Original subtitles

Now being admitted to the practice of medicine

I solemnly pledge to consecrate my life to the services of humanity

to help with the life of my patients would be my first consideration

my colleagues would be my brothers

I will not permit consideration of race, religion,nationality or social standing

to intervene between my duty and my patients

whatever I shall see or hear of the lives of men

which is not fit to be spoken I will keep invariably secret

I will give no deadly medicine to anyone if asked

nor suggest any such countenance

even under threat I will not use my knowledge contrary to laws of humanity

these promises I make freely and upon my honor

THE YOUNG DOCTORS

Subtitles by Seglora

Well Dr Coleman

-Did you have a good trip? -Yes I did

You remember Dr O'Donnell,our Chief Surgeon

Glad to see you her,Dr Coleman we need you here

Thank you

You really mattered when you said you would be here this week,didn't you?

I didn't see much point in waiting

I got a fairly good impression of the situation on my visit here last month

I am anxious to see the lab in operation

I want to see Dr Pearson again,of course

Hold on call for a moment

Husband of a patient

Mr Stresky

I am sorry Sir,I'll have the treasury go over your bill

Good Bye Sir

People know that this hospital doesn't make a profit

Not quite this time,claims his wife kept for a week too long

waiting for a pathology report

Now he has to go into debt to pay his bill

Now you want to see the rest of the place

He may as well know Harry

Surgical reports from Pathology is sometimes pretty late getting back

and there are times when we hesitate

to discharge patients without the final lab results

because those reports may effect the sort of regimen the patient is placed on at home

And with bed-space as valuable as it is

I see.Well I imagine that is one of the reasons I am here

Let's go

You want to see the end of bay

Regardless what you have heard Dr Coleman

Dr Pearson who has been in charge of Pathology here for over 25 years..

..is a good man,done a great deal for this hospital

You should have heard the wall towering when he set up the blood bank

to salvage the hospital committee

This year we will do three times as many tests as we did five years ago

He did some investigate research too

The cause and incidence of thyroid cancer

Most of it generally accepted now, but few people remember it came from doctors..

Well we took the shortcut with the hot one didn't we?

Tomaselli,are you telling me to go slow?

Make it easier for Dr Pearson

I did not realize that it came out like that

I think in essence I am

Right this way,ladies,everybody gets the front seat today

No hurry,ladies,no hurry

Star of the show is not going anywhere

Now,let's see

Which one of you is going to faint first?

This is a new class of nurses,I believe

I'll explain it,my name is Pearson

Pathologist for this hospital

Dr Howard who is resident

And Dr Shawcross who is in his fourth.. Am I right?

Quite right Doctor

Fourth year of surgical residency

And who will shortly be released upon an unsuspecting public

You often here people ask what does a pathologist do

Never hear anyone ask what a surgeon do

perhaps we all know what a surgeon do

A pathologist is the one who examines the surgeon's mistakes when it is too late

He is the doctor who the patient seldom sees,doesn't want to

Yet few departments in the hospital have more effect in the patient's welfare

It is pathology which advises the patient's physician on disease

Sometimes when all else fails,it is the pathologist who makes the final diagnosis

That is a neat little abdominal scar,ain't?

Some surgeon realized that pretty paupered one day

Thank you

Mr Tomaselli

Mr Tomaselli,could I see you for a moment

Just go down the hall and turn left and Pathology I'll be right along

I draw your attention,young ladies,to some words,you'll find in many autopsy rooms

"mortui vivos docebunt", the death teach the living

The medical history of this man shows three years ago

he suffered from the first coronary attack

and the second attack during this week

This man apparently died of coronary thrombosis

I beg you pardon

Suddenly school..

I agree with you

-Who are you? -I am a pathologist

Your first autopsy

And last I hope

Alas,with most things in in medicine the first one is always the worst one

Go back in

-What? -Go back in there

I'm intending to,but not because you ordered me to

Now we have established that in this specific case

the medical diagnosis was correct, we move to the cranial area

I hold in my hand a human brain

And yet what do you see? Only a mass of tissue

Only a few hours ago,this was the thinking center of a human being

Human being.Not only the thinking center, but the co-ordinator

of the senses,touch,smell,sight,taste

in her thoughts,hopes,dreams,memory

told the eyes to cry,the mouth to speak

This man was an engineer,this then was the brain that used mathematics

understood stresses,devised constructions, perhaps build houses,highways,dams

A cathedral,legacies from this brain to other human beings

Starting out your medical career,young ladies

it is just as well to think about these things once in a while

Because in this big impersonal machine around here,this thing we call hospital

has one function,and only one, to serve people

This human being,male,aged 53,was a person

A human being

I see you found your way

You may now,young ladies,be free to go and forget everything I have said

Just as your predecessors have done for the past 25 years

We go this way

Dr Pearson is entertaining some student nurses again

It not was I say,but when Dr Pearson sees those

He is going to pick you up and throw you..

That's fine,that's fine,just leave those reports please

Good Morning Mr Tomaselli

Bannister,this is Dr Coleman

Bannister is Senior Lab Technologist, been here almost as long as Dr Pearson

As long as Dr Pearson, How do you do, Dr Coleman

We have been expecting you

Have you?

Sit down,sit down,there is a terrible mess sometimes

We are busy,of course we are almost always busy

You,young ladies should be congratulated when a day no student faints

I am beginning to have some hopes for men

Thank you

Try some bicarbonate soda

And make sure you are going out on a date tonight

Nothing like living

Sure forget dying

Good bye girls,have a nice lunch

Have a nice lunch

May never eat again

The eternal problem any hospital of course, whose going to pay for the funds

-Oh there you are,Doctor,you remember -I remember

You look younger than you did last month

Bannister we have to find something for this young fellow to do

Now he is here

Your qualifications are good, young fellow,on paper

Hope you can live up to it

Get him a lab coat,Bannister, and show him around

Coffee

Don't let him see the mark slides you keep hiding away for your garden

I am late for a mortality review committee make yourself at home

It is downright upsetting by taken by a hug strong by your own wife

I have only one rule for a happy troika, never hug off with your wife

Sorry

I am sorry for everybody.I had an autopsy

Impatient,impatient

Nowhere to go,we couldn't wait to get there

I used to be called for something a doctor prescribed for his patients

Now an ordinary layman

can't get near the first D without pushing the doctors into the sand trap

First case Algernon Forbes, male,white,58.Dr Rufus

The patient was referred to me February 10 with a suspected perforated ulcer

He had severe upper abdominal pain and was in shock

Blood pressure was 70/40,he was ashen grey and was in a cold sweat

The abdomen was rigid and it was rebound tenderness

I ordered a transfusion to combat shock and also morphine

No chest field X ray,Dr Rufus

It was my opinion that the patient was too sick to go to X-ray

I agreed with the referring doctor's diagnosis,obviously perforated ulcer

No doubts at all,Doctor

One always has doubts,Dr Pearson,

but I decided that all the symptoms justified exploratory surgery

However,there was no perforated ulcer

I called Dr Jones for consultation but before he arrived the patient died

Dr Pearson.Now is the time for the autopsy findings.

No perforated ulcer,abdomen entirely normal.

What was causing the severe pleuritic pain was early development of pneumonia

Which could have been discovered by chest X ray

It is very easy to have hindsight, Dr Pearson loses no chance to remind us

I don't think Dr Pearson intended o..

Any man can make a mistake in medicine

but having been made that mistake should serve as a warning

to others who can't see beyond the area of their own surgical specialty

If Dr Pearson was conscientious about his own department

as he is what's goes on at the upper floors here,

Perhaps, we all get our surgical reports from pathology in time

Gentlemen,I have repeatedly requested more help

My department is snowed down,I ask for technicians

Technicians.Instead the staff of this hospital

Joe,Joe

The staff of this hospital decided a new pathologist was needed to assist me

You now have that man on step, and I have no doubts

That you'll now have your surgical reports on time

But as long as I am head pathologist here

when I attend a mortality review committee I intend to call the shots

as I see them, and when the time comes , when I do not attend this committee

it will be because I am no longer member of this staff

Ah,Joe,you are taking all this whole more seriously

And if I am not a member,it will be that I have been kicked off

Because I have to be kicked out since I have no intentions of resigning

Not until they roll me down with my feet first

As there are no more surgical errors to be discussed,I am sure you'll excuse me

Good Morning Gentlemen and the Lady

-Joe -I know,I know

Patience,your hot headed idiot

Charlie,I have no place to go,my lab been invaded

Invaded.You are acting downright senile

Listen,Beth shoul..

Beth.She wouldn't be proud of you

If Beth was alive she would not be proud of you

What if we both getting older

Speak for yourself,Joe

-Charlie.You need a haircut -No,I didn't..

Doctor,this is Mrs Alexander

Come right in,I am sorry to keep you waiting

But sometimes these things take longer in the hospital than we anticipated

I guess you know all about that your husband is an intern here

Thank you Dr Alexander

Doctor,than I am perfectly healthy then?

Nothing to worry about is it?

Nothing whatever

The fact you strike me as one of those rare young women

who can deliver her own child under a tree

And then plough 10 acre field in the afternoon

Btw what did your first child die of?

Bronchitis,when she was a month old

I guess that this child is doubly important to you

Yes.Yes very important.Why is it something you haven't told me?

Oh,no.There is absolutely no cause for alarm

Take that to the out patient lab

I am sure your husband,or the doctor..

who made that first blood test on you some months ago must have told you..

that even if the blood test does reveal antibodies in your blood

that only 1 child in 26 ever develop erythroblastosis

and even if that happens we can be prepared

We know that it is a possibility

All that depends on a new blood test of course

In the end Mrs Alexander you are going to have a normal healthy baby

Doctor Dornberger you are wonderful

I did not have anything to do with it

Elizabeth

Not yet

What took so long?

They haven't even taken a blood sample yet

Alec.Dr Dornberger is the greatest doctor in the world

Oh,yes?

Except you,of course

Next to be,of course

Oh,I do not go on duty until 2 o'clock,Sir

Something you young people will never learn

One thing leads to another

You start by stealing a kiss in a hallway

pretty soon you will be having baby

This way,Mrs Alexander

Thank you ,doctor

Come in,come in

Nobody stands in ceremony around here

Doctor Pearson

Civilization is strangling itself in red tape

Doctor Pearson I have been here in exactly 3 hours and fifteen minutes

If you want a coffee break take it

Is it your idea to have me sit around here all day doing nothing

Until you can decide what my duties would be

It is a hard matter to find time

You are fiery,aren't you?

I assumed that the very least there would be an office ready for me

with clearly defined duties

Fiery.I picked you for one

Good.You want work. Plenty work to be done

I am scientist not the administrator

You'll find work for your own level

Meantime why don't you take over the autopsy room

Seems the engine is running there to doctor Alywishes cue oil

I've always had a great interest and a good deal of experience in serology

-I have been looking over the serology lab -Serology

Why not

Thereafter you are in charge of serology

-Anything else? -Not right now

Thank you,Dr Pearson

-You are ready for the gros.. -No I'm not ready

I am ready as I ever be

She was not only a nurse, she was a minister's daughter

The odds were all on my side

Put out that cigarette please

Good Morning Doctor Coleman, I didn't see you there

There will be now smoking in the autopsy room,Dr Shawcross

Not there

Dr Howard will you drape the patient

With a clean towel

Gentlemen,there is something I need to remind you of

When we perform an autopsy we do so with the permission of the family

of the one who has died.Our objective is to advance medical learning

The family gives us the body in trust and expect it to be treated with care respect..

..and dignity.And that's how it will be treated

Thank you ,gentlemen,carry on please

We appeared to have been skillfully taken apart

We sure have

Pardon me,my name is Alexander,Doctor Alexander I am intern upstairs

Yes,Doctor

It is about my wife,we just arrived here

She is Dr Dornberger's patient

and we are expecting a baby in a month and a half

Well,congratulations,doctor

It was you who supposed to have a blood sensitation test today

I wonder if you have any results on it yet

We probably wont even get the samples until this afternoon

-Even if we do.. -This is very important

You see,she is Rh neg and I am Rh positive

How long does it take to make the three tests

Not long

-Two tests,not three -Two tests?

Yes,saline,high protein..

Don't most labs now make an indirect Coomb's too?

Indirect what?

You don't even know what it is?

Look maybe you better come back and see Dr Pearson

I don't know much about serology but I have studied it up because of this

It has been proven that some of the antibodies

in the blood of pregnant women can get past

both the saline test and high protein test

only the indirect Coomb test

Forget doctor,you are way of limits here

I have not got time to sit around here the whole day

Listen,Mr,you are going to make time,

this is my wife and that baby is very important to us

Dr Alexander I am Dr Coleman Assistant Pathologist here

Certainly you must realize

I know that you will have the results of the tests

tomorrow afternoon for your wife's physician

if you are on duty upstairs I suggest that you go back to it

All right,but I tell you one thing

my wife is going to get every test available

Is there anything more ridiculous than an expecting father

Yes.A serology lab without Coomb serum

What?

An indirect Coombs for blood sensitization is elementary today,basic

Let's get some here in time for Alexander’s wife

We can't just go out and buy it like it was aspirin

You have to have a purchase requisition

Let me have one of the form

Dr Pearson always order the lab supplies himself

I intend to have more authority here than ordering 15 $ worth of rabbit serum

Well,when you get to my age the best part of any day is the end of it

Are you going to leave this like,this?

Nudge me?

The only company we really get down here

are all locked up in the ice pack in the morgue

Bannister

Never failed,never

What's the trouble?

I'll tell you.It's the purchase orders

Do you think this is the Mayo clinic?

We got to have lab supplies

Yes but look at these.What do we need Coomb's serum for

It is a blood sensitization test, it is elementary,basic

-It's what? -Dr Coleman ordered it

He signed the requisition himself.Look

So he did

Don't stand there looking for trouble

I put Dr Coleman in charge of serology myself this morning

It is quitting time,go and wash your hands,or something

You don't approve our order how we keep our sera,Dr Coleman

I can't honestly say I do

Auto labs look spick-and-span, glitter and clean

The only difference being we don't care about manicures and haircuts here

We judge the lab and the man with the practice of medicine

No time for the thrills

Any other suggestions,Dr Coleman?

Well,now that you ask I do have one in particular

As many as you like,Dr Coleman

One way of speeding surgical reports

Who is talking to you about surgical reports?

Have you ever considered a tissue processing machine?

It should save at least a day compared to the method preparing the slides by hand

Come in my office,Dr Coleman

Do you see these?

These are purchase requisitions for equipment dating back years

Every time I put a bunch of these through I have a battle with the administrators

He goes to the board and have a battle with them

and then he comes back and say we are spending too much money

You listen to me,Coleman

You are not here for my invitation, you understand

They pushed you down my gullet and I am choking on you boy

My patience is turning purple trying to swallow you

but I'm going to do it

Let's get our policies straightened out here once and for all

You got a job to do and so have I. I am in charge of this department

We are going to do those jobs

We might get our wires crossed everyday

but without interfering with our works

but I am still in charge here You follow me?

I follow you

-Here are the purchase orders. -All of them?

What? The requisition for Coomb's serum

I forgot all about that

We have been getting along with two tests for blood sensitization for years now

We don't need it

Good Night Doctor Pearson

Dr Coleman

I thought I recognized you Dr Coleman

I want to apologize for the way I acted today

-My wife and I.. -No need for apologies

As a matter of fact.You were right. The Coomb's serum has been ordered

Your wife test will be made in all three mediums

Thank you Doctor

No idea of the relief.Thank you very much

Turned your ankle?

-Hello -What is the trouble?

Nothing.Nothing much.My knee just..

Sit over there.Come on.

-Thank you. -Now let's take a look at it

-Don't be silly -Don't you be silly.I am a doctor

Where is the pain?

It's about here

Dr Coleman.People are watching

How did you know my name?

The voices were very high.I guess that. And the new ghoul in pathology

-Miss? -Hunt.Cathrine

Miss Hunt.You are a phoney

Oh.Really

There is nothing that matters with your knee,Miss Hunt

You think .That is the most conceited egotistical thing I ever heard

Make up your mind,Mr

How much?

For you? 15 cents

No apologies please

I'm not apologizing.Where are you going?

I have exactly 3 hours and 10 minutes and I am going to spend them with Marlon Brando

You wouldn't like

I'll have dinner with you

In a restaurant

with the wine

will be a good time right out of town

Wine? And dancing?

If that’s been necessary

I know just the place

Sure you can dance with that bad knee?

Oh.I know I can.I am a phoney.You remember?

I have only three more years with lectures

Won't be long

As soon my internship is over

Take that look off your face

I hate you talking that way

I never heard my father discuss money once,not once

Your father was one of the dying breed

He was old fashioned practitioner in a small town

We always used jelly deserts except when the cousins came

Nobody minded

My mind

You have to go to bed.And so is she

She is a strong little struggler isn't she?

There is only one way to get the best. And that is to specialize

And the only place a man can specialize is in a big town

Papa only called it one thing from the Bible,I can't remember it exactly

Something about a man finding himself and losing himself

I don't know anything about the Bible

Your father died owning nothing

He was rich,the richest man you ever know

everybody in that county loved him, in the funeral there were so many cars

I loved him too but it is different today,that's all

Yes.There is not a single doctor in Richmond

You really would like it,wouldn't you, if I went back to Richmond

-..opened a little office -Shut up

Will you please

Medicine is all of business

Shut up.Before papa turn over in..

Alec.

I love you

I always love you what you decide

Have our baby no matter how big, or important or rich we are

You know I wish for you sake that it was all over

Whoever invented this 9 month thing any way

It is not so bad,I went through it once before,I don't care how bad it is

How hard Just it doesn't end the same way

Just to get away for a little while sometimes

From all the pain and sickness

All the blood and the fear in their eyes

It gets to me too much sometimes

You begin to wonder where..

I have never said anything like this to anyone before

-Sorry you did? -No

That's what makes it all more confusing

Cathy,there isn't anyone in medicine who hasn't felt the way you do

One time or another

But I felt it more and more lately

and I do not why I am talking about it now

when I feel so fine. I really feel so delicious

I am so glad that I thought of my plot to get a date of you

You know.If I was as honest as you are,I have to tell you

that I really honestly despise the strong silent type who just listen

From this let's talk about you for a moment

What made you decide to be a ghoul?

Pathology seemed the best way to contribute to the war

The war?

Medicine is a war,creative,constructive war

Not many of us can be heroes like Pasteur,Fleming or Salk

But sometimes there is a spectacular advance

as in a war

when doctors rush to the new front

leaving lots of pockets of knowledge behind to be filled in

Never heard anyone talk about like that before

Make me feel like a trivial little idiot

I was wrong about you

You really are a good dancer

That Dr Pearson,do you know what he advised me this morning

He said one way of get rid of the taste of death

is by living and he was so right

I am two minutes early

Thank you for a lovely dinner

You don't have to pay any debt,Cathy

The man is not even human

Human

Why did not you think of it earlier?

Good Night

Yes Doctor we will send it up as soon as we get the report

Everybody wants everything the day before yesterday

Good Morning Bannister

What the devil is being going around here?

Don't look at me

I did not recognize the place

Where the magic can't find it

Now that is more like it

Mr Bannister

Dr Alexander.I just told Dr Dornberger

the blood samples only got down here last evening

-What's all this? -It's about my wife's blood tests,doctor

We have a possible Rh factor..

So don't you come barging in down here and we show you a special favour

Perhaps we don't operate that way in this department,Doctor

Alexander

You get the results in due time

and through Charlie Dornberger

Alexander!

Yes Sir

Call me in half an hour we will have the result for you

Thank you Dr Pearson.Thanks a lot

Good Morning

Good Morning Bannister

Good Morning Dr Coleman

Some days just confuse me

Lung fibrosis,small recognizable nodules, peptic ulcer just below the pyloric ring

Surprising thing about the human body is not what finally kills us

but what we can have wrong with us and still go on living

This woman should have gone to a doctor in time

a simple operation would have saved her life

Oh,Bannister

You've got to supervise the histology section more closely

Your slice is sticking up to look like a sandwich

Dr O'Donnell Surgery please

This place vacant?

Not yet.But if you don't sit down it will be

-Last night you mentioned.. -Do you want to try some of this?

No thanks

Last night I'm afraid I mentioned too many things

Too many? Not enough

Aren't you hungry?

I'm starving

Will you listen to me for a second?

I am trying to find out to get to know you better

I am not good at small talk and flirting things like that

What I am saying is that..

How I am going to see more of you?

-You actually.. -No

Good.Then I know just the same

You two eating again

I am.Dr Coleman is on his diet

That seems to be the socially accepted form of suicide these days

-Dr Pearson -I'm coming.I'm coming

Don't say I never take lunch,Coleman

I am glad Dr Pearson is not on diet

These are reports for the coroner on my desk I'll sign it

Joe

Accident case.Dead on arrival

Five years old

Charlie what's it all means

You want me give you a philosophy of life and ten words

There is no philosophy,Charlie,impossible, all chance,you never know what next

Life.Death

We are trying to fix some of the accidents out of it

Now what about the Alexander girl

-Alexander? -Rh factor

-Husband intern -Oh Alexander ..

..I did the test myself sensitivity negative no problems actually

I tell the boy

Oh,I already told him

-You? -Kid nagged me what else could I do

Joe

Need a haircut

Did you break anything?

What did you have in mind

This one must known to the doctor

I bet you are the kind that goes into convulsion

when you see somebody slip on a banana peel

I'm sorry

You are so dignified

and so sure of yourself

Just hold on,take it easy,and fly

Fly

Not my idea to be different Cathy

But we seen each every day for more than a week now

And we are never alone, there is always an audience

I didn't know you had anything to say to me in private

I may look like a fool and I feel like a fool

We are not teenagers,you know, not them,we are adults

-If you had a car -I'll get one.I rent one

I have Sunday afternoon off too

Just a wonderful country I could show you

Cathy are you hurt?

-This is my knee -Where it did last week?

Oh,yes.I am a phoney.Remember?

Very tender isn't it?

How long have you had this Cathy?

A couple of,maybe a month. Not serious Dr Grainger

Anything can be serious and not serious

I wouldn't be too concerned if I were you

We both want to know, so I will arrange an X ray

OK Cathy

Killer Appendicitis Dr Rufus had a good..

-Do you want to see me? -Yes.In your office,please,Dr.

Dr Pearson I have been running some routine checks on the hot water system

The water temperature is not high enough

Exactly.Has anyone tried to do anything about it?

You think that things run poorly around here don't you?

As you keep asking.Yes I do

Young,green full of lofty ideas

I have been pleading for a new hot water system for a year

It is too expensive project. Anything else Dr Coleman?

No.I apologize

Full of vinegar I suppose.

Hear that you been laying down the law in the autopsy room too

You asked me to take charge of it

No smoking I understand

Is that suppose to enthuse me?

Sign Read No Smoking

Are you laying down the law to me boy?

As I understand it,the hospital is to be run for the welfare of the patients

Rules are set up for all, there can be no law at all

Here or anywhere if there are privileged exceptions

Shuffle of fancy ideas, aren't you.All idea no blood

You've been here a week and Bannister is ready to quit

Might be safer if he did

Three days ago I told the technicians

that I planned to make occasional spot check on lab work

Yesterday I divided the blood samples so the two tests would be runner

Schreck

Standard laboratory procedures

Bannister reached two different results from the same sample

Everybody makes mistakes

There is no room for mistakes in medicine

When it comes to surgeons you yourself

You got your tummy boy,believe me I have seen your kind before

You blood less hound,everything spic-span,so sure of yourself

You learn that you are not perfect one of these days,boy

It will be quite a shock,I hope I will be around and see it that's all

And I will be around,because listen boy, I am here to stay

You just shoving and pushing but I am here to stay,don't forget it

If you don't like the ways the things are run here

you are free to move boy,move on

I am not moving

I am staying too,don't forget that,ever

This is my home,you understand

I told you this before,I am in charge here, you keep that fact straight

And I want no lab checks without my authority

But lab checks is routine

I decide what is routine here

Pathologist,Pearson

Are you sure it is necessary Lucie?

All right.I'll be right up

Here is Dr Pearson

-Lucy -This is Cathy Hunt

Oh,we have met, sort of an informal way

Every time I see the young lady she is giddy

Sure she doesn't have gout

A picture taken at a swimming pool some time ago

Let me see both knees please

There was water in the pool I believe, do you enjoy swimming? Do you?

Dr Pearson,Dr Pearson what do you think?

I try not to think,Cathy,anymore than is absolutely necessary

X rays here?

Two sets,the first didn't show anything

Dr Dell corrected them to show the soft tissue

and he confirms the irregularity in the bones

Cathy you know what a biopsy is,don't you?

Usually to see that it is cancer

But not always Dr Grainger will take a small piece of tissue from your knee

You won't even have to go to sleep it is so simple and send it down to me

I'll study it under microscope

You wouldn't find anything Doctor Pearson I felt too well

My knee only hurts once in a while

Of course if anyone find any..

You are an intelligent young woman and surely you want to know

I told you already do know

Cathy it could be result of a swimming pool accident

in which case nothing to worry about

Or it could be a bone tumor,

and even if it is there is every likelihood that it is benign

Not cancer,you mean?

Not malignant,yes,but we do have to know

And if it is malignant?

Let me examine it first

-Then we.. -I know

I know you have to amputate, wouldn't you Dr Grainger?

That's why I will not let you do a biopsy

Because even if it is malignant

I'd rather,anything,anything than lose my leg

-Dr Pearson -Yes

You won't mention this to anyone,will you?

Cathy

I think you should talk this over with anyone who can make you realize

Promise,Dr Pearson.If you promise, then I will think it over

By myself until Dr Grainger on Monday

Monday is day after tomorrow, time is important

I'll think it over,I really will, if you promise

All right,I won't mention it to anyone we know

And if you use your head

I handled it before Joe

She has no family, she is of legal age,

and try to see the foolishness of losing her leg

I am not good this Lucy,no good

Except more than she is right now

That's why I love this girl, that's why we all do

We can't wait,the kid got no time to wait

You get that tissue sample down to me Monday morning,first thing

Not a minute late,it ought to be done tonight

Sound.Sunday Vespers

I remember when I was a child in a very small town

I am glad that I'm not still a child

So am I

You do not care anything about nature,do you?

You haven't even looked

Isn't it lovely?

Lovely is the word

Sometimes everything seems so unbelievable

So beautiful

I am sorry

I guess there must have been a smell of fresh air after all I detect

I told you we get away from people,didn't I?

Now you are stuck with me

Far enough away David?

A step in the right direction

What's the matter Cathy

I am sorry,David,I am sorry

It's not you it's me

I'm so tender everything can go on as if

David I don't want to know what might have been

Cathy what is it?

Take me back to town,David

Take me back,please

All right,Cathy

Dr Dornberger may have said to walk but it such a thing taking his advice..

-Hello -Hello

What's your name?

Elizabeth

My name is Elizabeth too

Take it easy

Alex,too soon.It can't be

You stay right here.I am going to get a taxi and take you to the hospital

-I don't want -Stay here

Emergency just telephoned,Charles

The patient arrived ,she is well advanced

This is a premature.Incubator ready?

Yes.It is on its way,Doctor

My kid is so small

It wasn't ready for this world,yet

Next 6 weeks would have made a lot of difference

We'll keep an eye on him,you understand his lungs are not fully developed

You see he has not much of chance,aren't you?

No.What I am saying is,you never can tell

Some babies got the will to live,fight for life

But I don't want to deny it like some people.They just don't

You understand

Thank you doctor

Going up?

That was wrong.Thank you I am sorry.

Dr Pearson.Without disturbing her please get word to Dr Grangier that I am here

I'll wait until I hear from her

Feeling a bit drowsy Cathy

This won't take long and you won't feel a thing

Next please

Just stay relaxed,Miss Hunth, this is just like having a tooth out

I always hated dentists

-Aching Cathy? -I don't feel a thing

Good girl.Now we take a wedge shaped sample of bone

Something between 2-3 cm should be enough

You made it in a hurry

Sorry to drag you out in this time of the night

-Something important? -A biopsy

I prepared the slides myself I could not locate Bannister

He was probably somewhere else pretending to be young

The case,difficult as they come

The surgeon suspects osteogenic sarcoma

What's the rush? Somebody's relatives?

No.It's not.Nobody's relative. Just a patient

All right.Maybe we should work this faster than every case

Not an easy one

Could be new bone formation

Osteoclastic activity with bands of fibrous tissue in between

New bone formation could be the result of regeneration after a fracture

I see now evidence of infection

No

No inflammatory cells in the bone spaces

Did you see any evidence blood vessel invasion?

Oh No

Then we are back in the new bone formation

Borderline case

The man could only look in there some sort

of pattern would form of the absolute place

And the X ray?

Shadows and shadows

Radiology says it is up to us

Is this new bone forming because it is a neoplasm?

Or is the bone proliferating as a natural process in response to an injury?

Malignant or benign

Who wants power like this

This tumor is malignant as soon as a surgeon amputates

Yes.And if we say it is malignant and we are wrong

the patient loses a leg for nothing

But if it is actually malignant and there is no operation

Who wants to play God

I had a professor who always warned us

the best we could give in cases like these an educated guess

And what is your educated guess here?

I think it is benign

What is you opinion?

I think it is malignant

What about studying some past cases

It would take a week to take them out

-Take them out.What about the cross file? -We don't have a cross file

Something I've been meaning to set up for years

All right.We should have a cross file. We don't.My fault

Scientific disagreement

Lucy.We always confer this way in my department

You've met Dr Coleman

Oh yes of course

Well.This is one of those nights isn't it

I went home got to bed and realized that I couldn't sleep

Here I am

Apologies

Lucy.We don't know,what it comes down to

all these years in medicine and we don't know

Dr Pearson said malignant, there is room for doubts

but I think the tumor is benign

I would not amputate if there was any shadow of a doubt

Still I am worried about the patient herself

Ordinarily I would have waited to morning

To perform a full med biopsy

But she was just permission tonight so I had to take advantage of that

Now I just don't know how I dare choke at

it when there is any doubt one way or another

I think I have a solution of sort,Lucy

There are two men who are experts in this kind of pathology

The patients full name,Dr Grainger

She is one of our student nurses, you may know her ,Dr Coleman

Cathy Hunt

Yes I know her

Dr Coleman,you have heard of Dr Collingham in Boston and Dr Herenhart New York

We'll make two complete set of slides

get them off with air mail special delivery and the next mail out of town

I'll be warning both doctors saying it is urgent

and ask them to telegraph their findings as quickly as possible

That will take time

Two days at the most

Every minute counts if you are right every second counts

Anything I can do,Joe?

Being tight

How do you think I worked my way through college?

Cathy?

Cathy,I was blind

I would have realized if I had not taking up my self

Why didn't you tell me?

Why should I?

You are not involved

You should be sleeping

I can't

Not until I know what's going to happen

Dr Grainger promised to let me know in a few hours

Dr Grainger won't know in a few hours

You mean.She promised..

She won't know for two days

I can't understand

Why,do you see,we..we, can't always know for sure

And Dr Pearson thinks we should get a few more opinions

Before

Cathy I feel sure the tissue is benign

Dr Pearson?

What does Dr Pearson think?

He,..he doesn't agree

I think

and I'm OK with anyone thinks

I don't care about medical opinion

All I know they are not going to take off my leg

I won't let them

You have no right to make a decision like that

Why not?

I can decide how I want to live

and how long

whether

Parents are dead it makes no difference anyone but me

That's not true

That's no longer true,that's all

David

Please you don't need to..

I do need you

I don't understand it yet, but I do need you

You only make everything more complicated

more confusing

Let's get this to post office

I like this time a man thinks about time

How much we got, how much we think we got

Even if Lucy amputates,no guarantee the girl will live only a year or two

or maybe until she dissolves as I feel tonight,who knows

whoever knows,who has any guarantee of time

Either one of us may slip in the shower tonight

And we might drop a bomb accidentally

or otherwise

or a surgeon makes a simple single slip during a routine operation

It happens,it happens

If we go along all the time thinking we've got forever

Let us have while we have it

Let no anchor leave, won't have it any longer

That won't be a second

I'm sorry I should have done that

Why so?Do you think I would catch a pneumonia?

Well,let see it in this way

If I gave up the ghost tomorrow,

there is nobody in the world that's get then solid damn

or as if you were to die

where the devil would that girl be

How long do you think we have to wait for the answers

I'll phone Collingham and Herenhart tomorrow morning,hurry them up maybe

You look like a fellow that would do with a drink

I am not proposing we tie one on,you understand

Once in a great while mild anesthetic is clearly indicated

That's not a prescription, Dr Coleman,that's an order

Dr Dornberger,what is it?

I don't think it is anything but

I want to double check

You suspect erythroblastosis don't you?

The symptoms are there,yes

Why didn't you do a exchange transfusion at birth?

Dr Alexander,if the lab report on your wife's blood test had been positive

we would have exchanged the baby's blood at birth

The lab report was negative, an exchange transfusion was not necessary

Doctor tell me about my wife's blood test

What's this delegation

We'll go on with this later

We just came from Alexander's baby

Could we get out the lab report, I suspect that baby got erythroblastosis

Couldn't be Charlie

I remember you the young fellow,the young fiery

Kicked up such storm around here

I just did dispose the test myself

Both tests

Dr Coleman,didn't you agree in order to have an accurate

blood sensitization test three tests were required

That's right,that's why I ordered Coomb serum

I'll check with Bannister

Never mind

The indirect Coomb was not done on my order

Do I understand you correctly

you mean Mrs Alexander may have sensitized blood after all

This means that the baby might have erythroblastosis

Could mean that

Bannister,we want a bilirubine every six hours on Alexander baby at once

also is there any Coomb serum in the hospital?

No Sir

All right.where do we get that half an hour

No time for that,we need to have the test somewhere else

where the facilities,university hospitals has the full lab

Get me the university hospital, please and hurry

Also Bannister we need a blood sample

I will

Dr Fribe.This Dr Coleman, Assistant Pathologist,Three Counties

Would you handle an emergency Coomb test for us

we'll get the sample to you right away,thank you

I would like to take the sample myself

Get it from Bannister take it to the emergency ambulance

Could you get me to the police department right away

May not be too late for an exchange transfusion,Joe

This Dr Dornberger,we would like a police car

to deliver an urgent blood sample

Doctor Alexander will be waiting at the emergency entrance

Exchange transfusion should have been done at birth

If it is not too late no credit to me

Joe

To best of my knowledge I have never failed a patient to inadequacy or neglect

You made me part of my failure now

We've been friends for a long time,Joe

I've covered for you helped you to battle upstairs

But this time,if this baby die, so help me God

I'm going take you before the medical board

and I'm going to break you in two

Listen to me, son

Listen

Don't give up

It's worth living,it's worth it

Don't give up

This is your father and I love you

Don't give up

Don't give up

Dr Pearson

Oh,thank you

Connect me with Dr Grainger please

I am sorry,boy

Lucy I could not tell you on the phone

No,Joe

Here the two best men in the country

Are they definite?

Oh,yes,both of them,very definite

Dr Collingham Boston first specimen definitely malignant

Dr Herenhart New York says the tissue is benign no sign of malignant

Right back where we started

We are not,we lost time

It's the decision of the pathologist

Don't tell me use the decision

don't think I know

I am sorry,Lucy

For our training

All's there and we know nothing

That's not true,we do not know everything,but we know a lot

More every year

-Joe? -I know,I know

Doctor Coleman,on Sunday night you said that in your opinion

the tumor was benign,do you have any reasons to change your mind?

No,I have no reasons to change my mind

Doctor Coleman,you are in no position to make an objective decision

Lucy,Doctor Coleman is the assistant in this department,

the final decision is up to me

All right Joe,whatever you say

It is a malignant growth

Osteogenic sarcoma

And it is definite?

Quite definite

That's make it difficult,

I am not sure I can convince the girl to allow the operation

Allow? She has to allow, doesn't she realize..

That part is up to me

-This is a tough one -They are all tough

They all already get the tough

I know

Cathy,whether you want it or not, you must listen to me

I don't want to listen

I just want you to take me away,I mean it

Just the two of us now

I can't do that

If you love me,take me out of here

Don't let them come near me,please

No deal,Cathy,I love you,but no deal

I will not let them do it to me

Listen,you do not want to die,do you?

I am going to die anyway

We are all going to die some day

But soon.Soon if it spreads

Can you guarantee it not spreads,can you?

No

Can you tell me how long even if I do let them

Nobody has no guarantee of time debit

Anyone of us could get killed tomorrow, the next day crossing the street

For no what difference

Who has difference?

You are alive.That's the difference

You are alive now, and that's all you got

Only any of us can be surer

We can't be surer of anything else,nothing

Only that we are alive now

Alive and breathing,and we better hang on to it

Hang on as long as we can with whatever means we can

Hang on and live

That's why this whole hospital exist

That's what we are doing here

Keeping people alive because we believe in life

It's good to be alive

Hope.That's what any poor human being has

that's all he has

And it's good

All right,David.

All right

In the aftermath

When it's over

Don't come back in here

Do you understand?

Don't come back in here

And hurry please

I am asleep

Dr Pearson,it is Alexander. The blood test is positive.

Thank you.You hurry back here

Get me Dr Dornberger. He is on the operating floor,quickly

Charlie,the Alexander baby has erythroblastosis

The reticulocytes count is high we haven't got the bilirubine yet

Never mind I know

-Is the blood warm? -Yes ,Doctor

The hot water bottle in the purpose position

On the table

It is important that this exchange transfusion

that the blood is in the right temperature, otherwise it is dangerous for shock

Only the ten sheet of calcium

Temperature

96

All right ready to start

I am cutting off the dry portion of the umbilical cord

Not of the moist tissue

We have isolated the umbilical vein

and want to remove the blood clots

Venous pressure

16mm

We start going off with the blood

Do you want to send the secretary in for that,Dr Pearson?

No thanks,Bannister

Any word yet on the baby?

Not yet

Lucy Grainger is taken the Hunt girl back to her room for surgery

What about the Alexander baby?

Not a word

Venous pressure

57mm

Won't take just a little more

10cc artery

10cc again

Respiration up to 15 rather shallow

Breathing is very irregular now

How far are we?

50 cc is out 50 cc is in

We'll carry on

Skin feels cold,Doctor,I can't count the respiration

He is not breathing well

Check the pulse

Set the artery pressure

Pulse is very weak,rate is over 180

Respiration is failing

He stopped breathing

Heart?

Very faint

Straight over the heart

My wife,what a temper,she still says the bills too high

She blows her top,I tried to tell her he is a specialist this Doc

After all Doctors are in the business,ain’t it

Just like any other

What kind of doctor are you going into?

A general practice in my home town, there is no doctor there now

Not get rich that way,pal

No,I'm not get rich

Get the oxygen over the tube

Pulse is stronger

I get it at 140

We'll go out of the transfusion

Thanks Bannister

Pathology Doctor Coleman

Doctor Dornberger tell Joe

that the Alexander baby survived the transfusion prognosis is good

Thank you ,Dr Dornberger

The Alexander baby is going to live

No thanks to me

You are not resigning?

You are forgetting who is in charge around here

Why I am not resigning cause they won't ask me too hard

You are needed here

Not any more

Boy,don't change on me

We got sharp eye,sharp mind

We both knew the minute you walked in here this day was coming

I never intended to..

Of course you didn't

I have been trying to figure out what I have against you

Other than your compounded personality of course

I used to think I was scared this day coming

I wasn't that.You made me feel guilty

Like a fig.I didn't mean"Shut up and listen you might learn something"

You made me feel like a fig, because you reminded me of

was myself 30 years ago

cocksure and full of ego nothing is too good for medicine

no room for error,negligence

I was right then and you are right now

We both know that now,don't we

Maybe I am not up to it yet

Don't waste time being humble

You are good,it won't be easy though

Your phonery,budgets,over budget,committee,meetings

Troubles in the lab which needs to be smooth over

The doctors coming in and out asking for this and that

and the salesman with the unbreakable test tube

another,another

The end of the day you will ask what happens to him

All the fine things we set out to achieve

Research,study

The end of the year,all the other years

Listen to me boy

Don't let it happen to you

This would be the advice from the best friend you ever have

Listen. Don't let that happen to you.

Get away from the phones,the files, the paperwork and keep yourself upto date

Lock yourself in a closet if you have to

But do it,do it

You follow me?

Yes,Sir I follow you

A boy, a girl up there by herself she will be waking up soon

She doesn’t want to see me

Why? For ill judgment?

She is lying.

Women don't even know when they are lying sometimes

They got to do it

To keep idiots like you and me for understanding

She knows as well as you do that compassion is a part of love

She is not worried about herself, how she is loved

or why,she is worried about you

She is going to be a cripple the rest of her life

She is trying to spare you

Listen,all she is thinking of is you and all your thinking is of her,right?

You tell me why

What's love? If it is not thinking of somebody else more than yourself

I can't get through to her

You'll be there when she wakes up

just be there,that will get through to her

-Joe -Yah

I've just examined the tissue. You were right.It was definitely malignant

Dr Grainger hadn't operated she would not live six months

Thanks,David

What are you doing staying around here?

Look,son,you don't have forever,you know

You just think so,because you are young

Thank you,Joe

Doctor Grainger

It's me,Cathy

And I'm staying