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1
00:00:13,127 --> 00:00:17,530
If you don't have your child's card
with you, let me know.
2
00:00:17,698 --> 00:00:20,997
Chuny, can I get a hand
in here, please?
3
00:00:22,870 --> 00:00:26,169
Okay, I'll be with you in a second.
Did everybody get a cookie?
4
00:00:26,373 --> 00:00:27,704
Excuse me, pal.
5
00:00:27,908 --> 00:00:31,207
I need you to explain to her
about the lead.
6
00:00:36,116 --> 00:00:37,276
That ain't Spanish.
7
00:00:37,451 --> 00:00:42,684
We need to take some blood to see
if the baby's been exposed to lead.
8
00:00:42,856 --> 00:00:45,290
- Lead is very bad for children.
- Okay.
9
00:00:45,459 --> 00:00:48,758
- Lf there's a problem, we'll call you.
- Okay.
10
00:00:48,929 --> 00:00:51,898
You sign this, and the nurse
will take some blood.
11
00:00:52,065 --> 00:00:54,465
- Okay.
- Next, please!
12
00:00:54,601 --> 00:00:58,332
- I think that was informed consent.
- Close enough.
13
00:00:58,505 --> 00:01:01,167
- Hey, old man.
- You again?
14
00:01:02,676 --> 00:01:05,907
Yeah, I know... Halloween.
Charlie, right?
15
00:01:06,079 --> 00:01:09,981
You gave me some condoms.
You were a couple of years late.
16
00:01:10,150 --> 00:01:12,482
- You're telling me that's yours?
- Why not?
17
00:01:12,653 --> 00:01:16,714
- His dad's a Pakistani dude.
- And his name is Lopez because...
18
00:01:16,890 --> 00:01:19,984
Okay. His mom, Gloria,
is a friend of mine.
19
00:01:20,160 --> 00:01:22,628
She got a job today,
so I'm babysitting.
20
00:01:22,796 --> 00:01:24,787
She heard they were
giving out free shots.
21
00:01:24,965 --> 00:01:27,729
Ahmed hasn't been seen
since he was 4 months old?
22
00:01:27,868 --> 00:01:29,893
- I guess.
- Let me see. Let's take a look.
23
00:01:30,070 --> 00:01:32,470
What's he now?
About a year and a half?
24
00:01:32,673 --> 00:01:36,200
We need to have
his mother's address for a follow-up.
25
00:01:36,410 --> 00:01:38,810
- They live at Sisters, over on Grand.
- The shelter?
26
00:01:38,979 --> 00:01:43,006
- Don't we need parental consent?
- That's why I told you. I'm the mom.
27
00:01:43,183 --> 00:01:45,947
All right, Ms. Lopez.
Why don't you sign right there?
28
00:01:46,119 --> 00:01:49,145
- I don't know about this.
- Want me to send him home?
29
00:01:49,323 --> 00:01:50,483
Okay, next!
30
00:01:50,657 --> 00:01:55,617
- Charlie, shouldn't you be in school?
- We're off. It's Career Day.
31
00:01:58,565 --> 00:02:02,001
- BP's 200 over 140.
- Try to relax, Mr. Reynolds, okay?
32
00:02:02,135 --> 00:02:05,002
- Ultrasound's ready.
- Take a look. Tell me what you see.
33
00:02:05,172 --> 00:02:11,133
- You wanna start him on beta-blockers?
- Yes. Esmolol, 5 grams and 500 ml.
34
00:02:11,378 --> 00:02:14,541
- And four of morphine.
- It's a triple-A about four cm.
35
00:02:14,715 --> 00:02:17,707
- Dr. Lewis, I was afraid I'd missed you.
- I'm on till 2.
36
00:02:17,884 --> 00:02:21,251
- It won't be the same without you.
- Stop it. It's hard enough.
37
00:02:21,421 --> 00:02:23,116
Give Dr. Carter the bullet.
38
00:02:23,290 --> 00:02:26,589
72-year-old male. History of
hypertension, hypercholesterolemia.
39
00:02:26,760 --> 00:02:29,923
One previous MI. Pain began
in left, lower quadrant a week ago.
40
00:02:30,097 --> 00:02:33,692
The ultrasound shows an abdominal
aneurysm, four cm.
41
00:02:33,834 --> 00:02:37,429
- We'll take him off your hands.
- Not so fast, Dr. Carter.
42
00:02:37,604 --> 00:02:41,096
- Check his femoral pulses.
- The ultrasound indicates surgery.
43
00:02:41,308 --> 00:02:44,175
- What do you think, Dr. Doyle?
- I'm with Carter. Chance of rupture.
44
00:02:44,344 --> 00:02:47,836
- Ten percent. And the femoral pulses?
- Two plus bilaterally.
45
00:02:48,048 --> 00:02:49,982
So good blood flow
to lower extremities.
46
00:02:50,150 --> 00:02:52,778
- Ultrasound indicates a risk.
- Shows no leakage.
47
00:02:52,953 --> 00:02:55,683
- Let's get a CT to confirm.
- You wanna manage it medically.
48
00:02:55,856 --> 00:02:58,689
I'd like to try. The machines
can give us test results.
49
00:02:58,859 --> 00:03:01,760
But they like to keep us here
for our diagnostic judgment.
50
00:03:01,928 --> 00:03:04,920
This is her last shift.
Maybe our last patient together.
51
00:03:05,098 --> 00:03:07,828
- She's trying to bust me.
- One has to hold you surgeons back.
52
00:03:07,968 --> 00:03:12,098
- Page me when you need me.
- Okay, let's get him to CT.
53
00:03:12,272 --> 00:03:15,298
- Guess I got a lot to learn.
- Yeah, it takes practice.
54
00:03:15,509 --> 00:03:19,411
Don't be afraid to step up. You
should have seen me in my first year.
55
00:03:19,613 --> 00:03:23,014
Don't believe her.
She was always this good.
56
00:03:33,760 --> 00:03:37,662
- Are you with the moving company?
- No, I'm a friend of Susan's.
57
00:03:37,831 --> 00:03:41,289
You're the one who's
interested in taking over the lease?
58
00:03:41,435 --> 00:03:44,871
- Phyllis Dodds. I'm the landlady.
- Hi, Phyllis.
59
00:03:45,038 --> 00:03:47,302
- Are you okay?
- It's just a muscle spasm.
60
00:03:47,507 --> 00:03:48,940
Probably stress.
61
00:03:49,142 --> 00:03:52,839
It's a great one bedroom. Lots
of closet space, nice cross-breeze...
62
00:03:53,013 --> 00:03:55,641
...and a quiet street.
- Yeah, I've spent some time here.
63
00:03:55,816 --> 00:04:00,014
- You worked with Susan?
- Three years. Actually, more.
64
00:04:00,187 --> 00:04:03,020
- Are you single?
- Divorced. And I've got...
65
00:04:03,190 --> 00:04:05,283
...my daughter every other Saturday.
66
00:04:05,459 --> 00:04:08,223
No live-ins, no parties, no pets?
67
00:04:08,395 --> 00:04:11,296
- None of the above.
- A landlady's dream.
68
00:04:11,465 --> 00:04:13,626
At least it worked for someone.
69
00:04:13,767 --> 00:04:18,363
Oh, good. All the boxes go.
The luggage stays.
70
00:04:18,538 --> 00:04:21,701
Place looks a lot bigger
without Susan's stuff, doesn't it?
71
00:04:21,908 --> 00:04:24,308
A whole lot emptier.
72
00:05:24,838 --> 00:05:28,899
We're screwed. We can pull
all interns off their electives.
73
00:05:29,109 --> 00:05:31,600
Unless Senior Residents
lose vacation time...
74
00:05:31,812 --> 00:05:33,803
...we won't be able
to cover the schedule.
75
00:05:34,014 --> 00:05:37,347
- Are you okay?
- I didn't get much sleep last night.
76
00:05:37,518 --> 00:05:41,079
- What did you say after "screwed"?
- It's gonna be a pain to lose Susan.
77
00:05:41,255 --> 00:05:43,246
Big mistake for her. Phoenix.
78
00:05:43,424 --> 00:05:46,086
What was Morgenstern thinking
letting her go?
79
00:05:46,260 --> 00:05:48,421
I wanna be supportive
of lifestyle choices...
80
00:05:48,595 --> 00:05:50,654
...but we're getting
the short end here.
81
00:05:50,831 --> 00:05:53,891
- Good morning, all.
- Hang tough, Coach Pino.
82
00:05:54,034 --> 00:05:56,969
35-year-old roller hockey coach
got slammed into the board.
83
00:05:57,137 --> 00:06:00,436
- Possible hip dislocation.
- Dr. Weaver, can I take this one?
84
00:06:00,641 --> 00:06:04,202
- Did you guys nail him?
- He told us to play the body.
85
00:06:04,411 --> 00:06:07,847
Never apologize for a good
hip check. Right, coach?
86
00:06:08,048 --> 00:06:10,414
- Sure you're feeling okay?
- Yeah. Stiff muscles.
87
00:06:10,584 --> 00:06:13,951
- Might be coming down with something.
- Go home. Maybe your only chance.
88
00:06:14,121 --> 00:06:17,056
I think I'm gonna stick around.
89
00:06:17,224 --> 00:06:20,557
Hey. So T-minus
five hours and counting?
90
00:06:20,727 --> 00:06:23,719
- I'm getting nervous.
- You'll do great in Arizona.
91
00:06:23,897 --> 00:06:25,831
The winters there are like heaven.
92
00:06:25,966 --> 00:06:27,831
I don't wanna leave anyone
in the lurch.
93
00:06:28,001 --> 00:06:31,562
We'll muddle through.
I signed the lease.
94
00:06:31,738 --> 00:06:35,003
Great! It'd be a shame
to let that place go.
95
00:06:35,209 --> 00:06:38,201
And I'll never forget your address.
96
00:06:38,412 --> 00:06:39,845
Wanna help me
with a teaching demo?
97
00:06:41,148 --> 00:06:44,777
- You give him five of morphine?
- And Valium and 100 methohexital.
98
00:06:44,952 --> 00:06:48,547
The first nurse, in this case Susan,
applies counter traction.
99
00:06:48,722 --> 00:06:52,624
Good job, Susan.
Then you grab behind the knee.
100
00:06:52,793 --> 00:06:55,660
And you lift. And you lift...
101
00:06:55,829 --> 00:06:58,263
...until you feel that...
102
00:06:58,432 --> 00:07:01,731
...hip slip back into place.
103
00:07:01,869 --> 00:07:03,666
- That's it.
- Okay.
104
00:07:03,837 --> 00:07:05,600
- Thanks, Susan.
- Anytime.
105
00:07:05,806 --> 00:07:08,934
Anytime in the next four hours.
106
00:07:10,144 --> 00:07:12,704
Dislocations aren't tough.
You'll get it.
107
00:07:12,913 --> 00:07:14,437
I know. I've done a bunch of them.
108
00:07:14,648 --> 00:07:17,776
- Why did you ask for help?
- I didn't.
109
00:07:19,920 --> 00:07:22,150
- That was perfect.
- Will you take one for me?
110
00:07:22,322 --> 00:07:24,916
We will do anything
for you, Dr. Keaton.
111
00:07:25,092 --> 00:07:27,720
- Say "discharge."
- Discharge!
112
00:07:27,895 --> 00:07:29,556
- Great.
- There's Dr. Benton.
113
00:07:29,730 --> 00:07:32,790
The Herlihys are taking
Megan home today.
114
00:07:32,933 --> 00:07:34,798
Yeah, I heard. Congratulations.
115
00:07:34,968 --> 00:07:38,233
David, get one with
Dr. Benton in it, please.
116
00:07:38,405 --> 00:07:42,364
- It would mean so much.
- Smile.
117
00:07:44,478 --> 00:07:45,740
We owe you so much.
118
00:07:45,913 --> 00:07:49,212
We're not usually shy about
taking credit. But in this case...
119
00:07:49,383 --> 00:07:52,614
...Megan deserves
all the congratulations.
120
00:07:52,786 --> 00:07:56,085
- We'll be in touch.
- Bye.
121
00:07:58,125 --> 00:07:59,752
- That was awkward.
- Why?
122
00:07:59,927 --> 00:08:02,862
- I almost killed their baby.
- Never begrudge a good outcome.
123
00:08:03,030 --> 00:08:06,989
- It's nothing to be proud of.
- But sometimes the gods smile.
124
00:08:07,134 --> 00:08:10,626
- Hi.
- Carter, what are you doing here?
125
00:08:10,804 --> 00:08:14,467
Actually, I was coming to...
126
00:08:14,675 --> 00:08:19,977
- To look at the literature review?
- Yes, I was. I am, if you are.
127
00:08:20,147 --> 00:08:22,843
- The literature review?
- I kidnapped your intern.
128
00:08:23,016 --> 00:08:25,610
I hope you don't mind,
but I'm up against a deadline...
129
00:08:25,786 --> 00:08:29,187
...so I asked Dr. Carter to contribute
to an article I'm writing.
130
00:08:29,356 --> 00:08:31,790
- Yes, you did.
- As long as it doesn't interfere...
131
00:08:31,959 --> 00:08:34,792
...with your other work.
- No, this thing with Dr. Keaton...
132
00:08:34,962 --> 00:08:36,896
This article won't get in the way.
133
00:08:37,064 --> 00:08:39,999
I can go over
your first draft at 3.
134
00:08:40,133 --> 00:08:44,160
Okay? Okay, see you 3.
135
00:08:46,106 --> 00:08:49,041
- Clearing out your locker?
- This is too weird.
136
00:08:49,243 --> 00:08:51,370
- What time is your train?
- 4:20.
137
00:08:51,578 --> 00:08:54,376
I have to go by my house
and pick up my stuff.
138
00:08:54,548 --> 00:08:58,848
- I'm not cutting it too close, am I?
- You're on until 2?
139
00:08:59,019 --> 00:09:01,783
There's no farewell thing
going on, is there?
140
00:09:01,955 --> 00:09:04,549
- No. Not that I've heard of.
- Okay, good.
141
00:09:04,725 --> 00:09:08,126
- Mark is acting so odd.
- Well, he's gonna miss you.
142
00:09:09,096 --> 00:09:13,863
He thinks I should go. If I have to
hear how great Phoenix is once more...
143
00:09:14,001 --> 00:09:18,631
He's just trying to be a good sport,
judging from how miserable he looks.
144
00:09:19,406 --> 00:09:20,998
Having second thoughts?
145
00:09:21,208 --> 00:09:23,506
I never made a decision
that seemed so right.
146
00:09:23,677 --> 00:09:26,373
You know, once I made it,
I just felt great.
147
00:09:27,714 --> 00:09:31,650
- Of course I'm having second thoughts.
- I wish you weren't going.
148
00:09:31,818 --> 00:09:34,719
- But you do look happy.
- Do I?
149
00:09:34,888 --> 00:09:36,788
I'm afraid that I'm not happy at all.
150
00:09:36,957 --> 00:09:38,857
Just barging in
on Chloe and Joe's happiness.
151
00:09:39,026 --> 00:09:41,824
Well, she owes you
a couple of barge-ins.
152
00:09:41,995 --> 00:09:43,724
Susan, there you are.
153
00:09:43,897 --> 00:09:45,831
- What's wrong?
- I need a second opinion.
154
00:09:45,966 --> 00:09:47,729
Sure.
155
00:09:49,569 --> 00:09:50,968
See? Odd.
156
00:09:52,773 --> 00:09:54,900
I wanna get your opinion on a patient.
157
00:09:55,108 --> 00:09:57,201
- Are you coming down with something?
- I hope not.
158
00:09:57,411 --> 00:09:59,606
Exam Room 1,
28-year-old smoker on the pill...
159
00:09:59,780 --> 00:10:01,543
...complains of shortness of breath.
160
00:10:01,715 --> 00:10:06,311
Diffuse low voltage on her EKG. I'm
thinking pericarditis. Get an echo.
161
00:10:06,486 --> 00:10:09,046
- That's what I'd do.
- Could it be pulmonary embolism?
162
00:10:09,222 --> 00:10:13,488
She's at risk. Abnormal EKG.
It could be lead placement.
163
00:10:13,660 --> 00:10:16,527
- No, I'd go with the echo.
- You sure?
164
00:10:16,697 --> 00:10:19,860
It's a no-brainer. You could always
get a VQ scan if the echo's negative.
165
00:10:20,000 --> 00:10:22,992
That's what I was thinking.
So I'll order an echo.
166
00:10:23,170 --> 00:10:27,732
The Mutt and Jeff of emergency
medicine pooling their expertise...
167
00:10:27,941 --> 00:10:31,172
...before she leaves us in the dust.
- Doug, stop.
168
00:10:31,345 --> 00:10:33,540
Randi, call the lab,
pick up these tests.
169
00:10:33,714 --> 00:10:37,206
- Where have you been?
- The Hellmobile.
170
00:10:37,384 --> 00:10:39,852
Diaper rash, Curtain 3.
Saved it just for you.
171
00:10:40,020 --> 00:10:42,955
Anspaugh made you ride
the mobile again so soon?
172
00:10:43,123 --> 00:10:46,650
No. The immunization
program was Dr. Ross' idea.
173
00:10:46,827 --> 00:10:50,456
- Is this true?
- It keeps me off the streets.
174
00:10:50,630 --> 00:10:54,225
I got sunscreen.
I got a turquoise belt buckle.
175
00:10:54,368 --> 00:10:57,064
- I got a snake bite kit.
- What for?
176
00:10:57,237 --> 00:10:58,898
Susan's farewell.
177
00:10:59,106 --> 00:11:03,600
- And we've got a cactus-shaped cake.
- I don't know. She'll hate this.
178
00:11:03,810 --> 00:11:07,337
Of course she'll hate it.
That's why we're doing it.
179
00:11:07,547 --> 00:11:11,745
- You look lousy.
- I've got this neck thing and fever.
180
00:11:11,918 --> 00:11:13,943
- There's a flu around.
- You didn't do it?
181
00:11:14,121 --> 00:11:17,113
- You didn't tell her how you feel.
- She's leaving.
182
00:11:17,290 --> 00:11:19,383
She's made her decision.
183
00:11:19,559 --> 00:11:23,495
I don't see any point
in saying anything.
184
00:11:25,565 --> 00:11:28,966
In two hours, we'll have a 1 -week-old
male baby on this table.
185
00:11:29,102 --> 00:11:31,070
And what do we know
about this poor soul.
186
00:11:31,238 --> 00:11:35,072
He has a distended abdomen,
visible peristalsis.
187
00:11:35,275 --> 00:11:37,766
The upper-GI series showed...
188
00:11:37,978 --> 00:11:42,472
...a partial small bowel obstruction.
- When we open him up we expect...?
189
00:11:42,649 --> 00:11:45,015
- A malrotation of the gut.
- Meaning...?
190
00:11:45,185 --> 00:11:49,144
The 10th week of fetal development, the
cephalic limb of the intestinal loop...
191
00:11:49,322 --> 00:11:53,383
...elongated and twisted 270 degrees.
- Begin with the duodenum.
192
00:11:53,560 --> 00:11:56,290
What would you expect to see
in a normal 1 -week-old?
193
00:11:56,463 --> 00:11:59,125
What? You mean, like
the duodenum leads to...?
194
00:11:59,266 --> 00:12:02,827
Close your eyes. Try to see it.
195
00:12:05,272 --> 00:12:09,436
The duodenum leads to jejunum,
which connects to the ileum.
196
00:12:09,643 --> 00:12:13,101
Okay, but slow down
and tell me what you see.
197
00:12:13,313 --> 00:12:16,544
- What do you mean?
- Start with the image of...
198
00:12:16,716 --> 00:12:18,775
...a healthy gut.
199
00:12:18,952 --> 00:12:22,183
I'm seeing the head of the pancreas.
200
00:12:22,355 --> 00:12:25,381
It's like a tiny fist
holding two straws.
201
00:12:25,559 --> 00:12:27,823
You mean the
mesenteric artery and vein.
202
00:12:28,595 --> 00:12:31,860
It's nestled in the open
sea of the duodenum.
203
00:12:32,032 --> 00:12:35,866
And its surface is like fine pebbles.
204
00:12:36,002 --> 00:12:39,529
A beautiful shade of tannish yellow.
205
00:12:39,706 --> 00:12:42,038
Go on. You try it.
206
00:12:44,010 --> 00:12:46,240
Okay, the...
207
00:12:47,647 --> 00:12:51,083
The pancreas is...
208
00:12:51,284 --> 00:12:55,050
...shaped like a tadpole
with a big head.
209
00:12:57,757 --> 00:13:00,157
It narrows into a tail...
210
00:13:00,327 --> 00:13:03,455
...that curls
into the hilum of the spleen.
211
00:13:03,630 --> 00:13:06,030
Go on. Now see the spleen.
212
00:13:10,937 --> 00:13:12,427
- Susan.
- Yes.
213
00:13:12,606 --> 00:13:15,803
We had a rocky start, but I thought
we worked on our relationship...
214
00:13:16,009 --> 00:13:17,772
...and developed
a professional rapport.
215
00:13:17,944 --> 00:13:19,536
- What's this about?
- The smoker in 1.
216
00:13:19,746 --> 00:13:22,044
I diagnosed her
with a pulmonary embolism...
217
00:13:22,215 --> 00:13:25,207
...and consented her for a VQ.
- I thought it was Mark's patient.
218
00:13:25,385 --> 00:13:28,513
- He asked me for my opinion.
- My beef is with him then.
219
00:13:28,688 --> 00:13:32,124
Let me talk to him.
I think I know what the problem is.
220
00:13:32,292 --> 00:13:34,954
- No. Absolutely not.
- It ticks me off.
221
00:13:35,128 --> 00:13:37,221
- I probably could go up there.
- No, you can't.
222
00:13:37,397 --> 00:13:39,524
It wouldn't kill me to finish off
this one shift up in Neuro.
223
00:13:39,699 --> 00:13:42,497
It's the principle.
Last week Lydia went up there...
224
00:13:42,636 --> 00:13:44,797
...and it encouraged them to do it more.
225
00:13:44,971 --> 00:13:46,962
I got called up to Neuro
to fill in for the day.
226
00:13:47,173 --> 00:13:50,199
May I speak to the nursing
administrator. Hathaway in the ER.
227
00:13:50,410 --> 00:13:52,537
When do you max out
on your pension?
228
00:13:52,746 --> 00:13:57,115
- Two more years.
- They are hassling the senior nurses.
229
00:13:57,284 --> 00:14:00,151
Hey! What's in the box? Bridal Shop?
230
00:14:00,320 --> 00:14:03,483
- You and Al finally set the date?
- No. The opposite.
231
00:14:03,657 --> 00:14:05,989
- She broke off with Al.
- I'm returning this ridiculous...
232
00:14:06,159 --> 00:14:09,720
...fake virgin outfit, and they'd
better not offer me store credit.
233
00:14:09,896 --> 00:14:13,354
- Sorry, Lydia.
- What did Al do?
234
00:14:13,500 --> 00:14:16,094
- Nothing. That's the problem.
- He kept putting it off.
235
00:14:16,269 --> 00:14:18,863
He didn't wanna get married.
I don't know why he proposed.
236
00:14:19,039 --> 00:14:21,269
What's the matter with you guys?
237
00:14:21,474 --> 00:14:24,500
- They're all petrified to make a move.
- It's lack of spine, isn't it?
238
00:14:24,711 --> 00:14:27,145
Whatever you're talking about,
I'm sure you're right.
239
00:14:27,314 --> 00:14:29,782
Mark, I need to talk to you.
240
00:14:29,983 --> 00:14:32,952
Mary. Carol Hathaway in the ER.
241
00:14:33,119 --> 00:14:37,522
I'm not doing to good. One of my
nurses just got floated up to Neuro.
242
00:14:37,691 --> 00:14:40,888
I'm running a department here.
It doesn't benefit my nurses...
243
00:14:41,061 --> 00:14:43,086
...to be shifted
all over the hospital.
244
00:14:43,263 --> 00:14:48,132
No. You know what? She's not going
up. She's not going up to Neuro.
245
00:14:48,268 --> 00:14:50,236
Right. Right.
246
00:14:52,939 --> 00:14:57,171
- Hot stuff.
- Unfortunately, you still have to go.
247
00:14:57,377 --> 00:15:00,312
But this is the last time.
I made an appointment with her.
248
00:15:00,480 --> 00:15:02,641
I'm gonna stop this.
249
00:15:02,816 --> 00:15:06,411
- Hang in there, Lydia.
- Don't worry about me.
250
00:15:06,586 --> 00:15:09,578
You can't put me in the middle
of your conflicts with Weaver.
251
00:15:09,756 --> 00:15:11,781
You can't, because
I'm not gonna be here.
252
00:15:11,958 --> 00:15:14,188
I just trust your judgment.
253
00:15:14,361 --> 00:15:18,695
I know what this is about,
and I'm having a hard time too.
254
00:15:18,865 --> 00:15:22,892
I think we've both been spoiled
by what we have, the shorthand.
255
00:15:23,036 --> 00:15:26,802
- It makes our jobs so much easier.
- Jobs. Right.
256
00:15:27,007 --> 00:15:30,067
In Phoenix, I'm afraid there won't
be a single person in the ER...
257
00:15:30,276 --> 00:15:32,710
...that I can talk to.
- They've got great doctors there.
258
00:15:32,879 --> 00:15:36,042
They have great doctors here.
The best I've ever worked with.
259
00:15:36,216 --> 00:15:39,674
- You can rely on them.
- Thanks for the pep talk.
260
00:15:41,655 --> 00:15:44,783
Mark, is there something else?
261
00:15:45,525 --> 00:15:47,755
No. No, nothing else.
262
00:15:47,927 --> 00:15:51,260
I could ask you
to consult on the hives in 4.
263
00:15:51,431 --> 00:15:54,059
It's time for us
to stand on our own two feet.
264
00:16:12,852 --> 00:16:14,251
Jeanie.
265
00:16:15,622 --> 00:16:17,055
Jeanie.
266
00:16:17,223 --> 00:16:19,453
Jeanie, I'm glad I caught you.
267
00:16:19,626 --> 00:16:22,527
- Did you get the mortgage papers back?
- No, that's what I wanted to tell you.
268
00:16:22,696 --> 00:16:25,756
- AI, you promised.
- I talked to this lawyer.
269
00:16:25,899 --> 00:16:29,335
He gave me some advice. And...
270
00:16:29,502 --> 00:16:31,197
Here.
271
00:16:32,572 --> 00:16:34,437
Everything you said
about our marriage.
272
00:16:34,641 --> 00:16:38,600
About how you carried all the weight.
That's gonna stop.
273
00:16:40,947 --> 00:16:43,381
- What is this?
- Divorce papers.
274
00:16:43,583 --> 00:16:47,883
I'm giving you the house, the car,
everything. And don't say no.
275
00:16:48,054 --> 00:16:49,749
It's not just because
you deserve it.
276
00:16:49,923 --> 00:16:53,188
This guy helped me figure out
that if I get my assets down...
277
00:16:53,359 --> 00:16:55,418
...and showed
that my job has no insurance...
278
00:16:55,595 --> 00:16:59,463
...then I would get this state program
for the working poor.
279
00:16:59,632 --> 00:17:01,725
They offer the drugs I need.
It's a good deal.
280
00:17:01,868 --> 00:17:04,268
But your income has to be
less than $ 15,000 a year.
281
00:17:04,437 --> 00:17:07,964
You don't have to worry
about me anymore. Okay?
282
00:17:08,174 --> 00:17:12,110
You just take care of yourself.
I gotta go.
283
00:17:20,653 --> 00:17:22,814
Settle down. Hold her.
284
00:17:22,989 --> 00:17:24,854
Thank God she was
passed out at Cubbie's.
285
00:17:25,024 --> 00:17:27,652
Bartender got worried after she
downed that sixth double bourbon.
286
00:17:27,827 --> 00:17:31,228
- She looks full-term.
- Let go of me. I'm out of...
287
00:17:31,397 --> 00:17:34,764
No, you're not.
Security! We need Security!
288
00:17:34,901 --> 00:17:38,462
Damn! Damn this damn thing!
289
00:17:38,638 --> 00:17:41,471
Doyle, Ativan, two mg.
Ma'am, are you having contractions?
290
00:17:41,674 --> 00:17:44,336
I need a drink. I need to...
291
00:17:44,544 --> 00:17:47,570
...get out of here!
- Restraints.
292
00:17:49,983 --> 00:17:53,919
You're not going anywhere.
Hold still, so we won't hurt your baby.
293
00:17:54,087 --> 00:17:57,579
Go ahead and kill it.
I never wanted the little bastard.
294
00:17:57,757 --> 00:17:59,657
- Too late to think about that now.
- Just sedate her.
295
00:17:59,826 --> 00:18:04,263
I'll kill myself and take it with me.
Damned thing ruined my life.
296
00:18:04,430 --> 00:18:07,160
- You're pissing me off, lady.
- Hold on, Doyle.
297
00:18:07,300 --> 00:18:09,928
- I wanna die.
- Look out.
298
00:18:10,103 --> 00:18:13,834
Her water broke.
We'd better get her up to OB.
299
00:18:14,908 --> 00:18:17,172
- Fetal alcohol syndrome on the way.
- Need some help?
300
00:18:17,343 --> 00:18:22,144
We could use some muscle here.
Doyle, take her up to OB.
301
00:18:22,315 --> 00:18:26,251
- She was trying to kill her baby.
- Alert Social Services.
302
00:18:26,419 --> 00:18:29,320
- Will they do anything?
- They'll try.
303
00:18:30,657 --> 00:18:32,852
Keep your legs together, honey.
304
00:18:33,026 --> 00:18:35,654
- That was ugly.
- It was criminal.
305
00:18:35,829 --> 00:18:38,627
- Chaplain, got a minute?
- Did you call for the last rites?
306
00:18:38,798 --> 00:18:42,962
No. I wanted to see if you were free
to see this woman. She's in labor.
307
00:18:43,102 --> 00:18:46,469
- Does she want a prayer?
- No. But I think her baby will.
308
00:18:46,673 --> 00:18:50,165
Got a brittle diabetic in 2. He
came in with a glucose level of 406.
309
00:18:50,376 --> 00:18:52,435
- Are you well? You look flushed.
- I'm fine.
310
00:18:52,645 --> 00:18:56,376
He hadn't taken his insulin. His BP
was 210 over 115. Off his dilt.
311
00:18:56,549 --> 00:18:59,848
I gave him both. But he wants to see
Susan. He always sees Dr. Lewis.
312
00:19:00,019 --> 00:19:02,783
- I can take it.
- Okay.
313
00:19:02,956 --> 00:19:06,551
- Where's Dr. Lewis?
- She's busy right now. I'm Dr. Greene.
314
00:19:06,726 --> 00:19:09,923
We've d��brided
Mr. Ceebar's ulcerated ankle.
315
00:19:10,096 --> 00:19:14,294
- Do you have an endocrinologist?
- Sort of.
316
00:19:14,434 --> 00:19:17,961
The ER is really not the best place
for you to manage your diabetes.
317
00:19:18,137 --> 00:19:21,698
My ex stole 500 bucks from me.
318
00:19:21,908 --> 00:19:26,072
Upsetting, but still no reason for you
not to monitor your glucose.
319
00:19:26,246 --> 00:19:29,181
I wanted to tell Dr. Lewis.
320
00:19:29,349 --> 00:19:31,817
Well, you can't see her right now.
321
00:19:31,985 --> 00:19:35,751
Diabetes is a serious disease. You can
manage it if you follow the regimen.
322
00:19:35,922 --> 00:19:39,949
But if you neglect it, you're at risk
for kidney failure, blindness...
323
00:19:40,126 --> 00:19:42,720
...and vascular disease.
- Why?
324
00:19:42,896 --> 00:19:46,457
- Why can't I see Dr. Lewis?
- Should I try to find her?
325
00:19:46,599 --> 00:19:51,730
Look, Dr. Lewis is leaving us.
She's not gonna work here anymore.
326
00:19:51,905 --> 00:19:55,500
I didn't tell her about my car.
Somebody ran into it and didn't stop.
327
00:19:55,708 --> 00:19:58,142
- Will you get Psych for Mr. Ceebar?
- I can find Dr...
328
00:19:58,344 --> 00:20:00,335
- Get Psych!
- Tell Dr. Lewis...
329
00:20:00,546 --> 00:20:04,778
Labs came back from the healthmobile.
Can you take a look at this CBC?
330
00:20:04,951 --> 00:20:06,919
- Crit's 28.
- Iron-deficiency anemia?
331
00:20:07,086 --> 00:20:10,419
No. Normal MCV, no blasts. Better
get this kid in for a follow-up.
332
00:20:10,590 --> 00:20:12,820
It's Ahmed Lopez.
The baby that kid brought in.
333
00:20:12,992 --> 00:20:16,587
Charlie? Sisters of Mercy Shelter?
I'll get the number.
334
00:20:16,763 --> 00:20:19,323
I need a hand here.
335
00:20:19,499 --> 00:20:21,399
- What's the problem?
- I never felt better.
336
00:20:21,534 --> 00:20:25,231
The guy's coughing his head off.
Best to bring him here.
337
00:20:25,405 --> 00:20:27,805
- Now it's a crime to cough.
- Shut up and be grateful.
338
00:20:28,007 --> 00:20:31,374
- I'll get a history.
- Cops get stranger all the time.
339
00:20:31,544 --> 00:20:35,310
- Don't worry. This isn't about you.
- Lydia.
340
00:20:35,481 --> 00:20:39,850
- She hates me, doesn't she?
- Well, she's pretty fed up.
341
00:20:40,019 --> 00:20:43,079
I don't know how she got the idea
I didn't wanna get married.
342
00:20:43,256 --> 00:20:47,522
- You kept putting it off.
- That didn't mean I didn't want to.
343
00:20:47,694 --> 00:20:51,027
- I know.
- You wanna be with her, be with her.
344
00:20:52,031 --> 00:20:54,158
Yeah, you're right.
345
00:20:54,300 --> 00:20:57,667
I woke up this morning,
and it was like I was dying.
346
00:20:57,837 --> 00:21:00,169
I couldn't breathe.
You ever get that?
347
00:21:00,373 --> 00:21:03,069
- Yeah.
- I got so crazed.
348
00:21:03,276 --> 00:21:05,210
I tried to get the license.
I drove up to the church.
349
00:21:05,378 --> 00:21:08,211
I tried to drag the priest over here
to marry us right now.
350
00:21:08,381 --> 00:21:10,372
- Lf she'll have me.
- What happened?
351
00:21:10,550 --> 00:21:13,951
They were all at a CPR class.
352
00:21:14,120 --> 00:21:19,183
We do have a chaplain here
in the hospital if you're serious.
353
00:21:19,359 --> 00:21:23,193
- Yeah?
- He's in Trauma 1, giving last rites.
354
00:21:29,836 --> 00:21:32,566
Boy, oh, boy, oh, boy. Look at that.
355
00:21:32,739 --> 00:21:35,367
- Where's the cecum?
- Can't see through all the small bowel.
356
00:21:35,575 --> 00:21:38,373
It's pretty blue in here.
Let's eviscerate.
357
00:21:38,544 --> 00:21:40,341
You wanna take care
of that obstruction?
358
00:21:40,513 --> 00:21:43,107
Sure. Metz. Retractor.
359
00:21:43,282 --> 00:21:45,375
- Look different from a healthy gut?
- I'll say.
360
00:21:45,551 --> 00:21:48,145
Visualize the transduodenal
and peritoneal bands...
361
00:21:48,321 --> 00:21:51,017
...attached to the cecum
and the ascending colon.
362
00:21:51,190 --> 00:21:53,658
- I am.
- I'm putting traction on this mass...
363
00:21:53,826 --> 00:21:56,420
...twisting it counterclockwise.
It's pretty tangled.
364
00:21:56,596 --> 00:22:00,396
- Like a drawer full of socks.
- I have to remember that one.
365
00:22:00,533 --> 00:22:03,661
Okay, it's pinking up.
I don't think we have dead bowel.
366
00:22:04,303 --> 00:22:07,204
- Do you have it?
- Yeah.
367
00:22:08,207 --> 00:22:13,042
- Everything is turned around in here.
- Tell me if you need me.
368
00:22:16,616 --> 00:22:18,413
You better take it.
369
00:22:19,118 --> 00:22:22,645
Okay, retract the intestines. Metz.
370
00:22:22,822 --> 00:22:24,119
Pick up.
371
00:22:24,290 --> 00:22:26,690
Baby's name is Ahmed,
mother's is Gloria.
372
00:22:26,859 --> 00:22:28,952
I don't know what she looks like.
373
00:22:29,128 --> 00:22:32,154
- He doesn't remember the mother.
- He took the blood without consent.
374
00:22:32,398 --> 00:22:33,888
- I didn't hear that.
- That's great, Doug.
375
00:22:34,033 --> 00:22:38,663
I know that all of your residents
are single moms. If you...
376
00:22:38,838 --> 00:22:43,366
Okay, Sister, maybe I will.
Thank you. Thank you.
377
00:22:43,576 --> 00:22:46,909
- Don't ask.
- Don't worry, I won't.
378
00:22:47,080 --> 00:22:51,380
- Has anybody seen Mr. Ceebar?
- Mr. Ceebar. A brittle diabetic?
379
00:22:51,551 --> 00:22:53,883
Yes. Psych is here,
but he's flown the coop.
380
00:22:54,053 --> 00:22:57,250
All he needs is five minutes of TLC
and a cup of hot tea.
381
00:22:57,423 --> 00:22:58,981
Well, he's gone now.
382
00:22:59,158 --> 00:23:02,457
Hey, look at that.
383
00:23:02,628 --> 00:23:04,858
- Think he'll talk her into it?
- Shouldn't be too hard.
384
00:23:05,031 --> 00:23:07,522
- It's what she wants.
- Talk her into what?
385
00:23:07,667 --> 00:23:10,465
Living happily ever after.
386
00:23:10,636 --> 00:23:13,867
- Sorry I couldn't step up.
- At least you knew you weren't ready.
387
00:23:14,073 --> 00:23:16,735
The malrotation was more disorienting
than I expected.
388
00:23:16,943 --> 00:23:20,743
90 percent of correcting a congenital
anomaly is knowing your embryology.
389
00:23:20,913 --> 00:23:24,405
- I had reviewed that.
- Then you had 90 percent aced.
390
00:23:24,584 --> 00:23:27,348
- What was the other 10 percent?
- Being able to stand there...
391
00:23:27,520 --> 00:23:30,717
...and let the confused anatomy
start to make its own sense.
392
00:23:30,890 --> 00:23:33,358
- How?
- By letting it happen.
393
00:23:33,526 --> 00:23:38,691
Abnormalities in neonates can be
overwhelming if broken into parts.
394
00:23:38,865 --> 00:23:41,459
Aristotle would have made
a lousy pediatric surgeon.
395
00:23:41,601 --> 00:23:44,570
Sorry to interrupt. They're calling
us from the ER. They need us.
396
00:23:44,737 --> 00:23:47,501
- What is it?
- A wedding.
397
00:23:54,213 --> 00:23:56,044
Oh, my God! It wasn't a joke.
398
00:23:56,215 --> 00:23:58,740
- Is this crazy?
- Yeah. This is crazy.
399
00:23:58,918 --> 00:24:00,613
Good thing you had
this old rag lying around.
400
00:24:00,786 --> 00:24:03,277
Make it snappy.
They only gave me 20 minutes off.
401
00:24:03,456 --> 00:24:07,017
- This veil is a little crushed.
- I'll go see if the coast is clear.
402
00:24:07,193 --> 00:24:09,388
Hold still. I don't wanna stick you.
403
00:24:09,562 --> 00:24:11,052
- How do we look?
- No traumas coming in.
404
00:24:11,230 --> 00:24:13,391
- Let's go while the radio is silent.
- Am I too late?
405
00:24:13,533 --> 00:24:16,593
No. Right this way.
Bride's side or groom's?
406
00:24:20,773 --> 00:24:23,503
- Okay. They're a little drippy.
- Yeah?
407
00:24:23,709 --> 00:24:25,643
All right, everybody.
They're ready, okay?
408
00:24:25,845 --> 00:24:28,780
Right over there.
That'll be good. Okay, ready?
409
00:24:46,666 --> 00:24:50,193
Dearly beloved...
Friends and colleagues...
410
00:24:50,369 --> 00:24:54,169
...we have come here today
as part of God's eternal plan...
411
00:24:54,373 --> 00:24:56,170
...and on the spur of the moment...
412
00:24:56,375 --> 00:25:01,506
...to this holy place of life
and death and healing...
413
00:25:01,681 --> 00:25:05,173
...to join Lydia Wright and Alfred...
414
00:25:05,351 --> 00:25:07,216
- G... Grabarsky.
- Grabarsky.
415
00:25:07,386 --> 00:25:10,014
Anybody get a stool
culture on Curtain...
416
00:25:10,189 --> 00:25:13,124
Oh, my God! I'm sorry.
417
00:25:13,292 --> 00:25:15,089
It's okay. I'll go.
418
00:25:15,261 --> 00:25:18,355
I did the rectal swab,
and his chart's in Exam 1.
419
00:25:18,531 --> 00:25:19,589
Best wishes, man.
420
00:25:19,732 --> 00:25:23,361
Like all of us here,
they've chosen as their life's work...
421
00:25:23,536 --> 00:25:26,300
...to care for
and protect their community.
422
00:25:26,472 --> 00:25:29,202
It's taxing and draining.
423
00:25:29,408 --> 00:25:31,672
And at times, it's dangerous work.
424
00:25:31,844 --> 00:25:35,245
Now Lydia and Alfred are taking on
the care and protection...
425
00:25:35,448 --> 00:25:37,075
...for each other
and the love they...
426
00:25:37,250 --> 00:25:40,413
Dr. Benton sends his apologies.
He was called into an emergency.
427
00:25:40,586 --> 00:25:44,078
Today we witness and declare
the sacred union between two...
428
00:25:44,257 --> 00:25:45,656
Testicular torsion.
429
00:25:45,825 --> 00:25:48,259
...souls that feed each other
with that love.
430
00:25:48,427 --> 00:25:51,294
It's a love that sustains
all their outer efforts.
431
00:25:51,464 --> 00:25:54,661
A love that is rare
and that should be treasured.
432
00:25:56,168 --> 00:25:59,035
- A love that at times will glow...
- I need a hand here!
433
00:25:59,205 --> 00:26:02,936
...and yet at other times,
it will flicker.
434
00:26:03,142 --> 00:26:04,871
And now the vows.
435
00:26:05,077 --> 00:26:07,136
Do you Lydia take Alfred...
436
00:26:07,346 --> 00:26:10,509
...to love and cherish from this day
forward till death do you part?
437
00:26:10,683 --> 00:26:14,676
- I do.
- And you Alfred take Lydia...
438
00:26:14,854 --> 00:26:18,813
...to love and cherish from this day
forward till death do you part?
439
00:26:18,991 --> 00:26:20,652
I do.
440
00:26:20,826 --> 00:26:23,317
I now pronounce you husband and wife.
441
00:26:24,263 --> 00:26:26,959
You may kiss your bride.
442
00:26:30,569 --> 00:26:32,833
Then he just handed you
the divorce papers?
443
00:26:33,005 --> 00:26:34,768
- It wasn't like him.
- What do you mean?
444
00:26:34,974 --> 00:26:36,874
It's the most unselfish thing
he's ever done.
445
00:26:37,043 --> 00:26:39,409
- She's throwing the bouquet.
- Come on.
446
00:26:39,578 --> 00:26:41,739
No pushing now. Come on.
447
00:26:41,914 --> 00:26:46,647
- Hey, Carol. It's bouquet time.
- No, thank you.
448
00:26:46,819 --> 00:26:49,253
Should we do the goodbye for Susan
now while everyone's here?
449
00:26:49,422 --> 00:26:52,016
No. We'll do it in an hour or so.
450
00:26:52,191 --> 00:26:54,887
- Did you see those two?
- You see them during the ceremony?
451
00:26:55,061 --> 00:26:57,552
It's pathetic.
I figured those two'd make a go of it.
452
00:26:57,730 --> 00:27:01,097
- Best friends. What more do you want?
- Not me. It's what Mark wants.
453
00:27:01,233 --> 00:27:04,259
- Things happen or not for a reason.
- Why is she leaving?
454
00:27:04,437 --> 00:27:06,200
She doesn't have a life here.
455
00:27:06,372 --> 00:27:09,637
And one, two, three!
456
00:27:10,576 --> 00:27:13,602
Oh, my God!
457
00:27:13,813 --> 00:27:16,008
- Oh, yeah, Susan!
- Yeah!
458
00:27:18,050 --> 00:27:20,814
Congratulations!
459
00:27:20,986 --> 00:27:22,817
- You're next.
- Yeah, funny.
460
00:27:22,988 --> 00:27:27,891
- That was kind of great, huh?
- Yeah. They seem happy.
461
00:27:28,060 --> 00:27:30,051
Hey, Mark...
462
00:27:30,229 --> 00:27:33,721
...I proved I'm no good at goodbyes.
- Me neither.
463
00:27:33,866 --> 00:27:37,529
- I'm sorry I snapped at you earlier.
- I just don't want to go...
464
00:27:37,703 --> 00:27:40,069
...unless I know
we'll always be friends.
465
00:27:40,239 --> 00:27:42,332
We will.
466
00:27:47,446 --> 00:27:49,846
- You ready for me?
- Come on in. Almost there.
467
00:27:50,015 --> 00:27:53,041
Why don't you shut the door?
468
00:27:57,256 --> 00:28:00,054
So about your literature review.
469
00:28:00,226 --> 00:28:04,162
It's very complete.
I have a few quibbles about emphasis.
470
00:28:04,330 --> 00:28:08,858
I'm not sure that Ladd warrants
an entire paragraph.
471
00:28:09,001 --> 00:28:12,437
- Probably not.
- But you have a very nice style.
472
00:28:12,605 --> 00:28:16,132
- Easy to read, not a lot of jargon.
- Thank you.
473
00:28:17,843 --> 00:28:20,812
I would ask you to co-author
if you weren't first-year.
474
00:28:21,013 --> 00:28:25,074
We need to be careful and not draw
a lot of attention considering...
475
00:28:25,251 --> 00:28:26,843
- Considering us?
- Yes.
476
00:28:27,019 --> 00:28:30,819
And what happened last Thursday
and Saturday afternoon and evening?
477
00:28:30,990 --> 00:28:33,823
- Yes. And Tuesday before rounds.
- We can talk about that.
478
00:28:33,993 --> 00:28:37,588
The only thing we need to keep
straight is that this is separate.
479
00:28:37,763 --> 00:28:39,822
- Completely separate.
- From my work.
480
00:28:39,965 --> 00:28:42,399
It shouldn't matter.
I'm not your boss.
481
00:28:42,568 --> 00:28:45,332
- You're my boss's boss.
- Did you lock the door?
482
00:28:45,504 --> 00:28:49,031
Just so we both understand
that this is strictly personal.
483
00:28:49,241 --> 00:28:52,642
It has nothing to do with work.
Oh, I love that.
484
00:28:52,845 --> 00:28:55,678
There are so many things
I'm not gonna miss about this place.
485
00:28:55,848 --> 00:28:58,817
Aftercare documentation
is one of them.
486
00:28:58,984 --> 00:29:01,714
I can't tell you how many hours
I've spent doing this.
487
00:29:01,887 --> 00:29:04,913
- You're the only one who ever bothers.
- You kidding me?
488
00:29:05,090 --> 00:29:07,251
Yeah.
489
00:29:07,426 --> 00:29:09,792
- She's gonna leave at 2:00.
- Are they setting up?
490
00:29:09,962 --> 00:29:11,429
In the lounge.
491
00:29:11,597 --> 00:29:14,259
I got a call from the D.A. Today...
492
00:29:14,400 --> 00:29:17,927
...about a drunk woman
who came in in labor.
493
00:29:18,103 --> 00:29:20,469
They're charging her
for attempted murder.
494
00:29:20,673 --> 00:29:24,769
- Social Services jumped on that one.
- They're acting on a call from us.
495
00:29:24,977 --> 00:29:27,445
You've seen that
crayon-in-the-nose trick before?
496
00:29:27,646 --> 00:29:30,114
Doctor, the address
for Sisters of Mercy.
497
00:29:30,316 --> 00:29:32,648
Yeah. We can handle it together.
498
00:29:32,818 --> 00:29:36,515
Dr. Doyle, did you make a call
to the 32nd Precinct today?
499
00:29:36,689 --> 00:29:39,453
Yeah. I got a cousin there.
500
00:29:40,025 --> 00:29:42,084
She wanted to kill her baby.
I was a witness.
501
00:29:42,261 --> 00:29:44,661
We get a lot of women here
with alcohol and drug problems.
502
00:29:44,830 --> 00:29:48,493
- We let Social Services handle it.
- It can fall through the cracks.
503
00:29:48,634 --> 00:29:52,229
Initiating criminal investigation
wasn't your job.
504
00:29:52,404 --> 00:29:54,565
But protecting the health of the baby.
Is that my job?
505
00:29:54,773 --> 00:29:57,640
We won't improve
prenatal care for high-risk infants...
506
00:29:57,810 --> 00:30:00,108
...if we scare off the mothers.
- How about this?
507
00:30:00,279 --> 00:30:04,613
If I get to testify against the bitch,
I'll do it on my own time.
508
00:30:04,783 --> 00:30:07,183
I think we're gonna like her.
509
00:30:07,353 --> 00:30:10,379
Randi, could you
try and find me some aspirin?
510
00:30:10,556 --> 00:30:14,185
It doesn't work for us. We never had
floats in and out of the department.
511
00:30:14,360 --> 00:30:18,160
- Budgets are tight, Carol.
- We're all aware of that.
512
00:30:18,330 --> 00:30:20,560
The hospital values
its registered nurses.
513
00:30:20,699 --> 00:30:25,193
RNs are the best trained and most
versatile part of the nursing staff.
514
00:30:25,371 --> 00:30:29,432
We are also the most
expensive part of that staff.
515
00:30:29,642 --> 00:30:34,136
County has got to figure out ways
to utilize RNs more effectively.
516
00:30:34,346 --> 00:30:38,544
- At least have the floats make sense.
- Go on.
517
00:30:39,151 --> 00:30:41,881
ER and ICU have
more skills in common...
518
00:30:42,054 --> 00:30:45,080
...than ward nurses,
Recovery or Neuro.
519
00:30:45,257 --> 00:30:47,452
That's a very good point, Carol.
520
00:30:47,626 --> 00:30:51,062
That is precisely why
I keep trying to get you managers...
521
00:30:51,230 --> 00:30:53,994
...who are in the trenches,
more active on the committees.
522
00:30:54,133 --> 00:30:57,694
- We need your perspective.
- Mary, I'm swamped.
523
00:30:57,870 --> 00:30:59,667
Okay, how about a deal?
524
00:30:59,838 --> 00:31:02,966
I can find ER floats
to ICU per your suggestion.
525
00:31:03,175 --> 00:31:06,702
In exchange, you sit on the hospital-
wide re-engineering committee.
526
00:31:06,912 --> 00:31:09,506
We only meet once a month.
527
00:31:14,520 --> 00:31:18,752
- I stalled her with one last patient.
- Good. She was out the door.
528
00:31:18,924 --> 00:31:21,085
Mr. Frick will keep her busy
for a while.
529
00:31:21,260 --> 00:31:24,286
- You got any tape?
- Yeah. Is Mark coming?
530
00:31:24,463 --> 00:31:27,796
- I beeped him twice.
- Sorry, folks. MVA coming in.
531
00:31:27,933 --> 00:31:31,596
Kindergarten carpool
versus joy-riding teens.
532
00:31:31,770 --> 00:31:35,206
- Could be as many as eight victims.
- There goes the party.
533
00:31:35,374 --> 00:31:38,104
- What's the ETA?
- They're pulling up now.
534
00:31:38,310 --> 00:31:40,335
Let's go. Come on.
535
00:31:42,615 --> 00:31:45,311
That's me.
Runner-up for Mr. Universe.
536
00:31:45,484 --> 00:31:48,942
Call me a fool, doc.
But I'm betting on a comeback.
537
00:31:49,121 --> 00:31:52,022
Haven't changed a lick since 1947.
538
00:31:52,191 --> 00:31:55,627
I'm afraid you may have lost
too much weight recently.
539
00:31:55,794 --> 00:31:59,161
I'm in training. Midwestern finals.
540
00:31:59,331 --> 00:32:03,062
American bodybuilders. 70 and older.
541
00:32:04,570 --> 00:32:06,629
Gotta take care of this damn sciatica.
542
00:32:06,805 --> 00:32:10,639
- Oh, man. That smarts.
- Why don't you take a seat again?
543
00:32:10,809 --> 00:32:14,973
- Do you know how this happened?
- My B-12 shot. Must have hit a nerve.
544
00:32:15,147 --> 00:32:19,140
- You're injecting vitamins?
- I stay clear of steroids.
545
00:32:19,318 --> 00:32:21,513
That's good. Scoot back.
546
00:32:21,687 --> 00:32:25,521
Press against my hands.
Yeah, good.
547
00:32:25,691 --> 00:32:29,024
- Any other complaints?
- No. Best I've looked in 10 years.
548
00:32:29,194 --> 00:32:33,961
- When's the competition?
- Mid-March. I'll be 74 by then.
549
00:32:34,099 --> 00:32:36,226
- And ready for a comeback.
- You think?
550
00:32:36,402 --> 00:32:41,396
Yeah. Plenty of bed rest, anti-
inflammatories and start back slowly.
551
00:32:42,675 --> 00:32:45,109
- Thanks, doc.
- Okay.
552
00:32:49,381 --> 00:32:51,281
- Fractured tib-fib.
- Honey, you're gonna be fine.
553
00:32:51,450 --> 00:32:53,350
Order a portable C-spine
and left tib-fib.
554
00:32:53,519 --> 00:32:56,716
Come with me this way.
I'll find you a place to sit.
555
00:32:56,889 --> 00:33:00,791
- My mom and dad are gonna kill me.
- I'll tell them it was my fault.
556
00:33:30,522 --> 00:33:35,152
- Signing out, Randi.
- Thanks. Good luck in Phoenix.
557
00:33:35,327 --> 00:33:39,263
No. This is the ER again.
We need a neurosurgeon now!
558
00:33:40,432 --> 00:33:44,766
Get him to the Suture Room.
Set me up with some 4.0 nylon.
559
00:33:45,938 --> 00:33:48,463
You have a ruptured spleen.
You need surgery.
560
00:33:48,674 --> 00:33:51,336
It's my carpool.
All the parents need to be called.
561
00:33:51,543 --> 00:33:54,603
Randi, come here
and take these numbers down.
562
00:33:54,813 --> 00:33:57,509
- I told you not to let him drive.
- He told me he knew how.
563
00:33:57,683 --> 00:34:00,174
- We were just goofing around.
- Hush! Hold still.
564
00:34:00,352 --> 00:34:02,843
Complains of chest pains,
shortness of breath.
565
00:34:03,021 --> 00:34:05,512
Diminished breath sounds on the left.
Get me a chest-tube tray.
566
00:34:05,691 --> 00:34:08,023
We need an abdominal CT
for the kid in Trauma 1.
567
00:34:08,193 --> 00:34:11,959
- BP's coming down. 190 over 130.
- Poor cap refill. Pulse ox 90.
568
00:34:12,131 --> 00:34:15,066
Type and cross two units.
O-neg on the rapid infuser.
569
00:34:15,200 --> 00:34:18,260
- X-ray's coming for the C-spine.
- Anybody need any help?
570
00:34:18,437 --> 00:34:23,568
- Susan, what are you still doing here?
- You're gonna miss your train.
571
00:34:23,776 --> 00:34:25,903
- Call us.
- Get some O-negative too.
572
00:34:26,111 --> 00:34:28,636
BP's 200 over 140.
Left pupil's sluggish.
573
00:34:28,847 --> 00:34:31,281
- Dusky, you wanna intubate?
- Yes.
574
00:34:31,483 --> 00:34:34,475
7.0 ET tube.
575
00:34:34,653 --> 00:34:37,281
Possible subdural hematoma.
576
00:34:37,456 --> 00:34:42,484
Mannitol, 90 grams IV.
Let's hyperventilate him. All right?
577
00:34:44,696 --> 00:34:47,096
- Here you go.
- Okay.
578
00:34:47,232 --> 00:34:49,427
Use suction if you need it.
579
00:34:55,674 --> 00:34:58,234
Take your time.
He's breathing on his own.
580
00:35:00,712 --> 00:35:04,944
- She didn't even leave a note.
- She was saying goodbye all day.
581
00:35:05,117 --> 00:35:08,143
- One of the kids crashed in Radiology.
- Which one?
582
00:35:08,320 --> 00:35:10,618
- The fractured tib-fib.
- How did it happen?
583
00:35:10,789 --> 00:35:12,814
If it's okay, I'd love
to get out of here by 7.
584
00:35:12,991 --> 00:35:16,950
- You working on the literature review?
- No. I got a date.
585
00:35:17,129 --> 00:35:20,121
Don't procrastinate and keep Keaton
waiting. It reflects poorly on me.
586
00:35:20,265 --> 00:35:22,699
- She's a hard one to get, isn't she?
- How do you figure?
587
00:35:22,868 --> 00:35:25,462
She's a great surgeon,
but not much of a teacher.
588
00:35:25,637 --> 00:35:28,367
- You don't think so?
- Come on. All that psychobabble?
589
00:35:28,574 --> 00:35:32,169
- Her explanations can be eccentric.
- She doesn't say what she wants.
590
00:35:32,377 --> 00:35:36,643
Sometimes she does. But I haven't
been working with her like you have.
591
00:35:36,815 --> 00:35:40,876
She's soft.
She doesn't act like a surgeon.
592
00:35:41,053 --> 00:35:44,955
It is difficult to learn from someone
who teaches by intuition.
593
00:35:45,123 --> 00:35:47,023
Which I appreciate
about your teaching.
594
00:35:47,192 --> 00:35:49,092
Excuse me, Carter. Carla?
595
00:35:50,028 --> 00:35:52,496
There you are.
I've been here for half an hour.
596
00:35:52,664 --> 00:35:53,961
Why?
597
00:35:54,099 --> 00:35:57,000
- Kingston Mines. Dinner?
- That's tomorrow night.
598
00:35:57,169 --> 00:35:59,831
- No, that's tonight.
- Anything you need?
599
00:36:00,005 --> 00:36:03,099
- No, Carter. I'm sorry.
- Carla, this is Dr. Carter.
600
00:36:03,308 --> 00:36:06,106
- Carter, this is Carla Reece.
- Pleased to meet you.
601
00:36:06,278 --> 00:36:08,712
I'm sorry.
I'm on till midnight tonight.
602
00:36:08,914 --> 00:36:11,439
This is where you work until midnight.
603
00:36:11,617 --> 00:36:14,518
- I'll walk you to your car.
- You've never been here?
604
00:36:14,686 --> 00:36:17,177
- No, I haven't.
- I should give you a tour.
605
00:36:17,356 --> 00:36:20,291
- She's got plans.
- No. I've been stood up.
606
00:36:20,459 --> 00:36:22,757
If Trauma 1 is open,
we could start there.
607
00:36:22,928 --> 00:36:27,160
- Don't show me anything bloody.
- No, no. What do you do, Carla?
608
00:36:27,299 --> 00:36:30,632
- I have this Caribbean restaurant.
- No kidding?
609
00:36:30,802 --> 00:36:33,999
My family used to sail
to the islands every spring.
610
00:36:35,540 --> 00:36:37,132
Half day Dr. Ross?
611
00:36:37,342 --> 00:36:39,435
I was immunizing when you
were hitting the snooze button.
612
00:36:39,645 --> 00:36:42,773
I'm upset because I don't understand
how you could send a surgical...
613
00:36:42,948 --> 00:36:45,348
I asked if I should send him
for a CT. You said, "Go ahead."
614
00:36:45,517 --> 00:36:48,418
- I assumed he was stable.
- No, I asked for your call.
615
00:36:48,587 --> 00:36:51,112
You weren't listening.
You were distracted.
616
00:36:51,290 --> 00:36:54,521
You were looking for Susan,
worried she'd left. I understand.
617
00:36:54,693 --> 00:36:56,388
But don't yell at me now.
618
00:36:56,561 --> 00:36:59,860
Mark, grab your coat. Let's go talk.
619
00:37:01,099 --> 00:37:04,091
- Admin actually listened?
- So no more floating?
620
00:37:04,269 --> 00:37:05,964
You laid down the law.
621
00:37:06,138 --> 00:37:09,232
They won't be sending you
to Neuro or the wards anymore.
622
00:37:09,441 --> 00:37:11,306
They're gonna limit
our floats to ICU.
623
00:37:11,476 --> 00:37:14,104
- How's that any better?
- Similar nursing skills.
624
00:37:14,313 --> 00:37:16,110
We have to get it in our contract.
625
00:37:16,281 --> 00:37:19,682
- Only way they'll respect us.
- They'll never respect us.
626
00:37:19,851 --> 00:37:21,978
Dr. Weaver is wondering
where the nurses are.
627
00:37:22,154 --> 00:37:25,123
I don't think it's so
bad floating to I.C.U.
628
00:37:25,290 --> 00:37:27,281
- I'm not going.
- They won't send you.
629
00:37:27,459 --> 00:37:29,450
You're not close enough
to your 20 years.
630
00:37:29,628 --> 00:37:32,961
It's a compromise, but it's
better than what was happening.
631
00:37:33,098 --> 00:37:37,933
Careful, Carol. You sound
an awful lot like management.
632
00:37:38,103 --> 00:37:40,901
- I didn't even say goodbye.
- That's not what you need to tell her.
633
00:37:41,106 --> 00:37:43,199
- Too late now.
- When does her train leave?
634
00:37:43,408 --> 00:37:47,003
- 4:20.
- Under one hour. They're usually late.
635
00:37:47,212 --> 00:37:51,842
- She went home to get her luggage.
- I'm on till 11.
636
00:37:52,017 --> 00:37:54,679
- You think I should just go?
- You could.
637
00:37:54,853 --> 00:37:58,584
It's impossible. She's getting
on a train. She's made up her mind.
638
00:37:58,757 --> 00:38:00,884
It may be. But that's not the point.
639
00:38:02,427 --> 00:38:05,555
- What would I say now?
- What you wanted to for years.
640
00:38:05,731 --> 00:38:07,961
You tell her how you feel or...
641
00:38:08,100 --> 00:38:11,501
...let her go without a word and
regret it for the rest of your life.
642
00:38:11,670 --> 00:38:14,696
And make yourself and everybody
else around you miserable...
643
00:38:14,906 --> 00:38:17,636
...like you have today.
644
00:38:18,577 --> 00:38:20,772
You're right.
645
00:38:21,380 --> 00:38:24,247
- Wait. Can you tell Kerry...?
- Go, go, go!
646
00:38:26,618 --> 00:38:30,019
This is great. Oh, my goodness!
647
00:38:30,188 --> 00:38:33,783
- Is this where you operate on them?
- We stabilize them here.
648
00:38:33,959 --> 00:38:38,123
- Then we send them upstairs to the O.R.
- Speaking of upstairs.
649
00:38:38,296 --> 00:38:41,959
- Nice meeting you, Carla.
- Yes, thank you for showing me around.
650
00:38:42,100 --> 00:38:46,093
- What's in here?
- Just the Suture Room.
651
00:38:46,271 --> 00:38:47,761
What goes on in here?
652
00:38:47,973 --> 00:38:51,636
We just take patients
down here that we need to...
653
00:39:01,186 --> 00:39:05,589
You're gonna mess up
my reputation around here.
654
00:39:05,757 --> 00:39:09,193
I've been wanting to do that
since I came into this place.
655
00:39:09,361 --> 00:39:11,761
- Oh, yeah?
- Yeah.
656
00:39:11,930 --> 00:39:14,797
I'm sorry I got to work late.
657
00:39:14,933 --> 00:39:17,697
Well, there's late and...
658
00:39:17,869 --> 00:39:20,201
...there's later.
659
00:39:54,673 --> 00:39:56,265
Taxi!
660
00:39:58,910 --> 00:40:00,741
Pull up.
661
00:40:27,205 --> 00:40:29,002
Susan?
662
00:40:30,509 --> 00:40:33,137
- Suse, are you here?
- Dr. Greene. You just missed her.
663
00:40:33,345 --> 00:40:36,576
She left you a note on the mantel.
664
00:40:45,390 --> 00:40:49,019
- Is that clock right, Sister?
- Oh, yes.
665
00:40:49,194 --> 00:40:52,095
I must be slow. I got a friend
trying to catch a train.
666
00:40:52,264 --> 00:40:55,062
Sister Anne, try to get them to share.
667
00:40:55,200 --> 00:40:57,361
We haven't had a Lopez all month.
668
00:40:57,536 --> 00:41:01,597
- It's a mother and an infant.
- I know, doctor. I'm sorry.
669
00:41:01,806 --> 00:41:05,003
You could leave a note on the board.
670
00:41:43,048 --> 00:41:45,107
Go! Go! Go, man!
671
00:42:25,490 --> 00:42:27,685
Southwest train.
672
00:42:28,627 --> 00:42:30,561
Track 10.
673
00:42:44,576 --> 00:42:49,036
Looking for the chief, sir?
She got moved. Track 6.
674
00:42:52,217 --> 00:42:54,151
Susan!
675
00:42:54,319 --> 00:42:55,946
Susan!
676
00:42:58,957 --> 00:43:00,424
Susan!
677
00:43:01,559 --> 00:43:03,220
Susan! Susan!
678
00:43:03,395 --> 00:43:05,989
- All aboard!
- Susan!
679
00:43:07,265 --> 00:43:09,597
Mark? Are you okay?
680
00:43:10,602 --> 00:43:14,038
- You came to say goodbye?
- No. Stay.
681
00:43:14,205 --> 00:43:16,503
I want you to stay.
682
00:43:16,708 --> 00:43:18,801
- But, Mark...
- I love you.
683
00:43:19,010 --> 00:43:22,741
And I'm stupid
for not saying it before.
684
00:43:22,914 --> 00:43:25,075
No. It's okay. I knew.
685
00:43:25,250 --> 00:43:28,879
- In a way, I knew.
- Aboard!
686
00:43:29,054 --> 00:43:32,217
Stay. We belong together.
687
00:43:33,658 --> 00:43:36,024
Tell me you don't feel the same.
688
00:43:40,799 --> 00:43:43,791
I'm sorry.
689
00:43:43,968 --> 00:43:46,061
Train's leaving, ma'am.
690
00:43:46,237 --> 00:43:49,263
- We're right together.
- Mark...
691
00:43:49,474 --> 00:43:52,875
...you're my best friend. I don't
know how I'll make it without you.
692
00:43:53,078 --> 00:43:56,241
- Don't go.
- I have to.
693
00:43:56,414 --> 00:44:01,078
I don't belong here. I have a new
life going in a different direction.
694
00:44:01,252 --> 00:44:03,914
Susan, I don't wanna lose you.
695
00:44:17,202 --> 00:44:21,195
- Ma'am, we're leaving.
- I'll never forget you.
696
00:44:25,009 --> 00:44:27,170
- I do love you.
- What?
697
00:44:27,379 --> 00:44:30,837
I love you!
698
00:44:32,217 --> 00:44:34,014
Bye.
59790
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