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1
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E. R.
2
00:00:04,991 --> 00:00:06,029
Previously in E. R.
3
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I don't want to be hooked up to
a bunch of tubes puking my guts out.
4
00:00:08,835 --> 00:00:10,541
Mark, I have to respect his wishes.
5
00:00:10,542 --> 00:00:12,693
He's my father, ok? I want to help him.
6
00:00:12,694 --> 00:00:13,647
Just be there for him.
7
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I don't think is too serious, Mr Bernero.
Maybe a little touch of stomach flu.
8
00:00:16,991 --> 00:00:19,595
I want you to pee in the cup. Give it to Malik.
It's what he lives for.
9
00:00:19,596 --> 00:00:21,458
We need to get your son into a diabetes clinic.
10
00:00:21,459 --> 00:00:25,218
There's a new drug, glucofile,
that works well for kids but it is expensive.
11
00:00:25,219 --> 00:00:27,781
I'll have my new insurance in three months.
12
00:00:27,782 --> 00:00:29,638
I'll get him to diet and exercising.
13
00:00:29,673 --> 00:00:32,872
You let that kid walk out of here
to accomodate his father financial problems,
14
00:00:33,049 --> 00:00:34,251
you're endangering that boy's life.
15
00:00:34,252 --> 00:00:36,052
Bernero kid in Three can go home.
16
00:00:36,183 --> 00:00:39,413
Just a little case of the stomach flu.
Kick him out of there. We need the bed.
17
00:00:41,339 --> 00:00:44,256
E. R. 6x17 "VIABLE OPTIONS"
18
00:00:45,843 --> 00:00:49,258
Discharged the rule-out MI.
Last enzymes normal.
19
00:00:49,429 --> 00:00:51,884
- The pneumonia's in Medicine.
- Good.
20
00:00:52,056 --> 00:00:55,472
Morning. I hear a double trauma's
coming in. Need help?
21
00:00:55,684 --> 00:00:57,427
Just two. We can handle it.
22
00:00:57,602 --> 00:00:59,760
I'm flipping burgers.
Might as well flip them.
23
00:00:59,979 --> 00:01:02,137
- Excuse me?
- Ray Kroc. Started McDonald's.
24
00:01:02,315 --> 00:01:06,810
Once a year he'd make shakes,
fry fries with the little people.
25
00:01:07,027 --> 00:01:10,110
- You're in the trenches.
- With us little people.
26
00:01:10,279 --> 00:01:12,070
So the ship's shipshape.
27
00:01:12,239 --> 00:01:15,821
- Son of a bitch! You started it!
- The hell I did!
28
00:01:16,034 --> 00:01:18,869
- Cut it out!
- Let's break this up!
29
00:01:19,036 --> 00:01:20,578
- That's enough
- Hey, hey.
30
00:01:20,746 --> 00:01:22,655
- Get away from him. That's enough.
- Hey!
31
00:01:22,831 --> 00:01:25,286
Get your hands off me,
dumb-ass punk!
32
00:01:25,458 --> 00:01:27,450
- Dumb-ass punk.
- Get out here.
33
00:01:27,668 --> 00:01:29,043
- What's open?
- Curtain 2!
34
00:01:29,253 --> 00:01:30,795
- I'll sue your ass!
- Kiss my ass!
35
00:01:30,963 --> 00:01:32,540
- You ran into me!
- You cut me off!
36
00:01:32,756 --> 00:01:34,415
- You're crazy!
- Enough!
37
00:01:34,632 --> 00:01:36,423
- Settle down, bud.
- Who you calling "bud"?
38
00:01:37,968 --> 00:01:40,541
- Hey, that's enough!
- Get off me, man.
39
00:01:41,596 --> 00:01:43,754
- You, bud.
- What happened here?
40
00:01:43,973 --> 00:01:47,424
- Road rage led to an MVA.
- Which led to a fistfight.
41
00:01:47,601 --> 00:01:51,265
Multiple abrasions,
bad lac to left arm. BP, 120/80.
42
00:01:51,437 --> 00:01:55,481
Janes, 25. Multiple abrasions,
head lac. BP, 110/70.
43
00:01:55,649 --> 00:01:58,140
- Get soft restraints.
- I didn't start it.
44
00:01:58,318 --> 00:02:00,144
- Tried to sideswipe me.
- Settle down!
45
00:02:00,320 --> 00:02:03,154
- We need to treat you.
- You rear-ended me, moron.
46
00:02:03,322 --> 00:02:05,444
- That's it!
- Hey!
47
00:02:06,533 --> 00:02:08,359
- Call Security!
- Hold it!
48
00:02:08,534 --> 00:02:11,203
- You're the moron!
- You son of a bitch!
49
00:02:14,164 --> 00:02:15,955
Oh, my God!
50
00:02:18,751 --> 00:02:21,704
- Down on the bed!
- Man! This is nasty!
51
00:02:21,920 --> 00:02:24,671
- Do something!
- Just settle down.
52
00:02:24,839 --> 00:02:28,208
- You call this flipping burgers?
- Very funny.
53
00:02:29,134 --> 00:02:34,091
Seems to be under control.
If you don't need any little people...
54
00:02:34,263 --> 00:02:36,754
Thank you, Kerry.
I'm sure I can handle it from here.
55
00:02:36,974 --> 00:02:38,349
Shall I yank it out?
56
00:02:38,559 --> 00:02:43,303
We gotta check for facial nerve damage,
and damage to my pen.
57
00:02:43,479 --> 00:02:47,523
- You're worrying about your pen?
- Oh, shut up.
58
00:03:43,402 --> 00:03:46,438
- Put it back on, Dad.
- I don't need it.
59
00:03:48,323 --> 00:03:50,611
It makes me want to sneeze.
60
00:03:52,952 --> 00:03:57,328
- I don't need you waiting around.
- I'm afraid you'll take it off.
61
00:03:57,539 --> 00:03:59,946
Get used to it. I made up my mind.
62
00:04:00,124 --> 00:04:05,628
I won't do my dying in your cramped,
thin-walled walkup.
63
00:04:05,795 --> 00:04:10,373
- Maybe we ought to move.
- Stop. You know what I mean.
64
00:04:11,884 --> 00:04:14,837
Even if I stay in Chicago,
I want my own place.
65
00:04:16,095 --> 00:04:18,847
- How's that gonna work?
- Well, I'll...
66
00:04:19,181 --> 00:04:20,889
...get somebody to help.
67
00:04:21,058 --> 00:04:24,508
No. You'll ignore it,
like you have the last year. I know you.
68
00:04:24,686 --> 00:04:29,181
No, you don't! You know this disease,
but not what I want.
69
00:04:29,398 --> 00:04:32,433
- I don't wanna talk about this.
- Then don't.
70
00:04:39,406 --> 00:04:44,280
Chest x-ray's clear. Labs are normal.
Hematocrit of 32.
71
00:04:44,493 --> 00:04:48,075
- What's my potassium?
-4.2. It's fine.
72
00:04:48,288 --> 00:04:52,415
I figured it would be.
I had dialysis yesterday.
73
00:04:52,583 --> 00:04:56,034
- Is it a man or a woman?
- It's a man.
74
00:04:56,211 --> 00:04:59,081
- What happened to him?
- I don't know.
75
00:04:59,297 --> 00:05:02,131
An accident? That's usually it.
76
00:05:02,341 --> 00:05:04,914
Yup. I think it was. In Minneapolis.
77
00:05:05,135 --> 00:05:07,921
- They'll fly the kidney in from there?
- Yeah.
78
00:05:08,095 --> 00:05:12,840
- Dr. Corday's procuring the organ.
- They put it in a cooler.
79
00:05:13,058 --> 00:05:16,343
Man, I thought I'd never
make it to the top of the list.
80
00:05:16,461 --> 00:05:17,475
You're lucky.
81
00:05:17,570 --> 00:05:19,727
If I were lucky, I wouldn't need
the kidney to begin with.
82
00:05:19,897 --> 00:05:22,850
- As you do-
- Yeah, yeah. I'm hungry.
83
00:05:23,441 --> 00:05:27,485
You can't eat or drink anything.
I've cleared you for the surgery.
84
00:05:27,653 --> 00:05:31,235
- We're waiting for the kidney.
- I'm not going anywhere.
85
00:05:32,949 --> 00:05:34,359
The kid started it.
86
00:05:34,533 --> 00:05:38,826
- Then he rammed into my damn car!
- Dad, you said that already.
87
00:05:41,706 --> 00:05:43,912
- Damn it!
- It's all right.
88
00:05:44,124 --> 00:05:48,335
- It's not. I hate being clumsy.
- It's no big deal.
89
00:05:48,545 --> 00:05:53,502
Let's finish your sutures.
You need to hold still.
90
00:05:53,674 --> 00:05:56,295
- I think I know that. Okay?
- Dad?
91
00:05:59,220 --> 00:06:03,087
I'm sorry.
It's just been a crappy day.
92
00:06:03,765 --> 00:06:08,011
- Can I get some more water?
- Yeah, sure. I'll go.
93
00:06:09,645 --> 00:06:13,060
I'm gonna hit the ladies' room.
I'll be right back, okay?
94
00:06:15,817 --> 00:06:17,394
What's going on? Is he all right?
95
00:06:17,610 --> 00:06:21,393
- Well, I think he's a little upset.
- I've never seen him like this.
96
00:06:21,613 --> 00:06:23,771
Running into a car.
Stabbed a man with a pen?
97
00:06:23,948 --> 00:06:26,106
- Has he always had a temper?
- No. Never.
98
00:06:26,283 --> 00:06:29,118
But this week, since I've been visiting,
he just seems off.
99
00:06:29,286 --> 00:06:31,859
He loses his balance sometimes,
lashes out at people.
100
00:06:32,080 --> 00:06:34,914
Does he have seizures
or bad headaches?
101
00:06:35,082 --> 00:06:37,158
Not that I know of.
Is something wrong?
102
00:06:37,334 --> 00:06:41,461
I'll need to run some tests and get
a head CT. Then we'll know more.
103
00:06:41,671 --> 00:06:44,541
- Ladies' room is down there.
- Thanks.
104
00:06:44,756 --> 00:06:46,381
He's taking codeine for his back.
105
00:06:46,591 --> 00:06:50,125
He has abdominal pain.
Positive history for an appy.
106
00:06:50,803 --> 00:06:52,511
Might be a bowel obstruction.
107
00:06:52,680 --> 00:06:56,130
- Is my kidney here?
- I don't know. Sorry.
108
00:06:56,349 --> 00:06:58,887
I'm still hungry. I could've eaten.
109
00:06:59,352 --> 00:07:03,016
- Good bowel sounds. Any fever?
- No.
110
00:07:03,188 --> 00:07:05,346
- Vomiting?
- Nope.
111
00:07:05,565 --> 00:07:07,557
No guarding or rebound.
112
00:07:08,192 --> 00:07:10,979
- Get an abdominal series?
- Just now.
113
00:07:11,153 --> 00:07:13,145
Excuse us a minute, please.
114
00:07:21,745 --> 00:07:24,116
No blockage. Just a lot of stool.
115
00:07:24,288 --> 00:07:26,993
So the codeine constipated him?
116
00:07:27,207 --> 00:07:31,667
I'd have him cut back on his pain meds
and give him a laxative. Also...
117
00:07:31,878 --> 00:07:36,835
...have the pharmacy give him bisacodyl,
10 mg a day.
118
00:07:37,007 --> 00:07:41,352
- Sorry. I thought it was serious.
- To him it is.
119
00:07:41,352 --> 00:07:43,260
She's had trouble breathing.
120
00:07:43,370 --> 00:07:44,301
Any fever?
121
00:07:44,396 --> 00:07:47,527
Yes up to 102. Lots of secretions.
122
00:07:47,562 --> 00:07:51,305
She was diagnosed with
Sanfilippo Syndrome when she was 2.
123
00:07:51,518 --> 00:07:54,851
She has a seizure disorder
and PICC line.
124
00:07:55,063 --> 00:07:57,269
Takes O-2 and BiPAP at home.
125
00:07:57,482 --> 00:08:00,316
- Can Angie talk?
- She's severely retarded.
126
00:08:00,526 --> 00:08:03,360
She lost her hearing.
She can't feed herself.
127
00:08:03,570 --> 00:08:07,863
- Her medications?
- Lasix, albuterol, Robinul, Valium.
128
00:08:08,032 --> 00:08:10,357
Phenobarb, cisapride, Bactrim.
129
00:08:10,575 --> 00:08:13,362
She has rales. Probably pneumonia.
130
00:08:13,536 --> 00:08:16,027
Last month it was pseudomonas.
131
00:08:16,205 --> 00:08:18,778
Temp's 102.
Culture her PICC line?
132
00:08:18,999 --> 00:08:23,292
And portable chest, CBC,
sputum and peripheral cultures.
133
00:08:23,503 --> 00:08:26,787
She gets Ceftaz when
she has pneumonia.
134
00:08:26,964 --> 00:08:28,292
We'll do the same.
135
00:08:28,465 --> 00:08:32,544
I'll go get her dolls.
They help her feel better.
136
00:08:32,760 --> 00:08:35,001
We'll take good care of her.
137
00:08:35,220 --> 00:08:39,466
Could we get a VCR?
She loves to watch the Muppets.
138
00:08:39,641 --> 00:08:43,009
- Sure. We'll bring one in.
- Thank you.
139
00:08:44,519 --> 00:08:49,264
Eddie Bernero, 12. His dad
found him barely responsive.
140
00:08:49,482 --> 00:08:51,308
Dad's coming in his car.
141
00:08:51,525 --> 00:08:53,398
BP 90 palp, pulse 120, resps 28.
142
00:08:54,110 --> 00:08:56,482
May be encephalitis, meningitis.
143
00:08:56,696 --> 00:08:58,569
- He's been in before.
- Pull the chart.
144
00:08:58,739 --> 00:09:01,905
- The nurse signed us out.
- You said I need medicine.
145
00:09:02,075 --> 00:09:03,403
I'll be there.
146
00:09:03,576 --> 00:09:05,569
- Help them transfer him?
- Sure.
147
00:09:05,745 --> 00:09:08,615
- Is the prescription back?
- Yeah.
148
00:09:08,831 --> 00:09:12,413
Once a day
until the constipation resolves.
149
00:09:13,626 --> 00:09:15,203
- All yours.
- Thanks.
150
00:09:15,419 --> 00:09:18,870
- A CBC, lytes and dip a urine.
- Tachy at 150.
151
00:09:19,089 --> 00:09:23,133
- Pressure's down, 70 palp.
- He may go into shock.
152
00:09:23,342 --> 00:09:26,047
Mucous membranes are dry.
Very dehydrated.
153
00:09:26,261 --> 00:09:28,586
Urine's positive for glucose,
no ketones.
154
00:09:28,763 --> 00:09:31,598
Where's the old chart?
Is he diabetic?
155
00:09:31,807 --> 00:09:34,428
He was in five months ago.
Gastroenteritis.
156
00:09:34,643 --> 00:09:36,303
- Blood glucose?
- Almost.
157
00:09:36,478 --> 00:09:39,976
Bolus him with normal saline,
10 cc's per kg.
158
00:09:40,147 --> 00:09:41,689
Blood glucose is over 400.
159
00:09:41,857 --> 00:09:45,272
- What? Are you sure?
- I checked it twice.
160
00:09:46,277 --> 00:09:48,020
It's a hyperosmolar coma.
161
00:09:48,237 --> 00:09:51,819
Start an insulin IV,
. 1 unit per kilo per hour.
162
00:09:52,032 --> 00:09:56,325
Get bicarb and potassium levels.
He's been sick a while.
163
00:09:56,494 --> 00:10:00,538
- His blood glucose last time?
- They didn't do one.
164
00:10:00,747 --> 00:10:03,950
- You're kidding. Did they dip a urine?
- No.
165
00:10:04,125 --> 00:10:06,960
- Who took care of this kid?
- Carter.
166
00:10:08,128 --> 00:10:10,583
Page him. Get him here now.
167
00:10:14,217 --> 00:10:17,466
- Flight took forever.
- We have time.
168
00:10:17,636 --> 00:10:20,340
- Ruled out the first recipient.
- Thought you cleared him.
169
00:10:20,513 --> 00:10:24,557
- He developed unstable angina.
- Did you talk to UNOS?
170
00:10:24,767 --> 00:10:27,720
Another Chicago person's on her way.
171
00:10:27,936 --> 00:10:31,138
I hope the kidney
will still be viable.
172
00:10:31,314 --> 00:10:33,306
- Family?
- Dad's on his way.
173
00:10:33,482 --> 00:10:36,103
Recheck his levels in two hours.
174
00:10:36,318 --> 00:10:37,812
What's up?
175
00:10:38,444 --> 00:10:42,488
Eddie Bernero,
on his way to the PICU.
176
00:10:42,656 --> 00:10:46,190
I'll refresh your memory.
You saw him five months ago.
177
00:10:46,784 --> 00:10:49,357
- I don't recall him.
- Neither did I.
178
00:10:49,578 --> 00:10:52,828
You called me in.
Couch-potato diabetic.
179
00:10:53,039 --> 00:10:57,036
Dad had insurance problems.
You doctored the chart?
180
00:10:57,209 --> 00:10:58,751
What are you saying?
181
00:10:58,961 --> 00:11:03,503
He could've died. I rehydrated him
without knowing he had diabetes.
182
00:11:03,715 --> 00:11:05,173
Show me the chart.
183
00:11:05,341 --> 00:11:07,962
His electrolytes were so off,
he could've died.
184
00:11:09,011 --> 00:11:12,758
- What were you thinking?
- Your patient's having a seizure.
185
00:11:12,930 --> 00:11:16,512
If anybody asks questions,
I won't lie for you.
186
00:11:18,977 --> 00:11:22,179
- Nice hair.
- Can you get Bernero's chart?
187
00:11:22,355 --> 00:11:25,937
- We sent it up to PICU.
- I know. Get it.
188
00:11:29,861 --> 00:11:31,687
Henry is so excited.
189
00:11:31,862 --> 00:11:35,147
It had to be the day he flew
to St. Louis!
190
00:11:35,365 --> 00:11:39,196
- He's coming?
- He could fly under his own power.
191
00:11:40,494 --> 00:11:44,028
I did dialysis four years,
three times a week.
192
00:11:44,247 --> 00:11:46,619
But then I switched to CAPD.
193
00:11:46,833 --> 00:11:50,166
- How often are the infusions?
- Four times a day.
194
00:11:50,335 --> 00:11:53,917
Like getting my oil changed. A lot.
195
00:11:54,130 --> 00:11:56,537
- But it gives you more freedom.
- Oh, yeah.
196
00:11:56,716 --> 00:12:00,499
It's great not going to the hospital
every other day-
197
00:12:00,677 --> 00:12:03,761
- And with the transplant-
- Have you had peritonitis?
198
00:12:03,930 --> 00:12:07,096
Yes, but not for at least six months.
199
00:12:08,725 --> 00:12:11,809
Okay. Everything looks good,
Mrs. Bassett.
200
00:12:13,354 --> 00:12:15,975
We'll wait for your labs
and then get you to the O.R.
201
00:12:16,190 --> 00:12:17,518
Thank you so much.
202
00:12:17,691 --> 00:12:21,937
I didn't have much to do with it,
but you're welcome.
203
00:12:24,655 --> 00:12:28,782
- Mrs. Dwyer.
- I'm back. You'll be okay, sweetie.
204
00:12:28,992 --> 00:12:32,739
- The nurse told you?
- You must start another IV.
205
00:12:32,911 --> 00:12:36,196
We've tried but Angie's a tough stick.
206
00:12:36,414 --> 00:12:38,952
She has a lot of scarring from IVs.
207
00:12:39,166 --> 00:12:43,911
- So a central line's better.
- It's the best way for her.
208
00:12:44,087 --> 00:12:45,415
I understand.
209
00:12:45,588 --> 00:12:49,632
- Could you sign the consent form?
- I can't.
210
00:12:49,800 --> 00:12:54,710
- It's very safe.
- I'm her foster mom, not her real mom.
211
00:12:54,887 --> 00:12:59,762
We care for her. We'd adopt,
but we can't afford the medical.
212
00:12:59,933 --> 00:13:03,348
- And her birth parents?
- They abandoned her.
213
00:13:03,561 --> 00:13:06,680
She has a legal guardian
through DCFS.
214
00:13:06,855 --> 00:13:09,560
Carol, call Adele Neuman.
215
00:13:09,774 --> 00:13:12,099
Can't you do anything else?
216
00:13:12,276 --> 00:13:16,108
We will keep trying for another IV,
all right?
217
00:13:16,280 --> 00:13:17,821
Sweetie, here we go.
218
00:13:17,989 --> 00:13:20,943
- Mr. Bernero?
- Dr. Carter, right?
219
00:13:21,158 --> 00:13:24,443
- How is he?
- Much better. Glucose is 380.
220
00:13:24,620 --> 00:13:26,908
- His lytes?
- Normalizing.
221
00:13:27,122 --> 00:13:31,249
He'll be here a couple days,
but he's out of the woods.
222
00:13:31,458 --> 00:13:34,459
- Do you have a minute?
- Of course.
223
00:13:41,300 --> 00:13:44,004
What happened, Mr. Bernero?
224
00:13:44,219 --> 00:13:46,970
We're working on the diet issues.
225
00:13:47,179 --> 00:13:50,345
- What happened?
- You knew my insurance problem.
226
00:13:50,557 --> 00:13:54,601
You knew his condition's serious.
I cut you some slack.
227
00:13:54,810 --> 00:13:57,930
You agreed to monitor his food
and exercise.
228
00:13:58,147 --> 00:14:01,681
- You know how kids are.
- That's why they have parents.
229
00:14:01,858 --> 00:14:04,431
We have complete insurance now.
230
00:14:04,652 --> 00:14:07,486
At what expense? His life?
He almost died today.
231
00:14:08,363 --> 00:14:12,739
You never said it could get this bad.
He was fine until this morning.
232
00:14:13,576 --> 00:14:15,069
Oh, great.
233
00:14:15,869 --> 00:14:19,700
You're not culpable at all?
Is that right?
234
00:14:19,914 --> 00:14:24,789
You're his doctor.
You said he'd be fine for a few months.
235
00:14:25,001 --> 00:14:28,868
If you didn't know this could happen,
how could I?
236
00:14:35,552 --> 00:14:40,711
It's not an emergency,
but the child needs IV access.
237
00:14:40,931 --> 00:14:45,675
We know she's often hospitalized,
but that has nothing to do with this.
238
00:14:45,852 --> 00:14:47,974
Her veins are sclerosed.
I can't get a thing.
239
00:14:48,145 --> 00:14:50,600
Neither can I. This is ridiculous.
240
00:14:50,856 --> 00:14:52,978
Give me the phone. Come on.
241
00:14:53,191 --> 00:14:57,188
This is Kerry Weaver,
chief of emergency medicine.
242
00:14:57,402 --> 00:15:00,023
Angie's PICC line is infected-
243
00:15:00,238 --> 00:15:03,606
A guardian should know
what a PICC line is.
244
00:15:03,824 --> 00:15:09,162
I know her disease is incurable.
But she is treatable now-
245
00:15:10,121 --> 00:15:13,454
It's not a matter of life or death yet,
but it could be-
246
00:15:13,666 --> 00:15:17,709
Have you ever seen Angie?
I'm looking at her now.
247
00:15:17,877 --> 00:15:21,376
I see an eminently treatable
girl who-
248
00:15:22,423 --> 00:15:25,755
Thank you. Thank you for nothing.
249
00:15:27,593 --> 00:15:32,219
He said no. Give her pain meds
and make her comfortable.
250
00:15:34,933 --> 00:15:36,261
There it is.
251
00:15:37,310 --> 00:15:40,512
A heartbeat.
You're definitely pregnant.
252
00:15:41,563 --> 00:15:44,184
You're about eight weeks along.
253
00:15:44,732 --> 00:15:46,974
I wish Henry would get here.
254
00:15:47,192 --> 00:15:49,398
You been trying to get pregnant?
255
00:15:49,611 --> 00:15:54,402
For almost two years.
With no luck. Until now.
256
00:15:55,741 --> 00:15:58,658
Does it take me out of the running?
257
00:15:58,869 --> 00:16:03,079
After a transplant,
one takes immunosuppressive drugs.
258
00:16:03,289 --> 00:16:04,664
They're powerful.
259
00:16:04,832 --> 00:16:09,825
It's likely they'd cause birth defects
or a miscarriage.
260
00:16:11,337 --> 00:16:16,543
If you won't have the child,
we can go ahead with surgery.
261
00:16:19,719 --> 00:16:24,629
Sorry to pressure you.
We don't have much time for the kidney.
262
00:16:24,848 --> 00:16:26,507
We can't wait for your husband.
263
00:16:28,768 --> 00:16:30,807
How could this happen?
264
00:16:32,270 --> 00:16:34,595
I've waited so long...
265
00:16:34,814 --> 00:16:36,937
...for both.
266
00:16:38,234 --> 00:16:39,562
Mrs. Bassett.
267
00:16:44,447 --> 00:16:45,941
I want to keep the baby.
268
00:16:49,367 --> 00:16:50,826
Okay.
269
00:16:53,204 --> 00:16:56,323
- Did you have an appointment?
- Same old, same old.
270
00:16:56,540 --> 00:16:59,908
Where's the snack bar?
I'd like a bite.
271
00:17:00,126 --> 00:17:03,909
- Do you mind some company?
- No. Let's go.
272
00:17:05,130 --> 00:17:07,372
His daughter says
his behavior's been unusual?
273
00:17:07,590 --> 00:17:11,125
Erratic and volatile.
Used to be easygoing.
274
00:17:11,302 --> 00:17:14,884
- Maybe a mass or lesion?
- No signs of that.
275
00:17:15,096 --> 00:17:19,010
- Any new stress at home or at work?
- He claims no.
276
00:17:19,183 --> 00:17:24,259
We have uncontrolled movements,
loss of balance, personality change.
277
00:17:24,479 --> 00:17:26,804
- Family history?
- His mom's living.
278
00:17:26,981 --> 00:17:30,231
He doesn't know much about his dad,
he died when Waters was 14.
279
00:17:30,442 --> 00:17:32,565
- Makes him early- mid-40s?
- Probably.
280
00:17:32,777 --> 00:17:35,612
- What did he die of?
- Suicide.
281
00:17:35,863 --> 00:17:37,855
We need to talk to him.
282
00:17:39,324 --> 00:17:42,657
I wish you'd talk some sense
into Mark.
283
00:17:42,827 --> 00:17:45,993
- He's worried about you.
- I know he is.
284
00:17:46,205 --> 00:17:49,454
He also thinks that he can control
what's happening to me.
285
00:17:49,624 --> 00:17:54,997
Hell! I wish he could,
but we all know he can't.
286
00:17:56,838 --> 00:18:00,123
It's a clich� to say you don't wanna be
a burden to your children...
287
00:18:00,299 --> 00:18:03,253
...but at my age, I'll be a clich�.
288
00:18:03,427 --> 00:18:07,175
He shouldn't have to deal
with everything.
289
00:18:07,347 --> 00:18:09,802
He will, one way or another.
290
00:18:10,683 --> 00:18:13,469
Would your mother let you
take care of her?
291
00:18:14,478 --> 00:18:17,312
She'd sooner go to sea in a canoe.
292
00:18:17,480 --> 00:18:20,397
I don't need to go to that extreme.
293
00:18:20,566 --> 00:18:23,139
I want to check out-
What do you call it?
294
00:18:23,318 --> 00:18:26,105
Not quite a nursing home.
295
00:18:26,320 --> 00:18:29,736
- A hospice?
- That's it. A hospice.
296
00:18:30,741 --> 00:18:35,366
If I stay in Chicago,
at least that'll make Mark happy.
297
00:18:37,871 --> 00:18:41,703
Nothing about this
will make Mark happy.
298
00:18:47,087 --> 00:18:50,337
- Huntington's Disease?
- We think so.
299
00:18:50,548 --> 00:18:55,256
- I never heard of it.
- A progressive neurological disorder.
300
00:18:55,469 --> 00:18:59,466
It causes loss of balance, mood changes
and jerking movements of the body.
301
00:18:59,639 --> 00:19:02,046
And progressive dementia.
302
00:19:03,725 --> 00:19:07,390
- Like Alzheimer's?
- There are similarities.
303
00:19:08,312 --> 00:19:10,104
Okay.
304
00:19:11,774 --> 00:19:14,560
We know what it is. What do I do?
305
00:19:14,734 --> 00:19:17,307
I'm afraid there's no cure.
306
00:19:18,195 --> 00:19:22,062
- How bad will it get?
- A geneticist will tell you.
307
00:19:22,240 --> 00:19:27,032
You're telling me I'll lose control
of everything physically and mentally...
308
00:19:27,203 --> 00:19:28,910
...and I can't do anything about it?
309
00:19:29,079 --> 00:19:34,369
They're developing new treatments.
But at the moment, no.
310
00:19:42,632 --> 00:19:44,505
I'm 46 years old.
311
00:19:47,219 --> 00:19:52,259
- How could I get such a thing?
- It's genetic. You inherited it.
312
00:19:53,057 --> 00:19:56,472
It generally manifests
in your early 40s.
313
00:19:56,935 --> 00:20:00,268
It may be why your dad
committed suicide.
314
00:20:09,111 --> 00:20:14,152
- I could've passed this on to Jo?
- There is a 50-50 chance.
315
00:20:19,953 --> 00:20:24,661
Hyperosmolar coma, no evidence
of DKA. Type Two diabetes.
316
00:20:24,832 --> 00:20:29,410
- I'd say. His blood glucose was 980.
- How far did you get?
317
00:20:29,628 --> 00:20:34,455
Two liters saline, two units IV insulin.
He's still in the PICU.
318
00:20:34,632 --> 00:20:38,676
- He was seen here five months ago?
- Apparently.
319
00:20:39,886 --> 00:20:44,298
- If it's 980, it was high five months ago.
- You'd think so.
320
00:20:44,473 --> 00:20:48,138
- Why wasn't it picked up?
- I couldn't say. Excuse me.
321
00:20:48,310 --> 00:20:52,389
- Could you look at this elbow film?
- What's the problem?
322
00:20:52,605 --> 00:20:56,020
Big anterior fat pad but no fracture.
323
00:20:56,233 --> 00:21:00,312
You the Attending?
I'm admitting Eddie Bernero.
324
00:21:00,528 --> 00:21:01,856
The diabetic coma?
325
00:21:02,029 --> 00:21:05,860
Yeah. He was here in November.
No one picked up on his diabetes.
326
00:21:06,032 --> 00:21:08,605
- Do you have the old chart?
- Here's a copy.
327
00:21:08,784 --> 00:21:12,200
- Cleo, what was the glucose?
-980.
328
00:21:12,996 --> 00:21:16,827
- Not today. In November.
- Should be in the chart.
329
00:21:18,167 --> 00:21:21,535
- No urine dip?
- Not that I saw.
330
00:21:21,711 --> 00:21:26,538
- I'll look into this. I'll call you.
- Thanks. Dr. Finch.
331
00:21:28,509 --> 00:21:32,755
- An anterior fat pad can be normal.
- Thanks.
332
00:21:32,929 --> 00:21:35,336
Something you didn't wanna say
in front of him?
333
00:21:35,556 --> 00:21:38,342
- About what?
- The diabetic kid.
334
00:21:38,517 --> 00:21:42,015
- He was Carter's.
- You're not in surgery?
335
00:21:42,228 --> 00:21:46,307
We still have the kidney.
We go through recipients like-
336
00:21:46,481 --> 00:21:49,186
- Crap through a goose?
- Yeah. That works.
337
00:21:49,359 --> 00:21:51,849
The Morgan Center will call you.
338
00:21:52,027 --> 00:21:54,103
- Hospice? Rehab?
- Hospice.
339
00:21:54,279 --> 00:21:57,030
- What patient?
- Your father asked me about it.
340
00:21:57,240 --> 00:22:00,359
- He may choose palliative care.
- You called?
341
00:22:00,534 --> 00:22:03,819
- He asked me to.
- What are you doing?
342
00:22:04,037 --> 00:22:07,571
- He asked. What would you have me do?
- Have him talk to me.
343
00:22:07,790 --> 00:22:10,281
- He's a grown man.
- A stubborn one.
344
00:22:10,876 --> 00:22:13,876
- The other option is your apartment-
- I know my options.
345
00:22:14,087 --> 00:22:17,704
- You'll look after him?
- With a daytime nurse. I'll do the rest.
346
00:22:17,882 --> 00:22:21,831
- You talked to him?
- I'm handling it, okay? Or I was.
347
00:22:23,303 --> 00:22:26,007
- I didn't mean to interfere.
- Then don't.
348
00:22:29,474 --> 00:22:34,301
- Is this what's best for him, or you?
- Stay out of it, please.
349
00:22:35,020 --> 00:22:36,051
Fine.
350
00:22:42,151 --> 00:22:44,274
I can send her up now.
351
00:22:44,445 --> 00:22:46,069
Good. Thanks.
352
00:22:47,197 --> 00:22:50,945
- They can squeeze you in.
- I can't see my own ob-gyn?
353
00:22:51,117 --> 00:22:55,742
No. Too many potential complications
with your renal failure.
354
00:22:55,912 --> 00:22:57,406
- Dr. Kovac?
- Yeah?
355
00:22:57,622 --> 00:22:59,744
This is Steve Maldonado.
356
00:22:59,957 --> 00:23:01,830
- The transplant candidate.
- Right.
357
00:23:02,000 --> 00:23:05,119
- You the surgeon?
- No, but we'll get you started here.
358
00:23:06,087 --> 00:23:08,660
I went out and left my pager at home.
359
00:23:08,756 --> 00:23:11,211
I went home to get it and it went off.
360
00:23:11,383 --> 00:23:13,340
I had it on for 30 seconds.
361
00:23:13,510 --> 00:23:16,510
Yeah. The nurses need
to draw your labs.
362
00:23:16,679 --> 00:23:17,710
- This way.
- Okay.
363
00:23:17,888 --> 00:23:20,592
- Good luck.
- Yeah, thanks.
364
00:23:22,934 --> 00:23:23,965
You all right?
365
00:23:25,227 --> 00:23:27,266
If I could have both, I would be.
366
00:23:29,522 --> 00:23:31,266
But I do want the baby.
367
00:23:32,942 --> 00:23:37,105
Ask for Christine Collins.
Suite 4020.
368
00:23:37,279 --> 00:23:39,947
Okay. Bye.
369
00:23:40,114 --> 00:23:41,525
Bye.
370
00:23:43,450 --> 00:23:46,866
Okay, Mr. Waters.
The geneticist is Dr. Kevin Casey.
371
00:23:47,078 --> 00:23:51,490
I made an appointment for you on Friday
at 11 to go over the results.
372
00:23:51,707 --> 00:23:55,075
I've been ordered to appear
in court Friday afternoon.
373
00:23:55,293 --> 00:23:58,293
The incident.
I can make a day out of it.
374
00:23:58,462 --> 00:24:01,131
Uncontrolled temper is a symptom
of Huntington's.
375
00:24:01,340 --> 00:24:04,922
- They may not hold you responsible.
- That's a lousy excuse.
376
00:24:06,761 --> 00:24:10,923
- How is Jo doing?
- She's meeting Glen in the lobby now.
377
00:24:11,098 --> 00:24:15,842
- That's her fianc�.
- Does she want to have the test?
378
00:24:18,478 --> 00:24:23,056
- I didn't tell her.
- Mr. Waters, you have to.
379
00:24:23,232 --> 00:24:27,016
If she has the gene,
she will get the disease.
380
00:24:27,236 --> 00:24:30,402
My father didn't tell me
and I'm glad he didn't.
381
00:24:30,613 --> 00:24:32,191
She has a right to know.
382
00:24:32,365 --> 00:24:35,531
If there's nothing she can do,
what's the good in her knowing?
383
00:24:35,701 --> 00:24:39,911
But if she knows,
she can make different choices.
384
00:24:40,079 --> 00:24:42,830
She might not want to work
or have kids.
385
00:24:43,040 --> 00:24:46,622
She might not get married.
Might not have a life.
386
00:24:46,835 --> 00:24:50,417
She has to know that she can pass
this disease on to her kids.
387
00:24:50,588 --> 00:24:52,046
Why? So she won't have any?
388
00:24:54,549 --> 00:24:56,541
I love my daughter.
389
00:24:57,927 --> 00:25:00,382
And I can't imagine
my life without her.
390
00:25:00,554 --> 00:25:04,088
She's had a good life up until now.
A happy life.
391
00:25:04,766 --> 00:25:07,719
I'm gonna keep it that way
as long as I can.
392
00:25:09,102 --> 00:25:13,182
If you sign an emergency consent,
I can overturn the decision.
393
00:25:13,356 --> 00:25:16,273
- Doesn't DCFS have to appoint me?
- I cleared it.
394
00:25:16,483 --> 00:25:19,437
I don't know.
This girl's gonna die of pneumonia.
395
00:25:19,611 --> 00:25:22,979
- Her mother wants it.
- Her foster mother.
396
00:25:23,197 --> 00:25:25,818
She's had her for four years.
She's her mother.
397
00:25:26,033 --> 00:25:28,523
She just can't afford
the medical bills.
398
00:25:28,702 --> 00:25:32,034
But the state can?
How much has been spent so far?
399
00:25:32,204 --> 00:25:34,742
- Mark.
- All right, all right, I'll sign.
400
00:25:35,374 --> 00:25:37,200
- Thanks.
- Let me know how she responds.
401
00:25:37,375 --> 00:25:38,703
I will.
402
00:25:43,922 --> 00:25:45,796
Can I help you, Robert?
403
00:25:45,965 --> 00:25:49,464
My niece watched Sesame Street,
until she was 8.
404
00:25:49,635 --> 00:25:52,588
Those are the Muppets.
You need something?
405
00:25:52,804 --> 00:25:57,216
I came for supplies. We need
to discuss your supply management.
406
00:25:57,391 --> 00:26:02,301
And I find this girl's foster parent
is conspiring with DCFS and you...
407
00:26:02,479 --> 00:26:07,638
...to circumvent authority
and perform a procedure on a gork.
408
00:26:07,816 --> 00:26:11,066
She has no chance of recovery.
Is this correct?
409
00:26:12,153 --> 00:26:13,861
- You' re overstating it.
- Am I?
410
00:26:14,030 --> 00:26:19,106
She has a potentially life-threatening
infection, all she needs is a central line.
411
00:26:19,284 --> 00:26:22,652
And her so-called guardian
has never seen her.
412
00:26:22,828 --> 00:26:24,406
Well, I've seen her.
413
00:26:24,496 --> 00:26:27,283
We have to give appropriate care.
414
00:26:27,457 --> 00:26:30,872
All I'm doing is exercising a safeguard
that's built into the system.
415
00:26:31,043 --> 00:26:34,079
Your sympathy for her mother
overrides your clinical judgment.
416
00:26:34,630 --> 00:26:38,247
I disagree.
But thank you for your input.
417
00:26:42,302 --> 00:26:44,793
- She's not getting a central line.
- She's my patient.
418
00:26:44,971 --> 00:26:48,256
- Feel free to hydrate her.
- I have a second opinion.
419
00:26:48,432 --> 00:26:52,014
I'm the final opinion. I'm not competing
with the State Welfare Department!
420
00:26:52,185 --> 00:26:54,427
- It's one bureaucrat!
- He's right!
421
00:26:54,604 --> 00:26:58,055
It's hopeless and expensive!
Stop flogging her!
422
00:26:59,358 --> 00:27:02,109
Frankly, I expect more
professionalism from you!
423
00:27:02,277 --> 00:27:06,819
I'm supporting a parental decision!
Angie is her daughter!
424
00:27:07,031 --> 00:27:09,023
She's her pet!
425
00:27:09,991 --> 00:27:12,612
Look at her. What quality of life
do you think she has?
426
00:27:13,369 --> 00:27:16,239
- Robert-
- Kerry, I'm serious.
427
00:27:17,122 --> 00:27:19,198
No central line.
428
00:27:25,045 --> 00:27:27,999
- Has he always had asthma?
- Since he was 3.
429
00:27:28,173 --> 00:27:31,375
- I'm okay, Mom.
- You are not okay, Troy.
430
00:27:31,550 --> 00:27:35,382
I saw his wheezing getting worse
from the audience.
431
00:27:35,554 --> 00:27:36,585
Breathe.
432
00:27:37,305 --> 00:27:39,262
She came and pulled me off the stage.
433
00:27:39,473 --> 00:27:43,055
- That's no fun, is it?
- I don't ever wanna go back to school.
434
00:27:43,518 --> 00:27:48,808
We got a bounce-back. Collapsed
at home. Loss of consciousness.
435
00:27:48,981 --> 00:27:50,854
- Who?
- Grunwald.
436
00:27:51,275 --> 00:27:55,224
Grunwald? He was constipated.
Excuse me.
437
00:27:56,237 --> 00:27:58,774
- Pulse is down to 50!
- He's unresponsive.
438
00:27:58,947 --> 00:28:01,319
Put in a liter of saline.
See if you can get a BP.
439
00:28:01,533 --> 00:28:04,106
- What happened?
- He just fell over.
440
00:28:04,285 --> 00:28:07,321
- Get labs, cardiac enzymes.
- Pressure's 60 palp.
441
00:28:07,496 --> 00:28:11,327
- Mix the dopamine. He was your patient?
- Yes, abdominal pain.
442
00:28:11,499 --> 00:28:14,914
- ST elevations in the leads.
- History of heart disease?
443
00:28:15,127 --> 00:28:18,377
- No cardiac problems, right?
- His heart is fine!
444
00:28:18,546 --> 00:28:21,831
- He on medication?
- Codeine and what she gave him.
445
00:28:22,008 --> 00:28:24,463
- What was that?
- A laxative.
446
00:28:24,676 --> 00:28:27,345
- Bisopro. Bisoprol-
- Bisoprolol?
447
00:28:27,554 --> 00:28:30,044
- Yes.
- No, no. We gave him bisacodyl.
448
00:28:30,264 --> 00:28:34,391
- Which one was it?
- Bisoprolol. But it's not what we gave.
449
00:28:35,477 --> 00:28:38,927
- Hal, wake up!
- Can she wait outside, please?
450
00:28:39,146 --> 00:28:41,518
- Come with me.
- No, I should stay!
451
00:28:41,732 --> 00:28:46,642
We need to work on your husband.
Call the cath lab. Bolus heparin.
452
00:28:46,861 --> 00:28:48,936
What are doing?
You gave him a beta blocker?
453
00:28:49,154 --> 00:28:52,854
You dropped his heart rate,
pulse, and gave him an Ml.
454
00:28:53,074 --> 00:28:56,489
- BP's improving!
- Stand by with a nitro drip.
455
00:28:56,702 --> 00:28:58,362
- I didn't write the prescription.
- You said you did.
456
00:28:58,537 --> 00:29:01,027
- Handed it to him. I didn't write it.
- Who wrote it?
457
00:29:01,206 --> 00:29:04,539
The labs are back
on the transplant recipient.
458
00:29:04,709 --> 00:29:08,291
- Good. Get ready to move him.
- You should see this.
459
00:29:09,504 --> 00:29:10,832
- You're kidding?
- Nope.
460
00:29:11,005 --> 00:29:13,412
What should I say?
You think it's okay to tell her?
461
00:29:13,632 --> 00:29:17,250
- It's debatable.
- His choice is, not your obligation.
462
00:29:17,469 --> 00:29:22,426
This information affects her life.
I feel I have an obligation to her.
463
00:29:22,598 --> 00:29:26,049
Right, but she isn't your patient.
You can try to convince him.
464
00:29:26,268 --> 00:29:29,552
- I did try.
- Then you can't tell the daughter.
465
00:29:29,770 --> 00:29:32,936
Your renal failure
was caused by rhabdomyolysis.
466
00:29:33,106 --> 00:29:36,142
- Yeah. From muscle breakdown.
- And what caused that?
467
00:29:36,317 --> 00:29:38,808
- I don't know.
- I think you do.
468
00:29:40,320 --> 00:29:43,938
I was in a car accident.
That could've done it.
469
00:29:44,115 --> 00:29:46,784
- Not using drugs?
- No.
470
00:29:48,911 --> 00:29:50,950
You tested positive for cocaine.
471
00:29:53,248 --> 00:29:55,572
Sorry. I didn't know
I was this high on the list.
472
00:29:56,083 --> 00:29:59,534
I hardly ever do it.
I went to a party. I was depressed.
473
00:29:59,711 --> 00:30:02,036
- Damn dialysis.
- Get used to it.
474
00:30:02,213 --> 00:30:03,707
I can't have the transplant?
475
00:30:03,881 --> 00:30:07,664
Cocaine destroyed your kidneys.
You're still using. Why should you?
476
00:30:07,843 --> 00:30:12,302
- I won't do it after the operation.
- You wasted my time.
477
00:30:12,471 --> 00:30:16,800
Please, come on! I'm not an addict.
I need this kidney!
478
00:30:17,017 --> 00:30:22,093
It's viable for only a limited time.
I have an hour to get a real candidate.
479
00:30:23,147 --> 00:30:27,274
- You mean someone who deserves it.
- Yes.
480
00:30:27,483 --> 00:30:28,942
Dr. Chen?
481
00:30:32,696 --> 00:30:34,818
- Yes?
- This is my fianc�.
482
00:30:34,989 --> 00:30:36,318
- How are you?
- Good.
483
00:30:36,491 --> 00:30:41,567
Glen thinks Dad might be suffering from
depression. The mood swings and stuff.
484
00:30:41,745 --> 00:30:45,908
It might be the wedding.
I know he wanted to pay for it.
485
00:30:46,082 --> 00:30:49,284
- But it costs a lot of money.
- That would be tough.
486
00:30:49,459 --> 00:30:52,246
And Jo is his only daughter.
487
00:30:52,712 --> 00:30:56,460
I'll get the car.
Nice to meet you, Dr. Chen.
488
00:30:57,132 --> 00:30:59,171
So you think it's depression?
489
00:31:00,844 --> 00:31:03,132
Well, it's hard to say.
490
00:31:06,265 --> 00:31:08,636
- Ready to go, Dad?
- Yeah, I am.
491
00:31:11,102 --> 00:31:13,059
Thank you, Dr. Chen.
492
00:31:13,979 --> 00:31:15,770
Thanks for everything.
493
00:31:16,314 --> 00:31:18,271
You're welcome.
494
00:31:28,282 --> 00:31:29,776
Kerry?
495
00:31:30,451 --> 00:31:32,028
I thought Romano said no to a central line.
496
00:31:32,160 --> 00:31:33,191
He did.
497
00:31:33,370 --> 00:31:35,243
You're doing it anyway?
498
00:31:35,455 --> 00:31:39,748
I have emergency consent
from another physician. That's all I need.
499
00:31:40,000 --> 00:31:42,573
- I've got this.
- You need Opsite.
500
00:31:42,752 --> 00:31:44,127
I've got it.
501
00:31:44,712 --> 00:31:47,167
- But Kerry-
- It's my decision.
502
00:31:47,339 --> 00:31:49,664
It doesn't involve you.
503
00:31:52,844 --> 00:31:54,635
Okay.
504
00:32:10,775 --> 00:32:15,685
- Looks like a "P" to me. Bisoprolol.
- It's a "C." Why would I order that?
505
00:32:15,862 --> 00:32:17,190
What's that say, Carter?
506
00:32:18,573 --> 00:32:22,155
I can see how the pharmacy
could have read it wrong.
507
00:32:22,326 --> 00:32:24,567
- They should've called.
- Sure.
508
00:32:24,744 --> 00:32:27,235
- Blame them.
- It can be read both ways.
509
00:32:27,413 --> 00:32:29,655
You, come here.
I need an impartial observer.
510
00:32:29,873 --> 00:32:32,079
- That's a faxed copy-
- Quiet!
511
00:32:32,250 --> 00:32:35,085
- "C" or a "P"?
- It looks like a "Q."
512
00:32:35,294 --> 00:32:36,954
Someone else who can't read it.
513
00:32:37,171 --> 00:32:39,958
I prescribed bisacodyl.
That's what I ordered and wrote.
514
00:32:40,132 --> 00:32:44,793
Then why is this patient having
an angioplasty for an infarction?
515
00:32:45,511 --> 00:32:48,298
- You heard me say bisacodyl?
- Yeah.
516
00:32:49,389 --> 00:32:52,674
Did you read the label
before you handed it out?
517
00:32:52,850 --> 00:32:56,717
- There was a trauma coming in.
- Oh, a trauma came in!
518
00:32:56,937 --> 00:33:01,681
When traumas come in, we can hand out
any meds that are around.
519
00:33:01,857 --> 00:33:05,060
- Dr. Romano-
- Carter, shut up!
520
00:33:05,235 --> 00:33:08,401
- Can I go?
- The incompetence here is scary.
521
00:33:08,571 --> 00:33:10,729
- Amazing we're not shut down.
- It was an honest mistake.
522
00:33:10,906 --> 00:33:13,860
No, it was tag-team negligence!
523
00:33:17,453 --> 00:33:20,288
You are both prohibited
from writing prescriptions.
524
00:33:20,456 --> 00:33:25,615
- How are we going to treat patients?
- Others will write them for you.
525
00:33:26,127 --> 00:33:29,827
- How long?
- Until you can write and you can read.
526
00:33:30,047 --> 00:33:31,589
- I know how to read.
- Then do it!
527
00:33:39,888 --> 00:33:41,382
Thank you, Carter.
528
00:33:41,598 --> 00:33:43,140
Thank you, Carter.
529
00:33:48,603 --> 00:33:51,604
You gave him the pills
without looking at it?
530
00:33:51,814 --> 00:33:56,689
- What you wrote was illegible.
- I shouldn't write your scrips anyway.
531
00:33:56,860 --> 00:33:58,852
- I didn't ask you-
- He's your patient.
532
00:33:59,070 --> 00:34:03,778
You always check the label.
They teach you that on the first day.
533
00:34:07,243 --> 00:34:10,576
- You called UNOS?
- I had to get the next patient.
534
00:34:10,788 --> 00:34:14,915
Mrs. Nussbaum is coming
from upstate Indiana in 40 minutes.
535
00:34:15,083 --> 00:34:17,953
That's too late.
The new kidney might fail.
536
00:34:18,127 --> 00:34:21,626
- I thought we were at 10 hours.
- We need to do a workup.
537
00:34:21,838 --> 00:34:24,673
We may need to wait to anesthetize.
538
00:34:24,883 --> 00:34:28,251
We'll assess her.
She's already on her way.
539
00:34:28,427 --> 00:34:32,341
- You should've talked to me.
- We were in a hurry, we had to move on.
540
00:34:32,514 --> 00:34:35,882
You may not like this guy, but we have
a match who's ready for surgery.
541
00:34:36,058 --> 00:34:37,932
You can't be serious.
542
00:34:38,102 --> 00:34:42,312
I'd rather put a healthy kidney
in someone than not at all.
543
00:34:42,480 --> 00:34:46,347
The guy knows he's on the UNOS list
and can be called at any moment...
544
00:34:46,567 --> 00:34:50,777
...and he's snorting cocaine?
He's not going to stop using.
545
00:34:50,987 --> 00:34:52,778
He'll burn another organ.
546
00:34:52,947 --> 00:34:56,149
Your Mrs. Nussbaum
might not get here in time.
547
00:34:56,324 --> 00:34:58,945
She might not qualify.
It'll go to waste!
548
00:34:59,118 --> 00:35:02,119
Let it! I'd rather take the risk
than give it to him.
549
00:35:02,288 --> 00:35:05,323
- It's not your risk to take!
- He made his choice.
550
00:35:05,499 --> 00:35:07,407
Give the next person a chance.
551
00:35:10,586 --> 00:35:13,456
Thirty minutes.
Then I'm taking up Mr. Maldonado.
552
00:35:14,589 --> 00:35:18,289
- I'm not releasing him.
- I don't need you to.
553
00:35:30,560 --> 00:35:34,178
- She likes this one, huh?
- It's her favorite.
554
00:35:37,483 --> 00:35:43,235
Most doctors think she's just
responding to the light changes.
555
00:35:43,446 --> 00:35:45,652
But I notice a difference.
556
00:35:47,491 --> 00:35:49,399
At least I think I do.
557
00:35:53,704 --> 00:35:57,997
- Dr. Weaver put in a central line?
- I know you think it's too much.
558
00:35:59,459 --> 00:36:00,787
But...
559
00:36:01,669 --> 00:36:04,373
...I'm not ready to give her up yet.
560
00:36:07,965 --> 00:36:09,625
I understand.
561
00:36:11,969 --> 00:36:13,427
Excuse me.
562
00:36:15,096 --> 00:36:16,127
Thank you.
563
00:36:19,266 --> 00:36:20,926
You're welcome.
564
00:36:26,272 --> 00:36:29,557
- Strep throat ready for discharge.
- Penicillin?
565
00:36:29,733 --> 00:36:32,223
Yep. Curtain 3...
566
00:36:37,573 --> 00:36:41,155
Were my instructions
in any way unclear?
567
00:36:41,326 --> 00:36:45,157
- No, you made your position known.
- And you ignored it?
568
00:36:45,329 --> 00:36:48,993
- I took it under advisement.
- Then you're suspended.
569
00:36:49,207 --> 00:36:52,041
- Sign out and go home.
- Robert, let's-
570
00:36:52,209 --> 00:36:54,248
Right now, Kerry. Right now.
571
00:36:55,420 --> 00:36:59,369
- Suspended?
- Effective now, until further notice.
572
00:37:21,733 --> 00:37:24,188
- Carter, you going home?
- Yeah.
573
00:37:24,360 --> 00:37:29,105
I wish I weren't. My grandparents
are throwing a dinner party.
574
00:37:29,281 --> 00:37:33,278
- You have to go?
- Attendance is compulsory.
575
00:37:33,451 --> 00:37:35,526
- I have a question.
- Shoot.
576
00:37:35,703 --> 00:37:41,325
A 12-year-old has abdominal pain,
diarrhea, fever, no ill contacts.
577
00:37:41,499 --> 00:37:43,824
- What do you do?
- Any vomiting?
578
00:37:44,001 --> 00:37:47,369
- No.
- Probably gastroenteritis.
579
00:37:47,587 --> 00:37:49,164
Sounds like a trick question.
580
00:37:49,339 --> 00:37:53,964
So I'd probably order a CBC
and dip a urine to rule out a UTI.
581
00:37:54,760 --> 00:37:57,926
- Thought so.
- Do I pick up anything abnormal?
582
00:37:58,137 --> 00:38:02,798
Nothing on the CBC. And I don't know
about the urine because...
583
00:38:02,975 --> 00:38:04,801
...you didn't order one.
584
00:38:04,976 --> 00:38:07,976
You saw him last fall.
Came back today-
585
00:38:08,187 --> 00:38:13,263
Type Two diabetes.
Hyperosmolar coma. Cleo told me.
586
00:38:13,483 --> 00:38:16,152
- Is he gonna be okay?
- Should be.
587
00:38:16,319 --> 00:38:18,856
Been nice if we caught it earlier.
588
00:38:19,029 --> 00:38:21,602
Yeah, kid must not have
looked that sick.
589
00:38:21,781 --> 00:38:24,865
- What did I say? Stomach flu?
- Yep.
590
00:38:28,328 --> 00:38:31,329
I wish I could remember him.
I feel bad.
591
00:38:31,497 --> 00:38:32,991
Must've misdiagnosed.
592
00:38:33,165 --> 00:38:36,664
- He didn't have any insurance.
- Really? What are they gonna do?
593
00:38:36,877 --> 00:38:39,913
- They're okay. They have it now.
- Oh, good.
594
00:38:41,255 --> 00:38:44,090
Anything else you wanna tell me?
595
00:38:44,716 --> 00:38:48,548
No. I made a mistake. I'm sorry.
596
00:38:51,347 --> 00:38:53,173
Have a nice party.
597
00:38:54,391 --> 00:38:56,632
Thanks.
598
00:39:23,039 --> 00:39:25,660
- Hey.
- Yes, Peter?
599
00:39:25,833 --> 00:39:27,659
I didn't like how we left things.
600
00:39:27,751 --> 00:39:29,245
You mean, you screaming at me?
601
00:39:31,546 --> 00:39:33,917
You mind if I come in?
602
00:39:36,591 --> 00:39:40,291
Suit yourself.
I've got one more set.
603
00:39:48,518 --> 00:39:51,222
You always work out
in your living room?
604
00:39:51,979 --> 00:39:53,936
Beats the garage.
605
00:39:55,231 --> 00:39:57,058
Listen, I...
606
00:39:59,985 --> 00:40:02,855
I was angry that I got
dragged into this.
607
00:40:04,280 --> 00:40:09,404
It wasn't even a surgical patient.
Cleo, I know it gets crazy down there.
608
00:40:09,618 --> 00:40:12,702
I just want you to know
that I don't blame you.
609
00:40:13,579 --> 00:40:17,030
- Oh, you don't?
- No, I don't.
610
00:40:22,754 --> 00:40:25,326
- Want me to give you a hand?
- No.
611
00:40:31,552 --> 00:40:33,260
Come on.
612
00:40:49,108 --> 00:40:50,768
Am I forgiven?
613
00:40:55,530 --> 00:40:59,693
Peter, that was the lamest apology
I've ever heard.
614
00:41:01,034 --> 00:41:03,192
I gotta hit the shower.
615
00:41:08,916 --> 00:41:09,947
You coming?
616
00:41:43,652 --> 00:41:47,067
- What's next on the agenda?
- I'm building an airplane.
617
00:41:47,238 --> 00:41:48,613
- An airplane?
- An airplane.
618
00:41:48,823 --> 00:41:51,194
- Out of wood?
- Dad?
619
00:41:51,408 --> 00:41:53,650
- Think it'll be ready by March?
- No.
620
00:41:53,827 --> 00:41:56,661
Well, thanks for letting us-
621
00:42:00,207 --> 00:42:03,871
I'm wearing it.
I didn't wanna drag it to the can.
622
00:42:04,085 --> 00:42:06,540
- I didn't say anything.
- You were gonna.
623
00:42:06,712 --> 00:42:09,796
- Your backup oxygen's low.
- I didn't notice.
624
00:42:09,965 --> 00:42:13,131
- I'll go get you one.
- It'll last tonight.
625
00:42:13,301 --> 00:42:16,883
- I don't want to take any chances.
- Whatever you say.
626
00:42:17,679 --> 00:42:21,427
I made some macaroni and cheese.
There's some extra on the counter.
627
00:42:21,599 --> 00:42:24,932
- Thanks.
- Say, I saw Elizabeth today.
628
00:42:25,477 --> 00:42:26,805
She told me.
629
00:42:27,812 --> 00:42:32,639
Did she say anything about that place,
the hospice?
630
00:42:33,609 --> 00:42:36,728
I checked it out.
There weren't any spots available.
631
00:42:39,488 --> 00:42:44,031
- When will they have one available?
- I don't know. They didn't say.
632
00:42:44,201 --> 00:42:49,158
- There's a long waiting list.
- Waiting list? What's the point of that?
633
00:42:49,330 --> 00:42:50,824
I don't know.
634
00:42:51,707 --> 00:42:54,197
Looks like you're stuck with me
for a while.
635
00:42:54,375 --> 00:42:56,000
Yeah.
636
00:43:00,380 --> 00:43:03,464
Luka! What are you doing?
637
00:43:03,675 --> 00:43:07,209
The grease from the meat dripped
on the coals and caught on fire.
638
00:43:07,386 --> 00:43:10,635
- That's what the water's for.
- You didn't tell me that.
639
00:43:10,847 --> 00:43:13,717
- Here. What's left of it.
- Thanks.
640
00:43:13,891 --> 00:43:16,298
It really cooled off out here, huh?
641
00:43:17,936 --> 00:43:21,139
- The girls asleep?
- One is still fussing.
642
00:43:21,731 --> 00:43:23,106
Let me guess. Kate.
643
00:43:24,024 --> 00:43:27,807
- You had a 50-50 shot.
- No. She's the troublemaker.
644
00:43:29,028 --> 00:43:30,736
Yeah.
645
00:43:33,031 --> 00:43:36,281
You think these are too thick?
Might be rare inside.
646
00:43:36,451 --> 00:43:41,029
Well, don't worry. I have a steak
and kidney pie in the freezer.
647
00:43:41,205 --> 00:43:43,874
Kidney, huh? Very funny.
648
00:43:45,458 --> 00:43:49,669
The nurses thought
you'd take it home with you.
649
00:43:49,837 --> 00:43:51,295
I might as well have.
650
00:43:52,255 --> 00:43:54,378
You probably scared the guy
into rehab.
651
00:44:01,721 --> 00:44:02,836
What's wrong?
652
00:44:04,599 --> 00:44:06,223
What? Is that snow?
653
00:44:08,685 --> 00:44:11,010
Oh, man!
654
00:44:11,437 --> 00:44:15,766
Hello! It's April!
We can finish cooking inside.
655
00:44:15,983 --> 00:44:18,900
- No, I came to barbecue.
- You wanna freeze?
656
00:44:19,068 --> 00:44:21,606
- It's only snow.
- I'll get a sweater.
657
00:44:21,779 --> 00:44:24,945
- Your sweaters won't fit me.
- I'll find something.
658
00:44:28,349 --> 00:44:31,404
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