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1
00:00:04,872 --> 00:00:06,807
Previously on ER:
2
00:00:06,840 --> 00:00:08,376
( groans )
3
00:00:08,409 --> 00:00:10,378
Sam Taggart. New Nurse.
4
00:00:10,411 --> 00:00:12,646
I started my surgical
rotation today.
5
00:00:12,680 --> 00:00:13,747
I'm back in med school.
6
00:00:13,781 --> 00:00:15,083
So, no more nursing?
7
00:00:15,116 --> 00:00:16,584
No, I'm still going
to be taking
8
00:00:16,617 --> 00:00:19,087
a few shifts for a while.
I need the money.
9
00:00:19,120 --> 00:00:20,088
What are you
nut-meats doing?
10
00:00:20,121 --> 00:00:21,789
Clearing Triage.
11
00:00:21,822 --> 00:00:25,459
We'll provide good care,
and we're going to do it faster.
12
00:00:25,493 --> 00:00:27,261
You're going to form
a line down the hall,
13
00:00:27,295 --> 00:00:29,663
and you'll be examined
three at a time.
14
00:00:29,697 --> 00:00:32,333
It's your new hospital?
Yep.
15
00:00:32,366 --> 00:00:34,235
It's even crappier
than the last one.
16
00:00:34,268 --> 00:00:36,570
I'm a 71-year-old man
who's going blind.
17
00:00:36,604 --> 00:00:38,572
I've considered everything.
18
00:00:38,606 --> 00:00:39,540
Promise me you're not going
to kill yourself
19
00:00:39,573 --> 00:00:40,574
in the next
72 hours.
20
00:00:40,608 --> 00:00:43,744
But, but Monday would be okay?
21
00:00:43,777 --> 00:00:45,613
I'm off the hook by then.
22
00:00:48,382 --> 00:00:50,784
LEWIS:
"The friend had,
in a weak hour,
23
00:00:50,818 --> 00:00:53,754
"spoken with sobs
of his own death.
24
00:00:53,787 --> 00:00:56,324
"He had delivered
a melancholy oration
25
00:00:56,357 --> 00:00:57,825
"previous to his funeral,
26
00:00:57,858 --> 00:01:00,294
"and had doubtless
in the packet of letters,
27
00:01:00,328 --> 00:01:03,764
"presented various
keepsakes to relatives.
28
00:01:03,797 --> 00:01:06,134
"But he had not died,
29
00:01:06,134 --> 00:01:07,801
"and thus he had
delivered himself
30
00:01:07,835 --> 00:01:10,371
into the hands of the youth."
31
00:01:10,404 --> 00:01:11,272
( grinding )
32
00:01:12,806 --> 00:01:14,408
Oh, sorry.
33
00:01:14,442 --> 00:01:16,377
Are you taking your enalapril?
34
00:01:17,178 --> 00:01:18,446
Uh, yeah.
35
00:01:18,479 --> 00:01:19,613
Do you want me
to bump up your Lasix?
36
00:01:19,647 --> 00:01:21,782
Coffee does the same thing.
37
00:01:21,815 --> 00:01:25,186
It also raises
your blood pressure.
38
00:01:25,219 --> 00:01:29,523
Well, as luck would have it,
you gave me a pill for that too.
39
00:01:31,225 --> 00:01:33,327
You want...
you want more espresso?
40
00:01:33,361 --> 00:01:35,529
Not unless
I'm going to fly to work.
41
00:01:37,898 --> 00:01:41,369
"The latter felt immensely
superior to his friend,
42
00:01:41,402 --> 00:01:45,239
but he inclined
toward condescension."
43
00:01:45,273 --> 00:01:47,875
You don't... you don't have
to keep doing this.
44
00:01:47,908 --> 00:01:49,610
Well, I've got time
to finish the chapter.
45
00:01:49,643 --> 00:01:51,379
I've never read this before.
It's good.
46
00:01:51,412 --> 00:01:55,583
You, you don't have to keep...
keep coming here.
47
00:01:55,616 --> 00:01:57,751
I don't have this book.
48
00:01:57,785 --> 00:01:59,787
Keep it. I'm...
49
00:01:59,820 --> 00:02:01,622
I'm never going to read it
again.
50
00:02:01,655 --> 00:02:04,492
That's why I'm here.
That and the coffee.
51
00:02:05,793 --> 00:02:07,728
He died at 29.
52
00:02:09,930 --> 00:02:12,333
Stephen Crane.
53
00:02:12,366 --> 00:02:14,435
TB.
54
00:02:15,936 --> 00:02:19,407
Just a little trivia.
55
00:02:19,440 --> 00:02:22,210
Nice. Very cheery.
56
00:02:25,613 --> 00:02:26,947
"He adopted toward him
57
00:02:26,980 --> 00:02:29,717
"an air of patronizing
good humor.
58
00:02:29,750 --> 00:02:32,720
His self-pride was
now entirely restored."
59
00:02:35,289 --> 00:02:36,890
I like this place already.
60
00:02:36,924 --> 00:02:37,858
I don't think they're
going to be giving away
61
00:02:37,891 --> 00:02:39,393
free donuts every day.
62
00:02:39,427 --> 00:02:40,861
Why not? Bars
give away free peanuts.
63
00:02:40,894 --> 00:02:43,297
Only so you'll get thirsty
and buy more beer.
64
00:02:43,331 --> 00:02:46,400
They gave away donuts,
people would buy more coffee.
65
00:02:46,434 --> 00:02:49,870
Please!
Can you help me?
66
00:02:49,903 --> 00:02:51,772
I think I'm having
a miscarriage.
67
00:02:51,805 --> 00:02:53,441
How many weeks?
24.
68
00:02:53,474 --> 00:02:54,442
First pregnancy?
69
00:02:54,475 --> 00:02:55,843
First one to last
this long.
70
00:02:55,876 --> 00:02:57,678
Oh, she's adorable.
71
00:02:57,711 --> 00:02:58,746
Yeah, I found six of them
behind my apartment.
72
00:02:58,779 --> 00:03:00,281
She's the last one.
73
00:03:00,314 --> 00:03:02,250
They don't allow pets
in my building.
74
00:03:02,250 --> 00:03:04,418
They're not allowed
in here either.
75
00:03:04,452 --> 00:03:05,753
Hey, buddy,
you want a donut?
76
00:03:05,786 --> 00:03:06,854
Frank!
77
00:03:06,887 --> 00:03:08,356
What?
Dogs love donuts.
78
00:03:08,389 --> 00:03:10,391
Want a pooch?
Free to a good home.
79
00:03:10,424 --> 00:03:11,859
Dogs irritate
my asthma.
80
00:03:11,892 --> 00:03:13,494
Hi, I'm Terra King
from Ladokern.
81
00:03:13,527 --> 00:03:15,696
I have gifts and some snacks
for the residents.
82
00:03:15,729 --> 00:03:17,465
Is there someplace
I can set up?
83
00:03:17,498 --> 00:03:20,401
Lester, Lester, can you
take care of this, please?
84
00:03:20,434 --> 00:03:21,569
What's wrong with him?
85
00:03:21,602 --> 00:03:22,836
C'mon. Punch it,
cat daddy.
86
00:03:22,870 --> 00:03:23,837
What are you guys watching?
87
00:03:23,871 --> 00:03:24,772
Carjacking.
88
00:03:24,805 --> 00:03:26,440
Pratt...
89
00:03:26,474 --> 00:03:28,576
He needs to get on Lower Wacker
to lose the chopper.
90
00:03:28,609 --> 00:03:30,744
This is Denny. She's having
vaginal bleeding at 24 weeks.
91
00:03:30,778 --> 00:03:31,745
Can you take her?
92
00:03:31,779 --> 00:03:32,980
Sure, sure, let's go.
93
00:03:33,013 --> 00:03:35,015
You cheering for
the carjacker to get away?
94
00:03:35,048 --> 00:03:36,517
No, no, we just want him
to get a few more blocks.
95
00:03:36,550 --> 00:03:38,319
Once he's south of Van Buren
96
00:03:38,352 --> 00:03:40,621
he'll be out of our catchment
and goes to Mercy.
97
00:03:40,654 --> 00:03:42,390
If there's a crash....
98
00:03:42,423 --> 00:03:43,557
There's always a crash.
99
00:03:43,591 --> 00:03:45,659
Turn left.
Get on the expressway...
100
00:03:45,693 --> 00:03:48,662
Yes, yes, go, go!
Oh, oh!
Go, go!
101
00:03:48,696 --> 00:03:50,664
Ooh...
Damn it.
102
00:04:41,915 --> 00:04:43,451
I realize you have
friends downstairs.
103
00:04:43,484 --> 00:04:44,552
You mustn't let them
take advantage of you.
104
00:04:44,585 --> 00:04:45,486
Well, the patient
was borderline.
105
00:04:45,519 --> 00:04:46,887
Which is precisely my point.
106
00:04:46,920 --> 00:04:48,522
He needs to stay in the ER
under observation.
107
00:04:48,556 --> 00:04:50,424
If his condition worsens,
I'll go back down.
108
00:04:50,458 --> 00:04:51,792
You know as well as I do
they're only too happy
109
00:04:51,825 --> 00:04:54,762
to free up beds by dumping
patients onto surgery.
110
00:04:54,795 --> 00:04:56,564
Dr. Corday,
they need you in post-op
111
00:04:56,597 --> 00:04:59,700
and the ER is calling
for a gallstone panck consult.
112
00:04:59,733 --> 00:05:01,469
All right, you go
down there.
113
00:05:01,502 --> 00:05:02,936
Make your assessment
and call me.
114
00:05:02,970 --> 00:05:04,805
Be strong.
115
00:05:04,838 --> 00:05:06,540
Collies fracture.
116
00:05:06,574 --> 00:05:08,676
Put on a sugar tong splint
and have him come back
117
00:05:08,709 --> 00:05:10,478
in two days for casting
after the swelling goes down.
118
00:05:10,511 --> 00:05:11,379
Vicodin for pain.
119
00:05:11,412 --> 00:05:12,913
What about a wrist film?
120
00:05:12,946 --> 00:05:15,115
It's not deformed.
Distal neuro-circ intact.
121
00:05:15,148 --> 00:05:16,884
We'll get an x-ray
when we cast.
122
00:05:16,917 --> 00:05:19,420
Malik, get six units
of O-neg down here
123
00:05:19,453 --> 00:05:20,788
before the car crash
starts rolling in.
124
00:05:20,821 --> 00:05:21,922
I already
ordered eight.
125
00:05:21,955 --> 00:05:23,424
Tell me about the gallbladder.
126
00:05:23,457 --> 00:05:26,093
Um, fat and 40
with a history of gallstones.
127
00:05:26,126 --> 00:05:27,595
I gave her a shot
of Toradol.
128
00:05:27,628 --> 00:05:29,430
She's afebrile.
Abdomen is non-tender.
129
00:05:29,463 --> 00:05:30,464
Good.
Send her home.
130
00:05:30,498 --> 00:05:31,632
No ultrasound?
131
00:05:31,665 --> 00:05:33,901
No. No labs,
no IV, no x-rays.
132
00:05:33,934 --> 00:05:35,068
Tell her to stick
to a low-fat diet.
133
00:05:35,102 --> 00:05:36,704
How'd you do this?
134
00:05:36,737 --> 00:05:38,639
I was using a utility knife
to open up a box.
135
00:05:38,672 --> 00:05:40,741
Be more careful.
Keep it clean and dry.
136
00:05:40,774 --> 00:05:42,576
Come back in two days
for a wound check.
137
00:05:42,610 --> 00:05:43,877
What's this?
138
00:05:43,911 --> 00:05:45,746
A 24-year-old female
with bladder infection,
139
00:05:45,779 --> 00:05:47,548
positive for leuks,
icon is negative.
140
00:05:47,581 --> 00:05:49,082
I ordered Bactrim
and Pyridium.
141
00:05:49,116 --> 00:05:52,152
Good. Tell her to pee
after she has sex.
142
00:05:52,185 --> 00:05:54,688
It's a good way
to prevent UTIs.
143
00:05:54,722 --> 00:05:56,857
Coop, your
subconjunctival hemorrhage
144
00:05:56,890 --> 00:05:58,426
probably happened from sneezing
145
00:05:58,459 --> 00:06:00,528
and it will get better
in a week.
146
00:06:00,561 --> 00:06:02,796
Reassure your patient
that he won't go blind
147
00:06:02,830 --> 00:06:04,798
and get him out of here.
148
00:06:04,832 --> 00:06:06,534
( applause )
149
00:06:06,567 --> 00:06:07,868
Five patients
in two minutes.
150
00:06:07,901 --> 00:06:09,169
That's got to be
some kind of record.
151
00:06:09,202 --> 00:06:10,804
Just make sure
you're not skimping.
152
00:06:10,838 --> 00:06:12,072
Skimping?
Yeah, on
the billing.
153
00:06:12,105 --> 00:06:14,007
Check off a few more boxes
next time.
154
00:06:14,041 --> 00:06:16,143
I'm not billing for treatment
we didn't provide.
155
00:06:16,176 --> 00:06:19,613
It's called capitalism, Kovac.
It pays your salary.
156
00:06:20,948 --> 00:06:22,850
Okay, there's
the heartbeat.
157
00:06:22,883 --> 00:06:24,985
Amniotic fluid
index is good.
158
00:06:25,018 --> 00:06:26,620
Excellent
fetal movement.
159
00:06:26,654 --> 00:06:27,921
He's good?
160
00:06:27,955 --> 00:06:30,458
Yeah, but you're dilated
three centimeters.
161
00:06:30,458 --> 00:06:32,159
I've already had
two miscarriages.
162
00:06:32,192 --> 00:06:34,795
I was supposed to start
bed rest next week.
163
00:06:34,828 --> 00:06:36,163
I can't go
through this again.
164
00:06:36,196 --> 00:06:37,665
I'm going to give you
some medicine
165
00:06:37,698 --> 00:06:39,500
to prevent you
from going into labor.
166
00:06:39,533 --> 00:06:42,670
Junior needs
a few more weeks
before he's done.
167
00:06:42,703 --> 00:06:44,938
Start with .25 of terbutaline
sub-Q
168
00:06:44,972 --> 00:06:46,940
and give four grams of mag.
169
00:06:46,974 --> 00:06:49,176
Here, magnesium might
make you a little queasy.
170
00:06:49,209 --> 00:06:52,145
I'll be back
in a few minutes to
check on you, okay?
171
00:06:52,179 --> 00:06:54,515
Hey, Jerry, what's the ETA
on our car crash?
172
00:06:54,548 --> 00:06:55,649
Two minutes
and counting.
173
00:06:55,683 --> 00:06:57,017
Dr. Pratt,
can I present a patient?
174
00:06:57,050 --> 00:06:58,686
Oh, you better
make it fast.
175
00:06:58,719 --> 00:07:00,654
23-year-old woman with sudden
onset occipital headache,
176
00:07:00,688 --> 00:07:01,855
grade 8 out of 10.
177
00:07:01,889 --> 00:07:02,923
Worst headache
of her life?
178
00:07:02,956 --> 00:07:03,891
Close, but not quite.
179
00:07:03,924 --> 00:07:05,192
Thunderclap onset?
180
00:07:05,225 --> 00:07:06,960
More like two minutes.
No history of migraine.
181
00:07:06,994 --> 00:07:08,128
Neuro exam is non-focal.
182
00:07:08,161 --> 00:07:09,630
Okay, okay,
get a head CT,
183
00:07:09,663 --> 00:07:10,998
and rule out
subarachnoid hemorrhage,
184
00:07:11,031 --> 00:07:11,965
and get ten of MS
for the pain.
185
00:07:11,999 --> 00:07:14,602
Thanks.
186
00:07:14,635 --> 00:07:16,670
Kevin Dunn, 32-year-old
driver, high-speed MVA
187
00:07:16,704 --> 00:07:17,771
with prolonged extraction.
188
00:07:17,805 --> 00:07:19,039
The jacker
or the victim?
189
00:07:19,072 --> 00:07:20,608
Jacker. The victim's
right behind us.
190
00:07:20,641 --> 00:07:23,777
Lap belt. Front-end impact.
BP: 104/84, pulse 106.
191
00:07:23,811 --> 00:07:24,978
Creamed the next guy
real good.
192
00:07:25,012 --> 00:07:26,514
Yeah, I know.
We were watching.
193
00:07:26,514 --> 00:07:28,148
Should have turned left
on Stanton, Sparky.
194
00:07:28,181 --> 00:07:31,652
I would have got away
if that jerk didn't cut me off.
195
00:07:31,685 --> 00:07:32,820
( screaming )
196
00:07:32,853 --> 00:07:33,987
Oh, looks like a big
flail segment
197
00:07:34,021 --> 00:07:35,523
and a closed clavicle fracture.
198
00:07:35,523 --> 00:07:36,189
Let's put him
in Trauma Two.
199
00:07:36,223 --> 00:07:37,658
Driver numero dos.
200
00:07:37,691 --> 00:07:38,959
Thomas Collins--
aka innocent victim.
201
00:07:38,992 --> 00:07:40,628
High-speed restrained
impact with head injury.
202
00:07:40,661 --> 00:07:42,530
Turn him. Turn him.
Turn him.
203
00:07:42,563 --> 00:07:43,897
Let's go. Come on. Come on.
204
00:07:43,931 --> 00:07:45,633
I put Mrs. Walters
in Exam Two.
205
00:07:45,666 --> 00:07:47,735
She needs a little TLC,
maybe some Zoloft.
206
00:07:47,768 --> 00:07:49,803
That makes two of us.
Look at them.
207
00:07:49,837 --> 00:07:52,105
They're like kids
in a candy store.
208
00:07:52,139 --> 00:07:54,107
One hospital I worked at
tried to ban the drug reps,
209
00:07:54,141 --> 00:07:56,076
but the residents
all complained
210
00:07:56,109 --> 00:07:57,645
because they like
all the free food.
211
00:07:57,678 --> 00:07:58,812
Yeah, that's how they
get you hooked:
212
00:07:58,846 --> 00:07:59,880
free food, free equipment...
213
00:07:59,913 --> 00:08:01,181
Oh, don't forget
the boobs.
214
00:08:01,214 --> 00:08:03,083
I imagine they have
to pay for those.
215
00:08:03,116 --> 00:08:04,652
Keep Kovac away
from her.
216
00:08:04,685 --> 00:08:06,554
He's been known to give away
free physicals.
217
00:08:07,621 --> 00:08:10,123
Okay, Ernie, where were we?
218
00:08:10,157 --> 00:08:11,725
I got worms.
219
00:08:14,895 --> 00:08:16,096
What the hell is this?
220
00:08:16,129 --> 00:08:17,197
Uh, looks like a hospital bill.
221
00:08:17,230 --> 00:08:18,832
Accounting's on the fifth floor.
222
00:08:18,866 --> 00:08:20,267
No, I was already there.
They wouldn't help me.
223
00:08:20,300 --> 00:08:22,069
Well, I can't either.
This is the ER.
224
00:08:22,102 --> 00:08:24,004
All right, Ernie,
those are maggots.
225
00:08:24,037 --> 00:08:25,939
When was the last time
you changed this bandage?
226
00:08:25,973 --> 00:08:27,975
Look, look,
I was already there, okay?
227
00:08:28,008 --> 00:08:29,977
I sat in here
for 11 hours
228
00:08:30,010 --> 00:08:31,144
with my sick kid
229
00:08:31,178 --> 00:08:32,913
to have some quack
230
00:08:32,946 --> 00:08:35,015
tell me it was a virus
and he'd get better on his own.
231
00:08:35,048 --> 00:08:36,116
Did he?
232
00:08:36,149 --> 00:08:38,586
They didn't do anything for him
233
00:08:38,619 --> 00:08:40,821
and I get a bill
for over two grand?
234
00:08:40,854 --> 00:08:43,190
I want to see the doctor
who stiffed me.
235
00:08:43,223 --> 00:08:44,992
Carter.
I want to see this Carter guy.
236
00:08:45,025 --> 00:08:46,326
He doesn't work
here anymore.
237
00:08:46,359 --> 00:08:47,895
( yells )
All right, Ernie.
238
00:08:47,928 --> 00:08:48,996
Here's what
we're going to do.
239
00:08:49,029 --> 00:08:50,263
Fix you up
with a nurse,
240
00:08:50,297 --> 00:08:51,231
maybe have
something to eat,
241
00:08:51,264 --> 00:08:52,733
and a bath.
242
00:08:52,766 --> 00:08:54,702
But your friends there--
they gotta go.
243
00:08:54,735 --> 00:08:56,637
I want this fixed!
244
00:08:56,670 --> 00:08:58,038
I wouldn't do that, sir.
245
00:08:58,071 --> 00:08:59,773
Are you going to do something
about this bill?
246
00:08:59,807 --> 00:09:01,308
Are you going to get off
your ass and do something?!
247
00:09:01,341 --> 00:09:02,910
No...
248
00:09:02,943 --> 00:09:04,978
But he is.
249
00:09:07,915 --> 00:09:09,049
Dr. Kovac!
250
00:09:09,082 --> 00:09:11,619
Zack Isley, six-foot
fall onto gravel,
251
00:09:11,619 --> 00:09:12,986
no LOC, GCS 15.
252
00:09:13,020 --> 00:09:14,722
Superficial lacs
and abrasions on head
253
00:09:14,755 --> 00:09:15,923
and right upper extremity.
254
00:09:15,956 --> 00:09:17,190
Complaining
of right shoulder pain.
255
00:09:17,224 --> 00:09:18,025
Hey, Zack.
I'm Dr. Kovac.
256
00:09:18,058 --> 00:09:19,793
What happened?
257
00:09:19,827 --> 00:09:21,862
Nothing really. Just goofing
around, took a header.
258
00:09:21,895 --> 00:09:23,330
Can you straighten
your arm?
259
00:09:23,363 --> 00:09:25,666
Ah...
Okay, Curtain Two.
260
00:09:25,699 --> 00:09:26,967
I just sprained it.
261
00:09:27,000 --> 00:09:28,736
Why don't you
let me decide that.
262
00:09:28,769 --> 00:09:29,803
We'll get you an x-ray.
263
00:09:29,837 --> 00:09:30,871
Clean those cuts and scrapes.
264
00:09:30,904 --> 00:09:32,072
Might even need
some stitches.
265
00:09:32,105 --> 00:09:33,373
Really?
266
00:09:33,406 --> 00:09:34,642
Ah, don't worry.
We'll numb you up.
267
00:09:34,642 --> 00:09:35,843
You won't even feel it.
268
00:09:35,876 --> 00:09:38,846
No, ah, no medicine.
I can take it.
269
00:09:38,879 --> 00:09:40,914
Tough guy, huh?
270
00:09:40,948 --> 00:09:43,283
Trauma panel, a clot,
lateral C-spine,
271
00:09:43,316 --> 00:09:45,118
chest x-ray
and AP pelvis.
272
00:09:45,152 --> 00:09:46,654
Poor guy's driving
down the street,
273
00:09:46,654 --> 00:09:47,888
minding his own business,
then bam!
274
00:09:47,921 --> 00:09:49,657
Wakes up two days
later in the ICU.
275
00:09:49,690 --> 00:09:50,958
If he wakes up.
276
00:09:50,991 --> 00:09:52,292
Can't see the pupils--
too much blood.
277
00:09:52,325 --> 00:09:54,194
Laps and saline for Abby.
Chest is clear.
278
00:09:54,227 --> 00:09:57,397
BP is 140/94, pulse 72.
IV is blown.
279
00:09:57,430 --> 00:09:58,966
How are we doing
in here?
280
00:09:58,999 --> 00:10:00,668
Well, he's going to
need to be tubed.
281
00:10:00,701 --> 00:10:01,935
But we got it covered. Thanks.
282
00:10:01,969 --> 00:10:03,236
Abby, can you start an IV?
283
00:10:03,270 --> 00:10:05,038
Nurses start IVs.
284
00:10:05,072 --> 00:10:06,740
Surgical students
do cut-downs.
285
00:10:06,774 --> 00:10:08,175
Spank 'em, Abby.
That's the way.
286
00:10:08,208 --> 00:10:09,643
Somebody get me
a central line kit?
287
00:10:09,677 --> 00:10:10,644
Yeah, I'll send one back.
288
00:10:10,678 --> 00:10:12,412
On the monitor,
BP: 106/80,
289
00:10:12,445 --> 00:10:13,947
tachy at 111.
290
00:10:13,981 --> 00:10:15,248
They need
a triple lurnen kit next door.
291
00:10:15,282 --> 00:10:17,050
I can't see into
his oral airway.
292
00:10:17,084 --> 00:10:18,385
No blood in the nares
or around the mouth.
You're good.
293
00:10:18,418 --> 00:10:20,220
SonoSite
for Dr. Cooper.
294
00:10:20,253 --> 00:10:22,990
Pain meds on the fly,
but let's complete the survey.
295
00:10:23,023 --> 00:10:25,025
He's decreased on the left.
Size six sterile gloves, please.
296
00:10:25,058 --> 00:10:28,762
BP's 104/86.
Sats 92.
297
00:10:28,796 --> 00:10:30,898
All right, kids, you're on.
Show Dr. Chen what you know.
298
00:10:30,931 --> 00:10:32,833
Free fluid in the abdomen
and pericolic gutter.
299
00:10:32,866 --> 00:10:34,301
Try there.
300
00:10:34,334 --> 00:10:35,769
You could use a little
more jelly on your belly.
301
00:10:35,803 --> 00:10:36,970
You're
the attending.
302
00:10:37,004 --> 00:10:38,371
NEELA:
And in Morrison's pouch.
303
00:10:38,405 --> 00:10:39,807
Meaning?
304
00:10:39,840 --> 00:10:41,041
Intra-abdominal injury
305
00:10:41,074 --> 00:10:42,175
secondary to
high-speed mechanism.
306
00:10:42,209 --> 00:10:43,844
He'll need the OR.
307
00:10:43,877 --> 00:10:45,212
Start the chest tube.
I'll be right back.
308
00:10:45,245 --> 00:10:46,747
Don't be a stranger.
309
00:10:48,348 --> 00:10:49,883
The guy next door
needs a surgeon.
310
00:10:49,917 --> 00:10:50,884
I'll call Corday.
311
00:10:50,918 --> 00:10:52,219
Mommy, Mommy,
come save me.
312
00:10:52,252 --> 00:10:53,854
I'll decide if he
needs surgery.
313
00:10:53,887 --> 00:10:55,155
He's only responding
to pain.
314
00:10:55,188 --> 00:10:57,324
Urine output's good.
Okay, laryngoscope.
315
00:10:57,357 --> 00:10:58,992
Ah, no, Surgi-Girl,
go next door.
316
00:10:59,026 --> 00:11:00,160
Start the workup.
317
00:11:00,193 --> 00:11:01,261
Yeah, I was going
to intubate.
318
00:11:01,294 --> 00:11:04,031
Next time.
Now, go, go, shoo.
319
00:11:04,064 --> 00:11:05,365
Get me a staple gun.
320
00:11:05,398 --> 00:11:07,134
I'll start putting
this guy back together.
321
00:11:07,167 --> 00:11:08,468
I can feel the inside
of the chest wall.
322
00:11:08,501 --> 00:11:10,403
Surgery is here.
Hello, surgery.
323
00:11:10,437 --> 00:11:12,105
( alarm beeping )
Abby, can you turn
that damn thing off?
324
00:11:12,139 --> 00:11:13,306
Yeah.
325
00:11:13,340 --> 00:11:14,775
Okay, leave
the guide finger in
326
00:11:14,808 --> 00:11:16,043
with the other hand.
327
00:11:16,076 --> 00:11:17,310
Slide the tube through.
328
00:11:17,344 --> 00:11:19,112
Got it.
Got it.
329
00:11:19,146 --> 00:11:20,948
Sats are up. 98%.
330
00:11:20,981 --> 00:11:22,182
Thanks.
Nice job.
331
00:11:22,215 --> 00:11:23,483
Okay, Abby,
give me the bullet.
332
00:11:23,516 --> 00:11:25,953
I, I was trying
to fix the monitor.
333
00:11:25,986 --> 00:11:28,856
Oh, you're a med student,
a nurse, and a technician now.
334
00:11:28,889 --> 00:11:30,123
What's next, cowgirl?
335
00:11:30,157 --> 00:11:31,391
Yo, Abby.
I'm pushing the drugs.
336
00:11:31,424 --> 00:11:32,893
You want this or not?
Yes.
337
00:11:32,926 --> 00:11:33,493
I told you
to evaluate this patient.
338
00:11:33,526 --> 00:11:35,262
I can do it.
339
00:11:35,295 --> 00:11:36,363
I don't care who does it,
as long as it gets done.
340
00:11:36,396 --> 00:11:38,098
Neela, go with
Dr. Pratt.
341
00:11:38,131 --> 00:11:40,267
You can come back
and sew these in
when you're done.
342
00:11:40,300 --> 00:11:41,334
Well?
343
00:11:46,506 --> 00:11:48,208
No fracture or dislocation.
344
00:11:48,241 --> 00:11:50,210
You probably just strained
the ligaments a bit.
345
00:11:50,243 --> 00:11:52,012
Told you.
346
00:11:52,045 --> 00:11:53,446
Maybe you should be a doctor.
347
00:11:53,480 --> 00:11:55,849
Yeah, not with my grades.
348
00:11:55,883 --> 00:11:57,417
I wasn't a great student
at your age.
349
00:11:57,450 --> 00:11:59,286
I almost failed
lunch. Ow! Ow!
350
00:11:59,319 --> 00:12:00,921
Sorry.
351
00:12:00,954 --> 00:12:02,856
Kovac, this guy's here
for your patient.
352
00:12:02,890 --> 00:12:05,125
Ron Kennedy,
I'm a social worker
from Stanton House.
353
00:12:05,158 --> 00:12:07,995
We're a foster care facility.
Zack's one of our residents.
354
00:12:08,028 --> 00:12:10,097
You mean prisoners.
Relax.
355
00:12:10,130 --> 00:12:11,264
I'm his case worker.
356
00:12:11,298 --> 00:12:12,900
Zack hopped a fence
357
00:12:12,933 --> 00:12:14,167
while we were
on an outing
and ran off.
358
00:12:14,201 --> 00:12:15,803
I escaped, you Nazi.
359
00:12:15,836 --> 00:12:17,137
Listen, you'll have
to call my mom.
360
00:12:17,170 --> 00:12:18,538
I'm not going back there.
361
00:12:18,571 --> 00:12:20,240
Zack has a conduct disorder.
Screw you!
362
00:12:20,273 --> 00:12:22,109
Hey, could you give us
a moment, please?
363
00:12:22,142 --> 00:12:23,343
I think he's off his meds.
364
00:12:23,376 --> 00:12:24,912
Back off, man!
Hey, stop it, Zack.
365
00:12:24,945 --> 00:12:26,346
He needs Haldol.
366
00:12:26,379 --> 00:12:28,415
And you need to go back
to the waiting room, okay?
367
00:12:28,448 --> 00:12:29,549
Get the hell out of here!
368
00:12:29,582 --> 00:12:30,918
Get back in bed, Zack.
369
00:12:30,951 --> 00:12:32,019
He needs to be sedated!
370
00:12:32,052 --> 00:12:34,054
Out!
371
00:12:34,087 --> 00:12:35,388
Hey!
372
00:12:35,422 --> 00:12:37,825
I'm not going back there.
373
00:12:37,858 --> 00:12:41,094
Please, don't let them
take me back.
374
00:12:42,830 --> 00:12:44,531
Please....
375
00:12:47,367 --> 00:12:48,168
Third crit is down to 29.
Done.
376
00:12:48,201 --> 00:12:49,069
All right, let's roll.
377
00:12:49,102 --> 00:12:50,137
Call Corday, and tell her
378
00:12:50,170 --> 00:12:51,371
I'm sending her up
a gift basket.
379
00:12:51,404 --> 00:12:52,439
That looks good,
but if it comes out,
380
00:12:52,472 --> 00:12:53,440
you owe Dr. Chen
and me a beer.
381
00:12:53,473 --> 00:12:55,108
I'm more
of a cosmo girl.
382
00:12:55,142 --> 00:12:57,945
The drink or
the magazine?
A little of both.
383
00:12:57,978 --> 00:12:59,146
Did neurosurgery agree?
384
00:12:59,179 --> 00:12:59,980
Yeah, diffuse
axonal injury.
385
00:13:00,013 --> 00:13:01,481
No operative lesion.
386
00:13:01,514 --> 00:13:03,016
They'll sign off after
the second apnea test.
387
00:13:03,050 --> 00:13:04,384
He's brain-dead?
Yes.
388
00:13:04,417 --> 00:13:05,853
Bad guy gets
patched up.
389
00:13:05,853 --> 00:13:07,087
His victim ends
up a vegetable.
390
00:13:07,120 --> 00:13:08,321
Well, we haven't saved
this guy yet.
391
00:13:08,355 --> 00:13:09,522
You can change
that head dressing, Abby.
392
00:13:09,556 --> 00:13:10,958
Okay. Which OR
is he going to?
393
00:13:10,991 --> 00:13:12,492
That's not your business.
Call UNOS.
394
00:13:12,525 --> 00:13:16,196
Your butt's down
here until the
coordinator arrives.
395
00:13:17,397 --> 00:13:18,298
Aah! Ow!
396
00:13:18,331 --> 00:13:20,067
You wouldn't feel it
397
00:13:20,100 --> 00:13:23,536
if you let me use
just a little
analgesic gel.
398
00:13:23,570 --> 00:13:26,907
For six months I've been
on Tegretol, lithium,
399
00:13:26,940 --> 00:13:30,110
Risperdal, clonidine,
Benadryl and Klonopin, okay?
400
00:13:30,143 --> 00:13:32,212
I've been so doped up
I didn't know what day it was.
401
00:13:32,245 --> 00:13:34,214
Have you been cheeking
your meds?
402
00:13:34,247 --> 00:13:37,550
Had to. Today's the first day
I felt normal in months.
403
00:13:37,584 --> 00:13:39,286
That why you ran away?
404
00:13:39,319 --> 00:13:41,588
I got tired of being
a freaking zombie.
405
00:13:41,621 --> 00:13:42,589
Did you call my parents?
406
00:13:42,622 --> 00:13:44,457
Your mother's on her way.
407
00:13:44,491 --> 00:13:46,960
You're not going to let them
take me back, are you?
408
00:13:46,994 --> 00:13:48,028
We'll talk about it
409
00:13:48,061 --> 00:13:50,030
when your mom gets here, okay?
410
00:13:58,105 --> 00:13:59,039
Hey, Pratt?
411
00:13:59,072 --> 00:14:00,207
Huh?
412
00:14:00,240 --> 00:14:01,374
This scan's negative.
413
00:14:01,408 --> 00:14:02,309
Yeah. I'm still waiting
414
00:14:02,342 --> 00:14:03,510
on a neurology consult
415
00:14:03,543 --> 00:14:04,978
to evaluate
a possible subarachnoid.
416
00:14:05,012 --> 00:14:06,079
Do an LP.
417
00:14:06,113 --> 00:14:07,480
No. They'll be here any minute.
418
00:14:07,514 --> 00:14:09,616
You're wasting time
and resources.
419
00:14:09,649 --> 00:14:11,051
What's his problem?
420
00:14:11,084 --> 00:14:12,419
You mean besides
being tackled
421
00:14:12,452 --> 00:14:13,486
in the waiting room?
422
00:14:13,520 --> 00:14:14,654
Possible new onset angina.
423
00:14:14,687 --> 00:14:16,123
I've ordered nitro,
424
00:14:16,156 --> 00:14:18,058
CBC, chem panel,
serial... troponins
425
00:14:18,091 --> 00:14:19,159
and a chest x-ray.
426
00:14:19,192 --> 00:14:21,061
And I'm still waiting on cards.
427
00:14:21,094 --> 00:14:22,295
EKG's normal?
428
00:14:22,329 --> 00:14:23,563
Yeah.
429
00:14:23,596 --> 00:14:24,998
You smoke?
430
00:14:25,032 --> 00:14:25,565
No.
431
00:14:25,598 --> 00:14:26,934
Hypertension?
432
00:14:26,967 --> 00:14:28,635
High cholesterol, diabetes?
433
00:14:28,668 --> 00:14:30,403
No. I'm healthy.
434
00:14:30,437 --> 00:14:31,604
I run about
12 miles a week.
435
00:14:31,638 --> 00:14:33,006
Okay, let me guess.
436
00:14:33,040 --> 00:14:35,008
The pain started
after your incident
437
00:14:35,042 --> 00:14:36,009
in the waiting room.
438
00:14:36,043 --> 00:14:37,010
Yeah.
439
00:14:37,044 --> 00:14:39,046
It's an anxiety attack.
440
00:14:39,079 --> 00:14:41,014
Over this stupid
hospital bill?
441
00:14:41,048 --> 00:14:42,149
Probably.
442
00:14:42,182 --> 00:14:43,383
Let me see it.
443
00:14:43,416 --> 00:14:45,118
What was the complaint?
444
00:14:45,152 --> 00:14:47,120
My kid came in
with a fever.
445
00:14:47,154 --> 00:14:50,123
Your son didn't need that.
446
00:14:50,157 --> 00:14:52,259
Certainly didn't
need a chem panel
447
00:14:52,292 --> 00:14:54,427
and two sets of
blood cultures.
448
00:14:54,461 --> 00:14:58,531
You should have only
been charged for, what-- $300.
449
00:14:58,565 --> 00:15:00,067
Thanks.
450
00:15:00,100 --> 00:15:01,268
Hey, Slavko.
451
00:15:01,301 --> 00:15:02,402
What the hell do you
think this is--
452
00:15:02,435 --> 00:15:03,236
some Zagreb Yugo dealership?
453
00:15:03,270 --> 00:15:04,471
On the rare occasion
454
00:15:04,504 --> 00:15:06,006
when we do get a patient
with insurance,
455
00:15:06,039 --> 00:15:08,308
we don't give them deals.
456
00:15:08,341 --> 00:15:10,610
I expect that kind of idiocy
from Pratt, not from you.
457
00:15:13,313 --> 00:15:15,282
I thought I was
his favorite.
458
00:15:15,315 --> 00:15:16,649
Hi. I'm Terra King.
459
00:15:16,683 --> 00:15:18,551
Have you heard
of Quinamax?
460
00:15:18,585 --> 00:15:20,453
It's our new once-a-day
antibiotic
461
00:15:20,487 --> 00:15:22,489
with excellent coverage
for bronchitis
462
00:15:22,522 --> 00:15:24,091
and otitis media.
463
00:15:24,124 --> 00:15:26,726
Neither of which needs treatment
with antibiotics.
464
00:15:26,759 --> 00:15:29,596
Now, it has great
gram-positive coverage,
465
00:15:29,629 --> 00:15:32,432
making it ideal
for cellulitis.
466
00:15:32,465 --> 00:15:34,034
LEWIS:
I have a patient
467
00:15:34,067 --> 00:15:35,502
coming in at 3:00 to
check a didge level--
468
00:15:35,535 --> 00:15:37,004
Ben Hollander.
469
00:15:37,004 --> 00:15:38,071
When he shows up,
just let him in
470
00:15:38,105 --> 00:15:38,571
and come find
me, okay?
471
00:15:38,605 --> 00:15:40,240
Sure thing.
472
00:15:40,273 --> 00:15:41,641
Hey, what's up?
473
00:15:41,674 --> 00:15:43,443
I've got a
27-year-old
G3P-zero,
474
00:15:43,476 --> 00:15:45,345
history of cervical
incompetence,
475
00:15:45,378 --> 00:15:46,513
EGA 24 weeks.
476
00:15:46,546 --> 00:15:48,281
Presented in
early labor,
477
00:15:48,315 --> 00:15:50,283
cervical dilation
progressed from
three to six
478
00:15:50,317 --> 00:15:51,518
on terb and mag.
479
00:15:51,551 --> 00:15:52,452
Any fetal distress?
480
00:15:52,485 --> 00:15:53,686
No. It looks good.
481
00:15:53,720 --> 00:15:55,455
Heart rates in the 160s,
good variability.
482
00:15:55,488 --> 00:15:56,756
Can you repeat the terb?
483
00:15:56,789 --> 00:15:59,126
No. We maxed out,
and she's tachy.
484
00:15:59,159 --> 00:16:01,428
Send her up to labor
and delivery, and tell them
485
00:16:01,461 --> 00:16:03,030
to have a pedes
resuscitation team standing by.
486
00:16:03,030 --> 00:16:04,164
If she's progressing
on tocolytics,
487
00:16:04,197 --> 00:16:06,299
there's nothing
we can do.
488
00:16:06,333 --> 00:16:07,567
She's revealing
both her upper
489
00:16:07,600 --> 00:16:09,202
and lower teeth
when she laughs.
490
00:16:09,236 --> 00:16:10,470
What?
491
00:16:10,503 --> 00:16:11,738
Chen. It's a
sign of flirting.
492
00:16:11,771 --> 00:16:12,672
There. Hair touching--
493
00:16:12,705 --> 00:16:13,740
that's another one.
494
00:16:13,773 --> 00:16:14,741
You better get
in there, sport,
495
00:16:14,774 --> 00:16:15,708
before it's too late.
496
00:16:15,742 --> 00:16:17,077
What are you talking about?
497
00:16:17,110 --> 00:16:18,545
I was a cop
25 years.
498
00:16:18,578 --> 00:16:19,479
You learn
body language.
499
00:16:19,512 --> 00:16:20,480
Look at that.
500
00:16:20,513 --> 00:16:22,382
She's mirroring his motion.
501
00:16:22,415 --> 00:16:25,285
20 bucks says
she touches him next.
502
00:16:25,318 --> 00:16:26,219
( laughing )
503
00:16:26,253 --> 00:16:27,720
So what?
She slapped him.
504
00:16:27,754 --> 00:16:29,489
First it's a slap,
then it's a tickle.
505
00:16:29,522 --> 00:16:32,259
Before you know it,
she'll be spanking his ass.
506
00:16:32,292 --> 00:16:34,094
Hey, Jerry, can you call up
to L&D and tell them
507
00:16:34,127 --> 00:16:35,295
to make sure
that they have my...?
508
00:16:35,328 --> 00:16:36,763
I need to find
a fire hydrant.
509
00:16:36,796 --> 00:16:38,598
Hey, that's a cute puppy.
Can I hold it?
510
00:16:38,631 --> 00:16:40,467
You can have it.
511
00:16:40,500 --> 00:16:42,369
43-year-old man
with left flank pain
512
00:16:42,402 --> 00:16:43,770
radiating to the groin.
513
00:16:43,803 --> 00:16:45,272
Denies fever, vomiting.
514
00:16:45,305 --> 00:16:47,074
Exams notable for CVA tenderness
on the left.
515
00:16:47,107 --> 00:16:48,308
Urine heme-positive.
516
00:16:48,341 --> 00:16:49,442
Okay. Diagnosis?
517
00:16:49,476 --> 00:16:50,610
Kidney stones.
518
00:16:50,643 --> 00:16:51,778
What else?
519
00:16:51,811 --> 00:16:54,481
CBC, chem panel,
and CT urogram.
520
00:16:54,514 --> 00:16:57,184
Okay. And give 30
of ketorolac IV push.
521
00:16:57,217 --> 00:16:59,286
No.
522
00:16:59,319 --> 00:17:01,654
No CBC, no chem panel,
and no CT.
523
00:17:01,688 --> 00:17:04,324
You don't even
need a damn IV.
524
00:17:04,357 --> 00:17:07,127
It's expensive
and it takes up nursing time.
525
00:17:07,160 --> 00:17:08,728
Give him 60 of ketorolac IM
526
00:17:08,761 --> 00:17:10,597
and a bedside ultrasound
to rule out hydronephrosis.
527
00:17:10,630 --> 00:17:11,764
But you won't see
where the stone is.
528
00:17:11,798 --> 00:17:12,465
Look, hospital
policy says...
529
00:17:12,499 --> 00:17:14,134
90% of cases
530
00:17:14,167 --> 00:17:15,402
pass on their own.
531
00:17:15,435 --> 00:17:17,104
He's afebrile,
and his UA is negative.
532
00:17:17,104 --> 00:17:18,705
And if it's too
big to pass?
533
00:17:18,738 --> 00:17:21,174
It'll cause hydronephrosis,
and he'll come back.
534
00:17:24,477 --> 00:17:25,712
He still thinks
he's in the Congo.
535
00:17:25,745 --> 00:17:27,780
Get the CT.
536
00:17:30,850 --> 00:17:32,219
You need to take him up.
537
00:17:32,252 --> 00:17:33,386
That's not
how it works.
538
00:17:33,420 --> 00:17:34,387
I come down,
I see, I present.
539
00:17:34,421 --> 00:17:36,123
Yeah, I know how it works.
540
00:17:36,123 --> 00:17:38,125
And I'm telling you
as a surgeon and head of the ER,
541
00:17:38,125 --> 00:17:39,826
you need to take this guy up
to your service.
542
00:17:39,859 --> 00:17:42,195
What do you need me to do,
write you a damn note?
543
00:17:42,229 --> 00:17:44,531
"Dear Dr. Corday, please admit
Abby's patient to your service.
544
00:17:44,564 --> 00:17:46,566
"He's very sick today
and requires an exp lap
545
00:17:46,599 --> 00:17:48,635
before he gets septic and dies."
546
00:17:50,270 --> 00:17:51,471
You hanging in there?
547
00:17:51,504 --> 00:17:52,439
By a thread.
548
00:17:52,472 --> 00:17:53,640
Dr. Lewis,
can you help me?
549
00:17:53,673 --> 00:17:54,841
Sure. Which patient?
550
00:17:54,874 --> 00:17:56,543
Actually,
it's about the doctors.
551
00:17:56,576 --> 00:17:59,146
I'm getting conflicting advice
from Pratt and Kovac.
552
00:17:59,146 --> 00:18:00,413
Welcome to County.
553
00:18:00,447 --> 00:18:02,682
Kovac is the attending.
Pratt isn't.
554
00:18:02,715 --> 00:18:03,850
Abby,
555
00:18:03,883 --> 00:18:05,485
this is Patricia Collins.
556
00:18:05,518 --> 00:18:07,720
Her husband was involved
in the car chase.
557
00:18:07,754 --> 00:18:08,888
Oh, I'm sorry.
558
00:18:08,921 --> 00:18:10,257
Hi. Abby Lockhart.
Hi.
559
00:18:10,290 --> 00:18:11,424
I'm Neela.
Hi.
560
00:18:11,458 --> 00:18:13,460
I worked on your husband.
561
00:18:13,493 --> 00:18:14,294
Would you like to see him?
562
00:18:14,327 --> 00:18:15,328
Yes.
563
00:18:15,362 --> 00:18:16,596
I'll take Mrs. Collins in
564
00:18:16,629 --> 00:18:18,531
while you're waiting
for the UNOS team.
565
00:18:18,565 --> 00:18:20,533
This way, please.
566
00:18:21,668 --> 00:18:23,170
I'm beginning
to hate her.
567
00:18:23,170 --> 00:18:26,206
She's a med student.
568
00:18:26,239 --> 00:18:27,874
I'm a med student.
569
00:18:27,907 --> 00:18:29,376
You know,
now that you mention it,
570
00:18:29,409 --> 00:18:30,577
she's pissing me off, too.
571
00:18:30,610 --> 00:18:32,445
Come on.
Let's hate her together.
572
00:18:32,479 --> 00:18:34,347
Now, the medicine I gave you
hasn't stopped you
573
00:18:34,381 --> 00:18:36,249
from going into labor.
574
00:18:36,283 --> 00:18:38,818
Your contractions are
increasing in frequency,
575
00:18:38,851 --> 00:18:41,221
and your cervix is
continuing to dilate.
576
00:18:41,254 --> 00:18:43,923
My husband had to go
to Seattle for work.
577
00:18:43,956 --> 00:18:45,625
He didn't want to go,
578
00:18:45,658 --> 00:18:48,428
but I said, "Don't worry.
I'll be fine."
579
00:18:48,461 --> 00:18:50,730
I can't believe
I'm having another miscarriage.
580
00:18:50,763 --> 00:18:53,233
No. You're not
miscarrying, Denny.
581
00:18:53,266 --> 00:18:55,202
You're going to
have this baby.
582
00:18:55,202 --> 00:18:56,603
I'm sending you
up to obstetrics.
583
00:18:56,636 --> 00:18:58,538
They're set up to handle
a preemie delivery.
584
00:18:58,571 --> 00:19:00,640
I don't want a preemie.
585
00:19:00,673 --> 00:19:04,511
Our NICU cares for babies
like this all the time.
586
00:19:04,544 --> 00:19:06,846
Yeah, babies with brain damage.
587
00:19:06,879 --> 00:19:07,747
My sister-in-law
had a preemie.
588
00:19:07,780 --> 00:19:09,349
It was sick for months.
589
00:19:09,382 --> 00:19:11,451
They spent every day
in the NICU, and it still died.
590
00:19:11,484 --> 00:19:12,519
This baby has a chance.
591
00:19:12,552 --> 00:19:14,854
I don't want it this way!
592
00:19:14,887 --> 00:19:17,224
Okay.
593
00:19:17,224 --> 00:19:18,225
Okay.
594
00:19:21,628 --> 00:19:22,929
Problem?
595
00:19:22,962 --> 00:19:24,497
She doesn't want
to have the baby.
596
00:19:24,531 --> 00:19:26,233
She's 24 weeks.
597
00:19:26,266 --> 00:19:27,234
What's the weight?
598
00:19:27,267 --> 00:19:28,935
520 grams on the ultrasound.
599
00:19:28,968 --> 00:19:30,670
24 weeks, over
500 grams--
600
00:19:30,703 --> 00:19:33,373
that's the hospital's
viability threshold.
601
00:19:33,406 --> 00:19:34,507
So what? We're
going to spend
602
00:19:34,541 --> 00:19:35,575
half a million
dollars
603
00:19:35,608 --> 00:19:36,709
keeping one
baby alive
604
00:19:36,743 --> 00:19:37,577
while we shut
down the lead
605
00:19:37,610 --> 00:19:38,978
eradication program?
606
00:19:39,011 --> 00:19:41,248
I've admitted three kids
for chelation this week.
607
00:19:41,281 --> 00:19:42,782
Why stamp out
lead poisoning
608
00:19:42,815 --> 00:19:44,351
when you can shoot your wad
on one little gorker
609
00:19:44,384 --> 00:19:45,585
who can enjoy a lifetime
of special ed?
610
00:19:45,618 --> 00:19:46,519
Good thinking, Pratt.
611
00:19:46,553 --> 00:19:47,987
What am I supposed to do?
612
00:19:48,020 --> 00:19:49,289
Mom doesn't want to do anything
to save this baby.
613
00:19:49,322 --> 00:19:50,257
She doesn't
have any rights.
614
00:19:50,290 --> 00:19:51,291
It's not up to Mom.
615
00:19:51,324 --> 00:19:52,492
If it's over 500 grams,
616
00:19:52,525 --> 00:19:53,726
pedes is going
to resuscitate.
617
00:19:53,760 --> 00:19:55,295
Aren't you on
a surgical rotation?
618
00:19:55,328 --> 00:19:56,829
Yup.
Then rotate.
619
00:19:56,863 --> 00:19:59,366
What's this kid's chance
of having a normal life?
620
00:19:59,399 --> 00:20:00,467
10%? Less?
621
00:20:00,500 --> 00:20:01,968
It's hospital policy, Luka.
622
00:20:02,001 --> 00:20:03,436
Then maybe she needs
to change the hospital.
623
00:20:03,470 --> 00:20:04,304
Another
good idea.
624
00:20:04,337 --> 00:20:05,338
Let's send her
625
00:20:05,372 --> 00:20:06,739
to Santa Nina
Muerta Hospital.
626
00:20:06,773 --> 00:20:07,674
It's called natural
selection, Pratt.
627
00:20:07,707 --> 00:20:09,242
You ever heard of it?
628
00:20:09,276 --> 00:20:11,711
It's worked for a
few million years.
629
00:20:11,744 --> 00:20:14,481
So, tell me, what
should I do now?
630
00:20:14,514 --> 00:20:17,684
Hospital policy exists
for a reason.
631
00:20:17,717 --> 00:20:20,653
First learn the rules,
then learn when to break them.
632
00:20:20,687 --> 00:20:23,490
What's in her best interest?
633
00:20:23,523 --> 00:20:25,258
The laceration
is superficial,
634
00:20:25,292 --> 00:20:27,026
and his shoulder
is only bruised,
635
00:20:27,059 --> 00:20:28,961
but, uh, I do have
some concerns
636
00:20:28,995 --> 00:20:31,864
about the
medication he's on.
637
00:20:31,898 --> 00:20:33,533
Zack's had some problems.
638
00:20:33,566 --> 00:20:34,867
Had.
639
00:20:34,901 --> 00:20:36,536
I'm fine now.
640
00:20:36,569 --> 00:20:39,539
I think he may be overmedicated.
641
00:20:39,572 --> 00:20:42,008
Well, they told me
that was for his own good.
642
00:20:44,377 --> 00:20:47,514
I had a drug problem.
643
00:20:47,547 --> 00:20:49,849
I let him run wild.
644
00:20:49,882 --> 00:20:52,585
And then he was always doing
this crazy stuff.
645
00:20:52,619 --> 00:20:53,920
He got into fights.
646
00:20:53,953 --> 00:20:56,789
It's called
self-defense.
647
00:20:56,823 --> 00:20:58,725
He stole a car.
648
00:20:58,758 --> 00:21:00,059
One time.
649
00:21:00,092 --> 00:21:02,695
I'm not doing that
anymore.
650
00:21:03,996 --> 00:21:06,699
They blamed it on me.
651
00:21:06,733 --> 00:21:10,537
They said I was
an unfit mother.
652
00:21:10,570 --> 00:21:12,805
Do you have custody?
653
00:21:12,839 --> 00:21:16,876
Not at the moment.
654
00:21:16,909 --> 00:21:18,511
Has Ben Hollander shown up yet?
655
00:21:18,545 --> 00:21:20,947
Not that I've seen.
656
00:21:20,980 --> 00:21:24,417
Can you look at a possible
scaphoid fracture in Exam Three?
657
00:21:24,451 --> 00:21:26,553
Uh, yeah. Hold
on a second.
658
00:21:26,586 --> 00:21:29,356
Mrs. Collins refused
to donate her husband's organs.
659
00:21:29,356 --> 00:21:31,023
I've heard minority families
seldom agree
660
00:21:31,057 --> 00:21:32,459
to organ donation anyway.
661
00:21:32,492 --> 00:21:34,026
Well, what,
did you just let her leave?
662
00:21:34,060 --> 00:21:35,628
I thought she could sit
with the body
663
00:21:35,662 --> 00:21:36,929
until he went up to the ICU.
664
00:21:36,963 --> 00:21:38,798
I'm looking for Dr. Pratt.
665
00:21:38,831 --> 00:21:39,499
Greg!
666
00:21:39,532 --> 00:21:41,501
There he is.
667
00:21:41,534 --> 00:21:43,403
It's 2003. Who
doesn't have an
answering machine?
668
00:21:43,436 --> 00:21:46,072
He promised me. We had
a therapeutic contract.
669
00:21:46,105 --> 00:21:48,074
Look, I'm sure
he's just running late.
670
00:21:48,107 --> 00:21:50,109
Maybe he stopped
to get a coffee or...
671
00:21:50,142 --> 00:21:52,379
Jump off a bridge?
672
00:21:54,013 --> 00:21:55,482
Hi. Are you
from neonatology?
673
00:21:55,515 --> 00:21:56,883
Yeah. Vargas.
Where's your patient?
674
00:21:56,916 --> 00:21:59,051
Her name is Den...
675
00:21:59,085 --> 00:22:01,554
Hey, Lily,
where's Denny?
676
00:22:01,588 --> 00:22:03,022
I haven't seen her.
677
00:22:03,055 --> 00:22:03,890
Well, can you check
the women's bathrooms
678
00:22:03,923 --> 00:22:05,592
for me, please?
679
00:22:05,625 --> 00:22:06,726
Sure.
Just give me one
second, all right?
680
00:22:06,759 --> 00:22:09,496
I'll find her.
681
00:22:11,498 --> 00:22:12,532
She left.
682
00:22:12,565 --> 00:22:13,533
Who?
683
00:22:13,566 --> 00:22:14,534
My pregnant patient.
684
00:22:14,567 --> 00:22:15,402
Did you talk to her?
685
00:22:15,402 --> 00:22:16,469
No.
686
00:22:16,503 --> 00:22:17,770
Well, she took
your advice.
687
00:22:17,804 --> 00:22:19,539
She eloped.
That was always her prerogative.
688
00:22:19,572 --> 00:22:20,740
( banging on window )
689
00:22:20,773 --> 00:22:21,774
I need a doctor out here!
690
00:22:21,808 --> 00:22:22,909
That doesn't mean
691
00:22:22,942 --> 00:22:24,511
it was the best thing
for her to do.
692
00:22:24,544 --> 00:22:25,812
Hey, you're supposed
to be teaching me here.
693
00:22:25,845 --> 00:22:28,415
I'm trying,
but you're not listening.
694
00:22:28,415 --> 00:22:29,916
Some lady is in
the back of my cab,
695
00:22:29,949 --> 00:22:31,718
and I think she's
bleeding to death.
696
00:22:36,022 --> 00:22:37,490
Denny, what happened?
697
00:22:37,524 --> 00:22:38,858
I tried to make it
to Saint Joe's,
698
00:22:38,891 --> 00:22:40,092
but the baby's coming.
699
00:22:40,126 --> 00:22:41,060
Is she dying?
700
00:22:41,093 --> 00:22:42,762
No. Run inside and tell them
701
00:22:42,795 --> 00:22:44,464
I need a gurney
and a BOA kit. Go!
702
00:22:44,497 --> 00:22:46,466
This was in her best interest?
703
00:22:46,499 --> 00:22:48,768
She wouldn't have left
if you'd done what she asked.
704
00:22:48,801 --> 00:22:50,470
KOVAC:
Type and cross Mom
705
00:22:50,503 --> 00:22:52,539
for four units,
two large-bore IVs
706
00:22:52,572 --> 00:22:54,474
and a liter of
LR running now.
707
00:22:54,507 --> 00:22:55,908
It's too soon.
708
00:22:55,942 --> 00:22:58,445
All right, Denny,
one big push.
709
00:23:01,714 --> 00:23:02,849
( grunts )
710
00:23:02,882 --> 00:23:04,851
Come on. Cord clamp.
711
00:23:08,988 --> 00:23:09,922
It's a boy.
712
00:23:09,956 --> 00:23:11,624
His eyelids are still fused.
713
00:23:19,832 --> 00:23:21,901
Placenta's delivered.
714
00:23:21,934 --> 00:23:23,135
( alarm beeping )
715
00:23:23,169 --> 00:23:24,671
Bleeding's picking up.
716
00:23:24,704 --> 00:23:26,038
Heart rate's in the 130s.
717
00:23:26,072 --> 00:23:28,841
Yeah, uterine atony
from the tocolytics.
718
00:23:28,875 --> 00:23:32,479
Run in another liter
of LR and 20 of pit.
719
00:23:32,512 --> 00:23:33,613
Do we have
a pulse?
720
00:23:33,646 --> 00:23:34,781
Yeah. It's slow,
under 100.
721
00:23:34,814 --> 00:23:35,848
Should I start
compressions?
722
00:23:35,882 --> 00:23:37,083
Bag him up first.
723
00:23:37,116 --> 00:23:38,585
No. You need to
weigh him first
724
00:23:38,618 --> 00:23:39,952
before you do
anything else.
725
00:23:39,986 --> 00:23:42,755
Less than 500
grams, we stop.
726
00:23:42,789 --> 00:23:44,757
All right, draw up some epi
and get ready with the tube.
727
00:23:44,791 --> 00:23:46,493
KOVAC:
Do not tube that baby
728
00:23:46,526 --> 00:23:48,495
until you get a weight.
729
00:23:49,729 --> 00:23:52,499
DENNY:
No, please.
730
00:23:52,532 --> 00:23:53,900
506.
731
00:23:53,933 --> 00:23:55,602
( sighs )
732
00:23:55,635 --> 00:23:57,604
Pratt, she doesn't want this.
733
00:23:57,637 --> 00:23:59,071
I'm following hospital rules.
734
00:23:59,105 --> 00:24:00,640
That doesn't make it right.
735
00:24:00,673 --> 00:24:02,141
This kid is alive.
736
00:24:02,174 --> 00:24:04,076
Systolic's down to 78.
737
00:24:04,110 --> 00:24:06,178
.2 milligrams
of Methergine IM
738
00:24:06,212 --> 00:24:07,213
and rush the blood bank.
739
00:24:07,246 --> 00:24:09,015
Oh, all right, I'm in.
740
00:24:09,048 --> 00:24:11,518
Bag him and give two cc's
of surfactant through the tube.
741
00:24:11,518 --> 00:24:12,785
You got it.
742
00:24:29,536 --> 00:24:31,771
Mrs. Collins, can I
get you anything,
743
00:24:31,804 --> 00:24:33,606
or anyone I can call?
744
00:24:33,640 --> 00:24:36,008
Tom's sister is coming.
745
00:24:36,042 --> 00:24:37,610
She wanted to say good-bye.
746
00:24:37,644 --> 00:24:39,579
( pager beeps )
747
00:24:39,612 --> 00:24:40,647
Sorry.
748
00:24:40,680 --> 00:24:41,681
PRATT:
Umbilical line kit
749
00:24:41,714 --> 00:24:42,749
and a sterile 6 is for Neela.
750
00:24:42,782 --> 00:24:44,083
She's gonna place the UVC.
751
00:24:44,116 --> 00:24:45,752
KOVAC:
We shouldn't be
doing this, Pratt.
752
00:24:45,785 --> 00:24:48,254
She has the right to
demand a natural death.
753
00:24:48,287 --> 00:24:50,056
We have a Family Room,
754
00:24:50,089 --> 00:24:52,992
if you'd like to wait for your
sister-in-law in there.
755
00:24:53,025 --> 00:24:54,260
It's a little more quiet.
756
00:24:54,293 --> 00:24:56,796
I want to stay with him
as long as I can.
757
00:24:56,829 --> 00:24:57,797
Okay.
758
00:25:02,068 --> 00:25:03,903
What's happening?
759
00:25:03,936 --> 00:25:07,173
They're trying to save
a premature baby.
760
00:25:09,308 --> 00:25:11,277
We just started
trying to have kids.
761
00:25:20,920 --> 00:25:23,790
Mrs. Collins,
did Neela talk to you
762
00:25:23,823 --> 00:25:27,059
about recovering
your husband's organs?
763
00:25:27,093 --> 00:25:28,695
I told her I didn't want that.
764
00:25:28,728 --> 00:25:30,062
He's been through enough.
765
00:25:32,665 --> 00:25:34,901
Why? Does he have something
766
00:25:34,934 --> 00:25:37,870
that could help the mom
or her baby?
767
00:25:37,904 --> 00:25:39,071
I don't know.
768
00:25:39,105 --> 00:25:41,674
Maybe.
769
00:25:41,708 --> 00:25:45,612
But there are lots of others
who would benefit.
770
00:25:48,648 --> 00:25:51,083
Tom was always going
out of his way
771
00:25:51,117 --> 00:25:53,285
to do stuff for
other people...
772
00:25:53,319 --> 00:25:58,090
to the point where they
would take advantage of
him, but he didn't care.
773
00:25:58,124 --> 00:25:59,626
I would always tell him,
774
00:25:59,659 --> 00:26:01,628
"Don't you know
nice guys finish last?"
775
00:26:03,362 --> 00:26:05,164
He would always say,
776
00:26:05,197 --> 00:26:09,636
"Guys who finish
last are nice."
777
00:26:09,669 --> 00:26:11,638
He was so stupid.
778
00:26:15,808 --> 00:26:21,313
What would they do...
if he was a donor?
779
00:26:21,347 --> 00:26:24,651
The recovery team
would take him to the ICU,
780
00:26:24,684 --> 00:26:27,954
and they run tests and they
start matching his organs
781
00:26:27,987 --> 00:26:29,689
to people who need them.
782
00:26:29,722 --> 00:26:30,389
Like his kidneys?
783
00:26:30,422 --> 00:26:32,358
Mm-hmm.
784
00:26:32,391 --> 00:26:34,393
Several organs can be recovered.
785
00:26:34,426 --> 00:26:36,863
He could help as many
as 50 different people.
786
00:26:38,931 --> 00:26:40,332
Tom would like that.
787
00:26:44,103 --> 00:26:45,705
What all would they take?
788
00:26:47,974 --> 00:26:49,676
Well, his kidneys,
789
00:26:49,676 --> 00:26:52,712
which would go to two people
with end-stage renal disease,
790
00:26:52,745 --> 00:26:56,148
and that would free them
from a lifetime of dialysis...
791
00:26:56,182 --> 00:26:59,018
Ben Hollander, Susan Lewis.
792
00:26:59,051 --> 00:27:00,086
No, I'm the doctor.
He's my patient.
793
00:27:00,119 --> 00:27:01,754
County General.
794
00:27:01,788 --> 00:27:03,823
Okay, then I'll talk
to the watch commander.
795
00:27:03,856 --> 00:27:04,691
My mom around?
796
00:27:04,691 --> 00:27:05,958
She's in a trauma.
797
00:27:05,992 --> 00:27:07,093
You want to wait
in the Doctor's lounge?
798
00:27:07,126 --> 00:27:08,795
Nah.
799
00:27:08,828 --> 00:27:10,963
You get any freaks
in here today?
800
00:27:10,997 --> 00:27:13,265
You know,
guys with elephant man disease
801
00:27:13,299 --> 00:27:15,201
and axes stuck in their heads?
802
00:27:15,234 --> 00:27:16,235
No.
803
00:27:16,268 --> 00:27:17,737
Should you be looking
at that?
804
00:27:17,770 --> 00:27:19,238
I'm going to become a doctor.
805
00:27:19,271 --> 00:27:20,840
Dollars to donuts
that kid
806
00:27:20,873 --> 00:27:22,942
is already dissecting
the neighborhood pets.
807
00:27:22,975 --> 00:27:24,376
Every time
you put me on hold,
808
00:27:24,410 --> 00:27:26,913
you're increasing the chance
he's in trouble.
809
00:27:26,946 --> 00:27:28,214
Sure.
Hey.
810
00:27:28,247 --> 00:27:30,883
You want to
see a puppy?
811
00:27:30,917 --> 00:27:33,419
Why?
812
00:27:33,452 --> 00:27:36,222
I don't know.
Because she's cute?
813
00:27:36,255 --> 00:27:38,891
Where's the morgue?
814
00:27:38,925 --> 00:27:42,729
Your mom says we aren't allowed
to let you go to the morgue.
815
00:27:42,762 --> 00:27:44,731
I'll give you five bucks.
816
00:27:46,132 --> 00:27:47,399
Does that kid ever
give you the creeps?
817
00:27:47,433 --> 00:27:49,401
He's right at the age
where it starts.
818
00:27:49,435 --> 00:27:50,903
Teen rebellion?
819
00:27:50,937 --> 00:27:53,105
Devil worship.
Keep an eye on that puppy.
820
00:27:57,944 --> 00:27:59,812
You were supposed
to be here hours ago.
821
00:27:59,846 --> 00:28:01,748
Oh, I'm-I'm sorry.
822
00:28:01,748 --> 00:28:05,384
Oh, these, uh, these are...
these are for you.
823
00:28:05,417 --> 00:28:07,053
Sort of a peace offering
824
00:28:07,086 --> 00:28:08,955
to make up, you
know, for my...
825
00:28:08,988 --> 00:28:10,790
my-my tardiness.
826
00:28:10,823 --> 00:28:12,324
You didn't have
to do that.
827
00:28:12,358 --> 00:28:13,860
Well, there's
a guy outside,
828
00:28:13,893 --> 00:28:15,828
you know, selling
them on the street,
829
00:28:15,862 --> 00:28:17,964
so it's, you know,
it's no big deal.
830
00:28:17,997 --> 00:28:20,032
Oh, and I...
831
00:28:20,066 --> 00:28:21,367
I brought you, uh...
832
00:28:21,400 --> 00:28:22,769
I brought you this.
833
00:28:22,802 --> 00:28:24,904
We're not finished
reading it.
834
00:28:24,937 --> 00:28:27,439
Well, I, you know,
I know how it ends.
835
00:28:27,473 --> 00:28:30,810
Lily, can you set Ben up
for a blood draw?
836
00:28:30,843 --> 00:28:32,078
Sure. This way, sir.
837
00:28:33,913 --> 00:28:35,514
That patient
brought you flowers?
838
00:28:35,547 --> 00:28:37,449
And a book.
He's a real Civil War buff.
839
00:28:37,483 --> 00:28:38,785
I've been reading it to him.
840
00:28:38,818 --> 00:28:40,086
He's losing his eyesight.
841
00:28:40,119 --> 00:28:41,888
What? You're going
to his house?
842
00:28:41,921 --> 00:28:45,291
Yeah. The guy was a possible OD
on didge a couple weeks ago.
843
00:28:45,324 --> 00:28:47,960
I'm still not sure
it wasn't attempted suicide.
844
00:28:47,994 --> 00:28:50,196
I just want to make sure
he's re-engaged
845
00:28:50,229 --> 00:28:51,397
before I cut him loose.
846
00:28:51,430 --> 00:28:52,932
This is a first edition.
847
00:28:52,965 --> 00:28:55,902
Sounds like he's
engaged with you.
848
00:28:55,935 --> 00:28:58,004
He has no one.
He's going blind.
849
00:28:58,037 --> 00:29:03,175
He sacrificed everything for his
career and now he has nothing.
850
00:29:03,209 --> 00:29:05,945
No one should end up
like that.
851
00:29:07,579 --> 00:29:09,015
Where the hell is OB?
852
00:29:09,048 --> 00:29:10,349
Paged them three times.
853
00:29:10,382 --> 00:29:12,418
Denny, stay with us here.
854
00:29:12,451 --> 00:29:13,385
EBL 1500cc's.
855
00:29:13,419 --> 00:29:15,221
I'm hitting resistance.
856
00:29:15,254 --> 00:29:16,989
When it bounces back like
that, you're in the liver.
857
00:29:17,023 --> 00:29:18,257
Start over
and thread it again.
858
00:29:18,290 --> 00:29:19,325
Get him upstairs, Pratt.
859
00:29:19,358 --> 00:29:20,827
Kovac, I need to talk to you.
860
00:29:20,827 --> 00:29:22,561
I'm kinda busy here.
861
00:29:22,594 --> 00:29:24,330
What's the holdup
with that kid
from Stanton House?
862
00:29:24,363 --> 00:29:25,998
His caseworker
is threatening
legal action.
863
00:29:26,032 --> 00:29:27,900
Still waiting on a Tegretol
level to come back.
864
00:29:27,934 --> 00:29:29,168
No you're not.
It's back.
865
00:29:29,201 --> 00:29:30,937
He can't go back there, Kerry.
866
00:29:30,970 --> 00:29:34,040
Their treatment program is
basically keeping him so drugged
867
00:29:34,073 --> 00:29:36,042
that he can't
think straight.
868
00:29:36,075 --> 00:29:36,976
BP's up to 98/55.
869
00:29:37,009 --> 00:29:38,510
Good. He's a nice kid.
870
00:29:38,544 --> 00:29:40,179
And you know him better
than the psychiatrist
871
00:29:40,212 --> 00:29:42,248
who's been treating him
for two years?
872
00:29:42,281 --> 00:29:44,917
She's got too many patients
to treat properly.
873
00:29:44,951 --> 00:29:46,853
She also has privileges
in this hospital
874
00:29:46,853 --> 00:29:48,554
and she's on her way
to administer Haldol
875
00:29:48,587 --> 00:29:50,322
because the ER physician
apparently refused.
876
00:29:50,356 --> 00:29:52,558
Everybody's so concerned
about the rules and policy
877
00:29:52,591 --> 00:29:55,027
that they're forgetting
there is a kid caught
in the middle of all this.
878
00:29:55,061 --> 00:29:57,463
Reform the foster
care system on
your own time.
879
00:29:57,496 --> 00:29:58,564
Neela, come
with me.
880
00:29:58,597 --> 00:30:00,066
Discharge
this patient.
881
00:30:00,099 --> 00:30:01,400
Damn it, Kerry!
882
00:30:01,433 --> 00:30:03,469
Take the baby.
Pratt, I need you here.
883
00:30:03,502 --> 00:30:05,004
Somebody call for OB?
884
00:30:05,037 --> 00:30:07,339
Now, that was fast.
Fill her in, Pratt.
885
00:30:07,373 --> 00:30:09,408
Mom just delivered
a 24-weeker
886
00:30:09,441 --> 00:30:12,044
now with severe atony,
EBL 1500cc's.
887
00:30:12,078 --> 00:30:13,079
What's happening?
888
00:30:13,112 --> 00:30:14,213
You're doing good.
889
00:30:14,246 --> 00:30:16,082
It looks worse
than it is.
890
00:30:16,115 --> 00:30:18,217
The tube in his mouth
helps him breathe.
891
00:30:18,250 --> 00:30:20,119
The catheters
in his umbilical cord
892
00:30:20,152 --> 00:30:24,323
give him fluid, nutrition
and medication.
893
00:30:24,356 --> 00:30:28,961
But underneath it all,
he looks good for a 24-weeker.
894
00:30:28,995 --> 00:30:30,963
Really...
895
00:30:30,997 --> 00:30:33,432
Where's Zack?
896
00:30:33,465 --> 00:30:35,834
Zack? Zack?
897
00:30:40,639 --> 00:30:41,908
What did she give him?
898
00:30:41,941 --> 00:30:44,276
Four milligrams Haldol IM.
899
00:30:44,310 --> 00:30:48,614
Just to tide him over
till his PO meds kick in.
900
00:30:48,647 --> 00:30:49,348
I'm sorry.
901
00:31:02,995 --> 00:31:06,365
You never let me finish
telling you about Quinamax.
902
00:31:06,398 --> 00:31:08,935
Now, it's our new
once-a-day antibiotic
903
00:31:08,968 --> 00:31:12,939
with excellent coverage
for bronchitis and otitis media.
904
00:31:12,939 --> 00:31:17,276
Now, I could put together
some packages for you
to take to the Congo.
905
00:31:17,309 --> 00:31:20,012
I've heard
that's a pet project of yours.
906
00:31:20,046 --> 00:31:21,580
Quinamax would be wonderful
907
00:31:21,613 --> 00:31:24,383
for all the important work
you're doing over there.
908
00:31:24,416 --> 00:31:27,586
You want me to take
your overpriced
antibiotic to Africa?
909
00:31:27,619 --> 00:31:30,957
It has great coverage for
pneumococcus and H. flu.
910
00:31:30,957 --> 00:31:33,960
Why hasn't there been a new drug
for malaria in three decades?
911
00:31:33,993 --> 00:31:35,527
That's a really good question.
912
00:31:35,561 --> 00:31:38,030
Because there's no profit
in treating poor people.
913
00:31:38,064 --> 00:31:39,465
My company...
914
00:31:39,498 --> 00:31:41,633
Your company spends
twice as much in marketing
915
00:31:41,667 --> 00:31:43,169
as it does in development,
916
00:31:43,202 --> 00:31:45,704
which is why prescription drug
costs have tripled
917
00:31:45,737 --> 00:31:47,573
in the last ten years.
918
00:31:49,475 --> 00:31:51,177
Get out of here.
I want you out of here.
919
00:31:51,210 --> 00:31:52,644
You know, if this
is a bad time...
920
00:31:52,678 --> 00:31:54,380
Frank, I'm going to go get
some coffee.
921
00:31:54,413 --> 00:31:55,414
Page me if you need me.
922
00:31:55,447 --> 00:32:00,652
Okay, Dr. Kovac, if you could...
923
00:32:00,686 --> 00:32:03,222
You know,
I'll just come back
924
00:32:03,255 --> 00:32:05,457
when you're not so busy.
925
00:32:07,059 --> 00:32:08,260
Everything looks good.
926
00:32:08,294 --> 00:32:11,263
Don't sound
so surprised.
927
00:32:11,297 --> 00:32:13,099
Ben, I really appreciate
the gesture,
928
00:32:13,132 --> 00:32:15,067
but I can't accept this.
929
00:32:15,101 --> 00:32:17,336
Well, you said
you liked it.
930
00:32:17,369 --> 00:32:20,706
I do, but that book
is worth a lot of money.
931
00:32:20,739 --> 00:32:24,043
No, no, my first edition Brontes
are worth a lot of money.
932
00:32:25,744 --> 00:32:31,450
I just think
it's... inappropriate.
933
00:32:31,483 --> 00:32:32,284
I didn't mean
to hurt your feelings.
934
00:32:32,318 --> 00:32:33,152
No, you didn't.
935
00:32:33,185 --> 00:32:34,320
It's just that
936
00:32:34,353 --> 00:32:35,487
you've done
a lot for me,
937
00:32:35,521 --> 00:32:36,588
and you know,
I just wanted
938
00:32:36,622 --> 00:32:38,490
to show my
appreciation.
939
00:32:38,524 --> 00:32:42,528
I certainly never meant to
make you feel uncomfortable.
940
00:32:42,561 --> 00:32:45,097
No, no, you didn't
make me feel uncomf...
941
00:32:45,131 --> 00:32:46,165
It's no big deal.
942
00:32:46,198 --> 00:32:47,033
I can help you
get a ride home
943
00:32:47,066 --> 00:32:48,234
if you can wait a while.
944
00:32:48,267 --> 00:32:49,768
You know, I'll
grab a cab.
945
00:32:49,801 --> 00:32:52,238
Okay, same time next week
for another level.
946
00:32:52,271 --> 00:32:54,140
Thank you for the flowers.
947
00:32:57,376 --> 00:32:59,778
I feel officially lousy.
948
00:32:59,811 --> 00:33:02,414
So, is it "Jing-My"
or "Jing-May"?
949
00:33:02,448 --> 00:33:05,451
I'm getting conflicting
information.
950
00:33:05,484 --> 00:33:07,253
Call me Deb.
951
00:33:07,286 --> 00:33:08,787
Okay. What are you doing
after this, Deb?
952
00:33:08,820 --> 00:33:10,056
You want to grab a beer,
shoot a little pool?
953
00:33:10,089 --> 00:33:11,457
I can't.
954
00:33:11,490 --> 00:33:13,059
I'm taking my parents
to the airport.
955
00:33:13,059 --> 00:33:14,726
We can go out
after we drop them off.
956
00:33:14,760 --> 00:33:16,795
You'll drive my
mother and father
to the airport?
957
00:33:16,828 --> 00:33:18,797
Sure. It'll be good
for some embarrassing
childhood stories.
958
00:33:18,830 --> 00:33:20,532
No, not my parents.
959
00:33:20,566 --> 00:33:22,768
They're a little distant,
bordering on xenophobic.
960
00:33:22,801 --> 00:33:25,371
My dad has six toes.
Just on one foot.
961
00:33:25,404 --> 00:33:27,073
Has anyone seen Alex?
962
00:33:27,106 --> 00:33:29,241
Yeah, he was hanging
around here earlier.
963
00:33:29,275 --> 00:33:31,677
Could you find him
for me, please?
964
00:33:39,151 --> 00:33:41,787
You should use your fireball.
965
00:33:43,255 --> 00:33:45,624
This your first time playing?
966
00:33:45,657 --> 00:33:48,660
Nope.
967
00:33:48,694 --> 00:33:51,497
You want me to show you
how to do the dragon punch?
968
00:33:51,530 --> 00:33:54,366
Nope.
969
00:33:54,400 --> 00:33:56,802
He's going to kill you
with his psychocrusher move.
970
00:33:59,438 --> 00:34:03,575
Told you.
971
00:34:05,877 --> 00:34:07,179
I'm thirsty.
972
00:34:07,213 --> 00:34:08,447
That's a good sign.
973
00:34:08,480 --> 00:34:10,316
Can she have some ice chips?
974
00:34:10,349 --> 00:34:12,318
Let's hold off
for a little while.
975
00:34:14,653 --> 00:34:16,822
You lost a lot of blood
in your delivery.
976
00:34:16,855 --> 00:34:18,390
We had to give you
a transfusion,
977
00:34:18,424 --> 00:34:20,726
but the bleeding's
stopped now.
978
00:34:20,759 --> 00:34:22,528
You're going to be fine.
979
00:34:22,561 --> 00:34:24,663
And we're taking your baby
up to the NICU.
980
00:34:24,696 --> 00:34:27,699
Good.
981
00:34:27,733 --> 00:34:30,136
He's doing better.
982
00:34:30,136 --> 00:34:31,303
Just take him away.
983
00:34:31,337 --> 00:34:34,240
Denny, just...
Please.
984
00:34:52,758 --> 00:34:54,226
Has Abby shown up yet?
985
00:34:54,260 --> 00:34:54,793
OR Four.
986
00:34:54,826 --> 00:34:57,263
Doing what?
987
00:34:59,231 --> 00:35:01,167
I was paging you.
988
00:35:01,167 --> 00:35:03,235
I was with this patient.
989
00:35:03,269 --> 00:35:05,637
So I hear.
990
00:35:08,840 --> 00:35:10,642
( sighing )
991
00:35:10,676 --> 00:35:14,213
You convinced the family
to donate his organs?
992
00:35:14,246 --> 00:35:15,447
Spending this much time
with a patient
993
00:35:15,481 --> 00:35:17,916
is a luxury
we don't usually have.
994
00:35:17,949 --> 00:35:21,653
You missed out on
an interesting volvulus repair.
995
00:35:21,687 --> 00:35:25,224
Well, I just felt like
his wife needed me.
996
00:35:25,257 --> 00:35:26,925
You already
do this well, Abby.
997
00:35:26,958 --> 00:35:28,894
Sometimes being a doctor
998
00:35:28,927 --> 00:35:32,798
is about distancing yourself
from your patient.
999
00:35:37,269 --> 00:35:38,604
You don't have to stay.
1000
00:35:38,637 --> 00:35:40,806
I'd like to stick around
if that's okay.
1001
00:35:43,842 --> 00:35:45,477
( door closes )
1002
00:35:45,511 --> 00:35:46,445
( sighing )
1003
00:35:46,478 --> 00:35:47,946
What the hell is this?
1004
00:35:47,979 --> 00:35:49,715
A Labrador retriever.
1005
00:35:49,748 --> 00:35:50,816
Wrong answer.
1006
00:35:50,849 --> 00:35:52,484
Some sort of spaniel--
a terrier?
1007
00:35:52,518 --> 00:35:53,785
Who brought it
into the hospital?
1008
00:35:53,819 --> 00:35:54,953
Was it Pratt?
1009
00:35:54,986 --> 00:35:56,355
I'm sorry,
Dr. Romano.
1010
00:35:56,388 --> 00:35:58,924
I did.
She belongs to me.
1011
00:35:58,957 --> 00:35:59,925
This isn't
a petting zoo.
1012
00:35:59,958 --> 00:36:01,460
She's not a pet.
1013
00:36:01,493 --> 00:36:03,262
She's a seeing-eye dog,
aren't you?
1014
00:36:03,295 --> 00:36:05,597
Oh, how could you hate
a face this cute?
1015
00:36:05,631 --> 00:36:07,766
All right, come on.
Let's go home. Bye.
1016
00:36:07,799 --> 00:36:08,934
So, where is my son?
1017
00:36:08,967 --> 00:36:10,636
Did you tell him
where the morgue is?
1018
00:36:10,669 --> 00:36:12,904
I couldn't find him.
1019
00:36:12,938 --> 00:36:16,308
He's across the street
in the new Jumbo Mart.
1020
00:36:19,311 --> 00:36:20,579
Got you now.
1021
00:36:20,612 --> 00:36:21,913
That's cheating.
1022
00:36:21,947 --> 00:36:23,849
I thought you were
good at this game.
1023
00:36:23,882 --> 00:36:26,518
SAM:
What the hell are you doing?
1024
00:36:26,552 --> 00:36:28,454
My shift ended
an hour ago. Why?
1025
00:36:28,487 --> 00:36:29,855
I'm not talking to you.
1026
00:36:29,888 --> 00:36:31,423
You cannot
just wander off
1027
00:36:31,457 --> 00:36:33,759
without telling me
where you're going.
1028
00:36:33,792 --> 00:36:37,396
Did you eat all this?
1029
00:36:37,429 --> 00:36:38,864
Where did you
get the money?
1030
00:36:38,897 --> 00:36:41,667
He bought it for me.
1031
00:36:41,700 --> 00:36:42,801
Do you know
what time it is?
1032
00:36:42,834 --> 00:36:46,338
Did you take
your shot? No?
1033
00:36:46,372 --> 00:36:47,673
Look at him.
1034
00:36:47,706 --> 00:36:49,508
He's hyperglycemic
and ketotic.
1035
00:36:49,541 --> 00:36:52,778
Did you not notice anything
strange about his behavior?
1036
00:36:52,811 --> 00:36:53,912
He's diabetic.
1037
00:36:53,945 --> 00:36:55,281
God, I can smell
it from here.
1038
00:36:55,281 --> 00:36:56,815
I thought
he was a street kid.
1039
00:36:56,848 --> 00:36:58,617
I didn't know
he was your patient.
1040
00:36:58,650 --> 00:36:59,951
He's my son.
1041
00:37:08,927 --> 00:37:11,297
Hi. Sorry to bother you.
1042
00:37:11,297 --> 00:37:13,399
A-Are you stalking me?
1043
00:37:23,074 --> 00:37:25,344
I've got his first x-ray.
1044
00:37:25,377 --> 00:37:27,846
His heart and lungs
look good.
1045
00:37:27,879 --> 00:37:29,681
He's fighting.
1046
00:37:29,715 --> 00:37:31,317
I told you.
1047
00:37:31,350 --> 00:37:33,051
Look, Denny, maybe you should
get off your feet for...
1048
00:37:33,084 --> 00:37:36,021
I'm just want to stay
here a little while.
1049
00:37:38,557 --> 00:37:41,793
He shouldn't
have to die alone.
1050
00:37:44,763 --> 00:37:46,432
Was this a bad idea?
1051
00:37:46,465 --> 00:37:49,335
Oh, no, no,
I love, I love dogs.
1052
00:37:49,368 --> 00:37:51,337
I-I grew up with dogs.
1053
00:37:51,370 --> 00:37:55,841
My parents had a cattle farm
outside of Gary.
1054
00:37:55,874 --> 00:37:58,377
So, you were a farm boy?
1055
00:37:58,410 --> 00:38:01,347
I still would be
if my mother hadn't insisted
1056
00:38:01,380 --> 00:38:02,714
on my going to college.
1057
00:38:02,748 --> 00:38:05,484
What about your parents?
1058
00:38:05,517 --> 00:38:07,586
Want to hold her?
Oh, yeah.
1059
00:38:07,619 --> 00:38:10,689
My mom is a secretary.
1060
00:38:10,722 --> 00:38:12,991
Was a secretary.
1061
00:38:13,024 --> 00:38:14,493
She wanted me to be
a flight attendant.
1062
00:38:14,526 --> 00:38:15,694
Really?
1063
00:38:15,727 --> 00:38:17,496
Yeah, that
wasn't happening.
1064
00:38:17,529 --> 00:38:19,598
She, uh, died
a few years ago.
1065
00:38:19,631 --> 00:38:21,700
Oh, I'm, I'm sorry.
1066
00:38:23,101 --> 00:38:25,036
What about
your father?
1067
00:38:25,070 --> 00:38:26,905
He's still in Chicago.
1068
00:38:26,938 --> 00:38:28,740
He's a test pilot
for Barcalounger.
1069
00:38:28,774 --> 00:38:33,645
He must be pretty proud of you.
1070
00:38:33,679 --> 00:38:35,914
You're, uh,
you're not close?
1071
00:38:35,947 --> 00:38:37,849
Not really.
1072
00:38:39,885 --> 00:38:41,553
That's a shame.
1073
00:38:41,587 --> 00:38:42,754
Yeah.
1074
00:38:42,788 --> 00:38:45,424
It, uh, it happens.
1075
00:38:45,457 --> 00:38:49,094
I have a daughter
named, named Karen.
1076
00:38:49,127 --> 00:38:50,629
Yeah?
1077
00:38:50,662 --> 00:38:51,997
Yeah, I haven't...
1078
00:38:52,030 --> 00:38:54,500
I haven't talked
to her in years.
1079
00:38:54,533 --> 00:38:56,402
You should try to reconnect.
1080
00:38:56,435 --> 00:38:58,604
No, it's not,
not going to happen.
1081
00:38:58,637 --> 00:38:59,738
You should call her.
1082
00:38:59,771 --> 00:39:03,909
No, she, uh,
she blames me for things
1083
00:39:03,942 --> 00:39:07,979
when... when my wife died.
1084
00:39:08,013 --> 00:39:10,549
I didn't see that
coming, either.
1085
00:39:10,582 --> 00:39:12,984
Your wife died suddenly?
1086
00:39:13,018 --> 00:39:14,653
No, no, not really.
1087
00:39:14,686 --> 00:39:16,422
She, she had cancer.
1088
00:39:16,422 --> 00:39:18,089
She fought it
for a long time,
1089
00:39:18,123 --> 00:39:22,728
but we both knew she wasn't...
she wasn't going to beat it.
1090
00:39:22,761 --> 00:39:26,064
Still, I just,
I never expected it
1091
00:39:26,097 --> 00:39:28,600
to end that way, you know.
1092
00:39:28,634 --> 00:39:32,471
I just had trouble...
I had a hard time
1093
00:39:32,504 --> 00:39:36,742
accepting the...
finality of it, of it all.
1094
00:39:36,775 --> 00:39:41,780
Yeah.
1095
00:39:41,813 --> 00:39:43,181
340.
1096
00:39:43,214 --> 00:39:44,850
I didn't know
he had diabetes.
1097
00:39:44,883 --> 00:39:46,084
He's a kid.
You're an adult.
1098
00:39:46,117 --> 00:39:48,787
You're supposed
to be a doctor.
1099
00:39:48,820 --> 00:39:50,522
You didn't notice
he was acting weird?
1100
00:39:50,556 --> 00:39:51,890
Lots of kids
his age are weird.
1101
00:39:51,923 --> 00:39:52,924
What are you doing
playing video games
1102
00:39:52,958 --> 00:39:54,660
with a nine-year-old,
anyway?
1103
00:39:54,693 --> 00:39:58,497
You gave him ice cream, candy...
What's up with that?
1104
00:40:00,198 --> 00:40:01,667
Can I discharge
Mrs. Fionelli?
1105
00:40:01,700 --> 00:40:03,469
Find another attending.
I'm off.
1106
00:40:03,502 --> 00:40:05,971
Oh, all right.
1107
00:40:06,004 --> 00:40:07,539
Her pelvic sonogram
results came back.
1108
00:40:07,573 --> 00:40:09,074
She's got an
ovarian cyst,
1109
00:40:09,107 --> 00:40:11,510
so I was just going to put
her on a non-steroidal.
1110
00:40:11,543 --> 00:40:13,545
She had
an abdominal CT scan?
1111
00:40:13,579 --> 00:40:15,914
We were thinking
diverticulitis.
1112
00:40:15,947 --> 00:40:16,615
Flip over your chart.
1113
00:40:16,648 --> 00:40:17,583
What?
1114
00:40:17,616 --> 00:40:18,884
On the back
of your chart,
1115
00:40:18,917 --> 00:40:20,952
there's a price list
of all tests and labs.
1116
00:40:20,986 --> 00:40:23,522
You ordered a CBC--
that's what?
1117
00:40:23,555 --> 00:40:24,656
$140.
1118
00:40:24,690 --> 00:40:26,057
A chem panel and UA?
1119
00:40:26,091 --> 00:40:27,859
$350 and $90.
1120
00:40:27,893 --> 00:40:29,227
What else?
1121
00:40:29,260 --> 00:40:31,229
GC and chlamydia
cultures-- $300.
1122
00:40:31,262 --> 00:40:34,966
IV start and a liter
of saline-- at least $200.
1123
00:40:35,000 --> 00:40:36,835
Morphine's another $50.
1124
00:40:36,868 --> 00:40:39,671
Abdomen and pelvic CT,
$3,000 easy.
1125
00:40:39,705 --> 00:40:41,106
Did I miss anything?
1126
00:40:41,139 --> 00:40:45,511
Pelvic ultrasound--
$750.
1127
00:40:45,544 --> 00:40:48,013
$4,880.
1128
00:40:48,046 --> 00:40:50,949
You could have done
a negative urine ICON
1129
00:40:50,982 --> 00:40:53,151
to rule out ectopic
for 15 bucks,
1130
00:40:53,184 --> 00:40:55,120
performed
a thorough physical exam
1131
00:40:55,153 --> 00:40:57,255
and treated her
with a $2 dose of ibuprofen.
1132
00:40:57,288 --> 00:40:59,124
And this is why
we can't provide
1133
00:40:59,157 --> 00:41:00,258
health care
for everyone.
1134
00:41:00,291 --> 00:41:01,793
Hey, where's Logan?
1135
00:41:01,827 --> 00:41:03,228
Rule out subarachnoid?
1136
00:41:03,261 --> 00:41:05,063
She was in Curtain Two.
1137
00:41:05,096 --> 00:41:06,632
Dr. Kovac discharged her.
1138
00:41:06,665 --> 00:41:08,600
Oh, Neurology
finally came down?
1139
00:41:08,634 --> 00:41:11,002
Nope. I did an LP
about four hours ago.
1140
00:41:11,036 --> 00:41:12,137
You did what?
1141
00:41:12,170 --> 00:41:14,105
She'd been waiting all day.
1142
00:41:14,139 --> 00:41:15,641
Her fluid was clear--
1143
00:41:15,674 --> 00:41:18,810
no blood, no xanthochromia,
no subarachnoid.
1144
00:41:18,844 --> 00:41:20,011
A spinal tap is the quickest
1145
00:41:20,045 --> 00:41:21,212
and easiest way
to rule out an SAH,
1146
00:41:21,246 --> 00:41:22,213
and it's 100% sensitive.
1147
00:41:22,247 --> 00:41:23,815
She was my patient.
1148
00:41:23,849 --> 00:41:25,283
Yes,
1149
00:41:25,316 --> 00:41:27,185
and if I hadn't treated her,
she'd still be here.
1150
00:41:27,218 --> 00:41:28,554
Now she's at home
and feeling better.
1151
00:41:28,587 --> 00:41:29,855
Oh, so, that's it?
1152
00:41:29,888 --> 00:41:30,956
This is how
I'm supposed to learn?
1153
00:41:30,989 --> 00:41:32,090
Either I do it your way,
1154
00:41:32,123 --> 00:41:33,224
or you take it
away from me?
1155
00:41:33,258 --> 00:41:34,893
Pratt,
I'm trying to teach you
1156
00:41:34,926 --> 00:41:37,195
that the way you practice
medicine here is inefficient.
1157
00:41:37,228 --> 00:41:39,698
Oh, and letting babies die is?
1158
00:41:42,333 --> 00:41:44,636
You really think you
saved that kid today?
1159
00:41:44,670 --> 00:41:45,704
For what--
1160
00:41:45,737 --> 00:41:46,838
24-hour nursing care?
1161
00:41:46,872 --> 00:41:47,973
He's going to
probably require
1162
00:41:48,006 --> 00:41:49,575
a lifetime
of commitment.
1163
00:41:49,608 --> 00:41:51,309
Are you going to be around
to give it to him?
1164
00:41:51,342 --> 00:41:53,244
Listen, I'm sorry
I'm not in some mud hut
1165
00:41:53,278 --> 00:41:55,246
doing amputations
with a pocketknife.
1166
00:41:55,280 --> 00:41:56,815
We have the technology
and the expertise
1167
00:41:56,848 --> 00:41:58,316
to give that kid
a chance.
1168
00:41:58,349 --> 00:42:00,952
What's the sense of having it
if we don't use it?
1169
00:42:00,986 --> 00:42:02,821
That kid has about a
five percent chance
1170
00:42:02,854 --> 00:42:04,022
of having a normal life.
1171
00:42:04,055 --> 00:42:05,724
Do you have any idea
how many other kids
1172
00:42:05,757 --> 00:42:07,593
we could have treated
with those resources?
1173
00:42:07,626 --> 00:42:09,260
I do everything that I can
for my patients.
1174
00:42:09,294 --> 00:42:10,862
That's how I practice medicine.
1175
00:42:10,896 --> 00:42:13,331
This is Chicago,
not the damn Congo.
1176
00:42:13,364 --> 00:42:16,267
Maybe you should
just go back to Africa.
1177
00:42:16,301 --> 00:42:18,770
Maybe you should go to Africa.
1178
00:42:18,804 --> 00:42:21,206
I know you didn't
just say that to me.
1179
00:42:21,239 --> 00:42:23,775
Maybe then you'd learn
there's more to being a doctor
1180
00:42:23,809 --> 00:42:25,677
than ordering tests
and calling consults
1181
00:42:25,711 --> 00:42:27,679
for every patient
just to cover your ass.
1182
00:42:27,713 --> 00:42:29,848
Stay away from my patients.
1183
00:42:29,881 --> 00:42:32,718
From now on I'll present
to another attending.
1184
00:42:37,856 --> 00:42:39,825
You can just take
big bites, you know.
1185
00:42:39,858 --> 00:42:41,627
The mortician will
do what he can.
1186
00:42:41,660 --> 00:42:43,261
I need the practice.
1187
00:42:43,294 --> 00:42:44,329
All right, well,
take your time.
1188
00:42:44,362 --> 00:42:46,932
He's not going anywhere.
1189
00:42:58,376 --> 00:43:01,312
PATRICIA:
What all will they take?
1190
00:43:01,346 --> 00:43:03,148
LOCKHART:
His kidneys,
1191
00:43:03,181 --> 00:43:06,384
which would go to two people
with end-stage renal disease,
1192
00:43:06,417 --> 00:43:09,354
and that would free them
from a lifetime of dialysis.
1193
00:43:09,387 --> 00:43:13,892
His heart and lungs could go
to as many as three people
1194
00:43:13,925 --> 00:43:16,828
with cardiac
and pulmonary disease.
1195
00:43:16,862 --> 00:43:19,931
His pancreas and intestines
would go
1196
00:43:19,965 --> 00:43:22,668
to children as
well as adults.
1197
00:43:22,668 --> 00:43:24,002
His corneas
1198
00:43:24,035 --> 00:43:26,772
would allow two people
to see again.
1199
00:43:26,805 --> 00:43:29,107
His skin, bones
and other tissue
1200
00:43:29,140 --> 00:43:32,343
will help treat burn victims.
1201
00:43:32,377 --> 00:43:35,380
And his liver will be split
into multiple transplants
1202
00:43:35,413 --> 00:43:40,385
and used for children with birth
defects that used to be fatal.
84775
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