1. Dr. Greene?
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2. Dr. Greene!
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3. What is it?
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4. Patient for you, Dr. Greene.
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5. Can't the intern take it?
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6. No, it's for you.
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7. - What time is it?
- Five o'clock.
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8. All right.
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9. - Can't the intern take it?
- It's Dr. Ross.
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10. Dr. Ross.
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11. I'll be right there.
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12. We got some up on…
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13. Come on, Doug.
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14. - Markie-boy! Did I wake you up?
- Yes, you did.
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15. I want you to know
you're a real friend.
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16. - That's all right.
- Real friend.
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17. - Do we have a room?
- Room 3 is free.
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18. Room 3 is free!
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19. - Three is free. Free for three.
- Yeah.
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20. Come on, Doug.
All right, I gotcha.
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21. Ow! Oh, man. Okay.
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22. I can't tell you…
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23. …how much I appreciate this, Mark.
Mm-hm.
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24. - I'm a little under the weather.
- Here you go.
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25. Oh, yeah. I know, yeah.
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26. Okay. Yeah.
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27. D5, NS. I need the dextrose.
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28. - Give him 600 of ASA.
- Aspirin.
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29. I almost forgot aspirin.
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30. So anyway…
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31. …she says to me, she says…
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32. …"I didn't know that pediatricians
could be so sexy."
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33. And I said, "Honey, you ain't seen
nothing yet."
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34. All right. Give me the fast drip.
I need the hydration.
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35. Don't worry, Doug. Just lie back.
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36. How's your beautiful wife, Jennifer?
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37. She's fine, really.
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38. - You two settle your problems?
- Yeah. Everything's okay.
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39. Hate to lose you in the ER, you know.
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40. - Lie back.
- I am.
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41. I can't tell you how much
I appreciate this.
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42. Really do.
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43. - Here's your aspirin.
- Give him 2000cc's in a fast drip.
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44. - Don't let it run dry.
- Does he always do this?
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45. Only on his nights off.
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46. I'm going to bed.
Wake me at 6:30.
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47. Doctor Greene?
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48. Doctor Greene? Mark!
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49. - What is it?
- Can I give Mrs. Williston more Demerol?
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50. - 50 milligrams, I.M.
- Thanks, Mark.
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51. - Dr. Greene!
- What is it?
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52. 6:30, Dr. Greene.
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53. Hey, Timmy.
Dr. Lewis.
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54. Oh, Dr. Lewis!
Yep.
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55. Thank you.
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56. - Good morning, Dr. Benton.
- Hey, Jerry.
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57. Morning, doctor.
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58. This was the scene
at 6:15 this morning…
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59. …where a building
collapsed during construction.
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60. Any estimate on the injuries?
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61. Uh-huh. How long before they arrive?
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62. twelve people injured and two dead.
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63. Oh, yeah? That soon?
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64. - What's up, Timmy?
- Hey, Dr. Benton.
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65. Notify trauma.
An accident in the Loop.
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66. Twelve injuries, seven critical.
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67. Good day for us surgeons.
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68. Mrs. Willis in 4 needs a CBC.
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69. The man in 5 is a rule-out MI waiting
for cardiac enzymes and 12 units.
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70. Dr. Ross is in 3, sleeping it off.
Wake him and get him out of there.
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71. I need a uric acid…
What's this is all about?
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72. Building collapsed.
They're sending us a dozen.
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73. - Yeah, well, who's on?
- Just us.
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74. Forget all that. Call Susan Lewis.
Call the 7th and 8th floor.
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75. Tell them we need anybody
they can spare. Do that now.
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76. Okay.
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77. Take him to Trauma Room 2.
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78. What's your name, sir?
Can you tell me your name?
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79. - Next to 3. That way.
- Which way?
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80. That way!
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81. Take him to 1.
Down to the end, on the right.
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82. - What's your name, sir?
- It's Wilson.
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83. What is your address?
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84. Forty… Forty-seven…
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85. Mr. Wilson?
Get it later.
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86. Let's go. Let's bring him in.
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87. And on my count. On three.
One, two…
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88. …three!
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89. How you doing, sir?
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90. Don't worry.
Everything will be fine.
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91. Sorry about the suit.
So is it just your hand?
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92. Let's see. Light?
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93. Light! Let's move.
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94. Have nice, pleasant thoughts.
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95. Let's have a CBC…
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96. …type and cross-match.
We got a pre-op here.
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97. Notify the O.R., get us a room.
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98. Call Vascular and call Orthopedic.
Tell them to come down now.
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99. This is their lucky day.
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100. Mr. Wilson, your hand is barely
attached, but it's gonna be okay.
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101. Give me an EKG and X-ray
of his wrist and hand.
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102. - Can you feel anything in your hand?
- No.
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103. We'll save your hand,
don't worry.
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104. Clear!
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105. Mr. Jackson, where does it hurt?
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106. Where does it hurt, Mr. Jackson?
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107. Does it hurt when you breathe in?
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108. Have you been coughing up any blood?
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109. Okay, let me take a listen.
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110. Dr. Lewis!
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111. Okay. Where are we taking him?
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112. - Do you have any pain in your head?
- No.
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113. - How about your neck? Any pain here?
- No.
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114. All right.
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115. What I want you to do…
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116. I want you to tell me if
it hurts you when you breathe.
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117. - No.
- I don't get a BP.
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118. Start two large bore IVs.
Saline, wide open.
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119. Type and cross for 10 units,
get me four units of O-negative, stat.
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120. Drop an NG tube
and get Dr. Benton in here.
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121. This is no place for a pediatrician.
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122. No sensation: radial, median or ulnar.
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123. No pulses. Color and
temperature as you see.
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124. He's gotten 500cc's saline.
Crit's 32-5, type and cross-match sent.
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125. X-ray's waiting. O.R. will have
a room in 10 minutes.
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126. Okay. Let's get him out of here.
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127. - You think you can save the hand?
- It looks good. I think so.
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128. I told him you could.
He's counting on you.
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129. Peter, you're a smart-ass.
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130. You'd love to do this case,
wouldn't you?
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131. Yeah. I'm ready. I could do it.
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132. You're a resident, Peter.
You're years from a case like this.
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133. - How many fingers?
- Three.
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134. - What's your name?
- Jeff Barr.
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135. - Where are you?
- Cook County General.
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136. - What's today?
- St. Patrick's Day.
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137. You're fine.
Get a set of facial bones.
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138. You're gonna be just fine, Mr. Barr.
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139. - You're beautiful, doc.
- Thank you.
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140. - You married?
- No, I'm a doctor.
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141. - Then, listen…
- Take it easy, Mr. Barr.
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142. You don't want to fall on your face
twice in one day.
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143. How much did she vomit?
A couple hundred cc's.
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144. Would you please take a deep breath?
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145. Good. Now another. Any pain there?
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146. No.
Okay, how about here?
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147. Okay. It's okay. Call O.R., get a room.
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148. - What is her crit?
- 23.
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149. Wait a minute. Here we go!
No pulse. Code blue.
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150. Call the time.
8:37.
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151. Paddles!
That's a shockable rhythm.
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152. Let's move! Here we go.
Nice and easy.
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153. Clear!
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154. No response.
Amp of epi…
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155. …and a hundred lidocaine.
Let's move it.
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156. Okay, what've we got here?
Where are the paramedics?
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157. Get his clothes off him.
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158. Give me something. I can't stand it!
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159. I'll give you something for the pain.
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160. - Notify the orthopods, open fracture.
- Okay, Susan.
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161. Give him tetanus and 5
of morphine right away.
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162. - Does it hurt anywhere else?
- My knee.
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163. - Need help?
- Check his knee. Okay.
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164. Here we go.
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165. We got patients on surgical
2 and 3. One of them looks bad.
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166. Fine, but this woman's
heart stopped…
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167. - …and she needs it. Call the AR.
- They're in surgery.
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168. Get them.
Can't you see I'm busy?
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169. - Time?
- Two minutes.
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170. Come on, sweetheart.
You make us a little nervous here.
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171. Paddles. Let's go.
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172. Clear.
Okay.
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173. Is that a blip?
Recharging. Whoa!
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174. There it is.
Come on.
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175. Come on back to us.
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176. Keep it pumping.
I think she's coming back.
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177. Bring her back for me, baby.
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178. Come on back to us.
Come on, baby. Yes!
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179. That one to Trauma 3.
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180. That's down the hall and to the left.
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181. Call Pathology. We got one…
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182. …who won't be charged.
The name's Canelli.
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183. Canelli?
Relatives of Robert Canelli.
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184. Right here.
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185. - I'm his son.
- Hi, I'm Mark Greene.
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186. My father, he's…
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187. Your father was in an accident,
you know that?
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188. - Yeah.
- Come with me, please.
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189. No, just tell me. He's here, right?
Just tell me.
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190. Mr. Canelli, your father
had a heart attack…
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191. …and we were unable to revive him.
I'm sorry.
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192. You bastard! You bastards!
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193. You're sorry?
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194. Come over here.
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195. That will make you feel better.
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196. And we'll have you in the O.R.
in no time, okay?
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197. Any others?
No, that's it.
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198. That's it?
Yeah. Last two were DOA.
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199. So that's it.
Yeah, for now.
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200. Orderly,
please bring a wheelchair to Admitting.
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201. Orderly, please bring
a wheelchair to Admitting.
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202. Where's Ross?
He went to change.
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203. Somebody threw up on him.
That lady.
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204. - The lady who arrested?
- Yeah.
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205. - She make it?
- We got her going again.
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206. She's got a junctional rhythm,
but she's going.
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207. What about that guy's hand?
They're still in surgery.
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208. They're gonna be working
all day on that one.
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209. Hey, anybody want coffee?
I do.
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210. - How do you take it?
- Same as yesterday and the day before.
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211. And they call me a smart-ass.
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212. - You get any sleep last night?
- About an hour.
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213. The nurses raided the coffee.
Why don't they make their own?
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214. I'm gonna tell them.
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215. Never mind.
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216. Okay. Never mind.
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217. Aren't we getting
some new students today?
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218. Yeah, I think so.
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219. I hope they're good.
The last two were hopeless.
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220. - Something wrong?
- Oh, you bet there is.
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221. We're out of coffee again because
the nurses have been taking it.
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222. - Make some more.
- Make some more?
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223. We work 36 hours on, 18 off…
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224. …which is 90 hours a week,
52 weeks a year.
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225. For that we are paid
$23,739 before taxes.
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226. - And we also have to make the coffee?
- My heart is breaking.
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227. - Where are the filters?
- In the refrigerator.
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228. Dr. Greene,
your wife is waiting in the cafeteria.
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229. Damn it!
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230. Everything's fine.
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231. - Morning, Dr. Greene.
- Morning.
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232. - Hey, Mom! Look!
- Two more bites, baby. Please?
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233. Then you're done.
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234. - Hi, Rachel.
- Hey, Dad, look!
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235. Oh, look!
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236. Grilled cheese sandwich
for breakfast.
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237. I gave in. What can I say?
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238. You're late.
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239. Sorry, we had a big one.
A building collapsed.
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240. Mommy's reading about tarts.
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241. Torts.
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242. - Are you getting any sleep?
- Yeah, yeah. I'm okay.
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243. - You look tired.
- Yeah, Dad. You look tired.
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244. Oh, I do, do I?
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245. Are you gonna finish that?
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246. You mind if I eat it?
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247. Dr. Harris' office called
to confirm your meeting.
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248. Oh, jeez! That was today.
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249. You can still go, right?
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250. Yeah, yeah. I guess.
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251. You're not gonna forget
or get too busy?
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252. I'll go.
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253. What's so funny?
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254. - You know you're gonna hate it.
- Maybe not.
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255. At least the patients
don't throw up on you.
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256. Who threw up?
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257. - Who threw up?
- Nobody threw up.
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258. It's just that between your hours
and my studying…
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259. …I feel like we never see
each other.
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260. - I'll go meet Harris today, okay?
- Okay.
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261. I just hope you like it.
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262. Look at this.
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263. It's the first tailored
white coat I've seen.
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264. - Isn't he lovely?
- Lovely.
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265. Think he knows anything?
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266. He knows how to dress.
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267. He's my student. I'll find out.
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268. - John Carter?
- Yes, sir.
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269. Peter Benton.
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270. - You the surgical student?
- Third year.
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271. We'll spend a lot of time together,
so let me show you around.
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272. The Admitting desk is where you
page someone or get a chart.
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273. Don't shake his hand.
He's afraid of disease.
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274. In the lab we do crits,
counts, spin-downs.
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275. Mark chemistries "stat" whether
you want it fast or not.
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276. The chem lab is 7022. The heme lab
is 6944. Memorize it.
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277. IVs are given to everybody.
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278. Use an angiocath and 16 needle.
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279. You need a large bore
to transfuse them.
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280. - Can you start an IV?
- Actually, no.
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281. Aren't you third year?
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282. All I've done are
dermatology and psychiatry.
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283. The well-dressed specialties, huh?
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284. You'll find surgeons try to
help people, not just bill them.
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285. Pull the skin tight so the veins
don't roll, and go in low.
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286. Once in, pull this out
and hook it here.
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287. This is Carol Hathaway, the head nurse.
John Carter.
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288. - Hi.
- Terrific, isn't she?
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289. She dates an orthopod who used
to be a Big Ten tackle.
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290. Now. You want to tape it.
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291. Moderate flow, two or three
drips per second.
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292. That's it. That's all
there is to it.
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293. - Okay?
- Uh…
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294. Um… Okay.
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295. All along here you have
the medical examining rooms.
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296. It's where the pill-pushers
kill their victims.
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297. But this…
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298. …this is the surgical room.
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299. This is where the real action is.
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300. We use this phone to
call the O.R., 6440.
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301. X-ray is around the corner.
They're idiots.
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302. They scare the patients.
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303. Whenever you can,
go with the patients to X-ray.
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304. Don't let them get scared.
Don't let them get hurt.
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305. Here's Dr. Morgenstern.
He's the head of ER.
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306. Watch out, he eats students for lunch.
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307. - David Morgenstern.
- John Carter.
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308. - When did that severed hand go up?
- A vascular took it up an hour ago.
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309. Dr. Benton is one of
our best residents.
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310. Learn everything you can from him.
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311. Except attitude.
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312. He didn't mean that.
Yes, he did!
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313. You'll sew people up here.
Do you know how to suture?
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314. - Ah…
- Okay, I'll teach you.
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315. - Is there anyone to sew?
- How would I know?
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316. I love this great spirit of
camaraderie. Everyone wants to help.
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317. Here's the suture room.
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318. Good morning, I'm Dr. Benton.
This is Dr. Carter.
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319. - Good morning.
- Let's have a look.
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320. - How'd you do this?
- Broke one of the breakfast dishes.
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321. Don't worry. We'll have you
fixed up right away.
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322. - Now, can you feel this?
- Yes!
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323. - Can you move your finger?
- It's just a cut!
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324. We have a policeman coming in
with a gunshot wound.
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325. Put him in Room 2, notify X-ray.
I'll be right there.
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326. Now, here's all your stuff.
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327. Ask if she's allergic
to locals or any drugs.
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328. This is lidocaine, but call it
Novocaine. They've heard of that.
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329. - Any allergy to Novocaine?
- My teeth are okay.
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330. - No reactions, rashes, anything?
- No, of course not.
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331. You inject both sides of the wound.
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332. You have to put on surgical gloves.
You know how to do that?
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333. Great. Here we go.
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334. Hi.
Here you go, Dr. Ross.
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335. Thank you, Nance.
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336. Dr. Ross.
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337. Tracy Young.
I'm your third-year student.
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338. Hello, Tracy Young.
Nice to meet you.
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339. We'll be working
very closely together…
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340. Not that closely, but
I'll do my best to help you.
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341. - I'd like to get started.
- Just being friendly.
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342. I've got all the friends
I need, thanks.
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343. Shall we get started?
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344. Yeah.
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345. Evert the edges and space them…
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346. …because the tissues will be swelling.
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347. Space them this way.
The policeman's here.
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348. Okay, I'm coming. Here, you finish.
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349. Okay, this isn't going to hurt at all.
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350. Now, what happened, Billy?
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351. The school sent him home.
They said he vomited blood.
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352. Can you tell me what happened?
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353. He's a very high-strung child.
Always very tense, very nervous.
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354. Maybe you better wait outside.
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355. - Why?
- It's procedure.
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356. I should be here!
I'm worried about Billy. He needs me.
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357. Please wait outside.
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358. Look, doctor, this is my son…
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359. …and I want to be here.
He's very high-strung!
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360. You're absolutely right.
You love your son.
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361. You want him treated immediately.
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362. So it's best if you have a seat
outside here.
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363. - Doctor…
- And we'll be right with you.
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364. Hey, kiddo. All right.
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365. Did you vomit blood?
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366. Do you have any pain?
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367. Okay, can you point to the pain?
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368. Right in here.
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369. Have you vomited blood before?
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370. Many times?
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371. Okay.
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372. It's okay.
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373. First eight-year-old
ulcer patient I've seen.
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374. You still here?
You doing a Sistine Chapel?
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375. Finish her up, start an IV
in Room 2. Bye, ma'am.
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376. Nurse, could you bandage this?
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377. - Thank you, doctor.
- You're very welcome.
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378. - When do I get my stitches out?
- Oh, uh… Three weeks.
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379. When my son had stitches
they said 10 days.
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380. Really? Ten days, three weeks.
Any time in there.
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381. Thanks.
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382. We need an anesthesiologist to ICU.
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383. Please report to the ICU, stat.
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384. 250 mg Rocephin I.M.
for the man in Room 4…
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385. …and remind him to come back
in two days.
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386. Right.
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387. Carol, are we out of oral ampicillin?
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388. We ordered some yesterday.
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389. - Dr. Greene wants more Lasix.
- We were out an hour ago.
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390. Dr. Ross wants some PKU cards.
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391. No. He'll have to get
a blue-top from the baby.
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392. - He says he can't.
- Carol.
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393. Are you sure that you don't have
a PKU card tucked away in…
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394. …that special stash of yours?
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395. Like this?
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396. I can always count on you.
Even if you do prefer football players.
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397. You had your chance.
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398. I was young. I was a fool!
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399. You're still a fool.
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400. What's the worst
paying medical specialty?
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401. - Pediatrics?
- You were right the first time.
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402. Carol, did that Lasix come
up yet? Because we need it now!
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403. Good morning. I'm Dr. Carter.
What seems to be the problem?
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404. What's it look like?
I shot myself in the freaking leg.
Copy !req
405. Oh, well, uh…
Copy !req
406. - We'll fix you up.
- You guys keep saying that.
Copy !req
407. But first, we have to start
a little IV.
Copy !req
408. - Just hurry it up, okay?
- Yes, sir.
Copy !req
409. Oh, excuse me. Sorry.
Copy !req
410. Okay.
Copy !req
411. I wanted to belt her in the mouth.
I really did.
Copy !req
412. - Uh-huh.
- Then I go and shoot myself in the leg.
Copy !req
413. These things happen.
Copy !req
414. I bet you see a lot
working in a place like this.
Copy !req
415. Yeah. Oh, yeah. All the time.
Copy !req
416. Ah, okay.
Copy !req
417. You don't mind my asking,
have you done this before?
Copy !req
418. I'd hate to tell you how often
I've done this.
Copy !req
419. Okay, you'll feel a needle.
Copy !req
420. - Ah!
- Come on, it wasn't that bad.
Copy !req
421. But we missed the vein.
Copy !req
422. We have to try this one more time.
Copy !req
423. My wife's not that bad.
We don't argue that much.
Copy !req
424. Once in a while. In this case
it's lucky I didn't kill her.
Copy !req
425. Oh, man!
Copy !req
426. I'm afraid we missed again.
Copy !req
427. We'll try one more time.
Copy !req
428. You have very tough veins.
Copy !req
429. My wife…
Copy !req
430. - …is a very beautiful woman.
- Uh-huh.
Copy !req
431. I'm not proud of beating up any woman.
Even when she's asking for it.
Copy !req
432. I mean in this case, it's lucky
I didn't break her neck!
Copy !req
433. I got it. Don't move.
Copy !req
434. Don't move!
Copy !req
435. It's in the vein. Do not move at all.
Copy !req
436. There you go, officer.
You got yourself an IV!
Copy !req
437. Everything's gonna be fine now.
Copy !req
438. Can I move?
Copy !req
439. Sure, move around.
You're fine.
Copy !req
440. That's all I can do for the moment.
Copy !req
441. They'll take you to X-ray,
then to surgery.
Copy !req
442. - Surgery?
- But believe me…
Copy !req
443. …the worst is over.
Copy !req
444. - This happened when you woke up?
- Yes, when I got out of bed.
Copy !req
445. - Are you still seeing double now?
- No.
Copy !req
446. - How many fingers?
- Three.
Copy !req
447. - Have you had eye trouble before?
- No, never.
Copy !req
448. Did you have pain while
seeing double?
Copy !req
449. Headache?
Trouble with your balance?
Copy !req
450. Funny taste in your mouth?
Flashing spots?
Copy !req
451. - Weakness in limbs?
- No, none of those things. Never.
Copy !req
452. I can call a neurologist
to go over you…
Copy !req
453. …but that'll cost you $200.
Copy !req
454. If you don't have any symptoms now,
I'd leave it alone.
Copy !req
455. Come back if you have
more trouble.
Copy !req
456. - Who's next?
- You just say that because I'm black.
Copy !req
457. Trying to save you money,
I know you don't have insurance.
Copy !req
458. You wouldn't say this
if I wasn't black.
Copy !req
459. You're Jewish, right?
Copy !req
460. Call a neuro consult for Mr. Ervin,
cc transient diplopia, and bill him.
Copy !req
461. Hello, somebody! Hello!
Copy !req
462. - What is it?
- I got a lady pregnant in my cab outside.
Copy !req
463. Why'd you do that?
Copy !req
464. We don't deliver here.
Copy !req
465. You have to take her up to OB.
Copy !req
466. She's having a baby whether you
deliver it or not.
Copy !req
467. - Hey, you busy?
- No.
Copy !req
468. Why don't you come with me?
Copy !req
469. Get us an OB nurse.
Copy !req
470. Okay, okay, ma'am.
Come on. Let's go. Let's get out.
Copy !req
471. - You'll be fine.
- When did it start snowing?
Copy !req
472. Come on, doctor, give me a hand!
Copy !req
473. Up on the gurney, there you go.
Copy !req
474. Is this your first child? No, no.
Copy !req
475. Okay, let's go.
Copy !req
476. It's starting, it's coming!
Copy !req
477. Hold the head in. We don't
want her to deliver here.
Copy !req
478. Put your hand between her legs
and hold the head in.
Copy !req
479. Breathe, ma'am.
Blow through the pain.
Copy !req
480. Get me Anesthesia, call the
pediatrician. Hook up those stirrups.
Copy !req
481. You doing an episiotomy?
Copy !req
482. I don't have time.
She's already crowning.
Copy !req
483. Blow through the pain, ma'am.
Blow through the pain.
Copy !req
484. Blow through the pain.
That's right.
Copy !req
485. - What should I do?
- Just what you're doing.
Copy !req
486. Is it snowing out there?
Copy !req
487. When I'm done scrubbing,
I'll take over while you scrub.
Copy !req
488. Where's the OB resident?
They're on call.
Copy !req
489. You want a gown?
I don't think I have time.
Copy !req
490. I'm gonna have to catch this one
anyway I can.
Copy !req
491. No kidding? All right, dear.
You'll be just fine.
Copy !req
492. You just have to blow, okay? Blow.
Copy !req
493. - Is it snowing?
- Yeah, it's snowing.
Copy !req
494. Snowing on March 17th.
This is unbelievable.
Copy !req
495. It's okay, ma'am.
You're going to be just fine.
Copy !req
496. Let me take over. There we go.
Copy !req
497. Ma'am, we're gonna push on
the next one, okay?
Copy !req
498. - Well, well, well.
- One, two, three…
Copy !req
499. One more. This is the one.
Copy !req
500. And, push, push, push, push, push.
Copy !req
501. One more push.
Copy !req
502. We're gonna get him out.
Copy !req
503. One, two, three, push.
Good!
Copy !req
504. Shoulders are clear.
Copy !req
505. You have a beautiful little boy.
Copy !req
506. Clamp.
Copy !req
507. There you go.
Copy !req
508. He's a cutie-pie.
Copy !req
509. You did a good job there.
Copy !req
510. Dr. Carter. You have three sutures
waiting for you.
Copy !req
511. You're not on medical services.
They don't need your help.
Copy !req
512. Come on, let's get cracking.
Copy !req
513. Martin, Jonathan.
Copy !req
514. Anterior and lateral
right lower extremity.
Copy !req
515. Femur articulation…
Copy !req
516. …patella, tibia, fibula
all appear normal.
Copy !req
517. There's a radiolucent density
in the soft tissue…
Copy !req
518. …superficial to the fibula.
Copy !req
519. A bullet is what it's called, Steve.
Copy !req
520. There is no apparent fragmentation of
the foreign body.
Copy !req
521. Distal tibia and fibula
all appear…
Copy !req
522. - Come on, Steve!
- …within normal limits.
Copy !req
523. Foreign body in
the right lower extremity…
Copy !req
524. …consistent with possible bullet.
Copy !req
525. Is that it? Thank you.
Copy !req
526. I'll take these.
Copy !req
527. There's a guy with a bullet in
his leg who'd like to have it out.
Copy !req
528. Sure you're not feeling any pain?
No pain here in your back?
Copy !req
529. You know what?
Copy !req
530. All you've got is
a fracture to your ankle.
Copy !req
531. Everything else is fine.
Copy !req
532. Now, what's the story, doc?
Do I get worker's comp?
Copy !req
533. The story?
Copy !req
534. The story is, you're still alive.
Copy !req
535. Great, but I got a few bills and…
Copy !req
536. There it is, nice and red.
Copy !req
537. He has Otitis media.
He'll be fine.
Copy !req
538. 250 milligrams of oral amoxicillin.
Copy !req
539. If he's not better tomorrow,
call me.
Copy !req
540. All right? It was nice to see you.
Copy !req
541. Bye, tiger.
Copy !req
542. - He's very handsome.
- He knows it.
Copy !req
543. We got a UA and a sed rate
for patient Rebecca Morton.
Copy !req
544. M-O-R…
Copy !req
545. What do you mean?
We sent this an hour ago!
Copy !req
546. It's 1:40 and it was a stat
determination.
Copy !req
547. What're you doing,
picking your noses?
Copy !req
548. Chest pains two hours, question AMI.
Copy !req
549. I will talk to you
any damn way I want to.
Copy !req
550. If I sent for a stat chem…
Copy !req
551. …I want it in an hour,
not sometime next month.
Copy !req
552. Well, we're a little busy here too.
Copy !req
553. When they start going to lunch
things will really slow down.
Copy !req
554. - What do you want me to do?
- Go to lunch.
Copy !req
555. I'm okay, if there's
something to do.
Copy !req
556. Excuse me a minute.
Copy !req
557. Don't be a hero.
Copy !req
558. If I tell you to go to lunch, go.
Copy !req
559. It's a long time before dinner,
and you may be too busy to eat.
Copy !req
560. You never know how long till
your next meal, so eat when you can.
Copy !req
561. Get the hell out of here.
And don't take more than half an hour.
Copy !req
562. Okay.
Copy !req
563. I'm Dr. Greene.
What's the trouble, Mrs. O'Rourke?
Copy !req
564. I'm not Mrs. O'Rourke.
Copy !req
565. Mrs. O'Rourke!
Copy !req
566. Is there a Mrs. O'Rourke here?
Copy !req
567. Get the meds!
Copy !req
568. Tyrone!
What is it?
Copy !req
569. Crack dealer. Took five shots.
We need muscle in here!
Copy !req
570. - He's just a kid.
- Thirteen.
Copy !req
571. Call security!
Why?
Copy !req
572. The other gang members
may come and finish him off.
Copy !req
573. Let's keep it calm. Here we go.
Copy !req
574. This is Tracy Young in ER. I need
someone in Trauma Room 1. Thanks.
Copy !req
575. Surgical 2. Turn right and down.
Copy !req
576. We have a motorcycle accident coming.
Copy !req
577. - Wasn't wearing a helmet.
- Those are stat labs.
Copy !req
578. I'll be across the street. Told
my wife I'd keep this appointment.
Copy !req
579. - Can Susan cover for me?
- Okay. No, not there!
Copy !req
580. Surgical 2!
Copy !req
581. How may I direct your call?
Copy !req
582. Thank you.
Copy !req
583. Yes, may I help you?
Oh, yes, he's expecting you.
Copy !req
584. I'm Dr. Greene to see Dr. Harris.
Copy !req
585. Everyone has a family, Mark.
Copy !req
586. My wife wants to shop. Kids grow up.
Copy !req
587. You want private school, college.
You gotta think about that.
Copy !req
588. Now, the office for our
next associate is here.
Copy !req
589. As a junior man, you'll do all calls
and weekends for a year or so.
Copy !req
590. Compensation…
Copy !req
591. …you'll start out at 120,000 per year,
plus bonuses.
Copy !req
592. The group has a condo in Jamaica
and one in Aspen. Do you ski?
Copy !req
593. Haven't had the opportunity.
Copy !req
594. You should. It's a great sport.
Copy !req
595. Morgenstern tells me that you're
the sharpest guy ER ever had.
Copy !req
596. But I'll tell you,
the ER is a young man's game.
Copy !req
597. You think you're doing good,
but there's a lot to life…
Copy !req
598. …especially this one.
Copy !req
599. We find the practice
intellectually challenging…
Copy !req
600. …so we send our physicians
to major conferences.
Copy !req
601. Last year: Maui, Paris, Rome.
Copy !req
602. We're proud to practice the best
possible medicine we can here.
Copy !req
603. - Seems great.
- You like this?
Copy !req
604. We had Prescott redesign it.
Copy !req
605. We redesign every couple of years.
Keeps us looking fresh.
Copy !req
606. Terrific.
Copy !req
607. Do we have time for lunch?
Copy !req
608. We'll go to the Crown Club.
They have a great porcini pasta.
Copy !req
609. - I gotta get back.
- No oil!
Copy !req
610. Melissa, would you bring
Dr. Greene's coat?
Copy !req
611. - Yes.
- Maybe next week?
Copy !req
612. - We'd love to have you.
- Thank you.
Copy !req
613. Mrs. McCormick, how are you?
Copy !req
614. I thought the Field Museum Ball
was wonderful!
Copy !req
615. - Thank you.
- Margo loved the flower arrangements.
Copy !req
616. Cheer up, doctor, it's only 3:00.
Copy !req
617. Three o'clock.
I must be crazy, huh?
Copy !req
618. That's a very good insight.
Copy !req
619. When did it start raining?
Copy !req
620. It's raining!
Copy !req
621. It has been for an hour.
Copy !req
622. - How's your new student?
- Very capable.
Copy !req
623. - Tough.
- Uh-huh.
Copy !req
624. So I hear you went up to
Harris' today.
Copy !req
625. Did he offer you a job?
Copy !req
626. Yeah. I think I have to go to
a lot of charity balls.
Copy !req
627. There are worse things.
Copy !req
628. I guess.
Copy !req
629. Must be.
Copy !req
630. What's this I hear about you
and that tech up on Surgical 4?
Copy !req
631. - I'm a married man.
- So?
Copy !req
632. - So whatever you heard is not true.
- All right.
Copy !req
633. I heard that she was seriously cute.
Copy !req
634. But you are faithful to your wife.
Is that what you're telling me?
Copy !req
635. - Yes.
- Why would you do something like that?
Copy !req
636. Because I'm too tired
to do anything else.
Copy !req
637. We'll know more when we have
the x-rays. How much do you smoke?
Copy !req
638. Two, three packs a day sometimes.
Copy !req
639. And how long have you been
doing this?
Copy !req
640. Since I was about 14, I guess.
Copy !req
641. - You really should stop that.
- I know.
Copy !req
642. Excuse me.
You can put your clothes back on.
Copy !req
643. Hello?
Copy !req
644. Uh, hi. Listen, I can't talk at work
unless it's… It is?
Copy !req
645. Well, what…?
Copy !req
646. No, I'm on all night.
Copy !req
647. I get off tomorrow night at six.
Copy !req
648. Paul, I thought we broke up.
Copy !req
649. Oh, Paul, come on.
Copy !req
650. Damn!
Copy !req
651. What? No, not you. It's just,
I have to tell a patient something.
Copy !req
652. Listen, is everything all right?
I'm sorry, but I just…
Copy !req
653. Yeah. Okay, bye.
Copy !req
654. We have your x-rays, Mr. Parker.
Copy !req
655. You can see there's a density
in the right middle lobe.
Copy !req
656. What does that mean?
Copy !req
657. Something abnormal within
the structure of your lung.
Copy !req
658. - In my lung?
- That's right.
Copy !req
659. - What is it?
- It could be…
Copy !req
660. …an infiltrate, a dense area
of tissue from an old infection.
Copy !req
661. Perhaps an inhaled foreign body.
Copy !req
662. It could be a granuloma.
It could be a lot of things.
Copy !req
663. - What do you think it is?
- There's no way to know.
Copy !req
664. You'll need
a bronchoscopy and possibly…
Copy !req
665. …exploratory surgery.
Copy !req
666. I understand, but what do you
think in the meantime?
Copy !req
667. You should consider it
potentially serious.
Copy !req
668. So I got cancer.
Copy !req
669. I'm not saying that.
We don't know anything for sure.
Copy !req
670. Let me explain something to you.
Copy !req
671. I'm 40. I have a wife
and three children…
Copy !req
672. …a house not paid for…
Copy !req
673. …and a mother whose house
isn't paid for.
Copy !req
674. I have responsibilities.
Copy !req
675. So I need to know.
I need to know what you think.
Copy !req
676. You should regard your condition
as very serious…
Copy !req
677. - …but await a final determination.
- I don't understand the problem.
Copy !req
678. Are you afraid to tell me the truth?
Copy !req
679. Your history of coughing blood,
weight loss…
Copy !req
680. …and this x-ray
is suggestive of cancer.
Copy !req
681. But the diagnosis is not confirmed,
and it may be something else.
Copy !req
682. And we shouldn't jump to any
conclusions until we know.
Copy !req
683. That's what I think.
Copy !req
684. How long do I have?
Copy !req
685. Six months to a year.
Copy !req
686. - Do I have six months for sure?
- No, not for sure.
Copy !req
687. Okay. I was wondering because I always
wanted to take my wife to Nassau.
Copy !req
688. We talked about it,
but we never did it.
Copy !req
689. I just figured, spring's coming,
it's getting too late to go to Nassau.
Copy !req
690. She always wanted a suntan in the
winter to show off to the neighbors.
Copy !req
691. - I understand.
- Yeah. Yeah.
Copy !req
692. So I guess I'd better go.
Copy !req
693. Summer will be here before you know it,
so I better go soon, huh?
Copy !req
694. Doctor, I want to thank you.
Copy !req
695. I want to thank you for your help
and for being straight with me.
Copy !req
696. I guess I don't have to quit smoking.
Copy !req
697. Mr. Parker, if there's one thing
you learn in my job…
Copy !req
698. …it's that nothing is certain.
Copy !req
699. Nothing that seems very bad
and nothing that seems very good.
Copy !req
700. Nothing is certain.
Copy !req
701. Nothing.
Copy !req
702. I'm sorry.
Copy !req
703. Good evening.
Copy !req
704. How's it going tonight, Mrs. Raskin?
Copy !req
705. Timmy, I have a problem
that requires medical attention.
Copy !req
706. See Dr. Greene.
He's on duty tonight.
Copy !req
707. - Oh…
- ER.
Copy !req
708. Dr. Greene!
Copy !req
709. How nice!
Copy !req
710. - And…
- Good evening.
Copy !req
711. How you doing?
He says he doesn't drink. Then…
Copy !req
712. I require medical attention,
Dr. Greene.
Copy !req
713. Give me a minute, Chris.
Yes, Mrs. Raskin?
Copy !req
714. I have this troublesome…
Copy !req
715. …hangnail.
Copy !req
716. - Mrs. Raskin.
- I'm afraid it may be infected.
Copy !req
717. If we treat you, it's gonna
cost you $180. You do know that?
Copy !req
718. I wish you'd do it for me.
Copy !req
719. You're such a nice young doctor…
Copy !req
720. …and I do appreciate
your taking the time.
Copy !req
721. Okay.
Copy !req
722. We'll handle this in the lab.
Copy !req
723. The lab? Oh, gracious!
Copy !req
724. I had no idea how complicated it was!
Copy !req
725. I'll be excising
Mrs. Raskin's hangnail.
Copy !req
726. I'll stand back.
Copy !req
727. Well, at my age,
you can't be too careful.
Copy !req
728. Please have a seat, Mrs. Raskin.
Copy !req
729. Thank you.
Copy !req
730. Dr. Greene, you look tired.
How have you been?
Copy !req
731. Fine, thanks.
Copy !req
732. And your wife? Is she still
studying for her bar exam?
Copy !req
733. Next month.
We won't see much of each other.
Copy !req
734. This alcohol may feel cold.
Copy !req
735. - Mark, you got time for coffee?
- In half an hour.
Copy !req
736. Okay.
Copy !req
737. She's very cute.
She work here at the hospital?
Copy !req
738. - She's a resident.
- Ah.
Copy !req
739. - Did I tell you my sister got remarried?
- No.
Copy !req
740. How long has it been
since I've seen you?
Copy !req
741. Mm… Just a week or so.
Copy !req
742. - Here we go.
- Oh, don't make such a fuss!
Copy !req
743. Thank you, Dr. Greene.
Copy !req
744. Now, you be a good boy…
Copy !req
745. …and go home to your wife.
Copy !req
746. - Another day, another dollar.
- Good night, Timmy.
Copy !req
747. See you.
Night.
Copy !req
748. Hey, Red.
Copy !req
749. - Hey, Tim.
- How you doing?
Copy !req
750. - I'm good.
- Yeah? Good.
Copy !req
751. Ready to work.
Copy !req
752. - Can you get some…
- Sorry, I'm off.
Copy !req
753. I forgot. See you.
Night.
Copy !req
754. In 3, the lady with pulmonary edema
gets Lasix and a nitroglycerin drip.
Copy !req
755. In 4, there's some kid.
Dr. Ross is looking after him.
Copy !req
756. Five, there's a question pulmonary
embolism. Labs are coming.
Copy !req
757. I need 2 grams chloramphenicol.
Copy !req
758. You're gonna have to get it
from the next shift.
Copy !req
759. - See you tomorrow.
- Good night.
Copy !req
760. Malik needs chloramphenicol.
Copy !req
761. - Coming right up.
- All right.
Copy !req
762. - Good night.
- See you.
Copy !req
763. See you guys tomorrow.
Copy !req
764. ER.
Copy !req
765. Come on, it's not that bad.
It's a very minor cut.
Copy !req
766. - Three stitches.
- It's not the cut!
Copy !req
767. It's the car.
Copy !req
768. I smashed the car.
Copy !req
769. I wasn't supposed to drive it,
and I took the keys…
Copy !req
770. …and I smashed it up.
Copy !req
771. And it was brand-new!
My father loves that car.
Copy !req
772. Well, it might not be
as bad as you think.
Copy !req
773. It was a brand-new Cadillac…
Copy !req
774. …with power steering…
Copy !req
775. …and air conditioning.
Copy !req
776. Oh, God! He'll kill me.
Copy !req
777. It was the first new car he ever had!
Copy !req
778. Ow.
Copy !req
779. Susanne!
Copy !req
780. - Daddy!
- Suzanne.
Copy !req
781. - Oh, my God!
- Oh, Daddy.
Copy !req
782. Could we not move, please?
Copy !req
783. - Is she gonna be all right?
- She's gonna be fine.
Copy !req
784. Oh, honey.
Copy !req
785. Daddy…
Copy !req
786. …I trashed the car.
Copy !req
787. It's all right.
Copy !req
788. The important thing is
that you're okay.
Copy !req
789. Oh, Daddy?
Copy !req
790. What car?
Copy !req
791. The Caddy?
Copy !req
792. Daddy, I'm so sorry.
Copy !req
793. You totaled my new Seville?
Copy !req
794. Suzanne!
Copy !req
795. God!
Copy !req
796. My new Cadillac!
Copy !req
797. It doesn't matter.
Copy !req
798. It doesn't matter.
Copy !req
799. You have six in backup.
That's not good.
Copy !req
800. The worst is yet to come.
Let's move, huh?
Copy !req
801. Okay.
Copy !req
802. Who was that idiot?
Copy !req
803. - Why'd he do it?
- I don't know. He just swallowed it.
Copy !req
804. - Jimmy, why'd you do it?
- Because.
Copy !req
805. You see? He's impossible!
Copy !req
806. Here's the KUB.
Uh-huh.
Copy !req
807. There it is, all right.
Copy !req
808. You mean it's in his stomach?
Copy !req
809. - You said he swallowed it.
- What do I do?
Copy !req
810. Check his stools.
He'll probably pass it.
Copy !req
811. I mean, how do I get into my house?
I'm locked out.
Copy !req
812. You don't have another key?
Copy !req
813. - It's not funny.
- I'm sorry.
Copy !req
814. It's possible to become pregnant
without actual penetration.
Copy !req
815. - Just by fooling around.
- I'm not pregnant.
Copy !req
816. It's important you tell me
why you think you may be.
Copy !req
817. No reason.
Copy !req
818. If you are, you might
have an ectopic pregnancy…
Copy !req
819. …and you'd need
surgery right away.
Copy !req
820. It's serious. It could be
a matter of life and death.
Copy !req
821. I'm not pregnant.
Copy !req
822. Okay. Excuse me for one second.
Copy !req
823. How old?
She's 13.
Copy !req
824. She's got pain in her lower left
side and she's not pregnant?
Copy !req
825. Okay, let's see.
Copy !req
826. Hello, Miss Murphy.
I'm Dr. Benton.
Copy !req
827. How long has it been
since your last period?
Copy !req
828. - I don't know.
- Just think back. Tell me roughly.
Copy !req
829. - It was after Christmas.
- Okay.
Copy !req
830. So it's been a few months.
Copy !req
831. I guess so.
I haven't paid attention.
Copy !req
832. You've had sexual intercourse?
Copy !req
833. Yes.
Copy !req
834. Dr. Carter…
Copy !req
835. …it's an ectopic pregnancy…
Copy !req
836. …and she needs to be scheduled
for ultrasound and surgery right away.
Copy !req
837. How'd it go?
Copy !req
838. You know what Harris' office is like.
It's like a nightclub or something.
Copy !req
839. - He offered you a job?
- Yeah.
Copy !req
840. - But I don't know.
- You don't wanna do it.
Copy !req
841. It doesn't seem
like real medicine to me.
Copy !req
842. - So what's the problem?
- You know what the problem is.
Copy !req
843. - Jennifer?
- Yeah.
Copy !req
844. You can't live your life
for someone else.
Copy !req
845. - I know.
- Especially a lawyer.
Copy !req
846. - She's not a lawyer yet.
- It's gotta be your life.
Copy !req
847. It is. It's just…
Copy !req
848. She keeps talking about
how she doesn't see me anymore.
Copy !req
849. Well, she probably never does.
I never see Paul.
Copy !req
850. I thought you guys broke up.
Copy !req
851. Well, we did. But…
Copy !req
852. …you know.
Copy !req
853. Yeah.
Copy !req
854. Dr. Greene.
Copy !req
855. Yeah, yeah. Right away.
Copy !req
856. - Come on, we gotta go.
- What?
Copy !req
857. - We gotta go.
- Mark, what?
Copy !req
858. Did you hear?
Copy !req
859. Yeah. She's on her way.
Copy !req
860. It's incredible.
Copy !req
861. I don't know how this happened…
Copy !req
862. …to her, of all people.
Copy !req
863. I don't know.
Copy !req
864. Okay, people.
Let's break it up.
Copy !req
865. There's lots to do.
Let's get back to work.
Copy !req
866. Come on.
What do you expect to see?
Copy !req
867. Hey, let's get back to work!
Copy !req
868. Go in here. Head first.
Copy !req
869. My God, it is Hathaway!
Copy !req
870. All right, move her on three.
One, two, three.
Copy !req
871. Let's get her clothes off.
Let's go, let's go!
Copy !req
872. Let's go.
Copy !req
873. Call Respiratory.
Copy !req
874. What'd she take?
Copy !req
875. I don't know.
She went into the medicine cabinet.
Copy !req
876. You have no idea what she took?
Copy !req
877. I want a drug screen, two milligrams
of Narcan and an amp of D50.
Copy !req
878. You wanna pump her?
Yep.
Copy !req
879. Marie, call Neuro.
Call the nursing supervisor.
Copy !req
880. - Did you call her family?
- I don't know her family.
Copy !req
881. Why'd she do it?
It doesn't matter.
Copy !req
882. We don't ask that about other ODs
and we don't ask it about this one.
Copy !req
883. I want blood gas and electrolytes.
Copy !req
884. How hypotensive is she?
80 over 60.
Copy !req
885. - Did she have anything to drink?
- A Scotch.
Copy !req
886. - More than one?
- I don't know. Maybe.
Copy !req
887. What are you people
standing around for?
Copy !req
888. Do the arterial stick.
She got a Babinski?
Copy !req
889. Yeah, positive.
Copy !req
890. How's the oxygen?
Fifteen liters and running.
Copy !req
891. Morgenstern's on his way.
Her serum barb is 45.
Copy !req
892. - Is that a mistake?
- Repeated twice.
Copy !req
893. Close the curtain.
This isn't a show here, people.
Copy !req
894. ER. Yeah.
Copy !req
895. And what's the nature of the…
Copy !req
896. I see.
Copy !req
897. Call Dr. Benton. We got a shotgun
wound to the chest coming in.
Copy !req
898. What a night!
Copy !req
899. Gas distention, distal
to the duodenum is…
Copy !req
900. Call the O.R.
Copy !req
901. Acute small
bowel obstruction.
Copy !req
902. This is a surgical candidate.
Copy !req
903. Oh, you guys are incredible.
What would we do without you?
Copy !req
904. It's nice to see you, Peter.
Man of many talents, all unproven.
Copy !req
905. We get a new barbiturate level yet?
Copy !req
906. It just came back.
Copy !req
907. It's still 45.
Copy !req
908. Mid-range and sluggish.
90 over 70.
Copy !req
909. We just got her barbiturate level.
It's 45 micrograms per milliliter.
Copy !req
910. She's intubated and we're getting
her ready for hemoperfusion.
Copy !req
911. But if she's decerebrating…
You know the question.
Copy !req
912. Should we be trying
any of this at all?
Copy !req
913. It doesn't look hopeful.
Copy !req
914. But for the morale of the unit,
we gotta do everything.
Copy !req
915. I mean, she was…
Copy !req
916. …is…
Copy !req
917. …very popular.
Copy !req
918. The unit's looking to you, Mark.
You set the tone.
Copy !req
919. Yeah.
Copy !req
920. She was one of us.
We loved her. We worked with her.
Copy !req
921. Now something's happened to her.
Copy !req
922. It makes us feel guilty and angry
and scares the hell out of us.
Copy !req
923. But we take care of her,
and then we go on with our jobs.
Copy !req
924. Yeah.
Copy !req
925. You set the tone, Mark.
Copy !req
926. You get the unit through this.
Copy !req
927. I'm fine.
Copy !req
928. Okay.
Copy !req
929. Call me if anything happens.
Copy !req
930. Anything at all.
Copy !req
931. - She really did it, didn't she?
- Yeah, she did.
Copy !req
932. - She seemed okay today.
- Yeah, she seemed fine.
Copy !req
933. She was making jokes.
Copy !req
934. Everything was great. She was funny.
She was joking like always.
Copy !req
935. She was great.
Copy !req
936. Go get some coffee, Doug.
Copy !req
937. Come on. Let's get him up.
Copy !req
938. Alrighty. Good, good.
Copy !req
939. A knife wound.
I thought it was a gunshot wound.
Copy !req
940. Excuse me.
I feel a little…
Copy !req
941. I didn't need you anyway.
Notify the O.R. Let's get a room.
Copy !req
942. Move him out.
Here we go, buddy.
Copy !req
943. Jerry, hold that?
Copy !req
944. Feeling better?
Yeah.
Copy !req
945. I'll be okay in a minute.
It just got to me all of a sudden.
Copy !req
946. Keep your head down.
Copy !req
947. There's no rush. Just relax.
Copy !req
948. It stopped raining.
Copy !req
949. I thought I was going to be sick.
Copy !req
950. I'm sorry.
Copy !req
951. Don't ever say you're sorry.
Copy !req
952. There's two kinds of doctors.
Copy !req
953. Those who get rid
of their feelings…
Copy !req
954. …and those who keep them.
Copy !req
955. If you're gonna keep your feelings,
you'll get sick sometimes.
Copy !req
956. That's just how it works.
Copy !req
957. Keep your head down.
Copy !req
958. People come in here…
Copy !req
959. …and they're sick, dying
and bleeding…
Copy !req
960. …and they need our help.
Copy !req
961. Helping them is
more important than how we feel.
Copy !req
962. But it's still a pain
in the ass sometimes.
Copy !req
963. Sometimes I just want to quit
and do something else.
Copy !req
964. Yeah.
Copy !req
965. Why don't you take
a few more minutes.
Copy !req
966. By the way…
Copy !req
967. …I was in medical school
with Benton.
Copy !req
968. He used to get sick all the time.
Copy !req
969. So don't let him give you any crap.
Copy !req
970. You'll be fine.
Copy !req
971. Steven Howard
has played behind Damon.
Copy !req
972. He'll have to come out
and take that ball away from him…
Copy !req
973. What's the score?
Copy !req
974. De Paul is down.
Copy !req
975. - You okay?
- Yeah.
Copy !req
976. Good.
Copy !req
977. Don't worry about
what happened out there.
Copy !req
978. Just don't make a habit of it.
Copy !req
979. Okay.
Copy !req
980. She's been on dialysis
for three hours. She's still comatose.
Copy !req
981. She took short-acting agents.
She knew what she was doing.
Copy !req
982. - Has the family been notified?
- I think so.
Copy !req
983. - Is she covered on the hospital policy?
- As far as I know.
Copy !req
984. Has anyone talked to the press office?
Copy !req
985. This is bad publicity.
Copy !req
986. Some damn TV network will try
to make a sentimental movie about her.
Copy !req
987. I'll get on it.
Anybody know why she did it?
Copy !req
988. No one knows.
Her fiancé didn't know anything.
Copy !req
989. They're supposed
to get married in June.
Copy !req
990. Who's next?
Copy !req
991. I am, doctor.
Copy !req
992. Now lean forward.
You feeling any pain?
Copy !req
993. It's better when I lean forward.
Copy !req
994. Okay. Lydia, could I borrow your pen?
Copy !req
995. Mr. Larkowsky, I'm going
to admit you to the hospital…
Copy !req
996. …and start you on a medical regimen.
Copy !req
997. There's some question in my mind
whether that's necessary…
Copy !req
998. …but it's better
to be safe than sorry.
Copy !req
999. What is it?
Copy !req
1000. What's the matter?
Copy !req
1001. - You don't have to hide the truth.
- The truth?
Copy !req
1002. I know you're being nice,
but you can tell me.
Copy !req
1003. It's okay.
I want to know the truth.
Copy !req
1004. You have a duodenal ulcer
with complicating pancreatitis.
Copy !req
1005. Rather mild pancreatitis, judging
from the lab figures. That's all.
Copy !req
1006. Come on. You can tell me.
Copy !req
1007. You don't have cancer, Mr. Larkowsky.
Copy !req
1008. I knew it, I knew it!
It's cancer.
Copy !req
1009. You were hiding it.
Copy !req
1010. Every person that comes
into this hospital…
Copy !req
1011. …whether they have
a heart attack or a skin rash…
Copy !req
1012. …everybody worries about cancer.
Copy !req
1013. You don't have cancer. I swear to you.
You do not have cancer.
Copy !req
1014. - It's not cancer?
- No.
Copy !req
1015. You have an ulcer
which flared up today…
Copy !req
1016. …because you went to a party
and drank and smoked.
Copy !req
1017. Both of which
you're gonna have to quit.
Copy !req
1018. - Quit smoking and drinking?
- Yeah, that's right.
Copy !req
1019. Quit smoking and drinking?
What, are you kidding me?
Copy !req
1020. We'll have to get x-rays on him.
Right away, doctor.
Copy !req
1021. How did this happen?
Copy !req
1022. He fell out of his crib.
Copy !req
1023. He fell out of his crib?
Copy !req
1024. He was crying all night,
so I came here.
Copy !req
1025. I bet he was.
When did he fall?
Copy !req
1026. I don't know.
I don't want to get into trouble.
Copy !req
1027. - Your son has multiple contusions.
- He's not my son.
Copy !req
1028. - Whatever your relationship is…
- I'm his babysitter!
Copy !req
1029. Come on. There we go.
Copy !req
1030. This child has been beaten.
Copy !req
1031. - I'm gonna call Children Services.
- Please! I'll get into trouble.
Copy !req
1032. Stay here.
Copy !req
1033. Yes, doctor.
Copy !req
1034. I don't believe this.
Copy !req
1035. You want to make a guess
on the diagnosis of this one?
Copy !req
1036. I burnt my legs.
Copy !req
1037. I see.
Copy !req
1038. It's not funny.
Copy !req
1039. If you'll just come with me,
I'll take your name.
Copy !req
1040. College student?
Sacred Heart.
Copy !req
1041. And how'd this happen?
Copy !req
1042. I was pouring hot water
into the sink and it splashed.
Copy !req
1043. It's not bad.
First-degree burns.
Copy !req
1044. There's no blistering,
and there won't be any scarring.
Copy !req
1045. - It's very sensitive skin.
- Uh-huh.
Copy !req
1046. Your touch is nice.
Copy !req
1047. This medication will make
you feel a lot better.
Copy !req
1048. - Your fingers are very long.
- Uh-huh.
Copy !req
1049. - Long and strong.
- Hmm.
Copy !req
1050. I wanted to change first
and put on some new underpants.
Copy !req
1051. - Hmm.
- I knew you'd be seeing my underpants.
Copy !req
1052. And touching them.
Copy !req
1053. You'll want to keep these bandages
very dry for a day or so.
Copy !req
1054. Don't take any showers or baths.
Just a sponge bath.
Copy !req
1055. - Why is that nurse here?
- Hospital policy.
Copy !req
1056. She's not assisting.
She doesn't have to be here.
Copy !req
1057. Are you afraid of me?
Copy !req
1058. You're gonna be just fine
in a few days.
Copy !req
1059. Thanks, Lydia.
Copy !req
1060. Okay.
Copy !req
1061. After dinner?
Copy !req
1062. Yeah, right after dinner…
Copy !req
1063. …I felt this little aching,
this burning, you know?
Copy !req
1064. Low.
Copy !req
1065. And you have an aneurysm?
Copy !req
1066. Yeah, they're gonna operate
on me next month.
Copy !req
1067. Mr. Harvey, we're just waiting
for your old film, so just rest easy.
Copy !req
1068. We'll fix you up right away.
We'll take care of it.
Copy !req
1069. Thank you, doctor.
Okay, thank you.
Copy !req
1070. He's bleeding into his belly.
He can go anytime. Who's on?
Copy !req
1071. Ashley and Jimmy
have the appendectomy.
Copy !req
1072. Gill and Levine are
with the knife wound.
Copy !req
1073. They pulled Ed to do the lady
with the small bowel.
Copy !req
1074. Vascular team?
Copy !req
1075. - In Minneapolis.
- Where's Baker?
Copy !req
1076. - Baker's in the Bahamas.
- This guy could die any minute.
Copy !req
1077. I know, but there's no one to do him.
Copy !req
1078. Okay, call Morgenstern.
Tell him to get over here.
Copy !req
1079. I'm starting a ruptured aneurysm.
Copy !req
1080. You can't.
You're just a resident.
Copy !req
1081. What do you want to do?
This guy could die.
Copy !req
1082. - I know that, but…
- Look!
Copy !req
1083. I'm just trying to keep him alive
until Morgenstern shows up.
Copy !req
1084. Now call the O.R. and tell them
to set up for a laparotomy.
Copy !req
1085. Please.
Copy !req
1086. This is Dr. Lewis.
Get me Morgenstern.
Copy !req
1087. Find him! We have an aortic
aneurysm, and Dr. Benton's starting.
Copy !req
1088. He'd like some help.
That's right. Dr. Benton's starting.
Copy !req
1089. - What's on?
- Ruptured abdominal aneurysm.
Copy !req
1090. - Who's doing it?
- Dr. Benton.
Copy !req
1091. Dr. Benton?
Copy !req
1092. I'm doing anesthesia for you.
Copy !req
1093. Great. Get down to the blood
bank, make sure they send us 20 units.
Copy !req
1094. And get the nurses jumping.
The patient's on his way.
Copy !req
1095. You, uh…
Copy !req
1096. You sure you're okay about this?
Copy !req
1097. I'm scared as hell.
The guy's already ruptured his belly.
Copy !req
1098. He's bleeding to death internally.
Copy !req
1099. I gotta do him.
I'm his only chance.
Copy !req
1100. Evening. I wanted you to know…
Copy !req
1101. …I'll be starting a ruptured
aortic aneurysm in Room 2.
Copy !req
1102. I'd appreciate a hand
when you have a minute.
Copy !req
1103. What did he say?
He said he's doing an aneurysm.
Copy !req
1104. That's a joke, isn't it?
Copy !req
1105. Cheryl? Go make sure he's joking.
Copy !req
1106. Dr. Ashley, he's doing it.
Copy !req
1107. You're kidding!
Jim, break and help him.
Copy !req
1108. I'll finish here
and get there as soon as I can.
Copy !req
1109. Okay, boys and girls, let's go.
This isn't a picnic. Prep, please.
Copy !req
1110. Prep, please!
Come on, quit staring at me.
Copy !req
1111. I'm just trying
to keep the poor guy alive.
Copy !req
1112. All right, plastic.
Copy !req
1113. Jimmy's coming in to help.
Oh, great!
Copy !req
1114. The only guy that knows less
about vascular surgery than I do.
Copy !req
1115. Okay, is Mr. Harvey happy?
He isn't complaining.
Copy !req
1116. Then let's do this. Knife, please.
Copy !req
1117. Thank you.
Copy !req
1118. We're starting at 2:13 a.m.
Copy !req
1119. Let's see how long the chief takes
to get off of his girl and into work.
Copy !req
1120. Ah, yes.
Copy !req
1121. Nice and slow.
Copy !req
1122. Started without you, Jimmy.
Copy !req
1123. There you go, sir.
Copy !req
1124. Listen up. We're going
straight down the linea alba.
Copy !req
1125. Nothing fancy.
The guy's got a 50% mortality anyway.
Copy !req
1126. Suction.
Thank you, for all the good it'll do.
Copy !req
1127. Pick up.
Come on, Jimmy, work with me.
Copy !req
1128. Pick up.
Copy !req
1129. Lot of blood in there.
Copy !req
1130. It's precisely his problem.
Copy !req
1131. Okay, here we go.
Copy !req
1132. Wish me luck. Knife.
Copy !req
1133. Whoa!
Copy !req
1134. Systolic's holding at 100.
Copy !req
1135. Mother!
Copy !req
1136. Now!
Copy !req
1137. Can't find it.
Copy !req
1138. Damn it!
Copy !req
1139. There! No, no.
Copy !req
1140. Get your hand in there
and push away the small intestine.
Copy !req
1141. Where are you, little leak?
How bad is his pressure?
Copy !req
1142. - You won't like it.
- I won't like it? Think about him.
Copy !req
1143. Carol…
Copy !req
1144. …hang six more units packed cells
and a unit of plasma and platelets.
Copy !req
1145. Wait a minute.
Copy !req
1146. Wait a minute.
Copy !req
1147. It's too much to hope, huh?
Copy !req
1148. I got it.
Copy !req
1149. Yeah, I got it.
Time down.
Copy !req
1150. Call it out in minutes.
Copy !req
1151. Let's suck this field clean
so we can see what we're doing.
Copy !req
1152. Dr. Benton, the chief resident is
in the hospital and on his way.
Copy !req
1153. Well, suck that field clean,
we got the chief coming!
Copy !req
1154. We don't want him to think
we don't know what we're doing.
Copy !req
1155. Pressure?
100 over 70 and falling.
Copy !req
1156. I won't sweat that.
Let's just keep that blood going in.
Copy !req
1157. Jimmy, your hands are trembling.
Copy !req
1158. - I can't imagine why.
- Yeah, well, me neither.
Copy !req
1159. But everything's cool here.
All we have to do is sit and wait.
Copy !req
1160. Dr. Ashley will be with you
as soon as he can.
Copy !req
1161. All of a sudden, I got all
the help I want, huh?
Copy !req
1162. Okay.
Copy !req
1163. Start a nitroglycerine drip.
Copy !req
1164. 50 and 250 D5W,
80 of Lasix. IV push.
Copy !req
1165. Get a CBC, lytes, cardiac enzyme…
Copy !req
1166. …chest X-ray and a 12-reading EKG.
Copy !req
1167. You take digitalis, dear?
Copy !req
1168. Have you taken any today?
This morning?
Copy !req
1169. Add a dig. Level.
Copy !req
1170. Meanwhile, three milligrams
of morphine. IV push.
Copy !req
1171. I can't give this up.
Copy !req
1172. No, no, no.
Not you, you're fine.
Copy !req
1173. - Your wife on 2204.
- I'll have to call her back.
Copy !req
1174. Sure taking a long time
getting in here, huh?
Copy !req
1175. They've been out there scrubbing
for the last month.
Copy !req
1176. You know, it's times like these
when I get into a reflective mood…
Copy !req
1177. …and I pause and think of how…
Copy !req
1178. Morning, Peter.
Give it to me quick.
Copy !req
1179. Fifty-seven-year-old male,
in good health, seen eight weeks ago…
Copy !req
1180. …where he was found to have
a pulsatile abdominal mass…
Copy !req
1181. …with aortic calcification on X-ray.
Copy !req
1182. Surgery was scheduled for next month.
Copy !req
1183. But this evening, he had
intermittent pain in the mid-back.
Copy !req
1184. When he got here, he had…
Copy !req
1185. …a distended abdomen, peritoneal
irritation and reduced hematocrit.
Copy !req
1186. So you decided to open him up.
Copy !req
1187. This is the worst incision
I've seen in a while.
Copy !req
1188. A good veterinarian would do
a better skin cut than that.
Copy !req
1189. All right, hold on.
Copy !req
1190. Got it.
Copy !req
1191. What's his pressure?
Copy !req
1192. 90 over 65,
and he's gotten 12 units.
Copy !req
1193. We'll take over,
try to make something out of it.
Copy !req
1194. Hey, humor me.
Have some dopamine standing by.
Copy !req
1195. Hoover that, will you?
Copy !req
1196. Sounds like a plan.
Good.
Copy !req
1197. Give me a little more room in there.
Copy !req
1198. Thank you.
Copy !req
1199. Look at that.
Copy !req
1200. Peter.
Copy !req
1201. You did a good job.
Copy !req
1202. You were lucky,
but you were right to open him up.
Copy !req
1203. Good work.
Copy !req
1204. Yeah, clear it out.
Copy !req
1205. Let me see if I can…
Copy !req
1206. Pull it out for a second.
Copy !req
1207. That's what we want, right there.
That's right.
Copy !req
1208. Shh, shh, shh.
Copy !req
1209. Why is he still crying?
Why haven't you given him something?
Copy !req
1210. Look! He's still crying.
Why aren't you giving him something?
Copy !req
1211. I can't until I know
the extent of his injuries.
Copy !req
1212. He's been to X-ray.
We saw a skull fracture.
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1213. A skull fracture?
The babysitter!
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1214. I never trusted her.
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1215. Your child has contusions
that are 12 hours old.
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1216. He has a skull fracture. He also has
several old healed fractures.
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1217. This is a battered child.
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1218. I'm not even gonna respond to that.
You think I'd harm my child?
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1219. It happens all the time.
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1220. I'm taking him home.
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1221. - No! You have anything to say?
- He's my date.
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1222. Look.
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1223. - I can assure you, whoever you are…
- Ross.
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1224. Dr. Ross.
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1225. Dr. Ross, let me tell you
your concerns are unfounded, okay?
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1226. - How'd he burn his legs?
- What?
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1227. These marks right here.
On his legs.
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1228. Those are healed burn scars.
How did that happen?
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1229. He, I…
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1230. I don't know anything about burns.
I think you're making this up.
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1231. - You might call an attorney.
- I am an attorney!
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1232. Then you know what Child Services
will do.
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1233. How dare you?
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1234. How dare you treat your child
like this? He's a little kid!
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1235. I try to be understanding in my job.
But, lady, this just stinks.
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1236. - You find that chart?
- I can't find it.
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1237. - Well, find it!
- I don't…
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1238. Do you think I am deaf?
I heard you.
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1239. - Now find me the chart!
- I told you, I don't know where it is!
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1240. Is it okay?
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1241. You can go now.
You did the right thing.
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1242. I mean, is the baby okay?
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1243. He will be.
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1244. Oh, man!
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1245. So how's Hathaway?
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1246. It doesn't look good.
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1247. They contact her family?
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1248. Yeah, they found them.
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1249. - So how'd your aortic aneurysm go?
- Morgenstern showed.
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1250. Dr. Benton
to Trauma 1. Dr. Benton to Trauma 1.
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1251. Well… No rest for the wicked.
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1252. Jerry, Perez. Let's go.
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1253. - What's the problem?
- We picked him up in Old Town.
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1254. He was standing, blocking traffic.
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1255. But he's got that smell,
so I thought I'd check.
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1256. You did the right thing.
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1257. We got a diabetic ketoacidosis.
Let's go.
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1258. You probably saved his life.
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1259. What do you want, a medal?
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1260. Give him 10 units
regular insulin, IV push.
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1261. Start a drip, 10 units per hour.
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1262. I want him hydrated as soon
as possible with normal saline.
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1263. And you want KCl?
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1264. Not on your life.
Get a CBC and lytes.
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1265. Call me with the potassium,
and get a blood gas.
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1266. Did you get the message
your wife called?
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1267. No.
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1268. I'll call her in the morning.
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1269. Hello, Mrs. Harvey.
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1270. Okay, let's have a look here.
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1271. - He seems to be doing fine.
- Oh, I'm so grateful.
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1272. Dr. Morgenstern came so quickly.
He saved his life.
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1273. Yes, well, Dr. Morgenstern's
a wonderful surgeon.
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1274. He said you did a lot too.
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1275. Actually, I just helped out
a little bit. That's all.
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1276. I'll check on you later, okay?
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1277. I'm sorry I yelled at you.
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1278. You want some coffee?
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1279. Sure.
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1280. I wouldn't kid you about that.
I had a few.
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1281. - Maybe more than a few.
- Uh-huh.
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1282. Hell of a party, though!
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1283. Okay, Mr. Murphy, you are done.
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1284. Already? Oh, yeah?
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1285. I didn't feel a thing.
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1286. No, I didn't.
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1287. I still don't.
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1288. He was in, I guess, 10 days.
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1289. And you know what it cost?
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1290. $24,000. More than $24,000!
That's what it cost.
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1291. And I want to know where doctors
get off charging money like that?
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1292. Medical costs certainly are on the rise.
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1293. That's why we need
national health insurance.
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1294. It's a scandal! Those doctors
should be ashamed of themselves.
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1295. Many of them are, I'm sure.
Let's hear what folks out there think.
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1296. Call Carl Barker on Nightline.
We'll be back in just a minute.
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1297. That's it? Anybody else?
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1298. Ahem. Well, I got a little problem.
My throat's acting up.
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1299. You need to see a doctor.
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1300. - Which room?
- Five and six are open.
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1301. Five.
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1302. Is that it?
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1303. Well, my throat.
I've got some soreness.
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1304. I'll be in Room 8.
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1305. You got a pen?
Wake me at 6:30.
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1306. That gives you an hour and a half.
You're lucky.
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1307. 6:30, Dr. Greene.
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1308. Wow.
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1309. Wow.
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