All language subtitles for ER (1994) - S02E13 - Its Not Easy Being Greene (1080p AMZN WEB-DL x265 MONOLITH)_track3_[eng]

( labored breathing )

Hah.

Ah.

Ah.

I love it when those
Endorphins kick in.

You're not on today,
Are you?

I thought I'd drop by.

Ease up your work
Load a little bit.

After I take a shower.

It's his day off?

That's dedication for you.

Dedication?
Man, that's sad.

Don't move,
Mrs. Zarian.

It's a little bit of glass,
And it's almost free.

Susan, were your
Ears burning?

Huh?

David morgenstern and I

Were just talking
About you.

He feels you're
The top contender

For chief resident
Next year.

Oh. Thanks.

This year's field

Was disappointing, but
We found your work

To be consistently solid.

I know you're concerned
About the responsibilities

Taking time away
From the baby

But that doesn't
Have to be the case.

Keep the bevel facing out.

By applying
Time-management techniques

You can work
More efficiently

Reduce stress

And get home at
A reasonable hour.

Mrs. Zarian...

I've got a book
On the subject

If you're interested.

I just want to let you know
How we're thinking.

Son of a bitch!

They cut me back
To three shifts a week.

They're cutting
Back on nurses?

Nurse managers, because of
Our outrageous salaries.

I still need $12,000
Worth of work on my house.

Damn. They bumped me up
To six shifts a week.

So much for
My weekend.

I know where you can make
Some quick cash.

Talk to me.

I joined this guy alvin's
Investment club.

Put up a $2,000
Membership fee

And in a week
To ten days

You collect
$10,000 to $20,000.

From?

From the fees
Of the new people who join.

It's called
A pyramid scam

And it's illegal.

Trust me. If you're
Not in early

You lose
Your shirt.

When did you
Get in?

Hey.

Hey yourself.

All right,
Let's see what we got here.

Where'd you learn
To do sub-q sutures?

From your med student.

Well, I obviously
Taught him well, didn't I?

Benton.

I'll see you later.

I thought
I should warn you.

You might want to invest
In a new suit or two.

You're going to paris

To present our
Clamp-and-run study

To the institut francais
De chirurgie.

Are you serious?

Oui. Simon did a chi-square
Analysis of our results.

Our p-value is .06

Which means we're
One successful outcome

Away from statistical
Significance.

W-we can publish?

One more aneurysm will
Burnish our numbers to a glow

That will blind
The most dubious skeptics.

After that,
Macgruder and I head to d.C.

To play dog-and-pony
For the f.D.A.

Simon doesn't fly

Which makes you
The next natural choice

For ambassador
To europe.

Whoa. I don't
Know what to say.

Look, I-I'm honored...

It's good practice.

You've got to find
Another patient soon

Because some norwegians
Are doing a similar study.

We cannot let the vikings
Pillage our thunder.

Hey, malik, you seen carter?

Yeah. He called and
Said he'd be late.

He should be
Coming any minute.

( grunting and groaning )

Woman:
Oh! No, wait. Wait! Wait!

Oh! Oh! Yeah! Oh, god!

John, oh, god! Oh, god!

Oh! Ah! Ah!

Oh, baby.

I think
We broke my record.

Oh, john. Mmm!

Your control
Is phenomenal.

Yeah?

Yeah.

Yeah. Thank you.

( both laughing )

You know, uh, the
Interesting thing?

You may find this
Hard to believe

But that wasn't
Always the case.

No?

Hard to believe.

It's true, though.

But I find if I
Can distract myself

And think about
The mundane things

Then I could delay
The inevitable.

Well, what kind of things
You think about?

Um, let's see.

Sometimes, I, uh, take
A mental inventory

Of the machines
In the o.R.--

Thoraseal, ventilators,
Auto-infusers.

Then, as the degree
Of difficulty increases

I run procedures--

Appendectomies,
Thyroidectomies

Bowel resections.

Yuck!

What?

While we're making love

You're thinking
About bowel resections?

Given your
Earlier testimonial

I figured this
Is a classic case

Of the ends
Justifying the means.

What?!

I'm just kidding. Ow!

Last night,
I get a letter
From jen's lawyer

Politely informing me
That she's suing me

For full custody of rachel.

I've been a "Distant
And absent father."

This after commuting
From milwaukee

For half a year.

It sounds like lawyer b.S.

I can't imagine
She'd actually
Go through with it.

I was climbing
The walls all night.

Oh, that's why you're here.

Tiny prick.

I beg your pardon?

I need

A t.B. Test too.

So I hear morgenstern
Has really turned up

The pressure on you
Becoming chief resident.

Yeah. It's a
Good opportunity

But can I do it
And not work
Killer hours?

You know how well I managed
To balance work and family.

Guess that answers that.

You'll be able
To work it out.

Take your paper work home,
Hours won't be

That bad.
Ow.

You have to give
Kerry weaver slack.

What do you mean?

You go out of your way
To avoid her.

If she is going
To train you

You'll have to work
Together hand-in-hand.

Oh, there's an image.

What are you doing
Here on your day off?

I went for a jog,
Ended up here

And figured, "Might as
Well save some lives."

Another good reason
Not to exercise.

32-year-old male, post-ictal.

Five-minute
Grand mal seizure.

All right.
I'll take it.

Start a chart.

On his day off?

( chuckles )

Benton:
Those t.P.N. Orders
Should have been

Called in
An hour ago.

Sorry. I forgot.

I thought you wanted
A residency here.

Keep forgetting,
You'll end up
In north dakota.

We've got six slots,
300 applications.

When do interviews start?

They already have.
I'm going upstairs.

Vucelich needs one more
Aneurysm for his study.

Abdominal pains,
Chest pains-- call me.

Hathaway:
How often do you get
Dizzy spells, mrs. Henry?

Three or four a day--

Usually when I'm
Working in the shed.

You garden this
Time of year?

I'm a vermiculturist.

I raise earthworms.

Really?

Big ones
From belgium.

Finest castings
In the world.

And by castings,
You mean..?

Worm dung.

Black gold.

It's the best fertilizer

Money can buy.

It fixes the nitrogen
In the soil.

And you sell the stuff?

I sell the worms.

You're blood pressure's
A little high.

So it pays well?

Yeah. Six figures.

Huh.

Has he had a seizure before?

No. He's a health nut.

He runs every day.

We'll get a cat scan

To pinpoint the cause
Of the seizure.

Alan.

Alan?

When's he going
To come back?

It takes time to recover
From a seizure.

How long?

Usually about
30 minutes.

Multi-focal p.V.C.S.

What?

His heart rhythm's a little off.

Probably oxygen deprivation
From the seizure.

Has he had a murmur before?

No.

Probably nothing serious.

Let's get an echo of his heart
After the c.T.

Just to be safe.

Lidocaine bolus

100 milligrams

Then start a drip.

No. Carter, john carter.

I was calling because

I thought you were trying
To get in touch with me

To set up an interview
For the residency.

No, huh?

Well, I am available any...

Uh-huh.

Okay. Right. Bye.

I hear vucelich
Doubled his finder's fee

For an aneurysm.

Could be.

Aha. I think I made
1,000 bucks.

Patient presented with
A history of ulcers

But he says the pain's
Different this time.

Rigid belly?

Hard to tell,
He's so fat, but...

See the calcifications
On the descending aorta?

No. Where?
Here.

No, it's too lateral.

Probably just schmutz
On his lungs.

I shouldn't call vucelich?

Yeah, if you want
To get yelled at.

Harper, get
This guy to c.T.

Coming.

Do me a favor.

Return this x-ray
To his room?

Yeah. Which room?
Six.

Are you done with that?

Wow. That's a mother

Of an aneurysm.

How can you tell?

Calcification

On the descending aorta.

Yeah.

Yeah.

We're going to run a cat scan
To rule out lesions

That could have caused
A seizure.

Uh-oh.

Mrs. Wimbur:
What's wrong?

He's in v-tach.
Get him to trauma.

Harper:
I got a pulse.

What's wrong with him?

His heart rhythm's
Gotten worse.

He hasn't taken
Medication?

Non-prescription drugs?

No, never. He...

We're going to get
This under control.

Can someone take mrs. Wimbur
To the waiting room?

It's okay.

Let's get another 50
Of lidocaine, I.V. Push.

Heart's racing. 200.

Rhythm is all
Over the place.

Looks like
Torsade de pointes.

Harper, get lytes
And a tox screen.

See if we've got
Records on this guy

That will give us a clue

As to what's going on.

Lido's on board.

What's your gut
Say, haleh?

Low potassium?

Lydia?
Cocaine.

His wife says he's tox-free.

We'll know soon enough.

Haleh:
Heart rate's
Up to 210.

Let's try and
Cardiovert.

Paddles.
Start him at 100.

( beeping )

Hands off.

( beeping stops )

There we go.

That's a nice rhythm.

Wright:
He moved his head.

Rate's down to 160.

180. Whoops,
Here we go again.

Lidocaine's not working.

Let's try bretyllium,
500, I.V. Push.

Prep transvenus pacemaker.

Charge to 200.

Hands off.

What makes you think
It's an aneurysm, carter?

The calcium plaque
On the descending aorta.

You just saved
This man's life

And made a group of
Norwegian surgeons very unhappy.

Good work.

Thank you.

Where's the patient?

Uh... Room six.

To room six.

Hey, way to go, carter.

Labs are back.
Lytes are normal.

Tox screen's negative.

We were both wrong.

What the hell's wrong
With this guy?

Rate's up to 220.

Faint pulse.

Pacer's in.

All right.

Let's overdrive him to 230.

Maximum gain.

See if I can grab hold
Of this rhythm.

You've got capture.

Lovely.

Let's take it down slowly.

210...

Wright:
200.

180.

It's jumping back up.

Lost capture.

Lost the pulse.

He's in v-fib.

Let's start c.P.R.

Add pronestyl, 100 migs.,
I.V. Push.

Paddles. Set them at 360.

What time is it?

0845.

Mark that time.

Hands off.
Clear.

Wright:
Wide complex tachycardia.

Harper:
Still no pulse.

Time?

Haleh:
9:05.

How long's he been down?

20 minutes.

Tried the pacer.

He went into v-fib.

Shocked him, 15, 20 times.

He keeps running
These chaotic rhythms.

Lewis:
Could he be hypokalemic?

No. Lytes are fine.

Cocaine?

Tox screen's negative.

Acidotic?

Good question.

Let's get another gas.

Time?

Wright:
0922.

Another 100 of pronestyl.

Got your blood gases here.

Ph 7.24, po2's 110.

Harper:
Still in fib.

Lewis:
He's going down.

Ross:
You gone through
All the anti-arythmics?

Still got a few more.

Stand by with the amiodarone.

Back off. Clear.

Time?

Wright:
0932.

Still no pulse.

Try magnesium sulfate.

Clear.

Time?

9:41.

High dose epi, five milligrams.

Clear.

Time?
Ross:
9:45.

Clear.

Clear.

32 years old.

Time of death...

9:55.

Why?

There was an electrical
Disturbance

In your husband's heart

That caused it to beat
In an irregular way.

I wish I
Could tell you

What caused it
To happen

But the truth is, I don't know.

That's not
Good enough.

I mean... We came in here,
And his heart was... Okay

And you said
It wasn't anything serious

So somebody

Must have screwed up.

No.

How did you let this happen?

Mrs. Wimbur...

What did you do to him?!

( sobbing )

Uh, hello, alvin.

Oh. Well, do you, uh...
Have his new number?

So, kerry...

One... Second.

Yes, susan?

I've been thinking
About your invitation.

I would like to throw my
Hat in for chief resident.

I'm glad.

I look forward
To showing you the ropes.

Me too.

Nobody signed up for
The gallbladder in two yet.

I've got it.

How long does
A cat scan take?

Hopefully, not more
Than an hour.

Sometimes,
There's a wait.

I'm a little concerned
About my worms in the truck.

You brought your
Worms with you?

Just one bin.

I was making a delivery
When the dizziness hit.

You think someone
Will steal them?

No. They're locked up.

You don't leave $5,000
Worth of worms unsecured.

But they could freeze.

Uh-huh.

Listen, if I
Gave you my keys

Could you bring them in
Out of the cold?

We can't have
Animals in the hospital.

Oh, there's no danger.

Worms are the only
Disease-free organisms on earth.

It's a fact.

I really shouldn't.

Oh, please.
They're my worms.

All right.

Oh, thank you.

Could you feed
Them, please?

What do they eat?

Uh, table scraps,
As long it's vegetarian.

Nothing too greasy,
Because fat doesn't
Sit well with worms.

Mrs. D'angelo, I see
You've been with us before.

Gallstones flaring up again?

They're killing me.

I can't sleep,
I can't eat

And every three weeks,
I end up back here.

Pain pills didn't help?

I took twice as much;
Didn't do anything.

You shouldn't do that.

Please, doctor, get a surgeon
To take these damn stones out.

It's been going on like this
For six months now.

( whimpering )

Okay. Sorry.

I'll get
An ultrasound

To see if there's
Any blockage

But unless your condition
Is life-threatening

Surgery would be
Considered elective

And unfortunately...

It's an 18-month
Waiting list.

Yeah, I'm afraid so.

My neighbor got hers out
The next day.

Does your neighbor have
Private insurance?

Is it my fault I'm on medicaid?

Okay. We'll start
With the ultrasound

And see what we have.

Thank you.

His name is alan wimbur.

I was hoping you could do
The autopsy today.

Jerry, where's
The ultrasound?

Got me.

Well, let me know,
'cause I'd like to observe.

Autopsy?

I want to find out
What happened to his heart.

You should go home.

His wife accused me
Of killing him.

She's probably
Going to sue.

People get upset,
Feel they need to blame someone.

I heard a murmur
On exam.

Before getting an echo,
I wanted a c.T.

A guy comes in
With a seizure

First thing
You want's a c.T.

Thanks. I was
Just checking.

Dr. Greene, dr. Morgenstern's
Office just called.

He'd like to
See you upstairs.

Oh, word travels fast.

You're making
Excellent time, peter.

Suction!

Let carter suction!

It's his reward for having
A hound-like ability

To hunt down an aneurysm.

Now that's what
I call suction.

Thank you.

Macgruder, is this
Patient warm?

Uh, shoot, shoot, shoot.

Macgruder!

Temp is 106.

He's got malignant
Hyperthermia.

He's reacting to the anesthesia?

Give him dantrolene.

Get ice packs...
Peter, get out.

If we don't get
His temp down

He'll have scrambled
Eggs for brains.

Who took this patient's history?

I did.

That he was intolerant
To flourothane?

I lay out a banquet,
And you crap

All over my table!

He never had
An operation before!

Lift him up.

Peter, come on
Over here.

Evert the gortex.

Log-roll him over.

Suction, peter.

Another 5.0 proline.

More ice.

So he never had
An operation before, huh?

No.

Well, you're right.

There was no way
Of knowing.

My apologies.

Are you free for lunch?

Susan...

Medical records sent
Down the chart

On your gallstone lady.

Thanks.

I took a peek.

I know she's been
On cefoxitin.

Cefotaxime has better
Biliary penetration.

Okay.

It's hard memorizing
All the antibiotics

But it's well
Worth the time.

Right.

Who's the
Ultrasound for?

Same lady.

Didn't she have
One last month?

She's complaining
Of more pain.

I want to rule out
Obstruction and cholangitis.

Cholangitis is indicated
By pain, fever and jaundice

Of which your patient
Only has one.

You can rule her out without
The expense of an ultrasound.

If you're going to be chief,
Watch the bottom line.

Mark.

I don't believe you've met
Kathy snyder

One of the hospital
Attorneys.

Hello.
Hello.

So this is about this cardiac
Arrest who died this morning.

I haven't heard
Anything. Have you?

Uhh... No.

Kathy wanted to talk about
The o'brian lawsuit.

Oh. Did we get a court date?

We've worked out a settlement
With mr. O'brian's attorney.

I'm not sure
That I want to settle.

The hospital is sure.

Mr. O'brian
Gets compensated

For the loss of his wife

And you can put this behind you.

If I settle, this will follow me
My entire career.

Every time I apply for
A staff job or insurance...

If it's a trial

We could lose
Two million easily.

You want to lug that around?

I have been over this
1,000 times.

I didn't do anything wrong.

It was a very

Complicated
Delivery.

I did as good a job
As any emergency physician.

Other emergency physicians would
And have disagreed with you.

A pregnant woman comes in
With pre-eclampsia

And for whatever reason,
You didn't pick up on it.

Her condition was masked
By a urinary infection.

I don't want to argue
Details with you.

You make thousands of diagnoses
A year.

99% of them are right on.

You made a mistake,
As we all do.

I don't accept that.

Mark, please...

No. This is my reputation

As a doctor.

I won't settle.

Take my name off of it.

You can't separate yourself
From the suit.

I'll hire my own lawyer,
And I'll fight it myself.

Ugh.

That's a lot of worms.

Hey, big fella.

Woman says she makes
A fortune selling these.

To whom?

Landscapers, farmers.

Could be a great sideline.

You're kidding, right?

They could pay for
The hole in my roof.

I cleaned the spoiled food
Out of the fridge.

Veggie?

Yes.

They don't like grease.

How do they feel

About yogurt?

I don't hear any complaining.

Eat up, little worms.

John.

Hi.

Told you it was
An aneurysm.

You were right.

Did vucelich know
Who I was?

Didn't you tell
Him about me?

That I found it?

I meant to.

I mean, I should have.

The whole thing
Happened really fast.

I was going
To say something

And they just
Assumed that...

What are you
Doing in here?

The hospital decided
To settle the o'brian suit.

Uh, isn't that good news?

Morgenstern thinks
I'm at fault

For not picking up
The pre-eclampsia.

That's not fair.
He wasn't even there.

You were there.

It was as complicated a case
As I've ever seen.

You did everything you could.

You think I should

Have caught the pre-eclampsia?

It was a difficult diagnosis.

Any one of us
Could have missed it.

If you were called up
On the witness stand

And asked,
"Did mark greene screw up?"

What would you say?

I'm sorry, mark.

Dude, be bold.

We start our own
Investment club.

We collect right
Off the bat.

No, thanks, man.

Oh, what's to lose?

You lost two grand.

Alvin will come through.

Can you find out

Why that worm lady
Isn't back?

They're doing
A cardiac work-up.

Call me when
She comes down.

Jerry, medical records
Copy a chart for me?

Yeah. O'brian,
Right?

Yep. Thanks.

Hey, what happened
To those worms
In radiology?

They're doing
A consult.

No, I put a bucket of
Earthworms in there

And they're gone.

I didn't take them.

Hey, ray. I'm dr. Ross.

I understand you've
Been having headaches

And missing school.

Yeah. They hurt
Pretty bad.

Mm-hmm. Okay.

Where in your head
Does it hurt?

Here.

How long you been
Having these?

About a month.

How often?

Um, all the time,
I guess.

Do you feel dizzy?

Uh, yeah.

Okay. Pull
Like that.

You play sports?

J.V. Football.

Middle linebacker.

When I was
A running back

We hated you guys.

Squeeze my hand.

You ever get headaches
Playing sports?

No.

We'll get
You a cat scan.

You know
What that is?

Um...

No? It's when we take

A picture of your brain.

We want to make sure
It's still in there.

All right.

I'll be back in a minute.

( whispering ):
Dr. Vucelich, dr. Benton,
I'm sorry...

Vucelich:
If you're lonesome
For americans

There's always the bar
At the george v.

Tradition holds

They serve olive and
Walnuts with the drink.

Dr. Vuselich, dr. Benton,
I'm sorry to interrupt you.

I misled you both earlier.

The finder's fee
For the aneurysm

Should go to harper tracy.

She's a third-year
Medical student.

Well, taking credit
For a colleague's work

Is a very dangerous precedent,
Mr. Carter.

I can assure you that
It will never happen again.

Well, your assurance
Rings hollow just now.

One has to wonder

If this is a momentary
Lapse of integrity

Or a fundamental flaw.

Well, time
Will tell.

The patient's
Secondary condition

Means he's not appropriate

For the study,
So there will be

No finder's fee.

Is there
Anything else?

No.

Strange boy.

The patient
Is being excluded?

What's that? Oh, yes.

It seems he has
A history of...

Excuse me.

Neurological problems

Which exceed
The parameters

Of the
Protocol, so...

What were we
Talking about, peter?

Oh, I remember.
George v.

Walnuts, olives.

Actually, I was
An habitue

Of this bistro
Called le milieu

And there was a...

Mrs. D'angelo,
Feeling any better?

No. Are you going
To do that test?

I consulted
With another doctor.

We feel the ultrasound
Is unnecessary.

You don't have
Any new symptoms.

You're not even
Going to check?

Given that you
Don't have a fever

Or any other symptoms

There's no way I can
Justify the expense.

The expense.

I see.

I can take it from here.

I know the routine.

Ow. The nurse gives me
A few pills that don't work

And I'm pushed out the door.

I checked the elective
Surgery waiting list.

They can get you in
By the end of the year.

It's february 1.

Hathaway:
Help.

Wright:
What happened?

They were out
By the trash.

Must have been
There an hour.

Get some warming blankets.

Heat up some saline.

We'll do a warm water lavage.

We could get
Those lamps

They use on newborns.

Go to o.B.,
See if they'll lend us some.

All right...
Oh, damn it!

The lid's frozen.

All right.

Rib spreader,
Rib spreader.

What are you doing?

I'll knock it loose.

What have you got?

Hypothermia,
Earthworms.

Five grand worth.

Earthworms?

They're belgian.

They don't take
Kindly to cold.

Got it, got it!

Oh, no!

It's frozen solid.

Maybe they're still
Alive underneath.

Surgical mallet.

Reflex hammer.

Thanks.

All right.

Oh, no. What am I
Going to tell mrs. Henry?

Good news, buddy.

Your brain's
Right where it should be.

All right.
Let's talk about school.

Why?

'cause school
Can cause stress

And stress can
Cause headaches.

Are you having
Any trouble

With your classes
Or students or teachers?

No.

What about
Your girlfriend?

Which one?

There's a problem.

How many girlfriends
Do you have?

A few.
I don't know.

Mm-hmm. All right.

Not doing drugs,
Smoking pot?

No.

No?

No... No.

You okay?

Yeah, I'm fine.

What's the matter?

I can't.

I can't.

What?

There's something
Wrong with me.

Okay.

All guys your age--

They think that
There's something
Wrong with them.

No.

I'm different.

How are you different?

The girls at school...

I...

I don't feel anything
When I'm around them.

I think I'm gay.

I know I am.

I mean, what am I supposed
To tell my dad?

My brothers?

I am just sick of...
Of being this fake person.

Haleh, will you
Call psych?

Get a resident to look
At the kid in one--

Preferably somebody
From adolescent medicine.

What's the problem?

Kid thinks he's gay.

He needs somebody
To talk to.

I'm going to lunch.

Benton:
I'll check
The charts.

Try and make
Yourself useful.

Okay.

Good catch this morning
On the aneurysm.

Harper, carter,
Give me a hand.

What happened?

She collapsed
In the lobby.

Acute shortness
Of breath, chest pain.

Pulse is high.

Carter, start her
On an oxygen mask.

Harper,
What do we order?

Uh, e.K.G., chest film,
Blood gas, chem seven

C.B.C., cardiac enzymes.

Lewis:
And..?

Myoglobin.
Myoglobin.

Do it!

Marquez:
She has neck-vein
Distension.

Temp's 101.

Susan!

Chief complaint?

Shortness of breath,
Chest pains.

She has a history
Of renal failure.

What's
The differential...

Susan?

Harper.

Acute m.I., pulmonary
Embolism, pneumonia

Pericarditis,
Congestive heart failure...

Pleural
Effusion.

Pleural effusion.

Stop that!

Do I hear prompting?

Let's get
A gas cooking

And get an e.K.G.

See how her
Heart's doing.

After you.

Whoo! Hell of a way
To spend your day off.

Wish I never
Would have come in

Believe me.

Jody o'brian?

It's the first time
I've looked at that

Since the big day.

She had two high b.P.'s,
Proteinuria.

I missed
The pre-eclampsia.

If I hadn't,
She'd be alive.

It could have happened
To any of us.

Not to me.

Well, you are arrogant.

Arrogant?

There's you and the pope.

You guys
Are infallible

And, of course,
There's the rest of us.

Yeah? Well, after today,
The pope's on his own.

Good.

I think I might have
Killed that guy

This morning.

Mark! Hey, mark!

When I first
Checked his heart

I heard a murmur.

He must have had
A congenital defect.

That guy crashed
Ten minutes after
He got in.

There's nothing
You could have done.

Yes, there is.

I could have
Gotten an echo

And then gotten
Him to the o.R.

You're holding yourself
To a ridiculous standard.

I got to get
To an autopsy.

It's your day off. Go home.

Low-voltage e.K.G.

B.P.'s falling.

She's decompensating.

Where's that
Blood gas?

I'll check.

You got it?

These don't make sense.

Looks like you hit a vein
Instead of an artery.

Is that the blood gas?

No. I mean, yeah.

I tapped a vein
Instead of an artery.

No, I screwed up.

Whoever screwed up,
Do it again and do it right.

Weaver:
Carter, you do it.

Wright:
Non-specific
S.T. Changes.

Weaver:
Where are we?
Susan.

I don't know
Where you are.

I'm at pericardial effusion.

Or pump failure

Or an embolism.

Let's get an echo!

Lewis:
Positive ewart's sign.

Pressure's down,
50/3o.

Pericardiocentesis
Tray!

Don't you think you should
Confirm your diagnosis

Before sticking a needle
Into her heart?

I've made my diagnosis.

Wright:
Alligator clamp
Is on the needle.

The diagnostic gold standard
Is an echocardiagram.

You wait while
The tech comes.

I'll see if there's fluid

Around her heart. Okay.

I'm in.

Anything yet?

Lewis:
Nope. Not yet.

Here it comes.

What do you know?

Looks a little cloudy.

I wonder if it's transudate
Or exudate fluid.

Anyone know the gold standard
To differentiate the two?

Kerry?

Measure l.D.H.
To protein.

Lewis:
What's the l.D.H. Ratio

To identify exudate fluid?

I'd have to look it up.

It's .5 to one.

Greene?

Yeah.

You ought to come down
More often.

Brush up on your gross anatomy.

Anything conclusive?

What are you looking for?

Something wrong
With the heart.

Think you missed something?

Possibly.

Well, you came
At just the right time.

Size and shape normal.

380 grams.

Who wants to section this?

Bill,
It's your turn.

Martin, will you
Hand him a knife?

Doug, it's been an hour

And psych still hasn't
Come down for that boy.

I'll call them.

Why don't you talk
To him yourself?

There's nothing
Physically wrong with him

And I have
Four other patients.

Is it because
The kid's gay?

What?

You heard me.

If you mean,
Is it because

That boy's
Particular problems

Fall out of my frame
Of reference

Or my area of expertise,
Then the answer is yes.

If you mean,
Is it because I'm homophobic

Then the answer is no.

Okay?

No congenital
Or valvular anomalies.

Endocardium, normal.

Myocardium of normal
Thickness and color.

Blood vessels
At base, normal.

Coronary ostia

Are in the usual
Anatomical position.

Arteries show
No sign of plaque.

He's normal.

No sign of
Anything congenital?

Were you here
Just a second ago?

What's the cause of death?

Typical e.R. Thinking--

Got to be
Cause and effect.

Down here, we operate

On a slightly
Different gestalt.

Sometimes, there are answers,
But many times... Mystery.

That's not very satisfying.

Mm. You think
You're a scientist?

You want
Explanations

Hard answers,
Algorithms of care

That's dog crap.

Medicine's an art

And art is ambiguous.

All right.

Preliminary results:
Idiopathic dysrhythmia.

No known cause of death.

Nurse?
( gasps )

Hi. How are
You feeling?

Oh, tired.

They gave me
A million-dollar workup

And couldn't find
Anything wrong.

I just want to take
My worms and go home.

I have some
Bad news for you.

Your worms
Were mistaken for trash

And put outside
In the snow.

By the time I found out,
They were frozen solid.

We tried to warm them
With blankets

And warm water.

We used all our
Capabilities

But we couldn't get them back.

I'm very sorry.

Can I see them?

What's that?

Vucelich's study protocol.

"Parameters for
Exclusionary status."

Are you
Excluding someone?

Vucelich did.

Anyone I know?

Guy we worked on today.

He went bad.

He ever drop people
Who do well?

Why are you
Reading this now?

Has he dropped
Someone before this?

Mrs. Rubadoux.

He's... He's not, I mean...

Vucelich wouldn't drop bad
Outcomes just to pretty up

His numbers,
Would he?

I don't know.

I don't need you trying
To hide my mistakes.

If I screw up,
Let me deal with it.

You're right.

Don't lie on my behalf.

It's insulting.

I got it, okay?!

I gave you
The credit.

What is with
You today?

It's this
Residency thing.

My chances of getting
In here are one in 50.

I don't even have
An interview set up.

I'll end up
In north dakota.

Damn it!

I forgot dr. Benton's
Night t.P.N. Orders.

None of his post-ops

Are getting their
I.V. Supplements.

I got to run.

Susan...

One... Second.

Yes, kerry?

According to
The washington manual

The determinative
L.D.H. Ratio isn't .5 to one.

It's .6.

Oh, you got me again.

If you're going to be chief,
Get your facts straight.

If being chief means

Having you breathing
Down my back

To hell with it.

Life's too short.

I don't want you
As my mentor.

Just stay out of my way.

That's the first time
I've ever seen you

Act like a chief resident.

Maybe morgenstern was right.

( sighs )

Where are you going?

I was coming
To talk to you.

I was telling my dad

How good I've been feeling.

The nurse said
The cat scan...

It was okay?

Yeah, it's normal.

No tumors or, uh...

I hate to tell you

What's been going
Through my head.

No, he's fine.

Thank god.

Uh... Could be
Migraines?

It could also
Be stress-related

Which is something
I wanted to talk

To ray about,
If I could...

I know what it is.

It's that damn trig.

Every time
I have a quiz

I get these headaches.

You're kidding?

No, I do.

Could that be it?

Uh, it could.

I know the prescription:

Applying the seat of your pants
To the seat of the chair.

Yeah.

Button your coat.

I'm sorry. I spent
The whole damn day

In the waiting room.

It's okay.

If you want to
Talk about this

Or anything else at all,
You just call me here, okay?

Sure.

Vucelich:
I thought she was still
At beth israel

Doing protein kinase,
Or whatever it is she does.

Oh, right, right...

He's on the phone.

Be off in a minute.

I don't need him.

I just want to get
The records on a patient.

Which one?

Rubadoux, sylvie.

I believe
She was dropped.

Claire, could you come
In here for a second?

I can't find
My pocket schedule.

Help yourself.

I'm sorry. My life
Is unraveling as we speak.

Claire:
What jacket did you
Wear at the lecture?

How can I know what
Jacket I was wearing?

Why don't you just
Find my schedule

Like I asked you to?

Who's been asking..?

Kemper's been asking?

Well, you can tell kemper
That I am centimeters away.

With any luck

I'll be in the new england
Journal next month.

I'll have to miss
The tikini forum

So please pass
On my regrets.

Tell them I've checked
Into mcclean

To ride out a fugue state.

21, 22, 23, 24, 25...

Damn, man. Where
Did you get all that?

( laughs )

Alvin came through.

No guts, no glory.

You've got to be kidding me.

Life ain't fair.

Are you going to report that
To the I.R.S.?

I assume that's
A rhetorical question.

I'm going to make my fortune

The old-fashioned,
Legal way.

Delivering
Chinese food?

No. Raising
Earthworms.

I got a dozen in there.

I thought they
Froze to death.

Most of them moved
Into the middle of the bin

For warmth and survived.

You took that lady's worms.

She gave me enough
To start my own colony.

It's my ticket
Out of this dump.

Guys, let's go home.
Good night.

Good night.
Bye.

Ah!

Sorry. Didn't mean
To scare you.

I finished your
Discharge summaries

Called in your t.P.N. Orders,
Rounded the patients.

Can I go home now?

Good-bye, carter.

I'm sorry about
What happened earlier.

Mm-hmm.

Good night.

Carter.

Yeah?

Were those t.P.N. Orders
Called in on time?

Yeah.

No. I screwed up again.

They were 45
Minutes late.

I know. I called
The pharmacy.

So, are we sworn enemies
Forever?

No.

Denial is a funny thing.

It keeps you from asking
The scary questions.

Which ones?

The ones I've been asking myself
All day today--

Am I dangerous?

Should I be practicing medicine?

We all ask those questions

And the answers

Are "No" and "Yes."

In that order.

I hope so.

I lost my family for this job.

You're wallowing.

Yes, I am wallowing.

First good wallow
I've had in a while

So don't ruin it.

Well, I'm going
To drive home.

You want a ride?

Nope. I jogged in,
I'm going to jog out.

Hey, you want to hear
Something funny?

Definitely.

You know that guy
Who died this morning?

It wasn't my fault.

I did everything right,
And he died anyway.

So, what's the lesson on that?

You can't win.

( sighs )

Oh, man.

You are wallowing.

Good night.

Good night.

Susan?

Yeah?

Did anybody
Think it was odd

My coming in today?

No.

Oh.

I was just checking.

Good night.

Good night.

( man breathing heavily )