1. Hey, Carol.Copy !req
2. - Carol, I got an idea.
- Two more minutes.Copy !req
3. It's beautiful out. Let's call in sick.Copy !req
4. Take a day trip somewhere.Copy !req
5. - Trip?
- Yeah, we'll play hooky.Copy !req
6. We'll just jump in the car
and head north...Copy !req
7. and find a lake and just sit there.Copy !req
8. - I can't skip work. I need the hours.
- Please?Copy !req
9. The thought of having to cart around the
wretched of the Earth all day long...Copy !req
10. with Reilly yapping in my ear
about his stupid beer can collection...Copy !req
11. I can't. Not today.Copy !req
12. - You go. You go.
- I don't wanna go without you.Copy !req
13. That's the whole idea.Copy !req
14. I want us to get away together.Copy !req
15. We'll just go someplace
where there aren't any sick people.Copy !req
16. Just cows.Copy !req
17. Healthy cows.Copy !req
18. Good cows.Copy !req
19. Some place where we can
make love in the grass.Copy !req
20. - In front of the cows?
- Sexy cows.Copy !req
21. We could take a trip this weekend.Copy !req
22. - Yeah.
- Sure.Copy !req
23. I might be persuaded
to be a little late for work.Copy !req
24. - Next?
- I repacked Mr. Otto's abscess.Copy !req
25. - Is it granulating?
- Quite nicely, thank you.Copy !req
26. - Give Mr. Otto my best. What else?
- Mrs. Mendoza in 2.Copy !req
27. She's had two days of vomiting,
diarrhea and periumbilical pain.Copy !req
28. - Vitals?
- Normal.Copy !req
29. It began after dinner in Mexico City.
Came straight here from the airport.Copy !req
30. - White count?
- 12,000. No rebound or guarding.Copy !req
31. Sounds like Montezuma's revenge.
Loperamide and clear liquid diet.Copy !req
32. - Do you wanna see her?
- No, you can send her home.Copy !req
33. Peter.Copy !req
34. You won't be scrubbing in on Dr.
Heizenbach's jejunostomy this morning.Copy !req
35. - Why not?
- He won't work with you.Copy !req
36. The word's out about your difficulty
with Doug Ross.Copy !req
37. It spread to the surgical crew.Copy !req
38. The prevailing view is that
you betrayed a colleague.Copy !req
39. Is that what you think?Copy !req
40. I think maybe you're in
for a chilly summer.Copy !req
41. - We still on for tonight?
- If you tell me where we're going.Copy !req
42. - It's a surprise.
- How do I know what to wear?Copy !req
43. - Dress nice.
- Carter.Copy !req
44. You got a call confirming
your reservations...Copy !req
45. for the Moonlight Dinner Cruise
on the lake.Copy !req
46. Thanks, Jerry.Copy !req
47. Sounds romantic.
Remind me to bring my seasickness pills.Copy !req
48. - Harper.
- Dale!Copy !req
49. - I've been looking for you.
- What are you doing here?Copy !req
50. Trauma sub-I until June,
then I start my Residency.Copy !req
51. - You matched here?
- I did.Copy !req
52. - In medicine?
- Surgery.Copy !req
53. John Carter,
he matched in surgery here too.Copy !req
54. Dale and I went to college together.Copy !req
55. - And you're coming from...?
- Boston.Copy !req
56. - Meaning Harvard?
- Go Crimson.Copy !req
57. The last time you e-mailed me,
you were taking out your first appendix.Copy !req
58. - That's right.
- You took out an appendix?Copy !req
59. They let us do appys...Copy !req
60. lipomas, pilonidal cysts,
all that small stuff.Copy !req
61. - God, it's great to see you.
- You too.Copy !req
62. - I don't know, Doug.
- You, me, Inga, Hulda...Copy !req
63. - ... and a Chinese restaurant.
- Inga's not really my type.Copy !req
64. - You said that about Kathy Snyder.
- I'll get out there in my own pace.Copy !req
65. Prostates don't last forever.Copy !req
66. Dr. Greene,
is this loan application yours?Copy !req
67. - It's mine.
- Buying a car?Copy !req
68. No, I'm helping the kid I misdiagnosed
with his cancer treatment.Copy !req
69. - I have to bail on M&Ms today.
- Can you change the meeting?Copy !req
70. - No, and I don't have a lawyer yet.
- Do what you have to do.Copy !req
71. - Thanks. I'm on till 2.
- What's that?Copy !req
72. She's meeting with a judge.
Chloe wants visitation rights.Copy !req
73. - God bless the child.
- Morning, guys.Copy !req
74. Sorry I'm late. Traffic was a bitch.Copy !req
75. - Hey.
- Peter.Copy !req
76. Let me just clear this off for you...Copy !req
77. Mrs. Garvey, you're having chest pains?Copy !req
78. - Where have you been?
- And irritability.Copy !req
79. - I've waited so long, the pain's gone.
- Just got here.Copy !req
80. - I'm burning with fever.
- Temp's normal.Copy !req
81. - After sitting in your drafty waiting room.
- Your pain's gone?Copy !req
82. It's coming back.Copy !req
83. - Okay, let's get that EKG.
- What's that?Copy !req
84. - It monitors the heart's electrical activity.
- How?Copy !req
85. The leads carry impulses
from your heart to the monitor.Copy !req
86. - I don't understand. Explain it again.
- We wanna make sure you're okay.Copy !req
87. Don't patronize me.
You doctors are all the same.Copy !req
88. I came in here for stitches,
I had to come back five times...Copy !req
89. and my leg's never been the same.
This place is filthy.Copy !req
90. Your EKG is abnormal.
We're gonna have to draw some blood.Copy !req
91. - Why?
- To check your cardiac enzymes.Copy !req
92. What are those?Copy !req
93. Elements that tell us if you've
had a heart attack.Copy !req
94. I don't understand. Explain it again!Copy !req
95. I'm the only fourth-year in the country
who hasn't done an appendectomy yet.Copy !req
96. I'm about to start my Residency
and I'm three steps behind the curve.Copy !req
97. GSW to the chest coming in.
ETA two minutes.Copy !req
98. Let me run the code.
I'm ready. And I need the experience.Copy !req
99. Listen, everybody.
Carter's gonna run the code.Copy !req
100. - All right, everybody, gown up!
- What do you want us to do, Carter?Copy !req
101. - Malik, you start the IVs.
- We have IVs from the field.Copy !req
102. - Scratch that. Malik, you scribe.
- Man, I don't wanna scribe.Copy !req
103. Do it. A: Airway.
Dr. Greene will intubate.Copy !req
104. B: Breathing. Haleh, call Respiratory
and tell them to get here.Copy !req
105. Chuny, you set up the Dynamap.
C: Circulation. You...Copy !req
106. on the rapid infuser.
D: Disability. Benton!Copy !req
107. Dr. Benton. Check the DTRs
and the Babinski, if that's okay.Copy !req
108. - All right, what's left?
- Foley.Copy !req
109. - Who wants to hook up the Foley cath?
- You're the only one left.Copy !req
110. - What's coming in?
- Gunshot wound.Copy !req
111. Dale, hook up the Foley cath,
and Harper, just jump in as needed.Copy !req
112. - They're here.
- All right, man your stations.Copy !req
113. Female, found down.
GSW to the chest, traumatic full arrest.Copy !req
114. - Heart sounds?
- Asystole. Atropine and epi in the field.Copy !req
115. - Got it in the heart.
- Let's get the rapid infuser going.Copy !req
116. Get some O-neg down
and get a gas cooking.Copy !req
117. - Let's move it.
- Monitor's going.Copy !req
118. - Flatline.
- Let's go with the epi. 5 mg, IV push.Copy !req
119. - Pulse ox?
- Forty.Copy !req
120. - That's the lowest I've heard.
- Where is Respiratory?Copy !req
121. - She looks stiff. Her jaw won't move.
- She looks really cyanotic.Copy !req
122. - Boxcars in the eyes.
- Let's get the O-neg going! Let's go!Copy !req
123. - Should we even be doing this?
- How long was she down?Copy !req
124. It could have been a long time.Copy !req
125. From the degree of lividity,
she's been dead three hours.Copy !req
126. - Let's move with the O-neg!
- I agree with Dale.Copy !req
127. - Let's call it.
- No, I wanna crack her.Copy !req
128. - Time of death—
- No, I'll do it.Copy !req
129. Time of death: 10:32.Copy !req
130. What a gyp.Copy !req
131. - She's got an engagement ring.
- She had a little boy too.Copy !req
132. Forty-seven brought him in.Copy !req
133. - The boy wasn't hurt?
- There's nothing physical.Copy !req
134. - But he hasn't spoken since he came in.
- It could be posttraumatic shock.Copy !req
135. - His mother make it?
- Anybody know what happened?Copy !req
136. Neighbor said she heard the mother
and her boyfriend fight this morning.Copy !req
137. - Poor kid must have seen the whole thing.
- What's his name?Copy !req
138. - Where is the boyfriend?
- In the wind.Copy !req
139. Hey, buddy. I'm Doug.Copy !req
140. And that's Carol right there.
What's your name?Copy !req
141. I'm gonna listen to your heart, okay?Copy !req
142. - Doug, his name's Jeremy.
- Jeremy?Copy !req
143. Can you hear me?Copy !req
144. Good reflexes. I'll call Psych.Copy !req
145. Why don't you see if you
can track down a relative.Copy !req
146. He witnessed a murder.
Boyfriend could come back.Copy !req
147. We'll get the cops to post a guard.Copy !req
148. Hey.Copy !req
149. - Peter, come quick. Mrs. Mendoza.
- Who?Copy !req
150. The woman I sent home
with Montezuma's revenge.Copy !req
151. The pain's moved from mid-abdomen
to the right lower quadrant.Copy !req
152. - Are you a doctor?
- I'm a surgeon.Copy !req
153. - She's in so much pain.
- It's her appendix.Copy !req
154. - You sure?
- Don't worry, we're going to take it out.Copy !req
155. We were here earlier, but that nurse
sent us home. We never saw a doctor.Copy !req
156. Don't worry, Mr. Mendoza,
we'll take care of her. Clear!Copy !req
157. - Did Psych come down for that boy?
- Yeah. She's in there with him now.Copy !req
158. - Jerry, will you fax this for me?
- Loan application? Sorry.Copy !req
159. No more personal use of the fax.
Per the Weaver.Copy !req
160. Jerry. Just do it.Copy !req
161. Call Pathology to take that lady's body,
these video people need to get in there.Copy !req
162. - What video people?
- You didn't read the memo?Copy !req
163. No.Copy !req
164. I wanna start videotaping the traumas
so we can critique our work.Copy !req
165. - I don't think this sounds like a good idea.
- David Morgenstern thought it was.Copy !req
166. - He wrote the memo.
- On a trial basis.Copy !req
167. Path's backed up. They asked for you
to keep that DB here.Copy !req
168. Put her in Exam 3. These guys need
to get to work. Come on.Copy !req
169. - Gown me, quick! Is that the appy?
- Knife.Copy !req
170. - What, I can't do it?
- No.Copy !req
171. - I've seen dozens.
- I said, no. Carter, go cover the ER.Copy !req
172. All right, here we go.Copy !req
173. Retract the fascia.Copy !req
174. Can you see?Copy !req
175. - Suction.
- Pulse is up to 120.Copy !req
176. Here we go.Copy !req
177. - Damn it! Belly's full of puss.
- She done perfed good.Copy !req
178. Let's load her up with amp,
gent and Flagyl.Copy !req
179. Liter of warm saline.
We gotta irrigate before she goes septic.Copy !req
180. - What a mess.
- Yeah, too bad she didn't come in sooner.Copy !req
181. Damn.Copy !req
182. - Mrs. Garvey.
- You've got some nerve.Copy !req
183. - Mrs. Garvey.
- "Patient is uncooperative...Copy !req
184. demanding,
prone to exaggerate symptoms"?Copy !req
185. - Can I have my chart back?
- Give me a pen. I want this changed.Copy !req
186. Doctor is unprofessional, openly hostile.Copy !req
187. Your enzymes suggest a heart attack.Copy !req
188. - We need to do an echocardiogram.
- What's that?Copy !req
189. - It's like an ultrasound of your heart.
- Why do I need one of those?Copy !req
190. We need to make sure
that your artery is not blocked.Copy !req
191. I don't understand. Explain it again.Copy !req
192. This is your heart.
This is an artery going into your heart.Copy !req
193. If it is blocked, it can explode...Copy !req
194. causing a massive heart attack
which would kill you within minutes.Copy !req
195. You are a sick woman.Copy !req
196. — Said they heard fighting.
Did your mom and her boyfriend...Copy !req
197. have a fight this morning?
Is that what happened?Copy !req
198. Detective?
Can I talk to you outside, please?Copy !req
199. - What are you doing?
- Trying to talk to him.Copy !req
200. - What did you say?
- I asked what happened.Copy !req
201. This boy's had a psychological trauma.
You could have set him back weeks.Copy !req
202. - Didn't know that.
- Well, now you do. Okay?Copy !req
203. - Hey. Where's your e-mail pal?
- He took a hernia up to the O.R.Copy !req
204. - You're kidding.
- About an hour ago. Should be back soon.Copy !req
205. - Seems like a great guy.
- He is.Copy !req
206. - So you guys went out?
- We never exactly went out.Copy !req
207. - But you...
- Once. One night, anyway.Copy !req
208. Harper. Guy in 6 needs a rectal.Copy !req
209. I have to take these to the lab.
See you.Copy !req
210. - Carter?
- Pass.Copy !req
211. Abdominal pain, could be surgical.Copy !req
212. Haleh, have you seen
that cute guy from Harvard?Copy !req
213. - He just came down, try the desk.
- I'll take it. I'll take that. I got it.Copy !req
214. Thanks.Copy !req
215. Try the 15 mm for me, tilt down,
get the whole bed in the frame.Copy !req
216. - How's that?
- Good. Pan left—Copy !req
217. - Iris.
- Oh, Dr. Greene.Copy !req
218. Would have thought we were small
potatoes for an infomercial director.Copy !req
219. I do educational tapes,
equipment rentals.Copy !req
220. I'll take your money any way I can.Copy !req
221. Would you zoom in to
a medium shot for me, Max?Copy !req
222. - How's your eye?
- Oh, fine.Copy !req
223. Nice profile.
You sure you won't go on the air?Copy !req
224. I wouldn't feel right plugging
your hair-growth products.Copy !req
225. I don't believe in them.Copy !req
226. Well, you're more secure than most men.Copy !req
227. And you look like you're
in pretty good shape. You exercise?Copy !req
228. - Run, pushups a little. Why?
- I'm just about to go national...Copy !req
229. with a new exercycle
and I haven't found a pitchman yet.Copy !req
230. You interested?Copy !req
231. He's had periumbilical pain that
localized to the right lower quadrant...Copy !req
232. - ... nausea and vomiting.
- What's his white count?Copy !req
233. Nine thousand. I'm thinking appendix.Copy !req
234. Appys usually present a bit lower,
but they can fool you.Copy !req
235. - Let's take him up.
- Can I do the procedure?Copy !req
236. - Does Benton let you do appys?
- He talked about it.Copy !req
237. Well, there's a first time
for everything. All right.Copy !req
238. Mr. Kennerly, you're going to the O.R.,
but there's no reason to worry.Copy !req
239. Everything is going to be fine.Copy !req
240. Thanks.Copy !req
241. - Clean her out yet?
- Still gotta drain the abscess.Copy !req
242. - She's tachy, 180.
- Temp's 104.Copy !req
243. - I'll get a cooling blanket.
- This is making me nervous, Peter.Copy !req
244. Just hold on.Copy !req
245. - Isn't that your med student next door?
- What?Copy !req
246. - What's going on over there?
- Another appendix.Copy !req
247. - When it rains, it pours.
- Somebody close those blinds.Copy !req
248. - Run of five. Your time's about up.
- Just give me two minutes.Copy !req
249. - Too late!
- She's fibrillating.Copy !req
250. - Damn it!
- Crash cart. Charging at 200.Copy !req
251. - Come on, don't do this to me!
- Clear!Copy !req
252. — Three enzymes that are released
by the heart after a heart attack:Copy !req
253. CKMB, AST and LDH.Copy !req
254. By graphing the levels of each enzyme,
we can determine...Copy !req
255. that you had your heart attack
at approximately 4 this morning.Copy !req
256. Oh, thank you, doctor.Copy !req
257. She's the one!Copy !req
258. - Susan!
- Yes, Kerry.Copy !req
259. One of the nurses alerted me that Ethel
was about to sign out AMA...Copy !req
260. which in her condition
might have killed her.Copy !req
261. I thought it best to indulge her
in order to save her life.Copy !req
262. Good thinking.Copy !req
263. I know it's frustrating
dealing with difficult patients...Copy !req
264. but you have a tendency
to become anger-Iocked and inflexible.Copy !req
265. - Thank you for pointing that out.
- If you feel yourself getting dug in...Copy !req
266. just call me. I'm here to help.Copy !req
267. - Retractor.
- Expose the internal oblique.Copy !req
268. - Can I have some suction?
- Good. Now cut it open.Copy !req
269. - I'm in.
- Okay, now...Copy !req
270. put your hand in the peritoneum and
feel around until you find the appendix.Copy !req
271. - I got it.
- Okay, let's see.Copy !req
272. Well, that is the pinkest,
most healthy appendix I've ever seen.Copy !req
273. - But he had all the symptoms.
- They can fool you.Copy !req
274. - Well, as long as we're here...
- Better not.Copy !req
275. Besides, I think I see the cause
of Mr. Kennerly's bellyache.Copy !req
276. What?Copy !req
277. Toothpick in the terminal ileum.Copy !req
278. I think if you pull on the gold tassel
it'll slide right out.Copy !req
279. Congratulations, Mr. Carter,
on your first toothpick-echtomy.Copy !req
280. Now, let's start irrigating.Copy !req
281. - Mr. Mendoza.
- Yes.Copy !req
282. Your wife is out of surgery,
but she's very sick.Copy !req
283. Her appendix burst
before I could remove it...Copy !req
284. and the bacteria
invaded her bloodstream.Copy !req
285. We're giving her antibiotics.
I expect her to pull through it.Copy !req
286. Are you saying she could die?Copy !req
287. - It's a possibility.
- When we first came in...Copy !req
288. was there no way to tell
that it was the appendix?Copy !req
289. The symptoms and the story
suggested food poisoning.Copy !req
290. That woman sent us home
without ever seeing a doctor.Copy !req
291. She consulted a doctor,
who ordered your wife discharged.Copy !req
292. How could this happen?Copy !req
293. - How's the kid doing?
- The same.Copy !req
294. Think I could take a peek in there,
give him this?Copy !req
295. - Did you draw that yourself?
- I did.Copy !req
296. - Hey. Where is he?
- I don't know. Jeremy?Copy !req
297. - Oh, man.
- Jeremy!Copy !req
298. - Jeremy! Have you seen the kid?
- What kid?Copy !req
299. - The one who won't talk.
- No.Copy !req
300. Jeremy! Oh, God.Copy !req
301. Jeremy!Copy !req
302. Hey, sweetie. Hey, come on.
Let's go back to your room.Copy !req
303. Come on. Okay?Copy !req
304. The Pedes Attending's name is Keller, and
there's a med student named Amber...Copy !req
305. who will sit with him
till his aunt comes.Copy !req
306. - Okay, you got it.
- Thanks.Copy !req
307. Who does this belong to?Copy !req
308. - I told you to hold on to him.
- I just turned around for a second.Copy !req
309. We picked him up on Michigan Avenue.
He's zonked out of his gourd.Copy !req
310. - He's tachy, diaphoretic.
- Could be coke, PCP.Copy !req
311. All right, well, let's get him a room.Copy !req
312. - Hey, Dr. Ross.
- What's this?Copy !req
313. Some guy dropped it off for you.Copy !req
314. Wanna order something
from Psycha-Deli? I'm starving.Copy !req
315. Could someone release the guy in 4?
I gotta go.Copy !req
316. - Sure. You okay?
- I'm having a walking anxiety attack.Copy !req
317. Call me.Copy !req
318. - Hi. You're all wired up.
- Oh, great.Copy !req
319. I'm gonna show you
how everything works...Copy !req
320. but I wanna eat something.
How about you?Copy !req
321. I'm not really hungry.Copy !req
322. So, what's wrong with her?Copy !req
323. - What is this?
- Check it out.Copy !req
324. Yowza!Copy !req
325. Twenty-five thousand in— Oh, it's a gift
from the old man. 10 to 1 it's dirty.Copy !req
326. Looks like your treatment fund
just got richer.Copy !req
327. It's going back. Penance doesn't
mean anything if it's that easy.Copy !req
328. - What do you know about penance?
- I used to date a lot of Catholic girls.Copy !req
329. You want their numbers?Copy !req
330. - Her lungs are filling up with fluid.
- How is she?Copy !req
331. She might not make it.Copy !req
332. How could you miss
the signs of appendicitis?Copy !req
333. - Pain localizing to the right.
- She told me it was diffuse.Copy !req
334. - Check rebound and guarding?
- I told you I did.Copy !req
335. I'm asking you if you actually did.Copy !req
336. Yes. And if you had any doubts, you
should have examined her yourself.Copy !req
337. I trusted you to do that.Copy !req
338. You know how difficult
appendicitis is to diagnose.Copy !req
339. I asked if you wanted to see her—Copy !req
340. - The appendix that wasn't.
- There'll be plenty more ahead of you.Copy !req
341. - I wish I had at least one behind me.
- It is cause for concern...Copy !req
342. - ... what with the pyramid system.
- Pyramid system?Copy !req
343. From now on,
all surgical interns will be ranked.Copy !req
344. Those who fall in the lower third
won't be asked back a second year.Copy !req
345. - Come on, you gotta help me out here.
- Hey, come on, bud. Cooperate.Copy !req
346. This Rolling Stones, that's a cool one.
"Ban the bra."Copy !req
347. "All the way with LBJ."
What's that about?Copy !req
348. I won't hurt your buttons, I promise.Copy !req
349. I'll give your buttons right back,
you just gotta take this off.Copy !req
350. Let go of her!Copy !req
351. Shep! I don't think he's breathing.
Shep!Copy !req
352. - There's no pulse!
- Get the crash cart. Get CPR!Copy !req
353. - What are you doing to my crash cart?
- Where's the ET tube?Copy !req
354. - Wait! He's got a pulse.
- He's back.Copy !req
355. I got it!Copy !req
356. Security!Copy !req
357. Security!Copy !req
358. - Hey! Did they call us in?
- Relax, we still have a few minutes.Copy !req
359. - Where's Mom?
- She went to Northfield to see Sally.Copy !req
360. - Called that one right.
- Well, this is very upsetting for her.Copy !req
361. And for me.Copy !req
362. To have to choose between
your own daughters. It's not right.Copy !req
363. What do you mean?Copy !req
364. - I'm not going in.
- Dad.Copy !req
365. I don't wanna take sides.Copy !req
366. For three weeks you've been
promising to back me up...Copy !req
367. and you change your mind now?Copy !req
368. You haven't spent five minutes
with Chloe. You haven't met Joe.Copy !req
369. - Unbelievable.
- Your sister is like a new person.Copy !req
370. She got a job the first morning.
She insists on paying for the food.Copy !req
371. - Joe is a good guy.
- Did you check his rap sheet?Copy !req
372. - He's a cop.
- What?Copy !req
373. - I'm not going.
- It's all set. Inga's counting on you.Copy !req
374. - I'm not going!
- What is the problem here?Copy !req
375. I was married for 11 years.
To be faced suddenly with dating...Copy !req
376. - You're over-thinking. Follow your id.
- It's more complicated than that.Copy !req
377. No, it's not.Copy !req
378. What is about to pass between us must
remain in the strictest of confidence.Copy !req
379. When I first met Jen—Copy !req
380. - When you first met Jen...?
- I had never had sex before.Copy !req
381. - You were 17, right?
- Sixteen.Copy !req
382. And through all those years,
I've always been faithful.Copy !req
383. Wait, are you telling me
that you've only had sex with Jen?Copy !req
384. - That so unusual?
- In the 20th century?Copy !req
385. - Yeah, you're right. I'm a freak.
- That's a little strong.Copy !req
386. No, it's true.
I've only had sex with my wife.Copy !req
387. The thought of being intimate
with a stranger...Copy !req
388. What if she can't arouse me
or I can't please her?Copy !req
389. - The thought alone scares me to death.
- Well...Copy !req
390. you're right, Inga's not for you.Copy !req
391. County, this is Unit P2. We have
a 16-year-old male, beating victim.Copy !req
392. Multiple injuries to the face and torso.
Broken tib-fib, difficulty breathing.Copy !req
393. Dr. Ross, 16-year-old trauma.Copy !req
394. BP is 80%P0, resps are shallow at P3.
Do you copy?Copy !req
395. - We copy, 52. What's your ETA?
- I'd say 1 P minutes.Copy !req
396. Dr. Ross, I'd like to run this trauma—Copy !req
397. I promised Dale
he could run the next one.Copy !req
398. Jerry, page me in 10 minutes.Copy !req
399. These Kerley B lines.Copy !req
400. - What are you looking at?
- Pulmonary edema.Copy !req
401. - I'm hungry. You guys had lunch yet?
- We're going soon. Care to join?Copy !req
402. I really should go up now.
I've got some labs coming.Copy !req
403. - Well, Doc Magoo's?
- Why don't we do the lunch room?Copy !req
404. On October 10, 1994, Chloe was arrested
for drunk and disorderly conduct.Copy !req
405. At this time, she swore
she would seek treatment.Copy !req
406. Six months later she was arrested
for driving under the influence.Copy !req
407. Dr. Lewis, we are here
to explore the possibility...Copy !req
408. of you and your sister settling this
without the court's help.Copy !req
409. - I take it you're not interested.
- No, Your Honor.Copy !req
410. - And on the issue of visitation rights?
- I don't trust her.Copy !req
411. - Based on?
- Based on her history of drunkenness...Copy !req
412. addiction and false claims
of rehabilitation as outlined here.Copy !req
413. I have a copy. Chloe, is there
anything you'd like to say?Copy !req
414. Everything Susan said about me is true.Copy !req
415. But I've never stayed in rehab
more than a week before now.Copy !req
416. And you've been
free of alcohol and drugs for...?Copy !req
417. Five months.
Here are the urine test results.Copy !req
418. You've barely started taking
responsibility for yourself.Copy !req
419. How do you expect
to take responsibility for a child?Copy !req
420. I ask myself that a lot.Copy !req
421. But I am on the right track now.Copy !req
422. And I never, ever wanna go back
to who I was.Copy !req
423. And I feel that with the help of God
and my friends...Copy !req
424. and my family...Copy !req
425. that I can be
a good mother to my baby.Copy !req
426. And you've been employed as a claims
adjuster in Phoenix for four months.Copy !req
427. Yes, here are the affidavits.Copy !req
428. They're holding a job for me
and I got a job here.Copy !req
429. Could you step outside, please?
I want to speak to Dr. Lewis alone.Copy !req
430. I am going to allow your sister...Copy !req
431. three overnight visits a week,
starting tonight...Copy !req
432. pending resolution
of the adoption issue.Copy !req
433. And I'm telling you now that
if you proceed with a custody fight...Copy !req
434. you will lose.Copy !req
435. Chloe is the mother and, as far as I can
see, she presents no danger to her child.Copy !req
436. Given that, I want you to consider
the cost of proceeding.Copy !req
437. Not just financially, but in terms
of the disruption to your life...Copy !req
438. to Chloe's life and to the baby.Copy !req
439. We should've gone fishing.
We could be sitting on a pier...Copy !req
440. with our toes in the water,
drowning a couple of worms.Copy !req
441. Instead, here we are,
two urban casualties of the Button Man.Copy !req
442. My throat's fine, by the way.Copy !req
443. We're not raising our kids here.Copy !req
444. - We're not?
- No. Definitely not.Copy !req
445. Okay.Copy !req
446. - What happened here?
- Appendix ruptured. She's septic.Copy !req
447. I took a look at her chart.Copy !req
448. And Io and behold, you sent her home
without examining her.Copy !req
449. Nothing in the P.A.'s exam
suggested appendicitis.Copy !req
450. I disagree.Copy !req
451. Abdominal pain. Cramping. Fever.Copy !req
452. You should have laid hands on her,
that's what a surgeon does.Copy !req
453. You were quick to assign blame
when Doug made a mistake.Copy !req
454. But when your ass is on the line,
you hide behind excuses.Copy !req
455. If this hits the fan, don't expect your
colleagues to line up with support.Copy !req
456. Reap as you sow.Copy !req
457. - 7.43.
- I got it. You get it next time.Copy !req
458. Why don't you go ahead.Copy !req
459. Oh, damn it. Labs are up.Copy !req
460. - They can wait 10 minutes.
- Better not. You go ahead, I'll catch up.Copy !req
461. Your soup's gonna get cold.Copy !req
462. 16 years old, multiple lacerations,
bruises to face, chest and abdomen.Copy !req
463. Possible fractured left tib-fib
and facial fracture.Copy !req
464. Anybody seen Dale?
This guy sure pissed somebody off.Copy !req
465. - He got jumped out of a gang.
- Can I do something?Copy !req
466. - You wanna run it, run it.
- Airway?Copy !req
467. Patent. No tracheal deviation.
Bruises on chest and abdomen.Copy !req
468. No blood in the canal. Let's get
a C-spine, chest and head CT.Copy !req
469. Pupils?Copy !req
470. Round, equal and reactive.Copy !req
471. - What's your name?
- Virgil.Copy !req
472. - BP is down to 60.
- Carter?Copy !req
473. He's bleeding from somewhere.Copy !req
474. - Where?
- Good breath sounds.Copy !req
475. That clears the chest.
There are no marks on his back.Copy !req
476. - Must be the belly. Lavage kit!
- Lavage kit, please.Copy !req
477. Number 11 blade.Copy !req
478. - Ever done this?
- Not until today.Copy !req
479. Well, Mr. Carter, I see you're
finally getting a procedure.Copy !req
480. Okay, go.Copy !req
481. - Make sure you're into the peritoneum.
- I'm in. Hook up the saline.Copy !req
482. And extension tubing.Copy !req
483. Almost looks like he knows
what he's doing.Copy !req
484. - How is she?
- A little better.Copy !req
485. I put a catheter in her artery
to make it easier to draw blood.Copy !req
486. I don't see any other doctors
sitting by her bed all day.Copy !req
487. Thank you for taking care of my wife.Copy !req
488. Mr. Mendoza.Copy !req
489. When you asked earlier if the appendicitis
could have been caught...Copy !req
490. I didn't give you a full answer.Copy !req
491. I'm the doctor
who discharged your wife.Copy !req
492. If I'd examined her,
I probably would have caught it...Copy !req
493. but I didn't.Copy !req
494. I made a mistake.Copy !req
495. I'm sorry.Copy !req
496. - Nothing. No blood in the belly.
- BP's down to 40.Copy !req
497. - Where is the bleed?
- You check his back?Copy !req
498. Take a look.Copy !req
499. - It doesn't make any sense.
- Maybe a faulty pressure cuff?Copy !req
500. Colon's clear.Copy !req
501. - Spoke too soon.
- Must have blown a clot.Copy !req
502. - Where is that damn wound?
- What's that?Copy !req
503. That is a very small puncture wound.
Probably an ice pick.Copy !req
504. - Went right by me.
- Me too. Let's get this kid upstairs.Copy !req
505. Do you think he took it
in the kidney or renal artery?Copy !req
506. - Renal.
- Wanna come up and find out?Copy !req
507. Sure.Copy !req
508. - Nice catch.
- Thank you.Copy !req
509. - What's going on?
- Stumbled right into a trauma.Copy !req
510. Ice pick to the kidney.
We're taking him up now.Copy !req
511. Hi.Copy !req
512. - This is weird, isn't it?
- Yeah.Copy !req
513. - You haven't really met Joe yet.
- Hi, Susan.Copy !req
514. Hi, Joe. I brought extra diapers...Copy !req
515. and some baby Tylenol
in case she gets a fever.Copy !req
516. And Mr. B.
She can't go to sleep without him.Copy !req
517. - What's her bedtime routine?
- Well, a bath.Copy !req
518. And then we read two picture books.Copy !req
519. And a bottle while she's getting rocked.Copy !req
520. And usually I sing to her.
All right, I better go.Copy !req
521. - We were hoping you'd stay for dinner.
- No, I don't think so.Copy !req
522. Oh, please? I know little Susie
would want you to.Copy !req
523. She doesn't know who I am.Copy !req
524. Come on.Copy !req
525. First, let's review a relatively simple
trauma led by our own Mr. Carter.Copy !req
526. Note the uneven distribution
of personnel screen right.Copy !req
527. Everyone clumped together
like a herd of wildebeest...Copy !req
528. while the left side is underutilized.Copy !req
529. - How's it going?
- Very enlightening.Copy !req
530. Next, we'll see an example of poor
trauma hygiene. Observe Mr. Carter...Copy !req
531. wiping his nose with his gloved hand
just prior to grabbing the scalpel.Copy !req
532. Let's look one more time.Copy !req
533. The wipe and now the grab.Copy !req
534. One more time.Copy !req
535. Wipe and grab.Copy !req
536. Good. Now let's take a look
at a more organized trauma...Copy !req
537. led by Dale earlier in the day.Copy !req
538. - You wanna have dinner tonight?
- Love to.Copy !req
539. Are you saying that you've never
had sex with anyone but Jen?Copy !req
540. - That so unusual?
- In the 20th century?Copy !req
541. I may have gone too far back.Copy !req
542. What if she can't arouse me
or I can't please her?Copy !req
543. - The thought alone scares me to death.
- Well, you're right.Copy !req
544. Inga's not for you.Copy !req
545. Oh, my God!Copy !req
546. - Mrs. Mendoza's doing better.
- Yeah, I know.Copy !req
547. I spoke to her husband. He said
that you told him it was your fault.Copy !req
548. It was my fault.Copy !req
549. - Peter, do you hate me?
- No.Copy !req
550. You don't even look at me when
we talk. It's been like this all year.Copy !req
551. Look, I'm sorry that I hurt you,
but I thought by now we'd be past it.Copy !req
552. I am past it.Copy !req
553. Way past it.Copy !req
554. You have to admit it was funny.Copy !req
555. It was the most humiliating moment
of my life.Copy !req
556. - Dr. Ross, this came for you.
- Bad news?Copy !req
557. I've been denied a loan
from a company whose motto is:Copy !req
558. - "We lend money to anyone."
- There's always your dad's dough.Copy !req
559. - Yeah, then I'd have to thank him.
- Penance has its price.Copy !req
560. - Ready?
- As I'll ever be.Copy !req
561. - How's your appetite?
- Good.Copy !req
562. - Oh, thanks.
- It's strong.Copy !req
563. It's all right.Copy !req
564. I hate to bring up
the elephant in the room...Copy !req
565. but I think
you did a wonderful thing.Copy !req
566. You mean taking care of Susie?
I didn't have a choice.Copy !req
567. Even so, you gave Chloe a chance.Copy !req
568. When she first came to AA, she had
as low opinion of herself as anyone could.Copy !req
569. - But she wanted to get well.
- I thought you were a cop.Copy !req
570. I'm also a recovering alcoholic.
Nine years.Copy !req
571. The program frowns on old-timers like
me getting involved with newcomers.Copy !req
572. But we fell in love.
Won't get married for a while, though.Copy !req
573. - Not till Chloe gets her year cake.
- If she makes a year.Copy !req
574. - Weren't you going home to change?
- I did, but I changed my mind.Copy !req
575. - You don't wanna go.
- No.Copy !req
576. - I bought the tickets.
- Normally that would bother me.Copy !req
577. - Considering the occasion, I don't care.
- What occasion?Copy !req
578. - My dumping you.
- You're dumping me?Copy !req
579. - And I feel good about it.
- What's going on?Copy !req
580. - You know.
- No, I don't know. Get out of here.Copy !req
581. You lured Dale and me upstairs
so that you could do a procedure.Copy !req
582. - That's not true.
- Yeah, it is! You're a weasel!Copy !req
583. All that matters to you is making
suck-points with surgical Residents.Copy !req
584. - Let's go someplace and talk.
- No.Copy !req
585. - Harper, please.
- No, it's too late.Copy !req
586. I don't even know who you are anymore.Copy !req
587. - Hey.
- Are you ready?Copy !req
588. Almost. Where's Reilly?Copy !req
589. At Magoo's with that cute tech
he's after.Copy !req
590. - Boy doesn't waste much time.
- Yeah. Good luck.Copy !req
591. - Hey, doc, did you hear?
- No, what?Copy !req
592. That kid that saw his mom get shot
finally started talking.Copy !req
593. Turns out that the boyfriend was
slapping mom around, so the kid runs...Copy !req
594. gets a gun from the drawer.
He's gonna protect his mom, right?Copy !req
595. - Only he's not such a good aim.
- No.Copy !req
596. Yeah. Killed his own mother.Copy !req
597. Nice world, huh?Copy !req
598. I feel like I just plucked
the virtue of a virgin.Copy !req
599. I'm so glad you did.Copy !req
600. - Wanna do that again?
- I need a minute to recuperate.Copy !req
601. Okay. You let me know.Copy !req
602. Meantime, we can play back the tape...Copy !req
603. critique your technique.Copy !req
604. Relax, sweetie. I'm kidding.Copy !req
605. - You're awful quiet.
- I was just thinking about that kid.Copy !req
606. He will never get over what happened.Copy !req
607. He will be, for the rest of his life,
damaged goods.Copy !req
608. - Probably end up like the Button Man.
- No, he won't.Copy !req
609. Yes, he will.
He is a Button Man in the making.Copy !req
610. - What's going on here?
- Idiots.Copy !req
611. Unit 47 requesting police backup
at 46 and Hutchins.Copy !req
612. Couple of guys bonking each other
over the head—Copy !req
613. Hey!Copy !req
614. Jeez! What are you doing?
What's wrong with you?Copy !req
615. - Son of a bitch!
- Hey, Shep!Copy !req
616. Shep, get back here!
Shep, what are you doing?Copy !req
617. Shep! Stop!Copy !req
618. For God's sake, Shep! Stop it!Copy !req
619. Get off of me!Copy !req
620. - Hi.
- Hi, I'm looking for Ray.Copy !req
621. - He's not here.
- Okay.Copy !req
622. Oh, come on in.Copy !req
623. Okay.Copy !req
624. - I'm Karen.
- I'm Doug.Copy !req
625. - Can I get you something to drink, Doug?
- No, thank you.Copy !req
626. Do you have any idea
when Ray's gonna be back?Copy !req
627. - Not tonight.
- I'm his son.Copy !req
628. Oh, I know. I saw you the night
you came into the bar.Copy !req
629. That's right.
He said that you were his boss.Copy !req
630. Yeah. I try to remind him of that
every chance I get.Copy !req
631. - So are you his boss?
- Why don't you just ask me.Copy !req
632. - Ask you what?
- Do I sleep with your father?Copy !req
633. - Do you?
- I'm not going to answer that.Copy !req
634. I only say that because
it's unusual...Copy !req
635. that your boss would be living
in your apartment.Copy !req
636. - What's this?
- Scotch. Who said I lived here?Copy !req
637. What are you doing here?Copy !req
638. I'm staying here tonight.
What are you doing here?Copy !req
639. I have no idea.Copy !req
640. What's this?Copy !req
641. Names, dates, case numbers that
Dr. Vucelich dropped from his study.Copy !req
642. I'm going on record
to show that he's a fraud.Copy !req
643. - Why are you doing this, Peter?
- Like you said...Copy !req
644. it's easy to make excuses
for not doing the right thing.Copy !req
645. No more excuses.Copy !req
646. She takes four ounces
of milk at night...Copy !req
647. heated for 40 seconds at 50 percent.Copy !req
648. Okay. I'm so glad you stayed.Copy !req
649. I know everybody thinks you've changed,
and I hope to God that you have...Copy !req
650. but forgive me for not rejoicing just yet.Copy !req
651. Maybe I can't be objective because
I've been so angry at you for so long.Copy !req
652. Do you really think you can be
a good mother to this little girl?Copy !req
653. Yes. More than anything,
that's what I wanna be.Copy !req
654. Well, I can finish up in here.Copy !req
655. Thanks.Copy !req
656. I'm so glad Susie's got an aunt
that'll always be there...Copy !req
657. who's smart and a doctor.Copy !req
658. She's gonna give you good advice.
Yeah.Copy !req
659. Hey, you wanna say good night?Copy !req
660. Yeah. Good night, sweetie.Copy !req