1. ERCopy !req
2. Previously on ER...Copy !req
3. Rejoice, lost man!Copy !req
4. Chaos is your destiny!Copy !req
5. You scare this baby,
he won't come out.Copy !req
6. Two of the best transplant
surgeons let us look...Copy !req
7. over their shoulders,
and you just leave?Copy !req
8. Is that a problem?Copy !req
9. - Okay, I'll stay on the couch.
- Me too.Copy !req
10. - I'm looking for a head doctor.
- Which one?Copy !req
11. Bald white guy, little glasses?Copy !req
12. Great! Just walk away!Copy !req
13. "Make A Wish"Copy !req
14. Is Dr. Benton done
with that thyroidectomy yet?Copy !req
15. So he's still in there?Copy !req
16. - Dr. Benton.
- Carter, what are you doing here?Copy !req
17. Get an ABG in 20 minutes.
I thought you were covering the ER.Copy !req
18. I'm on in a few.
I need to talk to you.Copy !req
19. You better make it fast. I've got two
admissions, a clinic and an aneurysm.Copy !req
20. I've been thinking about
that kidney donor case...Copy !req
21. the one where I left to check on
the patients during the debriefing.Copy !req
22. Instead of listening to two of the
finest transplant surgeons in the country?Copy !req
23. I guess so.Copy !req
24. I've just been wondering. I don't know.
Maybe I'm in the wrong place.Copy !req
25. If you're still here
in two minutes, you are.Copy !req
26. I mean surgery. Obviously, I love it,
and I still feel very challenged by it.Copy !req
27. But are there days you don't feel
quite satisfied?Copy !req
28. Carter, sometimes the patient dies.Copy !req
29. - I know. But otherwise.
- Otherwise what?Copy !req
30. Well, it just feels like
sometimes they exist...Copy !req
31. - ... for us to do procedures.
- That's why they come.Copy !req
32. We don't need to know anything else?
Like how worried they are...Copy !req
33. or where they went to high school
or whether they like cats or dogs?Copy !req
34. Carter, what are you talking about?Copy !req
35. I like to know the other stuff.Copy !req
36. What for? I mean, if you-Copy !req
37. Damn!Copy !req
38. Listen, we'll talk later.Copy !req
39. It was at least 50 questions
about my family background.Copy !req
40. Nothing like the head of Security
to make you feel insecure.Copy !req
41. He almost kept my ID because I didn't
know my stepmother's maiden name.Copy !req
42. Who does?Copy !req
43. He didn't cut you much slack
on that picture either.Copy !req
44. You'd think I was trying to enter
the White House.Copy !req
45. Which is easier. I've done it.Copy !req
46. - Can you get these over to Radiology?
- Now?Copy !req
47. Unless you're doing something urgent
that I can't quite see. Go.Copy !req
48. Dr. Ross, Pedes called.Copy !req
49. You're covering deliveries
for John Lavagnino. Broken kneecap.Copy !req
50. Okay. All right.
Good morning to you.Copy !req
51. Not for Anna. She just had her
security-clearance interview.Copy !req
52. Yeah. Did you get strip-searched?Copy !req
53. - They check for track marks?
- Practically.Copy !req
54. They're cracking down
because of what happened to Mark.Copy !req
55. - He starts back today?
- I wish he'd take another week.Copy !req
56. Let's make sure we keep his
load light for the first few days.Copy !req
57. I don't want him working at all.Copy !req
58. I want him to help me plan Carol's
surprise birthday party.Copy !req
59. - Doug!
- Happy birthday, Carol.Copy !req
60. I got vomiting and diarrhea in 4.
Happy birthday.Copy !req
61. And I'm taking the quadruple
bounce-back migraine in 5.Copy !req
62. Nothing like drug-seeking
behavior to start your day.Copy !req
63. You promised not to tell
about my birthday.Copy !req
64. - That was last year.
- You told everybody then too.Copy !req
65. At least I'm consistent. Hey!Copy !req
66. All right, coffee can wait.Copy !req
67. What's this?Copy !req
68. It's a coffeepot.Copy !req
69. That is not a coffeepot.Copy !req
70. - It's called a French press.
- No more aluminum percolator?Copy !req
71. We're gonna have great coffee.
Which can wait.Copy !req
72. - What's that?
- The microwave.Copy !req
73. - I'm heating up some cinnamon buns.
- The microwave.Copy !req
74. - I always wanted a microwave.
- I know.Copy !req
75. But you would never let me get one.
You said it broke down the vitamins.Copy !req
76. I know. I'm sorry. I was wrong.
Now come back over here.Copy !req
77. This is nice.Copy !req
78. I mean, this is really nice.Copy !req
79. - What happened?
- It's getting close, 9 centimeters.Copy !req
80. - What?
- I'm all right, peanut.Copy !req
81. Failed tocolysis, and her contractions
are strong. Went from 4 to 9 in no time.Copy !req
82. Why didn't you call sooner?Copy !req
83. Last time they gave me that stuff,
and it was fine.Copy !req
84. - Couldn't you have done something else?
- The baby's coming.Copy !req
85. It's coming?
It's two months early!Copy !req
86. - I know that.
- You should've called me.Copy !req
87. I just did, hoping you'd want to
participate in the birth of your child.Copy !req
88. If that's what you'd like to do,
I suggest you gown up and get in here.Copy !req
89. Hi.Copy !req
90. - Dr. Greene, right? How are you?
- I'm fine, thank you. Who are you?Copy !req
91. Anna Del Amico. We met last week.Copy !req
92. We didn't actually meet.
But I was there when you were attacked.Copy !req
93. - In the men's room?
- No, in the Trauma Room afterwards.Copy !req
94. I don't remember either room,
so I don't remember you either.Copy !req
95. I start my Emergency Residency
in July.Copy !req
96. I'm doing an ER Pedes elective until then.
That was my first day.Copy !req
97. - I'm sorry it had to be so exciting.
- No.Copy !req
98. I'm just glad you're okay.
So welcome back.Copy !req
99. Thank you.Copy !req
100. Where is everybody?Copy !req
101. - Mark, what you doing here?
- Getting back to work.Copy !req
102. Doug and Carol are bringing in an MVA.Copy !req
103. - Hey, how are you doing?
- Mark, welcome back.Copy !req
104. Nice to be back.
What do we got?Copy !req
105. - Bicycle versus tour bus.
- Don't worry. We got it.Copy !req
106. Just take it easy.
Settle in. Nice and easy.Copy !req
107. - Here we go!
- Dr. Greene, you look great.Copy !req
108. Dr. Ross, OB needs you for that delivery.Copy !req
109. Find Dr. Del Amico. See if she
can take it. Mark, I'll talk to you later.Copy !req
110. - She's at the desk.
- Who?Copy !req
111. - Dr. Del Amico. She's at the desk.
- Oh, right. Thanks.Copy !req
112. - Help me shift her down.
- Breathe, Carla.Copy !req
113. Come on, baby, breathe.
You can do it.Copy !req
114. - How much mag did you give her?
- Six-gram load.Copy !req
115. Three an hour until she hit 4 centimeters,
then we had to let her go.Copy !req
116. Dorgan, scalp electrode.Copy !req
117. Keep breathing.
You're doing great.Copy !req
118. Dorgan? What kind of name is that?Copy !req
119. Irish, through and through.Copy !req
120. We have experience
having a lot of babies.Copy !req
121. Is she at risk for chorioamnionitis?Copy !req
122. Come on, Carla, breathe!Copy !req
123. Don't yell at me, damn it!Copy !req
124. - Did you give her antenatal steroids?
- Twelve milligrams betamethasone.Copy !req
125. - What about her blood sugar?
- You're doing great.Copy !req
126. You just hang in there. Not much longer.
You'll be able to push soon.Copy !req
127. What about a second dose?
This baby's gonna have RDS!Copy !req
128. Peter, what is RDS?Copy !req
129. It's okay. It just means that
the baby's lungs haven't matured yet.Copy !req
130. - What? What?
- It's okay.Copy !req
131. You hold her hand. You help her breathe.
You help her focus.Copy !req
132. That's your only job here, okay?Copy !req
133. Now, get over there and help
the mother of your child.Copy !req
134. There will be two additional
security cameras here.Copy !req
135. - And two at the employees' entrance.
- Right.Copy !req
136. The ambulance-bay doors will be
changed to bulletproof glass...Copy !req
137. which we'll also add
to your Triage section.Copy !req
138. The hospital agreed to additional
armed security in your waiting room.Copy !req
139. What about the bathrooms?
Any cameras in there?Copy !req
140. Unfortunately, privacy issues
won't allow us to do that.Copy !req
141. My assailant's privacy would've
definitely been violated.Copy !req
142. We can only do what we can do.Copy !req
143. Thank you, Mr. Biggers.Copy !req
144. It's nice to see you,
but what are you doing here?Copy !req
145. Working.
It's nice to see you too, Chuny.Copy !req
146. These additional security measures
may not help, but they can't hurt.Copy !req
147. Everyone's overreacting.
What we should be changing...Copy !req
148. is the way we deal with patients
and their families.Copy !req
149. Keep them out.
They're a pain in the ass.Copy !req
150. - Your compassion knows no bounds.
- Detective Warrington called.Copy !req
151. Can't make it by till
later this afternoon.Copy !req
152. Okay.Copy !req
153. You think that's who did this?
Some patient or family member?Copy !req
154. I think that gives them a good reason.
Look. Louise Pierson.Copy !req
155. Ankle x-ray. Three hours ago.
Where is it?Copy !req
156. Discharge orders written
over an hour and a half ago.Copy !req
157. Chart's still here,
so the guy's still here.Copy !req
158. I mean, come on. Med-Surg admission,
5:30 this morning. Still here.Copy !req
159. Neuro consult,
15 this morning.Copy !req
160. Where are they?
We keep these people hanging around.Copy !req
161. I'd get pissed off enough
to clobber somebody.Copy !req
162. Before Records clobbers me, I need you
to sign off these charts from last week.Copy !req
163. I got them.Copy !req
164. I'm fine.Copy !req
165. - Push! Push! You're almost there!
- Come on. Keep going.Copy !req
166. - I'm Del Amico from Pedes.
- Janet Coburn.Copy !req
167. - I thought Ross was covering.
- He's got a teenager MVA.Copy !req
168. This is Carla Reece, mother.
Peter Benton, father.Copy !req
169. Hi. You just keep pushing, Carla,
so I can take a look at this baby.Copy !req
170. - Mr. Benton, how are you?
- It's Dr. Benton, he's a Resident.Copy !req
171. - You new here?
- Came from Children's in Philadelphia.Copy !req
172. - Are you a Resident?
- Yes. Correct.Copy !req
173. How many deliveries did
you attend over there?Copy !req
174. I stopped counting around 200.
We've got a late decel here.Copy !req
175. - Carla's at 32 weeks.
- Any meconium?Copy !req
176. - Fluid's clear.
- Heart rate's dropping.Copy !req
177. - Where's the NICU nurse?
- On her way.Copy !req
178. - Down to 120.
- Why isn't he coming?Copy !req
179. - He's coming, baby. He's coming.
- Let's get this baby out of here.Copy !req
180. - I need vacuum extraction.
- Why vacuum extraction?Copy !req
181. - We're at 100 here.
- That's why.Copy !req
182. - Number for Respiratory Therapy?
- Three-three-nine-four.Copy !req
183. I brought some stuff in today
because I knew you'd be starting back.Copy !req
184. What are you doing?Copy !req
185. I know you're gonna be
a little resistant to this...Copy !req
186. but you'll feel a lot safer
if you carry something on you.Copy !req
187. I don't know what this is.Copy !req
188. I've got cops in my family,
so I can get anything.Copy !req
189. Electronic stun gun, personal Taser.Copy !req
190. - I don't think so.
- At least take the pepper spray.Copy !req
191. Look, I appreciate it, really,
but it's not for me.Copy !req
192. I'm not suggesting you pack a gun,
although that's what I do.Copy !req
193. - You carry a gun?
- Under the front seat of my car.Copy !req
194. I was at the drive-through once,
waiting for fries...Copy !req
195. and this punk sticks a knife
in my face. He wants my wallet.Copy !req
196. So I reach under the seat,
grab the. 357...Copy !req
197. stick it up his nose,
and whoa, could that kid run!Copy !req
198. - Dr. Greene, welcome back.
- Thanks.Copy !req
199. Listen, thanks, Maggie,
but I'll pass on the armaments.Copy !req
200. Are you in the ER all day? Because
I think I'm gonna need your help.Copy !req
201. I don't really have full mobility yet
for procedures.Copy !req
202. - What is all this stuff?
- I was trying to get Dr. Greene to-Copy !req
203. - Oh, my God!
- Sit down!Copy !req
204. Oh, my God! Maggie, help me!Copy !req
205. Just sit! Just sit!
All right, I'll get a nurse!Copy !req
206. I'll be right back. Don't move.
Don't touch your eyes.Copy !req
207. That's it, Carla. Push! Push!Copy !req
208. - Come on, Carla. Breathe.
- We got him!Copy !req
209. It's okay, baby.
It's okay.Copy !req
210. Blue and floppy.Copy !req
211. Run in a liter.Copy !req
212. Peter?Copy !req
213. What is it? I can't hear him.Copy !req
214. - What's going on? What's wrong?
- DeLee suction.Copy !req
215. - Please tell me what's going on.
- I don't like his color.Copy !req
216. Come on, little guy.
Pink up for us. Let's go.Copy !req
217. - What's the Apgar?
- Zero for color.Copy !req
218. Peter, back off. Let her work.Copy !req
219. Muscle tone, zero. One for reflex.Copy !req
220. Two for heart rate.Copy !req
221. One-minute Apgar, 4 out of 10.Copy !req
222. You gotta do something!
Let's go!Copy !req
223. Please tell me what's going on.Copy !req
224. It's okay, baby. It's okay.
They got him.Copy !req
225. - He's got retractions.
- I need to tube him.Copy !req
226. Two-point-five.Copy !req
227. Heart rate down. Eighty-five.Copy !req
228. Start compressions.
Draw. 02 epi.Copy !req
229. Dorgan, call the NICU.
Tell them we're on the way.Copy !req
230. I'm sorry.Copy !req
231. - I know it's not funny, but-
- No, it's funny.Copy !req
232. My whole life is just
one big fun-fest.Copy !req
233. Anspaugh hates me. Benton looks at me
like I'm some kind of an alien.Copy !req
234. I think those things are in your favor.Copy !req
235. Right. Thank you.Copy !req
236. So when you were thinking
about med school...Copy !req
237. you were willing to start over?
All that work?Copy !req
238. As opposed to your six more years
of Surgical Residency ahead of you?Copy !req
239. I see your point.Copy !req
240. - You back among the living?
- Absolutely.Copy !req
241. We've got an MVA coming in.
Six, seven minutes.Copy !req
242. It's not my place to say,
but he looks kind of bad.Copy !req
243. You okay there? I'm just going
to get everything ready for you.Copy !req
244. Be right back.Copy !req
245. Just hang in there, Carla.
You're almost there.Copy !req
246. Peter...Copy !req
247. what are we gonna do?
Have you seen him?Copy !req
248. I'll check on him as soon as
I get you settled. Just take it easy.Copy !req
249. Just be a couple more minutes.
Housekeeping hasn't finished.Copy !req
250. One, two, three.Copy !req
251. - Rib?
- Yeah.Copy !req
252. - Gonna kick you out.
- I'm fine.Copy !req
253. Normal vital signs.
Oxygen, 5 liters. GCS, 11.Copy !req
254. - You mind if I steal some saline?
- Help yourself.Copy !req
255. Pupils are equal and reactive.
No hemotympanum.Copy !req
256. Chest is clear.
Abdomen, soft and flat.Copy !req
257. Pulse is 80. BP, 120/75.Copy !req
258. - What's his name?
- Harry Smith.Copy !req
259. Harry, can you hear me?
Do you know where you are?Copy !req
260. - Let's order something.
- CBC, Chem-7, type and screen.Copy !req
261. - You want to dip a urine?
- Get a C-spine, chest and pelvis.Copy !req
262. - Police said it was a DUl?
- The guy was swerving...Copy !req
263. on the Eisenhower, going about 35.
He hit a light pole.Copy !req
264. - Let's get a blood-alcohol level.
- There's no alcohol on his breath.Copy !req
265. - Hey, thanks for the supplies.
- Anytime!Copy !req
266. He's seizing!Copy !req
267. Get some Ativan, 2 mgs.Copy !req
268. - Where's Tabash?
- Well, he's with another patient.Copy !req
269. - What's he ordered?
- Everything.Copy !req
270. CBC, lytes, blood cultures, what?Copy !req
271. - Yes. All that.
- ABG, chest x-ray?Copy !req
272. - Yes.
- Dr. Benton.Copy !req
273. Your son is stable at the moment.Copy !req
274. What labs have you ordered?Copy !req
275. We've done a complete septic workup.Copy !req
276. No, I need to know
exactly what you've ordered.Copy !req
277. What labs, what antibiotics, what...Copy !req
278. Dr. Benton, your son's
heart rate is 170...Copy !req
279. and his pulse ox is 91
on 100 percent oxygen.Copy !req
280. We've taken a chest x-ray,
drawn blood for CBC, lytes and ABG...Copy !req
281. sent off a blood culture, a urine
culture, an endotracheal aspirate...Copy !req
282. a spinal-fluid culture and started
him on 100 milligrams of ampicillin...Copy !req
283. and 6 milligrams of gentamicin.Copy !req
284. He was hypotensive with
a blood pressure of 30/18...Copy !req
285. so he's received 5 percent
albumin, 10 cc's per kilo.Copy !req
286. And we've started dopamine,
5 mics per kilo per minute.Copy !req
287. And we'll titrate to a M.A.P. of 40.Copy !req
288. Now, what you need to know...Copy !req
289. what you need to share
with this child's mother...Copy !req
290. is that at the moment,
the baby is stable but critically ill.Copy !req
291. Probably has a serious infection
in his blood.Copy !req
292. We don't know if his lungs can
provide enough oxygen to sustain life.Copy !req
293. Unfortunately, we have no choice
but to wait and see how he responds...Copy !req
294. to the present therapy.Copy !req
295. Let's see how he's doing in an hour.
And that's when we should talk again.Copy !req
296. What's your son's name, Dr. Benton?Copy !req
297. He doesn't have one.Copy !req
298. Carol? All right, I got some
good news and bad news.Copy !req
299. You're gonna tell me both. Go ahead.Copy !req
300. The bad news is, they're planning
a little surprise birthday party for you.Copy !req
301. - You did this joke on me this morning.
- No, this one's real. I got invited.Copy !req
302. Well, I'm not listening.Copy !req
303. The good news is, I know you hate
your birthday, so I got you out of it.Copy !req
304. - I do not hate my birthday.
- You always have.Copy !req
305. So I told them you cannot
possibly make it...Copy !req
306. because you're having
dinner with me.Copy !req
307. I do not believe a word of this.Copy !req
308. How many people have wished you
happy birthday?Copy !req
309. Just Kerry, this morning.Copy !req
310. And how many people know
that it is your birthday?Copy !req
311. - You know theirs, right?
- We've worked together for years.Copy !req
312. What is the one reason why you don't
wish someone happy birthday...Copy !req
313. when it is their birthday?Copy !req
314. Because they're planning
a surprise party.Copy !req
315. That's all I'm saying.Copy !req
316. Why do I feel you've
trapped me into this?Copy !req
317. Trapped you? I saved you.
You should be buying me dinner.Copy !req
318. I'll pick you up anytime.
You name the place and-Copy !req
319. You got some gauze out here.Copy !req
320. Okay, I'm out of here as of an hour ago.Copy !req
321. Can you send that Carla Reece
chart up to OB, please?Copy !req
322. - Sure. I got it.
- Did you say Carla Reece?Copy !req
323. She just delivered her baby
about an hour ago.Copy !req
324. - Carla?
- You know her?Copy !req
325. No, not really. I remember her.
She came through the ER a month ago.Copy !req
326. She wasn't near being due.Copy !req
327. I know. The baby's only 32 weeks.
A little boy.Copy !req
328. - Is he okay?
- I don't know.Copy !req
329. He's in the NICU. Apgar was poor.
Had to intubate. It's touch-and-go.Copy !req
330. Is she doing all right?Copy !req
331. She had no other complications,
if that's what you mean.Copy !req
332. I don't know how many preemies
I've resuscitated...Copy !req
333. but I'm still not used to it.Copy !req
334. - I'll see you all tomorrow.
- See you.Copy !req
335. Are you taking that woman
with the eye pain, or is Maggie?Copy !req
336. No, I'm taking her.
I'm just about to head in.Copy !req
337. Don't keep the patients waiting.
They'll beat you up.Copy !req
338. Dr. Greene's on a rampage about that.Copy !req
339. He'll settle back in.
He just needs a couple more days.Copy !req
340. - Hey, Mark.
- Hey, Doug.Copy !req
341. - I keep missing you. How you doing?
- I'm fine. Feels good to be back.Copy !req
342. - Not too soon?
- No.Copy !req
343. It was nice having time with Rachel.Copy !req
344. But a week at home is about
all I could take.Copy !req
345. - So any word from the police?
- They're gonna come by this afternoon.Copy !req
346. I gave them a list of patients
and family members...Copy !req
347. who might have had any reason
to be that angry.Copy !req
348. At least the ones I could remember.Copy !req
349. - So you're okay with this?
- Yes and no.Copy !req
350. It hasn't been the most
pleasant experience...Copy !req
351. but it's kind of a wake-up call.Copy !req
352. A reminder that I can be abrupt with
people, and it'll sure as hell backfire.Copy !req
353. - I don't know if-
- Hey, Doug?Copy !req
354. You've got a 5-year-old
with a wrist fracture.Copy !req
355. A child in pain. Music to my ears.
Catch up later? Get some lunch?Copy !req
356. - Okay.
- Okay.Copy !req
357. I'm so sorry, Peter.Copy !req
358. The chest x-ray showed a diffuse,
patchy infiltrate...Copy !req
359. and the endotracheal aspirate...Copy !req
360. showed gram-negative bacteria.Copy !req
361. He's got pneumonia, sepsis,
premature lungs...Copy !req
362. respiratory distress syndrome.Copy !req
363. They just gave him surfactant
to try to open up his lungs.Copy !req
364. How's Carla doing?Copy !req
365. She asked me to wait outside
in the hall.Copy !req
366. You probably haven't shared this
with anyone, have you?Copy !req
367. Your family, people you work with.Copy !req
368. You do have friends, Peter.Copy !req
369. A community.Copy !req
370. I hope everything will be all right.Copy !req
371. And you need to stop standing
in the hall.Copy !req
372. Just keep your hands at your sides.Copy !req
373. - I can't, it hurts!
- Yes, I think we know that.Copy !req
374. Pulse is 130. BP is 180/95.Copy !req
375. - Pre-op labs?
- Yeah.Copy !req
376. You've been taking a lot
of ibuprofen lately?Copy !req
377. Yeah. About eight tablets a day.Copy !req
378. But that's because I twisted my knee,
not because of this stomachache.Copy !req
379. - You have a minute?
- Sure.Copy !req
380. Let's get an upright chest x-ray
and give 10 of morphine, slow IV push.Copy !req
381. That'll help with your pain.
I'll be right back.Copy !req
382. I'm just double-checking.Copy !req
383. This guy's the groaning in Exam 2
that Dr. Greene was concerned about?Copy !req
384. I didn't know he was concerned.Copy !req
385. He's worried the guy's waiting
too long for a Surgical consult.Copy !req
386. Mr. Lensky's got a board-like abdomen,
rebounding guarding in all four quadrants.Copy !req
387. - A perfed ulcer?
- Sounds like it. I ordered a film.Copy !req
388. - Have Anspaugh check it out.
- Okay.Copy !req
389. - Colles' fracture.
- Have to do a closed reduction?Copy !req
390. His dad still
too flipped out to watch?Copy !req
391. His dad's sacked out in Curtain 3,
having self-medicated with Valium.Copy !req
392. That's helpful. Maybe we should
get a lollipop for Russell.Copy !req
393. - Fentanyl Oralet?
- No. I'm out.Copy !req
394. I'll have to order it.
It may take a while.Copy !req
395. - Okay, well, we can try it without.
- All right.Copy !req
396. I tell you what we're gonna do, buddy.
We're gonna-Copy !req
397. - I'll just get that lollipop.
- Get right on it.Copy !req
398. I want to give it a little longer,
but the surfactant didn't do much.Copy !req
399. He's still requiring 100 percent oxygen
with high pressures on the ventilator.Copy !req
400. Okay, well, his mother's gonna want to
know everything that might happen.Copy !req
401. Dr. Benton, every parent in here
wants to know what might happen.Copy !req
402. We just can't know for sure.Copy !req
403. You know...Copy !req
404. I did a Pedes Surgery elective
this year...Copy !req
405. but I'm not up to speed
on all the sequelae.Copy !req
406. You mean like retinopathy?Copy !req
407. Yeah. Exactly. Although his eyesight
should be the least of our worries now.Copy !req
408. We need to be more concerned
about intraventricular hemorrhage...Copy !req
409. periventricular leukomalacia,
necrotizing enterocolitis...Copy !req
410. and in a few weeks,
bronchopulmonary dysplasia.Copy !req
411. All right, what do we do?Copy !req
412. I'm concerned about the high vent
pressures causing lung damage.Copy !req
413. So I want to switch him over to an
oscillating ventilator, and we wait.Copy !req
414. - Dr. Greene, you got a second?
- Yeah, what is it?Copy !req
415. - I got the head CT back on Harry Smith.
- Harry Smith?Copy !req
416. The slow-moving MVA
from this morning?Copy !req
417. It's negative. No bleed. But I was talking
to his mom, who's filling out paperwork.Copy !req
418. She said Harry was on his way to a
pre-employment physical for a new job.Copy !req
419. She also let it drop that she was...Copy !req
420. pretty relieved that the cops
didn't find marijuana on him.Copy !req
421. Carter, is this leading
to helping the patient?Copy !req
422. His urine is like water.
Check this out.Copy !req
423. Specific gravity, 10.05.Copy !req
424. I think we should give him Lasix
for hyponatremia.Copy !req
425. - Water intoxication?
- If he's worried about a drug test...Copy !req
426. maybe he thinks he can dilute it
or wash out his system.Copy !req
427. Dr. Greene, transfer that LOL
back to her nursing home.Copy !req
428. Did you hear from that detective,
the one who said he was coming by?Copy !req
429. Haven't heard, haven't seen.Copy !req
430. That's a good thought, Carter.Copy !req
431. Why don't you call the lab
and see if his lytes are back.Copy !req
432. Does that hurt?Copy !req
433. That's why Dr. Ross
gave you that shot.Copy !req
434. Nurse Hathaway, she's gonna
pull down on your arm...Copy !req
435. I'll push, and we'll pop that bone
right here right back in place, okay?Copy !req
436. - Ready to start?
- Where's my dad?Copy !req
437. Taking a nap.Copy !req
438. But he wanted us to be here with you.Copy !req
439. He sings to me.Copy !req
440. He sings to you, does he?Copy !req
441. So you'll do it?Copy !req
442. I think Dr. Ross would love
to sing to you, Russell.Copy !req
443. You know, Nurse Hathaway
would like to join in...Copy !req
444. but she doesn't know the words.Copy !req
445. I believe I do too know the words...Copy !req
446. to whatever it is Dr. Ross
is going to sing to you.Copy !req
447. Pop it right there.Copy !req
448. Wrap that up.Copy !req
449. - You brought me here for this?
- I think he perfed his stomach ulcer.Copy !req
450. Of course.
There's free air under the diaphragm.Copy !req
451. It's a slam-dunk, no-brainer.Copy !req
452. All right, drop an NG, consent him
and redline him to the O.R.Copy !req
453. Carter, I realize you needed backup...Copy !req
454. but any Senior Resident
could've handled this. So please...Copy !req
455. think twice next time.Copy !req
456. Good news, and then we'll be able
to fix you up right away.Copy !req
457. - What is it?
- You have an ulcer...Copy !req
458. which has eaten through
your stomach lining...Copy !req
459. but with surgery can be
easily repaired.Copy !req
460. - Surgery?
- Yeah, it's a fairly routine procedure-Copy !req
461. I can't do surgery.Copy !req
462. - Well, it really is the only option.
- No. I feel better already.Copy !req
463. That's the morphine.
Nothing's changed with your condition.Copy !req
464. - Wait a second. Listen to me.
- No, you listen to me!Copy !req
465. I will not have surgery!
And you can't make me have it!Copy !req
466. Now leave me alone. I wanna go.Copy !req
467. Can you tell me why
you feel so strongly?Copy !req
468. Did something happen to you?Copy !req
469. T o somebody else?Copy !req
470. Mr. Lensky,
I'm trying to help you here.Copy !req
471. But I can't help you if you leave.Copy !req
472. Or if you won't tell me
what the problem is.Copy !req
473. Of all the stupid things.Copy !req
474. Gallbladder.Copy !req
475. My dad was such a believer...Copy !req
476. in modern doctors,
modern medicines.Copy !req
477. "They'll pop this thing out.
I'll be home tomorrow. "Copy !req
478. Fifty-eight years old, and he dies having
his stupid gallbladder taken out.Copy !req
479. And the surgeon.Copy !req
480. All he could talk about was
how simple it was, no big deal.Copy !req
481. Afterwards, he came
to the waiting room...Copy !req
482. he couldn't even look
my mother in the eye.Copy !req
483. He gave us the news and just
spouted some fancy medical words.Copy !req
484. And all I could think was,
"You lying son of a bitch! "Copy !req
485. We shouldn't have believed him,
Dr. Carter.Copy !req
486. How can I believe you?Copy !req
487. I talked to him about his father's
gallbladder operation.Copy !req
488. I explained why his surgery
was different.Copy !req
489. I couldn't get the guy to budge.Copy !req
490. Not much you can do.
His decision.Copy !req
491. He needs to get to the O.R.Copy !req
492. Not to mention the fact that Anspaugh's
gonna take my head off one more time.Copy !req
493. We can't override the consent
for emergency surgery.Copy !req
494. No, we can't. But I read a paper
about forme fruste...Copy !req
495. ulcers that spontaneously seal off.Copy !req
496. Do a paper-chase search.
See what you find.Copy !req
497. Maybe I should do a Hypaque upper Gl,
see what's going on.Copy !req
498. - Good idea.
- Carter.Copy !req
499. These labs came back for you
on Harry Smith.Copy !req
500. Sodium, 115?Copy !req
501. I don't believe it. I was right.
He's been drinking buckets of water.Copy !req
502. He's also waking up
if you want to talk to him.Copy !req
503. Yeah, yeah. Where's Dr. Greene?Copy !req
504. Can I get you anything to drink?Copy !req
505. Sure. I'll take a pop
if you got one.Copy !req
506. So it's good news. All the leads
you gave us came out clear.Copy !req
507. - What?
- Yeah. Everyone checked out.Copy !req
508. Patients? Families?Copy !req
509. Everyone you gave us.Copy !req
510. There wasn't anything on anyone?Copy !req
511. Doc, usually people are glad
to hear that.Copy !req
512. They don't like things happening
in their own back yard.Copy !req
513. Right. Right.Copy !req
514. You okay?Copy !req
515. Sure.Copy !req
516. I see you made a pretty
quick recovery.Copy !req
517. Yeah, it wasn't as bad
as I thought it was gonna be.Copy !req
518. We'll keep investigating, of course.Copy !req
519. Gotta go.Copy !req
520. - Dr. Greene.
- Later, Carter.Copy !req
521. I was right about
the water-intoxication guy.Copy !req
522. Sodium is 115.
He drank three gallons.Copy !req
523. That's great, Carter. Great. Terrific.
Wonderful. Admit to Medicine.Copy !req
524. It's not that
it's a better or a worse option.Copy !req
525. It just may be the only other thing
to consider.Copy !req
526. Babies can respond
to inhaled nitric oxide...Copy !req
527. and it can improve
their oxygenation.Copy !req
528. In full-term babies.Copy !req
529. That's correct. It's still being studied
in premature infants.Copy !req
530. We're participating
in a national multicenter trial.Copy !req
531. There is a small series which showed
that nitric did improve oxygenation...Copy !req
532. by 50 percent on average.Copy !req
533. Now, half of those kids did develop
bleeding in the brain...Copy !req
534. but no one knows
if the gas caused that.Copy !req
535. Bleeding in the brain.Copy !req
536. There would be a risk of retardation
and cerebral palsy.Copy !req
537. But if we keep doing what we're doing
now, then there's a risk of lung disease.Copy !req
538. Yes. And possible brain damage
if the oxygen level falls too low.Copy !req
539. That's a hell of a choice.
How do I make that decision?Copy !req
540. I wish I could answer that question
for every parent I talk to every day.Copy !req
541. Dr. Tabash?
I'm sorry.Copy !req
542. Talk it over with the baby's mother,
and let me know soon.Copy !req
543. Excuse me.Copy !req
544. Mark.Copy !req
545. I'm an idiot, Kerry.
I'm a complete idiot.Copy !req
546. Was that the detective
you've been waiting for?Copy !req
547. It wasn't an angry patient. It wasn't
a family member of an angry patient.Copy !req
548. It wasn't Chris Law.
It wasn't Mr. Gunther.Copy !req
549. It wasn't that crazy guy
who was yelling about Krishna.Copy !req
550. - They checked everybody out?
- Yeah.Copy !req
551. I thought I was remembering
piece by piece...Copy !req
552. like a puzzle that would come together.Copy !req
553. But the Chicago Police Department
was nice enough to inform me...Copy !req
554. that I am simply the victim
of random violence.Copy !req
555. Well, you knew that,
patient or no patient.Copy !req
556. No. What I knew is that everything I do,
every day of my life...Copy !req
557. I do because I am not the victim.Copy !req
558. I treat the victim.
I cure the victim.Copy !req
559. I watch the victim be
rolled out like a piece of meat.Copy !req
560. But the truth is,
I'm the piece of meat.Copy !req
561. But we can't think about that. We're the
ones who see what goes on out there.Copy !req
562. We know that, every day, some child
is not gonna make it home from school.Copy !req
563. Some father is not gonna
make it home from work.Copy !req
564. But if we allowed ourselves
to think that could be us...Copy !req
565. we couldn't walk out
our front door.Copy !req
566. The problem is, that is us.Copy !req
567. No, Mark, the problem is,
it makes us like everyone else.Copy !req
568. Dr. Anspaugh, I was just
coming up to see you.Copy !req
569. Where's that perfed ulcer?
He should've been out two hours ago.Copy !req
570. That's why I wanted to talk.
Mr. Lensky doesn't want surgery.Copy !req
571. Well, nobody wants surgery.Copy !req
572. - So what?
- But I've discovered he doesn't need it.Copy !req
573. Of course he does.
There's a hole in his stomach.Copy !req
574. If we don't repair that perf,
he's at risk for peritonitis, sepsis, death.Copy !req
575. If you look, there's the ulcer.
But there actually is no leak.Copy !req
576. - It sealed itself off against the liver.
- This patient was redlined to the O.R.Copy !req
577. - Who in the hell ordered an upper Gl?
- I did.Copy !req
578. - You were supposed to consent him.
- He doesn't want surgery.Copy !req
579. - He needs surgery.
- Maybe not.Copy !req
580. I found an article that shows me
he could be treated medically.Copy !req
581. Which is what he wants.Copy !req
582. You think this is about what he wants?Copy !req
583. Yeah. I guess. A little bit.Copy !req
584. Well, you're wrong, Carter.Copy !req
585. This job is about determining
what a patient needs...Copy !req
586. and the best way for us,
as surgeons, to meet that need.Copy !req
587. And as surgeons, we cut.Copy !req
588. Dr. Anspaugh, as a doctor, if I can find
a way to do what my patient wants...Copy !req
589. that's medically acceptable,
that's what I should do.Copy !req
590. I don't believe I should cut
somebody open just because I can.Copy !req
591. It bothers me, Carter, that this
patient is willing to risk death...Copy !req
592. rather than undergo a simple
surgical procedure, but you know...Copy !req
593. it bothers me even more...Copy !req
594. that you're so willing
to help him do that.Copy !req
595. Sorry.Copy !req
596. Mark, I still need you to sign off
on these QA reviews.Copy !req
597. - I don't have time.
- But I'm off in five. I just-Copy !req
598. Why don't you just leave them
at the desk for me, all right?Copy !req
599. Done. Done. Done.Copy !req
600. - You look very nice tonight, Dr. Ross.
- Thank you.Copy !req
601. Can you file these for me?Copy !req
602. - I'll certainly ask Miss Kelly to do that.
- Miss Kelly?Copy !req
603. - She's our temp clerk tonight.
- Why do we have a temp?Copy !req
604. I'm sorry, but I don't think
that's any of your business.Copy !req
605. Okay. Good night.Copy !req
606. - Good night.
- Want to grab a burger?Copy !req
607. He is so strange.
Where did we find him?Copy !req
608. - Mark. Hey.
- Nina, hi.Copy !req
609. Damn. I was supposed to call you.Copy !req
610. Yes, although I hate having you
think of it that way.Copy !req
611. It's been really busy.Copy !req
612. - Good first day back?
- Completely fabulous.Copy !req
613. Did you call Dr. Gillum?Copy !req
614. That PTSD guy?Copy !req
615. Well, you are post-trauma.Copy !req
616. I know I need time
to settle in...Copy !req
617. but it's not like I'm a postal
worker with an AK-47.Copy !req
618. I know you're not.Copy !req
619. I'm just trying to help
any way that I can.Copy !req
620. I know, and I appreciate it.
I'm fine.Copy !req
621. Everything's getting back to normal.Copy !req
622. I don't like you trying
to cover with me.Copy !req
623. I don't like you trying
to be a shrink with me.Copy !req
624. - How's Rachel doing?
- She's staying at a friend's house tonight.Copy !req
625. - Great. Tell her I say hi.
- Sure.Copy !req
626. - Peter, how are you doing?
- How is she?Copy !req
627. Remarkably well, considering.
She's a pretty strong lady.Copy !req
628. Look, I wanted to apologize for my
behavior this morning in the delivery.Copy !req
629. Thank you, but it's unnecessary.Copy !req
630. I've never met a father who could
handle it sensibly, calmly, maturely.Copy !req
631. If I ever do, that's the guy
I'm really gonna slap around.Copy !req
632. Today was the first day
I was ever afraid.Copy !req
633. Well, I'm glad to hear that, Peter.Copy !req
634. - Better get back in here.
- I'll check on her again before I leave.Copy !req
635. Hey, Carla.Copy !req
636. I made the bed.Copy !req
637. Isn't that the stupidest thing
you've ever seen?Copy !req
638. I spoke to Dr. Tabash.Copy !req
639. He presented another option for
the baby. I think we should consider it.Copy !req
640. There are a lot of serious
risks involved.Copy !req
641. So I'm going to try
to explain them to you.Copy !req
642. And then we have a decision to make.Copy !req
643. You don't have to change for me.Copy !req
644. I'm not changing for you.
You said we were gonna grab a burger.Copy !req
645. We can get some burgers
at the Pump Room.Copy !req
646. I'm not wearing scrubs
to the Pump Room.Copy !req
647. I don't know.
I think it'd be rather daring.Copy !req
648. Surprise!Copy !req
649. Happy birthday!Copy !req
650. Oh, God. I hate you for this.Copy !req
651. It worked out well, don't you think?Copy !req
652. Surprise, girl!Copy !req
653. That was great, wasn't it?Copy !req
654. - What are you doing?
- Waiting for you.Copy !req
655. Come on. Right this way.Copy !req
656. - What are you doing?
- Come on.Copy !req
657. Come on. Just come over here.
Have a seat.Copy !req
658. Okay.Copy !req
659. - What's this?
- A little something for you.Copy !req
660. A garage-door opener!Copy !req
661. Go ahead. Try it.Copy !req
662. - I always wanted one of these.
- I know.Copy !req
663. - You always said they were stupid.
- Well, they are stupid.Copy !req
664. I don't get why a person
can't just open the damn door.Copy !req
665. I think this is the nicest thing
you've ever done for me.Copy !req
666. That's pretty pathetic.Copy !req
667. I love it.Copy !req
668. I love it.Copy !req
669. Let's have a beer.Copy !req
670. Okay.Copy !req
671. Go ahead.Copy !req
672. This is special.
I love having 20 people over...Copy !req
673. especially when I have so much
to serve. Peel an orange.Copy !req
674. Would you lighten up?
They brought booze.Copy !req
675. Okay. I'll lighten up.Copy !req
676. I'll just have a sip of this milk.Copy !req
677. You just drink that
right out of the carton like that?Copy !req
678. What's wrong with that?Copy !req
679. Well, it's just kind of
a guy thing to do.Copy !req
680. You know.Copy !req
681. - So, Doug, what is all this about?
- What is what about?Copy !req
682. This little dance you did today.
This party. You.Copy !req
683. Well, I know you haven't had very good
birthdays the last couple of years.Copy !req
684. - The ones I spent with you?
- The ones I forgot.Copy !req
685. And I just thought it was time
for you to have a nice one.Copy !req
686. You want a sip of milk?Copy !req
687. Yes, I would love a sip
of this milk. Thank you.Copy !req
688. Thank you.Copy !req
689. Dr. Weaver. Excuse me.Copy !req
690. - Can I talk to you for a minute?
- Sure.Copy !req
691. I know this isn't the right time
or the right place, but I was just curious.Copy !req
692. What would be involved with getting
into Emergency Medicine?Copy !req
693. - What do you mean?
- To change one's Residency...Copy !req
694. would you have to redo
your intern year?Copy !req
695. Has "one" talked to Dr. Greene
about this?Copy !req
696. No. You saw how he was in the hall.Copy !req
697. Oh, my God!Copy !req
698. Come on, Carol, blow them out!Copy !req
699. There are so many candles
on this cake. What am I, 55?Copy !req
700. Wait! Hold on!
One second.Copy !req
701. Oh! Almost forgot.Copy !req
702. - Wait a minute!
- Beautiful.Copy !req
703. - What's that?
- It's so your wishes come true.Copy !req
704. - Make it a good one.
- All right.Copy !req
705. All right, Carol.
You go, girl!Copy !req
706. That's all right, girl.
You still look so young.Copy !req
707. - Make a wish, make a wish.
- Happy birthday!Copy !req