1. "Dead of Winter"Copy !req
2. Yeah.Copy !req
3. We'll take care of it.
What's your ETA?Copy !req
4. Okay, no problem.Copy !req
5. - Where's Dr. Lewis?
- Suture Room.Copy !req
6. Baby coming in, respiratory arrest.
Five minutes out.Copy !req
7. Susan? Susan?Copy !req
8. Turn off the overheads, would you?Copy !req
9. - We've got an unresponsive infant.
- The lights?Copy !req
10. - They'll be here soon.
- Okay.Copy !req
11. - You up? You sure?
- Yeah.Copy !req
12. - Susan?
- Yeah. I'm up, I'm up, I'm up.Copy !req
13. Top on, lock it in again...Copy !req
14. - This is Melody.
- Melody?Copy !req
15. Those Indians,
were they pretty close behind you?Copy !req
16. No! You're wrong, Dr. Welby.Copy !req
17. - Now, Dean's going to recover.
- Yes, she will recover.Copy !req
18. But you must be aware
that there was damage.Copy !req
19. The damage can be corrected.
Dean has always been strong.Copy !req
20. I know what she can do.
She's gonna make a full recovery.Copy !req
21. I'll make sure of that.Copy !req
22. - You used to like her.
- No, I didn't.Copy !req
23. Yeah, you did. Before Rodman,
you talked about her all the time.Copy !req
24. - What have you got, sarge?
- Responded to a domestic-violence call.Copy !req
25. He was in the street, buck-naked,
waving a gun and screaming.Copy !req
26. - You'll need a light.
- Did he shoot someone?Copy !req
27. No, he ran inside, slipped
on the stairs and passed out, drunk.Copy !req
28. You better not have dragged us from
a warm firehouse to check a drunk.Copy !req
29. Bunch of jelly-doughnut-eating pendejos.Copy !req
30. Hey, Dumb and Dumber!Copy !req
31. Nobody got you out of bed
for that piece of crap.Copy !req
32. - I got you out of bed for them.
- Holy Mary, Mother of God!Copy !req
33. Welcome to Calcutta.Copy !req
34. Twenty-two children, ages 6 months
to 9 and a half years...Copy !req
35. found in a single apartment
on Calumet.Copy !req
36. Malnutrition, suspect marasmus,
kwashiorkor, who knows what else.Copy !req
37. Northwestern took four, Mercy three,
we got the rest.Copy !req
38. - Parents?
- Nobody knows.Copy !req
39. - Children and Family Services?
- On the way.Copy !req
40. The cops took the kids and arrested
the guy who says he's the uncle.Copy !req
41. - Of all of them?
- So he says. I've got a toddler in 2.Copy !req
42. - How many have you seen so far?
- Four of them.Copy !req
43. Thrush, chronic otitis media,
ringworm, diarrhea...Copy !req
44. malnutrition, electrolyte imbalances.Copy !req
45. Let's get a CBC, Chem-20, protein,
albumin, transferrin...Copy !req
46. globulins, iron, UA
and a folate level.Copy !req
47. Doug, that baby's refusing formula.Copy !req
48. Drop a feeding tube.
Thirteen pounds, maybe a year old.Copy !req
49. - Who's this?
- Can't get a name. Says she's 3.Copy !req
50. You're 3, sweetheart?Copy !req
51. What's your name, darling?
Come on, what's your name?Copy !req
52. Let's get these sores cleaned up.
Start her on Keflex, 250 mgs.Copy !req
53. Looks like impetigo.
Let's hope the others haven't caught it.Copy !req
54. Chem-20, CBC, UA?Copy !req
55. Yeah, and let's get height,
weight, head and arm circumferences.Copy !req
56. - I'm gonna go make myself useful.
- Okay.Copy !req
57. - Last three.
- We got the beds?Copy !req
58. Suture Room.Copy !req
59. - I'm Dr. Greene. What's your name?
- Ty.Copy !req
60. - Are these your brothers and sisters?
- Some.Copy !req
61. - Who are the others?
- I don't know. Cousins.Copy !req
62. - You know their names? A few?
- Some.Copy !req
63. Right. Some.Copy !req
64. - Lydia, why don't you find Ty a bed.
- Come on, Ty.Copy !req
65. - Where's his shoes?
- Couldn't find them.Copy !req
66. Looked over the whole place.
There were only clothes for half the kids.Copy !req
67. Rubadoux. Would you excuse us
for a moment, Mr. Rubadoux?Copy !req
68. - Sure.
- Thank you.Copy !req
69. - Dr. Benton?
- Post-op, day nine.Copy !req
70. Patient presented with
type A aortic dissection...Copy !req
71. repaired with
clamp-and-run procedure.Copy !req
72. Patient's surgical course
was unremarkable.Copy !req
73. There's evidence of partial
paraplegia of the lower extremities.Copy !req
74. - And this morning?
- Echo shows ejection of 15 percent.Copy !req
75. BUN's 45. Creatinine, 2.
BP's 180/110.Copy !req
76. - Suggesting what?
- Heart failure, renal insufficiency.Copy !req
77. None of this attributable to our
lifesaving, aortic-aneurysm surgery.Copy !req
78. I'm worried about her paraplegia.Copy !req
79. It's too soon to say if it's not temporary.
Course of action?Copy !req
80. Increase cardiac output so we can
send her to a long-term care facility.Copy !req
81. Get her off our service. Exactly. How?Copy !req
82. Given her condition,
I'd suggest dobutamine IV.Copy !req
83. They wouldn't accept her
in a nursing home with an IV.Copy !req
84. Anybody else? Mr. Carter, a thought?Copy !req
85. On dobutamine,
she'll be better for a few days...Copy !req
86. but she'll decompensate and come
back here. Maybe an ACE inhibitor?Copy !req
87. - We could do that.
- Worsens her renal problem.Copy !req
88. - Carter?
- Nitrates.Copy !req
89. Decreases her preload.Copy !req
90. - Digoxin?
- Kidneys can't clear it.Copy !req
91. - Diuretics?
- Decreases her cardiac output.Copy !req
92. - Quite the conundrum.
- There's a solution.Copy !req
93. A pinch of this, a touch of that.
We have to use our clinical judgment.Copy !req
94. - How many are you carrying?
- Five, but I can handle another one.Copy !req
95. Show us what you can do without
resorting to Dr. Benton's dobutamine.Copy !req
96. Amaze us. Impress us.
Work miracles.Copy !req
97. Bad case of ringworm...
Well, with kerion...Copy !req
98. Let's get him on oral griseofulvin.
Open up.Copy !req
99. - Ty, you had enough to eat?
- Yeah.Copy !req
100. - Yeah. Like what?
- We eat stuff.Copy !req
101. - Fruits? Vegetables? Meat?
- Sometimes.Copy !req
102. What about the babies?
They get formula?Copy !req
103. Mom gives me the stamps when
she don't need them, and I get us stuff.Copy !req
104. Milk for the babies, bologna, bread.Copy !req
105. - You do the shopping?
- I'm good at it.Copy !req
106. Trey okay?Copy !req
107. - Is he one of your brothers?
- I look after him. He's sick.Copy !req
108. - How sick?
- Cerebral palsy.Copy !req
109. - Your brother has cerebral palsy?
- He's in Trauma 1. Doug's checking him.Copy !req
110. CBC, Chem-20, protein studies,
transferrin, iron and UA.Copy !req
111. Let's call a dental school and get some
students to take a look at the kids.Copy !req
112. And I'm gonna go see
how your brother Trey's doing, okay?Copy !req
113. - Where's Doug?
- Trauma 1.Copy !req
114. - How's she doing?
- Anemia, neutropenic, thrush...Copy !req
115. chronic otitis media and pediculosis.Copy !req
116. - Lice?
- You bet you. And if she's got them...Copy !req
117. They've all got them. Grab a basin,
RID and start shampooing.Copy !req
118. - All of them?
- It's great to be the new kid, isn't it?Copy !req
119. - Susan, weren't you off at 7?
- Yeah. Jeanie too.Copy !req
120. I've got a performance review
this afternoon. I'll stick around.Copy !req
121. Come on, lice patrol.Copy !req
122. - Isn't that a nurse's job?
- No, not today, it isn't.Copy !req
123. Finish this one and go home.
We've got it.Copy !req
124. I signed them in.
I wanna make sure they're okay.Copy !req
125. Let me see that.Copy !req
126. - Is this the kid with CP?
- Yeah.Copy !req
127. Five years old, weighs 28 pounds.Copy !req
128. Lethargic. Slight abdominal edema.
Kid's starving to death. Take a look.Copy !req
129. Look at that.Copy !req
130. - Cigarette burn?
- Yeah. Welts too.Copy !req
131. You're gonna have to bring him in.Copy !req
132. Who paged me down from rounds?Copy !req
133. - If I got shot, I'd come to the hospital.
- This better be important.Copy !req
134. Look, lady, I'm not talking to him.
I'm a clerk, not a priest.Copy !req
135. Call 911 or get on the damn bus.Copy !req
136. - The page?
- How should I know? Ask around.Copy !req
137. Dr. Benton?
Al Boulet, Jeanie's husband.Copy !req
138. - Oh, yeah. How are you doing?
- Been better. Have you seen her?Copy !req
139. - No. Is she working?
- She's meeting me for breakfast.Copy !req
140. Do me a favor. If you see her,
tell her I'm looking for her, okay?Copy !req
141. Find out who paged me and tell them
to be here the next time I come.Copy !req
142. - What was that all about?
- Dr. Personality? Who knows?Copy !req
143. Anybody seen a DCFS around here?Copy !req
144. Mark Greene? Dr. Mark Greene?Copy !req
145. - You Child Services?
- Sorry, no.Copy !req
146. Process server. Sign here, please.Copy !req
147. - What for?
- Summons. Third line, please.Copy !req
148. - Have a nice day.
- Right.Copy !req
149. - Patient?
- Hope not.Copy !req
150. - Jennifer's suing me for divorce.
- Oh, no.Copy !req
151. - You Dr. Greene?
- Not if you want me to sign anything.Copy !req
152. - What?
- I'm Mark Greene.Copy !req
153. Pete Tuteur. DCFS.Copy !req
154. I understand you've got
some kids for us.Copy !req
155. A little more water.Copy !req
156. - Okay.
- That wasn't so bad, was it?Copy !req
157. - Got another one for you.
- Alrighty.Copy !req
158. Hi, there, sweet pea.
I'm Jeanie, do you have a name?Copy !req
159. That one doesn't talk.Copy !req
160. Okay, we're gonna shampoo your hair
and make it look all beautiful.Copy !req
161. Is that too hot?Copy !req
162. Is that too cold?Copy !req
163. Must be just right, then.Copy !req
164. - How many more?
- You've done eight?Copy !req
165. Nine, I think. What's that, sweetie?
Did you say something?Copy !req
166. I didn't hear what you said.
I was talking to my friends.Copy !req
167. Will you be my mommy?Copy !req
168. - Where's the husband?
- Cafeteria.Copy !req
169. - Renal or Cardiology been up yet?
- Yeah.Copy !req
170. - And?
- Renal wants to use hydralazine.Copy !req
171. Cardiology wants an ACE inhibitor.Copy !req
172. The Renal/Cardiology push-and-pull.
And Pulmonary?Copy !req
173. - They sent an incentive spirometer.
- That should solve all her problems.Copy !req
174. - Partial paraplegia?
- Still present.Copy !req
175. - You know your beeper's going off.
- I'm not deaf, Carter.Copy !req
176. All right. Well, hurry up.
Do something. Time's wasting.Copy !req
177. Forty milligrams IV push of Lasix, please.Copy !req
178. - Won't that volume deplete her?
- Just do it, please.Copy !req
179. Sorry, but...Copy !req
180. Three girls aren't supposed to
be living with the mother.Copy !req
181. Grandmother's got the custody.
God knows where she is.Copy !req
182. - Why were they all in one apartment?
- Twenty-two AFDC payments.Copy !req
183. Uncle's on disability.
The rent's maybe 300.Copy !req
184. Hell, they're netting 4 grand
a month for crack.Copy !req
185. Your tax dollars at work.Copy !req
186. Sounds like a press release
for welfare reform.Copy !req
187. That's all we need.Copy !req
188. Less money trickling down to keep
these kids from starving to death.Copy !req
189. When the kids are cleaned up,
I'll take them to Columbus/Maryville.Copy !req
190. They're malnourished, dehydrated,
electrolytes are screwed up...Copy !req
191. and they've got infections.
They'll leave when they're okay.Copy !req
192. Fine by me. We haven't
got anywhere to put them.Copy !req
193. - Seen Benton? I keep paging him.
- He's around.Copy !req
194. Ever get the feeling
the system isn't working?Copy !req
195. You're just figuring that one out?Copy !req
196. One boy has an inguinal mass.
He needs a surgical consult.Copy !req
197. - Reducible?
- Yeah, but it's there when he's crying.Copy !req
198. He's crying a lot. None of the kids
have ever seen doctors.Copy !req
199. - She had me served at work.
- Jennifer?Copy !req
200. I'd hoped we were gonna be able
to handle this amicably.Copy !req
201. - Guess this blows that one to hell.
- I'm gonna need a good attorney.Copy !req
202. Come over tonight. We'll order a pizza.Copy !req
203. You can watch me give Susie a bath,
and you could change a diaper.Copy !req
204. - I'm gonna go and wallow in self-pity.
- Anytime.Copy !req
205. - They find homes for the kids yet?
- Not yet.Copy !req
206. DCFS took some to the emergency
shelter, and we admitted three.Copy !req
207. - Want anything from the machines?
- Peanut butter crackers.Copy !req
208. Got it.Copy !req
209. - He's cute.
- Raul?Copy !req
210. - You're not his type.
- Really?Copy !req
211. You ever dress up like a lumberjack?
Longshoreman? Greco-Roman wrestler?Copy !req
212. - He's gay.
- Really?Copy !req
213. - Who's paging me?
- Not a clue.Copy !req
214. - Isn't that your job?
- No. Check the board and the charts.Copy !req
215. You should've seen this place.
Twenty kids and no refrigerator.Copy !req
216. No heat. Roaches everywhere.Copy !req
217. Only food was a can of SpaghettiOs.Copy !req
218. You gotta wonder about the mothers.
And what about the families?Copy !req
219. The neighbors... Can't these people
take care of their own kids?Copy !req
220. - What's that supposed to mean?
- What does what mean?Copy !req
221. "These people. "Copy !req
222. - Come on.
- Partner, catch.Copy !req
223. Why can't these black folks
take care of their kids, right?Copy !req
224. - He didn't say that.
- That's what he meant.Copy !req
225. - Then I would have said it.
- What's going on?Copy !req
226. - David Duke's enlightening us.
- Oh, Malik, that's not fair.Copy !req
227. Think those kids deserve
to live like that?Copy !req
228. - What about personal responsibility?
- You think it's equal?Copy !req
229. - He's the surgeon. I'm the fireman.
- You would find it that simple.Copy !req
230. - The system works the same for all.
- It works pretty well for you.Copy !req
231. You don't know a damn thing
about what works for me.Copy !req
232. Peter, I've been paging you. Trauma 2.Copy !req
233. - What was that all about?
- You, man, that's what.Copy !req
234. - Loretta?
- It's her kid. Sore throat, temp's 101.Copy !req
235. - Where's Ross?
- Tied up with those kids.Copy !req
236. - How you been?
- Good.Copy !req
237. This is Annie, and this is my Jimmy.
His throat's sore.Copy !req
238. Well, let me take a look there, Jimmy.Copy !req
239. Jimmy, open up your mouth.
Stick out your tongue. That's good.Copy !req
240. Does that hurt when you swallow?
That hurts too, huh?Copy !req
241. - Glands are swollen.
- Still has his tonsils.Copy !req
242. You've got a little strep throat, Jimmy,
but we can clear that right up.Copy !req
243. - Is your throat sore, Annie?
- I'm okay.Copy !req
244. - Okay. And, Mom, how are you doing?
- I'm doing really good.Copy !req
245. I've still got the office job,
and we moved into a house.Copy !req
246. - The PID hasn't flared up?
- I get a little bleeding sometimes.Copy !req
247. Yeah? Lydia, why don't you take
the kids and I can talk to Mom.Copy !req
248. - It's no big deal.
- Come on, we've got some videos.Copy !req
249. - You've seen The Lion King?
- No.Copy !req
250. - Yes, you have.
- Go on. I'll be out in a minute.Copy !req
251. So how long have you been bleeding?Copy !req
252. What do we have?Copy !req
253. Seven-year-old male. Small, reducible,
right-sided inguinal mass.Copy !req
254. It's all right. This is Peter.
He's a doctor.Copy !req
255. He's gonna help you feel better, okay?Copy !req
256. - You paged me this morning.
- Where were you?Copy !req
257. - On rounds, which you pulled me off.
- I thought you were assigned to the ER.Copy !req
258. No, I'm assigned to the surgical service.
I cover the ER.Copy !req
259. And when I'm paged,
someone should be waiting for me.Copy !req
260. We've been a little busy today.Copy !req
261. Almost over, Michael. Almost.Copy !req
262. - He doesn't have a hernia.
- Check him again.Copy !req
263. You're wasting my time.Copy !req
264. - Peter.
- It's not there!Copy !req
265. Check him again.Copy !req
266. Still reducible.
I'll put him on a surgical schedule.Copy !req
267. I'll operate tomorrow.
Draw pre-op labs.Copy !req
268. Peter, what is the matter with you?Copy !req
269. If you're angry with me,
take it out on me, not on some boy.Copy !req
270. Give us a minute.Copy !req
271. That little boy is scared to death.Copy !req
272. You're poking around
like you're stuffing a turkey.Copy !req
273. Telling him he needs surgery.
He's never seen a doctor.Copy !req
274. - Is that it?
- No, that's not it.Copy !req
275. If it's about you and me, get over it.
If it's something else, get over that.Copy !req
276. I'm sick of it.
Don't you turn your back on me.Copy !req
277. That boy needs compassion. If you can't
find that in yourself, get out of medicine.Copy !req
278. Sixty-nine-year-old male. History of Ml.
Experienced sudden onset of chest pain.Copy !req
279. Took a Nitrotab, called his son.
Paramedics found him unconscious.Copy !req
280. One, two, three.Copy !req
281. They tubed him.
He's hypotensive, 40 palp.Copy !req
282. O-2, 100 percent.
Let's get a 12-lead.Copy !req
283. Pulse ox, chest x-ray, CBC, Chem-7,
cardiac enzymes and grab a blood gas.Copy !req
284. - You the son?
- Yes.Copy !req
285. - He's had a heart attack before?
- Two years ago.Copy !req
286. He's hypoxic. Rales bilaterally.Copy !req
287. - Jugular venous distention.
- Haleh, let's get an echo.Copy !req
288. - Dopamine?
- 200 mics per minute. Call Cardiology.Copy !req
289. - Hi, I'm Dr. Greene, and you're Mr...?
- Howard Mills.Copy !req
290. Your father's in heart failure. It's too
early to know exactly what's happened.Copy !req
291. We're running tests,
and you'll know as soon as we do.Copy !req
292. - Can I stay?
- Get some coffee and let us do our work.Copy !req
293. When your father's stabilized,
I'll come get you, okay?Copy !req
294. Okay.Copy !req
295. - Bobbi, sorry I'm late.
- No problem.Copy !req
296. How about a cup of coffee?
It's only a week old.Copy !req
297. No, I'm already on my 1 Oth cup.
I was on all night.Copy !req
298. - How's it been going?
- Okay.Copy !req
299. I'm a little concerned
about your first student evaluation.Copy !req
300. "Pleasant, helpful, lacks assertiveness,
needs to take control to be useful.Copy !req
301. Good skills, but may not be suited
to work in the Emergency Department. "Copy !req
302. Is that from Peter Benton?Copy !req
303. - Who?
- Dr. Peter Benton, surgical Resident.Copy !req
304. No. Residents don't evaluate
physician-assistant students.Copy !req
305. This is from Carol Hathaway, RN, M.S.Copy !req
306. I didn't realize the nurses evaluated us.Copy !req
307. Look, I realize that putting P.A.s
into settings where nurses...Copy !req
308. had a monopoly
can cause problems.Copy !req
309. But liked or disliked,
we have to do a better job.Copy !req
310. So I need to know, can you cut it?Copy !req
311. If you can't, I can't afford
to have you fail down there.Copy !req
312. I can cut it.Copy !req
313. - Are you sure?
- Yeah, I'm sure.Copy !req
314. - Jennifer filed for divorce?
- Word travels fast.Copy !req
315. I knew you were breaking up,
but I thought you'd hold it together.Copy !req
316. - With Rachel in the pic-
- Trying to make me feel worse?Copy !req
317. No, but if you can't make
a marriage work, how am I gonna?Copy !req
318. - Why are you still here?
- Home away from home.Copy !req
319. - Cardiology's here on your Ml.
- I want you out of here by 5.Copy !req
320. - Can someone help me, please?
- Randi?Copy !req
321. - Can I help you?
- I'm looking for my grandchildren.Copy !req
322. They were living down on Calumet.
Police said they brought them here.Copy !req
323. The name's Proulx. The littlest one,
Trey, has got cerebral palsy.Copy !req
324. - What are her I's and O's?
- 150cc's in, 800cc's out.Copy !req
325. - Pressure?
- Down. 80/40.Copy !req
326. - Down? Why didn't you call me?
- You didn't put it in your orders.Copy !req
327. Give her 300cc's of bolus
and monitor her pressure, please.Copy !req
328. - How's our girl doing, doc?
- Not much improvement yet.Copy !req
329. Ruby, please. Call me Ruby.Copy !req
330. - Coffee? Come on, I bought an extra.
- Oh, no, thanks.Copy !req
331. Come on, a cup of hot Joe? You look like
you could stand a little pick-me-up.Copy !req
332. Now, that's good coffee.Copy !req
333. Should've seen her 50 years ago.Copy !req
334. Backstage at the Majestic.Copy !req
335. Great gams. Hell of a looker.Copy !req
336. Pal Joey,
Way to the Forum, How to Succeed.Copy !req
337. Broadway, off-Broadway, you name it.Copy !req
338. I did a couple of musicals.Copy !req
339. Back in school. Pippin. Fantastiks too.Copy !req
340. Yeah, good shows.Copy !req
341. - Bet you were wonderful.
- Not really.Copy !req
342. - Bet you were great.
- Mr. Carter.Copy !req
343. Mostly, I embarrassed myself.Copy !req
344. Doctor?Copy !req
345. I'm not ready to let her go yet.Copy !req
346. Carol?Copy !req
347. - Can I talk to you?
- Sure, what's up?Copy !req
348. I just had my student evaluation
with my program coordinator.Copy !req
349. You've been unhappy with my work.Copy !req
350. I think you're competent, but timid.
You need to be more aggressive.Copy !req
351. - I've been trying.
- The ER isn't for everybody.Copy !req
352. Don't feel bad if you're not
comfortable down here.Copy !req
353. Have I done something to offend you
in some way?Copy !req
354. This isn't personal. It's just...Copy !req
355. You wait for people
to tell you what to do.Copy !req
356. Like this conversation.
I tell you to be more aggressive...Copy !req
357. and you want to discuss it.
I can't hold people's hands. Just do it.Copy !req
358. - So it's not a P.A. thing?
- No, it's not.Copy !req
359. But I've got nurses
who've been here for 20 years.Copy !req
360. P.A.s go to school for a couple
of months and tell us what to do?Copy !req
361. Two years of training.
Two years of internship.Copy !req
362. I went nights while working full-time,
so my training took four years.Copy !req
363. If you wanna stay in the ER,
stop looking for validation...Copy !req
364. and start doing the job.Copy !req
365. You do that, and we'll get along fine.Copy !req
366. Make sure that everyone's ready for
the dog-and-pony show for the trustees.Copy !req
367. I don't want a repeat
of last fall's disaster.Copy !req
368. - You were looking for me?
- Yes, I was.Copy !req
369. - Have you met my assistant?
- No.Copy !req
370. - Hi.
- Hello.Copy !req
371. - Is Mrs. Rubadoux's paralysis subsiding?
- No.Copy !req
372. Don't be disappointed.
It was an emergency situation.Copy !req
373. What was our other choice? Death?
Besides, the woman was a bad risk.Copy !req
374. Pulmonary disease. Hypertension.Copy !req
375. I'm concerned it's my fault.
I performed the procedure.Copy !req
376. Oh, please. Don't be so melodramatic.Copy !req
377. Your technique was perfect.
We have to exclude her from the study.Copy !req
378. She was never an appropriate candidate.Copy !req
379. It's time we made Dr. Benton
an official member of the team.Copy !req
380. Don't you think, Claire?Copy !req
381. Research associate. Yes.Copy !req
382. Claire will make sure
you have everything you need.Copy !req
383. - I don't know what to say.
- "Thank you" will suffice.Copy !req
384. Yeah. Yeah.Copy !req
385. - Mr. Mills?
- Howard. Please.Copy !req
386. Howard.Copy !req
387. We suspect that your father
had a right-ventricle infarction.Copy !req
388. - Another heart attack?
- Yes.Copy !req
389. We're sending him
to the Cardiac Intensive Care Unit.Copy !req
390. They'll place a Swan-Ganz catheter...Copy !req
391. to monitor pressure
in his heart and lungs.Copy !req
392. They'll do an echo
to confirm the diagnosis.Copy !req
393. Doesn't look good.Copy !req
394. I think he wants to go.Copy !req
395. My mother died last year.
Breast cancer.Copy !req
396. They were married 50 years.Copy !req
397. This is you.Copy !req
398. Coffee's in the lounge,
bathroom's past the elevators.Copy !req
399. Research staff meets
every Tuesday, 8:15 sharp.Copy !req
400. Fill this out and give it back to me
as soon as possible.Copy !req
401. - You have a parking space?
- I park in the Resident's lot.Copy !req
402. Not anymore, you don't.Copy !req
403. - AW4?
- All research associates receive stipends.Copy !req
404. And your first referral payment.Copy !req
405. I'm Carl's secretary, not yours.Copy !req
406. You want your phone answered,
get a machine.Copy !req
407. Anything else,
I'm at the end of the hall.Copy !req
408. - Trey, how are you doing?
- He's doing better now.Copy !req
409. Yeah, he is, isn't he?Copy !req
410. Mrs. Proulx, may I speak with you?Copy !req
411. - I'll take the little girl.
- Oh, that's okay.Copy !req
412. Ty, can you look after
your sister for Nana?Copy !req
413. Trey's well enough to be released
to the DCFS. This is Mr. Tuteur.Copy !req
414. We'll be taking him over
to Columbus/Maryville.Copy !req
415. - It's an emergency shelter. You know it?
- Yes, I've been there before.Copy !req
416. - So you won't let me keep them?
- Department's been granted custody.Copy !req
417. - There'll be a court hearing next week.
- They were with me till a month ago.Copy !req
418. Then their mother came and got them.
I told her they should be with me.Copy !req
419. They all have their own rooms and their
own beds at my place. They like it.Copy !req
420. Why did you keep them there? You have
custody, they're your responsibility.Copy !req
421. She said she was doing better, and
children should be with their mother.Copy !req
422. She wasn't always like this.
She loved those babies a lot.Copy !req
423. But, you know, it's the drugs.Copy !req
424. Are these jackets for them?Copy !req
425. Okay, children. Let's put
these coats on, now.Copy !req
426. Ty, you help your brother on
with his coat.Copy !req
427. Come on.Copy !req
428. - Be a good girl, you hear? Okay?
- Okay.Copy !req
429. How are we doing? All ready?
Come here, sweetheart.Copy !req
430. - You take care of little Trey, Ty.
- Yes, ma'am.Copy !req
431. - I'm scared.
- Come on, sweetheart. Come with me.Copy !req
432. There we go. I got you, sweetie.
Okay, we ready?Copy !req
433. - Let's go.
- When can I go home?Copy !req
434. Ty. Now, you take good care
of little Trey, you hear?Copy !req
435. Yes, ma'am.Copy !req
436. 51-year-old woman.
Abdominal pain and cramps.Copy !req
437. Thinks she ate too much.
Gotta weigh 300 pounds.Copy !req
438. Is this day ever gonna end?Copy !req
439. Mrs. Saunders? Did you have
a little too much holiday cheer?Copy !req
440. She's been in pain for days.
I had to drag her in.Copy !req
441. - When did the cramps start?
- New Year's Day, after dinner.Copy !req
442. - Any pain here? Vomiting?
- I've been nauseous.Copy !req
443. - Diarrhea?
- No.Copy !req
444. - What did you have to eat?
- Usual holiday stuff.Copy !req
445. Potato salad, ham, cheesecake,Copy !req
446. pumpkin pie. Some sushi.Copy !req
447. Get a stool culture,
rule out salmonella, and a rectal.Copy !req
448. Chuny will help you.Copy !req
449. I doubt if it's appendicitis.Copy !req
450. It's probably viral gastroenteritis
or a touch of food poisoning.Copy !req
451. Get a surgical consult. CBC,
Chem-7, UA, abdominal series.Copy !req
452. Set up for a pelvic and find Benton.Copy !req
453. 7-3-5-2-9-0-1.Copy !req
454. Date of admission: 12-26-95.
Dictating...Copy !req
455. - Can I interrupt you for a minute?
- You already have.Copy !req
456. Mrs. Rubadoux isn't improving.
I've tried Lasix, nitrates, pressors.Copy !req
457. She seesaws back and forth.Copy !req
458. She's volume-depleted,
pressure's dropping...Copy !req
459. or pressure's up
and her pulse ox is dropping.Copy !req
460. - Put her on dobutamine?
- You said not to.Copy !req
461. Do you always follow instructions even
when you've surmised they're incorrect?Copy !req
462. She's a sinking ship,
and you're rearranging her deck chairs.Copy !req
463. You're probably right.Copy !req
464. Once we've bundled her off, she'll
decompensate and end up right here.Copy !req
465. But she won't be on our service,
and she won't be your problem.Copy !req
466. Let's see...Copy !req
467. Discharge summary on David
Piscuscus. Date of admission-Copy !req
468. Did I make her worse today?Copy !req
469. She's dying, Mr. Carter.Copy !req
470. Nothing you did is going to change that.Copy !req
471. Date of admission: 12-26-95.
Date of discharge: 01-08-96.Copy !req
472. Patient presented with claudication of
the right lower extremity...Copy !req
473. Marcus Miller? Bill Evans?
Wynton Marsalis? You gotta know him.Copy !req
474. The Jay Leno show?Copy !req
475. Hold up a second, will you?Copy !req
476. - Excuse me. It's Malik, right?
- Yeah, that's right.Copy !req
477. About earlier, I hope you didn't
misunderstand what I was trying to say.Copy !req
478. No, I didn't misunderstand.Copy !req
479. I've got 10 minutes.Copy !req
480. I think we're all doing okay,
and nobody owes anybody anything.Copy !req
481. Let's get on with our lives
and do what we can.Copy !req
482. - Sure, whatever, man.
- Shep, let's go.Copy !req
483. Yeah, hold up.Copy !req
484. - I was trying to be nice.
- What do you want me to say?Copy !req
485. That I don't think you're a bigot? Fine.
I don't think you're a bigot.Copy !req
486. Shep. God, please.Copy !req
487. - I'm not a racist. You think I'm a racist?
- Just drink your coffee.Copy !req
488. I ride with Raul 60 hours a week.
My sister dated a black guy two years.Copy !req
489. Raul and I go to the Y
twice a week to play ball.Copy !req
490. I'm the only white guy there.
The only one!Copy !req
491. I'm not a racist!Copy !req
492. I'm not.Copy !req
493. - What do we have?
- 51-year-old with abdominal pain.Copy !req
494. Mark figures gastroenteritis,
wants to rule out appendicitis.Copy !req
495. The pain's getting worse.Copy !req
496. - Does it hurt here? How about here?
- No.Copy !req
497. - Okay.
- Oh, God!Copy !req
498. - What's happening?
- When did it get this severe?Copy !req
499. - I don't know. I just came back.
- There. Better.Copy !req
500. - Charts back?
- Chuny went to get them.Copy !req
501. It keeps coming in waves.Copy !req
502. - How often?
- About every minute.Copy !req
503. - Anybody do a pelvic exam?
- Not yet.Copy !req
504. - When was your last period?
- Year and a half. Oh, God!Copy !req
505. - Okay.
- Here it comes again!Copy !req
506. Okay, just put your legs up.Copy !req
507. - Her leg. Grab her leg.
- Forty-five seconds apart.Copy !req
508. She's fully dilated. She's crowning.Copy !req
509. Get OB-GYN and find Greene.
Don't push, okay.Copy !req
510. - What's going on?
- Get Mark. B.O.A.Copy !req
511. Dr. Greene!Copy !req
512. - What's happening?
- You're not overeating. You're in labor.Copy !req
513. - She's having a baby?
- Where's everybody? Let's move!Copy !req
514. - She's gone through menopause!
- Carla, call Daddy.Copy !req
515. - Oh, God! Here it comes again!
- Don't push! Don't push!Copy !req
516. - I haven't delivered since med school.
- Just guide the head.Copy !req
517. Okay. First time for everything, huh?Copy !req
518. All right, Mrs. Saunders. Good girl.
Breathe. Blow through your mouth.Copy !req
519. Okay, good. Good.Copy !req
520. She's doing better. Guess I'll have
to start watching myself...Copy !req
521. around those nurses.Copy !req
522. We put her on dobutamine.Copy !req
523. - Hi, how are you feeling?
- Very tired.Copy !req
524. Dr. Carter is gonna have you
back again dancing in no time.Copy !req
525. Well, for now why don't you try
to get some more rest.Copy !req
526. You too, Ruby.
Go home and get some sleep.Copy !req
527. I promised Helen I'd stay
until she could come home with me.Copy !req
528. Ruby, I think you should consider
the possibility...Copy !req
529. that your wife
may need long-term care.Copy !req
530. You don't know my Helen.Copy !req
531. She's a real trouper.Copy !req
532. A real trouper.Copy !req
533. Right, sweetheart?Copy !req
534. This is my beeper number.Copy !req
535. If you need anything tonight
or whenever, just give me a call.Copy !req
536. You're the only person around here
who gives a damn.Copy !req
537. Thank you. For both of us.Copy !req
538. - Mark, you missed all the fun.
- That fat lady had twins.Copy !req
539. - My abdominal pain?
- Curtain Area 3.Copy !req
540. Should've seen Benton's face.Copy !req
541. - Benton?
- That's why I was paging you.Copy !req
542. We moved them to Postpartum.
Mom's fine, babies too. Boy and girl.Copy !req
543. - Loretta Sweet. Biopsy came back.
- Really?Copy !req
544. - Damn.
- Stage 1 B carcinoma.Copy !req
545. Missed those annual Pap smears.Copy !req
546. - Is she still around?
- Left with her kids hours ago.Copy !req
547. - Call her, get her back.
- Already tried. Number's disconnected.Copy !req
548. - Want me to send out a social worker?
- No.Copy !req
549. - You know her address?
- 1604 North Sedgewick.Copy !req
550. Out by Cabrini-Green.Copy !req
551. - Cervical cancer. That's tough.
- Couple of kids.Copy !req
552. - You want a ride out there?
- No, I drove in today. Thanks.Copy !req
553. Okay, '96 is gonna be
a hell of a year, huh?Copy !req
554. Thanks.Copy !req
555. - I got you some pecan pie. Looks good.
- I don't like pecan pie.Copy !req
556. - Since when?
- Since never.Copy !req
557. - Thanks for meeting me.
- You said it was important.Copy !req
558. - How's work going?
- Fine.Copy !req
559. - And your folks, they're fine?
- They're fine too.Copy !req
560. Al, I've been on my feet
since 4:00 yesterday afternoon.Copy !req
561. So if it's the same with you,
can we just...?Copy !req
562. Let's just do this some other time.Copy !req
563. Maybe we should we give it another try.Copy !req
564. Maybe we should give us another try.Copy !req
565. I'll have kids if you really want them.Copy !req
566. I've been thinking about it,
and kids would be okay.Copy !req
567. Great.Copy !req
568. - Isn't that what you wanted?
- Yeah, it was. I gotta go.Copy !req
569. I'm sorry.Copy !req
570. I'm ready now.Copy !req
571. Kids. Being home.Copy !req
572. No more playing around. No more lies.Copy !req
573. I gotta go.Copy !req
574. SEDGEWICK AVENUECopy !req
575. Michael, right?Copy !req
576. Hey, I'm Dr. Benton.
We met earlier this morning, remember?Copy !req
577. Michael, you're gonna have an operation
tomorrow for a hernia.Copy !req
578. - You know what a hernia is?
- No.Copy !req
579. It's when you've got a balloon
poking out in your groin.Copy !req
580. - A balloon?
- Not a real balloon.Copy !req
581. The part of your insides
that looks like a balloon.Copy !req
582. If we don't fix it, you can get sick.Copy !req
583. - Will it hurt?
- You'll be asleep.Copy !req
584. But I'm scared.Copy !req
585. That's all right.
It's okay to be scared.Copy !req
586. You'll be fine.
I'm doing the operation.Copy !req
587. You will?Copy !req
588. It's no big deal.
A lot of kids have had it done.Copy !req
589. Will you stay with me for a while?Copy !req
590. Yeah. Sure.Copy !req
591. - Did I wake you up?
- Oh, I was on last night.Copy !req
592. - I'm sorry. I should've called.
- No, that's okay.Copy !req
593. Susie went down early,
so I sacked out on the couch.Copy !req
594. I brought pizza and beer.Copy !req
595. I should've called.
See you at work tomorrow.Copy !req
596. - What kind of pizza?
- Meat. Lots of meat.Copy !req
597. - Pepperoni?
- Probably some in there.Copy !req
598. - You have any diapers left to change?
- Always.Copy !req
599. - Hello?
- This is Carter. Somebody beeped me.Copy !req
600. Carter, this is Ruby. Mr. Rubadoux?Copy !req
601. Hi, Ruby. How's she doing?Copy !req
602. It's so late. I was worrying about
calling you. Is it okay?Copy !req
603. - No. I told you you could call.
- She's in trouble.Copy !req
604. - She's what?
- She's having trouble breathing.Copy !req
605. That's normal.Copy !req
606. Yeah, that's gonna happen.Copy !req
607. Yeah, I'll talk to the nurse.Copy !req
608. Hi, this is Carter. What's her pressure?Copy !req