Original subtitles

Yeah, he's right there. I called him.

What happened? Is he okay?

I think he might have slipped.

Naw, it looked to me like he fainted.

Okay. Uh, every...

Just get back, everybody, get back.

We got a doctor here. Give him some room.

Hospital's around the corner.

Some guy ran for help.

My head hurts.

This pavement's hard.

All right. I'll help ya. I'll help.

You shouldn't move his neck, should you?

Oh, God. Are you okay?

I just told you. My head hurts.

Okay, don't worry. You're gonna be fine.

We're all gonna help you.

You want us to do something?

We've got to... HATHAWAY: Coming through.

Excuse us. Let us in here.

Hey, sir, are you okay?

Yeah. Can you help me up?

We're gonna check you over first.

What's your name? Barry Mahoney.

He fell down. Thank you.

And he's bleeding a little bit.

Great. Thanks. We'll take it from here.

Carol, we need to stabilize his neck.

I'll get a C-collar and a gurney.

So Jen's gone for a month?

She has to take a couple hundred depositions in St. Louis,

so she figured it'd be easier just to stay down there.

My head still hurts.

It's just a small scalp laceration, Mr. Mahoney.

Nothing to worry about.

And she's letting Rachel stay with you the whole time?

Rachel didn't want to miss soccer camp, so she's staying.

Let's get a saline line going. TKO, CBC and a Chem-20.

Want a portable C-spine?

Yeah. Thanks. And a 12-lead EKG.

Can we help you?

Just wanted to make sure he was okay.

Family needs to wait out in Chairs.

No, I'm not family.

I was passing by and tried to help.

Didn't do much.

Just put her coat under my head.

I'm sure Mr. Mahoney is very grateful,

but passersby need to wait out in Chairs too.

Accu-Chek, 124. HemoCue, 13.8.

No, actually, I'm supposed to be right here.

I'm a third-year med student.

I'm starting my ER rotation today.

Is that today?

So this lab coat must be yours. Yes.

So, what should I do?

What's your name? Lucy Knight.

Well, Miss Knight, welcome to County General.

You need to check in, so wait out in Chairs.

You don't want me to do anything?

Carol?

Left down the hall and then a right.

Should I at least observe?

Left down the hall and then a right.

Hey, Luce.

Did you just get here?

Bernard, what are you doing?

What happened?

Oh, some fire twirler burned his butt

and the whole troupe's waiting for him. What is this?

You look like some geek pacing around.

I am a geek pacing around.

Taking Dr. Weaver's audio tour of the ER.

Who's Dr. Weaver?

Kind of short, red hair, uses a crutch.

So they just have you sitting here?

I don't know what to do.

No one's told me anything.

I gotta get back to my tour.

Oh, Bernard, what are you doing later?

I have to practice drawing blood.

They're not gonna make you do procedures the first...

All right. I'll find you.

Come on, outta the way!

Trauma One's clear.

What do we got, Peter?

Multiple GSWs. Head, face and chest.

GCS 7, BP 60 palp, two large-bore IVs,

normal saline, a liter and a half in the field.

Prep a Thora-Seal and set up...

Lucy Knight? Yeah, yeah.

Jerry Markovic, unit service coordinator.

Listen, Dr. Greene's going to show you around

when he finishes with a patient.

So throw your stuff in the lounge

and come on back to the desk.

Oh, I'm sorry.

Did I interrupt something?

We thought you were Jerry.

The unit service coordinator. I just met him.

You gotta love that.

You must be a new med student.

Yeah?

Jerry's the desk clerk.

He pulls that unit thing on newcomers.

It's his birthday.

Don't tell him about the cake.

Of course not.

Chuny Marquez.

Lily Jarvik. Yosh Takata.

Lucy Knight. Uh, should I use a lock...?

Excuse me. I'm looking for Jerry.

Oh, he went down to the roach coach

to get his breakfast burrito.

That's why my dad says he's...

What did you do?

Not much, actually.

I was hoping Jerry knew

if there were any extra lab coats around.

Oh, they keep them under the desk.

Great. So your dad works here?

Yeah. He's one of the bosses.

Well, he used to be the only boss

until Dr. Weaver butted in.

Here they are. Thanks.

What's your name?

Rachel. I'm Lucy.

Hello again. Mark Greene. Oh, hi.

Lucy... Knight. I remember.

Rachel, what are you still doing here?

I'm watching the desk for Jerry.

Only for a moment.

Mrs. Williams doesn't pick me up until 8:30.

Yeah? Well, it's 8:35.

Good luck on your game.

I'll pick you up at the Williams' before dinner.

Okay. Bye. Bye. Bye.

Bye, Jerry. Happy birthday.

Thanks, Rach.

Settling in? Actually, I haven't...

Jerry, will you call Radiology and tell them

to hurry up on those films for that clavicle in two?

I was waiting in Chairs.

That leg lac in Four needs sutures.

Doyle or Carter.

Yosh Takata, Lucy Knight.

Hi. We met.

Sitting in Chairs, huh? We better get you going.

Start off with charts, then the board, quickie tour.

Then we'll see if you're ready for some patients.

Aren't I supposed to be assigned to a resident?

Later. First grab a chart and pick up your patient.

No jumping over for a more interesting case.

Then put your initials here, patient's name, chief complaint,

and what labs or films you've ordered.

Why don't you try one?

Patient's name is Clements

and chief complaint is "mult lac"?

Multiple lacerations, right?

Waiting on a head CT and suturing.

Doctor is M.D.,

which doesn't actually stand for "doctor,"

that means Maggie Doyle.

Don't worry. You'll catch on.

So you thinking about emergency medicine

for your residency?

I'm not sure. This is my first rotation.

Curtain Area One, Curtain Area Two.

Exam Room One, this is Exam Room Two.

Oh, and this is Dr. Carter. What?

Carter's one of our finest second-year residents,

even though he does appear to be sleeping on the job.

Lucy Knight, third-year med student.

Hi. Hi. Sorry, Dr. Greene.

I haven't been getting much sleep

since I took that R .A. job.

Life in the dorm, huh?

Better you than me.

Patients, Carter.

Place is lousy with 'em.

Right.

Hey, hey, hey, hey, hey, hey, hey.

This is Trauma One, which you've seen.

Who're we saving?

Nobody. He's arrested twice.

Another soldier to the drug war.

Tucked away in his pants.

I'd like you to meet Lucy Knight, third-year.

Doctors Benton and Weaver.

Nurses Lydia Wright and Malik McGrath.

Two units O-neg on the infuser.

You know Mr. Gamely?

Bernard? Uh, yeah, I just saw him.

As soon as he's done with the tour, I'll find ya.

I think you'll find it very useful.

BP's 40 palp.

He's flatline.

Thoracotomy tray. Malik, let's move.

Another five of epi.

Need another test tube.

Trauma Two, blissfully quiet, which is the way we like it.

This is the Suture Room where Dr. Doyle is suturing.

Lucy Knight, third-year.

Hey. Hi, nice to meet you.

Who's Sleeping Beauty?

Uh, Mr. Clements passed out.

He got way too drunk and walked through

a plate-glass window. You idiot.

Dr. Doyle likes to throw in a little attitude

when presenting a patient.

Is he going to be okay?

Oh, yeah. As long as he doesn't mind

some big, gnarly scars.

You have now reached...

Mr. Gamely, I presume? Yeah.

Drug lockup's in here. Lab is down the hall.

Radiology around the corner. Exam Room Four.

Sorry to barge in. Got a minute? - Hey.

Sure. Be right back.

Lucy Knight, third-year. Doug Ross, pediatrician.

Hi. How you doing?

All right, Miss Knight,

why is otitis media found primarily in children?

Because they have short eustachian tubes,

so the fluid doesn't drain properly and makes it

the perfect medium for bacterial infections.

Okay. Treatment?

Amoxicillin or Pediazole,

although current thinking holds that we may be over-treating

because many of the cases are viral,

so antibiotics aren't necessary and may contribute...

Okay. Pretty good. Textbook answer.

You want to see some real Pedes cases, you come see me.

Mark.

Elizabeth. Lucy Knight, third-year.

Dr. Corday, Surgical Resident in cowboy boots.

Aren't they fabulous?

Just back from an interview in Denver.

How do you do? Nice to meet you.

How was your trip?

The interview was fine, the mountains are lovely.

But the city's a bit flat, isn't it?

Now, don't let the Residents abuse you.

You're here to learn, not to be their indentured servant.

See you later, Mark. Thank you.

Mark, labs are back on that rule-out MI.

Thanks, Lily.

Okay, that's about the lay of the land,

so I'm gonna go check on a patient.

I'll find you later. What am I supposed to do?

Well, grab a chart, help someone out.

Just jump right in.

Any output?

Still no pulse.

How many units are in?

Four O-neg. Four type-specific.

Last epi?

Uh, five mgs, three minutes ago, total of eight.

How long has he been down?

Twenty-five minutes.

Let's call it.

All right. Time of death: 8:49.

Nice try, everybody.

I gotta get back upstairs.

Yeah. I'll handle the chart.

Hey, you want to wrap, or shall I?

I'll do it. See ya.

Is that it?

I gotta get the death kit.

Hang out. I'll show you how we do it.

Uh, excuse me?

Somebody?

Um, his phone's ring...

His phone's ringing.

Hello?

Um, no, I'm sorry.

He can't come to the phone right now.

Well, yeah.

I-I suppose I could take a message.

Remember where Radiology is.

Continue to your left, now, on down to the end of the hall

and proceed seven steps forward.

You have now reached the Admit desk,

the veritable heartbeat of every emergency room.

It's not mine.

Bernard, what is with this thing?

I'm never where she says I'm supposed to be.

Neither was I. You know what?

This morning when I saw you in Chairs,

I was supposed to be in the Suture Room.

Do you think we're starting at the wrong point?

I know I have. I wanted Medicine rotation.

This Dr. Doyle has latched on to me in a big way.

And we haven't even been assigned a Resident yet.

Hasn't stopped her

from turning me into a urine delivery service.

Can you remember where the lab is?

All I know is it wasn't where it was supposed to be.

Miss Knight. See ya.

Oh, Dr. Weaver.

Tour's very helpful, isn't it?

Yes, thank you.

Um, as Chief, will you be the one assigning us to Residents?

I'm Acting Chief. Oh.

Kerry.

Yeah. Doug, you were looking for me?

Yeah, I have to do an LP

on a 2-year-old boy in Exam Three.

Rule out meningitis?

Yes. And what are the symptoms?

Will you excuse us for a second?

Just a second.

Kerry, I'm not here to present the case.

I'm here to inform you about a procedure that needs to be done.

Now, the parents are out waiting if you'd like to join us.

Well, Don Anspaugh and Legal mandated the terms

of your situation, not me.

Mm-hm. Well, and those terms do not include me

having to justify a procedure.

Be right there.

You know, why don't you finish the tour, grab Dr. Carter,

see if he can pull you in on some patients.

Hey, can you hold this corner up for a second?

Sure. Thanks.

Getting things ready for my surprise birthday party.

This year's surprise: there is no party.

Then why do you have that cake in the lounge?

I didn't tell him.

I know. He sniffs that out every year.

Well, you hide it in the same place every year.

Patient's 8.

How long has he had the rash?

His mom said for about three weeks.

I'm having a hard time diagnosing it.

How's it going, Miss Knight?

Uh, fine.

Dr. Weaver suggested I work with Dr. Carter

on some of his patients.

Carter, you want to fill her in?

8-year-old with erythematous macules

and small papules on the trunk and back.

Okay. What's the distribution?

Kind of spread out, like a fan.

Does it resemble a Christmas tree?

Yeah. I guess you could say that.

Sounds like pityriasis rosea.

Classic Christmas tree pattern on the back.

I think she's right.

Using a computer.

Why don't you let, uh...

Dr. Ross take a look and then, uh, you and Miss Knight

can move on to the gentleman with hematuria.

Okay.

I'll meet you in Exam Four.

Sure.

Did I say the wrong thing?

In general, it's probably not a good idea

to show up the Residents.

So I should give the wrong answer?

Tricky, isn't it?

Welcome aboard.

When did you first notice

blood in your urine, Mr. Zwicki?

Oh, just a couple days ago.

This couldn't be related to exhaustion, could it?

I've been finishing up this renovation

on a two-story in Oak Park.

Working long hours?

Needed to bring it in before the penalty.

I don't think that's it. Any fever?

No. Back pain?

Well, just the usual from work.

How 'bout weight loss?

I always drop a little at the end of a job.

You skip a meal here and there. Mm-hm.

This going to be much longer?

I'm going to order some tests.

We'll know more then.

Conni, let's get a CBC, coag panel, UA, Chem-7.

You got it.

Peed in this cup for you.

Thank you.

We'll be back in a bit.

I'm sorry about coming up

with that rash diagnosis before you did.

No problem. Fair is fair.

I just hope this doesn't mean

I'm not gonna get to do anything.

I spent two years learning how take a history and physical.

I'm willing to help with patients.

Oh, hey, Carter. I am jammed.

Can you take Mrs. Lydell, a foot ulcer in Curtain Three?

Sure. Thanks.

She's all yours.

Do the H & P, make an assessment and a plan,

then come find me.

Mrs. Lydell?

Yes, I surely am.

I'm Lucy Knight.

Uh, would it be okay if I just check you over

and ask you a few questions?

Child, the good Lord has seen fit

to put me into your hands.

Now, I receive you just as he receives us both.

Order a cross table C-spine and portable chest.

Pelvis? Sure.

Dr. Carter. I'm a little busy.

Labs are back on Mr. Zwicki.

Pulse ox is 92, BP 90 palp.

Put 'em in his chart.

Let's get another large-bore IV going.

We may need a central line. I'll do it.

His crit doesn't look very good.

I'll check it as soon as I can.

Go ahead, Carter. I've got it.

No, really, it's okay.

Yep, we're covered here. Go, go, go, go.

Go.

Devon gloves, Betadine, and a sterile grey...

Hematocrit's 30?

So he's pretty anemic, right? Yep.

Urinalysis shows red blood cells too numerous to count,

but only two to three WBCs.

BUN and creatinine are normal.

Oh, with the gross hematuria and the anemia,

we definitely need to admit him for more tests.

Hey, can you give me the differential diagnosis

at this point? Without using a computer?

Um, with, uh, weight loss and painless hematuria,

cancer's high on the list.

Uh, kidney tumor, carcinoma of the bladder,

prostate cancer, renal tuberculosis...

Good job. LUCY: Thanks.

Oh, good. I was just coming to find you.

I gotta get going.

My poor wife, she's been in that waiting room

for the last two hours.

Mr. Zwicki, your lab results are back,

and they indicate that there may be a serious problem.

We'd like to admit you for a few days

to do a full diagnostic evaluation.

No, I can't do that.

I start a huge renovation tomorrow.

Townhouse on the gold coast.

Well, I'm sure it could wait a couple of days.

No, it can't.

Your condition could be very serious.

There is a possibility of cancer,

and I really think you should get it checked out.

Now, look, come on now.

A buddy of mine found a little blood in his piss,

and it turned out to be a urine infection.

So can't you just give me some antibiotics?

Can't really do that.

We should bring your wife up to speed.

If that's all right.

Yeah. Sure.

Okay. We'll be back. Uh-huh.

You have to let him go?

If he insists, but you have to know

what technique to use to get him to stay.

In this case, we use his wife.

What do you mean?

Give her the full picture,

the possibility of cancer,

the importance of early detection.

Ten minutes alone with him in the room,

she'll change his mind. Lydia?

Did Dr. Weaver do that central line yet?

Just about to.

I'm gonna go check with her, see if she needs any help.

I'm looking for Mrs. Zwicki.

Yes.

Mrs. Zwicki?

My name is Lucy Knight,

and, uh, I'd like to talk to you about your husband.

His condition could be very serious.

What do you mean?

Well, with the painless hematuria,

there's a chance of renal vein thrombosis,

polycystic kidney disease, glomerulonephritis,

and renal or ureteral calculi.

Wait. I don't understand this.

Well, your husband would like to leave AMA,

but we'd like to check him in and do some more tests.

Tests? Do an IVP,

get an abdominal CT, check his urine for AFBs,

maybe check a PSA and possibly do a cystoscopy.

I don't think this is a good idea.

It would just be a couple of days.

I think we're out this way.

What's going on?

The Zwickis have decided to leave.

Mrs. Zwicki, I, uh, need to tell you

about your husband's condition.

Look, she explained everything.

He's incredibly stubborn.

Now, look, I am not stubborn.

I feel fine, and I got a new job to start tomorrow.

You see, summer. That's when I get my work.

And I can't blow this job off.

Uh, Mr. Zwicki... I'll tell you what.

If this doesn't clear up, I'll make arrangements

to get with my regular doc, okay?

It will be okay. Come on, let's go.

You talked to her.

Yeah, I thought you said to go find her.

What did you say? I told her about the chances

of hypernephroma, prostatic...

In those words? Yes.

Is there a problem, Carter? - Mark?

Just a second, Carol.

Patient wanted to leave AMA.

Miss Knight mistakenly explained his condition

in medical rather than layman terms.

Why is a student explaining?

Where were you?

I was assisting Dr. Weaver.

I didn't tell her to do it. Yes, you did.

We've got a helicopter

landing with a blunt head trauma.

You told me to give her the full picture.

I didn't mean you.

Miss Knight, why don't you come with us.

27-year-old firefighter.

Fell 20 feet onto concrete with blunt head trauma

and loss of consciousness.

BP 150/90, pulse 60.

Apneic and intubated on scene.

Pupils four millimeters and sluggish.

I thought you said you intubated.

We lost the tube en route.

We didn't have a laryngoscope up in the air.

Why the private chopper?

It was already on the scene.

Help! Oh, no.

God, please, help me.

Please!

Please.

8.0 ET tube. Suction.

BP's 160/95, pulse 62.

Pulse ox 92.

Carol, stabilize the neck.

What do we got?

Emile Fernandez, 27-year-old firefighter

fell 20 feet onto concrete.

Blunt head trauma, loss of consciousness.

All right, I'll check his belly.

Locked out? Yes.

Miserable. Happened to me once.

Second line is in, 18-gauge, left forearm.

Okay. I'm in. Good bowel sounds.

Peritoneal lavage?

No. He's hemodynamically stable.

Let's get a head and abdominal CT.

All right. Pulse ox: 92, 95, 96.

Good breath sounds bilaterally.

No tracheal shift or jugular venus distention.

Thank you, doctors. Call us when the CT's back.

He needs a Foley and an NG Tube.

We thought maybe you decided to leave on that chopper.

Sorry. TAKATA: First hemoglobin, 14.2.

Why don't you come over here?

I need more tubes.

He was a firefighter? He is a firefighter.

Urine's clear. Dip's negative for blood.

Glasgow Coma Scale. How do you do it?

Check for eye-opening,

verbal activity, motor response.

CT's ready. No verbal with ET.

Anything in the field?

Nothing at all. All right. That will be a one.

What about eye-opening?

Um, spontaneous eye-opening is a five.

All right. Well, we definitely don't have that.

Emile, open your eyes.

Emile, open your eyes!

Now what?

Painful stimulus.

No eye-opening with pain.

That's a one.

How much for decorticate posturing? Two.

That would be four out of 15.

You get a three for being alive.

Pulse ox 98. ABG.

Absent corneal reflex.

What does that indicate?

No brain stem activity.

Ready for the C-spine.

Back up.

So, what are you thinking?

Subdural or epidural hematoma.

That'd be great.

Something we could actually fix.

What if there's no bleeding in the skull?

Diffuse brain swelling.

So we'd be looking at a chronic vegetative state,

or a potential organ donor.

Dr. Greene, Captain Matson.

The guys want to know. How's he doing?

Well, it's, uh... It's too early to say.

We'll know more when the CT comes back.

We screwed up, didn't we?

Bringing him in on that private chopper.

Airfield was right there. It was the fastest way.

But we lost his ET tube. We had no equipment.

If you waited for the Medevac,

it could have been another 15-20 minutes.

At least we would have had more supplies.

You didn't screw anything up.

You bagged him, kept the airway open.

Truth is, I probably would have done the same thing.

Any family?

Wife and two kids.

Thanks, doc.

You didn't tell them his condition.

Well, I don't really know what that is yet.

You're right. I didn't... I didn't tell 'em.

Why don't you stick with me on this case?

I'll call you when the CT comes back.

We should just have the cake at the Admit desk.

No surprise in that.

Could put it in an exam room, have him check on a patient.

Didn't we do that last year?

The last two years.

Kind of noisy, huh?

There's no place to work around here.

Nope. But, hey, at least you get a locker.

I didn't get one for the first two months I was here.

Yeah. I guess some Resident left the program or something.

Right. Dr. Del Amico.

She went back to Philadelphia to work in the pediatric ER.

We don't have one here?

Mm-mm. Might get one if Dr. Ross has his way.

Anyway, Anna... Dr. Del Amico.

Thought it was a better opportunity for her.

Her family's there.

That's where she's from.

There was this boyfriend that she was involved with.

Hm.

Anyway, you got a locker out of it.

I'm sorry about Mr. Zwicki.

I really thought you asked me to talk to his wife.

Sometimes the Suture Room is pretty quiet.

Baker, Shelly, chart number 13940.

Admitted January 12, 1998, with a fever of 102.

Respiratory distress.

It's been a crazy day. I've been swamped.

So Reese couldn't even get the hearing test?

No, he had an ear infection.

That's probably been the cause of all this stuff anyway.

That's good, anyway.

Yeah, so he's gonna be on Augmentin

for another week.

Then he'll take the test and clear this thing up.

Mm-hm.

What?

I, uh... I can't believe you're wearing those boots.

When in Rome.

So, uh... Whew, how was Rome?

Denver is not Rome. BENTON: Mm.

I went to a fantastic rodeo, though, but, um...

I didn't care for the hospital. It's... It's rather regimented.

Yeah, well, it is a surgical program.

Look, I want to stay in Chicago.

You know, Cromley may offer me a sponsorship.

Good.

I'm glad you're, uh, staying.

Well, trying to stay.

Hm, you are, are you?

Yeah.

I missed you.

That's very nice of you to say, Peter.

I missed you too.

It was a little...

Cold between the sheets. Uh-huh.

Elizabeth, what are you doing?

Stop being so shocked and come over here.

Has it been six months?

Seems like it, doesn't it? Mm.

Lucy, right?

Yeah.

And you are...? Malik.

Yeah, Carter was looking for you.

He's checking on that pregnant lady in Exam Two.

Thanks.

Exam Two.

Exam Two? Uh, no. Curtain Three.

Exam Two is back towards Admit.

Thanks.

Exam Two?

Just past Curtain Two. Take a left.

Exam... Curtain Two. Exam Two.

Oh, excuse me. I'm sorry.

Are you the doctor?

No. I'm Lucy Knight.

I'll be assisting the doctor.

Oh.

Who should be here any second.

Hi, Mrs. Draper, I'm Dr. Carter.

I understand you're about nine weeks pregnant.

This is my third pregnancy.

Mrs. Draper's had two previous miscarriages.

Mm. I see that you've been experiencing

some cramping and some bleeding.

Spotting. I had some spotting yesterday,

and it's heavier today.

And, I, uh, passed some clots.

BP's 110/75. Pulse 100.

And how many pads have you used?

Um, one yesterday and four today.

Have any fever? No.

Burning on urination? - No.

Good.

Let's get a CBC, type and RH.

Dip a urine, and check an ICON.

Are there any family members we can call for you?

I've already talked to my husband.

Okay.

Okay. We're gonna to do a few tests, ahem,

then I'm gonna come back and do a pelvic exam.

Then we'll know better where we stand. Okay?

Okay. We'll be right back.

Tell me when the ICON's back. Okay.

I should probably stay out while you do the pelvic, right?

Aren't gonna learn much if you do.

I just thought she seemed really distraught.

She is. But it doesn't have anything to do

with you being in the room.

Miss Knight?

CT's back on that firefighter

if you want to take a look.

Yeah, let me put my stuff down.

Okay, tell me what you see.

Any intracranial bleeding? I'll give you a hint.

Blood appears white on a CT scan.

I don't see any.

Right. No subdural or epidural hematoma.

Which means there's nothing they can do surgically.

That's not good, huh? It's not good at all.

Look at the ventricles. The brain is so swollen

that they're all squashed down.

All along the border of the white and gray matter,

tiny, punctate hemorrhages and axonal shearing.

Most of his brain's been destroyed.

So, what do you do now?

Give him steroids, hyperventilate him.

Have Neurosurgery put in an ICP monitor

- and wait for the wife. - Dr. Greene.

Not too good, is it? No.

Thanks for talking with us afterwards.

The captain and I get into it sometimes.

Your basic turf war? I hate to call it that, but...

You must have worked with paramedics in the field before.

Mostly just in here.

Want to think about doing it?

There's a position opening up.

District medical director for EMS.

And what exactly is that?

Oversee paramedic education, ride-alongs,

help determine new procedures, that kind of thing.

I've already got a job here. This is a side deal.

Only a few hours a week.

Can't be much pay.

It pays nothing.

And the perks?

There aren't any.

No salary, no perks. Sounds great.

See you.

Hell of a way to get a job offer.

And proceed seven steps forward.

You have now reached the Admit desk.

You already took the audio tour.

Yeah, I know. But Dr. Doyle doesn't know that.

Bernard, you owe me.

Okay. Okay.

How many times is he gonna take that thing?

Hey, Carter's about to do that pelvic.

We're gonna to take a look inside with the speculum.

I need you to relax.

There's tissue in the os.

Ring forceps.

Let's get that to Pathology.

I need to check your ovaries now.

You tell me, uh,

is there any pain here?

Hm?

No. Mm-hm.

How about here?

Uh, no.

Okay. No adnexal masses or tenderness.

You can put your legs back down, Mrs. Draper.

What is it? What's going on?

I am very sorry, but you have had a miscarriage.

You're sure?

Mm-hm.

The fetus was pushed out of the womb.

Your bleeding has slowed, but we need to observe you

for a little while.

I'm gonna come back,

and I'm gonna do another pelvic exam.

Make sure the bleeding has stopped

and that, uh, the cervix is closed.

A doctor from OB/GYN is gonna stop by.

Miss Knight, would you stay here until they do?

Of course.

Get some rest, Mrs. Draper.

Rest...

I thought this time it would be all right.

I never made it to nine weeks before.

I don't know why this is happening.

Why is this happening?

I don't know.

I'm sorry.

I don't know.

Bernard, what are you doing?

I have no idea.

Miss Knight. Yes. Hi.

I just thought we could... Just, uh, excuse me a minute.

Jerry, I thought you notified the morgue

for a pickup.

I did.

Sorry, Dr. Weaver. I'll call 'em again.

So I haven't had much of a chance

to work with you today. I trust everything's going well?

Yes. You know, pretty well for a first day.

In other words, been completely hateful, huh?

Kerry, I need to do a needle aspiration

on a 15-year-old with a PTA.

Can I get the mother's consent if you're available?

Yeah, Miss Knight was looking for a good case to observe.

More the merrier. Come on.

You see that? Now, that's a peritonsillar abscess.

Large pocket of pus collected around the tonsils.

Now, we have to get that fluid out of there.

We're gonna numb it first, and we're gonna use a needle

to draw out the infected fluid.

Now, an alternative is to open the pocket with a scalpel,

but that's more invasive.

The needle aspiration should do fine.

If you're sure? Mm-hm.

You've been a "hit the books" kind of medical student.

Is there any other kind?

Well, some are more diligent than, say, I was.

You're a Pediatric Emergency Fellow, right? Yep.

Which is different from an Attending.

One rung under the boss.

So that's why you need an Attending

to be a witness?

I mean, when you have parents sign a consent form,

one of the Attendings needs to witness that.

I recently performed a procedure on a 7-month-old baby

who was born addicted to heroin.

I detoxed him. I didn't get his mother's consent.

What happened?

Well, the powers that be were a little upset.

So I'm now a Pediatric Emergency Fellow on probation.

And the baby isn't addicted to drugs.

Sometimes it's a tradeoff.

Good luck.

Every guy in that gym thought I had a coronary.

They were all over me like white on rice.

Asking me if they could help, get me some water. Wow.

One guy even offered to take me to his own doctor.

That's very generous. Yeah.

Miss Knight, what do we have?

Roxanne Please, 25. She was at the gym...

I dropped a darn 15-pound weight on my little toe.

I really hope it's not broken.

Jerry, what's open?

Uh, Curtain Area One.

Or, uh, uh, maybe Exam One would be better.

Okay, we'll check it out and get an x-ray.

You know, there's a woman looking for you.

A Mrs. Fernandez? Firefighter's wife.

Oh, okay. We'll get you in the exam room...

You know, I can take care of that.

Okay, Jerry. It is your birthday, so...

Really? Mm-hm.

Happy birthday. Oh, thank you.

Mrs. Fernandez. Yes?

I'm Dr. Greene. This is Miss Knight.

Where's Emile? We came as soon as we could.

The whole family, we just piled in the car.

I-I think it'd probably be a good idea

if the family stayed here in the waiting room. Okay?

Mrs. Fernandez, your husband fell 20 feet

onto a concrete surface.

The paramedics were there, and they brought him right in.

There was no internal abdominal bleeding,

but the CT scan of his head

showed diffuse brain injury and swelling.

Well, what does that mean? How serious?

He can't breathe on his own.

He's on a ventilator.

He can't move any muscles.

He's not opening his eyes.

He's in a coma.

Well, does he need an operation?

Unfortunately, there isn't any that can help.

The prognosis is not good.

We're going to admit him to the ICU,

monitor the pressure in his brain,

and treat the swelling the best we can.

Is he brain-dead, Dr. Greene?

We're gonna have to wait and see.

If the tests show no brain activity

over the next few days,

you're gonna have to think about

continuing life support.

Lucy,

can you take Mrs. Fernandez to see her husband?

Can he hear anything?

Uh, it's possible.

Uh, it's no way to really know.

You can talk to him.

Do you have any idea what you cut your foot on?

No. I was diving the Wellsburt...

It's a shipwreck out in Lake Michigan.

When I felt this slice across my foot.

What's weird, though, at that depth,

the water filters out all the red,

so your blood looks green.

When was your last tetanus shot? I don't know.

My mom used to keep track of all that stuff.

Well, your laceration is superficial,

but it's gonna require a few stitches.

We'll give you a dose of antibiotics

before we do the sutures.

Miss Knight, do you think you can handle the IV?

Of course.

I'll be back.

You do know how to do this, right?

Yes.

Oh, uh, could I ask you something for a second?

Sure. Um.

It's just that this is my first IV and I...

You don't want to punish the patient.

Something like that. Okay.

Thank you.

You want to give it a try?

Oh, no. I'll just watch this time.

All right.

First you're gonna take the tourniquet

and you're gonna tie it into a slipknot,

like that.

Miss Knight.

Films came back on that woman who dropped the weight.

Small, non-displaced fracture of the proximal phalanx.

Fifth toe. Just do a buddy tape.

A buddy tape? Uh-huh.

Yeah. You tape the little toe to the one next to it. Okay?

Tell her she can expect some discomfort

for the next couple of weeks and to wear hard-soled shoes.

Okay.

When you look at the actuarial tables,

term is definitely the way to go.

Hm.

Miss Please.

Oh, please, call me Roxanne.

Been saying that my whole life, haven't I?

Well, good news. It's just a small hairline fracture.

How long will that take to heal? A couple of weeks.

Um, I need to tape you up,

and you should wear hard-soled shoes.

Roxanne sells insurance.

Really? Yup.

Life, disability, umbrella policies,

you name it.

You, uh, you have insurance?

Just medical through school.

Oh! Sorry.

You should start your coverage now.

Your age, premiums are incredibly low.

Roxanne says disability is more important than life.

Yeah. Statistically, you're much more likely

to be maimed or mutilated than killed.

Really? Who knew?

Roxanne's also staying for the party.

What party?

Jerry's surprise party.

He says they always have one.

Okay. There we go.

That should do it.

Scuba Man is on his way.

Only took a half a dozen sutures.

By the way,

nice job on that IV.

Good. No, seriously.

I kind of threw you in the deep end there.

I didn't think you'd be able to do it.

It's good to know.

You can swim. Thanks.

Can I see you? Sure.

Mrs. Fernandez is looking for either you or Dr. Greene.

Okay.

Mrs. Fernandez, can I help you?

I-I... I couldn't stay in with Emile.

I... I...

I can't see him that way. I can't talk to him.

I'm sorry.

You don't have to be sorry.

Look, I need to take my children home.

Tell Dr. Greene that I will come back tomorrow and...

And I... I guess we'll talk about what to do.

Okay. Okay, I'll tell him.

Jerry?

Jerry, get over here, please.

I mean, what...? What does it take, huh?

I'm sorry. How many times have I asked you

to get this body to the morgue?

I will call them again. No, you will not!

No! You will not call them again.

You will take this poor soul over there yourself.

Dr. Weaver, I'm not... Come on.

It's just a corpse. It's not like you've never seen

a dead body before.

Ha-ha!

♪ Happy birthday to you ♪

♪ Happy birthday to you ♪

♪ Happy birthday Dear Jerry ♪

♪ Happy birthday to you ♪

You got me, you got me.

Light the candles, so we can cut the cake.

Happy birthday, Jerry.

Uh, I gotta go pick up Rachel, get her some dinner.

Bring her over to our house. We're having a barbeque.

About an hour? Yeah.

Maimed or mutilated, huh?

Yeah, I know. It's not a pretty picture, huh?

No, no. Tell me more.

I can't believe this party. It was a horrible day.

Well, tomorrow's gonna be even worse.

I just found out I got assigned to Dr. Doyle.

When did you hear that?

Dr. Weaver told me. You're with Dr. Carter.

Oh, man. Naw, if I was you,

I'd consider yourself lucky.

He thinks I can swim.

Well, at least we survived day one.

Yeah, I was incredibly busy.

I basically did nothing and helped no one.

Well, at least you got to see some patients.

Dr. Doyle won't let me near a single one.

Yeah, I saw some patients.

Hey, you want a piece of cake?

We love you, Jerry!

Mr. Fernandez?

Emile?

My name is Lucy. I work here.

I met your wife.

I know how much she loves you.

And how much your kids love you.

And how they wish this hadn't happened to you.

How we all wish this hadn't happened to you.