ER 3x19

1. Hey, what's going on?

2. What are you doing?

3. I didn't know you were in here.

4. Do you mind?

5. I thought you were at rounds.

6. What time is it?

7. 6:35.

8. Oh... oh, God!

9. Anspaugh's going to kill me.

10. Where's my, uh...?

11. Give me my stethoscope.

12. Uh, here, take mine.

13. Did you brush your teeth?

14. Yes, Dad.

15. Did you floss?

16. Yes, Dad!

17. All right, I was just checking.

18. See, I told you I could make a good breakfast.

19. You're wearing your Brownie uniform.

20. It's Thursday.

21. Was I supposed to talk to your troop today?

22. I'm sorry, sweetheart.

23. I... I forgot to change my shift.

24. You promised.

25. I have to work today.

26. Can I do it next week?

27. I knew you'd forget.

28. Listen, I don't have to work Saturday.

29. How about we go to Six Flags...

30. Ride the roller coasters?

31. Dr. Edson, present the case.

32. The patient is fluid overloaded.

33. I gave her a Lasix sandwich

34. to reduce the ascites.

35. Dr. Carter,

36. how nice of you to join us.

37. What would you do with Mrs. Pritzker?

38. What's her problem?

39. As Dr. Edson has just finished saying,

40. she's fluid overloaded.

41. Well, I, uh, wouldn't give her anything to drink.

42. Let's continue our discussion

43. of diuresis, shall we?

44. Carter, what electrolyte imbalance can result

45. from giving Lasix?

46. Hypokalemia.

47. Where does Lasix affect the kidney?

48. At the loop of Henle.

49. Ascending or descending limb?

50. Ascending.

51. Where does Lasix

52. get its name?

53. I don't know.

54. It lasts six hours.

55. Ah.

56. Dr. Ryke, present the next

57. patient, please.

58. It looks like we've got...

59. Man, what did he have for breakfast?

60. Me.

61. Hey, Carol... hey! Good morning.

62. Says who?

63. Oh, guess I'm not going to ask how your day's going.

64. I got my MCAT results.

65. And?

66. I never should have taken the test.

67. I don't know what I was thinking, you know.

68. That you wanted to be a doctor?

69. Why didn't you talk me out of it?

70. How bad did you do?

71. I don't know, haven't opened it yet.

72. Are you nuts? You got to open the envelope.

73. No, I'm just not in the mood for any bad news.

74. Okay, I know, yeah.

75. I tell you what... I'll open that envelope.

76. Doug! Give it back!

77. Hey, does anybody have a letter opener here?

78. Come on, Doug... Doug, don't you dare.

79. Doug...

80. Good morning, Dr. Einstein.

81. Einstein?

82. Excuse me?

83. I guess we'll have to move fast

84. to beat out the other med schools.

85. What?

86. Your MCATs... I'm on the Admissions Committee.

87. They sent us your scores.

88. Now, look, don't consider the Ivy League

89. until you've taken a good look at our program.

90. We'll talk later... Maybe lunch, huh?

91. Oh, my God.

92. 85th percentile.

93. Oh, my God.

94. Looks like Carol Hathaway is going to medical school.

95. So you disappointed the Brownies.

96. I blew it... I forgot I had to work.

97. Tough being a doctor and a daddy.

98. That's what Jen used to say.

99. I rest my case.

100. Mark, I put you on the schedule for Saturday 7:00 to 7:00.

101. I can't... I've got plans with Rachel.

102. There's no one else.

103. Walters and Foster are on vacation.

104. At the same time?

105. Mark approved the schedule.

106. Can't you cover for me?

107. I've got the graveyard.

108. You blew it again.

109. Put the lancet in the pen.

110. Put your finger on this end and then push the trigger.

111. Okay, is this absolutely necessary?

112. Yeah, when you have gestational diabetes,

113. you need to test your blood four times a day.

114. Just get it over with.

115. Ow.

116. Okay, now, after you calibrate the machine,

117. then you put in a strip

118. and apply a drop of blood

119. and wait for a reading.

120. Slow down.

121. Now, a blood glucose of 120

122. is where you want to be.

123. 160 is too much.

124. Anything under 80 means you need to eat.

125. You want me to write that down?

126. No, no, no, no... I got it.

127. Okay... 210.

128. All right, you need a shot of insulin.

129. Where is it?

130. The nurse is bringing it.

131. She'll be here in an hour?

132. No, she's going to be here at 10:00.

133. Okay.

134. You'll be fine.

135. All right.

136. I got to go.

137. Already?

138. Yeah, I'm late for work.

139. Just go.

140. Hey, Carol, they need a puke cleanup in 3.

141. Why, thank you, Jerry.

142. Your puke-cleaning days are nearly over.

143. Reason enough to go to medical school.

144. Who's going to medical school?

145. Carol.

146. She hit a home run on her MCATs.

147. No kidding... congratulations.

148. Don't forget us when you're in the big house.

149. I haven't even applied yet.

150. Jerry, what are you doing?

151. I saw a mouse by the elevator...

152. soon to be deceased.

153. Sounds like Heidi.

154. Dr. Russell in the genetics lab

155. lost one of his gene-knockout founders.

156. His what?

157. A genetically-engineered mouse.

158. He said it's worth half a million bucks.

159. You're kidding.

160. No, there's a $5,000 reward.

161. Dead or alive?

162. Alive... Jerry, it's worthless if it's dead.

163. Carol, can you watch the phones?

164. It's not my job, Jerry.

165. Well, I'm on break.

166. Uh, no, no... doctors don't do phones.

167. How were rounds?

168. I got massacred.

169. Anspaugh?

170. Exiled me down here.

171. Ever since I second-guessed him,

172. he's been out to get me.

173. What are you doing?

174. I'm practicing laparoscopic maneuvers,

175. in case I ever get

176. back into surgery.

177. Cool... can I try?

178. Yeah.

179. Here.

180. Just put your hands through those graspers,

181. and you're just trying to stack the dice

182. one on top of the other.

183. This is tricky.

184. Wait till you try tying knots.

185. Carter... Benton needs you in Trauma 2.

186. Mind if I tag along?

187. No, be my guest.

188. Hold still, Mrs. Meeks.

189. Looks like you've got

190. a small fishbone down there.

191. Jerry, turn off the light.

192. I can't... I'm looking for Heidi.

193. We're the only ones in here.

194. Heidi's a mouse.

195. A mouse?

196. Yeah, a mutant mouse.

197. Jerry, we're in the middle of an exam.

198. There it is.

199. Ah, Heidi.

200. Don't be afraid.

201. Uncle Jerry won't hurt you.

202. Hey!

203. What'd you do that for?

204. There you go.

205. Open wide.

206. Hey, Doug, how much did you have to borrow for med school?

207. 110 grand.

208. Oh, my God.

209. Well, how long did it take you to pay it off?

210. Are you kidding? I'll be paying it off for 15 years.

211. I've got a sick kid here.

212. He was asleep in his crib.

213. I couldn't wake him up.

214. How long was he down?

215. Two minutes.

216. Couldn't get an I.V... Gave epi down the tube.

217. Excuse me.

218. Joel has a hypoplastic left heart.

219. They put a Blalock shunt in last month.

220. He was doing fine.

221. What's your name, ma'am?

222. Andrea Thompson.

223. One, two, three.

224. I'm Carol Hathaway; this is Dr. Ross.

225. Give me an armboard

226. and a 22-gauge Angiocath.

227. I'll start an I.V.

228. His surgeon's name is Dr. Luce;

229. his cardiologist is Ferris;

230. and his pediatrician is Vargas.

231. Hook up a 12-lead and get an echo.

232. He's on dig, Lasix and potassium.

233. Chuny, would you escort Mrs. Thompson out of here?

234. No, please, I want to stay.

235. Carol?

236. All right, but you stay back there.

237. We need to work.

238. I'm in.

239. Bolus 100 of saline.

240. Did he clot off his shunt?

241. He may have.

242. Blood gas kit.

243. What's that for?

244. Ma'am, I don't have time

245. to explain everything to you right now.

246. She shouldn't be in here.

247. It's her child.

248. Chuny, get this up to the lab.

249. Bullet missed the spine.

250. Renal artery is intact.

251. More four by fours... He's still bleeding.

252. Let's hang another unit of O-neg.

253. Dr. Benton, Carla Reese on the phone.

254. She says it's an emergency.

255. When I'm done.

256. Damn, this isn't working.

257. Where's the source?

258. Soft tissue arterials.

259. Lost the BP.

260. Third unit's in.

261. He's bleeding out.

262. Maggie, get me a Foley and some saline.

263. What are you going to do?

264. If I insert the Foley and inflate the balloon,

265. the pressure might stop the bleeding.

266. All right, do it.

267. Foley going in.

268. Inject the saline.

269. Coming right up.

270. Where did you learn this one, Carter...

271. Journal of Trauma?

272. People magazine.

273. Story about a little girl who got stuck in a well

274. trying to rescue her puppy.

275. Paramedic thought this up.

276. What happened to the puppy?

277. Don't ask.

278. He's coming around.

279. All right, let's get him back over.

280. I got a pulse.

281. All right, people, let's get him up to the OR.

282. Good work, Carter.

283. This the gunshot?

284. Yeah. We'll take it.

285. Can I scrub in? We've got it.

286. Actually, Carter figured out a way

287. to tamponade the bleed with a Foley.

288. He saved the guy's life.

289. Is that so?

290. Hold that elevator.

291. Edson, take his history and get him prepped.

292. Let's go.

293. Can't win them all, Carter.

294. Man, are you in the doghouse.

295. Got the blood gas.

296. 7.23, pO2 is 90.

297. Can't get a BP.

298. Lost his pulse.

299. What's wrong?

300. Chest tube, trays, tension pneumo.

301. What are you doing?

302. Carol, what's happening?

303. His lung collapsed.

304. Well, what is he doing?

305. He's putting in a chest tube.

306. Why are you cutting him?

307. Carol, poke a Kelly in here, will you?

308. I.V.'s infiltrated.

309. Have to do a femoral cutdown.

310. Will somebody tell me what the hell is going on here?

311. Cutdown tray, please.

312. Carol...?

313. Come with me, Mrs. Thompson.

314. I'll explain it.

315. No, I want to stay with my baby.

316. Not now... the doctor needs to work.

317. Come on.

318. We put a chest tube in to re-expand his lung,

319. and now Dr. Ross is giving Joel fluids

320. through a catheter in his leg.

321. When the doctor's done, can I come back?

322. Yes, but right now, it's best if you wait in here, okay?

323. If he gets sicker, come get me.

324. I don't want my baby to die alone.

325. I will.

326. Jerry, what are those things?

327. They're humane traps.

328. I borrowed them from the lab.

329. We're trying to trap a mouse.

330. Can you move them off the counter?

331. There's no place to work.

332. Why don't you just call an exterminator?

333. Because the mouse in question is worth a half a million bucks.

334. I got a hot one.

335. Uh, Brenda Smythe.

336. What's the problem?

337. Voilà.

338. My wife and I were out camping...

339. I needed to urinate and I found this old bucket.

340. Well, let's get Mrs. Smythe to a room.

341. Why didn't you go in the bushes?

342. That's irrelevant.

343. And you are?

344. Her husband, John Smythe.

345. And you are?

346. Mark Greene.

347. Is Joel all right?

348. His blood pressure's up and his vitals are good.

349. Is he conscious?

350. No, not yet.

351. I want to talk to the doctor.

352. He's doing an echocardiogram right now,

353. but he told me to tell you that he's given Joel fluids

354. and he expects him to regain consciousness anytime soon.

355. I want to be there when he wakes up.

356. He gets scared when I'm not there.

357. I'll come and get you

358. as soon as Dr. Ross finishes the test.

359. Okay?

360. Is there anything I can get you?

361. A cup of coffee,

362. something to eat maybe?

363. No.

364. Thank you, Carol.

365. Okay.

366. Why'd you let Edson steal your thunder?

367. It's not like I had a choice.

368. You made the save.

369. When Anspaugh gives an order,

370. you smile and nod your head.

371. Man, you couldn't pay me enough to be a surgeon.

372. Ah, it's not that bad.

373. Too cutthroat.

374. Besides, they're all jerks.

375. No offense intended.

376. None taken.

377. Could you get me some crutches?

378. I think I saw some in the hall.

379. Sure.

380. Carla, I can't just take off.

381. Can't you call another nurse?

382. Yeah...

383. Okay, okay, look, just calm down.

384. All right, all right, I'll be there.

385. I'll pick up some insulin.

386. I'm on my way... damn it!

387. Everything all right?

388. Listen, I got to go.

389. Go?

390. Yeah, if you have any problems,

391. check with Greene or Weaver.

392. And do me a favor... go upstairs and check on my post-ops.

393. I'll be back in an hour.

394. Ow!

395. I'm sorry, Mrs. Smythe.

396. It seems to be really stuck.

397. Must have created a vacuum.

398. What do you intend to do about it?

399. I'm thinking, thinking.

400. Maybe we could grease up a Foley,

401. slide it in to break the suction?

402. I need a church key.

403. What? A can opener.

404. Maybe the kitchen has one.

405. Um, Miss Wilkerson has a Swiss army knife.

406. I thought you said her name was Smythe.

407. Pet name.

408. Ah.

409. Ah!

410. Here's your bucket, Mr. Smythe.

411. Thank you, Doctor.

412. Carter? What?

413. It's Gunderson, the gunshot.

414. You admitted him through ER, right?

415. Yep.

416. He's tachycardic, BP's down to 60 palp.

417. Any surgical complications?

418. No, he was doing fine,

419. and then he started gasping.

420. What's he on?

421. Morphine and Ancef.

422. His tongue is swollen.

423. What's going on?

424. Looks like an allergic reaction.

425. Where's Edson?

426. In surgery with Anspaugh.

427. Okay, let's give epi... Three mils of one in 10,000 I.V.

428. Give me a trach kit... he's in respiratory arrest!

429. Betadine!

430. Needle.

431. Introducer.

432. Sat's falling.

433. I'm in... hook him up.

434. Pull Edson out of surgery.

435. I want to talk to him now.

436. BP's up to 80.

437. Hey, look, the little guy's waking up.

438. Hi, Joel.

439. Don't be afraid, your mommy's right outside.

440. He's still got a few PVCs.

441. Let's give him another ten of procainamide.

442. Can we bring the mother back in?

443. I told her I'd get her.

444. Wait a few minutes till the procainamide kicks in.

445. Carol, I got a great case for you.

446. Pseudocyst with acute pancreatitis.

447. I can't... I've got to push some meds.

448. Let the nurses do that.

449. Yeah, let us lifers push meds.

450. You go play doctor.

451. It's okay... Go ahead, he's doing fine.

452. All right, as soon as he's stable,

453. bring the mom in.

454. You got it.

455. Wait till you see this.

456. She has the biggest pseudocyst

457. I've ever appreciated.

458. Now, they told me they were going to send

459. another nurse at 4:00,

460. but I didn't think that I should wait that long.

461. No, no, you did the right thing by calling me.

462. Okay, and I'm sorry that you had to leave work.

463. It's okay... come on.

464. Okay, now, pull your robe back.

465. I have to inject this in your thigh.

466. Okay.

467. How often do I have to do this?

468. Twice a day.

469. Okay, now, are you watching?

470. Mm-hmm.

471. All right, now, just stick the needle in... and push.

472. There you go.

473. I hate that push part.

474. Now, do you think

475. you can do this by yourself next time?

476. Why?

477. Are you going back to the hospital?

478. Yeah, I got to get back to work.

479. Make sure you eat something in a couple of hours.

480. You don't want your blood sugar getting too low.

481. Oh, gosh.

482. I'm going to have to go to the grocery store.

483. No, no, what are you doing?

484. You're not supposed to be on your feet.

485. What else am I supposed to do?

486. What about your sister?

487. Her little one has got strep.

488. It doesn't matter, it doesn't matter.

489. I can be down there and back in 15 minutes.

490. No, um...

491. I'll do it.

492. Peter, no... You go back to work, please.

493. Go back to work.

494. Carla, I said I'll do it.

495. Never mind if you're going to get snippy about it.

496. Who you calling?

497. Uh... yeah,

498. this is Dr. Benton.

499. Listen, uh, tell Anspaugh that I had a family emergency.

500. I'm taking a personal day.

501. No, no, no, I don't need to speak to him.

502. Just, uh, just give him the message, please.

503. Thank you.

504. What happened?

505. Anaphylaxis.

506. He almost died.

507. What did you give him post-op?

508. Uh, Ancef.

509. He's allergic to it.

510. What?

511. He's allergic to the antibiotic you gave him.

512. Didn't you take a history?

513. I thought you took one.

514. Don't give me that crap.

515. Anspaugh told you to do it.

516. Oh, I took a full history.

517. Patient never mentioned any allergies.

518. Then why is this space under "allergies" blank?

519. You better think up an answer, Dr. Edson.

520. Anspaugh's going to want one.

521. Ow!

522. Just a little bit further.

523. There we go.

524. Oh, ah.

525. All right.

526. We have an excellent faculty, Carol...

527. Two Nobel laureates,

528. and I'd say you can't beat our attendings.

529. What are the primary causes of acute pancreatitis?

530. Oh, Kerry, I... uh...

531. you're putting me on the spot here.

532. Well, if you're going to be a med student,

533. you better get used to it.

534. Um... alcohol and gallstones?

535. Excellent.

536. Now, you try.

537. Go on.

538. You feel the pseudocyst?

539. I'm not sure.

540. Sorry. Ow!

541. Use both hands and press hard.

542. Ow!

543. Sorry, sorry.

544. No, like this.

545. Ow!

546. Sorry.

547. You feel the cyst?

548. Yeah, I think so.

549. Order two more units

550. of blood for the kid in Trauma 1!

551. Excuse me, Kerry.

552. But wait... I want to teach you

553. how to do an ultrasound.

554. Sats are falling.

555. Oh, my God.

556. He thrombosed his shunt.

557. I'm trying to repair the graft.

558. Lost the rhythm.

559. How long has he been down?

560. About ten minutes.

561. Why didn't you get his mother?

562. Doc said not to. I'm getting her.

563. No, I don't want her here.

564. Doug, I promised.

565. Carol, I've got this boy's heart in my hands.

566. I cannot have her in here over my shoulder.

567. I'm getting her.

568. Is Joel awake?

569. Come quick.

570. What happened?

571. Joel had a blood clot in his shunt.

572. It sent him into cardiac arrest.

573. The doctor had to cut open his chest.

574. Oh, my God!

575. Andrea, it's really bloody in there.

576. Are you sure you want to see this?

577. Okay, come on.

578. Time of death?

579. 11:52.

580. Oh! Oh, my God!

581. Oh, my God!

582. Oh, my God!

583. I thought he was going to make it.

584. Oh, I feel awful.

585. I promised the mother I wouldn't let him die alone.

586. There was no way of knowing he'd go so fast.

587. Yeah, but I should have been there.

588. Instead, I was off with Kerry appreciating a cyst.

589. Dr. Ross, a kid with a fever in 5.

590. All right, you want to do this?

591. Um... no, I'm not done yet.

592. Andrea, I'm so sorry.

593. I called the mortuary.

594. They're on their way.

595. What am I going to do with all his clothes?

596. I can give them to my sister.

597. Would you like to see him?

598. Hold him one last time?

599. The doctor closed his wound.

600. I have to make a call.

601. The call can wait.

602. Andrea, I know this is hard,

603. but I've learned that parents need to say good-bye.

604. Come on.

605. Don't worry, Mr. McCollum,

606. I'll have you stitched up in no time.

607. Leg hurts like hell.

608. I'll get you some lidocaine.

609. Hey, what kind of dump is this?

610. There's a rat.

611. That's Jerry's mouse.

612. Tomorrow, I'm bringing in my cat.

613. Board of Health ought to close this place down.

614. I sure could use the time off.

615. What's wrong? My foot.

616. Are you all right?

617. Damn it, it's one of Jerry's

618. stupid traps!

619. Wendy, grab hold.

620. On my count... one, two, three.

621. It... it's not coming.

622. Where are the wire cutters?

623. In the suture room.

624. Tell Jerry to get these things out of here

625. before I kill him.

626. Where's Benton?

627. He was supposed to be back hours ago.

628. I heard he took a personal day.

629. Dr. Benton?

630. Carter...

631. Dale alerted me

632. that Mr. Gunderson had a crisis earlier.

633. I'm glad he told you.

634. Anyone have his chart?

635. Yeah, right here.

636. Hmm...

637. A nasty little

638. anaphylactic reaction.

639. That's right.

640. You think it was caused by...?

641. The antibiotic given post-operatively... Ancef.

642. Doesn't look like

643. there's anything

644. we could have done.

645. Excuse me?

646. Patient states

647. "No known drug allergies."

648. That your handwriting, Edson?

649. Uh, yes, sir.

650. Can I take a look at the chart?

651. Certainly.

652. A proper, thorough history...

653. Best defense

654. against malpractice.

655. Good work.

656. I thought this would be more comfortable.

657. Thank you.

658. Do you want to hold him?

659. You take all the time you need.

660. You're back.

661. Um, he... he got a... a button stuck up his nose.

662. Well, that's pretty unusual.

663. How'd it get there?

664. I was, you know, just wiping my nose on my cuff,

665. and I felt an urge to sneeze,

666. and I inhaled the button.

667. The button is still on his cuff.

668. He changed his shirt.

669. Perhaps an ear, nose and throat specialist is in order?

670. Perhaps not.

671. Why don't you lie back, Mr. Smythe.

672. W... what are you doing, Doctor?

673. I want you to hold

674. the unblocked nostril closed

675. while I put this mask over your mouth.

676. Don't worry... It's not going to hurt.

677. Haleh, can you hold

678. the basin under his chin?

679. All right, just relax.

680. Oh.

681. Very impressive.

682. Uh... may I... may I keep the button?

683. Sure.

684. You sit tight while I get your discharge papers.

685. Can you get a Psych consult down here

686. before they hurt themselves?

687. Amen.

688. I'd go with the turkey tetrazzini.

689. Hey, Jackie, how you doing?

690. What are you doing here?

691. I'm shopping... What does it look like?

692. In the middle of the afternoon?

693. I took today off.

694. In your scrubs?

695. Peter, you never take a day off.

696. Well, actually, I had to leave.

697. Carla needed me.

698. Is she all right?

699. Yeah, yeah, she just needs to stay off her feet.

700. Ooh, boy, are you in trouble.

701. What? It's just for today.

702. Her sister couldn't make it.

703. Yeah, you may think it's just for today,

704. but a pregnant woman needs a lot of help.

705. When I was pregnant with Steven,

706. I had Walt cooking and doing the laundry.

707. Jackie, it's crazy, I'm telling you.

708. I mean, it's like she's a different woman.

709. It's just the hormones, honey.

710. You know, one time...

711. Walt switched the channel in the middle of Oprah.

712. I chased him out of the house

713. with a croquet mallet.

714. Yeah, well, I'm losing it.

715. I'm so proud of you, Peter,

716. taking the day off to help her out like this.

717. Will you be able

718. to take off more time from the hospital?

719. I don't know.

720. I hadn't thought about that.

721. Well, start thinking.

722. Who's Carla going to depend on

723. if you're not around?

724. Yeah.

725. Come on.

726. Let's go down to the baby section.

727. You've got a lot to learn.

728. Looks like he got it with an ice pick.

729. I'll get him undressed.

730. Carol, let Chuny do that.

731. No, I got it.

732. No, I want you

733. to assess the patient.

734. Start with the ABCs, Dr. Hathaway.

735. His airway is patent.

736. His breathing shallow, appearance dusky.

737. I'll get the intubation tray.

738. Chuny can do it.

739. You're going to intubate.

740. Okay, Carol, take a deep breath and hold it.

741. If you run out of breath, you're taking too long.

742. Enter laterally,

743. sweeping the tongue out of the way.

744. Don't rock back, you'll break his teeth.

745. Can you see the epiglottis?

746. Mm-hmm.

747. Good.

748. Okay, now visualize the cords.

749. Can you see them?

750. Pulse ox is falling... 89.

751. You're doing great, Carol.

752. Make sure you lift the scope

753. 45 degrees.

754. Good job.

755. Let's get him to X ray.

756. Wow, looks like Kerry got a new pet.

757. Stop it, Chuny.

758. You actually saw her

759. jam the button up his nose?

760. And before that, she had a bucket stuck on her butt.

761. What do you think's wrong with them?

762. Sounds like they're nuts.

763. Button extraction response time?

764. Um, 7.5 minutes.

765. Mr. and Mrs. Smythe, this is Dr. Pomerantz.

766. Psychiatric consult, I presume?

767. Yes.

768. Well, we've been expecting you.

769. As you no doubt have ascertained,

770. uh, Brenda and I are not what we appear to be.

771. What are you?

772. John Smythe and Brenda Wilkerson...

773. Um, clinical researchers.

774. We're conducting a study on creative problem-solving

775. in emergency departments,

776. and we found that foreign body extractions

777. elicited the greatest range of responses.

778. Yes, and I must say, Dr. Greene,

779. you came up with the most innovative solutions

780. we've ever seen.

781. Over at Mercy,

782. the button in the nose took five hours

783. and two consults.

784. Wait a minute... They wanted to operate.

785. Just who is sponsoring this study?

786. Uh, an independent consortium of health care professionals

787. and, uh... those in government.

788. The highest levels of government.

789. No promises,

790. but, uh, you might be contacted by... HRC.

791. Hillary.

792. Oh...

793. Oh, well... if she ever gets

794. her ass stuck in a bucket, she'll know who to call.

795. Well, I'll tell her you said so.

796. Okay.

797. What are you doing down here?

798. Hiding.

799. Me, too.

800. You're a smoker!

801. A secret smoker.

802. Don't tell anyone.

803. So who died?

804. What?

805. Why the long face?

806. Edson falsified a chart to cover his ass.

807. You're kidding.

808. Forgot to take a patient history.

809. Patient almost died from an allergic reaction.

810. Anspaugh must have roasted his butt for that.

811. I didn't tell him.

812. You didn't?

813. Would you have?

814. Hell, yeah.

815. I mean, changing a chart is unethical,

816. not to mention illegal.

817. Surgeons don't rat on each other.

818. You know, it's like the marines...

819. "All for one, and one for all."

820. That's the Three Musketeers.

821. You know what I mean.

822. No, you got to be... you got to be a team player.

823. Anspaugh gave me that lecture last week.

824. I think you're scared.

825. Well, we'll be in touch.

826. Bye, Super Doc.

827. Bye. Bye.

828. What a couple of kooks.

829. They can make you famous.

830. Please.

831. What... you could be known at "the highest levels"

832. as the most innovative doctor in the country.

833. Tell that to my daughter.

834. What'd you do now?

835. I stood up her Brownie troop.

836. Yikes.

837. I just can't seem to get it together.

838. You mean to tell me

839. that "super doc" can't figure out a way

840. to keep his Brownie commitments?

841. Carol, we've got an intoxicated gentleman

842. who needs an NG tube.

843. You interested?

844. Wait, wait.

845. You can't go in there.

846. Why not? There's a free bed.

847. This woman needs to be alone.

848. Her child died today.

849. Your compassion is admirable, Carol, but we've got

850. a board full of patients we can save.

851. We need to put them somewhere.

852. Treat the drunk in the hall.

853. The drunk is a patient, too.

854. You've done it before, Kerry.

855. When there were no beds available.

856. Well, there aren't any beds now.

857. Carol, if you're going to be a med student,

858. you've got to stop thinking like a nurse.

859. Well, I'm not a med student yet.

860. CBC chem seven.

861. Type and cross for four.

862. Hey, Maggie.

863. Is this the surgical belly?

864. Yeah, but I already called upstairs.

865. I didn't know you were down here.

866. Might as well get started.

867. What's the story?

868. Painter fell off his scaffold,

869. did a 20-foot belly flop

870. onto a Volvo.

871. They say Volvos are the safest cars.

872. All right, Edson, start a central line.

873. Carter, do a peritoneal lavage.

874. I'll get the DPL kit.

875. Carter...

876. what are the criteria

877. for a positive diagnostic peritoneal lavage?

878. Red blood cell count greater than 100,000,

879. white blood cell count greater than 500.

880. And if you can read a newspaper

881. through the fluid, it's negative.

882. I love those little pearls.

883. So, Dale, weren't you going to give Dr. Anspaugh

884. some new information about Mr. Gunderson?

885. John filled me in.

886. What? The patient with the allergic reaction?

887. Is there more to it?

888. Uh, as a matter of fact,

889. I called Mr. Gunderson's mother

890. and briefed her on the situation,

891. and she'll be flying in from Louisville.

892. Good... looking after the patient's

893. emotional state.

894. Is that it?

895. That's it.

896. Really? John said there was more.

897. Something I should know about?

898. Um...

899. No.

900. DPL is positive.

901. I'm in.

902. All right, let's get him up to surgery.

903. Edson, we'll start with an ex-lap.

904. If he needs a splenectomy,

905. you'll do it.

906. Let's move him.

907. Well, you sure told him.

908. Liar, liar, pants on fire.

909. Save it.

910. So they teach forgery at Harvard?

911. Go to hell.

912. What'd you say?

913. Look, John, all I did was make an adjustment to a chart.

914. Is that such a big deal?

915. I don't know, why don't you

916. run it by Anspaugh, see what he thinks?

917. I can't do that.

918. Sure you can.

919. Look, if this goes on my record,

920. my chances for a fellowship are zilch.

921. You going to make me tell him?

922. John...

923. please.

924. I'll do anything you want.

925. I'll put in a good word with Anspaugh,

926. anything.

927. Look, I'll make it up to you.

928. I don't want to have anything to do with you.

929. If you ever try anything like this again,

930. I'll bury you.

931. That's a promise.

932. These are resuscitation paddles.

933. If someone's heart stops beating normally

934. or has a strange rhythm,

935. we zap them with a surge of electricity

936. to get it going, like...

937. It's kind of like Frankenstein.

938. Mark, got an MVA coming in.

939. Kerry's got it, but we need the room.

940. All right, who wants to go look at blood cells

941. under the microscope?

942. I do!

943. All right, let's go to the lab.

944. Thanks, Dad.

945. Very creative.

946. So I've been told.

947. How would you like to go out

948. with the most innovative doctor in the world?

949. I would be honored.

950. You like bowling?

951. "Like" may be too strong a word.

952. I got to take Rachel.

953. Maybe Emma could come, too.

954. Oh, it's that kind of date.

955. Well, that's the best I can do.

956. Guess I'll just have

957. to dust off my bowling shoes.

958. You own bowling shoes?

959. There's all sorts of things

960. you don't know about me, Doctor.

961. Thank you, Carol, for letting me

962. have this time with my baby.

963. Is there someone I can call?

964. My sister's on her way.

965. I used to say this prayer with Joel every night:

966. "Now I lay me down to sleep,

967. "I pray the Lord my soul to keep.

968. "If I should die before I wake,

969. I pray the Lord my soul to take."

970. Oh...

971. You think I'm a coward?

972. Who am I to say?

973. I'm not a surgeon.

974. You guys got your own rules.

975. Maybe that's just a load of crap and I'm hiding behind it.

976. I don't know what to do.

977. Maybe you should talk to another surgeon.

978. Yeah, right.

979. They're all so empathetic.

980. There's got to be somebody whose judgment you trust.

981. You think I should talk to Benton?

982. I would.

983. How about a Heinie?

984. Beer?

985. I keep a couple in the back for when I get off work.

986. You know... you're great.

987. So are you.

988. Seriously.

989. I mean, you're honest...

990. you're funny...

991. you're beautiful.

992. I don't suppose that you...

993. Not a chance.

994. Cheers.

995. Cheers.

996. These things cost 60 bucks apiece.

997. Who's going to pay for this?

998. Take it out of your reward.

999. No trap, no mouse, no reward.

1000. He's under there.

1001. She's under there?

1002. Oh, no!

1003. You killed her.

1004. I didn't mean to.

1005. She's still breathing.

1006. She is?

1007. How much is that reward?

1008. Five grand.

1009. Wendy, get a pediatric O2 mask...

1010. The smallest you can find...

1011. And five cc's of Dopram.

1012. And hurry!

1013. Jerry, start mouth-to-mouth resuscitation.

1014. You're kidding.

1015. I worked for a vet in high school.

1016. I saw a resuscitated guinea pig.

1017. I'm not breathing in a rat's mouth.

1018. All right, I will, but we're splitting the reward.

1019. Hook the mask up to five liters O2.

1020. She moved!

1021. I think she's going to be all right.

1022. I'll just take her back up to the lab.

1023. Nothing doing.

1024. Give me the rat.

1025. I'm taking her back

1026. and collecting our reward.

1027. Well, 50-50, right?

1028. Wrong, I'll give you ten percent

1029. for being in the room

1030. while we resuscitated her.

1031. Take it or leave it.

1032. Damn it!

1033. I'm heading out.

1034. Is Dr. Benton coming in tomorrow?

1035. Yes, he asked for his surgery schedule

1036. and copies of his patients' charts.

1037. We're sending them over by messenger.

1038. Is this them?

1039. Yep.

1040. Hmm, must have moved.

1041. Tell you what... Cancel your messenger.

1042. I'll take these to him myself.

1043. I have to talk to him anyway.

1044. Lily, are you up for Crockett's after work?

1045. It's nurses' night.

1046. Sure, I'm in. Me, too.

1047. Chuny, how about you?

1048. Be there or be square.

1049. Hey, I hear you intubated a guy like a pro today.

1050. Oh, yeah.

1051. Kerry's been trying to show me things all day long.

1052. Made me feel just like a beginner.

1053. You know, the truth is

1054. I'm really, really good at my job.

1055. So why do I want to change that?

1056. Watch me, Mom.

1057. Yes.

1058. Good try, honey.

1059. What's the score?

1060. That would be 2-1 still.

1061. Oh, we could be here all night.

1062. Did you get all your paperwork done?

1063. Uh, I am going to be up late tonight,

1064. but I can access my patient reports on-line, so...

1065. figured it's worth it.

1066. Easy, easy, honey.

1067. Yikes.

1068. So, think they're getting along okay?

1069. Uh-huh.

1070. I think there's something there.

1071. Yeah?

1072. I thought maybe we should do this more often.

1073. Next time without kids.

1074. You read my mind.

1075. That's my job.

1076. Dad!

1077. I got one!

1078. That is great.

1079. That is really great.

1080. There we go... it's 2-2.

1081. One plate of spaghetti marinara al dente.

1082. Yes.

1083. Just one plate?

1084. Yeah... hospital is sending over some charts,

1085. so I got to, uh... go home

1086. and prepare for tomorrow's cases.

1087. Why don't you do it here?

1088. I don't have my books.

1089. Well, I'm going to need another shot in an hour.

1090. Yeah, that's why I taught you how to do it.

1091. Fine.

1092. Just go home.

1093. Look, Carla...

1094. um...

1095. Honey, I can't be here all the time.

1096. You said you wanted to be involved.

1097. I am.

1098. Sure.

1099. On your terms, as always.

1100. You ever think

1101. about what I need, what I want?

1102. You never asked me what I want.

1103. What is that supposed to mean?

1104. Nothing, baby.

1105. Look, just drop it.

1106. Uh-uh.

1107. You never wanted this baby.

1108. What are you talking about? I didn't say that.

1109. That's what you meant.

1110. Just go home, because I don't need you here

1111. doing me no damn favors.

1112. What?

1113. Hey, Carla.

1114. It's for you.

1115. Carter, what are you doing here?

1116. I just came to drop these by.

1117. Oh, thank you.

1118. Good night, Carter.

1119. Three in the corner.

1120. All right.

1121. Hey, girl, didn't expect to see you here.

1122. It's nurses' night out, right?

1123. I thought Weaver was already fitting you

1124. for a lab coat.

1125. Yeah, well, white adds ten pounds.

1126. I think I'll stick to pink.

1127. You having second thoughts about med school?

1128. Well, let's just say I really like what I do.

1129. Another round?

1130. You bet.

1131. I'll get it.

1132. All right!

1133. You want to play?

1134. Sure.

1135. Come on, girl.

1136. It's a quarter a ball.

1137. I think I can handle that.

1138. Go for it.

1139. All right.

1140. What am I, stripes?

1141. Solid.

1142. Two in the corner.

1143. All right.

1144. Hey, all right!

1145. Whoo-hoo!