1. E.R.
Copy !req
2. - Previously on ER...
- Can I get a couple of condoms?
Copy !req
3. - How old are you?
- 18.
Copy !req
4. The hospital is floating me
to Neuro three times a week.
Copy !req
5. It's a miracle.
Copy !req
6. Abby.
Copy !req
7. Do us all a favor. Ask her out.
Copy !req
8. - You wanna go out tonight?
- I can't. I've got plans.
Copy !req
9. I waited too long.
Missed my chance. Blew it.
Copy !req
10. I'm leaving my Residency.
Copy !req
11. - Quitting?
- Transferring.
Copy !req
12. - Where?
- Phoenix.
Copy !req
13. "Union Station"
Copy !req
14. If you don't have your child's card
with you, let me know.
Copy !req
15. Chuny, can I get a hand
in here, please?
Copy !req
16. Okay, I'll be with all of you in a second.
Everybody get a cookie?
Copy !req
17. Excuse me, pal.
Copy !req
18. I need you to explain to her
about the lead.
Copy !req
19. Sorry, that ain't Spanish.
Copy !req
20. We need to take some blood to see
if the baby's been exposed to lead.
Copy !req
21. - Lead is very bad for children.
- Okay.
Copy !req
22. - If there's a problem, we'll call you.
- Okay.
Copy !req
23. You sign this and the nurse
will take some blood.
Copy !req
24. - Okay.
- Next, please.
Copy !req
25. - Think that was informed consent?
- Close enough.
Copy !req
26. - Hey, old man.
- Hey.
Copy !req
27. You again?
Copy !req
28. Yeah, I know... Halloween.
Charlie, right?
Copy !req
29. Yeah, you gave me some condoms.
Guess you were a couple years late.
Copy !req
30. - You're telling me that's yours?
- Why not?
Copy !req
31. - His dad's a Pakistani dude.
- And his name is Lopez because...?
Copy !req
32. Okay. His mom, Gloria,
is a friend of mine.
Copy !req
33. She's got a job today,
so I'm babysitting.
Copy !req
34. She heard they were
giving out free shots.
Copy !req
35. And Ahmed hasn't been seen
since he was 4 months old?
Copy !req
36. - I guess.
- Let me see. Let's take a look.
Copy !req
37. What is he now,
about a year and a half?
Copy !req
38. We need to have
his mother's address for a follow-up.
Copy !req
39. - They live at Sisters, over on Grand.
- The shelter?
Copy !req
40. - Don't we need parental consent?
- That's why I told you. I'm the mom.
Copy !req
41. All right, Ms. Lopez.
Why don't you sign right there.
Copy !req
42. - I don't know about this.
- Want me to send him home?
Copy !req
43. Okay, next!
Copy !req
44. - Charlie, shouldn't you be in school?
- We're off. It's Career Day.
Copy !req
45. - BP's 200/140.
- Try to relax, Mr. Reynolds, okay?
Copy !req
46. - Ultrasound's ready.
- Take a look. Tell me what you see.
Copy !req
47. You want me to start him
on beta-blockers?
Copy !req
48. You read my mind.
Esmolol, 5 grams and 500 ml.
Copy !req
49. - And four of morphine.
- It's a triple-A, about 4 centimeters.
Copy !req
50. - Dr. Lewis. I was afraid I'd missed you.
- I'm on till 2.
Copy !req
51. - It won't be the same without you.
- Stop it. It's hard enough.
Copy !req
52. Give Dr. Carter the bullet.
Copy !req
53. 72-year-old male. History of
hypertension, hypercholesterolemia.
Copy !req
54. One previous Ml. Pain began
in left lower quadrant a week ago.
Copy !req
55. The ultrasound shows an abdominal
aneurysm, 4 centimeters.
Copy !req
56. - We'll take him off your hands for you.
- Not so fast, Dr. Carter.
Copy !req
57. - Check his femoral pulses.
- The ultrasound indicates surgery.
Copy !req
58. - What do you think, Dr. Doyle?
- I'm with Carter. Chance of rupture.
Copy !req
59. - Ten percent. And the femoral pulses?
- Two plus bilaterally.
Copy !req
60. He has good blood flow
to lower extremities.
Copy !req
61. - But the ultrasound indicates a risk.
- Shows no leakage.
Copy !req
62. - Let's get a CT to confirm.
- You wanna manage it medically.
Copy !req
63. Yes, I'd like to try.
The machines can give us test results.
Copy !req
64. But they like to keep us around
for our diagnostic judgment.
Copy !req
65. This is her last shift,
maybe our last patient together.
Copy !req
66. - She's trying to bust me.
- Someone has to hold you surgeons back.
Copy !req
67. - Page me if you need me.
- Okay, let's get him to CT.
Copy !req
68. - Guess I got a lot to learn.
- Yeah, it takes practice.
Copy !req
69. Don't be afraid to step up.
You should have seen me my first year.
Copy !req
70. Don't believe her.
She was always this good.
Copy !req
71. - Are you with the moving company?
- No. I'm Mark Greene, a friend of Susan's.
Copy !req
72. You're the one who's
interested in taking over the lease?
Copy !req
73. - Phyllis Dodds. I'm the landlady.
- Hi, Phyllis.
Copy !req
74. - Are you okay?
- It's just a muscle spasm.
Copy !req
75. Probably stress.
Copy !req
76. It's a great one-bedroom.
Lots of closet space, nice cross-breeze...
Copy !req
77. - ... and a quiet street.
- Yeah, I've spent some time here.
Copy !req
78. - You worked with Susan?
- About three years. More than three.
Copy !req
79. - Are you single?
- Divorced. And I've got...
Copy !req
80. my daughter every other Saturday.
Copy !req
81. No live-ins, no parties, no pets?
Copy !req
82. - None of the above.
- A landlady's dream.
Copy !req
83. Well, at least it worked for someone.
Copy !req
84. Oh, good. All the boxes go.
The luggage stays.
Copy !req
85. Place looks a lot bigger
without Susan's stuff, doesn't it?
Copy !req
86. A whole lot emptier.
Copy !req
87. Basically, we're screwed. We can pull
all the interns off their electives...
Copy !req
88. but unless the senior Residents
lose their vacation time...
Copy !req
89. we won't be able
to cover the schedule.
Copy !req
90. - Are you okay?
- I didn't get much sleep last night.
Copy !req
91. - What did you say after "We're screwed"?
- It's gonna be a pain to lose Susan.
Copy !req
92. Big mistake for her. Phoenix.
Copy !req
93. What was Morgenstern thinking,
letting her go?
Copy !req
94. I wanna be supportive
of lifestyle choices...
Copy !req
95. but we're getting the short end here.
Copy !req
96. - Good morning, all.
- Hang tough, Coach Pino.
Copy !req
97. 35-year-old roller hockey coach
got slammed into the board.
Copy !req
98. - Possible hip dislocation.
- Dr. Weaver, can I take this one?
Copy !req
99. - Did one of you guys nail him?
- He told us to play the body.
Copy !req
100. Never apologize for a good
hip check. Right, coach?
Copy !req
101. - Sure you're feeling okay?
- Yeah. Stiff muscles.
Copy !req
102. - I might be coming down with something.
- Go home. May be your only chance.
Copy !req
103. I think I'm gonna stick around.
Copy !req
104. Hey. So T-minus
five hours and counting?
Copy !req
105. - I'm getting nervous.
- You'll do great in Arizona.
Copy !req
106. The winters there are like heaven.
Copy !req
107. I just don't wanna leave anyone
in the lurch.
Copy !req
108. We'll muddle through.
Oh, hey, I signed the lease.
Copy !req
109. That's great! It'd be a shame
to let that place go.
Copy !req
110. And I'll never forget your address.
Copy !req
111. Wanna help me with a teaching demo?
Copy !req
112. - You give him five of morphine?
- And Valium and a hundred methohexital.
Copy !req
113. First, the nurse, or in this case Susan,
applies counter traction.
Copy !req
114. Good job, Susan.
Then you grab behind the knee.
Copy !req
115. And you lift. And you lift...
Copy !req
116. until you feel that...
Copy !req
117. hip slip back into place.
Copy !req
118. - That's it.
- Okay.
Copy !req
119. - Thanks, Susan.
- Anytime.
Copy !req
120. Anytime in the next four hours.
Copy !req
121. Dislocations aren't tough.
You'll get the feel for it.
Copy !req
122. I know. I've done a bunch of them.
Copy !req
123. - Why did you ask for help?
- I didn't.
Copy !req
124. - That was perfect.
- Will you take one for me?
Copy !req
125. We will do anything
for you, Dr. Keaton.
Copy !req
126. - Say "discharge. "
- Discharge!
Copy !req
127. - Great.
- There's Dr. Benton.
Copy !req
128. The Herlihys are taking
Megan home today.
Copy !req
129. Yeah, I heard. Congratulations.
Copy !req
130. David, get one with
Dr. Benton in it, please.
Copy !req
131. - It would mean so much.
- Oh, it's okay. It's okay.
Copy !req
132. Smile.
Copy !req
133. We owe both of you so much.
Copy !req
134. We're not usually shy about
taking credit. But in this case...
Copy !req
135. Megan deserves
all the congratulations.
Copy !req
136. - Thank you, Dr. Keaton. We'll be in touch.
- Bye.
Copy !req
137. - Well, that was awkward.
- Why?
Copy !req
138. - I almost killed their baby.
- Never begrudge a good outcome.
Copy !req
139. - It's nothing to be proud of.
- But sometimes the gods smile.
Copy !req
140. Hey, there you are- Hi.
Copy !req
141. Carter, what are you doing here?
Copy !req
142. Actually, I was coming to-
Copy !req
143. - Ready to go over the literature review?
- Yes, I was. I am, if you are.
Copy !req
144. - The literature review?
- I kidnapped your intern.
Copy !req
145. I hope you don't mind,
but I'm up against a deadline...
Copy !req
146. so I asked Dr. Carter to contribute
to an article I'm writing.
Copy !req
147. - Yeah, she did.
- As long as it doesn't interfere...
Copy !req
148. - ... with your other work.
- No, this thing with Dr. Keaton...
Copy !req
149. This article won't get in the way at all.
Copy !req
150. - I can go over your first draft at 3.
- Okay.
Copy !req
151. Okay? Okay, see you at 3.
Copy !req
152. - Clearing out your locker?
- This is too weird.
Copy !req
153. - What time is your train?
- 4:20.
Copy !req
154. I have to go by my house
and pick up my stuff.
Copy !req
155. - I'm not cutting it too close, am I?
- You're on until 2?
Copy !req
156. There's not any sort of farewell thing
going on, is there?
Copy !req
157. - No. Not that I've heard of.
- Okay, good.
Copy !req
158. - Mark is acting so odd.
- Well, he's gonna miss you.
Copy !req
159. He's the one who thinks I should go. If I
have to hear how great Phoenix is again...
Copy !req
160. I think he's just trying to be a good sport,
judging from how miserable he looks.
Copy !req
161. Having second thoughts?
Copy !req
162. I never made a decision
that seemed so right.
Copy !req
163. You know, once I made it,
I just felt great.
Copy !req
164. - Of course I'm having second thoughts.
- Well, I wish you weren't going.
Copy !req
165. - But you do look happy.
- Do I?
Copy !req
166. I'm just afraid
that I'm not happy at all.
Copy !req
167. I'm just barging in
on Chloe and Joe's happiness.
Copy !req
168. Well, she owes you
a couple of barge-ins.
Copy !req
169. Susan, there you are.
Copy !req
170. - What's wrong?
- I need a second opinion.
Copy !req
171. Sure.
Copy !req
172. See? Odd.
Copy !req
173. I wanna get your opinion on a patient.
Copy !req
174. - Are you coming down with something?
- I hope not.
Copy !req
175. Exam Room 1,
28-year-old smoker on the pill...
Copy !req
176. complains of shortness of breath.
Copy !req
177. Diffuse low voltage on her EKG.
I'm thinking pericarditis, get an echo.
Copy !req
178. - That's what I'd do.
- Could it be pulmonary embolism?
Copy !req
179. She's at risk. Abnormal EKG.
It could be lead placement.
Copy !req
180. - No, I'd go with the echo.
- You sure?
Copy !req
181. It's a no-brainer. You can always
get a VQ scan if the echo's negative.
Copy !req
182. That's what I was thinking.
So I'll order an echo.
Copy !req
183. There they are, the Mutt and Jeff of
emergency medicine, pooling expertise...
Copy !req
184. - ... before she leaves us in the dust.
- Doug, stop.
Copy !req
185. Randi, call the lab,
pick up these tests.
Copy !req
186. - Where have you been?
- The Hellmobile.
Copy !req
187. Diaper rash, Curtain 3.
Saved it just for you.
Copy !req
188. Anspaugh made you ride
the mobile again so soon?
Copy !req
189. Anspaugh didn't make us do it.
Copy !req
190. The immunization program
was Dr. Ross' idea.
Copy !req
191. Is this true?
Copy !req
192. It keeps me off the streets.
Check this out.
Copy !req
193. I got sunscreen,
I got a turquoise belt buckle...
Copy !req
194. - ... I got a snake-bite kit.
- What for?
Copy !req
195. Susan's farewell.
Copy !req
196. - And we got a cactus-shaped cake.
- Guys, I don't know. She'll hate this.
Copy !req
197. Of course she'll hate it.
That's why we're doing it.
Copy !req
198. - You look lousy.
- I woke up with this neck thing and fever.
Copy !req
199. - There's a flu going around.
- You didn't do it?
Copy !req
200. - You didn't tell her how you feel.
- She's leaving.
Copy !req
201. She's made her decision.
Copy !req
202. I don't see any point in saying anything.
Copy !req
203. In two hours, we'll have a 1-week-old
male baby on this table.
Copy !req
204. And what do we know
about this poor soul?
Copy !req
205. He has a distended abdomen,
visible peristalsis.
Copy !req
206. The upper-Gl series showed...
Copy !req
207. - ... a partial small bowel obstruction.
- When we open him up, we expect...?
Copy !req
208. - A malrotation of the gut.
- Meaning?
Copy !req
209. In the 1 Oth week of fetal development,
the cephalic limb of the intestinal loop...
Copy !req
210. - ... elongated and twisted 270 degrees.
- Okay. But begin with the duodenum.
Copy !req
211. What would you expect to see
in a normal 1-week-old?
Copy !req
212. What? You mean, like,
the duodenum leads to...?
Copy !req
213. Close your eyes. Try to see it.
Copy !req
214. The duodenum leads to the jejunum,
which connects to the ileum.
Copy !req
215. Okay, but slow down
and tell me what you see.
Copy !req
216. - What do you mean?
- Start with the image of...
Copy !req
217. a healthy gut.
Copy !req
218. I'm seeing the head of the pancreas.
Copy !req
219. It's like a tiny fist
holding two straws.
Copy !req
220. You mean the
mesenteric artery and vein.
Copy !req
221. It's nestled in the open sea
of the duodenum.
Copy !req
222. And its surface is like fine pebbles.
Copy !req
223. A beautiful shade of tannish yellow.
Copy !req
224. Go on. You try it.
Copy !req
225. Okay, the...
Copy !req
226. The pancreas is...
Copy !req
227. shaped like a tadpole with a big head.
Copy !req
228. It narrows into a tail...
Copy !req
229. that curls
into the hilum of the spleen.
Copy !req
230. Go on. Now see the spleen.
Copy !req
231. - Susan.
- Yes.
Copy !req
232. We had a rocky start, but I thought
we'd worked on our relationship...
Copy !req
233. and developed
a professional rapport.
Copy !req
234. - What's this about?
- The smoker in 1.
Copy !req
235. I diagnosed her
with a pulmonary embolism...
Copy !req
236. - ... and consented her for a VQ.
- I thought it was Mark's patient.
Copy !req
237. - He asked me for my opinion.
- I guess my beef is with him, then.
Copy !req
238. I'll talk to him.
I think I know what the problem is.
Copy !req
239. - No. Absolutely not. No way.
- It just ticks me off.
Copy !req
240. - I probably could go up there.
- No, you can't.
Copy !req
241. It wouldn't kill me to finish
one shift up in Neuro.
Copy !req
242. It's the principle.
Last week, I let Lydia go up there...
Copy !req
243. and it encouraged them to do it more.
Copy !req
244. I got called up to Neuro
to fill in for the day.
Copy !req
245. May I speak to the nursing administrator?
Hathaway in the ER.
Copy !req
246. When do you max out
on your pension?
Copy !req
247. - Two more years.
- See? They are hassling the senior nurses.
Copy !req
248. Hey! What's in the box? Bridal shop?
Copy !req
249. - You and Al finally set the date?
- No. The opposite.
Copy !req
250. - She broke off with Al.
- I'm returning this ridiculous...
Copy !req
251. fake virgin outfit, and they'd
better not offer me store credit.
Copy !req
252. - Sorry, Lydia.
- What did Al do?
Copy !req
253. - Nothing. That's the problem.
- He kept putting it off.
Copy !req
254. He didn't wanna get married.
I don't know why he proposed.
Copy !req
255. - What's the matter with you guys?
- They're wimps.
Copy !req
256. - They're all petrified to make a move.
- It's lack of spine, isn't it?
Copy !req
257. Whatever you're talking about,
I'm sure you're right.
Copy !req
258. Hey, Mark, I need to talk to you.
Copy !req
259. Mary. Yes, hello.
Carol Hathaway in the ER.
Copy !req
260. I'm not doing too good
at the moment.
Copy !req
261. One of my nurses just
got floated up to Neuro.
Copy !req
262. Look, I'm running a department here.
It doesn't benefit my nurses...
Copy !req
263. to be shipped all over the hospital.
Copy !req
264. No. You know what? She's not
going up. She is not going up to Neuro.
Copy !req
265. Right. Right.
Copy !req
266. - Hot stuff.
- Unfortunately, you still have to go.
Copy !req
267. But this is the last time.
I made an appointment with her.
Copy !req
268. I'm gonna stop this.
Copy !req
269. - Hang in there, Lydia.
- Don't worry about me.
Copy !req
270. You can't put me in the middle
of your conflicts with Weaver.
Copy !req
271. Literally, you can't,
because I'm not gonna be here.
Copy !req
272. I just trust your judgment.
Copy !req
273. Look, I know what this is about.
And I'm having a hard time too.
Copy !req
274. I think we've both been spoiled
by what we have, the shorthand.
Copy !req
275. - It just makes our jobs so much easier.
- Jobs. Right.
Copy !req
276. In Phoenix, I'm afraid there won't
be a single person in the ER...
Copy !req
277. - ... that I can talk to.
- They've got great doctors there.
Copy !req
278. They have great doctors here.
The best I've ever worked with.
Copy !req
279. - You can rely on them.
- Thanks for the pep talk.
Copy !req
280. Mark. Is it something else?
Copy !req
281. No. No, nothing else.
Copy !req
282. I mean, I could ask you
to consult on the hives in 4...
Copy !req
283. but it's time for us
to stand on our own two feet.
Copy !req
284. Jeanie.
Copy !req
285. Jeanie.
Copy !req
286. Jeanie, I'm glad I caught you.
Copy !req
287. - You get the mortgage papers back?
- That's what I wanted to tell you.
Copy !req
288. - Al, you promised.
- I talked to this lawyer.
Copy !req
289. He gave me some advice. And...
Copy !req
290. Here.
Copy !req
291. You were right.
Everything you said about our marriage.
Copy !req
292. About how you carried all the weight.
That's gonna stop.
Copy !req
293. - What is this?
- Divorce papers.
Copy !req
294. I'm giving you the house, the car,
everything. And don't say no.
Copy !req
295. It's not just because you deserve it.
Copy !req
296. This guy helped me figure out
that if I get my assets down...
Copy !req
297. and show
that my job has no insurance...
Copy !req
298. then I'll be able to get this state
program for the working poor.
Copy !req
299. They offer the drugs I need.
It's a good deal.
Copy !req
300. But your income has to be
less than $15,000 a year.
Copy !req
301. You don't have to worry
about me anymore. Okay?
Copy !req
302. You just take care of yourself.
I gotta go.
Copy !req
303. - I don't wanna be here!
- Settle down. Hold her.
Copy !req
304. Thank God she was
passed out at Cubbie's.
Copy !req
305. Bartender got worried after she
downed that sixth double bourbon.
Copy !req
306. - She looks full-term.
- Let go of me. I'm out of here!
Copy !req
307. No, you're not.
Security! We need Security!
Copy !req
308. Damn! Damn this damn thing!
Copy !req
309. Doyle, Ativan, 2 mgs.
Ma'am, are you having contractions?
Copy !req
310. I need a drink. I need to...
Copy !req
311. - ... get out of here!
- Restraints.
Copy !req
312. - You're not going anywhere.
- Hold still so we won't hurt your baby.
Copy !req
313. Go ahead and kill it.
I never wanted the little bastard.
Copy !req
314. - Too late to think about that now.
- Sedate her.
Copy !req
315. I'll kill myself and I'll take it with me.
Damn thing ruined my life.
Copy !req
316. - You're pissing me off, lady.
- Hold on, Doyle.
Copy !req
317. - I wanna die.
- Look out.
Copy !req
318. Her water broke.
We'd better get her up to OB.
Copy !req
319. Another kid with fetal alcohol syndrome
on the way.
Copy !req
320. We could use some muscle here.
Doyle, take her up to OB.
Copy !req
321. - She was trying to kill her baby.
- Alert Social Services.
Copy !req
322. - Will they do anything?
- They'll try.
Copy !req
323. Keep your legs together, honey.
Copy !req
324. - That was ugly.
- It was criminal.
Copy !req
325. - Chaplain, do you have a minute?
- Did you call for last rites?
Copy !req
326. No. I wanted to see if you were free
to see this woman. She's in labor.
Copy !req
327. - Does she want a prayer?
- No, but I think her baby will.
Copy !req
328. I've got a brittle diabetic in 2.
He came in with a blood glucose of 406.
Copy !req
329. - Are you well? You look flushed.
- I'm fine.
Copy !req
330. He hadn't taken his insulin.
His BP was 210/115. Off his dilt.
Copy !req
331. I gave him both. But he wants to see
Susan. He always sees Dr. Lewis.
Copy !req
332. - I can take it.
- Okay.
Copy !req
333. - Where's Dr. Lewis?
- She's busy right now. I'm Dr. Greene.
Copy !req
334. We've débrided
Mr. Ceebar's ulcerated ankle.
Copy !req
335. - Do you have an endocrinologist?
- Sort of.
Copy !req
336. The ER is really not the best place
for you to manage your diabetes.
Copy !req
337. My ex stole 500 bucks from me.
Copy !req
338. I'm sure that was upsetting...
Copy !req
339. but still no reason for you not
to monitor your glucose.
Copy !req
340. I wanted to tell Dr. Lewis.
Copy !req
341. Well, you can't see her right now.
Copy !req
342. Diabetes is a serious disease. You can
manage it if you follow the regimen.
Copy !req
343. But if you neglect it, you're at risk
for kidney failure, blindness...
Copy !req
344. - ... and vascular disease.
- Why?
Copy !req
345. - Why can't I see Dr. Lewis?
- Should I try to find her?
Copy !req
346. Look, Dr. Lewis is leaving us. She's not
gonna work here anymore. Malik.
Copy !req
347. I didn't tell her about my car.
Someone ran into it, didn't even stop.
Copy !req
348. - Will you get Psych for Mr. Ceebar?
- I can find Dr. Lewis.
Copy !req
349. - Get Psych!
- Tell Dr. Lewis...
Copy !req
350. Labs came back from the Healthmobile.
Can you take a look at this CBC?
Copy !req
351. - Crit's 28.
- Iron-deficiency anemia?
Copy !req
352. No. Normal MCV, no blasts.
Better get this kid in for a follow-up.
Copy !req
353. It's Ahmed Lopez.
The baby that kid brought in.
Copy !req
354. Charlie? Sisters of Mercy Shelter?
All right, I'll get the number.
Copy !req
355. I need a hand here.
Copy !req
356. - What's the problem?
- I never felt better.
Copy !req
357. The guy's coughing his head off.
I thought I'd better bring him in here.
Copy !req
358. - Now it's a crime to cough.
- Shut up and be grateful.
Copy !req
359. - I'll get a history.
- Cops get stranger all the time.
Copy !req
360. - Don't worry. This isn't about you.
- Lydia.
Copy !req
361. - She hates me, doesn't she?
- Well, she's pretty fed up.
Copy !req
362. I don't know how she got the idea
I didn't wanna get married.
Copy !req
363. - You kept putting it off.
- That didn't mean I didn't want to.
Copy !req
364. - I know.
- I don't. You wanna be with her, do it.
Copy !req
365. Yeah, you're right.
Copy !req
366. I woke up this morning
and it was like I was dying.
Copy !req
367. I couldn't breathe.
You ever get that?
Copy !req
368. - Yeah.
- I got so crazed.
Copy !req
369. I tried to get the license.
I drove to the church.
Copy !req
370. I tried to drag the priest over here
to marry us right now.
Copy !req
371. - If she'll have me.
- What happened?
Copy !req
372. They were all at a CPR class.
Copy !req
373. We do have a chaplain here
in the hospital, if you're serious.
Copy !req
374. - Oh, yeah?
- He's in Trauma 1, giving last rites.
Copy !req
375. Boy, oh, boy, oh, boy. Look at that.
Copy !req
376. - Where's the cecum?
- Can't see through all the small bowel.
Copy !req
377. It's pretty blue in here.
Let's eviscerate.
Copy !req
378. You wanna take care
of that obstruction?
Copy !req
379. Sure. Metz. Retractor.
Copy !req
380. - Look different from a healthy gut?
- I'll say.
Copy !req
381. Visualize the transduodenal
and peritoneal bands...
Copy !req
382. attached to the cecum
and the ascending colon.
Copy !req
383. - I am.
- I'm putting traction on this mass...
Copy !req
384. twisting it counterclockwise.
It's pretty tangled.
Copy !req
385. - Like a drawer full of socks.
- I'll have to remember that one.
Copy !req
386. Okay, it's pinking up.
I don't think we have dead bowel.
Copy !req
387. - Do you have it?
- Yeah...
Copy !req
388. - Everything's turned around in here.
- Tell me if you need me.
Copy !req
389. You better take it.
Copy !req
390. Okay, retract the intestine. Metz.
Copy !req
391. Pick up.
Copy !req
392. The baby's name is Ahmed,
the mother's name is Gloria.
Copy !req
393. I don't know what she looks like.
Copy !req
394. - He doesn't remember the mother.
- He took the blood without consent.
Copy !req
395. - I didn't hear that.
- Great, Doug.
Copy !req
396. I know that all of your residents
are single moms. If you-
Copy !req
397. Okay, Sister, maybe I will.
Thank you. Thank you.
Copy !req
398. - Don't ask.
- Don't worry, I won't.
Copy !req
399. - Has anybody seen Mr. Ceebar?
- Mr. Ceebar. A brittle diabetic?
Copy !req
400. Yeah. Psych is here,
but he's flown the coop.
Copy !req
401. All he needs is five minutes of TLC
and a cup of hot tea.
Copy !req
402. Well, he's gone now.
Copy !req
403. Hey, look at that.
Copy !req
404. - Think he'll talk her into it?
- Shouldn't be too hard.
Copy !req
405. - It's what she wants.
- Talk her into what?
Copy !req
406. Living happily ever after.
Copy !req
407. - Sorry I couldn't step up.
- At least you knew you weren't ready.
Copy !req
408. The malrotation was more disorienting
than I expected.
Copy !req
409. Ninety percent of correcting a congenital
anomaly is knowing your embryology.
Copy !req
410. - Yeah, and I reviewed that.
- Then you had 90 percent of the job aced.
Copy !req
411. - What was the other 10 percent?
- Being able to stand there...
Copy !req
412. and let the confused anatomy
start to make its own sense.
Copy !req
413. - How?
- By letting it happen.
Copy !req
414. Abnormalities in neonates
can be overwhelming...
Copy !req
415. if you try to break it down into parts.
Copy !req
416. Aristotle would have made
a lousy pediatric surgeon.
Copy !req
417. Sorry to interrupt. They're calling
us from the ER. They need us.
Copy !req
418. - What is it?
- A wedding.
Copy !req
419. Oh, my God! It wasn't a joke.
Copy !req
420. - Is this crazy?
- Yeah. This is crazy.
Copy !req
421. Good thing you had
this old rag lying around.
Copy !req
422. Make it snappy.
They only gave me a 20-minute break.
Copy !req
423. - This veil is a little crushed.
- I'll go see if the coast is clear.
Copy !req
424. Hold still. I don't wanna stick you.
Copy !req
425. - How do we look?
- No traumas coming in.
Copy !req
426. - Let's go while the radio is quiet.
- Am I too late?
Copy !req
427. No. Right this way.
Bride's side or groom's?
Copy !req
428. - Okay. They're a little drippy.
- Yeah?
Copy !req
429. All right, everybody.
They're ready, okay?
Copy !req
430. Right over there.
That'd be good. Okay, ready?
Copy !req
431. Dearly beloved,
friends and colleagues...
Copy !req
432. we have come here today
as part of God's eternal plan...
Copy !req
433. and on the spur of the moment...
Copy !req
434. to this holy place of life
and death and healing...
Copy !req
435. to join Lydia Wright and Alfred...
Copy !req
436. - G- Grabarsky.
- Grabarsky.
Copy !req
437. Anybody get a stool
culture on Curtain-?
Copy !req
438. Oh, my God! I'm sorry.
Copy !req
439. It's okay. I'll go.
Copy !req
440. I did the rectal swab,
his chart's in Exam 1.
Copy !req
441. Best wishes, man.
Copy !req
442. Like all of us here,
they have chosen as their life's work...
Copy !req
443. to care for
and protect their community.
Copy !req
444. It's taxing and draining.
Copy !req
445. And at times, it's dangerous work.
Copy !req
446. Now Lydia and Alfred are choosing
to take on the care and protection...
Copy !req
447. for each other
and the love they-
Copy !req
448. Dr. Benton sends his apologies.
He was called into an emergency.
Copy !req
449. We join them today to witness and declare
the sacred union between two people...
Copy !req
450. Testicular torsion.
Copy !req
451. whose souls feed each other
with that love.
Copy !req
452. It's a love that sustains
all their outer efforts.
Copy !req
453. A love that is rare
and that should be treasured.
Copy !req
454. - A love that at times will burn brightly...
- I need a hand here!
Copy !req
455. and yet at other times,
it will flicker.
Copy !req
456. And now the vows.
Copy !req
457. Do you, Lydia, take Alfred...
Copy !req
458. to love and cherish from this day
forward till death do you part?
Copy !req
459. - I do.
- And do you, Alfred, take Lydia...
Copy !req
460. to love and cherish from this day
forward till death do you part?
Copy !req
461. I do.
Copy !req
462. I now pronounce you husband and wife.
Copy !req
463. You may kiss your bride.
Copy !req
464. Then he just handed you
the divorce papers?
Copy !req
465. - Yeah. It wasn't like him.
- What do you mean?
Copy !req
466. It's the most unselfish thing
he's ever done.
Copy !req
467. - She's throwing the bouquet.
- Come on. Come on.
Copy !req
468. No pushing, now. Come on.
Copy !req
469. - Hey, Carol. It's bouquet time.
- No, thank you.
Copy !req
470. Should we do the goodbye for
Susan now, while everyone's here?
Copy !req
471. No. We'll do it in an hour or so.
Copy !req
472. - Did you see those two?
- You see them during the ceremony?
Copy !req
473. It's pathetic.
I figured those two'd make a go of it.
Copy !req
474. Best friends. What more do you want?
Copy !req
475. It's not what I want.
It's what Mark wants.
Copy !req
476. Things happen
or don't happen for a reason.
Copy !req
477. - Why is she leaving?
- She doesn't have a life here.
Copy !req
478. And one, two, three!
Copy !req
479. Oh, my God!
Copy !req
480. - Oh, yeah, Susan!
- Yeah!
Copy !req
481. Congratulations!
Copy !req
482. - You're next.
- Yeah, funny.
Copy !req
483. - That was kind of great, huh?
- Yeah. They seem happy.
Copy !req
484. Hey, Mark...
Copy !req
485. - ... I've proved I'm no good at goodbyes.
- Yeah, me neither.
Copy !req
486. - I'm sorry I snapped at you earlier.
- I just don't wanna go...
Copy !req
487. unless I know
we'll always be friends.
Copy !req
488. We will.
Copy !req
489. - You ready for me?
- Come on in. Almost there.
Copy !req
490. Why don't you shut the door.
Copy !req
491. So about your literature review.
Copy !req
492. It's very complete.
I have a few quibbles about emphasis.
Copy !req
493. I'm not sure that Ladd warrants
an entire paragraph.
Copy !req
494. - Probably not.
- But you have a very nice style.
Copy !req
495. - Easy to read, not a lot of jargon.
- Thank you.
Copy !req
496. I would ask you to co-author,
if you weren't first-year.
Copy !req
497. We need to be careful and not draw
a lot of attention, considering...
Copy !req
498. - Considering us?
- Yes.
Copy !req
499. And what happened last Thursday
and Saturday afternoon and evening?
Copy !req
500. - Yes. And Tuesday before rounds.
- We can talk about that.
Copy !req
501. The only thing that we need to keep
straight is that this is separate.
Copy !req
502. - Completely separate.
- Yes, from my work.
Copy !req
503. I mean, it shouldn't matter.
I am not your boss.
Copy !req
504. - No. You're my boss' boss.
- Did you lock the door?
Copy !req
505. Just so we both understand
that this is strictly personal.
Copy !req
506. It has nothing to do with work.
Oh, I love that.
Copy !req
507. There are so many things
I'm not gonna miss about this place.
Copy !req
508. Aftercare documentation
is one of them.
Copy !req
509. I can't tell you how many hours
I've spent doing this.
Copy !req
510. - You're the only one who ever bothers.
- You kidding me?
Copy !req
511. Yeah.
Copy !req
512. - She's gonna leave at 2:00.
- Are they setting up?
Copy !req
513. In the lounge.
Copy !req
514. Hey, Mark,
I got a call from the DA today...
Copy !req
515. about a drunk woman
who came in in labor.
Copy !req
516. They're charging her
for attempted murder.
Copy !req
517. - Social Services really jumped on that one.
- No, they're acting on a call from us.
Copy !req
518. So you've seen that
crayon-in-the-nose trick before?
Copy !req
519. Dr. Ross, I've got that address,
Sisters of Mercy.
Copy !req
520. Yeah. We can handle it together.
Copy !req
521. Dr. Doyle, did you make a call
to the 32nd Precinct today?
Copy !req
522. Yeah, I got a cousin there.
Copy !req
523. She wanted to kill her baby.
I was a witness.
Copy !req
524. We get a lot of women here
with alcohol and drug problems.
Copy !req
525. - We let Social Services handle it.
- It can fall through the cracks.
Copy !req
526. More to the point, initiating
criminal investigation wasn't your job.
Copy !req
527. Protecting the health of the baby.
Is that my job?
Copy !req
528. We won't improve
prenatal care for high-risk infants...
Copy !req
529. - ... if we scare off the mothers.
- How about this?
Copy !req
530. If I get to testify against the bitch,
I'll do it on my own time.
Copy !req
531. Oh, I think we're gonna like her.
Copy !req
532. Randi, could you
try and find me some aspirin?
Copy !req
533. It doesn't work for us. We never had
floats in and out of the department.
Copy !req
534. - Budgets are tight, Carol.
- Yeah, well, we're all aware of that.
Copy !req
535. Look, the hospital values its RNs.
Copy !req
536. Registered nurses
are the best-trained...
Copy !req
537. and most versatile part
of the nursing staff.
Copy !req
538. - Thank you.
- We are also the most expensive part...
Copy !req
539. of that staff.
County has got to figure out ways...
Copy !req
540. to utilize RNs more effectively.
Copy !req
541. - Well, at least have the floats make sense.
- Go on.
Copy !req
542. ER and ICU have
more skills in common...
Copy !req
543. than ward nurses, Recovery or Neuro.
Copy !req
544. That's a very good point, Carol.
Copy !req
545. That is precisely why
I keep trying to get you managers...
Copy !req
546. who are in the trenches,
more active on the committees.
Copy !req
547. - We need your perspective.
- Mary, I'm swamped.
Copy !req
548. Okay, how about a deal?
Copy !req
549. I confine ER floats to ICU,
per your suggestion.
Copy !req
550. In exchange, you sit on the hospital-wide
re-engineering committee.
Copy !req
551. We only meet once a month.
Copy !req
552. I stalled her with one last patient.
Copy !req
553. Better be a good one.
She was out the door.
Copy !req
554. Mr. Frick will keep her busy
for a while.
Copy !req
555. - You got any tape?
- Yeah. Is Mark coming?
Copy !req
556. - I beeped him twice.
- Sorry, folks. We got an MVA coming in.
Copy !req
557. Kindergarten carpool
versus joy-riding teen.
Copy !req
558. - Could be as many as eight victims.
- There goes the party.
Copy !req
559. - What's the ETA?
- They are pulling up now.
Copy !req
560. Let's go. Come on.
Copy !req
561. That's me.
Runner-up for Mr. Universe.
Copy !req
562. Call me a fool, doc,
but I'm betting on a comeback.
Copy !req
563. Haven't changed a lick since 1947.
Copy !req
564. Well, I'm afraid you may have lost
a little too much weight recently.
Copy !req
565. I'm in training. Midwestern finals.
Copy !req
566. American bodybuilders. 70 and older.
Copy !req
567. Gotta take care of this damn sciatica.
Copy !req
568. - Oh, man. That smarts.
- Why don't you take a seat again.
Copy !req
569. - Do you know how this injury happened?
- My B-12 shot. Must have hit a nerve.
Copy !req
570. - You're injecting vitamins?
- Don't worry, I stay clear of the steroids.
Copy !req
571. That's good. Scoot back.
Copy !req
572. Press against my hands.
Yeah, good.
Copy !req
573. - Any other complaints?
- Nope. Best I've looked in 10 years.
Copy !req
574. - When's the competition?
- Mid-March. I'll be 74 by then.
Copy !req
575. - And ready for a comeback.
- You think?
Copy !req
576. Yeah. Plenty of bed rest,
anti-inflammatories and start back slowly.
Copy !req
577. - Thanks, doc.
- Okay.
Copy !req
578. - Fractured tib-fib.
- Honey, you're gonna be fine.
Copy !req
579. Order a portable C-spine
and left tib-fib.
Copy !req
580. Come with me this way.
I'll find you a place to sit.
Copy !req
581. - My mom and dad are gonna kill me.
- I'll tell them it was my fault.
Copy !req
582. - Signing out, Randi.
- Thanks, Dr. Lewis. Good luck in Phoenix.
Copy !req
583. No. This is the ER again.
We need a neurosurgeon now!
Copy !req
584. Get him to the Suture Room.
Set me up with some 4-0 nylon.
Copy !req
585. Wait! Wait!
Copy !req
586. You have a ruptured spleen.
You need immediate surgery.
Copy !req
587. But it's my carpool.
All the parents need to be called.
Copy !req
588. Randi, come here
and take these numbers down, okay?
Copy !req
589. - I told you not to let him drive.
- He told me he knew how.
Copy !req
590. - We were just goofing around.
- Hush! Hold still.
Copy !req
591. Complains of chest pains,
shortness of breath.
Copy !req
592. Diminished breath sounds on the left.
Get me a chest-tube tray.
Copy !req
593. We need an abdominal CT
for the kid in Trauma 1.
Copy !req
594. - BP's coming down. 190/130.
- Poor cap refill. Pulse ox, 90.
Copy !req
595. Type and cross two units.
Get some O-neg on the rapid infuser.
Copy !req
596. - X-ray's coming for the C-spine.
- Anybody need any help?
Copy !req
597. Susan, what are you still doing here?
Copy !req
598. You're gonna miss your train.
Get an x-ray.
Copy !req
599. - Call us.
- Get some O-negative too.
Copy !req
600. BP's 200/140.
Left pupil's sluggish.
Copy !req
601. Dusky, you wanna intubate?
All right, you do it.
Copy !req
602. 7.0 ET tube.
Copy !req
603. Possible subdural hematoma.
Copy !req
604. Mannitol, 90 grams IV.
Let's hyperventilate him. All right?
Copy !req
605. - Here you go.
- Okay.
Copy !req
606. Use suction if you need it.
Copy !req
607. Take your time.
He's breathing on his own.
Copy !req
608. She didn't even leave a note.
Copy !req
609. She was saying goodbye
to everyone all day.
Copy !req
610. - One of those kids crashed in Radiology.
- Which one?
Copy !req
611. - The fractured tib-fib.
- How did it happen?
Copy !req
612. If it's okay, I'd love
to get out of here by 7.
Copy !req
613. - You working on that literature review?
- No, actually, I got a date.
Copy !req
614. Don't procrastinate and keep Keaton
waiting. It reflects poorly on me.
Copy !req
615. - She's a hard one to get, isn't she?
- How do you figure?
Copy !req
616. She's a great surgeon,
but she's not much of a teacher.
Copy !req
617. - You don't think so?
- Come on. All that psychobabble?
Copy !req
618. - Her explanations can be eccentric.
- She doesn't say what she wants.
Copy !req
619. Sometimes she does.
Copy !req
620. But then again, I haven't been working
with her like you have.
Copy !req
621. - Carter, she's soft.
- She can be.
Copy !req
622. She doesn't act like a surgeon.
Copy !req
623. Well, it is difficult to learn from someone
who teaches by intuition.
Copy !req
624. Which I appreciate
about your teaching.
Copy !req
625. Excuse me, Carter. Carla?
Copy !req
626. There you are.
I've been here for half an hour.
Copy !req
627. Why?
Copy !req
628. - Kingston Mines. Dinner?
- That's tomorrow night.
Copy !req
629. - No, that is tonight.
- Anything you need?
Copy !req
630. No, Carter. Oh, I'm sorry.
Carla, this is Dr. Carter.
Copy !req
631. - Carter, this is Carla Reece.
- Pleased to meet you.
Copy !req
632. I'm sorry.
I'm on till midnight tonight.
Copy !req
633. So this is where you work until midnight.
Copy !req
634. - I'll walk you to your car.
- You've never been here?
Copy !req
635. - No, I haven't.
- Should give you a tour.
Copy !req
636. - No. She's got plans.
- Not anymore. I've been stood up.
Copy !req
637. Well, if Trauma 1 is open,
we could start there.
Copy !req
638. Really? Just don't show me
anything bloody.
Copy !req
639. No, no. What do you do, Carla?
Copy !req
640. I have this Caribbean restaurant
on Western.
Copy !req
641. No kidding?
Copy !req
642. My family used to sail
to the islands every spring.
Copy !req
643. Half day, Dr. Ross?
Copy !req
644. I was immunizing when you
were hitting the snooze button.
Copy !req
645. I'm upset because I don't understand
how you could send a surgical-
Copy !req
646. I asked if I should send him
for a CT. You said, "Go ahead. "
Copy !req
647. - I assumed he was stable.
- No, I asked for your call.
Copy !req
648. You weren't listening.
You were distracted.
Copy !req
649. You were looking for Susan,
worried that she'd left. I understand.
Copy !req
650. But don't yell at me now.
Copy !req
651. Hey, Mark? Grab your coat. Let's go talk.
Copy !req
652. - Admin actually listened?
- So no more floating?
Copy !req
653. You laid down the law.
Copy !req
654. They won't be sending any of you
to Neuro or the wards anymore.
Copy !req
655. They're gonna limit our floats to ICU.
Copy !req
656. - How is that any better?
- Similar nursing skills.
Copy !req
657. We have to get it in our contract.
Copy !req
658. - Only way they'll respect us.
- Honey, they'll never respect us.
Copy !req
659. Dr. Weaver is wondering
where all the nurses are.
Copy !req
660. I don't think it's so bad floating to ICU.
Copy !req
661. - I'm not going.
- They won't send you.
Copy !req
662. You're not close enough
to your 20 years.
Copy !req
663. I know it's a compromise,
but it's better than what was happening.
Copy !req
664. Careful, Carol, you sound
an awful lot like management.
Copy !req
665. - I didn't even say goodbye.
- That's not what you need to tell her.
Copy !req
666. - It's too late now.
- When does her train leave?
Copy !req
667. 4:20.
Copy !req
668. It's less than an hour.
They're usually late.
Copy !req
669. - Probably had to go home to get luggage.
- I'm on till 11.
Copy !req
670. - I should just go?
- You could.
Copy !req
671. No, no. It's impossible. She's getting
on a train. She's made up her mind.
Copy !req
672. It may be, but that's not the point.
Copy !req
673. - So, what would I say now?
- Say what you've wanted to say for years.
Copy !req
674. You'd tell her how you feel.
Copy !req
675. Or you can let her go without a word
and regret it for the rest of your life...
Copy !req
676. and make yourself and everybody
else around you miserable...
Copy !req
677. like you have today.
Copy !req
678. You're right.
Copy !req
679. - Wait. Can you tell Kerry-?
- Yeah, go, go, go!
Copy !req
680. This is great. Oh, my goodness!
Copy !req
681. - Is this where you operate on them?
- No, no. We just stabilize them here.
Copy !req
682. - Then we send them upstairs to the O.R.
- Speaking of upstairs.
Copy !req
683. - Nice meeting you, Carla.
- Yes, thank you for showing me around.
Copy !req
684. - What's in here?
- It's just the Suture Room.
Copy !req
685. Oh, really? What goes on in here?
Copy !req
686. We just take patients
down here if we need to-
Copy !req
687. You're gonna mess up
my reputation around here.
Copy !req
688. I've been wanting to do that
since I came into this place.
Copy !req
689. - Oh, yeah?
- Yeah.
Copy !req
690. Well, I'm sorry I gotta work late.
Copy !req
691. Well, there's late and...
Copy !req
692. there's later.
Copy !req
693. Taxi!
Copy !req
694. Pull up.
Copy !req
695. Susan?
Copy !req
696. - Susan, are you here?
- Dr. Greene. You just missed her.
Copy !req
697. - She left you a note.
- Where?
Copy !req
698. On the mantel.
Copy !req
699. - Is that clock right, Sister?
- Oh, yes.
Copy !req
700. I must be slow. I got a friend
trying to catch a train.
Copy !req
701. Sister Anne, try to get them to share.
Copy !req
702. Sorry, we haven't had a Lopez all month.
Copy !req
703. - It's a mother and an infant.
- Yes, I know, doctor. I'm sorry.
Copy !req
704. You could leave a note on the board.
Copy !req
705. Go! Go! Go, man!
Copy !req
706. Southwest train.
Copy !req
707. Track 10.
Copy !req
708. Looking for the chief, sir?
She got moved. Track 6.
Copy !req
709. Susan!
Copy !req
710. Susan!
Copy !req
711. Susan!
Copy !req
712. Susan! Susan!
Copy !req
713. - All aboard!
- Susan!
Copy !req
714. Mark. Are you okay?
Copy !req
715. - You came to say goodbye?
- No. Stay.
Copy !req
716. I want you to stay.
Copy !req
717. - But, Mark-
- I love you.
Copy !req
718. And I'm stupid
for not saying it before.
Copy !req
719. No. It's okay. I knew.
Copy !req
720. - In a way, I knew.
- All aboard!
Copy !req
721. Stay. We belong together.
Copy !req
722. Tell me you don't feel the same.
Copy !req
723. I'm sorry.
Copy !req
724. Train's leaving, ma'am.
Copy !req
725. - We're right together.
- Mark...
Copy !req
726. you are my best friend. I don't
know how I'll make it without you.
Copy !req
727. - Don't go.
- I have to.
Copy !req
728. I don't belong here anymore. I have a new
life. It's going in a different direction.
Copy !req
729. Susan, I don't wanna lose you.
Copy !req
730. - Ma'am, we're leaving.
- I'll never forget you.
Copy !req
731. - I do love you.
- What?
Copy !req
732. I love you!
Copy !req
733. Bye.
Copy !req