1. ERCopy !req
2. Previously on ER:Copy !req
3. That was a great save.Copy !req
4. Actually, I meant
being your full-time P.A.Copy !req
5. Great. I'd love that.Copy !req
6. This is more of a formality
than anything else.Copy !req
7. For you, but you're
my only intern.Copy !req
8. I admire your fortitude, taking
orders from a weasel like Dale.Copy !req
9. Your presentation was everything
we expected.Copy !req
10. This is ridiculous.
Everyone thinks you can.Copy !req
11. I'll talk to Dr. Carter.Copy !req
12. I can't start an IV.
I don't know how, never have.Copy !req
13. If you ever lie to me again,
look for another rotation.Copy !req
14. "Masquerade"Copy !req
15. Watch yourself.Copy !req
16. Sorry.Copy !req
17. She's in active labor.
Water broke in the rig.Copy !req
18. Got to play catch.Copy !req
19. Jerry, scarfing a little
early dinner back there?Copy !req
20. What? Oh, no.
Good one, Chuny.Copy !req
21. - Baby, baby!
- Our mother-to-be?Copy !req
22. Good guess. First name's Coco.
No last name or address.Copy !req
23. - Collapsed in a crosswalk.
- Don't walk, don't talk.Copy !req
24. Vitals are stable.Copy !req
25. I can feel the head!
Mr. Potato Head!Copy !req
26. We took a peek, she's not crowning.Copy !req
27. Crown me. I'm the queen.
The prince is coming.Copy !req
28. - What's your due date, Coco?
- I don't like dates. Too sweet.Copy !req
29. Big one! Big pain!Copy !req
30. Ever delivered a baby?Copy !req
31. - No delivery.
- Let's go to Curtain Area 3.Copy !req
32. B.O.A. kit, fetal monitor
and baby warmer.Copy !req
33. - Hey, Jerry? Page OB for me.
- You got it.Copy !req
34. Dude, the eagle has landed.Copy !req
35. Oh, Lydia. I guess you didn't
get my memo.Copy !req
36. The p. m. shift is not wearing
costumes this year.Copy !req
37. It scares the patients.Copy !req
38. A lot of things have been said about this
set of gams, but scary isn't one of them.Copy !req
39. It isn't very professional,
so if you wouldn't mind changing...Copy !req
40. I actually got some of these
little jack-o'- lantern pins...Copy !req
41. if you want to
signify the holiday.Copy !req
42. Fun.Copy !req
43. I'm glad my "no costume" memo
made it to some people.Copy !req
44. This is my costume.
I'm dressed as a total stiff.Copy !req
45. Oh, well, I guess I can make
an exception.Copy !req
46. Four-year-old child with
puncture wounds to the neck.Copy !req
47. - He's not in Trauma?
- You wanted the children-Copy !req
48. Get me an intubation tray now.Copy !req
49. And I want four units of your blood.Copy !req
50. What? Come on, this is funny.Copy !req
51. You, of all people,
should be able to joke.Copy !req
52. I didn't think it was appropriate.Copy !req
53. But putting surgilube on every
phone in the ER, that's okay?Copy !req
54. I'm not in charge of the whole ER,
I'm in charge of the Pedes ER.Copy !req
55. The joke was on you, Doug,
not on the Pedes ER.Copy !req
56. But that seems to be
one and the same.Copy !req
57. What's that supposed to mean?Copy !req
58. - The memo in my box this morning.
- Yeah?Copy !req
59. I thought it was your
Halloween prank.Copy !req
60. What's wrong with this? What?Copy !req
61. Doug. "All pediatric patients
must be seen by Dr. Ross...Copy !req
62. prior to discharge.Copy !req
63. Dr. Ross will conduct a daily review
on all pediatric patients. "Copy !req
64. What's wrong with that?Copy !req
65. It means you sign off on
Kerry Weaver's charts?Copy !req
66. - Yeah, and Mark.
- Yeah. So you're psyched.Copy !req
67. It's time for a change.Copy !req
68. Kind of like me.
I woke and was a Transylvanian bat.Copy !req
69. All right. Enough. Okay?Copy !req
70. - Good luck.
- Carol, could you come in here?Copy !req
71. What's up?Copy !req
72. Coco here claims to be
nine months pregnant.Copy !req
73. Try for fetal heart tones.
I couldn't find them.Copy !req
74. Find them. Don't lose them.Copy !req
75. Look in the Lost and Found.Copy !req
76. Cervix isn't dilated.
No adnexal masses.Copy !req
77. - She sure looks pregnant.
- I'm having a baby.Copy !req
78. I appreciate a normal uterus and two
liters of urine in her bladder.Copy !req
79. Coco, we'll give you a bedpan.Copy !req
80. Can you try and relax
and relieve yourself?Copy !req
81. Shallow breath.Copy !req
82. Nature's way.Copy !req
83. - Want Foley?
- Yeah.Copy !req
84. And a urine tox screen.
Call Psych while you're at it.Copy !req
85. I can't believe you're wearing that.Copy !req
86. It has got itchy.
But it's my first Halloween in the States.Copy !req
87. You were here last year.Copy !req
88. Yeah, but I was stuck in the O.R.
So no trick-or-treating...Copy !req
89. - ... apple-bobbing, hayrides.
- Hayrides?Copy !req
90. Isn't that how you celebrate
Halloween?Copy !req
91. Riding in a cart full of hay with
your sweetie, under the stars?Copy !req
92. Elizabeth, there are no hay carts
in Chicago.Copy !req
93. You know what I mean.
Celebrating the night.Copy !req
94. Celebrating what?Copy !req
95. Kids rotting their teeth,
getting stomachaches.Copy !req
96. People wearing stupid-Copy !req
97. I have a thing against costumes,
you know?Copy !req
98. There must have been someone
you wanted to be.Copy !req
99. I'm a doctor.
That's who I wanted to be.Copy !req
100. Yes, but as a child.Copy !req
101. You must have wanted to be a spaceman
or a footballer?Copy !req
102. Nope.Copy !req
103. You really are extraordinary, Peter.Copy !req
104. How about a knight in shining armor?Copy !req
105. - No.
- A cowboy?Copy !req
106. No. Listen, let's go to Dempsey's.Copy !req
107. They've got great food,
and what is that? Swing dancing.Copy !req
108. Elizabeth, there you are.Copy !req
109. My sigmoid volvulus is red-lined
and the labs aren't on the chart.Copy !req
110. I checked the computer.
All is back but the electrolytes.Copy !req
111. Checking isn't good enough. The lab
said the specimen was hemolyzed.Copy !req
112. I'll call Phlebotomy.Copy !req
113. Takes too long. Redraw yourself
and hand-carry it to the lab.Copy !req
114. Yes, sir.Copy !req
115. - Excuse me.
- You'll have to wait.Copy !req
116. - Yeah?
- I'm looking for Dr. Greene.Copy !req
117. Oh, damn! I needed to save that.Copy !req
118. So I can find Dr. Greene, where?Copy !req
119. You're gonna have to wait in Chairs.Copy !req
120. Okey-doke.Copy !req
121. Jerry, has the systems guy
taken a look at this yet?Copy !req
122. He looked, but he didn't touch.
The work order wasn't cosigned.Copy !req
123. Lily, what do you got there?Copy !req
124. This was sitting in the ambulance bay.Copy !req
125. Look. There's all kinds
of stuff in this bag too.Copy !req
126. Four-by-fours, Steri-Strips,
IV tubing.Copy !req
127. I'll take care of this.Copy !req
128. - Really? You sure?
- No worries.Copy !req
129. - Thanks.
- Sure.Copy !req
130. - Hey, Jerry.
- Hi.Copy !req
131. You can't blow it off?Copy !req
132. Don't get me wrong. I would love
to attend your shindig...Copy !req
133. but this is a Teamster party.Copy !req
134. Your eyes are aglow with
disability policies.Copy !req
135. It's rare that a policy
underwriter has an opportunity...Copy !req
136. with a roomful of drunken
manual laborers.Copy !req
137. Sounds better than chaperoning
a dorm party.Copy !req
138. Everybody knows the best part of
a bad party is sneaking out.Copy !req
139. Preferably not alone.Copy !req
140. So I might see you later?Copy !req
141. Or I'll make it up to you.Copy !req
142. Dr. Carter, hi. I got the elbow
films back on Mr. -Copy !req
143. Lucy, can you give us
a second, please?Copy !req
144. Sure.Copy !req
145. What did you say?Copy !req
146. I got the elbow films back
on Mr. Cahan...Copy !req
147. and the CBC and chem panel
on Ms. Nicolara.Copy !req
148. Thanks. Looks good.Copy !req
149. I was thinking about you at diner
and realized...Copy !req
150. that I left this in my car.Copy !req
151. Is that for the party?Copy !req
152. No. I think you should
start practicing your IVs.Copy !req
153. I have been practicing.Copy !req
154. Then this should be old hat.Copy !req
155. Dr. Carter, good.
These suckers are heavy.Copy !req
156. - What are these?
- Tomorrow's conference:Copy !req
157. "The Acute Abdomen in the Elderly. "
I pulled an ischemic bowel...Copy !req
158. you had a few months ago.
I was hoping you'd present.Copy !req
159. Never done that.Copy !req
160. It's great experience if you're
serious about being Chief Resident.Copy !req
161. - Oh, I'm serious.
- I look forward to your presentation.Copy !req
162. - Chief Resident. Pretty cool.
- Yeah, pretty cool.Copy !req
163. - Incoming.
- I got it!Copy !req
164. - What do we got?
- Joe Chattarowski, 40.Copy !req
165. Drank a quart of vodka. Called
911 when he was too drunk to walk.Copy !req
166. - I need help, doc.
- Exam 2.Copy !req
167. Drink every day, Mr. Chattarowski?Copy !req
168. Yeah. But I want to quit.Copy !req
169. Are you serious?Copy !req
170. I'm dead serious.Copy !req
171. - Not just looking for a place to sleep?
- On my mother's eyes.Copy !req
172. Can you admit me for detox, please?Copy !req
173. I think Miss Knight can help
you out with that.Copy !req
174. See if you can find him a detox bed.
Then practice on that arm.Copy !req
175. Let's transfer him. Ready?
One, two, three.Copy !req
176. Average daily census is 150.Copy !req
177. We see 275 a day at Bellevue.Copy !req
178. Impressive.Copy !req
179. We're the second largest emergency
department in the world.Copy !req
180. I'll show you the trauma rooms.Copy !req
181. Hey, Jerry?Copy !req
182. - Who's that?
- With Dr. Greene?Copy !req
183. That is Dr. Litvak from New York.Copy !req
184. Dan Litvak?Copy !req
185. Yeah. He's here
interviewing to be ER Chief.Copy !req
186. Oh, my God! Dan Litvak.Copy !req
187. He's national chair of the ACEP Panel
for Practice Guidelines.Copy !req
188. Lead article in last month's annals.Copy !req
189. That's good, right?Copy !req
190. Hey, buddy. I'm Dr. Ross.Copy !req
191. - What's your name?
- Jared.Copy !req
192. Pruritic rash from his makeup.
He's covered with hives.Copy !req
193. - Let's see. Has he had hives before?
- No.Copy !req
194. All right, any swelling in your mouth?
Are you having trouble breathing?Copy !req
195. - My tongue feels big.
- Okay.Copy !req
196. BP's 90/60. Pulse 72.Copy !req
197. Let's give him. 2 of sub-q epi,
Benadryl 25 IV.Copy !req
198. - Is he going to be okay?
- He has a bad allergic reaction.Copy !req
199. We'll treat him with IV medication,
and watch him for a few hours.Copy !req
200. Can I still go trick-or-treating?Copy !req
201. I don't think so, sweetie.
We'll find some fun stuff to do.Copy !req
202. Fun stuff around here sucks.Copy !req
203. What did you do with my baby?Copy !req
204. What did you-?
Where is my baby?Copy !req
205. Should I ask?Copy !req
206. Twenty-two-hundred cc's out so far.
Belly's flat.Copy !req
207. I lost my baby.Copy !req
208. Haldol, five milligrams I.M.Copy !req
209. Mark, I'm looking for your charts
on last month's unscheduled returns.Copy !req
210. Yeah. I put them in your box.Copy !req
211. Kerry, this is Dr. Dan Litvak. This
is Dr. Kerry Weaver, Interim Chief.Copy !req
212. Nice to meet you.Copy !req
213. - Where are you from, Dr. Litvak?
- New York. Bellevue.Copy !req
214. Just here to get a few tips?Copy !req
215. No, I just had my second interview
for the Chief position.Copy !req
216. Dr. Greene is being kind enough
to show me around.Copy !req
217. Second interview?Copy !req
218. They want to meet with Dr. Litvak
one more time before tonight's vote.Copy !req
219. I thought the vote wasn't
until next Wednesday.Copy !req
220. I have to hop a plane tonight.Copy !req
221. They thought it would be best
for me to know beforehand.Copy !req
222. That's great.
The sooner the better.Copy !req
223. I guess I'll just check my mailbox.Copy !req
224. That's the competition, huh?Copy !req
225. Did you get that detox bed?Copy !req
226. No one called me back yet.Copy !req
227. Got a flash...Copy !req
228. and I am in.Copy !req
229. Yes, you are.Copy !req
230. I'm ready for the real thing.Copy !req
231. Let's find out. I'll talk you
through Mr. Chattarowski.Copy !req
232. Okay.Copy !req
233. Make sure we don't repeat our
last IV fiasco.Copy !req
234. Definitely won't happen again.Copy !req
235. - No, it was my fault as much as yours.
- I wouldn't say that.Copy !req
236. I should've supervised you
and not let you get to that place.Copy !req
237. From now on, we'll just take it
one step at a time.Copy !req
238. Carter, your drunk eloped.Copy !req
239. - Chattarowski?
- Does that mean he left?Copy !req
240. - Yep.
- Does anyone else need an IV?Copy !req
241. I've got it.Copy !req
242. You wanted to be a superhero.
Tights, cape.Copy !req
243. Yeah, wrong.Copy !req
244. There was someone, wasn't there?
Hey, look who's here.Copy !req
245. Bye-bye, cutie-pie.Copy !req
246. Hey, little bee.
Gosh, he's getting so big.Copy !req
247. I know. Eating me out
of house and home.Copy !req
248. - I didn't expect you.
- Just left Walt and Jackie's.Copy !req
249. The annual blowout?Copy !req
250. I told Walt he should
just put on one of his...Copy !req
251. super-duper fly outfits
he wore in the '70s.Copy !req
252. That brother still thinks polyester's
gonna make a comeback.Copy !req
253. Speaking of costumes,
do you have any film left?Copy !req
254. Yes. We should have one
with his daddy.Copy !req
255. - Absolutely.
- Would you do it?Copy !req
256. Sure.Copy !req
257. Okay, ready?Copy !req
258. Feeling any better?Copy !req
259. All right, I guess.Copy !req
260. What did you...?
What did you give me?Copy !req
261. Haldol, to calm you down.Copy !req
262. I can't take that.Copy !req
263. It's not good for my baby.Copy !req
264. Coco, you don't have a baby.Copy !req
265. But I will, really.Copy !req
266. I'm in my first trimester.Copy !req
267. Coco, you're not pregnant.
You were just retaining urine.Copy !req
268. Carol.Copy !req
269. You did a pregnancy test,
didn't you?Copy !req
270. I'm starting to wish I had.Copy !req
271. I'm schizophrenic...Copy !req
272. and I had been taking respiradone.Copy !req
273. But when I found out I was pregnant,
I went off the medication...Copy !req
274. so that the baby would be okay.Copy !req
275. What will the Haldol do to the baby?Copy !req
276. If in fact you are pregnant...Copy !req
277. there are reports
of limb malformation.Copy !req
278. Oh, my God!Copy !req
279. I'm so sorry, baby.Copy !req
280. Aorta's clamped, pericardium's dry.Copy !req
281. It looks like the heart is still
empty. Get two more units.Copy !req
282. Chest tube's gushing.
It's over two liters.Copy !req
283. Could be a hilar injury.Copy !req
284. Let's set up for a right-sided
thoracotomy. Move!Copy !req
285. Ten blade. We'll do a clamshell.Copy !req
286. Call the blood bank for O-neg,
and type-specific.Copy !req
287. Rib-spreader.
Peter, cut across the sternum.Copy !req
288. - I need a Lebsche knife.
- A what?Copy !req
289. A Lebsche and a mallet. Move!Copy !req
290. Look. Top drawer by the sink.Copy !req
291. What you really need is a sternal saw.Copy !req
292. A sternal saw is a tool for the O.R.,
not the ER. You know that.Copy !req
293. Chest is full of blood.
Vascular clamp, more suction.Copy !req
294. All right.
Can you locate the source?Copy !req
295. - Move your hand.
- Four units in.Copy !req
296. Okay, come on, Peter. He's losing it
faster than we can put it in.Copy !req
297. - Damn!
- Type-specific's here.Copy !req
298. - Hang it on rapid infuser.
- Almost there.Copy !req
299. Looks like right atrium.Copy !req
300. Vicryl now! Move!Copy !req
301. There were faster ways to do that.Copy !req
302. I am pregnant.Copy !req
303. The test confirmed it.Copy !req
304. We don't know if the Haldol
affected the fetus.Copy !req
305. We'll monitor the pregnancy
with ultrasound.Copy !req
306. Maybe I shouldn't have a baby.Copy !req
307. Because of the Haldol?Copy !req
308. I didn't even tell my mom, you know?
It was like...Copy !req
309. she was so proud that I was
in a halfway house.Copy !req
310. I thought it would be okay.Copy !req
311. I thought I could go off my meds,
but I can't, can I?Copy !req
312. You'll probably have more incidents
like this one.Copy !req
313. I shouldn't go through with this.Copy !req
314. You've been through a lot
in a short amount of time.Copy !req
315. Maybe you should just wait.Copy !req
316. I shouldn't do this.Copy !req
317. I shouldn't do this.Copy !req
318. Think she'll terminate her pregnancy?Copy !req
319. That's the impression I got.Copy !req
320. Probably be the best for her,
and for you.Copy !req
321. Yeah, it gets me off the hook.Copy !req
322. Do you want to have a drink later?
Decompress?Copy !req
323. I would, but Jen's back in town, and
we have to have one of our "talks. "Copy !req
324. It's not your day, Mark.Copy !req
325. You can go now, Lucy.
We're caught up around here.Copy !req
326. What about the Pedes ER?
It's standing room only.Copy !req
327. Doug Ross is in the groove, huh?Copy !req
328. No, you'd probably
just slow him down.Copy !req
329. Great. It gives me more
time to prepare for the party.Copy !req
330. I'm sorry. I didn't mean to
upset the officer.Copy !req
331. Found him right back with a bottle
of Night Train at Lucky's.Copy !req
332. You need a revolving door here.Copy !req
333. Well, well, well. Long time no see,
Mr. Chattarowski.Copy !req
334. So you know this guy?Copy !req
335. Yeah, had him in earlier.
Came in to get detoxed...Copy !req
336. - ... then left before we were finished.
- Next time I'll call the cops.Copy !req
337. We can take it from here.
You're off anyway.Copy !req
338. - Thanks.
- Curtain Area 2.Copy !req
339. Mr. Chattarowski, I'm Dr. Greene.
This is Nurse Hathaway.Copy !req
340. We'd like to welcome you back.Copy !req
341. I know I screwed up, doc.
I'm a screwup by nature.Copy !req
342. I want to make a clean start.
I really do.Copy !req
343. You won't make a very clean start
with booze in your hand.Copy !req
344. That was my last drink.Copy !req
345. I'm not gonna poison myself no more.
I promise.Copy !req
346. Other than bloodshot,
the eyes look okay. Lean forward.Copy !req
347. I'm gonna get clean and sober, doc.Copy !req
348. You gotta be quiet
so I can hear your lungs.Copy !req
349. BP's 130 palp.Copy !req
350. Mr. Chattarowski, I'm gonna try
to get you a detox bed.Copy !req
351. But promise me you'll stay.Copy !req
352. I promise. I really do.Copy !req
353. I'm gonna get clean and sober.Copy !req
354. If you could just scoot over
to this bed for me.Copy !req
355. You think he'll stay?Copy !req
356. I was a cynic with Miss Coco
and we saw how that worked out.Copy !req
357. So karmically,
I have to believe this guy.Copy !req
358. Okay, Dr. Karma. But I'm gonna
lock up his clothes...Copy !req
359. so it's harder for him
to escape this time.Copy !req
360. Good idea.Copy !req
361. Amanda, you have to stay still.
It'll only hurt for a second.Copy !req
362. No, Daddy!Copy !req
363. - If you're good I'll give you stickers.
- I don't want stickers, Daddy!Copy !req
364. - Is this really necessary?
- Unfortunately, it is.Copy !req
365. - We have to take blood to do the test.
- I want to go home.Copy !req
366. - Everything all right?
- Yes, fine.Copy !req
367. My little girl's afraid of needles.Copy !req
368. Is there a way to test her
without all this?Copy !req
369. Yes, there is.Copy !req
370. - What have we got?
- Barbie Kligman, 11-year-old, MVA.Copy !req
371. Back-seat passenger with a lap belt.Copy !req
372. Complains of abdominal pain.
BP 105/70. Pulse 95.Copy !req
373. Let's get a CBC, Chem-20,
type and hold and dip a urine.Copy !req
374. Barbie, does your neck hurt?Copy !req
375. No. Just my stomach.Copy !req
376. Pulse ox is 98 on room air.Copy !req
377. - Chest is clear.
- Okay.Copy !req
378. Dale okay with this?Copy !req
379. - Shouldn't be a problem.
- All right.Copy !req
380. Pupils are 5 mm and react to light.Copy !req
381. - Will she be okay, doctor?
- We're taking care of her.Copy !req
382. - Pretty good seat-belt contusion.
- Yeah.Copy !req
383. - Bowel sounds are absent.
- Hemoglobin's 14. 1.Copy !req
384. Okay. Listen, does this hurt?Copy !req
385. - What?
- She has a bruise...Copy !req
386. that's often associated
with small bowel injuries.Copy !req
387. We'll do a CAT scan of the belly,
but she may need exploratory surgery.Copy !req
388. - Oh, my God.
- You'll be okay, Barbie.Copy !req
389. Mommy and Daddy are here
for you, okay?Copy !req
390. That's all it takes?Copy !req
391. The machine delivers lidocaine to the
skin by iontophoresis. No needles.Copy !req
392. - Hey.
- Dr. Weaver, we meet again.Copy !req
393. I thought you had a plane to catch.Copy !req
394. Flight delay. Hanging out here beats
watered-down airport cocktails.Copy !req
395. Can I play fly on the wall?Copy !req
396. Dr. Ross' Pedes room.Copy !req
397. Sure. Hang out.
Here we go, sweetheart.Copy !req
398. How are you, Amanda?Copy !req
399. - Okay.
- You're okay?Copy !req
400. Now this pad puts your
skin to sleep.Copy !req
401. You're not gonna feel anything.Copy !req
402. Now, close your eyes, sweetheart.Copy !req
403. - You feel anything?
- No.Copy !req
404. - Okay.
- That's amazing.Copy !req
405. We tried numbing it with cream
but it takes an hour. This is great.Copy !req
406. It really is.
What's it called again?Copy !req
407. Numby.Copy !req
408. We did the phase-three clinical
trials at Bellevue.Copy !req
409. We've been using it
for over a year now.Copy !req
410. Hey, Dr. Carter.Copy !req
411. Nice costume.Copy !req
412. I feel kind of lame.
Nobody else dressed up.Copy !req
413. Well, it's early yet.
People may still show.Copy !req
414. The flier said 8.Copy !req
415. Remember, these are med students.
They're busy.Copy !req
416. Want me to get you some punch?Copy !req
417. Oh, later.Copy !req
418. I gotta pull articles at the library
for this conference tomorrow.Copy !req
419. Think this party can chaperone itself?Copy !req
420. - I'll look after things for you.
- Why don't you do that?Copy !req
421. - How old is this girl?
- Eleven.Copy !req
422. - What's the glitter on her face?
- She's a princess.Copy !req
423. - Dale, get a clamp on that.
- Babcock, please.Copy !req
424. There's a little bleeding around
the duodenum.Copy !req
425. Let's cauterize and explore
the retroperitoneum.Copy !req
426. Bovie.Copy !req
427. - What are you doing for Halloween?
- Nothing special.Copy !req
428. I know a motel on Route 22.
Jungle-theme rooms.Copy !req
429. - Metz.
- Ask for room 14. Hanging vines.Copy !req
430. You Tarzan, she Jane.
Know what I mean?Copy !req
431. I think we'll just stay in town.Copy !req
432. - All right. The pancreas looks good.
- No renal injuries here.Copy !req
433. Hold on. There's infrarenal mass.Copy !req
434. Looks like a lumbar node.Copy !req
435. Doesn't feel right. It's too rubbery.Copy !req
436. There's one on this side too.
Could be lymphoma.Copy !req
437. All right, let's send for a biopsy.
Number 15.Copy !req
438. Everything okay on the wards?Copy !req
439. Yes. May I scrub in?Copy !req
440. - We could use your help.
- Wonderful.Copy !req
441. We just biopsied an abnormal
lymph node on Barbie.Copy !req
442. Why don't you take this specimen to
Pathology and wait on the results.Copy !req
443. Just signed in three more kids.
We're stacked.Copy !req
444. - We're getting to them.
- We need the main ER for the overflow.Copy !req
445. I have to see these kids.
You saw Kerry.Copy !req
446. It's a busy night, Doug.
You can't see them all by yourself.Copy !req
447. Send the overflow to the main ER,
but send me the kids' charts.Copy !req
448. - Of course.
- Okay.Copy !req
449. - The sickest ones, send them to me.
- I wouldn't do it any other way.Copy !req
450. What are you doing back so early?Copy !req
451. Me and Ariel are sick of trick-or-
treating and Mom's running late.Copy !req
452. - What are you watching?
- Family Love Triangles.Copy !req
453. - Educational TV, huh?
- Yeah.Copy !req
454. Mom says when we move
to St. Louis...Copy !req
455. she's only gonna let me watch
an hour of television a day.Copy !req
456. When you move to St. Louis?Copy !req
457. You didn't know?Copy !req
458. I think that's why
Mom wanted to see you.Copy !req
459. So it's a done deal then?Copy !req
460. My room will be twice as big.Copy !req
461. And there's a park across the street
for the dogs.Copy !req
462. - Sounds nice.
- It's really pretty there.Copy !req
463. Please don't tell her I told you, okay?Copy !req
464. Hey, my lips are sealed.Copy !req
465. Repair transversely with running
Vicryl 3-0.Copy !req
466. Gentlemen, I have the results
of your biopsy.Copy !req
467. Care to guess what we saw
under the microscope?Copy !req
468. - Gotta be Hodgkin's.
- No.Copy !req
469. - Metastatic adeno?
- Wrong again.Copy !req
470. Seminiferous tubules.Copy !req
471. - What?
- You're kidding?Copy !req
472. You biopsied two testicles.
It seems that Barbie is a boy.Copy !req
473. Who knew there were so many texts
on the bowel?Copy !req
474. This is just what I could
get my hands on.Copy !req
475. I suppose with all this
intense interest...Copy !req
476. that means our bowels are in good
hands for many years to come, right?Copy !req
477. That's a nice thought.Copy !req
478. Hey, sounds like
the party's up and running.Copy !req
479. Yeah!Copy !req
480. Dr. Carter, the party picked up.
The beers are right there.Copy !req
481. Nice aim, dude. You almost put out
the fire with that one.Copy !req
482. Hey, Dr. Carter.Copy !req
483. Thanks, dude.Copy !req
484. Okay, kids, that's it. Party's over.Copy !req
485. You don't have to go home,
but you can't stay here.Copy !req
486. What's up? Were we too loud?Copy !req
487. - No, the furniture was too on fire.
- Oh, really? I'm sorry.Copy !req
488. I'll be in my room studying.Copy !req
489. Happy Halloween!Copy !req
490. She did it to me again.Copy !req
491. She's in escrow and I heard
about it from Rachel.Copy !req
492. Maybe she was
gonna tell you tonight?Copy !req
493. Maybe.Copy !req
494. Or maybe she was just going to send
me a postcard from St. Louis.Copy !req
495. You really had a good time
with Rachel, huh?Copy !req
496. Yeah. Yeah, I did.Copy !req
497. How's Chattarowski's detox search?Copy !req
498. They're all out of beds on Four East...Copy !req
499. but I stood my ground and insisted
that he was a good detox candidate.Copy !req
500. They finally gave him
a place on Four West.Copy !req
501. You must owe them some favors.Copy !req
502. A couple. But it was worth it.Copy !req
503. Well, you tried, you know?Copy !req
504. When we explored
the retroperitoneum...Copy !req
505. we discovered two small masses.Copy !req
506. Masses? What kind of masses?Copy !req
507. We were concerned, so we sent down
a frozen section of the biopsy...Copy !req
508. that revealed testicular tissue.Copy !req
509. What does that mean?Copy !req
510. Barbie has a condition called
testicular feminization.Copy !req
511. Genetically, she's a male
with XY chromosomes.Copy !req
512. During development, the fetal tissue
was resistant to testosterone...Copy !req
513. and the external genitalia
developed as female.Copy !req
514. There's gotta be a mistake.Copy !req
515. No mistake. The vagina's nothing
but a blind pouch.Copy !req
516. No uterus or ovaries.Copy !req
517. She'll need to be on estrogen
replacement therapy.Copy !req
518. My little girl has testicles?Copy !req
519. We removed them because of the high
incidence of malignant transformation.Copy !req
520. I don't understand.Copy !req
521. I changed her diapers.
I know every inch of her.Copy !req
522. She's a boy?Copy !req
523. The genetics don't matter.
You've raised Barbie as a girl.Copy !req
524. It's what she looks like. It's her
identity. Nothing will change that.Copy !req
525. But you have to understand that she'll
never menstruate or bear children.Copy !req
526. Obviously this has come as a shock.Copy !req
527. You'll need time to adjust.
Barbie's recovering.Copy !req
528. We'll refer you to
a genetic counselor.Copy !req
529. They'll help you decide when
and how to tell her.Copy !req
530. Thank you, doctor.Copy !req
531. - Nice job.
- Thank you.Copy !req
532. You forgot to mention they'll have to
change Barbie's name to Ken.Copy !req
533. After the day I've had,
just line them up.Copy !req
534. Word. That's how you gotta do it, man.
Work hard, play hard.Copy !req
535. I deserve to play hard.Copy !req
536. I had to check all the stool samples
for fecal leukocytes, dude.Copy !req
537. You think that's bad?Copy !req
538. My Resident had me give physical exams
to these homeless shelter guys.Copy !req
539. One had maggots crawling
all over an abscess.Copy !req
540. At least your Residents
acknowledge you.Copy !req
541. Mine don't even know I'm here.Copy !req
542. I get more respect from
this rubber arm.Copy !req
543. We might have saved
this guy with the saw.Copy !req
544. We could've cut
the sternum in two seconds...Copy !req
545. instead of chiseling for a minute.Copy !req
546. The guy was dead. A few
seconds wouldn't have saved him.Copy !req
547. It would've given him a chance.Copy !req
548. We are not going to waste
time training ER docs...Copy !req
549. on equipment
they'll use once a year.Copy !req
550. If we had the saw, we could give
midline thoracotomies...Copy !req
551. for all penetrating chest traumas.Copy !req
552. That's not the standard of care.Copy !req
553. The standard of care
gives miserable results.Copy !req
554. If they arrest in the ambulance,
10% survive.Copy !req
555. If they arrest in the ER,
30% survive.Copy !req
556. Midline thoracotomy gives us better
exposure to repair cardiac injuries.Copy !req
557. All right. If you're so damned
interested in this, do a study.Copy !req
558. - All right, I will.
- Good.Copy !req
559. I know exactly the guy from
Surgery to help you. Peter?Copy !req
560. Kerry and I were discussing
a study between ER and Surgery.Copy !req
561. - A study?
- Midline thoracotomy for chest trauma.Copy !req
562. Is this because of today?Copy !req
563. Draw up a proposal with a budget
and give it to me in two weeks.Copy !req
564. - I will.
- Good. Okay.Copy !req
565. I don't think ER docs should
play with a sternal saw.Copy !req
566. - Neither do I.
- Then why support her?Copy !req
567. I'm not. She'll spin her
wheels, write a proposal...Copy !req
568. and it won't pass the Human
Subjects Committee in a million years.Copy !req
569. - M&M?
- Oh, no, no.Copy !req
570. Listen, I made reservations
at Dempsey's for 10.Copy !req
571. Peter, I don't know.
I'm pretty swamped.Copy !req
572. What? It's Halloween.Copy !req
573. Yeah, but Dempsey's isn't really
Halloween-y. No, it'll keep.Copy !req
574. Walt, what's up, man? It's me.Copy !req
575. Listen, I need to ask you a favor.Copy !req
576. See this one? That's the bull rider.Copy !req
577. Oh, right. The cute cowboy.Copy !req
578. Dad!Copy !req
579. Rach, did I hear your order right?
You hate rhubarb and walnuts.Copy !req
580. I like it now. Dad makes good pie.Copy !req
581. - He always did.
- Jen, you trying to butter me up?Copy !req
582. No. I just remember your mom's
famous rhubarb pie recipe.Copy !req
583. Sorry you're working late with a cold.
Are you holding up?Copy !req
584. Yeah, it's just my sinuses.Copy !req
585. Why don't you go wash your hands?Copy !req
586. Okay.Copy !req
587. St. Louis, huh?Copy !req
588. - She told you?
- Slipped out.Copy !req
589. It's a great job, Mark.
The schools are top-rate and-Copy !req
590. It sounds good.Copy !req
591. I was ready for a fight.Copy !req
592. I think we've done enough fighting
for a lifetime, don't you?Copy !req
593. Yeah.Copy !req
594. In a perfect world...Copy !req
595. we could both spend 365 days
a year with her. But we can't.Copy !req
596. - St. Louis isn't very far.
- No.Copy !req
597. And I'll have holidays and summers.Copy !req
598. Spending time with her this summer
has made me think about how...Copy !req
599. we've spent way too much time
thinking about ourselves.Copy !req
600. She told me you guys got along
really well.Copy !req
601. Yeah.Copy !req
602. Yeah, it was...Copy !req
603. It was a lot- It was a lot of fun.Copy !req
604. Thank you.Copy !req
605. Is it still Halloween?Copy !req
606. Yes. You have a few more hours left.Copy !req
607. I guess I won't be able to go
trick-or-treating.Copy !req
608. Not this year. I'm sorry.Copy !req
609. Some day, huh?Copy !req
610. That's okay.Copy !req
611. The best part was making
the costume anyway.Copy !req
612. Me and my mom made it together.Copy !req
613. Do you still have my tiara?Copy !req
614. Yes.Copy !req
615. Yes, right here.Copy !req
616. Wait. Let me do that.Copy !req
617. There.Copy !req
618. How do I look?Copy !req
619. Like a beautiful fairy princess.Copy !req
620. No!Copy !req
621. Drink up, Bernie.Copy !req
622. Some people cannot hold their liquor!Copy !req
623. We should mess with his mind.Copy !req
624. You mean the hand in the warm
water trick?Copy !req
625. Not on the couch, Lucy. Come on.Copy !req
626. I got it. I got it.Copy !req
627. Come on, stop it.Copy !req
628. Do you think he's okay?Copy !req
629. Yeah. He's just a lightweight,
that's all.Copy !req
630. He has a strong pulse
and he's still breathing.Copy !req
631. You've been in the ER way too long.Copy !req
632. Let's get this party started right!Copy !req
633. - Willie? Willie?
- What shave his head?Copy !req
634. That would be cruel and unusual.Copy !req
635. This is mean. This is mean!Copy !req
636. You ain't seen nothing yet.Copy !req
637. Even drunk, that should still work.Copy !req
638. No. Stop, stop. Wait, wait. Willie?Copy !req
639. - Willie?
- Willie, wake up!Copy !req
640. Someone needs to call 911,
and go get Carter.Copy !req
641. Get real. If we call Carter, he'll narc.Copy !req
642. Willie's in trouble.
We need to do something.Copy !req
643. Bernie's right. We can handle this.Copy !req
644. This is not class, this is our friend.Copy !req
645. You guys call 911.
I'm gonna go get Carter.Copy !req
646. Dr. Carter?Copy !req
647. Wake up, Dr. Carter!Copy !req
648. Wake up!Copy !req
649. Okay, everybody back off.
Give him some air.Copy !req
650. - Anybody call 911?
- I did, Dr. Carter.Copy !req
651. Come on, Willie, wake up.
Wake up!Copy !req
652. A weak pulse,
but he's not breathing.Copy !req
653. Oh, man.Copy !req
654. - Oh, gross!
- Can I do anything? What can I do?Copy !req
655. - He vomited. That's good, right?
- No, that's bad.Copy !req
656. If he vomits and it gets in his lungs,
he'll die of aspiration pneumonia.Copy !req
657. His parents live in Downers Grove.
Give them a call.Copy !req
658. We're up here! Second floor!Copy !req
659. "X"? What's that?Copy !req
660. - It's liquid Ecstasy.
- What is that?Copy !req
661. It's a narcotic.
Anybody else take it?Copy !req
662. I didn't know Willie took it.Copy !req
663. - Branch took some earlier.
- I can't leave Willie.Copy !req
664. I'll go.Copy !req
665. It was clean. They showed the replay
a million times.Copy !req
666. - It was a joke how offsides they were!
- You're dreaming. Pay up.Copy !req
667. - That was Lucky Liquor.
- A vagrant's best friend?Copy !req
668. They have a guy in a county patient
gown with a IV bag trying to buy beer.Copy !req
669. Whatever happened to
"No shirt, no shoes, no service"?Copy !req
670. They'll stall him until someone
comes for him...Copy !req
671. but they won't hang on all day.Copy !req
672. Tell you what- Hey, Grabarsky.Copy !req
673. You go and pick this guy up
and we're even.Copy !req
674. - How's that sound?
- This drunk a friend?Copy !req
675. No, but he owes me more than you.Copy !req
676. Consider him admitted.Copy !req
677. - Where is he?
- He went to take a shower.Copy !req
678. - How's Willie?
- Paramedics intubated him.Copy !req
679. Liquid Ecstasy.Copy !req
680. You got to admit that you'd think
med students would know better.Copy !req
681. Yeah, you would. Branch! Branch!Copy !req
682. Branch, wake up!
Let's get him out of here.Copy !req
683. - He's not moving air.
- No pulse.Copy !req
684. - Damn it!
- I'll start chest compressions.Copy !req
685. Where's the syringe?Copy !req
686. - Find the paramedics. I'll do CPR.
- Okay.Copy !req
687. Mr. Lubin just spiked to 101.4.
Go ahead and draw a fever workup.Copy !req
688. Draw Setzer for a pre and post
gentamicin level with the 11:00 dose.Copy !req
689. - Hey, how's it going?
- We're rather busy.Copy !req
690. But I've got a great little
intern helping me out.Copy !req
691. Dale, listen. It's 10:30
and you're not even on.Copy !req
692. So sign out the scut.
That's what the on-call team is for.Copy !req
693. Unless you have a problem with that?Copy !req
694. That's fine.Copy !req
695. You ready?Copy !req
696. Give me 10 minutes to get back
into my costume.Copy !req
697. - You're really gonna wear it?
- Of course.Copy !req
698. Okay. When you're ready,
I'll be out front.Copy !req
699. Look, just tell me you wanted
to be an airline pilot.Copy !req
700. Please, I don't even like taking
the puddle-jumper to Cleveland.Copy !req
701. Hurry up.Copy !req
702. This is police harassment!
Remember Rodney King!Copy !req
703. Dr. G, here's your man.
Put up quite a fight.Copy !req
704. Said it's Halloween
and he's just playing dress up.Copy !req
705. I am!Copy !req
706. Grabarsky, it's the wrong guy.Copy !req
707. Lucky Liquor.
Big guy in a hospital gown.Copy !req
708. - He kind of looks like-
- Jerry!Copy !req
709. Lloyd.Copy !req
710. - What are you doing here?
- Who's Lloyd?Copy !req
711. I'm that knucklehead's cousin.Copy !req
712. Who knew they'd hit the genetic
Powerball twice?Copy !req
713. Jerry?Copy !req
714. See, he needed a costume...Copy !req
715. and there's a contest at
the Elks Lodge-Copy !req
716. I won "Honorable Mention".Copy !req
717. Congratulations.Copy !req
718. Need anything else, Doug?Copy !req
719. Other than a 48-hour day?Copy !req
720. I'm leaving.
See you bright and early.Copy !req
721. - Bright and early.
- Yep.Copy !req
722. - Hey, Doug, you did a nice job today.
- Not bad for a rookie Attending.Copy !req
723. Let's see how you do with these.Copy !req
724. What's that?Copy !req
725. Overflow charts for the pediatric
patients in the main ER.Copy !req
726. According to policy,
you need to sign off on them.Copy !req
727. You're loving this, aren't you?Copy !req
728. This Pedes ER isn't such a bad
idea after all.Copy !req
729. Happy Halloween, rookie.Copy !req
730. Branch Crockett and Willie Goldman,
ages 22 and 23.Copy !req
731. Mixed overdose of alcohol and GHB.Copy !req
732. Willie's intubated from
a respiratory arrest.Copy !req
733. Branch came back with epi
after a full arrest.Copy !req
734. A little late-night club-hopping?Copy !req
735. No, med school Halloween party.Copy !req
736. All right, everybody. On my count:Copy !req
737. One, two, three.Copy !req
738. CBC, ABG, lytes, blood alcohol...Copy !req
739. tox screen and a 12-lead.
Call Respiratory for a vent.Copy !req
740. Someone call his parents.Copy !req
741. - Lucy can do that.
- No, I'll help.Copy !req
742. You're drunk.
You don't belong in here.Copy !req
743. Now, get out.Copy !req
744. Peter, have you gone
completely balmy?Copy !req
745. Just getting funky.Copy !req
746. Hey, meet my nephew, Peanut.Copy !req
747. - Nice to meet you.
- Hello.Copy !req
748. It's a hayride?Copy !req
749. - It's a hayride.
- So where to, Uncle Pete?Copy !req
750. Michigan Ave. Pop that 8-track in.Copy !req
751. Solid.Copy !req
752. You don't get it?Copy !req
753. You never figured out
who I wanted to be as a kid.Copy !req
754. Oh, my God!Copy !req
755. Shaft!Copy !req
756. John Shaft.Copy !req
757. Hey, Dr. Weaver. Off to enjoy
All Hallows Eve?Copy !req
758. Actually, I am. I just wanted
to give you this bill.Copy !req
759. Two hundred eighty-nine dollars?Copy !req
760. You're lucky the wheelchair wasn't
damaged. It could've been worse.Copy !req
761. I don't have 300 bucks.Copy !req
762. I've arranged to take it
out of your paycheck.Copy !req
763. Twenty-eight ninety a week
for the next 10 weeks.Copy !req
764. That'll run right into
the holiday season.Copy !req
765. Kerry, got a second?Copy !req
766. Yeah. What's going on?Copy !req
767. I wanted to give you a heads-up
on the committee vote.Copy !req
768. That won't be announced
until tomorrow.Copy !req
769. Well, they've tallied it already,
and they voted for Litvak.Copy !req
770. They're gonna have to widen
the office door for his swollen head.Copy !req
771. Yeah, he's kind of an ass, isn't he?Copy !req
772. Well, if it means anything,
I voted for you.Copy !req
773. Thanks, Mark.Copy !req
774. Which paycheck does this
become effective?Copy !req
775. You know what?Copy !req
776. It doesn't.Copy !req
777. - Are you serious?
- I'm dead serious.Copy !req
778. Give your cousin a wheelchair, give
your maiden aunt a rapid infuser.Copy !req
779. I don't give a damn.Copy !req
780. - You're getting obsessive.
- Did I hand you angiocaths?Copy !req
781. - Yeah. A gross.
- What's a gross?Copy !req
782. One-forty-four, and you did.
Are you listening?Copy !req
783. Yes, I am. All work and no play
makes Doug a dull boy.Copy !req
784. Look at this. I ordered three
cases of Pedialyte, this is Pediazole.Copy !req
785. Doug, you all right?Copy !req
786. Oh, my God! Hold it!Copy !req
787. Put pressure on it!Copy !req
788. You bastard.Copy !req
789. You can dish it out,
you can't take it.Copy !req
790. - Payback is a bitch, isn't it?
- You suck.Copy !req
791. Good evening.
I want to suck your blood.Copy !req
792. No, I'm not kissing back.Copy !req
793. Hey, Dr. Carter.Copy !req
794. - Lucy.
- How are they?Copy !req
795. They'll be fine.Copy !req
796. I don't know what happened.Copy !req
797. One second
we were hanging out, then-Copy !req
798. What happened was two of your
classmates almost died.Copy !req
799. I didn't know they were doing GHB.Copy !req
800. You were in charge of the party.Copy !req
801. I broke it up when things got out
of hand. You continued to party.Copy !req
802. Two guys rolled out of here
on gurneys.Copy !req
803. Did I miss anything?Copy !req
804. The part about me not being able
to police everyone.Copy !req
805. And about you being the
Resident Adviser and the one in charge.Copy !req
806. You're right, Lucy. I'm in charge.Copy !req
807. It was stupid of me to think you were
mature enough to take responsibility.Copy !req
808. I never knew you didn't have rhythm.Copy !req
809. You're messing up the greatest song.
Here we go.Copy !req
810. - What is that?
- It's my tambourine!Copy !req
811. That's a tambourine?Copy !req
812. Come on, come on, come on.
Get some rhythm in here.Copy !req