1. What do they need us for?Copy !req
2. A lady's been trapped
in a car for an hour.Copy !req
3. They can't move her until we intubate.Copy !req
4. - They always drive this fast?
- Yep.Copy !req
5. - They ever hit anybody?
- All the time.Copy !req
6. - How can you eat through this?
- Hungry.Copy !req
7. All right, we're here.
Grab the O-neg, stay close.Copy !req
8. Cherokee missed the runway,
slammed into a car.Copy !req
9. Guy in the plane's toast.
A lady's pinned in the back seat.Copy !req
10. Fire's been trying to get to her.
Plane's leaking fuel.Copy !req
11. They can't use the jaws.Copy !req
12. - I'm freezing. Anybody got a coat?
- Get the doctor a coat.Copy !req
13. We managed two large IVs.Copy !req
14. BP's 70 over 30.
Golden hour's almost over.Copy !req
15. Head trauma, ALOC.Copy !req
16. We've been bagging her
but she's been gagging.Copy !req
17. Husband and kids are
already at the hospital.Copy !req
18. Carter, follow me in.Copy !req
19. Get that O-neg going, all right?Copy !req
20. If we don't get her out in
a couple minutes, she won't make it.Copy !req
21. Start with Pavulon.Copy !req
22. Versed to sedate.Copy !req
23. Cricoid pressure.Copy !req
24. I got it.Copy !req
25. Finally, succinylcholine.Copy !req
26. What the hell is that?Copy !req
27. It's aviation fuel.
Laryngoscope.Copy !req
28. - I wouldn't smoke.
- Think gasoline comes out of camel hair?Copy !req
29. Can we get in here?
Two seconds.Copy !req
30. - New coat?
- Christmas.Copy !req
31. - Nice.
- It was.Copy !req
32. All right, let's go!Copy !req
33. Release pressure. All right, clear out.Copy !req
34. Slide out, Carter. Keep bagging.Copy !req
35. Start the chopper!
Let's move it! They're coming out.Copy !req
36. Move her. Move her fast.Copy !req
37. Thank you.Copy !req
38. May I? Thanks.Copy !req
39. Watch out.Copy !req
40. So you decide on a specialty yet?Copy !req
41. - My folks are set on cardiology.
- Well, what are you thinking?Copy !req
42. - I'm thinking this is pretty exciting.
- It's not bad.Copy !req
43. Stress, late nights, hard work, no pay.Copy !req
44. It's hard to beat.
Watch her head!Copy !req
45. Let's go, guys. Move her, move her.Copy !req
46. Both femurs broken…Copy !req
47. …possible spinal cord injury,
pressure's 80.Copy !req
48. We're gonna notify the O.R.
before we get there.Copy !req
49. You fly before?Copy !req
50. Oh, yeah, lots of times.Copy !req
51. What's the M.A.R.?
County General.Copy !req
52. Faster!Copy !req
53. Make sure you get that fire out.Copy !req
54. She gonna make it?
She is now.Copy !req
55. Watch that tail rotor!Copy !req
56. We're gonna move her on three. Ready?Copy !req
57. One, two, three.Copy !req
58. No room!Copy !req
59. Can't go. Stay here. Grab our stuff
and ride back with the paramedics.Copy !req
60. She's free. Long backboard.Copy !req
61. Hell of a life, isn't it?Copy !req
62. - What?
- It's a hell of a life.Copy !req
63. I said, I wanna have sex
with your wife.Copy !req
64. Watch your back, please.
Coming through.Copy !req
65. - God, he's in a foul mood.
- Today's a good day.Copy !req
66. You finish your presentation?Copy !req
67. Not yet. I was gonna grab
a few minutes this morning. You?Copy !req
68. I am so far behind,
I may not even finish.Copy !req
69. - Benton's gonna kill me.
- Just do your best.Copy !req
70. How can we prepare when we
follow him on 36-hour shifts?Copy !req
71. Ms. Chen, if this surgical rotation is
too much, there's always dermatology.Copy !req
72. 48-year-old MVA, fractured
right femur, pressure's 60 over 40.Copy !req
73. Abdomen's rigid.
All right.Copy !req
74. Let's get some O-neg going,
wide open.Copy !req
75. Already did it.Copy !req
76. - What's your name, sir?
- Bill McClintock.Copy !req
77. - Mr. McClintock, is it tender here?
- Oh.Copy !req
78. - Were you wearing a seat belt?
- No.Copy !req
79. You will next time, I bet.
Peritoneal lavage?Copy !req
80. Carter, look at this abdomen.Copy !req
81. Either he's bleeding out and needs the
O.R. or he's giving birth to a basketball.Copy !req
82. - Haleh, call up to the O.R.
- I already called.Copy !req
83. - Dr. Benton, head trauma in 1.
- All right, I'll be right there.Copy !req
84. Ms. Chen, get a Foley catheter started.Copy !req
85. You ever do one before?Copy !req
86. In for a treat.Copy !req
87. Carter, since when does it take
two students to start a Foley?Copy !req
88. Clean it with Betadine,
put K-Y on the catheter…Copy !req
89. …and thread it in.Copy !req
90. - Give it to me.
- 42 years old, collapsed playing handball.Copy !req
91. 40 palp, tachycardic 110, resps 30.Copy !req
92. Two liters NS in. 15 liters O-2.
Name's Jonathan Weiss.Copy !req
93. Am I having a heart attack?Copy !req
94. Am I having a heart attack?Copy !req
95. - You have a history of cardiac trouble?
- No.Copy !req
96. I'll get a CBC, Chem-7, enzymes,
coag panel and chest film.Copy !req
97. He's pale. He's not oxygenating.Copy !req
98. Pressure's still 40 palp.Copy !req
99. - What do we got, Susan?
- Possible MI.Copy !req
100. - I don't wanna die.
- We don't want you to die.Copy !req
101. So you do your part
and we'll do ours.Copy !req
102. His breathing's not improving.
Could be a pulmonary embolism.Copy !req
103. What?
A blood clot in your lungs.Copy !req
104. Have you had any surgery recently?Copy !req
105. Any kind of car accident, any trauma?
No.Copy !req
106. - Spent a lot of time traveling, sitting?
- No.Copy !req
107. EKG?Copy !req
108. - T wave inversions. I'm thinking heart.
- I'm not. VQ scan!Copy !req
109. He has no risk factors.Copy !req
110. I need that chest film.Copy !req
111. And I need an echo.Copy !req
112. Well, that can't hurt.
Let's do it.Copy !req
113. Mr. Conally?Copy !req
114. - Yeah?
- Where are you?Copy !req
115. Right here. Under the sheet.Copy !req
116. Why are you under the sheet?Copy !req
117. I've been dead for two days.Copy !req
118. Okay.Copy !req
119. But you are still suffering
from headaches?Copy !req
120. Oh, boy, am I ever.Copy !req
121. And what precipitates
these headaches?Copy !req
122. Death.Copy !req
123. What was that?Copy !req
124. Nervous tic. I've had it for years.Copy !req
125. Blood gases are back.
PO-2's low.Copy !req
126. - Where's the chest film?
- Right here.Copy !req
127. The pulse ox is down to 51.
Pulmonary artery's enlarged.Copy !req
128. - He's crashing.
- Perfusion scan?Copy !req
129. VQ mismatch.Copy !req
130. You were right.
1.5 million units streptokinase.Copy !req
131. Forget that. Get him to Trauma.
We need a fluoroscope.Copy !req
132. Somebody get Morgenstern.
Rolando, we got a Trauma room?Copy !req
133. Yeah. Two's open.Copy !req
134. - Gonna do an embolectomy?
- First time for everything.Copy !req
135. - What's going on?
- Saddle embolus, Mark's going in.Copy !req
136. He's doing an extraction in the ER?Copy !req
137. Mr. Smitrovich is in 4.
CBC, Chem-7, blood gases, IV started.Copy !req
138. Luchesse's in 6. Abdominal pain,
vomiting blood…Copy !req
139. …NPO, a nasogastric tube…Copy !req
140. - Dr. Benton?
- What is it?Copy !req
141. If Dr. Greene is doing an embolectomy,
we… I'd like to observe it.Copy !req
142. - Who's stopping you? Go.
- Thanks.Copy !req
143. You wanna go too?
Get out of here.Copy !req
144. - What's the matter with you?
- Luchesse?Copy !req
145. Vomiting blood, NPO,
nasogastric tube, gastric lavage.Copy !req
146. You ordered a gastric lavage?Copy !req
147. - I wrote it down. You have to sign it.
- Nurse?Copy !req
148. - I write my own orders.
- Nurse?Copy !req
149. If you're having a problem today,
don't take it out on me.Copy !req
150. I write the orders,
you carry them out, understood?Copy !req
151. - Nurse!
- What?Copy !req
152. Isoproterenol's going.Copy !req
153. Ease the catheter in slowly…Copy !req
154. …and thread it up to
the pulmonary artery.Copy !req
155. Be careful not to puncture
the vena cava.Copy !req
156. - How's Mr. Weiss doing?
- Resps are up to 45.Copy !req
157. Pulse ox down to 63.Copy !req
158. Hang in there, you'll be feeling better
before you know it.Copy !req
159. Carter, Chen, why don't you
get over here so you can see.Copy !req
160. See that?Copy !req
161. I'm in the right ventricle.Copy !req
162. Is that cool, or what?Copy !req
163. - Carter, you see the embolus?
- Yeah, it's huge.Copy !req
164. Position the cup against the clot.Copy !req
165. Good. Start your syringe suction…Copy !req
166. …and aspirate the embolus
into the cup.Copy !req
167. Got it.Copy !req
168. Now work back down.Copy !req
169. Just like snaking a drain.Copy !req
170. Well, folks, I got a date
with a bile duct.Copy !req
171. Carry on, one and all.Copy !req
172. - Pulse ox up to 85.
- Resps are coming down.Copy !req
173. How you feeling, Mr. Weiss?Copy !req
174. I can breathe.Copy !req
175. I can breathe.Copy !req
176. Okay, Harold. So something bit you?Copy !req
177. - Pet snake.
- Oh, yeah? I used to keep frogs.Copy !req
178. Frogs are amphibians.
My snake eats frogs.Copy !req
179. - What kind of snake?
- Yellow eyelash pit viper.Copy !req
180. You have a pet pit viper?
Is it poisonous?Copy !req
181. - Very.
- I'll call poison control.Copy !req
182. Are you feeling weak, Harold,
nauseous, any chills?Copy !req
183. No. Can you tell if
it's poisonous just by looking?Copy !req
184. I don't think so.Copy !req
185. Because I got him
right here in the bag.Copy !req
186. We're gonna keep him
in the bag, okay?Copy !req
187. No. He's cold-blooded
and I had him on the El all day.Copy !req
188. He'll sleep.Copy !req
189. He was here a minute ago.Copy !req
190. Don't contradict me
in front of nurses.Copy !req
191. I wasn't contradicting you,
we disagreed on a diagnosis.Copy !req
192. I'd appreciate your showing
more restraint.Copy !req
193. The man was dying.Copy !req
194. I'm asking you for respect.
Will you give it to me?Copy !req
195. - I wasn't being disrespectful…
- Yes or no?Copy !req
196. I respect you, Susan.Copy !req
197. Thank you. Now, try to show it
once in a while.Copy !req
198. - I'll get animal control in here.
- Doug, what's going on?Copy !req
199. This is Dr. Ross in ER.
Pit viper got loose.Copy !req
200. - A snake?
- A big snake.Copy !req
201. Dr. Greene? 36-year-old woman
with breast cancer…Copy !req
202. …brought in from Dignity House.Copy !req
203. Two modified radical mastectomies,
spread to her lymph nodes.Copy !req
204. - Who are you?
- Anita Risberg, a nurse at the hospice.Copy !req
205. - Mark Greene. She have chemo?
- Tamoxifen.Copy !req
206. But it's metastasized.Copy !req
207. - Pelvis. Spine.
- You got her on morphine?Copy !req
208. 120 mg just to sleep, but the last
few days, it's just not enough.Copy !req
209. I got worried if I up the dose,
it'd cause further respiratory depression.Copy !req
210. You're right. What's her name?Copy !req
211. Grace. Grace Holsten.Copy !req
212. - Hi, Grace. I'm Mark Greene.
- Doctor.Copy !req
213. We'll make you more comfortable.Copy !req
214. Doctor, please…Copy !req
215. …let me die.Copy !req
216. Please…Copy !req
217. …let me die.Copy !req
218. Animal control guy believes
it's a tree snake.Copy !req
219. He thinks it'll crawl up
high where it's warm.Copy !req
220. Sorry, doc.Copy !req
221. I'll spend the rest of the day
on my hands and knees.Copy !req
222. Lydia, Doug. Come over here.
Okay.Copy !req
223. It took 6 months and a couple thousand
requisition forms, but I finally did it.Copy !req
224. Guess what's under the sheet?Copy !req
225. - Come on, guess.
- We don't wanna guess.Copy !req
226. Oh, come on, please?Copy !req
227. - New day bed for the lounge?
- Nope.Copy !req
228. - New vending machines?
- Nope.Copy !req
229. Ta-dum! New crash carts.
Wow! All right.Copy !req
230. - I won't get zapped anymore.
- Where'd you get those?Copy !req
231. Cardiology wanted them,
but I was relentless.Copy !req
232. An abdominal pain in 3
and a gunshot victim coming in.Copy !req
233. Now, no raiding off
the new crash carts.Copy !req
234. Everything on these carts
stays on the carts.Copy !req
235. Thank you.Copy !req
236. Dr. Benton, about this afternoon's
trauma presentation.Copy !req
237. - I'm not fully prepared.
- You've known for weeks.Copy !req
238. - Yes, sir, I know that…
- Don't call me sir, Ms. Chen.Copy !req
239. Yes, sir. I mean, doctor.Copy !req
240. I'm sorry.Copy !req
241. I only need a half-hour or so.Copy !req
242. What about you, Mr. Carter?
Do you also need more time?Copy !req
243. No. I'm all set.Copy !req
244. Well, when you find you have
the time to rejoin us, please do so.Copy !req
245. 84-year-old man,
complaining of abdominal pain.Copy !req
246. - Where's his chart?
- In the rack.Copy !req
247. At the desk.Copy !req
248. Carter, go get his chart.Copy !req
249. I'll need a CBC, Chem-7,
coag panel and drop…Copy !req
250. …a nasogastric tube.
You gonna write this down?Copy !req
251. I'm not comfortable taking
verbal orders.Copy !req
252. I think you better write
everything down for us.Copy !req
253. - Us?
- The nurses.Copy !req
254. Here's his chart.Copy !req
255. Start writing.Copy !req
256. Grace…Copy !req
257. …we've added fentanyl to the morphine.
See if that helps.Copy !req
258. If it doesn't work,
we have three choices.Copy !req
259. We can insert a catheter
into your spinal cord…Copy !req
260. - …to deliver the morphine.
- No.Copy !req
261. Or we can surgically cut
the spinal tracts…Copy !req
262. …that carry the pain
from your legs and back.Copy !req
263. - No.
- Or we can increase your morphine…Copy !req
264. …but your dosage is so high
it might depress your breathing.Copy !req
265. Can you stop this pain?Copy !req
266. I'm not sure. We're trying.Copy !req
267. Try harder.Copy !req
268. - Resps?
- Fourteen.Copy !req
269. Let me know if her breathing
gets any worse.Copy !req
270. Don't even ask.Copy !req
271. Mark, keep me company.Copy !req
272. - Good call on that pulmonary embolism.
- Thanks.Copy !req
273. Oncology found a small polyp.
If he hadn't tossed a clot…Copy !req
274. …who knows how far that would've
gone before rearing its ugly head.Copy !req
275. - What's all this?
- Some kind of tree snake got loose.Copy !req
276. Really?Copy !req
277. I was impressed about
your concern for the students.Copy !req
278. Making sure they were
involved and learning.Copy !req
279. You're a fine teacher. Given any thought
as to what you'll do next year?Copy !req
280. Start repaying med school loans.Copy !req
281. Sent a few letters
but I haven't started.Copy !req
282. Why don't you think about
joining the staff here?Copy !req
283. As an attending?Copy !req
284. You won't make as much money
as the cowboys at private hospitals…Copy !req
285. …but there are other rewards,
ephemeral as they may be.Copy !req
286. - Well, think about it anyway.
- No, I'd be honored. Really.Copy !req
287. Ah, here's my bus.Copy !req
288. - Thank you.
- Thank you. You earned it.Copy !req
289. 12-year-old male, multiple gunshots
to the leg and abdomen.Copy !req
290. We scooped and ran. IV's wide open,
had two liters, no palpable pressure.Copy !req
291. All right, let's look alive.
Let's wheel him in.Copy !req
292. O-neg. Let's move.
Grab me that dynamap.Copy !req
293. That IV infiltrated?
Hang the blood Y-tubing.Copy !req
294. Ready, lift.Copy !req
295. Let's get an H and H.
I don't get a pulse.Copy !req
296. - He's still breathing.
- Tried to apply pressure…Copy !req
297. …but he was a sieve.
Name's Yummy Jackson.Copy !req
298. - Drive-by?
- Drug deal gone bad. Gang thing.Copy !req
299. At 12 years old?Copy !req
300. Kid had a Tech-9 and a Ruger on him
when we found him.Copy !req
301. Trauma 1, get in here now!
Watch that line.Copy !req
302. - She's still in a lot of pain.
- Okay.Copy !req
303. Grace, I'm sorry the fentanyl
isn't helping much.Copy !req
304. It's helping a little.Copy !req
305. Can we do anything
to make you more comfortable?Copy !req
306. You can shoot me.Copy !req
307. I'm sorry, I didn't bring my gun
to work today.Copy !req
308. I don't think it's safe to
up the morphine any higher.Copy !req
309. Afraid it'll kill me?Copy !req
310. It might.Copy !req
311. There's not a lot more
that the ER can do to help you.Copy !req
312. Do you want me to admit you
to the hospital?Copy !req
313. Can I go back to the hospice?Copy !req
314. Yes, but they're gonna need to
bring you back here for a higher dosage.Copy !req
315. Can I take a little while to decide?Copy !req
316. Sure.Copy !req
317. Can I help you?Copy !req
318. Excuse me, can I help you?Copy !req
319. You can't be back here.Copy !req
320. You must go now.Copy !req
321. Oh, my God.Copy !req
322. Son of a bitch!
Get out the way.Copy !req
323. You're too late.Copy !req
324. He's already dead.Copy !req
325. It's madness.Copy !req
326. You can clearly see the posterior
dislocation of the knee…Copy !req
327. …consistent with
this sledding injury…Copy !req
328. …which occurred when
the impact applied…Copy !req
329. …direct force to
the anterior tibia…Copy !req
330. …while the knee was flexed.
Injury to the…Copy !req
331. - I'm really nervous.
- Don't worry about it.Copy !req
332. I picked too easy a topic.Copy !req
333. Relax. Dr. Benton doesn't expect
that much. It's your first rotation.Copy !req
334. should be attempted
using analgesia…Copy !req
335. …with horizontal traction
and realignment of the joint.Copy !req
336. Angiography should be considered…Copy !req
337. …with attention paid to the five P's:Copy !req
338. Pain, pallor, paresthesias…Copy !req
339. …pulselessness and paralysis.Copy !req
340. All right. Who's next? Carter.Copy !req
341. While attempting
a Rollerblading maneuver…Copy !req
342. …this 12-year-old male…Copy !req
343. …fell on his outstretched
right hand…Copy !req
344. …resulting in a Salter-Harris type II
epiphyseal fracture…Copy !req
345. …of the proximal humerus.Copy !req
346. To avoid damage to the growth plate,
the humeral head, in angulation…Copy !req
347. …and external rotation,
must be reduced…Copy !req
348. …by abducting and externally
rotating the arm…Copy !req
349. …and then slowly bringing…Copy !req
350. …the arm down.Copy !req
351. If the reduction is not accomplished,
the arm must be maintained…Copy !req
352. …in a cast in
the Statue of Liberty position.Copy !req
353. Is that it?Copy !req
354. Any questions?Copy !req
355. Ms. Chen.Copy !req
356. You'll do great.Copy !req
357. Here.Copy !req
358. Um, facial fractures.Copy !req
359. You'll find an outline…Copy !req
360. …and recent research articles.Copy !req
361. Would you pass it down?Copy !req
362. Here we see examples…Copy !req
363. …of a depressed fracture
of the left frontal bone…Copy !req
364. …with disruption to the orbital rim.Copy !req
365. Both the result
of blunt-force trauma…Copy !req
366. …when the patient's face
intercepted a tire iron.Copy !req
367. John, if you would, please?
The projector.Copy !req
368. Thank you.Copy !req
369. Orbital rim and
frontal sinus fractures…Copy !req
370. …along with other fractures
to these facial bones…Copy !req
371. …often result in
concomitant CNS injury.Copy !req
372. Diagnosis is established
with radiographic studies…Copy !req
373. …and computerized tomography,
preferably using…Copy !req
374. …a three-dimensional image
of the patient's skull.Copy !req
375. As you can see, the frontal sinus…Copy !req
376. …and orbital rim fractures here
are easily appreciated…Copy !req
377. How's her breathing?Copy !req
378. Depressed but okay.
She's finally out.Copy !req
379. Maybe we got the balance right,
and she can get some sleep.Copy !req
380. Kathy.Copy !req
381. - Who's Kathy?
- Her little girl.Copy !req
382. Does she know she's here?Copy !req
383. She lives out West somewhere
with Grace's ex-husband.Copy !req
384. Seattle, I think.Copy !req
385. Grace gave up custody
when she entered the hospice.Copy !req
386. She lost her child?Copy !req
387. She entered the hospice to die.Copy !req
388. Life goes on.Copy !req
389. Then again, sometimes it doesn't.Copy !req
390. - Old hospice joke.
- Oh, God!Copy !req
391. Oh, God!Copy !req
392. - God, it hurts.
- The fentanyl's wearing off.Copy !req
393. - Lie down. Lie down.
- It hurts.Copy !req
394. Her resps are too low,
I can't give her any more morphine.Copy !req
395. - I can't stand it. I can't stand it.
- I'm sorry. I'm so sorry.Copy !req
396. - It hurts so much, doctor.
- There's nothing else I can do.Copy !req
397. - Please kill me. Please. Please. Please!
- Shh.Copy !req
398. - Relax. Just relax.
- Please kill me.Copy !req
399. Please, please!Copy !req
400. Susan!Copy !req
401. - What have we got?
- A 52-year-old male collapsed.Copy !req
402. Hypotensive, 80 over 60,
tachycardic at 120.Copy !req
403. Hypertension treated
with Altace and Tenormin.Copy !req
404. - Are those skates?
- Hockey ref, collapsed during a game.Copy !req
405. Some of the kids followed us.Copy !req
406. 15 liters of O-2 and
he's had 8 migs morphine.Copy !req
407. He's diaphoretic. Call Cardiology.
I need an EKG and enzymes.Copy !req
408. You gotta wait in the waiting room.Copy !req
409. - Will he be okay?
- We don't know yet. Malik!Copy !req
410. - Can you take them to Waiting?
- In a minute.Copy !req
411. We're gonna do
everything we can, okay?Copy !req
412. Okay, get the ambu-bag.Copy !req
413. - Lost his pulse.
- He's in fib. Crash cart.Copy !req
414. Turn off the O-2.Copy !req
415. - Where's the cart?
- Here.Copy !req
416. No. Where's the new cart?Copy !req
417. Watch that line.Copy !req
418. Paddles!Copy !req
419. I put one in here an hour ago.
Carol, 200.Copy !req
420. - Somebody already stole my new cart!
- Clear! Clear!Copy !req
421. Hey, is Jake around?Copy !req
422. He went to get a soda.Copy !req
423. Nice digs. This is how
the other half lives?Copy !req
424. I could do with a little
less glass, actually.Copy !req
425. There's no blood on the carpet,
so it's a step up from the ER.Copy !req
426. Mind if I sit? I've had my shots.Copy !req
427. Cindy was right.
You are kind of charming.Copy !req
428. Is that bad?Copy !req
429. Depends.Copy !req
430. - Jake's a great kid.
- He is a great kid.Copy !req
431. I hope you don't mind
if we shoot hoops now and then.Copy !req
432. I won't pass along any misogyny
with the basketball tips.Copy !req
433. If misogyny's genetic, he's
inherited plenty from his father.Copy !req
434. - Does he see his dad much?
- They communicate by check…Copy !req
435. …when it comes.Copy !req
436. If you don't like me,
you don't have to hide it.Copy !req
437. - You can just come out and show it.
- I didn't know I was being subtle.Copy !req
438. - Hey.
- Hey, yourself!Copy !req
439. Dr. Ross came to see
if you wanna play basketball.Copy !req
440. We'll be about a half an hour.Copy !req
441. - And put the jacket on.
- I'll make sure he wears it.Copy !req
442. Thanks.Copy !req
443. D5 NS…Copy !req
444. …100cc's per hour.Copy !req
445. NG tube, gastric lavage…Copy !req
446. …CBC, Chem-7, amylase.Copy !req
447. All right. Call the O.R., book a room.Copy !req
448. Dr. Benton.Copy !req
449. What does this say?Copy !req
450. - NG tube.
- By that you mean a nasogastric tube?Copy !req
451. - Yes.
- And this?Copy !req
452. - Dextrose 5, normal saline.
- An IV?Copy !req
453. Yes, an IV.Copy !req
454. Well, I've examined the patient.Copy !req
455. And I believe she needs
a fine, surgical hand like yours…Copy !req
456. …to get an IV going properly.Copy !req
457. I'll have Carter do it.Copy !req
458. And the nasogastric tube?Copy !req
459. You'll notice
she has a deviated septum…Copy !req
460. …and I don't feel comfortable
putting one in.Copy !req
461. I'll do it myself.Copy !req
462. Tell the lab his coag panel's
cooking. Here are his chest films.Copy !req
463. If you can find those hockey kids,
tell them he's gonna be okay.Copy !req
464. Susan? Susan.Copy !req
465. Susan, come on. Susan?Copy !req
466. - I'm busy, Mark.
- I need to talk to you about a patient.Copy !req
467. End-stage breast cancer,
bone-Mets to her back and legs.Copy !req
468. Morphine's not working.
Neither's the fentanyl.Copy !req
469. She's in agony. There's nothing
I can do to help her.Copy !req
470. Spinal morphine therapy, cordotomy?Copy !req
471. She refused both of them.
She just wants to die.Copy !req
472. Well, it sounds like
she's going to, soon.Copy !req
473. She wants me to help her.Copy !req
474. Her resps are down to 12.Copy !req
475. If I give her a little more morphine,
her breathing will stop.Copy !req
476. - What would you do?
- Uh…Copy !req
477. I don't know. I gotta go.Copy !req
478. How long are you gonna keep this up?Copy !req
479. - You weren't there for me.
- It was professional, not personal.Copy !req
480. We're not married, we work together.
Professional is personal.Copy !req
481. I miss you.Copy !req
482. You could have told me
you were doing facial fractures.Copy !req
483. And that computer thing.
I looked stupid.Copy !req
484. No, no. Keep irrigating that.Copy !req
485. I can give you the graphics program.
It's easy to use.Copy !req
486. That's not the point.Copy !req
487. I need a good recommendation
from Benton if I'm gonna get…Copy !req
488. …a surgical residency.Copy !req
489. - Vertical mattress, 4-0 nylon.
- You're going into surgery?Copy !req
490. Yeah. Why do you say it like that?Copy !req
491. No. I mean, I think you'd be great.Copy !req
492. No, you don't.
You sounded surprised.Copy !req
493. I do know surprised when I hear it.
You just sounded surprised.Copy !req
494. You really wanna go into surgery?Copy !req
495. I don't know. I might.Copy !req
496. Well, look, John, I've seen
my mother's surgical residents…Copy !req
497. …and the ones around here,
and it just doesn't seem like you.Copy !req
498. What do you mean,
your mother's residents?Copy !req
499. Your mother's a surgical attending?Copy !req
500. She's chief of surgery.
Could I get more four by four's?Copy !req
501. Chief of surgery?
Where? What hospital?Copy !req
502. St. Bart's.Copy !req
503. Why even come to school? You won't
have trouble getting a residency.Copy !req
504. It's not like that.
She won't help me at all.Copy !req
505. She didn't even want me
to go into medicine.Copy !req
506. Just don't say anything to anyone.Copy !req
507. They jump to conclusions…Copy !req
508. …and I end up having to prove myself
all over again. Okay? Please?Copy !req
509. John?Copy !req
510. I found the snake.Copy !req
511. Billy.Copy !req
512. Billy…Copy !req
513. …don't…Copy !req
514. …please.Copy !req
515. - Mark, I need you in 2. Rule out MI.
- Okay.Copy !req
516. Don't.Copy !req
517. Don't.Copy !req
518. Billy.Copy !req
519. Please.Copy !req
520. Mark?Copy !req
521. I love you.Copy !req
522. Cardiology would steal our crash carts?Copy !req
523. They steal everything.
Are you sure they're up here?Copy !req
524. They were two hours ago.Copy !req
525. Okay, okay.Copy !req
526. Connie and Bob, stay with the carts.
You guys come with me.Copy !req
527. I think we're in the ladies' room.Copy !req
528. Ow, ow. Ow!Copy !req
529. Come on, come on. Let's go!Copy !req
530. - Dunphy's there!
- What do we do?Copy !req
531. Sheri Dunphy?Copy !req
532. Not a problem.Copy !req
533. Sheri?Copy !req
534. Doug, hi. How've you been?Copy !req
535. Good. You look great.
You lost some weight.Copy !req
536. - I got married last year, remember?
- I'm still in mourning.Copy !req
537. - Why are you up here?
- Is the Cath lab still up here somewhere?Copy !req
538. - It's where it's always been.
- Can you give me a hand?Copy !req
539. - Nope, I can't. I'm out of here.
- I got a patient.Copy !req
540. A 6-year-old, tetrology of Fallot.Copy !req
541. - Yeah, okay.
- All right.Copy !req
542. He's unbelievable.Copy !req
543. You wonder why I slept
with him on the first date.Copy !req
544. First date? No kidding.Copy !req
545. Yeah. He rang the doorbell
and we were on the kitchen floor.Copy !req
546. Kitchen floor?Copy !req
547. Jeez, I gotta start dating again.Copy !req
548. Kids are having fun.Copy !req
549. Yeah. They're the hockey
players from my MI.Copy !req
550. Haven't been picked up yet.Copy !req
551. How'd he do?Copy !req
552. He's not dead,
if that's what you mean.Copy !req
553. No…Copy !req
554. …that's not what I meant.Copy !req
555. He's gonna be fine.Copy !req
556. How is she?Copy !req
557. She died a couple minutes ago.Copy !req
558. Respiratory failure?Copy !req
559. I was listening
to those kids playing…Copy !req
560. …and watching the snow fall.Copy !req
561. You know, if you stand right here…
Right over here…Copy !req
562. …you can see the El from here.Copy !req
563. Faces looking out the windows
into the darkness.Copy !req
564. Life goes on, Mark.Copy !req
565. Do you wanna get something to eat?Copy !req
566. I can't. Jennifer
and Rachel are in town.Copy !req
567. - Another time, maybe.
- Susan.Copy !req
568. Thanks.Copy !req
569. See you tomorrow.Copy !req
570. Stop now. Stop!Copy !req
571. Where are their parents?Copy !req
572. - Carol.
- Yeah?Copy !req
573. - I'm having problems with Haleh.
- So I heard.Copy !req
574. Reschedule her so we don't
have to work together.Copy !req
575. You're the one who
needs to be rescheduled.Copy !req
576. You won't do it?Copy !req
577. No. The nursing schedule
is my prerogative.Copy !req
578. Even if that situation
endangers patient care?Copy !req
579. You work every day
and every third night.Copy !req
580. She's got four kids.
When is she supposed to work?Copy !req
581. - She refuses to follow my instructions.
- Why should she?Copy !req
582. You're in training.
She graduated.Copy !req
583. Don't give me that.
We are not equals.Copy !req
584. She may not know how
to cross-clamp an aorta…Copy !req
585. …but she's worked in
emergency for 20 years.Copy !req
586. If you'd ever hop off
that pedestal you're on…Copy !req
587. …you might see that the nurses
make this place work, not you.Copy !req
588. I smell food.Copy !req
589. - I'm actually cooking.
- Like, from scratch and everything?Copy !req
590. Yeah, who knows? It might
become an annual tradition.Copy !req
591. I don't know. I remember
you cooking something last summer.Copy !req
592. I think it was meatloaf, maybe.Copy !req
593. It was definitely brown.Copy !req
594. Semiannual, then.Copy !req
595. - When did you get home?
- Seven or so. The traffic was awful.Copy !req
596. Where's Rach?Copy !req
597. She's in the bathtub.Copy !req
598. God, what a week!
I'm exhausted.Copy !req
599. - How was your day?
- Great and awful.Copy !req
600. Tell me great.
I'm too tired for awful.Copy !req
601. Morgenstern offered me a job…Copy !req
602. …as attending physician next year.Copy !req
603. - What'd you say?
- I said yes.Copy !req
604. Without discussing it with me first?Copy !req
605. An attending.Copy !req
606. I figured I'd be spending
nights and weekends…Copy !req
607. …at some community hospital
in Winnetka.Copy !req
608. Is this a problem?Copy !req
609. Can you tell him you need time
to think about it?Copy !req
610. I don't need to think about it.
This is a great opportunity!Copy !req
611. I won't know until March if Judge
Franklin needs me to clerk next year.Copy !req
612. Whoa. You're considering spending
another year in Milwaukee?Copy !req
613. If he wants me to, yes.Copy !req
614. - But I assumed…
- Exactly!Copy !req
615. You assume things would
be the way you want.Copy !req
616. The last six months haven't exactly
been the way I want them…Copy !req
617. I've been living by myself,
without my wife, without my daughter.Copy !req
618. "My wife, my daughter"!Copy !req
619. It's only been six months.
What about the last six years?Copy !req
620. What about medical school,
rotations and residency?Copy !req
621. Who was a paralegal
so we had food?Copy !req
622. Who was in night school
for years, finishing college?Copy !req
623. Was that you?Copy !req
624. No, that was me.Copy !req
625. So now I want it to be
about me for a change, not you.Copy !req
626. How are you doing, Mr. Conally?Copy !req
627. You still dead?Copy !req
628. Oh, yeah, very.Copy !req
629. - My head feels better, though.
- Well, that's good.Copy !req
630. You just let us know if we can
get you anything else, okay?Copy !req
631. Okay.Copy !req
632. Night.Copy !req
633. Good night.Copy !req
634. - You're late. It's almost 10:00.
- Yeah.Copy !req
635. I got held up at the hospital.
Where's Walt and my sister?Copy !req
636. Something at your niece's school.Copy !req
637. If you say you'll be here at 8,
I need you to be here at 8.Copy !req
638. I've got an early shift tomorrow.Copy !req
639. Okay.Copy !req
640. How was your first day?Copy !req
641. - How long ago was your mom's stroke?
- 8 months.Copy !req
642. And it was a right parietal CVA?Copy !req
643. Yeah.Copy !req
644. She's still suffering
from left hemiparesis.Copy !req
645. - Has she had any physical therapy at all?
- Of course she has. In the beginning.Copy !req
646. My mother doesn't have
problems getting around.Copy !req
647. That's the problem.
She's always wandering off.Copy !req
648. She's masking well, but she has
limited use of her left arm and leg.Copy !req
649. And she's got bruises all over her
left side from running into things.Copy !req
650. And you should have warned me
about the incontinence.Copy !req
651. Yeah, well, that's
just a sometime thing.Copy !req
652. Not tonight, it wasn't.Copy !req
653. Can you help my mother?Copy !req
654. I can't make her any younger, but
I can probably improve her mobility.Copy !req
655. She's a great lady.Copy !req
656. I wish I'd known her
before the stroke.Copy !req
657. I heard a lot about you. She wouldn't
stop talking about her Petey.Copy !req
658. I'm sorry about that.Copy !req
659. You're the baby in the family, right?Copy !req
660. I'm the youngest in the family, yeah.Copy !req
661. Uh-huh. My baby sister too.
My mom just loves her to death.Copy !req
662. It still pisses me off.Copy !req
663. Good night.Copy !req