1. Doug?Copy !req
2. Doug, you slept through the alarm.Copy !req
3. Doug?Copy !req
4. Come on. Jake's gonna be up soon.Copy !req
5. Come on,
you're gonna get me started.Copy !req
6. Two nights in a row, huh?Copy !req
7. - Didn't you need the bathroom?
- No, there's one at work.Copy !req
8. I'll lock it, okay?Copy !req
9. - You forgot to lock it yesterday.
- Okay.Copy !req
10. - I'll see you.
- Later.Copy !req
11. Carter, pick up the film
on O'Shields.Copy !req
12. Chen, do the med renewals. I have
to start on the Sub-l evaluations.Copy !req
13. Placements aren't until next month.Copy !req
14. - I need your procedure books.
- I thought we had until next week.Copy !req
15. You did. Now you don't.
Is that a problem?Copy !req
16. You've been here longer.
You've done more procedures.Copy !req
17. - How many intubations?
- Four or five.Copy !req
18. - Chest tubes?
- Lost count. Did a femoral cutdown.Copy !req
19. - You didn't.
- Oh, but I did.Copy !req
20. - How long have you had this pain?
- Since Friday. Bowling night.Copy !req
21. - When I can't bowl I'm not happ y.
- Well, we want you happ y.Copy !req
22. Chem-7, CBC, LFTs
and an abdominal ultrasound.Copy !req
23. - An ultrasound?
- Could be appendicitis.Copy !req
24. - Could be gas.
- ls there a problem?Copy !req
25. - How are you, sir?
- Not too good. Stomachache.Copy !req
26. - Kept him from bowling.
- That's a shame.Copy !req
27. Mr. McDowall, this is Dr. Swift,
our attending physician.Copy !req
28. Cancel the CBC, Chem-7,
LFTs and ultrasound.Copy !req
29. - What's your diagnosis?
- Probably gastroenteritis.Copy !req
30. Why order $ 1000 worth of tests?Copy !req
31. - To rule out appendicitis.
- It's ruled out.Copy !req
32. He has pain
in the right lower quadrant.Copy !req
33. So would you if you were full of gas.Copy !req
34. Sir, go home and take nothing
by mouth for six hours.Copy !req
35. When you do, take little sips
of clear fluid. if it gets worse . . .Copy !req
36. . . .you come back and see us
immediately, all right?Copy !req
37. - You'll be there to get her moved?
- I'll be there.Copy !req
38. I'll tell her she's going to the home.Copy !req
39. Listen, Jackie, I . . . .Copy !req
40. I wanna be the one to tell her.Copy !req
41. Please, Jackie.Copy !req
42. All right.Copy !req
43. - Petey!
- Hey, Ma.Copy !req
44. - Hey, Ma. How are you feeling?
- I'm leaving today.Copy !req
45. I've been trying to make my hair up
the way Daddy liked it.Copy !req
46. - Could you help me, honey?
- Ma . . . .Copy !req
47. Jackie and I and the doctors . . .Copy !req
48. . . . think you need more care
than we can give you.Copy !req
49. You need to have someone around all
the time to make sure that you're okay.Copy !req
50. We found this great place.
The Melville Home.Copy !req
51. We'll make it just as nice
as your house, Mama.Copy !req
52. - Jackie's gonna make you curtains.
- Yellow stripes, your favorite.Copy !req
53. Do I have to go, Peter?Copy !req
54. Yeah, Ma.Copy !req
55. You do.Copy !req
56. - Swift was way out of line.
- He was right.Copy !req
57. - You should talk to him.
- What for?Copy !req
58. - You still want the attending?
- He's made up his mind.Copy !req
59. - What do we have?
- What do you want for bloods?Copy !req
60. He works for the electric company. Took
a 20-foot fall. High-current burns.Copy !req
61. Doug, thanks.
Let's start a central line.Copy !req
62. Okay, Carter, over here.Copy !req
63. - Ever done a central line?
- I've seen one.Copy !req
64. You're gonna do one now.Copy !req
65. Put the long 14-gauge
on the 6cc syringe.Copy !req
66. Prep 5 migs morphine.Copy !req
67. - Give him a liter of Ringer's first.
- Aim at the sternal notch.Copy !req
68. Now you have blood refill.
Remove the syringe.Copy !req
69. - Will do.
- And feed the guide wire through.Copy !req
70. Lucky guy. No ST changes.Copy !req
71. - Slide it into the subclavia.
- You want a tetanus?Copy !req
72. - 300ccs Ringer's.
- He needs a Foley.Copy !req
73. - Here are the x-rays.
- They'll do that upstairs.Copy !req
74. We have enough guide wire left
to pull it through.Copy !req
75. - You're doing a central line?
- Yep.Copy !req
76. Now get an x-ray
to check the placement.Copy !req
77. - Excellent.
- Get him ready for transfer.Copy !req
78. - Talk to me.
- He fell from a utility pole.Copy !req
79. Circumferential third-degree burns
to upper extremities.Copy !req
80. No cardiac changes. C-spine,
chest, pelvis all negative.Copy !req
81. - No long bone fractures.
- Let's get him up.Copy !req
82. - Any fever, Mrs. Ryan?
- Just the headache and dizziness.Copy !req
83. - I think I'm going to throw up.
- And nausea.Copy !req
84. We'll get you fixed up right away.Copy !req
85. - What's wrong with her, doctor?
- It's probably just a flu bug.Copy !req
86. Her heart rate is a little fast,
so we'll run some tests.Copy !req
87. Put her on a monitor
and let's check a rhythm strip.Copy !req
88. - A monitor?
- Yeah, a heart monitor.Copy !req
89. - Is it that serious?
- We'll just keep our eye on her.Copy !req
90. Are these tests gonna cost
a lot of money?Copy !req
91. - You have insurance, don't you?
- No.Copy !req
92. We'll work something out.Copy !req
93. How long have you had that cough?Copy !req
94. - You can give me medicine, okay?
- How long, Mrs. Salazar?Copy !req
95. A week. Two.Copy !req
96. Have you been coughing
anything up, like blood?Copy !req
97. It's not so bad. I have to go.Copy !req
98. Could you have been exposed
to tuberculosis?Copy !req
99. - Tuberculosis?
- I don't know what you mean.Copy !req
100. Does anyone else in your family have
this cough? Anybody you work with?Copy !req
101. I don't work, okay?
Mi esposo has green card, he work.Copy !req
102. My children are at home, I need to go.Copy !req
103. Have any of them been sick?
Fevers? Night sweats?Copy !req
104. My daughter. I have to go home.Copy !req
105. Mi madre, she take care
of her now.Copy !req
106. if your daughter's sick and you have
tuberculosis, we need to see her.Copy !req
107. It's very contagious. I can't
make you stay, Mrs. Salazar.Copy !req
108. But I would strongly advise you
to take these tests.Copy !req
109. No questions asked, okay?Copy !req
110. Okay, I stay a little bit.Copy !req
111. - What's she so afraid of?
- She's probably illegal.Copy !req
112. Lydia? We gotta get Mrs. Salazar
into an isolation room.Copy !req
113. She needs a chest x-ray,
acid-fast stain and sputum culture.Copy !req
114. - Carter, try and find her a mask.
- Sure.Copy !req
115. Stay away from me, Shirley.
You could've killed Mr. Munchy.Copy !req
116. It was your fault, Sari.
You said the road was clear.Copy !req
117. Didn't say it would stay that way.
I told you to step on it.Copy !req
118. - It's not safe to speed.
- You were going five miles an hour!Copy !req
119. - Shut up! This is all your fault!
- Two sisters. Slow-moving MVA.Copy !req
120. One with a nose lac,
the other dizzy with headache.Copy !req
121. The only danger they're in
is from each other.Copy !req
122. Thanks.Copy !req
123. Somebody, help! Please, please!Copy !req
124. - Narrow complex tachycardia.
- Rate 200.Copy !req
125. Start a line and give O-2.
Get the crash cart now!Copy !req
126. - My God! What's happening?
- You're gonna have to stay back.Copy !req
127. - BP's 70 over 50.
- Give me some adenosine.Copy !req
128. Janette, you have to help me out.
Blow on your thumb.Copy !req
129. Blow on it really hard.Copy !req
130. - Two milligrams of adenosine?
- Three, lV push.Copy !req
131. - There's no BP.
- I can't feel a pulse.Copy !req
132. She's out. Set it on 50.
Hit the synch switch.Copy !req
133. - Turn up the O-2, 15 liters.
- Stand back.Copy !req
134. She's in V-fib. Turn off the synch
and charge to 100 joules.Copy !req
135. - Clear?
- Clear.Copy !req
136. - I get a BP. 100 over 60.
- Normal sinus rhythm.Copy !req
137. - Pulse bounding.
- It means she's okay.Copy !req
138. Welcome back, kiddo.Copy !req
139. You're gonna be okay.
Your mom's right here.Copy !req
140. You're fine.Copy !req
141. A-R-Q-P-T-X.Copy !req
142. That was completely wrong.Copy !req
143. Why don't you try the same line
with your glasses?Copy !req
144. Oh, yes.Copy !req
145. Here we go.Copy !req
146. N-T-O-A-W-R.Copy !req
147. Damn it, Shirley. I can't see squat.
I'm gonna kill you.Copy !req
148. We've lived together for 50 years
and I'm not dead yet. You're a bully!Copy !req
149. - Now I'm blind. Are you happ y?
- Ladies, please.Copy !req
150. - She's no lady.
- Hold still.Copy !req
151. I'm concerned about your vision and
headache. You need a C AT scan.Copy !req
152. Which glasses are yours?Copy !req
153. How should I know? I can't see.Copy !req
154. Why don't you try these?Copy !req
155. Here.Copy !req
156. I thought you'd be older.Copy !req
157. - Young man . . . .
- Just one second.Copy !req
158. Carter. Got a procedure
for your book.Copy !req
159. - Pelvic.
- I already have a ton of pelvics.Copy !req
160. Lady asked for you personally.Copy !req
161. I'm so thirsty. Some water, please.Copy !req
162. There you go.Copy !req
163. So Janette has supraventricular
tachycardia.Copy !req
164. Like a short circuit in her heart.Copy !req
165. So she needs to be admitted
into Cardiology.Copy !req
166. Someone from Social Services
will help you apply for Medicaid.Copy !req
167. Your daughter's gonna be fine,
Mrs. Ryan.Copy !req
168. Just fine.Copy !req
169. - Lunch later?
- Yeah, sure.Copy !req
170. - Cafeteria or the vending machines?
- Doesn't matter.Copy !req
171. Wild Willie wants you
to see the lady in Three.Copy !req
172. - Have you talked to him yet?
- No. Don't plan to.Copy !req
173. She's in her 8th month. Has
stomach cramps, frequent urination.Copy !req
174. - Why don't you take it?
- Why?Copy !req
175. Because I asked you to.Copy !req
176. - Do I know you from someplace?
- No.Copy !req
177. - Why did you ask to see me?
- You treated my friend Barbara.Copy !req
178. She recommended you.Copy !req
179. The truth is I don't really have cramps.Copy !req
180. Why are you here, Mrs. Blum?Copy !req
181. Barbara has been trying
to have a baby for years.Copy !req
182. Last month she came in with cramps
and you examined her.Copy !req
183. And the very next week
she got pregnant.Copy !req
184. - Did I have something to do with it?
- Barbara thinks so.Copy !req
185. When she heard that we were trying
she said, "Go and see Dr. Carter.Copy !req
186. He's got the magic touch!"Copy !req
187. Dr. Greene?Copy !req
188. Your name's on the board
for that pregnant woman.Copy !req
189. - Why is Dr. Lewis with her?
- I gave it to her.Copy !req
190. I see.Copy !req
191. I understand you lost
a mother during delivery.Copy !req
192. Jodi O' Brien. Preeclampsia.
She bled out.Copy !req
193. I'd like you to present it
at the case conference today.Copy !req
194. - Two o'clock.
- I need time to prepare.Copy !req
195. No, you don't.
You know what happened.Copy !req
196. Mrs. Salazar, your tests
are positive for tuberculosis.Copy !req
197. We need to get your family in here
as soon as possible.Copy !req
198. - I bring them mañana.
- No, today, Mrs. Salazar.Copy !req
199. You shouldn't leave the hospital.
You're very sick.Copy !req
200. I feel better, really. I can go.Copy !req
201. Do you understand the seriousness
of your illness?Copy !req
202. I don't care if you're illegal. I want
to make sure your kids are okay.Copy !req
203. - They're fine.
- You'll infect everybody around you.Copy !req
204. - Your children, people you work with.
- Dr. Greene.Copy !req
205. Your family needs to come in
and be seen in this hospital!Copy !req
206. Mark.Copy !req
207. What's the matter with you?Copy !req
208. She's leaving with TB.
I'm not supposed to be angry?Copy !req
209. - She can't trust you if you scream.
- I wasn't screaming.Copy !req
210. - Now you're screaming at me.
- Forget it. if she leaves, she leaves.Copy !req
211. Well, rule out sepsis.
We made a suprapubic tap.Copy !req
212. - You're kidding?
- Step right up, doc.Copy !req
213. - Temp's 102.
- Any luck with the urine?Copy !req
214. I gave him four ounces of clear fluid
and then four more.Copy !req
215. Eight ounces? Dry as a bone.Copy !req
216. - isn't there some other way?
- This is the easiest way.Copy !req
217. Carter, swab the area.Copy !req
218. Hold the syringe in one hand.
It's okay, kiddo.Copy !req
219. - Palpate the pubic symphysis.
- What now?Copy !req
220. We use a small needle
to get a urine sample.Copy !req
221. - Careful not to push too hard.
- How do you know it's too hard?Copy !req
222. That's probably too hard.Copy !req
223. - Your husband brought you in?
- The old fuddy-duddy.Copy !req
224. He thinks I have paranoid psychosis
with elaborated delusional systems.Copy !req
225. He reads too much, that's all.Copy !req
226. - Do you ever hear voices?
- Of course not.Copy !req
227. - Ever have frightening thoughts?
- No.Copy !req
228. Are you afraid
someone will harm you?Copy !req
229. Of course. Streets aren't safe
nowadays, are they?Copy !req
230. - Do you have a psychiatrist?
- Yes. Would you like his number?Copy !req
231. Let's see, where did I put it?Copy !req
232. Just give me a second here.Copy !req
233. Yikes . . . .Copy !req
234. SlG Sauer 228.Copy !req
235. Nine millimeter double action,
13-round clip.Copy !req
236. Little heavy, but lethal.Copy !req
237. Would you mind if I gave this
to Security, just for now?Copy !req
238. Not at all.Copy !req
239. I've still got the Beretta.Copy !req
240. - Still here?
- Waiting for the ambulance.Copy !req
241. - How are you, Ma?
- She's been quiet.Copy !req
242. Let me talk to her.Copy !req
243. Ma, you're gonna like the place.
I saw it.Copy !req
244. It's nice and clean. You have
your own TV in your room.Copy !req
245. There's a little courtyard outside.Copy !req
246. I've got surgery.
Jeanie's gonna go with you now.Copy !req
247. I'll come by later, okay?Copy !req
248. I love you, Ma.Copy !req
249. We're ready.Copy !req
250. - Hey.
- Here, Dr. Greene.Copy !req
251. - Conference? Are you nervous?
- No. I love an inquisition.Copy !req
252. - You'll do fine.
- Are you kidding?Copy !req
253. - They'll be out for blood.
- We've all been there.Copy !req
254. How many young mothers
have you killed, Doug?Copy !req
255. Mark, listen. Hey.Copy !req
256. Sorry I can't be there today,
but you're gonna do okay.Copy !req
257. Good luck.Copy !req
258. Excuse me?Copy !req
259. - ls there a conference here at two?
- Not enough space. It's moved.Copy !req
260. - Oh, yeah? What room?
- The auditorium.Copy !req
261. - Finger lac in Two.
- I have to finish the med renewals.Copy !req
262. - Got enough lacs in your book?
- I told you I'm busy.Copy !req
263. Carter, why in the hell
did you give Mrs. Baba water?Copy !req
264. - The lady in Two.
- She was thirsty.Copy !req
265. She was NPO. Scheduled for
surgery. No food, no water.Copy !req
266. - She was your gallbladder patient?
- Just read the chart.Copy !req
267. Now, because of you
she can't have surgery.Copy !req
268. I'm doing a small bowel.
Chen, scrub in.Copy !req
269. To the O.R.? Really?Copy !req
270. Good, you're here.Copy !req
271. I hope it's instructive.Copy !req
272. For the other residents.Copy !req
273. Down there.Copy !req
274. Do you know the diagnostic criteria
for preeclampsia?Copy !req
275. Blood pressure greater than 140 over 90,
proteinuria and edema.Copy !req
276. - She had proteinuria.
- I attributed it to a urinary infection.Copy !req
277. - Her pressure was only high once.
- You should've checked again.Copy !req
278. My index of suspicion
should've been higher.Copy !req
279. I treated her seizure with
magnesium sulfate and Ativan.Copy !req
280. - What about the ultrasound?
- I missed the placental abruption.Copy !req
281. The AFl and profile were excellent.
There was normal fundal placement.Copy !req
282. - Yet she abrupted.
- There were no clinical signs.Copy !req
283. No vaginal bleeding, shock,
abdominal pain or fetal distress.Copy !req
284. What are the criteria
for vaginal delivery?Copy !req
285. Favorable fetal lie and a small baby
under 4,000 grams.Copy !req
286. The baby was 9 lbs, 3 ounces.
Macrosomic.Copy !req
287. I used the Leopold maneuver and
fundal height to estimate baby size.Copy !req
288. I was off.Copy !req
289. What were the risks
of using forceps?Copy !req
290. - A 23 % risk of shoulder dystocia.
- Which happened.Copy !req
291. What qualifies you
to manage high risk OB?Copy !req
292. We're not here to question
Dr. Greene's training.Copy !req
293. - Why a C-section in the ER?
- Baby was hypoxic and bradycardic.Copy !req
294. There was a risk of brain damage.Copy !req
295. - Have you done crash C-sections?
- I've scrubbed in.Copy !req
296. I give Dr. Greene credit
for crashing her.Copy !req
297. What would you have done differently?Copy !req
298. I should've taken her up
to OB myself. Lmmediately.Copy !req
299. I've induced before,
delivered babies before.Copy !req
300. I assumed I could handle
the situation. I was wrong.Copy !req
301. Anyone else?Copy !req
302. Thank you, Dr. Greene.Copy !req
303. That wasn't too bad.Copy !req
304. I knew once you had a chance
to talk it through you'd feel fine.Copy !req
305. I'm supposed to feel
some sense of relief?Copy !req
306. I gotta get back to work.Copy !req
307. By the way,
that stomach flu this morning . . . .Copy !req
308. The next time you disagree with me
don't do it in front of the patient.Copy !req
309. Where are we going?Copy !req
310. Follow me.Copy !req
311. Hold that a second.Copy !req
312. - What do you think?
- It's a little small for you.Copy !req
313. - Whose is it?
- Yours.Copy !req
314. - Mine?
- Doug . . . .Copy !req
315. - It's the same as yours.
- Eighteen-speed grip twist-shifter.Copy !req
316. Hyper-sprocket drive
and stuff I know nothing about.Copy !req
317. Hey, come here.
You ride bike, you wear helmet.Copy !req
318. Where's your helmet?Copy !req
319. I know you mean well, but . . . .Copy !req
320. - Come on, Doug. Race you.
- You're on.Copy !req
321. You should've talked
to me about this.Copy !req
322. I'll be back.Copy !req
323. - Where's Anita Salazar?
- Eloped. Can't find her.Copy !req
324. - Want me to send Public Health out?
- It's probably a fake address.Copy !req
325. Mark, we've got an MVA coming in.Copy !req
326. Rollover TC, thrown 20.
Heavy ETOH.Copy !req
327. Lac on right leg, no fracture.
He doesn't want to be touched.Copy !req
328. Calls himself Smiley. No I.D.Copy !req
329. - I'm in the wrong place.
- Get a portable down here.Copy !req
330. - Get CBC, Chem-7, blood alcohol.
- Watch his neck.Copy !req
331. Transfer, one, two, three. All right.Copy !req
332. - BP 90 over 50.
- Get him undressed.Copy !req
333. - Hit your head? Does it hurt?
- How should I know?Copy !req
334. - Run the saline wide open.
- Drunk as a skunk.Copy !req
335. Cap refill's slow.
He's hypovolemic.Copy !req
336. - Do you think it's the spleen?
- Don't know.Copy !req
337. Shoot a cross-table C-spine.
CBC, type and cross for four.Copy !req
338. Stay still, Mr. Smiley.Copy !req
339. - X-ray's ready.
- Lungs clear.Copy !req
340. - Shooting.
- Stand back.Copy !req
341. Hold your breath.Copy !req
342. Clear.Copy !req
343. O-2 is here.Copy !req
344. - Get your hands off me!
- Abdomen's rigid. It's the spleen.Copy !req
345. Let's prep for a lavage.Copy !req
346. Smiley, we need to make sure
you're not bleeding internally.Copy !req
347. We're gonna take this tube and put it
in your nose and into your stomach.Copy !req
348. - It's not pleasant.
- Go to hell!Copy !req
349. It's not the highlight of my day either.Copy !req
350. Don't come near me with no tube.Copy !req
351. - One percent X ylocaine with epi.
- You're drunk out of your mind.Copy !req
352. We need to take care of you.
This is our decision, not yours.Copy !req
353. Just keep breathing.Copy !req
354. I assisted on a laparotomy
and closed the incision.Copy !req
355. Two new procedures.
Finally I have a chance.Copy !req
356. Can I get you anything, Haleh?
Coffee? Cake?Copy !req
357. - You wanna get me coffee?
- Sure.Copy !req
358. Cream and sugar.Copy !req
359. - Where are we putting Fareau?
- Exam 2.Copy !req
360. And if you could, here's a list
of procedures I still need.Copy !req
361. - if any come in throw them my way?
- Sure.Copy !req
362. You can help Wendy get an lV going
on our junkie friend in Two.Copy !req
363. - lV is not on my list.
- It is now.Copy !req
364. - Maybe we should get a doctor.
- I'll find a vein. I always do.Copy !req
365. There's one.Copy !req
366. No good.Copy !req
367. - I'll get Dr. Lewis.
- What for?Copy !req
368. He hasn't got a vein anywhere.
He's gonna need a central line.Copy !req
369. He's bleeding out.
We've gotta find the source.Copy !req
370. - How's that lavage?
- Almost there.Copy !req
371. Gotta find the bleeder.
It could be retroperitoneal.Copy !req
372. He's feeling it. More lidocaine.Copy !req
373. - Where's he bleeding?
- No output yet.Copy !req
374. - Hang two units now.
- This is soaked through.Copy !req
375. - Will four units be enough?
- Get four more.Copy !req
376. Found it!Copy !req
377. - Femoral artery.
- It's a pumper.Copy !req
378. Get Vascular on the line, get an
angiogram and let's get him up.Copy !req
379. - I'll keep pressuring.
- Call the Cath Lab.Copy !req
380. Let's move!Copy !req
381. Deb?Copy !req
382. Almost done . . . .Copy !req
383. There.Copy !req
384. Are you crazy? You're not allowed
to do a central line!Copy !req
385. It seemed so easy.Copy !req
386. - You get in trouble, I'll get fired.
- It's fine. Look.Copy !req
387. Oh, my God.Copy !req
388. - Where's the . . . .?
- What's wrong?Copy !req
389. - What's going on?
- Where's the guide wire?Copy !req
390. You lost the wire?
Deb, where is it?Copy !req
391. There it is. Cath lab, stat.Copy !req
392. What happened?
Deb, what happened?Copy !req
393. - I need a cath lab.
- Oh, my God.Copy !req
394. - Come on, Carter, move.
- We need to snare it.Copy !req
395. - Get a fluoroscope. Order an echo.
- Call Transport to take him up.Copy !req
396. Deb?Copy !req
397. Deb, wait a minute.Copy !req
398. Deb, wait!Copy !req
399. - You found Deb?
- There's no answer at her house.Copy !req
400. - I almost feel responsible.
- You didn't nearly kill a patient.Copy !req
401. - Carter. Where's Chen?
- I have no idea.Copy !req
402. Find her. Swift wants to talk to her.Copy !req
403. - How's the patient?
- Well, we got the wire out.Copy !req
404. Whether or not we'll be sued
is another story.Copy !req
405. - You shouldn't have bought Jake that bike.
- Why not?Copy !req
406. He has one.Copy !req
407. - He wanted it.
- He doesn't get everything he wants.Copy !req
408. - I'll take it back.
- You miss the point.Copy !req
409. - A 12-year-old hit by a delivery truck!
- I'll be right there.Copy !req
410. - I wanted to do something nice.
- It's too much, too soon.Copy !req
411. - He doesn't know what it means.
- Neither do I.Copy !req
412. - You can't go through him to get to me.
- You think that?Copy !req
413. That's what he hopes you're doing.Copy !req
414. - Doug, Trauma 1!
- 12-year-old ran through red light.Copy !req
415. Hit and thrown 20 feet.
LOC at scene. BP 60 over 40.Copy !req
416. I think he's got left pneumo.
Name's Billy Schmoo.Copy !req
417. Jennifer left?Copy !req
418. I can't believe you didn't tell me.Copy !req
419. I wasn't gonna announce it
over the intercom.Copy !req
420. - What did you tell Rachel?
- I took the high road on that one.Copy !req
421. Nothing.Copy !req
422. I don't think I can bear losing her.Copy !req
423. - I hardly see her as it is.
- Yeah.Copy !req
424. Well, that's kind of the problem,
isn't it?Copy !req
425. With Jennifer. Not just Rachel.Copy !req
426. - She wants to be in Milwaukee.
- So what?Copy !req
427. Figure something out.
Call her, go see her.Copy !req
428. I'm going this weekend.Copy !req
429. It's so like a guy to wait four days.
Go tonight.Copy !req
430. - I work tomorrow.
- I'll cover tomorrow.Copy !req
431. I owe you.Copy !req
432. Thanks.Copy !req
433. - Tendon reflexes are normal.
- Lacerations look superficial.Copy !req
434. - Pulse thready at 150.
- He looks dusky.Copy !req
435. Tension pneumo. Eighteen-gauge.
Set up a pleuravac.Copy !req
436. Pulse ox is 65.Copy !req
437. - CBC, Chem-7.
- Where are the parents?Copy !req
438. - How many units O-neg?
- Six.Copy !req
439. Get a 12-lead. Cross-table C-spine
and a portable chest.Copy !req
440. He's on his way.Copy !req
441. - What size?
- 28 French.Copy !req
442. Here's the chest-tube tray.Copy !req
443. - Here we go.
- One percent lidocaine.Copy !req
444. Belly's soft. Bowel sounds normal.Copy !req
445. Blood's drawn. Lab's here.Copy !req
446. - Get that chest tube ready.
- Call down the H and H.Copy !req
447. Cap refill is not great. Still dusky.Copy !req
448. All right.Copy !req
449. Breath sounds are good
but his BP is crashing.Copy !req
450. Distant heart sounds,
dilated neck veins.Copy !req
451. Prep for pericardiocentesis.Copy !req
452. Twenty cc's per kilo,
start with a 300cc bolus.Copy !req
453. BP's falling, 40 palp.Copy !req
454. Come on, now. Damn it.Copy !req
455. - Where are you, little heart?
- Too far.Copy !req
456. - It's okay.
- Call Respiratory.Copy !req
457. Come on.Copy !req
458. Come on, little heart. I know
you're in there somewhere.Copy !req
459. - Got it.
- Yeah, that's much better.Copy !req
460. Okay. Call O.R.
and the Thoracic team.Copy !req
461. - BP?
- Coming up. 60 over 40.Copy !req
462. Cross-table C-spine.
Let's get a chest film.Copy !req
463. You're gonna be just fine, buddy.Copy !req
464. - We'll take him up.
- Great.Copy !req
465. Are you okay?Copy !req
466. Heading home.
What's not to be okay?Copy !req
467. - Pepperoni or salami?
- What?Copy !req
468. - Pepperoni or salami on your pizza?
- Salami.Copy !req
469. Too bad, I win.Copy !req
470. All right, but only on one third. Okay.Copy !req
471. See you in a bit, babe. Bye.Copy !req
472. Pizza will be there in 20 minutes.Copy !req
473. - Thanks.
- For what?Copy !req
474. - For staying.
- Well, you're buying the pizza.Copy !req
475. Look at your Daddy.Copy !req
476. That silly hat.Copy !req
477. I am so tired.Copy !req
478. Ma, why don't you get some sleep?Copy !req
479. Let me take this.Copy !req
480. Peter?Copy !req
481. Do you still want to be a doctor?Copy !req
482. Ma . . . .Copy !req
483. I am a doctor.Copy !req
484. Your talent is God's gift to you.Copy !req
485. What you do with it
is your gift back to God.Copy !req
486. - Go ahead. Get some sleep.
- Okay.Copy !req
487. Hi, Jen. How are you?Copy !req
488. Rach? Good.Copy !req
489. I wanna come up and see you guys.
I wanna talk.Copy !req
490. No, no. Tonight.Copy !req
491. How about tomorrow?Copy !req
492. Okay. We'll see you Saturday.Copy !req
493. Rachel there?Copy !req
494. No, no, no, don't wake her.Copy !req
495. I miss her.Copy !req
496. Jen, I love you.Copy !req
497. You there?Copy !req
498. Yeah. Okay.Copy !req
499. Sorry.Copy !req
500. Chloe?Copy !req
501. Hi, Susie.Copy !req
502. Let's go to the kitchen.Copy !req
503. I really didn't care about the patient.
I just wanted the procedure.Copy !req
504. - By tomorrow everybody will forget.
- I won't.Copy !req
505. - I'm quitting.
- You can't.Copy !req
506. - Sure I can.
- Deb, listen.Copy !req
507. You're smart, you learn fast.Copy !req
508. - It's about taking care of people.
- You're gonna be a great doctor.Copy !req
509. I don't really like it.Copy !req
510. That's not completely true.Copy !req
511. I like the science of it.
But the patients, the sickness . . . .Copy !req
512. Sometimes it almost scares me.Copy !req
513. It scared the hell out of me.Copy !req
514. When I was a kid my older brother
was sick. In and out of the hospital.Copy !req
515. When I saw the doctors
I knew it was what I wanted to do.Copy !req
516. That's the difference, John.Copy !req
517. You think about treating patients.Copy !req
518. You take the time to talk to them.
You listen to them.Copy !req
519. You care.Copy !req
520. So what are you gonna do?Copy !req
521. Join the party.Copy !req
522. My parents' wedding anniversary.Copy !req
523. I'll wait to tell my folks afterwards.
Mother will throw up. Should be fun.Copy !req
524. Thanks.Copy !req
525. Mark, you've got visitors.Copy !req
526. Mrs. Salazar.Copy !req
527. Hi.Copy !req
528. - My madre, Maria.
- Hi, Maria.Copy !req
529. - My niña, Christina.
- Hi. You're the sick one, huh?Copy !req
530. You guys grab the bags, huh?Copy !req
531. Here. Eat this, it'll warm you up.Copy !req
532. - I don't want to trouble you.
- Yeah, right.Copy !req
533. - Ronnie sold my stuff.
- You're kidding. I'm shocked.Copy !req
534. You were so right about him.Copy !req
535. - You were right about all of them.
- Yeah, well . . . .Copy !req
536. They're all basically the same person.Copy !req
537. That is not true.
Norm was a good guy.Copy !req
538. Sure. The two hours of the day
he was awake.Copy !req
539. Chloe . . . .Copy !req
540. What did you do to my coat?Copy !req
541. Hitched a ride with this family.
Kid got car sick.Copy !req
542. I switched to ultra lights.Copy !req
543. You've seen a doctor for the baby,
haven't you?Copy !req
544. A couple of times . . . .Copy !req
545. - Once.
- Recently?Copy !req
546. Sort of.Copy !req
547. I am so glad to be here, Susie.Copy !req
548. I'm glad you're okay.Copy !req
549. - Sort of.
- Sort of.Copy !req
550. I'm so tired.Copy !req
551. I know.Copy !req
552. I'm scared, Susie.Copy !req
553. Don't worry, Chloe.Copy !req
554. Don't worry. We'll be okay.Copy !req
555. We'll be okay.Copy !req