1. Yeah.Copy !req
2. We'll take care of it.
What's your ETA?Copy !req
3. Okay, no problem.Copy !req
4. - Where's Dr. Lewis?
- Suture Room.Copy !req
5. Baby coming in, respiratory arrest.
Five minutes out.Copy !req
6. Susan? Susan?Copy !req
7. Turn off the overheads, would you?Copy !req
8. - We've got an unresponsive infant.
- The lights?Copy !req
9. - They'll be here soon.
- Okay.Copy !req
10. - You up? You sure?
- Yeah.Copy !req
11. - Susan?
- Yeah. I'm up, I'm up, I'm up.Copy !req
12. Top on, lock it in again...Copy !req
13. - This is Melody.
- Melody?Copy !req
14. Those Indians,
were they pretty close behind you?Copy !req
15. No! You're wrong, Dr. Welby.Copy !req
16. - Now, Dean's going to recover.
- Yes, she will recover.Copy !req
17. But you must be aware
that there was damage.Copy !req
18. The damage can be corrected.
Dean has always been strong.Copy !req
19. I know what she can do.
She's gonna make a full recovery.Copy !req
20. I'll make sure of that.Copy !req
21. - You used to like her.
- No, I didn't.Copy !req
22. Yeah, you did. Before Rodman,
you talked about her all the time.Copy !req
23. - What have you got, sarge?
- Responded to a domestic-violence call.Copy !req
24. He was in the street, buck-naked,
waving a gun and screaming.Copy !req
25. - You'll need a light.
- Did he shoot someone?Copy !req
26. No, he ran inside, slipped
on the stairs and passed out, drunk.Copy !req
27. You better not have dragged us from
a warm firehouse to check a drunk.Copy !req
28. Bunch of jelly-doughnut-eating pendejos.Copy !req
29. Hey, Dumb and Dumber!Copy !req
30. Nobody got you out of bed
for that piece of crap.Copy !req
31. - I got you out of bed for them.
- Holy Mary, Mother of God!Copy !req
32. Welcome to Calcutta.Copy !req
33. Twenty-two children, ages 6 months
to 9 and a half years...Copy !req
34. found in a single apartment
on Calumet.Copy !req
35. Malnutrition, suspect marasmus,
kwashiorkor, who knows what else.Copy !req
36. Northwestern took four, Mercy three,
we got the rest.Copy !req
37. - Parents?
- Nobody knows.Copy !req
38. - Children and Family Services?
- On the way.Copy !req
39. The cops took the kids and arrested
the guy who says he's the uncle.Copy !req
40. - Of all of them?
- So he says. I've got a toddler in 2.Copy !req
41. - How many have you seen so far?
- Four of them.Copy !req
42. Thrush, chronic otitis media,
ringworm, diarrhea...Copy !req
43. malnutrition, electrolyte imbalances.Copy !req
44. Let's get a CBC, Chem-20, protein,
albumin, transferrin...Copy !req
45. globulins, iron, UA
and a folate level.Copy !req
46. Doug, that baby's refusing formula.Copy !req
47. Drop a feeding tube.
Thirteen pounds, maybe a year old.Copy !req
48. - Who's this?
- Can't get a name. Says she's 3.Copy !req
49. You're 3, sweetheart?Copy !req
50. What's your name, darling?
Come on, what's your name?Copy !req
51. Let's get these sores cleaned up.
Start her on Keflex, 250 mgs.Copy !req
52. Looks like impetigo.
Let's hope the others haven't caught it.Copy !req
53. Chem-20, CBC, UA?Copy !req
54. Yeah, and let's get height,
weight, head and arm circumferences.Copy !req
55. - I'm gonna go make myself useful.
- Okay.Copy !req
56. - Last three.
- We got the beds?Copy !req
57. Suture Room.Copy !req
58. - I'm Dr. Greene. What's your name?
- Ty.Copy !req
59. - Are these your brothers and sisters?
- Some.Copy !req
60. - Who are the others?
- I don't know. Cousins.Copy !req
61. - You know their names? A few?
- Some.Copy !req
62. Right. Some.Copy !req
63. - Lydia, why don't you find Ty a bed.
- Come on, Ty.Copy !req
64. - Where's his shoes?
- Couldn't find them.Copy !req
65. Looked over the whole place.
There were only clothes for half the kids.Copy !req
66. Rubadoux. Would you excuse us
for a moment, Mr. Rubadoux?Copy !req
67. - Sure.
- Thank you.Copy !req
68. - Dr. Benton?
- Post-op, day nine.Copy !req
69. Patient presented with
type A aortic dissection...Copy !req
70. repaired with
clamp-and-run procedure.Copy !req
71. Patient's surgical course
was unremarkable.Copy !req
72. There's evidence of partial
paraplegia of the lower extremities.Copy !req
73. - And this morning?
- Echo shows ejection of 15 percent.Copy !req
74. BUN's 45. Creatinine, 2.
BP's 180/110.Copy !req
75. - Suggesting what?
- Heart failure, renal insufficiency.Copy !req
76. None of this attributable to our
lifesaving, aortic-aneurysm surgery.Copy !req
77. I'm worried about her paraplegia.Copy !req
78. It's too soon to say if it's not temporary.
Course of action?Copy !req
79. Increase cardiac output so we can
send her to a long-term care facility.Copy !req
80. Get her off our service. Exactly. How?Copy !req
81. Given her condition,
I'd suggest dobutamine IV.Copy !req
82. They wouldn't accept her
in a nursing home with an IV.Copy !req
83. Anybody else? Mr. Carter, a thought?Copy !req
84. On dobutamine,
she'll be better for a few days...Copy !req
85. but she'll decompensate and come
back here. Maybe an ACE inhibitor?Copy !req
86. - We could do that.
- Worsens her renal problem.Copy !req
87. - Carter?
- Nitrates.Copy !req
88. Decreases her preload.Copy !req
89. - Digoxin?
- Kidneys can't clear it.Copy !req
90. - Diuretics?
- Decreases her cardiac output.Copy !req
91. - Quite the conundrum.
- There's a solution.Copy !req
92. A pinch of this, a touch of that.
We have to use our clinical judgment.Copy !req
93. - How many are you carrying?
- Five, but I can handle another one.Copy !req
94. Show us what you can do without
resorting to Dr. Benton's dobutamine.Copy !req
95. Amaze us. Impress us.
Work miracles.Copy !req
96. Bad case of ringworm...
Well, with kerion...Copy !req
97. Let's get him on oral griseofulvin.
Open up.Copy !req
98. - Ty, you had enough to eat?
- Yeah.Copy !req
99. - Yeah. Like what?
- We eat stuff.Copy !req
100. - Fruits? Vegetables? Meat?
- Sometimes.Copy !req
101. What about the babies?
They get formula?Copy !req
102. Mom gives me the stamps when
she don't need them, and I get us stuff.Copy !req
103. Milk for the babies, bologna, bread.Copy !req
104. - You do the shopping?
- I'm good at it.Copy !req
105. Trey okay?Copy !req
106. - Is he one of your brothers?
- I look after him. He's sick.Copy !req
107. - How sick?
- Cerebral palsy.Copy !req
108. - Your brother has cerebral palsy?
- He's in Trauma 1. Doug's checking him.Copy !req
109. CBC, Chem-20, protein studies,
transferrin, iron and UA.Copy !req
110. Let's call a dental school and get some
students to take a look at the kids.Copy !req
111. And I'm gonna go see
how your brother Trey's doing, okay?Copy !req
112. - Where's Doug?
- Trauma 1.Copy !req
113. - How's she doing?
- Anemia, neutropenic, thrush...Copy !req
114. chronic otitis media and pediculosis.Copy !req
115. - Lice?
- You bet you. And if she's got them...Copy !req
116. They've all got them. Grab a basin,
RID and start shampooing.Copy !req
117. - All of them?
- It's great to be the new kid, isn't it?Copy !req
118. - Susan, weren't you off at 7?
- Yeah. Jeanie too.Copy !req
119. I've got a performance review
this afternoon. I'll stick around.Copy !req
120. Come on, lice patrol.Copy !req
121. - Isn't that a nurse's job?
- No, not today, it isn't.Copy !req
122. Finish this one and go home.
We've got it.Copy !req
123. I signed them in.
I wanna make sure they're okay.Copy !req
124. Let me see that.Copy !req
125. - Is this the kid with CP?
- Yeah.Copy !req
126. Five years old, weighs 28 pounds.Copy !req
127. Lethargic. Slight abdominal edema.
Kid's starving to death. Take a look.Copy !req
128. Look at that.Copy !req
129. - Cigarette burn?
- Yeah. Welts too.Copy !req
130. You're gonna have to bring him in.Copy !req
131. Who paged me down from rounds?Copy !req
132. - If I got shot, I'd come to the hospital.
- This better be important.Copy !req
133. Look, lady, I'm not talking to him.
I'm a clerk, not a priest.Copy !req
134. Call 911 or get on the damn bus.Copy !req
135. - The page?
- How should I know? Ask around.Copy !req
136. Dr. Benton?
Al Boulet, Jeanie's husband.Copy !req
137. - Oh, yeah. How are you doing?
- Been better. Have you seen her?Copy !req
138. - No. Is she working?
- She's meeting me for breakfast.Copy !req
139. Do me a favor. If you see her,
tell her I'm looking for her, okay?Copy !req
140. Find out who paged me and tell them
to be here the next time I come.Copy !req
141. - What was that all about?
- Dr. Personality? Who knows?Copy !req
142. Anybody seen a DCFS around here?Copy !req
143. Mark Greene? Dr. Mark Greene?Copy !req
144. - You Child Services?
- Sorry, no.Copy !req
145. Process server. Sign here, please.Copy !req
146. - What for?
- Summons. Third line, please.Copy !req
147. - Have a nice day.
- Right.Copy !req
148. - Patient?
- Hope not.Copy !req
149. - Jennifer's suing me for divorce.
- Oh, no.Copy !req
150. - You Dr. Greene?
- Not if you want me to sign anything.Copy !req
151. - What?
- I'm Mark Greene.Copy !req
152. Pete Tuteur. DCFS.Copy !req
153. I understand you've got
some kids for us.Copy !req
154. A little more water.Copy !req
155. - Okay.
- That wasn't so bad, was it?Copy !req
156. - Got another one for you.
- Alrighty.Copy !req
157. Hi, there, sweet pea.
I'm Jeanie, do you have a name?Copy !req
158. That one doesn't talk.Copy !req
159. Okay, we're gonna shampoo your hair
and make it look all beautiful.Copy !req
160. Is that too hot?Copy !req
161. Is that too cold?Copy !req
162. Must be just right, then.Copy !req
163. - How many more?
- You've done eight?Copy !req
164. Nine, I think. What's that, sweetie?
Did you say something?Copy !req
165. I didn't hear what you said.
I was talking to my friends.Copy !req
166. Will you be my mommy?Copy !req
167. - Where's the husband?
- Cafeteria.Copy !req
168. - Renal or Cardiology been up yet?
- Yeah.Copy !req
169. - And?
- Renal wants to use hydralazine.Copy !req
170. Cardiology wants an ACE inhibitor.Copy !req
171. The Renal/Cardiology push-and-pull.
And Pulmonary?Copy !req
172. - They sent an incentive spirometer.
- That should solve all her problems.Copy !req
173. - Partial paraplegia?
- Still present.Copy !req
174. - You know your beeper's going off.
- I'm not deaf, Carter.Copy !req
175. All right. Well, hurry up.
Do something. Time's wasting.Copy !req
176. Forty milligrams IV push of Lasix, please.Copy !req
177. - Won't that volume deplete her?
- Just do it, please.Copy !req
178. Sorry, but...Copy !req
179. Three girls aren't supposed to
be living with the mother.Copy !req
180. Grandmother's got the custody.
God knows where she is.Copy !req
181. - Why were they all in one apartment?
- Twenty-two AFDC payments.Copy !req
182. Uncle's on disability.
The rent's maybe 300.Copy !req
183. Hell, they're netting 4 grand
a month for crack.Copy !req
184. Your tax dollars at work.Copy !req
185. Sounds like a press release
for welfare reform.Copy !req
186. That's all we need.Copy !req
187. Less money trickling down to keep
these kids from starving to death.Copy !req
188. When the kids are cleaned up,
I'll take them to Columbus/Maryville.Copy !req
189. They're malnourished, dehydrated,
electrolytes are screwed up...Copy !req
190. and they've got infections.
They'll leave when they're okay.Copy !req
191. Fine by me. We haven't
got anywhere to put them.Copy !req
192. - Seen Benton? I keep paging him.
- He's around.Copy !req
193. Ever get the feeling
the system isn't working?Copy !req
194. You're just figuring that one out?Copy !req
195. One boy has an inguinal mass.
He needs a surgical consult.Copy !req
196. - Reducible?
- Yeah, but it's there when he's crying.Copy !req
197. He's crying a lot. None of the kids
have ever seen doctors.Copy !req
198. - She had me served at work.
- Jennifer?Copy !req
199. I'd hoped we were gonna be able
to handle this amicably.Copy !req
200. - Guess this blows that one to hell.
- I'm gonna need a good attorney.Copy !req
201. Come over tonight. We'll order a pizza.Copy !req
202. You can watch me give Susie a bath,
and you could change a diaper.Copy !req
203. - I'm gonna go and wallow in self-pity.
- Anytime.Copy !req
204. - They find homes for the kids yet?
- Not yet.Copy !req
205. DCFS took some to the emergency
shelter, and we admitted three.Copy !req
206. - Want anything from the machines?
- Peanut butter crackers.Copy !req
207. Got it.Copy !req
208. - He's cute.
- Raul?Copy !req
209. - You're not his type.
- Really?Copy !req
210. You ever dress up like a lumberjack?
Longshoreman? Greco-Roman wrestler?Copy !req
211. - He's gay.
- Really?Copy !req
212. - Who's paging me?
- Not a clue.Copy !req
213. - Isn't that your job?
- No. Check the board and the charts.Copy !req
214. You should've seen this place.
Twenty kids and no refrigerator.Copy !req
215. No heat. Roaches everywhere.Copy !req
216. Only food was a can of SpaghettiOs.Copy !req
217. You gotta wonder about the mothers.
And what about the families?Copy !req
218. The neighbors... Can't these people
take care of their own kids?Copy !req
219. - What's that supposed to mean?
- What does what mean?Copy !req
220. "These people."Copy !req
221. - Come on.
- Partner, catch.Copy !req
222. Why can't these black folks
take care of their kids, right?Copy !req
223. - He didn't say that.
- That's what he meant.Copy !req
224. - Then I would have said it.
- What's going on?Copy !req
225. - David Duke's enlightening us.
- Oh, Malik, that's not fair.Copy !req
226. Think those kids deserve
to live like that?Copy !req
227. - What about personal responsibility?
- You think it's equal?Copy !req
228. - He's the surgeon. I'm the fireman.
- You would find it that simple.Copy !req
229. - The system works the same for all.
- It works pretty well for you.Copy !req
230. You don't know a damn thing
about what works for me.Copy !req
231. Peter, I've been paging you. Trauma 2.Copy !req
232. - What was that all about?
- You, man, that's what.Copy !req
233. - Loretta?
- It's her kid. Sore throat, temp's 101.Copy !req
234. - Where's Ross?
- Tied up with those kids.Copy !req
235. - How you been?
- Good.Copy !req
236. This is Annie, and this is my Jimmy.
His throat's sore.Copy !req
237. Well, let me take a look there, Jimmy.Copy !req
238. Jimmy, open up your mouth.
Stick out your tongue. That's good.Copy !req
239. Does that hurt when you swallow?
That hurts too, huh?Copy !req
240. - Glands are swollen.
- Still has his tonsils.Copy !req
241. You've got a little strep throat, Jimmy,
but we can clear that right up.Copy !req
242. - Is your throat sore, Annie?
- I'm okay.Copy !req
243. - Okay. And, Mom, how are you doing?
- I'm doing really good.Copy !req
244. I've still got the office job,
and we moved into a house.Copy !req
245. - The PID hasn't flared up?
- I get a little bleeding sometimes.Copy !req
246. Yeah? Lydia, why don't you take
the kids and I can talk to Mom.Copy !req
247. - It's no big deal.
- Come on, we've got some videos.Copy !req
248. - You've seen The Lion King?
- No.Copy !req
249. - Yes, you have.
- Go on. I'll be out in a minute.Copy !req
250. So how long have you been bleeding?Copy !req
251. What do we have?Copy !req
252. Seven-year-old male. Small, reducible,
right-sided inguinal mass.Copy !req
253. It's all right. This is Peter. He's a doctor.
He's gonna help you feel better, okay?Copy !req
254. - You paged me this morning.
- Where were you?Copy !req
255. - On rounds, which you pulled me off.
- I thought you were assigned to the ER.Copy !req
256. No, I'm assigned to the surgical service.
I cover the ER.Copy !req
257. And when I'm paged,
someone should be waiting for me.Copy !req
258. We've been a little busy today.Copy !req
259. Almost over, Michael. Almost.Copy !req
260. - He doesn't have a hernia.
- Check him again.Copy !req
261. You're wasting my time.Copy !req
262. - Peter.
- It's not there!Copy !req
263. Check him again.Copy !req
264. Still reducible.
I'll put him on a surgical schedule.Copy !req
265. I'll operate tomorrow.
Draw pre-op labs.Copy !req
266. Peter, what is the matter with you?Copy !req
267. If you're angry with me,
take it out on me, not on some boy.Copy !req
268. Give us a minute.Copy !req
269. That little boy is scared to death.Copy !req
270. You're poking around
like you're stuffing a turkey.Copy !req
271. Telling him he needs surgery.
He's never seen a doctor.Copy !req
272. - Is that it?
- No, that's not it.Copy !req
273. If it's about you and me, get over it.
If it's something else, get over that.Copy !req
274. I'm sick of it.
Don't you turn your back on me.Copy !req
275. That boy needs compassion. If you can't
find that in yourself, get out of medicine.Copy !req
276. Sixty-nine-year-old male. History of MI.
Experienced sudden onset of chest pain.Copy !req
277. Took a Nitrotab, called his son.
Paramedics found him unconscious.Copy !req
278. One, two, three.Copy !req
279. They tubed him.
He's hypotensive, 40 palp.Copy !req
280. O-2, 100 percent.
Let's get a 12-lead.Copy !req
281. Pulse ox, chest x-ray, CBC, Chem-7,
cardiac enzymes and grab a blood gas.Copy !req
282. - You the son?
- Yes.Copy !req
283. - He's had a heart attack before?
- Two years ago.Copy !req
284. He's hypoxic. Rales bilaterally.Copy !req
285. - Jugular venous distention.
- Haleh, let's get an echo.Copy !req
286. - Dopamine?
- 200 mics per minute. Call Cardiology.Copy !req
287. - Hi, I'm Dr. Greene, and you're Mr...?
- Howard Mills.Copy !req
288. Your father's in heart failure. It's too
early to know exactly what's happened.Copy !req
289. We're running tests,
and you'll know as soon as we do.Copy !req
290. - Can I stay?
- Get some coffee and let us do our work.Copy !req
291. When your father's stabilized,
I'll come get you, okay?Copy !req
292. Okay.Copy !req
293. - Bobbi, sorry I'm late.
- No problem.Copy !req
294. How about a cup of coffee?
It's only a week old.Copy !req
295. No, I'm already on my 10th cup.
I was on all night.Copy !req
296. - How's it been going?
- Okay.Copy !req
297. I'm a little concerned
about your first student evaluation.Copy !req
298. "Pleasant, helpful, lacks assertiveness,
needs to take control to be useful.Copy !req
299. Good skills, but may not be suited
to work in the Emergency Department."Copy !req
300. Is that from Peter Benton?Copy !req
301. - Who?
- Dr. Peter Benton, surgical Resident.Copy !req
302. No. Residents don't evaluate
physician-assistant students.Copy !req
303. This is from Carol Hathaway, RN, M.S.Copy !req
304. I didn't realize the nurses evaluated us.Copy !req
305. Look, I realize that putting P.A.s into
settings where nurses had a monopoly...Copy !req
306. can cause problems.Copy !req
307. But liked or disliked,
we have to do a better job.Copy !req
308. So I need to know, can you cut it?Copy !req
309. If you can't, I can't afford
to have you fail down there.Copy !req
310. I can cut it.Copy !req
311. - Are you sure?
- Yeah, I'm sure.Copy !req
312. - Jennifer filed for divorce?
- Word travels fast.Copy !req
313. I knew you were breaking up,
but I thought you'd hold it together.Copy !req
314. - With Rachel in the pic—
- Trying to make me feel worse?Copy !req
315. No, but if you can't make
a marriage work, how am I gonna?Copy !req
316. - Why are you still here?
- Home away from home.Copy !req
317. - Cardiology's here on your MI.
- I want you out of here by 5.Copy !req
318. - Can someone help me, please?
- Randi?Copy !req
319. - Can I help you?
- I'm looking for my grandchildren.Copy !req
320. They were living down on Calumet.
Police said they brought them here.Copy !req
321. The name's Proulx. The littlest one,
Trey, has got cerebral palsy.Copy !req
322. - What are her I's and O's?
- 150cc's in, 800cc's out.Copy !req
323. - Pressure?
- Down. 80/40.Copy !req
324. - Down? Why didn't you call me?
- You didn't put it in your orders.Copy !req
325. Give her 300cc's of bolus
and monitor her pressure, please.Copy !req
326. - How's our girl doing, doc?
- Not much improvement yet.Copy !req
327. Ruby, please. Call me Ruby.Copy !req
328. - Coffee? Come on, I bought an extra.
- Oh, no, thanks.Copy !req
329. Come on, a cup of hot Joe? You look like
you could stand a little pick-me-up.Copy !req
330. Now, that's good coffee.Copy !req
331. Should've seen her 50 years ago.Copy !req
332. Backstage at the Majestic.Copy !req
333. Great gams. Hell of a looker.Copy !req
334. Pal Joey,
Way to the Forum, How to Succeed.Copy !req
335. Broadway, off-Broadway, you name it.Copy !req
336. I did a couple of musicals.Copy !req
337. Back in school. Pippin. Fantastiks too.Copy !req
338. Yeah, good shows.Copy !req
339. - Bet you were wonderful.
- Not really.Copy !req
340. - Bet you were great.
- Mr. Carter.Copy !req
341. Mostly, I embarrassed myself.Copy !req
342. Doctor?Copy !req
343. I'm not ready to let her go yet.Copy !req
344. Carol?Copy !req
345. - Can I talk to you?
- Sure, what's up?Copy !req
346. I just had my student evaluation
with my program coordinator.Copy !req
347. You've been unhappy with my work.Copy !req
348. I think you're competent, but timid.
You need to be more aggressive.Copy !req
349. - I've been trying.
- The ER isn't for everybody.Copy !req
350. Don't feel bad if you're not
comfortable down here.Copy !req
351. Have I done something to offend you
in some way?Copy !req
352. This isn't personal. It's just...Copy !req
353. You wait for people
to tell you what to do.Copy !req
354. Like this conversation.
I tell you to be more aggressive...Copy !req
355. and you want to discuss it.
I can't hold people's hands. Just do it.Copy !req
356. - So it's not a P.A. Thing?
- No, it's not.Copy !req
357. But I've got nurses
who've been here for 20 years.Copy !req
358. P.A.s go to school for a couple
of months and tell us what to do?Copy !req
359. Two years of training.
Two years of internship.Copy !req
360. I went nights while working full-time,
so my training took four years.Copy !req
361. If you wanna stay in the ER,
stop looking for validation...Copy !req
362. and start doing the job.Copy !req
363. You do that, and we'll get along fine.Copy !req
364. Make sure that everyone's ready for
the dog-and-pony show for the trustees.Copy !req
365. I don't want a repeat
of last fall's disaster.Copy !req
366. - You were looking for me?
- Yes, I was.Copy !req
367. - Have you met my assistant?
- No.Copy !req
368. - Hi.
- Hello.Copy !req
369. - Is Mrs. Rubadoux's paralysis subsiding?
- No.Copy !req
370. Don't be disappointed.
It was an emergency situation.Copy !req
371. What was our other choice? Death?
Besides, the woman was a bad risk.Copy !req
372. Pulmonary disease. Hypertension.Copy !req
373. I'm concerned it's my fault.
I performed the procedure.Copy !req
374. Oh, please. Don't be so melodramatic.Copy !req
375. Your technique was perfect.
We have to exclude her from the study.Copy !req
376. She was never an appropriate candidate.Copy !req
377. It's time we made Dr. Benton
an official member of the team.Copy !req
378. Don't you think, Claire?Copy !req
379. Research associate. Yes.Copy !req
380. Claire will make sure
you have everything you need.Copy !req
381. - I don't know what to say.
- "Thank you" will suffice.Copy !req
382. Yeah. Yeah.Copy !req
383. - Mr. Mills?
- Howard. Please.Copy !req
384. Howard.Copy !req
385. We suspect that your father
had a right-ventricle infarction.Copy !req
386. - Another heart attack?
- Yes.Copy !req
387. We're sending him
to the Cardiac Intensive Care Unit.Copy !req
388. They'll place a Swan-Ganz catheter to
monitor pressure in his heart and lungs.Copy !req
389. They'll do an echo
to confirm the diagnosis.Copy !req
390. Doesn't look good.Copy !req
391. I think he wants to go.Copy !req
392. My mother died last year.
Breast cancer.Copy !req
393. They were married 50 years.Copy !req
394. This is you.Copy !req
395. Coffee's in the lounge,
bathroom's past the elevators.Copy !req
396. Research staff meets
every Tuesday, 8:15 sharp.Copy !req
397. Fill this out and give it back to me
as soon as possible.Copy !req
398. - You have a parking space?
- I park in the Resident's lot.Copy !req
399. Not anymore, you don't.Copy !req
400. - AW4?
- All research associates receive stipends.Copy !req
401. And your first referral payment.Copy !req
402. I'm Carl's secretary, not yours.Copy !req
403. You want your phone answered,
get a machine.Copy !req
404. Anything else,
I'm at the end of the hall.Copy !req
405. - Trey, how are you doing?
- He's doing better now.Copy !req
406. Yeah, he is, isn't he?Copy !req
407. Mrs. Proulx, may I speak with you?Copy !req
408. - I'll take the little girl.
- Oh, that's okay.Copy !req
409. Ty, can you look after
your sister for Nana?Copy !req
410. Trey's well enough to be released
to the DCFS. This is Mr. Tuteur.Copy !req
411. We'll be taking him over
to Columbus/Maryville.Copy !req
412. - It's an emergency shelter. You know it?
- Yes, I've been there before.Copy !req
413. - So you won't let me keep them?
- Department's been granted custody.Copy !req
414. - There'll be a court hearing next week.
- They were with me till a month ago.Copy !req
415. Then their mother came and got them.
I told her they should be with me.Copy !req
416. They all have their own rooms and their
own beds at my place. They like it.Copy !req
417. Why did you keep them there? You have
custody, they're your responsibility.Copy !req
418. She said she was doing better, and
children should be with their mother.Copy !req
419. She wasn't always like this.
She loved those babies a lot.Copy !req
420. But, you know, it's the drugs.Copy !req
421. Are these jackets for them?Copy !req
422. Okay, children. Let's put
these coats on, now.Copy !req
423. Ty, you help your brother on
with his coat.Copy !req
424. Come on.Copy !req
425. - Be a good girl, you hear? Okay?
- Okay.Copy !req
426. How are we doing? All ready?
Come here, sweetheart.Copy !req
427. - You take care of little Trey, Ty.
- Yes, ma'am.Copy !req
428. - I'm scared.
- Come on, sweetheart. Come with me.Copy !req
429. There we go. I got you, sweetie.
Okay, we ready?Copy !req
430. - Let's go.
- When can I go home?Copy !req
431. Ty. Now, you take good care
of little Trey, you hear?Copy !req
432. Yes, ma'am.Copy !req
433. 51-year-old woman.
Abdominal pain and cramps.Copy !req
434. Thinks she ate too much.
Gotta weigh 300 pounds.Copy !req
435. Is this day ever gonna end?Copy !req
436. Mrs. Saunders? Did you have
a little too much holiday cheer?Copy !req
437. She's been in pain for days.
I had to drag her in.Copy !req
438. - When did the cramps start?
- New Year's Day, after dinner.Copy !req
439. - Any pain here? Vomiting?
- I've been nauseous.Copy !req
440. - Diarrhea?
- No.Copy !req
441. - What did you have to eat?
- Usual holiday stuff.Copy !req
442. Potato salad, ham, cheesecake,
pumpkin pie. Some sushi.Copy !req
443. Get a stool culture,
rule out salmonella, and a rectal.Copy !req
444. Chuny will help you.Copy !req
445. I doubt if it's appendicitis.Copy !req
446. It's probably viral gastroenteritis
or a touch of food poisoning.Copy !req
447. Get a surgical consult. CBC,
Chem-7, UA, abdominal series.Copy !req
448. Set up for a pelvic and find Benton.Copy !req
449. 7-3-5-2-9-0-1.Copy !req
450. Date of admission: 12-26-95.
Dictating...Copy !req
451. - Can I interrupt you for a minute?
- You already have.Copy !req
452. Mrs. Rubadoux isn't improving.
I've tried Lasix, nitrates, pressors.Copy !req
453. She seesaws back and forth.Copy !req
454. She's volume-depleted,
pressure's dropping...Copy !req
455. or pressure's up
and her pulse ox is dropping.Copy !req
456. - Put her on dobutamine?
- You said not to.Copy !req
457. Do you always follow instructions even
when you've surmised they're incorrect?Copy !req
458. She's a sinking ship,
and you're rearranging her deck chairs.Copy !req
459. You're probably right.Copy !req
460. Once we've bundled her off, she'll
decompensate and end up right here.Copy !req
461. But she won't be on our service,
and she won't be your problem.Copy !req
462. Let's see...Copy !req
463. Discharge summary on David
Piscuscus. Date of admission—Copy !req
464. Did I make her worse today?Copy !req
465. She's dying, Mr. Carter.Copy !req
466. Nothing you did is going to change that.Copy !req
467. Date of admission: 12-26-95.
Date of discharge: 01-08-96.Copy !req
468. Patient presented with claudication of
the right lower extremity...Copy !req
469. Marcus Miller? Bill Evans?
Wynton Marsalis? You gotta know him.Copy !req
470. The Jay Leno show?Copy !req
471. Hold up a second, will you?Copy !req
472. - Excuse me. It's Malik, right?
- Yeah, that's right.Copy !req
473. About earlier, I hope you didn't
misunderstand what I was trying to say.Copy !req
474. No, I didn't misunderstand.Copy !req
475. I've got 10 minutes.Copy !req
476. I think we're all doing okay,
and nobody owes anybody anything.Copy !req
477. Let's get on with our lives
and do what we can.Copy !req
478. - Sure, whatever, man.
- Shep, let's go.Copy !req
479. Yeah, hold up.Copy !req
480. - I was trying to be nice.
- What do you want me to say?Copy !req
481. That I don't think you're a bigot? Fine.
I don't think you're a bigot.Copy !req
482. Shep. God, please.Copy !req
483. - I'm not a racist. You think I'm a racist?
- Just drink your coffee.Copy !req
484. I ride with Raul 60 hours a week.
My sister dated a black guy two years.Copy !req
485. Raul and I go to the Y
twice a week to play ball.Copy !req
486. I'm the only white guy there.
The only one!Copy !req
487. I'm not a racist!Copy !req
488. I'm not.Copy !req
489. - What do we have?
- 51-year-old with abdominal pain.Copy !req
490. Mark figures gastroenteritis,
wants to rule out appendicitis.Copy !req
491. The pain's getting worse.Copy !req
492. - Does it hurt here? How about here?
- No.Copy !req
493. - Okay.
- Oh, God!Copy !req
494. - What's happening?
- When did it get this severe?Copy !req
495. - I don't know. I just came back.
- There. Better.Copy !req
496. - Charts back?
- Chuny went to get them.Copy !req
497. It keeps coming in waves.Copy !req
498. - How often?
- About every minute.Copy !req
499. - Anybody do a pelvic exam?
- Not yet.Copy !req
500. - When was your last period?
- Year and a half. Oh, God!Copy !req
501. - Okay.
- Here it comes again!Copy !req
502. Okay, just put your legs up.Copy !req
503. - Her leg. Grab her leg.
- Forty-five seconds apart.Copy !req
504. She's fully dilated. She's crowning.Copy !req
505. Get OB-G YN and find Greene.
Don't push, okay.Copy !req
506. - What's going on?
- Get Mark. B.O.A.Copy !req
507. Dr. Greene!Copy !req
508. - What's happening?
- You're not overeating. You're in labor.Copy !req
509. - She's having a baby?
- Where's everybody? Let's move!Copy !req
510. - She's gone through menopause!
- Carla, call Daddy.Copy !req
511. - Oh, God! Here it comes again!
- Don't push! Don't push!Copy !req
512. - I haven't delivered since med school.
- Just guide the head.Copy !req
513. Okay. First time for everything, huh?Copy !req
514. All right, Mrs. Saunders. Good girl.
Breathe. Blow through your mouth.Copy !req
515. Okay, good. Good.Copy !req
516. She's doing better. Guess I'll have
to start watching myself...Copy !req
517. around those nurses.Copy !req
518. We put her on dobutamine.Copy !req
519. - Hi, how are you feeling?
- Very tired.Copy !req
520. Dr. Carter is gonna have you
back again dancing in no time.Copy !req
521. Well, for now why don't you try
to get some more rest.Copy !req
522. You too, Ruby.
Go home and get some sleep.Copy !req
523. I promised Helen I'd stay
until she could come home with me.Copy !req
524. Ruby, I think you should consider
the possibility...Copy !req
525. that your wife
may need long-term care.Copy !req
526. You don't know my Helen.Copy !req
527. She's a real trouper.Copy !req
528. A real trouper.Copy !req
529. Right, sweetheart?Copy !req
530. This is my beeper number.Copy !req
531. If you need anything tonight
or whenever, just give me a call.Copy !req
532. You're the only person around here
who gives a damn.Copy !req
533. Thank you. For both of us.Copy !req
534. - Mark, you missed all the fun.
- That fat lady had twins.Copy !req
535. - My abdominal pain?
- Curtain Area 3.Copy !req
536. Should've seen Benton's face.Copy !req
537. - Benton?
- That's why I was paging you.Copy !req
538. We moved them to Postpartum.
Mom's fine, babies too. Boy and girl.Copy !req
539. - Loretta Sweet. Biopsy came back.
- Really?Copy !req
540. - Damn.
- Stage 1B carcinoma.Copy !req
541. Missed those annual Pap smears.Copy !req
542. - Is she still around?
- Left with her kids hours ago.Copy !req
543. - Call her, get her back.
- Already tried. Number's disconnected.Copy !req
544. - Want me to send out a social worker?
- No.Copy !req
545. - You know her address?
- 1604 North Sedgewick.Copy !req
546. Out by Cabrini-Green.Copy !req
547. - Cervical cancer. That's tough.
- Couple of kids.Copy !req
548. - You want a ride out there?
- No, I drove in today. Thanks.Copy !req
549. Okay, '96 is gonna be
a hell of a year, huh?Copy !req
550. Thanks.Copy !req
551. - I got you some pecan pie. Looks good.
- I don't like pecan pie.Copy !req
552. - Since when?
- Since never.Copy !req
553. - Thanks for meeting me.
- You said it was important.Copy !req
554. - How's work going?
- Fine.Copy !req
555. - And your folks, they're fine?
- They're fine too.Copy !req
556. Al, I've been on my feet
since 4:00 yesterday afternoon.Copy !req
557. So if it's the same with you,
can we just...?Copy !req
558. Let's just do this some other time.Copy !req
559. Maybe we should we give it another try.Copy !req
560. Maybe we should give us another try.Copy !req
561. I'll have kids if you really want them.Copy !req
562. I've been thinking about it,
and kids would be okay.Copy !req
563. Great.Copy !req
564. - Isn't that what you wanted?
- Yeah, it was. I gotta go.Copy !req
565. I'm sorry.Copy !req
566. I'm ready now.Copy !req
567. Kids. Being home.Copy !req
568. No more playing around. No more lies.Copy !req
569. I gotta go.Copy !req
570. Michael, right?Copy !req
571. Hey, I'm Dr. Benton.
We met earlier this morning, remember?Copy !req
572. Michael, you're gonna have an operation
tomorrow for a hernia.Copy !req
573. - You know what a hernia is?
- No.Copy !req
574. It's when you've got a balloon
poking out in your groin.Copy !req
575. - A balloon?
- Not a real balloon.Copy !req
576. The part of your insides
that looks like a balloon.Copy !req
577. If we don't fix it, you can get sick.Copy !req
578. - Will it hurt?
- You'll be asleep.Copy !req
579. But I'm scared.Copy !req
580. That's all right.
It's okay to be scared.Copy !req
581. You'll be fine.
I'm doing the operation.Copy !req
582. You will?Copy !req
583. It's no big deal.
A lot of kids have had it done.Copy !req
584. Will you stay with me for a while?Copy !req
585. Yeah. Sure.Copy !req
586. - Did I wake you up?
- Oh, I was on last night.Copy !req
587. - I'm sorry. I should've called.
- No, that's okay.Copy !req
588. Susie went down early,
so I sacked out on the couch.Copy !req
589. I brought pizza and beer.Copy !req
590. I should've called.
See you at work tomorrow.Copy !req
591. - What kind of pizza?
- Meat. Lots of meat.Copy !req
592. - Pepperoni?
- Probably some in there.Copy !req
593. - You have any diapers left to change?
- Always.Copy !req
594. - Hello?
- This is Carter. Somebody beeped me.Copy !req
595. Carter, this is Ruby. Mr. Rubadoux?Copy !req
596. Hi, Ruby. How's she doing?Copy !req
597. It's so late. I was worrying about
calling you. Is it okay?Copy !req
598. - No. I told you you could call.
- She's in trouble.Copy !req
599. - She's what?
- She's having trouble breathing.Copy !req
600. That's normal.Copy !req
601. Yeah, that's gonna happen.Copy !req
602. Yeah, I'll talk to the nurse.Copy !req
603. Hi, this is Carter. What's her pressure?Copy !req