1. ERCopy !req
2. Previously on ER:Copy !req
3. - Thanks for covering.
- If you don't know, ask.Copy !req
4. Are you telling me that the EMS
Medical Director is a real person?Copy !req
5. Yeah, he's an ER doc.Copy !req
6. I thought it was a name
on top of memos.Copy !req
7. Not when I do it.Copy !req
8. - You're a Pediatric Emergency Fellow?
- One under the boss.Copy !req
9. You're thinking of starting over?Copy !req
10. It's a means to what I want,
which is to stay here.Copy !req
11. I'm an ER doc, just like you.Copy !req
12. Not like me. You acted without
the consent of your colleagues.Copy !req
13. Reece can't hear talking or the phone.
It's a severe-to-profound loss.Copy !req
14. "They Treat Horses, Don't They?"Copy !req
15. Excuse me. You gonna be long?Copy !req
16. No, almost done. Just a minute.Copy !req
17. - Why start with the copy room?
- Got a work order.Copy !req
18. Well, other rooms in the ER...Copy !req
19. need paint more than this one.Copy !req
20. Lady, I just do
what they tell me to do.Copy !req
21. So how was your skating party?
Did you have fun?Copy !req
22. Yeah.Copy !req
23. Mostly kids from your soccer camp?Copy !req
24. Some.Copy !req
25. Juliet?Copy !req
26. It's Julianne. She wasn't there.Copy !req
27. So who was there?Copy !req
28. Just kids.Copy !req
29. Hello?Copy !req
30. Oh, hi, Mom. I just knew it was you.Copy !req
31. Yeah.Copy !req
32. Oh, no. I had a great time.Copy !req
33. Oh, you'll never guess who was there.Copy !req
34. Well, Stephanie, she had this
sort of yellow sweater.Copy !req
35. Remember that time I went
to the mall with you...Copy !req
36. and I saw that orange sweater
that really matched my blue skirt?Copy !req
37. Well, this one looks even better.Copy !req
38. Interim?Copy !req
39. Yes.Copy !req
40. Well, has there been any change
in my responsibilities?Copy !req
41. No, it's just around the table...Copy !req
42. we felt that "interim"
was a more accurate term.Copy !req
43. So you're the Interim Chief, Kerry.Copy !req
44. Fine.Copy !req
45. But, Don, it has been over 90 days
since Dr. Morgenstern resigned.Copy !req
46. Then policy dictates
that a permanent chief be named.Copy !req
47. It's all in the process.
We've put out feelers.Copy !req
48. Thus far we have
four outstanding candidates.Copy !req
49. We're forming a committee.Copy !req
50. So four candidates, including me?Copy !req
51. Actually, you make it five.Copy !req
52. Just one more thing.Copy !req
53. You know, I did a performance
review of Doug Ross.Copy !req
54. You gave me an evaluation
of the ultra-rapid detox.Copy !req
55. Yeah. This is an overall
evaluation of his work.Copy !req
56. It'll help in deciding whether he
should be made an ER Pedes Attending.Copy !req
57. I'll pass it along.Copy !req
58. Thank you.Copy !req
59. Dr. Carter?Copy !req
60. Ethan Luitly, remember?Copy !req
61. The guy next door plays Pumpkins
so loud I can't study.Copy !req
62. He told me he'd stop.Copy !req
63. - It's okay now but I'm sensitive-
- I'm late. Can we talk later?Copy !req
64. - Oh, God! Log jam.
- Dude! It's flooding my stall!Copy !req
65. Not again!Copy !req
66. All right, I'll fix it.Copy !req
67. Come out. I'll fix it.Copy !req
68. Shut off the water
before it floods the hall.Copy !req
69. - Lift the lid.
- I've done this before.Copy !req
70. - Just pull the chain.
- Maintenance uses the shut-off valve!Copy !req
71. Randi, have you seen my student?Copy !req
72. She was just looking for you.Copy !req
73. - What?
- You're looking mythical.Copy !req
74. Carter, Curtain 4, LOL,
weak and dizzy.Copy !req
75. Hey, Mark? What does...?Copy !req
76. What does "interim" mean to you?Copy !req
77. "In-between. "Copy !req
78. Do you think that's
a stronger word than "acting"?Copy !req
79. Your new title?
I liked "acting" better.Copy !req
80. They're forming a review committee.Copy !req
81. - Anspaugh told me.
- He asked me to be on it.Copy !req
82. - Do you think that's a good idea?
- Why not? I can be impartial.Copy !req
83. But my hat's in the ring
and we work together.Copy !req
84. I'd hate for there to be
any suggestion of favoritism.Copy !req
85. - You don't think I should?
- Well, I just want to be fair.Copy !req
86. No problem. I'll pass.Copy !req
87. Hey, want to sneak away for lunch?
Rosebud. On me?Copy !req
88. - What's the occasion?
- Just to talk.Copy !req
89. - About what?
- Over lunch.Copy !req
90. - Okay, sure.
- Good.Copy !req
91. - Hi. Is Carol around?
- Yeah. She's just-Copy !req
92. - Hey, you're back.
- Yeah. I am reborn.Copy !req
93. - Oh, God, you look great!
- Thanks.Copy !req
94. - Where did you go again?
- The Laurentian Wilderness.Copy !req
95. I'd stay away from anyplace
with "wilderness" in its name.Copy !req
96. It was great.
I was in the music camp.Copy !req
97. We jammed all night long, every night.Copy !req
98. Rock, salsa, gospel, whatever.Copy !req
99. That kind of "wild" I can get with!Copy !req
100. Jeanie, this is Lynette,
our own nurse practitioner.Copy !req
101. Welcome. I'm not on until noon, guys.Copy !req
102. I'm doing paperwork,
so tell me if you need help.Copy !req
103. Volunteering? You did just come
straight from the wilderness.Copy !req
104. Well, here you go.Copy !req
105. How about John Esmond?Copy !req
106. Seven years old, losing weight,
no insurance, Curtain 2.Copy !req
107. - Sure.
- Thank you.Copy !req
108. - It's 8:30 already!
- Hello.Copy !req
109. You know how long we waited?Copy !req
110. Sorry about that.
Hey, John. My name is Jeanie.Copy !req
111. I'm putting this thermometer under
your arm. Hold it there for me.Copy !req
112. Has he complained
of cramps or diarrhea?Copy !req
113. No. But look what he threw up.Copy !req
114. - What are those?
- Roundworms.Copy !req
115. - Worms?
- Yeah.Copy !req
116. - How's everything going?
- Well, you know, back to civilization.Copy !req
117. My findings are nearly identical
to the audiologist's.Copy !req
118. With the results of both tests
being so close...Copy !req
119. I'd say this is reliable data.Copy !req
120. I've done research
on cochlear implants.Copy !req
121. How they've restored
hearing to the deaf.Copy !req
122. But implant surgery requires
destruction of residual hearing.Copy !req
123. But what difference does it make
if the surgery will allow him to hear?Copy !req
124. Given the FDA criteria,
he's not a candidate at this time.Copy !req
125. Your son can be helped by less
invasive methods. Hearing aids.Copy !req
126. - The new digital hearing aid.
- Paired with intensive speech therapy.Copy !req
127. What about sign language?Copy !req
128. Why limit him to signing when
we can teach him to hear and speak?Copy !req
129. Okay.Copy !req
130. So, what do we do to get
this digital hearing aid?Copy !req
131. So they do this thing with scallops
and a white wine sauce-Copy !req
132. - What is this lunch about?
- All in good time.Copy !req
133. Just tell me. You can't keep secrets.Copy !req
134. - I'm in control. It's a new me.
- Really?Copy !req
135. Could the "new you" see a kid?Copy !req
136. - He's got a parasite infection.
- I have 10 minutes. I have paperwork.Copy !req
137. Is it bad?Copy !req
138. It might kill your interest
in the scallops.Copy !req
139. Yeah, found these in the copy machine.Copy !req
140. Hey, throw that in Dr. Ross' box.Copy !req
141. Dr. Carter, do you remember me?
Roxanne?Copy !req
142. I spoke to you
at Jerry's surprise party.Copy !req
143. - You were selling disability insurance.
- Right.Copy !req
144. I'm "more likely
to be maimed than killed"?Copy !req
145. Sorry, I didn't mean to pressure you.Copy !req
146. I'm here to sign up
one of your nurses.Copy !req
147. But my toe is still a little sore.
The one I dropped the weight on.Copy !req
148. - Would you mind taking a look?
- Sure. Hop up here.Copy !req
149. Did I tell you I'm also
selling mutual funds now?Copy !req
150. I just started.
Such an exciting arena.Copy !req
151. - A little tender right there.
- Sorry.Copy !req
152. Selling straight funds
or variable annuities?Copy !req
153. You know about annuities?Copy !req
154. Once your Keogh's maxed out, you need
a vehicle for tax-deferred income.Copy !req
155. But most people can't lock up
their money until retirement.Copy !req
156. That's where muni bonds come in.Copy !req
157. Well, this is healing.
It'll just take a little more time.Copy !req
158. Avoid stomping your feet.
You'll be fine.Copy !req
159. - No slam dancing to the Beastie Boys?
- Slow dancing.Copy !req
160. Whatever you say, Dr. Carter.Copy !req
161. Thank you.Copy !req
162. This is rather nostalgic.Copy !req
163. My last day as a Surgical Fellow.Copy !req
164. At least it's a beginning
of something rather substantial.Copy !req
165. A gastroplasty
on a 400-pound gentleman.Copy !req
166. Did I make the wrong choice?Copy !req
167. It's not for me to say.Copy !req
168. Still, I wouldn't mind
hearing your opinion.Copy !req
169. Is there some ominous portent
in that long pause?Copy !req
170. I just can't imagine
being an intern again.Copy !req
171. I'm determined not to whine about it.Copy !req
172. And I feel very good
about not leaving the hospital.Copy !req
173. You might as well take a coffee break.Copy !req
174. Our patient just expired in the SICU.Copy !req
175. - What's this?
- Rodney MacMullen, 48.Copy !req
176. - Oh, God!
- Carving knife versus forehead.Copy !req
177. Good vitals, no visual complaints
but drunk and combative.Copy !req
178. Lucy, come on!Copy !req
179. Damn beans! You give them work,
they don't care! Son of a bitch!Copy !req
180. All right, everybody.Copy !req
181. Be nice and gentle.Copy !req
182. On my count:Copy !req
183. One, two, three.Copy !req
184. Pancho must die.
I'll blow his brains out.Copy !req
185. - Hold him down.
- I got his legs. Lucy, get his arm!Copy !req
186. I'll get restraints!Copy !req
187. CBC, Chem-7, PT, PTT,
type and cross for two units.Copy !req
188. Pupils equal, react to light.Copy !req
189. - Sir, hold still.
- Let me get up.Copy !req
190. - How do I tie him?
- Tie his wrist to the frame.Copy !req
191. - Gram of Ancef?
- Do you have any allergies?Copy !req
192. - Just let me up!
- Go with the Ancef.Copy !req
193. Carol, can you hold his head?Copy !req
194. I want to look in the mouth.
Sir, open your mouth.Copy !req
195. - He's tied!
- Okay, Lucy, take a look.Copy !req
196. The blade's in the oropharynx
and penetrated the frontal sinuses.Copy !req
197. - Missed the eyes completely.
- Son of a bitch!Copy !req
198. Lucy!Copy !req
199. Lucy, you tied him to the rail,
not the frame. You don't listen.Copy !req
200. Hey, hey! Don't spit!Copy !req
201. Carol, give him five Haldol, I.M.
Sir, don't spit.Copy !req
202. Put this on.Copy !req
203. Not you, Lucy! Him!Copy !req
204. - Dana, this is Dr. Ross.
- Hi.Copy !req
205. Hey, Dana. How are you feeling?Copy !req
206. I'm okay.Copy !req
207. Any more pain?Copy !req
208. It's still there a bit
but I don't mind.Copy !req
209. All right. Let's take a look
at the damage here.Copy !req
210. Now, how exactly did this happen?Copy !req
211. I moved up for the goal
and had a side kick right in the net.Copy !req
212. And as soon as my foot
touched the ball...Copy !req
213. I heard a crack.Copy !req
214. Then I went to take a step...Copy !req
215. and it just gave out
and started hurting.Copy !req
216. Did you collide with anybody?
Anybody fall on top of you?Copy !req
217. - No.
- Anybody kick you in the shin?Copy !req
218. No. All I did was kick the ball.Copy !req
219. - What's wrong?
- It's a severe break.Copy !req
220. I want to understand how it happened.Copy !req
221. We're gonna get you
some more pain medication.Copy !req
222. And we're gonna run some tests.
All right?Copy !req
223. - Okay.
- Okay.Copy !req
224. Did you see that?Copy !req
225. The bone looked like
it exploded from the inside.Copy !req
226. - I want a CT -guided needle biopsy.
- Tumor?Copy !req
227. Remotely possible it's an infection.
The parents?Copy !req
228. One of the soccer moms
is calling them.Copy !req
229. We need their consent for the biopsy.Copy !req
230. You have a call on 35.Copy !req
231. A Mr. Davidson from some
insurance company calling you back.Copy !req
232. What is this?Copy !req
233. - They found it in the copy room.
- It's not mine.Copy !req
234. - It has your name on it.
- Thanks.Copy !req
235. He has the same coverage I have.Copy !req
236. No insurance covers it?Copy !req
237. So if I needed them,
you wouldn't buy them?Copy !req
238. Well, that's not acceptable.
Listen...Copy !req
239. Can I speak
to your superior, please?Copy !req
240. Fine! Fine! I'll call him back.Copy !req
241. Problem, Peter?Copy !req
242. Just bureaucracy. Drives you crazy.Copy !req
243. So I'm supposed to treat
this knife wound?Copy !req
244. It's not just a knife wound.
No hurry, I gave him five of Haldol.Copy !req
245. We got a hostage crisis and shootout.
They'll need a triage officer.Copy !req
246. They'd want someone more experienced.
I start tomorrow.Copy !req
247. - The rush is the best part.
- Maybe we'll see you on TV.Copy !req
248. - A shootout?
- Yeah, Wild West. How about it, doc?Copy !req
249. Tell Dr. Weaver that
I'm going on a run.Copy !req
250. 800, 850...Copy !req
251. $920.Copy !req
252. Malik, could I ask you a question?Copy !req
253. - Which do you think is the better vein?
- Let's see.Copy !req
254. - That's the one. Big and straight.
- Okay.Copy !req
255. Just slide it in.
He can't feel anything.Copy !req
256. It's going in.Copy !req
257. Got a flash. I'm advancing.Copy !req
258. Sapphire pinkie ring?
This man ain't got no class.Copy !req
259. Hooked up the line.Copy !req
260. Got the tape.Copy !req
261. How come it's not running in?Copy !req
262. It's infiltrated.Copy !req
263. - You went through the vein.
- No, I was really careful.Copy !req
264. You gotta be kind of
Zen with it, okay?Copy !req
265. Now, watch the master, okay?Copy !req
266. It's not about seeing.
It's not about feeling.Copy !req
267. It's about knowing.Copy !req
268. Malik, you got a phone call in Admit.Copy !req
269. - It's in.
- Okay.Copy !req
270. Now, finish it up.Copy !req
271. I'll take it out there.Copy !req
272. - Okay?
- Yep.Copy !req
273. Now, keep an eye on this guy too.Copy !req
274. When you finish, there's a
head lac to irrigate in Curtain 2.Copy !req
275. Wow!Copy !req
276. Oh, the knife tip is posterior
to the uvula and the oropharynx.Copy !req
277. So everything under control in here?Copy !req
278. It's fine.Copy !req
279. I asked Malik for some help
with the IV.Copy !req
280. Good. Use the nurses.Copy !req
281. That's an important lesson.Copy !req
282. We exchanged gunfire.
The assailant is down.Copy !req
283. - Bomb squad's checking him.
- Bomb squad?Copy !req
284. He took four employees hostage
with explosives.Copy !req
285. - What's his problem?
- He works here.Copy !req
286. Guess he didn't like it.Copy !req
287. The docs are here. How's he doing?Copy !req
288. The guy's covered in dynamite.
Got chicken wire all over his body.Copy !req
289. Lots of blood coming out of his neck.Copy !req
290. - How long's he been down?
- Ten minutes.Copy !req
291. - Can we get in?
- When we clear the explosives.Copy !req
292. Clark, can I send a doc in there?Copy !req
293. Well, I've cut the main fuse.
But it's not safe without a 7B suit.Copy !req
294. - What's that?
- A bomb suit.Copy !req
295. - Put me in that thing.
- Wait a minute.Copy !req
296. If anyone goes, it should be you.
You' re the doctor.Copy !req
297. I'm not pressuring you.
If he dies, it wouldn't ruin my day.Copy !req
298. But it just looks bad
on the evening news.Copy !req
299. Sure. I'll go in.Copy !req
300. Jeanie, hey.
That was Pathology about Dana.Copy !req
301. Full workup will take a while.
Looks like Ewing's sarcoma.Copy !req
302. - If you want to beg off-
- No, I want to help.Copy !req
303. Good.Copy !req
304. Female, 77, found unconscious
in her home.Copy !req
305. Her name is Emily Holmes. She says
she has very good health coverage.Copy !req
306. We found her with BP 90/60, pulse 120.Copy !req
307. Started a line.
She arrested en route.Copy !req
308. - History?
- No meds in the bathroom.Copy !req
309. Does she have any medical problems?Copy !req
310. I'm just her neighbor. She always
seemed all right. Just forgetful.Copy !req
311. Let's get her on a monitor,
7.5 ET tube.Copy !req
312. There were three newspapers at her
door, so I knew something was wrong.Copy !req
313. All right, I'm in.Copy !req
314. Bag her.Copy !req
315. Full compressions.Copy !req
316. - V-fib, no pulse.
- Charge, 200.Copy !req
317. Is she dead? What's happening?Copy !req
318. - Can I help?
- Everyone clear.Copy !req
319. Clear.Copy !req
320. Sinus tach.Copy !req
321. I got a pulse.
Why do you think she arrested?Copy !req
322. Could've had an Ml. Could be septic,
hypoxic, electrolyte imbalance.Copy !req
323. BP's 90 palp.Copy !req
324. Let's start her on dopamine.
Let's get a 12-lead.Copy !req
325. - She's not out of the woods yet.
- Does that mean she's gonna die?Copy !req
326. That's a possibility.
Do you know her family?Copy !req
327. I never saw anyone come to see her.Copy !req
328. I only ask because my sister's
on a waiting list...Copy !req
329. for an apartment in the building.Copy !req
330. I don't really understand why
a biopsy was done for a broken leg.Copy !req
331. The fracture didn't match what Dana
said had happened. It seemed unusual.Copy !req
332. - How?
- It may have been caused by a tumor.Copy !req
333. - A tumor?
- It weakened the bone.Copy !req
334. We have more tests...Copy !req
335. but the biopsy showed blue cells,
malignant cells.Copy !req
336. Are you saying she has cancer?Copy !req
337. Everything is still
in the diagnostic stage.Copy !req
338. You're not certain, then.Copy !req
339. The indication is that
there is a sarcoma.Copy !req
340. So you should speak
with an oncologist.Copy !req
341. Oh, no. I don't believe this.Copy !req
342. Oh, here she is.Copy !req
343. Hey, honey.Copy !req
344. How are you feeling?Copy !req
345. Did you hear how it happened?
It was so stupid.Copy !req
346. I'm sure you played a hard game.Copy !req
347. How much longer?Copy !req
348. With detonators,
all this damn wire...Copy !req
349. I hate amateurs.Copy !req
350. The wacko must have spent
hours wrapping this.Copy !req
351. Oh, God, his guts! His guts
are coming out under this stuff.Copy !req
352. Don't cut any more, okay?
That's small intestine.Copy !req
353. It's all wrapped up in the wire.Copy !req
354. His pulse is getting weaker.Copy !req
355. We gotta get him to the ER.
Is that black box a bomb?Copy !req
356. I got rid of the dynamite.Copy !req
357. Let's be safe and wrap it
in a ballistic blanket.Copy !req
358. If it blows,
no one gets hurt except Boris.Copy !req
359. Zadro, get the gurney down here now.Copy !req
360. We're moving him out.Copy !req
361. Dr. Olivas said that with these
digital hearing aids...Copy !req
362. he'll be able to understand
and talk as well as you and I.Copy !req
363. So he won't be deaf?Copy !req
364. His residual hearing
is something that we can work with.Copy !req
365. If he does the treatment...Copy !req
366. twice a week for an hour.
One of us has to be with him.Copy !req
367. - I can do that.
- Well, so can I.Copy !req
368. This treatment-
It's natural hearing input.Copy !req
369. The more we talk to him,
the better his speech will develop.Copy !req
370. You're gonna be okay, honey.
Hear that? You're gonna be okay.Copy !req
371. - Of course he is.
- Yeah.Copy !req
372. There is one thing, though.
This hearing aid is expensive...Copy !req
373. and my insurance won't cover it.Copy !req
374. Why won't they?Copy !req
375. If no one's covered,
neither are the elderly.Copy !req
376. Oh, that's so low.Copy !req
377. Yeah. I hate asking this...Copy !req
378. but it's $5000 and I've only got
$2700 in the bank. So I was...Copy !req
379. Peter, I said that we share everything
and I meant everything, okay?Copy !req
380. It means we share everything.
Don't worry about it.Copy !req
381. Just be happy that
something can be done.Copy !req
382. Okay?Copy !req
383. PH, 7.32.
PO-2, 345 on 100 percent.Copy !req
384. Good. Good.
Turn it down to 50 percent.Copy !req
385. - Check another gas in a half an hour.
- Okay.Copy !req
386. - Is this Emily Holmes?
- Yes.Copy !req
387. John Carter.Copy !req
388. She was found in her apartment.Copy !req
389. Margo Aikin. I authorize admissions
for Blue Beacon, her HMO.Copy !req
390. This lady's a DNR.Copy !req
391. She came in full arrest. She didn't
have any papers or any family.Copy !req
392. Let's step outside.Copy !req
393. I don't know what your plans are,
but I can't admit her.Copy !req
394. This patient's critical.Copy !req
395. Dr. Carter, I can't justify
an expenditure of $5000 a day...Copy !req
396. on a patient who should not be
alive, does not want to be alive.Copy !req
397. I wasn't gonna let her die.
That's not what we do here.Copy !req
398. Her choice was not to be resuscitated.Copy !req
399. It's in the HMO file.
That's the guideline I follow.Copy !req
400. She's on a vent.
You have to take her.Copy !req
401. No, I don't.Copy !req
402. You tubed her. You take her.Copy !req
403. Four units O-neg.Copy !req
404. - What's his airway?
- Intubated in the field.Copy !req
405. - Hey, what's going on?
- GSW. Bomb squad is coming with him.Copy !req
406. Bomb squad?Copy !req
407. This the guy with the dynamite?Copy !req
408. - Should be safe.
- "Should"?Copy !req
409. - Gunshot wound to neck and abdomen.
- BP was 100 palp.Copy !req
410. Very gently on my count:
one, two, three...Copy !req
411. Open this blanket nice and easy.Copy !req
412. Eviscerated bowel. CBC, chem panel,
coag, type and cross for four.Copy !req
413. - Gram of cefotetan.
- Pressure's down to 85 systolic.Copy !req
414. - I'll throw in a subclavian.
- You want O-neg?Copy !req
415. Yeah. Two units.Copy !req
416. Bowel's wrapped around
this chicken wire. What is this?Copy !req
417. May be a detonator.
I won't know till it's open.Copy !req
418. - Can it go off?
- If there's a blasting cap.Copy !req
419. Just don't mess with it.Copy !req
420. Jeanie, let's irrigate
with some saline.Copy !req
421. Let's get some sterile lap pads.
Come on. Oh, man!Copy !req
422. We'll resect this mess in the O.R.Copy !req
423. You're coming with us.Copy !req
424. Someone get some scrubs
for Officer Clark.Copy !req
425. - Okay, I'm in. Hook me up.
- Pulse ox 98.Copy !req
426. - Let me get this under there.
- Come on. Clean it out. Good.Copy !req
427. It's shorting!
You got about five seconds!Copy !req
428. Everybody out of here!
Out! Now! Let's go!Copy !req
429. 2000, 3000, 4000...Copy !req
430. All right! We've got
an open bowel in here!Copy !req
431. Let's move, people!
Let's get him up to the O.R.!Copy !req
432. - I got the line.
- O.R. 2 is ready.Copy !req
433. There you go.Copy !req
434. So this is shrimp?
And what's the red shredded stuff?Copy !req
435. That's Maui onions.Copy !req
436. - No pepperoni, cheese, tomatoes?
- It's gourmet.Copy !req
437. The bomber spoiled my gourmet lunch.
So the heroics give you an appetite?Copy !req
438. Oh, no. The running from
the Trauma Room gave me an appetite.Copy !req
439. - What is this lunch about?
- Yeah.Copy !req
440. All right. Okay. First a reading.Copy !req
441. "Performance Review, Dr. Douglas Ross,
by Kerry Weaver, M.D. "Copy !req
442. - Where did you get that?
- It was found in the copying machine.Copy !req
443. "Dr. Ross repeatedly demonstrates
a complete disregard...Copy !req
444. for policies and procedures.Copy !req
445. For example, in regard
to patient discharge-" Wait.Copy !req
446. Okay. "In spite of mandatory
counseling to correct a history...Copy !req
447. of disrupting workplace behavior...Copy !req
448. Dr. Ross exhibits ongoing problems
with impulse control. "Copy !req
449. That's right, Kerry. I'm a psycho.Copy !req
450. She could've given that
to the Pedes Review Committee.Copy !req
451. It's too late.
I brought you here...Copy !req
452. because I wanted you to toast
the new Pedes ER Attending: me.Copy !req
453. - Really?
- Yeah.Copy !req
454. A buddy on the committee
told me at 6 a. m.Copy !req
455. I'm approved.
They're telling Anspaugh right now.Copy !req
456. I am so proud of you.
I am so thrilled.Copy !req
457. Aren't you thrilled?Copy !req
458. He's got his doubts
a little bit, right?Copy !req
459. Whatever my doubts were,
in all honesty...Copy !req
460. I'm very happy for you.
Happy for both of you.Copy !req
461. Mark, Rachel's here.
She wants to see you.Copy !req
462. Sure.Copy !req
463. She seems a little upset.Copy !req
464. Honey, what's up?Copy !req
465. Dad, can you come outside?
There's sort of a problem.Copy !req
466. He was ill when we left Vermillion.Copy !req
467. We got a rodeo in Louisville
8 a. m. tomorrow.Copy !req
468. It's colic for sure.
I ain't seen a load in 12 hours.Copy !req
469. Don't worry. My dad can help you.
He's a doctor.Copy !req
470. Honey, I'm not a vet.Copy !req
471. Last time he got impacted,
mineral oil enema did the trick.Copy !req
472. We don't have the facilities to treat
animals, but we can find you a vet.Copy !req
473. Nearest large-animal man's in
Buffalo Grove. Two hours in traffic.Copy !req
474. Dad, you gotta help him. Please?Copy !req
475. He's one of the finest
roping horses there is.Copy !req
476. Poor thing. If he goes down
in the trailer, he could die.Copy !req
477. That's right, miss. He sure could.Copy !req
478. That would be tragic.Copy !req
479. What's his name?Copy !req
480. Cherry Blossom. Say hi, Cherry.Copy !req
481. Hi, Cherry.Copy !req
482. Don't worry.
My dad's gonna make you all better.Copy !req
483. It's clean. No money in tobacco,
polluting chemicals, mining.Copy !req
484. It's like charity.
But it's an investment.Copy !req
485. - It's a White Hat Fund.
- What's the return?Copy !req
486. Over the past five years
it's been about 7.9 percent.Copy !req
487. You got anything dirtier
with a better upside?Copy !req
488. Sure, here you go.Copy !req
489. Pure petrochemicals:
17.4 percent return.Copy !req
490. Dr. Carter? My toe is feeling
so much better since you retaped it.Copy !req
491. - Good.
- Why don't we get together sometime?Copy !req
492. Maybe a little hot talk
about dollar-cost averaging...Copy !req
493. I'm really not much
of a customer these days.Copy !req
494. This isn't really a sales pitch.Copy !req
495. You work out?Copy !req
496. - Yeah, when I can find the time.
- Well, it's hard to find the time.Copy !req
497. I get free passes at the Artemis Club.Copy !req
498. It's good for a workout and sauna.
I'm there every night about 7.Copy !req
499. - Thanks. You careful with your toe?
- Yeah.Copy !req
500. I exercycle, light weights.
Great therapy after a hard day.Copy !req
501. It's much more fun when someone else
is there. It makes the time fly.Copy !req
502. Well, today is not really
a good day for me.Copy !req
503. - But some other time. I'll come by.
- Whenever.Copy !req
504. - He's not moving any air.
- Pulse ox 88.Copy !req
505. - Gotta tube him. How much you weigh?
- 260.Copy !req
506. Yosh, 180 of ketamine, 180 of sux.Copy !req
507. Conni, 8.0 ET.Copy !req
508. I can't breathe.Copy !req
509. We need to put a tube
in your throat to help you.Copy !req
510. We'll give you medicine
to make you sleep.Copy !req
511. - Meds on board.
- Put him down.Copy !req
512. We need a vent in here.Copy !req
513. - I need suction.
- Pulse ox is falling. Eighty-five.Copy !req
514. I don't really need this distraction.Copy !req
515. Yosh, give me cricoid pressure.Copy !req
516. Damn! I can't see the cords.Copy !req
517. Bag him! Conni, give me a number
four Mackintosh. His neck's too big.Copy !req
518. - Pulse ox 89.
- We don't have a number four blade.Copy !req
519. - Anesthesia will have one.
- He's paralyzed.Copy !req
520. Yeah, keep bagging him.
His pulse ox is up to 90.Copy !req
521. Dr. Greene?Copy !req
522. They sent this down from Surgery.
Can I keep it?Copy !req
523. Keep it here. The cops will want it.Copy !req
524. - How's it going?
- Weaver's having trouble intubating.Copy !req
525. Needs a bigger blade.Copy !req
526. - Everything okay?
- Status asthmaticus, needs intubation.Copy !req
527. Bull neck.
I need a number four blade.Copy !req
528. - Mind if I take a look?
- You'll deprive him of oxygen, Mark.Copy !req
529. Okay. Yeah, you're right.
It's a tough one.Copy !req
530. - Yosh, cricoid pressure.
- We tried that.Copy !req
531. - Pulse ox is falling. Get out, Mark.
- Okay.Copy !req
532. Backwards, upwards, to the right.Copy !req
533. I can see.Copy !req
534. Good. Okay, I'm in.Copy !req
535. Bag him.Copy !req
536. Don't let them bag him too fast.
He's got a long expiratory phase.Copy !req
537. - You Dr. Weaver?
- Yes.Copy !req
538. Can you sign off on this order?Copy !req
539. - You put the copier back?
- It's not going back in.Copy !req
540. They're converting it
to a Pediatric Exam.Copy !req
541. See? We're taking out a wall.
It'll look real good.Copy !req
542. Thank you.Copy !req
543. - Dr. Weaver?
- What do you want?Copy !req
544. - About that patient in Trauma 1-
- Why is she here? We need the bed.Copy !req
545. I tried to get her admitted
to the unit but she's a DNR.Copy !req
546. Her HMO won't authorize admission.Copy !req
547. She can't stay in the ER.
Get her admitted or transfer her.Copy !req
548. She's intubated.
She's not stable for transfer.Copy !req
549. You want to be Chief Resident, don't
come to me when things go wrong.Copy !req
550. Deal with this yourself.
Improve your problem-solving skills.Copy !req
551. Randi, get me Dr. Anspaugh!Copy !req
552. Hello, Peter.Copy !req
553. Hey.Copy !req
554. I suppose we should talk.Copy !req
555. Elizabeth, this isn't
a good time for me.Copy !req
556. Yeah, I know. It's been a rough day.Copy !req
557. The bomber and...Copy !req
558. I'd like to get
something out in the open.Copy !req
559. I know it's not been easy
being with me.Copy !req
560. But if it's not working out, and
if you and Carla are back together...Copy !req
561. I'd appreciate hearing it from you.Copy !req
562. What? What are you-?Copy !req
563. It's got nothing to do with that.Copy !req
564. You've been avoiding me.
What's happened?Copy !req
565. I'm not avoiding you.
I'm dealing with some things.Copy !req
566. Well, what things? What is it?Copy !req
567. Reece is hearing-impaired.Copy !req
568. - How bad?
- He's profoundly deaf.Copy !req
569. Peter, I'm so sorry.Copy !req
570. I didn't tell you about it...Copy !req
571. because it's private.Copy !req
572. I haven't been avoiding you.
It's just that, you know what?Copy !req
573. I don't know how to talk about that.Copy !req
574. Easy, boy. Easy, boy.Copy !req
575. How's he doing, Rachel?Copy !req
576. He's okay.Copy !req
577. You been around horses much?Copy !req
578. Sure got a way with them.Copy !req
579. Keep him still.
I'm gonna put the tube in.Copy !req
580. If you can hold the tail just-Copy !req
581. Easy. Easy, boy.Copy !req
582. Good. Tube's in.Copy !req
583. Jerry, why don't you go ahead
and squeeze the lavage bag?Copy !req
584. I'm not gonna get kicked, am I?Copy !req
585. No. He's as sweet as they come.Copy !req
586. Nice and easy. Don't worry, boy.
We're not gonna hurt you.Copy !req
587. Nothing's gonna shoot out, is it?Copy !req
588. No, it shouldn't.
You know, not for a while.Copy !req
589. Okay. Here goes.Copy !req
590. Nice and easy.Copy !req
591. Good.Copy !req
592. Nice, even flow.Copy !req
593. Hey. How you doing?Copy !req
594. What's an oncologist?Copy !req
595. He's a doctor that deals
with abnormal cell growth.Copy !req
596. He's a cancer doctor?Copy !req
597. Why can't you be honest with me?Copy !req
598. My parents were talking
to an oncologist outside the room.Copy !req
599. He said something about...Copy !req
600. amputation.Copy !req
601. They're with him right now.Copy !req
602. There were indications in your biopsy.
You may have a tumor.Copy !req
603. That means they'll cut off my leg?Copy !req
604. The specialists will look at their
options and then make a decision.Copy !req
605. Stop ducking my questions!Copy !req
606. Can't you be honest?Copy !req
607. All right.Copy !req
608. Okay.Copy !req
609. Amputation offers us the best choice.Copy !req
610. I don't want to live without my leg.
I'd rather be dead.Copy !req
611. When they finish diagnosis,
they'll talk about all treatments.Copy !req
612. Treatments that could save my leg?Copy !req
613. The kind of tumor that you have...Copy !req
614. amputation offers us
the best chance.Copy !req
615. If they amputate...Copy !req
616. is it certain I'll live?Copy !req
617. No.Copy !req
618. But it's your best shot, kiddo.Copy !req
619. If you were my daughter,
I would try to persuade you to do it.Copy !req
620. Would you still do it if I said no?Copy !req
621. We get all the facts.Copy !req
622. It's a decision you and your
parents will have to make together.Copy !req
623. Okay?Copy !req
624. You have power of attorney
for over 700 clients?Copy !req
625. So you've never actually even met her?Copy !req
626. Yes.Copy !req
627. Yeah, any information that you-
Could you fax it over?Copy !req
628. I guess that's what we'll do.Copy !req
629. Thank you very much.Copy !req
630. Everything okay, Carter?Copy !req
631. Yeah, I intubated a DNR patient.Copy !req
632. HMO won't admit her, no family,
only a lawyer with durable power.Copy !req
633. And he's never even met her.Copy !req
634. - What are you thinking about?
- I don't know.Copy !req
635. I mean, should I extubate?
It just seems kind of wrong.Copy !req
636. DNR means she did not
want heroic measures.Copy !req
637. The real question is whether or not
you're ready to do it.Copy !req
638. - Have you ever done it?
- Yeah, once.Copy !req
639. But I had family support.Copy !req
640. Vitals are stable, pulse ox 98.Copy !req
641. I weaned her off the dopamine.Copy !req
642. I'm going to turn off the vent.Copy !req
643. Do an apnea test.Copy !req
644. - Should I get an Attending?
- I already talked to Dr. Greene.Copy !req
645. She's a DNR.Copy !req
646. She didn't want this.Copy !req
647. - Spontaneous respiration.
- Just one breath. That might be it.Copy !req
648. No, she's breathing on her own.
I'm gonna extubate.Copy !req
649. Let's give her five liters of oxygen.Copy !req
650. Hey, any luck?
Dr. Greene wants an enema update.Copy !req
651. No. No movement yet.Copy !req
652. I'm learning all about
taking care of horses.Copy !req
653. It might not hurt to let him out
a bit, let him walk around.Copy !req
654. Movement's good for colic.Copy !req
655. You want to get in and give him a pat?
Help me ease him out?Copy !req
656. I don't have any experience
with horses.Copy !req
657. I never even touched one before today.Copy !req
658. You'll be fine.
Just don't show any fear.Copy !req
659. And don't worry about
showing him who's boss.Copy !req
660. Come on, Blossom.Copy !req
661. You got all these nice folks
concerned about you.Copy !req
662. Come on. Come on.Copy !req
663. Come on. Come on, good boy.Copy !req
664. Hey, now! You brought us
some good luck, son.Copy !req
665. Hey, Mark.Copy !req
666. Can we talk?Copy !req
667. - I was going out to see the horse.
- Yeah, it's important.Copy !req
668. What's up, Kerry?Copy !req
669. Let's go in the lounge.Copy !req
670. Did you know Doug Ross
was made a Pedes Attending?Copy !req
671. That they're fixing up
a suite of rooms for him?Copy !req
672. Yeah. He told me at lunch.Copy !req
673. Really? Oh.
Well, I was told by the painters.Copy !req
674. I had to read it on a work form.
What's going on around here?Copy !req
675. - What do you mean?
- Why was I left out of the loop?Copy !req
676. Kerry, Ross is the new Pedes
ER Attending. That's a fact of life.Copy !req
677. We should learn to accept it
and move on, okay?Copy !req
678. Wait a minute.
How can I "move on"...Copy !req
679. when you express disfavor about
Ross as an Attending to my face...Copy !req
680. and then celebrate his dubious
achievement behind my back?Copy !req
681. - Is this really about Ross?
- Yes. Yes, it's about Ross.Copy !req
682. - I don't think he's qualified.
- The hospital doesn't agree.Copy !req
683. You're not angry about him.Copy !req
684. This is about you
obsessing over a silly title.Copy !req
685. Make a decision, Kerry.Copy !req
686. You want to be a doctor
or an administrator?Copy !req
687. I'm gonna go examine a horse.Copy !req
688. I finished my write-ups on the chest pain
and the altered mental status.Copy !req
689. I need you to cosign
these charts before I go.Copy !req
690. Yeah.Copy !req
691. Those PVCs?Copy !req
692. That's right.Copy !req
693. Shouldn't we give something for that?Copy !req
694. No.Copy !req
695. V- tach!Copy !req
696. You shock that, right?Copy !req
697. Not this time.Copy !req
698. Watch. V-tach...Copy !req
699. V-fib...Copy !req
700. then asystole.Copy !req
701. She's not suffering.
It's what she wanted.Copy !req
702. I'll sign those charts now.Copy !req
703. Dr. Ross? You spoke to
our daughter about treatment.Copy !req
704. She's very upset.
Why would you do that?Copy !req
705. Why did you advise against amputation?Copy !req
706. I didn't advise against it.
I said it was her best chance.Copy !req
707. But you gave her other alternatives.
We want her to live.Copy !req
708. So do I. But she has to accept
what'll happen to her...Copy !req
709. not end up fighting some edict
that gets handed down.Copy !req
710. - This is our decision, not hers.
- She's 15.Copy !req
711. She's old enough to be involved
in decisions about her own health.Copy !req
712. Stay away from her.Copy !req
713. You don't speak to her again.
Understood?Copy !req
714. All right.
To survive, she needs your support.Copy !req
715. She has to feel that you are working
for her, not against her.Copy !req
716. Let's go.Copy !req
717. Yeah.Copy !req
718. On the search committee for chief,
have you set the days for meetings?Copy !req
719. Yes. I was sorry to get
your message this morning...Copy !req
720. that you won't have time
to participate.Copy !req
721. I've shifted some things around
and made some room.Copy !req
722. Really? We're getting together
Tuesdays and Thursdays at 6 p. m.Copy !req
723. - If you can make it.
- I'd like to be involved.Copy !req
724. Good.Copy !req
725. I've lived in worse places.Copy !req
726. It just needs fresh paint,
some posters.Copy !req
727. I can live anywhere
as long as I've got music.Copy !req
728. - Sure you're up for this?
- I worked for Best Buy.Copy !req
729. I assembled systems all day long.
What have you got?Copy !req
730. Bose. Top of the line.Copy !req
731. This is a very expensive system.Copy !req
732. I guess these are the cables
that go with that?Copy !req
733. Actually, those are RCA cables.Copy !req
734. You must've hooked up
your VCR through your amplifier.Copy !req
735. I don't know. Some guy came over
and hooked it all up.Copy !req
736. You got a CD? We could try this out.Copy !req
737. Yeah, sure.Copy !req
738. "Jimmy Smith. "Copy !req
739. - Jazz?
- Jazz.Copy !req
740. Organ.Copy !req
741. I like it.Copy !req
742. You know...Copy !req
743. my doctor said
that slow dancing is okay.Copy !req
744. It might even be therapeutic.Copy !req