ER 3x20

1. Oh, my.

2. On the dance floor again.

3. Thank you, Bubbles.

4. Should I try a one?

5. Nope. Use a three.

6. You got more control.

7. What did you get on the last hole...

8. Six, five?

9. Uh, six.

10. Take a five.

11. Use your Mulligan.

12. That was six with my Mulligan.

13. You know what you got to do?

14. You got to go to the driving range

15. with me more often.

16. You don't have to carpool on Tuesdays, right?

17. You know, I think a car full of screaming eight-year-olds

18. arguing over who's got shotgun

19. is less aggravating than this.

20. Okay, hang on. Wait.

21. Straighten up your back like that.

22. Keep your head down.

23. I'll watch the ball.

24. Okay.

25. You're in the fairway.

26. It's the wrong fairway, but you're in the fairway.

27. I think it's this whole doctor-golf cliché

28. that's really throwing me.

29. Well, you can't fight it.

30. You got to play nine holes twice a week

31. and then 18 on the weekends.

32. You'll be shooting in the low 80s by Labor Day.

33. Dr. Benton, I see you have

34. a thymectomy scheduled.

35. Would you mind if I gave it to Dr. Levin?

36. Uh... yes, I would.

37. Because Drs. Fecteau and Loesch are looking

38. for a resident to assist them.

39. On a transplant?

40. 35-year-old with lupus.

41. Her brother is giving her a kidney.

42. I thought you'd like the opportunity.

43. Oh, yes, yes, I... I would.

44. Dr. Carter can still

45. scrub in on the thymectomy.

46. Sure.

47. Unless, of course, uh...

48. the transplant team could also use Dr. Carter.

49. Perhaps Dr. Carter

50. could assist the donor's team.

51. I'll ask.

52. Dr. Benton, thanks.

53. It means a lot to me that you...

54. Carter, I'll see you up there, okay?

55. Jeanie...

56. Jeanie, it's after 7:00.

57. Oh, my God.

58. Didn't my alarm ring?

59. Every ten minutes for the last hour.

60. My 7:00...

61. Pills. Yeah.

62. That's why I woke you.

63. I can't believe I overslept.

64. Here's some juice and toast

65. to take with it.

66. You take AZT first, right?

67. Yeah. Then I can take my nine o'clocks

68. on an empty stomach.

69. Thanks for letting me stay...

70. and for not asking why.

71. Sure.

72. I didn't want to be alone,

73. but I didn't feel right calling anyone else.

74. I'm glad you called.

75. Minor meltdown, you know.

76. I was doing great, and then out of the blue,

77. it snuck up on me.

78. Yeah, I forget sometimes

79. for a couple of hours,

80. and then I remember.

81. What's that?

82. They're playing around with my meds.

83. The good news is, if I start the day with this stuff,

84. then I can work in my Oreos at bedtime.

85. You still haven't outgrown that Oreo thing?

86. Hell, no.

87. Why are they adding

88. to your meds?

89. Is your viral load up?

90. I'm fine.

91. I got to be on the job in about an hour.

92. You want to walk to the El together?

93. Al, how are you doing?

94. You know, it seems I'm resistant to something or other.

95. What about some of those new drugs...

96. The nucleoside analogs?

97. Yeah, my docs are trying to get me

98. into a trial study for those,

99. but they only take 20 people.

100. Why didn't you tell me?

101. It's not your problem.

102. Well, I might be able to help.

103. I do know some doctors.

104. I didn't want to bother you.

105. I could probably get you an interview.

106. Where's the study?

107. At County.

108. Some docs who work in, uh... Infectious Disease

109. are running it.

110. It's a hassle.

111. No, no. It's, um...

112. it's a simple request.

113. Are you sure?

114. No problem.

115. I told you.

116. "She reached to hang his banana bag,

117. "her breasts swelling under the pink of her uniform.

118. "'Carly.' His voice was hoarse with desire.

119. 'Call me Nurse... Hallonan'"?

120. Carly Hallonan... That's you, girl.

121. No, you got to read the part

122. about the gentle giant at the Admit desk.

123. You didn't mind he was Neanderthal?

124. More brawn than brains... He's a dude.

125. Who wrote this trash?

126. It had to be Randi. I found it under the desk.

127. Or maybe it was Lydia.

128. She had a poem in Good Housekeeping once.

129. No, it was definitely written by a woman.

130. No man thinks like this.

131. Wait. Listen to this:

132. "Witchcraft attracted her as a child

133. "when Zulu tribesmen on her father's game preserve

134. tried sorcery to heal her shriveled leg."

135. Weaver's in it?

136. Oh, man, you're cruel.

137. "Now she aimed her spells at fellow attending Martin Bean.

138. "She nightly stirred

139. "and whispered in a frenzy of jealousy

140. and, yes, perhaps a perverted yearning"?

141. Yikes.

142. You know what?

143. We should be careful with this.

144. Yeah, people's feelings could get hurt.

145. So, how many copies should I make?

146. Yeah, a lot.

147. That LOL in curtain one's still waiting.

148. I'll get it.

149. Water cannot wash away prophecy.

150. Still, we'll start with a shower.

151. Those who minister to the anointed

152. must shun the flesh of pigs,

153. refuse the carnal touch of any man.

154. No meat, no men... I'm your woman.

155. And all we know will crumble unto dust

156. and the face...

157. Did you call Psych?

158. They're on their way.

159. You shouldn't play into their delusions.

160. I was telling the truth.

161. The world is delusion,

162. and truth shall rain upon thee with fists of thunder!

163. Okay, let's go take a bath.

164. Rejoice, lost man.

165. Chaos is your destiny.

166. I am the prophet...

167. Carol, I'll be in curtain area one.

168. Okay.

169. Good.

170. I thought I was late.

171. You are.

172. Dr. Coburn's later.

173. Oh.

174. So, how you doing?

175. I'm glad to be out of the house.

176. Yeah, I know.

177. How was the cab ride?

178. You know, I would have picked you up.

179. The cab ride was fine; I'm fine, Peter, I'm fine.

180. The Lamaze class... You were able to reschedule it?

181. I did, but I'm not going to need you to be there.

182. You're fired.

183. What are you talking about?

184. Peter, I cannot work with you.

185. The way you bark orders at me?

186. "20 seconds! Blow!"

187. Uh-uh. Please.

188. Nah. No, no, no, no, no.

189. You're going to scare this baby.

190. He's not going to want to come out.

191. Carla, look, I didn't make up the drills.

192. Well, I'm planning on a birth, not a military maneuver.

193. Folks, I'm sorry, but Dr. Coburn's

194. been called into another delivery.

195. She's going to be delayed

196. at least another hour.

197. Oh, damn!

198. Peter, it's okay.

199. I know you're working.

200. Yeah, but I wanted to ask her

201. about your iron supplement.

202. Go save a life.

203. Okay.

204. Um... I'll call you later, okay?

205. Are you kidding? Look at all the typos.

206. You think I'd put out something so sloppy?

207. Sorry.

208. I'm going to Rachel's school for a conference.

209. I'll be back...

210. It's only in a couple inches of water.

211. So he puts on his waders...

212. But you're still sitting sweet?

213. Oh, yeah, two under after 15.

214. Is Doug's fellowship in question again?

215. No, he's just angling an invite

216. to play golf at Fair Oaks.

217. Anspaugh's a member there.

218. Dr. Ross has gone to the dark side.

219. Help! I need help.

220. I'm looking for the Emergency Room.

221. You found it.

222. My daughter's leg was cut with a saw.

223. She's bleeding a lot.

224. I'm Dr. Greene.

225. Why don't you come this way?

226. Call Doyle. Have her meet us in Trauma 1.

227. I thought you were leaving.

228. I am soon.

229. It's not that bad, Daddy.

230. This is why girls shouldn't take Shop.

231. But it was Jim Rentschler who did it.

232. I'm going to take a look at it.

233. Jeanie, I got your message.

234. You didn't need to come down.

235. It's my pleasure. I called last night.

236. You didn't pick up.

237. I got in late.

238. I need to ask a favor.

239. Shoot.

240. Dr. Kramer in the AIDS Clinic

241. is doing a trial study of nucleoside analogs.

242. Are they still looking for subjects?

243. Jeanie, are you having trouble with your meds?

244. No. I'm fine... Knock wood.

245. That's a relief. Want to have dinner tonight?

246. I can't.

247. You'll tell me if I should stop asking.

248. Yeah. I have someone I'd like to recommend for the trial.

249. I'll make sure any patient you recommend

250. gets an interview,

251. and I'll flag their file if they fit the protocol.

252. That's wonderful, but it's not a patient.

253. Actually, it's my ex, Al.

254. I'll get him an interview this afternoon.

255. Thanks.

256. Irrigate. Debride.

257. Single-layer closure with 4-0 nylon.

258. Sounds right.

259. You're lucky it didn't cut deeper.

260. Was she talking about stitches, Doctor?

261. That's right.

262. You're in good hands with Dr. Doyle.

263. Are you going someplace?

264. Yeah, I'm not on duty right now.

265. You're leaving us with a student?

266. Dr. Doyle is an intern.

267. This is a simple skin repair.

268. Another attending will consult with her

269. if there are any problems.

270. There's already a problem. I don't really want an intern.

271. I don't want my daughter

272. to end up with a scar on her leg.

273. Am I going to have a scar?

274. A small one.

275. But I'm a majorette!

276. Get a plastic surgeon down here.

277. Mr. Gunther, we don't consult plastic surgeons

278. for lacerations of this kind.

279. Well, for God's sakes, don't stick us with a student doctor.

280. I am an emergency

281. medicine resident.

282. You're learning on the job, dear.

283. This is a teaching facility

284. and a county hospital.

285. If you want to investigate a plastic surgeon

286. on your own, that's your right.

287. Oh, like I can afford that.

288. Dr. Doyle is fully qualified

289. for this kind of repair.

290. I'm running late, so I'm leaving now.

291. You're not the only one that's leaving, Dr. Greene.

292. Alyssa, get your shoes on.

293. My daughter's injury may be nothing to you,

294. but I bet if it were your kid,

295. you'd make sure she got the best!

296. Yeah, whatever you think, Mr. Gunther.

297. Yeah, great. Just walk away!

298. I owe you one, Kerry.

299. Don't worry. I got it.

300. Give a damn, Doctor!

301. Is this going to put me to sleep?

302. No, this is just for I.V. access, Mr. Twomey.

303. They won't start the anesthesia

304. till you get to the OR.

305. Good, because I was hoping

306. I could see my sister before I went under.

307. It's a great thing you're doing, giving her a kidney.

308. She practically raised me.

309. Our family wasn't too interested,

310. and... then she got lupus, and she's been through so much,

311. you know, with dialysis and all.

312. Hang on a second.

313. This might be her.

314. Jean Twomey?

315. Yeah?

316. Got someone here

317. who wants to see you.

318. Oh, my God!

319. He is going to bug me

320. until the last minute, isn't he?

321. If I can.

322. Change of heart, crybaby?

323. Of course not.

324. I already offered him my stereo

325. in a trade.

326. A stereo for a kidney? No.

327. You're going to have to throw in the jet ski, too.

328. Okay. As long as that settles it

329. and I am not beholden to my kid brother

330. for the rest of my life.

331. Does this sound fair to you, Dr. Carter?

332. Hey, fair and square.

333. All right, it's a deal, then.

334. Deal.

335. Are you going to be with my brother?

336. I sure am.

337. Well, take care of him.

338. He's a wimp.

339. Excuse me.

340. I'm looking for a head doctor.

341. Which one?

342. Bald, white guy, little glasses.

343. Dr. Greene... He's not here.

344. What do you need?

345. Well, a few weeks ago,

346. he took care of my brother.

347. Now I got this.

348. Yeah, you're going to have to take this

349. to the third floor, past reception to the East Wing.

350. They can help you there.

351. Thank you.

352. The secret to putting,

353. since you didn't ask,

354. is you got to change your focus.

355. These machines are for idiots.

356. Anybody can sink the same shot

357. over and over again.

358. I'm really getting hooked on this.

359. You know, I think Randi has a hidden talent.

360. She said she didn't write it.

361. Well, a nurse didn't write it.

362. Nurses go home too tired to write, so...

363. Maybe a doctor did.

364. No, the medicine's too cheesy.

365. She has got you down:

366. "The suave resident cocked his head boyishly

367. "and winked... a quick wink,

368. "almost a reflex.

369. "She trembled, her resolve

370. crumbling."

371. Who's he winking at?

372. Huh?

373. My character... Who's he winking at?

374. Oh, you know, a lot of these characters are just made up.

375. Douglas, there you are.

376. Hey, Donald, how are you?

377. Listen, I'm glad to see you're not swamped.

378. I need your help.

379. Yeah, okay, sure, absolutely.

380. Do you mind?

381. No. Here, go ahead.

382. Listen, I just got a phone call from a friend of mine...

383. P.K. Palmer, of the railroad Palmers?

384. Sure, yeah.

385. Oh, damn it.

386. You know, I know P.K. from the club, of course...

387. A hell of a guy, a two handicap.

388. Yeah.

389. You know, this floor must be sloped.

390. Yeah, it slopes.

391. Anyhow, P.K. just called

392. from Hilton Head.

393. He's down there with his missus.

394. Seems their little one stayed home with the nanny

395. and took a spill... Could be a fracture.

396. Their pediatrician's out of town,

397. and he called me and asked for a referral.

398. Well, have his nanny bring him in.

399. They're on their way.

400. There we go, right in the heart.

401. Anyway, the parents are flying home now.

402. I promised them

403. that their son would get the best.

404. I'll take good care of him.

405. By the way,

406. if you're interested, you couldn't ask

407. for a better recommendation to Fair Oaks than P.K.'s.

408. Yeah, I hadn't thought of that.

409. Fair Oaks is one of the, oh...

410. 25 best courses in the country.

411. Really? Well, maybe you could take me as your guest.

412. You don't play golf.

413. Oh, well, that's a good thing,

414. because they don't allow women...

415. or blacks.

416. Jews either.

417. No, I think they changed that.

418. Nope.

419. Pretty sure they changed that.

420. Hey.

421. Hello.

422. Chris Law.

423. My brother was Kenny.

424. Yeah, I remember.

425. How you doing?

426. Not so good.

427. My mother got this yesterday...

428. A $19,000 bill

429. from a hospital that killed her son.

430. My mother doesn't have insurance.

431. I'm sure the Billing Department can...

432. What? Be happy to make a payment schedule?

433. See, they don't understand

434. that my mother, who pays every bill,

435. is not going to pay one penny of that one.

436. She's not going to pay because, well...

437. I'm telling her that that bill's a mistake,

438. that you don't get bills

439. from people who kill your child.

440. You don't pay people who lose your son's body

441. between their morgue and the coroner

442. so that you have to postpone a funeral for two days.

443. I'm sorry. I had no idea that that happened.

444. Nobody has any idea,

445. but you tell them that she doesn't get

446. another piece of mail from this hospital...

447. unless it's an apology.

448. I'm very sorry for your loss.

449. I'm not threatening to sue...

450. because I'm sure you have

451. a department for that, too.

452. But if my mother gets another bill

453. from this hospital,

454. maybe I'm going to kick some ass.

455. Maybe I'll start with yours.

456. If it were me, I'd report it to security.

457. He was just blowing off steam.

458. He had a good point, actually.

459. I called the morgue,

460. and they did mix up the body transfer.

461. How's Rachel?

462. That's the good news...

463. She's doing a lot better.

464. She'll be Marco Polo in the school play.

465. Save me a seat.

466. They didn't have chocolate chip.

467. It's chocolate.

468. Okay, thanks. Hey, aren't you in there with me?

469. Lydia's on it... One RN per collarbone,

470. even for the country club set.

471. Who's getting the VIP treatment?

472. I get yogurt for kids when they have to wait.

473. All right.

474. I've got some chocolate yogurt

475. for the big guy with the sore clavicle.

476. Thank you very much.

477. You're very welcome.

478. You want to see why it hurts?

479. Yeah? Here, hop down.

480. Will you give me ice and a sling please, Lydia?

481. Be right back.

482. There's his anomalous left renal vein

483. posterior to the aorta.

484. Can you see that, Dr. Carter?

485. Yes.

486. We're standing by.

487. Houston, do you read me?

488. Loud and clear.

489. This is very cool.

490. Our first time

491. on intercom.

492. We usually have a nurse running back and forth

493. between the donor and the recipient.

494. Ready for countdown, Fin?

495. Ready and waiting.

496. Clock starts.

497. And why does it become interesting now, Dr. Carter?

498. You want to monitor your ischemic time.

499. Bingo. I'm lifting the kidney out.

500. Basin, please.

501. Ever pass the baton in a relay, Dr. Carter?

502. Ran the 440 in high school.

503. Good. Perfusate.

504. Good.

505. That's it.

506. Well, Dr. Carter... don't get lost.

507. Dr. Carter is bringing the kidney

508. your way, gentlemen.

509. Oh, my God.

510. Is there a problem, Dr. Benton?

511. No, no. Not at all.

512. Somebody want to sign for this?

513. What's your name, Doctor?

514. John Carter.

515. Well, John Carter, why don't you scrub in?

516. You can join us

517. for the second act.

518. Great.

519. You see this line right here?

520. Hey, come here.

521. Take a look.

522. See that?

523. You know what that is?

524. That is your first broken bone.

525. You're officially a man.

526. I shouldn't have let him

527. talk me out of bringing him last night.

528. He said it didn't hurt.

529. Because he's such a tough guy.

530. Because he didn't want to get in trouble.

531. He's not supposed to play outside after dark.

532. It's tough to stay in when it's this warm.

533. My mom says I'll get hurt.

534. She does? What does your dad say?

535. I'm a klutz.

536. He does?

537. P.K. gets a lot of bumps and scrapes.

538. His father's quite an athlete, you know.

539. You fall down a lot?

540. Yeah, I'm not supposed to let him run around

541. without watching.

542. Listen, you and I play a game, okay?

543. I'm going to cover my eye.

544. You do the same thing.

545. You cover your own eye.

546. Okay, ready? Now, tell me if you can see my finger.

547. Tell me when you see it.

548. Don't do that. Don't look.

549. Look straight ahead.

550. Cover your eye.

551. There you go.

552. Okay.

553. See it?

554. I see it.

555. Good.

556. Good.

557. Okay. Let's try the other eye, okay?

558. So, you found it, huh?

559. Certainly did.

560. How much have you read?

561. I've gotten past the part

562. where the "alpha bitch attending"

563. goes to a faith healer to cure her limp.

564. The seduction scene after that is... is really hot.

565. Really?

566. I don't think whoever wrote it was being mean-spirited.

567. It's just a sleazy romance... Tongue in cheek, you know?

568. You got to take it that way.

569. Sounds like you got into it.

570. Yeah, it's kind of a hoot.

571. I think it's meant to be.

572. Oh, my God, Kerry, you wrote it.

573. I did not.

574. You did, too.

575. Why would I waste my time?

576. Well, for the money.

577. I mean, there's a big market for this kind of thing.

578. Too bad I didn't write it.

579. Hey, somebody!

580. I need help now.

581. Is this the ALOC 57 called in?

582. He had a stroke.

583. Why aren't you in uniform?

584. Day off.

585. It's okay, Gramps, we're here now.

586. You'll be okay.

587. Take it easy, Pam, we got him.

588. He had a stroke, I know it.

589. Okay, okay.

590. We had acute stroke training last week.

591. I did the SAS test on him.

592. Slow down.

593. He's got one-sided weakness.

594. I went by to take him grocery shopping.

595. I always go by on my day off.

596. Give me the bullet.

597. 73-year-old African-American male,

598. ALOC, slurred speech.

599. Loss of motion on the left side.

600. He's never been sick before.

601. Vitals?

602. BP 175/100.

603. I didn't have a cuff.

604. Pulse was 140.

605. When did you find him?

606. 20 minutes ago. I called it in right away.

607. We were closer to Mercy, but Pam insisted on coming here.

608. Why?

609. I knew you'd set up

610. a new treatment program for stroke.

611. Call Dr. Greene.

612. How's the time, Dr. Carter?

613. You're at 43 minutes.

614. And anastomosis is completed.

615. Dr. Benton, why don't you remove the DeBakey clamps?

616. Can everybody see in here?

617. Okay.

618. It's pinking up.

619. Look at that.

620. Wow.

621. Yeah, that's what I live for...

622. The sight of urine flowing.

623. Hey, Fin, we've got trouble in here.

624. What is it?

625. Our donor's hemorrhaging.

626. Pressure's falling. He's tachycardiac.

627. Sounds like a tie slipped off.

628. The renal artery?

629. That'd be my guess.

630. Let's open him up.

631. He's losing blood fast.

632. Get me a tonsil clamp.

633. Okay, people, let's stay in the game.

634. We got to close here.

635. Is that pedes ophthalmologist still in 3?

636. He's got a bunch of messages.

637. Yeah, he's finishing up.

638. Ophthalmologist?

639. You really are giving that boy the million-dollar work-up.

640. What do you mean?

641. I guess if you're a Palmer,

642. you get the full treatment around here.

643. You think I'd put a kid through unnecessary tests

644. just to impress his family?

645. I guess not.

646. You were right... Retinitis pigmentosa.

647. He's going blind.

648. I was afraid of that.

649. All right. His parents are on their way.

650. They'll want to hear all the options.

651. Possible brain attack?

652. Yes. This is Paramedic Olbes's grandfather.

653. Let's get a CBC, PT, PTT,

654. platelet count, fibrinogen.

655. Type and cross four units.

656. Team's on alert. Malik, record the BP.

657. Stick of glucose.

658. Alert Radiology that we're coming in

659. for a noncontrast head CT.

660. BP's 185/110.

661. I.V. labetalol... 15 migs.

662. Sir, do you know where you are?

663. Are you going to be able to help him?

664. What's his name?

665. Ralph, but everybody calls him Gramps.

666. Hey, Gramps. Gramps, can you tell me what happened?

667. Sir, can you squeeze my hand?

668. Can you squeeze?

669. Was he complaining of any headaches?

670. No, I talked to him last night.

671. Nausea, vomiting?

672. No.

673. Is your grandfather on any medications?

674. No.

675. Does he take aspirin?

676. No, he hates pills.

677. Are you going to give him TPA?

678. That's what he needs, right?

679. That's what we're trying to assess.

680. Do you know when the symptoms began?

681. No.

682. Do you know anybody who might?

683. Maybe his neighbor.

684. They walk to get their papers in the morning.

685. Can you give them a call?

686. Go, go.

687. CT's ready for us.

688. All right, let's get him upstairs.

689. Mark, this is what I was afraid of

690. with the stroke team.

691. People have heard there's a miracle cure.

692. They don't understand the risks.

693. I understand the risks.

694. I've seen patients hemorrhage with TPA.

695. It's no cure-all.

696. That's why we follow protocol.

697. The results aren't convincing.

698. Look, Kerry, I understand that you have reservations,

699. so that's why I'm on the stroke team and you're not.

700. Fine.

701. But if she can't clarify the onset of symptoms...

702. I'd be a fool

703. to give TPA.

704. It's just an interview.

705. They're going to ask me a bunch of nosy questions.

706. Well, they have to make sure

707. they're getting reliable candidates.

708. That's what makes me nervous.

709. I don't deserve all this help.

710. Everyone deserves help from their friends.

711. Friends, huh?

712. It reminds me of when we first met...

713. Before we even started dating.

714. No, we were never friends.

715. I always had my eye on you,

716. wondering when I could make my move.

717. See, you're a good liar.

718. You'll do fine in the interview.

719. The CT confirmed an ischemic stroke,

720. and Gramps' neighbor was able to verify

721. that he had no symptoms two hours ago,

722. so he's easily within the 180-minute range.

723. Mark, if you're looking for my blessing on this,

724. forget it.

725. Actually, I was hoping you could talk to Olbes.

726. She's heard from the neurologist and from me

727. that we think her grandfather is a candidate for TPA.

728. I'd like her to hear about the risks from you.

729. Why?

730. I happen to believe

731. that he'll respond to thrombolysis,

732. but if I'm wrong, he could die.

733. She needs to hear that loud and clear.

734. You want me to tell her?

735. Who better than a respected colleague

736. who's on the other side of the fence?

737. I suspect you won't soft-pedal it.

738. I won't.

739. Mark...

740. thank you.

741. How's he doing?

742. Looks like they got the bleeding under control.

743. They're starting to close.

744. Wow, this is a first.

745. Usually, Keith has had a shower

746. by the time I get finished.

747. Would you gentlemen care to join us

748. for the post-game wrap-up?

749. We find that debriefing can be useful

750. when there's been a complication.

751. Uh... yes.

752. We'd be honored.

753. Dr. Benton, you had a call from Carla Reese.

754. Would you like the number?

755. No, I got it.

756. Carter, coming?

757. Hey, Shirley, can you call Recovery, ask them to page me

758. when Jean Twomey wakes up?

759. Sure.

760. Dr. Kramer, I was wondering

761. if I could interview this candidate.

762. Al Boulet?

763. You know him?

764. No, but I'm familiar with his treatment.

765. I'm curious to see what he's like.

766. Be my guest.

767. I'm Dr. Fischer.

768. Thanks for taking the time

769. to fill out all these forms.

770. I thought I was meeting a Dr. Kramer.

771. I'm helping him out.

772. All the information looks complete.

773. You mention a couple of slip-ups

774. with your drug regimen in the past.

775. There were so many pills to keep track of.

776. I've got it under control now.

777. You began treatment a year ago.

778. That's right.

779. You contracted AIDS through...?

780. Heterosexual contact, I guess...

781. I mean, since I never shot up or had sex with a guy.

782. Uh-huh. But you were unable

783. to identify the partner who infected you.

784. No, no. I contacted all the women I could...

785. to let them know, you know.

786. No one had any prior infection.

787. But it was a lot of years and a lot of women.

788. Now you live alone?

789. Right.

790. Well, that's the only factor

791. that mitigates against your inclusion in the trial.

792. Those who participate must adhere

793. to a strict regimen.

794. Ideally, participants would have someone to back them up.

795. I'm sure I can handle it.

796. And I have backup.

797. My ex-wife is around off and on.

798. Off and on?

799. A lot recently.

800. I mean, she's, uh... kind of back in my life...

801. Stays over and all.

802. She's a physician assistant.

803. She'll keep on me... Make me stick to it.

804. I see.

805. I mean, once Jeanie takes something on,

806. she doesn't mess around.

807. Ten migs TPA over one minute.

808. Follow with 50 milligrams over the next hour

809. for a total dosage of 60 migs.

810. Monitor his vital signs

811. and maintain a diastolic of under 110.

812. Now we wait?

813. Now we wait.

814. In retrospect, studying Mr. Twomey's renal angiogram,

815. we might have predicted a potential problem.

816. Yeah, with the angiogram and a crystal ball, maybe.

817. No, no. Look at the short renal vein.

818. Do you appreciate that, Dr. Benton?

819. I think Dr. Fecteau is being hard on himself.

820. How did we do on ischemic time?

821. We can do better.

822. Yeah, we could do better if you weren't

823. so chintzy with the ureter.

824. Let's go step by step.

825. Now, I lost time dividing the vein.

826. Well, our biggest deviation

827. was anastomosis... 41 minutes.

828. Yeah, so? What are you saying? We weren't working...

829. Of course she denied it,

830. but I could tell it was true.

831. I bet she wrote it

832. when she had all that free time.

833. Yeah, when she was on suspension?

834. Carol, did you get that history

835. from the abdominal pain

836. in Exam 2? Yep.

837. What?

838. You little slut.

839. What?

840. I see you in a whole new light.

841. We know you wrote the book.

842. I didn't write it.

843. You ought to be proud of it.

844. Kerry, did you tell them...?

845. She wrote the book.

846. Yeah. Nice try.

847. Like I'd make myself the villain?

848. I knew it was you.

849. I didn't do it.

850. You thought it was Jeanie.

851. Or Carol. I mean, I knew it was

852. an incurable romantic who was very warped.

853. I'm not warped.

854. This is cool.

855. Watch it! The big spinout!

856. Baby!

857. Look out for the folks, baby.

858. Hit the button.

859. Hit the down button. Hop up.

860. Listen, I know you've been given

861. a lot of information.

862. This is kind of a tough time.

863. There are a lot of new interventions.

864. P.K.'s doctor will be able

865. to fill you in on those, though.

866. I like Dr. Ross.

867. We all do, sweetie.

868. Well, I like you, too, buddy.

869. Make sure you keep these glasses on for me, okay?

870. Hey...

871. where's your sweater?

872. I know where I left it.

873. All right, let's get that sweater.

874. Go get it.

875. One thing you need to be careful about is,

876. you have to make sure

877. that he doesn't feel like he's been bad in any way.

878. Sometimes, kids with RP... They feel like it's their fault.

879. Well, we'll be careful of that.

880. Thank you, Doctor.

881. Okay? All right. Great. Thanks.

882. Thank you.

883. Bye, you guys.

884. There you go!

885. No holding you back!

886. Bye.

887. Bye-bye.

888. You know, some people think of RP

889. as looking through a telescope.

890. It's a good way to think of it.

891. Doug, I owe you an apology.

892. Oh, forget it.

893. No, I was wrong.

894. I have no reason to ever question your integrity.

895. As a doctor, at least.

896. Everything's so glib with you these days.

897. You know, I don't know you anymore.

898. I don't know what matters to you.

899. Me either.

900. Great job, Carol.

901. Did you know she wrote the book?

902. Wrote the book? Are you kidding?

903. She stole the idea from me.

904. I did not write the damn book!

905. Welcome back.

906. You're doing well.

907. Why isn't Carl here?

908. Nobody will tell me anything.

909. He's still under anesthesia.

910. Why? What went wrong?

911. Your brother's fine.

912. There were some complications...

913. Some bleeding...

914. And they had to open him back up.

915. Oh, no. I was afraid of something like this.

916. Jean, he's stabilized.

917. He's fine.

918. I wouldn't tell you that if it wasn't true.

919. In fact, I'm going to go see

920. if they can move him in here with you.

921. And I'll stay with him

922. until he wakes up.

923. Okay? Yeah?

924. Great.

925. Any response?

926. Not yet.

927. You seen Dr. Greene?

928. You just missed him.

929. Dr. Ross, I'd like you

930. to meet a new resident, Anna Del Amico.

931. This is our pedes fellow, Doug Ross.

932. My pleasure.

933. Mutual.

934. So, you're starting early.

935. I'm doing

936. an emergency pedes elective

937. before my residency starts in July.

938. We always welcomes slave labor in Pedes.

939. Okay, I'll show you around.

940. Dr. Del Amico

941. is a pediatrician.

942. She's double-boarding in emergency medicine.

943. Great. What we need around here...

944. More overachievers.

945. There you are.

946. Hi. Can you believe it?

947. I'm actually getting out of here on time.

948. Al qualifies for the trial.

949. He should read over this material

950. and then come in Tuesday to pick up his meds.

951. Shouldn't you tell Al this?

952. We left him a message, but I figured

953. you'd probably be seeing him first.

954. Greg, what's going on?

955. You know, I've been asking myself that question

956. for the last two months.

957. I thought that I was pretty honest with you,

958. that I understood all the reasons

959. you might be hesitant

960. about getting seriously involved.

961. I guess I missed one.

962. Greg, I don't know what you think...

963. I think that you're still involved

964. with your ex-husband.

965. After the way he treated you,

966. he can still manipulate you

967. into getting him the latest meds.

968. He did not manipulate me, Greg.

969. But you do still love him.

970. I don't know.

971. Dr. Greene, can I ask you something?

972. Sure.

973. You ever think Carol Hathaway

974. might be interested in me at all?

975. I mean, did you ever pick up on anything?

976. Uh... no.

977. No, I can't say that I have.

978. You haven't read her book, have you?

979. What book?

980. Uh... Carol wrote a book.

981. There's some parts about me that are pretty flattering.

982. She say anything about me?

983. It seemed a little amateurish.

984. Really?

985. I was impressed.

986. I didn't read too much of it, just a few pages.

987. Oh, you've got to give it a chance.

988. Reading good trash is like reading Shakespeare.

989. Oh?

990. You got to get into the rhythm.

991. But, hey, don't take my word for it.

992. Chuny, didn't you think that Carol's book was pretty decent?

993. The part I read was racist.

994. Don't tell Carol I said that.

995. You didn't like the Latina nurse?

996. It wasn't real.

997. I got to go.

998. I didn't think the ethnic characters

999. were handled differently than anything else.

1000. I don't know.

1001. Have you seen Mark?

1002. Gramps' blood pressure is coming down.

1003. That's a good sign.

1004. No, I was looking for him, too.

1005. Look who's here.

1006. Hey.

1007. You did it.

1008. You did it.

1009. Okay, no fighting.

1010. I did it.

1011. Dr. Carter.

1012. They're doing really well, huh?

1013. Where'd you go?

1014. I wanted to make sure they saw each other.

1015. Carter, two of the best transplant surgeons

1016. in the country

1017. let us look over their shoulders.

1018. They're debriefing on one of the most fascinating procedures

1019. you and I ever participated in, and you just get up and leave.

1020. Well, I promised the sister.

1021. I knew she'd be worried.

1022. Is that a problem?

1023. I don't know.

1024. Another message

1025. from Carla Reese.

1026. It's okay. I called her at home

1027. and got her machine.

1028. No, she left an extension... OB, I think.

1029. I've never lived anywhere but Philly.

1030. Kerry, will you take Dr. Del Amico back?

1031. I'm intimidated enough already.

1032. Anna, please.

1033. All right, Anna, welcome aboard.

1034. Thanks.

1035. You find a place yet?

1036. No, I don't know Chicago at all.

1037. I figured I'd look around this weekend.

1038. Is there a neighborhood?

1039. Hey, guys!

1040. Oh, my God!

1041. It's Mark.

1042. Stabilize his neck.

1043. Where do I find a C-collar?

1044. I'll get it.

1045. You help Doug.

1046. Hold his neck.

1047. In-line stabilization... I got it.

1048. Good breath sounds.

1049. Good pulse. Is he an ER doc?

1050. Yeah, attending.

1051. Give me the collar, please!

1052. Mark?

1053. Get the board ready.

1054. Slowly, slowly,

1055. slowly, okay.

1056. Here we go.

1057. Now we're going to roll him.

1058. Nice and easy.

1059. Just roll him towards me.

1060. Okay. Slide the board in.

1061. Nice and gentle.

1062. Good. That's fine, right there.

1063. Roll him back.

1064. Go. Roll. Roll him.

1065. Gently.

1066. Mark,

1067. you're going to be okay, buddy. Hang in there.

1068. Okay, let's get him monitored right away.

1069. Cross-table C-spine, chest, CBC, type and hold, dip a urine.

1070. On my count, we're going to lift him.

1071. Got that? Nice and gentle, real slow.

1072. You all right, Malik?

1073. One... two...

1074. three... go.

1075. Let's go.

1076. Alert CT.

1077. He's vomiting.

1078. Watch out for aspiration.

1079. All right, let's roll him.

1080. What's going on?

1081. Oh, my God! Mark!

1082. Pulse is 120, resp's 24,

1083. BP's 100/60.

1084. What happened?

1085. We need to put him on a mask.

1086. 15 liters.

1087. We need to rule out a pneumothorax.

1088. Chuny, aren't you with the stroke team?

1089. Yeah, but...

1090. Go back to your patient.

1091. Kerry, he's...

1092. Go on! Now!

1093. Kerry, come on!

1094. Get back there.

1095. Pupils are round

1096. and sluggish,

1097. react to light.

1098. Possible hyphema.

1099. DTR's two plus bilaterally.

1100. Babinski's negative.

1101. Radiology's on their way.

1102. Oh, my God, it's true.

1103. We got some crunchy ribs here.

1104. I'll get this bleeding under control.

1105. Who are you?

1106. New resident.

1107. Guarding and tenderness.

1108. Abdominal CT?

1109. You bet.

1110. Give him the works. Come on!

1111. She was still in my office when the contractions started.

1112. The good news is, her membrane hasn't ruptured,

1113. and the baby's not in distress.

1114. Is she dilated?

1115. Just two centimeters.

1116. So I admitted her. I put her on complete bed rest.

1117. With some luck, we can keep her

1118. from going into labor.

1119. Thank you, Dr. Coburn.

1120. You're welcome.

1121. Hey... Carla.

1122. Hey.

1123. Dr. Coburn said they stopped the contractions.

1124. Mm-hmm.

1125. Do you mind if I sit?

1126. No.

1127. So, you, uh... pretty much have to stay like this, huh?

1128. Exactly like this...

1129. for eight weeks.

1130. Can I get you anything?

1131. No. Mm-mm.

1132. No, just sit there...

1133. and entertain me.

1134. Never mind!

1135. What? No, no...

1136. You know, I was...

1137. wondering about it, and...

1138. I think I know when this baby was conceived.

1139. Yeah.

1140. Me, too.

1141. Really?

1142. Oh, yeah, really.

1143. You remember that morning?

1144. Mm-hmm.

1145. Oh... well...

1146. seems like a long time ago.

1147. Yeah, it does.

1148. "Possible side effects:

1149. bloating, nausea, sustained diarrhea..."

1150. Oh, stop reading that.

1151. I don't have a single vice left.

1152. Forget beer.

1153. Sometimes, I'd double my viral load

1154. for an old-fashioned glass of milk.

1155. I don't mind the soy stuff.

1156. Well, you were always a pushover.

1157. Yes, I was.

1158. And I took it for granted.

1159. You know what I miss most about us?

1160. Hearing you laugh.

1161. The sound of you laughing in the dark.

1162. We both took a lot for granted.

1163. I don't take anything for granted anymore.

1164. I better go.

1165. Sure.

1166. Or stay.

1167. On the couch, if you want.

1168. I don't want to stay on the couch.

1169. Then you better go.

1170. Okay. I'll stay on the couch.

1171. Me, too.

1172. Oh, Jeanie...

1173. Wait. Can you... can you stay right there?

1174. I doubt it.

1175. No...

1176. I'll be right back.

1177. I don't have a condom that's not over a year old.

1178. And I have to have one, right?

1179. You're right.

1180. I mean, I could have a different strain

1181. or a stronger strain than you, and we need to be safe.

1182. Uh-huh.

1183. I'll be two minutes.

1184. Will you wait?

1185. Yeah, I'll try.

1186. That's it.

1187. That's what I missed.

1188. Oh...

1189. CT is negative.

1190. He was really lucky.

1191. Let's get Ortho

1192. to take a look at that broken hand.

1193. I'll go see what's keeping them.

1194. Any change?

1195. Nobody saw anything?

1196. I told the cops that basketball player's brother

1197. was around earlier.

1198. A psych guy kind of threatened Dr. Greene this morning.

1199. Cops will want to hear about that.

1200. Dr. Ross,

1201. that kid with the allergic reaction is still in Exam 2.

1202. Oh, I'll take it.

1203. That's okay. You don't have to do that.

1204. Can you

1205. rustle me up a lab coat?

1206. I'll find you one.

1207. It's usually not this crazy around here.

1208. Not a problem.

1209. Dr. Weaver, can you check this out?

1210. I'll be back.

1211. Keep working, people.

1212. We've still got an ER to run.

1213. What about Rachel?

1214. The sitter called.

1215. She's going to keep Rachel overnight.

1216. He had an on-the-table response a few minutes ago.

1217. His speech is coming back.

1218. Something... was wrong.

1219. Yeah, Gramps.

1220. You had a stroke.

1221. You're going to be better now.

1222. I couldn't... do that.

1223. He's being admitted upstairs.

1224. Guess Dr. Greene made the right call.

1225. I want to thank him.

1226. I'll tell him for you.

1227. He'll be very pleased.

1228. GCS is still 13.

1229. I know. You just did a neuro check

1230. ten minutes ago.

1231. How's his I.V. rate?

1232. Fine.

1233. Don't want to overhydrate him.

1234. That's why I cut it back.

1235. Yeah, I have him on 80cc's an hour.

1236. He weighs about 80 kilos...

1237. Doug, why don't you go call Ortho,

1238. find out what's keeping them?

1239. I'm bugging you that much, right?

1240. Mm-hmm.

1241. I guess I'll go call Ortho.

1242. That's a good idea.

1243. All right.

1244. Doug!

1245. He's back.

1246. Hey, Mark. Hi.

1247. You're going to be fine.

1248. Hey, buddy.

1249. What happened?

1250. Well... you got beat up, but you're okay.

1251. You got some bruised ribs and a concussion,

1252. midshaft fractures of two metacarpals,

1253. but other than that, you're fine.

1254. I signed you up for a double shift on Saturday.

1255. What happened?