57,440 --> 00:02:59,112
[DOOR OPENS]
48
00:03:01,200 --> 00:03:02,633
Sorry, l....
49
00:03:03,640 --> 00:03:05,153
Found it.
50
00:03:05,720 --> 00:03:07,551
[DOOR OPENS]
51
00:03:08,480 --> 00:03:09,879
Dr. Rasgotra, perfect timing.
52
00:03:10,040 --> 00:03:11,758
NEELA:
Page the intern, I'm not really here.
53
00:03:11,920 --> 00:03:14,480
Nick Vasquez, 28,
fell through a second story window.
54
00:03:14,640 --> 00:03:16,995
-A closed window, unfortunately.
-How did you fall?.
55
00:03:17,160 --> 00:03:18,639
I was, uh, bailing out of a plane.
56
00:03:20,240 --> 00:03:22,470
-ln my dream. Uh, I'm a dream runner.
NEELA: Dream runner?.
57
00:03:22,640 --> 00:03:24,232
NlCK: Most people
are paralyzed during REM...
58
00:03:24,400 --> 00:03:26,994
...they don't do
what they dream about.
59
00:03:27,160 --> 00:03:30,914
My brain chemistry's off, so that
paralysis thing doesn't work right.
60
00:03:31,080 --> 00:03:32,229
So you act things out?.
61
00:03:32,400 --> 00:03:35,756
NlCK: Big-wave surfing, car chases,
dragon slaying.
62
00:03:35,920 --> 00:03:38,878
-I've done it all.
-On my count. One, two, three.
63
00:03:39,040 --> 00:03:42,396
All right, vitals stable en route,
complaining about abdominal pain.
64
00:03:42,560 --> 00:03:45,597
NEELA: Well, that's understandable.
GATES: Tib-fib displaced,
65
00:03:45,760 --> 00:03:47,716
-I'm gonna get a Stryker probe.
NEELA: What?. Why?.
66
00:03:47,880 --> 00:03:50,440
Missed a compartment syndrome,
doesn't wanna get burned.
67
00:03:50,600 --> 00:03:52,352
It's a good pedal pulse, no swelling.
68
00:03:52,520 --> 00:03:55,432
-I doubt it's compartment syndrome.
-I'll be right back.
69
00:03:59,920 --> 00:04:01,558
Hey.
70
00:04:02,120 --> 00:04:03,633
Hey.
71
00:04:04,520 --> 00:04:06,033
-Here.
-What's this?.
72
00:04:06,200 --> 00:04:09,397
Those Blackhawk tickets that we got.
It's, uh, this week.
73
00:04:09,560 --> 00:04:11,073
You take them, Sam. Take Alex.
74
00:04:11,240 --> 00:04:14,232
No, no, no. It was your idea.
You might wanna take someone else?.
75
00:04:14,640 --> 00:04:16,676
Gates, you have six patients
on the board...
76
00:04:16,840 --> 00:04:19,274
...including a fresh trauma
so cut the chatter.
77
00:04:19,440 --> 00:04:22,398
Dr. Morris, four of your patients
bounced back tonight.
78
00:04:22,560 --> 00:04:23,879
It would be okay if you did.
79
00:04:24,040 --> 00:04:26,156
GATES: If I did what?.
-Take someone else.
80
00:04:26,320 --> 00:04:29,312
Sam, will you stop it?.
There's no one else I wanna take.
81
00:04:30,120 --> 00:04:31,109
Here.
82
00:04:31,280 --> 00:04:34,078
Gates, get plain films,
then remove shards and then irrigate.
83
00:04:34,240 --> 00:04:36,549
We could use you too,
poor guy's lV keeps blowing.
84
00:04:36,720 --> 00:04:39,109
-No problem. Check crit q 30 and--
-What was that?.
85
00:04:39,280 --> 00:04:40,759
-What was what?.
-Banfield, man.
86
00:04:40,920 --> 00:04:44,595
One minute she's kind of loose and cool
then snap, she's back to piranha queen.
87
00:04:44,760 --> 00:04:46,557
She was annoyed at me
for being short.
88
00:04:46,720 --> 00:04:49,871
She made Frank take off his tie
and throw it in the trash.
89
00:04:50,040 --> 00:04:52,793
Dr. Morris, come with me.
It's important.
90
00:04:53,040 --> 00:04:55,873
-Uh, good luck with the interview thing.
-Oh, right.
91
00:04:57,720 --> 00:05:00,757
-Okay, you ready?.
-Uh-huh.
92
00:05:01,440 --> 00:05:03,158
Ta-da.
93
00:05:03,320 --> 00:05:06,073
I got under the mud flaps
and matched the original color.
94
00:05:06,240 --> 00:05:08,071
You are kidding.
95
00:05:08,240 --> 00:05:12,438
I rebuilt the engine, threw away the
amels and installed Mikuni carburetors.
96
00:05:13,840 --> 00:05:19,039
My-- My dad showed up on this
for his first date with my mom.
97
00:05:19,200 --> 00:05:22,078
Yeah, she was mortified,
made them walk to the movies.
98
00:05:22,240 --> 00:05:24,470
A month later she was riding
on the back...
99
00:05:24,640 --> 00:05:26,835
...wearing nothing
but a macrame bikini.
100
00:05:27,000 --> 00:05:29,434
Yeah,
these have that effect on people.
101
00:05:29,600 --> 00:05:33,070
Okay. Go ahead.
Try out your new bike.
102
00:05:33,240 --> 00:05:36,118
No, my new--?. No, no Jerry.
I said-- I said you could have it.
103
00:05:36,280 --> 00:05:39,033
No way. This belongs with you.
104
00:05:39,440 --> 00:05:40,998
Fire it up.
105
00:05:42,760 --> 00:05:45,354
[ENGlNE REVS]
106
00:05:45,520 --> 00:05:48,592
Keep the shiny side up.
107
00:05:56,480 --> 00:05:57,754
[SCREAMS]
108
00:06:00,520 --> 00:06:01,509
[GRUNTS]
109
00:06:03,000 --> 00:06:05,116
DUBENKO: Take breaths,
when you wake up we'll be done.
110
00:06:05,280 --> 00:06:08,556
Dr. Rasgotra?. You're gonna be here
the whole time, right?.
111
00:06:08,720 --> 00:06:10,711
The whole time.
Did you remember the music?.
112
00:06:10,880 --> 00:06:12,438
Sure did.
113
00:06:17,120 --> 00:06:20,112
[""SUlTE FOR SOLO CELLO NO. 1 lN G""
PLAYlNG ON SPEAKERS]
114
00:06:20,760 --> 00:06:22,557
That's nice.
115
00:06:25,720 --> 00:06:28,553
""Suite for Solo Cello Number 1 in G. ""
116
00:06:28,720 --> 00:06:30,915
Dr. Rasgotra, you rock.
117
00:06:35,640 --> 00:06:37,312
DUBENKO:
Okay, let's get started.
118
00:06:37,920 --> 00:06:40,309
Neela needs to get out of here
to work on her future.
119
00:06:40,480 --> 00:06:42,311
It's okay.
I cancelled my appointments.
120
00:06:42,480 --> 00:06:44,232
DUBENKO: What?. Why?.
SHlRLEY: First liter's up.
121
00:06:44,400 --> 00:06:45,833
NEELA:
I'm post-call and exhausted.
122
00:06:46,000 --> 00:06:48,389
I called in some favors
to get you those interviews.
123
00:06:48,560 --> 00:06:51,552
-You feel bad about me not having a job.
-Who told you that?.
124
00:06:51,720 --> 00:06:55,713
You've been acting like you'd never let
me leave, but I get it, things change.
125
00:06:55,880 --> 00:06:58,440
Where's this coming from?.
You-- You and I have never had...
126
00:06:58,600 --> 00:07:00,875
...a serious conversation
about of you staying.
127
00:07:01,040 --> 00:07:04,794
-Exactly. Eleven blade.
-Trocar.
128
00:07:08,920 --> 00:07:11,070
Ooh. It's hot in here.
Is it hot in here?.
129
00:07:12,080 --> 00:07:13,069
No, check this out.
130
00:07:13,240 --> 00:07:16,437
-It's fine.
-Except for the pelvic fracture, right?.
131
00:07:17,480 --> 00:07:18,469
[SlGHS]
132
00:07:18,640 --> 00:07:21,757
Uh, grade two, non-displaced.
133
00:07:21,920 --> 00:07:23,399
Somebody's here to see you.
134
00:07:24,080 --> 00:07:25,069
[CHUCKLES]
135
00:07:25,240 --> 00:07:26,912
Hey, honey.
136
00:07:27,720 --> 00:07:29,312
NlCK:
Find someone to take Oliver?.
137
00:07:29,480 --> 00:07:31,675
Yeah, your mom came over.
Thank God you're okay.
138
00:07:31,840 --> 00:07:34,400
-Give us some room.
-You know, we've tried everything.
139
00:07:34,560 --> 00:07:36,835
Sleeping bags, mitts,
hand-cuffing him to the bed.
140
00:07:37,000 --> 00:07:38,592
Hey, now.
141
00:07:38,760 --> 00:07:42,435
But every few months he has a crazy
dream and ends up back in the hospital.
142
00:07:42,600 --> 00:07:45,160
-Oliver's your son?.
-Y eah. Just turned 1.
143
00:07:45,320 --> 00:07:46,673
Crit dropped another two points.
144
00:07:46,840 --> 00:07:48,319
Oh, dilutional, most likely.
145
00:07:48,480 --> 00:07:50,516
We'll check another hemacue
in a half-hour.
146
00:07:50,680 --> 00:07:52,955
What, and meanwhile
we just let it keep dropping?.
147
00:07:53,120 --> 00:07:55,873
-I thought you said it was dilutional.
-Recheck it now, Sam.
148
00:07:56,040 --> 00:07:58,395
I already signed out to Suri,
I'll have her know.
149
00:07:58,560 --> 00:08:00,312
-What?. You're leaving?.
-My shift's over.
150
00:08:00,480 --> 00:08:02,755
-They're waiting for me.
-Shifts and breaks...
151
00:08:02,920 --> 00:08:05,480
...such a nursey concept,
I've always hated them.
152
00:08:06,640 --> 00:08:08,278
Bye, Mr. Vasquez.
153
00:08:12,360 --> 00:08:14,351
Damn, I think I nicked
the common bile duct.
154
00:08:14,520 --> 00:08:17,114
DUBENKO:
You think you did or you did?. You did.
155
00:08:17,280 --> 00:08:19,111
NEELA:
So much inflamed tissue, I couldn't see.
156
00:08:19,280 --> 00:08:22,317
You had no business cutting.
Ten blade, we're converting to open.
157
00:08:22,480 --> 00:08:25,472
SHlRLEY: Systolic's 86. Everyone
knows Samantha Taggart from the ER?.
158
00:08:25,640 --> 00:08:27,676
Starting clinicals for my nurse
anesthetist program.
159
00:08:27,840 --> 00:08:29,273
DUBENKO:
Sponge.
160
00:08:32,720 --> 00:08:35,393
PERRY: Record vitals q five minutes.
I'm going next door.
161
00:08:35,560 --> 00:08:38,518
-You're leaving?.
-Precepting a trainee. I'll be in and out.
162
00:08:38,680 --> 00:08:39,954
NEELA: Bovie.
SAM: Something matter?.
163
00:08:40,120 --> 00:08:41,712
NEELA: Not the best teach.
DUBENKO: Countertraction.
164
00:08:41,880 --> 00:08:43,472
SAM: Thanks.
NEELA: Don't take it personally.
165
00:08:43,640 --> 00:08:45,596
SAM: It's a teaching hospital.
NEELA: I'm aware.
166
00:08:45,760 --> 00:08:47,751
Operating on her
was dicey to begin with.
167
00:08:47,920 --> 00:08:50,354
SAM: That's your call.
NEELA: We should have our A team.
168
00:08:50,520 --> 00:08:53,239
SAM: A team?. Why don't you focus
on your job and let me do mine.
169
00:08:53,400 --> 00:08:55,277
-Oh, my God.
-Aah!
170
00:09:04,520 --> 00:09:06,476
[HEART MONlTOR BEEPlNG]
171
00:09:06,640 --> 00:09:09,313
I dialed the halothane down
when her pressure got dicey.
172
00:09:10,040 --> 00:09:12,952
-I forgot to tell you to turn it back up.
-You forgot?.
173
00:09:13,120 --> 00:09:14,917
-I'm so sorry.
-Tell it to the girl.
174
00:09:15,080 --> 00:09:17,230
Okay, let's clean this mess
up and move on.
175
00:09:17,400 --> 00:09:20,358
Run a six, giving lido.
Forty milligram bolus.
176
00:09:20,520 --> 00:09:22,556
Right. Then point-five per minute.
177
00:09:22,720 --> 00:09:25,393
It's the ER.
They need a surgeon down there.
178
00:09:27,080 --> 00:09:29,878
Surgery's got an unstable kid
on the table, gonna be a while.
179
00:09:30,040 --> 00:09:31,837
Great. Cordis in.
180
00:09:32,000 --> 00:09:33,035
That wasn't so bad.
181
00:09:33,200 --> 00:09:34,792
He's got a high tolerance for pain.
182
00:09:34,960 --> 00:09:37,349
GATES: Hang a unit of type specific.
-How's it going?.
183
00:09:37,520 --> 00:09:39,158
He's tachy and crit's down to 29.
184
00:09:39,320 --> 00:09:41,709
All right, let's pack him up,
and get him to angio.
185
00:09:41,880 --> 00:09:43,632
Angio?. You mean CT, right?.
186
00:09:43,800 --> 00:09:45,756
No, I mean angio.
He has a pelvic fracture.
187
00:09:45,920 --> 00:09:47,956
GATES: Fracture's non-displaced,
unlikely to bleed.
188
00:09:48,120 --> 00:09:49,394
The ultrasound was negative.
189
00:09:49,560 --> 00:09:50,879
GATES:
Could be retroperitoneal.
190
00:09:51,040 --> 00:09:53,349
BANFlELD: If the angiogram is normal
we'll explore that.
191
00:09:53,520 --> 00:09:55,715
Right now the pelvis
is where the money is.
192
00:09:56,880 --> 00:09:57,915
In all these dreams...
193
00:09:59,120 --> 00:10:01,111
...you're always there.
194
00:10:02,120 --> 00:10:03,519
You are always the girl.
195
00:10:03,680 --> 00:10:05,352
[HEART MONlTOR BEEPlNG]
196
00:10:05,520 --> 00:10:07,272
-Nick?.
-Mac three and an eight-oh.
197
00:10:07,440 --> 00:10:09,715
SUZANNAH: What's happening?.
DUBENKO: Five thousand units heparin.
198
00:10:09,880 --> 00:10:12,599
Protein C first?. Not standard,
there have been good outcomes...
199
00:10:12,760 --> 00:10:14,352
-...for DlC or sepsis.
DUBENKO: Go ahead.
200
00:10:14,520 --> 00:10:17,956
Thing is you have to give it before
you give the heparin or it won't work.
201
00:10:18,120 --> 00:10:22,238
-Something that came up in a class.
-Okay, protein C, and then the heparin.
202
00:10:22,400 --> 00:10:24,038
V-tach.
203
00:10:24,640 --> 00:10:26,835
NEELA: I can't believe this.
DUBENKO: Point four of epi.
204
00:10:27,000 --> 00:10:28,149
SAM:
Going in.
205
00:10:28,320 --> 00:10:30,072
[DEFlBRlLLATOR CHARGlNG]
206
00:10:30,240 --> 00:10:31,753
Clear!
207
00:10:33,040 --> 00:10:34,996
-No change.
-Again. Clear.
208
00:10:36,240 --> 00:10:38,071
-No change.
-Again. Clear.
209
00:10:40,640 --> 00:10:42,756
Hey?. What happened?.
210
00:10:42,920 --> 00:10:43,909
What'd the angio show?.
211
00:10:44,080 --> 00:10:45,991
Lost his pulse
before we could do the study.
212
00:10:46,160 --> 00:10:47,752
Charged to 36O.
213
00:10:47,920 --> 00:10:49,478
Clear.
214
00:10:50,000 --> 00:10:51,752
-No change.
-Give the amiodarone.
215
00:10:51,920 --> 00:10:55,595
Sorry to belabor, but you don't drop
crit 1 O points from non-displaced pelvis.
216
00:10:55,760 --> 00:10:59,639
If you'd scanned him you might have
seen what I'm seeing in time.
217
00:10:59,800 --> 00:11:02,030
Go find an O.R.
The belly's full of blood.
218
00:11:02,200 --> 00:11:04,350
-You know where it's coming from?.
-Go!
219
00:11:05,360 --> 00:11:06,349
SAM:
Fourth epi's in.
220
00:11:06,520 --> 00:11:07,919
Someone needs
to update the mother.
221
00:11:08,080 --> 00:11:10,310
NEELA: I should have fought you.
DUBENKO: You should have.
222
00:11:10,480 --> 00:11:12,391
GATES:
Dream runner's bleeding out in angio.
223
00:11:12,560 --> 00:11:14,312
DUBENKO: Okay, go.
NEELA: I promised I'd stay.
224
00:11:14,480 --> 00:11:15,913
DUBENKO:
Hold compressions.
225
00:11:16,080 --> 00:11:17,718
SHlRLEY: V-fib.
DUBENKO: Switch out.
226
00:11:20,920 --> 00:11:21,909
Go, Neela.
227
00:11:22,400 --> 00:11:23,913
Go.
228
00:11:29,120 --> 00:11:30,758
Go.
229
00:11:36,880 --> 00:11:38,518
[CELL PHONE RlNGlNG
""MAD WORLD""]
230
00:11:39,600 --> 00:11:41,909
Ray. I'll call later.
231
00:11:42,560 --> 00:11:44,994
[HEART MONlTOR BEEPlNG]
232
00:11:49,360 --> 00:11:50,429
BANFlELD:
Hold compressions.
233
00:11:53,440 --> 00:11:55,351
MORRlS:
Still asystole.
234
00:11:57,720 --> 00:11:59,551
This is over.
235
00:12:01,280 --> 00:12:02,793
1 3:43.
236
00:12:02,960 --> 00:12:04,109
[SHUTS OFF HEART MONlTOR]
237
00:12:16,240 --> 00:12:18,674
Please know
that we did everything we could.
238
00:12:25,480 --> 00:12:26,469
[DOOR OPENS]
239
00:12:26,640 --> 00:12:28,073
Excuse me.
240
00:12:29,880 --> 00:12:31,029
[DOOR OPENS]
241
00:12:31,920 --> 00:12:33,592
This can't really be happening.
242
00:12:34,840 --> 00:12:37,274
I'm so sorry.
243
00:12:41,720 --> 00:12:43,631
This feels like a dream.
244
00:12:44,560 --> 00:12:45,834
BANFlELD:
We can 's see the future.
245
00:12:46,000 --> 00:12:49,197
Sometimes we can, actually. With this
handy new technology called the CT.
246
00:12:49,360 --> 00:12:50,759
You heard of it?.
247
00:12:51,120 --> 00:12:54,078
Fine.
Do I wish I could do it over?. Yeah, I do.
248
00:12:54,240 --> 00:12:57,118
-There was no way to know--
-Gates was begging to get the scan.
249
00:12:57,280 --> 00:12:59,350
Gates is a resident.
250
00:12:59,520 --> 00:13:01,750
Don't make this about hierarchy.
If any of us...
251
00:13:01,920 --> 00:13:04,798
...refuse to hear another
opinion, the system breaks down.
252
00:13:04,960 --> 00:13:07,633
What system?.
You guys don't have a system.
253
00:13:07,800 --> 00:13:11,076
-All I see here is chaos and disorder.
MORRlS: Maybe that's the problem.
254
00:13:11,240 --> 00:13:14,835
Maybe that's why after five months
you still don't get it, still don't fit in.
255
00:13:15,000 --> 00:13:19,118
-Fit in?. This isn't junior high.
-We are a team. We work together.
256
00:13:19,280 --> 00:13:21,840
But you think that you're so much
better than all of us.
257
00:13:22,000 --> 00:13:24,833
So much smarter.
You'll never let yourself be part of it.
258
00:13:25,000 --> 00:13:27,355
If you wanna be a queen
go into private practice...
259
00:13:27,520 --> 00:13:29,715
...back to lndonesia,
leave medicine altogether.
260
00:13:29,880 --> 00:13:32,394
But don't torture us here.
261
00:13:33,120 --> 00:13:35,031
Dr. Banfield.
262
00:13:36,120 --> 00:13:39,954
-Jerry, turn this in to human resources.
NEELA: What are you doing?.
263
00:13:40,120 --> 00:13:41,951
Going home.
264
00:13:42,440 --> 00:13:43,555
NEELA:
This isn't your fault.
265
00:13:43,720 --> 00:13:45,870
-lf I'd come down sooner l--
-It's not about you.
266
00:13:46,040 --> 00:13:49,237
What's really going on?.
Are you sick?. I mean, this morning...
267
00:13:49,400 --> 00:13:52,551
-...the injection.
-Please. Leave me alone.
268
00:13:53,920 --> 00:13:55,717
[CELL PHONE RlNGlNG]
269
00:13:56,760 --> 00:13:58,432
Hello?.
270
00:14:00,120 --> 00:14:02,839
Yes. I'll sign the death certificate.
271
00:14:08,640 --> 00:14:13,270
Well, now, what did the phone
do to deserve that?.
272
00:14:15,920 --> 00:14:19,276
Hi, Simon, great to see you.
How was Australia?. Good. Heh.
273
00:14:20,200 --> 00:14:21,599
You okay?.
274
00:14:21,760 --> 00:14:24,593
It's just been
an unbelievably horrible day.
275
00:14:25,720 --> 00:14:27,597
You know what you need?.
276
00:14:28,440 --> 00:14:29,714
A didgeridoo.
277
00:14:31,800 --> 00:14:35,395
Banfield just quit
and I just helped kill two patients.
278
00:14:35,560 --> 00:14:37,869
Oh. Uh, Neela, I'm sorry.
279
00:14:38,920 --> 00:14:40,512
Neela.
280
00:14:44,880 --> 00:14:46,950
NEELA: The care of every patient
is a twisty maze...
281
00:14:47,120 --> 00:14:50,317
... that leads to an infinite number
of potential outcomes.
282
00:14:50,480 --> 00:14:52,710
We hope that knowledge
and experience guide us...
283
00:14:52,880 --> 00:14:55,952
...but sometimes it becomes
obvious a wrong turn was made.
284
00:14:56,120 --> 00:14:58,111
[CELL PHONE RlNGlNG
"" MAD WORLD"" ]
285
00:15:09,720 --> 00:15:11,472
Ray. It's 5 a. m.
286
00:15:11,640 --> 00:15:13,312
[PAGER BEEPlNG]
287
00:15:15,400 --> 00:15:19,473
I know, but sometimes we do
actually get to sleep on call.
288
00:15:20,400 --> 00:15:23,233
Pick a color and a number
between one and 1 0.
289
00:15:23,400 --> 00:15:25,868
Blue and three.
290
00:15:26,040 --> 00:15:29,999
-B-L-U-E. One, two, three.
DUBENKO: Hey, at this point...
291
00:15:30,160 --> 00:15:33,072
...removing the source
of infection is our best option.
292
00:15:33,240 --> 00:15:36,630
-You mean taking out my gall bladder.
DUBENKO: Let's finally get you better.
293
00:15:36,800 --> 00:15:38,995
Hurry up,
I'm getting sick of you people.
294
00:15:39,160 --> 00:15:41,196
I'm gonna go call your mom.
295
00:15:42,520 --> 00:15:45,034
Hang in there Ana,
I'll check on you in a little while.
296
00:15:45,200 --> 00:15:46,792
Don't you wanna hear your fortune?.
297
00:15:46,960 --> 00:15:48,359
I'll be back soon, I promise.
298
00:15:48,520 --> 00:15:51,398
NEELA: If only it were possible to
apply the wisdom of our mistakes...
299
00:15:51,560 --> 00:15:54,438
...go back to the fork in the road
and this time be assertive.
300
00:15:54,600 --> 00:15:57,990
Choose the road we think we should
take. Not the path of least resistance.
301
00:15:58,160 --> 00:15:59,639
Forget it.
302
00:16:00,480 --> 00:16:03,153
No, wait. Don't forget it.
She could die on the table.
303
00:16:03,320 --> 00:16:07,074
She could die if we do nothing. These
decisions are the hardest part of our job.
304
00:16:07,240 --> 00:16:11,153
Wait one more day. We'll move her to
PlCU, I'll get lD to approve the synercid.
305
00:16:11,320 --> 00:16:14,153
There's no improvement,
we'll take her to the O.R. tomorrow.
306
00:16:14,320 --> 00:16:15,753
-Okay.
-Okay?.
307
00:16:15,920 --> 00:16:18,992
Yeah, you're almost an attending,
I need to start listening to you.
308
00:16:19,160 --> 00:16:21,594
Meet me in the unit for rounds in 1 0.
309
00:16:28,160 --> 00:16:31,232
Yeah, that's totally gonna
make the elevator come faster.
310
00:16:31,400 --> 00:16:33,755
What are you, like, in seventh grade?.
311
00:16:33,920 --> 00:16:34,909
I look young, I know.
312
00:16:35,080 --> 00:16:36,513
[ELEVATOR DlNGS]
313
00:16:42,560 --> 00:16:43,913
[ELEVATOR DlNGS]
314
00:16:49,600 --> 00:16:52,068
Of course I realize
that pressing a button 1 O times...
315
00:16:52,240 --> 00:16:53,798
...is not gonna make it faster...
316
00:16:53,960 --> 00:16:57,555
...but sometimes when you're powerless
in a situation, you gotta do something.
317
00:16:57,720 --> 00:17:01,793
That's why you're a surgeon, right?.
You like to cut, fix, do.
318
00:17:02,520 --> 00:17:04,272
I suppose.
319
00:17:04,440 --> 00:17:09,150
Ah, but to choose inaction
is in and of itself action, isn't it?.
320
00:17:10,480 --> 00:17:11,959
-Who are you?.
-Ned Roth.
321
00:17:12,120 --> 00:17:13,838
Patient transport specialist.
322
00:17:14,000 --> 00:17:16,150
Buddhist. Omnivore.
323
00:17:16,320 --> 00:17:17,753
-Neela Ras--
-Rasgotra.
324
00:17:17,920 --> 00:17:19,114
Yes, I know.
325
00:17:19,280 --> 00:17:20,349
[ELEVATOR DlNGS]
326
00:17:20,520 --> 00:17:22,476
Have a nice day, doctor.
327
00:17:27,000 --> 00:17:28,433
[ELEVATOR DlNGS]
328
00:17:41,680 --> 00:17:43,033
What are you doing?.
329
00:17:43,200 --> 00:17:45,760
And don't say it's none
of my business because it is.
330
00:17:45,920 --> 00:17:47,148
It is?.
331
00:17:47,320 --> 00:17:49,709
-How's that?.
-lf you're doing drugs, we need to know.
332
00:17:49,880 --> 00:17:53,236
And if you wanted to keep it a secret
you wouldn't be in the break room.
333
00:17:53,400 --> 00:17:56,597
It's 5:30 in the morning.
I didn't think anyone would be in here.
334
00:17:58,240 --> 00:18:00,435
It's recombinant FSH hormone.
335
00:18:00,600 --> 00:18:02,477
We're trying to have a baby.
336
00:18:02,640 --> 00:18:05,393
Oh, wow.
337
00:18:06,840 --> 00:18:08,273
We're giving in vitro a try.
338
00:18:09,240 --> 00:18:10,559
Well, that's exciting.
339
00:18:10,720 --> 00:18:13,234
Well, we better all hope
it works the first time.
340
00:18:13,400 --> 00:18:16,915
I tell you, these drugs and doctoring
is a dangerous mix.
341
00:18:17,080 --> 00:18:18,195
Why do you say that?.
342
00:18:20,800 --> 00:18:24,395
I'm erratic, indecisive
and I've been a real bitch to the staff.
343
00:18:24,920 --> 00:18:25,909
Really?.
344
00:18:26,080 --> 00:18:27,832
Even more than I usually am.
345
00:18:28,000 --> 00:18:30,560
Everyone and everything
just seems to get on my nerves.
346
00:18:30,720 --> 00:18:32,756
I don't know, maybe I should quit.
347
00:18:34,120 --> 00:18:35,951
Oh, no. Don't be silly.
348
00:18:42,920 --> 00:18:45,673
-Neela?. This conversation?.
-lt never happened.
349
00:18:45,840 --> 00:18:47,193
Dr. Rasgotra, perfect timing.
350
00:18:47,360 --> 00:18:49,112
Page the intern, I'm not really here.
351
00:18:49,280 --> 00:18:52,750
A guy fell out of a second-story window,
they need a surgeon in Trauma 1.
352
00:18:52,920 --> 00:18:55,070
All right.
Page Dubenko and let him know, okay?.
353
00:18:55,240 --> 00:18:58,835
I hear you're interviewing for attending
positions at trauma conference today.
354
00:18:59,000 --> 00:18:59,989
-You did?.
-Yeah.
355
00:19:00,160 --> 00:19:02,754
Lucien's whining about losing you
to another institution.
356
00:19:02,920 --> 00:19:03,909
He was?.
357
00:19:04,080 --> 00:19:07,197
Don't look shocked, you know he's
grooming you for a faculty position.
358
00:19:07,360 --> 00:19:09,316
NEELA: He's the one who set up
all the interviews.
359
00:19:09,480 --> 00:19:11,311
BANFlELD: That's the game.
NEELA: What do you mean?.
360
00:19:11,480 --> 00:19:14,631
My brain chemistry's off,
that paralysis thing doesn't work right.
361
00:19:14,800 --> 00:19:16,119
So you act things out?.
362
00:19:16,280 --> 00:19:19,477
Big-wave surfing, car chases,
dragon slaying.
363
00:19:19,640 --> 00:19:21,870
-I've done it all.
-On my count. One, two, three.
364
00:19:22,440 --> 00:19:25,159
Mr. Vasquez, please meet
our esteemed surgical colleague...
365
00:19:25,320 --> 00:19:27,470
-...Dr. Neela Rasgotra.
-Hello.
366
00:19:27,640 --> 00:19:29,676
-Am I going to need surgery?.
-I hope not.
367
00:19:29,840 --> 00:19:33,071
Oh. These seem superficial,
but let's get an x-ray to be sure.
368
00:19:33,240 --> 00:19:35,151
-Ultrasound?.
-Just called for the machine.
369
00:19:35,320 --> 00:19:37,629
Tib-fib displaced,
I'm gonna get a Stryker probe.
370
00:19:37,800 --> 00:19:40,951
Good pedal pulse, no swelling. He
doesn't have compartment syndrome.
371
00:19:41,120 --> 00:19:44,749
Gates missed a compartment
syndrome last week, he's got PTSD.
372
00:19:44,920 --> 00:19:46,478
-That's ridiculous.
-Five minutes.
373
00:19:46,640 --> 00:19:50,110
Can't let a bad case derail your focus
on the patient in front of you.
374
00:19:50,280 --> 00:19:52,794
Someone ate their Wheaties
this morning.
375
00:19:54,120 --> 00:19:55,917
-You guys looking for this?.
-Yeah.
376
00:19:56,080 --> 00:19:57,513
NEELA:
Can we lower the table, please?.
377
00:19:57,680 --> 00:20:00,194
-Hey. I haven't seen you all week.
-I know.
378
00:20:00,360 --> 00:20:01,588
-It's weird.
-Yeah, really.
379
00:20:01,760 --> 00:20:04,069
Sam, we need a second line over here.
380
00:20:06,040 --> 00:20:08,679
I have something
that I wanna give you later, okay?.
381
00:20:09,520 --> 00:20:12,717
I'm not getting a good look
at the spleen, but the belly looks clear.
382
00:20:12,880 --> 00:20:14,757
No sign of internal injuries.
383
00:20:14,920 --> 00:20:17,673
-I'll stay here, you run the board.
-I'm already in on this.
384
00:20:17,840 --> 00:20:21,833
I am in no mood to move the meat.
I have the authority to do what I want.
385
00:20:22,360 --> 00:20:26,273
Drunks, drug seekers, hysterical
parents. They're all yours. Shoo.
386
00:20:26,440 --> 00:20:30,115
-Okay.
-I gotta run rounds in the PlCU.
387
00:20:38,400 --> 00:20:39,719
[SlGHS]
388
00:20:42,240 --> 00:20:44,435
Hi. How's the new digs.
389
00:20:44,600 --> 00:20:46,192
Okay, except for no TV.
390
00:20:46,360 --> 00:20:48,999
Well, at least you have
your own room up here, right?.
391
00:20:49,880 --> 00:20:52,713
Her, uh, oxygen level's
still a bit low.
392
00:21:01,920 --> 00:21:03,512
So what now?.
393
00:21:03,680 --> 00:21:07,275
We wait. And hope her own
immune system conquers the infection.
394
00:21:09,280 --> 00:21:11,430
She can do it. She's tough.
395
00:21:12,440 --> 00:21:17,195
I need you to get better so you can help
me download Scrabble on my cell. Okay.
396
00:21:20,920 --> 00:21:23,150
Hey. How's she doing?.
397
00:21:23,320 --> 00:21:26,312
Twenty of dopamine, sats hanging
around 9O, lactate's on the edge.
398
00:21:26,480 --> 00:21:28,550
DUBENKO: Well, next 24 hours
will give us our answer.
399
00:21:28,720 --> 00:21:31,188
-You off to interviews?.
-I was thinking of cancelling.
400
00:21:31,360 --> 00:21:32,349
Are you crazy?.
401
00:21:32,520 --> 00:21:34,158
I should see this through.
402
00:21:34,320 --> 00:21:37,312
No, go. I'll take care of it.
I'll call you if anything changes.
403
00:21:37,480 --> 00:21:40,074
Trauma programs
will be fighting over you.
404
00:21:40,680 --> 00:21:42,591
All right then.
405
00:21:44,120 --> 00:21:48,159
-You know, um, I don't get it.
-Get what?.
406
00:21:48,840 --> 00:21:51,877
You seem to be dying
to get rid of me...
407
00:21:52,040 --> 00:21:54,634
...you keep mumbling
about the hiring freeze at County...
408
00:21:54,800 --> 00:21:57,268
...pushing me to do interviews
all over.
409
00:21:57,440 --> 00:22:00,750
-But then I keep hearing other things.
-What other things?.
410
00:22:01,240 --> 00:22:04,198
If you want me to stay,
how come you never asked?.
411
00:22:05,800 --> 00:22:09,634
We can't have this discussion
until you've seen what else is out there.
412
00:22:10,520 --> 00:22:13,751
I'm serious. Just go. Get out of here.
413
00:22:20,680 --> 00:22:22,671
[GATES HUMMlNG]
414
00:22:24,200 --> 00:22:25,519
Wow. Look at you.
415
00:22:25,680 --> 00:22:27,238
How's our dream walker guy doing?.
416
00:22:27,400 --> 00:22:31,154
Runner. Dream runner.
He's stable, waiting for ortho.
417
00:22:31,320 --> 00:22:32,673
Good.
418
00:22:32,840 --> 00:22:36,037
I should be on the El right now,
rushing to this interview thing...
419
00:22:36,200 --> 00:22:40,432
...but instead I'm here
obsessing over cheese or ranch.
420
00:22:40,600 --> 00:22:42,352
You know what else
I'm thinking about?.
421
00:22:42,520 --> 00:22:44,317
-Twinkies?.
-Sam.
422
00:22:44,840 --> 00:22:46,831
I think I always
sort of underestimated her.
423
00:22:47,000 --> 00:22:48,433
I feel bad about that.
424
00:22:48,600 --> 00:22:50,670
You know,
you two should never have broken up.
425
00:22:50,840 --> 00:22:54,071
It's sort of complicated and I think
it's best if I lay low right now.
426
00:22:54,240 --> 00:22:57,949
Well, inaction is in and of itself action.
427
00:22:58,320 --> 00:23:00,595
-What?.
-Don't listen to me.
428
00:23:00,760 --> 00:23:02,751
I'm post-call and you know how I get.
429
00:23:02,920 --> 00:23:04,911
[CELL PHONE RlNGlNG]
430
00:23:06,960 --> 00:23:08,109
Daria.
431
00:23:16,440 --> 00:23:17,919
[GRUNTS THEN SlGHS]
432
00:23:20,640 --> 00:23:21,868
BRENNER:
Hey, stranger.
433
00:23:22,040 --> 00:23:24,554
-Hey, when did you get back?.
-Last night.
434
00:23:24,720 --> 00:23:26,676
Sorry, l, uh, haven't eaten
in, like, 24 hours.
435
00:23:26,840 --> 00:23:28,637
Do you wanna go
and get a proper lunch?.
436
00:23:28,800 --> 00:23:32,236
Uh, no, I can't. I've got a bunch
of attending interviews.
437
00:23:32,400 --> 00:23:33,879
-Cool.
-ls it?.
438
00:23:34,040 --> 00:23:35,678
I'm not so sure.
439
00:23:35,840 --> 00:23:37,956
I'm supposed to know things,
have goals, and--
440
00:23:38,120 --> 00:23:42,318
How can I have gotten this far in my life,
have no idea what I want from my life?.
441
00:23:43,880 --> 00:23:45,950
Sorry. I'm rambling.
442
00:23:46,120 --> 00:23:48,270
And self-absorbed.
How was your trip?.
443
00:23:48,440 --> 00:23:52,228
Don't have to know where you're going,
you just gotta keep moving forward.
444
00:23:52,400 --> 00:23:54,550
That is the key to happiness, really.
445
00:23:54,720 --> 00:23:57,234
Well, you've got it all figured out,
don't you?.
446
00:23:57,400 --> 00:23:59,038
See you later, Simon.
447
00:23:59,200 --> 00:24:01,953
[BUSKER SlNGlNG ""MAD WORLD""]
448
00:24:24,400 --> 00:24:26,675
-Hello, I'm--
-Neela Rasgotra.
449
00:24:28,160 --> 00:24:30,799
I'm so glad you're here.
450
00:24:37,840 --> 00:24:40,479
I thought you were in London
all this time.
451
00:24:40,640 --> 00:24:42,551
It was great for a while...
452
00:24:42,720 --> 00:24:44,631
...but I'd been gone too long...
453
00:24:44,800 --> 00:24:47,268
...and England just didn't
feel like my home anymore.
454
00:24:47,440 --> 00:24:49,237
Believe me, I know what you mean.
455
00:24:49,400 --> 00:24:51,197
And then I got the call from Duke.
456
00:24:51,360 --> 00:24:54,477
-How's Ella doing?.
-Amazing.
457
00:24:54,640 --> 00:24:56,517
Eight, if you can believe it.
458
00:24:57,400 --> 00:24:58,958
Oh, wow.
459
00:24:59,120 --> 00:25:01,554
-She's beautiful.
-Ha, ha.
460
00:25:01,720 --> 00:25:04,280
Durham's a great place to raise a kid.
461
00:25:04,440 --> 00:25:07,113
I thought I was gonna miss the city,
but I don't.
462
00:25:08,200 --> 00:25:13,149
So, uh, when I left County
you were still doing emergency medicine.
463
00:25:13,320 --> 00:25:14,992
Yeah, well, I saw the light.
464
00:25:15,160 --> 00:25:18,755
Are you looking mainly at academic
positions or community hospitals?.
465
00:25:18,920 --> 00:25:21,593
-Uh, l-- I don't know. Uh, both, I guess.
-Mm-hm.
466
00:25:22,120 --> 00:25:24,315
And are you hoping
to focus on trauma surgery...
467
00:25:24,480 --> 00:25:26,755
...or are you open to elective
cases as well?.
468
00:25:26,920 --> 00:25:28,672
I'm open.
469
00:25:29,840 --> 00:25:31,876
And, uh, do you have
any research areas?.
470
00:25:32,040 --> 00:25:34,508
I haven't really
figured any of that out yet.
471
00:25:36,000 --> 00:25:38,753
Not really the sort of thing
one says at a job interview.
472
00:25:38,920 --> 00:25:42,117
No, but I appreciate the honesty.
473
00:25:44,160 --> 00:25:46,196
So is Lucien helping you?.
474
00:25:47,280 --> 00:25:48,633
Helping me with what?.
475
00:25:49,080 --> 00:25:50,069
Figure things out.
476
00:25:50,240 --> 00:25:51,309
[PAGER BEEPlNG]
477
00:25:51,480 --> 00:25:54,153
Uh, sort of. Not really.
478
00:25:54,320 --> 00:25:56,276
I don't think County's
really in my future.
479
00:25:59,280 --> 00:26:01,555
County's an amazing place.
480
00:26:01,720 --> 00:26:03,597
What I learned there....
481
00:26:07,440 --> 00:26:11,353
It was a very intense period
in my life.
482
00:26:11,520 --> 00:26:16,150
But it made me the doctor that I am
now, the person that I am now.
483
00:26:16,320 --> 00:26:18,675
Did you ever consider coming back?.
484
00:26:21,000 --> 00:26:23,230
Yes, briefly.
485
00:26:24,240 --> 00:26:26,151
There is something to be said
for getting away...
486
00:26:26,320 --> 00:26:28,515
-...from the place where you trained.
-Oh?.
487
00:26:28,680 --> 00:26:30,398
They've known you
since you were a student.
488
00:26:30,560 --> 00:26:33,677
And at some level, the faculty
will always see you as little Neela.
489
00:26:33,840 --> 00:26:35,910
You go somewhere new,
you'll be taken seriously...
490
00:26:36,080 --> 00:26:37,832
...in a way
that will not happen if you stay.
491
00:26:38,000 --> 00:26:39,558
[PAGER BEEPlNG]
492
00:26:40,040 --> 00:26:43,476
You know, you really should turn that off
during interviews.
493
00:26:43,640 --> 00:26:47,315
-Oh. I've gotta get back to the hospital.
-You don't have someone covering?.
494
00:26:47,480 --> 00:26:48,469
I'm so sorry.
495
00:26:48,640 --> 00:26:51,473
-Let's just finish up, we're almost done.
-Thank you so much.
496
00:26:51,640 --> 00:26:54,837
Maybe you should come by
and visit County sometime.
497
00:26:55,840 --> 00:26:58,354
Yeah. Maybe sometime I will.
498
00:27:01,200 --> 00:27:02,679
[DOOR CLOSES]
499
00:27:05,440 --> 00:27:07,908
Sam, there's a bunch of stuff
I need to say to you.
500
00:27:08,080 --> 00:27:09,559
Me too.
501
00:27:09,720 --> 00:27:11,278
GATES: I miss how--
-These are yours.
502
00:27:11,440 --> 00:27:15,115
Gates, Morris is intubating
your sleepwalker guy.
503
00:27:15,600 --> 00:27:17,113
[GATES SlGHS]
504
00:27:19,280 --> 00:27:20,508
-What happened?.
MORRlS: Suction.
505
00:27:20,680 --> 00:27:22,910
-Crit dropped, he got altered.
-I'm in, bag him.
506
00:27:23,080 --> 00:27:24,877
Call angio,
tell them we're on the way.
507
00:27:25,040 --> 00:27:26,359
-Angio?.
-Angio?.
508
00:27:26,520 --> 00:27:28,795
Crit drop, pelvic fracture,
he needs angio.
509
00:27:28,960 --> 00:27:30,791
-What's angio?.
-Run of v-tach.
510
00:27:30,960 --> 00:27:33,349
Three hundred amiodarone,
two units on rapid infuser.
511
00:27:33,520 --> 00:27:35,795
-Somebody please explain?.
GATES: Bleeding internally.
512
00:27:35,960 --> 00:27:39,589
-We have to find out where fast.
-Can I talk to you outside for a minute?.
513
00:27:39,760 --> 00:27:41,955
All right, pack him up.
Let's get ready to move.
514
00:27:42,160 --> 00:27:44,355
[CELL PHONE RlNGlNG
""MAD WORLD""]
515
00:27:45,880 --> 00:27:47,552
Hey, Ray.
I'll call you back later, okay?.
516
00:27:47,720 --> 00:27:49,472
[WOMAN GRUNTS]
517
00:27:51,400 --> 00:27:53,152
We can't wait any longer.
518
00:27:53,320 --> 00:27:54,912
Please. I want Neela here.
519
00:27:55,080 --> 00:27:56,513
-Sat's 87.
DUBENKO: I'm sorry, honey.
520
00:27:56,680 --> 00:27:57,795
We have to do this now.
521
00:27:57,960 --> 00:28:00,554
Ana, honey, you can do this.
You've been through worse.
522
00:28:00,720 --> 00:28:03,518
Oh. Mommy, the music.
523
00:28:04,800 --> 00:28:06,677
[""SUlTE FOR SOLO CELLO NO. 1 lN G""
PLAYlNG]
524
00:28:06,840 --> 00:28:08,034
I love you, sweetie.
525
00:28:08,480 --> 00:28:10,471
Push the etomidate.
526
00:28:20,080 --> 00:28:22,958
He's bleeding from the belly,
not the pelvis. He needs a CT.
527
00:28:23,120 --> 00:28:24,792
The angio's negative, he'll get one.
528
00:28:24,960 --> 00:28:27,758
He's about to code.
There's not enough time for two studies.
529
00:28:27,920 --> 00:28:30,798
We gotta make the right decision
now, the clock is ticking.
530
00:28:30,960 --> 00:28:33,394
Neela, dropping crit
status post abdominal trauma...
531
00:28:33,560 --> 00:28:36,358
...and a non-displaced pelvic fracture.
CT or angiogram?.
532
00:28:36,520 --> 00:28:38,795
This our dream runner guy?.
I'd get a CT.
533
00:28:40,920 --> 00:28:42,035
[ELEVATOR DlNGS]
534
00:28:42,200 --> 00:28:43,838
All right, take him to the scanner.
535
00:28:51,880 --> 00:28:53,677
SHlRLEY: Epi's in.
NEELA: What happened?.
536
00:28:53,840 --> 00:28:56,752
Acute chest, sepsis,
she started third-spacing everywhere.
537
00:28:56,920 --> 00:28:59,150
Still PEA. Code team page.
538
00:28:59,320 --> 00:29:02,949
Ana, honey, please. I know you hear me.
Don't do this, okay?.
539
00:29:03,120 --> 00:29:04,872
NEELA: This is my fault.
-lnfection's fault.
540
00:29:05,040 --> 00:29:07,429
You wanted to take her to O.R.
I knew this was wrong.
541
00:29:07,600 --> 00:29:11,718
Could've been screwed either way. Made
a choice. Can't control what happens.
542
00:29:11,880 --> 00:29:15,953
I'll be there. Full arrest in the scanner.
Some guy jumped through a window.
543
00:29:16,120 --> 00:29:17,712
Ana, stay with us, okay?. Please.
544
00:29:17,880 --> 00:29:20,110
Get me the transcutaneous pacer.
545
00:29:23,400 --> 00:29:25,072
Hold compressions.
546
00:29:25,800 --> 00:29:27,836
[EKG FLATLlNlNG]
547
00:29:30,480 --> 00:29:32,232
This is over.
548
00:29:32,720 --> 00:29:34,597
[MOTHER SOBBlNG]
549
00:29:45,760 --> 00:29:48,718
NEELA: For some patients,
there is no road to recovery.
550
00:29:48,880 --> 00:29:51,758
Nothing we do as doctors
will alter the outcome.
551
00:29:51,920 --> 00:29:53,956
At least that's what we tell ourselves.
552
00:29:54,120 --> 00:29:55,599
[CELL PHONE RlNGlNG
"" MAD WORLD"" ]
553
00:30:08,080 --> 00:30:10,548
Ray. It's 5 a. m.
554
00:30:10,720 --> 00:30:14,759
-B-L-U-E. One, two, three.
DUBENKO: Hey, at this point...
555
00:30:14,920 --> 00:30:17,559
...removing the source of infection
is our best option.
556
00:30:17,720 --> 00:30:19,836
You mean taking out my gall bladder,
right?.
557
00:30:20,000 --> 00:30:21,956
Let's finally get you better, okay?.
558
00:30:22,120 --> 00:30:24,236
Hurry up,
I'm getting sick of you people.
559
00:30:24,840 --> 00:30:26,637
I'm gonna go call your mom.
560
00:30:28,440 --> 00:30:31,034
Hang in there Ana,
I'll check on you in a little while.
561
00:30:31,200 --> 00:30:32,872
Don't you want to hear your fortune?.
562
00:30:33,040 --> 00:30:35,156
I'll be back soon, I promise.
563
00:30:35,680 --> 00:30:38,990
NEELA: When their way doesn 't work
and your way doesn 't work...
564
00:30:39,160 --> 00:30:43,119
... you 've got to accept defeat
or find another way.
565
00:30:44,280 --> 00:30:45,838
What about percutaneous drainage?.
566
00:30:46,000 --> 00:30:48,560
Maybe the pus reaccumulated
or she developed an abscess.
567
00:30:48,720 --> 00:30:50,711
-Not likely.
-Less anesthesia, lower risk...
568
00:30:50,880 --> 00:30:53,553
... might still allow us
to remove the nidus of infection.
569
00:30:53,720 --> 00:30:55,199
Okay, then what?.
570
00:30:55,360 --> 00:30:59,353
-Switch to synercid, watch in the PlCU--
-Set it up. I'll meet you in PlCU in 1 O.
571
00:30:59,520 --> 00:31:03,069
You're almost an attending,
I need to start listening to you.
572
00:31:09,360 --> 00:31:12,158
[MUSlC PLAYlNG
OVER HEADPHONES]
573
00:31:18,120 --> 00:31:19,917
[CELL PHONE RlNGlNG
""MAD WORLD""]
574
00:31:23,040 --> 00:31:24,996
NEELA:
Ray. Happy birthday.
575
00:31:25,160 --> 00:31:26,559
No, I didn't forget.
576
00:31:26,720 --> 00:31:30,156
Jeez, man. I've never heard of
someone being so psyched to turn 3O.
577
00:31:30,320 --> 00:31:32,390
I'll call you back later, okay?.
578
00:31:32,560 --> 00:31:35,950
Big-wave surfing, car chases,
dragon slaying.
579
00:31:36,120 --> 00:31:37,519
I've done it all.
580
00:31:37,680 --> 00:31:39,955
Dr. Dubenko says hurry,
he's in lR with your girl.
581
00:31:40,120 --> 00:31:43,317
I'm not getting a good look at the
spleen. Will you hand me a DPL kit?.
582
00:31:43,480 --> 00:31:45,596
Are you serious?.
We don't do DPLs anymore.
583
00:31:45,760 --> 00:31:48,399
It'll give us a fast answer
and spare him the radiation.
584
00:31:48,560 --> 00:31:52,519
-1 O-blade, betadine, and lido, come on.
-I'll give you a hand with that. Here.
585
00:31:52,680 --> 00:31:53,999
-Thanks.
GATES: Hey, listen, um....
586
00:31:54,160 --> 00:31:56,913
-Those Hawks tickets that we bought.
-Yeah, what about them?.
587
00:31:57,080 --> 00:32:01,153
Game's coming up, I was thinking I could
take Alex if you were cool with that.
588
00:32:01,320 --> 00:32:03,436
SAM: I don't know.
-Well, he loves hockey.
589
00:32:03,600 --> 00:32:06,876
And it could give us a little guy time
and give you the night off.
590
00:32:07,040 --> 00:32:08,678
I'll think about it.
591
00:32:10,520 --> 00:32:12,829
MORRlS: Fluid's pink.
-What's that mean?.
592
00:32:13,000 --> 00:32:16,595
You have internal bleeding and
you're gonna need an operation.
593
00:32:16,760 --> 00:32:19,877
-Wow.
-We're gonna be able to fix everything up.
594
00:32:20,040 --> 00:32:23,396
NEELA: Morris, let the O.R. know, okay?.
Dubenko's waiting for me.
595
00:32:24,600 --> 00:32:27,319
-NPO and check the crit q 30.
-What the hell was that?.
596
00:32:27,480 --> 00:32:29,277
-What was what?.
-Gates.
597
00:32:29,440 --> 00:32:31,431
Following Sam around
like a puppy in there.
598
00:32:31,600 --> 00:32:33,716
Guy does not know
how to play it cool.
599
00:32:33,880 --> 00:32:35,632
Uh, Dr. Morris...
600
00:32:35,800 --> 00:32:38,997
...uh, come with me, it's important.
601
00:32:39,160 --> 00:32:42,311
[""SUlTE FOR SOLO CELLO NO. 1 lN G""
PLAYlNG OVER SPEAKERS]
602
00:32:43,000 --> 00:32:45,355
NEELA:
Sorry, Ana, I got stuck in the ER.
603
00:32:45,520 --> 00:32:47,351
DUBENKO:
There, that's the liver. Good.
604
00:32:47,520 --> 00:32:49,078
Aspirating.
605
00:32:49,240 --> 00:32:50,832
SHlRLEY:
Sats up to 92.
606
00:32:54,840 --> 00:32:56,558
-Wow.
-What?.
607
00:32:56,720 --> 00:32:58,472
DUBENKO:
A lot of purulent material here.
608
00:32:59,080 --> 00:33:00,911
I don't want you
to be late for interviews.
609
00:33:01,080 --> 00:33:02,195
I can't leave in the middle.
610
00:33:02,360 --> 00:33:04,191
DUBENKO:
Be hours before we know anything.
611
00:33:04,360 --> 00:33:07,158
Go, mingle, all the top
trauma programs will be there.
612
00:33:07,320 --> 00:33:09,072
-Flush.
NEELA: If you say so.
613
00:33:09,240 --> 00:33:11,151
DUBENKO: And when you've
weighed all your options,
614
00:33:11,320 --> 00:33:13,311
-I hope you'll decide to stay.
-What?.
615
00:33:13,480 --> 00:33:15,277
DUBENKO:
Assistant professor, full benefits...
616
00:33:15,440 --> 00:33:16,953
...research and admin time.
617
00:33:17,480 --> 00:33:20,278
You'll get an official offer letter
in a few weeks.
618
00:33:20,440 --> 00:33:22,431
-Lucien.
DUBENKO: Whatever happens...
619
00:33:22,600 --> 00:33:24,955
...you've got a back-up plan here.
620
00:33:25,480 --> 00:33:29,189
-l-- I don't know what to say.
-Shut up and go.
621
00:33:42,320 --> 00:33:43,594
Wow. Where are you going?.
622
00:33:43,760 --> 00:33:45,591
NEELA: Job interviews. I'm late.
-Good luck.
623
00:33:45,760 --> 00:33:48,320
Hey, um, did our dream runner guy
make it to the O.R. yet?.
624
00:33:48,480 --> 00:33:49,993
-He's next.
-Do me a favor.
625
00:33:50,160 --> 00:33:52,720
Repeat the ultrasound,
stay ahead of the blood loss.
626
00:33:52,880 --> 00:33:54,598
-Yeah.
-Okay.
627
00:33:55,040 --> 00:33:56,553
MAN:
Whoa.
628
00:33:59,480 --> 00:34:01,436
-Hello, Neela.
-You're back.
629
00:34:03,480 --> 00:34:05,630
I'm, uh, so sorry.
630
00:34:05,800 --> 00:34:08,837
I'm late for these interviews
and I have to get the train.
631
00:34:09,000 --> 00:34:12,879
-I can't believe this.
-I had the guy replace all the chrome.
632
00:34:13,040 --> 00:34:14,359
Install Mikuni carburetors.
633
00:34:14,520 --> 00:34:16,112
Do you mind if we borrow your bike?.
634
00:34:21,440 --> 00:34:25,353
Well, you know, surfing, barbecues,
all the usual January stuff.
635
00:34:25,520 --> 00:34:26,555
Bastard.
636
00:34:26,720 --> 00:34:29,757
Still, I missed this dark,
cold, miserable place.
637
00:34:29,920 --> 00:34:31,148
Every day.
638
00:34:31,320 --> 00:34:34,073
Really?.
And what exactly did you miss?.
639
00:34:34,240 --> 00:34:35,798
I don't know.
640
00:34:36,320 --> 00:34:40,154
It wasn't the weather
or, uh, my apartment.
641
00:34:40,320 --> 00:34:42,993
It wasn't even the job, really.
Although...
642
00:34:43,160 --> 00:34:45,355
...there's this certain surgeon--
643
00:34:46,000 --> 00:34:47,353
Am l, uh-- Am I boring you?.
644
00:34:48,880 --> 00:34:50,438
I....
645
00:34:50,600 --> 00:34:53,034
I couldn't seem
to get her out of my head.
646
00:34:59,160 --> 00:35:01,310
You, doctor...
647
00:35:02,640 --> 00:35:04,596
...need to go.
648
00:35:05,520 --> 00:35:07,112
I do?.
649
00:35:07,680 --> 00:35:09,432
Oh, I do.
650
00:35:09,880 --> 00:35:12,155
You are gonna kick ass in there,
Neela, I know it.
651
00:35:12,320 --> 00:35:14,629
Simon. I missed you too.
652
00:35:16,280 --> 00:35:18,032
A little.
653
00:35:25,480 --> 00:35:28,916
O.R.'s gonna be another hour at least.
You just did that 1 O minutes ago.
654
00:35:29,080 --> 00:35:31,150
I know, but I promised Neela
I'd check again.
655
00:35:31,720 --> 00:35:33,119
Yeah, I don't feel so good.
656
00:35:33,280 --> 00:35:35,669
He looks pale.
Don't you think he looks pale?.
657
00:35:35,840 --> 00:35:38,229
All right.
Hang two units on the rapid infuser...
658
00:35:38,400 --> 00:35:40,356
...and please call the O.R. again.
659
00:35:40,520 --> 00:35:42,351
What?. What is it?.
660
00:35:43,320 --> 00:35:45,436
The next thing,
you need to come visit Durham.
661
00:35:45,600 --> 00:35:47,397
Can you really see me
living down south?.
662
00:35:47,560 --> 00:35:51,075
It's a lovely city, it's much more cultured
than you think.
663
00:35:51,240 --> 00:35:53,435
NEELA: Simon?.
-How'd it go?.
664
00:35:53,600 --> 00:35:55,955
Uh, very well, I'd say.
665
00:35:56,120 --> 00:35:59,157
Uh, Simon, this is Elizabeth Corday,
Chief of Trauma Surgery at Duke.
666
00:35:59,320 --> 00:36:01,197
And Simon is an ER attending
at County.
667
00:36:01,360 --> 00:36:03,078
Nice to meet you.
668
00:36:03,560 --> 00:36:05,835
Give me a call
when you've thought about things...
669
00:36:06,000 --> 00:36:08,070
...and we'll talk details.
670
00:36:08,240 --> 00:36:10,390
Take her out for some champagne.
671
00:36:12,720 --> 00:36:15,154
Well, that sounds like you killed it.
672
00:36:16,640 --> 00:36:18,232
You spend all these years...
673
00:36:18,400 --> 00:36:21,517
...scrambling for the privilege
of becoming a doctor.
674
00:36:22,320 --> 00:36:25,949
-lt feels crazy to be, you know, wanted.
-Well, get used to it.
675
00:36:30,800 --> 00:36:32,199
What's this?.
676
00:36:49,240 --> 00:36:51,310
-Second unit's up.
BANFlELD: I'm in, call for a vent.
677
00:36:51,480 --> 00:36:54,040
Introducer. Forty-five
minutes till they give us an O.R.
678
00:36:54,200 --> 00:36:56,031
-That's too long.
-We'll never keep up.
679
00:36:56,200 --> 00:36:58,919
What choice do we have?.
Get a second infuser, hang an lJ.
680
00:36:59,080 --> 00:37:00,354
No, I've got the subclavian.
681
00:37:00,520 --> 00:37:02,875
Dump in blood
and the FFP until the room is ready.
682
00:37:03,040 --> 00:37:04,632
Nick, hang on, okay?. I need you.
683
00:37:04,800 --> 00:37:06,631
Oliver needs you.
684
00:37:07,240 --> 00:37:08,355
BANFlELD: V-tach.
-No pulse.
685
00:37:08,520 --> 00:37:09,999
-You're charged.
SAM: Mig of epi.
686
00:37:10,160 --> 00:37:13,232
-All right.
MORRlS: Clear!
687
00:37:16,120 --> 00:37:17,997
-Units 1 1 and 1 2 are up.
-Clear.
688
00:37:19,080 --> 00:37:20,593
MORRlS:
No change. Resume compressions.
689
00:37:20,760 --> 00:37:23,035
-Please, baby. Don't do this.
GATES: Again.
690
00:37:29,520 --> 00:37:30,748
Okay, enough.
691
00:37:31,400 --> 00:37:33,960
Sterile sevens and a thoracotomy tray.
692
00:37:34,720 --> 00:37:37,154
I cannot bear another one of these
right now.
693
00:37:37,640 --> 00:37:39,198
Another what?. What are you doing?.
694
00:37:39,360 --> 00:37:42,352
A room shortage
is a stupid reason to die.
695
00:37:42,680 --> 00:37:45,319
I'll clamp the aorta
and fix this myself if I have to.
696
00:37:47,920 --> 00:37:49,512
Well, all right.
697
00:37:54,720 --> 00:37:56,358
Where are you going?.
698
00:37:56,520 --> 00:38:01,116
I have to go to the hospital
and check on a patient.
699
00:38:02,520 --> 00:38:05,034
You are kidding.
Have one of the interns do it.
700
00:38:05,200 --> 00:38:08,112
Just stay here, I'll be back in an hour.
701
00:38:08,280 --> 00:38:10,077
And don't say it.
702
00:38:10,240 --> 00:38:11,593
Say what?.
703
00:38:11,760 --> 00:38:13,557
You know what.
704
00:38:15,440 --> 00:38:17,396
I told you so.
705
00:38:21,400 --> 00:38:23,470
-Ah, it keeps slipping.
-Try a bigger clamp.
706
00:38:23,640 --> 00:38:25,358
GATES:
Heart's barely filling.
707
00:38:26,360 --> 00:38:27,998
[BANFlELD GRUNTS]
708
00:38:31,400 --> 00:38:34,153
[CELL PHONE RlNGlNG
""MAD WORLD""]
709
00:38:35,840 --> 00:38:37,239
[CELL PHONE BEEPS]
710
00:38:41,480 --> 00:38:45,029
I got it. All right, run in another liter
and shock him again.
711
00:38:45,200 --> 00:38:46,713
All right.
712
00:38:51,800 --> 00:38:53,552
[DEFlBRlLLATOR CHARGlNG]
713
00:38:53,720 --> 00:38:56,996
-Clear.
-Sounds like you could use a surgeon.
714
00:38:57,160 --> 00:38:59,310
-Back in sinus.
-Hallelujah.
715
00:38:59,480 --> 00:39:00,708
Thank you.
716
00:39:02,680 --> 00:39:05,956
After I ran into you, I came back
and checked. He was bleeding out.
717
00:39:06,120 --> 00:39:09,237
-Could have gone the other way.
-Now, this isn't a done deal.
718
00:39:09,400 --> 00:39:12,358
Okay, well, let's get him upstairs
while he's still got a pulse.
719
00:39:14,920 --> 00:39:16,558
[BANFlELD GRUNTS]
720
00:39:18,920 --> 00:39:20,239
[SlGHS]
721
00:39:20,400 --> 00:39:21,515
Hey, Tony.
722
00:39:24,320 --> 00:39:27,039
I'm sure Alex would love to go
to that Hawks game with you.
723
00:39:27,200 --> 00:39:28,349
Thank you.
724
00:39:28,520 --> 00:39:29,669
Anytime.
725
00:39:37,760 --> 00:39:39,159
Get some sleep, Ana.
726
00:39:39,320 --> 00:39:41,470
No more 2 a.m. Guitar Hero
with the clerks.
727
00:39:42,520 --> 00:39:43,839
I'll see you in the morning.
728
00:39:44,000 --> 00:39:46,230
Don't you want to hear your fortune?.
729
00:39:46,440 --> 00:39:47,759
MOTHER:
It can wait, honey.
730
00:39:47,920 --> 00:39:51,276
-She's been awake for two days.
-Yeah, go home already.
731
00:39:52,720 --> 00:39:55,234
""Your actions are the seeds of fate. ""
732
00:39:56,240 --> 00:40:00,552
Not exactly a fortune,
more of a theory, really, but I'll take it.
733
00:40:00,720 --> 00:40:03,871
Hey, you never did my fortune.
734
00:40:04,560 --> 00:40:06,676
Pick a color and a number
between one and 1 0.
735
00:40:06,840 --> 00:40:09,593
-Goodnight, guys.
-Okay. Rounds are at 7.
736
00:40:09,760 --> 00:40:13,070
Okay. Green and six.
737
00:40:13,240 --> 00:40:18,712
G-R-E-E-N.
One, two, three, four, five, six.
738
00:40:27,120 --> 00:40:30,032
[CELL PHONE RlNGlNG
""MAD WORLD""]
58758
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