1. E.R.Copy !req
2. Previously on E.R.Copy !req
3. I feel terrible about what's happened.Copy !req
4. Which part? Me being crippled
or you getting sued for malpractice?Copy !req
5. I took some Vicodin out of a patient's
prescription bottle and I swallowed them.Copy !req
6. - Did you successfully expel them?
- Yes.Copy !req
7. - You coming back to work soon?
- Next week, I hope.Copy !req
8. I heard you were doing
immune therapy.Copy !req
9. As soon as the tumor vaccine's ready.Copy !req
10. I'm sorry. I can't stay.Copy !req
11. - I'll send in a surgical resident.
- Where do you think you are going?Copy !req
12. - I'm sorry.
- Get your ass over here now!Copy !req
13. Look, I know that it's been tense between us
and I really don't mean it to be.Copy !req
14. In a few weeks we'll just be
friendly co-workers all over again.Copy !req
15. I'm not sure that's what I want.Copy !req
16. E.R. 7x12 "SURRENDER"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?Copy !req
20. - Nine.
- 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. 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 stand under there for 20
minutes just to wake up when it's cold.Copy !req
30. Especially in winter.Copy !req
31. - Is it cold outside?
- Low 20s. Want a bagel?Copy !req
32. No, thanks.
I'll get something at work.Copy !req
33. - You okay?
- Yeah, I got it.Copy !req
34. No, I meant about us.
The first time can be a little...Copy !req
35. No. It's just... It's just different.Copy !req
36. That's true.Copy !req
37. - But good.
- Really?Copy !req
38. Yeah.Copy !req
39. - I'll see you at work.
- Yeah.Copy !req
40. I'll see you later.Copy !req
41. I'm sorry, I know this is understood,
but I just...Copy !req
42. This is just gonna be
between us, right?Copy !req
43. Of course.Copy !req
44. I'll get the door.Copy !req
45. Open a GAl-50 and
a TA-55 on the resection.Copy !req
46. - No need. I gave it to Henderson.
- What?Copy !req
47. Page us if the CAT scan shows free air.
Let's go.Copy !req
48. - Where?
- I got a chore for you.Copy !req
49. - You know what? I'm a little busy.
- So am I. Let's go.Copy !req
50. How is this per diem situation
working out for you?Copy !req
51. - Could be better.
- What's the problem?Copy !req
52. - Where are we going?
- Are you dissatisfied in some way?Copy !req
53. Besides being grossly underpaid?Copy !req
54. Would a $10,000 raise
and a benefits package help?Copy !req
55. - What?
- Let's make it 20,000...Copy !req
56. - ... with some administrative work.
- You're serious?Copy !req
57. Yeah. You've been doing your penance.
Working hard...Copy !req
58. displaying dedication and groveling.
I'd be a sadist if I didn't ease up.Copy !req
59. - What do I have to do?
- Oh, a little of this, a little of that.Copy !req
60. What's in it for you?Copy !req
61. - Forget it. Go back to Surgery.
- I'm just asking.Copy !req
62. Do you want the bump
or don't you?Copy !req
63. - Sure.
- So we have a deal?Copy !req
64. Yeah.Copy !req
65. Okay. Let's go. This way, please.Copy !req
66. Sorry for the delay. Dr. Benton had to
finish a surgery on a gunshot wound.Copy !req
67. Come on in, Peter. Don't be shy.
Come on. Come on.Copy !req
68. We at the county level are concerned
about the declining numbers...Copy !req
69. of minority medical school students
and faculty physicians.Copy !req
70. We are committed to addressing
this issue. As part of that commitment...Copy !req
71. I am appointing a Director of Diversity
for the medical center: Dr. Peter Benton.Copy !req
72. Dr. Benton's bio can be found in
your handout materials. He's all yours.Copy !req
73. Is your appointment the direct result of the
Trip's investigative report about the...Copy !req
74. declining numbers
of African-Americans...Copy !req
75. being admitted to med school?Copy !req
76. I...Copy !req
77. I mean, you know...Copy !req
78. It could be a part of it.Copy !req
79. How can you ensure minority representation
at the medical school...Copy !req
80. in this post-affirmative action era?Copy !req
81. E.R.Copy !req
82. - Is he drinking?
- Just water. He had a little rice.Copy !req
83. - Did you start an IV?
- We can't without a court order.Copy !req
84. - Call Dr. Samson.
- Dr. Samson doesn't work here anymore.Copy !req
85. - What?
- Dr. Miller treats your cousin now.Copy !req
86. - Fine. Call him.
- Probably not necessary now you're here.Copy !req
87. - Why's that?
- I think he's just lonely.Copy !req
88. Can you get me a protein shake
or something?Copy !req
89. Hey, Chase.Copy !req
90. It's John.Copy !req
91. Mind if I sit down?Copy !req
92. Hey, I'm sorry that I haven't
been around here very much.Copy !req
93. I've been busy.Copy !req
94. For a year?Copy !req
95. You're right.Copy !req
96. You're right. That's not an excuse.Copy !req
97. Hey, your speech sounds good.Copy !req
98. You been getting around much?Copy !req
99. No.Copy !req
100. Here you go.Copy !req
101. You gotta eat something, Chase.Copy !req
102. - No.
- Why not? What's the matter?Copy !req
103. - Just take a sip.
- No.Copy !req
104. - Just take a little sip.
- No!Copy !req
105. - Maybe later.
- Go away.Copy !req
106. - Let me know if this hurts.
- Hell, yes.Copy !req
107. - Wuss.
- You want another beating, keep talking.Copy !req
108. - I'm sitting right here.
- This is his sparring partner, Walter.Copy !req
109. - Lip lac and a possible broken jaw.
- Aren't you too old to be fighting?Copy !req
110. Never too old to defend a lady's honor.Copy !req
111. This was over a woman?Copy !req
112. Grace is in all her stepsCopy !req
113. Beauty in her eyes
In every gesture, dignity and loveCopy !req
114. - He stole that from a book.
- At least I know how to read.Copy !req
115. - Yeah. With your lips moving.
- Lip?Copy !req
116. Okay, okay.Copy !req
117. Let's start with 6-0 nylon. Let's try
and keep these kids apart, shall we?Copy !req
118. Hey, Mark.Copy !req
119. - Morning, Kerry.
- How's it going?Copy !req
120. Snow blower blew a rock into
a guy's larynx. I had to trache him.Copy !req
121. - No. I meant with you. First day back.
- So far, so good.Copy !req
122. - I'll let you know in four hours.
- We getting a little backed up?Copy !req
123. - Three patients waiting for a consult.
- Who's on the service?Copy !req
124. Peter. But she's stuck
in a press conference.Copy !req
125. - Who?
- Peter. She's been in for an hour.Copy !req
126. - Who's "she"?
- What?Copy !req
127. - Who's giving a press conference?
- I don't know. But I heard Peter's in it.Copy !req
128. - Kerry?
- Yeah.Copy !req
129. Can you call Radiology? They sent
this guy back without his films.Copy !req
130. - Is there any bone exposed?
- I have to rongeur it. I need the x-ray.Copy !req
131. - How'd it happen?
- They just lost it.Copy !req
132. - No. The finger.
- I don't know. He won't say.Copy !req
133. Chuny already tried.Copy !req
134. Looks like some kind of saw.Copy !req
135. What did he say?Copy !req
136. I told you.Copy !req
137. - Someone bring him in?
- He took a cab.Copy !req
138. What cab company?Copy !req
139. - Nobody saw him arrive?
- Malik was out there. Why?Copy !req
140. - We should put a call in to OSHA.
- OSHA?Copy !req
141. They monitor workplace safety
requirements. He's probably illegal...Copy !req
142. and not saying anything
because he doesn't wanna lose his job.Copy !req
143. - That's his choice, isn't it?
- Until someone gets seriously hurt.Copy !req
144. - I'll find out.
- I just need you to call Radiology.Copy !req
145. - What are you crying about?
- You should have talked to me first.Copy !req
146. I did. I said a little extra money
for added responsibility.Copy !req
147. - I don't like being used.
- Everyone is used.Copy !req
148. - It's what makes the world go round.
- You gave me that job because I'm black.Copy !req
149. You're discounting your
finely honed public relations skills.Copy !req
150. - I don't want it.
- Sure you do.Copy !req
151. You should have thought of that
before your press conference.Copy !req
152. I need a minority to be the director.
But it won't require any real work.Copy !req
153. It'll get you that much closer
to a full-time faculty position.Copy !req
154. You can find somebody else
to be your poster boy.Copy !req
155. Well, the truth is I don't have
anyone else.Copy !req
156. Which is why the diversity issue
needs your immediate attention.Copy !req
157. - You don't even believe that.
- Actually, I do.Copy !req
158. But it doesn't really matter, does it?
It's on your shoulders now. Excuse me.Copy !req
159. Time's up, Peter.Copy !req
160. - Did I misread the schedule?
- What schedule?Copy !req
161. You canceled six cases
in the past week.Copy !req
162. No, they were rescheduled.Copy !req
163. - Which means canceled.
- One had a fever, one had an emergency.Copy !req
164. All of them happen to be
the more complex procedures.Copy !req
165. It's simple coincidence. Look, I've been
completely slammed by this review.Copy !req
166. - Nothing seems to be up to standard.
- I have every confidence in you.Copy !req
167. But I need an associate chief
who actually performs surgery.Copy !req
168. I do.Copy !req
169. I will. Once I get out
from under all of this.Copy !req
170. - No, today. You're covering the ER.
- Robert, they're coming on Monday.Copy !req
171. You only have to go there
if they page you.Copy !req
172. - Are you married?
- No.Copy !req
173. - Oh, a cute girl like yourself?
- Well, he didn't crack your skull.Copy !req
174. What?Copy !req
175. There's no blood.
He didn't crack your skull.Copy !req
176. He couldn't crack a smile.
I'm a big proponent of marriage.Copy !req
177. Of course, you gotta be married
to the right person.Copy !req
178. - Is that a proposal?
- We have to get to know each other first.Copy !req
179. We have to wait for the x-ray. I don't see
any other injuries. Anything else hurt?Copy !req
180. Nothing I want to talk about
in mixed company.Copy !req
181. Well, I'm a nurse.Copy !req
182. If I'm gonna talk to you
about my private parts...Copy !req
183. I'd prefer to do it in a social setting.Copy !req
184. - Does it hurt when you pee?
- Yeah. How did you know?Copy !req
185. - Do you have an enlarged prostate?
- It's large enough.Copy !req
186. Well, it could be prostatitis.
I'm gonna need a urine sample.Copy !req
187. You'll have to hold it a little lower.Copy !req
188. I am going to show you
to the bathroom.Copy !req
189. Actually, it feels more like something
you pick up.Copy !req
190. - Pick up?
- A burning. I got it once before...Copy !req
191. when I was stationed in Korea.Copy !req
192. From sex?Copy !req
193. Well, I didn't get it from dancing.Copy !req
194. Abby, we need you. Grab 100
of mannitol. Gunshot wound to the head.Copy !req
195. - I'll be right back. Pee in that.
- From here?Copy !req
196. - Asystolic after two liters.
- What do you want?Copy !req
197. Full trauma panel. Get a C-spine.
Cross him for four.Copy !req
198. On my count. One, two, three.Copy !req
199. - Sinus at 65. Rate's coming down.
- What is it?Copy !req
200. 15-year-old with self-inflicted
gunshot to the right temple.Copy !req
201. - Pupils are fixed and dilated.
- Was there a suicide note?Copy !req
202. No. His friend said
they were playing Russian roulette.Copy !req
203. Guy's behind us. Bullet blew
through this one and grazed his cheek.Copy !req
204. - No response to painful stimuli.
- I smell alcohol. He could just be drunk.Copy !req
205. Dropped his systolic to 70.
Bradying down to 50.Copy !req
206. - Open the fluids. Pump in O-neg.
- What are you doing?Copy !req
207. Massive blood loss.
Could be the cause of his low BP.Copy !req
208. Or he could have blown out
his brain stem.Copy !req
209. - Crit's 39.
- Doesn't sound like blood loss.Copy !req
210. - You want O-neg?
- But if you wanna try transfusing...Copy !req
211. Hang two units on the infuser.
I'll put in a central line.Copy !req
212. - What?
- Nothing.Copy !req
213. - Is this the other guy?
- Yeah.Copy !req
214. Superficial abrasion.
Left cheek, cranial nerves intact.Copy !req
215. - You were playing Russian roulette?
- What?Copy !req
216. - They were playing Russian roulette.
- It was his idea.Copy !req
217. - How old are you?
- Why?Copy !req
218. - How old?
- He wanted to play.Copy !req
219. - I got this.
- What, 20?Copy !req
220. - Nineteen.
- He's 15.Copy !req
221. - He's drunk. I could smell the alcohol.
- He came over that way.Copy !req
222. - You didn't give her anything?
- Who?Copy !req
223. - Your friend.
- He brought beer and his dad's gun.Copy !req
224. - You made him hold the gun to his head.
- No. Hell, I went first.Copy !req
225. - It was his idea, but you went first?
- Better odds.Copy !req
226. - Better odds?
- That's the point.Copy !req
227. - It's not a game! She blew his brains out!
- Who's "she"?Copy !req
228. - What?
- You said she.Copy !req
229. He! He's dead.Copy !req
230. He loaded the bullet.
He knew what could happen.Copy !req
231. Why aren't the police
arresting this idiot?Copy !req
232. - I didn't kill him.
- The hell you didn't.Copy !req
233. - Did you call it?
- Yeah. After 45 minutes of CPR.Copy !req
234. - I should never have started.
- You wanted to make sure.Copy !req
235. You would have called it
from the beginning.Copy !req
236. - Yeah. But I'm lazy.
- Mark, please.Copy !req
237. You wanted to give it a chance.
No big failure.Copy !req
238. - I'm going back upstairs.
- Later, gator.Copy !req
239. - Hey, are you taking it easy?
- Yes, Mom.Copy !req
240. It came back from the
dry cleaners like that. Smell it.Copy !req
241. - So anyway, he's not psychotic?
- No. Sociopathic, maybe.Copy !req
242. I can't hold him.
We'll leave it up to the police.Copy !req
243. - Thanks.
- Anytime.Copy !req
244. - So, Elizabeth?
- Yeah?Copy !req
245. - Is Mark doing okay?
- Very well.Copy !req
246. - There's no change in personality or...?
- He's a little tired. Why?Copy !req
247. Have you noticed that
he's mixing his pronouns?Copy !req
248. Mixing? How?Copy !req
249. Like saying she
when he means he.Copy !req
250. No. Has he said anything
to you about it?Copy !req
251. - I don't think he realizes.
- Maybe you've misheard.Copy !req
252. Yeah. Maybe.Copy !req
253. - Dr. Weaver. Starting my shift.
- Okay.Copy !req
254. You wanted to see me
before I started my shift.Copy !req
255. I've been thinking about it.
The fact that you claimed responsibility...Copy !req
256. I think is a positive sign.
Therefore, I feel that I can't...Copy !req
257. summarily dismiss you.Copy !req
258. - But?
- What chip are you up to? Your AA chip.Copy !req
259. - How many days of sobriety?
- Two hundred and forty.Copy !req
260. Give it to me.Copy !req
261. It's- It's at home.Copy !req
262. All right. Well, you're starting over.Copy !req
263. Another 90 days, another 90 meetings.
And I need documentation.Copy !req
264. You'll go back to not administering any
narcotics or benzos until further notice.Copy !req
265. But that's it. Even the smallest
infraction and you no longer work here.Copy !req
266. - Understood. Thank you.
- Good.Copy !req
267. Don't make me regret it, John.Copy !req
268. - How are you doing, Mr. Nicolaides?
- Call me Walter.Copy !req
269. I'd be doing a lot better
with a sponge bath.Copy !req
270. - You want a bath?
- Yes, please.Copy !req
271. Malik.Copy !req
272. Yeah. What?Copy !req
273. - Oh, no. I'm fine. I was just kidding.
- Never mind.Copy !req
274. Whatever.Copy !req
275. - You're a real firecracker, aren't you?
- That's me. Nurse Firecracker.Copy !req
276. - Married?
- None of your business.Copy !req
277. My second wife was a spinster.
Married her when she was 32.Copy !req
278. - Waiting for the right guy, I guess.
- Damn right.Copy !req
279. We were married for another 32 years
before she passed.Copy !req
280. But don't worry, because feisty gals
like you always take a little longer.Copy !req
281. I wasn't the one who
was brought in for fighting.Copy !req
282. Well, Earl started that.
He was flirting with my Victoria.Copy !req
283. - Who's Victoria?
- My lady friend.Copy !req
284. Are the two of you intimate?Copy !req
285. I still get up a full head of steam,
if that's what you're driving at.Copy !req
286. I see. Tell me, Walter...Copy !req
287. have you been experiencing
any burning when you pee?Copy !req
288. It was cool at first. Then my girlfriend
went to work and it stayed like that.Copy !req
289. - Have you taken any drugs lately, Gary?
- A little coke.Copy !req
290. Okay, that'll do it.
Have you tried masturbating?Copy !req
291. No. I'm a Christian.Copy !req
292. Well, too bad. Sometimes that helps.Copy !req
293. - Guess we'll have to drain it.
- How?Copy !req
294. With a needle.Copy !req
295. - Do you have a men's room around?
- Down the hall to the left.Copy !req
296. I'll check back.Copy !req
297. - How do you know she's gay?
- It's obvious.Copy !req
298. - Are the fibroids actively bleeding?
- Crit is down to 28.Copy !req
299. Why risk transfusions
if she's not going to use it anyway?Copy !req
300. - Use what?
- Her uterus.Copy !req
301. - Oh, come on!
- You can tell. Check her out.Copy !req
302. These files, Dr. Benton's. He doesn't
have a box anymore so they came back.Copy !req
303. - It doesn't ensure they won't come back.
- A hysterectomy is the safest way.Copy !req
304. Dr. Weaver?Copy !req
305. Lounge.Copy !req
306. I'll make sure
she understands the risks.Copy !req
307. - Be careful. I don't want a lawsuit.
- I'm the king of couth, chief.Copy !req
308. Great. Storm's back. It's snowing again.Copy !req
309. - Is this my hand x-ray?
- Does it have your name on it?Copy !req
310. - Yes.
- Then it's yours.Copy !req
311. Orbie Coronado from OSHA
called back.Copy !req
312. Said someone from the INS
may be calling.Copy !req
313. - I didn't want them to call the INS.
- Is that my patient?Copy !req
314. They've been having problems
with furniture sweatshops in that area.Copy !req
315. - Call them back.
- That's great.Copy !req
316. We have to report
unsafe working conditions.Copy !req
317. - He wouldn't even say how he cut it.
- He was scared.Copy !req
318. - Scared of getting deported.
- Nobody's getting deported.Copy !req
319. Why the hell not?
If he's illegal, he's illegal.Copy !req
320. Shut up, Frank.Copy !req
321. Hey, I heard you got stuck
with grumpy old men.Copy !req
322. - Horny old men. They have chlamydia.
- How old are they?Copy !req
323. Late 70s. It seems to be
going around their nursing home.Copy !req
324. There's more than shuffleboard
in our futures.Copy !req
325. Do you want Mr. Baker,
20-year-old sickler in crisis?Copy !req
326. - Better not.
- Why not?Copy !req
327. Because I'm back to
not pushing narcotics.Copy !req
328. - You told Weaver?
- Yeah.Copy !req
329. - She was okay?
- Not okay. But she let me stay...Copy !req
330. - ... with a few reinforced restrictions.
- Good for you.Copy !req
331. - I guess.
- I mean it.Copy !req
332. Thanks for the push.Copy !req
333. - Carter, wound check in 5 has-
- I'm coming.Copy !req
334. He's getting difficult.Copy !req
335. Both EKGs are normal.
Cardiac enzymes are normal.Copy !req
336. His cardiologist said he should have
a treadmill test and an angiogram.Copy !req
337. - Probably meant as an outpatient.
- He didn't say that.Copy !req
338. That's what he meant.Copy !req
339. Keep taking your medications
and come back if there are any problems.Copy !req
340. That's it?Copy !req
341. - Make sure you see your cardiologist.
- You're not gonna admit him?Copy !req
342. - No.
- Georgia, it's all right.Copy !req
343. - Check him in.
- This isn't a hotel.Copy !req
344. We shouldn't have gone to a county
hospital. I want a second opinion.Copy !req
345. Okay. Here's your second opinion:Copy !req
346. Your husband's overweight.
He needs to stop drinking and smoking.Copy !req
347. He needs to lay off the pizza
and burgers and get some exercise.Copy !req
348. Otherwise, all the second opinions
in the world...Copy !req
349. won't keep him from dropping dead
in the next two years.Copy !req
350. - I'll clear the Trauma Rooms.
- Notify the ICU.Copy !req
351. Get eight units of O-neg
and every bag of Ringer's.Copy !req
352. What's going on?Copy !req
353. Rescue's bringing in victims of a fire.
Smoke inhalation, crush injuries-Copy !req
354. - How many?
- I don't know.Copy !req
355. - You call the O.R.?
- Yeah.Copy !req
356. - ETA?
- They're rolling in.Copy !req
357. - I'll take the one on the end.
- Burn to the right arm and face.Copy !req
358. What happened?Copy !req
359. A raid. A bunch of workers got trapped.Copy !req
360. Better keep her on O-2
and check carboxyhemoglobin level.Copy !req
361. Give. 5 of albuterol.
Mark, I thought you were off.Copy !req
362. - Not anymore.
- You need to take it easy.Copy !req
363. - Not much chance of that.
- Why don't you go triage?Copy !req
364. We'll flush out the joint upstairs.Copy !req
365. I threw her in the front seat
as I pulled out.Copy !req
366. - Any burns?
- It's a superficial lac to the calf.Copy !req
367. - What's she saying?
- She's saying she wants her mom.Copy !req
368. Smoke inhalation with
pleuritic chest pain.Copy !req
369. - Malik, I need a blood gas on this guy.
- Portable chest?Copy !req
370. - Yeah. Get me a 12-lead.
- Got an INS officer with a crushed pelvis.Copy !req
371. - Any shortness of breath?
- Did they get out?Copy !req
372. We only got half of them out.
They had the place barred shut.Copy !req
373. - What place?
- We got a tip on an illegal sweatshop.Copy !req
374. - We went there and it started burning.
- Sats are down to 82.Copy !req
375. Dr. Weaver, his pulse ox is falling.Copy !req
376. Put him on 15 liters. Open an intubation
tray. He needs a trauma consult now.Copy !req
377. Sorry, doc.Copy !req
378. Decreased breath sounds on the left.
Carter, can you take this?Copy !req
379. - Yeah. Trauma 2.
- Luka?Copy !req
380. 30-year-old male, burns over most
of his body. BP, 100/70. Pulse, 120.Copy !req
381. - Where should we go?
- Get him out of the hallway.Copy !req
382. - How much fluid in?
- One liter Ringer's and 10 of morphine.Copy !req
383. Okay, give another round of both.
I need a sterile gown and gloves.Copy !req
384. You know each other?Copy !req
385. They work together.Copy !req
386. Mark.Copy !req
387. - Mark! What's open?
- Try the Suture Room.Copy !req
388. - Suture Room. Go!
- He needs an NG tube and a Foley.Copy !req
389. - We're out of I&D kits.
- Use suture-removal kits for débriding.Copy !req
390. CBC, chem panel and cardiac enzymes.Copy !req
391. Possible burns. She may have touched
a power line while helping her daughter.Copy !req
392. - She doesn't know what happened.
- How old?Copy !req
393. Five. First name, Araceli.Copy !req
394. Haleh, call Dispatch. See if they have
a 20 on a 5-year-old girl.Copy !req
395. Good air entry, scattered rales
bilaterally. Put her on a pulse ox.Copy !req
396. - Got an exit wound here.
- Here's the entry.Copy !req
397. - She's burned from the inside out.
- What was the voltage?Copy !req
398. - I don't know.
- Get on the phone and find out.Copy !req
399. - Pulse ox, 89.
- Put him up to five liters.Copy !req
400. Take it easy. Just lay back.
Just lay back.Copy !req
401. - Titrate another 10 of morphine.
- Twenty percent partial-thickness burns.Copy !req
402. He needs a chest tube.Copy !req
403. - I need to prep for an escharotomy.
- That's not good.Copy !req
404. Can you set up a fiber-optic
laryngoscope? I need it now!Copy !req
405. I got it!
Carter, can you help me prep the chest?Copy !req
406. - I'm losing pulses.
- How fast do you need the fluids?Copy !req
407. I'm estimating 92 percent surface burns.Copy !req
408. Start Ringer's at 1700 cc's per hour.Copy !req
409. Setting at 91 on 15 liters.Copy !req
410. Switch to humidified O-2,
non-rebreather.Copy !req
411. - What?
- He's asking how bad it is.Copy !req
412. Tell him very serious.Copy !req
413. Am I going to die?Copy !req
414. Most likely, yes.Copy !req
415. - Finger's swollen. I can't get his ring off.
- Get the ring cutter.Copy !req
416. - I'm in.
- No pneumo, good tube position.Copy !req
417. - He's still hypotensive.
- You know how it started?Copy !req
418. Paint thinner. Someone kicked over
a heater when they ran out.Copy !req
419. - Where's that crit?
- Working on it.Copy !req
420. Borderline widened mediastinum
and a left pleural effusion.Copy !req
421. Might be his aorta.Copy !req
422. - All right. Chest CT. Let's move him.
- Hold on. Crit's low at 31.Copy !req
423. You want to take him up to the O.R.?Copy !req
424. No, I don't want to open him.
It could just be an intercostal artery.Copy !req
425. Fine. We'll do a transesophageal echo.
Somebody tell them we're on our way.Copy !req
426. - Neck is swollen.
- So are the upper extremities.Copy !req
427. - Where did you find her?
- She came in with Morales.Copy !req
428. - Her sats are dropping, 86.
- Put her on high-flow O-2, open saline.Copy !req
429. High voltage fried every cell
in its path. Her CK is over 2000.Copy !req
430. - Did you check her out?
- A non-displaced fracture of the tibia.Copy !req
431. - She's okay.
- Pulse ox dropping, 82.Copy !req
432. Let's intubate. Abby, take her out.Copy !req
433. - Abby, out.
- She wants you to take care of her.Copy !req
434. Twenty of etomidate, 100 of sux.Copy !req
435. 8-0 ET tube.Copy !req
436. Relax, relax, relax.Copy !req
437. Okay, okay. Carter, hold him down.Copy !req
438. Hold on. Watch the drape!Copy !req
439. Sats are down to 78.
He's getting hypoxic.Copy !req
440. - All right, push some Versed.
- What?Copy !req
441. - The Versed! Right there! Come on!
- I can't.Copy !req
442. - Why?
- I'm not allowed to.Copy !req
443. Push the damn Versed!
I got to get this tube in him!Copy !req
444. - Where are you going?
- Hold on.Copy !req
445. - Inflate the tube. Bag her.
- Her complexes are widening.Copy !req
446. - Dave, go help Benton.
- I'm busy.Copy !req
447. - Sats are still dropping.
- I got this. Go ahead.Copy !req
448. - Give her 10 units of insulin and D50.
- Just do it, will you?Copy !req
449. - You do it.
- Dave, go.Copy !req
450. - What?
- Now. Help Benton.Copy !req
451. - You've got a run of six.
- Get a repeat potassium.Copy !req
452. - She's in V-tach.
- Crash cart! Charge to 200.Copy !req
453. - Got a weak femoral pulse.
- Get an amp of bicarb. Clear.Copy !req
454. - Still V-tach. Charging, 300.
- Pressure's 60 palp.Copy !req
455. Pressure's 92/62. Pulse, 110.Copy !req
456. Repeat crit is 28.Copy !req
457. - I can't isolate the aorta.
- You've got to go in now.Copy !req
458. Not blind, I don't.Copy !req
459. Come on.Copy !req
460. Come on.Copy !req
461. Okay. There. There's extra
lumenal fluid. He's torn his aorta.Copy !req
462. No kidding.Copy !req
463. Set up a thoracotomy tray.
Call the perfusionist. I'll scrub in.Copy !req
464. - Scrub fast.
- How much blood?Copy !req
465. - Eight more units. Type-specific.
- Clear.Copy !req
466. Still in V-tach.Copy !req
467. Three-sixty. 100 of lidocaine
and an amp of calcium.Copy !req
468. - Clear.
- What happened?Copy !req
469. - Lost the pulse.
- She's in V-fib. Let's start CPR.Copy !req
470. - Benton's taking your patient up.
- You get the chest tube in?Copy !req
471. - That's not all.
- Clear.Copy !req
472. - You had to intubate?
- Sats were low. I'm taking him to SICU.Copy !req
473. I'm sorry. I'm not allowed
to push controlled substances.Copy !req
474. - He was about to arrest.
- It's part of my agreement.Copy !req
475. - You make exceptions.
- No exceptions.Copy !req
476. If you can't treat a patient,
you don't need to be in the room.Copy !req
477. - I didn't set the rules.
- Use your own judgment.Copy !req
478. - If I push the Versed, I'm outta here.
- How long has it been? Eight months?Copy !req
479. - Yeah.
- I'll talk to Weaver.Copy !req
480. - No, no. Don't.
- Dr. Benton, post-intubation film.Copy !req
481. I'll handle it.
It'll just piss her off anyway.Copy !req
482. You know what?
I'm pissed off. You should be pissed off.Copy !req
483. - Well, it's my problem.
- No, Carter. It's everybody's problem.Copy !req
484. Just don't talk to Weaver. Please.Copy !req
485. Swelling of the upper airway.
We'll intubate after the escharotomy.Copy !req
486. When is he going to die?Copy !req
487. In about a week, from infection.Copy !req
488. Your body won't be able to keep
the bacteria out.Copy !req
489. You'll also get major fluid imbalances
and possible kidney failure.Copy !req
490. We'll have to put a tube down
your throat to help you breathe.Copy !req
491. Can you find his wife?Copy !req
492. Does he have a number?Copy !req
493. No. She's-Copy !req
494. She's in Guatemala
and there's no phone there.Copy !req
495. He has $520 in a little box by his bed.Copy !req
496. He lives in a garage
at 395 Landale Street.Copy !req
497. Can you get it to her?Copy !req
498. Can you get her the money
and tell her what happened to him?Copy !req
499. Yeah.Copy !req
500. Can you tell her I love her?Copy !req
501. I love her very much.Copy !req
502. Okay, 30 of etomidate, six of Pavulon.Copy !req
503. Clear!Copy !req
504. - Fine V-fib.
- Charge again. 360.Copy !req
505. - Potassium is 7.5.
- Pulse ox is 60.Copy !req
506. - How long has she been down?
- Twenty-five minutes.Copy !req
507. Clear!Copy !req
508. Asystole.Copy !req
509. - How much atropine has she been given?
- Two amps.Copy !req
510. - When was the last epi?
- About three minutes ago.Copy !req
511. Okay, that's it.
Time of death, 12:16.Copy !req
512. - There was too much internal injury.
- Yeah.Copy !req
513. Rescue found a guy trapped inside with
a blunt head trauma and blown pupil.Copy !req
514. - All right, let's go.
- I'll clear the room.Copy !req
515. I need better exposure.
Get a large Deaver in here.Copy !req
516. That is a large Deaver.Copy !req
517. Then give me more retraction.Copy !req
518. - I can't hold his pressure much longer.
- Metz.Copy !req
519. - We need a pump in O.R. 4.
- Where's the bypass machine?Copy !req
520. The first one will be
off the pump in 30 minutes.Copy !req
521. - I need it now.
- Right now. These are my last two units.Copy !req
522. DeBakey.Copy !req
523. Lisa, tell them we have
an unstable patient here.Copy !req
524. I did. The pump's not available for-
Now it's 29 minutes.Copy !req
525. Pressure's 80.
You've gotta cross-clamp him.Copy !req
526. If I do that, I'll cut off circulation
to his spinal cord.Copy !req
527. - Or you could let him bleed out.
- I will not paralyze this man.Copy !req
528. You want to kill him?Copy !req
529. I can't isolate the aorta.Copy !req
530. - Find Romano.
- We can't wait!Copy !req
531. Lisa, now! Go!Copy !req
532. Carter, I've got to go home. Girl in
Exam 1 needs a leg-burn débridement.Copy !req
533. Burn Unit's full. She need admission?Copy !req
534. No. Give him Thermazine
to use at home.Copy !req
535. - Boy or girl?
- What?Copy !req
536. - You said "him. "
- Carter, I'm really tired.Copy !req
537. - So much for a four-hour shift.
- See you Monday.Copy !req
538. - It's none of your business.
- It is.Copy !req
539. - He did what he was supposed to do.
- His sats were dropping.Copy !req
540. This one needs a tetanus booster
and dressing.Copy !req
541. There was a delay.
If I need an assistant-Copy !req
542. Peter, you are a surgical consultant!
You do not dictate ER policy!Copy !req
543. - This is not policy, this is punishment.
- We're not having this conversation.Copy !req
544. This one needs Xeroform
and a tube gauze dressing.Copy !req
545. - In a second.
- Fine.Copy !req
546. What do you have against him?
He made a mistake. He got through it.Copy !req
547. Peter, the terms of Carter's
diversion program are not your concern!Copy !req
548. It's time to let up.
He's been clean now for eight months.Copy !req
549. Has he?Copy !req
550. - Tenth unit's up.
- Proximal aorta is dissected.Copy !req
551. He's taching at 120.Copy !req
552. There's a traumatic pseudoaneurysm.
Where the hell is Romano?Copy !req
553. - I paged him three times.
- Checked his office?Copy !req
554. - And the staff lounge.
- Get the Resident on call.Copy !req
555. - The Resident?
- Yes! Just get him.Copy !req
556. - BP's 70 and dropping.
- Well, give him two more units.Copy !req
557. - This is all I've got.
- So call the blood bank.Copy !req
558. - They're out of A-positive. I told you.
- Then get O-negative!Copy !req
559. Just keep transfusing him.
Don't you understand I need more time?Copy !req
560. You've got to cross-clamp him now.Copy !req
561. Do you want the Zanger
or the Crawford?Copy !req
562. Dr. Corday?Copy !req
563. Dr. Corday, what clamp?Copy !req
564. Dr. Corday?Copy !req
565. The Crawford. Crawford.Copy !req
566. We'll establish proximal control.
Open a 20mm Dacron.Copy !req
567. Okay. We'll maintain blood flow
to the spinal cord...Copy !req
568. by sewing his intercostal arteries
into the graft.Copy !req
569. - BP's down to 60.
- Okay. The clamp's on.Copy !req
570. Dr. Babcock, I need another hematocrit.
Eleven blade.Copy !req
571. Okay. Pressure's up to 80.Copy !req
572. - Better work quick.
- I'm okay. I'm okay.Copy !req
573. Collateral flow should reduce
the risk of paralysis. Okay, cut.Copy !req
574. 3-0 Prolene.Copy !req
575. Hey.Copy !req
576. Boy. Days like today, you look down
at your watch and your shift is over.Copy !req
577. What are those?Copy !req
578. - Med school applications.
- Oh, yeah? Where are you applying to?Copy !req
579. - Why the two separate stacks?
- Interviews. No interviews.Copy !req
580. You have a special secret formula?Copy !req
581. GPA times competitive factor plus MCAT
scores. Over 25, you get an interview.Copy !req
582. - You don't read recommendation letters?
- After the interview.Copy !req
583. Poor kids.Copy !req
584. I don't know if I would have made it
if I had the interview with you.Copy !req
585. How'd you get on the committee?Copy !req
586. I'm busy, Carter.Copy !req
587. - Did you talk to Weaver?
- Yep.Copy !req
588. It was nothing. It was a slip.
Not even a slip.Copy !req
589. You know? I threw them up.Copy !req
590. Urine output 75 in the last hour.
Hemoglobin's 10.8.Copy !req
591. Less than 100 cc's
of chest tube output.Copy !req
592. - Is that good?
- All good.Copy !req
593. I just need to do a quick neuro check.Copy !req
594. - For what?
- To check sensation.Copy !req
595. What's so funny?Copy !req
596. Let me see you wiggle your toes.Copy !req
597. - That's excellent.
- Lizzie, you called for me?Copy !req
598. - Yeah. Over an hour ago.
- I'm here now. What's so emergent?Copy !req
599. Will you excuse me?Copy !req
600. We had a little trouble
with an aortic graft...Copy !req
601. and I wanted
a second pair of hands.Copy !req
602. Should I worry about a lawsuit?Copy !req
603. No. Things got hairy for a moment.
But I pulled him through.Copy !req
604. - Well, that's your job, isn't it?
- Yes, it is.Copy !req
605. And I am now late for dinner.
Thank you, Elizabeth.Copy !req
606. Thank you.Copy !req
607. It's a good thing they didn't frisk me.Copy !req
608. It's chocolate.Copy !req
609. Go away.Copy !req
610. There's a reason I didn't come
to see you, Chase.Copy !req
611. I thought about coming.
But I didn't.Copy !req
612. And I didn't because I was afraid.
Because I didn't want to admit-Copy !req
613. When I got stabbed last year at work,
a friend of mine got killed. And I...Copy !req
614. ended up addicted to painkillers.
And it caught up to me.Copy !req
615. And I started to shoot morphine...Copy !req
616. and Demerol and fentanyl and
whatever else I could get my hands on.Copy !req
617. I don't know what would have happened
had I not got busted. I went to rehab.Copy !req
618. But I wasn't like any of those people.
I got into this because of an injury...Copy !req
619. because of a near-death experience.
And they...Copy !req
620. Anyway, it wasn't me. I mean,
it was me, but it wasn't... Anyway.Copy !req
621. I did the program.Copy !req
622. I pretended that I bought into it.
I did everything I was supposed to do...Copy !req
623. except...Copy !req
624. believe that I had anything to do
with what had happened. And then...Copy !req
625. I almost relapsed.Copy !req
626. Or I guess I-
I guess I did relapse. Anyway.Copy !req
627. I didn't come to see you because
I didn't want to admit to the fact...Copy !req
628. that I was just like you.Copy !req
629. In fact, the truth is...Copy !req
630. there's not a day that goes by
that I don't think about getting high.Copy !req
631. It's the first thing I think about
when I wake up in the morning.Copy !req
632. And it's the last thing I think about
when I go to bed at night.Copy !req
633. And I think about it all day.Copy !req
634. I'm a drug addict.Copy !req
635. Did you bring any french fries?Copy !req
636. Did the mom say anything
about relatives in Chicago?Copy !req
637. - No.
- How about in Guatemala?Copy !req
638. - We didn't have time to ask.
- All right, thanks.Copy !req
639. What's gonna happen to her?Copy !req
640. Put her in a group home for now.Copy !req
641. - Will she be deported?
- Not unless she's going back to family.Copy !req
642. Otherwise, she becomes a ward
of the state...Copy !req
643. and then we look for
a Spanish-speaking foster home.Copy !req
644. - You okay?
- Yeah.Copy !req