1. Previously on ER...Copy !req
2. Rejoice, lost man!Copy !req
3. Chaos is your destiny!Copy !req
4. You scare this baby,
he won't come out.Copy !req
5. Two of the best transplant
surgeons let us look...Copy !req
6. over their shoulders,
and you just leave?Copy !req
7. Is that a problem?Copy !req
8. - Okay, I'll stay on the couch.
- Me too.Copy !req
9. - I'm looking for a head doctor.
- Which one?Copy !req
10. Bald white guy, little glasses?Copy !req
11. Great! Just walk away!Copy !req
12. Is Dr. Benton done
with that thyroidectomy?Copy !req
13. So he's still in there?Copy !req
14. - Dr. Benton.
- Carter, what are you doing here?Copy !req
15. Let's get an ABG in 20 minutes.
I thought you were covering the ER.Copy !req
16. I'm on in a few.
We need to talk.Copy !req
17. Make it fast. I've got two
admissions, a clinic and an aneurysm.Copy !req
18. I've been thinking about
that kidney case...Copy !req
19. when I left to check on the
patients during the debriefing.Copy !req
20. Instead of listening to two of the
finest surgeons in the country?Copy !req
21. I guess so.Copy !req
22. And I've just been wondering.
Maybe I'm in the wrong place.Copy !req
23. If you're still here
in two minutes, you are.Copy !req
24. I mean surgery. Obviously, I love it,
and I feel challenged by it.Copy !req
25. But are you ever not quite satisfied?Copy !req
26. Carter, sometimes the patient dies.Copy !req
27. - I know. But otherwise.
- Otherwise what?Copy !req
28. Well, it just feels like sometimes
they exist for us to do procedures.Copy !req
29. That's why they're here.Copy !req
30. We don't need to know anything about
them? Like how worried they are...Copy !req
31. or where they went to high school
or whether they like cats or dogs?Copy !req
32. What are you talking about?Copy !req
33. I like to know the other stuff.Copy !req
34. What for? I mean, if you...Copy !req
35. Damn!Copy !req
36. Listen, we'll talk later.Copy !req
37. It was at least 50 questions
about my family background.Copy !req
38. Nothing like the head of Security
to make you feel insecure.Copy !req
39. He almost withheld my ID because I
didn't know my stepmom's maiden name.Copy !req
40. He didn't cut you slack
on that picture either.Copy !req
41. You'd think I was trying to enter
the White House.Copy !req
42. Which is easier. I've done it.Copy !req
43. - Can you get these over to Radiology?
- Now?Copy !req
44. Unless you're doing something urgent
that I can't quite see. Go.Copy !req
45. Dr. Ross, Pedes called.Copy !req
46. You're covering deliveries
for John Lavagnino. Broken kneecap.Copy !req
47. All right.
Good morning to you.Copy !req
48. Not for Anna. She just had her
security clearance interview.Copy !req
49. Did you get strip-searched?
Checked for track marks?Copy !req
50. Practically.Copy !req
51. They're cracking down
because of what happened to Mark.Copy !req
52. - He starts back today?
- I wish he'd take another week.Copy !req
53. Let's make sure we keep his load
light for the first few days.Copy !req
54. I want him helping me plan Carol's
surprise birthday party.Copy !req
55. - Doug!
- Happy birthday, Carol.Copy !req
56. I got vomiting and diarrhea in 4.
Happy birthday.Copy !req
57. And I'm taking the quadruple
bounce-back migraine in 5.Copy !req
58. Nothing like a little drug-seeking
behavior to start your day.Copy !req
59. You promised you wouldn't tell
anybody about my birthday.Copy !req
60. - That was last year.
- You told everybody then too.Copy !req
61. At least I'm consistent.Copy !req
62. All right, coffee...Copy !req
63. can wait.Copy !req
64. What's this?Copy !req
65. It's a coffeepot.Copy !req
66. That is not a coffeepot.Copy !req
67. - It's called a French press.
- No more aluminum percolator?Copy !req
68. We're gonna have great coffee.
Which can wait.Copy !req
69. - What's that?
- The microwave.Copy !req
70. - I'm heating up some cinnamon buns.
- The microwave.Copy !req
71. - I always wanted a microwave.
- I know.Copy !req
72. You wouldn't let me get one.
You said it broke down the vitamins.Copy !req
73. I know. I'm sorry. I was wrong.
Come back over here.Copy !req
74. This is nice.Copy !req
75. I mean, this is really nice.Copy !req
76. - What happened?
- It's getting close, 9 centimeters.Copy !req
77. - I'm all right.
- She failed tocolysis.Copy !req
78. Her contractions are strong.
They went from 4 to 9 in no time.Copy !req
79. Why didn't you call me?Copy !req
80. Last time they gave me that stuff,
and it was fine.Copy !req
81. - Couldn't you have done something else?
- This baby's coming.Copy !req
82. It's coming?
Two months early?Copy !req
83. - I know that.
- You should've called me.Copy !req
84. I just did, hoping you'd want
to participate in the birth.Copy !req
85. If that's what you'd like to do,
I suggest you gown up.Copy !req
86. - Dr. Greene, right? How are you?
- I'm fine, thank you. Who are you?Copy !req
87. Anna Del Amico. We met last week.Copy !req
88. We didn't actually meet.
I was there when you were attacked.Copy !req
89. - In the men's room?
- In the Trauma Room afterwards.Copy !req
90. I don't remember either room,
so I don't remember you either.Copy !req
91. I start my Emergency Residency
in July.Copy !req
92. I'm doing ER Pedes until then.
That was my first day.Copy !req
93. I'm sorry it had to be so exciting.Copy !req
94. I'm just glad you're okay.
So welcome back.Copy !req
95. Thank you.Copy !req
96. Where is everybody?Copy !req
97. - What you doing here?
- Getting back to work.Copy !req
98. Doug and Carol are bringing in an MVA.Copy !req
99. - Hey, how are you doing?
- Welcome back.Copy !req
100. Nice to be back.
What do we got?Copy !req
101. - Bicycle versus tour bus.
- Don't worry. We got it.Copy !req
102. Just take it easy.
Settle in. Nice and easy.Copy !req
103. Here we go!Copy !req
104. Dr. Greene! You look great.
OB needs you for that delivery.Copy !req
105. Find Dr. Del Amico. See if she
can take it. I'll talk to you later.Copy !req
106. - She's at the desk.
- Who?Copy !req
107. - Dr. Del Amico. She's at the desk.
- Oh, right. Thanks.Copy !req
108. - Help me shift her down.
- Breathe, Carla.Copy !req
109. Come on, baby.
You can do it.Copy !req
110. - How much mag you give her?
- Six grams.Copy !req
111. I gave three an hour until
she hit 4 centimeters.Copy !req
112. Dorgan, scalp electrode.Copy !req
113. Keep breathing.
You're doing great.Copy !req
114. Dorgan? What kind of name is that?Copy !req
115. Irish, through and through.Copy !req
116. We've experience
having a lot of babies.Copy !req
117. Is she at risk for chorioamnionitis?Copy !req
118. Come on, breathe!Copy !req
119. Don't yell at me, damn it!Copy !req
120. - You give her antenatal steroids?
- Twelve milligrams betamethasone.Copy !req
121. And her blood sugar?
She's got gestational diabetes.Copy !req
122. You're doing great.
Hang in there.Copy !req
123. Not much longer.
You'll be able to push soon.Copy !req
124. What about a second dose?
This baby's gonna have RDS!Copy !req
125. What is RDS?Copy !req
126. It's okay. It just means the baby's
lungs haven't matured yet.Copy !req
127. - What?
- It's okay.Copy !req
128. Hold her hand! Help her breathe!
Help her focus!Copy !req
129. That's your only job here.Copy !req
130. Get over there and help
the mother of your child.Copy !req
131. There'll be two additional
security cameras here.Copy !req
132. - And two at the employees' entrance.
- Right.Copy !req
133. The ambulance-bay doors will be
changed to bulletproof glass...Copy !req
134. which we'll also add
to Triage.Copy !req
135. The hospital agreed to additional
armed security in your waiting room.Copy !req
136. And the bathrooms?
Any cameras in there?Copy !req
137. Unfortunately, privacy issues
won't allow us to do that.Copy !req
138. My assailant's privacy would've
definitely been violated.Copy !req
139. We can only do what we can do.Copy !req
140. Thank you, Mr. Biggers.Copy !req
141. It's nice to see you,
but what are you doing here?Copy !req
142. Working.
It's nice to see you too, Chuny.Copy !req
143. These additional security measures
may not help, but they can't hurt.Copy !req
144. Everyone's overreacting.
What we should change...Copy !req
145. is the way we deal with patients
and their families.Copy !req
146. - They're a pain in the ass.
- Your compassion knows no bounds.Copy !req
147. Detective Warrington called.Copy !req
148. Can't make it by till
later this afternoon.Copy !req
149. You think a patient or
family member did this?Copy !req
150. I think that gives them a good reason.
Look. Louise Pierson.Copy !req
151. Ankle x-ray. Three hours ago.
Where is it?Copy !req
152. Discharge orders written
almost 2 hours ago.Copy !req
153. Chart's still here,
so the guy's still here.Copy !req
154. Come on! Med-Surg admission,
5:30 this morning. Still here.Copy !req
155. Neuro consult,
ETA 7:15 this morning.Copy !req
156. Where are they?
We keep these people hanging around.Copy !req
157. I'd get pissed off enough
to clobber somebody.Copy !req
158. Before Records clobbers me,
I need you to sign off these charts.Copy !req
159. I got them.Copy !req
160. I'm fine.Copy !req
161. - Push! You're almost there!
- Come on. Keep going.Copy !req
162. - I'm Del Amico from Pedes.
- Janet Coburn.Copy !req
163. - I thought Ross was covering.
- He's got a teenager MVA.Copy !req
164. This is Carla Reece: Mother.
Peter Benton: Father.Copy !req
165. Hi. Just keep pushing so I
can take a look at your baby.Copy !req
166. - Mr. Benton, how are you doing?
- It's Dr. Benton, Surgical Resident.Copy !req
167. - You're new here?
- Yes, from Children's in Philadelphia.Copy !req
168. - Are you a Resident?
- Correct.Copy !req
169. How many deliveries did
you attend over there?Copy !req
170. I stopped counting around 200.
We've got a late decel here.Copy !req
171. - Carla's at 32 weeks.
- Any meconium?Copy !req
172. - Fluid's clear.
- Heart rate's dropping.Copy !req
173. - Where's the NICU nurse?
- On her way.Copy !req
174. - Down to 120.
- Why isn't he coming?Copy !req
175. - He's coming, baby.
- Let's get this baby out of here.Copy !req
176. - I need vacuum extraction.
- Why vacuum extraction?Copy !req
177. - We're at 100 here.
- That's why.Copy !req
178. - Number for Respiratory Therapy?
- Three-three-nine-four.Copy !req
179. I brought some stuff in today
because I knew you'd be starting back.Copy !req
180. What are you doing?Copy !req
181. I know you'll be
a little resistant to this...Copy !req
182. but you'll feel safer if you
carry something on you.Copy !req
183. What is this stuff?Copy !req
184. I've got cops in my family,
so I can get anything.Copy !req
185. Electronic stun gun, personal taser.Copy !req
186. - I don't think so.
- At least take the pepper spray.Copy !req
187. I appreciate it, really,
but it's not for me.Copy !req
188. I'm not suggesting you pack a gun,
although that's what I do.Copy !req
189. - You carry a gun?
- Under the front seat of my car.Copy !req
190. I was at the drive-in once,
waiting for fries...Copy !req
191. and this punk sticks a knife
in my face. He wants my wallet.Copy !req
192. So I reach under the seat,
grab the.357...Copy !req
193. stick it up his nose,
and could that kid run!Copy !req
194. - Dr. Greene, welcome back.
- Thanks.Copy !req
195. Listen, thanks, Maggie,
but I'll pass on the armaments.Copy !req
196. Are you in the ER all day?
Because I'll need your help.Copy !req
197. I don't have full mobility yet
for procedures.Copy !req
198. - What is all this stuff?
- I was trying to get Dr. Greene to...Copy !req
199. - Oh, my God!
- Sit down!Copy !req
200. Oh, my God! Maggie, help me!Copy !req
201. Just sit! Just sit!
I'll get a nurse!Copy !req
202. I'll be right back. Don't move.
Don't touch your eyes.Copy !req
203. That's it. Push! Push!Copy !req
204. - Come on. Breathe.
- We got him!Copy !req
205. It's okay, baby.
It's okay.Copy !req
206. Blue and floppy.Copy !req
207. Ready the liter.Copy !req
208. What is it? I can't hear him.Copy !req
209. - What's going on? What's wrong?
- DeLee suction.Copy !req
210. - Please tell me what's going on.
- I don't like his color.Copy !req
211. Come on, little guy.
Pick up for us. Let's go.Copy !req
212. - What's the Apgar?
- Zero for color.Copy !req
213. Peter, back off! Let her work!Copy !req
214. Muscle tone, zero. One for reflex.Copy !req
215. Two for heart rate.Copy !req
216. One-minute Apgar, 4 out of 10.Copy !req
217. You gotta do something!
Let's go!Copy !req
218. Tell me what's going on.Copy !req
219. It's okay, baby. It's okay.
They got him.Copy !req
220. - He's got retractions.
- I need to tube him.Copy !req
221. Two-point-five.Copy !req
222. Heart rate down. Eighty-five.Copy !req
223. Start compressions.
Draw.02 epi.Copy !req
224. Call the NICU.
Tell them we're on the way.Copy !req
225. I'm sorry.Copy !req
226. - I know it's not funny, but...
- No, it's funny.Copy !req
227. My whole life is just
one big funfest.Copy !req
228. Anspaugh hates me, Benton looks at me
like I'm some kind of an alien.Copy !req
229. Those things are in your favor.Copy !req
230. Right. Thank you.Copy !req
231. When you were thinking
about med school...Copy !req
232. you were willing to start over?
All that work?Copy !req
233. As opposed to the 6 more years
of Surgical Residency ahead of you?Copy !req
234. I see your point.Copy !req
235. - You back among the living?
- Absolutely.Copy !req
236. We've got an MVA coming in
six or seven minutes.Copy !req
237. It's not my place to say,
but he looks kind of bad.Copy !req
238. You okay there? I'm just going
to get everything ready for you.Copy !req
239. Be right back.Copy !req
240. Just hang in there.
You're almost there.Copy !req
241. What are we gonna do?
Have you seen him?Copy !req
242. I'll check on him as soon as
you're settled. Just take it easy.Copy !req
243. Just be a couple of more minutes.
Housekeeping hasn't finished.Copy !req
244. One, two, three.Copy !req
245. Rib?Copy !req
246. - We'll kick you out.
- I'm fine.Copy !req
247. Normal vital signs. Oxygen, 5 liters.
GCS, 11. Mind if I steal some saline?Copy !req
248. Help yourself.Copy !req
249. Pupils are equal and reactive.
No hemotympanum.Copy !req
250. Chest is clear.
Abdomen soft and flat.Copy !req
251. Pulse is 80. BP, 120 over 75.Copy !req
252. - What's his name?
- Harry Smith.Copy !req
253. Harry, can you hear me?
Do you know where you are?Copy !req
254. - Let's order something.
- CBC, Chem-7, type and screen.Copy !req
255. - You want to dip a urine?
- Get a C-spine, chest and pelvis.Copy !req
256. Police said it was a DUI?Copy !req
257. He was swerving on the Eisenhower,
going 35. He hit a light pole.Copy !req
258. - Get a blood alcohol level.
- No alcohol on his breath.Copy !req
259. Thanks for the supplies.Copy !req
260. Anytime!Copy !req
261. He's seizing!Copy !req
262. Get some Ativan, 2 mgs.Copy !req
263. Where's Tabash?Copy !req
264. He's with another patient.Copy !req
265. - What's he ordered?
- Everything.Copy !req
266. CBC, lytes, blood cultures, what?Copy !req
267. - Yes. All that.
- ABG, chest x-ray?Copy !req
268. - Yes.
- Dr. Benton.Copy !req
269. Your son is stable at the moment.Copy !req
270. What labs have you ordered?Copy !req
271. We've done a complete septic workup.Copy !req
272. I need to know exactly
what you've ordered.Copy !req
273. What labs, what antibiotics, what...Copy !req
274. Dr. Benton, your son's
heart rate is 170...Copy !req
275. and his pulse ox is 91
on 100 percent oxygen.Copy !req
276. We've taken a chest x-ray,
drawn blood for CBC, lytes and ABG...Copy !req
277. sent off blood, urine,
endotracheal aspirate and...Copy !req
278. spinal-fluid cultures and started
him on 100 milligrams of ampicillin...Copy !req
279. and 6 milligrams of gentamicin.Copy !req
280. He was hypotensive with
a blood pressure of 30/18...Copy !req
281. so he's received 5 percent
albumin, 10 cc's per kilo.Copy !req
282. And we've started dopamine,
5 mcgs per kilo per minute.Copy !req
283. And we'll titrate to a M.A.P. Of 40.Copy !req
284. Now, what you need to know.Copy !req
285. What you need to share
with this child's mother...Copy !req
286. is that at the moment, the baby
is stable but critically ill.Copy !req
287. Probably has a serious infection
in his blood.Copy !req
288. We don't know if his lungs can
provide enough oxygen to sustain life.Copy !req
289. Unfortunately, we have no choice
but to wait and see how he responds...Copy !req
290. to the present therapy.Copy !req
291. Let's see how he's doing in an hour.
And that's when we should talk again.Copy !req
292. What's your son's name?Copy !req
293. He doesn't have one.Copy !req
294. All right, I got some good news
and bad news.Copy !req
295. You're gonna tell me both.Copy !req
296. The bad news is, they're planning a
surprise birthday party for you.Copy !req
297. - You did this joke on me this morning.
- This one's real. I got invited.Copy !req
298. I'm not listening.Copy !req
299. The good news is, I know you hate your
birthday, so I got you out of it.Copy !req
300. I do not hate my birthday.Copy !req
301. So I told them you cannot make it...Copy !req
302. because you're having
dinner with me.Copy !req
303. I do not believe a word of this.Copy !req
304. How many people have wished you
happy birthday?Copy !req
305. Just Kerry, this morning.Copy !req
306. And how many people know
that it is your birthday?Copy !req
307. - You know theirs, right?
- We've worked together for years.Copy !req
308. What is the one reason why you don't
wish someone happy birthday...Copy !req
309. when it is their birthday?Copy !req
310. - They're planning a surprise party.
- That's all I'm saying.Copy !req
311. Why do I feel you've
trapped me into this?Copy !req
312. Trapped you? I saved you.
You should be buying me dinner.Copy !req
313. I'll pick you up anytime.
You name the place and...Copy !req
314. You got some gauze out here.Copy !req
315. I'm out of here as of an hour ago.Copy !req
316. Can you send that Carla Reece
chart up to OB, please?Copy !req
317. - Sure. I got it.
- Did you say Carla Reece?Copy !req
318. She just delivered her baby.Copy !req
319. - Carla?
- You know her?Copy !req
320. Not really. I remember her.
She came through the ER a month ago.Copy !req
321. She wasn't near being due.Copy !req
322. I know. The baby's only 32 weeks.
A little boy.Copy !req
323. - Was he okay?
- I don't know.Copy !req
324. He's in the NICU. Apgar was poor.
Had to intubate. It's touch-and-go.Copy !req
325. Is she doing all right?Copy !req
326. She had no other complications,
if that's what you mean.Copy !req
327. I don't know how many preemies
I've resuscitated...Copy !req
328. but I'm still not used to it.
See you tomorrow.Copy !req
329. See you.Copy !req
330. Is Maggie taking that woman
with the eye pain?Copy !req
331. No, I'm taking her.
I'm just heading in.Copy !req
332. Don't keep the patients waiting.
Dr. Greene's on a rampage about that.Copy !req
333. He'll settle back in.
He just needs a couple more days.Copy !req
334. - I keep missing you. How you doing?
- I'm fine. Feels good to be back.Copy !req
335. - Not too soon?
- It was nice having time with Rachel.Copy !req
336. But a week at home is about
all I could take.Copy !req
337. - Any word from the police?
- They're gonna come by this afternoon.Copy !req
338. I gave them a list of patients
and family members...Copy !req
339. who might have had a reason
to be that angry.Copy !req
340. The ones I could remember.Copy !req
341. - So you're okay with this?
- Yes and no.Copy !req
342. It hasn't been the most
pleasant experience...Copy !req
343. but it's a wake-up call.Copy !req
344. A reminder that I can be abrupt
with people, and it'll backfire.Copy !req
345. I don't know if that's...Copy !req
346. You've got a five-year-old
with a wrist fracture.Copy !req
347. A child in pain. Music to my ears.
Get some lunch later?Copy !req
348. I'm so sorry.Copy !req
349. The chest x-ray showed a diffuse,
patchy infiltrate...Copy !req
350. and the endotracheal aspirate...Copy !req
351. showed gram-negative bacteria.Copy !req
352. He's got pneumonia, sepsis,
premature lungs...Copy !req
353. Respiratory Distress Syndrome.Copy !req
354. They just gave him surfactant
to try to open up his lungs.Copy !req
355. How's Carla doing?Copy !req
356. She asked me to wait outside
in the hall.Copy !req
357. You probably haven't shared this
with anyone, have you?Copy !req
358. Your family, people you work with.Copy !req
359. You do have friends.Copy !req
360. A community.Copy !req
361. I hope everything will be all right.Copy !req
362. And you need to stop standing
in the hall.Copy !req
363. Just keep your hands at your sides.Copy !req
364. - It hurts!
- Yes, I think we know that.Copy !req
365. Pulse is 130. BP is 180 over 95.
Pre-op labs?Copy !req
366. You been taking a lot
of ibuprofen lately?Copy !req
367. About eight tablets a day.Copy !req
368. But that's because I twisted my knee,
not because of this stomachache.Copy !req
369. - You have a minute?
- Sure.Copy !req
370. Let's get an upright chest x-ray
and give 10 of morphine slow IV push.Copy !req
371. That'll help with your pain.
I'll be right back.Copy !req
372. I'm just checking.Copy !req
373. This is the groaning guy in Exam 2
that Dr. Greene was concerned about?Copy !req
374. He's concerned?Copy !req
375. He's worried the guy's waiting
too long for a Surgical consult.Copy !req
376. Mr. Lensky's got a board-like abdomen
and guarding in all four quadrants.Copy !req
377. - A perfed ulcer?
- Sounds like it. I ordered a film.Copy !req
378. Have Anspaugh check it out.Copy !req
379. - Colles' fracture.
- Do a closed reduction?Copy !req
380. His dad still too flipped
out to watch?Copy !req
381. He's sacked out in Curtain 3,
having self-medicated with Valium.Copy !req
382. That's helpful. Maybe we should
get a lollipop for Russell.Copy !req
383. - Fentanyl Oralet?
- No. I'm out.Copy !req
384. I'll have to order it.
It may take a while.Copy !req
385. - We can try it without.
- All right.Copy !req
386. I tell you what we're gonna do, buddy.
We're gonna...Copy !req
387. - I'll get that lollipop.
- Get right on it.Copy !req
388. I want to give it a little longer,
but the surfactant didn't do much.Copy !req
389. He still requires 100 percent oxygen
with high pressures on the ventilator.Copy !req
390. His mother's gonna want to know
everything that might happen.Copy !req
391. Every parent in here
wants to know what might happen.Copy !req
392. We just can't know for sure.Copy !req
393. You know...Copy !req
394. I did a Pedes Surgery elective
this year...Copy !req
395. but I'm not up to speed
on all the sequelae.Copy !req
396. Like retinopathy?Copy !req
397. Exactly. Although, his eyesight
should be the least of our worries.Copy !req
398. We need to be more concerned
about intraventricular hemorrhage...Copy !req
399. periventricular leukomalacia,
necrotizing enterocolitis...Copy !req
400. and in a few weeks,
bronchopulmonary dysplasia.Copy !req
401. All right, what do we do?Copy !req
402. I'm concerned about the high vent
pressure's causing lung damage.Copy !req
403. So I want to switch him over to an
oscillating ventilator, and we wait.Copy !req
404. - Dr. Greene, you got a second?
- What is it?Copy !req
405. I got the head CT back
on Harry Smith.Copy !req
406. - Harry Smith?
- The MVA from this morning?Copy !req
407. It's negative. No bleed.
But I was talking to his mother.Copy !req
408. She said Harry was on his way to a
pre-employment physical for a new job.Copy !req
409. She also let it drop that she was...Copy !req
410. relieved that the cops didn't
find marijuana on him.Copy !req
411. Is this leading to helping
the patient?Copy !req
412. His urine is like water.
Check this out.Copy !req
413. "Specific gravity, 10.05."Copy !req
414. I think we should give him Lasix
for hyponatremia.Copy !req
415. Water intoxication?Copy !req
416. If he's worried about
a urine drug test...Copy !req
417. maybe he thinks he can dilute it
or wash out his system.Copy !req
418. Transfer that LOL back to
her nursing home.Copy !req
419. Did you hear from that
detective who said he was coming by?Copy !req
420. Haven't heard, haven't seen.Copy !req
421. That's a good thought.Copy !req
422. Call the lab and see
if his lytes are back.Copy !req
423. Does that hurt?Copy !req
424. That's why Dr. Ross
gave you that shot.Copy !req
425. Nurse Hathaway is gonna pull
down on your arm...Copy !req
426. I'll push, and we'll pop that
bone right here right back in place.Copy !req
427. - Ready to start?
- Where's my dad?Copy !req
428. Taking a nap.Copy !req
429. But he wanted us to be here with you.Copy !req
430. He sings to me.Copy !req
431. He sings to you, does he?Copy !req
432. So you'll do it?Copy !req
433. I think Dr. Ross would love
to sing to you.Copy !req
434. You know, Nurse Hathaway
would like to join in...Copy !req
435. but she doesn't know the words.Copy !req
436. I believe I do too know the words...Copy !req
437. to whatever it is Dr. Ross
is gonna sing to you.Copy !req
438. He//o, Muddah
He//o, FaddahCopy !req
439. Here I am at
Camp GrenadaCopy !req
440. It is very entertaining
Pop it right there.Copy !req
441. And they say we'// have some fun
If it stops rainingCopy !req
442. Wrap that up.Copy !req
443. I went hiking
With Joe SpivyCopy !req
444. He did develop
Poison ivyCopy !req
445. - You brought me here for this?
- I think he perfed his stomach ulcer.Copy !req
446. Of course. It's free air
under the diaphragm.Copy !req
447. It's a slam dunk, no-brainer.Copy !req
448. All right, drop an NG, consent him
and redline him to the O.R.Copy !req
449. I realize you needed backup, but any
Senior Resident could've handled this.Copy !req
450. So please think twice next time.Copy !req
451. Good news. We'll be able
to fix you up right away.Copy !req
452. - What is it?
- You have an ulcer...Copy !req
453. which has eaten through
the lining of your stomach...Copy !req
454. but with surgery can be
easily repaired.Copy !req
455. Surgery?Copy !req
456. - It's a fairly routine procedure...
- I can't do surgery.Copy !req
457. - It really is the only option.
- No. I feel better already.Copy !req
458. That's the morphine.
Nothing's changed with your condition.Copy !req
459. - Wait a second. Listen to me.
- You listen to me!Copy !req
460. I will not have surgery!
And you can't make me!Copy !req
461. Now leave me alone. I wanna go.Copy !req
462. Can you tell me why
you feel so strongly?Copy !req
463. Did something happen to you?Copy !req
464. To somebody else?Copy !req
465. I'm trying to help you here.Copy !req
466. But I can't help you if you leave.Copy !req
467. Or if you won't
tell me what the problem is.Copy !req
468. Of all the stupid things.Copy !req
469. Gallbladder.Copy !req
470. My dad was such a believer...Copy !req
471. in modern doctors,
modern medicines.Copy !req
472. "They'll pop this thing out.
I'll be home tomorrow."Copy !req
473. Fifty-eight years old, and he dies...Copy !req
474. having his stupid
gallbladder taken out.Copy !req
475. And the surgeon.Copy !req
476. All he could talk about
was how simple it was, no big deal.Copy !req
477. Afterwards, he couldn't even
look my mother in the eye.Copy !req
478. He gave us the news and just
spouted some fancy medical words.Copy !req
479. All I could think was,
"You lying son of a bitch!"Copy !req
480. We shouldn't have believed him.Copy !req
481. How can I believe you?Copy !req
482. I talked to him about his father's
gallbladder operation.Copy !req
483. I explained why his surgery
was different.Copy !req
484. I couldn't get him to budge.Copy !req
485. Not much you can do.Copy !req
486. He needs to get to the O.R.Copy !req
487. Not to mention, Anspaugh's gonna
take my head off one more time.Copy !req
488. We can't override the consent
for emergency surgery.Copy !req
489. No, we can't. But I read a paper
about forme fruste...Copy !req
490. ulcers that spontaneously seal off.Copy !req
491. Do a paper-chase search.
See what you find.Copy !req
492. Maybe a Hypaque upper GI,
see what's going on.Copy !req
493. Good idea.Copy !req
494. These labs came back for you
on Harry Smith.Copy !req
495. Sodium, 115?Copy !req
496. I don't believe it. I was right.
He's been drinking buckets of water.Copy !req
497. He's also waking up
if you want to talk to him.Copy !req
498. Where's Dr. Greene?Copy !req
499. Anything to drink?Copy !req
500. Sure. I'll take a pop
if you've got one.Copy !req
501. Good news. All the leads
you gave us came out clear.Copy !req
502. - What?
- Yeah. Everyone checked out.Copy !req
503. Patients? Families?Copy !req
504. Everyone you gave us.Copy !req
505. There wasn't anything on anyone?Copy !req
506. Usually people are glad
to hear that.Copy !req
507. They don't like things happening
in their own back yard.Copy !req
508. Right. Right.Copy !req
509. You okay?Copy !req
510. Sure.Copy !req
511. I see you made a pretty
quick recovery.Copy !req
512. It wasn't as bad as I thought
it was gonna be.Copy !req
513. We'll keep investigating, of course.Copy !req
514. Gotta go.Copy !req
515. - Dr. Greene.
- Later, Carter.Copy !req
516. I was right about the
water-intoxication guy.Copy !req
517. His sodium is 115.
He drank 3 gallons.Copy !req
518. That's great. Great. Terrific.
Wonderful. Admit to Medicine.Copy !req
519. It's not that it's a better
or a worse option.Copy !req
520. It just may be the only other thing
to consider.Copy !req
521. Babies can respond
to inhaled nitric oxide...Copy !req
522. and it can improve
their oxygenation.Copy !req
523. In full-term babies.Copy !req
524. Correct. It's still being studied
in premature infants.Copy !req
525. We're participating
in a national multicenter trial.Copy !req
526. There is a small series which shows
that nitric improved oxygenation...Copy !req
527. by 50 percent on average.Copy !req
528. Now, half of those kids did develop
bleeding of the brain...Copy !req
529. but no one knows
if the gas caused that.Copy !req
530. Bleeding in the brain.Copy !req
531. There would be a risk of retardation
and cerebral palsy.Copy !req
532. But if we keep doing what we're doing
now, there's a risk of lung disease.Copy !req
533. Yes. And possible brain damage
if the oxygen level falls too low.Copy !req
534. That's a hell of a choice.
How do I make that decision?Copy !req
535. I wish I could answer that question
for every parent I talk to every day.Copy !req
536. Dr. Tabash?
I'm sorry.Copy !req
537. Talk it over with the baby's mother,
and let me know soon.Copy !req
538. Excuse me.Copy !req
539. I'm an idiot, Kerry.
I'm a complete idiot.Copy !req
540. Was that the detective
you were waiting for?Copy !req
541. It wasn't an angry patient. It wasn't
a family member of an angry patient.Copy !req
542. It wasn't Chris Law.
It wasn't Mr. Gunther.Copy !req
543. It wasn't that crazy guy
who was yelling about Krishna.Copy !req
544. They checked everybody out?Copy !req
545. I thought I was remembering it like
a puzzle that would come together.Copy !req
546. But the Chicago Police Department
was nice enough to inform me...Copy !req
547. that I am simply the victim
of random violence.Copy !req
548. Well, you knew that,
patient or no patient.Copy !req
549. What I knew is that
everything I do...Copy !req
550. I do because I am not
the victim.Copy !req
551. I treat the victim.
I cure the victim.Copy !req
552. I watch them roll the victim out
like a piece of meat.Copy !req
553. But the truth is,
I'm the piece of meat.Copy !req
554. We can't think about that. We're the
ones who see what goes on out there.Copy !req
555. We know that every day some
child won't make it home from school.Copy !req
556. Some father won't make it
home from work.Copy !req
557. But if we allowed ourselves
to think that could be us...Copy !req
558. we couldn't walk out
our front door.Copy !req
559. The problem is, that is us.Copy !req
560. No, the problem is,
it makes us like everyone else.Copy !req
561. Dr. Anspaugh, I was just coming up
to see you.Copy !req
562. Where's that perfed ulcer?
He should've been out two hours ago.Copy !req
563. That's why I wanted to talk.
Mr. Lensky doesn't want surgery.Copy !req
564. Well, nobody wants surgery.Copy !req
565. So what?Copy !req
566. But he doesn't need it.Copy !req
567. Of course he does.
There's a hole in his stomach.Copy !req
568. If we don't repair that perf, he's at
risk for peritonitis, sepsis, death.Copy !req
569. If you look, there's the ulcer.
But there actually is no leak.Copy !req
570. It sealed itself off
against the liver.Copy !req
571. This patient was redlined to the O.R.
Who ordered an upper GI?Copy !req
572. I did.Copy !req
573. - You were supposed to consent him.
- He doesn't want surgery.Copy !req
574. - He needs surgery.
- Maybe not.Copy !req
575. I found an article that shows
he could be treated medically.Copy !req
576. Which is what he wants.Copy !req
577. You think this is about what he wants?Copy !req
578. I guess. A little bit.Copy !req
579. Well, you're wrong.Copy !req
580. This job is about determining
what a patient needs...Copy !req
581. and the best way for us,
as surgeons, to meet that need.Copy !req
582. And as surgeons, we cut.Copy !req
583. As a doctor, if I can find a way to do
what my patient wants...Copy !req
584. that's medically acceptable,
that's what I should do.Copy !req
585. I don't believe I should cut
somebody open just because I can.Copy !req
586. It bothers me that this patient
is willing to risk death...Copy !req
587. rather than undergo a simple
surgical procedure.Copy !req
588. But it bothers me even more...Copy !req
589. that you're so willing
to help him do that.Copy !req
590. Sorry.Copy !req
591. Mark, I still need you to sign off
on these QA reviews.Copy !req
592. - I don't have time.
- But I'm off in five. I just...Copy !req
593. Why don't you just leave them at
the desk for me? All right?Copy !req
594. Done. Done. Done.Copy !req
595. - You look very nice tonight.
- Thank you.Copy !req
596. Can you file these for me?Copy !req
597. I'll ask Miss Kelly.Copy !req
598. - Miss Kelly?
- Our temp clerk tonight.Copy !req
599. Why do we have a temp?Copy !req
600. I'm sorry, but I don't think
that's any of your business.Copy !req
601. Okay. Good night.Copy !req
602. - Good night.
- Want to grab a burger?Copy !req
603. He is so strange.
Where did we find him?Copy !req
604. Nina, hi. Damn!
I was supposed to call you.Copy !req
605. I hate having you
think of it that way.Copy !req
606. It's been really busy.Copy !req
607. - Good first day back?
- Completely fabulous.Copy !req
608. Did you call Dr. Gillum?Copy !req
609. That PTSD guy?Copy !req
610. Well, you are post-trauma.Copy !req
611. I know I need time
to settle in...Copy !req
612. but it's not like I'm a postal
worker with an AK-47.Copy !req
613. I know you're not.Copy !req
614. I'm just trying to help any way I can.Copy !req
615. I know, and I appreciate it.
I'm fine.Copy !req
616. Everything's getting back to normal.Copy !req
617. I don't like you trying
to cover with me.Copy !req
618. I don't like you trying
to be a shrink with me.Copy !req
619. How's Rachel doing?Copy !req
620. She's sleeping over
at a friend's house tonight.Copy !req
621. Great. Tell her I say hi.Copy !req
622. Sure.Copy !req
623. - How are you doing?
- How is she?Copy !req
624. Remarkably well, considering.
She's pretty strong.Copy !req
625. I wanted to apologize for my
behavior this morning in the delivery.Copy !req
626. Thank you, but it's unnecessary.Copy !req
627. I've never met a father who could
handle it sensibly, calmly, maturely.Copy !req
628. If I ever do, that's the guy
I'm really gonna slap around.Copy !req
629. Today was the first day
I was ever afraid.Copy !req
630. Well, I'm glad to hear that.Copy !req
631. - Better get back in here.
- I'll check on her before I leave.Copy !req
632. I made the bed.Copy !req
633. Isn't that the stupidest thing
you've ever seen?Copy !req
634. I spoke to Dr. Tabash.Copy !req
635. He presented another option
for the baby we should consider.Copy !req
636. There are a lot of serious
risks involved.Copy !req
637. So I'm going to try
to explain them to you.Copy !req
638. Then we have a decision to make.Copy !req
639. You don't have to change for me.Copy !req
640. I'm not changing for you.
You said we were gonna grab a burger.Copy !req
641. We can get some burgers
at the Pump Room.Copy !req
642. I'm not wearing scrubs
to the Pump Room.Copy !req
643. I don't know.
I think it'd be rather daring.Copy !req
644. Surprise!Copy !req
645. Happy birthday!Copy !req
646. Oh, God!
I hate you for this.Copy !req
647. It worked out well, don't you think?Copy !req
648. Surprise, girl!Copy !req
649. That was great.Copy !req
650. - What are you doing?
- Waiting for you.Copy !req
651. Come on.Copy !req
652. Right this way.Copy !req
653. - What are you doing?
- Come on.Copy !req
654. Come on. Just come over here.
Have a seat.Copy !req
655. Okay.Copy !req
656. - What's this?
- A little something for you.Copy !req
657. A garage-door opener!Copy !req
658. Go ahead. Try it.Copy !req
659. - I always wanted one of these.
- I know.Copy !req
660. - You always said they were stupid.
- They are stupid.Copy !req
661. I don't get why a person
can't just open the damn door.Copy !req
662. This is the nicest thing
you've ever done for me.Copy !req
663. That's pretty pathetic.Copy !req
664. I love it.Copy !req
665. I love it.Copy !req
666. Let's have a beer.Copy !req
667. Go ahead.Copy !req
668. This is special.
I love having 20 people over...Copy !req
669. especially when I have so much
to serve them. Peel an orange.Copy !req
670. Would you lighten up?
They brought booze.Copy !req
671. Okay. I'll lighten up.Copy !req
672. I'll just have a sip of this milk.Copy !req
673. You just drink that
right out of the carton?Copy !req
674. What's wrong with that?Copy !req
675. Well, it's just kind of
a guy thing to do.Copy !req
676. You know.Copy !req
677. So what is all this about?Copy !req
678. What is what about?Copy !req
679. This little dance you did today.
This party. You.Copy !req
680. I know you haven't had very good
birthdays the last couple of years.Copy !req
681. - The ones I spent with you?
- The ones I forgot.Copy !req
682. I just thought it was time
for you to have a nice one.Copy !req
683. You want a sip of milk?Copy !req
684. Yes, I would love a sip
of this milk. Thank you.Copy !req
685. Thank you.Copy !req
686. Dr. Weaver.
Excuse me.Copy !req
687. - Can I talk to you for a minute?
- Sure.Copy !req
688. I know this isn't the right time
or place, but I was curious.Copy !req
689. What would be involved with getting
into Emergency Medicine?Copy !req
690. What do you mean?Copy !req
691. To change one's Residency, would you
have to redo your intern year?Copy !req
692. Has "one" talked to Dr. Greene
about this?Copy !req
693. You saw how he was in the hall.Copy !req
694. Happy birthday to youCopy !req
695. Happy birthday to youCopy !req
696. Happy birthday, dear Caro/Copy !req
697. Happy birthday to youCopy !req
698. Oh, my God!Copy !req
699. Come on, blow them out!Copy !req
700. There are so many candles
on this cake. What am I, 55?Copy !req
701. Wait! Hold on!
One second.Copy !req
702. Almost forgot.Copy !req
703. Wait a minute!Copy !req
704. Beautiful.Copy !req
705. What's that?Copy !req
706. It's so your wishes come true.Copy !req
707. - Make it a good one.
- All right.Copy !req
708. All right, Carol.
You go, girl!Copy !req
709. Oh, my God.
You still look so young.Copy !req