All language subtitles for ER (1994) - S01E01 - 24 Hours (AKA The Longest Day) (1080p AMZN WEB-DL x265 MONOLITH)_track3_[eng]

[THEME MUSIC]

[SNORE]

[SOFT BREATHING]

-Dr. Green?

Dr. Green.

-What is it?

-Patient for you, Dr. Green.

-Can't the intern take it?

-No, it's for you.

-What time is it?

-5 o'clock.

-All right.

Can't the intern take it?

-It's Dr. Ross.

-Dr. Ross.

I'll be right there.

[SIGHS]

Come on, Doug.

-Marky boy.

Oh, I wake you up?

-Yes, you did.

-You are a real friend,
I want you to know that.

-That's all right.

-A real friend.

-Yeah.

Do we have a room?

-Yeah, room three is free.

-Room three is free.

-Three is free.

-Three is free.
Free for three.

-Yeah.

There we go.

-Come on, Doug.

All right, I got you.

-(SINGING) But come ye back
when summer's in the meadow.

Ow.

Oh, yeah.

I can't tell you how much
I appreciate this, Mark.

-Mhm.

-I'm a little under the weather.

-Yeah, here you go.

-OK.

I know, yeah.

All right.

Yeah.

D5NS, I need the dextrose.

-Give him 600 of ASA.

-Aspirin.

I almost forgot aspirin.

So anyway, she says
to me-- she says,

I didn't know that
pediatricians could be so sexy.

And I said, honey, you
ain't seen nothing yet.

All right, give
me the fast drip.

I need the hydration.

-Don't worry, Doug,
just lie back.

Oh, oh.

-How's your beautiful wife?

How's Jennifer?

-She's fine, really.

-You two settle your problems?

-Yeah, yeah.

Everything's OK.

-Hate to lose you
in the ER, you know.

-Lie back.

-I am.

OK.

I can't tell you how
much I appreciate this.

I really do.

-Here's your aspirin.

-Give him 2000 cc's
in a fast drip.

Keep an eye on it.

Don't let it run dry.

-Does he always do this?

-Only on his nights off.

I'm going to bed.

Wake me at 6:30.

[SIGHS]

-Dr. Green.

Dr. Green.

Mark!

-What is it?

-Can I give Mrs.
Williston more Demerol?

She's complaining of pain.

-50 milligrams, IM.

-Thanks, Mark.

Dr. Green.

-What is it?

-6:30, Dr. Green.

-Hey, Timmy.

-Good morning, Dr. Lewis.

-Oh, Dr. Lewis?

-Yep?

Thank you.

-Morning, Dr. Benton.

-Hey, Jerry.

-Morning, doctor.

NEWSCASTER (ON TV): This
was the scene at 6:15

this morning in the
loop, where a building

collapsed during construction.

Our action cam--

TIMMY: You got any
estimate on the injuries?

Uh-huh.

And how long before they arrive?

NEWSCASTER (ON TV):
--left at least

12 people injured and two dead.

The building collapsed--

TIMMY: Oh yeah?

That soon?

-What's up, Timmy?

-Hey, Dr. Benton.

Notify Trauma, they got
an accident in the loop.

12 injuries, 7 critical.

-It's a good day
for us surgeons.

-Mrs. Williston in
Room 4 needs a CVC.

The man in 5 is a
rule-out MI waiting

for cardiac enzymes
and another 12.

Dr. Ross, he's in
3, sleeping it off.

Why don't you wake him
and get him out of there.

9, I need a uric acid-- do you
know what this is all about?

-Building collapsed in the loop.

They're sending us
a dozen hot ones.

-Yeah, well who's on?

-Just us.

-OK, forget all that.

Call Susan Lewis.

Call the seventh
and eighth floor.

Tell them we need
anybody they can spare.

Why don't you do that now?

-OK.

-Take him to Trauma Room 2.

-What's your name, sir?

Can you tell me your name?

-Next to 3, that way.

-Which way?

-That way.

TIMMY: Take him to
1 down to the end

on the right, last
door on the right.

-What's your name, sir?

-Edward Wilson.

-Uh, what is your address?

-40-- 47.

-Mr. Wilson?

-Get it later.

DR. PETER BENTON:
OK, people, let's go.

Let's bring him in.

All right.

Let's go.

And on my count.

On three.

One, two, three.

How you doing, sir?

Don't worry, everything
will be fine.

I'm sorry about your suit.

So is it just your hand?

Well, let's have a look.

Light.

Let's move.

-Just have nice,
pleasant thoughts.

DR. PETER BENTON: Everything
will be fine, sir.

Let's have a CBC.

Type and cross-match.

We got a pre-op here.

Notify the OR, get us a room.

NURSE: OK.

-Call Vascular and--
call Orthopedic,

tell them to come down here now.

This is their lucky day.

Mr. Wilson.

Your hand is still attached.

Not by much, but
it's going to be OK.

-Give me an EKG and an x-ray
of his chest, wrist, and hand.

-Mr. Wilson, can you feel
anything in your hand?

-No.

-We're going to save your hand.

Don't worry about a thing, OK?

-Clear.

DR. MARK GREENE: Mr.
Jackson, where does it hurt?

Where does it hurt, Mr. Jackson?

Does it hurt when
you breathe in?

Have you been
coughing up any blood?

OK, let me take a listen.

MEDIC: Dr. Lewis.

-OK, where are we taking him?

-All right.

Now, do you have any
pain in your head?

-No.

-How about your neck?

Any pain here?

-No.

-Now, what I want to do, ma'am--

[VOMITING]

-OK.

I want to tell me if it
hurts you when you breathe.

-No.

-I don't get a BP.

-Start two large 4 IVs.

Saline, wide open.

Type and cross for 10 units.

Give me four units of O
negative down there, stat.

Drop an NG tube, and
get Dr. Benton in here.

This is no place
for a pediatrician.

-No sensation in
radial, median or ulna.

No pulses.

Color and temperature
as you see.

He's gotten 500 cc's saline.

Crit's 32.5 type and
cross-match sent.

X-rays waiting, and
the OR says they'll

have a room in 10 minutes.

-OK.

Let's get him out of here.

-So uh, you think you
can save the hand?

-It looks pretty good.

I think so.

-Good, I told him you could,
so he's counting on it.

-Peter, you're a smart-ass.

You'd love to do this case
yourself, wouldn't you?

-Yeah.

I'm ready.

I'm strong.

Yeah, I could do it.

-You're a resident, Peter.

You're years from
a case like this.

-How many fingers?

-Three.

-What's your name?

-Jeff Barr.

-Where are you?

-Cook County General.

-What's today?

-St. Patrick's Day.

-You're fine.

Get a set of facial bones.

You're going to be
just fine, Mr. Barr.

-You're beautiful, doc.

-Thank you.

-You married?

-No, I'm a doctor.

-Well then, listen--

-Take it easy, Mr. Barr.

You wouldn't want to fall on
your face twice in one day.

-How much did she vomit?

-A couple hundred cc's
all over Dr. Ross.

-OK, ma'am.

Wouldn't you please
take a deep breath?

Good.

Now another.

Any pain there?

-No.

-OK, how about here?

-Oh!

-OK, OK.

It's OK.

Call the OR.

Get a room.

What is her crit?

-23.

-Whoa, wait a minute here we go.

No pulse.

She's coding.

Call the time it just happened.

-8:30.

-All right, let's go, people.

That's a shockable rhythm.

Let's go.

Let's move.

Here we go.

Clear.

NURSE: No response.

DR. PETER BENTON: OK, give me
an amp of epi and 100 lidocaine.

Let's get it now.

Come on, here we go.

-Give me something.

I can't stand it.

-I'll give you
something for the pain.

Just hold on.

Notify the orthopods we
have an open fracture.

-OK, Susan.

-Give him tetanus and 5
of morphine right away.

Does it hurt anywhere else?

-My knee.

-You need any help?

-Yeah, check his knee.

OK.

-Here we go.

-Dr. Benton, we got patients
on Surgical 2 and 3,

and one of them looks bad.

-Well, that's fine, but this
woman's heart is stopping,

and she needs it pretty badly.

Call the AR.

-Dr. Rezek's on surgery.

-Well, get them out of surgery.

Can you see I'm busy?

Time.

-Two minutes.

-Come on, sweetheart, give me
just a little nervous here.

OK, paddles.

Let's go.

Clear.

[BEEP]

Is that a blip?

NURSE: Recharging.

There it is.

-Come on.

Come on back to us.

Come on.
Keep it pumping.

Keep it pumping.

I think she's coming back.

I think she's
coming back, Haleh.

Bring her back for me, baby.

Come on back to us.

Come on, baby.

Yes.

-That one to Trauma 3.

Down the hall and to the left.

-Call Pathology.

We've got a customer who's
in recharge services.

The name's Canelli.

DR. MARK GREENE: Canelli?

I'm looking for relatives
of Robert Canelli.

-Right here.

I'm his son.

-Hi, I'm Mark Greene.

-My father is, uh--

-Your father was in an
accident today, Mr. Canelli.

You know that?

-Yeah.

-If you'd come with me, please?

-No, just tell me.

He's here, right?

Just-- just tell me.

-Mr. Canelli, your father
had a heart attack,

and we were unable
to revive him.

I'm sorry.

-You bastard.

You bastards.

You're sorry?

-The morphine should make
you feel a little better,

and we'll have you in
the OR in no time, OK?

-Are they any others?

NURSE CAROL HATHAWAY:
No, that's it.

-That's it?

-Yeah, the last two were DOA.

-Oh.

That's, uh, it.

-Yeah, for now.

INTERCOM: Orderly, please bring
a wheelchair to admitting.

Orderly, please bring a
wheelchair to admitting.

-What happened to Ross?

-He went to change.

Somebody threw up on him.

That lady.

DR. SUSAN LEWIS: The
lady who arrested?

-Yeah.

DR. SUSAN LEWIS: She make it?

-Uh, we got her going again.

She's got a junctional
rhythm, but she's going.

-What about that guy's hand?

-No, they're still in surgery.

They're going to be working
all day on that one.

Hey, anybody want any coffee?

-Yeah, I do.

How do you take it?

-Same as yesterday and
the day before that.

-And they call me a smart-ass.

-You get any sleep last night?

-About an hour.

-Oh, damn it.

The nurses have been in here
raiding the coffee again.

Why don't they just
make their own?

I'm going tell the boss.

-Never mind.

-OK.

Never mind.

-Aren't we supposed to be
getting some new students

today?

-Oh yeah, I think so.

I hope they're good.

The last two were
really helpless.

-Something wrong?

-Oh you bet they're is.

We're out of coffee
again because the nurses

have been taking it.

That's what's wrong.

-Well, make some more.

-Makes some more?

We work 36 hours on, 18 off,
which is 90 hours a week,

52 weeks a year.

For that, we are paid
$23,739 before taxes

and we also have
to make the coffee?

-My heart is breaking.

-Where are the filters?

-In the refrigerator.

INTERCOM: Dr. Greene, your wife
is waiting in the cafeteria.

Dr. Green your wife--

-Damn it.

-Everything's fine.

NURSE: Morning, Dr. Greene.

-Morning.

-Hey, Mom, look.

-Two more bites, baby.

Please?

Then you're done.

-Hi, Rachel.

-Hey Dad, look.

-Oh, look.

Grilled cheese
sandwich for breakfast.

-I gave in, what can I say?

You're late.

-Sorry, we had a big one.

Building collapse.

-Mommy's reading about tarts.

-Tortes.

Are you getting any sleep?

-Yeah.

Yeah, yeah.

I'm OK.

-You look tired.

-Yeah, Dad, you look tired.

-Oh, I do, do I?

Are you going to finish that?

You mind if I eat it?

-Dr. Harris's office called
to confirm your meeting.

-Oh, jeez.

That's today.

-You can still go, right?

-Yeah.

Yeah, I guess.

You're not going to
forget or get too busy?

-I'll go.

What's so funny?

-You know you're
going to hate it.

-Maybe not.

I mean at least there the
patients don't throw up on you.

-Who threw up?

Who threw up?

-Nobody threw up.

-It's just that between
your hours and my studying,

I feel like we never get
to see each other anymore.

-I'll go meet Harris today, OK?

-OK.

I just hope you like it.

-Oh no, would you look at this?

-That's the first tailored
white coat I've ever seen.

-Well, isn't he lovely?

-Lovely.

-Think he knows anything?

[BELL]

-He knows how to dress.

-Well, he's my student.

I'll find out.

John Carter.

-Yes, sir.

-Peter Benton.

Are you the surgical student?

-Yep, third year.

-Good.

We're going to be spending
a lot of time together,

so let me show you around
so you'll be oriented.

This is the admitting desk.

If you need someone paged
or a chart called up,

you do it here.
This is Timmy.

Don't shake his hand,
he's afraid of disease.

This is the way to the lab.

We do crits, counts, spin-downs.

Chemistry's are marked
with these slips

and left at the front desk.

Mark everything "Stat" whether
you want it fast or not.

The chem lab is 7022.

The hem lab is 6944.

Memorize it.

Everybody gets an IV the minute
they walk through the door.

Use an angiocath
with a 16 needle.

You need a large bore
in case they're bleeding

and you need to transfuse them.
Do you know how to start an IV?

-Uh, actually no.

-I thought you were third year.

-I am, but all I've done is
dermatology and psychiatry.

-The well-dressed
specialties, huh?

You'll find that
surgeons actually

try to help people,
not just build them.

Now, the best way to do this
is to pull the skin tight,

so the veins don't
roll and go in low.

Once you're in, pull the gizmo
out, and hook it up to here.

This is Carol Hathaway,
the head nurse.

John Carter.

-Hi.

-She's terrific, isn't she?

She goes with an orthopod that
used to be a big 10 tackle

and looks like King Kong.

Now, what you want to do
is you want to take it.

Moderate flow, two or
three drips per second.

That's it.

That's all there is to it.

OK?

-Uh, um, OK.

-All along here, you have
the medical examining rooms.

This is where the pill
pushers kill their victims.

But this-- this is
the surgical room.

This is where the
real action is.

We use this phone
to call the OR 6440.

X-ray is around the corner.

They're a bunch of idiots.

They scare the patients,
and make them wait too long.

So whenever you can, make
sure you go with the patients

to X-ray.

Don't let them get scared.

Don't let them get hurt.

Ah, here's Dr. Morgenstern.

He's the head of ER.

Watch out, he eats
students for lunch.

-David Morgenstern.

-John Carter.

-Uh, when did that
severed hand go up?

-Oh, Vascular took
it up an hour ago.

I just hope they
can do it right.

-Dr. Benton is one of the
best residents we have.

You learn everything you can
from him, except attitude.

-He didn't mean that.

DR. DAVID MORGENSTERN:
Yes, he did.

-Your room will down here.

That's where you'll
sew people up.

Do you know how to suture?

-Uh--

-No, OK.

I'll teach you.

Do we have anyone to sew up?

-How would I know?

You know, I love this great
spirit of camaraderie.

Everyone wants to
help, you know.

OK, here's the suture
room, let's see.

Good morning, ma'am.

I'm Dr. Benton.

This is Dr. Carter.

-Good morning.

-Let's have a look.

Hmm, how'd you do this?

-Broke one of the
breakfast dishes.

-Don't worry.

I'll have you fixed
up right away.

Now, can you feel this?

[GASPS]

-Yes.

-Can you move your finger?

-Of course.

It's just a cut.

-Dr. Benton, we have a policeman
coming in with a gunshot room

to the lower extremity.

-Put him in room two.

Notify X-ray.

I'll be right there.

Now, here's all your stuff.

Ask the patient if
she's allergic to locals

or any drugs.

Now, this is lidocaine,
but call it Novocaine,

they've heard of that.

Ma'am?

Are you allergic to Novocaine?

-My teeth are OK.

-No reactions, rashes, anything?

-No, of course not.

-Now, you inject both sides of
the would, expelling as you go.

And you have to put on
surgical gloves by yourself.

You know how to do
that, don't you?

Great.

Here we go.

-Hey.

NANCY: Here you go, Dr. Ross.

-Thank you, Nance.

-Dr. Ross.

Hi, Tracy Young.

I'm a third-year student.

-Well hello, Tracy Young.

It's nice to meet you.

Listen, for the
next few days we're

going to be working
very closely together.

-Well, not that
closely, Dr. Ross,

but I'll do my best
to help you out.

So, if you tell me what to
do, I'd like to get started.

-Just trying to be friendly.

-I've got all the
friends I need, thanks.

Shall we get started?

-Yeah.

-Now evert the wound
edges and space

them, because the
tissues will be

swelling over the next 48 hours.

Space them the way
that you see here.

NURSE: Dr. Benton,
the policeman's here.

-OK, I'm coming.

Here.

You finish.

-OK, this isn't
going to hurt at all.

-Now, can you tell me
what happened, Billy?

-His school sent him home.

They said he vomited blood.

-Can you tell me how
it happened, Billy?

-He's a very high-strung
child-- always has been.

Very tense, very nervous.

Mrs. Logan, maybe
you better wait

outside while I
examine your son.

-Why?

-It's just a procedure.

-Well, I think I should be here.

I'm worried about Billy.

He needs me.

-Please wait outside.

-Well, doctor, I don't
know who you think you are,

but this is my son, and I want
to be here when he needs me.

He's very high strung.

-Mrs. Logan.

You're absolutely right.

You love your son,
and you want to seem

treated as soon as possible.

So it's best if you have
a seat outside here,

and we'll be right with you.

It's OK.

Hey, kiddo.

All right.

Did you vomit blood, Billy?

Do you have any pain?

OK, can you point to the pain?

Right in here.

Have you vomited blood before?

Many times?

OK.

[GROWLS]

-It's OK.

-First eight-year-old
ulcer patient I've seen.

-You still here?

What do you think you're
doing, the Sistine Chapel?

Finish her up, start
an IV in Room Two.

Bye now.

-Nurse, could you
bandage this me, please?

-Thank you, doctor.

-You're very welcome.

-When do I come to
have my stitches out?

-Oh, uh, three weeks.

-When my son had stitches in
his foot, they said 10 days.

-Really?

Well, 10 days, 3 weeks,
anytime in there.

OK.

-Hey.

INTERCOM: We need an
anesthesiologist to ICU.

Please report to the ICU, stat.

-250 milligrams Rocephin
IM the gentleman in Room 4,

and remind him he has to
come back in two days.

Thank you.

-Right.

NURSE: Hey Carol, are we
out of oral ampicillin?

-Yeah, we ordered
some yesterday.

Call down again.

-Hey Carol, Dr. Greene wants
to know if we have any Lasix?

-We were out an hour ago.

-Hey Carol, Dr. Ross wants to
know if we have any PKU cards?

-Tell him no.

He's going to have try and
get a blue top from the baby.

-He says he can't get one--

-Carol, are you sure that you
don't have a PKU card tucked

away tucked away in that
special stash of yours?

-Like this?

-I can always count on you.

Even if you prefer
football players.

-You had your chance.

-I was young.

I was a fool.

-You're still a fool.

-Do you happen to
know what is the

worst-paying medical specialty?

-Pediatrics?

-You were right the first time.

-Hey, Carol, did that
Lasix come up yet?

Because we need it now.

-Good morning.

I'm Dr. Carter.

What seems to be the problem?

-What's it look like?

I shot myself in
the freaking leg.

-Oh, well, uh, we'll have
you fixed up in no time.

-Yeah, you guys
keep saying that.

-But first we have
to start a little IV.

-Just hurry it up, OK?

-Yes, sir.

-Hey.

-Oh, excuse me.

Sorry.

OK.

-I tell you, I want to belt her
right in the mouth, really did.

-Uh-huh.

-Then I go and shoot
myself in the leg.

-Well, these things happen.

-I bet you see a lot of stuff
working in a place like this.

-Yeah.

Oh yeah, all the-- all the time.

Uh, OK.

-Look, doc, if you
don't mind my asking,

have you done this before?

-Officer, I'd hate
to tell you how

often I've done this before.

OK, you're going to
feel a little needle.

-Ouch!

-Come on, that wasn't that bad.

But we missed the vein.

We're going to have to
try this one more time.

-My wife is not that bad.

We don't argue that much,
just once in a while.

I mean, in this case it's
lucky I didn't kill her, right?

-Oh, man.

I'm afraid we missed again.

We have to try
this one more time.

You have very tough veins.

-My wife is a very
beautiful woman.

-Uh-huh.

-I mean, I'm not proud
of beating up any woman.

I mean even when
she's asking for it.

It's just sometimes-- I mean,
this case it's lucky I didn't

throw her through
the wall, right?

Break her neck!

-I got it.

Don't move.

It is in the vein.

Just do not move at all.

There you go, officer,
you got yourself an IV.

And everything's
going to be fine now.

-Can I move?

-Yeah, sure move around.

You're fine.

Well, that's about all I can
do for you for the moment.

They're going to be
coming along to take you

to X-ray soon and
then to surgery.

-Surgery?

-Yeah, but uh, believe me.

The worst is over.

-This happened when you woke up?

-Yes, when I got out of bed.

-And are you seeing double now?

-No.

-How many fingers?

-Three.

-Have you had any trouble
with your eyes before?

-No, never.

-Did you have any pain while
you were seeing double?

Headache?

Trouble with your balance?

Funny taste in your mouth?

Flashing spots before your eyes?

Weakness in your arms and legs?

-No.

None of those things.

Never.

-I'll tell you, Mr. Ervin, I can
call a neurologist to go over

you, but that'll cost
you another $200.

If you don't have
any symptoms now,

I'd leave well enough alone.

Come back if you have
any further trouble.

Who's next?

-You're just saying
that because I'm black.

-Just trying to save you
some money, Mr. Ervin.

I know you don't have insurance.

-Uh-uh.

You wouldn't talk like
this if I wasn't black.

You're Jewish, right?

-Call a neuro consult for Mr.
Ervin, CC transient diplopia,

and bill them.

-Oh my god.

I gotta him out back.

Hello.

Hello, somebody hello.

-What is it?

-I got a lady pregnant
in my cab outside.

-Why'd you do that?

-Hey.

-Look, we don't do
deliveries here.

I'm sorry.

You have to take her up to OB.

-She's going to have a baby
whether you deliver him or not.

-Hey, are you busy?

-No.

-Why don't you come with me?

Get us an OB nurse.

[WOMAN SCREAMING]

-OK.

OK, ma'am.

Come on.

Let's go.

Let's get out, OK?

You're going to be fine.

-When did it start snowing?

-Come on, doctor,
give me a hand.

All right, ma'am,
up on the gurney.

There you go.

Is this your first child?

No?

OK, let's go.

-It's starting.

It's coming.

-You should hold the head in.

We don't want her to
deliver in the hallway.

Put your hand between her
legs, and hold the head in.

Keep breathing, ma'am.

Blow through the pain.

Give me anesthesia.

Call the pediatrician.

Hook up those stirrups.

-Are you doing an episiotomy?

DR. MARK GREENE: We
don't have any time.

She's already crowning.

Blow through the pain, ma'am.

Blow through the pain.

That's right.

-What should I do?

-Just what you're doing, doctor.

-Is it snowing out there?

-And when I'm done
scrubbing, I'll take over

and you can scrub.

Where's the OB resident?

-They're on call, doctor.

-You want a gown?

-I don't think I'm
going to have time.

I'm going to have to catch
this one any way I can.

-No kidding.

All right, dear, you're
going to be just fine.

You just have to blow.

OK, blow.

Is it snowing?

-Yeah, it's snowing.

-Snowing on March 17th,
this is unbelievable.

-It's OK, ma'am.

You are going to be just fine.

-OK, OK.

Let me take over.

There we go.

OK, ma'am, we are going
to push on the next one.

OK?

Well, well, well.

-One, two, three.

OK, one more.

This is it.

This is the one.

And push, push,
push, push, push.

OK, one more push.

We're going to get him out.

Here we go.

One, two, three.

Push, push, push.

Good, good.

Shoulders are clear.

You have a beautiful little boy.

Clamp.

There you go.

He's a cutie pie.

Yes, he is.

You did a good job, baby.

[BABY CRYING]

-Dr. Carter, you have three
suture cases waiting for you.

You are not on the
Medical Services.

These people don't
need your help.

They can botch things
up on their own.

Come on, let's get cracking.

DR. STEVEN FLINT:
Patient Martin Jonathan.

Anterior and lateral right lower
extremity, femur articulation,

patella, tibia, fibula
all appear normal.

There is a radiolucent density
in the soft tissue superficial

to the mid-shaft of the fibula--

-A bullet.

A bullet is what
it's called, Steve.

A bullet.

-There is no apparent
fragmentation

of the foreign body.

Distal tibia and fibula
all appear within--

-Come on, Steve.

---normal limits.

Impression foreign
body in the right

lower extremity consistent
with possible bullet.

-Is that it?

Thank you.

I'll take these.

There's a guy upstairs
with a bullet in his leg

who'd like to the
OR and have it out.

-So you're not feeling any pain?

No pain here in your back?

-No.

-Well, you know what?

All you've got is a
fracture to your ankle.

Everything else is fine.

-Now, what's the story, doc?

Do I get workers' comp?

-The story?

The story is you're still alive.

-Great, but I got
a few bills and--

[CHILD CRYING]

-There it nice and red.

He has otitis media.

He'll be fine.

250 milligrams of oral
amoxicillin for this fella.

If he doesn't feel better
by tomorrow, give me a call.

All right?

It's nice to see you.

-It's nice to see you.

-Bye, tiger.

-He's very handsome.

-He knows it.

DR. MARK GREENE: That's
right, we got a UA.

Dr. Morton, M-O-R--
what do you mean?

We sent this to an hour ago.

Don't give me that.

It is 1:40 and it was
a stat determination.

What do you guys doing down
there, picking your noses?

-Chest pains, two
hours, question AMI.

-Look, I will talk to you
any damn way I want to.

If I send for a
stat chemistry, I

want it within an hour,
not sometime next month.

Oh yeah?

Well, we're a little
busy here, too.

Wait until I start
going to lunch,

then things are going to
really start slowing down.

-Everybody's all sewed up,
what do you want me to do?

-Go to lunch.

-Actually, I'm all
right if there's

something else that
you want me to do.

-Excuse me a minute.

-Don't be a hero.

If I tell you to go
to lunch, you go.

It's a long time
before dinner, and you

may be too busy then
to stop and eat, OK?

You never know how
long it's going

to be until your next meal,
so whenever you can, you eat.

Now, get the hell out of here.

And don't take more
than half an hour.

OK.

-Hi, I'm Dr. Greene,
what seems to be

the trouble, Mrs. O'Rourke?

-I'm not Mrs. O'Rourke.

-Mrs. O'Rourke?

Is there a Mrs. O'Rourke here?

[YELLING]

-Tyrone?

-What is it?

-Fractular.

Took five shots from an Uzi.

We need some muscle in here.

-He's just a kid.

-13.

-Call security.

-Why?

-They think the
other gang members

may try to come
and finish him off.

-Let's keep it tight.

Let's keep it tight.

Here we go.

-Um, this is Tracy
Young in the ER.

I need someone in Trauma Room 1.

Thanks.

[YELLING]

-Surgical 2, turn
right and down.

Tell the surgeons we have a
motorcycle accident coming in.

The guy wasn't wearing a helmet.

-Oh, terrific.

Those are stat labs.

-I'm going across the
street for a minute.

I promised my wife I'd
go to this appointment.

Can you get Susan
to cover for me?

-OK.

No, not there.

Surgical 2.

2!

RECEPTIONIST: How may
I direct your call?

Thank you.

Yes, may I help you?

Oh yes, he's expecting you.

-I'm Dr. Greene
to see Dr. Harris.

DR. HARRIS: Everyone
has a family, Mark.

My wife launched a shop.

Kids grow up.

They want a private
school, college.

You gotta think about that.

Now, the office for our
next associate is here.

As a junior man,
you'll do all calls

and weekends for a year or so.

Compensation.

You'll start out at $120,000
per year, plus bonuses.

Now the group has a condo
in Jamaica and one in Aspen.

You ski?

-Uh, haven't had
the opportunity.

-Oh, you should.

It's a great sport.

David Morgenstern tells
me that uh, you're

the sharpest guy
the ER ever had.

But I'll tell you, the
ER is a young man's game.

You think you're doing
good, but there's

a lot to life,
especially this one.

And we find the practice
intellectually challenging.

So we send our physicians to
all the major conferences.

Last year, Maui, Paris, Rome.

And we're proud to
practice the best

possible medicine we can here.

-Seems great.

You like this?

We had Prescott redesign it.

See, we redesign
every couple of years.

Keeps us looking fresh.

-Terrific.

-Oh, you have time for lunch?

Will you go to the Crown Club?

They have a great
Puccini pasta--

-I got to get back.

-No oil.

-Sorry.

-Melissa, would you bring
back Dr. Greene's coat?

-Yes.

-Maybe next week?

Mark, we'd really
love to have you.

-Thank you.

Mrs. McCormick, how are you?

I thought the Field
Museum ball was wonderful.

-Well, aren't you sweet?

Thank you.

-Thank you.

RECEPTIONIST: You're welcome.

-Cheer up, doctor,
it's only 3 o'clock.

-3 o'clock?

What am I doing?

This floor must be crazy.

-That's a very good insight.

-When did it start raining?

It's raining.

-It has been for an hour.

How's your new student?

-Very capable.

Tough.

-Uh-huh.

-So I hear you went
up to Harris's today.

Did he offer you a job?

-Yeah.

I think I have to go to
a lot of charity balls.

-Well, now there
are worse things.

-I guess.

Must be.

-By the way, what's
this I hear about you

and that tech up on Surgical 4?

-I'm a married man.

-So?

-So, whatever you
heard is not true.

-I heard that she
was seriously cute,

but you are faithful
to your wife.

Is that what you're telling me?

-Yes.

-And why would you do
something like that?

-Because I'm too tired
to do anything else.

-We'll know more when
we have the x-rays.

How much do you smoke?

-Two, three packs
a day sometimes.

-Uh-huh, and how long
have you been doing this?

-Since I was about 14, I guess.

-You really should stop that.

-Yeah, I know.

[PAGER BEEPS]

-Excuse me, you can put
your clothes back on.

Hello?

Uh, hi.

Uh, listen, I can't at
work unless it's-- it is?

Well, what-- No,
I'm on all night.

I get off tomorrow
night at uh, 6:00.

Paul, I thought we broke up.

Oh Paul, come on.

Damn.

What?

No, not you.

It's just uh, I have to
tell a patient something.

Listen, is everything all right?

I'm sorry, but I just-- yeah.

OK, bye.

We have your x-rays, Mr. Parker.

You can see there's a density
in the right middle lobe there.

-What does that mean?

-It means there's something
abnormal within the structure

of your lung.

-There's something in my lung?

-Yes, that's right.

-What is it?

-Well, it could be
any number of things.

It could be an
infiltrate, a dense area

of tissue from an old infection.

It could be an
inhaled foreign body.

It could be granuloma
of some sort.

It could be a lot of things.

-What do you think it is?

-There's no way to know.

You'll have to undergo a
bronchoscopy and possibly

exploratory surgery
before we know for sure.

-I understand, but what do
you think in the meantime?

Just--

-I think in the meantime
you should consider

it a potentially
serious finding.

-So you're saying
I've got cancer.

-I'm not saying that.

I'm saying we don't
know anything for sure.

Doctor, let me just explain
something to you, OK.

I'm 40 years old.

I have a wife.

I have three children.

I have a house that
is not paid for.

I have a mother who has a
house that isn't paid for.

I have a lot of
responsibilities.

So I need to know.

I need to know what you think.

-I think you should regard
your condition as very serious,

but should await a
final determination.

-I-- I don't
understand the problem.

Is it so hard?

Are you afraid to
tell me the truth?

-Your history of coughing blood,
weight loss, and this x-ray

is suggestive of cancer,
but the diagnosis has not

been confirmed, and it may
very well be something else.

And none of us should jump to
any conclusions until we know.

That's what I think.

-How long do I have?

-Six months to a year.

-Do I have six months for sure?

-No, not for sure.

-OK.

Yeah, I was just
wondering because I

always to take my
wife to Nassau.

We talked about a lot.

It's all we talked
about, but we never

did it, so I just
figured spring's coming.

It's getting too
late to go to Nassau,

and she always wanted
a suntan in winter

to show off to the neighbors
and stuff, you know?

-I understand.

-Yeah.

Yeah.

So I guess I better go.

Summer's going to be
here before you know it,

so I guess I better
go pretty soon, huh?

Doctor, I want to thank you.

I want to thank
you for your help,

and thank you for
being straight with me.

I really appreciate it.

[SIGHS]

I guess I don't have
to quit smoking.

[THUNDER]

-Mr. Parker, if there's one
thing you learn in my job,

it's that nothing is certain.

Nothing that seems very bad, and
nothing that seems very good.

Nothing is certain.

Nothing.

-I'm sorry.

-Good evening.

-How's it going
tonight, Mrs. Raskin?

-Timmy, I have a problem that
requires medical attention.

-See Dr. Greene,
he's on duty tonight.

[PHONE RINGS]

ER.

-Dr. Greene, how nice.

Good evening, Dr. Greene.

-How you doing?

He says he doesn't drink,
but then Corman shows up--

-I require medical
attention, Dr. Greene.

-Give me a minute, Chris.

What is it, Mrs. Raskin?

-Well, I have this
troublesome hangnail.

-Mrs. Raskin.

-I'm afraid it may be infected.

-Mrs. Raskin, if we treat you,
it's going to cost you $180.

You do know that.

-Oh, I wish you'd do it for me.

You're such a
nice, young doctor.

And I do appreciate
your taking the time.

-OK.

We'll handle this in the lab.

-The lab?

Oh, gracious.

I had no idea how
complicated it was.

-I'll be excising Mrs.
Raskin's hangnail.

-I'll stand back.

-Well, at my age you
can't be too careful.

-Please, have a
seat, Mrs. Raskin.

-Thank you.

Dr. Greene, you look tired.

How have you been?

-Fine, thanks.

-And your wife?

Is she still studying
for her bar exam?

-Next month.

We don't see much of each other.

This alcohol might
feel a little cool.

-Hey Mark, you got
time for coffee?

-Maybe in a half an hour.

-She's very cute.

She work here at the hospital?

-She's a medical resident.

-Ah.

Did I tell you my
sister got remarried?

-No.

-Well, how long how has it
been since I've seen you?

-Hmm, just a week or so.

Here we go.

-Oh, don't make such a fuss.

Thank you, Dr. Greene.

Now, you be a good boy,
and go home to your wife.

-Another day, another dollar.

-Night, Timmy.

-See ya, Wendy.

-Night, Connie.

-Hey, Red.

Hey, Tim.

-How you doing?

-I'm good.

-Yeah?

-Yeah.

Ready to work.

-Hey Carol, can
you get me some--

-Sorry, I'm off.
-Oh, I forgot.

All right, see you later.

-Good night.

-In 3, the lady with
pulmonary edema.

She gets Lasix and a
nitroglycerine drip.

In 4, there's some kid.

Dr. Ross is looking at him.

5, there's a question
pulmonary embolism.

Labs are coming.

In 6--

-Hathaway, can I get 2
grams of chloramphenical?

-Sorry, you're going to have
to get it from the next shift.

-See you tomorrow.

-Night.

-Malik needs 2 grams
chloramphenicol.

-Coming right up.

-All right.

Goodnight.

-See you.

See you guys tomorrow.

[PHONE RINGS]

ER.

[WOMAN CRYING]

-Come on, it's not that bad.

It's a very minor cut.

Three stitches.

-It's not the cut.

It's the car.

I smashed the car.

-Oh.

-I wasn't supposed to drive
it, and I took the keys

and I smashed it up.

And it was brand new.

My father loves that car.

-Well, it might not be
as bad as you think.

-Oh, it was a brand
new Cadillac with power

steering and air conditioning.

Oh, god, he'll kill me.

It was my first new
car he ever had.

Ow.

-Suzanne.

-Daddy.

-Suzanne.

Oh my god.

-Uh, uh, could we
not move, please?

-Is she going to be all right?

-Yeah, she's going to be fine.

-Daddy, I trashed the car.

-That's OK.

It's all right.

The important thing
is that you're OK.

-Oh, Daddy.

-What car?

You mean the Caddy?

-Oh Daddy, I'm so sorry.

-You totaled my new Seville?

Suzanne!

[YELLING]

[BANG] Cadillac!

It doesn't matter.

It doesn't matter.

-Dr. Carter, you have six
in back up, that's not good.

Look, this is St. Patrick's Day.

The worst is yet to come.

Let's move, huh?

-OK.

-Who was that idiot?

-Why did he do it?

-I don't know.

He just got his hands on
it, and he swallowed it.

-Jimmy, why'd you do it?

-Because.

-You see?

He's impossible.

-Here's the KUB.

-Mhm.

Ah, there it is, all right.

-You mean, that's where it is?

It's in his stomach?

-You said he swallowed it.

-What do I do now?

-Check his stools, Ms. Edmunds,
he'll probably pass it.

-That's not what I mean.

I mean, how do I
get into my house?

I'm locked out.

-You don't have another key?

-It's not funny.

-I'm sorry.

-You know it is
possible to become

pregnant without
actual penetration.

I mean, just by fooling around.

-I'm not pregnant.

-It's very important that
you tell me any reason why

you think you might be pregnant.

-No reason.

-Because if you
are pregnant, you

might have what we call ectopic
pregnancy, in which case

you'd have to be
operated on right away.

It's very serious.

It could be a matter
of life and death,

and I'm not exaggerating.

-I'm not pregnant.

-OK.

Excuse me for one second.

-How old?

-She's 13.

-And she's got a pain in
her lower left quadrant

and she's not pregnant?

OK, let's see.

Hello, Miss Murphy.

I'm Dr. Benton.

Can you tell me how has
it been since you've

had your last period?

-I don't know.

-Well, just think back.

Tell me roughly.

-It was after Christmas.

-OK.

So it's been a few months.

-I guess so.

I haven't really paid attention.

-And you've had
sexual intercourse.

-Yes.

-Dr. Carter, what you have
is an ectopic pregnancy,

and she needs to be scheduled
for ultrasound and surgery

right away.

DR. SUSAN LEWIS: How'd it go?

-I mean, you've been
to Harris's office.

You know what it's like.

It's like a nightclub
or something.

-He offered you a job?

-Yeah.

But, I don't know.

-You don't want to do it.

-I just-- it doesn't seem
like real medicine to me.

-So what's the problem?

-You know what the problem is.

-Jennifer?

-Yeah.

-You can't live your life the
way someone else wants you to,

Mark.

-I know.

-Especially a lawyer.

-She's not a lawyer, yet.

-You know what I mean, Mark.

It's got to be your life.

-It is.

It's just-- she
just keeps talking

about how she doesn't
see me anymore.

-Well, she probably never does.

I mean I never see Paul.

-I thought you guys broke up.

-Well, we did, but you know.

-Yeah.

[PAGER BEEPS]

Dr. Greene.

Yeah, yeah.

Right away.

Come on, we got to go.

-What?

-We got to go.

-What?

What?

-Did you hear?

-Yeah.

Yeah.

She's on her way.

It's incredible.

-How did this happen
to her, of all people?

-I don't know.

OK, people, come on,
let's break it up.

We've got lots to do.

Let's get back into work.

Come on, what do
you expect to see?

Hey, let's get back to work.

We're going in here.

We're going in here head first.

NURSE: Oh my god,
it is Hathaway.

DR. SUSAN LEWIS: All
right, move her on three.

One, two, three.

-Come on, people, let's
get her clothes off.

Let's go.

Let's go.

NURSE: Call Respiratory.

We may need to intubate.

-You know what she took?

-I don't know.

She just went into
the medicine cabinet.

We've got a lot of stuff around.

-You have no idea
what she was taken.

I want a drug screen right
away, 2 milligrams of Narcan,

and an amp of D50.

-Want to pump her?

DR. MARK GREENE: Yep.

-Why don't you call Neuro.

Call the nursing supervisor.

Did you call her family?

-I don't know her family.

We were only
roommates three weeks.

-Why she'd do it?

-It doesn't matter
why she did it.

We don't ask that
about any other OD that

comes through these doors, and
we don't ask it about this one.

I want blood gas
and electrolytes.

How hypotensive is she?

NURSE: 80 over 60.

-Did she have anything to drink?

-She had a scotch.

-Mhm, more than one?

-I don't know, maybe.

I don't know.

-What are you people
standing around for, huh?

Do the arterial stick.

Has she got a Babinski?

-Yeah, it's positive.

-How's the oxygen?

NURSE: 15 liters and running.

-Morgenstern's on his way.

Her serum barb is 45.

DR. MARK GREENE:
Is that a mistake?

-I repeated twice.

-Malik, close the curtain.

This isn't a show
over here, people.

[PHONE RINGS]

-ER.

Yeah.

And what's the nature
of the-- Ah, I see.

Call Dr. Benton.

We got a shotgun wound
to the chest coming in.

What a night.

-The axistenstion
distal to the duodenum

is apparent with fluid levels.

Impression-- acute
small bowel obstruction.

This is a surgical candidate.

-You guys are incredible.

What would we do without you?

-It's nice to see you, Peter.

A man of many
talents, all unproven.

-We get a new
barbiturate level, yet?

-It just came back.

It's still 45.

DR. MARK GREENE: Pupils,
mid-range and sluggish.

BP, 90 over 70.

We just got her
barbiturate level.

It's 45 micrograms
per milliliter.

She's intubated.

We're alkalinizing her urine.

We're getting her ready
for hemoperfusion.

-But if she's decerebrating,
you know the question, Mark.

Should we be trying
any of this at all?

-It doesn't look hopeful,
but I think for the morale

of the unit, we've
got to do everything.

I mean she was--
is very popular.

-The unit's looking
to you, Mark.

You set the tone.

-Yeah.

-She was one of us.

We loved her.

We worked with her.

And are something's
happened to her.

It makes us feel guilty.

It makes us feel angry.

It scares the hell out of
us, but we take care of her,

and then we go on with our jobs.

-Yeah.

-You set the tone, Mark.

You get the unit through this.

-I'm fine.

-OK.

Call me if anything happens.

Anything at all.

-Boy, she really
did it, didn't she?

-Yeah, she did.

-She seemed OK today.

-Yeah, she seemed fine.

-Yeah, she was making jokes.

Everything was great.

She was funny.

She was joking like always.

She was great.

-Go get some coffee, Doug.

-Come on.

Let's get him up.

All righty.

Good.

Whoa.

Knife wound.

I thought it was supposed
be a gunshot wound, huh?

-Excuse me, I feel a little--

-Oh, that's OK.

I didn't need you anyway.

Listen, notify the OR.

Let's get us a room.

Come on.

Let's go.

Move him out.

Here we go, buddy.

-Jerry, hold that.

You feeling better?

-Yeah.

I'll be OK in a minute.

Just got to me
all of the sudden.

-Keep your head down.

There's no rush.

Just relax.

Huh, it stopped raining.

-I thought I was
going to be sick.

I'm sorry.

-Don't ever say you're sorry.

See, there's two
kinds of doctors.

There's the kind that
gets rid of their feelings

and the kind that keeps them.

If you're going to
keep your feelings,

you're going to get
sick from time to time.

That's just how it works.

Keep your head down.

People come in here, and they're
sick, and dying, and bleeding.

And they need our help.

And helping them is more
important than how we feel.

But it's still a pain
in the ass sometimes.

Sometimes I just want to
quit and do something else.

Yeah.

Why don't you take
a few more minutes?

By the way, I was in
medical school with Benton.

He used to get
sick all the time.

So don't let him
give you any crap.

You're going to be fine.

[WHISTLING]

-What's the score?

-DePaul is down.

You OK?

-Yeah.

-Good.

Don't worry about what
happened out there.

Just don't make a habit of it.

-OK.

DR. SUSAN LEWIS: She's been
on dialysis for three hours.

She's still comatose
and unresponsive.

She must have taken
short-acting agents.

She knew exactly
what she was doing.

-Has the family been notified?

-I don't know.

I think so.

-Is she fully covered
on the hospital policy?

-As far as I know, yeah.

-Has anyone talked
to the press office?

Let's face it, this
is bad publicity.

Some damn TV network'll
get a hold of it,

and try to make a
sentimental movie about her.

I'm going to get on it.

Anybody know why she did it?

-No one has any idea.

Her fiance didn't
know anything either.

Supposed to get married in June.

-Who's next?

-I am, doctor.

-Now lean forward.

Uh-huh.

Are you feeling any pain?

-It's better when
I lean forward.

-Yeah, OK, OK.

Uh, Lydia, could
I borrow your pen?

Mr. Larkowski, I'm going to
admit you to the hospital

and start you on
a medical regimen.

There's some question in my mind
as to whether that's necessary,

but I think it's better
to be safe than sorry.

Mr. Larkowski what is it?

What's the matter,
Mr. Larkowski?

-I know the truth.

You don't have to
hide it from me.

-The truth.

-I know you're being nice
to me, but you can tell me.

It's OK, I want
to know the truth.

-Mr. Larkowski, you
have a duodenal ulcer

with complicating pancreatitis.

Rather mild pancreatitis
judging from the lab figures.

That's all you have.

-Come on.

You can tell me, please.

-You don't have
cancer, Mr. Larkowski.

-I knew it.

I knew it.

It's cancer.

-Mr. Larkowski, every person
that comes into this hospital,

whether they have a heart attack
or a skin rash-- everybody's

worried about cancer.

You don't have cancer,
I swear to you.

You do not have cancer.

-It's not cancer?

-No.

You have an ulcer,
which flared up today

because you went to a
party and drank and smoked,

both of which, you're
going to have to quit.

-Quit smoking and drinking.

-Yeah, that's right.

-Quit smoking and drinking.

What, are you kidding me?

[BABY COUGHS]

-All right, we're
going to have to get

some x-rays on him right away.

-Right away, doctor.

-How did this happen?

-He fell out of his crib.

-He fell out of his crib.

-Yeah, he-- he was crying all
night, so I brought him here.

-I bet he's crying.

When did he fall?

-I don't know.

I don't want to
get into trouble.

-Ma'am, your son has
multiple contusions--

-He's not my son.

-You know, whatever,
whatever your relationship--

-I'm his baby-sitter.

-This child has been beaten.

I'm going to call Children
and Family Services.

-Please--

-It's the law.

-But I'll get into trouble.

-Stay there.

NURSE: Yes, doctor.

-I don't believe this.

Do you want to make a guess
on the diagnosis of this one?

-I burnt my legs.

-I see.

-It's not funny.

-Um, well, if you just come with
me, miss, I'll take your name.

DR. MARK GREENE: You're
a college student?

PATIENT: Uh-huh.

Sacred Heart.

-And how'd this happen?

-I was pouring some
hot water into sink

and it splashed onto my legs.

-It's not bad.

Just first-degree burns.

There's no blistering, and
there won't be any scarring.

-It's very sensitive skin.

-Uh-huh.

-Your touch is nice.

-This medication will make
you feel a lot better.

-Your fingers are very long.

-Mhm.

-Long and strong.

-Hmm.

-I wanted to change first and
put on some new underpants.

-Hmm.

-I know you'd be seeing my
underpants and touching them.

-You're going to want
to keep these bandages

very dry for a day or so.

Um, don't take any
showers or baths.

Just uh, sponge bath.

-Why is that nurse in the room?

-Hospital policy.

-Well, she's not doing anything.

She doesn't have to be here.

Are you afraid of me?

-You're going to be
just fine in a few days.

Thanks, Lydia.

-OK.

-After dinner?

-Yeah, right after dinner.

I felt this little aching,
this burning, you know?

Low.

-And you have an aneurysm?

-Yeah, they're going to
operate on me next month.

-OK, Mr. Harvey we're just
waiting for your old films.

So you just rest easy.

We'll have you
fixed up right away.

We'll take care of him, ma'am.

-Thank you, doctor.

DR. SUSAN LEWIS: OK, thank you.

-This guy's leaking
blood into his belly.

He could go any minute.

Who's on the floor?

-Ashley and Jimmy are
doing the appendectomy.

Gil and Levine will
be another couple

hours with the knife wound.

They pulled Ed and his
intern off the floor

to do the lady with
the small bowel.

-Where's the vascular team?

-They're Minneapolis,
that conference.

-Right, OK.

Where's Baker?

-Baker's in the Bahamas
with this family.

-Well, this guy
could die any minute.

We can't wait.

-I know, but there's
no one to do him.

-OK.

OK.

Um, call Morgenstern, tell
him to over here right away.

I'm starting a
ruptured aneurysm.

-Peter, you can't.

You're just a resident.

-What do you want to do?

You want to wait?

This guy could die while
we're out here discussing.

-I know that, but--

-Look, I'm just
trying to keep him

alive until
Morgenstern shows up.

That's all, OK?

Now call the OR, get
me a team, and tell

them to set up for a laparotomy.

Please.

-Yes, this is Dr. Lewis.

Get me Morgenstern.

Well, find him.

We have a blown aortic aneurysm,
and Doctor Benton's starting.

He'd like some help.

Yes, that's right,
Dr. Benton's starting.

-What's on?

-Ruptured abdominal aneurysm.

-Who's doing it?

-Dr. Benton.

-Dr. Benton?

-I'm doing anesthesia
for you, Peter.

-Great.

Listen, get down
to the blood bank.

Make sure they send up 20 units.

We need at least 20.

And get the nurses jumping.

Patient's on his way.

-You, uh, you sure
you're OK about this?

-Ed, I'm scared as hell.

The guy's already
ruptured his belly.

He's puffed up like
a balloon, and he's

bleeding to death internally.

I got to do him.

I'm his only chance.

Evening, gentlemen.

Just wanted to let you know
I'm going to be starting

a ruptured abdominal
aortic aneurysm in Room 2,

and I'd appreciate a hand
when you have a minute.

-What did he say?

-He said he's doing an aneurysm.

-That's a joke, isn't it?

-Cheryl, go make
sure he's joking.

-Dr. Ashley, he's doing it.

-You're kidding.

Jim, break and help him.

-I'll finish here and get
there as soon as I can.

-OK, boys and and
girls, let's go.

This isn't a picnic.

This is the late, late show.

Prep, please.

Prep please.

Come on, quit staring at me.

Look, I'm just trying to
keep the poor guy alive, OK?

All right, plastic.

-Jimmy's coming in to help.

-Oh, great.

The only guy in
the hospital that

knows less about vascular
surgery than I do.

OK, is Mr. Harvey happy?

-He isn't complaining.

-All right then.

Let's do this.

Knife, please.

Thank you.

Martha, start up the
operation at 2:13 AM,

and let's see how long it's
going take the chief to get off

of his girlfriend, and
into his work clothes.

Ah, yes.

Nice and smooth.

We started without you, Jimmy.

-There you go, sir.

-OK, now listen up.

We're going straight
down to linear alba.

Nothing fancy, the guy's
got a 50% mortality anyway.

All right?

Suction, let's get that.

Thank you for all
the good it will do.

Pick up, pick up.

Come on, Jimmy, work with me.

-Pick up.

There's a lot of
blood in there, Peter.

-That's precisely his problem.

OK, here we go.

Wish me luck.

Knife.

Whoa.

[BEEP]

-Systolic's holding at 100.

-OK.

Now.

-I can't find it.

-Damn it.

There.

No, No.

Jimmy, get your hand
in here, and push

away the small intestine.

Come on, little
leak, where are you?

How bad's his pressure?

-You won't like it.

-I won't like it?

-Mhm.

-Think about him.

Carol, hang six more
units packed cells,

and a unit of fresh frozen
plasma and platelets.

Wait a minute.

Wait a minute.

It's too much to hold, huh?

I got it.

Yeah.

Yeah, I got it.

Time down.

Call it out in minutes.

Let's suck this
field clean, so we

can what the hell we're doing.

I got it.

-Dr. Benton, the chief
resident is in the hospital

and on his way.

-Well, suck that field clean,
we got the chief coming.

We don't want him
to think we don't

know what we're doing here, huh?

Pressure?

-100 over 70 and falling.

-OK, I'm not going
to sweat that.

Let's just keep
that blood going in.

Jimmy, what's the matter?

Your hands are trembling.

-I can't imagine walking.

-Yeah, well me neither,
but everything's cool here.

All we have to do is
sit and wait, huh?

NURSE: Dr. Benton,
Dr. Ashley will

be with you as soon as he can.

-All of the sudden I got
all the help I want, huh?

OK.

-Start a nitroglycerine drip.

15, 250, B-5W.

80 of Lasix, IV push.

Get a CBC lights,
cardiac enzyme,

chest x-ray and a 12 lead EKG.

You take digitalis, dear?

Have you taken any today?

This morning?

Add a dig level.

Meanwhile, 3 milligrams
of morphine, IV push.

I can't give this up.

No, no, no, not you.

You're fine.

-Dr. Greene, your wife on 2204.

-Yeah, I'll have
to call her back.

-He's sure taking a long
time getting in here, huh?

Uh, they've been out there
scrubbing for the last month.

You know, it's times
like these when

I get into a reflective mood,
and I pause and think of how--

-Good morning, Peter.

Give it to me quick.

-57-year-old white
male in good health,

previously seen at this
hospital eight weeks ago

where he was found to have
a pulsatile abdominal mass

with aortic
calcification on x-ray.

Elective surgery was
scheduled for next month,

but this evening
he was complaining

of severe intermittent
pain in the mid-back.

By the time he got
to the hospital,

he had a distended abdomen,
peritoneal irritation,

and a reduced hematocrit.

-So, you decided to open him up.

That's one of the
ugliest incisions

I've seen in a long time.

A good veterinarian would do
a better skin cut than that.

All right, hold on,
hold on, hold on.

OK.

Got it.

What's his pressure?

-90 over 65, and
he's gotten 12 units.

-OK, we'll take
over from here, try

to make something out of it.

Hey, humor me, will you, have
some dopamine standing by.

Hoover that, will you?

-[MUMBLES]

-Sounds like a plan.

Good.

Give me a little
more room in there.

Thank you, ma'am.

Thank you.

Woo-hoo-hoo look at that.

Peter?

You did a good job.

You were lucky as hell, but
you were right to open him up.

Good work.

Yeah, clear it out a little.

OK, let me see if
I can-- actually,

pull it out for a second.

That's what we want right there.

That's right.

-Why is he still crying?

Why haven't you
given him something?

Look, he's still crying.

Why aren't you
giving him something?

-I can't give him
anything until I

know the extent of his injuries.

He's been to x-ray, so we know
that he has a skull fracture.

-A skull fracture.

The baby-sitter,
I never trusted--

-Ma'am, your child has
multiple contusions

that are at least 12 hours
old He has a skull fracture.

He also has several,
old healed fractures.

This is a battered child.

-I'm not even going
to respond to that.

You think I'd harm my child?

-Happens all the time.

-Look, if you're not going to
treat him, I'm taking him home.

-No, you're not.
Do you have anything to say?
-He's my date.

-Look, um, I can assure
you, whoever you are--

-Ross.

Dr. Ross.

-Well, Dr. Ross,
let me tell you,

your concerns are unfounded, OK?

-How'd he burn his legs?

-What?

-These marks right
here on his legs.

Those-- those are
healed burn scars.

How did that happen?

-He-- I-- I don't know anything
about burns on the legs.

I'm beginning to
think you're making

this up is what I'm thinking.

-Ma'am, you may want
to call an attorney.

-I am an attorney.

-Well, then I'm
sure you'll know how

the Department of Child
Services will handle this.

-How dare you speak to me--

-How dare you treat
your child like this.

He's a little kid.

I try to be
understanding in my job,

but lady, this just stinks.

Did you find the chart
on the patient in 6?

-I don't know where it is.

-Well, find it.

Well, I don't know where it is.

-Do you think that I am deaf?

I heard you.

Now, find me the chart.

-I don't know where it is.

-Is it OK?

-You can go home now,
you did the right thing.

-I mean, is the baby OK?

-He will be.

-Oh, man.

-So how's Hathaway?

-It doesn't look good.

-They contact her family?

-Yeah, they found them.

So, how'd your
aortic aneurysm go?

-Morgenstern showed.

INTERCOM: Dr.
Benton to Trauma 1.

Dr. Benton to Trauma 1.

-Well, no rest for the wicked.

-Jerry, Perez, let's go.

What's the problem?

-We picked him up in Old Town.

NURSE: Orderly.

-He was standing
blocking traffic,

but he's got that smell
so I thought I'd check.

-You did the right thing.

We've got a diabetic
ketoacidosis, let's go.

You probably saved his life.

-What do you want, a medal?

-Give him 10 units
regular insulin IV push.

Start a drip, 10 units per hour.

I want him hydrated as soon as
possible with normal saline.

-And you want KCl?

-Not on your life or his.

Get a CBC and lights.

Call me with the potassium
and get a blood gas, too.

-Mark, did you get the
message your wife called?

-No.

I'll call her in the morning.

-Hello, Mrs. Harvey.

OK, let's have a look here.

He seems to be just fine, ma'am.

-Oh, I'm so grateful.

Dr. Morgenstern came so quickly.

He saved his life.

-Yes well, Dr. Morgenstern
is wonderful surgeon, ma'am.

-He said you did a lot, too.

-Well, actually I just
helped out a little bit.

That's all.

I'll uh, I'll check
on you later, OK?

-I'm sorry I yelled at you.

-You want some coffee?

-Sure.

-Hey, I wouldn't
kid you about that.

I had a few.

Maybe more than a few.

Hell of a party though.

-OK, Mr. Murphy you are done.

-Already?

Oh, yeah?

I didn't feel a thing.

No, I didn't.

I still don't.

RADIO CALLER: I was in,
oh I guess, 10 days.

And you know what it cost?

$24,000.

More than $24,000.

That's what it costs.

And I want to know
where doctors get

off charging money like that.

RADIO DJ: Medical costs
certainly are on the rise.

That's why we're
going to have to have

national health insurance.

RADIO CALLER: Yeah, well
I think it's a scandal.

I think those doctors should
be ashamed of themselves.

RADIO DJ: Many of
them are, I'm sure.

Let's hear what you
folks out there think.

You know the number.

Call us, Paul Barker
on "Nightline."

We'll be back in just a minute.

-That's it?

Anybody else?

-Well, actually I
got a little problem.

My throat's acting up.

-You need to see a doctor.

Which room?

-Uh, 5 and 6 are open.

-5.

-So is that it?

-Well, if you look at my throat,
I've got a little soreness.

-I'll be down in Room 8.

You got a pen?

Wake me at 6:30.

-It gives you almost
an hour and a half.

You're lucky.

NURSE LYDIA WRIGHT:
It's 6:30, Dr. Greene.

-Wow.

Wow.

[THEME MUSIC]