1. - What do they need us for?
- A lady's been trapped in a car for an hour.Copy !req
2. They can't move her until we intubate.Copy !req
3. - They always drive this fast?
- Yep.Copy !req
4. - They ever hit anybody?
- All the time.Copy !req
5. - How can you eat through this?
- Hungry.Copy !req
6. All right, we're here.
Grab the O-neg, stay close.Copy !req
7. Cherokee missed the runway,
slammed into a car.Copy !req
8. Guy in the plane's toast.
A lady's pinned in the back seat.Copy !req
9. Fire's been trying to get to her.
Plane's leaking fuel.Copy !req
10. They can't use the jaws.Copy !req
11. - I'm freezing. Anybody got a coat?
- Get the doctor a coat.Copy !req
12. We managed two large lVs.Copy !req
13. BP's 70 over 30.
Golden hour's almost over.Copy !req
14. Head trauma, ALOC.Copy !req
15. We've been bagging her
but she's been gagging.Copy !req
16. Husband and kids are
already at the hospital.Copy !req
17. Carter, follow me in.Copy !req
18. Get that O-neg going, all right?Copy !req
19. if we don't get her out in
a couple minutes, she won't make it.Copy !req
20. Start with Pavulon.Copy !req
21. Versed to sedate.Copy !req
22. Cricoid pressure.Copy !req
23. I got it.Copy !req
24. Finally, succinylcholine.Copy !req
25. What the hell is that?Copy !req
26. - It's aviation fuel.
- Laryngoscope.Copy !req
27. - I wouldn't smoke.
- Think gasoline comes out of camel hair?Copy !req
28. - Can we get in here?
- Two seconds.Copy !req
29. - New coat?
- Christmas.Copy !req
30. - Nice.
- It was.Copy !req
31. All right, let's go!Copy !req
32. Release pressure. All right, clear out.Copy !req
33. Slide out, Carter. Keep bagging.Copy !req
34. Start the chopper!Copy !req
35. Let's move it, let's move it!
They're coming out.Copy !req
36. Move her. Move her fast.Copy !req
37. Thank you.Copy !req
38. May l? Thanks.Copy !req
39. Watch out.Copy !req
40. So you decide on a specialty yet?Copy !req
41. - My folks are set on cardiology.
- Well, what are you thinking?Copy !req
42. - I'm thinking this is pretty exciting.
- It's not bad.Copy !req
43. Stress, late nights, hard work, no pay.Copy !req
44. - It's hard to beat.
- Watch her head!Copy !req
45. Let's go, guys. Move her, move her.Copy !req
46. Both femurs broken...Copy !req
47. possible spinal cord injury,
pressure's 80.Copy !req
48. We're gonna notify the O.R.
before we get there.Copy !req
49. You fly before?Copy !req
50. Oh, yeah, lots of times.Copy !req
51. - What's the M.A.R.?
- County General.Copy !req
52. Faster!Copy !req
53. Make sure you get that fire out.Copy !req
54. - She gonna make it?
- She is now.Copy !req
55. Watch that tail rotor!Copy !req
56. We're gonna move her on three. Ready?Copy !req
57. One, two, three.Copy !req
58. No room!Copy !req
59. Can't go. Stay here. Grab our stuff
and ride back with the paramedics.Copy !req
60. She's free. Long backboard.Copy !req
61. Hell of a life, isn't it?Copy !req
62. - What?
- It's a hell of a life.Copy !req
63. I said, I wanna have sex
with your wife.Copy !req
64. Watch your back, please.
Coming through.Copy !req
65. - God, he's in a foul mood.
- Today's a good day.Copy !req
66. - You finish your presentation?
- Not yet.Copy !req
67. I was gonna grab a few minutes.
You?Copy !req
68. I am so far behind,
I may not even finish.Copy !req
69. - Benton's gonna kill me.
- Just do your best.Copy !req
70. How can we prepare when we
follow him on 36-hour shifts?Copy !req
71. Ms. Chen, if this surgical rotation is
too much, there's always dermatology.Copy !req
72. 48-year-old MVA, fractured
right femur, pressure's 60 over 40.Copy !req
73. - Abdomen's rigid.
- All right.Copy !req
74. Let's get some O-neg going,
wide open.Copy !req
75. Already did it.Copy !req
76. - What's your name, sir?
- Bill McClintock.Copy !req
77. Mr. McClintock, is it tender here?Copy !req
78. - Were you wearing a seat belt?
- No.Copy !req
79. - You will next time, I bet.
- Peritoneal lavage?Copy !req
80. Carter, look at this abdomen.Copy !req
81. Either he's bleeding out and needs to go to
the O.R. or he's giving birth to a basketball.Copy !req
82. - Haleh, call up to the O.R.
- I already called.Copy !req
83. - Dr. Benton, head trauma in 1.
- All right, I'll be right there.Copy !req
84. Ms. Chen, get a Foley catheter started.Copy !req
85. You ever do one before?Copy !req
86. In for a treat.Copy !req
87. Carter, since when does it take
two students to start a Foley?Copy !req
88. Clean it with Betadine,
put K-Y on the catheter...Copy !req
89. and thread it in.Copy !req
90. - Give it to me.
- 42 years old, collapsed playing handball.Copy !req
91. 40 palp, tachycardic 1 1 0, resps 30.Copy !req
92. Two liters NS in. 15 liters O-2.
Name's Jonathan Weiss.Copy !req
93. Am I having a heart attack?Copy !req
94. Am I having a heart attack?Copy !req
95. - Do you have a history of cardiac trouble?
- No.Copy !req
96. I'll get a CBC, Chem-7, enzymes,
coag panel and chest film.Copy !req
97. He's pale. He's not oxygenating.Copy !req
98. Pressure's still 40 palp.Copy !req
99. - What do we got, Susan?
- Possible Ml.Copy !req
100. - I don't wanna die.
- We don't want you to die.Copy !req
101. So you do your part
and we'll do ours.Copy !req
102. His breathing's not improving.
Could be a pulmonary embolism.Copy !req
103. - What?
- A blood clot in your lungs, Mr. Weiss.Copy !req
104. Have you had any surgery recently?Copy !req
105. Been in any kind
of car accident, trauma?Copy !req
106. Spent a lot of time
traveling, sitting?Copy !req
107. EKG?Copy !req
108. - T wave inversions. I'm thinking heart.
- I'm not. VQ scan!Copy !req
109. He has no risk factors.Copy !req
110. I need that chest film.Copy !req
111. And I need an echo.Copy !req
112. Well, that can't hurt.
Let's do it.Copy !req
113. Mr. Conally?Copy !req
114. Where are you?Copy !req
115. Right here. Under the sheet.Copy !req
116. Why are you under the sheet?Copy !req
117. I've been dead for two days.Copy !req
118. Okay.Copy !req
119. But you are still suffering
from headaches?Copy !req
120. Oh, boy, am I ever.Copy !req
121. And what precipitates
these headaches?Copy !req
122. Death.Copy !req
123. What was that?Copy !req
124. Nervous tic. I've had it for years.Copy !req
125. Blood gases are back.
PO-2's low.Copy !req
126. - Where's the chest film?
- Right here.Copy !req
127. The pulse ox is down to 51.Copy !req
128. - Pulmonary artery's enlarged.
- He's crashing.Copy !req
129. - Perfusion scan?
- VQ mismatch.Copy !req
130. You were right.
1.5 million units streptokinase.Copy !req
131. Forget that. Get him to Trauma.
We need a fluoroscope.Copy !req
132. Somebody get Morgenstern.
Rolando, we got a Trauma room?Copy !req
133. Yeah. Two's open.Copy !req
134. - Gonna do an embolectomy?
- First time for everything.Copy !req
135. - What's going on?
- Saddle embolus, Mark's going in.Copy !req
136. He's doing an extraction in the ER?Copy !req
137. Mr. Smitrovich is in 4.
CBC, Chem-7, blood gases, lV started.Copy !req
138. Luchesse's in 6. Abdominal pain,
vomiting blood...Copy !req
139. NPO, a nasogastric tube—Copy !req
140. - Dr. Benton?
- What is it?Copy !req
141. if Dr. Greene is doing an embolectomy,
we— I'd like to observe it.Copy !req
142. Who's stopping you? Go.Copy !req
143. You wanna go too?
Get out of here.Copy !req
144. - What's the matter with you?
- Luchesse?Copy !req
145. Vomiting blood, NPO,
nasogastric tube, gastric lavage.Copy !req
146. You ordered a gastric lavage?Copy !req
147. No, I wrote it down.
You still have to sign it.Copy !req
148. - I write my own orders.
- Nurse?Copy !req
149. if you're having a problem today,
don't take it out on me.Copy !req
150. I write the orders,
you carry them out, understood?Copy !req
151. - Nurse!
- What?Copy !req
152. lsoproterenol's going.Copy !req
153. Ease the catheter in slowly...Copy !req
154. and thread it up to
the pulmonary artery.Copy !req
155. Be careful not to puncture
the vena cava.Copy !req
156. - How's Mr. Weiss doing?
- Resps are up to 45.Copy !req
157. Pulse ox down to 63.Copy !req
158. Hang in there, you'll be feeling better
before you know it.Copy !req
159. Carter, Chen, why don't you
get over here so you can see.Copy !req
160. See that?Copy !req
161. I'm in the right ventricle.Copy !req
162. Is that cool, or what?Copy !req
163. - Carter, you see the embolus?
- Yeah, it's huge.Copy !req
164. Position the cup against the clot.Copy !req
165. Good. Start your syringe suction...Copy !req
166. and aspirate the embolus
into the cup.Copy !req
167. Got it.Copy !req
168. Now work back down.Copy !req
169. Just like snaking a drain.Copy !req
170. Well, folks, I got a date
with a bile duct.Copy !req
171. Carry on, one and all.Copy !req
172. - Pulse ox up to 85.
- Resps are coming down.Copy !req
173. How you feeling, Mr. Weiss?Copy !req
174. I can breathe.Copy !req
175. I can breathe.Copy !req
176. Okay, Harold. So something bit you?Copy !req
177. - Pet snake.
- Oh, yeah? I used to keep frogs.Copy !req
178. Frogs are amphibians.
My snake eats frogs.Copy !req
179. - What kind of snake?
- Yellow eyelash pit viper.Copy !req
180. - You have a pet pit viper? Is it poisonous?
- Very.Copy !req
181. I'll call poison control.Copy !req
182. Are you feeling weak, Harold,
nauseous, any chills?Copy !req
183. No. Can you tell if
it's poisonous just by looking?Copy !req
184. I don't think so.Copy !req
185. Because I got him
right here in the bag.Copy !req
186. We're gonna keep him
in the bag, okay?Copy !req
187. No. He's cold-blooded
and I had him on the El all day.Copy !req
188. He'll sleep.Copy !req
189. He was here a minute ago.Copy !req
190. Don't contradict me
in front of nurses.Copy !req
191. I wasn't contradicting you,
we disagreed on a diagnosis.Copy !req
192. I'd appreciate your showing
more restraint.Copy !req
193. The man was dying.Copy !req
194. - I'm asking you for respect.
- I wasn't being disrespectful—Copy !req
195. Yes or no?Copy !req
196. I respect you, Susan.Copy !req
197. Thank you. Now, try to show it
once in a while.Copy !req
198. - I'll get animal control in here.
- What's going on? Doug, what's going on?Copy !req
199. This is Dr. Ross in ER.
Pit viper got loose.Copy !req
200. - A snake?
- A big snake.Copy !req
201. Dr. Greene? 36-year-old woman
with breast cancer...Copy !req
202. brought in from Dignity House.Copy !req
203. Two modified radical mastectomies,
spread to her lymph nodes.Copy !req
204. - Who are you?
- Anita Risberg, a nurse at the hospice.Copy !req
205. - Mark Greene. She have chemo?
- Tamoxifen.Copy !req
206. But it's metastasized.Copy !req
207. - Pelvis. Spine.
- You got her on morphine?Copy !req
208. 120 mg just to sleep, but the last
few days, it's just not enough.Copy !req
209. I got worried if I up the dose,
it'd cause further respiratory depression.Copy !req
210. You're right. What's her name?Copy !req
211. Grace. Grace Holsten.Copy !req
212. Hi, Grace. I'm Mark Greene.Copy !req
213. We'll make you more comfortable.Copy !req
214. Doctor, please...Copy !req
215. let me die.Copy !req
216. Please...Copy !req
217. let me die.Copy !req
218. Animal control guy believes
it's a tree snake.Copy !req
219. He thinks it'll crawl up
high where it's warm.Copy !req
220. Sorry, doc.Copy !req
221. I'll spend the rest of the day
on my hands and knees.Copy !req
222. Lydia, Doug. Come over here.Copy !req
223. It took 6 months and a couple thousand
requisition forms, but I finally did it.Copy !req
224. Guess what's under the sheet?Copy !req
225. - Come on, guess.
- We don't wanna guess.Copy !req
226. Oh, come on, please?Copy !req
227. - New day bed for the lounge?
- Nope.Copy !req
228. - New vending machines?
- Nope.Copy !req
229. New crash carts.Copy !req
230. - That's great.
- Wow!Copy !req
231. Where'd you get those?Copy !req
232. Cardiology wanted them,
but I was relentless.Copy !req
233. An abdominal pain in 3
and a gunshot victim coming in.Copy !req
234. Now, no raiding off
the new crash carts.Copy !req
235. Everything on these carts
stays on the carts.Copy !req
236. Thank you.Copy !req
237. Dr. Benton, about this afternoon's
trauma presentation.Copy !req
238. - I'm not fully prepared.
- You've known for weeks.Copy !req
239. - Yes, sir, I know that—
- Don't call me sir, Ms. Chen.Copy !req
240. Yes, sir. I mean, doctor.Copy !req
241. I'm sorry.Copy !req
242. I only need a half-hour or so.Copy !req
243. What about you, Mr. Carter?
Do you also need more time?Copy !req
244. No. I'm all set.Copy !req
245. Well, when you find you have
the time to rejoin us, please do so.Copy !req
246. 84-year-old man,
complaining of abdominal pain.Copy !req
247. - Where's his chart?
- In the rack.Copy !req
248. At the desk.Copy !req
249. Carter, go get his chart.Copy !req
250. I'll need a CBC, Chem-7,
coag panel and drop...Copy !req
251. a nasogastric tube.
You gonna write this down?Copy !req
252. I'm not comfortable taking
verbal orders.Copy !req
253. I think you better write
everything down for us.Copy !req
254. - Us?
- The nurses.Copy !req
255. Here's his chart.Copy !req
256. Start writing.Copy !req
257. Grace...Copy !req
258. we've added fentanyl to the morphine.
See if that helps.Copy !req
259. if it doesn't work,
we have three choices.Copy !req
260. We can insert a catheter into your
spinal cord to deliver the morphine.Copy !req
261. Or we can surgically cut
the spinal tracts...Copy !req
262. that carry the pain
from your legs and back.Copy !req
263. Or we can increase your morphine...Copy !req
264. but your dosage is so high
it might depress your breathing.Copy !req
265. Can you stop this pain?Copy !req
266. I'm not sure. We're trying.Copy !req
267. Try harder.Copy !req
268. - Resps?
- Fourteen.Copy !req
269. Let me know if her breathing
gets any worse.Copy !req
270. Don't even ask.Copy !req
271. Mark, keep me company.Copy !req
272. - Good call on that pulmonary embolism.
- Thanks.Copy !req
273. Oncology found a small polyp.
if he hadn't tossed a clot...Copy !req
274. who knows how far that would've gone
before rearing its ugly head.Copy !req
275. - What's all this?
- Some kind of tree snake got loose.Copy !req
276. Really?Copy !req
277. I was impressed about
your concern for the students.Copy !req
278. Making sure they were
involved and learning.Copy !req
279. You're a fine teacher. Given any thought
as to what you'll do next year?Copy !req
280. Start repaying med school loans.Copy !req
281. Sent a few letters
but I haven't started.Copy !req
282. Why don't you think about
joining the staff here?Copy !req
283. As an attending?Copy !req
284. You won't make as much money
as the cowboys at private hospitals...Copy !req
285. but there are other rewards,
ephemeral as they may be.Copy !req
286. - Well, think about it anyway.
- No, I'd be honored. Really.Copy !req
287. Here's my bus.Copy !req
288. - Thank you.
- Thank you. You earned it.Copy !req
289. 12-year-old male, multiple gunshots
to the leg and abdomen.Copy !req
290. We scooped and ran. LV's wide open,
had two liters, no palpable pressure.Copy !req
291. All right, let's look alive.
Let's wheel him in.Copy !req
292. - O-neg. Let's move.
- Grab me that dynamap.Copy !req
293. - That lV infiltrated?
- Hang the blood Y-tubing.Copy !req
294. Ready, lift.Copy !req
295. - Get an H and H.
- I don't get a pulse.Copy !req
296. He's still breathing.Copy !req
297. Tried to apply pressure but
he was a sieve. Name's Yummy Jackson.Copy !req
298. - Drive-by?
- Drug deal gone bad. Gang thing.Copy !req
299. At 12 years old?Copy !req
300. Kid had a Tech-9 and a Ruger on him
when we found him.Copy !req
301. - Trauma 1, get in here now!
- Watch that line.Copy !req
302. - She's still in a lot of pain.
- Okay.Copy !req
303. I'm sorry the fentanyl
isn't helping much.Copy !req
304. It's helping a little.Copy !req
305. Can we do anything
to make you more comfortable?Copy !req
306. You can shoot me.Copy !req
307. I'm sorry, I didn't bring my gun
to work today.Copy !req
308. I don't think it's safe to
up the morphine any higher.Copy !req
309. Afraid it'll kill me?Copy !req
310. It might.Copy !req
311. There's not a lot more
that the ER can do to help you.Copy !req
312. Do you want me to admit you
to the hospital?Copy !req
313. Can I go back to the hospice?Copy !req
314. Yes, but they're gonna need to
bring you back here for a higher dosage.Copy !req
315. Can I take a little while to decide?Copy !req
316. Sure.Copy !req
317. Can I help you?Copy !req
318. Excuse me, can I help you?Copy !req
319. You can't be back here.Copy !req
320. You must go now.Copy !req
321. Oh, my God.Copy !req
322. - Son of a bitch!
- Get out the way.Copy !req
323. You're too late.Copy !req
324. He's already dead.Copy !req
325. It's madness.Copy !req
326. You can clearly see the posterior
dislocation of the knee...Copy !req
327. consistent with
this sledding injury...Copy !req
328. which occurred when
the impact applied...Copy !req
329. direct force to
the anterior tibia...Copy !req
330. while the knee was flexed.
lnjury to the...Copy !req
331. - I'm really nervous.
- Don't worry about it.Copy !req
332. I picked too easy a topic.Copy !req
333. Relax. Dr. Benton doesn't expect
that much. It's your first rotation.Copy !req
334. —with horizontal traction
and realignment of the joint.Copy !req
335. Angiography should be considered...Copy !req
336. with attention paid to the five P's:Copy !req
337. Pain, pallor, paresthesias...Copy !req
338. pulselessness and paralysis.Copy !req
339. All right. Who's next? Carter.Copy !req
340. While attempting
a Rollerblading maneuver...Copy !req
341. this 12-year-old male...Copy !req
342. fell on his outstretched
right hand...Copy !req
343. resulting in a Salter-Harris type ll
epiphyseal fracture...Copy !req
344. of the proximal humerus.Copy !req
345. To avoid damage to the growth plate,
the humeral head, in angulation...Copy !req
346. and external rotation,
must be reduced...Copy !req
347. by abducting and externally
rotating the arm...Copy !req
348. and then slowly bringing...Copy !req
349. the arm down.Copy !req
350. if the reduction is not accomplished,
the arm must be maintained...Copy !req
351. in a cast in
the Statue of Liberty position.Copy !req
352. Is that it?Copy !req
353. Any questions?Copy !req
354. Ms. Chen.Copy !req
355. You'll do great.Copy !req
356. Here.Copy !req
357. Facial fractures.Copy !req
358. You'll find an outline...Copy !req
359. and recent research articles.Copy !req
360. Would you pass it down?Copy !req
361. Here we see examples...Copy !req
362. of a depressed fracture
of the left frontal bone...Copy !req
363. with disruption to the orbital rim.Copy !req
364. Both the result
of blunt-force trauma...Copy !req
365. when the patient's face
intercepted a tire iron.Copy !req
366. John, if you would, please?
The projector.Copy !req
367. Thank you.Copy !req
368. Orbital rim and
frontal sinus fractures...Copy !req
369. along with other fractures
to these facial bones...Copy !req
370. often result in
concomitant CNS injury.Copy !req
371. Diagnosis is established
with radiographic studies...Copy !req
372. and computerized tomography,
preferably using...Copy !req
373. a three-dimensional image
of the patient's skull.Copy !req
374. As you can see, the frontal sinus...Copy !req
375. and orbital rim fractures here
are easily appreciated...Copy !req
376. How's her breathing?Copy !req
377. Depressed but okay.
She's finally out.Copy !req
378. Maybe we got the balance right,
and she can get some sleep.Copy !req
379. Kathy.Copy !req
380. - Who's Kathy?
- Her little girl.Copy !req
381. Does she know she's here?Copy !req
382. She lives out West somewhere
with Grace's ex-husband.Copy !req
383. Seattle, I think.Copy !req
384. Grace gave up custody
when she entered the hospice.Copy !req
385. She lost her child?Copy !req
386. She entered the hospice to die.Copy !req
387. Life goes on.Copy !req
388. Then again, sometimes it doesn't.Copy !req
389. - Old hospice joke.
- Oh, God!Copy !req
390. Oh, God!Copy !req
391. - God, it hurts.
- The fentanyl's wearing off.Copy !req
392. - Lie down. Lie down.
- It hurts.Copy !req
393. Her resps are too low,
I can't give her any more morphine.Copy !req
394. - I can't stand it. I can't stand it.
- I'm sorry. I'm so sorry.Copy !req
395. - It hurts so much, doctor.
- There's nothing else I can do.Copy !req
396. Please kill me. Please.
Please. Please!Copy !req
397. - Relax. Just relax.
- Please kill me.Copy !req
398. Please, please!Copy !req
399. Susan!Copy !req
400. - What have we got?
- A 52-year-old male collapsed.Copy !req
401. Hypotensive, 80 over 60,
tachycardic at 120.Copy !req
402. Hypertension treated
with Altace and Tenormin.Copy !req
403. - Are those skates?
- He's a hockey ref, collapsed during a game.Copy !req
404. Some of the kids followed us.Copy !req
405. 15 liters of O-2 and
he's had 8 migs morphine.Copy !req
406. He's diaphoretic. Call Cardiology.
I need an EKG and enzymes.Copy !req
407. You gotta wait in the waiting room.Copy !req
408. - Will he be okay?
- We don't know yet. Malik!Copy !req
409. - Can you take them to Waiting?
- In a minute.Copy !req
410. We're gonna do
everything we can, okay?Copy !req
411. Okay, get the ambu-bag.Copy !req
412. - Lost his pulse.
- He's in fib. Crash cart.Copy !req
413. Turn off the O-2.Copy !req
414. - Where's the cart?
- Here.Copy !req
415. No. Where's the new cart?Copy !req
416. Watch that line.Copy !req
417. Paddles!Copy !req
418. - I put one in here an hour ago.
- Carol, 200.Copy !req
419. - Somebody already stole my new cart!
- Clear!Copy !req
420. ls Jake around?Copy !req
421. He went to get a soda.Copy !req
422. Nice digs. This is how
the other half lives?Copy !req
423. I could do with a little
less glass, actually.Copy !req
424. There's no blood on the carpet,
so it's a step up from the ER.Copy !req
425. Mind if I sit? I've had my shots.Copy !req
426. Cindy was right.
You are kind of charming.Copy !req
427. Is that bad?Copy !req
428. Depends.Copy !req
429. - Jake's a great kid.
- He is a great kid.Copy !req
430. I hope you don't mind
if we shoot hoops now and then.Copy !req
431. I won't pass along any misogyny
with the basketball tips.Copy !req
432. if misogyny's genetic, he's
inherited plenty from his father.Copy !req
433. - Does he see his dad much?
- They communicate by check...Copy !req
434. when it comes.Copy !req
435. if you don't like me,
you don't have to hide it.Copy !req
436. - You can just come out and show it.
- I didn't know I was being subtle.Copy !req
437. Hey, yourself!Copy !req
438. Dr. Ross came to see
if you wanna play basketball.Copy !req
439. We'll be about a half an hour.Copy !req
440. - And put the jacket on.
- I'll make sure he wears it.Copy !req
441. D5 NS...Copy !req
442. 100cc's per hour.Copy !req
443. NG tube, gastric lavage...Copy !req
444. CBC, Chem-7, amylase.Copy !req
445. Call the O.R., book a room.Copy !req
446. Dr. Benton.Copy !req
447. What does this say?Copy !req
448. - NG tube.
- By that you mean a nasogastric tube?Copy !req
449. - Yes.
- And this?Copy !req
450. - Dextrose 5, normal saline.
- An lV?Copy !req
451. Yes, an lV.Copy !req
452. Well, I've examined the patient.Copy !req
453. And I believe she needs
a fine, surgical hand like yours...Copy !req
454. to get an lV going properly.Copy !req
455. I'll have Carter do it.Copy !req
456. And the nasogastric tube?Copy !req
457. You'll notice
she has a deviated septum...Copy !req
458. and I don't feel comfortable
putting one in.Copy !req
459. I'll do it myself.Copy !req
460. Tell the lab his coag panel's cooking.
Here are his chest films.Copy !req
461. if you can find those hockey kids,
tell them he's gonna be okay.Copy !req
462. Susan? Susan.Copy !req
463. Susan, come on.Copy !req
464. - I'm busy, Mark.
- I need to talk to you about a patient.Copy !req
465. End-stage breast cancer,
bone-Mets to her back and legs.Copy !req
466. Morphine's not working.
Neither's the fentanyl.Copy !req
467. She's in agony. There's nothing
I can do to help her.Copy !req
468. Spinal morphine therapy, cordotomy?Copy !req
469. She refused both of them.
She just wants to die.Copy !req
470. Well, it sounds like
she's going to, soon.Copy !req
471. She wants me to help her.Copy !req
472. Her resps are down to 12.Copy !req
473. if I give her a little more morphine,
her breathing will stop.Copy !req
474. What would you do?Copy !req
475. I don't know. I gotta go.Copy !req
476. How long are you gonna keep this up?Copy !req
477. - You weren't there for me.
- It was professional, not personal.Copy !req
478. We're not married, we work together.
Professional is personal.Copy !req
479. I miss you.Copy !req
480. You could have told me
you were doing facial fractures.Copy !req
481. And that computer thing.
I looked stupid.Copy !req
482. No, no. Keep irrigating that.Copy !req
483. I can give you the graphics program.
It's easy to use.Copy !req
484. That's not the point.Copy !req
485. I need a good recommendation
from Benton if I'm gonna get...Copy !req
486. a surgical residency.Copy !req
487. - Vertical mattress, 4-0 nylon.
- You're going into surgery?Copy !req
488. Yeah. Why do you say it like that?Copy !req
489. No. I mean, I think you'd be great.Copy !req
490. No, you don't.
You sounded surprised.Copy !req
491. I do know surprised when I hear it.
You just sounded surprised.Copy !req
492. You really wanna go into surgery?Copy !req
493. I don't know. I might.Copy !req
494. Well, look, John, I've seen
my mother's surgical residents...Copy !req
495. and the ones around here,
and it just doesn't seem like you.Copy !req
496. What do you mean,
your mother's residents?Copy !req
497. Your mother's a surgical attending?Copy !req
498. She's chief of surgery.
Could I get more four by four's?Copy !req
499. Chief of surgery?
Where? What hospital?Copy !req
500. St. Bart's.Copy !req
501. Why even come to school?Copy !req
502. You won't have trouble
getting a residency.Copy !req
503. It's not like that.
She won't help me at all.Copy !req
504. She didn't even want me
to go into medicine.Copy !req
505. Just don't say anything to anyone.Copy !req
506. They jump to conclusions...Copy !req
507. and I end up having to prove myself
all over again. Okay? Please?Copy !req
508. I found the snake.Copy !req
509. Billy.Copy !req
510. Billy...Copy !req
511. don't...Copy !req
512. please.Copy !req
513. Mark, I need you in 2. Rule out Ml.Copy !req
514. Don't.Copy !req
515. Billy.Copy !req
516. Please.Copy !req
517. Mark?Copy !req
518. I love you.Copy !req
519. - Cardiology would steal our crash carts?
- They steal everything.Copy !req
520. - Are you sure they're up here?
- They were two hours ago.Copy !req
521. Connie and Bob, stay with the carts.
You guys come with me.Copy !req
522. I think we're in the ladies' room.Copy !req
523. Come on, come on.
Let's go!Copy !req
524. - Dunphy's there!
- What do we do?Copy !req
525. Sheri Dunphy?Copy !req
526. Not a problem.Copy !req
527. Sheri?Copy !req
528. Doug, hi. How've you been?Copy !req
529. Good. You look great.
You lost some weight.Copy !req
530. - I got married last year, remember?
- I'm still in mourning.Copy !req
531. - Why are you up here?
- ls the Cath lab still up here somewhere?Copy !req
532. - It's where it's always been.
- Can you give me a hand?Copy !req
533. - Nope, I can't. I'm out of here.
- I got a patient.Copy !req
534. A 6-year-old, tetrology of fallot.Copy !req
535. - Yeah, okay.
- All right.Copy !req
536. He's unbelievable.Copy !req
537. That's why I slept
with him on the first date.Copy !req
538. First date? No kidding.Copy !req
539. He rang the doorbell
and we were on the kitchen floor.Copy !req
540. Kitchen floor?Copy !req
541. Jeez, I gotta start dating again.Copy !req
542. Kids are having fun.Copy !req
543. Yeah. They're the hockey
players from my Ml.Copy !req
544. Haven't been picked up yet.Copy !req
545. How'd he do?Copy !req
546. He's not dead,
if that's what you mean.Copy !req
547. No...Copy !req
548. that's not what I meant.Copy !req
549. He's gonna be fine.Copy !req
550. How is she?Copy !req
551. She died a couple minutes ago.Copy !req
552. Respiratory failure?Copy !req
553. I was listening
to those kids playing...Copy !req
554. and watching the snow fall.Copy !req
555. You know, if you stand right here—
Right over here...Copy !req
556. you can see the El from here.Copy !req
557. Faces looking out the windows
into the darkness.Copy !req
558. Life goes on, Mark.Copy !req
559. Do you wanna get something to eat?Copy !req
560. I can't. Jennifer
and Rachel are in town.Copy !req
561. - Another time, maybe.
- Susan.Copy !req
562. Thanks.Copy !req
563. See you tomorrow.Copy !req
564. Stop now. Stop!Copy !req
565. Where are their parents?Copy !req
566. - I'm having problems with Haleh.
- So I heard.Copy !req
567. Reschedule her so we don't
have to work together.Copy !req
568. You're the one who
needs to be rescheduled.Copy !req
569. You won't do it?Copy !req
570. No. The nursing schedule
is my prerogative.Copy !req
571. Even if that situation
endangers patient care?Copy !req
572. You work every day
and every third night.Copy !req
573. She's got four kids.
When is she supposed to work?Copy !req
574. - She refuses to follow my instructions.
- Why should she?Copy !req
575. You're in training.
She graduated.Copy !req
576. Don't give me that.
We are not equals.Copy !req
577. She may not know how
to cross-clamp an aorta...Copy !req
578. but she's worked in
emergency for 20 years.Copy !req
579. if you'd ever hop off
that pedestal you're on...Copy !req
580. you might see that the nurses
make this place work, not you.Copy !req
581. I smell food.Copy !req
582. - I'm actually cooking.
- Like, from scratch and everything?Copy !req
583. Yeah, who knows? It might
become an annual tradition.Copy !req
584. I don't know. I remember
you cooking something last summer.Copy !req
585. I think it was meatloaf, maybe.Copy !req
586. It was definitely brown.Copy !req
587. Semiannual, then.Copy !req
588. - When did you get home?
- Seven or so. The traffic was awful.Copy !req
589. Where's Rach?Copy !req
590. She's in the bathtub.Copy !req
591. God, what a week!
I'm exhausted.Copy !req
592. - How was your day?
- Great and awful.Copy !req
593. Tell me great.
I'm too tired for awful.Copy !req
594. Morgenstern offered me a job...Copy !req
595. as attending physician next year.Copy !req
596. - What'd you say?
- I said yes.Copy !req
597. Without discussing it with me first?Copy !req
598. An attending.Copy !req
599. I figured I'd be spending
nights and weekends...Copy !req
600. at some community hospital
in Winnetka.Copy !req
601. Is this a problem?Copy !req
602. Can you tell him you need time
to think about it?Copy !req
603. I don't need to think about it.
This is a great opportunity!Copy !req
604. I won't know until March if Judge
Franklin needs me to clerk next year.Copy !req
605. You're considering spending
another year in Milwaukee?Copy !req
606. if he wants me to, yes.Copy !req
607. - But I assumed—
- Exactly!Copy !req
608. You assume things would
be the way you want.Copy !req
609. The last six months haven't exactly
been the way I want them—Copy !req
610. I've been living by myself,
without my wife, without my daughter.Copy !req
611. "My wife, my daughter" !Copy !req
612. It's only been six months.
What about the last six years?Copy !req
613. What about medical school,
rotations and residency?Copy !req
614. Who was a paralegal
so we had food?Copy !req
615. Who was in night school
for years, finishing college?Copy !req
616. Was that you?Copy !req
617. No, that was me.Copy !req
618. So now I want it to be
about me for a change, not you.Copy !req
619. How are you doing, Mr. Conally?Copy !req
620. You still dead?Copy !req
621. Oh, yeah, very.Copy !req
622. - My head feels better, though.
- Well, that's good.Copy !req
623. You just let us know if we can
get you anything else, okay?Copy !req
624. Night.Copy !req
625. Good night.Copy !req
626. - You're late. It's almost 10:00.
- Yeah.Copy !req
627. I got held up at the hospital.
Where's Walt and my sister?Copy !req
628. Something at your niece's school.Copy !req
629. if you say you'll be here at 8,
I need you to be here at 8.Copy !req
630. I've got an early shift tomorrow.Copy !req
631. Okay.Copy !req
632. How was your first day?Copy !req
633. - How long ago was your mom's stroke?
- 8 months.Copy !req
634. And it was a right parietal CVA?Copy !req
635. She's still suffering
from left hemiparesis.Copy !req
636. - Has she had any physical therapy at all?
- Of course she has. In the beginning.Copy !req
637. My mother doesn't have
problems getting around.Copy !req
638. That's the problem.
She's always wandering off.Copy !req
639. She's masking well, but she has
limited use of her left arm and leg.Copy !req
640. And she's got bruises all over her
left side from running into things.Copy !req
641. And you should have warned me
about the incontinence.Copy !req
642. Yeah, well, that's
just a sometime thing.Copy !req
643. Not tonight, it wasn't.Copy !req
644. Can you help my mother?Copy !req
645. I can't make her any younger, but
I can probably improve her mobility.Copy !req
646. She's a great lady.Copy !req
647. I wish I'd known her
before the stroke.Copy !req
648. I heard a lot about you. She wouldn't
stop talking about her Petey.Copy !req
649. I'm sorry about that.Copy !req
650. You're the baby in the family, right?Copy !req
651. I'm the youngest in the family, yeah.Copy !req
652. My baby sister too.
My mom just loves her to death.Copy !req
653. It still pisses me off.Copy !req
654. Good night.Copy !req