1. News time, 4:31.
I'm Gail Reissmeyer...Copy !req
2. bringing you traffic
and weather on the 1.Copy !req
3. Rain all over Chicagoland today.
The rain continues to come down...Copy !req
4. causing flooding on I-94
and other expressways.Copy !req
5. The WMAQ weather calls for
the rain to continue into tonight...Copy !req
6. and it stays in our forecast
through tomorrow.Copy !req
7. Bring an umbrella, raincoat
and life preserver—Copy !req
8. Son of a bitch.Copy !req
9. Son of a bitch!Copy !req
10. Please leave a message at the tone.Copy !req
11. Mark? Mark, if you're there,
it's Kerry Weaver. Could you pick up?Copy !req
12. We got a little problem.
Neal Hansen's on tonight...Copy !req
13. but his mother-in-law died, so...Copy !req
14. The answer is no, Kerry.
I am not coming in.Copy !req
15. I don't care if his
mother-in-law died, okay?Copy !req
16. I've been on three nights in a row.Copy !req
17. Tell Morgenstern that I can't
and give the shift to Doug Ross.Copy !req
18. He could use the money.Copy !req
19. What do you mean, whiplash?Copy !req
20. No evidence of fracture or dislocation.
Vertebral bodies are in good alignment.Copy !req
21. There is, however,
reversal of cervical lordosis...Copy !req
22. suggesting the possibility of
acute cervical ligamentous injury.Copy !req
23. My headache tripled
during that dissertation.Copy !req
24. Does the name Evelyn Wood
mean anything to you?Copy !req
25. You know, Doug, I like you in that collar.
It's a good look.Copy !req
26. Bold, yet spiritual.Copy !req
27. No, I'm stopped dead
at the stoplight...Copy !req
28. and this Pakistani cabdriver
plows into me.Copy !req
29. I get out. He doesn't speak
a word of English.Copy !req
30. I look at his photo ID and it's some
sandy-haired guy named Kroopf.Copy !req
31. Kroopf?
Isn't that kind of a German name?Copy !req
32. - Can I have your shoes?
- What?Copy !req
33. Can I have your shoes?
Mine are sopping wet.Copy !req
34. Sure, Mark, absolutely. You know,
I'll just walk home barefoot in the rain.Copy !req
35. - Sorry. I would've taken that shift—
- No problem at all, Doug.Copy !req
36. I've only worked graveyard
the last three nights.Copy !req
37. Got off at 8:00 this morning...Copy !req
38. drove to Milwaukee
to spend the day with Rachel...Copy !req
39. only to have Jennifer tell me
that she got the dates mixed up.Copy !req
40. See, Rachel, it turns out, is on some
Brownie troop camping trip.Copy !req
41. So I drove back,
three and a half hours this time...Copy !req
42. because of the heavy rain
and flooding on I-94.Copy !req
43. And here I am, refreshed
and full of enthusiasm for my work.Copy !req
44. Are you on tonight?Copy !req
45. Go with God.Copy !req
46. - Why are these patients in the hallway?
- No beds.Copy !req
47. - You're on tonight, right?
- No, dinner with my lawyer at 7:00.Copy !req
48. Dr. Lewis, a Peter Kreidman called.
Can't make dinner till 7:30.Copy !req
49. - Oh, 7:30.
- Can you change that to tomorrow night?Copy !req
50. Hansen's out,
Doug has got whiplash...Copy !req
51. Benton's in some marathon surgery
and Kerry and I will be short-handed.Copy !req
52. Mark, I'm sorry, I can't.Copy !req
53. Chloe's gonna try and fight
this adoption. I can't miss this.Copy !req
54. - Mark, I was afraid I'd miss you.
- You're leaving too?Copy !req
55. - I've been on 14 hours.
- I've been on the last three nights.Copy !req
56. I'd stay, but Morgenstern wants me
to present our QA...Copy !req
57. at the JCAH in the morning.Copy !req
58. Whoever handled it dropped the ball.
I'll be up all night pulling it together.Copy !req
59. - It's a real mess.
- Yeah, I was handling it.Copy !req
60. I'll walk you through it
once I get it straightened out.Copy !req
61. Shall we make rounds?Copy !req
62. Mr. PCP is sleeping it off.
Probably needs another six hours.Copy !req
63. Second-degree burns, both hands.
Checking pot roast, forgot hotpads.Copy !req
64. Gangbanger in a fistfight.Copy !req
65. - Fistfight? That's quaint.
- Waiting on x-rays.Copy !req
66. 38 years old, AIDS,
hand and foot spasms.Copy !req
67. CMV retinitis, PCP pneumonia,
GI lymphoma, waiting on ICU.Copy !req
68. Rule-out MI.
Waiting on Cardiology consult.Copy !req
69. Calls himself Bobby Darin,
claims he got a shark bite...Copy !req
70. while in the pool at the Four
Seasons Hotel. Waiting on Psych.Copy !req
71. Ten-centimeter laceration sustained while
sliding into second. Needs sutures.Copy !req
72. Abdominal pain, probably food poisoning,
but Surgery's ruling out an appy.Copy !req
73. Severe shoulder pain and nosebleed.Copy !req
74. Platelet count, 15,000.
Waiting on Hematology.Copy !req
75. TPA patient on dopamine.
Pulmonary edema.Copy !req
76. Intubated on a nitro drip.
Waiting on ICU.Copy !req
77. Bicycle versus postal truck.
Multiple rib fractures...Copy !req
78. bilateral hemopneumothoraces.
Critical but stable.Copy !req
79. Let me guess. ICU?Copy !req
80. Anaphylactic shock...Copy !req
81. and septic shock.Copy !req
82. I think that's about it.Copy !req
83. How are things in Glocca Morra?Copy !req
84. Unbelievable. It's been
like this since the rain started.Copy !req
85. - Who else is on besides me?
- A few Residents, a Psych intern...Copy !req
86. and maybe Carter. Good night.Copy !req
87. LOL with burned hands
admitted to burn service...Copy !req
88. films on that gang kid were negative,
sent him home...Copy !req
89. and the rule-out appy
was ruled out and discharged.Copy !req
90. Excellent, Haleh,
you get three gold stars. Carter?Copy !req
91. I have sutured the leg lac in 4, knee lac
in 3, arm lac in 2 and head lac in 1.Copy !req
92. That's it? All right.
We have seven waiting for ICU.Copy !req
93. Make it eight. Bounce-back hip
replacement with DVT and PE.Copy !req
94. We have 33 in the ER
and 41 in the waiting room.Copy !req
95. Make that 42. Paramedics
pulling in with an altered LOC.Copy !req
96. Your mission,
should you choose to accept it...Copy !req
97. which you will,
because you have no choice...Copy !req
98. is to move these folks out
so we can move these folks in.Copy !req
99. I want quick turnover.
No big workups.Copy !req
100. No unnecessary labs, x-rays
or consults. And no comments.Copy !req
101. Carol, Carter,
let's go meet the incoming.Copy !req
102. Randi, I want a turkey sandwich
from the cafeteria...Copy !req
103. because Jerry isn't here yet.Copy !req
104. Sorry, I'm late. And I can't be
responsible for him, Dr. Greene.Copy !req
105. Let me out of here!Copy !req
106. - Hi, Chuny. You're late.
- I'm on at 8:00.Copy !req
107. It's 8:04.
What have we got?Copy !req
108. Omar Gandera, 15. Strolling down
by The Loop, drunk out of his mind.Copy !req
109. Vitals are stable. BP, 120/80.Copy !req
110. Fell on his knees.
He needs stitches.Copy !req
111. - Are you guys having a party?
- Don't start, Doris.Copy !req
112. - How much did you drink, Omar?
- Don't touch me! Get out of here!Copy !req
113. - Can I give Mrs. Layton more Demerol?
- How long has it been?Copy !req
114. - Three hours.
- All right, if you help with this kid.Copy !req
115. All right. On my count.
One, two, three.Copy !req
116. - Put me down!
- Buckle him up tight. Party on.Copy !req
117. - Let me out of here!
- Sinus tach at 110.Copy !req
118. - Carter, what do you want to do?
- BP's still 120/80.Copy !req
119. CBC, Chem-7,
blood alcohol, tox screen...Copy !req
120. ABG and saline. Wide open.Copy !req
121. - Carter, she said tie him tight.
- I did!Copy !req
122. - Labs are back on the kid with the fever.
- Any films?Copy !req
123. - Not yet.
- Go sit on Radiology...Copy !req
124. and don't bug me
until you've got everything.Copy !req
125. - Carter, get the labs going. I'll be back.
- Oh, yeah. We're having some fun now.Copy !req
126. There are non-displaced
oblique fractures...Copy !req
127. of the third and fourth
metatarsal shafts...Copy !req
128. with no significant
angulation or comminution.Copy !req
129. The foot's busted, okay?
Splint him and ship him out.Copy !req
130. - What are you doing?
- Gonna fix his feet.Copy !req
131. What did he do, stick them in a blender?
No more mixed drinks.Copy !req
132. Put him on the back burner.
We've got people who are a lot worse.Copy !req
133. - Could you take a look at my mother?
- In a minute.Copy !req
134. What a mess, huh?Copy !req
135. It's not helped by the fact
you were late.Copy !req
136. - Are you the doctor in charge?
- The one and only.Copy !req
137. My son has a horrible cut on his hand.Copy !req
138. - We'll get to him as soon as we can.
- I'll bring him in.Copy !req
139. Jerry, can you take her
to the waiting room?Copy !req
140. It's bleeding.
We've been waiting out there.Copy !req
141. - Come on, ma'am.
- Jerry?Copy !req
142. Don't let people sneak in.
Whoever's out there has been triaged.Copy !req
143. We'll see them as soon as we can.
No one gets in...Copy !req
144. - ... unless they're dying.
- Right.Copy !req
145. Malik?Copy !req
146. Mrs. Votey, you're having
weakness in your right arm?Copy !req
147. Yesterday and again today.Copy !req
148. Everything's sort of out of focus.Copy !req
149. - At one point she couldn't even speak.
- Scared my students half to death.Copy !req
150. - My mother teaches self-defense.
- To seniors.Copy !req
151. Squeeze.Copy !req
152. Maybe I could just wait here
for my regular doctor.Copy !req
153. - Dr. Randall. Jack Randall.
- I know him.Copy !req
154. Mrs. Votey, you might be experiencing
what we call TIAs...Copy !req
155. transient ischemic attacks.Copy !req
156. They can be a warning sign
of impending stroke.Copy !req
157. I'll call Dr. Randall...Copy !req
158. but in the meantime I'll admit you
upstairs where they can work you up.Copy !req
159. Start her on heparin, 800 an hour...Copy !req
160. call Randall and get her admitted
to Medicine.Copy !req
161. - You want a CT first?
- Let them do it. We need the room.Copy !req
162. I don't get it. He's still altered...Copy !req
163. - ... but his tox screen's negative.
- I have to pee.Copy !req
164. - Ethanol?
- None detected.Copy !req
165. - PH?
- 7.30.Copy !req
166. - Omar, what did you drink?
- I've got to pee.Copy !req
167. Omar?Copy !req
168. - I gotta pee.
- Go ahead and pee.Copy !req
169. There's a tube in your bladder.Copy !req
170. Paramedics five minutes out.
Drive-by shooting.Copy !req
171. - Who's on call for Trauma?
- Shall I call Benton?Copy !req
172. - No. Call Thoracic.
- Thoracic?Copy !req
173. You heard me. Call Morgenstern,
tell him we are closing the Trauma now.Copy !req
174. - Lytes?
- Not back yet.Copy !req
175. - What's wrong with the lab tonight?
- Same thing as us.Copy !req
176. There's just too many patients.Copy !req
177. Okay. Say he has a gap.Copy !req
178. Methanol, uremia, DKA.
Ethylene glycol?Copy !req
179. - You think he drank antifreeze?
- Well, gotta rule it out.Copy !req
180. Get a Wood's lamp.Copy !req
181. - It's really jammed in there.
- What?Copy !req
182. I said, it's really jammed in there!Copy !req
183. - Carter, what are you doing?
- Foreign body in the canal.Copy !req
184. Have him lie down.Copy !req
185. - Do you know what it is, sir?
- What?Copy !req
186. A bead.Copy !req
187. Carter, you having fun paying
your penance in the ER?Copy !req
188. I'm off Surgical Service...Copy !req
189. I'm working nights in the ER.
What's not to be happy about?Copy !req
190. It's better than not graduating.
I thought Dr. Hicks might suspend me.Copy !req
191. She would if she could have.Copy !req
192. I can't believe I was that stupid,
drinking on call.Copy !req
193. I can. You're a medical student.Copy !req
194. Superglue?Copy !req
195. Yes. Just touch the bead.
Hit the skin, you're in trouble.Copy !req
196. - Don't move!
- Don't move!Copy !req
197. Dr. Greene, the paramedics are here.Copy !req
198. Got it!Copy !req
199. - How old is she?
- 18 months.Copy !req
200. Two gunshots to the right upper leg.
Hypotensive. Can't get a line.Copy !req
201. It's okay, baby. We're here.Copy !req
202. Cops got the boy who did it.
Black kid, 14 years old.Copy !req
203. Shot him dead. Can't say I'm sorry.Copy !req
204. - Cops never mind shooting a black kid.
- And he didn't mind shooting this one.Copy !req
205. CBC, type and cross for two.
Get a unit of O-neg.Copy !req
206. Right foot's cold. No pulse.Copy !req
207. - Femoral artery.
- I'll call for x-rays.Copy !req
208. Sixteen-gauge Jamshidi.
One percent with epi.Copy !req
209. Faint pulse. Dynamap's not reading.Copy !req
210. One-twenty of saline.Copy !req
211. Fill these tubes.
Haleh, page Netzley.Copy !req
212. - Malik, you're gonna take her up to O.R.
- You got it.Copy !req
213. Dr. Greene, about closing Trauma,
Morgenstern gave the big "N-O."Copy !req
214. - Get him on the phone for me.
- He went back up to Surgery.Copy !req
215. - All right, I'll find him.
- Mark, bingo on Omar.Copy !req
216. You got it?Copy !req
217. I want Daddy!Copy !req
218. - Ethylene glycol it is.
- What's that?Copy !req
219. Antifreeze. Get Renal down here stat.Copy !req
220. - Let's give him IV ethanol.
- We don't have any.Copy !req
221. What?Copy !req
222. I checked. Pharmacy's out.Copy !req
223. St. Luke's is sending us some,
but it won't be here for another hour.Copy !req
224. There's a bottle of bourbon
out in that shopping cart in the hall.Copy !req
225. - Bourbon?
- 120 cc oral loading dose.Copy !req
226. Thirty cc's POQ one hour.Copy !req
227. Otherwise, he's got brain damage
and renal failure.Copy !req
228. Bourbon shooters it is.Copy !req
229. Labs are finally back
on that coma in 2. It's DKA.Copy !req
230. Start an insulin drip,
0.1 per kilo per hour.Copy !req
231. - Mrs. Votey had another TIA.
- She's supposed to be at Medicine.Copy !req
232. - Dr. Randall said to discharge her.
- Discharge her? Is he nuts?Copy !req
233. Page him 911 and tell him
to get in here now.Copy !req
234. Here you go—Copy !req
235. Who let this dog in here?Copy !req
236. Try taking it away and it bites you.Copy !req
237. - That puker in 4 is still at it.
- 10 of Compazine and a liter of saline.Copy !req
238. - Mr. Nathan in 5, he's—
- Morgenstern is up at the front.Copy !req
239. What about the turkey sandwich?Copy !req
240. - I can get it almost immediately.
- Who are we talking about?Copy !req
241. Mr. Nathan in 5, high white count...Copy !req
242. temp's 101,
has left lower-quadrant pain.Copy !req
243. Probably diverticulitis. Give him amp,
gent, Flagyl and get an abdominal series.Copy !req
244. That's right. Bring him in.Copy !req
245. - Answering the phones?
- I'm here to help.Copy !req
246. Then why don't you close up
the Trauma?Copy !req
247. Sorry, Mark.Copy !req
248. County's looking for excuses
to put us out of business.Copy !req
249. Well, it's 10:30. We've got
enough business to last a year.Copy !req
250. - 32 in the ER, 49 in the waiting room.
- Look, Mark, I'm sorry.Copy !req
251. Got a little Benton fracas in Trauma 2.Copy !req
252. Board of Commissioners wants to close
an ER and save $80 million a year.Copy !req
253. Every time we close, we're saying
that we're not capable of providing.Copy !req
254. Well, we're not. I now have
nine ICU patients draining my staff...Copy !req
255. we've no monitored beds.
Here are the films on Robinson.Copy !req
256. I can't even help half
the patients here. It's insane.Copy !req
257. I talked to the critical care
coordinators.Copy !req
258. We move six patients from ICU
to Telemetry, but we're staying open.Copy !req
259. So what? He's oxygenating well.Copy !req
260. The tube heads medially,
striking the mediastinum.Copy !req
261. Peter, Shelly.Copy !req
262. - Why didn't you page me?
- Shelly's handling it.Copy !req
263. - I'm on call for Trauma.
- We didn't need you.Copy !req
264. - If you don't want help during—
- Gentlemen, please. Ladies!Copy !req
265. I don't hear anybody helping here.
What's going on?Copy !req
266. Third-year Surgical Resident Leung
placed the chest tube anteriorly.Copy !req
267. - Which has relieved the pneumothorax.
- But will not drain the hemothorax.Copy !req
268. Which can be repositioned
when we prep.Copy !req
269. Excellent idea! Let's all scrub in.Copy !req
270. Come on, folks. Let's go.Copy !req
271. - If you need anything, give me a call.
- How about a turkey sandwich?Copy !req
272. Too late. Cafeteria closes
at 10 now. County cutbacks.Copy !req
273. It's a piece of cartilage that doesn't
turn to bone until you're grown-up.Copy !req
274. - Dr. Greene.
- Carter. Chloe.Copy !req
275. Hi, Mark. I came here to see Susie,
but John says she's not on tonight.Copy !req
276. No, she isn't.Copy !req
277. Chloe was curious
about how to read an x-ray.Copy !req
278. I guess the interest in medicine
must run in the family.Copy !req
279. Yeah, right.Copy !req
280. Junior gymnast in 5. Fractured patella.
Time to break the bad news.Copy !req
281. That hand is so little.Copy !req
282. - Look at that.
- It's probably 4 or 5 years old.Copy !req
283. Little Susie's hand
is about that big, right?Copy !req
284. So Susie probably told you
what's going on with us.Copy !req
285. Yeah, she mentioned some things.Copy !req
286. I understand why she's upset with me.Copy !req
287. I never thought I could change,
why should she?Copy !req
288. I just want her to see that things are
different now, that I'm different now.Copy !req
289. - Did she tell you that I'm engaged?
- No, she didn't.Copy !req
290. He's a great guy. Steady.
He's as smart as Susie is.Copy !req
291. He's the only person, besides Susie,
who's ever taken the time with me...Copy !req
292. to get to know me, you know...Copy !req
293. that thought that there was
something in me worth finding out.Copy !req
294. It's really busy out there.
I gotta get back to work.Copy !req
295. Hey, Mark.
The thing is, I really miss her.Copy !req
296. I'm sure you do.Copy !req
297. I know it's hard, but as far as babies go,
Little Susie's doing great.Copy !req
298. Yeah. I miss her too.Copy !req
299. Jerry, put out a page on Steve Flint.Copy !req
300. How's our score?Copy !req
301. Bleak, bleaker, bleakest.Copy !req
302. No, wait.
We can mark this one off.Copy !req
303. Omar Gandera. Renal finally got here.
They're gonna take him upstairs.Copy !req
304. - Did you call Psych for him?
- They said to call back in a week.Copy !req
305. Great. Kid OD'd on antifreeze
and Psych can't quite fit him in.Copy !req
306. Exam 2's open.Copy !req
307. Good work, Chuny.Copy !req
308. - Somebody help me, please!
- Park that guy. Jerry, clear Trauma 2.Copy !req
309. - What happened?
- It's his chest!Copy !req
310. - What's your name?
- Corky.Copy !req
311. - Are you all right?
- Yeah, but my dad is really sick.Copy !req
312. Was he vomiting blood?
It's on your shirt.Copy !req
313. No, I just cut myself.Copy !req
314. - What have we got?
- A possible MI.Copy !req
315. - What's your father's name?
- Louis Etheridge.Copy !req
316. Louis? Louis? Mr. Etheridge?Copy !req
317. - Is he on any medications?
- I don't know. Maybe.Copy !req
318. - Air.
- Tachy at 120.Copy !req
319. - BP, 160 palp.
- EKG, portable chest.Copy !req
320. ABG, first-day CCU labs.Copy !req
321. Fifteen liters of O-2, four of MS,
titrate a nitroglycerine drip.Copy !req
322. - O-2 sat's 100.
- Are you nauseous?Copy !req
323. Yes. Please help me.Copy !req
324. - Inferior MI?
- Has he had any heart trouble?Copy !req
325. No, that's not it.Copy !req
326. What is it, Corky?
It's okay to tell us.Copy !req
327. Dr. Greene? Why the hell did you pull me
down here in the middle of the night?Copy !req
328. Wait outside, Dr. Randall.
What's wrong with your father?Copy !req
329. - I need to talk to you.
- In a minute!Copy !req
330. - Corky?
- I don't know. He's just sick!Copy !req
331. Double lumen IVs.
Get a TPA tray.Copy !req
332. Let me know when the 12-lead's done.Copy !req
333. You got me out of bed
at midnight for no reason.Copy !req
334. - Your patient's just around the corner.
- I ordered her discharged hours ago.Copy !req
335. She's had three TIAs in two days.
She needs to be admitted.Copy !req
336. Stroke Council, AHA,
1995 recommendations:Copy !req
337. Hospitalize for four or more TIAs
in a two-week period.Copy !req
338. Or for findings suggesting
a worsening course. I know it.Copy !req
339. Her HMO will not authorize
her admission.Copy !req
340. She's one of your HMO patients.Copy !req
341. They're the only ones
who have patients anymore.Copy !req
342. So we wait till she strokes out
so they can keep their costs down?Copy !req
343. You don't have to wait for anything.
She is discharged.Copy !req
344. That migraine in 4 is still complaining.Copy !req
345. Try a milligram of DHE
and 10 of Reglan.Copy !req
346. - What's the story?
- His father's an alcoholic.Copy !req
347. His mother has been putting
Antabuse in his father's coffee.Copy !req
348. While he's still drinking?
And not telling him?Copy !req
349. So he's still drinking and now
he's having an Antabuse reaction.Copy !req
350. That could have been fatal.
The kid knew all along? Hey, Corky!Copy !req
351. Mark, the kid's scared enough, okay?Copy !req
352. He should be.
His father could have died.Copy !req
353. Call the mother and get her in here.Copy !req
354. Excuse me, doctor. My son's hand.
It really is a bad cut.Copy !req
355. Your son has been triaged
as a minor injury.Copy !req
356. There are more urgent cases
ahead of you.Copy !req
357. You have to wait in the waiting room.Copy !req
358. I asked you to keep
these people out of here.Copy !req
359. Now, I am running over to Doc's
to pick up my sandwich, okay?Copy !req
360. I'll be back in two minutes.
Get this dead guy out of here.Copy !req
361. Give me that!
Call for help, okay?Copy !req
362. Hang on! I'm gonna get you out!Copy !req
363. Hang on!Copy !req
364. Hang on!Copy !req
365. Leita! If you just crawl out the window,
we can get you out.Copy !req
366. Anything?Copy !req
367. We're waiting for the other unit
to show up with the equipment.Copy !req
368. - Get the mother and daughter out.
- Her mother's unconscious.Copy !req
369. Tell her to grab your hand.
You can pull her out.Copy !req
370. I got it!Copy !req
371. I'll try to get in!Copy !req
372. - Come over to this side!
- All right. Hold it.Copy !req
373. I can't reach her!Copy !req
374. Let me get in. Grab my hand!
Come on, grab my hand!Copy !req
375. - Grab my hand.
- Get out of there.Copy !req
376. - I can grab ahold of her.
- Let me get in there.Copy !req
377. - I almost got her hand.
- Doc, I can get her out of there, okay?Copy !req
378. Move!Copy !req
379. Let me get her out, okay?Copy !req
380. We'll bring her in. Why don't you go
dry off. Get the Trauma rooms ready.Copy !req
381. Jerry?Copy !req
382. - I wouldn't ask if I were you.
- Jerry.Copy !req
383. Folding chairs for the waiting room.
They were ordered four hours ago.Copy !req
384. Let me know when those
accident victims get in.Copy !req
385. I'm gonna go grab
some coffee and dry scrubs.Copy !req
386. And clear those Trauma rooms.Copy !req
387. You don't have any coffee filters,
do you?Copy !req
388. Are you kidding?Copy !req
389. No. And we can't even do
the folded paper towel trick.Copy !req
390. Mr. Carter, you are in luck.Copy !req
391. Now, if we had a hair dryer,
it'd really be our lucky day.Copy !req
392. How do you do this?Copy !req
393. You gotta get the coffee grounds out
without ripping the paper.Copy !req
394. No, I mean this. Patients stacked up
everywhere and no end in sight.Copy !req
395. It's like the O'Hare
of emergency rooms.Copy !req
396. It was a lot easier when I was younger.
I was newly married, I'd just had a baby.Copy !req
397. Jennifer used to come in the middle
of the night with chicken sandwiches.Copy !req
398. She'd have Rachel in the car seat.
We'd picnic...Copy !req
399. between the waiting-to-be-sutured
and the bounced-back migraine.Copy !req
400. - I guess it helped, having a family.
- Yeah. Yeah, it did.Copy !req
401. What are you gonna do?Copy !req
402. That is really bad.Copy !req
403. I'm gonna go change.Copy !req
404. That's a lovely little pup
you got there, Mrs...Copy !req
405. Excuse me, Ms. Decksley.
Absolutely charming.Copy !req
406. Hey, Stinky,
want a few little stitches?Copy !req
407. - Shut that yappy little mouth of yours?
- You're not a dog-Iover, huh?Copy !req
408. This is not a dog, it's a small,
furry object suitable for punting.Copy !req
409. I bet you can't get him
over that desk back there.Copy !req
410. - Don't tempt me.
- But tempting is what I do for a living.Copy !req
411. - I'm a lap dancer.
- Okay.Copy !req
412. So I hooked up with this
polyester guy tonight.Copy !req
413. And I slipped right off his knee and bam!
Sliced my butt on his spurs.Copy !req
414. Why would you wear boots
with polyester?Copy !req
415. I don't think I would.Copy !req
416. Are you gonna stitch me up next?
Because this cut really stings.Copy !req
417. - You want something for the pain?
- Drugs? Sure.Copy !req
418. Any word from outside?Copy !req
419. They radioed over.
Probably be 10 minutes.Copy !req
420. Jerry, call ICU. This ventilator guy
has been down here for days.Copy !req
421. Do you want me to page Benton
for that rule-out appy in 4?Copy !req
422. No, I'll check it out.
Lydia, get those labs on Cromley.Copy !req
423. I thought you were trying
to get that girl out.Copy !req
424. I can't even get the lab
to get a CBC in under three hours...Copy !req
425. I can't get an x-ray in under two
or any ICU beds to open up.Copy !req
426. Mark, Jennifer's on the phone.Copy !req
427. - Jen, what's up?
- They brought Rachel home.Copy !req
428. - She's not feeling well.
- It's 1 in the morning.Copy !req
429. - They drove her back from the lake?
- Her stomach hurts.Copy !req
430. - Stomachache and what else?
- She threw up.Copy !req
431. Does she have a temperature?
Maybe it's altitude sickness.Copy !req
432. How do I know where the lake is?
You didn't even tell me she was going.Copy !req
433. Jen, I don't want to fight right now.
Listen, just put Rachel in bed.Copy !req
434. Keep her on clear fluids
and I'll call you in the morning.Copy !req
435. What do you want me
to do from down here?Copy !req
436. Well, I'm sorry you called too.Copy !req
437. Jerry, get Carter in here.Copy !req
438. - She'll be okay.
- Get this out of here.Copy !req
439. - Do you want me to page Benton?
- Yeah.Copy !req
440. The ankle's deformed.
No cap refill or pulses.Copy !req
441. BP's 80 palp. Pulse, 110.Copy !req
442. - Hey, doc, listen.
- Fracture dislocation. We need to reduce.Copy !req
443. Let's sedate her.Copy !req
444. Prep 35 migs Ketamine, 0.3 atropine.Copy !req
445. - I was just trying to get her out of it.
- Start another line. Half a gram of Ancef.Copy !req
446. CBC, Chem-7, UA, portable chest
and get an ankle.Copy !req
447. We got her out, damn it.Copy !req
448. Pulse, 140. BP, 90/60.Copy !req
449. Probable flail chest but good bilateral
breath sounds. Fractured left femur.Copy !req
450. Abdomen's rigid, x-rays on the way.Copy !req
451. - O-2 sat, 90.
- Blood ordered?Copy !req
452. Two units O-neg are up,
type and crossed for eight.Copy !req
453. Atropine, now.
Good work, Carter.Copy !req
454. - Prep for a lavage. You okay with that?
- I'm okay with that, yeah.Copy !req
455. Clear!Copy !req
456. Grab a C-spine and
a post-intubation chest next door.Copy !req
457. Ketamine's on board. She's out.
Wanna wait for the films?Copy !req
458. No, let's do it. Countertraction.Copy !req
459. - That's it. Back in.
- She's coding!Copy !req
460. Where the hell's Benton? Page him, stat!Copy !req
461. All right, everybody off!Copy !req
462. - Okay, sinus brady.
- Mig of atropine.Copy !req
463. - Mix up dopamine.
- I paged him 911.Copy !req
464. Muffled heart sounds.
Neck vein distension.Copy !req
465. And another pulse.Copy !req
466. Thoracotomy tray.
Chuny, do compression.Copy !req
467. - Tamponade?
- Yeah. It could be a cardiac laceration.Copy !req
468. 10 blade.Copy !req
469. - Did you page him?
- Twice.Copy !req
470. - Rib spreader.
- O-neg. Four more units.Copy !req
471. Throw them on the infuser.Copy !req
472. Sac's tense with blood. Metz!Copy !req
473. - She's bleeding out.
- Rib punctured the heart.Copy !req
474. Keep your finger over the hole
and do compressions.Copy !req
475. Should we wait for Benton?Copy !req
476. Let's try a 16 Foley, 30 cc balloon.Copy !req
477. - Foley?
- Clamp the end.Copy !req
478. And saline, not air.
Last thing she needs is an air embolism.Copy !req
479. - She's in fib.
- Internal paddles.Copy !req
480. One second.
Carter, pay attention.Copy !req
481. Catheter is going into
the hole in the heart.Copy !req
482. - Okay. Now fill the balloon.
- Two units O-neg in.Copy !req
483. Excellent.Copy !req
484. Now, traction.Copy !req
485. - What have we got?
- Charging.Copy !req
486. Charge 20.Copy !req
487. Zapping.Copy !req
488. - Sinus.
- Got a pulse.Copy !req
489. Let's get her up to the O.R.Copy !req
490. Where have you been?
We have a double trauma...Copy !req
491. and you don't even respond?Copy !req
492. I was closing
on a mesenteric infarction.Copy !req
493. With how many Residents
who could've?Copy !req
494. - It was my surgery. I was busy.
- No, no, Peter.Copy !req
495. Down here is busy. In there is busy. In
there is where we ignore everything else.Copy !req
496. I ignore my patients for in there. I ignore
my child, my marriage for in there.Copy !req
497. Don't ever pull this again!Copy !req
498. Maybe the rain
will keep the people home.Copy !req
499. I thought it stopped raining.Copy !req
500. Nope.Copy !req
501. - Going...
- Going...Copy !req
502. Gone.Copy !req
503. - Is there a problem?
- 2:00.Copy !req
504. - Bars are closing.
- They're getting in their cars.Copy !req
505. - Going too fast.
- Swerving.Copy !req
506. - Crashing.
- Paramedics are rolling out.Copy !req
507. - Scooping them up.
- And dropping them off on our doorstep.Copy !req
508. Dr. Greene, that was a 911 call
from our waiting room.Copy !req
509. - It's a jungle out there.
- I know.Copy !req
510. Drs. Lewis, Ross, Weaver
and Treloggen will be on...Copy !req
511. in four hours and 58 minutes.
They will not be pleased.Copy !req
512. By the way, Jerry,
that light bulb's out.Copy !req
513. - Did you discharge that ankle sprain?
- About an hour ago.Copy !req
514. - The rule-out MI in 4?
- Cardiology took him up.Copy !req
515. - What about that kid with the cut hand?
- With the mother?Copy !req
516. - Yeah.
- No, he's still in the Suture Room.Copy !req
517. There's a metallic foreign body
of 14 millimeters...Copy !req
518. Iocated one centimeter medial
to the distal femoral condyle.Copy !req
519. Morning, Harry.Copy !req
520. - Labs back on that OD in 6.
- Excellent! Stick them on the chart.Copy !req
521. Films are back
on that busted collarbone.Copy !req
522. Excellent. Stick them on the chart.Copy !req
523. - Mrs. Huggins.
- This is my son, Danny.Copy !req
524. - Hello, Danny.
- Hi.Copy !req
525. - I need to see you a minute.
- Can't it wait?Copy !req
526. No, I don't think so.Copy !req
527. Excuse me.Copy !req
528. - Why Trauma 1?
- She's not doing so well.Copy !req
529. There are no exam rooms.Copy !req
530. - Is her son with her?
- Yeah.Copy !req
531. Carol, why don't you
take Corky outside.Copy !req
532. - You drink coffee yet?
- He's not supposed to, but he does.Copy !req
533. Me too. Come on, let's go get a cup.Copy !req
534. I'm Dr. Greene.Copy !req
535. Corky didn't tell you about his father
because I told him not to.Copy !req
536. I told him not to tell anybody.Copy !req
537. His condition tonight was very serious.Copy !req
538. Antabuse is a deterrent to alcohol.
Mixing them can be fatal.Copy !req
539. It's not that I want him to die.Copy !req
540. It's just that when he drinks,
it can get pretty bad.Copy !req
541. There's blood on Corky's shirt.
Does your husband beat him as well?Copy !req
542. No. Corky got in the middle.
I think it's from my nose.Copy !req
543. There are places you can go,
Mrs. Etheridge.Copy !req
544. Shelters where you
and your son can be safe.Copy !req
545. I know.Copy !req
546. In cases of domestic violence
I'm legally obligated to inform the police.Copy !req
547. I know that too.Copy !req
548. Jerry, call the police.
Domestic violence case.Copy !req
549. Sure.Copy !req
550. Carol, order a facial series
and clean up the abrasions.Copy !req
551. Okay.Copy !req
552. Did he want to talk about it?
Say anything?Copy !req
553. No. Not a word.Copy !req
554. Bend your finger.Copy !req
555. - He was helping me hang a mirror.
- It weighed a ton.Copy !req
556. Needless to say, we dropped it.Copy !req
557. - Seven years of bad luck.
- I don't believe in that stuff.Copy !req
558. It's fairly deep,
but there's no tendon damage.Copy !req
559. See? That's good luck.Copy !req
560. - What time did it happen?
- After dinner.Copy !req
561. After Hard Copy, Mom.Copy !req
562. - Unfortunately, I can't stitch it up.
- What?Copy !req
563. After six hours,
the risk of infection is too high.Copy !req
564. We've been here half the night
and now you can't even do anything?Copy !req
565. I'll put him on antibiotics. Come back
in three days for a delayed closure.Copy !req
566. Do we have to wait again?Copy !req
567. - Did they admit that bowel obstruction?
- He's under the knife as we speak.Copy !req
568. Good work.Copy !req
569. Whoever's got gastrointestinal distress,
rise and shine.Copy !req
570. - Loretta.
- Hi, Dr. Greene.Copy !req
571. - These gurneys aren't bad.
- Are you all right?Copy !req
572. Yeah, I'm fine. I mean, no.
You know, of course, I'm not.Copy !req
573. It's Jimmy. He's got a fever.
He's been throwing up.Copy !req
574. - Come on, baby. Wake up.
- Swing your feet over there.Copy !req
575. - How are you doing there?
- I puked twice in the waiting room.Copy !req
576. He's kind of embarrassed.Copy !req
577. There were six other men
in line for the bathroom.Copy !req
578. Yeah, it's a little crowded out there.
Sorry.Copy !req
579. Your stomach feels okay?
Open your mouth.Copy !req
580. There you go. Tongue out.Copy !req
581. I don't think it's anything serious.
Your garden-variety 24-hour virus.Copy !req
582. Nothing by mouth for six hours.
Then, sips of clear liquids.Copy !req
583. If he keeps those down, you can try
a little toast and applesauce for dinner.Copy !req
584. - Thanks, Dr. Greene.
- I'm sorry you had to wait so long.Copy !req
585. It wasn't so bad. We got in
before a lot of the others did.Copy !req
586. - You wanna help me grab some stuff?
- Sure. What do you need?Copy !req
587. Gauze, syringes, Ace wraps...Copy !req
588. saline, suture sets, eye patches.Copy !req
589. - 4-0 nylon.
- Check.Copy !req
590. - Skin staplers.
- Check.Copy !req
591. - Tetanus boosters.
- Double check.Copy !req
592. Haleh, Lydia, what are you doing
for the next couple of hours?Copy !req
593. - He's kidding, right?
- Can we treat them without a chart?Copy !req
594. - How's the hospital going to bill them?
- Does that metal detector work?Copy !req
595. - You're not making an announcement?
- And start a stampede?Copy !req
596. These are some
of the more minor cases.Copy !req
597. Explain to them what we are doing.
No labs or x-rays without a chart.Copy !req
598. Richard Tomco?Copy !req
599. Anderson? Anderson?Copy !req
600. Mark, we know this guy.
What do you want this time, Ricky?Copy !req
601. Percocet? Demerol?Copy !req
602. No. I'm telling you,
this time it really hurts.Copy !req
603. Yeah, it's abscessed.
Pretty nasty in there.Copy !req
604. Five cc's Marcaine, 27-gauge needle.Copy !req
605. Have any allergies?Copy !req
606. Open up.Copy !req
607. You're gonna be numb
for about six hours.Copy !req
608. Dental clinic's on the second floor.
Opens at 9.Copy !req
609. - Do I need stitches?
- No. When was your last tetanus shot?Copy !req
610. - Probably high school.
- Okay. We'll give you one now.Copy !req
611. But I want you to come back...Copy !req
612. if there's any redness
or swelling or red streaks, okay?Copy !req
613. Impetigo. Write him for Keflex.Copy !req
614. Uticaria, 0.2 Susphrine sub-Q.Copy !req
615. Subungual hematoma. Drain it.Copy !req
616. Do you think he's, you know,
lost his grip on reality?Copy !req
617. No. I think he's having fun.Copy !req
618. Vaginal bleeding. Haleh, do you think we
can do a pelvic in the waiting room?Copy !req
619. Just kidding. Take her back,
spin a crit, dip a urine and do an ICON.Copy !req
620. - Sudden-onset blindness.
- Woke up this morning...Copy !req
621. couldn't see a thing.Copy !req
622. Carter?Copy !req
623. Differential includes retinal detachment,
central retinal artery occlusion, CVA.Copy !req
624. Diabetic retinopathy,
retinitis, macular degeneration.Copy !req
625. She's too calm.
I think it's psychogenic.Copy !req
626. Lydia, try and find that optokinetic drum.Copy !req
627. If the eyes move when
the drum spins, she's faking.Copy !req
628. Molly and Sarah were roughhousing.
Don't buy bunk beds.Copy !req
629. And Molly got pulled off the top.Copy !req
630. Your arm hurts, Molly?
Did you hit your head or anything else?Copy !req
631. - Want me to order an x-ray?
- No, we don't need it.Copy !req
632. Ms. Taylor, one of the ligaments
in Molly's elbow slipped out of place.Copy !req
633. I'm gonna fix it. She's gonna cry,
but it'll only hurt for a second.Copy !req
634. Jeffrey fed his brother
a couple button batteries.Copy !req
635. - You sure?
- Yeah.Copy !req
636. - I saw the second one go down myself.
- Why'd you do that?Copy !req
637. - Because he likes them.
- He likes them.Copy !req
638. He's gonna need some x-rays.Copy !req
639. If they're stuck in his esophagus,
there's potential for a perforation.Copy !req
640. Carter? Carter, hold on for a second.Copy !req
641. Can I borrow this?Copy !req
642. Try that.Copy !req
643. It's below the diaphragm.
No need to worry.Copy !req
644. Check his stool.
They'll pass in a day or two.Copy !req
645. That's great. Thank you.Copy !req
646. He's right. Psychogenic.Copy !req
647. Lois, I'll give you some eye drops.Copy !req
648. I think they'll help your vision.
Just lean your head back.Copy !req
649. Always give the patient a way out.Copy !req
650. One more. Okay. That ought to do it.Copy !req
651. Oh, yeah. I can see everything.
It's still a little blurry, though.Copy !req
652. By the time you get home,
everything should be fine.Copy !req
653. Mark, Mrs. Lipshultz,
83, flushed, headachy.Copy !req
654. And nauseous.Copy !req
655. Sorry.Copy !req
656. That's all right. They're Doug's shoes.
Give her 10 of Compazine, I.M.Copy !req
657. What's bothering you, Mr. Buchanan?Copy !req
658. Where does it hurt?Copy !req
659. Here.Copy !req
660. How you doing, Mr. Buchanan?Copy !req
661. My back is killing me.Copy !req
662. - Not your shoulder?
- No, no. My back.Copy !req
663. BP both arms. Don't worry.
We're gonna take care of everything.Copy !req
664. Where can I get one of these things?Copy !req
665. Her arm feels absolutely fine.
What do you say?Copy !req
666. - Thank you.
- You're very welcome.Copy !req
667. We still have an eye pain,
a neck pain, an abdominal pain...Copy !req
668. - ... and a boil that needs to be lanced.
- Be there in a minute.Copy !req
669. I know it's early,
but I knew you'd be up.Copy !req
670. How did you know?Copy !req
671. Because Bananas in Pajamas is on.Copy !req
672. Don't turn it up, Rachel.
You'll wake up Mommy.Copy !req
673. I'm glad you're feeling better, sweetie.
I'll see you next weekend.Copy !req
674. - Love you.
- Love you too.Copy !req
675. - Breakfast?
- Thanks.Copy !req
676. - Breakfast?
- Thank you.Copy !req
677. Be careful. It's ugly out there.Copy !req
678. Not as ugly as it's been in here.
Good night.Copy !req
679. Good night.Copy !req
680. What a night! You ever have to
sleep in one of these things?Copy !req
681. I'll put your shoes by your locker.
Mine are probably dry by now.Copy !req
682. - Thanks for the great work, Carol.
- That's why they pay me the big bucks.Copy !req
683. Hey, Peter. We're gonna have
to find some way to work together.Copy !req
684. Yeah, I guess we are.Copy !req
685. How was dinner?Copy !req
686. - I fired him.
- What?Copy !req
687. I need a new lawyer.
The guy was a lightweight.Copy !req
688. He said that Chloe
could possibly have a case...Copy !req
689. if in fact she does have a job...Copy !req
690. What do you think?Copy !req
691. I've seen her go through hundreds
of jobs. What am I supposed to think?Copy !req
692. - Hey, Kerry.
- Hi, Mark.Copy !req
693. I think I finally made sense
of that QA review.Copy !req
694. But you're on your way out.
We can go over it later.Copy !req
695. Thank you. I appreciate that.Copy !req
696. Good night.Copy !req
697. - I thought it would've stopped by now.
- Yeah.Copy !req
698. Tonight was great. The waiting room.Copy !req
699. When I started med school,
that's what I thought it would be like.Copy !req
700. Really helping people.Copy !req
701. At least, that's what I thought
it was supposed to be.Copy !req
702. That is what it's supposed to be.Copy !req
703. - What are you gonna do today, Carter?
- I don't know. What are you gonna do?Copy !req
704. I don't know.Copy !req