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1
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E.R
2
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Previously on E.R.
3
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I'm Abby. I'll be your OB nurse.
4
00:00:09,233 --> 00:00:11,523
I just can't lie about a diagnosis.
5
00:00:11,524 --> 00:00:13,761
Sometimes we make what's
call a judgment call.
6
00:00:13,874 --> 00:00:16,023
If the rules need to bent a little,
then we bend them.
7
00:00:16,024 --> 00:00:17,342
You wanna go grab some dinner?
8
00:00:17,343 --> 00:00:19,436
Peter, you asked me out?
9
00:00:20,253 --> 00:00:22,289
It's never been very easy for me to be here.
10
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That's something I know about.
11
00:00:25,978 --> 00:00:29,029
E.R. 6x12 "ABBY ROAD"
12
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One minute I'm freezing, the next
I'm burning up. I can't keep things down.
13
00:00:34,321 --> 00:00:36,444
Sir, it's the flu.
It's going around.
14
00:00:36,657 --> 00:00:41,568
I got body aches, nasty cough.
I really need to see a doctor.
15
00:00:43,247 --> 00:00:47,873
- Sit, we'll get to you in a minute.
- You said that an hour ago.
16
00:00:48,085 --> 00:00:51,419
- I need to go home.
- Forget it. We're shorthanded.
17
00:00:51,630 --> 00:00:55,296
- I puked. I gotta go.
- So did half the Radiology techs.
18
00:00:55,509 --> 00:00:58,464
- I've got a fever. Feel my head.
- Feel your own.
19
00:00:58,679 --> 00:01:02,926
- Cold and flu season has hit hard.
- Yes, take your pick.
20
00:01:03,142 --> 00:01:05,515
Fever, sore throats, runny noses...
21
00:01:05,687 --> 00:01:08,688
...aches and vomiting.
Why don't they go home?
22
00:01:08,898 --> 00:01:11,769
- It's coming out both ends.
- Thanks, Dave.
23
00:01:11,985 --> 00:01:17,324
The lab is full. It takes four hours
to get a CBC. They're 40 behind.
24
00:01:17,532 --> 00:01:20,284
- You look bad.
- I look better than I feel.
25
00:01:20,494 --> 00:01:25,535
No beds, we're boarding 7 patients.
Carol called in 2 registry nurses.
26
00:01:25,707 --> 00:01:28,199
God only knows
when they'll get here.
27
00:01:28,419 --> 00:01:30,376
You should see a doctor.
28
00:01:30,587 --> 00:01:33,043
Me too, or I'll expose the patients.
29
00:01:33,257 --> 00:01:36,377
Take some Imodium.
Wear a mask.
30
00:01:37,219 --> 00:01:40,386
- You touch the thermostat?
- I just cleaned it.
31
00:01:40,556 --> 00:01:42,632
- Hello, Mark.
- Good morning.
32
00:01:42,850 --> 00:01:45,970
- Did you run the faucets?
- Yes, it was freezing.
33
00:01:46,187 --> 00:01:48,643
I had to boil water to wash my hair.
34
00:01:48,856 --> 00:01:51,857
- I need a plumber.
- Let me look at it again.
35
00:01:52,068 --> 00:01:56,196
A plumber will try to sell you
a new one. It's old, not dead.
36
00:01:56,906 --> 00:01:57,986
What?
37
00:01:58,158 --> 00:02:02,025
- Kovac is fixing your water heater?
- Trying to fix it.
38
00:02:02,412 --> 00:02:04,405
He was dropping me off.
39
00:02:04,623 --> 00:02:08,288
From work. I was complaining it
was making some noise-
40
00:02:08,502 --> 00:02:10,660
- Why am I explaining?
- Beats me.
41
00:02:10,879 --> 00:02:12,836
- Don't think that.
- Think what?
42
00:02:13,048 --> 00:02:15,088
- It's not that.
- It's not what?
43
00:02:15,259 --> 00:02:17,417
It's not anything.
44
00:02:18,804 --> 00:02:21,591
- Move back, now.
- Coming through.
45
00:02:22,099 --> 00:02:23,743
- If you've got the flu...
- Hi.
46
00:02:23,760 --> 00:02:26,052
...is too late for a flu shot.
47
00:02:26,270 --> 00:02:30,398
- I'm Abby, they're expecting me.
- ER, please hold. Please hold.
48
00:02:32,485 --> 00:02:33,730
Abby.
49
00:02:34,070 --> 00:02:36,110
- Did they send you here?
- Yeah.
50
00:02:36,322 --> 00:02:39,608
I was wondering when we
were gonna get some help.
51
00:02:40,285 --> 00:02:41,827
- Carol.
- Hathaway!
52
00:02:42,037 --> 00:02:44,954
- You were my OB nurse.
- Twins. How are they?
53
00:02:45,165 --> 00:02:48,166
They sleep well,
just not at the same time.
54
00:02:48,376 --> 00:02:49,787
How do you do it?
55
00:02:50,003 --> 00:02:53,123
Not easy, but neither
is managing 36 patients.
56
00:02:53,340 --> 00:02:54,799
- Actually-
- Coming by!
57
00:02:55,008 --> 00:02:57,582
I found this guy.
He can't walk.
58
00:02:57,803 --> 00:03:01,338
- What's open, Carol?
- If you can find a bed, grab it.
59
00:03:01,557 --> 00:03:03,799
- Sorry.
- Call Housekeeping!
60
00:03:03,976 --> 00:03:07,511
Med students think we're
their maids. We're swamped.
61
00:03:07,730 --> 00:03:10,221
- Actually-
- Chest film for Mr. Sranski.
62
00:03:10,441 --> 00:03:11,816
- Sranski?
- Flu patient.
63
00:03:12,026 --> 00:03:14,599
- You need scrubs.
- No. I don't think-
64
00:03:14,821 --> 00:03:17,490
- Haleh, do we have scrubs?
- I don't care.
65
00:03:17,657 --> 00:03:18,819
We do get along.
66
00:03:19,033 --> 00:03:20,990
- You believe in zombies?
- What?
67
00:03:21,202 --> 00:03:24,903
Human cadavers walking the earth
after they've died?
68
00:03:25,123 --> 00:03:27,661
- No.
- There's a body still in Exam 1.
69
00:03:27,834 --> 00:03:32,496
- I called Transport.
- Piggyback it out. I need the bed.
70
00:03:32,672 --> 00:03:35,246
- Residents, worse than students.
- Right.
71
00:03:35,467 --> 00:03:37,258
Can somebody take this?
72
00:03:37,469 --> 00:03:40,505
- Did you call ahead?
- Yes. Todd Sullivan.
73
00:03:40,722 --> 00:03:43,474
Good vitals.
He crashed while sledding.
74
00:03:43,684 --> 00:03:47,598
- I lost my teeth.
- Don't worry, they're your baby teeth.
75
00:03:47,813 --> 00:03:51,016
- Malik, can you call a doc?
- Right. Good luck.
76
00:03:51,192 --> 00:03:54,027
He needs a C-spine
and a head CT.
77
00:03:54,236 --> 00:03:56,906
- We need a doc to order it.
- I can do it.
78
00:03:57,114 --> 00:04:00,199
- What?
- Students work on patients, right?
79
00:04:00,409 --> 00:04:04,028
- I'm a 3rd-year. This is my rotation.
- A med student?
80
00:04:04,205 --> 00:04:08,452
Yes. What can I say?
I crossed over to the dark side.
81
00:04:59,596 --> 00:05:02,513
Films are clear.
I paged an oral surgeon.
82
00:05:02,724 --> 00:05:05,429
- Update his tetanus?
- He had it last year.
83
00:05:05,602 --> 00:05:09,931
- I guess not. I'm Luka Kovac.
- Abby Lockheart. I'm a third-year.
84
00:05:10,148 --> 00:05:12,188
Another new Resident?
85
00:05:12,401 --> 00:05:15,936
- I'm a med student.
- Another half gram of Ancef?
86
00:05:16,947 --> 00:05:19,485
- Abby?
- Sure. Sounds good.
87
00:05:19,700 --> 00:05:22,452
Okay. Nice job.
88
00:05:23,829 --> 00:05:26,403
We never had doctors
like that in OB.
89
00:05:26,624 --> 00:05:29,708
- Easy on the eyes?
- I'll say! Is he single?
90
00:05:29,919 --> 00:05:31,627
He doesn't talk about it.
91
00:05:31,838 --> 00:05:35,289
Tall, dark, handsome
and mysterious?
92
00:05:35,466 --> 00:05:37,293
- What are you doing?
- Cleaning.
93
00:05:37,468 --> 00:05:39,128
- I got it.
- Don't be silly.
94
00:05:39,304 --> 00:05:41,380
Really, I got it.
95
00:05:41,890 --> 00:05:43,135
Okay.
96
00:05:45,435 --> 00:05:46,894
Carol.
97
00:05:47,103 --> 00:05:50,769
- Can I see pictures of your girls?
- Sure.
98
00:05:53,610 --> 00:05:56,315
He has to take his pills every day.
99
00:05:56,530 --> 00:05:59,068
- He forgets.
- Maybe you can remind him.
100
00:05:59,283 --> 00:06:00,825
I forget.
101
00:06:01,034 --> 00:06:04,617
Put a note on your
medicine cabinet to remind you.
102
00:06:04,830 --> 00:06:08,282
That's a good idea.
I'll try to remember that.
103
00:06:08,501 --> 00:06:11,786
I'm feeling horrible.
Can you cover my shift?
104
00:06:12,004 --> 00:06:15,669
- Must be bad if you're sick.
- I'd rather die at home.
105
00:06:15,841 --> 00:06:19,092
Make sure the new student
doesn't kill anyone.
106
00:06:19,303 --> 00:06:22,507
- Leave her alone. Abby-
- Give me a break.
107
00:06:22,682 --> 00:06:23,713
Suck it up.
108
00:06:23,933 --> 00:06:26,424
Abby, meet Mark Greene, Attending.
109
00:06:26,644 --> 00:06:27,676
- We've met.
- Yes.
110
00:06:27,854 --> 00:06:30,226
See you tomorrow, if I live.
111
00:06:30,440 --> 00:06:32,931
- She wasn't wrong?
- I'm a med student.
112
00:06:33,151 --> 00:06:36,354
- And an OB nurse.
- I do it to pay the bills.
113
00:06:36,530 --> 00:06:39,068
Right. Welcome to the glorious ER.
114
00:06:39,282 --> 00:06:41,690
- Has anyone given you the tour?
- No.
115
00:06:41,910 --> 00:06:44,580
Start by signing up
for your patient.
116
00:06:44,788 --> 00:06:48,786
Grab a T-sheet based on complaint.
Nurses' orders go here.
117
00:06:49,001 --> 00:06:53,378
- Labs and x-rays go here. Questions?
- So far, so good.
118
00:06:53,589 --> 00:06:57,373
That's Curtain Area 1.
This is Area 2. Yosh Takata.
119
00:06:57,551 --> 00:06:59,544
- Wave hi to Yosh.
- Hi.
120
00:07:00,638 --> 00:07:03,176
- Trauma 1, Trauma 2. Haleh-
- We've met.
121
00:07:03,391 --> 00:07:06,096
- Hi. Still hurting, Todd?
- A little.
122
00:07:06,310 --> 00:07:09,644
We gave him 4 morphine.
Can we give him 2 more?
123
00:07:09,856 --> 00:07:12,264
- Yes. You need this tour?
- It helps.
124
00:07:12,484 --> 00:07:16,861
Come on. The tram doesn't stop.
Keep your hands and arms inside.
125
00:07:17,072 --> 00:07:18,103
What's this?
126
00:07:18,323 --> 00:07:22,570
Darnel Smith has muscular dystrophy.
Possible forearm fracture.
127
00:07:22,786 --> 00:07:25,906
- What happened?
- I was pushed down the stairs.
128
00:07:26,123 --> 00:07:28,115
- In your wheelchair?
- Duh!
129
00:07:28,333 --> 00:07:33,292
- It was a fight. Cleo has the pusher.
- Let's keep the two of them apart.
130
00:07:33,505 --> 00:07:34,750
- That's Carter.
- Yes.
131
00:07:34,923 --> 00:07:36,584
This is the Pedes ER.
132
00:07:36,800 --> 00:07:40,929
It's a large exam room with pediatric
equipment and murals.
133
00:07:41,097 --> 00:07:43,173
- Hey, Cleo.
- Hey.
134
00:07:44,266 --> 00:07:48,810
He freaked out on me in the hallway
when I tried to get past him.
135
00:07:49,021 --> 00:07:52,640
You can't push him down
the steps in a wheelchair.
136
00:07:52,859 --> 00:07:57,355
I didn't push the psycho
until he stabbed me with his pencil.
137
00:07:57,947 --> 00:08:00,984
- What are you looking at?
- Don't be rude.
138
00:08:01,451 --> 00:08:03,609
Good news.
His arm's not broken.
139
00:08:03,828 --> 00:08:07,447
I can't believe one of his
classmates would do this.
140
00:08:07,666 --> 00:08:09,789
I heard that he provoked it.
141
00:08:09,960 --> 00:08:13,459
- Darnel, is that true?
- No.
142
00:08:14,631 --> 00:08:18,795
- He's been acting up lately.
- Is he in special education?
143
00:08:18,969 --> 00:08:23,430
No, he's not. We wanted his life
to be as normal as possible.
144
00:08:23,641 --> 00:08:26,262
Got cancer?
They'll cut off your penis.
145
00:08:26,477 --> 00:08:28,304
- That's enough.
- Darnel!
146
00:08:28,521 --> 00:08:29,552
He's kidding.
147
00:08:29,772 --> 00:08:33,141
- Mrs. Henry, please wait in Chairs.
- Leave him here?
148
00:08:33,359 --> 00:08:35,731
I still need to check him.
149
00:08:35,945 --> 00:08:38,982
All right. You behave yourself.
150
00:08:39,198 --> 00:08:43,492
I'll be right out in the waiting room
if you need anything.
151
00:08:46,831 --> 00:08:51,209
Darnel, sounds like you're having
a little trouble in school.
152
00:08:52,337 --> 00:08:56,038
Is this because of your
muscular dystrophy?
153
00:08:57,968 --> 00:09:00,673
So, suddenly you don't speak.
154
00:09:00,888 --> 00:09:02,845
I can't feel my toes.
155
00:09:03,056 --> 00:09:06,342
You have frostbite.
Do we need to d�bride?
156
00:09:06,560 --> 00:09:10,605
- Is he a diabetic?
- No. He has a respiratory infection.
157
00:09:10,815 --> 00:09:14,978
The frostbite is superficial.
Start him on a rapid rewarm...
158
00:09:15,194 --> 00:09:18,148
- ...of 105 degree circulating water.
- Thanks.
159
00:09:18,364 --> 00:09:22,029
Is anybody not sick?
It's like the damn plague here.
160
00:09:22,201 --> 00:09:23,861
Are you here to help?
161
00:09:24,078 --> 00:09:29,203
It's natural selection. An epidemic
thins the herd. Where's Kerry?
162
00:09:29,417 --> 00:09:33,332
- She went home sick.
- That's why they're the weaker sex.
163
00:09:33,546 --> 00:09:35,338
You booked an O.R. for 3:00?
164
00:09:35,549 --> 00:09:39,498
Yes. I'm assisting Dr. Ashcoff
on a facial-scar revision.
165
00:09:39,719 --> 00:09:43,717
- Can't that be done in the Plastics?
- He wants general.
166
00:09:43,932 --> 00:09:45,213
How do you fit in?
167
00:09:45,392 --> 00:09:49,260
The girl's my patient.
I'm following up on a dog bite.
168
00:09:49,480 --> 00:09:50,725
Yeah, so?
169
00:09:50,939 --> 00:09:55,732
Medicaid won't cover it. I got Ashcoff
to donate his time. I was-
170
00:09:55,945 --> 00:09:58,799
We provide medical
services to the poor.
171
00:09:58,815 --> 00:10:02,863
Well, that does not include cosmetic surgery.
What's next, liposuction for fat kids?
172
00:10:02,977 --> 00:10:06,660
- A little girl is disfigured.
- Peter, I admire your noble effort.
173
00:10:06,873 --> 00:10:10,372
But this kind of thing
could lose our state funding.
174
00:10:10,585 --> 00:10:12,079
I'm sorry, big guy.
175
00:10:12,295 --> 00:10:15,213
Will I get lead poisoning
from the pencil?
176
00:10:15,423 --> 00:10:18,258
- Pencils are graphite.
- Temp's 99.2.
177
00:10:18,468 --> 00:10:21,919
- Did that hurt?
- No. It's just cold.
178
00:10:22,806 --> 00:10:24,466
Sorry.
179
00:10:29,271 --> 00:10:33,351
- How did you get these bruises?
- I don't know.
180
00:10:33,776 --> 00:10:35,768
Who hit you, Marty?
181
00:10:36,362 --> 00:10:38,734
- Some kids at school.
- Are you sure?
182
00:10:38,948 --> 00:10:41,024
Yeah, I'm sure.
183
00:10:41,242 --> 00:10:43,733
- Do your parents know about this?
- No.
184
00:10:43,953 --> 00:10:47,452
- The teachers or the principal?
- They'll kill me.
185
00:10:47,623 --> 00:10:49,532
What's this?
186
00:10:49,750 --> 00:10:52,158
- Mosquito bites.
- In February?
187
00:10:52,378 --> 00:10:55,463
They must be hungry.
You have quite a few.
188
00:10:55,632 --> 00:10:57,589
Look, is my dad coming?
189
00:10:57,800 --> 00:11:01,549
He's on his way.
I'll be back.
190
00:11:03,223 --> 00:11:07,801
Get a CBC, Chem-20, and a tox screen.
They're infected track marks.
191
00:11:07,978 --> 00:11:12,439
- What am I looking for?
- Top of page 4. It was a good morning.
192
00:11:12,649 --> 00:11:16,149
- I spotted it while reading the paper.
- What?
193
00:11:16,361 --> 00:11:18,983
For Pete's sake!
194
00:11:19,656 --> 00:11:22,942
"University of Chicago,
Department of Astrophysics...
195
00:11:23,160 --> 00:11:27,075
...will present a symposium. Guest
speakers include..."
196
00:11:27,289 --> 00:11:30,824
- Isabelle Corday. Your mother.
- Yes!
197
00:11:31,043 --> 00:11:34,827
- I see the resemblance.
- I look like my father.
198
00:11:35,131 --> 00:11:36,839
You didn't tell me.
199
00:11:37,049 --> 00:11:39,837
I didn't know.
It's so like her.
200
00:11:40,011 --> 00:11:43,795
- You guys having a fight?
- No, she's just being Mother.
201
00:11:44,015 --> 00:11:45,557
You should call her.
202
00:11:45,767 --> 00:11:49,218
Of course, come to her,
that's part of the game.
203
00:11:49,437 --> 00:11:52,688
- Or don't call her.
- I won't. I'm not playing.
204
00:11:52,858 --> 00:11:54,684
Get off me!
I'll kill you!
205
00:11:54,860 --> 00:11:56,318
I'll kill you!
206
00:11:56,528 --> 00:12:00,027
- Was he trying to hurt himself?
- No, he's freaked out.
207
00:12:00,198 --> 00:12:01,942
- On medication?
- Drugs!
208
00:12:02,159 --> 00:12:07,236
- Looks like PCP to me. What happened?
- He jumped out a third-story window.
209
00:12:07,456 --> 00:12:09,247
He didn't even feel it.
210
00:12:09,458 --> 00:12:11,866
He'll feel something soon.
Get out!
211
00:12:12,044 --> 00:12:15,045
- What are you doing?
- He needs to see this.
212
00:12:15,548 --> 00:12:16,579
Listen, we're trying to help.
213
00:12:16,799 --> 00:12:20,382
He's broken both legs, exposed bone.
214
00:12:20,553 --> 00:12:22,925
- Ever seen an open fracture?
- No.
215
00:12:23,139 --> 00:12:25,974
He's taching away.
Pulse is strong.
216
00:12:26,809 --> 00:12:29,727
Ten of Haldol, IM.
Get those restraints on.
217
00:12:30,188 --> 00:12:31,848
Get that out of here!
218
00:12:32,065 --> 00:12:34,936
- Please back up.
- No, this is too good.
219
00:12:35,151 --> 00:12:39,979
- Now!
- CBC, tox screen, UA and a myoglobin!
220
00:12:40,574 --> 00:12:42,862
- Haldol now!
- Restraints or Haldol?
221
00:12:43,076 --> 00:12:47,240
- I got it.
- Tetanus booster and a gram of Ancef!
222
00:12:47,414 --> 00:12:49,490
Okay, roll him.
223
00:12:49,708 --> 00:12:52,282
Give it in the thigh interior.
224
00:12:57,258 --> 00:12:58,800
- You okay?
- Yeah.
225
00:12:59,427 --> 00:13:02,214
Set me up for P.M. splints!
226
00:13:07,435 --> 00:13:11,599
- You've had Heptovax?
- Yes, but patients don't bite in OB.
227
00:13:11,814 --> 00:13:14,732
It's an occupational hazard down here.
228
00:13:15,151 --> 00:13:18,520
Serologies will be back tomorrow.
Don't sweat it.
229
00:13:18,738 --> 00:13:20,945
You're your own teaching case.
230
00:13:21,157 --> 00:13:24,242
Well, I expected the ER
to be different.
231
00:13:24,452 --> 00:13:26,825
Stop squirming and I'll get it in.
232
00:13:27,038 --> 00:13:29,364
- You're being rough.
- Stop whining.
233
00:13:29,541 --> 00:13:32,542
Be glad she's not putting in a Foley.
234
00:13:33,170 --> 00:13:38,295
Once you've been bitten by a raving
lunatic, you're ready to see patients.
235
00:13:38,509 --> 00:13:39,884
I don't know.
236
00:13:40,094 --> 00:13:43,842
Grab a chart.
And yell if you get into trouble.
237
00:13:44,473 --> 00:13:47,225
- Carol, keep an eye on her?
- Sure.
238
00:13:47,435 --> 00:13:49,344
Oh, and update her tetanus.
239
00:13:53,232 --> 00:13:57,147
Press on my hand like you're stepping
on the gas.
240
00:13:58,446 --> 00:14:01,732
That's good. Let's do the other foot.
241
00:14:03,785 --> 00:14:05,908
You do much driving, Darnel?
242
00:14:07,622 --> 00:14:08,998
Okay.
243
00:14:09,958 --> 00:14:13,659
Okay. Now I want you
to squeeze my hand.
244
00:14:13,879 --> 00:14:16,915
If you make me scream,
I'll give you a prize.
245
00:14:17,132 --> 00:14:20,418
- Give me a break.
- He speaks!
246
00:14:20,594 --> 00:14:24,758
Okay, come on. I wanna see
how the MD's affecting your body.
247
00:14:25,516 --> 00:14:29,596
Duchenne's muscular dystrophy
is a genetic disorder...
248
00:14:29,812 --> 00:14:33,395
...characterized by the wasting
of skeletal muscles.
249
00:14:34,066 --> 00:14:38,645
First you lose your legs,
then your arms, and then you die.
250
00:14:38,946 --> 00:14:41,437
That's how it's affecting my body.
251
00:14:47,956 --> 00:14:52,534
- Hold his head still.
- I'm sorry. He really hates hospitals.
252
00:14:52,752 --> 00:14:55,872
Don't be afraid.
We wanna make you better.
253
00:14:56,089 --> 00:14:59,921
He's good-natured,
considering what he's been through.
254
00:15:00,135 --> 00:15:01,962
What surgery has he had?
255
00:15:02,179 --> 00:15:05,844
A Nissen fundoplication
for gastroesophageal reflux.
256
00:15:06,058 --> 00:15:09,142
A hemicolectomy,
and a few laparotomies.
257
00:15:09,311 --> 00:15:11,434
- When was he vomiting?
- Today.
258
00:15:11,647 --> 00:15:13,474
Mucous membranes are moist.
259
00:15:13,649 --> 00:15:16,650
Did you feed him orally,
or in his G-tube?
260
00:15:16,819 --> 00:15:21,446
I gave him a little by mouth.
But not enough to induce this.
261
00:15:21,657 --> 00:15:25,323
I pray it's the flu.
But it may be a bowel obstruction.
262
00:15:25,661 --> 00:15:29,362
Abby, can you get this
foreign body ingestion?
263
00:15:29,582 --> 00:15:32,073
- Sure. Just a sec.
- Luka?
264
00:15:32,293 --> 00:15:34,500
Can I steal Abby? We're backed up.
265
00:15:34,712 --> 00:15:36,337
It's okay. Go ahead.
266
00:15:36,548 --> 00:15:38,873
So, what do you think it is?
267
00:15:39,259 --> 00:15:42,593
I'm not sure.
I'm gonna have to take some x-rays.
268
00:15:42,804 --> 00:15:48,143
Carol, can I get a weight
and a three-way abdominal series?
269
00:15:49,645 --> 00:15:52,017
- You dehydrated?
- How'd you guess?
270
00:15:52,189 --> 00:15:55,688
Jeremy Barnes. Abdominal cramping,
some diarrhea.
271
00:15:55,859 --> 00:15:58,351
A fever with a history
of a triple-A.
272
00:15:58,571 --> 00:16:01,655
- How are you feeling, sir?
- Lousy.
273
00:16:01,866 --> 00:16:05,531
- Any vomiting?
- No. I feel real nauseous.
274
00:16:05,745 --> 00:16:08,911
- When was your aneurysm repaired?
- A year ago.
275
00:16:09,123 --> 00:16:11,828
- Any complications?
- No complications.
276
00:16:12,043 --> 00:16:15,246
- I felt great until this.
- It's just the flu.
277
00:16:15,463 --> 00:16:17,871
- Thank you.
- You're welcome.
278
00:16:21,469 --> 00:16:25,088
Maybe he's telling the truth.
School can get rough.
279
00:16:25,307 --> 00:16:27,679
He has skin-popping abscesses.
280
00:16:27,893 --> 00:16:31,428
- You get a tox screen?
- It's negative. He's clean.
281
00:16:31,647 --> 00:16:35,063
- You can't be sure.
- What are you thinking?
282
00:16:35,275 --> 00:16:38,976
I don't know.
But maybe you can bluff it out of him.
283
00:16:39,738 --> 00:16:42,276
- You okay?
- Somebody stole my patient.
284
00:16:42,491 --> 00:16:47,034
- Peter, did you steal Lucy's patient?
- Check the lost and found.
285
00:16:47,246 --> 00:16:48,906
Dr. Benton?
286
00:16:49,081 --> 00:16:50,540
- Hi.
- Mrs. Fulton.
287
00:16:50,750 --> 00:16:55,791
I took Tia to surgery. The nurse said
she can't have her operation today?
288
00:16:56,255 --> 00:16:59,256
I tried to call you.
Please, have a seat.
289
00:16:59,884 --> 00:17:04,131
- There's no availability in the O.R.
- Dr. Ashcoff change his mind?
290
00:17:04,347 --> 00:17:07,265
No, no, no.
We just have to reschedule.
291
00:17:07,767 --> 00:17:12,429
Well, we came all the way down here.
We can wait.
292
00:17:13,231 --> 00:17:16,316
- Tia hasn't eaten in eight hours-
- We can't...
293
00:17:16,568 --> 00:17:18,193
...do it today. I'm sorry.
294
00:17:20,822 --> 00:17:23,610
I'm not gonna get them fixed?
295
00:17:24,034 --> 00:17:27,237
You've waited long.
A few more days won't hurt.
296
00:17:27,997 --> 00:17:31,496
Hold on a minute, honey.
Can we...?
297
00:17:33,461 --> 00:17:37,245
It has taken me months
to get Tia out of the house.
298
00:17:37,465 --> 00:17:41,213
I can't give her false hope.
If this isn't gonna happen...
299
00:17:41,552 --> 00:17:43,130
...you need to tell us.
300
00:17:44,722 --> 00:17:48,672
It's gonna happen.
I just need a little time.
301
00:17:50,353 --> 00:17:51,384
Thanks.
302
00:17:55,775 --> 00:17:59,061
Mr. Barnes needs Compazine,
run saline through...
303
00:17:59,279 --> 00:18:01,521
...and check his electrolytes.
304
00:18:01,990 --> 00:18:04,362
Can't you get a nurse to do that?
305
00:18:04,576 --> 00:18:07,067
- You used to be one.
- I'm not now.
306
00:18:07,287 --> 00:18:09,161
You're here to learn.
307
00:18:09,373 --> 00:18:14,616
This is an opportunity to learn how to
check his stool for fecal leukocytes.
308
00:18:14,837 --> 00:18:16,461
Thanks.
309
00:18:18,549 --> 00:18:20,506
- What's his pulse ox?
-82.
310
00:18:20,718 --> 00:18:23,553
- And how much oxygen is he on?
-10 liters.
311
00:18:26,182 --> 00:18:29,266
The flu is making it difficult
to breathe.
312
00:18:32,480 --> 00:18:35,647
It ain't just the flu.
313
00:18:37,026 --> 00:18:40,360
No. You also have
congestive heart failure.
314
00:18:40,530 --> 00:18:42,902
A tube will help you breathe.
315
00:18:43,366 --> 00:18:46,071
No. Thank you.
316
00:18:47,704 --> 00:18:52,082
- Do you have someone we can call?
- No.
317
00:18:52,292 --> 00:18:56,586
All my friends is homeless.
No phones.
318
00:18:57,464 --> 00:19:00,252
- Any family?
- No.
319
00:19:01,719 --> 00:19:05,966
Okay. I really think you need
to go on a ventilator.
320
00:19:06,182 --> 00:19:09,551
No. Thank you.
321
00:19:11,354 --> 00:19:15,897
I always hoped I might die
in a warm bed...
322
00:19:16,567 --> 00:19:21,360
...with clean sheets,
if it's all the same to you.
323
00:19:27,913 --> 00:19:30,748
X- rays show nonspecific
bowel gas pattern.
324
00:19:30,957 --> 00:19:33,531
- So, it's not another adhesion?
- Right.
325
00:19:33,752 --> 00:19:38,129
Blood gas is back. PH is 7.38.
PCO-2 is 30.
326
00:19:38,340 --> 00:19:40,582
Is it respiratory alkalosis?
327
00:19:40,801 --> 00:19:44,252
Partly. But also an acidosis.
It's complicated.
328
00:19:44,430 --> 00:19:48,759
- Are you a nurse?
- No. I've read every book on chalazia.
329
00:19:48,934 --> 00:19:51,935
- Did they do an upper GI?
- Six months ago.
330
00:19:52,146 --> 00:19:57,104
They thought he had a gastric outlet
blockage. You're not gonna do that?
331
00:19:57,318 --> 00:20:00,272
- It'll rule out an obstruction.
- No, please.
332
00:20:00,488 --> 00:20:04,616
They put an NG tube up his nose.
He wouldn't stop crying.
333
00:20:04,826 --> 00:20:07,115
I know he's been through a lot.
334
00:20:07,287 --> 00:20:11,498
He has a metabolic disorder.
We have to find out why he's sick.
335
00:20:11,833 --> 00:20:15,249
I will be as gentle as possible.
Okay?
336
00:20:15,462 --> 00:20:16,956
Okay.
337
00:20:17,255 --> 00:20:18,798
I'll be back.
338
00:20:23,262 --> 00:20:26,132
- What?
- You tell me.
339
00:20:27,266 --> 00:20:28,808
Nothing.
340
00:20:29,351 --> 00:20:31,640
We tested your blood, Marty.
341
00:20:32,104 --> 00:20:33,978
Yeah? So?
342
00:20:34,148 --> 00:20:37,980
- Where do you get the dirty needles?
- What do you mean?
343
00:20:38,277 --> 00:20:39,985
Marty, I know.
344
00:20:43,366 --> 00:20:46,817
You can't tell my dad. Please.
He won't understand.
345
00:20:47,036 --> 00:20:50,156
You can't use dirty needles.
You're infected...
346
00:20:50,373 --> 00:20:52,864
...and if you share,
you could get HIV.
347
00:20:53,084 --> 00:20:57,663
Don't worry. I stole them from my
grandmother. She's got diabetes.
348
00:20:57,839 --> 00:21:01,754
- Why do you do it?
- Kids with crooked teeth get braces.
349
00:21:01,968 --> 00:21:07,211
My mom got laser surgery on her eyes.
Why can't I use hormones?
350
00:21:07,474 --> 00:21:10,428
- For what?
- To grow taller.
351
00:21:12,020 --> 00:21:16,848
You're injecting human growth hormone?
Where do you get it?
352
00:21:17,067 --> 00:21:21,528
- It's not illegal.
- Where do you get it, Marty?
353
00:21:24,033 --> 00:21:27,817
- Off the Internet.
- Then you don't know what's in it.
354
00:21:28,037 --> 00:21:31,453
Do you know the health risks
you've been exposed to?
355
00:21:31,666 --> 00:21:34,204
It can't be worse than being beat up.
356
00:21:34,419 --> 00:21:38,547
Even that stupid kid
in the wheelchair picks on me.
357
00:21:39,340 --> 00:21:41,796
If you can get me the real stuff, I-
358
00:21:42,010 --> 00:21:46,589
Hormone therapy is not
for healthy adolescents.
359
00:21:46,890 --> 00:21:48,681
Well, I'm not healthy.
360
00:21:48,892 --> 00:21:52,937
I go to school every day knowing
that I'm gonna be beat up...
361
00:21:53,146 --> 00:21:58,141
...or shoved into a locker,
or dragged into the girls' shower room.
362
00:21:58,736 --> 00:22:03,481
Do you know how embarrassing it is
to be stuffed inside a trash can...
363
00:22:03,699 --> 00:22:06,819
...while the whole cafeteria's
laughing at you?
364
00:22:09,538 --> 00:22:12,076
Hormones aren't going to help that.
365
00:22:12,500 --> 00:22:16,249
Yeah? Well, being bigger will.
366
00:22:23,928 --> 00:22:25,636
- Hey.
- Hi.
367
00:22:28,433 --> 00:22:30,924
- You okay?
- Yeah.
368
00:22:31,102 --> 00:22:33,890
- Have you seen the Cetacaine?
- No.
369
00:22:34,106 --> 00:22:37,605
- We always keep it on this counter.
- Sorry.
370
00:22:38,151 --> 00:22:41,900
Carol? Are you uncomfortable
with my being here?
371
00:22:42,448 --> 00:22:43,527
Why would I be?
372
00:22:44,158 --> 00:22:49,069
It's hard for nurses when nurses go
to med school. I switched teams.
373
00:22:49,371 --> 00:22:50,570
I'm gonna be sick.
374
00:22:50,790 --> 00:22:53,993
Actually, I almost went
to med school myself.
375
00:22:54,502 --> 00:22:57,289
- Is it something else?
- It's just stupid.
376
00:22:58,089 --> 00:22:59,120
Oh, my God!
377
00:22:59,340 --> 00:23:03,124
- Have you had an ulcer?
- What's wrong with him?
378
00:23:03,344 --> 00:23:05,752
I don't know. I'll get a doctor.
379
00:23:05,972 --> 00:23:08,641
- I need a Yankauer.
- Top drawer.
380
00:23:09,142 --> 00:23:10,173
Peter!
381
00:23:14,272 --> 00:23:17,226
I'm gonna start a line.
Check his BP.
382
00:23:17,818 --> 00:23:20,605
He just started vomiting
bright red blood.
383
00:23:20,821 --> 00:23:23,656
- What's the history?
- Looks like triple-A.
384
00:23:23,865 --> 00:23:25,443
- Ulcer, I think.
- Think?
385
00:23:25,659 --> 00:23:29,075
- He's not my patient.
- Okay, here we go.
386
00:23:29,288 --> 00:23:32,871
Set me up for a central line.
Squeeze in two liters.
387
00:23:33,083 --> 00:23:35,753
Get me four units O-neg.
388
00:23:35,961 --> 00:23:38,417
- What's wrong?
- Bleeding through his GI.
389
00:23:38,631 --> 00:23:40,505
- Call the O.R.
- What happened?
390
00:23:40,675 --> 00:23:43,629
- Aorto-enteric fistula.
- Should we take him?
391
00:23:43,845 --> 00:23:46,051
- Just tube him.
-80 ET.
392
00:23:46,264 --> 00:23:47,675
- Damn it!
- Now!
393
00:23:47,849 --> 00:23:50,885
- Why is he here?
- Corday said it was the flu.
394
00:23:51,102 --> 00:23:55,598
- His pulse is weak. BP's 50 palp.
- We need to stop the bleeding.
395
00:23:55,815 --> 00:23:57,393
- What's your name?
- Abby.
396
00:23:57,609 --> 00:24:00,563
- Can you sew this?
- Yes. A suture?
397
00:24:00,779 --> 00:24:03,352
As long as it doesn't pull away.
398
00:24:03,532 --> 00:24:06,533
- Prep him for a lap.
- You can't do one here-
399
00:24:06,743 --> 00:24:08,653
No choice. Scalpel!
400
00:24:08,870 --> 00:24:14,209
I'll make a small midline incision,
and clamp below the diaphragm.
401
00:24:14,710 --> 00:24:16,038
- Got that?
- Almost.
402
00:24:16,211 --> 00:24:18,169
All right. Let's go.
403
00:24:21,884 --> 00:24:24,553
- Pressure's at 90.
- This should hold him.
404
00:24:24,720 --> 00:24:26,049
Tell the O.R. we're coming.
405
00:24:26,222 --> 00:24:30,136
- Two units of O-neg in.
- Operating in the ER, Peter?
406
00:24:30,351 --> 00:24:34,016
- He had an aortal-enteric fistula.
- Why isn't he in surgery?
407
00:24:34,230 --> 00:24:37,564
- He had flu symptoms.
- Look like the flu, Malatucci?
408
00:24:37,734 --> 00:24:42,396
- Malucci. No. But Dr. Benton-
- Save it for the disciplinary hearing.
409
00:24:42,614 --> 00:24:46,825
Let's get him to O.R. before you
use the rest of our blood supply.
410
00:24:47,828 --> 00:24:50,745
You got to admit,
that was pretty cool.
411
00:24:57,379 --> 00:25:00,629
- Can I go home now?
- Not just yet.
412
00:25:00,841 --> 00:25:04,008
- I want you to try something first.
- What?
413
00:25:04,428 --> 00:25:07,513
- Computer.
- I've seen one or two.
414
00:25:07,723 --> 00:25:12,765
Maybe the MD's affecting your motor
skills and causing trouble at school.
415
00:25:12,979 --> 00:25:16,597
- Wrong.
- You can keep up with other kids.
416
00:25:16,941 --> 00:25:19,230
The school is full of losers.
417
00:25:19,736 --> 00:25:22,653
Oh, well.
Come on, just give it a try.
418
00:25:25,533 --> 00:25:27,241
Oops!
419
00:25:27,786 --> 00:25:29,909
- Feel better?
- A little.
420
00:25:30,121 --> 00:25:33,573
- Want to smash something else?
- Maybe.
421
00:25:38,088 --> 00:25:40,164
Is that the best you can do?
422
00:25:50,518 --> 00:25:51,846
Here.
423
00:25:52,853 --> 00:25:53,968
Yeah, that's it.
424
00:25:54,855 --> 00:25:56,314
That's it.
425
00:26:03,197 --> 00:26:05,356
Let me see you write your name.
426
00:26:12,373 --> 00:26:15,375
- What are you doing?
- I'm trying to help.
427
00:26:17,462 --> 00:26:21,709
I'm tired of people trying
to help me all the time.
428
00:26:22,259 --> 00:26:24,928
People try to help too much sometimes?
429
00:26:28,807 --> 00:26:33,683
I don't need to be pushed around.
I don't need to have my food cut.
430
00:26:34,647 --> 00:26:38,775
I don't need my mom to give me
a freaking bath all the time.
431
00:26:41,320 --> 00:26:43,277
I'm not a baby.
432
00:26:46,117 --> 00:26:51,456
No, you're not.
I'm gonna go talk to your mother.
433
00:26:51,664 --> 00:26:55,033
- Why don't you clean this up?
- Me?
434
00:26:55,251 --> 00:26:58,667
You helped me make the mess.
You help me clean it.
435
00:26:58,838 --> 00:27:00,001
Okay.
436
00:27:04,928 --> 00:27:07,763
- It's okay, honey.
- There. No more.
437
00:27:07,973 --> 00:27:11,140
- Luka, I need to talk to you.
- Hold on.
438
00:27:11,351 --> 00:27:12,894
It'll take a second.
439
00:27:13,103 --> 00:27:17,516
Okay. I'll be right back.
Good boy. Good boy.
440
00:27:17,691 --> 00:27:19,518
Yeah. Good boy, honey.
441
00:27:22,196 --> 00:27:24,983
I tried contacting his pediatrician.
442
00:27:25,199 --> 00:27:29,861
He doesn't have one, which seemed
weird to me for a kid this sick.
443
00:27:30,079 --> 00:27:35,037
I called Northwestern, Rush, Mercy.
He's been admitted to all three ERs.
444
00:27:35,251 --> 00:27:39,712
- Several times, multiple admissions.
- I know. I've seen the scars.
445
00:27:40,089 --> 00:27:43,256
He needed surgery once
for his fundoplication.
446
00:27:43,468 --> 00:27:46,303
All the rest
were exploratory procedures.
447
00:27:46,554 --> 00:27:50,884
He has a metabolic disorder
and is at high risk for obstruction.
448
00:27:51,059 --> 00:27:53,930
Nobody has documented anything.
449
00:27:54,146 --> 00:27:56,981
I know.
But something's making him sick.
450
00:27:57,190 --> 00:28:00,310
- You thought about the mother?
- What about her?
451
00:28:00,861 --> 00:28:03,696
Maybe she's inducing his symptoms.
452
00:28:03,906 --> 00:28:07,156
She wants to find out
what's wrong with him.
453
00:28:07,451 --> 00:28:11,496
- Maybe she likes the attention.
- She'd hurt her child?
454
00:28:11,831 --> 00:28:15,330
- I've seen parents do it before.
- Okay. How?
455
00:28:15,543 --> 00:28:18,994
- I don't know.
- You can't say this without proof.
456
00:28:19,255 --> 00:28:22,754
What if his upper GI is negative?
CT shows nothing?
457
00:28:22,967 --> 00:28:25,589
Are you gonna admit him for surgery?
458
00:28:26,137 --> 00:28:30,087
I just started the work-up.
Let me figure it out.
459
00:28:30,558 --> 00:28:33,643
- Would you just consider it?
- Yeah.
460
00:28:33,853 --> 00:28:35,645
Okay.
461
00:28:36,648 --> 00:28:39,982
- He's fine.
- He's being abused by his classmates.
462
00:28:40,193 --> 00:28:42,482
- He has to fight back.
- That's not a solution.
463
00:28:42,696 --> 00:28:46,279
Look, Dr. Finch, my son's short.
So what?
464
00:28:46,492 --> 00:28:49,161
I'm short. And, yeah, I got picked on.
465
00:28:49,370 --> 00:28:51,030
I dealt with it. So will he.
466
00:28:51,247 --> 00:28:53,951
By injecting himself
with God knows what?
467
00:28:54,166 --> 00:28:57,001
That won't happen again.
I can assure you.
468
00:28:57,211 --> 00:29:00,082
Dr. Finch, Marty spiked
a fever of 103.
469
00:29:00,298 --> 00:29:02,670
- How are you feeling?
- Crummy.
470
00:29:02,884 --> 00:29:05,291
What do you expect?
471
00:29:05,511 --> 00:29:08,715
- Have you had a fever recently?
- He had the flu.
472
00:29:08,932 --> 00:29:11,090
There's a pansystolic murmur.
473
00:29:11,309 --> 00:29:13,467
- What?
- Has he had a heart murmur?
474
00:29:13,686 --> 00:29:16,356
- No.
- He's got splinter hemorrhages.
475
00:29:16,564 --> 00:29:19,056
- What's going on?
- Get blood cultures...
476
00:29:19,276 --> 00:29:20,556
...pentox and gent.
477
00:29:20,777 --> 00:29:24,692
- Order a cardiac echo.
- Something's wrong with my heart?
478
00:29:24,906 --> 00:29:28,489
The needle may have put bacteria
into your blood...
479
00:29:28,702 --> 00:29:31,240
...causing an infection
of your heart.
480
00:29:32,331 --> 00:29:35,248
Mr. Spencer? I'm Abby Lockheart.
481
00:29:35,459 --> 00:29:38,246
- I need a private room.
- We don't have any.
482
00:29:38,462 --> 00:29:42,246
With this flu epidemic,
this place is a big petri dish.
483
00:29:42,466 --> 00:29:46,678
- Take a deep breath?
- What if somebody comes in with TB?
484
00:29:46,888 --> 00:29:49,639
- What's the problem?
- My pulse is thready.
485
00:29:49,849 --> 00:29:54,061
- Really?
- My chest feels tight. I'm fatigued.
486
00:29:54,270 --> 00:29:57,604
My head's pounding
and I can barely hear anything.
487
00:29:57,816 --> 00:30:01,185
- Do your stools glow in the dark?
- What?
488
00:30:01,361 --> 00:30:04,196
- Your ears are full of wax.
- Oh, man!
489
00:30:04,406 --> 00:30:08,190
You can get that
from food additives or toxins.
490
00:30:08,368 --> 00:30:10,444
- I can clean them out.
- How?
491
00:30:10,662 --> 00:30:14,660
- I never put anything in my ears.
- We use a drill.
492
00:30:14,875 --> 00:30:18,624
- A drill?
- I'm kidding. I use peroxide.
493
00:30:19,630 --> 00:30:24,969
- Mrs. Brant? Radiology is ready.
- Okay. Okay. Here we go, sweetie.
494
00:30:25,177 --> 00:30:29,720
- I think I need an EKG.
- Carol, where's the EKG machine?
495
00:30:29,932 --> 00:30:32,221
Try Trauma.
Need me to draw labs?
496
00:30:32,393 --> 00:30:33,674
No. I got it.
497
00:30:33,895 --> 00:30:36,849
- We can wheel him out.
- I'd rather carry him.
498
00:30:37,065 --> 00:30:38,891
Okay. Sure.
499
00:30:39,108 --> 00:30:41,231
I'm still on shift downstairs.
500
00:30:41,402 --> 00:30:45,400
Should've considered that
before turning the ER into O.R.
501
00:30:45,615 --> 00:30:48,818
- I'm not doing-
- It won't kill you to observe!
502
00:30:49,035 --> 00:30:52,736
You still need to learn.
Somebody turn down the heat!
503
00:30:52,956 --> 00:30:55,661
- It's 68 degrees.
- Maybe it's the flu.
504
00:30:55,876 --> 00:30:58,248
- I don't get sick.
- Is it the change?
505
00:31:00,088 --> 00:31:02,626
- DeBakey clamp.
- I can finish up.
506
00:31:02,841 --> 00:31:05,759
I would like you to shut up...
507
00:31:05,970 --> 00:31:08,757
...while I save this man's life.
Suction.
508
00:31:10,266 --> 00:31:12,139
What did you find?
509
00:31:12,351 --> 00:31:16,681
- The study was negative.
- So, what do we do now?
510
00:31:16,897 --> 00:31:20,598
- We should do a CT scan.
- What about endoscopy?
511
00:31:22,987 --> 00:31:28,029
I don't want to put your son through
an unnecessary invasive procedure.
512
00:31:28,243 --> 00:31:32,157
I feel we're wasting time.
Shouldn't a surgeon see him?
513
00:31:33,123 --> 00:31:35,032
After the scan.
514
00:31:43,717 --> 00:31:48,130
- Sat's down to 78.
- Put him on 100% nonrebreather mask.
515
00:31:48,430 --> 00:31:52,475
Anything else I can do
to make you more comfortable?
516
00:31:53,644 --> 00:31:55,969
My lunch box.
517
00:32:01,027 --> 00:32:02,437
This?
518
00:32:05,698 --> 00:32:10,076
There's $118 in there.
519
00:32:10,745 --> 00:32:15,241
- Give it to my friends.
- Do you want it to go to a shelter?
520
00:32:17,252 --> 00:32:20,585
No. Just throw it off the roof.
521
00:32:21,464 --> 00:32:25,758
- Throw the money off the roof?
- Yeah. They'll find it.
522
00:32:30,098 --> 00:32:34,227
- Conner's GI series was negative.
- You seem surprised.
523
00:32:34,436 --> 00:32:37,852
I was hoping
to find something wrong with him.
524
00:32:38,065 --> 00:32:42,727
She wants an endoscopy. She was
disappointed when I wanted to wait.
525
00:32:42,945 --> 00:32:45,519
And I think you might be right.
526
00:32:46,866 --> 00:32:50,116
- Is this gonna hurt?
- No. It's just peroxide.
527
00:32:50,328 --> 00:32:53,412
- You might feel a few bubbles.
- Bubbles?
528
00:32:53,623 --> 00:32:58,201
- What if they get into my blood?
- That won't happen. I'll be back.
529
00:32:58,378 --> 00:33:00,869
- What about my chest?
- EKG was normal.
530
00:33:01,047 --> 00:33:04,250
Maybe I should have a stress echo.
531
00:33:04,467 --> 00:33:05,926
That's not necessary.
532
00:33:06,136 --> 00:33:09,339
What is the sense
of sophisticated technology...
533
00:33:09,556 --> 00:33:13,221
...if you die before you
get a chance to use it? Hey!
534
00:33:14,019 --> 00:33:16,937
- Sorry about that.
- That's okay.
535
00:33:17,314 --> 00:33:21,561
- How's he doing?
- Well, not so good.
536
00:33:21,735 --> 00:33:25,021
Lots of tests
and they don't know what's wrong.
537
00:33:25,239 --> 00:33:29,735
- I'm sure Dr. Kovac is being-
- Did he call for a surgical consult?
538
00:33:29,952 --> 00:33:32,657
- I don't know. I could check.
- Would you?
539
00:33:32,872 --> 00:33:34,070
Sure.
540
00:33:37,668 --> 00:33:41,916
Another 30 Prolene.
Get that rake out of my way, please.
541
00:33:42,090 --> 00:33:43,632
Oh, man!
542
00:33:43,841 --> 00:33:45,585
- Sure you're okay?
- Yes.
543
00:33:45,760 --> 00:33:48,595
You're over-sewing
the duodenal defect.
544
00:33:48,805 --> 00:33:53,266
There's no substitute for precision.
Lizzie, joining the party?
545
00:33:53,435 --> 00:33:56,970
- Mr. Barnes eroded his aortic graft.
- Is he a friend?
546
00:33:57,189 --> 00:34:00,225
I thought he had gastroenteritis.
547
00:34:00,442 --> 00:34:02,233
Peter didn't mention that.
548
00:34:02,444 --> 00:34:06,738
How valiant of you to not
rat Lizzie out on her gross oversight.
549
00:34:06,949 --> 00:34:11,112
- How's he doing?
- Fine. Now that he's been diagnosed.
550
00:34:11,537 --> 00:34:13,364
Lizzie, scrub in.
551
00:34:13,873 --> 00:34:16,115
- I'm off.
- You're not anymore.
552
00:34:16,792 --> 00:34:20,458
I'm gonna dissect the small bowel
off the aorta now.
553
00:34:20,630 --> 00:34:23,547
- You should use a Metz.
- I'd quit while-
554
00:34:23,758 --> 00:34:25,715
- Damn it!
- Robert?
555
00:34:25,927 --> 00:34:27,670
I'm fine...
556
00:34:28,513 --> 00:34:30,090
Robert?
557
00:34:30,640 --> 00:34:31,755
He's burning up!
558
00:34:31,975 --> 00:34:33,932
Let's get Metz and pick-up.
559
00:34:34,144 --> 00:34:36,849
Get a gurney!
He's got a weak pulse!
560
00:34:37,063 --> 00:34:40,729
Suction. 30 Prolene. Let's get ready.
561
00:34:48,700 --> 00:34:50,907
Not afraid you'll catch cold?
562
00:34:51,120 --> 00:34:54,405
No. They're not stacking up again,
are they?
563
00:34:54,623 --> 00:34:58,491
It's over. Figure out
what was wrong with that kid?
564
00:34:58,669 --> 00:35:02,667
Got tired of being short.
Injected himself with hormones.
565
00:35:02,882 --> 00:35:06,880
- Why didn't I think of that?
- Vegetations on his valve.
566
00:35:07,094 --> 00:35:08,589
Endocarditis?
567
00:35:08,805 --> 00:35:11,212
He used Grandma's insulin needles.
568
00:35:11,432 --> 00:35:15,513
- What did Cardiology say?
- They put him on antibiotics.
569
00:35:15,812 --> 00:35:18,896
Hopefully, he won't need surgery.
570
00:35:19,524 --> 00:35:22,691
- All of that for a couple of inches.
- Yep.
571
00:35:23,778 --> 00:35:27,693
- You're releasing too early.
- Why don't you show me?
572
00:35:27,866 --> 00:35:31,069
- You don't want any of this.
- I don't?
573
00:35:31,912 --> 00:35:34,747
Okay. Show me what you got.
574
00:35:39,086 --> 00:35:41,957
- What is it?
- His stomach is distended!
575
00:35:42,172 --> 00:35:45,873
- Get me a syringe.
- I told you to call a surgeon!
576
00:35:46,093 --> 00:35:49,297
- What? What are you doing?
- Hold on.
577
00:35:50,264 --> 00:35:52,221
What's that? Is he bleeding?
578
00:35:52,391 --> 00:35:56,639
No. Indicator mixed with saline.
Turns red in the stomach acid.
579
00:35:56,854 --> 00:35:58,847
What are you talking about?
580
00:35:59,566 --> 00:36:04,904
That's not mine. That belongs to the
doctor or nurse, she left it here.
581
00:36:05,238 --> 00:36:09,568
Actually, we had her leave it.
It's not peroxide. It's saline.
582
00:36:09,784 --> 00:36:12,240
- What are you talking about?
- You know.
583
00:36:12,454 --> 00:36:15,075
You've been poisoning him.
Security-
584
00:36:15,290 --> 00:36:19,158
Stop! I didn't give you permission.
We are leaving!
585
00:36:19,461 --> 00:36:21,121
I'm afraid you are not.
586
00:36:21,338 --> 00:36:22,998
I can't allow this.
587
00:36:24,049 --> 00:36:27,584
I love Conner. I would never hurt him.
588
00:36:28,470 --> 00:36:30,843
Mrs. Brant, you need help.
589
00:36:34,060 --> 00:36:35,886
Sweetie, it's okay.
590
00:36:36,103 --> 00:36:37,977
It's okay, sweetie.
591
00:36:38,648 --> 00:36:42,598
They're not gonna hurt you.
Mommy has you.
592
00:36:42,777 --> 00:36:47,024
Mommy has you. It's okay.
593
00:36:47,407 --> 00:36:50,906
Call Transport.
Mr. Clayton has to go to the morgue.
594
00:36:51,119 --> 00:36:55,947
- That old guy died? From the flu?
- Put him into respiratory failure.
595
00:36:56,124 --> 00:36:58,449
I should've gotten that flu shot.
596
00:37:00,796 --> 00:37:03,916
- Someone give you a tip?
- He had a daughter.
597
00:37:04,132 --> 00:37:07,003
- Who?
- He told me he had no family.
598
00:37:07,219 --> 00:37:10,635
- You're the executor of his estate?
- Yeah.
599
00:37:11,348 --> 00:37:12,759
- Hey, Abby.
- Hey.
600
00:37:12,975 --> 00:37:16,593
Residents have to take students out
for a drink.
601
00:37:16,812 --> 00:37:20,016
- Thought you were sick.
- You could nurse me...
602
00:37:20,232 --> 00:37:24,147
Whoa! Wow! You look-
603
00:37:24,362 --> 00:37:26,651
Wow! You know-
604
00:37:26,823 --> 00:37:30,108
- Did you have a hot date?
- Maybe.
605
00:37:32,245 --> 00:37:34,950
- You're drooling on my chart.
- Sorry.
606
00:37:35,165 --> 00:37:38,700
So, yeah. How about that drink?
607
00:37:38,919 --> 00:37:40,496
You're kidding, right?
608
00:37:46,051 --> 00:37:49,171
- How's he doing?
- He has a kidney stone.
609
00:37:49,388 --> 00:37:53,516
- You're kidding.
- Not big enough. He won't need surgery.
610
00:37:53,684 --> 00:37:56,009
That can't be a lot of fun.
611
00:37:56,228 --> 00:37:59,431
Thanks for covering for me.
I appreciate it.
612
00:37:59,857 --> 00:38:03,558
- Anybody could've missed it.
- My mind was elsewhere.
613
00:38:05,529 --> 00:38:09,195
- So, you're going in to gloat?
- Oh, yeah.
614
00:38:10,952 --> 00:38:13,110
I wouldn't take glee in this.
615
00:38:13,329 --> 00:38:17,541
I just came to tell you
that Mr. Barnes is stable in Recovery.
616
00:38:17,750 --> 00:38:19,873
Good thing I was observing.
617
00:38:20,086 --> 00:38:22,708
This means I owe you something.
618
00:38:22,922 --> 00:38:27,335
- I'll settle for a thank you.
- How very gracious. Thank you.
619
00:38:27,552 --> 00:38:30,719
And the O.R. time
for the girl's surgery.
620
00:38:30,931 --> 00:38:34,216
You finished and closed for me.
Big deal.
621
00:38:34,393 --> 00:38:36,848
How can you be against this?
622
00:38:37,062 --> 00:38:39,304
This is my job.
623
00:38:40,941 --> 00:38:44,986
If I do favors for you,
I have to do them for everybody.
624
00:38:46,238 --> 00:38:50,022
Which is why we never
had this conversation.
625
00:38:53,704 --> 00:38:58,082
- That means I can have the O.R.?
- I don't want to know about it.
626
00:38:59,335 --> 00:39:03,997
- Good luck with that. Thank you.
- You're welcome, Peter.
627
00:39:06,634 --> 00:39:09,172
Abby, thanks for helping back there.
628
00:39:09,387 --> 00:39:12,756
- She poured it down his G-tube?
- Yeah.
629
00:39:12,933 --> 00:39:15,803
- Ever part of a sting operation?
- No.
630
00:39:16,019 --> 00:39:17,727
Welcome to the ER.
631
00:39:17,938 --> 00:39:19,598
Is Spencer your patient?
632
00:39:19,815 --> 00:39:22,567
- Yeah.
- He's having a heart attack.
633
00:39:22,734 --> 00:39:23,766
What?
634
00:39:23,944 --> 00:39:25,984
Start him on dopamine.
635
00:39:26,196 --> 00:39:28,569
- What happened?
- He your patient?
636
00:39:28,782 --> 00:39:31,108
- Did you give him medication?
- No.
637
00:39:31,285 --> 00:39:32,945
BP, 70 palp.
638
00:39:33,162 --> 00:39:36,578
- He complain of chest pains?
- His EKG was normal.
639
00:39:36,791 --> 00:39:39,911
Not anymore. He's having an acute Ml.
640
00:39:40,127 --> 00:39:41,954
No cardiac risk factor.
641
00:39:42,171 --> 00:39:47,166
- HemoCue is six.
- He needs nitroglycerin and a drip.
642
00:39:47,385 --> 00:39:50,137
- I'll start a second line.
- V-tach.
643
00:39:50,346 --> 00:39:53,798
- Charge to 100.
- Synch cardioversion.
644
00:39:54,476 --> 00:39:57,761
Chuny can get that. Take those.
He's your patient.
645
00:39:58,939 --> 00:40:00,314
Clear.
646
00:40:05,028 --> 00:40:07,436
- Elizabeth.
- Hello, Mother.
647
00:40:07,656 --> 00:40:10,990
- What are you doing here?
- I live here, remember?
648
00:40:11,201 --> 00:40:15,151
Yes. I meant to call you.
I just got in last week.
649
00:40:15,372 --> 00:40:19,204
- Elizabeth, save me the pouty face.
- I'm not pouting.
650
00:40:19,418 --> 00:40:22,503
I can't believe you didn't call me.
651
00:40:22,713 --> 00:40:26,711
Yes. Well, I'm here now.
And freezing.
652
00:40:26,926 --> 00:40:30,971
If we're gonna talk,
could we find somewhere warm?
653
00:40:31,180 --> 00:40:36,341
Preferably where they serve alcohol.
Or have the Americans banned that?
654
00:40:36,728 --> 00:40:39,599
Anyone ever tell you
white men can't jump?
655
00:40:39,814 --> 00:40:42,352
- That was a foul.
- You tripped.
656
00:40:42,567 --> 00:40:44,690
- You hip-checked me.
- Dr. Greene?
657
00:40:45,487 --> 00:40:48,192
- What?
- You said call if I had trouble.
658
00:40:48,365 --> 00:40:49,989
Yeah.
659
00:40:50,367 --> 00:40:52,692
Well...
660
00:40:55,330 --> 00:40:58,415
He's a hypochondriac.
His tests were normal.
661
00:40:58,626 --> 00:41:03,169
Mls don't always present symptoms.
You didn't get a blood count.
662
00:41:03,380 --> 00:41:08,588
White count was 1800.
Crit was only 18. What does that mean?
663
00:41:08,803 --> 00:41:10,511
- Aplastic anemia.
- Bingo.
664
00:41:10,721 --> 00:41:13,841
Decreased oxygen-carrying capacity
is a risk.
665
00:41:14,058 --> 00:41:18,851
Hematology is gonna want
to do a bone marrow biopsy.
666
00:41:19,063 --> 00:41:20,973
- I'm sorry.
- No, I'm sorry.
667
00:41:21,191 --> 00:41:23,563
I should've protected you more.
668
00:41:23,777 --> 00:41:28,071
You gotta think like a doctor.
You don't have to do it all.
669
00:41:28,281 --> 00:41:33,524
Make sure the nurses order your labs.
They have a standing order on CBCs.
670
00:41:33,745 --> 00:41:35,537
- See you tomorrow.
- Okay.
671
00:41:38,667 --> 00:41:43,210
I don't know how you keep your
complexion here. Nothing but wind.
672
00:41:43,422 --> 00:41:46,506
- I don't work in construction.
- That's right.
673
00:41:46,717 --> 00:41:51,379
You cut people up like your father.
How is Charles?
674
00:41:51,597 --> 00:41:55,642
Happy. We had a lovely time
when he was in town last.
675
00:41:55,852 --> 00:41:59,766
- You know, Daddy stays at my place.
- How delightful!
676
00:42:00,440 --> 00:42:04,140
- Would you like to stay with me?
- Whatever for?
677
00:42:05,195 --> 00:42:09,442
I have a spare room and I haven't
seen you in three years.
678
00:42:09,616 --> 00:42:13,827
- That's not my fault.
- I'd like you to come and stay.
679
00:42:15,747 --> 00:42:20,208
- All right. I agree.
- I'm honored.
680
00:42:21,920 --> 00:42:26,463
- You look well. You must have a man.
- Do I need a man to look well?
681
00:42:27,301 --> 00:42:31,299
It helps. So, have you?
682
00:42:31,639 --> 00:42:34,343
- Yes.
- I suppose he is a doctor.
683
00:42:35,017 --> 00:42:40,308
Actually, yes. His name is Mark.
And he is lovely.
684
00:42:43,067 --> 00:42:45,143
Come on, chicken!
685
00:42:45,361 --> 00:42:48,315
- We never finished.
- You were down by eight.
686
00:42:48,489 --> 00:42:50,981
- I was pacing myself.
- Good night.
687
00:42:51,201 --> 00:42:52,611
Quitter.
688
00:42:53,703 --> 00:42:55,910
All right. Bring it on.
689
00:43:03,088 --> 00:43:06,504
Good night, Mark. Nice hat.
690
00:43:09,845 --> 00:43:11,968
- Hi.
- Hi.
691
00:43:12,181 --> 00:43:15,217
- You're the new med student?
- Abby Lockheart.
692
00:43:15,434 --> 00:43:17,142
- Lucy.
- Nice to meet you.
693
00:43:17,353 --> 00:43:22,692
- How was your first day?
- I haven't had one of these in years.
694
00:43:23,109 --> 00:43:26,809
- What happened?
- It's more like what didn't happen?
695
00:43:27,154 --> 00:43:32,493
I used to work in OB.
Up there, I would deliver a baby...
696
00:43:32,702 --> 00:43:36,036
...and I would deliver a baby.
697
00:43:36,206 --> 00:43:39,788
And today, I was puked on,
spit at, bit...
698
00:43:40,794 --> 00:43:43,914
And then I tricked a psychotic woman.
699
00:43:44,130 --> 00:43:48,709
- And then I almost killed a guy.
- That sounds about right.
700
00:43:48,885 --> 00:43:52,005
Fortunately, in the ER,
"almost" doesn't count.
701
00:43:54,600 --> 00:43:57,601
- What are you doing?
- Patient's last request.
702
00:43:58,103 --> 00:44:00,725
Toss some. You might feel better.
703
00:44:01,732 --> 00:44:04,677
- Do you have to say a prayer?
- I don't think so.
704
00:44:26,190 --> 00:44:29,244
Subtitles by SDI Media Group
705
00:44:29,245 --> 00:44:30,245
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9999
00:00:0,500 --> 00:00:2,00
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