Original subtitles

2024579.

It looks like it's stopped like two and a half blocks.

Should we hoof it?

I don't know.

Aren't you supposed to be setting policy?

I'm here for the ride-along.

I hate one-way streets.

This is nothing.

I once responded to a cell phone call

from the middle of a Metallica concert.

Try getting an anaphylactic headbanger

past 10,000 maniacs.

The guy dropped some acid. Started him "counting crows."

See, I have to live with this every day.

You got any pull with crew assignments?

Hey, but if you do can you get us assigned

to the med team at the Bears game?

I don't do the scheduling, guys.

Too bad. You were almost my new best friend.

Make way!

Hey! Paramedics coming through!

Hey, hey! Stand back! Stand back!

Give us some room. Give us some room.

Looks like a single... Whoa, whoa. Geez!

It's Cujo!

No, no, he's just protecting his owner.

Okay, you open the door. Sir, can you hear me?

Is he breathing?

His chest is moving.

Got any ideas?

You're asking me?

Unit 57 to OCD, over.

A little puppy valium?

We need Animal Control at 4th and Orchid.

We've got a dog barring access to an MVA victim. Over.

It'll take too long. Look at this.

He's right. We gotta get in there.

What do you suggest?

I got a gun in the rig.

I'll keep him busy.

You're kidding, right?

No, we've got to assess him now.

You're the boss.

Hey, boy.

Hey, hey, hey, ready? One, two,

three! Hey!

Got a pulse.

He has good breath sounds. Get a backboard.

You okay? Yeah, I just can't let go.

When was your last tetanus shot?

1992.

Haleh?

One booster coming right up.

That's okay. I'll pass.

Well, it could be worse. You could have rabies.

Yeah, well, I wouldn't rule it out.

Think we'd notice a difference?

So how many interviews today?

Two. Uh, you and one other.

Yeah. You know, I'm still interested,

but I decided just not to push so hard.

I mean, if I get it you know, I get it.

Good idea.

What do you mean?

I mean it's just not a good idea to get worked up

over these things.

What happened to you? Ugh, long story.

Rachel's sleepover?

Good guess. Thanks, Kerry.

What's going on here?

Graffiti guys got loose and went crazy last night.

Yeah? You're on?

No, I'm just getting set up for tomorrow.

Wait, color-coordinated charts?

Well, whoever said Doug Ross isn't organized?

I did.

Take it easy.

Hey, um, Mark?

Don't Attendings pay for Nurses Night?

Yeah. Now Doug can contribute.

No, that's the ER. I'm the Pedes ER.

Yeah, well, Pedes needs nurses, right?

So I'm billing you.

Hey, get this.

19-year-old, third pregnancy,

says she doesn't know how to use a condom.

So did you teach her?

Oh, no, we're way past that.

I'm talking her into a newer plan.

Are you sure?

I'd tie her tubes myself, if I could.

If the drawbridge is up, you can't storm the castle.

Excuse me?

Try a diaphragm. They work.

Oh, yeah, I wouldn't be too sure.

I'm three days late.

Mm-hm.

What? What?

These just came from upstairs. Letters of rec for chief.

Thank you. Okay, lift your sleeve.

When was the last time someone got tetanus from a dog bite?

Oh, don't be a baby.

Nice suit, Dr. Weaver. Thank you.

I didn't know you read Cosmo.

Excuse me? Ow!

Last month's article on the power suit?

Oh, uh, I guess I missed that one.

Oh, are you sure?

'Cause, I mean, you nailed it down to the accessories.

So how long have you been on?

Oh, just now.

Yeah? Who's your Resident?

Oh, well I suppose I'll find out in a minute.

Why? Did you vie for me?

Heh. No, you're too much for me to handle.

Hopefully, whoever I get feels the same way.

No, I suspect I'll be sidelined as a consultant

more than anything else.

Yeah. Hey, do me a favor.

Reach in his bag and hand me his, uh, hearing aid.

It's in the black case on top.

Is he having trouble with these?

No.

So why are you putting them on now?

I was running late.

Peter, have you not told everyone?

Told who?

Look, Elizabeth, I don't have time for a whole bunch

of repetitive questions and... And sympathy.

You sure that's it?

My son is deaf. I know that, okay?

Okay. Okay.

Well, wish me luck.

Jeff Whitcher, 38-year-old magician,

inhaled flash powder.

What happened?

Trap door didn't open?

A little more complicated than that.

Short of breath and tachypneic.

Uh, respiratory rate is 28.

No previous history of respiratory illness

or inhalation of toxic substances.

What's in flash powder?

Sorry. Trade secret.

Lycopodium wrapped with potassium nitrate.

I looked it up on the Internet.

Pulse ox is borderline, 91. No cyanosis.

Are you a smoker?

Occasional.

Eh, occupational hazard.

You can't smoke that here!

I wasn't planning to.

What do you want to do?

Get a blood gas and check a PO2.

Looks like you get to learn a new procedure.

I just happen to have a blood gas kit right here.

Hey, pretty good, doc.

Trade secret. Lily, can you get us a cup of ice, please?

Sure.

We're out of gloves. I'll be back.

Try your pocket.

Hey, how did you do that? He's got your arm.

It's not what they see, it's what they think they see.

But you didn't even move.

Lucy. Yes.

The blood gas.

This one you watch. Next one you do.

Don't panic, Doug. It's just a couple of days.

You said three days. You said three.

Two, three, whatever.

You told me you were regular as a Swiss watch.

Yeah. I'm regular, not a machine.

Well, you gonna do a pregnancy test?

You're really sweating this.

Aren't you? A little?

I'm not pregnant. I don't feel it.

Have you been pregnant before?

Oh, I shouldn't have said anything.

What's up? What happened?

Syncope. Fourth episode. Seizure?

I don't think so. I thought you were off?

I'm not. You want to use the Pedes room? No waiting.

Here we go. Okay. Hey, what's this? Hey!

Uh, could be Carter's. They were backed up.

Carter! Is this your body in here?

Yeah, sorry.

Transport's taking forever. Need the room?

Yeah, I need the room.

Give me a hand.

I didn't even think the Pedes ER was open till tomorrow.

It's not. Just don't leave your stiffs in here.

Lucy, take him to the morgue.

We've been waiting on a transfer for hours.

Hey, this "the" Prince Albert?

Who?

His ding-dong's pierced. He has a diamond.

A diamond in his penis?

Haleh said it was tricky getting in the Foley.

Wanna take a peek? That's okay. I've seen one.

I bet. Hey, watch it.

I guess it's your lucky day. It seems I'm your intern.

I know, you missed rounds.

Oh, it's the first day.

I wasn't exactly sure how this was going to work.

You need to be here at 5 a.m. sharp.

I hope you don't expect any special treatment.

Look, I don't know what you've been told,

but this is more of a formality than anything else.

Maybe for you, but you're the only intern I have.

I need you to finish pre-rounding before 6.

I need all the vitals.

T-max, mental status, I's and O's.

After rounds, check the labs and run down all x-rays.

Go over the x-rays yourself. Don't trust the radiologist.

Buff the electrolytes as needed.

You take all floor calls.

If we have clinic that day, you do H and P's.

And, of course, all pre-op orders:

CBC, lytes, UA, EKG, PT.

I do know how to pre-op the patient, thank you.

Well, good, because if surgery's canceled because you miss a lab,

it's your ass.

We'll start with Mr. Anderson.

I reduced his O2.

Redraw an ABG in 30 minutes.

Monitor urine output

Q one hour.

Advance drains on beds three and five.

One, two and six need wet-to-dry dressing changes.

You're serious?

This is how it works.

As third-year, I'm busy operating.

This stuff is not my job.

But the scut has to be done, by an intern.

I have three cases today.

If you finish, you can scrub in for one.

Oh, and this is for you.

Interns wear short coats.

Hold the elevator! Hold it!

Are you all right?

I said, hold the elevator.

Ooh.

What was he wearing?

I don't know. Where are we?

We got multiple defensive stab wounds to the extremities.

A real deep one to the forearm and one to the chest.

BP's 120/75. Pulse ox 99.

Did the guy have friends with him?

Both lungs are clear.

Four plus right radial and ulnar pulses.

What's your name?

Bo.

Bo, we'll take care of you. Don't worry.

Yeah, you're very lucky. The chest wound is superficial.

Okay, Bo, I want you to do this with your hand. Can you do that?

How about a car, Bo? Did you see a car?

Okay, now spread your fingers and don't let me close them.

All right. I'm tired of this game.

Just tell me who it was.

Does he have to be here?

Can you wait outside?

You were stabbed in daylight.

You didn't see anything?

You know what? Wait outside.

Okay, let's roll him.

He's gonna go out and try and settle this on his own.

Right now we have to treat him.

You know what? Forget it. Have it your way.

You could've pressed that hold button.

Damn, these elevators are slow.

I'm gonna catch that lunch traffic.

I know it!

You drive?

Do I?

My son used to have one of those.

Gave him a heart attack.

Nothing but stress.

Come on, come on.

No, I didn't watch the whole thing,

but the part I saw looked pretty benign.

It was my fault. Sorry.

Well, you did. Thanks.

Problem?

Did you know that Romeo and Juliet is rated PG-13?

I wasn't aware of it, no. Well, it is,

and I showed it at Rachel's slumber party,

and now all the mothers are calling me.

Oh. Yeah.

Elizabeth. Elizabeth!

Sorry.

Can you come take a look at a pulseless foot?

I've been waiting 40 minutes for a surgical consult.

Well, normally, I would.

But as of today, I'm only an intern.

Yeah, I heard that. I can't believe it.

I don't want to believe it myself.

I already have five admissions.

Lab turnaround time is pathetic.

And Radiology have already lost three of my films.

Meanwhile, Dale has me sitting for a bleeding time

on your Ewing's sarcoma amputation. Waste of time.

Amputation? Dana Ellis?

Yes, she doesn't have a clotting problem.

Is that today? Yes, surgery's at 4 p.m.

Five minutes. 54-year-old male, peripheral vascular disease,

calf pain at rest. I'm thinking arterial thrombosis.

Did you get a Doppler pulse? Yeah.

Mr. Darcy, this is Dr. Corday, our Surgical Resident.

How long will this keep me out of commission?

I'm supposed to choreograph a music video next week.

Well, let me examine you first, and I'll have a clearer idea.

Are you a smoker?

Yes, but what does that got to do with my leg?

This the Vascular consult?

I asked Dr. Corday to examine.

Yes, well, I'll take over.

Did you get the labs on the perfed diverticulum?

Not ready yet. They're backed up.

Better go down and sit on them. You know Romano.

Gotta start on time.

Of course.

Come on.

Lucy? What?

Is something wrong? Nope.

Can you work up this guy with vertigo for me?

You know how to check for nystagmus

and cerebellar function?

Yeah? All right, come find me when you're done.

We'll discuss the differential.

Got it.

What's the extension for the morgue?

5001. See this guy?

He's looking for Dr. Carter.

Can I help you?

Yeah. My brother died last night.

They gave me his valuables, but there's something's missing.

I need to get a... Well, some jewelry off his body.

Oh, right! Right!

Oh, your brother's down in the morgue.

Last name Naughton? Yes.

Yes, definitely down in the morgue.

Ah. Can you tell me how to get there?

Yeah. No.

Uh, they don't allow family down there.

It's, uh... They make you wait.

It takes forever.

It's chilly. You know what? You know what I'm gonna do?

I'm gonna go down there and I'm gonna get it.

Your brother. Get him and bring your brother up here for you.

Great. No, that'd be great. Thank you.

Don't mention it.

Hey.

What are you doing here?

Just came in to check in on you.

How you feeling?

Well, they're chopping my leg off.

Well. Your decision?

You could call it that.

I wouldn't have had a say at all if it wasn't for you.

You gotta go with the odds, right?

You scared?

I thought,

"Okay, I'll just get used to it."

But...

You in pain?

A little.

Yeah.

Okay, I'll talk to them, we'll increase the dosage.

That's okay. I sort of...

like to feel it.

It'll be gone in a few hours.

Hey, Mr. Ellis.

What's going on here?

I came in to check in on Dana.

She's being taken care of. Thank you.

Mm-hm.

Still wanted to talk to you about her pain management.

Dana's having surgery in a few hours.

If you don't mind,

Dr. Romano is gonna handle everything from here.

Okay.

Excuse me. Are you in charge of transport?

Depends who's asking.

I know this is gonna sound really weird.

But I was just wondering if you by any chance found a body?

Transport.

Yeah, what floor?

Okay.

I don't know. Half-hour.

Damn!

What did you want?

I lost a body.

Did you try to move it yourself?

Yeah, you guys were taking so long.

What was I supposed to do? So now it's our fault?

No, it's not your fault. I just want to find the body.

I'll call the morgue. I checked, he's not there.

Yo, Gerald!

Yo, it's Tony.

You have any unclaimed bodies down there?

Yeah, she's here now.

Hold on, I'll ask.

Would this body fit down the incinerator chute?

The incinerator?

Heh. Yeah, that got her.

Yo, thanks, G. Okay, I'll be right down.

You're in luck. Someone stuffed some fat stiff

in the closet of the ICU.

Why? Why do you have to go?

I just gotta.

Well, what's the hurry?

The doctor said it was okay.

Well, it will be okay. He has to stitch it up first.

Besides, I like having you around.

There's not very many interesting people here today.

So maybe I'll come back.

Come on, you've gotta help me out.

You don't wanna get me in trouble, do you?

I'll write you a note.

Besides, you do not want to get that infected. Believe me.

Look, just a few minutes.

I'll get a doctor. We'll take care of it.

All right.

Good.

Hey, Lynette? Yeah?

Could you get his mother for me? Oh, he's 18.

Yeah, but he's a gangbanger, got stabbed.

I'm afraid he'll bolt to settle the score.

Mark! Yeah. Hold on a minute.

You admitting that thrombosis?

He's got a high-grade lesion in the femoral artery

I know. You taking him up?

I need to present him to Romano,

then we'll bring down the team.

When? As soon as I can.

Mark, can you stitch up my guy? He's gettin' antsy.

I'll be right there.

Jeanie, can you clear this neck for me? He looks okay.

Single-vehicle MVA. I ordered a trauma panel.

Sure. You got it. Thank you.

Sure. How are we doi" in here?

Vitals are normal.

I'm fine.

Did you lose consciousness, Mr. Lipson?

No. No.

I told them this really isn't necessary.

Any chest or abdominal pain?

Can I go home?

No. We need to get an x-ray of your neck first.

Have you ever had hepatitis?

I don't think so. Why?

Your eyes are a little yellow. On any medication?

Prednisone, cyclosporine, Imuran.

Those are transplant meds.

Well, I had a new liver two years ago.

Okay. Let's get a ProTime, LFTs and a cyclosporine level.

Something's wrong?

Doctor! Doctor!

One minute. You're jaundiced.

I can go see my doctor.

We need to do those tests now.

Okay. I'll be back.

Okay, just...

Here you go, Jeanie.

Thanks.

Uh, this... This is her card.

"Rosa Munoz."

Si. That's social security card.

She said her name was Carmen.

And your name?

Luisa.

Her sister?

F... Cousins.

Okay. I understand that you're concerned for Angel's health.

But this would be fraud.

It doesn't matter if he's illegal.

No, no, that's her number. No, this is your card.

No.

Um,

She say that he need a special doctor?

A cardiologist. There could be a problem with Angel's heart.

Please take this number.

Please. Other hospital no take him...

Mrs. Munoz. We're a county hospital.

We treat all emergencies.

True?

True.

When we're short on beds,

we stick the bodies in the storage room.

Why didn't you call us? We did.

Guys, I gotta get back.

You want to take him back or should I?

He's black.

Is that a problem?

Dana Ellis. What about her?

Well, I'm worried about phantom limb pain.

Don't be. She's on morphine.

That's not gonna do it. I want to put her

on a preemptive analgesia to rewire the motor nerves.

I didn't realize she was still your patient?

Dr. Romano, Dr. Greene is on line 3 from the ER,

waiting on a consult for an ischemic leg.

Does he have a pulse by Doppler?

I'll check.

It's a simple lumbar epidural.

It'll only put the surgery off a few days.

I hate to tell you, but one night course does not

a pain management specialist make.

Yes, the patient has a Doppler pulse.

Dr. Greene wants an ETA.

When I get there. There's no reason not to try.

I-I don't know that she's psychologically ready for it.

Three days won't make much difference with that.

Hey, Dale, how's that new intern working out?

She'll get the hang of it.

Give her a break, let her scrub in...

I'm gonna talk to the family. Hey, no, you're not!

That girl has cancer that could spread very rapidly.

I won't sit idly by Right, okay...

and watch you experiment with some technique you read!

Dr. Romano? What?

Maybe you should talk to Dr. Greene.

He wants something more definitive.

If he has calf pain, tell him to do an ultrasound.

Hey, don't go!

Rule out DVT. That'll shut him up.

Leave it alone, Ross!

Hey, Carol, I have to head upstairs to this interview.

Will you page me the second Romano decides

to grace us with his presence?

Don't hold your breath.

Now, hold still, You'll tear your stitches!

Let me out! I gotta go!

Why? So you can get the guy that did this?

What's going on?

You were right. Bo here wants to retaliate.

You said the doc would stitch me up and I could go.

We just want you to be safe, Bo.

Yo, save it, lady.

Look, thanks for fixing me! I'm going.

If you want me to sign somethin', I'll sign it!

No! You'll rip your vein open.

I don't want you bleedin' all over the place.

Then take it out.

Okay, you want to leave that bad, fine.

Let me get the right instrument. I'll take it out.

You can go about your business.

Please, just wait here. Just wait one minute.

I'll be right back.

What's going on?

We can't let him leave.

When's the mother getting here?

I haven't reached her.

I'm calling down Psych.

He'll be gone by then.

What is that?

Versed. I'm gonna sedate him till the mother gets here.

That might be an option if it wasn't totally unethical.

Not with someone's life at stake.

You can't restrain someone with drugs.

He was agitated.

To finish the treatment, we had to sedate him.

Security can keep him down here until Psych puts him on a hold.

They're gonna have to prove that the kid is a danger to others.

He knows the system. He'll lie.

Maybe we'll find his mother by then.

Well, I'm gonna make sure.

Not with that.

You have a better idea?

I'll handle it.

You know what he'll do if you don't.

I understand your motive and I know I asked for your help.

Why don't you stick with the clinic patients?

Leave the ER ones to me, all right?

Good luck.

Look, it don't matter what I'm gonna do. It's my business.

Well, I don't want you ending up here again, maybe dead.

If it goes down like that, it goes down like that.

Wouldn't be the first time.

You don't mean that.

Yo, what's the rent-a-cop doing here?

I want you to be able to talk to somebody.

Damn, I trusted you!

Hey, I'm just trying to help here.

Save it, lady! Look, I ain't talkin' to nobody.

Okay, we'll just wait until your mom gets here.

My mom? What, you called my mom?

I'll be right back.

Don't let him leave.

Pay attention, Dale.

Peter's one of our fastest colon dissectors around,

now that Lizzie's gun's in the holster for a while.

All right, we've got an open abdomen, people.

Let's turn up the heat, please.

Elizabeth, would you retract the descending colon

while I free up the peritoneal reflection?

My pleasure.

Uh, Actually, Dale, why don't you retract and bovie

and give Lizzie the sucker?

Right. Lizzie, suck out this oozing area, would you?

If you don't mind, I've never cared for being called Lizzie.

Really? Dr. Romano calls you that all the time.

Dale, what structure am I dissecting?

Ilioinguinal nerve.

Boy.

Elizabeth, would you help him out, please?

Owing to the slight peristalsis, it's obviously the left ureter.

Better get a little faster with that suction, Lizzie.

Okay, I freed the sigmoid.

Elizabeth, would you come here and ligate

the proximal side while I clamp the vessels.

Certainly.

Dale, move over and start irrigating.

I prefer Dale do any ligating.

Just as soon as we finish the mesenteric vessels.

Sorry to bother you, Dr. Romano. Dr. Greene is calling again.

Oops, Lizzie, I think you just contaminated yourself.

I did not.

Better be safe. Change gowns.

I didn't contaminate myself.

I saw it. She's clean.

Thank you. So don't pick on her.

Lizzie, scrub out and go pacify Greene, would you?

Hey, you're still here?

Yeah.

You're certainly putting a lot of effort into this Pedes ER.

I'll give you that. I'll take it.

Hey, guys. Hey.

Uh, this is our new Pedes ER Attending

and full-time delivery boy, Doug Ross.

What do you got for us, Doug?

You're cut off. He's a bad tipper.

This is Claudia Olson. She's a candidate

for the new Chief of Emergency Medicine.

A masochist? Yeah.

Good luck. Thanks.

Kerry Weaver.

The Interim Chief?

Yeah. It's nice to meet you.

I take it you're interviewing today as well?

How did you guess?

Well, at least I got to go first.

It was nice to meet you.

You too.

It could be hepatitis.

But our major concern is that you're rejecting the liver.

Well, I feel fine. A little tired.

Do you ever forget to take your meds?

No. I set my watch daily.

My cyclosporine level's therapeutic, isn't it?

Mm-hm. I think we should arrange for a liver biopsy.

If it's all the same to you,

I would really rather see my own doctor.

I understand.

But he hasn't said anything to you about your abnormal LFTs?

I got busy, missed a couple of checkups.

Well, I'm sure you know how important follow-ups are

after organ transplantation.

I think part of me always suspected

but didn't want to know for sure.

Now I do.

You can always put yourself on the UNOS list again.

I don't think so. What? It's the second time around.

You qualified the first time. You never know.

You could get lucky again.

Hi.

Do you have the Munoz kid?

I do, yes.

Excuse me one more time. Excuse me.

Is it cardiomyopathy?

That boy's gonna need a full EP workup.

Did he have an ectopy?

No, and the echo ruled out an outlet obstruction.

So the cause of his fainting?

It's probably arrhythmia. Arrhythmia.

Yeah. I'm going to try to induce it in a cath lab.

And if so, he's gonna need

an internal cardioverter defibrillator right away.

Okay. I'm glad we caught it.

I'll call a cardiac surgeon. Can you get consent?

Sure. Thank you.

Oh, don't thank me. The kid needs it.

Yeah.

Muchisimas gracias. Muchisimas gracias.

Di nada. Di nada.

It's about time. Where's Romano?

Just me, I'm afraid.

So can you admit him?

Based on my other responsibilities, I'd say no.

So you're here to stall me?

Something like that.

That's all right. I'll pass him through Radiology.

He needs an angiogram anyway.

But tell Romano you only bought him 20 minutes.

Yeah, just don't leave the patient there too long.

Radiologists snatch the procedures for themselves

if the surgeons are slow on the uptake.

Noted. Thank you.

Uh, Jeanie? Yeah?

Here's the BA On your MPA.

On who? Uh, Lipson, trauma two.

I didn't order a BA.

I did. It's part of the trauma panel.

Randi put it in my box.

Okay... Is something wrong?

Blood alcohol's .04.

Well, that's well below the legal limit.

It still means he's been drinking.

I finished my write-up on the vertigo.

I think it's just a virus. And I got you some coffee.

You don't need to do that.

Yeah, well, I was down in the cafeteria

looking for something anyway.

All right, thanks. Hey, I'll tell you what.

Why don't you start the IV on the 4-year-old

with gastroenteritis in curtain one.

Three hundred cc bolus of saline.

But be careful. She's dehydrated.

Could be tricky. Right.

Hey, thanks a lot. I feel so much better.

Glad to hear it.

Call me if you'd like some free tickets to my show.

Thank you. Ooh!

Are you okay?

How'd that get there?

There you go.

I just didn't want things disappearing on you. See you.

Hey, you haven't by any chance, seen a body...?

Uh, that'd be great. Thank you.

Oh, Carol, could you help me start an IV?

She's dehydrated. I don't want to hurt the kid.

Have you tried? Not yet.

So you haven't even started an IV yet?

Honestly? No.

This is ridiculous, Lucy. Everyone thinks you can.

I know. I'm gonna talk to Dr. Carter today.

Well, if you don't, I will.

Hey... Hey!

What happened?

He took off.

Yeah, I can see that. You were supposed to stop him.

There was no talking him down.

You weren't supposed to negotiate.

You were supposed to stop him from leaving.

I can't keep him here until you get the hold.

He didn't know that.

Sorry. Oh, God.

Now, hold still

while I secure this catheter.

Hang on.

You're doing great.

How much longer?

A bit. Just a second, here.

Okay.

Now, you're gonna roll back over on your back, okay?

Nice and easy. There you go.

How long does it take to work?

About 20 minutes for the full effect.

You're gonna start feeling things pretty soon, though.

I'm gonna put you on a six-day cycle.

So there's three days before the surgery,

three days after, for the drip, okay?

Dr. Romano.

Dr. Ross. Hey, Dana.

I decided I wanted the epidural.

You did?

Well, you were in surgery,

so I explained the protocol.

And the parents?

On board.

Terrific.

You got a second?

Sure.

All right. I'll be right back.

You did great.

Congratulations, you just postponed the surgery.

You didn't leave me a lot of options.

That Pedes attending thing barely happened.

I voted for it because I thought,

the guy's a maverick,

good to shake things up every once in a while.

But if you want to play John Wayne, do it in the ER

and not with my patients, capisce?

This girl is in a very vulnerable place.

Three days is not a lot to ask... You're not hearing me.

This is not about being right. We all think we're right.

It doesn't make you special.

Fine.

So did you give the kid a cheeseburger

before or after the parents agreed to the protocol?

I thought I might need 24 hours to talk 'em into it.

Are you sure you know what you're doing?

Hold on. Let me get a smaller gauge.

Oh, hey, you. Hi.

Look, I have been looking for you all over.

What happened? You forgot about me?

Um, well, I, uh, no, didn't... I didn't forget about you.

You know, I have been waiting for three hours.

Um, okay, I went to the morgue...

Me too. He's not there anymore.

No, he is not there.

So where'd you put him?

Uh, I don't know how to...

How to what?

How to tell you how sorry I am

about your loss.

Thank you, but where did you put him?

Where did I put him?

You don't remember.

Of course I remember.

Um, I couldn't find you.

I got very busy here,

so I put your brother...

Where did I put him?

Radiology.

I put him in radiology,

but he was kind of in the way there,

so I left him...

Here.

In the hall.

I'm sorry.

No problem. I... I... I can't believe I didn't see him there.

Hm.

He's easy to miss.

What's wrong?

Nothing, I... There aren't any pregnancy tests.

How could we be out of pregnancy tests?

I don't do inventory.

It wasn't an accusation.

Ooh! What is that all about?

What?

The scarf. Where'd you get it?

Got it at the gift shop. You don't think it works?

What was wrong with your jacket?

I wanted to try something different.

Lose the earrings.

It's throwing the whole thing off balance.

Carol... Carol. Oh, no.

It's only my second stick. I think I can get it.

I can't have students starting IV's on kids under 10 years old.

Can you do it for me? Sure.

Is there a problem?

I just want experienced staff starting IV's on kids.

This is still a teaching hospital, isn't it?

Not until they inflict pain on children, it isn't.

Lucy's great at IV's. Show him.

This is not about Lucy. It's a policy I'm setting.

Oh, you're setting a policy.

Well, first time for everything.

I'd be in a hurry to get out of here too.

What?

We found out why your transplanted liver's failing.

You've been drinking.

You're not gonna believe me.

One time.

You're right. I don't believe you.

I checked with UNOS,

and you've been on the list for another transplant

for two months.

Did you tell them?

Did I tell them what?

That you drank through the first one that they gave you,

and now you want another one?

Come on. It wasn't like that. It was just a day.

My son passed his bar examination.

I knew I was rejecting,

so I figured, what could it hurt?

We had champagne at brunch. That's it. I swear.

Well, you've been lying ever since you came in here.

Please, you can't tell UNOS.

I really don't have a choice.

Well... Wait... Wait... Please, You... You're doing this to me

over one glass of champagne?

Look, there are plenty of people on that list

who haven't had any champagne.

If I lose my place, I won't last six months.

You report me,

I'm dead.

I'm begging you.

Sorry I'm late. There was traffic.

You take the El?

Who's on? Weaver.

She's upstairs, interviewing for chief of emergency medicine.

I thought she was chief.

Where have you been?

Dr. Greene?

He is upstairs, interviewing her.

So we have no Attendings.

Hey... Hey, watch it, Jerry.

Sorry, Dr. Ross.

Is he in attending?

Hey, listen, uh, normally I wouldn't say anything,

but don't you think that attire is a little inappropriate?

It's business.

I was helping out Dr. Weaver.

Thank you.

It was a great job, Kerry.

We'd be lucky to have you. Thank you.

I know it was a formality, but thanks for coming in.

Well, I appreciate the opportunity.

Your presentation was everything we expected.

Thank you.

Hey, I'll walk you down.

Went great, Kerry.

You don't think the pie charts were too much?

No, charts are good.

Yeah? Did anybody else use them?

You're the first.

You know, if I came across as too eager...

No, it went terrific, Kerry.

Thank you, Mark.

I never know how to answer that question

about my weaknesses, and...

Yeah, well, I could have helped you out there.

That's a nice leather jacket.

No, I said I wanted to run some tests,

but I can't without Medicaid.

What's wrong?

Ah.

Didn't you know this patient was illegal?

Yes, I did, but it doesn't matter.

Oh, yes, it matters.

We're talking thousands of dollars worth of tests.

The state won't pay for that. So you won't treat him?

I'll give him some Beta blockers.

He could have a cardiac arrest.

We've been monitoring him. He's had no arrhythmias.

That's why we need EP studies.

His father and brother died from this.

Did you document an arrhythmia?

No, but his mother said... All right,

then there is nothing else that I can do.

Dr. Kayson. What?

This boy could drop dead and you know it.

Well, so could a lot of people.

No, he's not emergent.

I'm sorry.

Pero ella prometió.

You said he was stable.

Single GSW to the arm.

He was.

He's intubated and hypotensive.

Things change en route, okay?

What's the problem? Botched gang shooting.

They were ready for him.

Is this the guy from this morning?

Yeah, his name's Bo.

All right, look, we thought it was just his arm.

He crashed in the rig. Carter, we need your help.

All right, welcome back, Bo.

Okay, everybody, on my count.

One, two, three.

Why didn't you recontact?

Uh, things got pretty crazy.

All right, Carol, put him on the monitor.

What do we got?

Through and through GSW. Mid-tricep area.

Where's the probe?

Run it, Carter.

Decreased breath sounds on the right.

Tracheal shift to the left. Tension pneumo.

BP's down to 70. Pulse ox 89. Damn it.

I need a 14-gauge needle on a 20 cc syringe,

and then I'm gonna need a 36 French.

All right, you want to decompress

in the second intercostal space, mid-clavicular line.

Okay, pulse is getting stronger.

All right, Lucy. Get a blood gas.

I'll do it. No, that's okay.

I showed her how to do it this morning.

Ten blade.

Get the pressure bag on the line.

Entrance wound, right mid-axillary line.

Bullet went through the arm, into the chest.

Why couldn't you undress him?

We had to scoop and run.

Where's that chest tube?

I can't believe you didn't see this chest wound.

Not now, Carol.

I can't get the blood gas.

Move over, I'll do it.

All right, chest tube is in.

That's okay, Lucy. Those can be tough.

Come around here. Help me with the second line.

Okay, 50 cc's out.

I need 4-by-4's. I need Elastoplast.

All right, let's call X-ray

and get a portable chest down here.

I got the blood gas. BP's up to 100 over 70.

How's that second line coming?

I can't.

Move the drape. You got more room.

No, I can't do it. Come on, Lucy. Focus...

I really can't do it. It's just like any other IV.

I haven't started an IV. I don't know how.

I never have. I'm sorry.

Whoa! He's bradying down!

Chest tube is pouring out blood. Let's go.

All right, get two units of O-neg in and call the O.R.

You cost me a procedure.

Am I supposed to ask how?

You were supposed to babysit that pulseless foot for me.

Greene let the radiologists at him.

Oh, I didn't realize that was part of my job description.

Hm. Well, you're still learning.

Mm-hm.

How was your first day?

As expected.

You are either a masochist,

or the stubbornest woman I have ever met,

but I have to say I admire your fortitude.

I couldn't handle taking orders from a weasel like Dale.

Is that supposed to be a compliment?

Sounded like one to me.

Oh, uh, and you can wear the long coat.

It looks better on you.

Seven hundred cc's

out the chest tube.

Take him up, Carter.

They know he needs a thoracotomy?

Yeah. O.R. three.

Have the blood bank send up four units type specific.

Yup.

Hey, we were not prepared for a major trauma.

You should have called when he crumped.

Sorry, we were a little busy protecting his airway.

Time out. You guys should have called ahead.

No, there was no way... Ah... Ah... Ah...

You guys should have called ahead,

and Carol, we have to be prepared for anything.

I would have been prepared... Nobody's to blame, okay?

We treated the patient. Let's move on.

You want to stick around and review the run tape?

No. No.

Doggy. Yeah!

You want to pet the doggy?

Mm.

Oh, that is good.

You want him to respond in some way, you know?

To, uh, to point, or to make some kind of sound.

Kitty says, "meow, meow."

Do you want to pet the kitty? Hm?

Oh.

Don't like the kitty?

It's okay, man. It's okay.

One quick hug, then back to work.

What?

He's gotta learn to focus.

Oh, come on, give him a break.

He's only a year old.

You can't give him a break.

He's not like other 1-year-olds.

He needs constant verbal stimuli.

Hey, you try.

All right, man.

Um, here we go.

Doggy. Doggy.

Arf.

Hey, doggy, arf.

Arf, arf, arf.

Arf, Reece, arf.

I can't do this.

You're gonna have to learn.

Coming here twice a week isn't gonna do it.

Listen, I might have been able

to keep that kid here this afternoon,

but he would have gone out and he would have done

the same thing tomorrow.

Uh, his mom's in chairs. You want me to go talk to her?

No, no. I'll do it.

Forget a number?

Uh, no.

You still here?

Yeah, I got sidetracked.

Hey, you could use some help.

Okay, take rashes.

Well, I was thinking of something more permanent.

Uh, allergies?

Actually, I meant, uh, being your full-time P.A.

Yeah. I've been thinking about it.

I'd love to just work with kids for a while.

I'm good at it, and somehow, it seems more worthwhile.

Well, I don't know about that.

Well, at least you know who's side you're on.

You... You know, I'd... I'd love to,

it's just I think I've used up all my chips with Anspaugh, so...

I've got some pull with him. I think I could work it out.

Great. Gr... I'd love that.

Excellent.

Good.

Yeah, hi.

May I have the transplant coordinator for UNOS, please?

Okay.

I paged you twice.

I don't want to talk about it yet.

That's too bad, 'cause I think I deserve an explanation.

If you want me to feel bad, I do.

I'm really disappointed in myself.

You should be.

And that's not an explanation.

I don't know how it started.

I...

You thought I could do it.

I wanted to impress you,

and it just spun out of control. I'm sorry.

Just... What did... What did you think

that you were going to accomplish?

I don't know.

I thought I could learn on my own.

Oh, great, you can learn on your own.

Well, you don't need to be here, then.

You endangered patients, Lucy.

You don't need to make me feel bad. I feel horrible.

Well, that would work if this was about you,

but rule number one down there is, it's never about you.

You know what? Go home.

Don't come back unless you're serious

about learning something.

And if you ever lie to me again,

you can look for another rotation.

♪♪♪

What...?

What are you doing back here?

Waiting for the grill to heat up.

I thought it was fend-for-yourself night.

No, I'm sick of fend for yourself.

I got us some steaks.

Steaks sound good. You got another one of those for me?

Yup.

What's in the bag?

Uh, it's a, uh, pregnancy test.

To be sure.

No need. I started my period.

Well, I guess I wasted $17.50.

Well, save it for next time.

I'm kidding. That was a joke.

We dodged a bullet there, didn't we?

Yup.

That's good, right?

Yeah, yeah.

Though all day I kept thinking, "Wow, a kid."

You know, that would really...

change my life.

Our life. It would change ours.

Okay, our lives.

That would be bad, right?

You know what? I changed my mind.

I don't want to joke about it.

No.

Yeah.

Maybe I'm not joking.