1. Previously on ER…Copy !req
2. I feel terrible about what's happened.Copy !req
3. Which part? Me being crippled
or you being sued for malpractice?Copy !req
4. I took some vicodin out of a patient's
prescription bottle and I swallowed them.Copy !req
5. - Did you successfully expel them?
- Yes.Copy !req
6. - Coming back to work soon?
- Oh, next week I hope.Copy !req
7. I heard you're doing immune therapy.Copy !req
8. As soon as the tumor
vaccine is ready.Copy !req
9. I am sorry, I can't stay.Copy !req
10. - I'll send in a surgical resident.
- Where do you think you're going?Copy !req
11. I'm sorry.Copy !req
12. Lizzie, get your ass
over here, now!Copy !req
13. Look, I know it's been tense
between usCopy !req
14. and I really don't mean it to be.Copy !req
15. In a few weeks, we'll just be friendly
coworkers all over again.Copy !req
16. I'm not sure that's what I want.Copy !req
17. Kerry, I'm gonna put
a fresh towel on the sink for you.Copy !req
18. Okay, thank you.Copy !req
19. - What time does your shift start?
- Uh…Copy !req
20. - 9:00.
- Oh.Copy !req
21. You better hurry up.
Do you want some coffee?Copy !req
22. - Sure. Thanks.
- Okay.Copy !req
23. - That looks good on you.
- What?Copy !req
24. - My blouse.
- Oh, yeah. It's not too long?Copy !req
25. No.Copy !req
26. It's a good thing I have
a 40-gallon water heater.Copy !req
27. - What?
- You take long showers.Copy !req
28. - I'm sorry.
- No. No. So do I.Copy !req
29. Sometimes I have to stand in there
for 20 minutesCopy !req
30. just to wake up when it's cold.Copy !req
31. Especially in winter.Copy !req
32. - Is it cold outside?
- Low 20s. Do you want a bagel?Copy !req
33. No, thanks.
I'll get something at work.Copy !req
34. - You okay?
- Yeah, I got it.Copy !req
35. No, I meant about us.
The first time can be a little…Copy !req
36. No. It's just… It's just different.Copy !req
37. That's true.Copy !req
38. - But good.
- Really?Copy !req
39. Yeah.Copy !req
40. I'll see you at work.Copy !req
41. - Yeah.
- Okay.Copy !req
42. I'll see you later.Copy !req
43. Um…Copy !req
44. I'm sorry, I know this is understood,
but I just…Copy !req
45. This is just gonna be
between us, right?Copy !req
46. Of course.Copy !req
47. I'll get the door.Copy !req
48. Open a GAI-50
and a TA-55 on the resection.Copy !req
49. No need, Peter.
I gave it to Henderson.Copy !req
50. - What?
- Page us if the CAT scan shows free air.Copy !req
51. Come on, let's go.Copy !req
52. - Where are we going?
- I got a chore for you.Copy !req
53. - You know what? I'm a little busy.
- Yeah, so am I. Let's go.Copy !req
54. So, Peter, how is this per diem situation
working out for you?Copy !req
55. - Could be a lot better.
- Really? What's the problem?Copy !req
56. - Where are we going?
- Are you dissatisfied in some way?Copy !req
57. Besides being grossly underpaid?Copy !req
58. Ah, well. Would a $10,000 a year raise
and a limited benefits package help?Copy !req
59. - What?
- Okay, let's make it $20,000Copy !req
60. but that's my final offerCopy !req
61. and you'll have to take on some
administrative responsibilities.Copy !req
62. - You're serious?
- Yeah.Copy !req
63. Look, you've been doing your penance,
you've been working hardCopy !req
64. displaying dedication
and appropriate amount of groveling.Copy !req
65. I have to be a complete sadist
if I didn't ease up eventually.Copy !req
66. - What do I have to do?
- Oh, a little of this, a little of that.Copy !req
67. It will take you
more than few hours a month.Copy !req
68. What's in it for you?Copy !req
69. All right, fine, forget it.
Go back to Surgery.Copy !req
70. - Hey, I'm just asking.
- Do you want the bump or don't you?Copy !req
71. - Sure.
- So we have a deal?Copy !req
72. Yeah.Copy !req
73. Okay. Let's go. This way, please.Copy !req
74. Sorry for the delay, everybody.Copy !req
75. Dr. Benton had to finish a complicated
pancreaticoduodenectomyCopy !req
76. on a gunshot wound to the abdomen.Copy !req
77. Come on in, Peter. Don't be shy.
Come on. Come on.Copy !req
78. Okay, now, as you are all aware,Copy !req
79. we at the county level are very concerned
about the declining numbersCopy !req
80. of minority medical school students
and faculty physicians.Copy !req
81. Not only here in Chicago,
but nationwide.Copy !req
82. The medical school is committed
to addressing this issue.Copy !req
83. And as part of that commitment,Copy !req
84. I'm appointing a Director of Diversity
for the medical center: Dr. Peter Benton.Copy !req
85. Dr. Benton's bio and resume can be found
in your handout materials.Copy !req
86. So, he's all yours.Copy !req
87. Dr. Benton, is your appointment
the direct resultCopy !req
88. of the investigative report
about the declining numbersCopy !req
89. of African-Americans being admitted
to medical school?Copy !req
90. I…Copy !req
91. Well, I mean, you know…Copy !req
92. It could be a part of it.Copy !req
93. How can you ensure minority representation
at the medical schoolCopy !req
94. in this post-affirmative action era?Copy !req
95. - Is he drinking?
- Just water.Copy !req
96. He had a little rice three days ago.Copy !req
97. Did you start an IV?Copy !req
98. We can't give him without a court order.Copy !req
99. - Call Dr. Samson.
- Dr. Samson doesn't work here anymore.Copy !req
100. - What?
- Dr. Miller treats your cousin now.Copy !req
101. Fine. Call him.Copy !req
102. That's probably not necessary
now that you're here.Copy !req
103. - Why's that?
- I think he's just lonely.Copy !req
104. Can you get me a protein shake
or something?Copy !req
105. Hey, Chase.Copy !req
106. It's John.Copy !req
107. Mind if I sit down?Copy !req
108. Hey, I'm sorry that I haven't been
around here very much.Copy !req
109. I've been busy.Copy !req
110. For a year?Copy !req
111. You're right.Copy !req
112. You're right. That's not an excuse.Copy !req
113. Hey, your speech sounds good.Copy !req
114. You been getting around much?Copy !req
115. No.Copy !req
116. Here you go.Copy !req
117. You know, you gotta eat something, Chase.Copy !req
118. - No.
- Why not? What's the matter?Copy !req
119. - Come on, just take a sip.
- No.Copy !req
120. - Just take a little sip.
- No!Copy !req
121. - Maybe later.
- Go away.Copy !req
122. - Okay let me know if this hurts.
- Ow! Hell, yes.Copy !req
123. - Wuss.
- You want another beating, keep talking.Copy !req
124. - I'm sitting right here.
- This is his sparring partner, Walter.Copy !req
125. - Lip lac and a possible broken jaw.
- Aren't you guys too old to be fighting?Copy !req
126. - Never too old to defend a lady's honor.
- This was over a woman?Copy !req
127. Grace is in all her steps.Copy !req
128. Beauty in her eyes.
In every gesture, dignity and love.Copy !req
129. Don't let him fool you.
He stole that from a book.Copy !req
130. At least I know how to read.Copy !req
131. - Yeah. With your lips moving.
- Lip?Copy !req
132. Okay, okay.Copy !req
133. Let's start with 6-0 nylon. Let's try
and keep these kids apart, shall we?Copy !req
134. Hey, Mark.Copy !req
135. - Morning, Kerry.
- How's it going?Copy !req
136. Hello. Well, snow blower blew
a rock into a guy's larynx.Copy !req
137. - I had to trache him.
- No. I meant with you.Copy !req
138. - You know, first day back.
- So far, so good.Copy !req
139. I'll let you know at the end
of my four hours.Copy !req
140. We getting a little backed up?Copy !req
141. Three patients waiting
for a surgical consult.Copy !req
142. Who's on the service?Copy !req
143. Peter. But she's stuck
in a press conference.Copy !req
144. - Who?
- Peter. She's been in for an hour.Copy !req
145. - Who's "she"?
- What?Copy !req
146. Right, I mean,
who's giving a press conference?Copy !req
147. Well, I don't know what it is for.
But I heard Peter's in it.Copy !req
148. - Kerry?
- Yeah.Copy !req
149. Can you call Radiology? They sent
this guy back without his filmsCopy !req
150. and they won't tache him down.Copy !req
151. Is there any bone exposed?Copy !req
152. Yeah, I have to rongeur it.
I need the x-ray.Copy !req
153. - How'd it happen?
- I don't know. They just lost it.Copy !req
154. - No. The finger.
- I don't know. He won't say.Copy !req
155. - No.
- Chuny already tried.Copy !req
156. Looks like some kind of saw.Copy !req
157. What did he say?Copy !req
158. I told you.Copy !req
159. - Someone bring him in?
- I think he took a cab.Copy !req
160. What cab company?Copy !req
161. - Nobody saw him arrive?
- Malik was out there. Why?Copy !req
162. - We should put a call in to OSHA.
- OSHA?Copy !req
163. They monitor workplace safety
requirements. He's probably illegalCopy !req
164. and not saying anything
because he doesn't wanna lose his job.Copy !req
165. - That's his choice, isn't it?
- Until someone gets seriously hurt.Copy !req
166. I'll call, find out
where they picked him up.Copy !req
167. I just need you to call Radiology.Copy !req
168. I gave you a promotion,
what are you crying about?Copy !req
169. You should have talked it
over with me first.Copy !req
170. I did talk to you about it.Copy !req
171. I said a little extra money
for added responsibility.Copy !req
172. - I don't like being used.
- Everyone is used, Peter.Copy !req
173. It's what makes the world go round.Copy !req
174. The only reason you gave me that job
is because I'm black.Copy !req
175. Well, you're discounting your finely
honed public relations skills.Copy !req
176. - I don't want it.
- Sure you do.Copy !req
177. - Nope, I don't.
- You should have thought of thatCopy !req
178. before your press conference.
Look, surprise, yes.Copy !req
179. I need a minority to be
the Director of Diversity.Copy !req
180. But it's not going to require
any real work.Copy !req
181. It's gonna get you that much closer
to a full-time faculty position.Copy !req
182. So, please, get over yourself.Copy !req
183. You know what, you can find somebody else
to be your poster boy.Copy !req
184. Well, the truth is I don't have
anyone else.Copy !req
185. Which is a perfect example
of why the diversity issueCopy !req
186. needs your immediate attention.Copy !req
187. - You don't even believe that.
- Actually, I do.Copy !req
188. But look, it doesn't really matter,
does it?Copy !req
189. It's on your shoulders now. Excuse me.
I have a meeting.Copy !req
190. Time's up, Peter.Copy !req
191. - Did I misread the schedule?
- What schedule?Copy !req
192. You canceled six elective cases
in the past week.Copy !req
193. They weren't canceled,
they were rescheduled.Copy !req
194. Which means canceled.Copy !req
195. One had a fever,
another had a family emergency.Copy !req
196. All of them happen to be
the more complex procedures.Copy !req
197. If that's true, its simple coincidence.
I assure you.Copy !req
198. Look, I've been completely slammed
by this jacko review.Copy !req
199. Nothing seems to be up to standard
at the moment.Copy !req
200. I have every confidence in you
that you'll get them up to standard,Copy !req
201. but I also need an associate chief
of surgery who actually performs surgery.Copy !req
202. I do.Copy !req
203. I will gladly. Once I get out
from under all of this.Copy !req
204. - No, today. You're covering the ER.
- Robert, they're coming on Monday.Copy !req
205. You only have to go there
if they page you.Copy !req
206. - Are you married?
- No.Copy !req
207. - Oh, a cute girl like yourself?
- Well, he didn't crack your skull.Copy !req
208. What?Copy !req
209. There's no blood behind your eardrum.
He didn't crack your skull.Copy !req
210. He couldn't crack a smile.
I'm a big proponent of marriage.Copy !req
211. Of course, you gotta be married
to the right person.Copy !req
212. - Is that a proposal?
- We have to get to know each other first.Copy !req
213. Well, we're gonna have to wait
on the x-ray of your hand.Copy !req
214. But I don't see any other injuries.
Is anything else hurt?Copy !req
215. Nothing I don't want to talk about
in mixed company.Copy !req
216. Well, I'm a nurse.Copy !req
217. Just a second, if I'm gonna talk to you
about my private parts,Copy !req
218. I'd prefer to do it in a social setting.Copy !req
219. - Does it hurt when you pee?
- Yeah. How did you know?Copy !req
220. - Do you have an enlarged prostate?
- It's large enough.Copy !req
221. Well, it could be prostatitis.
I'm gonna need a urine sample.Copy !req
222. You'll have to hold it a little lower.Copy !req
223. I am going to show you
to the bathroom.Copy !req
224. You know actually,
it feels more like something you pick up.Copy !req
225. - Pick up?
- A burning. I got it once beforeCopy !req
226. when I was stationed in Korea.Copy !req
227. From sex?Copy !req
228. Well, I didn't get it from dancing.Copy !req
229. Abby, we need you. Grab a 100
of mannitol. Gunshot wound to the head.Copy !req
230. Okay. I'll be right back. Pee in that.Copy !req
231. From here?Copy !req
232. - …Asystolic after two liters.
- What do you want for labs?Copy !req
233. Full trauma panel. Get a C-spine.
Cross him for four.Copy !req
234. On my count. One, two, three.Copy !req
235. - Sinus at 65. Rate's coming down.
- What is it?Copy !req
236. Fifteen-year-old
with self-inflicted gunshotCopy !req
237. to the right temple at close range.Copy !req
238. - Pupils are fixed and dilated.
- Was there a suicide note?Copy !req
239. No. His friend claimed
they were playing Russian roulette.Copy !req
240. - God!
- Guy's behind us.Copy !req
241. Bullet blew through this one
and grazed his cheek.Copy !req
242. - No response to painful stimuli.
- I smell alcohol. He could just be drunk.Copy !req
243. Dropped his systolic to 70.
Bradying down to 50.Copy !req
244. - Open the fluids. Pump in O-neg.
- What are you doing?Copy !req
245. Massive blood loss from his skull.
That could be the cause of his low BP.Copy !req
246. Or he could have blown out
his brain stem.Copy !req
247. - Crit's 39.
- Doesn't sound like blood loss.Copy !req
248. - So, do you want O-neg?
- But if you wanna try transfusing him…Copy !req
249. Uh… yes, hang two units on the infuser.
I'll put in a central line.Copy !req
250. - What?
- Nothing.Copy !req
251. - Is this the other guy?
- Yeah.Copy !req
252. Superficial abrasion.
Left cheek, cranial nerves intact.Copy !req
253. - You were playing Russian roulette?
- What?Copy !req
254. - They were playing Russian roulette.
- It was his idea.Copy !req
255. - How old are you?
- Why?Copy !req
256. - How old are you?
- He wanted to play.Copy !req
257. - Mark, I got this.
- What, 20?Copy !req
258. - Nineteen.
- He's 15-years-old.Copy !req
259. He's drunk. I could smell the alcohol
from across the room.Copy !req
260. He came over that way.Copy !req
261. - You didn't give her anything to drink?
- Who?Copy !req
262. Your friend.Copy !req
263. He brought a case of beer
along with his dad's gun.Copy !req
264. And you made him hold the gun
up to his head.Copy !req
265. I didn't make him do anything.
Hell, I went first.Copy !req
266. - It was his idea, but you went first?
- Yeah, better odds.Copy !req
267. - Better odds?
- That's the point of the game.Copy !req
268. It's not a game!
She blew his brains out!Copy !req
269. - Who's "she"?
- What?Copy !req
270. - You said she.
- He! He's dead.Copy !req
271. He loaded the bullet.
He knew what could happen.Copy !req
272. Where are the police?
Why aren't they arresting this idiot?Copy !req
273. - I didn't kill him.
- The hell you didn't.Copy !req
274. Did you call it?Copy !req
275. Yeah. After six units of blood
and 45 minutes of CPR.Copy !req
276. - I should never have started.
- You wanted to make sure.Copy !req
277. Rubbish. You would have called it
from the beginning.Copy !req
278. - Yeah. But I'm lazy.
- Mark, please.Copy !req
279. You wanted to give it a chance.
No big failure.Copy !req
280. - I'm going back upstairs.
- Later, gator.Copy !req
281. - Hey, are you taking it easy?
- Yes, Mom.Copy !req
282. Yeah, it came back from the dry cleaners
like that. Smell it. It smells great.Copy !req
283. - So anyway, he's not psychotic?
- No. Sociopathic, maybe.Copy !req
284. But, no, I can't hold him.
We'll leave it up to the police.Copy !req
285. - Thanks.
- Anytime.Copy !req
286. - So, Elizabeth?
- Yeah?Copy !req
287. - Is Mark doing okay?
- Very well.Copy !req
288. - There's no change in personality or…
- He's a little tired. Why?Copy !req
289. Have you noticed
that he's mixing his pronouns?Copy !req
290. Mixing? How?Copy !req
291. Like saying "she"
when he means "he."Copy !req
292. Uh…Copy !req
293. No, there's nothing that I've noticed.
Has he said anything to you about it?Copy !req
294. - I don't think he realizes.
- Well then, maybe you've misheard.Copy !req
295. Yeah. Maybe.Copy !req
296. - Dr. Weaver. Starting my shift.
- Yeah. Okay.Copy !req
297. You wanted to see me
before I started my shift.Copy !req
298. Right. Well, uh…Copy !req
299. I've been thinking about it.Copy !req
300. The fact that you told me that,
claimed responsibility.Copy !req
301. I think it is a positive sign.
Therefore, I feel that I can'tCopy !req
302. summarily dismiss you.Copy !req
303. - But?
- What chip are you up to?Copy !req
304. - What?
- Your AA chip.Copy !req
305. - How many days of sobriety?
- Two hundred and forty.Copy !req
306. Okay, give it to me.Copy !req
307. It's… It's at home.Copy !req
308. All right. Well, you're starting over.Copy !req
309. Day 1, another 90 days,Copy !req
310. another 90 meetings.
And I need documentation.Copy !req
311. And you'll go back to not administeringCopy !req
312. or distributing any scheduled narcotics
or benzos until further notice.Copy !req
313. But that's it, Cater. Even the smallest
infraction and you no longer work here.Copy !req
314. - Is that clear? Good.
- Understood. Thank you.Copy !req
315. Don't make me regret it, John.Copy !req
316. - How are you doing, Mr. Nicolaides?
- Call me Walter.Copy !req
317. Walter.Copy !req
318. I'd be doing a whole lot better
with a sponge bath.Copy !req
319. - You want a bath?
- Yes, please.Copy !req
320. Malik.Copy !req
321. Yeah. What?Copy !req
322. Oh, no. I'm fine.Copy !req
323. - Really. I was just kidding.
- Okay. Never mind.Copy !req
324. - Whatever.
- Jeez.Copy !req
325. - You're a real firecracker, aren't you?
- That's me. Nurse Firecracker.Copy !req
326. - Married?
- None of your business.Copy !req
327. My second wife was a spinster.
Married her when she was 32.Copy !req
328. Well, just waiting
for the right guy, I guess.Copy !req
329. Damn right.Copy !req
330. We were married for another 32 years
before she passed.Copy !req
331. But don't worry, because feisty gals
like you always take a little longer.Copy !req
332. I wasn't the one who
was brought in for fighting.Copy !req
333. Well, Earl started that.
He was flirting with my Victoria.Copy !req
334. - Who's Victoria?
- My lady friend.Copy !req
335. Are the two of you intimate?Copy !req
336. Well, I still get up a full head of steam,
if that's what you're driving at.Copy !req
337. I see. Tell me, Walter,Copy !req
338. have you been experiencing
any burning when you pee?Copy !req
339. I mean, it was cool at first.Copy !req
340. But then my girlfriend
went to work and it just stayed like that.Copy !req
341. - Have you taken any drugs lately, Gary?
- A little coke.Copy !req
342. Okay, that'll do it.
Have you tried masturbating?Copy !req
343. No. I'm a Christian.Copy !req
344. Well, too bad. Sometimes that helps.Copy !req
345. - Guess we'll have to drain it.
- How?Copy !req
346. With a needle.Copy !req
347. - Do you have a men's room around?
- Yeah. Down the hall to the left.Copy !req
348. I'll check back.Copy !req
349. - How do you know she's gay?
- It's obvious.Copy !req
350. - The fibroids actively bleeding?
- Crit is down to 28.Copy !req
351. I mean, why risk multiple transfusions
if she's not going to use it anyway?Copy !req
352. - Use what?
- Her uterus.Copy !req
353. - Oh, come on!
- You can tell. Check her out.Copy !req
354. These files, Dr. Benton's med school
admissions committee. He doesn't haveCopy !req
355. - a box anymore so they came back.
- It doesn't ensureCopy !req
356. they won't come back. A hysterectomy
is the safest way to go, man.Copy !req
357. Dr. Weaver?Copy !req
358. Uh, lounge.Copy !req
359. I mean, I'll just make sure
she understands the risks.Copy !req
360. Hey, Malucci, be careful.
I don't want a lawsuit.Copy !req
361. Hey, I'm the king of couth, Chief.Copy !req
362. Great. Storm's back.
It's snowing again.Copy !req
363. - Is this my hand x-ray?
- Does it have your name on it?Copy !req
364. - Yes.
- Then it's yours.Copy !req
365. Orbie Coronado from OSHA
called back.Copy !req
366. She thanks you for the address,
wants to let you knowCopy !req
367. someone from the INS
may be calling.Copy !req
368. Wait a minute,
I didn't want them to call the INS.Copy !req
369. Is that my patient?Copy !req
370. Apparently, they've been having problems
with furniture sweatshops in that area.Copy !req
371. Call them back.
I need to know what they said.Copy !req
372. That's great, Kerry.Copy !req
373. Hey, we have a responsibility to report
unsafe working conditions.Copy !req
374. You don't know that.Copy !req
375. - He wouldn't even say how he cut it.
- He was scared.Copy !req
376. - Yeah, scared of getting deported.
- Nobody's getting deported.Copy !req
377. Why the hell not?
If he's illegal, he's illegal.Copy !req
378. - I mean, who's paying for this job?
- Shut up, Frank.Copy !req
379. Hi.Copy !req
380. Hey, I heard you got stuck
with a couple of grumpy old men.Copy !req
381. Well, horny old men is more like it.Copy !req
382. - They both have chlamydia.
- How old are they?Copy !req
383. Late 70s. It seems to be
going around their nursing home.Copy !req
384. Nice to know there's more than
shuffleboard in our futures.Copy !req
385. Do you want Mr. Baker,
20-year-old sickler in crisis?Copy !req
386. - Better not.
- Why not?Copy !req
387. Because I'm back to not pushing narcotics.Copy !req
388. - You told Weaver?
- Yeah.Copy !req
389. - She was okay?
- Not okay. But she let me stayCopy !req
390. - with a few reinforced restrictions.
- Good for you.Copy !req
391. - I guess.
- No, I mean it.Copy !req
392. Thanks for the push.Copy !req
393. - Carter, wound check in five has…
- I'm coming.Copy !req
394. - I'm coming.
- He's getting difficult.Copy !req
395. Both EKGs are normal.
Cardiac enzymes are normal.Copy !req
396. I just talked with his cardiologist.Copy !req
397. He said he should have
a treadmill test and maybe an angiogram.Copy !req
398. - Probably meant as an outpatient.
- He didn't say that.Copy !req
399. That's what he meant.Copy !req
400. Keep taking your medications as directed
and come back if there are any problems.Copy !req
401. That's it?Copy !req
402. Make sure you see your cardiologist
who you made that call.Copy !req
403. You're not gonna admit him
to the hospital?Copy !req
404. - No.
- Georgia, honey, really. It's all right.Copy !req
405. - I want him checked in.
- This isn't a hotel.Copy !req
406. Told you we shouldn't have gone
to a county hospital.Copy !req
407. - Is there another doctor?
- Georgia…Copy !req
408. I want a second opinion.Copy !req
409. Okay. Here's your second opinion.Copy !req
410. Your husband's overweight.Copy !req
411. He suffers from stable angina.
He needs to stop drinking and smoking.Copy !req
412. He needs to lay off the pizza, burgers
and fries and get some exercise.Copy !req
413. Otherwise, all the second opinions
in the worldCopy !req
414. are not gonna keep him from dropping dead
in the next two years.Copy !req
415. - I'll clear the Trauma Rooms.
- Notify the respiratory ICU.Copy !req
416. I'm calling the blood bank.Copy !req
417. Get eight units of O-neg
and every bag of Ringer's the center has.Copy !req
418. Carter, what's going on?Copy !req
419. Rescue's bringing in multiple victims
of a basement fire.Copy !req
420. Smoke inhalation, crush injuries…Copy !req
421. - How many?
- I don't know.Copy !req
422. They said they were too busy to count.Copy !req
423. - You call the O.R.?
- Yeah.Copy !req
424. - ETA?
- They're rolling in.Copy !req
425. Mark, you get this,
I'll take the one on the end.Copy !req
426. Marshall, take this burn
to the right arm and face.Copy !req
427. - What happened?
- Some kinda raid.Copy !req
428. A bunch of workers got trapped.
BP 120/60, pulse 92.Copy !req
429. Better keep her on O-2
and check carboxyhemoglobin level.Copy !req
430. Give.5 of albuterol.
Mark, I thought you were off.Copy !req
431. - Not anymore.
- You need to take it easy.Copy !req
432. - Not much chance of that.
- Why don't you go triage?Copy !req
433. We'll flush out the joint upstairs.Copy !req
434. I threw her in the front seat
as I pulled out.Copy !req
435. - Any burns?
- It's a superficial lac to the right calf.Copy !req
436. - What's she saying?
- She's saying she wants her mom.Copy !req
437. Smoke inhalation
with pleuritic chest pain.Copy !req
438. Malik, I need a blood gas
on this guy right away.Copy !req
439. - Portable chest?
- Yeah. Get me a 12-lead.Copy !req
440. Got an INS officer who crushed his pelvis.
Decrease thigh floss.Copy !req
441. - Any shortness of breath?
- Did they get out?Copy !req
442. - Who?
- We only got half of them out.Copy !req
443. They had the windows
to the place barred shut.Copy !req
444. - What place?
- We got a tip on an illegal sweatshop.Copy !req
445. - We went there and it started burning.
- Sats are down to 82.Copy !req
446. Dr. Weaver, his pulse ox is falling.Copy !req
447. Put him on 15 liters.
Open an intubation tray.Copy !req
448. He needs a trauma consult now. Go!Copy !req
449. Sorry, doc.Copy !req
450. Decreased breath sounds on the left.
Carter, can you take this?Copy !req
451. Possible pneumothorax.Copy !req
452. - Yeah. Trauma two.
- Luka?Copy !req
453. Thirty-year-old male,
burns over most of his body.Copy !req
454. BP, 100/70. Pulse, 120.Copy !req
455. - Where should we go?
- Just get him out of the hallway.Copy !req
456. - How much fluid in?
- One liter Ringer's and ten of morphine.Copy !req
457. Okay, give another round of both.
I need a sterile gown and gloves.Copy !req
458. You know each other?Copy !req
459. They work together.Copy !req
460. Mark. Mark! What's open?Copy !req
461. I don't know.
Try the Suture Room.Copy !req
462. - Suture Room. Go!
- He needs an NG tube and a Foley.Copy !req
463. - We're out of I&D kits.
- Use suture-removal kits for debriding.Copy !req
464. CBC, chem panel and cardiac enzymes.Copy !req
465. - What do we got?
- Possible burns.Copy !req
466. She may have touched a hot power line
while helping her daughter.Copy !req
467. - She doesn't know what happened.
- How old?Copy !req
468. Five. First name, Araceli.Copy !req
469. Haleh, call Dispatch. See if they have
a 20 on a five-year-old girl.Copy !req
470. Good air entry, scattered rales
bilaterally. Put her on a pulse ox.Copy !req
471. - Got an exit wound here.
- Here's the entry.Copy !req
472. - She's burned from the inside out.
- What was the voltage of the line?Copy !req
473. - I don't know.
- Get on the phone with the commanderCopy !req
474. - and find out.
- Pulse ox, 89.Copy !req
475. Put him up to five liters.Copy !req
476. Take it easy. Just lay back.
Just lay back.Copy !req
477. - Titrate another ten of morphine.
- Twenty percent partial-thickness burns.Copy !req
478. He needs a chest tube on the lung.Copy !req
479. Lilly, I need to prep
for an escharotomy.Copy !req
480. - That doesn't sound very good.
- Can you set upCopy !req
481. - a fiber-optic laryngoscope?
- In a sec!Copy !req
482. - I need it now!
- Go, go, go, go. I got it!Copy !req
483. Carter, can you help me prep the chest?Copy !req
484. - I'm losing pulses.
- How fast do you need the fluids?Copy !req
485. I'm estimating 92 percent
surface area burns.Copy !req
486. Start Ringer's at 1700 cc's per hour.Copy !req
487. Setting at 91 on 15 liters.Copy !req
488. Okay. Switch to humidified O-2,
non-rebreather.Copy !req
489. - What?
- He's asking how bad it is.Copy !req
490. Tell him very serious.Copy !req
491. Am I going to die?Copy !req
492. Most likely, yes.Copy !req
493. His finger's swollen.
I can't get his ring off.Copy !req
494. Get the ring cutter.Copy !req
495. - I'm in.
- No persistent pneumo, good tube position.Copy !req
496. - He's still hypotensive.
- You know how it started?Copy !req
497. Paint thinner. I think someone kicked over
a space heater when they ran out.Copy !req
498. - Where's that crit?
- Working on it.Copy !req
499. Borderline widened mediastinum
and a left pleural effusion.Copy !req
500. Might be his aorta.Copy !req
501. - All right. Chest CT. Let's move him.
- Hold on. Crit's low at 31.Copy !req
502. You want to take him up to the O.R.?Copy !req
503. No, I don't want to open him
if I don't have to.Copy !req
504. It could just be an intercostal artery.Copy !req
505. Fine. We'll do
a transesophageal echo.Copy !req
506. Somebody call upstairs
tell them we're on our way.Copy !req
507. - Neck is swollen.
- So are the upper extremities.Copy !req
508. - Where did you find her?
- She came in with Morales.Copy !req
509. - Her sats are dropping, 86.
- Put her on high-flow O-2,Copy !req
510. open saline,
push 80 of lasix.Copy !req
511. High voltage fried every cell
in its path. Her CK is over 2000.Copy !req
512. - Did you check her out?
- She's fine.Copy !req
513. She has a non-displaced fracture
of the tibia.Copy !req
514. - She's okay. See?
- Pulse ox dropping, 82.Copy !req
515. Okay, let's intubate. Abby, take her out.Copy !req
516. - Abby, out. Abby, go.
- She wants you to take care of her, Abby.Copy !req
517. Twenty of etomidate, 100 of sux.Copy !req
518. 8-0 ET tube.Copy !req
519. Relax, relax, relax.Copy !req
520. Okay, okay. Carter, hold him down.Copy !req
521. Hold on. Watch the drape!Copy !req
522. Sats are down to 78.
He's getting hypoxic.Copy !req
523. - All right, push some Versed.
- What?Copy !req
524. - The Versed! Right there! Come on!
- I can't.Copy !req
525. - Why not?
- I'm not allowed to.Copy !req
526. Carter, push the damn Versed!
I got to get this tube in him!Copy !req
527. - Carter, where are you going?
- Hold on.Copy !req
528. - Inflate the tube. Bag her.
- Her complexes are widening.Copy !req
529. Hey, Dave, go put some Versed
on Benton, would you?Copy !req
530. - I'm busy.
- Sats are still dropping.Copy !req
531. I got this. Go ahead.Copy !req
532. She's hyperchloremic. Give her ten units
of insulin and D50.Copy !req
533. - Just do it, will you?
- You do it.Copy !req
534. - Dave, go.
- What?Copy !req
535. Now. Help Benton.Copy !req
536. - You've got a run of six.
- Get a repeat potassium.Copy !req
537. - She's in V-tach.
- Crash cart! Charge to 200.Copy !req
538. - Got a weak femoral pulse.
- Get an amp of bicarb. Clear.Copy !req
539. - Still V-tach. Charging, 300.
- Pressure's 60 palp.Copy !req
540. Clear!Copy !req
541. Pressure's 92/62. Pulse, 110.Copy !req
542. Repeat crit is 28.Copy !req
543. - I can't isolate the aorta.
- You've got to go in now.Copy !req
544. I'm not blind, I don't.Copy !req
545. Come on.Copy !req
546. Come on.Copy !req
547. Okay. There. There's extra
lumenal fluid. He's torn his aorta.Copy !req
548. No kidding.Copy !req
549. Set up a thoracotomy tray.
Call the perfusionist.Copy !req
550. I'll scrub in.Copy !req
551. - Scrub fast.
- How much blood?Copy !req
552. - Eight more units. Type-specific.
- Clear.Copy !req
553. Still in V-tach.Copy !req
554. Three-sixty. 100 of lidocaine
and an amp of calcium.Copy !req
555. - Clear.
- What happened?Copy !req
556. - Lost the pulse.
- She's in V-fib. Let's start CPR.Copy !req
557. I've got it. Benton's taking
your patient up.Copy !req
558. - You get the chest tube in?
- That's not all.Copy !req
559. Clear.Copy !req
560. You had to intubate, huh?Copy !req
561. ARDS. Her sats were low.
I'm taking him to SICU.Copy !req
562. I'm sorry. I'm just not allowed
to push controlled substances.Copy !req
563. - He was about to arrest, Carter.
- It's part of my agreement.Copy !req
564. You know what,
sometimes you make exceptions.Copy !req
565. - No exceptions.
- Well, you don't need to be in there.Copy !req
566. - What?
- If you can't treat a patient,Copy !req
567. - you don't need to be in the room.
- I didn't set the rules.Copy !req
568. Well, sometimes you gotta use
your own judgment.Copy !req
569. It's non-negotiable.
If I push the Versed, I'm outta here.Copy !req
570. How long has it been? Eight months?Copy !req
571. - Yeah.
- This is ridiculous. I'll talk to Weaver.Copy !req
572. - No, no. Don't.
- Dr. Benton, post-intubation film.Copy !req
573. I'll handle it.
It'll just piss her off anyway.Copy !req
574. Yeah, well, you know what?
I'm pissed off. You should be pissed off.Copy !req
575. - Well, it's my problem.
- No, Carter. It's everybody's problem.Copy !req
576. Listen, just don't talk to Weaver. Please.Copy !req
577. Swelling of the upper airway.
We'll intubate after the escharotomy.Copy !req
578. When is he going to die?Copy !req
579. In about a week, from infection.Copy !req
580. Your body won't be able to keep
the bacteria out.Copy !req
581. You'll also get major fluid imbalances
and possible kidney failure.Copy !req
582. We'll have to put a tube down
your throat to help you breathe.Copy !req
583. Can you find his wife?Copy !req
584. Does he have a number?Copy !req
585. No. She's…Copy !req
586. She's in Guatemala
and there's no phone there.Copy !req
587. He has $520 in a little box by his bed.Copy !req
588. He lives in a garage
at 395 Landale Street.Copy !req
589. Can you get it to her?Copy !req
590. Can you get her the money
and tell her what happened to him?Copy !req
591. Yeah.Copy !req
592. Can you tell her I love her?Copy !req
593. I love her very much.Copy !req
594. Okay, 30 of etomidate, six of Pavulon.Copy !req
595. Clear!Copy !req
596. - Fine V-fib.
- Charge again. 360.Copy !req
597. - Potassium is 7.5.
- Pulse ox is 60.Copy !req
598. - How long has she been down?
- Twenty-five minutes.Copy !req
599. Clear!Copy !req
600. Asystole.Copy !req
601. - How much atropine has she been given?
- Two amps.Copy !req
602. - When was the last epi?
- About three minutes ago.Copy !req
603. Okay, that's it.
Time of death, 12:16.Copy !req
604. There was too much internal injury.Copy !req
605. - Yeah.
- There's more.Copy !req
606. Rescue found a guy trapped inside
with a blunt head trauma and blown pupil.Copy !req
607. - All right, let's go.
- I'll clear the room.Copy !req
608. I need better exposure.
Get a large Deaver in here.Copy !req
609. That is a large Deaver.Copy !req
610. Then give me more retraction.Copy !req
611. I can't maintain
his pressure much longer.Copy !req
612. - Metz.
- We need a pump in O.R. four.Copy !req
613. Where's the bypass machine?Copy !req
614. Open heart's going in two O.R.s.Copy !req
615. The first one will be
off the pump in 30 minutes.Copy !req
616. - I need it now.
- Right now. These are my last two units.Copy !req
617. DeBakey.Copy !req
618. Lisa, you go in thereCopy !req
619. you tell them we have an unstable
patient on the table.Copy !req
620. I did. The pump's not available for…
Now it's 29 minutes.Copy !req
621. Pressure's 80.
You've gotta cross-clamp him.Copy !req
622. No, if I do that, I'll cut off circulation
to his spinal cord.Copy !req
623. - Or you could let him bleed out.
- I will not paralyze this man.Copy !req
624. You want to kill him?Copy !req
625. I can't isolate the aorta.Copy !req
626. - Find Romano.
- We can't wait!Copy !req
627. Lisa, now! Go!Copy !req
628. Carter, I've got to go home.Copy !req
629. Girl in Exam 1 needs
a leg-burn debridement.Copy !req
630. Burn Unit's full. Does she need admission?Copy !req
631. No. Give him Thermazine
to use at home.Copy !req
632. - Boy or girl?
- What?Copy !req
633. - You just said "him."
- Carter, I'm really tired.Copy !req
634. - So much for a four-hour shift, huh?
- See you Monday.Copy !req
635. Have a good weekend.Copy !req
636. It's none of your business.Copy !req
637. It is when it effects
patients, Kerry.Copy !req
638. Dr. Carter did
what he was supposed to do.Copy !req
639. The guy's sats were dropping.Copy !req
640. Lilly, this one needs a tetanus booster
and a sterile dressing.Copy !req
641. There was an unnecessary delay.
If I need a resident assistant…Copy !req
642. Peter, you are a surgical consultant!
You do not dictate ER policy!Copy !req
643. This is not policy, Kerry.
This is punishment.Copy !req
644. Peter, we're not having
this conversation.Copy !req
645. This one needs Xeroform
and a tube gauze dressing.Copy !req
646. - In a second.
- Fine.Copy !req
647. - What do you have against him?
- What?Copy !req
648. All right, yeah, he made a mistake.
He got through it.Copy !req
649. Peter, for the last time.Copy !req
650. The terms of Carter's diversion program
are not your concern!Copy !req
651. You know what, Kerry. It's time to let up.Copy !req
652. He's been clean now for what,
eight months?Copy !req
653. Has he?Copy !req
654. - Tenth unit's up.
- Proximal aorta is dissected.Copy !req
655. He's taching at 120.Copy !req
656. Damn it. There's a traumatic
pseudoaneurysm. Where the hell is Romano?Copy !req
657. - I paged him three times.
- Did you check his office?Copy !req
658. - And the staff lounge and the cell phone.
- Get the Resident on call.Copy !req
659. - The Resident?
- Yes! Just get him.Copy !req
660. - BP's 70 and dropping.
- Well, give him two more units.Copy !req
661. - This is all I've got.
- So call the blood bank.Copy !req
662. - They're out of A-positive. I told you.
- Then get O-negative!Copy !req
663. For God's sake. Just keep transfusing him.
Don't you understand I need more time?Copy !req
664. You've got to cross-clamp him now.Copy !req
665. Do you want the Zanger
or the Crawford?Copy !req
666. Dr. Corday?Copy !req
667. Dr. Corday, what clamp?Copy !req
668. Dr. Corday?Copy !req
669. The Crawford. Crawford.Copy !req
670. We'll establish proximal control.
Open a 20mm Dacron.Copy !req
671. Okay. We'll maintain blood flow
to the spinal cordCopy !req
672. by sewing his intercostal arteries
into the graft.Copy !req
673. - BP's down to 60.
- Okay. The clamp's on.Copy !req
674. Dr. Babcock, I need another hematocrit.
Eleven blade.Copy !req
675. Okay. Pressure's up to 80.Copy !req
676. - Better work quick.
- I'm okay. I'm okay.Copy !req
677. Collateral flow should reduce
the risk of paralysis. Okay, cut.Copy !req
678. 3-0 Prolene.Copy !req
679. Hey.Copy !req
680. Boy. Days like today,Copy !req
681. you look down at your watch
and suddenly your shift is over.Copy !req
682. What are those?Copy !req
683. - Med school applications.
- Oh, yeah? Where are you applying to?Copy !req
684. Why the two separate stacks?Copy !req
685. Interviews. No interviews.Copy !req
686. You have a special secret formula there?Copy !req
687. GPA times competitive factor
plus MCAT scores.Copy !req
688. Over 25, you get an interview.Copy !req
689. You don't read the letters
of recommendation?Copy !req
690. After the interview.Copy !req
691. Poor kids.Copy !req
692. I don't know if I would have made it in
if I had the interview with you.Copy !req
693. How'd you get on the committee?Copy !req
694. I'm busy, Carter.Copy !req
695. - Did you talk to Weaver?
- Yep.Copy !req
696. It was nothing and there was a slip.
Not even a slip.Copy !req
697. You know? I threw them up.Copy !req
698. Urine output 75 in the last hour.
Hemoglobin's 10.8.Copy !req
699. Less than 100 cc's
of chest tube output.Copy !req
700. - Is that good?
- All good.Copy !req
701. I just need to do a quick neuro check.Copy !req
702. - For what?
- To check sensation.Copy !req
703. Ow.Copy !req
704. What's so funny?Copy !req
705. Let me see you wiggle your toes.Copy !req
706. - That's excellent.
- Lizzie, you called for me?Copy !req
707. - Yeah. Over an hour ago.
- Well, I'm here now. What's so emergent?Copy !req
708. Will you excuse me?Copy !req
709. We had a little trouble
with an aortic graftCopy !req
710. and I wanted
a second pair of hands.Copy !req
711. Do I need to worry about another lawsuit?Copy !req
712. No. No.Copy !req
713. Things got hairy for a moment.
But I pulled him through.Copy !req
714. - Well, that's your job, isn't it?
- Yes, it is.Copy !req
715. And I am now late for dinner.
Thank you, Elizabeth.Copy !req
716. Thank you.Copy !req
717. It's a good thing they didn't frisk me.Copy !req
718. It's chocolate.Copy !req
719. Go away.Copy !req
720. There's a reason I didn't come
to see you, Chase.Copy !req
721. I thought about coming.
But I didn't.Copy !req
722. And I didn't because I was afraid.Copy !req
723. And I was afraid
because I didn't want to admit…Copy !req
724. When I got stabbed last year at work,
a friend of mine got killed. And I…Copy !req
725. …ended up addicted to painkillers.
And it caught up to me.Copy !req
726. And I started to shoot morphineCopy !req
727. and Demerol and fentanyl
and whatever else I could get my hands on.Copy !req
728. And I don't know what would have happened
if I hadn't got busted.Copy !req
729. But I did, and I went to rehab.Copy !req
730. But I wasn't like any of those people.
I got into this because of an injuryCopy !req
731. because of circumstance.
Because of a near-death experience.Copy !req
732. And they…Copy !req
733. Anyway, it wasn't me. I mean,
it was me, but it wasn't… Anyway.Copy !req
734. I did the program.Copy !req
735. I pretended that I bought into it.
I did everything I was supposed to do.Copy !req
736. Except…Copy !req
737. …believe that I had anything to do
with what had happened. And then…Copy !req
738. I almost relapsed.Copy !req
739. Or I guess I…
I guess I did relapse. Anyway.Copy !req
740. I didn't come to see you, Chase,Copy !req
741. because I didn't want to admit
to the fact that…Copy !req
742. I was just like you.Copy !req
743. In fact, the truth is,Copy !req
744. there's not a day that goes by
that I don't think about getting high.Copy !req
745. It's the first thing I think about
when I wake up in the morning.Copy !req
746. And it's the last thing I think about
when I go to bed at night.Copy !req
747. And I think about it all day.Copy !req
748. I'm a drug addict.Copy !req
749. Did you bring any french fries?Copy !req
750. Did the mom say anything
about any relatives in Chicago?Copy !req
751. - No.
- How about in Guatemala?Copy !req
752. - We didn't have time to ask.
- All right, thanks.Copy !req
753. Hey, what's gonna happen to her?Copy !req
754. Put her in a group home for now.Copy !req
755. Will she be deported?Copy !req
756. Not unless we know
she's going back to family.Copy !req
757. If we don't find anyone,
she becomes a ward of the stateCopy !req
758. and then we look for a Spanish-speaking
foster home.Copy !req
759. - You okay?
- Yeah.Copy !req