All language subtitles for ER.S06E16.1080p.WEB.H264-HOTLiPS-NHI

'Pass me some tape.'

Not that much.

Dad, you gotta
finish up, okay?

I'm on at 3:00.

You got that bulb?

You're lucky I found it.

They don't make these anymore.

Bet we haven't looked
at these slides in 25 years.

Your mother made me drag
that camera everywhere.

I made an appointment for you
on Monday with the oncologist.

I told you I didn't want that.

Would you at least talk to him?

You got that bulb?

Don't get your
fingerprints on it.

In San Diego, they said
the cancer was incurable.

Doesn't mean
we can't treat it.

Plug that in,
will you?

This is our trip
to the Grand Canyon.

You must have bought
the wrong bulb.

You left this
in the hall closet.

Oh, I always pack
the garment bag last.

Be a dear uh, and empty
me the top drawer.

I can't stay long.

I've got an incarcerated
hernia in the OR.

What should I do
with this?

Would you mind
returning it to David?

Do you suppose he wore only
one sock home?

He's a sweet man.

'Much like his son.'

Does that mean you approve?

Oh, I more than approve.

I've seen how you glow
whenever he's around.

You two belong together.

Since when have you been
an expert on relationships?

I've enjoyed being single.

I have no regrets.

But what about you, Elizabeth?

'What will
make you happy?'

Do you really want to discuss
this as you're about to leave?

Uh, look, your plane
doesn't leave till 10:00

Why don't you drop
by the hospital?

We'll grab a coffee.

Yes, absolutely.

I'd love that.

Mother?

Would you return those as well?

Welcome back, Carter.

Thank you, Haleh.

Hey.

‐ How're you feelin'?
‐ Ready to go.

Yeah?

Hey, you know,
I saw your MRI.

Looks like you're
recovering just fine.

Yeah, should be able to
get rid of these things

in about a week or two.

Carter, take your time.

Don't push it,
alright?

John, how're you doin'?
Oh..

Just let me know
if you need anything.

‐ I'm okay.
‐ Yeah?

Hey.

Have you seen Abby?

Not lately.

Labs are back on
two of her patients.

We've gotta move 'em.

You're late.

Deal with this.

Where's Kovac and Weaver?

They are on tonight
so you're the man.

Alright.

‐ Have you checked my X‐ray yet?
‐ Alright, just a minute.

‐ Abby, can you take this?
‐ Sorry. I've got four already.

Randi, can you find out
who this woman's doctor is?

Mark, we got a lot
of angry patients waiting.

Yeah, well, it's Saturday.

Everyone shows up when
the clinics are closed.

Well, you
tell them that.

Dr. Greene, phone.

It's your dad.

Hey.

Phone book? Yeah, why don't
you try the desk drawer?

No, dad, I can't hold.
No, da‐‐

Has anyone seen
the xeroform?

Uh, it's right here
under the Tegaderm.

Oh, uh‐huh.

So, uh, what time
do you get off?

10:00.

Saturday night,
what're you doin'?

‐ Washing my hair.
‐ Have fun.

Not the bedroom desk,
the living room desk.

'Got a new one.'

Frank Bacon,
ICU charge nurse.

Passed out
in the unit.

I feel fine.
Can I go back to work?

Not until we clear you.
Curtain three.

I'll be right there,
Mr. Bacon.

Call me Frank.

Mark, three patients left
without being seen.

Listen, dad,
I gotta go.

Call 411. They can help you
find the place.

‐ You got to do something.
‐ Alright.

Uh, Randi, why don't you
hand me the cordless phone?

Haleh, bring over
the rolling cart.

Uh, Chen, Abby,
Malucci, over here.

We're gonna do power rounds.

Carter, you care to join?

Paramedics are
bringing an OD in.

‐ Okay, you ready for that?
‐ Yeah.

Alright, it's yours.

‐ How are you doing?
‐ It won't stop.

Okay, well, Dr. Dave
will be back

in a minute
to fix you up.

Randi, it's Dr. Greene.

I need a nasal speculum
and a Merocel sponge in 3‐A.

Thanks.

3‐B?

Kim Tadlock, ascites.

Okay. CBC, chem panel
and a three‐way of the abdomen.

Should I check
for a fluid wave?

Uh, let's get
the labs cooking first.

‐ 3‐C?
‐ I've already got him.

Cute guy with syncope.
He's off peeing for me.

Alright. Let's go.

Where's she goin'?

Oh, Romano wants thin cuts
through the mandible

before he discharges her.

Okay, you guys ever see
a tongue‐blade test?

No.

Okay, ma'am, I'm gonna want
you to bite down on this

as hard as
you can, okay?

And, Chen, you're
gonna give it a twang.

You're gonna let us know
if it hurts, okay?

‐ Uh‐uh.
‐ Alright, no fracture.

‐ You cancel the CT.
‐ That's it?

Well, why do
an $800 test

when a simple stick
will do the trick?

One, two, three.

Adam Pulido, 38

altered from
a probable overdose.

‐ I‐I just wanna die.
‐ What did he take?

I found a bunch of empty
Benadryl packs in the bathroom.

Adam, did you take
anything else?

Leave me alone.

Well, let's start with
a CBC, EKG lytes

blood and urine tox screen.

Carter, scoot over.
I need to put on the Dinamap.

Well, just do it on
the other side.

The IVs in
the other side.

Carol, your nanny's
on line three.

Can you ask her
to hold, please?

‐ Yeah.
‐ She's new.

It's okay.
Go ahead, take it.

'110/78, he's stable.'

‐ Hello.
‐ 'Pupils are four milimeters.'

Did you try the bouncy seat?
Try running the vacuum.

That stops her
from crying sometimes.

Good breath sound
bilateral.

‐ Get away!
‐ Hey, come on!

‐ Look, I got to go.
‐ Help me.

Let go of me!

‐ Whoa, whoa.
‐ Settle down.

‐ Carter, you okay?
‐ Yeah, I'm okay.

How about some
soft restraints?

Okay.

Got a lot
of fluid in there.

So the colon cancer spread?

Yeah.

They said that could happen

if I didn't respond
to the chemo.

Well, we should tap
your belly.

It's pretty tender.

Yeah.

Well, could I interest
you in some morphine?

Really?

'Last time, they
wouldn't give me'

anything until my labs came
back and I saw the surgeon.

Well, nobody should
sit around in pain.

I see you've been paying
attention on rounds, huh?

Thanks.

I'll be right back
with the morphine.

What are you doing?

Oh, the April nursing schedule.

You need to be
on the monitor.

No, no, really.
I'm fine.

Yeah, well, you
know the drill.

Let's hook you up.

So, your blood
pressure is uh, 90..

90 over um, 60.

Yeah, that's normal
for me.

You know, all those years
of triathlons.

Stuff like that, you know.

Uh, well, we still need
to monitor you.

Listen, I know why
I fainted, okay?

I ran 12 miles before
I came to work, right?

I skipped breakfast,
and I skipped lunch an‐‐

'Do you wanna get something
at the cafeteria?'

Oh, no.
I never touch that stuff.

Oh.

Uh, well, what is that,
uh, on your chain?

Oh! It's an
ancient Roman coin.

'I found it while I was
diving in the Mediterranean.'

‐ Oh, really?
‐ Yeah.

Hey, uh, let me
help you with that.

Thank you.

You, uh, need some help
over there, Dr. Chen?

No, everything is
under control.

Ah, good.

No, dad, Schaumburg is
45 minutes away.

I don't care
if they have the part.

Listen, we're gonna talk about
this later, alright?

Having a difference
of opinion?

Oh, he is driving me crazy.

Yeah, my mother's being
unpredictable.

Suddenly, when she's
packing to leave

she wants to be a parent.

You know, he won't listen.

I mean he won't even
discuss treatment options.

For what?

His emphysema.

‐ Is he worse?
‐ I think so.

‐ What have you got?
‐ History of angina.

15 minutes of chest pain.

Complete relief
with one nitro spray.

Hey, Randi, we need
a monitored bed.

We're full.

Maybe you should close
to criticals.

Oh, no, no.
We can handle this.

Okay, let's move
the, uh, TIA to five

CHF to three, and we're
gonna put him in two.

‐ I'll see you next trauma.
‐ Alright.

Randi, I'm gonna
get a refill.

Oh, I'm sorry.
You want some privacy?

No, no. I'm done pumping.

We staffed okay
for tonight?

Down a nurse,
but I'm working on it.

What'd I do
with that other lid?

This it?

Thanks.

Some days,
they take the bottle

and other days,
they just want their mom.

That's why they're
so cranky.

Carol, Carter needs
you back in trauma.

Can you cover?

Sorry, GSW to
the head coming in.

Okay.

I'll get the gunshot.

'How much Ativan's on board?'

‐ Four.
‐ Push another two.

Sats are down to 81.

I need an intubation tray.

‐ How long has he been seizing?
‐ Three minutes.

Overdose is worse
than I thought.

Carol, would you bag him?
He's not breathing.

Yeah. BP's only
60 systolic.

Alright, start a dopamine
ten mikes per kilo.

Okay.

You alright?

Yeah. Just pump
up the bed.

He's bradying down.

‐ I'm getting Mark.
‐ No, no, I can do this.

Stop. That's high enough.

Connie, why don't you go
page the renal fellow?

This guy's gonna
need dialysis.

'Alright, I'm in.'

Any idea who shot him?

No. Probably a drug
deal gone bad.

Abby, I want you
to glove up

because you gotta
put in a central line.

On my count,
one, two, three.

Order a head CT
and lateral C‐spine.

Don't bother. There's gray
matter everywhere.

Hey, blown pupil
on the right.

Let's start mannitol
and hyperventilate.

We have an
organ donor here.

BP's 80 palp.

Hey, let's get
his pressure up.

Is this a good angle?

Aim it towards
the sternal notch.

I hit the clavicle.

March it down slowly till
you slip under the bone.

Okay, lower the angle or you'll
give him a new pneumothorax.

I'll still up
against the bone.

Pull out and reposition.

Mark, we need that line in now.

Give her a chance.

'This guy's brain‐dead.'

I'm not getting a flash.

Okay, we're not
perfusing his organs.

'I'm sorry, Abby.
I'll have to do it.'

'Got a driver's license.'

His name's Robert Jackson
from Naperville.

He's 18.

Okay, do whatever you can
to track down his parents.

We need their consent
to make him a donor.

Okay, I've got it.

Let's get two liters
on the rapid infuser.

Oh, look at this,
his QRS is widening.

He needs dialysis.

There's no indication
for dialysis

in Benadryl overdose.
Look it up.

I read a case
in the annals

and they saved a patient
using hemoperfusion.

I know the
Pharmacokinetics.

Extra‐corporeal
elimination won't work.

Well, we should
give it a try.

I don't know, I'm not putting
this man at risk for hemolysis

and charcoal embolism

for an unproven procedure
you read about

in an emergency journal.

Excuse me.

This is not
a renal case.

Like hell, it isn't.

Want me to push
more bicarb?

It won't help.

Run of seven.

Well, damn it, I'm
not gonna stand here

and watch him arrest.

I'll write
the dialysis orders.

A Nephrologist
has to do that.

The article says
exactly what to do.

Kerry once did a
hemoperfusion on an OD.

Then we should do it.
I know this will work.

Okay.

Write out the orders.
I know a dialysis nurse.

She won't question them.

Set me up
for a femoral line.

You wanna run this?

If you back me up.

Pulseless V‐tach.

What do you wanna do?

Uh, defibrillate at 200.

‐ Sounds good to me.
‐ Charged and ready.

Okay, clear.

‐ Oh!
‐ Whoa, whoa, whoa!

‐ Well, get some water!
‐ Alright, turn off the oxygen!

Oh, he's still
in V‐tach.

Then start compressions.

Oh, it smells.

Two prep razors.

I got this side.

Abby, get the paddles.

Hey, Rambo, why aren't
you up in the ICU?

He's my patient.

I thought your
name was Frank.

It's my nickname
from Desert Storm.

Okay, clear.

Normal sinus.

I've never seen
that happen before.

Me, either. Sometimes,
you just gotta wing it.

Whoo!

We're following that case
study for massive overdose.

Exam two is set up
for charcoal hemoperfusion.

Good. Keep me posted.

What's up?

Dropped
his pressure.

He needs more volume.
Lily, another two units.

If it's brain stem failure,
you don't have much time.

I know. That's why we need
to get him to the OR.

Did you find
his family?

Sorry. It's
a phony license.

'Kids buy 'em
on the street.'

Well, maybe he's been reported
missing. Have you checked?

We scanned in his photo,
sent it out.

So far, nothing's come back.

Keep on trying.
We need that consent.

'Pressure's up to 90.'

That's encouraging.

Even with consent,
it could take hours

to line up
the procurement teams.

'Elizabeth, be realistic.'

I could save five lives
with his organs.

Or he could arrest first.

Well, I won't let that happen.

Let Kate sleep for another hour

and then wake her
for her bottle.

'Carol?'

I'll talk to you later.

Carol, I need 3‐0 nylon.

Dori, I think we are ready.

You okay?

I think I just
contaminated my gloves.

Sorry. I shouldn't
have made you reach.

Just get me
another pair.

Uh, did Dr. Krupp say
why he's using citrate?

No.

'That's weird.
He always uses heparin.'

You know what,
I better go page him.

'Did he say when
to check an ACT?'

Uh...do it 30 minutes
into the run.

'Well, I better
check with him.'

He's very particular
about his orders.

Dori, these
aren't his orders.

Krupp wouldn't help us.

We took 'em from a journal.

I won't do this
without his orders.

Look at the heart monitor.

His complexes are narrowing.

I'm gonna lose my job.

We're saving his life.

No. We're stopping.

I'll take full
responsibility.

Hey, Carter,
you wanna explain?

I told you about this.

Well, did he tell you the
Nephrology refused to sign off?

Mark, it's working.
Just let us finish.

Carter, step out.

Carol, monitor his vitals.

Keep the dialysis going.

Sorry, Dori.

I'll speak with
the renal service.

Okay.

You have a problem with another
department, you come to me.

My patient's improving.

Fine, but you didn't
give me the whole story.

Let me break the rules.

‐ That's what I'm here for.
‐ I can handle this.

Uh, it's your first day back.

You don't have to prove
anything.

Mark, we need you.

I wanna know everything
you're doing to this guy.

Six months old, with fever
and vomiting.

Now lethargic
after a seizure.

‐ Couldn't get a line.
‐ Uh‐huh. Where's Cleo?

‐ It's her day off.
‐ Okay.

Has she had
seizures before?

No. She's
a very good baby.

Uh‐huh. When did
the vomiting start?

After she woke up
from her nap.

‐ What's her name?
‐ Estrella.

Is she okay?

Uh, she looks dehydrated.

Chuny, set me up
with an intraosseous line.

Bolus 20 per kilo, saline.

She's tachy at 160.

Okay. CBC, lytes,
blood and urine cultures.

Full septic workup.

What are you doing?

We need to put this into
the bone to give her fluids.

Please don't hurt her.

Chuny, take her to chairs.

Bring her back
after the spinal tap.

No. I want to stay
with the baby.

‐ Can I stay with my baby?
‐ Come on, honey.

'Doctor, please,
can I just stay with my baby?'

'It's okay.'

Still in normal sinus, doc.

So how much longer?

Until your electrolytes
come back.

Ugh, what about
my patients?

Well, I told the unit
you're taking a sick day.

They called in backup.

Well, then, I guess
I'm your prisoner.

Excuse me.

Have you seen Dr. Greene?

He's supposed to help me
with this paracentesis.

Uh, he's in trauma.

I can do it.

Kim, this is Dr. Chen.

‐ Hey, doc.
‐ Hello.

I've numbed
the lower left quadrant.

‐ Good.
‐ Uh, 14‐gauge angiocath okay?

Yeah. Use a Z‐track
so it won't leak.

And, um...what lab
should I send off?

Cell count, glucose,
protein, amylase, cytology

'gram stain and culture.'

‐ Thank you, Frank.
‐ No problem.

‐ There's your fluid.
‐ Hmm.

Good flow.

‐ You got it from here?
‐ Yeah. Thank you.

Okay, I'll be
in exam four.

Okay.

Well, that wasn't so bad.

Um, actually,
it's starting to hurt.

I can readjust
the catheter for you.

Hey!

Uh‐oh.

If I were you

I'd order an upright
chest film, stat.

'Lost the pulse.'

‐ She's in V‐tach.
‐ 'Start compressions.'

Charge the paddles to 20.

‐ Bag her.
‐ What's going on?

Probably septic.
Could be Meningitis.

Clear.

What do you want,
Carter?

‐ I can come back.
‐ Charge again.

What's up?

My overdose guy,
his QRS is down to .12.

Weaned him off pressors.

Clear. Go on.

He's waking up.
Can I extubate him?

‐ Charging.
‐ Give him another half an hour.

‐ Clear.
‐ Thanks.

Hey, what are you doin'?

Checking labs.

We don't allow
patients back here.

He's a nurse.
I gave him permission.

Frank, why are you
off the monitor?

Some of my labs
came back.

Dr. Chen, your patient
has a low sodium.

That must have been
the four liters of water

that I drank after my workout.

Just need
to fluid restrict.

Uh, let's go back to bed.

Your cardiac enzymes
are still pending.

Oh, I think she
wants to keep me here.

That guy's a piece of work, huh?

‐ And you're not?
‐ What's that supposed to mean?

Eating Cap'n Crunch for dinner
out of an emesis basin? Please.

Randi, did my
nanny call again?

No, thank God.

‐ Eww! What is that?
‐ I'm hungry.

Nothing in the lounge except

a box of cereal
and a jar of milk.

‐ A jar of milk?
‐ Yeah.

‐ Oh, God, Malucci.
‐ What?

I'm in. Resume compressions.

She's in V‐fib. Paddles!

She should come around
with O2 and epi.

Mark, our guy's crashing.

Clear.

No change. V‐fib.

What's happened?

He's hypotensive
on maximum dopamine.

I'm starting Levophed.

Chuny, start with procainamide.
100 slow IV push.

‐ Shock again.
‐ Clear.

His brain stem's mush.
You gonna call it?

No. There must be a way
to make him a donor.

Not without his consent.

When was the last epi?

‐ 'Four minutes.'
‐ Push another CC.

Can't we get a court order?

No. Not in
a case like this.

Well, I'll keep his pressure up
until we find his family.

Fine.

Shock again.

Clear.

The black stripe
is air under the diaphragm.

The needle
perforated the colon.

And it hurts like hell.

I'm really sorry.

Perforation is a known
complication of the procedure.

What do we do now?

Well, we could operate
to repair the defect.

How long will I have to be
in the hospital?

'A week.'

'But then you're looking
at a two‐month recovery.'

Doc, they don't expect me
to live that long.

What happens if I don't
have the operation?

The hole could seal off.

But, uh...more than likely

you would develop an
infection, peritonitis.

And then I die.

Yeah.

'Give a second
round of atropine.'

'Pacer pads are ready.'

Holding compressions.

Still flatline.

Labs are back.
CBC and lytes are normal.

What the hell is wrong
with this baby?

Alright,
start pacing, 180.

Pacer's on.

No capture.
Turn up the gain.

Come on.

‐ Still no capture.
‐ Turn up the rate.

Can't feel a pulse.
More epi?

How many rounds so far?

Seven.

Stop bagging.

That's it.

We're done.

Clean up the baby..

...before I bring in the mother.

I don't want the surgery.

It's the only way.

Yeah, I understand

'but I don't want
another surgery.'

Well, then, you know, we..

We could, um, treat you
with antibiotics

and hope for the best.

I'm sorry.
Would you excuse me?

‐ I'll be right back.
‐ Yeah.

Dr. Benton, aren't we supposed
to fix our mistakes?

Usually.

Your patient
has end‐stage cancer.

Surgery's only gonna
prolong his suffering.

You have to respect
his wishes.

Well, he's going to die
because I made a mistake.

He's gonna die anyway.

Mark, we need you over here.

What is it?

Doctor, please,
help me. My baby.

You want me
to give her something?

‐ Uh, no.
‐ My baby.

‐ Pilar.
‐ She's still warm.

Do something.

Pilar, we tried
everything, okay?

I explained that.

No, she's still warm,
my baby.

Please, use
your machines.

Give her the medicine.

Blow in her mouth.

Do something.
Make her breathe.

We can't.

Yes, you can.
Yes, you can.

You're a good doctor!

I know you can.
You can save her.

Please, she's still warm.
My little baby.

Por favor.

Pilar, she's dead.

‐ No, she isn't.
‐ I'm sorry.

Malik, what's up?

Cops found Mr. Bartlett
under the El.

How you doing,
Mr. Bartlett?

Kiss my ass.

Okay, start
a banana bag.

Order a head CT
and prep him for sutures.

‐ Whoa.
‐ Whoa.

‐ Sorry.
‐ W‐what do you got?

Uh, rule out CVA.

And I've got two new
patients to present.

What about Frank's workup?

My enzymes are normal,
I'm fine.

Yeah, he saw us
getting slammed

so he pitched in.

Uh, Dr. Greene, there
was a complication

with my colon
cancer patient.

Yeah, Benton said.

I thought I was
supposed to supervise.

Well, you were busy
so I asked Dr. Chen.

Yeah, well, you didn't give
Dr. Chen a complete history

otherwise, you would
have tapped the midline

and you wouldn't
have perfed the bowel.

Well, he spiked a fever.

I think he's septic.

You should make sure
that he's comfortable now.

I'd like to stay with him.
There's no family.

Uh, no, no, we need you
out here, okay?

‐ Nurses can take care of him.
‐ Right.

Abby, after your shift
I want you to go to pathology

and practice procedures
with Dr. Upton.

Dr. Greene, got
a live one here!

What happened?

My buddy's in Peru.

I'm feeding his Gila monster

when the son of a bitch
bites me.

He won't let go.

We have to kill
the lizard?

Only as a last resort.

Hey, Malik, grab a couple
of vascular clamps.

Get them yourself.
I'm not going near that thing.

‐ I got it.
‐ Alright, please.

Please, don't hurt him.

I'll do my best.

Oh...those jaws
are awfully strong.

‐ Ow.
‐ Okay.

Ooh.

Malucci, get ready
to catch him.

In what?

Grab a kick bucket.

Alright.
Here we go.

Nice and easy.

Uh, do it together.

Almost, almost. There!

Now what do I do?

Call animal control
or the zoo.

‐ Need some help?
‐ Yeah.

Why don't you
monitor his vitals?

Three grams of unasyn
and irrigate the wound.

Ouch.

How's he doing?

He's on maximum dopamine

and levophed with runs of PVCs.

His heart's not gonna
last much longer.

V‐tach. Lily,
charge the paddles.

Don't. He's a DNR.

Mark, let me code him.

No. It's a waste of time.

I'm pushing lidocaine.

We're swamped,
you're tying up my nurses

and a trauma room
on a case

that will never make
it to the OR

it's time to stop.

No, not when his organs
are still viable.

I'm sure his family
would want

some good come out
of this tragedy.

No more sinus,
you want a lidocaine drip?

No. I'll start one.
You go help the other nurses.

Don't keep flogging him!

I mean it, he's a DNR!

Mark, labs are back
from trauma two.

Tox screen's positive
for amphetamines.

Let me see that.

Oh, man.

What?

It's a baby.

Someone killed their
baby with amphetamines?

Pilar..

...the labs came back
on Estrella.

And she tested positive
for amphetamines.

My baby died from drugs?

Do you know anybody who could
have given something to her?

No one has drugs at home.

Do you know anyone
who uses drugs?

Friends or relatives?

Pilar, what is it?

I work two jobs.

Sometimes I get so tired,
I take something to stay awake

but I never bring drugs at home.

Are you nursing
the baby?

'Pilar, do you
nurse your baby?'

The drugs
are in the breast milk.

'I love my baby.'

I would never hurt her.

God forgive me,
I will never hurt her.

I didn't know.

'I really..
I didn't know.'

'I didn't know.'

Mother? Are you there?

I'm involved in a case.

I can't make it for coffee,
so page me. Bye.

Dr. Corday, I completely
forgot to give you a message.

What message?

Your mother's taking
an earlier flight

and she won't be
able to meet you.

‐ That's all?
‐ Yeah.

‐ Hey, Mark, you alright?
‐ Oh, yeah.

Uh, you keeping an eye
on that gunshot kid?

Yes, I had to cancel
a dinner date

with my mother but she
stood me up first.

Hmm, that's parents for you.

Mm‐hmm.

Okay, give me lytes on Burke

dig on Davis, coags on Nguyen.

‐ You got it.
‐ How're we doing?

Don't worry, doc,
I'm moving the meat, man.

Hey, listen, I need
to free up this bed.

I've been waiting for an hour
for CT results.

I'm holding for radiology now.

Yeah, well, page Steve Flint.

You know what,
don't waste your time.

I have a direct line
to his roto‐viewer.

Chuny, my colon cancer patient
needs more morphine.

He was asleep
last time I checked.

Then check more often.
I don't want him in any pain.

Dad, what happened?

He was short of breath,
called 911.

Yeah, well, why didn't
you call me?

There's nothing you could've
done over the phone.

When did it start?

Couple of days ago.

Pulse ox 82
on room air.

Decreased breath
sounds on the left.

I'm fine, Mark.

It's probably
just a chest cold.

Okay, let's move him over.
Nice and easy.

‐ I'm not that sick.
‐ On my count.

I'm not that sick.
I can do it myself.

You want a
blood gas?

CBC, coags

and a portable chest.

If I knew it was gonna
be such a big deal

I would have seen
the doctor on Monday.

Dad, can you be quiet
and take a deep breath?

Yeah, I think, you have
fluid on your lungs.

What do you mean,
you think?

Lean forward.

Yeah, fluid's halfway up.

Why'd you wait so long?

You could have passed out

got a terrible infection‐‐

Don't scold me.

Okay, we need
to drain the fluid.

Mark, what's wrong?

Huge pleural effusion.

'Needs a thoracentesis.'

He wants to stick
a needle in my chest.

You're a surgeon,
I think you should do it.

I don't think that's
such a good idea.

Dad, I can handle this.

Mark doesn't think a doctor
should treat his own family.

It's a simple procedure.

I've done it
a hundred times.

I want Elizabeth
to be my doctor.

Fine.

The lizard guy is crashing.

Why didn't
somebody get me?

He just went south.

He dropped
his pressure to 60.

Yeah, it's Gila venom.

'Two liters of saline
wide open.'

I heard this guy was coding.
What do you need?

Point three of epi,
50 of Benadryl.

Here you go.
Who's smoking?

I don't smell anything.

It's out there.

That's my hernia patient.

Yeah, well, tell him
to smoke outside.

Mark, bad cocaine overdose.
Pressure's sky high.

BP is 260/140.

I've been waiting here
for five hours.

Hey, you want to get that
cigarette out of here?

Well, start with esmolol
and phentolamine

before she strokes out.

Dr. Greene, there's a psych
patient on the third floor

getting ready to jump.

Yeah, well, why don't you
clear a trauma room?

I'm on it.

Dr. Greene, my stroke
patient's son

wants to talk
to the attending.

Uh, Mark, you want a foley
on this guy?

Why are you asking me?
Just do it.

I can't get
a second IV.

Can you put in
a central line?

What's the problem?
She's got good veins.

Yeah, how about my
stroke patient?

Well, can't you see that I've
got two critical patients here?

Why don't you
just deal with it?

The guy just jumped.

They said it was
a stage‐four lung cancer.

Doctor said it couldn't be
cut out or cured.

Sometimes chemotherapy
can shrink the tumor

and lengthen survival.

I know all about that.

Are you interested?

Mark sure seems to be.

What about you?
What do you want?

I just want to live out

the last couple of
months of my life

as normal as I can.

I don't want to be
hooked up to a bunch of tubes

puking my guts out.

All for the sake of a few
extra miserable weeks.

Well, when we get the fluid off,
you'll feel a lot better.

I'm gonna numb you up.

This will sting a bit.

Ready when you are.

Heh!

Hey, stick around, Pete,
fresh trauma coming in.

Uh, page Corday,
I was off at 7:00.

Hey, you getting around
okay, Carter?

Yes. You late
for something?

Yeah. I'll see you later.

Abby, sorry to hear
about your patient.

What patient?

Your belly tap
in curtain three.

He expired.

Well, why didn't
anybody tell me?

Some patient dies, I'm the last
one to find out about it.

Pulse is weak.
Yosh, start two large‐bore IVs

Decreased breath
sounds on the right.

We're gonna need
to put in a chest tube.

‐ Hey, you want some help?
‐ Uh, no, thanks.

‐ What's Frank doing here?
‐ Uh, it's a long story.

Carter, everything okay?

Yep.

'How did it happen?'

'That patient jumped
form the third floor.'

'Feels like a few broken ribs.'

'Get X‐ray down here.'

Frank?

Hey, get the crash cart!

Frank?

Airway's clear,
he's breathing.

‐ What happened?
‐ Probably vasovagaled.

Good pulse, we're okay.

I'll get a BP.

I need to intubate.

Push 15 of etomidate,
100 of sux.

'Prep for a chest tube.'

‐ I can do that.
‐ I've got it, Carter.

We've gotta move fast.

Uh, how can I help?

Here, run the hemocue.

Dr. Weaver, you need
a hand up there?

No, but work on
that hemocue.

Carol, it's the nanny.
I hear the babies crying.

Take over for me, Yosh.

'Hey, 8‐O ET tube.'

Hey, no, I'm in the middle
of a trauma

I can't do that right now.

Ten blade and a kelly.

Check the cuff.

No, I know, but
I can't.

‐ What's the pulse ox?
‐ It's 92.

'Hemocue is 12.4.'

‐ Hey, Carol, we're okay.
‐ Okay.

Hey, okay, just put
Kate's ear to the phone.

'32 French.'

♪ I can't give you
anything but love ♪

♪ Baby.. ♪

'You call that a lullaby?'

♪ That's the only thing
I've plenty of baby.. ♪

'Carter, give me
cricoid pressure.'

♪ Dream a while
dream a while.. ♪

O‐silk on needle driver.

♪ Happiness and I guess.. ♪

Good breath sounds.

♪ All the things you've
always pined for.. ♪

Open the xeroform.

Okay, call respiratory
for a vent.

It looks like we'll need
a portable chest.

'Pulse ox is up to 99.
BP Is 110/70.'

Find the chart. We'll need to
talk to his family.

'You had quite
a day, huh?'

Randi, I'm gonna be
suturing in exam four.

I can pick up a few of your
patients if you want.

Just take
the new ones.

Oh, sorry, Carol,
pedes is full.

Oh, these are my girls.

‐ They've gotten so big.
‐ Yeah.

Is your nanny sick?

No, no, she's new
and they were fussy

so I just had
her bring them in.

Yeah, they certainly
look content.

They're always happy
after I've nursed them.

Yeah, they miss
their mom.

We'll be in the lounge.

Aw.

Hey, Randi, curtain
two's goin' up.

Sorry to cause you
so much trouble.

Oh, it was nothing.
Feel better.

What's wrong
with super nurse?

Frank is being admitted.

Oh, yeah, what?
To the psych ward?

To medicine.

I diagnosed
his Addison's disease.

So he'll be fine
in a few days.

Good pickup.

I'm gonna go up
to the fifth floor later

keep him company.

Time of death, 2137.

I'll get the death kit.

Such a waste.

His organs could have
saved so many lives.

I couldn't do a thing.

Well, you got no choice.

Why couldn't they
find his family?

Probably a runaway.

He's someone's son.

His parents don't
even know he's here.

They may never know.

Dr. Corday, could you sign
a discharge order?

On which patient?

Dr. Greene's father.

I'll be right out.

Mark, why didn't you tell me
your father has cancer?

He didn't want
anybody to know.

You told him to follow
up with oncology.

He doesn't want to.

What about Navelbine?

There's no side effects
it'll shrink the tumor

and he won't get his chest
tapped every week.

I've given him
those options.

But it can improve
the quality of his life.

Talk to him,
he'll listen to you.

It's his decision.

Yeah, but, maybe if you explain
it, he'll change his mind.

Mark, I have
to respect his wishes.

He's my father.

Hey, I wanna help him.

If you really
want to help

just be there for him.

I won't just sit there when
there's something more I can do.

The patient donated
his body to the med school

for educational use.

For Anatomy class.

Yes, but we often
allow students

to practice procedures
here on the fresh cadaver.

'But Dr. Greene mentioned
that you needed work'

'on your central lines.'

Place your index finger
in the sternal notch.

Enter the skin
at the junction

of the middle and proximal
third of the clavicle.

I'm sorry.

I don't think I can do this.

You're doin' fine.

Uh, he was my patient.

You wanna stop?

No.

Why don't you, uh,
take me through it.

Aim just above and posterior
to your index finger.

Crazy day, huh?

Yep.

John, are you still
in a lot of pain?

It's not too bad.

Yeah.

It seemed like
you're having

a hard time getting
around in trauma.

No, I'm okay.

Well, the first day
back can be rough.

Yeah, every day gets
a little bit easier.

Have you talked
to anybody

about what happened?

And your family's been
supportive?

Yeah, really, Dr. Weaver,
I'm okay.

'You know,
you might benefit'

'from a tens unit
or from acupuncture.'

Thanks. I'll let you know.

Okay.

I need a PT‐PTT on De Salvo.

‐ 'Okay, hold please?'
‐ Yeah.

You on hold?

I can take a cab

if you have
something else planned.

Don't be ridiculous, dad.
We're goin' home.

‐ Goodnight.
‐ Goodnight.

Shoelaces are untied.

I can't bend down
after that needle thing.

I don't want you to fall
and break your neck.

Alright. From this angle.
The one.

Just cut it in there.

Just hit a little bit
to the left...and let it..

...slide down.

That's too much thinking.
I go by instinct.

Do it your way.
Alright.

Uh, how about this
six in the corner?

Yeah, right.
Here we go.

What happened
to the laws of physics?

You distracted me.

Yeah. Excuse me.

Ah, you left me nothing.

What are you talking about?
Go for the 11.

Are you crazy?
I can't make that.

Of course, you can.
Come here.

Let me show you
somethin'.

Alright, just call it,
11 in the corner pocket.

Just...line it up..

...then hit it to the right.

It'll slide right down the
rail nice and easy, okay?

Trust me.
Nice and easy.

Trust you?

Hmm, alright.

See?

How's that?

That's not bad.

What?
Hmm?

If I'd known you
were coming

we'd have served
a late dinner.

Soup's fine.

You're looking well, John.

Thank you.

I started back
to work today.

Shouldn't you give yourself
a bit more time off?

I did okay.

Actually, it was
kind of tough.

I didn't know if I was going
to make it through the day.

I, uh, felt,
I don't know, afraid.

Afraid of what?

That I couldn't handle it.

But you did.

I know we've had
our disagreements

about your career,
but I can see now

that medicine is
what you love.

I remember when
you were in high school

you'd drop by unexpectedly.

I'd make cocoa
and we'd talk.

I remember.

We haven't done this
in a long time.

I know.

‐ Where's that, Mammoth?
‐ No.

Lake Tahoe.

I lost 200 bucks
at the crap table.

Next slide.

This is a
fancy machine.

If I'd known you could get
one at the hospital

I wouldn't have fixed
the old one.

San Diego?

'That was a Santa Barbara trip.'

You were seven.

I taught you
to swim underwater.

'Uh, your mother never
did like motels'

so we rented an RV.

Planting the garden.

You used to make me
pull the weeds.

I did not.

You remember
you always wanted, uh

to grow a watermelon tree.

You saved all those seeds

and then snuck out
and planted them

in your mother's petunias.

Never did get a watermelon.

No, but you sure
killed off the petunias.

I forgot all about that.

I thought this was
the vacation box.

Why did your mother take
this one, anyway?

♪ Time it was and what
a time it was it was.. ♪

Guess she liked what she saw.

♪ A time of innocence ♪

♪ A time of confidences ♪