1. Previously on ER…Copy !req
2. I was hoping you'd give me
the joy and honor of being your husband.Copy !req
3. I can't find a decent position.Copy !req
4. Stay local or you give
up custody.Copy !req
5. I'm willing to offer you
a per diem position.Copy !req
6. - Per diem?
- Yeah.Copy !req
7. Give me the purse!Copy !req
8. Stop! Luka!
Stop!Copy !req
9. Stop it!Copy !req
10. What can I tell you? I'm short-staffed,
okay? I can't go on a transport.Copy !req
11. Connie, can you clear
this TIA in six?Copy !req
12. - She's waiting for her daughter.
- That's what Chairs are for.Copy !req
13. And give a gram of Unasyn
to the dog bite in four.Copy !req
14. Mark, they need you at the MICN.Copy !req
15. Try Mercy Air.
Maybe they can pick him up.Copy !req
16. - Mark.
- What?Copy !req
17. Paramedics have a guy with chest pain.
Won't get in the ambulance.Copy !req
18. Well, explain the risks and make sure
he signs out AMA. What are his vitals?Copy !req
19. - He's refusing to sign the form.
- Mark, you gave my patient cefoxitin?Copy !req
20. - Who?
- Bovard. Uh, appy.Copy !req
21. Hold on. Yeah.
Listen, he needed antibiotics.Copy !req
22. - Yeah. Cefotetan's a better drug.
- Peter, I'm a little busy.Copy !req
23. That's not my problem.
You should have at least called me.Copy !req
24. - Did you get through?
- No answer. I stat-paged him twice.Copy !req
25. Well, try his cell phone.
Any response to Lasix?Copy !req
26. Mark, the AMA.Copy !req
27. Get him on the radio
and try and convince him.Copy !req
28. What about a nitro drip?Copy !req
29. I need you to buff up a recurrent
bowel obstruction I have on the way.Copy !req
30. - What are we? Jiffy Lube?
- I need a sugar-tong splint in three.Copy !req
31. - Kovac still MIA?
- Uh-huh.Copy !req
32. - Kovac missed his shift?
- I'm sure he's on his way.Copy !req
33. - Where's Kerry?
- It's her day off.Copy !req
34. - She's at a chrysanthemum show.
- Great, she's off playing Martha Stewart.Copy !req
35. Hold on. Just a sec. I'm sorry.Copy !req
36. I've got a helicopter transport.
We're gonna have to call in backup.Copy !req
37. Why don't you wait until 8:30?
He's never late.Copy !req
38. - Peter, what's this?
- Hot appy. O.R.'s ready.Copy !req
39. Great. I'll take him.
Dr. Greene needs your help here.Copy !req
40. - Trauma coming in?
- You're gonna cover the ER.Copy !req
41. - What?
- Yep. This'll get you started.Copy !req
42. Diarrhea, ear pain
and weak and dizzy all over.Copy !req
43. Wait a minute. "Weak and dizzy"
wasn't part of our per-diem agreement.Copy !req
44. Sure it is. Per diem means
"per my discretion."Copy !req
45. Okay. I'm on my way.Copy !req
46. I haven't done primary care
since med school.Copy !req
47. Don't worry, Peter. You just
gotta cover until Kovac gets here.Copy !req
48. When's that?Copy !req
49. I hope soon. Andrazak in four,
check his lytes in an hour.Copy !req
50. And look at a post-reduction
shoulder film on Quintano.Copy !req
51. - How long's your flight?
- I don't know.Copy !req
52. - Where you going?
- Grass Creek, Indiana.Copy !req
53. The wedding coordinator's coming at noon.Copy !req
54. - I know.
- Mark, we canceled her once already.Copy !req
55. Go ahead and talk to her.
You can handle it.Copy !req
56. I don't want to. I want you to share
in kinds of invitations, menus, flowers…Copy !req
57. - I know. I'm stuck. I'm sorry.
- Well, at least try to get back on time.Copy !req
58. I'll call you.Copy !req
59. - Have a safe flight!
- What?Copy !req
60. Nothing!Copy !req
61. Lifeguard Five-Seven-David.
Landing-pad zone is clear. Over.Copy !req
62. All right, I've got the earache.Copy !req
63. That's a Pedes case.Copy !req
64. Yeah. Well, Romano has me seeing
everything today.Copy !req
65. And that's a complete waste
of your brilliance.Copy !req
66. I've apologized. If you can't accept it,
let's call a truce so we can work.Copy !req
67. You are amazing. First, you dump me.Copy !req
68. - Then you expect me…
- Whoa, whoa, I did not dump you.Copy !req
69. Then what do you call it?Copy !req
70. You were going to move to Philadelphia
without saying a word to me.Copy !req
71. But I didn't, did I? I stayed here,
and I took this damn per diem job.Copy !req
72. And I'm supposed to believe
you did that for me?Copy !req
73. That's what I thought.Copy !req
74. Hi. I'm Dr. Benton.
So, uh, Jason…Copy !req
75. How long has he been sick?Copy !req
76. It started last week with an earache.
And then he had a fever.Copy !req
77. - Okay.
- Now he's coughing.Copy !req
78. - Let's take a look here.
- You don't think he's got pneumonia?Copy !req
79. - One thing at a time.
- Get away from me!Copy !req
80. Jason. Be nice.
The doctor wants to help you.Copy !req
81. - Ow. Hey, whoa. Hey.
- I said, be nice.Copy !req
82. All right, Jason. Look,
this isn't gonna hurt, okay?Copy !req
83. - Just be still. Here we go.
- No! I wanna go home!Copy !req
84. It's okay. It's not gonna hurt.
Jason!Copy !req
85. That's right, Jason. Go to Mommy.Copy !req
86. Uh-huh.Copy !req
87. Why don't you put him on your lap
and give him a nice big hug?Copy !req
88. And if Jason's real still,
I'm going to give him a sticker.Copy !req
89. - How are his sats?
- Up to 98.Copy !req
90. - His ejection fraction's less than 10%.
- Mr. Coggins?Copy !req
91. - Call me Tom.
- I'm Mark Greene.Copy !req
92. We're gonna have to lie you down
to load you on the chopper.Copy !req
93. My first helicopter ride
and I'm gonna miss the scenery.Copy !req
94. - What's his BP?
- 90/70.Copy !req
95. It's always that low. There's not much
heart muscle. Can you keep trying Janet?Copy !req
96. Sure, Tom.Copy !req
97. That's my fiancée.
She's flying in from Montreal today.Copy !req
98. Let me know if you feel dizzy
or get short of breath.Copy !req
99. I'm okay as long as I lie still.Copy !req
100. Bright side is, I get bumped up
on the transplant list, right?Copy !req
101. You bet.Copy !req
102. - Gordon, how are we for oxygen?
- Four E cylinders, all full.Copy !req
103. Ready? Let's go. One, two, three.Copy !req
104. Full trauma panel. Type and cross
for eight. Get the bypass team on standby.Copy !req
105. - Somebody stabbed him?
- No. He tripped near a pencil sharpener.Copy !req
106. Our office manager wanted to pull it out.
But I wouldn't let him.Copy !req
107. Decreased breath sounds on the left.
Set me up with a chest tube.Copy !req
108. - I'll do it.
- No, I'll do it.Copy !req
109. Excuse me. This is a teaching hospital.Copy !req
110. Exactly. Go find another patient
to learn on.Copy !req
111. - Pulse ox down to 91.
- Okay. Let's get one percent with epi.Copy !req
112. Peter, heard you had a good one.
And indeed you do.Copy !req
113. - He needs a CT. Let me get a ten blade.
- Don't bother.Copy !req
114. I'll, uh, throw the tube in
and take him to the OR.Copy !req
115. Don't worry.
You are in excellent hands.Copy !req
116. - It's okay. I've got this.
- This is a surgical case here.Copy !req
117. You are an ER doctor today.
Remember?Copy !req
118. There's a guy puking out in the hall.
Go see what you can do. Excuse me.Copy !req
119. I need a 32 French tube,
some zero silk and Xeroforms…Copy !req
120. Sir, are you okay?
Ah, whoa, whoa.Copy !req
121. - What does it look like?
- Can we get some Compazine here?Copy !req
122. Sir, you're gonna have to aim
for the basin.Copy !req
123. - I heard it. But I didn't believe it.
- Carter, get me some gloves.Copy !req
124. Dr. Peter Benton, ER Attending.
Has kind of a nice ring to it.Copy !req
125. - You want this?
- Oh, no. No, no.Copy !req
126. Looks like you're doing just fine.Copy !req
127. Trent? I'm Dr. Carter.
What happened to your hand?Copy !req
128. Ah, I have this stupid art class.
We were carving some duck decoy.Copy !req
129. The most exciting thing that we ever did,
I think, was macramé.Copy !req
130. - How many stitches do you think?
- How many do you want?Copy !req
131. - Enough to get me out of art class.
- Ten ought to do it.Copy !req
132. - Dr. Carter, can you step out a second?
- After I suture this.Copy !req
133. No. It's important.Copy !req
134. I'll be right back.
Don't pick your nose.Copy !req
135. - What?
- His grandmother wants to talk with you.Copy !req
136. - Well, just bring her in.
- No. She asked to see you alone.Copy !req
137. Hello. I'm Dr. Carter.Copy !req
138. I'm sorry. I came as soon as I could.
Is Trent all right?Copy !req
139. Oh, yeah, just a few stitches,
he'll be good as new.Copy !req
140. Um, doctor, there's something
you need to know.Copy !req
141. Trent's mother died of AIDS
when he was two. He tested HIV-positive.Copy !req
142. - You need to be careful.
- He didn't say anything.Copy !req
143. He doesn't know. We never told him.Copy !req
144. What?Copy !req
145. We just wanted him to be normal
like other kids.Copy !req
146. What did you tell him
about the medications?Copy !req
147. He thinks he has a vitamin deficiency.Copy !req
148. - And your doctor plays along with that?
- Well, he understands.Copy !req
149. Trent needs to know.Copy !req
150. Yes. When he's older.
When he can better understand.Copy !req
151. Your grandson could be sexually active
right now.Copy !req
152. - He's not. I've asked him.
- Are you sure he's telling the truth?Copy !req
153. Doctor, I know my grandson. You don't.Copy !req
154. Mrs. Larson, I have a legal right
to tell Trent that he's HIV-positive.Copy !req
155. You have no right to interfere
in our lives.Copy !req
156. HIV is a sexually transmitted disease.Copy !req
157. And if he's having unprotected sex,
he could be putting others at risk.Copy !req
158. - Well, I think we better leave.
- Well, he can't leave.Copy !req
159. - Let me by.
- Chris?Copy !req
160. - Let me by!
- Could you escort Mrs. Larson to Chairs?Copy !req
161. - This way, ma'am.
- Don't touch me.Copy !req
162. Don't do this.Copy !req
163. Pulse ox 94 on two liters.Copy !req
164. - What's your hurry?
- Huh?Copy !req
165. You keep checking your watch
every ten seconds.Copy !req
166. - I'm just charting.
- I don't think so.Copy !req
167. - You late for something?
- I'm supposed to meet my fiancée.Copy !req
168. - You got a lunch date?
- We're meeting the wedding planner.Copy !req
169. You're taking the plunge.
It's a great feeling.Copy !req
170. Yeah. What's your fiancée's name again?Copy !req
171. Janet.Copy !req
172. I'm calling the ER.Copy !req
173. See if they can get a hold of her,
and she can meet us there.Copy !req
174. That'd be great.Copy !req
175. - ER.
- Hi, Randi?Copy !req
176. It's Mark Greene up in the helicopter.
Who's around?Copy !req
177. Dr. Corday's right here.
It's Dr. Greene.Copy !req
178. I don't care.
I need to speak to him right away.Copy !req
179. - Hey, Mark. Is everything all right?
- Dr. Dietrich?Copy !req
180. This is Dr. Carter at County.Copy !req
181. Listen, I just repaired a laceration
on your patient, Trent Larson.Copy !req
182. Yes, certainly.
I'll try and get a hold of her.Copy !req
183. No, he's a great kid.Copy !req
184. Listen, if I was to get a needle-stick,
is there anything I should know.Copy !req
185. - Did you get in touch with that hotel?
- There's still no answer in his room.Copy !req
186. Could you call the manager's officeCopy !req
187. and see if they can send
somebody up there?Copy !req
188. Detective?Copy !req
189. You keep coming by, I'm gonna
have to get you a badge and a gun.Copy !req
190. So, is there anything…Copy !req
191. Dr. Kovac, now, you know the minute
there's anything new, I'm gonna call you.Copy !req
192. We take photos for the medical record.
I thought it might help.Copy !req
193. His morgue photo's already
on the police bulletin.Copy !req
194. Maybe you could go back to where
it happened, show this around?Copy !req
195. We've done our interviews, doc.
No one knows him.Copy !req
196. What about fingerprints?Copy !req
197. Have a seat. Have a seat, doc.Copy !req
198. Look, I understand how you feel, okay?Copy !req
199. But the fact is, you're probably
better off if no one IDs this guy.Copy !req
200. No family member's gonna come
crawling out of the woodworkCopy !req
201. with some wrongful death suit.Copy !req
202. I don't care.
I just need to know who he was.Copy !req
203. Take my advice, doc.
You were defending yourself.Copy !req
204. Dedicate yourself to believing that.Copy !req
205. - All right. Keep that clean and dry.
- All right. Cool.Copy !req
206. Hey, Dr. Carter,
is my grandmother here yet?Copy !req
207. Um, yeah. But first we need to talk.Copy !req
208. Why? It's just a cut.Copy !req
209. Uh, yeah, actually,
I need to ask you something.Copy !req
210. All right.Copy !req
211. It's about your mother.Copy !req
212. How much do you remember about her?Copy !req
213. - Nothing.
- You sure?Copy !req
214. Yeah. She's dead. She was a loser.
A heroin addict.Copy !req
215. She died of AIDS. And she had the virus
when she was pregnant with you.Copy !req
216. And the virus can pass
from the mother to the baby.Copy !req
217. Wait a second. So…Copy !req
218. - I have AIDS?
- No. You have HIV.Copy !req
219. And you're healthy
because you've been taking medication.Copy !req
220. No, no. See, I just take
a bunch of vitamins. That's it.Copy !req
221. No. You've been taking medication
to combat the virus.Copy !req
222. No. They're just vitamins, man.Copy !req
223. No. Your grandmother told me.
And I confirmed it with your doctor.Copy !req
224. Why wouldn't she tell me!Copy !req
225. I think she wanted to protect you.Copy !req
226. And um… But you need to know.Copy !req
227. So my whole life everybody's lied to me.Copy !req
228. I'm not lying to you.Copy !req
229. How much longer do you think?Copy !req
230. Gordon, what's our ETA?Copy !req
231. Well, there's the Kankakee River.
About 20 minutes.Copy !req
232. You all right?Copy !req
233. It's all right.
Just a little chest pain. I'll be okay.Copy !req
234. Nitro spray.Copy !req
235. Open your mouth, under your tongue.Copy !req
236. On a scale of one to ten,
how bad is the pain?Copy !req
237. Big-time ST elevation on the monitor.Copy !req
238. Find the tenecteplase.
I'll do the heparin.Copy !req
239. - Uh, what's going on?
- You're having a heart attack.Copy !req
240. But we're giving you
clot-busting medicine.Copy !req
241. Pulse ox down to 82.
You want to intubate?Copy !req
242. Not if I don't have to.Copy !req
243. Let's get him on a mask. 15 liters.Copy !req
244. - Maybe we should land.
- No. Dr. Greene…Copy !req
245. Dr. Greene, you'll get me there, right?Copy !req
246. Yeah. I'll get you there.Copy !req
247. Do you have a girlfriend?Copy !req
248. Because if you've slept with anybody,
they'll have to be tested.Copy !req
249. It's important, Trent.
You have to use condoms.Copy !req
250. Yeah.Copy !req
251. - Can I go now?
- Yeah.Copy !req
252. Yep, your grandmother's waiting.Copy !req
253. So a case manager's gonna phone you
tomorrow, see how you're doing.Copy !req
254. And you've got an appointment
next week with the teen HIV center.Copy !req
255. And you can always reach me here.
The ER always knows where to find me.Copy !req
256. - All right.
- All right?Copy !req
257. Trent?Copy !req
258. Thank you, doctor.Copy !req
259. Hog Butcher for the World
Tool Maker, Stacker of WheatCopy !req
260. Player with RailroadsCopy !req
261. City of the Big ShouldersCopy !req
262. You know Sandburg's poetry.Copy !req
263. Just that one.Copy !req
264. After teaching English for ten years,Copy !req
265. I know them all.Copy !req
266. - It looks like you're feeling better.
- ST segments are back down.Copy !req
267. Hello?
Yeah, we're about five minutes out.Copy !req
268. Tha'ts good. Hold on.Copy !req
269. - Janet's on her way.
- Thanks.Copy !req
270. Listen, we're gonna need
a gurney and…Copy !req
271. What the hell's that?Copy !req
272. The main rotor. I got metal fragments
in the gearbox.Copy !req
273. - What's wrong?
- Mark!Copy !req
274. Mark, are you there? Mark?Copy !req
275. Mayday, mayday. This is Lifeguard
Nine-Seven-Kilo on emergency descent.Copy !req
276. - Cinch him in tight.
- Shut down for auto rotation.Copy !req
277. No, no. We're gonna make it.Copy !req
278. Mark? Can you hear me?Copy !req
279. - What's going on?
- I don't know.Copy !req
280. There were horns, shouting.
Now there's nothing. Mark!Copy !req
281. VFR position. Industrial area.Copy !req
282. Scrap yard near 95th and commercial.Copy !req
283. When I get enough rotor speed,Copy !req
284. I'll pull on the pitch.
That should cushion our landing.Copy !req
285. - We're falling.
- Hang in there, Tom.Copy !req
286. Here we go.Copy !req
287. Okay. Everybody out.Copy !req
288. Get out now!Copy !req
289. - Take the monitor.
- Got it. Pumps are down.Copy !req
290. - Let's go. Move away.
- Airway kit.Copy !req
291. - You get the feet?
- All set.Copy !req
292. - Let's go together.
- All right. We gotta move.Copy !req
293. - How far?
- Just keep going. I'll tell you when.Copy !req
294. - You all right?
- Got it.Copy !req
295. Yeah, yeah. Let's go. Come on!Copy !req
296. - Tom, how are you doing there?
- Sats are down to 78.Copy !req
297. - All right. I gotta tube him.
- All right. This is far enough.Copy !req
298. This will shield us
if the fuel tank blows.Copy !req
299. Give me four of Versed,
100 of sux.Copy !req
300. - All right.
- Tom…Copy !req
301. We gotta stick a tube down your throat,
help you breathe.Copy !req
302. - Do they know where we are?
- Yeah, I called it in. They'll find us.Copy !req
303. I'm giving some medicine
to relax you, Tom.Copy !req
304. - I got it.
- Do they know anything?Copy !req
305. ATC's got a mayday call with location.
EMS and Fire are rolling.Copy !req
306. - Are there any injuries?
- They didn't say.Copy !req
307. - Well, call them back, damn it!
- What's going on?Copy !req
308. - Uh, Mark's chopper went down.
- What?Copy !req
309. - They crashed?
- An emergency landing.Copy !req
310. We don't know that.
We don't know anything.Copy !req
311. Randi, call county dispatch.Copy !req
312. - They don't know anything more.
- I don't care!Copy !req
313. Whoa, whoa, whoa. Hey, hey.Copy !req
314. Look, I can't have this place fall apart.Copy !req
315. All right, now, Elizabeth,
get on with CDO and keep us posted.Copy !req
316. - Randi, how are we doing?
- We've got 19 patients waiting to be seen.Copy !req
317. Malucci, grab some charts.Copy !req
318. Abby, draw some labs, start some IVs
for anyone who needs one.Copy !req
319. Get Carter to order x-rays from triage.
All right, let's move, people. Now.Copy !req
320. - Where the hell is Kovac?
- We're still trying.Copy !req
321. - Very nice.
- Appreciate it.Copy !req
322. - You play here a lot?
- Yeah. I work here and the Navy pier.Copy !req
323. - What about at night?
- Sometimes for the after-dinner crowd.Copy !req
324. Have you ever seen this man?Copy !req
325. No. I would remember a guy like that.
You don't seem like a cop.Copy !req
326. I'm a doctor.Copy !req
327. Try the tour-boat ticket guy.
He's here all the time.Copy !req
328. - I did. Thanks.
- Sorry I can't help you.Copy !req
329. Good breath sounds.
Keep him on high-flow oxygen.Copy !req
330. Fifteen more minutes
and the tank's dry.Copy !req
331. - Where's EMS?
- Sound close.Copy !req
332. They can't see us. They're gonna
have to call in a police chopper.Copy !req
333. We can't wait.
You have any flares?Copy !req
334. I have a Verry pistol
in the chopper. But I can barely walk.Copy !req
335. I'll get it.Copy !req
336. Left side, behind the pilot seat.Copy !req
337. Luka, it's Abby. Could you call me
when you get this message?Copy !req
338. I've been trying to reach you everywhere,
and I'm getting a little bit worried.Copy !req
339. - Abby?
- Call me.Copy !req
340. Miss Skye here complains
of abdominal pain.Copy !req
341. It's not really my abdomen.Copy !req
342. - I can't believe I'm actually embarrassed.
- Well, we see everything here.Copy !req
343. Okay.Copy !req
344. I got a roll of money
stuck up my…Copy !req
345. …birth canal.Copy !req
346. Look, could you hurry up?Copy !req
347. I got a cab waiting
with the meter running. Okay?Copy !req
348. Dr. Benton, we need you right now.
Six-month baby, respiratory distress.Copy !req
349. - Abby?
- Just hold on one second.Copy !req
350. Temp's 103.
Coarse crackles bilaterally.Copy !req
351. - Pulse ox is only 75.
- All right. Let's take a look.Copy !req
352. Sounds like pneumonia.Copy !req
353. Let's get a pediatric intubation tray.
Move now, people.Copy !req
354. We got a line. I'll draw a CBC
and blood culture.Copy !req
355. Damn! I don't even do pediatric
intubations. Where's Cleo?Copy !req
356. - She took a kid to PICU.
- Get her down here now.Copy !req
357. - What size tube?
- We use two and a half in delivery room.Copy !req
358. No. I think I need something bigger.
Uh, three, three and a half?Copy !req
359. I don't know.Copy !req
360. Got the labs.Copy !req
361. Move.Copy !req
362. He's clamped down.
I can't get the blade in.Copy !req
363. - Paralyze him.
- What's the dose?Copy !req
364. - You need his weight.
- He's vomiting. Suction.Copy !req
365. - Pulse ox is dropping.
- What do we have?Copy !req
366. Ah, difficult intubation.
I can't dose without a weight.Copy !req
367. That's what the Broselow tape is for.Copy !req
368. Okay. We're in the red zone.
2.6 of Etomidate, 18 of sux.Copy !req
369. Premedicate with.17 of atropine,
14 of lido.Copy !req
370. Bag him. Keep some cricoid pressure.Copy !req
371. I couldn't see the cords.Copy !req
372. That's because you had the wrong blade
and the wrong tube.Copy !req
373. - Thanks for coming.
- Drugs are on board. He's loose.Copy !req
374. - Okay. Here we go.
- Dr. Benton?Copy !req
375. - Hold on. Hold on.
- Okay…Copy !req
376. I'm in. Bag him.Copy !req
377. Dr. Benton, do you want to close
the paramedic traffic?Copy !req
378. I've got this. Hang 400 of ceftriaxone.
Settings will be volume at 90 cc's…Copy !req
379. No monitor beds,
and we're boarding five ICU patients.Copy !req
380. All right. Close to paramedics.Copy !req
381. You sure you want to do that? We've been
getting a lot of bad press lately.Copy !req
382. The news has been tracking down
all our closures.Copy !req
383. - What would you do, Carter?
- I don't know. Tough call.Copy !req
384. Dr. Benton, South Side wants
to send a patient.Copy !req
385. - We're closed to transfers.
- It's just a backache.Copy !req
386. Their x-ray machine's down.
Here, I got the doc on the phone.Copy !req
387. - Fine! Fine! Fine! Send him!
- So? Do we close?Copy !req
388. Don't ask me. They don't pay me enough
to run this place.Copy !req
389. Paramedics found them on the South Side.
No casualties, thank God!Copy !req
390. Well? Well?Copy !req
391. Thank you.Copy !req
392. - Trent?
- Hey.Copy !req
393. Uh, they told us to wait
because you were busy.Copy !req
394. Is she a friend of yours?Copy !req
395. - Uh, she's my girlfriend.
- Your girlfriend?Copy !req
396. I thought you said you didn't have one.Copy !req
397. Hey, I brought her here, man.
You think that was easy?Copy !req
398. You gotta be honest with me.
Is she the only one?Copy !req
399. Yes. The only one.Copy !req
400. I've kissed other girls.
Is that a problem?Copy !req
401. - No sex with anyone else?
- No. No.Copy !req
402. And you didn't use condoms?Copy !req
403. I love her, man.Copy !req
404. All right. Okay. Let's run some tests.
We'll see where we are.Copy !req
405. - You want to ride up front, doc?
- No. I'm staying with Tom.Copy !req
406. Nearest facility's Oakdale Community.
Seven minute ETA.Copy !req
407. - No. We're going to County.
- That's 20 minutes away.Copy !req
408. Dispatch doesn't want us
to leave our attachment area.Copy !req
409. - It's all right. I'll take responsibility.
- Easy now.Copy !req
410. - Roy, the doctor says we go to County.
- Can't. County's closed.Copy !req
411. - What?
- They just closed. ER saturation.Copy !req
412. That's okay. I'm an Attending there.
They'll take us. Let's go.Copy !req
413. Patch me through to the ambulance?Copy !req
414. Dr. Corday, surgical consult in Exam 4.Copy !req
415. I'll be there.
Just give me the number.Copy !req
416. - Excuse me. I'm looking for Dr. Corday.
- Are you Janet?Copy !req
417. - Yeah.
- Elizabeth Corday.Copy !req
418. - Oh, hi.
- We expect them very soon.Copy !req
419. How's Tom doing?Copy !req
420. Quite well, I understand. Apparently,
no one was hurt in the landing.Copy !req
421. - What landing?
- Just something minor with the helicopter.Copy !req
422. So how long
have you two been engaged?Copy !req
423. Uh, three years.
So he's not in the helicopter?Copy !req
424. No. In an ambulance. My goodness,
three years! That seems like a long time.Copy !req
425. Right after he gave me the ring,
he got the flu.Copy !req
426. We thought it was no big deal,
but then the virus went to his heart.Copy !req
427. We spend a lot of time in hospitals.Copy !req
428. Have you seen the incarcerated
hernia yet?Copy !req
429. - In a minute.
- No, no. Now.Copy !req
430. - EKG on a new chest-pain patient.
- Let me see.Copy !req
431. I got a guy on a backboard.
He's been there for two hours.Copy !req
432. - When are you gonna clear his neck?
- When I get there.Copy !req
433. - Want me to call Weaver in?
- No.Copy !req
434. Are you ever gonna sew me up?Copy !req
435. You know what, we're busy.
Just wait right there.Copy !req
436. - What's this?
- A second board. We're totally backed up.Copy !req
437. Four patients just left
without being seen.Copy !req
438. I know what the solution is.Copy !req
439. We see them, send off labs and x-rays
and have them wait in Chairs.Copy !req
440. Come on! Are you crazy?
We need monitoring, IVs, medication.Copy !req
441. The problem is you doctors order
too many damn tests.Copy !req
442. You should be reviewing their charts,
keeping things moving.Copy !req
443. - Stroke patient needs a monitored bed.
- We don't have them.Copy !req
444. - Tell him we'll put him in the hall.
- Peter!Copy !req
445. None of my nurses have even had lunch.Copy !req
446. Ambulance dropped off
a stab wound to the belly.Copy !req
447. All right, all right. That's it.
That's it. Get me the phone.Copy !req
448. - Heart rate is 40 after atropine.
- Amp of epi.Copy !req
449. He needs a pacemaker, Dr. Greene.Copy !req
450. We should be in a hospital right now.
Any hospital.Copy !req
451. - Rescue 82.
- BP is down to 60 palp.Copy !req
452. - Open up the dopamine.
- It's for you.Copy !req
453. Hello. Okay, we're almost there.
No. He can't talk right now.Copy !req
454. - He's out. I can't feel a pulse.
- I gotta go.Copy !req
455. Starting chest compressions.Copy !req
456. We could've been
at Oakdale ten minutes ago.Copy !req
457. I'm going on record
that you overrode our policy.Copy !req
458. There's gonna be
an incident report on this.Copy !req
459. Shut up. Get back to work.Copy !req
460. Hang in there, Tom.
You're gonna make it.Copy !req
461. Janet's there. She's waiting for you.Copy !req
462. - How long has he been down?
- He never arrested.Copy !req
463. He just needs help maintaining a pulse.Copy !req
464. You look exhausted.Copy !req
465. - He wouldn't let us relieve him.
- Come on, I'll take over.Copy !req
466. - We're coming through here!
- What's wrong?Copy !req
467. This is Janet Wei, his fiancée.Copy !req
468. Tom had a heart attack.
He needs a pacemaker.Copy !req
469. You can take his hand.Copy !req
470. Hey, Tom.
It's me. I'm here.Copy !req
471. - Can you hear me?
- Keep talking to him.Copy !req
472. - It's Janet. He's squeezing my hand.
- What's his BP?Copy !req
473. Uh, seventy systolic
on 20 mics of dopamine.Copy !req
474. - What about an intra-aortic balloon?
- Not a bad idea.Copy !req
475. - What's going on? We need the room!
- Everything's backed up!Copy !req
476. - We're supposed to be close to paramedics.
- Get that patient out of there!Copy !req
477. - Wait! The rapid infuser!
- Oh, my God!Copy !req
478. - Clamp the central line!
- Turn it off!Copy !req
479. - I'm trying!
- Get Housekeeping in here!Copy !req
480. We need another two units
from the blood bank.Copy !req
481. What the hell's going on?Copy !req
482. I just got back from transport.
I left Benton in charge.Copy !req
483. - Benton?
- Mortimer goes to X-ray.Copy !req
484. Put the rectal bleed in Exam 3.Copy !req
485. Hey, I got a patient that says her tongue
is too smooth.Copy !req
486. Tell her to get a life.Copy !req
487. Smooth tongue could be a sign
of pernicious anemia, iron deficiency.Copy !req
488. I can't leave for a day without this place
going to hell.Copy !req
489. - I've never seen it this busy before.
- It's like this every day.Copy !req
490. Peter, I just heard from the Trib.
Tell me we're not closed to trauma.Copy !req
491. We're not. As of now, we're open.Copy !req
492. How can we?
We can't see another critical patient.Copy !req
493. Get me the nursing supervisor.Copy !req
494. I want every remotely stable patient
moved out of the ICUs.Copy !req
495. I was under the mistaken
impression that you could manage the ER.Copy !req
496. Look, I was the only Attending.
Kovac never showed up.Copy !req
497. - He didn't show?
- He might have switched a shift.Copy !req
498. In 20 years, I have never been late
for surgery.Copy !req
499. But I guess you people work
on a different standard.Copy !req
500. Peter, based on your performance today,Copy !req
501. maybe you're not the guy
for the per diem job.Copy !req
502. - Dr. Carter?
- Yeah?Copy !req
503. Lab results on Emma Miller.Copy !req
504. - Man!
- That's tough.Copy !req
505. Fifteen years old.Copy !req
506. Pacer is capturing well.
Setting the rate at 80.Copy !req
507. - I got your transducer here.
- How are you doing?Copy !req
508. Passing a 40-cc balloon.
I need to check position with fluoro.Copy !req
509. Janet, why don't you come talk
to me outside?Copy !req
510. I'll be right back.Copy !req
511. This pump should bring
his blood pressure up.Copy !req
512. Will he live long enough
to get the heart transplant?Copy !req
513. I don't know.Copy !req
514. I want to marry him.Copy !req
515. I don't know if he's gonna be able
to leave the hospital.Copy !req
516. - Can we do it here?
- We could try and arrange it.Copy !req
517. I think if we got married
it might help.Copy !req
518. - What if they made a mistake?
- I wouldn't tell you if I wasn't certain.Copy !req
519. But I don't feel sick.
You should do the test again.Copy !req
520. Emma, if you start taking medication
right now, you could stay healthy.Copy !req
521. No. I know what happens.
Everybody dies.Copy !req
522. That's not true.Copy !req
523. That's not… Look at Trent.Copy !req
524. He's had HIV his whole life.
Look at him.Copy !req
525. - I wish we'd never had sex.
- Emma, I didn't know. I swear.Copy !req
526. Dr. Carter, tell her. Please.Copy !req
527. This is a lot.
This is a lot for you to handle.Copy !req
528. And you're both gonna need some help.Copy !req
529. So, before you go, I would like you both
to talk to a counselor.Copy !req
530. - Hey, hey.
- Hold on, you two. Hold on.Copy !req
531. I'll leave you two alone
for a little while.Copy !req
532. But before you do anything,
talk it over.Copy !req
533. Definitely. Thanks.Copy !req
534. Hey. Come on…Copy !req
535. - Why is Mr. Chang still here?
- He's waiting for a second CBC.Copy !req
536. Okay. Do another HemoCue.
If it's over 11, send him home.Copy !req
537. - Torelli's cardiac enzymes.
- Great. All right. She's out of here.Copy !req
538. Clears up another monitored bed.
You know, Romano was out of line.Copy !req
539. When isn't he?Copy !req
540. It's wrong to throw you in the deep
and expect you to swim.Copy !req
541. Nobody masters ER management
on their first day.Copy !req
542. - What's this?
- Back pain. Collapsed at triage.Copy !req
543. Both trauma rooms are full.
Let's take him to Curtain 2.Copy !req
544. Move him out of there. Go!Copy !req
545. - I need a central line kit now!
- BP's 60 palp.Copy !req
546. Could be a ruptured aneurysm.Copy !req
547. CBC, coags, type and cross for eight,
four units of O-neg. Let's prep the neck.Copy !req
548. I feel a pulsatile mass. Hey, Malik,
is there any history on this guy?Copy !req
549. I need a trauma kit.
This is a triple-lumen CVP.Copy !req
550. Here, "History of hypertension
and high cholesterol."Copy !req
551. He needs an NG and a Foley.
I need the SonoSite.Copy !req
552. Dr. Benton says here that you accepted
this patient from an urgent-care center.Copy !req
553. - What? And he's been waiting in Chairs?
- For two hours.Copy !req
554. I can't find the subclavian.
Put him in Trendelenburg.Copy !req
555. Look, they said it was just a back sprain.Copy !req
556. The doctor told you that?Copy !req
557. - I didn't exactly talk to the doctor.
- Great. And now he's bleeding out.Copy !req
558. - Take a deep breath.
- M.A.P. is 78 with a pump.Copy !req
559. Is that good or bad?Copy !req
560. Took you out of heart failure
and off your breathing tube.Copy !req
561. Sats are up to 99.Copy !req
562. Okay, let's get him on five liters,
nasal cannula.Copy !req
563. Conni, I want you to grab a blood-gas kit.Copy !req
564. Where's Janet?Copy !req
565. She's trying to get a clerk from city hall
to come issue a marriage license.Copy !req
566. That's crazy.Copy !req
567. - People in love do crazy things.
- I wanted to wait for a transplantCopy !req
568. so I could chase her down the aisle.Copy !req
569. I didn't want her to marry
a cardiac cripple.Copy !req
570. You get a heart, she won't.Copy !req
571. If one's available, if the tissues match,
how long can I last on this pump?Copy !req
572. Couple weeks.Copy !req
573. Pretty lousy odds.Copy !req
574. They were worse when you were having
a heart attackCopy !req
575. when the chopper was going down.Copy !req
576. - You see any Zephiran?
- Yeah. Top shelf.Copy !req
577. Hey, I heard about your teenagers.
They're so young.Copy !req
578. It's pretty rough.Copy !req
579. - Are you okay?
- Yeah. I think so.Copy !req
580. Do you want to take a break?Copy !req
581. I'm gonna plug in two new patients.
I'll come find you.Copy !req
582. - Talk to Kovac?
- Not yet.Copy !req
583. - Dr. Kovac?
- Yeah?Copy !req
584. We finished the autopsy. I can review
some of the pertinent findings.Copy !req
585. Mmm-hmm.Copy !req
586. There were multiple contusions
to the occipital cortex,Copy !req
587. with herniation through
the foramen magnum.Copy !req
588. And if you'll take a look here,
you'll see numerous fractures,Copy !req
589. consistent with repetitive
blunt trauma.Copy !req
590. I know how he died.Copy !req
591. Well, I can tell you that he was a smoker
based on the lung findings.Copy !req
592. Also, he probably once lived
in central California.Copy !req
593. There were foci of pulmonary fibrosis
consistent with coccidioidomycosis.Copy !req
594. It's endemic to the San Joaquin Valley.
That's an agricultural area.Copy !req
595. Maybe he grew up on a farm.Copy !req
596. Well, I don't know.Copy !req
597. There's grease under the fingernails
and a biker-club tattoo.Copy !req
598. He could be just a drifter.
But we'll probably never know.Copy !req
599. Happens all the time.Copy !req
600. Not such a smart idea to take your Razor
down a flight of stairs, huh?Copy !req
601. - Were you wearing a helmet?
- Yeah. What do you think I am? Stupid?Copy !req
602. Ooh. Well, we'll see after the x-ray.Copy !req
603. Right wrist film, something for the pain.Copy !req
604. - A half a…
- It happened so fast.Copy !req
605. We were having a fight.
He ran into the street and a car hit him.Copy !req
606. They're doing everything they can.Copy !req
607. - Dr. Carter?
- What's the rhythm?Copy !req
608. - V-fib.
- Charge to 360.Copy !req
609. Trent. Oh, God! Trent.Copy !req
610. - What's our down time?
- Twenty minutes. Never had a pulse.Copy !req
611. Ready. Clear.Copy !req
612. - Don't let him die.
- Still V-fib.Copy !req
613. - Hey, doc.
- Thanks for coming down.Copy !req
614. Sure. What do you need?Copy !req
615. Thirty-one-year-old patient,
end-stage heart failure.Copy !req
616. He may not make it to transplant.Copy !req
617. - What denomination?
- I don't know.Copy !req
618. Can he speak? For last rites,
I need to know.Copy !req
619. No. He and his fiancée
want to get married.Copy !req
620. - Tonight?
- Will you keep up? He's too sick.Copy !req
621. We can't move him. We gotta do it here.Copy !req
622. - Were you able to get a license?
- I tried. But City Hall's closing.Copy !req
623. - You don't have a marriage license?
- Can you do it anyway?Copy !req
624. I'm sorry but a marriage
isn't legally binding without a license.Copy !req
625. - How about tomorrow?
- Okay.Copy !req
626. He may not make it until tomorrow.
Can't you help these people?Copy !req
627. They want your blessing.
They have very little time.Copy !req
628. Well, as long as everyone understands
it won't hold up in court.Copy !req
629. - Are you ready to tie the knot?
- Come on. Let's go talk to Tom.Copy !req
630. - Dr. Kovac, did you trade your shift?
- No.Copy !req
631. Hey! Where have you been?Copy !req
632. They couldn't reach you.
You didn't answer your page.Copy !req
633. What's the problem?Copy !req
634. That I had to come in today
and cover for you.Copy !req
635. - I thought I was on tonight.
- No. You were on today.Copy !req
636. Then I'm sorry.
There must have been some mistake.Copy !req
637. There was no one with enough
experience to cover for you.Copy !req
638. We almost lost two patients.Copy !req
639. - Luka, this is grounds for dismissal.
- Fine, Kerry. Fire me.Copy !req
640. Look, I know
that you've been through a lot.Copy !req
641. But if you need to take some time off,
you should tell me.Copy !req
642. But you can't miss any more shifts.Copy !req
643. - I can work tonight.
- We don't need you, tonight.Copy !req
644. You should go home. Go on. Go.Copy !req
645. - Luka, wait.
- What?Copy !req
646. Wait a minute. Don't walk away.Copy !req
647. - Where have you been?
- Abby, please.Copy !req
648. I want to help. Just talk to me.Copy !req
649. There is nothing to say, okay?Copy !req
650. To have and to hold,
to love and to cherish,Copy !req
651. as long as you both shall live.Copy !req
652. "The union of husband and wife
in heart, body and mindCopy !req
653. is intended by God
for their mutual joy.Copy !req
654. For the health and comfort
given one anotherCopy !req
655. in prosperity and adversity.Copy !req
656. And when it is God's will,
for the procreation of children."Copy !req
657. You can stay as long as you want,
okay?Copy !req
658. - Emma, I am so sorry.
- Get out of here.Copy !req
659. - Emma…
- It's your fault.Copy !req
660. By the power vested in me,
I pronounce you husband and wife.Copy !req
661. Go ahead and kiss your bride, Tom.Copy !req
662. - Congratulations.
- Congratulations.Copy !req
663. I'm gonna break all the rulesCopy !req
664. and allow you to have
one sip of champagne.Copy !req
665. Thanks.Copy !req
666. Well, since this is the honeymoon suite,Copy !req
667. I think you're entitled
to a little privacy.Copy !req
668. - We're very grateful. Thank you.
- Yeah.Copy !req
669. For everything.Copy !req
670. Nice folks. Tell them to get a license,
and I'll do it again. No charge.Copy !req
671. Thanks.Copy !req
672. So, what about
our wedding coordinator?Copy !req
673. I totally forgot to call and cancel.
Oh, she'll be furious.Copy !req
674. Blame it on me. I mean,
it was a medical emergency.Copy !req
675. - The hell with her!
- Excuse me?Copy !req
676. This is all so silly.Copy !req
677. I don't want a rose-entwined arbor
with trained doves.Copy !req
678. I don't want champagne
served out of crystal flutes.Copy !req
679. I understand.Copy !req
680. - Who cares about a bloody ice sculpture?
- Not me.Copy !req
681. I just want to get married
in a simple ceremony.Copy !req
682. I don't know. I was looking forward
to those doves.Copy !req
683. So I spoke to the O.R.
The aneurysm repair's going well.Copy !req
684. - I'm glad to hear it.
- Yeah.Copy !req
685. I think it's best for now
if you just see patients. Here.Copy !req
686. Well, if that's what you want.Copy !req
687. Hear you're an excellent surgeon.Copy !req
688. But ER management is not the best use
of your skills. Leave that to us.Copy !req
689. Hello, Mrs. Barnwell. I'm Dr. Benton.Copy !req
690. So I understand you have a pain
in your hip.Copy !req
691. That's right. And I've been lying here
for three hours.Copy !req
692. Well, I'm very sorry about that.Copy !req
693. Pardon me for asking,
but are you an intern?Copy !req
694. No, no. I'm a faculty physician.Copy !req
695. Oh…Copy !req
696. Your mother must be very proud.Copy !req
697. Yeah, she was. So how long
have you had this pain?Copy !req
698. Before we get much further,Copy !req
699. I'd like to say that I would be
more at ease with another doctor.Copy !req
700. - Excuse me?
- You look like a fine young man.Copy !req
701. But I've always had white doctors.Copy !req
702. I've always felt more comfortable
that way.Copy !req
703. So you're saying that you only
want to see a white doctor?Copy !req
704. If it's all right with you.Copy !req
705. That's fine.Copy !req
706. You'll just have to wait
another three hours.Copy !req
707. - What happened to him?
- I don't know.Copy !req
708. - Hey, have you seen Abby?
- I saw her punch out.Copy !req
709. - Hey, Carter. You got a minute?
- Actually, I'm just on my way out.Copy !req
710. Carter, wait.Copy !req
711. John, you had a bad day.
We all have bad days. Look at me.Copy !req
712. You have to make tough choices,Copy !req
713. do what you think is right
and accept the outcome.Copy !req
714. - I shouldn't have told him.
- You had to.Copy !req
715. I'll see you tomorrow.Copy !req
716. Hey…Copy !req
717. I'm off in 20 minutes.Copy !req
718. You wanna get some dinner?Copy !req
719. - I got an AA meeting at 9:00.
- You'll make it.Copy !req
720. Can I join you?Copy !req
721. It's a counter, Peter.
You can sit anywhere.Copy !req
722. So you survived.Copy !req
723. - Weaver said I was incompetent.
- Really?Copy !req
724. Well, that's what she implied.Copy !req
725. The per diem job is just temporary
until you get back into Surgery.Copy !req
726. Yeah. But I needed to show them
that I could run the ER.Copy !req
727. Why? It has no bearing
on your surgical career.Copy !req
728. Yeah. But it reflects on me, you know?
I should've been able to handle it.Copy !req
729. - You can't be perfect at everything.
- Yeah, but, Cleo…Copy !req
730. …I can learn a job
if I can do it well.Copy !req
731. So do you feel better having said this
to a sympathetic ear?Copy !req
732. Yeah. Yeah, I guess so. Thanks.Copy !req
733. You know, I've had some problems,
and I haven't had anyone to talk to.Copy !req
734. Are you ever going to be there for me?Copy !req
735. Because you sure as hell haven't been.Copy !req
736. Who is it?Copy !req
737. It's me.Copy !req
738. Can I come in, please?Copy !req
739. Sure.Copy !req
740. - Abby…
- You don't have to talk.Copy !req