1. E.R.Copy !req
2. Previously on ER...Copy !req
3. The doctor said I may have
been HIV-positive...Copy !req
4. for as long as 10 years.Copy !req
5. You turned down chief?Copy !req
6. Yes, I did.Copy !req
7. Al's got AIDS.Copy !req
8. We were careful,
but not that careful.Copy !req
9. "Dr. Carter, I Presume"Copy !req
10. July 4th
5:45 a.m.Copy !req
11. Seventeen-year-old male.
Multiple GSWs to the chest and abdomen.Copy !req
12. Pulse, 140 and thready. BP's 80.Copy !req
13. Stop squirming.
This fool look familiar?Copy !req
14. He got shot before.Copy !req
15. - It hurts!
- I hope so. Two times in six months.Copy !req
16. You got yourself a real slow
learning curve going.Copy !req
17. Unit 68's on the way.Copy !req
18. Drunk dove off the balcony of the
Motor Lodge, looking for the pool.Copy !req
19. - Did he find it?
- Nope.Copy !req
20. Dr. Carter, I presume.Copy !req
21. Carter, what's up?Copy !req
22. - Surgical interns meeting down here?
- Yes. Your lemmings are over here.Copy !req
23. - Jerry, that lead poisoning come in?
- Yeah, Trauma 2.Copy !req
24. Are you gonna make it to
the Fourth of July picnic today?Copy !req
25. My bat and glove are in my car.Copy !req
26. Park the guy with TB hawking up
the red snapper...Copy !req
27. - ... in the fish tank.
- Hey, Dr. Lewis.Copy !req
28. Carter, your first day?Copy !req
29. If you can't cut it in Surgery,
there's Family Medicine.Copy !req
30. - Or Gerontology.
- Or Psychiatry.Copy !req
31. They can't throw you out.Copy !req
32. They can just make you so miserable,
you beg to quit.Copy !req
33. Susan, we need you!Copy !req
34. It's only a year. You'll make it.Copy !req
35. - Guess I had better go join the group.
- Good luck.Copy !req
36. Try not to kill anyone.Copy !req
37. Surgical interns?Copy !req
38. John, Dale Edson.
Harvard Med. We met last year.Copy !req
39. - How you been?
- Great.Copy !req
40. Just spent six weeks down at Hopkins
on a thoracic elective.Copy !req
41. Resident was a Nazi.Copy !req
42. But they let me scrub in
on 20 valve replacements.Copy !req
43. This is Julie Dixon. Duke.Copy !req
44. This is Leung Joo Hua.
UC San Francisco.Copy !req
45. And Dennis Gant. Ole Miss.Copy !req
46. LSU, actually.
They let us wear scrubs?Copy !req
47. Yeah. It's pretty
informal around here.Copy !req
48. John went to school here.
He'll show us around.Copy !req
49. - All I wanna know is, where's the coffee?
- Blue Team surgical interns.Copy !req
50. I'm Dr. Melvoin. Today's
the last day of my internship...Copy !req
51. and the first day of yours.Copy !req
52. Which means, in the great game
of medical education tag, you're it.Copy !req
53. House staff guidelines.
This lists the conferences and clinics...Copy !req
54. all interns are required to attend.Copy !req
55. Miss one, and your evaluation
will be degraded.Copy !req
56. Vascular conference, Monday, 4 to 5.
Pathology, Monday, 5 to 7.Copy !req
57. Radiology, Tuesday at 5.
M & M's, Wednesday, 7 a. m.Copy !req
58. Intern reports,
Monday, Thursday, Friday...Copy !req
59. at 7 a. m.Copy !req
60. Vascular Journal Club, Tuesday at 7.
Chairman's Conference, Friday, 7 a. m.Copy !req
61. Don't the conference
and intern report conflict?Copy !req
62. Yep. You're on five days a week,
5 a. m. till you finish up after 7 p. m.Copy !req
63. You're on call every
third weekend and every third night.Copy !req
64. Which means every three days...Copy !req
65. you're here from 5 a. m. the first day
till 7 p. m. the next.Copy !req
66. - When do we get to sleep?
- You don't.Copy !req
67. You are wedges.Copy !req
68. The wedge is the most primitive tool
known to man. That is you.Copy !req
69. You think you know what you're doing?
Believe me, you don't.Copy !req
70. Breakfast with your senior
Surgical Resident, Dr. Benton...Copy !req
71. will begin in 15 minutes.Copy !req
72. Dr. Benton is an intern's
worst nightmare.Copy !req
73. He's smarter than you.
He never eats, he never sleeps.Copy !req
74. And he reads every medical journal,
no matter how obscure.Copy !req
75. He is the Antichrist, Beelzebub,
Lucifer, a devourer of wedges.Copy !req
76. You'll go to sleep at night wishing plague
and pestilence on his unborn children.Copy !req
77. And you will wake up every morning
praying for his approval.Copy !req
78. You won't get it.Copy !req
79. Welcome to hell, ladies and gentlemen.Copy !req
80. Benton. He can't be that bad.Copy !req
81. Can he?Copy !req
82. July 4th
6:55 a.m.Copy !req
83. Peter.Copy !req
84. - Hey.
- Hi.Copy !req
85. I left you a message.
You never called me back.Copy !req
86. I was in surgery.Copy !req
87. I tested positive.Copy !req
88. Did you get your results back?Copy !req
89. No, I...Copy !req
90. Sometime today.Copy !req
91. I'm gonna have to talk
to Mark Greene about it.Copy !req
92. I thought you'd wanna know.Copy !req
93. I'm sorry.Copy !req
94. There you go! Now you're
getting the hang of it.Copy !req
95. All right. Remind me again
why we're doing this.Copy !req
96. - It's fun.
- Oh, it's fun. Right. I forgot.Copy !req
97. All right. 10-1. Here we go.Copy !req
98. - How was that date last night?
- Awful.Copy !req
99. You're supposed to use your hands.Copy !req
100. Did you call Alicia?Copy !req
101. Aerobics instructor?
What are we supposed to talk about?Copy !req
102. She's an aerobics instructor!Copy !req
103. Don't you wanna talk
to someone before sex?Copy !req
104. Not really. No.Copy !req
105. Shared experiences...Copy !req
106. common interests?Copy !req
107. Are you suggesting you and I date?Copy !req
108. I'm just looking for
a little more than that...Copy !req
109. in a relationship.Copy !req
110. A relationship? You're 32 years old.
Have some fun!Copy !req
111. Dixon, Charcot's triad?Copy !req
112. Hypercoagulability, stasis-Copy !req
113. Pain, fever, jaundice.Copy !req
114. Gant, the ducts of Luschka?Copy !req
115. They drain bile and don't communicate
with the gallbladder lumen.Copy !req
116. An intern who wasn't asleep
during med school. Thank you.Copy !req
117. Edson, this morning's patient is
jaundiced but no cholangitis.Copy !req
118. Should we perform the surgery
open or laparoscopically?Copy !req
119. - Open. There may be multiple stones.
- I'm going in laparoscopically.Copy !req
120. Did you get an ERCP?Copy !req
121. Okay, Edson. You scrub in.Copy !req
122. Don't you wanna ask me something?Copy !req
123. Dixon, Leung, you guys cover the ward.Copy !req
124. - Gant, you're runner-up. Take the SICU.
- The Surgical ICU?Copy !req
125. The nurses won't let you
kill anybody. Any questions?Copy !req
126. - Dr. Benton?
- Oh, Carter.Copy !req
127. - Help with the wards and cover the ER.
- The ER?Copy !req
128. Lastly, we need to discuss the
on-call rotation for the night shift.Copy !req
129. Dr. Benton, I was hoping...Copy !req
130. Carter, thank you for volunteering.
Take the first shift, starting tonight.Copy !req
131. I'll post the schedules
in the on-call room, okay?Copy !req
132. Tonight?Copy !req
133. Surgical ward. Four minutes.Copy !req
134. - Better start looking.
- It's just a rumor.Copy !req
135. - They're closing us down.
- Where would the patients go?Copy !req
136. It's in the Trib.
The mayor's setting up a commission.Copy !req
137. What?Copy !req
138. They're squeezing the budget,
so they're shutting us down.Copy !req
139. I read that. They said closing
County was one of the options.Copy !req
140. - They said that?
- We'll get fired?Copy !req
141. - Nobody's getting fired.
- I just took a second out on my house.Copy !req
142. - What's the union say?
- We got a contract.Copy !req
143. They've talked about closing us
for years, but we're still here.Copy !req
144. - You guys going to the picnic?
- I'm gonna stop by.Copy !req
145. Me too. I'll see you all later.Copy !req
146. - It was in the Tribune?
- Sun-Times too.Copy !req
147. Oh, God.Copy !req
148. - What are you doing here?
- Benton dumped me back in ER.Copy !req
149. My first day as a surgeon,
and he makes me do trauma assessments.Copy !req
150. Sounds to me like he trusts you.Copy !req
151. - Somebody beep for a Surgical consult?
- LOL in 2. Eighty-two years old.Copy !req
152. Rule out small-bowel obstruction.
Benton on his way?Copy !req
153. No. I'm the Surgical consult.Copy !req
154. He'll be fine.Copy !req
155. God help the poor patients.Copy !req
156. Mark, I'm concerned about
the lack of communication...Copy !req
157. between Attendings
I noticed last year as chief.Copy !req
158. Biweekly meetings would give us a chance
to get on the same page...Copy !req
159. improve patient care.Copy !req
160. Tuesdays and Thursdays
during lunch might work.Copy !req
161. It'll be rough on night-shift guys, having
to be dragged down here in the afternoon.Copy !req
162. I also think we need to adhere
to JCAHO guidelines all the time.Copy !req
163. Not just when we expect the committee.Copy !req
164. - Nurses will hate that.
- Rules were created for a reason.Copy !req
165. Take the board for example. Patient
confidentiality is breached every day.Copy !req
166. Here, look at this entry.
"Al Johnson. Penile discharge. "Copy !req
167. How would you feel if that were you?Copy !req
168. Not only are we risking lawsuits,
but we could lose our accreditation.Copy !req
169. Unit 79's bringing in
an 86-year-old male, altered LOC.Copy !req
170. I've created a diagnostic code
for the board.Copy !req
171. It's a list of a few hundred
two-letter combinations...Copy !req
172. of our most common
patient complaints.Copy !req
173. We can use the patients' social security
numbers to protect anonymity.Copy !req
174. "BE"? Barium enema?Copy !req
175. Blunt extremity trauma.Copy !req
176. Some guy with a nasty bruise will get
a radioactive colon cleansing.Copy !req
177. Mark, can I talk to you later?Copy !req
178. Yeah, sure. This afternoon?Copy !req
179. There's a conference on Saturday
at Northwestern.Copy !req
180. Modern Architecture for Emergency
Medicine Management.Copy !req
181. I think we should go.Copy !req
182. Saturday, I'm with my daughter.
Why don't you go and fill me in.Copy !req
183. Sure. I'll tape it.Copy !req
184. She's gotta be kidding.Copy !req
185. - What brings you in today, ma'am?
- I'm sick.Copy !req
186. - What's wrong?
- Stomach hurts. Didn't you tell him?Copy !req
187. - When did this pain start?
- I don't know.Copy !req
188. This morning maybe?Copy !req
189. I said, I don't know.
What is he, an idiot?Copy !req
190. - How old are you?
- Old enough. Tell me if this hurts.Copy !req
191. - The abdomen is tender.
- I gathered that.Copy !req
192. Let's order a CBC, Chem-7
and an abdominal series.Copy !req
193. They're done.Copy !req
194. I'll check your tests, Mrs. Lukesi,
but I'm afraid you'll require surgery.Copy !req
195. You don't want to examine her
a little more?Copy !req
196. She's had previous surgery.
She probably has adhesions.Copy !req
197. You sure he's a doctor?Copy !req
198. You might consider doing a rectal.Copy !req
199. Never let the sun set
on a small-bowel obstruction, right?Copy !req
200. Dr. Carter, may I see you
for a moment, please? Excuse us, ma'am.Copy !req
201. What's taking so long?
I come for an appy...Copy !req
202. you have four patients on the board.
Did you check it?Copy !req
203. I got beeped to examine a patient.Copy !req
204. Check the board first. How could you
tell this patient was emergent?Copy !req
205. Small-bowel obstruction.
She's gonna need surgery.Copy !req
206. I'd like to scrub in on this one.Copy !req
207. Carter, all surgical abdomens require
a rectal. Even first-years know that.Copy !req
208. She's impacted.Copy !req
209. Check on the rest of your patients.
Then disimpact this one.Copy !req
210. - Isn't that a nurse's job?
- Not today, it isn't.Copy !req
211. Eighty-eight-year-old male.
Altered LOC, hypotensive...Copy !req
212. BP, 60 palp. Sinus tach at 128.Copy !req
213. Resps shallow at 30.
Skin's warm and dry.Copy !req
214. Couldn't get an IV.
O-2, 4 liters nasal cannula.Copy !req
215. Let's go. Trauma 1.Copy !req
216. What are all these
letters and numbers?Copy !req
217. Patient confidentiality system.Copy !req
218. How can I tell who's surgical
and who's medical?Copy !req
219. I don't have time!
Whose stupid idea is this?Copy !req
220. Mine. First day on the surgical service?
Nice to have you with us.Copy !req
221. Need a surgeon in 1. Is Benton in?Copy !req
222. That's you, right? Let's go.Copy !req
223. There's always a first time, doctor.
Might as well get it over with.Copy !req
224. Oh, God.
Somebody called for a surgeon.Copy !req
225. - Drop a central line.
- I'll intubate after you get it in.Copy !req
226. Pulse ox is 85.Copy !req
227. Trendelenberg, please, nurse.Copy !req
228. Central-line kit.
One percent lidocaine with epi.Copy !req
229. - Thank you, nurse.
- Intubation tray.Copy !req
230. - Angle toward the sternal notch.
- I know.Copy !req
231. Foley's in.Copy !req
232. Come on.Copy !req
233. - How are you doing over there, Dr. Carter?
- Almost.Copy !req
234. Almost.Copy !req
235. I can't find it.
Prep for a right subclavian approach.Copy !req
236. Please...Copy !req
237. Try not to hit the lung.Copy !req
238. What do we got?Copy !req
239. Eighty-eight-year-old male needs a central
line. I tried a right subclavian approach.Copy !req
240. - Set me up.
- I think I nicked his lung.Copy !req
241. - Decreased breath sounds.
- I need to intubate.Copy !req
242. His veins must've collapsed.Copy !req
243. I'm in. Stethoscope.Copy !req
244. Get Respiratory down here
to set up a vent.Copy !req
245. Congratulations, Carter.
Your patient now needs a chest tube.Copy !req
246. - Chest-tube tray, 28 French.
- 10 blade.Copy !req
247. Hook me up. Hold still for
the driver. Vaseline gauze is next.Copy !req
248. Four-by-fours.
How's his pressure?Copy !req
249. - 90 systolic.
- Two liters, wide open.Copy !req
250. Temp's 103.Copy !req
251. Cefuroxime, 1.5 grams Q8.Copy !req
252. I'd cover him for Pseudomonas.Copy !req
253. Ceftazidime.Copy !req
254. Two grams Q8, plus gent.Copy !req
255. All right, people.
Somebody call up Radiology, get a stat...Copy !req
256. Listen to this. "Pearl-white beaches
set against an azure-blue, tropical sky.Copy !req
257. Cool breezes that make
your semi-detached bungalow...Copy !req
258. your own little piece of paradise. "Copy !req
259. - Where's that?
- Micronesia.Copy !req
260. - Where's that?
- Who cares? It's a long ways from here.Copy !req
261. "Dive with Lenny and Francis
at Fish 'n' Fins...Copy !req
262. Palau's oldest and most experienced
charter operators. "Copy !req
263. Is that a shark?Copy !req
264. Five or six of them. Cool, huh?Copy !req
265. Oh, look!Copy !req
266. Hawaii! Have you ever been to Hawaii?Copy !req
267. Hawaii, South Pacific...Copy !req
268. Don't all these places require that
you fly over water at great heights?Copy !req
269. I don't care. I'll self-medicate
and sleep through the whole thing.Copy !req
270. I can't understand a thing.
What the hell is OT?Copy !req
271. "Occupational therapy"?
Half the patients need it.Copy !req
272. "Other. " You put it
when you don't know.Copy !req
273. Or you're too busy
to look up the abbreviations.Copy !req
274. Give it time.
Rome wasn't built in a day.Copy !req
275. And what is this PU?
I can't find it in the book.Copy !req
276. Pleuritic chest pain.Copy !req
277. - EH?
- Behavioral problems in psych.Copy !req
278. How's he do that?Copy !req
279. I reviewed the notes at lunch.Copy !req
280. Dr. Benton, some outside lab
called with test results for you.Copy !req
281. - How long ago?
- A couple hours.Copy !req
282. Why the hell didn't you tell me?Copy !req
283. - Hello.
- Hi. You have an appointment?Copy !req
284. I thought this was a walk-in day.Copy !req
285. Normally, but with the holiday,
things are pretty jammed up.Copy !req
286. - You here for testing?
- No.Copy !req
287. You are HIV-positive?Copy !req
288. - Yes.
- When did you find out?Copy !req
289. Yesterday. I'll come back later.Copy !req
290. Wait. You're already here.Copy !req
291. Why don't you fill out a form, and I'll
make sure you get in to see somebody.Copy !req
292. Top form is general information.
Next few pages are for insurance.Copy !req
293. Thanks.Copy !req
294. You work here?Copy !req
295. In the ER.Copy !req
296. HIV-positive?Copy !req
297. Yeah.Copy !req
298. You haven't told anyone
you work with, have you?Copy !req
299. Not really.Copy !req
300. You shouldn't be here.Copy !req
301. You need to go someplace else
for treatment.Copy !req
302. Somewhere where they don't know you.Copy !req
303. I was a surgical tech
over at Southside.Copy !req
304. Believe me, don't tell anyone
you're HIV-positive.Copy !req
305. Especially not anyone in management.Copy !req
306. - They can't fire me.
- Not legally. No.Copy !req
307. But when I came up positive four years
ago, I told the chief of Surgery.Copy !req
308. First they sent me to Gerontology.
Wouldn't let me do anything but take BPs.Copy !req
309. When that didn't work, they stuck me
down in Pathology working nights.Copy !req
310. After six months of that,
I finally quit.Copy !req
311. I'd been there for eight years.Copy !req
312. There's a real good clinic
up in Highland Park.Copy !req
313. It's a long drive,
but it'd be a lot safer.Copy !req
314. I'm sorry if I'm scaring you.Copy !req
315. Matthew?Copy !req
316. I'm Matt Hymes. What's your name?Copy !req
317. Maybe I should give you an alias.
Jeanie Boulet.Copy !req
318. Get out of here, Jeanie.
Don't ever come back.Copy !req
319. Yeah. This is Dr. Benton over at County.Copy !req
320. You have the results of an AIDS test
for a patient of mine.Copy !req
321. Yeah, I know it's late.Copy !req
322. Look, I don't want the patient to agonize
over this thing over the weekend, okay?Copy !req
323. I'd really appreciate it.Copy !req
324. The patient's name is Benjamin.Copy !req
325. Peter Benjamin.Copy !req
326. Yeah, thanks. Thanks.Copy !req
327. Yeah, I'm still here.Copy !req
328. Okay.Copy !req
329. Thank you.Copy !req
330. Thank you.Copy !req
331. Dr. Benton, I'm all caught up,
and my night shift doesn't start...Copy !req
332. for another half-hour. Should I go eat?Copy !req
333. Take 10 minutes, then find Melvoin.Copy !req
334. - Ten minutes.
- That's more time than you'll usually get.Copy !req
335. - You gonna be with me tonight?
- No. Karubian's the Resident on call.Copy !req
336. You okay, Dr. Benton?Copy !req
337. Yeah.Copy !req
338. I'm fine, Carter.Copy !req
339. Going to the picnic?Copy !req
340. Are you kidding?
Last year six at bats, 15 RBls.Copy !req
341. I love to play the Pedes unit.Copy !req
342. We're playing the Paramedics
this year.Copy !req
343. Finally? Who set that up?Copy !req
344. Either that or the Orthopods.
Looked rough either way.Copy !req
345. Ortho's got two ex-all-Americans
and one retired minor-league shortstop.Copy !req
346. If you're going to the picnic,
better pick up more chicken.Copy !req
347. Darcy called. Her kid's sick.
She can't work tonight.Copy !req
348. - Anybody wanna pull a double?
- On the Fourth of July?Copy !req
349. Come on, guys.
Please? Somebody?Copy !req
350. - Guys, I'm playing right field.
- It's tough being boss, huh?Copy !req
351. You could always quit again.Copy !req
352. I can cover for a few hours
if you come back by 10.Copy !req
353. - Thank you, Lily.
- Where you going?Copy !req
354. - Barbecue and softball at Grand Park.
- Everybody's going?Copy !req
355. - I'm coming back.
- Bring me back some barbecue.Copy !req
356. - Anything else, doctor?
- Chicken, no dark meat.Copy !req
357. And beans, if they're not too sweet,
and lots of coleslaw.Copy !req
358. - Carter's getting a little uppity.
- Really.Copy !req
359. - He may need a little potty training.
- I'd be delighted.Copy !req
360. Carter.Copy !req
361. Last day, huh?Copy !req
362. My vacation begins in 14 minutes
and 24 seconds. I set my watch.Copy !req
363. Fourth of July.Copy !req
364. You're in for a treat tonight.Copy !req
365. Knife and Gun Club
should really get going later.Copy !req
366. - Where we going?
- Surgical wards.Copy !req
367. - Why?
- You're covering them tonight.Copy !req
368. - I thought I'm covering the ER.
- That too.Copy !req
369. And the SICU, O.R. prep
if the Resident needs you...Copy !req
370. Trauma Team, Pre-Op
and all the Surgical admits.Copy !req
371. Have some-Copy !req
372. Hey. Look what the cat dragged in.Copy !req
373. Got a good turnout.Copy !req
374. You know this neighborhood. Mention free
food and beer, and they come running.Copy !req
375. - I'm glad you came.
- I said I was gonna come.Copy !req
376. I figured you were lying, like always.Copy !req
377. What are you so happy about?Copy !req
378. I'm just happy. I can't be happy?Copy !req
379. You knew she was coming, didn't you?Copy !req
380. That's why you showed up.Copy !req
381. Jackie, how many times I gotta
tell you, we're just friends?Copy !req
382. Can I get you something to drink?Copy !req
383. Yeah. Some juice.Copy !req
384. I know what I'm doing.Copy !req
385. Hey, man. What's up, doc?Copy !req
386. This crazy woman thinks
she knows how to grill.Copy !req
387. Get out of here. Bald men
don't know how to barbecue.Copy !req
388. She's just mad because I'm a big, black,
bald, beautiful, barbecue-cooking man.Copy !req
389. - I'm gonna get some chicken. I'll be back.
- All right, Wally.Copy !req
390. I want my place back!Copy !req
391. - How are you doing?
- Pass me that plate over there.Copy !req
392. You look good.Copy !req
393. You don't come around
the restaurant no more.Copy !req
394. You know, I...Copy !req
395. - I gave up meat.
- I heard that about you. I did.Copy !req
396. All those long hours
you been working, I bet.Copy !req
397. Yeah. Keeps me pretty busy, you know.Copy !req
398. It's a shame.Copy !req
399. No time for old friends.Copy !req
400. Well, you know, I...Copy !req
401. I get an hour here and there.Copy !req
402. Well, it only takes an hour, Peter.Copy !req
403. Or don't you remember?Copy !req
404. Oh, man.Copy !req
405. - Jeanie. Hey.
- Hi.Copy !req
406. - How you feeling?
- I'm fine.Copy !req
407. - And how's your husband?
- He's doing all right.Copy !req
408. - Good. That's great.
- Yeah.Copy !req
409. Did-? Did you ever get that test?Copy !req
410. Yes.Copy !req
411. - It was negative.
- That's great.Copy !req
412. I won't keep you any longer.
I'm glad the news was good.Copy !req
413. Let's go, Jer. Lock on the ball!Copy !req
414. Safe!Copy !req
415. Who told Jerry to pitch?Copy !req
416. - 17-3.
- Let's go!Copy !req
417. Why don't we forfeit
and get back to drinking.Copy !req
418. Jerry! Come on, 17-3.
We're still in it.Copy !req
419. Let's go! 17-3!
We're still in this.Copy !req
420. - Jer, come on!
- We're in it.Copy !req
421. Let's spin that ball!Copy !req
422. I got it! I got it!Copy !req
423. I got it!Copy !req
424. All right. That's a momentum swing.
This is our inning. Let's go!Copy !req
425. - Hi.
- Hey.Copy !req
426. You playing?Copy !req
427. I don't know. I just got off work.Copy !req
428. My guys are doing okay without me.Copy !req
429. Your guys are kicking our butts.Copy !req
430. - You left your boom box at my house.
- I got a new one.Copy !req
431. My old one still have my
Best of Conway Twitty tape in it?Copy !req
432. If it did, I would've burned it.Copy !req
433. What happened to my beer?Copy !req
434. Vicki Pastroni, this is Carol Hathaway.
She's the head nurse down at County.Copy !req
435. Nice to meet you.Copy !req
436. Looks like Greene's gonna try
to make a game of this one.Copy !req
437. Maybe I'd better go warm up.Copy !req
438. Hey.Copy !req
439. - You all right?
- Yeah.Copy !req
440. Fireworks!Copy !req
441. Oh, I love fireworks.Copy !req
442. Me too.Copy !req
443. God, they're beautiful.Copy !req
444. If we're all here, who's at work?Copy !req
445. I don't know.Copy !req
446. I don't care.Copy !req
447. Dr. Carter, get one A-V.Copy !req
448. Step up here, Dr. Carter.Copy !req
449. He's arrested.Copy !req
450. Thoracotomy tray.Copy !req
451. Make the incision deep and fast.Copy !req
452. Spreader.Copy !req
453. Vascular clamp.Copy !req
454. - Dr. Carter?
- I'm up.Copy !req
455. July 5th
3:05 a.m.Copy !req
456. What?Copy !req
457. Mrs. Nuprik's temp's up to 100.
Can we give her Tylenol?Copy !req
458. - How long have I been asleep?
- About 10 minutes. Tylenol?Copy !req
459. - Yeah, great.
- Two?Copy !req
460. Two. Right.Copy !req
461. Dr. Carter?Copy !req
462. Can we give Mr. Sifkin some toast?
He's asking for something to eat.Copy !req
463. - Sifkin?
- Leg lac?Copy !req
464. Yeah, yeah. Right.Copy !req
465. Toast okay?Copy !req
466. Toast, oatmeal, prime rib, whatever.Copy !req
467. Thank you, doctor.Copy !req
468. Toast. God.Copy !req
469. Dr. Carter?Copy !req
470. Do you want a stool culture on
Mrs. Haney? She's got diarrhea.Copy !req
471. Haney?
That's Weaver's patient, right?Copy !req
472. - What does she say?
- She's upstairs getting coffee.Copy !req
473. - What would you normally do?
- Not bother.Copy !req
474. - Let's not bother then, okay?
- Thank you, doctor.Copy !req
475. Haleh.Copy !req
476. Is it always like this
when somebody's sleeping?Copy !req
477. I wouldn't know, doctor. Nurses
aren't allowed to sleep on shift.Copy !req
478. - Should I beep him again?
- Only if he doesn't come out.Copy !req
479. Bingo!Copy !req
480. Cops are bringing in a drunk.
Fell through a window.Copy !req
481. Find a bed.
This guy's growing roots.Copy !req
482. Resident claims
he doesn't have space...Copy !req
483. because he doesn't wanna work
anybody up.Copy !req
484. Good morning, Dr. Carter.
Get any sleep?Copy !req
485. Somebody beeped me? You, Ray?Copy !req
486. No. Maybe another floor?Copy !req
487. - "6195. " That's the ER, isn't it?
- Yes, but I didn't page you.Copy !req
488. Must've been some kind of mistake.Copy !req
489. They can make your life
easy or miserable.Copy !req
490. Whatever you did,
I suggest you apologize immediately.Copy !req
491. - I didn't do anything.
- Apologize anyway.Copy !req
492. Police are bringing in a drunk.
Went through a plate-glass window.Copy !req
493. This guy was busting windows
with his fist.Copy !req
494. Tried to bust a display window
at the Gap but couldn't.Copy !req
495. So he went over across the street.
Went right through.Copy !req
496. - We found him in Women's Underwear.
- I'm okay. I'm okay!Copy !req
497. Someone wanna help me out?Copy !req
498. - He's not on yet.
- I got him! I got him!Copy !req
499. Clean him up and check his tetanus.Copy !req
500. And prepare him for suturing,
lots of suturing.Copy !req
501. That should take the rest of the night.Copy !req
502. - Dr. Carter! Conni! I need you.
- Let me know when he's ready.Copy !req
503. Elderly man vomiting blood.Copy !req
504. BP, 100/70. Pulse is thready at 145.
Two IVs in the field.Copy !req
505. - He's yellow.
- Don't we know him?Copy !req
506. Jim. A regular.
Alcoholic, cirrhosis, seizures.Copy !req
507. Oh, yeah, he's drunk.Copy !req
508. Okay, let's move him.Copy !req
509. Gently, now. One, two, three.Copy !req
510. He's got a big scalp lac.Copy !req
511. Found him in the gutter.
He may have hit his head.Copy !req
512. - What's that smell?
- Code brown in the shorts. Blood too.Copy !req
513. CBC, type and cross,
4 units, coag panel.Copy !req
514. Dr. Carter, help us with an NG, please.Copy !req
515. Hang the banana bag wide open.Copy !req
516. - I'm ready for you, Dr. Carter.
- Hold still, sir.Copy !req
517. What's your surgical plan?Copy !req
518. Transfuse and take him
to the Gl lab for endoscopy.Copy !req
519. - Cauterize the bleeding sites.
- Sounds right.Copy !req
520. Did you hear me?Copy !req
521. Damn it, Malik!
I'll be there as soon as I can, all right?Copy !req
522. God!Copy !req
523. Sure.Copy !req
524. Take your time.Copy !req
525. Multiple burn victims on their way.Copy !req
526. Set up 1 and alert Plastic.
They'll be right there.Copy !req
527. Don't look at us. We're working here.Copy !req
528. - Tube's in.
- What's 1019?Copy !req
529. Surgical ICU.Copy !req
530. Yeah, this is John Carter.
You just paged me.Copy !req
531. How many days since the surgery?
All right, I'll be right over.Copy !req
532. Post-op, day two. Triple-A repair.
Guy's desatting.Copy !req
533. Don't be gone long, doctor.
We're getting buried down here.Copy !req
534. Can I help you?Copy !req
535. I'm Dr. Carter.Copy !req
536. Sixty-six-year-old male. Abdominal
aneurysm repaired two days ago.Copy !req
537. Dropped his crit. I don't know if
he's leaking or if he's hemodiluted.Copy !req
538. - What do you think?
- I hope he's not bleeding out.Copy !req
539. Should we transfuse or diurese?Copy !req
540. That's why I called you.Copy !req
541. - What's his crit?
- Thirty. It was 33 an hour ago.Copy !req
542. Haven't seen your Resident.
He's asleep?Copy !req
543. - What time does he get up?
- Sometime after 5.Copy !req
544. That's two hours.Copy !req
545. Two hours.Copy !req
546. Do you wanna wait and see
how low his crit goes?Copy !req
547. If I don't transfuse and he's
bleeding out, he'll go into shock.Copy !req
548. And if I diurese and I'm wrong, then
he's gonna go into renal failure, right?Copy !req
549. It's the ER, 911.
Where's Dr. Karubian sleeping?Copy !req
550. Dr. Karubian?Copy !req
551. This better be important,
or you'll be draining rectal abscesses...Copy !req
552. for the rest of your Residency.Copy !req
553. Post-op, day two. Aneurysm repair.
Crit's 30, sat's down to 90.Copy !req
554. - Is he on oxygen?
- Nasal cannula. Yes, sir.Copy !req
555. Try a mask. Check his crit
again in half an hour.Copy !req
556. Yes, sir. Thank you, sir.Copy !req
557. - It's Carter, right?
- Yes. Right, sir.Copy !req
558. All right. Shut up, Carter,
and close the door.Copy !req
559. Fifteen liters oxygen by mask,
and call me in half an hour.Copy !req
560. - What's going on?
- Third-degree burns.Copy !req
561. Kid was playing with fireworks.Copy !req
562. Pulse ox is 65 on 100 percent O-2.Copy !req
563. Nice of you to join us.
Where the hell you been?Copy !req
564. - I was up in the SICU.
- Acute pulmonary edema. Six ETtube.Copy !req
565. Versed. Guy next door's in trouble.Copy !req
566. Go! When I page 911, I want you
out of breath when you show up!Copy !req
567. - What's going on?
- He's taching at 200.Copy !req
568. - What?
- No palpable BP. Looks like SVT.Copy !req
569. Cardiovert, right?Copy !req
570. - How much?
- I'd start at 50.Copy !req
571. Hit the synch switch.
All right, everybody off!Copy !req
572. A hundred. Off!Copy !req
573. - Okay, okay. Okay, sinus.
- BP, 70 palp. Dopamine?Copy !req
574. - Do you want Dopamine?
- I don't know! Somebody call a doctor!Copy !req
575. You are the doctor.Copy !req
576. Yeah, yeah. Right. Dopamine.Copy !req
577. Titrate to a systolic of 100.Copy !req
578. I can do this. He's not breathing,
so we have to intubate. 7.5 now.Copy !req
579. - IV's blown.
- It's okay. In a minute. I got it.Copy !req
580. Let me get in there.Copy !req
581. Hey. Need any help in here?Copy !req
582. Early, aren't you?Copy !req
583. I couldn't sleep.
Figured you could use a hand.Copy !req
584. Get a third line started.
IV's blown. Bag him.Copy !req
585. - What's wrong with this guy?
- Known alcoholic, Gl bleed...Copy !req
586. history of cirrhosis,
possible subdural hematoma.Copy !req
587. - Had to cardiovert.
- You're kidding.Copy !req
588. Zapped him twice. Got him back.
He went apneic, and I had to tube him.Copy !req
589. Your first night?Copy !req
590. I haven't even told you about the guy
who desatted up in the SICU.Copy !req
591. Interns' breakfast starts
in a couple minutes.Copy !req
592. July 5th
6:07 A.m.Copy !req
593. Last ones.Copy !req
594. - Breakfast.
- Right.Copy !req
595. This year, I'll associate
omelets and oatmeal...Copy !req
596. with a deep sense
of personal inadequacy.Copy !req
597. - How many sutures have we put in him?
- I lost count. Hundreds.Copy !req
598. At least.Copy !req
599. - How you holding up?
- Okay.Copy !req
600. I'm really tired.Copy !req
601. But I can look on the bright side, though.
I'm off in 13 hours.Copy !req
602. I'm on tonight.Copy !req
603. - Thanks for coming in to help.
- It's no problem.Copy !req
604. Well, that's it. We're done.Copy !req
605. Well, then I guess it's time for
our early morning humiliation.Copy !req
606. Benton's breakfast it is.Copy !req
607. Just in time too. I was starting
to feel too good about myself.Copy !req
608. Hi.Copy !req
609. Hey.Copy !req
610. Did you get your test back?Copy !req
611. Yeah.Copy !req
612. It was negative.Copy !req
613. That's good. That's good.Copy !req
614. I'm glad.Copy !req
615. - Have you told anyone yet?
- About my test? No.Copy !req
616. About me.Copy !req
617. - No.
- Good. I don't want you to.Copy !req
618. I've decided not to tell anyone about it.Copy !req
619. Is that what Greene told you to do?Copy !req
620. No. It's a personal decision.
And I'd appreciate it if you'd honor it.Copy !req
621. Jeanie, are you asking me
to lie for you?Copy !req
622. I'm not asking you to lie.
I'm asking you to keep your mouth shut.Copy !req
623. Look, I don't know if I can do that.Copy !req
624. Fine. Thanks for all your support.Copy !req
625. Jeanie, come here. Come here.Copy !req
626. You plan to keep on practicing?Copy !req
627. I don't know.
I don't want my personal life...Copy !req
628. spread around the hospital.
Is that asking too much?Copy !req
629. - I don't know, Jeanie.
- Right.Copy !req
630. Jeanie.Copy !req
631. - We really need to formalize chart review.
- Why would we wanna do that?Copy !req
632. Quality assurance.Copy !req
633. The Residents can't improve their
diagnostic skills without feedback.Copy !req
634. Our Residents' diagnostic skills
are pretty terrific the way they are.Copy !req
635. They don't need more supervision,
they need vacation.Copy !req
636. - Good morning, everybody.
- Good morning.Copy !req
637. It was just a suggestion. We'll discuss it
at the Tuesday Attendings meeting.Copy !req
638. - What Tuesday Attendings meeting?
- Memo in your box.Copy !req
639. Mark, what's up with this board?
Is it gonna stay like this forever?Copy !req
640. No, it's not.Copy !req
641. Come on, Jerry. Let's put the
patients' last names back up here.Copy !req
642. And let's list their
complaints in English, please.Copy !req
643. Yes, I promise I'll give
him the message. I will.Copy !req
644. Okay. Okay, bye. Bye, now. Bye-bye.Copy !req
645. - Ross in yet? That girl called again.
- What girl?Copy !req
646. Every five minutes.
She's driving me crazy.Copy !req
647. Are you crazy, Randi?
We can't have that.Copy !req
648. Gretchen's called 50 times.
It's not even 7 a. m.Copy !req
649. Thank you.Copy !req
650. Jus call her. I'm not your secretary.
I've got work to do.Copy !req
651. - Another stewardess?
- No.Copy !req
652. - Cocktail waitress?
- Hatcheck girl?Copy !req
653. You all think you know me so well.Copy !req
654. Yes, that's because we do.Copy !req
655. Gretchen's a mergers and acquisitions
specialist at First National.Copy !req
656. She went to Smith and Yale Law.Copy !req
657. She's a Rhodes scholar.Copy !req
658. Smith, wow! Most of the women
you date can't even spell "Smith. "Copy !req
659. - I'm shocked.
- Well, I'm full of surprises.Copy !req
660. When do we get to meet
this Renaissance woman?Copy !req
661. A Rhodes scholar?Copy !req
662. - Carter have a nice night?
- Oh, yeah.Copy !req
663. The boy will fetch, heel, roll over
and play dead if you ask him to.Copy !req
664. Doughnuts. Doughnut?
I bought them for the nurses.Copy !req
665. Chocolate. Why, thank you, doctor.Copy !req
666. - Carter, come. I need you.
- Doughnut, Dr. Benton?Copy !req
667. Dr. Karubian told me
you woke him last night...Copy !req
668. asking him how to work
an oxygen mask?Copy !req
669. It was a little bit more
complicated than that.Copy !req
670. - Carter, where's your tie?
- Long story.Copy !req
671. - No time for that.
- Five flights?Copy !req
672. I hope you had
plenty of rest last night.Copy !req
673. - Doug.
- Gretchen, what are you doing?Copy !req
674. I've been calling you all morning.Copy !req
675. I've been busy.Copy !req
676. The store's doing inventory.
I was hoping we could have lunch.Copy !req
677. Today I can't. I'm sorry.Copy !req
678. Listen, I gotta get back
to my patients, okay?Copy !req
679. Why don't you come over later.Copy !req
680. I don't wanna come over later.
I wanna meet your friends, go to dinner.Copy !req
681. Listen to me. All that is gonna happen.
Right now I gotta get back to work.Copy !req
682. When, Doug? When will it happen?Copy !req
683. Tonight we'll go to dinner.
Seven o'clock, all right?Copy !req
684. - You pick the place. Okay?
- Okay.Copy !req
685. Okay, bye. I now have
to go to work, okay?Copy !req
686. - Okay.
- Okay. All right. I'll see you.Copy !req
687. - Seven?
- Yeah, 7.Copy !req
688. Gretchen?Copy !req
689. No. She's just somebody
that I haven't seen in a long time.Copy !req
690. Jerry, don't you have
some work to do?Copy !req
691. Gretchen, hi. It's Doug.
You just left here.Copy !req
692. I'm sorry. I just realized I can't
have dinner with you tonight.Copy !req
693. I'm swamped, and I just forgot.
I'm sorry.Copy !req
694. I'll talk to you in a couple
of days, okay? Bye-bye.Copy !req
695. July 5th 7:55 p. m.Copy !req
696. Carter?Copy !req
697. Someone left some sparklers
in the Trauma Room. You want them?Copy !req
698. I heard you caught another
central line. Any trouble?Copy !req
699. No, I hit it the first time.Copy !req
700. That's the way it is.Copy !req
701. Sometimes, you can't find them.
Other times, they are right there.Copy !req
702. I haven't seen one of these
since I was a kid.Copy !req
703. It's me. It's me.Copy !req
704. - You're a very popular guy.
- It's the ER.Copy !req
705. I'll go check it out.Copy !req
706. - Get some more fresh air.
- Thanks.Copy !req
707. Carter, how much longer you on?Copy !req
708. Two hours.Copy !req
709. You're gonna make it.Copy !req