1. E.R.Copy !req
2. Previously on ER...Copy !req
3. - When are you coming back?
- The hearing is in a couple of weeks.Copy !req
4. Nurse Hathaway is doing fine
on her own.Copy !req
5. Why two women on one night?Copy !req
6. Scheduling mix-up.Copy !req
7. I thought we were having drinks.Copy !req
8. Before or after the basketball game?Copy !req
9. I just took out your appendix.Copy !req
10. I'm afraid of liking you too much.Copy !req
11. - We're going to intubate him.
- He doesn't want that.Copy !req
12. Intubate him.Copy !req
13. "Faith"Copy !req
14. We're back at 8:30
on this Thursday morning.Copy !req
15. - It's really nice outside.
- It's beautiful out here.Copy !req
16. - I wish the sun was shining.
- Clouds are gonna be moving in.Copy !req
17. Temperature-wise, it is nice.Copy !req
18. A lot of Martha fans out here.
We should probably say a quick hello.Copy !req
19. This lady is a Martha fan. Can you do
the things she does as well as she does?Copy !req
20. - I try.
- You do?Copy !req
21. No, I'm not as good as her.Copy !req
22. - Mom?
- Oh, did I wake you?Copy !req
23. - What are you doing?
- I'm making you breakfast.Copy !req
24. Where's the coffee?Copy !req
25. - How are you feeling? Sleeping okay?
- Like a baby.Copy !req
26. - No nightmares?
- No.Copy !req
27. It would only be natural.Copy !req
28. Mom, I see worse stuff
at work every day.Copy !req
29. - Today's the big day, right?
- The test?Copy !req
30. No, find out about your job.Copy !req
31. Mom, they suspended me.
I might not get my job back.Copy !req
32. - Those eggs done?
- No, still too runny.Copy !req
33. - I like them runny.
- Just another couple minutes.Copy !req
34. - What test?
- Medical School Admissions Test, Mom.Copy !req
35. - I thought you gave up on that.
- No.Copy !req
36. Big commitment.Copy !req
37. Here we go. Perfect.Copy !req
38. - Doctor. That would be something.
- I could do it.Copy !req
39. - I know you could.
- I could.Copy !req
40. - I said so.
- Why do you always do that?Copy !req
41. - Do what?
- Make me feel like I'm incapable, stupid.Copy !req
42. I said I thought you could do it.Copy !req
43. I just wish for once
you would believe in me.Copy !req
44. - I believe in you.
- You always criticize, belittle...Copy !req
45. make me feel like I can't do anything.Copy !req
46. Why didn't you tell me I could be
a lawyer or pilot or astronaut?Copy !req
47. - You wanted to be an astronaut?
- No, I wanted you to tell me I could.Copy !req
48. Fine. Go be an astronaut.Copy !req
49. I'm your mother, I love you whoever
you are. Doctor, nurse, housewife.Copy !req
50. Oh, right, housewife.Copy !req
51. You hold you back, not me.Copy !req
52. You're the one that
always quits everything.Copy !req
53. Always frightened
that you're not good enough.Copy !req
54. - I finish things.
- Ballet, cheerleading, the flute.Copy !req
55. - I was 13!
- Business school, your own wedding.Copy !req
56. - I finished nursing school, didn't I?
- Right. Exactly.Copy !req
57. You've got a great job you're good at.
So why is the grass suddenly greener?Copy !req
58. You have a good life. I'm proud of you.
Why aren't you proud of yourself?Copy !req
59. Carla! Carla!Copy !req
60. Hey, Carla.Copy !req
61. I was coming to see you. I didn't know
you had to be at work this early.Copy !req
62. I don't.Copy !req
63. Look, Carla, I'm sorry I haven't called.
A lot of stuff came up.Copy !req
64. I just had a lot of stuff going on,
you know?Copy !req
65. I had minor surgery and all this other...Copy !req
66. Sorry to hear that. Are you okay?Copy !req
67. Yeah, yeah. It was just my appendix.
I'm still a little sore, but I'm okay.Copy !req
68. - How about you? You okay?
- Peter, what do you want?Copy !req
69. - Well, we need to talk.
- I told you I was pregnant weeks ago.Copy !req
70. Then nothing. No phone calls,
no coming by to see how I was doing.Copy !req
71. Silence. I got the point. It's cool.
I got it.Copy !req
72. I wasn't trying to make a point!Copy !req
73. Carla, I realize there's going to be
a baby here...Copy !req
74. and he's gonna be as much
my responsibility as yours.Copy !req
75. I just needed some time
to think about this thing.Copy !req
76. It's not the way I would've planned it,
but you're not doing this by yourself.Copy !req
77. - Are you going to marry me, Peter?
- That's not what I'm saying.Copy !req
78. So, what are you saying? What?Copy !req
79. Are you going to stop by
every so often...Copy !req
80. and change a few diapers,
bounce the baby on your knee...Copy !req
81. for a couple of Kodak moments?Copy !req
82. The child's gonna need a good school
and a nice place to live.Copy !req
83. - You're saying I can't provide those?
- I'm saying I can help.Copy !req
84. Money.
So that is what this is all about.Copy !req
85. Yeah. That among other things.Copy !req
86. The child will need a man in his life.Copy !req
87. Who says that this baby
will not have a man in his life?Copy !req
88. So, what you saying?
You seeing somebody else?Copy !req
89. Peter, you and I, we've known
each other for a very long time.Copy !req
90. I never expected you to marry me.
I never expected a damn thing from you.Copy !req
91. You care about you.
And that is the way it has always been.Copy !req
92. But it's comforting, really.
It's one of the few constants in my life.Copy !req
93. You don't have to worry.
This baby is gonna be fine.Copy !req
94. Plenty to eat, nice clothes, a good man
around to call Dad. I'll take care of that.Copy !req
95. You go back to worrying about yourself.
Because that's what you do best.Copy !req
96. Dr. Benton! First day back.Copy !req
97. - Is the incision healing? Any discharge?
- It's fine, Carter.Copy !req
98. You shouldn't be back on your feet
for extended periods of time yet.Copy !req
99. Did you finish that
whole course of antibiotics?Copy !req
100. Hey, Peter, how's the scar?
Is it itchy yet?Copy !req
101. I made a Rocky-Davis incision,
running stitch, McBurney's Point.Copy !req
102. When that hair starts to grow back,
the itching worsens.Copy !req
103. You going to show us
your scar, Peter? Let's see!Copy !req
104. Yeah, let's take a look.
I did it one-handed.Copy !req
105. - Come on, Carter, stop!
- You know, that's really a shame...Copy !req
106. because it's a great job.Copy !req
107. Good thing I took pictures.Copy !req
108. - What is that, a mole?
- Good morning. What are you doing?Copy !req
109. Yikes, what is that?Copy !req
110. That's Benton's appendix
in a jar on my mantle.Copy !req
111. Wow, they shaved him good.
Somebody got carried away.Copy !req
112. - Dr. Carter, we're still backed up.
- Okay, on my way.Copy !req
113. - Carter looks beat.
- He was on again last night.Copy !req
114. Surgical interns are still covering
all Dr. Gant's shifts.Copy !req
115. - What is that, like a 90-hour week?
- More like 95.Copy !req
116. Thank God for Pediatrics.Copy !req
117. Jerry, what is that all about?Copy !req
118. Nurses and management are still at
the table. Contract expires at midnight.Copy !req
119. Mark, paramedics are pulling up with
a 35-year-old female, respiratory failure.Copy !req
120. - Duty calls. Hey, lunch?
- Only if you're buying.Copy !req
121. - Carol finds out today, right?
- Yeah.Copy !req
122. The investigation is done,
and Nursing has the report.Copy !req
123. - You seen it?
- No.Copy !req
124. They haven't heard anything either.Copy !req
125. - How's she doing?
- She claims she's fine.Copy !req
126. Okay, Jeff, thanks.
Nothing yet. They're still at it.Copy !req
127. - I don't want to walk a picket line.
- Not in February, that's for sure.Copy !req
128. - We stand firm.
- Easy for you to say.Copy !req
129. - You've got a husband with a job.
- Believe me, they'll settle.Copy !req
130. They can't run this place without us.Copy !req
131. That's what air traffic controllers said
before they started parking cars.Copy !req
132. One, two, three.Copy !req
133. Down's patient, 37. Mother found
her in bed in respiratory distress.Copy !req
134. Resps shallow at 30. BP's 100/50.Copy !req
135. Mom said she had a respiratory
infection, never fully recovered.Copy !req
136. - Where's her mother now?
- Said she'd follow in her car.Copy !req
137. Two-plus pitting edema!Copy !req
138. Louise, I'm Dr. Greene.
You're having a little trouble breathing?Copy !req
139. We're gonna make you
feel better, okay?Copy !req
140. She's sweet, scared.
Held my hand all the way over.Copy !req
141. Louise, can you tell me what day it is?
No? You can't tell me? No, okay.Copy !req
142. Dr. Doyle, I want you to take a listen.
Tell me what you hear.Copy !req
143. - Chuny, come hold Louise's hand.
- You bet.Copy !req
144. CBC, lytes, EKG, chest film,
O-2, 6 liters by mask.Copy !req
145. Hi, Louise. My name is Chuny.Copy !req
146. - S3 gallop and mitral regurg?
- Indicative of what?Copy !req
147. Possible cardiomyopathy,
probably from viral infection.Copy !req
148. - Mark, she's trying to say something.
- Louise?Copy !req
149. Louise, do you need something?Copy !req
150. - Louise, what's wrong?
- Where's my mom?Copy !req
151. Your mom?
Your mom is coming real soon. Okay?Copy !req
152. Don't you worry. You can just relax.
You're doing great.Copy !req
153. Human Resources reviewed your
incident report in the ER procedures.Copy !req
154. They sent their recommendations along
with mine on to the Safety Committee.Copy !req
155. - And?
- And they agreed with us.Copy !req
156. That your mistake was a result of
systems problems and not of negligence.Copy !req
157. There will be a written warning
in your file for a year.Copy !req
158. And the three weeks you missed will
be deducted from your vacation time.Copy !req
159. - And that's it?
- You preferred a public flogging?Copy !req
160. You can start back today.Copy !req
161. - You don't have to start back today.
- No, thanks. I'm okay.Copy !req
162. I better get back to work.Copy !req
163. La Bohème?Copy !req
164. Don't say it like it's
a new strain of bacteria.Copy !req
165. - What is it, five hours long?
- Forget it, really.Copy !req
166. I wouldn't take you now
if you begged me.Copy !req
167. It's just I'm not an opera fan. Marcus
Roberts tickets, I'd be there in a flash.Copy !req
168. I got it, Greg.
You don't want to go. Fine.Copy !req
169. Is La Bohème the one where they
lop off the nuns' heads at the end?Copy !req
170. It's set in Paris.
There's star-crossed lovers and artists.Copy !req
171. - Artists?
- Yeah.Copy !req
172. Jeanie, hang on a second. Look,
I'm sorry. If you want to go, we'll go.Copy !req
173. - Don't do me any favors.
- I'd love to go. What time?Copy !req
174. I just thought we could do something
spontaneous, romantic, fun.Copy !req
175. - Opera?
- I have to get back to my patient.Copy !req
176. Look, Jeanie, Let's hang out anyway.
We'll order takeout.Copy !req
177. The Bulls-Warriors game is on TV.Copy !req
178. You think you're charming,
but you're not.Copy !req
179. Lunch then? Come on,
at least let me buy you lunch. Jeanie!Copy !req
180. - That's one big, boggy heart.
- It's taking up most of her chest.Copy !req
181. EKG shows ST and T wave changes.
What do you want to do?Copy !req
182. Get an echo and page Cardiology.Copy !req
183. Mark, Louise's mother is here.Copy !req
184. Hi, Mrs. Cupertino,
I'm Dr. Mark Greene.Copy !req
185. - How's Louise?
- Not good.Copy !req
186. Her heart isn't pumping well,
and her lungs are filling with fluid.Copy !req
187. - Can I say hello?
- Yeah, sure.Copy !req
188. - Hello, Louise. It's Mommy.
- Hi, Mommy.Copy !req
189. Are you okay, baby?
You're not scared, are you?Copy !req
190. I brought some of her things.Copy !req
191. Just to make her feel more at home.
I'll just put this quilt on her.Copy !req
192. - Make sure she's good and warm.
- Mrs. Cupertino, can I speak to you?Copy !req
193. She had trouble understanding me.
Can she communicate?Copy !req
194. Oh, yes. She likes to talk.Copy !req
195. Is she suffering
from any dementia or Alzheimer's?Copy !req
196. No, she's a good girl.Copy !req
197. Echo's on its way.Copy !req
198. Is she competent to make her own
medical decisions?Copy !req
199. No. I'm her guardian. Louise can't
make decisions on her own.Copy !req
200. You are aware that
Louise's condition is very serious.Copy !req
201. Louise may need a heart transplant.
Is she on the UNOS waiting list?Copy !req
202. - The list? No.
- She's not?Copy !req
203. They wouldn't do it.Copy !req
204. - Wouldn't do what?
- Put her on the list.Copy !req
205. They wouldn't put Louise
on the heart transplant list?Copy !req
206. - No.
- Why not?Copy !req
207. My daughter is
mentally retarded, doctor.Copy !req
208. Peter, sorry to keep you waiting.Copy !req
209. Welcome back. We've missed you.Copy !req
210. I was surprised not to see my name
on today's schedule.Copy !req
211. - How are you feeling? Well-rested?
- Yeah.Copy !req
212. And mentally? Feeling sharp?
No post-operative depression?Copy !req
213. - No.
- No depression of any kind?Copy !req
214. Dr. Hicks, if you're asking if I can
perform my duties adequately, I can.Copy !req
215. I'm asking how you are, Peter.Copy !req
216. - I'm fine.
- Okay, then, let's see what we've got.Copy !req
217. Two Port-A-Caths,
a circumcision and a nevus removal.Copy !req
218. A mole?Copy !req
219. UNOS can't refuse to put her
on the list because she has Down's.Copy !req
220. - There must be other circumstances.
- She's a retard, so why bother, right?Copy !req
221. Dr. Kayson. Dr. Doyle.Copy !req
222. Echo shows left ventricular dilatation
with an ejection fraction of 18 percent.Copy !req
223. There are also
signs of wall-motion abnormality.Copy !req
224. I'm worried about her breathing.Copy !req
225. We've given her 40 Lasix,
she's still struggling.Copy !req
226. I'd like to try a vasodilator.Copy !req
227. Do what you can to make her
comfortable before you release her.Copy !req
228. - Release her?
- She will be much happier at home.Copy !req
229. She needs a heart transplant, right?Copy !req
230. That would be
the standard operative course, yes.Copy !req
231. Louise's mother told us...Copy !req
232. - ... that she's not on the transplant list.
- That's correct.Copy !req
233. UNOS can't refuse to put a patient
on the list because of a birth defect.Copy !req
234. - UNOS didn't refuse, we did.
- Cardiology?Copy !req
235. Hospital Transplant Committee. We
chose not to submit her name to UNOS.Copy !req
236. That's a death sentence.Copy !req
237. She's a 37-year-old Down's patient.
She is lucky to have lived this long.Copy !req
238. - Down's patients can live to be 60.
- That's extremely rare.Copy !req
239. - What are you, an intern?
- First-year Resident.Copy !req
240. Why don't we just step in here.Copy !req
241. Dr. Kayson, Dr. Doyle, I think,
is just expressing...Copy !req
242. a frustration that we probably all feel.Copy !req
243. It seems that Louise is an obvious
candidate for the UNOS transplant list.Copy !req
244. I'm a cardiologist. I'd like nothing
better than to give her a new heart.Copy !req
245. If you have a problem with the decision,
speak to the committee.Copy !req
246. Short of that, send her home.Copy !req
247. Nice guy.Copy !req
248. - Carol, you're back?
- Yeah.Copy !req
249. Thank you, Jesus.
Hey, y'all, Carol's back.Copy !req
250. - Carol, you're back.
- Starting now.Copy !req
251. - Man, did we miss you.
- I didn't think we were gonna make it.Copy !req
252. - Did they dock your pay?
- No, just some vacation time.Copy !req
253. - It's been a disaster without you.
- A complete zoo.Copy !req
254. - I didn't do that bad a job.
- No, girlfriend, you did worse than bad.Copy !req
255. If you need to call a union meeting,
Haleh, do it after work.Copy !req
256. - No union. Carol's back.
- Oh, thank God.Copy !req
257. - We'll talk to you at lunch.
- We'll catch up later.Copy !req
258. - We're glad to have you back.
- Thank you.Copy !req
259. Are you okay?Copy !req
260. Yeah, you know, I'm sorry to disappoint
everyone's expectations, but I'm fine.Copy !req
261. It started a few hours ago
after breakfast.Copy !req
262. - Is it a sharp pain?
- No. Sort of all over.Copy !req
263. - I'd just started my morning walk.
- Any recent illness?Copy !req
264. I take digoxin for atrial fibril-
I can never say that word.Copy !req
265. - Fibrillation. Anything else?
- No.Copy !req
266. - What did you have for breakfast?
- The usual.Copy !req
267. Three fried eggs, bacon,
glass of buttermilk, toast and jam.Copy !req
268. The American Heart Association
breakfast.Copy !req
269. Don't lecture me, doctor.Copy !req
270. My mother had the exact same breakfast
every day of her life.Copy !req
271. She died last year at 96.
Car accident.Copy !req
272. - Vitals?
- 130/90.Copy !req
273. - Heart rate, 110. Resps, 24.
- Did Dr. Weaver get a CBC?Copy !req
274. Yes. Crit's 53. White count is 12.2.Copy !req
275. - You drinking enough fluids?
- Is that what's wrong with me?Copy !req
276. - It's too early to tell. Chest film?
- Not back yet.Copy !req
277. Okay. I'm gonna call for another surgical
colleague to come down and take a look.Copy !req
278. Her breathing's improved.Copy !req
279. Hey, Louise, feeling better?Copy !req
280. - For you.
- She likes to share.Copy !req
281. - Malibu Barbie was my favorite too.
- I was kind of partial to Ken.Copy !req
282. - Ken?
- You don't like Ken?Copy !req
283. T oo pretty.Copy !req
284. I'm with you. Ken is trouble.Copy !req
285. Louise, can you hold on to her
while I do my work?Copy !req
286. Okay.Copy !req
287. She misses her friends
since she got sick...Copy !req
288. and had to move back into the house.
It's been hard for her.Copy !req
289. - She had her own place?
- An apartment above the garage.Copy !req
290. And she had a job at the Jewel
helping people with their groceries.Copy !req
291. Father even let her be an altar girl
at the church. Everybody loves Louise.Copy !req
292. Excuse me, Dr. Greene.
I got that list from upstairs.Copy !req
293. Thanks.Copy !req
294. - Transplant Committee?
- Yeah.Copy !req
295. Who are the bastards?Copy !req
296. Excuse us.Copy !req
297. Your attitude can get in the way
of achieving your goals.Copy !req
298. What, you're not going to vote for me
for homecoming queen this year?Copy !req
299. Like that, you mean.Copy !req
300. - Recognize any names?
- One.Copy !req
301. - The vanquished return victorious.
- Hi, Doug, you miss me?Copy !req
302. You have no idea. I hear they
clipped you for some vacation time.Copy !req
303. I never take it anyway. I think
I have a couple of years saved up.Copy !req
304. This place is a mess.
How are you doing?Copy !req
305. No complaints.
T oday is the 20th, isn't it?Copy !req
306. - I think so.
- MCATs are this afternoon, aren't they?Copy !req
307. - Are you going?
- Got to work.Copy !req
308. - All that saved-up vacation time?
- You know, it was a stupid idea.Copy !req
309. I mean, four years of med school,
if I ever get in. All that debt.Copy !req
310. I would be 50 by the time I got out.
What's the point?Copy !req
311. I could bring you coffee in the middle
of the night to the med library.Copy !req
312. I could teach you how to cheat
on the biochem exams.Copy !req
313. - Doug. They need you in Pedes.
- Okay.Copy !req
314. Think about it.Copy !req
315. - Carter, where you been?
- Getting food. Do you have a spoon?Copy !req
316. No. Anspaugh's in there
with your patient.Copy !req
317. - Why?
- Said you paged him.Copy !req
318. - I paged Dr. Hicks.
- You got Anspaugh...Copy !req
319. and he dragged down
all the surgical rounds.Copy !req
320. - What do you hear, Edson?
- Rales at the base of the lungs.Copy !req
321. I'm sorry to have dragged you here.
I actually called Dr. Hicks for a consult.Copy !req
322. Dr. Hicks is in surgery, and we were
on the prowl for an interesting case.Copy !req
323. - We heard you had a surgical abdomen.
- Yes. At least that's my suspicion.Copy !req
324. Pain vague and diffuse,
very little tenderness to palpation.Copy !req
325. The chest films show bibasilar effusions.Copy !req
326. Rales heard on auscultation.Copy !req
327. Would you consider this
a surgical patient, Dr. Edson?Copy !req
328. - No, I'd bet on CHF.
- Yeah, but...Copy !req
329. I was more concerned with the CBC.Copy !req
330. Previously diagnosed
atrial fibrillation? Her diet?Copy !req
331. I'd assume that she went into fib
or ate a salty meal...Copy !req
332. and that was enough to push her
into congestive heart failure...Copy !req
333. as demonstrated by the rales
and chest effusions.Copy !req
334. The diffuse abdominal pain is
probably due to congestion in the liver.Copy !req
335. Secondary to CHF.Copy !req
336. In other words, boys and girls...Copy !req
337. congestive heart failure
secondary to a-fib.Copy !req
338. - Wouldn't you agree, Dr. Carter?
- Yeah, that sounds about right.Copy !req
339. - Is Dr. Pomerantz available?
- And you are?Copy !req
340. - Mark Greene from the ER.
- She knows you?Copy !req
341. Yeah, Steph, I do. It's okay. Hi.Copy !req
342. - You got a minute?
- Sure.Copy !req
343. Just move those,
put them anywhere.Copy !req
344. What can I do for you?Copy !req
345. You're on the committee that evaluates
prospective transplant patients?Copy !req
346. - Yeah.
- I have a patient dying downstairs...Copy !req
347. Louise Cupertino.Copy !req
348. Dr. Kayson tells me that she was
denied access to the UNOS list.Copy !req
349. Kayson wanted to, so it doesn't look like
she was excluded for medical reasons.Copy !req
350. - What do you want?
- Five on the committee. Kayson's a yes.Copy !req
351. If I can get you and another person to
sign on, Louise can get a new heart.Copy !req
352. Our decisions must be unanimous.Copy !req
353. But I'm the one
that turned Louise down.Copy !req
354. - Why?
- Do you know how many people...Copy !req
355. die each year because an organ
doesn't become available?Copy !req
356. - 3500.
- She had a job, an apartment...Copy !req
357. a mother who loves her.Copy !req
358. Is her life less valuable...Copy !req
359. than a businessman with a family
and a two-pack-a-day cigarette habit?Copy !req
360. Don't patronize me, Mark.
I agonized over this.Copy !req
361. Louise has an IQ of 40. She can't
comprehend the surgical risks.Copy !req
362. She had a job, but she was always late.
Do you know why? She can't tell time.Copy !req
363. How will she adhere to the rigors
of the post-transplant regime?Copy !req
364. Her mother will give her her meds,
get her where she needs to go.Copy !req
365. She's a 120-pound 8-year-old.Copy !req
366. We do the operation, and assuming
she doesn't die for lack of care...Copy !req
367. she's in a state home in two years.Copy !req
368. And her mother's adamant
she not end up in a home.Copy !req
369. Those are all bureaucratic, perfectly
logical reasons we give ourselves...Copy !req
370. so that we can sleep at night.Copy !req
371. Louise can make people smile,
she can laugh and cry and hold someone.Copy !req
372. I have an 8-year-old.
If she never grew a day older...Copy !req
373. I would still cherish every moment
we've spent together.Copy !req
374. It's not our place to decide
whether Louise lives or dies.Copy !req
375. She has as much right to be here
as you do or I do.Copy !req
376. Nina, don't let her die.Copy !req
377. - I'm freezing.
- I thought you liked picnics.Copy !req
378. I love picnics. I'm just not used
to breathing on my sandwich...Copy !req
379. to try and thaw it out so I can eat it.Copy !req
380. - Where's your spontaneity?
- This isn't what I meant.Copy !req
381. - Your sense of romance?
- The dip is frozen solid.Copy !req
382. - It's a pâté.
- It's a brick.Copy !req
383. Okay, I'm sorry. I was wrong.
You're very romantic.Copy !req
384. You're very spontaneous,
and you're very crazy...Copy !req
385. so put your parka on
before you freeze to death.Copy !req
386. - I'm fine.
- You can't be fine. It's 10 degrees.Copy !req
387. I think we should
start sleeping together.Copy !req
388. - What?
- Sex.Copy !req
389. I think we should have some.
In fact, I think we should have a lot.Copy !req
390. - Are you sure?
- Hell, yeah, I'm sure.Copy !req
391. This isn't a joke, Greg.Copy !req
392. No, it isn't. Jeanie Boulet...Copy !req
393. would you please sleep with me?Copy !req
394. - How is she doing?
- Her breathing is worse.Copy !req
395. - How is the pain?
- It hurts.Copy !req
396. - Hi, who are you?
- Her daughter, Yolanda.Copy !req
397. She's so stoic. If she says it hurts,
it must be awful.Copy !req
398. Okay, let's take a look.Copy !req
399. Oh, God!Copy !req
400. I need to order a repeat CBC
and a blood gas.Copy !req
401. - Want me to page Dr. Anspaugh again?
- No. God, no.Copy !req
402. Call Dr. Hicks. Don't page her. Call her.Copy !req
403. When you get her on the phone,
tell her I need her here right away.Copy !req
404. My fiancée has been begging me
for years to get this thing taken off.Copy !req
405. - Betadine.
- I'm not very religious, but...Copy !req
406. her family, oh, boy...Copy !req
407. they wouldn't even consider
letting us get married if I didn't convert.Copy !req
408. Stuff's cold.Copy !req
409. I probably wouldn't have dated her
if I'd known this was part of the deal.Copy !req
410. Lidocaine. You'll feel a small prick
in the area that I'm going to anesthetize.Copy !req
411. - Please don't move.
- Good, you haven't started yet.Copy !req
412. I have three eager premed students
visiting today from Evanston.Copy !req
413. I thought they might enjoy watching
you perform a circumcision.Copy !req
414. - Don't mind us, sir.
- I'm converting to Judaism...Copy !req
415. - ... for my fiancée.
- She must be quite a girl.Copy !req
416. - Dr. Hicks, phone call from the ER.
- Make them feel welcome.Copy !req
417. You're in very capable hands.Copy !req
418. Number 15 blade.Copy !req
419. - I'm Dr. Ross. Someone paged me?
- I paged you. Hi. Samantha Ewing.Copy !req
420. I got a CF kid up here,
Jad Heuston. Know him?Copy !req
421. He's been on a respirator for weeks
at his mother's request.Copy !req
422. I'm the one who put him on it.Copy !req
423. Today's his 18th birthday,
and he wants off.Copy !req
424. - So why page me?
- He wants you to do it.Copy !req
425. Hi, Norma. Hi, Katy.Copy !req
426. Happy birthday, Jad.Copy !req
427. His first act as an adult
was to sign a DNR...Copy !req
428. and demand we remove him
from the respirator.Copy !req
429. I explained the dangers,
but he's insistent.Copy !req
430. Are you still sure?Copy !req
431. I told him, with the nature of his disease
and the time he's been on the machine...Copy !req
432. he's unlikely to live more than a couple
minutes. Can you talk him out of it?Copy !req
433. What's his tidal volume?Copy !req
434. 350. PCO-2, 38. PO-2, 120.Copy !req
435. This is what you really want?
Okay, then.Copy !req
436. Have you said your goodbyes?Copy !req
437. Yes.Copy !req
438. Okay.Copy !req
439. All right, buddy. You know the drill.Copy !req
440. I'm gonna count to three.
You're gonna take a deep breath.Copy !req
441. You're gonna blow out while I pull.
Can you give me a hand with this?Copy !req
442. I love you.Copy !req
443. All right. Here we go.
On three. Ready?Copy !req
444. One, two, three.
Blow, blow, blow.Copy !req
445. Is he gonna be okay?Copy !req
446. Good afternoon. What's so important
to call me off the surgical floor?Copy !req
447. Sixty-four-year-old woman. Onset
of abdominal pain five hours ago.Copy !req
448. Pain was vague and diffuse.
Belly wasn't too tender.Copy !req
449. Takes digoxin for a previously
diagnosed atrial fib. Rales.Copy !req
450. Chest x-ray shows basilar
infiltrates bilaterally.Copy !req
451. Dr. Anspaugh was here, and he
diagnosed congestive heart failure...Copy !req
452. with diffuse abdominal pain due to
congestion in liver secondary to CHF.Copy !req
453. - We gave her 40 of Lasix.
- Good story. What's the problem?Copy !req
454. - I think Dr. Anspaugh is wrong.
- Page Dr. Anspaugh, please.Copy !req
455. - He's still eating lunch with Dr. Weaver.
- Get him quickly.Copy !req
456. You have a better story?Copy !req
457. Her abdominal pain is worsening.
Resps are 39, and she's acidotic.Copy !req
458. When she came in, she was dehydrated.
So why was there fluid on her lungs?Copy !req
459. The pain isn't explained by congestive
heart failure. It doesn't all add up.Copy !req
460. - And what is your thinking?
- She suffers from atrial fibrillation.Copy !req
461. That puts her at risk for developing
clots. She threw an embolus...Copy !req
462. - ... and it's blocking her small bowel.
- What is going on?Copy !req
463. Dr. Carter believes you diagnosed
his patient incorrectly.Copy !req
464. - He what?
- Her pain is worsening.Copy !req
465. Her resps are up to 39,
and she's acidotic.Copy !req
466. CHF made sense at the time, but I think
she has ischemic small bowel disease...Copy !req
467. secondary to an embolism
in the mesenteric artery.Copy !req
468. - Pretty good story.
- Damn it! I diuresed her.Copy !req
469. Normal saline, 200 cc's per hour.
Call the O.R., we're moving her now.Copy !req
470. - What's happening?
- Your mother needs surgical attention.Copy !req
471. - An operation?
- Yes, but she's gonna be just fine.Copy !req
472. - Dr. Anspaugh, can I assist?
- Assist? You're going to do it.Copy !req
473. - Perform an embolectomy?
- Damn right.Copy !req
474. You're the only one here who seems
to know what the hell they're doing.Copy !req
475. - It's going to fall.
- Is not.Copy !req
476. - Yes, it is.
- No, it's not.Copy !req
477. - She looks like she's feeling better.
- Yeah, she ate a little bit.Copy !req
478. - Seems to be breathing okay.
- Who's her friend?Copy !req
479. That's my brother.
My mom brought him down.Copy !req
480. I figured Louise needed some company.Copy !req
481. Hey, Jimmy, say hi to Dr. Greene.
That's my boss.Copy !req
482. - Hi, Jimmy, how are you?
- What did they say?Copy !req
483. Come here.Copy !req
484. Psych doesn't think she can
handle the post-op regime...Copy !req
485. and the mother won't be around
long enough to get her through it.Copy !req
486. That's a lot of crap.
She can go to a group home.Copy !req
487. - Jimmy takes classes out of Glenkirk.
- Mom doesn't want her in a home.Copy !req
488. She has guardianship.
I called Loyola and Rush.Copy !req
489. They both have transplant centers.
Maybe they can get her on the list.Copy !req
490. - Mark.
- Dr. Doyle, this is Dr. Pomerantz...Copy !req
491. from Psych.
She's the one who evaluated Louise.Copy !req
492. - Hi, Louise.
- Hi.Copy !req
493. How are you doing?Copy !req
494. Mrs. Cupertino.Copy !req
495. - She's doing better.
- She's out of heart failure.Copy !req
496. - You need to fill this out.
- What is it?Copy !req
497. Transplant candidate
registration form.Copy !req
498. She can't get on the network without it.
Kayson filled out most of it.Copy !req
499. I need today's history so that I can
rank her. Get it back to me soon.Copy !req
500. Nice meeting you, doctor.Copy !req
501. Nina...Copy !req
502. thank you.Copy !req
503. Jad, why don't you come and go?Copy !req
504. You take off during the day
and do what you want to do...Copy !req
505. and you come back at night,
we hook you up with IV antibiotics.Copy !req
506. We get a PT to pound your chest
in the morning.Copy !req
507. - No, thanks.
- A lot more comfortable.Copy !req
508. You might even...Copy !req
509. squeak out a couple
of extra weeks out of this thing.Copy !req
510. I said, no, thanks.Copy !req
511. All right. Here is my beeper number.Copy !req
512. That's my home number.
You can call me any time, day or night.Copy !req
513. Let's go.Copy !req
514. Thanks.Copy !req
515. - Where are you going?
- Anywhere but here.Copy !req
516. Sorry, Dr. Ross.Copy !req
517. I raided the cafeteria.
Bought every piece of cake they had.Copy !req
518. Ladies! Here's your cake.Copy !req
519. - What's going on?
- The nurses got their new contract.Copy !req
520. - They get what they wanted?
- Current employees are protected...Copy !req
521. but the hospital won rights to replace
existing RNs with unlicensed technicians.Copy !req
522. - Technicians?
- It's the wave of the future.Copy !req
523. - Come on, doctor. Dance.
- No, thanks.Copy !req
524. No, I'll get the next song.
I'll get the next song.Copy !req
525. - You seen Carol?
- Hathaway?Copy !req
526. Changed her mind about working today,
went home before lunch.Copy !req
527. - I'm starving. Want a piece of cake?
- No, thanks.Copy !req
528. Hey, I just dropped off all the
paperwork with Nina Pomerantz.Copy !req
529. Louise will be on the transplant list
tomorrow. All we can do is wait.Copy !req
530. - Where's your brother?
- In the lounge watching TV.Copy !req
531. She won't sign the release.Copy !req
532. Louise's mother,
she won't sign the surgical release.Copy !req
533. Kayson was just here. She doesn't
want Louise to have the transplant.Copy !req
534. Did he explain that she
will die without the operation?Copy !req
535. Twice. Then I tried.
She wants to take her home.Copy !req
536. Mrs. Cupertino...Copy !req
537. you don't want Louise
to have the operation?Copy !req
538. I was 41 when Louise was born.Copy !req
539. And I knew right away
that something was wrong.Copy !req
540. I couldn't see Louise,
but I saw the doctor.Copy !req
541. He was frowning and snapping
his fingers over the little bassinet.Copy !req
542. They took her away
before I had the chance to see her.Copy !req
543. I thought maybe she'd died.
Maybe that umbilical cord had gotten...Copy !req
544. wrapped around her neck.
Nobody told me anything.Copy !req
545. Then they put me in another room
with mothers with their babies.Copy !req
546. And I waited there for hours...Copy !req
547. until the doctor finally
came back.Copy !req
548. He looked very sad.Copy !req
549. And he told me Louise was mongoloid.Copy !req
550. He said that I should put her
in a state hospital...Copy !req
551. and never ever see her again.Copy !req
552. She will die if she doesn't have
this operation.Copy !req
553. We all die, doctor.Copy !req
554. Louise has been the light of my life
for 37 years.Copy !req
555. God blessed me with this wonderful girl,
and I wouldn't change a thing.Copy !req
556. I'm not going to be here much longer.Copy !req
557. I'm her whole life,
just as she has always been mine.Copy !req
558. There are group homes.
Places where she can make friends...Copy !req
559. enjoy life, even if it's
only for a few more years.Copy !req
560. I went to a home 20 years ago
when my husband died.Copy !req
561. I was afraid that if something happened
to me, who would take care of her?Copy !req
562. And there were women there like her
with Down's...Copy !req
563. wandering around half-naked.
They didn't even know their names.Copy !req
564. I couldn't put Louise
in a place like that.Copy !req
565. You want to save people, doctor.Copy !req
566. If my daughter dies, you'll lose.Copy !req
567. But I'm not afraid of death.Copy !req
568. Jesus is there, waiting for us.Copy !req
569. To hold us
and bring us into the light.Copy !req
570. To show us the kingdom of heaven.Copy !req
571. And if Louise dies before I do...Copy !req
572. I know where I will see her next.
With angels, where she belongs.Copy !req
573. Because she is an angel.Copy !req
574. My angel.Copy !req
575. - Something new?
- Mesenteric embolectomy.Copy !req
576. - Who's doing it?
- Dr. Carter.Copy !req
577. - Dr. Carter?
- Just rolled the woman into 3.Copy !req
578. Sweet God in heaven.
I hope someone's helping him.Copy !req
579. We're putting in a Port-A-Cath,
a catheter used to deliver chemotherapy.Copy !req
580. Should you pursue a career in surgery,
you'll perform this procedure...Copy !req
581. dozens of times in
your first year of Residency.Copy !req
582. This can be done
in the patient's room...Copy !req
583. but you need to check the catheter's
position with a fluoroscope.Copy !req
584. Does everyone know
what a fluoroscope is?Copy !req
585. This is a fluoroscope.Copy !req
586. Can I steal Debbie?
We need her in O. R. 3.Copy !req
587. What's going on?Copy !req
588. Dr. Carter is performing
a mesenteric embolectomy.Copy !req
589. - By himself?
- Anspaugh and Hicks are supervising.Copy !req
590. - What's the score?
- Bulls are down by one.Copy !req
591. Oh, that was a nice shot.Copy !req
592. So I let a kid with CF leave the
hospital today. He's 18 years old.Copy !req
593. He went off to die with his girlfriend.
Didn't want any of my help.Copy !req
594. - Anything you could have done for him?
- No, not really.Copy !req
595. I spent the day...Copy !req
596. trying to get a CHF patient with
Down's on the heart transplant list.Copy !req
597. Any luck?Copy !req
598. Mother wouldn't sign
the surgical release.Copy !req
599. Fine couple of doctors we are.Copy !req
600. Do you remember when
we were going to change the world?Copy !req
601. No. I was always in it for the money.Copy !req
602. All right. See you later.Copy !req
603. - Want to grab a pizza?
- No, I gotta be someplace.Copy !req
604. Anybody I know?Copy !req
605. No, I'm just helping out
an old friend. See you.Copy !req
606. - Hi.
- Are you ready to go?Copy !req
607. - Go where?
- Dinner at Morton's and La Bohème.Copy !req
608. - I told Kerry we didn't want the tickets.
- I told her you were wrong.Copy !req
609. - I'm not dressed.
- We'll stop by your place.Copy !req
610. - We'll be late.
- You can tell me what happened.Copy !req
611. - What about the basketball game?
- Taping it.Copy !req
612. You know, Greg, you don't
have to prove anything to me.Copy !req
613. - I don't?
- This has all been pretty fast.Copy !req
614. We can slow it down.
Make sure it's right.Copy !req
615. So this means we don't
have to go to the opera?Copy !req
616. No, seriously.
Can we just slow it down?Copy !req
617. - Sure.
- Okay.Copy !req
618. - Hey. What are you doing here?
- Waiting for you.Copy !req
619. - Have you been waiting long?
- Oh, a while.Copy !req
620. - So you took it, didn't you?
- Yeah, I did.Copy !req
621. And?Copy !req
622. Well, I knew a lot more
than I thought I would.Copy !req
623. There were a lot of people taking it.
Kids. I felt about 100 years old.Copy !req
624. They seemed so confident and smart.
I guessed a lot.Copy !req
625. - I bet you did great.
- Thanks.Copy !req
626. - Was your day okay?
- You know, just saving lives, the usual.Copy !req
627. - Have you seen my mom lurking around?
- I banged on the door, nobody answered.Copy !req
628. Do you want to come in?
I'll make some coffee.Copy !req
629. No, I can't. I'm up early.
I'm going to go home.Copy !req
630. - Okay.
- All right.Copy !req
631. - See you tomorrow then.
- Yeah.Copy !req
632. Doug, I know everyone
is worried about me...Copy !req
633. but I'm fine. I was scared
in that store, but I'm okay now.Copy !req
634. - So why did you go ahead and take it?
- The MCATs?Copy !req
635. For me. I just wanted to see
if I was good enough.Copy !req
636. You are.Copy !req
637. I love this place.Copy !req
638. You should. You're a wonderful
surgeon. You belong here.Copy !req
639. You know, you were right this morning.Copy !req
640. I haven't slept much
the last few months since Gant's dying.Copy !req
641. Before that,
me almost killing that baby...Copy !req
642. and Keaton
not recommending me...Copy !req
643. Six months ago,
I thought I was invincible.Copy !req
644. And now I don't even...Copy !req
645. I don't even know.Copy !req
646. I guess life isn't working out
the way I thought it would.Copy !req
647. You're not responsible
for Dr. Gant's death, Peter.Copy !req
648. But I could have stopped it maybe.Copy !req
649. You know, told him he was doing well,
encouraged him.Copy !req
650. You know, I wish I could tell you
that it was all intentional.Copy !req
651. That it was part of some master plan
that I had going on.Copy !req
652. Truthfully,
I never even thought about Gant.Copy !req
653. I mean, he was just an intern.Copy !req
654. I was more involved with my career...Copy !req
655. my ambitions.Copy !req
656. We all have to find our own way, Peter.Copy !req
657. You're not invincible.
You're a young doctor.Copy !req
658. Learning, making mistakes, saving lives.Copy !req
659. It takes a lifetime.Copy !req
660. You just have to have faith.Copy !req
661. Go home.
You've got a busy day tomorrow.Copy !req
662. More circumcisions and Port-A-Caths?Copy !req
663. No. I've signed you up
for a lap choly at 6...Copy !req
664. and I would appreciate it if you'd
assist me on a splenectomy at 11.Copy !req
665. Thank you, Dr. Hicks.Copy !req
666. You're welcome, Peter.
See you in the morning.Copy !req