1. E.R.Copy !req
2. Previously on E.R.Copy !req
3. Abby, you're seen things.Copy !req
4. Maybe you're on drugs.
I thin0k I saw you with a needle once.Copy !req
5. I'll work it out with the registrar-Copy !req
6. Once a clerkship is pulled, it's pulled.Copy !req
7. Nothing I can do. You have to wait
till the next academyc quarter.Copy !req
8. I just lost three months of med school.
Three months I can't make up...Copy !req
9. - This is about your tuition.
- Yes, it is about my tuition!Copy !req
10. If I'm gonna give you a faculty position,
I've gotta be sure...Copy !req
11. that you are gonna be part of the team.Copy !req
12. You are having a boy. Congratulations.Copy !req
13. Thank you.Copy !req
14. E.R. 7x02 "SAND AND WATER"Copy !req
15. - Did you catch her?
- Oh, yes, I caught her.Copy !req
16. But once she starts writing,
she can't stop. Heaven forbid.Copy !req
17. I should have jammed that pen
into her carotid artery.Copy !req
18. They double the fine
once you draw blood.Copy !req
19. You need a building with guest parking.Copy !req
20. - Take my spot.
- I don't want your spot.Copy !req
21. Damn!Copy !req
22. What?Copy !req
23. No milk.Copy !req
24. Want some of mine?Copy !req
25. A grown man. You put an empty milk carton
back into the refrigerator.Copy !req
26. It's not empty.Copy !req
27. Now it's empty.Copy !req
28. Not that it chills anything cooler
than room temperature, anyway.Copy !req
29. - It's just a parking ticket.
- It's not the ticket.Copy !req
30. I had to go chasing down
there half-dressed with my hair wet.Copy !req
31. - I said I'd go.
- But you didn't, did you?Copy !req
32. - You didn't give me a chance.
- You weren't fast enough!Copy !req
33. I'll pay the ticket. Okay?
Calm down. I paid the other ones.Copy !req
34. What?Copy !req
35. Let's just say
it wasn't your first ticket.Copy !req
36. - You stole tickets off my windshield?
- Two.Copy !req
37. - And paid them without telling me?
- I was trying to avoid this.Copy !req
38. - I'm not staying here anymore.
- Here we go.Copy !req
39. - Every faucet leaks, your toilet rocks.
- I like that.Copy !req
40. There are creatures in the walls.
Do you know what scurries in walls?Copy !req
41. Bunnies?Copy !req
42. Do you want to take the El train,
or shall we drive?Copy !req
43. - Is this the AA meeting?
- How'd you guess?Copy !req
44. - I'm Brant.
- Hi, I'm John.Copy !req
45. Thanks, John. Welcome.Copy !req
46. to believe a power greater than
ourselves could restore us to sanity.Copy !req
47. Step Three: Made a decision
to turn our will...Copy !req
48. - A lot of coffee.
- This is backup.Copy !req
49. - First time?
- Here? Yeah.Copy !req
50. It's a good group.Copy !req
51. a searching and fearless
moral inventory of ourselves.Copy !req
52. Step Five: Admitted to God,
to ourselves...Copy !req
53. and to another human being
the nature of our wrongs.Copy !req
54. Step Six: Were entirely
ready to have God...Copy !req
55. remove all of these
defects of character.Copy !req
56. Step Seven: Humbly asked him
to remove our shortcomings.Copy !req
57. Step Eight: Made a list of all persons
whom we have harmed...Copy !req
58. and became willing
to make amends to them all.Copy !req
59. Step Nine: Made direct amends
to such people wherever possible...Copy !req
60. except when to do so
would harm them or others.Copy !req
61. E.R.Copy !req
62. Take this guy.
He is driving me crazy.Copy !req
63. - Same here.
- Oh, no.Copy !req
64. He missed his dialysis appointment.Copy !req
65. Mr. Fletcher, only one day late?Copy !req
66. - You? No, not you.
- You know him?Copy !req
67. He's one of our favorites.
Hey, Cleo? Can you take Mr. Fletcher?Copy !req
68. - I see you called 911 again.
- They're faster than the El train.Copy !req
69. - My arm stopped buzzing.
- No thrill, no bruit.Copy !req
70. Talk English.Copy !req
71. - Mark, ready?
- In a second.Copy !req
72. - Raise your right foot.
- I can't.Copy !req
73. - I don't want to keep him waiting.
- I'll be there.Copy !req
74. Okay.Copy !req
75. - Have you started teaching rounds?
- No. The residents are waiting in ICU.Copy !req
76. All right, tell them
I'll be there in a minute.Copy !req
77. And you need to schedule the surgical
service committee meeting.Copy !req
78. - Tomorrow.
- You have a mastectomy.Copy !req
79. - Well, whenever.
- Dr. Benton.Copy !req
80. - Carter. What are you doing here?
- I have a meeting.Copy !req
81. - Right.
- Hi, Shirley.Copy !req
82. Hi. I need you to sign off
on last month's O.R. expenditure report.Copy !req
83. - I've never done that.
- I take care of it. You just sign it.Copy !req
84. Suit yourself. I need it by 4.
It's good to see you, Carter.Copy !req
85. Important Attending stuff?Copy !req
86. - Yeah.
- Congratulations.Copy !req
87. Thanks. Man, you look good.Copy !req
88. Couldn't look much worse
than the last time.Copy !req
89. - He's gotten big.
- Yeah.Copy !req
90. - Hi, Reece.
- Hey.Copy !req
91. Well, hey, you're in a hurry...Copy !req
92. - Yeah. I'll see you later, all right?
- I don't know. Maybe. We'll see.Copy !req
93. Good luck, Carter.Copy !req
94. - When does he want to start?
- Soon.Copy !req
95. I don't think that's a good idea.Copy !req
96. 62-year-old female, slurred speech,Copy !req
97. also weak grip in right hand.Copy !req
98. - Any history of stroke?
- Yes. A lacunar infarct. She got worse.Copy !req
99. - He's eager to work.
- So we just throw him in?Copy !req
100. We'll start him on half-shifts,
limited responsibilities.Copy !req
101. - In the same place he started using.
- He's doing the program every day.Copy !req
102. Good. Make him take time.
He can afford it.Copy !req
103. We'll monitor his progress.
If he gets into trouble, we'll cut back.Copy !req
104. If he gets in trouble, it's too late.Copy !req
105. Please, somebody!Copy !req
106. - What?
- I'm having contractions!Copy !req
107. - Are you pregnant?
- Only 22 weeks.Copy !req
108. Come here. Try to relax, okay?
Here, you're gonna sit down.Copy !req
109. Sit here. Wait one second, okay?Copy !req
110. Dr. Chen, I need you over here.
No, now.Copy !req
111. - How did you get here?
- Taxi. I was shopping.Copy !req
112. - What?
- She's having contractions.Copy !req
113. - How far along are you?
- 22 weeks.Copy !req
114. You're probably having what are called
Braxton Hicks contractions.Copy !req
115. They're coming every three minutes.Copy !req
116. Get a gurney, clear a trauma room,
start an IV and call OB.Copy !req
117. - What's your name?
- Regina.Copy !req
118. Regina, don't push.
Whatever you do, don't push. Okay?Copy !req
119. - How much?
- Four, almost 5.Copy !req
120. That can't be right.
I was 4 centimeters two hours ago.Copy !req
121. - You're doing fine.
- Can Dr. Coburn take a look?Copy !req
122. She was called in to do a C-section.Copy !req
123. - How long will that take?
- We have time.Copy !req
124. Why don't we roll you on your side
and get you more comfortable.Copy !req
125. Abby, they need someone downstairs.Copy !req
126. - Where?
- ER. They have a preterm labor.Copy !req
127. - Get a resident.
- Simons and Perry are delivering.Copy !req
128. Lift your leg. Where's Dana?Copy !req
129. She's on break. Not back for another five.Copy !req
130. - You're not leaving?
- It sounded urgent.Copy !req
131. Do you know where you are,
Mrs. Walton?Copy !req
132. Let the doctor check you first.Copy !req
133. What does she say?Copy !req
134. - She wants to go home.
- Pulse ox is 92.Copy !req
135. She's in A-fib.
It probably triggered the new stroke.Copy !req
136. - Do you provide 24-hour care?
- Yes.Copy !req
137. - Does she have any family?
- No. Not that she's in contact with.Copy !req
138. - Connie, call Psych.
- Psych?Copy !req
139. After this she might not be competent
to make her own medical decisions.Copy !req
140. - Preterm labor?
- Next door.Copy !req
141. EKG, Chem-7, UA, culture urine,
blood and sputum.Copy !req
142. - Your husband's on his way.
- Ok.Copy !req
143. - How far along?
- Twenty-two weeks.Copy !req
144. - Let's hope it's a couple more.
- Please, stop it!Copy !req
145. - Where's the resident?
- You got me instead.Copy !req
146. Membranes are intact, but she's fully
dilated to 6 centimeters.Copy !req
147. Can you stop it?Copy !req
148. - What's her name?
- Regina.Copy !req
149. - Regina, did you have any ultrasounds?
- My doctor said everything was okay.Copy !req
150. - Who's your doctor?
- He's in Indianapolis.Copy !req
151. Why is this happening?Copy !req
152. Sometimes women
go into preterm labor for no reason.Copy !req
153. - I should have stayed home.
- This is not your fault. This happens.Copy !req
154. Ok, we are giving you medicine
to stop de contractions.Copy !req
155. Your membranes haven't ruptured yet,
which is a good sign.Copy !req
156. We're also giving you something
to help your baby's lungs mature.Copy !req
157. No! I feel pressure.Copy !req
158. - Contraction.
- She's leaking amniotic fluid.Copy !req
159. - Make them stop. It's too early.
- Two grams of amp.Copy !req
160. - Get a baby warmer in here.
- No! It's too early!Copy !req
161. - Random urine tests.
- Yes.Copy !req
162. And I get to pay for them too, I see.Copy !req
163. - Is that a problem?
- No.Copy !req
164. In addition to the state meetings...Copy !req
165. we'll require 90 NA or AA meetings
during the first 90 days.Copy !req
166. - That's not a problem. I'm going anyway.
- Good.Copy !req
167. And the three of us
will meet once a week just to...Copy !req
168. check in. Make sure
you're handling the stress.Copy !req
169. Okay.Copy !req
170. I came prepared.Copy !req
171. - The naltrexone binds to your opiate-
- I know what it does.Copy !req
172. It protects you.
It blocks the euphoric effects.Copy !req
173. It protects all of us.Copy !req
174. You need to begin today
if you want to begin work next week.Copy !req
175. - You want me to take it in front of you?
- We'll monitor your regimen.Copy !req
176. - How much?
- Fifty milligrams a day.Copy !req
177. - Sorry. That was...
- It's okay.Copy !req
178. It's gonna be difficult at first.
We'll work it out.Copy !req
179. We'll put you on the schedule
for next week. Tuesday.Copy !req
180. Start out very light. No trauma.Copy !req
181. Whatever you say.Copy !req
182. - Kerry, I gotta go.
- Yeah.Copy !req
183. - See you.
- Welcome back.Copy !req
184. Thank you.Copy !req
185. - Thank you both.
- Sure thing.Copy !req
186. Baby's cephalic. Normal anatomy.Copy !req
187. - Progressed to 8.
- Please stop it.Copy !req
188. - Father's here.
- Regina, what happened?Copy !req
189. I was at the mall. It started hurting.
I didn't know what to do.Copy !req
190. - Is she in labor?
- My water broke.Copy !req
191. Her OB confirms previous
ultrasounds put her at 21 weeks.Copy !req
192. - That's too soon.
- She's got rales.Copy !req
193. - Pulmonary edema. No more terbutaline.
- What's wrong?Copy !req
194. The medication is causing
your lungs to fill.Copy !req
195. I don't care! Stop the contractions!Copy !req
196. I can't have this baby.
- I'll try 50 mgs of indomethacin.Copy !req
197. If the baby's born, can it survive?Copy !req
198. - It's coming!
- The baby's crowning.Copy !req
199. - You're gonna deliver this baby.
- No! No!Copy !req
200. Yes. There's nothing else we can do.Copy !req
201. - What have we got?
- Preemie.Copy !req
202. - Okay. Regina, go ahead and push.
- No! No!Copy !req
203. - You okay there, Dr. Chen?
- The head's out.Copy !req
204. - My God! My God!
- It's a boy.Copy !req
205. - Is he breathing?
- Yes.Copy !req
206. - Can someone help me?
- You okay?Copy !req
207. Dilute it in 1000 cc's,
100 drops per minute.Copy !req
208. - I don't hear anything. Is he alive?
- Yes.Copy !req
209. Let's get a weight.Copy !req
210. - He's so little.
- BP, 100/60.Copy !req
211. Okay. Let's give the mom 40 of Lasix.
Take her temp.Copy !req
212. Please save him.
Please save my baby.Copy !req
213. You're doing charts?Copy !req
214. Yeah, I needed to catch up.Copy !req
215. Look, I'm really sorry about...
With the baby.Copy !req
216. It's all right. Our reactions
can surprise us sometimes.Copy !req
217. But you need to go back in there
and manage your patient.Copy !req
218. I can't.Copy !req
219. You should know you're being
considered for chief resident next year.Copy !req
220. People need to be able
to look to you for leadership.Copy !req
221. I'm pregnant.Copy !req
222. I didn't know what to do...Copy !req
223. and then eight weeks became 12
and 12 became 20.Copy !req
224. So you're 20 weeks pregnant?Copy !req
225. Twenty-two.Copy !req
226. You know, that baby
was the size of mine.Copy !req
227. Oh, sweetie...Copy !req
228. Why did you wait so long to tell me?Copy !req
229. My parents are gonna kill me.Copy !req
230. - You should go home.
- No.Copy !req
231. Go home.
I'll cover the rest of your shift.Copy !req
232. We'll work out your schedule
tomorrow.Copy !req
233. Okay.Copy !req
234. Good.Copy !req
235. - Not fair. Not in the workplace.
- I found a spot I'm going to exploit.Copy !req
236. - I'll exploit you. You know I will.
- Bring it on.Copy !req
237. Time and place.Copy !req
238. Clotted-off fistula needs a new shunt.Copy !req
239. - Renal failure?
- Missed his dialysis.Copy !req
240. - Mr. Fletcher?
- Who else?Copy !req
241. - Give him to somebody else.
- I got stuck with him.Copy !req
242. - The man yelled in my stethoscope.
- He grabbed my ass. Suck it up.Copy !req
243. Come on. Be a man.Copy !req
244. - That's not right.
- You crying?Copy !req
245. That's not right.Copy !req
246. - You guys got a baby?
- 22-week preemie.Copy !req
247. - Still breathing?
- For now.Copy !req
248. What took you so long?
I need to take a dump.Copy !req
249. It's good to see you, Mr. Fletcher.Copy !req
250. - Is he hypothermic?
- Yeah.Copy !req
251. - Okay. Order another lamp.
- It's on its way down.Copy !req
252. - What's his pulse?
- Down to 90.Copy !req
253. This is some heated saline to keep him
warm while you hold him.Copy !req
254. - Did your husband leave?
- He went to call a priest.Copy !req
255. We want to baptize our baby.Copy !req
256. There's a priest on call with the hospital,Copy !req
257. unless you had someone specific in mind.Copy !req
258. No, we're just in town
for a few days.Copy !req
259. My doctor said I could travel
during my second trimester.Copy !req
260. This probably would have happened
whether you were traveling or not.Copy !req
261. We tried for...Copy !req
262. almost two years to get pregnant
and finally gave up.Copy !req
263. And then suddenly, I was.Copy !req
264. Look at him. He's hanging on.Copy !req
265. I counted 10 little fingers
and 10 little toes.Copy !req
266. He looks perfect.Copy !req
267. He's just a little small.Copy !req
268. Even if your baby was a few weeks older
and somehow managed to survive-Copy !req
269. I know that that's what you say
because that's what you've seen...Copy !req
270. but maybe he's meant
to be a miracle.Copy !req
271. Sometimes you have
to help a miracle along.Copy !req
272. And sometimes you have to let go.Copy !req
273. - What took so long?
- They had us holding.Copy !req
274. - Are we still in Trauma 1?
- Yeah, sure.Copy !req
275. How bad is it?Copy !req
276. - I'm not sure I should discuss this.
- Why?Copy !req
277. I can't share medical information
with anyone but family.Copy !req
278. - Glenda and I are family.
- I thought you were her nurse.Copy !req
279. No, I'm-Copy !req
280. We're partners.Copy !req
281. Right.Copy !req
282. We should sit down.Copy !req
283. - Hey.
- You're safe. I've had my coffee.Copy !req
284. - Good. How about a date?
- As long as it's at my place.Copy !req
285. - The going-out kind.
- We're going out Friday.Copy !req
286. I moved up a reservation.Copy !req
287. - What reservation?
- It's a surprise.Copy !req
288. Look, I'm fine. I just had
an episode this morning.Copy !req
289. I know. I'm used to them.
Trust me. You'll like the place.Copy !req
290. Your patient has an abscess
around L4 and L5.Copy !req
291. - Who?
- Patterson. I was in Radiology.Copy !req
292. - Bored?
- What?Copy !req
293. Poaching my patients?Copy !req
294. There can be improvement
in the first 24 hours after a stroke.Copy !req
295. In Glenda's case, I'm afraid
there's too much brain damage.Copy !req
296. - She won't recover?
- Maybe slightly.Copy !req
297. Dr. Kovac?
Her sats are dropping to 86.Copy !req
298. - Glenda?
- Yes.Copy !req
299. - What does that mean?
- She's not getting enough oxygen.Copy !req
300. - Eight ET tube, 10 cc syringe.
- BP's 110/90. Pulse is 110.Copy !req
301. - Put her on a 100% non-rebreather.
- This your patient?Copy !req
302. Large CVA with dense hemiparesis.Copy !req
303. X- ray shows an aspiration pneumonia.Copy !req
304. We may have to put a tube
down your throat to help you breathe.Copy !req
305. - Do you know where you are?
- She's not competent.Copy !req
306. - She's confused.
- Does she have an advance directive?Copy !req
307. - What do you mean?
- Like a "Do Not Resuscitate" order.Copy !req
308. I don't think she'd want a ventilator.Copy !req
309. Suction. I'll put in an airway.Copy !req
310. - Are you a family member?
- No, she's her...Copy !req
311. They're together.Copy !req
312. - Do you have power of attorney?
- No, I guess I should...Copy !req
313. - Sats are climbing.
- Let's keep her on 50 liters by mask.Copy !req
314. - She's okay?
- For now.Copy !req
315. But we'll have to intubate her...Copy !req
316. unless a family member directs us not to.Copy !req
317. - Or a spouse?
- One recognized by law.Copy !req
318. - Can you do it by phone?
- Yes.Copy !req
319. Yes, if you can verify
an out-of-town relative.Copy !req
320. She has a brother in Houston.Copy !req
321. I've never seen one so small.
You can hold it in one hand.Copy !req
322. I delivered a 700-gram baby
in med school. Had a brain-bleed.Copy !req
323. - I don't even want to look.
- Can you page the chaplain?Copy !req
324. The father already asked.
He's gonna be a few hours.Copy !req
325. Well, we don't have a few hours.
He needs to get here.Copy !req
326. Well, he's helping talk down
a jumper. I...Copy !req
327. Then start calling parishes till you can find
someone who can get over here.Copy !req
328. - You want me to cold-call priests?
- Yes. Now, please.Copy !req
329. - Okay.
- No, I just need the coags.Copy !req
330. - Dr. Benton?
- I don't care what the computer says.Copy !req
331. Is this about Mr. Fletcher?Copy !req
332. I'll tell you what.
When they're ready, page me, all right?Copy !req
333. Maureen Conway, Financial.
We can't admit Mr. Fletcher.Copy !req
334. - Why not? He's got Medicare.
- Which he sold to a bankrupt HMO.Copy !req
335. That's not his fault.Copy !req
336. But in nine months,
they have not paid claims...Copy !req
337. Mr. Fletcher has
run up $200,000 in unrecouped charges.Copy !req
338. - He needs a new dialysis shunt.
- Dr. Romano left strict orders.Copy !req
339. - Stabilize in the ER and then transfer.
- Wait a minute.Copy !req
340. - Do you have an M.D.?
- No.Copy !req
341. You're gonna tell me
how to treat my patients?Copy !req
342. I've got a pheochromocytoma,Copy !req
343. 53-year-old male.
How do you suggest I treat him?Copy !req
344. Do whatever is necessary.
We won't admit Mr. Fletcher.Copy !req
345. Now, if you have any concerns,
take them up with Dr. Romano.Copy !req
346. We took Regina to get cleaned up.
Believe it or not, a shower can help.Copy !req
347. She did everything right.
She read that damn Expecting book.Copy !req
348. It's important that
she knows it's not her fault.Copy !req
349. - What happened? Did he die?
- No. You wait here.Copy !req
350. Did they find something?Copy !req
351. Neonatology examines every preemie.Copy !req
352. - They might do something?
- Wait.Copy !req
353. Note how the thinness
makes thermal regulation impossible.Copy !req
354. - The eyes remain closed-
- What are you doing?Copy !req
355. - We heard you had a micro-preemie.
- This isn't show-and-tell.Copy !req
356. No, it's a teaching hospital.Copy !req
357. As you can see, the heart, limbs
and palate are fully formed.Copy !req
358. We might be able to see
the heart beating.Copy !req
359. Okay, put him down.Copy !req
360. - Excuse me?
- Put him down.Copy !req
361. He is not a science experiment.Copy !req
362. He isn't. But I need to examine
every birth for congenital anomalies.Copy !req
363. - You examined him. Now go.
- When I'm finished.Copy !req
364. The father is standing outside thinking
that you are saving his baby.Copy !req
365. How long would you like
to torture him?Copy !req
366. Are there any questions?Copy !req
367. No? Good.Copy !req
368. - Transfer him to the fifth floor.
- No.Copy !req
369. You can't keep him here.Copy !req
370. I'm not sending the parents upstairs
with the mothers.Copy !req
371. The NICU then.Copy !req
372. He's staying here with his parents
so they can have some privacy.Copy !req
373. - In the ER?
- Yes.Copy !req
374. - Is there anything you can do?
- No. I'm sorry. He's too young.Copy !req
375. Get Mr. Morgan a chair
so he can sit next to his son.Copy !req
376. Sure.Copy !req
377. I know this is difficult.Copy !req
378. Don't be afraid to touch him.Copy !req
379. - He's not suffering, is he?
- No.Copy !req
380. - We got multiple MVAs coming up.
- Find someplace else.Copy !req
381. - This is a Trauma Room.
- I don't care. This room's off-limits.Copy !req
382. Titrate the phentolamine to M.A.P. 120.Copy !req
383. Mr. Robertson, you are in good hands.Copy !req
384. - Dr. Romano.
- Hello, Peter.Copy !req
385. I heard you're hoarding the field down here.Copy !req
386. An Attending for a week and already
you're stealing the fascinomas, huh?Copy !req
387. - You can have him.
- I wasn't asking permission.Copy !req
388. We have a problem with a patient.Copy !req
389. - Why do you say "we"?
- Financial won't let me admit him.Copy !req
390. Don't let those geeks push you around,
Peter.Copy !req
391. Show a little backbone, before you come
crying. Otherwise they'll never respect you.Copy !req
392. They're blocking him on your orders.Copy !req
393. That's different. Let's take a look.Copy !req
394. I've cleared him for surgery.
I can have him out in 24 hours.Copy !req
395. - 28 admissions for renal failure?
- He frequently misses dialysis.Copy !req
396. Street him. I am done
carrying these parasites.Copy !req
397. - That's an EMT ALA violation.
- No. He's not emergent.Copy !req
398. How do you know?
You haven't looked at him.Copy !req
399. Okay, Peter. Let's take a look.
Where is he? Curtain Two.Copy !req
400. Too late, Lizzie.Copy !req
401. - What?
- Nothing.Copy !req
402. Have you seen Mark?
He has a patient for me.Copy !req
403. - He said something about Radiology.
- I'm Dr. Romano.Copy !req
404. - How are you feeling?
- Like crap.Copy !req
405. - Can I take a look?
- You're the seventh person to look.Copy !req
406. What am I, a freak show?Copy !req
407. - Why did you miss your dialysis?
- I was busy.Copy !req
408. - Doing what?
- None of your business.Copy !req
409. - More important things to do?
- I don't like you.Copy !req
410. I didn't like you when you sliced
my foot open and I don't like you now.Copy !req
411. I'm hurt, Mr. Fletcher.Copy !req
412. What about my pain pill?Copy !req
413. - I need my pill!
- The nurse is gonna bring it.Copy !req
414. She's too slow. I need a new nurse.Copy !req
415. - Put him on a bus to Milwaukee.
- He's fluid-overloaded.Copy !req
416. This guy knows exactly
what's gonna happen...Copy !req
417. if he misses his dialysis
and he still blows it off.Copy !req
418. He's not gonna stop abusing the system
till we draw the line.Copy !req
419. - What's this?
- This is for his bus ticket.Copy !req
420. You serious?Copy !req
421. New state, new Medicaid
and a new set of doctors to piss off.Copy !req
422. - He lives in Chicago.
- Cry me a river.Copy !req
423. Oh, man...Copy !req
424. Please call back immediately.
Thank you. Machine.Copy !req
425. - Do you have a pager number?
- No.Copy !req
426. - A next-door neighbor? Another relative?
- No.Copy !req
427. Well, her breathing has stabilized.Copy !req
428. - How long have you been together?
- Twenty-seven years.Copy !req
429. Kerry?Copy !req
430. - Could you excuse us for a moment?
- Sure.Copy !req
431. What are you doing?Copy !req
432. She talked to her brother
twice in 10 years.Copy !req
433. She didn't grant her partner power of
attorney.Copy !req
434. I'm trying to find a legal way
to fulfill her wishes.Copy !req
435. - 27 years should count for something.
- She has a chance of survival.Copy !req
436. But what kind of life?Copy !req
437. Intubation is an appropriate step.Copy !req
438. The only
one who can change that is the next of kin.Copy !req
439. She is the next of kin.
They lived their lives together.Copy !req
440. - We should treat them like a couple.
- I agree. The law doesn't.Copy !req
441. If her sats drop below 80, tube her.Copy !req
442. No.Copy !req
443. What?Copy !req
444. If you want to manage it this way,
then you should manage it.Copy !req
445. Okay. Fine. Give me the chart.Copy !req
446. Thank you. I just- I need a picture.Copy !req
447. I understand.Copy !req
448. - Should we use the name?
- You don't want to?Copy !req
449. No, I think we should.Copy !req
450. There's only one boy's name
we could agree on.Copy !req
451. - What's that?
- Julian.Copy !req
452. - It's a nice name.
- Yeah.Copy !req
453. How much longer?Copy !req
454. I don't know.Copy !req
455. It could be a few minutes.
It could be a few hours.Copy !req
456. - Let's take him outside.
- What?Copy !req
457. We'll take him to a lake or a park.Copy !req
458. If he's gonna die,
I don't want him to die in here.Copy !req
459. We have to wait for the priest.Copy !req
460. - Is he coming?
- I'll check again.Copy !req
461. Abby.Copy !req
462. Excuse me. I'll be right back.Copy !req
463. - I paged you three times.
- We had a 22-week birth here.Copy !req
464. You had a patient upstairs
who needed you.Copy !req
465. - Did she deliver?
- Yes, she delivered.Copy !req
466. - Shoulder dystocia.
- Is the baby okay?Copy !req
467. Well, apart from a broken clavicle,
he'll be fine.Copy !req
468. She was scared and asking for you.Copy !req
469. If you take shifts as a nurse,
I need you to work as a nurse.Copy !req
470. You cannot let these women grow
dependent on you and then walk out.Copy !req
471. I was taking care
of this woman and her baby.Copy !req
472. There are other people down here
who can do that.Copy !req
473. Janet, I'm sorry, it was my call.
I asked Abby to stay.Copy !req
474. These parents are distraught.
There's nothing we can do...Copy !req
475. but they need support, and Abby's
been with them since the birth.Copy !req
476. - Just don't ignore my page.
- I'm sorry.Copy !req
477. Thank you.Copy !req
478. No. You're doing the hard part.Copy !req
479. - Is he still breathing?
- Agonally.Copy !req
480. - Let me know when you pronounce.
- Okay.Copy !req
481. Last time I got heated blankets
and an extra pillow.Copy !req
482. - What's open?
- Depends on what you have.Copy !req
483. Revision of an AV graft, left forearm.Copy !req
484. - Fletcher?
- How did you know?Copy !req
485. Dr. Romano warned me
you'd try to bring him.Copy !req
486. - It's my call. Just give me a room.
- I'm sorry, Dr. Benton. I can't.Copy !req
487. - I'll be out in less than an hour.
- He actually said he'd fire me.Copy !req
488. Okay. Okay, well, please hurry.Copy !req
489. Thank you.Copy !req
490. The priest talked...Copy !req
491. that woman down.
He's gonna baptize this baby.Copy !req
492. - How long has it been?
- Five hours.Copy !req
493. He's really hanging on.Copy !req
494. Maybe the mother is right.
Maybe he is a miracle.Copy !req
495. In 10, 15 years
we might be able to help.Copy !req
496. They wanted to try.
We could intubate him.Copy !req
497. - Abby...
- I know.Copy !req
498. It's his time on Earth, and all
you can do is make it a good time.Copy !req
499. I think he stopped breathing.Copy !req
500. Here we go.Copy !req
501. - That's not a respirator?
- No.Copy !req
502. It provides pressure to her lungs so...Copy !req
503. she doesn't have to work so hard to breathe.Copy !req
504. Her father died of lung cancer.Copy !req
505. I remember Glenda and her brother
fighting outside the ICU.Copy !req
506. Danny couldn't let go, and Glenda
couldn't watch her father suffer like that.Copy !req
507. You know, all those tubes.Copy !req
508. After her first stroke, Glenda made me
promise to never let her die like that.Copy !req
509. We'll do everything we can
to reach her brother.Copy !req
510. He doesn't know her like I do.Copy !req
511. I love her.Copy !req
512. I don't want to lose her,
but I know what she wants.Copy !req
513. His breathing just slowed down
and then it just stopped.Copy !req
514. Please, if you could do anything...Copy !req
515. Is there a heartbeat?Copy !req
516. No.Copy !req
517. - You want to call it?
- Oh, God.Copy !req
518. - Abby?
- Yeah.Copy !req
519. Is that it?Copy !req
520. The time of death is-Copy !req
521. Wait! His chest moved.Copy !req
522. Is he still alive?Copy !req
523. Got a heartbeat.Copy !req
524. Yes, but your sister
has an aspiration pneumonia.Copy !req
525. If we put her on a ventilator,
she may never come off it.Copy !req
526. Perhaps. She suffered a massive stroke...Copy !req
527. from which she probably will not recover.Copy !req
528. Mr. Walton, I cannot
give you percentages.Copy !req
529. Extremely unlikely.Copy !req
530. Your sister's wishes are not
to be kept alive by artificial means.Copy !req
531. Judy. Would you like to talk to her?Copy !req
532. Yes, if we don't intubate her,
she will die, but the chances of-Copy !req
533. The chances of a meaningful recovery
are extremely-Copy !req
534. I understand.Copy !req
535. Yes. Goodbye.Copy !req
536. - Hey, you. Malatucci.
- Malucci.Copy !req
537. Whatever. Have you seen
the OIG officer down here?Copy !req
538. Who?Copy !req
539. Deputy inspector general.
Regulates our Medicare compliance.Copy !req
540. - Short, battle-ax, humorless?
- That's her.Copy !req
541. - Curtain Two.
- Thank you.Copy !req
542. Benton told you you needed surgery?Copy !req
543. He brought me upstairs.Copy !req
544. - Why didn't he operate?
- Nurse wouldn't let him in.Copy !req
545. He tried to tell me
they didn't have a room ready.Copy !req
546. Mr. Fletcher, we're ready for you.
Sandy.Copy !req
547. - Hello, Robert.
- What an unexpected visit.Copy !req
548. I'm investigating a possible
EMT ALA violation.Copy !req
549. - What patient?
- Mr. Fletcher.Copy !req
550. Some sort of spot audit?Copy !req
551. We got a call you were bouncing him.Copy !req
552. - From whom?
- Anonymous.Copy !req
553. Anonymous does not equal reliable.Copy !req
554. I was just coming to take
Mr. Fletcher to surgery.Copy !req
555. Is that true, Dr. Benton?Copy !req
556. I'm sure Dr. Romano's found a room.Copy !req
557. This is a consent form.
I'll explain it.Copy !req
558. I know the drill.Copy !req
559. Tell me you don't have policy to redirect...Copy !req
560. all non-paying Medicare HMO patients.Copy !req
561. - How could we? We're a county hospital.
- Good.Copy !req
562. - Always a pleasure.
- I'm sure.Copy !req
563. I think you should know
that I will be auditing...Copy !req
564. all of your patient transfers
from the last month.Copy !req
565. - Audit away. No skeletons here.
- I hope so.Copy !req
566. - Dr. Romano, I felt I had to-
- Not a word, Peter. Not a single word.Copy !req
567. You're not gonna leave a scar, are you?Copy !req
568. The hack that first put this in left a-Copy !req
569. Shut up.Copy !req
570. I'd have had better exposure
and direct visualisation...Copy !req
571. without beaming
a gigavolt of radiation into the man.Copy !req
572. - A gigavolt?
- You know what I mean.Copy !req
573. I could have completely evacuated
all the infected tissue.Copy !req
574. - These guys are going in half-blind.
- Fine. Whatever.Copy !req
575. Next spinal abscess
is all yours, I promise.Copy !req
576. - Where is this place, anyway?
- You'll see.Copy !req
577. These are houses, Mark.Copy !req
578. Oh, Mark!Copy !req
579. It's beautiful!Copy !req
580. See, I have some taste.Copy !req
581. Can you afford it?Copy !req
582. I've been living cheap.
Besides, I'm gonna have a roommate.Copy !req
583. That's awfully presumptuous of you.Copy !req
584. I could take out an ad.Copy !req
585. You will not! I love it!Copy !req
586. Check out the refrigerator.
It's nice and cold.Copy !req
587. Look at this deck!Copy !req
588. I knew you'd love that.Copy !req
589. - When can we move in?
- When can you pack?Copy !req
590. - It has an icemaker.
- These floors are gorgeous!Copy !req
591. - Check it out.
- What?Copy !req
592. - The icemaker.
- It's lovely.Copy !req
593. You have to open it.
It has a special ice feature.Copy !req
594. What? Does the ice come in
different-shaped cubes or something?Copy !req
595. Oh, my God. Mark...Copy !req
596. I'm a little nervous. So...Copy !req
597. Let me say it.Copy !req
598. Elizabeth, I love you.Copy !req
599. I was hoping you'd give me the joy
and honor...Copy !req
600. of being your husband.Copy !req
601. Is that a yes?Copy !req
602. Yes.Copy !req
603. Do you believe in God, the Father
Almighty, creator of heaven and Earth?Copy !req
604. I do.Copy !req
605. Do you believe in Jesus Christ, his son,
who was born of the Virgin Mary...Copy !req
606. suffered and died, but rose...Copy !req
607. and now sits at the Father's right hand?Copy !req
608. I do.Copy !req
609. Do you believe in the Holy Spirit,
the Lord, the giver of life...?Copy !req
610. Regina and Joseph, is it your will
that Julian should be baptized...Copy !req
611. in the faith of the church
which we have professed?Copy !req
612. Yes.Copy !req
613. I'm sorry.Copy !req
614. I baptize you in the name
of the Father...Copy !req
615. and the Son
and the Holy Spirit. Amen.Copy !req
616. Amen.Copy !req
617. Hi. Could I get a coffee with cream,
no sugar, to go?Copy !req
618. Sure.Copy !req
619. Hey.Copy !req
620. Hi. You back already?Copy !req
621. No, not for another week.Copy !req
622. - What, are you just hanging out?
- I have a diversion meeting at 9.Copy !req
623. You look much better.Copy !req
624. Thank you.Copy !req
625. - Hey, I like your hair.
- Thank you.Copy !req
626. Some nice scrubs.
You picking up some extra shifts?Copy !req
627. No. I was suspended.Copy !req
628. - Didn't kill anybody, did you?
- No.Copy !req
629. I wanted to.Copy !req
630. My ex-husband was supposed to pay
my tuition. He didn't pay it, so...Copy !req
631. I'm on the bench,Copy !req
632. but it didn't
seem like that today. Thank you.Copy !req
633. - Hey, I got that.
- It's okay.Copy !req
634. Hey, it's a cup of coffee.Copy !req
635. Sit down.Copy !req
636. It's the least I can do
after acting like a complete jerk.Copy !req
637. When?Copy !req
638. Three months ago.Copy !req
639. You know, you might
have saved my life.Copy !req
640. If you hadn't stopped me when you did,
I could be dead now.Copy !req
641. I'm working on my steps here.Copy !req
642. You're up to nine already?Copy !req
643. More or less.Copy !req
644. I forgive you.Copy !req
645. Do you mind?Copy !req
646. Sorry.Copy !req
647. I really have to quit again.
Thank you.Copy !req
648. Keep it. Long day?Copy !req
649. Yeah.Copy !req
650. 22-week-old preemie survived...Copy !req
651. nine hours. I just finished the death kit.Copy !req
652. - Wow.
- Yeah.Copy !req
653. I don't know why I do this.
I should go be an accountant.Copy !req
654. - That's an option.
- If I could balance a checkbook.Copy !req
655. What about you?Copy !req
656. A lot of waiting. A lot of meetings.Copy !req
657. Yeah. You get kind of meeting-ed out.Copy !req
658. Aren't you gonna ask?Copy !req
659. What?Copy !req
660. What I was doing there this morning?Copy !req
661. You only go for one reason.Copy !req
662. I figured I'd keep going and eventually
you'd stand up and share.Copy !req
663. It's not that interesting.Copy !req
664. I'm a drunk.Copy !req
665. - How long have you been sober?
- Five years.Copy !req
666. - So you could sponsor somebody.
- Yeah, I guess.Copy !req
667. - Have you?
- No.Copy !req
668. Because I'm supposed to find a sponsor.Copy !req
669. - Don't look at me.
- No?Copy !req
670. No, I'm barely holding my own life
together right now. Trust me.Copy !req
671. Because it would be great
to have somebody at the hospital.Copy !req
672. You did start me on my recovery.Copy !req
673. Men and women aren't supposed
to sponsor each other.Copy !req
674. - Don't worry about it.
- Thanks.Copy !req
675. Come on.Copy !req
676. You're not gonna make me
ask a stranger, are you?Copy !req
677. I mean, the only person I met at
the meeting was the coffee guy.Copy !req
678. Okay. Okay.Copy !req
679. I will work the steps with you
until you find a permanent sponsor.Copy !req
680. Fair enough.Copy !req
681. I'll start by setting a good example.Copy !req
682. I don't think cigarettes
are gonna do it for me tonight.Copy !req
683. - No?
- No.Copy !req
684. I'm getting a hot fudge sundae.Copy !req
685. - Would you like one?
- I got enough vices.Copy !req
686. No. I think part of the rules should be
that you have to splurge with me.Copy !req
687. Is that how it works?Copy !req