1. E.R.Copy !req
2. Previously on E.R.Copy !req
3. I'll give you the Solu-Medrol
if you promise to use a walker.Copy !req
4. What? Are we negotiating?Copy !req
5. Do you want the steroids?Copy !req
6. I'll use a cane.Copy !req
7. - Right. Screw me!
- ... spineless, spiteful ass!Copy !req
8. - Are you done?
- No.Copy !req
9. You're in violation of our divorce
agreement. I am hiring a lawyer...Copy !req
10. and I am getting my tuition money.Copy !req
11. - What's going on?
- With what?Copy !req
12. - With you and Carter.
- Nothing.Copy !req
13. - It seemed like you were fighting.
- We were.Copy !req
14. - Is Mark doing okay?
- Very well.Copy !req
15. - There's no change in personality or...?
- He's a little tired. Why?Copy !req
16. Have you noticed that
he's mixing his pronouns?Copy !req
17. - It's not a game! She blew his brains out!
- Who's "she"?Copy !req
18. - What?
- You said she.Copy !req
19. He! He's dead.Copy !req
20. Hey, Greg.Copy !req
21. Hey, Dr. Greene. Busy day?Copy !req
22. Yeah. Sorry I'm late.
Can we skip the gown? I got a shift.Copy !req
23. Oh, sure. Yeah. Let's go.Copy !req
24. E.R. 7x13 "THY WILL BE DONE"Copy !req
25. They say we're gonna hit
zero tonight.Copy !req
26. Even with the snow?Copy !req
27. Thought my heating bill
was bad last month.Copy !req
28. - Feel any side effects?
- Just the usual fatigue.Copy !req
29. Well, in eight days
this will all be a memory.Copy !req
30. Believe me, I've been counting.Copy !req
31. Okay, hold on, because we're off
by about a millimeter or so.Copy !req
32. Take your time. I don't want anything
to get zapped that doesn't have to be.Copy !req
33. There we go.
I'm gonna lock you in now.Copy !req
34. - Here we go. You okay?
- Yeah.Copy !req
35. - About three minutes.
- Right.Copy !req
36. - What do we got?
- 58-year-old male.Copy !req
37. Collapsed at a birthday party.
Intubated in the field.Copy !req
38. That's a clown.Copy !req
39. He aspirated a balloon in front
of a dozen 6-year-olds.Copy !req
40. Good air entry. BP's 105/70.Copy !req
41. - Carter, will you help Abby with this?
- Why can't you do it?Copy !req
42. - I just can't.
- Dave, you afraid of clowns?Copy !req
43. Maybe he had a bad circus experience.
How long was he down?Copy !req
44. Three to five minutes.
Found him in respiratory arrest.Copy !req
45. Let's hook him up to a vent.
EKG, CBC, lytes, cardiac enzymes...Copy !req
46. - Dr. Carter, will you talk to this woman?
- And a chest film.Copy !req
47. I wanna check tube placement.
What's up?Copy !req
48. - I've got a dirty needle. I want a clean-
- We don't do that.Copy !req
49. - Like I said.
- A doctor here gave this to me.Copy !req
50. He said if I come back today,
I can have-Copy !req
51. There's a number you can call.Copy !req
52. - I just want a clean needle.
- I'm sorry. I cannot help you.Copy !req
53. - Dr. Carter?
- He said I wouldn't have to wait.Copy !req
54. Some girl called.
Said she can't make it tonight. Flu.Copy !req
55. Some girl? You didn't get her name?Copy !req
56. - You got more than one date tonight?
- Oh, great.Copy !req
57. - Big date?
- Had potential.Copy !req
58. So ask someone else.Copy !req
59. It's a charity event. It'll be boring.
Nobody'll want to go.Copy !req
60. - Ask someone in the ER.
- Like who?Copy !req
61. - I don't know.
- Chuny?Copy !req
62. - You wanna go?
- Not me. I've got plans.Copy !req
63. Don't even look at me.Copy !req
64. Dr. Carter?Copy !req
65. Hey, sorry about that.
I got pulled away there.Copy !req
66. You were gonna give me
something for-Copy !req
67. Mary, can you give Jeff
some viscous lidocaine?Copy !req
68. - They haven't taken my blood yet.
- No? Someone'll be in there.Copy !req
69. Think it's something serious?Copy !req
70. Probably not. But with two weeks of
fever, we should check out a few things.Copy !req
71. How we doing in here?Copy !req
72. Some spontaneous movement,
but he's still out.Copy !req
73. Glasgow Coma Scale is 1-1-4.Copy !req
74. So, what are you doing tonight?Copy !req
75. I've got an appointment
with my couch.Copy !req
76. Pulse ox, 98 on 50%.Copy !req
77. Well, I hate to come between
you and your couch...Copy !req
78. but how does dinner and dancing
at the history museum sound?Copy !req
79. Dancing at the museum?Copy !req
80. - Pressure's down to 90/60.
- Run in 500 of saline.Copy !req
81. Yeah, it's a benefit for an
after-school program.Copy !req
82. Charity date.Copy !req
83. - How's the EKG coming?
- Almost done.Copy !req
84. Yeah, my grandparents host this
annual event, and I have to go.Copy !req
85. - But I would think of it as a favor...
- Do I owe you a favor?Copy !req
86. At the very least, it's a free meal.Copy !req
87. Tombstones on the anterior leads.Copy !req
88. Let's push 6000 of heparin.
Call the Cath Lab.Copy !req
89. - BP's only 70 systolic.
- Would you get Dr. Weaver?Copy !req
90. Start dopamine at 10 mics
per kilo per minute.Copy !req
91. Dr. Weaver! This clown is crashing.Copy !req
92. E.R.Copy !req
93. So, what do you think about tonight?Copy !req
94. I think it's the least I could do. No one
should be alone after killing a clown.Copy !req
95. - You killed the clown?
- No.Copy !req
96. Didn't save him.Copy !req
97. Enough flu on the board?Copy !req
98. 'Tis the season.Copy !req
99. - Guy in Curtain 3 fell off a ladder.
- Yeah? How far?Copy !req
100. Taking down Christmas lights.
Fell from the top rung.Copy !req
101. - That's what you get for procrastinating.
- I'll take it.Copy !req
102. - There he is. This is my doctor.
- Hi, Janice.Copy !req
103. - They wouldn't give me a needle.
- Haleh, give her a clean one.Copy !req
104. - You serious?
- We I&D'd the abscess...Copy !req
105. - ... on her forearm yesterday.
- I got that.Copy !req
106. - This'll keep it from happening again.
- Thank you, Dr. Greene.Copy !req
107. - Come back tomorrow for a wound check.
- I'll try.Copy !req
108. - You're not gonna fill out a chart?
- Nope.Copy !req
109. - No prescription?
- Waste of time.Copy !req
110. I can get behind that.Copy !req
111. Excuse me. I'm looking for Dr. Kovac.Copy !req
112. - I know you. You're the bishop, right?
- Right.Copy !req
113. Where's that hat you were wearing?Copy !req
114. - I left that one at home today.
- I really liked it.Copy !req
115. - Me too.
- There he is.Copy !req
116. - Hello again.
- Bishop, are you all right?Copy !req
117. Oh, yeah. Sure. I was just finishing up
my visitations. Do you have a moment?Copy !req
118. I don't see a cane.Copy !req
119. No, you don't.Copy !req
120. Have any more pain?Copy !req
121. Not from the fall.Copy !req
122. Your arthritis is still a problem?Copy !req
123. I was wondering if I could get another
prescription for some prednisone.Copy !req
124. - Did you follow up with your doctor?
- No, I keep having to...Copy !req
125. change the appointment.Copy !req
126. - That should be the priority.
- I know. Unfortunately...Copy !req
127. he doesn't work on Saturdays.Copy !req
128. - What's his name?
- Don Frost at St. Mary's.Copy !req
129. - I should call him.
- You'll only get his service.Copy !req
130. And frankly, just between us,
I'd rather not get him going.Copy !req
131. I so much as sneeze, and he wants to
poke and prod every inch of me.Copy !req
132. I'd have to do some tests before
prescribing anything more.Copy !req
133. What kind of tests?Copy !req
134. Blood, urine,
check your sugar level.Copy !req
135. My sugar's a little high. I have a touch
of diabetes. But I control it with diet.Copy !req
136. Okay. Let's take a look.Copy !req
137. Looks good.Copy !req
138. Strep throat, right?Copy !req
139. - No fever, no swollen glands.
- I had the exact thing last year. Strep.Copy !req
140. You have a cold, Mr. Ramirez.Copy !req
141. Antibiotics, 10 days. Right?Copy !req
142. No white spots on your tonsils.
Antibiotics won't help.Copy !req
143. - Last year they cleared it right up.
- Would have cleared up anyway.Copy !req
144. Come on.
I've been waiting three hours.Copy !req
145. - Plenty of fluids and get some rest.
- Can you just give me the prescription?Copy !req
146. - Dr. Greene, we need you.
- You don't have strep throat.Copy !req
147. I'll take them just in case.Copy !req
148. 85-year-old woman,
collapsed at a nursing home.Copy !req
149. - You got a pulse?
- No.Copy !req
150. Found her in V-fib. Intubated, shocked
five times, two rounds of drugs.Copy !req
151. - How long you been at it?
- 20 minutes.Copy !req
152. Okay, everybody, nice and easy.
On my count. One, two, three...Copy !req
153. Any medical history?Copy !req
154. - Emphysema. She's on home oxygen.
- Asystole on the monitor.Copy !req
155. - When was the last epi?
- Five minutes ago.Copy !req
156. Push another amp.Copy !req
157. - What?
- She didn't respond...Copy !req
158. to 20 minutes of ACLS in the field.
She doesn't have a chance.Copy !req
159. - The family wanted us to bring her in.
- So we could flog her for another hour?Copy !req
160. - You want dopamine?
- Nope.Copy !req
161. I'm sorry, Dr. Greene.Copy !req
162. She should have died
in her own bed.Copy !req
163. Abby, hold compressions.Copy !req
164. - Asystole.
- Time of death, 1409.Copy !req
165. Family's in Chairs.Copy !req
166. Don't worry about it.Copy !req
167. Hey.Copy !req
168. Hey.Copy !req
169. - Everything okay?
- We just lost a patient.Copy !req
170. Sorry. That singer you like
is playing at the hotel tonight.Copy !req
171. - Really?
- 10:00.Copy !req
172. I told Carter I'd go somewhere
with him tonight.Copy !req
173. - Okay.
- Fundraiser. His date stood him up.Copy !req
174. It's not a problem. I have
a pile of journals to read.Copy !req
175. I'm sorry. I wouldn't
have said yes if I knew-Copy !req
176. Labs are back on the bishop.
Blood sugar's high.Copy !req
177. - Go. Have fun.
- Okay.Copy !req
178. - Draw five units.
- Take a look at his ANA.Copy !req
179. Do you have his BUN
and creatinine?Copy !req
180. Renal insufficiency.Copy !req
181. Hey, Jeff.Copy !req
182. You okay?Copy !req
183. - Just nervous.
- Sit. I got your blood test back.Copy !req
184. Okay. The bad news is
you have mononucleosis.Copy !req
185. Good news is, if you rest up,
you'll bounce back in a couple weeks.Copy !req
186. - Mono.
- Yeah. But you'll be all right.Copy !req
187. How is my blood count?Copy !req
188. White cells were a little elevated,
but that's consistent with mono.Copy !req
189. What about my CD4 count?Copy !req
190. Are you HIV-positive?
Because we only do that if you are.Copy !req
191. I think I need an HIV test.Copy !req
192. Have you ever been tested before?Copy !req
193. - Five months ago I was negative.
- That's good.Copy !req
194. - But since then I've been exposed.
- You've had unprotected sex?Copy !req
195. With an infected partner.Copy !req
196. You know how unsafe that is?Copy !req
197. I guess I just get caught up.Copy !req
198. Gotta put a stop to that, Jeff.Copy !req
199. My sugar that bad?Copy !req
200. Three hundred forty-eight.Copy !req
201. - Maybe I'll go back on the glipizide.
- Right now you need insulin.Copy !req
202. There was also protein in your urine.
So I ordered an ANA.Copy !req
203. That's a test for a disease
called lupus.Copy !req
204. I know.Copy !req
205. I take Plaquenil,
200 milligrams a day.Copy !req
206. - You lied to me?
- I wanted to avoid a debate.Copy !req
207. I may have harmed you
by giving you those steroids.Copy !req
208. The steroids help me.
I can move around, make visits...Copy !req
209. do my work.
Without them, I'm stuck in bed.Copy !req
210. The steroids raise
your blood sugar so high...Copy !req
211. that the diabetes
destroys your body.Copy !req
212. I need to continue my ministry.Copy !req
213. You understand?Copy !req
214. Anyway, thank you for your time.Copy !req
215. I need to do
a complete physical exam.Copy !req
216. No, I'm sorry. I've got a lot
on my plate today.Copy !req
217. I have to make sure I didn't
harm you with my treatment.Copy !req
218. You owe me that much.Copy !req
219. And what is it you think I owe you?Copy !req
220. Bishop, lupus is very serious.Copy !req
221. It can attack your kidneys,
lungs, your heart.Copy !req
222. I know what it does, Dr. Kovac.Copy !req
223. I even know I'm gonna die from it.Copy !req
224. Did I wake you?Copy !req
225. No, I was just resting my eyes.
So how's the heart?Copy !req
226. - EKG looks good.
- That's what we like to hear.Copy !req
227. Want me to call someone
to be with you?Copy !req
228. No. I called the archdiocese
just in case.Copy !req
229. - What church do you belong to?
- I don't.Copy !req
230. - Haven't found one you liked?
- Haven't looked.Copy !req
231. - How long have you been in Chicago?
- I don't go to church anymore.Copy !req
232. Really? Why's that?Copy !req
233. I don't remember.Copy !req
234. - You married?
- No.Copy !req
235. Haven't found one you liked?Copy !req
236. Something like that, yeah.Copy !req
237. Dr. Kovac, we've got a kid
with bad congestive heart failure.Copy !req
238. The nurse will be in.Copy !req
239. - What's the pulse ox?
- 81.Copy !req
240. 16-year-old.
Collapsed at a basketball game.Copy !req
241. - Watching or playing?
- Watching.Copy !req
242. - What's his name?
- Nick.Copy !req
243. Hi, Nick. I'm Dr. Kovac.Copy !req
244. - Have you had heart surgery, Nick?
- Transplant.Copy !req
245. - How long ago?
- Six years.Copy !req
246. - Someone call his parents.
- On their way.Copy !req
247. BP, 115/72.Copy !req
248. Lungs are full of fluid.
He's in pulmonary edema.Copy !req
249. - Sublingual nitroglycerin and start a drip.
- Open your mouth, Nick. This'll help.Copy !req
250. Titrate up to 10 of morphine.Copy !req
251. I need a 12-lead, blood gas,
portable chest and 40 of Lasix.Copy !req
252. - Pulse ox down to 78.
- Notify the transplant team.Copy !req
253. And order a PICU bed.Copy !req
254. They want to give me a new heart?Copy !req
255. Yes.Copy !req
256. I don't want another transplant.Copy !req
257. Malucci, what do you got
in Exam Four?Copy !req
258. Lady with bronchitis.
Sending her out with amoxicillin.Copy !req
259. - Bronchitis?
- Cough, myalgias, arthralgias.Copy !req
260. - Sounds like the flu.
- She's high-maintenance.Copy !req
261. - Wants antibiotics.
- Antibiotics are not indicated.Copy !req
262. I told her that.
She still wants them.Copy !req
263. You need to educate her
about antibiotic resistance.Copy !req
264. - Do I have to?
- Gotta break the cycle.Copy !req
265. - It's easier to write a prescription.
- If you feed the bears...Copy !req
266. they'll come back for more.Copy !req
267. Food poisoning gets
another liter of saline.Copy !req
268. Check a post-reduction
shoulder on this one.Copy !req
269. This is a patient who's
waiting on an HIV test.Copy !req
270. Okay. Malucci can take it.Copy !req
271. This last one's delicate. He's high-risk.Copy !req
272. - Malucci can be delicate.
- Thank you, chief.Copy !req
273. No, really-Copy !req
274. Dave, this one's gonna
require some tact.Copy !req
275. You got it.Copy !req
276. He's a patient with mono,
he's gay, refuses to use condoms.Copy !req
277. Think you can talk to him?
Without being insensitive?Copy !req
278. Sure. I'll wrap it all up
in a nice big bow.Copy !req
279. Carter, a construction worker had
a pane of glass dropped on him.Copy !req
280. - Could you help with the suturing?
- Actually, I'm off. I gotta get going.Copy !req
281. - Oh, yeah. The fundraising.
- Yeah.Copy !req
282. It's more like a family obligation.
It's nothing really exciting.Copy !req
283. - What's the charity?
- After-school enrichment programs.Copy !req
284. Enrichment?Copy !req
285. Yeah. It's, you know, extra education.
Arts, music, that kind of thing.Copy !req
286. Actually, Abby's saving me from
getting heat from my grandparents.Copy !req
287. - They kind of insist I bring somebody.
- I hope it's successful.Copy !req
288. - Thank you.
- See you.Copy !req
289. Hey, Jeff. I'm Dr. Malucci.
Dr. Carter went off duty.Copy !req
290. You... You have his lab results?Copy !req
291. I'd like to talk to Jeff about that.
Would you excuse us?Copy !req
292. Actually, I'd like to stay.
I'm Sean, Jeff's partner.Copy !req
293. - Is that okay with you, Jeff?
- Yeah.Copy !req
294. Well, it's all good, man. Your HIV
antibody test came back negative.Copy !req
295. - Really?
- Yeah. You got lucky.Copy !req
296. But now you need to avoid risky
behavior and keep yourself healthy.Copy !req
297. Yeah.Copy !req
298. Am I missing something here, guys?Copy !req
299. I'm HIV-positive.Copy !req
300. Jeff and I are together.Copy !req
301. - Through everything.
- Right.Copy !req
302. So, what?
Are you trying to contract HIV?Copy !req
303. - You a bug-chaser, Jeff?
- We don't call it that.Copy !req
304. Then what do you call it? Suicide?Copy !req
305. - HIV is treatable with medication.
- Doesn't mean you should try to catch it.Copy !req
306. Look, we both know that his
HIV antibody could be negative...Copy !req
307. for six weeks after exposure.Copy !req
308. So you can't really tell us
that he's definitely negative, can you?Copy !req
309. No. We'd have to take a
direct measure of his viral load.Copy !req
310. Okay. Let's do that.Copy !req
311. That's gonna take some time.Copy !req
312. - We'll wait.
- Yeah, we'll wait.Copy !req
313. Okay.Copy !req
314. Flat T-waves in the lateral leads.Copy !req
315. Okay. Repeat 12-lead in an hour.Copy !req
316. Something wrong?Copy !req
317. You have some
non-specific EKG changes.Copy !req
318. And there is a friction rub
around your heart.Copy !req
319. I'm creaky all over.Copy !req
320. Have you had chest pain?Copy !req
321. - Occasionally. I'm used to it.
- How about today?Copy !req
322. - This morning.
- For how long?Copy !req
323. I don't know, half an hour?Copy !req
324. You may have fluid around the heart.
You could be at risk for a heart attack.Copy !req
325. I feel fine.Copy !req
326. We need to get a cardiac echo
and admit you.Copy !req
327. No.Copy !req
328. I have to observe you
for at least six hours.Copy !req
329. I'll stay, but I don't want
to be checked in.Copy !req
330. I'd rather observe you
in the Cardiac Unit.Copy !req
331. I don't want my life
to end in a hospital.Copy !req
332. - You're not gonna die today.
- I will not be admitted!Copy !req
333. - Are you Nick's doctor?
- Yes, Dr. Kovac.Copy !req
334. There's no doctor with him,
just a nurse.Copy !req
335. - Well, Nick is stable right now.
- He was in heart failure?Copy !req
336. Yes. He's responding to aggressive
therapy. He has pulmonary edema.Copy !req
337. The same thing happened
after his second transplant.Copy !req
338. He's had two?Copy !req
339. One when he was 4,
then again when he was 10.Copy !req
340. And now he's on the list for a third.Copy !req
341. They did angioplasty last year,
but he's still so weak.Copy !req
342. Has Nick ever told you
he doesn't want a new heart?Copy !req
343. He says that when he's depressed.
He takes 15 medications a day.Copy !req
344. - He's still so sick.
- A lot for a 16-year-old to go through.Copy !req
345. Can you call UNOS?
He should go to a higher status.Copy !req
346. I was waiting to talk to you
to see if that's what you wanted.Copy !req
347. Of course we do.Copy !req
348. Okay.Copy !req
349. My flu patient wants to see
someone higher up.Copy !req
350. - What's the problem?
- She wants antibiotics...Copy !req
351. gets them every year, refuses
to leave till she gets a prescription.Copy !req
352. - Where is she?
- Right there. Curtain 1.Copy !req
353. Hello. My name's Dr. Greene.Copy !req
354. Sara Dell. I've been sick
for three days.Copy !req
355. Fever, runny nose...
Feel like my head's in a vise.Copy !req
356. Mrs. Dell, antibiotics
don't help the flu.Copy !req
357. - They always help mine.
- I can assure you they don't.Copy !req
358. You're not giving them to
me because I'm poor.Copy !req
359. If we give antibiotics to millions
of people who don't need them...Copy !req
360. a resistance builds which eventually
makes the drugs useless...Copy !req
361. to the people who do.Copy !req
362. And because I don't have insurance.
That's persecution!Copy !req
363. - You think so?
- I know so!Copy !req
364. - You know what? Follow me.
- Well, where are we going?Copy !req
365. Come on, follow me. Pay attention.Copy !req
366. Excuse me!Copy !req
367. My name is Dr. Greene. I'd
like to see a show of hands...Copy !req
368. of people who have a sore throat.Copy !req
369. - Right here.
- Yeah, man.Copy !req
370. Cough?Copy !req
371. Muscle aches, fever?Copy !req
372. You all have the flu.Copy !req
373. People who have the flu will not be
receiving antibiotics today.Copy !req
374. So consider that while you decide
whether you want to wait or not.Copy !req
375. - What are you doing?
- Clearing the board.Copy !req
376. - Isn't that an EMT ALA violation?
- I didn't discharge anyone.Copy !req
377. Hey, Greene. Tell me you are not
giving free needles to junkies.Copy !req
378. - On a case-by-case basis.
- No, no, no. On no basis. It's illegal.Copy !req
379. Not if there's a public-health
emergency, which there is.Copy !req
380. How much of your brain
did they cut out?Copy !req
381. This does not put extra
needles on the street.Copy !req
382. I don't care! We are not gonna have
junkies parading in and out of here!Copy !req
383. So you're not interested in
cutting back on HIV and...?Copy !req
384. - And? What? Sounds like?
- Hep...Copy !req
385. - Hep?
- Hep-Copy !req
386. Hep? Heparin, heptathlon?Copy !req
387. - Hepatitis.
- Tough one.Copy !req
388. You want to start a needle exchange,
do it from your house.Copy !req
389. - Hi.
- You're wearing a tuxedo.Copy !req
390. - You didn't say it was formal.
- I didn't?Copy !req
391. No.Copy !req
392. - Yeah, it's formal.
- You tricked me.Copy !req
393. - Doesn't matter. You look terrific.
- Well, we don't match, though.Copy !req
394. - I can go change.
- I don't even know if I own a dress.Copy !req
395. Wanna go buy one?Copy !req
396. No. Can you just-?
Just wait one minute.Copy !req
397. - You mad at me?
- Yes.Copy !req
398. - Did you get a haircut?
- Yeah.Copy !req
399. Who are my parents talking to?Copy !req
400. Dr. Corday. She's a surgeon.Copy !req
401. I told you I didn't want surgery.Copy !req
402. You were in a lot of pain
when you said that.Copy !req
403. I still meant it.Copy !req
404. You won't survive
without the transplant.Copy !req
405. I was hoping to make it
to my prom.Copy !req
406. But if I can't, I can't.Copy !req
407. With a new heart, you will.Copy !req
408. Do you know what it's like
to have your chest split open?Copy !req
409. No.Copy !req
410. I can barely walk to class,
I get so tired.Copy !req
411. I take pills every two hours.Copy !req
412. And I look like a freak from
the side effects. It's not worth it.Copy !req
413. - He's at the top of the list?
- Yes. Status 1-A.Copy !req
414. It's just a matter of waiting for
a heart with a tissue match.Copy !req
415. We waited a month
on Status 1-A last time.Copy !req
416. Now that he's older,
there are more possibilities.Copy !req
417. Excuse me, Mr. and Mrs. Stevens,
but Nick doesn't want a new heart.Copy !req
418. We explained that to you.Copy !req
419. He's thought it out.
He has good reasons.Copy !req
420. - I think you should listen to them.
- He's 16.Copy !req
421. And he is tired of living like this.Copy !req
422. Well, I'm not giving up on him
because he's tired.Copy !req
423. I'm only telling you
what Nick told me.Copy !req
424. I understand.
When do we move him to the unit?Copy !req
425. Shouldn't be too long.Copy !req
426. Kerry, we have a little personnel
problem. Well, you do. Mark Greene.Copy !req
427. He's walking around with attitude...Copy !req
428. handing out needles,
blanking out on words.Copy !req
429. It's swelling from the
chemotherapy wafers.Copy !req
430. - Really.
- He has a mild expressive aphasia.Copy !req
431. - It's temporary.
- I don't like it.Copy !req
432. I don't think he likes it either.Copy !req
433. Noticed any personality changes?
He got very confrontational with me.Copy !req
434. - You're used to confrontation.
- We're not talking about me.Copy !req
435. - Isn't that your favorite subject?
- Just straighten him out.Copy !req
436. - Who's this with you at the beach?
- Eric, my brother.Copy !req
437. I never got the whole concept behind
dried flowers. I mean, they're dead.Copy !req
438. - They're dead as soon as you cut them.
- Yeah, but they look nice.Copy !req
439. Dead ones look nice too.Copy !req
440. Right. Right, no. I was just wondering.Copy !req
441. - Wondering what?
- Wondering...Copy !req
442. Why not just buy the fresh flowers?Copy !req
443. Because there's something
sad and dark about the dried ones.Copy !req
444. - Oh, yeah? You like sad and dark?
- Yeah.Copy !req
445. Okay.Copy !req
446. Just give those a couple days.Copy !req
447. You found something.
That looks nice.Copy !req
448. It's a bridesmaid's dress.Copy !req
449. It works on you.Copy !req
450. - You're lying.
- No, honestly.Copy !req
451. I don't think anybody would know that.
Looks like it was made for you.Copy !req
452. Okay. Now I know you're lying.
Let's just go.Copy !req
453. - Carter. What is this?
- What?Copy !req
454. Come on.
What do you want to take, the El?Copy !req
455. You're not gonna tell me,
"By the way, this party's in Paris"?Copy !req
456. No. We stay in Chicago, I promise.Copy !req
457. He needs bandages, update his tetanus
and order a six-pack of Keflex.Copy !req
458. - You lost your cap.
- I decided to wear my scar with pride.Copy !req
459. - It adds character.
- Well, it scared a little kid.Copy !req
460. Called me Humpty Dumpty.Copy !req
461. Well, Humpty, how do you feel
about an evening service?Copy !req
462. - What service?
- The wedding.Copy !req
463. Coordinator double-booked the afternoon,
and they want to push us back to 5:00.Copy !req
464. - That would push the reception back.
- Yes.Copy !req
465. I've already spoken with the
caterer. He says he can do it.Copy !req
466. - But we can't use the patio for cocktails.
- What's wrong with the patio?Copy !req
467. April, the evening,
it'd be really chilly.Copy !req
468. Well, ask him to move out the,
you know...Copy !req
469. Space heaters.Copy !req
470. - So it's all right with you?
- Yeah, sure.Copy !req
471. Okay, then.Copy !req
472. Mark, you're getting better.
The aphasia's fading.Copy !req
473. I'm glad you think so.Copy !req
474. No, it is. In a couple of weeks,
this will all be gone.Copy !req
475. I don't think I can count on you
for an unbiased opinion.Copy !req
476. No, you can't. I am biased.
I'm also right.Copy !req
477. Dr. Corday?
Nick Stevens just arrested.Copy !req
478. - Whose patient? I'll grab him.
- Kovac.Copy !req
479. - Oh, God!
- What's the rhythm?Copy !req
480. Still V-tach.Copy !req
481. - Charge to 300.
- Come on, Nick!Copy !req
482. Excuse me, sir.
You'll have to stand back.Copy !req
483. Okay, I need to intubate.Copy !req
484. 100 of lidocaine.
Stand by with amiodarone.Copy !req
485. - Charged and ready. Clear!
- Clear.Copy !req
486. - Still no change.
- Please save him.Copy !req
487. 360.Copy !req
488. I need some cricoid pressure.
I'm in.Copy !req
489. - Rebolus 50 of lidocaine in five.
- Clear!Copy !req
490. Clear.Copy !req
491. Got a rhythm.Copy !req
492. - There's a weak radial pulse.
- Mix up the dobutamine.Copy !req
493. Open your eyes, Nick.Copy !req
494. Come on, Nick. Wake up for me.Copy !req
495. - Good breath sounds bilaterally.
- Unresponsive to painful stimulation.Copy !req
496. He wasn't down long.
He should wake up.Copy !req
497. Maybe.Copy !req
498. - Three separate light settings.
- That's an essential amenity.Copy !req
499. - So I talked to Luka.
- Me too.Copy !req
500. - He didn't seem to mind about tonight.
- No. He doesn't get jealous.Copy !req
501. Ever.Copy !req
502. All the years I've lived here,
I've never been to the...Copy !req
503. Natural History Museum?
That's criminal.Copy !req
504. - They've got dinosaurs, cavemen.
- Dinosaurs and dancing?Copy !req
505. Yeah. My grandparents
like spectacle.Copy !req
506. It's not gonna be that big
of a deal, though. A few people.Copy !req
507. - You are so dead.
- It's kind of a scene.Copy !req
508. - Kind of?
- I told you. They like spectacle.Copy !req
509. Did you grow up going to
these kinds of things?Copy !req
510. This is par for the course. If you
hate it, we can leave in a half-hour.Copy !req
511. I won't hate it.Copy !req
512. - Can we duck the photographer?
- Can we?Copy !req
513. Hey, Jeff. Where's Sean?Copy !req
514. He went to move the car.Copy !req
515. I don't want to wait
to tell you the news.Copy !req
516. Your viral test is back.
No virus detected.Copy !req
517. - So I'm really HIV-negative.
- Definitely negative.Copy !req
518. You and...Copy !req
519. - You and Sean are close?
- Been together almost a year.Copy !req
520. - That's nice.
- Yeah.Copy !req
521. - But nothing's worth dying for, is it?
- I'm not dying.Copy !req
522. No. You're safe right now.
But you have to protect yourself.Copy !req
523. - I'm gonna get it sooner or later.
- Not if you practice safe sex.Copy !req
524. I don't want to treat him
like he's contaminated.Copy !req
525. - With a condom, that's how he feels.
- HIV can kill you, Jeff.Copy !req
526. - I know a lot of people living with it.
- A lot of people...Copy !req
527. would rather
be living without it.Copy !req
528. Look.Copy !req
529. - How old are you, man?
- 23.Copy !req
530. Because you got
50, 60 years ahead of you.Copy !req
531. I love him.Copy !req
532. Well, if he loves you, he should
want you to stay healthy.Copy !req
533. He thinks that this is the only way
that we can really be intimate.Copy !req
534. That's easy for him to say.
He's got the virus.Copy !req
535. I don't have anybody else.Copy !req
536. You have yourself.Copy !req
537. - Those are the bouncers. I know them.
- Oh, yeah?Copy !req
538. - Bark is much worse than their bite.
- I see how they keep people in line.Copy !req
539. - John, there you are.
- Hi, Grandpa.Copy !req
540. - Finally! Someone I wanted to talk to.
- Not so loud.Copy !req
541. - Is this your friend from the auction?
- No. She had the flu.Copy !req
542. - And you are?
- Abby Lockhart.Copy !req
543. Jonathan Truman Carter Sr.Copy !req
544. Delighted. We don't get to see
too many of Johnny's friends.Copy !req
545. You got lucky tonight.Copy !req
546. You're very good to get dressed up
and come out on such a cold night.Copy !req
547. I'd much rather stay at home
in a bathrobe.Copy !req
548. - Don't let Gamma hear you say that.
- Oh, she knows me by now.Copy !req
549. - I'd love to meet her.
- Where is she?Copy !req
550. Talking to the keynote speaker.
Go on.Copy !req
551. - Shall we?
- Nice to meet you.Copy !req
552. Have a good time.Copy !req
553. Friend from the auction?Copy !req
554. Last family event I was at,
the daughter of the host, she...Copy !req
555. - Never mind.
- No, come on. Tell me.Copy !req
556. You ever take dance classes?Copy !req
557. - No. Have you?
- Yeah. Actually, I have a few moves.Copy !req
558. I'm sure you do.Copy !req
559. Care to give it a whirl?Copy !req
560. - I don't know.
- Come on. Just follow me.Copy !req
561. - I'm not sure that I can.
- I got you.Copy !req
562. I feel like I'm back at my
spring formal in high school.Copy !req
563. I went with this guy Seth.
But I had a crush on this guy Tim.Copy !req
564. - I'm feeling for Seth.
- When he went to the bathroom...Copy !req
565. Tim asked me if I wanted to
go outside and smoke a cigarette.Copy !req
566. And we never went back inside.Copy !req
567. - That's cruel.
- I know.Copy !req
568. Is that when you started smoking?Copy !req
569. I guess so.Copy !req
570. See, it's all Tim Stillman's fault.Copy !req
571. Right.Copy !req
572. I didn't forget you.Copy !req
573. Your CPK's normal.Copy !req
574. - I watched you work on that boy.
- Yeah.Copy !req
575. You'll be going for your echo soon.Copy !req
576. It was remarkable.
You brought him back to life.Copy !req
577. Yes.Copy !req
578. It won't do much good
if he doesn't have the surgery.Copy !req
579. - You can't find him a heart?
- He doesn't want one.Copy !req
580. But he's so young. There are
bound to be medical advancements.Copy !req
581. He's gotta fight.Copy !req
582. One could say
the same to you, bishop.Copy !req
583. - I am fighting.
- Are you?Copy !req
584. You say you should prolong his life,
but you want to hasten your death?Copy !req
585. I'm not looking forward
to dying, Dr. Kovac.Copy !req
586. But I also don't want to be
enfeebled or bedridden.Copy !req
587. I only wish I was as brave as he is.Copy !req
588. I think you've been
more than brave.Copy !req
589. Have I?Copy !req
590. I wanted to set a good example,
serve my parish, do God's work...Copy !req
591. as long as I was able,
and then go to glory...Copy !req
592. with a modicum of grace.Copy !req
593. But there are times...Copy !req
594. when I'm alone in prayer
or trying to get to sleep...Copy !req
595. that it just overwhelms me.Copy !req
596. I should never feel
the way I do sometimes.Copy !req
597. How's that?Copy !req
598. Frightened.Copy !req
599. - You got the phone number, right?
- Yeah.Copy !req
600. You should call tomorrow and
make an appointment, you know?Copy !req
601. I'll see.Copy !req
602. Anyway, thanks.Copy !req
603. Yeah.Copy !req
604. Jeff?Copy !req
605. You gonna protect yourself
from now on?Copy !req
606. Maybe.Copy !req
607. Probably not.Copy !req
608. - Big plans tonight, Malucci?
- No. Just getting out of here.Copy !req
609. Go ahead, 104.Copy !req
610. At the home of a 65-year-old male.Copy !req
611. Collapsed in the bathroom.
Found him in V-fib.Copy !req
612. Haleh, can I take the mike?Copy !req
613. Defibrillated times four. Gave epi
and lidocaine. Now in asystole.Copy !req
614. He's gone.Copy !req
615. This is Dr. Greene.
What's the down time?Copy !req
616. Been here 15 minutes.
Probably down another 10 before that.Copy !req
617. Any medical history?Copy !req
618. Two MI's.
Status, post-bypass surgery.Copy !req
619. - The last doctor's appointment?
- Hold on.Copy !req
620. If he's seen a PMD within a month,
they can sign the death certificate.Copy !req
621. - Save us the trouble.
- Saw his cardiologist nine days ago.Copy !req
622. - Still in asystole?
- For the last five minutes.Copy !req
623. - That's it. Stop CPR.
- What?Copy !req
624. I'm pronouncing him.
Time of death, 2118.Copy !req
625. - Can you do that?
- Yeah. You can.Copy !req
626. Let the family know everything
was done under physician guidance...Copy !req
627. - ... but he did not respond.
- You want us to transport?Copy !req
628. No, have them
contact a funeral home.Copy !req
629. This is County General,
clear with Rescue 104.Copy !req
630. I don't know
why that was necessary.Copy !req
631. What's the point in going through
the motions?Copy !req
632. I'm looking for Dr. Kovac.Copy !req
633. I'm Dr. Frost, Bishop Stewart's
personal physician.Copy !req
634. - See? You were great.
- I had a good partner.Copy !req
635. If we get really motivated,
we could enter a contest.Copy !req
636. That might be too much
of a good thing.Copy !req
637. Thank you.Copy !req
638. - Oh, no.
- What?Copy !req
639. Hello, Abby.Copy !req
640. - What are you doing here?
- What are you doing here?Copy !req
641. I'm here with a friend.
John Carter.Copy !req
642. - How you doing?
- That's Richard.Copy !req
643. What are you doing
at a charity event?Copy !req
644. - I'm here with Alexis.
- Who?Copy !req
645. She went to get us drinks.Copy !req
646. She old enough to drink?Copy !req
647. - Rich, who's this?
- This is Abby.Copy !req
648. - Hi.
- Hi.Copy !req
649. - We should-
- Where've I seen that dress?Copy !req
650. - You haven't.
- I swear.Copy !req
651. I really don't think
you've ever seen it.Copy !req
652. My sister's wedding.
You were a bridesmaid.Copy !req
653. Always the gentleman, Richard.
Thank you.Copy !req
654. - Rich, let's go sit down.
- Okay. Nice meeting you.Copy !req
655. Am I awake or was that
just a nightmare?Copy !req
656. Last week I gave him IV Solu-Medrol
and put him on...Copy !req
657. - ... high-dose steroids for his arthritis.
- Last week?Copy !req
658. - Yeah, this is his second time here.
- He has diabetes.Copy !req
659. Steroids put him in the ICU
last year with DKA.Copy !req
660. I didn't know that!Copy !req
661. Which is why you should have
contacted his primary physician.Copy !req
662. - I was going to, but-
- What's his sugar?Copy !req
663. - 348.
- Great work, doctor.Copy !req
664. You're destroying his vision,
his kidneys, his circulation.Copy !req
665. Now that I know about his diabetes,
I'm checking for end-organ damage.Copy !req
666. I've been treating Bishop Stewart for 15
years. He doesn't need another doctor.Copy !req
667. Maybe you should tell him that,
because he came to me.Copy !req
668. Underneath that robe,
he's just a man like everyone else.Copy !req
669. - A man facing death.
- And right now he's drug-seeking.Copy !req
670. - He just wants to feel right again.
- Well, that's not possible.Copy !req
671. Where is he?Copy !req
672. Okay, 104. See you at the back door.
This is County Base. Clear.Copy !req
673. - What's going on?
- 104's bringing in a full arrest.Copy !req
674. - I just talked to that guy.
- Called en route. Cardiac arrest.Copy !req
675. I already pronounced him.Copy !req
676. - No, no, no.
- Gave him two of atropine en route.Copy !req
677. - What's your problem? We did this.
- The family freaked.Copy !req
678. - Do not unload the patient.
- We have to. We're here.Copy !req
679. He's been dead for an hour.Copy !req
680. Family wanted him to see a doctor.Copy !req
681. - Mark.
- Kerry, he's not supposed to be here.Copy !req
682. - Stop CPR.
- No. Resume compressions.Copy !req
683. I said stop. This is the guy
who died at home.Copy !req
684. Keep going, Cleo.
Set up Trauma 2 for a full arrest.Copy !req
685. - He's dead.
- When paramedics bring us a patient...Copy !req
686. we have to care for him.Copy !req
687. - Chuny, wanna put a shroud on the bed?
- Shroud?Copy !req
688. Yeah, he's dead.
Might save some time.Copy !req
689. - Not gonna get him back, Kerry.
- We still try. You running this or am I?Copy !req
690. - Fine. What's his rhythm?
- Still asystole.Copy !req
691. What do you think? Another amp
of epi? Might get him back?Copy !req
692. Pupils fixed and dilated.
Hold compressions.Copy !req
693. Dr. Finch, would you concur
that the rhythm is asystole?Copy !req
694. - Yes.
- Code is over.Copy !req
695. Take out the tubes
and clean the body.Copy !req
696. That's the family.Copy !req
697. I hope this helped them.Copy !req
698. I'll go talk to them.Copy !req
699. So typical of him to cry poor and then
show up at this fancy party.Copy !req
700. And did you think she
was even pretty?Copy !req
701. - I don't think I'm gonna answer that.
- I don't see it.Copy !req
702. I think this is silly.Copy !req
703. - It's a blue BMW.
- What if they took her car?Copy !req
704. - What do you think she would drive?
- A Lexus?Copy !req
705. Get it? "Alexis"?Copy !req
706. No. I mean- Say we find it.
What are you gonna do, key it?Copy !req
707. - No. Maybe I'll just slash the tires.
- I think that would be overkill.Copy !req
708. Stop! Stop! Wait! There it is!Copy !req
709. - Do you have a pen?
- Yeah, why?Copy !req
710. - I'm letting the air out of the tires.
- How many tires?Copy !req
711. - Two's fair.
- One's fair.Copy !req
712. Fine. Pen, please.Copy !req
713. Now what do we do?Copy !req
714. I think we have to run.Copy !req
715. - He's awake?
- Yeah. And oriented.Copy !req
716. Passed mental-status
exam with flying colors.Copy !req
717. - Where are you taking him?
- He's got no neuro deficits.Copy !req
718. - He'll go to the ICU and be extubated.
- The heart?Copy !req
719. I'm gonna recommend surgery
to the transplant committee.Copy !req
720. Dr. Romano?Copy !req
721. Nick has requested
not to have the surgery.Copy !req
722. Well, he's a minor.
His parents make that call.Copy !req
723. You're gonna make him do it,
knowing how he feels?Copy !req
724. Dr. Kovac, he's a teenager.
What do they know about life?Copy !req
725. He'll thank us for this
in a few years.Copy !req
726. Mark.Copy !req
727. - I'm off, Kerry.
- We have to talk about this.Copy !req
728. And what might "this" be?Copy !req
729. The way you've been acting.
Abrupt, cavalier-Copy !req
730. Realistic?Copy !req
731. - Are you ready to be back?
- Yes, I am.Copy !req
732. - Mark, you're still reaching for words.
- I'm fine.Copy !req
733. What happens in a code
if you need a cardiac drug...Copy !req
734. - ... and you can't think of the name?
- Won't happen.Copy !req
735. - I'm asking you to take some time off.
- I'm telling you no.Copy !req
736. Dr. Frost is arranging for you
to have more tests on Monday.Copy !req
737. - Did he dress you down?
- He was pretty mad, yeah.Copy !req
738. He's very possessive about my care.
You were on his turf.Copy !req
739. Well, as I told him, your EKGs
and cardiac enzymes are normal.Copy !req
740. Thank you, Dr. Kovac.Copy !req
741. For the treatment and for listening.Copy !req
742. You're welcome.Copy !req
743. I saw they took the boy away.Copy !req
744. - Is he gonna get the operation then?
- Yeah.Copy !req
745. - I'm sorry.
- Me too.Copy !req
746. You think he should have been able
to choose how he wanted to live?Copy !req
747. I think so.Copy !req
748. Well, I wanna work.Copy !req
749. Do you still want the steroids?Copy !req
750. I need to work.Copy !req
751. - Poor guy doesn't even have AAA.
- So he has to pay for this.Copy !req
752. Maybe Alexis will chip in.Copy !req
753. She looks about ready
to call a cab.Copy !req
754. I'd say we've successfully
ruined their evening.Copy !req
755. Mission accomplished.Copy !req
756. - Now I feel kind of bad.
- Why?Copy !req
757. Because I kind of
ruined our night too.Copy !req
758. Ruined, how?Copy !req
759. - Besides the vandalism?
- Yeah.Copy !req
760. - That we're freezing to death?
- Yeah.Copy !req
761. - You never saw your grandmother?
- She knows I was there. That's enough.Copy !req
762. Okay, then, I guess nothing.Copy !req
763. I had an okay time.Copy !req
764. Me too.Copy !req
765. This is Kerry Weaver at County.Copy !req
766. I need information about
evaluating a physician...Copy !req
767. who's possibly
cognitively impaired.Copy !req
768. Could we speak first thing
Monday morning?Copy !req
769. Thanks.Copy !req